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P1: PROGRAMUL NATIONAL DE BOLI TRANSMISIBILE

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Page 1: P1: PROGRAMUL NATIONAL DE BOLI TRANSMISIBILE
Page 2: P1: PROGRAMUL NATIONAL DE BOLI TRANSMISIBILE
Page 3: P1: PROGRAMUL NATIONAL DE BOLI TRANSMISIBILE

Anexa nr. 1

Nr.crt Cod CIM

Grupa terapeu

ticaDenumire generica Denumire comerciala

Forma farmaceuti

ca

Concentratie / U.T.

Firma Tara Ambalaj

Pres

crip

tie cant/ambal

aj

Pret cu ridicata maximal de

decontare / U.T.

Pret de decontare / U.T.

contribu ție maximă

asigurat / U.T. - farmacii

comunitare

P1: PROGRAMUL NATIONAL DE BOLI TRANSMISIBILE A) SUBPROGRAMUL DE TRATAMENT SI MONITORIZARE A PERSOANELOR CU INFECTIE HIV/SIDA si TRATAMENTUL POSTEXPUNERE

1 W63734001 A07AA11 RIFAXIMINUM NORMIX 200 mg COMPR. FILM. 200mg ALFASIGMA S.P.A. ITALIA CUTIE CU 1 BLIST. PVC-PE-PVDC/AL X 12 COMPR. FILM. PRF 12 2,051666 2,772500 0,0000002 W63734002 A07AA11 RIFAXIMINUM NORMIX 200 mg COMPR. FILM. 200mg ALFASIGMA S.P.A. ITALIA CUTIE CU 3 BLIST. PVC-PE-PVDC/AL A CATE 12 COMPR. FILM. PRF 36 2,015000 2,547777 0,0000003 W63735001 A07AA11 RIFAXIMINUM NORMIX 200mg/10ml GRAN. PT. SUSP. ORALA 200mg/10ml ALFASIGMA S.P.A. ITALIA CUTIE CU UN FLACON DIN STICLA BRUNA CONTINÂND GRANULE PENTRU 60 ML SUSPENSIE ORALA, ÎNSOTIT DE O MASURA DOZATOARE MARCATA LA 5, 10 SI 15 ML. PRF 1 15,660000 21,160000 0,0000004 W13742001 D01AC02 MICONAZOLUM MICONAZOL NITRAT 2% CREMA 2% SLAVIA PHARM SRL ROMANIA CUTIE X 1 TUB X 20 G P-RF 1 5,550000 7,500000 0,0000005 W00040001 D06BB03 ACICLOVIRUM ZOVIRAX CREMA 5% THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 1 TUB X 5G CREMA P-RF 1 4,908000 6,636000 9,5840006 W55128001 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 6,624000 8,952000 3,3780007 W60557002 D06BB03 ACICLOVIRUM ACICLOVIR-RICHTER 50mg/g CREMA 50mg/g GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU 1 TUB AL X 15 G CREMA PRF 1 6,240000 8,440000 0,0000008 W60557001 D06BB03 ACICLOVIRUM ACICLOVIR-RICHTER 50mg/g CREMA 50mg/g GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU 1 TUB AL X 5 G CREMA PRF 1 4,090000 5,530000 0,0000009 W58038001 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 5,520000 7,460000 0,000000

10 W64910001 D06BB03 ACICLOVIRUM ACEVIREX 50 mg/g CREMA 50mg/g GLAXOSMITHKLINE (IRELAND) LIMITED IRLANDA CUTIE CU 1 TUB DIN AL X 5 G CREMA PRF 1 4,908000 6,636000 9,58400011 W53041001 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 5,700000 7,700000 0,00000012 W58038002 D06BB03 ACICLOVIRUM ACICLOVIR TERAPIA 50 mg/g CREMA 50mg/g TERAPIA S.A. ROMANIA CUTIE CU 1 TUB DIN AL A 5 G CREMA PRF 1 4,908000 6,636000 0,82400013 W55128002 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 4,908000 6,636000 5,69400014 W51339001 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 0,818333 1,105000 0,00000015 W51340001 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 1,566666 2,116666 0,00000016 W11729001 J01CF04 OXACILLINUM OXACILINA ATB 250 mg CAPS. 250mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 0,310000 0,419000 0,00000017 W07274001 J01CF04 OXACILLINUM OXACILINA ATB 500 mg CAPS. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. X 10 CAPS. P-RF 10 0,617000 0,834000 0,00000018 W12910001 J01CF04 OXACILLINUM OXACILINA FORTE 500 mg CAPS. 500mg FARMEX COMPANY SRLROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 CAPS. P-RF 20 0,616500 0,833500 0,00000019 W12910002 J01CF04 OXACILLINUM OXACILINA FORTE 500 mg CAPS. 500mg FARMEX COMPANY SRLROMANIA CUTIE CU 50 BLIST. PVC/AL CU 10 CAPSULE (AMBALAJ DE UZ SPITALICESC) P-RF/S 500 0,594000 0,725160 0,00000020 W12910003 J01CF04 OXACILLINUM OXACILINA FORTE 500 mg CAPS. 500mg FARMEX COMPANY S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 CAPS. PRF 10 0,617000 0,834000 0,00000021 W60469002 J01CF04 OXACILLINUM OXACILINA ATB 1000 mg PULB. PT. SOL. INJ./PERF. 1000mg ANTIBIOTICE SA ROMANIA CUTIE CU 50 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. PRF 50 8,100000 9,592000 0,00000022 W60469004 J01CF04 OXACILLINUM OXACILINA ATB 1000 mg PULB. PT. SOL. INJ./PERF. 1000mg ANTIBIOTICE SA ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. PRF 10 8,400000 10,621000 0,00000023 W60469001 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 8,550000 10,660200 0,89980024 W60469003 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 7,800000 8,883500 0,00000025 W60468002 J01CF04 OXACILLINUM OXACILINA ATB 500 mg PULB. PT. SOL. INJ./PERF. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 50 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. PRF 50 5,742000 7,009800 0,00000026 W60468003 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 5,520000 6,398300 0,00000027 W60468004 J01CF04 OXACILLINUM OXACILINA ATB 500 mg PULB. PT. SOL. INJ./PERF. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. PRF 10 5,846000 7,392000 0,00000028 W60468001 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 5,950000 7,677960 0,36204029 W58901001 J01CR01 AMPICILLINUM + SULBACTAM AMPIPLUS 1000 mg/500 mg PULB. PT. SOL. INJ./PERF. 1000mg/500mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF. PR, PRF 1 17,100000 21,320400 1,78960030 W58901003 J01CR01 AMPICILLINUM + SULBACTAM AMPIPLUS 1000 mg/500 mg PULB. PT. SOL. INJ./PERF. 1000mg/500mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF. PR, PRF 10 16,500000 20,143000 0,00000031 W58901004 J01CR01 AMPICILLINUM + SULBACTAM AMPIPLUS 1000 mg/500 mg PULB. PT. SOL. INJ./PERF. 1000mg/500mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 25 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF. PR, PRF 25 16,200000 19,184000 0,00000032 W58901002 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 15,600000 17,767000 0,00000033 W55354004 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN SR 1000 mg/62,5 mgCOMPR. ELIB. PREL. 1000mg/62,5mg BEECHAM GROUP PLC MAREA BRITANIE CUTIE CU BLIST. AL/PVC-AL-PP X 28 COMPR. ELIB. PREL. P-RF 28 1,346071 1,760714 0,00000034 W00400003 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 0,762142 1,030000 0,00000035 W65088002 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN 500 mg/125 mg COMPR. FILM. 500mg/125mg GLAXOSMITHKLINE (IRELAND) LIMITED IRLANDA CUTIE CU 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM., FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA PROTECTOARE DIN AL LAMINAT PRF 14 0,562285 0,759428 0,213429

VALABILĂ ÎNCEPÂND CU 01 IULIE 2020

(ANEXA nr. 2 la Ordinul 1605/875/2014)

SECŢIUNEA C2 - LISTA denumirilor comerciale și a preturilor de decontare a medicamentelor care se acordă bolnavilor cuprinși in cadrul programele nationale de sănătate, in tratamentul ambulatoriu si spitalicesc, corespunzătoare denumirilor comune internaţionale cuprinse în

secțiunea C2 a sublistei C

din HG nr. 720/2008, republicată, elaborată în temeiul Ordinului MS/CNAS nr. 1605/875/2014, cu modificarile si competarile ulterioare,

Pagina 1 din 70

Page 4: P1: PROGRAMUL NATIONAL DE BOLI TRANSMISIBILE

Nr.crt Cod CIM

Grupa terapeu

ticaDenumire generica Denumire comerciala

Forma farmaceuti

ca

Concentratie / U.T.

Firma Tara Ambalaj

Pres

crip

tie cant/ambal

aj

Pret cu ridicata maximal de

decontare / U.T.

Pret de decontare / U.T.

contribu ție maximă

asigurat / U.T. - farmacii

comunitare36 W55163002 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN 500 mg/125 mg COMPR. FILM. 500mg/125mg BEECHAM GROUP PLC MAREA BRITANIE CUTIE X 2 BLISTERE PVC-PVDC/AL X 7 COMPRIMATE FILMATE, FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA PROTECTOARE DIN AL LAMINAT, CONTINAND UN DESICANT P-RF 14 0,562285 0,759428 0,21342937 W64211008 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXICILINA/ACID CLAVULANIC AUROBINDO 500 mg/125 mg COMPR. FILM. 500mg/125mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 14 COMPR. FILM. PRF 14 0,468571 0,632857 0,00000038 W54453002 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXIPLUS 500mg/125mg COMPR. FILM. 500mg/125mg ANTIBIOTICE S.A. ROMANIA CUTIE X 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM.P-RF 14 0,468571 0,632857 0,00000039 W59497007 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM ENHANCIN 875 mg/125 mg COMPR. FILM. 875mg/125mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL INTRODUSE IN PUNGI DE POLIESTER/AL/POLIESTER/PE X 21 COMPR. FILM. PRF 21 0,761904 1,029523 0,00000040 W59497004 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM ENHANCIN 875 mg/125 mg COMPR. FILM. 875mg/125mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL INTRODUSE IN PUNGI DE POLIESTER/AL/POLIESTER/PE X 14 COMPR. FILM. PRF 14 0,762142 1,030000 0,00000041 W55164001 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN 875 mg/125 mg COMPR. FILM. 875mg/125mg BEECHAM GROUP PLC MAREA BRITANIE CUTIE X 2 BLISTERE PVC-PVDC/AL X 7 COMPRIMATE FILMATE, FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA PROTECTOARE DIN AL LAMINAT, CONTINAND UN DESICANT P-RF 14 0,914285 1,235428 0,35457242 W65089001 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN 875 mg/125 mg COMPR. FILM. 875mg/125mg GLAXOSMITHKLINE (IRELAND) LIMITED IRLANDA CUTIE CU 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM., FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA PROTECTOARE DIN AL LAMINAT PRF 14 0,914285 1,235428 0,35457243 W64212008 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXICILINA/ACID CLAVULANIC AUROBINDO 875 mg/125 mg COMPR. FILM. 875mg/125mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 14 COMPR. FILM. PRF 14 0,762142 1,030000 0,00000044 W55401002 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 0,762142 1,030000 0,00000045 W62046002 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV QUICKTAB 625 mg COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE 625mg SANDOZ S.R.L. ROMANIA CUTIE X 7 BLIST. AL/AL X 2 COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE P-RF 14 0,562285 0,759428 0,55271446 W59739005 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXIPLUS 1000 mg/200 mg PULB. PT. SOL. INJ./PERF. 1000mg/200mg ANTIBIOTICE SA ROMANIA CUTIE CU 25 FLAC. DIN STICLA INCOLORA CARE CONTIN PULB. PT. SOL. INJ. / PERF. PRF 25 14,200000 17,004000 0,00000047 W59739001 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXIPLUS 1000 mg/200 mg PULB. PT. SOL. INJ./PERF. 1000mg/200mg ANTIBIOTICE SA ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CARE CONTINE PULB. PT. SOL. INJ. / PERF. PRF 1 14,820000 18,704400 1,32560048 W59739002 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 13,600000 15,587000 0,00000049 W59739004 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXIPLUS 1000 mg/200 mg PULB. PT. SOL. INJ./PERF. 1000mg/200mg ANTIBIOTICE SA ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA CARE CONTIN PULB. PT. SOL. INJ. / PERF. PRF 10 14,300000 17,457000 0,00000050 W00399001 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV 156,25mg/5ml PULB. PT. SUSP. ORALA 156,25mg/5ml LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLAC. DIN STICLA BRUNA CU 25 MG PULB. PT. 100 ML SUSP. ORALA P-RF 1 8,900000 12,030000 0,00000051 W08783002 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 10,620000 14,350000 0,00000052 W55355006 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN BIS 400 mg/57 mg/5 ml PULB. PT. SUSP. ORALA 400mg/57mg/5ml SMITHKLINE BEECHAM LTD. MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. 70 ML SUSP. ORALA +LINGURITA DOZATOARE PRF 1 12,744000 17,220000 4,23000053 W55355005 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN BIS 400 mg/57 mg/5 ml PULB. PT. SUSP. ORALA 400mg/57mg/5ml SMITHKLINE BEECHAM LTD. MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. 35 ML SUSP. ORALA +LINGURITA DOZATOARE PRF 1 7,930000 10,720000 0,00000054 W55355001 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN BIS 400 mg/57 mg/5 ml PULB. PT. SUSP. ORALA 400mg/57mg/5ml SMITHKLINE BEECHAM LTD. MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. 35 ML SUSP. ORALA + 1 SERINGA PT. ADM. ORALAP-RF 1 7,930000 10,720000 0,00000055 W64190005 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN FP 400 mg/57 mg/5 ml PULB. PT. SUSP. ORALA 400mg/57mg/5ml GLAXOSMITHKLINE (GSK) SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CARE CONTINE PULB. PT 70 ML SUSP. ORALA SI O LINGURITA PRF 1 12,744000 17,220000 4,23000056 W65099003 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN ES 600mg/42,9 mg/5 ml PULB. PT. SUSP. ORALA 600 mg/42,9mg/5ml GLAXOSMITHKLINE (IRELAND) LIMITED IRLANDA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CONTINÂND PULB. PENTRU 100 ML SUSPENSIE SI O LINGURITA DOZATOARE DIN POLISTIREN, MARCAT CU GRADATII PT. MASURAREA VOLUMELOR 2,5 ML SI 5,0 ML PRF 1 33,030000 43,200000 0,00000057 W55342003 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN ES 600mg/42,9 mg/5 ml PULB. PT. SUSP. ORALA 600 mg/42,9mg/5ml SMITHKLINE BEECHAM LTD. MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CONTINÂND PULB. PENTRU 100 ML SUSPENSIE SI O LINGURITA DOZATOARE DIN POLISTIREN, MARCAT CU GRADATII PT. MASURAREA VOLUMELOR 2,5 ML SI 5,0 ML P-RF 1 33,030000 43,200000 0,00000058 W00402001 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV 312,5mg/5ml PULB. PT.SUSP. ORALA 312,5mg/5ml LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLAC. DIN STICLA BRUNA CU 25 G PULB. PT. 100 ML SUSP. ORALA + LINGURITA DOZATOARE P-RF 1 16,190000 21,880000 0,00000059 W54765001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 gPULB. 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 21,430000 26,932800 2,03720060 W53595006 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLIN/TAZOBACTAM KABI 2g/0,25 g 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. PR 10 13,689000 16,711000 0,00000061 W64263002 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 2 g/0,25 g PULB. PT. SOL. PERF. 2g/0,25g ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA DE TIP III CU PULB. PT. SOL. PERF.PR 10 13,199000 16,113000 0,00000062 W64263001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 2 g/0,25 g PULB. PT. SOL. PERF. 2g/0,25g ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA DE TIP III CU PULB. PT. SOL. PERF.PR 1 13,680000 18,490000 0,00000063 W64264002 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 4 g/0,50 g PULB. PT. SOL. PERF. 4g/0,50g ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA DE TIP I CU PULB. PT. SOL. PERF.PR 10 18,385000 22,444000 0,00000064 W64264001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 4 g/0,50 g PULB. PT. SOL. PERF. 4g/0,50g ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA DE TIP I CU PULB. PT. SOL. PERF. PR 1 19,050000 25,750000 0,00000065 W53596003 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLIN/TAZOBACTAM 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. PR 10 20,658000 25,219000 0,00000066 W55618001 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 5,083200 6,649200 5,09040067 W42064001 J01DD04 CEFTRIAXONUM MEDAXONE 1 g PULB. PT. SOL. INJ./PERF. 1g MEDOCHEMIE LTD. CIPRU CUTIE X 10 FLAC. DIN STICLA X 1 G PULB. PT. SOL. INJ./PERF. S/P-RF 10 5,083200 6,649200 0,17580068 W59397002 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 4,236000 5,541000 0,00000069 W13949012 J01DD04 CEFTRIAXONUM CEFORT 1 g PULB. PT. SOL. INJ./PERF. 1g ANTIBIOTICE SA ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CAPACITATE 15 ML CU PULB. PT. SOL. INJ./PERF. PR 10 5,083200 6,649200 10,85380070 W13949009 J01DD04 CEFTRIAXONUM CEFORT 1 g PULB. PT. SOL. INJ./PERF. 1g ANTIBIOTICE SA ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CAPACITATE 30 ML CU PULB. PT. SOL. INJ./PERF. PR 10 5,083200 6,649200 10,85380071 W13949003 J01DD04 CEFTRIAXONUM CEFORT 1 g PULB. PT. SOL. INJ./PERF. 1g ANTIBIOTICE SA ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CAPACITATE 17 ML CU PULB. PT. SOL. INJ./PERF. PR 10 5,083200 6,649200 10,85380072 W53779001 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 5,083200 6,649200 13,43080073 W13949006 J01DD04 CEFTRIAXONUM CEFORT 1 g PULB. PT. SOL. INJ./PERF. 1g ANTIBIOTICE SA ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CAPACITATE 10 ML CU PULB. PT. SOL. INJ./PERF. PR 10 5,083200 6,649200 10,85380074 W13948004 J01DD04 CEFTRIAXONUM CEFORT 250 mg PULB. PT. SOL. INJ./PERF. 250mg ANTIBIOTICE SA ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CAPACITATE 10 ML CU PULB. PT. SOL. INJ. PERF. PR 10 5,965000 7,542000 0,00000075 W13948008 J01DD04 CEFTRIAXONUM CEFORT 250 mg PULB. PT. SOL. INJ./PERF. 250mg ANTIBIOTICE SA ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CAPACITATE 15 ML CU PULB. PT. SOL. INJ. PERF. PR 10 5,965000 7,542000 0,00000076 W59398002 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 7,801000 9,863000 0,00000077 W13891004 J01DD04 CEFTRIAXONUM CEFORT 2 g PULB. PT. SOL. INJ./PERF. 2g ANTIBIOTICE SA ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CAPACITATE 50 ML, CU PULB. PT. SOL. INJ./PERF. PR 10 9,361200 11,835600 19,16340078 W13891008 J01DD04 CEFTRIAXONUM CEFORT 2 g PULB. PT. SOL. INJ./PERF. 2g ANTIBIOTICE SA ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CAPACITATE 30 ML CU PULB. PT. SOL. INJ./PERF. PR 10 9,361200 11,835600 19,16340079 W42544001 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 9,361200 11,835600 1,11440080 W53778001 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 6,810000 9,210000 0,00000081 W56096001 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 9,361200 11,835600 7,42440082 W57455001 J01DD08 CEFIXIMUM EFICEF 100 mg CAPS. 100mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 CAPS. PRF 10 1,771000 2,394000 0,00000083 W13701001 J01DD08 CEFIXIMUM EFICEF (R) 200 mg CAPS. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 2,955000 3,865000 0,00000084 W63367003 J01DD08 CEFIXIMUM CEFIXIMA AUROBINDO 200 mg COMPR. FILM. 200mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PA-AL-PVC/AL X 10 COMPR. FILM. PRF 10 2,955000 3,865000 0,00000085 W60256001 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 7,033714 9,200570 1,53343086 W63368003 J01DD08 CEFIXIMUM CEFIXIMA AUROBINDO 400 mg COMPR. FILM. 400mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PA-AL-PVC/AL X 7 COMPR. FILM. PRF 7 5,861428 7,667142 0,00000087 W60256003 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 7,033714 9,200570 0,992430

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Concentratie / U.T.

Firma Tara Ambalaj

Pres

crip

tie cant/ambal

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Pret cu ridicata maximal de

decontare / U.T.

Pret de decontare / U.T.

contribu ție maximă

asigurat / U.T. - farmacii

comunitare88 W61965002 J01DD08 CEFIXIMUM XIFIA 100 mg/5 ml GRANULE PT. SUSP. ORALA 100mg/5ml INN-FARM D.O.O. SLOVENIA CUTIE CU 1 FLAC. DIN STICLA BRUNA, CU CAPCITATEA DE 150 ML CARE CONTINE 53 G GRAN. PT. SUSP. ORALA+1 MASURA DOZATOARE DIN PP PT. MASURAREA VOLUMULUI DE SOLVENT GRADATA LA 66 ML+1 SERINGA DOZATOARE DIN PLASTIC A 5 ML, GRADATA DE LA 0,5 ML PANA LA 5 ML PRF 1 60,720000 76,770000 0,00000089 W13676001 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 15,719000 19,190000 0,00000090 W13677001 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 20,762000 25,346000 0,00000091 W44045001 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 3,410000 4,610000 0,00000092 W52795001 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 21,520000 29,080000 0,00000093 W44061001 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 16,250000 21,960000 0,00000094 W53787004 J01DD62 COMBINATII (CEFOPERAZONUM+SULBACTAMUM)SULCEF 1000 mg/1000 mg PULB. PT. SOL. INJ./PERF. 1000mg/1000mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE CU 100 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF. S/P-RF 100 23,590000 26,094600 0,00000095 W53787002 J01DD62 COMBINATII (CEFOPERAZONUM+SULBACTAMUM)SULCEF 1000 mg/1000 mg PULB. PT. SOL. INJ./PERF. 1000mg/1000mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF. S/P-RF 10 25,619000 31,276000 0,00000096 W53787001 J01DD62 COMBINATII (CEFOPERAZONUM+SULBACTAMUM)SULCEF 1000 mg/1000 mg PULB. PT. SOL. INJ./PERF. 1000mg/1000mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF. S/P-RF 1 26,550000 31,313520 3,41648097 W53787003 J01DD62 COMBINATII (CEFOPERAZONUM+SULBACTAMUM)SULCEF 1000 mg/1000 mg PULB. PT. SOL. INJ./PERF. 1000mg/1000mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE CU 50 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF. S/P-RF 50 23,890000 26,803200 0,00000098 W60705002 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 30,627600 37,389600 48,49840099 W60703002 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 19,063200 23,272800 23,940200

100 W58974002 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 DIN ALUMINIU PREVAZUTA CU DISC DIN MATERIAL PLASTIC PRF 10 30,627600 37,389600 48,498400101 W61143002 J01DH02 MEROPENEMUM ARCHIFAR 1000 mg PULB. PT. SOL. INJ./PERF. 1000mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. DIN STICLA, CAPACITATEA 30 ML, DOP DIN CAUCIUC BROMOBUTILIC SIGILAT CU CAPSA AL CU PULB.PT.SOL.INJ./PERF. PR 10 25,523000 31,158000 0,000000102 W58974005 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 30 ML CU DOP DIN CAUCIUC, SIGILAT CU CAPSA DIN ALUMINIU PREVAZUTA CU DISC DIN MATERIAL PLASTIC PRF 10 30,627600 37,389600 48,498400103 W56827001 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 30,627600 37,389600 64,980400104 W62533002 J01DH02 MEROPENEMUM MEROPENEM AUROBINDO 1 g PULB. PT. SOL. INJ./PERF. 1g AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 30 ML CARE CONTIN PULB. PT. SOL. INJ./PERF. PR 10 30,627600 37,389600 31,573400105 W56125002 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 30,627600 37,389600 2,948400106 W65892002 J01DH02 MEROPENEMUM MEROPENEM AUROBINDO 1 g PULB. PT. SOL. INJ./PERF. 1g AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 30 ML CARE CONTIN PULB. PT. SOL. INJ./PERF. PR 10 30,627600 37,389600 32,554400107 W64244003 J01DH02 MEROPENEMUM MEROPENEM ACCORD 1 g PULB. PT. SOL. INJ./PERF. 1g ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA INCOLORA CARE CONTIN PULB. PT. SOL. INJ./PERF. PR 10 30,627600 37,389600 48,498400108 W61142002 J01DH02 MEROPENEMUM ARCHIFAR 500 mg PULB. PT. SOL. INJ./PERF. 500mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. DIN STICLA, CAPACITATEA 20 ML, DOP DIN CAUCIUC BROMOBUTILIC SIGILAT CU CAPSA AL CU PULB.PT.SOL.INJ./PERF. PR 10 15,886000 19,394000 0,000000109 W56124002 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 19,063200 23,272800 13,253200110 W58973002 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 DIN ALUMINIU PREVAZUTA CU DISC DIN MATERIAL PLASTIC PRF 10 19,063200 23,272800 23,943200111 W65891002 J01DH02 MEROPENEMUM MEROPENEM AUROBINDO 500 mg PULB. PT. SOL. INJ./PERF. 500mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 30 ML CARE CONTIN PULB. PT. SOL. INJ./PERF. PR 10 19,063200 23,272800 17,241200112 W56826001 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 19,063200 23,272800 31,627200113 W64243003 J01DH02 MEROPENEMUM MEROPENEM ACCORD 500 mg PULB. PT. SOL. INJ./PERF. 500mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA INCOLORA CARE CONTIN PULB. PT. SOL. INJ./PERF. PR 10 19,063200 23,272800 23,940200114 W62532002 J01DH02 MEROPENEMUM MEROPENEM AUROBINDO 500 mg PULB. PT. SOL. INJ./PERF. 500mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 30 ML CARE CONTIN PULB. PT. SOL. INJ./PERF. PR 10 19,063200 23,272800 17,241200115 W61198003 J01DH51 IMIPENEMUM + CILASTATINUM IMIPENEM/CILASTATIN ATB 500 mg/500 mg PULB. PT. SOL. PERF. 500mg/500mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA TIP III, CU CAPACITATEA DE 20 ML, CONTINANAD PULB. PT. SOL. PERF. PR 10 19,907000 24,302000 0,000000116 W54532001 J01DH51 IMIPENEMUM + CILASTATINUM IMIPENEM/CILASTATINA KABI 500 mg/500 mg PULB. PT. SOL. PERF. 500mg/500mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF.PR 10 19,907000 24,302000 0,000000117 W54471008 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 23,888400 29,162400 7,285600118 W54471009 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 23,888400 29,162400 7,283600119 W54471006 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 23,888400 29,162400 10,092600120 W54471002 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 20,272000 24,748000 0,000000121 W54471005 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 23,888400 29,162400 10,527600122 W12479001 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUMCO-TRIM ELL COMPR. 400mg/80mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0,317000 0,428500 0,000000123 W05741001 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUMTAGREMIN COMPR. 400mg/80mg ZENTIVA S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0,317000 0,428500 0,000000124 W05738001 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUMSUMETROLIM COMPR. 400mg/80mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0,276000 0,373000 0,000000125 W44046001 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUMEPITRIM 200 mg/40 mg/5 ml 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 7,350000 9,940000 0,000000126 W05739001 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUMSUMETROLIM 25mg/ml+5mg/ml SUSP. ORALA 25mg/ml+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 7,810000 10,550000 0,000000127 W05561001 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 0,505625 0,683750 0,000000128 W63533001 J01FA02 SPIRAMYCINUM ROVAMYCINE® 1,5 Mil. UI COMPR. FILM. 1,5 Mil.U.I. SANOFI ROMANIA S.R.L.ROMANIA CUTIE X 2 BLIST. AL/PVC X 8 COMPR. FILM.P-RF 16 0,505625 0,683750 0,000000129 W13604002 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 2,099000 2,837000 0,000000130 W13604003 J01FA02 SPIRAMYCINUM ROVAMYCINE 3 Mil. UI COMPR. FILM. 3MilU.I. LABORATOIRES AVENTIS FRANTA CUTIE CU 1 BLIST. AL/PVC X 10 COMPR. FILM. PRF 10 2,099000 2,837000 0,000000131 W63534002 J01FA02 SPIRAMYCINUM ROVAMYCINE 3 Mil. UI COMPR. FILM. 3MilU.I. SANOFI ROMANIA S.R.L.ROMANIA CUTIE CU 1 BLIST. AL/PVC X 10 COMPR. FILM. PRF 10 2,099000 2,837000 0,000000132 W63534001 J01FA02 SPIRAMYCINUM ROVAMYCINE 3 Mil. UI COMPR. FILM. 3MilU.I. SANOFI ROMANIA S.R.L.ROMANIA CUTIE CU 2 BLIST. AL/PVC X 5 COMPR. FILM. PRF 10 2,099000 2,837000 0,000000133 W63492001 J01FA09 CLARITHROMYCINUM KLACID SR 500 mg COMPR. ELIB. PREL. 500mg MYLAN PRODUCTS LIMITED MAREA BRITANIE CUTIE CU 1 BLIST. PVC/PVDC/AL X 5 COMPR. ELIB. PREL. PRF 5 1,559142 2,107714 0,728286134 W65279001 J01FA09 CLARITHROMYCINUM KLACID SR 500 mg COMPR. ELIB. PREL. 500mg MYLAN HEALTHCARE GMBH GERMANIA CUTIE CU 1 BLIST. PVC/PVDC/AL X 5 COMPR. ELIB. PREL. PRF 5 1,559142 2,107714 0,728286135 W62391001 J01FA09 CLARITHROMYCINUM KLACID SR 500 mg COMPR. ELIB. PREL. 500mg BGP PRODUCTS LTD. MAREA BRITANIE CUTIE CU 1 BLIST. PVC/PVDC/AL X 5 COMPR. ELIB. PREL. PRF 5 1,559142 2,107714 0,728286136 W14043001 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 0,910285 1,230000 0,005000137 W08490001 J01FA09 CLARITHROMYCINUM FROMILID 250 mg COMPR. FILM. 250mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM.P-RF 14 0,910285 1,230000 0,092857138 W60253004 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 0,758571 1,025000 0,000000139 W65820002 J01FA09 CLARITHROMYCINUM KLACID 250 mg COMPR. FILM. 250mg MYLAN ITALIA S.R.L. ITALIA CUTIE CU 1 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. PRF 14 0,910285 1,230000 0,702857

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asigurat / U.T. - farmacii

comunitare140 W62390002 J01FA09 CLARITHROMYCINUM KLACID 250 mg COMPR. FILM. 250mg BGP PRODUCTS S.R.L. ITALIA CUTIE CU 1 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. PRF 14 0,910285 1,230000 0,702857141 W44093001 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 0,862142 1,165714 0,000000142 W14044001 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 1,514285 2,047142 0,000000143 W60254003 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 1,299285 1,756428 0,000000144 W08491001 J01FA09 CLARITHROMYCINUM FROMILID 500 mg COMPR. FILM. 500mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM.P-RF 14 1,522857 2,057857 0,000000145 W44087001 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 1,559142 2,107714 0,077286146 W54044001 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 1,514500 1,981000 0,000000147 W41838002 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 1,559142 2,107714 0,496571148 W65821002 J01FA09 CLARITHROMYCINUM KLACID 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml MYLAN ITALIA S.R.L. ITALIA CUTIE CU 1 FLAC. PEID CU GRANULE PT. 100 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 MLPRF 1 18,516000 25,032000 2,458000149 W62389001 J01FA09 CLARITHROMYCINUM KLACID 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml BGP PRODUCTS S.R.L. ITALIA CUTIE CU 1 FLAC. PEID CU GRANULE PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 MLPRF 1 12,192000 16,476000 4,174000150 W66370001 J01FA09 CLARITHROMYCINUM KLABAX 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml TERAPIA SA ROMANIA CUTIE CU 1 FLAC. DIN PEID, CU CAPAC DIN PP CU 42 G GRAN. PT. 60 ML SUSP . ORALA PRF 1 10,160000 13,730000 0,000000151 W66370002 J01FA09 CLARITHROMYCINUM KLABAX 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml TERAPIA SA ROMANIA CUTIE CU 1 FLAC. DIN PEID, CU CAPAC DIN PP CU 70 G GRAN. PT. 100 ML SUSP . ORALA PRF 1 15,430000 20,860000 0,000000152 W62389002 J01FA09 CLARITHROMYCINUM KLACID 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml BGP PRODUCTS S.R.L. ITALIA CUTIE CU 1 FLAC. PEID CU GRANULE PT. 100 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 MLPRF 1 18,516000 25,032000 2,458000153 W65821001 J01FA09 CLARITHROMYCINUM KLACID 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml MYLAN ITALIA S.R.L. ITALIA CUTIE CU 1 FLAC. PEID CU GRANULE PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 MLPRF 1 12,192000 16,476000 4,174000154 W44092001 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 . ORALAP-RF 1 10,160000 13,730000 0,000000155 W66369002 J01FA09 CLARITHROMYCINUM KLABAX 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml TERAPIA SA ROMANIA CUTIE CU 1 FLAC. DIN PEID, CU CAPAC DIN PP CU 70 G GRAN. PT. 100 ML SUSP . ORALA PRF 1 43,410000 56,780000 0,000000156 W44091001 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 26,050000 34,070000 0,000000157 W66369001 J01FA09 CLARITHROMYCINUM KLABAX 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml TERAPIA SA ROMANIA CUTIE CU 1 FLAC. DIN PEID, CU CAPAC DIN PP CU 42 G GRAN. PT. 60 ML SUSP . ORALA PRF 1 26,050000 34,070000 0,000000158 W62343001 J01FA09 CLARITHROMYCINUM KLACID I.V. 500 mg PULB. PT. CONC. PT. SOL. PERF. 500mg MYLAN MEDICAL SAS FRANTA CUTIE CU 1 FLAC. DIN STICLA INCOLORA I, DE CAPACITATE 15 ML CONTINAND PULB. PT. CONC. PT. SOL. PERF. PRF 1 32,380000 42,350000 0,000000159 W00517001 J01FA10 AZITHROMYCINUM SUMAMED 250 mg CAPS. 250mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. PVC-PVDC/AL X 6 CAPS. P-RF 6 2,506000 3,385999 1,470667160 W64359001 J01FA10 AZITHROMYCINUM SUMAMED 250 mg CAPS. 250mg TEVA B.V. OLANDA CUTIE CU 1 BLIST. PVC-PVDC/AL X 6 CAPS.P-RF 6 2,506000 3,385999 1,470667161 W00518001 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 3,275000 4,426666 0,000000162 W64356001 J01FA10 AZITHROMYCINUM SUMAMED 125 mg COMPR. FILM. 125mg TEVA B.V. OLANDA CUTIE CU 1 BLIST. PVC/AL X 6 COMPR. FILM. PRF 6 3,275000 4,426666 0,000000163 W63094004 J01FA10 AZITHROMYCINUM AZITROMICINA AUROBINDO 250 mg COMPR. FILM. 250mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 6 COMPR. FILM. PRF 6 2,506000 3,385999 0,140667164 W42879004 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 2,088333 2,821666 0,000000165 W42878001 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 2,573333 3,476666 0,000000166 W63095002 J01FA10 AZITHROMYCINUM AZITROMICINA AUROBINDO 500 mg COMPR. FILM. 500mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 3 COMPR. FILM. PRF 3 3,088000 4,171999 1,808001167 W52840002 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 3,088000 4,171999 1,808001168 W57032001 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 3,088000 4,171999 1,278001169 W43486001 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 3,088000 4,171999 1,524667170 W64357001 J01FA10 AZITHROMYCINUM SUMAMED 500 mg COMPR. FILM. 500mg TEVA B.V. OLANDA CUTIE CU 1 BLIST. PVC/AL X 3 COMPR. FILM. PRF 3 3,088000 4,171999 5,021334171 W52840001 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 3,088000 4,171999 1,808001172 W53281001 J01FA10 AZITHROMYCINUM AZITROX 200 mg/5 ml PULB. + SOLV. SUSP. ORALA 200mg/5ml ZENTIVA S.A. ROMANIA CUTIE X 1 FLACON DIN PE CU PULBERE PENTRU 15ML SUSPENSIE ORALA RECONSTITUITA + FLACON CU SOLVENT X 7.5ML SOLVENT + 1 SERINGA PENTRU ADMINISTRAREA ORALA + O LINGURITA DOZATOARE P-RF 1 11,460000 15,490000 0,000000173 W42901001 J01FA10 AZITHROMYCINUM AZITROMICINA SANDOZ 100 mg/5 ml PULB. PT. SUSP. ORALA 100mg/5ml SANDOZ SRL ROMANIA CUTIE CU 1 FLAC. PEID + 1 SERINGA DOZATOARE DIN PE/PP (10 ML) GRADATA IN DIVIZIUNI DE 0,25 ML CONTINAND PULB. PT 20 ML (400 MG) SUSP. ORALA P-RF 1 15,320000 20,710000 0,000000174 W42877002 J01FA10 AZITHROMYCINUM AZITROMICINA SANDOZ 200 mg/5 ml PULB. PT. SUSP. ORALA 200 mg/5 ml SANDOZ SRL ROMANIA CUTIE CU 1 FLAC. PEID + 1 SERINGA DOZATOARE DIN PE/PP (10 ML) GRADATA IN DIVIZIUNI DE 0,25 ML CONTINAND PULB. PT 20 ML (800 MG) SUSP. ORALA P-RF 1 15,280000 20,650000 0,000000175 W00520003 J01FA10 AZITHROMYCINUM SUMAMED FORTE PULB. PT. SUSP. ORALA 200mg/5ml PLIVA LJUBLJANA 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 34,200000 44,730000 0,000000176 W64358002 J01FA10 AZITHROMYCINUM SUMAMED FORTE 200 mg/5 ml PULB. PT. SUSP. ORALA 200mg/5ml TEVA B.V. OLANDA CUTIE CU 1 FLAC. DIN PEID CONTINAND PULB. PT. 30 ML SUSP. ORALA, O SERINGA PT. ADMINISTRARE ORALA DIN PE/PS SAU PP/PP SI O LINGURITA DOZATOARE PRF 1 25,600000 33,490000 0,000000177 W00520001 J01FA10 AZITHROMYCINUM SUMAMED FORTE PULB. PT. SUSP. ORALA 200mg/5ml PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 1 FLAC. DIN PEID CU PULB. PT. 30 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE P-RF 1 25,600000 33,490000 0,000000178 W64358003 J01FA10 AZITHROMYCINUM SUMAMED FORTE 200 mg/5 ml PULB. PT. SUSP. ORALA 200mg/5ml TEVA B.V. OLANDA CUTIE CU 1 FLAC. DIN PEID CONTINAND PULB. PT. 37,5 ML SUSP. ORALA, O SERINGA PT. ADMINISTRARE ORALA DIN PE/PS SAU PP/PP SI O LINGURITA DOZATOARE PRF 1 34,200000 44,730000 0,000000179 W62087001 J01GB03 GENTAMICINUM GENTAMICINA EIPICO 40 mg/ml SOL INJ. 40mg/ml E.I.P.I.CO MED S.R.L. ROMANIA CUTIE CU 3 FLAC. DIN STICLA TIP I INCOLORA CU CAPACITATEA DE 2,5 ML, CONTINAND 2 ML SOL. INJ. PRF 3 0,786666 1,063333 0,000000180 W03308001 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 0,586000 0,792000 0,000000181 W03309001 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 0,788000 1,065000 0,000000182 W53277001 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 17,140000 23,160000 0,000000183 W53584001 J01MA01 OFLOXACINUM OFLOXACINA LAROPHARM 200 mg COMPR. FILM. 200mg LAROPHARM S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10COMPR. FILM.P-RF 10 1,120800 1,514400 0,708600184 W07914001 J01MA01 OFLOXACINUM ZANOCIN COMPR. FILM. 200mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 0,934000 1,262000 0,000000185 W65069001 J01MA01 OFLOXACINUM ZANOCIN 200 mg COMPR. FILM. 200mg TERAPIA S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. PRF 10 0,934000 1,262000 0,000000186 W56957001 J01MA01 OFLOXACINUM OFLOXIN 200 COMPR. FILM. 200mg ZENTIVA K.S. CEHIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 1,120800 1,514400 0,708600187 W44077004 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 0,468000 0,632400 0,136600188 W01273001 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 0,468000 0,632400 0,124600189 W65056001 J01MA02 CIPROFLOXACINUM CIFRAN 250 mg COMPR. FILM. 250mg TERAPIA S.A. ROMANIA CUTIE CU 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. PRF 10 0,468000 0,632400 0,136600190 W62110003 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA AUROBINDO 250 mg COMPR. FILM. 250mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF 10 0,390000 0,527000 0,000000191 W07862001 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 0,468000 0,632400 0,136600

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Pret de decontare / U.T.

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asigurat / U.T. - farmacii

comunitare192 W01288001 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 0,468000 0,632400 0,136600193 W01271002 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 0,468000 0,632400 0,125600194 W66438003 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA AUROBINDO 250 mg COMPR. FILM. 250mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF 10 0,390000 0,527000 0,000000195 W01274001 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 0,684000 0,924000 0,313000196 W44076001 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 0,684000 0,924000 0,544000197 W01272001 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 0,684000 0,924000 0,544000198 W07863001 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 0,684000 0,924000 0,051000199 W12545001 J01MA02 CIPROFLOXACINUM CIPRO QUIN (R) COMPR. FILM. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 0,684000 0,924000 0,544000200 W54039002 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 0,684000 0,924000 0,544500201 W65057001 J01MA02 CIPROFLOXACINUM CIFRAN 500 mg COMPR. FILM. 500mg TERAPIA S.A. ROMANIA CUTIE CU 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. PRF 10 0,684000 0,924000 0,051000202 W54039001 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 0,684000 0,924000 0,544000203 W62111003 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA AUROBINDO 500 mg COMPR. FILM. 500mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF 10 0,570000 0,770000 0,000000204 W01289001 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 0,684000 0,924000 0,544000205 W66439003 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA AUROBINDO 500 mg COMPR. FILM. 500mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF 10 0,570000 0,770000 0,000000206 W42772001 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 0,815000 1,102000 0,000000207 W01275001 J01MA02 CIPROFLOXACINUM CIPRINOL (R) CONC. PT. SOL. PERF. 100mg/10ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 10 ML PR 5 2,752000 3,642960 0,077040208 W01275002 J01MA02 CIPROFLOXACINUM CIPRINOL (R) CONC. PT. SOL. PERF. 100mg/10ml KRKA D.D. SLOVENIA CUTIE X 50 FIOLE X 10 ML PR 50 2,486800 3,035800 0,000000209 W60268001 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 PR 5 2,762000 3,642960 0,089040210 W61489004 J01MA02 CIPROFLOXACINUM CIPRO INF 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS SRL ROMANIA CUTIE CU 30 PUNGI DIN PVC PLASTICIZAT A CÂTE 200 ML SOL. PERF. PR 30 13,457666 15,940666 0,000000211 W61489003 J01MA02 CIPROFLOXACINUM CIPRO INF 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS SRL ROMANIA CUTIE CU 10 PUNGI DIN PVC PLASTICIZAT A CÂTE 200 ML SOL. PERF. PR 10 13,824000 16,876000 0,000000212 W61489002 J01MA02 CIPROFLOXACINUM CIPRO INF 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS SRL ROMANIA CUTIE CU 50 PUNGI DIN PVC PLASTICIZAT A CÂTE 100 ML SOL. PERF. PR 50 6,938200 8,325600 0,000000213 W61489001 J01MA02 CIPROFLOXACINUM CIPRO INF 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS SRL ROMANIA CUTIE CU 10 PUNGI DIN PVC PLASTICIZAT A CÂTE 100 ML SOL. PERF. PR 10 7,343000 9,284000 0,000000214 W52445001 J01MA03 PEFLOXACINUM PEFLOXACIN LAROPHARM 400 mg COMPR. FILM. 400mg LAROPHARM S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 10 2,291000 3,097000 0,000000215 W41800001 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 0,729600 0,985800 0,160700216 W07984001 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 0,608000 0,821500 0,000000217 W58303001 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 0,729600 0,985800 0,154200218 W14009001 J01MA06 NORFLOXACINUM NORFLOXACIN LAROPHARM 400 mg COMPR. FILM. 400mg LAROPHARM SRL ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 0,729600 0,985800 0,160200219 W62811001 J01MA06 NORFLOXACINUM NORFLOXACINA ATB 400 mg COMPR. FILM. 400mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF 20 0,697500 0,943000 0,000000220 W52786004 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 1,225714 1,657142 0,000000221 W66212001 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ATB 250 mg COMPR. FILM. 250mg ANTIBIOTICE S.A. ROMANIA CUTIE CU BLIST. PVC/AL X 10 COMPR. FILMPRF 10 1,465200 1,980000 0,684000222 W55699003 J01MA12 LEVOFLOXACINUM TAVANIC 250 mg COMPR. FILM. 250mg TERAPIA S.A. ROMANIA CUTIE X1 BLIST. PVC/AL. X 7 COMPR. FILM.P-RF 7 1,465200 1,980000 0,678571223 W60574001 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ARENA 250 mgCOMPR. FILM. 250mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. PVC/PE/PVDC/AL X 5 COMPR. FILM. PRF 5 1,238000 1,674000 0,000000224 W60574002 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ARENA 250 mgCOMPR. FILM. 250mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. PVC/PE/PVDC/AL X 10 COMPR. FILM. PRF 10 1,221000 1,650000 0,000000225 W61631003 J01MA12 LEVOFLOXACINUM LEVALOX 250 mg COMPR. FILM. 250mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 7 COMPR. FILM.PRF 7 1,465200 1,980000 0,702857226 W56939002 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 3,505714 4,738571 0,000000227 W60575002 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ARENA 500 mgCOMPR. FILM. 500mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. PVC/PE/PVDC/AL X 10 COMPR. FILM. PRF 10 3,419000 4,472000 0,000000228 W61706003 J01MA12 LEVOFLOXACINUM LEVALOX 500 mg COMPR. FILM. 500mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 7 COMPR. FILM.PRF 7 3,235714 4,374285 0,000000229 W60575001 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ARENA 500 mgCOMPR. FILM. 500mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. PVC/PE/PVDC/AL X 5 COMPR. FILM. PRF 5 3,504000 4,736000 0,000000230 W66213001 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ATB 500 mg COMPR. FILM. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE CU BLIST. PVC/AL X 10 COMPR. FILMPRF 10 3,478000 4,549000 0,000000231 W55700002 J01MA12 LEVOFLOXACINUM TAVANIC 500 mg COMPR. FILM. 500mg TERAPIA S.A. ROMANIA CUTIE X 1 BLIST. PVC/AL X 7COMPR. FILM. P-RF 7 3,649714 4,932000 0,583714232 W52787004 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 3,041428 4,110000 0,000000233 W56429007 J01MA12 LEVOFLOXACINUM CENOMAR 5 mg/ml SOL. PERF. 5mg/ml STADA ARZNEIMITTEL AG GERMANIA CUTIE CU 1 PUNGA PEJD X 100 ML SOL. PERF. PR 1 31,728000 41,496000 17,064000234 W54108003 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) PR 1 31,728000 41,496000 17,014000235 W61707001 J01MA12 LEVOFLOXACINUM LEVALOX 5 mg/ml SOL. PERF. 5mg/ml KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU DOP DIN CAUCIUC BROMOBUTILIC SI CAPAC DIN AL A 100 ML SOL. PERF. PR 1 26,440000 34,580000 0,000000236 W62972002 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA INFOMED 5 mg/ml SOL. PERF. 5mg/ml INFOMED FLUIDS SRL ROMANIA CUTIE CU 50 PUNGI DE PERFUZIE DIN POLIOLEFINA AVAND CAPACITATEA DE 100 ML A CATE 50 ML SOL. PERF. PRF 50 19,710000 22,247000 0,000000237 W62972004 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA INFOMED 5 mg/ml SOL. PERF. 5mg/ml INFOMED FLUIDS SRL ROMANIA CUTIE CU 30 PUNGI DE PERFUZIE DIN POLIOLEFINA AVAND CAPACITATEA DE 100 ML A CATE 100 ML SOL. PERF. PRF 30 31,728000 41,496000 1,775333238 W55815004 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. PR 1 31,728000 41,496000 17,064000239 W63747004 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA AUROBINDO 5 mg/ml SOL. PERF. 5mg/ml AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. PR 1 31,728000 41,496000 17,064000240 W54108008 J01MA12 LEVOFLOXACINUM LEVOFLOXACIN KABI 5 mg/ml SOL. PERF. 5mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 10 FLAC. PEJD KABIPAC(TIP BOTTLEPACK) A 100 ML CONTINAND 100 ML SOL. PERF. (500MG LEVOFLOXAC PR 10 31,728000 41,496000 8,362000241 W66200001 J01MA14 MOXIFLOXACINUM MOXIFLOXACINA VIVANTA 400 mg COMPR. FILM. 400mg VIVANTA GENERICS S.R.O., REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL X 5 COMPR. FILM.PRF 5 3,568000 4,822000 0,000000242 W66200002 J01MA14 MOXIFLOXACINUM MOXIFLOXACINA VIVANTA 400 mg COMPR. FILM. 400mg VIVANTA GENERICS S.R.O., REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL X 7 COMPR. FILM.PRF 7 3,294285 4,452857 0,000000243 W65543001 J01MA14 MOXIFLOXACINUM ERELAN 400 mg COMPR. FILM. 400mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. AL/AL X 5 COMPR. FILM. PRF 5 3,953142 5,343428 1,718572

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Firma Tara Ambalaj

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Pret de decontare / U.T.

contribu ție maximă

asigurat / U.T. - farmacii

comunitare244 W66222001 J01MA14 MOXIFLOXACINUM MOXIFLOXACINA AUROBINDO 400 mg COMPR. FILM. 400mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 5 COMPR. FILM.PRF 5 3,953142 5,343428 2,142572245 W60943001 J01MA14 MOXIFLOXACINUM MOFLAXA 400 mg COMPR. FILM. 400mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLISTERE DIN OPA-AL-PVC/AL CONAINÂND 5 COMPRIMATE FILMATE PRF 5 3,953142 5,343428 1,364572246 W63876017 J01MA14 MOXIFLOXACINUM AVELOX 400 mg COMPR. FILM. 400mg BAYER AG GERMANIA CUTIE CU 1 BLIST. TRANSPARENT PVC-PVDC/AL X 5 COMPR. FILM. PRF 5 3,953142 5,343428 2,536572247 W63876001 J01MA14 MOXIFLOXACINUM AVELOX 400 mg COMPR. FILM. 400mg BAYER AG GERMANIA CUTIE X 1 BLIST. TRANSPARENT PP/AL X 5 COMPR. FILM. PRF 5 3,953142 5,343428 2,536572248 W57939001 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 3,953142 5,343428 2,536572249 W59332001 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 3,953142 5,343428 2,142572250 W60727002 J01MA14 MOXIFLOXACINUM MOXIFLOXACINA KABI 400 mg/250 ml SOL. PERF. 400mg/250ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPACK) A CATE 250 ML SOL. PERF. (400 MG MOXIFLOXACINA) PR 10 58,522000 67,604000 0,000000251 W57938004 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 63,232000 76,554000 0,000000252 W63849002 J01MA14 MOXIFLOXACINUM MOXIFLOXACINA ROMPHARM 400 mg/250 ml SOL. PERF. 400mg/250ml ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 5 FLAC. DIN STICLA TRANSPARENTA X 250 ML SOL. PERF. PR 5 60,456000 73,528000 0,000000253 W63849001 J01MA14 MOXIFLOXACINUM MOXIFLOXACINA ROMPHARM 400 mg/250 ml SOL. PERF. 400mg/250ml ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA X 250 ML SOL. PERF. PR 1 61,550000 77,820000 0,000000254 W63877004 J01MA14 MOXIFLOXACINUM AVELOX® 400 mg/250 ml SOL. PERF. 400mg/250ml BAYER AG GERMANIA AMBALAJ MULTIPLU (FOLIE DE PLASTIC ETICHETATA) CU 5 CUTII DIN CARTON A CATE 1 FLAC. DIN STICLA X 250 ML SOL. PERF., ÎNCHIS CU DOP DIN CAUCIUC CLOROBUTILIC SAU BROMOBUTILIC PR 5 63,232000 76,554000 0,000000255 W60727001 J01MA14 MOXIFLOXACINUM MOXIFLOXACINA KABI 400 mg/250 ml SOL. PERF. 400mg/250ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) A 250 ML SOL. PERF. (400 MG MOXIFLOXACINA) PR 1 62,180000 78,620000 0,000000256 W66494001 J01XA01 VANCOMYCINUM VANCOTEK 1 g I.V. PULB. PT. SOL. PERF. 1g CN UNIFARM S.A. ROMANIA CUTIE CU 1 FLAC. CE CONTINE 1G PULB. PT. SOL. PERF. PR 1 24,560000 33,200000 0,000000257 W66495001 J01XA01 VANCOMYCINUM VANCOTEK 500 mg I.V. PULB. PT. SOL. PERF. 500mg CN UNIFARM S.A. ROMANIA CUTIE CU 1 FLAC. CE CONTINE 500MG PULB. PT. SOL. PERF. PR 1 17,280000 23,360000 0,000000258 W57042001 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. PERF. PR 1 22,600000 30,540000 0,000000259 W57041001 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. PERF. PR 1 18,610000 25,160000 0,000000260 W64490001 J01XA02 TEICOPLANINUM TARGOCID 400 mg PULB+SOLV. PT. SOL. INJ./PERF. SAU SOL. ORALA 400mg SANOFI ROMANIA SRL ROMANIA CUTIE CU 1 FLACON DIN STICLA INCOLORA TIP I, CARE CONTINE PULBEREA SI O FIOLA DIN STICLA INCOLORA TIP I CARE CONTINE SOLV. (APA PT. PREPARATE INJ., 3 ML) PRF 1 119,900000 146,370000 0,000000261 W13105001 J01XA02 TEICOPLANINUM TARGOCID (R) 400 mg PULB+SOLV. PT. SOL. INJ./PERF. SAU SOL. ORALA 400mg AVENTIS PHARMA LTD. MAREA BRITANIE CUTIE CU 1 FLACON DIN STICLA INCOLORA TIP I, CARE CONTINE PULBEREA SI O FIOLA DIN STICLA INCOLORA TIP I CARE CONTINE SOLV. (APA PT. PREPARATE INJ., 3 ML) P-RF 1 119,900000 146,370000 0,000000262 W52501003 J01XB01 COLISTINUM COLISTINA ATB 1.000.000 UI PULB. PT. SOL. INJ./PERF. 1000000ui ANTIBIOTICE SA ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, ÎNCHISE CU DOP DIN CAUCIUC HALOBUTILIC, SIGILAT CU CAPSA DIN ALUMINIU PREVAZUTA CU DISC FLIP-OFF DIN POLIPROPILENA, CONTINÂND PULB. PENTRU SOL. INJ./PERF. PR 10 27,500000 33,572000 0,000000263 W63535001 J01XD01 METRONIDAZOLUM FLAGYL 250 mg (vezi P01AB01) COMPR. FILM. 250mg SANOFI ROMANIA S.R.L.ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF 20 0,292000 0,395000 0,000000264 W08257001 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 0,292000 0,395000 0,000000265 W64585001 J01XD01 METRONIDAZOLUM METRONIDAZOL VIOSER 500 mg/100 ml SOL. PERF. 500mg/100ml VIOSER S.A. PARENTERAL SOLUTIONS INDUSTRY GRECIA CUTIE CU 1 FLAC. PEJD X 100 ML SOL. PERF. PRF 1 4,110000 5,550000 0,000000266 W64585002 J01XD01 METRONIDAZOLUM METRONIDAZOL VIOSER 500 mg/100 ml SOL. PERF. 500mg/100ml VIOSER S.A. PARENTERAL SOLUTION INDUSTRY GRECIA CUTIE CU 10 FLAC. PEJD X 100 ML SOL. PERF. PRF 10 4,094000 5,355000 0,000000267 W42138002 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 7,079166 8,950833 0,000000268 W42139002 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 7,220000 9,129166 0,000000269 W42139001 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 7,350000 9,940000 0,000000270 W42138001 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 7,210000 9,740000 0,000000271 W08927003 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 4,029000 5,094000 0,000000272 W08927001 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 4,101000 5,364000 0,000000273 W08927002 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 4,101000 5,364000 0,000000274 W62497001 J01XX08 LINEZOLIDUM LINEZOLID KRKA 600 mg COMPR. FILM. 600mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF 10 63,013000 72,499000 0,000000275 W52799001 J01XX08 LINEZOLIDUM ZYVOXID 600 mg COMPR. FILM. 600mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 10 75,615600 86,998800 20,586200276 W63985002 J01XX08 LINEZOLIDUM LINEZOLID FRESENIUS KABI 600 mg COMPR. FILM. 600mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU BLIST. AL/AL X 10 (1X10) COMPR. FILM.PRF 10 75,615600 86,998800 41,527200277 W65053001 J01XX08 LINEZOLIDUM ZYVOXID 600 mg COMPR. FILM. 600mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. PRF 10 75,615600 86,998800 20,586200278 W65055001 J01XX08 LINEZOLIDUM ZYVOXID 100 mg/5 ml GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLACON DIN STICLA BRUNA X 66 G GRAN. PTR. 150 ML SUSP. ORALA + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML PRF 1 701,150000 802,400000 0,000000279 W52800001 J01XX08 LINEZOLIDUM ZYVOXID 100 mg/5 ml 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 1 701,150000 802,400000 0,000000280 W61756002 J01XX08 LINEZOLIDUM LINEZOLID INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS S.R.L.ROMANIA 10 PUNGI DIN POLIOLEFINA MULTISTRATIFICATA, FARA LATEX, PREVAZUTA CU UN TUB CONECTOR CU DESCHIDERE PRIN RASUCIRE, SIGILATA ÎNTR-O FOLIE LAMINATA PROTECTOARE CONTINÂND 300 ML SOL. PERF. PR 10 114,432000 128,546000 0,000000281 W60734001 J01XX08 LINEZOLIDUM LINEZOLID SANDOZ 2 mg/ml SOL. PERF. 2mg/ml SANDOZ S.R.L. ROMANIA CUTIE CU 1 PUNGA DIN PP INCOLORA PÂNA LA GALBUIE, CU 1 SAU 2 PERFUZOARE SI ÎNVELIS SUPLIMENTAR DIN FOLIE LAMINATA CARE CONTINE SOL. PERF. PR 1 119,092800 134,389200 17,890800282 W65054001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 10 PUNGI (EXCEL SAU FREEFLEX) DE UNICA FOLOSINTA GATA DE UTILIZARE, FARA LATEX X 300 ML SOL. PERF. PR 10 116,403000 130,694000 0,000000283 W52801001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML S 10 116,403000 130,694000 0,000000284 W64206001 J01XX08 LINEZOLIDUM LINEZOLID ACCORD 2 mg/ml SOL. PERF. 2mg/ml ACCORD HEALTHCARE LTD. MAREA BRITANIE CUTIE CU 10 PUNGI DIN PLASTIC POLIOLEFINIC (PE) MULTISTRAT CARE CONTIN 300 ML SOL. PERF. PR 10 116,403000 130,694000 0,000000285 W63515002 J01XX08 LINEZOLIDUM LINEZOLID KRKA 2 mg/ml SOL. PERF. 2mg/ml KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 10 PUNGI CU CAPACITATEA DE 300 ML DIN POLIOLEFINA MULTISTRAT PRF 10 115,254000 129,442000 0,000000286 W64055001 J01XX08 LINEZOLIDUM LINEZOLID AUROBINDO 2 mg/ml SOL. PERF. 2mg/ml AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 1 PUNGA DIN FILM DUBLU DE PP MULTISTRATIFICATA, PREVAZUTA CU 2 TUBURI DIN PP CARE CONTINE 300 ML SOL. PERF. PR 1 119,092800 134,389200 17,890800287 W61561001 J01XX08 LINEZOLIDUM LINEZOLID KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 PUNGI DIN POLIOLEFINE (FREEFLEX) A 300 ML SOL. PERF. PR 10 99,244000 111,991000 0,000000288 W63515001 J01XX08 LINEZOLIDUM LINEZOLID KRKA 2 mg/ml SOL. PERF. 2mg/ml KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 1 PUNGA CU CAPACITATEA DE 300 ML DIN POLIOLEFINA MULTISTRAT PRF 1 119,092800 134,389200 16,330800289 W58225007 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 2,545714 3,440000 0,000000290 W43597002 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 3,054857 4,128000 2,507714291 W08372001 J02AC01 FLUCONAZOLUM FLUCOVIM 100 CAPS. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS. P-RF 4 3,054857 4,128000 2,729500292 W66461007 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 100 mg CAPS. 100mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF 7 2,545714 3,440000 0,000000293 W65085001 J02AC01 FLUCONAZOLUM DIFLUCAN 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 5,688000 7,692000 3,838000294 W42693001 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 5,670000 7,660000 0,000000295 W60221003 J02AC01 FLUCONAZOLUM FLUCONAZOL ZENTIVA 150 mg CAPS. 150mg ZENTIVA K.S. REPUBLICA CEHA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 1 CAPS. P-RF 1 5,670000 7,660000 0,000000

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Pret de decontare / U.T.

contribu ție maximă

asigurat / U.T. - farmacii

comunitare296 W52334001 J02AC01 FLUCONAZOLUM FLUCONAZOL LAROPHARM 150 mg CAPS. 150mg LAROPHARM S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA P-RF 1 5,670000 7,660000 0,000000297 W03156001 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 5,688000 7,692000 3,838000298 W51994001 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 150 mg CAPS. 150mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 5,670000 7,660000 0,000000299 W53943002 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 150 MG CAPS. 150mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 5,670000 7,660000 0,000000300 W44089001 J02AC01 FLUCONAZOLUM FLUCORIC 150 mg CAPS. 150mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS.P-RF 1 5,670000 7,660000 0,000000301 W58226001 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 5,670000 7,660000 0,000000302 W60221001 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 5,670000 7,660000 0,000000303 W43598001 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 5,670000 7,660000 0,000000304 W08373001 J02AC01 FLUCONAZOLUM FLUCOVIM 150 CAPS. 150mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 FLAC. X 1 CAPS. P-RF 1 5,670000 7,660000 0,000000305 W57430001 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 5,670000 7,660000 0,000000306 W57239001 J02AC01 FLUCONAZOLUM FLUCONAZOL LPH 150 mg CAPS. 150mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 5,670000 7,660000 0,000000307 W66462001 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 150 mg CAPS. 150mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC TRANSPARENT/PVDC-AL X 1 CAPS. PRF 1 4,740000 6,410000 0,000000308 W43599002 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 4,778571 6,250000 0,000000309 W44098001 J02AC01 FLUCONAZOLUM FLUCORIC 50 mg CAPS. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS.P-RF 7 1,525714 2,062285 0,913429310 W08374001 J02AC01 FLUCONAZOLUM FLUCOVIM 50 CAPS. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 1,525714 2,062285 0,913429311 W51993001 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 50 mg CAPS. 50mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 1,525714 2,062285 0,913429312 W53942002 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 50 MG CAPS. 50mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 1,525714 2,062285 0,913429313 W03157001 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 1,525714 2,062285 2,403429314 W43596001 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 1,525714 2,062285 0,913429315 W58224007 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 50 mgCAPS. 50mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF 7 1,271428 1,718571 0,000000316 W42321001 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 1,525714 2,062285 0,913429317 W66460007 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 50 mgCAPS. 50mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF 7 1,298571 1,754285 0,000000318 W65084001 J02AC01 FLUCONAZOLUM DIFLUCAN 50 mg CAPS. 50mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 7 CAPS. PRF 7 1,525714 2,062285 2,403429319 W58322002 J02AC01 FLUCONAZOLUM DIFLUCAN 10 mg/ml PULB. PT. SUSP. ORALA 10mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 1 FLAC. DIN PEÎD, DE CAPACITATE 60 ML, PREVAZUT CU SISTEM DE ÎNCHIDERE SECURIZAT PENTRU COPII, CE CONTINE PULB. PENTRU 35 ML SUSP. ORALA SI O SERINGA DIN PP DE 5 ML CU MARCAJ LA FIECARE 0,2 ML PRF 1 23,200000 31,360000 0,000000320 W65087001 J02AC01 FLUCONAZOLUM DIFLUCAN 10 mg/ml PULB. PT. SUSP. ORALA 10mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. DIN PEÎD, DE CAPACITATE 60 ML, PREVAZUT CU SISTEM DE ÎNCHIDERE SECURIZAT PENTRU COPII, CE CONTINE PULB. PENTRU 35 ML SUSP. ORALA SI O SERINGA DIN PP DE 5 ML CU MARCAJ LA FIECARE 0,2 ML PRF 1 23,200000 31,360000 0,000000321 W55502018 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF. PR 10 37,069000 44,220000 0,000000322 W55502003 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF. PR 20 9,361000 11,428000 0,000000323 W55502009 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. PR 1 19,410000 26,240000 0,000000324 W55502017 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. PR 1 38,830000 50,790000 0,000000325 W55502001 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. PR 1 9,700000 13,110000 0,000000326 W57368003 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 2mg/ml SOL. PERF. 2mg/ml ARENA GROUP S.A. ROMANIA CUTIE X 1 FLAC. X 100 ML SOL. PERF. PR 1 22,158000 26,532000 32,528000327 W58456001 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/PET/PP X 50 ML SOL. PERF. PR 20 11,233200 13,713600 8,886900328 W55502011 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. PR 20 18,534500 22,110000 0,000000329 W58456003 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/PET/PP X 200 ML SOL. PERF. PR 10 44,482800 53,064000 40,975000330 W60056005 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 FLUCONAZOL S 10 18,465000 22,542000 0,000000331 W58456002 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/PET/PP X 100 ML SOL. PERF. PR 20 22,158000 26,532000 12,745000332 W43051001 J02AC02 ITRACONAZOLUM ITRACONAZOL 100 mg CAPS. 100mg SLAVIA PHARM SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. P-RF 15 1,700000 2,224000 0,000000333 W59235001 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 1,700000 2,224000 0,000000334 W62619001 J02AC02 ITRACONAZOLUM ITRACONAZOL FARMEX 100 mg CAPS. 100mg FARMEX COMPANY S.R.L. ROMANIA CUTIE CU 3 BLIST. PVCA/AL X 5 CAPS. PRF 15 1,700000 2,224000 0,000000335 W03837002 J02AC02 ITRACONAZOLUM ORUNGAL 100 mg CAPS. 100mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 5 CAPS. P-RF 15 2,040000 2,668800 0,752533336 W53958001 J02AC02 ITRACONAZOLUM MICOGAL 100 mg CAPS. 100mg ROMPHARM COMPANY SRL ROMANIA CUTIE CU BLISTERE PVC/AL X 15 CAPSULE P-RF 15 1,700000 2,224000 0,000000337 W61929006 J02AC02 ITRACONAZOLUM OMICRAL 100 mg CAPS. 100mg PHARMASWISS CESKA REPUBLIKA S.R.O. REPUBLICA CEHA CUTIE X 3 BLIST. AL/AL X 5 CAPS. P-RF 15 1,700000 2,224000 0,000000338 W61628006 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg COMPR. FILM. 200mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. PRF 30 7,989857 9,753857 4,462809339 W64073008 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 7,989857 9,753857 15,474357340 W61817001 J02AC03 VORICONAZOLUM ** VORICONAZOLE ACCORD 200 mgCOMPR. FILM. 200mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 COMPR. FILMPRF 28 6,658214 8,128214 0,000000341 W61628005 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg COMPR. FILM. 200mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 7,989857 9,753857 4,631143342 W64931001 J02AC03 VORICONAZOLUM ** VFEND 200 mg COMPR. FILM. 200mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 7,989857 9,753857 47,922928343 W61017005 J02AC03 VORICONAZOLUM ** VORICONAZOL DR. REDDY'S 200 mg COMPR. FILM. 200mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 7,989857 9,753857 58,566500344 W65715001 J02AC03 VORICONAZOLUM ** VORICONAZOLE ACCORD 200 mgCOMPR. FILM. 200mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. PRF 28 6,658214 8,128214 0,000000345 W64073003 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 7,989857 9,753857 19,270428346 W64073005 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 7,989857 9,753857 16,739357347 W08947008 J02AC03 VORICONAZOLUM ** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 7,989857 9,753857 47,922928

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Firma Tara Ambalaj

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Pret cu ridicata maximal de

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Pret de decontare / U.T.

contribu ție maximă

asigurat / U.T. - farmacii

comunitare348 W62033006 J02AC03 VORICONAZOLUM ** VORAMOL 200 mg COMPR. FILM. 200mg ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. PRF 30 7,989857 9,753857 65,112143349 W64072003 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 22,916428 27,704285 0,000000350 W64072005 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 21,905357 25,239285 0,000000351 W64072008 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 21,369642 23,974285 0,000000352 W10489001 J02AC03 VORICONAZOLUM ** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF 1 310,650000 376,760000 0,000000353 W64929001 J02AC03 VORICONAZOLUM ** VFEND 200 mg PULB. PT. SOL. PERF. 200mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. UNIDOZA X 30 ML PRF 1 310,650000 376,760000 0,000000354 W62815001 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg PULB. PT. SOL. PERF. 200mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA CU CAPCITATEA DE 25 ML CU PULB. PT. SOL. PERF. PRF 1 310,650000 376,760000 0,000000355 W62122001 J02AC03 VORICONAZOLUM ** VORICONAZOL FRESENIUS KABI 200 mg PULB. PT. SOL. PERF. 200mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA TIP I, CU CAPACITATEA DE 25 ML, CU PULBERE PT. SOL. PERF. PRF 1 310,650000 376,760000 0,000000356 W64930001 J02AC03 VORICONAZOLUM ** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA PT. ADM. ORALA (5 ML) + 1 ADAPTOR PRF 1 1.372,920000 1.534,630000 0,000000357 W41889001 J02AC03 VORICONAZOLUM ** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA PT. ADM. ORALA (5 ML) + 1 ADAPTOR P-RF 1 1.372,920000 1.534,630000 0,000000358 W64693001 J02AC04 POSACONAZOLUM ** NOXAFIL 100mg COMPR. GASTROREZ. 100mg MERCK SHARP & DOHME OLANDA CUTIE CU BLIST. PVC/PCTFE/AL X 24 COMPR. GASTROREZ. PR 24 133,552083 147,161666 0,000000359 W60913001 J02AC04 POSACONAZOLUM ** NOXAFIL 100mg COMPR. GASTROREZ. 100mg MERCK SHARP & DOHME LTD. MAREA BRITANIE CUTIE CU BLIST. PVC/PCTF/AL X 24 COMPRIMATE GASTROREZISTENTE PR 24 133,552083 147,161666 0,000000360 W65818001 J02AC04 POSACONAZOLUM ** POSACONAZOL MSN LABORATORIES 300 mgCONC. PT. SOL. PERF. 300mg VIVANTA GENERICS S.R.O., REPUBLICA CEHA CUTIE CU FLAC. DE STICLA INCHIS CU DOP DE CAUCIUC BROMOBUTILIC SI CAPSA DE AL DE CULOARE ROSIE X 20 ML CONC. PT. SOL. PERF. PR 1 891,820000 1.010,230000 0,000000361 W61578001 J02AC04 POSACONAZOLUM ** NOXAFIL 300mg CONC. PT. SOL. PERF. 300mg MERCK SHARP & DOHME LTD. MAREA BRITANIE CUTIE CU UN FL X 16,7ML CONC. PT SOL PERF (18MG POSACONAZOL/ML) PR 1 1.070,184000 1.212,276000 372,624000362 W64694001 J02AC04 POSACONAZOLUM ** NOXAFIL 300mg CONC. PT. SOL. PERF. 300mg MERCK SHARP & DOHME OLANDA CUTIE CU 1 FLAC. X 16,7ML CONC. PT SOL. PERF. (18MG POSACONAZOL/ML) PR 1 1.070,184000 1.212,276000 372,624000363 W58194001 J02AC04 POSACONAZOLUM ** NOXAFIL 40mg/ml SUSP. ORALA 40mg/ml MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. X 105ML SUSP. ORALA P-RF/R 1 2.019,372000 2.246,892000 595,608000364 W64692001 J02AC04 POSACONAZOLUM ** NOXAFIL 40mg/ml SUSP. ORALA 40mg/ml MERCK SHARP & DOHME OLANDA CUTIE CU 1 FLAC. X 105 ML SUSP. ORALA PR 1 2.019,372000 2.246,892000 595,608000365 W65835001 J02AC04 POSACONAZOLUM ** POSACONAZOL MYLAN 40 mg/mlSUSP. ORALA 40mg/ml MYLAN IRELAND LIIMTED IRLANDA CUTIE CU 1 FLAC. DIN STICLA, CU CAPAC DIN PE CU SISTEM DE INCHIDERE SECURIZAT PENTRU COPII SI O LINGURITA DE MASURARE A DOZELOR X 105 ML SUSP. ORALA PR 1 1.682,810000 1.872,410000 0,000000366 W63508001 J02AX04 CASPOFUNGINUM ** DALVOCANS 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 10 ML CU PULB. PT. CONC. PT. SOL. PERF. PR 1 810,730000 921,850000 0,000000367 W06665001 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 1 877,030000 994,110000 0,000000368 W64793001 J02AX04 CASPOFUNGINUM ** CANCIDAS 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg MERCK SHARP & DOHME OLANDA CUTIE X 1 FLAC. X 50 MG PULB. PTR. CONC. PTR. SOL. PERF. PR 1 877,030000 994,110000 0,000000369 W63457001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA ZENTIVA 50 mgPULB. PT. CONC. PT. SOL. PERF. 50mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 868,440000 984,750000 0,000000370 W65379001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA SANDOZ 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA (TIP I) CU CAPACITATEA DE 10 ML CU PULB. PT. CONC. PT. SOL. PERF. PR 1 868,440000 984,750000 0,000000371 W65688001 J02AX04 CASPOFUNGINUM ** CASPOFUNGIN ACCORD 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE 50 MG PULB. PT. CONC. PT. SOL. PERF. PR 1 813,420000 924,780000 0,000000372 W63758001 J02AX04 CASPOFUNGINUM ** CASPOFUNGIN ACCORD 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE 50 MG PULB. PT. CONC. PT. SOL. PERF. PR 1 813,420000 924,780000 0,000000373 W63505001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA ATB 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TIP I CU CAPACITATEA DE 10 ML, CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 868,440000 984,750000 0,000000374 W63403001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA MYLAN 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONCENTRAT PT. SOL. PERF. PR 1 877,030000 994,110000 0,000000375 W63404001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA MYLAN 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONCENTRAT PT. SOL. PERF. PR 1 1.135,500000 1.275,850000 0,000000376 W65380001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA SANDOZ 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA (TIP I) CU CAPACITATEA DE 10 ML CU PULB. PT. CONC. PT. SOL. PERF. PR 1 1.124,290000 1.263,630000 0,000000377 W65689001 J02AX04 CASPOFUNGINUM ** CASPOFUNGIN ACCORD 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE 70 MG PULB. PT. CONC. PT. SOL. PERF. PR 1 1.067,080000 1.201,270000 0,000000378 W63759001 J02AX04 CASPOFUNGINUM ** CASPOFUNGIN ACCORD 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE 70 MG PULB. PT. CONC. PT. SOL. PERF. PR 1 1.067,080000 1.201,270000 0,000000379 W63506001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA ATB 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TIP I CU CAPACITATEA DE 10 ML, CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 1.124,290000 1.263,630000 0,000000380 W06670001 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 1.135,500000 1.275,850000 0,000000381 W64792001 J02AX04 CASPOFUNGINUM ** CANCIDAS 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg MERCK SHARP & DOHME OLANDA CUTIE X 1 FLAC. X 70 MG PULB. PTR. CONC. PTR. SOL. PERF. PR 1 1.135,500000 1.275,850000 0,000000382 W63509001 J02AX04 CASPOFUNGINUM ** DALVOCANS 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 10 ML CU PULB. PT. CONC. PT. SOL. PERF. PR 1 1.051,440000 1.184,220000 0,000000383 W63458001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA ZENTIVA 70 mgPULB. PT. CONC. PT. SOL. PERF. 70mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 1.124,290000 1.263,630000 0,000000384 W62968001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA STADA 50 mg PULB. PT.CONC. PT. SOL. PERF. 50mg STADA M&D SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 877,030000 994,110000 0,000000385 W62969001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA STADA 70 mg PULB. PT.CONC. PT. SOL. PERF. 70mg STADA M&D SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 1.135,500000 1.275,850000 0,000000386 W55841001 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 1 883,690000 1.001,370000 0,000000387 W65875001 J02AX06 ANIDULAFUNGINUM ANIDULAFUNGINA ACCORD 100 mg PULB. PT. CONC. PT. SOL. PERF. 100mg ACCORD HEALTHCARE POLONIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC BROMOBUTILIC SI CAPSA DIN AL CU CAPAC DIN PLASTIC CU PULB. PT. CONC. PT. SOL. PERF. PR 1 968,220000 1.093,510000 0,000000388 W64932001 J02AX06 ANIDULAFUNGINUM ECALTA 100mg PULB. PT. CONC. PT. SOL. PERF. 100mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC.DIN STICLA A 30ML X 100 MG PULB. PR 1 883,690000 1.001,370000 0,000000389 W64659001 J02AX06 ANIDULAFUNGINUM ANIDULAFUNGINA TEVA 100 mg PULB. PT. CONC. PT.SOL. PERF. 100mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA DE TIP I CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 883,690000 1.001,370000 0,000000390 W61241002 J04AC01 ISONIAZIDUM IZONIAZIDA ARENA 100 mg COMPR. 100mg ARENA GROUP S.A. ROMANIA CUTIE CU 5 BLIST. DIN FILM PVC OPAC/AL X 10 COMPR. PRF 50 0,122000 0,164800 0,000000391 W61241003 J04AC01 ISONIAZIDUM IZONIAZIDA ARENA 100 mg COMPR. 100mg ARENA GROUP S.A. ROMANIA CUTIE CU 150 BLIST. DIN FILM PVC OPAC/AL X 10 COMPR., AMBALAJ UZ SPITALICESC PRF 1500 0,118200 0,144300 0,000000392 W58576002 J04AC01 ISONIAZIDUM IZONIAZIDA ATB 100 mg COMPR. 100mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 150 BLIST. PVC/AL X 10 COMPR. PR 1500 0,118200 0,144300 0,000000393 W61241001 J04AC01 ISONIAZIDUM IZONIAZIDA ARENA 100 mg COMPR. 100mg ARENA GROUP S.A. ROMANIA CUTIE CU 2 BLIST. DIN FILM PVC OPAC/AL X 10 COMPR. PRF 20 0,122500 0,165500 0,000000394 W61242001 J04AC01 ISONIAZIDUM IZONIAZIDA ARENA 300 mg COMPR. 300mg ARENA GROUP S.A. ROMANIA CUTIE CU 2 BLIST. DIN FILM PVC OPAC/AL X 10 COMPR. PRF 20 0,308000 0,410455 0,005545395 W61242002 J04AC01 ISONIAZIDUM IZONIAZIDA ARENA 300 mg COMPR. 300mg ARENA GROUP S.A. ROMANIA CUTIE CU 5 BLIST. DIN FILM PVC OPAC/AL X 10 COMPR. PRF 50 0,307800 0,410455 0,005545396 W61242003 J04AC01 ISONIAZIDUM IZONIAZIDA ARENA 300 mg COMPR. 300mg ARENA GROUP S.A. ROMANIA CUTIE CU 150 BLIST. DIN FILM PVC OPAC/AL X 10 COMPR., AMBALAJ UZ SPITALICESC PRF 1500 0,290473 0,342046 0,000000397 W58577002 J04AC01 ISONIAZIDUM IZONIAZIDA ATB 300 mg COMPR. 300mg ANTIBIOTICE SA ROMANIA CUTIE X 150 BLIST. PVC/AL X 10 COMPR. P-RF 1500 0,290473 0,342046 0,000000398 W60582001 J04AC01 ISONIAZIDUM ISONIAZID SIROP 100mg/5ml CN UNIFARM S.A. ROMANIA CUTIE X 1 FLAC. X 200 ML SIROP PR 1 50,930000 64,390000 0,000000399 W60594001 J04AC01 ISONIAZIDUM BITUB 100 mg/ml SOL INJ. 100mg/ml CN UNIFARM S.A. ROMANIA CUTIE CU 10 FIOLE X 5 ML SOL. INJ. PR 10 3,359000 4,394000 0,000000

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Nr.crt Cod CIM

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Forma farmaceuti

ca

Concentratie / U.T.

Firma Tara Ambalaj

Pres

crip

tie cant/ambal

aj

Pret cu ridicata maximal de

decontare / U.T.

Pret de decontare / U.T.

contribu ție maximă

asigurat / U.T. - farmacii

comunitare400 W60213002 J04AK01 PYRAZINAMIDUM PIRAZINAMIDA ATB 500 mg COMPR. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 150 BLIST. PVC/AL X 10 COMPR. PR 1500 0,420000 0,483233 0,000000401 W53682002 J04AK02 ETHAMBUTOLUM ETAMBUTOL ARENA 250 mg CAPS. 250mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 0,239500 0,323500 0,000000402 W59648001 J04AK02 ETHAMBUTOLUM ETAMBUTOL ARENA 400 mg CAPS. 400mg ARENA GROUP S.A. ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 CAPS. PRF 20 0,384500 0,497680 0,021820403 W42943002 J04AK02 ETHAMBUTOLUM ETAMBUTOL ATB 250 mg COMPR. FILM. 250mg ANTIBIOTICE SA ROMANIA CUTIE CU 150 BLIST. PVC/AL X 10 COMPR. FILM.PRF 1500 0,231893 0,278200 0,000000404 W42861002 J04AK02 ETHAMBUTOLUM ETAMBUTOL ATB 400 mg COMPR. FILM. 400mg ANTIBIOTICE SA ROMANIA CUTIE X 150 BLIST. AL/PVC X 10 COMPR. FILM. PRF 1500 0,357153 0,414733 0,000000405 W60583001 J04AK02 ETHAMBUTOLUM INBUTOL SOL INJ. 100mg/ml CN UNIFARM S.A. ROMANIA FLAC. X 10 ML SOL. INJ PR 1 29,180000 38,170000 0,000000406 W14071002 J04AM02 COMBINATII (RIFAMPICINUM+IZONIAZIDUM) SINERDOL ISO CAPS. 300mg+150mg ANTIBIOTICE SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. S 1000 0,830000 0,942850 0,000000407 W53675001 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 0,660600 0,892800 0,296700408 W42857001 J05AB01 ACICLOVIRUM ACICLOVIR SLAVIA 200 mg CAPS. 200mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 0,660600 0,892800 0,293700409 W56038001 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 0,660600 0,892800 0,296700410 W53675003 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 0,660600 0,887590 0,000000411 W53676001 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 2,186000 2,954000 0,000000412 W53225001 J05AB01 ACICLOVIRUM ACICLOVIR LAROPHARM 200 mgCOMPR. 200mg LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 0,660600 0,892800 0,296700413 W00044001 J05AB01 ACICLOVIRUM ACICLOVIR TERAPIA 200 mg COMPR. 200mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0,660600 0,892800 0,060200414 W06667003 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 0,568000 0,768000 0,000000415 W60558001 J05AB01 ACICLOVIRUM ACICLOVIR-RICHTER 200 mg COMPR. 200mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. PRF 20 0,660600 0,892800 0,064700416 W65783001 J05AB01 ACICLOVIRUM ACICLOVIR AUROBINDO 200 mg COMPR. 200mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. TRANSPARENTE PVC/AL X 20 COMPR. PRF 20 0,550500 0,744000 0,000000417 W65784008 J05AB01 ACICLOVIRUM ACICLOVIR AUROBINDO 400 mg COMPR. 400mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. TRANSPARENTE PVC/AL X 10 COMPR. PRF 10 1,867000 2,524000 0,000000418 W06668003 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 2,148000 2,903000 0,000000419 W00058001 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 41,032000 50,092000 0,000000420 W60057003 J05AB04 RIBAVIRINUM REBETOL 200 mg CAPS. 200mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 140 CAPS. ( BLIST. PVC/PE/PVDC ) P-RF/R 140 2,049499 2,502071 5,772429421 W66449009 J05AB04 RIBAVIRINUM RIBAVIRINA AUROBINDO 200 mgCOMPR. FILM. 200mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 168 COMPR. FILM. PRF 168 1,707916 2,085059 0,000000422 W61374009 J05AB04 RIBAVIRINUM RIBAVIRINA AUROBINDO 200 mgCOMPR. FILM. 200mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC/AL X 168 COMPR. FILM. PRF 168 1,707916 2,085059 0,000000423 W65100001 J05AB11 VALACYCLOVIRUM VALTREX 500 mg COMPR. FILM. 500 mg GLAXOSMITHKLINE (IRELAND) LIMITED IRLANDA CUTIE CU BLIST. DIN CLORURA DE POLIVINIL/AL X 10 COMPR.FILM. PRF 10 2,978400 4,024800 0,908200424 W58707001 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 2,978400 4,024800 0,908200425 W60087001 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 2,482000 3,354000 0,000000426 W61515001 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR AUROBINDO 450 mg COMPR. FILM. 450mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PA-AL-PVC/AL X 60 COMPR. FILM. PRF 60 16,006999 18,210600 39,961733427 W66450001 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR AUROBINDO 450 mg COMPR. FILM. 450mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 60 COMPR. FILM. PRF 60 16,006999 18,210600 39,961733428 W62786001 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR ZENTIVA 450 mg COMPR. FILM. 450mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM. PRF 60 13,339166 15,175500 0,000000429 W12651002 J05AB15 BRIVUDINUM BRIVAL 125mg COMPR. 125mg BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 1 BLIST. PVC/AL X 7 COMPR. P-RF 7 42,122857 51,422857 0,000000430 W63507001 J05AE03 RITONAVIRUM ** RITONAVIR ACCORD 100 mg COMPR. FILM. 100mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. PEID X 30 COMPR. FILM. PR 30 1,692400 2,213599 0,592734431 W64691001 J05AE03 RITONAVIRUM ** NORVIR 100 mg COMPR. FILM. 100mg ABBVIE DEUTSCHLAND GMBH & CO. KG GERMANIA CUTIE CU 1 FLAC. PEID X 30 COMPR.FILM. PR 30 1,692400 2,213599 0,592734432 W64015001 J05AE03 RITONAVIRUM ** RITONAVIR MYLAN 100 mg COMPR. FILM. 100mg MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. PEID X 30 COMPR. FILM. PR 30 1,410333 1,844666 0,000000433 W59955001 J05AE03 RITONAVIRUM ** NORVIR 100 mg COMPR. FILM. 100mg ABBVIE LTD. MAREA BRITANIE CUTIE X 1 FLAC. PEID X 30 COMPR.FILM. P-RF/R 30 1,692400 2,213599 0,592734434 W61527001 J05AE07 FOSAMPRENAVIRUM ** TELZIR 700mg COMPR. FILM. 700mg VIIV HEALTHCARE UK LIMITED MAREA BRITANIE CUTIE X 1 FLAC. DIN HDPE X 60 COMPR. FILM. PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII PR 60 20,393666 22,865000 0,000000435 W65021001 J05AE07 FOSAMPRENAVIRUM ** TELZIR 700mg COMPR. FILM. 700mg VIIV HEALTHCARE BVOLANDA CUTIE CU 1 FLAC. DIN HDPE X 60 COMPR. FILM. PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII PR 60 20,393666 22,865000 0,000000436 W62562001 J05AE08 ATAZANAVIRUM ATAZANAVIR TEVA 150 mg CAPS. 150mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 60 CAPS. PR 60 17,371000 19,570333 0,000000437 W62562002 J05AE08 ATAZANAVIRUM ATAZANAVIR TEVA 150 mg CAPS. 150mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 60X1 CAPS. PR 60 17,371000 19,570333 0,000000438 W62562003 J05AE08 ATAZANAVIRUM ATAZANAVIR TEVA 150 mg CAPS. 150mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. PEID X 60 CAPS. PR 60 17,371000 19,570333 0,000000439 W64332002 J05AE08 ATAZANAVIRUM ATAZANAVIR ZENTIVA 150 mgCAPS. 150mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 60 CAPS. PR 60 17,549500 19,764833 0,000000440 W14087002 J05AE08 ATAZANAVIRUM REYATAZ 150 mg CAPS. 150mg BRISTOL-MYERS SQUIBB PHARMA EEIG MAREA BRITANIE CUTIE X 60 CAPS. (BLIST. AL/AL ) P-RF/R 60 20,504200 23,112600 3,777400441 W65567002 J05AE08 ATAZANAVIRUM REYATAZ 150 mg CAPS. 150mg BRISTOL-MYERS SQUIBB PHARMA EEIG IRLANDA CUTIE X 60 CAPS. (BLIST. AL/AL 6X1) PR 60 20,504200 23,112600 3,777400442 W65779001 J05AE08 ATAZANAVIRUM ATAZANAVIR KRKA 150 mg CAPS. 150mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 1 FLAC. DIN PEID INCHIS CU SISTEM DE INCHIDERE SECURIZAT PENTRU COPII, PLUS DESICANT X 60 CAPS. PR 60 17,549333 19,764666 0,000000443 W64332001 J05AE08 ATAZANAVIRUM ATAZANAVIR ZENTIVA 150 mgCAPS. 150mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN PEID X 60 CAPS. PR 60 17,549500 19,764833 0,000000444 W65631001 J05AE08 ATAZANAVIRUM ATAZANAVIR ALVOGEN 150 mg CAPS. 150mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU BLIST. PERFORATE UNIDOZA OPA-AL-PVC/AL CONTINAND 60X1 CAPS. PR 60 17,086833 19,260500 0,000000445 W65632002 J05AE08 ATAZANAVIRUM ATAZANAVIR ALVOGEN 200 mg CAPS. 200mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU FLAC. PEID CU CAPAC PP, PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PENTRU COPII X 60 CAPS. PR 60 17,820500 20,060166 0,000000446 W14088001 J05AE08 ATAZANAVIRUM REYATAZ 200 mg CAPS. 200mg BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE X 1 FLAC. PEID CU 1 SISTEM DE INCHIDERE SECURIZAT PT. COPII, DIN POLIPROPILENA X 60 CAPS.P-RF/R 60 21,384600 24,072199 2,817801447 W65568001 J05AE08 ATAZANAVIRUM REYATAZ 200 mg CAPS. 200mg BRISTOL-MYERS SQUIBB PHARMA EEIG IRLANDA CUTIE X 1 FLAC. PEID CU 1 SISTEM DE INCHIDERE SECURIZAT PT. COPII, DIN POLIPROPILENA X 60 CAPS.PR 60 21,384600 24,072199 2,817801448 W65780001 J05AE08 ATAZANAVIRUM ATAZANAVIR KRKA 200 mg CAPS. 200mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 1 FLAC. DIN PEID INCHIS CU SISTEM DE INCHIDERE SECURIZAT PENTRU COPII, PLUS DESICANT X 60 CAPS. PR 60 18,295166 20,577666 0,000000449 W64138001 J05AE08 ATAZANAVIRUM ATAZANAVIR MYLAN 300 mg CAPS. 300mg MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. PEID X 30 CAPS. PR 30 23,323333 26,694000 0,000000450 W65633002 J05AE08 ATAZANAVIRUM ATAZANAVIR ALVOGEN 300 mg CAPS. 300mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU FLAC. PEID CU CAPAC PP, PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PENTRU COPII X 30 CAPS. PR 30 27,988000 32,032800 5,193866451 W53181001 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 27,988000 32,032800 21,747200

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Pret de decontare / U.T.

