Вы находитесь на странице: 1из 205

ANEXA 1

SUBLISTA A - LISTA MEDICAMENTELOR CU NIVEL DE COMPENSARE 90% DIN PRETUL DE REFERINTA CONFORM
DENUMIRILOR COMUNE INTERNATIONALE (DCI) CORESPUNZATOARE MEDICAMENTELOR DE CARE BENEFICIAZA ASIGURATII, IN TRATAMENTUL AMBULATORIU CU CONTRIBUTIE PERSONALA DIN HG NR. 720/2008 CU COMPLETARILE
SI MODIFICARILE ULTERIOARE VALABILA INCEPAND CU
1 IANUARIE 2012

Nr crt.

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41

cod ATC
A02BA02
A02BA02
A02BA02
A02BA02
A02BA02
A02BA02
A02BA02
A02BA02
A02BA02
A02BA02
A02BA02
A02BA02
A02BA02
A02BA02
A02BA02
A02BA03
A02BA03
A02BA03
A02BA03
A02BA03
A02BA03
A02BA03
A02BA04
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01

DCI

RANITIDINUM
RANITIDINUM
RANITIDINUM
RANITIDINUM
RANITIDINUM
RANITIDINUM
RANITIDINUM
RANITIDINUM
RANITIDINUM
RANITIDINUM
RANITIDINUM
RANITIDINUM
RANITIDINUM
RANITIDINUM
RANITIDINUM
FAMOTIDINUM
FAMOTIDINUM
FAMOTIDINUM
FAMOTIDINUM
FAMOTIDINUM
FAMOTIDINUM
FAMOTIDINUM
NIZATIDINUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM

Denumire Comerciala

RANITIDIN ARENA 150mg


RANITIDINA 150 mg
RANITIDIN
ZANTAC 150 mg
N - RANITIDIN
RANITIDINA 150 mg
RANITIDIN 150 mg

forma farm.

COMPR.
COMPR.
COMPR.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
RANITIDINA LAROPHARM 150 mg COMPR. FILM.
RANITIDINA LPH 150 mg
COMPR. FILM.
RANITIDINA ATB 150 MG
COMPR. FILM.
RANITIDINA LPH 300 mg
COMPR. FILM.
RANITIDINA ATB 300 mg
COMPR. FILM.
RANITIDINA ATB 300 mg
COMPR. FILM.

ARNETIN

SOL. INJ.
ZANTAC SOLUTIE INJECTABILA SOL. INJ.
FAMODIN 20
COMPR. FILM.
FAMOTIDINA ZENTIVA 20mg COMPR. FILM.
QUAMATEL 20 mg
COMPR. FILM.
FAMOTIDINA ZENTIVA 40 mg COMPR. FILM.
FAMODIN 40
COMPR. FILM.
QUAMATEL 40 mg
COMPR. FILM.
QUAMATEL 20 mg
NIZATIDIN VIM SPECTRUM 150 mg CAPS.
RISEK
CAPS. ENTER.
PULB+SOLV. PT. SOL. INJ./PERF.

OMEPRAZOL BIOFARM 20 mg
OMEPRAZOL BIOFARM 20 mg

CAPS. GASTROREZ.

ULTOP
OMEPRAZOL 20 mg
OMEPRAZOL LPH 20 mg
OMERAN 20
OMERAN 20
OMEPRAZOL 20 mg

CAPS. GASTROREZ.

OMEPRAZOL TERAPIA 20 mg

CAPS. GASTROREZ.

OMEPRAZOL ARENA 20 mg

CAPS. GASTROREZ.

OMEPRAZOL FARMEX 20 mg

CAPS. GASTROREZ.

NOVOGAST 20 mg
OMEPRAZOL LPH 20 mg
OMEPRAZOL FARMAL 20 mg
OMEPRAZOL FARMAL 20 mg
OMEPRAZOL OZONE 20 mg

CAPS. GASTROREZ.

OMEPRAZOL ROMPHARM 20 mg

CAPS. GASTROREZ.

CAPS. GASTROREZ.

CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.

CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.

concentratie

150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
300mg
300mg
300mg
25mg/ml
25mg/ml
20mg
20mg
20mg
40mg
40mg
40mg
20mg
150mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg

Detinator APP

tara det.
APP

Ambalaj

Prescriptie

ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. P-6L


MAGISTRA C&C S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
GLAXO WELLCOME UK LTD.

MAREA BRITANIE

MEDUMAN SA

ROMANIA
FILDAS TRADING SRL ROMANIA
AC HELCOR SRL
ROMANIA
LAROPHARM SRL ROMANIA
LABORMED PHARMA SA ROMANIA
ANTIBIOTICE SA
ROMANIA
LABORMED PHARMA SA ROMANIA
ANTIBIOTICE S.A.
ROMANIA
ANTIBIOTICE S.A.
ROMANIA

MEDOCHEMIE LTD. CIPRU


GLAXO WELLCOME UK LTD.

MAREA BRITANIE

ROMANIA
ZENTIVA S.A
ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
ZENTIVA S.A
ROMANIA
AC HELCOR PHARMA SRL ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
VIM SPECTRUM SRL ROMANIA
GULF PHARMACEUTICAL IND. (JUPHAR) ROMANIA
BIOFARM S.A.
ROMANIA
BIOFARM S.A.
ROMANIA
AC HELCOR PHARMA SRL

CUTIE X 2 BLIST. AL/AL X 10 COMPR. FILM. P-6L

CUTIE X 1 FLAC. PE X 20 COMPR. FILM. P-6L


CUTIE X 2 BLIST. PA-AL-PVC/AL-VMCH X 10 COMPR. FILM.

P-6L

CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L

CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM. P-6L


CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L

CUTIE X 2 BLIST. X 10 COMPR. FILM.

P-6L

CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L

CUTIE X 1 BLIST. PVC/AL X 10 COMPR. FILM. P-6L


CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM. P-6L

CUTIE X 5 FIOLE X 2 ML
CUTIE X 5 FIOLE X 2 ML SOL. INJ.

P-RF
P-RF

CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L


CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM. P-6L
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
CUTIE X 1 BLIST. AL/PVC X 14 COMPR. FILM. P-6L
CUTIE X 5 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERFUZ. + 5 FIOLE DIN STCLA INCOLORA X 5

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.


CUTIE X 1 FLAC. X 14 CAPS. ENTER.

S/P-RF

P-6L
P-6L

CUTIE X 1 FLAC. PEID X 28 CAPS. GASTROREZ. P-6L


CUTIE X 1 FLAC. PEID X 14 CAPS. GASTROREZ. P-6L

KRKA D.D.

SLOVENIA CUTIE X 1 FLAC. PE X 14 CAPS. GASTROREZ. P-6L

GEDEON RICHTER ROMANIA SA

ROMANIA

CUTIE X 2 BLIST. PVC-AL-PA/AL X 7 CAPS. GASTROREZ.

P-6L

LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. GASTROREZ. P-6L

EUROPHARM SA
EUROPHARM SA
SLAVIA PHARM SRL
TERAPIA SA
ARENA GROUP S.A.

ROMANIA CUTIE X 4 BLIST. AL/AL X 7 CAPS. GASTROREZ.


ROMANIA CUTIE X 2 BLIST. AL/AL X 7 CAPS. GASTROREZ.
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. GASTROREZ.
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. GASTROREZ.
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. GASTROREZ.
FARMEX COMPANY SRL ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 CAPS. GASTROREZ.
ANTIBIOTICE S.A.
ROMANIA CUTIE X 2 FOLII AL/PE X 10 CAPS. GASTR.
LABORMED PHARMA SA ROMANIA CUTIE X 1 BLIST. PVC/AL X 10CAPS. GASTROREZ
FARMAL INTERNATIONAL S.R.L. ROMANIA CUTIE X 2 BLIST. PA-AL-PVC/AL X 7 CAPS. GASTROREZ.
FARMAL INTERNATIONAL S.R.L. ROMANIA CUTIE X 4 BLIST. PA-AL-PVC/AL X 7 CAPS. GASTROREZ.
OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 28 CAPS. GASTROREZ.
ROMPHARM COMPANY SRL ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 CAPS. GASTROREZ.

Pagina 1 din 236

P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L

Pret
Val suportata
amanun
de CNAS/UT
tul
Pret
(RON)Legea Val suportata
cant/ maximal amanuntul nr. 95/2006 art
CNAS/UT
amba /ambalaj maximal/UT 213 alin.1 lit.
(RON) pt.
laj
(RON)
(RON)
a) si f)
Adulti

20
20
20
20
20
20
20
20
20
20
30
10
20
5
5
30
30
28
30
30
14
5
20
14
28
14
14
14
20
28
14
30
30
30
30
20
10
14
28
28
30

4.50
4.51
4.50
6.93
3.94
4.67
4.50
4.50
4.51
4.50
12.85
4.28
8.55
12.51
14.76
8.78
5.79
9.34
7.63
12.17
9.34
24.35
18.01
14.28
20.31
10.71
14.28
14.28
12.65
21.17
14.08
22.42
22.26
21.76
20.60
14.87
6.41
14.28
28.57
18.37
21.90

0.225000
0.225500
0.225000
0.346500
0.197000
0.233500
0.225000
0.225000
0.225500
0.225000
0.428333
0.428000
0.427500
2.502000
2.952000
0.292666
0.193000
0.333571
0.254333
0.405666
0.667142
4.870000
0.900500
1.020000
0.725357
0.765000
1.020000
1.020000
0.632500
0.756071
1.005714
0.747333
0.742000
0.725333
0.686666
0.743500
0.641000
1.020000
1.020357
0.656071
0.730000

0.192543
0.192543
0.192543
0.192543
0.192543
0.192543
0.192543
0.192543
0.192543
0.192543
0.385087
0.385087
0.385087
1.856397
1.856397
0.192543
0.192543
0.192543
0.254333
0.385087
0.385087
4.870000
0.192543
0.696696
0.696696
0.696696
0.696696
0.696696
0.632500
0.696696
0.696696
0.696696
0.696696
0.696696
0.686666
0.696696
0.641000
0.696696
0.696696
0.656071
0.696696

0.173289
0.173289
0.173289
0.173289
0.173289
0.173289
0.173289
0.173289
0.173289
0.173289
0.346578
0.346578
0.346578
1.670757
1.670757
0.173289
0.173289
0.173289
0.228899
0.346578
0.346578
4.383000
0.173289
0.627026
0.627026
0.627026
0.627026
0.627026
0.569250
0.627026
0.627026
0.627026
0.627026
0.627026
0.617999
0.627026
0.576900
0.627026
0.627026
0.590463
0.627026

Nr crt.

42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91

cod ATC

DCI

A02BC01

OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
LANSOPRAZOLUM
LANSOPRAZOLUM
LANSOPRAZOLUM
LANSOPRAZOLUM
MEBEVERINUM
MEBEVERINUM
MEBEVERINUM
TRIMEBUTINUM
TRIMEBUTINUM
TRIMEBUTINUM
TRIMEBUTINUM
TRIMEBUTINUM
TRIMEBUTINUM
PAPAVERINI HYDROCHLORIDUM
PAPAVERINI HYDROCHLORIDUM
METOCLOPRAMIDUM
METOCLOPRAMIDUM
METOCLOPRAMIDUM
METOCLOPRAMIDUM
METOCLOPRAMIDUM
METOCLOPRAMIDUM
METOCLOPRAMIDUM
METOCLOPRAMIDUM
DOMPERIDONUM

A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC03
A02BC03
A02BC03
A02BC03

A03AA04
A03AA04
A03AA04
A03AA05
A03AA05
A03AA05
A03AA05
A03AA05
A03AA05
A03AD01
A03AD01

A03FA01
A03FA01
A03FA01
A03FA01
A03FA01
A03FA01
A03FA01
A03FA01
A03FA03
A05AA02
A05AA02
A05AA02
A05AA02
A05AA02
A06AD11
A06AD11
A06AD11
A06AD11
A06AD11
A06AD11
A06AD11

A07AA02
A07EC01

ACIDUM URSODEOXYCHOLICUM*
ACIDUM URSODEOXYCHOLICUM*
ACIDUM URSODEOXYCHOLICUM*
ACIDUM URSODEOXYCHOLICUM*
ACIDUM URSODEOXYCHOLICUM*

LACTULOSUM
LACTULOSUM
LACTULOSUM
LACTULOSUM
LACTULOSUM
LACTULOSUM
LACTULOSUM
NYSTATINUM
SULFASALAZINUM

Denumire Comerciala

OMEZ
ORTANOL 20 mg
HELICID 20
HELICID 20
ORTANOL 40 mg
OMERAN 40
LOSEC MUPS 10 mg
LOSEC MUPS 20 mg
OMEDAR (R)
LOSEC 40 mg

forma farm.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
COMPR. FILM. GASTROREZ.
COMPR. FILM. GASTROREZ.
COMPR. FILM. GASTROREZ.

LIOF. PT. SOL. PERF.

OMEZ PULBERE PENTRU SOLUTIE PERFUZABILA PULB. PT. SOL. PERF.

HELICID 40 INF
LEVANT 15 mg
LANZUL
LEVANT 30 mg
LANZAP 30mg
DUSPATALIN 200 mg
DUSPATALIN 200 mg
COLOSPASMIN
PROMEBUTIN (R) 100 mg
TRIMEBUTIN 100
COLPERIN 100 mg
DEBRIDAT 100 mg
IBUTIN (R) 300 mg
DEBRIDAT

20mg
20mg
20mg
20mg
40mg
40mg
10mg
20mg
20mg
40mg
40mg

PULB. PT. SOL. PERF. FARA CONCENTRATIE

CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.

CAPS. ELIB. PREL.


CAPS. ELIB. PREL.

DRAJ.
COMPR.
COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM. ELIB. PREL.

GRAN. PT. SUSP. ORALA

PAPAVERINA ARENA 100 mg COMPR.

PAPAVERINA
METOCLOPRAMID
N - METOCLOPRAMID
METOCLOPRAMID 10 mg

concentratie

COMPR.
COMPR.
COMPR.
COMPR.
METOCLOPRAMID ARENA 10 mg COMPR.
METOCLOPRAMID
PIC. ORALE-SOL.
METOCLOPRAMID BIOFARM 1mg/5ml SIROP
METOCLOPRAMID 10 mg
SOL. INJ.
METOCLOPRAMID 10 mg
SOL. INJ.
MOTILIUM 10 mg
COMPR. FILM.
URSOFALK (R)
CAPS.
URSOFALK (R)
CAPS.
URSOSAN
CAPS.
URSOCHOL 150 mg
COMPR.
URSOCHOL 300 mg
COMPR.
DUPHALAC (R)
LICHID ORAL
LACTULOSE
SIROP
LACTULOSE
SIROP
LACTULOSE-MIP 650 mg/ml SIROP
LACTULOSE-MIP 650 mg/ml SIROP
LACTULAK 660 mg/ml
SOL. ORALA
LAEVOLAC 670mg/ml
SOL. ORALA
NISTATINA
COMPR. FILM.
SULFASALAZIN EN
COMPR. FILM. GASTROREZ.

15mg
30mg
30mg
30mg
200mg
200mg
100mg
100mg
100mg
100mg
100mg
300mg
24mg/5ml
100mg
200mg
10mg
10mg
10mg
10mg
7mg/ml
1mg/5ml
5mg/ml
5mg/ml
10mg
250mg
250mg
250mg
150mg
300mg
66,7%
65%
65%
650mg/ml
650mg/ml
660 mg/ml
670mg/ml
500.000ui
500mg

LEK PHARMACEUTICALS D.D.

tara det.
APP
ROMANIA
SLOVENIA

ZENTIVA K.S.
ZENTIVA K.S.

CEHIA
CEHIA

LEK PHARMACEUTICALS D.D.

SLOVENIA CUTIE X 1 BLIST. AL/AL X 7 CAPS. GASTROREZ. P-6L

EUROPHARM SA
ASTRAZENECA AB
ASTRAZENECA AB

ROMANIA

CUTIE X 2 BLIST. AL/AL X 7 CAPSULE GASTROREZ. P-6L

SUEDIA
SUEDIA

CUTIE X 1 FLAC. X 14 COMPR. FILM. GASTROREZ. P-6L

DAR AL DAWA PHARMA S.R.L.

ROMANIA

CUTIE X 1 FLAC. DE STICLA BRUNA X 14 COMPR. FILM. GASTROREZ.

P-6L

ASTRAZENECA AB

SUEDIA

CUTIE X 5 FLAC. X 45 MG LIOF. PT. SOL. PERF.

S/P-RF

DR. REDDY'S LABORATORIES

ROMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATE DE 15 ML CU PULB.PT. SOL. PERF.

S/P-RF

ZENTIVA K.S.
RANBAXY UK LTD.

CEHIA

CUTIE X 1 FLAC. DIN STICLA CU PULB. PT. SOL. PERF.

S/P-RF

MAREA BRITANIE

CUTIE X 2 BLIST. PVC-AL-PO/AL-PE X 7 CAPS. GASTROREZ.

P-6L

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 7 CAPS. GASTROREZ.

P-6L

RANBAXY UK LTD.

MAREA BRITANIE

CUTIE X 2 BLIST. PVC-AL-PO/AL-PE X 7 CAPS. GASTROREZ.

P-6L

DR. REDDY'S LABORATORIES

ROMANIA

CUTIE X 2 BLIST. PVC-PVDC/AL X 10 CAPS. GASTROREZ. P-6L

SOLVAY PHARMACEUTICALS BV

OLANDA CUTIE X 3 BLIST. X 10 CAPS. ELIB. PREL.


OLANDA CUTIE X 2 BLIST. X 15 CAPS. ELIB. PREL.

P-6L

E.I.P.I.CO. MED SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 DRAJ.


TERAPIA SA
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
MAGISTRA C & C
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P-6L

GEDEON RICHTER ROMANIA SA

ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR.

P-6L

PFIZER EUROPE MA EEIG

MAREA BRITANIE

Detinator APP
DR. REDDY'S LABORATORIES

SOLVAY PHARMACEUTICALS BV

Ambalaj

Prescriptie

CUTIE X 3 FOLII AL/PE-PE/AL X 10 CAPS. GASTROREZ.

P-6L

CUTIE CU 2 BLIST. AL/AL X 7 CAPS. GASTROREZ.

P-6L

CUTIE X 1 FLAC. DIN STICLA X 14 CAPS. GASTROREZ. P-6L


CUTIE X 1 FLAC. DIN STICLA X 28 CAPS. GASTROREZ. P-6L

CUTIE X 1 FLAC. X 7 COMPR. FILM. GASTROREZ. P-6L

P-6L
P-6L
P-6L

CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM. P-6L

ZENTIVA SA

ROMANIA

CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ELIB. PREL.

P-6L

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 1 FLAC. DIN STICLA BRUNA X 152,5 G GRANULE PT. 250ML SUSP. + MASURA DOZATOARE

P-6L

ARENA GROUP SA
FARMACOM SA
SLAVIA PHARM SRL
MEDUMAN SA
TERAPIA SA
ARENA GROUP SA
BIOFARM SA
BIOFARM S.A.
TERAPIA SA
TERAPIA SA
TERAPIA SA

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L


CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
CUTIE X 4 BLIST. AL/PVC X 10 COMPR. P-6L

CUTIE X 1 FLAC. PE X 40 COMPR.

P-6L

CUTIE X 4 BLIST. AL/PVC X 10 COMPR. P-6L

CUTIE X 1 FLAC. X 40 COMPR.

P-6L

CUTIE X 1 FLACON DIN STICLA X 20 ML PIC. ORALE.,SOLUTIE, PREVAZUT CU PICURATOR

P-RF

CUTIE X 1 FLAC. DIN STICLA X 100 ML SIROP + MASURA DOZATOARE

P-RF

CUTIE X 5 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 2 ML

P-RF

CUTIE X 5 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 2 ML

P-RF

CUTIE X 1 BLIST. X 10 COMPR. FILM.


DR. FALK PHARMA GMBH GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 CAPS.
DR. FALK PHARMA GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 25 CAPS.
PRO. MED. CS PRAHA AS CEHIA
CUTIE X 5 BLIST. AL/PVC X 10 CAPS.

ZAMBON S.P.A.
ZAMBON S.P.A.

ITALIA
CUTIE X 6 BLIST. AL/PVC X 10 COMPR.
ITALIA
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
SOLVAY PHARMACEUTICALS BV OLANDA FLACON DIN PEID PREVAZUT CU MASURA DOZATOARE X 200 ML
E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON X 300 ML
E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON X 100 ML
MIP PHARMA GMBH GERMANIA
MIP PHARMA GMBH GERMANIA

P-6L
P-6L/S

P-6L
P-6L
P-6L
P-6L
P-RF

P-6L
P-6L

CUTIE X 1 FLAC. PET DE CULOARE BRUNA X 500 ML SIROP + 1 MASURA DOZATOARE DIN PP

P-6L

CUTIE X 1 FLAC. PET DE CULOARE BRUNA X 1000 ML SIROP + 1 MASURA DOZATOARE DIN PP

P-6L

ROMPHARM COMPANY SRL

ROMANIA

CUTIE X 1 FLAC. PEID X 200 ML SOL. ORALA SI O LINGURITA DOZATOARE

P-6L

FRESENIUS KABI AUSTRIA GMBH

AUSTRIA

CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SOL. ORALA + DISPOZITIV DE CURGERE + MASURA CU GRADATII D

P-RF

ANTIBIOTICE SA

ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM.

KRKA D.D. NOVO MESTO SLOVENIA

Pagina 2 din 236

CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ.

P-RF

P-6L

Pret
Val suportata
amanun
de CNAS/UT
tul
Pret
(RON)Legea Val suportata
cant/ maximal amanuntul nr. 95/2006 art
CNAS/UT
amba /ambalaj maximal/UT 213 alin.1 lit.
(RON) pt.
laj
(RON)
(RON)
a) si f)
Adulti

30 21.17
14
7.98
14
9.94
28 20.54
7
7.94
14 25.86
14 32.80
7 24.67
14 14.28
5 113.38
1 16.04
1 22.51
14
6.49
14 12.97
14 11.22
20 16.46
30 27.44
30 27.44
20
8.92
20 13.73
30 11.00
30 11.00
30 16.93
20 35.59
1 11.91
20
4.38
20
5.33
40
1.14
40
1.34
40
4.24
40
1.37
1
2.82
1
8.58
5
9.91
5
9.91
10 12.17
100 122.82
50 71.91
50 67.96
60 53.55
20 35.46
1 10.83
1 10.29
1
3.42
1 17.03
1 32.95
1
7.01
1
3.53
20
6.73
50 27.90

0.705666
0.570000
0.710000
0.733571
1.134285
1.847142
2.342857
3.524285
1.020000
22.676000
16.040000
22.510000
0.463571
0.926428
0.801428
0.823000
0.914666
0.914666
0.446000
0.686500
0.366666
0.366666
0.564333
1.779500
11.910000
0.219000
0.266500
0.028500
0.033500
0.106000
0.034250
2.820000
8.580000
1.982000
1.982000
1.217000
1.228200
1.438200
1.359200
0.892500
1.773000
10.830000
10.290000
3.420000
17.030000
32.950000
7.010000
3.530000
0.336500
0.558000

0.696696
0.570000
0.696696
0.696696
1.134285
1.393392
0.348348
0.696696
0.696696
22.676000
16.040000
1.393392
0.348348
0.696696
0.696696
0.696696
0.903333
0.903333
0.446000
0.366666
0.366666
0.366666
0.366666
1.100002
11.910000
0.139218
0.266500
0.028500
0.030150
0.030150
0.030150
2.820000
2.202428
1.982000
1.982000
0.030150
1.228200
1.359200
1.359200
0.815520
1.631041
7.004526
10.239000
3.412999
17.030000
32.950000
6.931015
3.518015
0.336500
0.558000

0.627026
0.513000
0.627026
0.627026
1.020856
1.254053
0.313513
0.627026
0.627026
20.408400
14.436000
1.254053
0.313513
0.627026
0.627026
0.627026
0.812999
0.812999
0.401400
0.329999
0.329999
0.329999
0.329999
0.990002
10.719000
0.125296
0.239850
0.025650
0.027135
0.027135
0.027135
2.538000
1.982185
1.783800
1.783800
0.027135
1.105380
1.223280
1.223280
0.733968
1.467937
6.304073
9.215100
3.071699
15.327000
29.655000
6.237913
3.166213
0.302850
0.502200

Nr crt.

92
93
94
95
96
97
98
99

cod ATC
A07EC01
A07EC02
A07EC02

DCI

SULFASALAZINUM
MESALAZINUM**
MESALAZINUM**
MESALAZINUM**
MESALAZINUM**
MESALAZINUM**
MESALAZINUM**
MESALAZINUM**
MESALAZINUM**
MESALAZINUM**
ACENOCUMAROLUM
ACENOCUMAROLUM
TICLOPIDINUM1)
TICLOPIDINUM1)
TICLOPIDINUM1)
PHYTOMENADIONUM
FERROSI SULFAS
FERROSI SULFAS

Denumire Comerciala

SALAZOPYRIN EN
PENTASA

forma farm.
COMPR. FILM. GASTROREZ.

COMPR. ELIB. PREL.

SALOFALK 250 mg COMPRIMATE GASTROREZISTENTE

COMPR. GASTROREZ.

SALOFALK 500 mg COMPRIMATE GASTROREZISTENTE

COMPR. GASTROREZ.

SALOFALK 500 mg COMPRIMATE GASTROREZISTENTE

COMPR. GASTROREZ.

SUPOZ.
SUPOZ.
SUPOZ.
SUPOZ.

110 B03AB05 COMPLEX DE HIDROXID DE FER (III) POLIMALTOZAT

PENTASA
SALOFALK 1 g
SALOFALK (R) 250 mg
SALOFALK (R) 500 mg
SALOFALK 4 g/ 60 ml
TROMBOSTOP 2 mg
SINTROM 4 mg
TICLODIN
IPATON
TICLID (R) 250 mg
FITOMENADION 10 mg/ml
FERROGRADUMET (R)
TARDYFERON 80 mg
MALTOFER

111 B03AB05 COMPLEX DE HIDROXID DE FER (III) POLIMALTOZAT

FERGLUROM FORTE 50 mg/ml

112 B03AB05 COMPLEX DE HIDROXID DE FER (III) POLIMALTOZAT

PHARMA-FERRUM (R)
PHARMA-FERRUM (R)
FERRUM HAUSMANN (R)
FERRUM HAUSMANN (R)
FERGLUROM 50mg/5ml
SORBIFER DURULES
ACIFOL 5 mg
DIGOXIN 0,25 mg
DIGOXIN 0,5 mg/2 ml
LANOXIN SOLUTIE ORALA
CHINIDINA ARENA 200 mg
PROPAFENONA 150 mg
PROPAFENONA 150 mg
PROPAFENONA 150 mg
RYTMONORM (R)
PROPAFENON AL 150
PROPAFENON AL 150
PROPAFENON AL 150

A07EC02
A07EC02
A07EC02
A07EC02
A07EC02

100 A07EC02
101 A07EC02
102 B01AA07
103 B01AA07
104 B01AC05
105 B01AC05
106 B01AC05
107 B02BA01
108 B03AA07
109 B03AA07

113 B03AB05 COMPLEX DE HIDROXID DE FER (III) POLIMALTOZAT


114 B03AB05 COMPLEX DE HIDROXID DE FER (III) POLIMALTOZAT
115 B03AB05 COMPLEX DE HIDROXID DE FER (III) POLIMALTOZAT
116 B03AB05 COMPLEX DE HIDROXID DE FER (III) POLIMALTOZAT
117 B03AEN1

COMBINATII (FERROSI SULFAS+ACIDUM ASCORBICUM)

118 B03BB01

ACIDUM FOLICUM
DIGOXINUM
DIGOXINUM
DIGOXINUM
CHINIDINI SULFAS
PROPAFENONUM
PROPAFENONUM
PROPAFENONUM
PROPAFENONUM
PROPAFENONUM
PROPAFENONUM
PROPAFENONUM
PROPAFENONUM
PROPAFENONUM
PROPAFENONUM
AMIODARONUM
AMIODARONUM
AMIODARONUM
AMIODARONUM
AMIODARONUM
AMIODARONUM
NITROGLYCERINUM
NITROGLYCERINUM
NITROGLYCERINUM

119 C01AA05
120 C01AA05
121 C01AA05
122 C01BA01
123 C01BC03
124 C01BC03
125 C01BC03
126 C01BC03
127 C01BC03
128 C01BC03
129 C01BC03
130 C01BC03
131 C01BC03
132 C01BC03
133 C01BD01
134 C01BD01
135 C01BD01
136 C01BD01
137 C01BD01
138 C01BD01
139 C01DA02
140 C01DA02
141 C01DA02

SUSP. RECTALA

COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

SOL. INJ.
COMPR. ELIB. PREL.

DRAJ. ELIB. PREL.

COMPR. MAST.
PICATURI ORALE, SOL.

PICATURI ORALE-SOL.
PICATURI ORALE-SOL.
PICATURI ORALE-SOL.

SIROP
SIROP

500mg
500mg
250mg
500mg
500mg
1g
1g
250mg
500mg
4g/60ml
2mg
4mg
250mg
250mg
250mg
10mg/ml
105mg
80mg
100mg
50mg/ml
5%
5%
50mg/ml
10mg/ml
50mg/5ml

COMPR. FILM. FARA CONCENTRATIE


COMPR. FILM. 5mg

COMPR.
SOL. INJ.
SOL. ORALA
COMPR.
COMPR.
COMPR.
COMPR.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
PROPAFENON SANDOZ 150 mg COMPR. FILM.
PROPANORM 300 mg
COMPR. FILM.

RYTMONORM
SEDACORON (R)
SEDACORON (R)
AMIODARONA LPH 200 mg
DARITMIN (R) 200 mg

concentratie

SOL. INJ.
COMPR.
COMPR.
COMPR.
COMPR.
AMIODARONA ARENA 200 MG COMPR.
CORDARONE 200 mg
COMPR. DIVIZ.
NITROMINT 2,6 mg
COMPR. ELIB. PREL.
NITROGLICERINA 0,5 mg
COMPR. SUBLING.
NITRODERM (R) TTS 5
SIST. TERAP. TRANSDERM.

0,25mg
0,5mg/ml
0,05mg/ml
200mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
300mg
70mg/20ml
200mg
200mg
200mg
200mg
200mg
200mg
2,6mg
0,5mg
25mg

Detinator APP

tara det.
APP

Ambalaj

Prescriptie

Pret
Val suportata
amanun
de CNAS/UT
tul
Pret
(RON)Legea Val suportata
cant/ maximal amanuntul nr. 95/2006 art
CNAS/UT
amba /ambalaj maximal/UT 213 alin.1 lit.
(RON) pt.
laj
(RON)
(RON)
a) si f)
Adulti

100
100
DR. FALK PHARMA GMBH GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. GASTROREZ. P-6L 100
DR. FALK PHARMA GMBH GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. GASTROREZ. P-6L 100
DR. FALK PHARMA GMBH GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. GASTROREZ. P-6L
50
FERRING GMBH
GERMANIA
P-6L
28
DR. FALK PHARMA GMBH GERMANIA CUTIE CU FOLII TERMOSUDATE PVC/PE X 30 SUPOZ. P6L
30
DR. FALK PHARMA GMBH GERMANIA CUTIE X 2 FOLII PVC/PE X 5 SUPOZ. P-6L
10
DR. FALK PHARMA GMBH GERMANIA CUTIE X 2 FOLII PVC/PE X 5 SUPOZ. P-6L
10
DR. FALK PHARMA GMBH GERMANIA
P-6L
7
TERAPIA SA
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF
30
NOVARTIS PHARMA GMBH GERMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. P-RF
20
AC HELCOR SRL
ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM. P-RF
20
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. AL/ PVC X 10 COMPR.FILM. P-RF
20
SANOFI-AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST PVC TRANSPARENT/AL X 10 COMPR. FILM.
P-RF
20
TERAPIA SA
ROMANIA CUTIE X 5 FIOLE PREVAZUTE CU PUNCT DE RUPERE X 1 ML S/P-RF
5
TEOFARMA SRL
ITALIA
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. ELIB. PREL. P-6L
30
LAB. PIERRE FABRE FRANTA CUTIE X 3 BLIST. AL/PVDC-PE-PVC X 10 DRAJ. ELIB. PREL. P-6L
30
VIFOR FRANCE S.A. FRANTA CUTIE X 3 BLIST. AL/PA-AL-PVC X 10 COMPR. MASTIC. P-6L
30
BIOFARM S.A.
ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 ML PICATURI ORALE, SOLUTIE P-6L
1
TERAPIA SA
ROMANIA CUTIE X 1 FLACON PICURATOR X 50 ML P-6L
1
TERAPIA SA
ROMANIA CUTIE X 1 FLACON PICURATOR X 30 ML P-6L
1
VIFOR FRANCE S.A. FRANTA CUTIE X 1 FLACON CU PICURATOR X 30 ML P-6L
1
VIFOR FRANCE S.A. FRANTA CUTIE X 1 FLACON X 150 ML + O MASURA DOZATOARE P-6L
1
BIOFARM S.A.
ROMANIA
P-6L
1
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 50 COMPR. FILM. P-6L
50
ZENTIVA S.A.
ROMANIA CUTIE X 1 FLAC. DIN PEID X 30 COMPR. FILM. P-6L
30
ZENTIVA S.A.
ROMANIA CUTIE X 1 BLIST. AL/PVC X 25 COMPR. P-RF
25
ZENTIVA S.A.
ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 2 ML SOL. INJ. S/P-RF
5
THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 1 FLACON DIN STICLA BRUNA X 60 ML SOL. ORALA + PIPETA X 1 ML
P-RF
1
ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. PEID X 20 COMPR. P-RF
20
ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
20
ARENA GROUP SA ROMANIA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. P-RF 100
ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. DIN PE X 20 COMPR. P-RF
20
ABBOTT GMBH&CO.KG GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
50
ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 2 BLIST. X 25 COMPR. FILM. P-RF
50
ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 1 BLIST. X 20 COMPR. FILM. P-RF
20
ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 4 BLIST. X 25 COMPR. FILM. P-RF
100
HEXAL AG
GERMANIA CUTIE X 5 BLIST. AL/PP X 10 COMPR. FILM. P-RF
50
PRO. MED. CS PRAHA CEHIA
CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
50
ABBOTT GMBH&CO.KG GERMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 20 ML SOL. INJ. P-RF
5
EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 2 BLIST. X 10 COMPR.
P-RF
20
EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 5 BLIST. X 10 COMPR.
P-RF
50
LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF
30
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF
30
ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF
30
SANOFI-AVENTIS FRANCE FRANTA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. DIVIZ. P-RF
30
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 60 COMPR. ELIB. PREL. P-6L
60
ZENTIVA SA
ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. SUBLINGUALE P-6L
20
NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 PLICURI X 1 SIST. TERAPEUTIC TRANSDERMIC P-6L
10
PFIZER EUROPE MA EEIG

MAREA BRITANIE

FERRING GMBH

GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. ELIB. PREL. P-6L

CUTIE X 1 FLAC. PEID X 100 COMPR. FILM. GASTROREZ.

CUTIE X 4 BLIST. AL X 7 SUPOZ. + CUTIE PLASTIC X 28 CAUCIURI DE PROTECTIE A DEGETULUI

CUTIE X 7 BLIST. AL/PE CONTINAND FIECARE CATE 1 FLACON UNIDOZA X 60 ML SUSPENSIE RECTALA + APLICA

CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 ML SIROP + MASURA DOZATOARE GRADATA DE LA 2,5 - 20 ML

Pagina 3 din 236

P-6L

30.88
153.54
66.45
119.52
72.99
171.75
221.00
21.48
35.58
167.62
6.46
6.69
35.12
32.98
12.67
11.63
8.47
11.94
21.25
8.71
13.53
11.65
13.37
15.21
9.94
14.68
7.30
2.76
6.56
10.96
12.23
7.94
35.82
49.40
31.65
18.49
7.40
34.53
17.87
39.83
36.35
13.70
28.29
10.86
10.86
11.16
16.70
9.75
3.82
18.26

0.308800
1.535400
0.664500
1.195200
1.459800
6.133928
7.366666
2.148000
3.558000
23.945714
0.215333
0.334500
1.756000
1.649000
0.633500
2.326000
0.282333
0.398000
0.708333
8.710000
13.530000
11.650000
13.370000
15.210000
9.940000
0.293600
0.243333
0.110400
1.312000
10.960000
0.611500
0.397000
0.358200
2.470000
0.633000
0.369800
0.370000
0.345300
0.357400
0.796600
7.270000
0.685000
0.565800
0.362000
0.362000
0.372000
0.556666
0.162500
0.191000
1.826000

0.308800
0.771119
0.385558
0.771119
0.771119
6.133928
6.133928
1.533477
3.066964
23.945714
0.179270
0.334500
1.088356
1.088356
0.633500
2.326000
0.282333
0.229499
0.637499
8.500500
13.530000
8.500500
8.500500
8.500500
5.667000
0.293600
0.243333
0.110400
1.312000
10.960000
0.611500
0.358200
0.358200
0.358200
0.358200
0.358200
0.358200
0.345300
0.357400
0.716400
7.270000
0.364500
0.364500
0.362000
0.362000
0.364500
0.364500
0.149304
0.113850
1.826000

0.277920
0.694007
0.347002
0.694007
0.694007
5.520535
5.520535
1.380129
2.760267
21.551142
0.161343
0.301050
0.979521
0.979521
0.570150
2.093400
0.254099
0.206549
0.573749
7.650450
12.177000
7.650450
7.650450
7.650450
5.100300
0.264240
0.218999
0.099360
1.180800
9.864000
0.550350
0.322380
0.322380
0.322380
0.322380
0.322380
0.322380
0.310770
0.321660
0.644760
6.543000
0.328050
0.328050
0.325800
0.325800
0.328050
0.328050
0.134374
0.102465
1.643400

Nr crt.

cod ATC

142 C01DA02
143 C01DA08
144 C01DA08
145 C01DA08
146 C01DA08
147 C01DA14
148 C01DA14
149 C01DA14
150 C01EA01
151 C01EA01
152 C01EB15
153 C01EB15
154 C01EB15
155 C01EB15
156 C01EB15
157 C01EB15
158 C01EB15
159 C01EB15
160 C01EB15
161 C01EB15
162 C01EB15
163 C01EB15
164 C02AB01
165 C02AC01
166 C02AC01
167 C03AA03
168 C03BA11
169 C03BA11
170 C03BA11
171 C03BA11
172 C03BA11
173 C03BA11
174 C03BA11
175 C03BA11
176 C03BA11
177 C03BA11
178 C03BA11
179 C03BA11
180 C03BA11
181 C03BA11
182 C03BA11
183 C03BA11
184 C03BA11
185 C03BA11
186 C03BA11
187 C03BA11
188 C03BA11
189 C03CA01
190 C03CA01
191 C03CA01

DCI

NITROGLYCERINUM
ISOSORBIDI DINITRAS
ISOSORBIDI DINITRAS
ISOSORBIDI DINITRAS
ISOSORBIDI DINITRAS
ISOSORBIDI MONONITRAS
ISOSORBIDI MONONITRAS
ISOSORBIDI MONONITRAS
ALPROSTADILUM***
ALPROSTADILUM***
TRIMETAZIDINUM
TRIMETAZIDINUM
TRIMETAZIDINUM
TRIMETAZIDINUM
TRIMETAZIDINUM
TRIMETAZIDINUM
TRIMETAZIDINUM
TRIMETAZIDINUM
TRIMETAZIDINUM
TRIMETAZIDINUM
TRIMETAZIDINUM
TRIMETAZIDINUM
METHYLDOPUM
CLONIDINUM
CLONIDINUM
HYDROCHLOROTHIAZIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM

Denumire Comerciala

NITROMINT
DINITER SR 20 mg
DINITER SR 40 mg

forma farm.
SPRAY SUBLINGUAL

CAPS. ELIB. PREL.


CAPS. ELIB. PREL.

ISOSORBIDE DINITRATE 10 mg COMPR.

ISODINIT(R) RETARD
OLICARD 40 mg RETARD
OLICARD 60 mg RETARD
MONONITRON (R) EP 60 mg
PRIDAX 20mcg
VASAPROSTAN 20
TRIMETAZIDIN VIM SPECTRUM 20 mg

COMPR. ELIB. PREL.

CAPS. ELIB. PREL.


CAPS. ELIB. PREL.
COMPR. FILM. ELIB. PREL.

CONC. PT. SOL. PERF.

LIOF. PT. SOL. PERF.

CAPS.

TRIMETAZIDINA ATB 35 mg COMPR. CU ELIB. PREL.


OXCARDIN MR 35 mg
COMPR. ELIB. MODIF.
APSTAR 35 mg
COMPR. ELIB. PREL.
MODUXIN (R) 20 mg
COMPR. FILM.
DILATAN 20 mg
COMPR. FILM.
TRIMETAZIDINA LPH (R) 20 mg COMPR. FILM.
PREDUCTAL 20 mg
COMPR. FILM.
OXCARDIN 20 mg
COMPR. FILM.

PREDUCTAL MR 35 mg

COMPR. FILM. ELIB. MODIF.

TRIMETAZIDINA LPH (R) 35 mg

COMPR. FILM. ELIB. MODIF.

MODUXIN MR 35 mg
DOPEGYT

COMPR. FILM. ELIB. PREL.

COMPR.
CLONIDINA SINTOFARM 0,15 mg COMPR.
CLONIDINA ARENA 0,15 mg COMPR.
NEFRIX 25 mg
COMPR.
IMPAMID (R) 2,5 mg
COMPR.
INDAPAMIDA TERAPIA 1,5 mg
INDAPAMIDA TERAPIA 2,5mg

COMPR. CU ELIB. PRELUNGITA


COMPR. CU ELIB. PRELUNGITA

TERTENSIF (R) SR
INDAPAMID MCC 1,5 mg
IDUREN SR 1,5 mg
DIUREMID SR 1,5 mg
INDAPAMIDA TEVA 1,5 mg
IZEPOX 1,5mg

COMPR. ELIB. PREL.

INDAPAMIDA SR TORRENT 1,5 mg

COMPR. ELIB. PREL.

COMPR. ELIB. PREL.


COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.

INDAPAMID LPH (R) 2,5 mg COMPR. FILM.


INDATER (R) 2,5 mg
COMPR. FILM.
INDAPAMID SR 1,5 mg LAROPHARM

INDAPAMID LPH (R) 1,5 mg


RAWEL SR 1,5 mg
IMPAMID SR 1,5 mg
INDAPAMID SR OZONE 1,5mg
INDAPAMIDA ACTAVIS 1,5 mg

COMPR. FILM. ELIB. PREL.


COMPR. FILM. ELIB. PREL.
COMPR. FILM. ELIB. PREL.
COMPR. FILM. ELIB. PREL.
COMPR. FILM. ELIB. PREL.
COMPR. FILM. ELIB. PREL.

INDAPAMIDA MYLAN 1,5 mg COMPR. FILM. ELIB. PREL.


REDITENS SR 1.5 mg
COMPR. FILM. ELIB. PREL.
INDAPEN SR 1,5 mg
COMPR. FILM. ELIB. PREL.
FUROSEMID MCC 40 mg
COMPR.
FUROSEMID SLAVIA
COMPR.
FUROSEMID EEL
COMPR.

concentratie

0,4mg/doza
20mg
40mg
10mg
20mg
40mg
60mg
60mg
20mcg
20mcg
20mg
35mg
35mg
35mg
20mg
20mg
20mg
20mg
20mg
35mg
35mg
35mg
250mg
0,15mg
0,15mg
25mg
2,5mg
1,5mg
2,5mg
1,5mg
1,5mg
1,5mg
1,5mg
1,5mg
1,5mg
1,5mg
2,5mg
2,5mg
1,5 mg
1,5mg
1,5mg
1,5mg
1,5mg
1,5mg
1,5mg
1,5mg
1,5mg
40mg
40mg
40mg

Detinator APP

tara det.
APP

Ambalaj

UNGARIA CUTIE X 1 FLACON X 10G (180 DOZE) SPRAY SUBLINGUAL


TERAPIA SA
ROMANIA CUTIEX 2 BLIST. X 10 CAPS. ELIB. PREL.
TERAPIA SA
ROMANIA CUTIEX 2 BLIST. X 10 CAPS. ELIB. PREL.
E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 3 BLIST. AL/PVC X 20 COMPR.

EGIS PHARMACEUTICALS P.L.C.

Prescriptie

P-6L
P-6L
P-6L
P-6L

CUTIE X 6 BLIST. X 10 COMPR. ELIB. PREL. P-6L

PHARMAKI GENERICS LIMITED

MAREA BRITANIE

SOLVAY PHARMACEUTICALS BV

GERMANIA CUTIE X 2 BLIST. PVC/AL X 10 CAPS. ELIB. PREL. P-6L

SOLVAY PHARMACEUTICALS BV

GERMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. ELIB. PREL. P-6L

ZENTIVA S.A

ROMANIA

CUTIE X 4 BLIST. X 10 COMPR. FILM. ELIB. PREL. P-6L

GEBRO PHARMA GMBH AUSTRIA CUTIE X 5 FLAC. X 1 ML CONC. PT. SOL. PERF
SCHWARZ PHARMA AG GERMANIA CUTIE X 10 FIOLE X 5 ML LIOF. PT. SOL. PERF.

S/P-RF
S/P-RF

VIM SPECTRUM SRL ROMANIA


ANTIBIOTICE S.A.
ROMANIA

CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. CU ELIB. PREL.

LABORMED PHARMA SA ROMANIA

CUTIE CU 6 BLIST. PVC/AL X 10 COMPR. ELIB. MODIF. P-6L

GLENMARK PHARMACEUTICALS SRL

CUTIE CU BLIST. PVC-ACLAR/AL X 60 COMPR. ELIB. PREL.

REPUBLICA SLOVACA

CUTIE X 3 BLIST. AL/PVC-COC-PVDC X 10 CAPS. P-6L

ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM.


TERAPIA SA
ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM.
LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 20 COMPR. FILM.

GEDEON RICHTER ROMANIA SA

LES LABORATOIRES SERVIER

FRANTA

CUTIE CU 2 BLIST. PVC/AL X 30 COMPR. FILM.

P6L
P6L
P-6L
P-6L
P-6L
P-6L

LABORMED PHARMA SA ROMANIA CUTIE CU 3 BLIST. PVC/AL X 20 COMPR. FILM. P-6L

LES LAB. SERVIER IND. FRANTA


LABORMED PHARMA SA ROMANIA
GEDEON RICHTER ROMANIA SA
EGIS PHARMACEUTICALS P.L.C.

SINTOFARM SA
ARENA GROUP SA
ZENTIVA SA
GEDEON RICHTER ROMANIA SA

TERAPIA SA
TERAPIA SA

ROMANIA
UNGARIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE X 2 BLIST. AL/PVC X 30 COMPR. FILM. ELIB. MODIF.

P-6L

CUTIE X 6 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. MODIF.

P-6L

CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ELIB. PREL.

P-6L

CUTIE X 1 FLAC. X 50 COMPR.

P-6L

CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L

CUTIE X 1 FLAC. X 50 COMPR.

P-6L

CUTIE X 1 BLIST. AL/PVC X 25 COMPR. P-6L

CUTIE X 2 BLIST. X 15 COMPR.

P-6L

CUTIE X 3 BLIST. AL/PVC X 10 COMPR. CU ELIB. PREL.

P-6L

CUTIE X 3 BLIST. AL/PVC X 10COMPR. CU ELIB. PREL. P-6L

LES LAB. SERVIER IND. FRANTA

CUTIE X 2 BLIST. AL/PVC X 15 COMPR. ELIB. PREL. P-6L

MAGISTRA C&C SRL ROMANIA


VIM SPECTRUM SRL ROMANIA

CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. ELIB. PREL.

CUTIE X 3 BLIST. AL/PVC X 10 COMPR. ELIB. PREL. P-6L

P-6L

ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. CU ELIB. PREL. P-6L


TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. ELIB. PREL. P-6L
OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. CU ELIB. PREL. P-6L
TORRENT PHARMA S.R.L. ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P6L
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM. P-6L
TERAPIA SA
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
LAROPHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-6L
LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-6L
GLENMARK PHARMACEUTICALS SRL

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ELIB. PREL.

P-6L

GEDEON RICHTER ROMANIA SA

ROMANIA

CUTIE X 2 BLIST. PVC-PVDC/AL X 15 COMPR. FILM. ELIB. PREL.

P-6L

OZONE LABORATORIES BV

CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL.

P-6L

CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. CU ELIB. PRELUNGITA

P-6L

MYLAN S.A.S.

OLANDA
ISLANDA
FRANTA

CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. ELIB. PRELUNG.

P-6L

DR. REDDY'S LABORATORIES

ROMANIA

CUTIE X 3 BLIST. PVC/AL X 10 COMPR. FILM. ELIB. PREL.

P-6L

J & P PHARMA UK. LTD.

MAREA BRITANIE

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. CU ELIB. PREL.

P-6L

ACTAVIS GROUP PTC EHF.

MAGISTRA C&C S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L


SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
BIO EEL SRL
ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
P-6L

Pagina 4 din 236

Pret
Val suportata
amanun
de CNAS/UT
tul
Pret
(RON)Legea Val suportata
cant/ maximal amanuntul nr. 95/2006 art
CNAS/UT
amba /ambalaj maximal/UT 213 alin.1 lit.
(RON) pt.
laj
(RON)
(RON)
a) si f)
Adulti

1 15.12
20
5.39
20
8.92
60
2.11
60
3.90
20 11.88
20 18.94
40 35.98
5 325.08
10 515.82
30
7.52
30 16.52
60 33.00
60 33.02
30
7.52
30 14.44
60 15.05
60 23.16
60 15.05
60 49.16
60 33.00
30 16.52
50 12.51
50
9.92
50 12.20
25
3.44
30 14.99
30 13.14
30 14.73
30 20.80
30 13.53
30 10.54
30 13.53
30 13.16
30 13.53
30 13.53
30 14.90
30 14.73
20
9.00
30 13.53
30 11.57
30 13.00
20
7.75
30 13.53
30 12.45
30 13.53
30
9.75
20
2.99
20
2.25
20
5.36

15.120000
0.269500
0.446000
0.035166
0.065000
0.594000
0.947000
0.899500
65.016000
51.582000
0.250666
0.550666
0.550000
0.550333
0.250666
0.481333
0.250833
0.386000
0.250833
0.819333
0.550000
0.550666
0.250200
0.198400
0.244000
0.137600
0.499666
0.438000
0.491000
0.693333
0.451000
0.351333
0.451000
0.438666
0.451000
0.451000
0.496666
0.491000
0.450000
0.451000
0.385666
0.433333
0.387500
0.451000
0.415000
0.451000
0.325000
0.149500
0.112500
0.268000

15.120000
0.095707
0.191415
0.035166
0.065000
0.287124
0.430686
0.430686
54.940500
51.582000
0.250666
0.438957
0.438957
0.438957
0.250666
0.250833
0.250833
0.250833
0.250833
0.438957
0.438957
0.438957
0.250200
0.198400
0.215453
0.137600
0.499666
0.316199
0.491000
0.316199
0.316199
0.316199
0.316199
0.316199
0.316199
0.316199
0.496666
0.491000
0.316199
0.316199
0.316199
0.316199
0.316199
0.316199
0.316199
0.316199
0.316199
0.149500
0.112500
0.149625

13.608000
0.086137
0.172274
0.031649
0.058500
0.258411
0.387617
0.387617
49.446450
46.423800
0.225599
0.395061
0.395061
0.395061
0.225599
0.225749
0.225749
0.225749
0.225749
0.395061
0.395061
0.395061
0.225180
0.178560
0.193907
0.123840
0.449699
0.284579
0.441900
0.284579
0.284579
0.284579
0.284579
0.284579
0.284579
0.284579
0.446999
0.441900
0.284579
0.284579
0.284579
0.284579
0.284579
0.284579
0.284579
0.284579
0.284579
0.134550
0.101250
0.134662

Nr crt.

cod ATC

192 C03CA01
193 C03CA01
194 C03CA01
195 C03CA01
196 C03DA01
197 C03DA01
198 C03DA01
199 C03DA01
200 C03DA01
201 C03DA01
202 C03DA01
203 C03DA01
204 C03DA01
205 C03DA01

DCI

FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM

206 C03EB01 COMBINATII (SPIRONOLACTONUM+FUROSEMIDUM)


207 C04AD03
208 C04AD03
209 C04AD03
210 C04AD03
211 C04AD03
212 C04AD03
213 C04AD03
214 C04AD03
215 C04AD03
216 C04AD03
217 C04AD03
218 C04AD03
219 C04AD03
220 C07AA05
221 C07AA05
222 C07AA05
223 C07AA05
224 C07AA05
225 C07AA05
226 C07AA05
227 C07AA05
228 C07AA05
229 C07AA05
230 C07AA07
231 C07AA07
232 C07AA07
233 C07AA07
234 C07AA07
235 C07AA07
236 C07AA07
237 C07AA07
238 C07AA07
239 C07AA07
240 C07AB02
241 C07AB02

PENTOXIFYLLINUM
PENTOXIFYLLINUM
PENTOXIFYLLINUM
PENTOXIFYLLINUM
PENTOXIFYLLINUM
PENTOXIFYLLINUM
PENTOXIFYLLINUM
PENTOXIFYLLINUM
PENTOXIFYLLINUM
PENTOXIFYLLINUM
PENTOXIFYLLINUM
PENTOXIFYLLINUM
PENTOXIFYLLINUM
PROPRANOLOLUM
PROPRANOLOLUM
PROPRANOLOLUM
PROPRANOLOLUM
PROPRANOLOLUM
PROPRANOLOLUM
PROPRANOLOLUM
PROPRANOLOLUM
PROPRANOLOLUM
PROPRANOLOLUM
SOTALOLUM
SOTALOLUM
SOTALOLUM
SOTALOLUM
SOTALOLUM
SOTALOLUM
SOTALOLUM
SOTALOLUM
SOTALOLUM
SOTALOLUM
METOPROLOLUM
METOPROLOLUM

Denumire Comerciala

forma farm.

FUROSEMID ZENTIVA
FUROSEMID LPH 40 mg
FUROSEMID ARENA 40 mg
FUROSEMID 20 mg/2 ml
VEROSPIRON

COMPR.
COMPR.
COMPR.
SOL. INJ.
CAPS.
SPIRONOLACTONA ARENA 25 mg CAPS.
VEROSPIRON
CAPS.
SPIRONOLACTONA ARENA 50 mg CAPS.
SPIRONOLACTONA EEL 25 mg COMPR.
SPIRONOLACTONA OZONE 25 mg COMPR.
SPIRONOLACTONA OZONE 25 mg COMPR.
SPIRONOLACTONA 25 mg COMPR. FILM.
ALSPIRON 25 mg
COMPR. FILM.
ALSPIRON 50 mg
COMPR. FILM.
DIUREX 50
CAPS.
PENTOXIFILINA SR ZENTIVA 400 mg

COMPR. ELIB. PREL.

PENTOXIFILINA SR ZENTIVA 400 mg

COMPR. ELIB. PREL.

PENTOXIFILINA SR ZENTIVA 400 mg

COMPR. ELIB. PREL.

PENTOXIFILINA SR ZENTIVA 600 mg

COMPR. ELIB. PREL.

PENTOXIFILINA SR ZENTIVA 600 mg

COMPR. ELIB. PREL.

PENTOXIFILINA SR ZENTIVA 600 mg

COMPR. ELIB. PREL.

VASONIT RETARD 600 mg


ANGIOPENT 400 mg
PENTOXI RETARD 400 mg
PENTOXI RETARD 400 mg
OXIFLUX 400 mg
OXIFLUX 400 mg
ANGIOPENT 600 mg
PROPRANOLOL
N - PROPRANOLOL 10 mg
PROPRANOLOL 10 mg

COMPR. ELIB. PREL.

PROPRANOLOL FABIOL 10 mg
PROPRANOLOL FABIOL 10 mg

PROPRANOLOL EEL 40 mg
PROPRANOLOL 40 mg
PROPRANOLOL FABIOL 40 mg
PROPRANOLOL FABIOL 40 mg
PROPRANOLOL ARENA 40 mg

SOTAGAMMA 160
SOTAGAMMA 160
SOTALOL AL 160
SOTALOL AL 160
SOTALOL AL 160
DAROB (R) 80 mg
SOTAGAMMA 80
SOTAGAMMA 80
SOTALOL AL 80
SOTALOL AL 80
BLOXAN
BETAPROL 100 mg

COMPR. FILM. ELIB. PREL.


COMPR. FILM. ELIB. PREL.
COMPR. FILM. ELIB. PREL.
COMPR. FILM. ELIB. PREL.
COMPR. FILM. ELIB. PREL.
COMPR. FILM. ELIB. PREL.

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.

concentratie

40mg
40mg
40mg
10mg/ml
100mg
25mg
50mg
50mg
25mg
25mg
25mg
25mg
25mg
50mg
50mg/20mg
400mg
400mg
400mg
600mg
600mg
600mg
600mg
400mg
400mg
400mg
400mg
400mg
600mg
10mg
10mg
10mg
10mg
10mg
40mg
40mg
40mg
40mg
40mg
160mg
160mg
160mg
160mg
160mg
80mg
80mg
80mg
80mg
80mg
100mg
100mg

Detinator APP

ZENTIVA SA
LABORMED PHARMA SA

ARENA GROUP S.A.


ZENTIVA SA
GEDEON RICHTER ROMANIA SA

ARENA GROUP S.A.

tara det.
APP
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

Ambalaj
CUTIE X 1 FLAC. DIN PEID X 20 COMPR. P-6L
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L

Prescriptie

CUTIE X 5 FIOLE DIN STICLA BRUNA CU INEL DE RUPERE X 2 ML SOL. INJ.

P-RF

CUTIE X 3 BLIST. AL/PVC X 10 CAPS.

P-6L

CUTIE CU 5 BLIST. PVC/AL X 10 CAPS. P-6L

CUTIE X 3 BLIST. AL/PVC X 10 CAPS.

P-6L

CUTIE CU 3 BLIST. PVC/AL X 10 CAPS.


CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 5 BLIST. AL/PVC X 10 COMPR.
OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR.
TERAPIA SA
ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM.
AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM.
AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM.
TERAPIA SA
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
ZENTIVA AS
SLOVACIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ELIB. PREL.
ZENTIVA AS
SLOVACIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ELIB. PREL.
ZENTIVA AS
SLOVACIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ELIB. PREL.
ZENTIVA AS
SLOVACIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ELIB. PREL.
ZENTIVA AS
SLOVACIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ELIB. PREL.
ZENTIVA AS
SLOVACIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ELIB. PREL.

P-6L

GEDEON RICHTER ROMANIA SA

ARENA GROUP S.A.


BIO EEL SRL

LANNACHER HEILMITTEL GES.M.B.H.

AUSTRIA

ROMANIA
ROMANIA
ROMANIA
LABORMED PHARMA S.A. ROMANIA
LABORMED PHARMA S.A. ROMANIA
AC HELCOR PHARMA SRL ROMANIA
BIO EEL SRL
ROMANIA
SC MEDUMAN SA
ROMANIA
SINTOFARM SA
ROMANIA
FABIOL S.A.
ROMANIA
FABIOL S.A.
ROMANIA
BIO EEL SRL
ROMANIA
SINTOFARM SA
ROMANIA
FABIOL S.A.
ROMANIA
FABIOL S.A.
ROMANIA
ARENA GROUP SA ROMANIA

P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L

CUTIE X 5 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-6L

AC HELCOR PHARMA SRL

CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL.

TERAPIA SA
TERAPIA SA

CUTIE X 4 BLIST. X 10 COMPR. FILM. ELIB. PREL. P-6L

P-6L

CUTIE X 2 BLIST. X 10 COMPR. FILM. ELIB. PREL. P-6L


CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL

P-6L

CUTIE X 6 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL

P-6L

CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-6L

CUTIE X 2 BLIST. X 25 COMPR.


CUTIE X 1 FLAC. X 50 COMPR.

P-6L

CUTIE X 5 BLIST. AL/PVC X 10 COMPR.


CUTIE X 1 BLIST. AL/PVC X 10 COMPR.
CUTIE X 5 BLIST. AL/PVC X 10 COMPR.
CUTIE X 5 BLIST. AL/PVC X 10 COMPR.
CUTIE X 5 BLIST. AL/PVC X 10 COMPR.
CUTIE X 1 BLIST. AL/PVC X 10 COMPR.
CUTIE X 5 BLIST. AL/PVC X 10 COMPR.
CUTIE X 5 BLIST. AL/PVC X 10 COMPR.

P-6L

P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 2 BLIST. AL/PVC-PVDC X 10 COMPR. P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 10 BLIST. AL/PVC-PVDC X 10 COMPR. P-6L

ALIUD PHARMA GMBH


ALIUD PHARMA GMBH
ALIUD PHARMA GMBH
ABBOTT GMBH&CO.KG

GERMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 10 BLIST. AL/PVC-PVDC X 10 COMPR. P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 2 BLIST. AL/PVC-PVDC X 10 COMPR. P-6L

GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L


GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. P-6L
GERMANIA CUTIE X 2 BLIST. PP/AL X 10 COMPR. P-6L

ALIUD PHARMA GMBH GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 COMPR.


ALIUD PHARMA GMBH GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR.
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC/PVDC TRANSPARENT/AL X 10 COMPR.
AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

Pagina 5 din 236

P-6L
P-6L
P-6L
P-6L

Pret
Val suportata
amanun
de CNAS/UT
tul
Pret
(RON)Legea Val suportata
cant/ maximal amanuntul nr. 95/2006 art
CNAS/UT
amba /ambalaj maximal/UT 213 alin.1 lit.
(RON) pt.
laj
(RON)
(RON)
a) si f)
Adulti

20
20
20
5
30
50
30
30
20
50
50
50
20
20
20
20
50
100
20
50
100
50
20
40
20
20
60
20
50
50
50
10
50
50
50
10
50
50
20
100
20
50
100
20
100
20
100
50
30
30

5.95
3.00
5.95
5.99
28.17
15.89
16.52
16.06
4.25
10.66
10.66
16.02
4.25
13.59
23.04
10.12
20.29
30.40
13.81
33.43
64.62
33.25
6.06
22.16
17.01
6.06
18.18
16.26
3.22
3.19
3.54
0.72
2.88
4.92
4.58
0.79
3.22
4.92
11.48
57.75
11.03
26.61
53.99
9.94
38.86
8.51
36.10
17.32
13.88
10.82

0.297500
0.150000
0.297500
1.198000
0.939000
0.317800
0.550666
0.535333
0.212500
0.213200
0.213200
0.320400
0.212500
0.679500
1.152000
0.506000
0.405800
0.304000
0.690500
0.668600
0.646200
0.665000
0.303000
0.554000
0.850500
0.303000
0.303000
0.813000
0.064400
0.063800
0.070800
0.072000
0.057600
0.098400
0.091600
0.079000
0.064400
0.098400
0.574000
0.577500
0.551500
0.532200
0.539900
0.497000
0.388600
0.425500
0.361000
0.346400
0.462666
0.360666

0.149625
0.149625
0.149625
1.198000
0.852800
0.213200
0.426400
0.426400
0.212500
0.213200
0.213200
0.213200
0.212500
0.426400
1.152000
0.304000
0.304000
0.304000
0.456000
0.456000
0.456000
0.456000
0.303000
0.304000
0.304000
0.303000
0.303000
0.456000
0.027987
0.027987
0.027987
0.027987
0.027987
0.098400
0.091600
0.079000
0.064400
0.098400
0.447795
0.447795
0.447795
0.447795
0.447795
0.223897
0.223897
0.223897
0.223897
0.223897
0.292971
0.292971

0.134662
0.134662
0.134662
1.078200
0.767520
0.191880
0.383760
0.383760
0.191250
0.191880
0.191880
0.191880
0.191250
0.383760
1.036800
0.273600
0.273600
0.273600
0.410400
0.410400
0.410400
0.410400
0.272700
0.273600
0.273600
0.272700
0.272700
0.410400
0.025188
0.025188
0.025188
0.025188
0.025188
0.088560
0.082440
0.071100
0.057960
0.088560
0.403015
0.403015
0.403015
0.403015
0.403015
0.201507
0.201507
0.201507
0.201507
0.201507
0.263673
0.263673

cod ATC

DCI

242 C07AB02

METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
ATENOLOLUM
ATENOLOLUM
ATENOLOLUM
ATENOLOLUM
ATENOLOLUM
ATENOLOLUM
ATENOLOLUM
ATENOLOLUM

Nr crt.

243 C07AB02
244 C07AB02
245 C07AB02
246 C07AB02
247 C07AB02
248 C07AB02
249 C07AB02
250 C07AB02
251 C07AB02
252 C07AB02
253 C07AB02
254 C07AB02
255 C07AB02
256 C07AB02
257 C07AB02
258 C07AB02
259 C07AB02
260 C07AB02
261 C07AB02
262 C07AB02
263 C07AB02
264 C07AB02
265 C07AB02
266 C07AB02
267 C07AB02
268 C07AB02
269 C07AB02
270 C07AB02
271 C07AB02
272 C07AB02
273 C07AB02
274 C07AB02
275 C07AB02
276 C07AB02
277 C07AB02
278 C07AB02
279 C07AB02
280 C07AB02
281 C07AB02
282 C07AB02
283 C07AB02
284 C07AB03
285 C07AB03
286 C07AB03
287 C07AB03
288 C07AB03
289 C07AB03
290 C07AB03
291 C07AB03

Denumire Comerciala

EGILOK 100 mg
METOPROLOL LPH 100 mg
METOPROLOL AL 100
METOPROLOL AL 100
METOPROLOL AL 100
METOPROLOL 100 mg

forma farm.

METOPROLOL 50 mg
METOPROLOL 50 mg

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.

METOPROLOL RETARD 100 mg

COMPR. ELIB. PREL.

METOPROLOL TERAPIA 100 mg


METOPROLOL MEDICO UNO 100 mg
METOPROLOL VIM SPECTRUM 100 mg

METOPROLOL ARENA 100 MG

METOPROLOL 100 mg
METOPROLOL 100 mg
EGILOK 25 mg
METOPROLOL LPH 25 mg
METOPROLOL 25 mg
METOPROLOL MEDICO UNO 25 mg

METOPROLOL ARENA 25 MG

BETAPROL 50 mg
EGILOK 50 mg
METOPROLOL LPH 50 mg
METOPROLOL AL 50
METOPROLOL AL 50
METOPROLOL AL 50
METOPROLOL 50 mg
METOPROLOL TERAPIA 50 mg
METOPROLOL MEDICO UNO 50 mg
METOPROLOL VIM SPECTRUM 50 mg

METOPROLOL ARENA 50 MG

BETALOC (R) ZOK 100 mg


EMZOK 100 mg

COMPR. FILM. ELIB. PREL.


COMPR. FILM. ELIB. PREL.

METOPROLOL SUCCINAT POLPHARMA 190 mg

COMPR. FILM. ELIB. PREL.

METOPROLOL SUCCINAT POLPHARMA 23,75 mg

COMPR. FILM. ELIB. PREL.

METOPROLOL SUCCINAT POLPHARMA 47,5 mg COMPR. FILM. ELIB. PREL.

BETALOC (R) ZOK 50 mg


EMZOK 50 mg

COMPR. FILM. ELIB. PREL.


COMPR. FILM. ELIB. PREL.

METOPROLOL SUCCINAT POLPHARMA 95 mg

COMPR. FILM. ELIB. PREL.

METOSUCCINAT SANDOZ 190 mg

COMPR.FILM.ELIB.MOD.

METOSUCCINAT SANDOZ 47,5 mg

COMPR.FILM.ELIB.MOD.

METOSUCCINAT SANDOZ 95 mg

COMPR.FILM.ELIB.MOD.

ATENOCOR 100 mg
ATENOLOL LPH 100 mg
ATENOLOL 100 mg
ATENOLOL ARENA 100 MG
ATENOLOL LPH 50 mg
ATENOLOL MEDUMAN 50mg
ATENOLOL 50 mg
ATENOCOR 50 mg

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.

concentratie

100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
25mg
25mg
25mg
25mg
25mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
100mg
100mg
100mg
190mg
23,75mg
47,5mg
50mg
50mg
95mg
190mg
47,5mg
95mg
100mg
100mg
100mg
100mg
50mg
50mg
50mg
50mg

Detinator APP

tara det.
APP

Ambalaj

UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 20 COMPR.


LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

EGIS PHARMACEUTICALS P.L.C.

Prescriptie

P-6L
P-6L

ALIUD PHARMA GMBH & CO.KG

GERMANIA CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR.

ALIUD PHARMA GMBH & CO.KG

GERMANIA CUTIE X 10 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L

ALIUD PHARMA GMBH & CO.KG

GERMANIA CUTIE X 5 BLIST. DIN PVC-PVDC/AL X 10 COMPR.

P-6L
P-6L

MAGISTRA C & C SRL ROMANIA


TERAPIA SA
ROMANIA
MEDICO UNO PHARMACEUTICAL SRL ROMANIA
VIM SPECTRUM SRL ROMANIA
ARENA GROUP SA ROMANIA
OZONE LABORATORIES PHARMA S.A. ROMANIA
SLAVIA PHARMA S.R.L. ROMANIA
EGIS PHARMACEUTICALS P.L.C. UNGARIA
LABORMED PHARMA SA ROMANIA
MAGISTRA C & C SRL ROMANIA
MEDICO UNO PHARMACEUTICAL SRL ROMANIA
ARENA GROUP S.A. ROMANIA
AC HELCOR PHARMA SRL ROMANIA
EGIS PHARMACEUTICALS P.L.C. UNGARIA
LABORMED PHARMA SA ROMANIA
ALIUD PHARMA GMBH GERMANIA
ALIUD PHARMA GMBH GERMANIA
ALIUD PHARMA GMBH GERMANIA
MAGISTRA C & C SRL ROMANIA
TERAPIA SA
ROMANIA
MEDICO UNO PHARMACEUTICAL SRL ROMANIA
VIM SPECTRUM SRL ROMANIA
ARENA GROUP S.A. ROMANIA
OZONE LABORATORIES PHARMA S.A. ROMANIA
SLAVIA PHARMA S.R.L. ROMANIA
TERAPIA SA
ROMANIA

ASTRAZENECA AB

CUTIE X 1 FLAC. X 30 COMPR. FILM. ELIB. PREL. P-6L

IVAX PHARMCEUTICALS S.R.O.


PHARMACEUTICAL WORKS POLPHARMA SA
PHARMACEUTICAL WORKS POLPHARMA SA
PHARMACEUTICAL WORKS POLPHARMA SA

ASTRAZENECA AB
IVAX PHARMCEUTICALS S.R.O.
PHARMACEUTICAL WORKS POLPHARMA SA

HEXAL AG
HEXAL AG
HEXAL AG
AC HELCOR SRL
LABORMED PHARMA SA

SLAVIA PHARM SRL


ARENA GROUP SA
LABORMED PHARMA SA

MEDUMAN SA
SLAVIA PHARM SRL
AC HELCOR SRL

Pagina 6 din 236

SUEDIA
CEHIA
POLONIA
POLONIA
POLONIA
SUEDIA
CEHIA
POLONIA

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.


CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L

CUTIE X 1 FLAC. DIN STICLA BRUNA X 20 COMPR. P-6L

CUTIE X 1 BLIST. AL/PVC X 20 COMPR.


CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P-6L
P-6L
P-6L
P-6L
P-6L

CUTIE X 1 FLAC. DIN STICLA BRUNA X 20 COMPR. P-6L

CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L


CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR.

P-6L

CUTIE X 10 BLIST. DIN PVC-PVDC/ALX 10 COMPR P-6L


CUTIE X 5 BLIST. DIN PVC-PVDC/AL X 10 COMPR.

P-6L

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.


CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-6L

CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. CU ELIB. PREL.

P-6L

P-6L
P-6L
P-6L
P-6L
P-6L
P-6L

CUTIE X 3 BLIST. AL/PP X 10 COMPR. FILM. ELIB. PREL. P-6L


CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. CU ELIB. PREL.

P-6L

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. CU ELIB. PREL.

P-6L

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. CU ELIB. PREL.

P-6L

CUTIE X 1 FLAC. X 30 COMPR. FILM. ELIB. PREL. P-6L


CUTIE X 3 BLIST. AL/PP X 10 COMPR. FILM. ELIB. PREL. P-6L
CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. CU ELIB. PREL.

P-6L

GERMANIA

CUTIE X 3 BLIST. ACLAR-PVC/AL X 10 COMPR. FILM. ELIB. MODIF.

P-6L

GERMANIA

CUTIE X 3 BLIST. ACLAR-PVC/AL X 10 COMPR. FILM. ELIB. MODIF.

P-6L

GERMANIA

CUTIE X 3 BLIST. ACLAR-PVC/AL X 10 COMPR. FILM. ELIB. MODIF.

P-6L

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L


CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L

CUTIE X 2 BLIST. X 10 COMPR.

P-6L

CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L


CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
CUTIE X 1 FLAC. DIN PE X 20 COMPR. P-6L

CUTIE X 2 BLIST. X 10 COMPR.

P-6L

CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L

Pret
Val suportata
amanun
de CNAS/UT
tul
Pret
(RON)Legea Val suportata
cant/ maximal amanuntul nr. 95/2006 art
CNAS/UT
amba /ambalaj maximal/UT 213 alin.1 lit.
(RON) pt.
laj
(RON)
(RON)
a) si f)
Adulti

20
30
30
100
50
30
30
30
20
30
20
20
20
20
30
30
30
30
20
30
30
100
50
30
30
30
20
30
20
20
20
30
30
28
28
28
30
30
28
30
30
30
30
20
20
20
20
20
20
30

6.49
7.04
9.01
19.52
12.85
9.38
14.93
6.93
7.29
6.93
8.00
8.00
1.88
1.88
2.82
2.82
2.82
5.21
3.47
4.68
5.21
8.31
7.01
5.21
6.98
5.21
3.41
5.21
3.47
3.47
11.00
25.39
16.50
20.96
2.73
9.40
15.50
10.09
15.41
22.45
8.04
13.44
10.71
6.96
6.18
6.18
3.88
3.65
4.45
5.29

0.324500
0.234666
0.300333
0.195200
0.257000
0.312666
0.497666
0.231000
0.364500
0.231000
0.400000
0.400000
0.094000
0.094000
0.094000
0.094000
0.094000
0.173666
0.173500
0.156000
0.173666
0.083100
0.140200
0.173666
0.232666
0.173666
0.170500
0.173666
0.173500
0.173500
0.550000
0.846333
0.550000
0.748571
0.097500
0.335714
0.516666
0.336333
0.550357
0.748333
0.268000
0.448000
0.357000
0.348000
0.309000
0.309000
0.194000
0.182500
0.222500
0.176333

0.292971
0.234666
0.292971
0.195200
0.257000
0.292971
0.292971
0.231000
0.292971
0.231000
0.292971
0.292971
0.073242
0.073242
0.073242
0.073242
0.073242
0.146485
0.146485
0.146485
0.146485
0.083100
0.140200
0.146485
0.146485
0.146485
0.146485
0.146485
0.146485
0.146485
0.292971
0.292971
0.292971
0.556645
0.069580
0.139161
0.146485
0.146485
0.278322
0.556645
0.139161
0.278322
0.357000
0.348000
0.309000
0.309000
0.194000
0.182500
0.222500
0.176333

0.263673
0.211199
0.263673
0.175680
0.231300
0.263673
0.263673
0.207900
0.263673
0.207900
0.263673
0.263673
0.065918
0.065918
0.065918
0.065918
0.065918
0.131836
0.131836
0.131836
0.131836
0.074790
0.126180
0.131836
0.131836
0.131836
0.131836
0.131836
0.131836
0.131836
0.263673
0.263673
0.263673
0.500980
0.062622
0.125244
0.131836
0.131836
0.250490
0.500980
0.125244
0.250490
0.321300
0.313200
0.278100
0.278100
0.174600
0.164250
0.200250
0.158699

Nr crt.

cod ATC

292 C07AB03
293 C07AB03
294 C07AB05
295 C07AB05
296 C07AB05
297 C07AB05
298 C07AB05
299 C07AB07
300 C07AB07
301 C07AB07
302 C07AB07
303 C07AB07
304 C07AB07
305 C07AB07
306 C07AB07
307 C07AB07
308 C07AB07
309 C07AB07
310 C07AB07
311 C07AB07
312 C07AG02
313 C07AG02
314 C07AG02
315 C07AG02
316 C07AG02
317 C07AG02
318 C07AG02
319 C07AG02
320 C07AG02
321 C07AG02
322 C07AG02
323 C07AG02
324 C07AG02
325 C07AG02
326 C07AG02
327 C07AG02
328 C07AG02
329 C07AG02
330 C07AG02
331 C07AG02
332 C07AG02
333 C07AG02
334 C07AG02
335 C07AG02
336 C07AG02
337 C07AG02
338 C07AG02
339 C07AG02
340 C07AG02
341 C07AG02

DCI

ATENOLOLUM
ATENOLOLUM
BETAXOLOLUM
BETAXOLOLUM
BETAXOLOLUM
BETAXOLOLUM
BETAXOLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM

Denumire Comerciala

ATENOLOL ARENA 50 MG
ATENOLOL 100 mg MEDO
LOKREN 20 mg
BETAC
BETAC
BETAC
BETAC
BISOBLOCK 10 mg
BISOBLOCK 5 mg
CONCOR 10 mg
BISOGAMMA (R) 10
BISOGAMMA (R) 10
CONCOR COR 10 mg
BISOTENS 10 mg
CONCOR COR 2,5 mg
CONCOR 5 mg
BISOGAMMA (R) 5
BISOGAMMA (R) 5
CONCOR COR 5 mg
BISOTENS 5 mg
CARVEDILOL SANDOZ
DILATREND (R) 12,5 mg
CORYOL 12,5 mg
TALLITON (R) 12,5 mg

forma farm.

COMPR.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

COMPR.
COMPR.
COMPR.
COMPR.
CARVEDILOL HELCOR 12,5 mg COMPR.
CARVEDILOL LPH 12,5 mg COMPR.
CARVEDILOL VIM SPECTRUM 12,5mg COMPR.
GLADYCOR 12,5 mg
COMPR.
MIOCARVIL 12,5 mg
COMPR.
ATRAM 12,5
COMPR.
TEDILOL 12,5 mg
COMPR.
DILATREND (R) 25 mg
COMPR.
CORYOL 25 mg
COMPR.
TALLITON (R) 25 mg
COMPR.
CARVEDILOL HELCOR 25 mg COMPR.
CARVEDILOL SANDOZ
COMPR.
CARVEDILOL LPH 25 mg
COMPR.
GLADYCOR 25 mg
COMPR.
MIOCARVIL 25 mg
COMPR.
ATRAM 25
COMPR.
TEDILOL 25 mg
COMPR.
DILATREND (R) 6,25 mg
COMPR.
CORYOL (R)
COMPR.
TALLITON 6,25 mg
COMPR.
CARVEDILOL SANDOZ
COMPR.
CARVEDILOL LPH 6,25 mg COMPR.
CARVEDILOL VIM SPECTRUM 6,25 mg COMPR.
GLADYCOR 6,25 mg
COMPR.
MIOCARVIL 6,25 mg
COMPR.
ATRAM 6,25
COMPR.

concentratie

50mg
100mg
20mg
20mg
20mg
20mg
20mg
10mg
5mg
10mg
10mg
10mg
10mg
10mg
2,5mg
5mg
5mg
5mg
5mg
5mg
12,5 mg
12,5mg
12,5mg
12,5mg
12,5mg
12,5mg
12,5mg
12,5mg
12,5mg
12,5mg
12,5mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
6,25mg
6,25mg
6,25mg
6,25mg
6,25mg
6,25mg
6,25mg
6,25mg
6,25mg

Detinator APP

ARENA GROUP SA
MEDOCHEMIE ROMANIA SRL

tara det.
APP
Ambalaj
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L

Prescriptie

FRANTA CUTIE X 2 BLIST. AL/PVC X 14 COMPR.FILM.


CIPRU
CUTIE X 4 BLIST. AL/PVC X 7 COMPR. FILM.
CIPRU
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.
CIPRU
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM.
CIPRU
CUTIE X 2 BLIST. AL/PVC X 7 COMPR. FILM.
ACTAVIS HUNGARY KFT. UNGARIA CUTIE X 3 BLIST. X 10 COMPR.
ACTAVIS HUNGARY KFT. UNGARIA CUTIE X 3 BLIST. X 10 COMPR.
MERCK KGAA
GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.FILM.

SANOFI-AVENTIS FRANCE

P-6L

MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.

P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 10 BLIST. X 10 COMPR. FILM.

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 3 BLIST. X 10 COMPR. FILM. P-6L

MERCK KGAA
ANTIBIOTICE S.A.
MERCK KGAA
MERCK KGAA

P-6L/S

GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L

ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.

P-6L

GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L


GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.FILM. P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 3 BLIST. X 10 COMPR. FILM. P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 4 BLIST. X 25 COMPR. FILM. P-6L

MERCK KGAA
ANTIBIOTICE S.A.
HEXAL AG

GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L

ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.

P-6L

GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L

ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. OPA-AL-PVDC/AL X 14 COMPR. P-6L


KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 4 BLIST. OPA-AL-PVC/AL X 7 COMPR. P-6L
EGIS PHARMACEUTICALS P.L.C.

UNGARIA
ROMANIA
LABORMED PHARMA SA ROMANIA
VIM SPECTRUM SRL ROMANIA
ANTIBIOTICE S.A.
ROMANIA
LABORMED PHARMA S.A. ROMANIA

CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR. P-6L

AC HELCOR PHARMA SRL

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 3 BLIST. PVC/AL X 10 COMPR.

ZENTIVA K.S.

CUTIE X 2 BLIST. PVC-PVDC/AL X 15 COMPR. P-6L

CEHIA

P-6L
P-6L
P-6L
P-6L

CUTIE X 3 BLIST. PVC/AL X 10 COMPR. FILM. P-6L

ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR.


ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. OPA-AL-PVDC/AL X 14 COMPR.

TEVA PHARMACEUTICAL S.R.L.

P-6L
P-6L

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. P-6L
AC HELCOR PHARMA SRL

UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR.


ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

HEXAL AG

GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L

EGIS PHARMACEUTICALS P.L.C.

P-6L
P-6L

LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L

ANTIBIOTICE S.A.

ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR.

P-6L

LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. FILM. P-6L

ZENTIVA K.S.

CEHIA

CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L

ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR.


ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. OPA-AL-PVDC/AL X 14 COMPR.

TEVA PHARMACEUTICAL S.R.L.

KRKA D.D.

P-6L
P-6L

SLOVENIA CUTIE X 4 BLIST. OPA-AL-PVC/AL X 7 COMPR. P-6L

EGIS PHARMACEUTICALS P.L.C.

UNGARIA

HEXAL AG

GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L

CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR. P-6L

LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-6L

VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


ANTIBIOTICE S.A.
ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR.

P-6L
P-6L

LABORMED PHARMA S.A. ROMANIA CUTIE X 2 BLIST. PVC/AL X 15 COMPR. FILM. P-6L

ZENTIVA K.S.

Pagina 7 din 236

CEHIA

CUTIE X 2 BLIST. PVC-PVDC/AL X 15 COMPR. P-6L

Pret
Val suportata
amanun
de CNAS/UT
tul
Pret
(RON)Legea Val suportata
cant/ maximal amanuntul nr. 95/2006 art
CNAS/UT
amba /ambalaj maximal/UT 213 alin.1 lit.
(RON) pt.
laj
(RON)
(RON)
a) si f)
Adulti

20
20
28
28
30
20
14
30
30
30
100
30
30
30
30
30
30
100
30
30
30
28
28
30
20
30
20
30
30
30
30
28
28
30
20
30
30
30
30
30
30
28
28
30
30
30
20
30
30
30

3.51
4.55
22.56
14.67
15.70
10.48
7.32
16.35
7.46
31.46
48.85
17.90
33.41
17.90
14.59
16.15
8.44
24.71
22.05
8.44
8.63
29.58
12.33
13.14
8.61
13.20
6.64
12.94
13.20
12.71
8.31
33.06
21.79
23.34
15.53
9.08
23.34
22.73
23.34
19.34
8.95
16.26
6.36
6.81
6.81
6.81
4.51
6.63
6.81
6.36

0.175500
0.227500
0.805714
0.523928
0.523333
0.524000
0.522857
0.545000
0.248666
1.048666
0.488500
0.596666
1.113666
0.596666
0.486333
0.538333
0.281333
0.247100
0.735000
0.281333
0.287666
1.056428
0.440357
0.438000
0.430500
0.440000
0.332000
0.431333
0.440000
0.423666
0.277000
1.180714
0.778214
0.778000
0.776500
0.302666
0.778000
0.757666
0.778000
0.644666
0.298333
0.580714
0.227142
0.227000
0.227000
0.227000
0.225500
0.221000
0.227000
0.212000

0.175500
0.227500
0.439456
0.439456
0.439456
0.439456
0.439456
0.439456
0.219728
0.439456
0.439456
0.439456
0.439456
0.439456
0.109864
0.219728
0.219728
0.219728
0.219728
0.219728
0.287666
0.350100
0.350100
0.350100
0.350100
0.350100
0.332000
0.350100
0.350100
0.350100
0.277000
0.700200
0.700200
0.700200
0.700200
0.302666
0.700200
0.700200
0.700200
0.644666
0.298333
0.175049
0.175049
0.175049
0.175049
0.175049
0.175049
0.175049
0.175049
0.175049

0.157950
0.204750
0.395511
0.395511
0.395511
0.395511
0.395511
0.395511
0.197755
0.395511
0.395511
0.395511
0.395511
0.395511
0.098877
0.197755
0.197755
0.197755
0.197755
0.197755
0.258899
0.315090
0.315090
0.315090
0.315090
0.315090
0.298800
0.315090
0.315090
0.315090
0.249300
0.630180
0.630180
0.630180
0.630180
0.272399
0.630180
0.630180
0.630180
0.580199
0.268499
0.157544
0.157544
0.157544
0.157544
0.157544
0.157544
0.157544
0.157544
0.157544

Nr crt.

cod ATC

342 C07AG02
343 C07AG02
344 C07AG02
345 C07AG02
346 C08CA01
347 C08CA01
348 C08CA01
349 C08CA01
350 C08CA01
351 C08CA01
352 C08CA01
353 C08CA01
354 C08CA01
355 C08CA01
356 C08CA01
357 C08CA01
358 C08CA01
359 C08CA01
360 C08CA01
361 C08CA01
362 C08CA01
363 C08CA01
364 C08CA01
365 C08CA01
366 C08CA01
367 C08CA01
368 C08CA01
369 C08CA01
370 C08CA01
371 C08CA01
372 C08CA01
373 C08CA01
374 C08CA01
375 C08CA01
376 C08CA01
377 C08CA01
378 C08CA01
379 C08CA01
380 C08CA01
381 C08CA01
382 C08CA01
383 C08CA01
384 C08CA01
385 C08CA01
386 C08CA01
387 C08CA01
388 C08CA01
389 C08CA01
390 C08CA01
391 C08CA01

DCI

CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM

Denumire Comerciala

TEDILOL 6,25 mg
CARVEDIGAMMA 12,5 mg
CARVEDIGAMMA 25 mg
CARVEDIGAMMA 6,25 mg
NORVASC 10 mg
AMLOHEXAL 10 mg
TENOX (R) 10
ALOZUR 10 mg
CARDILOPIN 10 mg

forma farm.

COMPR.

concentratie

6,25mg
COMPR. FILM. 12,5mg
COMPR. FILM. 25mg
COMPR. FILM. 6,25mg
COMPR.
10mg
COMPR.
10mg
COMPR.
10mg
COMPR.
10mg
COMPR.
10mg
AMLODIPINA BIOGALENICA 10 mg COMPR.
10mg
ALMACOR 10 mg
COMPR.
10mg
EPLODIN 10 mg
COMPR.
10mg
AMLODIPINA ACTAVIS 10 mg COMPR.
10mg
AMLODIPIN VIM SPECTRUM 10 mg COMPR.
10mg
TARDIP 10 mg
COMPR.
10mg
TARDIP 10 mg
COMPR.
10mg
AGEN 10
COMPR.
10mg
ALOZUR 10 mg
COMPR.
10mg
AMLODIPINE VALEANT 10 mg COMPR.
10mg
AMLODIPINE VALEANT 10 mg COMPR.
10mg
AMLODIPINE VALEANT 10 mg COMPR.
10mg
AMLODIPINA LPH 10 mg
COMPR.
10mg
STAMLO M 10 mg
COMPR.
10mg
AMLODIPINA BLUEFISH 10 mg COMPR.
10mg
AMLODIPINA BIOGALENICA 10 mg COMPR.
10mg
AMLODIPINA HELCOR 10 mg COMPR.
10mg
AMLODIPINA TERAPIA 10 mg COMPR.
10mg
AMLODIPINA TERAPIA 10 mg COMPR.
10mg
NORVASC 5 mg
COMPR.
5mg
AMLOHEXAL 5 mg
COMPR.
5mg
TENOX (R) 5
COMPR.
5mg
ALOZUR 5 mg
COMPR.
5mg
CARDILOPIN 5 mg
COMPR.
5mg
AMLODIPINA BIOGALENICA 5 mg COMPR.
5mg
ALMACOR 5 mg
COMPR.
5mg
EPLODIN 5 mg
COMPR.
5mg
AMLODIPINA ACTAVIS 5 mg COMPR.
5mg
AMLODIPIN VIM SPECTRUM 5 mg COMPR.
5mg
TARDIP 5 mg
COMPR.
5mg
TARDIP 5 mg
COMPR.
5mg
AGEN 5
COMPR.
5mg
ALOZUR 5 mg
COMPR.
5mg
AMLODIPINE VALEANT 5 mg COMPR.
5mg
AMLODIPINE VALEANT 5 mg COMPR.
5mg
AMLODIPINE VALEANT 5 mg COMPR.
5mg
AMLODIPINA LPH 5 mg
COMPR.
5mg
STAMLO M 5 mg
COMPR.
5mg
AMLODIPINA BLUEFISH 5 mg COMPR.
5mg
AMLODIPINA BIOGALENICA 5 mg COMPR.
5mg
AMLODIPINA HELCOR 5 mg COMPR.
5mg

TEVA PHARMACEUTICALS S.R.L.

tara det.
APP
Ambalaj
ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA

Detinator APP

Prescriptie

WORWAG PHARMA GMBH & CO. KG

GERMANIA

PFIZER EUROPE MA EEIG

MAREA BRITANIE

HEXAL AG
KRKA D.D.

GERMANIA

OZONE LABORATORIES BV

OLANDA

SLOVENIA

UNGARIA
LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA
ANTIBIOTICE S.A.
ROMANIA
EXTRACTUMPHARMA UNGARIA
EGIS PHARMACEUTICALS P.L.C.

ACTAVIS GROUP PTC EHF.

ISLANDA

VIM SPECTRUM SRL


TERAPIA SA
TERAPIA SA
ZENTIVA K.S.

ROMANIA
ROMANIA
ROMANIA

OZONE LABORATORIES PHARMA S.A.

CEHIA
ROMANIA

ICN POLFA RZESZOW POLONIA


ICN POLFA RZESZOW POLONIA
ICN POLFA RZESZOW POLONIA
LABORMED PHARMA S.A. ROMANIA
DR. REDDY'S LABORATORIES ROMANIA
BLUEFISH PHARMACEUTICALS AB

SUEDIA

ARENA GROUP S.A.


HELCOR S.R.L.
TERAPIA SA
TERAPIA SA

ROMANIA
ROMANIA
ROMANIA
ROMANIA

PFIZER EUROPE MA EEIG

MAREA BRITANIE

HEXAL AG
KRKA D.D.

GERMANIA

OZONE LABORATORIES BV

OLANDA

SLOVENIA

UNGARIA
LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA
ANTIBIOTICE S.A.
ROMANIA
EXTRACTUMPHARMA UNGARIA
EGIS PHARMACEUTICALS P.L.C.

ACTAVIS GROUP PTC EHF.

ISLANDA

VIM SPECTRUM SRL


TERAPIA SA
TERAPIA SA
ZENTIVA K.S.

ROMANIA
ROMANIA
ROMANIA

OZONE LABORATORIES PHARMA S.A.

CEHIA
ROMANIA

ICN POLFA RZESZOW POLONIA


ICN POLFA RZESZOW POLONIA
ICN POLFA RZESZOW POLONIA
LABORMED PHARMA S.A. ROMANIA
DR. REDDY'S LABORATORIES ROMANIA

SUEDIA
ARENA GROUP S.A. ROMANIA
HELCOR S.R.L.
ROMANIA

BLUEFISH PHARMACEUTICALS AB

Pagina 8 din 236

Pret
Val suportata
amanun
de CNAS/UT
tul
Pret
(RON)Legea Val suportata
cant/ maximal amanuntul nr. 95/2006 art
CNAS/UT
amba /ambalaj maximal/UT 213 alin.1 lit.
(RON) pt.
laj
(RON)
(RON)
a) si f)
Adulti

30
30
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
30
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
30
CUTIE X 3 BLIST. AL-PVC/PVDC X 10 COMPR. P-6L
30
CUTIE X 3 BLIST. AL/PVC-COC-PVDC X 10 COMPR. P-6L
30
CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L
30
CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L
30
CUTIE X 3 BLIST. AL/PVC-PVDC X 10 COMPR. P-6L
30
CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L
30
CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L
30
CUTIE X 3 BLIST. PVC- PVDC/AL X 10 COMPR. P-6L
30
CUTIE CU BLIST. PVC-PVDC/AL X 20 COMPR. P-6L
20
CUTIE X 2 BLIST. PVC-COC-PVDC/AL X 10 COMPR. P-6L
20
CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L
30
CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L
30
CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L
30
CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L
30
CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L
30
CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L
50
CUTIE X 10 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L/S
100
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
CUTIE X 2 BLIST. AL/OPA-AL-PVC X 14 COMPR. P-6L
28
CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L
30
CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L
30
CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. P6L
20
CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L
30
CUTIE X 3 BLIST. ACLAR-PVC/AL X 10 COMPR. P-6L
30
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
CUTIE X 3 BLIST. AL/PVC-COC-PVDC X 10 COMPR. P-6L
30
CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L
30
CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L
30
CUTIE X 3 BLIST. AL/PVC-PVDC X 10 COMPR. P-6L
30
CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L
30
CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L
30
CUTIE X 3 BLIST. PVC- PVDC/AL X 10 COMPR. P-6L
30
CUTIE CU BLIST. PVC-PVDC/AL X 20 COMPR. P-6L
20
CUTIE X 2 BLIST. PVC-COC-PVDC/AL X 10 COMPR. P-6L
20
CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L
30
CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L
30
CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L
30
CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L
30
CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L
30
CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L
50
CUTIE X 10 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L/S
100
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
CUTIE X 2 BLIST. AL/OPA-AL-PVC X 14 COMPR. P-6L
28
CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L
30
CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L
30
CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. P6L
20

5.96
13.76
24.01
8.95
29.32
19.04
19.03
19.04
19.04
19.04
19.04
19.03
12.70
12.70
19.08
19.08
19.04
19.04
17.70
31.76
61.48
19.04
14.50
10.83
19.04
12.71
19.08
19.08
19.71
11.23
11.26
10.89
11.23
7.80
11.22
11.23
7.49
7.35
10.69
10.69
11.11
10.89
9.52
18.72
36.25
11.23
8.64
8.89
7.80
8.52

0.198666
0.458666
0.800333
0.298333
0.977333
0.634666
0.634333
0.634666
0.634666
0.634666
0.634666
0.634333
0.635000
0.635000
0.636000
0.636000
0.634666
0.634666
0.590000
0.635200
0.614800
0.634666
0.517857
0.361000
0.634666
0.635500
0.636000
0.636000
0.657000
0.374333
0.375333
0.363000
0.374333
0.260000
0.374000
0.374333
0.374500
0.367500
0.356333
0.356333
0.370333
0.363000
0.317333
0.374400
0.362500
0.374333
0.308571
0.296333
0.260000
0.426000

0.175049
0.350100
0.700200
0.175049
0.571349
0.571349
0.571349
0.571349
0.571349
0.571349
0.571349
0.571349
0.571349
0.571349
0.571349
0.571349
0.571349
0.571349
0.571349
0.571349
0.571349
0.571349
0.517857
0.361000
0.571349
0.571349
0.571349
0.571349
0.285674
0.285674
0.285674
0.285674
0.285674
0.260000
0.285674
0.285674
0.285674
0.285674
0.285674
0.285674
0.285674
0.285674
0.285674
0.285674
0.285674
0.285674
0.285674
0.285674
0.260000
0.285674

0.157544
0.315090
0.630180
0.157544
0.514214
0.514214
0.514214
0.514214
0.514214
0.514214
0.514214
0.514214
0.514214
0.514214
0.514214
0.514214
0.514214
0.514214
0.514214
0.514214
0.514214
0.514214
0.466071
0.324900
0.514214
0.514214
0.514214
0.514214
0.257107
0.257107
0.257107
0.257107
0.257107
0.234000
0.257107
0.257107
0.257107
0.257107
0.257107
0.257107
0.257107
0.257107
0.257107
0.257107
0.257107
0.257107
0.257107
0.257107
0.234000
0.257107

Nr crt.

cod ATC

392 C08CA01
393 C08CA01
394 C08CA02
395 C08CA02
396 C08CA02
397 C08CA02
398 C08CA02
399 C08CA02
400 C08CA02
401 C08CA02
402 C08CA02
403 C08CA02
404 C08CA02
405 C08CA02
406 C08CA02
407 C08CA02
408 C08CA02
409 C08CA02
410 C08CA02
411 C08CA02
412 C08CA05
413 C08CA05
414 C08CA05
415 C08DA01
416 C08DA01
417 C08DA01
418 C08DA01
419 C08DA01
420 C08DA01
421 C08DA01
422 C08DA01
423 C08DB01
424 C08DB01
425 C08DB01
426 C08DB01
427 C08DB01
428 C08DB01
429 C08DB01
430 C08DB01
431 C09AA01
432 C09AA01
433 C09AA01
434 C09AA01
435 C09AA01
436 C09AA01
437 C09AA01
438 C09AA01
439 C09AA01
440 C09AA01
441 C09AA01

DCI

AMLODIPINUM
AMLODIPINUM
FELODIPINUM
FELODIPINUM
FELODIPINUM
FELODIPINUM
FELODIPINUM
FELODIPINUM
FELODIPINUM
FELODIPINUM
FELODIPINUM
FELODIPINUM
FELODIPINUM
FELODIPINUM
FELODIPINUM
FELODIPINUM
FELODIPINUM
FELODIPINUM
FELODIPINUM
FELODIPINUM
NIFEDIPINUM
NIFEDIPINUM
NIFEDIPINUM
VERAPAMILUM
VERAPAMILUM
VERAPAMILUM
VERAPAMILUM
VERAPAMILUM
VERAPAMILUM
VERAPAMILUM
VERAPAMILUM
DILTIAZEMUM
DILTIAZEMUM
DILTIAZEMUM
DILTIAZEMUM
DILTIAZEMUM
DILTIAZEMUM
DILTIAZEMUM
DILTIAZEMUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM

Denumire Comerciala

forma farm.

AMLODIPINA TERAPIA 5 mg COMPR.


AMLODIPINA TERAPIA 5 mg COMPR.
PLENDIL
COMPR. ELIB. PREL.
FELODIPIN AL 10 mg
COMPR. ELIB. PREL.
PLENDIL
COMPR. ELIB. PREL.
FELODIPIN AL 2,5 mg
COMPR. ELIB. PREL.
FELODIPIN AL 2,5 mg
COMPR. ELIB. PREL.
PLENDIL
COMPR. ELIB. PREL.
FELODIPIN AL 5 mg
COMPR. ELIB. PREL.
SISTAR 10 mg
COMPR. FILM. ELIB. MODIF.
SISTAR 2,5 mg
COMPR. FILM. ELIB. MODIF.
SISTAR 5 mg
COMPR. FILM. ELIB. MODIF.
AURONAL 10 mg
COMPR. FILM. ELIB. PREL.
PRESID (R) 10 mg
COMPR. FILM. ELIB. PREL.
FELODIPIN SANDOZ 10 mg COMPR. FILM. ELIB. PREL.
AURONAL 2,5 mg
COMPR. FILM. ELIB. PREL.
PRESID (R) 2,5 mg
COMPR. FILM. ELIB. PREL.
AURONAL 5 mg
COMPR. FILM. ELIB. PREL.
PRESID (R) 5 mg
COMPR. FILM. ELIB. PREL.
FELODIPIN SANDOZ 5 mg COMPR. FILM. ELIB. PREL.
ADALAT CR 30
COMPR. ELIB. MODIF.
NIFEDIPIN RETARD TERAPIA 20 mg

COMPR. FILM. ELIB. PREL.

EPILAT RETARD
ISOPTIN (R) 40 mg
VERAPAMIL AL 80
VERAPAMIL AL 80
ISOPTIN (R) 80 mg
VEROGALID (R) ER 240 mg
ISOPTIN RR
VERAPAMIL 40 mg
VERAPAMIL 80 mg
DILZEM 60 mg
DILTIAZEM EIPICO 60 mg
DILTIAZEM LPH 60 mg
DILTIAZEM ARENA 60 mg
DILTIAZEM BIOEEL 60 mg
DILTIAZEM BIOEEL 60 mg
CORZEM 120
DILZEM 90 mg RETARD
CAPTOPRIL 12,5 mg
CAPTOPRIL MCC 12,5 mg
CAPTOPRIL 25 mg
CAPTOPRIL 25 mg
CAPTOPRIL 25 EEL
CAPTOPRIL - AC 25 mg
CAPTOPRIL MCC 25 mg
CAPTOPRIL LPH 25 mg

DRAJ. RET.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM. ELIB. PREL.
COMPR. FILM. ELIB. PREL.

DRAJ.
DRAJ.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM. ELIB. PREL.

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
CAPTOPRIL SINTOFARM 25 mg COMPR.
CAPTOPRIL ARENA 25 mg COMPR.
CAPTOPRIL ARENA 50 mg COMPR.

concentratie

5mg
5mg
10mg
10mg
2,5mg
2,5mg
2,5mg
5mg
5mg
10mg
2,5mg
5mg
10mg
10mg
10mg
2,5mg
2,5mg
5mg
5mg
5mg
30mg
20mg
20mg
40mg
80mg
80mg
80mg
240mg
240mg
40mg
80mg
60mg
60mg
60mg
60mg
60mg
60mg
120mg
90mg
12,5mg
12,5mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
50 mg

Detinator APP

TERAPIA SA
TERAPIA SA
ASTRAZENECA AB

tara det.
APP
Ambalaj
ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L
ROMANIA CUTIE X 3 BLIST. ACLAR-PVC/AL X 10 COMPR. P-6L

Prescriptie

SUEDIA

CUTIE X 1 FLAC. DIN PE X 30 COMPR. ELIB. PREL. P-6L

ALIUD PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. ELIB. PREL.

ASTRAZENECA AB

SUEDIA

CUTIE 1 FLAC. DIN PE X 30 COMPR. ELIB. PREL. P-6L

ALIUD PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. ELIB. PREL.

P-6L

ALIUD PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. ELIB. PREL.

P-6L

ASTRAZENECA AB

SUEDIA

CUTIE X 1 FLAC. DIN PE X 30 COMPR. ELIB. PREL. P-6L

ALIUD PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. ELIB. PREL.

P-6L

GEDEON RICHTER ROMANIA SA

CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. ELIB. MODIF.

P-6L

CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. ELIB. MODIF.

P-6L

CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. ELIB. MODIF.

P-6L

EGIS PHARMACEUTICALS P.L.C.

ROMANIA
ROMANIA
ROMANIA
UNGARIA

CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 10 COMPR. ELIB. PREL.

P-6L

IVAX - PHARMACEUTICALS S.R.O.

CEHIA

CUTIE X 3 BLIST. X 10 COMPR. FILM. ELIB. PREL. P-6L

GEDEON RICHTER ROMANIA SA


GEDEON RICHTER ROMANIA SA

P-6L

HEXAL AG

GERMANIA

CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL.

P-6L

EGIS PHARMACEUTICALS P.L.C.

UNGARIA

CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 10 COMPR. ELIB. PREL.

P-6L

IVAX - PHARMACEUTICALS S.R.O.

CEHIA

CUTIE X 3 BLIST. X 10 COMPR. FILM. ELIB. PREL. P-6L

EGIS PHARMACEUTICALS P.L.C.

UNGARIA

CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 10 COMPR. ELIB. PREL.

IVAX - PHARMACEUTICALS S.R.O.

CEHIA

CUTIE X 3 BLIST. X 10 COMPR. FILM. ELIB. PREL. P-6L

HEXAL AG

GERMANIA

CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL.

P-6L
P-6L

BAYER HEALTHCARE AG GERMANIA CUTIE X 2 BLIST. AL/PP X 14 COMPR. ELIB. MODIF. P-6L

TERAPIA SA
ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL.
E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 2 FOLII X 10 DRAJ.

P-6L
P-6L

ABBOTT GMBH&CO.KG GERMANIA CUTIE X 5 BLIST. AL/PVC X 20 COMPR. FILM. P-6L


ALIUD PHARMA GMBH & CO.KG

GERMANIA CUTIE X 10 BLIST. X 10 COMPR. FILM. P-6L

ALIUD PHARMA GMBH & CO.KG

GERMANIA CUTIE X 5 BLIST. X 10 COMPR. FILM. P-6L

ABBOTT GMBH&CO.KG GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. P-6L


IVAX - PHARMACEUTICALS S.R.O.

CEHIA

ABBOTT GMBH&CO.KG GERMANIA

CUTIE X 3 BLIST. X 10 COMPR. FILM. ELIB. PREL. P-6L


CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L

ROMANIA CUTIE X 2 BLIST. AL/PVC X 25 DRAJ.


SANOFI-AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 25 DRAJ.
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
ARENA GROUP SA ROMANIA CUTIE X 5 BLIST. DIN AL/ PVC X 10COMPR.
BIO EEL SRL
ROMANIA CUTIE X 2 BLIST. DIN AL/ PVC X 10 COMPR.
BIO EEL SRL
ROMANIA CUTIE X 5 BLIST. DIN AL/ PVC X 10 COMPR.
AC HELCOR SRL
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.

P-6L

PFIZER EUROPE MA EEIG

P-6L

SANOFI-AVENTIS ROMANIA S.R.L.

MAREA BRITANIE

UNGARIA
MAGISTRA C & C
ROMANIA
EGIS PHARMACEUTICALS P.L.C. UNGARIA
TERAPIA SA
ROMANIA
BIO EEL SRL
ROMANIA
AC HELCOR PHARMA SRL ROMANIA
MAGISTRA C & C
ROMANIA
LABORMED PHARMA SA ROMANIA
SINTOFARM SA
ROMANIA
ARENA GROUP SA ROMANIA
ARENA GROUP SA ROMANIA
EGIS PHARMACEUTICALS P.L.C.

Pagina 9 din 236

CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL.

P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L

CUTIE X 3 BLIST. AL-PVC/PVDC X 10 COMPR. P-6L

CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L


CUTIE X 3 BLIST. AL-PVC/PVDC X 10 COMPR. P-6L

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.


CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L

Pret
Val suportata
amanun
de CNAS/UT
tul
Pret
(RON)Legea Val suportata
cant/ maximal amanuntul nr. 95/2006 art
CNAS/UT
amba /ambalaj maximal/UT 213 alin.1 lit.
(RON) pt.
laj
(RON)
(RON)
a) si f)
Adulti

30
30
30
30
30
30
50
30
30
30
30
30
30
30
30
30
30
30
30
30
28
50
20
100
100
50
50
30
20
50
50
30
20
20
50
20
50
10
30
30
30
30
30
20
20
30
30
30
20
20

10.69
10.69
49.61
45.20
22.00
20.43
32.95
28.03
29.20
30.06
14.30
18.21
42.06
33.16
30.17
16.27
8.51
26.35
17.01
15.50
29.52
9.15
4.75
16.89
20.77
10.39
15.12
22.34
19.68
11.68
17.12
12.26
5.33
5.33
13.22
5.33
13.22
12.68
15.19
2.91
2.91
3.37
4.05
2.99
2.25
3.37
3.37
4.58
2.25
2.63

0.356333
0.356333
1.653666
1.506666
0.733333
0.681000
0.659000
0.934333
0.973333
1.002000
0.476666
0.607000
1.402000
1.105333
1.005666
0.542333
0.283666
0.878333
0.567000
0.516666
1.054285
0.183000
0.237500
0.168900
0.207700
0.207800
0.302400
0.744666
0.984000
0.233600
0.342400
0.408666
0.266500
0.266500
0.264400
0.266500
0.264400
1.268000
0.506333
0.097000
0.097000
0.112333
0.135000
0.149500
0.112500
0.112333
0.112333
0.152666
0.112500
0.131500

0.285674
0.285674
0.571349
0.571349
0.142837
0.142837
0.142837
0.285674
0.285674
0.571349
0.142837
0.285674
0.571349
0.571349
0.571349
0.142837
0.142837
0.285674
0.285674
0.285674
0.285674
0.183000
0.190449
0.107152
0.207700
0.207800
0.214304
0.642914
0.642914
0.107152
0.214304
0.265975
0.265975
0.265975
0.264400
0.265975
0.264400
0.531950
0.398962
0.050272
0.050272
0.100544
0.100544
0.100544
0.100544
0.100544
0.100544
0.100544
0.100544
0.131500

0.257107
0.257107
0.514214
0.514214
0.128553
0.128553
0.128553
0.257107
0.257107
0.514214
0.128553
0.257107
0.514214
0.514214
0.514214
0.128553
0.128553
0.257107
0.257107
0.257107
0.257107
0.164700
0.171404
0.096436
0.186930
0.187020
0.192874
0.578623
0.578623
0.096436
0.192874
0.239377
0.239377
0.239377
0.237960
0.239377
0.237960
0.478755
0.359066
0.045245
0.045245
0.090490
0.090490
0.090490
0.090490
0.090490
0.090490
0.090490
0.090490
0.118350

Nr crt.

cod ATC

442 C09AA01
443 C09AA01
444 C09AA01
445 C09AA01
446 C09AA01
447 C09AA01
448 C09AA02
449 C09AA02
450 C09AA02
451 C09AA02
452 C09AA02
453 C09AA02
454 C09AA02
455 C09AA02
456 C09AA02
457 C09AA02
458 C09AA02
459 C09AA02
460 C09AA02
461 C09AA02
462 C09AA02
463 C09AA02
464 C09AA02
465 C09AA02
466 C09AA02
467 C09AA02
468 C09AA02
469 C09AA02
470 C09AA02
471 C09AA02
472 C09AA02
473 C09AA02
474 C09AA02
475 C09AA02
476 C09AA02
477 C09AA02
478 C09AA02
479 C09AA02
480 C09AA02
481 C09AA02
482 C09AA02
483 C09AA02
484 C09AA02
485 C09AA02
486 C09AA02
487 C09AA02
488 C09AA03
489 C09AA03
490 C09AA03
491 C09AA03

DCI

CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM

Denumire Comerciala

CAPTOPRIL 50 mg
CAPTOPRIL 50 mg
CAPTOPRIL 50 EEL
CAPTOPRIL - AC 50 mg
CAPTOPRIL MCC 50 mg
CAPTOPRIL LPH 50 mg
ENALAPRIL 10 mg
ENALAPRIL 10 mg
ENALAPRIL SANDOZ 10 mg
ENALAPRIL LPH 10 mg
ENAP 10 mg
ENALAPRIL FABIOL 10 mg
ENALAPRIL SLAVIA 10 mg
ENALAPRIL AL 10
RENITEC 10 mg
ENALAPRIL TERAPIA 10 mg
ENALAPRIL ARENA 10mg
ENALAPRIL ARENA 10mg
ENALAPRIL ARENA 10mg
ENALAPRIL ARENA 10mg
ENALAPRIL VIM SPECTRUM 10 mg

EDNYT 10 mg
ENALAPRIL 20 mg
ENALAPRIL SANDOZ 20 mg
ENALAPRIL LPH 20 mg
ENAP 20 mg
ENALAPRIL FABIOL 20 mg
ENALAPRIL AL 20
RENITEC 20 mg
ENALAPRIL TERAPIA 20 mg
ENALAPRIL ARENA 20 mg
ENALAPRIL ARENA 20 mg
ENALAPRIL SLAVIA 20 mg
ENALAPRIL 5 mg
ENALAPRIL 5 mg
ENALAPRIL SANDOZ 5 mg
ENALAPRIL AL 5
ENAP 5 mg
RENITEC 5 mg
ENALAPRIL LPH (R) 5 mg
ENALAPRIL TERAPIA 5 mg
INVORIL 5 mg
ENALAPRIL ARENA 5 mg
ENALAPRIL VIM SPECTRUM 5 mg

ENALAPRIL SLAVIA 5 mg
ENAP (R)
RANOLIP
LISIREN 10 mg
LISINOPRIL SANDOZ 10 mg
LISINOPRIL 10 MEDO

forma farm.

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
SOL. INJ.
COMPR.
COMPR.
COMPR.
COMPR.

concentratie

50mg
50mg
50mg
50mg
50mg
50mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
1,25mg/ml
10mg
10mg
10mg
10mg

Detinator APP

tara det.
APP

UNGARIA
TERAPIA SA
ROMANIA
BIO EEL SRL
ROMANIA
AC HELCOR PHARMA SRL ROMANIA
MAGISTRA C & C
ROMANIA
LABORMED PHARMA SA ROMANIA

EGIS PHARMACEUTICALS P.L.C.

OZONE LABORATORIES LTD.

MAREA BRITANIE

MAGISTRA C & C
SANDOZ SRL

ROMANIA
ROMANIA
LABORMED PHARMA SA ROMANIA
KRKA D.D. NOVO MESTO SLOVENIA

FABIOL SA
ROMANIA
SLAVIA PHARM SRL ROMANIA
ALIUD PHARMA GMBH & CO.KG

GERMANIA

MERCK SHARP & DOHME ROMANIA

TERAPIA SA
ARENA GROUP SA
ARENA GROUP SA
ARENA GROUP SA
ARENA GROUP SA
VIM SPECTRUM SRL

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
MAGISTRA C & C
ROMANIA
SANDOZ SRL
ROMANIA
LABORMED PHARMA SA ROMANIA
KRKA D.D. NOVO MESTO SLOVENIA

FABIOL SA

ROMANIA

ALIUD PHARMA GMBH & CO.KG

GERMANIA

MERCK SHARP & DOHME ROMANIA

TERAPIA SA
ARENA GROUP SA
ARENA GROUP SA

ROMANIA
ROMANIA
ROMANIA
SLAVIA PHARM S.R.L. ROMANIA
OZONE LABORATORIES LTD.

MAREA BRITANIE

MAGISTRA C & C
SANDOZ SRL

ROMANIA
ROMANIA

ALIUD PHARMA GMBH & CO.KG

GERMANIA

KRKA D.D. NOVO MESTO SLOVENIA


MERCK SHARP & DOHME ROMANIA

LABORMED PHARMA SA ROMANIA

TERAPIA SA
TERAPIA SA
ARENA GROUP S.A.
VIM SPECTRUM SRL

ROMANIA
ROMANIA
ROMANIA
ROMANIA
SLAVIA PHARM S.R.L. ROMANIA

KRKA D.D.

SLOVENIA

RANBAXY U.K. LIMITED

MAREA BRITANIE

AC HELCOR SRL
HEXAL AG

GERMANIA

MEDOCHEMIE ROMANIA SRL

ROMANIA

Pagina 10 din 236

ROMANIA

Ambalaj

Prescriptie

Pret
Val suportata
amanun
de CNAS/UT
tul
Pret
(RON)Legea Val suportata
cant/ maximal amanuntul nr. 95/2006 art
CNAS/UT
amba /ambalaj maximal/UT 213 alin.1 lit.
(RON) pt.
laj
(RON)
(RON)
a) si f)
Adulti

20
30
P-6L
20
P-6L
20
P-6L
30
P-6L
30
CUTIE X 2 FOLII X 10 COMPR.
P-6L
20
CUTIE X 2 BLIST. X 10 COMPR.
P-6L
20
CUTIE X 2 BLIST. X 10 COMPR.
P-6L
20
CUTIE X 2 BLIST. AL/AL X 10 COMPR. P-6L
20
CUTIE X 2 BLIST. AL/OPA-AL-PVC X 10 COMPR. P-6L
20
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
CUTIE X 2 BLIST. PVC/ AL X 10 COMPR. P-6L
20
CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L
30
CUTIE X 2 BLIST. AL/AL X 14 COMPR. P-6L
28
CUTIE X 2 BLIST. AL/PVC-PE-PVDC X 10 COMPR. P-6L
20
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L
50
CUTIE X 10 BLIST. AL/PVC X 10 COMPR. P-6L 100
CUTIE X 1 FLAC. DIN PE X 20 COMPR. P-6L
20
CUTIE X 2 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L
20
CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L
30
CUTIE X 2 BLIST. X 10 COMPR.
P-6L
20
CUTIE X 2 BLIST. X 10 COMPR.
P-6L
20
CUTIE X 2 BLIST. AL/AL X 10 COMPR. P-6L
20
CUTIE X 2 BLIST. AL/OPA-AL-PVC X 10 COMPR. P-6L
20
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L
30
CUTIE X 2 BLIST. AL/AL X 14 COMPR. P-6L
28
CUTIE X 2 BLIST. AL/PVC-PE-PVDC X 10 COMPR. P-6L
20
CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L
30
CUTIE X 5 BLIST. PVC/AL X 10 COMPR. P-6L
50
CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. P6L
20
CUTIE X 2 FOLII X 10 COMPR.
P-6L
20
CUTIE X 2 BLIST. X 10 COMPR.
P-6L
20
CUTIE X 2 BLIST. X 10 COMPR.
P-6L
20
CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L
30
CUTIE X 2 BLIST. AL/OPA-AL-PVC X 10 COMPR. P-6L
20
CUTIE X 2 BLIST. AL/AL X 14 COMPR. P-6L
28
CUTIE X 2 BLIST. AL/AL X 10 COMPR. P-6L
20
CUTIE X 2 BLIST. AL/PVC-PE-PVDC X 10 COMPR. P-6L
20
CUTIE X 3 BLIST. AL/AL X 10 COMPR. P-6L
30
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
CUTIE X 2 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L
20
CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. P6L
20
CUTIE X 5 FIOLE X 1 ML
S/P-RF
5
CUTIE X 3 BLIST. X 10 COMPR.
P-6L
30
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
CUTIE X 2 BLIST. AL-PVC/PVDC X 10 COMPR. P-6L

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.


CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P-6L

4.39
6.59
3.82
2.63
4.45
3.88
4.35
4.35
3.91
4.35
4.35
4.35
4.35
6.52
10.40
7.21
6.80
11.11
21.76
11.14
4.05
10.08
7.84
10.06
8.64
7.84
7.04
11.48
16.92
10.99
11.00
16.22
7.83
3.62
3.62
3.62
5.19
3.62
7.78
3.79
3.88
5.45
5.52
3.61
3.62
15.27
14.81
10.62
10.18
14.27

0.219500
0.219666
0.191000
0.131500
0.148333
0.129333
0.217500
0.217500
0.195500
0.217500
0.217500
0.217500
0.217500
0.217333
0.371428
0.360500
0.226666
0.222200
0.217600
0.557000
0.202500
0.336000
0.392000
0.503000
0.432000
0.392000
0.352000
0.382666
0.604285
0.549500
0.366666
0.324400
0.391500
0.181000
0.181000
0.181000
0.173000
0.181000
0.277857
0.189500
0.194000
0.181666
0.184000
0.180500
0.181000
3.054000
0.493666
0.531000
0.339333
0.475666

0.201089
0.201089
0.191000
0.131500
0.148333
0.129333
0.201089
0.201089
0.195500
0.201089
0.201089
0.201089
0.201089
0.201089
0.201089
0.201089
0.201089
0.201089
0.201089
0.201089
0.201089
0.201089
0.392000
0.402179
0.402179
0.392000
0.352000
0.382666
0.402179
0.402179
0.366666
0.324400
0.391500
0.100544
0.100544
0.100544
0.100544
0.100544
0.100544
0.100544
0.100544
0.100544
0.100544
0.100544
0.100544
3.054000
0.201089
0.201089
0.201089
0.201089

0.180980
0.180980
0.171900
0.118350
0.133499
0.116399
0.180980
0.180980
0.175950
0.180980
0.180980
0.180980
0.180980
0.180980
0.180980
0.180980
0.180980
0.180980
0.180980
0.180980
0.180980
0.180980
0.352800
0.361961
0.361961
0.352800
0.316800
0.344399
0.361961
0.361961
0.329999
0.291960
0.352350
0.090490
0.090490
0.090490
0.090490
0.090490
0.090490
0.090490
0.090490
0.090490
0.090490
0.090490
0.090490
2.748600
0.180980
0.180980
0.180980
0.180980

Nr crt.

DCI

cod ATC

492 C09AA03
493 C09AA03
494 C09AA03
495 C09AA03
496 C09AA03
497 C09AA03
498 C09AA03
499 C09AA03
500 C09AA03
501 C09AA03
502 C09AA03
503 C09AA03
504 C09AA03
505 C09AA03
506 C09AA03
507 C09AA03
508 C09AA03
509 C09AA03
510 C09AA03
511 C09AA03
512 C09AA05
513 C09AA05
514 C09AA05
515 C09AA05
516 C09AA05
517 C09AA05
518 C09AA05
519 C09AA05
520 C09AA05
521 C09AA05
522 C09AA05
523 C09AA05
524 C09AA05
525 C09AA05
526 C09AA05
527 C09AA05
528 C09AA05
529 C09AA05
530 C09AA05
531 C09AA05
532 C09AA05
533 C09AA05
534 C09AA05
535 C09AA05
536 C09AA05
537 C09AA05
538 C09AA05
539 C09AA05
540 C09AA05
541 C09AA05

LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM

Denumire Comerciala

LISINOPRIL ACTAVIS 10 mg
LISINOPRIL ATB 10 MG
LISINOPRIL ATB 10 MG
TONOLYSIN 10 mg
TONOLYSIN 2,5 mg
RANOLIP
LISIREN 20 mg
LISINOPRIL SANDOZ 20 mg
LISINOPRIL 20 MEDO
LISINOPRIL ACTAVIS 20 mg
LISINOPRIL ATB 20 MG
LISINOPRIL ATB 20 MG
TONOLYSIN 20 mg
LISINOPRIL ATB 40 MG
LISINOPRIL ATB 40 MG
RANOLIP
LISINOPRIL SANDOZ 5 mg
LISINOPRIL 5 MEDO
LISINOPRIL ACTAVIS 5 mg
TONOLYSIN 5 mg
VIVOKAR 10 mg
VIVOKAR 10 mg
VIVOKAR 2,5 mg
VIVOKAR 2,5 mg
VIVOKAR 5 mg
VIVOKAR 5 mg
VIVACE 10 mg
PIRAMIL 10 mg
RAMIPRIL-AC 10 mg
AMPRIL 10 mg
HARTIL 10 mg
ZENRA 10
TRITACE 10
VIVACE 2,5 mg
PIRAMIL 2,5 mg
RAMIPRIL-AC 2,5 mg
AMPRIL 2,5 mg
HARTIL 2,5 mg
ZENRA 2,5
TRITACE(R) 2,5
VIVACE 5 mg
PIRAMIL 5 mg
RAMIPRIL-AC 5 mg
AMPRIL 5 mg
HARTIL 5 mg
ZENRA 5
TRITACE 5
RAMIRAN 1,25 mg
RAMIRAN 10 mg
RAMIRAN 2,5 mg

forma farm.

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.

concentratie

10mg
10mg
10mg
10mg
2,5mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
40mg
40mg
5mg
5mg
5mg
5mg
5mg
10mg
10mg
2,5mg
2,5mg
5mg
5mg
10 mg
10mg
10mg
10mg
10mg
10mg
10mg
2,5 mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
5 mg
5mg
5mg
5mg
5mg
5mg
5mg
COMPR. FILM. 1,25mg
COMPR. FILM. 10mg
COMPR. FILM. 2,5mg

Detinator APP

tara det.
APP

Ambalaj

Prescriptie

ACTAVIS GROUP PTC EHF.

ISLANDA CUTIE CU BLIST. PVC/AL X 30 COMPR.

P-6L

ANTIBIOTICE SA
ANTIBIOTICE SA

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 14 COMPR.
CUTIE X 2 BLIST. AL/PVC X 14 COMPR.

P-6L

GEDEON RICHTER ROMANIA SA

ROMANIA
ROMANIA
ROMANIA
ROMANIA

RANBAXY U.K. LIMITED

MAREA BRITANIE

CUTIE X 3 BLIST. X 10 COMPR.

P-6L

GEDEON RICHTER ROMANIA SA

AC HELCOR SRL
HEXAL AG

P-6L
P-6L
P-6L

ANTIBIOTICE SA
ANTIBIOTICE SA

ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR.


GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
ISLANDA CUTIE CU BLIST. PVC/AL X 30 COMPR.
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR.
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR.
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR.
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

RANBAXY U.K. LIMITED

MAREA BRITANIE

HEXAL AG

GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L

MEDOCHEMIE ROMANIA SRL

ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.


ISLANDA CUTIE CU BLIST. PVC/AL X 30 COMPR.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR.
ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 CAPS.
ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS.
ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 CAPS.
ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS.
ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 CAPS.
ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS.

P-6L

ACTAVIS GROUP HF ISLANDA CUTIE X 4 BLIST. AL/AL X 7 COMPR.


SANDOZ SRL
ROMANIA CUTIE X 4 FOLII AL-LDPE/LDPE-AL X 7 COMPR.

P-6L

ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P-6L

MEDOCHEMIE ROMANIA SRL

ACTAVIS GROUP PTC EHF.

ANTIBIOTICE SA
ANTIBIOTICE SA
GEDEON RICHTER ROMANIA SA

ACTAVIS GROUP PTC EHF.


GEDEON RICHTER ROMANIA SA

LABORMED PHARMA S.A.


LABORMED PHARMA S.A.
LABORMED PHARMA S.A.
LABORMED PHARMA S.A.
LABORMED PHARMA S.A.
LABORMED PHARMA S.A.

AC HELCOR PHARMA SRL

CUTIE X 3 BLIST. X 10 COMPR.

P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L

P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L

UNGARIA CUTIE X 4 BLIST. AL/AL X 7 COMPR.


ROMANIA CUTIE X 2 BLIST. X 14 COMPR.
SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR.
ACTAVIS GROUP HF ISLANDA CUTIE X 4 BLIST. AL/AL X 7COMPR.
SANDOZ SRL
ROMANIA CUTIE X 4 FOLII AL-LDPE/LDPE-AL X 7 COMPR.
AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
EGIS PHARMACEUTICALS P.L.C.

P-6L

ZENTIVA S.A.

P-6L
P-6L
P-6L
P-6L
P-6L

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L

UNGARIA CUTIE X 4 BLIST. AL/AL X 7 COMPR.


ROMANIA CUTIE X 2 BLIST. X 14 COMPR.
SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. X 14 COMPR.
ACTAVIS GROUP HF ISLANDA CUTIE X 4 BLIST. AL/AL X 7 COMPR.
SANDOZ SRL
ROMANIA CUTIE X 4 FOLII AL-LDPE/LDPE-AL X 7 COMPR.
AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
EGIS PHARMACEUTICALS P.L.C.

P-6L

ZENTIVA S.A.

P-6L
P-6L
P-6L
P-6L
P-6L

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L
EGIS PHARMACEUTICALS P.L.C.

ZENTIVA S.A.
SANOFI - AVENTIS ROMANIA S.R.L.

RANBAXY U.K. LIMITED


RANBAXY U.K. LIMITED
RANBAXY U.K. LIMITED

Pagina 11 din 236

UNGARIA CUTIE X 4 BLIST. AL/AL X 7 COMPR.


ROMANIA CUTIE X 2 BLIST. X 14 COMPR.
ROMANIA CUTIE X 2 BLIST. X 14 COMPR.

P-6L
P-6L
P-6L

MAREA BRITANIE

CUTIE X 3 FOLII AL/PEJD X 10 COMPR. FILM. P-6L

MAREA BRITANIE

CUTIE X 3 FOLII AL/PEJD X 10 COMPR. FILM. P-6L

MAREA BRITANIE

CUTIE X 3 FOLII AL/PEJD X 10 COMPR. FILM. P-6L

Pret
Val suportata
amanun
de CNAS/UT
tul
Pret
(RON)Legea Val suportata
cant/ maximal amanuntul nr. 95/2006 art
CNAS/UT
amba /ambalaj maximal/UT 213 alin.1 lit.
(RON) pt.
laj
(RON)
(RON)
a) si f)
Adulti

30
20
30
28
28
30
20
30
20
30
10
30
28
10
30
30
30
30
30
28
30
28
30
28
30
28
28
28
30
30
28
28
28
28
28
30
30
28
28
28
28
28
30
30
28
28
28
30
30
30

12.71
6.19
9.61
15.28
8.64
22.84
15.47
14.88
14.27
23.10
7.33
23.20
22.63
13.64
38.84
7.55
7.07
8.57
7.27
9.17
24.65
22.99
9.91
9.24
10.74
10.03
23.00
23.00
24.65
24.64
23.00
23.00
34.24
7.37
9.26
9.92
9.89
9.26
9.26
14.24
10.03
10.05
10.71
10.72
10.05
10.05
15.44
6.81
33.70
11.09

0.423666
0.309500
0.320333
0.545714
0.308571
0.761333
0.773500
0.496000
0.713500
0.770000
0.733000
0.773333
0.808214
1.364000
1.294666
0.251666
0.235666
0.285666
0.242333
0.327500
0.821666
0.821071
0.330333
0.330000
0.358000
0.358214
0.821428
0.821428
0.821666
0.821333
0.821428
0.821428
1.222857
0.263214
0.330714
0.330666
0.329666
0.330714
0.330714
0.508571
0.358214
0.358928
0.357000
0.357333
0.358928
0.358928
0.551428
0.227000
1.123333
0.369666

0.201089
0.201089
0.201089
0.201089
0.050272
0.402179
0.402179
0.402179
0.402179
0.402179
0.402179
0.402179
0.402179
0.804358
0.804358
0.100544
0.100544
0.100544
0.100544
0.100544
0.804358
0.804358
0.201089
0.201089
0.358000
0.358214
0.804358
0.804358
0.804358
0.804358
0.804358
0.804358
0.804358
0.201089
0.201089
0.201089
0.201089
0.201089
0.201089
0.201089
0.358214
0.358928
0.357000
0.357333
0.358928
0.358928
0.402179
0.100544
0.804358
0.201089

0.180980
0.180980
0.180980
0.180980
0.045245
0.361961
0.361961
0.361961
0.361961
0.361961
0.361961
0.361961
0.361961
0.723922
0.723922
0.090490
0.090490
0.090490
0.090490
0.090490
0.723922
0.723922
0.180980
0.180980
0.322200
0.322392
0.723922
0.723922
0.723922
0.723922
0.723922
0.723922
0.723922
0.180980
0.180980
0.180980
0.180980
0.180980
0.180980
0.180980
0.322392
0.323035
0.321300
0.321599
0.323035
0.323035
0.361961
0.090490
0.723922
0.180980

Nr crt.

cod ATC

DCI

559 C09AA09

RAMIPRILUM
QUINAPRILUM
QUINAPRILUM
QUINAPRILUM
QUINAPRILUM
QUINAPRILUM
QUINAPRILUM
QUINAPRILUM
QUINAPRILUM
FOSINOPRILUM
FOSINOPRILUM
FOSINOPRILUM
FOSINOPRILUM
FOSINOPRILUM
FOSINOPRILUM
FOSINOPRILUM
FOSINOPRILUM
FOSINOPRILUM

560 C09BA02

COMBINATII (ENALAPRILUM+HYDROCHLOROTHIAZIDUM)

561 C09BA02

COMBINATII (ENALAPRILUM+HYDROCHLOROTHIAZIDUM)

562 C09BA02

COMBINATII (ENALAPRILUM+HYDROCHLOROTHIAZIDUM)

563 C09BA02

COMBINATII (ENALAPRILUM+HYDROCHLOROTHIAZIDUM)

564 C09BA02

COMBINATII (ENALAPRILUM+HYDROCHLOROTHIAZIDUM)

565 C09BA05

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM)

566 C09BA05

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM)

567 C09BA05

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM)

568 C09BA05

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM)

569 C09BA05

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM)

570 C09BA05

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM)

571 C09BA05

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM)

572 C09BA05

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM)

573 C09CA01

LOSARTANUM
LOSARTANUM
LOSARTANUM
LOSARTANUM
LOSARTANUM
LOSARTANUM
LOSARTANUM
LOSARTANUM
LOSARTANUM
LOSARTANUM
LOSARTANUM
LOSARTANUM
LOSARTANUM
LOSARTANUM
LOSARTANUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM

542 C09AA05
543 C09AA06
544 C09AA06
545 C09AA06
546 C09AA06
547 C09AA06
548 C09AA06
549 C09AA06
550 C09AA06
551 C09AA09
552 C09AA09
553 C09AA09
554 C09AA09
555 C09AA09
556 C09AA09
557 C09AA09
558 C09AA09

574 C09CA01
575 C09CA01
576 C09CA01
577 C09CA01
578 C09CA01
579 C09CA01
580 C09CA01
581 C09CA01
582 C09CA01
583 C09CA01
584 C09CA01
585 C09CA01
586 C09CA01
587 C09CA01
588 C10AA01
589 C10AA01
590 C10AA01
591 C10AA01

Denumire Comerciala

RAMIRAN 5 mg
AQUIRIL 10 mg
ACCUPRO 10 mg
QUINARAN 10 mg
ACCUPRO (R) 20
QUINARAN 20 mg
QUINARAN 40 mg
ACCUPRO (R) 5
QUINARAN 5 mg
MONOPRIL 10 mg
FOSYPRIL 10 mg
FOSYPRIL 10 mg
FOSINOPRIL TERAPIA 10 mg
MONOPRIL 20 mg
FOSINOPRIL TEVA 20 mg
FOSYPRIL 20 mg
FOSYPRIL 20 mg
FOSINOPRIL TERAPIA 20 mg
ENAP HL
ENAP H
ENAP (R) HL 20 mg/12,5 mg
VIMAPRIL HL
VIMAPRIL H
HARTIL HCT 2,5 mg/12,5mg

forma farm.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
RAMIPRIL HCT-MEDOCHEMIE COMPR.
TENSIL 2,5mg/12,5mg
COMPR.
TRITACE 2,5 PLUS
COMPR.
HARTIL HCT 5 mg/25mg
COMPR.
RAMIPRIL HCT-MEDOCHEMIE COMPR.
TENSIL 5mg/25mg
COMPR.
TRITACE 5 PLUS
COMPR.
TALOSAN 100 mg
COMPR. FILM.
TALOSAN 100 mg
COMPR. FILM.
LORISTA 100 mg
COMPR. FILM.
LOZAP 100
COMPR. FILM.
TALOSAN 12,5 mg
COMPR. FILM.
TALOSAN 12,5 mg
COMPR. FILM.
TALOSAN 25 mg
COMPR. FILM.
TALOSAN 25 mg
COMPR. FILM.
LORISTA
COMPR. FILM.
TALOSAN 50 mg
COMPR. FILM.
TALOSAN 50 mg
COMPR. FILM.
LOSARTAN FARMAL 50 mg COMPR. FILM.
LOZAP 50
COMPR. FILM.
COZAAR 50 mg
COMPR. FILM.
COZAAR 2,5 mg/ml
PULB.+SOLV. PT. SUSP. ORALA

SIMVASTATINA BIOGALENICA 10 mg COMPR. FILM.

SIMGAL (R) 10 mg
SIMVAHEXAL (R) 10 mg
ZEPLAN (R) 10 mg

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

concentratie

5mg
10mg
10mg
10mg
20mg
20mg
40mg
5mg
5mg
10mg
10mg
10mg
10mg
20mg
20mg
20mg
20mg
20mg

Detinator APP
RANBAXY U.K. LIMITED

tara det.
APP
MAREA BRITANIE

Ambalaj

Prescriptie

CUTIE X 3 FOLII AL/PEJD X 10 COMPR. FILM. P-6L

LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. FILM. P-6L


PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 3 BLIST. PVC/AL/PA X 10 COMPR. FILM. P-6L

RANBAXY UK LIMITED

MAREA BRITANIE

CUTIE X 3 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. P-6L

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 3 BLIST. AL/PA-AL-PVC X 10 COMPR. FILM. P-6L

MAREA BRITANIE

CUTIE X 3 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. P-6L

MAREA BRITANIE

CUTIE X 3 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. P-6L

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 3 BLIST. AL/PA-AL-PVC X 10 COMPR. FILM. P-6L

RANBAXY UK LIMITED

MAREA BRITANIE

CUTIE X 3 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. P-6L

UNGARIA
TERAPIA SA
ROMANIA
TERAPIA SA
ROMANIA
TERAPIA SA
ROMANIA
BRISTOL-MYERS SQUIBB UNGARIA
TEVA PHARMACEUTICAL S.R.L. ROMANIA
TERAPIA SA
ROMANIA
TERAPIA SA
ROMANIA
TERAPIA SA
ROMANIA

CUTIE X 2 BLIST. AL/PVC-PVDC X 14 COMPR. P-6L

RANBAXY UK LIMITED
RANBAXY UK LIMITED

BRISTOL MYERS SQUIBB KFT

CUTIE X 3 BLIST. AL-PVC-PA/AL X 10 COMPR. P-6L


CUTIE X 2 BLIST. AL-PVC-PA/AL X 15 COMPR. P-6L

CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L


CUTIE X 2 BLIST. AL/PVC-PVDC X 14 COMPR. P-6L
CUTIE X 3 BLIST. AL/PVC-PVDC X 10 COMPR. P-6L
CUTIE X 3 BLIST. AL-PVC-PA/AL X 10 COMPR.

P-6L

CUTIE X 2 BLIST. AL-PVC-PA/AL X 15 COMPR. P-6L

CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L

10mg+12,5mg KRKA D.D. NOVO MESTO SLOVENIA


10mg+25mg KRKA D.D. NOVO MESTO SLOVENIA
20 mg/12,5mg KRKA D.D. NOVO MESTO SLOVENIA
FARA CONCENTRATIE VIM SPECTRUM SRL ROMANIA
FARA CONCENTRATIE VIM SPECTRUM SRL ROMANIA
2,5mg/12,5mg EGIS PHARMACEUTICALS P.L.C. UNGARIA
2,5mg/12,5mg MEDOCHEMIE LTD. CIPRU
2,5mg/12,5mg TEVA PHARMACEUTICALS S.R.L. ROMANIA
2,5mg/12,5mg SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA

CUTIE X 2 BLIST. AL/OPA-AL-PVC X 10 COMPR. P-6L

5mg/25mg
5mg/25mg
5mg/25mg
5mg/25mg
100mg
100mg
100mg
100mg
12,5mg
12,5mg
25mg
25mg
50mg
50mg
50mg
50mg
50mg
50mg
2,5mg/ml
10 mg
10mg
10mg
10mg

CUTIE X 2 BLIST. PVC-PCTFE/AL X 14 COMPR.

EGIS PHARMACEUTICALS P.L.C.

UNGARIA

MEDOCHEMIE LTD. CIPRU


TEVA PHARMACEUTICALS S.R.L.
SANOFI - AVENTIS ROMANIA S.R.L.

TERAPIA SA
TERAPIA SA

CUTIE X 2 BLIST. AL/OPA-AL-PVC X 10 COMPR. P-6L


CUTIE X 2 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L
CUTIE X 3 BLIST. PVC/COC/PVDC-AL X 10 COMPR. P-6L
CUTIE X 3 BLIST. PVC/COC/PVDC-AL X 10 COMPR. P-6L

CUTIE X 2 BLIST. PVC-PCTFE/AL X 14 COMPR.

P-6L

CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L


CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR.

P-6L

CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L


P-6L

CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L

ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR.


ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR.
ROMANIA CUTIE X 3 BLIST. PA-AL- PVC/AL X 10 COMPR. FILM.
ROMANIA CUTIE X 3 FOLII AL/PE X 10 COMPR. FILM.

P-6L
P-6L
P-6L
P-6L

KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L

ZENTIVA A.S.
TERAPIA SA
TERAPIA SA
TERAPIA SA
TERAPIA SA

SLOVACIA

KRKA D.D. NOVO MESTO SLOVENIA

TERAPIA SA
TERAPIA SA

CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L

ROMANIA CUTIE X 3 BLIST. PA-AL- PVC/AL X 10 COMPR. FILM.


ROMANIA CUTIE X 3 FOLII AL/PE X 10 COMPR. FILM.
ROMANIA CUTIE X 3 BLIST. PA-AL- PVC/AL X 10 COMPR. FILM.
ROMANIA CUTIE X 3 FOLII AL/PE X 10 COMPR. FILM.

P-6L
P-6L
P-6L
P-6L

CUTIE X 2 BLIST. DIN PVC-PVDC/AL X 14 COMPR. FILM. P-6L

FARMAL INTERNATIONAL S.R.L.

ROMANIA CUTIE X 3 BLIST. PA-AL- PVC/AL X 10 COMPR. FILM.


ROMANIA CUTIE X 3 FOLII AL/PE X 10 COMPR. FILM.
ROMANIA CUTIE X 2 BLIST. PVC-PE- PVDC/AL X 14 COMPR. FILM.

ZENTIVA A.S.

SLOVACIA

P-6L
P-6L
P-6L

CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L

MERCK SHARP & DOHME ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-6L
MERCK SHARP & DOHME ROMANIA

ARENA GROUP S.A. ROMANIA


IVAX - PHARMACEUTICALS S.R.O. CEHIA
HEXAL AG
GERMANIA
GEDEON RICHTER ROMANIA SA

Pagina 12 din 236

CUTIE X 1 SET CU 1 PLIC FOLIE PET-AL-PE X 500 MG PULB. + 1 FLAC. PEID X 473 ML SOLV. + 1 FLAC. PET C

P-6L

CUTIE X 2 BLIST. DIN PVC - PVD /AL X 14 COMPR. FILM. P-6L

CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L

CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L

ROMANIA CUTIE X 1 BLIST. AL/PVC X 14 COMPR. FILM.

P-6L

Pret
Val suportata
amanun
de CNAS/UT
tul
Pret
(RON)Legea Val suportata
cant/ maximal amanuntul nr. 95/2006 art
CNAS/UT
amba /ambalaj maximal/UT 213 alin.1 lit.
(RON) pt.
laj
(RON)
(RON)
a) si f)
Adulti

30 20.26
0.675333
30
7.50
0.250000
30 11.56
0.385333
30
7.50
0.250000
30 16.55
0.551666
30 14.88
0.496000
30 43.57
1.452333
30
8.10
0.270000
30
7.52
0.250666
28 20.59
0.735357
30 14.59
0.486333
30 14.59
0.486333
20 15.30
0.765000
28 28.24
1.008571
30 18.67
0.622333
30 25.30
0.843333
30 25.30
0.843333
20 20.48
1.024000
20
8.78
0.439000
20
9.71
0.485500
20
7.86
0.393000
30
8.77
0.292333
30 11.68
0.389333
28 22.94
0.819285
30 13.11
0.437000
30
8.47
0.282333
28 24.30
0.867857
28 29.11
1.039642
30 22.45
0.748333
30 18.00
0.600000
28 28.61
1.021785
30 33.02
1.100666
30 33.02
1.100666
28 32.37
1.156071
30 37.16
1.238666
30
4.21
0.140333
30
4.21
0.140333
30
7.72
0.257333
30
7.72
0.257333
28 17.78
0.635000
30 17.70
0.590000
30 17.70
0.590000
28 17.67
0.631071
30 19.40
0.646666
28 63.80
2.278571
1 281.60 281.600000
28
8.64
0.308571
28
8.64
0.308571
30
9.26
0.308666
14
4.33
0.309285

0.402179
0.134059
0.134059
0.134059
0.268119
0.268119
0.536239
0.067029
0.067029
0.134059
0.134059
0.134059
0.134059
0.268119
0.268119
0.268119
0.268119
0.268119
0.439000
0.479700
0.393000
0.292333
0.389333
0.479700
0.437000
0.282333
0.479700
0.479700
0.479700
0.479700
0.479700
1.100666
1.100666
1.156071
1.238666
0.140333
0.140333
0.257333
0.257333
0.635000
0.590000
0.590000
0.631071
0.646666
0.841574
8.415749
0.262454
0.262454
0.262454
0.262454

0.361961
0.120653
0.120653
0.120653
0.241307
0.241307
0.482615
0.060326
0.060326
0.120653
0.120653
0.120653
0.120653
0.241307
0.241307
0.241307
0.241307
0.241307
0.395100
0.431730
0.353700
0.263099
0.350399
0.431730
0.393300
0.254099
0.431730
0.431730
0.431730
0.431730
0.431730
0.990599
0.990599
1.040463
1.114799
0.126299
0.126299
0.231599
0.231599
0.571500
0.531000
0.531000
0.567963
0.581999
0.757417
7.574174
0.236208
0.236208
0.236208
0.236208

Nr crt.

cod ATC

592 C10AA01
593 C10AA01
594 C10AA01
595 C10AA01
596 C10AA01
597 C10AA01
598 C10AA01
599 C10AA01
600 C10AA01
601 C10AA01
602 C10AA01
603 C10AA01
604 C10AA01
605 C10AA01
606 C10AA01
607 C10AA01
608 C10AA01
609 C10AA01
610 C10AA01
611 C10AA01
612 C10AA01
613 C10AA01
614 C10AA01
615 C10AA01
616 C10AA01
617 C10AA01
618 C10AA01
619 C10AA01
620 C10AA01
621 C10AA01
622 C10AA01
623 C10AA01
624 C10AA01
625 C10AA01
626 C10AA01
627 C10AA01
628 C10AA01
629 C10AA01
630 C10AA01
631 C10AA01
632 C10AA01
633 C10AA01
634 C10AA01
635 C10AA01
636 C10AA01
637 C10AA01
638 C10AA01
639 C10AA01
640 C10AA01
641 C10AA01

DCI

SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM

Denumire Comerciala

ZEPLAN (R) 10 mg
ZOCOR 10 mg
ZOCOR 10 mg
SINTENAL 10 mg
VASILIP 10 mg
SIMVASTATIN LPH 10 mg
VABADIN 10 mg
ZAREDIL 10 mg
SIMVASTATINA ACTAVIS 10 mg
SIMVASTATINA ACTAVIS 10 mg
SIMVASTATIN ACCORD 10 mg
SIMVASTATIN AUROBINDO 10 mg

SIMVASTATIN BLUEFISH 10 mg

RANVOR 10 mg
RANVOR 10 mg
ZAREDIL 10 mg
RANVOR 10 mg
SIMVASTATINA SUN 10 mg
SIMVACARD 10 mg
SIMVASTATINA ALVOGEN 10 mg
SIMVASTATINA BIOGALENICA 20 mg

SIMGAL (R) 20 mg
SIMVAHEXAL (R) 20 mg
ZEPLAN (R) 20 mg
ZEPLAN (R) 20 mg
ZOCOR 20 mg
ZOCOR 20 mg
SINTENAL 20 mg
VASILIP 20 mg
SIMCOR 20 mg
SIMVASTATIN LPH 20 mg
VABADIN 20 mg
ZAREDIL 20 mg
SIMVASTATINA ACTAVIS 20 mg
SIMVASTATINA ACTAVIS 20 mg
SIMVASTATIN ACCORD 20 mg
SIMVASTATIN AUROBINDO 20 mg

SIMVASTATIN BLUEFISH 20 mg
SIMVASTATIN BLUEFISH 20 mg

RANVOR 20 mg
RANVOR 20 mg
ZAREDIL 20 mg
RANVOR 20 mg
SIMVASTATINA SUN 20 mg
SIMVACARD 20 mg
SIMVASTATINA ALVOGEN 20 mg

SIMVAHEXAL (R) 30 mg
SIMVASTATINA BIOGALENICA 40 mg

VASILIP (R) 40 mg
ZOCOR FORTE

forma farm.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

concentratie

10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
20 mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
30mg
40 mg
40mg
40mg

LABORMED PHARMA SA

tara det.
APP
Ambalaj
ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM
ROMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 14 COMPR. FILM.
ROMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 14 COMPR. FILM.
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.
SLOVENIA CUTIE X 4 BLIST. DIN PVC/PE/PVDC/AL X 7 COMPR. FILM.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM.

MENARINI INTERNATIONAL OPERATIONS S.A.

LUXEMBOURG CUTIE X 4 BLIST. PVC-PVDC/AL X 7 COMPR. FILM.

OZONE LABORATORIES LTD.

MAREA BRITANIE

CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L

ACTAVIS GROUP PTC EHF.

ISLANDA
ISLANDA

CUTIE X BLIST. PVC-PVDC/AL X 28 COMPR. FILM.

P-6L

ACTAVIS GROUP PTC EHF.

CUTIE X BLIST. PVC-PVDC/AL X 30 COMPR. FILM.

P-6L

ACCORD HEALTHCARE LIMITED

MAREA BRITANIE

CUTIE CU BLIST. PVC- PE- PVDC /AL X 30 COMPR. FILM.

P-6L

AUROBINDO PHARMA LIMITED

MAREA BRITANIE

CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. P-6L

SUEDIA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-6L

Detinator APP
GEDEON RICHTER ROMANIA SA

MERCK SHARP & DOHME


MERCK SHARP & DOHME
AC HELCOR PHARMA SRL

KRKA D.D.

BLUEFISH PHARMACEUTICALS AB

Prescriptie

P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L

MAREA BRITANIE

CUTIE X 2 BLIST. X 7 COMPR. FILM.


CUTIE X 4 BLIST. X 7 COMPR. FILM.

OZONE LABORATORIES PHARMA S.A.

ROMANIA

CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L

RANBAXY U.K. LIMITED

MAREA BRITANIE

CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L

CIPLA (UK) LIMITED MAREA BRITANIE


ZENTIVA K.S.
CEHIA

CUTIE X 1 BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L

RANBAXY U.K. LIMITED


RANBAXY U.K. LIMITED

ALVOGEN IPCO S.A.R.L

MAREA BRITANIE

CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L

CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L

ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM


GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 14 COMPR. FILM.
MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 14 COMPR.FILM.
MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 14 COMPR.FILM.
AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.
SLOVENIA

P-6L

CUTIE X 2 BLIST. DIN PVC - PVD /AL X 14 COMPR. FILM. P-6L

GEDEON RICHTER ROMANIA SA

KRKA D.D.
ANTIBIOTICE SA

P-6L

CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 14 COMPR. FILM. P-6L

LUXEMBOURG CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

ARENA GROUP S.A. ROMANIA


IVAX - PHARMACEUTICALS S.R.O. CEHIA
HEXAL AG
GERMANIA

P-6L

P-6L
P-6L
P-6L
P-6L
P-6L

CUTIE X 4 BLIST. DIN PVC/PE/PVDC/AL X 7 COMPR. FILM. P-6L

ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.

P-6L

LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L


P-6L

MENARINI INTERNATIONAL OPERATIONS S.A.

LUXEMBOURG CUTIE X 4 BLIST. PVC-PVDC/AL X 7 COMPR. FILM.

OZONE LABORATORIES LTD.

MAREA BRITANIE

CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L

ACTAVIS GROUP PTC EHF.

ISLANDA
ISLANDA

CUTIE X BLIST. PVC-PVDC/AL X 28 COMPR. FILM

P-6L

ACTAVIS GROUP PTC EHF.

CUTIE X BLIST. PVC-PVDC/AL X 30 COMPR. FILM.

P-6L

ACCORD HEALTHCARE LIMITED

MAREA BRITANIE

CUTIE CU BLIST. PVC- PE- PVDC /AL X 30 COMPR. FILM.

P-6L

AUROBINDO PHARMA LIMITED

MAREA BRITANIE

CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. P-6L

SUEDIA
SUEDIA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-6L

BLUEFISH PHARMACEUTICALS AB
BLUEFISH PHARMACEUTICALS AB

CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. P-6L

MAREA BRITANIE

CUTIE X 2 BLIST. X 7 COMPR. FILM.


CUTIE X 4 BLIST. X 7 COMPR. FILM.

OZONE LABORATORIES PHARMA S.A.

ROMANIA

CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L

RANBAXY U.K. LIMITED

MAREA BRITANIE

CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L

CIPLA (UK) LIMITED MAREA BRITANIE


ZENTIVA K.S.
CEHIA

CUTIE X 1 BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L

RANBAXY U.K. LIMITED


RANBAXY U.K. LIMITED

ALVOGEN IPCO S.A.R.L

MAREA BRITANIE

P-6L

CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 14 COMPR. FILM. P-6L

LUXEMBOURG CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

HEXAL AG
GERMANIA
ARENA GROUP S.A. ROMANIA
KRKA D.D.
SLOVENIA

P-6L

P-6L

CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L


CUTIE X 2 BLIST. DIN PVC - PVD /AL X 14 COMPR. FILM. P-6L

CUTIE X 4 BLIST. PVC/PE/PVDC/AL X 7 COMPR. FILM P-6L

MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 14 COMPR.FILM. P-6L

Pagina 13 din 236

Pret
Val suportata
amanun
de CNAS/UT
tul
Pret
(RON)Legea Val suportata
cant/ maximal amanuntul nr. 95/2006 art
CNAS/UT
amba /ambalaj maximal/UT 213 alin.1 lit.
(RON) pt.
laj
(RON)
(RON)
a) si f)
Adulti

28
14
28
30
28
30
28
28
28
30
30
30
28
14
28
28
30
28
28
30
28
28
30
28
14
14
28
30
28
30
30
28
28
28
30
30
30
28
30
14
28
28
30
28
28
30
30
28
28
28

8.64
6.66
13.30
9.24
8.63
9.26
22.71
8.64
8.64
9.24
9.15
9.11
3.13
4.19
8.38
8.64
9.26
8.37
8.63
9.26
16.35
16.35
17.53
16.36
8.18
12.59
25.16
17.49
16.35
17.52
17.52
43.94
16.36
16.35
13.88
17.52
17.26
13.45
14.41
7.81
15.61
16.36
13.88
15.59
16.35
16.64
20.85
29.52
29.51
43.94

0.308571
0.475714
0.475000
0.308000
0.308214
0.308666
0.811071
0.308571
0.308571
0.308000
0.305000
0.303666
0.111785
0.299285
0.299285
0.308571
0.308666
0.298928
0.308214
0.308666
0.583928
0.583928
0.584333
0.584285
0.584285
0.899285
0.898571
0.583000
0.583928
0.584000
0.584000
1.569285
0.584285
0.583928
0.462666
0.584000
0.575333
0.480357
0.480333
0.557857
0.557500
0.584285
0.462666
0.556785
0.583928
0.554666
0.695000
1.054285
1.053928
1.569285

0.262454
0.262454
0.262454
0.262454
0.262454
0.262454
0.262454
0.262454
0.262454
0.262454
0.262454
0.262454
0.111785
0.262454
0.262454
0.262454
0.262454
0.262454
0.262454
0.262454
0.524908
0.524908
0.524908
0.524908
0.524908
0.524908
0.524908
0.524908
0.524908
0.524908
0.524908
0.524908
0.524908
0.524908
0.462666
0.524908
0.524908
0.480357
0.480333
0.524908
0.524908
0.524908
0.462666
0.524908
0.524908
0.524908
0.695000
1.049818
1.049818
1.049818

0.236208
0.236208
0.236208
0.236208
0.236208
0.236208
0.236208
0.236208
0.236208
0.236208
0.236208
0.236208
0.100606
0.236208
0.236208
0.236208
0.236208
0.236208
0.236208
0.236208
0.472417
0.472417
0.472417
0.472417
0.472417
0.472417
0.472417
0.472417
0.472417
0.472417
0.472417
0.472417
0.472417
0.472417
0.416399
0.472417
0.472417
0.432321
0.432299
0.472417
0.472417
0.472417
0.416399
0.472417
0.472417
0.472417
0.625500
0.944836
0.944836
0.944836

cod ATC

DCI

642 C10AA01

SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
LOVASTATINUM
LOVASTATINUM
LOVASTATINUM
LOVASTATINUM
LOVASTATINUM
PRAVASTATINUM
PRAVASTATINUM
PRAVASTATINUM
FENOFIBRATUM
FENOFIBRATUM
FENOFIBRATUM
FENOFIBRATUM
FENOFIBRATUM
FENOFIBRATUM
FENOFIBRATUM
FENOFIBRATUM
FENOFIBRATUM
FENOFIBRATUM
FENOFIBRATUM
FENOFIBRATUM
FENOFIBRATUM
MICONAZOLUM
MICONAZOLUM

Nr crt.

643 C10AA01
644 C10AA01
645 C10AA01
646 C10AA01
647 C10AA01
648 C10AA01
649 C10AA01
650 C10AA01
651 C10AA01
652 C10AA01
653 C10AA01
654 C10AA01
655 C10AA01
656 C10AA01
657 C10AA01
658 C10AA01
659 C10AA01
660 C10AA01
661 C10AA01
662 C10AA01
663 C10AA01
664 C10AA01
665 C10AA01
666 C10AA01
667 C10AA01
668 C10AA01
669 C10AA02
670 C10AA02
671 C10AA02
672 C10AA02
673 C10AA02
674 C10AA03
675 C10AA03
676 C10AA03
677 C10AB05
678 C10AB05
679 C10AB05
680 C10AB05
681 C10AB05
682 C10AB05
683 C10AB05
684 C10AB05
685 C10AB05
686 C10AB05
687 C10AB05
688 C10AB05
689 C10AB05
690 D01AC02
691 D01AC02

Denumire Comerciala

ZOCOR FORTE
ZEPLAN (R) 40 mg
ZEPLAN (R) 40 mg
SIMGAL (R) 40 mg
SINTENAL 40 mg
SIMVAHEXAL (R) 40 mg
SIMCOR 40 mg
SIMCOR 40 mg
VABADIN 40 mg
ZAREDIL 40 mg
SIMVASTATIN LPH 40 mg

forma farm.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

concentratie

40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
SIMVASTATINA ACTAVIS 40 mg
40mg
SIMVASTATINA ACTAVIS 40 mg
40mg
SIMVASTATIN ACCORD 40 mg
40mg
SIMVASTATIN AUROBINDO 40 mg
40mg
SIMVASTATIN BLUEFISH 40 mg
40mg
SIMVASTATIN BLUEFISH 40 mg
40mg
SIMVASTATIN BLUEFISH 40 mg
40mg
RANVOR 40 mg
40mg
ZAREDIL 40 mg
40mg
RANVOR 40 mg
40mg
SIMVASTATINA SUN 40 mg
40mg
SIMVASTATINA ALVOGEN 40 mg
40mg
SIMVACARD 40 mg
40mg
RANVOR 5 mg
5mg
SIMVASTATIN LPH 80 mg
80mg
SIMVASTATIN ACCORD 80 mg
80mg
MEDOSTATIN
COMPR.
20mg
MEDOSTATIN
COMPR.
20mg
MEDOSTATIN
COMPR.
20mg
LOVASTATINA BIOGALENICA 20 mg COMPR.
20mg
MEDOSTATIN 40 mg
COMPR.
40mg
PRAVATOR 10 mg
COMPR.
10mg
PRAVATOR 20 mg
COMPR.
20mg
PRAVATOR 40 mg
COMPR.
40mg
LIPANTHYL (R) 100
CAPS.
100mg
LIPOFIB 160 mg
CAPS.
160mg
LIPANTHYL 200 M
CAPS.
200mg
LIPOFIB 200 mg
CAPS.
200mg
LIPOFIB 267 mg
CAPS.
267mg
LIPOFIB 67 mg
CAPS.
67mg
FENOFIBRAT LPH 200 mg CAPS. PULB. MICRONIZATA 200mg
LIPIVIM
CAPS. PULB. MICRONIZATA 200mg
TRIGLIPO 160 mg
COMPR.
160mg
LIPANTIL NANO 145 mg
COMPR. FILM. 145mg
FENOFIBRAT TEVA 160 mg COMPR. FILM. 160mg
LIPANTHYL SUPRA 160 mg COMPR. FILM. ELIB. MODIF. 160mg
LIPANTHYL SUPRA 160 mg COMPR. FILM. ELIB. MODIF. 160mg
MEDACTER
CREMA
2%
MICONAZOL NITRAT 2%
CREMA
2%

tara det.
APP
Ambalaj
MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 14 COMPR.FILM. P-6L
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM. P-6L
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 14 COMPR. FILM. P-6L
Detinator APP

Prescriptie

IVAX - PHARMACEUTICALS S.R.O.

CEHIA

AC HELCOR PHARMA SRL

ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.

HEXAL AG
ANTIBIOTICE S.A.
ANTIBIOTICE S.A.

GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L

ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.


ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.

P-6L

MENARINI INTERNATIONAL OPERATIONS S.A.

LUXEMBOURG CUTIE X 4 BLIST. PVC-PVDC/AL X 7 COMPR. FILM.

P-6L

OZONE LABORATORIES LTD.

MAREA BRITANIE

CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L

P-6L

P-6L

CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L

LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L

ISLANDA
ISLANDA

CUTIE X BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L

ACTAVIS GROUP PTC EHF.

CUTIE X BLIST. PVC-PVDC/AL X 30 COMPR. FILM.

P-6L

ACCORD HEALTHCARE LIMITED

MAREA BRITANIE

CUTIE CU BLIST. PVC- PE- PVDC /AL X 30 COMPR. FILM.

P-6L

AUROBINDO PHARMA LIMITED

MAREA BRITANIE

CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. P-6L


CUTIE CU BLIST. PVC-PE-PVDC/AL X 14 COMPR. FILM. P-6L

BLUEFISH PHARMACEUTICALS AB

SUEDIA
SUEDIA
SUEDIA

RANBAXY U.K. LIMITED

MAREA BRITANIE

CUTIE X 2 BLIST. X 7 COMPR. FILM.

OZONE LABORATORIES PHARMA S.A.

ROMANIA

CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L

RANBAXY U.K. LIMITED

MAREA BRITANIE

CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L

CIPLA (UK) LIMITED

MAREA BRITANIE

CUTIE X 1 BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L

ALVOGEN IPCO S.A.R.L

LUXEMBOURG CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

ZENTIVA K.S.

CEHIA

CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 14 COMPR. FILM. P-6L

RANBAXY U.K. LIMITED

MAREA BRITANIE

CUTIE X 2 BLIST. X 7 COMPR. FILM.

ACTAVIS GROUP PTC EHF.

BLUEFISH PHARMACEUTICALS AB
BLUEFISH PHARMACEUTICALS AB

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-6L


CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. P-6L

P-6L

P-6L
P-6L

LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
ACCORD HEALTHCARE LIMITED

MAREA BRITANIE

CUTIE CU BLIST. PVC- PE- PVDC /AL X 30 COMPR. FILM.

P-6L

MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
ARENA GROUP S.A.
MEDOCHEMIE LTD.

CIPRU
CIPRU
CIPRU

CUTIE X 10 BLIST. X 10 COMPR.


CUTIE X 1 BLIST. X 10 COMPR.
CUTIE X 3 BLIST. X 10 COMPR.

P-6L

ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR.


CIPRU
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 4 BLIST. AL/PVC X 7 COMPR.
RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 4 BLIST. AL/PVC X 7 COMPR.
RANBAXY U.K. LIMITED

MAREA BRITANIE

P-6L
P-6L
P-6L
P-6L
P-6L
P-6L

CUTIE X 4 BLIST. PE-AL-PVC/AL X 7 COMPR. P-6L

LAB. FOURNIER SA
TERAPIA SA
LAB. FOURNIER SA
TERAPIA SA
TERAPIA SA
TERAPIA SA

FRANTA CUTIE X 4 BLIST. AL/PVC X 12 CAPS.


ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS.
FRANTA CUTIE X 1 BLIST. PVC/AL X 10 CAPS.
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS.
ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS.
ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS.
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
VIM SPECTRUM SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS.
LABORMED PHARMA S.A. ROMANIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR.

P-6L

LAB. FOURNIER S.A. FRANTA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.

P-6L

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L

LAB. FOURNIER SA FRANTA CUTIE X 1 BLIST. PVC- PE-PVDC/AL X 10 COMPR. FILM. CU ELIB. MOD.
LAB. FOURNIER SA FRANTA CUTIE X 3 BLIST. PVC- PE-PVDC/AL X 10 COMPR. FILM. CU ELIB. MOD.
FARAN LABORATORIES S.A. GRECIA CUTIE X 1 TUB X 30G
SLAVIA PHARM SRL ROMANIA CUTIE X 1 TUB X 20 G

Pagina 14 din 236

P-6L

P-6L
P-6L
P-RF
P-RF

Pret
Val suportata
amanun
de CNAS/UT
tul
Pret
(RON)Legea Val suportata
cant/ maximal amanuntul nr. 95/2006 art
CNAS/UT
amba /ambalaj maximal/UT 213 alin.1 lit.
(RON) pt.
laj
(RON)
(RON)
a) si f)
Adulti

14
28
14
28
30
30
10
30
28
28
30
28
30
30
30
14
28
30
14
28
30
28
30
28
14
30
30
100
10
30
30
30
28
28
28
48
30
10
30
30
30
20
30
30
30
30
10
30
1
1

22.71
29.52
14.76
29.52
31.62
31.62
10.54
31.62
66.75
18.17
31.62
29.52
22.84
31.62
31.14
14.84
29.68
18.32
14.84
18.17
22.87
29.48
22.87
29.68
2.42
53.68
55.51
66.80
14.27
20.54
25.56
47.09
17.01
22.19
35.10
20.49
26.58
13.41
27.50
33.15
12.08
17.40
26.12
26.56
34.34
26.58
13.64
39.56
8.46
6.75

1.622142
1.054285
1.054285
1.054285
1.054000
1.054000
1.054000
1.054000
2.383928
0.648928
1.054000
1.054285
0.761333
1.054000
1.038000
1.060000
1.060000
0.610666
1.060000
0.648928
0.762333
1.052857
0.762333
1.060000
0.172857
1.789333
1.850333
0.668000
1.427000
0.684666
0.852000
1.569666
0.607500
0.792500
1.253571
0.426875
0.886000
1.341000
0.916666
1.105000
0.402666
0.870000
0.870666
0.885333
1.144666
0.886000
1.364000
1.318666
8.460000
6.750000

1.049818
1.049818
1.049818
1.049818
1.049818
1.049818
1.049818
1.049818
1.049818
0.648928
1.049818
1.049818
0.761333
1.049818
1.038000
1.049818
1.049818
0.610666
1.049818
0.648928
0.762333
1.049818
0.762333
1.049818
0.131226
1.789333
1.850333
0.349939
0.349939
0.349939
0.349939
0.699878
0.262454
0.524908
1.049818
0.391649
0.626639
0.783299
0.783299
1.045705
0.262405
0.783299
0.783299
0.626639
0.567892
0.626639
0.626639
0.626639
8.460000
6.152250

0.944836
0.944836
0.944836
0.944836
0.944836
0.944836
0.944836
0.944836
0.944836
0.584035
0.944836
0.944836
0.685199
0.944836
0.934200
0.944836
0.944836
0.549599
0.944836
0.584035
0.686099
0.944836
0.686099
0.944836
0.118104
1.610399
1.665299
0.314945
0.314945
0.314945
0.314945
0.629890
0.236208
0.472417
0.944836
0.352484
0.563975
0.704969
0.704969
0.941134
0.236164
0.704969
0.704969
0.563975
0.511103
0.563975
0.563975
0.563975
7.614000
5.537025

Nr crt.

cod ATC

692 D01AC02
693 D01AC10
694 D06BB03
695 D06BB03
696 D06BB03
697 D06BB03
698 D06BB03
699 D06BB03
700 D06BB03
701 D06BB03
702 D06BB03
703 D07AA02
704 D07AA02
705 D07AA02
706 D07AC01
707 D07AC01
708 D07AC01
709 D07AC01
710 G01AF04
711 G01AF04
712 G01AF04
713 G01AF04
714 G01AF04
715 G01AF04
716 G02AB03
717 G03BA03
718 G03BA03
719 G03BA03
720 G03CA03
721 G03CA03
722 G03CA03
723 G04CAN1
724 G04CAN1
725 G04CAN1
726 G04CAN1
727 G04CAN1
728 G04CAN1
729 G04CAN1
730 G04CAN1
731 G04CAN1
732 G04CAN1
733 H02AB04
734 H02AB04
735 H02AB04
736 H02AB07
737 H02AB07
738 H02AB07
739 H02AB07
740 H02AB07
741 H02AB09

DCI

MICONAZOLUM
BIFONAZOLUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
HYDROCORTISONUM
HYDROCORTISONUM
HYDROCORTISONUM
BETAMETHASONUM
BETAMETHASONUM
BETAMETHASONUM
BETAMETHASONUM
MICONAZOLUM
MICONAZOLUM
MICONAZOLUM
MICONAZOLUM
MICONAZOLUM
MICONAZOLUM
ERGOMETRINUM
TESTOSTERONUM*
TESTOSTERONUM*
TESTOSTERONUM*
ESTRADIOLUM*
ESTRADIOLUM*
ESTRADIOLUM*
DOXAZOSINUM
DOXAZOSINUM
DOXAZOSINUM
DOXAZOSINUM
DOXAZOSINUM
DOXAZOSINUM
DOXAZOSINUM
DOXAZOSINUM
DOXAZOSINUM
DOXAZOSINUM
METHYLPREDNISOLONUM*
METHYLPREDNISOLONUM*
METHYLPREDNISOLONUM*
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
HYDROCORTISONUM*

Denumire Comerciala

forma farm.

MICONAL ECOBI
BIAZOL 10 mg/g
ACICLOVIR MK
ZOVIRAX
ACICLOVIR 50mg/g
ACICLOVIR 50mg/g
CLOVIRAL (R) 5%
ACICLOVIR MK
ACICLOVIR HYPERION
ACICLOVIR TIS 50mg/g
ACICLOVIR SLAVIA 50 mg/g
HIDROCORTIZON 1%

CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
UNGUENT
UNGUENT
UNGUENT
CREMA
CREMA
CREMA
UNGUENT
CAPS. VAG.
CAPS. VAG.
CREMA VAG.
CREMA VAG.
OVULE

concentratie

20mg/g
10mg/g
5%
5%
5%
5%
5%
5%
50mg/g
50mg/g
50mg/g
1%
HIDROCORTIZON FITERMAN 10 mg/g
10mg/g
HIDROCORTIZON FITERMAN 10 mg/g
10mg/g
BETADERM
0,1%
BETAMETAZONA FITERMAN 0,5 mg/g
0,5mg/g
EKARZIN 0,5MG/G
0,5mg/g
BETADERM
0,1%
GYNOZOL 200
200mg
GYNOZOL 400
400mg
MEDACTER
2%
MICONAL ECOBI
20mg/g
MICONAL ECOBI
50mg
MICONAL ECOBI
SOL. VAGINALA 2mg/ml
MALEAT DE ERGOMETRINA 0,2 mg/ml SOL. INJ.
0,2mg/ml
UNDESTOR TESTOCAPS 40 mg CAPS. MOI
40mg
ANDROGEL 50 mg
GEL
50mg
NEBIDO 1000 mg/4 ml
SOL. INJ.
1000mg/4ml
ESTREVA (R)
GEL
0,1%
OESTROGEL 0,6 mg/g
GEL
0,6mg/g
CLIMARA
PLASTURE TRANSDERM. 50mcg/24ore
KAMIREN (vezi G04CAN1)
COMPR.
1mg
KAMIREN (vezi G04CAN1)
COMPR.
1mg
KAMIREN (vezi G04CAN1)
COMPR.
2mg
KAMIREN (vezi G04CAN1)
COMPR.
2mg
KAMIREN (vezi G04CAN1)
COMPR.
4mg
KAMIREN (vezi G04CAN1)
COMPR.
4mg
CARDURA XL 4 mg (vezi G04CAN1) COMPR. ELIB. MODIF. 4mg
CARDURA XL 4 mg (vezi G04CAN1) COMPR. ELIB. MODIF. 4mg
KAMIREN XL 4 mg (vezi C02CA04) COMPR. FILM. ELIB. PREL. 4mg
KAMIREN XL 4 mg (vezi C02CA04) COMPR. FILM. ELIB. PREL. 4mg
LEMOD SOLU 125 mg
LIOF. PT. SOL. INJ. 125mg
LEMOD SOLU 500 mg
LIOF. PT. SOL. INJ. 500mg
SOLU - MEDROL ACT-O-VIAL LIOF. SI SOLV.PT.SOL.INJ 250mg/4ml
PREDNISON MCC 5 mg
COMPR.
5mg
PREDNISON ARENA 5 mg
COMPR.
5mg
N - PREDNISON
COMPR.
5mg
PREDNISON 5 mg
COMPR.
5mg
PREDNISON - RICHTER 5 mg COMPR.
5mg
HYDROCORTISONE 100 mg LIOF. + SOLV. PT. SOL. INJ. 100mg

Detinator APP
FARMACEUTICI ECOBI S.A.S

tara det.
APP

ITALIA

Ambalaj
CUTIE X 1 TUB DIN AL X 30 G CREMA

Prescriptie

P-RF

ROMANIA CUTIE X 1 TUB X 15 G CREMA


FITERMAN PHARMA S.R.L. ROMANIA CUTIE X 1 TUB AL X 7,5 G

P-RF

CUTIE X 1 TUB X 5G CREMA


CUTIE X 1 TUB X 5 G CREMA
CUTIE X 1 TUB X 15 G CREMA
CUTIE X 1 TUB AL. X 12 G
CUTIE X 1 TUB AL X 15 G

P-RF

CUTIE X 1 TUB DIN AL X 15 G CREMA

P-RF

CUTIE X 1 TUB DIN PEJD X 15 G CREMA

P-RF

CUTIE CU 1 TUB AL X 15 G CREMA


CUTIE X 1 TUB X 20 G

P-RF

CUTIE X 1 TUB DIN AL X 20 G UNGUENT


CUTIE X 1 TUB DIN AL X 35 G UNGUENT

P-RF

CUTIE X 1 TUB X 20 G
CUTIE X 1 TUB AL X 20 G CREMA

P-RF

CUTIE X 1 TUB DIN AL X 15 G CREMA

P-RF

CUTIE X 1 TUB X 20 G

P-RF

CUTIE X 2 BLIST. X 3 CAPS. VAG. MOI


CUTIE X 1 BLIST. X 3 CAPS. VAG. MOI

P-RF

GRECIA CUTIE X 1 TUB X 78 G


ITALIA
CUTIE X 1 TUB DIN AL X 78 G CREMA VAGINALA + CANULA
ITALIA
CUTIE X 3 FOLII PREFORMATE PVC/PE X 5 OVULE
ITALIA
CUTIE X 5 FLACOANE DIN PEJD X 150 ML SOL. VAG. + 5 CANULE

P-RF

ROMANIA

CUTIE X 5 FIOLE DIN STICLA INCOLORA X 1 ML SOL. INJ., CU INEL DE RUPERE

P-RF

CUTIE X 6 PLICURI DIN PES-AL-PE X 1 BLIST. AL/PVC X 10 CAPS. MOI

P-RF

GEDEON RICHTER ROMANIA SA

THE WELLCOME FOUNDATION LTD.

MAREA BRITANIE

GEDEON RICHTER ROMANIA SA

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

GEDEON RICHTER ROMANIA SA

ANTIBIOTICE SA
FITERMAN PHARMA S.R.L.

HYPERION S.A.
TIS FARMACEUTIC SA
SLAVIA PHARM S.R.L.

ANTIBIOTICE SA
FITERMAN PHARMA S.R.L.
FITERMAN PHARMA S.R.L.

E.I.P.I.CO. MED S.R.L.


FITERMAN PHARMA S.R.L.

ANTIBIOTICE S.A.
E.I.P.I.CO. MED S.R.L.
PHARCO IMPEX 93 S.R.L.
PHARCO IMPEX 93 S.R.L.
FARAN LABORATORIES S.A.
FARMACEUTICI ECOBI S.A.S
FARMACEUTICI ECOBI S.A.S
FARMACEUTICI ECOBI S.A.S

ZENTIVA S.A.
N.V. ORGANON

P-RF

P-RF
P-RF
P-RF
P-RF

P-RF

P-RF

P-RF

P-RF

P-RF
P-RF
P-RF

LAB. BESINS INTERNATIONAL

OLANDA
FRANTA

BAYER SCHERING PHARMA AG

GERMANIA

CUTIE X 1 FIOLA X 4 ML SOL. INJ.

S/P-RF

LAB. THERAMEX

MONACO

CUTIE X 1 FLACON PE, INCHIS CU POMPA DOZATOARE X 50 G

P-6L

LABORATOIRES BESINS INTERNATIONAL

FRANTA

CUTIE CU 1 TUB AL X 80 G GEL + DISPOZITIV DE DOZARE DIN POLISTIREN

P-6L

BAYER SCHERING PHARMA AG

GERMANIA CUTIE X 4 PLICURI X 1 PLASTURE TRANSDERM. P-6L

CUTIE X 30 PLICURI DIN FOLIE PET/AL/PE X 5 G GEL P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC-PVDE/AL X 10 COMPR. P-6L
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC-PVDE/AL X 10 COMPR. P-6L
PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 2 BLIST. PVC-PVDC/AL-PVDC X 14 COMPR. ELIB. PREL.

P-6L

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 2 BLIST. PVC-PVDC/AL-PVDC X 14 COMPR. ELIB. PREL.

P-6L

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. CU ELIB. PREL.

P-6L

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. CU ELIB. PREL.

ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 2 ML


STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 7,8 ML
STADA HEMOFARM S.R.L.
PFIZER EUROPE MA EEIG

MAREA BRITANIE

MAGISTRA C&C S.R.L. ROMANIA


ARENA GROUP SA ROMANIA
MEDUMAN SA
ROMANIA
SINTOFARM SA
ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
STADA HEMOFARM S.R.L. ROMANIA

Pagina 15 din 236

CUTIE X 1 FLAC. BICOMPARTIMENTAT (COMPARTIMENT INFERIOR) LIOF. PT. SOL. INJ. + (COMPARTIMENT SUPERIO

P-6L
S/P-RF
S/P-RF

P-RF

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P-RF

CUTIE X 1 FLAC. X 30 COMPR.

P-RF

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.


CUTIE X 2 BLIST. AL./PVC X 10 COMPR.

P-RF

CUTIE X 1 FLAC. LIOF. + 1 FIOLA X 2 ML SOLV.

P-RF

P-RF

P-RF

Pret
Val suportata
amanun
de CNAS/UT
tul
Pret
(RON)Legea Val suportata
cant/ maximal amanuntul nr. 95/2006 art
CNAS/UT
amba /ambalaj maximal/UT 213 alin.1 lit.
(RON) pt.
laj
(RON)
(RON)
a) si f)
Adulti

1
9.40
9.400000
9.228375
8.305537
1
9.35
9.350000
4.614187
4.152768
1
4.14
4.140000
2.997000
2.697300
1 20.82 20.820000
1.998000
1.798200
1
4.92
4.920000
1.998000
1.798200
1
7.50
7.500000
5.994000
5.394600
1
6.32
6.320000
4.795200
4.315680
1
6.66
6.660000
5.994000
5.394600
1
7.24
7.240000
5.994000
5.394600
1
4.64
4.640000
4.640000
4.176000
1
6.64
6.640000
5.994000
5.394600
1
7.30
7.300000
5.610714
5.049642
1
5.61
5.610000
5.610000
5.049000
1
9.82
9.820000
9.818750
8.836875
1
5.89
5.890000
1.579050
1.421145
1
5.89
5.890000
5.890000
5.301000
1
7.30
7.300000
5.921437
5.329293
1
5.89
5.890000
1.579050
1.421145
6
5.89
0.981666
0.981666
0.883499
3
5.65
1.883333
1.883333
1.694999
1 19.14 19.140000 13.448515 12.103663
1 13.76 13.760000 13.448515 12.103663
15
8.89
0.592666
0.431042
0.387937
5 17.78
3.556000
2.586252
2.327627
5
5.87
1.174000
1.174000
1.056600
60 46.78
0.779666
0.779666
0.701699
30 220.73
7.357666
7.357666
6.621899
1 479.68 479.680000 479.680000 431.712000
1 29.06 29.060000 10.130180
9.117162
1 16.41 16.410000
9.724973
8.752476
4 32.94
8.235000
8.235000
7.411500
30 10.06
0.335333
0.214518
0.193066
30 10.06
0.335333
0.214518
0.193066
30 16.87
0.562333
0.429037
0.386133
30 16.87
0.562333
0.429037
0.386133
30 30.49
1.016333
0.858074
0.772267
30 30.49
1.016333
0.858074
0.772267
28 45.94
1.640714
0.858074
0.772267
28 45.94
1.640714
0.858074
0.772267
30 36.91
1.230333
0.858074
0.772267
30 36.91
1.230333
0.858074
0.772267
1
8.71
8.710000
8.186250
7.367625
1 30.65 30.650000 30.650000 27.585000
1 20.23 20.230000 16.372500 14.735250
20
2.62
0.131000
0.082333
0.074099
30
2.59
0.086333
0.082333
0.074099
30
2.43
0.081000
0.081000
0.072900
30
3.67
0.122333
0.082333
0.074099
20
2.54
0.127000
0.082333
0.074099
1
3.87
3.870000
3.141899
2.827709

Nr crt.

cod ATC

742 H02AB09
743 H02AB09
744 H02AB09
745 J01AA02
746 J01AA02
747 J01AA02
748 J01AA02
749 J01AA02
750 J01CA04
751 J01CA04
752 J01CA04
753 J01CA04
754 J01CA04
755 J01CA04
756 J01CA04
757 J01CA04
758 J01CA04
759 J01CA04
760 J01CA04
761 J01CA04
762 J01CA04
763 J01CA04
764 J01CA04
765 J01CA04
766 J01CA04
767 J01CA04
768 J01CA04
769 J01CA04
770 J01CA04
771 J01CA04
772 J01CA04
773 J01CA04
774 J01CA04
775 J01CA04
776 J01CA04
777 J01CA04
778 J01CA04
779 J01CA04
780 J01CA04
781 J01CE02
782 J01CE02
783 J01CE02
784 J01CE02
785 J01CE02
786 J01CE08
787 J01CF04
788 J01CF04
789 J01CF04
790 J01CF04
791 J01CF04

DCI

Denumire Comerciala

forma farm.

HYDROCORTISONUM*
HYDROCORTISONUM*
HYDROCORTISONUM*
DOXYCYCLINUM
DOXYCYCLINUM
DOXYCYCLINUM
DOXYCYCLINUM
DOXYCYCLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
PHENOXYMETHYLPENICILLINUM
PHENOXYMETHYLPENICILLINUM
PHENOXYMETHYLPENICILLINUM
PHENOXYMETHYLPENICILLINUM
PHENOXYMETHYLPENICILLINUM

HYDROCORTISONE SUCCINAT SODIC

LIOF. + SOLV. PT. SOL. INJ.

HYDROCORTISONE 500 mg

LIOF. PT. SOL. INJ. + SOLV.

SOL. INJ. I.V.


CAPS.
CAPS.
CAPS.
DOXICICLINA SANDOZ 100 mg CAPS.
UNIDOX SOLUTAB
COMPR. DISP.
AMOXICILINA ARENA 250 mg CAPS.
AMOXICILINA ANTIBIOTICE 250 mg CAPS.
OSPAMOX 250 mg
CAPS.
AMOXICILINA SANDOZ 250 mg CAPSULE CAPS.
AMOXICILINA FARMEX 250 mg CAPS.
RANOXIL 250 mg
CAPS.
AMOXICILINA ANTIBIOTICE 500 mg CAPS.
E - MOX
CAPS.
AMOXICILINA FORTE 500 mg CAPS.
AMOXICILINA FORTE 500 mg CAPS.
AMOXICILINA ARENA 500 mg CAPS.
MOXILEN
CAPS.
AMOXICILINA SANDOZ 500 mg CAPSULE CAPS.
RANOXIL 500 mg
CAPS.
OSPAMOX 1000 mg
COMPR. FILM.
OSPAMOX 500 mg
COMPR. FILM.
REBOXIL 1g
COMPR. PT. DISP. ORALA
AMOXICILINA TERAPIA 1 g COMPR. PT. DISP. ORALA
DUOMOX 1000 mg
DUOMOX 250 mg
DUOMOX 500 mg
DUOMOX 750 mg
JULPHAMOX
PULB. PT. SUSP. ORALA
RANOXIL 125 mg/5 ml
PULB. PT. SUSP. ORALA
HIDROCORTIZON HEMISUCCINAT

DOXICICLINA ATB 100 mg


DOXICICLINA
DOXICICLINA 100 mg

COMPR. PT. DISPERSIE ORALA


COMPR. PT. DISPERSIE ORALA
COMPR. PT. DISPERSIE ORALA
COMPR. PT. DISPERSIE ORALA

AMOXICILINA SANDOZ 125 mg/5 ml PULBERE PENTRU SUSPENSIE ORALA

OSPAMOX (R) 125 mg/5 ml


JULPHAMOX
RANOXIL 250 mg/5 ml
AMOXICILINA SANDOZ 250 mg/ 5 ml PULBERE PENTRU SUSPENSIE ORALA

E - MOX
OSPAMOX 250 mg/5 ml
PENICILINA V 1 000 000 U.I.
OSPEN (R) 1000
OSPEN (R) 1500
OSPEN (R) 500
OSPEN 400
BENZATHINI BENZYLPENICILLINUM MOLDAMIN 1200000 UI
OXACILLINUM
OXACILINA ARENA 250 mg
OXACILLINUM
OXACILINA 250 mg
OXACILLINUM
OXACILINA SANDOZ 250 mg
OXACILLINUM
OXACILINA
OXACILLINUM
OXACILINA 250 mg

PULB. PT. SUSP. ORALA


PULB. PT. SUSP. ORALA
PULB. PT. SUSP. ORALA
PULB. PT. SUSP. ORALA
PULB. PT. SUSP. ORALA
PULB. PT. SUSP. ORALA

concentratie

100mg
500mg
25mg/5ml
100 mg
100mg
100mg
100mg
100mg
250mg
250mg
250mg
250mg
250mg
250mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
1000mg
500mg
1g
1g
1000mg
250mg
500mg
750mg
125mg/5ml
125mg/5ml
125mg/5ml
125mg/5ml
250mg/5ml
250mg/5ml
250mg/5ml
250mg/5ml
250mg/5ml
1000000ui
1000000ui
1500000ui
500000ui

tara det.
APP
Detinator APP
E.I.P.I.CO. MED S.R.L. ROMANIA
STADA HEMOFARM S.R.L. ROMANIA
ZENTIVA S.A.
ROMANIA
ANTIBIOTICE S.A.
ROMANIA
ARENA GROUP SA ROMANIA
ANTIBIOTICE SA
ROMANIA
SANDOZ SRL
ROMANIA

Prescriptie

S/P-RF

CUTIE X 1 FLAC. LIOF. + 1 FIOLA X 4 ML SOLV.

P-RF

CUTIE X 5 FIOLE X 1 ML SOL. A + 5 FIOLE X 4 ML SOL. B

S/P-RF

CUTIE CU 1 BLIST. PVC/AL X 10 CAPS. PRF

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P-RF

CUTIE X 1 BLIST. X 10 CAPS.

P-RF

CUTIE X 1 BLIST. AL/PVC X 10 CAPS.

P-RF

ASTELLAS PHARMA EUROPE BV

OLANDA

ARENA GROUP SA
ANTIBIOTICE SA
SANDOZ GMBH
SANDOZ SRL

ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.


ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

CUTIE X 1 BLIST. DIN AL/PVC X 10 COMPR.DISP. P-RF


P-RF
P-RF

AUSTRIA CUTIE X 2 BLIST. AL-PVC/PVDC X 6 CAPS.

P-RF/S

ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P-RF

FARMEX COMPANY SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P-RF

TERAPIA SA
ANTIBIOTICE SA

CUTIE X 2 BLIST. PVC-PVDC/AL X 10 CAPS.

P-RF

CUTIE X 1 BLIST. AL/PVC X 10 CAPS.

P-RF

CUTIE X 1 BLIST. X 8 CAPS.


CUTIE X 1 BLIST. X 10 CAPS.
CUTIE X 2 BLIST. X 10 CAPS.
CUTIE X 2 BLIST. AL/PVC X 5 CAPS.
CUTIE X 2 BLIST. X 8 CAPS.

P-RF

ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS.


ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 CAPS.

P-RF

ROMANIA
ROMANIA
E.I.P.I.CO. MED S.R.L. ROMANIA
FARMEX COMPANY SRL ROMANIA
FARMEX COMPANY SRL ROMANIA
ARENA GROUP SA ROMANIA

MEDOCHEMIE LTD.
SANDOZ SRL
TERAPIA SA
SANDOZ GMBH
SANDOZ GMBH
TERAPIA SA
TERAPIA SA
ASTELLAS PHARMA EUROPE BV
ASTELLAS PHARMA EUROPE BV
ASTELLAS PHARMA EUROPE BV
ASTELLAS PHARMA EUROPE BV
GULF PHARMACEUTICAL IND. (JUPHAR)

TERAPIA SA
SANDOZ S.R.L.
SANDOZ GMBH

CIPRU

P-RF
P-RF
P-RF

P-RF

CUTIE 2 BLIST. PVC-PVDC/AL X 6 COMPR. FILM. P-RF


CUTIE X 2 BLIST. PVC-PVDC/AL X 6 COMPR.FILM.

P-RF

ROMANIA
ROMANIA

CUTIE X 3 BLIST. PVC-PVDC/AL X 7 COMPR. PT. DISP. ORALA

P-RF

CUTIE X 3 BLIST. PVC-PVDC/AL X 7 COMPR. PT. DISP. ORALA

P-RF

OLANDA
OLANDA
OLANDA
OLANDA

CUTIE X 4 BLIST. AL/PVC X 5 COMPR.


CUTIE X 4 BLIST. AL/PVC X 5 COMPR.
CUTIE X 4 BLIST. AL/PVC X 5 COMPR.
CUTIE X 4 BLIST. AL/PVC X 5 COMPR.

P-RF
P-RF
P-RF
P-RF

ROMANIA CUTIE X 1 FLAC. CU PULB. PT. 100 ML SUSP.


ROMANIA
ROMANIA

P-RF

AUSTRIA

CUTIE X 1 FLAC. PEID X 20 G PULB. PT. 100 ML SUSP. ORALA + MASURA DOZATOARE MARCATA PT. 2,5 ML, 5 ML

P-RF

CUTIE X 1 FLAC. DIN STICLA BRUNA CONTINAND 20 G PULB PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE

P-RF

CUTIE X 1 FLAC. X 5,1 G PULB. PT. 60 ML SUSP. ORALA + O LINGURITA DOZATOARE

P-RF

ROMANIA CUTIE X 1 FLAC. CU PULB. PT. 100 ML SUSP.


TERAPIA SA
ROMANIA
SANDOZ S.R.L.
ROMANIA
E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. CU PULB. PT. 60 ML SUSP.

Pagina 16 din 236

P-RF

AUSTRIA
AUSTRIA

GULF PHARMACEUTICAL IND. (JUPHAR)

SANDOZ GMBH
COMPR.
EUROPHARM SA
COMPR. FILM.
SANDOZ GMBH
COMPR. FILM.
SANDOZ GMBH
COMPR. FILM.
SANDOZ GMBH
SIROP
400000ui/5ml SANDOZ GMBH
PULB. PT. SUSP. INJ. 1200000UI
ANTIBIOTICE S.A.
CAPS.
250mg
ARENA GROUP SA
CAPS.
250mg
ANTIBIOTICE SA
CAPS.
250mg
SANDOZ SRL
CAPS.
250mg
FARMACOM SA
CAPS.
250mg
OZONE LABORATORIES LTD.
PULB. PT. SUSP. ORALA

Ambalaj
CUTIE X 1 FLAC. DIN STICLA INCOLORA CU LIOF. PT. SOL. INJ. + 1 FIOLA SOLV. X 2 ML

AUSTRIA

P-RF

CUTIE X 1 FLAC. PEID X 20 G PULB. PT. 100 ML SUSP. ORALA + MASURA DOZATOARE MARCATA PT. 2,5 ML, 5 ML

P-RF

CUTIE X 1 FLAC. X 20 G PULB. PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE PE, CU GRADATII PT. 1,25

P-RF

CUTIE X 1 FLAC. X 6,6 G PULB. PT. 60 ML SUSP. ORALA + O LINGURITA DOZATOARE

P-RF
P-RF

ROMANIA CUTIE X 2 BLIST. X 10 COMPR.

P-RF

AUSTRIA CUTIE X 1 BLIST. AL/PVC-PVDC X 12 COMPR. FILM.


AUSTRIA CUTIE X 1 BLIST. AL/PVC-PVDC X 12 COMPR. FILM.
AUSTRIA CUTIE X 1 BLIST. AL/PVC-PVDC X 12 COMPR. FILM.
AUSTRIA CUTIE X 1 FLACON X 60ML

P-RF

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SUSP. INJ. I.M.

P-RF

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.


CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P-RF

CUTIE X 2 BLIST. X 10 CAPS.

P-RF

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P-RF

MAREA BRITANIE

P-RF
P-RF
P-RF

P-RF
P-RF

Pret
Val suportata
amanun
de CNAS/UT
tul
Pret
(RON)Legea Val suportata
cant/ maximal amanuntul nr. 95/2006 art
CNAS/UT
amba /ambalaj maximal/UT 213 alin.1 lit.
(RON) pt.
laj
(RON)
(RON)
a) si f)
Adulti

1
1
5
10
20
10
10
10
20
20
12
20
20
20
10
8
10
20
10
16
10
20
12
12
21
21
20
20
20
20
1
1
1
1
1
1
1
1
1
20
12
12
12
1
1
20
20
20
20
20

3.87
11.77
21.08
3.54
6.92
3.54
3.56
9.48
5.87
6.16
4.39
6.07
5.19
6.07
5.36
7.44
5.84
8.71
5.62
7.15
4.85
9.17
11.49
5.62
19.18
19.18
23.50
10.00
14.59
19.52
7.46
6.81
5.67
4.50
8.10
7.94
4.82
4.82
4.82
9.00
3.42
6.02
2.59
9.40
3.57
7.03
7.46
7.61
5.62
5.96

3.870000
11.770000
4.216000
0.354000
0.346000
0.354000
0.356000
0.948000
0.293500
0.308000
0.365833
0.303500
0.259500
0.303500
0.536000
0.930000
0.584000
0.435500
0.562000
0.446875
0.485000
0.458500
0.957500
0.468333
0.913333
0.913333
1.175000
0.500000
0.729500
0.976000
7.460000
6.810000
5.670000
4.500000
8.100000
7.940000
4.820000
4.820000
4.820000
0.450000
0.285000
0.501666
0.215833
9.400000
3.570000
0.351500
0.373000
0.380500
0.281000
0.298000

3.141899
11.770000
0.785474
0.319050
0.319050
0.319050
0.319050
0.319050
0.276187
0.276187
0.276187
0.276187
0.259500
0.276187
0.457583
0.457583
0.457583
0.435500
0.457583
0.446875
0.457583
0.457583
0.915166
0.457583
0.913333
0.913333
0.915166
0.276187
0.457583
0.686374
2.761875
2.761875
1.657125
1.657125
5.523750
5.523750
3.314250
3.314250
3.314250
0.300999
0.285000
0.451499
0.150499
0.200666
3.298054
0.289722
0.289722
0.289722
0.281000
0.289722

2.827709
10.593000
0.706927
0.287145
0.287145
0.287145
0.287145
0.287145
0.248568
0.248568
0.248568
0.248568
0.233550
0.248568
0.411824
0.411824
0.411824
0.391950
0.411824
0.402187
0.411824
0.411824
0.823649
0.411824
0.821999
0.821999
0.823649
0.248568
0.411824
0.617737
2.485687
2.485687
1.491412
1.491412
4.971375
4.971375
2.982825
2.982825
2.982825
0.270899
0.256500
0.406349
0.135449
0.180599
2.968249
0.260750
0.260750
0.260750
0.252900
0.260750

Nr crt.

DCI

cod ATC

792 J01CF04
793 J01CF04
794 J01CF04
795 J01CF04
796 J01CF04
797 J01CF04
798 J01CF04
799 J01CF04
800 J01CF04

OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM

Denumire Comerciala

forma farm.

CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
OXACILINA FORTE LPH 500 mg CAPS.
OXACILINA FARMEX 250 mg
OXACILINA 250 mg
OXACILINA 500 mg
OXACILINA ARENA 500 mg
OXACILINA FORTE 500 mg
OXACILINA SANDOZ 500 mg

OXACILINA ANTIBIOTICE 500 mg

PULB. PT. SOL. INJ./PERF. I.M./I.V.

OXACILINA ANTIBIOTICE 1 g

PULB. PT. SOL. INJ./PERF.I.M./I.V.

concentratie

250mg
250mg
500mg
500mg
500mg
500mg
500mg
500mg
1g

Detinator APP
FARMEX COMPANY SRL
LABORMED PHARMA S.A.

ANTIBIOTICE SA
ARENA GROUP SA
FARMEX COMPANY SRL

SANDOZ SRL
LABORMED PHARMA S.A.

ANTIBIOTICE SA
ANTIBIOTICE SA

801 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN SR 1000 mg/62,5 mg COMPR. ELIB. PREL. 1000mg/62,5mg BEECHAM GROUP PLC
802 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
803 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
804 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
805 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
806 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
807 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
808 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
809 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
810 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
811 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
812 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

AMOKSIKLAV 2 x 1000 mg
MEDOCLAV 1000 mg
MEDOCLAV 375 mg
ENHANCIN 500 mg/125mg
AMOXIPLUS 500/125 mg
MEDOCLAV 625 mg
AUGMENTIN 500 mg/125 mg
AMOKSIKLAV 2 x 625 mg
AUGMENTIN 1 g
AMOXIPLUS 875 mg/125 mg
AUGMENTIN 875 mg/125 mg

813 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV QUICKTAB 1000 mg


814 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV QUICKTAB 625 mg

COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE

COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE

1000mg
1000mg

LEK PHARMACEUTICALS D.D.

MAREA BRITANIE

Ambalaj

Prescriptie

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.


CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P-RF
P-RF

CUTIE X 1 BLIST. X 10 CAPS.

P-RF

CUTIE X 1 BLIST. AL/PVC X 10 CAPS.


CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
CUTIE X 1 BLIST. AL/PVC X 10 CAPS.
CUTIE X 1 BLIST. AL/PVC X 10 CAPS.

P-RF

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. I.M./I.V.

P-RF

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. I.M./I.V.

P-RF

CUTIE CU 7 BLIST. AL/PVC-AL X 4 COMPR. ELIB. PREL.

P-RF

SLOVENIA CUTIE X 2 BLIST. AL/AL X 7 COMPR.FILM.

P-RF
P-RF
P-RF

P-RF

MEDOCHEMIE LTD. CIPRU


250mg+125mg MEDOCHEMIE LTD. CIPRU

CUTIE X 2 BLIST. AL-PVC/AL X 7 COMPR. FILM. P-RF

CUTIE X 4 BLIST. X 4 COMPR. FILM.

P-RF

500 mg/125 mg RANBAXY UK LIMITED

CUTIE X 4 FOLII AL-PEJD X 7 COMPR. FILM.

P-RF

ANTIBIOTICE S.A.
ROMANIA CUTIE X 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM.
500mg+125mg MEDOCHEMIE LTD. CIPRU
CUTIE X 4 BLIST. X 4 COMPR. FILM.

P-RF

500mg/125mg BEECHAM GROUP PLC

MAREA BRITANIE

P-RF

625mg

SLOVENIA CUTIE X 1 BLIST. AL/AL X 14 COMPR. FILM.

P-RF

MAREA BRITANIE

P-RF

MAREA BRITANIE

500/125mg

LEK PHARMACEUTICALS D.D.

875mg+125mg BEECHAM GROUP PLC

875mg/125mg ANTIBIOTICE S.A.


ROMANIA
875mg/125mg BEECHAM GROUP PLC MAREA BRITANIE
1000mg
BIOMEDIAL PHARMA S.R.L. ROMANIA
625mg
BIOMEDIAL PHARMA S.R.L. ROMANIA

CUTIE CU 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM., FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA PROTECTO

CUTIE X 2 BLIST. AL/PVDC-PVC X 7 COMPR. FILM., FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA PROTECTOA

P-RF

CUTIE CU 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-RF


CUTIE CU 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM., FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA PROTECTO

P-RF

CUTIE X 7 BLIST. AL/AL X 2 COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE

P-RF

CUTIE X 7 BLIST. AL/AL X 2 COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE

P-RF

CUTIE X 1 FLAC. CU PULB. PT. 100ML SUSP. ORALA + LINGURITA DOZATOARE

P-RF

CUTIE X 1 FLAC. DIN STICLA BRUNA CU 25 MG PULB. PT. 100 ML SUSP. ORALA

P-RF

PULB. PT. SUSP. ORALA

125mg+31,25/5ml

MEDOCHEMIE LTD. CIPRU

PULB. PT. SUSP. ORALA

156,25mg/5ml

LEK PHARMACEUTICALS D.D.

817 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM MEDOCLAV FORTE 312,5mg/5ml

PULB. PT. SUSP. ORALA

250mg+62,5mg/5ml

MEDOCHEMIE LTD. CIPRU

818 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN BIS 400 mg/57 mg/5 ml

PULB. PT. SUSP. ORALA

400mg/57mg/5ml SMITHKLINE BEECHAM PLC

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. 35 ML SUSP. ORALA + 1 SERINGA PT. ADM. ORALA

P-RF

819 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN BIS 400 mg/57 mg/5 ml

PULB. PT. SUSP. ORALA

400mg/57mg/5ml SMITHKLINE BEECHAM PLC

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. 35 ML SUSP. ORALA + MASURA DOZATOARE

P-RF

820 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN BIS 400 mg/57 mg/5 ml

PULB. PT. SUSP. ORALA

400mg/57mg/5ml SMITHKLINE BEECHAM PLC

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. 70 ML SUSP. ORALA + MASURA DOZATOARE

P-RF

PULB. PT. SUSP. ORALA

600 mg/42,9mg/5ml SMITHKLINE BEECHAM PLC

MAREA BRITANIE

CUTIE X 1 FLACON DIN STICLA CU PULB. PT. 100 ML SUSP. ORALA + 1 MASURA DOZATOARE

P-RF

RANBAXY UK LIMITED

MAREA BRITANIE

CUTIE X 1 FLAC. DIN PEID CU PULB. PT. SUSP. ORALA MARCAT PT. 100ML+ MASURA DOZATOARE

P-RF

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

ARENA GROUP SA
ANTIBIOTICE SA
SANDOZ GMBH
SANDOZ SRL
ANTIBIOTICE SA
ARENA GROUP SA
SANDOZ S.R.L.
SANDOZ GMBH
SANDOZ GMBH
ACTAVIS GROUP HF
SANDOZ GMBH
SANDOZ SRL
ACTAVIS GROUP HF
SANDOZ SRL
SANDOZ GMBH
SANDOZ S.R.L.
SANDOZ S.R.L.
TERAPIA SA

ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.


ROMANIA CUTIE X 2 BLIST. X 10 CAPS.

P-RF

AUSTRIA CUTIE X 1 BLIST. PVC-PVDC/AL X 12 CAPS.

P-RF

ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE X 1 BLIST. PVC-PVDC/AL X 10 CAPS.

P-RF

CUTIE X 1 BLIST. X 10 CAPS.

P-RF

CUTIE X 1 BLIST. PVC/AL X 10 CAPS.

P-RF

CUTIE X 1 BLIST. PVC-PVDC/AL X 10 CAPS.

P-RF

AUSTRIA
AUSTRIA
ISLANDA
AUSTRIA

CUTIE X 2 BLIST. PVC-PVDC/AL X 6 COMPR.FILM.

P-RF

815 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM


816 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

821 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

MEDOCLAV 156,25 mg/5 ml


AMOKSIKLAV 156,25mg/5ml

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

tara det.
APP
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

AUGMENTIN (R) ES

822 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM ENHANCIN 250 mg/ 62,5 mg/5 ml
823 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
824 J01DB01
825 J01DB01
826 J01DB01
827 J01DB01
828 J01DB01
829 J01DB01
830 J01DB01
831 J01DB01
832 J01DB01
833 J01DB01
834 J01DB01
835 J01DB01
836 J01DB01
837 J01DB01
838 J01DB01
839 J01DB05
840 J01DB05
841 J01DB05

CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFADROXILUM
CEFADROXILUM
CEFADROXILUM

PULB. PT.SUSP. ORALA 250 mg/ 62,5 mg/5 ml

AMOKSIKLAV 312,5mg/5ml PULB. PT.SUSP. ORALA


CEFALEXINA ARENA 250 mg CAPS.
CEFALEXINA 250 mg
CAPS.
OSPEXIN (R) 250 mg
CAPS.
CEFALEXIN SANDOZ 250 mg CAPSULE CAPS.
CEFALEXINA 500 mg
CAPS.
CEFALEXINA ARENA 500 mg CAPS.
CEFALEXIN SANDOZ
CAPS.
OSPEXIN 1000 mg
COMPR. FILM.
OSPEXIN 500 mg
COMPR. FILM.
KEFLEX (R) 125 mg/5 ml
GRAN. PT. SUSP. ORALA
OSPEXIN (R) 125 mg/5 ml
GRAN. PT. SUSP. ORALA
CEFALEXIN SANDOZ 125 mg/5 ml GRANULE PENTRU SUSPENSIE ORALA

GRAN. PT. SUSP. ORALA

KEFLEX (R) 250 mg/5 ml

GRAN. PT. SUSP. ORALA

CEFALEXIN SANDOZ 250 mg/5 ml GRANULE PENTRU SUSPENSIE ORALA

GRAN. PT. SUSP. ORALA

OSPEXIN (R) 250 mg/5 ml


CEXYL 250 mg
CEXYL 500 mg
CEFADROXIL TERAPIA

GRAN. PT. SUSP. ORALA

CAPS.
CAPS.
CAPS.

312,5mg/5ml
250mg
250mg
250mg
250mg
500mg
500mg
500mg
1000mg
500mg
125mg/5ml
125mg/5ml
125mg/5ml
250mg/5ml
250mg/5ml
250mg/5ml
250mg
500mg
500mg

Pagina 17 din 236

SLOVENIA

CUTIE X 1 FLAC. DIN STICLA BRUNA CU PULB. PT. 100 ML SUSP. P-RF

P-RF

CUTIE X 1 BLIST. PVC-PVDC/AL X 12 COMPR.FILM. P-RF


CUTIE X 1 FLAC. PEID CU GRANULE PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE

P-RF

CUTIE X 1 FLAC. X 33 G GRANULE PT. 60 ML SUSP. ORALA + 1 LINGURITA PP

P-RF

ROMANIA

CUTIE X 1 FLAC. DIN STICLA BRUNA X 33 G PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE

P-RF

ISLANDA

CUTIE X 1 FLAC. PEID CU GRANULE PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE

P-RF

ROMANIA

CUTIE X 1 FLAC. DIN STICLA BRUNA X 33 G PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE

P-RF

AUSTRIA

CUTIE X 1 FLAC. X 33G GRANULE PT. 60ML SUSP.+ LINGURITA DOZATOARE X 5ML

P-RF

ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 CAPS.


ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 CAPS.
ROMANIA CUTIE X 1 BLIST. PVC/PVDC-AL X 10 CAPS.

P-RF
P-RF
P-RF

Pret
Val suportata
amanun
de CNAS/UT
tul
Pret
(RON)Legea Val suportata
cant/ maximal amanuntul nr. 95/2006 art
CNAS/UT
amba /ambalaj maximal/UT 213 alin.1 lit.
(RON) pt.
laj
(RON)
(RON)
a) si f)
Adulti

20
20
10
10
20
10
10
1
1
28
14
14
16
28
14
16
14
14
14
14
14
14
14
1
1
1
1
1
1
1
1
1
20
20
12
10
10
10
10
12
12
1
1
1
1
1
1
10
10
10

6.66
5.96
6.81
6.12
11.03
6.96
6.12
3.28
5.27
44.32
38.66
40.23
22.37
32.68
10.71
29.40
15.13
27.73
26.04
18.75
26.04
24.78
16.33
14.73
11.56
21.85
9.83
9.83
19.66
33.89
22.45
23.74
11.77
11.68
7.07
5.90
9.74
8.89
9.89
15.61
11.74
6.12
7.52
6.86
10.35
9.54
9.52
18.34
13.30
9.40

0.333000
0.298000
0.681000
0.612000
0.551500
0.696000
0.612000
3.280000
5.270000
1.582857
2.761428
2.873571
1.398125
1.167142
0.765000
1.837500
1.080714
1.980714
1.860000
1.339285
1.860000
1.770000
1.166428
14.730000
11.560000
21.850000
9.830000
9.830000
19.660000
33.890000
22.450000
23.740000
0.588500
0.584000
0.589166
0.590000
0.974000
0.889000
0.989000
1.300833
0.978333
6.120000
7.520000
6.860000
10.350000
9.540000
9.520000
1.834000
1.330000
0.940000

0.289722
0.289722
0.579445
0.579445
0.551500
0.579445
0.579445
2.796250
5.270000
1.582857
1.613250
1.613250
0.460928
0.921857
0.765000
0.921857
0.921857
0.921857
1.613250
1.339285
1.613250
1.613250
0.921857
7.899107
7.899107
15.798214
8.847000
8.847000
17.694000
33.890000
15.798214
15.798214
0.438787
0.438787
0.438787
0.438787
0.877574
0.877574
0.877574
1.300833
0.877574
5.073750
5.073750
5.073750
10.147500
9.540000
9.520000
0.438787
0.877574
0.877574

0.260750
0.260750
0.521500
0.521500
0.496350
0.521500
0.521500
2.516625
4.743000
1.424571
1.451925
1.451925
0.414835
0.829671
0.688500
0.829671
0.829671
0.829671
1.451925
1.205356
1.451925
1.451925
0.829671
7.109196
7.109196
14.218392
7.962300
7.962300
15.924600
30.501000
14.218392
14.218392
0.394908
0.394908
0.394908
0.394908
0.789817
0.789817
0.789817
1.170749
0.789817
4.566375
4.566375
4.566375
9.132750
8.586000
8.568000
0.394908
0.789817
0.789817

Nr crt.

cod ATC

842 J01DB05
843 J01DB05
844 J01DB05
845 J01DB05
846 J01DC02
847 J01DC02
848 J01DC02
849 J01DC02
850 J01DC02
851 J01DC02
852 J01DC02
853 J01DC02
854 J01DC02
855 J01DC02
856 J01DC02
857 J01DC02
858 J01DC02
859 J01DC02
860 J01DC02
861 J01DC02
862 J01DC04
863 J01DC04
864 J01DC04
865 J01DC04
866 J01DC04
867 J01DC04
868 J01DC04
869 J01DC04
870 J01DC04
871 J01DC04
872 J01DC04
873 J01DC04
874 J01DC04
875 J01DC04
876 J01DC04
877 J01DC04
878 J01DC04
879 J01DC04
880 J01DC04
881 J01DC04
882 J01DC04
883 J01DC04
884 J01DC04
885 J01DC04
886 J01DC04
887 J01DC04
888 J01DC04
889 J01DC04
890 J01DC04
891 J01DC04

DCI

CEFADROXILUM
CEFADROXILUM
CEFADROXILUM
CEFADROXILUM
CEFUROXIMUM
CEFUROXIMUM
CEFUROXIMUM
CEFUROXIMUM
CEFUROXIMUM
CEFUROXIMUM
CEFUROXIMUM
CEFUROXIMUM
CEFUROXIMUM
CEFUROXIMUM
CEFUROXIMUM
CEFUROXIMUM
CEFUROXIMUM
CEFUROXIMUM
CEFUROXIMUM
CEFUROXIMUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM

Denumire Comerciala

CEFORAN 500 mg
CEXYL 1000 mg
CEXYL 125 mg/5 ml
CEXYL 250 mg/5 ml
CEROXIM 250 mg
CEFUROXIMA ANTIBIOTICE 250 mg
CEFUROXIMA ANTIBIOTICE 250 mg

CEROXIM 500 mg
CEFUROXIMA ANTIBIOTICE 500 mg
CEFUROXIMA ANTIBIOTICE 500 mg

AXYCEF (R) 125


AXYCEF (R) 250
AXYCEF (R) 500
ZINNAT (R) 125 mg
ZINNAT (R) 250 mg
ZINNAT (R) 500 mg
ZINNAT
CEROXIM 125mg/5ml
CEROXIM 250mg/5ml
AXYCEF (R) 125 mg/5 ml
CECLODYNE 250 mg
CEFACLOR ARENA 250 mg
MEDOCLOR 250
VERCEF 250 mg
CLORACEF (R) 250

forma farm.

CAPS.
COMPR. FILM.
GRAN. PT. SUSP. ORALA

GRAN. SUSP. ORALA

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. ACOPERITE
COMPR. ACOPERITE
COMPR. ACOPERITE

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
GRAN. PT. SUSP. ORALA
GRAN. PT. SUSP. ORALA
GRAN. PT. SUSP. ORALA

PULB. PT. SUSP. ORALA

CEFACLOR TERAPIA 500 mg

CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.

CECLOZONE MR 375 mg

COMPR. ELIB. PREL.

CEFACLOR TERAPIA MR 375

COMPR. ELIB. PREL.

CECLOZONE MR 750 mg

COMPR. ELIB. PREL.

CEFACLOR TERAPIA MR 750

COMPR. ELIB. PREL.

CEFACLOR TERAPIA 250 mg

VERCEF 500 mg
MEDOCLOR 500
CECLODYNE FORTE 500 mg
CLORACEF (R) FORTE 500
CEFACLOR ARENA 500 mg

CECLODYNE (R) MR 375 mg


CECLODYNE (R) MR 500 mg
CECLODYNE (R) MR 750 mg
CECLOR (R) 125 mg/5 ml
CEFACLOR 125 mg/5ml
VERCEF 125 mg/5 ml
CEFACLOR TERAPIA 125mg/5ml

CECLODYNE 125 mg/5 ml


VERCEF 250 mg/5 ml

COMPR. FILM. ELIB. MODIF.


COMPR. FILM. ELIB. MODIF.
COMPR. FILM. ELIB. MODIF.

GRAN. PT. SUSP. ORALA


GRAN. PT. SUSP. ORALA
GRAN. PT. SUSP. ORALA
GRAN. PT. SUSP. ORALA
GRAN. PT. SUSP. ORALA
GRAN. PT. SUSP. ORALA

CEFACLOR TERAPIA 250mg/5ml

GRAN. PT. SUSP. ORALA

VERCEF 250 mg/5 ml

GRAN. PT. SUSP. ORALA

CEFACLOR TERAPIA 250mg/5ml

GRAN. PT. SUSP. ORALA

CECLOR (R) 250 mg/5 ml


CEFACLOR 250 mg/5ml

GRAN. PT. SUSP. ORALA


GRAN. PT. SUSP. ORALA

concentratie

500mg
1000mg
125mg/5ml
250mg/5ml
250mg
250mg
250mg
500mg
500mg
500mg
125mg
250mg
500mg
125mg
250mg
500mg
125mg/5ml
125mg/5ml
250mg/5ml
125mg/5ml
250mg
250mg
250mg
250mg
250mg
250mg
500mg
500mg
500mg
500mg
500mg
500mg
375mg
375mg
750mg
750mg
375mg
500mg
750mg
125mg/5ml
125mg/5ml
125mg/5ml
125mg/5ml
125mg/5ml
250 mg/5 ml
250 mg/5 ml
250 mg/5 ml
250 mg/5 ml
250mg/5ml
250mg/5ml

ANTIBIOTICE S.A.
SANDOZ S.R.L.
SANDOZ S.R.L.
SANDOZ S.R.L.

tara det.
APP
Ambalaj
ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 CAPS.
ROMANIA CUTIE X 1 BLIST. PVC/PVDC X 10. COMPR. FILM.
ROMANIA CUTIE X 1 FLAC. CU GRAN PENTRU 60 ML SUSP. ORALA + O LINGURITA DOZATOARE
ROMANIA CUTIE X 1 FLAC. CU GRAN. PT. 60 ML SUSP. ORALA + O LINGURITA DOZATOARE

RANBAXY U.K. LIMITED

MAREA BRITANIE

ANTIBIOTICE S.A.
ANTIBIOTICE S.A.

ROMANIA CUTIE X 1 BLIST. PVC-AL-PA/AL X 10 COMPR.


ROMANIA CUTIE X 1 BLIST. PVC-ACLAR/AL X 10 COMPR.

RANBAXY U.K. LIMITED

MAREA BRITANIE

ANTIBIOTICE S.A.
ANTIBIOTICE S.A.
SANDOZ SRL
SANDOZ SRL
SANDOZ SRL

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

GLAXOWELLCOME UK LTD.

MAREA BRITANIE

GLAXOWELLCOME UK LTD.

MAREA BRITANIE

GLAXOWELLCOME UK LTD.
GLAXO WELLCOME UK LTD.

Detinator APP

RANBAXY UK LIMITED
RANBAXY UK LIMITED

SANDOZ SRL
SANDOZ SRL
ARENA GROUP SA
MEDOCHEMIE LTD.
TERAPIA SA
DAR AL DAWA PHARMA S.R.L.

P-RF
P-RF
P-RF

CUTIE X 1 BLIST. PVC-ACLAR/AL X 10 COMPR. P-RF


P-RF
P-RF

CUTIE X 1 BLIST. PVC-ACLAR/AL X 10 COMPR. P-RF

CUTIE X 1 BLIST. PVC-AL-PA/AL X 10 COMPR. P-RF


CUTIE X 1 BLIST. PVC-ACLAR/AL X 10 COMPR. P-RF

CUTIE X 1 BLIST. X 10 COMPR. ACOPERITE

P-RF

CUTIE X 1 BLIST. X 10 COMPR. ACOPERITE

P-RF

CUTIE X 1 BLIST. X 10 COMPR. ACOPERITE

P-RF
P-RF

MAREA BRITANIE

CUTIE X 1 BLIST. X 10 COMPR. FILM.


CUTIE X 1 BLIST. X 10 COMPR.FILM
CUTIE X 1 BLIST. X 10 COMPR.FILM

MAREA BRITANIE

CUTIE X 1 FLAC. DIN STICLA BRUNA CU GRANULE PT 50 ML SUSP. ORALA + PAHAR MENZURA A 20 ML SI LINGURIT

P-RF

MAREA BRITANIE

CUTIE X 1 FLACON CU GRANULE PT. SUSP. ORALA (PT. 100 ML SUSPENSIE ORALA) + LINGURITA DOZATOARE A 5 M

P-RF

MAREA BRITANIE

CUTIE X 1 FLACON CU GRANULE PT. SUSP. ORALA (PT. 100 ML SUSPENSIE ORALA) + LINGURITA DOZATOARE A 5 M

P-RF

P-RF
P-RF

ROMANIA CUTIE X 1 FLAC. PULB. PT. 70 ML SUSP. ORALA + 1 LINGURITA DOZATOARE


ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 CAPS.
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS.

P-RF

CIPRU

CUTIE X 2 BLIST. X 8 CAPS.

P-RF

ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE X 5 BLIST. PVC/PVDC-AL X 3 CAPS.

P-RF

CUTIE X 2 BLIST. X 8 CAPS.

P-RF

TERAPIA SA
CUTIE CU 1 BLIST. PVC/PVDC-AL X 15 CAPS.
TERAPIA SA
CUTIE X 5 BLIST. X 3 CAPS.
MEDOCHEMIE LTD. CIPRU
CUTIE X 2 BLIST. X 8 CAPS.
SANDOZ SRL
ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 CAPS.
DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 2 BLIST. X 8 CAPS.
ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. AL/PVC X 10 CAPS.
TERAPIA SA
ROMANIA CUTIE CU 1 BLIST. PVC/PVDC-AL X 15 CAPS.
OZONE LABORATORIES LTD.

Prescriptie

P-RF

P-RF
P-RF

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

MAREA BRITANIE

CUTIE X 1 BLIST. PVC/PVDC/AL X 10 COMPR. ELIB. PREL. P-RF

TERAPIA SA

ROMANIA

CUTIE X 1 BLIST. PVC/PVDC/AL X 10 COMPR. ELIB. PREL. P-RF

OZONE LABORATORIES LTD.

MAREA BRITANIE

CUTIE X 1 BLIST. X 10 COMPR. ELIB. PREL.

P-RF

TERAPIA SA
SANDOZ SRL
SANDOZ SRL
SANDOZ SRL
ACTAVIS GROUP HF

ROMANIA CUTIE X 1 BLIST. X 10 COMPR. ELIB. PREL.


ROMANIA CUTIE X 1 BLIST. PVC-PE-ACLAR/AL X 10 COMPR. FILM. ELIB. MODIF.
ROMANIA CUTIE X 1 BLIST. PVC-PE-ACLAR/AL X 10 COMPR. FILM. ELIB. MODIF.
ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ELIB. MODIF.

P-RF

ISLANDA

CUTIE X 1 FLAC. PEID DE CULOARE ALBA, CU GRANULE PT. 75 ML SUSP. ORALA + 1 LINGURITA DOZATOARE

P-RF

OZONE LABORATORIES LTD.

MAREA BRITANIE

CUTIE X 1 FLAC. PEID X 37,5 G GRAN. PT. 75 ML SUSP. ORALA + 1 LINGURITA DOZATOARE

P-RF

TERAPIA SA
TERAPIA SA
SANDOZ SRL
TERAPIA SA
TERAPIA SA
TERAPIA SA
TERAPIA SA
ACTAVIS GROUP HF

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

ISLANDA

CUTIE X 1 FLAC. PEID DE CULOARE ALBA, CU GRANULE PT. 75 ML SUSP. ORALA + 1 LINGURITA DOZATOARE

P-RF

OZONE LABORATORIES LTD.

MAREA BRITANIE

CUTIE X 1 FLAC. PEID X 37,5 G GRAN. PT. 75 ML SUSP. ORALA + 1 LINGURITA DOZATOARE

P-RF

Pagina 18 din 236

P-RF
P-RF
P-RF

CUTIE X 1 FLAC. DIN PEID CU GRAN.PT. 75 ML SUSP.ORALA P-RF


CUTIE X 1 FLAC. DIN PEID CU GRAN.PT. 75 ML SUSP.ORALA P-RF
CUTIE X 1 FLAC. X 38,1 G GRANULE PT. 60 ML SUSP. ORALA

P-RF

CUTIE X 1 FLAC. DIN PEID CU GRAN. PT. 75 ML SUSP. ORALA

P-RF

CUTIE X 1 FLAC. DIN PEID CU GRAN. PT. 75 ML SUSP. ORALA

P-RF

CUTIE X 1 FLAC. DIN PEID CU GRAN. PT. 100 ML SUSP. ORALA P-RF
CUTIE X 1 FLAC. DIN PEID CU GRAN. PT. 100 ML SUSP. ORALA P-RF

Pret
Val suportata
amanun
de CNAS/UT
tul
Pret
(RON)Legea Val suportata
cant/ maximal amanuntul nr. 95/2006 art
CNAS/UT
amba /ambalaj maximal/UT 213 alin.1 lit.
(RON) pt.
laj
(RON)
(RON)
a) si f)
Adulti

10
10
1
1
10
10
10
10
10
10
10
10
10
10
10
10
1
1
1
1
10
10
16
15
16
15
15
16
10
16
10
15
10
10
10
10
10
10
10
1
1
1
1
1
1
1
1
1
1
1

12.87
25.84
11.91
22.16
14.21
14.11
14.11
29.85
29.77
29.77
9.71
11.68
19.98
14.95
16.41
27.32
19.18
38.66
58.00
17.46
15.89
14.98
24.70
13.64
21.16
13.64
32.28
45.55
29.20
28.21
27.57
32.28
32.43
32.43
54.93
54.93
35.07
46.34
65.80
16.53
16.01
12.25
12.25
16.81
22.03
22.03
29.38
29.38
32.77
29.38

1.287000
2.584000
11.910000
22.160000
1.421000
1.411000
1.411000
2.985000
2.977000
2.977000
0.971000
1.168000
1.998000
1.495000
1.641000
2.732000
19.180000
38.660000
58.000000
17.460000
1.589000
1.498000
1.543750
0.909333
1.322500
0.909333
2.152000
2.846875
2.920000
1.763125
2.757000
2.152000
3.243000
3.243000
5.493000
5.493000
3.507000
4.634000
6.580000
16.530000
16.010000
12.250000
12.250000
16.810000
22.030000
22.030000
29.380000
29.380000
32.770000
29.380000

0.877574
1.755149
5.073750
10.147500
1.339650
1.339650
1.339650
2.679300
2.679300
2.679300
0.971000
1.168000
1.998000
1.321800
1.339650
2.679300
13.218000
26.436000
52.872000
17.460000
0.669825
0.669825
0.669825
0.669825
0.669825
0.669825
1.339650
1.339650
1.339650
1.339650
1.339650
1.339650
1.004737
1.004737
2.009475
2.009475
1.004737
1.339650
2.009475
9.913500
9.913500
9.913500
9.913500
7.930800
19.827000
19.827000
26.436000
26.436000
19.827000
19.827000

0.789817
1.579634
4.566375
9.132750
1.205685
1.205685
1.205685
2.411370
2.411370
2.411370
0.873900
1.051200
1.798200
1.189620
1.205685
2.411370
11.896200
23.792400
47.584800
15.714000
0.602842
0.602842
0.602842
0.602842
0.602842
0.602842
1.205685
1.205685
1.205685
1.205685
1.205685
1.205685
0.904263
0.904263
1.808527
1.808527
0.904263
1.205685
1.808527
8.922150
8.922150
8.922150
8.922150
7.137720
17.844300
17.844300
23.792400
23.792400
17.844300
17.844300

Nr crt.

DCI

cod ATC

892 J01DC04
893 J01DC04
894 J01DC04
895 J01DC04
896 J01DC04
897 J01DD08
898 J01DD08

CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFIXIMUM
CEFIXIMUM

899 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM


900 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM
901 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM
902 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM
903 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM
904 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM
905 J01FA01
906 J01FA01
907 J01FA01
908 J01FA01
909 J01FA09
910 J01FA09
911 J01FA09
912 J01FA09
913 J01FA09
914 J01FA09
915 J01FA09
916 J01FA09
917 J01FA09
918 J01FA09
919 J01FA09
920 J01FA09
921 J01FA09
922 J01FA09
923 J01FA09
924 J01FA09
925 J01FA09
926 J01FA09
927 J01FA09
928 J01FA09
929 J01FA09
930 J01FA09
931 J01FA09
932 J01FA09
933 J01FA09
934 J01FA09
935 J01FA09
936 J01FA09
937 J01MA01
938 J01MA01
939 J01MA02
940 J01MA02
941 J01MA02

ERYTHROMYCINUM
ERYTHROMYCINUM
ERYTHROMYCINUM
ERYTHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
OFLOXACINUM
OFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM

Denumire Comerciala

CECLODYNE 250 mg/ 5 ml


CLORACEF (R) 125
CEFAKLOR 125 mg/5 ml
CLORACEF (R) 250
CEFAKLOR 250 mg/5 ml
EFICEF 100 mg
EFICEF (R) 200 mg
TAGREMIN
SUMETROLIM
CO - TRIM ELL
BITRIM 400mg/80mg
SUMETROLIM
EPITRIM
ERITROMAGIS 200 mg
ERITROMICINA 200 mg

forma farm.
GRAN. PT. SUSP. ORALA

PULB. PT. SUSP. ORALA


PULB. PT. SUSP. ORALA
PULB. PT. SUSP. ORALA
PULB. PT. SUSP. ORALA

CAPS.
CAPS.
COMPR.
COMPR.
COMPR.
COMPR.
SIROP

250mg/5ml
125mg/5ml
125mg/5ml
250mg/5ml
250mg/5ml
100mg
200mg
400mg/80mg
400mg/80mg
400mg/80mg
400mg/80mg

tara det.
APP
Ambalaj
SANDOZ SRL
ROMANIA CUTIE X 1 FLAC. X 38,1 G GRANULE PT. 60 ML SUSP. ORALA P-RF
DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 1 FLAC. CU PULB. PT. 75ML SUSP.+ LINGURITA DOZATOARE P-RF
STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. PULB. PT. 60 ML SUSP. ORALA + O MASURA DOZATOARE P-RF
DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 1 FLAC. CU PULB. PT. 75ML SUSP. + LINGURITA DOZATOARE P-RF
STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. PULB. PT. 60 ML SUSP. ORALA + O MASURA DOZATOARE P-RF
ANTIBIOTICE S.A.
ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 CAPS. PRF
ANTIBIOTICE SA
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF
ZENTIVA S.A.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
BIO EEL SRL
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF

concentratie

Detinator APP

Prescriptie

25mg/5mg/ml

EGIS PHARMACEUTICALS P.L.C.

SUSP. ORALA

200mg/40mg /5ml

P-RF

ERITROMICINA SANDOZ 200 mg COMPRIMATE

COMPR.
COMPR.
COMPR.

ERITROMICINA SANDOZ 200mg/5ml

PULB. PT. SUSP. ORALA

KLACID (R)
LEKOKLAR (R) 250 mg
CLAR 250
KLERIMED (R) 250
KLABAX 250 mg
FROMILID 250
LEKOKLAR (R) 500 mg
KLERIMED (R) 500
KLABAX 500 mg
CLAR 500
FROMILID 500
ROCLARIN 500 mg
LEKOKLAR XL 500 mg
LEKOKLAR XL 500 mg
KLABAX MR 500 mg
KLACID SR
FROMILID (R) UNO
KLACID (R)
KLABAX 125 mg/5 ml
KLACID (R)
FROMILID (R) 125 mg/5 ml
LEKOKLAR 125 mg/5 ml
KLABAX 125 mg/5 ml
LEKOKLAR 250 mg/5 ml
KLABAX 250 mg/5 ml
LEKOKLAR 250 mg/5 ml
KLABAX 250 mg/5 ml
KLACID I.V.
OFLOXIN 200
ZANOCIN

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

200mg
200mg
200mg
200mg/5ml
250mg
250mg
250mg
250mg
250mg
250mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
125mg/5ml
125mg/5ml
125mg/5ml
125mg/5ml
125mg/5ml
125mg/5ml
250mg/5ml
250mg/5ml
250mg/5ml
250mg/5ml
500mg
200mg
200mg
100mg
100mg
250mg

E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON DIN STICLA BRUNA CU MASURA DOZATOARE X 100 ML
ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
ANTIBIOTICE SA
ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
SANDOZ S.R.L.
ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
SANDOZ S.R.L.
ROMANIA CUTIE X 1 FLAC. X 30G + PULB. PT. 60 ML SUSP. ORALA + O LIGURITA DOZATOARE

ABBOTT SPA

P-RF

COMPR. FILM. ELIB. MODIF.


COMPR. FILM. ELIB. MODIF.
COMPR. FILM. ELIB. MODIF.

COMPR. FILM. ELIB. PREL.


COMPR. FILM. ELIB. PREL.

GRAN. PT. SUSP. ORALA


GRAN. PT. SUSP. ORALA
GRAN. PT. SUSP. ORALA
GRAN. PT. SUSP. ORALA
GRAN. PT. SUSP. ORALA
GRAN. PT. SUSP. ORALA
GRAN. PT. SUSP. ORALA
GRAN. PT. SUSP. ORALA
GRAN. PT. SUSP. ORALA
GRAN. PT. SUSP. ORALA

LIOF. PT. SOL. PERF.

COMPR. FILM.
COMPR. FILM.
CIPROFLOXACINA ARENA 100 mg COMPR. FILM.
CIPROFLOXACINA ARENA 100 mg COMPR. FILM.
CIPROCIN 250 mg
COMPR. FILM.

LEK PHARMACEUTICALS D.D.

MEDICAROM GROUP S.R.L.

UNGARIA

CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SUSP. ORALA + MASURA DOZATOARE

ITALIA

CUTIE X 1 BLIST. X 14 COMPR. FILM.


SLOVENIA CUTIE X 2 BLIST. X 7 COMPR. FILM.
ROMANIA CUTIE X 5 BLIST. X 4 COMPR. FILM.

MEDOCHEMIE LTD. CIPRU


TERAPIA SA
ROMANIA

P-RF

P-RF
P-RF
P-RF
P-RF

P-RF
P-RF

CUTIE X 2 BLIST. AL/PVC-PVDC X 7 COMPR. FILM. P-RF


CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. P-RF
LEK PHARMACEUTICALS D.D.

SLOVENIA CUTIE X 2 BLIST. X 7 COMPR. FILM.

MEDOCHEMIE LTD. CIPRU


TERAPIA SA
ROMANIA
MEDICAROM GROUP S.R.L.

P-RF

CUTIE X 2 BLIST. AL/PVC-PVDC X 7 COMPR. FILM. P-RF


CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF

ROMANIA CUTIE X 5 BLIST. AL/PVC X 4 COMPR. FILM.

P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. P-RF

ANTIBIOTICE S.A.

ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

LEK PHARMACEUTICALS D.D.

CUTIE X 1 FOLIE AL/AL X 5 COMPR. FILM. ELIB. MODIF.

P-RF

LEK PHARMACEUTICALS D.D.

SLOVENIA
SLOVENIA

CUTIE X 1 FOLIE AL/AL X 7 COMPR. FILM. ELIB. MODIF.

P-RF

TERAPIA SA

ROMANIA

CUTIE X 1 BLIST. PVC/PVDC-AL X 7 COMPR. FILM. ELIB. PREL.

P-RF

ABBOTT LABORATORIES LTD.

MAREA BRITANIE

CUTIE X 1 BLIST. PVC-PVDC/AL X 5 COMPR. FILM. ELIB. PREL.

P-RF

KRKA D.D.
ABBOTT SPA
TERAPIA SA
ABBOTT SPA
KRKA D.D.
SANDOZ SRL
TERAPIA SA
SANDOZ SRL
TERAPIA SA
SANDOZ SRL
TERAPIA SA

SLOVENIA

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. ELIB. PREL.

P-RF

ITALIA

CUTIE X 1 FLACON PEID CU GRANULE PT. 100 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML

P-RF

ROMANIA

CUTIE X 1 FLAC. DIN PEID X 70 G GRAN. PT. 100 ML SUSP . ORALA

P-RF

ITALIA

CUTIE X 1 FLACON PEID CU GRANULE PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML

P-RF

ABBOTT LABORATORIES LTD.

ZENTIVA AS

FRANTA CUTIE X 1 FLAC. LIOF. PT. SOL. PERF.


CEHIA
CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.

RANBAXY UK LIMITED

MAREA BRITANIE

CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF

ARENA GROUP S.A. ROMANIA


ARENA GROUP S.A. ROMANIA

CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF

E.I.P.I.CO. MED S.R.L. ROMANIA

CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF

Pagina 19 din 236

SLOVENIA CUTIE X 1 FLAC. PULB. PT. 60 ML SUSP.

P-RF

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE X 1 FLAC. PEID CU 41 G GRANULE PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE PP

P-RF

CUTIE X 1 FLAC. DIN PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA

P-RF

CUTIE X 1 FLAC. DIN PEID CU 68,3 G GRANULE PT. 100 ML SUSP. ORALA + LINGURITA DOZATOARE PP

P-RF

CUTIE X 1 FLAC. PEID X 70 G GRAN. PT. 100 ML SUSP . ORALA P-RF


CUTIE X 1 FLAC. DIN PEID CU 41 G GRANULE PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE PP

CUTIE X 1 FLAC. PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA

P-RF
P-RF
S/P-RF

P-RF

CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF

Pret
Val suportata
amanun
de CNAS/UT
tul
Pret
(RON)Legea Val suportata
cant/ maximal amanuntul nr. 95/2006 art
CNAS/UT
amba /ambalaj maximal/UT 213 alin.1 lit.
(RON) pt.
laj
(RON)
(RON)
a) si f)
Adulti

1
1
1
1
1
10
10
20
20
20
20
1
1
20
20
20
1
14
14
20
14
14
14
14
14
14
20
14
20
5
7
7
5
7
1
1
1
1
1
1
1
1
1
1
1
10
10
10
20
10

29.20
11.76
8.98
21.16
16.33
21.31
34.37
7.63
4.08
6.96
7.63
8.10
4.70
7.01
9.49
8.35
11.33
28.23
31.85
22.71
16.49
14.50
16.49
37.50
32.23
31.71
43.84
32.23
42.84
18.17
25.42
34.79
36.00
27.77
38.68
31.23
24.19
23.02
25.90
18.72
60.81
50.49
44.33
31.31
53.16
19.78
11.22
36.88
64.85
6.75

29.200000
11.760000
8.980000
21.160000
16.330000
2.131000
3.437000
0.381500
0.204000
0.348000
0.381500
8.100000
4.700000
0.350500
0.474500
0.417500
11.330000
2.016428
2.275000
1.135500
1.177857
1.035714
1.177857
2.678571
2.302142
2.265000
2.192000
2.302142
2.142000
3.634000
3.631428
4.970000
7.200000
3.967142
38.680000
31.230000
24.190000
23.020000
25.900000
18.720000
60.810000
50.490000
44.330000
31.310000
53.160000
1.978000
1.122000
3.688000
3.242500
0.675000

15.861600
9.913500
7.930800
19.827000
15.861600
1.732275
3.437000
0.280800
0.204000
0.280800
0.280800
3.805312
4.700000
0.350500
0.424028
0.417500
11.330000
1.060071
1.060071
1.060071
1.060071
1.035714
1.060071
2.120142
2.120142
2.120142
2.120142
2.120142
2.120142
2.120142
2.120142
2.120142
2.120142
2.120142
28.080000
28.080000
16.848000
16.848000
16.848000
16.848000
56.160000
50.490000
33.696000
31.310000
25.279500
1.174275
1.122000
0.234855
0.234855
0.587137

14.275440
8.922150
7.137720
17.844300
14.275440
1.559047
3.093300
0.252720
0.183600
0.252720
0.252720
3.424781
4.230000
0.315450
0.381625
0.375750
10.197000
0.954064
0.954064
0.954064
0.954064
0.932142
0.954064
1.908128
1.908128
1.908128
1.908128
1.908128
1.908128
1.908128
1.908128
1.908128
1.908128
1.908128
25.272000
25.272000
15.163200
15.163200
15.163200
15.163200
50.544000
45.441000
30.326400
28.179000
22.751550
1.056847
1.009800
0.211369
0.211369
0.528423

Nr crt.

cod ATC

942 J01MA02
943 J01MA02
944 J01MA02
945 J01MA02
946 J01MA02
947 J01MA02
948 J01MA02
949 J01MA02
950 J01MA02
951 J01MA02
952 J01MA02
953 J01MA02
954 J01MA02
955 J01MA02
956 J01MA02
957 J01MA02
958 J01MA02
959 J01MA02
960 J01MA02
961 J01MA02
962 J01MA02
963 J01MA02
964 J01MA02
965 J01MA02
966 J01MA02
967 J01MA03
968 J01MA06
969 J01MA06
970 J01MA06
971 J01MA06
972 J01MA06
973 J01MA06
974 J01MB02
975 J01XD01
976 J01XD01
977 J01XD01
978 J01XD01
979 J01XD01
980 J01XD01
981 J01XD01
982 J01XD01
983 J01XD01
984 J01XD01
985 J01XD01
986 J01XD01
987 J01XD01
988 J02AB02
989 J02AB02
990 J02AB02
991 J02AB02

DCI

CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
PEFLOXACINUM
NORFLOXACINUM
NORFLOXACINUM
NORFLOXACINUM
NORFLOXACINUM
NORFLOXACINUM
NORFLOXACINUM
ACIDUM NALIDIXICUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
KETOCONAZOLUM
KETOCONAZOLUM
KETOCONAZOLUM
KETOCONAZOLUM

Denumire Comerciala

CIPRINOL 250 mg
CIPROLEN (R) 250 mg
CUMINOL 250 mg
CUMINOL 250 mg
CIPROFLOXACINA ALKALOID 250 mg

CIFRAN
CIPROFLOXACINA ARENA 250 mg
CIPROFLOXACINA ARENA 250 mg

ALVEBAR 250 mg
CIPRINOL 500 mg
CIPROCIN 500 mg
CIPROLEN (R) 500 mg
CUMINOL 500 mg
CIPROZONE FORTE 500 mg
CIPROFLOXACINA ALKALOID 500 mg

CIFRAN
CIPRO QUIN (R)
CIPRODAR
CIPROFLOXACINA ARENA 500 mg
CIPROFLOXACINA ARENA 500 mg

ALVEBAR 500 mg
CIPRINOL 750 mg
CIPROFLOXACINA ARENA 750 mg

CIPROBAY XR 1000 mg
CIPROBAY XR 500 mg
PEFLOXACIN LAROPHARM
H - NORFLOXACIN 400 mg
NORFLOXACINA LPH 400 mg
NORFLOX - 400
NOLICIN 400 mg
EPINOR
NOR QUIN 400 mg
NALIXID 500 mg
METRONIDAZOL ARENA 250 mg (J01XD01)
METRONIDAZOL ARENA 250 mg (J01XD01)

FLAGYL ( vezi J01XD01)


FLAGYL ( vezi J01XD01)
METRONIDAZOL A 5 g/l
METRONIDAZOL A 5 g/l
METRONIDAZOL B 5 g/l
METRONIDAZOL B 5 g/l

forma farm.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM. ELIB. PREL.
COMPR. FILM. ELIB. PREL.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

CAPS.
COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.

SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
METRONIDAZOL BRAUN 5mg/ml SOL. PERF.
METRONIDAZOL BRAUN 5mg/ml SOL. PERF.
METRONIDAZOL BRAUN 5mg/ml SOL. PERF.
FLAGYL 4 % (J01XD01)
SUSP. ORALA
FLAGYL 4 % (J01XD01)
SUSP. ORALA
NIZORAL 200 mg
COMPR.
KETOCONAZOL 200 mg
COMPR.
KETOCONAZOL 200 mg
COMPR.
KETOSTIN 200 mg
COMPR.

concentratie

250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
750mg
750mg
1000 mg
500 mg
400mg
400mg
400mg
400mg
400mg
400mg
400mg
500mg
250mg
250mg
250mg
250mg
5g/l
5g/l
5g/l
5g/l
5mg/ml
5mg/ml
5mg/ml
4%
4%
200mg
200mg
200mg
200mg

tara det.
APP
Ambalaj
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM.
AC HELCOR SRL
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM.
ALKALOID D.O.O.
SLOVENIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 COMPR. FILM.
RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM.
ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.
ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM.
DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM.
E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM.
AC HELCOR SRL
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.
Detinator APP

Prescriptie

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

OZONE LABORATORIES LTD.

MAREA BRITANIE

CUTIE X 1 BLIST. X 10 COMPR. FILM.

P-RF

ALKALOID D.O.O.

SLOVENIA

CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 COMPR. FILM.

P-RF

RANBAXY UK LIMITED

MAREA BRITANIE

CUTIE X 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. P-RF

ROMANIA
ROMANIA
ARENA GROUP S.A. ROMANIA
ARENA GROUP S.A. ROMANIA
DR. REDDY'S LABORATORIES ROMANIA

CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF

ANTIBIOTICE SA

DAR AL DAWA PHARMA S.R.L.

CUTIE X 1 BLIST. X 10 COMPR. FILM.

P-RF

CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF


CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF

ARENA GROUP S.A. ROMANIA

CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF

BAYER HEALTHCARE AG GERMANIA

CUTIE X 1 BLIST. DIN PP/AL X 7 COMPR. FILM. ELIB. PREL.

BAYER HEALTHCARE AG GERMANIA

CUTIE X 1 BLIST. DIN PP/AL X 3 COMPR. FILM. ELIB. PREL. P-RF

LAROPHARM S.R.L. ROMANIA


AC HELCOR SRL
ROMANIA

CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF

P-RF

CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF

LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

CIPLA (UK) LIMITED

P-RF

MAREA BRITANIE

CUTIE X 1 BLIST. X 10 COMPR. FILM.

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF

E.I.P.I.CO. MED S.R.L. ROMANIA


ANTIBIOTICE S.A.
ROMANIA
ZENTIVA SA
ROMANIA
ARENA GROUP SA ROMANIA
ARENA GROUP SA ROMANIA

FRANTA
LABORATOIRE AVENTIS FRANTA
LABORATOIRE AVENTIS

INFOMED FLUIDS SRL


INFOMED FLUIDS SRL
INFOMED FLUIDS SRL
INFOMED FLUIDS SRL

ROMANIA
ROMANIA
ROMANIA
ROMANIA

B. BRAUN MELSUNGEN AG GERMANIA

CUTIE X 2 BLIST. X 7 COMPR. FILM.

P-RF

CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM.

P-RF/S

CUTIE X 3 BLIST. AL/PVC X 10 CAPS.

P-RF

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.


CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P-RF
P-RF

CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF


CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF

CUTIE X 12 FLACOANE X 200 ML


CUTIE X 1 FLACON X 200 ML
CUTIE X 12 FLACOANE X 200 ML
CUTIE X 1 FLACON X 200 ML

S/P-RF
S/P-RF
S/P-RF
S/P-RF

CUTIE X 10 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. S/P-RF

B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. DIN PEJD X 100 ML SOL. PERF.

S/P-RF

B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FLAC. DIN PEJD X 100 ML SOL. PERF.

S/P-RF

FRANTA
LABORATOIRE AVENTIS FRANTA
TERAPIA SA
ROMANIA
MAGISTRA C & C
ROMANIA
SLAVIA PHARM SRL ROMANIA
AC HELCOR SRL
ROMANIA
LABORATOIRE AVENTIS

Pagina 20 din 236

CUTIE X 1 FLACON X 120 ML SUSP. ORALA + LINGURITA DOZATOARE X 5 ML

P-RF

CUTIE X 1 FLACON X 120 ML SUSP. ORALA + LINGURITA DOZATOARE X 5 ML

P-RF

CUTIE X 1 BLIST. X 10 COMPR.


CUTIE X 1 BLIST. X 10 COMPR.

P-RF

CUTIE X 1 BLIST. AL/PVC X 10 COMPR.


CUTIE X 1 BLIST. AL/PVC X 10 COMPR.

P-RF

P-RF

P-RF

Pret
Val suportata
amanun
de CNAS/UT
tul
Pret
(RON)Legea Val suportata
cant/ maximal amanuntul nr. 95/2006 art
CNAS/UT
amba /ambalaj maximal/UT 213 alin.1 lit.
(RON) pt.
laj
(RON)
(RON)
a) si f)
Adulti

10
6.75
10
6.75
10
6.75
20 12.16
10
7.78
10
6.86
10
6.49
20 12.16
10
4.70
10 13.07
10 13.07
10 13.07
10 13.07
10
8.37
10 14.93
10
8.67
10 13.07
10 13.07
10
9.12
20 16.22
10
6.41
10 38.05
10 36.88
7 83.71
3 27.30
10 27.53
20 17.40
20 15.55
10
6.12
20 17.40
14
7.61
20 17.40
30 24.11
30
7.63
30
7.63
20
8.31
20
8.31
12 99.07
1
9.00
12 97.15
1
8.80
10 48.34
10 47.81
20 275.21
1
7.86
1
7.86
10 20.23
10
7.94
10
6.80
10 12.47

0.675000
0.675000
0.675000
0.608000
0.778000
0.686000
0.649000
0.608000
0.470000
1.307000
1.307000
1.307000
1.307000
0.837000
1.493000
0.867000
1.307000
1.307000
0.912000
0.811000
0.641000
3.805000
3.688000
11.958571
9.100000
2.753000
0.870000
0.777500
0.612000
0.870000
0.543571
0.870000
0.803666
0.254333
0.254333
0.415500
0.415500
8.255833
9.000000
8.095833
8.800000
4.834000
4.781000
13.760500
7.860000
7.860000
2.023000
0.794000
0.680000
1.247000

0.587137
0.587137
0.587137
0.587137
0.587137
0.587137
0.587137
0.587137
0.470000
1.174275
1.174275
1.174275
1.174275
0.837000
1.174275
0.867000
1.174275
1.174275
0.912000
0.811000
0.587137
1.761412
1.761412
2.348550
1.174275
1.174275
0.653375
0.653375
0.612000
0.653375
0.543571
0.653375
0.803666
0.254333
0.254333
0.337687
0.337687
8.255833
8.527916
8.095833
8.527916
4.263958
4.263958
4.263958
7.860000
7.860000
0.794000
0.794000
0.680000
0.794000

0.528423
0.528423
0.528423
0.528423
0.528423
0.528423
0.528423
0.528423
0.423000
1.056847
1.056847
1.056847
1.056847
0.753300
1.056847
0.780300
1.056847
1.056847
0.820800
0.729900
0.528423
1.585271
1.585271
2.113695
1.056847
1.056847
0.588037
0.588037
0.550800
0.588037
0.489213
0.588037
0.723299
0.228899
0.228899
0.303918
0.303918
7.430249
7.675124
7.286249
7.675124
3.837562
3.837562
3.837562
7.074000
7.074000
0.714600
0.714600
0.612000
0.714600

Nr crt.

cod ATC

992 J02AB02
993 J02AC01
994 J02AC01
995 J02AC01
996 J02AC01
997 J02AC01
998 J02AC01
999 J02AC01
1,000

J02AC01

1,001

J02AC01

1,002

J02AC01

1,003

J02AC01

1,004

J02AC01

1,005

J02AC01

1,006

J02AC01

1,007

J02AC01

1,008

J02AC01

1,009

J02AC01

1,010

J02AC01

1,011

J02AC01

1,012

J02AC01

1,013

J02AC01

1,014

J02AC01

1,015

J02AC01

1,016

J02AC01

1,017

J02AC01

1,018

J02AC01

1,019

J02AC01

1,020

J02AC01

1,021

J02AC01

1,022

J02AC01

1,023

J02AC01

1,024

J02AC01

1,025

J02AC01

1,026

J02AC01

1,027

J02AC01

1,028

J02AC01

1,029

J02AC01

1,030

J02AC01

1,031

J02AC01

1,032

J02AC01

1,033

J02AC01

1,034

J02AC01

1,035

J02AC01

1,036

J02AC01

1,037

J05AB01

1,038

J05AB01

1,039

J05AB01

1,040

J05AB01

1,041

J05AB01

DCI

KETOCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM

forma farm.
Denumire Comerciala
KETOCONAZOL ARENA 200 mg COMPR.

DIFLAZON 100 mg
FLUCOVIM 100
FLUCORIC 100 mg
FUNGOLON 100 mg
FLUCONAZOLE TEVA 100 mg
FLUCONAZOLE TEVA 100 mg

DIFLAZON 150 mg
FLUCOVIM 150
DIFLUCAN 150 mg
FLUCORIC 150 mg
FLUCONAZOL SANDOZ (R) 150
FLUCONAZOLE TEVA 150 mg

FLUCONAZOL 150 mg
FLUCONAZOL MEDOCHEMIE 150 mg

FLUCONAZOL BIOGALENICA 150 mg


FLUCONAZOL MEDICO UNO 150 mg

FLUCONAZOL ARENA 150 MG

FLUCONAZOL 150 mg
FLUCONAZOL OZONE 150 mg

MYCOSYST 150 mg
MYCOSYST 150 mg
FLUCONAZOL ACTAVIS 150 mg

MYCOMAX 150
FLUCONAZOL LPH 150 mg
FLUCONAZOL ROMPHARM 150 mg

FLUCONAZOLE TEVA 200 mg

DIFLAZON 50 mg
FLUCOVIM 50
DIFLUCAN 50 mg
FLUCORIC 50 mg
FLUCONAZOL SANDOZ (R) 50

FUNGOLON 50 mg
FLUCONAZOL 50 mg
FLUCONAZOLE TEVA 50 mg
FLUCONAZOL 50 mg
FLUCONAZOL MEDOCHEMIE 50 mg
FLUCONAZOL BIOGALENICA 50 mg

FLUCONAZOL ARENA 50 MG
FLUCONAZOL OZONE 50 mg
FLUCONAZOL LPH 50 mg
DIFLUCAN (R) 50 mg/5 ml
DIFLAZON 2mg/ml
DIFLUCAN (R)
DIFLUCAN (R)
ACICLOVIR 200 mg
ACICLOVIR ARENA 200 mg
ACICLOVIR ARENA 400 mg
ACICLOVIR TERAPIA 200 mg
ACICLOVIR 200 mg

CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
PULB. PT. SUSP. ORALA

SOL. PERF.
SOL. PERF.
SOL. PERF.
CAPS.
CAPS.
CAPS.
COMPR.
COMPR.

concentratie

200mg
100mg
100mg
100mg
100mg
100mg
100mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
200mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg/5ml
2mg/ml
2mg/ml
2mg/ml
200mg
200mg
400mg
200mg
200mg

tara det.
APP
ARENA GROUP SA ROMANIA
KRKA D.D.
SLOVENIA
VIM SPECTRUM SRL ROMANIA
TERAPIA SA
ROMANIA
Detinator APP

BALKANPHARMA RAZGRAD AD
TEVA PHARMACEUTICALS S.R.L.
TEVA PHARMACEUTICALS S.R.L.

Ambalaj
CUTIE X 1 BLIST. AL/PVC X 10 COMPR.

Prescriptie

P-RF

CUTIE X 4 BLIST. X 7 CAPS.


CUTIE X 1 BLIST. X 4 CAPS.

P-RF

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

P-RF

BULGARIA CUTIE X 2 BLIST. PVC/AL X 8 CAPS.


ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 2 CAPS.
ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.
SLOVENIA CUTIE X 1 BLIST. X 1 CAPS.

P-RF

P-RF

P-RF
P-RF

KRKA D.D.
VIM SPECTRUM SRL ROMANIA CUTIE X 1 FLAC. X 1 CAPS.
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 1 CAPS.
TERAPIA SA
ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS.
SANDOZ SRL
GERMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P-RF

ROMANIA
SLAVIA PHARM SRL ROMANIA
MEDOCHEMIE ROMANIA SRL ROMANIA
LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA
MEDICO UNO PHARMACEUTICAL SRL ROMANIA
ARENA GROUP SA ROMANIA
OZONE LABORATORIES PHARMA S.A. ROMANIA
OZONE LABORATORIES PHARMA S.A. ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA

CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.

P-RF

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.


CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P-RF

CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.

P-RF

CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA

P-RF

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P-RF

CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.


CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.

P-RF

CUTIE X 2 BLIST. AL/PVC X 1 CAPS.


CUTIE X 4 BLIST. AL/PVC X 1 CAPS.

P-RF

TEVA PHARMACEUTICALS S.R.L.

ACTAVIS GROUP PTC EHF.

ZENTIVA K.S.

ISLANDA CUTIE CU 1 BLIST. PVC-PVDC/AL X 1 CAPS.


CEHIA
CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P-RF
P-RF
P-RF
P-RF

P-RF

P-RF

P-RF

PRF
P-RF

LABORMED PHARMA S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF


ROMPHARM COMPANY S.R.L.
TEVA PHARMACEUTICALS S.R.L.

ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF


ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF

KRKA D.D.
SLOVENIA CUTIE X 1 BLIST. X 7 CAPS.
VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS.
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 7 CAPS.
TERAPIA SA
ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS.
SANDOZ SRL
ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS.
BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 1 BLIST. PVC/AL X 8 CAPS.
ANTIBIOTICE S.A.
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS.

P-RF

ROMANIA
SLAVIA PHARM SRL ROMANIA
MEDOCHEMIE ROMANIA SRL ROMANIA
LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA
ARENA GROUP SA ROMANIA
OZONE LABORATORIES PHARMA S.A. ROMANIA
LABORMED PHARMA S.A. ROMANIA

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

P-RF

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.


CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P-RF

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

P-RF

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P-RF

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

P-RF

TEVA PHARMACEUTICALS S.R.L.

PFIZER EUROPE MA EEIG

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

P-RF

CUTIE CU 1 BLIST. PVC/AL X 7 CAPS. PRF


CUTIE X 1 FLAC. PEID PULB. PT. 35 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 5 ML

P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML

S/PR-F

MAREA BRITANIE

PFIZER EUROPE MA EEIG

MAREA BRITANIE

PFIZER EUROPE MA EEIG

MAREA BRITANIE

SLAVIA PHARM SRL


ARENA GROUP SA
ARENA GROUP S.A.
TERAPIA SA

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

GEDEON RICHTER ROMANIA SA

Pagina 21 din 236

CUTIE X 1 FLACON X 200 ML


CUTIE X 1 FLACON X 50 ML

S/P-RF
S/P-RF

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.


CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
CUTIE X 1 BLIST. AL/PVC X 10 CAPS.

P-RF

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


CUTIE X 2 BLIST. AL./PVC X 10 COMPR.

P-RF

P-RF
P-RF

P-RF

Pret
Val suportata
amanun
de CNAS/UT
tul
Pret
(RON)Legea Val suportata
cant/ maximal amanuntul nr. 95/2006 art
CNAS/UT
amba /ambalaj maximal/UT 213 alin.1 lit.
(RON) pt.
laj
(RON)
(RON)
a) si f)
Adulti

10
9.06
0.906000
28 233.63
8.343928
4 25.30
6.325000
7 42.85
6.121428
16 81.68
5.105000
2
9.32
4.660000
7 31.14
4.448571
1 22.25 22.250000
1
9.82
9.820000
1 24.79 24.790000
1 18.64 18.640000
1 14.41 14.410000
1
6.52
6.520000
1
9.57
9.570000
1
8.10
8.100000
1
6.52
6.520000
1
8.92
8.920000
1
8.92
8.920000
1
9.82
9.820000
1
9.82
9.820000
2 32.22 16.110000
4 62.36 15.590000
1
9.94
9.940000
1 12.37 12.370000
1
9.82
9.820000
1 12.79 12.790000
7 38.90
5.557142
7 60.99
8.712857
7 22.30
3.185714
7 55.87
7.981428
7 29.26
4.180000
7 41.44
5.920000
8 18.81
2.351250
10 25.22
2.522000
7 16.49
2.355714
7 19.35
2.764285
7 15.96
2.280000
7 15.58
2.225714
7 18.89
2.698571
7 22.30
3.185714
7 22.30
3.185714
1 55.87 55.870000
1 45.29 45.290000
1 160.68 160.680000
1 40.05 40.050000
20 20.00
1.000000
20 21.17
1.058500
10 19.24
1.924000
20 16.95
0.847500
20 17.03
0.851500

0.794000
4.171500
4.171500
4.171500
4.171500
4.171500
4.171500
6.257250
6.257250
6.257250
6.257250
6.257250
6.257250
6.257250
6.257250
6.257250
6.257250
6.257250
6.257250
6.257250
6.257250
6.257250
6.257250
6.257250
6.257250
6.257250
5.557142
2.085750
2.085750
2.085750
2.085750
2.085750
2.085750
2.085750
2.085750
2.085750
2.085750
2.085750
2.085750
2.085750
2.085750
14.600250
38.627325
77.254650
19.313662
0.724068
0.724068
1.448136
0.724068
0.724068

0.714600
3.754350
3.754350
3.754350
3.754350
3.754350
3.754350
5.631525
5.631525
5.631525
5.631525
5.631525
5.631525
5.631525
5.631525
5.631525
5.631525
5.631525
5.631525
5.631525
5.631525
5.631525
5.631525
5.631525
5.631525
5.631525
5.001427
1.877175
1.877175
1.877175
1.877175
1.877175
1.877175
1.877175
1.877175
1.877175
1.877175
1.877175
1.877175
1.877175
1.877175
13.140225
34.764592
69.529185
17.382296
0.651661
0.651661
1.303322
0.651661
0.651661

Nr crt.

cod ATC

DCI

1,042

J05AB01

1,043

J05AB01

1,044

J05AB01

1,045

J05AB01

1,046

J05AB01

1,047

L02BG01

1,048

M01AB01

1,049

M01AB01

1,050

M01AB01

1,051

M01AB01

1,052

M01AB01

1,053

M01AB01

1,054

M01AB05

1,055

M01AB05

1,056

M01AB05

1,057

M01AB05

1,058

M01AB05

1,059

M01AB05

1,060

M01AB05

1,061

M01AB05

1,062

M01AB05

1,063

M01AB05

1,064

M01AB05

1,065

M01AB05

1,066

M01AB05

1,067

M01AB05

1,068

M01AB05

1,069

M01AB05

1,070

M01AB05

1,071

M01AB05

1,072

M01AB05

1,073

M01AB05

1,074

M01AB05

1,075

M01AB05

1,076

M01AB05

1,077

M01AB05

1,078

M01AB05

1,079

M01AB05

1,080

M01AB05

1,081

M01AB05

1,082

M01AB05

1,083

M01AB05

1,084

M01AB05

1,085

M01AB05

1,086

M01AB05

1,087

M01AB05

1,088

M01AB05

1,089

M01AB05

1,090

M01AB15

1,091

M01AB15

ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
AMINOGLUTETHIMIDUM
INDOMETACINUM
INDOMETACINUM
INDOMETACINUM
INDOMETACINUM
INDOMETACINUM
INDOMETACINUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
KETOROLACUM TROMETHAMIN
KETOROLACUM TROMETHAMIN

Denumire Comerciala

CLOVIRAL 200 mg
ACICLOVIR 200 mg
ACICLOVIR 200 mg
ACICLOVIR 400 mg
VIROLEX
ROGLUTEN (R) 250 mg
INDOMETACIN LAROPHARM 25 mg

INDOMETACIN ARENA 25 MG
INDOMETACIN ARENA 50 MG

INDOMETACIN 50 mg
INDOMETACIN 50 mg
INDOMETACIN 50 mg
DICLOREUM 150 mg
DICLOFENAC DUO PHARMASWISS 75 mg

TRATUL 50
DICLAC (R) 75 ID
VOLTAREN (R) RETARD
REFEN (R) RETARD
DICLOTARD (R) 100 mg
RHEUMAVEK
VOLTAREN (R) 50
DICLOFENAC 50 mg
CLAFEN 50 mg
DICLOFENAC 50 mg
DICLOGESIC 50 COMPRIMATE FILMATE GASTROREZISTENTE

EPIFENAC
VOLTAREN RAPID (R)
DICLOFENAC ARENA 25 mg
N - DICLOFENAC
DICLOFENAC ARENA 50 mg
VOLTAREN (R)
RHEUMAVEK
TRATUL (R)
DICLAC
ALMIRAL
DICLOFENAC 75 mg
DICLOFENAC AL I.M.
DICLOFENAC AL I.M.
REFEN 75 mg
CLAFEN 100 mg
VOLTAREN (R)
DICLOFENAC 100 mg
DICLOFENAC SODIC 100 mg
EPIFENAC
DICLOGESIC 12,5 SUPOZITOARE

TRATUL 120
VOLTAREN (R)
TRATUL 60
KETANOV 10 mg
KETOROL

forma farm.

COMPR.
COMPR.
COMPR.
COMPR.

concentratie

200mg
200mg
200mg
400mg
PULB. PT. SOL. INJ./PERF. 250mg
COMPR.
250mg
CAPS.
25mg
CAPS.
25mg
CAPS.
50mg
SUPOZ.
50mg
SUPOZ.
50mg
SUPOZ.
50mg
CAPS. ELIB. PREL. 150mg
CAPS. ELIB. PREL. 75mg
CAPS. MOI GASTROREZ. 50mg
COMPR. ELIB. MODIF. 75mg
COMPR. FILM. ELIB. PREL. 100mg
COMPR. FILM. ELIB. PREL. 100mg
COMPR. FILM. ELIB. PREL. 100mg
COMPR. FILM. GASTROREZ.
25mg
COMPR. FILM. GASTROREZ.
50mg
COMPR. FILM. GASTROREZ.
50mg
COMPR. FILM. GASTROREZ.
50mg
COMPR. FILM. GASTROREZ.
50mg
COMPR. FILM. GASTROREZ.
50mg
COMPR. GASTROREZ. 25mg
DRAJ.
50mg
DRAJ. GASTROREZ. 25mg
DRAJ. GASTROREZ. 50mg
DRAJ. GASTROREZ. 50mg
SOL. INJ.
25mg/ml
SOL. INJ.
25mg/ml
SOL. INJ.
30mg/ml
SOL. INJ.
75mg
SOL. INJ.
75mg/3ml
SOL. INJ.
75mg/3ml
SOL. INJ.
75mg/3ml
SOL. INJ.
75mg/3ml
SOL. INJ./PERF. 25mg/ml
SUPOZ.
100mg
SUPOZ.
100mg
SUPOZ.
100mg
SUPOZ.
100mg
SUPOZ.
100mg
SUPOZ.
12,5mg
SUPOZ.
120mg
SUPOZ.
50mg
SUPOZ.
60mg
COMPR. FILM. 10mg
COMPR. FILM. 10mg

Detinator APP

ANTIBIOTICE SA

tara det.
APP
Ambalaj
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

UNGARIA CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR.


LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 5 COMPR.
EGIS PHARMACEUTICALS P.L.C.

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 5 FLAC. X 250 MG PULB. PT. SOL. INJ./PERF.

Prescriptie

P-RF
P-RF
P-RF
P-RF
S/P-RF

ACTAVIS S.R.L.
LAROPHARM SRL
ARENA GROUP SA
ARENA GROUP SA
ANTIBIOTICE SA
SINTOFARM SA
MAGISTRA C & C

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

ALFA WASSERMANN SPA


GEROT PHARMAZEUTIKA GMBH

ITALIA
CEHIA
AUSTRIA

HEXAL AG

GERMANIA CUTIE X 1 BLIST. AL/PP X 10 COMPR. ELIB. MODIF. P-6L

PHARMASWISS CESKA REPUBLIKA S.R.O.

NOVARTIS PHARMA GMBH GERMANIA

TERAPIA SA

ROMANIA
ROMANIA

FARAN LABORATORIES S.A.

GRECIA

STADA HEMOFARM S.R.L.

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 1 FLAC. X 40 COMPR.

P-RF

CUTIE X 2 BLIST. PVC/AL X 10 CAPS.


CUTIE X 3 BLIST. AL/PVC X 10 CAPS.
CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P-6L
P-6L
P-6L

CUTIE X 2 FOLII TERMOSUDATE AL-PE X 3 SUPOZ. P-6L

CUTIE X 2 FOLII PVC/PE X 5 SUPOZ.

P-6L

CUTIE X 2 FOLII TERMOSUDATE PVC/PE X 5 SUPOZ. P-6L

CUTIE X 2 BLIST. AL/PVC X 10 CAPS. ELIB. PREL. P-6L


CUTIE X 3 BLIST. PVC/PVDC/AL X 10 CAPS. ELIB. PREL. P-6L
CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS. MOI GASTROREZ.

P-6L

CUTIE X 1 BLIST. PVC-PE-PVDC/AL. X 10 COMPR. FILM. ELIB. PREL.

P-6L

CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM. ELIB. PREL.

P-6L

CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL

P-6L

CUTIE X 3 BLIST. PVC-AL/PVDC X 10 COMPR. FILM. GASTROREZ.

P-6L

CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. GASTROREZ.

P-6L

TERAPIA SA
ANTIBIOTICE SA

ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ.


ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM. GASTROREZ.
AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ.
DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ.
E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 3 BLIST. X 10 COMPR. GASTROREZ.

P-6L

NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 10 DRAJ.

P-6L

ARENA GROUP SA
MEDUMAN SA
ARENA GROUP SA

P-6L

ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 DRAJ. GASTROREZ.


ROMANIA CUTIE X 1 FLAC. PE X 20 DRAJ. GASTROREZ.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 DRAJ GASTROREZ.

P-6L
P-6L
P-6L
P-6L

P-6L
P-6L

NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 FIOLE CU PUNCT DE RUPERE X 3 ML P-RF


FARAN LABORATORIES S.A.
GEROT PHARMAZEUTIKA GMBH

GRECIA
AUSTRIA

CUTIE X 5 FIOLE DE STICLA BRUNA PREVAZUTE CU INEL DE RUPERE X 3 ML

P-RF

CUTIE X 1 BLIST PVC X 5 FIOLE DIN STICLA BRUNA X 3 ML SOL. INJ.

P-RF

HEXAL AG
GERMANIA CUTIE X 5 FIOLE X 3 ML SOL. INJ.
MEDOCHEMIE LTD. CIPRU
TERAPIA SA
ROMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 3 ML

P-RF

ALIUD PHARMA GMBH GERMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 3ML SOL. INJ.
ALIUD PHARMA GMBH GERMANIA CUTIE X 10 FIOLE DIN STICLA INCOLORA X 3ML SOL. INJ.
STADA HEMOFARM S.R.L. ROMANIA CUTIE CU 5 FIOLE DIN STICLA INCOLORA X 3 ML SOL. INJ./PERF.
ANTIBIOTICE SA
ROMANIA CUTIE X 2 FOLII TERMOSUDANTE X 3 SUPOZ.
NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FOLIE PVC/PE-JD X 5 SUPOZ.
SINTOFARM SA
ROMANIA CUTIE X 2 FOLII PVC/PE X 5 SUPOZ.
MAGISTRA C & C
ROMANIA CUTIE X 2 FOLII TERMOSUDATE PVC/PE X 5 SUPOZ.
E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FOLIE AL/PEJD. X 5 SUPOZ.
DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 2 FOLII PVC/PE X 5 SUPOZ.

P-RF

CUTIE X 10 FIOLE DIN STICLA BRUNA CU INEL DE RUPERE, IN 2 SUPORTURI TERMOFORMATE DIN MATERIAL PLASTI

GEROT PHARMAZEUTIKA GMBH

AUSTRIA CUTIE X 6 SUPOZ.

NOVARTIS PHARMA GMBH GERMANIA

AUSTRIA CUTIE X 6 SUPOZ.

TERAPIA SA

ROMANIA
ROMANIA

Pagina 22 din 236

P-RF

P-RF
P-RF

P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L

CUTIE X 2 FOLII PVC/PEJD X 5 SUPOZ. P-6L

GEROT PHARMAZEUTIKA GMBH

DR. REDDY'S LABORATORIES

P-RF

P-6L

CUTIE X 2 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. P-6L


CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L

Pret
Val suportata
amanun
de CNAS/UT
tul
Pret
(RON)Legea Val suportata
cant/ maximal amanuntul nr. 95/2006 art
CNAS/UT
amba /ambalaj maximal/UT 213 alin.1 lit.
(RON) pt.
laj
(RON)
(RON)
a) si f)
Adulti

20 16.24
20 13.64
20 12.85
10 19.00
5 279.65
40 149.61
20
1.60
30
2.11
20
3.48
6
4.08
10
6.80
10
5.21
20 47.13
30 20.25
30
6.32
10
3.88
10
6.49
20
8.44
20
8.12
30
5.65
20
6.49
20
4.21
20
3.00
20
2.23
20
3.78
30
4.45
10
2.31
30
5.65
20
2.51
20
2.62
5
9.29
5
6.02
5 14.07
5
6.02
10
9.80
5
6.02
5
6.02
10 12.08
5
4.01
6
3.90
5
5.41
10
6.87
10
5.04
5
3.51
10
4.98
6
4.21
10
9.34
6
3.65
20
6.67
20
6.67

0.812000
0.682000
0.642500
1.900000
55.930000
3.740250
0.080000
0.070333
0.174000
0.680000
0.680000
0.521000
2.356500
0.675000
0.210666
0.388000
0.649000
0.422000
0.406000
0.188333
0.324500
0.210500
0.150000
0.111500
0.189000
0.148333
0.231000
0.188333
0.125500
0.131000
1.858000
1.204000
2.814000
1.204000
0.980000
1.204000
1.204000
1.208000
0.802000
0.650000
1.082000
0.687000
0.504000
0.702000
0.498000
0.701666
0.934000
0.608333
0.333500
0.333500

0.724068
0.682000
0.642500
1.448136
55.930000
3.740250
0.078300
0.070333
0.156600
0.304987
0.304987
0.304987
0.469800
0.234900
0.156600
0.234900
0.313200
0.313200
0.313200
0.078300
0.156600
0.156600
0.150000
0.111500
0.156600
0.078300
0.156600
0.078300
0.125500
0.131000
1.083600
1.083600
1.300320
1.083600
0.980000
1.083600
1.083600
1.083600
0.802000
0.609975
0.609975
0.609975
0.504000
0.609975
0.498000
0.701666
0.304987
0.365985
0.104399
0.104399

0.651661
0.613800
0.578250
1.303322
50.337000
3.366225
0.070470
0.063299
0.140940
0.274488
0.274488
0.274488
0.422820
0.211410
0.140940
0.211410
0.281880
0.281880
0.281880
0.070470
0.140940
0.140940
0.135000
0.100350
0.140940
0.070470
0.140940
0.070470
0.112950
0.117900
0.975240
0.975240
1.170288
0.975240
0.882000
0.975240
0.975240
0.975240
0.721800
0.548977
0.548977
0.548977
0.453600
0.548977
0.448200
0.631499
0.274488
0.329386
0.093959
0.093959

Nr crt.

cod ATC

DCI

Denumire Comerciala

1,092

M01AB15

1,093

M01AB15

1,094

M01AB16

1,095

M01AC02

1,096

M01AC02

1,097

M01AC02

1,098

M01AC02

1,099

M01AC02

1,100

M01AC06

1,101

M01AC06

1,102

M01AC06

1,103

M01AC06

1,104

M01AC06

1,105

M01AC06

1,106

M01AC06

1,107

M01AC06

1,108

M01AC06

1,109

M01AC06

1,110

M01AC06

1,111

M01AC06

1,112

M01AC06

KETANOV
KETOROL
AFLAMIL 100mg
TENOXICAM LPH 20 mg
TENOXICAM 20 mg
TENOXICAM ARENA 20 mg
NEO - ENDUSIX (R)
NEO - ENDUSIX (R)
MOVALIS (R) 15 mg
MOVALIS (R) 15 mg
MELOXICAM LPH 15 mg
MELOXICAM SANDOZ 15 mg
MELOX 15 mg
MELOX 15 mg
RECOXA 15
RECOXA 15
MELARTRIN 15 mg
MELOXICAM MCC 15 mg
VALZER 15 mg
NOFLAMEN 15 mg
ANTREND 15 mg

1,113

M01AC06

1,114

M01AC06

1,115

M01AC06

1,116

M01AC06

1,117

M01AC06

1,118

M01AC06

1,119

M01AC06

1,120

M01AC06

1,121

M01AC06

1,122

M01AC06

1,123

M01AC06

1,124

M01AC06

1,125

M01AC06

1,126

M01AC06

1,127

M01AC06

1,128

M01AC06

1,129

M01AC06

1,130

M01AC06

1,131

M01AC06

1,132

M01AC06

1,133

M01AC06

1,134

M01AE03

1,135

M01AE03

1,136

M01AE03

1,137

M01AE03

1,138

M01AE03

1,139

M01AE03

1,140

M01AE03

1,141

M01AE03

KETOROLACUM TROMETHAMIN
KETOROLACUM TROMETHAMIN
ACECLOFENACUM
TENOXICAMUM
TENOXICAMUM
TENOXICAMUM
TENOXICAMUM
TENOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM

forma farm.