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asigurat / U.T. - farmacii

comunitare452 W62564001 J05AE08 ATAZANAVIRUM ATAZANAVIR TEVA 300 mg CAPS. 300mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 CAPS. PR 30 27,988000 32,032800 4,805866453 W62564002 J05AE08 ATAZANAVIRUM ATAZANAVIR TEVA 300 mg CAPS. 300mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30X1 CAPS. PR 30 27,988000 32,032800 4,805866454 W62564005 J05AE08 ATAZANAVIRUM ATAZANAVIR TEVA 300 mg CAPS. 300mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. PEID X 30 CAPS. PR 30 27,988000 32,032800 4,805866455 W65587003 J05AE08 ATAZANAVIRUM ATAZANAVIR SANDOZ 300 mgCAPS. 300mg SANDOZ S.R.L. ROMANIA CUTIE CU FLAC. PEID, CU CAPAC DIN PP PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PENTRU COPII X 30 CAPS. PR 30 27,988000 32,032800 5,193866456 W65569001 J05AE08 ATAZANAVIRUM REYATAZ 300 mg CAPS. 300mg BRISTOL-MYERS SQUIBB PHARMA EEIG IRLANDA CUTIE X 1 FLAC. PEID X 30 CAPS. PR 30 27,988000 32,032800 21,747200457 W65781001 J05AE08 ATAZANAVIRUM ATAZANAVIR KRKA 300 mg CAPS. 300mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 1 FLAC. DIN PEID INCHIS CU SISTEM DE INCHIDERE SECURIZAT PENTRU COPII, PLUS DESICANT X 30 CAPS. PR 30 27,988000 32,032800 5,193866458 W64334001 J05AE08 ATAZANAVIRUM ATAZANAVIR ZENTIVA 300 mgCAPS. 300mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN PEID X 30 CAPS. PR 30 27,988000 32,032800 5,193866459 W64334002 J05AE08 ATAZANAVIRUM ATAZANAVIR ZENTIVA 300 mgCAPS. 300mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN PEID X 60 CAPS. PR 60 27,988000 32,032800 4,013200460 W61895001 J05AE10 DARUNAVIRUM ** PREZISTA 150 mg COMPR. FILM. 150mg JANSSEN-CILAG INTERNATIONAL NV BELGIA FLAC. CU CAPACITATEA DE 160 ML DIN PEID X 240 COMPR. FILM.PRF 240 13,146458 14,488625 0,000000461 W63664001 J05AE10 DARUNAVIRUM ** DARUNAVIR ALVOGEN 400 mg COMPR. FILM. 400mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM. PR 60 16,709833 18,849666 0,000000462 W64530001 J05AE10 DARUNAVIRUM ** DARUNAVIR KRKA 400 mg COMPR. FILM. 400mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 2 FLAC. DIN PEID A CATE 30 COMPR. FILM. PR 60 16,945000 19,105833 0,000000463 W63851007 J05AE10 DARUNAVIRUM ** DARUNAVIR SANDOZ 400 mg COMPR. FILM. 400mg SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM. PR 60 18,281000 20,562166 0,000000464 W63958001 J05AE10 DARUNAVIRUM ** DARUNAVIR ZENTIVA 400 mg COMPR. FILM. 400mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM. PR 60 17,253833 19,442500 0,000000465 W63331001 J05AE10 DARUNAVIRUM ** DARUNAVIR MYLAN 600 mg COMPR. FILM. 600mg MYLAN S.A.S. FRANTA CUTIE CU BLISTERE PVC/PE/PVDC-AL X 60 COMPR. FILM. PR 60 18,707166 21,026666 0,000000466 W63852007 J05AE10 DARUNAVIRUM ** DARUNAVIR SANDOZ 600 mg COMPR. FILM. 600mg SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM. PR 60 20,953333 23,475000 0,000000467 W64532001 J05AE10 DARUNAVIRUM ** DARUNAVIR KRKA 600 mg COMPR. FILM. 600mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 2 FLAC. DIN PEID A CATE 30 COMPR. FILM. PR 60 17,605500 19,825833 0,000000468 W63424025 J05AE10 DARUNAVIRUM ** DARUNAVIR TEVA 600 mg COMPR. FILM. 600mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU UN FLACON DIN PEÎD, PREVAZUT CU SISTEM DE ÎNCHIDERE SECURIZAT PENTRU COPII SI DESICANT X 60 COMPR. FILM. PR 60 21,126600 23,791000 6,463666469 W63665001 J05AE10 DARUNAVIRUM ** DARUNAVIR ALVOGEN 600 mg COMPR. FILM. 600mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM. PR 60 21,126600 23,791000 4,115500470 W63959001 J05AE10 DARUNAVIRUM ** DARUNAVIR ZENTIVA 600 mg COMPR. FILM. 600mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM. PR 60 21,126600 23,791000 5,012000471 W61894001 J05AE10 DARUNAVIRUM ** PREZISTA 75 mg COMPR. FILM. 75mg JANSSEN-CILAG INTERNATIONAL NV BELGIA FLAC. CU CAPACITATEA DE 160 ML DIN PEID X 480 COMPR. FILM.PRF 480 6,573229 7,244312 0,000000472 W63960001 J05AE10 DARUNAVIRUM ** DARUNAVIR ZENTIVA 800 mg COMPR. FILM. 800mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. PEID X 30 COMPR. FILM. PR 30 28,471999 32,560399 6,324601473 W64531001 J05AE10 DARUNAVIRUM ** DARUNAVIR KRKA 800 mg COMPR. FILM. 800mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 1 FLAC. DIN PEID CU 30 COMPR. FILM.PR 30 25,804000 29,398000 0,000000474 W63332001 J05AE10 DARUNAVIRUM ** DARUNAVIR MYLAN 800 mg COMPR. FILM. 800mg MYLAN S.A.S. FRANTA CUTIE CU BLISTERE PVC/PE/PVDC-AL X 30 COMPR. FILM. PR 30 23,726666 27,133666 0,000000475 W63853007 J05AE10 DARUNAVIRUM ** DARUNAVIR SANDOZ 800 mg COMPR. FILM. 800mg SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. PEID X 30 COMPR. FILM. PR 30 25,797666 29,391000 0,000000476 W64415010 J05AE10 DARUNAVIRUM ** DARUNAVIR TEVA 800 mg COMPR. FILM. 800mg TEVA B.V. OLANDA CUTIE CU 1 FLAC. PEID, CU DESICANT X 30 COMPR. FILM. PR 30 28,471999 32,560399 7,523934477 W63666001 J05AE10 DARUNAVIRUM ** DARUNAVIR ALVOGEN 800 mg COMPR. FILM. 800mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU 1 FLAC. PEID X 30 COMPR. FILM. PR 30 26,895333 30,587666 0,000000478 W64415013 J05AE10 DARUNAVIRUM ** DARUNAVIR TEVA 800 mg COMPR. FILM. 800mg TEVA B.V. OLANDA CUTIE CU 1 FLAC. PEID, FARA DESICANT X 30 COMPR. FILM. PR 30 28,471999 32,560399 7,523934479 W61893001 J05AE10 DARUNAVIRUM ** PREZISTA 100 mg/ml SUSP. ORALA 100mg/ml JANSSEN-CILAG INTERNATIONAL NV BELGIA FLAC. DE STICLA MULTIDOZA CU 200 ML SUSP. + 1 PIPETA DE 6 ML PT. ADMINISTRARE ORALA CU GRADATII DE 0,2 ML PRF 1 1.738,930000 1.933,590000 0,000000480 W06151002 J05AF01 ZIDOVUDINUM RETROVIR (R) CAPS. 100mg VIIV HEALTHCARE UK LIMITED UK CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-RF 100 3,903400 4,636200 0,000000481 W65176002 J05AF01 ZIDOVUDINUM RETROVIR 100 mg CAPS. 100mg VIIV HEALTHCARE BVOLANDA CUTIE CU 10 BLIST. PVC/AL X 10 CAPS. P-RF 100 3,903400 4,636200 0,000000482 W65177002 J05AF01 ZIDOVUDINUM RETROVIR 10 mg/ml SOL. ORALA 10mg/ml VIIV HEALTHCARE BVOLANDA CUTIE CU 1 FLACON DIN STICLA BRUNA X 200 ML SOL. ORALA + 1 ADAPTOR DE DOZARE + 1 SERINGA PT. ADM. ORALA DE 1 ML PRF 1 46,960000 61,420000 0,000000483 W60312001 J05AF01 ZIDOVUDINUM RETROVIR 10 mg/ml SOL. ORALA 10mg/ml VIIV HEALTHCARE UK LIMITED MAREA BRITANIE CUTIE CU 1 FLACON DIN STICLA BRUNA X 200 ML SOL. ORALA + 1 ADAPTOR DE DOZARE + 1 SERINGA PT. ADM. ORALA DE 10 ML PRF 1 46,940000 61,400000 0,000000484 W65177001 J05AF01 ZIDOVUDINUM RETROVIR 10 mg/ml SOL. ORALA 10mg/ml VIIV HEALTHCARE BVOLANDA CUTIE CU 1 FLACON DIN STICLA BRUNA X 200 ML SOL. ORALA + 1 ADAPTOR DE DOZARE + 1 SERINGA PT. ADM. ORALA DE 10 ML PRF 1 46,940000 61,400000 0,000000485 W12057001 J05AF04 STAVUDINUM ZERIT 30 mg CAPS. 30mg BRISTOL-MYERS SQUIBB PHARMA EEIG MAREA BRITANIE CUTIE X 4 BLIST. ACLAR/AL X 14 CAPS. P-RF/R 56 9,929642 11,504642 0,000000486 W12056001 J05AF04 STAVUDINUM ZERIT 40 mg CAPS. 40mg BRISTOL-MYERS SQUIBB PHARMA EEIG MAREA BRITANIE CUTIE X 4 BLIST. ACLAR/AL X 14 CAPS. P-RF/R 56 9,884107 11,455000 0,000000487 W65301002 J05AF05 LAMIVUDINUM EPIVIR 150mg COMPR. FILM. 150mg VIIV HEALTHCARE BVOLANDA CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM. PR 60 4,248000 5,185999 0,393667488 W59320003 J05AF05 LAMIVUDINUM LAMIVUDINA AUROBINDO 150 mgCOMPR. FILM. 150mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC-ACLAR/AL X 60 COMPR. FILM. PR 60 3,540000 4,321666 0,000000489 W66004003 J05AF05 LAMIVUDINUM LAMIVUDINA AUROBINDO 150 mgCOMPR. FILM. 150mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-ACLAR/AL X 60 COMPR. FILM. PR 60 3,540000 4,321666 0,000000490 W61523002 J05AF05 LAMIVUDINUM EPIVIR 150mg COMPR. FILM. 150mg VIIV HEALTHCARE UK LIMITED MAREA BRITANIE CUTIE X 1 FLAC. PEID X 60 COMPR. FILM. PR 60 4,248000 5,185999 0,393667491 W62523002 J05AF05 LAMIVUDINUM LAMIVUDINA TEVA PHARMA B.V. 300 mg COMPR. FILM. 300 mg TEVA B.V. OLANDA CUTIE CU BLIST. PVC/PVDC/AL X 30 COMPR. FILM. PR 30 9,375333 11,445333 0,000000492 W65302002 J05AF05 LAMIVUDINUM EPIVIR 300mg COMPR. FILM. 300mg VIIV HEALTHCARE BVOLANDA CUTIE CU 1 FLAC. PEID X 30 COMPR. FILM. PR 30 9,141000 11,159333 0,000000493 W61530002 J05AF05 LAMIVUDINUM EPIVIR 300mg COMPR. FILM. 300mg VIIV HEALTHCARE UK LIMITED MAREA BRITANIE CUTIE X 1 FLAC. PEID X 30 COMPR. FILM. PR 30 9,141000 11,159333 0,000000494 W65303002 J05AF05 LAMIVUDINUM EPIVIR 10mg/ml SOL. ORALA 10mg/ml VIIV HEALTHCARE BVOLANDA CUTIE X 1 FLACON PEID X 240ML SOL. ORALA + 1 SERINGA DOZATOARE + 1 ADAPTOR PR 1 85,950000 108,670000 0,000000495 W61531002 J05AF05 LAMIVUDINUM EPIVIR 10mg/ml SOL. ORALA 10mg/ml VIIV HEALTHCARE UK LIMITED MAREA BRITANIE CUTIE X 1 FLACON PEID X 240ML SOL. ORALA + 1 SERINGA DOZATOARE + 1 ADAPTOR PR 1 85,950000 108,670000 0,000000496 W65271001 J05AF06 ABACAVIRUM ZIAGEN 300 mg COMPR. FILM. 300mg VIIV HEALTHCARE BVOLANDA CUTIE X 60 COMPR. FILM. PR 60 14,403666 16,335833 0,000000497 W61524001 J05AF06 ABACAVIRUM ZIAGEN 300 mg COMPR. FILM. 300mg VIIV HEALTHCARE UK LIMITED MAREA BRITANIE CUTIE X 60 COMPR. FILM. PR 60 14,403666 16,335833 0,000000498 W65272001 J05AF06 ABACAVIRUM ZIAGEN 20 mg/ml SOL. ORALA 20mg/ml VIIV HEALTHCARE BVOLANDA CUTIE X 1 FLACON PEID X 240 ML SOL. ORALA + SERINGA DOZATOARE PP X 10 ML + ADAPTOR PE PR 1 258,600000 315,700000 0,000000499 W61525001 J05AF06 ABACAVIRUM ZIAGEN 20 mg/ml SOL. ORALA 20mg/ml VIIV HEALTHCARE UK LIMITED MAREA BRITANIE CUTIE X 1 FLACON PEID X 240 ML SOL. ORALA + SERINGA DOZATOARE PP X 10 ML + ADAPTOR PE PR 1 258,600000 315,700000 0,000000500 W60828015 J05AF07 TENOFOVIRUM DISOPROXIL **1 TENOFOVIR DISOPROXIL TEVA 245 mg COMPR. FILM. 245mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN PEÎD CU CAPAC CAPAC PREVAZUT CU SISTEM SECURIZAT PENTRU COPII DIN PP SI RECIPIENT CU DESICANT, A 30 COMPR. FILM. PR 30 12,458800 15,106000 7,833666501 W65376001 J05AF07 TENOFOVIRUM DISOPROXIL **1 TENOFOVIR DISOPROXIL GLENMARK 245 mgCOMPR. FILM. 245mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU 1 FLAC. ALB DIN PEID X 30 COMPR. FILM. PR 30 12,458800 15,095333 0,000000502 W63256001 J05AF07 TENOFOVIRUM DISOPROXIL **1 TENOFOVIR DISOPROXIL MYLANCOMPR. FILM. 245mg MYLAN S.A.S FRANTA CUTIE X 1 FLAC. DIN PEID X 30 COMPR. FILM PR 30 11,458000 13,761000 0,000000503 W64012002 J05AF07 TENOFOVIRUM DISOPROXIL **1 TENOFOVIR DISOPROXIL AUROBINDO 245 mg COMPR. FILM. 245mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. PR 30 10,382333 12,588333 0,000000

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Pret de decontare / U.T.

contribu ție maximă

asigurat / U.T. - farmacii

comunitare504 W63499004 J05AF07 TENOFOVIRUM DISOPROXIL **1 TENOFOVIR DISOPROXIL SANDOZ 245 mg COMPR. FILM. 245mg SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. PEID X 30 COMPR. FILM. PR 30 12,458800 15,106000 6,378000505 W62771001 J05AF07 TENOFOVIRUM DISOPROXIL **1 VIROFOB 245 mg COMPR. FILM. 245mg ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU 1 FLAC. PEID CU CAPAC DIN PP X 30 COMPR. FILM. PR 30 11,457666 13,760666 0,000000506 W65812001 J05AF07 TENOFOVIRUM DISOPROXIL **1 TENOFOVIR DISOPROXIL ACCORD 245 mg COMPR. FILM. 245mg ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU BLIST. UNIDOZA OPA-AL-PVC/AL X 30X1 COMPR. FILM. PR 30 12,458800 15,106000 7,537666507 W63769001 J05AF07 TENOFOVIRUM DISOPROXIL **1 TENOFOVIR DISOPROXIL ACCORD 245 mg COMPR. FILM. 245mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. UNIDOZA OPA-AL-PVC/AL X 30X1 COMPR. FILM. PR 30 12,458800 15,106000 7,537666508 W64753001 J05AF09 EMTRICITABINUM EMTRIVA 200mg CAPS. 200mg GILEAD SCIENCES IRELAND UC IRLANDA CUTIE CU 1 FLAC. DIN PEID X 30 CAPS. PR 30 21,315000 24,505000 0,000000509 W51482001 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 21,315000 24,505000 0,000000510 W63028001 J05AG01 NEVIRAPINUM NEVIRAPINA TEVA 200mg COMPR. 200mg TEVA B.V. OLANDA BLISTERE DIN PVC/PE/PVDC - AL X 60 COMP. PR 60 6,016166 7,193500 0,000000511 W63761002 J05AG01 NEVIRAPINUM NEVIRAPINA ACCORD 400 mg COMPR. ELIB. PREL. 400mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 30X1 COMPR. ELIB. PREL. PR 30 11,256333 13,541000 0,000000512 W65798002 J05AG01 NEVIRAPINUM NEVIRAPINA ACCORD 400 mg COMPR. ELIB. PREL. 400mg ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU BLIST. PVC/AL X 30X1 COMPR. ELIB. PREL. PR 30 11,256333 13,541000 0,000000513 W13091001 J05AG01 NEVIRAPINUM VIRAMUNE 50mg/5ml 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 95,520000 120,770000 0,000000514 W64652001 J05AG03 EFAVIRENZUM STOCRIN 600 mg COMPR. FILM. 600mg MERCK SHARP & DOHME OLANDA CUTIE CU 1 FLAC. PEID X 30 COMPR. FILM. PREVAZUT CU UN SIST. DE INCHIDERE SECURIZAT PT. COPIIPRF 30 9,427333 11,509000 0,000000515 W12025001 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 9,427333 11,509000 0,000000516 W53549001 J05AG04 ETRAVIRINUM INTELENCE 100 mg COMPR. 100mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE X 1 FLAC. PEID X 120 COMPR. PR 120 20,049333 22,171750 0,000000517 W61898001 J05AG04 ETRAVIRINUM INTELENCE 200 mg COMPR. 200mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE CU 1 FLAC. DIN PEID X 60 COMPR. PR 60 24,217166 27,032666 0,000000518 W61897001 J05AG04 ETRAVIRINUM INTELENCE 25 mg COMPR. 25mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE CU 1 FLAC. DIN PEID X 120 COMPR. PR 120 4,072750 4,757250 0,000000519 W58157001 J05AG05 RILPIVIRINUM EDURANT COMPR. FILM. 25mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE CU UN FLACON DIN PEÎD X 30 COMPRIMATE FILMATE PR 30 32,478000 36,672666 0,000000520 W64953003 J05AP01 RIBAVIRINUM REBETOL 200 mg CAPS. 200mg MERCK SHARP & DOHME OLANDA CUTIE X 140 CAPS. ( BLIST. PVC/PE/PVDC ) PR 140 7,341285 8,274500 0,000000521 W63025001 J05AR01 COMBINATII (LAMIVUDINUM+ZIDOVUDINUM) ** LAMIVUDINA/ZIDOVUDINA TEVA COMPR. FILM. 150mg/300mg TEVA B.V. OLANDA CUTIE CU BLIST. DIN OPA/AL/PVC X 60 COMPRIMATE FILMATE P-RF 60 2,869833 3,503500 0,000000522 W59832001 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 3,443800 4,204200 2,747300523 W66476001 J05AR01 COMBINATII (LAMIVUDINUM+ZIDOVUDINUM) ** LAMIVUDINA/ZIDOVUDINA AUROBINDO 150 mg/300 mg COMPR. FILM. 150mg/300mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. PR 60 3,443800 4,204200 2,747300524 W64934001 J05AR01 COMBINATII (LAMIVUDINUM+ZIDOVUDINUM) ** LAMIVUDINA/ZIDOVUDINA ACCORD 150 mg/300 mg COMPR. FILM. 150mg/300mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILMPR 60 3,443800 4,204200 2,747300525 W61532001 J05AR01 COMBINATII (LAMIVUDINUM+ZIDOVUDINUM) ** COMBIVIR 150mg/300mg COMPR. FILM. 150mg/300mg VIIV HEALTHCARE UK LIMITED MAREA BRITANIE CUTIE X 6 BLIST. X 10 COMPR. FILM. P-RF/R 60 3,443800 4,204200 1,022300526 W65649001 J05AR01 COMBINATII (LAMIVUDINUM+ZIDOVUDINUM) ** COMBIVIR 150 mg/300 mg COMPR. FILM. 150mg/300mg VIIV HEALTHCARE BVOLANDA CUTIE X 6 BLIST. X 10 COMPR. FILM. PR 60 3,443800 4,204200 1,022300527 W64747004 J05AR02 ABACAVIRUM+LAMIVUDINUM ** ABACAVIR/LAMIVUDINA MYLAN 600 mg/300 mg COMPR. FILM. 600mg/300mg MYLAN S.A.S. FRANTA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. PR 30 17,282000 20,109000 0,000000528 W65115001 J05AR02 ABACAVIRUM+LAMIVUDINUM ** KIVEXA 600mg/300mg COMPR. FILM. 600mg/300mg VIIV HEALTHCARE BVOLANDA CUTIE X 30 COMPR. FILM. ( BLIST.ALB-OPAC PVC/PVDC-AL/HARTIE) PR 30 20,738400 24,130800 1,248533529 W61528001 J05AR02 ABACAVIRUM+LAMIVUDINUM ** KIVEXA 600mg/300mg COMPR. FILM. 600mg/300mg VIIV HEALTHCARE UK LIMITED MAREA BRITANIE CUTIE X 30 COMPR. FILM.( BLIST.ALB-OPAC PVC-PVDC/AL ) PR 30 20,738400 24,130800 1,248533530 W65953004 J05AR02 ABACAVIRUM+LAMIVUDINUM ** ABACAVIR/LAMIVUDINA GLENMARK 600 mg/300 mg COMPR. FILM. 600mg/300mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. PR 30 20,738400 24,130800 9,050533531 W63257001 J05AR03 EMTRICITABINUM+TENOFOVIRUM DISOPROXIL EMTRICITABINA/TENOFOVIR DISOPROXIL MYLAN 200 mg/245 mg COMPR. FILM. 200 mg/245 mg MYLAN S.A.S FRANTA CUTIE CU BLIST. X 30 COMPR. FILM. PR 30 9,545200 11,652799 14,608534532 W62931007 J05AR03 EMTRICITABINUM+TENOFOVIRUM DISOPROXIL EMTRICITABINA/TENOFOVIR DISOPROXIL TEVA 200 mg/245 mg COMPR. FILM. 200mg/245mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN PEID CU CAPACITATEA DE 100 ML, PREVAZUT CU CAPAC DIN PP CU SISTEM DE ÎNCHIDERE SECURIZAT PENTRU COPII SI RECIPIENT CARE CONTINE 3 G DESICANT X 30 COMPR. FILM. PR 30 7,954333 9,710666 0,000000533 W64118004 J05AR03 EMTRICITABINUM+TENOFOVIRUM DISOPROXIL EMTRICITABINA/TENOFOVIR DISOPROXIL SANDOZ 200 mg/245 mg COMPR. FILM. 200mg/245mg SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. PEID DIN PEID X 30 COMPR. FILM. PR 30 9,545200 11,652799 2,431867534 W62928001 J05AR03 EMTRICITABINUM+TENOFOVIRUM DISOPROXIL DUNOTRISIN 200 mg/245 mg COMPR. FILM. 200mg/245mg ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU 1 FLAC. PEID X 30 COMPR. FILM. PR 30 9,545200 11,652799 19,100534535 W63802004 J05AR03 EMTRICITABINUM+TENOFOVIRUM DISOPROXIL EMTRICITABINA/TENOFOVIR DISOPROXIL ACCORD 200 mg/245 mg COMPR. FILM. 200mg/245mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PERFORAT PT. ELIBERAREA UNEI UNITATI DOZATE OPA-AL-PVC/AL X 30X1COMPR. FILM.PR 30 9,545200 11,652799 20,815867536 W61529004 J05AR04 ABACAVIRUM+LAMIVUDINUM+ZIDOVUDINUM ** TRIZIVIR 300mg/150mg/300mg COMPR. FILM. 300mg/150mg/300mg VIIV HEALTHCARE UK LIMITED MAREA BRITANIE CUTIE X 60 COMPR. FILM. (BLIST. OPACE DIN PVC/ACLAR) PR 60 29,866166 33,190000 0,000000537 W65016001 J05AR04 ABACAVIRUM+LAMIVUDINUM+ZIDOVUDINUM ** TRIZIVIR 300mg/150mg/300mg COMPR. FILM. 300mg/150mg/300mg VIIV HEALTHCARE BVOLANDA CUTIE CU 60 COMPR. FILM. (BLIST. OPACE DIN PCTFE- PVC/ACLAR) PR 60 29,866166 33,190000 0,000000538 W64590001 J05AR06 EFAVIRENZUM+EMTRICITABINUM+TENOFOVIRUM DISOPROXIL EFAVIRENZ/EMTRICITABINA/TENOFOVIR DISOPROXIL KRKA 600 mg/200 mg/245 mg COMPR. FILM. 600mg/200mg/245mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 1 FLAC. PEID X 30 COMPR. FILM. PR 30 29,451000 33,373333 0,000000539 W63863001 J05AR06 EFAVIRENZUM+EMTRICITABINUM+TENOFOVIRUM DISOPROXIL EFAVIRENZ/EMTRICITABINA/TENOFOVIR DISOPROXIL MYLAN 600 mg/200 mg/245 mg COMPR. FILM. 600mg/200mg/245mg MYLAN S.A.S FRANTA CUTIE CU 1 FLAC. DIN PEID ETICHETAT "DO NOT EAT" (A NU FI INGERAT) X 30 COMPR. FILM. PR 30 29,451000 33,373333 0,000000540 W64622001 J05AR06 EFAVIRENZUM+EMTRICITABINUM+TENOFOVIRUM DISOPROXIL EFAVIRENZ/EMTRICITABINA/TENOFOVIR DISOPROXIL ZENTIVA 600 mg/200 mg/245 mg COMPR. FILM. 600mg/200mg/245mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN PEID X 30 COMPR. FILM. PR 30 29,451000 33,373333 0,000000541 W59948001 J05AR10 LOPINAVIRUM+RITONAVIRUM ** KALETRA 200mg/50mg COMPR. FILM. 200mg/50mg ABBVIE LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID X 120 COMPR. FILM. PR 120 8,316083 9,382500 0,000000542 W63612002 J05AR10 LOPINAVIRUM+RITONAVIRUM ** LOPINAVIR/RITONAVIR ACCORD 200 mg/50 mg COMPR. FILM. 200mg/50mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 120 COMPR. FILM. PR 120 8,051083 9,093583 0,000000543 W64170005 J05AR10 LOPINAVIRUM+RITONAVIRUM ** LOPINAVIR/RITONAVIR MYLAN 200 mg/50 mg COMPR. FILM. 200mg/50mg MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. X 120 COMPR. FILM. PR 120 7,351666 8,331250 0,000000544 W64678001 J05AR10 LOPINAVIRUM+RITONAVIRUM ** KALETRA 200mg/50mg COMPR. FILM. 200mg/50mg ABBVIE DEUTSCHLAND GMBH & CO. KG GERMANIA CUTIE CU 1 FLAC. DIN PEID X 120 COMPR. FILM.PR 120 8,316083 9,382500 0,000000545 W64677002 J05AR10 LOPINAVIRUM+RITONAVIRUM ** KALETRA 80mg/ml+20mg/ml SOL. ORALA 80mg/ml+20mg/ml ABBVIE DEUTSCHLAND GMBH & CO. KG GERMANIA 120 ML (2 FLACOANE X 60 ML) CU 2 SERINGI X 2 ML CU GRADATII DE 0,1 ML PR 2 263,260000 306,030000 0,000000546 W64677001 J05AR10 LOPINAVIRUM+RITONAVIRUM ** KALETRA 80mg/ml+20mg/ml SOL. ORALA 80mg/ml+20mg/ml ABBVIE DEUTSCHLAND GMBH & CO. KG GERMANIA CUTIE X 5 FLAC. MULTIDOZA DIN TPE X 60 ML + 5 SERINGI GRADATE A 5 ML PR 5 254,260000 284,774000 0,000000547 W59947002 J05AR10 LOPINAVIRUM+RITONAVIRUM ** KALETRA 80mg/ml+20mg/ml SOL. ORALA 80mg/ml+20mg/ml ABBVIE LTD. MAREA BRITANIE CUTIE X 5 FLAC. MULTIDOZA DIN TPE X 60 ML + 5 SERINGI GRADATE A 5 ML PR 5 254,260000 284,774000 0,000000548 W62601001 J05AR13 COMBINATII (DOLUTEGRAVIRUM+ABACAVIRUM+LAMIVUDINUM) TRIUMEQ 50 mg/600 mg/300mg COMPR. FILM. 50mg/600mg/300mg VIIV HEALTHCARE UK LIMITED MAREA BRITANIE CUTIE CU FLAC. DIN PEID X 30 COMPR. FILM. PR 30 112,402666 123,790666 0,000000549 W65274001 J05AR13 COMBINATII (DOLUTEGRAVIRUM+ABACAVIRUM+LAMIVUDINUM) TRIUMEQ 50 mg/600 mg/300mg COMPR. FILM. 50mg/600mg/300mg VIIV HEALTHCARE BVOLANDA CUTIE CU FLAC. DIN PEID X 30 COMPR. FILM. PR 30 112,401333 123,789333 0,000000550 W61899001 J05AR14 COMBINATII (DARUNAVIRUM+COBICISTATUM) REZOLSTA 800 mg/150 mg COMPR. FILM. 800mg/150mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE CU 1 FLAC ALB DIN PEID X 30 COMPR. FILM. PR 30 57,524333 63,973333 0,000000551 W64751001 J05AR17 COMBINATII (EMTRICITABINUM+TENOFOVIRUM ALAFENAMIDA) DESCOVY 200 mg/10 mg COMPR. FILM. 200mg/10mg GILEAD SCIENCES IRELAND UC IRLANDA CUTIE CU 1 FLAC. DIN PEID X 30 COMPR. FILM. PR 30 65,564333 72,737000 0,000000552 W62913001 J05AR17 COMBINATII (EMTRICITABINUM+TENOFOVIRUM ALAFENAMIDA) DESCOVY 200 mg/10 mg COMPR. FILM. 200mg/10mg GILEAD SCIENCES INTERNATIONAL LTD. MAREA BRITANIE CUTIE CU 1 FLAC. DIN PEID X 30 COMPR. FILM. PR 30 65,564333 72,737000 0,000000553 W64752001 J05AR17 COMBINATII (EMTRICITABINUM+TENOFOVIRUM ALAFENAMIDA) DESCOVY 200 mg/25 mg COMPR. FILM. 200mg/25mg GILEAD SCIENCES IRELAND UC IRLANDA CUTIE CU 1 FLAC. DIN PEID X 30 COMPR. FILM. PR 30 65,564333 72,737000 0,000000554 W64755001 J05AR18 ELVITEGRAVIR+COBICISTAT+EMTRICITABINE+TENOFOVIR GENVOYA 150 mg/150 mg/200 mg/10 mg COMPR. FILM. 150mg/150mg/200mg/10mg GILEAD SCIENCES IRELAND UC IRLANDA CUTIE CU 1 FLAC. DIN PEID X 30 COMPR. FILM. PR 30 118,376666 130,302333 0,000000555 W62792001 J05AR18 ELVITEGRAVIR+COBICISTAT+EMTRICITABINE+TENOFOVIR GENVOYA 150 mg/150 mg/200 mg/10 mg COMPR. FILM. 150mg/150mg/200mg/10mg GILEAD SCIENCES INTERNATIONAL LTD. MAREA BRITANIE CUTIE CU 1 FLAC. DIN PEID X 30 COMPR. FILM. PR 30 118,376666 130,302333 0,000000

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Nr.crt Cod CIM

Grupa terapeu

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Forma farmaceuti

ca

Concentratie / U.T.

Firma Tara Ambalaj

Pres

crip

tie cant/ambal

aj

Pret cu ridicata maximal de

decontare / U.T.

Pret de decontare / U.T.

contribu ție maximă

asigurat / U.T. - farmacii

comunitare556 W52764001 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 38,325333 42,410500 0,000000557 W64644001 J05AX08 RALTEGRAVIRUM ISENTRESS 400 mg COMPR. FILM. 400mg MERCK SHARP & DOHME OLANDA CUTIE X 1 FLAC. PEID X 60 COMPR. FILMATE PR 60 38,325333 42,410500 0,000000558 W63820001 J05AX08 RALTEGRAVIRUM ISENTRESS 600 mg COMPR. FILM. 600mg MERCK SHARP & DOHME LTD. MAREA BRITANIE CUTIE X 1 FLAC. PEID X 60 COMPR. FILMATE PR 60 38,328000 42,413333 0,000000559 W64645001 J05AX08 RALTEGRAVIRUM ISENTRESS 600 mg COMPR. FILM. 600mg MERCK SHARP & DOHME OLANDA CUTIE X 1 FLAC. PEID X 60 COMPR. FILMATE PR 60 38,328000 42,413333 0,000000560 W61477003 J05AX09 MARAVIROCUM CELSENTRI 150mg COMPR. FILM. 150mg VIIV HEALTHCARE UK LIMITED MAREA BRITANIE CUTIE X 60 COMPR. FILM.( BLIST. PVC/AL) PR 60 42,451000 46,907500 0,000000561 W64977003 J05AX09 MARAVIROCUM CELSENTRI 150 mg COMPR. FILM. 150mg VIIV HEALTHCARE BVOLANDA CUTIE CU 60 COMPR. FILM. (BLIST. PVC/AL)PR 60 42,451000 46,907500 0,000000562 W64978003 J05AX09 MARAVIROCUM CELSENTRI 300 mg COMPR. FILM. 300mg VIIV HEALTHCARE BVOLANDA CUTIE CU 60 COMPR. FILM. (BLIST. PVC/AL)PR 60 42,451000 46,907500 0,000000563 W61478003 J05AX09 MARAVIROCUM CELSENTRI 300mg COMPR. FILM. 300mg VIIV HEALTHCARE UK LIMITED MAREA BRITANIE CUTIE X 60 COMPR. FILM.( BLIST. PVC/AL) PR 60 42,451000 46,907500 0,000000564 W64581001 J05AX12 DOLUTEGRAVIRUM ** TIVICAY 10 mg COMPR. FILM. 10mg VIIV HEALTHCARE BVOLANDA FLAC. PEID X 30 COMPR. FILM., INCHISE CU CAPAC CU FILET DIN POLIPROPILENA SI SIGILIU CU LINIE DE INDUCTIE CU O FATA DIN POLIETILENA PR 30 17,656333 20,517000 0,000000565 W63696001 J05AX12 DOLUTEGRAVIRUM ** TIVICAY 10 mg COMPR. FILM. 10mg VIIV HEALTHCARE UK LIMITED MAREA BRITANIE FLAC. PEID X 30 COMPR. FILM., INCHISE CU CAPAC CU FILET DIN POLIPROPILENA SI SIGILIU CU LINIE DE INDUCTIE CU O FATA DIN POLIETILENA PR 30 17,656333 20,517000 0,000000566 W63697001 J05AX12 DOLUTEGRAVIRUM ** TIVICAY 25 mg COMPR. FILM. 25mg VIIV HEALTHCARE UK LIMITED MAREA BRITANIE FLAC. PEID X 30 COMPR. FILM., INCHISE CU CAPAC CU FILET DIN POLIPROPILENA SI SIGILIU CU LINIE DE INDUCTIE CU O FATA DIN POLIETILENA PR 30 42,640333 47,749666 0,000000567 W64582001 J05AX12 DOLUTEGRAVIRUM ** TIVICAY 25 mg COMPR. FILM. 25mg VIIV HEALTHCARE BVOLANDA FLAC. PEID X 30 COMPR. FILM., INCHISE CU CAPAC CU FILET DIN POLIPROPILENA SI SIGILIU CU LINIE DE INDUCTIE CU O FATA DIN POLIETILENA PR 30 42,640333 47,749666 0,000000568 W64583001 J05AX12 DOLUTEGRAVIRUM ** TIVICAY 50 mg COMPR. FILM. 50mg VIIV HEALTHCARE BVOLANDA FLAC. PEID X 30 COMPR. FILM., INCHISE CU CAPAC CU FILET DIN POLIPROPILENA SI SIGILIU CU LINIE DE INDUCTIE CU O FATA DIN POLIETILENA PR 30 83,756000 92,565666 0,000000569 W60635001 J05AX12 DOLUTEGRAVIRUM ** TIVICAY 50mg COMPR. FILM. 50mg VIIV HEALTHCARE UK LIMITED MAREA BRITANIE FLACOANE PEID X 30 COMPRIMATE FILMATE, INCHISE CU CAPAC CU FILET DIN POLIPROPILENA SI SIGILIU CU LINIE DE INDUCTIE CU O FATA DIN POLIETILENA PR 30 83,756000 92,565666 0,000000570 W66182001 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. 165mg/ml OCTAPHARMA (IP) SPRLBELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 6 ML SOL. INJ. PR 1 399,350000 473,440000 0,000000571 W66182003 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. 165mg/ml OCTAPHARMA (IP) SPRLBELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 12 ML SOL. INJ. PR 1 768,770000 876,110000 0,000000572 W66182005 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. 165mg/ml OCTAPHARMA (IP) SPRLBELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 24 ML SOL. INJ. PR 1 1.507,540000 1.681,370000 0,000000573 W66182006 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. 165mg/ml OCTAPHARMA (IP) SPRLBELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 48 ML SOL. INJ. PR 1 2.985,080000 3.291,890000 0,000000574 W54752002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 70 ML X 50 ML SOL. PERF. PR 1 932,550000 1.054,630000 0,000000575 W54752001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 30 ML X 20 ML SOL. PERF. PR 1 408,030000 482,900000 0,000000576 W54752003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 100 ML X 100 ML SOL. PERF. PR 1 1.835,250000 2.038,570000 0,000000577 W65903004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) SPRLBELGIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 250 ML X 200 ML SOL. PERF. PR 1 3.736,920000 4.111,400000 0,000000578 W65903001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) SPRLBELGIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 30 ML X 20 ML SOL. PERF. PR 1 408,030000 482,900000 0,000000579 W65903002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) SPRLBELGIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 70 ML X 50 ML SOL. PERF. PR 1 932,550000 1.054,630000 0,000000580 W65903003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) SPRLBELGIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 100 ML X 100 ML SOL. PERF. PR 1 1.835,250000 2.038,570000 0,000000581 W62722003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PANZYGA 100 mg/ml SOL. PERF. 100mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 70 ML, CU 50 ML SOL. PERF. PR 1 966,910000 1.092,080000 0,000000582 W65358003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PANZYGA 100 mg/ml SOL. PERF. 100mg/ml OCTAPHARMA (IP) SPRLBELGIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 70 ML, CU 50 ML SOL. PERF. PR 1 966,910000 1.092,080000 0,000000583 W53030001 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. PR 1 923,350000 1.044,600000 0,000000584 W53030002 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. PR 1 1.797,530000 1.997,460000 0,000000585 W53030004 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. PR 1 477,940000 559,100000 0,000000586 W53030003 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. PR 1 3.835,300000 4.218,630000 0,000000587 W43965001 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 PR 1 2.461,260000 2.720,930000 0,000000588 W43962001 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 PR 1 245,530000 299,740000 0,000000589 W43963001 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 PR 1 637,810000 733,360000 0,000000590 W59114002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** INTRATECT 50 g/l SOL. PERF. 50g/l BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 50 ML SOL. PERF. PRF 1 539,240000 625,920000 0,000000591 W59114001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** INTRATECT 50 g/l SOL. PERF. 50g/l BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 20 ML SOL. PERF. PRF 1 224,070000 273,540000 0,000000592 W59114004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** INTRATECT 50 g/l SOL. PERF. 50g/l BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 200 ML SOL. PERF. PRF 1 2.066,990000 2.291,170000 0,000000593 W59114003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** INTRATECT 50 g/l SOL. PERF. 50g/l BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 100 ML SOL. PERF. PRF 1 1.048,500000 1.181,020000 0,000000594 W63860002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PENTAGLOBIN SOL. PERF. 50mg/ml CN UNIFARM S.A. ROMANIA FLAC. X 50 ML PR 1 803,040000 913,460000 0,000000595 W13462001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM SOL. PERF. 50mg/ml OCTAPHARMA (IP) LTD.MAREA BRITANIE CUTIE X 1 FLACON X 50 ML S 1 490,690000 573,000000 0,000000596 W65624002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 50 mg/ml SOL. PERF. 50mg/ml OCTAPHARMA (IP) SPRLBELGIA CUTIE CU 1 FLAC. DIN STICLA X 50 ML SOL. PERF.PR 1 490,690000 573,000000 0,000000597 W65624003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 50 mg/ml SOL. PERF. 50mg/ml OCTAPHARMA (IP) SPRLBELGIA CUTIE CU 1 FLAC. DIN STICLA X 100 ML SOL. PERF. PR 1 949,870000 1.073,510000 0,000000598 W63860001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PENTAGLOBIN SOL. PERF. 50mg/ml CN UNIFARM S.A. ROMANIA FLAC. X 100 ML PR 1 1.565,740000 1.744,810000 0,000000599 W65624004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 50 mg/ml SOL. PERF. 50mg/ml OCTAPHARMA (IP) SPRLBELGIA CUTIE CU 1 FLAC. DIN STICLA X 200 ML SOL. PERF. PR 1 1.859,420000 2.064,920000 0,000000600 W13462003 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 1.859,420000 2.064,920000 0,000000601 W13462002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM SOL. PERF. 50mg/ml OCTAPHARMA (IP) LTD.MAREA BRITANIE CUTIE X 1 FLACON X 100 ML S 1 949,870000 1.073,510000 0,000000602 W43964001 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 PR 1 1.245,630000 1.395,890000 0,000000603 W53892001 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 SOLP-RF/R 1 62,980000 79,630000 0,000000604 W53893001 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 SOLP-RF/R 1 102,660000 125,330000 0,000000605 W65658001 L03AA02 FILGRASTIMUM (G-CSF) ** ACCOFIL 30 MU/0,5 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 30MU/0,5 ml ACCORD HEALTHCARE S.L.U. SPANIA AMBALAJ CU 1 SERINGA PREUMPLUTA (STICLA) CU 0,5 ML SOL. INJ. PR 1 59,440000 75,150000 0,000000606 W61793001 L03AA02 FILGRASTIMUM (G-CSF) ** ACCOFIL 30 MU/0,5 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 30MU/0,5 ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE AMBALAJ CU 1 SERINGA PREUMPLUTA CU 0,5 ML SOL. INJ. PR 1 59,440000 75,150000 0,000000607 W65659001 L03AA02 FILGRASTIMUM (G-CSF) ** ACCOFIL 48 MU/0,5 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 48MU/0,5 ml ACCORD HEALTHCARE S.L.U. SPANIA AMBALAJ CU 1 SERINGA PREUMPLUTA (STICLA) CU 0,5 ML SOL. INJ. PR 1 97,000000 122,650000 0,000000

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Forma farmaceuti

ca

Concentratie / U.T.

Firma Tara Ambalaj

Pres

crip

tie cant/ambal

aj

Pret cu ridicata maximal de

decontare / U.T.

Pret de decontare / U.T.

contribu ție maximă

asigurat / U.T. - farmacii

comunitare608 W61794001 L03AA02 FILGRASTIMUM (G-CSF) ** ACCOFIL 48 MU/0,5 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 48MU/0,5 ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE AMBALAJ CU 1 SERINGA PREUMPLUTA CU 0,5 ML SOL. INJ. PR 1 97,000000 122,650000 0,000000609 W55757002 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 57,502000 70,198000 0,000000610 W62176005 L03AA02 FILGRASTIMUM (G-CSF) ** TEVAGRASTIM 30MUI/0,5ml SOL. INJ./PERF. 300µg/0,5ml TEVA GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF. CU APARATOARE DE SIG.PT.AC PR 1 69,002400 84,237600 41,682400611 W64857002 L03AA02 FILGRASTIMUM (G-CSF) ** NIVESTIM 30 MU/0,5 ml SOL. INJ./PERF. 300µg/0,5ml PFIZER EUROPE MA EEIG BELGIA CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. PR 5 57,502000 70,198000 0,000000612 W55758002 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 89,638000 105,336000 0,000000613 W64858002 L03AA02 FILGRASTIMUM (G-CSF) ** NIVESTIM 48 MU/0,5 ml SOL. INJ./PERF. 480µg/0,5ml PFIZER EUROPE MA EEIG BELGIA CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. PR 5 89,638000 105,336000 0,000000614 W62177005 L03AA02 FILGRASTIMUM (G-CSF) ** TEVAGRASTIM 48MUI/0,8ml SOL. INJ./PERF. 480µg/0,8ml TEVA GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,8 ML SOL. INJ. SAU PERF. CU APARATOARE DE SIG.PT.AC PR 1 107,565600 126,403200 53,526800615 W12757001 S01AA23 NETILMICINUM NETTACIN 3 mg/ml PIC. OFT., SOL 3mg/ml S.I.F.I. SPA ITALIA CUTIE X 1 FLACON X 5ML P-RF 1 11,660000 15,760000 0,000000616 W41510001 S01AA23 NETILMICINUM NETTACIN 3 mg/ml PICATURI OFT.-SOL. 3mg/ml S.I.F.I. SPA ITALIA CUTIE X 3 FOLII TERMOSUDATE X 5 FLACOANE UNIDOZA DIN POLIETILENA X 0,3 ML P-RF 15 1,586000 2,144000 0,000000617 W65421001 S01AA23 NETILMICINUM NETTACIN 3 mg/g UNG. OFT. 3mg/g SIFI S.P.A. ITALIA CUTIE CU 1 TUB DIN AL PREVAZUT CU APLICATOR DIN PEJD X 5 G UNG. OFT. PRF 1 13,992000 18,912000 16,028000618 W55648001 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 4,340000 5,860000 0,000000619 W02427001 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 4,680000 6,320000 0,000000620 W63597001 S01BA01 DEXAMETHASONUM MAXIDEX 1 mg/ml PICATURI OFT.-SUSP. 1 mg/ml NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FLACON PICURATOR DIN PE X 5 ML P-RF 1 4,680000 6,320000 0,000000

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

1 W56760001 A11HA02 PYRIDOXINUM VITAMINA B6 ZENTIVA 250 mgCOMPR. 250mg ZENTIVA SA ROMANIA CUTIE X 1 FLAC. DIN PE X 20 COMPR. P-6L 20 0,374000 0,505500 0,0000002 W42822002 A11HA02 PYRIDOXINUM VITAMINA B6 ARENA 250 mg COMPR. 250mg ARENA GROUP SA ROMANIA CUTIE CU 2 BLIST. DIN FOLIE PVC ALBA OPACA/AL X 10 COMPR. P6L 20 0,374000 0,505500 0,0000003 W42822003 A11HA02 PYRIDOXINUM VITAMINA B6 ARENA 250 mg COMPR. 250mg ARENA GROUP SA ROMANIA CUTIE CU 5 BLIST. DIN FOLIE PVC ALBA OPACA/AL X 10 COMPR. P6L 50 0,371000 0,501400 0,0000004 W56758001 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 2,552000 3,448000 0,0000005 W56757001 A11HA02 PYRIDOXINUM VITAMINA B6 ZENTIVA 50 mg/2mlSOL. INJ. 50mg/2ml ZENTIVA SA ROMANIA CUTIE CU 5 FIOLE DIN STICLA INCOLORA, PREVAZUTE CU INEL DE RUPERE SAU PUNCT DE RUPERE SAU CU INEL DE RUPERE SI 2 INELE COLORATE PE GATUL FIOLEI PT. IDENTIFICARE X 2 ML SOL. INJ. P-RF 5 1,716000 2,320000 0,0000006 W05242001 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 0,108500 0,146500 0,0000007 W53341001 H02AB07 PREDNISONUM PREDNISONA-RICHTER 5 mg COMPR. 5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. P-RF 20 0,105500 0,142500 0,0000008 W13686002 H02AB07 PREDNISONUM PREDNISON 5 mg COMPR. 5mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 0,108666 0,147000 0,0000009 W55354004 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN SR 1000 mg/62,5 mgCOMPR. ELIB. PREL. 1000mg/62,5mg BEECHAM GROUP PLC MAREA BRITANIE CUTIE CU BLIST. AL/PVC-AL-PP X 28 COMPR. ELIB. PREL. P-RF 28 1,346071 1,760714 0,000000

10 W00400003 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 0,762142 1,030000 0,00000011 W65088002 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN 500 mg/125 mg COMPR. FILM. 500mg/125mg GLAXOSMITHKLINE (IRELAND) LIMITED IRLANDA CUTIE CU 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM., FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA PROTECTOARE DIN AL LAMINAT PRF 14 0,562285 0,759428 0,21342912 W55163002 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN 500 mg/125 mg COMPR. FILM. 500mg/125mg BEECHAM GROUP PLC MAREA BRITANIE CUTIE X 2 BLISTERE PVC-PVDC/AL X 7 COMPRIMATE FILMATE, FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA PROTECTOARE DIN AL LAMINAT, CONTINAND UN DESICANT P-RF 14 0,562285 0,759428 0,21342913 W64211008 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXICILINA/ACID CLAVULANIC AUROBINDO 500 mg/125 mg COMPR. FILM. 500mg/125mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 14 COMPR. FILM. PRF 14 0,468571 0,632857 0,00000014 W54453002 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXIPLUS 500mg/125mg COMPR. FILM. 500mg/125mg ANTIBIOTICE S.A. ROMANIA CUTIE X 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM.P-RF 14 0,468571 0,632857 0,00000015 W59497007 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM ENHANCIN 875 mg/125 mg COMPR. FILM. 875mg/125mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL INTRODUSE IN PUNGI DE POLIESTER/AL/POLIESTER/PE X 21 COMPR. FILM. PRF 21 0,761904 1,029523 0,00000016 W59497004 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM ENHANCIN 875 mg/125 mg COMPR. FILM. 875mg/125mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL INTRODUSE IN PUNGI DE POLIESTER/AL/POLIESTER/PE X 14 COMPR. FILM. PRF 14 0,762142 1,030000 0,00000017 W55164001 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN 875 mg/125 mg COMPR. FILM. 875mg/125mg BEECHAM GROUP PLC MAREA BRITANIE CUTIE X 2 BLISTERE PVC-PVDC/AL X 7 COMPRIMATE FILMATE, FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA PROTECTOARE DIN AL LAMINAT, CONTINAND UN DESICANT P-RF 14 0,914285 1,235428 0,35457218 W65089001 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN 875 mg/125 mg COMPR. FILM. 875mg/125mg GLAXOSMITHKLINE (IRELAND) LIMITED IRLANDA CUTIE CU 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM., FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA PROTECTOARE DIN AL LAMINAT PRF 14 0,914285 1,235428 0,35457219 W64212008 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXICILINA/ACID CLAVULANIC AUROBINDO 875 mg/125 mg COMPR. FILM. 875mg/125mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 14 COMPR. FILM. PRF 14 0,762142 1,030000 0,00000020 W55401002 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 0,762142 1,030000 0,00000021 W62046002 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV QUICKTAB 625 mg COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE 625mg SANDOZ S.R.L. ROMANIA CUTIE X 7 BLIST. AL/AL X 2 COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE P-RF 14 0,562285 0,759428 0,55271422 W59739005 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXIPLUS 1000 mg/200 mg PULB. PT. SOL. INJ./PERF. 1000mg/200mg ANTIBIOTICE SA ROMANIA CUTIE CU 25 FLAC. DIN STICLA INCOLORA CARE CONTIN PULB. PT. SOL. INJ. / PERF. PRF 25 14,200000 17,004000 0,00000023 W59739001 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXIPLUS 1000 mg/200 mg PULB. PT. SOL. INJ./PERF. 1000mg/200mg ANTIBIOTICE SA ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CARE CONTINE PULB. PT. SOL. INJ. / PERF. PRF 1 14,820000 18,704400 1,32560024 W59739002 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 13,600000 15,587000 0,00000025 W59739004 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXIPLUS 1000 mg/200 mg PULB. PT. SOL. INJ./PERF. 1000mg/200mg ANTIBIOTICE SA ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA CARE CONTIN PULB. PT. SOL. INJ. / PERF. PRF 10 14,300000 17,457000 0,00000026 W00399001 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV 156,25mg/5ml PULB. PT. SUSP. ORALA 156,25mg/5ml LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLAC. DIN STICLA BRUNA CU 25 MG PULB. PT. 100 ML SUSP. ORALA P-RF 1 8,900000 12,030000 0,00000027 W08783002 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 10,620000 14,350000 0,00000028 W55355006 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN BIS 400 mg/57 mg/5 ml PULB. PT. SUSP. ORALA 400mg/57mg/5ml SMITHKLINE BEECHAM LTD. MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. 70 ML SUSP. ORALA +LINGURITA DOZATOARE PRF 1 12,744000 17,220000 4,23000029 W55355005 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN BIS 400 mg/57 mg/5 ml PULB. PT. SUSP. ORALA 400mg/57mg/5ml SMITHKLINE BEECHAM LTD. MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. 35 ML SUSP. ORALA +LINGURITA DOZATOARE PRF 1 7,930000 10,720000 0,00000030 W55355001 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN BIS 400 mg/57 mg/5 ml PULB. PT. SUSP. ORALA 400mg/57mg/5ml SMITHKLINE BEECHAM LTD. MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. 35 ML SUSP. ORALA + 1 SERINGA PT. ADM. ORALAP-RF 1 7,930000 10,720000 0,00000031 W64190005 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN FP 400 mg/57 mg/5 ml PULB. PT. SUSP. ORALA 400mg/57mg/5ml GLAXOSMITHKLINE (GSK) SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CARE CONTINE PULB. PT 70 ML SUSP. ORALA SI O LINGURITA PRF 1 12,744000 17,220000 4,23000032 W00402001 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV 312,5mg/5ml PULB. PT.SUSP. ORALA 312,5mg/5ml LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLAC. DIN STICLA BRUNA CU 25 G PULB. PT. 100 ML SUSP. ORALA + LINGURITA DOZATOARE P-RF 1 16,190000 21,880000 0,00000033 W61198003 J01DH51 IMIPENEMUM + CILASTATINUM IMIPENEM/CILASTATIN ATB 500 mg/500 mg PULB. PT. SOL. PERF. 500mg/500mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA TIP III, CU CAPACITATEA DE 20 ML, CONTINANAD PULB. PT. SOL. PERF. PR 10 19,907000 24,302000 0,00000034 W54532001 J01DH51 IMIPENEMUM + CILASTATINUM IMIPENEM/CILASTATINA KABI 500 mg/500 mg PULB. PT. SOL. PERF. 500mg/500mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF.PR 10 19,907000 24,302000 0,000000

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Forma farmaceuti

ca

Concentratie / U.T.

Firma Tara Ambalaj

Pres

crip

tie cant/ambal

aj

Pret cu ridicata maximal de

decontare / U.T.

Pret de decontare / U.T.

contribu ție maximă

asigurat / U.T. - farmacii

comunitare35 W54471008 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 23,888400 29,162400 7,28560036 W54471009 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 23,888400 29,162400 7,28360037 W54471006 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 23,888400 29,162400 10,09260038 W54471002 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 20,272000 24,748000 0,00000039 W54471005 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 23,888400 29,162400 10,52760040 W63492001 J01FA09 CLARITHROMYCINUM KLACID SR 500 mg COMPR. ELIB. PREL. 500mg MYLAN PRODUCTS LIMITED MAREA BRITANIE CUTIE CU 1 BLIST. PVC/PVDC/AL X 5 COMPR. ELIB. PREL. PRF 5 1,559142 2,107714 0,72828641 W65279001 J01FA09 CLARITHROMYCINUM KLACID SR 500 mg COMPR. ELIB. PREL. 500mg MYLAN HEALTHCARE GMBH GERMANIA CUTIE CU 1 BLIST. PVC/PVDC/AL X 5 COMPR. ELIB. PREL. PRF 5 1,559142 2,107714 0,72828642 W62391001 J01FA09 CLARITHROMYCINUM KLACID SR 500 mg COMPR. ELIB. PREL. 500mg BGP PRODUCTS LTD. MAREA BRITANIE CUTIE CU 1 BLIST. PVC/PVDC/AL X 5 COMPR. ELIB. PREL. PRF 5 1,559142 2,107714 0,72828643 W14043001 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 0,910285 1,230000 0,00500044 W08490001 J01FA09 CLARITHROMYCINUM FROMILID 250 mg COMPR. FILM. 250mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM.P-RF 14 0,910285 1,230000 0,09285745 W60253004 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 0,758571 1,025000 0,00000046 W65820002 J01FA09 CLARITHROMYCINUM KLACID 250 mg COMPR. FILM. 250mg MYLAN ITALIA S.R.L. ITALIA CUTIE CU 1 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. PRF 14 0,910285 1,230000 0,70285747 W62390002 J01FA09 CLARITHROMYCINUM KLACID 250 mg COMPR. FILM. 250mg BGP PRODUCTS S.R.L. ITALIA CUTIE CU 1 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. PRF 14 0,910285 1,230000 0,70285748 W44093001 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 0,862142 1,165714 0,00000049 W14044001 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 1,514285 2,047142 0,00000050 W60254003 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 1,299285 1,756428 0,00000051 W08491001 J01FA09 CLARITHROMYCINUM FROMILID 500 mg COMPR. FILM. 500mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM.P-RF 14 1,522857 2,057857 0,00000052 W44087001 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 1,559142 2,107714 0,07728653 W54044001 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 1,514500 1,981000 0,00000054 W41838002 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 1,559142 2,107714 0,49657155 W65821002 J01FA09 CLARITHROMYCINUM KLACID 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml MYLAN ITALIA S.R.L. ITALIA CUTIE CU 1 FLAC. PEID CU GRANULE PT. 100 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 MLPRF 1 18,516000 25,032000 2,45800056 W62389001 J01FA09 CLARITHROMYCINUM KLACID 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml BGP PRODUCTS S.R.L. ITALIA CUTIE CU 1 FLAC. PEID CU GRANULE PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 MLPRF 1 12,192000 16,476000 4,17400057 W66370001 J01FA09 CLARITHROMYCINUM KLABAX 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml TERAPIA SA ROMANIA CUTIE CU 1 FLAC. DIN PEID, CU CAPAC DIN PP CU 42 G GRAN. PT. 60 ML SUSP . ORALA PRF 1 10,160000 13,730000 0,00000058 W66370002 J01FA09 CLARITHROMYCINUM KLABAX 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml TERAPIA SA ROMANIA CUTIE CU 1 FLAC. DIN PEID, CU CAPAC DIN PP CU 70 G GRAN. PT. 100 ML SUSP . ORALA PRF 1 15,430000 20,860000 0,00000059 W62389002 J01FA09 CLARITHROMYCINUM KLACID 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml BGP PRODUCTS S.R.L. ITALIA CUTIE CU 1 FLAC. PEID CU GRANULE PT. 100 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 MLPRF 1 18,516000 25,032000 2,45800060 W65821001 J01FA09 CLARITHROMYCINUM KLACID 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml MYLAN ITALIA S.R.L. ITALIA CUTIE CU 1 FLAC. PEID CU GRANULE PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 MLPRF 1 12,192000 16,476000 4,17400061 W44092001 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 . ORALAP-RF 1 10,160000 13,730000 0,00000062 W66369002 J01FA09 CLARITHROMYCINUM KLABAX 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml TERAPIA SA ROMANIA CUTIE CU 1 FLAC. DIN PEID, CU CAPAC DIN PP CU 70 G GRAN. PT. 100 ML SUSP . ORALA PRF 1 43,410000 56,780000 0,00000063 W44091001 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 26,050000 34,070000 0,00000064 W66369001 J01FA09 CLARITHROMYCINUM KLABAX 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml TERAPIA SA ROMANIA CUTIE CU 1 FLAC. DIN PEID, CU CAPAC DIN PP CU 42 G GRAN. PT. 60 ML SUSP . ORALA PRF 1 26,050000 34,070000 0,00000065 W62343001 J01FA09 CLARITHROMYCINUM KLACID I.V. 500 mg PULB. PT. CONC. PT. SOL. PERF. 500mg MYLAN MEDICAL SAS FRANTA CUTIE CU 1 FLAC. DIN STICLA INCOLORA I, DE CAPACITATE 15 ML CONTINAND PULB. PT. CONC. PT. SOL. PERF. PRF 1 32,380000 42,350000 0,00000066 W14119005 J01GA01 STREPTOMYCINUM STREVITAL 1 g PULB. PT. SOL. INJ. 1g ANTIBIOTICE SA ROMANIA CUTIE X 100 FLAC. DIN STICLA CONTINAND PULB. PT. SOL. INJ. PR 100 3,088900 3,748400 0,00000067 W14119004 J01GA01 STREPTOMYCINUM STREVITAL 1 g PULB. PT. SOL. INJ. 1g ANTIBIOTICE SA ROMANIA CUTIE X 50 FLAC. DIN STICLA CONTINAND PULB. PT. SOL. INJ. PR 50 3,106200 3,792000 0,00000068 W53277001 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 17,140000 23,160000 0,00000069 W53584001 J01MA01 OFLOXACINUM OFLOXACINA LAROPHARM 200 mg COMPR. FILM. 200mg LAROPHARM S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10COMPR. FILM.P-RF 10 1,120800 1,514400 0,70860070 W07914001 J01MA01 OFLOXACINUM ZANOCIN COMPR. FILM. 200mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 0,934000 1,262000 0,00000071 W65069001 J01MA01 OFLOXACINUM ZANOCIN 200 mg COMPR. FILM. 200mg TERAPIA S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. PRF 10 0,934000 1,262000 0,00000072 W56957001 J01MA01 OFLOXACINUM OFLOXIN 200 COMPR. FILM. 200mg ZENTIVA K.S. CEHIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 1,120800 1,514400 0,70860073 W44077004 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 0,468000 0,632400 0,13660074 W01273001 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 0,468000 0,632400 0,12460075 W65056001 J01MA02 CIPROFLOXACINUM CIFRAN 250 mg COMPR. FILM. 250mg TERAPIA S.A. ROMANIA CUTIE CU 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. PRF 10 0,468000 0,632400 0,13660076 W62110003 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA AUROBINDO 250 mg COMPR. FILM. 250mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF 10 0,390000 0,527000 0,00000077 W07862001 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 0,468000 0,632400 0,13660078 W01288001 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 0,468000 0,632400 0,13660079 W01271002 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 0,468000 0,632400 0,12560080 W66438003 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA AUROBINDO 250 mg COMPR. FILM. 250mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF 10 0,390000 0,527000 0,00000081 W01274001 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 0,684000 0,924000 0,31300082 W44076001 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 0,684000 0,924000 0,54400083 W01272001 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 0,684000 0,924000 0,54400084 W07863001 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 0,684000 0,924000 0,05100085 W12545001 J01MA02 CIPROFLOXACINUM CIPRO QUIN (R) COMPR. FILM. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 0,684000 0,924000 0,54400086 W54039002 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 0,684000 0,924000 0,544500

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Forma farmaceuti

ca

Concentratie / U.T.

Firma Tara Ambalaj

Pres

crip

tie cant/ambal

aj

Pret cu ridicata maximal de

decontare / U.T.

Pret de decontare / U.T.

contribu ție maximă

asigurat / U.T. - farmacii

comunitare87 W65057001 J01MA02 CIPROFLOXACINUM CIFRAN 500 mg COMPR. FILM. 500mg TERAPIA S.A. ROMANIA CUTIE CU 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. PRF 10 0,684000 0,924000 0,05100088 W54039001 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 0,684000 0,924000 0,54400089 W62111003 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA AUROBINDO 500 mg COMPR. FILM. 500mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF 10 0,570000 0,770000 0,00000090 W01289001 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 0,684000 0,924000 0,54400091 W66439003 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA AUROBINDO 500 mg COMPR. FILM. 500mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF 10 0,570000 0,770000 0,00000092 W42772001 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 0,815000 1,102000 0,00000093 W01275001 J01MA02 CIPROFLOXACINUM CIPRINOL (R) CONC. PT. SOL. PERF. 100mg/10ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 10 ML PR 5 2,752000 3,642960 0,07704094 W01275002 J01MA02 CIPROFLOXACINUM CIPRINOL (R) CONC. PT. SOL. PERF. 100mg/10ml KRKA D.D. SLOVENIA CUTIE X 50 FIOLE X 10 ML PR 50 2,486800 3,035800 0,00000095 W60268001 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 PR 5 2,762000 3,642960 0,08904096 W61489004 J01MA02 CIPROFLOXACINUM CIPRO INF 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS SRL ROMANIA CUTIE CU 30 PUNGI DIN PVC PLASTICIZAT A CÂTE 200 ML SOL. PERF. PR 30 13,457666 15,940666 0,00000097 W61489003 J01MA02 CIPROFLOXACINUM CIPRO INF 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS SRL ROMANIA CUTIE CU 10 PUNGI DIN PVC PLASTICIZAT A CÂTE 200 ML SOL. PERF. PR 10 13,824000 16,876000 0,00000098 W61489002 J01MA02 CIPROFLOXACINUM CIPRO INF 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS SRL ROMANIA CUTIE CU 50 PUNGI DIN PVC PLASTICIZAT A CÂTE 100 ML SOL. PERF. PR 50 6,938200 8,325600 0,00000099 W61489001 J01MA02 CIPROFLOXACINUM CIPRO INF 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS SRL ROMANIA CUTIE CU 10 PUNGI DIN PVC PLASTICIZAT A CÂTE 100 ML SOL. PERF. PR 10 7,343000 9,284000 0,000000

100 W52786004 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 1,225714 1,657142 0,000000101 W66212001 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ATB 250 mg COMPR. FILM. 250mg ANTIBIOTICE S.A. ROMANIA CUTIE CU BLIST. PVC/AL X 10 COMPR. FILMPRF 10 1,465200 1,980000 0,684000102 W55699003 J01MA12 LEVOFLOXACINUM TAVANIC 250 mg COMPR. FILM. 250mg TERAPIA S.A. ROMANIA CUTIE X1 BLIST. PVC/AL. X 7 COMPR. FILM.P-RF 7 1,465200 1,980000 0,678571103 W60574001 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ARENA 250 mgCOMPR. FILM. 250mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. PVC/PE/PVDC/AL X 5 COMPR. FILM. PRF 5 1,238000 1,674000 0,000000104 W60574002 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ARENA 250 mgCOMPR. FILM. 250mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. PVC/PE/PVDC/AL X 10 COMPR. FILM. PRF 10 1,221000 1,650000 0,000000105 W61631003 J01MA12 LEVOFLOXACINUM LEVALOX 250 mg COMPR. FILM. 250mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 7 COMPR. FILM.PRF 7 1,465200 1,980000 0,702857106 W56939002 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 3,505714 4,738571 0,000000107 W60575002 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ARENA 500 mgCOMPR. FILM. 500mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. PVC/PE/PVDC/AL X 10 COMPR. FILM. PRF 10 3,419000 4,472000 0,000000108 W61706003 J01MA12 LEVOFLOXACINUM LEVALOX 500 mg COMPR. FILM. 500mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 7 COMPR. FILM.PRF 7 3,235714 4,374285 0,000000109 W60575001 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ARENA 500 mgCOMPR. FILM. 500mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. PVC/PE/PVDC/AL X 5 COMPR. FILM. PRF 5 3,504000 4,736000 0,000000110 W66213001 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ATB 500 mg COMPR. FILM. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE CU BLIST. PVC/AL X 10 COMPR. FILMPRF 10 3,478000 4,549000 0,000000111 W55700002 J01MA12 LEVOFLOXACINUM TAVANIC 500 mg COMPR. FILM. 500mg TERAPIA S.A. ROMANIA CUTIE X 1 BLIST. PVC/AL X 7COMPR. FILM. P-RF 7 3,649714 4,932000 0,583714112 W52787004 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 3,041428 4,110000 0,000000113 W56429007 J01MA12 LEVOFLOXACINUM CENOMAR 5 mg/ml SOL. PERF. 5mg/ml STADA ARZNEIMITTEL AG GERMANIA CUTIE CU 1 PUNGA PEJD X 100 ML SOL. PERF. PR 1 31,728000 41,496000 17,064000114 W54108003 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) PR 1 31,728000 41,496000 17,014000115 W61707001 J01MA12 LEVOFLOXACINUM LEVALOX 5 mg/ml SOL. PERF. 5mg/ml KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU DOP DIN CAUCIUC BROMOBUTILIC SI CAPAC DIN AL A 100 ML SOL. PERF. PR 1 26,440000 34,580000 0,000000116 W62972002 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA INFOMED 5 mg/ml SOL. PERF. 5mg/ml INFOMED FLUIDS SRL ROMANIA CUTIE CU 50 PUNGI DE PERFUZIE DIN POLIOLEFINA AVAND CAPACITATEA DE 100 ML A CATE 50 ML SOL. PERF. PRF 50 19,710000 22,247000 0,000000117 W62972004 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA INFOMED 5 mg/ml SOL. PERF. 5mg/ml INFOMED FLUIDS SRL ROMANIA CUTIE CU 30 PUNGI DE PERFUZIE DIN POLIOLEFINA AVAND CAPACITATEA DE 100 ML A CATE 100 ML SOL. PERF. PRF 30 31,728000 41,496000 1,775333118 W55815004 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. PR 1 31,728000 41,496000 17,064000119 W63747004 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA AUROBINDO 5 mg/ml SOL. PERF. 5mg/ml AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. PR 1 31,728000 41,496000 17,064000120 W54108008 J01MA12 LEVOFLOXACINUM LEVOFLOXACIN KABI 5 mg/ml SOL. PERF. 5mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 10 FLAC. PEJD KABIPAC(TIP BOTTLEPACK) A 100 ML CONTINAND 100 ML SOL. PERF. (500MG LEVOFLOXAC PR 10 31,728000 41,496000 8,362000121 W66200001 J01MA14 MOXIFLOXACINUM MOXIFLOXACINA VIVANTA 400 mg COMPR. FILM. 400mg VIVANTA GENERICS S.R.O., REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL X 5 COMPR. FILM.PRF 5 3,568000 4,822000 0,000000122 W66200002 J01MA14 MOXIFLOXACINUM MOXIFLOXACINA VIVANTA 400 mg COMPR. FILM. 400mg VIVANTA GENERICS S.R.O., REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL X 7 COMPR. FILM.PRF 7 3,294285 4,452857 0,000000123 W65543001 J01MA14 MOXIFLOXACINUM ERELAN 400 mg COMPR. FILM. 400mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. AL/AL X 5 COMPR. FILM. PRF 5 3,953142 5,343428 1,718572124 W66222001 J01MA14 MOXIFLOXACINUM MOXIFLOXACINA AUROBINDO 400 mg COMPR. FILM. 400mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 5 COMPR. FILM.PRF 5 3,953142 5,343428 2,142572125 W60943001 J01MA14 MOXIFLOXACINUM MOFLAXA 400 mg COMPR. FILM. 400mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLISTERE DIN OPA-AL-PVC/AL CONAINÂND 5 COMPRIMATE FILMATE PRF 5 3,953142 5,343428 1,364572126 W63876017 J01MA14 MOXIFLOXACINUM AVELOX 400 mg COMPR. FILM. 400mg BAYER AG GERMANIA CUTIE CU 1 BLIST. TRANSPARENT PVC-PVDC/AL X 5 COMPR. FILM. PRF 5 3,953142 5,343428 2,536572127 W63876001 J01MA14 MOXIFLOXACINUM AVELOX 400 mg COMPR. FILM. 400mg BAYER AG GERMANIA CUTIE X 1 BLIST. TRANSPARENT PP/AL X 5 COMPR. FILM. PRF 5 3,953142 5,343428 2,536572128 W57939001 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 3,953142 5,343428 2,536572129 W59332001 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 3,953142 5,343428 2,142572130 W60727002 J01MA14 MOXIFLOXACINUM MOXIFLOXACINA KABI 400 mg/250 ml SOL. PERF. 400mg/250ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPACK) A CATE 250 ML SOL. PERF. (400 MG MOXIFLOXACINA) PR 10 58,522000 67,604000 0,000000131 W57938004 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 63,232000 76,554000 0,000000132 W63849002 J01MA14 MOXIFLOXACINUM MOXIFLOXACINA ROMPHARM 400 mg/250 ml SOL. PERF. 400mg/250ml ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 5 FLAC. DIN STICLA TRANSPARENTA X 250 ML SOL. PERF. PR 5 60,456000 73,528000 0,000000133 W63849001 J01MA14 MOXIFLOXACINUM MOXIFLOXACINA ROMPHARM 400 mg/250 ml SOL. PERF. 400mg/250ml ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA X 250 ML SOL. PERF. PR 1 61,550000 77,820000 0,000000134 W63877004 J01MA14 MOXIFLOXACINUM AVELOX® 400 mg/250 ml SOL. PERF. 400mg/250ml BAYER AG GERMANIA AMBALAJ MULTIPLU (FOLIE DE PLASTIC ETICHETATA) CU 5 CUTII DIN CARTON A CATE 1 FLAC. DIN STICLA X 250 ML SOL. PERF., ÎNCHIS CU DOP DIN CAUCIUC CLOROBUTILIC SAU BROMOBUTILIC PR 5 63,232000 76,554000 0,000000135 W60727001 J01MA14 MOXIFLOXACINUM MOXIFLOXACINA KABI 400 mg/250 ml SOL. PERF. 400mg/250ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) A 250 ML SOL. PERF. (400 MG MOXIFLOXACINA) PR 1 62,180000 78,620000 0,000000136 W62497001 J01XX08 LINEZOLIDUM LINEZOLID KRKA 600 mg COMPR. FILM. 600mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF 10 63,013000 72,499000 0,000000137 W52799001 J01XX08 LINEZOLIDUM ZYVOXID 600 mg COMPR. FILM. 600mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 10 75,615600 86,998800 20,586200138 W63985002 J01XX08 LINEZOLIDUM LINEZOLID FRESENIUS KABI 600 mg COMPR. FILM. 600mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU BLIST. AL/AL X 10 (1X10) COMPR. FILM.PRF 10 75,615600 86,998800 41,527200

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Forma farmaceuti

ca

Concentratie / U.T.

Firma Tara Ambalaj

Pres

crip

tie cant/ambal

aj

Pret cu ridicata maximal de

decontare / U.T.

Pret de decontare / U.T.

contribu ție maximă

asigurat / U.T. - farmacii

comunitare139 W65053001 J01XX08 LINEZOLIDUM ZYVOXID 600 mg COMPR. FILM. 600mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. PRF 10 75,615600 86,998800 20,586200140 W65055001 J01XX08 LINEZOLIDUM ZYVOXID 100 mg/5 ml GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLACON DIN STICLA BRUNA X 66 G GRAN. PTR. 150 ML SUSP. ORALA + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML PRF 1 701,150000 802,400000 0,000000141 W52800001 J01XX08 LINEZOLIDUM ZYVOXID 100 mg/5 ml 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 1 701,150000 802,400000 0,000000142 W61756002 J01XX08 LINEZOLIDUM LINEZOLID INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS S.R.L.ROMANIA 10 PUNGI DIN POLIOLEFINA MULTISTRATIFICATA, FARA LATEX, PREVAZUTA CU UN TUB CONECTOR CU DESCHIDERE PRIN RASUCIRE, SIGILATA ÎNTR-O FOLIE LAMINATA PROTECTOARE CONTINÂND 300 ML SOL. PERF. PR 10 114,432000 128,546000 0,000000143 W60734001 J01XX08 LINEZOLIDUM LINEZOLID SANDOZ 2 mg/ml SOL. PERF. 2mg/ml SANDOZ S.R.L. ROMANIA CUTIE CU 1 PUNGA DIN PP INCOLORA PÂNA LA GALBUIE, CU 1 SAU 2 PERFUZOARE SI ÎNVELIS SUPLIMENTAR DIN FOLIE LAMINATA CARE CONTINE SOL. PERF. PR 1 119,092800 134,389200 17,890800144 W65054001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 10 PUNGI (EXCEL SAU FREEFLEX) DE UNICA FOLOSINTA GATA DE UTILIZARE, FARA LATEX X 300 ML SOL. PERF. PR 10 116,403000 130,694000 0,000000145 W52801001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML S 10 116,403000 130,694000 0,000000146 W64206001 J01XX08 LINEZOLIDUM LINEZOLID ACCORD 2 mg/ml SOL. PERF. 2mg/ml ACCORD HEALTHCARE LTD. MAREA BRITANIE CUTIE CU 10 PUNGI DIN PLASTIC POLIOLEFINIC (PE) MULTISTRAT CARE CONTIN 300 ML SOL. PERF. PR 10 116,403000 130,694000 0,000000147 W63515002 J01XX08 LINEZOLIDUM LINEZOLID KRKA 2 mg/ml SOL. PERF. 2mg/ml KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 10 PUNGI CU CAPACITATEA DE 300 ML DIN POLIOLEFINA MULTISTRAT PRF 10 115,254000 129,442000 0,000000148 W64055001 J01XX08 LINEZOLIDUM LINEZOLID AUROBINDO 2 mg/ml SOL. PERF. 2mg/ml AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 1 PUNGA DIN FILM DUBLU DE PP MULTISTRATIFICATA, PREVAZUTA CU 2 TUBURI DIN PP CARE CONTINE 300 ML SOL. PERF. PR 1 119,092800 134,389200 17,890800149 W61561001 J01XX08 LINEZOLIDUM LINEZOLID KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 PUNGI DIN POLIOLEFINE (FREEFLEX) A 300 ML SOL. PERF. PR 10 99,244000 111,991000 0,000000150 W63515001 J01XX08 LINEZOLIDUM LINEZOLID KRKA 2 mg/ml SOL. PERF. 2mg/ml KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 1 PUNGA CU CAPACITATEA DE 300 ML DIN POLIOLEFINA MULTISTRAT PRF 1 119,092800 134,389200 16,330800151 W52079002 J04AB01 CYCLOSERINUM CICLOSERINA ATB 250 mg CAPS. 250mg ANTIBIOTICE S.A. ROMANIA CUTIE X 10 FOLII TERMOSUDATE DIN AL/AL X 10 CAPS. P-RF 100 5,900000 6,812500 0,000000152 W41998002 J04AB02 RIFAMPICINUM SINERDOL 150 mg CAPS. 150mg ANTIBIOTICE SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. PRF 1000 0,181740 0,221870 0,000000153 W41999002 J04AB02 RIFAMPICINUM SINERDOL 300 mg CAPS. 300mg ANTIBIOTICE SA ROMANIA CUTIE X 100 BLIST. DIN AL/PVC X 10 CAPS. PRF 1000 0,780000 0,888350 0,000000154 W65849001 J04AB30 CAPREOMYCINUM 4) CAPREOMYCIN-FERANE 1000 mgPULB. PT. SOL. INJ. PT. ADMIN. I.V. SI I.M. 1000mg C.N. UNIFARM S.A. ROMANIA CUTIE 1 CU FLAC. SIGILAT CU DOP DE CAUCIUC, PRESATE CU CAPACE DE AL X 1000 MG PULB. PT. SOL. INJ. PR 1 51,300000 64,860000 0,000000155 W61241002 J04AC01 ISONIAZIDUM IZONIAZIDA ARENA 100 mg COMPR. 100mg ARENA GROUP S.A. ROMANIA CUTIE CU 5 BLIST. DIN FILM PVC OPAC/AL X 10 COMPR. PRF 50 0,122000 0,164800 0,000000156 W61241003 J04AC01 ISONIAZIDUM IZONIAZIDA ARENA 100 mg COMPR. 100mg ARENA GROUP S.A. ROMANIA CUTIE CU 150 BLIST. DIN FILM PVC OPAC/AL X 10 COMPR., AMBALAJ UZ SPITALICESC PRF 1500 0,118200 0,144300 0,000000157 W58576002 J04AC01 ISONIAZIDUM IZONIAZIDA ATB 100 mg COMPR. 100mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 150 BLIST. PVC/AL X 10 COMPR. PR 1500 0,118200 0,144300 0,000000158 W61241001 J04AC01 ISONIAZIDUM IZONIAZIDA ARENA 100 mg COMPR. 100mg ARENA GROUP S.A. ROMANIA CUTIE CU 2 BLIST. DIN FILM PVC OPAC/AL X 10 COMPR. PRF 20 0,122500 0,165500 0,000000159 W61242001 J04AC01 ISONIAZIDUM IZONIAZIDA ARENA 300 mg COMPR. 300mg ARENA GROUP S.A. ROMANIA CUTIE CU 2 BLIST. DIN FILM PVC OPAC/AL X 10 COMPR. PRF 20 0,308000 0,410455 0,005545160 W61242002 J04AC01 ISONIAZIDUM IZONIAZIDA ARENA 300 mg COMPR. 300mg ARENA GROUP S.A. ROMANIA CUTIE CU 5 BLIST. DIN FILM PVC OPAC/AL X 10 COMPR. PRF 50 0,307800 0,410455 0,005545161 W61242003 J04AC01 ISONIAZIDUM IZONIAZIDA ARENA 300 mg COMPR. 300mg ARENA GROUP S.A. ROMANIA CUTIE CU 150 BLIST. DIN FILM PVC OPAC/AL X 10 COMPR., AMBALAJ UZ SPITALICESC PRF 1500 0,290473 0,342046 0,000000162 W58577002 J04AC01 ISONIAZIDUM IZONIAZIDA ATB 300 mg COMPR. 300mg ANTIBIOTICE SA ROMANIA CUTIE X 150 BLIST. PVC/AL X 10 COMPR. P-RF 1500 0,290473 0,342046 0,000000163 W60582001 J04AC01 ISONIAZIDUM ISONIAZID SIROP 100mg/5ml CN UNIFARM S.A. ROMANIA CUTIE X 1 FLAC. X 200 ML SIROP PR 1 50,930000 64,390000 0,000000164 W60594001 J04AC01 ISONIAZIDUM BITUB 100 mg/ml SOL INJ. 100mg/ml CN UNIFARM S.A. ROMANIA CUTIE CU 10 FIOLE X 5 ML SOL. INJ. PR 10 3,359000 4,394000 0,000000165 W56079001 J04AD03 ETIONAMIDUM ETIONAMIDA ATB 250 mg COMPR. FILM. 250mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 BLIST. AL/AL X 10 COMPR. FILM. P-RF 100 1,320000 1,611500 0,000000166 W60213002 J04AK01 PYRAZINAMIDUM PIRAZINAMIDA ATB 500 mg COMPR. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 150 BLIST. PVC/AL X 10 COMPR. PR 1500 0,420000 0,483233 0,000000167 W53682002 J04AK02 ETHAMBUTOLUM ETAMBUTOL ARENA 250 mg CAPS. 250mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 0,239500 0,323500 0,000000168 W59648001 J04AK02 ETHAMBUTOLUM ETAMBUTOL ARENA 400 mg CAPS. 400mg ARENA GROUP S.A. ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 CAPS. PRF 20 0,384500 0,497680 0,021820169 W42943002 J04AK02 ETHAMBUTOLUM ETAMBUTOL ATB 250 mg COMPR. FILM. 250mg ANTIBIOTICE SA ROMANIA CUTIE CU 150 BLIST. PVC/AL X 10 COMPR. FILM.PRF 1500 0,231893 0,278200 0,000000170 W42861002 J04AK02 ETHAMBUTOLUM ETAMBUTOL ATB 400 mg COMPR. FILM. 400mg ANTIBIOTICE SA ROMANIA CUTIE X 150 BLIST. AL/PVC X 10 COMPR. FILM. PRF 1500 0,357153 0,414733 0,000000171 W60583001 J04AK02 ETHAMBUTOLUM INBUTOL SOL INJ. 100mg/ml CN UNIFARM S.A. ROMANIA FLAC. X 10 ML SOL. INJ PR 1 29,180000 38,170000 0,000000172 W60621001 J04AK05 BEDAQUILINUM SIRTURO 100 mg COMPR. 100mg JANSSEN-CILAG INTERNATIONAL NV BELGIA FLAC. DIN PEID X 188 COMPR. PR 188 286,646914 312,648457 0,000000173 W63026001 J04AK06 DELAMANIDUM DELTYBA 50 mg COMPR. FILM. 50mg OTSUKA NOVEL PRODUCTS GMBH GERMANIA CUTIE CU BLISTER AL/AL X 48 COMPRIMATE FILMATE PR 48 130,483958 143,022500 0,000000174 W14071002 J04AM02 COMBINATII (RIFAMPICINUM+IZONIAZIDUM) SINERDOL ISO CAPS. 300mg+150mg ANTIBIOTICE SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. S 1000 0,830000 0,942850 0,000000

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

1 W66559001 J05AH02 OSELTAMIVIRUM EBILFUMIN 30 mg CAPS. 30mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. DIN PVC/PE/PVDC/AL X 10 CAPS. PRF 10 2,315000 3,129000 0,0000002 W52316001 J05AH02 OSELTAMIVIRUM TAMIFLU 30mg CAPS. 30mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1BLISTER PVC/PE/PVDC/ALX 10 CAPSULE P-RF 10 2,778000 3,754800 0,9052003 W64406001 J05AH02 OSELTAMIVIRUM TAMIFLU 30 mg CAPS. 30mg ROCHE REGISTRATION GMBH GERMANIA CUTIE X 1 BLISTER PVC/PE/PVDC/AL X 10 CAPSULE PRF 10 2,778000 3,754800 0,9052004 W66561001 J05AH02 OSELTAMIVIRUM EBILFUMIN 75 mg CAPS. 75mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. DIN PVC/PE/PVDC/AL X 10 CAPS. PRF 10 4,259000 5,571000 0,0000005 W64405001 J05AH02 OSELTAMIVIRUM TAMIFLU 75 mg CAPS. 75mg ROCHE REGISTRATION GMBH GERMANIA CUTIE X 1 BLISTER PVC/PE/PVDC/AL X 10 CAPSULE PRF 10 5,110800 6,685200 1,4528006 W13633001 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 5,110800 6,685200 1,452800

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comunitare1 W64041001 G03HA01 CYPROTERONUM ANDROCUR 50 mg COMPR. 50mg BAYER AG GERMANIA CUTIE CU 5 BLIST. AL/PVC X 10 COMPR. PRF 50 1,799600 2,275400 0,0000002 W58800001 G03HA01 CYPROTERONUM ANDROCUR COMPR. 50mg BAYER PHARMA AG GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-RF 50 1,799600 2,275400 0,0000003 W12490001 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 0,971800 1,271000 0,0000004 W52215001 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN 200 mg PULB. PT. SOL. INJ. / PERF. 200mg ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. PERF./INJ S 1 21,000000 28,380000 0,0000005 W64372001 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN 200 mg PULB. PT. SOL. PERF./INJ. 200mg TEVA B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA PULB. PT. SOL. PERF./INJ PR 1 21,000000 28,380000 0,0000006 W58866002 L01AA02 CHLORAMBUCILUM LEUKERAN COMPR. FILM. 2mg ASPEN PHARMA TRADING LIMITED IRLANDA CUTIE X 1 FLAC. X 25 COMPR. FILM. P-RF 25 10,050800 12,270000 0,0000007 W58865001 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 10,837600 13,230400 0,0000008 W65219001 L01AA03 MELPHALANUM MELPHALAN RATIOPHARM 50 mgPULB+SOLV. PT. SOL. INJ./PERF. 50mg CN UNIFARM S.A. ROMANIA CUTIE CU 1 FLAC. X 50 MG PULB. PT. SOL. INJ./PERF. + 1 FLAC. SOLV. PR 1 137,500000 167,860000 0,0000009 W12497001 L01AA06 IFOSFAMIDUM HOLOXAN 1 g PULB. PT. SOL. PERF. 1g BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. PERF. PR 1 134,540000 164,250000 0,000000

10 W65791001 L01AA09 BENDAMUSTINUM **1 BENDAMUSTINA ACCORD 2,5 mg/ml PULB. PT. CONC. PT. SOL. PERF. 2,5mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 5 FLAC. DIN STICLA BRUNA, CU CAPACITATEA DE 10 ML CU PULB. PT. CONC. PT. SOL. PERF. CARE CONTINE 25 MG BENDAMUSTINA PR 5 58,106400 70,936800 51,19320011 W62548005 L01AA09 BENDAMUSTINUM **1 BENDAMUSTINA ACCORD 2,5 mg/ml PULB. PT. CONC. PT. SOL. PERF. 2,5mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 5 FLAC. DIN STICLA BRUNA, CU CAPACITATEA DE 50 ML CU PULB. PT. CONC. PT. SOL. PERF. CARE CONTINE 100 MG BENDAMUSTINA PR 5 218,496000 247,317600 126,71640012 W62548001 L01AA09 BENDAMUSTINUM **1 BENDAMUSTINA ACCORD 2,5 mg/ml PULB. PT. CONC. PT. SOL. PERF. 2,5mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 5 FLAC. DIN STICLA BRUNA, CU CAPACITATEA DE 10 ML CU PULB. PT. CONC. PT. SOL. PERF. CARE CONTINE 25 MG BENDAMUSTINA PR 5 58,106400 70,936800 51,19320013 W62432006 L01AA09 BENDAMUSTINUM **1 BENDAMUSTINA ZENTIVA 2,5 mg/ml PULB. PT. CONC. PT. SOL. PERF. 2,5mg/ml ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 5 FLAC. DIN STICLA BRUNA, CU CAPACITATEA DE 50 ML CU PULB. PT. CONCENTRAT PT. SOL. PERF. CARE CONTINE 100 MG CLORHIDRAT DE BENDAMUSTINA PR 5 182,080000 206,098000 0,00000014 W62432002 L01AA09 BENDAMUSTINUM **1 BENDAMUSTINA ZENTIVA 2,5 mg/ml PULB. PT. CONC. PT. SOL. PERF. 2,5mg/ml ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 5 FLAC. DIN STICLA BRUNA, CU CAPACITATEA DE 25 ML CU PULB. PT. CONCENTRAT PT. SOL. PERF. CARE CONTINE 25 MG CLORHIDRAT DE BENDAMUSTINA PR 5 48,422000 59,114000 0,00000015 W65791005 L01AA09 BENDAMUSTINUM **1 BENDAMUSTINA ACCORD 2,5 mg/ml PULB. PT. CONC. PT. SOL. PERF. 2,5mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 5 FLAC. DIN STICLA BRUNA, CU CAPACITATEA DE 50 ML CU PULB. PT. CONC. PT. SOL. PERF. CARE CONTINE 100 MG BENDAMUSTINA PR 5 218,496000 247,317600 126,71640016 W58856002 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 10,717100 12,063200 0,00000017 W62979001 L01AB01 BUSULFANUM BUSULFAN ACCORD 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 10 ML CONC. PT. SOL. PERF. PR 1 728,950000 832,710000 0,00000018 W65792001 L01AB01 BUSULFANUM BUSULFAN ACCORD 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 10 ML CONC. PT. SOL. PERF. PR 1 728,950000 832,710000 0,00000019 W62395001 L01AB01 BUSULFANUM BUSULFAN FRESENIUS KABI 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE AMBALAJ COLECTIV CU 8 FLAC. (8 CUTII A CATE 1 FLAC. X10ML) PR 8 702,702500 770,715000 0,00000020 W64538001 L01AB01 BUSULFANUM BUSULFAN FRESENIUS KABI 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml FRESENIUS KABI DEUTSCHLAND GMBH GERMANIA AMBALAJ COLECTIV CU 8 FLAC. (8 CUTII A CATE 1 FLAC.) X 10 MLPR 8 702,702500 770,715000 0,00000021 W59709001 L01AD02 LOMUSTINUM 4) CECENU CAPS. 40mg CN UNIFARM S.A. ROMANIA CUTIE X 1 FLACON X 20 CAPSULE PR 20 112,373000 124,394000 0,00000022 W66250001 L01AX03 TEMOZOLOMIDUM TEMOZOLOMIDE SUN 100 mg CAPS. 100mg SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V. OLANDA CUTIE CU BLIST. AL/AL PENTRU ELIBERAREA UNEI UNITATI DOZATE X 5X1 CAPS. PR 5 39,904000 48,714000 0,00000023 W61812002 L01AX03 TEMOZOLOMIDUM TEMOZOLOMIDA ACCORD 100 mgCAPS. 100mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 5 PLICURI DIN PET/AL/PE X 1 CAPS. PR 5 39,904000 48,714000 0,00000024 W64828003 L01AX03 TEMOZOLOMIDUM TEMODAL 100 mg CAPS. 100mg MERCK SHARP & DOHME OLANDA CUTIE CU 5 CAPS. AMBALATE INDIVIDUAL IN PLICURI PR 5 47,884800 58,456800 16,08720025 W59614003 L01AX03 TEMOZOLOMIDUM TEMODAL 100 mg CAPS. 100mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 5 CAPS. AMBALATE INDIVIDUAL IN PLICURI P-RF/R 5 47,884800 58,456800 16,08720026 W65711002 L01AX03 TEMOZOLOMIDUM TEMOZOLOMIDA ACCORD 100 mgCAPS. 100mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 5 PLICURI DIN PET/AL/PE X 1 CAPS. PR 5 39,904000 48,714000 0,00000027 W63023001 L01AX03 TEMOZOLOMIDUM TEMOZOLOMIDE TEVA 100 mg CAPS. 100mg TEVA B.V. OLANDA CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS. PR 5 39,904000 48,714000 0,00000028 W61813002 L01AX03 TEMOZOLOMIDUM TEMOZOLOMIDA ACCORD 140 mgCAPS. 140mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 5 PLICURI DIN PET/AL/PE X 1 CAPS. PR 5 72,030000 86,142000 0,00000029 W59615003 L01AX03 TEMOZOLOMIDUM TEMODAL 140mg CAPS. 140mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 5 CAPS. AMBALATE INDIVIDUAL IN PLICURI P-RF/R 5 73,274400 89,025600 52,04040030 W65712002 L01AX03 TEMOZOLOMIDUM TEMOZOLOMIDA ACCORD 140 mgCAPS. 140mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 5 PLICURI DIN PET/AL/PE X 1 CAPS. PR 5 72,030000 86,142000 0,00000031 W66251001 L01AX03 TEMOZOLOMIDUM TEMOZOLOMIDE SUN 140 mg CAPS. 140mg SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V. OLANDA CUTIE CU BLIST. AL/AL PENTRU ELIBERAREA UNEI UNITATI DOZATE X 5X1 CAPS. PR 5 61,062000 74,188000 0,00000032 W65713002 L01AX03 TEMOZOLOMIDUM TEMOZOLOMIDA ACCORD 180 mgCAPS. 180mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 5 PLICURI DIN PET/AL/PE X 1 CAPS. PR 5 94,040000 110,134000 0,00000033 W61814002 L01AX03 TEMOZOLOMIDUM TEMOZOLOMIDA ACCORD 180 mgCAPS. 180mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 5 PLICURI DIN PET/AL/PE X 1 CAPS. PR 5 94,040000 110,134000 0,00000034 W59616003 L01AX03 TEMOZOLOMIDUM TEMODAL 180 mg CAPS. 180mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 5 CAPS. AMBALATE INDIVIDUAL IN PLICURI P-RF/R 5 112,848000 132,160800 46,86120035 W63022001 L01AX03 TEMOZOLOMIDUM TEMOZOLOMIDE TEVA 20 mg CAPS. 20mg TEVA B.V. OLANDA CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS. PR 5 8,532000 11,160000 0,00000036 W64827003 L01AX03 TEMOZOLOMIDUM TEMODAL 20 mg CAPS. 20mg MERCK SHARP & DOHME OLANDA CUTIE CU 5 CAPS. AMBALATE INDIVIDUAL IN PLICURI PR 5 10,238400 13,392000 2,91600037 W59617003 L01AX03 TEMOZOLOMIDUM TEMODAL 20 mg CAPS. 20mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 5 CAPS. AMBALATE INDIVIDUAL IN PLICURI P-RF/R 5 10,238400 13,392000 2,91600038 W61811002 L01AX03 TEMOZOLOMIDUM TEMOZOLOMIDA ACCORD 20 mgCAPS. 20mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 5 PLICURI DIN PET/AL/PE X 1 CAPS. PR 5 8,532000 11,160000 0,00000039 W65710002 L01AX03 TEMOZOLOMIDUM TEMOZOLOMIDA ACCORD 20 mgCAPS. 20mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 5 PLICURI DIN PET/AL/PE X 1 CAPS. PR 5 8,532000 11,160000 0,00000040 W66249001 L01AX03 TEMOZOLOMIDUM TEMOZOLOMIDE SUN 20 mg CAPS. 20mg SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V. OLANDA CUTIE CU BLIST. AL/AL PENTRU ELIBERAREA UNEI UNITATI DOZATE X 5X1 CAPS. PR 5 8,532000 11,160000 0,00000041 W65714002 L01AX03 TEMOZOLOMIDUM TEMOZOLOMIDA ACCORD 250 mgCAPS. 250mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 5 PLICURI DIN PET/AL/PE X 1 CAPS. PR 5 127,054000 146,118000 0,00000042 W63024001 L01AX03 TEMOZOLOMIDUM TEMOZOLOMIDE TEVA 250 mg CAPS. 250mg TEVA B.V. OLANDA CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS. PR 5 152,464800 175,341600 31,48840043 W61815002 L01AX03 TEMOZOLOMIDUM TEMOZOLOMIDA ACCORD 250 mgCAPS. 250mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 5 PLICURI DIN PET/AL/PE X 1 CAPS. PR 5 127,054000 146,118000 0,00000044 W58779001 L01AX04 DACARBAZINUM DACARBAZINA LIPOMED 200 mg PULB. PT. SOL. INJ./PERF. 200 mg LIPOMED GMBH GERMANIA CUTIE CU 10 FLACOANE MONODOZA DIN STICLA BRUNA CU DOP DIN CAUCIUC BROMOBUTILIC CU SIGILIU DIN AL TIP FLIP-OFF CU CAPAC DIN PLASTIC DE CULOARE ROSIE CARE CONTIN PULB. PENTRU SOL. INJ. SAU PERF. PR 10 80,915000 92,012000 0,00000045 W56549001 L01AX04 DACARBAZINUM DACARBAZINE MEDAC 500 mg PULB. PT. SOL. PERF. 500mg CN UNIFARM S.A. ROMANIA CUTIE CU 1 FLAC.X 500MG PULB. PT. SOL. PERF.PR 1 87,310000 110,400000 0,00000046 W12735001 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 5000 mgCONC. PT. SOL. INJ./PERF. 100mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE X 1 FLACON X 50 ML PR 1 325,580000 393,030000 0,00000047 W65904001 L01BA01 METHOTREXATUM JYLAMVO 2 mg/ml SOL. ORALA 2mg/ml THERAKIND (EUROPE) LIMITED IRLANDA CUTIE CU 1 FLAC. DIN STICLA, CU ADAPTOR DIN PEJD PENTRU FLACON SI O SERINGA DOZATOARE DIN PP X 60 ML SOL. ORALA PR 1 633,130000 728,260000 0,00000048 W42003001 L01BA04 PEMETREXEDUM **1 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 4.010,860000 4.409,990000 0,00000049 W58868001 L01BB02 MERCAPTOPURINUM PURI - NETHOL COMPR. 50mg ASPEN PHARMA TRADING LIMITED IRLANDA CUTIE X 1 FLAC. DIN STICLA BRUNA X 25 COMPR.P-RF 25 10,480400 12,794400 0,00000050 W58869001 L01BB03 TIOGUANINUM LANVIS COMPR. 40mg ASPEN PHARMA TRADING LIMITED IRLANDA CUTIE X 1 FLAC. X 25 COMPR. P-RF 25 24,885200 28,650800 0,00000051 W44114001 L01BB04 CLADRIBINUM LITAK 2 mg/ml SOL. INJ. 2mg/ml LIPOMED GMBH GERMANIA CUTIE X 1 FLACON X 5 ML PR 1 1.365,440000 1.526,480000 0,00000052 W56210002 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 56,978500 64,014000 0,000000