SOL. INJ.
SOL. INJ.

concentratie

30mg/ml
30mg/ml
COMPR. FILM. 100mg
CAPS.
20mg
COMPR.
20mg
COMPR.
20mg
COMPR. FILM. 20mg
LIOF. + SOLV. PT. SOL. INJ. 20mg
COMPR.
15mg
COMPR.
15mg
COMPR.
15mg
COMPR.
15mg
COMPR.
15mg
COMPR.
15mg
COMPR.
15mg
COMPR.
15mg
COMPR.
15mg
COMPR.
15mg
COMPR.
15mg
COMPR.
15mg
COMPR.
15mg
MELOXICAM VIM SPECTRUM 15 mg COMPR.
15mg
ASPIFLEX 15 mg
COMPR.
15mg
ASPIFLEX 15 mg
COMPR.
15mg
ASPIFLEX 15 mg
COMPR.
15mg
ANTREND 15 mg
COMPR.
15mg
MELOX 7,5 mg
COMPR.
7,5 mg
MELOX 7,5 mg
COMPR.
7,5 mg
MOVALIS (R) 7,5 mg
COMPR.
7,5mg
MOVALIS (R) 7,5 mg
COMPR.
7,5mg
MELOXICAM LPH 7,5 mg
COMPR.
7,5mg
MELOXICAM SANDOZ 7,5 mg COMPR.
7,5mg
MELOXICAM MCC 7,5 mg
COMPR.
7,5mg
VALZER 7,5mg
COMPR.
7,5mg
NOFLAMEN 7,5 mg
COMPR.
7,5mg
MELOXICAM VIM SPECTRUM 7,5 mg COMPR.
7,5mg
ASPIFLEX 7,5 mg
COMPR.
7,5mg
ASPIFLEX 7,5 mg
COMPR.
7,5mg
ASPIFLEX 7,5 mg
COMPR.
7,5mg
MOVALIS 15mg/1,5ml
SOL. INJ.
15mg/1,5ml
MELOXICAM 15 mg
SUPOZ.
15mg
MELOXICAM 7,5 mg
SUPOZ.
7,5mg
KETOPROFEN SR TERAPIA 100 MG CAPS. ELIB. PREL. 100mg
KETONAL (R) DUO 150 mg CAPS. ELIB. PREL. 150mg
KETONAL UNO
CAPS. ELIB. PREL. 200mg
KETALGON 200 mg
CAPS. ELIB. PREL. 200mg
KETOPROFEN SR TERAPIA 200 MG CAPS. ELIB. PREL. 200mg
KETARD 200 mg
CAPS. ELIB. PREL. 200mg
KETONAL RETARD
COMPR. ELIB. PREL. 150mg
RUBIFEN 100 mg
COMPR. FILM. 100 mg

tara det.
APP
TERAPIA SA
ROMANIA
DR. REDDY'S LABORATORIES ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
LABORMED PHARMA SA ROMANIA
ARENA GROUP SA ROMANIA
ARENA GROUP SA ROMANIA
Detinator APP

Ambalaj

Prescriptie

CUTIE X 10 FIOLE X 1 ML

P-RF

CUTIE X 1 BLIST. X 10 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ.

P-RF

CUTIE X 2 BLIST. PA-AL-PVC/AL X 10 COMPR. P-6L

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P-6L

CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L


CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L

ANFARM HELLAS S.A. PHARMACEUTICALS

GRECIA CUTIE X 1 BLIST. X 10 COMPR. FILM.


GRECIA CUTIE X 1 FLAC. PULB. + 1 FIOLA SOLV.

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L

ANFARM HELLAS S.A. PHARMACEUTICALS

P-6L
P-RF

CUTIE X 2 BLIST. X 10 COMPR.


HEXAL AG
GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR.
MEDOCHEMIE LTD CIPRU
CUTIE X 3 BLIST. AL-PVC/PVDC X 10 COMPR.
MEDOCHEMIE LTD CIPRU
CUTIE X 1 BLIST. AL-PVC/PVDC X 10 COMPR.
ZENTIVA AS
CEHIA
CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR.
ZENTIVA AS
CEHIA
CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR.
TERAPIA SA
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-6L

MAGISTRA C & C SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR.
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X BLIST. OPA-AL-PVC/AL X 10 COMPR.

P-6L

LABORMED PHARMA SA ROMANIA

P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L

OZONE LABORATORIES BV

OLANDA

CUTIE X BLIST. PVC-PVDC/AL X 30 COMPR. P-6L

VIM SPECTRUM SRL


BMF PHARM S.R.L.
BMF PHARM S.R.L.
BMF PHARM S.R.L.

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


CUTIE X 1 BLIST. PVC/AL X 10 COMPR.
CUTIE X 2 BLIST. PVC/AL X 10 COMPR.
CUTIE X 3 BLIST. PVC/AL X 10 COMPR.

OZONE LABORATORIES PHARMA S.A.

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

MEDOCHEMIE LTD
MEDOCHEMIE LTD

CIPRU
CIPRU

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L

LABORMED PHARMA SA ROMANIA

HEXAL AG

P-6L
P-6L
P-6L

CUTIE X BLIST. PVC-PVDC/AL X 30 COMPR. P-6L


CUTIE X 1 BLIST. AL-PVC/PVDC X 10 COMPR. P-6L
CUTIE X 3 BLIST. AL-PVC/PVDC X 10 COMPR. P-6L

CUTIE X 2 BLIST. X 10 COMPR.

P-6L

GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L

MAGISTRA C & C SRL ROMANIA


ROMANIA
EGIS PHARMACEUTICALS P.L.C. UNGARIA
VIM SPECTRUM SRL ROMANIA
BMF PHARM S.R.L. ROMANIA
BMF PHARM S.R.L. ROMANIA
BMF PHARM S.R.L. ROMANIA
GEDEON RICHTER ROMANIA SA

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

P-6L

GERMANIA

CUTIE X 2 BLIAT. AL/PVC X 10 COMPR. P-6L


CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L
CUTIE X BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


CUTIE X 1 BLIST. PVC/AL X 10 COMPR.
CUTIE X 2 BLIST. PVC/AL X 10 COMPR.
CUTIE X 3 BLIST. PVC/AL X 10 COMPR.

P-6L
P-6L
P-6L
P-6L

CUTIE X 5 FIOLE DIN STICLA INCOLORA X 1,5 ML SIL. INJ. P-RF

MAGISTRA C & C
MAGISTRA C & C
TERAPIA SA
SANDOZ S.R.L.
SANDOZ S.R.L.

ROMANIA CUTII X 2 FOLII TERMOSUDATE PVC/PE X 3 SUPOZ.


ROMANIA CUTII X 2 FOLII TERMOSUDATE PVC/PE X 3 SUPOZ.
ROMANIA CUTIE X 1 BLIST. X 10 CAPS. CU ELIB. PREL.
ROMANIA CUTIE X 2 BLIST. AL/PVC-TE-PVDC X 10 CAPS. ELIB. PREL.
ROMANIA CUTIE X 2 BLIST. AL/PVC-TE-PVDC X 10 CAPS. ELIB. PREL.
LABORMED PHARMA S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. ELIB. PREL.
TERAPIA SA
ROMANIA CUTIE X 1 BLIST. X 10 CAPS. CU ELIB. PREL.
LABORMED PHARMA S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. ELIB. PREL.

P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L

LEK PHARMACEUTICALS D.D.

SLOVENIA CUTIE X 1 FLAC. X 20 COMPR. CU ELIB. PREL. P-6L

ANTIBIOTICE SA

ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM.

Pagina 23 din 236

P-6L

Pret
Val suportata
amanun
de CNAS/UT
tul
Pret
(RON)Legea Val suportata
cant/ maximal amanuntul nr. 95/2006 art
CNAS/UT
amba /ambalaj maximal/UT 213 alin.1 lit.
(RON) pt.
laj
(RON)
(RON)
a) si f)
Adulti

10
10
20
20
20
20
10
1
20
10
20
20
30
10
20
10
20
20
20
10
30
20
10
20
30
30
10
30
10
20
20
20
20
20
10
20
10
20
30
5
6
6
10
20
20
10
10
10
20
20

24.45
19.38
22.45
11.31
13.94
13.94
6.27
5.38
15.25
7.61
9.91
9.86
30.03
10.48
13.94
8.64
31.83
9.91
9.91
4.95
14.73
9.91
4.96
9.91
14.87
14.73
9.51
25.35
7.32
14.67
9.54
9.54
9.54
9.54
4.76
9.54
4.76
9.54
14.30
14.93
8.44
8.06
11.79
16.29
26.01
7.46
14.95
7.47
14.85
8.92

2.445000
1.938000
1.122500
0.565500
0.697000
0.697000
0.627000
5.380000
0.762500
0.761000
0.495500
0.493000
1.001000
1.048000
0.697000
0.864000
1.591500
0.495500
0.495500
0.495000
0.491000
0.495500
0.496000
0.495500
0.495666
0.491000
0.951000
0.845000
0.732000
0.733500
0.477000
0.477000
0.477000
0.477000
0.476000
0.477000
0.476000
0.477000
0.476666
2.986000
1.406666
1.343333
1.179000
0.814500
1.300500
0.746000
1.495000
0.747000
0.742500
0.446000

1.444800
1.444800
0.156600
0.446024
0.446024
0.446024
0.446024
2.093400
0.446024
0.446024
0.446024
0.446024
0.446024
0.446024
0.446024
0.446024
0.446024
0.446024
0.446024
0.446024
0.446024
0.446024
0.446024
0.446024
0.446024
0.446024
0.223012
0.223012
0.223012
0.223012
0.223012
0.223012
0.223012
0.223012
0.223012
0.223012
0.223012
0.223012
0.223012
2.093400
0.658499
0.329249
0.476849
0.715274
0.953699
0.746000
0.953699
0.747000
0.715274
0.446000

1.300320
1.300320
0.140940
0.401422
0.401422
0.401422
0.401422
1.884060
0.401422
0.401422
0.401422
0.401422
0.401422
0.401422
0.401422
0.401422
0.401422
0.401422
0.401422
0.401422
0.401422
0.401422
0.401422
0.401422
0.401422
0.401422
0.200711
0.200711
0.200711
0.200711
0.200711
0.200711
0.200711
0.200711
0.200711
0.200711
0.200711
0.200711
0.200711
1.884060
0.592649
0.296324
0.429164
0.643747
0.858329
0.671400
0.858329
0.672300
0.643747
0.401400

Nr crt.

cod ATC

1,142

M01AE03

1,143

M01AE03

1,144

M01AE03

1,145

M01AE03

1,146

M01AE03

1,147

M01AE03

1,148

M01AE03

1,149

M01AE03

1,150

M01AE03

1,151

M01AE03

1,152

M03BX07

1,153

M04AA01

1,154

M04AA01

1,155

M04AC01

1,156

N02AD01

1,157

N02AD01

1,158

N02AD01

1,159

N02AD01

1,160

N02AX02

1,161

N02AX02

1,162

N02AX02

1,163

N02AX02

1,164

N02AX02

1,165

N02AX02

1,166

N02AX02

1,167

N02AX02

1,168

N02AX02

1,169

N02AX02

1,170

N02AX02

1,171

N02AX02

1,172

N02AX02

1,173

N02AX02

1,174

N02AX02

1,175

N02AX02

1,176

N02AX02

1,177

N02AX02

1,178

N02AX02

1,179

N02AX02

1,180

N02AX02

1,181

N02AX02

1,182

N02AX02

1,183

N02AX02

1,184

N02AX02

1,185

N02AX02

1,186

N02AX02

1,187

N02AX02

1,188

N02AX02

1,189

N02AX02

1,190

N02AX02

1,191

N02AX02

DCI

KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
TETRAZEPAMUM
ALLOPURINOLUM
ALLOPURINOLUM*
COLCHICINUM
PENTAZOCINUM
PENTAZOCINUM
PENTAZOCINUM
PENTAZOCINUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM

Denumire Comerciala

PROFENID (R) 100 mg


KETONAL FORTE 100 mg
KETOPROXIN 100 mg
KETOPROXIN 50 mg
PROFENID (R) LP 200 mg
KETONAL 100 mg/ 2 ml
KETOPROFEN TERAPIA 100MG/2ML

KETONAL 100 mg
RUBIFEN (R) 100 mg
KETOMAG
MYOLASTAN 50 mg
MILURIT 100 mg
MILURIT 300 mg
COLCHICINA
FORTRAL 50 mg
FORTRAL 50 mg
FORTRAL
FORTRAL
TRAMAL (R)
TRALGIT 50
TRAMADOL
TRAMADOL AL 50
TRAMADOL AL 50
MABRON 50 mg
K-ALMA (R)
TRAMACALM
TRAMADOL LPH 50 mg
URGENDOL
TRAMADOL ARENA
TRAMAL UNO 100 mg
TRAMAL UNO 100 mg
TRAMAL UNO 100 mg
TRAMAL UNO 100 mg
TRAMAL UNO 150 mg
TRAMAL UNO 150 mg
TRAMAL UNO 150 mg
TRAMAL UNO 150 mg
TRAMAL UNO 200 mg
TRAMAL UNO 200 mg
TRAMAL UNO 200 mg
TRAMAL UNO 200 mg
TRAMAG 50
TRAMADOL EEL
TRAMADOL 50 mg
TRAMADOL 50 mg
TRAMADOLOR (R) 100 ID
TRAMADOL (R) RETARD
TRALGIT SR 100
TRALGIT SR 100
TRALGIT SR 100

forma farm.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

concentratie

100mg
100mg
100mg
50mg
COMPR. FILM. ELIB. PREL. 200mg
SOL. INJ.
100mg/2ml
SOL. INJ./CONC. SOL. PERF.
100mg/2ml
SUPOZ.
100mg
SUPOZ.
100mg
SUPOZ.
100mg
COMPR. FILM. 50mg
COMPR.
100mg
COMPR.
300mg
COMPR.
1mg
COMPR.
50mg
COMPR.
50mg
SOL. INJ.
30mg/ml
SOL. INJ.
30mg/ml
CAPS.
50mg
CAPS.
50mg
CAPS.
50mg
CAPS.
50mg
CAPS.
50mg
CAPS.
50mg
CAPS.
50mg
CAPS.
50mg
CAPS.
50mg
CAPS.
50mg
CAPS.
50mg
CAPS. ELIB. PREL. 100mg
CAPS. ELIB. PREL. 100mg
CAPS. ELIB. PREL. 100mg
CAPS. ELIB. PREL. 100mg
CAPS. ELIB. PREL. 150mg
CAPS. ELIB. PREL. 150mg
CAPS. ELIB. PREL. 150mg
CAPS. ELIB. PREL. 150mg
CAPS. ELIB. PREL. 200mg
CAPS. ELIB. PREL. 200mg
CAPS. ELIB. PREL. 200mg
CAPS. ELIB. PREL. 200mg
COMPR.
50mg
COMPR.
50mg
COMPR.
50mg
COMPR.
50mg
COMPR. ELIB. MODIF. 100mg
COMPR. ELIB. PREL. 100mg
COMPR. ELIB. PREL. 100mg
COMPR. ELIB. PREL. 100mg
COMPR. ELIB. PREL. 100mg

Detinator APP

tara det.
APP

Ambalaj

Prescriptie

LAB. AVENTIS

FRANTA CUTIE X 2 BLIST X 15 COMPR. FILM.

LEK PHARMACEUTICALS D.D.

SLOVENIA CUTIE X 1 FLAC. X 20 COMPR. FILM. P-6L

AC HELCOR PHARMA SRL


AC HELCOR PHARMA SRL

ROMANIA CUTIE X 2 BLIST. PVC/ALX 10 COMPR. FILM.


ROMANIA CUTIE X 2 BLIST. PVC/ALX 10 COMPR. FILM.

LAB. AVENTIS

FRANTA

CUTIE X 1 BLIST X 14 COMPR. FILM. ELIB. PREL. P-6L

LEK PHARMACEUTICALS D.D.

SLOVENIA

CUTIE X 10 FIOLE X 2 ML SOL. INJ/CONC PT.SOL. PERF.

TERAPIA SA

ROMANIA CUTIE X 5 FIOLE X 2 ML

LEK PHARMACEUTICALS D.D.

SLOVENIA CUTIE X 2 FOLII AL/PE X 6 SUPOZ. P-6L

ANTIBIOTICE SA
MAGISTRA C & C

ROMANIA
ROMANIA
ROMANIA
UNGARIA
UNGARIA
ROMANIA

SANOFI - AVENTIS ROMANIA S.R.L.

EGIS PHARMACEUTICALS P.L.C.


EGIS PHARMACEUTICALS P.L.C.

BIOFARM SA

CUTIE X 2 FOLII TERMOSUDATE METALIZATE AL-PE X 3 SUPOZ.

P-6L
P-6L
P-6L

P-RF
P-RF

P-6L

CUTIE X 2 FOLII LAMINATE PVC/PE X 5 SUPOZ. P-6L

CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM. P-RF

CUTIE X 1 FLAC. X 50 COMPR.


CUTIE X 1 FLAC. X 30 COMPR.
CUTIE X 2 BLIST. AL/PVC X 20 COMPR.

CUTIE X 1 FLAC. X 100 COMPR.


SLOVENIA CUTIE X 1 FLAC X 20 COMPR.
SLOVENIA CUTIE X 10 FIOLE X 1 ML SOL. INJ.
SLOVENIA CUTIE X 50 FIOLE X 1 ML SOL. INJ.

P-6L
P-6L
P-RF

KRKA D.D. NOVO MESTO SLOVENIA

P-RF/S

KRKA D.D. NOVO MESTO

P-RF

KRKA D.D. NOVO MESTO


KRKA D.D. NOVO MESTO

P-RF
P-RF/S

GRUNENTHAL GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.


ZENTIVA A.S.
SLOVACIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
KRKA D.D.
SLOVENIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P-RF

CUTIE X 3 BLIST. X 10 CAPS.


ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 1 BLIST. X 10 CAPS.
MEDOCHEMIE LTD. CIPRU
CUTIE X 1 BLIST. AL/PVC X 10 CAPS.
ANTIBIOTICE SA
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
AC HELCOR SRL
ROMANIA CUTIE X 1 BLIST. PVC/AL X 10 CAPS.

P-RF

LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P-RF

ALIUD PHARMA GMBH & CO.KG

GERMANIA

MEDICAROM GROUP SRL ROMANIA

CUTIE X 1 BLIST. X 10 CAPS.

ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P-RF
P-RF

P-RF
P-RF
P-RF
P-RF

P-RF
P-RF

GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH

GERMANIA

CUTIE X BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-RF

GERMANIA

CUTIE X BLIST. PVC-PVDC/AL X 20 CAPS. CU ELIB. PREL. P-RF

GERMANIA

CUTIE X BLIST. PVC-PVDC/AL X 30 CAPS. CU ELIB. PREL. P-RF

GERMANIA

CUTIE X BLIST. PVC-PVDC/AL X 50 CAPS. CU ELIB. PREL.

GERMANIA

CUTIE X BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-RF

GERMANIA

CUTIE X BLIST. PVC-PVDC/AL X 20 CAPS. CU ELIB. PREL. P-RF

GERMANIA

CUTIE X BLIST. PVC-PVDC/AL X 30 CAPS. CU ELIB. PREL. P-RF

GERMANIA

CUTIE X BLIST. PVC-PVDC/AL X 50 CAPS. CU ELIB. PREL.

GERMANIA

CUTIE X BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-RF

GERMANIA

CUTIE X BLIST. PVC-PVDC/AL X 20 CAPS. CU ELIB. PREL. P-RF

GERMANIA

CUTIE X BLIST. PVC-PVDC/AL X 30 CAPS. CU ELIB. PREL. P-RF

GERMANIA

CUTIE X BLIST. PVC-PVDC/AL X 50 CAPS. CU ELIB. PREL.

P-RF/S

MAGISTRA C & C
BIO EEL SRL

ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-RF

GERMANIA CUTIE X 1 BLIST. X 10 COMPR. ELIB. MODIF.

P-RF

SLOVENIA CUTIE X 3 BLIST. X 10 COMPR. ELIB. PREL.


SLOVACIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. ELIB. PREL.
SLOVACIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. ELIB. PREL.
SLOVACIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL.

P-RF

OZONE LABORATORIES LTD.


OZONE LABORATORIES PHARMA S.A.

HEXAL AG
KRKA D.D.
ZENTIVA AS
ZENTIVA AS
ZENTIVA AS

Pagina 24 din 236

P-RF/S

P-RF/S

P-RF
P-RF
P-RF

P-RF
P-RF
P-RF

Pret
Val suportata
amanun
de CNAS/UT
tul
Pret
(RON)Legea Val suportata
cant/ maximal amanuntul nr. 95/2006 art
CNAS/UT
amba /ambalaj maximal/UT 213 alin.1 lit.
(RON) pt.
laj
(RON)
(RON)
a) si f)
Adulti

30 18.04
20 11.48
20
7.80
20
7.07
14 16.09
10 11.22
5
9.52
12
8.10
6
4.05
10
6.46
20
9.41
50
5.96
30 10.31
40
5.70
100 75.64
20 18.35
10 14.53
50 65.97
20 11.68
20
5.76
20
5.76
30 11.39
10
3.81
10
3.81
20
7.58
10
3.81
20
7.58
10
3.78
20
8.89
10 17.18
20 33.10
30 46.84
50 72.06
10 25.78
20 48.01
30 67.91
50 106.20
10 32.17
20 57.75
30 77.21
50 119.99
20
7.58
20
7.58
20
7.58
20
7.58
10
6.22
30 18.69
50 32.17
10
6.22
30 18.67

0.601333
0.574000
0.390000
0.353500
1.149285
1.122000
1.904000
0.675000
0.675000
0.646000
0.470500
0.119200
0.343666
0.142500
0.756400
0.917500
1.453000
1.319400
0.584000
0.288000
0.288000
0.379666
0.381000
0.381000
0.379000
0.381000
0.379000
0.378000
0.444500
1.718000
1.655000
1.561333
1.441200
2.578000
2.400500
2.263666
2.124000
3.217000
2.887500
2.573666
2.399800
0.379000
0.379000
0.379000
0.379000
0.622000
0.623000
0.643400
0.622000
0.622333

0.476849
0.476849
0.390000
0.238424
0.953699
1.037000
1.904000
0.660500
0.660500
0.646000
0.470500
0.115716
0.343666
0.142500
0.756400
0.796675
1.352800
1.319400
0.341100
0.288000
0.288000
0.341100
0.341100
0.341100
0.341100
0.341100
0.341100
0.341100
0.341100
0.682202
0.682202
0.682202
0.682202
1.023304
1.023304
1.023304
1.023304
1.364404
1.364404
1.364404
1.364404
0.341100
0.341100
0.341100
0.341100
0.622000
0.623000
0.643400
0.622000
0.622333

0.429164
0.429164
0.351000
0.214582
0.858329
0.933300
1.713600
0.594450
0.594450
0.581400
0.423450
0.104144
0.309299
0.128250
0.680760
0.717007
1.217520
1.187460
0.306990
0.259200
0.259200
0.306990
0.306990
0.306990
0.306990
0.306990
0.306990
0.306990
0.306990
0.613981
0.613981
0.613981
0.613981
0.920973
0.920973
0.920973
0.920973
1.227963
1.227963
1.227963
1.227963
0.306990
0.306990
0.306990
0.306990
0.559800
0.560700
0.579060
0.559800
0.560099

Nr crt.

cod ATC

1,192

N02AX02

1,193

N02AX02

1,194

N02AX02

1,195

N02AX02

1,196

N02AX02

1,197

N02AX02

1,198

N02AX02

1,199

N02AX02

1,200

N02AX02

1,201

N02AX02

1,202

N02AX02

1,203

N02AX02

1,204

N02AX02

1,205

N02AX02

1,206

N02AX02

1,207

N02AX02

1,208

N02AX02

1,209

N02AX02

1,210

N02AX02

1,211

N02AX02

1,212

N02AX02

1,213

N02AX02

1,214

N02AX02

1,215

N02AX02

1,216

N02AX02

1,217

N02AX02

1,218

N02AX02

1,219

N02CC01

1,220

N02CC01

1,221

N02CC01

1,222

N02CC01

1,223

N02CC01

1,224

N02CC01

1,225

N02CC01

1,226

N02CC01

1,227

N02CC01

1,228

N02CC01

1,229

N02CC01

1,230

N02CC01

1,231

N02CC01

1,232

N02CC01

1,233

N02CC01

1,234

N03AF01

1,235

N03AF01

1,236

N03AF01

1,237

N03AF01

1,238

N03AF01

1,239

N03AF01

1,240

N03AF01

1,241

N03AF01

DCI

TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
SUMATRIPTANUM*
SUMATRIPTANUM*
SUMATRIPTANUM*
SUMATRIPTANUM*
SUMATRIPTANUM*
SUMATRIPTANUM*
SUMATRIPTANUM*
SUMATRIPTANUM*
SUMATRIPTANUM*
SUMATRIPTANUM*
SUMATRIPTANUM*
SUMATRIPTANUM*
SUMATRIPTANUM*
SUMATRIPTANUM*
SUMATRIPTANUM*
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM

Denumire Comerciala

NOAX UNO 100 mg


NOAX UNO 100 mg
TRALGIT SR 150
TRALGIT SR 150
TRALGIT SR 200
NOAX UNO 200 mg
NOAX UNO 200 mg
NOAX UNO 300 mg
NOAX UNO 300 mg
TRADOLAN 50 mg
TRAMAL RETARD 100 mg
TRAMAL RETARD 150 mg
TRAMADOL RETARD 150 mg
TRAMAL RETARD 200 mg
TRAMADOL RETARD 200 mg
TRAMADOL AL PICATURI
TRAMAL (R)
MABRON
MABRON
TRALGIT 100
TRAMAL (R) 50
TRAMADOL
TRALGIT 50
URGENDOL
TRAMADOL
URGENDOL
TRAMADOL
SUMATRIPTAN TERAPIA 100 mg
SUMATRIPTAN TERAPIA 100 mg
SUMATRIPTAN TERAPIA 50 mg
SUMATRIPTAN TERAPIA 50 mg

IMIGRAN DR 100 mg
IMIGRAN DR 50 mg
SUMACTA 100 mg
SUMACTA 100 mg
XIBIMER 100 mg
XIBIMER 100 mg
IMIGRAN (R) 50
SUMACTA 50 mg
SUMACTA 50 mg
XIBIMER 50 mg
XIBIMER 50 mg
TEGRETOL (R) 200

forma farm.

concentratie

100mg
COMPR. ELIB. PREL. 100mg
COMPR. ELIB. PREL. 150mg
COMPR. ELIB. PREL. 150mg
COMPR. ELIB. PREL. 200mg
COMPR. ELIB. PREL. 200mg
COMPR. ELIB. PREL. 200mg
COMPR. ELIB. PREL. 300mg
COMPR. ELIB. PREL. 300mg
COMPR. FILM. 50mg
COMPR. FILM. ELIB. PREL. 100mg
COMPR. FILM. ELIB. PREL. 150mg
COMPR. FILM. ELIB. PREL. 150mg
COMPR. FILM. ELIB. PREL. 200mg
COMPR. FILM. ELIB. PREL. 200mg
COMPR. ELIB. PREL.

PIC. ORALE, SOL.


PICATURI ORALE-SOL.

SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SUPOZ.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. DISP.
COMPR. DISP.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

COMPR.
CARBAMAZEPINA LPH 200 mg COMPR.
CARBAVIM
COMPR.
CARBEPSIL 200
COMPR.
TAVER
COMPR.
CARBAMAZEPIN
COMPR.
CARBAMAZEPIN EEL
COMPR.
FINLEPSIN
COMPR.

FARA CONCENTRATIE

100mg/ml
100mg
100mg
100mg/2ml
50mg/ml
50mg/ml
50mg/ml
50mg/ml
50mg/ml
50mg/ml
100mg
100mg
100mg
50mg
50mg
100mg
50mg
100mg
100mg
100mg
100mg
50mg
50mg
50mg
50mg
50mg
200mg
200mg
200mg
200mg
200mg
200mg
200mg
200mg

Detinator APP

tara det.
APP

CSC PHARMACEUTICALS HANDELS GMBH

AUSTRIA
AUSTRIA

ZENTIVA AS
ZENTIVA AS
ZENTIVA AS

SLOVACIA
SLOVACIA
SLOVACIA

CSC PHARMACEUTICALS HANDELS GMBH

CSC PHARMACEUTICALS HANDELS GMBH


CSC PHARMACEUTICALS HANDELS GMBH
CSC PHARMACEUTICALS HANDELS GMBH
CSC PHARMACEUTICALS HANDELS GMBH

LANNACHER HEILMITTEL GES.M.B.H.

AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA

Ambalaj

Prescriptie

CUTIE X 1 BLIST. DIN PVC-PVDC/AL X 5 COMPR.ELIM.PREL.

P-RF

CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR.ELIM.PREL.

P-RF

CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF


CUTIE X 1 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF
CUTIE X 1 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF
CUTIE X 1 BLIST. DIN PVC-PVDC/AL X 10 COMPR.ELIB. PREL.

P-RF

CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR.ELIB. PREL.

P-RF

CUTIE X 1 BLIST. X PVC-PVDC/AL X 10 COMPR. ELIB. PREL.

P-RF

CUTIE X 3 BLIST. X PVC-PE-ACLAR/AL X 10 COMPR. ELIB. PREL.

P-RF

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.FILM. P-RF

GRUNENTHAL GMBH GERMANIA


GRUNENTHAL GMBH GERMANIA

CUTIE X 1 BLIST. AL/PVDC X 10 COMPR. FILM. CU ELIB. PREL.

P-RF

CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR.FILM. CU ELIB. PREL.

P-RF

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL.

P-RF

GRUNENTHAL GMBH GERMANIA

CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR.FILM. ELIB. PREL. P-RF

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-RF

ALIUD PHARMA GMBH GERMANIA CUTIE X 1 FLACON DIN STICLA BRUNA X 10 ML PIC. ORALE, SOL.
GRUNENTHAL GMBH GERMANIA CUTIE X 1 FLACON PICURATOR X 10 ML

MEDOCHEMIE LTD. CIPRU


CUTIE X 5 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.
MEDOCHEMIE LTD. CIPRU
CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.
ZENTIVA A.S.
SLOVACIA CUTIE X 5 FIOLE X 2 ML SOL. INJ.
GRUNENTHAL GMBH GERMANIA CUTIE X 5 FIOLE X 1 ML
KRKA D.D.
SLOVENIA CUTIE X 5 FIOLE X 1 ML
ZENTIVA A.S.
SLOVACIA CUTIE X 5 FIOLE X 1 ML SOL. INJ.
MEDICAROM GROUP SRL ROMANIA CUTIE X 5 FIOLE X 1 ML
KRKA D.D.
SLOVENIA CUTIE X 5 FIOLE X 2 ML
MEDICAROM GROUP SRL ROMANIA CUTIE X 5 FIOLE X 2 ML
KRKA D.D.
SLOVENIA CUTIE X 1 BLIST. X 5 SUPOZ.
TERAPIA SA
ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 6 COMPR.
TERAPIA SA
ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 6 COMPR.
TERAPIA SA
ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 3 COMPR.
TERAPIA SA
ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 3 COMPR.

P-RF
P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF

P-RF
P-RF
P-RF
P-RF
P-RF

GLAXO WELLCOME UK LTD.

MAREA BRITANIE

CUTIE CU 1 BLIST. (OPA)-AL-PVC/AL X 2 COMPR. DISP. P-RF

GLAXO WELLCOME UK LTD.

MAREA BRITANIE

CUTIE CU 1 BLIST. (OPA)-AL-PVC/AL X 2 COMPR. DISP. P-RF

ACTAVIS GROUP PTC EHF.

ISLANDA CUTIE X 1 BLIST. AL/PVC X 2 COMPR. FILM.


ISLANDA CUTIE X 2 BLIST. AL/PVC X 3 COMPR. FILM.

ACTAVIS GROUP PTC EHF.

P-RF
P-RF

CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF

DR. REDDY'S LABORATORIES

ROMANIA
ROMANIA

GLAXO WELLCOME UK LTD.

MAREA BRITANIE

CUTIE X 1 BLIST. PVC-AL-OPA/AL X 2 COMPR. FILM. P-RF

ACTAVIS GROUP PTC EHF.

ISLANDA CUTIE X 2 BLIST. AL/PVC X 3 COMPR. FILM.


ISLANDA CUTIE X 1 BLIST. AL/PVC X 2 COMPR. FILM.

DR. REDDY'S LABORATORIES

ACTAVIS GROUP PTC EHF.


DR. REDDY'S LABORATORIES
DR. REDDY'S LABORATORIES

ROMANIA
ROMANIA

CUTIE X 1 BLIST. PVC-PVDC/AL X 6 COMPR. FILM. P-RF

P-RF
P-RF

CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF

CUTIE X 1 BLIST. PVC-PVDC/AL X 6 COMPR. FILM. P-RF

NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L

LABORMED PHARMA SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L

VIM SPECTRUM SRL


AC HELCOR SRL
MEDOCHEMIE LTD.
SLAVIA PHARM SRL
BIO EEL SRL

ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR.


ROMANIA CUTIE X 5 BLIST. X 10 COMPR.

P-6L

CIPRU

P-6L

ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-6L

AWD PHARMA GMBH & CO.KG

GERMANIA

P-6L

Pagina 25 din 236

CUTIE X 5 BLIST. X 10 COMPR.

CUTIE X 5 BLIST. AL-HARTIE CERATA/PVC-PVDC X 10 COMPR.

P-6L

P-6L

Pret
Val suportata
amanun
de CNAS/UT
tul
Pret
(RON)Legea Val suportata
cant/ maximal amanuntul nr. 95/2006 art
CNAS/UT
amba /ambalaj maximal/UT 213 alin.1 lit.
(RON) pt.
laj
(RON)
(RON)
a) si f)
Adulti

5
7.32
30 39.05
30 33.17
10 20.80
10 27.18
10 19.86
30 51.22
10 27.60
30 75.56
30 10.52
10
9.58
10 21.77
30 41.08
10 27.86
30 52.58
1
4.98
1
7.66
5
9.72
100 135.39
5 12.14
5
7.47
5
4.87
5 11.36
5
4.84
5 12.94
5
7.58
5
5.52
6 54.29
12 103.16
3 21.08
6 39.93
2 44.29
2 25.07
2 19.78
6 57.44
10 98.62
6 57.44
2 23.82
6 40.98
2 14.11
10 65.99
6 40.96
50 17.18
50 11.17
50 11.17
50 11.17
50
7.15
20
4.38
20
4.45
50 11.17

1.464000
1.301666
1.105666
2.080000
2.718000
1.986000
1.707333
2.760000
2.518666
0.350666
0.958000
2.177000
1.369333
2.786000
1.752666
4.980000
7.660000
1.944000
1.353900
2.428000
1.494000
0.974000
2.272000
0.968000
2.588000
1.516000
1.104000
9.048333
8.596666
7.026666
6.655000
22.145000
12.535000
9.890000
9.573333
9.862000
9.573333
11.910000
6.830000
7.055000
6.599000
6.826666
0.343600
0.223400
0.223400
0.223400
0.143000
0.219000
0.222500
0.223400

0.682202
0.682202
1.023304
1.023304
1.364404
1.364404
1.364404
2.046608
2.046608
0.341100
0.682202
1.023304
1.023304
1.364404
1.364404
4.980000
6.822026
1.742405
1.353900
1.742405
0.871200
0.871200
0.871200
0.871200
1.742405
1.516000
1.104000
8.745899
8.596666
4.372949
4.372949
8.745899
4.372949
8.745899
8.745899
8.745899
8.745899
4.372949
4.372949
4.372949
4.372949
4.372949
0.201060
0.201060
0.201060
0.201060
0.143000
0.201060
0.201060
0.201060

0.613981
0.613981
0.920973
0.920973
1.227963
1.227963
1.227963
1.841947
1.841947
0.306990
0.613981
0.920973
0.920973
1.227963
1.227963
4.482000
6.139823
1.568164
1.218510
1.568164
0.784080
0.784080
0.784080
0.784080
1.568164
1.364400
0.993600
7.871309
7.736999
3.935654
3.935654
7.871309
3.935654
7.871309
7.871309
7.871309
7.871309
3.935654
3.935654
3.935654
3.935654
3.935654
0.180954
0.180954
0.180954
0.180954
0.128700
0.180954
0.180954
0.180954

Nr crt.

cod ATC

1,242

N03AF01

1,243

N03AF01

1,244

N03AF01

1,245

N03AF01

1,246

N03AF01

1,247

N03AF01

1,248

N03AF01

1,249

N03AF01

1,250

N03AF01

1,251

N03AF01

1,252

N03AF01

1,253

N03AF01

1,254

N03AF01

1,255

N03AF01

1,256

N03AF01

1,257

N03AX12

1,258

N03AX12

1,259

N03AX12

1,260

N03AX12

1,261

N03AX12

1,262

N03AX12

1,263

N03AX12

1,264

N03AX12

1,265

N03AX12

1,266

N03AX12

1,267

N03AX12

1,268

N03AX12

1,269

N03AX12

1,270

N03AX12

1,271

N03AX12

1,272

N03AX12

1,273

N03AX12

1,274

N03AX12

1,275

N03AX12

1,276

N03AX12

1,277

N03AX12

1,278

N05AD01

1,279

N05AD01

1,280

N05AD01

1,281

N05AD01

1,282

N05AD01

1,283

N05AD01

1,284

N05AD01

1,285

N05AD01

1,286

N05BA01

1,287

N05BA01

1,288

N05BA01

1,289

N05BA01

1,290

N05BA01

1,291

N05BA01

DCI

CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
DIAZEPAMUM
DIAZEPAMUM
DIAZEPAMUM
DIAZEPAMUM
DIAZEPAMUM
DIAZEPAMUM

Denumire Comerciala

forma farm.

COMPR.
TAVER
COMPR.
CARBAMAZEPINA
COMPR.
CARBEPSIL 400
COMPR.
CARBAMAZEPINA ARENA 400 mg COMPR.
CARBAMAZEPINA ARENA 200 mg

NEUROTOP (R) RETARD 300 mg


NEUROTOP (R) RETARD 600 mg

TEGRETOL CR 200
TEGRETOL CR 400
FINLEPSIN 400 RETARD
TIMONIL 150 RETARD
TIMONIL 300 RETARD
TIMONIL 600 RETARD
FINLEPSIN 200 RETARD
TIMONIL SIROP
GABAGAMMA 100 mg
GABAGAMMA 100 mg
GRIMODIN 100 mg
GABAGAMMA 300 mg
GABAGAMMA 300 mg
GABARAN 300 mg
GABALEPT 300 mg
GRIMODIN 300 mg
GABAGAMMA 400 mg
GABAGAMMA 400 mg
GABARAN 400 mg
GABALEPT 400 mg
GRIMODIN 400 mg
GABARAN 600 mg
GABAGAMMA 600 mg
GABAGAMMA 600 mg
GRIMODIN 600 mg
GABARAN 800 mg
GABAGAMMA 800 mg
GABAGAMMA 800 mg
GRIMODIN 800 mg
HALOPERIDOL LAROPHARM 0,5 mg

HALOPERIDOL 1 mg
HALOPERIDOL 2 mg
HALDOL

COMPR. ELIB. PREL.


COMPR. ELIB. PREL.
COMPR. FILM. ELIB. PREL.
COMPR. FILM. ELIB. PREL.
COMPR. FILM. ELIB. PREL.

COMPR. RET.
COMPR. RET.
COMPR. RET.
COMPR.FILM.ELIB.PREL

SUSP. ORALA

CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

COMPR.
COMPR.
COMPR.
COMPR.

HALOPERIDOL ROMPHARM 2 mg/ml PIC. OFT., SOL.

HALOPERIDOL 2 mg/ml
PIC. ORALE-SOL.
HALOPERIDOL DECANOAT SOL. INJ.
HALOPERIDOL RICHTER 5 mg/ml SOL. INJ.
DIAZEPAM 10 mg
COMPR.
DIAZEPAM
COMPR.
DIAZEPAM LAROPHARM 10 mg COMPR.
DIAZEPAM 10 mg
SOL. INJ.
DIAZEPAM DESITIN (R) SOLUTIE RECTALA 10 mg

DIAZEPAM DESITIN (R) SOLUTIE RECTALA 5 mg

SOL. RECTALA
SOL. RECTALA

concentratie

200mg
200mg
200mg
400mg
400mg
300mg
600mg
200mg
400mg
400mg
150mg
300mg
600mg
200mg
100mg/5ml
100mg
100mg
100mg
300mg
300mg
300mg
300mg
300mg
400mg
400mg
400mg
400mg
400mg
600mg
600mg
600mg
600mg
800mg
800mg
800mg
800mg
0,5mg
1mg
2mg
5mg
2 mg/ml
2mg/ml
50mg/ml
5mg/ml
10mg
10mg
10mg
10mg/2ml
10mg/2,5ml
5mg/2,5ml

Detinator APP

tara det.
APP
Ambalaj
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L

Prescriptie

ARENA GROUP SA
MEDOCHEMIE LTD. CIPRU

CUTIE X 2 BLIST. X 10 COMPR.

P-6L

ROMANIA CUTIE X 2 BLIST. AL/PVCX 10 COMPR.

P-6L

AC HELCOR SRL
ROMANIA CUTIE X 5 BLIST. X 10 COMPR.
ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR.
GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 5 BLIST. AL/PVDC-PVC X 10 COMPR. ELIB. PREL
GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 5 BLIST. AL/PVDC-PVC X 10 COMPR. ELIB. PREL.

P-6L

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 5 BLIST. AL-PVC/PVDC X 10 COMPR. FILM. CU ELIB. PREL.

P-6L

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 3 BLIST. AL-PVC/PVDC X 10 COMPR. FILM. CU ELIB. PREL.

P-6L

CUTIE X 5 BLIST. AL-HARTIE CERATA/PVC-PVDC X 10 COMPR. FILM. ELIB. PREL.

P-6L

OZONE LABORATORIES PHARMA S.A.

P-6L
P-6L
P-6L

AWD PHARMA GMBH & CO.KG

GERMANIA

DESITIN
DESITIN
DESITIN

GERMANIA CUTIE X 5 BLIST. X 10 COMPR. RET. P-6L

AWD PHARMA GMBH & CO.KG

GERMANIA

CUTIE X 5 BLIST. AL-HARTIE/PVC-PVDC X 10 COMPR. FILM. ELIB. PREL.

P-6L

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 1 FLACON X 250 ML SUSP.ORALA + MASURA DOZATOARE

P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 CAPS. P-6L

GERMANIA CUTIE X 5 BLIST. X 10 COMPR. RET. P-6L


GERMANIA CUTIE X 5 BLIST. X 10 COMPR. RET. P-6L

EGIS PHARMACEUTICALS P.L.C.

UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 60 CAPS.

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 CAPS. P-6L

P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L

RANBAXY UK LTD.

MAREA BRITANIE

CUTIE X 5 BLIST. PVC-PVDC/AL X 10 CAPS. P-6L

PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L


EGIS PHARMACEUTICALS P.L.C.

UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 60 CAPS.

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 CAPS. P-6L

P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L

RANBAXY UK LTD.

MAREA BRITANIE

CUTIE X 5 BLIST. PVC-PVDC/AL X 10 CAPS. P-6L

PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L


EGIS PHARMACEUTICALS P.L.C.

UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 60 CAPS.

RANBAXY UK LTD.

MAREA BRITANIE

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. PVC/AL X 20 COMPR. FILM. P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. PVC/AL X 100 COMPR. FILM. P-6L

P-6L

CUTIE X 3 BLIST. AL-PVC-PA/AL X 10 COMPR. FILM. P-6L

EGIS PHARMACEUTICALS P.L.C.

UNGARIA

CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. P-6L

RANBAXY UK LTD.

MAREA BRITANIE

CUTIE X 3 BLIST. AL-PVC-PA/AL X 10 COMPR. FILM. P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. PVC/AL X 20 COMPR. FILM. P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. PVC/AL X 100 COMPR. FILM. P-6L

EGIS PHARMACEUTICALS P.L.C.

UNGARIA

CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. P-6L

LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
JANSSEN PHARMACEUTICA N.V. BELGIA
CUTIE X 1 BLIST. AL/PVC X 25 COMPR.
ROMPHARM COMPANY S.R.L.
GEDEON RICHTER ROMANIA SA
GEDEON RICHTER ROMANIA SA
GEDEON RICHTER ROMANIA SA
GEDEON RICHTER ROMANIA SA

TERAPIA SA
LAROPHARM SRL
TERAPIA SA
DESITIN
DESITIN

Pagina 26 din 236

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

P-RF
P-RF
P-RF
P-RF

CUTIE CU 1 FLACON PEJD CU PICURATOR PEJD X 10 ML PIC. OFT., SOL.

PRF

CUTIE X 1 FLACON PICURATOR X 10ML PICATURI ORALE-SOLUTIE

P-RF

CUTIE X 5 FIOLE X 1 ML

P-RF

CUTIE X 5 FIOLE DIN STICLA INCOLORA X 1 ML SOL. INJ.

P-RF

CUTIE X 2 BLIST. X 10 COMPR.

P-RF

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.


CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-RF

CUTIE X 5 FIOLE X 2 ML

P-RF
S/P-RF

GERMANIA CUTIE X 5 PUNGI X 1 TUB X 2,5 ML + CANULA

S/P-RF

GERMANIA CUTIE X 5 PUNGI X 1 TUB X 2,5 ML + CANULA

S/P-RF

Pret
Val suportata
amanun
de CNAS/UT
tul
Pret
(RON)Legea Val suportata
cant/ maximal amanuntul nr. 95/2006 art
CNAS/UT
amba /ambalaj maximal/UT 213 alin.1 lit.
(RON) pt.
laj
(RON)
(RON)
a) si f)
Adulti

20
20
20
50
20
50
50
50
30
50
50
50
50
50
1
100
50
60
50
100
50
100
60
50
100
50
100
60
30
20
100
60
30
20
100
60
20
30
30
25
1
1
5
5
20
30
20
5
5
5

4.90
4.45
4.47
25.95
10.39
20.43
36.16
18.94
25.05
26.78
14.98
20.37
36.10
12.30
22.25
59.90
30.68
32.95
71.31
131.99
65.18
131.53
65.04
93.42
173.12
71.87
167.18
84.95
64.45
42.96
193.44
122.23
103.02
69.91
325.65
195.05
3.20
7.63
10.68
17.72
4.27
6.58
44.00
12.33
1.96
3.11
1.03
8.24
32.23
25.69

0.245000
0.222500
0.223500
0.519000
0.519500
0.408600
0.723200
0.378800
0.835000
0.535600
0.299600
0.407400
0.722000
0.246000
22.250000
0.599000
0.613600
0.549166
1.426200
1.319900
1.303600
1.315300
1.084000
1.868400
1.731200
1.437400
1.671800
1.415833
2.148333
2.148000
1.934400
2.037166
3.434000
3.495500
3.256500
3.250833
0.160000
0.254333
0.356000
0.708800
4.270000
6.580000
8.800000
2.466000
0.098000
0.103666
0.051500
1.648000
6.446000
5.138000

0.201060
0.201060
0.201060
0.402120
0.402120
0.301590
0.603180
0.201060
0.402120
0.402120
0.150795
0.301590
0.603180
0.201060
22.250000
0.335327
0.613600
0.335327
1.005988
1.005988
1.005988
1.005988
1.005988
1.341321
1.341321
1.341321
1.341321
1.341321
2.011982
2.011982
1.934400
2.011982
2.682643
2.682643
2.682643
2.682643
0.080100
0.160200
0.320400
0.708800
4.270000
3.204000
8.800000
1.148849
0.098000
0.103666
0.051500
1.648000
6.446000
5.138000

0.180954
0.180954
0.180954
0.361908
0.361908
0.271431
0.542862
0.180954
0.361908
0.361908
0.135715
0.271431
0.542862
0.180954
20.025000
0.301794
0.552240
0.301794
0.905389
0.905389
0.905389
0.905389
0.905389
1.207189
1.207189
1.207189
1.207189
1.207189
1.810784
1.810784
1.740960
1.810784
2.414378
2.414378
2.414378
2.414378
0.072090
0.144180
0.288360
0.637920
3.843000
2.883600
7.920000
1.033964
0.088200
0.093299
0.046350
1.483200
5.801400
4.624200

Nr crt.

cod ATC

1,292

N05BA03

1,293

N05BA03

1,294

N05BA03

1,295

N05BA03

1,296

N05BA03

1,297

N05BA06

1,298

N05BA08

1,299

N05BA08

1,300

N05BA08

1,301

N05BA08

1,302

N05BA08

1,303

N05BA08

1,304

N05BA08

1,305

N05BA08

1,306

N05BA12

1,307

N05BA12

1,308

N05BA12

1,309

N05BA12

1,310

N05BA12

1,311

N05BA12

1,312

N05BA12

1,313

N05BA12

1,314

N05BA12

1,315

N05BA12

1,316

N05BA12

1,317

N05BA12

1,318

N05BA12

1,319

N05BA12

1,320

N05BA12

1,321

N05CD02

1,322

N05CD02

1,323

N05CD02

1,324

N05CF01

1,325

N05CF02

1,326

N05CF02

1,327

N05CF02

1,328

N05CF02

1,329

N05CF02

1,330

N05CF02

1,331

N05CF02

1,332

N05CF02

1,333

N05CF02

1,334

N05CF02

1,335

N06AA04

1,336

N06AA04

1,337

N06AA09

1,338

N06AA12

1,339

N06AB03

1,340

N06AB03

1,341

N06AB03

DCI

MEDAZEPAMUM*
MEDAZEPAMUM*
MEDAZEPAMUM*
MEDAZEPAMUM*
MEDAZEPAMUM*
LORAZEPAMUM*
BROMAZEPAMUM*
BROMAZEPAMUM*
BROMAZEPAMUM*
BROMAZEPAMUM*
BROMAZEPAMUM*
BROMAZEPAMUM*
BROMAZEPAMUM*
BROMAZEPAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
NITRAZEPAMUM
NITRAZEPAMUM
NITRAZEPAMUM
ZOPICLONUM*
ZOLPIDEMUM*
ZOLPIDEMUM*
ZOLPIDEMUM*
ZOLPIDEMUM*
ZOLPIDEMUM*
ZOLPIDEMUM*
ZOLPIDEMUM*
ZOLPIDEMUM*
ZOLPIDEMUM*
ZOLPIDEMUM*
CLOMIPRAMINUM*
CLOMIPRAMINUM*
AMITRIPTYLINUM*
DOXEPINUM*
FLUOXETINUM*
FLUOXETINUM*
FLUOXETINUM*

Denumire Comerciala

ANSILAN 10 mg
MEDAZEPAM
MEDAZEPAM
MEDAZEPAM 10 mg
MEDAZEPAM LPH 10 mg
ANXIAR (R) 1 mg
CALMEPAM (R)
BROMAZEPAM LPH 1,5 mg
CALMEPAM (R)
LEXOTAN
LEXOTANIL
BROMAZEPAM LPH 3 mg
BROMAZEPAM SLAVIA 3 mg
BROMAZEPAM ARENA 3 mg
XANAX 0,25 mg

forma farm.

CAPS.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
ALPRAZOLAM LPH (R) 0,25 mg COMPR.
PRAZOLEX (R) 0,25 mg
COMPR.
FRONTIN 0,25 mg
COMPR.
XANAX 0,5 mg
COMPR.
ALPRAZOLAM LPH (R) 0,5 mg COMPR.
FRONTIN 0,5 mg
COMPR.
PRAZOLEX (R) 0,5 mg
COMPR.
XANAX 1 mg
COMPR.
ALPRAZOLAM LPH (R) 1 mg COMPR.
PRAZOLEX (R) 1 mg
COMPR.
FRONTIN 1mg
COMPR.
NEUROL SR 0,5
COMPR. ELIB. PREL.
NEUROL SR 1
COMPR. ELIB. PREL.
NEUROL SR 2
COMPR. ELIB. PREL.
NITRAZEPAM LPH (R) 2,5 mg COMPR.
NITRAZEPAM LPH (R) 5 mg COMPR.
NITRAZEPAM 5 mg
COMPR.
IMOVANE 7,5 mg
COMPR. FILM.
HYPNOGEN 10 mg
COMPR. FILM.
SANVAL (R) 10 mg
COMPR. FILM.
SANVAL (R) 10 mg
COMPR. FILM.
ZOLPIDEM 10 mg
COMPR. FILM.
BUNAPTE
COMPR. FILM.
BUNAPTE
COMPR. FILM.
ZOLPIDEM ATB 10 MG
COMPR. FILM.
STILNOX 10 mg
COMPR. FILM.
STILNOX 10 mg
COMPR. FILM.
ZOLSANA 5 mg
COMPR. FILM.
ANAFRANIL (R) 10 mg
DRAJ.
ANAFRANIL (R) 25 mg
DRAJ.

concentratie

10mg
10 mg
10 mg
10mg
10mg
1 mg
1,5mg
1,5mg
3mg
3mg
3mg
3mg
3mg
3mg
0,25mg
0,25mg
0,25mg
0,25mg
0,5mg
0,5mg
0,5mg
0,5mg
1mg
1mg
1mg
1mg
0,5mg
1mg
2mg
2,5mg
5mg
5mg
7,5mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
5mg
10mg
25mg
AMITRIPTILINA ARENA 25 mg COMPR. FILM. 25mg
DOXEPIN 25 mg
DRAJ.
25mg
FLUOXIN 20 mg
CAPS.
20mg
FLUOXIN 20 mg
CAPS.
20mg
MAGRILAN 20 mg
CAPS.
20mg

SLAVIA PHARM SRL


ARENA GROUP S.A.

tara det.
APP
SLOVENIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

PFIZER EUROPE MA EEIG

MAREA BRITANIE

Detinator APP
LEK PHARMACEUTICALS D.D.

ARENA GROUP SA
ARENA GROUP SA
LAROPHARM SRL
LABORMED PHARMA SA
GEDEON RICHTER ROMANIA SA

GLAXOSMITHKLINE (GSK) SRL

LABORMED PHARMA SA
GLAXOSMITHKLINE (GSK) SRL

ROCHE ROMANIA S.R.L.

TERAPIA SA
LABORMED PHARMA SA

LABORMED PHARMA SA ROMANIA

Ambalaj

P-RF

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


CUTIE X 5 BLIST. AL/PVC X 10 COMPR.

P-RF

CUTIE X 1 BLIST. X 20 COMPR.

P-RF

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


CUTIE X 2 BLIST. AL/PVC X 25 COMPR.

P-RF

CUTIE X 1 BLIST X 10 COMPR.

P-RF

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-RF

CUTIE X 1 BLIST. X 10 COMPR.

P-RF

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.


CUTIE X 1 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 1 BLIST. AL/PVC X 10 COMPR.
CUTIE CU 1 BLIST. PVC/AL X 10 COMPR.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P-RF

CUTIE X 2 BLIST. X 10 COMPR.

P-RF

EGIS PHARMACEUTICALS P.L.C.

ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR.


UNGARIA CUTIE X 1 FLAC. X 30 COMPR.
MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
UNGARIA CUTIE X 1 FLAC. X 30 COMPR.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR.
MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR.
UNGARIA CUTIE X 1 FLAC. X 30 COMPR.

ZENTIVA KS
ZENTIVA KS
ZENTIVA KS

CEHIA
CEHIA
CEHIA

GEDEON RICHTER ROMANIA SA


EGIS PHARMACEUTICALS P.L.C.

PFIZER EUROPE MA EEIG

LABORMED PHARMA SA
EGIS PHARMACEUTICALS P.L.C.
GEDEON RICHTER ROMANIA SA

PFIZER EUROPE MA EEIG

LABORMED PHARMA SA
GEDEON RICHTER ROMANIA SA

Prescriptie

CUTIE X 1 FLAC. DIN STICLA BRUNA X 25 CAPS.

P-RF

P-RF

P-RF
P-RF
P-RF
P-RF
P-RF

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

CUTIE X 3 BLIST. AL/AL X 10 COMPR. ELIB. PREL. P-RF


CUTIE X 3 BLIST. AL/AL X 10 COMPR. ELIB. PREL. P-RF
CUTIE X 3 BLIST. AL/AL X 10 COMPR. ELIB. PREL. P-RF

LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-RF

LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-RF

GEDEON RICHTER ROMANIA SA

ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-RF

SANOFI AVENTIS
ZENTIVA AS

FRANTA
CEHIA

LEK PHARMACEUTICALS D.D.

SLOVENIA CUTIE X 1 BLIST. X 10 COMPR. FILM.


SLOVENIA CUTIE X 2 BLIST. X 10 COMPR. FILM.

P-RF

LABORMED PHARMA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

BMF PHARM SRL


BMF PHARM SRL
ANTIBIOTICE S.A.

P-RF

LEK PHARMACEUTICALS D.D.

SANOFI - AVENTIS ROMANIA S.R.L.


SANOFI - AVENTIS ROMANIA S.R.L.

CUTIE X 1 BLIST. AL/PVC X 20 COMPR. FILM. P-RF


CUTIE X 1 BLIST. AL/PVC X 15 COMPR. FILM. P-RF

ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM.


ROMANIA CUTIE X 2 BLIST. AL/PVC-PVDC X 10 COMPR. FILM.
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.
ROMANIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. FILM.
ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM.

P-RF

P-RF
P-RF
P-RF
P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF
NOVARTIS PHARMA GMBH GERMANIA
NOVARTIS PHARMA GMBH GERMANIA

ARENA GROUP S.A.


TERAPIA SA
VIM SPECTRUM SRL
VIM SPECTRUM SRL
MEDOCHEMIE LTD.

Pagina 27 din 236

ROMANIA
ROMANIA
ROMANIA
ROMANIA

CIPRU

CUTIE X 3 BLIST. AL/PVC X 10 DRAJ.


CUTIE X 3 BLIST. AL/PVC X 10 DRAJ.

P-RF
P-RF

CUTIE X 5 BLIST. PVC/AL X 10 COMPR. FILM. P-RF

CUTIE X 3 BLIST. AL/PVC X 10 DRAJ.


CUTIE X 2 BLIST. PVC/AL X 7 CAPS.
CUTIE X 4 BLIST. PVC/AL X 7 CAPS.
CUTIE X 3 BLIST. AL/PVC X 10 CAPS.

P-RF
P-RF
P-RF
P-RF

Pret
Val suportata
amanun
de CNAS/UT
tul
Pret
(RON)Legea Val suportata
cant/ maximal amanuntul nr. 95/2006 art
CNAS/UT
amba /ambalaj maximal/UT 213 alin.1 lit.
(RON) pt.
laj
(RON)
(RON)
a) si f)
Adulti

25
20
50
20
20
50
10
20
10
30
10
20
10
10
30
20
30
30
30
20
30
30
30
20
30
30
30
30
30
20
20
20
20
15
10
20
10
10
20
10
10
20
20
30
30
50
30
14
28
30

3.78
2.42
5.55
2.22
2.43
6.63
3.05
2.11
1.54
7.09
1.54
3.07
2.17
1.53
5.59
2.65
4.30
4.87
8.83
4.19
7.37
5.73
12.54
5.98
8.15
12.45
7.15
11.22
28.34
1.36
1.56
2.37
15.32
6.86
4.08
8.18
4.21
4.21
8.27
4.21
6.49
14.05
13.41
7.15
14.14
14.84
18.09
11.14
21.80
17.43

0.151200
0.121000
0.111000
0.111000
0.121500
0.132600
0.305000
0.105500
0.154000
0.236333
0.154000
0.153500
0.217000
0.153000
0.186333
0.132500
0.143333
0.162333
0.294333
0.209500
0.245666
0.191000
0.418000
0.299000
0.271666
0.415000
0.238333
0.374000
0.944666
0.068000
0.078000
0.118500
0.766000
0.457333
0.408000
0.409000
0.421000
0.421000
0.413500
0.421000
0.649000
0.702500
0.670500
0.238333
0.471333
0.296800
0.603000
0.795714
0.778571
0.581000

0.128399
0.121000
0.111000
0.111000
0.121500
0.102719
0.038519
0.038519
0.077039
0.077039
0.077039
0.077039
0.077039
0.077039
0.064199
0.064199
0.064199
0.064199
0.128399
0.128399
0.128399
0.128399
0.256799
0.256799
0.256799
0.256799
0.128399
0.256799
0.513599
0.055293
0.078000
0.110587
0.766000
0.415375
0.408000
0.409000
0.415375
0.415375
0.413500
0.415375
0.415375
0.415375
0.207687
0.135299
0.338249
0.296800
0.338249
0.559049
0.559049
0.559049

0.115559
0.108900
0.099900
0.099900
0.109350
0.092447
0.034667
0.034667
0.069335
0.069335
0.069335
0.069335
0.069335
0.069335
0.057779
0.057779
0.057779
0.057779
0.115559
0.115559
0.115559
0.115559
0.231119
0.231119
0.231119
0.231119
0.115559
0.231119
0.462239
0.049764
0.070200
0.099528
0.689400
0.373837
0.367200
0.368100
0.373837
0.373837
0.372150
0.373837
0.373837
0.373837
0.186918
0.121769
0.304424
0.267120
0.304424
0.503144
0.503144
0.503144

Nr crt.

cod ATC

1,342

N06AB03

1,343

N06AB03

1,344

N06AB04

1,345

N06AB04

1,346

N06AB04

1,347

N06AB04

1,348

N06AB04

1,349

N06AB04

1,350

N06AB04

1,351

N06AB04

1,352

N06AB04

1,353

N06AB05

1,354

N06AB05

1,355

N06AB05

1,356

N06AB05

1,357

N06AB05

1,358

N06AB05

1,359

N06AB05

1,360

N06AB05

1,361

N06AB06

1,362

N06AB06

1,363

N06AB06

1,364

N06AB06

1,365

N06AB06

1,366

N06AB06

1,367

N06AB06

1,368

N06AB06

1,369

N06AB06

1,370

N06AB06

1,371

N06AB06

1,372

N06AB06

1,373

N06AB06

1,374

N06AB06

1,375

N06AB06

1,376

N06AB06

1,377

N06AB06

1,378

N06AB06

1,379

N06AB06

1,380

N06AB06

1,381

N06AB06

1,382

N06AB06

1,383

N06AB08

1,384

N06AB08

1,385

N06AX03

1,386

N06AX03

1,387

N06AX03

1,388

N06AX03

1,389

N06AX11

1,390

N06AX11

1,391

N06AX11

DCI

FLUOXETINUM*
FLUOXETINUM*
CITALOPRAMUM**
CITALOPRAMUM**
CITALOPRAMUM**
CITALOPRAMUM**
CITALOPRAMUM**
CITALOPRAMUM**
CITALOPRAMUM**
CITALOPRAMUM**
CITALOPRAMUM**
PAROXETINUM*
PAROXETINUM*
PAROXETINUM*
PAROXETINUM*
PAROXETINUM*
PAROXETINUM*
PAROXETINUM*
PAROXETINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
FLUVOXAMINUM*
FLUVOXAMINUM*
MIANSERINUM*
MIANSERINUM*
MIANSERINUM*
MIANSERINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*

Denumire Comerciala

ROFLUXIN 20 mg
PROZAC 20 mg
CITALORAN 10 mg
LINISAN 10 mg
DALSAN 10 mg
CITALORAN 20mg
LINISAN 20 mg
DALSAN 20 mg
CITALORAN 40 mg
LINISAN 40 mg
DALSAN 40 mg
ARKETIS
PAROXETIN ATB 20 mg
SEROXAT 20 mg
PALUXETIL 20 mg
PAXETIN 20 mg
PAROXETIN TEVA 20 mg
REXETIN
PALUXETIL 40 mg
SERLIFT 100 mg
ASENTRA (R)
STIMULOTON (R) 100 mg
SERTRALIN SANDOZ 100 mg
SERTRALINA 100 mg
SETALOFT 100 mg
ASERTIN 100 mg

forma farm.

CAPS.
COMPR. DISP.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

COMPR.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
SERTRALINA BIOGALENICA 100 mg COMPR. FILM.
XIMPROVE 100 mg
COMPR. FILM.
ZOLOFT 100 mg
COMPR. FILM.
SERLIFT 50 mg
COMPR. FILM.
ASENTRA (R)
COMPR. FILM.
STIMULOTON (R) 50 mg
COMPR. FILM.
SERTRALIN SANDOZ 50 mg COMPR. FILM.
SERTRALINA 50 mg
COMPR. FILM.
SETALOFT 50 mg
COMPR. FILM.
ASERTIN 50 mg
COMPR. FILM.
SERTRALINA BIOGALENICA 50 mg COMPR. FILM.
SERTRALIN 50 mg
COMPR. FILM.
XIMPROVE 50 mg
COMPR. FILM.
ZOLOFT 50 mg
COMPR. FILM.

ZOLOFT 20 mg/ml
FEVARIN (R) 100
FEVARIN (R) 50
MIANSERIN 10
MIANSERIN 30
MIANSERIN 10 mg
MIANSERIN 30 mg
REMERON SOLTAB 30 mg
MIRZATEN (R) 30 mg
MIRTAZAPINE-TEVA 30 mg

CONC. PT. SOL. ORALA

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

DRAJ.
DRAJ.
COMPR. DISP.
COMPR. FILM.
COMPR. FILM.

concentratie

20mg
20mg
10mg
10mg
10mg
20mg
20mg
20mg
40mg
40mg
40mg
20mg
20 mg
20mg
20mg
20mg
20mg
20mg
40mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
20mg/ml
100mg
50mg
10mg
30mg
10mg
30mg
30mg
30mg
30mg

Detinator APP

ANTIBIOTICE S.A.
ELI LILLY SA
RANBAXY UK LIMITED

tara det.
APP
Ambalaj
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P-RF

SPANIA

CUTIE X 2 BLIST. PVC-PE-ACLAR/AL X 14 COMPR. DISP.

P-RF

MAREA BRITANIE

CUTIE X 2 BLIST. PVDC-PVC/AL X 14 COMPR. FILM. P-RF

EGIS PHARMACEUTICALS P.L.C.

ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.


UNGARIA CUTIE X 2 BLIST. AL-PVC/PVDC X 14 COMPR. FILM.

RANBAXY UK LIMITED

MAREA BRITANIE

GEDEON RICHTER ROMANIA SA

P-RF
P-RF

CUTIE X 2 BLIST. PVDC-PVC/AL X 14 COMPR. FILM. P-RF

EGIS PHARMACEUTICALS P.L.C.

ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.


UNGARIA CUTIE X 2 BLIST. AL-PVC/PVDC X 14 COMPR. FILM.

RANBAXY UK LIMITED

MAREA BRITANIE

GEDEON RICHTER ROMANIA SA

Prescriptie

P-RF
P-RF

CUTIE X 2 BLIST. PVDC-PVC/AL X 14 COMPR. FILM. P-RF

ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF


UNGARIA CUTIE X 2 BLIST. AL-PVC/PVDC X 14 COMPR. FILM. P-RF
MEDOCHEMIE LTD. CIPRU
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF
ANTIBIOTICE SA
ROMANIA CUTIE CU 3 BLIST. DIN PVC-PE-PVDC/AL X 10 COMPR. FILM. PRF

GEDEON RICHTER ROMANIA SA


EGIS PHARMACEUTICALS P.L.C.

CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF

SMITHKLINE BEECHAM PLC

MAREA BRITANIE

HEXAL AG

GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

ACTAVIS GROUP HF. ISLANDA CUTIE X 3 BLIST. AL/AL X 10 COMPR. FILM.


TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. TRANSPARENTE DIN PVC-PVDC/AL X 30 COMPR. FILM.
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

HEXAL AG
TERAPIA SA
KRKA D.D.

GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

ROMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM.

P-RF

SLOVENIA CUTIE X 4 BLIST. X 7 COMPR. FILM.

P-RF

EGIS PHARMACEUTICALS P.L.C.

UNGARIA

HEXAL AG
GERMANIA
ARENA GROUP S.A. ROMANIA
ACTAVIS GROUP PTC EHF. ISLANDA
BMF PHARM S.R.L. ROMANIA

P-RF
P-RF

CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-RF

CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF


CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF
CUTIE CU BLISTERE DIN PVC-PVDC/AL X 28 COMPR. FILM.

P-RF

CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF

DR. REDDY'S LABORATORIES

ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM.


ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM.

PFIZER EUROPE MA EEIG

MAREA BRITANIE

TERAPIA SA
KRKA D.D.

ROMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM.

P-RF

SLOVENIA CUTIE X 4 BLIST. X 7 COMPR. FILM.

P-RF

EGIS PHARMACEUTICALS P.L.C.

MAREA BRITANIE

CUTIE X 3 BLIST. X 10 COMPR. FILM.

P-RF

HEXAL AG
ARENA GROUP SA

GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

ROMANIA

CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE CU BLISTERE DIN PVC-PVDC/AL X 28 COMPR. FILM.

LABORATOARELE PROF.DR.MORAIT S.R.L.

CUTIE CU 2 BLIST. PVC/AL X 14 COMPR. FILM.

BMF PHARM S.R.L.

P-RF
P-RF
P-RF

P-RF

ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.


LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM.
LABORMED PHARMA S.A. ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM.
DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM.

P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE CU 2 BLIST. PVC/AL X 14 COMPR. FILM.

P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA BRUNA X 60 ML CONC. PT. SOL. ORALA + 1 PIPETA GRADATA

P-RF

SOLVAY PHARMACEUTICALS BV
SOLVAY PHARMACEUTICALS BV

REMEDICA LTD.
REMEDICA LTD.
TERAPIA SA
TERAPIA SA
NV ORGANON
KRKA D.D.
TEVA PHARMACEUTICALS S.R.L.

Pagina 28 din 236

OLANDA
OLANDA
CIPRU
CIPRU

P-RF
P-RF
P-RF

CUTIE X 2 BLIST. PVC/PVDC X 15 COMPR. FILM. P-RF


CUTIE X 2 BLIST. PVC/PVDC X 15 COMPR. FILM. P-RF
CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

P-RF/S

CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF

ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 DRAJ.


ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 DRAJ.

P-RF

OLANDA

CUTIE X 5 BLIST. AL/PVC-PA-POLIESTER PERFORAT PT. ELIB. UNEI UNIT. DOZATE X 6 COMPR. DISP.

P-RF

SLOVENIA

CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF

ROMANIA

CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF

P-RF

Pret
Val suportata
amanun
de CNAS/UT
tul
Pret
(RON)Legea Val suportata
cant/ maximal amanuntul nr. 95/2006 art
CNAS/UT
amba /ambalaj maximal/UT 213 alin.1 lit.
(RON) pt.
laj
(RON)
(RON)
a) si f)
Adulti

20
28
28
30
28
28
30
28
28
30
28
30
30
30
30
30
30
30
30
28
28
28
30
30
28
30
28
28
28
28
28
30
30
30
28
30
28
28
28
28
1
30
30
100
20
30
20
30
30
30

14.93
36.38
7.30
7.04
7.30
10.60
39.08
10.60
33.19
31.99
33.19
22.77
22.76
33.89
22.77
22.77
22.77
45.63
60.97
34.86
40.36
34.86
37.35
37.19
33.68
37.19
34.86
34.86
67.70
19.31
22.60
20.69
20.57
20.68
18.52
20.92
19.31
22.90
19.31
36.55
64.85
48.27
24.92
46.15
25.75
8.55
21.51
81.19
37.47
37.46

0.746500
1.299285
0.260714
0.234666
0.260714
0.378571
1.302666
0.378571
1.185357
1.066333
1.185357
0.759000
0.758666
1.129666
0.759000
0.759000
0.759000
1.521000
2.032333
1.245000
1.441428
1.245000
1.245000
1.239666
1.202857
1.239666
1.245000
1.245000
2.417857
0.689642
0.807142
0.689666
0.685666
0.689333
0.661428
0.697333
0.689642
0.817857
0.689642
1.305357
64.850000
1.609000
0.830666
0.461500
1.287500
0.285000
1.075500
2.706333
1.249000
1.248666

0.559049
0.559049
0.260714
0.234666
0.260714
0.378571
0.559049
0.378571
1.118099
1.066333
1.118099
0.559049
0.559049
0.559049
0.559049
0.559049
0.559049
0.559049
1.118099
1.118099
1.118099
1.118099
1.118099
1.118099
1.118099
1.118099
1.118099
1.118099
1.118099
0.559049
0.559049
0.559049
0.559049
0.559049
0.559049
0.559049
0.559049
0.559049
0.559049
0.559049
13.417196
0.559049
0.279524
0.306111
0.918338
0.285000
0.918338
1.248666
1.248666
1.248666

0.503144
0.503144
0.234642
0.211199
0.234642
0.340713
0.503144
0.340713
1.006289
0.959699
1.006289
0.503144
0.503144
0.503144
0.503144
0.503144
0.503144
0.503144
1.006289
1.006289
1.006289
1.006289
1.006289
1.006289
1.006289
1.006289
1.006289
1.006289
1.006289
0.503144
0.503144
0.503144
0.503144
0.503144
0.503144
0.503144
0.503144
0.503144
0.503144
0.503144
12.075476
0.503144
0.251572
0.275500
0.826504
0.256500
0.826504
1.123799
1.123799
1.123799

Nr crt.

cod ATC

DCI

1,392

N06AX11

1,393

N06AX11

1,394

N06AX11

1,395

N06AX11

1,396

N06AX11

1,397

N06AX11

1,398

N06AX11

1,399

N06AX11

1,400

N06AX11

1,401

N06AX11

1,402

N06AX16

1,403

N06AX16

1,404

N06AX16

1,405

N06AX16

1,406

N06AX16

1,407

N06AX16

1,408

N06AX16

1,409

N06AX16

1,410

N06AX16

1,411

N06AX16

1,412

N06AX16

1,413

N06AX16

1,414

N06AX16

1,415

N06AX16

1,416

N06AX16

1,417

N06AX16

1,418

N06AX16

1,419

N06AX16

1,420

N06AX16

1,421

N06AX16

1,422

N06AX16

1,423

N06AX16

1,424

N06AX16

1,425

N06AX16

1,426

N06AX16

1,427

N06AX16

1,428

N06AX16

1,429

N06AX16

1,430

N06AX16

1,431

N06AX16

1,432

N06AX16

1,433

N06AX16

1,434

N06AX16

1,435

N06AX16

1,436

N06AX16

1,437

N06AX16

1,438

N06AX16

1,439

N06AX16

1,440

N06AX16

1,441

N06AX16

MIRTAZAPINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**

PHARMATAZ 30 mg
ESPRITAL (R) 30

tara det.
forma farm. concentratie
APP
Detinator APP
COMPR. FILM. 30mg
ACTAVIS GROUP HF. ISLANDA
COMPR. FILM. 30mg
ZENTIVA KS
CEHIA

MIRTAZAPIN AUROBINDO 15 mg

COMPR. ORODISPERSABILE

MIRZATEN Q-TAB 30 mg

COMPR. ORODISPERSABILE

Denumire Comerciala

MIRTAZAPINA BLUEFISH 30 mg
MIRTAZAPIN AUROBINDO 30 mg

ZULIN 30 mg
ZULIN 30 mg
PHARMATAZ 30 mg
MIRTAZAPIN AUROBINDO 45 mg

COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE

IVRYX 150mg
EFECTIN ER 150 mg
VELAXIN 150 mg
ALVENTA 150mg
FOBILESS 150 mg
NOPEKAR 150 mg
ADOXA EP 150 mg
ELIFY EP 150 mg
VENLAGAMMA 150 mg
VENLAGAMMA 150 mg
JARVIS 150 mg

CAPS. ELIB. PREL.

VENLAFAXINA ACTAVIS 150 mg

CAPS. ELIB. PREL.

CAPS. ELIB. PREL.


CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.

VENLAFAXINA ARENA EP 150 mg CAPS. ELIB. PREL.

FOBILESS 37,5 mg
NOPEKAR 37,5 mg
ADOXA EP 37,5 mg
VENLAGAMMA 37,5 mg
VENLAGAMMA 37,5 mg

CAPS. ELIB. PREL.


CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.

VENLAFAXINA ARENA EP 37,5 mg CAPS. ELIB. PREL.

IVRYX 75mg
EFECTIN ER 75 mg
VELAXIN 75 mg
ALVENTA 75 mg
FOBILESS 75 mg
NOPEKAR 75 mg
ADOXA EP 75 mg
ELIFY EP 75 mg
VENLAGAMMA 75 mg
VENLAGAMMA 75 mg
JARVIS 75 mg

CAPS. ELIB. PREL.

VENLAFAXINA ACTAVIS 75 mg

CAPS. ELIB. PREL.

VENLAFAXINA ARENA EP 75 mg

CAPS. ELIB. PREL.

ADOXA 25 mg
ADOXA 25 mg
VENLAFAXINA LPH 37,5 mg
VELAXIN 37,5 mg
ADOXA 37,5 mg
ADOXA 37,5 mg

CAPS. ELIB. PREL.


CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
VENLAFAXINA ARENA 37,5 mg COMPR.
ADOXA 50 mg
COMPR.

15mg
30mg
30mg
30mg
30mg
30mg
30mg
45mg
150 mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
37,5mg
37,5mg
37,5mg
37,5mg
37,5mg
37,5mg
75 mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
25mg
25mg
37,5mg
37,5mg
37,5mg
37,5mg
37,5mg
50mg

AUROBINDO PHARMA LIMITED

MAREA BRITANIE

KRKA D.D. NOVO MESTO SLOVENIA

Ambalaj

Prescriptie

CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF


CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF
CUTIE CU BLIST. PA-AL-PVC/AL-POLIESTER-HARTIE X 30 COMPR. ORODISPERSABILE

P-RF

CUTIE CU BLIST. DIN AL/OPA-AL-PVC X 30 COMPR. ORODISPERSABILE

P-RF

BLUEFISH PHARMACEUTICALS AB

SUEDIA

CUTIE CU BLIST. PA-AL-PVC/AL-POLIESTER-HARTIE X 30 COMPR. ORODISPERSABILE

P-RF

AUROBINDO PHARMA LIMITED

MAREA BRITANIE

CUTIE CU BLIST. PA-AL-PVC/AL-POLIESTER-HARTIE X 30 COMPR. ORODISPERSABILE

P-RF

ANTIBIOTICE S.A.
ANTIBIOTICE S.A.

ROMANIA
ROMANIA

CUTIE X 1 BLIST. AL/AL X 6 COMPR. ORODISPERSABILE

P-RF

CUTIE X 5 BLIST. AL/AL X 6 COMPR. ORODISPERSABILE

P-RF

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE CU 5 FOLII TERMOSUDATE OPA-AL/AL-PVC X 6 COMPR. ORODISPERSABILE

PRF

AUROBINDO PHARMA LIMITED

MAREA BRITANIE

CUTIE CU BLIST. PA-AL-PVC/AL-POLIESTER-HARTIE X 30 COMPR. ORODISPERSABILE

P-RF

ROMASTRU TRADING S.R.L.

ROMANIA

CUTIE X 2 BLIST. PCV-ACLAR/AL X 14 CAPS. CU ELIB. PREL. P-RF

WYETH LEDERLE PHARMA GMBH

AUSTRIA

CUTIE X 1 BLIST. ACLAR/PE/PVC/AL X 28 CAPS. ELIB. PREL.

EGIS PHARMACEUTICALS P.L.C.

UNGARIA

CUTIE X 2 BLIST. PVC-PVDC/AL X 14 CAPS. CU ELIB. PREL. P-RF

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE CU BLIST. PVC-PVDC/AL X 30 CAPS. ELIB. PREL. P-RF

P-RF

OZONE LABORATORIES BV

AUSTRIA
OLANDA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. ELIB. PREL.

RANBAXY (UK) LIMITED

MAREA BRITANIE

CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF

LANNACHER HEILMITTEL GES.M.B.H.

MEDOCHEMIE LTD. CIPRU

CUTIE X BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF


P-RF

CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF

WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU BLIST. PVC- PCTF/AL X 30 CAPS. CU ELIB. PREL. P-RF

WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU BLIST. PVC- PCTF/AL X 100 CAPS. CU ELIB. PREL. P-RF/S

GEDEON RICHTER ROMANIA SA

ROMANIA

CUTIE X 3 BLIST. PVC/AL X 10 CAPS. CU ELIB. PREL. P-RF

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE CU BLIST. PVC/AL X 28 CAPS. CU ELIB. PREL. P-RF

ARENA GROUP S.A. ROMANIA


LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA
OZONE LABORATORIES BV OLANDA

CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-RF

CUTIE X BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF


CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. CU ELIB. PREL. P-RF

RANBAXY (UK) LIMITED

MAREA BRITANIE

CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF

WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU BLIST. PVC- PCTF/AL X 30 CAPS. CU ELIB. PREL. P-RF

WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU BLIST. PVC- PCTF/AL X 100 CAPS. CU ELIB. PREL. P-RF/S

ARENA GROUP S.A. ROMANIA

CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-RF

ROMASTRU TRADING S.R.L.

ROMANIA

CUTIE X 2 BLIST. PCV-ACLAR/AL X 14 CAPS. CU ELIB. PREL. P-RF

WYETH LEDERLE PHARMA GMBH

AUSTRIA

CUTIE X 1 BLIST. ACLAR/PE/PVC/AL X 28 CAPS. ELIB. PREL. P-RF

EGIS PHARMACEUTICALS P.L.C.

UNGARIA

CUTIE X 2 BLIST. PVC-PVDC/AL X 14 CAPS. CU ELIB. PREL

KRKA D.D. NOVO MESTO SLOVENIA

P-RF

CUTIE CU BLIST. PVC-PVDC/AL X 30 CAPS. ELIB. PREL. P-RF

OZONE LABORATORIES BV

AUSTRIA
OLANDA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. ELIB. PREL.

RANBAXY (UK) LIMITED

MAREA BRITANIE

CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF

LANNACHER HEILMITTEL GES.M.B.H.

MEDOCHEMIE LTD. CIPRU

CUTIE X BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF


P-RF

CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF

WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU BLIST. PVC- PCTF/AL X 30 CAPS. CU ELIB. PREL. P-RF

WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU BLIST. PVC- PCTF/AL X 100 CAPS. CU ELIB. PREL. P-RF/S

GEDEON RICHTER ROMANIA SA

ROMANIA

CUTIE X 3 BLIST. PVC/AL X 10 CAPS. CU ELIB. PREL. P-RF

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE CU BLIST. PVC/AL X 28 CAPS. CU ELIB. PREL. P-RF

ARENA GROUP S.A. ROMANIA


TERAPIA SA
ROMANIA
TERAPIA SA
ROMANIA

CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-RF

CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-RF

CUTIE X 3 BLIST. OPA-ACLAR/AL X 10 COMPR. P-RF

LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 20 COMPR.

P-RF

UNGARIA CUTIE X 4 BLIST. PVC-PVDC/AL X 14 COMPR.


TERAPIA SA
ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR.
TERAPIA SA
ROMANIA CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR.
ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE- PVDC/AL X 10 COMPR.
TERAPIA SA
ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR.

P-RF

EGIS PHARMACEUTICALS P.L.C.

Pagina 29 din 236

P-RF
P-RF
P-RF
P-RF

Pret
Val suportata
amanun
de CNAS/UT
tul
Pret
(RON)Legea Val suportata
cant/ maximal amanuntul nr. 95/2006 art
CNAS/UT
amba /ambalaj maximal/UT 213 alin.1 lit.
(RON) pt.
laj
(RON)
(RON)
a) si f)
Adulti

30 35.59
30 37.47
30 24.33
30 37.47
30 37.47
30 37.67
6
7.73
30 37.46
30 31.79
30 62.78
28 90.46
28 134.39
28 90.46
30 74.43
30 96.88
28 90.46
30 89.32
30 96.93
30 95.11
100 300.62
30 96.93
28 74.50
30 84.17
30 35.16
28 46.02
30 41.18
30 20.85
100 65.02
30 33.57
28 46.97
28 69.87
28 46.97
30 33.61
30 50.30
28 46.97
30 39.04
30 50.34
30 34.94
100 110.61
30 50.34
28 31.37
30 47.16
30 28.94
30 28.94
60 61.52
56 57.45
30 31.82
30 31.82
30 31.82
30 38.05

1.186333
1.249000
0.811000
1.249000
1.249000
1.255666
1.288333
1.248666
1.059666
2.092666
3.230714
4.799642
3.230714
2.481000
3.229333
3.230714
2.977333
3.231000
3.170333
3.006200
3.231000
2.660714
2.805666
1.172000
1.643571
1.372666
0.695000
0.650200
1.119000
1.677500
2.495357
1.677500
1.120333
1.676666
1.677500
1.301333
1.678000
1.164666
1.106100
1.678000
1.120357
1.572000
0.964666
0.964666
1.025333
1.025892
1.060666
1.060666
1.060666
1.268333

1.186333
1.248666
0.624333
1.248666
1.248666
1.248666
1.248666
1.248666
1.059666
1.872999
2.408141
2.408141
2.408141
2.408141
2.408141
2.408141
2.408141
2.408141
2.408141
2.408141
2.408141
2.408141
2.408141
0.602035
0.602035
0.602035
0.602035
0.602035
0.602035
1.204070
1.204070
1.204070
1.120333
1.204070
1.204070
1.204070
1.204070
1.164666
1.106100
1.204070
1.120357
1.204070
0.964666
0.401356
0.602035
0.602035
0.602035
0.602035
0.602035
0.802713

1.067699
1.123799
0.561899
1.123799
1.123799
1.123799
1.123799
1.123799
0.953699
1.685699
2.167327
2.167327
2.167327
2.167327
2.167327
2.167327
2.167327
2.167327
2.167327
2.167327
2.167327
2.167327
2.167327
0.541831
0.541831
0.541831
0.541831
0.541831
0.541831
1.083663
1.083663
1.083663
1.008299
1.083663
1.083663
1.083663
1.083663
1.048199
0.995490
1.083663
1.008321
1.083663
0.868199
0.361221
0.541831
0.541831
0.541831
0.541831
0.541831
0.722442

Nr crt.

cod ATC

1,442

N06AX16

1,443

N06AX16

1,444

N06AX16

1,445

N06AX16

1,446

N06AX16

1,447

N06AX16

1,448

N06AX16

1,449

N06AX16

1,450

N06AX16

1,451

N06AX16

1,452

N06AX16

1,453

N07AA01

1,454

P01AB02

1,455

P01AB02

1,456

P01AB02

1,457

P01AB02

1,458

P02CA03

1,459

P02CA03

1,460

P02CA03

1,461

P02CA03

1,462

P02CA03

1,463

P02CA03

1,464

P02CE01

1,465

P02CE01

1,466

P02CE01

1,467

P02CE01

1,468

R01AD01

1,469

R03AC02

1,470

R03AC02

1,471

R03AC02

1,472

R03AC02

1,473

R03BA01

1,474

R03BA02

1,475

R03BA02

1,476

R03BA02

1,477

R03BA02

1,478

R03BA02

1,479

R03BA02

1,480

R03BA02

1,481

R03BB01

1,482

R03BB01

1,483

R03CC02

1,484

R03CC02

1,485

R03CC02

1,486

R03CC02

1,487

R03CC02

1,488

R03DA04

1,489

R03DA04

1,490

R03DA04

1,491

R03DA04

DCI

VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
NEOSTIGMINI BROMIDUM
TINIDAZOLUM
TINIDAZOLUM
TINIDAZOLUM
TINIDAZOLUM
ALBENDAZOLUM
ALBENDAZOLUM
ALBENDAZOLUM
ALBENDAZOLUM
ALBENDAZOLUM
ALBENDAZOLUM
LEVAMISOLUM
LEVAMISOLUM
LEVAMISOLUM
LEVAMISOLUM
BECLOMETASONUM
SALBUTAMOLUM
SALBUTAMOLUM
SALBUTAMOLUM
SALBUTAMOLUM
BECLOMETASONUM*
BUDESONIDUM*
BUDESONIDUM*
BUDESONIDUM*
BUDESONIDUM*
BUDESONIDUM*
BUDESONIDUM*
BUDESONIDUM*
IPRATROPII BROMIDUM*
IPRATROPII BROMIDUM*
SALBUTAMOLUM
SALBUTAMOLUM
SALBUTAMOLUM
SALBUTAMOLUM
SALBUTAMOLUM
THEOPHYLLINUM
THEOPHYLLINUM
THEOPHYLLINUM
THEOPHYLLINUM

Denumire Comerciala

ADOXA 50 mg
VENLAFAXINA ARENA 50 mg
VENLAFAXINA LPH 75 mg
VELAXIN 75 mg
ADOXA 75 mg
ADOXA 75 mg
VENLAFAXINA ARENA 75 mg
ARGOFAN 150 SR
ARGOFAN 75 SR

forma farm.

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.

COMPR.
COMPR.
COMPR.
COMPR.

50mg
50mg
75mg
75mg
75mg
75mg
75mg
150mg
75mg
37,5 mg
75mg
15mg
500mg
500mg
500mg
500mg
200mg
200mg
200mg
200 mg
0,4g/10ml
400mg/10ml
150mg
150mg
50mg
50mg

SPRAY NAZ.,SUSP.

100mcg/doza

COMPR. ELIB. PREL.


COMPR. ELIB. PREL.

VENLAFAXINA ACTAVIS 37,5 mg COMPR. FILM.


VENLAFAXINA ACTAVIS 75 mg COMPR. FILM.

NEOSTIGMINA LPH 15 mg

COMPR.

TINIZOL (R) 500 mg (J01XD02)


TIPROGYN 500 (vezi J01XD02)
TINIZOL (R) 500 mg (J01XD02)
TIPROGYN 500 (vezi J01XD02)

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

ALBENDAZOL VIM SPECTRUM 200 mg

COMPR.

DUADOR 200 mg
ZENTEL 200 mg
ALBENDAZOL LPH 200 mg
ZENTEL 0,4 g/10 ml
VERMIGAL NOVO 400 mg
DECARIS 150 mg
LEVAMISOL ARENA 150 mg
DECARIS 50 mg
LEVAMISOL ARENA 50 mg
RINOCLENIL 100
VENTOLIN (R)
VENTOLIN (R)

COMPR. FILM.
COMPR. FILM.

VENTOLIN 100 INHALER CFC-FREE

ASTHALIN INHALER
CLENIL (R) JET 250 mcg
FRENOLYN 200
FRENOLYN 200
PULMICORT TURBUHALER 200 mcg/doza

FRENOLYN 400
FRENOLYN 400
BUDIAIR 200 mcg
BUDIAIR 200 mcg JET
IPRAXA 500mcg/2ml

concentratie

COMPR.FILM
SUSP. ORALA
SUSP. ORALA

SOL. INHAL. 5mg/ml


SOL. INHAL. 5mg/ml

tara det.
APP
Ambalaj
TERAPIA SA
ROMANIA CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR.
ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE- PVDC/AL X 10 COMPR.
LABORMED PHARMA SA ROMANIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR.
Detinator APP

UNGARIA CUTIE X 4 BLIST. PVC-PVDC/AL X 14 COMPR.


TERAPIA SA
ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR.
TERAPIA SA
ROMANIA CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR.
ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE- PVDC/AL X 10 COMPR.

EGIS PHARMACEUTICALS P.L.C.

ZENTIVA A.S.
ZENTIVA A.S.
ACTAVIS S.R.L.
ACTAVIS S.R.L.

P-RF
P-RF

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. ELIB. PREL. P-RF

CUTIE X 4 BLIST. AL/PVC X 14 COMPR. FILM. P-RF

CUTIE X 1 BLIST. AL/PVC X 20 COMPR. P-6L

CUTIE X 1 BLIST. X 4 COMPR. FILM.


CUTIE X 1 BLIST. X 4 COMPR.FILM.
CUTIE X 1 BLIST. X 4 COMPR. FILM.
CUTIE X 1 BLIST. X 4 COMPR.FILM.

P-RF

CUTIE X 1 BLIST. AL/PVC X 2 COMPR.

P-RF

CUTIE X 1 BLIST. X 2 COMPR. FILM.

P-RF

GLAXOSMITHKLINE EXPORT LTD. MAREA BRITANIE CUTIE X 1 BLIST. AL/PVDC-PVC X 2 COMPR. FILM.

P-RF

P-RF
P-RF
P-RF

LABORMED PHARMA S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 2 COMPR. FILM. P-RF
GLAXOSMITHKLINE EXPORT LTD. MAREA BRITANIE CUTIE X 1 FLACON UNIDOZA DIN PVC X 10 ML SUSP. ORALA

P-RF

BIOFARM S.A.

CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 ML SUSP. ORALA

P-RF

CUTIE X 1 BLIST. AL/PVC X 1 COMPR.

P-RF

CUTIE CU 1 BLIST. PVC/AL X 1 COMPR.

P-RF

CUTIE X 1 BLIST. AL/PVC X 2 COMPR.

P-RF

CUTIE CU 1 BLIST. PVC/AL X 2 COMPR.

P-RF

ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
ARENA GROUP S.A. ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
ARENA GROUP S.A. ROMANIA
CHIESI FARMACEUTICI SPA

ITALIA

CUTIE X 1 FLACON DIN PET X 30 ML SPRAY NAZ.,SUSP., PREVAZUT CU POMPA DOZATOARE

P-RF

GLAXOWELLCOME UK LTD.

MAREA BRITANIE

CUTIE X 1 FALC. DIN STICLA BRUNA X 20 ML SOL. DE INHAL.

P-6L

GLAXOWELLCOME UK LTD.

MAREA BRITANIE

CUTIE X 1 FALC. DIN STICLA BRUNA X 10 ML SOL. DE INHAL.

P-6L

CUTIE X 1 FLACON PRESURIZAT DIN AL PREVAZUT CU VALVA DOZATOARE X 200 DOZE + DISPOZITIV DE ADMINISTRA

P-RF

CUTIE X 1 FLAC. AL + VALVA DOZATOARE + DISP. ADM. X 200 DOZE SUSP. INHAL. PRESURIZATA

P-6L

CUTIE X 1 FLACON PRESURIZAT DIN AL X 200 DOZE, PREVAZUT CU VALVA DOZATOARE + DISPOZITIV DE ADM., "SP

P-RF

CHIESI FARMACEUTICI SPA

SOL. DE INHALAT PRESURIZATA

200mcg/doza

CHIESI FARMACEUTICI SPA

ITALIA
ITALIA

TEVA PHARMACEUTICALS S.R.L.

CIPLA (UK) LIMITED

500mcg/2ml
IPRAVENT INHALER 20mcg/doza SUSP. INHAL. PRESURIZATA 20mcg/doza
SALBUTAMOL EIPICO 2mg/5ml SIROP
2mg/5ml
SALBUTAMOL
SIROP
2mg/5ml
VENTOLIN 2mg/5ml
SIROP
2mg/5ml
VENTOLIN (R)
SOL. INJ.
0,5mg/ml
SALBUTAMOL T
SOL. ORALA 0,04%
THEO SR 100
CAPS. ELIB. PREL. 100mg
TEOTARD (R) 200
CAPS. ELIB. PREL. 200mg
THEO SR 200
CAPS. ELIB. PREL. 200mg
THEO SR 300
CAPS. ELIB. PREL. 300mg

P-RF

CUTIE X 4 BLIST. AL/PVC X 14 COMPR. FILM. P-RF

200 mcg/doza

SOL. DE INHALAT PRIN NEBULIZ.

P-RF

ROMANIA
ROMANIA
LABORMED PHARMA SA ROMANIA
ZENTIVA S.A.
ROMANIA
AC HELCOR SRL
ROMANIA
ZENTIVA S.A.
ROMANIA
AC HELCOR SRL
ROMANIA
VIM SPECTRUM SRL ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA

SOL. DE INHALAT PRESURIZATA

SOL. INHALAT PRESURIZATA

P-RF

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. ELIB. PREL. P-RF

PULB. INHAL.
PULB. INHAL.
PULB. INHAL.
PULB. INHAL.
PULB. INHAL.

SUSP. INHAL. PRESURIZATA

P-RF

SLOVACIA
SLOVACIA

100mcg/doza GLAXOWELLCOME UK LTD. MAREA BRITANIE


100mcg/doza CIPLA (UK) LIMITED MAREA BRITANIE
250mcg/doza CHIESI FARMACEUTICI SPA ITALIA
200 mcg/doza MEDOCHEMIE ROMANIA SRL ROMANIA
200 mcg/doza MEDOCHEMIE ROMANIA SRL ROMANIA
200mcg/doza ASTRAZENECA AB SUEDIA
400 mcg/doza MEDOCHEMIE ROMANIA SRL ROMANIA
400 mcg/doza MEDOCHEMIE ROMANIA SRL ROMANIA

SUSP. INHAL. PRESURIZATA

Prescriptie

P-RF

CUTIE X 1 PUNGA X 1 INHALATOR X 100 DOZE P-RF


CUTIE X 1 PUNGA X 1 INHALATOR X 200 DOZE P-RF
CUTIE X 1 FLACON MULTIDOZA DIN PEID X 100 DOZE PULB. INHAL.

P-RF

CUTIE X 1 PUNGA X 1 INHALATOR X 100 DOZE P-RF


CUTIE X 1 PUNGA X 1 INHALATOR X 200 DOZE P-RF
CUTIE X 1 FLACON X 200 DOZE SOL. DE INHALAT PRESURIZATA + VALVA DOZATOARE + DISPOZITIV DE ADMINISTRA

P-RF

CUTIE X 1 FLACON X 200 DOZE SOL. DE INHALAT PRESURIZATA = VALVA DOZATOARE + DISPOZITIV JET DE ACTION

P-RF

ROMANIA

CUTIE X 20 FIOLE DIN PEJD X 2 ML SOL. DE INHALAT PRIN NEBULIZATOR

P-6L

MAREA BRITANIE

CUTIE X 1 FLACON AL PRESURIZAT X 200 DOZE SUSP.DE INHALAT PRESURIZATA

P-6L

E.I.P.I.CO. MED S.R.L. ROMANIA


TERAPIA SA
ROMANIA

CUTIE X 1 FLAC. DIN STICLA BRUNA X 125 ML SIROP

P-6L

CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SIROP + LINGURITA DOZATOARE DUBLA

P-6L

GLAXOWELLCOME UK LTD.

CUTIE X 1 FLACON DIN STICLA INCOLORA X 150 ML SIROP + LINGURITA DOZATOARE DUBLA X 2,5 ML, RESPECTIV

P-6L

MAREA BRITANIE

CUTIE X 5 FIOLE DIN STICLA X 1 ML


TIS FARMACEUTIC SA ROMANIA CUTIE X 1 FLACON X 100 ML

GLAXO WELLCOME UK LTD.

MAREA BRITANIE

P-6L

GLAXOSMITHKLINE (GSK) SRL

ROMANIA

CUTIE X 2 BLIST. PVC/PVDC-AL X 10 CAPS. ELIB. PREL. P-RF

KRKA D.D.

SLOVENIA CUTIE X 4 BLIST. AL/PVC X 10 CAPS. ELIB. PREL.

P-RF

GLAXOSMITHKLINE (GSK) SRL

ROMANIA
ROMANIA

P-RF

GLAXOSMITHKLINE (GSK) SRL

Pagina 30 din 236

P-6L

CUTIE X 1 BLIST. PVC/PVDC-AL X 10 CAPS. ELIB. PREL. P-RF


CUTIE X 1 BLIST. PVC/PVDC - AL X 10 CAPS. ELIB. PREL.

Pret
Val suportata
amanun
de CNAS/UT
tul
Pret
(RON)Legea Val suportata
cant/ maximal amanuntul nr. 95/2006 art
CNAS/UT
amba /ambalaj maximal/UT 213 alin.1 lit.
(RON) pt.
laj
(RON)
(RON)
a) si f)
Adulti

30 38.05
1.268333
0.802713
0.722442
30 38.05
1.268333
0.802713
0.722442
60 76.61
1.276833
1.204070
1.083663
56 71.61
1.278750
1.204070
1.083663
30 40.39
1.346333
1.204070
1.083663
30 40.39
1.346333
1.204070
1.083663
30 40.39
1.346333
1.204070
1.083663
30 89.32
2.977333
2.408141
2.167327
30 39.02
1.300666
1.204070
1.083663
56 37.67
0.672678
0.602035
0.541831
56 60.72
1.084285
1.084285
0.975856
20 13.57
0.678500
0.678500
0.610650
4
3.65
0.912500
0.675374
0.607837
4
3.64
0.910000
0.675374
0.607837
4
3.65
0.912500
0.675374
0.607837
4
3.64
0.910000
0.675374
0.607837
2
6.15
3.075000
3.075000
2.767500
2
6.30
3.150000
3.131250
2.818125
2
9.71
4.855000
3.131250
2.818125
2
6.32
3.160000
3.131250
2.818125
1
5.67
5.670000
3.773250
3.395925
1
3.70
3.700000
3.700000
3.330000
1
3.37
3.370000
3.370000
3.033000
1
3.37
3.370000
3.370000
3.033000
2
2.99
1.495000
1.123322
1.010989
2
2.99
1.495000
1.123322
1.010989
1 47.95 47.950000 42.215500 37.993950
1 14.96 14.960000
3.411000
3.069900
1
8.81
8.810000
1.705500
1.534950
1 10.39 10.390000
8.527500
7.674750
1
6.73
6.730000
6.730000
6.057000
1 100.76 100.760000 100.760000 90.684000
1 39.02 39.020000 39.020000 35.118000
1 74.12 74.120000 74.120000 66.708000
1 60.05 60.050000 40.312500 36.281250
1 83.21 83.210000 80.625000 72.562500
1 170.33 170.330000 161.250000 145.125000
1 74.11 74.110000 42.999998 38.699999
1 74.11 74.110000 42.999998 38.699999
20 31.46
1.573000
1.560437
1.404393
1 12.45 12.450000 12.450000 11.205000
1
3.02
3.020000
3.020000
2.718000
1
3.96
3.960000
2.576500
2.318850
1
5.56
5.560000
3.864750
3.478275
5
3.51
0.702000
0.702000
0.631800
1
2.63
2.630000
2.576500
2.318850
20
5.65
0.282500
0.176700
0.159030
40
9.28
0.232000
0.232000
0.208800
10
4.22
0.422000
0.353400
0.318060
10
5.89
0.589000
0.530100
0.477090

DCI

Nr crt.

cod ATC

1,492

R03DA04

1,493

R05DA04

1,494

R05DA04

1,495

R05DA04

1,496

R05DA04

1,497

R05DA04

1,498

R05DA04

1,499

R05DA04

1,500

R05DA04

1,501

R06AB04

1,502

R06AE07

1,503

R06AE07

1,504

R06AE07

1,505

R06AX17

1,506

R06AX17

1,507

R06AX17

1,508

R06AX17

1,509

R06AX17

1,510

R06AX17

1,511

R06AX17

1,512

S01AX13

1,513

S01BC03

1,514

S01BC03

1,515

S01BC03

1,516

S01CA05

THEOPHYLLINUM
CODEINUM
CODEINUM
CODEINUM
CODEINUM
CODEINUM
CODEINUM
CODEINUM
CODEINUM
CHLORPHENAMINUM
CETIRIZINUM
CETIRIZINUM
CETIRIZINUM
KETOTIFENUM
KETOTIFENUM
KETOTIFENUM
KETOTIFENUM
KETOTIFENUM
KETOTIFENUM
KETOTIFENUM
CIPROFLOXACINUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
COMBINATII

1,517

S01CA05

COMBINATII (CLORAMPHENICOLUM+BETHAMETASONUM)

1,518

S01CA05

COMBINATII (CLORAMPHENICOLUM+BETHAMETASONUM)

Denumire Comerciala

forma farm.

TEOTARD (R) 350


FOSFAT DE CODEINA 15 mg
CODEINA FOSFORICA
FARMACOD
CODEINA FOSFAT 15 mg
CODEINA FOSFAT

CAPS. ELIB. PREL.

concentratie

350mg
COMPR.
15mg
COMPR.
15mg
COMPR.
15mg
COMPR.
15mg
COMPR.
15mg
CODEINA FOSFAT LPH 15 mg COMPR.
15mg
CODEINA FOSFAT MCC 15 mg COMPR.
15mg
CODEINA FOSFAT 15 mg
COMPR.
15mg
CLORFENIRAMIN
COMPR.
4mg
CELERG
COMPR. FILM. 10 mg
LETIZEN (R) 10 mg
COMPR. FILM. 10mg
ZYRTEC 10 mg/ml
PICATURI ORALE-SOL. 10mg/ml
KETOF 1 mg
CAPS.
1mg
KETOF 1 mg
CAPS.
1mg
KETOTIFEN LPH (R) 1 mg
COMPR.
1mg
H - KETOTIFEN
COMPR.
1mg
KETOTIFEN
COMPR.
1mg
KETOTIFEN LAROPHARM 1 mg COMPR.
1mg
KETOF 1 mg/5 ml
SIROP
1mg/5ml
CIPLOX (vezi S01AX13)
UNG. OFT. 0,3%
DICLOFENAC ROMPHARM PIC. OFT.-SOL. 1mg/ml
UNICLOPHEN (R) 0,1%
PICATURI OFT.-SOL. 0,1%
DICLOGESIC 0,1% PICATURI OFTALMICE, SOLUTIE PICATURI OFT.-SOL. 0,1%
OPHTAMESONE - N
SOL. OFT.
FARA CONCENTRATIE
BETABIOPTAL
PICATURI OFT.SUSP. 0,2g+0,5g/100ml
BETABIOPTAL
UNG. OFT. 0,2g+0,5g/100g

Detinator APP

KRKA D.D.
SINTOFARM SA
BIO EEL SRL
FARMACOM SA
OZONE LABORATORIES LTD.

SLAVIA PHARM SRL


LABORMED PHARMA SA

MAGISTRA C & C SRL


OZONE LABORATORIES PHARMA S.A.

LABORMED PHARMA SA
AC HELCOR PHARMA SRL

KRKA D.D.
U.C.B. GMBH
HEXAL AG
HEXAL AG

tara det.
APP
Ambalaj
SLOVENIA CUTIE X 4 BLIST. AL/PVC X 10 CAPS. ELIB. PREL. P-RF
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF
ROMANIA CUTIE X 1 BLIST. AL/PVC X 25 COMPR. P-RF
ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
P-RF
MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
ROMANIA CUTIE X 1 BLIST. AL/PVC X 20 COMPR. P-RF
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM. P-6L
SLOVENIA CUTIE X 2 BLIST. X 10 COMPR. FILM. P-6L

Prescriptie

GERMANIA
GERMANIA
GERMANIA

LABORMED PHARMA SA ROMANIA

AC HELCOR SRL

CUTIE X 1 FLAC. STICLA BRUNA X 20 ML PIC. ORAL. SOL + APLICATOR PT. PICURARE

CUTIE X 5 BLIST. AL/PP X 10 CAPS.


CUTIE X 2 BLIST. AL/PP X 10 CAPS.
CUTIE X 2 BLIST. X 10 COMPR.
CUTIE X 2 BLIST. X 10 COMPR.
CUTIE X 2 BLIST. X 10 COMPR.

P-6L
P-6L
P-6L
P-6L

ROMANIA
MAGISTRA C&C S.R.L. ROMANIA
LAROPHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 20 COMPR.

P-6L

HEXAL AG
GERMANIA
CIPLA (UK) LIMITED MAREA BRITANIE

CUTIE X 1 FLACON X 100 ML SIROP + MASURA DOZATOARE

P-6L

CUTIE X 1 TUB DIN AL + VARF APLICATOR SI CAPAC DIN PEID X 5G UNG. OFT.

P-RF

ROMPHARM COMPANY SRL

ROMANIA

Pret
Val suportata
amanun
de CNAS/UT
tul
Pret
(RON)Legea Val suportata
cant/ maximal amanuntul nr. 95/2006 art
CNAS/UT
amba /ambalaj maximal/UT 213 alin.1 lit.
(RON) pt.
laj
(RON)
(RON)
a) si f)
Adulti

P-6L
P-6L

FLACON PICURATOR DIN PEJD X 5 ML PIC. OFT., SOL. P-6L

UNIMED PHARMA LTD. SLOVACIA CUTIE X 1 FLACON DIN PE X 10 ML PIC. OFTALMICE, SOL., PREVAZUT CU PICURATOR P-6L
ROMANIA CUTIE X 1 FLACON CU PICURATOR PE X 5 ML P-6L
DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 1 FLACON X 10ML
P-RF
DAR AL DAWA PHARMA S.R.L.

FARMILA FARMACEUTICI
FARMILA FARMACEUTICI

ITALIA
ITALIA

CUTIE X 1 FLACON DIN PEJD X 5 ML PIC. OFT.,SUSP. + APLICATOR PT. PICURARE

P-RF

CUTIE X 1 TUB AL X 5 G

P-RF

NOT:
- Tratamentul cu medicamentele corespunztoare DCI-urilor notate cu (*) se iniiaza de medicul de specialitate in limita competenei i poate fi prescris n continuare de medicul de familie pe baza scrisorii
medicale emise de medicul de specialitate;
- Tratamentul cu medicamentele corespunztoare DCI-urilor notate cu (**) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale Ministerului Sntii;
- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (***) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale Ministerului Sntii i cu aprobarea
comisiilor de la nivelul Caselor Judeene de Asigurri de Sntate;
- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (1) se efectueaza pentru pacienii cu intoleran la acidum acetylsalicylicum.

Pagina 31 din 236

40
30
25
20
20
20
20
20
20
20
20
20
1
50
20
20
20
20
20
1
1
1
1
1
1
1
1

13.81
5.93
5.07
2.99
2.93
2.99
3.16
3.61
2.93
2.28
20.91
13.37
22.71
13.64
5.19
3.27
3.61
3.41
3.41
11.29
4.22
10.57
11.09
10.57
4.45
13.30
15.27

0.345250
0.197666
0.202800
0.149500
0.146500
0.149500
0.158000
0.180500
0.146500
0.114000
1.045500
0.668500
22.710000
0.272800
0.259500
0.163500
0.180500
0.170500
0.170500
11.290000
4.220000
10.570000
11.090000
10.570000
4.450000
13.300000
15.270000

0.345250
0.148750
0.148750
0.148750
0.146500
0.148750
0.148750
0.148750
0.146500
0.114000
0.950062
0.668500
19.001250
0.170500
0.170500
0.163500
0.170500
0.170500
0.170500
11.290000
4.220000
9.313750
11.090000
9.313750
4.450000
6.986250
6.986250

0.310725
0.133875
0.133875
0.133875
0.131850
0.133875
0.133875
0.133875
0.131850
0.102600
0.855056
0.601650
17.101125
0.153450
0.153450
0.147150
0.153450
0.153450
0.153450
10.161000
3.798000
8.382375
9.981000
8.382375
4.005000
6.287625
6.287625

ANEXA 2

SUBLISTA B - LISTA MEDICAMENTELOR CU NIVEL DE COMPENSARE 50% DIN PRETUL DE REFERINTA CONFORM
DENUMIRILOR COMUNE INTERNATIONALE (DCI) ALE MEDICAMENTELOR DE CARE BENEFICIAZA ASIGURATII, IN TRATAMENTUL AMBULATORIU CU CONTRIBUTIE PERSONALA DIN HG NR. 720/2008 CU
MODIFICARILE SI COMPLETARILE ULTERIOARE VALABILA INCEPAND CU 01 IANUARIE 2012

Nr. crt

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45

cod ATC
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02

DCI

PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM

Denumire Comerciala

ZENCOPAN 20 mg
ZENCOPAN 40 mg
CONTROLOC 20 mg
CONTROLOC 20 mg
SELTRAZ 20 mg
CONTROLOC 40mg
CONTROLOC 40mg
CONTROLOC 40mg
CONTROLOC 40mg
SELTRAZ 40 mg
PANTEXEL 20 mg
ZIPANTOLA 20 mg
PACID 20 mg
PACID 20 mg
PANTOPRAZOL NYCOMED 20 mg
PANTOPRAZOL NYCOMED 20 mg

DYSPEX 20 mg
DYSPEX 20 mg
PANTOSAL 20 mg
PANTOSAL 20 mg
NOLPAZA 20 mg
AZATOL 20 mg
PANTOPRAZOL TEVA 20 mg
PANTEXEL 40 mg
ZIPANTOLA 40 mg
PACID 40 mg
PACID 40 mg
PANTOPRAZOL NYCOMED 40 mg
PANTOPRAZOL NYCOMED 40 mg

PANTOSAL 40 mg
PANTOSAL 40 mg
DYSPEX 40 mg
DYSPEX 40 mg
NOLPAZA 40mg
AZATOL 40 mg
PANTOPRAZOL TEVA 40 mg
GESOFLUX 20 mg
GESOFLUX 40 mg
CONTROLOC 40mg LIOFILIZAT PENTRU SOLUTIE INJECTABILA

forma farm.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
COMPR. FILM. GASTROREZ.
COMPR. FILM. GASTROREZ.
COMPR. FILM. GASTROREZ.
COMPR. FILM. GASTROREZ.
COMPR. FILM. GASTROREZ.
COMPR. FILM. GASTROREZ.
COMPR. FILM. GASTROREZ.
COMPR. FILM. GASTROREZ.

COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZISTENTE
COMPR. GASTROREZISTENTE

LIOF. PT. SOL. INJ.

PANTOPRAZOL NYCOMED I.V. 40 mg PULB. PT. SOL. INJ.


PANTOPRAZOL NYCOMED I.V. 40 mg PULB. PT. SOL. INJ.
PANTOPRAZOL NYCOMED I.V. 40 mg PULB. PT. SOL. INJ.

DYSPEX I.V. 40 mg
DYSPEX I.V. 40 mg
DYSPEX I.V. 40 mg

PULB. PT. SOL. INJ.


PULB. PT. SOL. INJ.
PULB. PT. SOL. INJ.

concentratie

20 mg
40 mg
20mg
20mg
20mg
40mg
40mg
40mg
40mg
40mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
20mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg

Detinator APP

ZENTIVA K.S.
ZENTIVA K.S.
NYCOMED GMBH
NYCOMED GMBH

tara det.
APP

Ambalaj

Prescriptie

REPUBLICA CEHA CUTIE CU BLIST. NYLON/AL/PVC/AL A CATE 28 COMPR. GASTROREZ.

P6L
P6L

GERMANIA

CUTIE X 6 BLIST. AL/AL IN SUPORT DE CARTON X 5 COMPR. FILM. GASTROREZ.

P-6L

GERMANIA

CUTIE X 2 BLIST. DIN AL/AL X 14 COMPR. FILM. GASTROREZ.

P-6L

DR. REDDY'S LABORATORIES

ROMANIA

CUTIE X 2 BLIST. DIN OPA-AL-PVC/AL X 14 COMPR. FILM. GASTROREZISTENTE

P-6L

NYCOMED GMBH
NYCOMED GMBH
NYCOMED GMBH
NYCOMED GMBH

GERMANIA

CUTIE X 1 BLIST. DIN AL/AL X 14 COMPR. FILM. GASTROREZ.

P-6L

GERMANIA

CUTIE X 2 BLIST. DIN AL/AL X 14 COMPR. FILM. GASTROREZ.

P-6L

GERMANIA

CUTIE X 3 BLIST. AL/AL IN SUPORT DE CARTON X 5 COMPR. FILM. GASTROREZ.

P-6L

GERMANIA

CUTIE X 6 BLIST. AL/AL IN SUPORT DE CARTON X 5 COMPR. FILM. GASTROREZ.

P-6L

DR. REDDY'S LABORATORIES

ROMANIA
ROMANIA

CUTIE X 2 BLIST. DIN OPA-AL-PVC/AL X 14 COMPR. FILM. GASTROREZISTENTE

P-6L

CUTIE X 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. GASTROREZ

P-6L

CUTIE X 1 BLIST. OPA-AL-PVC/AL X 28 COMPR. GASTROREZ.

P-6L

CUTIE X 1 BLIST. PA-AL-PVC/AL X 10 COMPR. GASTROREZ.

P-6L

CUTIE X 3 BLIST. PA-AL-PVC/AL X 10 COMPR. GASTROREZ.

P-6L

GEDEON RICHTER ROMANIA SA

REPUBLICA CEHA CUTIE CU BLIST. NYLON/AL/PVC/AL A CATE 28 COMPR. GASTROREZ.

PLIVA LJUBLJANA D.O.O. SLOVENIA

TERAPIA S.A.
TERAPIA S.A.
NYCOMED GMBH
NYCOMED GMBH
NYCOMED GMBH
NYCOMED GMBH
NYCOMED GMBH
NYCOMED GMBH

ROMANIA
ROMANIA

GERMANIA CUTIE CU BLIST. AL/AL X 14 COMPR. GASTROREZ. P-6L


GERMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. GASTROREZ. P-6L
GERMANIA CUTIE CU BLIST. AL/AL X 14 COMPR. GASTROREZ. P-6L
GERMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. GASTROREZ. P-6L
GERMANIA CUTIE CU BLIST. AL/AL X 14 COMPR. GASTROREZ. P-6L
GERMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. GASTROREZ. P-6L

KRKA D.D., NOVO MESTO SLOVENIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 15 COMPR. GASTR.
ROMASTRU TRADING S.R.L.
TEVA PHARMACEUTICALS S.R.L.
GEDEON RICHTER ROMANIA SA

ROMANIA
ROMANIA
ROMANIA

PLIVA LJUBLJANA D.O.O. SLOVENIA

TERAPIA S.A.
TERAPIA S.A.
NYCOMED GMBH
NYCOMED GMBH
NYCOMED GMBH
NYCOMED GMBH
NYCOMED GMBH
NYCOMED GMBH

ROMANIA
ROMANIA

CUTIE CU BLIST. PVC-PCTFE-PVDC/AL X 28 COMPR. GASTROREZ.

TEVA PHARMACEUTICALS S.R.L.

G.L. PHARMA GMBH


G.L. PHARMA GMBH
NYCOMED GMBH
NYCOMED GMBH
NYCOMED GMBH
NYCOMED GMBH
NYCOMED GMBH
NYCOMED GMBH
NYCOMED GMBH

P-6L

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. GASTROREZ.

P6L

CUTIE X 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. GASTROREZ

P-6L

CUTIE X 1 BLIST. OPA-AL-PVC/AL X 28 COMPR. GASTROREZ.

P-6L

CUTIE X 1 BLIST. PA-AL-PVC/AL X 10 COMPR. GASTROREZ.

P-6L

CUTIE X 3 BLIST. PA-AL-PVC/AL X 10 COMPR. GASTROREZ.

P-6L

GERMANIA CUTIE CU BLIST. AL/AL X 14 COMPR. GASTROREZ. P-6L


GERMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. GASTROREZ. P-6L
GERMANIA CUTIE CU BLIST. AL/AL X 14 COMPR. GASTROREZ. P-6L
GERMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. GASTROREZ. P-6L
GERMANIA CUTIE CU BLIST. AL/AL X 14 COMPR. GASTROREZ. P-6L
GERMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. GASTROREZ. P-6L

KRKA D.D., NOVO MESTO SLOVENIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 15 COMPR. GASTR.
ROMASTRU TRADING S.R.L.

P-6L

ROMANIA
ROMANIA

P-6L

CUTIE CU BLIST. PVC-PCTFE-PVDC/AL X 28 COMPR. GASTROREZ.

P-6L

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. GASTROREZ.

CUTIE CU BLIST. AL/AL X 30 COMPR. GASTROREZISTENTE

P6L
P6L
P6L

GERMANIA

CUTIE X 1 FLAC. LIOF. PT. SOL. INJ.

S/P-RF

GERMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. S/P-RF

GERMANIA

CUTIE X 5 ( 5 X 1) FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ., AMBALAJ SPITALICESC

S/P-RF

GERMANIA

CUTIE X 20 ( 20 X 1) FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ., AMBALAJ SPITALICESC

S/P-RF

GERMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. S/P-RF

AUSTRIA
AUSTRIA

CUTIE CU BLIST. AL/AL X 30 COMPR. GASTROREZISTENTE

GERMANIA

CUTIE X 5 (5 X 1) FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. S/P-RF

GERMANIA

CUTIE X 20 ( 20 X 1) FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ., AMBALAJ SPITALICESC

Pagina 32 din 205

S/P-RF

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

28 20.17
28 31.25
30 34.43
28 33.54
28 21.80
14 26.53
28 51.35
15 28.43
30 55.02
28 31.25
28 21.80
28 21.80
10
3.53
30 10.57
14 10.71
28 21.48
14 10.63
28 21.31
14 10.82
28 21.65
30 21.62
28 22.31
30 20.18
28 31.25
28 31.25
10
6.44
30 19.34
14 15.38
28 30.77
14 15.49
28 31.02
14 15.27
28 30.52
30 33.47
28 33.40
30 35.76
30 22.02
30 33.70
1 33.22
1 21.59
5 99.20
20 374.13
1 21.25
5 97.67
20 368.95

Pret
amanuntul
maximal/UT
(RON)

0.720357
1.116071
1.147666
1.197857
0.778571
1.895000
1.833928
1.895333
1.834000
1.116071
0.778571
0.778571
0.353000
0.352333
0.765000
0.767142
0.759285
0.761071
0.772857
0.773214
0.720666
0.796785
0.672666
1.116071
1.116071
0.644000
0.644666
1.098571
1.098928
1.106428
1.107857
1.090714
1.090000
1.115666
1.192857
1.192000
0.734000
1.123333
33.220000
21.590000
19.840000
18.706500
21.250000
19.534000
18.447500

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

0.696696
1.116071
0.696696
0.696696
0.696696
1.393392
1.393392
1.393392
1.393392
1.116071
0.696696
0.696696
0.353000
0.352333
0.696696
0.696696
0.696696
0.696696
0.696696
0.696696
0.696696
0.696696
0.672666
1.116071
1.116071
0.644000
0.644666
1.098571
1.098928
1.106428
1.107857
1.090714
1.090000
1.115666
1.192857
1.192000
0.696696
1.123333
33.220000
21.590000
19.840000
18.706500
21.250000
19.534000
18.447500

0.348348
0.558035
0.348348
0.348348
0.348348
0.696696
0.696696
0.696696
0.696696
0.558035
0.348348
0.348348
0.176500
0.176166
0.348348
0.348348
0.348348
0.348348
0.348348
0.348348
0.348348
0.348348
0.336333
0.558035
0.558035
0.322000
0.322333
0.549285
0.549464
0.553214
0.553928
0.545357
0.545000
0.557833
0.596428
0.596000
0.348348
0.561666
16.610000
10.795000
9.920000
9.353250
10.625000
9.767000
9.223750

Nr. crt

46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97

cod ATC
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BX02
A02BX02
A02BX05
A03AB06
A07AA11
A07AA11
A07AA11
A07EA06
A07EA06
A07EA06
A07XA04
A07XA04
A07XA04
A08AB01
A08AB01
A11CC03
A11CC03

DCI

PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
SUCRALFATUM
SUCRALFATUM
BISMUTHI SUBCITRAS
OTILONIUM BROMIDUM
RIFAXIMINUM
RIFAXIMINUM
RIFAXIMINUM
BUDESONIDUM**
BUDESONIDUM**
BUDESONIDUM**
RACECADOTRILUM
RACECADOTRILUM
RACECADOTRILUM
ORLISTATUM****
ORLISTATUM****
ALFACALCIDOLUM
ALFACALCIDOLUM

Denumire Comerciala

forma farm.

PANTOSAL I.V. 40 mg
PANTOSAL I.V. 40 mg
PANTOSAL I.V. 40 mg
NOLPAZA 40 mg

PULB. PT. SOL. INJ.

PANTOPRAZOL ACTAVIS 40 mg

PULB. PT. SOL. INJ.

EMANERA 20 mg
EMANERA 20 mg
HELIDES 20 mg
EMANERA 40 mg
EMANERA 40 mg
HELIDES 40 mg
NEXIUM 20 mg

CAPS. GASTROREZ.

PULB. PT. SOL. INJ.


PULB. PT. SOL. INJ.
PULB. PT. SOL. INJ.

CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
COMPR. GASTROREZ.

ESOMEPRAZOL SANDOZ 20 mg

COMPR. GASTROREZ.

NEXIUM 40 mg

COMPR. GASTROREZ.

ESOMEPRAZOL SANDOZ 40 mg
ESOMEPRAZOL TERAPIA 20mg
ESOMEPRAZOL TERAPIA 40mg

NEXIUM 10 mg
NEXIUM 40 mg
GASTROFAIT
VENTER
DE - NOL
SPASMOMEN (R)
NORMIX 200 mg
NORMIX 200 mg
NORMIX 100mg/5ml
BUDENOFALK
BUDENOFALK 2 mg/doza
BUDENOFALK 2 mg/doza
HIDRASEC 100 mg
HIDRASEC 10 mg
HIDRASEC 30 mg
XENICAL 120mg
XENICAL 120mg
ALPHA D3 0,25 mcg
ALPHA D3 0,50 mcg

COMPR. GASTROREZ.
COMPR. GASTROREZISTENTE
COMPR. GASTROREZISTENTE
GRAN. GASTROREZ. PT. SUSP.ORALA

PULB. PT. SOL. INJ./PERF.

COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
GRAN. PT. SUSP. ORALA

CAPS. GASTROREZ.

SPUMA RECTALA
SPUMA RECTALA

CAPS.
PULB. PT. SOL. ORALA
PULB. PT. SOL. ORALA

CAPS.
CAPS.
CAPS. MOI
CAPS. MOI

A16AX01 ACIDUM TIOCTICUM (ALFA-LIPOICUM)**# THIOCTACID (R) 600 HR (vezi N07XN03)

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

A16AX01 ACIDUM TIOCTICUM (ALFA-LIPOICUM)**# THIOGAMMA (R) 600 INJEKT (vezi N07XN03)

CONC. PT. SOL. PERF.

A16AX01 ACIDUM TIOCTICUM (ALFA-LIPOICUM)**# THIOGAMMA (R) 600 INJEKT (vezi N07XN03)

CONC. PT. SOL. PERF.

A16AX01 ACIDUM TIOCTICUM (ALFA-LIPOICUM)**# THIOCTACID 600T (vezi N07XN03)

SOL. INJ.
SOL. PERF.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.

A16AX01 ACIDUM TIOCTICUM (ALFA-LIPOICUM)**# THIOGAMMA (R) 600 oral (vezi A16AX01)
A16AX01 ACIDUM TIOCTICUM (ALFA-LIPOICUM)**# THIOGAMMA (R) 600 oral (vezi A16AX01)
A16AX01 ACIDUM TIOCTICUM (ALFA-LIPOICUM)**# THIOGAMMA (R) 600 oral (vezi A16AX01)

A16AX01 ACIDUM TIOCTICUM (ALFA-LIPOICUM)**# THIOGAMMA (R) TURBO-SET (vezi N07XN03)


B01AB04
B01AB04
B01AB04
B01AB04
B01AB04
B01AB04
B01AB04
B01AB04

DALTEPARINUM**#
DALTEPARINUM**#
DALTEPARINUM**#
DALTEPARINUM**#
DALTEPARINUM**#
DALTEPARINUM**#
DALTEPARINUM**#
DALTEPARINUM**#

FRAGMIN 10000 UI/0,4 ml


FRAGMIN 10000 UI/ml
FRAGMIN 12500 UI/0,5 ml
FRAGMIN15000 UI/0,6 ml
FRAGMIN 18000 UI/0,72 ml
FRAGMIN 2500 UI/0,2 ml
FRAGMIN 5000 UI/0,2 ml
FRAGMIN 7500 UI/0,3 ml

concentratie

40mg
40mg
40mg
40mg
40mg
20mg
20mg
20mg
40mg
40mg
40mg
20mg
20mg
40mg
40mg
20mg
40mg
10mg
40mg
1g
1g
120mg
40mg
200mg
200mg
100mg/5ml
3mg
2mg/doza
2mg/doza
100mg
10mg
30mg
120mg
120mg
0,25mcg
0,50mcg
600mg
600mg
600mg
600mg
30mg/ml
30mg/ml
25mg/ml
12mg/ml

Detinator APP

NYCOMED GMBH
NYCOMED GMBH
NYCOMED GMBH

tara det.
APP

Ambalaj

Prescriptie

GERMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. S/P-RF

GERMANIA

CUTIE X 5 (5 X 1) FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. S/P-RF

GERMANIA

CUTIE X 20 ( 20 X 1) FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ., AMBALAJ SPITALICESC

S/P-RF

KRKA D.D., NOVO MESTO SLOVENIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ.

P-RF

CUTIE CU 1 FLAC. DIN STICLA CU CAPACITATEA DE 15 ML CONTINAND 40 MG PANTOPRAZOL

P-RF

KRKA, D.D., NOVO MESTO SLOVENIA

CUTIE CU BLIST. OPA-AL-PE+DESICANT/AL+ PE X 14 CAPS. GASTROREZ.

P-6L

KRKA, D.D., NOVO MESTO SLOVENIA

CUTIE CU BLIST. OPA-AL-PE+DESICANT/AL+ PE X 28 CAPS. GASTROREZ.

P-6L

ZENTIVA K.S.

CUTIE CU BLIST. PA-AL-PVC/AL X 28 CAPS. GASTROREZ.

P-6L

KRKA, D.D., NOVO MESTO SLOVENIA

CUTIE CU BLIST. OPA-AL-PE+DESICANT/AL+ PE X 14 CAPS. GASTROREZ.

P-6L

KRKA, D.D., NOVO MESTO SLOVENIA

CUTIE CU BLIST. OPA-AL-PE+DESICANT/AL+ PE X 28 CAPS. GASTROREZ.

P-6L

REPUBLICA CEHA

CUTIE CU BLIST. PA-AL-PVC/AL X 28 CAPS. GASTROREZ.

P-6L

SUEDIA

CUTIE X 2 BLIST. X 7 COMPR. FILM. GASTROREZ.

P-6L

ROMANIA

CUTIE CU BLIST. AL/AL X14 COMPR. GASTROREZ.

P-6L

SUEDIA

CUTIE X 2 BLIST. AL/PVC X 7 COMPR. FILM. GASTROREZ.

P-6L

CUTIE CU BLIST. AL/AL X14 COMPR. GASTROREZ.

P-6L

CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/AL X 14 COMPR. GASTROREZISTENTE

P-6L

CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/AL X 14 COMPR. GASTROREZISTENTE

P-6L

ACTAVIS GROUP PTC EHF.

ZENTIVA K.S.
ASTRAZENECA AB
SANDOZ SRL
ASTRAZENECA AB
SANDOZ SRL
TERAPIA S.A.
TERAPIA S.A.
ASTRAZENECA AB
ASTRAZENECA AB

ISLANDA

REPUBLICA CEHA

ROMANIA
ROMANIA
ROMANIA

SUEDIA
SUEDIA

CUTIE X 28 PLICURI DIN PET/AL/PEJD CONTINAND GRANULE GASTROREZ. PT. SUSP. ORALA

P-6L

CUTIE X 10 FLACOANE LIOF. PT. SOL. INJ./PERF.

S/P-RF

E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 5 BLIST. AL/PVC X 4 COMPR.

P-6L

KRKA D.D.
ASTELLAS PHARMA EUROPE BV

SLOVENIA CUTIE X 5 BLIST. X 10 COMPR.


P-6L
OLANDA CUTIE X 5 BLIST. AL/AL X 8 COMPR. FILM. P-6L

ITALIA
ITALIA
ITALIA
ITALIA

CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

P-6L

CUTIE X 1 BLIST. AL/PVC X 12 COMPR. FILM.

P-RF

CUTIE X 3 BLIST. AL/PVC A CATE 12 COMPR. FILM.

P-RF

CUTIE X 1 FLAC. GRAN. PT. 60 ML SUSP. ORALA + 1 MASURA DOZATOARE MARCATA LA 5, 10 SI 15 ML

P-RF

DR. FALK PHARMA GMBH GERMANIA

CUTIE X 10 BLIST. PVC-PVDC/AL X 10 CAPS. CU PELETE GASTROREZ.

P-RF

DR. FALK PHARMA GMBH GERMANIA

CUTIE X 1 FLAC. DIN AL X 14 DOZE X 1,2G SPUMA RECTALA, 14 APLICATOARE LUBREFIANTE PVC SI 14 PUNGI PL

P-RF

DR. FALK PHARMA GMBH GERMANIA

CUTIE X 2 FLAC. DIN AL X 2X14 DOZE X 1,2G SPUMA RECTALA, 2X (14 APLICATOARE PVC LUBREFIANTE SI 14 PU

P-RF

A. MENARINI IND. FARM. RIUNITE SRL

ALFA WASSERMANN SPA


ALFA WASSERMANN SPA
ALFA WASSERMANN SPA

LAB. FOURNIER SA FRANTA CUTIE X 2 BLIST. AL/PVC-PVDC X 10 CAPS.


LAB. FOURNIER SA FRANTA CUTIE X 16 PLICURI X 1 G
LAB. FOURNIER SA FRANTA CUTIE X 30 PLICURI X 3

P-RF

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 21 CAPS. TARI (BLISTER PVC/PE/PVDC)

P-RF

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 84 CAPS. TARI (BLISTER PVC/PE/PVDC)

P-RF

TEVA PHARMACEUTICALS S.R.L.

P-RF

TEVA PHARMACEUTICALS S.R.L.

ROMANIA CUTIE X 1 FLAC. DIN PPID X 50 CAPS. MOI


ROMANIA CUTIE X 1 FLAC. X 30 CAPS. MOI

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL. X 10 COMPR. FILM. P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL. X 10 COMPR. FILM. P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 6 BLIST. PVC-PVDC/AL. X 10 COMPR. FILM. P-6L

MEDA PHARMA GMBH & CO KG

GERMANIA

CUTIE X 1 FLAC. X 30 COMPR. FILM.

WORWAG PHARMA GMBH & CO. KG

GERMANIA

WORWAG PHARMA GMBH & CO. KG

GERMANIA

MEDA PHARMA GMBH & CO KG

GERMANIA

WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE X 5 FIOLE X 20 ML
CUTIE X 20 FIOLE X 20 ML
CUTIE X 5 FIOLE X 24 ML SOL.INJ.
CUTIE X 10 FLACOANE X 50 ML

10000UI/0,4ml PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 5 BLIST. X 1 SERINGA X 0,4 ML SOL. INJ.

S/P-RF

10000ui/ml

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 2 SUPORTURI TERMOFORMATATE X 5 FIOLE X 1 ML

S/P-RF

12500 UI/0,5ml PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 5 BLIST. X 1 SERINGA X 0,5 ML SOL. INJ.

S/P-RF

15000ui/0,6ml PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 5 BLIST. INDIVIDUALE CONTINAND FIECARE 1 SERINGA PREUMPLUTA X 0,6 ML SOL. INJ.

S/P-RF

18000 UI/0,72ml PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 5 BLIST. X 1 SERINGA X 0,72 ML SOL. INJ.

S/P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 10 BLIST. INDIVIDUALE CONTINAND FIECARE 1 SERINGA PREUMPLUTA X 0,2 ML

S/P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 10 BLIST. INDIVIDUALE CONTINAND FIECARE 1 SERINGA PREUMPLUTA X 0,2 ML

S/P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 10 BLIST. INDIVIDUALE CONTINAND FIECARE 1 SERINGA PREUMPLUTA X 0,3 ML

S/P-RF

2500ui/0,2ml
5000ui/0,2ml
7500ui/0,3ml

Pagina 33 din 205

P-RF
P-RF

P-RF

P-6L
S/P-RF
S/P-RF
S/P-RF
S/P-RF

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

1
5
20
1
1
14
28
28
14
28
28
14
14
14
14
14
14
28
10
20
50
40
30
12
36
1
100
1
2
20
16
30
21
84
50
30
100
30
60
30
5
20
5
10
5
10
5
5
5
10
10
10

Pret
amanuntul
maximal/UT
(RON)

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

21.42 21.420000 21.420000 10.710000


98.44 19.688000 19.688000
9.844000
371.54 18.577000 18.577000
9.288500
19.08 19.080000 19.080000
9.540000
21.59 21.590000 21.590000 10.795000
26.16
1.868571
0.928927
0.464463
50.64
1.808571
0.928927
0.464463
50.64
1.808571
0.928927
0.464463
38.26
2.732857
1.857856
0.928928
72.68
2.595714
1.857856
0.928928
72.68
2.595714
1.857856
0.928928
38.95
2.782142
0.928927
0.464463
29.81
2.129285
0.928927
0.464463
58.85
4.203571
1.857856
0.928928
43.60
3.114285
1.857856
0.928928
26.16
1.868571
0.928927
0.464463
38.26
2.732857
1.857856
0.928928
172.21
6.150357
6.150357
3.075178
293.98 29.398000 29.398000 14.699000
6.12
0.306000
0.306000
0.153000
15.76
0.315200
0.310600
0.155300
39.48
0.987000
0.310600
0.155300
33.17
1.105666
1.105666
0.552833
32.71
2.725833
2.615416
1.307708
90.18
2.505000
2.505000
1.252500
18.88 18.880000 15.692514
7.846257
440.16
4.401600
4.401600
2.200800
415.02 415.020000 379.845000 189.922500
736.24 368.120000 368.120000 184.060000
43.08
2.154000
1.577700
0.788850
40.56
2.535000
1.577700
0.788850
40.56
1.352000
1.352000
0.676000
90.96
4.331428
3.745624
1.872812
298.23
3.550357
3.550357
1.775178
33.24
0.664800
0.403882
0.201941
31.03
1.034333
0.807764
0.403882
210.56
2.105600
2.105600
1.052800
67.79
2.259666
2.134400
1.067200
128.64
2.144000
2.134400
1.067200
102.49
3.416333
2.134400
1.067200
132.78 26.556000 25.211625 12.605812
486.15 24.307500 24.307500 12.153750
135.58 27.116000 25.211625 12.605812
255.13 25.513000 25.211625 12.605812
124.49 24.898000 24.898000 12.449000
263.70 26.370000 26.370000 13.185000
168.87 33.774000 33.080625 16.540312
204.44 40.888000 39.696750 19.848375
232.51 46.502000 46.502000 23.251000
76.68
7.668000
6.616125
3.308062
140.49 14.049000 13.232250
6.616125
200.61 20.061000 19.848375
9.924187

Nr. crt

98
99

cod ATC

DCI

146 B01AC18

ENOXAPARINUM**#
ENOXAPARINUM**#
ENOXAPARINUM**#
ENOXAPARINUM**#
NADROPARINUM**#
NADROPARINUM**#
NADROPARINUM**#
NADROPARINUM**#
REVIPARINUM**#
REVIPARINUM**#
TINZAPARINUM**#
TINZAPARINUM**#
TINZAPARINUM**#
TINZAPARINUM**#
TINZAPARINUM**#
TINZAPARINUM**#
TINZAPARINUM**#
SULODEXIDUM**
SULODEXIDUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
TRIFLUSALUM

147 B01AC30

COMBINATII (ACID ACETYLSALICYLICUM+DIPYRIDAMOLUM)**

148 B01AX05

FONDAPARINUX SODIUM**#
FONDAPARINUX SODIUM**#

B01AB05
B01AB05

100 B01AB05
101 B01AB05
102 B01AB06
103 B01AB06
104 B01AB06
105 B01AB06
106 B01AB08
107 B01AB08
108 B01AB10
109 B01AB10
110 B01AB10
111 B01AB10
112 B01AB10
113 B01AB10
114 B01AB10
115 B01AB11
116 B01AB11
117 B01AC04
118 B01AC04
119 B01AC04
120 B01AC04
121 B01AC04
122 B01AC04
123 B01AC04
124 B01AC04
125 B01AC04
126 B01AC04
127 B01AC04
128 B01AC04
129 B01AC04
130 B01AC04
131 B01AC04
132 B01AC04
133 B01AC04
134 B01AC04
135 B01AC04
136 B01AC04
137 B01AC04
138 B01AC04
139 B01AC04
140 B01AC04
141 B01AC04
142 B01AC04
143 B01AC04
144 B01AC04
145 B01AC04

149 B01AX05

Denumire Comerciala
CLEXANE 2000ui anti-Xa/0,2ml
CLEXANE 4000ui anti-Xa/0,4ml
CLEXANE 6000ui anti-Xa/0,6ml
CLEXANE 8000ui anti-Xa/0,8ml

forma farm.

SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
FRAXIPARINE 2850 UI anti-factor Xa/0,3 ml SOL. INJ.
FRAXIPARINE 3800 UI anti-factor Xa/0,4 ml SOL. INJ.
FRAXIPARINE 5700 UI anti-factor Xa/0,6 ml SOL. INJ.
FRAXIPARINE 7600 UI anti-factor Xa/0,8 ml SOL. INJ.
CLIVARIN (R) 1432UI/0,25 ml SOL. INJ.
CLIVARIN (R) 3436 UI/0,6 ml SOL. INJ.
INNOHEP
SOL. INJ.
INNOHEP
SOL. INJ.
INNOHEP
SOL. INJ.
INNOHEP
SOL. INJ.
INNOHEP
SOL. INJ.
INNOHEP
SOL. INJ.
INNOHEP
SOL. INJ.
VESSEL DUE F
CAPS. MOI
VESSEL DUE F
SOL. INJ.
PLAVIX 300mg
COMPR. FILM.
CLOPIDOGREL TEVA 75 mg COMPR. FILM.
ZYLLT
COMPR. FILM.
PLAVIX 75mg
COMPR. FILM.
TROMBEX 75 mg
COMPR. FILM.
EGITROMB 75 mg
COMPR. FILM.
TROMBEX 75 mg
COMPR. FILM.

CLOPIDOGREL ACTAVIS 75 mg

DEFROZYP 75 mg
TESSYRON 75 mg
CLORODEN 75 mg
CLORODEN 75 mg
VATOUD 75 mg
LOFRADYK 75 mg
CLOPIDOGREL DR. REDDY'S 75 mg
CLOPIDOGREL DR. REDDY'S 75 mg

MOYTOR 75 mg
PLATEL 75 mg
PLATEL 75 mg
PLATEL 75 mg
CLOPIDOGREL TERAPIA 75 mg

PLATEL 75 mg
AFLEN (R)
AGGRENOX
ARIXTRA 2,5mg/0,5ml
ARIXTRA 7,5mg/0,6ml

Detinator APP

tara det.
APP

8000ui anti-Xa/0,8ml

LAB. AVENTIS
LAB. AVENTIS
LAB. AVENTIS
LAB. AVENTIS

FRANTA
FRANTA
FRANTA
FRANTA

2850 ui AFXa/0,3ml

GLAXO GROUP LIMITED/GLAXO WELLCOME HOUSE

3800 ui AFXa/0,4ml

Ambalaj

Prescriptie

CUTIE X 10 SERINGI PREUMPLUTE X 0,2 ML SOL. INJ.

S/P-RF

CUTIE X 10 SERINGI PREUMPLUTE X 0.4 ML SOL. INJ.

S/P-RF

CUTIE X 10 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ.

S/P-RF

CUTIE X 2 SERINGI PREUMPLUTE X 0,8 ML SOL. INJ.

S/P-RF

MAREA BRITANIE

CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,3 ML SOL. INJ.

S/P-RF

GLAXO GROUP LIMITED/GLAXO WELLCOME HOUSE

MAREA BRITANIE

CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,4 ML SOL. INJ.

S/P-RF

5700 ui AFXa/0,6ml

GLAXO GROUP LIMITED/GLAXO WELLCOME HOUSE

MAREA BRITANIE

CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,6 ML SOL. INJ.

S/P-RF

7600 ui AFXa/0,8ml

GLAXO GROUP LIMITED/GLAXO WELLCOME HOUSE

MAREA BRITANIE

CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,8 ML SOL. INJ.

S/P-RF

CUTIE X 2 BLIST. X 5 SERINGI PREUMPLUTE UNIDOZA X 0,25ML

S/P-RF

CUTIE X 1 BLIST X 5 SERINGI PREUMPLUTE UNIDOZA X 0,60 ML

S/P-RF

2000ui anti-Xa/0,2ml
4000ui anti-Xa/0,4ml
6000ui anti-Xa/0,6ml

1432ui/0,25ml ABBOTT GMBH&CO.KG GERMANIA


3436ui/0,6ml ABBOTT GMBH&CO.KG GERMANIA
10000u ANTIF. Xa/ml

LEO PHARMACEUTICAL PRODUCTS

DANEMARCA

CUTIE X 10 FLAC. DIN STICLA INCOLORA X 2 ML SOL. INJ. (10000 U-AXA) S/P-RF

10000u ANTIF. Xa/ml

LEO PHARMACEUTICAL PRODUCTS

DANEMARCA

CUTIE X 2 SERINGI PREUMPLUTE X 0.35 ML SOL. INJ. (3500 U-AXA)

S/P-RF

10000u ANTIF. Xa/ml

LEO PHARMACEUTICAL PRODUCTS

DANEMARCA

CUTIE X 2 SERINGI PREUMPLUTE X 0.45 ML SOL. INJ. (4500 U-AXA)

S/P-RF

20000u ANTIF. Xa/ml

LEO PHARMACEUTICAL PRODUCTS

DANEMARCA

CUTIE X 2 SERINGI PREUMPLUTE X 0,50 ML SOL. IN. (10000 U-AXA)

S/P-RF

20000u ANTIF. Xa/ml

LEO PHARMACEUTICAL PRODUCTS

DANEMARCA

CUTIE X 10 FLAC. DIN STICLA INCOLORA X 2ML SOL. INJ. (20000 U-AXA)

S/P-RF

20000u ANTIF. Xa/ml

LEO PHARMACEUTICAL PRODUCTS

DANEMARCA

CUTIE X 2 SERINGI PREUMPLUTE X 0,70 ML SOL. IN. (14000 U-AXA)

S/P-RF

20000u ANTIF. Xa/ml

LEO PHARMACEUTICAL PRODUCTS

DANEMARCA

CUTIE X 2 SERINGI PREUMPLUTE X 0,90 ML SOL. IN. (18000 U-AXA)

S/P-RF

ALFA WASSERMANN SPA

ITALIA
ITALIA
FRANTA
OLANDA

CUTIE X 2 BLIST. PVDC-PVC/AL-PVDC X 25 CAPS. MOI

P-RF

CUTIE X 10 FIOLE DIN STICLA GALBENA X 2 ML

P-RF

CUTIE X 30X1 COMPR. FILM. (BLIST. AL/AL PERFORATE UNIDOZA)

P-RF

CAPS.

250ULS
600ULS/2ml
300mg
75 mg
75 mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
300mg

CAPS. ELIB. MODIF.

25mg/200mg

CLOPIDOGREL MYLAN 75mg COMPR. FILM.

TROGRAN 75 mg
CLOPIGAMMA 75 mg
CLOPIGAMMA 75 mg
PLAVOCORIN 75 mg
TUXEDON 75 mg
TUXEDON 75 mg

concentratie

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

ALFA WASSERMANN SPA


SANOFI PHARMA - BRISTOL MYERS SQUIBB

TEVA PHARMA BV

CUTIE CU BLIST. AL/AL X 28 X 1 COMPR. FILM. P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA/AL/PVC-AL X 28 COMPR. FILM. P-RF

ZENTIVA K.S.

FRANTA
CEHIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 30 COMPR. FILM. P-RF

EGIS PHARMACEUTICALS P.L.C.

UNGARIA

CUTIE CU BLIST. OPA-AL-PVDC/AL X 28 COMPR. FILM.

ZENTIVA K.S.
MYLAN S.A.S.

CEHIA
FRANTA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 90 COMPR. FILM. P-RF

SANOFI PHARMA - BRISTOL MYERS SQUIBB

CUTIE X 28 COMPR. FILM. (BLIST. PVC/PVDC/AL)

CUTIE CU BLIST. DIN OPA/AL/PVC-AL X 28 COMPR.FILM.

GLENMARK PHARMACEUTICALS SRL REPUBLICA CEHA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.

P-RF

P-RF

P-RF
P-RF

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-RF

WORWAG PHARMA GMBH & CO. KG

GERMANIA

SANDOZ S.R.L.

ROMANIA
ICN POLFA RZESZOW S.A. POLONIA
ICN POLFA RZESZOW S.A. POLONIA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.

P-RF

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-RF


CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-RF
CUTIE CU BLIST. OPA-AL-PVC/AL X 84 COMPR. FILM. P-RF

ACTAVIS GROUP PTC EHF.

ISLANDA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM.

P-RF

LABORMED PHARMA S.A.

ROMANIA
ROMANIA

CUTIE CU BLIST. OPA-AL-PVDC/AL X 28 COMPR. FILM.

P-RF

CUTIE CU BLIST. PVC-PCTFE-PVC/AL X 30 COMPR. FILM.

P-RF

IWA CONSULTING APS


IWA CONSULTING APS
ALVOGEN IPCO S.A.R.L

DANEMARCA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.

P-RF

DANEMARCA CUTIE CU BLIST. PA-AL-PVC/AL (AL-AL) X 28 COMPR. FILM.

P-RF

LUXEMBURG CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.

P-RF

PHARMASWISS MEDICINES S.R.L.

ROMANIA
ROMANIA
ROMANIA
ROMANIA

P-RF

GEDEON RICHTER ROMANIA SA

DR. REDDY'S LABORATORIES


DR. REDDY'S LABORATORIES

ROMASTRU TRADING S.R.L.

MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
TERAPIA S.A.
MEDOCHEMIE LTD.
GALENICA S.A.
BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

2,5mg/0,5ml GLAXO GROUP LTD.


7,5mg/0,6ml GLAXO GROUP LTD.

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-RF


CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-RF
CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-RF
CUTIE CU BLIST. PCTFE-PE-PVC/AL X 28 COMPR. FILM.

CIPRU
CIPRU
CIPRU

CUTIE CU BLIST. AL/AL X 10 COMPR. FILM. P-RF

ROMANIA

CUTIE CU 3 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. PRF

CUTIE CU BLIST. AL/AL X 60 COMPR. FILM. P-RF


CUTIE CU BLIST. AL/AL X 90 COMPR. FILM. P-RF

CIPRU
CUTIE CU BLIST. AL/AL X 28 COMPR. FILM.
GRECIA CUTIE X 5 BLIST. X 10 CAPS.

P-RF
P-RF

GERMANIA CUTIE X 1 FLAC. DIN PP X 60 CAPS. CU ELIB.MODIF. P-6L


MAREA BRITANIE

CUTIE X 10 SERINGI PREUMPLUTE X 0,5 ML SOL. INJ., PREVAZUTE CU UN SISTEM AUTOMAT DE SIGURANTA, DE CU

P-RF

MAREA BRITANIE

CUTIE X 10 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ., PREVAZUTE CU UN SISTEM AUTOMAT DE SIGURANTA, DE CU

P-RF

Pagina 34 din 205

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

10
10
10
2
10
10
10
10
10
5
10
2
2
2
10
2
2
50
10
30
28
28
28
30
28
90
28
28
28
28
28
28
84
28
28
30
28
28
28
28
28
30
28
10
60
90
30
28
50
60
10
10

72.08
142.87
185.68
51.58
74.53
102.24
130.90
187.52
83.47
100.22
530.57
25.82
34.70
72.79
1,100.99

101.96
125.59
101.62
77.50
772.47
78.58
89.43
120.91
82.83
78.58
239.56
78.58
78.58
67.72
67.72
88.44
37.92
123.53
78.55
78.55
84.20
67.67
67.67
72.94
67.42
78.55
84.17
78.58
30.54
159.68
239.53
84.20
66.91
83.93
62.87
231.06
646.42

Pret
amanuntul
maximal/UT
(RON)

7.208000
14.287000
18.568000
25.790000
7.453000
10.224000
13.090000
18.752000
8.347000
20.044000
53.057000
12.910000
17.350000
36.395000
110.099000
50.980000
62.795000
2.032400
7.750000
25.749000
2.806428
3.193928
4.318214
2.761000
2.806428
2.661777
2.806428
2.806428
2.418571
2.418571
3.158571
1.354285
1.470595
2.805357
2.805357
2.806666
2.416785
2.416785
2.605000
2.407857
2.805357
2.805666
2.806428
3.054000
2.661333
2.661444
2.806666
2.389642
1.678600
1.047833
23.106000
64.642000

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

6.616125
13.232250
18.568000
25.790000
6.616125
8.821497
13.090000
17.642995
6.625374
15.897211
37.806423
6.616125
8.506444
18.903208
75.612854
26.464500
34.025784
2.032400
7.750000
17.413711
2.806428
3.193928
4.318214
2.761000
2.806428
2.661777
2.806428
2.806428
2.418571
2.418571
3.158571
1.354285
1.470595
2.805357
2.805357
2.806666
2.416785
2.416785
2.605000
2.407857
2.805357
2.805666
2.806428
3.054000
2.661333
2.661444
2.806666
2.389642
1.678600
1.047833
21.937000
64.642000

3.308062
6.616125
9.284000
12.895000
3.308062
4.410748
6.545000
8.821497
3.312687
7.948605
18.903211
3.308062
4.253222
9.451604
37.806427
13.232250
17.012892
1.016200
3.875000
8.706855
1.403214
1.596964
2.159107
1.380500
1.403214
1.330888
1.403214
1.403214
1.209285
1.209285
1.579285
0.677142
0.735297
1.402678
1.402678
1.403333
1.208392
1.208392
1.302500
1.203928
1.402678
1.402833
1.403214
1.527000
1.330666
1.330722
1.403333
1.194821
0.839300
0.523916
10.968500
32.321000

Nr. crt

cod ATC

DCI

150 B03AC02 COMPLEX DE HIDROXID DE FER (III) SUCROZA


151 C01EB17
152 C01EB17
153 C01EB17
154 C01EB17
155 C02AC05
156 C02AC05
157 C02AC05
158 C02AC05
159 C02AC05
160 C02AC05
161 C02AC05
162 C02AC05
163 C02AC05
164 C02AC05
165 C02AC06
166 C02AC06
167 C02CA01
168 C02CA01
169 C03DA04
170 C03DA04
171 C04AE02
172 C04AE02
173 C04AE02
174 C04AE02
175 C04AE02
176 C04AE02
177 C04AE02
178 C04AE02
179 C04AE02
180 C04AE02
181 C04AE02
182 C04AE02
183 C04AE02
184 C04AX07
185 C04AX07
186 C04AXN1
187 C04AXN1
188 C04AXN1
189 C04AXN1
190 C04AXN1
191 C04AXN1
192 C04AXN1
193 C04AXN1
194 C04AXN1
195 C04AXN1
196 C04AXN1
197 C04AXN1
198 C04AXN1
199 C04AXN1
200 C04AXN1
201 C04AXN1

IVABRADINUM**
IVABRADINUM**
IVABRADINUM**
IVABRADINUM**
MOXONIDINUM
MOXONIDINUM
MOXONIDINUM
MOXONIDINUM
MOXONIDINUM
MOXONIDINUM
MOXONIDINUM
MOXONIDINUM
MOXONIDINUM
MOXONIDINUM
RILMENIDINUM
RILMENIDINUM
PRAZOSINUM
PRAZOSINUM
EPLERENONUM*#
EPLERENONUM*#
NICERGOLINUM
NICERGOLINUM
NICERGOLINUM
NICERGOLINUM
NICERGOLINUM
NICERGOLINUM
NICERGOLINUM
NICERGOLINUM
NICERGOLINUM
NICERGOLINUM
NICERGOLINUM
NICERGOLINUM
NICERGOLINUM
VINCAMINUM
VINCAMINUM
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**

Denumire Comerciala

forma farm.

VENOFER (R)
CORLENTOR 5mg
CORLENTOR 5mg
CORLENTOR 7,5mg
CORLENTOR 7,5mg
MOXOGAMMA 0,2 mg
PHYSIOTENS 0,2
MOXONIDINA MYLAN 0,2 mg
PHYSIOTENS 0,2
MOXOGAMMA 0,3 mg
MOXONIDINA MYLAN 0,3 mg
MOXOGAMMA 0,4 mg
PHYSIOTENS 0,4
MOXONIDINA MYLAN 0,4 mg
PHYSIOTENS 0,4
TENAXUM
RILMENIDINA TEVA 1 mg
MINIPRESS (R) 1 mg
MINIPRESS (R) 2 mg
INSPRA 25 mg
INSPRA 50 mg
NICERIUM (R) 15
NICERIUM (R) 30 UNO
NICERGOLINA LPH 10 mg
GRALIN 10 mg
SERMION
NICERGOLINA LPH 30 mg
GRALIN 30 mg
NICERGOLINA LPH 5 mg
GRALIN 5 mg
NICERIUM (R) 10
SINERGOLIN 10
SINERGOLIN 30
SINERGOLIN 30
OXYBRAL SR 30 mg
VINCAMINA

SOL. INJ./PERF.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

COMPR.
COMPR.
COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.
CAPS. ELIB. MODIF.
CAPS. ELIB. MODIF.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

DRAJ.
DRAJ.
DRAJ.
DRAJ.
CAPS. ELIB. PREL.

DRAJ.
BILOBIL INTENS 120 mg (vezi N06DX02) CAPS.
BILOBIL 40 mg (C04AXN1) CAPS.
BILOBIL 40 mg (C04AXN1) CAPS.
BILOBIL FORTE (vezi C04AXN1) CAPS.
GINGIUM 120mg (vezi N06DX02) COMPR. FILM.
FLAVOTAN 40 mg (C04AXN1) COMPR. FILM.
TANAKAN (EGB 761) (N06DX02) COMPR. FILM.
GINGIUM 40mg (vezi N06DX02 ) COMPR. FILM.
TEBOKAN (vezi C04AXN1) COMPR. FILM.
TEBOKAN (vezi C04AXN1) COMPR. FILM.
GINKOFAR 40 mg (vezi N06DX02) COMPR. FILM.
GINKOFAR 40 mg (vezi N06DX02) COMPR. FILM.
GINKOFAR 40 mg (vezi N06DX02) COMPR. FILM.
GINKO BILOBA BIOFARM 40 mg (vezi N06DX02) COMPR. FILM.
GINGIUM 80mg (vezi N06DX02) COMPR. FILM.
GINKGO BILOBA BIOFARM 80 mg (vezi N06DX02) COMPR. FILM.

concentratie

20mg/ml
5mg
5mg
7,5mg
7,5mg
0,2mg
0,2mg
0,2mg
0,2mg
0,3mg
0,3mg
0,4mg
0,4mg
0,4mg
0,4mg
1mg
1mg
1mg
2mg
25mg
50mg
15mg
30mg
10mg
10mg
30mg
30mg
30mg
5mg
5mg
10mg
10mg
30mg
30mg
30mg
10mg
120mg
40mg
40mg
80mg
120mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
80mg
80mg

Detinator APP

VIFOR FRANCE S.A.


LES LAB. SERVIER
LES LAB. SERVIER
LES LAB. SERVIER
LES LAB. SERVIER

tara det.
APP

Ambalaj

FRANTA CUTIE X 5 FIOLE X 5 ML


FRANTA CUTIE X 28 COMPR. FILM. (BLIST. AL/PVC TIP CALENDAR)
FRANTA CUTIE X 56 COMPR. FILM. (BLIST. AL/PVC TIP CALENDAR)
FRANTA CUTIE X 56 COMPR. FILM. (BLIST. AL/PVC TIP CALENDAR)
FRANTA CUTIE X 28 COMPR. FILM. (BLIST. AL/PVC TIP CALENDAR)

Prescriptie

S/P-RF

P-6L
P-6L
P-6L
P-6L

WORWAG PHARMA GMBH GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L
SOLVAY PHARMACEUTICALS BV

GERMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 28 COMPR.FILM.

P-6L

GENERICS (UK) LTD

MAREA BRITANIE

CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM.

P-6L

ABBOTT PRODUCTS GMBH GERMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 28 COMPR.FILM.

P-6L

WORWAG PHARMA GMBH GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L

GENERICS (UK) LTD

MAREA BRITANIE

CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM.

P-6L

WORWAG PHARMA GMBH GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L
SOLVAY PHARMACEUTICALS BV

GERMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 28 COMPR.FILM.

P-6L

GENERICS (UK) LTD

MAREA BRITANIE

CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM.

P-6L

ABBOTT PRODUCTS GMBH GERMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 28 COMPR.FILM.

P-6L

LES LABORATOIRES SERVIER

FRANTA CUTIE X 2 BLIST. AL/PVC X 15 COMPR.

P-6L

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

PFIZER EUROPE MA EEIG

MAREA BRITANIE

PFIZER EUROPE MA EEIG

MAREA BRITANIE

P6L
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 3 BLIST. PERFORATE UNIDOZA PVC/AL X 10 COMPR. FILM.

P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 3 BLIST. PERFORATE UNIDOZA PVC/AL X 10 COMPR. FILM.

P-RF

HEXAL AG
HEXAL AG

GERMANIA CUTIE X 3 BLIST. PP/AL X 10 CAPS. ELIB. MODIF. P-6L

CUTIE CU BLIST. AL/AL (FOLIE AL CFF (FORMATA LA RECE)/FOLIE AL ACOPERITA LA CALD CU UN STRAT DE LAC)

GERMANIA CUTIE X 3 BLIST. PP/AL X 10 CAPS. ELIB. MODIF. P-6L

LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM.

P-6L

LABORMED PHARMA S.A.

ROMANIA CUTIE X 2 BLIST. PVC/AL X 15 COMPR. FILM.

P-6L

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 2 BLIST. PVC-PVDC/AL-PVC X 15 COMPR. FILM

P-6L

LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM.

P-6L

ROMANIA CUTIE X 2 BLIST. PVC/AL X 15 COMPR. FILM.


LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM.
LABORMED PHARMA S.A. ROMANIA CUTIE X 2 BLIST. PVC/AL X 15 COMPR. FILM.
HEXAL AG
GERMANIA CUTIE X 1 BLIST. AL/PVC X 25 DRAJ.
SINTOFARM SA
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 DRAJ.
SINTOFARM SA
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 DRAJ.
SINTOFARM SA
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 DRAJ.
GLAXOSMITHKLINE (GSK) SRL ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 CAPS. CU ELIB. PREL.
BIOFARM SA
ROMANIA CUTIE X 1 BLIST. AL/PVC X 20 DRAJ.

P-6L

LABORMED PHARMA S.A.

P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 CAPS. P-6L
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. AL/PVC-PVDC X 10 CAPS. P-6L
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 6 BLIST. AL/PVC-PVDC X 10 CAPS. P-6L
KRKA D.D. NOVO MESTO SLOVENIA

HEXAL AG

CUTIE X 6 BLIST. AL/PVC X 10 CAPS.

P-6L

GERMANIA CUTIE X 3 BLIST. AL/PP X 10 COMPR. FILM. P-6L

LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. X 10 COMPR. FILM. P-6L

IPSEN BIOTECH
HEXAL AG

GERMANIA CUTIE X 3 BLIST. AL/PP X 10 COMPR. FILM. P-6L

DR. WILLMAR SCHWABE GMBH & CO KG

GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L

DR. WILLMAR SCHWABE GMBH & CO KG

GERMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L

BMF PHARM S.R.L.


BMF PHARM S.R.L.
BMF PHARM S.R.L.
BIOFARM S.A.
HEXAL AG
BIOFARM S.A.

FRANTA

CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM.

ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.


ROMANIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.
ROMANIA CUTIE X 9 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM.

P-6L

P-6L
P-6L
P-6L
P-6L

GERMANIA CUTIE X 3 BLIST. AL/PP X 10 COMPR. FILM. P-6L

ROMANIA

Pagina 35 din 205

CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

5
28
56
56
28
30
28
28
28
30
28
30
28
28
28
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
25
20
30
20
10
20
60
20
60
60
30
30
30
30
50
20
20
60
90
30
30
30

148.01
158.35
237.45
257.30
158.35
21.54
32.11
13.08
32.11
25.56
19.98
32.76
43.29
26.27
43.29
41.13
27.61
5.67
7.92
183.41
183.41
27.57
50.79
13.30
13.30
47.75
32.06
32.06
6.69
6.69
13.94
8.97
32.00
21.34
9.15
6.02
64.42
9.48
27.18
44.75
33.34
13.57
22.90
12.33
23.10
9.21
9.08
26.30
36.29
12.16
23.24
22.90

Pret
amanuntul
maximal/UT
(RON)

29.602000
5.655357
4.240178
4.594642
5.655357
0.718000
1.146785
0.467142
1.146785
0.852000
0.713571
1.092000
1.546071
0.938214
1.546071
1.371000
0.920333
0.189000
0.264000
6.113666
6.113666
0.919000
1.693000
0.443333
0.443333
1.591666
1.068666
1.068666
0.223000
0.223000
0.557600
0.448500
1.066666
1.067000
0.915000
0.301000
1.073666
0.474000
0.453000
0.745833
1.111333
0.452333
0.763333
0.411000
0.462000
0.460500
0.454000
0.438333
0.403222
0.405333
0.774666
0.763333

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

29.602000
3.234106
3.234106
4.594642
4.851160
0.718000
0.861813
0.467142
0.861813
0.852000
0.713571
1.092000
1.546071
0.938214
1.546071
1.292721
0.920333
0.146250
0.264000
3.821041
6.113666
0.569099
1.138199
0.379399
0.379399
1.138199
1.068666
1.068666
0.189699
0.189699
0.379399
0.379399
1.066666
1.067000
0.906000
0.301000
1.073666
0.387333
0.387333
0.745833
1.111333
0.387333
0.387333
0.387333
0.387333
0.387333
0.387333
0.387333
0.387333
0.387333
0.774666
0.763333

14.801000
1.617053
1.617053
2.297321
2.425580
0.359000
0.430906
0.233571
0.430906
0.426000
0.356785
0.546000
0.773035
0.469107
0.773035
0.646360
0.460166
0.073125
0.132000
1.910520
3.056833
0.284549
0.569099
0.189699
0.189699
0.569099
0.534333
0.534333
0.094849
0.094849
0.189699
0.189699
0.533333
0.533500
0.453000
0.150500
0.536833
0.193666
0.193666
0.372916
0.555666
0.193666
0.193666
0.193666
0.193666
0.193666
0.193666
0.193666
0.193666
0.193666
0.387333
0.381666

Nr. crt

cod ATC

DCI

218 C07AB12

GINKGO BILOBA**
GINKGO BILOBA**
DIOSMINUM (COMBINATII)**
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM

219 C07BB07

COMBINATII (BISOPROLOLUM+HYDROCHLOROTHIAZIDUM)

220 C07BB07

COMBINATII (BISOPROLOLUM+HYDROCHLOROTHIAZIDUM)

221 C07BB07

COMBINATII (BISOPROLOLUM+HYDROCHLOROTHIAZIDUM)

202 C04AXN1
203 C04AXN1
204 C05CA53
205 C07AB12
206 C07AB12
207 C07AB12
208 C07AB12
209 C07AB12
210 C07AB12
211 C07AB12
212 C07AB12
213 C07AB12
214 C07AB12
215 C07AB12
216 C07AB12
217 C07AB12

222 C07EBN1 COMBINATII (METOPROLOLUL+FELODIPINUM)


223 C08CA09
224 C08CA13
225 C08CA13
226 C08CA13
227 C08CA13
228 C08CA13
229 C08CA13
230 C08CA13
231 C08CA13
232 C08CA13
233 C08CA13
234 C08CA13
235 C08CA13
236 C08CA13
237 C09AA04
238 C09AA04
239 C09AA04
240 C09AA04
241 C09AA04
242 C09AA04
243 C09AA04
244 C09AA04
245 C09AA04
246 C09AA04
247 C09AA04
248 C09AA04
249 C09AA04
250 C09AA04
251 C09AA04
252 C09AA04
253 C09AA04

LACIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM

Denumire Comerciala
GINKGO BILOBA BIOFARM 80 mg (vezi N06DX02)

forma farm. concentratie


Detinator APP
COMPR. FILM. 80mg
BIOFARM S.A.

40mg/ml
DETRALEX ( R )
COMPR. FILM. 500mg
EZOCEM 5 mg
COMPR
5mg
EZOCEM 5 mg
COMPR
5mg
NEBLOTENSOL 5 mg
COMPR.
5 mg
NEBILET (R)
COMPR.
5mg
NEBIVOLOL ACTAVIS 5 mg COMPR.
5mg
NEBACOP 5 mg
COMPR.
5mg
NEBACOP 5 mg
COMPR.
5mg
X-PRESSOL 5 mg
COMPR.
5mg
NOLET 5 mg
COMPR.
5mg
NEBIVOLOL TEVA 5 mg
COMPR.
5mg
NEBIVOLOL TEVA 5 mg
COMPR.
5mg
VOXNEBIN 5 mg
COMPR.
5mg
NEBINORM 5 mg
COMPR.
5mg
NEBICARD 5 mg
COMPR.
5mg
LODOZ 10 mg/6,25mg
COMPR. FILM. 10 mg/6,25mg
LODOZ 2,5mg/6,25mg
COMPR. FILM. 2,5mg/6,25mg
LODOZ 5mg/6,25mg
COMPR. FILM. 5mg/6,25mg
LOGIMAX (R)
COMPR. ELIB. PREL. 50mg+5mg
LACIPIL 4 mg
COMPR. FILM. 4mg
LERIDIP
COMPR. FILM. 10mg
LERCANIDIPIN ACTAVIS 10 mg COMPR. FILM. 10mg
LERCANIDIPIN ACTAVIS 10 mg COMPR. FILM. 10mg
LERIDIP
COMPR. FILM. 10mg
LERPIN 10 mg
COMPR. FILM. 10mg
KAPIDIN10 mg
COMPR. FILM. 10mg
PEGFEL 10 mg
COMPR. FILM. 10mg
LERIDIP 20
COMPR. FILM. 20mg
LERCANIDIPIN ACTAVIS 20 mg COMPR. FILM. 20mg
LERCANIDIPIN ACTAVIS 20 mg COMPR. FILM. 20mg
LERIDIP 20
COMPR. FILM. 20mg
LERPIN 20 mg
COMPR. FILM. 20mg
PEGFEL 20 mg
COMPR. FILM. 20mg
PRENESSA 2 mg
COMPR.
2mg
PERYL 2 mg
COMPR.
2mg
PRICORON 4 mg
COMPR.
4 mg
COVEREX (R) 4 mg
COMPR.
4mg
PERINDOPRIL TEVA 4 mg COMPR.
4mg
VIDOTIN 4 mg
COMPR.
4mg
STOPRESS 4 mg
COMPR.
4mg
TREZEN 4 mg
COMPR.
4mg
TREZEN 4 mg
COMPR.
4mg
PRENESSA 4 mg
COMPR.
4mg
PRINDEX 4 mg
COMPR.
4mg
PERYL 4 mg
COMPR.
4mg
PRESTPRIL 4 mg
COMPR.
4mg
PRICORON 8 mg
COMPR.
8 mg
PERINDOPRIL TEVA 8 mg COMPR.
8mg
VIDOTIN 8 mg
COMPR.
8mg
PRENESSA 8 mg
COMPR.
8mg
TANAKAN (EGB 761) (C04AXN1)

PICATURI ORALE-SOL.

tara det.
APP
ROMANIA

FRANTA
LES LAB. SERVIER IND. FRANTA
OZONE LABORATORIES BV OLANDA
BEAUFOUR IPSEN PHARMA

Ambalaj

Prescriptie

CUTIE CU 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L


CUTIE X 1 FLACON DE STICLA BRUNA X 30 ML + 1 PIPETA DIN POLIETILENA

P-6L

CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM.

P-6L

CUTIE X 28 COMPR. IN BLIST. PVC-PE-PVDC/AL P-6L

OZONE LABORATORIES PHARMA S.A.

ROMANIA

LANNACHER HEILMITTEL GES.M.B.H.

AUSTRIA CUTIE CU BLIST. PVC/AL X 30 COMPR.

BERLIN CHEMIE AG MENARINI GROUP

GERMANIA CUTIE X 4 BLIST. AL/PVC X 7 COMPR. P-6L

CUTIE X 28 COMPR. IN BLIST. PVC-PE-PVDC/AL P-6L

ACTAVIS S.R.L.

ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.


JUST BUSINESS SRL ROMANIA CUTIE X 2 BLIST. PVC/AL X 14 COMPR.
JUST BUSINESS SRL ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR.
LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR.
ANTIBIOTICE S.A.
ROMANIA CUTIE X 3 BLIST. PVC- PE- PVDC/AL X 10 COMPR.
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR.
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR.
SANDOZ S.R.L.
ROMANIA CUTIE CU BLIST. PVC/AL X 28 COMPR.
GLENMARK PHARMACEUTICALS SRL

CEHIA

P-6L
P-6L
P-6L
P-6L
P-RF

P-6L
P-6L
P-6L
P-6L

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L

BIOFARM SP.ZO.O POLONIA


MERCK KGAA
GERMANIA
MERCK KGAA
GERMANIA
MERCK KGAA
GERMANIA
ASTRAZENECA AB SUEDIA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR.

CUTIE X 1 FLAC. PVC X 30 COMPR. ELIB. PREL.

P-6L

GLAXO OPERATIONS UK LTD.

MAREA BRITANIE

CUTIE X 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM.

P-6L

BERLIN CHEMIE AG MENARINI GROUP

GERMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR.FILM.

P-6L

ACTAVIS GROUP PTC EHF.

CUTIE CU BLIST. AL/PVC X 28 COMPR. FILM.

P-6L

ACTAVIS GROUP PTC EHF.

ISLANDA
ISLANDA

CUTIE CU BLIST. AL/PVC X 30 COMPR. FILM.

P-6L

BERLIN CHEMIE AG MENARINI GROUP

GERMANIA CUTIE X 4 BLIST. AL/PVC X 15 COMPR.FILM.

P-6L

TORRENT PHARMA S.R.L.

ROMANIA

CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM.

P-6L

ZENTIVA K.S.

REPUBLICA CEHA

CUTIE CU BLIST. AL/PVC X 30 COMPR. FILM.

P-6L

DR. REDDY'S LABORATORIES

ROMANIA

CUTIE CU BLIST. PVC-PVCDC/AL X 28 COMPR. FILM. P -6L

BERLIN CHEMIE AG MENARINI GROUP

GERMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM.

P-6L

ACTAVIS GROUP PTC EHF.

CUTIE CU BLIST. AL/PVC X 28 COMPR. FILM.

P-6L

ACTAVIS GROUP PTC EHF.

ISLANDA
ISLANDA

CUTIE CU BLIST. AL/PVC X 30 COMPR. FILM.

P-6L

BERLIN CHEMIE AG MENARINI GROUP

GERMANIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. FILM.

P-6L

CUTIE X 3 BLIST. PP/AL X 10 COMPR. FILM. P-6L


CUTIE X 3 BLIST. PP/AL X 10 COMPR. FILM. P-6L

ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM.


DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC-PVCDC/AL X 28 COMPR. FILM.
KRKA POLSKA SP. Z.O.O. POLONIA CUTIE CU 1 BLIST. DIN PVC-PE-PVDC/AL X 30 COMPR.
ICN POLFA RZESZOW S.A. POLONIA CUTIE CU BLIST. AL/AL X 30 COMPR.
ZENTIVA K.S.
REPUBLICA SLOVACA CUTIE CU BLIST. AL/AL X 30 COMPR.
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 BLIST. AL/PVC X 30 COMPR.
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 PUNGA DIN AL X 1 BLIST. PVC/VMCH-AL X 30 COMPR.
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR.
PHARMACEUTICAL WORKS POLPHARMA SA POLONIA CUTIE CU BLIST. ACLAR-PVC/AL X 30 COMPR. FILM.
TERAPIA S.A.
ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR.
TERAPIA S.A.
ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR.
KRKA POLSKA SP. Z.O.O. POLONIA CUTIE CU 1 BLIST. PVC-PE-PVDC/AL X 30 COMPR.
GLENMARK PHARMACEUTICALS SRL REPUBLICA SLOVACA CUTIE CU BLIST. AL/AL X 30 COMPR.
ICN POLFA RZESZOW S.A. POLONIA CUTIE CU BLIST. AL/AL X 30 COMPR.
LABORMED PHARMA S.A. ROMANIA CUTIE CU 3 BLIST. AL/AL X 10 COMPR.
ZENTIVA K.S.
REPUBLICA SLOVACA CUTIE CU BLIST. AL/AL X 30 COMPR.
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 PUNGA DIN AL X 1 BLIST PVC/VMCH-AL X 30 COMPR.
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR.
KRKA POLSKA SP ZO.O. POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR.
TORRENT PHARMA S.R.L.

Pagina 36 din 205

P-6L

CUTIE X 3 BLIST. PP/AL X 10 COMPR. FILM. P-6L

P-6L
P -6L

P-6L

P6L
P6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L

P6L
P6L
P6L
P-6L
P-6L
P-6L

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

60
1
30
28
28
30
28
30
28
30
30
30
28
30
28
30
28
30
30
30
30
14
28
28
30
60
28
30
28
28
28
30
60
28
28
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30

44.32
24.59
26.09
25.24
25.24
26.76
34.15
27.04
25.22
27.04
26.76
26.56
22.54
24.14
13.67
26.92
25.21
29.12
29.12
25.98
44.02
12.65
63.22
16.38
17.55
39.59
40.77
17.55
21.49
71.12
26.13
28.00
63.98
47.98
33.58
13.28
13.36
24.65
28.67
32.57
33.07
16.41
25.56
25.56
26.56
26.59
14.73
25.56
44.99
52.80
52.82
48.86

Pret
amanuntul
maximal/UT
(RON)

0.738666
24.590000
0.869666
0.901428
0.901428
0.892000
1.219642
0.901333
0.900714
0.901333
0.892000
0.885333
0.805000
0.804666
0.488214
0.897333
0.900357
0.970666
0.970666
0.866000
1.467333
0.903571
2.257857
0.585000
0.585000
0.659833
1.456071
0.585000
0.767500
2.540000
0.933214
0.933333
1.066333
1.713571
1.199285
0.442666
0.445333
0.821666
0.955666
1.085666
1.102333
0.547000
0.852000
0.852000
0.885333
0.886333
0.491000
0.852000
1.499666
1.760000
1.760666
1.628666

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

0.738666
24.590000
0.869666
0.878913
0.878913
0.878913
0.878913
0.878913
0.878913
0.878913
0.878913
0.878913
0.805000
0.804666
0.488214
0.878913
0.878913
0.918333
0.918333
0.866000
1.467333
0.571349
0.571349
0.571349
0.571349
0.571349
0.571349
0.571349
0.571349
1.142699
0.933214
0.933333
1.066333
1.142699
1.142699
0.201089
0.201089
0.402179
0.402179
0.402179
0.402179
0.402179
0.402179
0.402179
0.402179
0.402179
0.402179
0.402179
0.804358
0.804358
0.804358
0.804358

0.369333
12.295000
0.434833
0.439456
0.439456
0.439456
0.439456
0.439456
0.439456
0.439456
0.439456
0.439456
0.402500
0.402333
0.244107
0.439456
0.439456
0.459166
0.459166
0.433000
0.733666
0.285674
0.285674
0.285674
0.285674
0.285674
0.285674
0.285674
0.285674
0.571349
0.466607
0.466666
0.533166
0.571349
0.571349
0.100544
0.100544
0.201089
0.201089
0.201089
0.201089
0.201089
0.201089
0.201089
0.201089
0.201089
0.201089
0.201089
0.402179
0.402179
0.402179
0.402179

Nr. crt

cod ATC

254 C09AA04
255 C09AA04
256 C09AA04
257 C09AA04
258 C09AA04
259 C09AA04
260 C09AA04
261 C09AA04
262 C09AA07
263 C09AA07
264 C09AA07
265 C09AA10
266 C09AA10
267 C09AA10
268 C09AA10
269 C09AA10
270 C09AA10
271 C09AA10
272 C09AA10
273 C09AA10
274 C09AA15
275 C09AA15

DCI

PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
BENAZEPRILUM
BENAZEPRILUM
BENAZEPRILUM
TRANDOLAPRILUM
TRANDOLAPRILUM
TRANDOLAPRILUM
TRANDOLAPRILUM
TRANDOLAPRILUM
TRANDOLAPRILUM
TRANDOLAPRILUM
TRANDOLAPRILUM
TRANDOLAPRILUM
ZOFENOPRILUM
ZOFENOPRILUM

276 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)


277 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)
278 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)
279 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)
280 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)
281 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)
282 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)
283 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)
284 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)
285 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)
286 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)
287 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)
288 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)
289 C09BA06

COMBINATII (QUINAPRILUM+HYDROCHLOROTHIAZIDUM)

290 C09BA06

COMBINATII (QUINAPRILUM+HYDROCHLOROTHIAZIDUM)

291 C09BA06

COMBINATII (QUINAPRILUM+HYDROCHLOROTHIAZIDUM)

292 C09BA09

COMBINATII (FOSINOPRILUM+HYDROCHLOROTHIAZIDUM)

293 C09BB02 COMBINATII (NITRENDIPINUM+ENALAPRILUM)


294 C09BB10 COMBINATII (VERAPAMILUM+TRANDOLAPRILUM)
295 C09CA03
296 C09CA03
297 C09CA03
298 C09CA03
299 C09CA03
300 C09CA03
301 C09CA03
302 C09CA03
303 C09CA03
304 C09CA03
305 C09CA03

VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM

Denumire Comerciala

STOPRESS 8 mg
TREZEN 8 mg
TREZEN 8 mg
PRINDEX 8 mg
PERYL 8 mg
PRESTPRIL 8 mg
PRESTARIUM 10 mg
PRESTARIUM 5 mg
CIBACEN (R) 10 mg
CIBACEN (R) 20 mg
CIBACEN (R) 5 mg
GOPTEN (R) 0,5 mg
FEZZOR 0,5 mg
FEZZOR 1 mg
GOPTEN (R) 2 mg

forma farm.

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

CAPS.
CAPS.
CAPS.
CAPS.
TRANDOLAPRIL GALEX 2 mg CAPS.
FEZZOR 2 mg
CAPS.
GOPTEN (R) 4 mg
CAPS.
TRANDOLAPRIL GALEX 4 mg CAPS.
FEZZOR 4 mg
CAPS.
ZOMEN (R) 30 mg
COMPR. FILM.
ZOMEN (R) 7,5 mg
COMPR. FILM.
PRINDEX PLUS 2 mg/0,625 mg COMPR.
CO-PRENESSA 2mg/0,625 mg COMPR.
INDAPRIL 2 mg/0,625 mg
COMPR.
PRICORON COMBI 2 mg/0,625 mg COMPR.
PRINDEX PLUS 4 mg/1,25mg COMPR.
INDAPRIL 4 mg/1,25 mg
COMPR.
PRICORON COMBI 4 mg/1,25 mg COMPR.
CO-PRENESSA 4mg/1,25 mg COMPR.
CO-PRENESSA 8 mg/2,5mg COMPR.
NOLITERAX 10 mg/2,5mg
COMPR. FILM.

concentratie

8mg
8mg
8mg
8mg
8mg
8mg
10 mg
5mg
10mg
20mg
5mg
0,5mg
0,5mg
1mg
2mg
2mg
2mg
4mg
4mg
4mg
30mg
7,5mg

Detinator APP
PHARMACEUTICAL WORKS POLPHARMA SA

TERAPIA S.A.
TERAPIA S.A.
GLENMARK PHARMACEUTICALS SRL

ICN POLFA RZESZOW S.A.

LABORMED PHARMA S.A.

P-6L
P-6L

NOVARTIS PHARMA GMBH

P-6L

ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. X 10 CAPS.

P-6L

ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS.


LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS.

P-6L

LABORMED PHARMA S.A.

P-6L

ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. X 14 CAPS.


P-6L
GALEX D.D
SLOVENIA CUTIE CU BLIST. PVC-PE-PVCD/AL X 28 CAPS. P-6L
LABORMED PHARMA S.A.

ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS.

P-6L

ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. X 14 CAPS.


P-6L
GALEX D.D
SLOVENIA CUTIE CU BLIST. PVC-PE-PVCD/AL X 28 CAPS. P-6L
LABORMED PHARMA S.A.

ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS.

P-6L

MENARINI INTERNATIONAL OPERATIONS LUXEMBURG S.A.

LUXEMBURG

P-6L

MENARINI INTERNATIONAL OPERATIONS LUXEMBURG S.A.

LUXEMBURG

CUTIE X 4 BLIST. X 7 COMPR. FILM.


CUTIE X 4 BLIST. X 7 COMPR. FILM.

2 mg/0,625mg

GLENMARK PHARMACEUTICALS SRL

REPUBLICA SLOVACA

CUTIE CU 1 BLIST. PVC/PVDC-AL IN AMBALAJ DE AL X 30 (30X1) COMPR.

2mg/0,625mg
2mg/0,625mg
2mg/0,625mg
4 mg/1,25mg
4mg+1.25mg
4mg+1.25mg

KRKA POLSKA SP ZO.O. POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. P-6L


LABORMED PHARMA S.A.

P-6L

P6L

ROMANIA CUTIE CU 3 BLIST. AL/AL X 10 COMPR. P6L


CUTIE CU BLIST. AL/AL X 30 COMPR. P6L

ZENTIVA K.S.

REPUBLICA SLOVACA

GLENMARK PHARMACEUTICALS SRL

REPUBLICA SLOVACA

CUTIE CU 1 BLIST. PVC/PVDC-AL IN AMBALAJ DE AL X 30 (30X1) COMPR.

P6L

ROMANIA CUTIE CU 3 BLIST. AL/AL X 10 COMPR. P6L


ZENTIVA K.S.
REPUBLICA SLOVACA CUTIE CU BLIST. AL/AL X 30 COMPR.
P6L
4mg/1,25mg KRKA POLSKA SP ZO.O. POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. P-6L
8mg/2,5mg PHARMA-REGIST
UNGARIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-6L
LABORMED PHARMA S.A.

10mg/2,5mg LES LAB. SERVIER FRANTA


FRANTA
5mg/1,25mg LES LABORATOIRES SERVIER FRANTA
5mg/1,25mg LES LABORATOIRES SERVIER FRANTA

20mg+10mg GALENICA S.A.


180mg/2mg ABBOTT GMBH&CO.KG
160mg
TEVA PHARMACEUTICALS S.R.L.
80mg
TEVA PHARMACEUTICALS S.R.L.
160mg
ZENTIVA K.S.
160mg
ROMASTRU TRADING S.R.L.
160mg
ROMASTRU TRADING S.R.L.
160mg
WORWAG PHARMA GMBH & CO. KG
160mg
WORWAG PHARMA GMBH & CO. KG
160mg
NOVARTIS PHARMA GMBH
160mg
TORRENT PHARMA S.R.L.
320mg
WORWAG PHARMA GMBH & CO. KG
320mg
WORWAG PHARMA GMBH & CO. KG

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
VALSARTAN TORRENT 160 mg COMPR. FILM.
VALSARGAMMA 320 mg
COMPR. FILM.
VALSARGAMMA 320 mg
COMPR. FILM.

CUTIE X 2 BLIST. X 14 COMPR. FILM.


CUTIE X 2 BLIST. X 14 COMPR. FILM.
GERMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM.

NOVARTIS PHARMA GMBH GERMANIA

ENEAS
TARKA
VALSARTAN TEVA 160 mg
VALSARTAN TEVA 80 mg
CORETON 160 mg
WENZELL 80 mg
WENZELL 80 mg
VALSARGAMMA 160 mg
VALSARGAMMA 160 mg
DIOVAN 160 mg

CAPS.
CAPS.

Prescriptie

NOVARTIS PHARMA GMBH GERMANIA

2,5mg/0,625mg LES LABORATOIRES SERVIER

COMPR.FILM.ELIB.MODIF.

Ambalaj

POLONIA CUTIE CU BLIST. ACLAR-PVC/AL X 30 COMPR. FILM. P-6L


ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L
ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L
REPUBLICA SLOVACA CUTIE CU BLIST. AL/AL X 30 COMPR.
P-6L
POLONIA CUTIE CU BLIST. AL/AL X 30 COMPR. P6L
ROMANIA CUTIE CU 3 BLIST. AL/AL X 10 COMPR. P6L

LES LAB. SERVIER IND. FRANTA CUTIE X 1 FLAC. DIN PP X 30 COMPR. FILM. P-6L
LES LAB. SERVIER IND. FRANTA CUTIE X 1 FLAC. DIN PP X 30 COMPR. FILM. P-6L

NOLIPREL ARG 2,5mg/0,625mg COMPR. FILM.


NOLIPREL ARG FORTE 5mg/1,25mg COMPR. FILM.
PRESTARIUM ARG PLUS 5mg/1,25mg COMPR. FILM.
ACCUZIDE
COMPR. FILM.
ACCUZIDE FORTE
COMPR. FILM.
EDOLFIX H 20mg/12,5mg
COMPR. FILM.
MONOTENS HCT 20mg/12,5mg COMPR.

COMPR.

tara det.
APP

10mg/12,5mg PFIZER EUROPE MA EEIG


20mg/12,5mg PFIZER EUROPE MA EEIG
20mg/12,5mg RANBAXY UK LIMITED
20mg/12.5mg PHARMASWISS CESKA REPUBLIKA S.R.O.

CUTIE X 1 FLAC. DIN PP CU CAPAC PEJD CU SILICAGEL X 30 COMPR. FILM.

P-6L

CUTIE X 1 FLAC. DIN PROPILENA X 30 COMPR. FILM. P-6L


CUTIE X 1 FLAC. DIN PROPILENA X 30 COMPR. FILM. P-6L
CUTIE X 1 FLAC. DIN PROPILENA X 30 COMPR. FILM. P-6L

MAREA BRITANIE

CUTIE X 3 BLIST. AL/PVC-AL-OPA X 10 COMPR. FILM. P-6L

MAREA BRITANIE

CUTIE X 3 BLIST. AL/PVC-AL-OPA X 10 COMPR. FILM. P-6L

MAREA BRITANIE

CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.

P-6L

REPUBLICA SLOVACA

CUTIE CU BLIST. AL/AL X 28 COMPR.

P-6L

GRECIA

CUTIE X 3 BLIST. PA-PVC-AL/AL X 10 COMPR. P-6L

GERMANIA

CUTIE X 2 BLIST. AL/PVDC-PVC X 14 COMPR. FILM. CU ELIB. PREL.

P-6L

ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS.


ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS.

P-6L

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.

P-6L

CUTIE CU BLIST. PVC-PE-PVDC/AL-PVDC X 28 COMPR. FILM.

P-6L

CUTIE CU BLIST. PVC-PE-PVDC/AL-PVDC X 30 COMPR. FILM.

P-6L

REPUBLICA SLOVACA

ROMANIA
ROMANIA

P-6L

GERMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L


GERMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 100 COMPR. FILM.

P6L

GERMANIA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.

P-6L

ROMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.

P6L

GERMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L


GERMANIA

Pagina 37 din 205

CUTIE CU BLIST. OPA-AL-PVC/AL X 100 COMPR. FILM.

P6L

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

30
30
30
30
30
30
30
30
28
28
28
20
28
28
28
28
28
28
28
28
28
28
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
28
30
28
28
28
28
28
30
30
100
28
28
30
100

30.51
48.54
48.54
53.37
30.49
48.54
65.03
40.63
43.15
56.63
21.54
9.60
7.84
11.26
27.77
18.04
18.04
46.24
31.05
31.05
43.94
19.46
15.99
15.99
18.49
15.99
29.08
30.82
29.08
29.08
60.45
74.87
56.50
60.90
60.90
21.42
31.20
31.14
20.28
95.39
52.22
32.20
20.03
32.47
65.22
69.91
44.06
131.41
115.23
64.94
160.73
483.99

Pret
amanuntul
maximal/UT
(RON)

1.017000
1.618000
1.618000
1.779000
1.016333
1.618000
2.167666
1.354333
1.541071
2.022500
0.769285
0.480000
0.280000
0.402142
0.991785
0.644285
0.644285
1.651428
1.108928
1.108928
1.569285
0.695000
0.533000
0.533000
0.616333
0.533000
0.969333
1.027333
0.969333
0.969333
2.015000
2.495666
1.883333
2.030000
2.030000
0.714000
1.040000
1.038000
0.724285
3.179666
1.865000
1.150000
0.715357
1.159642
2.329285
2.330333
1.468666
1.314100
4.115357
2.319285
5.357666
4.839900

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

0.804358
0.804358
0.804358
0.804358
0.804358
0.804358
1.005448
0.502724
0.536239
1.072478
0.268119
0.100544
0.100544
0.201089
0.402179
0.402179
0.402179
0.804358
0.804358
0.804358
0.402179
0.100544
0.533000
0.533000
0.616333
0.533000
0.959400
0.959400
0.959400
0.959400
0.959400
0.959400
0.959400
0.959400
0.959400
0.714000
0.959400
0.959400
0.724285
3.179666
1.865000
1.150000
0.715357
1.159642
2.329285
2.330333
1.468666
1.314100
3.366299
2.319285
5.357666
4.839900

0.402179
0.402179
0.402179
0.402179
0.402179
0.402179
0.502724
0.251362
0.268119
0.536239
0.134059
0.050272
0.050272
0.100544
0.201089
0.201089
0.201089
0.402179
0.402179
0.402179
0.201089
0.050272
0.266500
0.266500
0.308166
0.266500
0.479700
0.479700
0.479700
0.479700
0.479700
0.479700
0.479700
0.479700
0.479700
0.357000
0.479700
0.479700
0.362142
1.589833
0.932500
0.575000
0.357678
0.579821
1.164642
1.165166
0.734333
0.657050
1.683149
1.159642
2.678833
2.419950

Nr. crt

cod ATC

306 C09CA03
307 C09CA03
308 C09CA03
309 C09CA03
310 C09CA03
311 C09CA03
312 C09CA03
313 C09CA03
314 C09CA03
315 C09CA03
316 C09CA04
317 C09CA04
318 C09CA04
319 C09CA04
320 C09CA04
321 C09CA04
322 C09CA04
323 C09CA04
324 C09CA04
325 C09CA04
326 C09CA04
327 C09CA04
328 C09CA04
329 C09CA04
330 C09CA04
331 C09CA04
332 C09CA04
333 C09CA04
334 C09CA04
335 C09CA04
336 C09CA04
337 C09CA04
338 C09CA06
339 C09CA06
340 C09CA06
341 C09CA07
342 C09CA07
343 C09CA07
344 C09CA07
345 C09CA07
346 C09CA07
347 C09CA07
348 C09CA07
349 C09CA07
350 C09CA07
351 C09CA07
352 C09CA07
353 C09CA07
354 C09CA07
355 C09CA07
356 C09CA07
357 C09CA07

DCI

VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM

Denumire Comerciala

VALSARGAMMA 40 mg
VALSARGAMMA 40 mg
DIOVAN 40 mg
CORETON 80 mg
WENZELL 80 mg
WENZELL 80 mg
VALSARGAMMA 80 mg
VALSARGAMMA 80 mg
DIOVAN 80 mg
VALSARTAN TORRENT 80 mg

APROVEL 150mg
IRBESARTAN WINTHROP 150mg

IRBESARTAN TERAPIA 150 mg


IRBESARTAN SANDOZ 150 mg

IRBEGAMMA 150 mg
IRBEGAMMA 150 mg
IRPRESTAN 150 mg
IFIRMASTA 150 mg
IRBESARTAN TEVA 150 mg
IRBESARTAN DR. REDDY'S 150 mg

IRBESARTAN TEVA 300 mg


APROVEL 300mg
IRBESARTAN WINTHROP 300mg

IRBESARTAN TERAPIA 300 mg


IRBESARTAN SANDOZ 300 mg

IRBEGAMMA 300 mg
IRBEGAMMA 300 mg
IRPRESTAN 300 mg
IFIRMASTA 300mg
IRBESARTAN DR. REDDY'S 300 mg

IRBEGAMMA 75 mg
IRBEGAMMA 75 mg
ATACAND
ATACAND 32 mg
ATACAND

forma farm.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

COMPR.
COMPR.
COMPR.
TELMISARTAN ACTAVIS 40mg COMPR.
MICARDIS 40 mg
COMPR.
PRITOR 40 mg
COMPR.
TOLURA 40 mg
COMPR.
TEZEO 40 mg
COMPR.
TELMISARTAN ACTAVIS 80mg COMPR.
MICARDIS 80 mg
COMPR.
PRITOR 80 mg
COMPR.
TOLURA 80 mg
COMPR.
TEZEO 80 mg
COMPR.
TELMARK 20 mg
COMPR. FILM.
TELMARK 20 mg
COMPR. FILM.
TELMARK 40 mg
COMPR. FILM.
TELMARK 40 mg
COMPR. FILM.
TANYDON 40 mg
COMPR. FILM.
TELMARK 80 mg
COMPR. FILM.
TELMARK 80 mg
COMPR. FILM.

concentratie

40mg
40mg
40mg
80mg
80mg
80mg
80mg
80mg
80mg
80mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
300 mg
300mg
300mg
300mg
300mg
300mg
300mg
300mg
300mg
300mg
75mg
75mg
16mg
32mg
8mg
40 mg
40mg
40mg
40mg
40mg
80 mg
80mg
80mg
80mg
80mg
20mg
20mg
40mg
40mg
40mg
80mg
80mg

Detinator APP

tara det.
APP

Ambalaj

Prescriptie

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA

NOVARTIS PHARMA GMBH GERMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28COMPR. FILM.

P6L
P6L

ZENTIVA K.S.

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.

P-6L

CUTIE CU BLIST. PVC-PE-PVDC/AL-PVDC X 28 COMPR. FILM.

P-6L

CUTIE CU BLIST. PVC-PE-PVDC/AL-PVDC X 30 COMPR. FILM.

P-6L

REPUBLICA SLOVACA

CUTIE CU BLIST. OPA-AL-PVC/AL X 100 COMPR. FILM.

ROMASTRU TRADING S.R.L.

ROMANIA
ROMANIA

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA

ROMASTRU TRADING S.R.L.

CUTIE CU BLIST. OPA-AL-PVC/AL X 100 COMPR. FILM.

P6L

NOVARTIS PHARMA GMBH GERMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X28COMPR. FILM. P6L

ROMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.

P6L

CUTIE X BLIST PVC/PVDC/AL X 28 COMPR. FILM.

P-6L

SANOFI PHARMA - BRISTOL MYERS SQUIBB

FRANTA
FRANTA

CUTIE X 28 COMPR. FILM. (BLIST. PVC/PVDC/AL)

P-6L

TERAPIA S.A.
SANDOZ S.R.L.

ROMANIA
ROMANIA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.

P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM.

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. PVC-PVDC/AL X 100 COMPR. FILM. P-6L

ACTAVIS GROUP PTC EHF.

ISLANDA

TORRENT PHARMA S.R.L.


SANOFI PHARMA - BRISTOL MYERS SQUIBB

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-6L

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM.

P-6L
P-6L

KRKA ,D.D., NOVO MESTO SLOVENIA CUTIE X BLIST. PVC/PE/PVDC/AL X 28 COMPR. FILM. P-6L

TEVA PHARMA B.V. OLANDA


DR. REDDY'S LABORATORIES

CUTIE X BLIST. PVC/PVDC/AL X 28 COMPR. FILM.

ROMANIA CUTIE CU 2 BLIST. AL/AL X 14 COMPR. FILM.

TEVA PHARMA B.V. OLANDA


SANOFI PHARMA - BRISTOL MYERS SQUIBB
FRANTA
SANOFI PHARMA - BRISTOL MYERS SQUIBB
FRANTA
TERAPIA S.A.
ROMANIA
SANDOZ S.R.L.
ROMANIA

P-6L

P6L

CUTIE X BLIST. PVC/PVDC/AL X 28 COMPR. FILM.

P-6L

CUTIE X BLIST PVC/PVDC/AL X 28 COMPR. FILM.

P-6L

CUTIE X 28 COMPR. FILM. (BLIST. PVC/PVDC/AL)

P-6L

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.

P-6L

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM.

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. PVC-PVDC/AL X 100 COMPR. FILM. P-6L

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM.

P-6L
P-6L

KRKA ,D.D., NOVO MESTO SLOVENIA CUTIE X BLIST. PVC/PE/PVDC/AL X 28 COMPR. FILM. P-6L
DR. REDDY'S LABORATORIES

ROMANIA CUTIE CU 2 BLIST. AL/AL X 14 COMPR. FILM.

P6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM.

P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. PVC-PVDC/AL X 100 COMPR. FILM. P-6L

ASTRAZENECA AB SUEDIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-6L


ASTRAZENECA AB SUEDIA CUTIE X 2 BLIST. AL-PVC/PVDC X 14 COMPR. P-6L
ASTRAZENECA AB SUEDIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-6L
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. AL/AL X 28 COMPR. P6L
BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA CUTIE X 28 COMPR. ( BLIST. PA/AL/PVC)

P-6L

BAYER SCHERING PHARMA AG

GERMANIA

P-6L

CUTIE X 28COMPR.( BLIST. PERFORATE UNIDOZA PA/AL/PVC )

KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST.OPA-AL-PVC/AL X 28 COMPR. P-6L

ZENTIVA, K.S.

REPUBLICA CEHA

ACTAVIS GROUP PTC EHF.

ISLANDA CUTIE CU BLIST. AL/AL X 28 COMPR. P6L

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA CUTIE X 28COMPR. ( BLIST. PA/AL/PVC) P-6L

BAYER SCHERING PHARMA AG

GERMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-6L

CUTIE X 28COMPR.( BLIST. PERFORATE UNIDOZA PA/AL/PVC )

P-6L

KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST.OPA-AL-PVC/AL X 28 COMPR. P-6L

ZENTIVA, K.S.

REPUBLICA CEHA

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-6L

GLENMARK PHARMACEUTICALS SRL

REPUBLICA SLOVACA

CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P6L

GLENMARK PHARMACEUTICALS SRL

REPUBLICA SLOVACA

CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P6L

GLENMARK PHARMACEUTICALS SRL

REPUBLICA SLOVACA

CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P6L

GLENMARK PHARMACEUTICALS SRL

REPUBLICA SLOVACA

CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P6L

GEDEON RICHTER ROMANIA SA

ROMANIA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P6L

GLENMARK PHARMACEUTICALS SRL

REPUBLICA SLOVACA

CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P6L

GLENMARK PHARMACEUTICALS SRL

REPUBLICA SLOVACA

CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P6L

Pagina 38 din 205

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

30
100
28
28
28
30
30
100
28
28
28
28
28
28
30
100
30
28
28
28
28
28
28
28
28
30
100
30
28
28
30
100
28
28
28
28
28
28
28
30
28
28
28
28
30
28
30
28
30
30
28
30

45.14
131.01
71.06
33.59
46.82
50.19
40.93
123.47
90.80
46.45
65.97
44.36
53.93
33.10
47.54
142.67
33.10
36.92
33.10
44.42
56.83
87.05
59.57
70.44
64.09
63.82
191.60
48.07
59.57
59.57
42.75
130.73
65.96
116.02
55.44
38.99
59.99
63.35
38.99
41.77
52.37
76.51
76.51
52.37
56.10
29.85
31.97
38.99
41.78
41.78
52.37
56.11

Pret
amanuntul
maximal/UT
(RON)

1.504666
1.310100
2.537857
1.199642
1.672142
1.673000
1.364333
1.234700
3.242857
1.658928
2.356071
1.584285
1.926071
1.182142
1.584666
1.426700
1.103333
1.318571
1.182142
1.586428
2.029642
3.108928
2.127500
2.515714
2.288928
2.127333
1.916000
1.602333
2.127500
2.127500
1.425000
1.307300
2.355714
4.143571
1.980000
1.392500
2.142500
2.262500
1.392500
1.392333
1.870357
2.732500
2.732500
1.870357
1.870000
1.066071
1.065666
1.392500
1.392666
1.392666
1.870357
1.870333

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

0.841574
0.841574
0.841574
1.199642
1.672142
1.673000
1.364333
1.234700
1.683149
1.658928
1.683149
1.584285
1.683149
1.182142
1.584666
1.426700
1.103333
1.318571
1.182142
1.586428
2.029642
3.108928
2.127500
2.515714
2.288928
2.127333
1.916000
1.602333
2.127500
2.127500
0.841574
0.841574
2.355714
4.143571
1.683149
1.392500
1.683149
1.683149
1.392500
1.392333
1.870357
2.732500
2.732500
1.870357
1.870000
0.841574
0.841574
1.392500
1.392666
1.392666
1.870357
1.870333

0.420787
0.420787
0.420787
0.599821
0.836071
0.836500
0.682166
0.617350
0.841574
0.829464
0.841574
0.792142
0.841574
0.591071
0.792333
0.713350
0.551666
0.659285
0.591071
0.793214
1.014821
1.554464
1.063750
1.257857
1.144464
1.063666
0.958000
0.801166
1.063750
1.063750
0.420787
0.420787
1.177857
2.071785
0.841574
0.696250
0.841574
0.841574
0.696250
0.696166
0.935178
1.366250
1.366250
0.935178
0.935000
0.420787
0.420787
0.696250
0.696333
0.696333
0.935178
0.935166

cod ATC

DCI

358 C09CA07

TELMISARTANUM

359 C09DA01

COMBINATII (LOSARTANUM+HYDROCHLOROTHIAZIDUM)

360 C09DA01

COMBINATII (LOSARTANUM+HYDROCHLOROTHIAZIDUM)

361 C09DA01

COMBINATII (LOSARTANUM+HYDROCHLOROTHIAZIDUM)

362 C09DA01

COMBINATII (LOSARTANUM+HYDROCHLOROTHIAZIDUM)

363 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

364 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

365 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

366 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

367 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

368 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

369 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

370 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

371 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

372 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

373 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM)

374 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM)

375 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM)

376 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM)

Nr. crt

377 C09DB01 COMBINATII ( VALSARTANUM+AMLODIPINUM)


378 C09DB01 COMBINATII ( VALSARTANUM+AMLODIPINUM)
379 C09DB01 COMBINATII ( VALSARTANUM+AMLODIPINUM)
380 C09DB01 COMBINATII ( VALSARTANUM+AMLODIPINUM)
381 C09DB01 COMBINATII ( VALSARTANUM+AMLODIPINUM)
382 C09DB01 COMBINATII ( VALSARTANUM+AMLODIPINUM)
383 C10AA04
384 C10AA04
385 C10AA04
386 C10AA05
387 C10AA05
388 C10AA05
389 C10AA05
390 C10AA05
391 C10AA05
392 C10AA05
393 C10AA05
394 C10AA05
395 C10AA05
396 C10AA05
397 C10AA05
398 C10AA05
399 C10AA05
400 C10AA05
401 C10AA05
402 C10AA05
403 C10AA05
404 C10AA05
405 C10AA05
406 C10AA05
407 C10AA05
408 C10AA05
409 C10AA05

FLUVASTATINUM
FLUVASTATINUM
FLUVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM

forma farm.
TANYDON 80 mg
COMPR. FILM.
HYZAAR (R) 50 mg/12,5 mg COMPR. FILM.
LOSARTAN HCT FARMAL 50mg/12,5mg COMPR. FILM.
Denumire Comerciala

tara det.
APP
Ambalaj
80mg
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P6L
50mg+12,5mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM. P-6L
50mg/12,5mg FARMAL INTERNATIONAL S.R.L. ROMANIA CUTIE X 2 BLIST. PVC-PE PCDC/AL X 14 COMPR. FILM. P-6L
concentratie

Detinator APP

Prescriptie

LORISTA HL 100 mg/12,5 mg


LORISTA H
COAPROVEL 150mg/12,5mg
COAPROVEL 300mg/12,5mg

COMPR.FILM 100mg/12,5mg KRKA D.D. NOVO MESTO SLOVENIA


COMPR.FILM 50mg+ 12,50mg KRKA D.D. NOVO MESTO SLOVENIA

MICARDISPLUS 80/12,5mg
MICARDISPLUS 80/25mg
PRITOR PLUS 80mg/12,5mg
PRITOR PLUS 80mg/25mg
EXFORGE 10mg/160mg
EXFORGE 10mg/160mg
EXFORGE 5mg/160mg
EXFORGE 5mg/160mg
EXFORGE 5mg/80mg
EXFORGE 5mg/80mg
LESCOL 20 mg
LESCOL 40 mg
LESCOL XL 80 mg
AMICOR 10 mg
TORVALIPIN 10 mg
SORTIS 10 mg
TORVACARD 10 mg
ATORIS 10 mg
VOREDANIN 10 mg
GLETOR 10 mg
ASCORD 10 mg
ATORGAMMA 10 mg
ATORGAMMA 10 mg
TULIP 10 mg
TULIP 10 mg
ATILEN 10 mg
TORVAZIN 10 mg
XAMARA 10 mg
MODLIP 10 mg
AMICOR 20 mg
TORVALIPIN 20 mg
SORTIS 20 mg
TORVACARD 20 mg
ATORIS 20 mg
VOREDANIN 20 mg
GLETOR 20 mg
ASCORD 20 mg

COMPR.
COMPR.
COMPR.
COMPR.

80/12,5mg
80/25mg

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

COMPR.
COMPR.

150mg/12,5mg
300mg/12,5mg
IRBESARTAN HYDROCHLOROTHIAZIDE WINTHROP 150mg/12,5mg
COMPR. FILM 150mg/12,5mg
IRBESARTAN HYDROCHLOROTHIAZIDE WINTHROP 300mg/12,5mg
COMPR. FILM 300mg/12,5mg
IRPREZIDE 150 mg/12,5 mg COMPR. FILM. 150 mg/12,5 mg
IRBESARTAN/ HYDROCHLOROTHIAZIDE TEVA 150 mg/12,15 mg
COMPR. FILM. 150mg/12,5mg
IRPREZIDE 300 mg/12,5 mg COMPR. FILM. 300 mg/12,5 mg
IRBESARTAN/ HYDROCHLOROTHIAZIDE TEVA 300 mg/12,15 mg
COMPR. FILM. 300 mg/12,5mg
IRPREZIDE 300 mg/25 mg COMPR. FILM. 300 mg/25 mg
COAPROVEL 300mg/25mg COMPR. FILM. 300mg/25mg

CAPS.
CAPS.
COMPR. ELIB. PREL.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM.

P-6L

CUTIE X 2 BLIST. DIN PVC-PVDC/AL X 14 COMPR. FILM.

P-6L

FRANTA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-6L


SANOFI PHARMA - BRISTOL MYERS SQUIBB
FRANTA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-6L
SANOFI PHARMA - BRISTOL MYERS SQUIBB
FRANTA CUTIE X 2 BLIST. PVC/PVDC/AL X 14 COMPR. FILM. P-6L
SANOFI PHARMA - BRISTOL MYERS SQUIBB
FRANTA CUTIE X 2 BLIST. PVC/PVDC/AL X 14 COMPR. FILM. P-6L
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. DIN PVC-PVDC/AL X 30 COMPR. FILM. P6L
TEVA PHARMA B.V. OLANDA CUTIE X BLIST. AL/AL X 28 COMPR. FILM. P-6L
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. DIN PVC-PVDC/AL X 30 COMPR. FILM. P6L
TEVA PHARMA B.V. OLANDA CUTIE X BLIST. AL/AL X 28 COMPR. FILM. P-6L
ACTAVIS GROUP PTC EHF. IRLANDA CUTIE CU BLIST. DIN PVC-PVDC/AL X 30 COMPR. FILM. P6L
SANOFI PHARMA - BRISTOL MYERS SQUIBB
FRANTA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L
SANOFI PHARMA - BRISTOL MYERS SQUIBB

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA CUTIE X 28COMPR. ( BLIST. PA/AL/PVC) P-6L

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA

80mg/12,5mg

BAYER SCHERING PHARMA AG

GERMANIA CUTIE X 28COMPR.( BLIST. PA/AL/PVC PERFORATE) P-6L

80mg/25mg

BAYER SCHERING PHARMA AG

GERMANIA

CUTIE X 28COMPR.( BLIST. PA/AL/PVC SAU PA/PA/AL/PVC/AL PERFORATE UNIDOZA)

10mg/160mg
10mg/160mg

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 56 COMPR. FILM. (BLIST. PVC/PVDC ) P-6L

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 28 COMPR. FILM.(BLIST.PVC/PVDC )

5mg/160mg
5mg/160mg
5mg/80mg
5mg/80mg
20mg
40mg
80mg
10 mg
10 mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
20 mg
20 mg
20mg
20mg
20mg
20mg
20mg
20mg

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 56 COMPR. FILM. (BLIST. PVC/PVDC ) P-6L

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 28 COMPR. FILM. (BLIST. PVC/PVDC ) P-6L

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 56 COMPR. FILM.(BLIST.PVC/PVDC ) P-6L

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 28 COMPR. FILM. (BLIST.PVC/PVDC ) P-6L

CUTIE X 28 COMPR. (BLIST. PA/AL/PVC/AL SAU PA/PA/AL/PVC/AL)

P-6L
P-6L
P-6L

CUTIE X 4 BLIST. AL/AL X 7 CAPS.


CUTIE X 4 BLIST. AL/AL X 7 CAPS.

P-6L

NOVARTIS PHARMA GMBH GERMANIA CUTIE X 4 BLIST. AL/AL X 7 COMPR. ELIB. PREL.

P-6L

NOVARTIS PHARMA GMBH GERMANIA


NOVARTIS PHARMA GMBH GERMANIA

MEDOCHEMIE LTD. CIPRU


ACTAVIS GROUP PTC EHF. ISLANDA

P-6L

CUTIE CU BLIST. DIN AL/AL X 30 COMPR. FILM. P6L


CUTIE CU BLIST. DIN AL/AL X 30 COMPR. FILM. P-6L

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 3 BLIST. X 10 COMPR. FILM.

ZENTIVA K.S.

CEHIA

CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-6L

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPR.FILM.

P-6L
P-6L

LABORMED PHARMA S.A.

ROMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L

GLENMARK PHARMACEUTICALS SRL

REPUBLICA SLOVACA

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L

TERAPIA SA

ROMANIA

CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 100 COMPR. FILM.

P-6L

SANDOZ S.R.L.
SANDOZ S.R.L.

ROMANIA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-6L


ROMANIA CUTIE CU BLIST. AL/AL X 90 COMPR. FILM. P-6L
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-6L
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L
DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L
TORRENT PHARMA S.R.L. ROMANIA
P6L
CUTIE CU BLIST. OPA-AL-PVC/AL CU CAPSULA DIN POLISTIREN ROSU CE CONTINE GRANULE ABSORBANTE X 30 COMP

MEDOCHEMIE LTD. CIPRU


ACTAVIS GROUP PTC EHF. ISLANDA

CUTIE CU BLIST. DIN AL/AL X 30 COMPR. FILM. P6L


CUTIE CU BLIST. DIN AL/AL X 30 COMPR. FILM. P-6L

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 3 BLIST. X 10 COMPR. FILM.

ZENTIVA K.S.

CEHIA

CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-6L

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPR.FILM.

P-6L
P-6L

LABORMED PHARMA S.A.

ROMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L

GLENMARK PHARMACEUTICALS SRL

REPUBLICA SLOVACA

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L

TERAPIA SA

ROMANIA

CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. P-6L

Pagina 39 din 205

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

30
28
28
28
28
28
28
28
28
30
28
30
28
30
28
28
28
28
28
56
28
56
28
56
28
28
28
28
30
30
30
30
30
30
30
30
30
100
30
90
28
30
30
30
30
30
30
30
30
30
30
30

56.11
78.52
29.71
28.97
17.84
82.21
111.00
56.26
72.15
37.96
56.26
45.75
72.15
56.26
111.04
76.51
103.62
78.64
103.62
249.78
127.16
249.78
127.16
212.28
111.93
15.79
28.75
45.70
18.17
16.55
78.27
19.20
19.20
25.30
20.89
32.60
20.69
71.85
20.99
54.80
19.60
18.55
32.60
39.54
26.59
24.27
125.33
29.12
29.11
37.58
31.14
42.32

Pret
amanuntul
maximal/UT
(RON)

1.870333
2.804285
1.061071
1.034642
0.637142
2.936071
3.964285
2.009285
2.576785
1.265333
2.009285
1.525000
2.576785
1.875333
3.965714
2.732500
3.700714
2.808571
3.700714
4.460357
4.541428
4.460357
4.541428
3.790714
3.997500
0.563928
1.026785
1.632142
0.605666
0.551666
2.609000
0.640000
0.640000
0.843333
0.696333
1.086666
0.689666
0.718500
0.699666
0.608888
0.700000
0.618333
1.086666
1.318000
0.886333
0.809000
4.177666
0.970666
0.970333
1.252666
1.038000
1.410666

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

1.870333
1.451324
1.061071
1.034642
0.637142
1.451324
1.451324
1.451324
1.451324
1.265333
1.451324
1.451324
1.451324
1.451324
1.451324
1.451324
1.451324
1.451324
1.451324
4.113214
4.113214
4.113214
4.113214
3.790714
3.997500
0.524908
1.026785
1.632142
0.605666
0.551666
0.787363
0.640000
0.640000
0.787363
0.696333
0.787363
0.689666
0.718500
0.699666
0.608888
0.700000
0.618333
0.787363
0.787363
0.886333
0.809000
1.574727
0.970666
0.970333
1.252666
1.038000
1.410666

0.935166
0.725662
0.530535
0.517321
0.318571
0.725662
0.725662
0.725662
0.725662
0.632666
0.725662
0.725662
0.725662
0.725662
0.725662
0.725662
0.725662
0.725662
0.725662
2.056607
2.056607
2.056607
2.056607
1.895357
1.998750
0.262454
0.513392
0.816071
0.302833
0.275833
0.393681
0.320000
0.320000
0.393681
0.348166
0.393681
0.344833
0.359250
0.349833
0.304444
0.350000
0.309166
0.393681
0.393681
0.443166
0.404500
0.787363
0.485333
0.485166
0.626333
0.519000
0.705333

Nr. crt

cod ATC

410 C10AA05
411 C10AA05
412 C10AA05
413 C10AA05
414 C10AA05
415 C10AA05
416 C10AA05
417 C10AA05
418 C10AA05
419 C10AA05
420 C10AA05
421 C10AA05
422 C10AA05
423 C10AA05
424 C10AA05
425 C10AA05
426 C10AA05
427 C10AA05
428 C10AA05
429 C10AA05
430 C10AA05
431 C10AA05
432 C10AA05
433 C10AA05
434 C10AA05
435 C10AA05
436 C10AA05
437 C10AA05
438 C10AA05
439 C10AA05
440 C10AA05
441 C10AA05
442 C10AA05
443 C10AA07
444 C10AA07
445 C10AA07
446 C10AA07
447 C10AA07
448 C10AA07
449 C10AA07
450 C10AA07
451 C10AA07
452 C10AA07
453 C10AA07
454 C10AA07
455 C10AA07
456 C10AA07
457 C10AA07
458 C10AA07
459 C10AA07
460 C10AA07
461 C10AA07

DCI

ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM

Denumire Comerciala

ATORGAMMA 20 mg
ATORGAMMA 20 mg
TULIP 20 mg
TULIP 20 mg
ATILEN 20 mg
TORVAZIN 20 mg
XAMARA 20 mg
MODLIP 20 mg
AMICOR 40 mg
AMICOR 40 mg
TORVALIPIN 40 mg
SORTIS 40 mg
TORVACARD 40 mg
ATORIS 40 mg
ATORIS 40 mg
VOREDANIN 40 mg
GLETOR 40 mg
ASCORD 40 mg
ATORGAMMA 40 mg
ATORGAMMA 40 mg
TULIP 40 mg
XAMARA 40 mg
TULIP 40 mg
ATILEN 40 mg
TORVAZIN 40 mg
XAMARA 40 mg
MODLIP 40 mg
SORTIS 80 mg
ASCORD 80 mg
XAMARA 80 mg
ATILEN 80 mg
XAMARA 80 mg
MODLIP 80 mg
CRESTOR 10 mg
ROSUCARD 10 mg
ROSUVASTATINA TEVA 10 mg

ROXARDIO 10 mg
ROSTAT 10 mg
ROSWERA 10 mg
CRESTOR 20 mg
ROSUCARD 20 mg
ROSUVASTATINA TEVA 20 mg

ROXARDIO 20 mg
ROSTAT 20 mg
ROSWERA 20 mg
ROSUCARD 40 mg
ROSUVASTATINA TEVA 40 mg

ROSTAT 40 mg
ROSWERA 40 mg
CRESTOR 5 mg
ROSUVASTATINA TEVA 5 mg

ROXARDIO 5 mg

forma farm.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

concentratie

20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
40 mg
40 mg
40 mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
80mg
80mg
80mg
80mg
80mg
80mg
10mg
10mg
10mg
10mg
10mg
10mg
20mg
20mg
20mg
20mg
20mg
20mg
40mg
40mg
40mg
40mg
5mg
5mg
5mg

Detinator APP

tara det.
APP

Ambalaj

Prescriptie

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 100 COMPR. FILM.

P-6L

SANDOZ S.R.L.
SANDOZ S.R.L.

ROMANIA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-6L


ROMANIA CUTIE CU BLIST. AL/AL X 90 COMPR. FILM. P-6L
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-6L
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L
DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L
TORRENT PHARMA S.R.L. ROMANIA
P6L
CUTIE CU BLIST. OPA-AL-PVC/AL CU CAPSULA DIN POLISTIREN ROSU CE CONTINE GRANULE ABSORBANTE X 30 COMP

MEDOCHEMIE LTD. CIPRU


MEDOCHEMIE LTD. CIPRU
ACTAVIS GROUP PTC EHF. ISLANDA

CUTIE CU BLIST. DIN AL/AL X 14 COMPR. FILM. P6L


CUTIE CU BLIST. DIN AL/AL X 30 COMPR. FILM. P6L
CUTIE CU BLIST. DIN AL/AL X 30 COMPR. FILM. P-6L

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 2 BLIST. X 7 COMPR. FILM.

ZENTIVA K.S.

CEHIA

CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-6L

P-6L

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 14 COMPR.FILM.

P-6L

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPR.FILM.

P-6L

LABORMED PHARMA S.A.

ROMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L

GLENMARK PHARMACEUTICALS SRL

REPUBLICA SLOVACA

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L

TERAPIA SA

ROMANIA

CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 100 COMPR. FILM.

P-6L

SANDOZ S.R.L.

ROMANIA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-6L


DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L
SANDOZ S.R.L.
ROMANIA CUTIE CU BLIST. AL/AL X 90 COMPR. FILM. P-6L
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-6L
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L
DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L
TORRENT PHARMA S.R.L. ROMANIA
P6L
CUTIE CU BLIST. OPA-AL-PVC/AL CU CAPSULA DIN POLISTIREN ROSU CE CONTINE GRANULE ABSORBANTE X 30 COMP

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 2 BLIST. X 7 COMPR. FILM.

P-6L

TERAPIA SA

ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. P-6L


DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-6L
DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L
TORRENT PHARMA S.R.L. ROMANIA
P6L
ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 2 BLIST. X 14 COMPR. FILM. P-6L
CUTIE CU BLIST. OPA-AL-PVC/AL CU CAPSULA DIN POLISTIREN ROSU CE CONTINE GRANULE ABSORBANTE X 30 COMP

ZENTIVA K.S.

REPUBLICA CEHA

ROMANIA
SANDOZ S.R.L.
ROMANIA
GEDEON RICHTER PLC. UNGARIA

TEVA PHARMACEUTICALS S.R.L.

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L


CUTIE CU BLIST. PVC-PVAC-AL/OPA-AL-PVC X 30 COMPR. FILM.

P-6L

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-6L


CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L

KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L

ASTRAZENECA UK LTD.

MAREA BRITANIE

CUTIE X 2 BLIST. X 14 COMPR. FILM.

ZENTIVA K.S.

REPUBLICA CEHA

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L

ROMANIA
ROMANIA
GEDEON RICHTER PLC. UNGARIA

P-6L
P-6L

TEVA PHARMACEUTICALS S.R.L.

CUTIE CU BLIST. PVC-PVAC-AL/OPA-AL-PVC X 30 COMPR. FILM.

SANDOZ S.R.L.

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-6L


CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L

KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L

ZENTIVA K.S.

REPUBLICA CEHA

ROMANIA
GEDEON RICHTER PLC. UNGARIA

TEVA PHARMACEUTICALS S.R.L.

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L


CUTIE CU BLIST. PVC-PVAC-AL/OPA-AL-PVC X 30 COMPR. FILM.

P-6L

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L

KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L

ASTRAZENECA UK LTD.

MAREA BRITANIE

TEVA PHARMACEUTICALS S.R.L.

ROMANIA
ROMANIA

SANDOZ S.R.L.

Pagina 40 din 205

CUTIE X 2 BLIST. AL/AL X 14 COMPR. FILM.

P-6L

CUTIE CU BLIST. PVC-PVAC-AL/OPA-AL-PVC X 30 COMPR. FILM.

P-6L

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-6L

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

30
100
30
90
28
30
30
30
14
30
30
14
30
14
30
30
30
30
30
100
30
30
90
28
30
30
30
14
30
30
28
30
30
28
30
30
28
30
30
28
30
30
28
30
30
30
30
30
30
28
30
28

30.29
106.25
30.29
78.57
31.00
28.30
42.32
58.38
28.24
58.56
49.95
54.19
53.08
25.55
52.98
67.63
66.07
56.02
64.69
228.18
61.00
71.67
150.54
60.00
52.07
71.67
71.18
84.91
118.28
118.18
110.39
118.18
118.05
103.79
62.67
52.92
68.68
72.29
52.93
147.62
98.41
91.33
101.18
108.42
91.34
108.42
108.42
108.42
108.42
90.29
49.94
61.81

Pret
amanuntul
maximal/UT
(RON)

1.009666
1.062500
1.009666
0.873000
1.107142
0.943333
1.410666
1.946000
2.017142
1.952000
1.665000
3.870714
1.769333
1.825000
1.766000
2.254333
2.202333
1.867333
2.156333
2.281800
2.033333
2.389000
1.672666
2.142857
1.735666
2.389000
2.372666
6.065000
3.942666
3.939333
3.942500
3.939333
3.935000
3.706785
2.089000
1.764000
2.452857
2.409666
1.764333
5.272142
3.280333
3.044333
3.613571
3.614000
3.044666
3.614000
3.614000
3.614000
3.614000
3.224642
1.664666
2.207500

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

1.009666
1.062500
1.009666
0.873000
1.107142
0.943333
1.410666
1.574727
2.017142
1.952000
1.665000
3.149455
1.769333
1.825000
1.766000
2.254333
2.202333
1.867333
2.156333
2.281800
2.033333
2.389000
1.672666
2.142857
1.735666
2.389000
2.372666
6.065000
3.942666
3.939333
3.942500
3.939333
3.935000
1.574727
1.574727
1.574727
1.574727
1.574727
1.574727
3.149455
3.149455
3.044333
3.149455
3.149455
3.044666
3.614000
3.614000
3.614000
3.614000
0.787363
0.787363
0.787363

0.504833
0.531250
0.504833
0.436500
0.553571
0.471666
0.705333
0.787363
1.008571
0.976000
0.832500
1.574727
0.884666
0.912500
0.883000
1.127166
1.101166
0.933666
1.078166
1.140900
1.016666
1.194500
0.836333
1.071428
0.867833
1.194500
1.186333
3.032500
1.971333
1.969666
1.971250
1.969666
1.967500
0.787363
0.787363
0.787363
0.787363
0.787363
0.787363
1.574727
1.574727
1.522166
1.574727
1.574727
1.522333
1.807000
1.807000
1.807000
1.807000
0.393681
0.393681
0.393681

Nr. crt

cod ATC

462 C10AA07
463 C10AA07
464 C10AB02
465 C10AB08
466 C10AX06
467 C10AX09
468 C10AX09
469 C10BX03
470 C10BX03
471 C10BX03
472 C10BX03
473 C10BX03
474 C10BX03
475 D01AA02
476 D01BA02
477 D01BA02
478 D01BA02
479 D01BA02
480 D01BA02
481 D01BA02
482 D01BA02
483 D01BA02
484 D01BA02
485 D01BA02
486 D01BA02
487 D05AX02
488 D05AX02
489 D05AX02

DCI

ROSUVASTATINUM
ROSUVASTATINUM
BEZAFIBRATUM
CIPROFIBRATUM

ROSTAT 5 mg
ROSWERA 5 mg
REGADRIN (R) B
LIPANOR (R) 100 mg
ACID OMEGA-3-ESTERI ETILICI 90** OMACOR (R)
EZETIMIBUM
EZETROL (R)
EZETIMIBUM
EZETROL (R)
COMBINATII (ATORVASTATINUM+AMLODIPINUM) CADUET 10mg/10mg
COMBINATII (ATORVASTATINUM+AMLODIPINUM) DUPLECOR 10 mg/10 mg
COMBINATII (ATORVASTATINUM+AMLODIPINUM) DUPLECOR 10 mg/5 mg
COMBINATII (ATORVASTATINUM+AMLODIPINUM) DUPLECOR 20 mg/10 mg
COMBINATII (ATORVASTATINUM+AMLODIPINUM) DUPLECOR 20 mg/5 mg
COMBINATII (ATORVASTATINUM+AMLODIPINUM) CADUET 5mg/10mg
NATAMYCINUM
PIMAFUCIN
TERBINAFINUM
EXIFINE 125 mg
TERBINAFINUM
EXIFINE 125 mg
TERBINAFINUM
LAMISIL (R)
TERBINAFINUM
TERBINARAN
TERBINAFINUM
TERBINARAN
TERBINAFINUM
TERBINAFINE 250 mg
TERBINAFINUM
TERBINAFINA SLAVIA 250mg
TERBINAFINUM
TERBINAFINA BIOGALENICA 250 mg
TERBINAFINUM
EXIFINE 250 mg
TERBINAFINUM
EXIFINE 250 mg
TERBINAFINUM
TERBISIL 250 mg
CALCIPOTRIOLUM*
DAIVONEX
CALCIPOTRIOLUM*
DAIVONEX SOLUTIE CUTANATA PENTRU SCALP
CALCIPOTRIOLUM*
DAIVONEX UNGUENT

490 D05AX52 COMBINATII (CALCIPOTRIOLUM+BETAMETHASONUM)*


491 D05AX52 COMBINATII (CALCIPOTRIOLUM+BETAMETHASONUM)*
492 D05BB02
493 D06AX01
494 D06AX01
495 D06BA01
496 D06BB04
497 D06BB04
498 D06BB10
499 D07AB02
500 D07AB02
501 D07AB02
502 D07AB02
503 D07AC13
504 D07AC13
505 D07AC13

ACITRETINUM**
ACIDUM FUSIDICUM
ACIDUM FUSIDICUM
SULFADIAZINUM
PODOPHYLLOTOXINUM*
PODOPHYLLOTOXINUM*
IMIQUIMODUM*
HYDROCORTISONUM BUTYRATUM
HYDROCORTISONUM BUTYRATUM
HYDROCORTISONUM BUTYRATUM
HYDROCORTISONUM BUTYRATUM

MOMETASONUM
MOMETASONUM
MOMETASONUM

506 D07AC14 METHYLPREDNISOLONUM ACEPONAT


507 D07AC14 METHYLPREDNISOLONUM ACEPONAT
508 D07AC14 METHYLPREDNISOLONUM ACEPONAT
509 D07AC17
510 D07AC17
511 D07AD01
512 D07AD01
513 D07AD01

Denumire Comerciala

FLUTICASONUM PROPIONAT
FLUTICASONUM PROPIONAT
CLOBETASOLUM*
CLOBETASOLUM*
CLOBETASOLUM*

tara det.
forma farm. concentratie
APP
Detinator APP
COMPR. FILM. 5mg
GEDEON RICHTER PLC. UNGARIA
COMPR. FILM. 5mg
KRKA D.D. NOVO MESTO SLOVENIA

DRAJ.
CAPS.
CAPS. MOI
COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

CREMA
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
CREMA
SOL. CUT.
UNGUENT
XAMIOL 50 micrograme/ 0,5 mg/g GEL
DAIVOBET (R) UNGUENT
UNGUENT
NEOTIGASON 10 mg
CAPS.
FUCIDIN 20 mg/g
CREMA
FUCIDIN 20 mg/g
UNGUENT
FLAMMAZINE
CREMA
WARTEC 1,5 mg/g
CREMA
CONDYLINE
SOL. CUT.
ALDARA 5%
CREMA
LOCOID (R) crema 0,1%
CREMA
LOCOID (R) LIPOCREAM 0,1% CREMA
LOCOID CRELO (R) 0,1%
EMULSIE CUT.
LOCOID (R)
SOL. CUT.
ELOCOM
CREMA
ELOCOM
SOL. CUT.
ELOCOM
UNGUENT
ADVANTAN
CREMA
ADVANTAN (R) MILK
EMULSIE CUT.
ADVANTAN
UNGUENT
CUTIVATE
CREMA
CUTIVATE
UNGUENT
DERMOVATE 0,5 mg/g
CREMA
DERMOVATE (R)
SOL. CUT.
DERMOVATE
UNGUENT

200mg
100mg
1000mg
10mg
10mg
10mg/10mg
10mg/10mg
10mg/5mg
20mg/10mg
20mg/5mg
5mg/10mg
20mg/g
125mg
125mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
50mcg/g
50mcg/ml
50mcg/g
0,5 mg/g

BERLIN CHEMIE AG MENARINI GROUP

SANOFI-AVENTIS FRANCE
PRONOVA BIOPHARMA NORGE A.S.

Ambalaj

Prescriptie

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L


CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.

CUTIE X 5 BLIST. X 10 DRAJ.


FRANTA CUTIE X 3 BLIST. X 10 CAPS.
NORVEGIA FALC. DIN PEID X 28 CAPS. MOI
GERMANIA

P6L
P-6L
P-6L
P-RF

ROMANIA CUTIE X 1 BLIST. PCTFE/PVC/AL X 14 COMPR.


MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PCTFE/PVC/AL X 14 COMPR.

P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

P-6L

GEDEON RICHTER ROMANIA SA

GEDEON RICHTER ROMANIA SA

ROMANIA
ROMANIA
ROMANIA
ROMANIA

PFIZER EUROPE MA EEIG

MAREA BRITANIE

ASTELLAS EUROPE B.V.

OLANDA CUTIE X 1 TUB DIN AL X 30 G CREMA

P-RF

DR. REDDY'S LABORATORIES

ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 14 COMPR.


ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR.

P-RF

MERCK SHARP & DOHME

GEDEON RICHTER ROMANIA SA


GEDEON RICHTER ROMANIA SA

DR. REDDY'S LABORATORIES

CUTIE X 3 BLIST. PA-AL-PVC/PVC-AL X 10 COMPR. FILM.

P-RF

CUTIE CU BLIST. ALBE, OPACE DIN PA/AL/PVC/AL X 30 COMPR. FILM.

P6L
P6L
P6L
P6L

CUTIE X 3 BLIST. PA-AL-PVC/PVC-AL X 10 COMPR. FILM.

P-6L

CUTIE CU BLIST. ALBE, OPACE DIN PA/AL/PVC/AL X 30 COMPR. FILM.


CUTIE CU BLIST. ALBE, OPACE DIN PA/AL/PVC/AL X 30 COMPR. FILM.
CUTIE CU BLIST. ALBE, OPACE DIN PA/AL/PVC/AL X 30 COMPR. FILM.

P-RF

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 1 BLIST. X 14 COMPR.

RANBAXY UK LIMITED
RANBAXY UK LIMITED

MAREA BRITANIE

CUTIE X 3 BLIST. AL/PVDC-PVC X 10 COMPR. P-RF

MAREA BRITANIE

CUTIE X 4 BLIST. AL/PVDC-PVC X 7 COMPR.

P-RF

P-RF

ACTAVIS GROUP HF ISLANDA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR.


SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. PVC/AL X 7 COMPR.
ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR.

P-RF

P-RF

LEO PHARMACEUTICAL PRODUCTS

ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 14 COMPR.


ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR.
ROMANIA CUTIE CU 2 BLIST. PVC/AL X 14 COMPR.
DANEMARCA CUTIE X 1 TUB DIN AL X 30 G CREMA

LEO PHARMACEUTICAL PRODUCTS

DANEMARCA

CUTIE X 1 FLACON DIN PEID X 30 ML SOL. CUTANATA PENTRU SCALP

P-6L

LEO PHARMACEUTICAL PRODUCTS

DANEMARCA

CUTIE X 1 TUB DIN AL X 30 G UNGUENT P-6L

DR. REDDY'S LABORATORIES


DR. REDDY'S LABORATORIES
GEDEON RICHTER ROMANIA SA

P-RF
P-RF

P-RF
P-RF

P-6L

LEO PHARMACEUTICAL PRODUCTS

DANEMARCA

FARA CONCENTRATIE

LEO PHARMACEUTICAL PRODUCTS

DANEMARCA

CUTIE CU 1 FLAC. PEID X 15 G GEL


CUTIE X 1 TUB X 15 G

10mg
20mg/g
20mg/g
1%
1,5 mg/g
5mg/ml
5%
0,1%
0,1%
0.1%
0,1%
1mg/g
1mg/g
1mg/g
1mg/g
0,1%
1mg/g
0,05%
0,005%
0,5mg/g
0,05%
0,05%

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE X 3 BLIST. AL/PVC-PVDC X 10 CAPS. P-RF

LEO PHARMACEUTICAL PRODUCTS

DANEMARCA

CUTIE X 1 TUB DIN AL X 15 G CREMA

P-RF

LEO PHARMACEUTICAL PRODUCTS

DANEMARCA

CUTIE X 1 TUB DIN AL X 15 G UNGUENT

P-RF

CN UNIFARM

ROMANIA BORCAN X 500 G CREMA


ROMANIA CUTIE X 1 TUB X 5 G CREMA

PRF

OLANDA
SUEDIA
OLANDA
OLANDA
OLANDA
OLANDA
BELGIA
BELGIA
BELGIA

CUTIE X 1 FLACON DIN STICLA BRUNA X 3,5 ML SOL. CUTANATA + 15 DISPOZITIVE DE APLICARE

P-RF

CUTIE X 12 PLICURI DIN POLIESTER/AL X 250 MG CREMA

P-RF

CUTIE X 1 TUB DIN AL X 30 G


CUTIE X 1 TUB DIN AL X 30 G
CUTIE X 1 FLACON X 30 G

P-RF

GLAXOSMITHKLINE (GSK) SRL


ASTELLAS PHARMA EUROPE BV

MEDA AB
ASTELLAS PHARMA EUROPE BV
ASTELLAS PHARMA EUROPE BV
ASTELLAS PHARMA EUROPE BV
ASTELLAS PHARMA EUROPE BV

SCHERING PLOUGH EUROPE


SCHERING PLOUGH EUROPE
SCHERING PLOUGH EUROPE

P-RF
P-RF

P-RF

P-RF
P-RF

CUTIE X 1 FLACON PICURATOR DIN PP X 30 ML P-RF

CUTIE X 1 TUB DIN AL X 15 G

P-RF

CUTIE X 1 FLACON DIN PEID X 20 ML SOL. CUTANATA

P-RF

CUTIE X 1 TUB DIN AL X 15 G

P-RF

INTENDIS GMBH
INTENDIS GMBH
INTENDIS GMBH

GERMANIA CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF

GLAXO WELLCOME UK LIMITED

MAREA BRITANIE

CUTIE X 1 TUB DIN AL X 15 G CREMA

P-RF

GLAXO WELLCOME UK LIMITED

MAREA BRITANIE

CUTIE X 1 TUB DIN AL X 15 G UNGUENT

P-RF

GLAXO WELLCOME UK LTD.

MAREA BRITANIE

CUTIE CU 1 TUB AL X 25 G CREMA

P-RF

GLAXO WELLCOME UK LTD.

MAREA BRITANIE

CUTIE X 1 FLACON CU PICURATOR DIN PP X 25 ML

P-RF

GLAXOWELLCOME UK LTD.

MAREA BRITANIE

CUTIE X 1 TUB X 25 G

P-RF

GERMANIA

CUTIE X 1 TUB X 20 G

P-RF

GERMANIA CUTIE X 1 TUB DIN AL X 15 G UNGUENT P-RF

Pagina 41 din 205

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

30
30
50
30
28
14
28
30
30
30
30
30
30
1
14
28
14
30
28
28
14
28
14
28
28
1
1
1
1
1
30
1
1
1
1
1
12
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

Pret
amanuntul
maximal/UT
(RON)

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

64.01
2.133666
0.787363
49.95
1.665000
0.787363
28.21
0.564200
0.522199
25.36
0.845333
0.845333
98.86
3.530714
3.530714
94.33
6.737857
6.475624
178.87
6.388214
6.388214
80.49
2.683000
1.905499
55.10
1.836666
1.836666
48.25
1.608333
1.608333
70.43
2.347666
1.905499
63.36
2.112000
1.905499
71.77
2.392333
1.905499
12.33 12.330000 12.330000
26.72
1.908571
0.529151
51.00
1.821428
0.529151
86.87
6.205000
1.058303
232.20
7.740000
1.058303
106.18
3.792142
1.058303
29.38
1.049285
1.049285
18.00
1.285714
1.058303
31.62
1.129285
1.058303
16.46
1.175714
1.058303
32.93
1.176071
1.058303
107.50
3.839285
1.058303
42.75 42.750000 39.485000
47.09 47.090000 39.485000
36.22 36.220000 36.220000
80.76 80.760000 66.330000
61.52 61.520000 61.520000
73.87
2.462333
2.462333
15.01 15.010000 15.010000
15.01 15.010000 15.010000
104.34 104.340000 104.340000
84.54 84.540000 45.264642
75.07 75.070000 75.070000
262.32 21.860000 21.860000
12.77 12.770000 12.260000
13.24 13.240000 12.260000
12.65 12.650000 12.260000
11.09 11.090000 11.090000
15.50 15.500000 14.713750
18.57 18.570000 18.570000
15.50 15.500000 14.713750
13.11 13.110000 13.110000
19.38 19.380000 17.480000
13.11 13.110000 13.110000
10.18 10.180000 10.180000
10.18 10.180000 10.180000
11.94 11.940000
6.412500
5.15
5.150000
5.150000
8.80
8.800000
6.412500

0.393681
0.393681
0.261099
0.422666
1.765357
3.237812
3.194107
0.952749
0.918333
0.804166
0.952749
0.952749
0.952749
6.165000
0.264575
0.264575
0.529151
0.529151
0.529151
0.524642
0.529151
0.529151
0.529151
0.529151
0.529151
19.742500
19.742500
18.110000
33.165000
30.760000
1.231166
7.505000
7.505000
52.170000
22.632321
37.535000
10.930000
6.130000
6.130000
6.130000
5.545000
7.356875
9.285000
7.356875
6.555000
8.740000
6.555000
5.090000
5.090000
3.206250
2.575000
3.206250

cod ATC

DCI

514 D07AD01
515 D07AD01

CLOBETASOLUM*
CLOBETASOLUM*

516 D07CA01

COMBINATII (ACIDUM FUSIDICUM+HYDROCORTISONUM)

517 D07CC01

COMBINATII (ACIDUM FUSIDICUM+ BETAMETHASONUM)

Nr. crt

518 D07XC03 COMBINATII (MOMETASONUM + AC. SALICILICUM)


519 D07XC03 COMBINATII (MOMETASONUM + AC. SALICILICUM)
520 D10AD54 COMBINATII (ISOTRETINOINUM + ERITROMICINUM)
521 D10AX03
522 D10AX03
523 D10BA01
524 D10BA01
525 D10BA01
526 G01AA02
527 G01AA51
528 G01AA51
529 G01AA51
530 G01AA51
531 G01AF12
532 G01AF12
533 G01AF12
534 G01AF15

ACIDUM AZELAICUM
ACIDUM AZELAICUM
ISOTRETINOINUM**
ISOTRETINOINUM**
ISOTRETINOINUM**
NATAMYCINUM
COMBINATII
COMBINATII
COMBINATII
COMBINATII
FENTICONAZOLUM
FENTICONAZOLUM
FENTICONAZOLUM
BUTOCONAZOLUM

535 G01AF20 COMBINATII (METRONIDAZOLUM+CLOTRIMAZOLUM)


536 G01AF20 COMBINATII (METRONIDAZOLUM+CLOTRIMAZOLUM)
537 G01AF20 COMBINATII (METRONIDAZOLUM+CLOTRIMAZOLUM)
538 G01AF20 COMBINATII (METRONIDAZOLUM+CLOTRIMAZOLUM)
539 G01AF20 COMBINATII (METRONIDAZOLUM+CLOTRIMAZOLUM)
540 G01AX05
541 G02CB03
542 G02CB03
543 G03AC03
544 G03CA04
545 G03CA04
546 G03CA09
547 G03CA09
548 G03DA04
549 G03DA04
550 G03DA04
551 G03DA04
552 G03DA04
553 G03DA04
554 G03DA04
555 G03DB01
556 G03DC03
557 G03DC05
558 G03FA14
559 G03FA17
560 G03FB01
561 G03FB08
562 G03GA05
563 G03GA05
564 G03GA05
565 G03GA05

NIFURATELUM
CABERGOLINUM*
CABERGOLINUM*
LEVONORGESTRELUM***#
ESTRIOLUM*
ESTRIOLUM*
PROMESTRIENUM*
PROMESTRIENUM*
PROGESTERONUM*
PROGESTERONUM*
PROGESTERONUM*
PROGESTERONUM*
PROGESTERONUM*
PROGESTERONUM*
PROGESTERONUM*
DYDROGESTERONUM*
LYNESTRENOLUM*
TIBOLONUM**
COMBINATII**
COMBINATII**
COMBINATII**
COMBINATII**
FOLLITROPINUM ALFA****#
FOLLITROPINUM ALFA****#
FOLLITROPINUM ALFA****#
FOLLITROPINUM ALFA****#

Denumire Comerciala

forma farm.

DERMIONE
CLOBETASOL MK
FUCIDIN H

UNGUENT
UNGUENT
CREMA
FUCICORT 20 mg/1mg pe gram CREMA
ELOSALIC
UNGUENT
ELOSALIC
UNGUENT
ISOTREXIN GEL
GEL
SKINOREN
CREMA
SKINOREN 150mg/g
GEL
ROACCUTANE 10 mg
CAPS. MOI
SOTRET 10 mg
CAPS. MOI
SOTRET 20 mg
CAPS. MOI
PIMAFUCIN (R)
OVULE
MACMIROR COMPLEX
CAPS. MOI VAG.
POLYGYNAX
CAPS. MOI VAG.
POLYGYNAX
CAPS. MOI VAG.
MACMIROR COMPLEX
CREMA VAG.
LOMEXIN 1000 mg
CAPS. MOI VAG.
LOMEXIN 600 mg
CAPS. MOI VAG.

concentratie

Detinator APP
OZONE LABORATORIES LTD.

FITERMAN PHARMA S.R.L.

CUTIE X 1 TUB DIN AL X 20 G


ROMANIA CUTIE X 1 TUB X 20 G

FARA CONCENTRATIE

LEO PHARMACEUTICAL PRODUCTS

DANEMARCA

GONAL-f 900 UI/1,5ml (66 mcg/1,5 ml)

SOL. INJ. IN STILOU INJECTOR PREUMPLUT

MAREA BRITANIE

20mg/1mg pe gram LEO PHARMACEUTICAL PRODUCTS DANEMARCA

1mg+5mg/gram SCHERING PLOUGH EUROPE


1mg+5mg/gram SCHERING PLOUGH EUROPE

0,05%/0,2%
200mg/g
150mg/g
10mg
10mg
20mg
100mg

BELGIA
BELGIA

Prescriptie

P-RF
P-RF

CUTIE X 1 TUB DIN AL X 15 G CREMA


CUTIE X 1 TUB DIN AL X 15 G CREMA

P-RF

CUTIE X 1 TUB X 15 G
CUTIE X 1 TUB X 45 G
CUTIE X 1 TUB DIN AL X 30 G GEL

P-RF

P-RF

P-RF
P-RF

STIEFEL LABORATORIES IRELAND LTD.

MAREA BRITANIE

INTENDIS GMBH
INTENDIS GMBH

GERMANIA CUTIE X 1 TUB DIN AL X 30 G CREMA P-RF


GERMANIA

ROCHE ROMANIA SRL ROMANIA


RANBAXY U.K. LIMITED MAREA BRITANIE
RANBAXY U.K. LIMITED MAREA BRITANIE
ASTELLAS PHARMA EUROPE BV

500mg/200000UI

SOL. INJ. IN STILOU INJECTOR PREUMPLUT

SOL. INJ. IN STILOU INJECTOR PREUMPLUT

Ambalaj

0,05%
0,05%

POLICHEM SA
FARA CONCENTRATIE LAB. INNOTECH INT.
FARA CONCENTRATIE LAB. INNOTECH INT.
10g/400000UI POLICHEM SA
1000mg
RECORDATI SPA
600mg
RECORDATI SPA
LOMEXIN CREMA VAGINALA CREMA VAG. 2%
RECORDATI SPA
GYNOFORT 2%
CREMA VAG. FARA CONCENTRATIE GEDEON RICHTER ROMANIA SA
MECLODIN
COMPR. VAG. 500mg/200mg ARENA GROUP S.A.
MECLON
CREMA
FARA CONCENTRATIE ALFA WASSERMANN SPA
MECLON
CREMA VAG. FARA CONCENTRATIE ALFA WASSERMAN SPA
MECLON
OVULE
FARA CONCENTRATIE ALFA WASSERMAN SPA
MECLON
SOL. VAGINALA FARA CONCENTRATIE ALFA WASSERMAN SPA
MACMIROR
DRAJ.
200mg
POLICHEM SA
DOSTINEX
COMPR.
0,5mg
PFIZER EUROPE MA EEG
DOSTINEX
COMPR.
0,5mg
PFIZER EUROPE MA EEG
MIRENA 20 mcg/24 h
DISPOZITIV INTRAUTERIN 52mg
BAYER SCHERING PHARMA AG
OVESTIN
CREMA VAG. 0.1%
ORGANON NV
OVESTIN
OVULE
0,5mg
ORGANON NV
COLPOTROPHINE (R)
CAPS. MOI VAG. 10mg
LAB. THERAMEX
COLPOTROPHINE (R)
CREMA VAG. 1%
LAB. THERAMEX
UTROGESTAN (R) 100 mg CAPS. MOI 100mg
LAB. BESINS INTERNATIONAL
AREFAM 100 mg
CAPS. MOI 100mg
LADEE PHARMA KFT.
UTROGESTAN (R) 200 mg CAPS. MOI 200mg
LAB. BESINS INTERNATIONAL
AREFAM 200 mg
CAPS. MOI 200mg
LADEE PHARMA KFT.
LUTINUS 100 mg
COMPR. VAG. 100mg
FERRING GMBH
PROGESTOGEL
GEL
1%
LAB. BESINS INTERNATIONAL
MASTOPROFEN 1%
GEL
1%
ANTIBIOTICE SA
DUPHASTON (R)
COMPR. FILM. 10mg
SOLVAY PHARMACEUTICALS BV
ORGAMETRIL
COMPR.
5mg
ORGANON NV
LIVIAL (R) 2,5 mg
COMPR.
2,5mg
ORGANON NV
FEMOSTON (R) conti 1/5
COMPR. FILM. FARA CONCENTRATIE SOLVAY PHARMACEUTICALS BV
ANGELIQ
COMPR. FILM. FARA CONCENTRATIE BAYER SCHERING PHARMA AG
CYCLO PROGINOVA (R)
DRAJ.
FARA CONCENTRATIE BAYER SCHERING PHARMA AG
FEMOSTON 2/10
COMPR. FILM. FARA CONCENTRATIE SOLVAY PHARMACEUTICALS BV
GONAL - f 75 UI (5,5 mcg)
PULB. + SOLV. PT. SOL. INJ. 75UI
SERONO EUROPE LTD.
GONAL-f 300 UI/0,5 ml ( 22 mcg/0,5 ml)
300UI/0,5ml SERONO EUROPE LTD.
GONAL-f 450 UI/0,75 ml (33 mcg/0,75 ml)

tara det.
APP

450UI/0,75ml SERONO EUROPE LTD.


900UI/0,75ml SERONO EUROPE LTD.

CUTIE X 1 TUB AL X 30 G GEL

P-RF

CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 CAPS. MOI P-RF


CUTIE X 3 BLIST. PE-PVDC-PVC/HARTIE-AL X 10 CAPS. MOI

P-RF

CUTIE X 3 BLIST. PE-PVDC-PVC/HARTIE-AL X 10 CAPS. MOI

P-RF

OLANDA CUTIE X 1 FOLIE X 3 OVULE

P-RF

LUXEMBURG CUTIE X 1 BLIST. AL/PVDC-PVC X 12 CAPS. MOI. VAG.

P-RF

FRANTA
FRANTA

CUTIE X 1 BLIST. AL/PVC X 6 CAPS. MOI VAG. P-RF


CUTIE X 2 BLIST. AL/PVC X 6 CAPS. MOI. VAG. P-RF

LUXEMBURG CUTIE X 1 TUB DIN AL CREMA VAG. X 30 G + APLICATOR

P-RF

ITALIA
ITALIA
ITALIA

CUTIE X 1 BLIST. PVC/PVDC-AL X 1 CAPS. VAG. MOALE

P-RF

CUTIE X 1 TUB AL + APLICATOR X 78 G CREMA

P-RF

CUTIE X 1 APLICATOR PREUMPLUT UNIDOZA DIN PP CU 5 G CREMA VAG.

P-RF

ROMANIA
ROMANIA

ITALIA
ITALIA
ITALIA
ITALIA

CUTIE X 1 BLIST. PVC/PVDC-AL X 2 CAPS. VAG. MOI P-RF

CUTIE X 2 BLIST. TRANSPARENT DIN AL/PVC X 5 COMPR. VAG. P-RF

CUTIE X 1 TUB DIN AL X 30 G

P-RF

CUTIE X 1 TUB DIN AL X 30 G CREMA VAG. + 6 APLICATOARE DIN POLIPROPILENA

P-RF

CUTIE X 2 FOLII PVC-PE X 5 OVULE

P-RF

CUTIE X 5 FLACOANE PVC-PE X 10 ML + 5 FLACOANE PEJD X 130 ML + 5 CANULE

P-RF

CUTIE X 2 BLIST. AL/PVC X 10 DRAJ.

P-RF
P-RF

MAREA BRITANIE

CUTIE X 1 FLAC. X 2 COMPR.


CUTIE X 1 FLAC. X 8 COMPR.

FINLANDA

CUTIE X 1 BLIST. X 1 DISP. PT. ADM. INTRAUTERINA + 1 INSERTOR

P-RF

OLANDA CUTIE X 1 FLACON X 15 G + APLICATOR


OLANDA CUTIE X 3 FOLII X 5 OVULE

P-RF

MONACO CUTIE X 1 BLIST. AL/PVC X 10 CAPS. MOI VAG.


MONACO CUTIE X 1 TUB X 15 G

P-RF

FRANTA CUTIE X 2 BLIST. X 15 CAPS. MOI

P-6L

UNGARIA

P-6L

LUXEMBURG
MAREA BRITANIE

CUTIE X 2 BLIST. PVC-PVDC/AL X 15 COMPR. MOI

P-RF

P-RF

P-RF

FRANTA CUTIE X 2 BLIST. AL/PVC X 7 CAPS. MOI

P-6L

UNGARIA

CUTIE X 2 BLIST. PVC-PVDC/AL X 15 CAPS. MOI

P-6L

GERMANIA

CUTIE CU 7 BLIST. AL/AL X 3 COMPR. VAG. + 1 APLICATOR VAGINAL

P-6L

FRANTA

CUTIE X 1 TUB X 80 G + DISPOZITIV DE MASURA

P-6L

ROMANIA CUTIE X 1 TUB DIN AL X 40 G


OLANDA CUTIE X 1 BLIST. X 20 COMPR. FILM.

P-6L

OLANDA CUTIE X 1 BLIST. X 30 COMPR.


OLANDA CUTIE X 1 BLIST. X 28 COMPR.
OLANDA CUTIE X 1 BLIST. X 28 COMPR. FILM.

P-6L

GERMANIA

P-6L

P-RF
P-RF

CUTIE X 1 BLIST. CALENDARISTIC PVC/AL X 28 COMPR. FILM. P-RF

GERMANIA CUTIE X 1 BLIST. TIP CALENDAR X 21 DRAJEURI P-RF

OLANDA

CUTIE X 1 BLIST. TIP CALENDAR X 28 COMPR. FILM. (14 COMPR.FILM. ROSII-CARAMIZII + 14 COMPR.FILM. GAL

P-RF

MAREA BRITANIE

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. + 1 FLAC. X 1 ML SOLV.

P-RF/R

MAREA BRITANIE

CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT X 0,5 ML SOL. INJ. + 5 ACE PT. ADM.

P-RF/R

MAREA BRITANIE

CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT X 0,75 ML SOL. INJ. + 7 ACE PT. ADM. SUBCUTANATA

P-RF/R

MAREA BRITANIE

CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT X 1,5 ML SOL. INJ. + 14 ACE PT. ADM. SUBCUTANATA

P-RF/R

Pagina 42 din 205

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

1
1
1
1
1
1
1
1
1
30
30
30
3
12
6
12
1
2
1
1
1
10
1
1
10
5
20
2
8
1
1
15
10
1
30
30
14
30
21
1
1
20
30
28
28
28
21
28
1
1
1
1

5.70
8.10
21.48
23.54
20.37
58.14
35.79
33.70
43.94
52.67
32.70
63.52
10.96
37.67
17.26
33.34
35.06
50.61
19.86
35.59
39.81
14.84
9.52
12.71
11.03
21.73
19.34
43.08
122.28
508.33
14.59
20.37
11.94
13.70
29.65
19.26
29.65
37.29
226.30
17.78
5.76
14.21
9.01
71.97
31.28
67.57
7.98
31.28
136.19
522.39
748.22
1,425.63

Pret
amanuntul
maximal/UT
(RON)

5.700000
8.100000
21.480000
23.540000
20.370000
58.140000
35.790000
33.700000
43.940000
1.755666
1.090000
2.117333
3.653333
3.139166
2.876666
2.778333
35.060000
25.305000
19.860000
35.590000
39.810000
1.484000
9.520000
12.710000
1.103000
4.346000
0.967000
21.540000
15.285000
508.330000
14.590000
1.358000
1.194000
13.700000
0.988333
0.642000
2.117857
1.243000
10.776190
17.780000
5.760000
0.710500
0.300333
2.570357
1.117142
2.413214
0.380000
1.117142
136.190000
522.390000
748.220000

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

5.130000
2.565000
5.130000
2.565000
21.480000 10.740000
23.540000 11.770000
19.627500
9.813750
58.140000 29.070000
35.790000 17.895000
33.700000 16.850000
36.260000 18.130000
1.074333
0.537166
1.074333
0.537166
2.117333
1.058666
3.653333
1.826666
2.375916
1.187958
2.375916
1.187958
2.375916
1.187958
35.060000 17.530000
17.241686
8.620843
10.345011
5.172505
26.897030 13.448515
1.724168
0.862084
0.839850
0.419925
9.520000
4.760000
12.710000
6.355000
0.839850
0.419925
0.839850
0.419925
0.967000
0.483500
8.165250
4.082625
8.165250
4.082625
508.330000 254.165000
14.590000
7.295000
1.026075
0.513037
0.410430
0.205215
6.156450
3.078225
0.636875
0.318437
0.636875
0.318437
1.273750
0.636875
1.243000
0.621500
10.776190
5.388095
7.888500
3.944250
5.760000
2.880000
0.710500
0.355250
0.300333
0.150166
2.570357
1.285178
1.117142
0.558571
1.441160
0.720580
0.380000
0.190000
0.507856
0.253928
107.289165 53.644582
429.156662 214.578331
643.734994 321.867497
1,425.630000 1,287.469988 643.734994

Nr. crt

cod ATC

566 G03GA06
567 G03GA06
568 G03GA06
569 G03GA06
570 G03GA06
571 G03GA07
572 G03GA07
573 G03GA07
574 G03GB02
575 G03GB02
576 G03XC01
577 G04BD04
578 G04BD07
579 G04BD07
580 G04BD07
581 G04BD07
582 G04BD07
583 G04BD07
584 G04BD07
585 G04BD07
586 G04BD08
587 G04BD08
588 G04BD08
589 G04BD08
590 G04BD09
591 G04BD09
592 G04BD09
593 G04BD09
594 G04BD09
595 G04BD09
596 G04CA01
597 G04CA01
598 G04CA01
599 G04CA02
600 G04CA02
601 G04CA02
602 G04CA02
603 G04CA02
604 G04CA02
605 G04CA02
606 G04CB01
607 G04CB01
608 G04CB01
609 G04CB01
610 G04CB01
611 G04CB01
612 G04CB01
613 G04CB01
614 G04CB01
615 G04CB02
616 H01AA02
617 H01AC01

DCI

FOLLITROPINUM BETA****#
FOLLITROPINUM BETA****#
FOLLITROPINUM BETA****#
FOLLITROPINUM BETA****#
FOLLITROPINUM BETA****#
LUTROPINUM ALFA****#
LUTROPINUM ALFA****#
LUTROPINUM ALFA****#
CLOMIFENUM
CLOMIFENUM
RALOXIFENUM
OXYBUTYNINUM
TOLTERODINUM**#
TOLTERODINUM**#
TOLTERODINUM**#
TOLTERODINUM**#
TOLTERODINUM**#
TOLTERODINUM**#
TOLTERODINUM**#
TOLTERODINUM**#
SOLIFENACINUM SUCCINATE**#
SOLIFENACINUM SUCCINATE**#
SOLIFENACINUM SUCCINATE**#
SOLIFENACINUM SUCCINATE**#
TROSPIUM
TROSPIUM
TROSPIUM
TROSPIUM
TROSPIUM
TROSPIUM
ALFUZOSINUM
ALFUZOSINUM
ALFUZOSINUM
TAMSULOSINUM
TAMSULOSINUM
TAMSULOSINUM
TAMSULOSINUM
TAMSULOSINUM
TAMSULOSINUM
TAMSULOSINUM
FINASTERIDUM*
FINASTERIDUM*
FINASTERIDUM*
FINASTERIDUM*
FINASTERIDUM*
FINASTERIDUM*
FINASTERIDUM*
FINASTERIDUM*
FINASTERIDUM*
DUTASTERIDUM*
TETRACOSACTIDUM
SOMATROPINUM***#

Denumire Comerciala

PUREGON 100UI/0,5ml
PUREGON 300UI/0,36 ml
PUREGON 50UI/0,5ml
PUREGON 600UI/0,72 ml
PUREGON 900UI/1,08 ml
LUVERIS 75UI
LUVERIS 75UI
LUVERIS 75UI
CLOSTILBEGYT
OVA - MIT
EVISTA 60mg
DRIPTANE ( R ) 5 mg
DETRUSITOL SR 4 mg
DETRUSITOL SR 4 mg
UROFLOW 1
TOLTERODINA ACCORD 1 mg
TOLTERODINA ACCORD 1 mg

UROFLOW 2
TOLTERODINA ACCORD 2 mg
TOLTERODINA ACCORD 2 mg

ZEVESIN 10 mg
VESICARE 10 mg
ZEVESIN 5 mg
VESICARE 5 mg
INKONTAN 15 mg
INKONTAN 15 mg
INKONTAN 15 mg
INKONTAN 30 mg
INKONTAN 30 mg
INKONTAN 30 mg
ALFURAN MR 10 mg
XATRAL SR 10 mg
XATRAL LP 5 mg
TAMSOL 0,4 mg
FOKUSIN
CONTIFLO MR
TANYZ
TAMSUNORM 0,4 mg
TANYZ 0,4 mg
OMNIC TOCAS (R) 0,4
PROSCAR 5 mg
PROSCAR 5 mg

forma farm.

SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
PULB+SOLV.PT.SOL.INJ
PULB+SOLV.PT.SOL.INJ
PULB+SOLV.PT.SOL.INJ

COMPR.
COMPR.
COMPR. FILM.

COMPR.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. FILM. ELIB. PREL.

CAPS. ELIB. MODIF.


CAPS. ELIB. MODIF.

CAPS. ELIB. PREL.


CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. FILM. ELIB. PREL.

COMPR. FILM.
COMPR. FILM.
FINASTERIDA BIOGALENICA 5 mg COMPR. FILM.
FINASTERIDE TEVA 5mg
COMPR. FILM.
FINANORM 5 mg
COMPR. FILM.
FINANORM 5 mg
COMPR. FILM.
TAREDOX 5 mg
COMPR. FILM.
FINASTERIDA ACCORD 5 mg COMPR. FILM.
FINASTERIDA BIOGALENICA 5 mg COMPR. FILM.

AVODART 0,5 mg
SYNACHTEN DEPOT
ZOMACTON

CAPS. MOI
SUSP. INJ.
LIOF. + SOLV. PT. SOL. INJ.

concentratie

Detinator APP

100UI/0,5ml N. V. ORGANON
300UI/0,36ml N. V. ORGANON
50UI/0,5ml N. V. ORGANON
600UI/0,72ml N. V. ORGANON
900UI/1,08ml N. V. ORGANON
75UI
SERONO EUROPE LTD.
75UI
SERONO EUROPE LTD.
75UI
SERONO EUROPE LTD.
50mg
EGIS PHARMACEUTICALS P.L.C.
50mg
REMEDICA LTD.
60mg
DAIICHI SANKYO EUROPE GMBH
5mg
LAB. FOURNIER SA
4mg
PFIZER EUROPE MA EEIG
4mg
PFIZER EUROPE MA EEIG
1mg
ZENTIVA A.S.
1mg
ACCORD HEALTHCARE LIMITED
1mg
ACCORD HEALTHCARE LIMITED
2mg
ZENTIVA A.S.
2mg
ACCORD HEALTHCARE LIMITED
2mg
ACCORD HEALTHCARE LIMITED
10 mg
ZENTIVA K.S.
10mg
ASTELLAS PHARMA EUROPE BV
5 mg
ZENTIVA K.S.
5mg
ASTELLAS PHARMA EUROPE BV
15mg
15mg
15mg
30mg
30mg
30mg
10mg
TERAPIA SA
10mg
SANOFI-AVENTIS ROMANIA S.R.L.
5mg
SANOFI-AVENTIS ROMANIA S.R.L.
0,4mg
GEDEON RICHTER ROMANIA SA
0,4mg
ZENTIVA KS
0,4mg
RANBAXY UK LTD.
0,4mg
KRKA D.D. NOVO MESTO
0,4mg
ICN POLFA RZESZOW S.A.
0,4mg
KRKA D.D., NOVO MESTO
0,4mg
ASTELLAS PHARMA EUROPE BV
5mg
MERCK SHARP & DOHME
5mg
MERCK SHARP & DOHME
5mg
LABORATOARELE PROF.DR.MORAIT S.R.L.
5mg
TEVA PHARMACEUTICAL S.R.L.
5mg
ICN POLFA RZESZOW S.A.
5mg
ICN POLFA RZESZOW S.A.
5mg
DR. REDDY'S LABORATORIES
5mg
ACCORD HEALTHCARE LIMITED
5mg
ARENA GROUP S.A.
0,5mg
GLAXOSMITHKLINE (GSK) SRL
1mg/ml
NOVARTIS PHARMA GMBH
4mg (12ui) FERING GMBH
PHARMAZEUTISCHE FABRIK MONTAVIT GES.M.B.H.
PHARMAZEUTISCHE FABRIK MONTAVIT GES.M.B.H.
PHARMAZEUTISCHE FABRIK MONTAVIT GES.M.B.H.
PHARMAZEUTISCHE FABRIK MONTAVIT GES.M.B.H.
PHARMAZEUTISCHE FABRIK MONTAVIT GES.M.B.H.
PHARMAZEUTISCHE FABRIK MONTAVIT GES.M.B.H.

tara det.
APP

Ambalaj

OLANDA CUTIE X 1 FLACON DIN STICLA X 0,5 ML SOL. INJ.


OLANDA CUTIE X 1 CARTUS + 6 ACE
OLANDA CUTIE X 1 FLACON DIN STICLA INCOLORA X 0,5 ML SOL. INJ.
OLANDA CUTIE X 1 CARTUS SOL. INJ + 6 ACE
OLANDA CUTIE X 1 CARTUS SOL. INJ. + 9 ACE

Prescriptie

P-RF
P-RF
P-RF
P-RF/R

P-RF

MAREA BRITANIE

CUTIE X 10 FLAC. CU PULB. PT. SOL. INJ.+ 10 FLAC. A 2 ML SAU 3 ML X 1 ML SOLV.

P-RF/R

MAREA BRITANIE

CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ.+ 1 FLAC. A 2 ML SAU 3 ML X 1 ML SOLV.

P-RF/R

MAREA BRITANIE

CUTIE X 3 FLAC. CU PULB. PT. SOL. INJ.+ 3 FLAC. A 2 ML SAU 3 ML X 1 ML SOLV.

P-RF/R

UNGARIA

CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 COMPR. P-RF

CIPRU

CUTIE X 1 BLIST. X 10 COMPR.

P-RF

GERMANIA CUTIE X 28 COMPR. FILM. (BLIST. ACLAR) P-RF

FRANTA CUTIE X 2 BLIST. AL/PVC X 30 COMPR.

P-6L

MAREA BRITANIE

CUTIE X 4 BLIST. X 7 CAPS. ELIB. PREL. P-6L


CUTIE X 1 BLIST. X 7 CAPS. ELIB. PREL. P-6L

MAREA BRITANIE

CEHIA

CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM.

P-6L

MAREA BRITANIE

CUTIE CU BLIST. PVC-PVDC/AL X 14 COMPR. FILM.

P-6L

MAREA BRITANIE

CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM.

P-6L

CEHIA

CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM.

P-6L

MAREA BRITANIE

CUTIE CU BLIST. PVC-PVDC/AL X 14 COMPR. FILM.

P-6L

MAREA BRITANIE

CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM.

P-6L

REPUBLICA CEHA

CUTIE CU BLIST. OPA/AL/PVC/AL X 30 COMPR. FILM.

P6L

OLANDA

CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.

P-6L

REPUBLICA CEHA

CUTIE CU BLIST. OPA/AL/PVC/AL X 30 COMPR. FILM.

P6L

OLANDA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA

CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.

P-6L

CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM.

P-6L

CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM.

P-6L

CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.

P-6L

CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM.

P-6L

CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.

P-6L

CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM.

P-6L

ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. ELIB. PREL.

P-6L

CUTIE X 3 BLIST. AL/PVCX 10 COMPR. ELIB. PREL.

P-6L

CUTIE X 2 BLIST. PVC/AL X 14 COMPR. FILM. ELIB. PREL.

P-6L

CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL.

P-6L

CEHIA

CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS. ELIB. MODIF.

P-6L

MAREA BRITANIE

CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS. ELIB. PREL.

P-6L

SLOVENIA

CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 CAPS. ELIB. PREL.