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comunitare53 W64515001 L01BB05 FLUDARABINUM FLUDARABINA TEVA 25 mg/ml PULB. PT. SOL. INJ./PERF. 25mg/ml TEVA B.V. OLANDA CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 5ML) CU PULB. PT. SOL. INJ/PERF CONTINAND 50MG FLUDARABINA PR 1 99,500000 125,810000 0,00000054 W65817001 L01BB06 CLOFARABINUM **1 CLOFARABINA VIVANTA 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml VIVANTA GENERICS S.R.O., REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA CU DOP DE CAUCIUC SI CAPSA DETASABILA DIN AL CU SIGILIU ALBASTRU X 20 ML CONC. PT. SOL. PERF. PR 1 4.205,980000 4.622,670000 0,00000055 W65817002 L01BB06 CLOFARABINUM **1 CLOFARABINA VIVANTA 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml VIVANTA GENERICS S.R.O., REPUBLICA CEHA CUTIE CU 3 FLAC. DIN STICLA CU DOP DE CAUCIUC SI CAPSA DETASABILA DIN AL CU SIGILIU ALBASTRU X 20 ML CONC. PT. SOL. PERF. PR 3 4.185,970000 4.575,430000 0,00000056 W65817003 L01BB06 CLOFARABINUM **1 CLOFARABINA VIVANTA 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml VIVANTA GENERICS S.R.O., REPUBLICA CEHA CUTIE CU 4 FLAC. DIN STICLA CU DOP DE CAUCIUC SI CAPSA DETASABILA DIN AL CU SIGILIU ALBASTRU X 20 ML CONC. PT. SOL. PERF. PR 4 4.183,472500 4.569,527500 0,00000057 W65817005 L01BB06 CLOFARABINUM **1 CLOFARABINA VIVANTA 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml VIVANTA GENERICS S.R.O., REPUBLICA CEHA CUTIE CU 20 FLAC. DIN STICLA CU DOP DE CAUCIUC SI CAPSA DETASABILA DIN AL CU SIGILIU ALBASTRU X 20 ML CONC. PT. SOL. PERF. PR 20 4.177,471500 4.555,357500 0,00000058 W65817004 L01BB06 CLOFARABINUM **1 CLOFARABINA VIVANTA 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml VIVANTA GENERICS S.R.O., REPUBLICA CEHA CUTIE CU 10 FLAC. DIN STICLA CU DOP DE CAUCIUC SI CAPSA DETASABILA DIN AL CU SIGILIU ALBASTRU X 20 ML CONC. PT. SOL. PERF. PR 10 4.178,972000 4.558,900000 0,00000059 W53291005 L01BB06 CLOFARABINUM **1 EVOLTRA 1mg/ml CONC. PT. SOL. PERF. 1mg/ml GENZYME EUROPE BV OLANDA CUTIE X 1 FLAC. CU CONC. PT. SOL. PERF. PR 1 3.887,570000 4.275,610000 0,00000060 W64498001 L01BB07 NELARABINUM **1 ATRIANCE SOL. PERF. 5mg/ml NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU 6 FLAC. X 50 ML SOL. PR 6 1.105,498333 1.211,353333 0,00000061 W61693001 L01BB07 NELARABINUM **1 ATRIANCE SOL. PERF. 5mg/ml NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 6 FLAC. X 50 ML S 6 1.105,498333 1.211,353333 0,00000062 W66325004 L01BC01 CYTARABINUM CITARABINA ACCORD 20 mg/ml SOL INJ./PERF. 20mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 5 ML SOL. INJ./PERF. PR 1 6,500000 8,780000 0,00000063 W65373004 L01BC01 CYTARABINUM CITARABINA ACCORD 20 mg/ml SOL INJ./PERF. 20mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 5 ML SOL. INJ./PERF. PR 1 6,500000 8,780000 0,00000064 W59016003 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 44,150000 57,750000 0,00000065 W59016004 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 1 105,580000 128,890000 0,00000066 W66246001 L01BC01 CYTARABINUM KORABIN 1000 mg/20 ml SOL. INJ./PERF. 1000mg/20ml CN UNIFARM S.A. ROMANIA CUTIE CU 1 FLAC. X 20 ML SOL. INJ./PERF. PR 1 51,300000 64,860000 0,00000067 W65007003 L01BC01 CYTARABINUM CITARABINA KABI 100 mg/ml SOL. INJ./PERF. 100mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 10 ML, CU DOP DIN CAUCIUC BROMOBUTILIC CU CAPSA DETASABILA DIN AL DE CULOARE ROSIE X 10 ML SOL. INJ./PERF. PR 1 44,150000 57,750000 0,00000068 W65007004 L01BC01 CYTARABINUM CITARABINA KABI 100 mg/ml SOL. INJ./PERF. 100mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 20 ML, CU DOP DIN CAUCIUC BROMOBUTILIC CU CAPSA DETASABILA DIN AL DE CULOARE GALBENA X 20 ML SOL. INJ./PERF. PR 1 105,580000 128,890000 0,00000069 W43451005 L01BC02 FLUOROURACILUM 5 - FLUOROURACIL EBEWE 50mg/ml CONC. PT. SOL. INJ./PERF. 50mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE X 1 FLACON DIN STICLA BRUNA X 20 ML CONCENTRAT PT. SOL. INJ./PERF. PR 1 12,948000 17,508000 0,66200070 W66308003 L01BC02 FLUOROURACILUM FLUOROURACIL ACCORD 50 mg/ml SOL. INJ. SAU PERF. 50mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 20 ML SOL. INJ. SAU PERF. PR 1 10,790000 14,590000 0,00000071 W66308004 L01BC02 FLUOROURACILUM FLUOROURACIL ACCORD 50 mg/ml SOL. INJ. SAU PERF. 50mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML SOL. INJ. SAU PERF. PR 1 33,870000 44,300000 0,00000072 W66308005 L01BC02 FLUOROURACILUM FLUOROURACIL ACCORD 50 mg/ml SOL. INJ. SAU PERF. 50mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 100 ML SOL. INJ. SAU PERF. PR 1 57,250000 72,390000 0,00000073 W66308002 L01BC02 FLUOROURACILUM FLUOROURACIL ACCORD 50 mg/ml SOL. INJ. SAU PERF. 50mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML SOL. INJ. SAU PERF. PR 1 6,370000 8,610000 0,00000074 W60103002 L01BC02 FLUOROURACILUM FLUOROURACIL ACCORD 50 mg/ml SOL. INJ. SAU PERF. 50mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML SOL. INJ. SAU PERF. PR 1 6,370000 8,610000 0,00000075 W60103003 L01BC02 FLUOROURACILUM FLUOROURACIL ACCORD 50 mg/ml SOL. INJ. SAU PERF. 50mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 20 ML SOL. INJ. SAU PERF. PR 1 10,790000 14,590000 0,00000076 W60103004 L01BC02 FLUOROURACILUM FLUOROURACIL ACCORD 50 mg/ml SOL. INJ. SAU PERF. 50mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML SOL. INJ. SAU PERF. PR 1 33,870000 44,300000 0,00000077 W60103005 L01BC02 FLUOROURACILUM FLUOROURACIL ACCORD 50 mg/ml SOL. INJ. SAU PERF. 50mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 100 ML SOL. INJ. SAU PERF. PR 1 57,250000 72,390000 0,00000078 W60103001 L01BC02 FLUOROURACILUM FLUOROURACIL ACCORD 50 mg/ml SOL. INJ. SAU PERF. 50mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 5 ML SOL. INJ. SAU PERF. PR 1 3,180000 4,300000 0,00000079 W66308001 L01BC02 FLUOROURACILUM FLUOROURACIL ACCORD 50 mg/ml SOL. INJ. SAU PERF. 50mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 5 ML SOL. INJ. SAU PERF. PR 1 3,180000 4,300000 0,00000080 W61039001 L01BC05 GEMCITABINUM GEMCITABINA ACCORD 100 mg/mlCONC. PT. SOL. PERF. 100mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 2 ML CU DOP DIN CAUCIUC, SIGILAT CU CAPSA DIN AL TIP "FLIP-OFF' CARE CONTINE CONC. PT. SOL. PERF. PR 1 20,700000 27,980000 0,00000081 W61039003 L01BC05 GEMCITABINUM GEMCITABINA ACCORD 100 mg/mlCONC. PT. SOL. PERF. 100mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 15 ML CU DOP DIN CAUCIUC, SIGILAT CU CAPSA DIN AL TIP "FLIP-OFF' CARE CONTINE CONC. PT. SOL. PERF. PR 1 98,380000 124,390000 0,00000082 W65796004 L01BC05 GEMCITABINUM GEMCITABINA ACCORD 100 mg/mlCONC. PT. SOL. PERF. 100mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU DOP DIN CAUCIUC, SIGILAT CU CAPSA DIN AL TIP "FLIP-OFF' CARE CONTINE CONC. PT. SOL. PERF. PR 1 104,140000 127,140000 0,00000083 W61039002 L01BC05 GEMCITABINUM GEMCITABINA ACCORD 100 mg/mlCONC. PT. SOL. PERF. 100mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 10 ML CU DOP DIN CAUCIUC, SIGILAT CU CAPSA DIN AL TIP "FLIP-OFF' CARE CONTINE CONC. PT. SOL. PERF. PR 1 84,950000 107,410000 0,00000084 W61039004 L01BC05 GEMCITABINUM GEMCITABINA ACCORD 100 mg/mlCONC. PT. SOL. PERF. 100mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU DOP DIN CAUCIUC, SIGILAT CU CAPSA DIN AL TIP "FLIP-OFF' CARE CONTINE CONC. PT. SOL. PERF. PR 1 104,140000 127,140000 0,00000085 W65796001 L01BC05 GEMCITABINUM GEMCITABINA ACCORD 100 mg/mlCONC. PT. SOL. PERF. 100mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 2 ML CU DOP DIN CAUCIUC, SIGILAT CU CAPSA DIN AL TIP "FLIP-OFF' CARE CONTINE CONC. PT. SOL. PERF. PR 1 20,700000 27,980000 0,00000086 W65796002 L01BC05 GEMCITABINUM GEMCITABINA ACCORD 100 mg/mlCONC. PT. SOL. PERF. 100mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 10 ML CU DOP DIN CAUCIUC, SIGILAT CU CAPSA DIN AL TIP "FLIP-OFF' CARE CONTINE CONC. PT. SOL. PERF. PR 1 84,950000 107,410000 0,00000087 W65796003 L01BC05 GEMCITABINUM GEMCITABINA ACCORD 100 mg/mlCONC. PT. SOL. PERF. 100mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 15 ML CU DOP DIN CAUCIUC, SIGILAT CU CAPSA DIN AL TIP "FLIP-OFF' CARE CONTINE CONC. PT. SOL. PERF. PR 1 98,380000 124,390000 0,00000088 W61569001 L01BC05 GEMCITABINUM GEMCITABINA KABI 38 mg/ml CONC. PT. SOL. PERF. 38mg/ml FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FLACON DIN STICLA TRANSPARENTA CU CAPACITATEA DE 6 ML SI DOP DIN CAUCIUC CLOROBUTILIC, SIGILAT CU CAPSA DETASABILA DIN AL DE CULOARE VERDE, A 200 MG/5,26 ML CONCENTRAT PENTRU SOL. PERF. PR 1 23,310000 31,510000 0,00000089 W61569002 L01BC05 GEMCITABINUM GEMCITABINA KABI 38 mg/ml CONC. PT. SOL. PERF. 38mg/ml FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FLACON DIN STICLA TRANSPARENTA CU CAPACITATEA DE 30 ML SI DOP DIN CAUCIUC CLOROBUTILIC, SIGILAT CU CAPSA DETASABILA DIN AL DE CULOARE ALBASTRA, A 1000 MG/26,3 ML CONCENTRAT PENTRU SOL. PERF. PR 1 101,940000 128,892000 32,61800090 W61569003 L01BC05 GEMCITABINUM GEMCITABINA KABI 38 mg/ml CONC. PT. SOL. PERF. 38mg/ml FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FLACON DIN STICLA TRANSPARENTA CU CAPACITATEA DE 100 ML SI DOP DIN CAUCIUC CLOROBUTILIC, SIGILAT CU CAPSA DETASABILA DIN AL DE CULOARE GALBENA, A 2000 MG/52,6 ML CONCENTRAT PENTRU SOL. PERF. PR 1 124,968000 152,568000 242,63200091 W65009002 L01BC05 GEMCITABINUM GEMCITABINA KABI 38 mg/ml CONC. PT. SOL. PERF. 38mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLACON DIN STICLA TRANSPARENTA CU CAPACITATEA DE 30 ML SI DOP DIN CAUCIUC CLOROBUTILIC, SIGILAT CU CAPSA DETASABILA DIN AL DE CULOARE ALBASTRA, A 1000 MG/26,3 ML CONCENTRAT PENTRU SOL. PERF. PR 1 101,940000 128,892000 32,61800092 W65009001 L01BC05 GEMCITABINUM GEMCITABINA KABI 38 mg/ml CONC. PT. SOL. PERF. 38mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLACON DIN STICLA TRANSPARENTA CU CAPACITATEA DE 6 ML SI DOP DIN CAUCIUC CLOROBUTILIC, SIGILAT CU CAPSA DETASABILA DIN AL DE CULOARE VERDE, A 200 MG/5,26 ML CONCENTRAT PENTRU SOL. PERF. PR 1 23,310000 31,510000 0,00000093 W65009003 L01BC05 GEMCITABINUM GEMCITABINA KABI 38 mg/ml CONC. PT. SOL. PERF. 38mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLACON DIN STICLA TRANSPARENTA CU CAPACITATEA DE 100 ML SI DOP DIN CAUCIUC CLOROBUTILIC, SIGILAT CU CAPSA DETASABILA DIN AL DE CULOARE GALBENA, A 2000 MG/52,6 ML CONCENTRAT PENTRU SOL. PERF. PR 1 124,968000 152,568000 242,63200094 W54381002 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 PR 1 101,940000 128,892000 54,71800095 W54381004 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 PR 1 124,968000 152,568000 242,63200096 W54381001 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 PR 1 24,840000 33,576000 2,56400097 W60217002 L01BC06 CAPECITABINUM ECANSYA 150mg COMPR. FILM. 150mg KRKA D.D. SLOVENIA CUTIE CU BLIST. AL/AL X 60 COMPRIMATE FILMATE PR 60 0,952666 1,204500 0,00000098 W61795001 L01BC06 CAPECITABINUM CAPECITABINE ACCORD 150 mg COMPR. FILM. 150mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE BLIST. PERFORAT PT. ELIBERAREA UNEI UNITATI DOZATE DIN PVC/PVDC/AL X 60X1 COMPR. FILM. PR 60 0,952833 1,204833 0,00000099 W65664001 L01BC06 CAPECITABINUM CAPECITABINE ACCORD 150 mg COMPR. FILM. 150mg ACCORD HEALTHCARE S.L.U. SPANIA BLIST. PERFORAT PT. ELIBERAREA UNEI UNITATI DOZATE DIN PVC/PVDC/AL X 60X1 COMPR. FILM. PR 60 0,952833 1,204833 0,000000

100 W60217005 L01BC06 CAPECITABINUM ECANSYA 150mg COMPR. FILM. 150mg KRKA D.D. SLOVENIA CUTIE CU BLIST. PVC/PVDC/AL X 60 COMPRIMATE FILMATE PR 60 0,952666 1,204500 0,000000101 W58926006 L01BC06 CAPECITABINUM CAPECITABINA GLENMARK 500 mg COMPR. FILM. 500mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU 12 BLIST. PVC/PVDC-AL X 120 (12X10) COMPR. FILM. PR 120 1,975500 2,411700 0,000133102 W59424001 L01BC06 CAPECITABINUM CEREX 500 mg COMPR. FILM. 500mg TERAPIA SA ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 120 (12X10) COMPR. FILM. PR 120 1,975500 2,411700 1,270716103 W60219006 L01BC06 CAPECITABINUM ECANSYA 500mg COMPR. FILM. 500mg KRKA D.D. SLOVENIA CUTIE CU BLIST. PVC/PVDC/AL X 120 COMPRIMATE FILMATE PR 120 1,975500 2,411700 0,000133104 W60219003 L01BC06 CAPECITABINUM ECANSYA 500mg COMPR. FILM. 500mg KRKA D.D. SLOVENIA CUTIE CU BLIST. AL/AL X 120 COMPRIMATE FILMATE PR 120 1,975500 2,411700 0,000133

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Forma farmaceuti

ca

Concentratie / U.T.

Firma Tara Ambalaj

Pres

crip

tie cant/ambal

aj

Pret cu ridicata maximal de

decontare / U.T.

Pret de decontare / U.T.

contribu ție maximă

asigurat / U.T. - farmacii

comunitare105 W59424002 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 1,975500 2,411700 1,270716106 W65665001 L01BC06 CAPECITABINUM CAPECITABINE ACCORD 500 mg COMPR. FILM. 500mg ACCORD HEALTHCARE S.L.U. SPANIA BLIST. PERFORAT PT. ELIBERAREA UNEI UNITATI DOZATE DIN PVC/PVDC/AL X 120X1 COMPR. FILM. PR 120 1,646250 2,009750 0,000000107 W61796001 L01BC06 CAPECITABINUM CAPECITABINE ACCORD 500 mg COMPR. FILM. 500mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE BLIST. PERFORAT PT. ELIBERAREA UNEI UNITATI DOZATE DIN PVC/PVDC/AL X 120X1 COMPR. FILM. PR 120 1,646250 2,009750 0,000000108 W65073001 L01BC07 AZACITIDINUM **1 VIDAZA 25 mg/ml PULB. PT. SUSP. INJ. 25mg/ml CELGENE EUROPE BV OLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 100 MG PULB. PT. SUSP. INJ. PR 1 1.463,150000 1.632,990000 0,000000109 W53879001 L01BC07 AZACITIDINUM **1 VIDAZA PULB. PT. SUSP. INJ. 25mg/ml CELGENE EUROPE LIMITED MAREA BRITANIE CUTIE X 1 FLAC. X 100MG PULB. PT. SUSP. INJ. S 1 1.463,150000 1.632,990000 0,000000110 W59587001 L01BC08 DECITABINUM **1 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 4.640,600000 5.096,410000 0,000000111 W63841001 L01BC59 COMBINATII (TRIFLURIDINUM+TIPIRACILUM) **1 LONSURF 15 mg/6,14 mg COMPR. FILM. 15 mg/6,14 mg LES LABORATOIRES SERVIER FRANTA CUTIE CU BLIST.AL/AL X 20 COMPRIMATE FILMATE PR 20 118,693500 131,283500 0,000000112 W63841002 L01BC59 COMBINATII (TRIFLURIDINUM+TIPIRACILUM) **1 LONSURF 15 mg/6,14 mg COMPR. FILM. 15 mg/6,14 mg LES LABORATOIRES SERVIER FRANTA CUTIE CU BLIST.AL/AL X 60 COMPRIMATE FILMATE PR 60 117,692833 128,921166 0,000000113 W63842001 L01BC59 COMBINATII (TRIFLURIDINUM+TIPIRACILUM) **1 LONSURF 20 mg/8,19 mg COMPR. FILM. 20 mg/8,19 mg LES LABORATOIRES SERVIER FRANTA CUTIE CU BLIST.AL/AL X 20 COMPRIMATE FILMATE PR 20 157,707000 173,808500 0,000000114 W63842002 L01BC59 COMBINATII (TRIFLURIDINUM+TIPIRACILUM) **1 LONSURF 20 mg/8,19 mg COMPR. FILM. 20 mg/8,19 mg LES LABORATOIRES SERVIER FRANTA CUTIE CU BLIST.AL/AL X 60 COMPRIMATE FILMATE PR 60 156,756833 171,501000 0,000000115 W59211001 L01CA01 VINBLASTINUM 4) 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 32,920000 43,060000 0,000000116 W52220001 L01CA02 VINCRISTINUM SINDOVIN 1 mg PULB. PT. SOL. INJ./PERF. 1mg ACTAVIS S.R.L. ROMANIA CUTIE CU 1 FLACON DE CAPACITATE 10ML CE CONTINE 1MG PULB. PT. SOL. INJ./PERF. I.V. S 1 44,500000 58,210000 0,000000117 W64718001 L01CA02 VINCRISTINUM SINDOVIN 1 mg PULB. PT. SOL. INJ./PERF. I V 1mg TEVA B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA, TIP I, CU CAPACITATEA DE 10 ML CU PULB. PT. SOL. INJ./PERF. I.V. PR 1 44,500000 58,210000 0,000000118 W42512002 L01CA04 VINORELBINUM NAVELBINE 20 mg CAPS. MOI 20mg PIERRE FABRE MEDICAMENT FRANTA CUTIE X 1 BLIST. PVC-PVDC/AL-PETP X 1 CAPS. MOALE PR 1 130,020000 158,730000 0,000000119 W65979001 L01CA04 VINORELBINUM VINORELBINA ALVOGEN 20 mg CAPS. MOI 20mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU 1 BLIST. PVC-PVDC/AL-PET-HARTIE, CU INCHIDERE SECURIZATA PT. COPII X 1 CAPS. MOALE PR 1 130,020000 158,730000 0,000000120 W42513002 L01CA04 VINORELBINUM NAVELBINE 30 mg CAPS. MOI 30mg PIERRE FABRE MEDICAMENT FRANTA CUTIE X 1 BLIST. PVC-PVDC/AL-PETP X 1 CAPS. MOALE PR 1 194,240000 237,130000 0,000000121 W65980001 L01CA04 VINORELBINUM VINORELBINA ALVOGEN 30 mg CAPS. MOI 30mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU 1 BLIST. PVC-PVDC/AL-PET-HARTIE, CU INCHIDERE SECURIZATA PT. COPII X 1 CAPS. MOALE PR 1 194,240000 237,130000 0,000000122 W65981001 L01CA04 VINORELBINUM VINORELBINA ALVOGEN 80 mg CAPS. MOI 80mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU 1 BLIST. PVC-PVDC/AL-PET-HARTIE, CU INCHIDERE SECURIZATA PT. COPII X 1 CAPS. MOALE PR 1 504,820000 588,410000 0,000000123 W52194002 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 1 133,130000 162,530000 0,000000124 W63584001 L01CA04 VINORELBINUM VINORELBINA ACCORD 10 mg/mlCONC. PT. SOL. PERF. 10mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 1 ML CONC. PT. SOL. PERF. PR 1 25,090000 32,820000 0,000000125 W63584002 L01CA04 VINORELBINUM VINORELBINA ACCORD 10 mg/mlCONC. PT. SOL. PERF. 10mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. PR 1 121,050000 147,780000 0,000000126 W52194001 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 30,108000 39,384000 12,286000127 W65810001 L01CA04 VINORELBINUM VINORELBINA ACCORD 10 mg/mlCONC. PT. SOL. PERF. 10mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 1 ML CONC. PT. SOL. PERF. PR 1 25,090000 32,820000 0,000000128 W65810002 L01CA04 VINORELBINUM VINORELBINA ACCORD 10 mg/mlCONC. PT. SOL. PERF. 10mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. PR 1 121,050000 147,780000 0,000000129 W64798001 L01CA04 VINORELBINUM VINORELBINA TEVA 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml TEVA B.V. OLANDA CUTIE X 1 FLAC. X 1 ML CONC. PT. SOL. PERF. S 1 30,108000 39,384000 12,286000130 W64798002 L01CA04 VINORELBINUM VINORELBINA TEVA 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml TEVA B.V. OLANDA CUTIE X 1 FLAC. X 5 ML CONC. PT. SOL. PERF. S 1 133,130000 162,530000 0,000000131 W08035001 L01CB01 ETOPOSIDUM VEPESID CAPS. MOI 100mg BRISTOL MYERS SQUIBB KFT UNGARIA CUTIE CU 1 BLIST. PVC/AL-PVC-PVDC X 10 CAPS. MOI P-RF 10 23,349000 28,505000 0,000000132 W66187001 L01CB01 ETOPOSIDUM VEPESID 100 mg CAPS. MOI 100mg CHEPLAPHARM ARZNEIMITTEL GMBH GERMANIA CUTIE CU 1 BLIST. PVC/AL-PVC-PVDC X 10 CAPS. MOI PRF 10 23,349000 28,505000 0,000000133 W08036001 L01CB01 ETOPOSIDUM VEPESID CAPS. MOI 50mg BRISTOL MYERS SQUIBB KFT UNGARIA CUTIE CU 2 BLIST. PVC/AL-PVC-PVDC X 10 CAPS. MOI P-RF 20 14,677500 17,918500 0,000000134 W66186001 L01CB01 ETOPOSIDUM VEPESID 50 mg CAPS. MOI 50mg CHEPLAPHARM ARZNEIMITTEL GMBH GERMANIA CUTIE CU 2 BLIST. PVC/AL-PVC-PVDC X 10 CAPS. MOI PRF 20 14,677500 17,918500 0,000000135 W52210001 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 26,130000 34,180000 0,000000136 W66198001 L01CB01 ETOPOSIDUM SINTOPOZID 100 mg/5 ml CONC. PT. SOL. PERF. 100mg/5ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 8 ML X 5 ML CONC. PT. SOL. PERF. PR 1 26,130000 34,180000 0,000000137 W52574001 L01CB01 ETOPOSIDUM ETOPOSIDE-TEVA 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 5 ML CONC. PT. SOL. PERF. PR 1 26,130000 34,180000 0,000000138 W60599002 L01CB01 ETOPOSIDUM ETOPOZIDA KABI 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU UN FLAC. DIN STICLA INCOLORA TIP I, CU CAPACITATEA DE 10 ML ÎNCHIS CU DOP DIN CAUCIUC BROMOBUTIL SI SIGILAT CU CAPSE DETASABILE DIN AL DE CULOARE ALBASTRA CONTINÂND 10 ML CONC. PENTRU SOL. PERF. PR 1 54,290000 68,650000 0,000000139 W52574002 L01CB01 ETOPOSIDUM ETOPOSIDE-TEVA 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 10 ML CONC. PT. SOL. PERF.PR 1 56,870000 71,910000 0,000000140 W65008002 L01CB01 ETOPOSIDUM ETOPOZIDA KABI 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU UN FLAC. DIN STICLA INCOLORA TIP I, CU CAPACITATEA DE 10 ML ÎNCHIS CU DOP DIN CAUCIUC BROMOBUTIL SI SIGILAT CU CAPSE DETASABILE DIN AL DE CULOARE ALBASTRA CONTINÂND 10 ML CONC. PENTRU SOL. PERF. PR 1 54,290000 68,650000 0,000000141 W56078003 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 1 140,930000 172,050000 0,000000142 W56078002 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 56,450000 71,380000 0,000000143 W54068001 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. PR 1 20,328000 27,480000 12,720000144 W52212002 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 67,740000 85,656000 45,664000145 W64717002 L01CD01 PACLITAXELUM SINDAXEL 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml TEVA B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 16,67 ML CONC. PT. SOL. PERF. PR 1 67,740000 85,656000 45,664000146 W64717003 L01CD01 PACLITAXELUM SINDAXEL 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml TEVA B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 25 ML CONC. PT. SOL. PERF. PR 1 99,828000 126,228000 575,212000147 W52212005 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 1 889,490000 1.007,690000 0,000000148 W54068007 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. PR 1 83,190000 105,190000 0,000000149 W54068005 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. PR 1 163,420000 199,500000 0,000000150 W54068003 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. PR 1 58,540000 74,020000 0,000000151 W64717004 L01CD01 PACLITAXELUM SINDAXEL 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml TEVA B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 43,33 ML CONC. PT. SOL. PERF. PR 1 889,490000 1.007,690000 0,000000152 W65807001 L01CD01 PACLITAXELUM PACLITAXEL ACCORD 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. A 5 ML CONCENTRAT PT. SOL. PERF. CARE CONTINE 30 MG PACLITAXEL PR 1 16,940000 22,900000 0,000000153 W65807002 L01CD01 PACLITAXELUM PACLITAXEL ACCORD 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. A 16,7 ML CONCENTRAT PT. SOL. PERF. CARE CONTINE 100 MG PACLITAXEL PR 1 56,450000 71,380000 0,000000154 W64717005 L01CD01 PACLITAXELUM SINDAXEL 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml TEVA B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 50 ML CONC. PT. SOL. PERF. PR 1 169,116000 206,460000 68,040000155 W52212003 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 99,828000 126,228000 575,212000156 W52212004 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 1 169,116000 206,460000 68,040000

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Nr.crt Cod CIM

Grupa terapeu

ticaDenumire generica Denumire comerciala

Forma farmaceuti

ca

Concentratie / U.T.

Firma Tara Ambalaj

Pres

crip

tie cant/ambal

aj

Pret cu ridicata maximal de

decontare / U.T.

Pret de decontare / U.T.

contribu ție maximă

asigurat / U.T. - farmacii

comunitare157 W65807003 L01CD01 PACLITAXELUM PACLITAXEL ACCORD 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. A 50 ML CONCENTRAT PT. SOL. PERF. CARE CONTINE 300 MG PACLITAXEL PR 1 140,930000 172,050000 0,000000158 W64717001 L01CD01 PACLITAXELUM SINDAXEL 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml TEVA B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. PR 1 20,328000 27,480000 25,620000159 W56078001 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 16,940000 22,900000 0,000000160 W57028001 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 FLACON DIN STICLA INCOLORA FARA FOLIE PROTECTOARE DIN PLASTIC ONCO-SAFE A 2 ML CONC. PT. SOL. PERF. PR 1 45,180000 59,088000 21,122000161 W57028007 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 FLACON DIN STICLA INCOLORA FARA FOLIE PROTECTOARE DIN PLASTIC ONCO-SAFE A 8 ML CONC. PT. SOL. PERF. PR 1 174,324000 212,808000 91,462000162 W64533001 L01CD02 DOCETAXELUM DOCETAXEL KABI 120 mg/6 ml CONC. PT. SOL. PERF. 120mg/6ml FRESENIUS KABI DEUTSCHLAND GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 6 ML CONCENTRAT CE CONTINE 120 MG DOCETAXEL PR 1 953,700000 1.077,680000 0,000000163 W61799001 L01CD02 DOCETAXELUM DOCETAXEL ACCORD 160 mg/8 mlCONC. PT. SOL. PERF. 160mg/8ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA (TIP I) CONTINAND CONCENTRAT 8 ML PR 1 141,830000 173,150000 0,000000164 W65668001 L01CD02 DOCETAXELUM DOCETAXEL ACCORD 160 mg/8 mlCONC. PT. SOL. PERF. 160mg/8ml ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA (TIP I) CONTINAND CONCENTRAT 8 ML PR 1 141,830000 173,150000 0,000000165 W59570001 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 1 953,670000 1.077,650000 0,000000166 W61797001 L01CD02 DOCETAXELUM DOCETAXEL ACCORD 20 mg/1 mlCONC. PT. SOL. PERF. 20mg/1ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA (TIP I) CONTINAND CONCENTRAT 1 ML PR 1 37,650000 49,240000 0,000000167 W65666001 L01CD02 DOCETAXELUM DOCETAXEL ACCORD 20 mg/1 mlCONC. PT. SOL. PERF. 20mg/1ml ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA (TIP I) CONTINAND CONCENTRAT 1 ML PR 1 37,650000 49,240000 0,000000168 W59826001 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 45,180000 59,088000 11,212000169 W64536001 L01CD02 DOCETAXELUM DOCETAXEL KABI 20mg/ml CONC. PT. SOL. PERF. 20mg/ml FRESENIUS KABI DEUTSCHLAND GMBH GERMANIA CUTIE X 1 FLACON DIN STICLA X 1ML CONCENTRAT PENTRU SOLUTIE PERFUZABILA X 20 MG DOCETAXEL PR 1 45,180000 59,088000 11,212000170 W59573001 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 1 174,324000 212,808000 66,972000171 W61077003 L01CD02 DOCETAXELUM DOCETAXEL TEVA 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE CU 1 FLAC. UNIDOZA X 7 ML CONC. PT. SOL. PERF. PR 1 1.159,350000 1.301,840000 0,000000172 W55902003 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 1.159,350000 1.301,840000 0,000000173 W55902001 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 45,180000 59,088000 41,822000174 W55902002 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 1 162,850000 198,810000 0,000000175 W61798001 L01CD02 DOCETAXELUM DOCETAXEL ACCORD 80 mg/4 mlCONC. PT. SOL. PERF. 80mg/4ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA (TIP I) CONTINAND CONCENTRAT 4 ML PR 1 145,270000 177,340000 0,000000176 W64537001 L01CD02 DOCETAXELUM DOCETAXEL KABI 80 mg/4 ml CONC. PT. SOL. PERF. 80mg/4ml FRESENIUS KABI DEUTSCHLAND GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 4 ML CONCENTRAT CE CONTINE 80 MG DOCETAXEL PR 1 174,324000 212,808000 66,972000177 W65667001 L01CD02 DOCETAXELUM DOCETAXEL ACCORD 80 mg/4 mlCONC. PT. SOL. PERF. 80mg/4ml ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA (TIP I) CONTINAND CONCENTRAT 4 ML PR 1 145,270000 177,340000 0,000000178 W59593001 L01CD04 CABAZITAXELUM **1 Ω JEVTANA CONC. + SOLV. PT. SOL. PERF.60mg SANOFI-AVENTIS GROUPE FRANTA CUTIE CU 1 FL. DIN STICLA X 1,5 ML CONCENTRAT + 1 FL. DIN STICLA X 4,5 ML SOLVENT PR 1 15.707,210000 17.159,030000 0,000000179 W52365001 L01CX01TRABECTEDINUM **1 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 1.861,290000 2.066,960000 0,000000180 W52366001 L01CX01TRABECTEDINUM **1 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 7.287,150000 7.981,150000 0,000000181 W56397001 L01DB01 DOXORUBICINUM DOXORUBICINA ACCORD 2 mg/mlCONC. 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 7,780000 10,520000 0,000000182 W58172005 L01DB01 DOXORUBICINUM DOXORUBICINA ACTAVIS 2 mg/mlCONC. 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 42,144000 55,128000 79,512000183 W56397004 L01DB01 DOXORUBICINUM DOXORUBICINA ACCORD 2 mg/mlCONC. PT. SOL. PERF. 2mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CONC. PT. SOL. PERF. CONTINAND 20 MG DOXORUBICINA PR 1 18,190000 24,590000 0,000000184 W56397002 L01DB01 DOXORUBICINUM DOXORUBICINA ACCORD 2 mg/mlCONC. 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 35,120000 45,940000 0,000000185 W58172007 L01DB01 DOXORUBICINUM DOXORUBICINA ACTAVIS 2 mg/mlCONC. 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 1 290,730000 354,920000 0,000000186 W56397003 L01DB01 DOXORUBICINUM DOXORUBICINA ACCORD 2 mg/mlCONC. 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 1 135,580000 165,520000 0,000000187 W58172003 L01DB01 DOXORUBICINUM DOXORUBICINA ACTAVIS 2 mg/mlCONC. 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 21,828000 29,508000 58,082000188 W65789004 L01DB01 DOXORUBICINUM DOXORUBICINA ACCORD 2 mg/mlCONC. PT. SOL. PERF. 2mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CONC. PT. SOL. PERF. CONTINAND 20 MG DOXORUBICINA PR 1 18,190000 24,590000 0,000000189 W65789002 L01DB01 DOXORUBICINUM DOXORUBICINA ACCORD 2 mg/mlCONC. PT. SOL. PERF. 2mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 25 ML CONC. PT. SOL. PERF. CONTINAND 50 MG DOXORUBICINA PR 1 35,120000 45,940000 0,000000190 W65789001 L01DB01 DOXORUBICINUM DOXORUBICINA ACCORD 2 mg/mlCONC. PT. SOL. PERF. 2mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 5 ML CONC. PT. SOL. PERF. CONTINAND 10 MG DOXORUBICINA PR 1 7,780000 10,520000 0,000000191 W65789005 L01DB01 DOXORUBICINUM DOXORUBICINA ACCORD 2 mg/mlCONC. PT. SOL. PERF. 2mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CONC. PT. SOL. PERF. CONTINAND 100 MG DOXORUBICINA PR 1 70,250000 88,830000 0,000000192 W58172006 L01DB01 DOXORUBICINUM DOXORUBICINA ACTAVIS 2 mg/mlCONC. 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 84,300000 106,596000 66,994000193 W65789003 L01DB01 DOXORUBICINUM DOXORUBICINA ACCORD 2 mg/mlCONC. PT. SOL. PERF. 2mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 100 ML CONC. PT. SOL. PERF. CONTINAND 200 MG DOXORUBICINA PR 1 135,580000 165,520000 0,000000194 W58172001 L01DB01 DOXORUBICINUM DOXORUBICINA ACTAVIS 2 mg/mlCONC. 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 9,336000 12,624000 27,216000195 W56397005 L01DB01 DOXORUBICINUM DOXORUBICINA ACCORD 2 mg/mlCONC. PT. SOL. PERF. 2mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CONC. PT. SOL. PERF. CONTINAND 100 MG DOXORUBICINA PR 1 70,250000 88,830000 0,000000196 W58172008 L01DB01 DOXORUBICINUM DOXORUBICINA ACTAVIS 2 mg/mlCONC. 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 1 162,696000 198,624000 148,566000197 W58281001 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 1.508,010000 1.681,880000 0,000000198 W62998001 L01DB01 DOXORUBICINUM MYOCET 50mg PULB. + AMESTC. PT. CONC. PT.DISP.LIPOZOM.PT.PERF 50mg TEVA B.V. OLANDA CUTIE X 2 SETURI X 3 FLAC. (1 FLAC PULB. + 1 FLAC.LIPOZOMI +1 FLAC. SOL.TAMP.) PR 2 2.033,735000 2.235,850000 0,000000199 W52903001 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 9,336000 12,624000 26,886000200 W52903002 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 42,144000 55,128000 85,682000201 W66199001 L01DB01 DOXORUBICINUM SINDROXOCIN 2mg/ml PULB. PT. SOL. PERF. 2mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 8 ML CONTINAND 10 MG CLORHIDRAT DE DOXORUBICINA S 1 9,336000 12,624000 26,886000202 W66199002 L01DB01 DOXORUBICINUM SINDROXOCIN 2mg/ml PULB. PT. SOL. PERF. 2mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 50 ML X 50 MG CLORHIDRAT DE DOXORUBICINA S 1 42,144000 55,128000 85,682000203 W52209001 L01DB03 EPIRUBICINUM EPISINDAN 10 mg PULB. PT. SOL. INJ. 10mg ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLACON STICLA INCOLORA TIPI, CAPACITATE DE UMPLERE 8ML CU PULBERE PENTRU SOLUTIE PERFUZABILA INTRAVENOASA X 10MG CLORHIDRAT DE EPIRUBICINA S 1 47,490000 62,120000 0,000000204 W64434001 L01DB03 EPIRUBICINUM EPISINDAN 10 mg PULB. PT. SOL. INJ. 10mg TEVA B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA, AVAND CAPACITATEA DE 10 ML CU PULB. PT. SOL. INJ. PR 1 47,490000 62,120000 0,000000205 W64435001 L01DB03 EPIRUBICINUM EPISINDAN 50 mg PULB. PT. SOL. INJ. 50mg TEVA B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA, AVAND CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ. PR 1 127,272000 155,376000 20,904000206 W52208001 L01DB03 EPIRUBICINUM EPISINDAN 50 mg PULB. PT. SOL. INJ. 50mg ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLACON STICLA INCOLORA TIPI, CAPACITATE DE UMPLERE 50ML CU PULBERE PENTRU SOLUTIE PERFUZABILA INTRAVENOASA X 50MG CLORHIDRAT DE EPIRUBICINA S 1 127,272000 155,376000 20,904000207 W53325002 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 89,840000 113,590000 0,000000208 W53325003 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 1 106,060000 129,480000 0,000000

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Firma Tara Ambalaj

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Pret cu ridicata maximal de

decontare / U.T.

Pret de decontare / U.T.

contribu ție maximă

asigurat / U.T. - farmacii

comunitare209 W53325004 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 1 283,850000 346,530000 0,000000210 W53325005 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 1 425,230000 501,650000 0,000000211 W64517002 L01DB03 EPIRUBICINUM EPIRUBICINA TEVA 2 mg/ml SOL. INJ./PERF. 2mg/ml TEVA B.V. OLANDA CUTIE X 1 FLAC. A 10 ML SOL. INJ. X 20MG (20MG/10ML) PR 1 89,840000 113,590000 0,000000212 W64517003 L01DB03 EPIRUBICINUM EPIRUBICINA TEVA 2 mg/ml SOL. INJ./PERF. 2mg/ml TEVA B.V. OLANDA CUTIE X 1 FLAC. A 25 ML SOL. INJ. X 50MG (50MG/25ML) PR 1 106,060000 129,480000 0,000000213 W64517004 L01DB03 EPIRUBICINUM EPIRUBICINA TEVA 2 mg/ml SOL. INJ./PERF. 2mg/ml TEVA B.V. OLANDA CUTIE X 1 FLAC. A 50 ML SOL. INJ. X 100MG (100MG/50ML) PR 1 283,850000 346,530000 0,000000214 W65097001 L01DB06 IDARUBICINUM ZAVEDOS CAPS. 10mg PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 FLAC. X 1 CAPS. PRF 1 201,620000 246,140000 0,000000215 W03575001 L01DB06 IDARUBICINUM ZAVEDOS CAPS. 10mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. X 1 CAPS. P-RF 1 201,620000 246,140000 0,000000216 W03581001 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 90,372000 114,264000 26,056000217 W65096001 L01DB06 IDARUBICINUM ZAVEDOS 5 mg PULB. PT. SOL. INJ. 5mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. S 1 90,372000 114,264000 26,056000218 W63523001 L01DB06 IDARUBICINUM IDARUBICINA ACCORD 5 mg/5 mlSOL. INJ. 5mg/5ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. INCOLOR CARE CONTINE 5 ML SOL. INJ. PR 1 75,310000 95,220000 0,000000219 W42735002 L01DB07 MITOXANTRONUM ** ONKOTRONE CONC. PT. SOL. INJ. 2mg/ml BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 1 FLACON X 10 ML CONC. PT. SOL. INJ.PR 1 528,420000 614,130000 0,000000220 W66241001 L01DC01 BLEOMYCINUM SULFAS BLEMISIN 15 mg PULB. PT. SOL. INJ. 15mg C.N. UNIFARM S.A. ROMANIA CUTIE CU 1 FLACON X 15 MG PULB. PT. SOL. INJ.PR 1 109,760000 132,644400 1,355600221 W63065001 L01DC01 BLEOMYCINUM SULFAS BLEOMICINA ACCORD 15000UI PULB. PT. SOL. INJ./PERF. 15000UI ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 6 ML CU PULB. PT. SOL. INJ./PERF PR 1 106,300000 129,770000 0,000000222 W63065002 L01DC01 BLEOMYCINUM SULFAS BLEOMICINA ACCORD 15000UI PULB. PT. SOL. INJ./PERF. 15000UI ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 6 ML CU PULB. PT. SOL. INJ./PERF PR 10 97,910000 110,537000 0,000000223 W66247001 L01XA01 CISPLATINUM CISPLATIN KOCAK 10 mg/20 ml CONC. PT. SOL. PERF. 10mg/20ml CN UNIFARM S.A. ROMANIA CUTIE CU 1 FLAC. X 20 ML CONC. PT. SOL. PERF.PR 1 8,724000 11,796000 31,444000224 W52187001 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 8,724000 11,796000 2,584000225 W52187002 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 25,640000 33,540000 0,000000226 W66197001 L01XA01 CISPLATINUM SINPLATIN 1 mg/1 ml CONC. PT. SOL. PERF. 1mg/1ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 10 ML X 10 MG CONC. SOL. PERF. PR 1 8,724000 11,796000 2,584000227 W66197002 L01XA01 CISPLATINUM SINPLATIN 1 mg/1 ml CONC. PT. SOL. PERF. 1mg/1ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 50 ML X 50 MG CONC. SOL. PERF. PR 1 25,640000 33,540000 0,000000228 W56390003 L01XA01 CISPLATINUM CISPLATINA ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DE 50 ML DIN STICLA BRUNA CU CONC. PT. SOL. PERF. S 1 23,050000 31,160000 0,000000229 W56390002 L01XA01 CISPLATINUM CISPLATINA ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE X 1 FLACON X 30ML (PENTRU 25ML) DIN STICLA BRUNA CU CONCENTRAT PENTRU SOLUTIE PERFUZABILA S 1 20,070000 27,130000 0,000000230 W56390001 L01XA01 CISPLATINUM CISPLATINA ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DE 10 ML DIN STICLA BRUNA CU CONC. PT. SOL. PERF. S 1 7,270000 9,830000 0,000000231 W65790003 L01XA01 CISPLATINUM CISPLATINA ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA BRUNA CARE CONTINE 50 ML CONC. PT. SOL. PERF. PR 1 23,050000 31,160000 0,000000232 W65790004 L01XA01 CISPLATINUM CISPLATINA ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA BRUNA CARE CONTINE 100 ML CONC. PT. SOL. PERF. PR 1 71,490000 90,390000 0,000000233 W65790001 L01XA01 CISPLATINUM CISPLATINA ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA BRUNA CARE CONTINE 10 ML CONC. PT. SOL. PERF. PR 1 7,270000 9,830000 0,000000234 W65790002 L01XA01 CISPLATINUM CISPLATINA ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA BRUNA CARE CONTINE 25 ML CONC. PT. SOL. PERF. PR 1 20,070000 27,130000 0,000000235 W56390004 L01XA01 CISPLATINUM CISPLATINA ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA BRUNA CARE CONTINE 100 ML CONC. PT. SOL. PERF. PR 1 71,490000 90,390000 0,000000236 W64519002 L01XA02 CARBOPLATINUM CARBOPLATIN TEVA 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml TEVA B.V. OLANDA CUTIE CU 1 FLACON DIN STICLA INCOLORA X 15 ML CONC. PT. SOL. PERF. PR 1 52,740000 66,680000 0,000000237 W64519003 L01XA02 CARBOPLATINUM CARBOPLATIN TEVA 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml TEVA B.V. OLANDA CUTIE CU 1 FLACON DIN STICLA INCOLORA X 45 ML CONC. PT. SOL. PERF. PR 1 147,610000 180,200000 0,000000238 W58740004 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 1 194,290000 237,190000 0,000000239 W58740003 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 1 147,610000 180,200000 0,000000240 W65006003 L01XA02 CARBOPLATINUM CARBOPLATIN KABI 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC FLUROTEC, SIGILAT CU CAPSA DIN AL DE CULOARE ROSIE X 45 ML CONC. PT. SOL. PERF. X 450 MG CARBOPLATINA PR 1 147,610000 180,200000 0,000000241 W65006001 L01XA02 CARBOPLATINUM CARBOPLATIN KABI 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC FLUROTEC, SIGILAT CU CAPSA DIN AL DE CULOARE VERDE X 5 ML CONC. PT. SOL. PERF. X 50 MG CARBOPLATINA PR 1 20,000000 27,030000 0,000000242 W53000003 L01XA02 CARBOPLATINUM CARBOPLATIN ACTAVIS 10mg/mlCONC. 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 1 147,610000 180,200000 0,000000243 W53000002 L01XA02 CARBOPLATINUM CARBOPLATIN ACTAVIS 10mg/mlCONC. 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 48,580000 63,540000 0,000000244 W58740002 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 51,160000 64,690000 0,000000245 W65006004 L01XA02 CARBOPLATINUM CARBOPLATIN KABI 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA 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 1 194,290000 237,190000 0,000000246 W65006002 L01XA02 CARBOPLATINUM CARBOPLATIN KABI 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA 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 51,160000 64,690000 0,000000247 W65808003 L01XA03 OXALIPLATINUM OXALIPLATIN ACCORD 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLACON DIN STICLA INCOLORA A 40 ML CONC. PT. SOL. PERF. X 200 MG OXALIPLATINA PR 1 142,850000 174,390000 0,000000248 W55804003 L01XA03 OXALIPLATINUM OXALIPLATIN ACCORD 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLACON DIN STICLA INCOLORA A 40 ML CONC. PT. SOL. PERF. X 200 MG OXALIPLATINA PR 1 142,850000 174,390000 0,000000249 W56696005 L01XA03 OXALIPLATINUM OXALIPLATIN KABI 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU FOLIE PROTECTOARE DIN PLASTIC A 40 ML CONC. PT. SOL. PERF. CONTINAND 200 MG OXALIPLATINA PR 1 145,270000 177,340000 0,000000250 W55804002 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 66,130000 83,620000 0,000000251 W65808001 L01XA03 OXALIPLATINUM OXALIPLATIN ACCORD 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CONC. PT. SOL. PERF. X 50 MG OXALIPLATINA PR 1 37,000000 48,400000 0,000000252 W65808002 L01XA03 OXALIPLATINUM OXALIPLATIN ACCORD 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 20 ML CONC. PT. SOL. PERF. X 100 MG OXALIPLATINA PR 1 66,130000 83,620000 0,000000253 W55804001 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 37,000000 48,400000 0,000000254 W65013005 L01XA03 OXALIPLATINUM OXALIPLATIN KABI 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU FOLIE PROTECTOARE DIN PLASTIC A 40 ML CONC. PT. SOL. PERF. CONTINAND 200 MG OXALIPLATINA PR 1 145,270000 177,340000 0,000000255 W65013001 L01XA03 OXALIPLATINUM OXALIPLATIN KABI 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU FOLIE PROTECTOARE DIN PLASTIC A 10 ML CONC. PT. SOL. PERF. CONTINAND 50 MG OXALIPLATINA PR 1 34,110000 44,610000 0,000000256 W65013002 L01XA03 OXALIPLATINUM OXALIPLATIN KABI 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU FOLIE PROTECTOARE DIN PLASTIC A 20 ML CONC. PT. SOL. PERF. CONTINAND 100 MG OXALIPLATINA PR 1 63,580000 80,390000 0,000000257 W56696001 L01XA03 OXALIPLATINUM OXALIPLATIN KABI 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU FOLIE PROTECTOARE DIN PLASTIC A 10 ML CONC. PT. SOL. PERF. CONTINAND 50 MG OXALIPLATINA PR 1 34,110000 44,610000 0,000000258 W56696002 L01XA03 OXALIPLATINUM OXALIPLATIN KABI 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU FOLIE PROTECTOARE DIN PLASTIC A 20 ML CONC. PT. SOL. PERF. CONTINAND 100 MG OXALIPLATINA PR 1 63,580000 80,390000 0,000000259 W59766002 L01XB01 PROCARBAZINUM 4) NATULAN CAPS. 50 mg CN UNIFARM S.A. ROMANIA CUTIE CU 5 BLIST X 10 CAPS. PRF 50 27,700000 30,956000 0,000000260 W64512001 L01XC02RITUXIMABUM **1 RIXATHON 100 mg CONC. PT. SOL. PERF. 100mg SANDOZ GMBH AUSTRIA CUTIE CU 2 FLAC. DIN STICLA DE 10 ML X 100 MG RITUXIMAB PR 2 679,570000 759,805000 0,000000

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Forma farmaceuti

ca

Concentratie / U.T.

Firma Tara Ambalaj

Pres

crip

tie cant/ambal

aj

Pret cu ridicata maximal de

decontare / U.T.

Pret de decontare / U.T.

contribu ție maximă

asigurat / U.T. - farmacii

comunitare261 W64422001 L01XC02RITUXIMABUM **1 BLITZIMA 100 mg CONC. PT. SOL. PERF. 100mg CELLTRION HEALTHCARE HUNGARY KFT. UNGARIA CUTIE CU 2 FLAC. DIN STICLA X 10 ML (100 MG RITUXIMAB IN 10 ML-10MG/ML) PR 2 602,185000 675,455000 0,000000262 W64512002 L01XC02RITUXIMABUM **1 RIXATHON 100 mg CONC. PT. SOL. PERF. 100mg SANDOZ GMBH AUSTRIA CUTIE CU 3 FLAC. DIN STICLA DE 10 ML X 100 MG RITUXIMAB PR 3 674,566666 747,996666 0,000000263 W64385001 L01XC02RITUXIMABUM **1 MABTHERA 100 mg CONC. PT. SOL. PERF. 10mg/ml ROCHE REGISTRATION GMBH GERMANIA CUTIE X 2 FLACOANE X 10 ML CARE CONTIN 100 MG RITUXIMABUM PR 2 722,622000 810,546000 79,419000264 W07199001 L01XC02RITUXIMABUM **1 MABTHERA 100 mg CONC. PT. SOL. PERF. 10mg/ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 2 FLACOANE X 10 ML S 2 722,622000 810,546000 79,419000265 W64421001 L01XC02RITUXIMABUM **1 BLITZIMA 500 mg CONC. PT. SOL. PERF. 500mg CELLTRION HEALTHCARE HUNGARY KFT. UNGARIA CUTIE CU 1 FLAC. DIN STICLA X 50 ML (500 MG RITUXIMAB IN 50 ML-10MG/ML) PR 1 3.404,470000 3.749,030000 0,000000266 W07200001 L01XC02RITUXIMABUM **1 MABTHERA 500 mg CONC. PT. SOL. PERF. 500mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLACON X 50 ML(500MG RITUXIMAB IN 50ML- 10MG/ML)S 1 3.962,740000 4.357,540000 0,000000267 W64386001 L01XC02RITUXIMABUM **1 MABTHERA 500 mg CONC. PT. SOL. PERF. 500mg ROCHE REGISTRATION GMBH GERMANIA CUTIE X 1 FLACON X 50 ML (500MG RITUXIMAB IN 50ML- 10MG/ML)PR 1 3.962,740000 4.357,540000 0,000000268 W64513002 L01XC02RITUXIMABUM **1 RIXATHON 500 mg CONC. PT. SOL. PERF. 500mg SANDOZ GMBH AUSTRIA CUTIE CU 2 FLAC. DIN STICLA DE 50 ML X 500 MG RITUXIMAB PR 2 3.389,480000 3.713,615000 0,000000269 W64513001 L01XC02RITUXIMABUM **1 RIXATHON 500 mg CONC. PT. SOL. PERF. 500mg SANDOZ GMBH AUSTRIA CUTIE CU 1 FLAC. DIN STICLA DE 50 ML X 500 MG RITUXIMAB PR 1 3.404,480000 3.749,040000 0,000000270 W62893001 L01XC02RITUXIMABUM **1 MABTHERA 1400 mg SOL INJ. 120mg/ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLACON (1400 MG RITUXIMAB /11,7 MLPR 1 6.879,540000 7.536,860000 0,000000271 W64387001 L01XC02RITUXIMABUM **1 MABTHERA 1400 mg SOL INJ. 120mg/ml ROCHE REGISTRATION GMBH GERMANIA CUTIE X 1 FLACON (1400 MG RITUXIMAB /11,7 ML) SOL. INJ. PT. ADM. SUBCUTANATA PR 1 6.879,540000 7.536,860000 0,000000272 W07881001 L01XC03TRASTUZUMABUM **1 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 1.597,752000 1.787,328000 253,042000273 W64381001 L01XC03TRASTUZUMABUM **1 HERCEPTIN 150mg PULB. PT. CONC. PT. SOL. PERF. 150mg ROCHE REGISTRATION GMBH GERMANIA CUTIE X 1 FLAC. PULB. PT. CONC. PT. SOL. PERF. CONTINÂND 150 MG TRASTUZUMAB PR 1 1.597,752000 1.787,328000 253,042000274 W64586001 L01XC03TRASTUZUMABUM **1 HERZUMA 150 mg PULB. PT. CONC. PT. SOL. PERF. 150mg CELLTRION HEALTHCARE HUNGARY KFT. UNGARIA CUTIE CU 1 FLAC. CU CAPACITATEA DE 20 ML DIN STICLA TRANSPARENTA CONTINAND 150 MG TRASTUZUMAB PR 1 1.586,100000 1.767,000000 0,000000275 W65029001 L01XC03TRASTUZUMABUM **1 KANJINTI 150 mg PULB. PT. CONC. PT. SOL. PERF. 150mg AMGEN EUROPE B.V. OLANDA CUTIE CU 1 FLAC. CU CAPACITATEA DE 20 ML DIN STICLA TRANSPARENTA CE CONTINE 150 MG TRASTUZUMAB PR 1 1.475,340000 1.646,270000 0,000000276 W65030001 L01XC03TRASTUZUMABUM **1 KANJINTI 420 mg PULB. PT. CONC. PT. SOL. PERF. 420mg AMGEN EUROPE B.V. OLANDA CUTIE CU 1 FLAC. CU CAPACITATEA DE 50 ML DIN STICLA TRANSPARENTA CE CONTINE 420 MG TRASTUZUMAB PR 1 4.076,930000 4.482,010000 0,000000277 W64935001 L01XC03TRASTUZUMABUM **1 TRAZIMERA 150 mg PULB. PT. CONC. PT.SOL. PERF. 150mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. CU CAPACITATEA DE 15 ML CONTINANAD 150 MG TRASTUZUMAB PR 1 1.331,460000 1.489,440000 0,000000278 W65273001 L01XC03TRASTUZUMABUM **1 OGIVRI 150 mg PULB. PT. CONC. PT.SOL. PERF. 150mg MYLAN S.A.S. FRANTA CUTIE X 1 FLAC. CU CAPACITATEA DE 15 ML DIN STICLA TRANSPARENTA DE TIP I CU DOP DIN CAUCIUC BUTILIC LAMINAT CU FILM DE FLUORO-REZINA CONTINÂND TRASTUZUMAB 150 MG PR 1 1.510,700000 1.684,810000 0,000000279 W64382001 L01XC03TRASTUZUMABUM **1 HERCEPTIN 600mg/5ml SOL INJ. 600mg/5ml ROCHE REGISTRATION GMBH GERMANIA CUTIE CU UN FLACON DE 6 ML DIN STICLA TRANSPARENTA CU DOP CONTINAND 5ML SOLUTIE (600 MG TRASTUZUMAB) PR 1 5.861,360000 6.427,040000 0,000000280 W60341001 L01XC03TRASTUZUMABUM **1 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 5.861,360000 6.427,040000 0,000000281 W65944002 L01XC06CETUXIMABUM **1 ERBITUX 5mg/ml SOL. PERF. 5mg/ml MERCK EUROPE B.V. OLANDA CUTIE X 1 FLAC. DIN STICLA X 20 ML SOL. PERF.PR 1 725,630000 829,090000 0,000000282 W52549002 L01XC06CETUXIMABUM **1 ERBITUX 5mg/ml SOL. PERF. 5mg/ml MERCK KGAA GERMANIA CUTIE X 1 FLAC. DIN STICLA X 20 ML SOL. PERF.S 1 725,630000 829,090000 0,000000283 W64373002 L01XC07BEVACIZUMABUM **1 AVASTIN 25mg/ml CONC. PT. SOL. PERF. 25mg/ml ROCHE REGISTRATION GMBH GERMANIA CUTIE X 1 FLAC. DIN STICLA X 16 ML CONC. PT. SOL. PERF. PR 1 4.372,950000 4.804,670000 0,000000284 W64373002 L01XC07BEVACIZUMABUM **1 Ω AVASTIN 25mg/ml CONC. PT. SOL. PERF. 25mg/ml ROCHE REGISTRATION GMBH GERMANIA CUTIE X 1 FLAC. DIN STICLA X 16 ML CONC. PT. SOL. PERF. PR 1 4.372,950000 4.804,670000 0,000000285 W64373001 L01XC07BEVACIZUMABUM **1 AVASTIN 25mg/ml CONC. PT. SOL. PERF. 25mg/ml ROCHE REGISTRATION GMBH GERMANIA CUTIE X 1 FLAC. DIN STICLA X 4 ML CONC. PT. SOL. PERF. PR 1 1.130,890000 1.270,820000 0,000000286 W64373001 L01XC07BEVACIZUMABUM **1 Ω AVASTIN 25mg/ml CONC. PT. SOL. PERF. 25mg/ml ROCHE REGISTRATION GMBH GERMANIA CUTIE X 1 FLAC. DIN STICLA X 4 ML CONC. PT. SOL. PERF. PR 1 1.130,890000 1.270,820000 0,000000287 W42165001 L01XC07BEVACIZUMABUM **1 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 1.130,890000 1.270,820000 0,000000288 W42165001 L01XC07BEVACIZUMABUM **1 Ω 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 1.130,890000 1.270,820000 0,000000289 W42165002 L01XC07BEVACIZUMABUM **1 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 4.372,950000 4.804,670000 0,000000290 W42165002 L01XC07BEVACIZUMABUM **1 Ω 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 4.372,950000 4.804,670000 0,000000291 W52724003 L01XC08PANITUMUMABUM **1 VECTIBIX 20mg/ml CONC. PT. SOL. PERF. 20mg/ml AMGEN EUROPE B.V. OLANDA CUTIE X 1 FLAC. X 400MG PANITUMUMAB X 20MLS 1 5.312,400000 5.828,670000 0,000000292 W52724001 L01XC08PANITUMUMABUM **1 VECTIBIX 20mg/ml CONC. PT. SOL. PERF. 20mg/ml AMGEN EUROPE B.V. OLANDA CUTIE X 1 FLAC. X 100MG PANITUMUMAB X 5MLS 1 1.350,590000 1.510,300000 0,000000293 W65565002 L01XC11 IPILIMUMABUM **1 Ω YERVOY 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml BRISTOL-MYERS SQUIBB PHARMA EEIG IRLANDA CUTIE CU 1FLACON DIN STICLA X 40ML CONCENTRAT PT SOL. PERF. (200MG IPILIMUMAB) PR 1 53.133,180000 57.953,390000 0,000000294 W57560002 L01XC11 IPILIMUMABUM **1 Ω YERVOY 5mg/ml CONC. PT. SOL. PERF. 5mg/ml BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE CU 1FLACON DIN STICLA X 40ML CONCENTRAT PT SOL. PERF. (200MG IPILIMUMAB) PR 1 53.133,180000 57.953,390000 0,000000295 W65565001 L01XC11 IPILIMUMABUM **1 Ω YERVOY 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml BRISTOL-MYERS SQUIBB PHARMA EEIG IRLANDA CUTIE CU 1FLACON DIN STICLA X 10ML CONCENTRAT PT SOL. PERF. (50MG IPILIMUMAB) PR 1 13.619,620000 14.883,550000 0,000000296 W57560001 L01XC11 IPILIMUMABUM **1 Ω YERVOY 5mg/ml CONC. PT. SOL. PERF. 5mg/ml BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE CU 1FLACON DIN STICLA X 10ML CONCENTRAT PT SOL. PERF. (50MG IPILIMUMAB) PR 1 13.619,620000 14.883,550000 0,000000297 W61128001 L01XC12BRENTUXIMAB VEDOTIN **1 ADCETRIS 50 mg PULB. PT. CONC. PT. SOL. PERF. 50 mg TAKEDA PHARMA A/SDANEMARCA CUTIE CU 1 FLACON X 50MG PULBERE PENTRU CONCENTRAT PENTRU SOLUTIE PERFUZABILA PR 1 13.062,080000 14.275,840000 0,000000298 W60245001 L01XC13PERTUZUMABUM **1 PERJETA 420mg CONC. PT. SOL. PERF. 420mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLACON DIN STICLA X 14ML CONCENTRAT PENTRU SOLUTIE PERFUZABILA X 420MG PERTUZUMAB PR 1 11.198,800000 12.244,860000 0,000000299 W64394001 L01XC13PERTUZUMABUM **1 PERJETA 420mg CONC. PT. SOL. PERF. 420mg ROCHE REGISTRATION GMBH GERMANIA CUTIE X 1 FLACON DIN STICLA X 14ML CONCENTRAT PENTRU SOLUTIE PERFUZABILA X 420MG PERTUZUMAB PR 1 11.198,800000 12.244,860000 0,000000300 W60860001 L01XC14TRASTUZUMABUM EMTANSINUM **1 KADCYLA 100mg PULB. CONC. PT. SOL. PERF. 100mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE CU UN FLACON A 15ML X100 MG CONCENTRAT PENTRU SOLUTIE PERFUZABILA PR 1 7.197,410000 7.883,340000 0,000000301 W60861001 L01XC14TRASTUZUMABUM EMTANSINUM **1 KADCYLA 160mg PULB. CONC. PT. SOL. PERF. 160mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE CU UN FLACON A 20ML X160 MG CONCENTRAT PENTRU SOLUTIE PERFUZABILA PR 1 11.473,780000 12.544,590000 0,000000302 W64383001 L01XC14TRASTUZUMABUM EMTANSINUM **1 KADCYLA 100mg PULB. PT.CONC. PT. SOL. PERF. 100mg ROCHE REGISTRATION GMBH GERMANIA CUTIE CU UN FLACON A 15ML X100 MG CONCENTRAT PENTRU SOLUTIE PERFUZABILA PR 1 7.197,410000 7.883,340000 0,000000303 W64384001 L01XC14TRASTUZUMABUM EMTANSINUM **1 KADCYLA 160mg PULB. PT.CONC. PT. SOL. PERF. 160mg ROCHE REGISTRATION GMBH GERMANIA CUTIE CU UN FLACON A 20ML X160 MG CONCENTRAT PENTRU SOLUTIE PERFUZABILA PR 1 11.473,780000 12.544,590000 0,000000304 W62831001 L01XC15OBINUTUZUMABUM **1 GAZYVARO 1000 mg CONC. PT. SOL. PERF. 1000mg ROCHE REGISTRATION LTD. MAREA BRITANIE FLAC. DIN STICLA DE 50 ML CARE CONTINE 40 ML CONCENTRATPR 1 13.288,270000 14.522,380000 0,000000305 W64380001 L01XC15OBINUTUZUMABUM **1 GAZYVARO 1000 mg CONC. PT. SOL. PERF. 1000mg ROCHE REGISTRATION GMBH GERMANIA FLAC. DIN STICLA DE 50 ML CARE CONTINE 40 ML CONCENTRATPR 1 13.288,270000 14.522,380000 0,000000306 W66236001 L01XC16DINUTUXIMAB BETA **1 QARZIBA 4,5 mg/ml CONC. PT. SOL. PERF. 4,5mg/ml EUSA PHARMA (NETHERLANDS) B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA, PREVAZUT CU DOP DIN CAUCIUC SI SIGILIU DETASABIL DIN AL X 4,5 ML CONC. PT. SOL. PERF. (20 MG DINUTUXIMAB BETA) PR 1 40.751,810000 44.457,680000 0,000000307 W65560001 L01XC17NIVOLUMABUM **1 OPDIVO 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml BRISTOL-MYERS SQUIBB PHARMA EEIG IRLANDA CUTIE CU 1 FLAC. DIN STICLA DE TIP I X 40 MG CONC. PT. SOL. PERF. PR 1 2.549,400000 2.817,000000 0,000000308 W65560001 L01XC17NIVOLUMABUM **1 Ω OPDIVO 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml BRISTOL-MYERS SQUIBB PHARMA EEIG IRLANDA CUTIE CU 1 FLAC. DIN STICLA DE TIP I X 40 MG CONC. PT. SOL. PERF. PR 1 2.549,400000 2.817,000000 0,000000309 W65560002 L01XC17NIVOLUMABUM **1 OPDIVO 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml BRISTOL-MYERS SQUIBB PHARMA EEIG IRLANDA CUTIE CU 1 FLAC. DIN STICLA DE TIP I X 100 MG CONC. PT. SOL. PERF. PR 1 6.328,500000 6.936,220000 0,000000310 W65560002 L01XC17NIVOLUMABUM **1 Ω OPDIVO 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml BRISTOL-MYERS SQUIBB PHARMA EEIG IRLANDA CUTIE CU 1 FLAC. DIN STICLA DE TIP I X 100 MG CONC. PT. SOL. PERF. PR 1 6.328,500000 6.936,220000 0,000000311 W61901001 L01XC17NIVOLUMABUM **1 OPDIVO 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml BRISTOL-MYERS SQUIBB PHARMA EEIG MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA DE TIP I X 40 MG CONC. PT. SOL. PERF. PR 1 2.549,400000 2.817,000000 0,000000312 W61901001 L01XC17NIVOLUMABUM **1 Ω OPDIVO 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml BRISTOL-MYERS SQUIBB PHARMA EEIG MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA DE TIP I X 40 MG CONC. PT. SOL. PERF. PR 1 2.549,400000 2.817,000000 0,000000

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Nr.crt Cod CIM

Grupa terapeu

ticaDenumire generica Denumire comerciala

Forma farmaceuti

ca

Concentratie / U.T.

Firma Tara Ambalaj

Pres

crip

tie cant/ambal

aj

Pret cu ridicata maximal de

decontare / U.T.

Pret de decontare / U.T.

contribu ție maximă

asigurat / U.T. - farmacii

comunitare313 W61901002 L01XC17NIVOLUMABUM **1 OPDIVO 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml BRISTOL-MYERS SQUIBB PHARMA EEIG MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA DE TIP I X 100 MG CONC. PT. SOL. PERF. PR 1 6.328,500000 6.936,220000 0,000000314 W61901002 L01XC17NIVOLUMABUM **1 Ω OPDIVO 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml BRISTOL-MYERS SQUIBB PHARMA EEIG MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA DE TIP I X 100 MG CONC. PT. SOL. PERF. PR 1 6.328,500000 6.936,220000 0,000000315 W62021001 L01XC18PEMBROLIZUMABUM **1 Ω KEYTRUDA 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg MERCK SHARP & DOHME MAREA BRITANIE FLAC. DIN STICLA DE TIP I CE CONTINE 50 MG PEMBROLIZUMAB PR 1 7.605,870000 8.328,560000 0,000000316 W64587001 L01XC18PEMBROLIZUMABUM **1 Ω KEYTRUDA 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg MERCK SHARP & DOHME OLANDA FLAC. DIN STICLA DE TIP I CE CONTINE 50 MG PEMBROLIZUMAB PR 1 7.605,870000 8.328,560000 0,000000317 W62507001 L01XC19BLINATUMOMABUM **1 BLINCYTO 38,5 micrograme PULB. PT. CONC. SI SOL. PT. SOL. PERF. 38,5micrograme AMGEN EUROPE B.V. OLANDA AMBALAJ CU 1 FLAC. CU PULB. PT. CONC. PT. SOL. PERF. X 38,5 MICROGRAME +1 FLAC. CU SOLUTIE STABILIZATA X 10 ML PR 1 10.522,350000 11.507,530000 0,000000318 W61463001 L01XC21RAMUCIRUMABUM **1 Ω CYRAMZA CONC. PT. SOL. PERF. 10 mg/ml ELI LILLY NEDERLAND BV OLANDA AMBALAJ CU 2 FLACOANE A 10ML PR 2 2.651,965000 2.909,720000 0,000000319 W62902002 L01XC24DARATUMUMABUM **1 DARZALEX 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml JANSSEN-CILAG INTERNATIONAL NV BELGIA 1 FLACON DIN STICLA X 20 ML CONC. PT. SOL. PERF. PR 1 7.455,760000 8.164,940000 0,000000320 W62902001 L01XC24DARATUMUMABUM **1 DARZALEX 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml JANSSEN-CILAG INTERNATIONAL NV BELGIA 1 FLACON DIN STICLA X 5 ML CONC. PT. SOL. PERF. PR 1 1.886,440000 2.094,370000 0,000000321 W64125001 L01XC31AVELUMABUM **1 BAVENCIO 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml MERCK SERONO EUROPE LIMITED MAREA BRITANIE 1 FLACON X 10 ML CONC. PT. SOL. PERF. (200 MG AVELUMAB) PR 1 4.033,040000 4.434,170000 0,000000322 W65131001 L01XC31AVELUMABUM **1 BAVENCIO 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml MERCK EUROPE B.V. OLANDA 1 FLACON X 10 ML CONC. PT. SOL. PERF. (200 MG AVELUMAB) PR 1 4.033,040000 4.434,170000 0,000000323 W64295001 L01XC32ATEZOLIZUMAB **1 TECENTRIQ 1200 mg CONC. PT. SOL. PERF. 1200mg/20ml ROCHE REGISTRATION GMBH GERMANIA CUTIE CU 1 FLAC. X 20 ML SOLUTIE (1200MG) PR 1 17.934,560000 19.586,850000 0,000000324 W06844004 L01XE01 IMATINIBUM **1 GLIVEC 100 mg CAPS. 100mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 120 CAPS. PR 120 4,219600 4,980900 15,371516325 W64766004 L01XE01 IMATINIBUM **1 GLIVEC 100 mg CAPS. 100mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. PVC/AL X 120 CAPS. PR 120 4,219600 4,980900 15,371516326 W59486006 L01XE01 IMATINIBUM **1 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 4,219600 4,980900 3,232516327 W59852011 L01XE01 IMATINIBUM **1 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 3,516333 4,150750 0,000000328 W59500004 L01XE01 IMATINIBUM **1 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 4,219600 4,980900 21,329683329 W65673001 L01XE01 IMATINIBUM **1 IMATINIB ACCORD 100 mg COMPR. FILM. 100mg ACCORD HEALTHCARE S.L.U. SPANIA BLIST. PVC/PVDC/AL X 60 COMPR. FILM. PR 60 4,035166 4,926166 0,000000330 W59541007 L01XE01 IMATINIBUM **1 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 4,219600 4,980900 0,001850331 W61800001 L01XE01 IMATINIBUM **1 IMATINIB ACCORD 100 mg COMPR. FILM. 100mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE BLIST. PVC/PVDC/AL X 60 COMPR. FILM. PR 60 4,035166 4,926166 0,000000332 W59487003 L01XE01 IMATINIBUM **1 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 18,808000 22,026799 64,330201333 W59501001 L01XE01 IMATINIBUM **1 IMATINIB ZENTIVA 400 mg COMPR. FILM. 400mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. PR 30 18,808000 22,026799 99,043867334 W59853006 L01XE01 IMATINIBUM **1 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 18,808000 22,026799 3,942534335 W65674001 L01XE01 IMATINIBUM **1 IMATINIB ACCORD 400 mg COMPR. FILM. 400mg ACCORD HEALTHCARE S.L.U. SPANIA BLIST. PVC/PVDC/AL X 30 COMPR. FILM. PR 30 15,673333 18,355666 0,000000336 W59542002 L01XE01 IMATINIBUM **1 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 18,808000 22,026799 10,451867337 W61801001 L01XE01 IMATINIBUM **1 IMATINIB ACCORD 400 mg COMPR. FILM. 400mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE BLIST. PVC/PVDC/AL X 30 COMPR. FILM. PR 30 15,673333 18,355666 0,000000338 W54587001 L01XE02 GEFITINIBUM **1 Ω IRESSA COMPR. FILM. 250 mg ASTRAZENECA AB SUEDIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. FILM. P-RF/R 30 250,999666 274,861666 0,000000339 W63901001 L01XE03 ERLOTINIBUM **1 ERLOTINIB MYLAN 100 mg COMPR. FILM. 100mg MYLAN S.A.S. FRANTA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PR 30 61,000000 67,761666 0,000000340 W64328001 L01XE03 ERLOTINIBUM **1 ERLOTINIB ZENTIVA 100 mg COMPR. FILM. 100mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. PR 30 73,200000 81,313999 1,353334341 W63228001 L01XE03 ERLOTINIBUM **1 VARLOTA 100 mg COMPR. FILM. 100mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PRF 30 73,200000 81,313999 32,313001342 W64328002 L01XE03 ERLOTINIBUM **1 ERLOTINIB ZENTIVA 100 mg COMPR. FILM. 100mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PR 30 73,200000 81,313999 1,353334343 W64000001 L01XE03 ERLOTINIBUM **1 ERLOTINIB SANDOZ 100 mg COMPR. FILM. 100mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PR 30 73,200000 81,313999 34,219001344 W63790001 L01XE03 ERLOTINIBUM **1 ERLOTINIB GLENMARK 100 mg COMPR. FILM. 100mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PR 30 73,200000 81,313999 1,353334345 W64299002 L01XE03 ERLOTINIBUM **1 ERLOTINIB HEATON 100 mg COMPR. FILM. 100mg HEATON K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PR 30 73,200000 81,313999 68,172667346 W63902001 L01XE03 ERLOTINIBUM **1 ERLOTINIB MYLAN 150 mg COMPR. FILM. 150mg MYLAN S.A.S. FRANTA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PR 30 81,000000 89,561666 0,000000347 W64329002 L01XE03 ERLOTINIBUM **1 ERLOTINIB ZENTIVA 150 mg COMPR. FILM. 150mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PR 30 97,200000 107,473999 1,801667348 W64329001 L01XE03 ERLOTINIBUM **1 ERLOTINIB ZENTIVA 150 mg COMPR. FILM. 150mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. PR 30 97,200000 107,473999 1,801667349 W63229001 L01XE03 ERLOTINIBUM **1 VARLOTA 150 mg COMPR. FILM. 150mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PRF 30 97,200000 107,473999 35,933667350 W63791001 L01XE03 ERLOTINIBUM **1 ERLOTINIB GLENMARK 150 mg COMPR. FILM. 150mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PR 30 97,200000 107,473999 1,801667351 W64001001 L01XE03 ERLOTINIBUM **1 ERLOTINIB SANDOZ 150 mg COMPR. FILM. 150mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PR 30 97,200000 107,473999 35,933667352 W64300002 L01XE03 ERLOTINIBUM **1 ERLOTINIB HEATON 150 mg COMPR. FILM. 150mg HEATON K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PR 30 97,200000 107,473999 76,384001353 W43546001 L01XE04 SUNITINIBUM **1 SUTENT 12,5 mg CAPS. 12,5mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLACON DIN PEID X 30 CAPS.P-RF/R 30 155,689000 170,973000 0,000000354 W65026001 L01XE04 SUNITINIBUM **1 SUTENT 12,5 mg CAPS. 12,5mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. DIN PEID X 30 CAPS. PR 30 155,689000 170,973000 0,000000355 W43556001 L01XE04 SUNITINIBUM **1 SUTENT 25mg CAPS. 25mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLACON DIN PEID X 30 CAPS.P-RF/R 30 309,925333 339,090666 0,000000356 W65027001 L01XE04 SUNITINIBUM **1 SUTENT 25mg CAPS. 25mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. DIN PEID X 30 CAPS. PR 30 309,925333 339,090666 0,000000357 W65028001 L01XE04 SUNITINIBUM **1 SUTENT 50 mg CAPS. 50mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. DIN PEID X 30 CAPS. PR 30 618,923666 675,899333 0,000000358 W43557001 L01XE04 SUNITINIBUM **1 SUTENT 50 mg CAPS. 50mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLACON DIN PEID X 30 CAPS.P-RF/R 30 618,923666 675,899333 0,000000359 W63886001 L01XE05 SORAFENIBUM **1 NEXAVAR 200 mg COMPR. FILM. 200mg BAYER AG GERMANIA CUTIE CU 4 BLIST. PP/AL X 28 COMPR.FILM. PR 112 119,026428 130,079553 0,000000360 W61565001 L01XE05 SORAFENIBUM **1 NEXAVAR 200 mg COMPR. FILM. 200mg BAYER PHARMA AG GERMANIA CUTIE X 4 BLIST. PP/ AL X 28 COMPR.FILM. PR 112 119,026428 130,079553 0,000000361 W65564001 L01XE06 DASATINIBUM **1 SPRYCEL 100 mg COMPR. FILM. 100mg BRISTOL-MYERS SQUIBB PHARMA EEIG IRLANDA CUTIE X 1 FLAC. DIN PEID X 30 COMPR. FILM. PR 30 425,881666 465,483333 0,000000362 W65561001 L01XE06 DASATINIBUM **1 SPRYCEL 20 mg COMPR. FILM. 20mg BRISTOL-MYERS SQUIBB PHARMA EEIG IRLANDA CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. PR 60 95,670500 104,916833 0,000000363 W65562001 L01XE06 DASATINIBUM **1 SPRYCEL 50 mg COMPR. FILM. 50mg BRISTOL-MYERS SQUIBB PHARMA EEIG IRLANDA CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. PR 60 212,940833 232,741666 0,000000364 W65563001 L01XE06 DASATINIBUM **1 SPRYCEL 70 mg COMPR. FILM. 70mg BRISTOL-MYERS SQUIBB PHARMA EEIG IRLANDA CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. PR 60 212,940833 232,741666 0,000000

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asigurat / U.T. - farmacii

comunitare365 W64592005 L01XE07 LAPATINIBUM **1 Ω TYVERB COMPR. FILM. 250mg NOVARTIS EUROPHARM LTD. IRLANDA FLACON DIN PEID CU SISTEM DE INCHIDERE SECURIZAT X 140 COMPR. FILM. PR 140 53,302214 58,372000 0,000000366 W61702006 L01XE07 LAPATINIBUM **1 Ω TYVERB COMPR. FILM. 250mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE FLACON DIN PEID CU SISTEM DE INCHIDERE SECURIZAT X 140 COMPR. FILM. PR 140 53,302214 58,372000 0,000000367 W56489001 L01XE08 NILOTINIBUM **1 TASIGNA CAPS. 150mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 28 CAPS.(BLIST. PVC/PVDC/AL) P-RF/R 28 90,579642 100,094285 0,000000368 W64607001 L01XE08 NILOTINIBUM **1 TASIGNA CAPS. 150mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE X 28 CAPS.(BLIST. PVC/PVDC/AL) (CUTIE DIN CARTON) PR 28 90,579642 100,094285 0,000000369 W52708003 L01XE08 NILOTINIBUM **1 TASIGNA CAPS. 200mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 28 CAPS.(BLIST. PVC/PVDC/AL) PR 28 101,186428 111,655714 0,000000370 W64606001 L01XE08 NILOTINIBUM **1 TASIGNA CAPS. 200mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE X 28 CAPS.(BLIST. PVC/PVDC/AL) PR 28 101,186428 111,655714 0,000000371 W64608001 L01XE08 NILOTINIBUM **1 TASIGNA CAPS. 50mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU 120(3X40) CAPS. (BLIST. PVC/PVDC/AL)PR 120 37,089000 40,745000 0,000000372 W64785001 L01XE09 TEMSIROLIMUSUM TORISEL 30 mg CONC. + SOLV. PT. SOL. PERF.30mg PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 FLAC. X 1,2ML CONCENTRAT (30MG)+ 1 FLAC. X 1,8 SOLVENT PR 1 3.017,660000 3.327,400000 0,000000373 W61483001 L01XE09 TEMSIROLIMUSUM TORISEL 30mg CONC. + SOLV. PT. SOL. PERF.30mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. X 1,2ML CONCENTRAT (30MG)+ 1 FLAC. X 1,8 SOLVENT S 1 3.017,660000 3.327,400000 0,000000374 W64505001 L01XE10 EVEROLIMUS **1 AFINITOR 10 mg COMPR. 10 mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. AL/PA/AL/PVC X 30 COMPR. PR 30 368,306000 402,725666 0,000000375 W54589001 L01XE10 EVEROLIMUS **1 AFINITOR 10 mg COMPR. 10 mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 3 BLIST. AL/PA/PVC/AL X 10 COMPR. P-RF 30 368,306000 402,725666 0,000000376 W61703002 L01XE11 PAZOPANIB **1 Ω VOTRIENT 200 mg COMPR. FILM. 200 mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE CU FLACON DIN PEID X 90 COMPR. FILM.S 90 84,291666 92,301888 0,000000377 W61703002 L01XE11 PAZOPANIB **1 VOTRIENT 200 mg COMPR. FILM. 200 mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE CU FLACON DIN PEID X 90 COMPR. FILM.S 90 84,291666 92,301888 0,000000378 W64502002 L01XE11 PAZOPANIB **1 Ω VOTRIENT 200 mg COMPR. FILM. 200 mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU FLACON DIN PEID X 90 COMPR. FILM.PR 90 84,291666 92,301888 0,000000379 W64502002 L01XE11 PAZOPANIB **1 VOTRIENT 200 mg COMPR. FILM. 200 mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU FLACON DIN PEID X 90 COMPR. FILM.PR 90 84,291666 92,301888 0,000000380 W61704002 L01XE11 PAZOPANIB **1 Ω VOTRIENT 400 mg COMPR. FILM. 400 mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE CU FLACON DIN PEID X 60 COMPR. FILM.S 60 171,197333 187,241166 0,000000381 W61704002 L01XE11 PAZOPANIB **1 VOTRIENT 400 mg COMPR. FILM. 400 mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE CU FLACON DIN PEID X 60 COMPR. FILM.S 60 171,197333 187,241166 0,000000382 W64503002 L01XE11 PAZOPANIB **1 Ω VOTRIENT 400 mg COMPR. FILM. 400 mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU FLACON DIN PEID X 60 COMPR. FILM.PR 60 171,197333 187,241166 0,000000383 W64503002 L01XE11 PAZOPANIB **1 VOTRIENT 400 mg COMPR. FILM. 400 mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU FLACON DIN PEID X 60 COMPR. FILM.PR 60 171,197333 187,241166 0,000000384 W62995001 L01XE12 VANDETANIBUM **1 Ω CAPRELSA 100mg COMPR. FILM. 100mg GENZYME EUROPE B.V.OLANDA BLISTERE PVC/PVDC/AL, SIGILATE CU FOLIE DE ALUMINIU X 30 COMPRIMATE FILMATE PR 30 221,466666 242,670666 0,000000385 W60260003 L01XE13 AFATINIBUM **1 Ω GIOTRIF 20mg COMPR. FILM. 20mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE CU BLIST. PVC/PVDC PERFORAT PENTRU ELIBERAREA UNEI UNITATI DOZATE CONTINAND 28X1 COMPRIMATE FILMATE PR 28 283,532500 310,413214 0,000000386 W60261003 L01XE13 AFATINIBUM **1 Ω GIOTRIF 30mg COMPR. FILM. 30mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE CU BLIST. PVC/PVDC PERFORAT PENTRU ELIBERAREA UNEI UNITATI DOZATE CONTINAND 28X1 COMPRIMATE FILMATE PR 28 283,532500 310,413214 0,000000387 W60262003 L01XE13 AFATINIBUM **1 Ω GIOTRIF 40mg COMPR. FILM. 40mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE CU BLIST. PVC/PVDC PERFORAT PENTRU ELIBERAREA UNEI UNITATI DOZATE CONTINAND 28X1 COMPRIMATE FILMATE PR 28 283,532500 310,413214 0,000000388 W60984001 L01XE14 BOSUTINIBUM **1 BOSULIF 100 mg COMPR. FILM. 100 mg PFIZER LIMITED MAREA BRITANIE CUTIE CU 28 COMPRIMATE FILMATE (CUTIE CU 2 BLISTERE DIN PVC/ACLAR/PVC) PR 28 94,825357 104,722142 0,000000389 W64815001 L01XE14 BOSUTINIBUM **1 BOSULIF 100 mg COMPR. FILM. 100 mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 28 COMPR. FILM. (CUTIE CU 2 BLIST. DIN PVC/PCTFE/PVC) PR 28 94,825357 104,722142 0,000000390 W64816001 L01XE14 BOSUTINIBUM **1 BOSULIF 500 mg COMPR. FILM. 500 mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 28 COMPR. FILM. (CUTIE CU 2 BLIST. DIN PVC/PCTFE/PVC) PR 28 469,842142 513,491071 0,000000391 W60985001 L01XE14 BOSUTINIBUM **1 BOSULIF 500 mg COMPR. FILM. 500 mg PFIZER LIMITED MAREA BRITANIE CUTIE CU 28 COMPRIMATE FILMATE (CUTIE CU 2 BLISTERE DIN PVC/ACLAR/PVC) PR 28 469,842142 513,491071 0,000000392 W58517001 L01XE15 VEMURAFENIBUM **1 Ω ZELBORAF COMPR. FILM. 240mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE CU BLIST. AL/AL PERFORATE PENTRU UNITATI DOZATE 56X1 COMPR.FILM PR 56 99,605000 109,250892 0,000000393 W64409001 L01XE15 VEMURAFENIBUM **1 Ω ZELBORAF COMPR. FILM. 240mg ROCHE REGISTRATION GMBH GERMANIA CUTIE CU BLIST. AL/AL PERFORATE PENTRU UNITATI DOZATE 56X1 COMPR. FILM PR 56 99,605000 109,250892 0,000000394 W59306001 L01XE16 CRIZOTINIBUM **1 Ω XALKORI CAPS. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE CU BLIST. DIN PVC/AL X 60 CAPSULE PR 60 308,732833 337,155000 0,000000395 W64867001 L01XE16 CRIZOTINIBUM **1 Ω XALKORI CAPS. 200mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. DIN PVC/AL X 60 CAPS. PR 60 308,732833 337,155000 0,000000396 W64866001 L01XE16 CRIZOTINIBUM **1 Ω XALKORI CAPS. 250 mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. DIN PVC/AL X 60 CAPS. PR 60 350,990166 383,215666 0,000000397 W59307001 L01XE16 CRIZOTINIBUM **1 Ω XALKORI CAPS. 250 mg PFIZER LIMITED MAREA BRITANIE CUTIE CU BLIST. DIN PVC/AL X 60 CAPSULE PR 60 350,990166 383,215666 0,000000398 W64813002 L01XE17 AXITINIBUM **1 Ω INLYTA COMPR. FILM. 1 mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. AL/AL. X 56 COMPRIMATE FILMATE PR 56 55,562142 61,244107 0,000000399 W59304002 L01XE17 AXITINIBUM **1 Ω INLYTA COMPR. FILM. 1 mg PFIZER LIMITED MAREA BRITANIE CUTIE CU BLIST. AL/AL. X 56 COMPRIMATE FILMATE PR 56 55,562142 61,244107 0,000000400 W59305002 L01XE17 AXITINIBUM **1 Ω INLYTA COMPR. FILM. 5 mg PFIZER LIMITED MAREA BRITANIE CUTIE CU BLIST. AL/AL. X 56 COMPRIMATE FILMATE PR 56 268,187321 293,005714 0,000000401 W64814002 L01XE17 AXITINIBUM **1 Ω INLYTA COMPR. FILM. 5 mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. AL/AL. X 56 COMPRIMATE FILMATE PR 56 268,187321 293,005714 0,000000402 W64596001 L01XE18 RUXOLITINIBUM **1 JAKAVI COMPR. 10 mg NOVARTIS EUROPHARM LTD. IRLANDA AMBALAJ CU BLIST. DIN PVC/PCTFE/AL X 56 COMPR. PR 56 237,928928 260,024107 0,000000403 W64594001 L01XE18 RUXOLITINIBUM **1 JAKAVI COMPR. 15 mg NOVARTIS EUROPHARM LTD. IRLANDA AMBALAJ CU BLIST. DIN PVC/PCTFE/AL X 56 COMPR. PR 56 237,928928 260,024107 0,000000404 W59310002 L01XE18 RUXOLITINIBUM **1 JAKAVI COMPR. 15 mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE AMBALAJ CU BLIST. DIN PVC/PCTFE/ALUMINIU X 56 COMPR. PR 56 237,928928 260,024107 0,000000405 W64595001 L01XE18 RUXOLITINIBUM **1 JAKAVI COMPR. 20 mg NOVARTIS EUROPHARM LTD. IRLANDA AMBALAJ CU BLIST. DIN PVC/PCTFE/AL X 56 COMPR. PR 56 237,928928 260,024107 0,000000406 W59311002 L01XE18 RUXOLITINIBUM **1 JAKAVI COMPR. 20 mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE AMBALAJ CU BLIST. DIN PVC/PCTFE/ALUMINIU X 56 COMPR. PR 56 237,928928 260,024107 0,000000407 W59309002 L01XE18 RUXOLITINIBUM **1 JAKAVI COMPR. 5 mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE AMBALAJ CU BLIST. DIN PVC/PCTFE/ALUMINIU X 56 COMPR. PR 56 120,838392 132,395178 0,000000408 W64593001 L01XE18 RUXOLITINIBUM **1 JAKAVI COMPR. 5 mg NOVARTIS EUROPHARM LTD. IRLANDA AMBALAJ CU BLIST. DIN PVC/PCTFE/AL X 56 COMPR. PR 56 120,838392 132,395178 0,000000409 W60442002 L01XE21 REGORAFENIBUM **1 STIVARGA COMPR. FILM. 40mg BAYER PHARMA AG GERMANIA CUTIE CU 3 FLACOANE DIN PEID DE CULOARE ALBA OPACA INCHIS CU CAPAC CU FILET DIN PP/PP CU FOLIE DE SIGILARE SI DESICANT SITA MOLECULARA A CATE 28 COMPRIMATE FILMATE (AMBALAJ MULTIPLU) PR 84 118,197142 129,289166 0,000000410 W64833002 L01XE21 REGORAFENIBUM **1 STIVARGA COMPR. FILM. 40mg BAYER AG GERMANIA CUTIE CU 3 FLAC. DIN PEID X 28 COMPR. FILM. (AMBALAJ MULTIPLU) PR 84 118,197142 129,289166 0,000000411 W64724002 L01XE23 DABRAFENIBUM **1 Ω TAFINLAR 50mg CAPS. 50mg NOVARTIS EUROPHARM LTD. IRLANDA FLACON ALB OPAC DIN POLIETILENA DE INALTA DENSITATE (HDPE) CU CAPAC FILETAT DIN POLIPROPILENA SI AGENT DESHIDRATANT SILICAGEL X 120 CAPSULE PR 120 154,485916 168,707750 0,000000412 W61700002 L01XE23 DABRAFENIBUM **1 Ω TAFINLAR 50mg CAPS. 50mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE FLACON ALB OPAC DIN POLIETILENA DE INALTA DENSITATE (HDPE) CU CAPAC FILETAT DIN POLIPROPILENA SI AGENT DESHIDRATANT SILICAGEL X 120 CAPSULE PR 120 154,485916 168,707750 0,000000413 W61701002 L01XE23 DABRAFENIBUM **1 Ω TAFINLAR 75mg CAPS. 75mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE FLACON ALB OPAC DIN POLIETILENA DE INALTA DENSITATE (HDPE) CU CAPAC FILETAT DIN POLIPROPILENA SI AGENT DESHIDRATANT SILICAGEL X 120 CAPSULE PR 120 231,603916 252,766500 0,000000414 W64725002 L01XE23 DABRAFENIBUM **1 Ω TAFINLAR 75mg CAPS. 75mg NOVARTIS EUROPHARM LTD. IRLANDA FLACON ALB OPAC DIN POLIETILENA DE INALTA DENSITATE (HDPE) CU CAPAC FILETAT DIN POLIPROPILENA SI AGENT DESHIDRATANT SILICAGEL X 120 CAPSULE PR 120 231,603916 252,766500 0,000000415 W64971001 L01XE24 PONATINIBUM **1 ICLUSIG 15 mg COMPR. FILM. 15mg INCYTE BIOSCIENCES DISTRIBUTION B.V. OLANDA FLAC. DIN PEID CU DOP CU FILET X 60 COMPR. FILM. PR 60 424,208833 463,024000 0,000000416 W63164001 L01XE24 PONATINIBUM **1 ICLUSIG 15 mg COMPR. FILM. 15mg INCYTE BIOSCIENCES UK LTD. MAREA BRITANIE FLAC. DIN PEID CU DOP CU FILET X 60 COMPR. FILM. PR 60 424,208833 463,024000 0,000000

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Forma farmaceuti

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Concentratie / U.T.