P-6L

POLONIA

CUTIE CU BLIST. PVC-PVDC/AL X 30 CAPS. ELIB. PREL.

P-6L

SLOVENIA

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. CU ELIB. PREL.

P6L

OLANDA

CUTIE X 3 FOLII AL/AL X 10 COMPR. FILM. ELIB. PREL.

P-6L

ROMANIA CUTIE X 1 BLIST. PVC/PE/PVD-AL X 14 COMPR.FILM.


ROMANIA CUTIE X 2 BLIST. PVC/PE/PVD-AL X 14 COMPR.FILM.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM.
ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM.
POLONIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM.
POLONIA CUTIE CU BLIST. PVC-PVDC/AL X 100 COMPR. FILM.
ROMANIA CUTIE X 2 BLIST. AL/AL X 14 COMPR. FILM.

P-6L
P-6L
P-6L
P-6L
P-6L
P-6L/S

P-6L

CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM.

P6L

ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM.


ROMANIA CUTIE X 3 BLIST.PVC-PVDC/AL X 10 CAPS. MOI

P-6L

GERMANIA CUTIE X 1 FIOLA DIN STICLA X 1 ML SUSP. INJ.

S/P-RF

MAREA BRITANIE

GERMANIA

Pagina 43 din 205

P-6L

CUTIE X 1 FLAC. LIOF. PT. SOL. INJ. + 1 FIOLA X 3,5 ML SOLV. P-RF

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

1
1
1
1
1
10
1
3
10
10
28
60
28
7
28
14
28
28
14
28
30
30
30
30
20
50
30
50
30
20
30
30
28
30
30
30
30
30
30
30
14
28
28
30
30
100
28
28
28
30
1
1

198.53
512.07
105.09
953.30
1,395.10
2,067.05

145.00
736.25
14.14
13.11
123.50
26.32
172.55
47.89
26.98
12.37
24.75
52.23
24.75
47.89
145.89
224.45
105.40
181.19
28.61
58.00
37.67
91.81
62.78
46.39
35.62
58.18
33.36
35.91
34.46
26.61
20.96
22.70
31.53
63.23
32.88
63.60
33.61
34.76
34.85
110.30
33.61
33.61
33.61
94.50
5.69
441.04

Pret
amanuntul
maximal/UT
(RON)

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

198.530000 143.052185 71.526092


512.070000 428.985000 214.492500
105.090000 71.526038 35.763019
953.300000 857.970000 428.985000
1,395.100000 1,286.955000 643.477500
206.705000 158.267250 79.133625
145.000000 145.000000 72.500000
245.416666 158.267250 79.133625
1.414000
1.336750
0.668375
1.311000
1.311000
0.655500
4.410714
4.410714
2.205357
0.438666
0.438666
0.219333
6.162500
2.783700
1.391850
6.841428
2.783700
1.391850
0.963571
0.695925
0.347962
0.883571
0.695925
0.347962
0.883928
0.695925
0.347962
1.865357
1.391850
0.695925
1.767857
1.391850
0.695925
1.710357
1.391850
0.695925
4.863000
4.863000
2.431500
7.481666
5.567400
2.783700
3.513333
2.783700
1.391850
6.039666
2.783700
1.391850
1.430500
1.043887
0.521943
1.160000
1.043887
0.521943
1.255666
1.043887
0.521943
1.836200
1.836200
0.918100
2.092666
2.087775
1.043887
2.319500
2.087775
1.043887
1.187333
1.187333
0.593666
1.939333
1.939333
0.969666
1.191428
1.144098
0.572049
1.197000
1.197000
0.598500
1.148666
1.148666
0.574333
0.887000
0.887000
0.443500
0.698666
0.698666
0.349333
0.756666
0.756666
0.378333
1.051000
1.051000
0.525500
2.107666
1.716149
0.858074
2.348571
1.161666
0.580833
2.271428
1.161666
0.580833
1.200357
1.161666
0.580833
1.158666
1.158666
0.579333
1.161666
1.161666
0.580833
1.103000
1.103000
0.551500
1.200357
1.161666
0.580833
1.200357
1.161666
0.580833
1.200357
1.161666
0.580833
3.150000
3.150000
1.575000
5.690000
5.690000
2.845000
441.040000 389.977000 194.988500

Nr. crt

cod ATC

618 H01AC01
619 H01AC01
620 H01AC01
621 H01AC01
622 H01AC01
623 H01AC01
624 H01AC01
625 H01CC01
626 H01CC02
627 H01CC02
628 H02AA02
629 H02AB01
630 H02AB06
631 H02AB06
632 H03BB01
633 H03BB02
634 H03BB02
635 H03BB02
636 H05BA01
637 H05BA01
638 H05BA01
639 H05BA01
640 H05BA01
641 J01CR01
642 J01CR01
643 J01CR04
644 J01CR04
645 J01DD14
646 J01DD14
647 J01FA02
648 J01FA02
649 J01FA10
650 J01FA10
651 J01FA10
652 J01FA10
653 J01FA10
654 J01FA10
655 J01FA10
656 J01FA10
657 J01FA10
658 J01FA10
659 J01FA10
660 J01FA10
661 J01FA10
662 J01FA10
663 J01FA10
664 J01FA10
665 J01FA10
666 J01FA10
667 J01FA10
668 J01FA10
669 J01FA10

DCI

SOMATROPINUM***#
SOMATROPINUM***#
SOMATROPINUM***#
SOMATROPINUM***#
SOMATROPINUM***#
SOMATROPINUM***#
SOMATROPINUM***#
GANIRELIXUM***#
CETRORELIXUM***#
CETRORELIXUM***#
FLUDROCORTISONUM
BETAMETHASONUM
PREDNISOLONUM
PREDNISOLONUM
CARBIMAZOLUM
THIAMAZOLUM
THIAMAZOLUM
THIAMAZOLUM
CALCITONINUM (SOMON)
CALCITONINUM (SOMON)
CALCITONINUM (SOMON)
CALCITONINUM (SOMON)
CALCITONINUM (SOMON)
AMPICILLINUM + SULBACTAM
AMPICILLINUM + SULBACTAM
SULTAMICILLINUM
SULTAMICILLINUM
CEFTIBUTENUM
CEFTIBUTENUM
SPIRAMYCINUM
SPIRAMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM

forma farm.

Denumire Comerciala
GENOTROPIN (R) 16 ui (5,3 mg)

PULB. + SOLV. PT. SOL. INJ.

NUTROPINAq 10 mg/2 ml
OMNITROPE 3,3mg/ml
OMNITROPE 6,7mg/ml

SOL. INJ.
SOL. INJ.
SOL. INJ.

NORDITROPIN SIMPLEXx 10 mg/1,5ml

SOL. INJ. IN CARTUS

NORDITROPIN FLEXPRO 10 mg/1,5 ml

SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT

NORDITROPIN FLEXPRO 5 mg/1,5 ml

SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT

ORGALUTRAN 0.25mg/0,5ml
CETROTIDE 0,25 mg
CETROTIDE 3 mg
ASTONIN H
DIPROPHOS (R)
SOLU - DECORTIN H 250
SOLU - DECORTIN H 50
CARBIMAZOLE 5
THYROZOL 10 mg
THYROZOL 20mg
THYROZOL 5 mg
TONOCALCIN 100 UI
NYLEX (R)
MIACALCIC (R)
NYLEX 100 UI/doza
NYLEX (R)
AMPIPLUS (R) 1,5 g
AMPIPLUS (R) 1,5 g
UNASYN
UNASYN
CEDAX
CEDAX
ROVAMYCINE (R) 1,5 Mil. UI
ROVAMYCINE (R) 3 Mil. UI
AZATRIL 250 mg
SUMAMED 250 mg
SUMAMED 125 mg
AZITROMICINA SANDOZ 250 mg COMPRIMATE FILMATE

AZITROMICINA TERAPIA 250 mg


AZITROMICINA TERAPIA 250 mg

SUMAMED 500 mg
AZITROMICINA SANDOZ 500 mg COMPRIMATE FILMATE

AZIBIOT 500 mg
ZITROCIN 500 mg
AZITROMICINA TERAPIA 500 mg
AZITROMICINA TERAPIA 500 mg

ZITROCIN 500 mg
AZITROX (R) 500
AZITROMICINA TERAPIA 600 mg
AZITROMICINA TERAPIA 600 mg

ZMAX 2 g
AZITROX 200 mg/5 ml

SOL. INJ.
PULB+SOLV. PT. SOL. INJ.

PULB+SOLV.PT.SOL.INJ.

COMPR.
SUSP. INJ. I.M.
LIOF. + SOLV. PT. SOL. INJ.
LIOF. + SOLV. PT. SOL. INJ.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

SOL. INJ.
SOL. INJ.
SOL. INJ.
SPRAY NAZ.,SOL.
SPRAY NAZAL - SOL.

PULB. PT. SOL. INJ.


PULB. PT. SOL. INJ.

COMPR. FILM.
PULB. PT. SUSP. ORALA

CAPS.
PULB. PT. SUSP. ORALA

COMPR. FILM.
COMPR. FILM.

CAPS.
CAPS.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
GRAN. ELIB. PREL. PT. SUSP. ORALA

PULB. + SOLV. SUSP. ORALA

AZITROMICINA SANDOZ 100 mg/5 ml

PULB. PT. SUSP. ORALA

AZITROMICINA SANDOZ 200 mg/5 ml

PULB. PT. SUSP. ORALA

SUMAMED FORTE

PULB. PT. SUSP. ORALA

concentratie

Detinator APP

tara det.
APP

Ambalaj

5,3mg/ml (16ui) PFIZER EUROPE MA EEIG

MAREA BRITANIE

10mg/2ml
3,3mg/ml
6,7mg/ml
10mg/1,5ml
10mg/1,5 ml
5mg/1,5 ml

FRANTA CUTIE X 1 CARTUS X 2 ML. SOL. INJ.


AUSTRIA CUTIE X 1CARTUS X 1,5 ML SOL.INJ.
AUSTRIA CUTIE X 1CARTUS X 1,5 ML SOL.INJ.

IPSEN PHARMA
SANDOZ GMBH
SANDOZ GMBH
NOVO NORDISK A/S
NOVO NORDISK A/S
NOVO NORDISK A/S
0,25mg/0,5ml N. V. ORGANON
0,25mg
SERONO EUROPE LTD.
3mg
SERONO EUROPE LTD.
0,1mg
MERCK KGAA
7mg/ml
SCHERING PLOUGH EUROPE
250mg
MERCK KGAA
50mg
MERCK KGAA
5mg
REMEDICA LTD.
10mg
MERCK KGAA
20mg
MERCK KGAA
5mg
MERCK KGAA
100UI
ALFA WASSERMANN SPA
100UI/ml
PROEL E.P. CORONIS SA
50ui/ml
NOVARTIS PHARMA GMBH
100UI/doza
200UI/doza PROEL E.P. CORONIS SA
1g+500mg ANTIBIOTICE SA
1g+500mg ANTIBIOTICE SA
375mg
PFIZER EUROPE MA EEIG
250mg/5ml PFIZER EUROPE MA EEIG
400mg
SCHERING PLOUGH EUROPE
36mg/ml
SCHERING PLOUGH EUROPE
1,5 M ui
LAB. AVENTIS
3M ui
LAB. AVENTIS
250mg
BALKANPHARMA RAZGRAD AD
250mg
PLIVA LJUBLIJANA D.O.O.
125mg
PLIVA LJUBLJANA D.O.O.
250mg
SANDOZ S.R.L.
250mg
TERAPIA SA
250mg
TERAPIA SA
500mg
PLIVA LJUBLJANA D.O.O.
500mg
SANDOZ S.R.L.
500mg
KRKA D.D. NOVO MESTO
500mg
OZONE LABORATORIES LTD.
500mg
TERAPIA SA
500mg
TERAPIA SA
500mg
LABORMED PHARMA S.A.
500mg
ZENTIVA K.S.
600mg
TERAPIA SA
600mg
TERAPIA SA
2g
PFIZER EUROPE MA EEIG
200mg/5ml ZENTIVA S.A.
100mg/5ml SANDOZ SRL
200 mg/5 ml SANDOZ SRL
200mg/5ml PLIVA LJUBLIJANA D.O.O.
PHARMACEUTICAL IND. PROEL EPAM. G.CORONIS SA

CUTIE X 1 CARTUS BICAMERAL MULTIDOZA CU PULB. SI SOLV. PT. SOL. INJ.

Prescriptie

P-RF
P-RF/R
P-RF/R
P-RF/R

DANEMARCA CUTIE X 1 CARTUS DIN STICLA INCOLORA X 1,5 ML SOL. INJ. P-RF
DANEMARCA

CUTIE CU 1 STILOU INJECTOR (PEN) PREUMPLUT MULTI-DOZA ( CARTUS DIN STICLA INCOLORA X 1,5 ML SOL. INJ

P-RF

DANEMARCA

CUTIE CU 1 STILOU INJECTOR (PEN) PREUMPLUT MULTI-DOZA ( CARTUS DIN STICLA INCOLORA X 1,5 ML SOL. INJ

P-RF

OLANDA

CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. + AC ATASAT

P-RF/R

MAREA BRITANIE

CUTIE CU UN SUPORT CONTINAND: 7 FLAC.PULB. + 7 SERINGI PRE-UMPLUTE X 1 ML SOLV. + 7 ACE PT. INJECTII

P-RF

MAREA BRITANIE

CUTIE CU UN SUPORT CONTINAND: 1 FLAC.PULB. + 1 SERINGA PRE-UMPLUTA X 3 ML SOLV. + 1 AC PT. INJECTII

P-RF

GERMANIA CUTIE X 1 FLAC. DIN PP X 50 COMPR. P-RF

BELGIA

CUTIE X 5 FIOLE X 1 ML

P-RF

GERMANIA

CUTIE X 3 FLAC. DIN STICLA INCOLORA X 250 MG FIOF. PT. SOL. INJ. + 3 FIOLE X 5 ML SOLV.

P-RF

GERMANIA

CUTIE X 3 FLAC. X 50 MG LIOF. PT. SOL. INJ. + 3 FIOLE X 1 ML SOLVENT

P-RF

CIPRU

CUTIE X 10 BLIST. AL/PVC X 10 COMPR. FILM. P-6L

GERMANIA CUTIE CU BLIST. PVC/AL X 50 COMPR. FILM.

P-6L

GERMANIA CUTIE CU BLIST. PVC/AL X 50 COMPR. FILM.

P-6L

GERMANIA CUTIE CU BLIST. PVC/AL X 100 COMPR. FILM.

P-6L/S

ITALIA
CUTIE X 5 FIOLE X 1 ML SOL. INJ.
GRECIA CUTIE X 5 FIOLE X 1ML
GERMANIA CUTIE X 5 FIOLE X 1 ML
GRECIA CUTIE X 1 FLACON PREVAZUT CU POMPA DOZATOARE X 2 ML SPRAY NAZAL, SOL.
GRECIA
CUTIE X 1 FLACON DIN STICLA PREVAZUT CU POMPA DOZATOARE CU APLICATOR NAZAL X 2 ML

ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. INJ. X 1,5 G


ROMANIA CUTIE X 50 FLAC. PULB. PT. SOL. INJ. X 1,5 G

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF/S

MAREA BRITANIE

CUTIE X 2 BLIST. AL/PVC/PVDC X 6 COMPR.

P-RF

MAREA BRITANIE

CUTIE X 1 FLAC. DIN PEID CU PULBERE PT. 60 ML SUSP. ORALA

P-RF

BELGIA CUTIE X 5 BLIST. X 1 CAPS.


BELGIA
FRANTA CUTIE X 2 BLIST. AL/PVC X 8 COMPR. FILM.
FRANTA CUTIE X 2 BLIST. AL/PVC X 5 COMPR. FILM.
BULGARIA CUTIE X 1 BLIST. AL/PVC X 6 CAPS.

P-RF

SLOVENIA CUTIE X 1 BLIST. PVC-PVDC/AL X 6 CAPS.


SLOVENIA CUTIE X 1 BLIST. AL/PVC X 6 COMPR. FILM.

P-RF

ROMANIA CUTIE X 1 BLIST. X 6 COMPR. FILM.


ROMANIA CUTIE X 1 BLIST. PVC-ACLAR/AL X 6 COMPR. FILM.
ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 6 COMPR. FILM.

P-RF

SLOVENIA CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM.

P-RF

ROMANIA CUTIE X 1 BLIST. X 3 COMPR. FILM.

P-RF

SLOVENIA CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM.

P-RF

CUTIE X 1 FLAC. PULB. PT. 30 ML SUSP. ORALA + 1 LINGURITA GRADATA PT. 45 MG, 90 MG, 135 MG + 1 CAPAC

MAREA BRITANIE

P-RF
P-RF
P-RF
P-RF

P-RF

P-RF
P-RF

CUTIE X 1 BLIST. PVC/AL X 3 COMPR. FILM. P-RF

ROMANIA CUTIE X 1 BLIST. PVC-ACLAR/AL X 3 COMPR. FILM.


ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 3 COMPR. FILM.
ROMANIA CUTIE X 1 BLIST. PVC/AL X 3 COMPR. FILM.

P-RF
P-RF
P-RF

CEHIA

CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM. P-RF

ROMANIA
ROMANIA

CUTIE X 1 BLIST. PVC-ACLAR/AL X 3 COMPR. FILM.

P-RF

CUTIE X 1 BLIST. PA-AL-PVC/AL X 3 COMPR. FILM.

P-RF

MAREA BRITANIE

CUTIE X 1 FLACON DIN PEID CU GRAN. CU ELIB. PREL.

P-RF

CUTIE X 1 FLAC. DIN PE CU PULB. PT. 15 ML SUSP. ORALA RECONSTITUITA + FLAC. CU SOLV. X 7,5 ML SOLV.

P-RF

CUTIE X 1 FLAC. DIN PEID CONTINAD PULBERE PT. 20 ML SUSP. ORALA + SERINGA DOZATOARE DIN PE/PP

P-RF

CCUTIE X 1 FLAC. DIN PEID CONTINAD PULBERE PT. 20 ML SUSP. ORALA + SERINGA DOZATOARE DIN PE/PP

P-RF

CUTIE X 1 FLAC. DIN PEID CU PULB. PT.15 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE

P-RF

ROMANIA
ROMANIA
ROMANIA
SLOVENIA

Pagina 44 din 205

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

1
1
1
1
1
1
1
1
7
1
50
5
3
3
100
50
50
100
5
5
5
1
1
1
50
12
1
5
1
16
10
6
6
6
6
6
6
3
3
3
3
3
3
3
3
3
3
1
1
1
1
1

549.94
980.41
479.27
757.57

Pret
amanuntul
maximal/UT
(RON)

549.940000
980.410000
479.270000
757.570000

1,306.05 1,306.050000
1,707.20 1,707.200000

889.03
174.80
836.06
836.06
47.21
34.13
94.50
35.29
16.67
20.75
25.22
30.49
63.78
31.97
34.06
47.79
71.71
24.96
721.23
32.79
24.11
69.66
43.18
9.74
27.55
25.21
37.55
25.07
48.24
43.94
43.94
37.73
48.24
25.35
25.35
36.73
36.73
25.35
25.33
44.09
44.09
62.78
16.18
22.19
33.95
24.88

889.030000
174.800000
119.437142
836.060000
0.944200
6.826000
31.500000
11.763333
0.166700
0.415000
0.504400
0.304900
12.756000
6.394000
6.812000
47.790000
71.710000
24.960000
14.424600
2.732500
24.110000
13.932000
43.180000
0.608750
2.755000
4.201666
6.258333
4.178333
8.040000
7.323333
7.323333
12.576666
16.080000
8.450000
8.450000
12.243333
12.243333
8.450000
8.443333
14.696666
14.696666
62.780000
16.180000
22.190000
33.950000
24.880000

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

519.969333
974.942500
479.270000
757.570000
974.942500
974.942500
487.471250
85.098963
85.098963
836.060000
0.944200
6.826000
31.500000
6.899249
0.112289
0.336870
0.504400
0.168435
8.617500
6.394000
4.308750
38.838750
71.710000
15.352605
14.424600
2.732500
22.422500
13.858200
43.180000
0.608750
1.413426
3.533569
3.533569
1.766782
3.533569
3.533569
3.533569
7.067139
7.067139
7.067139
7.067139
7.067139
7.067139
7.067139
7.067139
8.480570
8.480570
28.268565
16.180000
14.975996
29.951992
22.464000

259.984666
487.471250
239.635000
378.785000
487.471250
487.471250
243.735625
42.549481
42.549481
418.030000
0.472100
3.413000
15.750000
3.449624
0.056144
0.168435
0.252200
0.084217
4.308750
3.197000
2.154375
19.419375
35.855000
7.676302
7.212300
1.366250
11.211250
6.929100
21.590000
0.304375
0.706713
1.766784
1.766784
0.883391
1.766784
1.766784
1.766784
3.533569
3.533569
3.533569
3.533569
3.533569
3.533569
3.533569
3.533569
4.240285
4.240285
14.134282
8.090000
7.487998
14.975996
11.232000

Nr. crt

cod ATC

670 J01FA10
671 J01FA10
672 J01FF01
673 J01FF01
674 J01FF01
675 J01FF01
676 J01FF01
677 J01FF01
678 J01MA12
679 J01MA12
680 J01MA12
681 J01MA12
682 J01MA12
683 J01MA12
684 J01MA12
685 J01MA12
686 J01MA14
687 J02AC02
688 J02AC02
689 J02AC02
690 J02AC02
691 J02AC02
692 J02AC02
693 J02AC02
694 J05AB11
695 J05AB15
696 L01AA01
697 L02AE02
698 L02AE02
699 L02AE03
700 L02AE04
701 L02AE04
702 L02AE04
703 L02AE04
704 L02AE04
705 L04AX01
706 M01AC01
707 M01AC01
708 M01AC01
709 M01AC01
710 M01AC01
711 M01AC01
712 M01AC01
713 M01AC01
714 M01AC01
715 M01AC01
716 M01AC01
717 M01AC01
718 M01AC01
719 M01AC01
720 M01AC01
721 M01AC01

DCI

AZITHROMYCINUM
AZITHROMYCINUM
CLINDAMYCINUM
CLINDAMYCINUM
CLINDAMYCINUM
CLINDAMYCINUM
CLINDAMYCINUM
CLINDAMYCINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
MOXIFLOXACINUM
ITRACONAZOLUM*
ITRACONAZOLUM*
ITRACONAZOLUM*
ITRACONAZOLUM*
ITRACONAZOLUM*
ITRACONAZOLUM*
ITRACONAZOLUM*
VALACYCLOVIRUM*
BRIVUDINUM*#
CYCLOPHOSPHAMIDUM*
LEUPRORELINUM***#
LEUPRORELINUM***#
GOSERELINUM***#
TRIPTORELINUM***#
TRIPTORELINUM***#
TRIPTORELINUM***#
TRIPTORELINUM***#
TRIPTORELINUM***#
AZATHIOPRINUM*
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM

Denumire Comerciala

SUMAMED FORTE
SUMAMED FORTE
DALACIN C 150 mg
DALACIN C 300 mg
CLINDAMYCIN - MIP 300 mg
CLINDAMYCIN - MIP 300 mg
CLINDAMYCIN - MIP 600 mg
CLINDAMYCIN - MIP 600 mg
FLERADAY 250 mg

forma farm.
PULB. PT. SUSP. ORALA
PULB. PT. SUSP. ORALA

CAPS.
CAPS.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
LEVOFLOXACINA ACTAVIS 250 mg COMPR. FILM.
LEVOTOR 250 mg
COMPR. FILM.
TAVANIC 250 mg
COMPR. FILM.
FLERADAY 500 mg
COMPR. FILM.
LEVOFLOXACINA ACTAVIS 500 mg COMPR. FILM.
TAVANIC 500 mg
COMPR. FILM.
LEVOTOR 500 mg
COMPR. FILM.
AVELOX (R) 400 mg
COMPR. FILM.

ORUNGAL
ITRACONAZOL 100 mg
ITRACONAZOL 100 mg
OMICRAL 100 mg
SPORILIN 100 mg
ITRACONAZOL LPH 100 mg
MICOGAL 100 mg
VALTREX 500 mg
BRIVAL 125mg
ENDOXAN (R) 50 mg
LUCRIN DEPOT 11,25mg
LUCRIN DEPOT 3,75mg
ZOLADEX (R)
DIPHERELINE 0,1 mg
DIPHERELINE PR 11,25 mg
DIPHERELINE 3,75 mg

CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
COMPR. FILM.

COMPR.
DRAJ.
LIOF.+ SOLV. PT. SUSP. INJ. ELIB. PREL.

LIOF.+ SOLV. PT. SUSP. INJ. ELIB. PREL.

IMPLANT
LIOF. + SOLV. PT. SOL. INJ.
PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL.

PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL.

GONAPEPTYL ZILNIC 0,1 mg/ml SOL. INJ.


GONAPEPTYL ZILNIC 0,1 mg/ml SOL. INJ.
IMURAN (R)
COMPR. FILM.

PIROXSAL 20 mg
FLAMEXIN
FLAMEXIN
PIROXICAM LPH 20 mg
PIROXICAM 20 mg

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
N - PIROXICAM MEDUMAN 20 mg COMPR.
PIROXICAM ARENA 20 MG COMPR.
FLAMEXIN
COMPR. EFF.
FLAMEXIN
COMPR. EFF.
FLAMEXIN
COMPR. EFF.
FLAMEXIN (R)
PULB. PT. SOL. ORALA
FELDENE (R) 20 mg/ml
SOL. INJ.
HOTEMIN
SOL. INJ.
PIROXICAM ATB 20 mg
SUPOZ.
PIROXICAM ATB 20 mg
SUPOZ.
PIROXICAM 20 mg
SUPOZ.

concentratie

200mg/5ml
200mg/5ml
150mg
300mg
300mg
300mg
600mg
600mg
250 mg
250mg
250mg
250mg
500 mg
500mg
500mg
500mg
400mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
500mg
125mg
50mg
11,25mg
3,75mg
3,6mg
0,1mg
11,25mg
3,75mg
0,1mg/ml
0,1mg/ml
50mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg/plic
20mg/ml
20mg/ml
20 mg
20 mg
20mg

Detinator APP

tara det.
APP

Ambalaj

PLIVA LJUBLIJANA D.O.O. SLOVENIA

CUTIE X 1 FLAC. DIN PEID CU PULB. PT. 30 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE

PLIVA LJUBLIJANA D.O.O. SLOVENIA

CUTIE X 1 FLAC. DIN PEID CU PULB. PT. 37,5 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE

CUTIE X 2 BLIST. AL/PVC X 8 CAPS.


CUTIE X 2 BLIST. AL/PVC X 8 CAPS.

PFIZER EUROPE MA EEIG

MAREA BRITANIE

PFIZER EUROPE MA EEIG

MAREA BRITANIE

MIP PHARMA GMBH


MIP PHARMA GMBH
MIP PHARMA GMBH
MIP PHARMA GMBH

GERMANIA CUTIE X 2 BLIST. PVC/AL X 8 COMPR. FILM.

DR. REDDY'S LABORATORIES

ROMANIA

CUTIE CU BLIST. PVC/PVDC - AL X 7 COMPR. FILM.

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE X 1 BLIST. AL/PVC X 7 COMPR. FILM.

GERMANIA CUTIE X 5 BLIST. PVC/AL X 6 COMPR. FILM.


GERMANIA CUTIE X 2 BLIST. PVC/AL X 8 COMPR. FILM.
GERMANIA CUTIE X 5 BLIST. PVC/AL X 6 COMPR. FILM.

TORRENT PHARMA GMBH GERMANIA CUTIE CU BLIST. PVC/AL X 7 COMPR. FILM.

TERAPIA S.A.
DR. REDDY'S LABORATORIES

ROMANIA CUTIE X1 BLIST. PVC/AL. X 7 COMPR. FILM.


ROMANIA CUTIE CU BLIST. PVC/PVDC - AL X 7 COMPR. FILM.

ACTAVIS GROUP PTC EHF.

ISLANDA

TERAPIA S.A.

ROMANIA CUTIE X 1 BLIST. PVC/AL X 7COMPR. FILM.

CUTIE X 1 BLIST. AL/PVC X 7 COMPR. FILM.

TORRENT PHARMA GMBH GERMANIA CUTIE CU BLIST. PVC/AL X 7 COMPR. FILM.

BAYER HEALTHCARE AG GERMANIA CUTIE X 1 BLIST. ALB OPAC PP/AL X 5 COMPR. FILM.

BELGIA CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 5 CAPS.


SLAVIA PHARM SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS.
ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS.
MEDICO UNO PHARMACEUTICAL SRL
ROMANIA CUTIE X 3 BLIST. AL/AL X 5 CAPS.
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 5 CAPS.
LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. PVC/AL X 5 CAPS.
ROMPHARM COMPANY SRL ROMANIA CUTIE X 3 BLIST. PVC/AL X 5 CAPS.
JANSSEN PHARMACEUTICA N.V.

THE WELLCOME FOUNDATION LTD. MAREA BRITANIE


BERLIN CHEMIE AG MENARINI GROUP

CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.

GERMANIA CUTIE X 1 BLIST. PVC/AL X 7 COMPR.

BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ.

ABBOTT LABORATORIES LTD.

SPANIA
SPANIA

ASTRAZENECA UK LTD.

MAREA BRITANIE

IPSEN PHARMA
IPSEN PHARMA
IPSEN PHARMA

FRANTA
FRANTA
FRANTA
AUSTRIA
AUSTRIA

ABBOTT LABORATORIES LTD.

FERRING ARZEIMITTEL GES.MBH


FERRING ARZEIMITTEL GES.MBH

THE WELLCOME FOUNDATION LTD. MAREA BRITANIE

CUTIE X 1 KIT X 1 FLAC. CU LIOFILIZAT (MICROSFERE) + 1 FIOLA X 2 ML SOLV. + 1 SERINGA + 2 ACE SI TA

CUTIE X 1 KIT X 1 FLAC. CU LIOFILIZAT (MICROSFERE) + 1 FIOLA X 2 ML SOLV. + 1 SERINGA SI TAMPON IMB

CUTIE X 1 PLIC X 1 SERINGA PRE-UMPLUTA X 3,6 MG


CUTIE X 7 FLAC. CU LIOF. PT. SOL. INJ. + 7 FIOLE X 1 ML SOLV.
CUTIE CU 1 FLAC. DIN STICLA CU PULB. PT. SUSP. INJ. + 1 FIOLA DIN STICLA INCOLORA X 2 ML SOLV. + 1 B

CUTIE CU 1 FLAC. DIN STICLA CU PULB. PT. SUSP. INJ. + 1 FIOLA DIN STICLA INCOLORA X 2 ML SOLV. + 1 B

CUTIE X 7 SERINGI PREUMPLUTE DIN STICLA INCOLORA X 1 ML SOL. INJ


CUTIE X 28 SERINGI PREUMPLUTE DIN STICLA INCOLORA X 1 ML SOL. INJ

CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM.

SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST.PVC/ AL X 10 COMPR.


CHIESI FARMACEUTICI SPA ITALIA
CUTIE X 3 BLIST. PVC-PDVC/AL-LAC PVDC X 10 COMPR.
CHIESI FARMACEUTICI SPA ITALIA
CUTIE X 1 BLIST. PVC-PDVC/AL-LAC PVDC X 10 COMPR.
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

AC HELCOR SRL
ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
MEDUMAN S.A.
ROMANIA CUTIE X 1 FLAC. DIN PEJD X 20 COMPR.
ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CHIESI FARMACEUTICI SPA ITALIA
CUTIE X 1 BLIST. AL-PE/AL X 10 COMPR. EFF.
CHIESI FARMACEUTICI SPA ITALIA
CUTIE X 2 BLIST. AL-PE/AL X 10 COMPR. EFF.
CHIESI FARMACEUTICI SPA ITALIA
CUTIE X 3 BLIST. AL-PE/AL X 10 COMPR. EFF.
CHIESI FARMACEUTICI SPA ITALIA
CUTIE X 20 PLICURI DUBLU COMPARTIMENTAT X 3 G PULB. PT. SOL. ORALA
CUTIE X 6 FIOLE DIN STICLA BRUNA X 1 ML

PFIZER EUROPE MA EEIG

MAREA BRITANIE

EGIS PHARMACEUTICALS P.L.C.

UNGARIA CUTIE X 1 BLIST. C-PET/PE X 5 FIOLE X 1 ML SOL. INJ.


ROMANIA CUTIE CU 2 FOLII TERMOSUDATE PVC X 3 SUPOZ.
ROMANIA CUTIE CU 1 FOLIE TERMOSUDATA PVC X 6 SUPOZ.
ROMANIA CUTIE X 2 FOLII TERMOSUDATE X 5 SUPOZ.

ANTIBIOTICE S.A.
ANTIBIOTICE S.A.
SINTOFARM SA

Pagina 45 din 205

Prescriptie

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

1
1
P-RF
16
P-RF
16
P-RF
16
P-RF
30
P-RF
16
P-RF
30
PRF
7
P-RF
7
P-RF
7
P-RF
7
PRF
7
P-RF
7
P-RF
7
P-RF
7
P-RF
5
P-RF
15
P-RF
15
P-RF
15
P-RF
15
P-RF
15
P-RF
15
P-RF
15
P-RF
10
P-RF
7
P-RF
50
S/P-RF
1
S/P-RF
1
S/P-RF
1
S/P-RF
7
S/P-RF
1
S/P-RF
1
S/P-RF
7
S/P-RF
28
S/P-RF
100
P-6L
20
P-6L
30
P-6L
10
P-6L
20
P-6L
20
P-6L
20
P-6L
20
P-6L
10
P-6L
20
P-6L
30
P-6L
20
P-RF
6
P-RF
5
P6L
6
P6L
6
P-6L
10
P-RF
P-RF

Pret
amanuntul
maximal/UT
(RON)

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

48.01 48.010000 44.928000 22.464000


59.64 59.640000 56.160000 28.080000
12.00
0.750000
0.727734
0.363867
23.05
1.440625
1.440625
0.720312
23.04
1.440000
1.440000
0.720000
53.37
1.779000
1.455468
0.727734
51.55
3.221875
2.910937
1.455468
94.72
3.157333
2.910937
1.455468
27.73
3.961428
2.348550
1.174275
31.14
4.448571
2.348550
1.174275
30.82
4.402857
2.348550
1.174275
26.47
3.781428
2.348550
1.174275
33.45
4.778571
4.697100
2.348550
33.46
4.780000
4.697100
2.348550
51.47
7.352857
4.697100
2.348550
33.27
4.752857
4.697100
2.348550
82.43 16.486000
4.697100
2.348550
76.02
5.068000
5.068000
2.534000
51.95
3.463333
3.463333
1.731666
51.95
3.463333
3.463333
1.731666
51.95
3.463333
3.463333
1.731666
51.95
3.463333
3.463333
1.731666
51.95
3.463333
3.463333
1.731666
51.94
3.462666
3.462666
1.731333
99.45
9.945000
4.827100
2.413550
328.67 46.952857 46.952857 23.476428
25.82
0.516400
0.516400
0.258200
984.10 984.100000 984.100000 492.050000
425.50 425.500000 382.950000 191.475000
432.23 432.230000 397.967493 198.983746
133.04 19.005714 10.211991
5.105995
1,171.73 1,171.730000 1,148.850014 574.425006
436.24 436.240000 436.240000 218.120000
230.24 32.891428 10.211991
5.105995
818.33 29.226071 10.211991
5.105995
79.95
0.799500
0.519774
0.259887
2.60
0.130000
0.130000
0.065000
28.67
0.955666
0.892049
0.446024
17.38
1.738000
0.892049
0.446024
3.10
0.155000
0.155000
0.077500
4.39
0.219500
0.219500
0.109750
2.36
0.118000
0.118000
0.059000
2.43
0.121500
0.121500
0.060750
20.55
2.055000
0.892049
0.446024
38.90
1.945000
0.892049
0.446024
47.85
1.595000
0.892049
0.446024
27.04
1.352000
0.892049
0.446024
9.43
1.571666
1.571666
0.785833
11.63
2.326000
2.326000
1.163000
4.39
0.731666
0.731666
0.365833
4.39
0.731666
0.731666
0.365833
2.82
0.282000
0.282000
0.141000

Nr. crt

cod ATC

722 M01AC05
723 M01AC05
724 M01AC05
725 M01AC05
726 M01AC05
727 M01AC05
728 M01AC05
729 M01AC05
730 M01AC05
731 M01AC05
732 M01AE17
733 M01AE17
734 M01AH01
735 M01AH01
736 M01AH01
737 M01AH05
738 M01AH05
739 M01AH05
740 M01AH05
741 M01AH05
742 M01AH05
743 M01AH05
744 M01AH05
745 M01AH05
746 M01AH05
747 M01AH05
748 M01AH05
749 M01AH05
750 M01AX05
751 M01AX05
752 M01AX05
753 M01AX17
754 M01AX17
755 M01AX17
756 M01AX17
757 M01AX17
758 M01AX17
759 M01AX17
760 M01AX17
761 M01AX17
762 M01AX17
763 M01AX17
764 M01AX17
765 M01AX17
766 M01AX17
767 M03BX01
768 M03BX01
769 M05BA04
770 M05BA04
771 M05BA04
772 M05BA04
773 M05BA04

DCI

LORNOXICAMUM
LORNOXICAMUM
LORNOXICAMUM
LORNOXICAMUM
LORNOXICAMUM
LORNOXICAMUM
LORNOXICAMUM
LORNOXICAMUM
LORNOXICAMUM
LORNOXICAMUM
DEXKETOPROFENUM
DEXKETOPROFENUM
CELECOXIBUM
CELECOXIBUM
CELECOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
GLUCOSAMINUM
GLUCOSAMINUM
GLUCOSAMINUM
NIMESULIDUM
NIMESULIDUM
NIMESULIDUM
NIMESULIDUM
NIMESULIDUM
NIMESULIDUM
NIMESULIDUM
NIMESULIDUM
NIMESULIDUM
NIMESULIDUM
NIMESULIDUM
NIMESULIDUM
NIMESULIDUM
NIMESULIDUM
BACLOFENUM
BACLOFENUM
ACIDUM ALENDRONICUM*
ACIDUM ALENDRONICUM*
ACIDUM ALENDRONICUM*
ACIDUM ALENDRONICUM*
ACIDUM ALENDRONICUM*

Denumire Comerciala

XEFO (R) 4 mg
XEFO (R) 4 mg
XEFO (R) 4 mg
XEFO (R) 8 mg
XEFO (R) 8 mg
XEFO (R) 8 mg
XEFO RAPID 8 mg
XEFO RAPID 8 mg
XEFO RAPID 8 mg
XEFO 8 mg/ 2 ml
TADOR 25 mg
TADOR INJECT
CELEBREX 100 mg
CELEBREX 200 mg
CELEBREX 200 mg
ARCOXIA 120 mg
ARCOXIA 120 mg
ARCOXIA 120 mg
ARCOXIA 120 mg
ARCOXIA 30 mg
ARCOXIA 60 mg
ARCOXIA 60 mg
ARCOXIA 60 mg
ARCOXIA 60 mg
ARCOXIA 90 mg
ARCOXIA 90 mg
ARCOXIA 90 mg
ARCOXIA 90 mg
SLIDEFLEX 1178mg
FLEXODON FORTE
DONA (R)
LEMESIL
AULIN (R) 100 mg
NIMESULID 100 mg
NIMESULID SLAVIA
APONIL
APONIL
NIMESULID ARENA 100 mg
NIMESULID FARMEX 100 mg
NISE 100 mg
COXTRAL
COXTRAL
AULIN (R)
NIMESIL
SULIDAMOR
LIORESAL (R)
LIORESAL (R)
ACID ALENDRONIC ACCORD 10 mg

TEVANAT 70 mg
FOSAMAX 70 mg
ACID ALENDRONIC ACCORD 70 mg

RANOS 70 mg

forma farm.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
PULB. + SOLV. PT. SOL. INJ.

COMPR. FILM.
SOL. INJ./CONC. PT. SOL. PERF.

CAPS.
CAPS.
CAPS.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
PULB. PT. SOL. ORALA
PULB. PT. SOL. ORALA

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
GRAN. PT. SUSP. ORALA
GRAN. PT. SUSP. ORALA

PULB. PT. SUSP. ORALA

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.

concentratie

4mg
4mg
4mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg/2ml
25mg
50mg/2ml
100mg
200mg
200mg
120mg
120mg
120mg
120mg
30mg
60mg
60mg
60mg
60mg
90mg
90mg
90mg
90mg
1178mg
1,5g/plic
1500mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg/plic
100mg/plic
100mg
10mg
25mg
10mg
70 mg
70mg
70mg
70mg

Detinator APP

tara det.
APP

AUSTRIA
NYCOMED AUSTRIA GMBH AUSTRIA
NYCOMED AUSTRIA GMBH AUSTRIA
NYCOMED AUSTRIA GMBH AUSTRIA
NYCOMED AUSTRIA GMBH AUSTRIA
NYCOMED AUSTRIA GMBH AUSTRIA
NYCOMED AUSTRIA AUSTRIA
NYCOMED AUSTRIA AUSTRIA
NYCOMED AUSTRIA AUSTRIA
NYCOMED AUSTRIA GMBH AUSTRIA
NYCOMED AUSTRIA GMBH

Ambalaj
CUTIE X 3 BLIST. X 10 COMPR. FILM.
CUTIE X 2 BLIST. X 10 COMPR. FILM.
CUTIE X 1 BLIST. X 10 COMPR. FILM.
CUTIE X 1 BLIST. X 10 COMPR. FILM.
CUTIE X 2 BLIST. X 10 COMPR. FILM.
CUTIE X 3 BLIST. X 10 COMPR. FILM.

Prescriptie

P-6L
P-6L
P-6L
P-6L
P-6L
P-6L

CUTIE CU BLIST. AL/AL X 10 COMPR. FILM. P-6L


CUTIE CU BLIST. AL/AL X 20 COMPR. FILM. P-6L
CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-6L
CUTIE X 10 FLAC. CU PULB. PT. SOL. INJ. + 10 FLAC. X 2 ML SOLV

P-RF

BERLIN CHEMIE AG (MENARINI GROUP)

GERMANIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. FILM.

P-6L

MENARINI INTERNATIONAL OPERATIONS S.A.

LUXEMBOURG CUTIE X 5 FIOLE X 2 ML SOL. INJ./CONC. PT.SOL.PERF.

P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 3 BLIST. AL/PVC X 10 CAPS.


CUTIE X 1 BLIST. AL/PVC X 10 CAPS.
CUTIE X 3 BLIST. AL/PVC X 10 CAPS.

MERCK SHARP & DOHME

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE X 1 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM.

P-RF

MERCK SHARP & DOHME


MERCK SHARP & DOHME
MERCK SHARP & DOHME
MERCK SHARP & DOHME
MERCK SHARP & DOHME
MERCK SHARP & DOHME
MERCK SHARP & DOHME
MERCK SHARP & DOHME
MERCK SHARP & DOHME
MERCK SHARP & DOHME
MERCK SHARP & DOHME
MERCK SHARP & DOHME

P-RF
P-RF

CUTIE X2 BLIST. PA-AL-PVC/AL X 14 COMPR. FILM. P-RF


CUTIE X 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM.

P-RF

CUTIE X 1 BLIST. PA-AL-PVC/AL X 14 COMPR. FILM. P-RF


CUTIE X 4 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM.

P-RF

CUTIE X 1 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM.

P-RF

CUTIE X 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM.

P-RF

CUTIE X 2 BLIST. PA-AL-PVC/AL X 14 COMPR. FILM. P-RF


CUTIE X 1 BLIST. PA-AL-PVC/AL X 14 COMPR. FILM. P-RF
CUTIE X 1 BLIST. PA-AL-PVC/AL X 14 COMPR. FILM. P-RF
CUTIE X 1 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM.

P-RF

CUTIE X 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM.

P-RF

CUTIE X 2 BLIST. PA-AL-PVC/AL X 14 COMPR. FILM. P-RF

IRLANDA CUTIE CU BLIST. DIN PVC/PVDC/AL X 30 COMPR. FILM.


AUSTRIA CUTIE X 30 PLICURI DIN FOLIE HARTIE/AL/PEJD X 3950 MG PULBERE PT. SOL. ORALA
ROTTAPHARM SPA ITALIA
CUTIE X 20 PLICURI UNIDOZA CU PULB.
ANFARM HELLAS S.A. PHARMACEUTICALS
GRECIA CUTIE X 2 BLIST. X 10 COMPR.
CSC PHARMACEUTICALS HANDELS GMBH
AUSTRIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR.
MAGISTRA C & C
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR.
SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR.
MEDOCHEMIE LTD CIPRU
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
MEDOCHEMIE LTD CIPRU
CUTIE X 1 BLIST. AL/PVC X 10 COMPR.
ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR.
BLUE BIO PHARMACEUTICALS LIMITED

P-6L

CSC PHARMACEUTICALS HANDELS GMBH

P-6L
P-6L
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

FARMEX COMPANY SRL ROMANIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. P-RF

ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR.

P-RF

CEHIA
CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR.
CEHIA
CUTIE X 3 BLIST. AL/PVC-PVDC X 10 COMPR.
CSC PHARMACEUTICALS HANDELS GMBH
AUSTRIA CUTIE X 15 PLICURI HARTIE/AL/HDPE/FOLIE SURLYN X 2 G GRAN. SUSP. ORALA
LAB. GUIDOTTI SPA ITALIA
CUTIE X 9 PLICURI X 2 G GRAN. PT. SUSP. ORALA
FARMACEUTICI DAMOR SPA ITALIA
CUTIE X 30 PLICURI X 2 G

P-RF

NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR.

P-6L

NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR.

P-6L

DR. REDDY'S LABORATORIES

ZENTIVA KS
ZENTIVA KS

P-RF
P-RF
P-RF
P-RF

CUTIE CU BLIST. PVC/AL X 28 COMPR. P-6L

ACCORD HEALTHCARE LIMITED

MAREA BRITANIE

TEVA PHARMACEUTICALS S.R.L.

MERCK SHARP & DOHME

ROMANIA CUTIE X 1 BLIST. PVC-AL-OPA/AL X 4 COMPR.


ROMANIA CUTIE X 1 BLIST. AL/AL IN PORTOFEL X 2 COMPR.

ACCORD HEALTHCARE LIMITED

MAREA BRITANIE

CUTIE CU BLIST. OPA -AL-PVC/AL X 4 COMPR. P-6L

TERAPIA SA

ROMANIA

CUTIE X 1 BLIST. DIN PAO-PVC-AL/AL X 4 COMPR. P-6L

Pagina 46 din 205

P-6L
P-6L

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

30
20
10
10
20
30
10
20
30
10
10
5
30
10
30
7
28
14
14
28
7
14
28
14
14
7
14
28
30
30
20
20
10
10
10
20
10
10
10
10
10
30
15
9
30
50
50
28
4
2
4
4

18.23
12.30
6.13
11.56
23.37
28.03
16.41
32.83
47.66
135.70
13.88
30.15
64.98
33.73
93.00
34.67
127.19
67.04
67.04
85.14
28.43
55.02
104.51
55.02
58.45
30.18
58.45
111.04
41.15
37.67
42.69
9.61
7.40
4.81
7.15
8.10
4.47
4.71
7.12
3.54
4.75
12.67
11.11
7.57
10.29
20.12
33.10
47.70
47.70
36.70
47.70
47.09

Pret
amanuntul
maximal/UT
(RON)

0.607666
0.615000
0.613000
1.156000
1.168500
0.934333
1.641000
1.641500
1.588666
13.570000
1.388000
6.030000
2.166000
3.373000
3.100000
4.952857
4.542500
4.788571
4.788571
3.040714
4.061428
3.930000
3.732500
3.930000
4.175000
4.311428
4.175000
3.965714
1.371666
1.255666
2.134500
0.480500
0.740000
0.481000
0.715000
0.405000
0.447000
0.471000
0.712000
0.354000
0.475000
0.422333
0.740666
0.841111
0.343000
0.402400
0.662000
1.703571
11.925000
18.350000
11.925000
11.772500

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

0.297349
0.297349
0.297349
0.594699
0.594699
0.594699
0.594699
0.594699
0.594699
1.395598
0.476849
4.148000
1.170883
2.341767
2.341767
4.683535
4.542500
4.683535
4.683535
1.170883
2.341767
2.341767
2.341767
2.341767
3.512651
3.512651
3.512651
3.512651
1.061001
1.255666
1.351021
0.480500
0.715274
0.481000
0.715000
0.405000
0.447000
0.471000
0.712000
0.354000
0.475000
0.422333
0.715274
0.715274
0.343000
0.245199
0.612998
1.525982
10.681874
10.681874
10.681874
10.681874

0.148674
0.148674
0.148674
0.297349
0.297349
0.297349
0.297349
0.297349
0.297349
0.697799
0.238424
2.074000
0.585441
1.170883
1.170883
2.341767
2.271250
2.341767
2.341767
0.585441
1.170883
1.170883
1.170883
1.170883
1.756325
1.756325
1.756325
1.756325
0.530500
0.627833
0.675510
0.240250
0.357637
0.240500
0.357500
0.202500
0.223500
0.235500
0.356000
0.177000
0.237500
0.211166
0.357637
0.357637
0.171500
0.122599
0.306499
0.762991
5.340937
5.340937
5.340937
5.340937

Nr. crt

cod ATC

DCI

798 M05BA07

ACIDUM ALENDRONICUM*
ACIDUM ALENDRONICUM*
ACIDUM ALENDRONICUM*
ACIDUM ALENDRONICUM*
ACIDUM ALENDRONICUM*
ACIDUM ALENDRONICUM*
ACIDUM ALENDRONICUM*
ACIDUM ALENDRONICUM*
ACIDUM ALENDRONICUM*
ACIDUM ALENDRONICUM*
ACIDUM IBANDRONICUM*
ACIDUM IBANDRONICUM*
ACIDUM IBANDRONICUM*
ACIDUM IBANDRONICUM*
ACIDUM RISEDRONICUM*
ACIDUM RISEDRONICUM*
ACIDUM RISEDRONICUM*
ACIDUM RISEDRONICUM*
ACIDUM RISEDRONICUM*
ACIDUM RISEDRONICUM*
ACIDUM RISEDRONICUM*
ACIDUM RISEDRONICUM*
ACIDUM RISEDRONICUM*
ACIDUM RISEDRONICUM*
ACIDUM RISEDRONICUM*

799 M05BB03

COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)*

800 M05BB03

COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)*

801 M05BB03

COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)*

802 M05BB03

COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)*

803 M05BX03

STRONTIUM RANELATUM*
STRONTIUM RANELATUM*
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
DIHYDROCODEINUM*
DIHYDROCODEINUM*
DIHYDROCODEINUM*

774 M05BA04
775 M05BA04
776 M05BA04
777 M05BA04
778 M05BA04
779 M05BA04
780 M05BA04
781 M05BA04
782 M05BA04
783 M05BA04
784 M05BA06
785 M05BA06
786 M05BA06
787 M05BA06
788 M05BA07
789 M05BA07
790 M05BA07
791 M05BA07
792 M05BA07
793 M05BA07
794 M05BA07
795 M05BA07
796 M05BA07
797 M05BA07

804 M05BX03
805 N02AA05
806 N02AA05
807 N02AA05
808 N02AA05
809 N02AA08
810 N02AA08
811 N02AA08

812 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM


813 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM
814 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM
815 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM
816 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM
817 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM
818 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM
819 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM
820 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM)
821 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM)
822 N03AE01
823 N03AE01
824 N03AX16
825 N03AX16

CLONAZEPAMUM
CLONAZEPAMUM
PREGABALINUM**#
PREGABALINUM**#

Denumire Comerciala
ACID ALENDRONIC BLUEFISH 70 mg
ACID ALENDRONIC BLUEFISH 70 mg

INSTREL 70 mg

forma farm.

COMPR.
COMPR.
COMPR.

ALENDRONAT SANDOZ 70 mg COMPR. FILM.


ADRONIK 70 mg
COMPR. FILM.
ADRONIK 70 mg
COMPR. FILM.
ADRONIK 70 mg
COMPR. FILM.
ADRONIK 70 mg
COMPR. FILM.
ADRONIK 70 mg
COMPR. FILM.
ADRONIK 70 mg
COMPR. FILM.
ACID IBANDRONIC TEVA 150 mg COMPR. FILM.
BONVIVA 150mg
COMPR. FILM.
OSSICA 150 mg
COMPR. FILM.

BONVIVA 3mg/3ml
RISENDROS 35 mg
RISEDRONAT TEVA 35 mg
JUVERITAL 35 mg
LORINE 35mg
JUVERITAL 35 mg
OSTEORON 35 mg
OSODENS 35 mg

SOL. INJ. IN SERINGA PREUMPLUTA

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
ACTONEL SAPTAMANAL 35 mg COMPR. FILM.
PEXALIT 35 mg
COMPR. FILM.
JUVERITAL 5 mg
COMPR. FILM.
ACTONEL 75 mg
COMPR. FILM.

FOSAVANCE 70mg/2800UI
FOSAVANCE 70mg/2800UI
FOSAVANCE 70mg/5600UI
FOSAVANCE 70mg/5600UI
OSSEOR 2 g
OSSEOR 2 g
OXYCONTIN (R) 10 mg
OXYCONTIN (R) 20 mg
OXYCONTIN (R) 40 mg
OXYCONTIN (R) 80 mg
DHC CONTINUS 120 mg
DHC CONTINUS 60 mg
DHC CONTINUS 90 mg
ZALDIAR (R)
ZALDIAR (R)
ZALDIAR (R)
ZALDIAR (R)
ZALDIAR (R)
ZALDIAR (R)
ZALDIAR (R)
ZALDIAR (R)
PADOLTEN 37,5 mg/325 mg
PADOLTEN 37,5 mg/325 mg
RIVOTRIL
RIVOTRIL 2 mg
LYRICA 150 mg
LYRICA 150 mg

COMPR.
COMPR.
COMPR.
COMPR.
GRAN. PT. SUSP. ORALA
GRAN. PT. SUSP. ORALA
COMPR. FILM. ELIB. MODIF.
COMPR. FILM. ELIB. MODIF.
COMPR. FILM. ELIB. MODIF.
COMPR. FILM. ELIB. MODIF.

COMPR. ELIB. PREL.


COMPR. ELIB. PREL.
COMPR. ELIB. PREL.

concentratie

70mg
70mg
70mg
70mg
70mg
70mg
70mg
70mg
70mg
70mg
150 mg
150mg
150mg
1mg/1ml
35mg
35mg
35mg
35mg
35mg
35mg
35mg
35mg
35mg
5mg
75mg

Detinator APP

tara det.
APP

SUEDIA
SUEDIA

Ambalaj

Prescriptie

CUTIE CU BLIST. AL/AL X 2 COMPR.


CUTIE CU BLIST. AL/AL X 4 COMPR.

P-6L

DR. REDDY'S LABORATORIES

ROMANIA CUTIE CU BLIST. AL/AL X 4 COMPR. FILM.


ROMANIA CUTIE X 1 BLIST. OPA-AL-PVC/AL X 2 COMPR. FILM
LABORATOARELE PROF.DR.MORAIT S.R.L.
ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 12 COMPR. FILM.
LABORATOARELE PROF.DR.MORAIT S.R.L.
ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 2 COMPR. FILM.
LABORATOARELE PROF.DR.MORAIT S.R.L.
ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 4 COMPR. FILM.
ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 12 COMPR. FILM.
ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 2 COMPR. FILM.
ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 4 COMPR. FILM.

P-RF

SANDOZ S.R.L.

P-6L

TEVA PHARMA B.V. OLANDA

CUTIE CU BLIST. DIN PVC/ACLAR/PVC-AL X 1 COMPRIMAT FILMAT

P-RF

ROCHE REGISTRATION LTD.

CUTIE X 1 COMPR. FILM.( BLIST. AL/AL) P-6L

BLUEFISH PHARMACEUTICALS AB
BLUEFISH PHARMACEUTICALS AB

MAREA BRITANIE

P-6L

P-6L
P-6L
P-6L
P-6L
P-6L
P-6L

GEDEON RICHTER PLC. UNGARIA

CUTIE CU 1 BLIST. PVC-PE-PVDC/AL X 1 COMPR. FILM.

P-6L

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 1 SERINGA PREUMPLUTA DIN STICLA X 3 ML SOL. INJ. + 1 AC

P-6L

ZENTIVA A.S.

CEHIA

CUTIE X 1 BLIST. OPA-AL-PVC/AL X 4 COMPR. FILM. P-6L

TEVA PHARMACEUTICAL S.R.L.

MAREA BRITANIE

CUTIE X BLIST. PVC-PVDC/AL X 4 COMPR. FILM.

P-6L

OZONE LABORATORIES BV

OLANDA

CUTIE X BLISTER PVC-PE-PVDC/AL X 4 COMPRIMATE FILMATE

P-6L

ANTIBIOTICE S.A.

ROMANIA
LABORMED PHARMA S.A. ROMANIA
ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE X 1BLIST. PVC- PVDC/AL X 4 COMPR. FILM. P-6L


CUTIE CU BLIST. PVC-PE-PVDC/AL X 4 COMPR. FILM. P-6L

CUTIE X 1 BLIST. PVC- PVDC/AL X 4 COMPR. FILM.

P-6L

TERAPIA SA

ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 4 COMPR. FILM. P-6L


SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 4 COMPR. FILM. P-6L
DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC/HT-AL X 4 COMPR. FILM. P6L
LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-6L
SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 2 COMPR. FILM. P-6L

70mg/2800UI
70mg/2800UI
70mg/5600UI
70mg/5600UI

MERCK SHARP & DOHME

MAREA BRITANIE

CUTIE X 4 COMPR. (1 PLIANT CU BLIST. AL/AL X 4 COMPR.)

P-6L

MERCK SHARP & DOHME

MAREA BRITANIE

CUTIE X 2 COMPR. (1 PLIANT CU BLIST. AL/AL X 2 COMPR.)

P-6L

MERCK SHARP & DOHME

MAREA BRITANIE

CUTIE X 2 COMPR. (1 PLIANT CU BLIST. AL/AL X 2 COMPR.)

P-6L

MERCK SHARP & DOHME

MAREA BRITANIE

CUTIE X 4 COMPR. (1 PLIANT CU BLIST. AL/AL X 4 COMPR.)

P-6L

2g
2g
10 mg
20 mg
40 mg
80mg
120mg
60mg
90mg

LES LAB. SERVIER FRANTA


LES LAB. SERVIER FRANTA
MUNDIPHARMA GMBH AUSTRIA
MUNDIPHARMA GMBH AUSTRIA
MUNDIPHARMA GMBH AUSTRIA
MUNDIPHARMA GMBH AUSTRIA
MUNDIPHARMA GMBH AUSTRIA
MUNDIPHARMA GMBH AUSTRIA
MUNDIPHARMA GMBH AUSTRIA

CUTIE X 14 PLICURI HARTI-PE-AL/PE GRAN. PT. SUSP. ORALA

P-RF

CUTIE X 28 PLICURI HARTI-PE-AL/PE GRAN. PT. SUSP. ORALA

P-RF

CUTIE X 1 FLAC. X 56 COMPR. FILM. ELIB. MODIF.

P-TS

CUTIE X 1 FLAC. X 56 COMPR. FILM. ELIB. MODIF.

P-TS

CUTIE X 1 FLAC. X 56 COMPR. FILM. ELIB. MODIF.

P-TS

CUTIE X 1 FLAC. X 56 COMPR. FILM. ELIB. MODIF.

P-TS

CUTIE X 1 FLAC. DIN PP X 56 COMPR. ELIB. PREL. P-RF


CUTIE X 1 FLAC. DIN PP X 56 COMPR. ELIB. PREL. P-RF
CUTIE X 1 FLAC. DIN PP X 56 COMPR. ELIB. PREL. P-RF

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

37,5mg+325mg GRUNENTHAL GMBH GERMANIA CUTIE X 3 BLIST. PP OPAC/AL X 10 COMPR. FILM. P-RF

COMPR.
COMPR.
CAPS.
CAPS.

0,5mg
2mg
150mg
150mg

37,5mg+325mg GRUNENTHAL GMBH GERMANIA CUTIE X 1 BLIST. PVC OPAC/AL X 10 COMPR. FILM. P-RF
37,5mg+325mg GRUNENTHAL GMBH GERMANIA CUTIE X 2 BLIST. PVC OPAC/AL X 10 COMPR. FILM. P-RF
37,5mg+325mg GRUNENTHAL GMBH GERMANIA CUTIE X 3 BLIST. PVC OPAC/AL X 10 COMPR. FILM. P-RF
37,5mg+325mg GRUNENTHAL GMBH GERMANIA CUTIE X 1 BLIST. PP OPAC/AL X 10 COMPR. FILM. P-RF
37,5mg+325mg GRUNENTHAL GMBH GERMANIA CUTIE X 5 BLIST. PVC OPAC/AL X 10 COMPR. FILM. P-RF
37,5mg+325mg GRUNENTHAL GMBH GERMANIA CUTIE X 5 BLIST. PP OPAC/AL X 10 COMPR. FILM. P-RF
37,5mg+325mg GRUNENTHAL GMBH GERMANIA CUTIE X 2 BLIST. PP OPAC/AL X 10 COMPR. FILM. P-RF

37,5mg/325mg
37,5mg/325mg

S.C.TEVA PHARMACEUTICALS S.R.L.

ROMANIA CUTIE CU BLIST. PVC/AL X 10 COMPR. FILM.


ROMANIA CUTIE CU BLIST. PVC/AL X 20 COMPR. FILM.
ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 50 COMPR.
ROCHE ROMANIA S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 30 COMPR.

P-RF

S.C.TEVA PHARMACEUTICALS S.R.L.

P-RF

PFIZER LIMITED
PFIZER LIMITED

P-RF

MAREA BRITANIE
MAREA BRITANIE

Pagina 47 din 205

CUTIE X 14 CAPS. (BLIST. PVC/AL)


CUTIE X 56 CAPS. (BLIST. PVC/AL)

P-RF
P-RF

P-RF

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

2
4
4
2
12
2
4
12
2
4
1
1
1
1
4
4
4
4
4
4
4
4
4
28
2
4
2
2
4
14
28
56
56
56
56
56
56
56
30
10
20
30
10
50
50
20
10
20
50
30
14
56

Pret
amanuntul
maximal/UT
(RON)

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

24.64 12.320000 10.681874


5.340937
24.42
6.105000
6.105000
3.052500
47.09 11.772500 10.681874
5.340937
12.67
6.335000
6.335000
3.167500
130.37 10.864166 10.681874
5.340937
24.48 12.240000 10.681874
5.340937
47.40 11.850000 10.681874
5.340937
130.37 10.864166 10.681874
5.340937
24.48 12.240000 10.681874
5.340937
47.40 11.850000 10.681874
5.340937
82.22 82.220000 45.779461 22.889730
127.80 127.800000 45.779461 22.889730
71.46 71.460000 45.779461 22.889730
420.41 420.410000 250.461000 125.230500
56.02 14.005000 10.681874
5.340937
71.70 17.925000 10.681874
5.340937
71.70 17.925000 10.681874
5.340937
36.07
9.017500
9.017500
4.508750
71.70 17.925000 10.681874
5.340937
71.70 17.925000 10.681874
5.340937
71.70 17.925000 10.681874
5.340937
110.30 27.575000 10.681874
5.340937
36.07
9.017500
9.017500
4.508750
71.70
2.560714
1.525982
0.762991
93.85 46.925000 22.889730 11.444865
88.79 22.197500 10.681874
5.340937
46.75 23.375000 10.681874
5.340937
46.75 23.375000 10.681874
5.340937
88.79 22.197500 10.681874
5.340937
103.50
7.392857
6.470089
3.235044
172.55
6.162500
6.162500
3.081250
115.46
2.061785
1.503564
0.751782
212.12
3.787857
3.007129
1.503564
391.30
6.987500
6.014270
3.007135
645.97 11.535178 11.535178
5.767589
127.04
2.268571
1.486928
0.743464
29.00
0.517857
0.517857
0.258928
100.50
1.794642
1.115196
0.557598
34.36
1.145333
1.027980
0.513990
12.00
1.200000
1.027980
0.513990
23.68
1.184000
1.027980
0.513990
34.36
1.145333
1.027980
0.513990
12.00
1.200000
1.027980
0.513990
57.11
1.142200
1.027980
0.513990
57.11
1.142200
1.027980
0.513990
23.68
1.184000
1.027980
0.513990
7.80
0.780000
0.780000
0.390000
15.41
0.770500
0.770500
0.385250
6.81
0.136200
0.067151
0.033575
6.49
0.216333
0.216333
0.108166
75.27
5.376428
5.376428
2.688214
285.51
5.098392
5.098392
2.549196

Nr. crt

cod ATC

826 N03AX16
827 N03AX16
828 N03AX16
829 N03AX16
830 N04AA02
831 N04BC05
832 N04BC05
833 N04BC05
834 N04BC05
835 N04BC05
836 N04BC05
837 N04BC05
838 N04BC05
839 N04BC05
840 N04BC05
841 N04BC05
842 N04BC05
843 N04BC05
844 N04BC05
845 N04BC05
846 N04BC05
847 N04BC05
848 N04BC05
849 N04BC05
850 N04BC05
851 N04BC05
852 N04BC05
853 N04BC05
854 N04BC05
855 N04BC05
856 N04BC05
857 N04BC05
858 N04BC05
859 N04BC05
860 N04BC05
861 N04BC05
862 N04BC08
863 N05AL03
864 N05AL03
865 N05BE01
866 N05BE01
867 N06AA21
868 N06AA21
869 N06AB10
870 N06AX05
871 N06AX05
872 N06AX05
873 N06AX12
874 N06AX14
875 N06AX17
876 N06AX17
877 N06AX21

DCI

PREGABALINUM**#
PREGABALINUM**#
PREGABALINUM**#
PREGABALINUM**#
BIPERIDENUM
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PIRIBEDILUM**
TIAPRIDUM
TIAPRIDUM
BUSPIRONUM
BUSPIRONUM
MAPROTILINUM
MAPROTILINUM*
ESCITALOPRAMUM**
TRAZODONUM**
TRAZODONUM**
TRAZODONUM**
BUPROPIONUM**#
TIANEPTINUM**
MILNACIPRANUM**
MILNACIPRANUM**
DULOXETINUM**

Denumire Comerciala

LYRICA 300 mg
LYRICA 300 mg
LYRICA 75 mg
LYRICA 75 mg
AKINETON
PRAMIPEXOLE ACCORD 0,088 mg

OPRYMEA 0,088mg
PRAMIPEXOLE ACCORD 0,18 mg

MIRAPEXIN 0,18 mg
OPRYMEA 0,18mg
PRAMIPEXOL TEVA 0,18mg
PRAMIPEXOL SANDOZ 0,18 mg

MEDOPEXOL 0,18 mg
GLEPARK 0,18 mg
PRAMIPEXOL RANBAXY 0,18 mg
PRAMIPEXOL TORRENT 0,18 mg
PRAMIPEXOL BLUEFISH 0,18 mg

MIGLASEN 0,18 mg
PRAMIPEXOLE ACCORD 0,35mg

MIRAPEXIN 0,7 mg
OPRYMEA 0,7mg
PRAMIPEXOL TEVA 0,7mg
PRAMIPEXOL SANDOZ 0,7 mg

MEDOPEXOL 0,7 mg
GLEPARK 0,7 mg
PRAMIPEXOL RANBAXY 0,7 mg
PRAMIPEXOL TORRENT 0,7 mg
PRAMIPEXOL BLUEFISH 0,7 mg

MIGLASEN 0,7 mg
PRAMIPEXOLE ACCORD 0,7mg
PRAMIPEXOLE ACCORD 1,1mg

MIRAPEXIN 0,26 mg
MIRAPEXIN 0,52 mg
MIRAPEXIN 1,05 mg
MIRAPEXIN 2,1 mg
MIRAPEXIN 3,15 mg
PRONORAN 50 mg
TIAPRIDAL (R) 100 mg
TIAPRIDAL 100 mg/2 ml
SPITOMIN 10 mg
SPITOMIN 5 mg
LUDIOMIL (R) 10 mg
LUDIOMIL (R) 25 mg
CIPRALEX 10 mg
TRITTICO AC 150 mg
TRITTICO AC 75 mg
TRITTICO AC 75 mg
ELONTRIL 150 mg
COAXIL (R)
IXEL
IXEL
CYMBALTA 30mg

forma farm.

CAPS.
CAPS.
CAPS.
CAPS.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.

concentratie

300mg
300mg
75mg
75mg
2mg
0,088 mg
0,088mg
0,18 mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,35mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
1,1mg
COMPR. ELIB. PREL. 0,26mg
COMPR. ELIB. PREL. 0,52mg
COMPR. ELIB. PREL. 1,05mg
COMPR. ELIB. PREL. 2,1mg
COMPR. ELIB. PREL. 3,15mg
DRAJ. ELIB. PREL. 50mg
COMPR.
100mg
SOL. INJ.
100mg/2ml
COMPR.
10mg
COMPR.
5mg
COMPR. FILM. 10mg
COMPR. FILM. 25mg
COMPR. FILM. 10mg
COMPR. ELIB. PREL. 150mg
COMPR. ELIB. PREL. 75mg
COMPR. ELIB. PREL. 75mg
COMPR. ELIB. MODIF. 150mg
DRAJ.
12,5mg
CAPS.
25mg
CAPS.
50mg
CAPS. GASTROREZ. 30mg

Detinator APP

PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
DESMA GMBH

tara det.
APP

Ambalaj

Prescriptie

P-RF

GERMANIA

CUTIE X 56 CAPS. (BLIST. PVC/AL)


CUTIE X 14 CAPS. (BLIST. PVC/AL)
CUTIE X 14 CAPS. (BLIST. PVC/AL)
CUTIE X 56 CAPS. (BLIST. PVC/AL)
CUTIE X 5 BLIST. X 10 COMPR.

ACCORD HEALTHCARE LIMITED

MAREA BRITANIE

CUTIE CU 3 BLIST. AL-PVC/AL A CATE 10 COMPR.

PRF

KRKA D.D.

SLOVENIA CUTIE X 30 COMPR. (BLIST. AL/AL)

ACCORD HEALTHCARE LIMITED

MAREA BRITANIE

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA

P-RF

KRKA D.D.
TEVA PHARMA BV
SANDOZ S.R.L.
ROMANIA
MEDOCHEMIE LTD. CIPRU

P-RF

MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE

CUTIE CU 3 BLIST. AL-PVC/AL A CATE 10 COMPR.

CUTIE X 3 BLIST. X 10 COMPR.


SLOVENIA CUTIE X 30 COMPR. (BLIST. AL/AL)
OLANDA CUTIE CU BLIST. AL/AL X 30 COMPR.
CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR.

P-RF
P-RF
P-RF

P-6L

P-RF

PRF

P-RF
P-RF/R

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-6L

GLENMARK PHARMACEUTICALS SRL

REPUBLICA SLOVACA

CUTIE CU BLIST. AL/AL X 30 COMPR.

RANBAXY (UK) LIMITED

MAREA BRITANIE

CUTIE CU BLIST. PA-AL-PVC X 30 COMPR. P-RF

P-RF

TORRENT PHARMA GMBH GERMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-RF


BLUEFISH PHARMACEUTICALS AB

SUEDIA

CUTIE CU BLIST. AL/AL X 30 COMPR.

ROMASTRU TRADING S.R.L.

ROMANIA

CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR.

P6L

ACCORD HEALTHCARE LIMITED

MAREA BRITANIE

CUTIE CU 3 BLIST. AL-PVC/AL A CATE 10 COMPR.

PRF

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA

CUTIE X 3 BLIST. X 10 COMPR.

P-RF

P-6L

KRKA D.D.
TEVA PHARMA BV
SANDOZ S.R.L.
MEDOCHEMIE LTD.

SLOVENIA CUTIE X 30 COMPR. (BLIST. AL/AL)

GLENMARK PHARMACEUTICALS SRL

REPUBLICA SLOVACA

CUTIE CU BLIST. AL/AL X 30 COMPR.

RANBAXY (UK) LIMITED

MAREA BRITANIE

CUTIE CU BLIST. PA-AL-PVC X 30 COMPR. P-RF

P-RF

OLANDA CUTIE CU BLIST. AL/AL X 30 COMPR.

P-RF

ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR.

P-RF/R

CIPRU

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-6L


P-RF

TORRENT PHARMA GMBH GERMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-RF


BLUEFISH PHARMACEUTICALS AB

SUEDIA

CUTIE CU BLIST. AL/AL X 30 COMPR.

ROMASTRU TRADING S.R.L.

ROMANIA

CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR.

P6L

ACCORD HEALTHCARE LIMITED

MAREA BRITANIE

CUTIE CU 3 BLIST. AL-PVC/AL A CATE 10 COMPR.

PRF

P-6L

ACCORD HEALTHCARE LIMITED

MAREA BRITANIE

CUTIE CU 3 BLIST. AL-PVC/AL A CATE 10 COMPR.

PRF

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA CUTIE CU 1 BLIST.OPA-AL-PVC/AL X 10 COMPR.

P-RF

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA CUTIE CU 3 BLIST.OPA-AL-PVC/AL X 10 COMPR.

P-RF

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA CUTIE CU 3 BLIST.OPA-AL-PVC/AL X 10 COMPR.

P-RF

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA CUTIE CU 3 BLIST.OPA-AL-PVC/AL X 10 COMPR.

P-RF

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA CUTIE CU 3 BLIST.OPA-AL-PVC/AL X 10 COMPR.

P-RF

LES LAB. SERVIER IND. FRANTA


SANOFI-SYNTHELABO FRANCE

SANOFI-AVENTIS FRANCE
EGIS PHARMACEUTICALS P.L.C.
EGIS PHARMACEUTICALS P.L.C.

CUTIE X 2 BLIST. AL/PVC X 15 DRAJ. CU ELIB. PREL.

P-RF

FRANTA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


FRANTA CUTIE X 2 SUPORTURI PVC X 6 FIOLE X 2 ML

P-RF

UNGARIA
UNGARIA

P-RF

CUTIE X 6 BLIST. AL/OPA-AL-PVC X 10 COMPR. P-RF


CUTIE X 6 BLIST. AL/OPA-AL-PVC X 10 COMPR. P-RF

NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

NOVARTIS PHARMA GMBH GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

H. LUNDBECK A/S

DANEMARCA

CUTIE X 2 BLIST. TRANSPARENTE PVC-PE-PVDC/AL X 14 COMPR. FILM.

P-RF

ANGELINI FRANCESCO SPA

CUTIE X 1 BLIST. AL/PVC X 20 COMPR. ELIB. PREL.

P-RF

CUTIE X 2 BLIST. AL/PVC X 15 COMPR. ELIB. PREL.

P-RF

ANGELINI FRANCESCO SPA

ITALIA
ITALIA
ITALIA

CUTIE X 1 BLIST. AL/PVC X 30 COMPR. ELIB. PREL.

P-RF

GLAXOSMITHKLINE (GSK) SRL

ROMANIA

CUTIE CU 1 FLAC. PEID CU DESICANT X 30 COMPR. ELIB. MODIF.

P-RF

ANGELINI FRANCESCO SPA

LES LAB. SERVIER IND. FRANTA CUTIE X 1 BLIST. AL/PVC X 30 DRAJ.


PIERRE FABRE MEDICAMENT PRODUCTION
PIERRE FABRE MEDICAMENT PRODUCTION

ELI LILLY NEDERLAND BV

FRANTA CUTIE X 4 BLIST. AL/PVC X 14 CAPS.


FRANTA CUTIE X 4 BLIST. AL/PVC X 14 CAPS.
OLANDA CUTIE X 28 CAPS. GASTROREZ.( BLIST. PVC/PE/PCTFE/AL)

Pagina 48 din 205

P-RF
P-RF
P-RF
P-RF

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

56
14
14
56
50
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
10
30
30
30
30
30
20
12
60
60
50
30
28
20
30
30
30
30
56
56
28

418.54
112.94
53.08
191.25
10.45
19.46
19.52
25.15
49.19
29.75
33.02
33.04
33.04
30.00
30.49
33.10
25.01
30.00
48.34
165.89
106.39
113.70
113.70
113.70
107.24
104.96
113.76
89.39
106.39
89.39
140.21
57.44
310.38
643.55
1,216.24
1,788.93

28.35
9.12
9.40
17.53
10.69
15.01
10.32
89.32
24.65
18.49
18.49
64.95
33.34
70.69
115.88
104.16

Pret
amanuntul
maximal/UT
(RON)

7.473928
8.067142
3.791428
3.415178
0.209000
0.648666
0.650666
0.838333
1.639666
0.991666
1.100666
1.101333
1.101333
1.000000
1.016333
1.103333
0.833666
1.000000
1.611333
5.529666
3.546333
3.790000
3.790000
3.790000
3.574666
3.498666
3.792000
2.979666
3.546333
2.979666
4.673666
5.744000
10.346000
21.451666
40.541333
59.631000
0.945000
0.456000
0.783333
0.292166
0.178166
0.300200
0.344000
3.190000
1.232500
0.616333
0.616333
2.165000
1.111333
1.262321
2.069285
3.720000

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

7.473928
8.067142
3.017976
3.017976
0.209000
0.166313
0.166313
0.340187
0.340187
0.340187
0.340187
0.340187
0.340187
0.340187
0.340187
0.340187
0.340187
0.340187
0.661475
1.322950
1.322950
1.322950
1.322950
1.322950
1.322950
1.322950
1.322950
1.322950
1.322950
1.322950
2.078921
0.491381
0.982763
1.984425
3.968850
5.953275
0.945000
0.456000
0.783333
0.292166
0.154103
0.270599
0.344000
1.118099
1.232500
0.616291
0.616291
2.165000
1.111333
1.091562
2.069285
3.297723

3.736964
4.033571
1.508988
1.508988
0.104500
0.083156
0.083156
0.170093
0.170093
0.170093
0.170093
0.170093
0.170093
0.170093
0.170093
0.170093
0.170093
0.170093
0.330737
0.661475
0.661475
0.661475
0.661475
0.661475
0.661475
0.661475
0.661475
0.661475
0.661475
0.661475
1.039460
0.245690
0.491381
0.992212
1.984425
2.976637
0.472500
0.228000
0.391666
0.146083
0.077051
0.135299
0.172000
0.559049
0.616250
0.308145
0.308145
1.082500
0.555666
0.545781
1.034642
1.648861

Nr. crt

cod ATC

878 N06AX21
879 N06BX16
880 N06BX18
881 N06BX18
882 N06BX18
883 N06BX18
884 N06BX18
885 N06DX02
886 N06DX02
887 N06DX02
888 N06DX02
889 N07CA01
890 N07CA01
891 N07CA01
892 N07CA01
893 N07CA01
894 N07CA01
895 N07CA01
896 N07CA01
897 N07CA01
898 N07CA01
899 N07CA01
900 N07CA01
901 N07CA01
902 N07CA01
903 N07CA01

DCI

DULOXETINUM**
PRAMIRACETAMUM**#
VINPOCETINUM
VINPOCETINUM
VINPOCETINUM
VINPOCETINUM
VINPOCETINUM
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM

904 N07CA52 COMBINATII (CINARIZINUM +DIMENHIDRINATUM)


905 N07CA52 COMBINATII (CINARIZINUM +DIMENHIDRINATUM)

Denumire Comerciala

CYMBALTA 60mg
PRAMISTAR
VIMPOCETIN 5 mg
CAVINTON(R) FORTE
VICEBROL
VICEBROL
CAVINTON(R)

forma farm.
CAPS. GASTROREZ.

COMPR. FILM.

CAPS.
COMPR.
COMPR.
COMPR.
COMPR.

GINKOFAR 40 mg (vezi C04AXN1) COMPR. FILM.


GINKOFAR 40 mg (vezi C04AXN1) COMPR. FILM.
GINKOFAR 40 mg (vezi C04AXN1) COMPR. FILM.
GINKO BILOBA BIOFARM 40 mg (vezi C04AXN1)

COMPR. FILM.

EMPERIN 24 mg
BETAHISTINA LPH 24 mg
BETAHISTIN MCC 24 mg
BETAHISTIN MCC 24 mg
BETASERC 24 mg
EMPERIN 8 mg
MICROSER
VESTIBO 8 mg
VESTIBO 8 mg
BETAHISTIN MCC 8 mg
BETASERC 8 mg
BETASERC 8 mg
BETAHISTINA LPH 8 mg
ACUVER 8 mg/doza
ACUVER 8 mg/doza
ARLEVERT
ARLEVERT

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
SOL. ORALA
SOL. ORALA
COMPR.
COMPR.

concentratie

60mg
600mg
5mg
10mg
5mg
5mg
5mg
40mg
40mg
40mg
40mg
24 mg
24 mg
24mg
24mg
24mg
8 mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg/doza
8mg/doza

911 P01BA02
912 R01AD05
913 R01AD08
914 R01AD09
915 R03AC04
916 R03AK03
917 R03AK06
918 R03AK06
919 R03AK06

SALMETEROLUM+FLUTICASONUM*
SALMETEROLUM+FLUTICASONUM*
SALMETEROLUM+FLUTICASONUM*

ABBOTT HEALTHCARE PRODUCTS B.V.

OLANDA

Prescriptie

CUTIE X 2 BLIST. PA-AL-PVC/AL X 10 COMPR.FILM.

P-6L

CUTIE X 5 BLIST. X 10 CAPS.


CUTIE X 2 BLIST. X 15 COMPR.

P-6L
P-6L

CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L


CUTIE X 10 BLIST. AL/PVC X 10 COMPR. P-6L
CUTIE X 2 BLIST. AL/PVC X 25 COMPR. P-6L
CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

P-6L

CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

P-6L

CUTIE X 9 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

P-6L

CUTIE X 2 BLIST. PVC-PVDC/AL X 15 COMPR. FILM.

P-6L

CUTIE CU BLIST. DIN PVC-PVDC/AL X 60 COMPR.

P6L

CUTIE CU 6 BLIST. DIN PVC-PVDC/AL X 10 COMPR.

P-6L

CUTIE CU 2 BLIST. PVC-PVDC-TE TRANSPARENT/AL X 10 COMPR.

P-6L

CUTIE CU 5 BLIST. PVC-PVDC-TE TRANSPARENT/AL X 10 COMPR.

P-6L

CUTIE CU 1 BLIST. PVC-PVDC/AL X 20 COMPR. P-6L

UNGARIA CUTIE CU BLIST. DIN PVC-PVDC/AL X 100 COMPR.


PRODOTTI FORMENTI ITALIA
CUTIE X 5 BLIST. X 10 COMPR.
ACTAVIS GROUP HF. ISLANDA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR.
ACTAVIS GROUP HF. ISLANDA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR.
MAGISTRA C&C SRL ROMANIA CUTIE CU 3 BLIST. PVC-PVDC-TE TRANSPARENT/AL X 10 COMPR.

EGIS PHARMACEUTICALS P.L.C.

P6L
P-6L
P-6L
P-6L
P-6L

ROMANIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR.

P-6L

CUTIE X 1 FLAC. STICLA BRUNA X 60 ML SOL. ORALA

P-6L

CYATHUS EXQUIRERE PHARMAFORSCHUNGS GMBH

AUSTRIA
AUSTRIA

CUTIE X 1 FLAC. STICLA BRUNA X 120 ML SOL. ORALA

P-6L

FARA CONCENTRATIE

HENNIG ARZNEIMITTEL GMBH & CO.KG

GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 25 COMPR. P-RF

FARA CONCENTRATIE

HENNIG ARZNEIMITTEL GMBH & CO.KG

GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 24 COMPR. P-RF

MEDA PHARMA GMBH & CO KG

GERMANIA

CUTIE X 1 FLAC. X 30 COMPR. FILM.

P-6L

GERMANIA

CUTIE X 10 FIOLE X 20 ML

S/P-RF

CUTIE X 5 FIOLE DIN STICLA BRUNA CU PUNCT DE RUPERE X 10 ML

P-RF

CUTIE X 5 FIOLE DIN STICLA BRUNA CU PUNCT DE RUPERE X 5 ML

P-RF

CUTIE X 10 FIOLE DIN STICLA BRUNA CU PUNCT DE RUPERE X 1 ML

P-RF

ROMANIA CUTIE X 6 BLIST. X 10 COMPR. FILM.

P-6L

SUEDIA

CUTIE X 1 FLACON X 120 DOZE PREVAZUT CU POMPA DOZATOARE

P-RF

MAREA BRITANIE

CUTIE X 1 FLACON X 120 DOZE, PREVAZUT CU POMPA DOZATOARE

P-RF

BELGIA

CUTIE X 1 FLACON PP X 140 DOZE

P-RF

CONC. PT. SOL. PERF.

910 N07XXN3

VIM SPECTRUM SRL ROMANIA


ROMANIA
BMF PHARM S.R.L. ROMANIA
BMF PHARM S.R.L. ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
BMF PHARM S.R.L. ROMANIA
BMF PHARM S.R.L. ROMANIA
BMF PHARM S.R.L. ROMANIA
BIOFARM S.A.
ROMANIA
EGIS PHARMACEUTICALS P.L.C. UNGARIA
LABORMED PHARMA SA ROMANIA
MAGISTRA C&C SRL ROMANIA
MAGISTRA C&C SRL ROMANIA
GEDEON RICHTER ROMANIA SA

Ambalaj

CUTIE X 28 CAPS. GASTROREZ.( BLIST. PVC/PE/PCTFE/AL) P-RF

LABORMED PHARMA S.A.

907 N07XN03 ACIDUM TIOCTICUM (ALFA-LIPOICUM)**# THIOGAMMA (R) 600 INJEKT (vezi N07XN03)

CEREBROLYSIN
CEREBROLYSIN
HIDROLIZAT DE PROTEINA DIN CREIER DE PORCINA** CEREBROLYSIN
HYDROXYCHLOROQUINUM
PLAQUENIL
BUDESONIDUM*
RHINOCORT (R) AQUA
FLUTICASONUM PROPIONAT* FLIXONASE (R)
MOMETASONUM*
NASONEX
FENOTEROLUM
BEROTEC N - 100 mcg
COMBINATII (FENOTEROLUM + IPRATROPIUM)* BERODUAL (R) N
SALMETEROLUM+FLUTICASONUM* SERETIDE DISKUS 50/100
SALMETEROLUM+FLUTICASONUM* SERETIDE DISKUS 50/250
SALMETEROLUM+FLUTICASONUM* SERETIDE DISKUS 50/500

F.I.R.M.A. S.P.A. (MENARINI GROUP)

OLANDA
ITALIA

ABBOTT HEALTHCARE PRODUCTS B.V.

COMPR. FILM. 600mg

909 N07XXN3 HIDROLIZAT DE PROTEINA DIN CREIER DE PORCINA**

ELI LILLY NEDERLAND BV

tara det.
APP

OLANDA
OLANDA

906 N07XN03 ACIDUM TIOCTICUM (ALFA-LIPOICUM)**# THIOCTACID (R) 600 HR (vezi A16AX01)
908 N07XXN3 HIDROLIZAT DE PROTEINA DIN CREIER DE PORCINA**

Detinator APP

ABBOTT HEALTHCARE PRODUCTS B.V.

CYATHUS EXQUIRERE PHARMAFORSCHUNGS GMBH

30mg/ml
WORWAG PHARMA GMBH & CO. KG
SOL. INJ./PERF. 215,2mg/ml EVER NEURO PHARMA GMBH
SOL. INJ./PERF. 215,2mg/ml EVER NEURO PHARMA GMBH
SOL. INJ./PERF. 215,2mg/ml EVER NEURO PHARMA GMBH
COMPR. FILM. 200mg
SANOFI - AVENTIS ROMANIA S.R.L.
SPRAY NAZAL SUSP. 32mcg/doza ASTRAZENECA AB
SPRAY NAZAL SUSP. 50mcg/doza GLAXOWELLCOME UK LTD.
SPRAY NAZAL SUSP. 50mcg/doza SCHERING PLOUGH EUROPE

AUSTRIA
AUSTRIA
AUSTRIA

CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L


CUTIE CU 4 BLIST. PVC-PVDC/AL X 25 COMPR. P-6L

SOL. DE INHALAT PRESURIZATA

100mcg/doza

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA

CUTIE X 1 FLACON PRESURIZAT X 200 DOZE SOL. DE INHALAT PRESURIZATA

P-6L

AEROSOL SOL. INHAL.

0,020mg+0,050mg

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA

CUTIE X 1 FLACON PRESURIZAT DIN OTEL X 200 DOZE SOLUTIE DE INHALAT PRESURIZATA

P-6L

GLAXO WELLCOME UK LIMITED

MAREA BRITANIE

CUTIE X 1DISPOZITIV DE INHALAT X 60 DOZE PULB. DE INHAL.

P-6L

GLAXOWELLCOME UK LTD.

MAREA BRITANIE

CUTIE X 1 DISPOZITIV DE INHALAT X 60 DOZE PULB. DE INHAL.

P-6L

GLAXOWELLCOME UK LTD.

MAREA BRITANIE

CUTIE X 1 DISPOZITIV DE INHALAT X 60 DOZE PULB. DE INHAL.

P-6L

PULB. INHAL. 50mg/100mg


PULB. INHAL. 50mg/250mg
PULB. INHAL. 50mg/500mg

SERETIDE 25 mcg/125 mcg INHALER CFC FREE

SUSP. INHAL. PRESURIZATA

25mcg/125mcg GLAXOWELLCOME UK LTD.

MAREA BRITANIE

CUTIE X 1 FLACON PRESURIZAT AL X 120 DOZE SUSP. DE INHALAT PRESURIZATA

P-6L

SERETIDE 25 mcg/250 mcg INHALER CFC FREE

SUSP. INHAL. PRESURIZATA

25mcg/250mcg GLAXOWELLCOME UK LTD.

MAREA BRITANIE

CUTIE X 1 FLACON PRESURIZAT AL X 120 DOZE SUSP. DE INHALAT PRESURIZATA

P-6L

SERETIDE 25 mcg/50 mcg INHALER CFC FREE

SUSP. INHAL. PRESURIZATA

25mcg/50mcg

MAREA BRITANIE

CUTIE X 1 FLACON PRESURIZAT AL X 120 DOZE SUSP. DE INHALAT PRESURIZATA

P-6L

923 R03AK07 COMBINATII (BUDESONIDUM + FORMOTEROLUM)*

SYMBICORT TURBUHALER 160 micrograme/4,5 micrograme/inhalatie

PULB. DE INHAL.

160micrograme/4,5micrograme/in

924 R03AK07 COMBINATII (BUDESONIDUM + FORMOTEROLUM)*

SYMBICORT TURBUHALER 320 micrograme/9 micrograme/inhalatie

PULB. DE INHAL.

320micrograme/9micrograme/inha

925 R03AK07 COMBINATII (BUDESONIDUM + FORMOTEROLUM)*

SYMBICORT TURBUHALER 80 micrograme/4,5 micrograme/inhalatie

PULB. DE INHAL.

80micrograme/4,5micrograme/inh

920 R03AK06
921 R03AK06
922 R03AK06

926 R03BA05
927 R03BA05
928 R03BA05
929 R03BA05

FLUTICASONUM
FLUTICASONUM
FLUTICASONUM
FLUTICASONUM

PROPIONAT*
PROPIONAT*
PROPIONAT*
PROPIONAT*

GLAXOWELLCOME UK LTD.

ASTRAZENECA AB SUEDIA
ASTRAZENECA AB SUEDIA
ASTRAZENECA AB SUEDIA

CUTIE CU 1 INHALATOR DIN MATERIAL PLASTIC CU 60 DOZE PULB. DE INHAL.

P6L
P6L
P6L

FLIXOTIDE DISKUS 100 mcg PULB. INHAL. 100mcg/doza


FLIXOTIDE DISKUS 250 mcg PULB. INHAL. 250mcg/doza
FLIXOTIDE DISKUS 500 mcg PULB. INHAL. 500mcg/doza

GLAXO WELLCOME UK LTD.

MAREA BRITANIE

CUTIE X 1 DISPOZITIV INHALATOR DIN PLASTIC SUB FORMA DE DISC X 1 BLIST. PVC/AL X 60 DOZE

P-RF

GLAXO WELLCOME UK LTD.

MAREA BRITANIE

CUTIE X 1 DISPOZITIV INHALATOR DIN PLASTIC SUB FORMA DE DISC X 1 BLIST. PVC/AL X 60 DOZE

P-RF

GLAXO WELLCOME UK LTD.

MAREA BRITANIE

CUTIE X 1 DISPOZITIV INHALATOR DIN PLASTIC SUB FORMA DE DISC X 1 BLIST. PVC/AL X 60 DOZE

P-RF

125mcg/doza

GLAXO WELLCOME UK LTD.

MAREA BRITANIE

CUTIE X 1 FLACON PRESURIZAT DIN AL X 60 DOZE SUSP. DE INHALAT PRESURIZATA

P-RF

FLIXOTIDE 125 INHALER CFC - Free

SUSP. INHAL. PRESURIZATA

Pagina 49 din 205

CUTIE CU 1 INHALATOR DIN MATERIAL PLASTIC CU 60 DOZE PULB. DE INHAL.


CUTIE CU 1 INHALATOR DIN MATERIAL PLASTIC CU 60 DOZE PULB. DE INHAL.

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

28
20
50
30
50
100
50
20
60
90
30
60
60
20
50
20
100
50
30
100
30
30
100
30
1
1
50
48
30
10
5
5
10
60
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

176.79
71.09
10.17
14.28
10.17
20.32
15.64
9.08
26.30
36.29
12.16
34.44
52.64
18.14
39.32
27.90
21.28
26.35
8.14
21.28
9.48
14.59
32.74
9.48
37.67
69.17
31.85
25.82
102.49
260.79
123.00
85.39
38.75
33.05
25.13
39.63
58.42
16.46
39.81
116.05
155.51
221.24
162.37
230.89
121.15
118.70
225.13
93.99
40.17
83.47
135.63
44.08

Pret
amanuntul
maximal/UT
(RON)

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

6.313928
3.554500
0.203400
0.476000
0.203400
0.203200
0.312800
0.454000
0.438333
0.403222
0.405333
0.574000
0.877333
0.907000
0.786400
1.395000
0.212800
0.527000
0.271333
0.212800
0.316000
0.486333
0.327400
0.316000
37.670000
69.170000
0.637000
0.537916
3.416333
26.079000
24.600000
17.078000
3.875000
0.550833
25.130000
39.630000
58.420000
16.460000
39.810000
116.050000
155.510000
221.240000
162.370000
230.890000
121.150000
118.700000
225.130000
93.990000
40.170000
83.470000
135.630000
44.080000

6.313928
3.156964
3.554500
1.777250
0.203400
0.101700
0.406800
0.203400
0.203400
0.101700
0.203200
0.101600
0.203400
0.101700
0.387333
0.193666
0.387333
0.193666
0.387333
0.193666
0.387333
0.193666
0.574000
0.287000
0.641160
0.320580
0.641160
0.320580
0.641160
0.320580
0.641160
0.320580
0.212800
0.106400
0.213719
0.106859
0.213719
0.106859
0.212800
0.106400
0.213719
0.106859
0.213719
0.106859
0.213719
0.106859
0.316000
0.158000
16.029007
8.014503
32.058014 16.029007
0.562687
0.281343
0.537916
0.268958
3.416333
1.708166
26.079000 13.039500
24.600000 12.300000
14.689000
7.344500
2.937800
1.468900
0.550833
0.275416
25.130000 12.565000
39.630000 19.815000
58.420000 29.210000
16.460000
8.230000
39.810000 19.905000
45.166050 22.583025
112.915125 56.457562
221.240000 110.620000
112.915125 56.457562
225.830250 112.915125
45.166050 22.583025
115.632500 57.816250
225.130000 112.565000
57.816250 28.908125
30.893400 15.446700
77.233500 38.616750
135.630000 67.815000
38.616750 19.308375

Nr. crt

cod ATC

930 R03BA05
931 R03BA05
932 R03BA05
933 R03BA07
934 R03BA07
935 R03BA07
936 R03BA07
937 R03BA08
938 R03BA08
939 R03BA08
940 R03BA08
941 R03BB04
942 R03DA05
943 R03DA05
944 R03DA05
945 R03DA05
946 R03DA05
947 R03DC03
948 R03DC03
949 R03DC03
950 R03DC03
951 R03DC03
952 R03DC03
953 R03DC03
954 R03DC03
955 R03DC03
956 R03DC03
957 R03DC03
958 R03DC03
959 R03DC03
960 R03DC03
961 R03DC03
962 R03DC03
963 R03DC03
964 R03DC03
965 R03DC03
966 R03DC03
967 R03DC03
968 R03DC03
969 R03DC03
970 R03DC03
971 R03DC03
972 R03DC03
973 R03DC03
974 R03DC03
975 R03DC03
976 R03DC03
977 R03DC03
978 R03DC03
979 R03DX03
980 R03DX03
981 R05CB15

DCI

FLUTICASONUM PROPIONAT*
FLUTICASONUM PROPIONAT*
FLUTICASONUM PROPIONAT*
MOMETASONUM*
MOMETASONUM*
MOMETASONUM*
MOMETASONUM*
CICLESONIDUM*
CICLESONIDUM*
CICLESONIDUM*
CICLESONIDUM*
TIOTROPIUM*
AMINOPHYLLINUM
AMINOPHYLLINUM
AMINOPHYLLINUM
AMINOPHYLLINUM
AMINOPHYLLINUM
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
FENSPIRIDUM
FENSPIRIDUM
ERDOSTEINUM

Denumire Comerciala
FLIXOTIDE (R) 50 INHALER CFC - Free

FLIXOTIDE NEBULES 0,5 mg/2 ml


FLIXOTIDE NEBULES 2 mg/2 ml
ASMANEX TWISTHALER 200 mcg
ASMANEX TWISTHALER 200 mcg
ASMANEX TWISTHALER 400 mcg
ASMANEX TWISTHALER 400 mcg

ALVESCO 160 INHALER


ALVESCO 160 INHALER
ALVESCO 80 INHALER
ALVESCO 80 INHALER
SPIRIVA 18 micrograme
MIOFILIN 100 mg
AMINOFILINA EEL

forma farm.

GLAXO WELLCOME UK LIMITED

MAREA BRITANIE

CUTIE X 5 BLIST. PA-AL-PVC/HARTIE-PTF-AL X 2 FIOLE PEJD X 2,5ML CONTINAND 2ML SUSP. INHAL. PRIN NEB

SCHERING PLOUGH EUROPE

BELGIA
BELGIA
BELGIA
BELGIA

CUTIE X 1 DISPOZITIV DE ADM. X 30 DOZE P-6L

SOL. DE INHALAT PRESURIZATA

160g/doza
160g/doza
80g/doza
80g/doza

NYCOMED GMBH
NYCOMED GMBH
NYCOMED GMBH
NYCOMED GMBH

CAPS. CU PULB. INHAL.

18micrograme

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

SOL. DE INHALAT PRESURIZATA


SOL. DE INHALAT PRESURIZATA
SOL. DE INHALAT PRESURIZATA

COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.

MONTELUKAST ACTAVIS 4 mg COMPR. MAST.


COMPR. MAST.

MONTELUKAST ALVOGEN 4 mg COMPR. MAST.


COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.

MONTELUKAST ACTAVIS 5 mg COMPR. MAST.


COMPR. MAST.

MONTELUKAST ALVOGEN 5 mg COMPR. MAST.

ASTMASAN 4 mg
SINGULAIR (R)
EURESPAL 80 mg
EURESPAL 2 mg/ml
ERDOMED 300 mg

Prescriptie

200mcg/doza
200mcg/doza
400mcg/doza
400mcg/doza

COMPR. FILM.
MONTELUKAST ACTAVIS 10 mg COMPR. FILM.
MONTEXAL 10 mg
COMPR. FILM.
MONKASTA 10 mg
COMPR. FILM.
ASTMASAN 10 mg
COMPR. FILM.
MONTELUKAST ALVOGEN 10 mg COMPR. FILM.

MONKASTA 5 mg

Ambalaj

PULB. INHAL.
PULB. INHAL.
PULB. INHAL.
PULB. INHAL.

SPIROKAST 10 mg

ASTHATOR 5 mg
SINGULAIR (R)
SINGULAIR (R)
MONTELUKAST TEVA 5 mg
MONTELUKAST TEVA 5 mg
SPIROKAST 5 mg
MONTEXAL 5 mg

tara det.
APP

SUSP. INHAL. PRIN NEBULIZATOR

SUSP. INHAL. PRIN NEBULIZATOR

MONTELUKAST TEVA 10 mg COMPR. FILM.


MONTELUKAST TEVA 10 mg COMPR. FILM.

MONKASTA 4 mg

Detinator APP

50mcg/doza
0,5mg/2ml
2mg/2ml

SUSP. INHAL. PRESURIZATA

CAPS.
COMPR.
AMINOFILINA ARENA 100 MG COMPR.
AMINOFILINA ARENA 200 MG COMPR.
MIOFILIN
SOL. INJ.
ASTHATOR 10 mg
COMPR.
SINGULAIR (R)
COMPR. FILM.
SINGULAIR (R)
COMPR. FILM.

ASTHATOR 4 mg
SINGULAIR
SINGULAIR
MONTELUKAST TEVA 4 mg
MONTELUKAST TEVA 4 mg
SPIROKAST 4 mg

concentratie

GRANULE
GRANULE
COMPR. FILM.

SIROP
CAPS.

100mg
100mg
100mg
200mg
24mg/ml
10 mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
4 mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
5 mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
4mg
4mg/plic
80mg
2mg/ml
300mg

GLAXO WELLCOME UK LTD.

MAREA BRITANIE

CUTIE X 1 FLACON PRESURIZAT X 120 DOZE X 50 MCG, PREVAZUT CU VALVA DOZATOARE

P-RF

GLAXO WELLCOME UK LIMITED

MAREA BRITANIE

CUTIE X 5 BLIST. PA-AL-PVC/HARTIE-PTF-AL X 2 FIOLE PEJD X 2,5ML CONTINAND 2ML SUSP. INHAL. PRIN NEB

P-RF
P-RF

SCHERING PLOUGH EUROPE


SCHERING PLOUGH EUROPE
SCHERING PLOUGH EUROPE

CUTIE X 1 DISPOZITIV DE ADM. X 60 DOZE P-6L


CUTIE X 1 DISPOZITIV DE ADM. X 60 DOZE P-6L
CUTIE X 1 DISPOZITIV DE ADM. X 30 DOZE P-6L

GERMANIA

CUTIE X 1 FLAC. DIN AL CU VALVA DOZATOARE X 120 DOZE SOL. DE INHALAT PRESURIZATA

P-RF

GERMANIA

CUTIE X 1 FLAC. DIN AL CU VALVA DOZATOARE X 60 DOZE SOL. DE INHALAT PRESURIZATA

P-RF

GERMANIA

CUTIE X 1 FLAC. DIN AL CU VALVA DOZATOARE X 120 DOZE SOL. DE INHALAT PRESURIZATA

P-RF

GERMANIA

CUTIE X 1 FLAC. DIN AL CU VALVA DOZATOARE X 60 DOZE SOL. DE INHALAT PRESURIZATA

P-RF

GERMANIA

CUTIE CU 3 BLIST. AL/PVC/AL X 10 CAPS. CU PULB. DE INHALAT + 1 DISPOZITIV HANDIHALER

PRF

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P-RF

CUTIE X 2 BLIST. AL/PVC X 25 COMPR.


CUTIE X 4 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-RF

CUTIE X 5 FIOLE PREVAZUTE CU INEL DE RUPERE X 10 ML SOL.INJ.

S/P-RF

ZENTIVA SA
BIO EEL SRL
ARENA GROUP SA
ARENA GROUP SA
ZENTIVA S.A.

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
TORRENT PHARMA S.R.L. ROMANIA
MERCK SHARP & DOHME ROMANIA
MERCK SHARP & DOHME ROMANIA
TEVA PHARMACEUTICALS S.R.L. ROMANIA
TEVA PHARMACEUTICALS S.R.L. ROMANIA

P-RF
P-RF

CUTIE CU BLIST. AL/AL X 28 COMPR. P6L


CUTIE X 1 BLIST. OPA-AL-PVC X 14 COMPR. FILM.

P-RF

CUTIE X 2 BLIST. OPA-AL-PVC X 14 COMPR. FILM.

P-RF

CUTIE CU BLIST. DIN AL/AL X 28 COMPR. FILM. P-RF


CUTIE CU BLIST. DIN AL/AL X 30 COMPR. FILM. P-RF

ZENTIVA, K.S.

REPUBLICA CEHA

CUTIE CU BLIST. NY/AL/PVC-AL (FARA INDICAREA ZILELOR SAPTAMANII) X 28 COMPR. FILM.

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.

ICN POLFA RZESZOW S.A.

POLONIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.

TORRENT PHARMA S.R.L.

P6L
P6L
P6L
P6L
P6L
P6L
P6L

MERCK SHARP & DOHME

P-RF

KRKA D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC//AL X 28 COMPR. FILM.

SANDOZ S.R.L.

ROMANIA

ALVOGEN IPCO S.A.R.L

LUXEMBURG CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. FILM.

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.

ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. MAST.


ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. MAST.
MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 7 COMPR. MAST.
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. DIN AL/AL X 28 COMPR. FILM.
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. DIN AL/AL X 30 COMPR. FILM.

ZENTIVA, K.S.

REPUBLICA CEHA

CUTIE CU BLIST. NY/AL/PVC-AL (FARA INDICAREA ZILELOR SAPTAMANII) X 28 COMPR. MAST.

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. MAST.

P-RF
P-RF
P-RF

TORRENT PHARMA S.R.L.

P6L
P6L
P6L
P6L
P6L

MERCK SHARP & DOHME

P-RF

KRKA D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC//AL X 28 COMPR. MAST.

ALVOGEN IPCO S.A.R.L

LUXEMBURG CUTIE CU BLIST. PA-ALL-PVC/AL X 28 COMPR. MASTICABILE

ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. MAST.


ROMANIA CUTIE X 1 BLIST. OPA-AL-PVC/AL X 14 COMPR. MAST.
MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. MAST.
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. DIN AL/AL X 28 COMPR. FILM.
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. DIN AL/AL X 30 COMPR. FILM.

ZENTIVA, K.S.

REPUBLICA CEHA

CUTIE CU BLIST. NY/AL/PVC-AL (FARA INDICAREA ZILELOR SAPTAMANII) X 28 COMPR. MAST.

ICN POLFA RZESZOW S.A.

POLONIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. MAST.

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. MAST.

KRKA D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC//AL X 28 COMPR. MAST.

ALVOGEN IPCO S.A.R.L

LUXEMBURG CUTIE CU BLIST. PA-ALL-PVC/AL X 28 COMPR. MASTICABILE

SANDOZ S.R.L.

ROMANIA CUTIE CU 28 PLICURI PET/AL/PE CONTINAND GRANULE


ROMANIA CUTIE X 28 PLICURI CU GRANULE

MERCK SHARP & DOHME

LES LAB. SERVIER IND. FRANTA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM.
LES LAB. SERVIER IND. FRANTA CUTIE X 1 FLACON PVC DE CULOARE BRUNA X 150 ML
CSC PHARMACEUTICALS HANDELS GMBH

CEHIA

Pagina 50 din 205

P-RF
P-RF
P-RF

P6L
P6L
P6L
P6L
P6L
P6L
P-RF

P-6L
P-6L

CUTIE X 1 BLIST. PVC-PVDC/AL X 10 CAPS. P-6L

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

1
10
10
1
1
1
1
1
1
1
1
1
20
50
40
20
5
28
14
28
28
30
28
30
28
28
28
28
28
28
14
28
30
28
30
28
28
28
14
28
28
30
28
28
30
28
28
28
28
30
1
10

35.97
31.02
89.60
56.66
138.36
246.51
97.66
247.17
123.33
223.88
111.02
162.41
3.57
6.70
6.87
7.63
11.68
98.38
75.89
144.00
81.07
86.87
62.48
64.65
73.19
62.48
76.75
81.07
106.12
155.65
82.06
42.33
45.36
42.33
45.33
42.33
57.11
98.38
75.72
143.61
52.83
56.60
52.83
72.89
56.59
52.83
57.11
76.94
157.06
27.77
19.78
15.62

Pret
amanuntul
maximal/UT
(RON)

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

35.970000
3.102000
8.960000
56.660000
138.360000
246.510000
97.660000
247.170000
123.330000
223.880000
111.020000
162.410000
0.178500
0.134000
0.171750
0.381500
2.336000
3.513571
5.420714
5.142857
2.895357
2.895666
2.231428
2.155000
2.613928
2.231428
2.741071
2.895357
3.790000
5.558928
5.861428
1.511785
1.512000
1.511785
1.511000
1.511785
2.039642
3.513571
5.408571
5.128928
1.886785
1.886666
1.886785
2.603214
1.886333
1.886785
2.039642
2.747857
5.609285
0.925666
19.780000
1.562000

30.893400 15.446700
1.029778
0.514889
4.119118
2.059559
54.702500 27.351250
109.405000 54.702500
218.810000 109.405000
97.660000 48.830000
247.042500 123.521250
123.330000 61.665000
123.521250 61.760625
61.760625 30.880312
162.410000 81.205000
0.178500
0.089250
0.134000
0.067000
0.171750
0.085875
0.381500
0.190750
2.336000
1.168000
2.422678
1.211339
2.422678
1.211339
2.422678
1.211339
2.422678
1.211339
2.422678
1.211339
2.231428
1.115714
2.155000
1.077500
2.422678
1.211339
2.231428
1.115714
2.422678
1.211339
2.422678
1.211339
1.511000
0.755500
1.511000
0.755500
1.511000
0.755500
1.511000
0.755500
1.511000
0.755500
1.511000
0.755500
1.511000
0.755500
1.511000
0.755500
1.511000
0.755500
1.888750
0.944375
1.888750
0.944375
1.888750
0.944375
1.886785
0.943392
1.886666
0.943333
1.886785
0.943392
1.888750
0.944375
1.886333
0.943166
1.886785
0.943392
1.888750
0.944375
1.511000
0.755500
1.511000
0.755500
0.925666
0.462833
19.780000
9.890000
1.562000
0.781000

Nr. crt

cod ATC

982 R05CB15
983 R05CB15
984 R05DA09
985 R05DA09
986 R05DA09
987 R05DA09
988 R05DA09
989 R05DA09
990 R05DA09
991 R05DA09
992 R06AE09
993 R06AE09
994 R06AE09
995 R06AE09
996 R06AE09
997 R06AE09
998 R06AE09
999 R06AX26

DCI

ERDOSTEINUM
ERDOSTEINUM
DEXTROMETHORPHANUM
DEXTROMETHORPHANUM
DEXTROMETHORPHANUM
DEXTROMETHORPHANUM
DEXTROMETHORPHANUM
DEXTROMETHORPHANUM
DEXTROMETHORPHANUM
DEXTROMETHORPHANUM
LEVOCETIRIZINUM
LEVOCETIRIZINUM
LEVOCETIRIZINUM
LEVOCETIRIZINUM
LEVOCETIRIZINUM
LEVOCETIRIZINUM
LEVOCETIRIZINUM
FEXOFENADINUM
FEXOFENADINUM
FEXOFENADINUM
FEXOFENADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
GENTAMICINUM
TOBRAMYCINUM
TOBRAMYCINUM
TOBRAMYCINUM
TOBRAMYCINUM
TOBRAMYCINUM
NETILMICINUM
NETILMICINUM
NETILMICINUM
OFLOXACINUM
OFLOXACINUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
BETAMETHASONUM

Denumire Comerciala

ERDOMED 225 mg
ERDOMED 175 mg/5 ml
TUSSIN FORTE
TUSALIN 15 mg
HUMEX
HUMEX 0,133 g/100 ml
ROFEDEX
TUSSIN 6,5mg/5ml
ROBITUSSIN JUNIOR

forma farm.

Detinator APP

tara det.
APP

SOL. OFT.

FARA CONCENTRATIE

PIC. OFT.SOL. UNIDOZA

FARA CONCENTRATIE

PICATURI OFT.-SOL.

5mg/ml+1mg/ml NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FLACON X 5 ML SOL. OFT. + PICURATOR P-RF

COMPR.
COMPR. FILM.

PIC. ORALE, SOL.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

CSC PHARMACEUTICALS HANDELS GMBH


CSC PHARMACEUTICALS HANDELS GMBH

EUROPHARM SA
BMF PHARM SRL
LAB. URGO SA
LAB. URGO SA
BIOFARM SA
ROPHARMA S.A.
WYETH WHITEHALL EXPORT GMBH
WYETH WHITEHALL EXPORT GMBH

U.C.B. GMBH
U.C.B. GMBH

AUSTRIA
AUSTRIA

P-RF

CUTIE X 1 FLACON X 200 ML + O MASURA DOZATOARE DIN POLIPROPILENA

P-RF

CUTIE X 1 FLACON DIN STILCA BRUNA X 100 ML + MASURA DOZATOARE

P-RF

CUTIE X 1 FLAC. X 115ML SIROP + O LINGURITA DOZATOARE GRADATA LA 1,25ML; 2,5ML SI 5 ML

P-RF

ROMANIA
ROMANIA

AUSTRIA
AUSTRIA

SANDOZ S.R.L.

ROMANIA

CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

P-6L

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

P-6L

REPUBLICA CEHA

CUTIE CU BLIST. PVC-ACLAR/AL X 20 COMPR. FILM. P-6L

ZENTIVA K.S.
U.C.B. GMBH

GERMANIA

CUTIE X 1 FLACON DIN STICLA BRUNA X 20 ML PIC. ORALE, SOL., PREVAZUT CU PICURATOR

P-6L

EWOPHARMA INTERNATIONAL S.R.O.

SLOVACIA

CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

P-6L

SANOFI-AVENTIS ROMANIA S.R.L.

ROMANIA

CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 10 COMPR.FILM.

P-6L

EWOPHARMA INTERNATIONAL S.R.O.

SLOVACIA

CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

P-6L

SANOFI-AVENTIS ROMANIA S.R.L.

ROMANIA

CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM.

P-6L

SP EUROPE
SP EUROPE
SP EUROPE
SP EUROPE
SP EUROPE
SP EUROPE
SP EUROPE

BELGIA
BELGIA
BELGIA
BELGIA
BELGIA
BELGIA
BELGIA

CUTIE X 30COMPR. FILM. ( PCTFE/ PVC/AL) P-RF

R06AX27

1,004

R06AX27

1,005

R06AX27

1,006

R06AX27

1,007

R06AX27

1,008

R06AX27

1,009

R06AX27

1,010

S01AA11

1,011

S01AA12

1,012

S01AA12

1,013

S01AA12

1,014

S01AA12

1,015

S01AA12

1,016

S01AA23

1,017

S01AA23

1,018

S01AA23

1,019

S01AX11

1,020

S01AX11

1,021

S01BA01

1,022

S01BA01

1,023

S01BA01

1,024

S01BA06

1,025

S01CA01 COMBINATII ( NETILMICINUM + DEXAMETHASONUM)

1,026

S01CA01 COMBINATII ( NETILMICINUM + DEXAMETHASONUM)

1,027

S01CA01

1,028

S01CA01 COMBINATII (TOBRAMYCINUM +DEXAMETAZONUM)

DEXATOBROM 3 mg+1 mg/ml PIC. OFT. SUSP. 3mg+1mg/ml

ROMPHARM COMPANY S.R.L.

1,029

S01CA01 COMBINATII (TOBRAMYCINUM +DEXAMETAZONUM)

1,030

S01CA01 COMBINATII (TOBRAMYCINUM +DEXAMETAZONUM)

ALCON COUVREUR NV BELGIA


ALCON COUVREUR NV BELGIA

1,031

S01GX09

1,032

S01XA02

TOBRADEX ( R )
TOBRADEX (R)
OPATANOL 1mg/ml
OCULOTECT

OLOPATADINUM
RETINOLUM

PIC. OFT., SOL


PICATURI OFT.-SOL.

UNG. OFT.
PICATURI OFT.-SOL.

UNG. OFT.

DEXAMETAZONA ROMPHARM 1mg/ml PIC. OFT. SUSP.


DEXAMETAZONA ROMPHARM 1mg/ml PIC. OFT. SUSP.
PICATURI OFT.-SUSP.

1mg+3mg
UNG. OFT. 1mg+3mg
PIC. OFT., SOL. 1mg/ml
GEL OFT.
10mg/g

PICATURI OFT.-SUSP.

CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SOL. ORALA P-RF

GERMANIA CUTIE X 3 BLIST. X 10 COMPR. FILM. P-6L

1,003

UNG. OFT.

CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SOL. ORALA P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL CU 30 COMPR. FILM. P-6L

R06AX26

PICATURI OFT.-SOL.

P-RF

GERMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-6L

1,002

PIC. OFT., SOL


PIC. OFT., SOL
PIC. OFT., SOL.
PIC. OFT.,SOL.

P-6L

CUTIE X 1 FLACON X 125 ML SIROP + O MASURA DOZATOARE PENTRU MASURAREA VOLUMELOR 2,5ML; 5ML; 7,5ML; 1

R06AX26

SOL. ORALA
SOL. ORALA

CUTIE CU 1 FLAC. DIN STICLA BRUNA A 50 G PULB. PT. OBTINEREA A 100 ML SUSP. ORALA + 1 MASURA DOZATOA

FRANTA
FRANTA

1,001

COMPR. ORODISPERSABILE

P-6L

P-RF

R06AX26

COMPR. ORODISPERSABILE

CUTIE CU 20 PLICURI UNIDOZA DIN HARTIE AL/PE

ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.

1,000

COMBINATII (CLORAMPHENICOLUM+DEXAMETHASONUM)

Prescriptie

PIC. OFT.,SOL.

PULB. PT. SUSP. ORALA

LEVOCETIRIZINA SANDOZ 5 mg COMPR. FILM.


LEVOCETIRIZINA ACTAVIS 5 mg COMPR. FILM.
ZENARO 5 mg
COMPR. FILM.

MAXIDEX (R)
OPHTAMESONE
NETILDEX
NETILDEX
SPERSADEX COMP

Ambalaj

225mg
175mg/5ml
20mg
15mg
0,1%
0,13%
15mg/5ml
6,5mg/5ml
3,75mg/5ml
7,5mg/5ml
5mg
5mg
5mg
5mg
5mg
5mg
5mg/ml
120mg
120mg
180mg
180mg
5mg
5mg
5mg
2,5mg
5mg
0,5mg/ml
0,5mg/ml
0,3%
3mg/ml
0,3%
3mg/ml
0,3%
0,3%
0,3%
0,3%
3mg/g
0,3%
0,3%
1mg/ml
1mg/ml
0,1%
0,1%

GRAN. PT. SUSP. ORALA

SIROP
SIROP
SIROP
SIROP
SOL. ORALA
ROBITUSSIN ANTITUSSICUM SOL. ORALA
XYZAL (R)
COMPR. FILM.
XYZAL (R)
COMPR. FILM.
CEZERA 5 mg
COMPR. FILM.

XYZAL
EWOFEX 120 mg
TELFAST 120 mg
EWOFEX 180 mg
TELFAST 180 mg
AERIUS 5mg
AERIUS 5mg
AERIUS 5mg
AERIUS 2,5mg
AERIUS 5mg
AERIUS 0,5mg/ml
AERIUS 0,5mg/ml
GENTAMICIN SULPHATE
TOBROM 3 mg/ml
TOBISOL
TOBREX
TOBREX 2 X
TOBREX (R)
NETTACIN (R)
NETTACIN (R)
NETTAVISC 3mg/g
FLOXAL (R)
FLOXAL (R)

concentratie

CUTIE X 10 COMPR. FILM. ( PCTFE/ PVC/AL)

P-RF

CUTIE X 7 COMPR. FILM. ( PCTFE/ PVC/AL) P-RF


CUTIE X 30 COMPR. ORODISPERSABILE (PVC/OPA/AL)

P-RF

CUTIE X 30 COMPR. ORODISPERSABILE (PVC/OPA/AL)

P-RF

CUTIE X 1 FLACON X 120 ML SOL. ORALA + LIGURITA DOZATOARE DE 2,5 ML SI 5 ML

P-RF

CUTIE X 1 FLACON X 150 ML SOL. ORALA + LIGURITA DOZATOARE DE 2,5 ML SI 5ML

P-RF

E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON X 10ML


ROMPHARM COMPANY SRL ROMANIA CUTIE C 1 FLAC. PEJD X 5 ML PIC. OFT. SOL
E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON X 5 ML PIC. OFT., SOL.

P-RF

ALCON COUVREUR NV BELGIA


ALCON COUVREUR NV BELGIA
ALCON COUVREUR NV BELGIA

CUTIE X 1 FLACON DIN PEJD CU PICURATOR X 5 ML PIC. OFTALMICE, SOL.

P-RF

CUTIE X 1 FLAC. PEID CU PICURATOR DIN PEID X 5 ML

P-RF

P-RF
P-RF

CUTIE X 1 TUB DIN AL X 3,5 G UNGUENT OFTALMIC P-RF

S.I.F.I. SPA
S.I.F.I. SPA
S.I.F.I. SPA

ITALIA
ITALIA
ITALIA

CUTIE X 1 FLACON X 5ML

P-RF

CUTIE X 3 FOLII TERMOSUDATE X 5 FLACOANE UNIDOZA DIN POLIETILENA X 0,3 ML

P-RF

CUTIE X 1 TUB DIN AL X 5 G UNGUENT OFTALMIC, PREV. CU APLICATOR

P-RF

DR. GERHARD MANN CHEM.PHARM.FABRIK GMBH

GERMANIA

CUTIE X 1 FLACON DIN PEJD X 5 ML PICATURI OFT., SOL.

P-RF

DR. GERHARD MANN CHEM.PHARM.FABRIK GMBH

GERMANIA

CUTIE X 1 TUB DIN AL PREVAZUT CU APLICATOR X 3 G

P-RF

ROMANIA
ROMANIA

CUTIE X 1 FLAC. DIN PEID X 10 ML PIC. OFT., SUSPENSIE

P-RF

CUTIE X 1 FLAC. DIN PEID X 5 ML PIC. OFT., SUSPENSIE

P-RF

ROMPHARM COMPANY SRL


ROMPHARM COMPANY SRL

ALCON COUVREUR NV BELGIA

CUTIE X 1 FLACON PICURATOR DIN PE X 5 ML P-RF

DAR AL DAWA PHARMA S.R.L.

ROMANIA CUTIE X 1 FLACON X 10ML

P-RF

S.I.F.I. SPA
S.I.F.I. SPA

ITALIA
ITALIA

P-RF

ALCON LABORATORIES LTD.

CUTIE X 1 FLACON DIN PEJD X 5 ML PIC. OFT.SOL.

CUTIE X 20 FLAC. UNIDOZA DIN PEJD X 0,3 ML PIC.OFT. SOL. P-RF

ROMANIA CUTIE CU 1 FLAC. PEJD A 5 ML + PICURATOR

MAREA BRITANIE

NOVARTIS PHARMA GMBH GERMANIA

Pagina 51 din 205

P-RF

CUTIE X 1 FLACON PICURATOR PEJD X 5 ML P-RF


CUTIE X 1 TUB AL, PREVAZUT CU APLICATOR PEID X 3,5 G

P-RF

CUTIE X 1 FLACON X 5 ML
CUTIE X 1 TUB X 10 G GEL. OFT.

P-RF

P-6L

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

20
1
20
10
1
1
1
1
1
1
10
30
30
10
10
20
1
10
10
10
10
30
10
7
30
30
1
1
1
1
1
1
1
1
1
15
1
1
1
1
1
1
1
1
20
1
1
1
1
1
1

32.76
24.65
6.70
2.67
8.37
10.69
5.21
7.78
8.51
8.51
16.72
41.68
28.00
10.86
10.86
21.74
35.80
11.82
13.16
17.70
19.15
53.90
21.51
17.26
49.09
42.32
20.25
25.62
4.65
4.04
4.05
11.17
20.55
8.54
14.01
28.60
32.11
14.28
15.19
10.00
5.49
8.44
4.45
31.02
50.71
12.37
9.88
15.21
12.91
30.14
16.22

Pret
amanuntul
maximal/UT
(RON)

1.638000
24.650000
0.335000
0.267000
8.370000
10.690000
5.210000
7.780000
8.510000
8.510000
1.672000
1.389333
0.933333
1.086000
1.086000
1.087000
35.800000
1.182000
1.316000
1.770000
1.915000
1.796666
2.151000
2.465714
1.636333
1.410666
20.250000
25.620000
4.650000
4.040000
4.050000
11.170000
20.550000
8.540000
14.010000
1.906666
32.110000
14.280000
15.190000
10.000000
5.490000
8.440000
4.450000
31.020000
2.535500
12.370000
9.880000
15.210000
12.910000
30.140000
16.220000

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

1.288125
24.650000
0.335000
0.262124
8.370000
4.543503
5.210000
2.612515
5.304600
2.621251
1.672000
1.389333
0.933333
1.086000
1.086000
1.087000
35.800000
1.182000
1.276666
1.770000
1.915000
1.276666
1.276666
1.276666
0.638333
1.276666
13.355000
16.693750
4.650000
4.040000
4.042500
4.042500
4.042500
3.031875
14.010000
1.236269
20.604495
11.165000
15.190000
9.000000
4.500000
4.500000
4.450000
11.772000
0.706320
11.772000
9.880000
11.772000
8.240400
30.140000
16.220000

0.644062
12.325000
0.167500
0.131062
4.185000
2.271751
2.605000
1.306257
2.652300
1.310625
0.836000
0.694666
0.466666
0.543000
0.543000
0.543500
17.900000
0.591000
0.638333
0.885000
0.957500
0.638333
0.638333
0.638333
0.319166
0.638333
6.677500
8.346875
2.325000
2.020000
2.021250
2.021250
2.021250
1.515937
7.005000
0.618134
10.302247
5.582500
7.595000
4.500000
2.250000
2.250000
2.225000
5.886000
0.353160
5.886000
4.940000
5.886000
4.120200
15.070000
8.110000

Nr. crt

cod ATC

DCI

Denumire Comerciala

forma farm.

concentratie

Detinator APP

tara det.
APP

Ambalaj

NOT:
- Tratamentul cu medicamentele corespunztoare DCI-urilor notate cu (*) se iniiaza de medicul de specialitate in limita competenei i poate fi prescris n continuare de medicul de familie pe baza
scrisorii medicale emise de medicul de specialitate;
- Tratamentul cu medicamentele corespunztoare DCI-urilor notate cu (**) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale Ministerului Sntii;
- Tratamentul cu medicamentele corespunztoare DCI-urilor notate cu (***) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale Ministerului Sntii i cu
aprobarea comisiilor de la nivelul Caselor Judeene de Asigurri de Sntate;
- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (****) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MS si cu aprobarea comisiilor
de la nivelul Casei Nationale de Asigurari de Sanatate;
- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (2) se prescrie numai in etapa pregtitoare pentru colonoscopie;
- Pentru medicamentele corespunztoare DCI-urilor notate cu (#) regulile de prescriere sunt stabilite prin Contractul Cadru.

Pagina 52 din 205

Prescriptie

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

Pret
amanuntul
maximal/UT
(RON)

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

ANEXA 3
SECIUNEA C1 - LISTA MEDICAMENTELOR CU PROCENT DE COMPENSARE 100% DIN PREUL DE REFERIN CONFORM
DCI-urilor UTILIZATE N TRATAMENTUL AMBULATORIU AL UNOR GRUPE DE BOLI PENTRU CARE DECONTAREA SE FACE PE BAZA PROTOCOALELOR TERAPEUTICE CU MONITORIZAREA PRESCRIERII I CONSUMULUI PRIN COMISIILE PARITARE;
MEDICAMENTELE DIN ACEAST SUBLIST SE ELIBEREAZ PRIN FARMACII CU CIRCUIT DESCHIS PE BAZ DE PRESCRIPIE MEDICAL CU REINERE N FARMACIE ( P-RF)
DIN HG NR. 720/2008 CU MODIFICARILE SI COMPLETARILE ULTERIOARE
VALABIL NCEPND CU 01 IANUARIE 2012

NR.CRT

COD ATC

DCI

Denumire Comerciala

forma farm.

concentratie

DETINATOR APP

TARA
DET. APP

AMBALAJ

Prescriptie

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
CANT MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ITAT
L
MAXIMAL/UT 213 alin.(1) lit.
UT (RON)
E
(RON)
(RON)
a) si f)
PT. ADULTI

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


1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39

B01AA07
B01AA07
C01AA05
C01AA05
C01AA05
C03AA03
C03CA01
C03CA01
C03CA01
C03CA01
C03CA01
C03CA01
C03CA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02

ACENOCUMAROLUM
ACENOCUMAROLUM
DIGOXINUM
DIGOXINUM
DIGOXINUM
HYDROCHLOROTHIAZIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM

TROMBOSTOP 2 mg
SINTROM 4 mg
DIGOXIN 0,25 mg
DIGOXIN 0,5 mg/2 ml
LANOXIN SOLUTIE ORALA
NEFRIX 25 mg
FUROSEMID MCC 40 mg
FUROSEMID SLAVIA
FUROSEMID EEL
FUROSEMID ZENTIVA
FUROSEMID LPH 40 mg
FUROSEMID ARENA 40 mg
FUROSEMID 20 mg/2 ml
VEROSPIRON

COMPR.
COMPR.
COMPR.
SOL. INJ.
SOL. ORALA
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
SOL. INJ.
CAPS.
SPIRONOLACTONA ARENA 25 mg CAPS.
VEROSPIRON
CAPS.
SPIRONOLACTONA ARENA 50 mg CAPS.
SPIRONOLACTONA EEL 25 mg COMPR.
SPIRONOLACTONA OZONE 25 mg COMPR.
SPIRONOLACTONA OZONE 25 mg COMPR.
SPIRONOLACTONA 25 mg COMPR. FILM.
ALSPIRON 25 mg
COMPR. FILM.
ALSPIRON 50 mg
COMPR. FILM.
BLOXAN
COMPR.
BETAPROL 100 mg
COMPR.
EGILOK 100 mg
COMPR.
METOPROLOL LPH 100 mg COMPR.
METOPROLOL AL 100
COMPR.
METOPROLOL AL 100
COMPR.
METOPROLOL AL 100
COMPR.
METOPROLOL 100 mg
COMPR.
METOPROLOL TERAPIA 100 mg COMPR.
METOPROLOL MEDICO UNO 100 mg COMPR.
METOPROLOL VIM SPECTRUM 100 mg COMPR.
METOPROLOL ARENA 100 MG COMPR.
METOPROLOL 100 mg
COMPR.
METOPROLOL 100 mg
COMPR.
EGILOK 25 mg
COMPR.
METOPROLOL LPH 25 mg COMPR.

2mg
4mg
0,25mg
0,5mg/ml
0,05mg/ml
25mg
40mg
40mg
40mg
40mg
40mg
40mg
10mg/ml
100mg
25mg
50mg
50mg
25mg
25mg
25mg
25mg
25mg
50mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
25mg
25mg

TERAPIA SA

ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P-RF

NOVARTIS PHARMA GMBH GERMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. P-RF

ZENTIVA S.A.
ZENTIVA S.A.

ROMANIA CUTIE X 1 BLIST. AL/PVC X 25 COMPR.


ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 2 ML SOL. INJ.

S/P-RF

THE WELLCOME FOUNDATION LTD.

MAREA BRITANIE

CUTIE X 1 FLACON DIN STICLA BRUNA X 60 ML SOL. ORALA + PIPETA X 1 ML

P-RF

ZENTIVA SA

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE X 1 BLIST. AL/PVC X 25 COMPR. P-6L


CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L

MAGISTRA C&C S.R.L.

SLAVIA PHARM SRL


BIO EEL SRL
ZENTIVA SA
LABORMED PHARMA SA

ARENA GROUP S.A.


ZENTIVA SA
GEDEON RICHTER ROMANIA SA

ARENA GROUP S.A.


GEDEON RICHTER ROMANIA SA

ARENA GROUP S.A.


BIO EEL SRL

CUTIE X 2 BLIST. X 10 COMPR.

P-RF

P-6L

CUTIE X 1 FLAC. DIN PEID X 20 COMPR. P-6L


CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
CUTIE X 5 FIOLE DIN STICLA BRUNA CU INEL DE RUPERE X 2 ML SOL. INJ.

P-RF

CUTIE X 3 BLIST. AL/PVC X 10 CAPS.


CUTIE CU 5 BLIST. PVC/AL X 10 CAPS.
CUTIE X 3 BLIST. AL/PVC X 10 CAPS.
CUTIE CU 3 BLIST. PVC/AL X 10 CAPS.

P-6L
P-6L
P-6L
P-6L

LABORMED PHARMA SA

CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L


MAREA BRITANIE CUTIE X 5 BLIST. AL/PVC X 10 COMPR.
P-6L
ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L
ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
SLOVENIA CUTIE X 3 BLIST. PVC/PVDC TRANSPARENT/AL X 10 COMPR. P-6L
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 20 COMPR. P-6L
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L

ALIUD PHARMA GMBH & CO.KG

GERMANIA CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L

ALIUD PHARMA GMBH & CO.KG

GERMANIA CUTIE X 10 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L

ALIUD PHARMA GMBH & CO.KG

GERMANIA CUTIE X 5 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L

OZONE LABORATORIES LTD.


OZONE LABORATORIES PHARMA S.A.

TERAPIA SA
AC HELCOR PHARMA SRL
AC HELCOR PHARMA SRL

KRKA D.D. NOVO MESTO


AC HELCOR PHARMA SRL
EGIS PHARMACEUTICALS P.L.C.

MAGISTRA C & C SRL ROMANIA


TERAPIA SA
ROMANIA
MEDICO UNO PHARMACEUTICAL SRL ROMANIA
VIM SPECTRUM SRL ROMANIA
ARENA GROUP SA ROMANIA
OZONE LABORATORIES PHARMA S.A.
ROMANIA
SLAVIA PHARMA S.R.L. ROMANIA
EGIS PHARMACEUTICALS P.L.C. UNGARIA
LABORMED PHARMA SA ROMANIA

Pagina 53 din 205

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.


CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-6L

CUTIE X 1 FLAC. DIN STICLA BRUNA X 20 COMPR.

P-6L

P-6L
P-6L
P-6L
P-6L
P-6L
P-6L

CUTIE X 1 BLIST. AL/PVC X 20 COMPR. P-6L

30
20
25
5
1
25
20
20
20
20
20
20
5
30
50
30
30
20
50
50
50
20
20
30
30
20
30
30
100
50
30
30
30
20
30
20
20
20
20

6.46
6.69
2.76
6.56
10.96
3.44
2.99
2.25
5.36
5.95
3.00
5.95
5.99
28.17
15.89
16.52
16.06
4.25
10.66
10.66
16.02
4.25
13.59
13.88
10.82
6.49
7.04
9.01
19.52
12.85
9.38
14.93
6.93
7.29
6.93
8.00
8.00
1.88
1.88

0.215333
0.334500
0.110400
1.312000
10.960000
0.137600
0.149500
0.112500
0.268000
0.297500
0.150000
0.297500
1.198000
0.939000
0.317800
0.550666
0.535333
0.212500
0.213200
0.213200
0.320400
0.212500
0.679500
0.462666
0.360666
0.324500
0.234666
0.300333
0.195200
0.257000
0.312666
0.497666
0.231000
0.364500
0.231000
0.400000
0.400000
0.094000
0.094000

0.215333
0.334500
0.110400
1.312000
10.960000
0.137600
0.135000
0.112500
0.135000
0.135000
0.135000
0.135000
1.198000
0.939000
0.255000
0.550666
0.535333
0.212500
0.213200
0.213200
0.255000
0.212500
0.642399
0.234240
0.234240
0.234240
0.234240
0.234240
0.195200
0.234240
0.234240
0.234240
0.231000
0.234240
0.231000
0.234240
0.234240
0.094000
0.094000

0.215333
0.334500
0.110400
1.312000
10.960000
0.137600
0.135000
0.112500
0.135000
0.135000
0.135000
0.135000
1.198000
0.939000
0.255000
0.550666
0.535333
0.212500
0.213200
0.213200
0.255000
0.212500
0.642399
0.234240
0.234240
0.234240
0.234240
0.234240
0.195200
0.234240
0.234240
0.234240
0.231000
0.234240
0.231000
0.234240
0.234240
0.094000
0.094000

NR.CRT

40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90

COD ATC

DCI

C07AB02

METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM

C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB07
C07AB07
C07AB07
C07AB12
C07AB12
C07AB12
C07AB12
C07AB12
C07AB12
C07AB12
C07AB12
C07AB12
C07AB12
C07AB12
C07AB12
C07AB12
C07AB12
C07AG02
C07AG02
C07AG02
C07AG02
C07AG02

Denumire Comerciala

METOPROLOL 25 mg

forma farm.

COMPR.
METOPROLOL MEDICO UNO 25 mg COMPR.
METOPROLOL ARENA 25 MG COMPR.
BETAPROL 50 mg
COMPR.
EGILOK 50 mg
COMPR.
METOPROLOL LPH 50 mg COMPR.
METOPROLOL AL 50
COMPR.
METOPROLOL AL 50
COMPR.
METOPROLOL AL 50
COMPR.
METOPROLOL 50 mg
COMPR.
METOPROLOL TERAPIA 50 mg COMPR.
METOPROLOL MEDICO UNO 50 mg COMPR.
METOPROLOL VIM SPECTRUM 50 mg COMPR.
METOPROLOL ARENA 50 MG COMPR.
METOPROLOL 50 mg
COMPR.
METOPROLOL 50 mg
COMPR.

concentratie

25mg
25mg
25mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
METOPROLOL RETARD 100 mg COMPR. ELIB. PREL. 100mg
BETALOC (R) ZOK 100 mg COMPR. FILM. ELIB. PREL. 100mg
EMZOK 100 mg
COMPR. FILM. ELIB. PREL. 100mg
METOPROLOL SUCCINAT POLPHARMA 190 mg COMPR. FILM. ELIB. PREL. 190mg
METOPROLOL SUCCINAT POLPHARMA 23,75 mg COMPR. FILM. ELIB. PREL. 23,75mg
METOPROLOL SUCCINAT POLPHARMA 47,5 mg COMPR. FILM. ELIB. PREL. 47,5mg
BETALOC (R) ZOK 50 mg
COMPR. FILM. ELIB. PREL. 50mg
EMZOK 50 mg
COMPR. FILM. ELIB. PREL. 50mg
METOPROLOL SUCCINAT POLPHARMA 95 mg COMPR. FILM. ELIB. PREL. 95mg
METOSUCCINAT SANDOZ 190 mg COMPR.FILM.ELIB.MOD. 190mg
METOSUCCINAT SANDOZ 47,5 mg COMPR.FILM.ELIB.MOD. 47,5mg
METOSUCCINAT SANDOZ 95 mg COMPR.FILM.ELIB.MOD. 95mg
BETALOC
SOL. INJ.
5mg/5ml
CONCOR COR 10 mg
COMPR. FILM. 10mg
CONCOR COR 2,5 mg
COMPR. FILM. 2,5mg
CONCOR COR 5 mg
COMPR. FILM. 5mg
EZOCEM 5 mg
COMPR
5mg
EZOCEM 5 mg
COMPR
5mg
NEBLOTENSOL 5 mg
COMPR.
5 mg
NEBILET (R)
COMPR.
5mg
NEBIVOLOL ACTAVIS 5 mg COMPR.
5mg
NEBACOP 5 mg
COMPR.
5mg
NEBACOP 5 mg
COMPR.
5mg
X-PRESSOL 5 mg
COMPR.
5mg
NOLET 5 mg
COMPR.
5mg
NEBIVOLOL TEVA 5 mg
COMPR.
5mg
NEBIVOLOL TEVA 5 mg
COMPR.
5mg
VOXNEBIN 5 mg
COMPR.
5mg
NEBINORM 5 mg
COMPR.
5mg
NEBICARD 5 mg
COMPR.
5mg
CARVEDILOL SANDOZ
COMPR.
12,5 mg
DILATREND (R) 12,5 mg
COMPR.
12,5mg
CORYOL 12,5 mg
COMPR.
12,5mg
TALLITON (R) 12,5 mg
COMPR.
12,5mg
CARVEDILOL HELCOR 12,5 mg COMPR.
12,5mg

TARA
DET. APP
DETINATOR APP
MAGISTRA C & C SRL ROMANIA
MEDICO UNO PHARMACEUTICAL SRL ROMANIA
ARENA GROUP S.A. ROMANIA
AC HELCOR PHARMA SRL ROMANIA
EGIS PHARMACEUTICALS P.L.C. UNGARIA
LABORMED PHARMA SA ROMANIA
ALIUD PHARMA GMBH GERMANIA
ALIUD PHARMA GMBH GERMANIA
ALIUD PHARMA GMBH GERMANIA
MAGISTRA C & C SRL ROMANIA
TERAPIA SA
ROMANIA
MEDICO UNO PHARMACEUTICAL SRL ROMANIA
VIM SPECTRUM SRL ROMANIA
ARENA GROUP S.A. ROMANIA
OZONE LABORATORIES PHARMA S.A.
ROMANIA
SLAVIA PHARMA S.R.L. ROMANIA
TERAPIA SA
ROMANIA

ASTRAZENECA AB SUEDIA
IVAX PHARMCEUTICALS S.R.O. CEHIA
PHARMACEUTICAL WORKS POLPHARMA SA
PHARMACEUTICAL WORKS POLPHARMA SA
PHARMACEUTICAL WORKS POLPHARMA SA

POLONIA
POLONIA
POLONIA

ASTRAZENECA AB SUEDIA
IVAX PHARMCEUTICALS S.R.O. CEHIA
PHARMACEUTICAL WORKS POLPHARMA SA

POLONIA

HEXAL AG
GERMANIA
HEXAL AG
GERMANIA
HEXAL AG
GERMANIA
ASTRAZENECA AB SUEDIA
MERCK KGAA
GERMANIA
MERCK KGAA
GERMANIA
MERCK KGAA
GERMANIA
OZONE LABORATORIES BV OLANDA

AMBALAJ

Prescriptie

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.


CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P-6L

CUTIE X 1 FLAC. DIN STICLA BRUNA X 20 COMPR.

P-6L

P-6L
P-6L
P-6L

CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L


CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR.

P-6L

CUTIE X 10 BLIST. DIN PVC-PVDC/ALX 10 COMPR

P-6L

CUTIE X 5 BLIST. DIN PVC-PVDC/AL X 10 COMPR.

P-6L

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.


CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-6L

CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. CU ELIB. PREL.

P-6L

CUTIE X 1 FLAC. X 30 COMPR. FILM. ELIB. PREL.

P-6L

CUTIE X 3 BLIST. AL/PP X 10 COMPR. FILM. ELIB. PREL.

P-6L

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. CU ELIB. PREL.

P-6L

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. CU ELIB. PREL.

P-6L

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. CU ELIB. PREL.

P-6L

CUTIE X 1 FLAC. X 30 COMPR. FILM. ELIB. PREL.

P-6L

CUTIE X 3 BLIST. AL/PP X 10 COMPR. FILM. ELIB. PREL.

P-6L

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. CU ELIB. PREL.

P-6L

CUTIE X 3 BLIST. ACLAR-PVC/AL X 10 COMPR. FILM. ELIB. MODIF.

P-6L

CUTIE X 3 BLIST. ACLAR-PVC/AL X 10 COMPR. FILM. ELIB. MODIF.

P-6L

CUTIE X 3 BLIST. ACLAR-PVC/AL X 10 COMPR. FILM. ELIB. MODIF.

P-6L

P-6L
P-6L
P-6L
P-6L
P-6L
P-6L

CUTIE X 5 FIOLE X 5 ML SOL.INJ. I.V./PERF.

CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.

P-6L

CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.

P-6L

CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L


CUTIE X 28 COMPR. IN BLIST. PVC-PE-PVDC/AL P-6L

OZONE LABORATORIES PHARMA S.A.

ROMANIA

LANNACHER HEILMITTEL GES.M.B.H.

AUSTRIA CUTIE CU BLIST. PVC/AL X 30 COMPR.

BERLIN CHEMIE AG MENARINI GROUP

GERMANIA CUTIE X 4 BLIST. AL/PVC X 7 COMPR. P-6L

CUTIE X 28 COMPR. IN BLIST. PVC-PE-PVDC/AL P-6L

ACTAVIS S.R.L.

ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.


JUST BUSINESS SRL ROMANIA CUTIE X 2 BLIST. PVC/AL X 14 COMPR.
JUST BUSINESS SRL ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR.
LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR.
ANTIBIOTICE S.A.
ROMANIA CUTIE X 3 BLIST. PVC- PE- PVDC/AL X 10 COMPR.
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR.
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR.
SANDOZ S.R.L.
ROMANIA CUTIE CU BLIST. PVC/AL X 28 COMPR.
GLENMARK PHARMACEUTICALS SRL

BIOFARM SP.ZO.O
HEXAL AG

P-6L
P-6L
P-6L
P-6L
P-RF

P-6L
P-6L
P-6L
P-6L

CEHIA

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR.

POLONIA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. P-6L

GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR.

P-6L
P-6L

ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. OPA-AL-PVDC/AL X 14 COMPR. P-6L


KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 4 BLIST. OPA-AL-PVC/AL X 7 COMPR. P-6L
EGIS PHARMACEUTICALS P.L.C.

AC HELCOR PHARMA SRL

UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR.


ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

Pagina 54 din 205

P-6L
P-6L

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
CANT MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ITAT
L
MAXIMAL/UT 213 alin.(1) lit.
UT (RON)
E
(RON)
(RON)
a) si f)
PT. ADULTI

30
30
30
30
20
30
30
100
50
30
30
30
20
30
20
20
20
30
30
28
28
28
30
30
28
30
30
30
5
30
30
30
28
28
30
28
30
28
30
30
30
28
30
28
30
28
30
28
28
30
20

2.82
2.82
2.82
5.21
3.47
4.68
5.21
8.31
7.01
5.21
6.98
5.21
3.41
5.21
3.47
3.47
11.00
25.39
16.50
20.96
2.73
9.40
15.50
10.09
15.41
22.45
8.04
13.44
21.90
33.41
14.59
22.05
25.24
25.24
26.76
34.15
27.04
25.22
27.04
26.76
26.56
22.54
24.14
13.67
26.92
25.21
8.63
29.58
12.33
13.14
8.61

0.094000
0.094000
0.094000
0.173666
0.173500
0.156000
0.173666
0.083100
0.140200
0.173666
0.232666
0.173666
0.170500
0.173666
0.173500
0.173500
0.550000
0.846333
0.550000
0.748571
0.097500
0.335714
0.516666
0.336333
0.550357
0.748333
0.268000
0.448000
4.380000
1.113666
0.486333
0.735000
0.901428
0.901428
0.892000
1.219642
0.901333
0.900714
0.901333
0.892000
0.885333
0.805000
0.804666
0.488214
0.897333
0.900357
0.287666
1.056428
0.440357
0.438000
0.430500

0.094000
0.094000
0.094000
0.099720
0.099720
0.099720
0.099720
0.083100
0.099720
0.099720
0.099720
0.099720
0.099720
0.099720
0.099720
0.099720
0.234240
0.234240
0.234240
0.748571
0.097500
0.321600
0.099720
0.099720
0.537600
0.748333
0.268000
0.448000
4.380000
0.586200
0.486333
0.296520
0.585856
0.585856
0.585856
0.585856
0.585856
0.585856
0.585856
0.585856
0.585856
0.585856
0.585856
0.488214
0.585856
0.585856
0.287666
0.332400
0.332400
0.332400
0.332400

0.094000
0.094000
0.094000
0.099720
0.099720
0.099720
0.099720
0.083100
0.099720
0.099720
0.099720
0.099720
0.099720
0.099720
0.099720
0.099720
0.234240
0.234240
0.234240
0.748571
0.097500
0.321600
0.099720
0.099720
0.537600
0.748333
0.268000
0.448000
4.380000
0.586200
0.486333
0.296520
0.585856
0.585856
0.585856
0.585856
0.585856
0.585856
0.585856
0.585856
0.585856
0.585856
0.585856
0.488214
0.585856
0.585856
0.287666
0.332400
0.332400
0.332400
0.332400

NR.CRT

91
92
93
94
95
96
97
98
99

COD ATC
C07AG02
C07AG02
C07AG02
C07AG02
C07AG02
C07AG02
C07AG02
C07AG02
C07AG02

100 C07AG02
101 C07AG02
102 C07AG02
103 C07AG02
104 C07AG02
105 C07AG02
106 C07AG02
107 C07AG02
108 C07AG02
109 C07AG02
110 C07AG02
111 C07AG02
112 C07AG02
113 C07AG02
114 C07AG02
115 C07AG02
116 C07AG02
117 C07AG02
118 C07AG02
119 C07AG02
120 C09AA01
121 C09AA01
122 C09AA01
123 C09AA01
124 C09AA01
125 C09AA01
126 C09AA01
127 C09AA01
128 C09AA01
129 C09AA01
130 C09AA01
131 C09AA01
132 C09AA01
133 C09AA01
134 C09AA01
135 C09AA01
136 C09AA01
137 C09AA02
138 C09AA02
139 C09AA02
140 C09AA02
141 C09AA02

DCI

CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM

Denumire Comerciala

CARVEDILOL LPH 12,5 mg

forma farm.

COMPR.
CARVEDILOL VIM SPECTRUM 12,5mg COMPR.
GLADYCOR 12,5 mg
COMPR.
MIOCARVIL 12,5 mg
COMPR.
ATRAM 12,5
COMPR.
TEDILOL 12,5 mg
COMPR.
DILATREND (R) 25 mg
COMPR.
CORYOL 25 mg
COMPR.
TALLITON (R) 25 mg
COMPR.
CARVEDILOL HELCOR 25 mg COMPR.
CARVEDILOL SANDOZ
COMPR.
CARVEDILOL LPH 25 mg
COMPR.
GLADYCOR 25 mg
COMPR.
MIOCARVIL 25 mg
COMPR.
ATRAM 25
COMPR.
TEDILOL 25 mg
COMPR.
DILATREND (R) 6,25 mg
COMPR.
CORYOL (R)
COMPR.
TALLITON 6,25 mg
COMPR.
CARVEDILOL SANDOZ
COMPR.
CARVEDILOL LPH 6,25 mg COMPR.
CARVEDILOL VIM SPECTRUM 6,25 mg COMPR.
GLADYCOR 6,25 mg
COMPR.
MIOCARVIL 6,25 mg
COMPR.
ATRAM 6,25
COMPR.
TEDILOL 6,25 mg
COMPR.
CARVEDIGAMMA 12,5 mg COMPR. FILM.
CARVEDIGAMMA 25 mg
COMPR. FILM.
CARVEDIGAMMA 6,25 mg COMPR. FILM.
CAPTOPRIL 12,5 mg
COMPR.
CAPTOPRIL MCC 12,5 mg COMPR.
CAPTOPRIL 25 mg
COMPR.
CAPTOPRIL 25 mg
COMPR.
CAPTOPRIL 25 EEL
COMPR.
CAPTOPRIL - AC 25 mg
COMPR.
CAPTOPRIL MCC 25 mg
COMPR.
CAPTOPRIL LPH 25 mg
COMPR.
CAPTOPRIL SINTOFARM 25 mg COMPR.
CAPTOPRIL ARENA 25 mg COMPR.
CAPTOPRIL ARENA 50 mg COMPR.
CAPTOPRIL 50 mg
COMPR.
CAPTOPRIL 50 mg
COMPR.
CAPTOPRIL 50 EEL
COMPR.
CAPTOPRIL - AC 50 mg
COMPR.
CAPTOPRIL MCC 50 mg
COMPR.
CAPTOPRIL LPH 50 mg
COMPR.
ENALAPRIL 10 mg
COMPR.
ENALAPRIL 10 mg
COMPR.
ENALAPRIL SANDOZ 10 mg COMPR.
ENALAPRIL LPH 10 mg
COMPR.
ENAP 10 mg
COMPR.

concentratie

12,5mg
12,5mg
12,5mg
12,5mg
12,5mg
12,5mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
6,25mg
6,25mg
6,25mg
6,25mg
6,25mg
6,25mg
6,25mg
6,25mg
6,25mg
6,25mg
12,5mg
25mg
6,25mg
12,5mg
12,5mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
50 mg
50mg
50mg
50mg
50mg
50mg
50mg
10mg
10mg
10mg
10mg
10mg

TARA
DET. APP
LABORMED PHARMA SA ROMANIA
VIM SPECTRUM SRL ROMANIA
ANTIBIOTICE S.A.
ROMANIA
LABORMED PHARMA S.A. ROMANIA

CUTIE X 3 BLIST. PVC/AL X 10 COMPR. FILM.

P-6L

ZENTIVA K.S.

CUTIE X 2 BLIST. PVC-PVDC/AL X 15 COMPR.

P-6L

DETINATOR APP

CEHIA

AMBALAJ

Prescriptie

CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L


CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L

ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR.


ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. OPA-AL-PVDC/AL X 14 COMPR.

TEVA PHARMACEUTICAL S.R.L.

P-6L
P-6L

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. P-6L

UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR.


ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-6L

AC HELCOR PHARMA SRL

HEXAL AG

GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR.

P-6L

EGIS PHARMACEUTICALS P.L.C.

P-6L

LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L

ANTIBIOTICE S.A.

ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR.


ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. FILM.

P-6L

LABORMED PHARMA S.A.

ZENTIVA K.S.

CEHIA

P-6L

CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR.

ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR.


ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. OPA-AL-PVDC/AL X 14 COMPR.

TEVA PHARMACEUTICAL S.R.L.

KRKA D.D.

P-6L
P-6L
P-6L

SLOVENIA CUTIE X 4 BLIST. OPA-AL-PVC/AL X 7 COMPR. P-6L

EGIS PHARMACEUTICALS P.L.C.

UNGARIA

CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR.

P-6L

HEXAL AG

GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR.

P-6L

LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-6L

VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


ANTIBIOTICE S.A.
ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR.
LABORMED PHARMA S.A. ROMANIA CUTIE X 2 BLIST. PVC/AL X 15 COMPR. FILM.

P-6L

ZENTIVA K.S.

CEHIA

CUTIE X 2 BLIST. PVC-PVDC/AL X 15 COMPR.

P-6L

TEVA PHARMACEUTICALS S.R.L.

ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR.

P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.

P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.

P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.

P-6L

EGIS PHARMACEUTICALS P.L.C.

P-6L

LABORMED PHARMA SA

UNGARIA
ROMANIA
UNGARIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
UNGARIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

OZONE LABORATORIES LTD.

MAREA BRITANIE

MAGISTRA C & C
EGIS PHARMACEUTICALS P.L.C.

TERAPIA SA
BIO EEL SRL
AC HELCOR PHARMA SRL

MAGISTRA C & C
LABORMED PHARMA SA

SINTOFARM SA
ARENA GROUP SA
ARENA GROUP SA
EGIS PHARMACEUTICALS P.L.C.

TERAPIA SA
BIO EEL SRL
AC HELCOR PHARMA SRL

MAGISTRA C & C

MAGISTRA C & C
SANDOZ SRL

CUTIE X 3 BLIST. AL-PVC/PVDC X 10 COMPR.

P-6L
P-6L

CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L


CUTIE X 3 BLIST. AL-PVC/PVDC X 10 COMPR.

P-6L

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.


CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-6L

CUTIE X 2 BLIST. AL-PVC/PVDC X 10 COMPR.

P-6L

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.


CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P-6L

CUTIE X 2 FOLII X 10 COMPR.


ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
ROMANIA CUTIE X 2 BLIST. X 10 COMPR.

LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/AL X 10 COMPR.

P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L

P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. AL/OPA-AL-PVC X 10 COMPR. P-6L

Pagina 55 din 205

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
CANT MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ITAT
L
MAXIMAL/UT 213 alin.(1) lit.
UT (RON)
E
(RON)
(RON)
a) si f)
PT. ADULTI

30
20
30
30
30
30
28
28
30
20
30
30
30
30
30
30
28
28
30
30
30
20
30
30
30
30
30
30
30
30
30
30
30
20
20
30
30
30
20
20
20
30
20
20
30
30
20
20
20
20
20

13.20
6.64
12.94
13.20
12.71
8.31
33.06
21.79
23.34
15.53
9.08
23.34
22.73
23.34
19.34
8.95
16.26
6.36
6.81
6.81
6.81
4.51
6.63
6.81
6.36
5.96
13.76
24.01
8.95
2.91
2.91
3.37
4.05
2.99
2.25
3.37
3.37
4.58
2.25
2.63
4.39
6.59
3.82
2.63
4.45
3.88
4.35
4.35
3.91
4.35
4.35

0.440000
0.332000
0.431333
0.440000
0.423666
0.277000
1.180714
0.778214
0.778000
0.776500
0.302666
0.778000
0.757666
0.778000
0.644666
0.298333
0.580714
0.227142
0.227000
0.227000
0.227000
0.225500
0.221000
0.227000
0.212000
0.198666
0.458666
0.800333
0.298333
0.097000
0.097000
0.112333
0.135000
0.149500
0.112500
0.112333
0.112333
0.152666
0.112500
0.131500
0.219500
0.219666
0.191000
0.131500
0.148333
0.129333
0.217500
0.217500
0.195500
0.217500
0.217500

0.332400
0.332000
0.332400
0.332400
0.332400
0.277000
0.357999
0.357999
0.357999
0.357999
0.302666
0.357999
0.357999
0.357999
0.357999
0.298333
0.238399
0.227142
0.227000
0.227000
0.227000
0.225500
0.221000
0.227000
0.212000
0.198666
0.332400
0.357999
0.238399
0.097000
0.097000
0.112333
0.134799
0.134799
0.112500
0.112333
0.112333
0.134799
0.112500
0.131500
0.155199
0.155199
0.155199
0.131500
0.148333
0.129333
0.217500
0.217500
0.195500
0.217500
0.217500

0.332400
0.332000
0.332400
0.332400
0.332400
0.277000
0.357999
0.357999
0.357999
0.357999
0.302666
0.357999
0.357999
0.357999
0.357999
0.298333
0.238399
0.227142
0.227000
0.227000
0.227000
0.225500
0.221000
0.227000
0.212000
0.198666
0.332400
0.357999
0.238399
0.097000
0.097000
0.112333
0.134799
0.134799
0.112500
0.112333
0.112333
0.134799
0.112500
0.131500
0.155199
0.155199
0.155199
0.131500
0.148333
0.129333
0.217500
0.217500
0.195500
0.217500
0.217500

NR.CRT

COD ATC

142 C09AA02
143 C09AA02
144 C09AA02
145 C09AA02
146 C09AA02
147 C09AA02
148 C09AA02
149 C09AA02
150 C09AA02
151 C09AA02
152 C09AA02
153 C09AA02
154 C09AA02
155 C09AA02
156 C09AA02
157 C09AA02
158 C09AA02
159 C09AA02
160 C09AA02
161 C09AA02
162 C09AA02
163 C09AA02
164 C09AA02
165 C09AA02
166 C09AA02
167 C09AA02
168 C09AA02
169 C09AA02
170 C09AA02
171 C09AA02
172 C09AA02
173 C09AA02
174 C09AA02
175 C09AA02
176 C09AA02
177 C09AA03
178 C09AA03
179 C09AA03
180 C09AA03
181 C09AA03
182 C09AA03
183 C09AA03
184 C09AA03
185 C09AA03
186 C09AA03
187 C09AA03
188 C09AA03
189 C09AA03
190 C09AA03
191 C09AA03
192 C09AA03

DCI

ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM

Denumire Comerciala

ENALAPRIL FABIOL 10 mg
ENALAPRIL SLAVIA 10 mg
ENALAPRIL AL 10
RENITEC 10 mg
ENALAPRIL TERAPIA 10 mg
ENALAPRIL ARENA 10mg
ENALAPRIL ARENA 10mg
ENALAPRIL ARENA 10mg
ENALAPRIL ARENA 10mg
ENALAPRIL VIM SPECTRUM 10 mg

EDNYT 10 mg
ENALAPRIL 20 mg
ENALAPRIL SANDOZ 20 mg
ENALAPRIL LPH 20 mg
ENAP 20 mg
ENALAPRIL FABIOL 20 mg
ENALAPRIL AL 20
RENITEC 20 mg
ENALAPRIL TERAPIA 20 mg
ENALAPRIL ARENA 20 mg
ENALAPRIL ARENA 20 mg
ENALAPRIL SLAVIA 20 mg
ENALAPRIL 5 mg
ENALAPRIL 5 mg
ENALAPRIL SANDOZ 5 mg
ENALAPRIL AL 5
ENAP 5 mg
RENITEC 5 mg
ENALAPRIL LPH (R) 5 mg
ENALAPRIL TERAPIA 5 mg
INVORIL 5 mg
ENALAPRIL ARENA 5 mg
ENALAPRIL VIM SPECTRUM 5 mg

ENALAPRIL SLAVIA 5 mg
ENAP (R)
RANOLIP
LISIREN 10 mg
LISINOPRIL SANDOZ 10 mg
LISINOPRIL 10 MEDO
LISINOPRIL ACTAVIS 10 mg
LISINOPRIL ATB 10 MG
LISINOPRIL ATB 10 MG
TONOLYSIN 10 mg
TONOLYSIN 2,5 mg
RANOLIP
LISIREN 20 mg
LISINOPRIL SANDOZ 20 mg
LISINOPRIL 20 MEDO
LISINOPRIL ACTAVIS 20 mg
LISINOPRIL ATB 20 MG
LISINOPRIL ATB 20 MG

forma farm.

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
SOL. INJ.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.

concentratie

10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
1,25mg/ml
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
2,5mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg

TARA
DET. APP
AMBALAJ
FABIOL SA
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. PVC/ AL X 10 COMPR. P-6L
DETINATOR APP

ALIUD PHARMA GMBH & CO.KG

MERCK SHARP & DOHME

TERAPIA SA
ARENA GROUP SA
ARENA GROUP SA
ARENA GROUP SA
ARENA GROUP SA
VIM SPECTRUM SRL
GEDEON RICHTER ROMANIA SA

MAGISTRA C & C
SANDOZ SRL
LABORMED PHARMA SA
KRKA D.D. NOVO MESTO

FABIOL SA
ALIUD PHARMA GMBH & CO.KG

MERCK SHARP & DOHME

TERAPIA SA
ARENA GROUP SA
ARENA GROUP SA
SLAVIA PHARM S.R.L.
OZONE LABORATORIES LTD.

MAGISTRA C & C
SANDOZ SRL
ALIUD PHARMA GMBH & CO.KG

KRKA D.D. NOVO MESTO


MERCK SHARP & DOHME

LABORMED PHARMA SA

TERAPIA SA
TERAPIA SA
ARENA GROUP S.A.
VIM SPECTRUM SRL
SLAVIA PHARM S.R.L.

KRKA D.D.
RANBAXY U.K. LIMITED

AC HELCOR SRL
HEXAL AG
MEDOCHEMIE ROMANIA SRL

ACTAVIS GROUP PTC EHF.

ANTIBIOTICE SA
ANTIBIOTICE SA
GEDEON RICHTER ROMANIA SA
GEDEON RICHTER ROMANIA SA

RANBAXY U.K. LIMITED

AC HELCOR SRL
HEXAL AG
MEDOCHEMIE ROMANIA SRL

ACTAVIS GROUP PTC EHF.

ANTIBIOTICE SA
ANTIBIOTICE SA

Prescriptie

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
CANT MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ITAT
L
MAXIMAL/UT 213 alin.(1) lit.
UT (RON)
E
(RON)
(RON)
a) si f)
PT. ADULTI

20
20
GERMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L
30
ROMANIA CUTIE X 2 BLIST. AL/AL X 14 COMPR. P-6L
28
ROMANIA CUTIE X 2 BLIST. AL/PVC-PE-PVDC X 10 COMPR. P-6L
20
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L
50
ROMANIA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. P-6L 100
ROMANIA CUTIE X 1 FLAC. DIN PE X 20 COMPR. P-6L
20
ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L
20
ROMANIA CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L
30
ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
P-6L
20
ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
P-6L
20
ROMANIA CUTIE X 2 BLIST. AL/AL X 10 COMPR. P-6L
20
SLOVENIA CUTIE X 2 BLIST. AL/OPA-AL-PVC X 10 COMPR. P-6L
20
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
GERMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L
30
ROMANIA CUTIE X 2 BLIST. AL/AL X 14 COMPR. P-6L
28
ROMANIA CUTIE X 2 BLIST. AL/PVC-PE-PVDC X 10 COMPR. P-6L
20
ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L
30
ROMANIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. P-6L
50
ROMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. P6L
20
MAREA BRITANIE CUTIE X 2 FOLII X 10 COMPR.
P-6L
20
ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
P-6L
20
ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
P-6L
20
GERMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L
30
SLOVENIA CUTIE X 2 BLIST. AL/OPA-AL-PVC X 10 COMPR. P-6L
20
ROMANIA CUTIE X 2 BLIST. AL/AL X 14 COMPR. P-6L
28
ROMANIA CUTIE X 2 BLIST. AL/AL X 10 COMPR. P-6L
20
ROMANIA CUTIE X 2 BLIST. AL/PVC-PE-PVDC X 10 COMPR. P-6L
20
ROMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. P-6L
30
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L
20
ROMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. P6L
20
SLOVENIA CUTIE X 5 FIOLE X 1 ML
S/P-RF
5
MAREA BRITANIE CUTIE X 3 BLIST. X 10 COMPR.
P-6L
30
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
ISLANDA CUTIE CU BLIST. PVC/AL X 30 COMPR. P-6L
30
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L
28
ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L
28
MAREA BRITANIE CUTIE X 3 BLIST. X 10 COMPR.
P-6L
30
ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. P-6L
20
GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
ISLANDA CUTIE CU BLIST. PVC/AL X 30 COMPR. P-6L
30
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-6L
10
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30

Pagina 56 din 205

4.35
4.35
6.52
10.40
7.21
6.80
11.11
21.76
11.14
4.05
10.08
7.84
10.06
8.64
7.84
7.04
11.48
16.92
10.99
11.00
16.22
7.83
3.62
3.62
3.62
5.19
3.62
7.78
3.79
3.88
5.45
5.52
3.61
3.62
15.27
14.81
10.62
10.18
14.27
12.71
6.19
9.61
15.28
8.64
22.84
15.47
14.88
14.27
23.10
7.33
23.20

0.217500
0.217500
0.217333
0.371428
0.360500
0.226666
0.222200
0.217600
0.557000
0.202500
0.336000
0.392000
0.503000
0.432000
0.392000
0.352000
0.382666
0.604285
0.549500
0.366666
0.324400
0.391500
0.181000
0.181000
0.181000
0.173000
0.181000
0.277857
0.189500
0.194000
0.181666
0.184000
0.180500
0.181000
3.054000
0.493666
0.531000
0.339333
0.475666
0.423666
0.309500
0.320333
0.545714
0.308571
0.761333
0.773500
0.496000
0.713500
0.770000
0.733000
0.773333

0.217500
0.217500
0.217333
0.234600
0.234600
0.226666
0.222200
0.217600
0.234600
0.202500
0.234600
0.389280
0.389280
0.389280
0.389280
0.352000
0.382666
0.389280
0.389280
0.366666
0.324400
0.389280
0.181000
0.181000
0.181000
0.173000
0.181000
0.207600
0.189500
0.194000
0.181666
0.184000
0.180500
0.181000
3.054000
0.371400
0.371400
0.339333
0.371400
0.371400
0.309500
0.320333
0.371400
0.308571
0.595200
0.595200
0.496000
0.595200
0.595200
0.595200
0.595200

0.217500
0.217500
0.217333
0.234600
0.234600
0.226666
0.222200
0.217600
0.234600
0.202500
0.234600
0.389280
0.389280
0.389280
0.389280
0.352000
0.382666
0.389280
0.389280
0.366666
0.324400
0.389280
0.181000
0.181000
0.181000
0.173000
0.181000
0.207600
0.189500
0.194000
0.181666
0.184000
0.180500
0.181000
3.054000
0.371400
0.371400
0.339333
0.371400
0.371400
0.309500
0.320333
0.371400
0.308571
0.595200
0.595200
0.496000
0.595200
0.595200
0.595200
0.595200

COD ATC

DCI

193 C09AA03

LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**

NR.CRT

194 C09AA03
195 C09AA03
196 C09AA03
197 C09AA03
198 C09AA03
199 C09AA03
200 C09AA03
201 C09AA05
202 C09AA05
203 C09AA05
204 C09AA05
205 C09AA05
206 C09AA05
207 C09AA05
208 C09AA05
209 C09AA05
210 C09AA05
211 C09AA05
212 C09AA05
213 C09AA05
214 C09AA05
215 C09AA05
216 C09AA05
217 C09AA05
218 C09AA05
219 C09AA05
220 C09AA05
221 C09AA05
222 C09AA05
223 C09AA05
224 C09AA05
225 C09AA05
226 C09AA05
227 C09AA05
228 C09AA05
229 C09AA05
230 C09AA05
231 C09AA05
232 C09CA03
233 C09CA03
234 C09CA03
235 C09CA03
236 C09CA03
237 C09CA03
238 C09CA03
239 C09CA03
240 C09CA03
241 C09CA03
242 C09CA03
243 C09CA03

Denumire Comerciala

TONOLYSIN 20 mg
LISINOPRIL ATB 40 MG
LISINOPRIL ATB 40 MG
RANOLIP
LISINOPRIL SANDOZ 5 mg
LISINOPRIL 5 MEDO
LISINOPRIL ACTAVIS 5 mg
TONOLYSIN 5 mg
VIVOKAR 10 mg
VIVOKAR 10 mg
VIVOKAR 2,5 mg
VIVOKAR 2,5 mg
VIVOKAR 5 mg
VIVOKAR 5 mg
VIVACE 10 mg
PIRAMIL 10 mg
RAMIPRIL-AC 10 mg
AMPRIL 10 mg
HARTIL 10 mg
ZENRA 10
TRITACE 10
VIVACE 2,5 mg
PIRAMIL 2,5 mg
RAMIPRIL-AC 2,5 mg
AMPRIL 2,5 mg
HARTIL 2,5 mg
ZENRA 2,5
TRITACE(R) 2,5
VIVACE 5 mg
PIRAMIL 5 mg
RAMIPRIL-AC 5 mg
AMPRIL 5 mg
HARTIL 5 mg
ZENRA 5
TRITACE 5
RAMIRAN 1,25 mg
RAMIRAN 10 mg
RAMIRAN 2,5 mg
RAMIRAN 5 mg
VALSARTAN TEVA 160 mg
VALSARTAN TEVA 80 mg
CORETON 160 mg
WENZELL 80 mg
WENZELL 80 mg
VALSARGAMMA 160 mg
VALSARGAMMA 160 mg
DIOVAN 160 mg

forma farm.

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

CAPS.
CAPS.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
VALSARTAN TORRENT 160 mg COMPR. FILM.
VALSARGAMMA 320 mg
COMPR. FILM.
VALSARGAMMA 320 mg
COMPR. FILM.
VALSARGAMMA 40 mg
COMPR. FILM.

concentratie

20mg
40mg
40mg
5mg
5mg
5mg
5mg
5mg
10mg
10mg
2,5mg
2,5mg
5mg
5mg
10 mg
10mg
10mg
10mg
10mg
10mg
10mg
2,5 mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
5 mg
5mg
5mg
5mg
5mg
5mg
5mg
1,25mg
10mg
2,5mg
5mg
160mg
80mg
160mg
160mg
160mg
160mg
160mg
160mg
160mg
320mg
320mg
40mg

ANTIBIOTICE SA
ANTIBIOTICE SA

TARA
DET. APP
AMBALAJ
ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-6L
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L

RANBAXY U.K. LIMITED

MAREA BRITANIE

HEXAL AG

GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L

MEDOCHEMIE ROMANIA SRL

ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.


ISLANDA CUTIE CU BLIST. PVC/AL X 30 COMPR.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR.
ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 CAPS.
ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS.
ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 CAPS.
ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS.
ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 CAPS.
ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS.
ISLANDA CUTIE X 4 BLIST. AL/AL X 7 COMPR.
ROMANIA CUTIE X 4 FOLII AL-LDPE/LDPE-AL X 7 COMPR.
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

DETINATOR APP
GEDEON RICHTER ROMANIA SA

ACTAVIS GROUP PTC EHF.


GEDEON RICHTER ROMANIA SA

LABORMED PHARMA S.A.


LABORMED PHARMA S.A.
LABORMED PHARMA S.A.
LABORMED PHARMA S.A.
LABORMED PHARMA S.A.
LABORMED PHARMA S.A.

ACTAVIS GROUP HF

SANDOZ SRL
AC HELCOR PHARMA SRL

Prescriptie

CUTIE X 3 BLIST. X 10 COMPR.

P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L

UNGARIA CUTIE X 4 BLIST. AL/AL X 7 COMPR.


ROMANIA CUTIE X 2 BLIST. X 14 COMPR.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR.

P-6L

ACTAVIS GROUP HF ISLANDA CUTIE X 4 BLIST. AL/AL X 7COMPR.


SANDOZ SRL
ROMANIA CUTIE X 4 FOLII AL-LDPE/LDPE-AL X 7 COMPR.
AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P-6L

EGIS PHARMACEUTICALS P.L.C.

ZENTIVA S.A.
SANOFI - AVENTIS ROMANIA S.R.L.

P-6L
P-6L
P-6L
P-6L

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L

UNGARIA CUTIE X 4 BLIST. AL/AL X 7 COMPR.


ROMANIA CUTIE X 2 BLIST. X 14 COMPR.
SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. X 14 COMPR.
ACTAVIS GROUP HF ISLANDA CUTIE X 4 BLIST. AL/AL X 7 COMPR.
SANDOZ SRL
ROMANIA CUTIE X 4 FOLII AL-LDPE/LDPE-AL X 7 COMPR.
AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
EGIS PHARMACEUTICALS P.L.C.

P-6L

ZENTIVA S.A.

P-6L
P-6L
P-6L
P-6L
P-6L

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L
EGIS PHARMACEUTICALS P.L.C.

ZENTIVA S.A.
SANOFI - AVENTIS ROMANIA S.R.L.

RANBAXY U.K. LIMITED


RANBAXY U.K. LIMITED
RANBAXY U.K. LIMITED
RANBAXY U.K. LIMITED

UNGARIA CUTIE X 4 BLIST. AL/AL X 7 COMPR.


ROMANIA CUTIE X 2 BLIST. X 14 COMPR.
ROMANIA CUTIE X 2 BLIST. X 14 COMPR.

P-6L
P-6L

MAREA BRITANIE

CUTIE X 3 FOLII AL/PEJD X 10 COMPR. FILM. P-6L

MAREA BRITANIE

CUTIE X 3 FOLII AL/PEJD X 10 COMPR. FILM. P-6L

MAREA BRITANIE

CUTIE X 3 FOLII AL/PEJD X 10 COMPR. FILM. P-6L

MAREA BRITANIE

CUTIE X 3 FOLII AL/PEJD X 10 COMPR. FILM. P-6L

TEVA PHARMACEUTICALS S.R.L.

ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS.


ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS.

ZENTIVA K.S.

REPUBLICA SLOVACA

TEVA PHARMACEUTICALS S.R.L.

P-6L

P-6L
P-6L

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.

P-6L

CUTIE CU BLIST. PVC-PE-PVDC/AL-PVDC X 28 COMPR. FILM.

P-6L

CUTIE CU BLIST. PVC-PE-PVDC/AL-PVDC X 30 COMPR. FILM.

P-6L

ROMASTRU TRADING S.R.L.

ROMANIA
ROMANIA

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 100 COMPR. FILM. P6L

ROMASTRU TRADING S.R.L.

NOVARTIS PHARMA GMBH GERMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.

P-6L

TORRENT PHARMA S.R.L.

ROMANIA

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 100 COMPR. FILM. P6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L

Pagina 57 din 205

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.

P6L

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
CANT MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ITAT
L
MAXIMAL/UT 213 alin.(1) lit.
UT (RON)
E
(RON)
(RON)
a) si f)
PT. ADULTI

28
10
30
30
30
30
30
28
30
28
30
28
30
28
28
28
30
30
28
28
28
28
28
30
30
28
28
28
28
28
30
30
28
28
28
30
30
30
30
28
28
28
28
30
30
100
28
28
30
100
30

22.63
13.64
38.84
7.55
7.07
8.57
7.27
9.17
24.65
22.99
9.91
9.24
10.74
10.03
23.00
23.00
24.65
24.64
23.00
23.00
34.24
7.37
9.26
9.92
9.89
9.26
9.26
14.24
10.03
10.05
10.71
10.72
10.05
10.05
15.44
6.81
33.70
11.09
20.26
32.20
20.03
32.47
65.22
69.91
44.06
131.41
115.23
64.94
160.73
483.99
45.14

0.808214
1.364000
1.294666
0.251666
0.235666
0.285666
0.242333
0.327500
0.821666
0.821071
0.330333
0.330000
0.358000
0.358214
0.821428
0.821428
0.821666
0.821333
0.821428
0.821428
1.222857
0.263214
0.330714
0.330666
0.329666
0.330714
0.330714
0.508571
0.358214
0.358928
0.357000
0.357333
0.358928
0.358928
0.551428
0.227000
1.123333
0.369666
0.675333
1.150000
0.715357
1.159642
2.329285
2.330333
1.468666
1.314100
4.115357
2.319285
5.357666
4.839900
1.504666

0.595200
1.364000
1.294666
0.251666
0.235666
0.282799
0.242333
0.282799
0.821666
0.821071
0.315856
0.315856
0.358000
0.358214
0.821428
0.821428
0.821666
0.821333
0.821428
0.821428
0.985285
0.263214
0.315856
0.315856
0.315856
0.315856
0.315856
0.315856
0.358214
0.358928
0.357000
0.357333
0.358928
0.358928
0.428400
0.227000
0.985285
0.315856
0.428400
1.150000
0.715357
1.159642
1.380000
1.380000
1.380000
1.314100
1.380000
1.380000
5.357666
4.839900
1.504666

0.595200
1.364000
1.294666
0.251666
0.235666
0.282799
0.242333
0.282799
0.821666
0.821071
0.315856
0.315856
0.358000
0.358214
0.821428
0.821428
0.821666
0.821333
0.821428
0.821428
0.985285
0.263214
0.315856
0.315856
0.315856
0.315856
0.315856
0.315856
0.358214
0.358928
0.357000
0.357333
0.358928
0.358928
0.428400
0.227000
0.985285
0.315856
0.428400
1.150000
0.715357
1.159642
1.380000
1.380000
1.380000
1.314100
1.380000
1.380000
5.357666
4.839900
1.504666

NR.CRT

COD ATC

244 C09CA03
245 C09CA03
246 C09CA03
247 C09CA03
248 C09CA03
249 C09CA03
250 C09CA03
251 C09CA03
252 C09CA03
253 C09CA06
254 C09CA06
255 C09CA06

DCI

forma farm.
VALSARGAMMA 40 mg
COMPR. FILM.
DIOVAN 40 mg
COMPR. FILM.
CORETON 80 mg
COMPR. FILM.
WENZELL 80 mg
COMPR. FILM.
WENZELL 80 mg
COMPR. FILM.
VALSARGAMMA 80 mg
COMPR. FILM.
VALSARGAMMA 80 mg
COMPR. FILM.
DIOVAN 80 mg
COMPR. FILM.
VALSARTAN TORRENT 80 mg COMPR. FILM.
Denumire Comerciala

VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
CANDESARTANUM CILEXETIL** ATACAND
CANDESARTANUM CILEXETIL** ATACAND 32 mg
CANDESARTANUM CILEXETIL** ATACAND

COMPR.
COMPR.
COMPR.

concentratie

40mg
40mg
80mg
80mg
80mg
80mg
80mg
80mg
80mg
16mg
32mg
8mg

DETINATOR APP
WORWAG PHARMA GMBH & CO. KG

TARA
DET. APP

AMBALAJ

Prescriptie

GERMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 100 COMPR. FILM. P6L

NOVARTIS PHARMA GMBH GERMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28COMPR. FILM. P6L

ZENTIVA K.S.

REPUBLICA SLOVACA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.

P-6L

CUTIE CU BLIST. PVC-PE-PVDC/AL-PVDC X 28 COMPR. FILM.

P-6L

CUTIE CU BLIST. PVC-PE-PVDC/AL-PVDC X 30 COMPR. FILM.

P-6L

ROMASTRU TRADING S.R.L.

ROMANIA
ROMANIA

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 100 COMPR. FILM. P6L

ROMASTRU TRADING S.R.L.

NOVARTIS PHARMA GMBH GERMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X28COMPR. FILM. P6L

TORRENT PHARMA S.R.L.

ROMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.

P6L

CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR.

P-6L

CUTIE X 2 BLIST. AL-PVC/PVDC X 14 COMPR.

P-6L

CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR.

P-6L

ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P-RF

ASTRAZENECA AB SUEDIA
ASTRAZENECA AB SUEDIA
ASTRAZENECA AB SUEDIA

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
CANT MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ITAT
L
MAXIMAL/UT 213 alin.(1) lit.
UT (RON)
E
(RON)
(RON)
a) si f)
PT. ADULTI

100 131.01
28 71.06
28 33.59
28 46.82
30 50.19
30 40.93
100 123.47
28 90.80
28 46.45
28 65.96
28 116.02
28 55.44

1.310100
2.537857
1.199642
1.672142
1.673000
1.364333
1.234700
3.242857
1.658928
2.355714
4.143571
1.980000

1.310100
1.572120
0.858428
0.858428
0.858428
0.858428
0.858428
0.858428
0.858428
2.355714
4.143571
1.980000

1.310100
1.572120
0.858428
0.858428
0.858428
0.858428
0.858428
0.858428
0.858428
2.355714
4.143571
1.980000

2. BOLNAVI CU PROTEZE VALVULARE SI VASCULARE - G2


1 B01AA07 ACENOCUMAROLUM*
TROMBOSTOP 2 mg
COMPR.
2mg
2 B01AA07 ACENOCUMAROLUM*
SINTROM 4 mg
COMPR.
4mg
Tratamentul se initiaz de ctre medicul n specialitatea cardiologie si chirurgie cardiaca si a vaselor mari

TERAPIA SA

NOVARTIS PHARMA GMBH GERMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. P-RF

30
20

6.46
6.69

0.215333
0.334500

0.215333
0.334500

0.215333
0.334500

30
28
28
28
30
28
90
28
28
28
28
28
28
84
28
28
30
28
28
28
28
28
30
28
10
60
90
30

772.47
78.58
89.43
120.91
82.83
78.58
239.56
78.58
78.58
67.72
67.72
88.44
37.92
123.53
78.55
78.55
84.20
67.67
67.67
72.94
67.42
78.55
84.17
78.58
30.54
159.68
239.53
84.20

25.749000
2.806428
3.193928
4.318214
2.761000
2.806428
2.661777
2.806428
2.806428
2.418571
2.418571
3.158571
1.354285
1.470595
2.805357
2.805357
2.806666
2.416785
2.416785
2.605000
2.407857
2.805357
2.805666
2.806428
3.054000
2.661333
2.661444
2.806666

25.749000
1.625142
1.625142
1.625142
1.625142
1.625142
1.625142
1.625142
1.625142
1.625142
1.625142
1.625142
1.354285
1.470595
1.625142
1.625142
1.625142
1.625142
1.625142
1.625142
1.625142
1.625142
1.625142
1.625142
1.625142
1.625142
1.625142
1.625142

25.749000
1.625142
1.625142
1.625142
1.625142
1.625142
1.625142
1.625142
1.625142
1.625142
1.625142
1.625142
1.354285
1.470595
1.625142
1.625142
1.625142
1.625142
1.625142
1.625142
1.625142
1.625142
1.625142
1.625142
1.625142
1.625142
1.625142
1.625142

3. BOLNAVI CU PROCEDURI INTERVENTIONALE PERCUTANE, NUMAI DUPA IMPLANTAREA UNEI PROTEZE ENDOVASCULARE (STENT)- G3
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28

B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04

CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***

PLAVIX 300mg
CLOPIDOGREL TEVA 75 mg
ZYLLT
PLAVIX 75mg
TROMBEX 75 mg
EGITROMB 75 mg
TROMBEX 75 mg
CLOPIDOGREL MYLAN 75mg

TROGRAN 75 mg
CLOPIGAMMA 75 mg
CLOPIGAMMA 75 mg
PLAVOCORIN 75 mg
TUXEDON 75 mg
TUXEDON 75 mg
CLOPIDOGREL ACTAVIS 75 mg

DEFROZYP 75 mg
TESSYRON 75 mg
CLORODEN 75 mg
CLORODEN 75 mg
VATOUD 75 mg
LOFRADYK 75 mg
CLOPIDOGREL DR. REDDY'S 75 mg
CLOPIDOGREL DR. REDDY'S 75 mg

MOYTOR 75 mg
PLATEL 75 mg
PLATEL 75 mg
PLATEL 75 mg
CLOPIDOGREL TERAPIA 75 mg

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

300mg
75 mg
75 mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg

SANOFI PHARMA - BRISTOL MYERS SQUIBB

TEVA PHARMA BV

FRANTA
OLANDA

CUTIE X 30X1 COMPR. FILM. (BLIST. AL/AL PERFORATE UNIDOZA)

P-RF

CUTIE CU BLIST. AL/AL X 28 X 1 COMPR. FILM. P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA/AL/PVC-AL X 28 COMPR. FILM. P-RF

ZENTIVA K.S.

FRANTA
CEHIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 30 COMPR. FILM.

P-RF

EGIS PHARMACEUTICALS P.L.C.

UNGARIA

CUTIE CU BLIST. OPA-AL-PVDC/AL X 28 COMPR. FILM.

P-RF

ZENTIVA K.S.
MYLAN S.A.S.

CEHIA
FRANTA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 90 COMPR. FILM.

P-RF

CUTIE CU BLIST. DIN OPA/AL/PVC-AL X 28 COMPR.FILM.

P-RF

GLENMARK PHARMACEUTICALS SRL

REPUBLICA CEHA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.

P-RF

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-RF

WORWAG PHARMA GMBH & CO. KG

GERMANIA

SANOFI PHARMA - BRISTOL MYERS SQUIBB

SANDOZ S.R.L.

ROMANIA
ICN POLFA RZESZOW S.A. POLONIA
ICN POLFA RZESZOW S.A. POLONIA

CUTIE X 28 COMPR. FILM. (BLIST. PVC/PVDC/AL) P-RF

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.

P-RF

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-RF


CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-RF
CUTIE CU BLIST. OPA-AL-PVC/AL X 84 COMPR. FILM. P-RF

ACTAVIS GROUP PTC EHF.

ISLANDA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM.

P-RF

LABORMED PHARMA S.A.

ROMANIA
ROMANIA

CUTIE CU BLIST. OPA-AL-PVDC/AL X 28 COMPR. FILM.

P-RF

CUTIE CU BLIST. PVC-PCTFE-PVC/AL X 30 COMPR. FILM.

P-RF

IWA CONSULTING APS


IWA CONSULTING APS
ALVOGEN IPCO S.A.R.L

DANEMARCA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.

P-RF

DANEMARCA CUTIE CU BLIST. PA-AL-PVC/AL (AL-AL) X 28 COMPR. FILM.

P-RF

LUXEMBURG CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.

P-RF

PHARMASWISS MEDICINES S.R.L.

ROMANIA
ROMANIA
ROMANIA
ROMANIA

P-RF

GEDEON RICHTER ROMANIA SA

DR. REDDY'S LABORATORIES


DR. REDDY'S LABORATORIES

ROMASTRU TRADING S.R.L.

MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
TERAPIA S.A.

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-RF


CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-RF
CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-RF
CUTIE CU BLIST. PCTFE-PE-PVC/AL X 28 COMPR. FILM.

CIPRU
CIPRU
CIPRU

CUTIE CU BLIST. AL/AL X 10 COMPR. FILM. P-RF

ROMANIA

CUTIE CU 3 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. PRF

Pagina 58 din 205

CUTIE CU BLIST. AL/AL X 60 COMPR. FILM. P-RF


CUTIE CU BLIST. AL/AL X 90 COMPR. FILM. P-RF

NR.CRT

29

COD ATC

B01AC04

DCI

CLOPIDOGRELUM***

Denumire Comerciala

PLATEL 75 mg

TARA
forma farm. concentratie
DET. APP
DETINATOR APP
AMBALAJ
COMPR. FILM. 75mg
MEDOCHEMIE LTD. CIPRU
CUTIE CU BLIST. AL/AL X 28 COMPR. FILM.

Prescriptie

P-RF

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
CANT MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ITAT
L
MAXIMAL/UT 213 alin.(1) lit.
UT (RON)
E
(RON)
(RON)
a) si f)
PT. ADULTI

28

66.91

2.389642

1.625142

1.625142

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


1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46

B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01

J05AB04
J05AB04
J05AF05
J05AF05
J05AF05
J05AF05
J05AF05
J05AF05
J05AF05
J05AF08
J05AF10
J05AF10
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AB04
L03AB04
L03AB04
L03AB05
L03AB05
L03AB10
L03AB10

EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
RIBAVIRINUM****
RIBAVIRINUM****
LAMIVUDINUM****
LAMIVUDINUM****
LAMIVUDINUM****
LAMIVUDINUM****
LAMIVUDINUM****
LAMIVUDINUM****
LAMIVUDINUM****
ADEFOVIRUM DIPIVOXILUM****
ENTECAVIRUM****
ENTECAVIRUM****
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
INTERFERONUM ALFA 2A****
INTERFERONUM ALFA 2A****
INTERFERONUM ALFA 2A****
INTERFERONUM ALFA 2B****
INTERFERONUM ALFA 2B****
PEGINTERFERON ALFA-2B****
PEGINTERFERON ALFA-2B****

EPREX (R) 3000 UI


EPREX (R) 40 000 UI
BINOCRIT 10000UI/1,0ml
BINOCRIT 1000UI/0,5ml
BINOCRIT 2000UI/1,0ml
BINOCRIT 30000UI/0,75ml
BINOCRIT 3000UI/0,3ml
EPREX 40000 UI/ml
BINOCRIT 40000 UI/1 ml
BINOCRIT 4000UI/0,4ml
BINOCRIT 5000UI/0,5ml
NEORECORMON 10000UI/0,6ml

NEORECORMON 1000UI/0,3ml
NEORECORMON 2000UI/0,3ml
NEORECORMON 30000UI/0,6ml

NEORECORMON 4000UI/0,3ml
NEORECORMON 5000UI/0,3ml
NEORECORMON 500UI/0,3ml

REBETOL 200 mg
COPEGUS 200mg
LAMIVUDINE TEVA 100 mg
ZEFFIX 100 mg
LAMIVUDINE TEVA PHARMA B.V. 150 mg

EPIVIR 150mg
LAMIVUDINE TEVA PHARMA B.V. 300 mg

EPIVIR 10mg/ml
ZEFFIX 5 mg/ml
HEPSERA
BARACLUDE 0,5mg
BARACLUDE 1mg
NEUPOGEN (R)
NEUPOGEN (R)
ZARZIO 30MU/0,5ml
ZARZIO 48MU/0,5ml
NIVESTIM 12 MU/0,2ml
TEVAGRASTIM 30MUI/0,5ml
NIVESTIM 30 MU/0,5 ml
TEVAGRASTIM 48MUI/0,8ml
NIVESTIM 48 MU/0,5 ml
ROFERON A
ROFERON A
ROFERON A
INTRON A 18 milioane U.I.
INTRON A 30 milioane U.I.
PEGINTRON 100 mcg
PEGINTRON 120 mcg

SOL. INJ.
SOL. INJ.

3000ui/0,3ml
40 000UI

SOL. INJ. IN SERINGA PREUMPLUTA

10000UI/1,0ml SANDOZ GMBH

JOHNSON & JOHNSON D.O.O.


JOHNSON & JOHNSON D.O.O.

SOL. INJ. IN SERINGA PREUMPLUTA

1000UI/0,5ml SANDOZ GMBH


2000UI/1,0ml SANDOZ GMBH

SOL. INJ. IN SERINGA PREUMPLUTA

30000UI/0,75ml

SOL. INJ. IN SERINGA PREUMPLUTA

SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,3 ML


SLOVENIA CUTIE X 1 FLACON DIN STICLA X 1 ML

S/P-RF
S/P-RF

AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA

CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ.

S/P-RF/R

CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ.

S/P-RF/R

CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ.

S/P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

SANDOZ GMBH
3000UI/0,3ml SANDOZ GMBH
40 000UI/ml JOHNSON & JOHNSON D.O.O.
40000 UI/1 ml SANDOZ GMBH
4000UI/0,4ml SANDOZ GMBH
5000UI/0,5ml SANDOZ GMBH

CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ.

S/P-RF/R

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

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE

S/P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

1000UI/0,3ml
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

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

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

CAPS.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

SOL. ORALA
SOL. ORALA
COMPR.
COMPR. FILM.
COMPR. FILM.

SOL. INJ.
SOL. INJ.
SOL. INJ. /PERF. IN SERINGA PREUMPLUTA

SOL. INJ. /PERF. IN SERINGA PREUMPLUTA

SOL. INJ./PERF.

CUTIE X 1 SERINGA PREUMPLUTA X 0,75ML SOL. INJ.

P-RF/R

CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ.

S/P-RF/R

SLOVENIA

CUTIE CU 1 SERINGA PREUMPLUTA X 1 ML SOL. INJ.

S/P-RF

AUSTRIA
AUSTRIA
AUSTRIA

CUTIE X 1 SERINGA PREUMPLUTA X 1ML SOL. INJ.

P-RF/R

CUTIE X 6 SERINGI PREUMPLUTE X 0,4ML SOL. INJ.

S/P-RF/R

4000UI/0,3ml
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

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE

S/P-RF/R

500UI/0,3ml
200mg
200mg
100 mg
100mg
150 mg
150mg
300 mg
10mg/ml
5mg/ml
10mg
0,5mg
1mg
30MU/0,5ml
48MU/0,5ml
60MU/ml
96MU/ml
120g/0,2ml

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ. + 6 ACE

S/P-RF/R

SP EUROPE

BELGIA

CUTIE X 140CAPS. ( BLIST. PVC/PE/PVDC )

P-RF/R

ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. PEID X 168 COMPR. FILM.

P-RF/R

TEVA PHARMA B.V. OLANDA

CUTIE CU BLIST. PVC/PVDC/AL X 30 COMPR. FILM.

P-RF/R

GLAXO GROUP LTD.

CUTIE X 28 COMPR. FILM. (BLIST. PVC-AL/PVC-AL)

P-RF/R

TEVA PHARMA B.V. OLANDA

CUTIE CU BLIST. PVC/PVDC/AL X 60 COMPR. FILM.

P-RF/R

GLAXO GROUP LTD.

MAREA BRITANIE

CUTIE X 1 FLAC. PEID X 60 COMPR. FILM.

P-RF/R

TEVA PHARMA B.V. OLANDA

CUTIE CU BLIST. PVC/PVDC/AL X 30 COMPR. FILM.

P-RF/R

MAREA BRITANIE

CUTIE X 1 FLACON PEID X 240ML SOL. ORALA + 1 SERINGA DOZATOARE + 1 ADAPTOR

P-RF/R

MAREA BRITANIE

CUTIE X 1 FLACON HDPE X 240 ML + 1 SERINGA DOZATOARE PP + 1 ADAPTOR PE

P-RF/R

GILEAD SCIENCE INTERNATIONAL LIMITED

MAREA BRITANIE

CUTIE X 1 FLAC. DIN PEID X 30 COMPR.

P-RF/R

BRISTOL-MYERS SQUIBB

MAREA BRITANIE

CUTIE X 30 X 1 COMPR. FILM. (BLIST. AL/AL UNIDOZA)

P-RF/R

BRISTOL-MYERS SQUIBB

MAREA BRITANIE

CUTIE X 30 X 1 COMPR. FILM.(BLIST. AL/AL UNIDOZA)

P-RF/R

GLAXO GROUP LTD.


GLAXO GROUP LTD.

MAREA BRITANIE

AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML


AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML

AUSTRIA
AUSTRIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL

P-RF/R

CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL

P-RF/R

HOSPIRA UK LIMITED

MAREA BRITANIE

CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,2ML SOL. INJ. SAU PERF.

P-RF

CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF.

S/P-RF/R

300g/0,5ml HOSPIRA UK LIMITED

MAREA BRITANIE

SOL. INJ./PERF. 480mcg/0,8ml TEVA GENERICS GMBH GERMANIA

SOL. INJ.
SOL. INJ.
SOL. INJ.

480g/0,5ml
18Mui/0,6ml
3Mui/0,5ml
9Mui/0,5ml

SOL. INJ. PEN MULTIDOZA

18 milioane U.I.

SOL. INJ./PERF.

SOL. INJ. PEN MULTIDOZA


PULB. + SOLV. PT. SOL. INJ.
PULB. + SOLV. PT. SOL. INJ.

S/P-RF

SANDOZ GMBH
SANDOZ GMBH

SOL. INJ./PERF. 300mcg/0,5ml TEVA GENERICS GMBH GERMANIA


SOL. INJ./PERF.

S/P-RF

HOSPIRA UK LIMITED

MAREA BRITANIE

CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF.

P-RF

CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF.

S/P-RF/R

CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF.

P-RF

ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 CARTUS MULTIDOZA X 0,6 ML SOL. INJ.

S/P-RF

ROCHE ROMANIA S.R.L. ROMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML + AC STERIL

S/P-RF

ROCHE ROMANIA S.R.L. ROMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. + AC STERIL

S/P-RF

CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML SOL. INJ. + 12 ACE + 12 TAMPOANE DEZINFECTANTE

P-RF/R

CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML + 12 ACE + 12 TAMPOANE DEZINFECTANTE

P-RF/R

CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV.

P-RF/R

CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV.

P-RF/R

SP EUROPE
30 milioane U.I. SP EUROPE
100mcg
SP EUROPE
120mcg
SP EUROPE

BELGIA
BELGIA
BELGIA
BELGIA

Pagina 59 din 205

6
1
6
6
6
1
6
1
1
6
6
6
6
6
1
6
6
6
140
168
30
28
60
60
30
1
1
30
30
30
1
1
1
1
5
1
5
1
5
1
1
1
1
1
1
1

750.92 125.153333 119.493999 119.493999


1,338.42 1,338.420000 1,180.296000 1,180.296000

284.848333 284.848333 284.848333


215.85 35.975000 35.975000 35.975000
421.67 70.278333 70.278333 70.278333
779.82 779.820000 779.820000 779.820000
597.47 99.578333 99.578333 99.578333

1,709.09

1,338.42 1,338.420000 1,180.296000 1,180.296000

983.58 983.580000 983.580000 983.580000


773.24 128.873333 128.873333 128.873333
948.94 158.156666 158.156666 158.156666
2,319.88 386.646666 386.646666 386.646666
276.62 46.103333 46.103333 46.103333
520.93 86.821666 86.821666 86.821666
1,161.58 1,161.580000 1,161.580000 1,161.580000

970.37 161.728333
199.158333
142.24 23.706666
604.92
4.320857
657.68
3.914761
191.83
6.394333
275.45
9.837500
382.07
6.367833
551.87
9.197833
382.07 12.735666
159.02 159.020000
125.49 125.490000
1,907.17 63.572333
1,728.94 57.631333
1,916.50 63.883333
322.20 322.200000
508.81 508.810000
195.56 195.560000
314.78 314.780000
489.29 97.858000
258.37 258.370000
1,116.94 223.388000
421.91 421.910000
1,822.71 364.542000
420.51 420.510000
86.41 86.410000
181.07 181.070000
485.85 485.850000
764.33 764.330000
811.20 811.200000
959.30 959.300000
1,194.95

161.728333
199.158333
23.706666
4.320857
3.914761
6.394333
7.673199
6.367833
7.641399
12.735666
159.020000
125.490000
63.572333
57.631333
63.883333
234.672000
377.736000
195.560000
314.780000
97.858000
234.672000
223.388000
377.736000
364.542000
420.510000
86.410000
181.070000
485.850000
764.330000
811.200000
959.300000

161.728333
199.158333
23.706666
4.320857
3.914761
6.394333
7.673199
6.367833
7.641399
12.735666
159.020000
125.490000
63.572333
57.631333
63.883333
234.672000
377.736000
195.560000
314.780000
97.858000
234.672000
223.388000
377.736000
364.542000
420.510000
86.410000
181.070000
485.850000
764.330000
811.200000
959.300000

NR.CRT

47
48
49
50
51

COD ATC

L03AB10
L03AB10
L03AB11
L03AB11
N04BB01

DCI

PEGINTERFERON ALFA-2B****
PEGINTERFERON ALFA-2B****
PEGINTERFERON ALFA-2A****
PEGINTERFERON ALFA-2A****
AMANTADINUM**

Denumire Comerciala

PEGINTRON 150 mcg


PEGINTRON 50 mcg
PEGASYS 135 mcg/0,5ml
PEGASYS 180 mcg/0,5ml
VIREGYT (R)- K

forma farm.

concentratie

DETINATOR APP

TARA
DET. APP

150mcg
50mcg

SP EUROPE
SP EUROPE

BELGIA
BELGIA

ROCHE REGISTRATION LTD.

SOL. INJ. IN SERINGA PREUMPLUTA

135mcg/0,5ml
180mcg/0,5ml

CAPS.

100mg

PULB. + SOLV. PT. SOL. INJ.


PULB. + SOLV. PT. SOL. INJ.
SOL. INJ. IN SERINGA PREUMPLUTA

AMBALAJ

Prescriptie

CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV.

P-RF/R

CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV.

P-RF/R

MAREA BRITANIE

CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML + 1 AC

P-RF/R

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML + 1 AC

P-RF/R

EGIS PHARMACEUTICALS P.L.C.

UNGARIA CUTIE X 1 FLAC. X 50 CAPS.

P-6L

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
CANT MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ITAT
L
MAXIMAL/UT 213 alin.(1) lit.
UT (RON)
E
(RON)
(RON)
a) si f)
PT. ADULTI

1
1
1
1
50

1,180.48 1,180.480000 1,180.480000 1,180.480000

441.32 441.320000 441.320000 441.320000


768.36 768.360000 768.360000 768.360000
964.54 964.540000 964.540000 964.540000
16.87
0.337400
0.337400
0.337400

Tratamentul se initiaz de ctre medicul n specialitatea gastroenterologie / boli infectioase si nefrologie (doar pentru pacientii cu afectare renala consecutiva infectiei cu virusuri hepatitice)

5. HEPATITA AUTOIMUNA - G5
1
2
3
4
5
6
7
8
9
10
11
12

H02AB04
H02AB04
H02AB04
H02AB04
H02AB04
H02AB04
H02AB06
H02AB06

L04AX01
L04AX01
L04AX01
L04AX01

METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
PREDNISOLONUM
PREDNISOLONUM
AZATHIOPRINUM*
AZATHIOPRINUM*
AZATHIOPRINUM*
AZATHIOPRINUM*

MEDROL A 16
MEDROL 32
MEDROL 4 mg
LEMOD SOLU 125 mg
LEMOD SOLU 500 mg
SOLU - MEDROL ACT-O-VIAL

SOLU - DECORTIN H 250


SOLU - DECORTIN H 50
IMMUNOPRIN 100 mg
IMMUNOPRIN 100 mg
IMURAN (R)
IMMUNOPRIN 75 mg

COMPR.
COMPR.
COMPR.
LIOF. PT. SOL. INJ.
LIOF. PT. SOL. INJ.
LIOF. SI SOLV.PT.SOL.INJ
LIOF. + SOLV. PT. SOL. INJ.
LIOF. + SOLV. PT. SOL. INJ.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

16mg
32mg
4mg
125mg
500mg
250mg/4ml
250mg
50mg
100mg
100mg
50mg
75mg

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 5 BLIST. A-PVC/PVC X 10 COMPR. P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 2 BLIST. AL-PVC/PVC X 10 COMPR. P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 1 FLAC. DIN STICLA X 30 COMPR. P-RF

ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 2 ML


STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 7,8 ML
STADA HEMOFARM S.R.L.

S/P-RF
S/P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 1 FLAC. BICOMPARTIMENTAT (COMPARTIMENT INFERIOR) LIOF. PT. SOL. INJ. + (COMPARTIMENT SUPERIO

P-RF

MERCK KGAA
MERCK KGAA

GERMANIA

CUTIE X 3 FLAC. DIN STICLA INCOLORA X 250 MG FIOF. PT. SOL. INJ. + 3 FIOLE X 5 ML SOLV.

P-RF

GERMANIA

CUTIE X 3 FLAC. X 50 MG LIOF. PT. SOL. INJ. + 3 FIOLE X 1 ML SOLVENT

P-RF

EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRIA CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM. PR


AUSTRIA CUTIE CU 1 FLAC. PEID X 50 COMPR. FILM. PR

THE WELLCOME FOUNDATION LTD.

MAREA BRITANIE

EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRIA CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM. PR

EBEWE PHARMA GES.M.B.H. NFG KG

CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM.

S/P-RF

50 32.23
20 29.29
30
6.46
1
8.71
1 30.65
1 20.23
3 94.50
3 35.29
100 103.94
50 54.72
100 79.95
100 77.97

0.644600
1.464500
0.215333
8.710000
30.650000
20.230000
31.500000
11.763333
1.039400
1.094400
0.799500
0.779700

0.644600
1.464500
0.215333
8.710000
30.650000
20.230000
31.500000
11.763333
1.039400
1.094400
0.799500
0.779700

0.644600
1.464500
0.215333
8.710000
30.650000
20.230000
31.500000
11.763333
1.039400
1.094400
0.799500
0.779700

100 122.82
50 71.91
50 67.96
60 53.55
20 35.46

1.228200
1.438200
1.359200
0.892500
1.773000

1.228200
1.438200
1.359200
0.892500
1.773000

1.228200
1.438200
1.359200
0.892500
1.773000

10.830000
10.290000
3.420000
17.030000
32.950000
7.010000
3.530000
2.725833
2.505000
18.880000

10.830000
10.290000
3.420000
17.030000
32.950000
7.010000
3.530000
2.725833
2.505000
18.880000

10.830000
10.290000
3.420000
17.030000
32.950000
7.010000
3.530000
2.725833
2.505000
18.880000

Tratamentul se initiaz de ctre medicul n specialitatea gastroenterologie

6. CIROZA BILIARA PRIMARA, COLANGITA SCLEROZANTA PRIMITIVA, HEPATITA CRONICA SI CIROZE DE ALTE ETIOLOGII CU COLESTAZA - G6
1
2
3
4
5

A05AA02
A05AA02
A05AA02
A05AA02
A05AA02

ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM

URSOFALK (R)
URSOFALK (R)
URSOSAN
URSOCHOL 150 mg
URSOCHOL 300 mg

CAPS.
CAPS.
CAPS.
COMPR.
COMPR.

250mg
250mg
250mg
150mg
300mg

DR. FALK PHARMA GMBH GERMANIA


DR. FALK PHARMA GMBH GERMANIA

CUTIE X 4 BLIST. AL/PVC X 25 CAPS.


CUTIE X 2 BLIST. AL/PVC X 25 CAPS.
CUTIE X 5 BLIST. AL/PVC X 10 CAPS.

P-6L/S

P-6L

ZAMBON S.P.A.
ZAMBON S.P.A.

CEHIA
ITALIA
ITALIA

CUTIE X 6 BLIST. AL/PVC X 10 COMPR. P-6L


CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L

SOLVAY PHARMACEUTICALS BV

OLANDA

FLACON DIN PEID PREVAZUT CU MASURA DOZATOARE X 200 ML

PRO. MED. CS PRAHA AS

P-6L

Tratamentul se initiaz de ctre medicul n specialitatea gastroenterologie

7. CIROZA HEPATICA - G7
1
2
3
4
5
6
7
8
9
10

A06AD11
A06AD11
A06AD11
A06AD11
A06AD11
A06AD11
A06AD11

A07AA11
A07AA11
A07AA11

LACTULOSUM*
LACTULOSUM*
LACTULOSUM*
LACTULOSUM*
LACTULOSUM*
LACTULOSUM*
LACTULOSUM*
RIFAXIMINUM*
RIFAXIMINUM*
RIFAXIMINUM

DUPHALAC (R)
LACTULOSE
LACTULOSE
LACTULOSE-MIP 650 mg/ml
LACTULOSE-MIP 650 mg/ml
LACTULAK 660 mg/ml
LAEVOLAC 670mg/ml
NORMIX 200 mg
NORMIX 200 mg
NORMIX 100mg/5ml

LICHID ORAL 66,7%

SIROP
SIROP
SIROP
SIROP
SOL. ORALA
SOL. ORALA

65%
65%
650mg/ml
650mg/ml
660 mg/ml
670mg/ml
COMPR. FILM. 200mg
COMPR. FILM. 200mg
GRAN. PT. SUSP. ORALA 100mg/5ml

P-RF

E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON X 300 ML


E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON X 100 ML

P-6L

MIP PHARMA GMBH GERMANIA


MIP PHARMA GMBH GERMANIA

CUTIE X 1 FLAC. PET DE CULOARE BRUNA X 500 ML SIROP + 1 MASURA DOZATOARE DIN PP

P-6L

CUTIE X 1 FLAC. PET DE CULOARE BRUNA X 1000 ML SIROP + 1 MASURA DOZATOARE DIN PP

P-6L

CUTIE X 1 FLAC. PEID X 200 ML SOL. ORALA SI O LINGURITA DOZATOARE

P-6L

CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SOL. ORALA + DISPOZITIV DE CURGERE + MASURA CU GRADATII D

P-RF

CUTIE X 1 BLIST. AL/PVC X 12 COMPR. FILM.

P-RF

ROMPHARM COMPANY SRL


FRESENIUS KABI AUSTRIA GMBH

ALFA WASSERMANN SPA


ALFA WASSERMANN SPA
ALFA WASSERMANN SPA

ROMANIA

AUSTRIA
ITALIA
ITALIA
ITALIA

Pagina 60 din 205

P-6L

CUTIE X 3 BLIST. AL/PVC A CATE 12 COMPR. FILM. P-RF


CUTIE X 1 FLAC. GRAN. PT. 60 ML SUSP. ORALA + 1 MASURA DOZATOARE MARCATA LA 5, 10 SI 15 ML

P-RF

1
1
1
1
1
1
1
12
36
1

10.83
10.29
3.42
17.03
32.95
7.01
3.53
32.71
90.18
18.88

NR.CRT

11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61

COD ATC

B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
C03CA01
C03CA01
C03CA01
C03CA01
C03CA01
C03CA01
C03CA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
H02AB06
H02AB06

J05AB04
J05AB04
J05AF05
J05AF05
J05AF05
J05AF05
J05AF05
J05AF05
J05AF05
J05AF08
J05AF10
J05AF10
L03AA02
L03AA02

DCI

EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
PREDNISOLONUM
PREDNISOLONUM
RIBAVIRINUM****
RIBAVIRINUM****
LAMIVUDINUM****
LAMIVUDINUM****
LAMIVUDINUM****
LAMIVUDINUM****
LAMIVUDINUM****
LAMIVUDINUM****
LAMIVUDINUM****
ADEFOVIRUM DIPIVOXILUM****
ENTECAVIRUM****
ENTECAVIRUM****
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**

Denumire Comerciala

EPREX (R) 3000 UI


EPREX (R) 40 000 UI
BINOCRIT 10000UI/1,0ml
BINOCRIT 1000UI/0,5ml
BINOCRIT 2000UI/1,0ml
BINOCRIT 30000UI/0,75ml
BINOCRIT 3000UI/0,3ml
EPREX 40000 UI/ml
BINOCRIT 40000 UI/1 ml
BINOCRIT 4000UI/0,4ml
BINOCRIT 5000UI/0,5ml
NEORECORMON 10000UI/0,6ml

NEORECORMON 1000UI/0,3ml
NEORECORMON 2000UI/0,3ml
NEORECORMON 30000UI/0,6ml

NEORECORMON 4000UI/0,3ml
NEORECORMON 5000UI/0,3ml
NEORECORMON 500UI/0,3ml

forma farm.

concentratie

DETINATOR APP

SOL. INJ.
SOL. INJ.

3000ui/0,3ml
40 000UI

JOHNSON & JOHNSON D.O.O.

SOL. INJ. IN SERINGA PREUMPLUTA

10000UI/1,0ml SANDOZ GMBH

SOL. INJ. IN SERINGA PREUMPLUTA

1000UI/0,5ml SANDOZ GMBH


2000UI/1,0ml SANDOZ GMBH

SOL. INJ. IN SERINGA PREUMPLUTA

30000UI/0,75ml

SOL. INJ. IN SERINGA PREUMPLUTA

LAMIVUDINE TEVA PHARMA B.V. 300 mg

EPIVIR 10mg/ml
ZEFFIX 5 mg/ml
HEPSERA
BARACLUDE 0,5mg
BARACLUDE 1mg
NEUPOGEN (R)
NEUPOGEN (R)

Prescriptie

S/P-RF
S/P-RF

AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA

CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ.

S/P-RF/R

CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ.

S/P-RF/R

CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ.

S/P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ.

S/P-RF/R

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

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE

S/P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

1000UI/0,3ml
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

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

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
SOL. INJ.
CAPS.
SPIRONOLACTONA ARENA 25 mg CAPS.
VEROSPIRON
CAPS.
SPIRONOLACTONA ARENA 50 mg CAPS.
SPIRONOLACTONA EEL 25 mg COMPR.
SPIRONOLACTONA OZONE 25 mg COMPR.
SPIRONOLACTONA OZONE 25 mg COMPR.
SPIRONOLACTONA 25 mg COMPR. FILM.
ALSPIRON 25 mg
COMPR. FILM.
ALSPIRON 50 mg
COMPR. FILM.
SOLU - DECORTIN H 250
LIOF. + SOLV. PT. SOL. INJ.
SOLU - DECORTIN H 50
LIOF. + SOLV. PT. SOL. INJ.
REBETOL 200 mg
CAPS.
COPEGUS 200mg
COMPR. FILM.
LAMIVUDINE TEVA 100 mg COMPR. FILM.
ZEFFIX 100 mg
COMPR. FILM.
EPIVIR 150mg

AMBALAJ

SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,3 ML


SLOVENIA CUTIE X 1 FLACON DIN STICLA X 1 ML

SANDOZ GMBH
3000UI/0,3ml SANDOZ GMBH
40 000UI/ml JOHNSON & JOHNSON D.O.O.
40000 UI/1 ml SANDOZ GMBH
4000UI/0,4ml SANDOZ GMBH
5000UI/0,5ml SANDOZ GMBH

FUROSEMID MCC 40 mg
FUROSEMID SLAVIA
FUROSEMID EEL
FUROSEMID ZENTIVA
FUROSEMID LPH 40 mg
FUROSEMID ARENA 40 mg
FUROSEMID 20 mg/2 ml
VEROSPIRON

LAMIVUDINE TEVA PHARMA B.V. 150 mg

JOHNSON & JOHNSON D.O.O.

TARA
DET. APP

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

SOL. ORALA
SOL. ORALA
COMPR.
COMPR. FILM.
COMPR. FILM.

SOL. INJ.
SOL. INJ.

CUTIE X 1 SERINGA PREUMPLUTA X 0,75ML SOL. INJ.

P-RF/R

CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ.

S/P-RF/R

SLOVENIA

CUTIE CU 1 SERINGA PREUMPLUTA X 1 ML SOL. INJ.

S/P-RF

AUSTRIA
AUSTRIA
AUSTRIA

CUTIE X 1 SERINGA PREUMPLUTA X 1ML SOL. INJ.

P-RF/R

CUTIE X 6 SERINGI PREUMPLUTE X 0,4ML SOL. INJ.

S/P-RF/R

4000UI/0,3ml
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

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE

S/P-RF/R

500UI/0,3ml
40mg
40mg
40mg
40mg
40mg
40mg
10mg/ml
100mg
25mg
50mg
50mg
25mg
25mg
25mg
25mg
25mg
50mg
250mg
50mg
200mg
200mg
100 mg
100mg
150 mg
150mg
300 mg
10mg/ml
5mg/ml
10mg
0,5mg
1mg
30MU/0,5ml
48MU/0,5ml

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ. + 6 ACE

S/P-RF/R

MAGISTRA C&C S.R.L. ROMANIA


SLAVIA PHARM SRL ROMANIA
BIO EEL SRL
ROMANIA
ZENTIVA SA
ROMANIA
LABORMED PHARMA SA ROMANIA
ARENA GROUP S.A. ROMANIA
ZENTIVA SA
ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
ARENA GROUP S.A. ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
ARENA GROUP S.A. ROMANIA
BIO EEL SRL
ROMANIA

CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L


CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L

CUTIE X 2 BLIST. X 10 COMPR.

P-6L

CUTIE X 1 FLAC. DIN PEID X 20 COMPR. P-6L


CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
CUTIE X 5 FIOLE DIN STICLA BRUNA CU INEL DE RUPERE X 2 ML SOL. INJ.

P-RF

CUTIE X 3 BLIST. AL/PVC X 10 CAPS.


CUTIE CU 5 BLIST. PVC/AL X 10 CAPS.
CUTIE X 3 BLIST. AL/PVC X 10 CAPS.
CUTIE CU 3 BLIST. PVC/AL X 10 CAPS.

P-6L
P-6L
P-6L
P-6L

CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L


OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L
OZONE LABORATORIES PHARMA S.A.
ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L
TERAPIA SA
ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L

MERCK KGAA
MERCK KGAA
SP EUROPE

GERMANIA

CUTIE X 3 FLAC. DIN STICLA INCOLORA X 250 MG FIOF. PT. SOL. INJ. + 3 FIOLE X 5 ML SOLV.

GERMANIA

CUTIE X 3 FLAC. X 50 MG LIOF. PT. SOL. INJ. + 3 FIOLE X 1 ML SOLVENT

P-RF

BELGIA

CUTIE X 140CAPS. ( BLIST. PVC/PE/PVDC )

P-RF/R

ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. PEID X 168 COMPR. FILM.

P-RF/R

TEVA PHARMA B.V. OLANDA

CUTIE CU BLIST. PVC/PVDC/AL X 30 COMPR. FILM.

P-RF/R

GLAXO GROUP LTD.

CUTIE X 28 COMPR. FILM. (BLIST. PVC-AL/PVC-AL)

P-RF/R

TEVA PHARMA B.V. OLANDA

CUTIE CU BLIST. PVC/PVDC/AL X 60 COMPR. FILM.

P-RF/R

GLAXO GROUP LTD.

MAREA BRITANIE

CUTIE X 1 FLAC. PEID X 60 COMPR. FILM.

P-RF/R

TEVA PHARMA B.V. OLANDA

CUTIE CU BLIST. PVC/PVDC/AL X 30 COMPR. FILM.

P-RF/R

MAREA BRITANIE

CUTIE X 1 FLACON PEID X 240ML SOL. ORALA + 1 SERINGA DOZATOARE + 1 ADAPTOR

P-RF/R

MAREA BRITANIE

CUTIE X 1 FLACON HDPE X 240 ML + 1 SERINGA DOZATOARE PP + 1 ADAPTOR PE

P-RF/R

GILEAD SCIENCE INTERNATIONAL LIMITED

MAREA BRITANIE

CUTIE X 1 FLAC. DIN PEID X 30 COMPR.

P-RF/R

BRISTOL-MYERS SQUIBB

MAREA BRITANIE

CUTIE X 30 X 1 COMPR. FILM. (BLIST. AL/AL UNIDOZA)

P-RF/R

BRISTOL-MYERS SQUIBB

MAREA BRITANIE

CUTIE X 30 X 1 COMPR. FILM.(BLIST. AL/AL UNIDOZA)

P-RF/R

GLAXO GROUP LTD.


GLAXO GROUP LTD.

MAREA BRITANIE

AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML


AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML

Pagina 61 din 205

P-RF

S/P-RF
S/P-RF

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
CANT MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ITAT
L
MAXIMAL/UT 213 alin.(1) lit.
UT (RON)
E
(RON)
(RON)
a) si f)
PT. ADULTI

6
1
6
6
6
1
6
1
1
6
6
6
6
6
1
6
6
6
20
20
20
20
20
20
5
30
50
30
30
20
50
50
50
20
20
3
3
140
168
30
28
60
60
30
1
1
30
30
30
1
1

750.92 125.153333 119.493999 119.493999


1,338.42 1,338.420000 1,180.296000 1,180.296000

284.848333 284.848333 284.848333


215.85 35.975000 35.975000 35.975000
421.67 70.278333 70.278333 70.278333
779.82 779.820000 779.820000 779.820000
597.47 99.578333 99.578333 99.578333

1,709.09

1,338.42 1,338.420000 1,180.296000 1,180.296000

983.58 983.580000 983.580000 983.580000


773.24 128.873333 128.873333 128.873333
948.94 158.156666 158.156666 158.156666
2,319.88 386.646666 386.646666 386.646666
276.62 46.103333 46.103333 46.103333
520.93 86.821666 86.821666 86.821666
1,161.58 1,161.580000 1,161.580000 1,161.580000

970.37 161.728333
199.158333
142.24 23.706666
2.99
0.149500
2.25
0.112500
5.36
0.268000
5.95
0.297500
3.00
0.150000
5.95
0.297500
5.99
1.198000
28.17
0.939000
15.89
0.317800
16.52
0.550666
16.06
0.535333
4.25
0.212500
10.66
0.213200
10.66
0.213200
16.02
0.320400
4.25
0.212500
13.59
0.679500
94.50 31.500000
35.29 11.763333
604.92
4.320857
657.68
3.914761
191.83
6.394333
275.45
9.837500
382.07
6.367833
551.87
9.197833
382.07 12.735666
159.02 159.020000
125.49 125.490000
1,907.17 63.572333
1,728.94 57.631333
1,916.50 63.883333
322.20 322.200000
508.81 508.810000
1,194.95

161.728333
199.158333
23.706666
0.135000
0.112500
0.135000
0.135000
0.135000
0.135000
1.198000
0.939000
0.255000
0.550666
0.535333
0.212500
0.213200
0.213200
0.255000
0.212500
0.642399
31.500000
11.763333
4.320857
3.914761
6.394333
7.673199
6.367833
7.641399
12.735666
159.020000
125.490000
63.572333
57.631333
63.883333
234.672000
377.736000

161.728333
199.158333
23.706666
0.135000
0.112500
0.135000
0.135000
0.135000
0.135000
1.198000
0.939000
0.255000
0.550666
0.535333
0.212500
0.213200
0.213200
0.255000
0.212500
0.642399
31.500000
11.763333
4.320857
3.914761
6.394333
7.673199
6.367833
7.641399
12.735666
159.020000
125.490000
63.572333
57.631333
63.883333
234.672000
377.736000

NR.CRT

62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80

COD ATC

L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AB04
L03AB04
L03AB04
L03AB05
L03AB05
L03AB10
L03AB10
L03AB10
L03AB10
L03AB11
L03AB11
N04BB01

DCI

FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
INTERFERONUM ALFA 2A****
INTERFERONUM ALFA 2A****
INTERFERONUM ALFA 2A****
INTERFERONUM ALFA 2B****
INTERFERONUM ALFA 2B****
PEGINTERFERON ALFA-2B****
PEGINTERFERON ALFA-2B****
PEGINTERFERON ALFA-2B****
PEGINTERFERON ALFA-2B****
PEGINTERFERON ALFA-2A****
PEGINTERFERON ALFA-2A****
AMANTADINUM**

Denumire Comerciala

ZARZIO 30MU/0,5ml
ZARZIO 48MU/0,5ml
NIVESTIM 12 MU/0,2ml
TEVAGRASTIM 30MUI/0,5ml
NIVESTIM 30 MU/0,5 ml
TEVAGRASTIM 48MUI/0,8ml
NIVESTIM 48 MU/0,5 ml
ROFERON A
ROFERON A
ROFERON A
INTRON A 18 milioane U.I.
INTRON A 30 milioane U.I.
PEGINTRON 100 mcg
PEGINTRON 120 mcg
PEGINTRON 150 mcg
PEGINTRON 50 mcg
PEGASYS 135 mcg/0,5ml
PEGASYS 180 mcg/0,5ml
VIREGYT (R)- K

forma farm.
SOL. INJ. /PERF. IN SERINGA PREUMPLUTA

SOL. INJ. /PERF. IN SERINGA PREUMPLUTA

SOL. INJ./PERF.

concentratie

DETINATOR APP

TARA
DET. APP

60MU/ml
SANDOZ GMBH
AUSTRIA
96MU/ml
SANDOZ GMBH
AUSTRIA
120g/0,2ml HOSPIRA UK LIMITED MAREA BRITANIE

SOL. INJ./PERF. 300mcg/0,5ml TEVA GENERICS GMBH GERMANIA


SOL. INJ./PERF.

300g/0,5ml HOSPIRA UK LIMITED

MAREA BRITANIE

SOL. INJ./PERF. 480mcg/0,8ml TEVA GENERICS GMBH GERMANIA

SOL. INJ.
SOL. INJ.
SOL. INJ.

480g/0,5ml
18Mui/0,6ml
3Mui/0,5ml
9Mui/0,5ml

SOL. INJ. PEN MULTIDOZA

18 milioane U.I.

SOL. INJ./PERF.

SOL. INJ. PEN MULTIDOZA


PULB. + SOLV. PT. SOL. INJ.
PULB. + SOLV. PT. SOL. INJ.
PULB. + SOLV. PT. SOL. INJ.
PULB. + SOLV. PT. SOL. INJ.

HOSPIRA UK LIMITED

MAREA BRITANIE

AMBALAJ

Prescriptie

CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL

P-RF/R

CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL

P-RF/R

CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,2ML SOL. INJ. SAU PERF.

P-RF

CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF.

S/P-RF/R

CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF.

P-RF

CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF.

S/P-RF/R

CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF.

P-RF

ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 CARTUS MULTIDOZA X 0,6 ML SOL. INJ.

S/P-RF

ROCHE ROMANIA S.R.L. ROMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML + AC STERIL

S/P-RF

ROCHE ROMANIA S.R.L. ROMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. + AC STERIL

S/P-RF

CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML SOL. INJ. + 12 ACE + 12 TAMPOANE DEZINFECTANTE

P-RF/R

CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML + 12 ACE + 12 TAMPOANE DEZINFECTANTE

P-RF/R

CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV.

P-RF/R

CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV.

P-RF/R

CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV.

P-RF/R

CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV.

P-RF/R

SP EUROPE
30 milioane U.I. SP EUROPE
100mcg
SP EUROPE
120mcg
SP EUROPE
150mcg
SP EUROPE
50mcg
SP EUROPE

BELGIA
BELGIA
BELGIA
BELGIA
BELGIA
BELGIA

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML + 1 AC

P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

135mcg/0,5ml
180mcg/0,5ml

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML + 1 AC

P-RF/R

CAPS.

100mg

EGIS PHARMACEUTICALS P.L.C.

UNGARIA CUTIE X 1 FLAC. X 50 CAPS.

SOL. INJ. IN SERINGA PREUMPLUTA

P-6L

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
CANT MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ITAT
L
MAXIMAL/UT 213 alin.(1) lit.
UT (RON)
E
(RON)
(RON)
a) si f)
PT. ADULTI

1
1
5
1
5
1
5
1
1
1
1
1
1
1
1
1
1
1
50

195.56 195.560000 195.560000 195.560000


314.78 314.780000 314.780000 314.780000
489.29 97.858000 97.858000 97.858000
258.37 258.370000 234.672000 234.672000
1,116.94 223.388000 223.388000 223.388000
421.91 421.910000 377.736000 377.736000
1,822.71 364.542000 364.542000 364.542000
420.51 420.510000 420.510000 420.510000
86.41 86.410000 86.410000 86.410000
181.07 181.070000 181.070000 181.070000
485.85 485.850000 485.850000 485.850000
764.33 764.330000 764.330000 764.330000
811.20 811.200000 811.200000 811.200000
959.30 959.300000 959.300000 959.300000

10
10
5
5
5
5
10
10
10
5
10
5
10
5
5
1
1
1
6
1
6
6
6
1
6
1

18.81
1.881000
1.881000
1.881000
32.93
3.293000
3.293000
3.293000
43.24
8.648000
8.648000
8.648000
23.51
4.702000
4.702000
4.702000
43.23
8.646000
8.646000
8.646000
23.51
4.702000
4.702000
4.702000
284.22 28.422000 17.625600 17.625600
146.88 14.688000 14.688000 14.688000
146.88 14.688000 14.688000 14.688000
70.47 14.094000 14.094000 14.094000
133.69 13.369000 13.369000 13.369000
196.96 39.392000 39.392000 39.392000
389.85 38.985000 38.985000 38.985000
70.69 14.138000 14.138000 14.138000
197.51 39.502000 39.502000 39.502000
65.24 65.240000 46.782000 46.782000
399.53 399.530000 399.530000 399.530000
377.16 377.160000 377.160000 377.160000
750.92 125.153333 119.493999 119.493999

1,180.48 1,180.480000 1,180.480000 1,180.480000

441.32 441.320000 441.320000 441.320000


768.36 768.360000 768.360000 768.360000
964.54 964.540000 964.540000 964.540000
16.87
0.337400
0.337400
0.337400

Tratamentul se iniiaz de ctre medicul in specialitatea gastroenterologie sau boli infectioase

8. Leucemii, limfoame, aplazie medulara, gamapatii monoclonale maligne, mieloproliferari cronice si tumori maligne, sindroame mielodisplazice - G10
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26

A04AA01
A04AA01
A04AA01
A04AA01
A04AA01
A04AA01
A04AA02
A04AA02
A04AA02
A04AA02
A04AA02
A04AA02
A04AA02
A04AA02
A04AA02
A04AA02
A04AA05
A04AA05
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01

ONDANSETRONUM**
ONDANSETRONUM**
ONDANSETRONUM**
ONDANSETRONUM**
ONDANSETRONUM**
ONDANSETRONUM**
GRANISETRONUM**
GRANISETRONUM**
GRANISETRONUM**
GRANISETRONUM**
GRANISETRONUM**
GRANISETRONUM**
GRANISETRONUM**
GRANISETRONUM**
GRANISETRONUM**
GRANISETRONUM**
PALONOSETRONUM**
PALONOSETRONUM**
EPOETINUM ALFA***
EPOETINUM ALFA***
EPOETINUM ALFA***
EPOETINUM ALFA***
EPOETINUM ALFA***
EPOETINUM ALFA***
EPOETINUM ALFA***
EPOETINUM ALFA***

OSETRON 4 mg
OSETRON 8 mg

COMPR. FILM. 4mg


COMPR. FILM. 8mg

DR. REDDY'S LABORATORIES

SOL. INJ.
SOL. INJ.

DR. REDDY'S LABORATORIES

2mg/ml
2mg/ml
EMESET 8 mg/4 ml
SOL. INJ./PERF. 2mg/ml
EMESET 4 mg/2 ml
SOL. INJ./PERF. 2mg/ml
KYTRIL (R) 1 mg
COMPR. FILM. 1mg
GRANISETRON ACTAVIS 1 mg COMPR. FILM. 1mg
GRANEGIS 1 mg
COMPR. FILM. 1mg
GRANISETRON KABI 1 mg/ml CONC. PT. SOL. INJ./PERF. 1mg/ml
GRANISETRON KABI 1 mg/ml CONC. PT. SOL. INJ./PERF. 1mg/ml
GRANISETRON KABI 1 mg/ml CONC. PT. SOL. INJ./PERF. 1mg/ml
GRANISETRON KABI 1 mg/ml CONC. PT. SOL. INJ./PERF. 1mg/ml
GRANISETRON TEVA 1mg/1ml CONC. PT. SOL. PERF./INJ. 1mg/1ml
GRANISETRON TEVA 3mg/3ml CONC. PT. SOL. PERF./INJ. 3mg/3ml
KYTRIL
SOL. INJ.
3mg/3ml
ALOXI 500mcg
CAPS. MOI 500mcg
ALOXI
SOL. INJ.
250 mcg/5ml
EPREX (R) 3000 UI
SOL. INJ.
3000ui/0,3ml
EPREX (R) 40 000 UI
SOL. INJ.
40 000UI
BINOCRIT 10000UI/1,0ml
10000UI/1,0ml
BINOCRIT 1000UI/0,5ml
1000UI/0,5ml
BINOCRIT 2000UI/1,0ml
2000UI/1,0ml
BINOCRIT 30000UI/0,75ml
30000UI/0,75ml
BINOCRIT 3000UI/0,3ml
3000UI/0,3ml
EPREX 40000 UI/ml
40 000UI/ml

OSETRON 8 mg SOLUTIE INJECTABILA

OSETRON 4 mg SOLUTIE INJECTABILA

DR. REDDY'S LABORATORIES

DR. REDDY'S LABORATORIES

CIPLA (UK) LIMITED


CIPLA (UK) LIMITED

ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE X 1 BLIST. HARTIE/AL, PVDC/PVC X 10 COMPR. FILM.

P-RF

CUTIE X 1 BLIST. HARTIE/AL, PVDC/PVC X 10 COMPR. FILM.

P-RF

CUTIE X 1 BLIST. AL/PVC X 5 FIOLE X 4 ML SOL. INJ.

S/P-RF

CUTIE 1 BLIST. AL/PVC X 5 FIOLE X 2 ML SOL. INJ.

S/P-RF

MAREA BRITANIE

CUTIE X 5 FIOLE STICLA + INEL RUPERE X 4ML SOL. INJ. / PERF.

S/P-RF

MAREA BRITANIE

CUTIE X 5 FIOLE STICLA + INEL RUPERE X 2ML SOL. INJ/ PERF.

S/P-RF

ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF


ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE CU BLIST. PVC/AL X 10 COMPR. FILM.

P-RF

UNGARIA CUTIE CU BLIST. PVC/AL X 10 COMPR. FILM. P-RF


FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 5 FIOLE STICLA INCOLORA X 1 ML CONC. PT. SOL. INJ./PERF. S/P-RF
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 10 FIOLE STICLA INCOLORA X 1 ML CONC. PT. SOL. INJ./PERF. S/P-RF
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 5 FIOLE STICLA INCOLORA X 3 ML CONC. PT. SOL. INJ./PERF. S/P-RF
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 10 FIOLE STICLA INCOLORA X 3 ML CONC. PT. SOL. INJ./PERF. S/P-RF
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 1 ML CONC. PT. SOL. PERF./INJ.
S
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 3 ML CONC. PT. SOL. PERF./INJ.
S
ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FIOLA X 3 ML SOL. INJ. S
EGIS PHARMACEUTICALS P.L.C.

HELSINN BIREX PHARMACEUTICALS LTD.


HELSINN BIREX PHARMACEUTICALS LTD.

IRLANDA
IRLANDA

CUTIE X BLISTER DIN POLIAMIDA/AL/PVC X 1 CAPSULA MOALE

PR

CUTIE X 1 FLAC. DIN STICLA X 5 ML SOL. INJ.

P-RF

JOHNSON & JOHNSON D.O.O.

SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,3 ML


SLOVENIA CUTIE X 1 FLACON DIN STICLA X 1 ML

AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA

CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ.

S/P-RF/R

CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ.

S/P-RF/R

CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ.

S/P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

SANDOZ GMBH
SANDOZ GMBH
SANDOZ GMBH
SANDOZ GMBH
SANDOZ GMBH

SOL. INJ. IN SERINGA PREUMPLUTA

JOHNSON & JOHNSON D.O.O.

SLOVENIA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

JOHNSON & JOHNSON D.O.O.

Pagina 62 din 205

S/P-RF
S/P-RF

CUTIE X 1 SERINGA PREUMPLUTA X 0,75ML SOL. INJ.

P-RF/R

CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ.

S/P-RF/R

CUTIE CU 1 SERINGA PREUMPLUTA X 1 ML SOL. INJ.

S/P-RF

1,338.42 1,338.420000 1,180.296000 1,180.296000

284.848333 284.848333 284.848333


215.85 35.975000 35.975000 35.975000
421.67 70.278333 70.278333 70.278333
779.82 779.820000 779.820000 779.820000
597.47 99.578333 99.578333 99.578333

1,709.09

1,338.42 1,338.420000 1,180.296000 1,180.296000

NR.CRT

27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77

COD ATC

B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
G03HA01

H02AB02
H02AB02
H02AB02
H02AB02

J02AC02
J02AC02
J02AC02
J02AC02
J02AC02
J02AC02
J02AC02
J02AC03
J02AC03
J02AC03
J02AC03
J02AC04

J02AX04
J02AX04
L01XX35
L01XX35
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01

DCI

EPOETINUM ALFA***
EPOETINUM ALFA***
EPOETINUM ALFA***
EPOETINUM BETA***
EPOETINUM BETA***
EPOETINUM BETA***
EPOETINUM BETA***
EPOETINUM BETA***
EPOETINUM BETA***
EPOETINUM BETA***
DARBEPOETINUM ALFA***
DARBEPOETINUM ALFA***
DARBEPOETINUM ALFA***
DARBEPOETINUM ALFA***
DARBEPOETINUM ALFA***
DARBEPOETINUM ALFA***
DARBEPOETINUM ALFA***
DARBEPOETINUM ALFA***
DARBEPOETINUM ALFA***
DARBEPOETINUM ALFA***
DARBEPOETINUM ALFA***
DARBEPOETINUM ALFA***
CYPROTERONUM**
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
POSACONAZOLUM**
CASPOFUNGINUM**
CASPOFUNGINUM**
ANAGRELIDUM***
ANAGRELIDUM***
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*

Denumire Comerciala

BINOCRIT 40000 UI/1 ml


BINOCRIT 4000UI/0,4ml
BINOCRIT 5000UI/0,5ml
NEORECORMON 10000UI/0,6ml

NEORECORMON 1000UI/0,3ml
NEORECORMON 2000UI/0,3ml
NEORECORMON 30000UI/0,6ml

NEORECORMON 4000UI/0,3ml
NEORECORMON 5000UI/0,3ml
NEORECORMON 500UI/0,3ml

ARANESP 100mcg/0,5ml
ARANESP 10mcg/0,4ml
ARANESP 150mcg/0,3ml
ARANESP 15mcg/0,375ml
ARANESP 20mcg/0,5ml
ARANESP 300mcg/0,6ml
ARANESP 30mcg/0,3ml
ARANESP 40mcg/0,4ml
ARANESP 500mcg/ml
ARANESP 50mcg/0,5ml
ARANESP 60mcg/0,3ml
ARANESP 80mcg/0,4ml
ANDROCUR

forma farm.

concentratie
DETINATOR APP
40000 UI/1 ml SANDOZ GMBH

TARA
DET. APP

AMBALAJ

Prescriptie

CUTIE X 1 SERINGA PREUMPLUTA X 1ML SOL. INJ.

P-RF/R

CUTIE X 6 SERINGI PREUMPLUTE X 0,4ML SOL. INJ.

S/P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

4000UI/0,4ml SANDOZ GMBH


5000UI/0,5ml SANDOZ GMBH

AUSTRIA
AUSTRIA
AUSTRIA

CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ.

S/P-RF/R

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

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE

S/P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

1000UI/0,3ml
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

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

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE

S/P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

4000UI/0,3ml
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

SOL. INJ. IN SERINGA PREUMPLUTA

500UI/0,3ml

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ. + 6 ACE

S/P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

100mcg/0,5ml AMGEN EUROPE BV OLANDA

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML

P-RF/R

OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML

P-RF/R

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML

P-RF/R

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,375 ML

P-RF/R

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML

P-RF/R

CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 0,6 ML

P-RF/R

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML

P-RF/R

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML

P-RF/R

CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 1 ML

P-RF/R

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML

P-RF/R

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML

P-RF/R

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML

P-RF/R

GERMANIA

CUTIE X 1 FLAC. X 50 COMPR.

P-RF

ROMANIA
ROMANIA

CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.

P-RF

CUTIE X 5 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.

P-RF

CIPRU
CIPRU
BELGIA

CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.

P-RF/S

CUTIE X 10 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.

P-RF

CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 5 CAPS.

P-RF

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE X 3 BLIST. AL/PVC X 5 CAPS.


CUTIE X 3 BLIST. AL/PVC X 5 CAPS.
CUTIE X 3 BLIST. AL/AL X 5 CAPS.
CUTIE X 3 BLIST. AL/AL X 5 CAPS.
CUTIE X 3 BLIST. PVC/AL X 5 CAPS.
CUTIE X 3 BLIST. PVC/AL X 5 CAPS.

P-RF

P-RF

MAREA BRITANIE

CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL)


CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL)

MAREA BRITANIE

CUTIE X 1 FLAC. UNIDOZA X 30ML

P-RF

MAREA BRITANIE

CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA

P-RF
P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

COMPR.
DEXAMETHASONE SODIUM PHOSPHATE SOL. INJ.
DEXAMETHASONE SODIUM PHOSPHATE SOL. INJ.
DEXAMED
SOL. INJ.
DEXAMED
SOL. INJ.
ORUNGAL
CAPS.
ITRACONAZOL 100 mg
CAPS.
ITRACONAZOL 100 mg
CAPS.
OMICRAL 100 mg
CAPS.
SPORILIN 100 mg
CAPS.
ITRACONAZOL LPH 100 mg CAPS.
MICOGAL 100 mg
CAPS.
VFEND 200mg
COMPR. FILM.
VFEND 50mg
COMPR. FILM.
VFEND 200mg
PULB. PT. SOL. PERF.
VFEND 40 mg/ml
PULB. PT. SUSP. ORALA
NOXAFIL SP 40mg/ml
SUSP. ORALA
CANCIDAS 50 mg
CANCIDAS 70 mg
THROMBOREDUCTIN
CAPS.
THROMBOREDUCTIN
CAPS.
EQUORAL (R) 100 mg
CAPS. MOI
SANDIMMUN NEORAL (R) CAPS. MOI
EQUORAL (R) 25 mg
CAPS. MOI
CICLORAL 25 mg
CAPS. MOI
SANDIMMUN NEORAL (R) CAPS. MOI
EQUORAL (R) 50 mg
CAPS. MOI
CICLORAL 50 mg
CAPS. MOI
EQUORAL (R)
SOL. ORALA
PULB. PT. CONC. PT. SOL. PERF.
PULB. PT. CONC. PT. SOL. PERF.

10mcg/0,4ml AMGEN EUROPE BV


150mcg/0,3ml AMGEN EUROPE BV
15mcg/0,375ml AMGEN EUROPE BV
20mcg/0,5ml AMGEN EUROPE BV
300mcg/0,6ml AMGEN EUROPE BV
30mcg/0,3ml AMGEN EUROPE BV
40mcg/0,4ml AMGEN EUROPE BV
500mcg/ml AMGEN EUROPE BV
50mcg/0,5ml AMGEN EUROPE BV
60mcg/0,3ml AMGEN EUROPE BV
80mcg/0,4ml AMGEN EUROPE BV
50mg
BAYER SCHERING PHARMA AG
8mg
E.I.P.I.CO. MED S.R.L.
8mg
E.I.P.I.CO. MED S.R.L.
8mg/2ml
MEDOCHEMIE LTD.
8mg/2ml
MEDOCHEMIE LTD.
100mg
JANSSEN PHARMACEUTICA N.V.
100mg
SLAVIA PHARM SRL
100mg
ARENA GROUP S.A.
100mg
MEDICO UNO PHARMACEUTICAL SRL
100mg
GEDEON RICHTER ROMANIA SA
100mg
LABORMED PHARMA S.A.
100mg
ROMPHARM COMPANY SRL
200mg
PFIZER LIMITED
50mg
PFIZER LIMITED
200mg
PFIZER LIMITED
40mg/ml
PFIZER LIMITED
40mg/ml
SP EUROPE
50mg
MERCK SHARP & DOHME
70mg
MERCK SHARP & DOHME
0,5mg
ORPHA-DEVEL HANDELS UND VERTRIEBS GMBH
0,5mg
ORPHA-DEVEL HANDELS UND VERTRIEBS GMBH
100mg
IVAX - PHARMACEUTICALS S.R.O.
25mg
NOVARTIS PHARMA GMBH
25mg
IVAX - PHARMACEUTICALS S.R.O.
25mg
HEXAL AG
50mg
NOVARTIS PHARMA GMBH
50mg
IVAX - PHARMACEUTICALS S.R.O.
50mg
HEXAL AG
100mg/ml
IVAX - PHARMACEUTICALS S.R.O.

MAREA BRITANIE

BELGIA

CUTIE X 1 FLAC. X 105ML SUSP. ORALA

MAREA BRITANIE

CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF.

MAREA BRITANIE

CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF.

AUSTRIA CUTIE X 1 FLAC. DIN PE X 42 CAPS.


AUSTRIA CUTIE X 1 FLAC. DIN PE X 100 CAPS.
CEHIA
CUTIE X 5 BLIST. X 10 CAPS. MOI
GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI
CEHIA
CUTIE X 5 BLIST. X 10 CAPS. MOI
GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI
GERMANIA

CEHIA

CUTIE X 10 BLIST. X 5 CAPS. MOI


CUTIE X 5 BLIST. X 10 CAPS. MOI

P-RF
P-RF
P-RF
P-RF
P-RF

P-RF

S
S
P-RF
P-RF/S
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF

GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI

S/P-RF

CEHIA

S/P-RF

Pagina 63 din 205

CUTIE X 1 FLACON DIN STICLA BRUNA X 50 ML, UN DISPOZITIV DE MASURAT + UN CAPAC CU FILET

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
CANT MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ITAT
L
MAXIMAL/UT 213 alin.(1) lit.
UT (RON)
E
(RON)
(RON)
a) si f)
PT. ADULTI

1
6
6
6
6
6
1
6
6
6
4
4
4
4
4
1
4
4
1
4
4
4
50
100
5
100
10
15
15
15
15
15
15
15
28
28
1
1
1
1
1
42
100
50
50
50
50
50
50
50
1

983.58 983.580000 983.580000 983.580000


773.24 128.873333 128.873333 128.873333
948.94 158.156666 158.156666 158.156666
2,319.88 386.646666 386.646666 386.646666
276.62 46.103333 46.103333 46.103333
520.93 86.821666 86.821666 86.821666
1,161.58 1,161.580000 1,161.580000 1,161.580000

970.37 161.728333 161.728333 161.728333


199.158333 199.158333 199.158333
142.24 23.706666 23.706666 23.706666
3,136.61 784.152500 784.152500 784.152500
387.41 96.852500 96.852500 96.852500
1,194.95

4,653.92 1,163.480000 1,163.480000 1,163.480000

541.85 135.462500 135.462500 135.462500


695.22 173.805000 173.805000 173.805000
2,183.52 2,183.520000 2,183.520000 2,183.520000

998.45 249.612500 249.612500 249.612500


326.075000 326.075000 326.075000

1,304.30

3,591.99 3,591.990000 3,591.990000 3,591.990000


1,608.50
1,915.26
2,526.78

160.42
122.21
6.90
91.10
10.26
76.02
51.95
51.95
51.95
51.95
51.95
51.94
3,872.57
1,021.05

531.97

402.125000
478.815000
631.695000
3.208400
1.222100
1.380000
0.911000
1.026000
5.068000
3.463333
3.463333
3.463333
3.463333
3.463333
3.462666
138.306071
36.466071
531.970000

402.125000
478.815000
631.695000
3.208400
1.093200
1.093200
0.911000
1.026000
4.155199
3.463333
3.463333
3.463333
3.463333
3.463333
3.462666
138.306071
36.466071
531.970000

402.125000
478.815000
631.695000
3.208400
1.093200
1.093200
0.911000
1.026000
4.155199
3.463333
3.463333
3.463333
3.463333
3.463333
3.462666
138.306071
36.466071
531.970000

2,412.18 2,412.180000 2,412.180000 2,412.180000


2,947.50 2,947.500000 2,947.500000 2,947.500000
1,333.76 1,333.760000 1,333.760000 1,333.760000
1,719.13 1,719.130000 1,719.130000 1,719.130000

866.47
1,636.89

466.61
135.71
93.03
135.87
288.73
187.67
301.62
424.20

20.630238 19.642680 19.642680


16.368900 16.368900 16.368900
9.332200
9.332200
9.332200
2.714200
2.232720
2.232720
1.860600
1.860600
1.860600
2.717400
2.232720
2.232720
5.774600
4.504080
4.504080
3.753400
3.753400
3.753400
6.032400
4.504080
4.504080
424.200000 424.200000 424.200000

NR.CRT

78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99

COD ATC

N02AA01
N02AA01
N02AA01
N02AA01
N02AA01
N02AA01
N02AA01
N02AA01
N02AA01
N02AA01
N02AA01
N02AA01
N02AA01
N02AA05
N02AA05
N02AA05
N02AA05
N02AA08
N02AA08
N02AA08
N02AB02
N02AB03

100 N02AB03
101 N02AB03
102 N02AB03
103 N02AB03
104 N02AB03
105 N02AB03
106 N02AB03
107 N02AB03
108 N02AB03
109 N02AB03
110 N02AB03
111 N02AB03
112 N02AB03
113 N02AB03
114 N02AB03
115 N02AB03
116 N02AB03
117 N02AB03
118 N02AX02
119 N02AX02
120 N02AX02
121 N02AX02
122 N02AX02
123 N02AX02
124 N02AX02
125 N02AX02
126 N02AX02
127 N02AX02
128 N02AX02

DCI

MORPHYNUM
MORPHYNUM
MORPHYNUM
MORPHYNUM
MORPHYNUM
MORPHYNUM
MORPHYNUM
MORPHYNUM
MORPHYNUM
MORPHYNUM
MORPHYNUM
MORPHYNUM
MORPHYNUM
OXYCODONUM
OXYCODONUM
OXYCODONUM
OXYCODONUM
DIHYDROCODEINUM
DIHYDROCODEINUM
DIHYDROCODEINUM
PETHIDINUM
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM

Denumire Comerciala

SEVREDOL 10 mg
SEVREDOL 20 mg
MST CONTINUS 100 mg
MST CONTINUS 10 mg
MST CONTINUS 200 mg
MST CONTINUS 30 mg
MST CONTINUS 60 mg

TARA
forma farm. concentratie
DET. APP
DETINATOR APP
COMPR. FILM. 10mg
MUNDIPHARMA GMBH AUSTRIA
COMPR. FILM. 20mg
MUNDIPHARMA GMBH AUSTRIA

AMBALAJ

P-TS

CUTIE X 4 BLIST. AL/PVC-PVDC X 14 COMPR. FILM.

P-TS

SOL. INJ.

100mg
10mg
200mg
30mg
60mg
100mg
30mg
60mg
10 mg
20mg
20mg/ml
10 mg
20 mg
40 mg
80mg
120mg
60mg
90mg
50mg/ml

FENTANYL SANDOZ MATRIX 75mcg/h

PLASTURE TRANSDERM.

17,34mg/31,50cmp

FENTANYL SANDOZ MATRIX 100mcg/h

PLASTURE TRANSDERM.

23,12mg/42.00cmp

FENTANYL SANDOZ 100 mcg/h

PLASTURE TRANSDERMIC

FENTANYL TTS SANDOZ 100 mcg/h

PLASTURE TRANSDERMIC

100mcg/h
100mcg/h

FENTANYL ACTAVIS 100micrograme/h

PLASTURE TRANSDERMIC

100micrograme/h

AUSTRIA CUTIE X 2 BLIST. PVC-PVDC/AL X 30 COMPR. FILM. CU ELIB. MOD.


AUSTRIA CUTIE X 2 BLIST. PVC-PVDC/AL X 30 COMPR. FILM. CU ELIB. MOD.
MUNDIPHARMA GES.M.B.H AUSTRIA CUTIE X 4 BLIST. PVC-PVDC/AL X 15 COMPR. FILM. CU ELIB. MOD.
MUNDIPHARMA GES.M.B.H AUSTRIA CUTIE X 2 BLIST. PVC-PVDC/AL X 30 COMPR. FILM. CU ELIB. MOD.
MUNDIPHARMA GES.M.B.H AUSTRIA CUTIE X 2 BLIST. PVC-PVDC/AL X 30 COMPR. FILM. CU ELIB. MOD.
LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL.
LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL.
LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL.
MUNDIPHARMA GMBH AUSTRIA CUTIE X 10 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ.
MUNDIPHARMA GMBH AUSTRIA CUTIE X 10 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ.
ZENTIVA S.A.
ROMANIA CUTIE X 5 FIOLE X 1 ML
MUNDIPHARMA GMBH AUSTRIA CUTIE X 1 FLAC. X 56 COMPR. FILM. ELIB. MODIF.
MUNDIPHARMA GMBH AUSTRIA CUTIE X 1 FLAC. X 56 COMPR. FILM. ELIB. MODIF.
MUNDIPHARMA GMBH AUSTRIA CUTIE X 1 FLAC. X 56 COMPR. FILM. ELIB. MODIF.
MUNDIPHARMA GMBH AUSTRIA CUTIE X 1 FLAC. X 56 COMPR. FILM. ELIB. MODIF.
MUNDIPHARMA GMBH AUSTRIA CUTIE X 1 FLAC. DIN PP X 56 COMPR. ELIB. PREL.
MUNDIPHARMA GMBH AUSTRIA CUTIE X 1 FLAC. DIN PP X 56 COMPR. ELIB. PREL.
MUNDIPHARMA GMBH AUSTRIA CUTIE X 1 FLAC. DIN PP X 56 COMPR. ELIB. PREL.
ZENTIVA SA
ROMANIA CUTIE X 5 FIOLE DIN STICLA X 2 ML
SANDOZ S.R.L.
ROMANIA CUTIE X 5 PLICURI MULTISTRAT X 1 PLASTURE TRANSDERMIC
SANDOZ S.R.L.
ROMANIA CUTIE X 5 PLICURI MULTISTRAT X 1 PLASTURE TRANSDERMIC
SANDOZ S.R.L.
ROMANIA CUTIE X 5 PLICURI DIN HARTIE/PE/AL/AL X 1 PLASTURE TRANSDERMIC CU REZERVOR
SANDOZ S.R.L.
ROMANIA CUTIE X 5 PLIC DIN HARTIE/PE/AL/PE X 1 PLASTURE TRANSDERMIC
ACTAVIS GROUP PTC EHF. ISLANDA

DOLFORIN 100 g/ORA

PLASTURE TRANSDERMIC

100g/ora

GEDEON RICHTER ROMANIA SA

FENTANYL SANDOZ MATRIX 50mcg/h

PLASTURE TRANSDERMIC

11,56mg/21,00cmp

FENTANYL SANDOZ 25 mcg/h

PLASTURE TRANSDERMIC

FENTANYL TTS SANDOZ 25 mcg/h

PLASTURE TRANSDERMIC

25mcg/h
25mcg/h

SANDOZ S.R.L.
SANDOZ S.R.L.
SANDOZ S.R.L.

FENTANYL ACTAVIS 25micrograme/h

PLASTURE TRANSDERMIC

25micrograme/h ACTAVIS GROUP PTC EHF.

ISLANDA

DOLFORIN 25 g/ORA

PLASTURE TRANSDERMIC

25g/ora

GEDEON RICHTER ROMANIA SA

FENTANYL SANDOZ MATRIX 25mcg/h

PLASTURE TRANSDERMIC

5,78mg/10,5cmp

FENTANYL SANDOZ 50 mcg/h

PLASTURE TRANSDERMIC

FENTANYL TTS SANDOZ 50 mcg/h

PLASTURE TRANSDERMIC

50mcg/h
50mcg/h

SANDOZ S.R.L.
SANDOZ S.R.L.
SANDOZ S.R.L.

ROMANIA
ROMANIA
ROMANIA
ROMANIA

FENTANYL ACTAVIS 50micrograme/h

PLASTURE TRANSDERMIC

50micrograme/h ACTAVIS GROUP PTC EHF.

DOLFORIN 50 g/ORA

PLASTURE TRANSDERMIC

FENTANYL SANDOZ 75 mcg/h

PLASTURE TRANSDERMIC

FENTANYL TTS SANDOZ 75 mcg/h

PLASTURE TRANSDERMIC

50g/ora
75mcg/h
75mcg/h
75g/ora
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg

VENDAL (R) RETARD 100 mg


VENDAL (R) RETARD 30 mg
VENDAL (R) RETARD 60 mg

MSI 10 mg MUNDIPHARMA
MSI 20 mg MUNDIPHARMA
MORFINA 20 mg/ml
OXYCONTIN (R) 10 mg
OXYCONTIN (R) 20 mg
OXYCONTIN (R) 40 mg
OXYCONTIN (R) 80 mg
DHC CONTINUS 120 mg
DHC CONTINUS 60 mg
DHC CONTINUS 90 mg
MIALGIN (R) 100 mg/2 ml

DOLFORIN 75 g/ORA
TRAMAL (R)
TRALGIT 50
TRAMADOL
TRAMADOL AL 50
TRAMADOL AL 50
MABRON 50 mg
K-ALMA (R)
TRAMACALM
TRAMADOL LPH 50 mg
URGENDOL
TRAMADOL ARENA

COMPR. FILM. ELIB. MODIF.


COMPR. FILM. ELIB. MODIF.
COMPR. FILM. ELIB. MODIF.
COMPR. FILM. ELIB. MODIF.
COMPR. FILM. ELIB. MODIF.

COMPR. FILM. ELIB. PREL.


COMPR. FILM. ELIB. PREL.
COMPR. FILM. ELIB. PREL.

SOL. INJ.
SOL. INJ.
SOL. INJ.
COMPR. FILM. ELIB. MODIF.
COMPR. FILM. ELIB. MODIF.
COMPR. FILM. ELIB. MODIF.
COMPR. FILM. ELIB. MODIF.

COMPR. ELIB. PREL.


COMPR. ELIB. PREL.
COMPR. ELIB. PREL.

PLASTURE TRANSDERMIC

CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.

Prescriptie

CUTIE X 4 BLIST. AL/PVC-PVDC X 14 COMPR. FILM.

MUNDIPHARMA GES.M.B.H

P-TS

MUNDIPHARMA GES.M.B.H

P-TS
P-TS
P-TS
P-TS
P-TS
P-TS
P-TS
P-TS
P-TS
P-TS
P-TS
P-TS
P-TS
P-TS
P-RF
P-RF
P-RF
P-TS
P-TS
P-TS
P-TS
P-TS

CUTIE X 5 PLICURI MULTISTRAT DIN HARTIE -PEJD- AL- SURLYN X 1 PLASTURE TRANSDERMIC

P-TS

CUTIE X 5 PLICURI DIN PES-AL-PP X 1 PLASTURE TRANSDERMIC

P-TS

CUTIE X 5 PLICURI MULTISTRAT X 1 PLASTURE TRANSDERMIC

P-TS

CUTIE X 5 PLICURI DIN HARTIE/PE/AL/AL X 1 PLASTURE TRANSDERMIC CU REZERVOR

P-TS

CUTIE X 5 PLIC DIN HARTIE/PE/AL/PE X 1 PLASTURE TRANSDERMIC

P-TS

CUTIE X 5 PLICURI MULTISTRAT DIN HARTIE -PEJD- AL- SURLYN X 1 PLASTURE TRANSDERMIC

P-TS

CUTIE X 5 PLICURI DIN PES-AL-PP X 1 PLASTURE TRANSDERMIC

P-TS

CUTIE X 5 PLICURI MULTISTRAT X 1 PLASTURE TRANSDERMIC

P-TS

CUTIE X 5 PLICURI DIN HARTIE/PE/AL/AL X 1 PLASTURE TRANSDERMIC CU REZERVOR

P-TS

CUTIE X 5 PLIC DIN HARTIE/PE/AL/PE X 1 PLASTURE TRANSDERMIC

P-TS

ISLANDA

CUTIE X 5 PLICURI MULTISTRAT DIN HARTIE -PEJD- AL- SURLYN X 1 PLASTURE TRANSDERMIC

P-TS

GEDEON RICHTER ROMANIA SA

ROMANIA

CUTIE X 5 PLICURI DIN PES-AL-PP X 1 PLASTURE TRANSDERMIC

P-TS

SANDOZ S.R.L.
SANDOZ S.R.L.

AUSTRIA

CUTIE X 5 PLICURI DIN HARTIE/PE/AL/AL X 1 PLASTURE TRANSDERMIC CU REZERVOR

P-TS

CUTIE X 5 PLIC DIN HARTIE/PE/AL/PE X 1 PLASTURE TRANSDERMIC

P-TS

CUTIE X 5 PLICURI DIN PES-AL-PP X 1 PLASTURE TRANSDERMIC

P-TS

GEDEON RICHTER ROMANIA SA

ROMANIA
ROMANIA
ROMANIA
ROMANIA

ROMANIA
ROMANIA

GRUNENTHAL GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.


ZENTIVA A.S.
SLOVACIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
KRKA D.D.
SLOVENIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
ALIUD PHARMA GMBH & CO.KG

GERMANIA

ALIUD PHARMA GMBH & CO.KG

GERMANIA

CUTIE X 3 BLIST. X 10 CAPS.


CUTIE X 1 BLIST. X 10 CAPS.

MEDOCHEMIE LTD. CIPRU


CUTIE X 1 BLIST. AL/PVC X 10 CAPS.
ANTIBIOTICE SA
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
AC HELCOR SRL
ROMANIA CUTIE X 1 BLIST. PVC/AL X 10 CAPS.

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF

ROMANIA CUTIE X 1 BLIST. X 10 CAPS.


ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

MEDICAROM GROUP SRL

Pagina 64 din 205

P-RF
P-RF

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
CANT MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ITAT
L
MAXIMAL/UT 213 alin.(1) lit.
UT (RON)
E
(RON)
(RON)
a) si f)
PT. ADULTI

56
56
60
60
60
60
60
30
30
30
10
10
5
56
56
56
56
56
56
56
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
20
20
20
30
10
10
20
10
20
10
20

46.40
66.55
245.22
45.58
418.42
75.56
152.83
84.05
26.73
55.16
25.49
48.34
8.20
115.46
212.12
391.30
645.97
127.04
29.00
100.50
7.70
152.77
189.00
189.00
189.00
188.69
189.00
119.37
70.95
70.95
68.27
68.89
70.95
119.37
119.37
119.31
119.37
152.77
152.77
152.77
11.68
5.76
5.76
11.39
3.81
3.81
7.58
3.81
7.58
3.78
8.89

0.828571
1.188392
4.087000
0.759666
6.973666
1.259333
2.547166
2.801666
0.891000
1.838666
2.549000
4.834000
1.640000
2.061785
3.787857
6.987500
11.535178
2.268571
0.517857
1.794642
1.540000
30.554000
37.800000
37.800000
37.800000
37.738000
37.800000
23.874000
14.190000
14.190000
13.654000
13.778000
14.190000
23.874000
23.874000
23.862000
23.874000
30.554000
30.554000
30.554000
0.584000
0.288000
0.288000
0.379666
0.381000
0.381000
0.379000
0.381000
0.379000
0.378000
0.444500

0.828571
1.188392
3.361999
0.759666
6.973666
1.069200
2.206399
2.801666
0.891000
1.838666
2.549000
1.968000
1.640000
2.061785
3.787857
6.987500
11.535178
2.268571
0.517857
1.794642
1.540000
30.554000
37.800000
37.800000
37.800000
37.738000
37.800000
23.874000
14.190000
14.190000
13.654000
13.778000
14.190000
23.874000
23.874000
23.862000
23.874000
30.554000
30.554000
30.554000
0.345600
0.288000
0.288000
0.345600
0.345600
0.345600
0.345600
0.345600
0.345600
0.345600
0.345600

0.828571
1.188392
3.361999
0.759666
6.973666
1.069200
2.206399
2.801666
0.891000
1.838666
2.549000
1.968000
1.640000
2.061785
3.787857
6.987500
11.535178
2.268571
0.517857
1.794642
1.540000
30.554000
37.800000
37.800000
37.800000
37.738000
37.800000
23.874000
14.190000
14.190000
13.654000
13.778000
14.190000
23.874000
23.874000
23.862000
23.874000
30.554000
30.554000
30.554000
0.345600
0.288000
0.288000
0.345600
0.345600
0.345600
0.345600
0.345600
0.345600
0.345600
0.345600

NR.CRT

COD ATC

129 N02AX02
130 N02AX02
131 N02AX02
132 N02AX02
133 N02AX02
134 N02AX02
135 N02AX02
136 N02AX02
137 N02AX02
138 N02AX02
139 N02AX02
140 N02AX02
141 N02AX02
142 N02AX02
143 N02AX02
144 N02AX02
145 N02AX02
146 N02AX02
147 N02AX02
148 N02AX02
149 N02AX02
150 N02AX02
151 N02AX02
152 N02AX02
153 N02AX02
154 N02AX02
155 N02AX02
156 N02AX02
157 N02AX02
158 N02AX02
159 N02AX02
160 N02AX02
161 N02AX02
162 N02AX02
163 N02AX02
164 N02AX02
165 N02AX02
166 N02AX02
167 N02AX02
168 N02AX02
169 N02AX02
170 N02AX02
171 N02AX02
172 N02AX02
173 N02AX02
174 N02AX02
175 N02AX02
176 N02AX02
177 N07BC02
178 N07BC02
179 N07BC02

DCI

TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
METHADONUM
METHADONUM
METHADONUM

Denumire Comerciala

TRAMAL UNO 100 mg


TRAMAL UNO 100 mg
TRAMAL UNO 100 mg
TRAMAL UNO 100 mg
TRAMAL UNO 150 mg
TRAMAL UNO 150 mg
TRAMAL UNO 150 mg
TRAMAL UNO 150 mg
TRAMAL UNO 200 mg
TRAMAL UNO 200 mg
TRAMAL UNO 200 mg
TRAMAL UNO 200 mg
TRAMAG 50
TRAMADOL EEL
TRAMADOL 50 mg
TRAMADOL 50 mg
TRAMADOLOR (R) 100 ID
TRAMADOL (R) RETARD
TRALGIT SR 100
TRALGIT SR 100
TRALGIT SR 100
NOAX UNO 100 mg
NOAX UNO 100 mg
TRALGIT SR 150
TRALGIT SR 150
TRALGIT SR 200
NOAX UNO 200 mg
NOAX UNO 200 mg
NOAX UNO 300 mg
NOAX UNO 300 mg
TRADOLAN 50 mg
TRAMAL RETARD 100 mg
TRAMAL RETARD 150 mg

forma farm.

concentratie

100mg
CAPS. ELIB. PREL. 100mg
CAPS. ELIB. PREL. 100mg
CAPS. ELIB. PREL. 100mg
CAPS. ELIB. PREL. 150mg
CAPS. ELIB. PREL. 150mg
CAPS. ELIB. PREL. 150mg
CAPS. ELIB. PREL. 150mg
CAPS. ELIB. PREL. 200mg
CAPS. ELIB. PREL. 200mg
CAPS. ELIB. PREL. 200mg
CAPS. ELIB. PREL. 200mg
COMPR.
50mg
COMPR.
50mg
COMPR.
50mg
COMPR.
50mg
COMPR. ELIB. MODIF. 100mg
COMPR. ELIB. PREL. 100mg
COMPR. ELIB. PREL. 100mg
COMPR. ELIB. PREL. 100mg
COMPR. ELIB. PREL. 100mg
COMPR. ELIB. PREL. 100mg
COMPR. ELIB. PREL. 100mg
COMPR. ELIB. PREL. 150mg
COMPR. ELIB. PREL. 150mg
COMPR. ELIB. PREL. 200mg
COMPR. ELIB. PREL. 200mg
COMPR. ELIB. PREL. 200mg
COMPR. ELIB. PREL. 300mg
COMPR. ELIB. PREL. 300mg
COMPR. FILM. 50mg
COMPR. FILM. ELIB. PREL. 100mg
COMPR. FILM. ELIB. PREL. 150mg
TRAMADOL RETARD 150 mg COMPR. FILM. ELIB. PREL. 150mg
TRAMAL RETARD 200 mg COMPR. FILM. ELIB. PREL. 200mg
TRAMADOL RETARD 200 mg COMPR. FILM. ELIB. PREL. 200mg
TRAMADOL AL PICATURI
PIC. ORALE, SOL. FARA CONCENTRATIE
TRAMAL (R)
PICATURI ORALE-SOL. 100mg/ml
MABRON
SOL. INJ.
100mg
MABRON
SOL. INJ.
100mg
TRALGIT 100
SOL. INJ.
100mg/2ml
TRAMAL (R) 50
SOL. INJ.
50mg/ml
TRAMADOL
SOL. INJ.
50mg/ml
TRALGIT 50
SOL. INJ.
50mg/ml
URGENDOL
SOL. INJ.
50mg/ml
TRAMADOL
SOL. INJ.
50mg/ml
URGENDOL
SOL. INJ.
50mg/ml
TRAMADOL
SUPOZ.
100mg
SINTALGON 2,5 mg
COMPR.
2,5mg
METADON BIOEEL 20 mg COMPR.
20mg
METADON BIOEEL 20 mg COMPR.
20mg
CAPS. ELIB. PREL.

DETINATOR APP
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH

MAGISTRA C & C
BIO EEL SRL
OZONE LABORATORIES LTD.
OZONE LABORATORIES PHARMA S.A.

HEXAL AG
KRKA D.D.
ZENTIVA AS
ZENTIVA AS
ZENTIVA AS

TARA
DET. APP

AMBALAJ

Prescriptie

GERMANIA

CUTIE X BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL.

P-RF

GERMANIA

CUTIE X BLIST. PVC-PVDC/AL X 20 CAPS. CU ELIB. PREL.

P-RF

GERMANIA

CUTIE X BLIST. PVC-PVDC/AL X 30 CAPS. CU ELIB. PREL.

P-RF

GERMANIA

CUTIE X BLIST. PVC-PVDC/AL X 50 CAPS. CU ELIB. PREL.

P-RF/S

GERMANIA

CUTIE X BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL.

P-RF

GERMANIA

CUTIE X BLIST. PVC-PVDC/AL X 20 CAPS. CU ELIB. PREL.

P-RF

GERMANIA

CUTIE X BLIST. PVC-PVDC/AL X 30 CAPS. CU ELIB. PREL.

P-RF

GERMANIA

CUTIE X BLIST. PVC-PVDC/AL X 50 CAPS. CU ELIB. PREL.

P-RF/S

GERMANIA

CUTIE X BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL.

P-RF

GERMANIA

CUTIE X BLIST. PVC-PVDC/AL X 20 CAPS. CU ELIB. PREL.

P-RF

GERMANIA

CUTIE X BLIST. PVC-PVDC/AL X 30 CAPS. CU ELIB. PREL.

P-RF

GERMANIA

CUTIE X BLIST. PVC-PVDC/AL X 50 CAPS. CU ELIB. PREL.

P-RF/S

ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-RF
P-RF
P-RF
P-RF

GERMANIA CUTIE X 1 BLIST. X 10 COMPR. ELIB. MODIF. P-RF

SLOVENIA CUTIE X 3 BLIST. X 10 COMPR. ELIB. PREL.


SLOVACIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. ELIB. PREL.
SLOVACIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. ELIB. PREL.
SLOVACIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL.

P-RF

P-RF

CSC PHARMACEUTICALS HANDELS GMBH

AUSTRIA
AUSTRIA

ZENTIVA AS
ZENTIVA AS
ZENTIVA AS

SLOVACIA
SLOVACIA
SLOVACIA

CSC PHARMACEUTICALS HANDELS GMBH

CSC PHARMACEUTICALS HANDELS GMBH


CSC PHARMACEUTICALS HANDELS GMBH
CSC PHARMACEUTICALS HANDELS GMBH
CSC PHARMACEUTICALS HANDELS GMBH

LANNACHER HEILMITTEL GES.M.B.H.

CUTIE X 1 BLIST. DIN PVC-PVDC/AL X 5 COMPR.ELIM.PREL.

P-RF
P-RF
P-RF

CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR.ELIM.PREL. P-RF

CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL.

P-RF

CUTIE X 1 BLIST. PVC/AL X 10 COMPR. ELIB. PREL.

P-RF

CUTIE X 1 BLIST. PVC/AL X 10 COMPR. ELIB. PREL.

P-RF

AUSTRIA CUTIE X 1 BLIST. DIN PVC-PVDC/AL X 10 COMPR.ELIB. PREL.


AUSTRIA CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR.ELIB. PREL.
AUSTRIA CUTIE X 1 BLIST. X PVC-PVDC/AL X 10 COMPR. ELIB. PREL.
AUSTRIA CUTIE X 3 BLIST. X PVC-PE-ACLAR/AL X 10 COMPR. ELIB. PREL.
AUSTRIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.FILM.

P-RF
P-RF
P-RF
P-RF
P-RF

GRUNENTHAL GMBH GERMANIA


GRUNENTHAL GMBH GERMANIA

CUTIE X 1 BLIST. AL/PVDC X 10 COMPR. FILM. CU ELIB. PREL.

P-RF

CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR.FILM. CU ELIB. PREL.

P-RF

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL.

P-RF

GRUNENTHAL GMBH GERMANIA

CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR.FILM. ELIB. PREL. P-RF

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL.