Firma Tara Ambalaj

Pres

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Pret cu ridicata maximal de

decontare / U.T.

Pret de decontare / U.T.

contribu ție maximă

asigurat / U.T. - farmacii

comunitare417 W63165001 L01XE24 PONATINIBUM **1 ICLUSIG 45 mg COMPR. FILM. 45mg INCYTE BIOSCIENCES UK LTD. MAREA BRITANIE FLAC. DIN PEID CU DOP CU FILET X 30 COMPR. FILM. PR 30 848,417666 926,048000 0,000000418 W64973001 L01XE24 PONATINIBUM **1 ICLUSIG 45 mg COMPR. FILM. 45mg INCYTE BIOSCIENCES DISTRIBUTION B.V. OLANDA FLAC. DIN PEID CU DOP CU FILET X 30 COMPR. FILM. PR 30 848,417666 926,048000 0,000000419 W64448002 L01XE25 TRAMETINIBUM **1 Ω MEKINIST 0,5 mg COMPR. FILM. 0,5mg NOVARTIS EUROPHARM LTD. IRLANDA FLAC. DIN PEID CU 30 COMPR. FILM PR 30 269,036000 294,521333 0,000000420 W62208002 L01XE25 TRAMETINIBUM **1 Ω MEKINIST 0,5 mg COMPR. FILM. 0,5mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE FLAC. DIN PEID CU 30 COMPR. FILM. PR 30 269,036000 294,521333 0,000000421 W62210002 L01XE25 TRAMETINIBUM **1 Ω MEKINIST 2 mg COMPR. FILM. 2mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE FLAC. DIN PEID CU 30 COMPR. FILM. PR 30 1.073,143333 1.170,999333 0,000000422 W64449002 L01XE25 TRAMETINIBUM **1 Ω MEKINIST 2 mg COMPR. FILM. 2mg NOVARTIS EUROPHARM LTD. IRLANDA FLAC. DIN PEID CU 30 COMPR. FILM. PR 30 1.073,143333 1.170,999333 0,000000423 W64527001 L01XE26 CABOZANTINIBUM **1 Ω CABOMETYX 20 mg COMPR. FILM. 20mg IPSEN PHARMA FRANTA CUTIE CU FLAC. DIN PEID X 30 COMPR. FILM. PR 30 787,454333 859,598000 0,000000424 W64528001 L01XE26 CABOZANTINIBUM **1 Ω CABOMETYX 40 mg COMPR. FILM. 40mg IPSEN PHARMA FRANTA CUTIE CU FLAC. DIN PEID X 30 COMPR. FILM. PR 30 787,454333 859,598000 0,000000425 W64529001 L01XE26 CABOZANTINIBUM **1 Ω CABOMETYX 60 mg COMPR. FILM. 60mg IPSEN PHARMA FRANTA CUTIE CU FLAC. DIN PEID X 30 COMPR. FILM. PR 30 787,454333 859,598000 0,000000426 W61749002 L01XE27 IBRUTINIBUM **1 IMBRUVICA 140 mg CAPS. 140mg JANSSEN-CILAG INTERNATIONAL NV BELGIA FLACON DIN PEID CU SISTEM DE INCHIDERE SECURIZAT PT. COPII DIN POLIPROPILENA X 120 CAPS. PR 120 266,666666 290,984916 0,000000427 W61749001 L01XE27 IBRUTINIBUM **1 IMBRUVICA 140 mg CAPS. 140mg JANSSEN-CILAG INTERNATIONAL NV BELGIA FLACON DIN PEID CU SISTEM DE INCHIDERE SECURIZAT PT. COPII DIN POLIPROPILENA X 90 CAPS. PR 90 272,034000 296,941333 0,000000428 W63339001 L01XE28 CERITINIBUM **1 ZYKADIA 150 mg CAPS. 150mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE CU BLIST. PVC/PCTFE/AL X 150 (3 AMBALAJE X 50) CAPS. (AMBALAJ COLECTIV) PR 150 138,035533 150,713266 0,000000429 W64628001 L01XE28 CERITINIBUM **1 ZYKADIA 150 mg CAPS. 150mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. PVC/PCTFE/AL X 150 (3 AMBALAJE X 50) CAPS. (AMBALAJ COLECTIV) PR 150 138,035533 150,713266 0,000000430 W64628002 L01XE28 CERITINIBUM **1 ZYKADIA 150 mg CAPS. 150mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. PVC/PCTFE/AL X 90 CAPS.PR 90 140,531777 153,603666 0,000000431 W64763001 L01XE33 PALBOCICLIBUM **1 IBRANCE 100 mg CAPS. 100mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. DIN PVC-PCTFE-PVC/AL X 21 CAPSULE PR 21 495,227619 541,615714 0,000000432 W63120001 L01XE33 PALBOCICLIBUM **1 IBRANCE 100 mg CAPS. 100mg PFIZER LIMITED MAREA BRITANIE CUTIE CU BLIST. DIN PVC-PCTFE-PVC/AL X 21 CAPSULE PR 21 495,227619 541,615714 0,000000433 W63121001 L01XE33 PALBOCICLIBUM **1 IBRANCE 125 mg CAPS. 125mg PFIZER LIMITED MAREA BRITANIE CUTIE CU BLIST. DIN PVC-PCTFE-PVC/AL X 21 CAPSULE PR 21 495,227619 541,615714 0,000000434 W64764001 L01XE33 PALBOCICLIBUM **1 IBRANCE 125 mg CAPS. 125mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. DIN PVC-PCTFE-PVC/AL X 21 CAPSULE PR 21 495,227619 541,615714 0,000000435 W64762001 L01XE33 PALBOCICLIBUM **1 IBRANCE 75 mg CAPS. 75mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. DIN PVC-PCTFE-PVC/AL X 21 CAPSULE PR 21 495,227619 541,615714 0,000000436 W63119001 L01XE33 PALBOCICLIBUM **1 IBRANCE 75 mg CAPS. 75mg PFIZER LIMITED MAREA BRITANIE CUTIE CU BLIST. DIN PVC-PCTFE-PVC/AL X 21 CAPSULE PR 21 495,227619 541,615714 0,000000437 W62649002 L01XE35 OSIMERTINIB **1 TAGRISSO 80 mg COMPR. FILM. 80mg ASTRA ZENECA AB SUEDIA CUTIE CU BLIST. PERFORATE UNIDOZA AL/AL X 28X1 COMPR. FILM. PR 28 901,398214 983,887857 0,000000438 W64294001 L01XE36 ALECTINIB **1 Ω ALECENSA 150mg CAPS. 150mg ROCHE REGISTRATION GMBH GERMANIA AMBALAJ MULTIPLU X 224 CAPSULE PR 224 112,506071 122,802098 0,000000439 W64447001 L01XE39 MIDOSTAURINUM **1 RYDAPT 25 mg CAPS. MOI 25mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. PA-AL-PVC/AL X 112 (4X28) CAPS. MOI PR 112 541,001160 590,032678 0,000000440 W64447001 L01XE39 MIDOSTAURINUM **1 Ω RYDAPT 25 mg CAPS. MOI 25mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. PA-AL-PVC/AL X 112 (4X28) CAPS. MOI PR 112 541,001160 590,032678 0,000000441 W64450001 L01XE42 RIBOCICLIBUM **1 Ω KISQALI 200 mg COMPR. FILM. 200mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. PCTFE/PVC X 63 COMPR. FILM.PR 63 241,746507 264,109523 0,000000442 W64915001 L01XX02 ASPARAGINAZUM ERWINASE PULB. PT. SOL. INJ. 10000 unitati/flacon DIRECT PHARMA LOGISTICS S.R.L. ROMANIA CUTIE CU 5 FLAC. DIN STICLA NEUTRA CU 10000UI/FLACON PULB. PT. SOL. INJ. PR 5 2.783,756000 3.041,928000 0,000000443 W64278001 L01XX02 ASPARAGINAZUM KIDROLASE 10000 U.I. PULB. PT. SOL. INJ. 10000U.I. DIRECT PHARMA LOGISTICS S.R.L. ROMANIA CUTIE CU 10 FLAC. CU PULB. PT. SOL. INJ. PR 10 410,833000 451,624000 0,000000444 W03542001 L01XX05 HYDROXYCARBAMIDUM HYDREA 500 mg CAPS. 500mg BRISTOL MYERS SQUIBB KFT UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 CAPS.P-RF 100 0,978400 1,237100 0,000000445 W62137001 L01XX14 TRETINOINUM 4) VESANOID 10mg CAPS. MOI 10mg CN Unifarm SA ROMANIA CUTIE X 100 CAPSULE MOI PR 100 11,059200 12,436000 0,000000446 W61694001 L01XX17 TOPOTECAMUM HYCAMTIN 1 mg CAPS. 1mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X BLIST. PVC/PCTFE/AL X 10 CAPS. P-RF 10 112,782000 126,748000 0,000000447 W64499001 L01XX17 TOPOTECAMUM HYCAMTIN 1 mg CAPS. 1mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. PVC/PCTFE/AL X 10 CAPS.PR 10 112,782000 126,748000 0,000000448 W65809003 L01XX17 TOPOTECAMUM TOPOTECAN ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA BRUNA DE TIP I, CU CAPACITATEA DE 5 ML CARE CONTINE CONC. PT. SOL. PERF. (4 MG TOPOTECAN) PR 1 189,828000 231,744000 105,196000449 W65809001 L01XX17 TOPOTECAMUM TOPOTECAN ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA BRUNA DE TIP I, CU CAPACITATEA DE 2 ML CARE CONTINE CONC. PT. SOL. PERF. (1 MG TOPOTECAN) PR 1 72,230000 91,330000 0,000000450 W58988001 L01XX17 TOPOTECAMUM TOPOTECAN ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DE CAPACITATE 2 ML, DIN STICLA BRUNA PREVAZUT CU SIGILIU DIN AL FLIP-OFF A 1 ML CONC. PT. SOL. PERF. CARE CONTINE 1 MG TOPOTECAN PR 1 72,230000 91,330000 0,000000451 W58988003 L01XX17 TOPOTECAMUM TOPOTECAN ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DE CAPACITATE 5 ML, DIN STICLA BRUNA PREVAZUT CU SIGILIU DIN AL FLIP-OFF A 4 ML CONC. PT. SOL. PERF. CARE CONTINE 4 MG TOPOTECAN PR 1 189,828000 231,744000 105,196000452 W56744001 L01XX17 TOPOTECAMUM POTACTASOL 4mg PULB. PT. CONC. PT. SOL. PERF. 4mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1FL DIN STICLA X 4 MG PULBERE PENTRU CONCENTRAT PENTRU SOLU_IE PERFUZABILA PR 1 158,190000 193,120000 0,000000453 W65011002 L01XX19 IRINOTECANUM IRINOTECAN KABI 20 mg/ml CONC. PT. SOL. PERF. 20 mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLACON DIN STICLA BRUNA CU CAPACITATEA DE 6 ML CARE CONTINE 5 ML CONC. PT. SOL. PERF. PR 1 52,060000 65,830000 0,000000454 W65011001 L01XX19 IRINOTECANUM IRINOTECAN KABI 20 mg/ml CONC. PT. SOL. PERF. 20 mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLACON DIN STICLA BRUNA CU CAPACITATEA DE 6 ML CARE CONTINE 2 ML CONC. PT. SOL. PERF. PR 1 23,720000 32,060000 0,000000455 W65011003 L01XX19 IRINOTECANUM IRINOTECAN KABI 20 mg/ml CONC. PT. SOL. PERF. 20 mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLACON DIN STICLA BRUNA CU CAPACITATEA DE 20 ML CARE CONTINE 15 ML CONC. PT. SOL. PERF. PR 1 154,950000 189,160000 0,000000456 W65011004 L01XX19 IRINOTECANUM IRINOTECAN KABI 20 mg/ml CONC. PT. SOL. PERF. 20 mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLACON DIN STICLA BRUNA CU CAPACITATEA DE 30 ML CARE CONTINE 25 ML CONC. PT. SOL. PERF. PR 1 242,110000 295,570000 0,000000457 W56597003 L01XX19 IRINOTECANUM IRINOTECAN KABI 20 mg/ml CONC. PT. SOL. PERF. 20 mg/ml FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FLACON STICLA BRUNA DE 20 ML X 15 ML CONC. PT. SOL. PERF. PR 1 154,950000 189,160000 0,000000458 W56597002 L01XX19 IRINOTECANUM IRINOTECAN KABI 20 mg/ml CONC. PT. SOL. PERF. 20 mg/ml FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FLACON STICLA BRUNA DE 6 ML X 5 ML CONC. PT. SOL. PERF. PR 1 52,060000 65,830000 0,000000459 W56597001 L01XX19 IRINOTECANUM IRINOTECAN KABI 20 mg/ml CONC. PT. SOL. PERF. 20 mg/ml FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FLACON STICLA BRUNA DE 6 ML X 2 ML CONC. PT. SOL. PERF. PR 1 23,720000 32,060000 0,000000460 W52206001 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 28,380000 38,352000 21,488000461 W62980002 L01XX19 IRINOTECANUM IRINOTECAN ACCORD 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLACON DIN STICLA BRUNA DE TIP I, AVÂND CAPACITATEA DE 5 ML, CU DOP DIN CAUCIUC CLOROBUTILIC SI CAPSA DETASABILA ROSIE DIN AL CU 5 ML CONC. PT. SOL. PERF. PR 1 61,630000 77,920000 0,000000462 W62980004 L01XX19 IRINOTECANUM IRINOTECAN ACCORD 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLACON DIN STICLA BRUNA DE TIP I, AVÂND CAPACITATEA DE 30 ML, CU DOP DIN CAUCIUC CLOROBUTILIC SI CAPSA DETASABILA PORTOCALIE DIN AL CU 25 ML CONC. PT. SOL. PERF. PR 1 290,532000 354,684000 13,346000463 W64574001 L01XX19 IRINOTECANUM IRINOTESIN 20mg/ml CONC. PT. SOL. PERF. 20mg/ml TEVA B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 2 ML CONC. PT. SOL. PERF. PR 1 28,380000 38,352000 21,488000464 W64574002 L01XX19 IRINOTECANUM IRINOTESIN 20mg/ml CONC. PT. SOL. PERF. 20mg/ml TEVA B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 5 ML CONC. PT. SOL.PERF. PR 1 62,472000 78,996000 55,734000465 W65797001 L01XX19 IRINOTECANUM IRINOTECAN ACCORD 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA BRUNA DE TIP I, AVÂND CAPACITATEA DE 5 ML, CU DOP DIN CAUCIUC CLOROBUTILIC SI CAPSA DETASABILA PORTOCALIE DIN AL CU 2 ML CONC. PT. SOL. PERF. PR 1 23,650000 31,960000 0,000000466 W64574004 L01XX19 IRINOTECANUM IRINOTESIN 20mg/ml CONC. PT. SOL. PERF. 20mg/ml TEVA B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 15 ML CONC. PT. SOL.PERF. PR 1 185,940000 226,992000 404,278000467 W52206003 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 1 290,532000 354,684000 276,586000468 W64574003 L01XX19 IRINOTECANUM IRINOTESIN 20mg/ml CONC. PT. SOL. PERF. 20mg/ml TEVA B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 25 ML CONC. PT. SOL. PERF. PR 1 290,532000 354,684000 276,586000

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Nr.crt Cod CIM

Grupa terapeu

ticaDenumire generica Denumire comerciala

Forma farmaceuti

ca

Concentratie / U.T.

Firma Tara Ambalaj

Pres

crip

tie cant/ambal

aj

Pret cu ridicata maximal de

decontare / U.T.

Pret de decontare / U.T.

contribu ție maximă

asigurat / U.T. - farmacii

comunitare469 W65797002 L01XX19 IRINOTECANUM IRINOTECAN ACCORD 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLACON DIN STICLA BRUNA DE TIP I, AVÂND CAPACITATEA DE 5 ML, CU DOP DIN CAUCIUC CLOROBUTILIC SI CAPSA DETASABILA ROSIE DIN AL CU 5 ML CONC. PT. SOL. PERF. PR 1 61,630000 77,920000 0,000000470 W65797003 L01XX19 IRINOTECANUM IRINOTECAN ACCORD 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLACON DIN STICLA BRUNA DE TIP I, AVÂND CAPACITATEA DE 20 ML, CU DOP DIN CAUCIUC CLOROBUTILIC SI CAPSA DETASABILA PORTOCALIE DIN AL CU 15 ML CONC. PT. SOL. PERF. PR 1 181,580000 221,670000 0,000000471 W65797004 L01XX19 IRINOTECANUM IRINOTECAN ACCORD 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLACON DIN STICLA BRUNA DE TIP I, AVÂND CAPACITATEA DE 30 ML, CU DOP DIN CAUCIUC CLOROBUTILIC SI CAPSA DETASABILA PORTOCALIE DIN AL CU 25 ML CONC. PT. SOL. PERF. PR 1 290,532000 354,684000 13,346000472 W62980001 L01XX19 IRINOTECANUM IRINOTECAN ACCORD 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA BRUNA DE TIP I, AVÂND CAPACITATEA DE 5 ML, CU DOP DIN CAUCIUC CLOROBUTILIC SI CAPSA DETASABILA PORTOCALIE DIN AL CU 2 ML CONC. PT. SOL. PERF. PR 1 23,650000 31,960000 0,000000473 W62980003 L01XX19 IRINOTECANUM IRINOTECAN ACCORD 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLACON DIN STICLA BRUNA DE TIP I, AVÂND CAPACITATEA DE 20 ML, CU DOP DIN CAUCIUC CLOROBUTILIC SI CAPSA DETASABILA PORTOCALIE DIN AL CU 15 ML CONC. PT. SOL. PERF. PR 1 181,580000 221,670000 0,000000474 W52206002 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 62,472000 78,996000 55,734000475 W52206004 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 1 185,940000 226,992000 404,278000476 W51535001 L01XX23 MITOTANUM LYSODREN 500mg COMPR. 500mg LABORATOIRE HRA PHARMA FRANTA CUTIE X 1 FLAC. DIN PEID X 100 COMPR. P-RF/R 100 22,887700 25,329100 0,000000477 W62932001 L01XX27 ARSENICUM TRIOXIDUM **1 TRISENOX 1mg/ml CONC. PT. SOL. PERF. 1mg/ml TEVA B.V. OLANDA CUTIE X 10 FIOLE CU CONC. PT. SOL. PERF. X 10 ML PR 10 1.348,506000 1.473,688000 0,000000478 W64092001 L01XX32 BORTEZOMIBUM **1 BORTEZOMIB TEVA 2,5 mg PULB. PT. SOL. INJ. 2,5mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATE DE 8 ML CARE CONTINE PULB. PT. SOL. INJ. PR 1 658,488000 763,536000 1.103,384000479 W62997001 L01XX32 BORTEZOMIBUM **1 BORTEZOMIB DR. REDDY'S 3,5 mg PULB. PT. SOL. INJ. 3,5mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATE DE 10 ML CARE CONTINE PULB. PT. SOL. INJ. PR 1 658,488000 763,536000 2.276,994000480 W61918001 L01XX32 BORTEZOMIBUM **1 BORTEZOMIB GLENMARK 3,5 mgPULB. PT. SOL. INJ. 3,5mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA INCOLORA DE TIP I CU CAPACITATE DE 10 ML PR 1 658,488000 763,536000 398,904000481 W63461001 L01XX32 BORTEZOMIBUM **1 BORTEZOMIB HOSPIRA 3,5 mg PULB. PT. SOL. INJ. 3,5mg HOSPIRA UK LIMITED MAREA BRITANIE CUTIE CU 1 FLACON DIN STICLA CE CONTINE 3,5 MG PULB. PENTRU SOL. INJ. PR 1 613,230000 706,570000 0,000000482 W61990001 L01XX32 BORTEZOMIBUM **1 BORTEZOMIB ACTAVIS 3,5 mg PULB. PT. SOL. INJ. 3,5mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CARE CONTINE PULB. PT. SOL. INJ. PR 1 658,488000 763,536000 1.158,934000483 W64673001 L01XX32 BORTEZOMIBUM **1 BORTEZOMIB SUN 3,5 mg PULB. PT. SOL. INJ. 3,5mg SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA DE CAPACITATE 10ML CE CONTINE 3,5 BORTEZOMIB PR 1 658,488000 763,536000 22,364000484 W61907001 L01XX32 BORTEZOMIBUM **1 VORTEMYEL 3,5 mg PULB. PT. SOL. INJ. 3,5mg ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU 1 FLAC. TRANSPARENT DIN STICLA INCOLORA (VOLUM NOMINAL DE 10 ML), CARE CONTINE PULB. PT. SOL. INJ. PR 1 658,488000 763,536000 1.357,274000485 W65718001 L01XX32 BORTEZOMIBUM **1 BORTEZOMIB MSN 3,5 mg PULB. PT. SOL. INJ. 3,5mg VIVANTA GENERICS S.R.O., CEHIA CUTIE CU FLAC. DIN STICLA TIP I, CU CAPACITATE DE 10 ML, CU DOP DIN CAUCIUC BROMOBUTILIC DE CULOARE GRI INCHIS ETANSAT CU CAPSA AL CU DISC PP ALBASTRA, CU PULB. PT. SOL. INJ. PR 1 548,740000 636,280000 0,000000486 W65669001 L01XX32 BORTEZOMIBUM **1 BORTEZOMIB ACCORD 3,5 mg PULB. PT. SOL. INJ. 3,5mg ACCORD HEALTHCARE S.L.U. SPANIA FLACON DIN STICLA DE TIP I CU CAPACITATEA DE 10 ML, PREVAZUT CU DOP DIN CAUCIUC CLOROBUTILIC SI O CAPSA DIN ALUMINIU, CU UN CAPAC ROSU, CE CONTINE BORTEZOMIB 3,5 MG PR 1 658,488000 763,536000 506,864000487 W64573001 L01XX32 BORTEZOMIBUM **1 BORTEZOMIB PHARMAZAC 3,5 mg PULB. PT. SOL. INJ. 3,5mg PHARMAZAC SA GRECIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA DE TIP I, CU CAPACITATEA DE 10 ML CU PULB. PT. SOL. INJ. PR 1 653,500000 750,470000 0,000000488 W64875001 L01XX32 BORTEZOMIBUM **1 BORTEZOMIB HOSPIRA 3,5 mg PULB. PT. SOL. INJ. 3,5mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLACON DIN STICLA CE CONTINE 3,5 MG PULB. PENTRU SOL. INJ. PR 1 613,230000 706,570000 0,000000489 W61926001 L01XX32 BORTEZOMIBUM **1 BORTEZOMIB ACCORD 3,5 mg PULB. PT. SOL. INJ. 3,5mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE FLACON DIN STICLA DE TIP I CU CAPACITATEA DE 10 ML, PREVAZUT CU DOP DIN CAUCIUC CLOROBUTILIC SI O CAPSA DIN ALUMINIU, CU UN CAPAC ROSU, CE CONTINE BORTEZOMIB 3,5 MG PR 1 658,488000 763,536000 506,864000490 W65545001 L01XX32 BORTEZOMIBUM **1 BORTEZOMIB STADA 2,5 mg/ml SOL. INJ. 2,5mg/ml STADA M&D SRL ROMANIA CUTIE CU FLAC. DIN STICLA TIP I PREVAZUT CU DOP DIN CAUCIUC BROMOBUTILIC SI CAPSA DIN AL TIP FLIP-OFF, CU CAPAC COLORAT X 1,4 ML SOL. INJ. PR 1 658,488000 763,536000 1.270,084000491 W62215001 L01XX42 PANOBINOSTATUM **1 FARYDAK 10 mg CAPS. 10mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE BLIST. PVC/PCTFE/AL X 6 CAPS. PR 6 2.965,973333 3.239,273333 0,000000492 W64437001 L01XX42 PANOBINOSTATUM **1 FARYDAK 10 mg CAPS. 10mg NOVARTIS EUROPHARM LTD. IRLANDA BLIST. PVC/PCTFE/AL X 6 CAPS. PR 6 2.965,973333 3.239,273333 0,000000493 W62216001 L01XX42 PANOBINOSTATUM **1 FARYDAK 15 mg CAPS. 15mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE BLIST. PVC/PCTFE/AL X 6 CAPS. PR 6 2.965,973333 3.239,273333 0,000000494 W64438001 L01XX42 PANOBINOSTATUM **1 FARYDAK 15 mg CAPS. 15mg NOVARTIS EUROPHARM LTD. IRLANDA BLIST. PVC/PCTFE/AL X 6 CAPS. PR 6 2.965,973333 3.239,273333 0,000000495 W64439001 L01XX42 PANOBINOSTATUM **1 FARYDAK 20 mg CAPS. 20mg NOVARTIS EUROPHARM LTD. IRLANDA BLIST. PVC/PCTFE/AL X 6 CAPS. PR 6 2.965,973333 3.239,273333 0,000000496 W62217001 L01XX42 PANOBINOSTATUM **1 FARYDAK 20 mg CAPS. 20mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE BLIST. PVC/PCTFE/AL X 6 CAPS. PR 6 2.965,973333 3.239,273333 0,000000497 W59956001 L01XX44 AFLIBERCEPTUM **1 ZALTRAP CONC. PT. SOL. PERF. 25mg/ ml SANOFI - AVENTIS GROUPE FRANTA CUTIE CU 1 FLACON A 5 ML X 4 ML CONCENTRAT PENTRU SOLUTIE PERFUZABILA CONTINAND 100 MG AFLIBERCEPT PR 1 1.396,870000 1.560,740000 0,000000498 W59956003 L01XX44 AFLIBERCEPTUM **1 ZALTRAP 25 mg/ml CONC. PT. SOL. PERF. 25mg/ ml SANOFI - AVENTIS GROUPE FRANTA CUTIE CU 1 FLACON A 10 ML X 8 ML CONCENTRAT PENTRU SOLUTIE PERFUZABILA CONTINAND 200 MG AFLIBERCEPT PR 1 2.768,930000 3.056,290000 0,000000499 W62506001 L01XX45 CARFILZOMIBUM **1 KYPROLIS 60 mg PULB. PT. SOL. PERF. 60mg AMGEN EUROPE B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA TIP I PT. UTILIZARE UNICA, DOP ELASTOMERIC LAMINAT CU FLUOROPOLIMERI SI O CAPSA DE ALUMINIU DE TIP FLIP OFF PR 1 4.499,880000 4.943,030000 0,000000500 W61522002 L01XX46 OLAPARIBUM **1 LYNPARZA CAPS. 50mg ASTRA ZENECA AB SUEDIA CUTIE X 448 CAPSULE (4 FLACOANE X112 CAPSULE) PR 448 45,532544 49,715691 0,000000501 W63372001 L01XX50 IXAZOMIB **1 NINLARO 2,3 mg CAPS. 2,3mg TAKEDA PHARMA A/SDANEMARCA CUTIE CU 3 PLIANTE (A CÂTE UN BLISTER DIN PVC-AL/AL) X 1 CAPS. PR 3 6.126,113333 6.690,190000 0,000000502 W63373001 L01XX50 IXAZOMIB **1 NINLARO 3 mg CAPS. 3mg TAKEDA PHARMA A/SDANEMARCA CUTIE CU 3 PLIANTE (A CÂTE UN BLISTER DIN PVC-AL/AL) X 1 CAPS. PR 3 6.126,113333 6.690,190000 0,000000503 W63374001 L01XX50 IXAZOMIB **1 NINLARO 4 mg CAPS. 4mg TAKEDA PHARMA A/SDANEMARCA CUTIE CU 3 PLIANTE (A CÂTE UN BLISTER DIN PVC-AL/AL) X 1 CAPS. PR 3 6.126,113333 6.690,190000 0,000000504 W63379003 L01XX52 VENETOCLAX **1 VENCLYXTO 100 mg COMPR. FILM. 100mg ABBVIE LTD. MAREA BRITANIE CUTIE CU BLIST. DIN AL DIN PVC/PE/PCTFE X 112 COMPR. FILM. (4 CUTII X 28 COMPR. FILM.) AMBALAJ MULTIPLU PR 112 216,138660 235,932053 0,000000505 W64705001 L01XX52 VENETOCLAX **1 VENCLYXTO 100 mg COMPR. FILM. 100mg ABBVIE DEUTSCHLAND GMBH & CO. KG GERMANIA CUTIE CU BLIST. DIN AL DIN PVC/PE/PCTFE X 7 COMPR. FILM. PR 7 215,694285 240,557142 0,000000506 W63379001 L01XX52 VENETOCLAX **1 VENCLYXTO 100 mg COMPR. FILM. 100mg ABBVIE LTD. MAREA BRITANIE CUTIE CU BLIST. DIN AL DIN PVC/PE/PCTFE X 7 COMPR. FILM. PR 7 215,694285 240,557142 0,000000507 W64705003 L01XX52 VENETOCLAX **1 VENCLYXTO 100 mg COMPR. FILM. 100mg ABBVIE DEUTSCHLAND GMBH & CO. KG GERMANIA CUTIE CU BLIST. DIN AL DIN PVC/PE/PCTFE X 112 COMPR. FILM. (4 CUTII X 28 COMPR. FILM.) AMBALAJ MULTIPLU PR 112 216,138660 235,932053 0,000000508 W64705002 L01XX52 VENETOCLAX **1 VENCLYXTO 100 mg COMPR. FILM. 100mg ABBVIE DEUTSCHLAND GMBH & CO. KG GERMANIA CUTIE CU BLIST. DIN AL DIN PVC/PE/PCTFE X 14 COMPR. FILM. PR 14 215,431428 237,545714 0,000000509 W63379002 L01XX52 VENETOCLAX **1 VENCLYXTO 100 mg COMPR. FILM. 100mg ABBVIE LTD. MAREA BRITANIE CUTIE CU BLIST. DIN AL DIN PVC/PE/PCTFE X 14 COMPR. FILM. PR 14 215,431428 237,545714 0,000000510 W64703001 L01XX52 VENETOCLAX **1 VENCLYXTO 10 mg COMPR. FILM. 10mg ABBVIE DEUTSCHLAND GMBH & CO. KG GERMANIA CUTIE CU BLIST. DIN AL DIN PVC/PE/PCTFE X 14 COMPR. FILM. PR 14 22,225714 26,950714 0,000000511 W63377002 L01XX52 VENETOCLAX **1 VENCLYXTO 10 mg COMPR. FILM. 10mg ABBVIE LTD. MAREA BRITANIE CUTIE CU BLIST. DIN AL DIN PVC/PE/PCTFE X 14 COMPR. FILM. PR 14 22,225714 26,950714 0,000000512 W64704001 L01XX52 VENETOCLAX **1 VENCLYXTO 50 mg COMPR. FILM. 50mg ABBVIE DEUTSCHLAND GMBH & CO. KG GERMANIA CUTIE CU BLIST. DIN AL DIN PVC/PE/PCTFE X 7 COMPR. FILM. PR 7 108,620000 123,845714 0,000000513 W63378002 L01XX52 VENETOCLAX **1 VENCLYXTO 50 mg COMPR. FILM. 50mg ABBVIE LTD. MAREA BRITANIE CUTIE CU BLIST. DIN AL DIN PVC/PE/PCTFE X 7 COMPR. FILM. PR 7 108,620000 123,845714 0,000000514 W52184001 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 3,040333 3,844333 0,000000515 W64575001 L02AB01 MEGESTROLUM MEGESIN 160 mg COMPR. 160mg TEVA B.V. OLANDA CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR.PR 30 3,040333 3,844333 0,000000516 W61373001 L02AE02 LEUPRORELINUM ** LEPTOPROL 5 mg IMPLANT 5mg SANDOZ SRL ROMANIA CUTIE CU O SERINGA PREUMPLUTA DIN POLICARBONAT CU PISTON DIN COPOLIMER ACRILONITRIL-BUTADIENSTIRENIC SI AC SIGILATE ÎNTR-O PUNGA DIN POLIETILENTEREFTALAT/AL-PE. SERINGA PREUMPLUTA CONTINE UN IMPLANT PR 1 557,030000 645,310000 0,000000517 W43179004 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/COPOLIMER ACID OLEFINIC CICLIC PREUMPLUTE (O SERINGA A SI O SERINGA B) IN TAVI TERMOFORMATE PR 1 639,530000 735,240000 0,000000518 W52321002 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) PR 1 1.180,150000 1.324,510000 0,000000519 W10731001 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 1 527,270000 612,870000 0,000000520 W65082001 L02AE03 GOSERELINUM ** ZOLADEX LA 10,8 mg IMPLANT 10,8 mg ASTRAZENECA AB SUEDIA CUTIE X 1 PLIC DIN PET-AL-PE X 1 SERINGA PREUMPLUTA CU 10,8 MG IMPLANT+AC DIN INOX CU SIST. DE PROTECTIE PR 1 527,270000 612,870000 0,000000

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asigurat / U.T. - farmacii

comunitare521 W10173001 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 1 164,190000 200,440000 0,000000522 W65081001 L02AE03 GOSERELINUM ** ZOLADEX 3,6 mg IMPLANT 3,6mg ASTRAZENECA AB SUEDIA CUTIE CU 1 PUNGA X 1 SERINGA PREUMPLUTA MONODOZA A 3,6 MG GASORELINA PR/PRF 1 164,190000 200,440000 0,000000523 W62379001 L02AE03 GOSERELINUM ** RESELIGO 10,8 mg IMPLANT IN SERINGA PREUMPLUTA 10,8mg ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU 1 PUNGA CU UN IMPLANT IN SERINGA PREUMPLUTA PR 1 501,410000 584,690000 0,000000524 W62378001 L02AE03 GOSERELINUM ** RESELIGO 3,6 mg IMPLANT IN SERINGA PREUMPLUTA 3,6mg ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU 1 PUNGA CU UN IMPLANT IN SERINGA PREUMPLUTA PR/PRF 1 172,850000 211,020000 0,000000525 W55725001 L02AE04 TRIPTORELINUM ** DIPHERELINE 0,1 mg PULB+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 11,588571 14,652857 0,000000526 W55726001 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 BLIST. CU 1 SERINGA X 3 ML + 1 BLIST. CU 2 ACE STERILE S/P-RF 1 600,060000 692,220000 0,000000527 W55727001 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 BLIST. CU O SERINGA X 3 ML + 1 BLIST. CU 2 ACE STERILE S/P-RF 1 302,640000 368,030000 0,000000528 W62618001 L02AE04 TRIPTORELINUM ** DIPHERELINE 22,5 mg PULB. SI SOLV. PT. SUSP. INJ. CU ELIB. PREL. 22,5mg IPSEN PHARMA FRANTA CUTIE CU 1 FLAC. CU CAPACITATEA DE 6 ML DIN STICLA USOR COLORATA CU PULB. PT. SUSP. INJ. CU ELIB. PREL.+1 FIOLA DIN STICLA INCOLORA,CU 2 ML SOLV. (APA PT. PREPARATE INJ.) PT. RECONST. SUSP.INJ.+1BLIST. DIN PVC CARE CONTINE 1 SERINGA DIN PP SI 2 ACE PR 1 2.090,010000 2.316,260000 0,000000529 W58059001 L02AE04 TRIPTORELINUM ** GONAPEPTYL ZILNIC 0,1 mg/ml SOL. INJ. 0,1mg/ml FERRING GMBH GERMANIA CUTIE X 7 SERINGI PREUMPLUTE DIN STICLA INCOLORA X 1 ML SOL. INJ S/P-RF 7 13,906285 17,583428 9,139429530 W53654002 L02BA01 TAMOXIFENUM TAMOXIFEN SANDOZ 10 mg COMPR. FILM. 10mg HEXAL AG GERMANIA CUTIE X 10 BLIST. X 10 COMPR. FILM. P-RF/S 100 0,216300 0,292400 0,000000531 W64402002 L02BA03 FULVESTRANTUM ** FASLODEX 250 mg SOL. INJ. 250mg/5ml ASTRAZENECA AB SUEDIA CUTIE X 2 SERINGI PREUMPLUTE DIN STICLA X 5ML SOLUTIE INJECTABILA + 2 ACE CU SISTEM DE SIGURANTA PRF 2 1.079,320000 1.195,535000 0,000000532 W51514002 L02BA03 FULVESTRANTUM ** FASLODEX 250mg SOL. INJ. 250mg/5ml ASTRAZENECA UK LTD.MAREA BRITANIE CUTIE X 2 SERINGI PREUMPLUTE DIN STICLA X 5ML SOLUTIE INJECTABILA + 2 ACE CU SISTEM DE SIGURANTA P-RF 2 1.079,320000 1.195,535000 0,000000533 W03217002 L02BB01 FLUTAMIDUM FLUTAN COMPR. 250mg MEDOCHEMIE LTD. CIPRU CUTIE X 10 BLIST. AL/PVC X 10 COMPR. P-RF 100 2,530300 3,089000 0,000000534 W65075001 L02BB03 BICALUTAMIDUM CASODEX 150 mg COMPR. FILM. 150mg ASTRAZENECA AB SUEDIA CUTIE CU 2 BLIST. PVC/AL X 14 COMPR. FILM. P6L 28 11,024142 13,458428 3,078000535 W64314001 L02BB03 BICALUTAMIDUM BICALUTAMIDA ALVOGEN 150 mgCOMPR. FILM. 150mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P6L 28 9,186785 11,215357 0,000000536 W12048001 L02BB03 BICALUTAMIDUM CASODEX 150 mg COMPR. FILM. 150mg ASTRAZENECA UK LTD.MAREA BRITANIE CUTIE X 2 BLIST. X 14 COMPR. FILM. P-6L 28 11,024142 13,458428 3,078000537 W61109001 L02BB03 BICALUTAMIDUM YONISTIB 150 mg COMPR. FILM. 150mg NEOLA PHARMA S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L 28 9,186785 11,215357 0,000000538 W66317003 L02BB03 BICALUTAMIDUM BICALUTAMIDA ACCORD 50 mg COMPR. FILM. 50mg ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P6L 28 0,761785 1,029642 0,000000539 W66317004 L02BB03 BICALUTAMIDUM BICALUTAMIDA ACCORD 50 mg COMPR. FILM. 50mg ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L 30 0,761666 1,029333 0,000000540 W65076001 L02BB03 BICALUTAMIDUM CASODEX 50 mg COMPR. FILM. 50mg ASTRAZENECA AB SUEDIA CUTIE CU 2 BLIST. TIP CALENDAR PVC/AL X 14 COMPR. FILM. P6L 28 0,913999 1,235200 4,517657541 W56123003 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 0,761785 1,029642 0,000000542 W61108001 L02BB03 BICALUTAMIDUM YONISTIB 50 mg COMPR. FILM. 50mg NEOLA PHARMA S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L 28 0,913999 1,235200 1,116228543 W10174001 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 0,913999 1,235200 4,517657544 W56123004 L02BB03 BICALUTAMIDUM BICALUTAMIDA ACCORD 50 mg COMPR. FILM. 50mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. P-6L 30 0,761666 1,029333 0,000000545 W60465001 L02BB04 ENZALUTAMIDUM **1 Ω XTANDI 40 mg CAPS. MOI 40mg ASTELLAS PHARMA EUROPE BV OLANDA COMPARTIMENT EXTERIOR CARE CONTINE UN BLISTER DE ALUMINIU/PVC/PCTFE CU 28 CAPS. MOI. FIECARE CUTIE ARE 4 COMPARTIMENTE EXTERIOARE (112 CPAS. MOI) PRF 112 109,667142 119,877946 0,000000546 W61107001 L02BG03 ANASTROZOLUM KYARESTA 1 mg COMPR. FILM. 1mg NEOLA PHARMA S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC/AL A CATE 14 COMPR. FILM. P-6L 28 1,205466 1,524266 0,319305547 W53147007 L02BG03 ANASTROZOLUM ANASTROZOL TERAPIA 1 mg COMPR. FILM. 1mg TERAPIA SA ROMANIA CUTIE X BLIST. PVC/AL X 100 COMPR. FILM.P6L 100 1,205466 1,524266 1,158234548 W53147002 L02BG03 ANASTROZOLUM ANASTROZOL TERAPIA 1 mg COMPR. FILM. 1mg TERAPIA SA ROMANIA CUTIE X BLIST. PVC/AL X 28 COMPR. FILM. P6L 28 1,205466 1,524266 0,301448549 W56267005 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 1,019666 1,333666 0,000000550 W53147004 L02BG03 ANASTROZOLUM ANASTROZOL TERAPIA 1 mg COMPR. FILM. 1mg TERAPIA SA ROMANIA CUTIE X BLIST. PVC/AL X 50 COMPR. FILM. P6L 50 1,205466 1,524266 1,206734551 W65172001 L02BG03 ANASTROZOLUM ARIMIDEX 1 mg COMPR. FILM. 1mg ASTRAZENECA AB SUEDIA CUTIE CU 2 BLIST. TIP CALENDAR PVC/AL X 14 COMPR. FILM. P6L 28 1,205466 1,524266 2,100019552 W53147001 L02BG03 ANASTROZOLUM ANASTROZOL TERAPIA 1 mg COMPR. FILM. 1mg TERAPIA SA ROMANIA CUTIE X BLIST. PVC/AL X 20 COMPR. FILM. P6L 20 1,205466 1,524266 1,454234553 W53266005 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 1,022333 1,337000 0,000000554 W53266010 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 1,004555 1,270222 0,000000555 W53147006 L02BG03 ANASTROZOLUM ANASTROZOL TERAPIA 1 mg COMPR. FILM. 1mg TERAPIA SA ROMANIA CUTIE X BLIST. PVC/AL X 98 COMPR. FILM. P6L 98 1,205466 1,524266 1,158182556 W00468001 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 1,205466 1,524266 2,100019557 W53147008 L02BG03 ANASTROZOLUM ANASTROZOL TERAPIA 1 mg COMPR. FILM. 1mg TERAPIA SA ROMANIA CUTIE X BLIST. PVC/AL X 300 COMPR. FILM.P6L 300 1,205466 1,524266 0,889234558 W53147005 L02BG03 ANASTROZOLUM ANASTROZOL TERAPIA 1 mg COMPR. FILM. 1mg TERAPIA SA ROMANIA CUTIE X BLIST. PVC/AL X 84 COMPR. FILM. P6L 84 1,205466 1,524266 1,158472559 W55646003 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 1,856800 2,428800 0,030533560 W55449003 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 1,856800 2,428800 0,012533561 W59547004 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 1,547333 2,024000 0,000000562 W51409001 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 1,856800 2,428800 0,138200563 W55787007 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 1,856800 2,428800 0,182200564 W58106004 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 1,856800 2,428800 0,182200565 W62173002 L02BG04 LETROZOLUM ZEQUIPRA 2,5 mg COMPR. FILM. 2,5mg NEOLA PHARMA S.R.L. ROMANIA CUTIE CU BLIST. AL-PVC/PVC-PE-PVDC X 30 COMPR. FILM. P6L 30 1,856800 2,428800 0,181533566 W53743003 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 1,765666 2,232333 0,000000567 W55888004 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 2,252333 2,848000 0,000000568 W59268003 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 2,252333 2,848000 0,000000569 W65803004 L02BG06 EXEMESTANUM EXEMESTAN ACCORD 25 mg COMPR. FILM. 25mg ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-RF 30 2,252333 2,848000 0,000000570 W56479002 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 2,252333 2,848000 0,000000571 W61219001 L02BG06 EXEMESTANUM XANEPRA 25 mg COMPR. FILM. 25mg NEOLA PHARMA S.R.L. ROMANIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM PRF 30 2,702800 3,417600 0,384066572 W55874002 L02BG06 EXEMESTANUM EXEMESTAN GLENMARK 25mg COMPR. FILM. 25mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-RF 30 2,702333 3,417000 0,000000

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asigurat / U.T. - farmacii

comunitare573 W65092001 L02BG06 EXEMESTANUM AROMASIN 25 mg DRAJ. 25mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 2 BLIST. PVC-PVDC/PVC-AL X 15 DRAJ.PRF 30 2,702800 3,417600 0,218066574 W08074001 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 2,702800 3,417600 0,218066575 W58139001 L02BX03 ABIRATERONUM **1 Ω ZYTIGA COMPR. 250mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE CU FLACON DIN PEÎD X 120 COMPRIMATEPRF 120 113,265250 123,777166 0,000000576 W53892001 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 SOLP-RF/R 1 62,980000 79,630000 0,000000577 W53893001 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 SOLP-RF/R 1 102,660000 125,330000 0,000000578 W65658001 L03AA02 FILGRASTIMUM (G-CSF) ACCOFIL 30 MU/0,5 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 30MU/0,5 ml ACCORD HEALTHCARE S.L.U. SPANIA AMBALAJ CU 1 SERINGA PREUMPLUTA (STICLA) CU 0,5 ML SOL. INJ. PR 1 59,440000 75,150000 0,000000579 W61793001 L03AA02 FILGRASTIMUM (G-CSF) ACCOFIL 30 MU/0,5 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 30MU/0,5 ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE AMBALAJ CU 1 SERINGA PREUMPLUTA CU 0,5 ML SOL. INJ. PR 1 59,440000 75,150000 0,000000580 W65659001 L03AA02 FILGRASTIMUM (G-CSF) ACCOFIL 48 MU/0,5 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 48MU/0,5 ml ACCORD HEALTHCARE S.L.U. SPANIA AMBALAJ CU 1 SERINGA PREUMPLUTA (STICLA) CU 0,5 ML SOL. INJ. PR 1 97,000000 122,650000 0,000000581 W61794001 L03AA02 FILGRASTIMUM (G-CSF) ACCOFIL 48 MU/0,5 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 48MU/0,5 ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE AMBALAJ CU 1 SERINGA PREUMPLUTA CU 0,5 ML SOL. INJ. PR 1 97,000000 122,650000 0,000000582 W55757002 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 57,502000 70,198000 0,000000583 W62176005 L03AA02 FILGRASTIMUM (G-CSF) TEVAGRASTIM 30MUI/0,5ml SOL. INJ./PERF. 300µg/0,5ml TEVA GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF. CU APARATOARE DE SIG.PT.AC PR 1 69,002400 84,237600 41,682400584 W64857002 L03AA02 FILGRASTIMUM (G-CSF) NIVESTIM 30 MU/0,5 ml SOL. INJ./PERF. 300µg/0,5ml PFIZER EUROPE MA EEIG BELGIA CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. PR 5 57,502000 70,198000 0,000000585 W55758002 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 89,638000 105,336000 0,000000586 W64858002 L03AA02 FILGRASTIMUM (G-CSF) NIVESTIM 48 MU/0,5 ml SOL. INJ./PERF. 480µg/0,5ml PFIZER EUROPE MA EEIG BELGIA CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. PR 5 89,638000 105,336000 0,000000587 W62177005 L03AA02 FILGRASTIMUM (G-CSF) TEVAGRASTIM 48MUI/0,8ml SOL. INJ./PERF. 480µg/0,8ml TEVA GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,8 ML SOL. INJ. SAU PERF. CU APARATOARE DE SIG.PT.AC PR 1 107,565600 126,403200 53,526800588 W64949001 L03AA13 PEGFILGRASTIMUM ** PELGRAZ 6 mg SOL INJ. IN SERINGA PREUMPLUTA 6mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 SERINGA PREUMPLUTA CARE CONTINE 0,6 ML SOL. INJ. PR 1 2.103,500000 2.330,970000 0,000000589 W65254001 L03AA13 PEGFILGRASTIMUM ** ZIEXTENZO 6 mg SOL INJ. IN SERINGA PREUMPLUTA 6mg SANDOZ GMBH AUSTRIA CUTIE CU 1 SERINGA PREUMPLUTA CARE CONTINE 0,6 ML SOL. INJ. PR 1 1.900,850000 2.110,080000 0,000000590 W65705001 L03AA13 PEGFILGRASTIMUM ** PELGRAZ 6 mg SOL INJ. IN SERINGA PREUMPLUTA 6mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 1 SERINGA PREUMPLUTA CARE CONTINE 0,6 ML SOL. INJ. PR 1 2.103,500000 2.330,970000 0,000000591 W51563001 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 2.103,500000 2.330,970000 0,000000592 W66201001 L03AA13 PEGFILGRASTIMUM ** PELGRAZ 6 mg SOL. INJ. IN INJECTOR PREUMPLUT 6mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 1 INJECTOR PREUMPLUT CARE CONTINE 0,6 ML SOL. INJ. PR 1 2.265,516000 2.515,200000 406,270000593 W66175001 L03AA13 PEGFILGRASTIMUM ** GRASUSTEK 6 mg SOL. INJ. IN SERINGA PREUMPLUTA 10mg/ml JUTA PHARMA GMBH GERMANIA CUTIE CU 1 SERINGA PREUMPLUTA CU DOP DIN CAUCIUC SI AC DIN OTEL INOXIDABIL CU GARDA AUTOMATA A ACULUI X 0,6 ML SOL. INJ. (6 MG PEGFILGRASTIM) PR 1 2.265,516000 2.515,200000 332,000000594 W66405001 L03AA13 PEGFILGRASTIMUM ** PELMEG 6 mg SOL. INJ. IN SERINGA PREUMPLUTA 10mg/ml MUNDIPHARMA BIOLOGICS S.L. SPANIA CUTIE CU AMBALAJ TIP BLISTER CE CONTINE 1 SERINGA PREUMPLUTA X 0,6 ML SOL. INJ. PR 1 1.887,930000 2.096,000000 0,000000595 W51329001 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 STERILPR 1 149,980000 183,090000 0,000000596 W64968001 L03AB05 INTERFERONUM ALFA 2B ** INTRON A 10 milioane U.I./ml SOL. INJ./PERF. 10 milioane U.I./ml MERCK SHARP & DOHME OLANDA CUTIE CU 1 FLAC. X 1 ML SOL. INJ/PERF. PR 1 215,950000 263,630000 0,000000597 W64967001 L03AB05 INTERFERONUM ALFA 2B ** INTRON A 18 milioane U.I./3 ml SOL. INJ./PERF. 18 milioane U.I./3ml MERCK SHARP & DOHME OLANDA CUTIE CU 1 FLAC. X 3 ML SOL. INJ/PERF. PR 1 383,370000 456,020000 0,000000598 W65072001 L04AX02 TALIDOMIDUM **1 THALIDOMIDE CELGENE 50 mg CAPS. 50mg CELGENE EUROPE BV OLANDA CUTIE TIP PORTOFEL X 28 CAPS. (14 CAPS. X 2 BLISTERE PCTFE/PVC/AL) PR 28 55,176071 61,504642 0,000000599 W61952001 L04AX02 TALIDOMIDUM **1 THALIDOMIDE CELGENE 50 mg CAPS. 50mg CELGENE EUROPE LIMITED MAREA BRITANIE CUTIE TIP PORTOFEL X 28 CAPS. (14 CAPS. X 2 BLISTERE PVC/PE/ACLAR/AL) P-RF/R 28 55,176071 61,504642 0,000000600 W64986001 L04AX06 POMALIDOMIDUM **1 IMNOVID 4 mg CAPS. 4mg CELGENE EUROPE B.V.OLANDA CUTIE CU BLIST. PVC/PCTFE X 21 CAPS. PR 21 1.748,192380 1.907,349047 0,000000601 W57665001 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 11,854166 13,556833 0,000000602 W52199001 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 37,490000 49,040000 0,000000603 W64719001 M05BA02 ACIDUM CLODRONICUM ** SINDRONAT 300 mg/5 ml CONC. PT. SOL. PERF. 300mg/5ml TEVA B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. PR 1 37,490000 49,040000 0,000000604 W66277001 M05BA03 ACIDUM PAMIDRONICUM ** PAMIFOS-30 PULB. SI SOLV. PT. SOL. PERF.30mg CN UNIFARM S.A. ROMANIA CUTIE CE CONTINE 2 FLAC. CU PULB. PT. SOL. PERF. + 2 FIOLE CU SOLVENT PRF 2 144,210000 176,050000 0,000000605 W59829025 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. P6L 28 9,692142 11,832000 0,313714606 W56932004 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 8,076785 9,860000 0,000000607 W65655001 M05BA06 ACIDUM IBANDRONICUM ** ACID IBANDRONIC ACCORD 6 mgCONC. PT. SOL. PERF. 6mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 1 FLAC. CU CAPACITATEA DE 6 ML, DIN STICLA DE TIP I SI FLUOROTEC PR 1 282,610000 345,010000 0,000000608 W61790001 M05BA06 ACIDUM IBANDRONICUM ** ACID IBANDRONIC ACCORD 6 mgCONC. PT. SOL. PERF. 6mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. CU CAPACITATEA DE 6 ML, DIN STICLA DE TIP I SI FLUOROTEC PR 1 282,610000 345,010000 0,000000609 W56933001 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 1 235,950000 288,050000 0,000000610 W59588001 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 59,640000 78,012000 20,888000611 W65657001 M05BA08 ACIDUM ZOLEDRONICUM ** ACID ZOLEDRONIC ACCORD 4 mg/5 ml CONC. PT. SOL. PERF. 4mg/5ml ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 1 FLAC. CU CAPACITATEA DE 5 ML DIN COPOLIMER CICLOOLEFINIC TRANSPARENT PRF 1 49,700000 65,010000 0,000000612 W59090002 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 59,640000 78,012000 16,678000613 W61792001 M05BA08 ACIDUM ZOLEDRONICUM ** ACID ZOLEDRONIC ACCORD 4 mg/5 ml CONC. PT. SOL. PERF. 4mg/5ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. CU CAPACITATEA DE 5 ML DIN COPOLIMER CICLOOLEFINIC TRANSPARENT PRF 1 49,700000 65,010000 0,000000614 W60543001 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 59,640000 78,012000 57,418000615 W65420001 M05BA08 ACIDUM ZOLEDRONICUM ** ACID ZOLEDRONIC ACCORD 4 mg/100 ml SOL. PERF. 4mg/100ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 PUNGA DIN PLASTIC POLIOLEFINIC CU 100 ML SOL. PERF. PR 1 59,640000 78,012000 319,958000616 W04133001 V03AF01 MESNUM UROMITEXAN 400mg/4ml SOL. INJ. 400mg/4ml BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 3 SUPORTURI TERMOFORMATE DIN PLASTIC X 5 FIOLE DE STICLA INCOLORA X 4 ML PR 15 5,282000 6,678666 0,000000617 W62525006 V03AF03 CALCII FOLINAS FOLINAT DE CALCIU KABI 10 mg/ml SOL. INJ./PERF. 10mg/ml FRESENIUS KABI DEUTSCHLAND GMBH GERMANIA CUTIE CU 10 FLACOANE DIN STICLA BRUNA, PREVAZUTE CU DOP DIN CAUCIUC CLOROBUTILIC SI SIGILATE CU CAPSA DIN AL TIP FLIP-OFF SI DISC DE CULOARE GALBENA, CARE CONTIN 10 ML SOL. INJ./PERF. PR 10 30,921000 37,519000 0,000000618 W64436002 V03AF03 CALCII FOLINAS FOLCASIN 10 mg/ml SOL. INJ./PERF. 10mg/ml TEVA B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 10 ML SOL. INJ./PERF. PR 1 32,050000 41,920000 0,000000619 W52218002 V03AF03 CALCII FOLINAS FOLCASIN 10 mg/ml SOL. INJ./PERF. 10mg/ml ACTAVIS S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 10 ML SOL. INJ./PERF. S/P-RF 1 32,050000 41,920000 0,000000

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asigurat / U.T. - farmacii

comunitare1 W62420001 L03AB07 INTERFERONUM BETA 1A **1 REBIF 44 micrograme/0.5 ml SOL INJ. IN CARTUS 44micrograme/0,5ml MERCK SERONO EUROPE LIMITED MAREA BRITANIE CUTIE X 4 CARTUSE (DIN STICLA DE TIP I), CU DOP CU PISTON (DIN CAUCIUC) SI UN CAPAC FARA FILET (DIN ALUMINIU SI CAUCIUC HALOBUTILIC) CONTINAND 1.5 ML SOLUTIE INJECTABILA PR 4 781,642500 861,530000 0,0000002 W65163001 L03AB07 INTERFERONUM BETA 1A **1 REBIF 44 micrograme/0.5 ml SOL INJ. IN CARTUS 44micrograme/0,5ml MERCK EUROPE B.V. OLANDA CUTIE CU 4 CARTUSE (DIN STICLA DE TIP I), CU DOP CU PISTON (DIN CAUCIUC) SI UN CAPAC FARA FILET (DIN ALUMINIU SI CAUCIUC HALOBUTILIC) CONTINAND 1.5 ML SOLUTIE INJECTABILA PR 4 781,642500 861,530000 0,0000003 W65147001 L03AB07 INTERFERONUM BETA 1A **1 AVONEX 30µg/0,5ml PEN SOL INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 30µg/0,5ml BIOGEN NETHERLANDS B.V. OLANDA AMBALAJ X 4 CUTII INDIVIDUALE FIECARE CONTINAND 1 STILOU INJECTOR (PEN) DE UNICA FOLOSINTA, 1 AC DE INJECTIE SI 1 CAPAC PENTRU STILOU INJECTOR (PEN) X 0.5ML PR 4 702,100000 774,827500 0,0000004 W08473003 L03AB07 INTERFERONUM BETA 1A **1 REBIF 44 micrograme SOL. INJ. IN SERINGA PREUMPLUTA 44mcg MERCK SERONO EUROPE LIMITED MAREA BRITANIE CUTIE X 12 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. P-RF/R 12 276,725000 304,810000 0,0000005 W65162003 L03AB07 INTERFERONUM BETA 1A **1 REBIF 44 micrograme SOL. INJ. IN SERINGA PREUMPLUTA 44µg MERCK EUROPE B.V. OLANDA CUTIE CU 12 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. PR 12 276,725000 304,810000 0,0000006 W59967001 L03AB07 INTERFERONUM BETA 1A **1 AVONEX 30µg/0,5ml PEN SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 30µg/0,5ml BIOGEN IDEC LIMITED MAREA BRITANIE AMBALAJ X 4 CUTII INDIVIDUALE FIECARE CONTINAND 1 STILOU INJECTOR (PEN) DE UNICA FOLOSINTA, 1 AC DE INJECTIE SI 1 CAPAC PENTRU STILOU INJECTOR (PEN) X 0.5ML PR 4 702,100000 774,827500 0,0000007 W63878007 L03AB08 INTERFERONUM BETA 1-B **1 BETAFERON 250µg/ml PULB. + SOLV. PT. SOL. INJ. 250µg/ml BAYER AG GERMANIA CUTIE X 15 AMBALAJE MULTIPLE CE CONTIN FIECARE CATE 1 FLAC. CU PULB., O SERINGA PREUMPLUTA CU SOLV. + ADAPTOR CU AC SI 2 TAMPOANE CU ALCOOL PR 15 173,956666 192,156000 0,0000008 W61580007 L03AB08 INTERFERONUM BETA 1-B **1 BETAFERON 250µg/ml PULB. + SOLV. PT. SOL. INJ. 250µg/ml BAYER PHARMA AG GERMANIA CUTIE X 15 AMBALAJE MULTIPLE CE CONTIN FIECARE CATE 1 FLAC. CU PULB., O SERINGA PREUMPLUTA CU SOLV. + ADAPTOR CU AC SI 2 TAMPOANE CU ALCOOL PR 15 173,956666 192,156000 0,0000009 W65153001 L03AB13 PEGINTERFERON BETA-1A **1 PLEGRIDY 125 micrograme SOL. INJ. IN PEN PRE-UMPLUT FARA CONCENTRATIE BIOGEN NETHERLANDS B.V. OLANDA CUTIE CU 2 PEN-URI PREUMPLUTE DE 125 MICROGRAME (PEN-URI CU ETICHETA GRI) PRF 2 1.414,810000 1.561,220000 0,000000

10 W64761001 L03AB13 PEGINTERFERON BETA-1A **1 PLEGRIDY 63 micrograme+94 micrograme SOL. INJ. IN PEN PRE-UMPLUT FARA CONCENTRATIE BIOGEN NETHERLANDS B.V. OLANDA PACHET DE INITIERE CONTINE 1 PEN PREUMPLUT DE 63 MICROGRAME (PEN CU ETICHETA PORTOCALIE,PRIMA DOZA) SI 1 PEN PREUMPLUT DE 94 MICROGRAME(PEN CU ETICHETA ALBASTRA,A DOUA DOZA) PRF 1 2.173,500000 2.407,270000 0,00000011 W64563002 L03AX13 GLATIRAMER ACETAT **1 REMUREL 40 mg/ml SOL INJ. IN SERINGA PREUMPLUTA 40mg/ml ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU 12 SERINGI PREUMPLUTE X 1 ML SOL. INJ. PR 12 161,577500 179,299166 0,00000012 W62547002 L03AX13 GLATIRAMER ACETAT **1 COPAXONE 40 mg/ml SOL INJ. IN SERINGA PREUMPLUTA 40mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 12 SERINGI PREUMPLUTE A CATE 1 ML SOL. INJ. IN SERINGA PREUMPLUTA PR 12 181,166666 200,650833 0,00000013 W63124002 L03AX13 GLATIRAMER ACETAT **1 REMUREL 20 mg/ml SOL. INJ. IN SERINGA PREUMPLUTA 20mg/ml ALVOGEN IPCO S.AR.L LUXEMBURG CUTIE CU 28 SERINGI PREUMPLUTE DIN STICLA DE UNICA FOLOSINTA, CU AC INCORPORAT, ACOPERIT CU UN CAPAC PROTECTOR CARE CONTIN SOL. INJ. PR 28 64,293928 71,442857 0,00000014 W65148001 L04AA23 NATALIZUMABUM **1 TYSABRI 300mg CONC. PT. SOL. PERF. 20mg/ml BIOGEN NETHERLANDS B.V. OLANDA CUTIE CU 1 FLAC. X 15ML CONC. PT. SOL. PERFPR 1 5.536,530000 6.072,980000 0,00000015 W61577001 L04AA23 NATALIZUMABUM **1 TYSABRI 300mg CONC. PT. SOL. PERF. 20mg/ml BIOGEN IDEC LTD INNOVATION HOUSE MAREA BRITANIE CUTIE X 1 FLAC. X 15ML CONC. PT. SOL. PERF PR 1 5.536,530000 6.072,980000 0,00000016 W57766001 L04AA27 FINGOLIMODUM **1 Ω GILENYA 0,5 mg CAPS. 0,5mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE CU BLIST.PVC/PVDC/AL CU 28 CAPSULE PR 28 243,070357 266,309642 0,00000017 W64461005 L04AA27 FINGOLIMODUM **1 Ω GILENYA 0,5 mg CAPS. 0,5mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. PVC/PVDC/AL CU 28 CAPSULEPR 28 243,070357 266,309642 0,00000018 W60449002 L04AA31 TERIFLUNOMIDUM **1 AUBAGIO COMPR. FILM. 14mg SANOFI - AVENTIS GROUPE FRANTA CUTIE CU 28 COMPR. FILM. PR 28 105,195000 116,025357 0,00000019 W64873001 L04AA34 ALEMTUZUMABUM **1 Ω LEMTRADA 12mg CONC. PT. SOL. PERF. 12mg/1,2ml SANOFI BELGIUM BELGIA CUTIE CU 1 FLACON X 12MG/1,2ML PR 1 30.894,820000 33.713,550000 0,00000020 W60450001 L04AA34 ALEMTUZUMABUM **1 Ω LEMTRADA 12mg CONC. PT. SOL. PERF. 12mg/1,2ml GENZYME THERAPEUTICS LTD MAREA BRITANIE CUTIE CU 1 FLACON X 12MG/1,2ML PR 1 30.894,820000 33.713,550000 0,00000021 W64485001 L04AA36 OCRELIZUMAB **1 Ω OCREVUS 300 mg CONC. PT. SOL. PERF. 300mg ROCHE REGISTRATION GMBH GERMANIA CUTIE CU 1 FLAC. X 10 ML CONC. PR 1 29.101,550000 31.758,880000 0,00000022 W64232001 L04AA36 OCRELIZUMAB **1 Ω OCREVUS 300 mg CONC. PT. SOL. PERF. 300mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE CU 1 FLAC. X 10 ML CONC. PR 1 29.101,550000 31.758,880000 0,00000023 W60846001 L04AX01 AZATHIOPRINUM IMURAN® COMPR. FILM. 50mg ASPEN PHARMA TRADING LIMITED IRLANDA CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. P-RF 100 0,497200 0,650400 0,000000

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

1 W52999001 A10AB01 INSULINE UMANE HUMULIN R 100 UI/ml SOL. INJ. 100UI/ml LILLY FRANCE SAS FRANTA CUTIE X 1 FLAC. X 10 ML SOL. INJ. P-RF 1 46,410000 60,700000 0,0000002 W64794002 A10AB01 INSULINE UMANE HUMULIN R KwikPen 100 UI/ml SOL. INJ. 100UI/ml LILLY FRANCE S.A.S. FRANTA CUTIE CU 6 STILOURI INJECTOARE A CATE 3 ML SOL. INJ. PRF 6 20,174400 25,501666 0,0000003 W52999002 A10AB01 INSULINE UMANE HUMULIN R 100 UI/ml SOL. INJ. 100UI/ml LILLY FRANCE SAS FRANTA CUTIE X 5 CARTUSE X 3 ML SOL. INJ. P-RF 5 17,830000 22,544000 0,0000004 W08452003 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 17,416000 22,020000 0,0000005 W08451001 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 22,232000 27,140000 0,0000006 W53811003 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 16,812000 21,256000 0,0000007 W64009002 A10AB04 INSULINUM LISPRO ** HUMALOG 100 unitati/ml JUNIOR KWIKPEN SOL INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 100unitati/ml ELI LILLY NEDERLAND BV OLANDA CUTIE CU 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE A CATE 3 ML SOL. INJ. PRF 5 29,126000 35,556000 0,0000008 W62269001 A10AB04 INSULINUM LISPRO ** HUMALOG 200 UNITATI/ml SOL INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 200unitati/ml ELI LILLY NEDERLAND BV OLANDA 5 STILOURI INJECTOARE (PEN) PREUMPLUTE A 3 ML (KWIKPEN) PRF 5 58,232000 71,090000 0,0000009 W53873001 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 29,574000 36,104000 0,000000

10 W52601001 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 24,772000 30,242000 0,00000011 W63977001 A10AB05 INSULINUM ASPART ** FIASP 100 unitati/ml SOL INJ. IN FLAC. 100unitati/ml NOVO NORDISK A/S DANEMARCA 1 FLAC. (STICLA) X 10 ML SOL. PRF 1 82,280000 104,040000 0,00000012 W63975005 A10AB05 INSULINUM ASPART ** FIASP 100 unitati/ml SOL INJ. IN STILOU INJECTOR PREUMPLUT 100unitati/ml NOVO NORDISK A/S DANEMARCA 5 STILOURI INJECTOARE PREUMPLUTE (STICLA) (FLEXTOUCH) X 3 ML SOL. PRF 5 28,990000 35,392000 0,00000013 W08932002 A10AB05 INSULINUM ASPART ** NOVORAPID FLEXPEN 100U/ml SOL. INJ. 100U/ml NOVO NORDISK A/S DANEMARCA CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE X 3MLP-RF 5 28,778000 35,132000 0,00000014 W07268001 A10AB05 INSULINUM ASPART ** NOVORAPID PENFILL 100 U/ml SOL. INJ. IN CARTUS 100U/ml NOVO NORDISK A/S DANEMARCA CUTIE X 5 CARTUSE X 3 ML SOL. INJ. P-RF 5 24,862000 30,352000 0,00000015 W41740004 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 22,508000 27,478000 0,00000016 W52538004 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 22,508000 27,478000 0,00000017 W64795002 A10AC01 INSULINE UMANE HUMULIN N KwikPen 100 UI/ml SUSP. INJ. 100UI/ml LILLY FRANCE S.A.S. FRANTA CUTIE CU 6 STILOURI INJECTOARE A CATE 3 ML SUSP. INJ. PRF 6 20,491200 25,501666 0,00000018 W08444003 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 17,076000 21,590000 0,00000019 W52986002 A10AC01 INSULINE UMANE HUMULIN N 100 UI/ml SUSP. INJ. IN CARTUS 100UI/ml LILLY FRANCE SAS FRANTA CUTIE CU 5 CARTUSE A CATE 3 ML SUSP. INJ. P-RF 5 17,898000 22,630000 0,00000020 W53808003 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 17,076000 21,590000 0,00000021 W53106002 A10AD01 INSULINE UMANE HUMULIN M3 100 UI/ml 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 17,898000 22,630000 0,00000022 W64796002 A10AD01 INSULINE UMANE HUMULIN M3 KwikPen 100 UI/ml SUSP. INJ. 100UI/ml LILLY FRANCE S.A.S. FRANTA CUTIE CU 6 STILOURI INJECTOARE A CATE 3 ML SUSP. INJ. PRF 6 20,890000 25,501666 0,00000023 W08449003 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 17,416000 22,020000 0,00000024 W03703002 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 20,468000 24,988000 0,000000

Pagina 29 din 70

Page 32: P1: PROGRAMUL NATIONAL DE BOLI TRANSMISIBILE

Nr.crt Cod CIM

Grupa terapeu

ticaDenumire generica Denumire comerciala

Forma farmaceuti

ca

Concentratie / U.T.

Firma Tara Ambalaj

Pres

crip

tie cant/ambal

aj

Pret cu ridicata maximal de

decontare / U.T.

Pret de decontare / U.T.

contribu ție maximă

asigurat / U.T. - farmacii

comunitare25 W08446003 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 17,416000 22,020000 0,00000026 W08445002 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 34,564000 42,196000 0,00000027 W53810003 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 17,416000 22,020000 0,00000028 W53874001 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 29,390000 35,880000 0,00000029 W52602001 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 25,858000 31,568000 0,00000030 W53875001 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 29,390000 35,880000 0,00000031 W03665001 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 25,614000 31,270000 0,00000032 W08973001 A10AD05 INSULINUM ASPART ** NOVOMIX 30 FLEXPEN SUSP. INJ. 100UIml NOVO NORDISK A/S DANEMARCA CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE X 3MLP-RF 5 31,022000 37,872000 0,00000033 W08254001 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 25,992000 31,730000 0,00000034 W65160002 A10AE04 INSULINUM GLARGINE ** ABASAGLAR SOL INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 100UI/ml ELI LILLY NEDERLAND BV OLANDA AMBALAJ X10 STILOURI PRE-UMPLUTE/PEN (2 CUTII X 5 PEN) A 3ML DOZAJ 80U PRF 10 34,391000 41,301000 0,00000035 W08054002 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 38,292000 46,748000 0,00000036 W10010005 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 1 128,330000 156,670000 0,00000037 W61744003 A10AE04 INSULINUM GLARGINE ** TOUJEO 300 unitati/ml SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 300unitati/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE CU 5 STILOURI INJECTAOARE PRF 5 53,928000 65,836000 0,00000038 W65691001 A10AE04 INSULINUM GLARGINE ** TOUJEO 300 Unitati/ml DOUBLESTAR SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 300unitati/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE CU 3 STILOURI INJECTOARE PREUMPLUTE X 3 ML SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT DOUBLESTAR PRF 3 111,690000 134,460000 0,00000039 W52628008 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 38,298000 46,754000 0,00000040 W41731002 A10AE05 INSULINUM DETEMIR ** LEVEMIR FLEXPEN 100 U/ml SOL. INJ. 100U/ml NOVO NORDISK A/S DANEMARCA CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE X 3 ML P-RF 5 46,676000 56,982000 0,00000041 W41732002 A10AE05 INSULINUM DETEMIR ** LEVEMIR PENFILL 100 unitati/ml SOL. INJ. IN CARTUS 100U/ml NOVO NORDISK A/S DANEMARCA CUTIE X 5 CARTUSE X 3 ML P-RF 5 45,166000 55,138000 0,00000042 W65194001 A10AE06 INSULINUM DEGLUDEC ** TRESIBA 100 unitati/ml SOL INJ. 100 UI/ml NOVO NORDISK A/S DANEMARCA CUTIE CU 5 CARTUSE X 3ML PRF 5 47,954000 58,542000 0,00000043 W66105004 A10AE06 INSULINUM DEGLUDEC ** TRESIBA 100 unitati/ml SOL INJ. IN STILOU INJECTOR PREUMPLUT 100 UI/ml NOVO NORDISK A/S DANEMARCA CUTIE CU 5 STILOURI INJECTOARE PREUMPLUTE (FLEXTOUCH) X 3 ML SOL. INJ. PRF 5 53,708000 65,568000 0,00000044 W63476001 A10AE54 COMBINATII (INSULINE GLARGINE+LIXISENATIDUM) ** SULIQUA 100 unitati/ml+33 micrograme/ml SOL INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 100unitati/ml+33micrograme/ml SANOFI - AVENTIS GROUPE FRANTA CUTIE CU 5 STILOURI INJECTOARE (PEN-URI) PREUMPUTE X 3 ML SOLUTIE PRF 5 93,324000 109,354000 0,00000045 W63475001 A10AE54 COMBINATII (INSULINE GLARGINE+LIXISENATIDUM) ** SULIQUA 100 unitati/ml+50 micrograme/ml SOL INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 100unitati/ml+50micrograme/ml SANOFI - AVENTIS GROUPE FRANTA CUTIE CU 5 STILOURI INJECTOARE (PEN-URI) PREUMPUTE X 3 ML SOLUTIE PRF 5 129,576000 148,868000 0,00000046 W53953002 A10BA02 METFORMINUM METFORMIN ARENA 1000 MG COMPR. 1000mg ARENA GROUP S.A. ROMANIA FLACON DIN PE X 200 COMPR. PRF 200 0,139850 0,182900 0,00000047 W53953001 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 0,140200 0,189600 0,00000048 W53951003 A10BA02 METFORMINUM METFORMIN ARENA 500 MG COMPR. 500mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. DIN PE X 60 COMPR. P-RF 60 0,154399 0,208800 0,03253349 W53952003 A10BA02 METFORMINUM METFORMIN ARENA 850 mg COMPR. 850mg ARENA GROUP SA ROMANIA CUTIE X 6 BLIST. PVC/AL X 10 COMPRIMATEPRF 60 0,090333 0,122166 0,00000050 W53952001 A10BA02 METFORMINUM METFORMIN ARENA 850 MG COMPR. 850mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 COMPR. PRF 15 0,090000 0,122000 0,00000051 W65728002 A10BA02 METFORMINUM SIOFOR 500 mg COMPR. CU ELIB. PREL. 500mg BERLIN - CHEMIE AG GERMANIA CUTIE CU BLIST. PVC/AL X 30 COMPR. ELIB. PREL. P6L 30 0,154399 0,208800 0,10820052 W63931003 A10BA02 METFORMINUM GLUCOPHAGE XR 1000 mg COMPR. ELIB. PREL. 1000mg MERCK SANTE S.A.S. FRANTA CUTIE CU 6 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. PRF 60 0,151999 0,205200 0,61696653 W63931002 A10BA02 METFORMINUM GLUCOPHAGE XR 1000 mg COMPR. ELIB. PREL. 1000mg MERCK SANTE S.A.S. FRANTA CUTIE CU 3 BLIST. PVC/PVDC/AL X 10 COMPR. ELIB. PREL. PRF 30 0,151999 0,205200 0,61980054 W65799009 A10BA02 METFORMINUM METFORMIN ACCORD 500 mg COMPR. ELIB. PREL. 500mg ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. ELIB. PREL. P6L 30 0,154399 0,208800 0,10820055 W63799009 A10BA02 METFORMINUM METFORMIN ACCORD 500 mg COMPR. ELIB. PREL. 500mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. ELIB. PREL. P6L 30 0,154399 0,208800 0,10820056 W43318002 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. P6L 30 0,154399 0,208800 0,09253357 W63930003 A10BA02 METFORMINUM GLUCOPHAGE XR 750 mg COMPR. ELIB. PREL. 750mg MERCK SANTE S.A.S. FRANTA CUTIE CU 4 BLIST. PVC/AL X 15 COMPR. ELIB. PREL. PRF 60 0,471166 0,616333 0,00000058 W63930002 A10BA02 METFORMINUM GLUCOPHAGE XR 750 mg COMPR. ELIB. PREL. 750mg MERCK SANTE S.A.S. FRANTA CUTIE CU 2 BLIST. PVC/PVDC/AL X 15 COMPR. ELIB. PREL. PRF 30 0,453000 0,612333 0,00000059 W13583011 A10BA02 METFORMINUM GLUCOPHAGE 1000 mg COMPR. FILM. 1000mg MERCK SANTE FRANTA CUTIE CU BLIST. PVC/AL, X 60 COMPR. FILM. P-6L 60 0,151999 0,205200 0,09163360 W43828002 A10BA02 METFORMINUM METFOGAMMA 1000mg COMPR. FILM. 1000mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 8 BLIST. AL/PVC X 15 COMPR. FILMP6L 120 0,146583 0,198083 0,00000061 W65995002 A10BA02 METFORMINUM METFORMIN AUROBINDO 1000 mgCOMPR. FILM. 1000mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L 30 0,126666 0,171000 0,00000062 W59641002 A10BA02 METFORMINUM METFORMIN AUROBINDO 1000 mgCOMPR. FILM. 1000mg AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L 30 0,126666 0,171000 0,00000063 W42349002 A10BA02 METFORMINUM SIOFOR 1000 mg COMPR. FILM. 1000mg BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 4 BLIST. PVC/AL X 15 COMPR. FILM. P6L 60 0,146500 0,198000 0,00000064 W13955001 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 0,154399 0,208800 0,03470065 W59639003 A10BA02 METFORMINUM METFORMIN AUROBINDO 500 mgCOMPR. FILM. 500mg AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L 30 0,128666 0,174000 0,00000066 W65992003 A10BA02 METFORMINUM METFORMIN AUROBINDO 500 mgCOMPR. FILM. 500mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L 30 0,128666 0,174000 0,00000067 W59640003 A10BA02 METFORMINUM METFORMIN AUROBINDO 850 mgCOMPR. FILM. 850mg AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L 30 0,090666 0,122333 0,00000068 W65994003 A10BA02 METFORMINUM METFORMIN AUROBINDO 850 mgCOMPR. FILM. 850mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L 30 0,090666 0,122333 0,00000069 W53679003 A10BB01 GLIBENCLAMIDUM GLIBENCLAMID ARENA 5 mg COMPR. 5mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P6L 30 0,157000 0,212000 0,00000070 W65039001 A10BB07 GLIPIZIDUM GLUCOTROL XL 10 mg COMPR. ELIB. MODIF. 10mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. DIN PEID PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII X 30 COMPR. CU ELIB. MODIF. PRF 30 1,309333 1,712666 0,00000071 W03348001 A10BB07 GLIPIZIDUM GLUCOTROL XL 10 mg COMPR. FILM. ELIB. MODIF. 10mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID X 30 COMPR. FILM. ELIB. MODIF. P-RF 30 1,309333 1,712666 0,00000072 W03352001 A10BB08 GLIQUIDONUM GLURENORM COMPR. 30mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. P-RF 60 0,323500 0,437333 0,00000073 W42334001 A10BB09 GLICLAZIDUM ESQUEL (R) 80 mg COMPR. 80mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. X 15 COMPR. P6L 30 0,359666 0,486333 0,00000074 W59674016 A10BB09 GLICLAZIDUM GLYCLADA 60 mg COMPR. CU ELIB. MODIF. 60mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. CU ELIB. MODIF. PRF 60 0,358333 0,484333 0,00000075 W59674006 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 0,358333 0,484333 0,00000076 W61093002 A10BB09 GLICLAZIDUM GLICLAZIDA ZENTIVA 60 mg COMPR. ELIB. MODIF. 60mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 90 COMPR. ELIB. MODIF. PRF 90 0,358333 0,468666 0,000000

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comunitare77 W55137009 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 0,380500 0,514333 0,00000078 W54001004 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 0,200333 0,270666 0,00000079 W54001003 A10BB09 GLICLAZIDUM GLYCLADA 30 mg COMPR. ELIB. PREL. 30mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE X 4 BLIST. PVC/AL X 15 COMPR. CU ELIB. PREL. P-6L 60 0,200333 0,270666 0,00000080 W62433005 A10BB12 GLIMEPIRIDUM AMARYL 1mg COMPR. 1mg SANOFI ROMANIA S.R.L.ROMANIA CUTIE CU BLIST. AL/PVC X 30 COMPR. P-RF 30 0,135000 0,182333 0,00000081 W62434004 A10BB12 GLIMEPIRIDUM AMARYL 2 mg COMPR. 2mg SANOFI ROMANIA S.R.L.ROMANIA CUTIE CU BLIST. AL/PVC X 30 COMPR. P-RF 30 0,221333 0,299000 0,00000082 W57490004 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 0,221333 0,299000 0,00000083 W62435004 A10BB12 GLIMEPIRIDUM AMARYL 3 mg COMPR. 3mg SANOFI ROMANIA S.R.L.ROMANIA CUTIE CU BLIST. AL/PVC X 30 COMPR. P-RF 30 0,378000 0,511000 0,00000084 W57492004 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 0,378000 0,511000 0,00000085 W57494004 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 0,412000 0,556666 0,00000086 W62436004 A10BB12 GLIMEPIRIDUM AMARYL 4 mg COMPR. 4mg SANOFI ROMANIA S.R.L.ROMANIA CUTIE CU BLIST. AL/PVC X 30 COMPR. P-RF 30 0,412000 0,556666 0,00000087 W57495004 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 0,707000 0,955666 0,00000088 W62437004 A10BB12 GLIMEPIRIDUM AMARYL 6 mg COMPR. 6mg SANOFI ROMANIA S.R.L.ROMANIA CUTIE CU BLIST. AL/PVC X 30 COMPR. P-RF 30 0,707000 0,955666 0,00000089 W42117002 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 0,194960 0,246520 0,00000090 W42117001 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 0,198500 0,268000 0,00000091 W10546002 A10BD02 COMBINATII (METFORMINUM+GLIBENCLAMIDUM)GLIBOMET 400 mg/2,5mg COMPR. FILM. 400mg/2,5mg LAB. GUIDOTTI SPA ITALIA CUTIE X 3 BLIST. X 20 COMPR. FILM. P6L 60 0,233952 0,295824 0,12834292 W13594006 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. P6L 60 0,431833 0,564833 0,00000093 W13595006 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. P6L 60 0,431833 0,564833 0,00000094 W53295002 A10BD07 COMBINATII ( SITAGLIPTINUM+METFORMINUM) **JANUMET 50 mg/1000 mg COMPR. FILM. 50mg/1000mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X BLIST. PVC/PE/PVDC/AL X 28 COMPR. FILM. P-RF 28 2,452142 3,100357 0,00000095 W64669002 A10BD07 COMBINATII ( SITAGLIPTINUM+METFORMINUM) **JANUMET 50 mg/1000 mg COMPR. FILM. 50mg/1000mg MERCK SHARP & DOHME OLANDA CUTIE CU BLIST. PVC/PE/PVDC/AL X 28 COMPR. FILM. PRF 28 2,452142 3,100357 0,00000096 W64669003 A10BD07 COMBINATII ( SITAGLIPTINUM+METFORMINUM) **JANUMET 50 mg/1000 mg COMPR. FILM. 50mg/1000mg MERCK SHARP & DOHME OLANDA CUTIE CU BLIST. PVC/PE/PVDC/AL X 56 COMPR. FILM. PRF 56 2,135535 2,607142 0,00000097 W64184003 A10BD08 COMBINATII ( VILDAGLIPTINUM + METFORMINUM) **DALTEX 50 mg/1000 mg COMPR. FILM. 50mg/1000mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. OPA-AL-PVC/AL X 60 COMPR. FILM. PRF 60 1,522000 1,924500 0,00000098 W52552003 A10BD08 COMBINATII ( VILDAGLIPTINUM + METFORMINUM) **EUCREAS 50mg/1000mg COMPR. FILM. 50mg/1000mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 60 COMPR. FILM. (BLIST. PA/AL/PVC/AL)P-RF 60 1,826400 2,246666 0,00000099 W64469003 A10BD08 COMBINATII ( VILDAGLIPTINUM + METFORMINUM) **EUCREAS 50mg/1000mg COMPR. FILM. 50mg/1000mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE X 60 COMPR. FILM. (BLIST. PA/AL/PVC/AL)PRF 60 1,826400 2,246666 0,000000

100 W64183003 A10BD08 COMBINATII ( VILDAGLIPTINUM + METFORMINUM) **DALTEX 50 mg/850 mg COMPR. FILM. 50mg/850mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. OPA-AL-PVC/AL X 60 COMPR. FILM. PRF 60 1,890000 2,307333 0,000000101 W52551003 A10BD08 COMBINATII ( VILDAGLIPTINUM + METFORMINUM) **EUCREAS 50mg/850mg COMPR. FILM. 50mg/850mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 60 COMPR. FILM. (BLIST. PA/AL/PVC/AL)P-RF 60 1,840333 2,246666 0,000000102 W64470003 A10BD08 COMBINATII ( VILDAGLIPTINUM + METFORMINUM) **EUCREAS 50mg/850mg COMPR. FILM. 50mg/850mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE X 60 COMPR. FILM. (BLIST. PA/AL/PVC/AL)PRF 60 1,840333 2,246666 0,000000103 W62421003 A10BD10 COMBINATII (SAXAGLIPTINUM + METFORMINUM) **Komboglyze 2,5 mg/1000 mg COMPR. FILM. 2,5mg/1000mg ASTRAZENECA AB SUEDIA CUTIE CU BLIST. AL/AL NEPERFORATE CU 60 COMPR. FILM. PRF 60 2,099333 2,562833 0,000000104 W63069001 A10BD21 COMBINATII (SAXAGLIPTIN+DAPAGLIFLOZINUM) **QTERN 5 mg/10 mg COMPR. FILM. 5mg/10mg ASTRA ZENECA AB SUEDIA CUTIE CU BLIST. PA/ALU/PVC-ALU X 30 COMPR. FILM. PRF 30 10,417000 12,626333 0,000000105 W57947002 A10BF01 ACARBOSUM GLUCOBAY® 100 COMPR. 100mg BAYER PHARMA AG GERMANIA CUTIE X 8 BLIST. AL/PP X 15 COMPR. P6L 120 0,463416 0,585916 0,000000106 W63883002 A10BF01 ACARBOSUM GLUCOBAY 100 COMPR. 100mg BAYER AG GERMANIA CUTIE CU 8 BLIST. PP/AL X 15 COMPR. P6L 120 0,463416 0,585916 0,000000107 W63882002 A10BF01 ACARBOSUM GLUCOBAY 50 COMPR. 50mg BAYER AG GERMANIA CUTIE CU 8 BLIST. PP/AL X 15 COMPR. P6L 120 0,264500 0,345916 0,000000108 W57946002 A10BF01 ACARBOSUM GLUCOBAY® 50 COMPR. 50mg BAYER PHARMA AG GERMANIA CUTIE X 8 BLIST. AL/PP X 15 COMPR. P6L 120 0,264500 0,345916 0,000000109 W61804002 A10BG03 PIOGLITAZONUM ** PIOGLITAZONE ACCORD 15 mg COMPR. 15mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE BLIST. AL/AL X 30 COMPR. PRF 30 1,024333 1,339666 0,000000110 W58030008 A10BG03 PIOGLITAZONUM ** PIOGLITAZONA TORRENT 15 mg COMPR. 15mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. PRF 30 0,993333 1,299333 0,000000111 W65698002 A10BG03 PIOGLITAZONUM ** PIOGLITAZONE ACCORD 15 mg COMPR. 15mg ACCORD HEALTHCARE S.L.U. SPANIA BLIST. AL/AL X 30 COMPR. PRF 30 1,024333 1,339666 0,000000112 W58030002 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 0,993333 1,299333 0,000000113 W61805002 A10BG03 PIOGLITAZONUM ** PIOGLITAZONE ACCORD 30 mg COMPR. 30mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE BLIST. AL/AL X 30 COMPR. PRF 30 1,106666 1,447333 0,000000114 W65699002 A10BG03 PIOGLITAZONUM ** PIOGLITAZONE ACCORD 30 mg COMPR. 30mg ACCORD HEALTHCARE S.L.U. SPANIA BLIST. AL/AL X 30 COMPR. PRF 30 1,106666 1,447333 0,000000115 W61806002 A10BG03 PIOGLITAZONUM ** PIOGLITAZONE ACCORD 45 mg COMPR. 45mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE BLIST. AL/AL X 30 COMPR. PRF 30 1,106666 1,447333 0,000000116 W65700002 A10BG03 PIOGLITAZONUM ** PIOGLITAZONE ACCORD 45 mg COMPR. 45mg ACCORD HEALTHCARE S.L.U. SPANIA BLIST. AL/AL X 30 COMPR. PRF 30 1,106666 1,447333 0,000000117 W64831002 A10BH01 SITAGLIPTINUM ** JANUVIA 100 mg COMPR. FILM. 100mg MERCK SHARP & DOHME OLANDA CUTIE CU 28 COMPR. FILM. (BLIST. PVC/PE/PVDC/AL) PRF 28 4,271428 5,214642 0,000000118 W51928002 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 4,271428 5,214642 0,000000119 W64117005 A10BH02 VILDAGLIPTINUM ** DALMEVIN 50 mg COMPR. 50mg MEDOCHEMIE LTD CIPRU CUTIE CU BLIST. PA-AL-PVC/AL X 56 COMPR. PRF 56 1,886785 2,303392 0,000000120 W64467005 A10BH02 VILDAGLIPTINUM ** GALVUS 50 mg COMPR. 50mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. PA/AL/PVC//AL X 56 COMPR. PRF 56 1,873750 2,287500 0,000000121 W52375005 A10BH02 VILDAGLIPTINUM ** GALVUS 50mg COMPR. 50mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X, 56 COMPR. (BLISTER PA/AL/PVC//AL) P-RF 56 1,873750 2,287500 0,000000122 W62289009 A10BH03 SAXAGLIPTIN ** ONGLYZA COMPR. FILM. 5 mg ASTRAZENECA AB SUEDIA CUTIE CU BLISTER AL/AL PERFORAT 30 X1 COMPR.FILM. P-RF 30 4,893666 5,974333 0,000000123 W61955001 A10BJ01 EXENATIDUM ** BYDUREON 2 mg PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL. 2mg ASTRAZENECA AB SUEDIA AMBALAJ X 4 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE CU DOZA UNICA PRF 4 93,285000 111,217500 0,000000124 W61682001 A10BJ01 EXENATIDUM ** BYETTA 10µg/doza SOL. INJ. IN STILOU INJECTOR PREUMPLUT 10µg/doza ASTRAZENECA AB SUEDIA CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT (60 DOZE) P-RF 1 333,410000 401,570000 0,000000125 W61681001 A10BJ01 EXENATIDUM ** BYETTA 5µg/doza SOL. INJ. IN STILOU INJECTOR PREUMPLUT 5µg/doza ASTRAZENECA AB SUEDIA CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT (60 DOZE) P-RF 1 222,670000 271,830000 0,000000126 W64922001 A10BJ01 EXENATIDUM ** BYDUREON 2 mg SUSP. INJ. CU ELIB. PREL. IN STILOU INJECOTR (PEN) 2mg ASTRAZENECA AB SUEDIA AMBALAJ X 4 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE CU DOZA UNICA (BCISE) PRF 4 94,755000 112,820000 0,000000127 W54586003 A10BJ02 LIRAGLUTIDUM ** VICTOZA 6 mg/ml SOL. INJ. IN STILOU INJECTOR PREUMPLUT 6 mg/ml NOVO NORDISK A/S DANEMARCA CUTIE X 3 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE X 3ML SOLUTIE INJECTABILA/STILOU P-RF 3 198,570000 229,160000 0,000000128 W61462002 A10BJ05 DULAGLUTIDUM ** TRULICITY 1,5 mg/0,5ml SOL INJ. IN PEN PREUMPLUT 1,5 mg/0,5ml ELI LILLY NEDERLAND BV OLANDA AMBALAJ MULTIPLU: 12 (3 PACHETE A CÂTE 4) PENURI PREUMPLUTE CU 0,5 ML SOL. PRF 12 91,650000 103,077500 0,000000

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asigurat / U.T. - farmacii

comunitare129 W65785001 A10BJ06 SEMAGLUTIDUM ** OZEMPIC 0,25 mg SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 1,34mg/ml NOVO NORDISK A/S DANEMARCA CUTIE CU 1 STILOU INJECTOR (PEN) PREUMPLUT + 4 ACE X 0,25 MG SEMAGLUTIDA PRF 1 394,040000 467,650000 0,000000130 W65786002 A10BJ06 SEMAGLUTIDUM ** OZEMPIC 0,5 mg SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 1,34mg/ml NOVO NORDISK A/S DANEMARCA CUTIE CU 3 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE + 12 ACE X 0,5 MG SEMAGLUTIDA PRF 3 374,036666 420,416666 0,000000131 W65787002 A10BJ06 SEMAGLUTIDUM ** OZEMPIC 1 mg SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 1,34mg/ml NOVO NORDISK A/S DANEMARCA CUTIE CU 3 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE + 12 ACE X 1 MG SEMAGLUTIDA PRF 3 412,956666 462,840000 0,000000132 W60940001 A10BK03 EMPAGLIFLOZINUM ** JARDIANCE 10mg COMPR. FILM. 10mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE X BLISTERE PERFORATE DIN PVC/AL PENTRU ELIBERAREA UNEI UNITATI DOZATE X 30 COMPRIMATE FILMATE (30X1) PRF 30 5,878666 7,176666 0,000000133 W60941001 A10BK03 EMPAGLIFLOZINUM ** JARDIANCE 25mg COMPR. FILM. 25mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE X BLISTERE PERFORATE DIN PVC/AL PENTRU ELIBERAREA UNEI UNITATI DOZATE X 30 COMPRIMATE FILMATE (30X1) PRF 30 5,878666 7,176666 0,000000134 W56718002 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 0,123066 0,166266 0,170845135 W64096001 A10BX02 REPAGLINIDUM REPAGLINIDA ARENA 0,5 mg COMPR. 0,5mg ARENA GROUP S.A. ROMANIA CUTIE CU BLIST. PA/AL/PVC-AL X 30 COMPR PRF 30 0,123066 0,166266 0,170734136 W64096002 A10BX02 REPAGLINIDUM REPAGLINIDA ARENA 0,5 mg COMPR. 0,5mg ARENA GROUP S.A. ROMANIA CUTIE CU BLIST. PA/AL/PVC-AL X 90 COMPR PRF 90 0,123066 0,166266 0,170845137 W64096003 A10BX02 REPAGLINIDUM REPAGLINIDA ARENA 0,5 mg COMPR. 0,5mg ARENA GROUP S.A. ROMANIA CUTIE CU BLIST. PA/AL/PVC-AL X 120 COMPR PRF 120 0,123066 0,166266 0,159900138 W64096004 A10BX02 REPAGLINIDUM REPAGLINIDA ARENA 0,5 mg COMPR. 0,5mg ARENA GROUP S.A. ROMANIA CUTIE CU BLIST. PA/AL/PVC-AL X 270 COMPR PRF 270 0,123066 0,166266 0,143548139 W61807002 A10BX02 REPAGLINIDUM REPAGLINIDE ACCORD 0,5 mg COMPR. 0,5mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. AL/AL X 90 COMPR. PRF 90 0,102555 0,138555 0,000000140 W65706002 A10BX02 REPAGLINIDUM REPAGLINIDE ACCORD 0,5 mg COMPR. 0,5mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. AL/AL X 90 COMPR. PRF 90 0,102555 0,138555 0,000000141 W64096005 A10BX02 REPAGLINIDUM REPAGLINIDA ARENA 0,5 mg COMPR. 0,5mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 FLAC. PEJD X 100 COMPR PRF 100 0,123066 0,166266 0,170834142 W56719002 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 0,234666 0,317200 0,019911143 W61808001 A10BX02 REPAGLINIDUM REPAGLINIDE ACCORD 1 mg COMPR. 1mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. AL/AL X 90 COMPR. PRF 90 0,195555 0,264333 0,000000144 W64097003 A10BX02 REPAGLINIDUM REPAGLINIDA ARENA 1 mg COMPR. 1mg ARENA GROUP S.A. ROMANIA CUTIE CU BLIST. PA/AL/PVC-AL X 120 COMPR PRF 120 0,234666 0,312916 0,000000145 W64097004 A10BX02 REPAGLINIDUM REPAGLINIDA ARENA 1 mg COMPR. 1mg ARENA GROUP S.A. ROMANIA CUTIE CU BLIST. PA/AL/PVC-AL X 270 COMPR PRF 270 0,234666 0,297185 0,000000146 W64097001 A10BX02 REPAGLINIDUM REPAGLINIDA ARENA 1 mg COMPR. 1mg ARENA GROUP S.A. ROMANIA CUTIE CU BLIST. PA/AL/PVC-AL X 30 COMPR PRF 30 0,234666 0,317200 0,006466147 W64097005 A10BX02 REPAGLINIDUM REPAGLINIDA ARENA 1 mg COMPR. 1mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 FLAC. PEJD X 100 COMPR PRF 100 0,234666 0,317200 0,006100148 W65707001 A10BX02 REPAGLINIDUM REPAGLINIDE ACCORD 1 mg COMPR. 1mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. AL/AL X 90 COMPR. PRF 90 0,195555 0,264333 0,000000149 W64097002 A10BX02 REPAGLINIDUM REPAGLINIDA ARENA 1 mg COMPR. 1mg ARENA GROUP S.A. ROMANIA CUTIE CU BLIST. PA/AL/PVC-AL X 90 COMPR PRF 90 0,234666 0,317200 0,006244150 W56720002 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 0,249444 0,337111 0,000000151 W64098001 A10BX02 REPAGLINIDUM REPAGLINIDA ARENA 2 mg COMPR. 2mg ARENA GROUP S.A. ROMANIA CUTIE CU BLIST. PA/AL/PVC-AL X 30 COMPR PRF 30 0,239333 0,323666 0,000000152 W61809001 A10BX02 REPAGLINIDUM REPAGLINIDE ACCORD 2 mg COMPR. 2mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. AL/AL X 90 COMPR. PRF 90 0,244111 0,329888 0,000000153 W64098005 A10BX02 REPAGLINIDUM REPAGLINIDA ARENA 2 mg COMPR. 2mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 FLAC. PEJD X 100 COMPR PRF 100 0,239200 0,323300 0,000000154 W64098003 A10BX02 REPAGLINIDUM REPAGLINIDA ARENA 2 mg COMPR. 2mg ARENA GROUP S.A. ROMANIA CUTIE CU BLIST. PA/AL/PVC-AL X 120 COMPR PRF 120 0,239250 0,312916 0,000000155 W64098004 A10BX02 REPAGLINIDUM REPAGLINIDA ARENA 2 mg COMPR. 2mg ARENA GROUP S.A. ROMANIA CUTIE CU BLIST. PA/AL/PVC-AL X 270 COMPR PRF 270 0,235037 0,297185 0,000000156 W65708001 A10BX02 REPAGLINIDUM REPAGLINIDE ACCORD 2 mg COMPR. 2mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. AL/AL X 90 COMPR. PRF 90 0,244111 0,329888 0,000000157 W64098002 A10BX02 REPAGLINIDUM REPAGLINIDA ARENA 2 mg COMPR. 2mg ARENA GROUP S.A. ROMANIA CUTIE CU BLIST. PA/AL/PVC-AL X 90 COMPR PRF 90 0,239333 0,323444 0,000000158 W62286004 A10BX09 DAPAGLIFLOZINUM ** FORXIGA 10 mg COMPR. FILM. 10mg ASTRAZENECA AB SUEDIA CUTIE CU BLIST. DIN ALU/ALU X 30X1 COMPR. FILM. (UNITATE DOZATA) PRF 30 5,544000 6,768000 0,000000159 W59970001 A10BX10 LIXISENATIDUM ** LYXUMIA 10 micrograme SOL INJ. 50 µg/ml SANOFI - AVENTIS GROUPE FRANTA CUTIE CU 1 STILOU INJECTOR (PEN) PREUMPLUT X 3ML (1X14 DOZE) PRF 1 156,270000 190,770000 0,000000160 W62898002 A11DA03 BENFOTIAMINUM NEUROSSEN 300 mg COMPR. FILM. 300mg AAA-PHARMA GMBH GERMANIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P6L 30 2,174333 2,749333 0,000000161 W66482006 A11DA03 BENFOTIAMINUM TIAVELLA 300 mg COMPR. FILM. 300mg G.L. PHARMA GMBH AUSTRIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L 30 2,209666 2,794000 0,000000162 W01610002 A11DBN1 COMBINATII ** MILGAMMA N CAPS. MOI FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. PVC/PVDC X 10 CAPS. MOIP-6L 50 0,788400 1,031200 0,000000163 W56297002 A11DBN1 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 0,302300 0,395400 0,000000164 W56297001 A11DBN1 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 0,359000 0,474480 0,011020165 W42092002 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 1,317833 1,666333 0,000000166 W01731002 A11DBN1 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 0,796600 1,042000 0,000000167 W41647001 A11DBN1 COMBINATII ** MILGAMMA 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 3,046000 4,118000 0,000000168 W64733001 H04AA01 GLUCAGONUM GLUCAGEN HYPOKIT 1 mg/ml PULB+SOLV. PT. SOL. INJ. 1mg/ml CN UNIFARM S.A. ROMANIA CUTIE X 1 FLACON CU PULBERE +1 SERINGA PREUMPLUTA CU SOLVENT PT. SOL. INJ. PR 1 66,020000 83,480000 0,000000169 W66520001 H04AA01 GLUCAGONUM BAQSIMI 3 mg PULB. NAZALA UNIDOZA 3mg ELI LILLY NEDERLAND BV OLANDA CUTIE X 1 FLACON CU DOZA UNICA PRF 1 432,480000 509,550000 0,000000170 T0001 FARA ATC FARA DCI Teste de automonitorizare a glicemiei pentru bolnavii cu diabet zaharat FARA FORMAFARA CONCENTRATIE FARA PRODUCATOR ROMANIA FARA FORMA AMB X 1 0,000000 1,200000 0,000000

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

1 W56025001 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 SOLV. PT. SOL. INJ. + 1 SERINGA DE UNICA FOLOSINTA + 1 CANULA DUBLA CU DOUA FILTRE SI 1 CANULA TIP FLUTURE PR 1 1.599,756000 1.789,512000 867,0880002 W56024001 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 SOLV. PT. SOL. INJ. + 1 SERINGA DE UNICA FOLOSINTA + 1 CANULA DUBLA CU DOUA FILTRE SI 1 CANULA TIP FLUTURE PR 1 816,432000 935,688000 430,4620003 W56023001 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 SOLV. PT. SOL. INJ. + 1 SERINGA DE UNICA FOLOSINTA + 1 CANULA DUBLA CU DOUA FILTRE SI 1 CANULA TIP FLUTURE PR 1 435,948000 520,968000 127,7720004 W61672001 B02BD02 FACTOR VIII DE COAGULARE BERIATE 1000 UI PULB+SOLV. PT. SOL. INJ./PERF. 1000UI CSL BEHRING GMBH GERMANIA CUTIE CU1 FLAC.DIN STICLA INCOLORA CU PULB.PT.SOL.INJ/PERF+1FLAC.DIN STICLA CU SOLV. CU 10ML APA PT. PREPARATE INJ. SI CUTIE CU DISPOZ. DE ADM. COMPUS DIN:1DISPOZ. DE TRANSFER CU FILTRU 20/20,1SERINGA DE 10 ML,1SET PT. PUNCTIE VENOASA,2TAMP+PLASTURE PR 1 1.599,756000 1.789,512000 158,4680005 W61673001 B02BD02 FACTOR VIII DE COAGULARE BERIATE 2000 UI PULB+SOLV. PT. SOL. INJ./PERF. 2000UI CSL BEHRING GMBH GERMANIA CUTIE CU1 FLAC.DIN STICLA INCOLORA CU PULB.PT.SOL.INJ/PERF+1FLAC.DIN STICLA CU SOLV. CU 10 ML APA PT. PREPARATE INJ. SI CUTIE CU DISPOZ. DE ADM. COMPUS DIN:1DISPOZ. DE TRANSFER CU FILTRU 20/20,1SERINGA DE 10 ML,1SET PT. PUNCTIE VENOASA,2TAMP+PLASTURE PR 1 5.595,170000 6.136,890000 0,000000

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Nr.crt Cod CIM

Grupa terapeu

ticaDenumire generica Denumire comerciala

Forma farmaceuti

ca

Concentratie / U.T.