P-RF

ALIUD PHARMA GMBH GERMANIA CUTIE X 1 FLACON DIN STICLA BRUNA X 10 ML PIC. ORALE, SOL.
GRUNENTHAL GMBH GERMANIA CUTIE X 1 FLACON PICURATOR X 10 ML

P-RF

MEDOCHEMIE LTD. CIPRU


CUTIE X 5 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.
MEDOCHEMIE LTD. CIPRU
CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.
ZENTIVA A.S.
SLOVACIA CUTIE X 5 FIOLE X 2 ML SOL. INJ.
GRUNENTHAL GMBH GERMANIA CUTIE X 5 FIOLE X 1 ML
KRKA D.D.
SLOVENIA CUTIE X 5 FIOLE X 1 ML
ZENTIVA A.S.
SLOVACIA CUTIE X 5 FIOLE X 1 ML SOL. INJ.
MEDICAROM GROUP SRL ROMANIA CUTIE X 5 FIOLE X 1 ML
KRKA D.D.
SLOVENIA CUTIE X 5 FIOLE X 2 ML
MEDICAROM GROUP SRL ROMANIA CUTIE X 5 FIOLE X 2 ML
KRKA D.D.
SLOVENIA CUTIE X 1 BLIST. X 5 SUPOZ.
ZENTIVA S.A.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 25 COMPR.
BIO EEL SRL
ROMANIA CUTIE X 2 BLIST. AL/PVC-PVDC X 10 COMPR.
BIO EEL SRL
ROMANIA CUTIE X 5 BLIST. AL/PVC-PVDC X 10 COMPR.

Pagina 65 din 205

P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF

P-RF
P-TS
P-TS
P-TS

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
CANT MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ITAT
L
MAXIMAL/UT 213 alin.(1) lit.
UT (RON)
E
(RON)
(RON)
a) si f)
PT. ADULTI

10 17.18
20 33.10
30 46.84
50 72.06
10 25.78
20 48.01
30 67.91
50 106.20
10 32.17
20 57.75
30 77.21
50 119.99
20
7.58
20
7.58
20
7.58
20
7.58
10
6.22
30 18.69
50 32.17
10
6.22
30 18.67
5
7.32
30 39.05
30 33.17
10 20.80
10 27.18
10 19.86
30 51.22
10 27.60
30 75.56
30 10.52
10
9.58
10 21.77
30 41.08
10 27.86
30 52.58
1
4.98
1
7.66
5
9.72
100 135.39
5 12.14
5
7.47
5
4.87
5 11.36
5
4.84
5 12.94
5
7.58
5
5.52
50 24.11
20 24.87
50 60.17

1.718000
1.655000
1.561333
1.441200
2.578000
2.400500
2.263666
2.124000
3.217000
2.887500
2.573666
2.399800
0.379000
0.379000
0.379000
0.379000
0.622000
0.623000
0.643400
0.622000
0.622333
1.464000
1.301666
1.105666
2.080000
2.718000
1.986000
1.707333
2.760000
2.518666
0.350666
0.958000
2.177000
1.369333
2.786000
1.752666
4.980000
7.660000
1.944000
1.353900
2.428000
1.494000
0.974000
2.272000
0.968000
2.588000
1.516000
1.104000
0.482200
1.243500
1.203400

0.746400
0.746400
0.746400
0.746400
1.326799
1.326799
1.326799
1.326799
2.048799
2.048799
2.048799
2.048799
0.345600
0.345600
0.345600
0.345600
0.622000
0.623000
0.643400
0.622000
0.622333
0.746400
0.746400
1.105666
1.326799
2.048799
1.986000
1.707333
2.760000
2.518666
0.345600
0.746400
1.326799
1.326799
2.048799
1.752666
4.980000
5.976000
1.624680
1.353900
1.624680
1.161600
0.974000
1.161600
0.968000
1.624680
1.516000
1.104000
0.482200
1.243500
1.203400

0.746400
0.746400
0.746400
0.746400
1.326799
1.326799
1.326799
1.326799
2.048799
2.048799
2.048799
2.048799
0.345600
0.345600
0.345600
0.345600
0.622000
0.623000
0.643400
0.622000
0.622333
0.746400
0.746400
1.105666
1.326799
2.048799
1.986000
1.707333
2.760000
2.518666
0.345600
0.746400
1.326799
1.326799
2.048799
1.752666
4.980000
5.976000
1.624680
1.353900
1.624680
1.161600
0.974000
1.161600
0.968000
1.624680
1.516000
1.104000
0.482200
1.243500
1.203400

NR.CRT

DCI

COD ATC

180 N07BC02
181 N07BC02
182 N07BC02
183 R05DA04
184 R05DA04
185 R05DA04
186 R05DA04
187 R05DA04
188 R05DA04
189 R05DA04
190 R05DA04
191 V03AC01
192 V03AC03
193 V03AC03
194 V03AC03

METHADONUM
METHADONUM
METHADONUM
CODEINUM
CODEINUM
CODEINUM
CODEINUM
CODEINUM
CODEINUM
CODEINUM
CODEINUM
DEFEROXAMINUM**3)
DEFERASIROXUM***
DEFERASIROXUM***
DEFERASIROXUM***

Denumire Comerciala

forma farm.

METADON BIOEEL 5 mg
METADON BIOEEL 5 mg
EPTADONE
FOSFAT DE CODEINA 15 mg
CODEINA FOSFORICA
FARMACOD
CODEINA FOSFAT 15 mg
CODEINA FOSFAT

concentratie

COMPR.
COMPR.
SOL. ORALA
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
CODEINA FOSFAT LPH 15 mg COMPR.
CODEINA FOSFAT MCC 15 mg COMPR.
CODEINA FOSFAT 15 mg
COMPR.
DESFERAL
LIOF. PT. SOL. INJ./PERF.
EXJADE 125mg
COMPR. DISP.
EXJADE 250mg
COMPR. DISP.
EXJADE 500mg
COMPR. DISP.

5mg
5mg
5mg/ml
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
500mg
125mg
250mg
500mg

FENOBARBITAL 100 mg
FENOBARBITAL 100 mg

100 mg
100mg
100mg
10%
100mg
250mg/5ml
0,5mg
2mg
200mg
200mg
200mg
200mg
200mg
200mg
200mg
200mg
200mg
200mg
200mg
400mg
400mg
300mg
600mg
200mg
400mg
400mg
150mg
300mg
600mg
200mg
100mg/5ml
300mg

SINTOFARM SA
BIO EEL SRL
FARMACOM SA

TARA
DET. APP
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

OZONE LABORATORIES LTD.

MAREA BRITANIE

DETINATOR APP

BIO EEL SRL


BIO EEL SRL

AMBALAJ

Prescriptie

CUTIE X 2 BLIST. AL/PVC-PVDC X 10 COMPR.

P-TS

CUTIE X 5 BLIST. AL/PVC-PVDC X 10 COMPR.

P-TS

CUTIE CU 1 FL. X 1000ML

PS

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.


CUTIE X 1 BLIST. AL/PVC X 25 COMPR.

P-RF

CUTIE X 2 BLIST. X 10 COMPR.

P-RF
P-RF

MAGISTRA C & C SRL ROMANIA


OZONE LABORATORIES PHARMA S.A.
ROMANIA

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 1 BLIST. AL/PVC X 20 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 10 FLAC. DIN STICLA X 500 MG LIOF. PT. SOL. INJ./PERF.

S/P-RF

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 28 COMPR. DISP.(BLIST. PVC/PE/PVDC/AL)

P-RF/R

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL)

P-RF/R

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL)

P-RF/R

ROMASTRU TRADING S.R.L.

SLAVIA PHARM SRL ROMANIA


LABORMED PHARMA SA ROMANIA

P-RF

P-RF
P-RF
P-RF
P-RF

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
CANT MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ITAT
L
MAXIMAL/UT 213 alin.(1) lit.
UT (RON)
E
(RON)
(RON)
a) si f)
PT. ADULTI

20
50
1
30
25
20
20
20
20
20
20
10
28
28
28

6.21
0.310500
0.310500
0.310500
15.53
0.310600
0.310600
0.310600
529.74 529.740000 529.740000 529.740000
5.93
0.197666
0.175800
0.175800
5.07
0.202800
0.175800
0.175800
2.99
0.149500
0.149500
0.149500
2.93
0.146500
0.146500
0.146500
2.99
0.149500
0.149500
0.149500
3.16
0.158000
0.158000
0.158000
3.61
0.180500
0.175800
0.175800
2.93
0.146500
0.146500
0.146500
135.91 13.591000 13.591000 13.591000
779.15 27.826785 27.826785 27.826785
1,612.72 57.597142 57.597142 57.597142
2,904.03 103.715357 103.715357 103.715357

9. EPILEPSIE - G11
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

N03AA02
N03AA02
N03AA02
N03AA02
N03AB02
N03AB02
N03AE01
N03AE01

N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF02

PHENOBARBITALUM
PHENOBARBITALUM
PHENOBARBITALUM
PHENOBARBITALUM
PHENYTOINUM
PHENYTOINUM
CLONAZEPAMUM
CLONAZEPAMUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
OXCARBAZEPINUM

FENOBARBITAL ARENA 100mg

FENOBARBITAL 200 mg/ 2 ml

FENITOIN 100 mg
PHENHYDAN 250 mg/5 ml
RIVOTRIL
RIVOTRIL 2 mg
TEGRETOL (R) 200
CARBAMAZEPINA LPH 200 mg

CARBAVIM
CARBEPSIL 200
TAVER
CARBAMAZEPIN
CARBAMAZEPIN EEL
FINLEPSIN
CARBAMAZEPINA ARENA 200 mg

TAVER
CARBAMAZEPINA
CARBEPSIL 400
CARBAMAZEPINA ARENA 400 mg

NEUROTOP (R) RETARD 300 mg


NEUROTOP (R) RETARD 600 mg

TEGRETOL CR 200
TEGRETOL CR 400
FINLEPSIN 400 RETARD
TIMONIL 150 RETARD
TIMONIL 300 RETARD
TIMONIL 600 RETARD
FINLEPSIN 200 RETARD
TIMONIL SIROP
TRILEPTAL (R) 300 mg

COMPR.
COMPR.
COMPR.
SOL. INJ.
COMPR.
SOL. INJ.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. FILM. ELIB. PREL.
COMPR. FILM. ELIB. PREL.
COMPR. FILM. ELIB. PREL.

COMPR. RET.
COMPR. RET.
COMPR. RET.
COMPR.FILM.ELIB.PREL

SUSP. ORALA
COMPR. FILM.

ZENTIVA SA
ROMANIA CUTIE X 1 BLIST. AL/PVC X 25 COMPR. P-RF
SC ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. X 10 COMPR.
P-RF
SC ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. X 10 COMPR.
P-RF
ZENTIVA S.A
ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 2 ML SOL. INJ. P-RF
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
P-6L
DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE CU 5 FIOLE DIN STICLA INCOLORA X 5 ML SOL. INJ.

P-RF

ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 50 COMPR. P-RF
ROCHE ROMANIA S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 30 COMPR. P-RF
NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L

LABORMED PHARMA SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L

VIM SPECTRUM SRL ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR.


AC HELCOR SRL
ROMANIA CUTIE X 5 BLIST. X 10 COMPR.

P-6L

MEDOCHEMIE LTD. CIPRU


CUTIE X 5 BLIST. X 10 COMPR.
SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
BIO EEL SRL
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-6L

AWD PHARMA GMBH & CO.KG

GERMANIA

CUTIE X 5 BLIST. AL-HARTIE CERATA/PVC-PVDC X 10 COMPR.

P-6L
P-6L
P-6L
P-6L

ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


MEDOCHEMIE LTD. CIPRU
CUTIE X 2 BLIST. X 10 COMPR.

P-6L

ROMANIA CUTIE X 2 BLIST. AL/PVCX 10 COMPR.


AC HELCOR SRL
ROMANIA CUTIE X 5 BLIST. X 10 COMPR.
ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR.

P-6L

OZONE LABORATORIES PHARMA S.A.

AUSTRIA
AUSTRIA

P-6L
P-6L
P-6L

CUTIE X 5 BLIST. AL/PVDC-PVC X 10 COMPR. ELIB. PREL

P-6L

CUTIE X 5 BLIST. AL/PVDC-PVC X 10 COMPR. ELIB. PREL.

P-6L

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 5 BLIST. AL-PVC/PVDC X 10 COMPR. FILM. CU ELIB. PREL.

P-6L

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 3 BLIST. AL-PVC/PVDC X 10 COMPR. FILM. CU ELIB. PREL.

P-6L

CUTIE X 5 BLIST. AL-HARTIE CERATA/PVC-PVDC X 10 COMPR. FILM. ELIB. PREL.

P-6L

GEROT PHARMAZEUTIKA GMBH


GEROT PHARMAZEUTIKA GMBH

AWD PHARMA GMBH & CO.KG

GERMANIA

DESITIN
DESITIN
DESITIN

GERMANIA CUTIE X 5 BLIST. X 10 COMPR. RET. P-6L

AWD PHARMA GMBH & CO.KG

GERMANIA

CUTIE X 5 BLIST. AL-HARTIE/PVC-PVDC X 10 COMPR. FILM. ELIB. PREL.

P-6L

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 1 FLACON X 250 ML SUSP.ORALA + MASURA DOZATOARE

P-6L

NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM.

P-6L

GERMANIA CUTIE X 5 BLIST. X 10 COMPR. RET. P-6L


GERMANIA CUTIE X 5 BLIST. X 10 COMPR. RET. P-6L

Pagina 66 din 205

25
10
10
5
20
5
50
30
50
50
50
50
50
20
20
50
20
20
20
50
20
50
50
50
30
50
50
50
50
50
1
50

4.35
1.12
1.12
10.83
2.74
66.94
6.81
6.49
17.18
11.17
11.17
11.17
7.15
4.38
4.45
11.17
4.90
4.45
4.47
25.95
10.39
20.43
36.16
18.94
25.05
26.78
14.98
20.37
36.10
12.30
22.25
63.97

0.174000
0.112000
0.112000
2.166000
0.137000
13.388000
0.136200
0.216333
0.343600
0.223400
0.223400
0.223400
0.143000
0.219000
0.222500
0.223400
0.245000
0.222500
0.223500
0.519000
0.519500
0.408600
0.723200
0.378800
0.835000
0.535600
0.299600
0.407400
0.722000
0.246000
22.250000
1.279400

0.134400
0.112000
0.112000
2.166000
0.137000
13.388000
0.136200
0.216333
0.171600
0.171600
0.171600
0.171600
0.143000
0.171600
0.171600
0.171600
0.171600
0.171600
0.171600
0.519000
0.519500
0.408600
0.723200
0.171600
0.622800
0.535600
0.299600
0.407400
0.722000
0.171600
22.250000
1.279400

0.134400
0.112000
0.112000
2.166000
0.137000
13.388000
0.136200
0.216333
0.171600
0.171600
0.171600
0.171600
0.143000
0.171600
0.171600
0.171600
0.171600
0.171600
0.171600
0.519000
0.519500
0.408600
0.723200
0.171600
0.622800
0.535600
0.299600
0.407400
0.722000
0.171600
22.250000
1.279400

NR.CRT

33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83

COD ATC

DCI

N03AF02

OXCARBAZEPINUM
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**

N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01

N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX11
N03AX11
N03AX11

Denumire Comerciala

TRILEPTAL (R) 600 mg


ORFIRIL LONG 150 mg
ORFIRIL LONG 300 mg
CONVULEX (R) 150 mg
CONVULEX (R) 300 mg
CONVULEX (R) 500 mg
DEPAKINE (R) CHRONO 500 mg

DEPAKINE CHRONO 300 mg


ORFIRIL 150
DEPAKINE 200 mg
ORFIRIL 300
ORFIRIL 600
DEPAKINE (R) 400 mg/4 ml LIOFILIZAT SI SOLVENT PENTRU SOLUTIE INJECTABILA i.v.

ORFIRIL LONG 1000 mg


ORFIRIL LONG 500 mg
ORFIRIL SIROP
DEPAKINE
LAMOTIRAN 100 mg
LAMOTRIX 100 mg
EPIMIL 100 mg
PLEXXO (R) 100 mg
LAMOTRIGINE FARMAL 100 mg

LAMICTAL 100 mg
LAMICTAL 100 mg
XEBARIN 100 mg
LAMOTRIGINA SUN 100 mg
LAMOTRIX 200 mg
XEBARIN 200 mg
LAMOTRIGINA SUN 200 mg
LAMICTAL 25 mg
LAMOTIRAN 25 mg
LAMOTRIX 25 mg
EPIMIL 25mg
LAMOTRIGINE FARMAL 25 mg

LAMICTAL 25 mg
LAMOTRIGINA SUN 25 mg
PLEXXO (R) 50 mg
LAMOTIRAN 50 mg
LAMOTRIX 50 mg
EPIMIL 50 mg
LAMOTRIGINE FARMAL 50 mg

LAMICTAL 50 mg
LAMICTAL 50 mg
XEBARIN 50 mg
LAMOTRIGINA SUN 50 mg
LAMOTRIN 100 mg
LAMOTRIN 25 mg
LAMOTRIN 50 mg
TOPAMAX 100 mg
TOPRAN 100 mg
TOPIRAMAT TEVA 100 mg

TARA
forma farm. concentratie
DET. APP
DETINATOR APP
COMPR. FILM. 600mg
NOVARTIS PHARMA GMBH GERMANIA
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. MOI GASTROREZ.
CAPS. MOI GASTROREZ.
CAPS. MOI GASTROREZ.

COMPR. ELIB. PREL.


COMPR. FILM. ELIB. PREL. DIVIZ.

COMPR. FILM. GASTROREZ.


COMPR. FILM. GASTROREZ.
COMPR. FILM. GASTROREZ.
COMPR. FILM. GASTROREZ.

LIOF. + SOLV. PT. SOL.


MINICOMPR. ELIB. PREL.
MINICOMPR. ELIB. PREL.

SIROP
SIROP
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. DISP.
COMPR. DISP.
COMPR. DISP.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

150mg
300mg
150mg
300mg
500mg
500mg
300mg
150mg
200mg
300mg
600mg
400mg/4ml
1000mg
500mg
300mg/5ml
57,64mg/ml
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
200mg
200mg
200mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
100mg
25mg
50mg
100mg
100mg
100mg

AMBALAJ

Prescriptie

CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM.

P-6L

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 1 FLAC. DIN PP X 50 CAPS. CU MINICOMPR. CU ELIB. PRELUNG.

P-6L

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 1 FLAC. DIN PP X 50 CAPS. CU MINICOMPR. CU ELIB. PREL.

P-6L

GEROT PHARMAZEUTIKA GMBH

CUTIE X 10 BLIST. AL/PVDC-PVC X 10 CAPS. MOI GASTROREZ.

P-6L

CUTIE X 10 BLIST. AL/PVDC-PVC X 10 CAPS. MOI GASTROREZ.

P-6L

CUTIE X 10 BLIST. AL/PVDC-PVCX 10 CAPS. MOI GASTROREZ.

P-6L

CUTIE X 1 FLAC. PP X 30 COMPR. FILM. ELIB. PREL.

P-6L

SANOFI-AVENTIS FRANCE

AUSTRIA
AUSTRIA
AUSTRIA
FRANTA
FRANTA

CUTIE X 2 FLAC. DIN PP X 50 COMPR. FILM. ELIB. PREL., DIVIZIBILE

P-6L

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 COMPR.FILM. GASTROREZ.

P-6L

SANOFI-AVENTIS FRANCE

FRANTA

CUTIE X 1 FLAC. DIN PP X 40 COMPR. FILM. GASTROREZ.

P-6L

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 1 FLAC. DIN PP X 100 COMPR. FILM. GASTROREZ.

P-6L

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 1 FLAC. DIN PP X 50 COMPR. FILM. GASTROREZ.

P-6L

SANOFI-AVENTIS FRANCE

FRANTA

CUTIE X 4 FLAC. CU LIOF. PT. SOL. INJ. + 4 FIOLE SOLV. X 4ML S/P-RF

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 50 MINIPLICURI. DIN PET/AL/PE CU MINICOMPR. CU ELIB. PRELUNG.

P-6L

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 50 MINIPLICURI. DIN PET/AL/PE CU MINICOMPR. CU ELIB. PRELUNG.

P-6L

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 1 FLACON X 250 ML + LINGURITA DOZATOARE PP A 5 ML

P-6L

SANOFI - AVENTIS FRANCE

FRANTA

CUTIE X 1 FLACON X 150 ML + 1 SERINGA PT. ADMIN. ORALA

P-6L

GEROT PHARMAZEUTIKA GMBH


GEROT PHARMAZEUTIKA GMBH

SANOFI-AVENTIS FRANCE

RANBAXY UK LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVDC-PVC X 7 COMPR.


MEDOCHEMIE LTD. CIPRU
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
IVAX PHARMCEUTICALS S.R.O. CEHIA
CUTIE X 3 BLIST. PVC-PVDC/PVC-AL X 10 COMPR.
DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 3 BLIST. X 10 COMPR.

P-6L

ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.


THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 30 COMPR.
THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 COMPR.
DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR.
CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 4 BLIST. AL/PVC X 14 COMPR.
MEDOCHEMIE LTD. CIPRU
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR.
CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 4 BLIST. AL/PVC X 14 COMPR.
THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P-RF

RANBAXY UK LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVDC-PVC X 7 COMPR.


MEDOCHEMIE LTD. CIPRU
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
IVAX PHARMCEUTICALS S.R.O. CEHIA
CUTIE X 3 BLIST. PVC--PVDC/PVC-AL X 10 COMPR.

P-6L

ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.


THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 COMPR.
CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 4 BLIST. AL/PVC X 14 COMPR.

P-RF

FARMAL INTERNATIONAL S.R.L.

FARMAL INTERNATIONAL S.R.L.

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 3 BLIST. X 10 COMPR.

P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L

RANBAXY UK LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVDC-PVC X 7 COMPR.


MEDOCHEMIE LTD. CIPRU
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
IVAX PHARMCEUTICALS S.R.O. CEHIA
CUTIE X 3 BLIST. PVC-PVDC/PVC-AL X 10 COMPR.

P-6L

FARMAL INTERNATIONAL S.R.L.

ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P-RF

THE WELLCOME FOUNDATION LTD.

MAREA BRITANIE

THE WELLCOME FOUNDATION LTD.

MAREA BRITANIE

DR. REDDY'S LABORATORIES

CIPLA (UK) LIMITED

P-6L

CUTIE CU BLIST. PVC/AL X 30 COMPR. P-6L


CUTIE CU BLIST. PVC/AL X 28 COMPR. P-6L

ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR.


CUTIE X 4 BLIST. AL/PVC X 14 COMPR.

MAREA BRITANIE

ACTAVIS GROUP HF. ISLANDA


ACTAVIS GROUP HF. ISLANDA
ACTAVIS GROUP HF. ISLANDA

P-6L

P-6L
P-6L

CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. DISPERSABILE

P-6L

CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. DISPERSABILE

P-6L

CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. DISPERSABILE

P-6L

JOHNSON & JOHNSON D.O.O.

SLOVENIA

CUTIE X 4 BLIST. OPA-AL-PVC/AL X 7 COMPR. FILM.

P-6L

TERAPIA SA

ROMANIA CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM.


ROMANIA CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPR. FILM.

P-6L

TEVA PHARMACEUTICALS S.R.L.

Pagina 67 din 205

P-RF

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
CANT MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ITAT
L
MAXIMAL/UT 213 alin.(1) lit.
UT (RON)
E
(RON)
(RON)
a) si f)
PT. ADULTI

50
50
50
100
100
100
30
100
100
40
100
50
4
50
50
1
1
28
30
30
30
30
30
28
28
56
30
28
56
30
28
30
30
30
28
56
30
28
30
30
30
30
28
28
56
30
30
30
28
60
30

116.92
21.69
36.32
20.03
32.90
50.52
15.87
34.36
28.80
10.60
37.13
39.53
125.57
93.80
58.78
35.83
22.85
26.35
28.52
28.52
28.52
28.51
42.47
39.65
26.61
51.50
59.63
50.53
98.35
11.00
6.58
7.16
7.16
7.16
10.28
13.50
14.24
13.17
14.24
14.24
14.25
21.90
20.45
13.28
26.58
28.51
3.78
19.80
123.64
163.95
89.19

2.338400
0.433800
0.726400
0.200300
0.329000
0.505200
0.529000
0.343600
0.288000
0.265000
0.371300
0.790600
31.392500
1.876000
1.175600
35.830000
22.850000
0.941071
0.950666
0.950666
0.950666
0.950333
1.415666
1.416071
0.950357
0.919642
1.987666
1.804642
1.756250
0.366666
0.235000
0.238666
0.238666
0.238666
0.367142
0.241071
0.474666
0.470357
0.474666
0.474666
0.475000
0.730000
0.730357
0.474285
0.474642
0.950333
0.126000
0.660000
4.415714
2.732500
2.973000

2.338400
0.240360
0.394800
0.200300
0.329000
0.505200
0.529000
0.343600
0.240360
0.265000
0.371300
0.790600
31.392500
1.876000
0.606240
35.830000
22.850000
0.941071
0.950666
0.950666
0.950666
0.950333
1.103570
1.103570
0.950357
0.919642
1.987666
1.804642
1.756250
0.151200
0.151200
0.151200
0.151200
0.151200
0.151200
0.151200
0.474666
0.470357
0.474666
0.474666
0.475000
0.564428
0.564428
0.474285
0.474642
0.950333
0.126000
0.564428
2.648799
2.648799
2.648799

2.338400
0.240360
0.394800
0.200300
0.329000
0.505200
0.529000
0.343600
0.240360
0.265000
0.371300
0.790600
31.392500
1.876000
0.606240
35.830000
22.850000
0.941071
0.950666
0.950666
0.950666
0.950333
1.103570
1.103570
0.950357
0.919642
1.987666
1.804642
1.756250
0.151200
0.151200
0.151200
0.151200
0.151200
0.151200
0.151200
0.474666
0.470357
0.474666
0.474666
0.475000
0.564428
0.564428
0.474285
0.474642
0.950333
0.126000
0.564428
2.648799
2.648799
2.648799

NR.CRT

84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99

COD ATC

N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11

100 N03AX11
101 N03AX11
102 N03AX11
103 N03AX11
104 N03AX11
105 N03AX11
106 N03AX11
107 N03AX11
108 N03AX11
109 N03AX11
110 N03AX11
111 N03AX11
112 N03AX11
113 N03AX11
114 N03AX11
115 N03AX11
116 N03AX11
117 N03AX11
118 N03AX11
119 N03AX11
120 N03AX11
121 N03AX11
122 N03AX11
123 N03AX11
124 N03AX11
125 N03AX11
126 N03AX11
127 N03AX11
128 N03AX11
129 N03AX11
130 N03AX11
131 N03AX11
132 N03AX11
133 N03AX11
134 N03AX11

DCI

TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**

Denumire Comerciala

TOPIRAMAT ACTAVIS 100 mg

ZIDOXER 100 mg
TOPILEX 100 mg
LUSITRAX 100mg
ZIDOXER 100 mg
ZIDOXER 100 mg
TORLEPTA 100 mg
NEXTOP 100 mg
TOPIRAMAT BLUEFISH 100 mg
TOPIRAMAT BLUEFISH 100 mg

ETOPRO 100 mg
ETOPRO 100 mg
TOPRAN 200 mg
TOPIRAMAT TEVA 200 mg
ZIDOXER 200 mg
LUSITRAX 200mg
ZIDOXER 200 mg
ZIDOXER 200 mg
NEXTOP 200 mg
TOPIRAMAT BLUEFISH 200 mg
TOPIRAMAT BLUEFISH 200 mg

ETOPRO 200 mg
ETOPRO 200 mg
TOPAMAX 25 mg
TOPRAN 25 mg
TOPIRAMAT TEVA 25 mg
TOPIRAMAT ACTAVIS 25 mg
ZIDOXER 25 mg
TOPILEX 25 mg
LUSITRAX 25 mg
ZIDOXER 25 mg
ZIDOXER 25 mg
TORLEPTA 25 mg
NEXTOP 25 mg
TOPIRAMAT BLUEFISH 25 mg
TOPIRAMAT BLUEFISH 25 mg

ETOPRO 25 mg
ETOPRO 25 mg
TOPAMAX 50 mg
TOPRAN 50 mg
TOPIRAMAT TEVA 50 mg
TOPIRAMAT ACTAVIS 50 mg
ZIDOXER 50 mg
TOPILEX 50 mg
LUSITRAX 50 mg
ZIDOXER 50 mg
ZIDOXER 50 mg
TORLEPTA 50 mg
NEXTOP 50 mg
TOPIRAMAT BLUEFISH 50 mg
TOPIRAMAT BLUEFISH 50 mg

forma farm.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

concentratie

100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
200mg
200mg
200mg
200mg
200mg
200mg
200mg
200mg
200mg
200mg
200mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg

DETINATOR APP

ACTAVIS S.R.L.
OZONE LABORATORIES BV
LANNACHER HEILMITTEL GES.M.B.H.

TARA
DET. APP
ROMANIA

OLANDA
AUSTRIA

ROMANIA
LABORMED PHARMA S.A. ROMANIA
LABORMED PHARMA S.A. ROMANIA
ROMASTRU TRADING S.R.L.

GLENMARK PHARMACEUTICALS SRL

REPUBLICA SLOVACA

AMBALAJ

Prescriptie

CUTIE X 6 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. P-RF

CUTIE X BLIST. PVC-PVDC/AL X 28 COMPR. FILM.

P-6L

CUTIE CU BLIST. PVC-PE - PVDC/AL X 30 COMPR. FILM.

P-6L

CUTIE CU BLIST. PVC-PCTFE-PVC/AL-PVDC X 30 COMPR. FILM.

P-RF

CUTIE X BLIST. PVC-PVDC/AL X 28 COMPR. FILM.

P-6L

CUTIE X BLIST. PVC-PVDC/AL X 60 COMPR. FILM.

P-6L

CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-RF

TORRENT PHARMA GMBH GERMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L

SUEDIA CUTIE CU BLIST. AL/AL X 60 COMPR. FILM.


SUEDIA CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM.

P-RF

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.

P-6L

CUTIE CU BLIST. PVC-PE-PVDC/AL X 60 COMPR. FILM.

P-6L

TEVA PHARMACEUTICALS S.R.L.

POLONIA
POLONIA
ROMANIA
ROMANIA

CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPR. FILM.

P-RF

OZONE LABORATORIES BV

OLANDA

CUTIE X BLIST. PVC-PVDC/AL X 28 COMPR. FILM.

P-6L

CUTIE CU BLIST. PVC-PCTFE-PVC/AL-PVDC X 30 COMPR. FILM.

P-RF

CUTIE X BLIST. PVC-PVDC/AL X 28 COMPR. FILM.

P-6L

CUTIE X BLIST. PVC-PVDC/AL X 60 COMPR. FILM.

P-6L

BLUEFISH PHARMACEUTICALS AB
BLUEFISH PHARMACEUTICALS AB

ICN POLFA RZESZOW S.A.


ICN POLFA RZESZOW S.A.

TERAPIA SA

ROMANIA
LABORMED PHARMA S.A. ROMANIA
LABORMED PHARMA S.A. ROMANIA
ROMASTRU TRADING S.R.L.

P-RF

CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. P-6L

TORRENT PHARMA GMBH GERMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L

SUEDIA CUTIE CU BLIST. AL/AL X 60 COMPR. FILM.


SUEDIA CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM.

P-RF

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.

P-6L

ICN POLFA RZESZOW S.A.

POLONIA
POLONIA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 60 COMPR. FILM.

P-6L

JOHNSON & JOHNSON D.O.O.

SLOVENIA

CUTIE X 4 BLIST. OPA-AL-PVC/AL X 7 COMPR. FILM.

P-6L

TERAPIA SA

ROMANIA CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM.


ROMANIA CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPR. FILM.
ROMANIA CUTIE X 6 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM.

P-6L

OLANDA
AUSTRIA

CUTIE X BLIST. PVC-PVDC/AL X 28 COMPR. FILM.

P-6L

CUTIE CU BLIST. PVC-PE - PVDC/AL X 30 COMPR. FILM.

P-6L

CUTIE CU BLIST. PVC-PCTFE-PVC/AL-PVDC X 30 COMPR. FILM.

P-RF

CUTIE X BLIST. PVC-PVDC/AL X 28 COMPR. FILM.

P-6L

CUTIE X BLIST. PVC-PVDC/AL X 60 COMPR. FILM.

P-6L

BLUEFISH PHARMACEUTICALS AB
BLUEFISH PHARMACEUTICALS AB

ICN POLFA RZESZOW S.A.

TEVA PHARMACEUTICALS S.R.L.

ACTAVIS S.R.L.
OZONE LABORATORIES BV
LANNACHER HEILMITTEL GES.M.B.H.

ROMANIA
LABORMED PHARMA S.A. ROMANIA
LABORMED PHARMA S.A. ROMANIA
ROMASTRU TRADING S.R.L.

GLENMARK PHARMACEUTICALS SRL

REPUBLICA SLOVACA

P-RF

P-RF
P-RF

CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-RF

TORRENT PHARMA GMBH GERMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L

SUEDIA CUTIE CU BLIST. AL/AL X 60 COMPR. FILM.


SUEDIA CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM.

P-RF

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.

P-6L

ICN POLFA RZESZOW S.A.

POLONIA
POLONIA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 60 COMPR. FILM.

P-6L

JOHNSON & JOHNSON D.O.O.

SLOVENIA

CUTIE X 4 BLIST. OPA-AL-PVC/AL X 7 COMPR. FILM.

P-6L

TERAPIA SA

ROMANIA CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM.


ROMANIA CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPR. FILM.
ROMANIA CUTIE X 6 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM.

P-6L

OLANDA
AUSTRIA

CUTIE X BLIST. PVC-PVDC/AL X 28 COMPR. FILM.

P-6L

CUTIE CU BLIST. PVC-PE - PVDC/AL X 30 COMPR. FILM.

P-6L

CUTIE CU BLIST. PVC-PCTFE-PVC/AL-PVDC X 30 COMPR. FILM.

P-RF

CUTIE X BLIST. PVC-PVDC/AL X 28 COMPR. FILM.

P-6L

CUTIE X BLIST. PVC-PVDC/AL X 60 COMPR. FILM.

P-6L

BLUEFISH PHARMACEUTICALS AB
BLUEFISH PHARMACEUTICALS AB

ICN POLFA RZESZOW S.A.

TEVA PHARMACEUTICALS S.R.L.

ACTAVIS S.R.L.
OZONE LABORATORIES BV
LANNACHER HEILMITTEL GES.M.B.H.

ROMANIA
LABORMED PHARMA S.A. ROMANIA
LABORMED PHARMA S.A. ROMANIA
ROMASTRU TRADING S.R.L.

GLENMARK PHARMACEUTICALS SRL

REPUBLICA SLOVACA

P-RF

P-RF
P-RF

CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-RF

TORRENT PHARMA GMBH GERMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L
BLUEFISH PHARMACEUTICALS AB
BLUEFISH PHARMACEUTICALS AB

SUEDIA CUTIE CU BLIST. AL/AL X 60 COMPR. FILM.


SUEDIA CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM.

Pagina 68 din 205

P-RF
P-RF

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
CANT MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ITAT
L
MAXIMAL/UT 213 alin.(1) lit.
UT (RON)
E
(RON)
(RON)
a) si f)
PT. ADULTI

60
28
30
30
28
60
30
30
60
60
28
60
60
30
28
30
28
60
30
60
60
28
60
28
60
30
60
28
30
30
28
60
30
30
60
60
28
60
28
60
30
60
28
30
30
28
60
30
30
60
60

166.79
83.24
86.45
86.43
83.24
169.14
79.27
86.14
141.00
141.00
65.15
132.44
307.16
157.21
146.72
153.57
146.72
314.41
153.22
251.41
251.41
118.67
241.14
40.14
53.34
28.88
54.93
26.96
27.49
27.55
26.96
55.92
26.36
27.24
50.70
50.70
21.20
43.97
72.34
96.13
53.04
96.88
49.51
50.61
50.61
49.51
100.77
47.28
50.22
83.55
83.55

2.779833
2.972857
2.881666
2.881000
2.972857
2.819000
2.642333
2.871333
2.350000
2.350000
2.326785
2.207333
5.119333
5.240333
5.240000
5.119000
5.240000
5.240166
5.107333
4.190166
4.190166
4.238214
4.019000
1.433571
0.889000
0.962666
0.915500
0.962857
0.916333
0.918333
0.962857
0.932000
0.878666
0.908000
0.845000
0.845000
0.757142
0.732833
2.583571
1.602166
1.768000
1.614666
1.768214
1.687000
1.687000
1.768214
1.679500
1.576000
1.674000
1.392500
1.392500

2.648799
2.648799
2.648799
2.648799
2.648799
2.648799
2.642333
2.648799
2.350000
2.350000
2.326785
2.207333
4.822800
4.822800
4.822800
4.822800
4.822800
4.822800
4.822800
4.190166
4.190166
4.238214
4.019000
0.879399
0.879399
0.879399
0.879399
0.879399
0.879399
0.879399
0.879399
0.879399
0.878666
0.879399
0.845000
0.845000
0.757142
0.732833
1.577142
1.577142
1.577142
1.577142
1.577142
1.577142
1.577142
1.577142
1.577142
1.576000
1.577142
1.392500
1.392500

2.648799
2.648799
2.648799
2.648799
2.648799
2.648799
2.642333
2.648799
2.350000
2.350000
2.326785
2.207333
4.822800
4.822800
4.822800
4.822800
4.822800
4.822800
4.822800
4.190166
4.190166
4.238214
4.019000
0.879399
0.879399
0.879399
0.879399
0.879399
0.879399
0.879399
0.879399
0.879399
0.878666
0.879399
0.845000
0.845000
0.757142
0.732833
1.577142
1.577142
1.577142
1.577142
1.577142
1.577142
1.577142
1.577142
1.577142
1.576000
1.577142
1.392500
1.392500

NR.CRT

COD ATC

135 N03AX11
136 N03AX11
137 N03AX12
138 N03AX12
139 N03AX12
140 N03AX12
141 N03AX12
142 N03AX12
143 N03AX12
144 N03AX12
145 N03AX12
146 N03AX12
147 N03AX12
148 N03AX12
149 N03AX12
150 N03AX12
151 N03AX12
152 N03AX12
153 N03AX12
154 N03AX12
155 N03AX12
156 N03AX12
157 N03AX12
158 N03AX14
159 N03AX14
160 N03AX14
161 N03AX14
162 N03AX14
163 N03AX14
164 N03AX14
165 N03AX14
166 N03AX14
167 N03AX14
168 N03AX14
169 N03AX14
170 N03AX14
171 N03AX14
172 N03AX14
173 N03AX14
174 N03AX14
175 N03AX14
176 N03AX14
177 N03AX14
178 N03AX14
179 N03AX16
180 N03AX16
181 N03AX16
182 N03AX16
183 N03AX16
184 N03AX16

DCI

TOPIRAMATUM**
TOPIRAMATUM**
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
PREGABALINUM***
PREGABALINUM***
PREGABALINUM***
PREGABALINUM***
PREGABALINUM***
PREGABALINUM***

Denumire Comerciala

ETOPRO 50 mg
ETOPRO 50 mg
GABAGAMMA 100 mg
GABAGAMMA 100 mg
GRIMODIN 100 mg
GABAGAMMA 300 mg
GABAGAMMA 300 mg
GABARAN 300 mg
GABALEPT 300 mg
GRIMODIN 300 mg
GABAGAMMA 400 mg
GABAGAMMA 400 mg
GABARAN 400 mg
GABALEPT 400 mg
GRIMODIN 400 mg
GABARAN 600 mg
GABAGAMMA 600 mg
GABAGAMMA 600 mg
GRIMODIN 600 mg
GABARAN 800 mg
GABAGAMMA 800 mg
GABAGAMMA 800 mg
GRIMODIN 800 mg
KEPPRA 1000 mg

TARA
forma farm. concentratie
DET. APP
DETINATOR APP
COMPR. FILM. 50mg
ICN POLFA RZESZOW S.A. POLONIA
COMPR. FILM. 50mg
ICN POLFA RZESZOW S.A. POLONIA

CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.

LEVETIRACETAM TEVA 750 mg

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

LEVETIRACETAM DESITIN 1000 mg

GRANULE ACOPERITE, IN PLIC UNIDOZA

LEVETIRACETAM DESITIN 250 mg

GRANULE ACOPERITE, IN PLIC UNIDOZA

LEVETIRACETAM DESITIN 500 mg

GRANULE ACOPERITE, IN PLIC UNIDOZA

KEPPRA 100 mg/ml


LYRICA 150 mg
LYRICA 150 mg
LYRICA 300 mg
LYRICA 300 mg
LYRICA 75 mg
LYRICA 75 mg

SOL. ORALA
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.

LEVETIRACETAM ACCORD 1000mg


LEVETIRACETAM ACTAVIS 1000mg
LEVETIRACETAM PHARMASWISS 1000 mg

LEVETIRACETAM TEVA 1000mg


LEVETIRACETAM TEVA 250 mg

KEPPRA 250 mg
LEVETIRACETAM ACTAVIS 250mg
LEVETIRACETAM ACCORD 250mg
LEVETIRACETAM PHARMASWISS 250 mg

KEPPRA 500 mg
LEVETIRACETAM ACCORD 500mg
LEVETIRACETAM ACTAVIS 500mg
LEVETIRACETAM PHARMASWISS 500 mg

LEVETIRACETAM TEVA 500 mg


LEVETIRACETAM ACCORD 750mg

100mg
100mg
100mg
300mg
300mg
300mg
300mg
300mg
400mg
400mg
400mg
400mg
400mg
600mg
600mg
600mg
600mg
800mg
800mg
800mg
800mg
1000mg
1000mg
1000mg
1000mg
1000mg
250 mg
250mg
250mg
250mg
250mg
500mg
500mg
500mg
500mg
500mg
750mg
750mg
1000mg
250mg
500mg
100mg/ml
150mg
150mg
300mg
300mg
75mg
75mg

AMBALAJ

Prescriptie

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.

P-6L

CUTIE CU BLIST. PVC-PE-PVDC/AL X 60 COMPR. FILM.

P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 CAPS. P-6L

EGIS PHARMACEUTICALS P.L.C.

UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 60 CAPS.

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 CAPS. P-6L

P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L

RANBAXY UK LTD.

MAREA BRITANIE

CUTIE X 5 BLIST. PVC-PVDC/AL X 10 CAPS. P-6L

PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L


EGIS PHARMACEUTICALS P.L.C.

UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 60 CAPS.

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 CAPS. P-6L

P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L

RANBAXY UK LTD.

MAREA BRITANIE

CUTIE X 5 BLIST. PVC-PVDC/AL X 10 CAPS. P-6L

PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L


EGIS PHARMACEUTICALS P.L.C.

UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 60 CAPS.

RANBAXY UK LTD.

MAREA BRITANIE

CUTIE X 3 BLIST. AL-PVC-PA/AL X 10 COMPR. FILM.

P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. PVC/AL X 20 COMPR. FILM.

P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. PVC/AL X 100 COMPR. FILM. P-6L

P-6L

EGIS PHARMACEUTICALS P.L.C.

UNGARIA

CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM.

P-6L

RANBAXY UK LTD.

MAREA BRITANIE

CUTIE X 3 BLIST. AL-PVC-PA/AL X 10 COMPR. FILM.

P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. PVC/AL X 20 COMPR. FILM.

P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. PVC/AL X 100 COMPR. FILM. P-6L

EGIS PHARMACEUTICALS P.L.C.

UNGARIA

CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM.

UCB PHARMA SA

BELGIA

CUTIE X 30 COMPR. FILM.1 (BLIST. AL/PVC) P-RF

ACCORD HEALTHCARE LIMITED

MAREA BRITANIE

CUTIE CU BLIST. AL/PVC X 30 COMPR. FILM.

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE CU BLIST. DIN AL/PVC X 30 COMPR. FILM. PRF

PHARMASWISS CESKA REPUBLIKA S.R.O. REPUBLICA SLOVACA

CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. FILM. PRF

TEVA PHARMA
TEVA PHARMA
UCB PHARMA SA
ACTAVIS GROUP PTC EHF.

OLANDA CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR.FILM.


OLANDA CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR.FILM.
BELGIA CUTIE X 30 COMPR. FILM. (BLIST. AL/PVC)
ISLANDA CUTIE CU BLIST. DIN AL/PVC X 30 COMPR. FILM.

ACCORD HEALTHCARE LIMITED

MAREA BRITANIE

PHARMASWISS CESKA REPUBLIKA S.R.O. REPUBLICA SLOVACA

CUTIE CU BLIST. AL/PVC X 30 COMPR. FILM.

P-6L

PRF

PRF
PRF
P-RF

PRF
PRF

CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. FILM. PRF

UCB PHARMA LTD

BELGIA

CUTIE X 30 COMPR. FILM. (BLIST. AL/PVC) P-RF

ACCORD HEALTHCARE LIMITED

MAREA BRITANIE

CUTIE CU BLIST. AL/PVC X 30 COMPR. FILM.

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE CU BLIST. DIN AL/PVC X 30 COMPR. FILM. PRF

PHARMASWISS CESKA REPUBLIKA S.R.O. REPUBLICA SLOVACA

CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. FILM. PRF

TEVA PHARMA

OLANDA

CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR.FILM.

PRF

ACCORD HEALTHCARE LIMITED

MAREA BRITANIE

CUTIE CU BLIST. AL/PVC X 30 COMPR. FILM.

PRF

TEVA PHARMA

OLANDA

CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR.FILM.

PRF

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE CU 30 PLICURI UNIDOZA DIN HARTIE/AL/PE CONTINAND GRANULE ACOPERITE

PRF

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE CU 30 PLICURI UNIDOZA DIN HARTIE/AL/PE CONTINAND GRANULE ACOPERITE

PRF

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE CU 30 PLICURI UNIDOZA DIN HARTIE/AL/PE CONTINAND GRANULE ACOPERITE

PRF

UCB PHARMA SA
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED

BELGIA

CUTIE X 1 FLACON X 300 ML SOL. ORALA + SERINGA PT. ADMIN. ORALA

P-RF

MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE

Pagina 69 din 205

CUTIE X 14 CAPS. (BLIST. PVC/AL)


CUTIE X 56 CAPS. (BLIST. PVC/AL)
CUTIE X 56 CAPS. (BLIST. PVC/AL)
CUTIE X 14 CAPS. (BLIST. PVC/AL)
CUTIE X 14 CAPS. (BLIST. PVC/AL)
CUTIE X 56 CAPS. (BLIST. PVC/AL)

PRF

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
CANT MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ITAT
L
MAXIMAL/UT 213 alin.(1) lit.
UT (RON)
E
(RON)
(RON)
a) si f)
PT. ADULTI

28
60
100
50
60
50
100
50
100
60
50
100
50
100
60
30
20
100
60
30
20
100
60
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
1
14
56
56
14
14
56

36.80
1.314285
1.314285
1.314285
79.15
1.319166
1.319166
1.319166
59.90
0.599000
0.599000
0.599000
30.68
0.613600
0.613600
0.613600
32.95
0.549166
0.549166
0.549166
71.31
1.426200
1.300800
1.300800
131.99
1.319900
1.300800
1.300800
65.18
1.303600
1.300800
1.300800
131.53
1.315300
1.300800
1.300800
65.04
1.084000
1.084000
1.084000
93.42
1.868400
1.698999
1.698999
173.12
1.731200
1.698999
1.698999
71.87
1.437400
1.437400
1.437400
167.18
1.671800
1.671800
1.671800
84.95
1.415833
1.415833
1.415833
64.45
2.148333
2.148333
2.148333
42.96
2.148000
2.148000
2.148000
193.44
1.934400
1.934400
1.934400
122.23
2.037166
2.037166
2.037166
103.02
3.434000
3.434000
3.434000
69.91
3.495500
3.495500
3.495500
325.65
3.256500
3.256500
3.256500
195.05
3.250833
3.250833
3.250833
341.15 11.371666
7.251600
7.251600
220.23
7.341000
7.251600
7.251600
221.71
7.390333
7.251600
7.251600
181.29
6.043000
6.043000
6.043000
220.37
7.345666
7.251600
7.251600
61.63
2.054333
2.054333
2.054333
90.05
3.001666
2.385600
2.385600
61.58
2.052666
2.052666
2.052666
61.14
2.038000
2.038000
2.038000
59.64
1.988000
1.988000
1.988000
169.51
5.650333
3.965199
3.965199
116.12
3.870666
3.870666
3.870666
116.12
3.870666
3.870666
3.870666
99.13
3.304333
3.304333
3.304333
116.19
3.873000
3.873000
3.873000
165.17
5.505666
5.505666
5.505666
165.68
5.522666
5.522666
5.522666
221.75
7.391666
7.251600
7.251600
61.63
2.054333
2.054333
2.054333
116.19
3.873000
3.873000
3.873000
335.29 335.290000 335.290000 335.290000
75.27
5.376428
5.376428
5.376428
285.51
5.098392
5.098392
5.098392
418.54
7.473928
7.473928
7.473928
112.94
8.067142
8.067142
8.067142
53.08
3.791428
3.791428
3.791428
191.25
3.415178
3.415178
3.415178

NR.CRT

COD ATC

DCI

Denumire Comerciala

forma farm.

concentratie

DETINATOR APP

TARA
DET. APP

AMBALAJ

Prescriptie

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
CANT MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ITAT
L
MAXIMAL/UT 213 alin.(1) lit.
UT (RON)
E
(RON)
(RON)
a) si f)
PT. ADULTI

Tratamentul se initiaz de ctre medicul n specialitatea neurologie

10. BOALA PARKINSON - G12


1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46

N04AA01
N04AA02

TRIHEXYPHENIDYLUM
BIPERIDENUM

N04BA02 COMBINATII (LEVODOPUM+BENSERAZIDUM)**

ROMPARKIN (R) 2 mg
AKINETON
MADOPAR HBS

N04BA02 COMBINATII (LEVODOPUM+BENSERAZIDUM)** LEVODOPA/BENSERASIDE TEVA 100mg/25mg


N04BA02 COMBINATII (LEVODOPUM+BENSERAZIDUM)**
N04BA02 COMBINATII (LEVODOPUM+BENSERAZIDUM)**

MADOPAR (R) 250


MADOPAR 250

N04BA02 COMBINATII (LEVODOPUM+BENSERAZIDUM)** LEVODOPA/BENSERASIDE TEVA 200mg/50mg


N04BA02 COMBINATII (LEVODOPUM+CARBIDOPUM)**
N04BA02 COMBINATII (LEVODOPUM+CARBIDOPUM)**
N04BA02 COMBINATII (LEVODOPUM+CARBIDOPUM)**
N04BA02 COMBINATII (LEVODOPUM+CARBIDOPUM)**
N04BA02 COMBINATII (LEVODOPUM+CARBIDOPUM)**
N04BA03

COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)***

N04BA03

COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)***

N04BA03

COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)***

N04BA03

COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)***

N04BA03

COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)***

N04BA03

COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)***

N04BB01

AMANTADINUM**
BROMOCRIPTINUM
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**

N04BC01
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04

ZIMOX
CREDANIL 25/250
NAKOM
ISICOM 250 mg/25 mg
DUODOPA

COMPR.
COMPR.

2mg
2mg

CAPS. ELIB. MODIF.

100mg+25mg ROCHE ROMANIA S.R.L. ROMANIA


100mg/25mg TEVA PHARMACEUTICALS S.R.L. ROMANIA
200mg+50mg TERAPIA SA
ROMANIA
200mg+50mg ROCHE ROMANIA SRL ROMANIA
200mg/50mg TEVA PHARMACEUTICALS S.R.L. ROMANIA
250mg+25mg FARAN LABORATORIES S.A. GRECIA
250mg+25mg REMEDICA LTD.
CIPRU
250mg+25mg LEK PHARMACEUTICALS D.D. SLOVENIA

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
GEL INT.

TERAPIA SA
DESMA GMBH

ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR.


GERMANIA

CUTIE X 5 BLIST. X 10 COMPR.

P-6L
P-6L

CUTIE X 1 FLAC. X 100 CAPS. CU ELIB. MODIF. P-6L

CUTIE X 1 FLACON PEID X 100 COMPR. P-6L

CUTIE X 1 FLAC. X 30 COMPR.

P-6L

CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR.

P-6L

CUTIE X 1 FLACON PEID X 30 COMPR. P-6L

CUTIE X 3 BLIST. X 10 COMPR.

P-6L

250mg/25mg

DESITIN ARZNEIMITTEL GMBH

CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L


CUTIE X 10 BLIST. AL/PVC X 10 COMPR. P-6L
GERMANIA CUTIE X 10 BLIST. PP/AL X 10 COMPR. P-6L

FARA CONCENTRATIE

SOLVAY PHARMACEUTICALS BV

GERMANIA

STALEVO 100 mg/25 mg/200 mg COMPR. FILM.


STALEVO 125 mg/31,25 mg/200 mg COMPR. FILM.
STALEVO 150 mg/37,5 mg/200 mg COMPR. FILM.
STALEVO 200 mg/50 mg/200 mg COMPR. FILM.
STALEVO 50 mg/12,5 mg/200 mg COMPR. FILM.
STALEVO 75 mg/18,75 mg/200 mg COMPR. FILM.

100mg/25mg/200mg

ORION CORPORATION
ORION CORPORATION
ORION CORPORATION
ORION CORPORATION
ORION CORPORATION
ORION CORPORATION

FINLANDA
FINLANDA
FINLANDA
FINLANDA
FINLANDA
FINLANDA

VIREGYT (R)- K
BROCRIPTIN (N04BC01)
ROLPRYNA EP 2 mg
ROLPRYNA EP 4 mg
ROLPRYNA EP 8 mg

100mg
2,5mg
2 mg
4 mg
8 mg
0,25mg
0,25mg
0,25mg
0,5mg
0,5mg
1mg
1mg
1mg
1mg
2mg
2mg
2mg
2mg
2mg
2mg
2mg
5mg
5mg
5mg
5mg
2mg
4mg
8mg

EGIS PHARMACEUTICALS P.L.C.

UNGARIA CUTIE X 1 FLAC. X 50 CAPS.


ROMANIA CUTIE X 2 BLIST. AL/PVC X 20 DRAJ.

CAPS.
DRAJ.
COMPR. CU ELIBERARE PRELUNGITA

COMPR. CU ELIBERARE PRELUNGITA

COMPR. CU ELIBERARE PRELUNGITA

ROPINIROL ACTAVIS 0,25 mg COMPR. FILM.

ALETA 0,25mg
ALETA 0,25mg
ALETA 0,5mg
ALETA 0,5mg
ROPINIROL ACTAVIS 1 mg
ALETA 1mg
ALETA 1mg
ROPINIROL TEVA 1 mg
ROPINIROL ACTAVIS 2 mg
ALETA 2mg
ALETA 2mg
ROPINIROL TEVA 2 mg
ROPISON 2 mg
ROPISON 2 mg
ROPISON 2 mg
ROPINIROL ACTAVIS 5 mg
ALETA 5mg
ALETA 5mg
ROPINIROL TEVA 5 mg
REQUIP-MODUTAB 2 mg
REQUIP-MODUTAB 4 mg
REQUIP-MODUTAB 8 mg

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM. ELIB. PREL.
COMPR. FILM. ELIB. PREL.
COMPR. FILM. ELIB. PREL.

125mg/31,25mg/200mg

150mg/37,5mg/200mg

200mg/50mg/200mg
50mg/12,5mg/200mg
75mg/18,5mg/200mg

BIOFARM SA

CUTIE X 7 CASETE BRUNE TRANSPARENTE X 100 GEL INT. IN PUNGA PVC

S/P-RF

CUTIE X 1 FLAC. PEID X 100 COMPR. FILM. P-RF


CUTIE X 1 FLAC. HDPE X 100 COMPR. FILM. P-6L

CUTIE X 1 FLAC. PEID X 100 COMPR. FILM. P-RF


CUTIE X 1 FLAC. PEID X 100 COMPR. FILM. P-RF
CUTIE X 1 FLAC. PEID X 100 COMPR. FILM. P-RF
CUTIE X 1 FLAC. HDPE X 100 COMPR. FILM. P-6L
P-6L
P-RF

KRKA ,D.D., NOVO MESTO SLOVENIA

CUTIE CU BLIST. OPA - AL - PVC/AL X 28 COMPR. ELIB. PREL.

PRF

KRKA ,D.D., NOVO MESTO SLOVENIA

CUTIE CU BLIST. OPA - AL - PVC/AL X 28 COMPR. ELIB. PREL.

PRF

KRKA ,D.D., NOVO MESTO SLOVENIA

CUTIE CU BLIST. OPA - AL - PVC/AL X 28 COMPR. ELIB. PREL.

PRF

ACTAVIS GROUP PTC EHF.

ISLANDA CUTIE CU BLIST. AL/AL X 21 COMPR. FILM.

TERAPIA SA
TERAPIA SA
TERAPIA SA
TERAPIA SA

ROMANIA
ROMANIA
ROMANIA
ROMANIA

ACTAVIS GROUP PTC EHF.

ISLANDA CUTIE CU BLIST. AL/AL X 21 COMPR. FILM.

P-RF

TERAPIA SA
TERAPIA SA

P-RF

TEVA PHARMACEUTICALS S.R.L.

ROMANIA
ROMANIA
ROMANIA

ACTAVIS GROUP PTC EHF.

ISLANDA CUTIE CU BLIST. AL/AL X 21 COMPR. FILM.

TERAPIA SA
TERAPIA SA

CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. P-RF

TEVA PHARMACEUTICALS S.R.L.

ROMANIA
ROMANIA
ROMANIA

GLENMARK PHARMACEUTICALS SRL

REPUBLICA SLOVACA

CUTIE CU BLIST. PVC-PE-ACLAR/AL X 28 COMPR. FILM.

GLENMARK PHARMACEUTICALS SRL

REPUBLICA SLOVACA

CUTIE CU BLIST. AL/AL X 21 COMPR. FILM. P-RF

GLENMARK PHARMACEUTICALS SRL

REPUBLICA SLOVACA

CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-RF

ACTAVIS GROUP PTC EHF.

ISLANDA CUTIE CU BLIST. AL/AL X 21 COMPR. FILM.

TERAPIA SA
TERAPIA SA

CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. P-RF

TEVA PHARMACEUTICALS S.R.L.

ROMANIA
ROMANIA
ROMANIA

SMITHKLINE BEECHAM PLC

MAREA BRITANIE

CUTIE X BLIST. PVC-ACLAR/AL X 28 COMPR. FILM. ELIB. PREL. P-RF

SMITHKLINE BEECHAM PLC

MAREA BRITANIE

CUTIE X BLIST. PVC-ACLAR/AL X 28 COMPR. FILM. ELIB. PREL, P-RF

SMITHKLINE BEECHAM PLC

MAREA BRITANIE

CUTIE X BLIST. PVC-ACLAR/AL X 28 COMPR. FILM. ELIB. PREL. P-RF

Pagina 70 din 205

P-RF

CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. P-RF


CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. FILM. P-RF
CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. P-RF
CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. FILM. P-RF

CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. P-RF


CUTIE X 3 BLIST.PVC-ACLAR/AL X 10 COMPR. FILM.

CUTIE CU BLIST. OPA-AL-PVC/AL X 21 COMPR. FILM. P-RF


P-RF

CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. FILM. P-RF


CUTIE CU BLIST. OPA-AL-PVC/AL X 21 COMPR. FILM. P-RF
P-RF

P-RF

CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. FILM. P-RF


CUTIE CU BLIST. OPA-AL-PVC/AL X 21 COMPR. FILM. P-RF

50
50
100
100
30
30
30
30
20
100
100
7
100
100
100
100
100
100
50
40
28
28
28
21
30
30
30
30
21
30
30
21
21
30
30
21
28
21
30
21
30
30
21
28
28
28

19.26
10.45
58.18
37.83
47.79
23.93
15.55
18.98
19.08
61.31
73.70
3,385.40

410.43
410.43
410.43
539.33
410.43
410.43
16.87
20.91
39.43
74.81
141.94
6.24
8.95
8.95
17.06
17.06
22.73
32.48
32.48
22.74
30.55
42.23
42.23
35.35
39.43
30.55
42.23
75.89
108.45
108.45
75.90
60.64
115.10
218.37

0.385200
0.385200
0.385200
0.209000
0.209000
0.209000
0.581800
0.453960
0.453960
0.378300
0.378300
0.378300
1.593000
0.621999
0.621999
0.797666
0.621999
0.621999
0.518333
0.518333
0.518333
0.632666
0.632666
0.632666
0.954000
0.735720
0.735720
0.613100
0.613100
0.613100
0.737000
0.735720
0.735720
483.628571 483.628571 483.628571
4.104300
4.104300
4.104300
4.104300
4.104300
4.104300
4.104300
4.104300
4.104300
5.393300
5.393300
5.393300
4.104300
4.104300
4.104300
4.104300
4.104300
4.104300
0.337400
0.337400
0.337400
0.522750
0.522750
0.522750
1.408214
1.408214
1.408214
2.671785
2.671785
2.671785
5.069285
5.069285
5.069285
0.297142
0.297142
0.297142
0.298333
0.298333
0.298333
0.298333
0.298333
0.298333
0.568666
0.568666
0.568666
0.568666
0.568666
0.568666
1.082380
1.082380
1.082380
1.082666
1.082666
1.082666
1.082666
1.082666
1.082666
1.082857
1.082857
1.082857
1.454761
1.454761
1.454761
1.407666
1.407666
1.407666
1.407666
1.407666
1.407666
1.683333
1.683333
1.683333
1.408214
1.408214
1.408214
1.454761
1.454761
1.454761
1.407666
1.407666
1.407666
3.613809
3.613809
3.613809
3.615000
3.615000
3.615000
3.615000
3.615000
3.615000
3.614285
3.614285
3.614285
2.165714
1.689199
1.689199
4.110714
3.206142
3.206142
7.798928
6.083142
6.083142

NR.CRT

47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93

COD ATC

N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC09
N04BC09
N04BC09
N04BC09
N04BC09
N04BC09
N04BC09
N04BC09
N04BD01
N04BD01
N04BD01
N04BD02

N04BX02
N04BX02
N05AH02
N05AH02

DCI

PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
ROTIGOTINUM***
ROTIGOTINUM***
ROTIGOTINUM***
ROTIGOTINUM***
ROTIGOTINUM***
ROTIGOTINUM***
ROTIGOTINUM***
ROTIGOTINUM***
SELEGILINUM
SELEGILINUM
SELEGILINUM
RASAGILINUM***
ENTACAPONUM***
ENTACAPONUM***
CLOZAPINUM**
CLOZAPINUM**

Denumire Comerciala
PRAMIPEXOLE ACCORD 0,088 mg

OPRYMEA 0,088mg
PRAMIPEXOLE ACCORD 0,18 mg

MIRAPEXIN 0,18 mg
OPRYMEA 0,18mg
PRAMIPEXOL TEVA 0,18mg
PRAMIPEXOL SANDOZ 0,18 mg

MEDOPEXOL 0,18 mg
GLEPARK 0,18 mg
PRAMIPEXOL RANBAXY 0,18 mg
PRAMIPEXOL TORRENT 0,18 mg
PRAMIPEXOL BLUEFISH 0,18 mg

MIGLASEN 0,18 mg
PRAMIPEXOLE ACCORD 0,35mg

MIRAPEXIN 0,7 mg
OPRYMEA 0,7mg
PRAMIPEXOL TEVA 0,7mg
PRAMIPEXOL SANDOZ 0,7 mg

MEDOPEXOL 0,7 mg
GLEPARK 0,7 mg
PRAMIPEXOL RANBAXY 0,7 mg
PRAMIPEXOL TORRENT 0,7 mg
PRAMIPEXOL BLUEFISH 0,7 mg

MIGLASEN 0,7 mg
PRAMIPEXOLE ACCORD 0,7mg
PRAMIPEXOLE ACCORD 1,1mg

MIRAPEXIN 0,26 mg
MIRAPEXIN 0,52 mg
MIRAPEXIN 1,05 mg
MIRAPEXIN 2,1 mg
MIRAPEXIN 3,15 mg
NEUPRO 2mg/24h
NEUPRO 2mg/24h
NEUPRO 4mg/24h
NEUPRO 4mg/24h
NEUPRO 6mg/24h
NEUPRO 6mg/24h
NEUPRO 8mg/24h
NEUPRO 8mg/24h
SELEGOS
SELEGOS
JUMEX 5 mg
AZILECT 1mg
COMTAN 200mg
COMTAN 200mg
LEPONEX (R) 100 mg
LEPONEX (R) 25 mg

forma farm.

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.

concentratie

0,088 mg
0,088mg
0,18 mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,35mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
1,1mg
COMPR. ELIB. PREL. 0,26mg
COMPR. ELIB. PREL. 0,52mg
COMPR. ELIB. PREL. 1,05mg
COMPR. ELIB. PREL. 2,1mg
COMPR. ELIB. PREL. 3,15mg
PLASTURE TRANSDERMIC 2mg/24h
PLASTURE TRANSDERMIC 2mg/24h
PLASTURE TRANSDERMIC 4mg/24h
PLASTURE TRANSDERMIC 4mg/24h
PLASTURE TRANSDERMIC 6mg/24h
PLASTURE TRANSDERMIC 6mg/24h
PLASTURE TRANSDERMIC 8mg/24h
PLASTURE TRANSDERMIC 8mg/24h
COMPR.
5mg
COMPR.
5mg
COMPR.
5mg
COMPR.
1mg
COMPR. FILM. 200mg
COMPR. FILM. 200mg
COMPR.
100mg
COMPR.
25mg

DETINATOR APP

TARA
DET. APP

AMBALAJ

Prescriptie

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
CANT MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ITAT
L
MAXIMAL/UT 213 alin.(1) lit.
UT (RON)
E
(RON)
(RON)
a) si f)
PT. ADULTI

30
30
ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 3 BLIST. AL-PVC/AL A CATE 10 COMPR.
PRF
30
GERMANIA CUTIE X 3 BLIST. X 10 COMPR.
P-RF
30
KRKA D.D.
SLOVENIA CUTIE X 30 COMPR. (BLIST. AL/AL) P-RF
30
TEVA PHARMA BV OLANDA CUTIE CU BLIST. AL/AL X 30 COMPR. P-RF
30
SANDOZ S.R.L.
ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-RF/R
30
MEDOCHEMIE LTD. CIPRU
CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-6L
30
GLENMARK PHARMACEUTICALS SRL
CUTIE CU BLIST. AL/AL X 30 COMPR. P-RF
30
RANBAXY (UK) LIMITED MAREA BRITANIE CUTIE CU BLIST. PA-AL-PVC X 30 COMPR. P-RF
30
TORRENT PHARMA GMBH GERMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-RF
30
BLUEFISH PHARMACEUTICALS AB SUEDIA
CUTIE CU BLIST. AL/AL X 30 COMPR. P-6L
30
ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P6L
30
ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 3 BLIST. AL-PVC/AL A CATE 10 COMPR.
PRF
30
GERMANIA CUTIE X 3 BLIST. X 10 COMPR.
P-RF
30
KRKA D.D.
SLOVENIA CUTIE X 30 COMPR. (BLIST. AL/AL) P-RF
30
TEVA PHARMA BV OLANDA CUTIE CU BLIST. AL/AL X 30 COMPR. P-RF
30
SANDOZ S.R.L.
ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-RF/R
30
MEDOCHEMIE LTD. CIPRU
CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-6L
30
GLENMARK PHARMACEUTICALS SRL
CUTIE CU BLIST. AL/AL X 30 COMPR. P-RF
30
RANBAXY (UK) LIMITED MAREA BRITANIE CUTIE CU BLIST. PA-AL-PVC X 30 COMPR. P-RF
30
TORRENT PHARMA GMBH GERMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-RF
30
BLUEFISH PHARMACEUTICALS AB SUEDIA
CUTIE CU BLIST. AL/AL X 30 COMPR. P-6L
30
ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P6L
30
ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 3 BLIST. AL-PVC/AL A CATE 10 COMPR.
PRF
30
ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 3 BLIST. AL-PVC/AL A CATE 10 COMPR.
PRF
30
GERMANIA CUTIE CU 1 BLIST.OPA-AL-PVC/AL X 10 COMPR. P-RF
10
GERMANIA CUTIE CU 3 BLIST.OPA-AL-PVC/AL X 10 COMPR. P-RF
30
GERMANIA CUTIE CU 3 BLIST.OPA-AL-PVC/AL X 10 COMPR. P-RF
30
GERMANIA CUTIE CU 3 BLIST.OPA-AL-PVC/AL X 10 COMPR. P-RF
30
GERMANIA CUTIE CU 3 BLIST.OPA-AL-PVC/AL X 10 COMPR. P-RF
30
SCHWARZ PHARMA LTD IRLANDA CUTIE X 28 PLASTURI TRANSDERMICI P-RF
28
SCHWARZ PHARMA LTD IRLANDA CUTIE X 7 PLASTURI TRANSDERMICI P-RF
7
SCHWARZ PHARMA LTD IRLANDA CUTIE X 7 PLASTURI TRANSDERMICI P-RF
7
SCHWARZ PHARMA LTD IRLANDA CUTIE X 28 PLASTURI TRANSDERMICI P-RF
28
SCHWARZ PHARMA LTD IRLANDA CUTIE X 28 PLASTURI TRANSDERMICI P-RF
28
SCHWARZ PHARMA LTD IRLANDA CUTIE X 7 PLASTURI TRANSDERMICI P-RF
7
SCHWARZ PHARMA LTD IRLANDA CUTIE X 28 PLASTURI TRANSDERMICI P-RF
28
SCHWARZ PHARMA LTD IRLANDA CUTIE X 7 PLASTURI TRANSDERMICI P-RF
7
MEDOCHEMIE LTD. CIPRU
CUTIE X 5 BLIST. DIN AL/PVC X 10 COMPR. P-6L
50
MEDOCHEMIE LTD. CIPRU
CUTIE X 10 BLIST. DIN AL/PVC X 10 COMPR. P-6L 100
CHINOIN PRIVATE CO. LTD. UNGARIA CUTIE X 5 BLIST. AL/AL X 10 COMPR. P-6L
50
TEVA PHARMA GMBH GERMANIA CUTIE X 30 COMPR.(BLIST. AL/AL) P-RF
30
NOVARTIS EUROPHARM LTD. MAREA BRITANIE
P-RF 100
NOVARTIS EUROPHARM LTD. MAREA BRITANIE
P-RF
30
NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. X 10 COMPR.
P-RF
50
NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. X 10 COMPR.
P-RF
50

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

19.46
19.52
25.15
49.19
29.75
33.02
33.04
33.04
30.00
30.49
33.10
25.01
30.00
48.34
165.89
106.39
113.70
113.70
113.70
107.24
104.96
113.76
89.39
106.39
89.39
140.21
57.44
310.38
643.55

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

1,216.24

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

1,788.93

CUTIE CU 3 BLIST. AL-PVC/AL A CATE 10 COMPR.

ACCORD HEALTHCARE LIMITED

MAREA BRITANIE

KRKA D.D.

SLOVENIA CUTIE X 30 COMPR. (BLIST. AL/AL)

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

REPUBLICA SLOVACA

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

REPUBLICA SLOVACA

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG


BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

CUTIE X 1 FLAC. DIN STICLA BRUNA CU SISTEM DE INCHIDERE SECURIZAT X 100 COMPR. FILM.

CUTIE X 1 FLAC. DIN STICLA BRUNA CU SISTEM DE INCHIDERE SECURIZAT X 30 COMPR. FILM.

Tratamentul se initiaza de catre medicul in specialitatea neurologie

Pagina 71 din 205

PRF

P-RF

364.54
97.00
100.46
378.27
472.80
126.06
565.54
152.36
35.88
69.55
41.24
518.27
387.50
123.78
105.53
33.25

0.648666
0.650666
0.838333
1.639666
0.991666
1.100666
1.101333
1.101333
1.000000
1.016333
1.103333
0.833666
1.000000
1.611333
5.529666
3.546333
3.790000
3.790000
3.790000
3.574666
3.498666
3.792000
2.979666
3.546333
2.979666
4.673666
5.744000
10.346000
21.451666
40.541333
59.631000
13.019285
13.857142
14.351428
13.509642
16.885714
18.008571
20.197857
21.765714
0.717600
0.695500
0.824800
17.275666
3.875000
4.126000
2.110600
0.665000

0.648666
0.650666
0.838333
1.000399
0.991666
1.000399
1.000399
1.000399
1.000000
1.000399
1.000399
0.833666
1.000000
1.611333
3.575599
3.546333
3.575599
3.575599
3.575599
3.574666
3.498666
3.575599
2.979666
3.546333
2.979666
4.673666
5.744000
10.346000
21.451666
40.541333
59.631000
13.019285
13.857142
14.351428
13.509642
16.885714
18.008571
20.197857
21.765714
0.717600
0.695500
0.824800
17.275666
3.875000
4.126000
2.110600
0.665000

0.648666
0.650666
0.838333
1.000399
0.991666
1.000399
1.000399
1.000399
1.000000
1.000399
1.000399
0.833666
1.000000
1.611333
3.575599
3.546333
3.575599
3.575599
3.575599
3.574666
3.498666
3.575599
2.979666
3.546333
2.979666
4.673666
5.744000
10.346000
21.451666
40.541333
59.631000
13.019285
13.857142
14.351428
13.509642
16.885714
18.008571
20.197857
21.765714
0.717600
0.695500
0.824800
17.275666
3.875000
4.126000
2.110600
0.665000

NR.CRT

COD ATC

DCI

Denumire Comerciala

forma farm.

concentratie

DETINATOR APP

TARA
DET. APP

AMBALAJ

Prescriptie

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
CANT MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ITAT
L
MAXIMAL/UT 213 alin.(1) lit.
UT (RON)
E
(RON)
(RON)
a) si f)
PT. ADULTI

11. MIASTENIA GRAVIS - G13


1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23

H02AB07
H02AB07
H02AB07
H02AB07
H02AB07

L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01

L04AX01
L04AX01
L04AX01
L04AX01
N07AA01
N07AA02

PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
METHOTREXATUM4
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
AZATHIOPRINUM
AZATHIOPRINUM
AZATHIOPRINUM
AZATHIOPRINUM
NEOSTIGMINI BROMIDUM
PYRIDOSTIGMINI BROMIDUM

PREDNISON MCC 5 mg
PREDNISON ARENA 5 mg
N - PREDNISON
PREDNISON 5 mg

COMPR.
COMPR.
COMPR.
COMPR.
PREDNISON - RICHTER 5 mg COMPR.
METOTREXATE BELLON 2,5 mg COMPR.
METHOTREXAT "EBEWE" 5000 mg

METHOTREXAT "EBEWE" 500 mg


METHOTREXAT "EBEWE" 1000 mg

CONC. PT. SOL. INJ./PERF.


CONC. PT. SOL. INJ./PERF.
CONC. PT. SOL. INJ./PERF.

METHOTREXAT "EBEWE" 5 mg SOL. INJ.


METOTREXAT EBEWE 10 mg/ml
METOTREXAT EBEWE 10 mg/ml
METOTREXAT EBEWE 10 mg/ml
METOTREXAT EBEWE 10 mg/ml

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

METOJECT 50mg/ml
METOJECT 50mg/ml

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

METHOTREXAT "EBEWE" 50 mg SOL. INJ./PERF.


IMMUNOPRIN 100 mg
COMPR. FILM.
IMMUNOPRIN 100 mg
COMPR. FILM.
IMURAN (R)
COMPR. FILM.
IMMUNOPRIN 75 mg
COMPR. FILM.

NEOSTIGMINA LPH 15 mg
MESTINON 60 mg

COMPR.
DRAJ.

5mg
5mg
5mg
5mg
5mg
2,5mg
100mg/ml
100mg/ml
100mg/ml
5mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
50mg/ml
50mg/ml
10mg/ml
100mg
100mg
50mg
75mg
15mg
60mg

MAGISTRA C&C S.R.L. ROMANIA


ARENA GROUP SA ROMANIA
MEDUMAN SA
ROMANIA
SINTOFARM SA
ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
FARMEXINM S.R.L. ROMANIA

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P-RF

CUTIE X 1 FLAC. X 30 COMPR.

P-RF

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.


CUTIE X 2 BLIST. AL./PVC X 10 COMPR.

P-RF

P-RF

P-RF

EBEWE PHARMA GES.M.B.H. NFG KG

CUTIE X 20 COMPR.
AUSTRIA CUTIE X 1 FLACON X 50 ML
AUSTRIA CUTIE X 5 FIOLE X 5 ML
AUSTRIA CUTIE X 1 TUB DIN MATERIAL PLASTIC X 1 FIOLA X 10 ML
AUSTRIA CUTIE X 10 FIOLE X 1 ML
AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA CU AC X 1 ML SOL INJ.
AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA CU AC X 0,75 ML SOL INJ.
AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA CU AC X 2 ML SOL INJ.
AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA CU AC X 1,5 ML SOL INJ.

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,50ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL

P-RF

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,40ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL

P-RF

EBEWE PHARMA GMBH NFG. KG


EBEWE PHARMA GMBH NFG. KG
EBEWE PHARMA GMBH NFG. KG
EBEWE PHARMA GMBH NFG. KG
EBEWE PHARMA GES.M.B.H. NFG KG
EBEWE PHARMA GES.M.B.H. NFG KG
EBEWE PHARMA GES.M.B.H. NFG KG

P-RF/R

S
S
S
S
P-RF/R
P-RF/R
P-RF/R
P-RF/R

EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRIA CUTIE X 1 FLACON X 5 ML


S
AUSTRIA CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM. PR
AUSTRIA CUTIE CU 1 FLAC. PEID X 50 COMPR. FILM. PR

THE WELLCOME FOUNDATION LTD.

MAREA BRITANIE

EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRIA CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM. PR

EBEWE PHARMA GMBH NFG. KG


EBEWE PHARMA GES.M.B.H. NFG KG

CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM.

S/P-RF

LABORMED PHARMA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 20 COMPR. P-6L


ICN POLFA RZESZOW S.A.

POLONIA CUTIE X 1 FLAC. X 20 DRAJ.

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 5 BLIST. A-PVC/PVC X 10 COMPR. P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 2 BLIST. AL-PVC/PVC X 10 COMPR. P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 1 FLAC. DIN STICLA X 30 COMPR. P-RF

S/P-RF

20
30
30
30
20
20
1
5
1
10
1
1
1
1
1
1
1
100
50
100
100
20
20

2.62
2.59
2.43
3.67
2.54
22.57
396.85
238.24
88.61
23.54
77.75
58.94
125.38
108.80
122.74
108.25
13.17
103.94
54.72
79.95
77.97
13.57
16.36

0.131000
0.086333
0.081000
0.122333
0.127000
1.128500
396.850000
47.648000
88.610000
2.354000
77.750000
58.940000
125.380000
108.800000
122.740000
108.250000
13.170000
1.039400
1.094400
0.799500
0.779700
0.678500
0.818000

0.097200
0.086333
0.081000
0.097200
0.097200
1.128500
396.850000
47.648000
88.610000
2.354000
77.750000
58.940000
125.380000
108.800000
122.740000
108.250000
13.170000
1.039400
1.094400
0.799500
0.779700
0.678500
0.818000

0.097200
0.086333
0.081000
0.097200
0.097200
1.128500
396.850000
47.648000
88.610000
2.354000
77.750000
58.940000
125.380000
108.800000
122.740000
108.250000
13.170000
1.039400
1.094400
0.799500
0.779700
0.678500
0.818000

Tratamentul se initiaza de catre medicul in specialitatea neurologie

12. SCLEROZA MULTIPLA - G14


1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19

H02AB04
H02AB04
H02AB04
H02AB04
H02AB04
H02AB04
H02AB07
H02AB07
H02AB07
H02AB07
H02AB07

L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01

METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
METHOTREXATUM4
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM

MEDROL A 16
MEDROL 32
MEDROL 4 mg
LEMOD SOLU 125 mg
LEMOD SOLU 500 mg
SOLU - MEDROL ACT-O-VIAL

COMPR.
COMPR.
COMPR.
LIOF. PT. SOL. INJ.
LIOF. PT. SOL. INJ.
LIOF. SI SOLV.PT.SOL.INJ

PREDNISON MCC 5 mg
PREDNISON ARENA 5 mg
N - PREDNISON
PREDNISON 5 mg

COMPR.
COMPR.
COMPR.
COMPR.
PREDNISON - RICHTER 5 mg COMPR.
METOTREXATE BELLON 2,5 mg COMPR.
METHOTREXAT "EBEWE" 5000 mg

METHOTREXAT "EBEWE" 500 mg


METHOTREXAT "EBEWE" 1000 mg

CONC. PT. SOL. INJ./PERF.


CONC. PT. SOL. INJ./PERF.
CONC. PT. SOL. INJ./PERF.

METHOTREXAT "EBEWE" 5 mg SOL. INJ.


METOTREXAT EBEWE 10 mg/ml
METOTREXAT EBEWE 10 mg/ml
METOTREXAT EBEWE 10 mg/ml

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

16mg
32mg
4mg
125mg
500mg
250mg/4ml
5mg
5mg
5mg
5mg
5mg
2,5mg
100mg/ml
100mg/ml
100mg/ml
5mg/ml
10mg/ml
10mg/ml
10mg/ml

ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 2 ML


STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 7,8 ML
STADA HEMOFARM S.R.L.

PFIZER EUROPE MA EEIG

MAREA BRITANIE

MAGISTRA C&C S.R.L. ROMANIA


ARENA GROUP SA ROMANIA
MEDUMAN SA
ROMANIA
SINTOFARM SA
ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
FARMEXINM S.R.L. ROMANIA
EBEWE PHARMA GMBH NFG. KG
EBEWE PHARMA GMBH NFG. KG
EBEWE PHARMA GMBH NFG. KG
EBEWE PHARMA GMBH NFG. KG
EBEWE PHARMA GES.M.B.H. NFG KG
EBEWE PHARMA GES.M.B.H. NFG KG
EBEWE PHARMA GES.M.B.H. NFG KG

CUTIE X 1 FLAC. BICOMPARTIMENTAT (COMPARTIMENT INFERIOR) LIOF. PT. SOL. INJ. + (COMPARTIMENT SUPERIO

S/P-RF

P-RF

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P-RF

CUTIE X 1 FLAC. X 30 COMPR.

P-RF

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.


CUTIE X 2 BLIST. AL./PVC X 10 COMPR.

P-RF

CUTIE X 20 COMPR.
AUSTRIA CUTIE X 1 FLACON X 50 ML
AUSTRIA CUTIE X 5 FIOLE X 5 ML
AUSTRIA CUTIE X 1 TUB DIN MATERIAL PLASTIC X 1 FIOLA X 10 ML
AUSTRIA CUTIE X 10 FIOLE X 1 ML
AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA CU AC X 1 ML SOL INJ.
AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA CU AC X 0,75 ML SOL INJ.
AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA CU AC X 2 ML SOL INJ.

Pagina 72 din 205

S/P-RF

P-RF

P-RF
P-RF/R

S
S
S
S
P-RF/R
P-RF/R
P-RF/R

50 32.23
0.644600
0.644600
0.644600
20 29.29
1.464500
1.464500
1.464500
30
6.46
0.215333
0.215333
0.215333
1
8.71
8.710000
8.710000
8.710000
1 30.65 30.650000 30.650000 30.650000
1 20.23 20.230000 20.230000 20.230000
20
2.62
0.131000
0.097200
0.097200
30
2.59
0.086333
0.086333
0.086333
30
2.43
0.081000
0.081000
0.081000
30
3.67
0.122333
0.097200
0.097200
20
2.54
0.127000
0.097200
0.097200
20 22.57
1.128500
1.128500
1.128500
1 396.85 396.850000 396.850000 396.850000
5 238.24 47.648000 47.648000 47.648000
1 88.61 88.610000 88.610000 88.610000
10 23.54
2.354000
2.354000
2.354000
1 77.75 77.750000 77.750000 77.750000
1 58.94 58.940000 58.940000 58.940000
1 125.38 125.380000 125.380000 125.380000

NR.CRT

20
21
22
23
24
25
26
27
28

COD ATC

L01BA01
L01BA01
L01BA01
L01BA01
L01DB07

L04AX01
L04AX01
L04AX01
L04AX01

DCI

METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
MITOXANTRONUM***
AZATHIOPRINUM
AZATHIOPRINUM
AZATHIOPRINUM
AZATHIOPRINUM

Denumire Comerciala

METOTREXAT EBEWE 10 mg/ml

METOJECT 50mg/ml
METOJECT 50mg/ml

forma farm.
SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

METHOTREXAT "EBEWE" 50 mg SOL. INJ./PERF.

ONKOTRONE
IMMUNOPRIN 100 mg
IMMUNOPRIN 100 mg
IMURAN (R)
IMMUNOPRIN 75 mg

CONC. PT. SOL. INJ.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

concentratie

10mg/ml
50mg/ml
50mg/ml
10mg/ml
2mg/ml
100mg
100mg
50mg
75mg

DETINATOR APP

TARA
DET. APP

AMBALAJ

Prescriptie

EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRIA

CUTIE X 1 SERINGA PREUMPLUTA CU AC X 1,5 ML SOL INJ.

P-RF/R

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,50ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL

P-RF

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,40ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL

P-RF

EBEWE PHARMA GMBH NFG. KG

AUSTRIA CUTIE X 1 FLACON X 5 ML

BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 1 FLACON X 10 ML CONC. PT. SOL. INJ.

S
S
PR
PR

EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRIA CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM.


AUSTRIA CUTIE CU 1 FLAC. PEID X 50 COMPR. FILM.

THE WELLCOME FOUNDATION LTD.

MAREA BRITANIE

EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRIA CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM. PR

EBEWE PHARMA GES.M.B.H. NFG KG

CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM.

S/P-RF

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
CANT MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ITAT
L
MAXIMAL/UT 213 alin.(1) lit.
UT (RON)
E
(RON)
(RON)
a) si f)
PT. ADULTI

1
1
1
1
1
100
50
100
100

108.80
122.74
108.25
13.17
636.90
103.94
54.72
79.95
77.97

108.800000
122.740000
108.250000
13.170000
636.900000
1.039400
1.094400
0.799500
0.779700

108.800000
122.740000
108.250000
13.170000
636.900000
1.039400
1.094400
0.799500
0.779700

108.800000
122.740000
108.250000
13.170000
636.900000
1.039400
1.094400
0.799500
0.779700

0.240360
0.394800
0.200300
0.329000
0.505200
0.529000
0.343600
0.240360
0.265000
0.371300
0.790600
31.392500
1.876000
0.606240
35.830000
22.850000
0.941071
0.950666
0.950666
0.950666
0.950333
1.103570
1.103570
0.950357
0.919642
1.987666
1.804642
1.756250
0.151200
0.151200
0.151200
0.151200
0.151200
0.151200

0.240360
0.394800
0.200300
0.329000
0.505200
0.529000
0.343600
0.240360
0.265000
0.371300
0.790600
31.392500
1.876000
0.606240
35.830000
22.850000
0.941071
0.950666
0.950666
0.950666
0.950333
1.103570
1.103570
0.950357
0.919642
1.987666
1.804642
1.756250
0.151200
0.151200
0.151200
0.151200
0.151200
0.151200

Tratamentul se initiaza de catre medicul in specialitatea neurologie


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

13. BOLI PSIHICE (SCHIZOFRENIE, TULBURARI SCHIZOTIPALE SI DELIRANTE, TULBURARI AFECTIVE MAJORE, TULBURARI PSIHOTICE ACUTE SI BOLI PSIHICE COPII, AUTISM) - G15
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34

N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01

N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09

ACIDUM VALPROICUM + SARURI


ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**

ORFIRIL LONG 150 mg


ORFIRIL LONG 300 mg
CONVULEX (R) 150 mg
CONVULEX (R) 300 mg
CONVULEX (R) 500 mg

CAPS. MOI GASTROREZ.

DEPAKINE (R) CHRONO 500 mg

COMPR. ELIB. PREL.

DEPAKINE CHRONO 300 mg


ORFIRIL 150
DEPAKINE 200 mg
ORFIRIL 300
ORFIRIL 600
DEPAKINE (R) 400 mg/4 ml LIOFILIZAT SI SOLVENT PENTRU SOLUTIE INJECTABILA i.v.

ORFIRIL LONG 1000 mg


ORFIRIL LONG 500 mg
ORFIRIL SIROP
DEPAKINE
LAMOTIRAN 100 mg
LAMOTRIX 100 mg
EPIMIL 100 mg
PLEXXO (R) 100 mg
LAMOTRIGINE FARMAL 100 mg

LAMICTAL 100 mg
LAMICTAL 100 mg
XEBARIN 100 mg
LAMOTRIGINA SUN 100 mg
LAMOTRIX 200 mg
XEBARIN 200 mg
LAMOTRIGINA SUN 200 mg
LAMICTAL 25 mg
LAMOTIRAN 25 mg
LAMOTRIX 25 mg
EPIMIL 25mg
LAMOTRIGINE FARMAL 25 mg

LAMICTAL 25 mg

CAPS. ELIB. PREL.


CAPS. ELIB. PREL.

CAPS. MOI GASTROREZ.


CAPS. MOI GASTROREZ.

COMPR. FILM. ELIB. PREL. DIVIZ.

COMPR. FILM. GASTROREZ.


COMPR. FILM. GASTROREZ.
COMPR. FILM. GASTROREZ.
COMPR. FILM. GASTROREZ.

LIOF. + SOLV. PT. SOL.


MINICOMPR. ELIB. PREL.
MINICOMPR. ELIB. PREL.

SIROP
SIROP
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.

150mg
300mg
150mg
300mg
500mg
500mg
300mg
150mg
200mg
300mg
600mg
400mg/4ml
1000mg
500mg
300mg/5ml
57,64mg/ml
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
200mg
200mg
200mg
25mg
25mg
25mg
25mg
25mg
25mg

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 1 FLAC. DIN PP X 50 CAPS. CU MINICOMPR. CU ELIB. PRELUNG.

P-6L

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 1 FLAC. DIN PP X 50 CAPS. CU MINICOMPR. CU ELIB. PREL.

P-6L

GEROT PHARMAZEUTIKA GMBH

CUTIE X 10 BLIST. AL/PVDC-PVC X 10 CAPS. MOI GASTROREZ.

P-6L

CUTIE X 10 BLIST. AL/PVDC-PVC X 10 CAPS. MOI GASTROREZ.

P-6L

CUTIE X 10 BLIST. AL/PVDC-PVCX 10 CAPS. MOI GASTROREZ.

P-6L

CUTIE X 1 FLAC. PP X 30 COMPR. FILM. ELIB. PREL.

P-6L

SANOFI-AVENTIS FRANCE

AUSTRIA
AUSTRIA
AUSTRIA
FRANTA
FRANTA

CUTIE X 2 FLAC. DIN PP X 50 COMPR. FILM. ELIB. PREL., DIVIZIBILE

P-6L

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 COMPR.FILM. GASTROREZ.

P-6L

SANOFI-AVENTIS FRANCE

FRANTA

CUTIE X 1 FLAC. DIN PP X 40 COMPR. FILM. GASTROREZ.

P-6L

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 1 FLAC. DIN PP X 100 COMPR. FILM. GASTROREZ.

P-6L

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 1 FLAC. DIN PP X 50 COMPR. FILM. GASTROREZ.

P-6L

SANOFI-AVENTIS FRANCE

FRANTA

CUTIE X 4 FLAC. CU LIOF. PT. SOL. INJ. + 4 FIOLE SOLV. X 4ML S/P-RF

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 50 MINIPLICURI. DIN PET/AL/PE CU MINICOMPR. CU ELIB. PRELUNG.

P-6L

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 50 MINIPLICURI. DIN PET/AL/PE CU MINICOMPR. CU ELIB. PRELUNG.

P-6L

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 1 FLACON X 250 ML + LINGURITA DOZATOARE PP A 5 ML

P-6L

SANOFI - AVENTIS FRANCE

FRANTA

CUTIE X 1 FLACON X 150 ML + 1 SERINGA PT. ADMIN. ORALA

P-6L

GEROT PHARMAZEUTIKA GMBH


GEROT PHARMAZEUTIKA GMBH

SANOFI-AVENTIS FRANCE

RANBAXY UK LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVDC-PVC X 7 COMPR.


MEDOCHEMIE LTD. CIPRU
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
IVAX PHARMCEUTICALS S.R.O. CEHIA
CUTIE X 3 BLIST. PVC-PVDC/PVC-AL X 10 COMPR.
DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 3 BLIST. X 10 COMPR.

P-6L

ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.


THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 30 COMPR.
THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 COMPR.
DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR.
CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 4 BLIST. AL/PVC X 14 COMPR.
MEDOCHEMIE LTD. CIPRU
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR.
CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 4 BLIST. AL/PVC X 14 COMPR.
THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P-RF

RANBAXY UK LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVDC-PVC X 7 COMPR.


MEDOCHEMIE LTD. CIPRU
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
IVAX PHARMCEUTICALS S.R.O. CEHIA
CUTIE X 3 BLIST. PVC--PVDC/PVC-AL X 10 COMPR.

P-6L

ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.


MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 COMPR.

P-RF

FARMAL INTERNATIONAL S.R.L.

FARMAL INTERNATIONAL S.R.L.


THE WELLCOME FOUNDATION LTD.

Pagina 73 din 205

P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L

50 21.69
50 36.32
100 20.03
100 32.90
100 50.52
30 15.87
100 34.36
100 28.80
40 10.60
100 37.13
50 39.53
4 125.57
50 93.80
50 58.78
1 35.83
1 22.85
28 26.35
30 28.52
30 28.52
30 28.52
30 28.51
30 42.47
28 39.65
28 26.61
56 51.50
30 59.63
28 50.53
56 98.35
30 11.00
28
6.58
30
7.16
30
7.16
30
7.16
28 10.28

0.433800
0.726400
0.200300
0.329000
0.505200
0.529000
0.343600
0.288000
0.265000
0.371300
0.790600
31.392500
1.876000
1.175600
35.830000
22.850000
0.941071
0.950666
0.950666
0.950666
0.950333
1.415666
1.416071
0.950357
0.919642
1.987666
1.804642
1.756250
0.366666
0.235000
0.238666
0.238666
0.238666
0.367142

NR.CRT

35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85

COD ATC

N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N04AA01
N05AD01
N05AD01
N05AD01
N05AD01
N05AD01
N05AD01
N05AD01
N05AD01
N05AE03
N05AE03
N05AE04
N05AE04
N05AE04
N05AE04

N05AF01
N05AF05
N05AF05
N05AF05
N05AF05
N05AF05
N05AH02
N05AH02
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03

DCI

LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
TRIHEXYPHENIDYLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
SERTINDOL**
SERTINDOL**
ZIPRASIDONUM**
ZIPRASIDONUM**
ZIPRASIDONUM**
ZIPRASIDONUM**
FLUPENTIXOLUM**
ZUCLOPENTHIXOLUM**
ZUCLOPENTHIXOLUM**
ZUCLOPENTHIXOLUM**
ZUCLOPENTHIXOLUM**
ZUCLOPENTHIXOLUM**
CLOZAPINUM**
CLOZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**

Denumire Comerciala

forma farm.

LAMOTRIGINA SUN 25 mg
PLEXXO (R) 50 mg
LAMOTIRAN 50 mg
LAMOTRIX 50 mg
EPIMIL 50 mg

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
LAMOTRIGINE FARMAL 50 mg COMPR.
LAMICTAL 50 mg
COMPR.
LAMICTAL 50 mg
COMPR.
XEBARIN 50 mg
COMPR.
LAMOTRIGINA SUN 50 mg COMPR.
LAMOTRIN 100 mg
COMPR. DISP.
LAMOTRIN 25 mg
COMPR. DISP.
LAMOTRIN 50 mg
COMPR. DISP.
ROMPARKIN (R) 2 mg
COMPR.
HALOPERIDOL LAROPHARM 0,5 mg COMPR.
HALOPERIDOL 1 mg
COMPR.
HALOPERIDOL 2 mg
COMPR.
HALDOL
COMPR.
HALOPERIDOL ROMPHARM 2 mg/ml

PIC. OFT., SOL.

HALOPERIDOL 2 mg/ml
PIC. ORALE-SOL.
HALOPERIDOL DECANOAT SOL. INJ.
HALOPERIDOL RICHTER 5 mg/ml SOL. INJ.
SERDOLECT 16 mg
COMPR. FILM.
SERDOLECT 4 mg
COMPR. FILM.
ZELDOX (R) 40 mg
CAPS.
ZELDOX (R) 60 mg
CAPS.
ZELDOX (R) 80 mg
CAPS.
ZELDOX (R) 20 mg/ml
LIOF. PT. SOL. INJ. + SOLV.
FLUANXOL DEPOT
SOL. INJ.
CLOPIXOL (R) 10 mg
COMPR. FILM.
CLOPIXOL (R) 25 mg
COMPR. FILM.
CLOPIXOL 20 mg/ml
PIC. ORALE-SOL.
CLOPIXOL (R) DEPOT
SOL. INJ.
CLOPIXOL ACUPHASE (R) SOL. INJ.
LEPONEX (R) 100 mg
COMPR.
LEPONEX (R) 25 mg
COMPR.
ZALASTA 10mg
COMPR.
OLAZAX 10 mg
COMPR.
ZALASTA 5mg
COMPR.
OLAZAX 5 mg
COMPR.
ZYPREXA 10 mg
COMPR. FILM.
OLANZAPINA ACCORD 10 mg COMPR. FILM.
LAPOZAN 10 mg
COMPR. FILM.
LAPOZAN 10 mg
COMPR. FILM.
OLANZAPINA ACTAVIS 10 mg COMPR. FILM.
BLOONIS 10 mg
COMPR. FILM.
OLANZAPINA DR. REDDY'S 10 mg COMPR. FILM.
OLANZAPINA MEDANA 10 mg COMPR. FILM.
EGOLANZA 10 mg
COMPR. FILM.
NYKOB 10 mg
COMPR. FILM.
OLANZAPINA LPH 10 mg
COMPR. FILM.

concentratie

25mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
100mg
25mg
50mg
2mg
0,5mg
1mg
2mg
5mg
2 mg/ml
2mg/ml
50mg/ml
5mg/ml
16mg
4mg
40mg
60mg
80mg
20mg/ml
20mg/ml
10mg
25mg
20mg/ml
200mg/ml
50mg/ml
100mg
25mg
10mg
10mg
5mg
5mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg

DETINATOR APP

TARA
DET. APP

AMBALAJ

Prescriptie

CIPLA (UK) LIMITED

MAREA BRITANIE

CUTIE X 4 BLIST. AL/PVC X 14 COMPR. P-6L

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 3 BLIST. X 10 COMPR.

P-6L

RANBAXY UK LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVDC-PVC X 7 COMPR.


MEDOCHEMIE LTD. CIPRU
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
IVAX PHARMCEUTICALS S.R.O. CEHIA
CUTIE X 3 BLIST. PVC-PVDC/PVC-AL X 10 COMPR.

P-6L

FARMAL INTERNATIONAL S.R.L.

ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P-RF

THE WELLCOME FOUNDATION LTD.

MAREA BRITANIE

THE WELLCOME FOUNDATION LTD.

MAREA BRITANIE

DR. REDDY'S LABORATORIES

CIPLA (UK) LIMITED

JANSSEN PHARMACEUTICA N.V.

ROMPHARM COMPANY S.R.L.

ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR.


CUTIE X 4 BLIST. AL/PVC X 14 COMPR.

GEDEON RICHTER ROMANIA SA


GEDEON RICHTER ROMANIA SA
GEDEON RICHTER ROMANIA SA

H. LUNDBECK A/S
H. LUNDBECK A/S

BELGIA

P-6L
P-6L

CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. DISPERSABILE

P-6L

CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. DISPERSABILE

P-6L

CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. DISPERSABILE

P-6L

CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L


CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF
CUTIE X 1 BLIST. AL/PVC X 25 COMPR. P-RF

ROMANIA CUTIE CU 1 FLACON PEJD CU PICURATOR PEJD X 10 ML PIC. OFT., SOL. PRF
ROMANIA CUTIE X 1 FLACON PICURATOR X 10ML PICATURI ORALE-SOLUTIE P-RF
ROMANIA CUTIE X 5 FIOLE X 1 ML
P-RF
ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 1 ML SOL. INJ. P-RF
DANEMARCA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM.

P-RF

DANEMARCA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

PFIZER EUROPE MA EEIG

MAREA BRITANIE

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 4 BLIST. X 14 CAPS.


CUTIE X 4 BLIST. X 14 CAPS.
CUTIE X 4 BLIST. X 14 CAPS.

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 1 FLAC. LIOF. + 1 FIOLA X 1,2 ML SOLV.

H. LUNDBECK A/S
H. LUNDBECK A/S
H. LUNDBECK A/S
H. LUNDBECK A/S
H. LUNDBECK A/S
H. LUNDBECK A/S

P-6L

CUTIE CU BLIST. PVC/AL X 30 COMPR. P-6L


CUTIE CU BLIST. PVC/AL X 28 COMPR. P-6L

MAREA BRITANIE

ACTAVIS GROUP HF. ISLANDA


ACTAVIS GROUP HF. ISLANDA
ACTAVIS GROUP HF. ISLANDA
TERAPIA SA
ROMANIA
LAROPHARM S.R.L. ROMANIA
ARENA GROUP SA ROMANIA
ARENA GROUP SA ROMANIA

P-6L

DANEMARCA CUTIE X 10 FIOLE DIN STICLA INCOLORA X 1 ML SOL. INJ.


DANEMARCA
DANEMARCA

FLAC. X 50 COMPR. FILM.


FLAC. X 50 COMPR. FILM.

DANEMARCA CUTIE X 1 FLAC. + CAPAC SECURIZAT PT. COPII X 20 ML


DANEMARCA
DANEMARCA

NOVARTIS PHARMA GMBH GERMANIA


NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 10 FIOLE X 1 ML
CUTIE X 5 FIOLE X 1 ML
CUTIE X 5 BLIST. X 10 COMPR.
CUTIE X 5 BLIST. X 10 COMPR.

P-RF
P-RF
P-RF
S/P-RF

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 28 COMPR. (BLISTER OPA/AL/PVC/AL) P-RF
GLENMARK PHARMACEUTICALS SRL

REPUBLICA CEHA

CUTIE CU BLIST. AL/AL X 28 COMPR.

P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 28 COMPR. (BLISTER OPA/AL/PVC/AL) P-RF
GLENMARK PHARMACEUTICALS SRL

REPUBLICA CEHA

CUTIE CU BLIST. AL/AL X 28 COMPR.

P-RF

ELI LILLY NEDERLAND BV

OLANDA

CUTIE X 28 COMPR. FILM. ( BLIST.AL ABUTISATE LA RECE)

P-RF

ACCORD HEALTHCARE LIMITED

MAREA BRITANIE

CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-RF

MEDOCHEMIE LTD. CIPRU


CUTIE CU BLIST. AL/AL X 28 COMPR. FILM.
MEDOCHEMIE LTD. CIPRU
CUTIE CU BLIST. AL/AL X 30 COMPR. FILM.
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM.

P-RF
P-RF
P-RF

ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-RF


DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. AL/AL X 35 COMPR. FILM. P-RF
MEDANA PHARMA SA POLONIA CUTIE CU BLIST. OPA-AL/PVC X 30 COMPR. FILM. P-RF
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-RF
PHARMASWISS MEDICINES S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. FILM.
P-RF
LABORMED PHARMA S.A. ROMANIA CUTIE CU 4 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. PRF
SANOFI - AVENTIS ROMANIA S.R.L.

Pagina 74 din 205

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
CANT MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ITAT
L
MAXIMAL/UT 213 alin.(1) lit.
UT (RON)
E
(RON)
(RON)
a) si f)
PT. ADULTI

56
30
28
30
30
30
30
28
28
56
30
30
30
50
20
30
30
25
1
1
5
5
28
30
56
56
56
1
10
50
50
1
10
5
50
50
28
28
28
28
28
28
28
30
30
28
35
30
28
28
28

13.50
14.24
13.17
14.24
14.24
14.25
21.90
20.45
13.28
26.58
28.51
3.78
19.80
19.26
3.20
7.63
10.68
17.72
4.27
6.58
44.00
12.33
479.91
126.35
412.84
536.64
577.08
63.44
70.96
22.85
33.18
32.31
155.96
45.94
105.53
33.25
135.36
138.05
70.63
72.35
205.78
136.18
136.20
143.31
123.43
135.94
167.20
123.36
136.18
113.28
132.15

0.241071
0.474666
0.470357
0.474666
0.474666
0.475000
0.730000
0.730357
0.474285
0.474642
0.950333
0.126000
0.660000
0.385200
0.160000
0.254333
0.356000
0.708800
4.270000
6.580000
8.800000
2.466000
17.139642
4.211666
7.372142
9.582857
10.305000
63.440000
7.096000
0.457000
0.663600
32.310000
15.596000
9.188000
2.110600
0.665000
4.834285
4.930357
2.522500
2.583928
7.349285
4.863571
4.864285
4.777000
4.114333
4.855000
4.777142
4.112000
4.863571
4.045714
4.719642

0.151200
0.474666
0.470357
0.474666
0.474666
0.475000
0.564428
0.564428
0.474285
0.474642
0.950333
0.126000
0.564428
0.385200
0.160000
0.254333
0.356000
0.708800
4.270000
6.580000
8.800000
2.466000
17.139642
4.211666
7.372142
9.582857
10.305000
63.440000
7.096000
0.457000
0.663600
32.310000
15.596000
9.188000
2.110600
0.665000
4.834285
4.854856
2.522500
2.556000
4.854856
4.854856
4.854856
4.777000
4.114333
4.854856
4.777142
4.112000
4.854856
4.045714
4.719642

0.151200
0.474666
0.470357
0.474666
0.474666
0.475000
0.564428
0.564428
0.474285
0.474642
0.950333
0.126000
0.564428
0.385200
0.160000
0.254333
0.356000
0.708800
4.270000
6.580000
8.800000
2.466000
17.139642
4.211666
7.372142
9.582857
10.305000
63.440000
7.096000
0.457000
0.663600
32.310000
15.596000
9.188000
2.110600
0.665000
4.834285
4.854856
2.522500
2.556000
4.854856
4.854856
4.854856
4.777000
4.114333
4.854856
4.777142
4.112000
4.854856
4.045714
4.719642

NR.CRT

86
87
88
89
90
91
92
93
94
95
96
97
98
99

COD ATC

N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03

100 N05AH03
101 N05AH03
102 N05AH03
103 N05AH03
104 N05AH03
105 N05AH03
106 N05AH03
107 N05AH03
108 N05AH03
109 N05AH03
110 N05AH03
111 N05AH03
112 N05AH03
113 N05AH03
114 N05AH03
115 N05AH03
116 N05AH03
117 N05AH03
118 N05AH03
119 N05AH03
120 N05AH03
121 N05AH03
122 N05AH03
123 N05AH03
124 N05AH03
125 N05AH03
126 N05AH03
127 N05AH03
128 N05AH03
129 N05AH03
130 N05AH03
131 N05AH03
132 N05AH03
133 N05AH03
134 N05AH03
135 N05AH03
136 N05AH03

DCI

OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**

Denumire Comerciala

OLANZAPINA ACCORD 15 mg

LAPOZAN 15 mg
ZAPILUX 15 mg
OLANZAPINA DR. REDDY'S 15 mg

OLANZAPINA MEDANA 15 mg

EGOLANZA 15 mg
NYKOB 15 mg
OLANZAPINA LPH 15 mg
OLANZAPINA ACCORD 2,5 mg
OLANZAPINA DR. REDDY'S 2,5 mg

OLANZAPINA ACCORD 20 mg

ZAPILUX 20 mg
OLANZAPINA DR. REDDY'S 20 mg

OLANZAPINA MEDANA 20 mg

EGOLANZA 20 mg
NYKOB 20 mg
OLANZAPINA LPH 20 mg
ZYPREXA 5 mg
OLANZAPINA ACCORD 5 mg
LAPOZAN 5 mg
LAPOZAN 5 mg
OLANZAPINA ACTAVIS 5 mg
BLOONIS 5 mg
OLANZAPINA DR. REDDY'S 5 mg

OLANZAPINA MEDANA 5 mg
EGOLANZA 5 mg
NYKOB 5 mg
OLANZAPINA LPH 5 mg
OLANZAPINA ACCORD 7,5 mg
OLANZAPINA DR. REDDY'S 7,5 mg

ZYPREXA VELOTAB 10 mg
ZALASTA 10mg
OLANZAPINE TEVA 10mg
OLANZAPINA TERAPIA 10 mg

OLAZAX DISPERZI 10 mg
LAPOZAN 10 mg
LAPOZAN 10 mg
BLOONIS 10 mg

forma farm.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE

OLANZAPINA DR. REDDY'S 10 mg

COMPR. ORODISPERSABILE

OLANZAPINA TORRENT 10 mg

COMPR. ORODISPERSABILE

NYKOB 10 mg

COMPR. ORODISPERSABILE

OLANZAPINA ACTAVIS 10 mg

COMPR. ORODISPERSABILE

AEDON 10 mg
IRROPIA 10 mg
ZYPREXA VELOTAB 15 mg
ZALASTA 15mg
OLANZAPINE TEVA 15mg
OLANZAPINA TERAPIA 15 mg

OLAZAX DISPERZI 15 mg
LAPOZAN 15 mg
BLOONIS 15 mg

COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE

concentratie

15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
2,5mg
2,5mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
7,5mg
7,5mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg

DETINATOR APP
ACCORD HEALTHCARE LIMITED

TARA
DET. APP
MAREA BRITANIE

AMBALAJ

Prescriptie

CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-RF

MEDOCHEMIE LTD. CIPRU


CUTIE CU BLIST. AL/AL X 28 COMPR. FILM.
SANDOZ S.R.L.
ROMANIA CUTIE CU 1 BLIST. AL/AL X 28 COMPR. FILM.

P-RF
P-RF

ROMANIA CUTIE CU BLIST. AL/AL X 35 COMPR. FILM. P-RF


MEDANA PHARMA SA POLONIA CUTIE CU BLIST. OPA-AL/PVC X 30 COMPR. FILM. P-RF
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-RF
PHARMASWISS MEDICINES S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. FILM.
P-RF
LABORMED PHARMA S.A. ROMANIA CUTIE CU 4 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. PRF
DR. REDDY'S LABORATORIES

CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-RF

ACCORD HEALTHCARE LIMITED

MAREA BRITANIE

DR. REDDY'S LABORATORIES

ROMANIA CUTIE CU BLIST. AL/AL X 35 COMPR. FILM.

ACCORD HEALTHCARE LIMITED

MAREA BRITANIE

P-RF

CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-RF

SANDOZ S.R.L.

ROMANIA CUTIE CU 1 BLIST. AL/AL X 28 COMPR. FILM. P-RF


ROMANIA CUTIE CU BLIST. AL/AL X 35 COMPR. FILM. P-RF
MEDANA PHARMA SA POLONIA CUTIE CU BLIST. OPA-AL/PVC X 30 COMPR. FILM. P-RF
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-RF
PHARMASWISS MEDICINES S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. FILM.
P-RF
LABORMED PHARMA S.A. ROMANIA CUTIE CU 4 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. PRF
DR. REDDY'S LABORATORIES

ELI LILLY NEDERLAND BV

OLANDA

CUTIE X 28 COMPR. FILM. ( BLIST.AL ABUTISATE LA RECE)

ACCORD HEALTHCARE LIMITED

MAREA BRITANIE

CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-RF

MEDOCHEMIE LTD. CIPRU


CUTIE CU BLIST. AL/AL X 28 COMPR. FILM.
MEDOCHEMIE LTD. CIPRU
CUTIE CU BLIST. AL/AL X 30 COMPR. FILM.
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM.

P-RF

P-RF
P-RF
P-RF

ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-RF


DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. AL/AL X 35 COMPR. FILM. P-RF
MEDANA PHARMA SA POLONIA CUTIE CU BLIST. OPA-AL/PVC X 30 COMPR. FILM. P-RF
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-RF
PHARMASWISS MEDICINES S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. FILM.
P-RF
LABORMED PHARMA S.A. ROMANIA CUTIE CU 4 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. PRF
SANOFI - AVENTIS ROMANIA S.R.L.

CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-RF

ACCORD HEALTHCARE LIMITED

MAREA BRITANIE

DR. REDDY'S LABORATORIES

ROMANIA CUTIE CU BLIST. AL/AL X 35 COMPR. FILM.

P-RF

ELI LILLY NEDERLAND BV

OLANDA

CUTIE X 28COMPR. ORODISPERSABILE (BLIST. AL/AL )

P-RF

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE X 28 COMPR.ORODISPERSABILE. (BLISTER OPA/AL/PVC/AL)

P-RF

TEVA PHARMA BV
TERAPIA S.A.

OLANDA

CUTIE X 30 COMPR. FILM. (BLIST. OPA-AL-PVC/AL) P-RF

GLENMARK PHARMACEUTICALS SRL

REPUBLICA CEHA

ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR.

P-RF

CUTIE CU BLIST. AL/AL X 28 COMPR. ORODISPERSABILE

P-RF

CUTIE CU BLIST. AL/AL X 30 COMPR. ORODISPERSABILE

P-RF

CUTIE CU BLIST. AL/AL X 50 COMPR. ORODISPERSABILE

P-RF

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE

P-RF

CUTIE CU BLIST. OPA-AL-PVC/AL X 35 COMPR. ORODISPERSABILE

P-RF

TORRENT PHARMA GMBH GERMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE

P-RF

PHARMASWISS MEDICINES S.R.L.

ROMANIA

CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE

P-RF

ACTAVIS GROUP PTC EHF.

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE

P-RF

LANNACHER HEILMITTEL GES.M.B.H.

ISLANDA
AUSTRIA

CUTIE CU BLIST. PA-AL-PVC/AL X 30 COMPR. ORODISPERSABILE

P-RF

ROMASTRU TRADING S.R.L.

ROMANIA

CUTIE CU 4 BLIST. AL/AL X 7 COMPR. ORODISPERSABILE

PRF

ELI LILLY NEDERLAND BV

OLANDA

CUTIE X 28COMPR. ORODISPERSABILE (BLIST. AL/AL )

P-RF

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE X 28 COMPR.ORODISPERSABILE. (BLISTER OPA/AL/PVC/AL)

P-RF

TEVA PHARMA BV
TERAPIA S.A.

OLANDA

CUTIE X 30 COMPR. FILM. (BLIST. OPA-AL-PVC/AL) P-RF

GLENMARK PHARMACEUTICALS SRL

REPUBLICA CEHA

MEDOCHEMIE LTD. CIPRU


MEDOCHEMIE LTD. CIPRU
SANOFI - AVENTIS ROMANIA S.R.L.

DR. REDDY'S LABORATORIES

ROMANIA
ROMANIA

ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR.

P-RF

CUTIE CU BLIST. AL/AL X 28 COMPR. ORODISPERSABILE

P-RF

CUTIE CU BLIST. AL/AL X 30 COMPR. ORODISPERSABILE

P-RF

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE

P-RF

MEDOCHEMIE LTD. CIPRU


SANOFI - AVENTIS ROMANIA S.R.L.

ROMANIA

Pagina 75 din 205

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
CANT MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ITAT
L
MAXIMAL/UT 213 alin.(1) lit.
UT (RON)
E
(RON)
(RON)
a) si f)
PT. ADULTI

28
28
28
35
30
28
28
28
28
35
28
28
35
30
28
28
28
28
28
28
30
30
28
35
30
28
28
28
28
35
28
28
30
28
28
30
50
28
35
28
28
28
30
28
28
28
30
28
28
30
28

200.63
195.04
420.15
637.72
181.71
202.77
169.61
194.31
37.13
102.40
267.50
536.65
826.67
243.10
271.26
226.14
259.10
108.50
71.78
71.78
75.56
65.07
71.57
88.15
64.99
71.78
59.64
68.08
105.78
292.65
461.59
135.36
141.04
135.36
138.05
146.87
244.79
135.94
387.33
242.32
113.28
119.31
324.51
132.68
610.51
201.43
211.57
201.43
203.46
251.58
203.51

7.165357
6.965714
15.005357
18.220571
6.057000
7.241785
6.057500
6.939642
1.326071
2.925714
9.553571
19.166071
23.619142
8.103333
9.687857
8.076428
9.253571
3.875000
2.563571
2.563571
2.518666
2.169000
2.556071
2.518571
2.166333
2.563571
2.130000
2.431428
3.777857
8.361428
16.485357
4.834285
4.701333
4.834285
4.930357
4.895666
4.895800
4.855000
11.066571
8.654285
4.045714
4.261071
10.817000
4.738571
21.803928
7.193928
7.052333
7.193928
7.266428
8.386000
7.268214

7.165357
6.965714
7.268400
7.268400
6.057000
7.241785
6.057500
6.939642
1.326071
1.591285
9.553571
9.691713
9.691713
8.103333
9.687857
8.076428
9.253571
2.556000
2.556000
2.556000
2.518666
2.169000
2.556000
2.518571
2.166333
2.556000
2.130000
2.431428
3.777857
4.533428
4.854856
4.834285
4.701333
4.834285
4.854856
4.854856
4.854856
4.854856
4.854856
4.854856
4.045714
4.261071
4.854856
4.738571
7.268400
7.193928
7.052333
7.193928
7.266428
7.268400
7.268214

7.165357
6.965714
7.268400
7.268400
6.057000
7.241785
6.057500
6.939642
1.326071
1.591285
9.553571
9.691713
9.691713
8.103333
9.687857
8.076428
9.253571
2.556000
2.556000
2.556000
2.518666
2.169000
2.556000
2.518571
2.166333
2.556000
2.130000
2.431428
3.777857
4.533428
4.854856
4.834285
4.701333
4.834285
4.854856
4.854856
4.854856
4.854856
4.854856
4.854856
4.045714
4.261071
4.854856
4.738571
7.268400
7.193928
7.052333
7.193928
7.266428
7.268400
7.268214

COD ATC

DCI

137 N05AH03

OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
SULPIRIDUM
SULPIRIDUM
AMISULPRIDUM**
AMISULPRIDUM**
AMISULPRIDUM**
AMISULPRIDUM**
AMISULPRIDUM**

NR.CRT

138 N05AH03
139 N05AH03
140 N05AH03
141 N05AH03
142 N05AH03
143 N05AH03
144 N05AH03
145 N05AH03
146 N05AH03
147 N05AH03
148 N05AH03
149 N05AH03
150 N05AH03
151 N05AH03
152 N05AH03
153 N05AH03
154 N05AH03
155 N05AH03
156 N05AH03
157 N05AH03
158 N05AH03
159 N05AH03
160 N05AH03
161 N05AH03
162 N05AH03
163 N05AH03
164 N05AH03
165 N05AH03
166 N05AH03
167 N05AH03
168 N05AH03
169 N05AH03
170 N05AH03
171 N05AH03
172 N05AH03
173 N05AH03
174 N05AH03
175 N05AH03
176 N05AH04
177 N05AH04
178 N05AH04
179 N05AH04
180 N05AH04
181 N05AL01
182 N05AL01
183 N05AL05
184 N05AL05
185 N05AL05
186 N05AL05
187 N05AL05

Denumire Comerciala

forma farm.

OLANZAPINA DR. REDDY'S 15 mg

COMPR. ORODISPERSABILE

OLANZAPINA TORRENT 15 mg

NYKOB 15 mg
OLANZAPINA ACTAVIS 15 mg

AEDON 15 mg
IRROPIA 15 mg
ZYPREXA VELOTAB 20 mg
ZALASTA 20mg
OLANZAPINE TEVA 20mg
OLANZAPINA TERAPIA 20 mg

OLAZAX DISPERZI 20 mg
BLOONIS 20 mg
OLANZAPINA DR. REDDY'S 20 mg

OLANZAPINA TORRENT 20 mg

NYKOB 20 mg
OLANZAPINA ACTAVIS 20 mg

AEDON 20 mg
IRROPIA 20 mg
ZYPREXA VELOTAB 5 mg
ZALASTA 5mg
OLANZAPINE TEVA 5mg
OLANZAPINA TERAPIA 5 mg
OLAZAX DISPERZI 5 mg
LAPOZAN 5 mg
LAPOZAN 5 mg
OLANZAPINA DR. REDDY'S 5 mg

OLANZAPINA TORRENT 5 mg

NYKOB 5 mg
OLANZAPINA ACTAVIS 5 mg
AEDON 5 mg
IRROPIA 5 mg
ZAPILUX 10 mg
ZAPILUX 15 mg
ZAPILUX 20 mg
ZAPILUX 5 mg
ZYPADHERA 210mg
ZYPADHERA 300mg
ZYPADHERA 405mg
ZYPREXA 10 mg
SEROQUEL XR 150 mg
SEROQUEL XR 200 mg
SEROQUEL XR 300 mg
SEROQUEL XR 400 mg
SEROQUEL XR 50 mg
EGLONYL (R) 50 mg
EGLONYL (R) 200 mg
AMISULPRIDA LPH 100 mg
AMISAN 200 mg
AMISULPRIDA LPH 200 mg
MIDORA 200 mg
SOLIAN 200 mg

concentratie

15mg
COMPR. ORODISPERSABILE 15mg
COMPR. ORODISPERSABILE 15mg
COMPR. ORODISPERSABILE 15mg
COMPR. ORODISPERSABILE 15mg
COMPR. ORODISPERSABILE 15mg
COMPR. ORODISPERSABILE 20mg
COMPR. ORODISPERSABILE 20mg
COMPR. ORODISPERSABILE 20mg
COMPR. ORODISPERSABILE 20mg
COMPR. ORODISPERSABILE 20mg
COMPR. ORODISPERSABILE 20mg
COMPR. ORODISPERSABILE 20mg
COMPR. ORODISPERSABILE 20mg
COMPR. ORODISPERSABILE 20mg
COMPR. ORODISPERSABILE 20mg
COMPR. ORODISPERSABILE 20mg
COMPR. ORODISPERSABILE 20mg
COMPR. ORODISPERSABILE 5mg
COMPR. ORODISPERSABILE 5mg
COMPR. ORODISPERSABILE 5mg
COMPR. ORODISPERSABILE 5mg
COMPR. ORODISPERSABILE 5mg
COMPR. ORODISPERSABILE 5mg
COMPR. ORODISPERSABILE 5mg
COMPR. ORODISPERSABILE 5mg
COMPR. ORODISPERSABILE 5mg
COMPR. ORODISPERSABILE 5mg
COMPR. ORODISPERSABILE 5mg
COMPR. ORODISPERSABILE 5mg
COMPR. ORODISPERSABILE 5mg
FILM ORODISPERSABIL 10mg
FILM ORODISPERSABIL 15mg
FILM ORODISPERSABIL 20mg
FILM ORODISPERSABIL 5mg
210mg
300mg
405mg
PULB. PT. SOL. INJ. 10mg
COMPR. ELIB. PREL. 150mg
COMPR. FILM. ELIB. PREL. 200mg
COMPR. FILM. ELIB. PREL. 300mg
COMPR. FILM. ELIB. PREL. 400mg
COMPR. FILM. ELIB. PREL. 50mg
CAPS.
50mg
COMPR.
200mg
COMPR.
100mg
COMPR.
200mg
COMPR.
200mg
COMPR.
200mg
COMPR. DIVIZ. 200mg

TARA
DET. APP
ROMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 35 COMPR. ORODISPERSABILE

P-RF

TORRENT PHARMA GMBH GERMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE

P-RF

DETINATOR APP
DR. REDDY'S LABORATORIES

PHARMASWISS MEDICINES S.R.L.

ROMANIA

ACTAVIS GROUP PTC EHF.


LANNACHER HEILMITTEL GES.M.B.H.

ISLANDA
AUSTRIA

ROMASTRU TRADING S.R.L.

ELI LILLY NEDERLAND BV

AMBALAJ

Prescriptie

CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE

P-RF

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE

P-RF

CUTIE CU BLIST. PA-AL-PVC/AL X 30 COMPR. ORODISPERSABILE

P-RF

ROMANIA

CUTIE CU 4 BLIST. AL/AL X 7 COMPR. ORODISPERSABILE

PRF

OLANDA

CUTIE X 28COMPR. ORODISPERSABILE (BLIST. AL/AL )

P-RF

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE X 28 COMPR.ORODISPERSABILE. (BLISTER OPA/AL/PVC/AL)

P-RF

TEVA PHARMA BV
TERAPIA S.A.

OLANDA

CUTIE X 30 COMPR. FILM. (BLIST. OPA-AL-PVC/AL) P-RF

GLENMARK PHARMACEUTICALS SRL

REPUBLICA CEHA

ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR.

P-RF

CUTIE CU BLIST. AL/AL X 28 COMPR. ORODISPERSABILE

P-RF

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE

P-RF

CUTIE CU BLIST. OPA-AL-PVC/AL X 35 COMPR. ORODISPERSABILE

P-RF

TORRENT PHARMA GMBH GERMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE

P-RF

PHARMASWISS MEDICINES S.R.L.

ROMANIA

CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE

P-RF

ACTAVIS GROUP PTC EHF.

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE

P-RF

LANNACHER HEILMITTEL GES.M.B.H.

ISLANDA
AUSTRIA

CUTIE CU BLIST. PA-AL-PVC/AL X 30 COMPR. ORODISPERSABILE

P-RF

ROMASTRU TRADING S.R.L.

ROMANIA

CUTIE CU 4 BLIST. AL/AL X 7 COMPR. ORODISPERSABILE

PRF

ELI LILLY NEDERLAND BV

OLANDA

CUTIE X 28COMPR. ORODISPERSABILE (BLIST. AL/AL )

P-RF

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE X 28 COMPR.ORODISPERSABILE. (BLISTER OPA/AL/PVC/AL)

P-RF

TEVA PHARMA BV
TERAPIA S.A.

OLANDA

CUTIE X 30 COMPR. FILM. (BLIST. OPA-AL-PVC/AL) P-RF

GLENMARK PHARMACEUTICALS SRL

REPUBLICA CEHA

SANOFI - AVENTIS ROMANIA S.R.L.

DR. REDDY'S LABORATORIES

ROMANIA
ROMANIA

ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR.

P-RF

CUTIE CU BLIST. AL/AL X 28 COMPR. ORODISPERSABILE

P-RF

CUTIE CU BLIST. AL/AL X 30 COMPR. ORODISPERSABILE

P-RF

CUTIE CU BLIST. AL/AL X 50 COMPR. ORODISPERSABILE

P-RF

ROMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 35 COMPR. ORODISPERSABILE

P-RF

TORRENT PHARMA GMBH GERMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE

P-RF

PHARMASWISS MEDICINES S.R.L.

ROMANIA

CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE

P-RF

ACTAVIS GROUP PTC EHF.

ISLANDA
AUSTRIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE

P-RF

CUTIE CU BLIST. PA-AL-PVC/AL X 30 COMPR. ORODISPERSABILE

P-RF

CUTIE CU 4 BLIST. AL/AL X 7 COMPR. ORODISPERSABILE

PRF

CUTIE CU PLICULETE PET/AL/PE X 28 FILME ORODISPERSABILE

P-RF

CUTIE CU PLICULETE PET/AL/PE X 28 FILME ORODISPERSABILE

P-RF

CUTIE CU PLICULETE PET/AL/PE X 28 FILME ORODISPERSABILE

P-RF

MEDOCHEMIE LTD. CIPRU


MEDOCHEMIE LTD. CIPRU
DR. REDDY'S LABORATORIES

LANNACHER HEILMITTEL GES.M.B.H.

ROMASTRU TRADING S.R.L.

SANDOZ S.R.L.
SANDOZ S.R.L.
SANDOZ S.R.L.
SANDOZ S.R.L.

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE CU PLICULETE PET/AL/PE X 28 FILME ORODISPERSABILE

P-RF

CUTIE X 1 FLAC X 210MG PULB. + 1 FLAC. X 3ML SOLVENT

P-RF/R

CUTIE X 1 FLAC X 300MG PULB. + 1 FLAC. X 3ML SOLVENT

P-RF/R

CUTIE X 1 FLAC X 405MG PULB. + 1 FLAC. X 3ML SOLVENT

P-RF/R

ELI LILLY NEDERLAND BV

OLANDA
OLANDA
OLANDA
OLANDA

ASTRAZENECA UK LIMITED

MAREA BRITANIE

CUTIE CU 6 BLIST. PVC-PCTFE/AL X 10 COMPR. ELIB. PREL.

P-RF

ASTRAZENECA UK LTD.

MAREA BRITANIE

CUTIE X 6 BLIST. OPACE AL/PVC-PCTFE X 10 COMPR. FILM. ELIB. PREL.

P-RF

ASTRAZENECA UK LTD.

MAREA BRITANIE

CUTIE X 6 BLIST. OPACE AL/PVC-PCTFE X 10 COMPR. FILM. ELIB. PREL.

P-RF

ASTRAZENECA UK LIMITED

MAREA BRITANIE

CUTIE X 6 BLIST. PVC-PCTFE/AL X 10 COMPR. CU ELIB. PREL.

P-RF

ASTRAZENECA UK LTD.

MAREA BRITANIE

CUTIE X 6 BLIST. OPACE DIN AL/PVC-PCTFE X 10 COMPR. FILM. ELIB. PREL.

P-RF

PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL.

ELI LILLY NEDERLAND BV

PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL.

ELI LILLY NEDERLAND BV

PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL.

ELI LILLY NEDERLAND BV

CUTIE X 1 FLAC. X 10 MG PULB.PT.SOL.INJ. P-RF

P-RF

SANOFI-SYNTHELABO FRANCE

FRANTA CUTIE X 2 BLIST. X 15 CAPS.


FRANTA CUTIE X 1 BLIST. X 12 COMPR.

LABORMED PHARMA S.A.

ROMANIA

CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR.

P-RF

PRO. MED. CS PRAHA AS

REPUBLICA CEHA

CUTIE CU BLIST. PVC/AL X 30 COMPR.

P-RF

LABORMED PHARMA S.A.

P-RF

TERAPIA S.A.

ROMANIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR.


ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR.

SANOFI-AVENTIS FRANCE

FRANTA

SANOFI-SYNTHELABO FRANCE

Pagina 76 din 205

P-RF

P-RF

CUTIE X 3 BLIST. AL/PVC X 10 COMPR. DIVIZ. P-RF

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
CANT MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ITAT
L
MAXIMAL/UT 213 alin.(1) lit.
UT (RON)
E
(RON)
(RON)
a) si f)
PT. ADULTI

35
28
28
28
30
28
28
28
30
28
28
28
35
28
28
28
30
28
28
28
30
28
28
30
50
35
28
28
28
30
28
28
28
28
28
1
1
1
1
60
60
60
60
60
30
12
30
30
30
30
30

509.32
355.25
169.61
169.70
446.68
199.50
1,002.51

268.58
282.09
268.58
271.23
271.37
826.67
468.20
226.14
226.28
702.23
265.89
240.67
70.63
74.38
72.70
72.35
77.38
124.52
195.55
124.52
59.64
62.82
162.23
70.11
312.90
421.63
676.42
156.43
883.96

14.552000
7.268400
7.268400
12.687500
7.268400
7.268400
6.057500
6.057500
6.057500
6.060714
6.060714
6.060714
14.889333
7.268400
7.268400
7.125000
7.125000
7.125000
35.803928
9.691713
9.691713
9.592142
9.592142
9.592142
9.403000
9.403000
9.403000
9.592142
9.592142
9.592142
9.686785
9.686785
9.686785
9.691785
9.691713
9.691713
23.619142
9.691713
9.691713
16.721428
9.691713
9.691713
8.076428
8.076428
8.076428
8.081428
8.081428
8.081428
23.407666
9.691713
9.691713
9.496071
9.496071
9.496071
8.595357
2.556000
2.556000
2.522500
2.522500
2.522500
2.479333
2.479333
2.479333
2.596428
2.556000
2.556000
2.583928
2.556000
2.556000
2.579333
2.556000
2.556000
2.490400
2.490400
2.490400
5.587142
2.556000
2.556000
4.447142
2.556000
2.556000
2.130000
2.130000
2.130000
2.243571
2.243571
2.243571
5.407666
2.556000
2.556000
2.503928
2.503928
2.503928
11.175000
4.854856
4.854856
15.058214
7.268400
7.268400
24.157857
9.691713
9.691713
5.586785
2.556000
2.556000
883.960000 883.960000 883.960000

1,364.46 1,364.460000 1,364.460000 1,364.460000


1,697.06 1,697.060000 1,697.060000 1,697.060000

19.72
440.12
440.12
570.17
735.28
229.31
10.65
10.40
55.89
84.93
84.93
84.59
126.15

19.720000
7.335333
7.335333
9.502833
12.254666
3.821833
0.355000
0.866666
1.863000
2.831000
2.831000
2.819666
4.205000

19.720000
7.335333
7.335333
9.502833
12.254666
3.821833
0.355000
0.866666
1.863000
2.831000
2.831000
2.819666
3.383599

19.720000
7.335333
7.335333
9.502833
12.254666
3.821833
0.355000
0.866666
1.863000
2.831000
2.831000
2.819666
3.383599

COD ATC

DCI

188 N05AL05

AMISULPRIDUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**

NR.CRT

189 N05AX08
190 N05AX08
191 N05AX08
192 N05AX08
193 N05AX08
194 N05AX08
195 N05AX08
196 N05AX08
197 N05AX08
198 N05AX08
199 N05AX08
200 N05AX08
201 N05AX08
202 N05AX08
203 N05AX08
204 N05AX08
205 N05AX08
206 N05AX08
207 N05AX08
208 N05AX08
209 N05AX08
210 N05AX08
211 N05AX08
212 N05AX08
213 N05AX08
214 N05AX08
215 N05AX08
216 N05AX08
217 N05AX08
218 N05AX08
219 N05AX08
220 N05AX08
221 N05AX08
222 N05AX08
223 N05AX08
224 N05AX08
225 N05AX08
226 N05AX08
227 N05AX08
228 N05AX08
229 N05AX08
230 N05AX08
231 N05AX08
232 N05AX08
233 N05AX08
234 N05AX08
235 N05AX08
236 N05AX08
237 N05AX08
238 N05AX08

Denumire Comerciala

SOLIAN 400 mg
RILEPTID 1 mg
RISPERIDONE TEVA 1 mg
RISPERIDONE TEVA 1 mg
RISPERIDONA 1 mg
RISPERIDONA ACCORD 1 mg

SPRING 1 mg
SPRING 1 mg
SPRING 1 mg
RISPERIDONA FARMAL 1 mg
RISPERIDONE TORRENT 1 mg

RONYDAL 1 mg
XENOMA 1 mg
XENOMA 1 mg
RISPEN 1
RISPEN 2
RILEPTID 2 mg
RISPERIDONE TEVA 2 mg
RISPERIDONE TEVA 2 mg
RISON 2 mg
RISPERIDONA 2 mg
RISPERIDONA MEDOCHEMIE 2 mg

RISPERIDONA ACCORD 2 mg

SPRING 2 mg
SPRING 2 mg
SPRING 2 mg
ESSENS 2 mg
RISPERIDONA FARMAL 2 mg
RISPERIDONE TORRENT 2 mg

RISPEMAR 2 mg
RISPEMAR 2 mg
RONYDAL 2 mg
XENOMA 2 mg
RILEPTID 3 mg
TORENDO 3 mg
RISPERIDONE TEVA 3 mg
RISPERIDONE TEVA 3 mg
RISON 3 mg
RISPERIDONA 3 mg
RISPERIDONA ACCORD 3 mg

SPRING 3 mg
SPRING 3 mg
SPRING 3 mg
ESSENS 3 mg
RISPERIDONA FARMAL 3 mg
RISPERIDONE TORRENT 3 mg

RISPEMAR 3 mg
RISPEMAR 3 mg
RONYDAL 3 mg
XENOMA 3 mg
RISPEN 3

forma farm.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

concentratie

400mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
2 mg
2mg
2mg
2mg
2mg
2mg
2mg
2mg
2mg
2mg
2mg
2mg
2mg
2mg
2mg
2mg
2mg
2mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg

DETINATOR APP

TARA
DET. APP

SANOFI-AVENTIS FRANCE

FRANTA

UNGARIA
TEVA PHARMACEUTICAL S.R.L. ROMANIA
TEVA PHARMACEUTICAL S.R.L. ROMANIA
ARENA GROUP S.A. ROMANIA
EGIS PHARMACEUTICALS P.L.C.