Firma Tara Ambalaj

Pres

crip

tie cant/ambal

aj

Pret cu ridicata maximal de

decontare / U.T.

Pret de decontare / U.T.

contribu ție maximă

asigurat / U.T. - farmacii

comunitare6 W61670001 B02BD02 FACTOR VIII DE COAGULARE BERIATE 250 UI PULB+SOLV. PT. SOL. INJ./PERF. 250UI CSL BEHRING GMBH GERMANIA CUTIE CU1 FLAC.DIN STICLA INCOLORA CU PULB.PT.SOL.INJ/PERF+1FLAC.DIN STICLA CU SOLV. CU 2,5ML APA PT. PREPARATE INJ. SI CUTIE CU DISPOZ. DE ADM. COMPUS DIN:1DISPOZ. DE TRANSFER CU FILTRU 20/20,1SERINGA DE 5 ML,1SET PT. PUNCTIE VENOASA,2TAMP+PLASTURE PR 1 435,948000 520,968000 72,5020007 W61671001 B02BD02 FACTOR VIII DE COAGULARE BERIATE 500 UI PULB+SOLV. PT. SOL. INJ./PERF. 500UI CSL BEHRING GMBH GERMANIA CUTIE CU1 FLAC.DIN STICLA INCOLORA CU PULB.PT.SOL.INJ/PERF+1FLAC.DIN STICLA CU SOLV. CU 5ML APA PT. PREPARATE INJ. SI CUTIE CU DISPOZ. DE ADM. COMPUS DIN:1DISPOZ. DE TRANSFER CU FILTRU 20/20,1SERINGA DE 5 ML,1SET PT. PUNCTIE VENOASA,2TAMP+PLASTURE PR 1 816,432000 935,688000 45,9320008 W43393001 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 PR 1 1.485,540000 1.657,390000 0,0000009 W43391001 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 PR 1 396,390000 470,220000 0,000000

10 W43392001 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 PR 1 758,420000 864,830000 0,00000011 W56663001 B02BD02 FACTOR VIII DE COAGULARE OCTANATE 100 UI/ml PULB. + SOLV. PT. SOL. INJ. 100 UI/ml OCTAPHARMA (IP) LTD.MAREA BRITANIE CUTIE CU 1FLAC. DIN STICLA INCOLORA CU PULB.PT.SOL. INJ.(100UI/ML)+CUTIE CU 1 SET PT. RECONSTITUIRE SI ADM.:1FLAC. DIN STICLA CU 10ML APA PT. PREPARATE INJ.(1000UI/FLAC)+1SERINGA+1SET TRANSFERMIX2VIAL+1AC PT. INJECTIE TIP FLUTURE+2 TAMPOANE CU ALCOOL PR 1 1.333,130000 1.491,260000 0,00000012 W65354001 B02BD02 FACTOR VIII DE COAGULARE OCTANATE 100 UI/ml PULB. + SOLV. PT. SOL. INJ. 100UI/ml OCTAPHARMA (IP) SPRLBELGIA CUTIE CU 1FLAC. DIN STICLA INCOLORA CU PULB.PT.SOL. INJ.(100UI/ML)+CUTIE CU 1 SET PT. RECONSTITUIRE SI ADM.:1FLAC. DIN STICLA CU 10ML APA PT. PREPARATE INJ.(1000UI/FLAC)+1SERINGA+1SET TRANSFERMIX2VIAL+1AC PT. INJECTIE TIP FLUTURE+2 TAMPOANE CU ALCOOL PR 1 1.333,130000 1.491,260000 0,00000013 W56662002 B02BD02 FACTOR VIII DE COAGULARE OCTANATE 50 UI/ml PULB. + SOLV. PT. SOL. INJ. 50 UI/ml OCTAPHARMA (IP) LTD.MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ.(50UI/ML)+CUTIE CU SET DE RECONSTITUIRE SI ADM.:1FLAC. DIN STICLA CU 10 ML APA PT. PREPARATE INJ(500UI/FLAC.)+1SERINGA+1SET TRANSFERMIX2VIAL+1AC PT. INJECTIE TIP FLUTURE+2 TAMPOANE CU ALCOOL PR 1 680,360000 779,740000 0,00000014 W56662001 B02BD02 FACTOR VIII DE COAGULARE OCTANATE 50 UI/ml PULB. + SOLV. PT. SOL. INJ. 50 UI/ml OCTAPHARMA (IP) LTD.MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ.(50UI/ML)+CUTIE CU SET DE RECONSTITUIRE SI ADM.:1FLAC. DIN STICLA CU 5 ML APA PT. PREPARATE INJ(250UI/FLAC.)+1SERINGA+1SET TRANSFERMIX2VIAL+1AC PT. INJECTIE TIP FLUTURE+2 TAMPOANE CU ALCOOL PR 1 363,290000 434,140000 0,00000015 W65353002 B02BD02 FACTOR VIII DE COAGULARE OCTANATE 50 UI/ml PULB. + SOLV. PT. SOL. INJ. 50UI/ml OCTAPHARMA (IP) SPRLBELGIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ.(50UI/ML)+CUTIE CU SET DE RECONSTITUIRE SI ADM.:1FLAC. DIN STICLA CU 10 ML APA PT. PREPARATE INJ(500UI/FLAC.)+1SERINGA+1SET TRANSFERMIX2VIAL+1AC PT. INJECTIE TIP FLUTURE+2 TAMPOANE CU ALCOOL PR 1 680,360000 779,740000 0,00000016 W65353001 B02BD02 FACTOR VIII DE COAGULARE OCTANATE 50 UI/ml PULB. + SOLV. PT. SOL. INJ. 50UI/ml OCTAPHARMA (IP) SPRLBELGIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ.(50UI/ML)+CUTIE CU SET DE RECONSTITUIRE SI ADM.:1FLAC. DIN STICLA CU 5 ML APA PT. PREPARATE INJ(250UI/FLAC.)+1SERINGA+1SET TRANSFERMIX2VIAL+1AC PT. INJECTIE TIP FLUTURE+2 TAMPOANE CU ALCOOL PR 1 363,290000 434,140000 0,00000017 W13336001 B02BD02 FACTOR VIII DE COAGULARE EMOCLOT 500 UI PULB.+SOLV. SOL. PERF. 500 UI KEDRION SPA ITALIA CUTIE X 1 FLACON DIN STICLA NEUTRA TIP I DIN ELASTOMER TIP I CONTINAND PULBERE, 1 FLACON DIN STICLA NEUTRA TIP I CU DOP DIN ELASTOMER TIP I CONTINAND SOLVENT, 1 SET PENTRU RECONST. SI ADM. PR 1 816,432000 935,688000 68,16200018 W62271001 B02BD02 MOROCTOCOG ALFA ** REFACTO AF 500 UI PULB+SOLV. PT. SOL. INJ. IN SERINGA PREUMPLUTA 500UI PFIZER LIMITED MAREA BRITANIE 1 SERINGA PREUMPLUTA+1 TIJA A PISTONULUI+ 1 SET DE PERFUZIE STERIL+2 TAMPOANE CU ALCOOL MEDICINAL+1 PLASTURE+1 BUCATA DE TIFON+1 CAPAC STERIL PT AERISIRE PR 1 1.243,570000 1.393,640000 0,00000019 W64779001 B02BD02 MOROCTOCOG ALFA ** REFACTO AF 500 UI PULB+SOLV. PT. SOL. INJ. IN SERINGA PREUMPLUTA 500UI PFIZER EUROPE MA EEIG BELGIA 1 SERINGA PREUMPLUTA+1 TIJA A PISTONULUI+ 1 SET DE PERFUZIE STERIL+2 TAMPOANE CU ALCOOL MEDICINAL+1 PLASTURE+1 BUCATA DE TIFON+1 CAPAC STERIL PT AERISIRE PR 1 1.243,570000 1.393,640000 0,00000020 W61061001 B02BD02 MOROCTOCOG ALFA ** REFACTO AF 1000UI PULB. + SOL. PT. SOL. INJ. 1000 UI PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC.CU PULB. + 1 SERINGA PREUMPL. X 4 ML SOLV + 1 ADAPTOR + 2 TAMP.CU ALCOOL + 1 SET STERIL DE PERF. + 1 PLASTURE + 1 TIFON PR 1 2.442,990000 2.701,010000 0,00000021 W61062001 B02BD02 MOROCTOCOG ALFA ** REFACTO AF 2000UI PULB. + SOL. PT. SOL. INJ. 2000 UI PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC.CU PULB. + 1 SERINGA PREUMPL. X 4 ML SOLV + 1 ADAPTOR + 2 TAMP.CU ALCOOL + 1 SET STERIL DE PERF. + 1 PLASTURE + 1 TIFON PR 1 4.855,980000 5.331,170000 0,00000022 W61059001 B02BD02 MOROCTOCOG ALFA ** REFACTO AF 250UI PULB. + SOL. PT. SOL. INJ. 250 UI PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC.CU PULB. + 1 SERINGA PREUMPL. X 4 ML SOLV + 1 ADAPTOR + 2 TAMP.CU ALCOOL + 1 SET STERIL DE PERF. + 1 PLASTURE + 1 TIFON PR 1 640,700000 736,510000 0,00000023 W61060001 B02BD02 MOROCTOCOG ALFA ** REFACTO AF 500UI PULB. + SOL. PT. SOL. INJ. 500 UI PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC.CU PULB. + 1 SERINGA PREUMPL. X 4 ML SOLV + 1 ADAPTOR + 2 TAMP.CU ALCOOL + 1 SET STERIL DE PERF. + 1 PLASTURE + 1 TIFON PR 1 1.243,570000 1.393,640000 0,00000024 W64776001 B02BD02 MOROCTOCOG ALFA ** REFACTO AF 1000 UI PULB. + SOLV. PT. SOL. INJ. 1000UI PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 FLAC.CU PULB. + 1 SERINGA PREUMPL. X 4 ML SOLV + 1 ADAPTOR + 2 TAMP.CU ALCOOL + 1 SET STERIL DE PERF. + 1 PLASTURE + 1 TIFON PR 1 2.442,990000 2.701,010000 0,00000025 W64777001 B02BD02 MOROCTOCOG ALFA ** REFACTO AF 2000UI PULB. + SOLV. PT. SOL. INJ. 2000UI PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 FLAC.CU PULB. + 1 SERINGA PREUMPL. X 4 ML SOLV + 1 ADAPTOR + 2 TAMP.CU ALCOOL + 1 SET STERIL DE PERF. + 1 PLASTURE + 1 TIFON PR 1 4.855,980000 5.331,170000 0,00000026 W64774001 B02BD02 MOROCTOCOG ALFA ** REFACTO AF 250 UI PULB. + SOLV. PT. SOL. INJ. 250UI PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 FLAC.CU PULB. + 1 SERINGA PREUMPL. X 4 ML SOLV + 1 ADAPTOR + 2 TAMP.CU ALCOOL + 1 SET STERIL DE PERF. + 1 PLASTURE + 1 TIFON PR 1 640,700000 736,510000 0,00000027 W64775001 B02BD02 MOROCTOCOG ALFA ** REFACTO AF 500 UI PULB. + SOLV. PT. SOL. INJ. 500UI PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 FLAC.CU PULB. + 1 SERINGA PREUMPL. X 4 ML SOLV + 1 ADAPTOR + 2 TAMP.CU ALCOOL + 1 SET STERIL DE PERF. + 1 PLASTURE + 1 TIFON PR 1 1.243,570000 1.393,640000 0,00000028 W64715001 B02BD02 OCTOCOG ALFA ** KOVALTRY 1000 UI PULB+SOLV. PT. SOL. INJ. 1000UI BAYER AG GERMANIA CUTIE CU 1 FLAC. 10 ML DIN STICLA TRANSPARENTA CU PULB.+1 SERINGA PREUMPLUTA CU 2,5 ML SOLVENT+1 ADAPTOR PT. FLAC.+1SET PT. PUNCTIE VENOASA PR 1 2.728,770000 3.012,510000 0,00000029 W64716001 B02BD02 OCTOCOG ALFA ** KOVALTRY 2000 UI PULB+SOLV. PT. SOL. INJ. 2000UI BAYER AG GERMANIA CUTIE CU 1 FLAC. 10 ML DIN STICLA TRANSPARENTA CU PULB.+1 SERINGA PREUMPLUTA CU 5 ML SOLVENT+1 ADAPTOR PT. FLAC.+1SET PT. PUNCTIE VENOASA PR 1 5.473,850000 6.004,650000 0,00000030 W64713001 B02BD02 OCTOCOG ALFA ** KOVALTRY 250 UI PULB+SOLV. PT. SOL. INJ. 250UI BAYER AG GERMANIA CUTIE CU 1 FLAC. 10 ML DIN STICLA TRANSPARENTA CU PULB.+1 SERINGA PREUMPLUTA CU 2,5 ML SOLVENT+1 ADAPTOR PT. FLAC.+1SET PT. PUNCTIE VENOASA PR 1 706,840000 808,610000 0,00000031 W64714001 B02BD02 OCTOCOG ALFA ** KOVALTRY 500 UI PULB+SOLV. PT. SOL. INJ. 500UI BAYER AG GERMANIA CUTIE CU 1 FLAC. 10 ML DIN STICLA TRANSPARENTA CU PULB.+1 SERINGA PREUMPLUTA CU 2,5 ML SOLVENT+1 ADAPTOR PT. FLAC.+1SET PT. PUNCTIE VENOASA PR 1 1.375,810000 1.537,780000 0,00000032 W51449001 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 2.664,890000 2.942,880000 0,00000033 W61172001 B02BD02 OCTOCOG ALFA ** KOGENATE BAYER 1000UI PULB+SOLV.PT.SOL.INJ 1000UI BAYER PHARMA AG GERMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA PREUMPLUTA X 2,5ML SOL. + AMBALAJ SUPL. CE CONTINE O TRUSA DE ADM. PR 1 2.573,020000 2.842,750000 0,00000034 W63909001 B02BD02 OCTOCOG ALFA ** KOGENATE BAYER 1000UI PULB+SOLV.PT.SOL.INJ 1000UI BAYER AG GERMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA PREUMPLUTA X 2,5ML SOL. + AMBALAJ SUPL. CE CONTINE O TRUSA DE ADM. PR 1 2.573,020000 2.842,750000 0,00000035 W51450001 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 4.096,020000 4.502,820000 0,00000036 W61175001 B02BD02 OCTOCOG ALFA ** KOGENATE BAYER 2000UI PULB+SOLV.PT.SOL.INJ 2000UI BAYER PHARMA AG GERMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA PREUMPLUTA X 5,0ML SOL. + AMBALAJ SUPL. CE CONTINE O TRUSA DE ADM. P-RF/R 1 5.764,560000 6.321,530000 0,00000037 W63910001 B02BD02 OCTOCOG ALFA ** KOGENATE BAYER 2000UI PULB+SOLV.PT.SOL.INJ 2000UI BAYER AG GERMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA PREUMPLUTA X 5,0ML SOL. + AMBALAJ SUPL. CE CONTINE O TRUSA DE ADM. PR 1 5.764,560000 6.321,530000 0,00000038 W61168001 B02BD02 OCTOCOG ALFA ** KOGENATE BAYER 250UI PULB+SOLV.PT.SOL.INJ 250UI BAYER PHARMA AG GERMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA PREUMPLUTA X 2,5ML SOL. + AMBALAJ SUPL. CE CONTINE O TRUSA DE ADM. P-RF/R 1 709,910000 811,950000 0,00000039 W63907001 B02BD02 OCTOCOG ALFA ** KOGENATE BAYER 250UI PULB+SOLV.PT.SOL.INJ 250UI BAYER AG GERMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA PREUMPLUTA X 2,5ML SOL. + AMBALAJ SUPL. CE CONTINE O TRUSA DE ADM. PR 1 709,910000 811,950000 0,00000040 W51448001 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 1.343,900000 1.503,000000 0,00000041 W63908001 B02BD02 OCTOCOG ALFA ** KOGENATE BAYER 500UI PULB+SOLV.PT.SOL.INJ 500UI BAYER AG GERMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA PREUMPLUTA X 2,5ML SOL. + AMBALAJ SUPL. CE CONTINE O TRUSA DE ADM. PR 1 1.366,480000 1.527,610000 0,00000042 W61170001 B02BD02 OCTOCOG ALFA ** KOGENATE BAYER 500UI PULB+SOLV.PT.SOL.INJ 500UI BAYER PHARMA AG GERMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA PREUMPLUTA X 2,5ML SOL. + AMBALAJ SUPL. CE CONTINE O TRUSA DE ADM. P-RF/R 1 1.366,480000 1.527,610000 0,00000043 W53183001 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 5.749,670000 6.305,300000 0,00000044 W51447001 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 PR 1 720,280000 823,260000 0,00000045 W53185001 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 8.609,510000 9.422,530000 0,00000046 W65190001 B02BD02 TUROCTOCOG ALFA ** NOVOEIGHT 1000 UI PULB+SOLV. PT. SOL. INJ. 1000 UI NOVO NORDISK A/S DANEMARCA CUTIE CU 1 FLACON CU PULBERE, 1 SERINGA PREUMPLUTA CU 4 ML SOLVENT, 1 TIJA PISTON SI UN ADAPTOR PENTRU FLACON PR 1 2.481,310000 2.742,780000 0,00000047 W65191001 B02BD02 TUROCTOCOG ALFA ** NOVOEIGHT 1500 UI PULB+SOLV. PT. SOL. INJ. 1500 UI NOVO NORDISK A/S DANEMARCA CUTIE CU 1 FLACON CU PULBERE, 1 SERINGA PREUMPLUTA CU 4 ML SOLVENT, 1 TIJA PISTON SI UN ADAPTOR PENTRU FLACON PR 1 3.706,970000 4.078,750000 0,00000048 W65192001 B02BD02 TUROCTOCOG ALFA ** NOVOEIGHT 2000 UI PULB+SOLV. PT. SOL. INJ. 2000 UI NOVO NORDISK A/S DANEMARCA CUTIE CU 1 FLACON CU PULBERE, 1 SERINGA PREUMPLUTA CU 4 ML SOLVENT, 1 TIJA PISTON SI UN ADAPTOR PENTRU FLACON PR 1 4.932,620000 5.414,710000 0,00000049 W65188001 B02BD02 TUROCTOCOG ALFA ** NOVOEIGHT 250 UI PULB+SOLV. PT. SOL. INJ. 250 UI NOVO NORDISK A/S DANEMARCA CUTIE CU 1 FLACON CU PULBERE, 1 SERINGA PREUMPLUTA CU 4 ML SOLVENT, 1 TIJA PISTON SI UN ADAPTOR PENTRU FLACON PR 1 642,820000 738,830000 0,00000050 W65193001 B02BD02 TUROCTOCOG ALFA ** NOVOEIGHT 3000 UI PULB+SOLV. PT. SOL. INJ. 3000 UI NOVO NORDISK A/S DANEMARCA CUTIE CU 1 FLACON CU PULBERE, 1 SERINGA PREUMPLUTA CU 4 ML SOLVENT, 1 TIJA PISTON SI UN ADAPTOR PENTRU FLACON PR 1 7.383,920000 8.086,630000 0,00000051 W65189001 B02BD02 TUROCTOCOG ALFA ** NOVOEIGHT 500 UI PULB+SOLV. PT. SOL. INJ. 500 UI NOVO NORDISK A/S DANEMARCA CUTIE CU 1 FLACON CU PULBERE, 1 SERINGA PREUMPLUTA CU 4 ML SOLVENT, 1 TIJA PISTON SI UN ADAPTOR PENTRU FLACON PR 1 1.255,660000 1.406,820000 0,00000052 W62498002 B02BD03 COMPLEX DE ANTIINHIBITORI AI COAGULARII ** FEIBA 25 U/ml PULB+SOLV. PT. SOL. PERF. 25U/ml BAXALTA INNOVATIONS GMBH AUSTRIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA,CU CAPAC. DE 50 ML CARE CONTINE 500 U FEIBA PULB. PT. SOL. PERF. +1 FLAC. DIN STICLA INCOLORA, CU CAPAC. DE 20 ML CARE CONTINE 20 ML APA PURIFICATA PT. PREPARATE INJ.,1 DISPOZ.BAXJECT II HIFLOW PR 1 1.536,130000 1.712,530000 0,00000053 W62499002 B02BD03 COMPLEX DE ANTIINHIBITORI AI COAGULARII ** FEIBA 50 U/ml PULB+SOLV. PT. SOL. PERF. 50U/ml BAXALTA INNOVATIONS GMBH AUSTRIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA,CU CAPAC. DE 50 ML CARE CONTINE 1000 U FEIBA PULB. PT. SOL. PERF. +1 FLAC. DIN STICLA INCOLORA, CU CAPAC. DE 20 ML CARE CONTINE 20 ML APA PURIFICATA PT. PREPARATE INJ.,1 DISPOZ.BAXJECT II HIFLOWPR 1 3.130,950000 3.450,890000 0,00000054 W63107001 B02BD04 EFTRENONACOG ALFA ** ALPROLIX 1000 UI PULB+SOLV. PT. SOL. INJ. 1000UI SWEDISH ORPHAN BIOVITRUM AB (PUBL) SUEDIA 1 FLAC. DIN STICLA DE TIP I CU PULBERE +5 ML SOLV. INTR-O SERINGA PREUMPLUTA DIN STICLA DE TIP I +1 TIJA A PISTONULUI +1 ADAPTOR STERIL PT. FLAC.+ 1 SET DE PERFUZIE STERIL+ 2 TAMPOANE CU ALCOOL+ 2 PLASTURI + 1COMPRESA DIN TIFON PR 1 4.516,670000 4.961,330000 0,00000055 W63108001 B02BD04 EFTRENONACOG ALFA ** ALPROLIX 2000 UI PULB+SOLV. PT. SOL. INJ. 2000UI SWEDISH ORPHAN BIOVITRUM AB (PUBL) SUEDIA 1 FLAC. DIN STICLA DE TIP I CU PULBERE +5 ML SOLV. INTR-O SERINGA PREUMPLUTA DIN STICLA DE TIP I +1 TIJA A PISTONULUI +1 ADAPTOR STERIL PT. FLAC.+ 1 SET DE PERFUZIE STERIL+ 2 TAMPOANE CU ALCOOL+ 2 PLASTURI + 1COMPRESA DIN TIFON PR 1 9.003,340000 9.851,800000 0,00000056 W63105001 B02BD04 EFTRENONACOG ALFA ** ALPROLIX 250 UI PULB+SOLV. PT. SOL. INJ. 250UI SWEDISH ORPHAN BIOVITRUM AB (PUBL) SUEDIA 1 FLAC. DIN STICLA DE TIP I CU PULBERE +5 ML SOLV. INTR-O SERINGA PREUMPLUTA DIN STICLA DE TIP I +1 TIJA A PISTONULUI +1 ADAPTOR STERIL PT. FLAC.+ 1 SET DE PERFUZIE STERIL+ 2 TAMPOANE CU ALCOOL+ 2 PLASTURI + 1COMPRESA DIN TIFON PR 1 1.151,670000 1.293,470000 0,00000057 W63109001 B02BD04 EFTRENONACOG ALFA ** ALPROLIX 3000 UI PULB+SOLV. PT. SOL. INJ. 3000UI SWEDISH ORPHAN BIOVITRUM AB (PUBL) SUEDIA 1 FLAC. DIN STICLA DE TIP I CU PULBERE +5 ML SOLV. INTR-O SERINGA PREUMPLUTA DIN STICLA DE TIP I +1 TIJA A PISTONULUI +1 ADAPTOR STERIL PT. FLAC.+ 1 SET DE PERFUZIE STERIL+ 2 TAMPOANE CU ALCOOL+ 2 PLASTURI + 1COMPRESA DIN TIFON PR 1 13.490,010000 14.742,280000 0,000000

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Page 36: P1: PROGRAMUL NATIONAL DE BOLI TRANSMISIBILE

Nr.crt Cod CIM

Grupa terapeu

ticaDenumire generica Denumire comerciala

Forma farmaceuti

ca

Concentratie / U.T.

Firma Tara Ambalaj

Pres

crip

tie cant/ambal

aj

Pret cu ridicata maximal de

decontare / U.T.

Pret de decontare / U.T.

contribu ție maximă

asigurat / U.T. - farmacii

comunitare58 W63106001 B02BD04 EFTRENONACOG ALFA ** ALPROLIX 500 UI PULB+SOLV. PT. SOL. INJ. 500UI SWEDISH ORPHAN BIOVITRUM AB (PUBL) SUEDIA 1 FLAC. DIN STICLA DE TIP I CU PULBERE +5 ML SOLV. INTR-O SERINGA PREUMPLUTA DIN STICLA DE TIP I +1 TIJA A PISTONULUI +1 ADAPTOR STERIL PT. FLAC.+ 1 SET DE PERFUZIE STERIL+ 2 TAMPOANE CU ALCOOL+ 2 PLASTURI + 1COMPRESA DIN TIFON PR 1 2.273,340000 2.516,090000 0,00000059 W65356001 B02BD04 FACTOR IX DE COAGULARE ** OCTANINE F 1000 UI PULB. + SOLV. PT. SOL. PERF. 1000UI OCTAPHARMA (IP) SPRLBELGIA CUTIE CU 1 FLAC. DIN STICLA CU PULB. PT. SOL. PERF. +1 FLAC. DIN STICLA CU 10 ML SOLV. PT. SOL. PERF.+ DISPOZITIV PT. RECONSTITUIRE SI ADM. CU 1SET TRANSFER MIX2VIAL TM +1SET DE PERFUZARE(TIP FLUTURE)+1SERINGA DE UNICA FOLOSINTA+2 TAMPOANE ALCOOL MED PR 1 1.333,130000 1.491,260000 0,00000060 W56231001 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. PERF.+ DISPOZITIV PT. RECONSTITUIRE SI ADM. CU 1 SET TRANSFER MIX2VIAL TM +1 SET DE PERFUZARE+1 SERINGA+2 TAMP. CU ALCOOL S 1 1.333,130000 1.491,260000 0,00000061 W65355001 B02BD04 FACTOR IX DE COAGULARE ** OCTANINE F 500 UI PULB. + SOLV. PT. SOL. PERF. 500 UI OCTAPHARMA (IP) SPRLBELGIA CUTIE CU 1 FLAC. DIN STICLA CU PULB. PT. SOL. PERF. +1 FLAC. DIN STICLA CU 5 ML SOLV. PT. SOL. PERF.+DISPOZITIV PT. RECONSTITUIRE SI ADM:1SET TRANSEFER MIX2VIALTM+1SET DE PERFUZARE(TIP FLUTURE)+1SERINGA DE UNICA FOLOSINTA+2 TAMPOANE ALCOOL MEDICINAL PR 1 828,700000 941,430000 0,00000062 W56230001 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.+ DISPOZITIV PT. RECONSTITUIRE SI ADM. CU 1 AC CU CAP DUBLU+1 FILTRU PT. AC+1 SET DE PERFUZARE+1 SERINGA+2 TAMP. CU ALCOOL S 1 828,700000 941,430000 0,00000063 W62890001 B02BD04 FACTOR IX DE COAGULARE ** IMMUNINE 1200 UI PULB.+SOLV. PT. SOL. INJ./PERF. 1200UI BAXALTA INNOVATIONS GMBH AUSTRIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./ PERF. + 1 FLAC. UNIDOZA DIN STICLA INCOLORA CU 10 ML SOLV. +1 AC PT. TRANSFER+1 AC PT. AERARE+1 AC PT. FILTRARE+1 AC DE UNICA FOLOSINTA+1 SERINGA DE UNICA FOLOSINTA+1 SET DE TRANSFER PR 1 1.823,060000 2.025,290000 0,00000064 W64927001 B02BD04 NONACOG ALPHA (FACTOR IX DE COAGULARE) **BENEFIX 1000UI PULB+SOLV.PT.SOL.INJ 1000UI PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA UMPLUTA. X 5ML SOL. INJ. + 1 SET STERIL DE PERF. + 2 TAMP. ALCOOL + 1 PLASTURE + 1 TAMP. TIFON PR 1 1.599,756000 1.789,512000 641,33800065 W60173002 B02BD04 NONACOG ALPHA (FACTOR IX DE COAGULARE) **BENEFIX 1000UI PULB+SOLV.PT.SOL.INJ 1000UI PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA UMPLUTA. X 5ML SOL. INJ. + 1 SET STERIL DE PERF. + 2 TAMP. ALCOOL + 1 PLASTURE + 1 TAMP. TIFON PR 1 1.599,756000 1.789,512000 641,33800066 W64928001 B02BD04 NONACOG ALPHA (FACTOR IX DE COAGULARE) **BENEFIX 2000UI PULB+SOLV.PT.SOL.INJ 2000UI PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA UMPLUTA. X 5ML SOL. INJ. + 1 SET STERIL DE PERF. + 2 TAMP. ALCOOL + 1 PLASTURE + 1 TAMP. TIFON PR 1 4.360,260000 4.790,840000 0,00000067 W60172002 B02BD04 NONACOG ALPHA (FACTOR IX DE COAGULARE) **BENEFIX 2000UI PULB+SOLV.PT.SOL.INJ 2000UI PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA UMPLUTA. X 5ML SOL. INJ. + 1 SET STERIL DE PERF. + 2 TAMP. ALCOOL + 1 PLASTURE + 1 TAMP. TIFON PR 1 4.360,260000 4.790,840000 0,00000068 W64925001 B02BD04 NONACOG ALPHA (FACTOR IX DE COAGULARE) **BENEFIX 250UI PULB+SOLV.PT.SOL.INJ 250UI PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA UMPLUTA. X 5ML SOL. INJ. + 1 SET STERIL DE PERF. + 2 TAMP. ALCOOL + 1 PLASTURE + 1 TAMP. TIFON PR 1 571,280000 660,850000 0,00000069 W60175002 B02BD04 NONACOG ALPHA (FACTOR IX DE COAGULARE) **BENEFIX 250UI PULB+SOLV.PT.SOL.INJ 250UI PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA UMPLUTA. X 5ML SOL. INJ. + 1 SET STERIL DE PERF. + 2 TAMP. ALCOOL + 1 PLASTURE + 1 TAMP. TIFON PR 1 571,280000 660,850000 0,00000070 W60174001 B02BD04 NONACOG ALPHA (FACTOR IX DE COAGULARE) **BENEFIX 500UI PULB+SOLV.PT.SOL.INJ 500UI PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA UMPLUTA. X 5ML SOL. INJ. + 1 SET STERIL DE PERF. + 2 TAMP. ALCOOL + 1 PLASTURE + 1 TAMP. TIFON PR 1 994,440000 1.129,716000 121,13400071 W64926001 B02BD04 NONACOG ALPHA (FACTOR IX DE COAGULARE) **BENEFIX 500UI PULB+SOLV.PT.SOL.INJ 500UI PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA UMPLUTA. X 5ML SOL. INJ. + 1 SET STERIL DE PERF. + 2 TAMP. ALCOOL + 1 PLASTURE + 1 TAMP. TIFON PR 1 994,440000 1.129,716000 121,13400072 W58455001 B02BD06 FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND ** WILATE 1000 1000 UI FVIII/1000 UI FVW PULB+SOLV. PT. SOL. INJ 1000 UI FVIII/1000 UI FVW OCTAPHARMA (IP) LTD.MAREA BRITANIE CUTIE CU 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FLAC. CU SOLV. PT. SOL. INJ. + 1 SET DE ADMINISTRARE (1 SERINGA DE UNICA FOLOSINTA, 1 SET TRANSFER (MIX2VIAL), 1 SET DE PERFUZARE SI 2 TAMPOANE CU ALCOOL MEDICINAL) PR 1 1.894,310000 2.102,950000 0,00000073 W65362001 B02BD06 FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND ** WILATE 1000 1000 UI FVW/1000 UI FVIII PULB+SOLV. PT. SOL. INJ 1000 UI FVW/1000 UI FVIII OCTAPHARMA (IP) SPRLBELGIA CUTIE CU 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FLAC. CU SOLV. PT. SOL. INJ. + 1 SET DE ADMINISTRARE (1 SERINGA DE UNICA FOLOSINTA, 1 SET TRANSFER (MIX2VIAL), 1 SET DE PERFUZARE SI 2 TAMPOANE CU ALCOOL MEDICINAL) PR 1 1.894,310000 2.102,950000 0,00000074 W58454001 B02BD06 FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND ** WILATE 500 500 UI FVIII/500 UI FVW PULB+SOLV. PT. SOL. INJ 500 UI FVIII/500 UI FVW OCTAPHARMA (IP) LTD.MAREA BRITANIE CUTIE CU 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FLAC. CU SOLV. PT. SOL. INJ. + 1 SET DE ADMINISTRARE (1 SERINGA DE UNICA FOLOSINTA, 1 SET TRANSFER (MIX2VIAL), 1 SET DE PERFUZARE SI 2 TAMPOANE CU ALCOOL MEDICINAL) PR 1 962,150000 1.086,900000 0,00000075 W65361001 B02BD06 FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND ** WILATE 500 500 UI FVW/500 UI FVIII PULB+SOLV. PT. SOL. INJ 500 UI FVW/500 UI FVIII OCTAPHARMA (IP) SPRLBELGIA CUTIE CU 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FLAC. CU SOLV. PT. SOL. INJ. + 1 SET DE ADMINISTRARE (1 SERINGA DE UNICA FOLOSINTA, 1 SET TRANSFER (MIX2VIAL), 1 SET DE PERFUZARE SI 2 TAMPOANE CU ALCOOL MEDICINAL) PR 1 962,150000 1.086,900000 0,00000076 W62888001 B02BD06 FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND ** IMMUNATE 1000 UI FVIII/750 UI FVW PULB.+SOLV. PT. SOL. INJ. 1000 UI /750 UI BAXALTA INNOVATIONS GMBH AUSTRIA CUTIE CU 1 FLAC. MONODOZA CU PULB. PT. SOL. INJ. + 1 FLAC. MONODOZA CU SOLV. + 1 SET DE TRANSFER/FILTRU + 1 SERINGA DE UNICA FOLOSINTA (10ML) + 1 AC DE UNICA FOLOSINTA + 1 SET DE PERFUZIE PR 1 1.333,510000 1.491,680000 0,00000077 W62886001 B02BD06 FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND ** IMMUNATE 250 UI FVIII/190 UI FVW PULB.+SOLV. PT. SOL. INJ. 250 UI /190 UI BAXALTA INNOVATIONS GMBH AUSTRIA CUTIE CU 1 FLAC. MONODOZA CU PULB. PT. SOL. INJ. + 1 FLAC. MONODOZA CU SOLV. + 1 SET DE TRANSFER/FILTRU + 1 SERINGA DE UNICA FOLOSINTA (5ML) + 1 AC DE UNICA FOLOSINTA + 1 SET DE PERFUZIE PR 1 349,420000 419,020000 0,00000078 W62887001 B02BD06 FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND ** IMMUNATE 500 UI FVIII/375 UI FVW PULB.+SOLV. PT. SOL. INJ. 500 UI /375 UI BAXALTA INNOVATIONS GMBH AUSTRIA CUTIE CU 1 FLAC. MONODOZA CU PULB. PT. SOL. INJ. + 1 FLAC. MONODOZA CU SOLV. + 1 SET DE TRANSFER/FILTRU + 1 SERINGA DE UNICA FOLOSINTA (5ML) + 1 AC DE UNICA FOLOSINTA + 1 SET DE PERFUZIE PR 1 641,260000 737,120000 0,00000079 W52389001 B02BD06 FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND ** HAEMATE P 500 UI PULB.+SOLV. PT. SOL. INJ. SAU PERF. 500UI+1200UI CSL BEHRING GMBH GERMANIA PACHET DE 500 UI CONTINE:1 CUTIE CU 1 FL.PULB+1 FL. CU 10ML APA PT PREP.INJ. 1 CUTIE CU DIZPOZ. DE ADMINISTRARE CONTINE:1DISPOZ. DE TRANSFER CU FILTRU 20/20+1SERINGA CU CAPAC. 10 ML+1SET PT PUNCTIE VENOASA+2 TAMPOANE ALCOOL+1PANSAMENT NESTERIL P-RF 1 936,370000 1.058,790000 0,00000080 W53034002 B02BD08 EPTACOG ALFA ACTIVATUM ** NOVOSEVEN 1 mg (50 KUI) PULB. + SOLV. PT. SOL. INJ. 50 KIU NOVO NORDISK A/S DANEMARCA CUTIE CU 1 FLAC. PULB. PT. SOL. INJ.+1 SERINGA PREUMPLUTA CU SOLV. PT. RECONSTITUIRE +1 ADAPTOR DE FLACON PR 1 2.419,840000 2.675,780000 0,00000081 W02408001 V03AC01 DEFEROXAMINUM ** (3) DESFERAL PULB. PT. SOL. INJ./PERF. 500mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 FLAC. DIN STICLA X 500 MG LIOF. PT. SOL. INJ./PERF.PR 10 11,433000 13,957000 0,00000082 W51484001 V03AC03 DEFERASIROXUM **1 EXJADE 125mg COMPR. DISP. 125mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 28 COMPR. DISP.(BLIST. PVC/PE/PVDC/AL) PR 28 26,812500 30,588214 0,00000083 W64440001 V03AC03 DEFERASIROXUM **1 EXJADE 125mg COMPR. DISP. 125mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE X 28 COMPR. DISP.(BLIST. PVC/PE/PVDC/AL) PR 28 26,812500 30,588214 0,00000084 W51485001 V03AC03 DEFERASIROXUM **1 EXJADE 250mg COMPR. DISP. 250mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL) PR 28 52,553571 58,646071 0,00000085 W64441001 V03AC03 DEFERASIROXUM **1 EXJADE 250mg COMPR. DISP. 250mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE X 28 COMPR. DISP. (BLIST. PVC/PE/PVDC/AL) PR 28 52,553571 58,646071 0,00000086 W51486001 V03AC03 DEFERASIROXUM **1 EXJADE 500mg COMPR. DISP. 500mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL) PR 28 91,558571 101,161428 0,00000087 W64442001 V03AC03 DEFERASIROXUM **1 EXJADE 500mg COMPR. DISP. 500mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE X 28 COMPR. DISP. (BLIST. PVC/PE/PVDC/AL) PR 28 91,558571 101,161428 0,00000088 W64443001 V03AC03 DEFERASIROXUM **1 EXJADE 180 mg COMPR. FILM. 180mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. PVC/PVDC/ALU X 30 COMPR. FILM. PR 30 46,243666 51,677333 0,00000089 W63463001 V03AC03 DEFERASIROXUM **1 EXJADE 180 mg COMPR. FILM. 180mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE CU BLIST. PVC/PVDC/ALU X 30 COMPR. FILM. PR 30 46,243666 51,677333 0,00000090 W64444001 V03AC03 DEFERASIROXUM **1 EXJADE 360 mg COMPR. FILM. 360mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. PVC/PVDC/ALU X 30 COMPR. FILM. PR 30 91,486666 100,992333 0,00000091 W63464001 V03AC03 DEFERASIROXUM **1 EXJADE 360 mg COMPR. FILM. 360mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE CU BLIST. PVC/PVDC/ALU X 30 COMPR. FILM. PR 30 91,486666 100,992333 0,000000

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

1 W54946001 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 11,470000 15,500000 0,0000002 W54309001 D06BA01 SULFADIAZINUM FLAMMAZINE CREMA 1% CN UNIFARM ROMANIA CUTIE X 500 G CREMA PRF 1 95,200000 120,370000 0,0000003 W60525001 D07CA01 COMBINATII (ACIDUM FUSIDICUM+HYDROCORTISONUM) FUCIDIN H CREMA 20mg/g+10mg/g LEO PHARMA A/S DANEMARCA CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF 1 16,670000 22,530000 0,0000004 W57219001 D07CC01 COMBINATII TRIDERM 0,5 mg+10 mg+1 mg/gram CREMA 0,5mg+10mg+1mg/g MERCK SHARP & DOHME ROMANIA CUTIE X 1 TUB AL X 15 G P-RF 1 8,140000 11,000000 0,0000005 W57648001 D07CC01 COMBINATII DIPROGENTA 0,5 mg/1 mg pe gramCREMA 0,5mg/1mg/g MERCK SHARP & DOHME ROMANIA CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF 1 10,270000 13,880000 0,0000006 W57224001 D07CC01 COMBINATII TRIDERM 0,5 mg+10 mg+1 mg/gram UNGUENT 0,5mg+10mg+1mg/g MERCK SHARP & DOHME ROMANIA CUTIE X 1 TUB DIN AL X 15 G UNGUENT P-RF 1 9,768000 13,200000 3,4600007 W57649001 D07CC01 COMBINATII DIPROGENTA 0,5 mg/1 mg pe gramUNGUENT 0,5mg/1mg/g MERCK SHARP & DOHME ROMANIA CUTIE X 1 TUB DIN AL X 15 G UNGUENT P-RF 1 10,270000 13,880000 0,0000008 W59984002 D07CC01 COMBINATII (ACIDUM FUSIDICUM+ BETAMETHASONUM) FUCICORT 20 mg/1mg pe gram CREMA 20mg/1mg pe gram LEO PHARMA A/S DANEMARCA CUTIE CU 1 TUB DIN AL X 20 G CREMA PRF 1 22,280000 30,120000 0,0000009 W56910001 J01AA07 TETRACYCLINUM TETRACICLINA ATB 250 mg CAPS. 250mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 CAPS. PRF 20 0,266500 0,360000 0,000000

10 W12143001 N03AB02 PHENYTOINUM FENITOINA RICHTER 100 mg COMPR. 100mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 0,113500 0,153500 0,00000011 W64010002 N03AB02 PHENYTOINUM FENITOINA SODICA ACCORD 50 mg/ml SOL INJ./PERF. 50mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 5 FIOLE IN TAVITA DIN POLISTIREN, DIN STICLA TRANSPARENTA CU CAPACITATEA DE 5 ML X 5 ML SOL. INJ./PERF. PRF 5 11,698000 14,790000 0,00000012 W64010005 N03AB02 PHENYTOINUM FENITOINA SODICA ACCORD 50 mg/ml SOL INJ./PERF. 50mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 5 FIOLE IN BLISTER DIN PVC/HARTIE, DIN STICLA TRANSPARENTA CU CAPACITATEA DE 5 ML X 5 ML SOL. INJ./PERF. PRF 5 11,698000 14,790000 0,00000013 W55235001 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 11,698000 14,790000 0,000000

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Pres

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tie cant/ambal

aj

Pret cu ridicata maximal de

decontare / U.T.

Pret de decontare / U.T.

contribu ție maximă

asigurat / U.T. - farmacii

comunitare

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

1 W63291002 C02KX01 BOSENTANUM ** BOPAHO 125 mg COMPR. FILM. 125mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. OPACE PVC-PE-PVDC/AL X 56 COMPR. FILM. PR 56 26,083035 29,111785 0,0000002 W65305001 C02KX01 BOSENTANUM ** TRACLEER 125 mg COMPR. FILM. 125mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE CU 4 BLIST. PVC/PE/PVDC/AL X 14 COMPR. FILM. PR 56 31,299642 34,934142 53,9230003 W43049001 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 31,299642 34,934142 53,9230004 W60937001 C02KX04 MACITENTANUM ** OPSUMIT COMPR. FILM. 10mg ACTELION REGISTRATION LTD. MAREA BRITANIE CUTIE X BLISTERE ALBE DIN FOLIE OPACA PVC-PE-PVDC/AL X 30 COMPRIMATE FILMATE PR 30 263,027333 287,971666 0,0000005 W65300001 C02KX04 MACITENTANUM ** OPSUMIT 10 mg COMPR. FILM. 10mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE CU BLIST. ALBE DIN FOLIE OPACA PVC-PE-PVDC/AL X 30 COMPR. FILM. PR 30 263,027333 287,971666 0,0000006 W63713001 C02KX05 RIOCIGUAT ** ADEMPAS 0,5mg COMPR. FILM. 0,5mg BAYER AG GERMANIA CUTIE X BLISTERE DIN FOLIE DE AL/PP X 42 COMPRIMATE FILMATE PR 42 107,689761 118,290238 0,0000007 W60680001 C02KX05 RIOCIGUAT ** ADEMPAS 0,5mg COMPR. FILM. 0,5mg BAYER PHARMA AG GERMANIA CUTIE X BLISTERE DIN FOLIE DE AL/PP X 42 COMPRIMATE FILMATE PR 42 107,689761 118,290238 0,0000008 W63715001 C02KX05 RIOCIGUAT ** ADEMPAS 1,5mg COMPR. FILM. 1,5mg BAYER AG GERMANIA CUTIE X BLISTERE DIN FOLIE DE AL/PP X 42 COMPRIMATE FILMATE PR 42 107,689761 118,290238 0,0000009 W60682001 C02KX05 RIOCIGUAT ** ADEMPAS 1,5mg COMPR. FILM. 1,5mg BAYER PHARMA AG GERMANIA CUTIE X BLISTERE DIN FOLIE DE AL/PP X 42 COMPRIMATE FILMATE PR 42 107,689761 118,290238 0,000000

10 W63714001 C02KX05 RIOCIGUAT ** ADEMPAS 1mg COMPR. FILM. 1mg BAYER AG GERMANIA CUTIE X BLISTERE DIN FOLIE DE AL/PP X 42 COMPRIMATE FILMATE PR 42 107,689761 118,290238 0,00000011 W60681001 C02KX05 RIOCIGUAT ** ADEMPAS 1mg COMPR. FILM. 1mg BAYER PHARMA AG GERMANIA CUTIE X BLISTERE DIN FOLIE DE AL/PP X 42 COMPRIMATE FILMATE PR 42 107,689761 118,290238 0,00000012 W60684001 C02KX05 RIOCIGUAT ** ADEMPAS 2,5mg COMPR. FILM. 2,5mg BAYER PHARMA AG GERMANIA CUTIE X BLISTERE DIN FOLIE DE AL/PP X 42 COMPRIMATE FILMATE PR 42 107,689761 118,290238 0,00000013 W63717001 C02KX05 RIOCIGUAT ** ADEMPAS 2,5mg COMPR. FILM. 2,5mg BAYER AG GERMANIA CUTIE X BLISTERE DIN FOLIE DE AL/PP X 42 COMPRIMATE FILMATE PR 42 107,689761 118,290238 0,00000014 W63716001 C02KX05 RIOCIGUAT ** ADEMPAS 2mg COMPR. FILM. 2mg BAYER AG GERMANIA CUTIE X BLISTERE DIN FOLIE DE AL/PP X 42 COMPRIMATE FILMATE PR 42 107,689761 118,290238 0,00000015 W60683001 C02KX05 RIOCIGUAT ** ADEMPAS 2mg COMPR. FILM. 2mg BAYER PHARMA AG GERMANIA CUTIE X BLISTERE DIN FOLIE DE AL/PP X 42 COMPRIMATE FILMATE PR 42 107,689761 118,290238 0,00000016 W63429002 G04BE03 SILDENAFILUM ** BALCOGA 20 mg COMPR. FILM. 20mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-ACLAR/AL X 90 COMPR. FILM. PRF 90 9,604933 10,978000 0,71611117 W63626002 G04BE03 SILDENAFILUM ** GRANPIDAM 20 mg COMPR. FILM. 20mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 90X1 COMPR. FILM. PR 90 8,886888 10,110666 0,00000018 W63675002 G04BE03 SILDENAFILUM ** SILDENAFIL TEVA 20 mg COMPR. FILM. 20mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 90 COMPR. FILM. PR 90 8,582444 9,778777 0,00000019 W64746001 G04BE03 SILDENAFILUM ** REVATIO 20 mg COMPR. FILM. 20mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. PVC/AL X 90 COMPR. FILM. PR 90 8,004111 9,148333 0,00000020 W63626001 G04BE03 SILDENAFILUM ** GRANPIDAM 20 mg COMPR. FILM. 20mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 90 COMPR. FILM. PR 90 8,886888 10,110666 0,00000021 W63139001 G04BE03 SILDENAFILUM ** MYSILDECARD 20 mg COMPR. FILM. 20mg MYLAN S.A.S FRANTA CUTIE CU BLIST. PVC-AL X 90 COMPR. FILM. PR 90 9,604933 10,978000 4,76255522 W65670002 G04BE03 SILDENAFILUM ** GRANPIDAM 20 mg COMPR. FILM. 20mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. PVC/AL X 90X1 COMPR. FILM. PR 90 8,886888 10,110666 0,00000023 W42831001 G04BE03 SILDENAFILUM ** REVATIO 20 mg COMPR. FILM. 20mg PFIZER LIMITED MAREA BRITANIE CUTIE X 6 BLIST. AL/PVC X 15 COMPR. FILM. PR 90 8,004111 9,148333 0,00000024 W65670001 G04BE03 SILDENAFILUM ** GRANPIDAM 20 mg COMPR. FILM. 20mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. PVC/AL X 90 COMPR. FILM. PR 90 8,886888 10,110666 0,000000

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

1 W65830001 A09AA02 PANCREATINUM ** PANCREATINA FORTE MYLAN 35000 CAPS. GASTROREZ. 420mg MYLAN HEALTHCARE GMBH GERMANIA CUTIE CU 1 FLAC. DIN PEID INCHIS CU CAPAC DIN PP X 50 CAPS. GASTROREZ. P6L 50 2,223200 2,714200 0,0000002 W66550001 A09AA02 PANCREATINUM ** PANKREAL 35000 CAPS. GASTROREZ. 420mg MYLAN HEALTHCARE GMBH GERMANIA CUTIE CU 1 FLAC. DIN PEID INCHIS CU CAPAC DIN PP X 50 CAPS. GASTROREZ. P6L 50 2,223200 2,714200 0,0000003 W63492001 J01FA09 CLARITHROMYCINUM KLACID SR 500 mg COMPR. ELIB. PREL. 500mg MYLAN PRODUCTS LIMITED MAREA BRITANIE CUTIE CU 1 BLIST. PVC/PVDC/AL X 5 COMPR. ELIB. PREL. PRF 5 1,559142 2,107714 0,7282864 W65279001 J01FA09 CLARITHROMYCINUM KLACID SR 500 mg COMPR. ELIB. PREL. 500mg MYLAN HEALTHCARE GMBH GERMANIA CUTIE CU 1 BLIST. PVC/PVDC/AL X 5 COMPR. ELIB. PREL. PRF 5 1,559142 2,107714 0,7282865 W62391001 J01FA09 CLARITHROMYCINUM KLACID SR 500 mg COMPR. ELIB. PREL. 500mg BGP PRODUCTS LTD. MAREA BRITANIE CUTIE CU 1 BLIST. PVC/PVDC/AL X 5 COMPR. ELIB. PREL. PRF 5 1,559142 2,107714 0,7282866 W14043001 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 0,910285 1,230000 0,0050007 W08490001 J01FA09 CLARITHROMYCINUM FROMILID 250 mg COMPR. FILM. 250mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM.P-RF 14 0,910285 1,230000 0,0928578 W60253004 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 0,758571 1,025000 0,0000009 W65820002 J01FA09 CLARITHROMYCINUM KLACID 250 mg COMPR. FILM. 250mg MYLAN ITALIA S.R.L. ITALIA CUTIE CU 1 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. PRF 14 0,910285 1,230000 0,702857

10 W62390002 J01FA09 CLARITHROMYCINUM KLACID 250 mg COMPR. FILM. 250mg BGP PRODUCTS S.R.L. ITALIA CUTIE CU 1 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. PRF 14 0,910285 1,230000 0,70285711 W44093001 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 0,862142 1,165714 0,00000012 W14044001 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 1,514285 2,047142 0,00000013 W60254003 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 1,299285 1,756428 0,00000014 W08491001 J01FA09 CLARITHROMYCINUM FROMILID 500 mg COMPR. FILM. 500mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM.P-RF 14 1,522857 2,057857 0,00000015 W44087001 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 1,559142 2,107714 0,07728616 W54044001 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 1,514500 1,981000 0,00000017 W41838002 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 1,559142 2,107714 0,496571

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Pres

crip

tie cant/ambal

aj

Pret cu ridicata maximal de

decontare / U.T.

Pret de decontare / U.T.

contribu ție maximă

asigurat / U.T. - farmacii

comunitare18 W65821002 J01FA09 CLARITHROMYCINUM KLACID 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml MYLAN ITALIA S.R.L. ITALIA CUTIE CU 1 FLAC. PEID CU GRANULE PT. 100 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 MLPRF 1 18,516000 25,032000 2,45800019 W62389001 J01FA09 CLARITHROMYCINUM KLACID 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml BGP PRODUCTS S.R.L. ITALIA CUTIE CU 1 FLAC. PEID CU GRANULE PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 MLPRF 1 12,192000 16,476000 4,17400020 W66370001 J01FA09 CLARITHROMYCINUM KLABAX 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml TERAPIA SA ROMANIA CUTIE CU 1 FLAC. DIN PEID, CU CAPAC DIN PP CU 42 G GRAN. PT. 60 ML SUSP . ORALA PRF 1 10,160000 13,730000 0,00000021 W66370002 J01FA09 CLARITHROMYCINUM KLABAX 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml TERAPIA SA ROMANIA CUTIE CU 1 FLAC. DIN PEID, CU CAPAC DIN PP CU 70 G GRAN. PT. 100 ML SUSP . ORALA PRF 1 15,430000 20,860000 0,00000022 W62389002 J01FA09 CLARITHROMYCINUM KLACID 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml BGP PRODUCTS S.R.L. ITALIA CUTIE CU 1 FLAC. PEID CU GRANULE PT. 100 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 MLPRF 1 18,516000 25,032000 2,45800023 W65821001 J01FA09 CLARITHROMYCINUM KLACID 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml MYLAN ITALIA S.R.L. ITALIA CUTIE CU 1 FLAC. PEID CU GRANULE PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 MLPRF 1 12,192000 16,476000 4,17400024 W44092001 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 . ORALAP-RF 1 10,160000 13,730000 0,00000025 W66369002 J01FA09 CLARITHROMYCINUM KLABAX 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml TERAPIA SA ROMANIA CUTIE CU 1 FLAC. DIN PEID, CU CAPAC DIN PP CU 70 G GRAN. PT. 100 ML SUSP . ORALA PRF 1 43,410000 56,780000 0,00000026 W44091001 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 26,050000 34,070000 0,00000027 W66369001 J01FA09 CLARITHROMYCINUM KLABAX 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml TERAPIA SA ROMANIA CUTIE CU 1 FLAC. DIN PEID, CU CAPAC DIN PP CU 42 G GRAN. PT. 60 ML SUSP . ORALA PRF 1 26,050000 34,070000 0,00000028 W62343001 J01FA09 CLARITHROMYCINUM KLACID I.V. 500 mg PULB. PT. CONC. PT. SOL. PERF. 500mg MYLAN MEDICAL SAS FRANTA CUTIE CU 1 FLAC. DIN STICLA INCOLORA I, DE CAPACITATE 15 ML CONTINAND PULB. PT. CONC. PT. SOL. PERF. PRF 1 32,380000 42,350000 0,00000029 W52060001 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 5ML SOLUTIE DE INHALAT PRIN NEBULIZATOR P-RF 56 62,182857 68,460714 0,00000030 W66587001 J01GB01 TOBRAMYCINUM ** TOBI 300 mg/5 ml SOL. PT. INHALARE PRIN NEBULIZATOR 300mg/5ml MYLAN IRE HEALTHCARE LIMITED IRLANDA CUTIE CU 4 PLICURI DIN AL; FIECARE PLIC CONTINE 7 FIOLE GEMENE DIN PEJD A 5 ML SOL. DE INHALAT PRIN NEBULIZATOR PRF 56 62,182857 68,460714 0,00000031 W63762001 J01GB01 TOBRAMYCINUM ** TOBRAMICINA SUN 300 mg SOL. PT. NEBULIZATOR 300mg SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V. OLANDA CUTIE CU 56 FIOLE AMBALATE IN PUNGI DE FOLIE LAMINATA DIN PEJD A CATE 5 ML SOL. DE INHALAT PRIN NEBULIZATOR, DISPUSE IN 14 PUNGI SIGILATE CU CATE 4 FIOLE PRF 56 61,557678 67,779285 0,00000032 W61214001 R05CB13 DORNAZA ALFA ** PULMOZYME 2500 U/2,5 ml SOL. DE INHALAT PRIN NEBULIZATOR 2500U/2,5ml ROCHE ROMANIA S.R.L.ROMANIA CUTIE CU 6 FIOLE UNIDOZA, MONOBLOC, DIN PE X 2,5 ML SOL. INHAL. PRIN NEBULIZATOR, INTRODUSE INTR-O PUNGA DIN AL PR 6 73,196666 86,143333 0,000000

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 W66182001 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. 165mg/ml OCTAPHARMA (IP) SPRLBELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 6 ML SOL. INJ. PR 1 399,350000 473,440000 0,0000002 W66182003 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. 165mg/ml OCTAPHARMA (IP) SPRLBELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 12 ML SOL. INJ. PR 1 768,770000 876,110000 0,0000003 W66182005 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. 165mg/ml OCTAPHARMA (IP) SPRLBELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 24 ML SOL. INJ. PR 1 1.507,540000 1.681,370000 0,0000004 W66182006 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. 165mg/ml OCTAPHARMA (IP) SPRLBELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 48 ML SOL. INJ. PR 1 2.985,080000 3.291,890000 0,0000005 W54752002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 70 ML X 50 ML SOL. PERF. PR 1 932,550000 1.054,630000 0,0000006 W54752001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 30 ML X 20 ML SOL. PERF. PR 1 408,030000 482,900000 0,0000007 W54752003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 100 ML X 100 ML SOL. PERF. PR 1 1.835,250000 2.038,570000 0,0000008 W65903004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) SPRLBELGIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 250 ML X 200 ML SOL. PERF. PR 1 3.736,920000 4.111,400000 0,0000009 W65903001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) SPRLBELGIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 30 ML X 20 ML SOL. PERF. PR 1 408,030000 482,900000 0,000000

10 W65903002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) SPRLBELGIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 70 ML X 50 ML SOL. PERF. PR 1 932,550000 1.054,630000 0,00000011 W65903003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) SPRLBELGIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 100 ML X 100 ML SOL. PERF. PR 1 1.835,250000 2.038,570000 0,00000012 W62722003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PANZYGA 100 mg/ml SOL. PERF. 100mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 70 ML, CU 50 ML SOL. PERF. PR 1 966,910000 1.092,080000 0,00000013 W65358003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PANZYGA 100 mg/ml SOL. PERF. 100mg/ml OCTAPHARMA (IP) SPRLBELGIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 70 ML, CU 50 ML SOL. PERF. PR 1 966,910000 1.092,080000 0,00000014 W53030001 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. PR 1 923,350000 1.044,600000 0,00000015 W53030002 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. PR 1 1.797,530000 1.997,460000 0,00000016 W53030004 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. PR 1 477,940000 559,100000 0,00000017 W53030003 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. PR 1 3.835,300000 4.218,630000 0,00000018 W43965001 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 PR 1 2.461,260000 2.720,930000 0,00000019 W43962001 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 PR 1 245,530000 299,740000 0,00000020 W43963001 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 PR 1 637,810000 733,360000 0,00000021 W59114002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** INTRATECT 50 g/l SOL. PERF. 50g/l BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 50 ML SOL. PERF. PRF 1 539,240000 625,920000 0,00000022 W59114001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** INTRATECT 50 g/l SOL. PERF. 50g/l BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 20 ML SOL. PERF. PRF 1 224,070000 273,540000 0,00000023 W59114004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** INTRATECT 50 g/l SOL. PERF. 50g/l BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 200 ML SOL. PERF. PRF 1 2.066,990000 2.291,170000 0,00000024 W59114003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** INTRATECT 50 g/l SOL. PERF. 50g/l BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 100 ML SOL. PERF. PRF 1 1.048,500000 1.181,020000 0,00000025 W13462001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM SOL. PERF. 50mg/ml OCTAPHARMA (IP) LTD.MAREA BRITANIE CUTIE X 1 FLACON X 50 ML S 1 490,690000 573,000000 0,00000026 W65624002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 50 mg/ml SOL. PERF. 50mg/ml OCTAPHARMA (IP) SPRLBELGIA CUTIE CU 1 FLAC. DIN STICLA X 50 ML SOL. PERF.PR 1 490,690000 573,000000 0,00000027 W65624003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 50 mg/ml SOL. PERF. 50mg/ml OCTAPHARMA (IP) SPRLBELGIA CUTIE CU 1 FLAC. DIN STICLA X 100 ML SOL. PERF. PR 1 949,870000 1.073,510000 0,00000028 W65624004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 50 mg/ml SOL. PERF. 50mg/ml OCTAPHARMA (IP) SPRLBELGIA CUTIE CU 1 FLAC. DIN STICLA X 200 ML SOL. PERF. PR 1 1.859,420000 2.064,920000 0,00000029 W13462003 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 1.859,420000 2.064,920000 0,000000

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Concentratie / U.T.

Firma Tara Ambalaj

Pres

crip

tie cant/ambal

aj

Pret cu ridicata maximal de

decontare / U.T.

Pret de decontare / U.T.

contribu ție maximă

asigurat / U.T. - farmacii

comunitare30 W13462002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM SOL. PERF. 50mg/ml OCTAPHARMA (IP) LTD.MAREA BRITANIE CUTIE X 1 FLACON X 100 ML S 1 949,870000 1.073,510000 0,00000031 W43964001 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 PR 1 1.245,630000 1.395,890000 0,000000

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 W12590001 N07XX02RILUZOLUM ** RILUTEK 50 mg COMPR. FILM. 50mg AVENTIS PHARMA SA FRANTA CUTIE X 4 BLIST. X 14 COMPR. FILM. PR 56 6,110535 7,341785 0,0000002 W66040001 N07XX02RILUZOLUM ** RILUTEK 50 mg COMPR. FILM. 50mg SANOFI MATURE IP FRANTA CUTIE CU BLIST. X 56 COMPR. FILM. PR 56 6,189464 7,427678 0,000000

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 W59336001 N07XX08TAFAMIDIS ** VYNDAQEL CAPS. MOI 20mg PFIZER LIMITED MAREA BRITANIE CUTIE CU 2 BLIST. PVC/AL A CATE 15 CAPSULE MOI PR 30 1.241,659333 1.354,682000 0,0000002 W64784001 N07XX08TAFAMIDIS ** VYNDAQEL CAPS. MOI 20mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 2 BLIST. PVC/AL A CATE 15 CAPSULE MOI PR 30 1.241,659333 1.354,682000 0,0000003 W64784003 N07XX08TAFAMIDIS ** VYNDAQEL CAPS. MOI 20mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. PERFORATE PENTRU ELIBERAREA UNEI UNITATI DOZATE DIN PVC/PA/AL/PVC-AL/PET/HARTIE X 30X1 CAPS. MOI PR 30 1.241,659333 1.354,682000 0,000000

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

1 W66277001 M05BA03 ACIDUM PAMIDRONICUM PAMIFOS-30 PULB. SI SOLV. PT. SOL. PERF.30mg CN UNIFARM S.A. ROMANIA CUTIE CE CONTINE 2 FLAC. CU PULB. PT. SOL. PERF. + 2 FIOLE CU SOLVENT PRF 2 144,210000 176,050000 0,000000

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

1 W05539002 H01AC01 SOMATROPINUM ** GENOTROPIN 16 UI/ml (5,3 mg/ml)PULB. + SOLV. PT. SOL. INJ. 16UI/ml (5,3mg/ml) PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 CARTUS BICAMERAL MULTIDOZA CU PULB. SI SOLV. PT. SOL. INJ. P-RF 1 339,490000 408,190000 0,0000002 W64823002 H01AC01 SOMATROPINUM ** GENOTROPIN 16 UI/ml (5,3 mg/ml)PULB. + SOLV. PT. SOL. INJ. 16UI/ml(5,3mg/ml) PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 CARTUS BICAMERAL MULTIDOZA CARE CONTINE PULB. SI SOLV. PT. SOL. INJ. PRF 1 339,490000 408,190000 0,0000003 W07530001 H01AC01 SOMATROPINUM ** ZOMACTON PULB. + SOLV. PT. SOL. INJ. 4mg (12ui) FERRING GMBH GERMANIA CUTIE X 1 FLAC. LIOF. PT. SOL. INJ. + 1 FIOLA X 3,5 ML SOLV. PR/PRF 1 395,600000 469,350000 0,0000004 W63194001 H01AC01 SOMATROPINUM ** OMNITROPE 10 mg/1,5 ml SOL INJ. IN CARTUS 10mg/1,5ml SANDOZ GMBH AUSTRIA CUTIE X 1 CARTUS X 1,5 ML SOL.INJ. (PENTRU SUREPAL 10) PR/PRF 1 640,500000 736,300000 0,0000005 W63193001 H01AC01 SOMATROPINUM ** OMNITROPE 5 mg/1,5 ml SOL INJ. IN CARTUS 5mg/1,5ml SANDOZ GMBH AUSTRIA CUTIE X 1 CARTUS X 1,5 ML SOL.INJ. (PENTRU SUREPAL 5) PR/PRF 1 330,690000 398,600000 0,0000006 W52345001 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 1 339,300000 407,990000 0,0000007 W66036001 H01AC01 SOMATROPINUM ** SAIZEN 5,83 mg/ml SOL. INJ. 5,83mg/ml MERCK ROMANIA SRL ROMANIA CUTIE CU 1 CARTUS DIN STICLA CU DOP CU PISTON DIN CAUCIUC SI CAPSA DIN AL CU INSERTIE DE CAUCIUC X 1,03 ML SOL. INJ. (6 MG SOMATROPINA) PR/PRF 1 527,190000 612,790000 0,0000008 W52346001 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 1 660,810000 758,430000 0,0000009 W66037001 H01AC01 SOMATROPINUM ** SAIZEN 8 mg/ml SOL. INJ. 8mg/ml MERCK ROMANIA SRL ROMANIA CUTIE CU 1 CARTUS DIN STICLA CU DOP CU PISTON DIN CAUCIUC SI CAPSA DIN AL CU INSERTIE DE CAUCIUC X 1,50 ML SOL. INJ. (12 MG SOMATROPINA) PR/PRF 1 1.024,370000 1.154,710000 0,000000

10 W66037003 H01AC01 SOMATROPINUM ** SAIZEN 8 mg/ml SOL. INJ. 8mg/ml MERCK ROMANIA SRL ROMANIA CUTIE CU 1 CARTUS DIN STICLA CU DOP CU PISTON DIN CAUCIUC SI CAPSA DIN AL CU INSERTIE DE CAUCIUC X 2,50 ML SOL. INJ. (20 MG SOMATROPINA) PR/PRF 1 1.687,290000 1.877,300000 0,00000011 W54046001 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 1 768,600000 883,560000 276,310000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER P6.8: BOALA FABRY

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Pres

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tie cant/ambal

aj

Pret cu ridicata maximal de

decontare / U.T.

Pret de decontare / U.T.

contribu ție maximă

asigurat / U.T. - farmacii

comunitare

1 W08961001 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 12.054,770000 13.177,870000 0,0000002 W64982001 A16AX14 MIGALASTATUM ** GALAFOLD 123 mg CAPS. 123mg AMICUS THERAPEUTICS UK LTD MAREA BRITANIE CUTIE CU BLIST. PVC/PCTFE/PVC/AL X 14 CAPS.PR 14 4.905,396428 5.349,614285 0,0000003 W65913001 A16AX14 MIGALASTATUM ** GALAFOLD 123 mg CAPS. 123mg AMICUS THERAPEUTICS EUROPE LIMITED IRLANDA CUTIE CU BLIST. PVC/PCTFE/PVC/AL X 14 CAPS.PR 14 4.905,396428 5.349,614285 0,000000

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

1 W51536001 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 1.944,230000 2.157,360000 0,000000

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

1 W51629001 A16AX04 NITISINONUM ORFADIN 10mg CAPS. 10mg SWEDISH ORPHAN INTERNATIONAL AB SUEDIA CUTIE X 1 FLAC. DIN PEID X 60 CAPS. P-RF/R 60 133,148200 145,894800 27,8853662 W65523001 A16AX04 NITISINONUM NITISINONE MENDELIKABS 10 mgCAPS. 10mg MENDELIKABS EUROPE LIMITEDMAREA BRITANIE FLAC. DIN PLASTIC HDPE CU CAPAC DIN PLASTIC LDPE CARE CONTINE 60 DE CAPS. PR 60 110,956833 121,579000 0,0000003 W65521001 A16AX04 NITISINONUM NITISINONE MENDELIKABS 2 mgCAPS. 2mg MENDELIKABS EUROPE LIMITEDMAREA BRITANIE FLAC. DIN PLASTIC HDPE CU CAPAC DIN PLASTIC LDPE CARE CONTINE 60 DE CAPS. PR 60 22,591333 25,260500 0,0000004 W51622001 A16AX04 NITISINONUM ORFADIN 2mg CAPS. 2mg SWEDISH ORPHAN INTERNATIONAL AB SUEDIA CUTIE X 1 FLAC. DIN PEID X 60 CAPS. P-RF/R 60 27,109600 30,312600 17,1507335 W65522001 A16AX04 NITISINONUM NITISINONE MENDELIKABS 5 mgCAPS. 5mg MENDELIKABS EUROPE LIMITEDMAREA BRITANIE FLAC. DIN PLASTIC HDPE CU CAPAC DIN PLASTIC LDPE CARE CONTINE 60 DE CAPS. PR 60 55,728500 61,380000 0,0000006 W51627001 A16AX04 NITISINONUM ORFADIN 5mg CAPS. 5mg SWEDISH ORPHAN INTERNATIONAL AB SUEDIA CUTIE X 1 FLAC. DIN PEID X 60 CAPS. P-RF/R 60 66,874200 73,656000 23,337666

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER P6.12: MUCOPOLIZAHARIDOZĂ TIP II (SINDROM HUNTER)

1 W51481002 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. PR 4 11.185,067500 12.201,277500 0,000000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER P6.13: MUCOPOLIZAHARIDOZĂ TIP I (SINDROM HURLER)

1 W42203001 A16AB05 LARONIDAZUM ** ALDURAZYME 100UI/ml CONC. PT. SOL. PERF. 100UI/ml GENZYME EUROPE BV OLANDA CUTIE X 1 FLAC. X 5 ML PR 1 2.344,690000 2.593,870000 0,000000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER P6.14: Afibrinogenemie congenitală

1 W13381003 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. PR 1 1.735,220000 1.929,540000 0,000000

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

1 W66182001 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. 165mg/ml OCTAPHARMA (IP) SPRLBELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 6 ML SOL. INJ. PR 1 399,350000 473,440000 0,0000002 W66182003 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. 165mg/ml OCTAPHARMA (IP) SPRLBELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 12 ML SOL. INJ. PR 1 768,770000 876,110000 0,000000

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comunitare3 W66182005 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. 165mg/ml OCTAPHARMA (IP) SPRLBELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 24 ML SOL. INJ. PR 1 1.507,540000 1.681,370000 0,0000004 W66182006 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. 165mg/ml OCTAPHARMA (IP) SPRLBELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 48 ML SOL. INJ. PR 1 2.985,080000 3.291,890000 0,0000005 W54752002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 70 ML X 50 ML SOL. PERF. PR 1 932,550000 1.054,630000 0,0000006 W54752001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 30 ML X 20 ML SOL. PERF. PR 1 408,030000 482,900000 0,0000007 W54752003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 100 ML X 100 ML SOL. PERF. PR 1 1.835,250000 2.038,570000 0,0000008 W65903004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) SPRLBELGIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 250 ML X 200 ML SOL. PERF. PR 1 3.736,920000 4.111,400000 0,0000009 W65903001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) SPRLBELGIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 30 ML X 20 ML SOL. PERF. PR 1 408,030000 482,900000 0,000000

10 W65903002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) SPRLBELGIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 70 ML X 50 ML SOL. PERF. PR 1 932,550000 1.054,630000 0,00000011 W65903003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) SPRLBELGIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 100 ML X 100 ML SOL. PERF. PR 1 1.835,250000 2.038,570000 0,00000012 W62722003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PANZYGA 100 mg/ml SOL. PERF. 100mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 70 ML, CU 50 ML SOL. PERF. PR 1 966,910000 1.092,080000 0,00000013 W65358003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PANZYGA 100 mg/ml SOL. PERF. 100mg/ml OCTAPHARMA (IP) SPRLBELGIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 70 ML, CU 50 ML SOL. PERF. PR 1 966,910000 1.092,080000 0,00000014 W53030001 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. PR 1 923,350000 1.044,600000 0,00000015 W53030002 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. PR 1 1.797,530000 1.997,460000 0,00000016 W53030004 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. PR 1 477,940000 559,100000 0,00000017 W53030003 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. PR 1 3.835,300000 4.218,630000 0,00000018 W43965001 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 PR 1 2.461,260000 2.720,930000 0,00000019 W43962001 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 PR 1 245,530000 299,740000 0,00000020 W43963001 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 PR 1 637,810000 733,360000 0,00000021 W59114002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** INTRATECT 50 g/l SOL. PERF. 50g/l BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 50 ML SOL. PERF. PRF 1 539,240000 625,920000 0,00000022 W59114001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** INTRATECT 50 g/l SOL. PERF. 50g/l BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 20 ML SOL. PERF. PRF 1 224,070000 273,540000 0,00000023 W59114004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** INTRATECT 50 g/l SOL. PERF. 50g/l BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 200 ML SOL. PERF. PRF 1 2.066,990000 2.291,170000 0,00000024 W59114003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** INTRATECT 50 g/l SOL. PERF. 50g/l BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 100 ML SOL. PERF. PRF 1 1.048,500000 1.181,020000 0,00000025 W13462001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM SOL. PERF. 50mg/ml OCTAPHARMA (IP) LTD.MAREA BRITANIE CUTIE X 1 FLACON X 50 ML S 1 490,690000 573,000000 0,00000026 W65624002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 50 mg/ml SOL. PERF. 50mg/ml OCTAPHARMA (IP) SPRLBELGIA CUTIE CU 1 FLAC. DIN STICLA X 50 ML SOL. PERF.PR 1 490,690000 573,000000 0,00000027 W65624003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 50 mg/ml SOL. PERF. 50mg/ml OCTAPHARMA (IP) SPRLBELGIA CUTIE CU 1 FLAC. DIN STICLA X 100 ML SOL. PERF. PR 1 949,870000 1.073,510000 0,00000028 W65624004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 50 mg/ml SOL. PERF. 50mg/ml OCTAPHARMA (IP) SPRLBELGIA CUTIE CU 1 FLAC. DIN STICLA X 200 ML SOL. PERF. PR 1 1.859,420000 2.064,920000 0,00000029 W13462003 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 1.859,420000 2.064,920000 0,00000030 W13462002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM SOL. PERF. 50mg/ml OCTAPHARMA (IP) LTD.MAREA BRITANIE CUTIE X 1 FLACON X 100 ML S 1 949,870000 1.073,510000 0,00000031 W43964001 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 PR 1 1.245,630000 1.395,890000 0,000000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER P6.16: Scleroza sistemică şi ulcere digitale evolutive

1 W63291002 C02KX01 BOSENTANUM ** BOPAHO 125 mg COMPR. FILM. 125mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. OPACE PVC-PE-PVDC/AL X 56 COMPR. FILM. PR 56 26,083035 29,111785 0,0000002 W65305001 C02KX01 BOSENTANUM ** TRACLEER 125 mg COMPR. FILM. 125mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE CU 4 BLIST. PVC/PE/PVDC/AL X 14 COMPR. FILM. PR 56 31,299642 34,934142 53,9230003 W43049001 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 31,299642 34,934142 53,923000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER P6.17: Purpura trombocitopenică imună idiopatică cronică

1 W53894001 B02BX04 ROMIPLOSTIMUM **1 NPLATE 250mcg PULB. PT. SOL. INJ. 250mcg AMGEN EUROPE B.V. OLANDA CUTIE X 1 FLAC X 250MCG PULB. PT. SOL. INJ. S 1 2.433,480000 2.690,650000 0,0000002 W64445002 B02BX05 ELTROMBOPAG **1 Ω REVOLADE 25 mg COMPR. FILM. 25 mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. PA/AL/PVC/AL X 28 COMPR. FILM. PR 28 129,108214 142,090714 0,0000003 W61698002 B02BX05 ELTROMBOPAG **1 Ω REVOLADE 25 mg COMPR. FILM. 25 mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE CU BLIST. PA/AL/PVC/AL X 28 COMPR. FILM. P-RF/R 28 129,108214 142,090714 0,0000004 W64446002 B02BX05 ELTROMBOPAG **1 Ω REVOLADE 50 mg COMPR. FILM. 50 mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. PA/AL/PVC/AL X 28 COMPR. FILM. PR 28 257,206428 281,717857 0,0000005 W61699002 B02BX05 ELTROMBOPAG **1 Ω REVOLADE 50 mg COMPR. FILM. 50 mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE CU BLIST. PA/AL/PVC/AL X 28 COMPR. FILM. P-RF/R 28 257,206428 281,717857 0,000000

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

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P6.18: Pacienţi adulţi şi copii cu hiperfenilalaninemie diagnosticaţi cu fenilcetonurie sau deficit de tetrahidrobiopterină (BH4)

1 W62473002 A16AX07 SAPROPTERINUM **1 KUVAN COMPR. SOLUBILE 100 mg BIOMARIN INTERNATIONAL LIMITED IRLANDA CUTIE X FLAC. PEID X 120 COMPR. SOLUBILE PR 120 91,873416 100,460083 0,000000

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

1 W64600002 L01XE10 EVEROLIMUS **1 VOTUBIA COMPR. 2,5 mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. AL/PA/AL/PVC X 30 COMPR. PR 30 163,767000 179,778000 0,0000002 W57284002 L01XE10 EVEROLIMUS **1 VOTUBIA COMPR. 2,5 mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE CU BLIST. PA/AL/PVC X 30 COMPR. PR 30 163,767000 179,778000 0,0000003 W57285001 L01XE10 EVEROLIMUS **1 VOTUBIA COMPR. 5mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE CU BLIST. PA/AL/PVC X 30 COMPR. PR 30 326,533000 357,193000 0,0000004 W64601001 L01XE10 EVEROLIMUS **1 VOTUBIA COMPR. 5mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. AL/PA/AL/PVC X 30 COMPR. PR 30 326,533000 357,193000 0,0000005 W64603001 L01XE10 EVEROLIMUS **1 VOTUBIA 2 mg COMPR. PT. DISP. ORALA 2mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. AL/PA/AL/PVC X 30 COMPR. PT. DISPERSIE ORALA PR 30 131,213666 144,294666 0,0000006 W63465001 L01XE10 EVEROLIMUS **1 VOTUBIA 2 mg COMPR. PT. DISP. ORALA 2mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE CU BLIST. PA/AL/PVC X 30 COMPR. PT. DISPERSIE ORALA PR 30 131,213666 144,294666 0,0000007 W64604001 L01XE10 EVEROLIMUS **1 VOTUBIA 3 mg COMPR. PT. DISP. ORALA 3mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. AL/PA/AL/PVC X 30 COMPR. PT. DISPERSIE ORALA PR 30 196,319333 215,260000 0,0000008 W63466001 L01XE10 EVEROLIMUS **1 VOTUBIA 3 mg COMPR. PT. DISP. ORALA 3mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE CU BLIST. PA/AL/PVC X 30 COMPR. PT. DISPERSIE ORALA PR 30 196,319333 215,260000 0,0000009 W64605001 L01XE10 EVEROLIMUS **1 VOTUBIA 5 mg COMPR. PT. DISP. ORALA 5mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. AL/PA/AL/PVC X 30 COMPR. PT. DISPERSIE ORALA PR 30 326,533000 357,193000 0,000000

10 W63467001 L01XE10 EVEROLIMUS **1 VOTUBIA 5 mg COMPR. PT. DISP. ORALA 5mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE CU BLIST. PA/AL/PVC X 30 COMPR. PT. DISPERSIE ORALA PR 30 326,533000 357,193000 0,000000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER P6.20: Fibroza pulmonară idiopatică

1 W61689002 L01XE31 NINTEDANIBUM **1 OFEV 100 mg CAPS. MOI 100mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA AMBALAJ CU 60X1 CAPSULE MOI ÎN BLISTERE PERFORATE DIN ALUMINIU PENTRU ELIBERAREA UNUI UNITATII DOZATE PR 60 80,344833 88,211833 0,0000002 W61690002 L01XE31 NINTEDANIBUM **1 OFEV 150 mg CAPS. MOI 150mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA AMBALAJ CU 60X1 CAPSULE MOI ÎN BLISTERE PERFORATE DIN ALUMINIU PENTRU ELIBERAREA UNUI UNITATII DOZATE PR 60 158,076166 172,939166 0,0000003 W64377001 L04AX05 PIRFENIDONUM **1 ESBRIET 267 mg CAPS. 267mg ROCHE REGISTRATION GMBH GERMANIA CUTIE CU BLIST. X 63 CAPSULE PR 63 35,549682 39,354761 0,0000004 W61951001 L04AX05 PIRFENIDONUM **1 ESBRIET 267mg CAPS. 267mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE CU BLIST. X 63 CAPSULE PR 63 35,549682 39,354761 0,0000005 W64064001 L04AX05 PIRFENIDONUM **1 ESBRIET 267 mg COMPR. FILM. 267mg ROCHE REGISTRATION LTD. MAREA BRITANIE AMBALAJ CU 252 COMPR. FILM. PR 252 36,051150 39,447182 0,0000006 W64378001 L04AX05 PIRFENIDONUM **1 ESBRIET 267 mg COMPR. FILM. 267mg ROCHE REGISTRATION GMBH GERMANIA AMBALAJ CU 252 COMPR. FILM. PR 252 36,051150 39,447182 0,0000007 W64065001 L04AX05 PIRFENIDONUM **1 ESBRIET 801 mg COMPR. FILM. 801mg ROCHE REGISTRATION LTD. MAREA BRITANIE AMBALAJ CU 84 COMPR. FILM PR 84 108,756071 118,998452 0,0000008 W64379001 L04AX05 PIRFENIDONUM **1 ESBRIET 801 mg COMPR. FILM. 801mg ROCHE REGISTRATION GMBH GERMANIA AMBALAJ CU 84 COMPR. FILM PR 84 108,756071 118,998452 0,000000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER P6.21: Distrofia musculară Duchenne

1 W62140001 M09AX03 ATALURENUM **1 TRANSLARNA 1000 mg GRANULE PT. SUSP. ORALA 1000mg PTC THERAPEUTICS INTERNATIONAL LIMITED IRLANDA CUTIE CU 30 PLICURI PRF 30 3.650,052333 3.979,834000 0,0000002 W62138001 M09AX03 ATALURENUM **1 TRANSLARNA 125 mg GRANULE PT. SUSP. ORALA 125mg PTC THERAPEUTICS INTERNATIONAL LIMITED IRLANDA CUTIE CU 30 PLICURI PRF 30 457,131666 499,545666 0,0000003 W62139001 M09AX03 ATALURENUM **1 TRANSLARNA 250 mg GRANULE PT. SUSP. ORALA 250mg PTC THERAPEUTICS INTERNATIONAL LIMITED IRLANDA CUTIE CU 30 PLICURI PRF 30 913,263000 996,729666 0,000000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER P6.22: Angioedem ereditar

1 W62758001 B06AC02 ICATIBANTUM **1 FIRAZYR 30 mg SOL. INJ. IN SERINGA PREUMPLUTA 10mg/ml SHIRE ORPHAN THERAPIES GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 3 ML + AC HIPODERMIC P-RF 1 6.825,470000 7.477,920000 0,000000

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P6.23: Neuropatia optică ereditară Leber

1 W62508001 N06BX13 IDEBENONUM **1 RAXONE 150 mg COMPR. FILM. 150mg SANTHERA PHARMACEUTICALS (DEUTSCHLAND) GMBH GERMANIA CUTIE CU FLAC. PEID X 180 COMPR. FILM. PR 180 95,569055 104,382333 0,000000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER P6.24: Amiotrofia spinală musculară

1 W65220001 M09AX07 NUSINERSENUM **1 SPINRAZA 12 mg SOL INJ. 2,4mg/ml BIOGEN NETHERLANDS B.V. OLANDA CUTIE CU 1 FLAC. DE 5 ML CONTINE 12 MG NUSINERSEN PR 1 331.280,070000 361.133,900000 0,000000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER P6.25: Boala Castelman

1 W61750001 L04AC11 SILTUXIMABUM **1 SYLVANT 100 mg PULB. PT. CONC. PT. SOL. PERF. 100mg JANSSEN-CILAG INTERNATIONAL NV BELGIA FLACON DE STICLA TIP 1 DE 8 ML CU ÎNCHIDERE ELASTOMERICA SI SIGILIU DE ALUMINIU CU CAPAC FLIP-OFF CE CONTINE 100 MG DE SILTUXIMAB PRF 1 2.188,060000 2.423,140000 0,0000002 W66521001 L04AC11 SILTUXIMABUM **1 SYLVANT 100 mg PULB. PT. CONC. PT. SOL. PERF. 100mg EUSA PHARMA (NETHERLANDS) B.V. OLANDA FLACON DE STICLA TIP 1 DE 8 ML CU ÎNCHIDERE ELASTOMERICA SI SIGILIU DE ALUMINIU CU CAPAC FLIP-OFF CE CONTINE 100 MG DE SILTUXIMAB PRF 1 2.188,070000 2.423,150000 0,0000003 W61751001 L04AC11 SILTUXIMABUM **1 SYLVANT 400 mg PULB. PT. CONC. PT. SOL. PERF. 400mg JANSSEN-CILAG INTERNATIONAL NV BELGIA FLACON DE STICLA TIP 1 DE 30 ML CU ÎNCHIDERE ELASTOMERICA SI SIGILIU DE ALUMINIU CU CAPAC FLIP-OFF CE CONTINE 400 MG DE SILTUXIMAB PRF 1 8.662,310000 9.480,080000 0,0000004 W66522001 L04AC11 SILTUXIMABUM **1 SYLVANT 400 mg PULB. PT. CONC. PT. SOL. PERF. 400mg EUSA PHARMA (NETHERLANDS) B.V. OLANDA FLACON DE STICLA TIP 1 DE 30 ML CU ÎNCHIDERE ELASTOMERICA SI SIGILIU DE ALUMINIU CU CAPAC FLIP-OFF CE CONTINE 400 MG DE SILTUXIMAB PRF 1 8.662,310000 9.480,080000 0,000000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER P6.26: Mucopolizaharidoza Tip IVA

1 W63017001 A16AB12 ELOSULFASE ALFA ** VIMIZIM 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml BIOMARIN EUROPE LIMITED MAREA BRITANIE FLACON DE STICLA TRANSPARENTA DE 5 ML X 5 MG ALFA ELOSULFAZA PR 1 3.557,650000 3.915,990000 0,0000002 W66181001 A16AB12 ELOSULFASE ALFA ** VIMIZIM 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml BIOMARIN INTERNATIONAL LIMITED IRLANDA FLACON DE STICLA TRANSPARENTA DE 5 ML X 5 MG ALFA ELOSULFAZA PR 1 3.557,650000 3.915,990000 0,000000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER P6.27: Boli rare - medicamente incluse condiţionat utilizate în tratamentul spitalicesc

1 W65240002 A16AB15 VELMANAZA ALFA **1 Ω LAMZEDE 10 mg PULB. PT. SOL. PERF. 10 mg CHIESI FARMACEUTICI S.P.A. ITALIA FLACON DE 10 ML (STICLA DE TIP I) CU DOP DIN CAUCIUC BROMOBUTILIC, SIGILIU DIN ALUMINIU SI UN CAPAC FARA FILET, DETASABIL, DIN POLIPROPILENA PR 1 4.638,750000 5.094,390000 0,0000002 W64486001 A16AB17 CERLIPONASUM ALFA **1 Ω BRINEURA 150 mg SOL. PERF. 150mg BIOMARIN INTERNATIONAL LIMITED IRLANDA DIMENSIUNEA AMBALAJULUI CU 3 FLAC.: 2 FLAC. X 150 MG DE CERLIPONAZA ALFA IN 5 ML SOLUTIE + 1 FLAC. X 5 ML SOLUTIE DE SPALARE PR 1 94.926,400000 103.508,060000 0,0000003 W64494001 L04AX08 DARVADSTROCELUM **1 Ω ALOFISEL 5 milioane celule/ml SUSP. INJ. 30milioane celule/6ml TAKEDA PHARMA A/SDANEMARCA CUTIE CU 4 FLAC. DIN STICLA X 6 ML SUSP. PR 1 279.347,640000 304.527,470000 0,000000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER P6.28: Limfangioleiomiomatoză

1 W61479001 L04AA10 SIROLIMUS ** RAPAMUNE 1mg DRAJ. 1mg PFIZER LIMITED MAREA BRITANIE CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR) PR 30 15,523333 18,192000 0,0000002 W65025001 L04AA10 SIROLIMUS ** RAPAMUNE 1 mg DRAJ. 1mg PFIZER EUROPE MA EEIG BELGIA CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR) PR 30 15,523333 18,192000 0,000000

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

1 W00231001 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 0,460000 0,621800 0,0000002 W58167002 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. MOIPRF 30 0,552000 0,746160 0,0741733 W44042001 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 0,928333 1,214333 0,0000004 W65339001 A11CC03 ALFACALCIDOLUM ALFACALCIDOL HEATON 0,50 micrograme CAPS. MOI 0,50micrograme HEATON K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN PEID X 30 CAPS. MOIPRF 30 0,928333 1,214333 0,000000

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Pret de decontare / U.T.

contribu ție maximă

asigurat / U.T. - farmacii

comunitare5 W58168002 A11CC03 ALFACALCIDOLUM ALFACALCIDOL SANDOZ 0,5 mcgCAPS. MOI 0,5µg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 CAPS. MOIPRF 30 0,928333 1,214333 0,0000006 W55847001 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. PR 10 11,755000 14,350000 0,0000007 W55847002 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. PR 10 22,421000 27,372000 0,0000008 W62058001 G03CA03 ESTRADIOLUM LENZETTO 1,53 mg/doza SPRAY TRANSDERMIC, SOL. 1,53mg/doza GEDEON RICHTER ROMANIA S.A. ROMANIA CUTIE CU UN FLAC. DIN STICLA CARE CONTINE 8,1 ML SOL., PREVAZUT CU O POMPA DOZATOARE P6L 1 37,240000 48,710000 0,0000009 W12902001 G03CX01 TIBOLONUM LIVIAL (R) 2,5 mg COMPR. 2,5mg ORGANON NV OLANDA CUTIE X 1 BLIST. X 28 COMPR. P-RF 28 1,299285 1,699285 0,000000

10 W63437001 G03CX01 TIBOLONUM LIVIAL 2,5 mg COMPR. 2,5mg MERCK SHARP & DOHME ROMANIA S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 28 COMPR. PRF 28 1,299285 1,699285 0,00000011 W62041003 G03XC01 RALOXIFENUM RALOXIFEN ARENA 60 mg COMPR. FILM. 60mg ARENA GROUP S.A. ROMANIA CUTIE CU 6 BLIST. PVC-PE-PVDC/AL X 14 COMPR. FILM. P6L 84 1,268690 1,548809 0,00000012 W62041001 G03XC01 RALOXIFENUM RALOXIFEN ARENA 60 mg COMPR. FILM. 60mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. PVC-PE-PVDC/AL X 14 COMPR. FILM. P6L 14 1,291428 1,745714 0,00000013 W62041002 G03XC01 RALOXIFENUM RALOXIFEN ARENA 60 mg COMPR. FILM. 60mg ARENA GROUP S.A. ROMANIA CUTIE CU 2 BLIST. PVC-PE-PVDC/AL X 14 COMPR. FILM. P6L 28 1,291428 1,689285 0,00000014 W53455002 G03XC01 RALOXIFENUM EVISTA 60mg COMPR. FILM. 60mg DAIICHI SANKYO EUROPE GMBHGERMANIA CUTIE X 28 COMPR. FILM. (BLIST. ACLAR) P-RF 28 1,291428 1,689285 0,00000015 W42160002 H01AB01 TIREOTROPINUM ALFA THYROGEN 0,9 mg PULB. PT. SOL. INJ. 0,9mg GENZYME EUROPE BV OLANDA CUTIE X 2 FLACOANE S 2 1.471,885000 1.623,430000 0,00000016 W65156001 H02AB04 METHYLPREDNISOLONUM MEDROL A 16 mg COMPR. 16mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 5 BLIST. AL-PVC/PVC X 10 COMPR. PRF 50 0,424600 0,573800 0,00000017 W04224001 H02AB04 METHYLPREDNISOLONUM MEDROL A 16 mg COMPR. 16mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 5 BLIST. A-PVC/PVC X 10 COMPR. P-RF 50 0,424600 0,573800 0,00000018 W65157001 H02AB04 METHYLPREDNISOLONUM MEDROL 32 mg COMPR. 32mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 2 BLIST. AL-PVC/PVC X 10 COMPR. PRF 20 0,964500 1,303500 0,00000019 W04222001 H02AB04 METHYLPREDNISOLONUM MEDROL 32 mg COMPR. 32mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL-PVC/PVC X 10 COMPR.P-RF 20 0,964500 1,303500 0,00000020 W08307001 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 125 mg PULB+SOLV. PT. SOL. INJ./PERF. 125mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 2 ML PRF 1 14,250000 19,260000 0,00000021 W08310001 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 500 mg PULB+SOLV. PT. SOL. INJ./PERF. 500mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 7,8 MLPRF 1 46,170000 60,390000 0,00000022 W57399003 H03AA01 LEVOTHYROXINUM EUTHYROX 100µg COMPR. 100µg MERCK KGAA GERMANIA CUTIE X 4 BLIST. PVC/AL X 25 COMPR. P-6L 100 0,098800 0,133600 0,00000023 W66292003 H03AA01 LEVOTHYROXINUM EUTHYROX 100µg COMPR. 100µg MERCK ROMANIA SRL ROMANIA CUTIE CU 4 BLIST. PVC/AL X 25 COMPR. P6L 100 0,098800 0,133600 0,00000024 W57396003 H03AA01 LEVOTHYROXINUM EUTHYROX 25µg COMPR. 25µg MERCK KGAA GERMANIA CUTIE X 4 BLIST. PVC/AL X 25 COMPR. P-6L 100 0,068100 0,092000 0,00000025 W66291003 H03AA01 LEVOTHYROXINUM EUTHYROX 25µg COMPR. 25µg MERCK ROMANIA SRL ROMANIA CUTIE CU 4 BLIST. PVC/AL X 25 COMPR. P6L 100 0,068100 0,092000 0,00000026 W66293002 H03AA01 LEVOTHYROXINUM EUTHYROX 50µg COMPR. 50µg MERCK ROMANIA SRL ROMANIA CUTIE CU 4 BLIST. PVC/AL X 25 COMPR. P6L 100 0,070200 0,094900 0,00000027 W57398002 H03AA01 LEVOTHYROXINUM EUTHYROX 50µg COMPR. 50µg MERCK KGAA GERMANIA CUTIE X 4 BLIST. PVC/AL X 25 COMPR. P-6L 100 0,070200 0,094900 0,00000028 W61162002 H03AA01 LEVOTHYROXINUM ACCU-THYROX 100 micrograme/5 ml SOL. ORALA 100micrograme/5ml GALENICA S.A. GRECIA CUTIE CU 2 FLAC. DIN STICLA BRUNA CONTINAND 75 ML SOL. ORALA SI 1 SERINGA DOZATOARE DE 5 ML GRADATA LA 0,1 ML SI 1 ADAPTOR PT. FLACON SAU O LINGURITA DUBLA DIN PLASTIC DE 2,5/5 ML P6L 2 16,055000 21,000000 0,00000029 W61160002 H03AA01 LEVOTHYROXINUM ACCU-THYROX 25 micrograme/5 ml SOL. ORALA 25micrograme/5ml GALENICA S.A. GRECIA CUTIE CU 2 FLAC. DIN STICLA BRUNA CONTINAND 75 ML SOL. ORALA SI 1 SERINGA DOZATOARE DE 5 ML GRADATA LA 0,1 ML SI 1 ADAPTOR PT. FLACON SAU O LINGURITA DUBLA DIN PLASTIC DE 2,5/5 ML P6L 2 14,715000 19,245000 0,00000030 W61161002 H03AA01 LEVOTHYROXINUM ACCU-THYROX 50 micrograme/5 ml SOL. ORALA 50micrograme/5ml GALENICA S.A. GRECIA CUTIE CU 2 FLAC. DIN STICLA BRUNA CONTINAND 75 ML SOL. ORALA SI 1 SERINGA DOZATOARE DE 5 ML GRADATA LA 0,1 ML SI 1 ADAPTOR PT. FLACON SAU O LINGURITA DUBLA DIN PLASTIC DE 2,5/5 ML P6L 2 14,715000 19,245000 0,00000031 W66144003 H03BB02 THIAMAZOLUM THYROZOL 10 mg COMPR. FILM. 10mg MERCK ROMANIA SRL ROMANIA CUTIE CU BLIST. PVC/AL X 50 COMPR. FILM. (2 BLIST. X 25 COMPR. FILM.) P6L 50 0,345400 0,466800 0,00000032 W54546003 H03BB02 THIAMAZOLUM THYROZOL 10 mg COMPR. FILM. 10mg MERCK KGAA GERMANIA CUTIE CU BLIST. PVC/AL X 50 COMPR. FILM. P-6L 50 0,345400 0,466800 0,00000033 W54545003 H03BB02 THIAMAZOLUM THYROZOL 20mg COMPR. FILM. 20mg MERCK KGAA GERMANIA CUTIE CU BLIST. PVC/AL X 50 COMPR. FILM. P-6L 50 0,420000 0,567600 0,00000034 W66145003 H03BB02 THIAMAZOLUM THYROZOL 20mg COMPR. FILM. 20mg MERCK ROMANIA SRL ROMANIA CUTIE CU BLIST. PVC/AL X 50 COMPR. FILM. (2 BLIST. X 25 COMPR. FILM.) P6L 50 0,420000 0,567600 0,00000035 W66143004 H03BB02 THIAMAZOLUM THYROZOL 5 mg COMPR. FILM. 5mg MERCK ROMANIA SRL ROMANIA CUTIE CU BLIST. PVC/AL X 100 COMPR. FILM. (4 BLIST. X 25 COMPR. FILM.) P6L 100 0,258000 0,337400 0,00000036 W54547004 H03BB02 THIAMAZOLUM THYROZOL 5 mg COMPR. FILM. 5mg MERCK KGAA GERMANIA CUTIE CU BLIST. PVC/AL X 100 COMPR. FILM. P6L 100 0,258000 0,337400 0,00000037 W03843004 H03CA01 KALII IODIDUM JODID 100 COMPR. 100mcg MERCK KGAA GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 COMPR. P-RF 100 0,101400 0,137100 0,00000038 W66151004 H03CA01 KALII IODIDUM JODID 100 micrograme COMPR. 100micrograme MERCK ROMANIA SRL ROMANIA CUTIE X 4 BLIST. AL/PVC X 25 COMPR. PRF 100 0,101400 0,137100 0,00000039 W54297001 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 2,145000 2,900000 0,00000040 W66435002 M05BA04 ACIDUM ALENDRONICUM ** ACID ALENDRONIC AUROBINDO 70 mg COMPR. 70mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-ACLAR/AL X 4 COMPR. P6L 4 2,574000 3,480000 5,69000041 W60296004 M05BA04 ACIDUM ALENDRONICUM ** FOSAMAX 70 mg COMPR. 70mg MERCK SHARP & DOHME ROMANIA CUTIE CU 1 BLIST. AL/AL X 2 COMPR. P6L 2 2,574000 3,480000 5,77500042 W60296002 M05BA04 ACIDUM ALENDRONICUM ** FOSAMAX 70 mg COMPR. 70mg MERCK SHARP & DOHME ROMANIA CUTIE CU 1 BLIST. AL/AL X 4 COMPR. P6L 4 2,574000 3,480000 5,47500043 W58352002 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 2,574000 3,480000 5,69000044 W56763002 M05BA04 ACIDUM ALENDRONICUM ** ADRONIK 70 mg COMPR. FILM. 70mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 2 COMPR. FILM.P-6L 2 2,574000 3,480000 5,99500045 W52948001 M05BA04 ACIDUM ALENDRONICUM ** ALENDRONAT SANDOZ 70 mg COMPR. FILM. 70mg SANDOZ S.R.L. ROMANIA CUTIE X 1 BLIST. OPA-AL-PVC/AL X 2 COMPR. FILM P-6L 2 2,574000 3,480000 1,68000046 W56763003 M05BA04 ACIDUM ALENDRONICUM ** ADRONIK 70 mg COMPR. FILM. 70mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 4 COMPR. FILM.P-6L 4 2,574000 3,480000 5,69000047 W56763001 M05BA04 ACIDUM ALENDRONICUM ** ADRONIK 70 mg COMPR. FILM. 70mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 12 COMPR. FILM. P-6L 12 2,574000 3,480000 5,22916648 W61163003 M05BA07 ACIDUM RISEDRONICUM ** ACTONEL SAPTAMANAL 35 mg COMPR. FILM. 35mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 BLIST. PVC/AL X 4 COMPR. FILM. P-6L 4 3,528000 4,770000 6,97750049 W66431003 M05BA07 ACIDUM RISEDRONICUM ** RISEDRONAT AUROBINDO 35 mgCOMPR. FILM. 35mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC/PE/PVDC-AL X 4 COMPR. FILM. P6L 4 3,528000 4,770000 2,97000050 W60074002 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 2,940000 3,975000 0,00000051 W59460003 M05BA07 ACIDUM RISEDRONICUM ** RISEDRONAT AUROBINDO 35 mgCOMPR. FILM. 35mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC/PE/PVDC-AL X 4 COMPR. FILM. P6L 4 3,528000 4,770000 2,97000052 W66497003 M05BA07 ACIDUM RISEDRONICUM ** ACTONEL SAPTAMANAL 35 mg COMPR. FILM. 35mg THERAMEX IRELAND LIMITED IRLANDA CUTIE CU 1 BLIST. PVC/AL X 4 COMPR. FILM. P-6L 4 3,528000 4,770000 6,97750053 W66432001 M05BA07 ACIDUM RISEDRONICUM ** RISEDRONAT AUROBINDO 75 mgCOMPR. FILM. 75mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 2 COMPR. FILM. P6L 2 12,978000 17,544000 5,16600054 W61164001 M05BA07 ACIDUM RISEDRONICUM ** ACTONEL 75 mg COMPR. FILM. 75mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 BLIST. PVC/AL X 2 COMPR. FILM. P6L 2 12,978000 17,544000 6,36600055 W62565001 M05BA07 ACIDUM RISEDRONICUM ** RISEDRONAT AUROBINDO 75 mgCOMPR. FILM. 75mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU 1 BLIST. PVC/AL X 2 COMPR. FILM. P6L 2 10,815000 14,620000 0,00000056 W66214001 M05BA07 ACIDUM RISEDRONICUM ** ACTONEL 75 mg COMPR. FILM. 75mg THERAMEX IRELAND LIMITED IRLANDA CUTIE CU 1 BLIST. PVC/AL X 2 COMPR. FILM. P6L 2 12,978000 17,544000 6,366000

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Pret de decontare / U.T.

contribu ție maximă

asigurat / U.T. - farmacii

comunitare57 W42407001 M05BA08 ACIDUM ZOLEDRONICUM ** ACLASTA 5mg/100ml SOL. PERF. 5mg/100ml NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 1 FLACON PLASTIC (POLIMER CICLOOLEFINIC) X 100ML SOLUTIE PERFUZABILA INCHIS CU UN DOP DIN CAUCIUC BROMOBUTILIC ACOPERIT CU FLUORO-POLIMER + 1 CAPAC ALUMINIU/POLIPROPILENA CU COMPONENTA FLIP PR 1 829,330000 942,120000 0,00000058 W64472001 M05BA08 ACIDUM ZOLEDRONICUM ** ACLASTA 5mg/100ml SOL. PERF. 5mg/100ml NOVARTIS EUROPHARM LTD. IRLANDA CUTIE X 1 FLAC. X 100 ML + 1 CAPAC AL/PP CU COMPONENTA FLIP. PR 1 829,330000 942,120000 0,00000059 W63914002 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) ** ACID ALENDRONIC/COLECALCIFEROL AUROBINDO 70 mg/2800 UI COMPR. 70mg/2800UI AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 4 COMPR.P6L 4 4,845000 6,547500 0,00000060 W63922002 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) ** ACID ALENDRONIC/COLECALCIFEROL ZENTIVA 70 mg/2800 UI COMPR. 70mg/2800UI ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PA-AL-PVC/AL X 4 COMPR.P6L 4 5,814000 7,857000 4,15800061 W64728002 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) ** FOSAVANCE 70mg/2800UI COMPR. 70mg/2800UI MERCK SHARP & DOHME OLANDA CUTIE X 4 COMPR. (1 BLISTER DIN AL/AL X 4 COMPR.) P6L 4 5,814000 7,857000 1,32800062 W42702002 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) ** FOSAVANCE 70mg/2800UI COMPR. 70mg/2800UI MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 4 COMPR. (1 BLISTER DIN AL/AL X 4 COMPR.) P-6L 4 5,814000 7,857000 1,32800063 W62143001 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) ** DA-BONE 70 mg/5600 UI COMPR. 70mg/5600UI TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 4 COMPR. P6L 4 6,156000 8,319000 3,98350064 W63915002 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) ** ACID ALENDRONIC/COLECALCIFEROL AUROBINDO 70 mg/5600 UI COMPR. 70mg/5600UI AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 4 COMPR.P6L 4 5,130000 6,932500 0,00000065 W63074002 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) ** ACID ALENDRONIC/COLECALCIFEROL SANDOZ 70 mg/5600 UI COMPR. 70mg/5600UI SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 4 COMPR. P6L 4 6,156000 8,319000 3,54350066 W63923002 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) ** ACID ALENDRONIC/COLECALCIFEROL ZENTIVA 70 mg/5600 UI COMPR. 70mg/5600UI ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PA-AL-PVC/AL X 4 COMPR.P6L 4 6,156000 8,319000 3,98350067 W52559001 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) ** FOSAVANCE 70mg/5600UI COMPR. 70mg/5600UI MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 2 COMPR. (1 BLISTER DIN AL/AL X 2 COMPR.) P-6L 2 6,156000 8,319000 1,17100068 W62143003 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) ** DA-BONE 70 mg/5600 UI COMPR. 70mg/5600UI TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 4 COMPR., AMBALAJ TIP CALENDAR P6L 4 6,156000 8,319000 3,98350069 W65841001 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) ** ACID ALENDRONIC/COLECALCIFEROL ACCORD 70 mg/5600 UI COMPR. 70mg/5600UI ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU BLIST. PA-AL-PVC/AL X 4 COMPR.P6L 4 6,156000 8,319000 2,73100070 W64729001 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) ** FOSAVANCE 70mg/5600UI COMPR. 70mg/5600UI MERCK SHARP & DOHME OLANDA CUTIE X 2 COMPR. (1 BLISTER DIN AL/AL X 2 COMPR.) P6L 2 6,156000 8,319000 1,17100071 W62143002 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) ** DA-BONE 70 mg/5600 UI COMPR. 70mg/5600UI TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 4X1 COMPR.P6L 4 6,156000 8,319000 3,98350072 W62746010 V10XA01 NATRII IODIDUM (131I) THERACAP 131 CAPS. 37MBq-5,55GBq GE HEALTHCARE LIMITED MAREA BRITANIE CONTAINER DIN PLUMB X 1 CAPSULA 74 MBQ S 1 340,900000 409,730000 0,00000073 W62746007 V10XA01 NATRII IODIDUM (131I) THERACAP 131 CAPS. 37MBq-5,55GBq GE HEALTHCARE LIMITED MAREA BRITANIE CONTAINER DIN PLUMB X 1 CAPSULA 3.7 GBQ S 1 1.081,760000 1.217,270000 0,00000074 W66155002 V10XA01 NATRII IODIDUM (131I) THERACAP 131 37MBq-5,55GBq CAPS. 37MBq-5,55GBq GE HEALTHCARE BUCHLER GMBH&CO. KG GERMANIA CONTAINER DIN PLUMB X 1 CAPSULA 1.85 GBQPR 1 572,160000 661,800000 0,00000075 W62746003 V10XA01 NATRII IODIDUM (131I) THERACAP 131 CAPS. 37MBq-5,55GBq GE HEALTHCARE LIMITED MAREA BRITANIE CONTAINER DIN PLUMB X 1 CAPSULA 111 MBQS 1 340,910000 409,740000 0,00000076 W62746005 V10XA01 NATRII IODIDUM (131I) THERACAP 131 CAPS. 37MBq-5,55GBq GE HEALTHCARE LIMITED MAREA BRITANIE CONTAINER DIN PLUMB X 1 CAPSULA 2.59 GBQS 1 856,840000 972,110000 0,00000077 W62746006 V10XA01 NATRII IODIDUM (131I) THERACAP 131 CAPS. 37MBq-5,55GBq GE HEALTHCARE LIMITED MAREA BRITANIE CONTAINER DIN PLUMB X 1 CAPSULA 259 MBQS 1 360,740000 431,360000 0,00000078 W62746001 V10XA01 NATRII IODIDUM (131I) THERACAP 131 CAPS. 37MBq-5,55GBq GE HEALTHCARE LIMITED MAREA BRITANIE CONTAINER DIN PLUMB X 1 CAPSULA 1.11 GBQS 1 552,560000 640,440000 0,00000079 W62746008 V10XA01 NATRII IODIDUM (131I) THERACAP 131 CAPS. 37MBq-5,55GBq GE HEALTHCARE LIMITED MAREA BRITANIE CONTAINER DIN PLUMB X 1 CAPSULA 370 MBQS 1 275,420000 336,230000 0,00000080 W62746002 V10XA01 NATRII IODIDUM (131I) THERACAP 131 CAPS. 37MBq-5,55GBq GE HEALTHCARE LIMITED MAREA BRITANIE CONTAINER DIN PLUMB X 1 CAPSULA 1.85 GBQS 1 572,160000 661,800000 0,00000081 W62746009 V10XA01 NATRII IODIDUM (131I) THERACAP 131 CAPS. 37MBq-5,55GBq GE HEALTHCARE LIMITED MAREA BRITANIE CONTAINER DIN PLUMB X 1 CAPSULA 37 MBQ S 1 233,270000 284,780000 0,00000082 W66155001 V10XA01 NATRII IODIDUM (131I) THERACAP 131 37MBq-5,55GBq CAPS. 37MBq-5,55GBq GE HEALTHCARE BUCHLER GMBH&CO. KG GERMANIA CONTAINER DIN PLUMB X 1 CAPSULA 1.11 GBQPR 1 552,560000 640,440000 0,00000083 W62746004 V10XA01 NATRII IODIDUM (131I) THERACAP 131 CAPS. 37MBq-5,55GBq GE HEALTHCARE LIMITED MAREA BRITANIE CONTAINER DIN PLUMB X 1 CAPSULA 185 MBQS 1 251,930000 307,560000 0,00000084 W66155003 V10XA01 NATRII IODIDUM (131I) THERACAP 131 37MBq-5,55GBq CAPS. 37MBq-5,55GBq GE HEALTHCARE BUCHLER GMBH&CO. KG GERMANIA CONTAINER DIN PLUMB X 1 CAPSULA 111 MBQPR 1 340,910000 409,740000 0,00000085 W66155004 V10XA01 NATRII IODIDUM (131I) THERACAP 131 37MBq-5,55GBq CAPS. 37MBq-5,55GBq GE HEALTHCARE BUCHLER GMBH&CO. KG GERMANIA CONTAINER DIN PLUMB X 1 CAPSULA 185 MBQPR 1 251,930000 307,560000 0,00000086 W66155005 V10XA01 NATRII IODIDUM (131I) THERACAP 131 37MBq-5,55GBq CAPS. 37MBq-5,55GBq GE HEALTHCARE BUCHLER GMBH&CO. KG GERMANIA CONTAINER DIN PLUMB X 1 CAPSULA 2.59 GBQPR 1 856,840000 972,110000 0,00000087 W66155006 V10XA01 NATRII IODIDUM (131I) THERACAP 131 37MBq-5,55GBq CAPS. 37MBq-5,55GBq GE HEALTHCARE BUCHLER GMBH&CO. KG GERMANIA CONTAINER DIN PLUMB X 1 CAPSULA 259 MBQPR 1 360,740000 431,360000 0,00000088 W66155007 V10XA01 NATRII IODIDUM (131I) THERACAP 131 37MBq-5,55GBq CAPS. 37MBq-5,55GBq GE HEALTHCARE BUCHLER GMBH&CO. KG GERMANIA CONTAINER DIN PLUMB X 1 CAPSULA 3.7 GBQ PR 1 1.081,760000 1.217,270000 0,00000089 W66155008 V10XA01 NATRII IODIDUM (131I) THERACAP 131 37MBq-5,55GBq CAPS. 37MBq-5,55GBq GE HEALTHCARE BUCHLER GMBH&CO. KG GERMANIA CONTAINER DIN PLUMB X 1 CAPSULA 370 MBQPR 1 275,420000 336,230000 0,00000090 W66155009 V10XA01 NATRII IODIDUM (131I) THERACAP 131 37MBq-5,55GBq CAPS. 37MBq-5,55GBq GE HEALTHCARE BUCHLER GMBH&CO. KG GERMANIA CONTAINER DIN PLUMB X 1 CAPSULA 37 MBQ PR 1 233,270000 284,780000 0,00000091 W66155010 V10XA01 NATRII IODIDUM (131I) THERACAP 131 37MBq-5,55GBq CAPS. 37MBq-5,55GBq GE HEALTHCARE BUCHLER GMBH&CO. KG GERMANIA CONTAINER DIN PLUMB X 1 CAPSULA 74 MBQ PR 1 340,900000 409,730000 0,00000092 W62679009 V10XA01 NATRII IODIDUM (131I) THYROTOP-131 38-7400 MBq CAPS. PT UZ TERAPEUTIC 38-7400MBq CN UNIFARM S.A. ROMANIA CONTAINER DIN PLUMB AMBALAT INTR-UN CONTAINER DIN METAL, SIGILAT CU UN INVELIS DETASABIL CARE CONTINE O CAPSULA PT. UZ TERAPEUTIC 5550 MBQ PR 1 2.474,760000 2.735,640000 0,00000093 W62679001 V10XA01 NATRII IODIDUM (131I) THYROTOP-131 38-7400 MBq CAPS. PT UZ TERAPEUTIC 38-7400MBq CN UNIFARM S.A. ROMANIA CONTAINER DIN PLUMB AMBALAT INTRU-UN CONTAINER DIN METAL, SIGILAT CU UN INVELIS DETASABIL CARE CONTINE O CAPSULA PENTRU UZ TERAPEUTIC 7400 MBQ PR 1 2.808,170000 3.099,060000 0,00000094 W62679010 V10XA01 NATRII IODIDUM (131I) THYROTOP-131 38-7400 MBq CAPS. PT UZ TERAPEUTIC 38-7400MBq CN UNIFARM S.A. ROMANIA CONTAINER DIN PLUMB AMBALAT INTR-UN CONTAINER DIN METAL, SIGILAT CU UN INVELIS DETASABIL CARE CONTINE O CAPSULA PT. UZ TERAPEUTIC 259 MBQ PR 1 432,888000 517,632000 363,88800095 W62679002 V10XA01 NATRII IODIDUM (131I) THYROTOP-131 38-7400 MBq CAPS. PT UZ TERAPEUTIC 38-7400MBq CN UNIFARM S.A. ROMANIA CONTAINER DIN PLUMB AMBALAT INTR-UN CONTAINER DIN METAL, SIGILAT CU UN INVELIS DETASABIL CARE CONTINE O CAPSULA PT. UZ TERAPEUTIC 111 MBQ PR 1 409,092000 491,688000 366,50200096 W62679008 V10XA01 NATRII IODIDUM (131I) THYROTOP-131 38-7400 MBq CAPS. PT UZ TERAPEUTIC 38-7400MBq CN UNIFARM S.A. ROMANIA CONTAINER DIN PLUMB AMBALAT INTR-UN CONTAINER DIN METAL, SIGILAT CU UN INVELIS DETASABIL CARE CONTINE O CAPSULA PT. UZ TERAPEUTIC 3700 MBQ PR 1 1.252,350000 1.403,210000 0,00000097 W62679006 V10XA01 NATRII IODIDUM (131I) THYROTOP-131 38-7400 MBq CAPS. PT UZ TERAPEUTIC 38-7400MBq CN UNIFARM S.A. ROMANIA CONTAINER DIN PLUMB AMBALAT INTR-UN CONTAINER DIN METAL, SIGILAT CU UN INVELIS DETASABIL CARE CONTINE O CAPSULA PT. UZ TERAPEUTIC 1850 MBQ PR 1 686,592000 794,160000 185,14000098 W62679003 V10XA01 NATRII IODIDUM (131I) THYROTOP-131 38-7400 MBq CAPS. PT UZ TERAPEUTIC 38-7400MBq CN UNIFARM S.A. ROMANIA CONTAINER DIN PLUMB AMBALAT INTR-UN CONTAINER DIN METAL, SIGILAT CU UN INVELIS DETASABIL CARE CONTINE O CAPSULA PT. UZ TERAPEUTIC 185 MBQ PR 1 302,316000 369,072000 501,21800099 W62679007 V10XA01 NATRII IODIDUM (131I) THYROTOP-131 38-7400 MBq CAPS. PT UZ TERAPEUTIC 38-7400MBq CN UNIFARM S.A. ROMANIA CONTAINER DIN PLUMB AMBALAT INTR-UN CONTAINER DIN METAL, SIGILAT CU UN INVELIS DETASABIL CARE CONTINE O CAPSULA PT. UZ TERAPEUTIC 2590 MBQ PR 1 887,700000 1.005,740000 0,000000

100 W62679004 V10XA01 NATRII IODIDUM (131I) THYROTOP-131 38-7400 MBq CAPS. PT UZ TERAPEUTIC 38-7400MBq CN UNIFARM S.A. ROMANIA CONTAINER DIN PLUMB AMBALAT INTR-UN CONTAINER DIN METAL, SIGILAT CU UN INVELIS DETASABIL CARE CONTINE O CAPSULA PT. UZ TERAPEUTIC 370 MBQ PR 1 330,504000 403,476000 491,014000101 W62679005 V10XA01 NATRII IODIDUM (131I) THYROTOP-131 38-7400 MBq CAPS. PT UZ TERAPEUTIC 38-7400MBq CN UNIFARM S.A. ROMANIA CONTAINER DIN PLUMB AMBALAT INTR-UN CONTAINER DIN METAL, SIGILAT CU UN INVELIS DETASABIL CARE CONTINE O CAPSULA PT. UZ TERAPEUTIC 1110 MBQ PR 1 663,072000 768,528000 271,322000

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

1 W56153001 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 1,566000 2,116000 0,0000002 W56154001 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 2,737000 3,580000 0,000000

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Nr.crt Cod CIM

Grupa terapeu

ticaDenumire generica Denumire comerciala

Forma farmaceuti

ca

Concentratie / U.T.

Firma Tara Ambalaj

Pres

crip

tie cant/ambal

aj

Pret cu ridicata maximal de

decontare / U.T.

Pret de decontare / U.T.

contribu ție maximă

asigurat / U.T. - farmacii

comunitare3 W63617002 A04AA01 ONDANSETRONUM ** ONDANSETRON AUROBINDO 2 mg/ml SOL INJ./PERF. 2mg/ml AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 5 FIOLE DIN STICLA INCOLORA TIP I, PREVAZUTE CU PUNCT DE RUPERE SAU MARCAJ LINIAR X 2 ML SOL. INJ./PERF. PR 5 3,870000 5,232000 0,0000004 W63617005 A04AA01 ONDANSETRONUM ** ONDANSETRON AUROBINDO 2 mg/ml SOL INJ./PERF. 2mg/ml AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 5 FIOLE DIN STICLA INCOLORA TIP I, PREVAZUTE CU PUNCT DE RUPERE SAU MARCAJ LINIAR X 4 ML SOL. INJ./PERF. PR 5 7,358000 9,624000 0,0000005 W57423001 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 3,912000 5,288000 0,0000006 W57424001 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 7,436000 9,726000 0,0000007 W00187002 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK 250 mg CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 CAPS. P6L 100 0,976400 1,234600 0,0000008 W00187001 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK 250 mg CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 25 CAPS. P-6L 50 0,993800 1,300000 0,0000009 W58710002 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 2,379800 2,905300 0,000000

10 W58363001 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 84,590000 106,950000 0,00000011 W64629001 B02AA02 ACIDUM TRANEXAMICUM 4) ACIDO TRANEXAMICO BIOINDUSTRIA L.I.M. 500 mg/5 ml SOL. INJ. PT. ADM. I.V.SI ORALA500mg/5ml CN UNIFARM S.A. ROMANIA CUTIE CU 5 FIOLE X 5 ML SOL. INJ. PR 5 3,910000 5,286000 0,00000012 W53034002 B02BD08 EPTACOG ALFA ACTIVATUM ** NOVOSEVEN 1 mg (50 KUI) PULB. + SOLV. PT. SOL. INJ. 50 KIU NOVO NORDISK A/S DANEMARCA CUTIE CU 1 FLAC. PULB. PT. SOL. INJ.+1 SERINGA PREUMPLUTA CU SOLV. PT. RECONSTITUIRE +1 ADAPTOR DE FLACON PR 1 2.419,840000 2.675,780000 0,00000013 W54765001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 gPULB. 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 21,430000 26,932800 2,03720014 W53595006 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLIN/TAZOBACTAM KABI 2g/0,25 g 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. PR 10 13,689000 16,711000 0,00000015 W64263002 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 2 g/0,25 g PULB. PT. SOL. PERF. 2g/0,25g ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA DE TIP III CU PULB. PT. SOL. PERF.PR 10 13,199000 16,113000 0,00000016 W64263001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 2 g/0,25 g PULB. PT. SOL. PERF. 2g/0,25g ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA DE TIP III CU PULB. PT. SOL. PERF.PR 1 13,680000 18,490000 0,00000017 W64264002 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 4 g/0,50 g PULB. PT. SOL. PERF. 4g/0,50g ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA DE TIP I CU PULB. PT. SOL. PERF.PR 10 18,385000 22,444000 0,00000018 W64264001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 4 g/0,50 g PULB. PT. SOL. PERF. 4g/0,50g ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA DE TIP I CU PULB. PT. SOL. PERF. PR 1 19,050000 25,750000 0,00000019 W53596003 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLIN/TAZOBACTAM 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. PR 10 20,658000 25,219000 0,00000020 W60705002 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 30,627600 37,389600 48,49840021 W60703002 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 19,063200 23,272800 23,94020022 W58974002 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 DIN ALUMINIU PREVAZUTA CU DISC DIN MATERIAL PLASTIC PRF 10 30,627600 37,389600 48,49840023 W61143002 J01DH02 MEROPENEMUM ARCHIFAR 1000 mg PULB. PT. SOL. INJ./PERF. 1000mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. DIN STICLA, CAPACITATEA 30 ML, DOP DIN CAUCIUC BROMOBUTILIC SIGILAT CU CAPSA AL CU PULB.PT.SOL.INJ./PERF. PR 10 25,523000 31,158000 0,00000024 W58974005 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 30 ML CU DOP DIN CAUCIUC, SIGILAT CU CAPSA DIN ALUMINIU PREVAZUTA CU DISC DIN MATERIAL PLASTIC PRF 10 30,627600 37,389600 48,49840025 W56827001 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 30,627600 37,389600 64,98040026 W62533002 J01DH02 MEROPENEMUM MEROPENEM AUROBINDO 1 g PULB. PT. SOL. INJ./PERF. 1g AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 30 ML CARE CONTIN PULB. PT. SOL. INJ./PERF. PR 10 30,627600 37,389600 31,57340027 W56125002 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 30,627600 37,389600 2,94840028 W65892002 J01DH02 MEROPENEMUM MEROPENEM AUROBINDO 1 g PULB. PT. SOL. INJ./PERF. 1g AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 30 ML CARE CONTIN PULB. PT. SOL. INJ./PERF. PR 10 30,627600 37,389600 32,55440029 W64244003 J01DH02 MEROPENEMUM MEROPENEM ACCORD 1 g PULB. PT. SOL. INJ./PERF. 1g ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA INCOLORA CARE CONTIN PULB. PT. SOL. INJ./PERF. PR 10 30,627600 37,389600 48,49840030 W61142002 J01DH02 MEROPENEMUM ARCHIFAR 500 mg PULB. PT. SOL. INJ./PERF. 500mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. DIN STICLA, CAPACITATEA 20 ML, DOP DIN CAUCIUC BROMOBUTILIC SIGILAT CU CAPSA AL CU PULB.PT.SOL.INJ./PERF. PR 10 15,886000 19,394000 0,00000031 W56124002 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 19,063200 23,272800 13,25320032 W58973002 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 DIN ALUMINIU PREVAZUTA CU DISC DIN MATERIAL PLASTIC PRF 10 19,063200 23,272800 23,94320033 W65891002 J01DH02 MEROPENEMUM MEROPENEM AUROBINDO 500 mg PULB. PT. SOL. INJ./PERF. 500mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 30 ML CARE CONTIN PULB. PT. SOL. INJ./PERF. PR 10 19,063200 23,272800 17,24120034 W56826001 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 19,063200 23,272800 31,62720035 W64243003 J01DH02 MEROPENEMUM MEROPENEM ACCORD 500 mg PULB. PT. SOL. INJ./PERF. 500mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA INCOLORA CARE CONTIN PULB. PT. SOL. INJ./PERF. PR 10 19,063200 23,272800 23,94020036 W62532002 J01DH02 MEROPENEMUM MEROPENEM AUROBINDO 500 mg PULB. PT. SOL. INJ./PERF. 500mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 30 ML CARE CONTIN PULB. PT. SOL. INJ./PERF. PR 10 19,063200 23,272800 17,24120037 W61198003 J01DH51 IMIPENEMUM + CILASTATINUM IMIPENEM/CILASTATIN ATB 500 mg/500 mg PULB. PT. SOL. PERF. 500mg/500mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA TIP III, CU CAPACITATEA DE 20 ML, CONTINANAD PULB. PT. SOL. PERF. PR 10 19,907000 24,302000 0,00000038 W54532001 J01DH51 IMIPENEMUM + CILASTATINUM IMIPENEM/CILASTATINA KABI 500 mg/500 mg PULB. PT. SOL. PERF. 500mg/500mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF.PR 10 19,907000 24,302000 0,00000039 W54471008 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 23,888400 29,162400 7,28560040 W54471009 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 23,888400 29,162400 7,28360041 W54471006 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 23,888400 29,162400 10,09260042 W54471002 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 20,272000 24,748000 0,00000043 W54471005 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 23,888400 29,162400 10,52760044 W66494001 J01XA01 VANCOMYCINUM VANCOTEK 1 g I.V. PULB. PT. SOL. PERF. 1g CN UNIFARM S.A. ROMANIA CUTIE CU 1 FLAC. CE CONTINE 1G PULB. PT. SOL. PERF. PR 1 24,560000 33,200000 0,00000045 W66495001 J01XA01 VANCOMYCINUM VANCOTEK 500 mg I.V. PULB. PT. SOL. PERF. 500mg CN UNIFARM S.A. ROMANIA CUTIE CU 1 FLAC. CE CONTINE 500MG PULB. PT. SOL. PERF. PR 1 17,280000 23,360000 0,00000046 W57042001 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. PERF. PR 1 22,600000 30,540000 0,00000047 W57041001 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. PERF. PR 1 18,610000 25,160000 0,00000048 W64490001 J01XA02 TEICOPLANINUM TARGOCID 400 mg PULB+SOLV. PT. SOL. INJ./PERF. SAU SOL. ORALA 400mg SANOFI ROMANIA SRL ROMANIA CUTIE CU 1 FLACON DIN STICLA INCOLORA TIP I, CARE CONTINE PULBEREA SI O FIOLA DIN STICLA INCOLORA TIP I CARE CONTINE SOLV. (APA PT. PREPARATE INJ., 3 ML) PRF 1 119,900000 146,370000 0,00000049 W13105001 J01XA02 TEICOPLANINUM TARGOCID (R) 400 mg PULB+SOLV. PT. SOL. INJ./PERF. SAU SOL. ORALA 400mg AVENTIS PHARMA LTD. MAREA BRITANIE CUTIE CU 1 FLACON DIN STICLA INCOLORA TIP I, CARE CONTINE PULBEREA SI O FIOLA DIN STICLA INCOLORA TIP I CARE CONTINE SOLV. (APA PT. PREPARATE INJ., 3 ML) P-RF 1 119,900000 146,370000 0,00000050 W62497001 J01XX08 LINEZOLIDUM LINEZOLID KRKA 600 mg COMPR. FILM. 600mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF 10 63,013000 72,499000 0,00000051 W52799001 J01XX08 LINEZOLIDUM ZYVOXID 600 mg COMPR. FILM. 600mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 10 75,615600 86,998800 20,58620052 W63985002 J01XX08 LINEZOLIDUM LINEZOLID FRESENIUS KABI 600 mg COMPR. FILM. 600mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU BLIST. AL/AL X 10 (1X10) COMPR. FILM.PRF 10 75,615600 86,998800 41,52720053 W65053001 J01XX08 LINEZOLIDUM ZYVOXID 600 mg COMPR. FILM. 600mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. PRF 10 75,615600 86,998800 20,58620054 W65055001 J01XX08 LINEZOLIDUM ZYVOXID 100 mg/5 ml GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLACON DIN STICLA BRUNA X 66 G GRAN. PTR. 150 ML SUSP. ORALA + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML PRF 1 701,150000 802,400000 0,000000

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Forma farmaceuti

ca

Concentratie / U.T.

Firma Tara Ambalaj

Pres

crip

tie cant/ambal

aj

Pret cu ridicata maximal de

decontare / U.T.

Pret de decontare / U.T.

contribu ție maximă

asigurat / U.T. - farmacii

comunitare55 W52800001 J01XX08 LINEZOLIDUM ZYVOXID 100 mg/5 ml 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 1 701,150000 802,400000 0,00000056 W61756002 J01XX08 LINEZOLIDUM LINEZOLID INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS S.R.L.ROMANIA 10 PUNGI DIN POLIOLEFINA MULTISTRATIFICATA, FARA LATEX, PREVAZUTA CU UN TUB CONECTOR CU DESCHIDERE PRIN RASUCIRE, SIGILATA ÎNTR-O FOLIE LAMINATA PROTECTOARE CONTINÂND 300 ML SOL. PERF. PR 10 114,432000 128,546000 0,00000057 W60734001 J01XX08 LINEZOLIDUM LINEZOLID SANDOZ 2 mg/ml SOL. PERF. 2mg/ml SANDOZ S.R.L. ROMANIA CUTIE CU 1 PUNGA DIN PP INCOLORA PÂNA LA GALBUIE, CU 1 SAU 2 PERFUZOARE SI ÎNVELIS SUPLIMENTAR DIN FOLIE LAMINATA CARE CONTINE SOL. PERF. PR 1 119,092800 134,389200 17,89080058 W65054001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 10 PUNGI (EXCEL SAU FREEFLEX) DE UNICA FOLOSINTA GATA DE UTILIZARE, FARA LATEX X 300 ML SOL. PERF. PR 10 116,403000 130,694000 0,00000059 W52801001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML S 10 116,403000 130,694000 0,00000060 W64206001 J01XX08 LINEZOLIDUM LINEZOLID ACCORD 2 mg/ml SOL. PERF. 2mg/ml ACCORD HEALTHCARE LTD. MAREA BRITANIE CUTIE CU 10 PUNGI DIN PLASTIC POLIOLEFINIC (PE) MULTISTRAT CARE CONTIN 300 ML SOL. PERF. PR 10 116,403000 130,694000 0,00000061 W63515002 J01XX08 LINEZOLIDUM LINEZOLID KRKA 2 mg/ml SOL. PERF. 2mg/ml KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 10 PUNGI CU CAPACITATEA DE 300 ML DIN POLIOLEFINA MULTISTRAT PRF 10 115,254000 129,442000 0,00000062 W64055001 J01XX08 LINEZOLIDUM LINEZOLID AUROBINDO 2 mg/ml SOL. PERF. 2mg/ml AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 1 PUNGA DIN FILM DUBLU DE PP MULTISTRATIFICATA, PREVAZUTA CU 2 TUBURI DIN PP CARE CONTINE 300 ML SOL. PERF. PR 1 119,092800 134,389200 17,89080063 W61561001 J01XX08 LINEZOLIDUM LINEZOLID KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 PUNGI DIN POLIOLEFINE (FREEFLEX) A 300 ML SOL. PERF. PR 10 99,244000 111,991000 0,00000064 W63515001 J01XX08 LINEZOLIDUM LINEZOLID KRKA 2 mg/ml SOL. PERF. 2mg/ml KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 1 PUNGA CU CAPACITATEA DE 300 ML DIN POLIOLEFINA MULTISTRAT PRF 1 119,092800 134,389200 16,33080065 W58225007 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 2,545714 3,440000 0,00000066 W43597002 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 3,054857 4,128000 2,50771467 W08372001 J02AC01 FLUCONAZOLUM FLUCOVIM 100 CAPS. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS. P-RF 4 3,054857 4,128000 2,72950068 W66461007 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 100 mg CAPS. 100mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF 7 2,545714 3,440000 0,00000069 W65085001 J02AC01 FLUCONAZOLUM DIFLUCAN 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 5,688000 7,692000 3,83800070 W42693001 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 5,670000 7,660000 0,00000071 W60221003 J02AC01 FLUCONAZOLUM FLUCONAZOL ZENTIVA 150 mg CAPS. 150mg ZENTIVA K.S. REPUBLICA CEHA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 1 CAPS. P-RF 1 5,670000 7,660000 0,00000072 W52334001 J02AC01 FLUCONAZOLUM FLUCONAZOL LAROPHARM 150 mg CAPS. 150mg LAROPHARM S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA P-RF 1 5,670000 7,660000 0,00000073 W03156001 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 5,688000 7,692000 3,83800074 W51994001 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 150 mg CAPS. 150mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 5,670000 7,660000 0,00000075 W53943002 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 150 MG CAPS. 150mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 5,670000 7,660000 0,00000076 W44089001 J02AC01 FLUCONAZOLUM FLUCORIC 150 mg CAPS. 150mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS.P-RF 1 5,670000 7,660000 0,00000077 W58226001 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 5,670000 7,660000 0,00000078 W60221001 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 5,670000 7,660000 0,00000079 W43598001 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 5,670000 7,660000 0,00000080 W08373001 J02AC01 FLUCONAZOLUM FLUCOVIM 150 CAPS. 150mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 FLAC. X 1 CAPS. P-RF 1 5,670000 7,660000 0,00000081 W57430001 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 5,670000 7,660000 0,00000082 W57239001 J02AC01 FLUCONAZOLUM FLUCONAZOL LPH 150 mg CAPS. 150mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 5,670000 7,660000 0,00000083 W66462001 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 150 mg CAPS. 150mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC TRANSPARENT/PVDC-AL X 1 CAPS. PRF 1 4,740000 6,410000 0,00000084 W43599002 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 4,778571 6,250000 0,00000085 W44098001 J02AC01 FLUCONAZOLUM FLUCORIC 50 mg CAPS. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS.P-RF 7 1,525714 2,062285 0,91342986 W08374001 J02AC01 FLUCONAZOLUM FLUCOVIM 50 CAPS. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 1,525714 2,062285 0,91342987 W51993001 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 50 mg CAPS. 50mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 1,525714 2,062285 0,91342988 W53942002 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 50 MG CAPS. 50mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 1,525714 2,062285 0,91342989 W03157001 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 1,525714 2,062285 2,40342990 W43596001 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 1,525714 2,062285 0,91342991 W58224007 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 50 mgCAPS. 50mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF 7 1,271428 1,718571 0,00000092 W42321001 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 1,525714 2,062285 0,91342993 W66460007 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 50 mgCAPS. 50mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF 7 1,298571 1,754285 0,00000094 W65084001 J02AC01 FLUCONAZOLUM DIFLUCAN 50 mg CAPS. 50mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 7 CAPS. PRF 7 1,525714 2,062285 2,40342995 W58322002 J02AC01 FLUCONAZOLUM DIFLUCAN 10 mg/ml PULB. PT. SUSP. ORALA 10mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 1 FLAC. DIN PEÎD, DE CAPACITATE 60 ML, PREVAZUT CU SISTEM DE ÎNCHIDERE SECURIZAT PENTRU COPII, CE CONTINE PULB. PENTRU 35 ML SUSP. ORALA SI O SERINGA DIN PP DE 5 ML CU MARCAJ LA FIECARE 0,2 ML PRF 1 23,200000 31,360000 0,00000096 W65087001 J02AC01 FLUCONAZOLUM DIFLUCAN 10 mg/ml PULB. PT. SUSP. ORALA 10mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. DIN PEÎD, DE CAPACITATE 60 ML, PREVAZUT CU SISTEM DE ÎNCHIDERE SECURIZAT PENTRU COPII, CE CONTINE PULB. PENTRU 35 ML SUSP. ORALA SI O SERINGA DIN PP DE 5 ML CU MARCAJ LA FIECARE 0,2 ML PRF 1 23,200000 31,360000 0,00000097 W55502018 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF. PR 10 37,069000 44,220000 0,00000098 W55502003 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF. PR 20 9,361000 11,428000 0,00000099 W55502009 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. PR 1 19,410000 26,240000 0,000000

100 W55502017 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. PR 1 38,830000 50,790000 0,000000101 W55502001 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. PR 1 9,700000 13,110000 0,000000102 W57368003 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 2mg/ml SOL. PERF. 2mg/ml ARENA GROUP S.A. ROMANIA CUTIE X 1 FLAC. X 100 ML SOL. PERF. PR 1 22,158000 26,532000 32,528000103 W58456001 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/PET/PP X 50 ML SOL. PERF. PR 20 11,233200 13,713600 8,886900104 W55502011 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. PR 20 18,534500 22,110000 0,000000105 W58456003 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/PET/PP X 200 ML SOL. PERF. PR 10 44,482800 53,064000 40,975000106 W60056005 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 FLUCONAZOL S 10 18,465000 22,542000 0,000000

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asigurat / U.T. - farmacii

comunitare107 W58456002 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/PET/PP X 100 ML SOL. PERF. PR 20 22,158000 26,532000 12,745000108 W61628006 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg COMPR. FILM. 200mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. PRF 30 7,989857 9,753857 4,462809109 W64073008 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 7,989857 9,753857 15,474357110 W61817001 J02AC03 VORICONAZOLUM ** VORICONAZOLE ACCORD 200 mgCOMPR. FILM. 200mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 COMPR. FILMPRF 28 6,658214 8,128214 0,000000111 W61628005 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg COMPR. FILM. 200mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 7,989857 9,753857 4,631143112 W64931001 J02AC03 VORICONAZOLUM ** VFEND 200 mg COMPR. FILM. 200mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 7,989857 9,753857 47,922928113 W61017005 J02AC03 VORICONAZOLUM ** VORICONAZOL DR. REDDY'S 200 mg COMPR. FILM. 200mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 7,989857 9,753857 58,566500114 W65715001 J02AC03 VORICONAZOLUM ** VORICONAZOLE ACCORD 200 mgCOMPR. FILM. 200mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. PRF 28 6,658214 8,128214 0,000000115 W64073003 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 7,989857 9,753857 19,270428116 W64073005 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 7,989857 9,753857 16,739357117 W08947008 J02AC03 VORICONAZOLUM ** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 7,989857 9,753857 47,922928118 W62033006 J02AC03 VORICONAZOLUM ** VORAMOL 200 mg COMPR. FILM. 200mg ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. PRF 30 7,989857 9,753857 65,112143119 W64072003 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 22,916428 27,704285 0,000000120 W64072005 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 21,905357 25,239285 0,000000121 W64072008 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 21,369642 23,974285 0,000000122 W10489001 J02AC03 VORICONAZOLUM ** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF 1 310,650000 376,760000 0,000000123 W64929001 J02AC03 VORICONAZOLUM ** VFEND 200 mg PULB. PT. SOL. PERF. 200mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. UNIDOZA X 30 ML PRF 1 310,650000 376,760000 0,000000124 W62815001 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg PULB. PT. SOL. PERF. 200mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA CU CAPCITATEA DE 25 ML CU PULB. PT. SOL. PERF. PRF 1 310,650000 376,760000 0,000000125 W62122001 J02AC03 VORICONAZOLUM ** VORICONAZOL FRESENIUS KABI 200 mg PULB. PT. SOL. PERF. 200mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA TIP I, CU CAPACITATEA DE 25 ML, CU PULBERE PT. SOL. PERF. PRF 1 310,650000 376,760000 0,000000126 W64930001 J02AC03 VORICONAZOLUM ** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA PT. ADM. ORALA (5 ML) + 1 ADAPTOR PRF 1 1.372,920000 1.534,630000 0,000000127 W41889001 J02AC03 VORICONAZOLUM ** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA PT. ADM. ORALA (5 ML) + 1 ADAPTOR P-RF 1 1.372,920000 1.534,630000 0,000000128 W64693001 J02AC04 POSACONAZOLUM ** NOXAFIL 100mg COMPR. GASTROREZ. 100mg MERCK SHARP & DOHME OLANDA CUTIE CU BLIST. PVC/PCTFE/AL X 24 COMPR. GASTROREZ. PR 24 133,552083 147,161666 0,000000129 W60913001 J02AC04 POSACONAZOLUM ** NOXAFIL 100mg COMPR. GASTROREZ. 100mg MERCK SHARP & DOHME LTD. MAREA BRITANIE CUTIE CU BLIST. PVC/PCTF/AL X 24 COMPRIMATE GASTROREZISTENTE PR 24 133,552083 147,161666 0,000000130 W65818001 J02AC04 POSACONAZOLUM ** POSACONAZOL MSN LABORATORIES 300 mgCONC. PT. SOL. PERF. 300mg VIVANTA GENERICS S.R.O., REPUBLICA CEHA CUTIE CU FLAC. DE STICLA INCHIS CU DOP DE CAUCIUC BROMOBUTILIC SI CAPSA DE AL DE CULOARE ROSIE X 20 ML CONC. PT. SOL. PERF. PR 1 891,820000 1.010,230000 0,000000131 W61578001 J02AC04 POSACONAZOLUM ** NOXAFIL 300mg CONC. PT. SOL. PERF. 300mg MERCK SHARP & DOHME LTD. MAREA BRITANIE CUTIE CU UN FL X 16,7ML CONC. PT SOL PERF (18MG POSACONAZOL/ML) PR 1 1.070,184000 1.212,276000 372,624000132 W64694001 J02AC04 POSACONAZOLUM ** NOXAFIL 300mg CONC. PT. SOL. PERF. 300mg MERCK SHARP & DOHME OLANDA CUTIE CU 1 FLAC. X 16,7ML CONC. PT SOL. PERF. (18MG POSACONAZOL/ML) PR 1 1.070,184000 1.212,276000 372,624000133 W58194001 J02AC04 POSACONAZOLUM ** NOXAFIL 40mg/ml SUSP. ORALA 40mg/ml MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. X 105ML SUSP. ORALA P-RF/R 1 2.019,372000 2.246,892000 595,608000134 W64692001 J02AC04 POSACONAZOLUM ** NOXAFIL 40mg/ml SUSP. ORALA 40mg/ml MERCK SHARP & DOHME OLANDA CUTIE CU 1 FLAC. X 105 ML SUSP. ORALA PR 1 2.019,372000 2.246,892000 595,608000135 W65835001 J02AC04 POSACONAZOLUM ** POSACONAZOL MYLAN 40 mg/mlSUSP. ORALA 40mg/ml MYLAN IRELAND LIIMTED IRLANDA CUTIE CU 1 FLAC. DIN STICLA, CU CAPAC DIN PE CU SISTEM DE INCHIDERE SECURIZAT PENTRU COPII SI O LINGURITA DE MASURARE A DOZELOR X 105 ML SUSP. ORALA PR 1 1.682,810000 1.872,410000 0,000000136 W63508001 J02AX04 CASPOFUNGINUM ** DALVOCANS 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 10 ML CU PULB. PT. CONC. PT. SOL. PERF. PR 1 810,730000 921,850000 0,000000137 W06665001 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 1 877,030000 994,110000 0,000000138 W64793001 J02AX04 CASPOFUNGINUM ** CANCIDAS 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg MERCK SHARP & DOHME OLANDA CUTIE X 1 FLAC. X 50 MG PULB. PTR. CONC. PTR. SOL. PERF. PR 1 877,030000 994,110000 0,000000139 W63457001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA ZENTIVA 50 mgPULB. PT. CONC. PT. SOL. PERF. 50mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 868,440000 984,750000 0,000000140 W65379001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA SANDOZ 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA (TIP I) CU CAPACITATEA DE 10 ML CU PULB. PT. CONC. PT. SOL. PERF. PR 1 868,440000 984,750000 0,000000141 W65688001 J02AX04 CASPOFUNGINUM ** CASPOFUNGIN ACCORD 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE 50 MG PULB. PT. CONC. PT. SOL. PERF. PR 1 813,420000 924,780000 0,000000142 W63758001 J02AX04 CASPOFUNGINUM ** CASPOFUNGIN ACCORD 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE 50 MG PULB. PT. CONC. PT. SOL. PERF. PR 1 813,420000 924,780000 0,000000143 W63505001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA ATB 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TIP I CU CAPACITATEA DE 10 ML, CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 868,440000 984,750000 0,000000144 W63403001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA MYLAN 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONCENTRAT PT. SOL. PERF. PR 1 877,030000 994,110000 0,000000145 W63404001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA MYLAN 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONCENTRAT PT. SOL. PERF. PR 1 1.135,500000 1.275,850000 0,000000146 W65380001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA SANDOZ 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA (TIP I) CU CAPACITATEA DE 10 ML CU PULB. PT. CONC. PT. SOL. PERF. PR 1 1.124,290000 1.263,630000 0,000000147 W65689001 J02AX04 CASPOFUNGINUM ** CASPOFUNGIN ACCORD 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE 70 MG PULB. PT. CONC. PT. SOL. PERF. PR 1 1.067,080000 1.201,270000 0,000000148 W63759001 J02AX04 CASPOFUNGINUM ** CASPOFUNGIN ACCORD 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE 70 MG PULB. PT. CONC. PT. SOL. PERF. PR 1 1.067,080000 1.201,270000 0,000000149 W63506001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA ATB 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TIP I CU CAPACITATEA DE 10 ML, CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 1.124,290000 1.263,630000 0,000000150 W06670001 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 1.135,500000 1.275,850000 0,000000151 W64792001 J02AX04 CASPOFUNGINUM ** CANCIDAS 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg MERCK SHARP & DOHME OLANDA CUTIE X 1 FLAC. X 70 MG PULB. PTR. CONC. PTR. SOL. PERF. PR 1 1.135,500000 1.275,850000 0,000000152 W63509001 J02AX04 CASPOFUNGINUM ** DALVOCANS 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 10 ML CU PULB. PT. CONC. PT. SOL. PERF. PR 1 1.051,440000 1.184,220000 0,000000153 W63458001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA ZENTIVA 70 mgPULB. PT. CONC. PT. SOL. PERF. 70mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 1.124,290000 1.263,630000 0,000000154 W62968001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA STADA 50 mg PULB. PT.CONC. PT. SOL. PERF. 50mg STADA M&D SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 877,030000 994,110000 0,000000155 W62969001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA STADA 70 mg PULB. PT.CONC. PT. SOL. PERF. 70mg STADA M&D SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 1.135,500000 1.275,850000 0,000000156 W53675001 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 0,660600 0,892800 0,296700157 W42857001 J05AB01 ACICLOVIRUM ACICLOVIR SLAVIA 200 mg CAPS. 200mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 0,660600 0,892800 0,293700158 W56038001 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 0,660600 0,892800 0,296700

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comunitare159 W53675003 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 0,660600 0,887590 0,000000160 W53676001 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 2,186000 2,954000 0,000000161 W53225001 J05AB01 ACICLOVIRUM ACICLOVIR LAROPHARM 200 mgCOMPR. 200mg LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 0,660600 0,892800 0,296700162 W00044001 J05AB01 ACICLOVIRUM ACICLOVIR TERAPIA 200 mg COMPR. 200mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0,660600 0,892800 0,060200163 W06667003 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 0,568000 0,768000 0,000000164 W60558001 J05AB01 ACICLOVIRUM ACICLOVIR-RICHTER 200 mg COMPR. 200mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. PRF 20 0,660600 0,892800 0,064700165 W65783001 J05AB01 ACICLOVIRUM ACICLOVIR AUROBINDO 200 mg COMPR. 200mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. TRANSPARENTE PVC/AL X 20 COMPR. PRF 20 0,550500 0,744000 0,000000166 W65784008 J05AB01 ACICLOVIRUM ACICLOVIR AUROBINDO 400 mg COMPR. 400mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. TRANSPARENTE PVC/AL X 10 COMPR. PRF 10 1,867000 2,524000 0,000000167 W06668003 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 2,148000 2,903000 0,000000168 W00058001 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 41,032000 50,092000 0,000000169 W65100001 J05AB11 VALACYCLOVIRUM VALTREX 500 mg COMPR. FILM. 500 mg GLAXOSMITHKLINE (IRELAND) LIMITED IRLANDA CUTIE CU BLIST. DIN CLORURA DE POLIVINIL/AL X 10 COMPR.FILM. PRF 10 2,978400 4,024800 0,908200170 W58707001 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 2,978400 4,024800 0,908200171 W60087001 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 2,482000 3,354000 0,000000172 W61515001 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR AUROBINDO 450 mg COMPR. FILM. 450mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PA-AL-PVC/AL X 60 COMPR. FILM. PRF 60 16,006999 18,210600 39,961733173 W66450001 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR AUROBINDO 450 mg COMPR. FILM. 450mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 60 COMPR. FILM. PRF 60 16,006999 18,210600 39,961733174 W62786001 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR ZENTIVA 450 mg COMPR. FILM. 450mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM. PRF 60 13,339166 15,175500 0,000000175 W66182001 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. 165mg/ml OCTAPHARMA (IP) SPRLBELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 6 ML SOL. INJ. PR 1 399,350000 473,440000 0,000000176 W66182003 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. 165mg/ml OCTAPHARMA (IP) SPRLBELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 12 ML SOL. INJ. PR 1 768,770000 876,110000 0,000000177 W66182005 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. 165mg/ml OCTAPHARMA (IP) SPRLBELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 24 ML SOL. INJ. PR 1 1.507,540000 1.681,370000 0,000000178 W66182006 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. 165mg/ml OCTAPHARMA (IP) SPRLBELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 48 ML SOL. INJ. PR 1 2.985,080000 3.291,890000 0,000000179 W54752002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 70 ML X 50 ML SOL. PERF. PR 1 932,550000 1.054,630000 0,000000180 W54752001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 30 ML X 20 ML SOL. PERF. PR 1 408,030000 482,900000 0,000000181 W54752003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 100 ML X 100 ML SOL. PERF. PR 1 1.835,250000 2.038,570000 0,000000182 W65903004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) SPRLBELGIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 250 ML X 200 ML SOL. PERF. PR 1 3.736,920000 4.111,400000 0,000000183 W65903001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) SPRLBELGIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 30 ML X 20 ML SOL. PERF. PR 1 408,030000 482,900000 0,000000184 W65903002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) SPRLBELGIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 70 ML X 50 ML SOL. PERF. PR 1 932,550000 1.054,630000 0,000000185 W65903003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) SPRLBELGIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 100 ML X 100 ML SOL. PERF. PR 1 1.835,250000 2.038,570000 0,000000186 W62722003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PANZYGA 100 mg/ml SOL. PERF. 100mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 70 ML, CU 50 ML SOL. PERF. PR 1 966,910000 1.092,080000 0,000000187 W65358003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PANZYGA 100 mg/ml SOL. PERF. 100mg/ml OCTAPHARMA (IP) SPRLBELGIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 70 ML, CU 50 ML SOL. PERF. PR 1 966,910000 1.092,080000 0,000000188 W53030001 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. PR 1 923,350000 1.044,600000 0,000000189 W53030002 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. PR 1 1.797,530000 1.997,460000 0,000000190 W53030004 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. PR 1 477,940000 559,100000 0,000000191 W53030003 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. PR 1 3.835,300000 4.218,630000 0,000000192 W43965001 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 PR 1 2.461,260000 2.720,930000 0,000000193 W43962001 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 PR 1 245,530000 299,740000 0,000000194 W43963001 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 PR 1 637,810000 733,360000 0,000000195 W59114002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** INTRATECT 50 g/l SOL. PERF. 50g/l BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 50 ML SOL. PERF. PRF 1 539,240000 625,920000 0,000000196 W59114001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** INTRATECT 50 g/l SOL. PERF. 50g/l BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 20 ML SOL. PERF. PRF 1 224,070000 273,540000 0,000000197 W59114004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** INTRATECT 50 g/l SOL. PERF. 50g/l BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 200 ML SOL. PERF. PRF 1 2.066,990000 2.291,170000 0,000000198 W59114003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** INTRATECT 50 g/l SOL. PERF. 50g/l BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 100 ML SOL. PERF. PRF 1 1.048,500000 1.181,020000 0,000000199 W63860002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PENTAGLOBIN SOL. PERF. 50mg/ml CN UNIFARM S.A. ROMANIA FLAC. X 50 ML PR 1 803,040000 913,460000 0,000000200 W13462001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM SOL. PERF. 50mg/ml OCTAPHARMA (IP) LTD.MAREA BRITANIE CUTIE X 1 FLACON X 50 ML S 1 490,690000 573,000000 0,000000201 W65624002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 50 mg/ml SOL. PERF. 50mg/ml OCTAPHARMA (IP) SPRLBELGIA CUTIE CU 1 FLAC. DIN STICLA X 50 ML SOL. PERF.PR 1 490,690000 573,000000 0,000000202 W65624003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 50 mg/ml SOL. PERF. 50mg/ml OCTAPHARMA (IP) SPRLBELGIA CUTIE CU 1 FLAC. DIN STICLA X 100 ML SOL. PERF. PR 1 949,870000 1.073,510000 0,000000203 W63860001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PENTAGLOBIN SOL. PERF. 50mg/ml CN UNIFARM S.A. ROMANIA FLAC. X 100 ML PR 1 1.565,740000 1.744,810000 0,000000204 W65624004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 50 mg/ml SOL. PERF. 50mg/ml OCTAPHARMA (IP) SPRLBELGIA CUTIE CU 1 FLAC. DIN STICLA X 200 ML SOL. PERF. PR 1 1.859,420000 2.064,920000 0,000000205 W13462003 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 1.859,420000 2.064,920000 0,000000206 W13462002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM SOL. PERF. 50mg/ml OCTAPHARMA (IP) LTD.MAREA BRITANIE CUTIE X 1 FLACON X 100 ML S 1 949,870000 1.073,510000 0,000000207 W43964001 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 PR 1 1.245,630000 1.395,890000 0,000000208 W12490001 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 0,971800 1,271000 0,000000209 W52215001 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN 200 mg PULB. PT. SOL. INJ. / PERF. 200mg ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. PERF./INJ S 1 21,000000 28,380000 0,000000210 W64372001 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN 200 mg PULB. PT. SOL. PERF./INJ. 200mg TEVA B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA PULB. PT. SOL. PERF./INJ PR 1 21,000000 28,380000 0,000000

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Concentratie / U.T.

Firma Tara Ambalaj

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decontare / U.T.

Pret de decontare / U.T.

contribu ție maximă

asigurat / U.T. - farmacii

comunitare211 W58865001 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 10,837600 13,230400 0,000000212 W65219001 L01AA03 MELPHALANUM MELPHALAN RATIOPHARM 50 mgPULB+SOLV. PT. SOL. INJ./PERF. 50mg CN UNIFARM S.A. ROMANIA CUTIE CU 1 FLAC. X 50 MG PULB. PT. SOL. INJ./PERF. + 1 FLAC. SOLV. PR 1 137,500000 167,860000 0,000000213 W12497001 L01AA06 IFOSFAMIDUM HOLOXAN 1 g PULB. PT. SOL. PERF. 1g BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. PERF. PR 1 134,540000 164,250000 0,000000214 W58856002 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 10,717100 12,063200 0,000000215 W62979001 L01AB01 BUSULFANUM BUSULFAN ACCORD 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 10 ML CONC. PT. SOL. PERF. PR 1 728,950000 832,710000 0,000000216 W65792001 L01AB01 BUSULFANUM BUSULFAN ACCORD 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 10 ML CONC. PT. SOL. PERF. PR 1 728,950000 832,710000 0,000000217 W62395001 L01AB01 BUSULFANUM BUSULFAN FRESENIUS KABI 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE AMBALAJ COLECTIV CU 8 FLAC. (8 CUTII A CATE 1 FLAC. X10ML) PR 8 702,702500 770,715000 0,000000218 W64538001 L01AB01 BUSULFANUM BUSULFAN FRESENIUS KABI 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml FRESENIUS KABI DEUTSCHLAND GMBH GERMANIA AMBALAJ COLECTIV CU 8 FLAC. (8 CUTII A CATE 1 FLAC.) X 10 MLPR 8 702,702500 770,715000 0,000000219 W12735001 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 5000 mgCONC. PT. SOL. INJ./PERF. 100mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE X 1 FLACON X 50 ML PR 1 325,580000 393,030000 0,000000220 W65904001 L01BA01 METHOTREXATUM JYLAMVO 2 mg/ml SOL. ORALA 2mg/ml THERAKIND (EUROPE) LIMITED IRLANDA CUTIE CU 1 FLAC. DIN STICLA, CU ADAPTOR DIN PEJD PENTRU FLACON SI O SERINGA DOZATOARE DIN PP X 60 ML SOL. ORALA PR 1 633,130000 728,260000 0,000000221 W56210002 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 56,978500 64,014000 0,000000222 W64515001 L01BB05 FLUDARABINUM FLUDARABINA TEVA 25 mg/ml PULB. PT. SOL. INJ./PERF. 25mg/ml TEVA B.V. OLANDA CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 5ML) CU PULB. PT. SOL. INJ/PERF CONTINAND 50MG FLUDARABINA PR 1 99,500000 125,810000 0,000000223 W08035001 L01CB01 ETOPOSIDUM VEPESID CAPS. MOI 100mg BRISTOL MYERS SQUIBB KFT UNGARIA CUTIE CU 1 BLIST. PVC/AL-PVC-PVDC X 10 CAPS. MOI P-RF 10 23,349000 28,505000 0,000000224 W66187001 L01CB01 ETOPOSIDUM VEPESID 100 mg CAPS. MOI 100mg CHEPLAPHARM ARZNEIMITTEL GMBH GERMANIA CUTIE CU 1 BLIST. PVC/AL-PVC-PVDC X 10 CAPS. MOI PRF 10 23,349000 28,505000 0,000000225 W08036001 L01CB01 ETOPOSIDUM VEPESID CAPS. MOI 50mg BRISTOL MYERS SQUIBB KFT UNGARIA CUTIE CU 2 BLIST. PVC/AL-PVC-PVDC X 10 CAPS. MOI P-RF 20 14,677500 17,918500 0,000000226 W66186001 L01CB01 ETOPOSIDUM VEPESID 50 mg CAPS. MOI 50mg CHEPLAPHARM ARZNEIMITTEL GMBH GERMANIA CUTIE CU 2 BLIST. PVC/AL-PVC-PVDC X 10 CAPS. MOI PRF 20 14,677500 17,918500 0,000000227 W52210001 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 26,130000 34,180000 0,000000228 W66198001 L01CB01 ETOPOSIDUM SINTOPOZID 100 mg/5 ml CONC. PT. SOL. PERF. 100mg/5ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 8 ML X 5 ML CONC. PT. SOL. PERF. PR 1 26,130000 34,180000 0,000000229 W52574001 L01CB01 ETOPOSIDUM ETOPOSIDE-TEVA 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 5 ML CONC. PT. SOL. PERF. PR 1 26,130000 34,180000 0,000000230 W60599002 L01CB01 ETOPOSIDUM ETOPOZIDA KABI 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU UN FLAC. DIN STICLA INCOLORA TIP I, CU CAPACITATEA DE 10 ML ÎNCHIS CU DOP DIN CAUCIUC BROMOBUTIL SI SIGILAT CU CAPSE DETASABILE DIN AL DE CULOARE ALBASTRA CONTINÂND 10 ML CONC. PENTRU SOL. PERF. PR 1 54,290000 68,650000 0,000000231 W52574002 L01CB01 ETOPOSIDUM ETOPOSIDE-TEVA 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 10 ML CONC. PT. SOL. PERF.PR 1 56,870000 71,910000 0,000000232 W65008002 L01CB01 ETOPOSIDUM ETOPOZIDA KABI 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU UN FLAC. DIN STICLA INCOLORA TIP I, CU CAPACITATEA DE 10 ML ÎNCHIS CU DOP DIN CAUCIUC BROMOBUTIL SI SIGILAT CU CAPSE DETASABILE DIN AL DE CULOARE ALBASTRA CONTINÂND 10 ML CONC. PENTRU SOL. PERF. PR 1 54,290000 68,650000 0,000000233 W65097001 L01DB06 IDARUBICINUM ZAVEDOS CAPS. 10mg PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 FLAC. X 1 CAPS. PRF 1 201,620000 246,140000 0,000000234 W03575001 L01DB06 IDARUBICINUM ZAVEDOS CAPS. 10mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. X 1 CAPS. P-RF 1 201,620000 246,140000 0,000000235 W03581001 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 90,372000 114,264000 26,056000236 W65096001 L01DB06 IDARUBICINUM ZAVEDOS 5 mg PULB. PT. SOL. INJ. 5mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. S 1 90,372000 114,264000 26,056000237 W63523001 L01DB06 IDARUBICINUM IDARUBICINA ACCORD 5 mg/5 mlSOL. INJ. 5mg/5ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. INCOLOR CARE CONTINE 5 ML SOL. INJ. PR 1 75,310000 95,220000 0,000000238 W42735002 L01DB07 MITOXANTRONUM ** ONKOTRONE CONC. PT. SOL. INJ. 2mg/ml BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 1 FLACON X 10 ML CONC. PT. SOL. INJ.PR 1 528,420000 614,130000 0,000000239 W66247001 L01XA01 CISPLATINUM CISPLATIN KOCAK 10 mg/20 ml CONC. PT. SOL. PERF. 10mg/20ml CN UNIFARM S.A. ROMANIA CUTIE CU 1 FLAC. X 20 ML CONC. PT. SOL. PERF.PR 1 8,724000 11,796000 31,444000240 W52187001 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 8,724000 11,796000 2,584000241 W52187002 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 25,640000 33,540000 0,000000242 W66197001 L01XA01 CISPLATINUM SINPLATIN 1 mg/1 ml CONC. PT. SOL. PERF. 1mg/1ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 10 ML X 10 MG CONC. SOL. PERF. PR 1 8,724000 11,796000 2,584000243 W66197002 L01XA01 CISPLATINUM SINPLATIN 1 mg/1 ml CONC. PT. SOL. PERF. 1mg/1ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 50 ML X 50 MG CONC. SOL. PERF. PR 1 25,640000 33,540000 0,000000244 W56390003 L01XA01 CISPLATINUM CISPLATINA ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DE 50 ML DIN STICLA BRUNA CU CONC. PT. SOL. PERF. S 1 23,050000 31,160000 0,000000245 W56390002 L01XA01 CISPLATINUM CISPLATINA ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE X 1 FLACON X 30ML (PENTRU 25ML) DIN STICLA BRUNA CU CONCENTRAT PENTRU SOLUTIE PERFUZABILA S 1 20,070000 27,130000 0,000000246 W56390001 L01XA01 CISPLATINUM CISPLATINA ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DE 10 ML DIN STICLA BRUNA CU CONC. PT. SOL. PERF. S 1 7,270000 9,830000 0,000000247 W65790003 L01XA01 CISPLATINUM CISPLATINA ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA BRUNA CARE CONTINE 50 ML CONC. PT. SOL. PERF. PR 1 23,050000 31,160000 0,000000248 W65790004 L01XA01 CISPLATINUM CISPLATINA ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA BRUNA CARE CONTINE 100 ML CONC. PT. SOL. PERF. PR 1 71,490000 90,390000 0,000000249 W65790001 L01XA01 CISPLATINUM CISPLATINA ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA BRUNA CARE CONTINE 10 ML CONC. PT. SOL. PERF. PR 1 7,270000 9,830000 0,000000250 W65790002 L01XA01 CISPLATINUM CISPLATINA ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA BRUNA CARE CONTINE 25 ML CONC. PT. SOL. PERF. PR 1 20,070000 27,130000 0,000000251 W56390004 L01XA01 CISPLATINUM CISPLATINA ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA BRUNA CARE CONTINE 100 ML CONC. PT. SOL. PERF. PR 1 71,490000 90,390000 0,000000252 W64519002 L01XA02 CARBOPLATINUM CARBOPLATIN TEVA 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml TEVA B.V. OLANDA CUTIE CU 1 FLACON DIN STICLA INCOLORA X 15 ML CONC. PT. SOL. PERF. PR 1 52,740000 66,680000 0,000000253 W64519003 L01XA02 CARBOPLATINUM CARBOPLATIN TEVA 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml TEVA B.V. OLANDA CUTIE CU 1 FLACON DIN STICLA INCOLORA X 45 ML CONC. PT. SOL. PERF. PR 1 147,610000 180,200000 0,000000254 W58740004 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 1 194,290000 237,190000 0,000000255 W58740003 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 1 147,610000 180,200000 0,000000256 W65006003 L01XA02 CARBOPLATINUM CARBOPLATIN KABI 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC FLUROTEC, SIGILAT CU CAPSA DIN AL DE CULOARE ROSIE X 45 ML CONC. PT. SOL. PERF. X 450 MG CARBOPLATINA PR 1 147,610000 180,200000 0,000000257 W65006001 L01XA02 CARBOPLATINUM CARBOPLATIN KABI 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC FLUROTEC, SIGILAT CU CAPSA DIN AL DE CULOARE VERDE X 5 ML CONC. PT. SOL. PERF. X 50 MG CARBOPLATINA PR 1 20,000000 27,030000 0,000000258 W53000003 L01XA02 CARBOPLATINUM CARBOPLATIN ACTAVIS 10mg/mlCONC. 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 1 147,610000 180,200000 0,000000259 W53000002 L01XA02 CARBOPLATINUM CARBOPLATIN ACTAVIS 10mg/mlCONC. 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 48,580000 63,540000 0,000000260 W58740002 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 51,160000 64,690000 0,000000261 W65006004 L01XA02 CARBOPLATINUM CARBOPLATIN KABI 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA 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 1 194,290000 237,190000 0,000000262 W65006002 L01XA02 CARBOPLATINUM CARBOPLATIN KABI 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA 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 51,160000 64,690000 0,000000

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Firma Tara Ambalaj

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crip

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decontare / U.T.

Pret de decontare / U.T.

contribu ție maximă

asigurat / U.T. - farmacii

comunitare263 W64512001 L01XC02RITUXIMABUM ** RIXATHON 100 mg CONC. PT. SOL. PERF. 100mg SANDOZ GMBH AUSTRIA CUTIE CU 2 FLAC. DIN STICLA DE 10 ML X 100 MG RITUXIMAB PR 2 679,570000 759,805000 0,000000264 W64422001 L01XC02RITUXIMABUM ** BLITZIMA 100 mg CONC. PT. SOL. PERF. 100mg CELLTRION HEALTHCARE HUNGARY KFT. UNGARIA CUTIE CU 2 FLAC. DIN STICLA X 10 ML (100 MG RITUXIMAB IN 10 ML-10MG/ML) PR 2 602,185000 675,455000 0,000000265 W64512002 L01XC02RITUXIMABUM ** RIXATHON 100 mg CONC. PT. SOL. PERF. 100mg SANDOZ GMBH AUSTRIA CUTIE CU 3 FLAC. DIN STICLA DE 10 ML X 100 MG RITUXIMAB PR 3 674,566666 747,996666 0,000000266 W64385001 L01XC02RITUXIMABUM ** MABTHERA 100 mg CONC. PT. SOL. PERF. 10mg/ml ROCHE REGISTRATION GMBH GERMANIA CUTIE X 2 FLACOANE X 10 ML CARE CONTIN 100 MG RITUXIMABUM PR 2 722,622000 810,546000 79,419000267 W07199001 L01XC02RITUXIMABUM ** MABTHERA 100 mg CONC. PT. SOL. PERF. 10mg/ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 2 FLACOANE X 10 ML S 2 722,622000 810,546000 79,419000268 W64421001 L01XC02RITUXIMABUM ** BLITZIMA 500 mg CONC. PT. SOL. PERF. 500mg CELLTRION HEALTHCARE HUNGARY KFT. UNGARIA CUTIE CU 1 FLAC. DIN STICLA X 50 ML (500 MG RITUXIMAB IN 50 ML-10MG/ML) PR 1 3.404,470000 3.749,030000 0,000000269 W07200001 L01XC02RITUXIMABUM ** MABTHERA 500 mg CONC. PT. SOL. PERF. 500mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLACON X 50 ML(500MG RITUXIMAB IN 50ML- 10MG/ML)S 1 3.962,740000 4.357,540000 0,000000270 W64386001 L01XC02RITUXIMABUM ** MABTHERA 500 mg CONC. PT. SOL. PERF. 500mg ROCHE REGISTRATION GMBH GERMANIA CUTIE X 1 FLACON X 50 ML (500MG RITUXIMAB IN 50ML- 10MG/ML)PR 1 3.962,740000 4.357,540000 0,000000271 W64513002 L01XC02RITUXIMABUM ** RIXATHON 500 mg CONC. PT. SOL. PERF. 500mg SANDOZ GMBH AUSTRIA CUTIE CU 2 FLAC. DIN STICLA DE 50 ML X 500 MG RITUXIMAB PR 2 3.389,480000 3.713,615000 0,000000272 W64513001 L01XC02RITUXIMABUM ** RIXATHON 500 mg CONC. PT. SOL. PERF. 500mg SANDOZ GMBH AUSTRIA CUTIE CU 1 FLAC. DIN STICLA DE 50 ML X 500 MG RITUXIMAB PR 1 3.404,480000 3.749,040000 0,000000273 W62893001 L01XC02RITUXIMABUM ** MABTHERA 1400 mg SOL INJ. 120mg/ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLACON (1400 MG RITUXIMAB /11,7 MLPR 1 6.879,540000 7.536,860000 0,000000274 W64387001 L01XC02RITUXIMABUM ** MABTHERA 1400 mg SOL INJ. 120mg/ml ROCHE REGISTRATION GMBH GERMANIA CUTIE X 1 FLACON (1400 MG RITUXIMAB /11,7 ML) SOL. INJ. PT. ADM. SUBCUTANATA PR 1 6.879,540000 7.536,860000 0,000000275 W53892001 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 SOLP-RF/R 1 62,980000 79,630000 0,000000276 W53893001 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 SOLP-RF/R 1 102,660000 125,330000 0,000000277 W65658001 L03AA02 FILGRASTIMUM (G-CSF) ** ACCOFIL 30 MU/0,5 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 30MU/0,5 ml ACCORD HEALTHCARE S.L.U. SPANIA AMBALAJ CU 1 SERINGA PREUMPLUTA (STICLA) CU 0,5 ML SOL. INJ. PR 1 59,440000 75,150000 0,000000278 W61793001 L03AA02 FILGRASTIMUM (G-CSF) ** ACCOFIL 30 MU/0,5 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 30MU/0,5 ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE AMBALAJ CU 1 SERINGA PREUMPLUTA CU 0,5 ML SOL. INJ. PR 1 59,440000 75,150000 0,000000279 W65659001 L03AA02 FILGRASTIMUM (G-CSF) ** ACCOFIL 48 MU/0,5 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 48MU/0,5 ml ACCORD HEALTHCARE S.L.U. SPANIA AMBALAJ CU 1 SERINGA PREUMPLUTA (STICLA) CU 0,5 ML SOL. INJ. PR 1 97,000000 122,650000 0,000000280 W61794001 L03AA02 FILGRASTIMUM (G-CSF) ** ACCOFIL 48 MU/0,5 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 48MU/0,5 ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE AMBALAJ CU 1 SERINGA PREUMPLUTA CU 0,5 ML SOL. INJ. PR 1 97,000000 122,650000 0,000000281 W55757002 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 57,502000 70,198000 0,000000282 W62176005 L03AA02 FILGRASTIMUM (G-CSF) ** TEVAGRASTIM 30MUI/0,5ml SOL. INJ./PERF. 300µg/0,5ml TEVA GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF. CU APARATOARE DE SIG.PT.AC PR 1 69,002400 84,237600 41,682400283 W64857002 L03AA02 FILGRASTIMUM (G-CSF) ** NIVESTIM 30 MU/0,5 ml SOL. INJ./PERF. 300µg/0,5ml PFIZER EUROPE MA EEIG BELGIA CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. PR 5 57,502000 70,198000 0,000000284 W55758002 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 89,638000 105,336000 0,000000285 W64858002 L03AA02 FILGRASTIMUM (G-CSF) ** NIVESTIM 48 MU/0,5 ml SOL. INJ./PERF. 480µg/0,5ml PFIZER EUROPE MA EEIG BELGIA CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. PR 5 89,638000 105,336000 0,000000286 W62177005 L03AA02 FILGRASTIMUM (G-CSF) ** TEVAGRASTIM 48MUI/0,8ml SOL. INJ./PERF. 480µg/0,8ml TEVA GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,8 ML SOL. INJ. SAU PERF. CU APARATOARE DE SIG.PT.AC PR 1 107,565600 126,403200 53,526800287 W54580001 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 22.346,690000 24.396,070000 0,000000288 W61725001 L04AA04 IMUNOGLOBULINA ANTI-LIMFOCITE UMANE ** GRAFALON CONC. PT. SOL. PERF. 20mg/ml NEOVII BIOTECH GMBHGERMANIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. PR 1 1.306,970000 1.462,750000 0,000000289 W42264003 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 2,522416 3,067333 0,000000290 W42265003 L04AA06 MYCOPHENOLATUM ** MYFORTIC 360 mg COMPR. GASTROREZ. 360mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF 120 4,836250 5,589416 0,000000291 W04406001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 10 BLIST. X 10 CAPS. P-RF/R 100 1,392000 1,699400 0,000000292 W64374001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION GMBH GERMANIA CUTIE X 10 BLIST. PVC/AL X 10 CAPS. PR 100 1,392000 1,699400 0,000000293 W56003001 L04AA06 MYCOPHENOLATUM MOFETILUM ** MICOFENOLAT MOFETIL SANDOZ 500 mg COMPR. FILM. 500mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 50 COMPR. FILM. P-RF 50 1,602400 2,026000 0,000000294 W04407001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 500mg COMPR. FILM. 500mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 5 BLIST. X 10 COMPR. FILM. P-RF/R 50 2,784000 3,398800 0,000000295 W64375001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 500mg COMPR. FILM. 500mg ROCHE REGISTRATION GMBH GERMANIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. FILM. PR 50 2,784000 3,398800 0,000000296 W61479001 L04AA10 SIROLIMUS ** RAPAMUNE 1mg DRAJ. 1mg PFIZER LIMITED MAREA BRITANIE CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR) PR 30 15,523333 18,192000 0,000000297 W65025001 L04AA10 SIROLIMUS ** RAPAMUNE 1 mg DRAJ. 1mg PFIZER EUROPE MA EEIG BELGIA CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR) PR 30 15,523333 18,192000 0,000000298 W61297001 L04AB01 ETANERCEPTUM ** ENBREL 25mg PULB. + SOLV. PT. SOL. INJ. 25mg PFIZER LIMITED MAREA BRITANIE CUTIE X 4 FLACOANE + 4 SERINGI PREUMPLUTE + 4 ACE + 4 ADAPTOARE PENTRU FLACOANE + 8 TAMPOANE CU ALCOOL P-RF/R 4 384,545000 428,692500 0,000000299 W64809001 L04AB01 ETANERCEPTUM ** ENBREL 25mg PULB. + SOLV. PT. SOL. INJ. 25mg PFIZER EUROPE MA EEIG BELGIA CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE + 4 ACE + 4 ADAPTOARE PT. FLAC. + 8 TAMPOANE CU ALCOOL MEDICINAL PR 4 384,545000 428,692500 0,000000300 W65221001 L04AB01 ETANERCEPTUM ** BENEPALI 50 mg SOL INJ. 50mg SAMSUNG BIOEPIS NL B.V. OLANDA CUTIE CU 4 SERINGI PREUMPLUTE A CATE 50 MGPR 4 585,085000 647,280000 0,000000301 W63832001 L04AB01 ETANERCEPTUM ** ERELZI 50 mg SOL INJ. 50mg SANDOZ GMBH AUSTRIA CUTIE CU 4 STILOURI INJECTOARE (PEN) PREUMPLUTE PR 4 523,270000 579,902500 0,000000302 W62832001 L04AB01 ETANERCEPTUM ** BENEPALI 50 mg SOL INJ. IN SERINGA PREUMPLUTA 50mg SAMSUNG BIOEPIS UK LIMITED MAREA BRITANIE CUTIE CU 4 SERINGI PREUMPLUTE A CATE 50 MGPR 4 585,085000 647,280000 0,000000303 W64810001 L04AB01 ETANERCEPTUM ** ENBREL 25mg SOL. INJ. 25mg PFIZER EUROPE MA EEIG BELGIA CUTIE X 4 SERINGI PREUMPLUTE X 4 TAMPOANE CU ALCOOL MEDICINAL PR 4 384,545000 428,692500 0,000000304 W65222001 L04AB01 ETANERCEPTUM ** BENEPALI 50 mg SOL. INJ. 50mg SAMSUNG BIOEPIS NL B.V. OLANDA CUTIE CU 4 STILOURI INJECTOARE (PEN) PREUMPLUTE A CATE 50 MG PR 4 585,085000 647,280000 0,000000305 W64811002 L04AB01 ETANERCEPTUM ** ENBREL 50mg SOL. INJ. 50mg PFIZER EUROPE MA EEIG BELGIA CUTIE X 4 SERINGI PREUMPLUTE X 4 TAMPOANE CU ALCOOL MEDICINAL PR 4 760,785000 838,795000 0,000000306 W64812002 L04AB01 ETANERCEPTUM ** ENBREL 50mg SOL. INJ. 50mg PFIZER EUROPE MA EEIG BELGIA CUTIE X 4 STILOURI INJECTOARE PREUMPLUTE (PEN) X 4 TAMPOANE CU ALCOOL MEDICINAL PR 4 760,785000 838,795000 0,000000307 W61299001 L04AB01 ETANERCEPTUM ** ENBREL 25mg SOL. INJ. (INSERINGA PREUMPLUTA) 25mg PFIZER LIMITED MAREA BRITANIE CUTIE X 4 SERINGI PREUMPLUTE X 4 TAMPOANE CU ALCOOL P-RF/R 4 384,545000 428,692500 0,000000308 W61300002 L04AB01 ETANERCEPTUM ** ENBREL 50mg SOL. INJ. (INSERINGA PREUMPLUTA) 50mg PFIZER LIMITED MAREA BRITANIE CUTIE X 4 SERINGI PREUMPLUTE X 4 TAMPOANE CU ALCOOL P-RF/R 4 760,785000 838,795000 0,000000309 W62833001 L04AB01 ETANERCEPTUM ** BENEPALI 50 mg SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 50mg SAMSUNG BIOEPIS UK LIMITED MAREA BRITANIE CUTIE CU 4 STILOURI INJECTOARE (PEN) PREUMPLUTE A CATE 50 MG PR 4 585,085000 647,280000 0,000000310 W61303002 L04AB01 ETANERCEPTUM ** ENBREL 50mg SOL. INJ. IN STILOU INJECTOR PREUMPLUT 50mg PFIZER LIMITED MAREA BRITANIE CUTIE X 4 STILOURI INJECTOARE PREUMPLUTE (PEN) X 4 TAMPOANE CU ALCOOL P-RF/R 4 760,785000 838,795000 0,000000311 W51399001 L04AD01 CICLOSPORINUM SANDIMMUN NEORAL (R) CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI PR 50 1,425400 1,802400 0,000000312 W51398001 L04AD01 CICLOSPORINUM SANDIMMUN NEORAL 50 mg CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI PR 50 2,292400 2,798600 0,000000313 W55262007 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. PR 50 1,323600 1,673600 0,000000314 W53729001 L04AD02 TACROLIMUSUM ** PROGRAF 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 PR 50 1,842600 2,329800 0,000000

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Forma farmaceuti

ca

Concentratie / U.T.

Firma Tara Ambalaj

Pres

crip

tie cant/ambal

aj

Pret cu ridicata maximal de

decontare / U.T.

Pret de decontare / U.T.

contribu ție maximă

asigurat / U.T. - farmacii

comunitare315 W53730001 L04AD02 TACROLIMUSUM ** PROGRAF 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 PR 50 3,822000 4,666000 0,000000316 W55263007 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. PR 50 2,600400 3,174600 0,000000317 W53731001 L04AD02 TACROLIMUSUM ** PROGRAF 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 PR 50 18,782400 21,235800 0,000000318 W51974002 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 1,842600 2,329800 0,000000319 W57352002 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 3,822000 4,666000 0,000000320 W51976002 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 19,252600 21,748400 0,000000321 W53732001 L04AD02 TACROLIMUSUM ** PROGRAF 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 10 FIOLE X 1 ML PR 10 162,464000 180,901000 0,000000322 W12691002 N02AX02 TRAMADOLUM TRAMADOL CAPS. 50mg KRKA D.D. SLOVENIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 0,238000 0,321500 0,000000323 W52049001 N02AX02 TRAMADOLUM TRAMADOL ARENA CAPS. 50mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 0,285600 0,385800 0,114200324 W60291001 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 0,285600 0,385800 0,039200325 W42440001 N02AX02 TRAMADOLUM TRAMAG 50 mg COMPR. 50mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0,285600 0,385800 0,041200326 W42957001 N02AX02 TRAMADOLUM TRAMADOL EEL COMPR. 50mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0,285600 0,385800 0,114200327 W63391003 N02AX02 TRAMADOLUM TRAMAL RETARD 100 mg COMPR. ELIB. PREL. 100mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 BLIST. AL/PP X 10 COMPR.FILM. CU ELIB. PREL. P-RF 10 0,510400 0,689599 0,011401328 W63391001 N02AX02 TRAMADOLUM TRAMAL RETARD 100 mg COMPR. ELIB. PREL. 100mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 BLIST. AL/PVDC X 10 COMPR. FILM. CU ELIB. PREL. P-RF 10 0,510400 0,689599 0,011401329 W61448003 N02AX02 TRAMADOLUM MABRON RETARD 100 mg COMPR. ELIB. PREL. 100mg MEDOCHEMIE LTD. CIPRU CUTIE CU 3 BLISTERE DIN PVC/AL X 10 COMPR. CU ELIB. PREL. PRF 30 0,425333 0,574666 0,000000330 W60236002 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 0,510400 0,689599 0,011067331 W58072001 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 0,510400 0,689599 0,011067332 W58893002 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 0,649333 0,877666 0,000000333 W61449011 N02AX02 TRAMADOLUM MABRON RETARD 150 mg COMPR. ELIB. PREL. 150mg MEDOCHEMIE LTD. CIPRU CUTIE CU 1 BLISTER DIN PVC/AL X 10 COMPR. CU ELIB. PREL. PRF 10 0,630000 0,851000 0,000000334 W63389001 N02AX02 TRAMADOLUM TRAMAL RETARD 150 mg COMPR. ELIB. PREL. 150mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR.FILM. CU ELIB. PREL.P-RF 10 0,755599 1,021200 0,070800335 W63389002 N02AX02 TRAMADOLUM TRAMAL RETARD 150 mg COMPR. ELIB. PREL. 150mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU 1 BLIST. PP/AL X 10 COMPR. ELIB. PREL. P-RF 10 0,755599 1,021200 0,070800336 W60237002 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 0,706666 0,955333 0,000000337 W61449003 N02AX02 TRAMADOLUM MABRON RETARD 150 mg COMPR. ELIB. PREL. 150mg MEDOCHEMIE LTD. CIPRU CUTIE CU 3 BLISTERE DIN PVC/AL X 10 COMPR. CU ELIB. PREL. PRF 30 0,629666 0,851000 0,000000338 W61449001 N02AX02 TRAMADOLUM MABRON RETARD 150 mg COMPR. ELIB. PREL. 150mg MEDOCHEMIE LTD. CIPRU CUTIE CU 1 BLIST. DIN PVC/AL X 10 COMPR. CU ELIB. PREL. PRF 10 0,630000 0,851000 0,000000339 W58894002 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 0,865333 1,131666 0,000000340 W61450003 N02AX02 TRAMADOLUM MABRON RETARD 200 mg COMPR. ELIB. PREL. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU 3 BLISTERE DIN PVC/AL X 10 COMPR. CU ELIB. PREL. PRF 30 0,809666 1,094333 0,000000341 W43360001 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 0,755599 1,021200 0,308466342 W43361001 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 0,971599 1,313200 0,442800343 W64091001 N02AX02 TRAMADOLUM TRAMADOL KALCEKS SOL INJ./PERF. 50mg/ml AS KALCEKS LETONIA CUTIE CU O TAVITA DIN PVC CU 5 FIOLE DIN STICLA TRANSPARENTA, CU PUNCT DE RUPERE, A CATE 2 ML SOL. INJ./PERF. PRF 5 1,748400 2,362800 0,425200344 W64091002 N02AX02 TRAMADOLUM TRAMADOL KALCEKS SOL INJ./PERF. 50mg/ml AS KALCEKS LETONIA CUTIE CU 20 DE TAVITE DIN PVC CU 100 FIOLE DIN STICLA TRANSPARENTA, CU PUNCT DE RUPERE, A CATE 2 ML SOL. INJ./PERF. PRF 100 1,748400 2,362800 0,068800345 W64091003 N02AX02 TRAMADOLUM TRAMADOL KALCEKS SOL INJ./PERF. 50mg/ml AS KALCEKS LETONIA CUTIE CU 2 TAVITE DIN PVC CU 10 FIOLE DIN STICLA TRANSPARENTA, CU PUNCT DE RUPERE, A CATE 2 ML SOL. INJ./PERF. PRF 10 1,457000 1,969000 0,000000346 W05961001 N02AX02 TRAMADOLUM MABRON 100 mg/2 ml SOL. INJ. 100mg/2ml MEDOCHEMIE LTD. CIPRU CUTIE X 5 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. S/P-RF 5 1,488000 2,012000 0,000000347 W05967001 N02AX02 TRAMADOLUM TRAMADOL 100 mg/2 ml SOL. INJ. 100mg/2ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 2 ML S/P-RF 5 1,748400 2,362800 0,109200348 W05966001 N02AX02 TRAMADOLUM TRAMADOL SOL. INJ. 50mg/ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 1 ML S/P-RF 5 0,810000 1,094000 0,000000349 W05969001 N02AX02 TRAMADOLUM TRAMADOL SUPOZ. 100mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X, 5 SUPOZ. P-RF 5 0,916000 1,238000 0,000000350 W61214001 R05CB13 DORNAZA ALFA ** PULMOZYME 2500 U/2,5 ml SOL. DE INHALAT PRIN NEBULIZATOR 2500U/2,5ml ROCHE ROMANIA S.R.L.ROMANIA CUTIE CU 6 FIOLE UNIDOZA, MONOBLOC, DIN PE X 2,5 ML SOL. INHAL. PRIN NEBULIZATOR, INTRODUSE INTR-O PUNGA DIN AL PR 6 73,196666 86,143333 0,000000351 W51484001 V03AC03 DEFERASIROXUM ** EXJADE 125mg COMPR. DISP. 125mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 28 COMPR. DISP.(BLIST. PVC/PE/PVDC/AL) PR 28 26,812500 30,588214 0,000000352 W64440001 V03AC03 DEFERASIROXUM ** EXJADE 125mg COMPR. DISP. 125mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE X 28 COMPR. DISP.(BLIST. PVC/PE/PVDC/AL) PR 28 26,812500 30,588214 0,000000353 W51485001 V03AC03 DEFERASIROXUM ** EXJADE 250mg COMPR. DISP. 250mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL) PR 28 52,553571 58,646071 0,000000354 W64441001 V03AC03 DEFERASIROXUM ** EXJADE 250mg COMPR. DISP. 250mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE X 28 COMPR. DISP. (BLIST. PVC/PE/PVDC/AL) PR 28 52,553571 58,646071 0,000000355 W51486001 V03AC03 DEFERASIROXUM ** EXJADE 500mg COMPR. DISP. 500mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL) PR 28 91,558571 101,161428 0,000000356 W64442001 V03AC03 DEFERASIROXUM ** EXJADE 500mg COMPR. DISP. 500mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE X 28 COMPR. DISP. (BLIST. PVC/PE/PVDC/AL) PR 28 91,558571 101,161428 0,000000357 W64443001 V03AC03 DEFERASIROXUM ** EXJADE 180 mg COMPR. FILM. 180mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. PVC/PVDC/ALU X 30 COMPR. FILM. PR 30 46,243666 51,677333 0,000000358 W63463001 V03AC03 DEFERASIROXUM ** EXJADE 180 mg COMPR. FILM. 180mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE CU BLIST. PVC/PVDC/ALU X 30 COMPR. FILM. PR 30 46,243666 51,677333 0,000000359 W64444001 V03AC03 DEFERASIROXUM ** EXJADE 360 mg COMPR. FILM. 360mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. PVC/PVDC/ALU X 30 COMPR. FILM. PR 30 91,486666 100,992333 0,000000360 W63464001 V03AC03 DEFERASIROXUM ** EXJADE 360 mg COMPR. FILM. 360mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE CU BLIST. PVC/PVDC/ALU X 30 COMPR. FILM. PR 30 91,486666 100,992333 0,000000361 W04133001 V03AF01 MESNUM UROMITEXAN 400mg/4ml SOL. INJ. 400mg/4ml BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 3 SUPORTURI TERMOFORMATE DIN PLASTIC X 5 FIOLE DE STICLA INCOLORA X 4 ML PR 15 5,282000 6,678666 0,000000

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comunitare1 W66039002 C01CA24 EPINEPHRINUM ADRENALINA HYPERICUM 0,1 mg/ml SOL INJ. IN SERINGA PREUMPLUTA 0,1mg/ml S.C. HYPERICUM S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE DIN PP, FARA AC, AMBALATE INDIVIDUAL INTR-UN BLIST. TRANSPARENT A 10 ML SOL. INJ. PR 10 2,017320 2,462760 76,5422402 W02947002 C01CA24 EPINEPHRINUM ADRENALINA TERAPIA 1 mg/ml SOL. INJ. 1mg/ml TERAPIA SA ROMANIA CUTIE CU 10 FIOLE DIN STICLA BRUNA CU PUNCT DE RUPERE X 1 ML SOL. INJ. PR 10 1,742000 2,354000 0,0000003 W02947001 C01CA24 EPINEPHRINUM ADRENALINA TERAPIA 1 mg/ml SOL. INJ. 1mg/ml TERAPIA SA ROMANIA CUTIE X 100 FIOLE X 1 ML PR 100 1,681100 2,052300 0,0000004 W60389001 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 1 146,250000 178,540000 0,0000005 W60390001 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 1 151,480000 184,930000 0,0000006 W54765001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 gPULB. 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 21,430000 26,932800 2,0372007 W53595006 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLIN/TAZOBACTAM KABI 2g/0,25 g 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. PR 10 13,689000 16,711000 0,0000008 W64263002 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 2 g/0,25 g PULB. PT. SOL. PERF. 2g/0,25g ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA DE TIP III CU PULB. PT. SOL. PERF.PR 10 13,199000 16,113000 0,0000009 W64263001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 2 g/0,25 g PULB. PT. SOL. PERF. 2g/0,25g ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA DE TIP III CU PULB. PT. SOL. PERF.PR 1 13,680000 18,490000 0,000000

10 W64264002 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 4 g/0,50 g PULB. PT. SOL. PERF. 4g/0,50g ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA DE TIP I CU PULB. PT. SOL. PERF.PR 10 18,385000 22,444000 0,00000011 W64264001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 4 g/0,50 g PULB. PT. SOL. PERF. 4g/0,50g ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA DE TIP I CU PULB. PT. SOL. PERF. PR 1 19,050000 25,750000 0,00000012 W53596003 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLIN/TAZOBACTAM 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. PR 10 20,658000 25,219000 0,00000013 W13676001 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 15,719000 19,190000 0,00000014 W13677001 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 20,762000 25,346000 0,00000015 W44045001 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 3,410000 4,610000 0,00000016 W52795001 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 21,520000 29,080000 0,00000017 W44061001 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 16,250000 21,960000 0,00000018 W61198003 J01DH51 IMIPENEMUM + CILASTATINUM IMIPENEM/CILASTATIN ATB 500 mg/500 mg PULB. PT. SOL. PERF. 500mg/500mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA TIP III, CU CAPACITATEA DE 20 ML, CONTINANAD PULB. PT. SOL. PERF. PR 10 19,907000 24,302000 0,00000019 W54532001 J01DH51 IMIPENEMUM + CILASTATINUM IMIPENEM/CILASTATINA KABI 500 mg/500 mg PULB. PT. SOL. PERF. 500mg/500mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF.PR 10 19,907000 24,302000 0,00000020 W54471008 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 23,888400 29,162400 7,28560021 W54471009 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 23,888400 29,162400 7,28360022 W54471006 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 23,888400 29,162400 10,09260023 W54471002 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 20,272000 24,748000 0,00000024 W54471005 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 23,888400 29,162400 10,52760025 W62497001 J01XX08 LINEZOLIDUM LINEZOLID KRKA 600 mg COMPR. FILM. 600mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF 10 63,013000 72,499000 0,00000026 W52799001 J01XX08 LINEZOLIDUM ZYVOXID 600 mg COMPR. FILM. 600mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 10 75,615600 86,998800 20,58620027 W63985002 J01XX08 LINEZOLIDUM LINEZOLID FRESENIUS KABI 600 mg COMPR. FILM. 600mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU BLIST. AL/AL X 10 (1X10) COMPR. FILM.PRF 10 75,615600 86,998800 41,52720028 W65053001 J01XX08 LINEZOLIDUM ZYVOXID 600 mg COMPR. FILM. 600mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. PRF 10 75,615600 86,998800 20,58620029 W65055001 J01XX08 LINEZOLIDUM ZYVOXID 100 mg/5 ml GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLACON DIN STICLA BRUNA X 66 G GRAN. PTR. 150 ML SUSP. ORALA + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML PRF 1 701,150000 802,400000 0,00000030 W52800001 J01XX08 LINEZOLIDUM ZYVOXID 100 mg/5 ml 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 1 701,150000 802,400000 0,00000031 W61756002 J01XX08 LINEZOLIDUM LINEZOLID INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS S.R.L.ROMANIA 10 PUNGI DIN POLIOLEFINA MULTISTRATIFICATA, FARA LATEX, PREVAZUTA CU UN TUB CONECTOR CU DESCHIDERE PRIN RASUCIRE, SIGILATA ÎNTR-O FOLIE LAMINATA PROTECTOARE CONTINÂND 300 ML SOL. PERF. PR 10 114,432000 128,546000 0,00000032 W60734001 J01XX08 LINEZOLIDUM LINEZOLID SANDOZ 2 mg/ml SOL. PERF. 2mg/ml SANDOZ S.R.L. ROMANIA CUTIE CU 1 PUNGA DIN PP INCOLORA PÂNA LA GALBUIE, CU 1 SAU 2 PERFUZOARE SI ÎNVELIS SUPLIMENTAR DIN FOLIE LAMINATA CARE CONTINE SOL. PERF. PR 1 119,092800 134,389200 17,89080033 W65054001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 10 PUNGI (EXCEL SAU FREEFLEX) DE UNICA FOLOSINTA GATA DE UTILIZARE, FARA LATEX X 300 ML SOL. PERF. PR 10 116,403000 130,694000 0,00000034 W52801001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML S 10 116,403000 130,694000 0,00000035 W64206001 J01XX08 LINEZOLIDUM LINEZOLID ACCORD 2 mg/ml SOL. PERF. 2mg/ml ACCORD HEALTHCARE LTD. MAREA BRITANIE CUTIE CU 10 PUNGI DIN PLASTIC POLIOLEFINIC (PE) MULTISTRAT CARE CONTIN 300 ML SOL. PERF. PR 10 116,403000 130,694000 0,00000036 W63515002 J01XX08 LINEZOLIDUM LINEZOLID KRKA 2 mg/ml SOL. PERF. 2mg/ml KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 10 PUNGI CU CAPACITATEA DE 300 ML DIN POLIOLEFINA MULTISTRAT PRF 10 115,254000 129,442000 0,00000037 W64055001 J01XX08 LINEZOLIDUM LINEZOLID AUROBINDO 2 mg/ml SOL. PERF. 2mg/ml AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 1 PUNGA DIN FILM DUBLU DE PP MULTISTRATIFICATA, PREVAZUTA CU 2 TUBURI DIN PP CARE CONTINE 300 ML SOL. PERF. PR 1 119,092800 134,389200 17,89080038 W61561001 J01XX08 LINEZOLIDUM LINEZOLID KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 PUNGI DIN POLIOLEFINE (FREEFLEX) A 300 ML SOL. PERF. PR 10 99,244000 111,991000 0,00000039 W63515001 J01XX08 LINEZOLIDUM LINEZOLID KRKA 2 mg/ml SOL. PERF. 2mg/ml KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 1 PUNGA CU CAPACITATEA DE 300 ML DIN POLIOLEFINA MULTISTRAT PRF 1 119,092800 134,389200 16,33080040 W58225007 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 2,545714 3,440000 0,00000041 W43597002 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 3,054857 4,128000 2,50771442 W08372001 J02AC01 FLUCONAZOLUM FLUCOVIM 100 CAPS. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS. P-RF 4 3,054857 4,128000 2,72950043 W66461007 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 100 mg CAPS. 100mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF 7 2,545714 3,440000 0,00000044 W65085001 J02AC01 FLUCONAZOLUM DIFLUCAN 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 5,688000 7,692000 3,83800045 W42693001 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 5,670000 7,660000 0,00000046 W60221003 J02AC01 FLUCONAZOLUM FLUCONAZOL ZENTIVA 150 mg CAPS. 150mg ZENTIVA K.S. REPUBLICA CEHA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 1 CAPS. P-RF 1 5,670000 7,660000 0,00000047 W52334001 J02AC01 FLUCONAZOLUM FLUCONAZOL LAROPHARM 150 mg CAPS. 150mg LAROPHARM S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA P-RF 1 5,670000 7,660000 0,00000048 W03156001 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 5,688000 7,692000 3,83800049 W51994001 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 150 mg CAPS. 150mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 5,670000 7,660000 0,00000050 W53943002 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 150 MG CAPS. 150mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 5,670000 7,660000 0,00000051 W44089001 J02AC01 FLUCONAZOLUM FLUCORIC 150 mg CAPS. 150mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS.P-RF 1 5,670000 7,660000 0,00000052 W58226001 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 5,670000 7,660000 0,000000

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decontare / U.T.

Pret de decontare / U.T.

contribu ție maximă

asigurat / U.T. - farmacii

comunitare53 W60221001 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 5,670000 7,660000 0,00000054 W43598001 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 5,670000 7,660000 0,00000055 W08373001 J02AC01 FLUCONAZOLUM FLUCOVIM 150 CAPS. 150mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 FLAC. X 1 CAPS. P-RF 1 5,670000 7,660000 0,00000056 W57430001 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 5,670000 7,660000 0,00000057 W57239001 J02AC01 FLUCONAZOLUM FLUCONAZOL LPH 150 mg CAPS. 150mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 5,670000 7,660000 0,00000058 W66462001 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 150 mg CAPS. 150mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC TRANSPARENT/PVDC-AL X 1 CAPS. PRF 1 4,740000 6,410000 0,00000059 W43599002 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 4,778571 6,250000 0,00000060 W44098001 J02AC01 FLUCONAZOLUM FLUCORIC 50 mg CAPS. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS.P-RF 7 1,525714 2,062285 0,91342961 W08374001 J02AC01 FLUCONAZOLUM FLUCOVIM 50 CAPS. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 1,525714 2,062285 0,91342962 W51993001 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 50 mg CAPS. 50mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 1,525714 2,062285 0,91342963 W53942002 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 50 MG CAPS. 50mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 1,525714 2,062285 0,91342964 W03157001 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 1,525714 2,062285 2,40342965 W43596001 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 1,525714 2,062285 0,91342966 W58224007 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 50 mgCAPS. 50mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF 7 1,271428 1,718571 0,00000067 W42321001 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 1,525714 2,062285 0,91342968 W66460007 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 50 mgCAPS. 50mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF 7 1,298571 1,754285 0,00000069 W65084001 J02AC01 FLUCONAZOLUM DIFLUCAN 50 mg CAPS. 50mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 7 CAPS. PRF 7 1,525714 2,062285 2,40342970 W58322002 J02AC01 FLUCONAZOLUM DIFLUCAN 10 mg/ml PULB. PT. SUSP. ORALA 10mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 1 FLAC. DIN PEÎD, DE CAPACITATE 60 ML, PREVAZUT CU SISTEM DE ÎNCHIDERE SECURIZAT PENTRU COPII, CE CONTINE PULB. PENTRU 35 ML SUSP. ORALA SI O SERINGA DIN PP DE 5 ML CU MARCAJ LA FIECARE 0,2 ML PRF 1 23,200000 31,360000 0,00000071 W65087001 J02AC01 FLUCONAZOLUM DIFLUCAN 10 mg/ml PULB. PT. SUSP. ORALA 10mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. DIN PEÎD, DE CAPACITATE 60 ML, PREVAZUT CU SISTEM DE ÎNCHIDERE SECURIZAT PENTRU COPII, CE CONTINE PULB. PENTRU 35 ML SUSP. ORALA SI O SERINGA DIN PP DE 5 ML CU MARCAJ LA FIECARE 0,2 ML PRF 1 23,200000 31,360000 0,00000072 W55502018 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF. PR 10 37,069000 44,220000 0,00000073 W55502003 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF. PR 20 9,361000 11,428000 0,00000074 W55502009 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. PR 1 19,410000 26,240000 0,00000075 W55502017 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. PR 1 38,830000 50,790000 0,00000076 W55502001 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. PR 1 9,700000 13,110000 0,00000077 W57368003 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 2mg/ml SOL. PERF. 2mg/ml ARENA GROUP S.A. ROMANIA CUTIE X 1 FLAC. X 100 ML SOL. PERF. PR 1 22,158000 26,532000 32,52800078 W58456001 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/PET/PP X 50 ML SOL. PERF. PR 20 11,233200 13,713600 8,88690079 W55502011 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. PR 20 18,534500 22,110000 0,00000080 W58456003 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/PET/PP X 200 ML SOL. PERF. PR 10 44,482800 53,064000 40,97500081 W60056005 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 FLUCONAZOL S 10 18,465000 22,542000 0,00000082 W58456002 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/PET/PP X 100 ML SOL. PERF. PR 20 22,158000 26,532000 12,74500083 W61628006 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg COMPR. FILM. 200mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. PRF 30 7,989857 9,753857 4,46280984 W64073008 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 7,989857 9,753857 15,47435785 W61817001 J02AC03 VORICONAZOLUM ** VORICONAZOLE ACCORD 200 mgCOMPR. FILM. 200mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 COMPR. FILMPRF 28 6,658214 8,128214 0,00000086 W61628005 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg COMPR. FILM. 200mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 7,989857 9,753857 4,63114387 W64931001 J02AC03 VORICONAZOLUM ** VFEND 200 mg COMPR. FILM. 200mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 7,989857 9,753857 47,92292888 W61017005 J02AC03 VORICONAZOLUM ** VORICONAZOL DR. REDDY'S 200 mg COMPR. FILM. 200mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 7,989857 9,753857 58,56650089 W65715001 J02AC03 VORICONAZOLUM ** VORICONAZOLE ACCORD 200 mgCOMPR. FILM. 200mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. PRF 28 6,658214 8,128214 0,00000090 W64073003 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 7,989857 9,753857 19,27042891 W64073005 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 7,989857 9,753857 16,73935792 W08947008 J02AC03 VORICONAZOLUM ** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 7,989857 9,753857 47,92292893 W62033006 J02AC03 VORICONAZOLUM ** VORAMOL 200 mg COMPR. FILM. 200mg ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. PRF 30 7,989857 9,753857 65,11214394 W64072003 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 22,916428 27,704285 0,00000095 W64072005 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 21,905357 25,239285 0,00000096 W64072008 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 21,369642 23,974285 0,00000097 W10489001 J02AC03 VORICONAZOLUM ** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF 1 310,650000 376,760000 0,00000098 W64929001 J02AC03 VORICONAZOLUM ** VFEND 200 mg PULB. PT. SOL. PERF. 200mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. UNIDOZA X 30 ML PRF 1 310,650000 376,760000 0,00000099 W62815001 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg PULB. PT. SOL. PERF. 200mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA CU CAPCITATEA DE 25 ML CU PULB. PT. SOL. PERF. PRF 1 310,650000 376,760000 0,000000

100 W62122001 J02AC03 VORICONAZOLUM ** VORICONAZOL FRESENIUS KABI 200 mg PULB. PT. SOL. PERF. 200mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA TIP I, CU CAPACITATEA DE 25 ML, CU PULBERE PT. SOL. PERF. PRF 1 310,650000 376,760000 0,000000101 W64930001 J02AC03 VORICONAZOLUM ** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA PT. ADM. ORALA (5 ML) + 1 ADAPTOR PRF 1 1.372,920000 1.534,630000 0,000000102 W41889001 J02AC03 VORICONAZOLUM ** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA PT. ADM. ORALA (5 ML) + 1 ADAPTOR P-RF 1 1.372,920000 1.534,630000 0,000000103 W61515001 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR AUROBINDO 450 mg COMPR. FILM. 450mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PA-AL-PVC/AL X 60 COMPR. FILM. PRF 60 16,006999 18,210600 39,961733104 W66450001 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR AUROBINDO 450 mg COMPR. FILM. 450mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 60 COMPR. FILM. PRF 60 16,006999 18,210600 39,961733

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Concentratie / U.T.

Firma Tara Ambalaj

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crip

tie cant/ambal

aj

Pret cu ridicata maximal de

decontare / U.T.

Pret de decontare / U.T.

contribu ție maximă

asigurat / U.T. - farmacii

comunitare105 W62786001 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR ZENTIVA 450 mg COMPR. FILM. 450mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM. PRF 60 13,339166 15,175500 0,000000106 W61725001 L04AA04 IMUNOGLOBULINA ANTI-LIMFOCITE UMANE ** GRAFALON CONC. PT. SOL. PERF. 20mg/ml NEOVII BIOTECH GMBHGERMANIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. PR 1 1.306,970000 1.462,750000 0,000000107 W42264003 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 2,522416 3,067333 0,000000108 W42265003 L04AA06 MYCOPHENOLATUM ** MYFORTIC 360 mg COMPR. GASTROREZ. 360mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF 120 4,836250 5,589416 0,000000109 W04406001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 10 BLIST. X 10 CAPS. P-RF/R 100 1,392000 1,699400 0,000000110 W64374001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION GMBH GERMANIA CUTIE X 10 BLIST. PVC/AL X 10 CAPS. PR 100 1,392000 1,699400 0,000000111 W56003001 L04AA06 MYCOPHENOLATUM MOFETILUM ** MICOFENOLAT MOFETIL SANDOZ 500 mg COMPR. FILM. 500mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 50 COMPR. FILM. P-RF 50 1,602400 2,026000 0,000000112 W04407001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 500mg COMPR. FILM. 500mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 5 BLIST. X 10 COMPR. FILM. P-RF/R 50 2,784000 3,398800 0,000000113 W64375001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 500mg COMPR. FILM. 500mg ROCHE REGISTRATION GMBH GERMANIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. FILM. PR 50 2,784000 3,398800 0,000000114 W51399001 L04AD01 CICLOSPORINUM SANDIMMUN NEORAL (R) CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI PR 50 1,425400 1,802400 0,000000115 W51398001 L04AD01 CICLOSPORINUM SANDIMMUN NEORAL 50 mg CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI PR 50 2,292400 2,798600 0,000000116 W55262007 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. PR 50 1,323600 1,673600 0,000000117 W53729001 L04AD02 TACROLIMUSUM ** PROGRAF 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 PR 50 1,842600 2,329800 0,000000118 W53730001 L04AD02 TACROLIMUSUM ** PROGRAF 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 PR 50 3,822000 4,666000 0,000000119 W55263007 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. PR 50 2,600400 3,174600 0,000000120 W53731001 L04AD02 TACROLIMUSUM ** PROGRAF 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 PR 50 18,782400 21,235800 0,000000121 W51974002 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 1,842600 2,329800 0,000000122 W57352002 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 3,822000 4,666000 0,000000123 W51976002 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 19,252600 21,748400 0,000000124 W53732001 L04AD02 TACROLIMUSUM ** PROGRAF 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 10 FIOLE X 1 ML PR 10 162,464000 180,901000 0,000000

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

1 W00187002 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK 250 mg CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 CAPS. P6L 100 0,976400 1,234600 0,0000002 W00187001 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK 250 mg CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 25 CAPS. P-6L 50 0,993800 1,300000 0,0000003 W58710002 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 2,379800 2,905300 0,0000004 W58363001 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 84,590000 106,950000 0,0000005 W62441002 B01AB05 ENOXAPARINUM CLEXANE 2000 UI anti-Xa/0,2ml SOL. INJ. 2000UI anti-Xa/0,2ml SANOFI ROMANIA S.R.L.ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 0,5 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,2 ML SOL INJ. PR/PRF 10 5,446000 6,886000 0,0000006 W63590002 B01AB05 ENOXAPARINUM CLEXANE 2000 UI (20 mg)/0,2 ml SOL. INJ. 2000UI(20mg)/0,2ml SANOFI ROMANIA S.R.L.ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 0,5 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,2 ML SOL INJ. PR/PRF 10 5,446000 6,886000 0,0000007 W62442002 B01AB05 ENOXAPARINUM CLEXANE 4000 UI anti-Xa/0,4ml SOL. INJ. 4000UI anti-Xa/0,4ml SANOFI ROMANIA S.R.L.ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 0,5 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,4 ML SOL INJ. PR/PRF 10 9,741000 12,317000 0,0000008 W63591002 B01AB05 ENOXAPARINUM CLEXANE 4000 UI (40 mg)/0,4 ml SOL. INJ. 4000UI(40mg)/0,4ml SANOFI ROMANIA S.R.L.ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 0,5 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,4 ML SOL INJ. PR/PRF 10 9,741000 12,317000 0,0000009 W63592002 B01AB05 ENOXAPARINUM CLEXANE 6000 UI (60 mg)/0,6 ml SOL. INJ. 6000UI(60mg)/0,6ml SANOFI ROMANIA S.R.L.ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 1 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,6 ML SOL INJ. PR/PRF 10 13,307000 16,245000 0,000000

10 W62443002 B01AB05 ENOXAPARINUM CLEXANE 6000 UI anti-Xa/0,6ml SOL. INJ. 6000UIanti-Xa/0,6ml SANOFI ROMANIA S.R.L.ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 1 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,6 ML SOL INJ. PR/PRF 10 13,307000 16,245000 0,00000011 W62444002 B01AB05 ENOXAPARINUM CLEXANE 8000ui anti-Xa/0,8ml SOL. INJ. 8000UI anti-Xa/0,8ml SANOFI ROMANIA S.R.L.ROMANIA CUTIE CU 6 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 1 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,8 ML SOL INJ. PR/PRF 6 16,756666 20,456666 0,00000012 W63593002 B01AB05 ENOXAPARINUM CLEXANE 8000 UI (80 mg)/0,8 ml SOL. INJ. 8000UI(80mg)/0,8ml SANOFI ROMANIA S.R.L.ROMANIA CUTIE CU 6 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 1 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,8 ML SOL INJ. PR/PRF 6 16,756666 20,456666 0,00000013 W63590012 B01AB05 ENOXAPARINUM CLEXANE 2000 UI (20 mg)/0,2 ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI(20mg)/0,2ml SANOFI ROMANIA S.R.L.ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE PR/PRF 10 5,446000 6,886000 0,00000014 W63591012 B01AB05 ENOXAPARINUM CLEXANE 4000 UI (40 mg)/0,4 ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI(40mg)/0,4ml SANOFI ROMANIA S.R.L.ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE PR/PRF 10 9,741000 12,317000 0,00000015 W63592012 B01AB05 ENOXAPARINUM CLEXANE 6000 UI (60 mg)/0,6 ml SOL. INJ. IN SERINGA PREUMPLUTA 6000UI(60mg)/0,6ml SANOFI ROMANIA S.R.L.ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE PR/PRF 10 13,307000 16,245000 0,00000016 W63593009 B01AB05 ENOXAPARINUM CLEXANE 8000 UI (80 mg)/0,8 ml SOL. INJ. IN SERINGA PREUMPLUTA 8000UI(80mg)/0,8ml SANOFI ROMANIA S.R.L.ROMANIA CUTIE CU 6 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE PR/PRF 6 16,756666 20,456666 0,00000017 W58879001 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 5 138,942000 159,076000 0,00000018 W63884001 B01AC11 ILOPROSTUM ** ILOMEDIN 20 CONC. PT. SOL. PERF. 20µg/ml BAYER AG GERMANIA CUTIE X 5 FIOLE STICLA INCOLORA X 1 ML CONC. PT. SOL. PERF.PR 5 138,942000 159,076000 0,00000019 W00257001 B01AD02 ALTEPLASUM ** ACTILYSE 50 mg PULB+SOLV. PT. SOL. INJ 50mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA PULB. PT. SOL. INJ./PERF. + 1 FLAC. STICLA INCOLORA X 50 ML SOLV. + CANULA DE TRANSFER S 1 1.526,260000 1.701,780000 0,00000020 W64629001 B02AA02 ACIDUM TRANEXAMICUM 4) ACIDO TRANEXAMICO BIOINDUSTRIA L.I.M. 500 mg/5 ml SOL. INJ. PT. ADM. I.V.SI ORALA500mg/5ml CN UNIFARM S.A. ROMANIA CUTIE CU 5 FIOLE X 5 ML SOL. INJ. PR 5 3,910000 5,286000 0,00000021 W53034002 B02BD08 EPTACOG ALFA ACTIVATUM ** NOVOSEVEN 1 mg (50 KUI) PULB. + SOLV. PT. SOL. INJ. 50 KIU NOVO NORDISK A/S DANEMARCA CUTIE CU 1 FLAC. PULB. PT. SOL. INJ.+1 SERINGA PREUMPLUTA CU SOLV. PT. RECONSTITUIRE +1 ADAPTOR DE FLACON PR 1 2.419,840000 2.675,780000 0,00000022 W58726003 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 0,863000 1,128666 0,00000023 W07005001 C03EB01 COMBINATII (SPIRONOLACTONUM+FUROSEMIDUM)DIUREX 50 mg/20 mg CAPS. 50mg/20mg TERAPIA SA ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 CAPS. P-6L 20 0,958000 1,295000 0,00000024 W60585001 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 0,958000 1,295000 0,00000025 W60585002 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 0,957666 1,252666 0,00000026 W53992002 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 5,358333 6,541333 0,00000027 W53991002 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 2,736333 3,460000 0,000000

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Page 56: P1: PROGRAMUL NATIONAL DE BOLI TRANSMISIBILE

Nr.crt Cod CIM

Grupa terapeu

ticaDenumire generica Denumire comerciala

Forma farmaceuti

ca

Concentratie / U.T.

Firma Tara Ambalaj

Pres

crip

tie cant/ambal

aj

Pret cu ridicata maximal de

decontare / U.T.

Pret de decontare / U.T.

contribu ție maximă

asigurat / U.T. - farmacii

comunitare28 W54765001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 gPULB. 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 21,430000 26,932800 2,03720029 W53595006 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLIN/TAZOBACTAM KABI 2g/0,25 g 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. PR 10 13,689000 16,711000 0,00000030 W64263002 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 2 g/0,25 g PULB. PT. SOL. PERF. 2g/0,25g ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA DE TIP III CU PULB. PT. SOL. PERF.PR 10 13,199000 16,113000 0,00000031 W64263001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 2 g/0,25 g PULB. PT. SOL. PERF. 2g/0,25g ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA DE TIP III CU PULB. PT. SOL. PERF.PR 1 13,680000 18,490000 0,00000032 W64264002 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 4 g/0,50 g PULB. PT. SOL. PERF. 4g/0,50g ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA DE TIP I CU PULB. PT. SOL. PERF.PR 10 18,385000 22,444000 0,00000033 W64264001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 4 g/0,50 g PULB. PT. SOL. PERF. 4g/0,50g ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA DE TIP I CU PULB. PT. SOL. PERF. PR 1 19,050000 25,750000 0,00000034 W53596003 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLIN/TAZOBACTAM 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. PR 10 20,658000 25,219000 0,00000035 W62497001 J01XX08 LINEZOLIDUM LINEZOLID KRKA 600 mg COMPR. FILM. 600mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF 10 63,013000 72,499000 0,00000036 W52799001 J01XX08 LINEZOLIDUM ZYVOXID 600 mg COMPR. FILM. 600mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 10 75,615600 86,998800 20,58620037 W63985002 J01XX08 LINEZOLIDUM LINEZOLID FRESENIUS KABI 600 mg COMPR. FILM. 600mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU BLIST. AL/AL X 10 (1X10) COMPR. FILM.PRF 10 75,615600 86,998800 41,52720038 W65053001 J01XX08 LINEZOLIDUM ZYVOXID 600 mg COMPR. FILM. 600mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. PRF 10 75,615600 86,998800 20,58620039 W65055001 J01XX08 LINEZOLIDUM ZYVOXID 100 mg/5 ml GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLACON DIN STICLA BRUNA X 66 G GRAN. PTR. 150 ML SUSP. ORALA + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML PRF 1 701,150000 802,400000 0,00000040 W52800001 J01XX08 LINEZOLIDUM ZYVOXID 100 mg/5 ml 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 1 701,150000 802,400000 0,00000041 W61756002 J01XX08 LINEZOLIDUM LINEZOLID INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS S.R.L.ROMANIA 10 PUNGI DIN POLIOLEFINA MULTISTRATIFICATA, FARA LATEX, PREVAZUTA CU UN TUB CONECTOR CU DESCHIDERE PRIN RASUCIRE, SIGILATA ÎNTR-O FOLIE LAMINATA PROTECTOARE CONTINÂND 300 ML SOL. PERF. PR 10 114,432000 128,546000 0,00000042 W60734001 J01XX08 LINEZOLIDUM LINEZOLID SANDOZ 2 mg/ml SOL. PERF. 2mg/ml SANDOZ S.R.L. ROMANIA CUTIE CU 1 PUNGA DIN PP INCOLORA PÂNA LA GALBUIE, CU 1 SAU 2 PERFUZOARE SI ÎNVELIS SUPLIMENTAR DIN FOLIE LAMINATA CARE CONTINE SOL. PERF. PR 1 119,092800 134,389200 17,89080043 W65054001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 10 PUNGI (EXCEL SAU FREEFLEX) DE UNICA FOLOSINTA GATA DE UTILIZARE, FARA LATEX X 300 ML SOL. PERF. PR 10 116,403000 130,694000 0,00000044 W52801001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML S 10 116,403000 130,694000 0,00000045 W64206001 J01XX08 LINEZOLIDUM LINEZOLID ACCORD 2 mg/ml SOL. PERF. 2mg/ml ACCORD HEALTHCARE LTD. MAREA BRITANIE CUTIE CU 10 PUNGI DIN PLASTIC POLIOLEFINIC (PE) MULTISTRAT CARE CONTIN 300 ML SOL. PERF. PR 10 116,403000 130,694000 0,00000046 W63515002 J01XX08 LINEZOLIDUM LINEZOLID KRKA 2 mg/ml SOL. PERF. 2mg/ml KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 10 PUNGI CU CAPACITATEA DE 300 ML DIN POLIOLEFINA MULTISTRAT PRF 10 115,254000 129,442000 0,00000047 W64055001 J01XX08 LINEZOLIDUM LINEZOLID AUROBINDO 2 mg/ml SOL. PERF. 2mg/ml AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 1 PUNGA DIN FILM DUBLU DE PP MULTISTRATIFICATA, PREVAZUTA CU 2 TUBURI DIN PP CARE CONTINE 300 ML SOL. PERF. PR 1 119,092800 134,389200 17,89080048 W61561001 J01XX08 LINEZOLIDUM LINEZOLID KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 PUNGI DIN POLIOLEFINE (FREEFLEX) A 300 ML SOL. PERF. PR 10 99,244000 111,991000 0,00000049 W63515001 J01XX08 LINEZOLIDUM LINEZOLID KRKA 2 mg/ml SOL. PERF. 2mg/ml KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 1 PUNGA CU CAPACITATEA DE 300 ML DIN POLIOLEFINA MULTISTRAT PRF 1 119,092800 134,389200 16,33080050 W61628006 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg COMPR. FILM. 200mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. PRF 30 7,989857 9,753857 4,46280951 W64073008 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 7,989857 9,753857 15,47435752 W61817001 J02AC03 VORICONAZOLUM ** VORICONAZOLE ACCORD 200 mgCOMPR. FILM. 200mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 COMPR. FILMPRF 28 6,658214 8,128214 0,00000053 W61628005 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg COMPR. FILM. 200mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 7,989857 9,753857 4,63114354 W64931001 J02AC03 VORICONAZOLUM ** VFEND 200 mg COMPR. FILM. 200mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 7,989857 9,753857 47,92292855 W61017005 J02AC03 VORICONAZOLUM ** VORICONAZOL DR. REDDY'S 200 mg COMPR. FILM. 200mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 7,989857 9,753857 58,56650056 W65715001 J02AC03 VORICONAZOLUM ** VORICONAZOLE ACCORD 200 mgCOMPR. FILM. 200mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. PRF 28 6,658214 8,128214 0,00000057 W64073003 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 7,989857 9,753857 19,27042858 W64073005 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 7,989857 9,753857 16,73935759 W08947008 J02AC03 VORICONAZOLUM ** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 7,989857 9,753857 47,92292860 W62033006 J02AC03 VORICONAZOLUM ** VORAMOL 200 mg COMPR. FILM. 200mg ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. PRF 30 7,989857 9,753857 65,11214361 W64072003 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 22,916428 27,704285 0,00000062 W64072005 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 21,905357 25,239285 0,00000063 W64072008 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 21,369642 23,974285 0,00000064 W10489001 J02AC03 VORICONAZOLUM ** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF 1 310,650000 376,760000 0,00000065 W64929001 J02AC03 VORICONAZOLUM ** VFEND 200 mg PULB. PT. SOL. PERF. 200mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. UNIDOZA X 30 ML PRF 1 310,650000 376,760000 0,00000066 W62815001 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg PULB. PT. SOL. PERF. 200mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA CU CAPCITATEA DE 25 ML CU PULB. PT. SOL. PERF. PRF 1 310,650000 376,760000 0,00000067 W62122001 J02AC03 VORICONAZOLUM ** VORICONAZOL FRESENIUS KABI 200 mg PULB. PT. SOL. PERF. 200mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA TIP I, CU CAPACITATEA DE 25 ML, CU PULBERE PT. SOL. PERF. PRF 1 310,650000 376,760000 0,00000068 W64930001 J02AC03 VORICONAZOLUM ** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA PT. ADM. ORALA (5 ML) + 1 ADAPTOR PRF 1 1.372,920000 1.534,630000 0,00000069 W41889001 J02AC03 VORICONAZOLUM ** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA PT. ADM. ORALA (5 ML) + 1 ADAPTOR P-RF 1 1.372,920000 1.534,630000 0,00000070 W63508001 J02AX04 CASPOFUNGINUM ** DALVOCANS 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 10 ML CU PULB. PT. CONC. PT. SOL. PERF. PR 1 810,730000 921,850000 0,00000071 W06665001 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 1 877,030000 994,110000 0,00000072 W64793001 J02AX04 CASPOFUNGINUM ** CANCIDAS 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg MERCK SHARP & DOHME OLANDA CUTIE X 1 FLAC. X 50 MG PULB. PTR. CONC. PTR. SOL. PERF. PR 1 877,030000 994,110000 0,00000073 W63457001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA ZENTIVA 50 mgPULB. PT. CONC. PT. SOL. PERF. 50mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 868,440000 984,750000 0,00000074 W65379001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA SANDOZ 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA (TIP I) CU CAPACITATEA DE 10 ML CU PULB. PT. CONC. PT. SOL. PERF. PR 1 868,440000 984,750000 0,00000075 W65688001 J02AX04 CASPOFUNGINUM ** CASPOFUNGIN ACCORD 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE 50 MG PULB. PT. CONC. PT. SOL. PERF. PR 1 813,420000 924,780000 0,00000076 W63758001 J02AX04 CASPOFUNGINUM ** CASPOFUNGIN ACCORD 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE 50 MG PULB. PT. CONC. PT. SOL. PERF. PR 1 813,420000 924,780000 0,00000077 W63505001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA ATB 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TIP I CU CAPACITATEA DE 10 ML, CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 868,440000 984,750000 0,00000078 W63403001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA MYLAN 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONCENTRAT PT. SOL. PERF. PR 1 877,030000 994,110000 0,00000079 W63404001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA MYLAN 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONCENTRAT PT. SOL. PERF. PR 1 1.135,500000 1.275,850000 0,000000

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Firma Tara Ambalaj

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Pret de decontare / U.T.

contribu ție maximă

asigurat / U.T. - farmacii

comunitare80 W65380001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA SANDOZ 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA (TIP I) CU CAPACITATEA DE 10 ML CU PULB. PT. CONC. PT. SOL. PERF. PR 1 1.124,290000 1.263,630000 0,00000081 W65689001 J02AX04 CASPOFUNGINUM ** CASPOFUNGIN ACCORD 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE 70 MG PULB. PT. CONC. PT. SOL. PERF. PR 1 1.067,080000 1.201,270000 0,00000082 W63759001 J02AX04 CASPOFUNGINUM ** CASPOFUNGIN ACCORD 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE 70 MG PULB. PT. CONC. PT. SOL. PERF. PR 1 1.067,080000 1.201,270000 0,00000083 W63506001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA ATB 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TIP I CU CAPACITATEA DE 10 ML, CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 1.124,290000 1.263,630000 0,00000084 W06670001 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 1.135,500000 1.275,850000 0,00000085 W64792001 J02AX04 CASPOFUNGINUM ** CANCIDAS 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg MERCK SHARP & DOHME OLANDA CUTIE X 1 FLAC. X 70 MG PULB. PTR. CONC. PTR. SOL. PERF. PR 1 1.135,500000 1.275,850000 0,00000086 W63509001 J02AX04 CASPOFUNGINUM ** DALVOCANS 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 10 ML CU PULB. PT. CONC. PT. SOL. PERF. PR 1 1.051,440000 1.184,220000 0,00000087 W63458001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA ZENTIVA 70 mgPULB. PT. CONC. PT. SOL. PERF. 70mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 1.124,290000 1.263,630000 0,00000088 W62968001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA STADA 50 mg PULB. PT.CONC. PT. SOL. PERF. 50mg STADA M&D SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 877,030000 994,110000 0,00000089 W62969001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA STADA 70 mg PULB. PT.CONC. PT. SOL. PERF. 70mg STADA M&D SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 1.135,500000 1.275,850000 0,00000090 W61515001 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR AUROBINDO 450 mg COMPR. FILM. 450mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PA-AL-PVC/AL X 60 COMPR. FILM. PRF 60 16,006999 18,210600 39,96173391 W66450001 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR AUROBINDO 450 mg COMPR. FILM. 450mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 60 COMPR. FILM. PRF 60 16,006999 18,210600 39,96173392 W62786001 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR ZENTIVA 450 mg COMPR. FILM. 450mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM. PRF 60 13,339166 15,175500 0,00000093 W56595001 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 1 ML SOL. INJ. (500 UI) AMBALATE ÎN BLISTERE PRF 5 892,930000 980,926000 0,00000094 W54188003 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 3.191,450000 3.516,840000 0,00000095 W54188001 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 2 ML SOL. PERF. (100UI)PR 1 214,580000 261,960000 0,00000096 W53892001 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 SOLP-RF/R 1 62,980000 79,630000 0,00000097 W53893001 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 SOLP-RF/R 1 102,660000 125,330000 0,00000098 W65658001 L03AA02 FILGRASTIMUM (G-CSF) ACCOFIL 30 MU/0,5 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 30MU/0,5 ml ACCORD HEALTHCARE S.L.U. SPANIA AMBALAJ CU 1 SERINGA PREUMPLUTA (STICLA) CU 0,5 ML SOL. INJ. PR 1 59,440000 75,150000 0,00000099 W61793001 L03AA02 FILGRASTIMUM (G-CSF) ACCOFIL 30 MU/0,5 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 30MU/0,5 ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE AMBALAJ CU 1 SERINGA PREUMPLUTA CU 0,5 ML SOL. INJ. PR 1 59,440000 75,150000 0,000000

100 W65659001 L03AA02 FILGRASTIMUM (G-CSF) ACCOFIL 48 MU/0,5 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 48MU/0,5 ml ACCORD HEALTHCARE S.L.U. SPANIA AMBALAJ CU 1 SERINGA PREUMPLUTA (STICLA) CU 0,5 ML SOL. INJ. PR 1 97,000000 122,650000 0,000000101 W61794001 L03AA02 FILGRASTIMUM (G-CSF) ACCOFIL 48 MU/0,5 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 48MU/0,5 ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE AMBALAJ CU 1 SERINGA PREUMPLUTA CU 0,5 ML SOL. INJ. PR 1 97,000000 122,650000 0,000000102 W55757002 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 57,502000 70,198000 0,000000103 W62176005 L03AA02 FILGRASTIMUM (G-CSF) TEVAGRASTIM 30MUI/0,5ml SOL. INJ./PERF. 300µg/0,5ml TEVA GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF. CU APARATOARE DE SIG.PT.AC PR 1 69,002400 84,237600 41,682400104 W64857002 L03AA02 FILGRASTIMUM (G-CSF) NIVESTIM 30 MU/0,5 ml SOL. INJ./PERF. 300µg/0,5ml PFIZER EUROPE MA EEIG BELGIA CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. PR 5 57,502000 70,198000 0,000000105 W55758002 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 89,638000 105,336000 0,000000106 W64858002 L03AA02 FILGRASTIMUM (G-CSF) NIVESTIM 48 MU/0,5 ml SOL. INJ./PERF. 480µg/0,5ml PFIZER EUROPE MA EEIG BELGIA CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. PR 5 89,638000 105,336000 0,000000107 W62177005 L03AA02 FILGRASTIMUM (G-CSF) TEVAGRASTIM 48MUI/0,8ml SOL. INJ./PERF. 480µg/0,8ml TEVA GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,8 ML SOL. INJ. SAU PERF. CU APARATOARE DE SIG.PT.AC PR 1 107,565600 126,403200 53,526800108 W42264003 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 2,522416 3,067333 0,000000109 W42265003 L04AA06 MYCOPHENOLATUM ** MYFORTIC 360 mg COMPR. GASTROREZ. 360mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF 120 4,836250 5,589416 0,000000110 W04406001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 10 BLIST. X 10 CAPS. P-RF/R 100 1,392000 1,699400 0,000000111 W64374001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION GMBH GERMANIA CUTIE X 10 BLIST. PVC/AL X 10 CAPS. PR 100 1,392000 1,699400 0,000000112 W56003001 L04AA06 MYCOPHENOLATUM MOFETILUM ** MICOFENOLAT MOFETIL SANDOZ 500 mg COMPR. FILM. 500mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 50 COMPR. FILM. P-RF 50 1,602400 2,026000 0,000000113 W04407001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 500mg COMPR. FILM. 500mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 5 BLIST. X 10 COMPR. FILM. P-RF/R 50 2,784000 3,398800 0,000000114 W64375001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 500mg COMPR. FILM. 500mg ROCHE REGISTRATION GMBH GERMANIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. FILM. PR 50 2,784000 3,398800 0,000000115 W61479001 L04AA10 SIROLIMUS ** RAPAMUNE 1mg DRAJ. 1mg PFIZER LIMITED MAREA BRITANIE CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR) PR 30 15,523333 18,192000 0,000000116 W65025001 L04AA10 SIROLIMUS ** RAPAMUNE 1 mg DRAJ. 1mg PFIZER EUROPE MA EEIG BELGIA CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR) PR 30 15,523333 18,192000 0,000000117 W51399001 L04AD01 CICLOSPORINUM SANDIMMUN NEORAL (R) CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI PR 50 1,425400 1,802400 0,000000118 W51398001 L04AD01 CICLOSPORINUM SANDIMMUN NEORAL 50 mg CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI PR 50 2,292400 2,798600 0,000000119 W55262007 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. PR 50 1,323600 1,673600 0,000000120 W53729001 L04AD02 TACROLIMUSUM ** PROGRAF 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 PR 50 1,842600 2,329800 0,000000121 W53730001 L04AD02 TACROLIMUSUM ** PROGRAF 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 PR 50 3,822000 4,666000 0,000000122 W55263007 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. PR 50 2,600400 3,174600 0,000000123 W53731001 L04AD02 TACROLIMUSUM ** PROGRAF 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 PR 50 18,782400 21,235800 0,000000124 W51974002 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 1,842600 2,329800 0,000000125 W57352002 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 3,822000 4,666000 0,000000126 W51976002 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 19,252600 21,748400 0,000000127 W53732001 L04AD02 TACROLIMUSUM ** PROGRAF 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 10 FIOLE X 1 ML PR 10 162,464000 180,901000 0,000000

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

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Forma farmaceuti

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Firma Tara Ambalaj

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crip

tie cant/ambal

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Pret cu ridicata maximal de

decontare / U.T.

Pret de decontare / U.T.

contribu ție maximă

asigurat / U.T. - farmacii

comunitare

1 W00187002 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK 250 mg CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 CAPS. P6L 100 0,976400 1,234600 0,0000002 W00187001 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK 250 mg CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 25 CAPS. P-6L 50 0,993800 1,300000 0,0000003 W58710002 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 2,379800 2,905300 0,0000004 W58363001 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 84,590000 106,950000 0,0000005 W00231001 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 0,460000 0,621800 0,0000006 W58167002 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. MOIPRF 30 0,552000 0,746160 0,0741737 W44042001 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 0,928333 1,214333 0,0000008 W65339001 A11CC03 ALFACALCIDOLUM ALFACALCIDOL HEATON 0,50 micrograme CAPS. MOI 0,50micrograme HEATON K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN PEID X 30 CAPS. MOIPRF 30 0,928333 1,214333 0,0000009 W58168002 A11CC03 ALFACALCIDOLUM ALFACALCIDOL SANDOZ 0,5 mcgCAPS. MOI 0,5µg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 CAPS. MOIPRF 30 0,928333 1,214333 0,000000

10 W55847001 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. PR 10 11,755000 14,350000 0,00000011 W55847002 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. PR 10 22,421000 27,372000 0,00000012 W52808004 B01AB04 DALTEPARINUM FRAGMIN 5000 UI/0,2 ml SOL. INJ. 5000ui/0,2ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 10 BLISTERE INDIVIDUALE CONTINÂND FIECARE O SERINGA PREUMPLUTA, FARA SISTEM DE BLOCARE A ACULUI NEEDLE-TRAP A 0,2 ML SOLUTIE INJECTABILA S/P-RF 10 9,567000 12,097000 0,00000013 W64849001 B01AB04 DALTEPARINUM FRAGMIN 5000 UI/0,2 ml SOL. INJ. 5000UI/0,2ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 10 BLISTERE INDIVIDUALE CONTINÂND FIECARE O SERINGA PREUMPLUTA, FARA SISTEM DE BLOCARE A ACULUI NEEDLE-TRAP A 0,2 ML SOLUTIE INJECTABILA PR/PRF 10 9,567000 12,097000 0,00000014 W62441002 B01AB05 ENOXAPARINUM CLEXANE 2000 UI anti-Xa/0,2ml SOL. INJ. 2000UI anti-Xa/0,2ml SANOFI ROMANIA S.R.L.ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 0,5 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,2 ML SOL INJ. PR/PRF 10 5,446000 6,886000 0,00000015 W63590002 B01AB05 ENOXAPARINUM CLEXANE 2000 UI (20 mg)/0,2 ml SOL. INJ. 2000UI(20mg)/0,2ml SANOFI ROMANIA S.R.L.ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 0,5 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,2 ML SOL INJ. PR/PRF 10 5,446000 6,886000 0,00000016 W62442002 B01AB05 ENOXAPARINUM CLEXANE 4000 UI anti-Xa/0,4ml SOL. INJ. 4000UI anti-Xa/0,4ml SANOFI ROMANIA S.R.L.ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 0,5 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,4 ML SOL INJ. PR/PRF 10 9,741000 12,317000 0,00000017 W63591002 B01AB05 ENOXAPARINUM CLEXANE 4000 UI (40 mg)/0,4 ml SOL. INJ. 4000UI(40mg)/0,4ml SANOFI ROMANIA S.R.L.ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 0,5 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,4 ML SOL INJ. PR/PRF 10 9,741000 12,317000 0,00000018 W63592002 B01AB05 ENOXAPARINUM CLEXANE 6000 UI (60 mg)/0,6 ml SOL. INJ. 6000UI(60mg)/0,6ml SANOFI ROMANIA S.R.L.ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 1 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,6 ML SOL INJ. PR/PRF 10 13,307000 16,245000 0,00000019 W62443002 B01AB05 ENOXAPARINUM CLEXANE 6000 UI anti-Xa/0,6ml SOL. INJ. 6000UIanti-Xa/0,6ml SANOFI ROMANIA S.R.L.ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 1 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,6 ML SOL INJ. PR/PRF 10 13,307000 16,245000 0,00000020 W62444002 B01AB05 ENOXAPARINUM CLEXANE 8000ui anti-Xa/0,8ml SOL. INJ. 8000UI anti-Xa/0,8ml SANOFI ROMANIA S.R.L.ROMANIA CUTIE CU 6 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 1 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,8 ML SOL INJ. PR/PRF 6 16,756666 20,456666 0,00000021 W63593002 B01AB05 ENOXAPARINUM CLEXANE 8000 UI (80 mg)/0,8 ml SOL. INJ. 8000UI(80mg)/0,8ml SANOFI ROMANIA S.R.L.ROMANIA CUTIE CU 6 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 1 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,8 ML SOL INJ. PR/PRF 6 16,756666 20,456666 0,00000022 W63590012 B01AB05 ENOXAPARINUM CLEXANE 2000 UI (20 mg)/0,2 ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI(20mg)/0,2ml SANOFI ROMANIA S.R.L.ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE PR/PRF 10 5,446000 6,886000 0,00000023 W63591012 B01AB05 ENOXAPARINUM CLEXANE 4000 UI (40 mg)/0,4 ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI(40mg)/0,4ml SANOFI ROMANIA S.R.L.ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE PR/PRF 10 9,741000 12,317000 0,00000024 W63592012 B01AB05 ENOXAPARINUM CLEXANE 6000 UI (60 mg)/0,6 ml SOL. INJ. IN SERINGA PREUMPLUTA 6000UI(60mg)/0,6ml SANOFI ROMANIA S.R.L.ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE PR/PRF 10 13,307000 16,245000 0,00000025 W63593009 B01AB05 ENOXAPARINUM CLEXANE 8000 UI (80 mg)/0,8 ml SOL. INJ. IN SERINGA PREUMPLUTA 8000UI(80mg)/0,8ml SANOFI ROMANIA S.R.L.ROMANIA CUTIE CU 6 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE PR/PRF 6 16,756666 20,456666 0,00000026 W42954002 H01CB02 OCTREOTIDUM ** SANDOSTATIN LAR 10 mg PULB.+SOLV. PT. SOL. INJ. 10mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FLAC. PULBERE + 1 SERINGA PREUMPLUTA X 2 ML SOLVENT + ADAPTOR PT FLACON+1 AC PR 1 766,510000 873,650000 0,00000027 W42955002 H01CB02 OCTREOTIDUM ** SANDOSTATIN LAR 20 mg PULB.+SOLV. PT. SOL. INJ. 20mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FLAC. PULBERE + 1 SERINGA PREUMPLUTA X 2 ML SOLVENT + ADAPTOR PT FLACON+1 AC PR 1 1.526,710000 1.702,270000 0,00000028 W42956002 H01CB02 OCTREOTIDUM ** SANDOSTATIN LAR 30 mg PULB.+SOLV. PT. SOL. INJ. 30mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FLAC. PULBERE + 1 SERINGA PREUMPLUTA X 2 ML SOLVENT + ADAPTOR PT FLACON+1 AC PR 1 2.263,210000 2.505,050000 0,00000029 W59079001 H01CB02 OCTREOTIDUM ** SANDOSTATIN 0,1 mg/ml SOL. INJ. 0,1mg/ml NOVARTIS PHARMA GMBH GERMANIA CUTIE CU 5 FIOLE DIN STICLA INCOLORA X 1 ML SOL. INJ. PR 5 7,232000 9,460000 0,00000030 W54765001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 gPULB. 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 21,430000 26,932800 2,03720031 W53595006 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLIN/TAZOBACTAM KABI 2g/0,25 g 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. PR 10 13,689000 16,711000 0,00000032 W64263002 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 2 g/0,25 g PULB. PT. SOL. PERF. 2g/0,25g ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA DE TIP III CU PULB. PT. SOL. PERF.PR 10 13,199000 16,113000 0,00000033 W64263001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 2 g/0,25 g PULB. PT. SOL. PERF. 2g/0,25g ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA DE TIP III CU PULB. PT. SOL. PERF.PR 1 13,680000 18,490000 0,00000034 W64264002 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 4 g/0,50 g PULB. PT. SOL. PERF. 4g/0,50g ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA DE TIP I CU PULB. PT. SOL. PERF.PR 10 18,385000 22,444000 0,00000035 W64264001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 4 g/0,50 g PULB. PT. SOL. PERF. 4g/0,50g ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA DE TIP I CU PULB. PT. SOL. PERF. PR 1 19,050000 25,750000 0,00000036 W53596003 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLIN/TAZOBACTAM 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. PR 10 20,658000 25,219000 0,00000037 W64490001 J01XA02 TEICOPLANINUM TARGOCID 400 mg PULB+SOLV. PT. SOL. INJ./PERF. SAU SOL. ORALA 400mg SANOFI ROMANIA SRL ROMANIA CUTIE CU 1 FLACON DIN STICLA INCOLORA TIP I, CARE CONTINE PULBEREA SI O FIOLA DIN STICLA INCOLORA TIP I CARE CONTINE SOLV. (APA PT. PREPARATE INJ., 3 ML) PRF 1 119,900000 146,370000 0,00000038 W13105001 J01XA02 TEICOPLANINUM TARGOCID (R) 400 mg PULB+SOLV. PT. SOL. INJ./PERF. SAU SOL. ORALA 400mg AVENTIS PHARMA LTD. MAREA BRITANIE CUTIE CU 1 FLACON DIN STICLA INCOLORA TIP I, CARE CONTINE PULBEREA SI O FIOLA DIN STICLA INCOLORA TIP I CARE CONTINE SOLV. (APA PT. PREPARATE INJ., 3 ML) P-RF 1 119,900000 146,370000 0,00000039 W62497001 J01XX08 LINEZOLIDUM LINEZOLID KRKA 600 mg COMPR. FILM. 600mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF 10 63,013000 72,499000 0,00000040 W52799001 J01XX08 LINEZOLIDUM ZYVOXID 600 mg COMPR. FILM. 600mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 10 75,615600 86,998800 20,58620041 W63985002 J01XX08 LINEZOLIDUM LINEZOLID FRESENIUS KABI 600 mg COMPR. FILM. 600mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU BLIST. AL/AL X 10 (1X10) COMPR. FILM.PRF 10 75,615600 86,998800 41,52720042 W65053001 J01XX08 LINEZOLIDUM ZYVOXID 600 mg COMPR. FILM. 600mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. PRF 10 75,615600 86,998800 20,58620043 W65055001 J01XX08 LINEZOLIDUM ZYVOXID 100 mg/5 ml GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLACON DIN STICLA BRUNA X 66 G GRAN. PTR. 150 ML SUSP. ORALA + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML PRF 1 701,150000 802,400000 0,00000044 W52800001 J01XX08 LINEZOLIDUM ZYVOXID 100 mg/5 ml 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 1 701,150000 802,400000 0,00000045 W61756002 J01XX08 LINEZOLIDUM LINEZOLID INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS S.R.L.ROMANIA 10 PUNGI DIN POLIOLEFINA MULTISTRATIFICATA, FARA LATEX, PREVAZUTA CU UN TUB CONECTOR CU DESCHIDERE PRIN RASUCIRE, SIGILATA ÎNTR-O FOLIE LAMINATA PROTECTOARE CONTINÂND 300 ML SOL. PERF. PR 10 114,432000 128,546000 0,00000046 W60734001 J01XX08 LINEZOLIDUM LINEZOLID SANDOZ 2 mg/ml SOL. PERF. 2mg/ml SANDOZ S.R.L. ROMANIA CUTIE CU 1 PUNGA DIN PP INCOLORA PÂNA LA GALBUIE, CU 1 SAU 2 PERFUZOARE SI ÎNVELIS SUPLIMENTAR DIN FOLIE LAMINATA CARE CONTINE SOL. PERF. PR 1 119,092800 134,389200 17,89080047 W65054001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 10 PUNGI (EXCEL SAU FREEFLEX) DE UNICA FOLOSINTA GATA DE UTILIZARE, FARA LATEX X 300 ML SOL. PERF. PR 10 116,403000 130,694000 0,00000048 W52801001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML S 10 116,403000 130,694000 0,00000049 W64206001 J01XX08 LINEZOLIDUM LINEZOLID ACCORD 2 mg/ml SOL. PERF. 2mg/ml ACCORD HEALTHCARE LTD. MAREA BRITANIE CUTIE CU 10 PUNGI DIN PLASTIC POLIOLEFINIC (PE) MULTISTRAT CARE CONTIN 300 ML SOL. PERF. PR 10 116,403000 130,694000 0,00000050 W63515002 J01XX08 LINEZOLIDUM LINEZOLID KRKA 2 mg/ml SOL. PERF. 2mg/ml KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 10 PUNGI CU CAPACITATEA DE 300 ML DIN POLIOLEFINA MULTISTRAT PRF 10 115,254000 129,442000 0,00000051 W64055001 J01XX08 LINEZOLIDUM LINEZOLID AUROBINDO 2 mg/ml SOL. PERF. 2mg/ml AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 1 PUNGA DIN FILM DUBLU DE PP MULTISTRATIFICATA, PREVAZUTA CU 2 TUBURI DIN PP CARE CONTINE 300 ML SOL. PERF. PR 1 119,092800 134,389200 17,890800

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Forma farmaceuti

ca

Concentratie / U.T.

Firma Tara Ambalaj

Pres

crip

tie cant/ambal

aj

Pret cu ridicata maximal de

decontare / U.T.

Pret de decontare / U.T.

contribu ție maximă

asigurat / U.T. - farmacii

comunitare52 W61561001 J01XX08 LINEZOLIDUM LINEZOLID KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 PUNGI DIN POLIOLEFINE (FREEFLEX) A 300 ML SOL. PERF. PR 10 99,244000 111,991000 0,00000053 W63515001 J01XX08 LINEZOLIDUM LINEZOLID KRKA 2 mg/ml SOL. PERF. 2mg/ml KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 1 PUNGA CU CAPACITATEA DE 300 ML DIN POLIOLEFINA MULTISTRAT PRF 1 119,092800 134,389200 16,33080054 W58225007 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 2,545714 3,440000 0,00000055 W43597002 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 3,054857 4,128000 2,50771456 W08372001 J02AC01 FLUCONAZOLUM FLUCOVIM 100 CAPS. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS. P-RF 4 3,054857 4,128000 2,72950057 W66461007 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 100 mg CAPS. 100mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF 7 2,545714 3,440000 0,00000058 W65085001 J02AC01 FLUCONAZOLUM DIFLUCAN 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 5,688000 7,692000 3,83800059 W42693001 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 5,670000 7,660000 0,00000060 W60221003 J02AC01 FLUCONAZOLUM FLUCONAZOL ZENTIVA 150 mg CAPS. 150mg ZENTIVA K.S. REPUBLICA CEHA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 1 CAPS. P-RF 1 5,670000 7,660000 0,00000061 W52334001 J02AC01 FLUCONAZOLUM FLUCONAZOL LAROPHARM 150 mg CAPS. 150mg LAROPHARM S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA P-RF 1 5,670000 7,660000 0,00000062 W03156001 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 5,688000 7,692000 3,83800063 W51994001 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 150 mg CAPS. 150mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 5,670000 7,660000 0,00000064 W53943002 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 150 MG CAPS. 150mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 5,670000 7,660000 0,00000065 W44089001 J02AC01 FLUCONAZOLUM FLUCORIC 150 mg CAPS. 150mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS.P-RF 1 5,670000 7,660000 0,00000066 W58226001 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 5,670000 7,660000 0,00000067 W60221001 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 5,670000 7,660000 0,00000068 W43598001 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 5,670000 7,660000 0,00000069 W08373001 J02AC01 FLUCONAZOLUM FLUCOVIM 150 CAPS. 150mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 FLAC. X 1 CAPS. P-RF 1 5,670000 7,660000 0,00000070 W57430001 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 5,670000 7,660000 0,00000071 W57239001 J02AC01 FLUCONAZOLUM FLUCONAZOL LPH 150 mg CAPS. 150mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 5,670000 7,660000 0,00000072 W66462001 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 150 mg CAPS. 150mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC TRANSPARENT/PVDC-AL X 1 CAPS. PRF 1 4,740000 6,410000 0,00000073 W43599002 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 4,778571 6,250000 0,00000074 W44098001 J02AC01 FLUCONAZOLUM FLUCORIC 50 mg CAPS. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS.P-RF 7 1,525714 2,062285 0,91342975 W08374001 J02AC01 FLUCONAZOLUM FLUCOVIM 50 CAPS. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 1,525714 2,062285 0,91342976 W51993001 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 50 mg CAPS. 50mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 1,525714 2,062285 0,91342977 W53942002 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 50 MG CAPS. 50mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 1,525714 2,062285 0,91342978 W03157001 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 1,525714 2,062285 2,40342979 W43596001 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 1,525714 2,062285 0,91342980 W58224007 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 50 mgCAPS. 50mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF 7 1,271428 1,718571 0,00000081 W42321001 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 1,525714 2,062285 0,91342982 W66460007 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 50 mgCAPS. 50mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF 7 1,298571 1,754285 0,00000083 W65084001 J02AC01 FLUCONAZOLUM DIFLUCAN 50 mg CAPS. 50mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 7 CAPS. PRF 7 1,525714 2,062285 2,40342984 W58322002 J02AC01 FLUCONAZOLUM DIFLUCAN 10 mg/ml PULB. PT. SUSP. ORALA 10mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 1 FLAC. DIN PEÎD, DE CAPACITATE 60 ML, PREVAZUT CU SISTEM DE ÎNCHIDERE SECURIZAT PENTRU COPII, CE CONTINE PULB. PENTRU 35 ML SUSP. ORALA SI O SERINGA DIN PP DE 5 ML CU MARCAJ LA FIECARE 0,2 ML PRF 1 23,200000 31,360000 0,00000085 W65087001 J02AC01 FLUCONAZOLUM DIFLUCAN 10 mg/ml PULB. PT. SUSP. ORALA 10mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. DIN PEÎD, DE CAPACITATE 60 ML, PREVAZUT CU SISTEM DE ÎNCHIDERE SECURIZAT PENTRU COPII, CE CONTINE PULB. PENTRU 35 ML SUSP. ORALA SI O SERINGA DIN PP DE 5 ML CU MARCAJ LA FIECARE 0,2 ML PRF 1 23,200000 31,360000 0,00000086 W55502018 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF. PR 10 37,069000 44,220000 0,00000087 W55502003 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF. PR 20 9,361000 11,428000 0,00000088 W55502009 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. PR 1 19,410000 26,240000 0,00000089 W55502017 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. PR 1 38,830000 50,790000 0,00000090 W55502001 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. PR 1 9,700000 13,110000 0,00000091 W57368003 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 2mg/ml SOL. PERF. 2mg/ml ARENA GROUP S.A. ROMANIA CUTIE X 1 FLAC. X 100 ML SOL. PERF. PR 1 22,158000 26,532000 32,52800092 W58456001 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/PET/PP X 50 ML SOL. PERF. PR 20 11,233200 13,713600 8,88690093 W55502011 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. PR 20 18,534500 22,110000 0,00000094 W58456003 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/PET/PP X 200 ML SOL. PERF. PR 10 44,482800 53,064000 40,97500095 W60056005 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 FLUCONAZOL S 10 18,465000 22,542000 0,00000096 W58456002 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/PET/PP X 100 ML SOL. PERF. PR 20 22,158000 26,532000 12,74500097 W43051001 J02AC02 ITRACONAZOLUM ITRACONAZOL 100 mg CAPS. 100mg SLAVIA PHARM SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. P-RF 15 1,700000 2,224000 0,00000098 W59235001 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 1,700000 2,224000 0,00000099 W62619001 J02AC02 ITRACONAZOLUM ITRACONAZOL FARMEX 100 mg CAPS. 100mg FARMEX COMPANY S.R.L. ROMANIA CUTIE CU 3 BLIST. PVCA/AL X 5 CAPS. PRF 15 1,700000 2,224000 0,000000

100 W03837002 J02AC02 ITRACONAZOLUM ORUNGAL 100 mg CAPS. 100mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 5 CAPS. P-RF 15 2,040000 2,668800 0,752533101 W53958001 J02AC02 ITRACONAZOLUM MICOGAL 100 mg CAPS. 100mg ROMPHARM COMPANY SRL ROMANIA CUTIE CU BLISTERE PVC/AL X 15 CAPSULE P-RF 15 1,700000 2,224000 0,000000102 W61929006 J02AC02 ITRACONAZOLUM OMICRAL 100 mg CAPS. 100mg PHARMASWISS CESKA REPUBLIKA S.R.O. REPUBLICA CEHA CUTIE X 3 BLIST. AL/AL X 5 CAPS. P-RF 15 1,700000 2,224000 0,000000103 W61628006 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg COMPR. FILM. 200mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. PRF 30 7,989857 9,753857 4,462809

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ca

Concentratie / U.T.

Firma Tara Ambalaj

Pres

crip

tie cant/ambal

aj

Pret cu ridicata maximal de

decontare / U.T.

Pret de decontare / U.T.

contribu ție maximă

asigurat / U.T. - farmacii

comunitare104 W64073008 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 7,989857 9,753857 15,474357105 W61817001 J02AC03 VORICONAZOLUM ** VORICONAZOLE ACCORD 200 mgCOMPR. FILM. 200mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 COMPR. FILMPRF 28 6,658214 8,128214 0,000000106 W61628005 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg COMPR. FILM. 200mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 7,989857 9,753857 4,631143107 W64931001 J02AC03 VORICONAZOLUM ** VFEND 200 mg COMPR. FILM. 200mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 7,989857 9,753857 47,922928108 W61017005 J02AC03 VORICONAZOLUM ** VORICONAZOL DR. REDDY'S 200 mg COMPR. FILM. 200mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 7,989857 9,753857 58,566500109 W65715001 J02AC03 VORICONAZOLUM ** VORICONAZOLE ACCORD 200 mgCOMPR. FILM. 200mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. PRF 28 6,658214 8,128214 0,000000110 W64073003 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 7,989857 9,753857 19,270428111 W64073005 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 7,989857 9,753857 16,739357112 W08947008 J02AC03 VORICONAZOLUM ** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 7,989857 9,753857 47,922928113 W62033006 J02AC03 VORICONAZOLUM ** VORAMOL 200 mg COMPR. FILM. 200mg ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. PRF 30 7,989857 9,753857 65,112143114 W64072003 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 22,916428 27,704285 0,000000115 W64072005 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 21,905357 25,239285 0,000000116 W64072008 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 21,369642 23,974285 0,000000117 W10489001 J02AC03 VORICONAZOLUM ** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF 1 310,650000 376,760000 0,000000118 W64929001 J02AC03 VORICONAZOLUM ** VFEND 200 mg PULB. PT. SOL. PERF. 200mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. UNIDOZA X 30 ML PRF 1 310,650000 376,760000 0,000000119 W62815001 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg PULB. PT. SOL. PERF. 200mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA CU CAPCITATEA DE 25 ML CU PULB. PT. SOL. PERF. PRF 1 310,650000 376,760000 0,000000120 W62122001 J02AC03 VORICONAZOLUM ** VORICONAZOL FRESENIUS KABI 200 mg PULB. PT. SOL. PERF. 200mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA TIP I, CU CAPACITATEA DE 25 ML, CU PULBERE PT. SOL. PERF. PRF 1 310,650000 376,760000 0,000000121 W64930001 J02AC03 VORICONAZOLUM ** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA PT. ADM. ORALA (5 ML) + 1 ADAPTOR PRF 1 1.372,920000 1.534,630000 0,000000122 W41889001 J02AC03 VORICONAZOLUM ** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA PT. ADM. ORALA (5 ML) + 1 ADAPTOR P-RF 1 1.372,920000 1.534,630000 0,000000123 W63508001 J02AX04 CASPOFUNGINUM ** DALVOCANS 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 10 ML CU PULB. PT. CONC. PT. SOL. PERF. PR 1 810,730000 921,850000 0,000000124 W06665001 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 1 877,030000 994,110000 0,000000125 W64793001 J02AX04 CASPOFUNGINUM ** CANCIDAS 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg MERCK SHARP & DOHME OLANDA CUTIE X 1 FLAC. X 50 MG PULB. PTR. CONC. PTR. SOL. PERF. PR 1 877,030000 994,110000 0,000000126 W63457001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA ZENTIVA 50 mgPULB. PT. CONC. PT. SOL. PERF. 50mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 868,440000 984,750000 0,000000127 W65379001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA SANDOZ 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA (TIP I) CU CAPACITATEA DE 10 ML CU PULB. PT. CONC. PT. SOL. PERF. PR 1 868,440000 984,750000 0,000000128 W65688001 J02AX04 CASPOFUNGINUM ** CASPOFUNGIN ACCORD 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE 50 MG PULB. PT. CONC. PT. SOL. PERF. PR 1 813,420000 924,780000 0,000000129 W63758001 J02AX04 CASPOFUNGINUM ** CASPOFUNGIN ACCORD 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE 50 MG PULB. PT. CONC. PT. SOL. PERF. PR 1 813,420000 924,780000 0,000000130 W63505001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA ATB 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TIP I CU CAPACITATEA DE 10 ML, CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 868,440000 984,750000 0,000000131 W63403001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA MYLAN 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONCENTRAT PT. SOL. PERF. PR 1 877,030000 994,110000 0,000000132 W63404001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA MYLAN 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONCENTRAT PT. SOL. PERF. PR 1 1.135,500000 1.275,850000 0,000000133 W65380001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA SANDOZ 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA (TIP I) CU CAPACITATEA DE 10 ML CU PULB. PT. CONC. PT. SOL. PERF. PR 1 1.124,290000 1.263,630000 0,000000134 W65689001 J02AX04 CASPOFUNGINUM ** CASPOFUNGIN ACCORD 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE 70 MG PULB. PT. CONC. PT. SOL. PERF. PR 1 1.067,080000 1.201,270000 0,000000135 W63759001 J02AX04 CASPOFUNGINUM ** CASPOFUNGIN ACCORD 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE 70 MG PULB. PT. CONC. PT. SOL. PERF. PR 1 1.067,080000 1.201,270000 0,000000136 W63506001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA ATB 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TIP I CU CAPACITATEA DE 10 ML, CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 1.124,290000 1.263,630000 0,000000137 W06670001 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 1.135,500000 1.275,850000 0,000000138 W64792001 J02AX04 CASPOFUNGINUM ** CANCIDAS 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg MERCK SHARP & DOHME OLANDA CUTIE X 1 FLAC. X 70 MG PULB. PTR. CONC. PTR. SOL. PERF. PR 1 1.135,500000 1.275,850000 0,000000139 W63509001 J02AX04 CASPOFUNGINUM ** DALVOCANS 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 10 ML CU PULB. PT. CONC. PT. SOL. PERF. PR 1 1.051,440000 1.184,220000 0,000000140 W63458001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA ZENTIVA 70 mgPULB. PT. CONC. PT. SOL. PERF. 70mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 1.124,290000 1.263,630000 0,000000141 W62968001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA STADA 50 mg PULB. PT.CONC. PT. SOL. PERF. 50mg STADA M&D SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 877,030000 994,110000 0,000000142 W62969001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA STADA 70 mg PULB. PT.CONC. PT. SOL. PERF. 70mg STADA M&D SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 1.135,500000 1.275,850000 0,000000143 W53675001 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 0,660600 0,892800 0,296700144 W42857001 J05AB01 ACICLOVIRUM ACICLOVIR SLAVIA 200 mg CAPS. 200mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 0,660600 0,892800 0,293700145 W56038001 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 0,660600 0,892800 0,296700146 W53675003 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 0,660600 0,887590 0,000000147 W53676001 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 2,186000 2,954000 0,000000148 W53225001 J05AB01 ACICLOVIRUM ACICLOVIR LAROPHARM 200 mgCOMPR. 200mg LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 0,660600 0,892800 0,296700149 W00044001 J05AB01 ACICLOVIRUM ACICLOVIR TERAPIA 200 mg COMPR. 200mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0,660600 0,892800 0,060200150 W06667003 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 0,568000 0,768000 0,000000151 W60558001 J05AB01 ACICLOVIRUM ACICLOVIR-RICHTER 200 mg COMPR. 200mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. PRF 20 0,660600 0,892800 0,064700152 W65783001 J05AB01 ACICLOVIRUM ACICLOVIR AUROBINDO 200 mg COMPR. 200mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. TRANSPARENTE PVC/AL X 20 COMPR. PRF 20 0,550500 0,744000 0,000000153 W65784008 J05AB01 ACICLOVIRUM ACICLOVIR AUROBINDO 400 mg COMPR. 400mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. TRANSPARENTE PVC/AL X 10 COMPR. PRF 10 1,867000 2,524000 0,000000154 W06668003 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 2,148000 2,903000 0,000000155 W00058001 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 41,032000 50,092000 0,000000

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Pret cu ridicata maximal de

decontare / U.T.

Pret de decontare / U.T.

contribu ție maximă

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comunitare156 W65100001 J05AB11 VALACYCLOVIRUM VALTREX 500 mg COMPR. FILM. 500 mg GLAXOSMITHKLINE (IRELAND) LIMITED IRLANDA CUTIE CU BLIST. DIN CLORURA DE POLIVINIL/AL X 10 COMPR.FILM. PRF 10 2,978400 4,024800 0,908200157 W58707001 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 2,978400 4,024800 0,908200158 W60087001 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 2,482000 3,354000 0,000000159 W61515001 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR AUROBINDO 450 mg COMPR. FILM. 450mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PA-AL-PVC/AL X 60 COMPR. FILM. PRF 60 16,006999 18,210600 39,961733160 W66450001 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR AUROBINDO 450 mg COMPR. FILM. 450mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 60 COMPR. FILM. PRF 60 16,006999 18,210600 39,961733161 W62786001 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR ZENTIVA 450 mg COMPR. FILM. 450mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM. PRF 60 13,339166 15,175500 0,000000162 W66182001 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. 165mg/ml OCTAPHARMA (IP) SPRLBELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 6 ML SOL. INJ. PR 1 399,350000 473,440000 0,000000163 W66182003 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. 165mg/ml OCTAPHARMA (IP) SPRLBELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 12 ML SOL. INJ. PR 1 768,770000 876,110000 0,000000164 W66182005 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. 165mg/ml OCTAPHARMA (IP) SPRLBELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 24 ML SOL. INJ. PR 1 1.507,540000 1.681,370000 0,000000165 W66182006 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. 165mg/ml OCTAPHARMA (IP) SPRLBELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 48 ML SOL. INJ. PR 1 2.985,080000 3.291,890000 0,000000166 W54752002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 70 ML X 50 ML SOL. PERF. PR 1 932,550000 1.054,630000 0,000000167 W54752001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 30 ML X 20 ML SOL. PERF. PR 1 408,030000 482,900000 0,000000168 W54752003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 100 ML X 100 ML SOL. PERF. PR 1 1.835,250000 2.038,570000 0,000000169 W65903004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) SPRLBELGIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 250 ML X 200 ML SOL. PERF. PR 1 3.736,920000 4.111,400000 0,000000170 W65903001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) SPRLBELGIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 30 ML X 20 ML SOL. PERF. PR 1 408,030000 482,900000 0,000000171 W65903002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) SPRLBELGIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 70 ML X 50 ML SOL. PERF. PR 1 932,550000 1.054,630000 0,000000172 W65903003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) SPRLBELGIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 100 ML X 100 ML SOL. PERF. PR 1 1.835,250000 2.038,570000 0,000000173 W62722003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PANZYGA 100 mg/ml SOL. PERF. 100mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 70 ML, CU 50 ML SOL. PERF. PR 1 966,910000 1.092,080000 0,000000174 W65358003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PANZYGA 100 mg/ml SOL. PERF. 100mg/ml OCTAPHARMA (IP) SPRLBELGIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 70 ML, CU 50 ML SOL. PERF. PR 1 966,910000 1.092,080000 0,000000175 W53030001 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. PR 1 923,350000 1.044,600000 0,000000176 W53030002 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. PR 1 1.797,530000 1.997,460000 0,000000177 W53030004 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. PR 1 477,940000 559,100000 0,000000178 W53030003 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. PR 1 3.835,300000 4.218,630000 0,000000179 W43965001 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 PR 1 2.461,260000 2.720,930000 0,000000180 W43962001 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 PR 1 245,530000 299,740000 0,000000181 W43963001 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 PR 1 637,810000 733,360000 0,000000182 W59114002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** INTRATECT 50 g/l SOL. PERF. 50g/l BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 50 ML SOL. PERF. PRF 1 539,240000 625,920000 0,000000183 W59114001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** INTRATECT 50 g/l SOL. PERF. 50g/l BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 20 ML SOL. PERF. PRF 1 224,070000 273,540000 0,000000184 W59114004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** INTRATECT 50 g/l SOL. PERF. 50g/l BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 200 ML SOL. PERF. PRF 1 2.066,990000 2.291,170000 0,000000185 W59114003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** INTRATECT 50 g/l SOL. PERF. 50g/l BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 100 ML SOL. PERF. PRF 1 1.048,500000 1.181,020000 0,000000186 W63860002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PENTAGLOBIN SOL. PERF. 50mg/ml CN UNIFARM S.A. ROMANIA FLAC. X 50 ML PR 1 803,040000 913,460000 0,000000187 W13462001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM SOL. PERF. 50mg/ml OCTAPHARMA (IP) LTD.MAREA BRITANIE CUTIE X 1 FLACON X 50 ML S 1 490,690000 573,000000 0,000000188 W65624002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 50 mg/ml SOL. PERF. 50mg/ml OCTAPHARMA (IP) SPRLBELGIA CUTIE CU 1 FLAC. DIN STICLA X 50 ML SOL. PERF.PR 1 490,690000 573,000000 0,000000189 W65624003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 50 mg/ml SOL. PERF. 50mg/ml OCTAPHARMA (IP) SPRLBELGIA CUTIE CU 1 FLAC. DIN STICLA X 100 ML SOL. PERF. PR 1 949,870000 1.073,510000 0,000000190 W63860001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PENTAGLOBIN SOL. PERF. 50mg/ml CN UNIFARM S.A. ROMANIA FLAC. X 100 ML PR 1 1.565,740000 1.744,810000 0,000000191 W65624004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 50 mg/ml SOL. PERF. 50mg/ml OCTAPHARMA (IP) SPRLBELGIA CUTIE CU 1 FLAC. DIN STICLA X 200 ML SOL. PERF. PR 1 1.859,420000 2.064,920000 0,000000192 W13462003 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 1.859,420000 2.064,920000 0,000000193 W13462002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM SOL. PERF. 50mg/ml OCTAPHARMA (IP) LTD.MAREA BRITANIE CUTIE X 1 FLACON X 100 ML S 1 949,870000 1.073,510000 0,000000194 W43964001 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 PR 1 1.245,630000 1.395,890000 0,000000195 W12490001 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 0,971800 1,271000 0,000000196 W52215001 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN 200 mg PULB. PT. SOL. INJ. / PERF. 200mg ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. PERF./INJ S 1 21,000000 28,380000 0,000000197 W64372001 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN 200 mg PULB. PT. SOL. PERF./INJ. 200mg TEVA B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA PULB. PT. SOL. PERF./INJ PR 1 21,000000 28,380000 0,000000198 W53892001 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 SOLP-RF/R 1 62,980000 79,630000 0,000000199 W53893001 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 SOLP-RF/R 1 102,660000 125,330000 0,000000200 W65658001 L03AA02 FILGRASTIMUM (G-CSF) ACCOFIL 30 MU/0,5 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 30MU/0,5 ml ACCORD HEALTHCARE S.L.U. SPANIA AMBALAJ CU 1 SERINGA PREUMPLUTA (STICLA) CU 0,5 ML SOL. INJ. PR 1 59,440000 75,150000 0,000000201 W61793001 L03AA02 FILGRASTIMUM (G-CSF) ACCOFIL 30 MU/0,5 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 30MU/0,5 ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE AMBALAJ CU 1 SERINGA PREUMPLUTA CU 0,5 ML SOL. INJ. PR 1 59,440000 75,150000 0,000000202 W65659001 L03AA02 FILGRASTIMUM (G-CSF) ACCOFIL 48 MU/0,5 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 48MU/0,5 ml ACCORD HEALTHCARE S.L.U. SPANIA AMBALAJ CU 1 SERINGA PREUMPLUTA (STICLA) CU 0,5 ML SOL. INJ. PR 1 97,000000 122,650000 0,000000203 W61794001 L03AA02 FILGRASTIMUM (G-CSF) ACCOFIL 48 MU/0,5 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 48MU/0,5 ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE AMBALAJ CU 1 SERINGA PREUMPLUTA CU 0,5 ML SOL. INJ. PR 1 97,000000 122,650000 0,000000204 W55757002 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 57,502000 70,198000 0,000000205 W62176005 L03AA02 FILGRASTIMUM (G-CSF) TEVAGRASTIM 30MUI/0,5ml SOL. INJ./PERF. 300µg/0,5ml TEVA GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF. CU APARATOARE DE SIG.PT.AC PR 1 69,002400 84,237600 41,682400206 W64857002 L03AA02 FILGRASTIMUM (G-CSF) NIVESTIM 30 MU/0,5 ml SOL. INJ./PERF. 300µg/0,5ml PFIZER EUROPE MA EEIG BELGIA CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. PR 5 57,502000 70,198000 0,000000207 W55758002 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 89,638000 105,336000 0,000000

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tie cant/ambal

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Pret cu ridicata maximal de

decontare / U.T.

Pret de decontare / U.T.

contribu ție maximă

asigurat / U.T. - farmacii

comunitare208 W64858002 L03AA02 FILGRASTIMUM (G-CSF) NIVESTIM 48 MU/0,5 ml SOL. INJ./PERF. 480µg/0,5ml PFIZER EUROPE MA EEIG BELGIA CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. PR 5 89,638000 105,336000 0,000000209 W62177005 L03AA02 FILGRASTIMUM (G-CSF) TEVAGRASTIM 48MUI/0,8ml SOL. INJ./PERF. 480µg/0,8ml TEVA GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,8 ML SOL. INJ. SAU PERF. CU APARATOARE DE SIG.PT.AC PR 1 107,565600 126,403200 53,526800210 W61725001 L04AA04 IMUNOGLOBULINA ANTI-LIMFOCITE UMANE ** GRAFALON CONC. PT. SOL. PERF. 20mg/ml NEOVII BIOTECH GMBHGERMANIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. PR 1 1.306,970000 1.462,750000 0,000000211 W42264003 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 2,522416 3,067333 0,000000212 W42265003 L04AA06 MYCOPHENOLATUM ** MYFORTIC 360 mg COMPR. GASTROREZ. 360mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF 120 4,836250 5,589416 0,000000213 W04406001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 10 BLIST. X 10 CAPS. P-RF/R 100 1,392000 1,699400 0,000000214 W64374001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION GMBH GERMANIA CUTIE X 10 BLIST. PVC/AL X 10 CAPS. PR 100 1,392000 1,699400 0,000000215 W56003001 L04AA06 MYCOPHENOLATUM MOFETILUM ** MICOFENOLAT MOFETIL SANDOZ 500 mg COMPR. FILM. 500mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 50 COMPR. FILM. P-RF 50 1,602400 2,026000 0,000000216 W04407001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 500mg COMPR. FILM. 500mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 5 BLIST. X 10 COMPR. FILM. P-RF/R 50 2,784000 3,398800 0,000000217 W64375001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 500mg COMPR. FILM. 500mg ROCHE REGISTRATION GMBH GERMANIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. FILM. PR 50 2,784000 3,398800 0,000000218 W61479001 L04AA10 SIROLIMUS ** RAPAMUNE 1mg DRAJ. 1mg PFIZER LIMITED MAREA BRITANIE CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR) PR 30 15,523333 18,192000 0,000000219 W65025001 L04AA10 SIROLIMUS ** RAPAMUNE 1 mg DRAJ. 1mg PFIZER EUROPE MA EEIG BELGIA CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR) PR 30 15,523333 18,192000 0,000000220 W13098001 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 3.858,460000 4.243,880000 0,000000221 W64598001 L04AC02 BASILIXIMABUM ** SIMULECT 20 mg PULB. + SOLV. PT. SOL. INJ. SAU PERF. 20mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE X 1 FLAC. CU PULB.+ 1 FIOLA SOLV. APA PT. PREP. INJ. PR 1 3.858,460000 4.243,880000 0,000000222 W51399001 L04AD01 CICLOSPORINUM SANDIMMUN NEORAL (R) CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI PR 50 1,425400 1,802400 0,000000223 W51398001 L04AD01 CICLOSPORINUM SANDIMMUN NEORAL 50 mg CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI PR 50 2,292400 2,798600 0,000000224 W55262007 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. PR 50 1,323600 1,673600 0,000000225 W53729001 L04AD02 TACROLIMUSUM ** PROGRAF 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 PR 50 1,842600 2,329800 0,000000226 W53730001 L04AD02 TACROLIMUSUM ** PROGRAF 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 PR 50 3,822000 4,666000 0,000000227 W55263007 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. PR 50 2,600400 3,174600 0,000000228 W53731001 L04AD02 TACROLIMUSUM ** PROGRAF 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 PR 50 18,782400 21,235800 0,000000229 W51974002 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 1,842600 2,329800 0,000000230 W57352002 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 3,822000 4,666000 0,000000231 W51976002 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 19,252600 21,748400 0,000000232 W53732001 L04AD02 TACROLIMUSUM ** PROGRAF 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 10 FIOLE X 1 ML PR 10 162,464000 180,901000 0,000000233 W60846001 L04AX01 AZATHIOPRINUM IMURAN® COMPR. FILM. 50mg ASPEN PHARMA TRADING LIMITED IRLANDA CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. P-RF 100 0,497200 0,650400 0,000000234 W54297001 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 2,145000 2,900000 0,000000235 W66435002 M05BA04 ACIDUM ALENDRONICUM ACID ALENDRONIC AUROBINDO 70 mg COMPR. 70mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-ACLAR/AL X 4 COMPR. P6L 4 2,574000 3,480000 5,690000236 W60296004 M05BA04 ACIDUM ALENDRONICUM FOSAMAX 70 mg COMPR. 70mg MERCK SHARP & DOHME ROMANIA CUTIE CU 1 BLIST. AL/AL X 2 COMPR. P6L 2 2,574000 3,480000 5,775000237 W60296002 M05BA04 ACIDUM ALENDRONICUM FOSAMAX 70 mg COMPR. 70mg MERCK SHARP & DOHME ROMANIA CUTIE CU 1 BLIST. AL/AL X 4 COMPR. P6L 4 2,574000 3,480000 5,475000238 W58352002 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 2,574000 3,480000 5,690000239 W56763002 M05BA04 ACIDUM ALENDRONICUM ADRONIK 70 mg COMPR. FILM. 70mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 2 COMPR. FILM.P-6L 2 2,574000 3,480000 5,995000240 W52948001 M05BA04 ACIDUM ALENDRONICUM ALENDRONAT SANDOZ 70 mg COMPR. FILM. 70mg SANDOZ S.R.L. ROMANIA CUTIE X 1 BLIST. OPA-AL-PVC/AL X 2 COMPR. FILM P-6L 2 2,574000 3,480000 1,680000241 W56763003 M05BA04 ACIDUM ALENDRONICUM ADRONIK 70 mg COMPR. FILM. 70mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 4 COMPR. FILM.P-6L 4 2,574000 3,480000 5,690000242 W56763001 M05BA04 ACIDUM ALENDRONICUM ADRONIK 70 mg COMPR. FILM. 70mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 12 COMPR. FILM. P-6L 12 2,574000 3,480000 5,229166243 W42905002 N02AB02 PETHIDINUM MIALGIN 100 mg/2 ml SOL. INJ. 50mg/ml ZENTIVA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA X 2 ML PS 5 2,306000 3,116000 0,000000

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

1 W62497001 J01XX08 LINEZOLIDUM LINEZOLID KRKA 600 mg COMPR. FILM. 600mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF 10 63,013000 72,499000 0,0000002 W52799001 J01XX08 LINEZOLIDUM ZYVOXID 600 mg COMPR. FILM. 600mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 10 75,615600 86,998800 20,5862003 W63985002 J01XX08 LINEZOLIDUM LINEZOLID FRESENIUS KABI 600 mg COMPR. FILM. 600mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU BLIST. AL/AL X 10 (1X10) COMPR. FILM.PRF 10 75,615600 86,998800 41,5272004 W65053001 J01XX08 LINEZOLIDUM ZYVOXID 600 mg COMPR. FILM. 600mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. PRF 10 75,615600 86,998800 20,5862005 W65055001 J01XX08 LINEZOLIDUM ZYVOXID 100 mg/5 ml GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLACON DIN STICLA BRUNA X 66 G GRAN. PTR. 150 ML SUSP. ORALA + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML PRF 1 701,150000 802,400000 0,0000006 W52800001 J01XX08 LINEZOLIDUM ZYVOXID 100 mg/5 ml 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 1 701,150000 802,400000 0,0000007 W61756002 J01XX08 LINEZOLIDUM LINEZOLID INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS S.R.L.ROMANIA 10 PUNGI DIN POLIOLEFINA MULTISTRATIFICATA, FARA LATEX, PREVAZUTA CU UN TUB CONECTOR CU DESCHIDERE PRIN RASUCIRE, SIGILATA ÎNTR-O FOLIE LAMINATA PROTECTOARE CONTINÂND 300 ML SOL. PERF. PR 10 114,432000 128,546000 0,0000008 W60734001 J01XX08 LINEZOLIDUM LINEZOLID SANDOZ 2 mg/ml SOL. PERF. 2mg/ml SANDOZ S.R.L. ROMANIA CUTIE CU 1 PUNGA DIN PP INCOLORA PÂNA LA GALBUIE, CU 1 SAU 2 PERFUZOARE SI ÎNVELIS SUPLIMENTAR DIN FOLIE LAMINATA CARE CONTINE SOL. PERF. PR 1 119,092800 134,389200 17,8908009 W65054001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 10 PUNGI (EXCEL SAU FREEFLEX) DE UNICA FOLOSINTA GATA DE UTILIZARE, FARA LATEX X 300 ML SOL. PERF. PR 10 116,403000 130,694000 0,000000

10 W52801001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML S 10 116,403000 130,694000 0,00000011 W64206001 J01XX08 LINEZOLIDUM LINEZOLID ACCORD 2 mg/ml SOL. PERF. 2mg/ml ACCORD HEALTHCARE LTD. MAREA BRITANIE CUTIE CU 10 PUNGI DIN PLASTIC POLIOLEFINIC (PE) MULTISTRAT CARE CONTIN 300 ML SOL. PERF. PR 10 116,403000 130,694000 0,000000

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ca

Concentratie / U.T.

Firma Tara Ambalaj

Pres

crip

tie cant/ambal

aj

Pret cu ridicata maximal de

decontare / U.T.

Pret de decontare / U.T.

contribu ție maximă

asigurat / U.T. - farmacii

comunitare12 W63515002 J01XX08 LINEZOLIDUM LINEZOLID KRKA 2 mg/ml SOL. PERF. 2mg/ml KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 10 PUNGI CU CAPACITATEA DE 300 ML DIN POLIOLEFINA MULTISTRAT PRF 10 115,254000 129,442000 0,00000013 W64055001 J01XX08 LINEZOLIDUM LINEZOLID AUROBINDO 2 mg/ml SOL. PERF. 2mg/ml AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 1 PUNGA DIN FILM DUBLU DE PP MULTISTRATIFICATA, PREVAZUTA CU 2 TUBURI DIN PP CARE CONTINE 300 ML SOL. PERF. PR 1 119,092800 134,389200 17,89080014 W61561001 J01XX08 LINEZOLIDUM LINEZOLID KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 PUNGI DIN POLIOLEFINE (FREEFLEX) A 300 ML SOL. PERF. PR 10 99,244000 111,991000 0,00000015 W63515001 J01XX08 LINEZOLIDUM LINEZOLID KRKA 2 mg/ml SOL. PERF. 2mg/ml KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 1 PUNGA CU CAPACITATEA DE 300 ML DIN POLIOLEFINA MULTISTRAT PRF 1 119,092800 134,389200 16,33080016 W61628006 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg COMPR. FILM. 200mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. PRF 30 7,989857 9,753857 4,46280917 W64073008 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 7,989857 9,753857 15,47435718 W61817001 J02AC03 VORICONAZOLUM ** VORICONAZOLE ACCORD 200 mgCOMPR. FILM. 200mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 COMPR. FILMPRF 28 6,658214 8,128214 0,00000019 W61628005 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg COMPR. FILM. 200mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 7,989857 9,753857 4,63114320 W64931001 J02AC03 VORICONAZOLUM ** VFEND 200 mg COMPR. FILM. 200mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 7,989857 9,753857 47,92292821 W61017005 J02AC03 VORICONAZOLUM ** VORICONAZOL DR. REDDY'S 200 mg COMPR. FILM. 200mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 7,989857 9,753857 58,56650022 W65715001 J02AC03 VORICONAZOLUM ** VORICONAZOLE ACCORD 200 mgCOMPR. FILM. 200mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. PRF 28 6,658214 8,128214 0,00000023 W64073003 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 7,989857 9,753857 19,27042824 W64073005 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 7,989857 9,753857 16,73935725 W08947008 J02AC03 VORICONAZOLUM ** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 7,989857 9,753857 47,92292826 W62033006 J02AC03 VORICONAZOLUM ** VORAMOL 200 mg COMPR. FILM. 200mg ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. PRF 30 7,989857 9,753857 65,11214327 W64072003 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 22,916428 27,704285 0,00000028 W64072005 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 21,905357 25,239285 0,00000029 W64072008 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 21,369642 23,974285 0,00000030 W10489001 J02AC03 VORICONAZOLUM ** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF 1 310,650000 376,760000 0,00000031 W64929001 J02AC03 VORICONAZOLUM ** VFEND 200 mg PULB. PT. SOL. PERF. 200mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. UNIDOZA X 30 ML PRF 1 310,650000 376,760000 0,00000032 W62815001 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg PULB. PT. SOL. PERF. 200mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA CU CAPCITATEA DE 25 ML CU PULB. PT. SOL. PERF. PRF 1 310,650000 376,760000 0,00000033 W62122001 J02AC03 VORICONAZOLUM ** VORICONAZOL FRESENIUS KABI 200 mg PULB. PT. SOL. PERF. 200mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA TIP I, CU CAPACITATEA DE 25 ML, CU PULBERE PT. SOL. PERF. PRF 1 310,650000 376,760000 0,00000034 W64930001 J02AC03 VORICONAZOLUM ** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA PT. ADM. ORALA (5 ML) + 1 ADAPTOR PRF 1 1.372,920000 1.534,630000 0,00000035 W41889001 J02AC03 VORICONAZOLUM ** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA PT. ADM. ORALA (5 ML) + 1 ADAPTOR P-RF 1 1.372,920000 1.534,630000 0,00000036 W61515001 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR AUROBINDO 450 mg COMPR. FILM. 450mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PA-AL-PVC/AL X 60 COMPR. FILM. PRF 60 16,006999 18,210600 39,96173337 W66450001 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR AUROBINDO 450 mg COMPR. FILM. 450mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 60 COMPR. FILM. PRF 60 16,006999 18,210600 39,96173338 W62786001 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR ZENTIVA 450 mg COMPR. FILM. 450mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM. PRF 60 13,339166 15,175500 0,000000

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

1 W62441002 B01AB05 ENOXAPARINUM CLEXANE 2000 UI anti-Xa/0,2ml SOL. INJ. 2000UI anti-Xa/0,2ml SANOFI ROMANIA S.R.L.ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 0,5 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,2 ML SOL INJ. PR/PRF 10 5,446000 6,886000 0,0000002 W63590002 B01AB05 ENOXAPARINUM CLEXANE 2000 UI (20 mg)/0,2 ml SOL. INJ. 2000UI(20mg)/0,2ml SANOFI ROMANIA S.R.L.ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 0,5 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,2 ML SOL INJ. PR/PRF 10 5,446000 6,886000 0,0000003 W62442002 B01AB05 ENOXAPARINUM CLEXANE 4000 UI anti-Xa/0,4ml SOL. INJ. 4000UI anti-Xa/0,4ml SANOFI ROMANIA S.R.L.ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 0,5 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,4 ML SOL INJ. PR/PRF 10 9,741000 12,317000 0,0000004 W63591002 B01AB05 ENOXAPARINUM CLEXANE 4000 UI (40 mg)/0,4 ml SOL. INJ. 4000UI(40mg)/0,4ml SANOFI ROMANIA S.R.L.ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 0,5 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,4 ML SOL INJ. PR/PRF 10 9,741000 12,317000 0,0000005 W63592002 B01AB05 ENOXAPARINUM CLEXANE 6000 UI (60 mg)/0,6 ml SOL. INJ. 6000UI(60mg)/0,6ml SANOFI ROMANIA S.R.L.ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 1 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,6 ML SOL INJ. PR/PRF 10 13,307000 16,245000 0,0000006 W62443002 B01AB05 ENOXAPARINUM CLEXANE 6000 UI anti-Xa/0,6ml SOL. INJ. 6000UIanti-Xa/0,6ml SANOFI ROMANIA S.R.L.ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 1 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,6 ML SOL INJ. PR/PRF 10 13,307000 16,245000 0,0000007 W62444002 B01AB05 ENOXAPARINUM CLEXANE 8000ui anti-Xa/0,8ml SOL. INJ. 8000UI anti-Xa/0,8ml SANOFI ROMANIA S.R.L.ROMANIA CUTIE CU 6 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 1 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,8 ML SOL INJ. PR/PRF 6 16,756666 20,456666 0,0000008 W63593002 B01AB05 ENOXAPARINUM CLEXANE 8000 UI (80 mg)/0,8 ml SOL. INJ. 8000UI(80mg)/0,8ml SANOFI ROMANIA S.R.L.ROMANIA CUTIE CU 6 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 1 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,8 ML SOL INJ. PR/PRF 6 16,756666 20,456666 0,0000009 W63590012 B01AB05 ENOXAPARINUM CLEXANE 2000 UI (20 mg)/0,2 ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI(20mg)/0,2ml SANOFI ROMANIA S.R.L.ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE PR/PRF 10 5,446000 6,886000 0,000000

10 W63591012 B01AB05 ENOXAPARINUM CLEXANE 4000 UI (40 mg)/0,4 ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI(40mg)/0,4ml SANOFI ROMANIA S.R.L.ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE PR/PRF 10 9,741000 12,317000 0,00000011 W63592012 B01AB05 ENOXAPARINUM CLEXANE 6000 UI (60 mg)/0,6 ml SOL. INJ. IN SERINGA PREUMPLUTA 6000UI(60mg)/0,6ml SANOFI ROMANIA S.R.L.ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE PR/PRF 10 13,307000 16,245000 0,00000012 W63593009 B01AB05 ENOXAPARINUM CLEXANE 8000 UI (80 mg)/0,8 ml SOL. INJ. IN SERINGA PREUMPLUTA 8000UI(80mg)/0,8ml SANOFI ROMANIA S.R.L.ROMANIA CUTIE CU 6 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE PR/PRF 6 16,756666 20,456666 0,00000013 W64629001 B02AA02 ACIDUM TRANEXAMICUM 4) ACIDO TRANEXAMICO BIOINDUSTRIA L.I.M. 500 mg/5 ml SOL. INJ. PT. ADM. I.V.SI ORALA500mg/5ml CN UNIFARM S.A. ROMANIA CUTIE CU 5 FIOLE X 5 ML SOL. INJ. PR 5 3,910000 5,286000 0,00000014 W66039002 C01CA24 EPINEPHRINUM ADRENALINA HYPERICUM 0,1 mg/ml SOL INJ. IN SERINGA PREUMPLUTA 0,1mg/ml S.C. HYPERICUM S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE DIN PP, FARA AC, AMBALATE INDIVIDUAL INTR-UN BLIST. TRANSPARENT A 10 ML SOL. INJ. PR 10 2,017320 2,462760 76,54224015 W02947002 C01CA24 EPINEPHRINUM ADRENALINA TERAPIA 1 mg/ml SOL. INJ. 1mg/ml TERAPIA SA ROMANIA CUTIE CU 10 FIOLE DIN STICLA BRUNA CU PUNCT DE RUPERE X 1 ML SOL. INJ. PR 10 1,742000 2,354000 0,00000016 W02947001 C01CA24 EPINEPHRINUM ADRENALINA TERAPIA 1 mg/ml SOL. INJ. 1mg/ml TERAPIA SA ROMANIA CUTIE X 100 FIOLE X 1 ML PR 100 1,681100 2,052300 0,00000017 W60389001 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 1 146,250000 178,540000 0,00000018 W60390001 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 1 151,480000 184,930000 0,00000019 W54765001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 gPULB. 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 21,430000 26,932800 2,03720020 W53595006 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLIN/TAZOBACTAM KABI 2g/0,25 g 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. PR 10 13,689000 16,711000 0,000000

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Pret de decontare / U.T.

contribu ție maximă

asigurat / U.T. - farmacii

comunitare21 W64263002 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 2 g/0,25 g PULB. PT. SOL. PERF. 2g/0,25g ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA DE TIP III CU PULB. PT. SOL. PERF.PR 10 13,199000 16,113000 0,00000022 W64263001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 2 g/0,25 g PULB. PT. SOL. PERF. 2g/0,25g ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA DE TIP III CU PULB. PT. SOL. PERF.PR 1 13,680000 18,490000 0,00000023 W64264002 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 4 g/0,50 g PULB. PT. SOL. PERF. 4g/0,50g ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA DE TIP I CU PULB. PT. SOL. PERF.PR 10 18,385000 22,444000 0,00000024 W64264001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 4 g/0,50 g PULB. PT. SOL. PERF. 4g/0,50g ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA DE TIP I CU PULB. PT. SOL. PERF. PR 1 19,050000 25,750000 0,00000025 W53596003 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLIN/TAZOBACTAM 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. PR 10 20,658000 25,219000 0,00000026 W62497001 J01XX08 LINEZOLIDUM LINEZOLID KRKA 600 mg COMPR. FILM. 600mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF 10 63,013000 72,499000 0,00000027 W52799001 J01XX08 LINEZOLIDUM ZYVOXID 600 mg COMPR. FILM. 600mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 10 75,615600 86,998800 20,58620028 W63985002 J01XX08 LINEZOLIDUM LINEZOLID FRESENIUS KABI 600 mg COMPR. FILM. 600mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU BLIST. AL/AL X 10 (1X10) COMPR. FILM.PRF 10 75,615600 86,998800 41,52720029 W65053001 J01XX08 LINEZOLIDUM ZYVOXID 600 mg COMPR. FILM. 600mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. PRF 10 75,615600 86,998800 20,58620030 W65055001 J01XX08 LINEZOLIDUM ZYVOXID 100 mg/5 ml GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLACON DIN STICLA BRUNA X 66 G GRAN. PTR. 150 ML SUSP. ORALA + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML PRF 1 701,150000 802,400000 0,00000031 W52800001 J01XX08 LINEZOLIDUM ZYVOXID 100 mg/5 ml 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 1 701,150000 802,400000 0,00000032 W61756002 J01XX08 LINEZOLIDUM LINEZOLID INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS S.R.L.ROMANIA 10 PUNGI DIN POLIOLEFINA MULTISTRATIFICATA, FARA LATEX, PREVAZUTA CU UN TUB CONECTOR CU DESCHIDERE PRIN RASUCIRE, SIGILATA ÎNTR-O FOLIE LAMINATA PROTECTOARE CONTINÂND 300 ML SOL. PERF. PR 10 114,432000 128,546000 0,00000033 W60734001 J01XX08 LINEZOLIDUM LINEZOLID SANDOZ 2 mg/ml SOL. PERF. 2mg/ml SANDOZ S.R.L. ROMANIA CUTIE CU 1 PUNGA DIN PP INCOLORA PÂNA LA GALBUIE, CU 1 SAU 2 PERFUZOARE SI ÎNVELIS SUPLIMENTAR DIN FOLIE LAMINATA CARE CONTINE SOL. PERF. PR 1 119,092800 134,389200 17,89080034 W65054001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 10 PUNGI (EXCEL SAU FREEFLEX) DE UNICA FOLOSINTA GATA DE UTILIZARE, FARA LATEX X 300 ML SOL. PERF. PR 10 116,403000 130,694000 0,00000035 W52801001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML S 10 116,403000 130,694000 0,00000036 W64206001 J01XX08 LINEZOLIDUM LINEZOLID ACCORD 2 mg/ml SOL. PERF. 2mg/ml ACCORD HEALTHCARE LTD. MAREA BRITANIE CUTIE CU 10 PUNGI DIN PLASTIC POLIOLEFINIC (PE) MULTISTRAT CARE CONTIN 300 ML SOL. PERF. PR 10 116,403000 130,694000 0,00000037 W63515002 J01XX08 LINEZOLIDUM LINEZOLID KRKA 2 mg/ml SOL. PERF. 2mg/ml KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 10 PUNGI CU CAPACITATEA DE 300 ML DIN POLIOLEFINA MULTISTRAT PRF 10 115,254000 129,442000 0,00000038 W64055001 J01XX08 LINEZOLIDUM LINEZOLID AUROBINDO 2 mg/ml SOL. PERF. 2mg/ml AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 1 PUNGA DIN FILM DUBLU DE PP MULTISTRATIFICATA, PREVAZUTA CU 2 TUBURI DIN PP CARE CONTINE 300 ML SOL. PERF. PR 1 119,092800 134,389200 17,89080039 W61561001 J01XX08 LINEZOLIDUM LINEZOLID KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 PUNGI DIN POLIOLEFINE (FREEFLEX) A 300 ML SOL. PERF. PR 10 99,244000 111,991000 0,00000040 W63515001 J01XX08 LINEZOLIDUM LINEZOLID KRKA 2 mg/ml SOL. PERF. 2mg/ml KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 1 PUNGA CU CAPACITATEA DE 300 ML DIN POLIOLEFINA MULTISTRAT PRF 1 119,092800 134,389200 16,33080041 W58225007 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 2,545714 3,440000 0,00000042 W43597002 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 3,054857 4,128000 2,50771443 W08372001 J02AC01 FLUCONAZOLUM FLUCOVIM 100 CAPS. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS. P-RF 4 3,054857 4,128000 2,72950044 W66461007 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 100 mg CAPS. 100mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF 7 2,545714 3,440000 0,00000045 W65085001 J02AC01 FLUCONAZOLUM DIFLUCAN 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 5,688000 7,692000 3,83800046 W42693001 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 5,670000 7,660000 0,00000047 W60221003 J02AC01 FLUCONAZOLUM FLUCONAZOL ZENTIVA 150 mg CAPS. 150mg ZENTIVA K.S. REPUBLICA CEHA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 1 CAPS. P-RF 1 5,670000 7,660000 0,00000048 W52334001 J02AC01 FLUCONAZOLUM FLUCONAZOL LAROPHARM 150 mg CAPS. 150mg LAROPHARM S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA P-RF 1 5,670000 7,660000 0,00000049 W03156001 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 5,688000 7,692000 3,83800050 W51994001 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 150 mg CAPS. 150mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 5,670000 7,660000 0,00000051 W53943002 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 150 MG CAPS. 150mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 5,670000 7,660000 0,00000052 W44089001 J02AC01 FLUCONAZOLUM FLUCORIC 150 mg CAPS. 150mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS.P-RF 1 5,670000 7,660000 0,00000053 W58226001 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 5,670000 7,660000 0,00000054 W60221001 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 5,670000 7,660000 0,00000055 W43598001 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 5,670000 7,660000 0,00000056 W08373001 J02AC01 FLUCONAZOLUM FLUCOVIM 150 CAPS. 150mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 FLAC. X 1 CAPS. P-RF 1 5,670000 7,660000 0,00000057 W57430001 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 5,670000 7,660000 0,00000058 W57239001 J02AC01 FLUCONAZOLUM FLUCONAZOL LPH 150 mg CAPS. 150mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 5,670000 7,660000 0,00000059 W66462001 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 150 mg CAPS. 150mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC TRANSPARENT/PVDC-AL X 1 CAPS. PRF 1 4,740000 6,410000 0,00000060 W43599002 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 4,778571 6,250000 0,00000061 W44098001 J02AC01 FLUCONAZOLUM FLUCORIC 50 mg CAPS. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS.P-RF 7 1,525714 2,062285 0,91342962 W08374001 J02AC01 FLUCONAZOLUM FLUCOVIM 50 CAPS. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 1,525714 2,062285 0,91342963 W51993001 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 50 mg CAPS. 50mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 1,525714 2,062285 0,91342964 W53942002 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 50 MG CAPS. 50mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 1,525714 2,062285 0,91342965 W03157001 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 1,525714 2,062285 2,40342966 W43596001 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 1,525714 2,062285 0,91342967 W58224007 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 50 mgCAPS. 50mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF 7 1,271428 1,718571 0,00000068 W42321001 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 1,525714 2,062285 0,91342969 W66460007 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 50 mgCAPS. 50mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF 7 1,298571 1,754285 0,00000070 W65084001 J02AC01 FLUCONAZOLUM DIFLUCAN 50 mg CAPS. 50mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 7 CAPS. PRF 7 1,525714 2,062285 2,40342971 W58322002 J02AC01 FLUCONAZOLUM DIFLUCAN 10 mg/ml PULB. PT. SUSP. ORALA 10mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 1 FLAC. DIN PEÎD, DE CAPACITATE 60 ML, PREVAZUT CU SISTEM DE ÎNCHIDERE SECURIZAT PENTRU COPII, CE CONTINE PULB. PENTRU 35 ML SUSP. ORALA SI O SERINGA DIN PP DE 5 ML CU MARCAJ LA FIECARE 0,2 ML PRF 1 23,200000 31,360000 0,00000072 W65087001 J02AC01 FLUCONAZOLUM DIFLUCAN 10 mg/ml PULB. PT. SUSP. ORALA 10mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. DIN PEÎD, DE CAPACITATE 60 ML, PREVAZUT CU SISTEM DE ÎNCHIDERE SECURIZAT PENTRU COPII, CE CONTINE PULB. PENTRU 35 ML SUSP. ORALA SI O SERINGA DIN PP DE 5 ML CU MARCAJ LA FIECARE 0,2 ML PRF 1 23,200000 31,360000 0,000000

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Pret cu ridicata maximal de

decontare / U.T.

Pret de decontare / U.T.

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comunitare73 W55502018 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF. PR 10 37,069000 44,220000 0,00000074 W55502003 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF. PR 20 9,361000 11,428000 0,00000075 W55502009 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. PR 1 19,410000 26,240000 0,00000076 W55502017 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. PR 1 38,830000 50,790000 0,00000077 W55502001 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. PR 1 9,700000 13,110000 0,00000078 W57368003 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 2mg/ml SOL. PERF. 2mg/ml ARENA GROUP S.A. ROMANIA CUTIE X 1 FLAC. X 100 ML SOL. PERF. PR 1 22,158000 26,532000 32,52800079 W58456001 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/PET/PP X 50 ML SOL. PERF. PR 20 11,233200 13,713600 8,88690080 W55502011 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. PR 20 18,534500 22,110000 0,00000081 W58456003 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/PET/PP X 200 ML SOL. PERF. PR 10 44,482800 53,064000 40,97500082 W60056005 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 FLUCONAZOL S 10 18,465000 22,542000 0,00000083 W58456002 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/PET/PP X 100 ML SOL. PERF. PR 20 22,158000 26,532000 12,74500084 W61628006 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg COMPR. FILM. 200mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. PRF 30 7,989857 9,753857 4,46280985 W64073008 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 7,989857 9,753857 15,47435786 W61817001 J02AC03 VORICONAZOLUM ** VORICONAZOLE ACCORD 200 mgCOMPR. FILM. 200mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 COMPR. FILMPRF 28 6,658214 8,128214 0,00000087 W61628005 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg COMPR. FILM. 200mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 7,989857 9,753857 4,63114388 W64931001 J02AC03 VORICONAZOLUM ** VFEND 200 mg COMPR. FILM. 200mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 7,989857 9,753857 47,92292889 W61017005 J02AC03 VORICONAZOLUM ** VORICONAZOL DR. REDDY'S 200 mg COMPR. FILM. 200mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 7,989857 9,753857 58,56650090 W65715001 J02AC03 VORICONAZOLUM ** VORICONAZOLE ACCORD 200 mgCOMPR. FILM. 200mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. PRF 28 6,658214 8,128214 0,00000091 W64073003 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 7,989857 9,753857 19,27042892 W64073005 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 7,989857 9,753857 16,73935793 W08947008 J02AC03 VORICONAZOLUM ** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 7,989857 9,753857 47,92292894 W62033006 J02AC03 VORICONAZOLUM ** VORAMOL 200 mg COMPR. FILM. 200mg ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. PRF 30 7,989857 9,753857 65,11214395 W64072003 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 22,916428 27,704285 0,00000096 W64072005 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 21,905357 25,239285 0,00000097 W64072008 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 21,369642 23,974285 0,00000098 W10489001 J02AC03 VORICONAZOLUM ** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF 1 310,650000 376,760000 0,00000099 W64929001 J02AC03 VORICONAZOLUM ** VFEND 200 mg PULB. PT. SOL. PERF. 200mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. UNIDOZA X 30 ML PRF 1 310,650000 376,760000 0,000000

100 W62815001 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg PULB. PT. SOL. PERF. 200mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA CU CAPCITATEA DE 25 ML CU PULB. PT. SOL. PERF. PRF 1 310,650000 376,760000 0,000000101 W62122001 J02AC03 VORICONAZOLUM ** VORICONAZOL FRESENIUS KABI 200 mg PULB. PT. SOL. PERF. 200mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA TIP I, CU CAPACITATEA DE 25 ML, CU PULBERE PT. SOL. PERF. PRF 1 310,650000 376,760000 0,000000102 W64930001 J02AC03 VORICONAZOLUM ** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA PT. ADM. ORALA (5 ML) + 1 ADAPTOR PRF 1 1.372,920000 1.534,630000 0,000000103 W41889001 J02AC03 VORICONAZOLUM ** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA PT. ADM. ORALA (5 ML) + 1 ADAPTOR P-RF 1 1.372,920000 1.534,630000 0,000000104 W53675001 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 0,660600 0,892800 0,296700105 W42857001 J05AB01 ACICLOVIRUM ACICLOVIR SLAVIA 200 mg CAPS. 200mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 0,660600 0,892800 0,293700106 W56038001 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 0,660600 0,892800 0,296700107 W53675003 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 0,660600 0,887590 0,000000108 W53676001 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 2,186000 2,954000 0,000000109 W53225001 J05AB01 ACICLOVIRUM ACICLOVIR LAROPHARM 200 mgCOMPR. 200mg LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 0,660600 0,892800 0,296700110 W00044001 J05AB01 ACICLOVIRUM ACICLOVIR TERAPIA 200 mg COMPR. 200mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0,660600 0,892800 0,060200111 W06667003 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 0,568000 0,768000 0,000000112 W60558001 J05AB01 ACICLOVIRUM ACICLOVIR-RICHTER 200 mg COMPR. 200mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. PRF 20 0,660600 0,892800 0,064700113 W65783001 J05AB01 ACICLOVIRUM ACICLOVIR AUROBINDO 200 mg COMPR. 200mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. TRANSPARENTE PVC/AL X 20 COMPR. PRF 20 0,550500 0,744000 0,000000114 W65784008 J05AB01 ACICLOVIRUM ACICLOVIR AUROBINDO 400 mg COMPR. 400mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. TRANSPARENTE PVC/AL X 10 COMPR. PRF 10 1,867000 2,524000 0,000000115 W06668003 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 2,148000 2,903000 0,000000116 W00058001 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 41,032000 50,092000 0,000000117 W61515001 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR AUROBINDO 450 mg COMPR. FILM. 450mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PA-AL-PVC/AL X 60 COMPR. FILM. PRF 60 16,006999 18,210600 39,961733118 W66450001 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR AUROBINDO 450 mg COMPR. FILM. 450mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 60 COMPR. FILM. PRF 60 16,006999 18,210600 39,961733119 W62786001 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR ZENTIVA 450 mg COMPR. FILM. 450mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM. PRF 60 13,339166 15,175500 0,000000120 W61725001 L04AA04 IMUNOGLOBULINA ANTI-LIMFOCITE UMANE ** GRAFALON CONC. PT. SOL. PERF. 20mg/ml NEOVII BIOTECH GMBHGERMANIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. PR 1 1.306,970000 1.462,750000 0,000000121 W42264003 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 2,522416 3,067333 0,000000122 W42265003 L04AA06 MYCOPHENOLATUM ** MYFORTIC 360 mg COMPR. GASTROREZ. 360mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF 120 4,836250 5,589416 0,000000123 W04406001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 10 BLIST. X 10 CAPS. P-RF/R 100 1,392000 1,699400 0,000000124 W64374001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION GMBH GERMANIA CUTIE X 10 BLIST. PVC/AL X 10 CAPS. PR 100 1,392000 1,699400 0,000000

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comunitare125 W56003001 L04AA06 MYCOPHENOLATUM MOFETILUM ** MICOFENOLAT MOFETIL SANDOZ 500 mg COMPR. FILM. 500mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 50 COMPR. FILM. P-RF 50 1,602400 2,026000 0,000000126 W04407001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 500mg COMPR. FILM. 500mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 5 BLIST. X 10 COMPR. FILM. P-RF/R 50 2,784000 3,398800 0,000000127 W64375001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 500mg COMPR. FILM. 500mg ROCHE REGISTRATION GMBH GERMANIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. FILM. PR 50 2,784000 3,398800 0,000000128 W13098001 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 3.858,460000 4.243,880000 0,000000129 W64598001 L04AC02 BASILIXIMABUM ** SIMULECT 20 mg PULB. + SOLV. PT. SOL. INJ. SAU PERF. 20mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE X 1 FLAC. CU PULB.+ 1 FIOLA SOLV. APA PT. PREP. INJ. PR 1 3.858,460000 4.243,880000 0,000000130 W51399001 L04AD01 CICLOSPORINUM SANDIMMUN NEORAL (R) CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI PR 50 1,425400 1,802400 0,000000131 W51398001 L04AD01 CICLOSPORINUM SANDIMMUN NEORAL 50 mg CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI PR 50 2,292400 2,798600 0,000000132 W60846001 L04AX01 AZATHIOPRINUM IMURAN® COMPR. FILM. 50mg ASPEN PHARMA TRADING LIMITED IRLANDA CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. P-RF 100 0,497200 0,650400 0,000000133 W12691002 N02AX02 TRAMADOLUM TRAMADOL CAPS. 50mg KRKA D.D. SLOVENIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 0,238000 0,321500 0,000000134 W52049001 N02AX02 TRAMADOLUM TRAMADOL ARENA CAPS. 50mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 0,285600 0,385800 0,114200135 W60291001 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 0,285600 0,385800 0,039200136 W42440001 N02AX02 TRAMADOLUM TRAMAG 50 mg COMPR. 50mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0,285600 0,385800 0,041200137 W42957001 N02AX02 TRAMADOLUM TRAMADOL EEL COMPR. 50mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0,285600 0,385800 0,114200138 W63391003 N02AX02 TRAMADOLUM TRAMAL RETARD 100 mg COMPR. ELIB. PREL. 100mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 BLIST. AL/PP X 10 COMPR.FILM. CU ELIB. PREL. P-RF 10 0,510400 0,689599 0,011401139 W63391001 N02AX02 TRAMADOLUM TRAMAL RETARD 100 mg COMPR. ELIB. PREL. 100mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 BLIST. AL/PVDC X 10 COMPR. FILM. CU ELIB. PREL. P-RF 10 0,510400 0,689599 0,011401140 W61448003 N02AX02 TRAMADOLUM MABRON RETARD 100 mg COMPR. ELIB. PREL. 100mg MEDOCHEMIE LTD. CIPRU CUTIE CU 3 BLISTERE DIN PVC/AL X 10 COMPR. CU ELIB. PREL. PRF 30 0,425333 0,574666 0,000000141 W60236002 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 0,510400 0,689599 0,011067142 W58072001 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 0,510400 0,689599 0,011067143 W58893002 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 0,649333 0,877666 0,000000144 W61449011 N02AX02 TRAMADOLUM MABRON RETARD 150 mg COMPR. ELIB. PREL. 150mg MEDOCHEMIE LTD. CIPRU CUTIE CU 1 BLISTER DIN PVC/AL X 10 COMPR. CU ELIB. PREL. PRF 10 0,630000 0,851000 0,000000145 W63389001 N02AX02 TRAMADOLUM TRAMAL RETARD 150 mg COMPR. ELIB. PREL. 150mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR.FILM. CU ELIB. PREL.P-RF 10 0,755599 1,021200 0,070800146 W63389002 N02AX02 TRAMADOLUM TRAMAL RETARD 150 mg COMPR. ELIB. PREL. 150mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU 1 BLIST. PP/AL X 10 COMPR. ELIB. PREL. P-RF 10 0,755599 1,021200 0,070800147 W60237002 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 0,706666 0,955333 0,000000148 W61449003 N02AX02 TRAMADOLUM MABRON RETARD 150 mg COMPR. ELIB. PREL. 150mg MEDOCHEMIE LTD. CIPRU CUTIE CU 3 BLISTERE DIN PVC/AL X 10 COMPR. CU ELIB. PREL. PRF 30 0,629666 0,851000 0,000000149 W61449001 N02AX02 TRAMADOLUM MABRON RETARD 150 mg COMPR. ELIB. PREL. 150mg MEDOCHEMIE LTD. CIPRU CUTIE CU 1 BLIST. DIN PVC/AL X 10 COMPR. CU ELIB. PREL. PRF 10 0,630000 0,851000 0,000000150 W58894002 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 0,865333 1,131666 0,000000151 W61450003 N02AX02 TRAMADOLUM MABRON RETARD 200 mg COMPR. ELIB. PREL. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU 3 BLISTERE DIN PVC/AL X 10 COMPR. CU ELIB. PREL. PRF 30 0,809666 1,094333 0,000000152 W43360001 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 0,755599 1,021200 0,308466153 W43361001 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 0,971599 1,313200 0,442800154 W64091001 N02AX02 TRAMADOLUM TRAMADOL KALCEKS SOL INJ./PERF. 50mg/ml AS KALCEKS LETONIA CUTIE CU O TAVITA DIN PVC CU 5 FIOLE DIN STICLA TRANSPARENTA, CU PUNCT DE RUPERE, A CATE 2 ML SOL. INJ./PERF. PRF 5 1,748400 2,362800 0,425200155 W64091002 N02AX02 TRAMADOLUM TRAMADOL KALCEKS SOL INJ./PERF. 50mg/ml AS KALCEKS LETONIA CUTIE CU 20 DE TAVITE DIN PVC CU 100 FIOLE DIN STICLA TRANSPARENTA, CU PUNCT DE RUPERE, A CATE 2 ML SOL. INJ./PERF. PRF 100 1,748400 2,362800 0,068800156 W64091003 N02AX02 TRAMADOLUM TRAMADOL KALCEKS SOL INJ./PERF. 50mg/ml AS KALCEKS LETONIA CUTIE CU 2 TAVITE DIN PVC CU 10 FIOLE DIN STICLA TRANSPARENTA, CU PUNCT DE RUPERE, A CATE 2 ML SOL. INJ./PERF. PRF 10 1,457000 1,969000 0,000000157 W05961001 N02AX02 TRAMADOLUM MABRON 100 mg/2 ml SOL. INJ. 100mg/2ml MEDOCHEMIE LTD. CIPRU CUTIE X 5 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. S/P-RF 5 1,488000 2,012000 0,000000158 W05967001 N02AX02 TRAMADOLUM TRAMADOL 100 mg/2 ml SOL. INJ. 100mg/2ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 2 ML S/P-RF 5 1,748400 2,362800 0,109200159 W05966001 N02AX02 TRAMADOLUM TRAMADOL SOL. INJ. 50mg/ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 1 ML S/P-RF 5 0,810000 1,094000 0,000000160 W05969001 N02AX02 TRAMADOLUM TRAMADOL SUPOZ. 100mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X, 5 SUPOZ. P-RF 5 0,916000 1,238000 0,000000

P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA P9.7: TRATAMENTUL STARII POSTTRANSPLANT IN AMBULATORIU A PACIENTILOR TRANSPLANTATI

1 W00187002 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK 250 mg CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 CAPS. P6L 100 0,976400 1,234600 0,0000002 W00187001 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK 250 mg CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 25 CAPS. P-6L 50 0,993800 1,300000 0,0000003 W58710002 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 2,379800 2,905300 0,0000004 W58363001 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 84,590000 106,950000 0,0000005 W65156001 H02AB04 METHYLPREDNISOLONUM MEDROL A 16 mg COMPR. 16mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 5 BLIST. AL-PVC/PVC X 10 COMPR. PRF 50 0,424600 0,573800 0,0000006 W04224001 H02AB04 METHYLPREDNISOLONUM MEDROL A 16 mg COMPR. 16mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 5 BLIST. A-PVC/PVC X 10 COMPR. P-RF 50 0,424600 0,573800 0,0000007 W65157001 H02AB04 METHYLPREDNISOLONUM MEDROL 32 mg COMPR. 32mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 2 BLIST. AL-PVC/PVC X 10 COMPR. PRF 20 0,964500 1,303500 0,0000008 W04222001 H02AB04 METHYLPREDNISOLONUM MEDROL 32 mg COMPR. 32mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL-PVC/PVC X 10 COMPR.P-RF 20 0,964500 1,303500 0,0000009 W08307001 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 125 mg PULB+SOLV. PT. SOL. INJ./PERF. 125mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 2 ML PRF 1 14,250000 19,260000 0,000000

10 W08310001 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 500 mg PULB+SOLV. PT. SOL. INJ./PERF. 500mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 7,8 MLPRF 1 46,170000 60,390000 0,00000011 W05242001 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 0,108500 0,146500 0,000000

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comunitare12 W53341001 H02AB07 PREDNISONUM PREDNISONA-RICHTER 5 mg COMPR. 5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. P-RF 20 0,105500 0,142500 0,00000013 W13686002 H02AB07 PREDNISONUM PREDNISON 5 mg COMPR. 5mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 0,108666 0,147000 0,00000014 W12479001 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUMCO-TRIM ELL COMPR. 400mg/80mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0,317000 0,428500 0,00000015 W05741001 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUMTAGREMIN COMPR. 400mg/80mg ZENTIVA S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0,317000 0,428500 0,00000016 W05738001 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUMSUMETROLIM COMPR. 400mg/80mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0,276000 0,373000 0,00000017 W44046001 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUMEPITRIM 200 mg/40 mg/5 ml 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 7,350000 9,940000 0,00000018 W05739001 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUMSUMETROLIM 25mg/ml+5mg/ml SUSP. ORALA 25mg/ml+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 7,810000 10,550000 0,00000019 W58225007 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 2,545714 3,440000 0,00000020 W43597002 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 3,054857 4,128000 2,50771421 W08372001 J02AC01 FLUCONAZOLUM FLUCOVIM 100 CAPS. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS. P-RF 4 3,054857 4,128000 2,72950022 W66461007 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 100 mg CAPS. 100mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF 7 2,545714 3,440000 0,00000023 W65085001 J02AC01 FLUCONAZOLUM DIFLUCAN 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 5,688000 7,692000 3,83800024 W42693001 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 5,670000 7,660000 0,00000025 W60221003 J02AC01 FLUCONAZOLUM FLUCONAZOL ZENTIVA 150 mg CAPS. 150mg ZENTIVA K.S. REPUBLICA CEHA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 1 CAPS. P-RF 1 5,670000 7,660000 0,00000026 W52334001 J02AC01 FLUCONAZOLUM FLUCONAZOL LAROPHARM 150 mg CAPS. 150mg LAROPHARM S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA P-RF 1 5,670000 7,660000 0,00000027 W03156001 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 5,688000 7,692000 3,83800028 W51994001 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 150 mg CAPS. 150mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 5,670000 7,660000 0,00000029 W53943002 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 150 MG CAPS. 150mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 5,670000 7,660000 0,00000030 W44089001 J02AC01 FLUCONAZOLUM FLUCORIC 150 mg CAPS. 150mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS.P-RF 1 5,670000 7,660000 0,00000031 W58226001 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 5,670000 7,660000 0,00000032 W60221001 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 5,670000 7,660000 0,00000033 W43598001 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 5,670000 7,660000 0,00000034 W08373001 J02AC01 FLUCONAZOLUM FLUCOVIM 150 CAPS. 150mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 FLAC. X 1 CAPS. P-RF 1 5,670000 7,660000 0,00000035 W57430001 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 5,670000 7,660000 0,00000036 W57239001 J02AC01 FLUCONAZOLUM FLUCONAZOL LPH 150 mg CAPS. 150mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 5,670000 7,660000 0,00000037 W66462001 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 150 mg CAPS. 150mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC TRANSPARENT/PVDC-AL X 1 CAPS. PRF 1 4,740000 6,410000 0,00000038 W43599002 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 4,778571 6,250000 0,00000039 W44098001 J02AC01 FLUCONAZOLUM FLUCORIC 50 mg CAPS. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS.P-RF 7 1,525714 2,062285 0,91342940 W08374001 J02AC01 FLUCONAZOLUM FLUCOVIM 50 CAPS. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 1,525714 2,062285 0,91342941 W51993001 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 50 mg CAPS. 50mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 1,525714 2,062285 0,91342942 W53942002 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 50 MG CAPS. 50mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 1,525714 2,062285 0,91342943 W03157001 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 1,525714 2,062285 2,40342944 W43596001 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 1,525714 2,062285 0,91342945 W58224007 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 50 mgCAPS. 50mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF 7 1,271428 1,718571 0,00000046 W42321001 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 1,525714 2,062285 0,91342947 W66460007 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 50 mgCAPS. 50mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF 7 1,298571 1,754285 0,00000048 W65084001 J02AC01 FLUCONAZOLUM DIFLUCAN 50 mg CAPS. 50mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 7 CAPS. PRF 7 1,525714 2,062285 2,40342949 W58322002 J02AC01 FLUCONAZOLUM DIFLUCAN 10 mg/ml PULB. PT. SUSP. ORALA 10mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 1 FLAC. DIN PEÎD, DE CAPACITATE 60 ML, PREVAZUT CU SISTEM DE ÎNCHIDERE SECURIZAT PENTRU COPII, CE CONTINE PULB. PENTRU 35 ML SUSP. ORALA SI O SERINGA DIN PP DE 5 ML CU MARCAJ LA FIECARE 0,2 ML PRF 1 23,200000 31,360000 0,00000050 W65087001 J02AC01 FLUCONAZOLUM DIFLUCAN 10 mg/ml PULB. PT. SUSP. ORALA 10mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. DIN PEÎD, DE CAPACITATE 60 ML, PREVAZUT CU SISTEM DE ÎNCHIDERE SECURIZAT PENTRU COPII, CE CONTINE PULB. PENTRU 35 ML SUSP. ORALA SI O SERINGA DIN PP DE 5 ML CU MARCAJ LA FIECARE 0,2 ML PRF 1 23,200000 31,360000 0,00000051 W55502018 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF. PR 10 37,069000 44,220000 0,00000052 W55502003 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF. PR 20 9,361000 11,428000 0,00000053 W55502009 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. PR 1 19,410000 26,240000 0,00000054 W55502017 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. PR 1 38,830000 50,790000 0,00000055 W55502001 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. PR 1 9,700000 13,110000 0,00000056 W57368003 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 2mg/ml SOL. PERF. 2mg/ml ARENA GROUP S.A. ROMANIA CUTIE X 1 FLAC. X 100 ML SOL. PERF. PR 1 22,158000 26,532000 32,52800057 W58456001 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/PET/PP X 50 ML SOL. PERF. PR 20 11,233200 13,713600 8,88690058 W55502011 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. PR 20 18,534500 22,110000 0,00000059 W58456003 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/PET/PP X 200 ML SOL. PERF. PR 10 44,482800 53,064000 40,97500060 W60056005 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 FLUCONAZOL S 10 18,465000 22,542000 0,00000061 W58456002 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/PET/PP X 100 ML SOL. PERF. PR 20 22,158000 26,532000 12,74500062 W61628006 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg COMPR. FILM. 200mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. PRF 30 7,989857 9,753857 4,46280963 W64073008 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 7,989857 9,753857 15,474357

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comunitare64 W61817001 J02AC03 VORICONAZOLUM ** VORICONAZOLE ACCORD 200 mgCOMPR. FILM. 200mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 COMPR. FILMPRF 28 6,658214 8,128214 0,00000065 W61628005 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg COMPR. FILM. 200mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 7,989857 9,753857 4,63114366 W64931001 J02AC03 VORICONAZOLUM ** VFEND 200 mg COMPR. FILM. 200mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 7,989857 9,753857 47,92292867 W61017005 J02AC03 VORICONAZOLUM ** VORICONAZOL DR. REDDY'S 200 mg COMPR. FILM. 200mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 7,989857 9,753857 58,56650068 W65715001 J02AC03 VORICONAZOLUM ** VORICONAZOLE ACCORD 200 mgCOMPR. FILM. 200mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. PRF 28 6,658214 8,128214 0,00000069 W64073003 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 7,989857 9,753857 19,27042870 W64073005 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 7,989857 9,753857 16,73935771 W08947008 J02AC03 VORICONAZOLUM ** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 7,989857 9,753857 47,92292872 W62033006 J02AC03 VORICONAZOLUM ** VORAMOL 200 mg COMPR. FILM. 200mg ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. PRF 30 7,989857 9,753857 65,11214373 W64072003 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 22,916428 27,704285 0,00000074 W64072005 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 21,905357 25,239285 0,00000075 W64072008 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 21,369642 23,974285 0,00000076 W10489001 J02AC03 VORICONAZOLUM ** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF 1 310,650000 376,760000 0,00000077 W64929001 J02AC03 VORICONAZOLUM ** VFEND 200 mg PULB. PT. SOL. PERF. 200mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. UNIDOZA X 30 ML PRF 1 310,650000 376,760000 0,00000078 W62815001 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg PULB. PT. SOL. PERF. 200mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA CU CAPCITATEA DE 25 ML CU PULB. PT. SOL. PERF. PRF 1 310,650000 376,760000 0,00000079 W62122001 J02AC03 VORICONAZOLUM ** VORICONAZOL FRESENIUS KABI 200 mg PULB. PT. SOL. PERF. 200mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA TIP I, CU CAPACITATEA DE 25 ML, CU PULBERE PT. SOL. PERF. PRF 1 310,650000 376,760000 0,00000080 W64930001 J02AC03 VORICONAZOLUM ** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA PT. ADM. ORALA (5 ML) + 1 ADAPTOR PRF 1 1.372,920000 1.534,630000 0,00000081 W41889001 J02AC03 VORICONAZOLUM ** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA PT. ADM. ORALA (5 ML) + 1 ADAPTOR P-RF 1 1.372,920000 1.534,630000 0,00000082 W64693001 J02AC04 POSACONAZOLUM ** NOXAFIL 100mg COMPR. GASTROREZ. 100mg MERCK SHARP & DOHME OLANDA CUTIE CU BLIST. PVC/PCTFE/AL X 24 COMPR. GASTROREZ. PR 24 133,552083 147,161666 0,00000083 W60913001 J02AC04 POSACONAZOLUM ** NOXAFIL 100mg COMPR. GASTROREZ. 100mg MERCK SHARP & DOHME LTD. MAREA BRITANIE CUTIE CU BLIST. PVC/PCTF/AL X 24 COMPRIMATE GASTROREZISTENTE PR 24 133,552083 147,161666 0,00000084 W65818001 J02AC04 POSACONAZOLUM ** POSACONAZOL MSN LABORATORIES 300 mgCONC. PT. SOL. PERF. 300mg VIVANTA GENERICS S.R.O., REPUBLICA CEHA CUTIE CU FLAC. DE STICLA INCHIS CU DOP DE CAUCIUC BROMOBUTILIC SI CAPSA DE AL DE CULOARE ROSIE X 20 ML CONC. PT. SOL. PERF. PR 1 891,820000 1.010,230000 0,00000085 W61578001 J02AC04 POSACONAZOLUM ** NOXAFIL 300mg CONC. PT. SOL. PERF. 300mg MERCK SHARP & DOHME LTD. MAREA BRITANIE CUTIE CU UN FL X 16,7ML CONC. PT SOL PERF (18MG POSACONAZOL/ML) PR 1 1.070,184000 1.212,276000 372,62400086 W64694001 J02AC04 POSACONAZOLUM ** NOXAFIL 300mg CONC. PT. SOL. PERF. 300mg MERCK SHARP & DOHME OLANDA CUTIE CU 1 FLAC. X 16,7ML CONC. PT SOL. PERF. (18MG POSACONAZOL/ML) PR 1 1.070,184000 1.212,276000 372,62400087 W58194001 J02AC04 POSACONAZOLUM ** NOXAFIL 40mg/ml SUSP. ORALA 40mg/ml MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. X 105ML SUSP. ORALA P-RF/R 1 2.019,372000 2.246,892000 595,60800088 W64692001 J02AC04 POSACONAZOLUM ** NOXAFIL 40mg/ml SUSP. ORALA 40mg/ml MERCK SHARP & DOHME OLANDA CUTIE CU 1 FLAC. X 105 ML SUSP. ORALA PR 1 2.019,372000 2.246,892000 595,60800089 W65835001 J02AC04 POSACONAZOLUM ** POSACONAZOL MYLAN 40 mg/mlSUSP. ORALA 40mg/ml MYLAN IRELAND LIIMTED IRLANDA CUTIE CU 1 FLAC. DIN STICLA, CU CAPAC DIN PE CU SISTEM DE INCHIDERE SECURIZAT PENTRU COPII SI O LINGURITA DE MASURARE A DOZELOR X 105 ML SUSP. ORALA PR 1 1.682,810000 1.872,410000 0,00000090 W53675001 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 0,660600 0,892800 0,29670091 W42857001 J05AB01 ACICLOVIRUM ACICLOVIR SLAVIA 200 mg CAPS. 200mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 0,660600 0,892800 0,29370092 W56038001 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 0,660600 0,892800 0,29670093 W53675003 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 0,660600 0,887590 0,00000094 W53676001 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 2,186000 2,954000 0,00000095 W53225001 J05AB01 ACICLOVIRUM ACICLOVIR LAROPHARM 200 mgCOMPR. 200mg LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 0,660600 0,892800 0,29670096 W00044001 J05AB01 ACICLOVIRUM ACICLOVIR TERAPIA 200 mg COMPR. 200mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0,660600 0,892800 0,06020097 W06667003 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 0,568000 0,768000 0,00000098 W60558001 J05AB01 ACICLOVIRUM ACICLOVIR-RICHTER 200 mg COMPR. 200mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. PRF 20 0,660600 0,892800 0,06470099 W65783001 J05AB01 ACICLOVIRUM ACICLOVIR AUROBINDO 200 mg COMPR. 200mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. TRANSPARENTE PVC/AL X 20 COMPR. PRF 20 0,550500 0,744000 0,000000

100 W65784008 J05AB01 ACICLOVIRUM ACICLOVIR AUROBINDO 400 mg COMPR. 400mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. TRANSPARENTE PVC/AL X 10 COMPR. PRF 10 1,867000 2,524000 0,000000101 W06668003 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 2,148000 2,903000 0,000000102 W00058001 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 41,032000 50,092000 0,000000103 W61515001 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR AUROBINDO 450 mg COMPR. FILM. 450mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PA-AL-PVC/AL X 60 COMPR. FILM. PRF 60 16,006999 18,210600 39,961733104 W66450001 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR AUROBINDO 450 mg COMPR. FILM. 450mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 60 COMPR. FILM. PRF 60 16,006999 18,210600 39,961733105 W62786001 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR ZENTIVA 450 mg COMPR. FILM. 450mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM. PRF 60 13,339166 15,175500 0,000000106 W62522002 J05AF05 LAMIVUDINUM LAMIVUDINA TEVA 100 mg COMPR. FILM. 100 mg TEVA B.V. OLANDA CUTIE CU BLIST. PVC/PVDC/AL X 30 COMPR. FILM. P-RF 30 2,402666 3,038000 0,000000107 W65306001 J05AF05 LAMIVUDINUM ZEFFIX 100 mg COMPR. FILM. 100mg GLAXOSMITHKLINE (IRELAND) LIMITED IRLANDA CUTIE CU 28 COMPR. FILM. (BLIST. PVC-AL/PVC-AL) PR 28 2,883199 3,645600 0,786542108 W07518002 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 2,883199 3,645600 0,786542109 W65301002 J05AF05 LAMIVUDINUM EPIVIR 150mg COMPR. FILM. 150mg VIIV HEALTHCARE BVOLANDA CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM. PR 60 4,248000 5,185999 0,393667110 W59320003 J05AF05 LAMIVUDINUM LAMIVUDINA AUROBINDO 150 mgCOMPR. FILM. 150mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC-ACLAR/AL X 60 COMPR. FILM. PR 60 3,540000 4,321666 0,000000111 W66004003 J05AF05 LAMIVUDINUM LAMIVUDINA AUROBINDO 150 mgCOMPR. FILM. 150mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-ACLAR/AL X 60 COMPR. FILM. PR 60 3,540000 4,321666 0,000000112 W61523002 J05AF05 LAMIVUDINUM EPIVIR 150mg COMPR. FILM. 150mg VIIV HEALTHCARE UK LIMITED MAREA BRITANIE CUTIE X 1 FLAC. PEID X 60 COMPR. FILM. PR 60 4,248000 5,185999 0,393667113 W62523002 J05AF05 LAMIVUDINUM LAMIVUDINA TEVA PHARMA B.V. 300 mg COMPR. FILM. 300 mg TEVA B.V. OLANDA CUTIE CU BLIST. PVC/PVDC/AL X 30 COMPR. FILM. PR 30 9,375333 11,445333 0,000000114 W65302002 J05AF05 LAMIVUDINUM EPIVIR 300mg COMPR. FILM. 300mg VIIV HEALTHCARE BVOLANDA CUTIE CU 1 FLAC. PEID X 30 COMPR. FILM. PR 30 9,141000 11,159333 0,000000115 W61530002 J05AF05 LAMIVUDINUM EPIVIR 300mg COMPR. FILM. 300mg VIIV HEALTHCARE UK LIMITED MAREA BRITANIE CUTIE X 1 FLAC. PEID X 30 COMPR. FILM. PR 30 9,141000 11,159333 0,000000

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comunitare116 W65303002 J05AF05 LAMIVUDINUM EPIVIR 10mg/ml SOL. ORALA 10mg/ml VIIV HEALTHCARE BVOLANDA CUTIE X 1 FLACON PEID X 240ML SOL. ORALA + 1 SERINGA DOZATOARE + 1 ADAPTOR PR 1 85,950000 108,670000 0,000000117 W61531002 J05AF05 LAMIVUDINUM EPIVIR 10mg/ml SOL. ORALA 10mg/ml VIIV HEALTHCARE UK LIMITED MAREA BRITANIE CUTIE X 1 FLACON PEID X 240ML SOL. ORALA + 1 SERINGA DOZATOARE + 1 ADAPTOR PR 1 85,950000 108,670000 0,000000118 W42264003 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 2,522416 3,067333 0,000000119 W42265003 L04AA06 MYCOPHENOLATUM ** MYFORTIC 360 mg COMPR. GASTROREZ. 360mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF 120 4,836250 5,589416 0,000000120 W04406001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 10 BLIST. X 10 CAPS. P-RF/R 100 1,392000 1,699400 0,000000121 W04406001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 10 BLIST. X 10 CAPS. P-RF/R 100 1,392000 1,699400 0,000000122 W64374001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION GMBH GERMANIA CUTIE X 10 BLIST. PVC/AL X 10 CAPS. PR 100 1,392000 1,699400 0,000000123 W64374001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION GMBH GERMANIA CUTIE X 10 BLIST. PVC/AL X 10 CAPS. PR 100 1,392000 1,699400 0,000000124 W56003001 L04AA06 MYCOPHENOLATUM MOFETILUM ** MICOFENOLAT MOFETIL SANDOZ 500 mg COMPR. FILM. 500mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 50 COMPR. FILM. P-RF 50 1,602400 2,026000 0,000000125 W56003001 L04AA06 MYCOPHENOLATUM MOFETILUM ** MICOFENOLAT MOFETIL SANDOZ 500 mg COMPR. FILM. 500mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 50 COMPR. FILM. P-RF 50 1,602400 2,026000 0,000000126 W04407001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 500mg COMPR. FILM. 500mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 5 BLIST. X 10 COMPR. FILM. P-RF/R 50 2,784000 3,398800 0,000000127 W04407001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 500mg COMPR. FILM. 500mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 5 BLIST. X 10 COMPR. FILM. P-RF/R 50 2,784000 3,398800 0,000000128 W64375001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 500mg COMPR. FILM. 500mg ROCHE REGISTRATION GMBH GERMANIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. FILM. PR 50 2,784000 3,398800 0,000000129 W64375001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 500mg COMPR. FILM. 500mg ROCHE REGISTRATION GMBH GERMANIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. FILM. PR 50 2,784000 3,398800 0,000000130 W61479001 L04AA10 SIROLIMUS ** RAPAMUNE 1mg DRAJ. 1mg PFIZER LIMITED MAREA BRITANIE CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR) PR 30 15,523333 18,192000 0,000000131 W65025001 L04AA10 SIROLIMUS ** RAPAMUNE 1 mg DRAJ. 1mg PFIZER EUROPE MA EEIG BELGIA CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR) PR 30 15,523333 18,192000 0,000000132 W51399001 L04AD01 CICLOSPORINUM SANDIMMUN NEORAL (R) CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI PR 50 1,425400 1,802400 0,000000133 W51398001 L04AD01 CICLOSPORINUM SANDIMMUN NEORAL 50 mg CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI PR 50 2,292400 2,798600 0,000000134 W55262007 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. PR 50 1,323600 1,673600 0,000000135 W53729001 L04AD02 TACROLIMUSUM ** PROGRAF 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 PR 50 1,842600 2,329800 0,000000136 W53730001 L04AD02 TACROLIMUSUM ** PROGRAF 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 PR 50 3,822000 4,666000 0,000000137 W55263007 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. PR 50 2,600400 3,174600 0,000000138 W53731001 L04AD02 TACROLIMUSUM ** PROGRAF 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 PR 50 18,782400 21,235800 0,000000139 W51974002 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 1,842600 2,329800 0,000000140 W57352002 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 3,822000 4,666000 0,000000141 W51976002 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 19,252600 21,748400 0,000000142 W60846001 L04AX01 AZATHIOPRINUM IMURAN® COMPR. FILM. 50mg ASPEN PHARMA TRADING LIMITED IRLANDA CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. P-RF 100 0,497200 0,650400 0,000000

P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA P9.8: Tratamentul recidivei hepatitei cronice VHB la pacienţii cu transplant hepatic

1 W56595001 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 1 ML SOL. INJ. (500 UI) AMBALATE ÎN BLISTERE PRF 5 892,930000 980,926000 0,0000002 W54188003 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 3.191,450000 3.516,840000 0,0000003 W54188001 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 2 ML SOL. PERF. (100UI)PR 1 214,580000 261,960000 0,000000

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

1 W00231001 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 0,460000 0,621800 0,0000002 W58167002 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. MOIPRF 30 0,552000 0,746160 0,0741733 W44042001 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 0,928333 1,214333 0,0000004 W65339001 A11CC03 ALFACALCIDOLUM ALFACALCIDOL HEATON 0,50 micrograme CAPS. MOI 0,50micrograme HEATON K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN PEID X 30 CAPS. MOIPRF 30 0,928333 1,214333 0,0000005 W58168002 A11CC03 ALFACALCIDOLUM ALFACALCIDOL SANDOZ 0,5 mcgCAPS. MOI 0,5µg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 CAPS. MOIPRF 30 0,928333 1,214333 0,0000006 W55847001 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. PR 10 11,755000 14,350000 0,0000007 W55847002 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. PR 10 22,421000 27,372000 0,0000008 W66221001 B01AB01 HEPARINUM ** HEPARIN-BELMED 5000 UI/ml SOL. INJ. 5000UI/ml C.N. UNIFARM S.A. ROMANIA CUTIE CU 5 FLAC. X 5 ML SOL. INJ. PR 5 13,750800 16,786800 19,8152009 W62870001 B01AB01 HEPARINUM ** HEPARINA GALENIKA 5000 UI/ml SOL. INJ. 5000UI/ml MESFARMA SRL ROMANIA CUTIE CU 5 FIOLE DIN STICLA INCOLORA X 1 ML SOLUTIE INJECTABILA PR 5 3,512000 4,746000 0,000000

10 W62870002 B01AB01 HEPARINUM ** HEPARINA GALENIKA 5000 UI/ml SOL. INJ. 5000UI/ml MESFARMA SRL ROMANIA CUTIE CU 10 FIOLE DIN STICLA INCOLORA X 5 ML SOLUTIE INJECTABILA PR 10 11,459000 13,989000 0,00000011 W61666001 B01AB01 HEPARINUM ** HEPARINA SODICA PANPHARMA 5000 UI/ml SOL. INJ. 5000UI/ml PANPHARMA FRANTA CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 5 ML SOL. INJ. PR 10 11,459000 13,989000 0,00000012 W62441002 B01AB05 ENOXAPARINUM ** CLEXANE 2000 UI anti-Xa/0,2ml SOL. INJ. 2000UI anti-Xa/0,2ml SANOFI ROMANIA S.R.L.ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 0,5 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,2 ML SOL INJ. PR/PRF 10 5,446000 6,886000 0,000000

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contribu ție maximă

asigurat / U.T. - farmacii

comunitare13 W63590002 B01AB05 ENOXAPARINUM ** CLEXANE 2000 UI (20 mg)/0,2 ml SOL. INJ. 2000UI(20mg)/0,2ml SANOFI ROMANIA S.R.L.ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 0,5 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,2 ML SOL INJ. PR/PRF 10 5,446000 6,886000 0,00000014 W62442002 B01AB05 ENOXAPARINUM ** CLEXANE 4000 UI anti-Xa/0,4ml SOL. INJ. 4000UI anti-Xa/0,4ml SANOFI ROMANIA S.R.L.ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 0,5 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,4 ML SOL INJ. PR/PRF 10 9,741000 12,317000 0,00000015 W63591002 B01AB05 ENOXAPARINUM ** CLEXANE 4000 UI (40 mg)/0,4 ml SOL. INJ. 4000UI(40mg)/0,4ml SANOFI ROMANIA S.R.L.ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 0,5 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,4 ML SOL INJ. PR/PRF 10 9,741000 12,317000 0,00000016 W63592002 B01AB05 ENOXAPARINUM ** CLEXANE 6000 UI (60 mg)/0,6 ml SOL. INJ. 6000UI(60mg)/0,6ml SANOFI ROMANIA S.R.L.ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 1 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,6 ML SOL INJ. PR/PRF 10 13,307000 16,245000 0,00000017 W62443002 B01AB05 ENOXAPARINUM ** CLEXANE 6000 UI anti-Xa/0,6ml SOL. INJ. 6000UIanti-Xa/0,6ml SANOFI ROMANIA S.R.L.ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 1 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,6 ML SOL INJ. PR/PRF 10 13,307000 16,245000 0,00000018 W62444002 B01AB05 ENOXAPARINUM ** CLEXANE 8000ui anti-Xa/0,8ml SOL. INJ. 8000UI anti-Xa/0,8ml SANOFI ROMANIA S.R.L.ROMANIA CUTIE CU 6 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 1 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,8 ML SOL INJ. PR/PRF 6 16,756666 20,456666 0,00000019 W63593002 B01AB05 ENOXAPARINUM ** CLEXANE 8000 UI (80 mg)/0,8 ml SOL. INJ. 8000UI(80mg)/0,8ml SANOFI ROMANIA S.R.L.ROMANIA CUTIE CU 6 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 1 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,8 ML SOL INJ. PR/PRF 6 16,756666 20,456666 0,00000020 W63590012 B01AB05 ENOXAPARINUM ** CLEXANE 2000 UI (20 mg)/0,2 ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI(20mg)/0,2ml SANOFI ROMANIA S.R.L.ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE PR/PRF 10 5,446000 6,886000 0,00000021 W63591012 B01AB05 ENOXAPARINUM ** CLEXANE 4000 UI (40 mg)/0,4 ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI(40mg)/0,4ml SANOFI ROMANIA S.R.L.ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE PR/PRF 10 9,741000 12,317000 0,00000022 W63592012 B01AB05 ENOXAPARINUM ** CLEXANE 6000 UI (60 mg)/0,6 ml SOL. INJ. IN SERINGA PREUMPLUTA 6000UI(60mg)/0,6ml SANOFI ROMANIA S.R.L.ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE PR/PRF 10 13,307000 16,245000 0,00000023 W63593009 B01AB05 ENOXAPARINUM ** CLEXANE 8000 UI (80 mg)/0,8 ml SOL. INJ. IN SERINGA PREUMPLUTA 8000UI(80mg)/0,8ml SANOFI ROMANIA S.R.L.ROMANIA CUTIE CU 6 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE PR/PRF 6 16,756666 20,456666 0,00000024 W61293001 B01AB06 NADROPARINUM ** FRAXIPARINE 3800 UI anti-factor Xa/0,4 ml SOL. INJ. 3800 ui AFXa/0,4ml ASPEN PHARMA TRADING LIMITED IRLANDA CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,4 ML SOL. INJ. S/P-RF 10 7,202000 9,106000 0,00000025 W61291001 B01AB06 NADROPARINUM ** FRAXIPARINE 5700 UI anti-factor Xa/0,6 ml SOL. INJ. 5700 ui AFXa/0,6ml ASPEN PHARMA TRADING LIMITED IRLANDA CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,6 ML SOL. INJ. S/P-RF 10 11,128000 13,585000 0,00000026 W61292001 B01AB06 NADROPARINUM ** FRAXIPARINE 7600 UI anti-factor Xa/0,8 ml SOL. INJ. 7600 ui AFXa/0,8ml ASPEN PHARMA TRADING LIMITED IRLANDA CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,8 ML SOL. INJ. S/P-RF 10 14,255000 17,402000 0,00000027 W61289002 B01AB06 NADROPARINUM ** FRAXIPARINE 9500 UI anti-factor Xa/1 ml multidoza SOL. INJ. 9500 UI AFXa/1 ml ASPEN PHARMA TRADING LIMITED IRLANDA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, MULTIDOZA X 5 ML SOL. INJ. PR 10 95,202000 107,585000 0,00000028 W59473001 B01AB10 TINZAPARINUM ** INNOHEP 10000 UI ANTI-XA/ml SOL. INJ. IN FLACOANE 10000UI anti-XA/ml LEO PHARMA A/S DANEMARCA CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 2 ML (20000 UI ANTI-XA) SOL. INJ., CU DOP DE CAUCIUC DE CULOARE CENUSIE DESCHIS, ARMATURA DE ETANSARE DIN AL LACUIT IN AURIU SI CAPSA DE SIGURANTA DIN PP DE CULOARE PORTOCALIE PR/PRF 10 47,485000 55,574000 0,00000029 W59475001 B01AB10 TINZAPARINUM ** INNOHEP 20000 UI ANTI-Xa/ml SOL. INJ. IN FLACOANE 20000 UI anti-Xa/ml LEO PHARMA A/S DANEMARCA CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 2 ML (40000 UI ANTI-XA) SOL. INJ., CU DOP DE CAUCIUC DE CULOARE CENUSIE DESCHIS, ARMATURA DE ETANSARE DIN AL LACUIT CU LAC DE CULOARE VERDE SI CAPSA DE SIGURANTA DIN PP DE CULOARE VERDE INCHISPR/PRF 10 105,930000 119,279000 0,00000030 W51230001 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 47,324000 57,774000 0,00000031 W52283002 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.PR 6 39,715000 48,485000 0,00000032 W55046001 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 1 399,830000 473,960000 0,00000033 W57497004 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. PR 1 633,384000 736,164000 420,06600034 W55048001 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 1 527,820000 613,470000 0,00000035 W52285002 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. PR 6 77,801666 91,161666 0,00000036 W64395002 B03XA01 EPOETINUM BETA ** NEORECORMON 10000 UI/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/0,6ml ROCHE REGISTRATION GMBH GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ. + 6 ACE PR 6 253,690000 282,881666 0,00000037 W07740002 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 6 253,690000 282,881666 0,00000038 W64396002 B03XA01 EPOETINUM BETA ** NEORECORMON 2000 UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/0,3ml ROCHE REGISTRATION GMBH GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. X 6 ACE PR 6 40,643333 49,616666 0,00000039 W07741002 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 40,643333 49,616666 0,00000040 W64397001 B03XA01 EPOETINUM BETA ** NEORECORMON 30000 UI/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 30000 UI/0,6ml ROCHE REGISTRATION GMBH GERMANIA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,6 ML + 1 AC PR 1 796,930000 906,800000 0,00000041 W42097001 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 1 796,930000 906,800000 0,00000042 W64398002 B03XA01 EPOETINUM BETA ** NEORECORMON 4000 UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,3ml ROCHE REGISTRATION GMBH GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE PR 6 77,801666 91,161666 0,00000043 W07742002 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 77,801666 91,161666 0,00000044 W64399002 B03XA01 EPOETINUM BETA ** NEORECORMON 5000 UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,3ml ROCHE REGISTRATION GMBH GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE PR 6 112,761666 129,268333 0,00000045 W07744002 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 6 112,761666 129,268333 0,00000046 W60969001 B03XA01 EPOETINUM ZETA ** RETACRIT 10000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/1,0ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 1 SERINGA PREUMPLUTA X 1ML SOL. INJ. PR 1 192,880000 235,470000 0,00000047 W64987001 B03XA01 EPOETINUM ZETA ** RETACRIT 10000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/1,0ml PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 SERINGA PREUMPLUTA X 1 ML SOL. INJ. PR 1 192,880000 235,470000 0,00000048 W64990001 B03XA01 EPOETINUM ZETA ** RETACRIT 2000UI/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/0,6ml PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 SERINGA PREUMPLUTA X 0,6 ML SOL. INJ. PR 1 41,620000 54,440000 0,00000049 W60964001 B03XA01 EPOETINUM ZETA ** RETACRIT 2000UI/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/0,6ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 1 SERINGA PREUMPLUTA X 0,6ML SOL. INJ. PR 1 41,620000 54,440000 0,00000050 W60967001 B03XA01 EPOETINUM ZETA ** RETACRIT 30000UI/0,75ml SOL. INJ. IN SERINGA PREUMPLUTA 30000UI/0,75ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 1 SERINGA PREUMPLUTA X 0,75ML SOL. INJ. PR 1 436,560000 514,000000 0,00000051 W64991001 B03XA01 EPOETINUM ZETA ** RETACRIT 30000UI/0,75ml SOL. INJ. IN SERINGA PREUMPLUTA 30000UI/0,75ml PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 SERINGA PREUMPLUTA X 0,75 ML SOL. INJ. PR 1 436,560000 514,000000 0,00000052 W60965001 B03XA01 EPOETINUM ZETA ** RETACRIT 3000UI/0,9ml SOL. INJ. IN SERINGA PREUMPLUTA 3000UI/0,9ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 1 SERINGA PREUMPLUTA X 0,9ML SOL. INJ. PR 1 61,330000 77,550000 0,00000053 W64992001 B03XA01 EPOETINUM ZETA ** RETACRIT 3000UI/0,9ml SOL. INJ. IN SERINGA PREUMPLUTA 3000UI/0,9ml PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 SERINGA PREUMPLUTA X 0,9 ML SOL. INJ. PR 1 61,330000 77,550000 0,00000054 W60966001 B03XA01 EPOETINUM ZETA ** RETACRIT 40000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 40000UI/1,0ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 1 SERINGA PREUMPLUTA X 1ML SOL. INJ. PR 1 522,370000 607,530000 0,00000055 W64993001 B03XA01 EPOETINUM ZETA ** RETACRIT 40000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 40000UI/1,0ml PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 SERINGA PREUMPLUTA X 1 ML SOL. INJ. PR 1 522,370000 607,530000 0,00000056 W64994001 B03XA01 EPOETINUM ZETA ** RETACRIT 4000UI/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,4ml PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 SERINGA PREUMPLUTA X 0,4 ML SOL. INJ. PR 1 81,770000 103,390000 0,00000057 W60973001 B03XA01 EPOETINUM ZETA ** RETACRIT 4000UI/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,4ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 1 SERINGA PREUMPLUTA X 0,4ML SOL. INJ. PR 1 81,770000 103,390000 0,00000058 W64995001 B03XA01 EPOETINUM ZETA ** RETACRIT 5000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,5ml PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. PR 1 102,240000 124,810000 0,00000059 W60972001 B03XA01 EPOETINUM ZETA ** RETACRIT 5000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL. INJ. PR 1 102,240000 124,810000 0,00000060 W60971001 B03XA01 EPOETINUM ZETA ** RETACRIT 6000UI/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 6000UI/0,6ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 1 SERINGA PREUMPLUTA X 0,6ML SOL. INJ. PR 1 120,490000 147,090000 0,00000061 W64996001 B03XA01 EPOETINUM ZETA ** RETACRIT 6000UI/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 6000UI/0,6ml PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 SERINGA PREUMPLUTA X 0,6 ML SOL. INJ. PR 1 120,490000 147,090000 0,00000062 W60970001 B03XA01 EPOETINUM ZETA ** RETACRIT 8000UI/0,8ml SOL. INJ. IN SERINGA PREUMPLUTA 8000UI/0,8ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 1 SERINGA PREUMPLUTA X 0,8ML SOL. INJ. PR 1 171,990000 209,970000 0,00000063 W64997001 B03XA01 EPOETINUM ZETA ** RETACRIT 8000UI/0,8ml SOL. INJ. IN SERINGA PREUMPLUTA 8000UI/0,8ml PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 SERINGA PREUMPLUTA X 0,8 ML SOL. INJ. PR 1 171,990000 209,970000 0,00000064 W41530002 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 MLP-RF/R 4 582,172500 644,105000 0,000000

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contribu ție maximă

asigurat / U.T. - farmacii

comunitare65 W41522002 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 MLP-RF/R 4 64,377500 78,592500 0,00000066 W41524002 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 MLP-RF/R 4 122,372500 142,922500 0,00000067 W41532001 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 1.753,900000 1.949,900000 0,00000068 W41525002 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 MLP-RF/R 4 179,890000 205,617500 0,00000069 W41526002 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 MLP-RF/R 4 237,342500 268,240000 0,00000070 W41533001 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 MLP-RF/R 1 2.902,590000 3.201,980000 0,00000071 W41527002 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 MLP-RF/R 4 294,815000 330,885000 0,00000072 W41528002 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 MLP-RF/R 4 352,250000 393,490000 0,00000073 W41529002 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 MLP-RF/R 4 467,195000 518,780000 0,00000074 W52309001 B03XA03 METOXI-POLIETILENGLICOL EPOETINA BETA ** MIRCERA 100mcg/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 100mcg/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 SERINGA PREUMPLUTA, X 0,3 ML SOL. INJ. S/P-RF/R 1 715,960000 818,550000 0,00000075 W64391001 B03XA03 METOXI-POLIETILENGLICOL EPOETINA BETA ** MIRCERA 100 micrograme/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 100µg/0,3mlROCHE REGISTRATION GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,3 ML SOL. INJ. PR 1 715,960000 818,550000 0,00000076 W52310001 B03XA03 METOXI-POLIETILENGLICOL EPOETINA BETA ** MIRCERA 150mcg/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 150mcg/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 SERINGA PREUMPLUTA, X 0,3 ML SOL. INJ. S/P-RF/R 1 1.054,280000 1.187,320000 0,00000077 W64392001 B03XA03 METOXI-POLIETILENGLICOL EPOETINA BETA ** MIRCERA 150 micrograme/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 150µg/0,3mlROCHE REGISTRATION GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,3 ML SOL. INJ. PR 1 1.054,280000 1.187,320000 0,00000078 W52307001 B03XA03 METOXI-POLIETILENGLICOL EPOETINA BETA ** MIRCERA 50 mcg/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 50 mcg/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 SERINGA PREUMPLUTA, X 0,3 ML SOL. INJ. S/P-RF/R 1 372,480000 444,150000 0,00000079 W64389001 B03XA03 METOXI-POLIETILENGLICOL EPOETINA BETA ** MIRCERA 50 micrograme/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 50 µg/0,3ml ROCHE REGISTRATION GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,3 ML SOL. INJ. PR 1 372,480000 444,150000 0,00000080 W52308001 B03XA03 METOXI-POLIETILENGLICOL EPOETINA BETA ** MIRCERA 75mcg/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 75mcg/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 SERINGA PREUMPLUTA, X 0,3 ML SOL. INJ. S/P-RF/R 1 543,320000 630,370000 0,00000081 W64390001 B03XA03 METOXI-POLIETILENGLICOL EPOETINA BETA ** MIRCERA 75 micrograme/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 75µg/0,3ml ROCHE REGISTRATION GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,3 ML SOL. INJ. PR 1 543,320000 630,370000 0,00000082 W57701001 B05DB COMBINATII CAPD PERILINE 1,5% F 100 SOL. DIAL. PERIT. 1,5% INFOMED FLUID S.R.L. ROMANIA CUTIE CU 4 PUNGI DIN PE/PP CONTINAND FIECARE 1 PUNGA DIN PVC X 2000 ML SOL. PT. DIALIZA PERITONEALA PREVAZUTA CU TUBULATURA SI DISP. DE ADM. (SETUL PERILINE) S 4 20,642500 26,100000 0,00000083 W57702001 B05DB COMBINATII CAPD PERILINE 2,5% F 200 SOL. DIAL. PERIT. 2,5% INFOMED FLUID S.R.L. ROMANIA CUTIE CU 4 PUNGI DIN PE/PP CONTINAND FIECARE 1 PUNGA DIN PVC X 2000 ML SOL. PT. DIALIZA PERITONEALA PREVAZUTA CU TUBULATURA SI DISP. DE ADM. (SETUL PERILINE) S 4 20,935000 26,470000 0,00000084 W57703001 B05DB COMBINATII CAPD PERILINE 4% F 400 SOL. DIAL. PERIT. 4% INFOMED FLUID S.R.L. ROMANIA CUTIE CU 4 PUNGI DIN PE/PP CONTINAND FIECARE 1 PUNGA DIN PVC X 2000 ML SOL. PT. DIALIZA PERITONEALA PREVAZUTA CU TUBULATURA SI DISP. DE ADM. (SETUL PERILINE) S 4 21,230000 26,842500 0,00000085 W53458003 B05DB COMBINATII CAPD/DPCA 4 SOL. DIAL. PERIT. FARA CONCENTRATIE FRESENIUS MEDICAL CARE DEUTSCHLAND GMBH GERMANIA CUTIE X 2 PUNGI X 5000 ML SOL.PT. DIALIZA PERITONEALA -SISTEM SLEEP-SAFE PR 2 23,025000 30,115000 0,00000086 W53456003 B05DB COMBINATII CAPD/DPCA 2 SOL. DIAL. PERIT. FARA CONCENTRATIE FRESENIUS MEDICAL CARE DEUTSCHLAND GMBH GERMANIA CUTIE X 2 PUNGI X 5000 ML SOL. PT. DIALIZA PERITONEALA -SIST. SLEEP SAFE PR 2 23,025000 30,115000 0,00000087 W53457003 B05DB COMBINATII CAPD/DPCA 3 SOL. DIAL. PERIT. FARA CONCENTRATIE FRESENIUS MEDICAL CARE DEUTSCHLAND GMBH GERMANIA CUTIE X 2 PUNGI X 5000ML SOL. PT. DIALIZA PERITONEALA -SIST. SLEEP SAFE PR 2 23,025000 30,115000 0,00000088 W53457002 B05DB COMBINATII CAPD/DPCA 3 SOL. DIAL. PERIT. FARA CONCENTRATIE FRESENIUS MEDICAL CARE DEUTSCHLAND GMBH GERMANIA CUTIE X 4 PUNGI X 2000 ML SOL. PT. DIALIZA PERITONEALA -SISTEM STAY-SAFE PR 4 19,397500 24,525000 0,00000089 W13998003 B05DB COMBINATII BALANCE 4,25% GLUCOZA, 1,75 mmol/l calciu SOL. DIAL. PERIT. FARA CONCENTRATIE FRESENIUS MEDICAL CARE DEUTSCHLAND GMBH GERMANIA CUTIE X 4 PUNGI BICOMPARTIMENTATE CONTINAND CATE 2000 ML SOL. PT. DIALIZA PERITONEALA ("STAY SAFE") PR 4 40,247500 49,135000 0,00000090 W13989004 B05DB COMBINATII BALANCE 2,3% GLUCOZA, 1,75 mmol/l calciu SOL. DIAL. PERIT. FARA CONCENTRATIE FRESENIUS MEDICAL CARE DEUTSCHLAND GMBH GERMANIA CUTIE X 4 PUNGI BICOMPARTIMENTATE X 2500 ML SOL. PT. DIALIZA PERITONEALA ("STAY SAFE") PR 4 40,235000 49,120000 0,00000091 W13989003 B05DB COMBINATII BALANCE 2,3% GLUCOZA, 1,75 mmol/l calciu SOL. DIAL. PERIT. FARA CONCENTRATIE FRESENIUS MEDICAL CARE DEUTSCHLAND GMBH GERMANIA CUTIE X 4 PUNGI BICOMPARTIMENTATE X 2000 ML SOL. PT. DIALIZA PERITONEALA ("STAY SAFE") PR 4 40,235000 49,120000 0,00000092 W13997003 B05DB COMBINATII BALANCE 1,5% GLUCOZA, 1,75 mmol/l calciu SOL. DIAL. PERIT. FARA CONCENTRATIE FRESENIUS MEDICAL CARE DEUTSCHLAND GMBH GERMANIA CUTIE X 4 PUNGI BIOCOMPARTIMENTATE X 2000 ML SOL PT. DIALIZA PERITONEALA ("STAY SAFE") PR 4 39,377500 48,072500 0,00000093 W13997004 B05DB COMBINATII BALANCE 1,5% GLUCOZA, 1,75 mmol/l calciu SOL. DIAL. PERIT. FARA CONCENTRATIE FRESENIUS MEDICAL CARE DEUTSCHLAND GMBH GERMANIA CUTIE X 4 PUNGI BIOCOMPARTIMENTATE X 2500 ML SOL PT. DIALIZA PERITONEALA ("STAY SAFE") PR 4 39,377500 48,072500 0,00000094 W53456002 B05DB COMBINATII CAPD/DPCA 2 SOL. DIAL. PERIT. FARA CONCENTRATIE FRESENIUS MEDICAL CARE DEUTSCHLAND GMBH GERMANIA CUTIE X 4 PUNGI X 2000 ML SOL. PT. DIALIZA PERITONEALA -SISTEM STAY-SAFE PR 4 19,397500 24,525000 0,00000095 W53458002 B05DB COMBINATII CAPD/DPCA 4 SOL. DIAL. PERIT. FARA CONCENTRATIE FRESENIUS MEDICAL CARE DEUTSCHLAND GMBH GERMANIA CUTIE X 4 PUNG DIN PVC X 2000 ML SOL.PT. DIALIZA PERITONEALA -SISTEM STAY-STAFE PR 4 19,397500 24,525000 0,00000096 W63577002 H05BX01 CINACALCETUM ** CINACALCET ACCORD 30 mg COMPR. FILM 30mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 2 BLIST. PVC-PE-PVDC/AL X 14 COMPR. FILM. PRF 28 12,862500 15,382500 0,00000097 W66319002 H05BX01 CINACALCETUM ** CINACALCET ACCORD 30 mg COMPR. FILM 30mg ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 2 BLIST. PVC-PE-PVDC/AL X 14 COMPR. FILM. PRF 28 12,862500 15,382500 0,00000098 W43185002 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 15,435000 18,300714 0,00000099 W64166002 H05BX01 CINACALCETUM ** CINACALCET HEATON 30 mgA COMPR. FILM. 30mg HEATON K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. PRF 28 13,600714 16,187142 0,000000

100 W43186002 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 44,953571 50,362142 0,000000101 W43187002 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 66,011785 73,315357 0,000000102 W63199002 H05BX02 PARICALCITOLUM ** ZEMPLAR 1 microgram CAPS. MOI 1micrograme ABBVIE SPAIN S.L.U. SPANIA CUTIE CU 4 BLIST. PVC/FLUOROPOLIMER/AL X 7 CAPS. MOI PRF 28 7,669642 9,363214 0,000000103 W63198001 H05BX02 PARICALCITOLUM ** ZEMPLAR 5 micrograme/ml SOL. INJ. 5micrograme/ml ABBVIE SPAIN S.L.U. SPANIA CUTIE CU 5 FIOLE DIN STICLA INCOLORA TIP I X 1 ML SOL. INJ. PR 5 43,218000 52,760000 0,000000104 W08985002 V03AE02 SEVELAMER ** RENAGEL 800mg COMPR. FILM. 800mg GENZYME EUROPE BV OLANDA CUTIE X 1 FLAC.PEID. X 180 COMPR. FILM. P-RF 180 2,043055 2,438888 0,000000105 W62911004 V03AE02 SEVELAMER ** CARBONAT DE SEVELAMER HEATON 800 mgCOMPR. FILM. 800mg HEATON K.S. REPUBLICA CEHA CUTIE CU 1 FLACON DIN PEÎD CU CAPAC DIN PP PREVAZUT CU SISTEM DE ÎNCHIDERE SECURIZAT PENTRU COPII SI DESICANT CU 180 COMPRIMATE FILMATE PRF 180 1,752111 2,121777 0,000000

P11: PROGRAM NATIONAL DE SANATATE MINTALASUBPROGRAMUL TRATAMENTUL TOXICODEPENDENTELOR

1 W64547003 N07BB04 NALTREXONUM NALTREXONA TORREX 50 mg COMPR. FILM. 50mg AMOMED PHARMA GMBH AUSTRIA CUTIE CU 4 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. PRF 28 6,761785 8,255000 0,0000002 W66185003 N07BB04 NALTREXONUM NALTREXONA AMOMED 50 mg COMPR. FILM. 50mg AMOMED PHARMA GMBH AUSTRIA CUTIE CU 4 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. PRF 28 8,114142 9,906000 0,0543573 W51921003 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 0,401400 0,542400 0,0000004 W55532002 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 1,500200 1,896800 0,0000005 W55533002 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 0,400000 0,540600 0,0000006 W63213001 N07BC02 METHADONUM METHASAN 10 mg/ml CONC. PT. SOL. ORALA 10mg/ml LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE CU 1 FLAC. DIN STICLA BRUNA CARE CONTINE 100 ML CONC. PT. SOL. ORALA, SERINGA GRADATA PT. ADMINISTRARE ORALA SI UN ADAPTOR PT. FLAC. PS 1 35,190000 46,030000 0,000000

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Nr.crt Cod CIM

Grupa terapeu

ticaDenumire generica Denumire comerciala

Forma farmaceuti

ca

Concentratie / U.T.

Firma Tara Ambalaj

Pres

crip

tie cant/ambal

aj

Pret cu ridicata maximal de

decontare / U.T.

Pret de decontare / U.T.

contribu ție maximă

asigurat / U.T. - farmacii

comunitare7 W60166003 N07BC02 METHADONUM MISYO 10 mg/ml CONC. PT. SOL. ORALA 10mg/ml INN-FARM D.O.O. SLOVENIA CUTIE CU 1 FLAC. DIN STICLA BRUNA CU CAPAC DIN PP 28 CU SIGILIU DIN PE A 1000 ML CONC. PT. SOL. ORAL PS 1 337,430000 405,950000 0,0000008 W60166004 N07BC02 METHADONUM MISYO 10 mg/ml CONC. PT. SOL. ORALA 10mg/ml INN-FARM D.O.O. SLOVENIA CUTIE CU 1 FLAC. DIN STICLA BRUNA CU CAPAC DIN PP 28 PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII, A 1000 ML CONC. PT. SOL. ORALA PS 1 337,430000 405,950000 0,0000009 W62865001 N07BC51 COMBINATII ( BUPRENORPHINUM + NALAXONE) SUBOXONE 2mg/0,5mg COMPR. SUBLING. 2mg/0,5mg INDIVIOR UK LIMITED MAREA BRITANIE CUTIE X 7 COMPR. SUBLING. (BLIST. DE HARTIE/AL/NYLON/AL/PVC) PS/PR 7 2,837142 3,834285 0,000000

10 W62866001 N07BC51 COMBINATII ( BUPRENORPHINUM + NALAXONE) SUBOXONE 8mg/2mg COMPR. SUBLING. 8mg/2mg INDIVIOR UK LIMITED MAREA BRITANIE CUTIE X 7 COMPR. SUBLING. (BLIST. DE HARTIE/AL/NYLON/AL/PVC) PS/PR 7 8,454285 10,690000 0,000000

NOTA:

- Medicamentul corespunzător DCI-ului notat cu (3) se livrează împreună cu solvent;

- Tratamentul cu medicamentele corespunzătoare DCI-urilor notate cu (Ω) se efectuează în baza contractelor cost-volum încheiate.

- Tratamentul cu medicamentele corespunzătoare DCI-urilor notate cu (**) se efectuează pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale Ministerului Sănătăţii; - Tratamentul cu medicamentele corespunzătoare DCI-urilor notate cu (**)1 se efectuează pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale Ministerului Sănătăţii şi pot fi administrate şi în regim de spitalizare de zi;

- Medicamentele corespunzătoare DCI-urilor notate cu (4) se importă cu avizul Agenţiei Naţionale a Medicamentului şi a Dispozitivelor Medicale;

Pagina 70 din 70

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Anexa nr. 2(ANEXA nr. 3 la Ordinul 1605/875/2014)

Nr.crt

Cod CIM

Grupa terapeu

ticaDenumire generica Denumire comerciala

Forma farmaceuti

ca

Concentratie / U.T.

Firma Tara Ambalaj

Pres

crip

tie cant/ambalaj

Pret cu ridicata maximal de

decontare / U.T.

Pret de decontare / U.T.

contribu ție maximă

asigurat / U.T. - farmacii

comunitare

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

W62199002 A09AA02 PANCREATINUM ** KREON 10000 CAPS. GASTROREZ. 150mg MYLAN HEALTHCARE GMBH GERMANIA CUTIE CU 1 FLAC. DIN PEID X 20 CAPS. GASTROREZ. OTC 20 0,374500 0,506000 0,000000W62199001 A09AA02 PANCREATINUM ** KREON 10000 CAPS. GASTROREZ. 150mg MYLAN HEALTHCARE GMBH GERMANIA CUTIE CU 2 BLIST. DIN AL-AL A CÂTE 10 CAPS. GASTROREZ. OTC 20 0,374500 0,506000 0,000000W62200001 A09AA02 PANCREATINUM ** KREON 25000 CAPS. GASTROREZ. 300mg MYLAN HEALTHCARE GMBH GERMANIA CUTIE CU 2 BLIST. DIN AL-AL A CÂTE 10 CAPS. GASTROREZ. OTC 20 1,099500 1,486000 0,000000W62200002 A09AA02 PANCREATINUM ** KREON 25000 CAPS. GASTROREZ. 300mg MYLAN HEALTHCARE GMBH GERMANIA CUTIE CU 1 FLAC. DIN PEID X 20 CAPS. GASTROREZ. OTC 20 1,099500 1,486000 0,000000

SECŢIUNEA C2 - LISTA denumirilor comerciale și a prețurilor de decontare ale OTC-urilor care se acordă bolnavilor inclusi in cadrul programelor nationale de sănătate, în tratamentul ambulatoriu și spitalicesc, conform denumirilor comune internaţionale cuprinse în secțiunea

C2 a sublistei C

din HG nr. 720/2008, republicată, elaborată în temeiul Ordinului MS/CNAS nr. 1605/875/2014, cu modificarile si competarile ulterioare,

VALABILĂ ÎNCEPÂND CU 01 IULIE 2020

NOTA:

- Tratamentul cu medicamentele corespunzătoare DCI-urilor notate cu (**) se efectuează pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale Ministerului Sănătăţii.

Pagina 1 din 1