AMBALAJ

Prescriptie

CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

P-RF

CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

P-RF

CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

P-RF

CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

P-RF

CUTIE X 2 BLIST. PVC-PE-PVDC/AL-PVDC X 10 COMPR. FILM. P-RF

ACCORD HEALTHCARE LIMITED

MAREA BRITANIE

CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR.

P-RF

ANTIBIOTICE S.A.
ANTIBIOTICE S.A.
ANTIBIOTICE S.A.

ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM.

P-RF

CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM.

P-RF

CUTIE X 6 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM.

P-RF

CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM.

P-RF

TORRENT PHARMA GMBH GERMANIA

CUTIE X 2 BLIST. PVC-PEJD-PVDC/AL X 10 COMPR. FILM.

P-RF

CUTIE CU 6 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM.

P-RF

CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM.

P-RF

DR. REDDY'S LABORATORIES

ROMANIA
ROMANIA
ROMANIA

CUTIE X 6 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM.

P-RF

ZENTIVA KS
ZENTIVA KS

CEHIA
CEHIA

CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

P-RF

CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

P-RF

EGIS PHARMACEUTICALS P.L.C.

UNGARIA
ROMANIA
ROMANIA

CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

P-RF

CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

P-RF

CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

P-RF

ACTAVIS GROUP HF. ISLANDA


ARENA GROUP S.A. ROMANIA

CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

P-RF

CUTIE X 2 BLIST. PVC-PE-PVDC/AL-PVDC X 10 COMPR. FILM. P-RF

FARMAL INTERNATIONAL S.R.L.

ROMASTRU TRADING SRL


DR. REDDY'S LABORATORIES

TEVA PHARMACEUTICALS S.R.L.


TEVA PHARMACEUTICALS S.R.L.

MEDOCHEMIE LTD. CIPRU

CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM.

P-RF

ACCORD HEALTHCARE LIMITED

MAREA BRITANIE

CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

P-RF

ANTIBIOTICE S.A.
ANTIBIOTICE S.A.
ANTIBIOTICE S.A.
TERAPIA SA

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM.

P-RF

CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM.

P-RF

CUTIE X 6 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM.

P-RF

CUTIE X 3 BLIST. PVDC-PVC/AL X 10 COMPR. FILM.

P-RF

CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM.

P-RF

TORRENT PHARMA GMBH GERMANIA

CUTIE X 2 BLIST. PVC-PEJD-PVDC/AL X 10 COMPR. FILM.

P-RF

ICN POLFA RZESZOW POLONIA


ICN POLFA RZESZOW POLONIA
ROMASTRU TRADING SRL ROMANIA
DR. REDDY'S LABORATORIES ROMANIA
EGIS PHARMACEUTICALS P.L.C. UNGARIA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 20 COMPR. FILM.

P-RF

CUTIE CU BLIST. PVC-PE-PVDC/AL X 60 COMPR. FILM.

P-RF

CUTIE CU 6 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM.

P-RF

CUTIE X 6 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM.

P-RF

CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

P-RF

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM.

P-RF

ROMANIA
ROMANIA

CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

P-RF

CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

P-RF

ACTAVIS GROUP HF. ISLANDA


ARENA GROUP S.A. ROMANIA

CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

P-RF

FARMAL INTERNATIONAL S.R.L.

TEVA PHARMACEUTICALS S.R.L.


TEVA PHARMACEUTICALS S.R.L.

CUTIE X 2 BLIST. PVC-PE-PVDC/AL-PVDC X 10 COMPR. FILM. P-RF

ACCORD HEALTHCARE LIMITED

MAREA BRITANIE

CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

P-RF

ANTIBIOTICE S.A.
ANTIBIOTICE S.A.
ANTIBIOTICE S.A.
TERAPIA SA

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM.

P-RF

CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM.

P-RF

CUTIE X 6 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM.

P-RF

CUTIE X 3 BLIST. PVDC-PVC/AL X 10 COMPR. FILM.

P-RF

CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM.

P-RF

TORRENT PHARMA GMBH GERMANIA

CUTIE X 2 BLIST. PVC-PEJD-PVDC/AL X 10 COMPR. FILM.

P-RF

ICN POLFA RZESZOW POLONIA


ICN POLFA RZESZOW POLONIA
ROMASTRU TRADING SRL ROMANIA
DR. REDDY'S LABORATORIES ROMANIA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 20 COMPR. FILM.

P-RF

CUTIE CU BLIST. PVC-PE-PVDC/AL X 60 COMPR. FILM.

P-RF

CUTIE CU 6 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM.

P-RF

CUTIE X 6 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM.

P-RF

ZENTIVA KS

CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

P-RF

FARMAL INTERNATIONAL S.R.L.

CEHIA

Pagina 77 din 205

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
CANT MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ITAT
L
MAXIMAL/UT 213 alin.(1) lit.
UT (RON)
E
(RON)
(RON)
a) si f)
PT. ADULTI

30 126.94
60 50.76
20
8.24
60 24.33
20
8.67
60 23.27
20 10.18
30 15.27
60 30.00
50 23.67
20
6.89
60 23.74
20
8.00
60 23.98
50 23.36
50 45.20
60 100.15
20 15.89
60 46.15
20 17.72
20 17.29
20 20.43
60 44.26
20 21.46
30 32.17
60 62.05
30 24.13
50 43.94
20 16.02
20 17.38
60 52.04
60 52.77
60 45.51
60 143.55
30 34.22
20 26.86
60 74.59
20 27.12
20 29.26
60 68.91
20 34.04
30 51.01
60 95.39
30 39.56
50 66.75
20 27.18
20 26.47
60 74.40
60 81.57
60 73.91
50 65.54

4.231333
0.846000
0.412000
0.405500
0.433500
0.387833
0.509000
0.509000
0.500000
0.473400
0.344500
0.395666
0.400000
0.399666
0.467200
0.904000
1.669166
0.794500
0.769166
0.886000
0.864500
1.021500
0.737666
1.073000
1.072333
1.034166
0.804333
0.878800
0.801000
0.869000
0.867333
0.879500
0.758500
2.392500
1.140666
1.343000
1.243166
1.356000
1.463000
1.148500
1.702000
1.700333
1.589833
1.318666
1.335000
1.359000
1.323500
1.240000
1.359500
1.231833
1.310800

4.231333
0.413400
0.412000
0.405500
0.413400
0.387833
0.413400
0.413400
0.413400
0.413400
0.344500
0.395666
0.400000
0.399666
0.413400
0.885199
0.885199
0.794500
0.769166
0.885199
0.864500
0.885199
0.737666
0.885199
0.885199
0.885199
0.804333
0.878800
0.801000
0.869000
0.867333
0.879500
0.758500
1.368799
1.140666
1.343000
1.243166
1.356000
1.368799
1.148500
1.368799
1.368799
1.368799
1.318666
1.335000
1.359000
1.323500
1.240000
1.359500
1.231833
1.310800

4.231333
0.413400
0.412000
0.405500
0.413400
0.387833
0.413400
0.413400
0.413400
0.413400
0.344500
0.395666
0.400000
0.399666
0.413400
0.885199
0.885199
0.794500
0.769166
0.885199
0.864500
0.885199
0.737666
0.885199
0.885199
0.885199
0.804333
0.878800
0.801000
0.869000
0.867333
0.879500
0.758500
1.368799
1.140666
1.343000
1.243166
1.356000
1.368799
1.148500
1.368799
1.368799
1.368799
1.318666
1.335000
1.359000
1.323500
1.240000
1.359500
1.231833
1.310800

NR.CRT

COD ATC

239 N05AX08
240 N05AX08
241 N05AX08
242 N05AX08
243 N05AX08
244 N05AX08
245 N05AX08
246 N05AX08
247 N05AX08
248 N05AX08
249 N05AX08
250 N05AX08
251 N05AX08
252 N05AX08
253 N05AX08
254 N05AX08
255 N05AX08
256 N05AX08
257 N05AX08
258 N05AX08
259 N05AX08
260 N05AX08
261 N05AX08
262 N05AX08
263 N05AX08
264 N05AX08
265 N05AX08
266 N05AX08
267 N05AX08
268 N05AX08
269 N05AX08
270 N05AX08
271 N05AX12
272 N05AX12
273 N05AX12
274 N06AB04
275 N06AB04
276 N06AB04
277 N06AB04
278 N06AB04
279 N06AB04
280 N06AB04
281 N06AB04
282 N06AB04
283 N06AB10
284 N06AX05
285 N06AX05
286 N06AX05
287 N06AX14
288 N06AX16
289 N06AX16

DCI

RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
ARIPIPRAZOLUM**
ARIPIPRAZOLUM**
ARIPIPRAZOLUM**
CITALOPRAMUM**
CITALOPRAMUM**
CITALOPRAMUM**
CITALOPRAMUM**
CITALOPRAMUM**
CITALOPRAMUM**
CITALOPRAMUM**
CITALOPRAMUM**
CITALOPRAMUM**
ESCITALOPRAMUM**
TRAZODONUM**
TRAZODONUM**
TRAZODONUM**
TIANEPTINUM**
VENLAFAXINUM**
VENLAFAXINUM**

forma farm.
RISPEN 4
COMPR. FILM.
RILEPTID 4 mg
COMPR. FILM.
TORENDO 4 mg
COMPR. FILM.
RISPERIDONE TEVA 4 mg COMPR. FILM.
RISPERIDONE TEVA 4 mg COMPR. FILM.
RISON 4 mg
COMPR. FILM.
RISPERIDONA 4 mg
COMPR. FILM.
RISPERIDONA MEDOCHEMIE 4 mg COMPR. FILM.
ESSENS 4 mg
COMPR. FILM.
SPRING 4 mg
COMPR. FILM.
SPRING 4 mg
COMPR. FILM.
SPRING 4 mg
COMPR. FILM.
RISPERIDONA FARMAL 4 mg COMPR. FILM.
RISPERIDONE TORRENT 4 mg COMPR. FILM.
RISPEMAR 4 mg
COMPR. FILM.
RISPEMAR 4 mg
COMPR. FILM.
RONYDAL 4 mg
COMPR. FILM.
XENOMA 4 mg
COMPR. FILM.
ESSENS 6 mg
COMPR. FILM.
Denumire Comerciala

TORENDO Q-TAB 1 mg
ESSENS OD 1 mg
TORENDO Q-TAB 2 mg
ESSENS OD 2 mg
ESSENS OD 3 mg
RISPOLEPT CONSTA (R) 25 mg

RISPOLEPT CONSTA 25 mg
RISPOLEPT CONSTA (R) 37,5 mg

RISPOLEPT CONSTA 37,5 mg


RISPOLEPT CONSTA (R) 50 mg

RISPOLEPT CONSTA 50 mg
RISPOLEPT
RISPOLEPT
ABILIFY 10mg
ABILIFY 15mg
ABILIFY 7,5mg/ml
CITALORAN 10 mg
LINISAN 10 mg
DALSAN 10 mg
CITALORAN 20mg
LINISAN 20 mg
DALSAN 20 mg
CITALORAN 40 mg
LINISAN 40 mg
DALSAN 40 mg
CIPRALEX 10 mg
TRITTICO AC 150 mg
TRITTICO AC 75 mg
TRITTICO AC 75 mg
COAXIL (R)
IVRYX 150mg
EFECTIN ER 150 mg

COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL.

PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL.

PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL.

PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL.

PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL.

PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL.

SOL. ORALA
SOL. ORALA
COMPR.
COMPR.
SOL. INJ.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.

DRAJ.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.

concentratie

4 mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
6mg
1mg
1mg
2mg
2mg
3mg
25mg
25mg
37,5mg
37,5mg
50mg
50mg
1mg/ml
1mg/ml
10mg
15mg
7,5mg/ml
10mg
10mg
10mg
20mg
20mg
20mg
40mg
40mg
40mg
10mg
150mg
75mg
75mg
12,5mg
150 mg
150mg

DETINATOR APP

TARA
DET. APP

AMBALAJ

Prescriptie

ZENTIVA KS

CEHIA

CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

P-RF

EGIS PHARMACEUTICALS P.L.C.

UNGARIA

CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

P-RF

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM.

P-RF

ROMANIA
ROMANIA

CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

P-RF

CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

P-RF

ACTAVIS GROUP HF. ISLANDA


ARENA GROUP S.A. ROMANIA

CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

P-RF

TEVA PHARMACEUTICALS S.R.L.


TEVA PHARMACEUTICALS S.R.L.

MEDOCHEMIE LTD.
TERAPIA SA
ANTIBIOTICE S.A.
ANTIBIOTICE S.A.
ANTIBIOTICE S.A.

CUTIE X 2 BLIST. PVC-PE-PVDC/AL-PVDC X 10 COMPR. FILM. P-RF

CIPRU

CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM.

P-RF

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

P-RF

CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM.

P-RF

CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM.

P-RF

CUTIE X 6 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM.

P-RF

CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM.

P-RF

TORRENT PHARMA GMBH GERMANIA

CUTIE X 2 BLIST. PVC-PEJD-PVDC/AL X 10 COMPR. FILM.

P-RF

ICN POLFA RZESZOW POLONIA


ICN POLFA RZESZOW POLONIA
ROMASTRU TRADING SRL ROMANIA
DR. REDDY'S LABORATORIES ROMANIA
TERAPIA SA
ROMANIA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 20 COMPR. FILM.

P-RF

CUTIE CU BLIST. PVC-PE-PVDC/AL X 60 COMPR. FILM.

P-RF

CUTIE CU 6 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM.

P-RF

CUTIE X 6 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM.

P-RF

CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

P-RF

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. ORODISPERSABILE

P-RF

TERAPIA SA

ROMANIA

CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. ORODISPERSABILE

P-RF

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. ORODISPERSABILE

P-RF

CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. ORODISPERSABILE

P-RF

FARMAL INTERNATIONAL S.R.L.

TERAPIA SA
TERAPIA SA

ROMANIA
ROMANIA

CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. ORODISPERSABILE

P-RF

JANSSEN PHARMACEUTICA N.V.

BELGIA
BELGIA
BELGIA
BELGIA
BELGIA
BELGIA
BELGIA
BELGIA

OTSUKA PHARMACEUTICAL EUROPE LTD.

MAREA BRITANIE

CUTIE X 1BLIST. AL/AL PERFORAT UNIDOZA X 28 (X1) COMPR.

P-RF

OTSUKA PHARMACEUTICAL EUROPE LTD.

MAREA BRITANIE

CUTIE X 1BLIST. AL/AL PERFORAT UNIDOZA X 28 (X1) COMPR.

P-RF

OTSUKA PHARMACEUTICAL EUROPE LTD.

MAREA BRITANIE

CUTIE X 1FLAC. X 1,3ML SOL.INJ

P-RF

RANBAXY UK LIMITED

MAREA BRITANIE

CUTIE X 2 BLIST. PVDC-PVC/AL X 14 COMPR. FILM.

P-RF
P-RF

EGIS PHARMACEUTICALS P.L.C.

ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.


UNGARIA CUTIE X 2 BLIST. AL-PVC/PVDC X 14 COMPR. FILM.

RANBAXY UK LIMITED

MAREA BRITANIE

CUTIE X 2 BLIST. PVDC-PVC/AL X 14 COMPR. FILM.

P-RF
P-RF

EGIS PHARMACEUTICALS P.L.C.

ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.


UNGARIA CUTIE X 2 BLIST. AL-PVC/PVDC X 14 COMPR. FILM.

RANBAXY UK LIMITED

MAREA BRITANIE

CUTIE X 2 BLIST. PVDC-PVC/AL X 14 COMPR. FILM.

P-RF
P-RF

EGIS PHARMACEUTICALS P.L.C.

ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.


UNGARIA CUTIE X 2 BLIST. AL-PVC/PVDC X 14 COMPR. FILM.

H. LUNDBECK A/S

DANEMARCA

P-RF

JANSSEN PHARMACEUTICA N.V.


JANSSEN PHARMACEUTICA N.V.
JANSSEN PHARMACEUTICA N.V.
JANSSEN PHARMACEUTICA N.V.
JANSSEN PHARMACEUTICA N.V.
JANSSEN PHARMACEUTICA N.V.
JANSSEN PHARMACEUTICA N.V.

GEDEON RICHTER ROMANIA SA

GEDEON RICHTER ROMANIA SA

GEDEON RICHTER ROMANIA SA

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SUSP. INJ. CU ELIB. PREL. + 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 2 ML SOLV.+2 ACE STERILE PT. RECONSTITUIRE+ 1 AC PT.INJECTARE INTRAMUSCULARA

CUT IE CU UN FLAC.DIN ST ICLA INCOLORA CU PULB. PENT RU SUSP. INJ. CU ELIB. PREL., O SERINGA PRE-UMPLUT A DIN ST ICLA INCOLORA CU 2 ML SOLVENT , UN DISPOZIT IV ALARIS SMART SIT E +2 ACE PENT RU INJECT ARE I.M. N MUSCHIUL DELT OID SI IN MUSCHIUL GLUT EAL

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SUSP. INJ. CU ELIB. PREL. + 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 2 ML SOLV.+2 ACE STERILE PT. RECONSTITUIRE+ 1 AC PT.INJECTARE INTRAMUSCULARA

CUT IE CU UN FLAC.DIN ST ICLA INCOLORA CU PULB. PENT RU SUSP. INJ. CU ELIB. PREL., O SERINGA PRE-UMPLUT A DIN ST ICLA INCOLORA CU 2 ML SOLVENT , UN DISPOZIT IV ALARIS SMART SIT E +2 ACE PENT RU INJECT ARE I.M. N MUSCHIUL DELT OID SI IN MUSCHIUL GLUT EAL

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SUSP. INJ. CU ELIB. PREL. + 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 2 ML SOLV.+2 ACE STERILE PT. RECONSTITUIRE+ 1 AC PT.INJECTARE INTRAMUSCULARA

CUT IE CU UN FLAC.DIN ST ICLA INCOLORA CU PULB. PENT RU SUSP. INJ. CU ELIB. PREL., O SERINGA PRE-UMPLUT A DIN ST ICLA INCOLORA CU 2 ML SOLVENT , UN DISPOZIT IV ALARIS SMART SIT E +2 ACE PENT RU INJECT ARE I.M. N MUSCHIUL DELT OID SI IN MUSCHIUL GLUT EAL

S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF

CUTIE X 1 FLACON DIN STICLA BRUNA X 30 ML SOL. ORALA + 1 PIPETA

P-RF

CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SOL. ORALA + 1 PIPETA

P-RF

CUTIE X 2 BLIST. TRANSPARENTE PVC-PE-PVDC/AL X 14 COMPR. FILM.

ITALIA
CUTIE X 1 BLIST. AL/PVC X 20 COMPR. ELIB. PREL.
ANGELINI FRANCESCO SPA ITALIA
CUTIE X 2 BLIST. AL/PVC X 15 COMPR. ELIB. PREL.
ANGELINI FRANCESCO SPA ITALIA
CUTIE X 1 BLIST. AL/PVC X 30 COMPR. ELIB. PREL.
LES LAB. SERVIER IND. FRANTA CUTIE X 1 BLIST. AL/PVC X 30 DRAJ.
ANGELINI FRANCESCO SPA

P-RF

P-RF

P-RF

P-RF
P-RF
P-RF
P-RF

ROMASTRU TRADING S.R.L.

ROMANIA

CUTIE X 2 BLIST. PCV-ACLAR/AL X 14 CAPS. CU ELIB. PREL.

P-RF

WYETH LEDERLE PHARMA GMBH

AUSTRIA

CUTIE X 1 BLIST. ACLAR/PE/PVC/AL X 28 CAPS. ELIB. PREL.

P-RF

Pagina 78 din 205

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
CANT MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ITAT
L
MAXIMAL/UT 213 alin.(1) lit.
UT (RON)
E
(RON)
(RON)
a) si f)
PT. ADULTI

50
60
30
60
20
20
20
20
30
20
30
60
50
20
20
60
60
60
30
30
30
30
30
30
1
1
1
1
1
1
1
1
28
28
1
28
30
28
28
30
28
28
30
28
28
20
30
30
30
28
28

85.85
192.05
47.06
99.62
34.97
36.98
36.16
71.17
49.52
46.42
67.26
126.84
92.42
32.95
34.40
99.44
109.61
98.55
67.18
12.20
12.40
26.55
26.55
41.07
420.10
420.10
591.25
591.25
711.42
711.42
51.53
154.79
478.38
478.38
20.75
7.30
7.04
7.30
10.60
39.08
10.60
33.19
31.99
33.19
89.32
24.65
18.49
18.49
33.34
90.46
134.39

1.717000
3.200833
1.568666
1.660333
1.748500
1.849000
1.808000
3.558500
1.650666
2.321000
2.242000
2.114000
1.848400
1.647500
1.720000
1.657333
1.826833
1.642500
2.239333
0.406666
0.413333
0.885000
0.885000
1.369000
420.100000
420.100000
591.250000
591.250000
711.420000
711.420000
51.530000
154.790000
17.085000
17.085000
20.750000
0.260714
0.234666
0.260714
0.378571
1.302666
0.378571
1.185357
1.066333
1.185357
3.190000
1.232500
0.616333
0.616333
1.111333
3.230714
4.799642

1.717000
1.882399
1.568666
1.660333
1.748500
1.849000
1.808000
1.882399
1.650666
1.882399
1.882399
1.882399
1.848400
1.647500
1.720000
1.657333
1.826833
1.642500
2.239333
0.406666
0.413333
0.885000
0.885000
1.368799
420.100000
420.100000
591.250000
591.250000
711.420000
711.420000
51.530000
154.790000
17.085000
17.085000
20.750000
0.260714
0.234666
0.260714
0.378571
0.454285
0.378571
1.185357
1.066333
1.185357
3.190000
1.232500
0.616333
0.616333
1.111333
2.977200
2.977200

1.717000
1.882399
1.568666
1.660333
1.748500
1.849000
1.808000
1.882399
1.650666
1.882399
1.882399
1.882399
1.848400
1.647500
1.720000
1.657333
1.826833
1.642500
2.239333
0.406666
0.413333
0.885000
0.885000
1.368799
420.100000
420.100000
591.250000
591.250000
711.420000
711.420000
51.530000
154.790000
17.085000
17.085000
20.750000
0.260714
0.234666
0.260714
0.378571
0.454285
0.378571
1.185357
1.066333
1.185357
3.190000
1.232500
0.616333
0.616333
1.111333
2.977200
2.977200

NR.CRT

COD ATC

290 N06AX16
291 N06AX16
292 N06AX16
293 N06AX16
294 N06AX16
295 N06AX16
296 N06AX16
297 N06AX16
298 N06AX16
299 N06AX16
300 N06AX16
301 N06AX16
302 N06AX16
303 N06AX16
304 N06AX16
305 N06AX16
306 N06AX16
307 N06AX16
308 N06AX16
309 N06AX16
310 N06AX16
311 N06AX16
312 N06AX16
313 N06AX16
314 N06AX16
315 N06AX16
316 N06AX16
317 N06AX16
318 N06AX16
319 N06AX16
320 N06AX16
321 N06AX16
322 N06AX16
323 N06AX16
324 N06AX16
325 N06AX16
326 N06AX16
327 N06AX16
328 N06AX16
329 N06AX16
330 N06AX16
331 N06AX16
332 N06AX16
333 N06AX16
334 N06AX16
335 N06AX16
336 N06AX16
337 N06AX16
338 N06AX16
339 N06AX17
340 N06AX17

DCI

VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
MILNACIPRANUM**
MILNACIPRANUM**

Denumire Comerciala

VELAXIN 150 mg
ALVENTA 150mg
FOBILESS 150 mg
NOPEKAR 150 mg
ADOXA EP 150 mg
ELIFY EP 150 mg
VENLAGAMMA 150 mg
VENLAGAMMA 150 mg
JARVIS 150 mg
VENLAFAXINA ACTAVIS 150 mg
VENLAFAXINA ARENA EP 150 mg

FOBILESS 37,5 mg
NOPEKAR 37,5 mg
ADOXA EP 37,5 mg
VENLAGAMMA 37,5 mg
VENLAGAMMA 37,5 mg
VENLAFAXINA ARENA EP 37,5 mg

IVRYX 75mg
EFECTIN ER 75 mg
VELAXIN 75 mg
ALVENTA 75 mg
FOBILESS 75 mg
NOPEKAR 75 mg
ADOXA EP 75 mg
ELIFY EP 75 mg
VENLAGAMMA 75 mg
VENLAGAMMA 75 mg
JARVIS 75 mg
VENLAFAXINA ACTAVIS 75 mg
VENLAFAXINA ARENA EP 75 mg

ADOXA 25 mg
ADOXA 25 mg
VENLAFAXINA LPH 37,5 mg
VELAXIN 37,5 mg
ADOXA 37,5 mg
ADOXA 37,5 mg
VENLAFAXINA ARENA 37,5 mg

ADOXA 50 mg
ADOXA 50 mg
VENLAFAXINA ARENA 50 mg

VENLAFAXINA LPH 75 mg
VELAXIN 75 mg
ADOXA 75 mg
ADOXA 75 mg
VENLAFAXINA ARENA 75 mg

ARGOFAN 150 SR
ARGOFAN 75 SR
VENLAFAXINA ACTAVIS 37,5 mg

VENLAFAXINA ACTAVIS 75 mg

IXEL
IXEL

forma farm.

concentratie

150mg
CAPS. ELIB. PREL. 150mg
CAPS. ELIB. PREL. 150mg
CAPS. ELIB. PREL. 150mg
CAPS. ELIB. PREL. 150mg
CAPS. ELIB. PREL. 150mg
CAPS. ELIB. PREL. 150mg
CAPS. ELIB. PREL. 150mg
CAPS. ELIB. PREL. 150mg
CAPS. ELIB. PREL. 150mg
CAPS. ELIB. PREL. 150mg
CAPS. ELIB. PREL. 37,5mg
CAPS. ELIB. PREL. 37,5mg
CAPS. ELIB. PREL. 37,5mg
CAPS. ELIB. PREL. 37,5mg
CAPS. ELIB. PREL. 37,5mg
CAPS. ELIB. PREL. 37,5mg
CAPS. ELIB. PREL. 75 mg
CAPS. ELIB. PREL. 75mg
CAPS. ELIB. PREL. 75mg
CAPS. ELIB. PREL. 75mg
CAPS. ELIB. PREL. 75mg
CAPS. ELIB. PREL. 75mg
CAPS. ELIB. PREL. 75mg
CAPS. ELIB. PREL. 75mg
CAPS. ELIB. PREL. 75mg
CAPS. ELIB. PREL. 75mg
CAPS. ELIB. PREL. 75mg
CAPS. ELIB. PREL. 75mg
CAPS. ELIB. PREL. 75mg
COMPR.
25mg
COMPR.
25mg
COMPR.
37,5mg
COMPR.
37,5mg
COMPR.
37,5mg
COMPR.
37,5mg
COMPR.
37,5mg
COMPR.
50mg
COMPR.
50mg
COMPR.
50mg
COMPR.
75mg
COMPR.
75mg
COMPR.
75mg
COMPR.
75mg
COMPR.
75mg
COMPR. ELIB. PREL. 150mg
COMPR. ELIB. PREL. 75mg
COMPR. FILM. 37,5 mg
COMPR. FILM. 75mg
CAPS.
25mg
CAPS.
50mg
CAPS. ELIB. PREL.

DETINATOR APP
EGIS PHARMACEUTICALS P.L.C.

TARA
DET. APP
UNGARIA

KRKA D.D. NOVO MESTO SLOVENIA

AMBALAJ

Prescriptie

CUTIE X 2 BLIST. PVC-PVDC/AL X 14 CAPS. CU ELIB. PREL.

P-RF

CUTIE CU BLIST. PVC-PVDC/AL X 30 CAPS. ELIB. PREL.

P-RF

OZONE LABORATORIES BV

AUSTRIA
OLANDA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. ELIB. PREL.

RANBAXY (UK) LIMITED

MAREA BRITANIE

CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF

LANNACHER HEILMITTEL GES.M.B.H.

MEDOCHEMIE LTD. CIPRU

CUTIE X BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF


P-RF

CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF

WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU BLIST. PVC- PCTF/AL X 30 CAPS. CU ELIB. PREL.

WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU BLIST. PVC- PCTF/AL X 100 CAPS. CU ELIB. PREL. P-RF/S

GEDEON RICHTER ROMANIA SA

ROMANIA

CUTIE X 3 BLIST. PVC/AL X 10 CAPS. CU ELIB. PREL. P-RF

ACTAVIS GROUP PTC EHF.

ISLANDA

ARENA GROUP S.A. ROMANIA


LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA
OZONE LABORATORIES BV OLANDA

P-RF

CUTIE CU BLIST. PVC/AL X 28 CAPS. CU ELIB. PREL. P-RF


CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 CAPS. CU ELIB. PREL.

P-RF

CUTIE X BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF


CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. CU ELIB. PREL.

P-RF

RANBAXY (UK) LIMITED

MAREA BRITANIE

CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF

WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU BLIST. PVC- PCTF/AL X 30 CAPS. CU ELIB. PREL.

WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU BLIST. PVC- PCTF/AL X 100 CAPS. CU ELIB. PREL. P-RF/S

P-RF

ARENA GROUP S.A. ROMANIA

CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 CAPS. CU ELIB. PREL.

P-RF

ROMASTRU TRADING S.R.L.

ROMANIA

CUTIE X 2 BLIST. PCV-ACLAR/AL X 14 CAPS. CU ELIB. PREL.

P-RF

WYETH LEDERLE PHARMA GMBH

AUSTRIA

CUTIE X 1 BLIST. ACLAR/PE/PVC/AL X 28 CAPS. ELIB. PREL.

P-RF

EGIS PHARMACEUTICALS P.L.C.

UNGARIA

CUTIE X 2 BLIST. PVC-PVDC/AL X 14 CAPS. CU ELIB. PREL

P-RF

CUTIE CU BLIST. PVC-PVDC/AL X 30 CAPS. ELIB. PREL.

P-RF

KRKA D.D. NOVO MESTO SLOVENIA


OZONE LABORATORIES BV

AUSTRIA
OLANDA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. ELIB. PREL.

RANBAXY (UK) LIMITED

MAREA BRITANIE

CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF

LANNACHER HEILMITTEL GES.M.B.H.

MEDOCHEMIE LTD. CIPRU

CUTIE X BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF


P-RF

CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF

WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU BLIST. PVC- PCTF/AL X 30 CAPS. CU ELIB. PREL.

WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU BLIST. PVC- PCTF/AL X 100 CAPS. CU ELIB. PREL. P-RF/S

GEDEON RICHTER ROMANIA SA

ROMANIA

CUTIE X 3 BLIST. PVC/AL X 10 CAPS. CU ELIB. PREL. P-RF

ACTAVIS GROUP PTC EHF.

ISLANDA

ARENA GROUP S.A. ROMANIA


TERAPIA SA
ROMANIA
TERAPIA SA
ROMANIA

P-RF

CUTIE CU BLIST. PVC/AL X 28 CAPS. CU ELIB. PREL. P-RF


CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 CAPS. CU ELIB. PREL.

P-RF

CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-RF

CUTIE X 3 BLIST. OPA-ACLAR/AL X 10 COMPR. P-RF

LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 20 COMPR. P-RF

UNGARIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
LABORMED PHARMA SA ROMANIA
EGIS PHARMACEUTICALS P.L.C. UNGARIA
TERAPIA SA
ROMANIA
TERAPIA SA
ROMANIA
ARENA GROUP S.A. ROMANIA
EGIS PHARMACEUTICALS P.L.C.

CUTIE X 4 BLIST. PVC-PVDC/AL X 14 COMPR.

TERAPIA SA
TERAPIA SA
ARENA GROUP S.A.
TERAPIA SA
TERAPIA SA
ARENA GROUP S.A.

CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-RF

ZENTIVA A.S.
ZENTIVA A.S.
ACTAVIS S.R.L.
ACTAVIS S.R.L.
PIERRE FABRE MEDICAMENT PRODUCTION
PIERRE FABRE MEDICAMENT PRODUCTION

SLOVACIA
SLOVACIA

CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. P-RF


CUTIE X 3 BLIST. PVC-PE- PVDC/AL X 10 COMPR.

P-RF

CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-RF

CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. P-RF


CUTIE X 3 BLIST. PVC-PE- PVDC/AL X 10 COMPR.

P-RF

CUTIE X 6 BLIST. AL/PVC X 10 COMPR.

P-RF

CUTIE X 4 BLIST. PVC-PVDC/AL X 14 COMPR.

P-RF

CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-RF

CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. P-RF


CUTIE X 3 BLIST. PVC-PE- PVDC/AL X 10 COMPR.

P-RF

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. ELIB. PREL.

P-RF

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. ELIB. PREL.

P-RF

ROMANIA CUTIE X 4 BLIST. AL/PVC X 14 COMPR. FILM.


ROMANIA CUTIE X 4 BLIST. AL/PVC X 14 COMPR. FILM.
FRANTA CUTIE X 4 BLIST. AL/PVC X 14 CAPS.
FRANTA CUTIE X 4 BLIST. AL/PVC X 14 CAPS.

Pagina 79 din 205

P-RF

P-RF
P-RF
P-RF
P-RF

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
CANT MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ITAT
L
MAXIMAL/UT 213 alin.(1) lit.
UT (RON)
E
(RON)
(RON)
a) si f)
PT. ADULTI

28 90.46
30 74.43
30 96.88
28 90.46
30 89.32
30 96.93
30 95.11
100 300.62
30 96.93
28 74.50
30 84.17
30 35.16
28 46.02
30 41.18
30 20.85
100 65.02
30 33.57
28 46.97
28 69.87
28 46.97
30 33.61
30 50.30
28 46.97
30 39.04
30 50.34
30 34.94
100 110.61
30 50.34
28 31.37
30 47.16
30 28.94
30 28.94
60 61.52
56 57.45
30 31.82
30 31.82
30 31.82
30 38.05
30 38.05
30 38.05
60 76.61
56 71.61
30 40.39
30 40.39
30 40.39
30 89.32
30 39.02
56 37.67
56 60.72
56 70.69
56 115.88

3.230714
2.481000
3.229333
3.230714
2.977333
3.231000
3.170333
3.006200
3.231000
2.660714
2.805666
1.172000
1.643571
1.372666
0.695000
0.650200
1.119000
1.677500
2.495357
1.677500
1.120333
1.676666
1.677500
1.301333
1.678000
1.164666
1.106100
1.678000
1.120357
1.572000
0.964666
0.964666
1.025333
1.025892
1.060666
1.060666
1.060666
1.268333
1.268333
1.268333
1.276833
1.278750
1.346333
1.346333
1.346333
2.977333
1.300666
0.672678
1.084285
1.262321
2.069285

2.977200
2.481000
2.977200
2.977200
2.977200
2.977200
2.977200
2.977200
2.977200
2.660714
2.805666
0.780240
0.780240
0.780240
0.695000
0.650200
0.780240
1.301142
1.301142
1.301142
1.120333
1.301142
1.301142
1.301142
1.301142
1.164666
1.106100
1.301142
1.120357
1.301142
0.964666
0.964666
0.780240
0.780240
0.780240
0.780240
0.780240
1.268333
1.268333
1.268333
1.276833
1.278750
1.301142
1.301142
1.301142
2.977200
1.300666
0.672678
1.084285
1.262321
2.069285

2.977200
2.481000
2.977200
2.977200
2.977200
2.977200
2.977200
2.977200
2.977200
2.660714
2.805666
0.780240
0.780240
0.780240
0.695000
0.650200
0.780240
1.301142
1.301142
1.301142
1.120333
1.301142
1.301142
1.301142
1.301142
1.164666
1.106100
1.301142
1.120357
1.301142
0.964666
0.964666
0.780240
0.780240
0.780240
0.780240
0.780240
1.268333
1.268333
1.268333
1.276833
1.278750
1.301142
1.301142
1.301142
2.977200
1.300666
0.672678
1.084285
1.262321
2.069285

NR.CRT

COD ATC

341 N06AX21
342 N06AX21

DCI

DULOXETINUM**
DULOXETINUM**

Denumire Comerciala

CYMBALTA 30mg
CYMBALTA 60mg

forma farm.
CAPS. GASTROREZ.
CAPS. GASTROREZ.

concentratie

DETINATOR APP

TARA
DET. APP

30mg
60mg

ELI LILLY NEDERLAND BV

10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
10 mg
10mg
10mg

KRKA D.D. NOVO MESTO SLOVENIA

ELI LILLY NEDERLAND BV

OLANDA
OLANDA

AMBALAJ

Prescriptie

CUTIE X 28 CAPS. GASTROREZ.( BLIST. PVC/PE/PCTFE/AL)

P-RF

CUTIE X 28 CAPS. GASTROREZ.( BLIST. PVC/PE/PCTFE/AL)

P-RF

CUTIE CU BLIST. DIN OPA-AL-PVC/AL CU 28 COMPR. FILM.

P-RF

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
CANT MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ITAT
L
MAXIMAL/UT 213 alin.(1) lit.
UT (RON)
E
(RON)
(RON)
a) si f)
PT. ADULTI

28 104.16
28 176.79

3.720000
6.313928

3.720000
6.313928

3.720000
6.313928

4.563928
6.064642
5.074666
5.074666
6.954666
6.826000
6.432333
4.563928
5.007500
5.007500
5.007500
5.007500
4.563928
4.831785
5.069285
7.642000
6.033214
5.047857
8.227857
8.198000
5.306785
4.197142
5.148928
4.588666
4.588666
6.042000
6.041666
5.691111
4.197142
4.502142
4.421964
4.502142
4.421964
4.197142
4.588214
5.771333
4.584285
6.966071
6.925666
5.047857
4.563928
13.398571
5.074642

4.563928
5.074800
5.074666
5.074666
5.074800
5.074800
5.074800
4.563928
5.007500
5.007500
5.007500
5.007500
4.563928
4.831785
5.069285
5.074800
5.074800
5.047857
5.074800
5.074800
5.074800
4.197142
4.588399
4.588399
4.588399
4.588399
4.588399
4.588399
4.197142
4.502142
4.421964
4.502142
4.421964
4.197142
4.588214
4.588399
4.584285
4.588399
4.588399
4.588399
4.563928
5.074800
5.074642

4.563928
5.074800
5.074666
5.074666
5.074800
5.074800
5.074800
4.563928
5.007500
5.007500
5.007500
5.007500
4.563928
4.831785
5.069285
5.074800
5.074800
5.047857
5.074800
5.074800
5.074800
4.197142
4.588399
4.588399
4.588399
4.588399
4.588399
4.588399
4.197142
4.502142
4.421964
4.502142
4.421964
4.197142
4.588214
4.588399
4.584285
4.588399
4.588399
4.588399
4.563928
5.074800
5.074642

Tratamentul se initiaza de catre medicul in specialitatea psihiatrie

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


1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43

N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02

DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***

YASNAL 10 mg
ZILDON 10mg
DAVIA 10 mg
DAVIA 10 mg
TUADIN 10 mg
TUADIN 10 mg
TUADIN 10 mg
PRIDIA 10 mg
ALZEPIL 10 mg
ALZEPIL 10 mg
ALZEPIL 10 mg
ALZEPIL 10 mg
DONECEPT 10 MG
COGITON 10 mg
COGNEZIL 10 mg
DONEPEZIL TEVA 10 mg
DONEPEZIL ACCORD 10 mg
DOSPELIN 10 mg
ALDEMIZ 10 mg
ALDEMIZ 10 mg

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
DONEPEZIL BLUEFISH 10 mg COMPR. FILM.
YASNAL 5 mg
COMPR. FILM.
ZILDON 5 mg
COMPR. FILM.
DAVIA 5 mg
COMPR. FILM.
DAVIA 5 mg
COMPR. FILM.
TUADIN 5 mg
COMPR. FILM.
TUADIN 5 mg
COMPR. FILM.
TUADIN 5 mg
COMPR. FILM.
PRIDIA 5 mg
COMPR. FILM.
ALZEPIL 5 mg
COMPR. FILM.
ALZEPIL 5 mg
COMPR. FILM.
ALZEPIL 5 mg
COMPR. FILM.
ALZEPIL 5 mg
COMPR. FILM.
DONECEPT 5 MG
COMPR. FILM.
COGNEZIL 5 mg
COMPR. FILM.
DONEPEZIL TEVA 5 mg
COMPR. FILM.
DOSPELIN 5 mg
COMPR. FILM.
ALDEMIZ 5 mg
COMPR. FILM.
ALDEMIZ 5 mg
COMPR. FILM.
DONEPEZIL ACCORD 5 mg COMPR. FILM.

YASNAL 10 mg
ARICEPT EVESS
DONEPEZIL TEVA 10 mg

COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE

SANDOZ S.R.L.
TERAPIA SA
TERAPIA SA
ANTIBIOTICE S.A.
ANTIBIOTICE S.A.
ANTIBIOTICE S.A.

ROMANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM.


ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.
ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. FILM.
ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM.
ROMANIA CUTIE X 6 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM.
ROMANIA CUTIE X 9 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM.
LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM.
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 56 COMPR. FILM.
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. OPA-AL-PVC/AL X 56 COMPR. FILM.

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

ISLANDA

CUTIE X BLIST. PVC/AL X 28 COMPR. FILM. P-RF

BMF PHARM S.R.L. ROMANIA

CUTIE X 4 BLIST. PVC/AL X 7 COMPR. FILM. P-RF

ACTAVIS GROUP PTC EHF.

GLENMARK PHARMACEUTICALS SRL

REPUBLICA CEHA

CUTIE X 4 BLIST. AL/PVC X 7 COMPR. FILM. P-RF

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-RF

ACCORD HEALTHCARE LIMITED

MAREA BRITANIE

CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM.

P-RF

CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM.

P-RF

CUTIE CU BLIST. PVC-ACLAR/AL X 28 COMPR. FILM.

P-RF

DR. REDDY'S LABORATORIES

ROMANIA
ROMANIA

CUTIE CU BLIST. PVC-ACLAR/AL X 30 COMPR. FILM.

P-RF

BLUEFISH PHARMACEUTICALS AB

SUEDIA

CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM.

P-RF

CUTIE CU BLIST. DIN OPA-AL-PVC/AL CU 28 COMPR. FILM.

P-RF

MEDOCHEMIE LTD. CIPRU


DR. REDDY'S LABORATORIES

KRKA D.D. NOVO MESTO SLOVENIA

SANDOZ S.R.L.
TERAPIA SA
TERAPIA SA
ANTIBIOTICE S.A.
ANTIBIOTICE S.A.
ANTIBIOTICE S.A.

ROMANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM.


ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.
ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. FILM.
ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM.
ROMANIA CUTIE X 6 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM.
ROMANIA CUTIE X 9 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM.
LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM.
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 56 COMPR. FILM.
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. OPA-AL-PVC/AL X 56 COMPR. FILM.

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

ACTAVIS GROUP PTC EHF.

ISLANDA

GLENMARK PHARMACEUTICALS SRL

REPUBLICA CEHA

CUTIE X 4 BLIST. AL/PVC X 7 COMPR. FILM. P-RF

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-RF

MEDOCHEMIE LTD. CIPRU

CUTIE X BLIST. PVC/AL X 28 COMPR. FILM. P-RF

CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM.

P-RF

CUTIE CU BLIST. PVC-ACLAR/AL X 28 COMPR. FILM.

P-RF

DR. REDDY'S LABORATORIES

ROMANIA
ROMANIA

CUTIE CU BLIST. PVC-ACLAR/AL X 30 COMPR. FILM.

P-RF

ACCORD HEALTHCARE LIMITED

MAREA BRITANIE

CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM.

P-RF

KRKA D.D.

SLOVENIA

CUTIE CU BLIST. OPA/AL/PVC SI FOLIE PET-AL TIP "PEEL-OPEN" A CATE 28 COMPR. ORODISP.

PRF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 2 BLIST. AL/PVC-PVDC-PE-PVDC-PVC X 14 COMPR. ORODISPERSABILE

P-RF

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE CU BLIST. TIP CALENDAR OPA-AL-PVC/AL X 28 COMPR. ORODISP.

P-RF

DR. REDDY'S LABORATORIES

Pagina 80 din 205

28
28
30
30
30
60
90
28
28
56
28
56
28
28
28
30
28
28
28
30
28
28
28
30
30
30
60
90
28
28
56
28
56
28
28
30
28
28
30
28
28
28
28

127.79
169.81
152.24
152.24
208.64
409.56
578.91
127.79
140.21
280.42
140.21
280.42
127.79
135.29
141.94
229.26
168.93
141.34
230.38
245.94
148.59
117.52
144.17
137.66
137.66
181.26
362.50
512.20
117.52
126.06
247.63
126.06
247.63
117.52
128.47
173.14
128.36
195.05
207.77
141.34
127.79
375.16
142.09

NR.CRT

44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94

COD ATC

N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA04

DCI

DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
GALANTAMINUM***

Denumire Comerciala

forma farm.

COGNEZIL 10 mg
COMPR. ORODISPERSABILE
DONECTIL 10 mg
COMPR. ORODISPERSABILE
DARIZOL 10 mg
COMPR. ORODISPERSABILE
DARIZOL 10 mg
COMPR. ORODISPERSABILE
YASNAL 5 mg
COMPR. ORODISPERSABILE
ARICEPT EVESS
COMPR. ORODISPERSABILE
DONEPEZIL TEVA 5 mg
COMPR. ORODISPERSABILE
COGNEZIL 5 mg
COMPR. ORODISPERSABILE
DONECTIL 5 mg
COMPR. ORODISPERSABILE
DARIZOL 5 mg
COMPR. ORODISPERSABILE
DARIZOL 5 mg
COMPR. ORODISPERSABILE
EXELON 1,5mg
CAPS.
RIVASTIGMINA TEVA 1,5mg CAPS.
RIVASTIGMINA RATIOPHARM 1,5 mg CAPS.
EVERTAS 1,5 mg
CAPS.
RIVASTIGMINE SANDOZ1,5mg CAPS.
RIDAXIN 1,5 mg
CAPS.
RISTIDIC 1,5 mg
CAPS.
RISTIDIC 1,5 mg
CAPS.
RIVASTIGMINA ACTAVIS 1,5 mg CAPS.
NIMVASTID 1.5mg
CAPS.
EXELON 3mg
CAPS.
RIVASTIGMINA TEVA 3mg CAPS.
NIMVASTID 3mg
CAPS.
RIVASTIGMINA RATIOPHARM 3 mg CAPS.
RIVASTIGMINE SANDOZ 3mg CAPS.
RIDAXIN 3 mg
CAPS.
RISTIDIC 3 mg
CAPS.
RISTIDIC 3 mg
CAPS.
EVERTAS 3 mg
CAPS.
RIVASTIGMINA ACTAVIS 3 mg CAPS.
RIVASTIGMINA TEVA 4,5mg CAPS.
EVERTAS 4,5 mg
CAPS.
RIDAXIN 4,5 mg
CAPS.
RISTIDIC 4,5 mg
CAPS.
RISTIDIC 4,5 mg
CAPS.
RIVASTIGMINA ACTAVIS 4,5 mg CAPS.
RIVASTIGMINA TEVA 6mg CAPS.
EVERTAS 6 mg
CAPS.
RIDAXIN 6 mg
CAPS.
RISTIDIC 6 mg
CAPS.
RISTIDIC 6 mg
CAPS.
RIVASTIGMINA ACTAVIS 6 mg CAPS.
NIMVASTID 1.5 mg
COMPR. ORODISPERSABILE
NIMVASTID 3mg
COMPR. ORODISPERSABILE
NIMVASTID 4.5 mg
COMPR. ORODISPERSABILE
NIMVASTID 6mg
COMPR. ORODISPERSABILE
EXELON 4,6mg/24h
PLASTURE TRANSDERMIC
EXELON 9,5mg/24h
PLASTURE TRANSDERMIC
RIVASTIGMINA TEVA 2 mg/ml SOL. ORALA
REMINYL 16 mg
CAPS. ELIB. PREL.

concentratie

10mg
10mg
10mg
10mg
5 mg
5mg
5mg
5mg
5mg
5mg
5mg
1,5mg
1,5mg
1,5mg
1,5mg
1,5mg
1,5mg
1,5mg
1,5mg
1,5mg
1.5mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
4,5mg
4,5mg
4,5mg
4,5mg
4,5mg
4,5mg
6mg
6mg
6mg
6mg
6mg
6mg
1.5mg
3mg
4.5mg
6mg
4,6mg/24h
9,5mg/24h
2mg/ml
16mg

DETINATOR APP

TARA
DET. APP

AMBALAJ

Prescriptie

CUTIE CU BLIST. PVC-ACLAR/AL X 28 COMPR. ORODISPERSABILE

P-RF

CUTIE CU BLIST. AL/AL X 30 COMPR. ORODISPERSABILE

P-RF

CUTIE CU 2 BLIST. PVC-PCTFE(ACLAR)/AL /FOLIE DE AL DETASABILA X 14 COMPR. ORODISPERSABILE

PRF

CUTIE CU 3 BLIST. PVC-PCTFE(ACLAR)/AL /FOLIE DE AL DETASABILA X 10 COMPR. ORODISPERSABILE

PRF

SLOVENIA

CUTIE CU BLIST. OPA/AL/PVC SI FOLIE PET-AL "PEEL-OPEN" A CATE 28 COMPR. ORODISP.

PRF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 2 BLIST. AL/PVC-PVDC-PE-PVDC-PVC X 14 COMPR. ORODISPERSABILE

P-RF

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE CU BLIST. TIP CALENDAR OPA-AL-PVC/AL X 28 COMPR. ORODISP.

P-RF

GLENMARK PHARMACEUTICALS SRL

REPUBLICA SLOVACA

CUTIE CU BLIST. PVC-ACLAR/AL X 28 COMPR. ORODISPERSABILE

P-RF

ICN POLFA RZESZOW S.A.

CUTIE CU BLIST. AL/AL X 30 COMPR. ORODISPERSABILE

P-RF

CUTIE CU 2 BLIST. PVC-PCTFE(ACLAR)/AL /FOLIE DE AL DETASABILA X 14 COMPR. ORODISPERSABILE

PRF

ROMASTRU TRADING S.R.L.

POLONIA
ROMANIA
ROMANIA

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

TEVA PHARMA BV

GLENMARK PHARMACEUTICALS SRL

REPUBLICA SLOVACA

ICN POLFA RZESZOW S.A.


ROMASTRU TRADING S.R.L.

POLONIA
ROMANIA
ROMANIA

KRKA D.D.

ROMASTRU TRADING S.R.L.

ROMASTRU TRADING S.R.L.

CUTIE CU 3 BLIST. PVC-PCTFE(ACLAR)/AL /FOLIE DE AL DETASABILA X 10 COMPR. ORODISPERSABILE

PRF

CUTIE X 4 BLIST. PVC/AL X 14 CAPS.

P-RF/R

OLANDA CUTIE CU BLIST.PVC/ACLAR X 56 CAPS.

P-RF/R

RATIOPHARM GMBH GERMANIA CUTIE CU BLIST. PVC-PVDC/AL X 56 CAPS.

P-RF/R

ZENTIVA K.S.
SANDOZ S.R.L.

CEHIA

ROMANIA
ROMASTRU TRADING SRL ROMANIA
ICN POLFA RZESZOW S.A. POLONIA
ICN POLFA RZESZOW S.A. POLONIA
ACTAVIS GROUP PTC EHF.

CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS.

P-RF/R

CUTIE CU BLIST.PVC/AL X 56 CAPS.

P-RF/R

CUTIE CU 4 BLIST. PVC/AL X 14 CAPS.


CUTIE CU BLIST. PVC/AL X 28 CAPS.
CUTIE CU BLIST. PVC/AL X 56 CAPS.

P-RF/R
P-RF/R
P-RF/R

ISLANDA CUTIE CU BLIST. DIN PVC/AL X 56 CAPS. PR

KRKA ,D.D., NOVO MESTO SLOVENIA CUTIE X BLIST. PVC/PVDC/AL X 28 CAPSULE

P-RF/R

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 4 BLIST. PVC/AL X 14 CAPS.

P-RF/R

TEVA PHARMA BV

OLANDA CUTIE CU BLIST.PVC/ACLAR X 56 CAPS.

P-RF/R

KRKA ,D.D., NOVO MESTO SLOVENIA CUTIE X BLIST. PVC/PVDC/AL X 28 CAPSULE

RATIOPHARM GMBH GERMANIA


SANDOZ S.R.L.
ROMANIA
ROMASTRU TRADING SRL ROMANIA
ICN POLFA RZESZOW S.A. POLONIA
ICN POLFA RZESZOW S.A. POLONIA

ZENTIVA K.S.
ACTAVIS GROUP PTC EHF.

TEVA PHARMA BV
ZENTIVA K.S.

P-RF/R

CUTIE CU BLIST. PVC-PVDC/AL X 56 CAPS.

P-RF/R

CUTIE CU BLIST.PVC/AL X 56 CAPS.

P-RF/R

CUTIE CU 4 BLIST. PVC/AL X 14 CAPS.


CUTIE CU BLIST. PVC/AL X 28 CAPS.
CUTIE CU BLIST. PVC/AL X 56 CAPS.

P-RF/R
P-RF/R
P-RF/R

CEHIA
CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS. P-RF/R
ISLANDA CUTIE CU BLIST. DIN PVC/AL X 56 CAPS. PR
OLANDA CUTIE CU BLIST.PVC/ACLAR X 56 CAPS. P-RF/R
CEHIA
CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS. P-RF/R

ROMANIA CUTIE CU 4 BLIST. PVC/AL X 14 CAPS.


POLONIA CUTIE CU BLIST. PVC/AL X 28 CAPS.
ICN POLFA RZESZOW S.A. POLONIA CUTIE CU BLIST. PVC/AL X 56 CAPS.
ROMASTRU TRADING SRL

P-RF/R

ICN POLFA RZESZOW S.A.

P-RF/R

ACTAVIS GROUP PTC EHF.

ISLANDA CUTIE CU BLIST. DIN PVC/AL X 56 CAPS. PR


OLANDA CUTIE CU BLIST.PVC/ACLAR X 56 CAPS. P-RF/R
CEHIA
CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS. P-RF/R

TEVA PHARMA BV
ZENTIVA K.S.

ROMANIA CUTIE CU 4 BLIST. PVC/AL X 14 CAPS.


POLONIA CUTIE CU BLIST. PVC/AL X 28 CAPS.
ICN POLFA RZESZOW S.A. POLONIA CUTIE CU BLIST. PVC/AL X 56 CAPS.

P-RF/R

ROMASTRU TRADING SRL

P-RF/R

ICN POLFA RZESZOW S.A.

P-RF/R

ACTAVIS GROUP PTC EHF.

ISLANDA CUTIE CU BLIST. DIN PVC/AL X 56 CAPS. PR

P-RF/R

KRKA ,D.D., NOVO MESTO SLOVENIA

CUTIE X BLIST.UNIDOZA OPA/AL/PVC/PET/AL X (28 X 1) COMPR. ORODISPESABILE

P-RF/R

KRKA ,D.D., NOVO MESTO SLOVENIA

CUTIE X BLIST.UNIDOZA OPA/AL/PVC/PET/AL X (28 X 1) COMPR. ORODISPESABILE

P-RF/R

KRKA ,D.D., NOVO MESTO SLOVENIA

CUTIE X BLIST.UNIDOZA OPA/AL/PVC/PET/AL X (28 X 1) COMPR. ORODISPESABILE

P-RF/R

KRKA ,D.D., NOVO MESTO SLOVENIA

CUTIE X BLIST.UNIDOZA OPA/AL/PVC/PET/AL X (28 X 1) COMPR. ORODISPESABILE

P-RF/R

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 30 PLICURI X 1 PLASTURE TRANSDERMIC

P-RF/R

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 30 PLICURI X 1 PLASTURE TRANSDERMIC

P-RF/R

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA BRUNA X 125 ML SOL. ORALA + 1 SERINGA DOZATOARE

P-RF/R

JANSSEN PHARMACEUTICA N.V.

BELGIA

CUTIE X 4 BLIST. PVC-PE-PVDC X 7 CAPS. CU ELIB. PREL.

P-RF

Pagina 81 din 205

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
CANT MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ITAT
L
MAXIMAL/UT 213 alin.(1) lit.
UT (RON)
E
(RON)
(RON)
a) si f)
PT. ADULTI

28
30
28
30
28
28
28
28
30
28
30
56
56
56
30
56
56
28
56
56
28
56
56
28
56
56
56
28
56
30
56
56
30
56
28
56
56
56
30
56
28
56
56
28
28
28
28
30
30
1
28

168.93
6.033214
5.074800
5.074800
126.87
4.229000
4.229000
4.229000
142.00
5.071428
5.071428
5.071428
152.16
5.072000
5.072000
5.072000
117.52
4.197142
4.197142
4.197142
301.89 10.781785
4.588399
4.588399
128.47
4.588214
4.588214
4.588214
143.66
5.130714
4.588399
4.588399
114.71
3.823666
3.823666
3.823666
128.13
4.576071
4.576071
4.576071
134.83
4.494333
4.494333
4.494333
328.36
5.863571
1.399500
1.399500
192.22
3.432500
1.399500
1.399500
78.41
1.400178
1.399500
1.399500
40.60
1.353333
1.353333
1.353333
69.91
1.248392
1.248392
1.248392
65.34
1.166785
1.166785
1.166785
36.16
1.291428
1.291428
1.291428
69.91
1.248392
1.248392
1.248392
65.31
1.166250
1.166250
1.166250
37.44
1.337142
1.337142
1.337142
344.58
6.153214
2.754213
2.754213
213.42
3.811071
2.754213
2.754213
77.09
2.753214
2.753214
2.753214
148.71
2.655535
2.655535
2.655535
132.41
2.364464
2.364464
2.364464
128.79
2.299821
2.299821
2.299821
69.79
2.492500
2.492500
2.492500
132.41
2.364464
2.364464
2.364464
82.77
2.759000
2.754213
2.754213
128.53
2.295178
2.295178
2.295178
320.13
5.716607
3.179785
3.179785
95.52
3.184000
3.179785
3.179785
148.60
2.653571
2.653571
2.653571
81.24
2.901428
2.901428
2.901428
154.10
2.751785
2.751785
2.751785
148.39
2.649821
2.649821
2.649821
403.55
7.206250
3.597000
3.597000
108.25
3.608333
3.597000
3.597000
168.40
3.007142
3.007142
3.007142
91.58
3.270714
3.270714
3.270714
173.67
3.101250
3.101250
3.101250
167.86
2.997500
2.997500
2.997500
37.44
1.337142
1.337142
1.337142
77.09
2.753214
2.753214
2.753214
88.75
3.169642
3.169642
3.169642
99.85
3.566071
3.566071
3.566071
386.45 12.881666 12.881666 12.881666
386.45 12.881666 12.881666 12.881666
416.16 416.160000 416.160000 416.160000
370.44 13.230000
8.853199
8.853199

NR.CRT

95
96
97
98
99

COD ATC

N06DA04
N06DA04
N06DA04
N06DA04
N06DA04

100 N06DA04
101 N06DX01
102 N06DX01
103 N06DX01

DCI

GALANTAMINUM***
GALANTAMINUM***
GALANTAMINUM***
GALANTAMINUM***
GALANTAMINUM***
GALANTAMINUM***
MEMANTINUM***
MEMANTINUM***
MEMANTINUM***

Denumire Comerciala

GALSYA 16 mg
REMINYL 24 mg
GALSYA 24 mg
REMINYL 8 mg
GALSYA 8 mg
REMINYL (R) 4 mg/ml
EBIXA 10 mg
EBIXA (R) 10 mg/g
EBIXA 5mg/doza

forma farm.

concentratie

16mg
CAPS. ELIB. PREL. 24mg
CAPS. ELIB. PREL. 24mg
CAPS. ELIB. PREL. 8mg
CAPS. ELIB. PREL. 8mg
SOL. ORALA 4mg/ml
COMPR. FILM. 10mg
PIC. ORALE, SOL. 10mg/g
PICATURI ORALE - SOL. 5mg/doza
CAPS. ELIB. PREL.

DETINATOR APP

TARA
DET. APP

KRKA D.D. NOVO MESTO SLOVENIA


JANSSEN PHARMACEUTICA N.V.

BELGIA

KRKA D.D. NOVO MESTO SLOVENIA


JANSSEN PHARMACEUTICA N.V.

BELGIA

KRKA D.D. NOVO MESTO SLOVENIA

AMBALAJ

Prescriptie

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 CAPS. CU ELIB. PREL.

PRF

CUTIE X 4 BLIST. PVC-PE-PVDC X 7 CAPS. CU ELIB. PREL.

P-RF

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 CAPS. CU ELIB. PREL.

PRF

CUTIE X 4 BLIST. PVC-PE-PVDC X 7 CAPS. CU ELIB. PREL.

P-RF

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 CAPS. CU ELIB. PREL.

PRF

JANSSEN-PHARMACEUTICA NV

BELGIA

H. LUNDBECK A/S
H. LUNDBECK A/S
H LUNDBECK A/S

DANEMARCA

CUTIE X 56 COMPR. FILM. (BLIST. AL/PP)

P-RF/R

DANEMARCA

CUTIE X 1 FLACON, DIN STICLA BRUNA, PICURATOR X 50 G SOLUTIE

P-RF/R

DANEMARCA

CUTIE X 1 FLACON DIN STICLA BRUNA CU POMPA DOZATOARE X 50 ML SOLUTIE

P-RF/R

CUTIE X 1 FLACON X 100 ML + 1 PIPETA DOZATOARE P-RF

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
CANT MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ITAT
L
MAXIMAL/UT 213 alin.(1) lit.
UT (RON)
E
(RON)
(RON)
a) si f)
PT. ADULTI

30
28
30
28
30
1
56
1
1

221.33
7.377666
7.377666
7.377666
413.50 14.767857
9.714799
9.714799
242.87
8.095666
8.095666
8.095666
198.72
7.097142
5.535999
5.535999
138.40
4.613333
4.613333
4.613333
251.24 251.240000 251.240000 251.240000
413.32
7.380714
7.380714
7.380714
348.09 348.090000 348.090000 348.090000
348.09 348.090000 348.090000 348.090000

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

15. COLAGENOZE MAJORE (LUPUS ERITEMATOS SISTEMIC, SCLERODERMIE, POLI/DERMATOMICOZA, VASCULITE SISTEMICE) - G 17
1
2
3
4
5
6
7
8
9
10

H02AB04
H02AB04
H02AB04

L01AA01
L01AA01

L04AX01
L04AX01
L04AX01
L04AX01
P01BA02

METHYLPREDNISOLONUM5)
METHYLPREDNISOLONUM5)
METHYLPREDNISOLONUM5)
CYCLOPHOSPHAMIDUM*
CYCLOPHOSPHAMIDUM*
AZATHIOPRINUM*
AZATHIOPRINUM*
AZATHIOPRINUM*
AZATHIOPRINUM*
HYDROXYCHLOROQUINUM

MEDROL A 16
MEDROL 32
MEDROL 4 mg
ENDOXAN (R) 50 mg
ENDOXAN 200 mg
IMMUNOPRIN 100 mg
IMMUNOPRIN 100 mg
IMURAN (R)
IMMUNOPRIN 75 mg
PLAQUENIL

COMPR.
COMPR.
COMPR.
DRAJ.
PULB. PT. SOL. PERF./INJ. I.V.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

16mg
32mg
4mg
50mg
200mg
100mg
100mg
50mg
75mg
200mg

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 5 BLIST. A-PVC/PVC X 10 COMPR. P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 2 BLIST. AL-PVC/PVC X 10 COMPR. P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 1 FLAC. DIN STICLA X 30 COMPR. P-RF

BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ. P-RF

ACTAVIS S.R.L.

ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. PERF./INJ S

EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRIA CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM. PR


AUSTRIA CUTIE CU 1 FLAC. PEID X 50 COMPR. FILM. PR

THE WELLCOME FOUNDATION LTD.

MAREA BRITANIE

EBEWE PHARMA GES.M.B.H. NFG KG

EBEWE PHARMA GES.M.B.H. NFG KG

SANOFI - AVENTIS ROMANIA S.R.L.

CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM.

S/P-RF

AUSTRIA CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM. PR


ROMANIA CUTIE X 6 BLIST. X 10 COMPR. FILM. P-6L

50 32.23
20 29.29
30
6.46
50 25.82
1 15.70
100 103.94
50 54.72
100 79.95
100 77.97
60 33.05

0.644600
1.464500
0.215333
0.516400
15.700000
1.039400
1.094400
0.799500
0.779700
0.550833

0.644600
1.464500
0.215333
0.516400
15.700000
1.039400
1.094400
0.799500
0.779700
0.550833

0.644600
1.464500
0.215333
0.516400
15.700000
1.039400
1.094400
0.799500
0.779700
0.550833

0.558000
0.308800
6.826000
0.644600
1.464500
0.215333
1.128500
396.850000
47.648000
88.610000
2.354000
77.750000
58.940000
125.380000
108.800000
122.740000
108.250000
13.170000
5.996333

0.370560
0.308800
6.826000
0.644600
1.464500
0.215333
1.128500
396.850000
47.648000
88.610000
2.354000
77.750000
58.940000
125.380000
108.800000
122.740000
108.250000
13.170000
5.286399

0.370560
0.308800
6.826000
0.644600
1.464500
0.215333
1.128500
396.850000
47.648000
88.610000
2.354000
77.750000
58.940000
125.380000
108.800000
122.740000
108.250000
13.170000
5.286399

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

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


1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19

A07EC01
A07EC01
H02AB01
H02AB04
H02AB04
H02AB04

L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L04AA13

SULFASALAZINUM
SULFASALAZINUM
BETAMETHASONUM
METHYLPREDNISOLONUM5)
METHYLPREDNISOLONUM5)
METHYLPREDNISOLONUM5)
METHOTREXATUM4
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
LEFLUNOMIDUM**

SULFASALAZIN EN
SALAZOPYRIN EN
DIPROPHOS (R)
MEDROL A 16
MEDROL 32
MEDROL 4 mg

500mg
500mg
SUSP. INJ. I.M. 7mg/ml
COMPR.
16mg
COMPR.
32mg
COMPR.
4mg
METOTREXATE BELLON 2,5 mg COMPR.
2,5mg
METHOTREXAT "EBEWE" 5000 mg CONC. PT. SOL. INJ./PERF. 100mg/ml
METHOTREXAT "EBEWE" 500 mg CONC. PT. SOL. INJ./PERF. 100mg/ml
METHOTREXAT "EBEWE" 1000 mg CONC. PT. SOL. INJ./PERF. 100mg/ml
METHOTREXAT "EBEWE" 5 mg SOL. INJ.
5mg/ml
METOTREXAT EBEWE 10 mg/ml
10mg/ml
METOTREXAT EBEWE 10 mg/ml
10mg/ml
METOTREXAT EBEWE 10 mg/ml
10mg/ml
METOTREXAT EBEWE 10 mg/ml
10mg/ml
METOJECT 50mg/ml
50mg/ml
METOJECT 50mg/ml
50mg/ml
METHOTREXAT "EBEWE" 50 mg SOL. INJ./PERF. 10mg/ml
LEFLUNOMIDA SANDOZ 10 mg COMPR. FILM. 10 mg
COMPR. FILM. GASTROREZ.

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ.

P-6L

COMPR. FILM. GASTROREZ.

PFIZER EUROPE MA EEIG

CUTIE X 1 FLAC. PEID X 100 COMPR. FILM. GASTROREZ.

P-6L
P-RF

MAREA BRITANIE

SCHERING PLOUGH EUROPE

BELGIA

CUTIE X 5 FIOLE X 1 ML

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 5 BLIST. A-PVC/PVC X 10 COMPR. P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 2 BLIST. AL-PVC/PVC X 10 COMPR. P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 1 FLAC. DIN STICLA X 30 COMPR. P-RF

SOL. INJ. IN SERINGA PREUMPLUTA

FARMEXINM S.R.L. ROMANIA


EBEWE PHARMA GMBH NFG. KG AUSTRIA
EBEWE PHARMA GMBH NFG. KG AUSTRIA
EBEWE PHARMA GMBH NFG. KG AUSTRIA
EBEWE PHARMA GMBH NFG. KG AUSTRIA
EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA
EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA
EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA
EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA

SOL. INJ. IN SERINGA PREUMPLUTA

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,50ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL

P-RF

SOL. INJ. IN SERINGA PREUMPLUTA

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,40ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL

P-RF

EBEWE PHARMA GMBH NFG. KG

AUSTRIA CUTIE X 1 FLACON X 5 ML

SANDOZ S.R.L.

ROMANIA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

Pagina 82 din 205

CUTIE X 20 COMPR.
CUTIE X 1 FLACON X 50 ML
CUTIE X 5 FIOLE X 5 ML

P-RF/R

CUTIE X 10 FIOLE X 1 ML

S
S
S
S

CUTIE X 1 SERINGA PREUMPLUTA CU AC X 1 ML SOL INJ.

P-RF/R

CUTIE X 1 SERINGA PREUMPLUTA CU AC X 0,75 ML SOL INJ.

P-RF/R

CUTIE X 1 SERINGA PREUMPLUTA CU AC X 2 ML SOL INJ.

P-RF/R

CUTIE X 1 SERINGA PREUMPLUTA CU AC X 1,5 ML SOL INJ.

P-RF/R

CUTIE X 1 TUB DIN MATERIAL PLASTIC X 1 FIOLA X 10 ML

CUTIE CU 1 FLACON PEID CU CAPAC PP CU DESICANT X 30 COMPR. FILM.

S
PR

50
100
5
50
20
30
20
1
5
1
10
1
1
1
1
1
1
1
30

27.90
30.88
34.13
32.23
29.29
6.46
22.57
396.85
238.24
88.61
23.54
77.75
58.94
125.38
108.80
122.74
108.25
13.17
179.89

NR.CRT

20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70

COD ATC

L04AA13
L04AA13
L04AA13
L04AA13
L04AA13
L04AA13
L04AA13
L04AA13
L04AA13
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01

L04AX01
L04AX01
L04AX01
L04AX01
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05

DCI

LEFLUNOMIDUM**
LEFLUNOMIDUM**
LEFLUNOMIDUM**
LEFLUNOMIDUM**
LEFLUNOMIDUM**
LEFLUNOMIDUM**
LEFLUNOMIDUM**
LEFLUNOMIDUM**
LEFLUNOMIDUM**
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
AZATHIOPRINUM*
AZATHIOPRINUM*
AZATHIOPRINUM*
AZATHIOPRINUM*
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM

Denumire Comerciala

ARAVA 10mg
LEFLUNOMIDA RATIOPHARM 10 MG

LEFLUNOMIDE WINTHROP 10mg

LEFLUNOMIDA MEDAC 10 mg
LEFLUNOMIDA SANDOZ 20 mg

ARAVA 20mg
LEFLUNOMIDA RATIOPHARM 20 MG

LEFLUNOMIDE WINTHROP 20mg

LEFLUNOMIDA MEDAC 20 mg

EQUORAL (R) 100 mg


SANDIMMUN NEORAL (R)
EQUORAL (R) 25 mg
CICLORAL 25 mg
SANDIMMUN NEORAL (R)
EQUORAL (R) 50 mg
CICLORAL 50 mg
EQUORAL (R)
IMMUNOPRIN 100 mg
IMMUNOPRIN 100 mg
IMURAN (R)
IMMUNOPRIN 75 mg
DICLOREUM 150 mg

forma farm.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
SOL. ORALA
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
CAPS. ELIB. PREL.

DICLOFENAC DUO PHARMASWISS 75 mg CAPS. ELIB. PREL.

TRATUL 50
DICLAC (R) 75 ID
VOLTAREN (R) RETARD
REFEN (R) RETARD
DICLOTARD (R) 100 mg
RHEUMAVEK
VOLTAREN (R) 50
DICLOFENAC 50 mg
CLAFEN 50 mg
DICLOFENAC 50 mg
DICLOGESIC 50 COMPRIMATE FILMATE GASTROREZISTENTE

EPIFENAC
VOLTAREN RAPID (R)
DICLOFENAC ARENA 25 mg
N - DICLOFENAC
DICLOFENAC ARENA 50 mg
VOLTAREN (R)
RHEUMAVEK
TRATUL (R)
DICLAC
ALMIRAL
DICLOFENAC 75 mg
DICLOFENAC AL I.M.
DICLOFENAC AL I.M.
REFEN 75 mg
CLAFEN 100 mg
VOLTAREN (R)
DICLOFENAC 100 mg

CAPS. MOI GASTROREZ.

COMPR. ELIB. MODIF.


COMPR. FILM. ELIB. PREL.
COMPR. FILM. ELIB. PREL.
COMPR. FILM. ELIB. PREL.
COMPR. FILM. GASTROREZ.
COMPR. FILM. GASTROREZ.
COMPR. FILM. GASTROREZ.
COMPR. FILM. GASTROREZ.
COMPR. FILM. GASTROREZ.
COMPR. FILM. GASTROREZ.

COMPR. GASTROREZ.

DRAJ.
DRAJ. GASTROREZ.
DRAJ. GASTROREZ.
DRAJ. GASTROREZ.

SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ./PERF.

SUPOZ.
SUPOZ.
SUPOZ.

concentratie

10mg
10mg
10mg
10mg
20 mg
20mg
20mg
20mg
20mg
100mg
25mg
25mg
25mg
50mg
50mg
50mg
100mg/ml
100mg
100mg
50mg
75mg
150mg
75mg
50mg
75mg
100mg
100mg
100mg
25mg
50mg
50mg
50mg
50mg
50mg
25mg
50mg
25mg
50mg
50mg
25mg/ml
25mg/ml
30mg/ml
75mg
75mg/3ml
75mg/3ml
75mg/3ml
75mg/3ml
25mg/ml
100mg
100mg
100mg

DETINATOR APP

TARA
DET. APP

AMBALAJ

Prescriptie

GERMANIA CUTIE X 1 FLAC. PEID X 30 COMPR. FILM.

P-RF/R

RATIOPHARM GMBH GERMANIA CUTIE X 1 FLAC. PEID X 30 COMPR. FILM.

P-RF/R
P-RF/R

SANOFI- AVENTIS DEUTSCHLAND GMBH

SANOFI- AVENTIS DEUTSCHLAND GMBH

GERMANIA CUTIE X 1 FLAC. PEID X 30 COMPR. FILM.

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANIA CUTIE CU 1 FLACON DIN PEID X 30 COMPR. FILM.

SANDOZ S.R.L.

ROMANIA

SANOFI- AVENTIS DEUTSCHLAND GMBH

GERMANIA CUTIE X 1 FLAC. PEID X 30 COMPR. FILM.

CUTIE CU 1 FLACON PEID CU CAPAC PP DESICANT X 30 COMPR. FILM.

PR
PR
P-RF/R

RATIOPHARM GMBH GERMANIA CUTIE X 1 FLAC. PEID X 30 COMPR. FILM.

P-RF

SANOFI- AVENTIS DEUTSCHLAND GMBH

GERMANIA CUTIE X 1 FLAC. PEID X 30 COMPR. FILM.

P-RF/R

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANIA CUTIE CU 1 FLACON DIN PEID X 30 COMPR.FILM

PR

IVAX - PHARMACEUTICALS S.R.O.

CEHIA

S/P-RF

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 5 BLIST. X 10 CAPS. MOI


CUTIE X 10 BLIST. X 5 CAPS. MOI
CUTIE X 5 BLIST. X 10 CAPS. MOI

IVAX - PHARMACEUTICALS S.R.O.

CEHIA

HEXAL AG

GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 10 BLIST. X 5 CAPS. MOI


CUTIE X 5 BLIST. X 10 CAPS. MOI

IVAX - PHARMACEUTICALS S.R.O.

CEHIA

HEXAL AG

GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI

EBEWE PHARMA GES.M.B.H. NFG KG

CEHIA
AUSTRIA
AUSTRIA

THE WELLCOME FOUNDATION LTD.

MAREA BRITANIE

IVAX - PHARMACEUTICALS S.R.O.


EBEWE PHARMA GES.M.B.H. NFG KG

S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF

CUTIE X 1 FLACON DIN STICLA BRUNA X 50 ML, UN DISPOZITIV DE MASURAT + UN CAPAC CU FILET

S/P-RF

CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM.

CUTIE CU 1 FLAC. PEID X 50 COMPR. FILM.

PR
PR

CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM.

S/P-RF

GEROT PHARMAZEUTIKA GMBH

AUSTRIA CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM. PR


ITALIA
CUTIE X 2 BLIST. AL/PVC X 10 CAPS. ELIB. PREL. P-6L
CEHIA
CUTIE X 3 BLIST. PVC/PVDC/AL X 10 CAPS. ELIB. PREL. P-6L
AUSTRIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS. MOI GASTROREZ. P-6L

HEXAL AG

GERMANIA CUTIE X 1 BLIST. AL/PP X 10 COMPR. ELIB. MODIF. P-6L

EBEWE PHARMA GES.M.B.H. NFG KG

ALFA WASSERMANN SPA


PHARMASWISS CESKA REPUBLIKA S.R.O.

NOVARTIS PHARMA GMBH GERMANIA

TERAPIA SA

ROMANIA
ROMANIA

FARAN LABORATORIES S.A.

GRECIA

STADA HEMOFARM S.R.L.

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 1 BLIST. PVC-PE-PVDC/AL. X 10 COMPR. FILM. ELIB. PREL.

P-6L

CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM. ELIB. PREL.

P-6L

CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL

P-6L

CUTIE X 3 BLIST. PVC-AL/PVDC X 10 COMPR. FILM. GASTROREZ.

P-6L

CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. GASTROREZ.

P-6L

TERAPIA SA
ANTIBIOTICE SA

ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ.


ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM. GASTROREZ.
AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ.
DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ.
E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 3 BLIST. X 10 COMPR. GASTROREZ.

P-6L
P-6L
P-6L
P-6L
P-6L

NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 10 DRAJ. P-6L

ARENA GROUP SA ROMANIA


MEDUMAN SA
ROMANIA
ARENA GROUP SA ROMANIA

CUTIE X 3 BLIST. AL/PVC X 10 DRAJ. GASTROREZ.

P-6L

CUTIE X 1 FLAC. PE X 20 DRAJ. GASTROREZ.

P-6L

CUTIE X 2 BLIST. AL/PVC X 10 DRAJ GASTROREZ.

P-6L

NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 FIOLE CU PUNCT DE RUPERE X 3 ML

P-RF

FARAN LABORATORIES S.A.


GEROT PHARMAZEUTIKA GMBH

GRECIA
AUSTRIA

CUTIE X 5 FIOLE DE STICLA BRUNA PREVAZUTE CU INEL DE RUPERE X 3 ML

P-RF

CUTIE X 1 BLIST PVC X 5 FIOLE DIN STICLA BRUNA X 3 ML SOL. INJ.

P-RF

HEXAL AG
GERMANIA CUTIE X 5 FIOLE X 3 ML SOL. INJ.
MEDOCHEMIE LTD. CIPRU
TERAPIA SA
ROMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 3 ML
CUTIE X 10 FIOLE DIN STICLA BRUNA CU INEL DE RUPERE, IN 2 SUPORTURI TERMOFORMATE DIN MATERIAL PLASTI

P-RF
P-RF
P-RF

ALIUD PHARMA GMBH GERMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 3ML SOL. INJ. P-RF
ALIUD PHARMA GMBH GERMANIA CUTIE X 10 FIOLE DIN STICLA INCOLORA X 3ML SOL. INJ. P-RF
STADA HEMOFARM S.R.L. ROMANIA CUTIE CU 5 FIOLE DIN STICLA INCOLORA X 3 ML SOL. INJ./PERF. P-RF
ANTIBIOTICE SA
ROMANIA CUTIE X 2 FOLII TERMOSUDANTE X 3 SUPOZ. P-6L
NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FOLIE PVC/PE-JD X 5 SUPOZ. P-6L
SINTOFARM SA
ROMANIA CUTIE X 2 FOLII PVC/PE X 5 SUPOZ. P-6L

Pagina 83 din 205

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
CANT MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ITAT
L
MAXIMAL/UT 213 alin.(1) lit.
UT (RON)
E
(RON)
(RON)
a) si f)
PT. ADULTI

30
30
30
30
30
30
30
30
30
50
50
50
50
50
50
50
1
100
50
100
100
20
30
30
10
10
20
20
30
20
20
20
20
20
30
10
30
20
20
5
5
5
5
10
5
5
10
5
6
5
10

276.74
9.224666
5.286399
5.286399
179.89
5.996333
5.286399
5.286399
158.59
5.286333
5.286333
5.286333
132.16
4.405333
4.405333
4.405333
187.99
6.266333
6.266333
6.266333
289.22
9.640666
7.519599
7.519599
187.99
6.266333
6.266333
6.266333
187.99
6.266333
6.266333
6.266333
187.99
6.266333
6.266333
6.266333
466.61
9.332200
9.332200
9.332200
135.71
2.714200
2.232720
2.232720
93.03
1.860600
1.860600
1.860600
135.87
2.717400
2.232720
2.232720
288.73
5.774600
4.504080
4.504080
187.67
3.753400
3.753400
3.753400
301.62
6.032400
4.504080
4.504080
424.20 424.200000 424.200000 424.200000
103.94
1.039400
1.039400
1.039400
54.72
1.094400
1.094400
1.094400
79.95
0.799500
0.799500
0.799500
77.97
0.779700
0.779700
0.779700
47.13
2.356500
2.356500
2.356500
20.25
0.675000
0.465600
0.465600
6.32
0.210666
0.133800
0.133800
3.88
0.388000
0.388000
0.388000
6.49
0.649000
0.487200
0.487200
8.44
0.422000
0.422000
0.422000
8.12
0.406000
0.406000
0.406000
5.65
0.188333
0.177999
0.177999
6.49
0.324500
0.133800
0.133800
4.21
0.210500
0.133800
0.133800
3.00
0.150000
0.133800
0.133800
2.23
0.111500
0.111500
0.111500
3.78
0.189000
0.133800
0.133800
4.45
0.148333
0.148333
0.148333
2.31
0.231000
0.133800
0.133800
5.65
0.188333
0.177999
0.177999
2.51
0.125500
0.125500
0.125500
2.62
0.131000
0.131000
0.131000
9.29
1.858000
0.962400
0.962400
6.02
1.204000
0.962400
0.962400
14.07
2.814000
0.962400
0.962400
6.02
1.204000
0.962400
0.962400
9.80
0.980000
0.962400
0.962400
6.02
1.204000
0.962400
0.962400
6.02
1.204000
0.962400
0.962400
12.08
1.208000
0.962400
0.962400
4.01
0.802000
0.802000
0.802000
3.90
0.650000
0.604800
0.604800
5.41
1.082000
0.604800
0.604800
6.87
0.687000
0.604800
0.604800

NR.CRT

71
72
73
74
75
76
77

COD ATC
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05

P01BA02

DCI

DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
HYDROXYCHLOROQUINUM

Denumire Comerciala

forma farm.

DICLOFENAC SODIC 100 mg SUPOZ.


EPIFENAC
SUPOZ.
DICLOGESIC 12,5 SUPOZITOARE SUPOZ.
TRATUL 120
SUPOZ.
VOLTAREN (R)
SUPOZ.
TRATUL 60
SUPOZ.
PLAQUENIL
COMPR. FILM.

concentratie

100mg
100mg
12,5mg
120mg
50mg
60mg
200mg

TARA
DET. APP
AMBALAJ
MAGISTRA C & C
ROMANIA CUTIE X 2 FOLII TERMOSUDATE PVC/PE X 5 SUPOZ. P-6L
E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FOLIE AL/PEJD. X 5 SUPOZ. P-6L
DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 2 FOLII PVC/PE X 5 SUPOZ. P-6L
DETINATOR APP

GEROT PHARMAZEUTIKA GMBH

Prescriptie

AUSTRIA CUTIE X 6 SUPOZ.

NOVARTIS PHARMA GMBH GERMANIA


GEROT PHARMAZEUTIKA GMBH
SANOFI - AVENTIS ROMANIA S.R.L.

P-6L

CUTIE X 2 FOLII PVC/PEJD X 5 SUPOZ. P-6L

AUSTRIA CUTIE X 6 SUPOZ.


ROMANIA CUTIE X 6 BLIST. X 10 COMPR. FILM.

P-6L
P-6L

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
CANT MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ITAT
L
MAXIMAL/UT 213 alin.(1) lit.
UT (RON)
E
(RON)
(RON)
a) si f)
PT. ADULTI

10
5
10
6
10
6
60

5.04
3.51
4.98
4.21
9.34
3.65
33.05

0.504000
0.702000
0.498000
0.701666
0.934000
0.608333
0.550833

0.504000
0.604800
0.498000
0.701666
0.934000
0.608333
0.550833

0.504000
0.604800
0.498000
0.701666
0.934000
0.608333
0.550833

0.370560
0.308800
6.826000
2.356500
0.465600
0.133800
0.388000
0.487200
0.422000
0.406000
0.177999
0.133800
0.133800
0.133800
0.111500
0.133800
0.148333
0.133800
0.177999
0.125500
0.131000
0.962400
0.962400
0.962400
0.962400
0.962400
0.962400
0.962400
0.962400
0.802000
0.604800
0.604800
0.604800
0.504000
0.604800
0.498000

0.370560
0.308800
6.826000
2.356500
0.465600
0.133800
0.388000
0.487200
0.422000
0.406000
0.177999
0.133800
0.133800
0.133800
0.111500
0.133800
0.148333
0.133800
0.177999
0.125500
0.131000
0.962400
0.962400
0.962400
0.962400
0.962400
0.962400
0.962400
0.962400
0.802000
0.604800
0.604800
0.604800
0.504000
0.604800
0.498000

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

17. SPONDILITA ANKILOZANTA - G 19


1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36

A07EC01
A07EC01
H02AB01
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05

SULFASALAZINUM
SULFASALAZINUM
BETAMETHASONUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM

SULFASALAZIN EN
SALAZOPYRIN EN
DIPROPHOS (R)
DICLOREUM 150 mg

500mg
500mg
SUSP. INJ. I.M. 7mg/ml
CAPS. ELIB. PREL. 150mg
DICLOFENAC DUO PHARMASWISS 75 mg CAPS. ELIB. PREL. 75mg
TRATUL 50
CAPS. MOI GASTROREZ. 50mg
DICLAC (R) 75 ID
COMPR. ELIB. MODIF. 75mg
VOLTAREN (R) RETARD
COMPR. FILM. ELIB. PREL. 100mg
REFEN (R) RETARD
COMPR. FILM. ELIB. PREL. 100mg
DICLOTARD (R) 100 mg
COMPR. FILM. ELIB. PREL. 100mg
RHEUMAVEK
COMPR. FILM. GASTROREZ.
25mg
VOLTAREN (R) 50
COMPR. FILM. GASTROREZ.
50mg
DICLOFENAC 50 mg
COMPR. FILM. GASTROREZ.
50mg
CLAFEN 50 mg
COMPR. FILM. GASTROREZ.
50mg
DICLOFENAC 50 mg
COMPR. FILM. GASTROREZ.
50mg
DICLOGESIC 50 COMPRIMATE FILMATE GASTROREZISTENTE
COMPR. FILM. GASTROREZ.
50mg
EPIFENAC
COMPR. GASTROREZ. 25mg
VOLTAREN RAPID (R)
DRAJ.
50mg
DICLOFENAC ARENA 25 mg DRAJ. GASTROREZ. 25mg
N - DICLOFENAC
DRAJ. GASTROREZ. 50mg
DICLOFENAC ARENA 50 mg DRAJ. GASTROREZ. 50mg
VOLTAREN (R)
SOL. INJ.
25mg/ml
RHEUMAVEK
SOL. INJ.
25mg/ml
TRATUL (R)
SOL. INJ.
30mg/ml
DICLAC
SOL. INJ.
75mg
ALMIRAL
SOL. INJ.
75mg/3ml
DICLOFENAC 75 mg
SOL. INJ.
75mg/3ml
DICLOFENAC AL I.M.
SOL. INJ.
75mg/3ml
DICLOFENAC AL I.M.
SOL. INJ.
75mg/3ml
REFEN 75 mg
SOL. INJ./PERF. 25mg/ml
CLAFEN 100 mg
SUPOZ.
100mg
VOLTAREN (R)
SUPOZ.
100mg
DICLOFENAC 100 mg
SUPOZ.
100mg
DICLOFENAC SODIC 100 mg SUPOZ.
100mg
EPIFENAC
SUPOZ.
100mg
DICLOGESIC 12,5 SUPOZITOARE SUPOZ.
12,5mg
COMPR. FILM. GASTROREZ.

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ.

P-6L

COMPR. FILM. GASTROREZ.

PFIZER EUROPE MA EEIG

CUTIE X 1 FLAC. PEID X 100 COMPR. FILM. GASTROREZ.

P-6L
P-RF

GEROT PHARMAZEUTIKA GMBH

BELGIA CUTIE X 5 FIOLE X 1 ML


ITALIA
CUTIE X 2 BLIST. AL/PVC X 10 CAPS. ELIB. PREL.
CEHIA
CUTIE X 3 BLIST. PVC/PVDC/AL X 10 CAPS. ELIB. PREL.
AUSTRIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS. MOI GASTROREZ.

HEXAL AG

GERMANIA CUTIE X 1 BLIST. AL/PP X 10 COMPR. ELIB. MODIF. P-6L

SCHERING PLOUGH EUROPE

ALFA WASSERMANN SPA


PHARMASWISS CESKA REPUBLIKA S.R.O.

MAREA BRITANIE

NOVARTIS PHARMA GMBH GERMANIA

TERAPIA SA

ROMANIA
ROMANIA

FARAN LABORATORIES S.A.

GRECIA

STADA HEMOFARM S.R.L.

NOVARTIS PHARMA GMBH GERMANIA

P-6L
P-6L
P-6L

CUTIE X 1 BLIST. PVC-PE-PVDC/AL. X 10 COMPR. FILM. ELIB. PREL.

P-6L

CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM. ELIB. PREL.

P-6L

CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL

P-6L

CUTIE X 3 BLIST. PVC-AL/PVDC X 10 COMPR. FILM. GASTROREZ.

P-6L

CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. GASTROREZ.

P-6L

TERAPIA SA
ANTIBIOTICE SA

ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ.


ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM. GASTROREZ.
AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ.
DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ.
E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 3 BLIST. X 10 COMPR. GASTROREZ.

P-6L
P-6L
P-6L
P-6L
P-6L

NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 10 DRAJ. P-6L

ARENA GROUP SA ROMANIA


MEDUMAN SA
ROMANIA
ARENA GROUP SA ROMANIA

CUTIE X 3 BLIST. AL/PVC X 10 DRAJ. GASTROREZ.

P-6L

CUTIE X 1 FLAC. PE X 20 DRAJ. GASTROREZ.

P-6L

CUTIE X 2 BLIST. AL/PVC X 10 DRAJ GASTROREZ.

P-6L

NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 FIOLE CU PUNCT DE RUPERE X 3 ML

P-RF

FARAN LABORATORIES S.A.


GEROT PHARMAZEUTIKA GMBH

GRECIA
AUSTRIA

CUTIE X 5 FIOLE DE STICLA BRUNA PREVAZUTE CU INEL DE RUPERE X 3 ML

P-RF

CUTIE X 1 BLIST PVC X 5 FIOLE DIN STICLA BRUNA X 3 ML SOL. INJ.

P-RF

HEXAL AG
GERMANIA CUTIE X 5 FIOLE X 3 ML SOL. INJ.
MEDOCHEMIE LTD. CIPRU
TERAPIA SA
ROMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 3 ML

P-RF

ALIUD PHARMA GMBH GERMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 3ML SOL. INJ.
ALIUD PHARMA GMBH GERMANIA CUTIE X 10 FIOLE DIN STICLA INCOLORA X 3ML SOL. INJ.
STADA HEMOFARM S.R.L. ROMANIA CUTIE CU 5 FIOLE DIN STICLA INCOLORA X 3 ML SOL. INJ./PERF.
ANTIBIOTICE SA
ROMANIA CUTIE X 2 FOLII TERMOSUDANTE X 3 SUPOZ.
NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FOLIE PVC/PE-JD X 5 SUPOZ.
SINTOFARM SA
ROMANIA CUTIE X 2 FOLII PVC/PE X 5 SUPOZ.
MAGISTRA C & C
ROMANIA CUTIE X 2 FOLII TERMOSUDATE PVC/PE X 5 SUPOZ.
E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FOLIE AL/PEJD. X 5 SUPOZ.
DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 2 FOLII PVC/PE X 5 SUPOZ.

P-RF

CUTIE X 10 FIOLE DIN STICLA BRUNA CU INEL DE RUPERE, IN 2 SUPORTURI TERMOFORMATE DIN MATERIAL PLASTI

Pagina 84 din 205

P-RF
P-RF

P-RF
P-RF

P-6L
P-6L
P-6L
P-6L
P-6L
P-6L

50
100
5
20
30
30
10
10
20
20
30
20
20
20
20
20
30
10
30
20
20
5
5
5
5
10
5
5
10
5
6
5
10
10
5
10

27.90
30.88
34.13
47.13
20.25
6.32
3.88
6.49
8.44
8.12
5.65
6.49
4.21
3.00
2.23
3.78
4.45
2.31
5.65
2.51
2.62
9.29
6.02
14.07
6.02
9.80
6.02
6.02
12.08
4.01
3.90
5.41
6.87
5.04
3.51
4.98

0.558000
0.308800
6.826000
2.356500
0.675000
0.210666
0.388000
0.649000
0.422000
0.406000
0.188333
0.324500
0.210500
0.150000
0.111500
0.189000
0.148333
0.231000
0.188333
0.125500
0.131000
1.858000
1.204000
2.814000
1.204000
0.980000
1.204000
1.204000
1.208000
0.802000
0.650000
1.082000
0.687000
0.504000
0.702000
0.498000

NR.CRT

37
38
39

COD ATC
M01AB05
M01AB05
M01AB05

DCI

DICLOFENACUM
DICLOFENACUM
DICLOFENACUM

Denumire Comerciala

TRATUL 120
VOLTAREN (R)
TRATUL 60

forma farm.

SUPOZ.
SUPOZ.
SUPOZ.

concentratie

120mg
50mg
60mg

DETINATOR APP
GEROT PHARMAZEUTIKA GMBH

TARA
DET. APP

NOVARTIS PHARMA GMBH GERMANIA


GEROT PHARMAZEUTIKA GMBH

AMBALAJ

AUSTRIA CUTIE X 6 SUPOZ.

Prescriptie

P-6L

CUTIE X 2 FOLII PVC/PEJD X 5 SUPOZ. P-6L

AUSTRIA CUTIE X 6 SUPOZ.

P-6L

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
CANT MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ITAT
L
MAXIMAL/UT 213 alin.(1) lit.
UT (RON)
E
(RON)
(RON)
a) si f)
PT. ADULTI

6
10
6

4.21
9.34
3.65

0.701666
0.934000
0.608333

0.701666
0.934000
0.608333

0.701666
0.934000
0.608333

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

18. BOLI ENDOCRINE (GUSA ENDEMICA, INSUFICIENTA SUPRARENALA CRONICA, DIABETUL INSIPID, MIXEDEMUL ADULTULUI, TUMORI HIPOFIZARE CU EXPANSIUNE SUPRASELARA SI TUMORI
NEUROENDOCRINE) - G 22
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38

G02CB03
G02CB03

H01AX01
H01AX01
H01AX01
H01BA02
H01BA02
H01BA02
H01BA02
H01CB02
H01CB02
H01CB02
H01CB02
H01CB03
H01CB03
H02AA02
H02AB06
H02AB06
H02AB07
H02AB07
H02AB07
H02AB07
H02AB07
H02AB09
H02AB09
H02AB09
H02AB09
H03AA01
H03AA01
H03AA01
H03AA01
H03AA01
H03AA01
H03CA01
H03CA01
H03CA01
H03CA01
N04BC01

CABERGOLINUM**
CABERGOLINUM**
PEGVISOMANTUM****
PEGVISOMANTUM****
PEGVISOMANTUM****
DESMOPRESSINUM
DESMOPRESSINUM
DESMOPRESSINUM
DESMOPRESSINUM
OCTREOTIDUM****
OCTREOTIDUM****
OCTREOTIDUM****
OCTREOTIDUM****
LANREOTIDUM****
LANREOTIDUM****
FLUDROCORTISONUM
PREDNISOLONUM
PREDNISOLONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
HYDROCORTISONUM
HYDROCORTISONUM
HYDROCORTISONUM
HYDROCORTISONUM
LEVOTHYROXINUM
LEVOTHYROXINUM
LEVOTHYROXINUM
LEVOTHYROXINUM
LEVOTHYROXINUM
LEVOTHYROXINUM
KALII IODIDUM
KALII IODIDUM
KALII IODIDUM
KALII IODIDUM
BROMOCRIPTINUM

DOSTINEX
DOSTINEX
SOMAVERT 10 mg
SOMAVERT 15 mg
SOMAVERT 20 mg

COMPR.
COMPR.

0,5mg
0,5mg
LIOF. + SOLV. PT. SOL. INJ.
10mg
LIOF. + SOLV. PT. SOL. INJ.
15mg
LIOF. + SOLV. PT. SOL. INJ.
20mg
DESMOPRESINA TEVA 0,2mg COMPR.
0,2mg
MINIRIN 0,2 mg
COMPR.
0,2mg
MINIRIN MELT 120 mcg
LIOF. ORAL 120mcg
MINIRIN MELT 60 mcg
LIOF. ORAL 60mcg
SANDOSTATIN LAR 20 mg
20mg
SANDOSTATIN LAR 10 mg
10mg
SANDOSTATIN LAR 30 mg
30mg
SANDOSTATIN (R)
SOL. INJ.
0,1mg/ml
SOMATULINE (R) PR 30 mg LIOF. PT. SOL. INJ. + SOLV. 30mg
SOMATULINE AUTOGEL 120 mg SOL. INJ. CU ELIB. PREL. 120mg
ASTONIN H
COMPR.
0,1mg
SOLU - DECORTIN H 250
LIOF. + SOLV. PT. SOL. INJ.
250mg
SOLU - DECORTIN H 50
LIOF. + SOLV. PT. SOL. INJ.
50mg
PREDNISON MCC 5 mg
COMPR.
5mg
PREDNISON ARENA 5 mg COMPR.
5mg
N - PREDNISON
COMPR.
5mg
PREDNISON 5 mg
COMPR.
5mg
PREDNISON - RICHTER 5 mg COMPR.
5mg
HYDROCORTISONE 100 mg LIOF. + SOLV. PT. SOL. INJ. 100mg
HYDROCORTISONE SUCCINAT SODIC LIOF. + SOLV. PT. SOL. INJ. 100mg
HYDROCORTISONE 500 mg LIOF. PT. SOL. INJ. + SOLV. 500mg
HIDROCORTIZON HEMISUCCINAT SOL. INJ. I.V. 25mg/5ml
L-THYROXIN 100 BERLIN - CHEMIE COMPR.
100mcg
EUTHYROX 100mcg
COMPR.
100mcg
EUTHYROX 200mcg
COMPR.
200mcg
EUTHYROX 25mcg
COMPR.
25mcg
L-THYROXIN 50
COMPR.
50mcg
EUTHYROX 50mcg
COMPR.
50mcg
JODID 100
COMPR.
100mcg
JODID 100
COMPR.
100mcg
JODID 200
COMPR.
200mcg
JODID 200
COMPR.
200mcg
BROCRIPTIN (N04BC01)
DRAJ.
2,5mg
PULB. + SOLV. PT. SUSP. INJ. (I.M.) CU ELIB. PRELU

PULB.+SOLV.PT.SUSP. INJ. (I.M.) CU ELIB. PRELUNG.

PULB.+SOLV.PT.SUSP. INJ. (I.M.) CU ELIB. PRELUNG.

PFIZER EUROPE MA EEG

MAREA BRITANIE

PFIZER EUROPE MA EEG

MAREA BRITANIE

CUTIE X 1 FLAC. X 2 COMPR.


CUTIE X 1 FLAC. X 8 COMPR.

MAREA BRITANIE

CUTIE X 30 FLAC. CU PULB., INSOTITE DE 30 FLAC. X 8 ML SOLV. PT. RECONSTITUIRE

P-RF/R

MAREA BRITANIE

CUTIE X 30 FLAC. CU PULB., INSOTITE DE 30 FLAC. X 8 ML SOLV. PT. RECONSTITUIRE

P-RF/R

MAREA BRITANIE

CUTIE X 30 FLAC. CU LIOF., INSOTITE DE 30 FLAC. A 8 ML SOLV. PT. RECONSTITUIRE

P-RF/R

TEVA PHARMACEUTICAL S.R.L.

ROMANIA

CUTIE CU BLIST. OPA-AL- PVC/AL X 30 COMPR. P-RF

FERRING GMBH
FERRING GMBH
FERRING GMBH

GERMANIA CUTIE X 1 FLAC. DIN PEID X 30 COMPR. P-RF

PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED

P-RF
P-RF

GERMANIA

CUTIE X 3 BLIST. AL/AL X 10 UNITATI DOZATE LIOF. ORAL

GERMANIA

CUTIE X 3 BLIST AL/AL X 10 UNITATI DOZATE LIOF. ORAL

P-RF

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 1 FLAC. PULBERE + 1 SERINGA PREUMPLUTA X 2,5 ML SOLVENT + 2 ACE

S/P-RF

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 1 FLAC. PULBERE + 1 SERINGA PREUMPLUTA X 2,5 ML SOLVENT + 2 ACE

S/P-RF

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 1 FLAC. PULB. + 1 SERINGA PREUMPLUTA X 2,5 ML SOLVENT + 2 ACE

S/P-RF

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 5 FIOLE X 1 ML

S/P-RF

CUTIE X 1 FLACON LIOF. + 1 FIOLA X 2 ML SOLV. + 1 SERINGA X 3 ML + 2 ACE

CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. CU ELIB. PREL., IN PUNGA AL/NYLON/PE + AC

S/P-RF

BEAUFOUR IPSEN PHARMA

IPSEN PHARMA
MERCK KGAA
MERCK KGAA
MERCK KGAA

FRANTA
FRANTA

P-RF

GERMANIA CUTIE X 1 FLAC. DIN PP X 50 COMPR. P-RF


GERMANIA

CUTIE X 3 FLAC. DIN STICLA INCOLORA X 250 MG FIOF. PT. SOL. INJ. + 3 FIOLE X 5 ML SOLV.

P-RF

GERMANIA

CUTIE X 3 FLAC. X 50 MG LIOF. PT. SOL. INJ. + 3 FIOLE X 1 ML SOLVENT

P-RF

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P-RF

CUTIE X 1 FLAC. X 30 COMPR.

P-RF

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.


CUTIE X 2 BLIST. AL./PVC X 10 COMPR.

P-RF

MAGISTRA C&C S.R.L. ROMANIA


ARENA GROUP SA ROMANIA
MEDUMAN SA
ROMANIA
SINTOFARM SA
ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
STADA HEMOFARM S.R.L. ROMANIA
E.I.P.I.CO. MED S.R.L. ROMANIA
STADA HEMOFARM S.R.L. ROMANIA
ZENTIVA S.A.
ROMANIA

P-RF

P-RF

CUTIE X 1 FLAC. LIOF. + 1 FIOLA X 2 ML SOLV. P-RF


CUTIE X 1 FLAC. DIN STICLA INCOLORA CU LIOF. PT. SOL. INJ. + 1 FIOLA SOLV. X 2 ML

S/P-RF

CUTIE X 1 FLAC. LIOF. + 1 FIOLA X 4 ML SOLV. P-RF


CUTIE X 5 FIOLE X 1 ML SOL. A + 5 FIOLE X 4 ML SOL. B

S/P-RF

BERLIN CHEMIE AG MENARINI GROUP

GERMANIA CUTIE X 4 BLIST. PVC-PVDC/AL X 25 COMPR.

MERCK KGAA
MERCK KGAA
MERCK KGAA

GERMANIA CUTIE X 4 BLIST. PP/AL X 25 COMPR. P-6L

BERLIN CHEMIE AG MENARINI GROUP

GERMANIA CUTIE X 4 BLIST. PVC-PVDC/AL X 25 COMPR.

MERCK KGAA
MERCK KGAA
MERCK KGAA
MERCK KGAA
MERCK KGAA
BIOFARM SA

GERMANIA CUTIE X 4 BLIST. PP/AL X 25 COMPR. P-6L

P-6L

GERMANIA CUTIE X 4 BLIST. AL/PP X 25 COMPR. P-6L


GERMANIA CUTIE X 4 BLIST. PP/AL X 25 COMPR. P-6L
P-6L/S

GERMANIA CUTIE X 4 BLIST. AL/PP X 25 COMPR. P-RF


GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 COMPR. P-RF
GERMANIA CUTIE X 4 BLIST. PP/AL X 25 COMPR. P-RF
GERMANIA CUTIE X 4 BLIST. PVC/AL X 25 COMPR. P-RF

ROMANIA CUTIE X 2 BLIST. AL/PVC X 20 DRAJ.

Pagina 85 din 205

P-RF

2
8
30
30
30
30
30
30
30
1
1
1
5
1
1
50
3
3
20
30
30
30
20
1
1
1
5
100
100
100
100
100
100
100
100
100
100
40

43.08
122.28
8,502.87
12,506.35
16,934.88

126.99
193.01
192.99
102.02

21.540000 18.342000 18.342000


15.285000 15.285000 15.285000
283.429000 283.429000 283.429000
416.878333 416.878333 416.878333
564.496000 564.496000 564.496000
4.233000
4.233000
4.233000
6.433666
5.079600
5.079600
6.433000
6.433000
6.433000
3.400666
3.400666
3.400666

3,785.50 3,785.500000 3,785.500000 3,785.500000


2,373.19 2,373.190000 2,373.190000 2,373.190000
5,227.67 5,227.670000 5,227.670000 5,227.670000

150.83

30.166000

30.166000

30.166000

1,555.55 1,555.550000 1,555.550000 1,555.550000


5,030.22 5,030.220000 5,030.220000 5,030.220000

47.21
94.50
35.29
2.62
2.59
2.43
3.67
2.54
3.87
3.87
11.77
21.08
12.33
11.56
23.87
9.40
8.31
8.18
12.19
12.19
19.00
19.00
20.91

0.944200
31.500000
11.763333
0.131000
0.086333
0.081000
0.122333
0.127000
3.870000
3.870000
11.770000
4.216000
0.123300
0.115600
0.238700
0.094000
0.083100
0.081800
0.121900
0.121900
0.190000
0.190000
0.522750

0.944200
31.500000
11.763333
0.097200
0.086333
0.081000
0.097200
0.097200
3.870000
3.870000
11.770000
4.216000
0.123300
0.115600
0.238700
0.094000
0.083100
0.081800
0.121900
0.121900
0.190000
0.190000
0.522750

0.944200
31.500000
11.763333
0.097200
0.086333
0.081000
0.097200
0.097200
3.870000
3.870000
11.770000
4.216000
0.123300
0.115600
0.238700
0.094000
0.083100
0.081800
0.121900
0.121900
0.190000
0.190000
0.522750

NR.CRT

COD ATC

DCI

Denumire Comerciala

forma farm.

concentratie

DETINATOR APP

TARA
DET. APP

Tratamentul se initiaza de catre medicul in specialitatea endocrinologie sau oncologie

Pagina 86 din 205

AMBALAJ

Prescriptie

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
CANT MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ITAT
L
MAXIMAL/UT 213 alin.(1) lit.
UT (RON)
E
(RON)
(RON)
a) si f)
PT. ADULTI

NR.CRT

COD ATC

DCI

Denumire Comerciala

forma farm.

concentratie

DETINATOR APP

TARA
DET. APP

AMBALAJ

Prescriptie

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
CANT MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ITAT
L
MAXIMAL/UT 213 alin.(1) lit.
UT (RON)
E
(RON)
(RON)
a) si f)
PT. ADULTI

19. BOALA WILSON - G23


1
2

M01CC01
M01CC01

PENICILLAMINUM**4
PENICILLAMINUM**4

CUPRENIL
CUPRENIL

COMPR. FILM. 250mg


COMPR. FILM. 250mg

CN UNIFARM
CN UNIFARM

ROMANIA CUTIE X 1FLAC. X 100 COMPR. FILM.


ROMANIA CUTIE X 30 CPR.FILM.

P-RF
P-RF

100 112.38
30 37.01

1.123800
1.233666

1.123800
1.233666

1.123800
1.233666

Tratamentul se initiaza de catre medicul in specialitatea endocrinologie sau neurologie

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


1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41

A11CC07
A11CC07
A11CC07
A11CC07
A11CC07

PARICALCITOLUM**
PARICALCITOLUM**
PARICALCITOLUM**
PARICALCITOLUM**
PARICALCITOLUM**

B03AC02 COMPLEX DE HIDROXID DE FER (III) SUCROZA**

B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04

EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**

ZEMPLAR 1mcg
ZEMPLAR 2mcg
ZEMPLAR 4mcg
ZEMPLAR
ZEMPLAR
VENOFER (R)
EPREX (R) 3000 UI
EPREX (R) 40 000 UI
BINOCRIT 10000UI/1,0ml
BINOCRIT 1000UI/0,5ml
BINOCRIT 2000UI/1,0ml
BINOCRIT 30000UI/0,75ml
BINOCRIT 3000UI/0,3ml
EPREX 40000 UI/ml
BINOCRIT 40000 UI/1 ml
BINOCRIT 4000UI/0,4ml
BINOCRIT 5000UI/0,5ml
NEORECORMON 10000UI/0,6ml

NEORECORMON 1000UI/0,3ml
NEORECORMON 2000UI/0,3ml
NEORECORMON 30000UI/0,6ml

NEORECORMON 4000UI/0,3ml
NEORECORMON 5000UI/0,3ml
NEORECORMON 500UI/0,3ml

ARANESP 100mcg/0,5ml
ARANESP 10mcg/0,4ml
ARANESP 150mcg/0,3ml
ARANESP 15mcg/0,375ml
ARANESP 20mcg/0,5ml
ARANESP 300mcg/0,6ml
ARANESP 30mcg/0,3ml
ARANESP 40mcg/0,4ml
ARANESP 500mcg/ml
ARANESP 50mcg/0,5ml
ARANESP 60mcg/0,3ml
ARANESP 80mcg/0,4ml
APROVEL 150mg

CAPS. MOI
CAPS. MOI
CAPS. MOI
SOL. INJ.
SOL. INJ.

SOL. INJ. IN SERINGA PREUMPLUTA

1mcg
ABBOTT LABORATORIES LTD.
2mcg
ABBOTT LABORATORIES LTD.
4mcg
ABBOTT LABORATORIES LTD.
5 mcg/ml
ABBOTT LABORATORIES LTD.
5 mcg/ml
ABBOTT LABORATORIES LTD.
20mg/ml
VIFOR FRANCE S.A.
3000ui/0,3ml JOHNSON & JOHNSON D.O.O.
40 000UI
JOHNSON & JOHNSON D.O.O.
10000UI/1,0ml SANDOZ GMBH
1000UI/0,5ml SANDOZ GMBH
2000UI/1,0ml SANDOZ GMBH
30000UI/0,75ml SANDOZ GMBH
3000UI/0,3ml SANDOZ GMBH
40 000UI/ml JOHNSON & JOHNSON D.O.O.
40000 UI/1 ml SANDOZ GMBH
4000UI/0,4ml SANDOZ GMBH
5000UI/0,5ml SANDOZ GMBH

CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ.

S/P-RF/R

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

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE

S/P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

1000UI/0,3ml
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

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

SOL. INJ./PERF.

SOL. INJ.
SOL. INJ.
SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SPANIA CUTIE X 4 BLIST. PVC/FLUOROPOLIMER/AL X 7 CAPS. MOI P-RF


SPANIA CUTIE X 4 BLIST. PVC/FLUOROPOLIMER/AL X 7 CAPS. P-RF
SPANIA CUTIE X 4 BLIST. PVC/FLUOROPOLIMER/AL X 7 CAPS. MOI P-RF
SPANIA CUTIE X 5 FIOLE X 2 ML SOL. INJ. S
SPANIA CUTIE X 5 FIOLE X 1 ML SOL. INJ. S
FRANTA CUTIE X 5 FIOLE X 5 ML
S/P-RF
SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,3 ML
SLOVENIA CUTIE X 1 FLACON DIN STICLA X 1 ML

S/P-RF
S/P-RF

AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA

CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ.

S/P-RF/R

CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ.

S/P-RF/R

CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ.

S/P-RF/R

CUTIE X 1 SERINGA PREUMPLUTA X 0,75ML SOL. INJ.

P-RF/R

CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ.

S/P-RF/R

SLOVENIA

CUTIE CU 1 SERINGA PREUMPLUTA X 1 ML SOL. INJ.

S/P-RF

AUSTRIA
AUSTRIA
AUSTRIA

CUTIE X 1 SERINGA PREUMPLUTA X 1ML SOL. INJ.

P-RF/R

CUTIE X 6 SERINGI PREUMPLUTE X 0,4ML SOL. INJ.

S/P-RF/R

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE

S/P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

4000UI/0,3ml
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

SOL. INJ. IN SERINGA PREUMPLUTA

500UI/0,3ml

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ. + 6 ACE

S/P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

100mcg/0,5ml AMGEN EUROPE BV OLANDA

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML

P-RF/R

OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
FRANTA
FRANTA

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML

P-RF/R

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML

P-RF/R

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,375 ML

P-RF/R

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML

P-RF/R

CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 0,6 ML

P-RF/R

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML

P-RF/R

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML

P-RF/R

CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 1 ML

P-RF/R

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML

P-RF/R

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML

P-RF/R

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML

P-RF/R

ROMANIA
ROMANIA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

COMPR. FILM.
IRBESARTAN WINTHROP 150mg COMPR. FILM.
IRBESARTAN TERAPIA 150 mg COMPR. FILM.
IRBESARTAN SANDOZ 150 mg COMPR. FILM.
IRBEGAMMA 150 mg
COMPR. FILM.

10mcg/0,4ml AMGEN EUROPE BV


150mcg/0,3ml AMGEN EUROPE BV
15mcg/0,375ml AMGEN EUROPE BV
20mcg/0,5ml AMGEN EUROPE BV
300mcg/0,6ml AMGEN EUROPE BV
30mcg/0,3ml AMGEN EUROPE BV
40mcg/0,4ml AMGEN EUROPE BV
500mcg/ml AMGEN EUROPE BV
50mcg/0,5ml AMGEN EUROPE BV
60mcg/0,3ml AMGEN EUROPE BV
80mcg/0,4ml AMGEN EUROPE BV
150mg
SANOFI PHARMA - BRISTOL MYERS SQUIBB
150mg
SANOFI PHARMA - BRISTOL MYERS SQUIBB
150mg
TERAPIA S.A.
150mg
SANDOZ S.R.L.
150mg
WORWAG PHARMA GMBH & CO. KG

CUTIE X BLIST PVC/PVDC/AL X 28 COMPR. FILM. P-6L


CUTIE X 28 COMPR. FILM. (BLIST. PVC/PVDC/AL) P-6L

GERMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM.

Pagina 87 din 205

P-6L

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-6L

P-6L

28
28
28
5
5
5
6
1
6
6
6
1
6
1
1
6
6
6
6
6
1
6
6
6
4
4
4
4
4
1
4
4
1
4
4
4
28
28
28
28
30

463.34
921.08
1,721.20

892.26
470.08
148.01
750.92

16.547857 16.547857 16.547857


32.895714 32.895714 32.895714
61.471428 61.471428 61.471428
178.452000 178.452000 178.452000
94.016000 94.016000 94.016000
29.602000 29.602000 29.602000
125.153333 119.493999 119.493999

1,338.42 1,338.420000 1,180.296000 1,180.296000

284.848333 284.848333 284.848333


215.85 35.975000 35.975000 35.975000
421.67 70.278333 70.278333 70.278333
779.82 779.820000 779.820000 779.820000
597.47 99.578333 99.578333 99.578333

1,709.09

1,338.42 1,338.420000 1,180.296000 1,180.296000

983.58 983.580000 983.580000 983.580000


773.24 128.873333 128.873333 128.873333
948.94 158.156666 158.156666 158.156666
2,319.88 386.646666 386.646666 386.646666
276.62 46.103333 46.103333 46.103333
520.93 86.821666 86.821666 86.821666
1,161.58 1,161.580000 1,161.580000 1,161.580000

970.37 161.728333 161.728333 161.728333


199.158333 199.158333 199.158333
142.24 23.706666 23.706666 23.706666
3,136.61 784.152500 784.152500 784.152500
387.41 96.852500 96.852500 96.852500
1,194.95

4,653.92 1,163.480000 1,163.480000 1,163.480000

541.85 135.462500 135.462500 135.462500


695.22 173.805000 173.805000 173.805000
2,183.52 2,183.520000 2,183.520000 2,183.520000

998.45 249.612500 249.612500 249.612500


326.075000 326.075000 326.075000

1,304.30

3,591.99 3,591.990000 3,591.990000 3,591.990000


1,608.50
1,915.26
2,526.78

65.97
44.36
53.93
33.10
47.54

402.125000 402.125000 402.125000


478.815000 478.815000 478.815000
631.695000 631.695000 631.695000
2.356071
1.323999
1.323999
1.584285
1.323999
1.323999
1.926071
1.323999
1.323999
1.182142
1.182142
1.182142
1.584666
1.323999
1.323999

NR.CRT

42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77

DCI

COD ATC

C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
H02AB07
H02AB07
H02AB07
H02AB07
H02AB07

L01AA01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01

L04AX01
L04AX01
L04AX01
L04AX01
V06DDN1

IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
CYCLOPHOSPHAMIDUM
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
AZATHIOPRINUM*
AZATHIOPRINUM*
AZATHIOPRINUM*
AZATHIOPRINUM*
COMBINATII (AMINOACIZI)**

Denumire Comerciala

IRBEGAMMA 150 mg
IRPRESTAN 150 mg
IFIRMASTA 150 mg
IRBESARTAN TEVA 150 mg
IRBESARTAN DR. REDDY'S 150 mg

IRBESARTAN TEVA 300 mg


APROVEL 300mg
IRBESARTAN WINTHROP 300mg

IRBESARTAN TERAPIA 300 mg


IRBESARTAN SANDOZ 300 mg

IRBEGAMMA 300 mg
IRBEGAMMA 300 mg
IRPRESTAN 300 mg
IFIRMASTA 300mg
IRBESARTAN DR. REDDY'S 300 mg

IRBEGAMMA 75 mg
IRBEGAMMA 75 mg
PREDNISON MCC 5 mg
PREDNISON ARENA 5 mg
N - PREDNISON
PREDNISON 5 mg

forma farm.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

COMPR.
COMPR.
COMPR.
COMPR.
PREDNISON - RICHTER 5 mg COMPR.
ENDOXAN (R) 50 mg
DRAJ.
EQUORAL (R) 100 mg
CAPS. MOI
SANDIMMUN NEORAL (R) CAPS. MOI
EQUORAL (R) 25 mg
CAPS. MOI
CICLORAL 25 mg
CAPS. MOI
SANDIMMUN NEORAL (R) CAPS. MOI
EQUORAL (R) 50 mg
CAPS. MOI
CICLORAL 50 mg
CAPS. MOI
EQUORAL (R)
SOL. ORALA
IMMUNOPRIN 100 mg
COMPR. FILM.
IMMUNOPRIN 100 mg
COMPR. FILM.
IMURAN (R)
COMPR. FILM.
IMMUNOPRIN 75 mg
COMPR. FILM.
KETOSTERIL
COMPR. FILM.

concentratie

150mg
150mg
150mg
150mg
150mg
300 mg
300mg
300mg
300mg
300mg
300mg
300mg
300mg
300mg
300mg
75mg
75mg
5mg
5mg
5mg
5mg
5mg
50mg
100mg
25mg
25mg
25mg
50mg
50mg
50mg
100mg/ml
100mg
100mg
50mg
75mg
FARA CONCENTRATIE

DETINATOR APP

TARA
DET. APP

AMBALAJ

Prescriptie

100
30
CUTIE X BLIST. PVC/PE/PVDC/AL X 28 COMPR. FILM. P-6L
28
CUTIE X BLIST. PVC/PVDC/AL X 28 COMPR. FILM. P-6L
28
CUTIE CU 2 BLIST. AL/AL X 14 COMPR. FILM. P6L
28
CUTIE X BLIST. PVC/PVDC/AL X 28 COMPR. FILM. P-6L
28
CUTIE X BLIST PVC/PVDC/AL X 28 COMPR. FILM. P-6L
28
CUTIE X 28 COMPR. FILM. (BLIST. PVC/PVDC/AL) P-6L
28
CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-6L
28
CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-6L
28
CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM.
P-6L
30
CUTIE CU BLIST. PVC-PVDC/AL X 100 COMPR. FILM. P-6L 100
CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM.
P-6L
30
CUTIE X BLIST. PVC/PE/PVDC/AL X 28 COMPR. FILM. P-6L
28
CUTIE CU 2 BLIST. AL/AL X 14 COMPR. FILM. P6L
28
CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM.
P-6L
30
CUTIE CU BLIST. PVC-PVDC/AL X 100 COMPR. FILM. P-6L 100
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
20
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF
30
CUTIE X 1 FLAC. X 30 COMPR.
P-RF
30
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF
30
CUTIE X 2 BLIST. AL./PVC X 10 COMPR. P-RF
20
CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ. P-RF
50
CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF
50
CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF
50
CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF
50
CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI S/P-RF
50
CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF
50
CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF
50
CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI S/P-RF
50
S/P-RF
1
CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM. PR 100
CUTIE CU 1 FLAC. PEID X 50 COMPR. FILM. PR
50
CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. S/P-RF 100
CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM. PR 100
CUTIE X 5 BLIST. DIN PVC/AL X 20 COMPR. FILM. P-RF 100

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. PVC-PVDC/AL X 100 COMPR. FILM. P-6L

ACTAVIS GROUP PTC EHF.

ISLANDA

KRKA ,D.D., NOVO MESTO SLOVENIA

TEVA PHARMA B.V. OLANDA


DR. REDDY'S LABORATORIES

ROMANIA

TEVA PHARMA B.V. OLANDA


SANOFI PHARMA - BRISTOL MYERS SQUIBB
FRANTA
SANOFI PHARMA - BRISTOL MYERS SQUIBB
FRANTA
TERAPIA S.A.
ROMANIA
SANDOZ S.R.L.
ROMANIA
WORWAG PHARMA GMBH & CO. KG

GERMANIA

WORWAG PHARMA GMBH & CO. KG

GERMANIA

ACTAVIS GROUP PTC EHF.

ISLANDA

KRKA ,D.D., NOVO MESTO SLOVENIA


DR. REDDY'S LABORATORIES

ROMANIA

WORWAG PHARMA GMBH & CO. KG

GERMANIA

WORWAG PHARMA GMBH & CO. KG

GERMANIA

MAGISTRA C&C S.R.L. ROMANIA


ARENA GROUP SA ROMANIA
MEDUMAN SA
ROMANIA
SINTOFARM SA
ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
BAXTER ONCOLOGY GMBH GERMANIA
IVAX - PHARMACEUTICALS S.R.O.

CEHIA

NOVARTIS PHARMA GMBH GERMANIA


IVAX - PHARMACEUTICALS S.R.O.

CEHIA

HEXAL AG

GERMANIA

NOVARTIS PHARMA GMBH GERMANIA


IVAX - PHARMACEUTICALS S.R.O.

CEHIA

HEXAL AG

GERMANIA

EBEWE PHARMA GES.M.B.H. NFG KG

CEHIA
AUSTRIA
AUSTRIA

THE WELLCOME FOUNDATION LTD.

MAREA BRITANIE

IVAX - PHARMACEUTICALS S.R.O.


EBEWE PHARMA GES.M.B.H. NFG KG

EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRIA

FRESENIUS KABI DEUTSCHLAND GMBH

GERMANIA

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
CANT MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ITAT
L
MAXIMAL/UT 213 alin.(1) lit.
UT (RON)
E
(RON)
(RON)
a) si f)
PT. ADULTI

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM.

P-6L

CUTIE X 1 FLACON DIN STICLA BRUNA X 50 ML, UN DISPOZITIV DE MASURAT + UN CAPAC CU FILET

142.67
1.426700
1.323999
1.323999
33.10
1.103333
1.103333
1.103333
36.92
1.318571
1.318571
1.318571
33.10
1.182142
1.182142
1.182142
44.42
1.586428
1.323999
1.323999
56.83
2.029642
1.922799
1.922799
87.05
3.108928
1.922799
1.922799
59.57
2.127500
1.922799
1.922799
70.44
2.515714
1.922799
1.922799
64.09
2.288928
1.922799
1.922799
63.82
2.127333
1.922799
1.922799
191.60
1.916000
1.916000
1.916000
48.07
1.602333
1.602333
1.602333
59.57
2.127500
1.922799
1.922799
59.57
2.127500
1.922799
1.922799
42.75
1.425000
1.425000
1.425000
130.73
1.307300
1.307300
1.307300
2.62
0.131000
0.097200
0.097200
2.59
0.086333
0.086333
0.086333
2.43
0.081000
0.081000
0.081000
3.67
0.122333
0.097200
0.097200
2.54
0.127000
0.097200
0.097200
25.82
0.516400
0.516400
0.516400
466.61
9.332200
9.332200
9.332200
135.71
2.714200
2.232720
2.232720
93.03
1.860600
1.860600
1.860600
135.87
2.717400
2.232720
2.232720
288.73
5.774600
4.504080
4.504080
187.67
3.753400
3.753400
3.753400
301.62
6.032400
4.504080
4.504080
424.20 424.200000 424.200000 424.200000
103.94
1.039400
1.039400
1.039400
54.72
1.094400
1.094400
1.094400
79.95
0.799500
0.799500
0.799500
77.97
0.779700
0.779700
0.779700
231.23
2.312300
2.312300
2.312300

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

21. GLAUCOM - G 26
1
2
3
4
5
6
7

S01EC03
S01EC03
S01EC03
S01EC04
S01ED01
S01ED01
S01ED01

DORZOLAMIDUM
DORZOLAMIDUM
DORZOLAMIDUM
BRINZOLAMIDUM
TIMOLOLUM
TIMOLOLUM
TIMOLOLUM

DORZOPT 20 mg/ml
DORZOSTILL 20 mg/ml
TRUSOPT
AZOPT 10mg/ml
NYOLOL GEL

20mg/ml
20mg/ml
SOL. OFT.
20mg/ml
PICATURI OFT.-SUSP. 10mg/ml
GEL OFT.
1mg/g
TIMOLOL ROMPHARM 0,25% PIC. OFT., SOL. 2,5mg/ml
TIMABAK 5 mg/ml
PIC. OFT.,SOL. 5mg/ml
PIC. OFT., SOL
PIC. OFT., SOL.

ROMPHARM COMPANY SRL

ROMANIA CUTIE X 1 FLAC. PEJD X 5 ML PIC. OFT., SOL

BRUSCHETTINI SRL ITALIA

P-RF

CUTIE CU 1 FLAC. PEJD + PICURATOR PEJD X 5 ML PIC. OFT., SOL.

P-6L

MERCK SHARP & DOHME

ROMANIA

CUTIE X 1 FLACON TIP OCULOMETER PLUS X 5 ML SOL. OFT.

P-6L

ALCON LABORATORIES LTD.

MAREA BRITANIE

CUTIE X 1 FLACON PEJD X 5 ML

P-6L

CUTIE X 1 FLACON DIN PEID X 5 G GEL OFTALMIC , PREVAZUT CU PICURATOR

P-6L

CUTIE X 1 FLAC. PICURATOR DIN PEID X 5 ML PIC. OFTALMICE, SOL.

P-6L

CUTIE X 1 FLACON DIN PEJD X 5 ML PIC. OFT. SOL.

P-6L

NOVARTIS PHARMA GMBH GERMANIA


ROMPHARM COMPANY SRL

ROMANIA

LABORATORIES THEA FRANTA

Pagina 88 din 205

1
1
1
1
1
1
1

27.04
26.78
40.28
50.36
15.21
3.08
27.24

27.040000
26.780000
40.280000
50.360000
15.210000
3.080000
27.240000

27.040000
26.780000
32.136000
50.360000
15.210000
3.080000
5.904000

27.040000
26.780000
32.136000
50.360000
15.210000
3.080000
5.904000

NR.CRT

8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34

DCI

COD ATC

forma farm.

concentratie

TARA
DET. APP
AMBALAJ
ROMANIA CUTIE X 1 FLAC. PICURATOR DIN PEID X 5 ML PIC. OFTALMICE, SOL.
ROMANIA CUTIE X 1 FLACON TIP OCUMETER PLUS X 5 ML PIC. OFTALMICE, SOL.
ROMANIA CUTIE X 1 FLACON TIP OCUMETER PLUS X 5 ML PIC. OFTALMICE SOL.
ROMANIA CUTIE X 1 FLACON PEID, PREVAZUT CU PICURATOR X 5 ML
ROMANIA CUTIE X 1 FLACON CU PICURATOR X 5 ML

S01ED51 COMBINATII (DORZOLAMIDUM+TIMOLOLUM)


S01ED51 COMBINATII (LATANOPROSTUM+TIMOLOLUM)

XALOPTIC COMBI 50 micrograme/ml + 5 mg/ml

PIC. OFTALMICE SOL. 50micrograme/ml+5mg/ml

PHARMACEUTICAL WORKS POLPHARMA SA

ROMANIA
POLONIA

S01ED51 COMBINATII (LATANOPROSTUM+TIMOLOLUM)

XALCOM (R)

SOL. OFT.

S01ED51 COMBINATII (TAVOPROSTUM+TIMOLOLUM)

DUOTRAV 40mcg/ml + 5mg/ml PIC. OFT.-SOL.


XALAPROST 50 micrograme/ml PIC. OFT., SOL

S01ED01
S01ED01
S01ED01
S01ED01
S01ED01
S01ED01
S01ED02
S01ED02
S01ED02
S01ED02
S01ED05
S01ED05
S01ED05

S01ED51 COMBINATII (BIMATOPROSTUM + TIMOLOLUM)

S01EE01
S01EE01
S01EE01
S01EE01
S01EE01
S01EE03
S01EE03
S01EE04

LATANOPROSTUM
LATANOPROSTUM
LATANOPROSTUM
LATANOPROSTUM
LATANOPROSTUM
BIMATOPROSTUM
BIMATOPROSTUM
TRAVOPROSTUM

UNILAT 50 micrograme/ml
GLAUTAN 0,05 mg/ml
XALATAN (R)
XALOPTIC
LUMIGAN 0,1mg/ml
LUMIGAN 0,3mg/ml
TRAVATAN 40mcg/ml

5mg/ml
2,5mg/ml
5mg/ml
PICATURI OFT.-SOL. 0,25%
PICATURI OFT.-SOL. 0,5%
PICATURI OFT.-SOL. 0,5%
PICATURI OFT.-SOL. 0,5%
PIC. OFT., SOL. 5mg/ml
PIC. OFT.-SOL. 5mg/ml
PIC.OFTALMICE,SOL. 5mg/ml
PICATURI OFT.-SUSP. 0,25%
20mg/ml
PICATURI OFT.-SOL. 2%
PICATURI OFT.-SOL. 20mg/ml

DETINATOR APP

TIMOLOL ROMPHARM 0,5%


TIMOPTIC
TIMOPTIC
TIMOLOL 0,25%
TIMOLOL 0,5%
UNITIMOLOL (R)
TIMO-GAL (R)
BETAXOLOL
BETAX
BETOPTIC
BETOPTIC - S
FORTINOL EP 2%
CARTEOL 2%
CARTEOL 2%
GANFORT
COSOPT

S01ED01

TIMOLOLUM
TIMOLOLUM
TIMOLOLUM
TIMOLOLUM
TIMOLOLUM
TIMOLOLUM
TIMOLOLUM
BETAXOLOLUM
BETAXOLOLUM
BETAXOLOLUM
BETAXOLOLUM
CARTEOLOLUM
CARTEOLOLUM
CARTEOLOLUM

Denumire Comerciala

PIC. OFT.,SOL.
PIC. OFT.-SOL.
PIC. OFT.-SOL.

PIC. OFTALMICE CU ELIB. PREL.

PIC. OFT.,SOL.
PIC. OFT.-SOL.

ROMPHARM COMPANY SRL

MERCK SHARP & DOHME


MERCK SHARP & DOHME

E.I.P.I.CO. MED S.R.L.


E.I.P.I.CO. MED S.R.L.

UNIMED PHARMA LTD. SLOVACIA

CUTIE X 1 FLACON PICURATOR PEJD X 10 ML PIC. OFT. SOL.

Prescriptie

P-6L
P-6L
P-6L
P-6L
P-6L
P-6L

TERAPIA SA
TERAPIA SA
ROMPHARM SRL

ROMANIA CUTIE X 1 FLACON X 10 ML


ROMANIA CUTIE X 1 FLACON DIN PEJD X 10 ML PIC. OFTALMICE, SOL.
ROMANIA CUTIE X 1 FLACON DIN PEJD X 5 ML PIC. OFTALMICE, SOL.

P-6L

ALCON COUVREUR NV
ALCON COUVREUR NV

BELGIA
BELGIA

CUTIE X 1 FLACON DIN PEJD PREV. CU PICURATOR X 5 ML PIC.OFTALMICE, SOL.

P-6L

CUTIE X 1 FLACON DIN PEJD X 5ML PIC. OFT.SUSP.

P-6L

DR. GERHARD MANN CHEM.PHARM.FABRIK GMBH

GERMANIA

CUTIE X 1 FLAC. DIN PEJD X 3 ML PIC. OFTALMICE CU ELIB. PREL.

P-6L

ITALIA
ITALIA
IRLANDA

CUTIE X 30 FLACOANE UNIDOZA DIN PEJD X 0,3 ML

P-6L/S

CUTIE X 1 FLACON DIN PEJD X 5 ML PIC. OFTALMICE, SOL.

P-6L

CUTIE X 1 FLAC. DIN PEJD X 3 ML PIC.OFT.SOL.

P-RF

CUTIE X 1 FLACON DE TIP OCUMETER PLUS X 5ML PIC. OFT., SOL.

P-6L

S.I.F.I. SPA
S.I.F.I. SPA

300mcg/ml+5mg/ml

ALLERGAN PHARMACEUTICALS IRELAND

FARA CONCENTRATIE

MERCK SHARP & DOHME

P-6L
P-6L

CUTIE CU 1 FLAC. PEJD X 2,5 ML PIC. OFT., SOL. P6L

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 1 FLACON X 2,5 ML

P-6L

40mcg/ml + 5mg/ml ALCON LABORATORIES (UK) LTD.

MAREA BRITANIE

CUTIE X 1 FLAC. DIN PP X 2,5 ML PIC. OFTALMICE,SOLUTIE

P-RF

50micrograme/ml ICN POLFA RZESZOW S.A.

POLONIA

CUTIE CU 1 FLAC. PEJD CU PICURATOR PEJD X 2,5 ML PIC. OFT., SOL.

P-6L

FARA CONCENTRATIE

PIC. OFT., SOL. 50micrograme/ml

UNIMED PHARMA SPOL. S.R.O.

REPUBLICA SLOVACA

CUTIE CU 1 FLAC. PICURATOR PE X 2,5 ML PIC. OFT., SOL.

P-6L

0,05mg/ml
PICATURI OFT.-SOL. 0,005%
PICATURI OFT.-SOL. 0,005%
PIC. OFT.,SOL. 0,1mg/ml
PIC. OFT.,SOL. 0,3mg/ml
PICATURI OFT.SOL. 40mcg/ml

ROMPHARM COMPANY SRL

ROMANIA

CUTIE CU 1 FLAC. PEJD CU CAPACITATEA DE 5 ML+PICURATOR DIN PEJD, CU CAPAC DE SIGURANTA DIN PEJD X 2,

P6L

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 1 FLACON PICURATOR PE X 2,5 ML P-6L

PIC. OFT.,SOL.

ALLERGAN PHARMACEUTICALS IRELAND

POLONIA
IRLANDA
IRLANDA

ALCON LABORATORIES LTD.

MAREA BRITANIE

CUTIE X 1 FLACON PICURATOR PEJD X 2,5 ML PIC. OFT. SOL.

P-6L

CUTIE X 1 FLAC. DIN PEJD X 3 ML PIC. OFT. SOL.

P-RF

CUTIE X 1 FLAC. DIN PEJD X 3 ML PIC. OFT. SOL.

P-RF

CUTIE X 1 FLACON X 2,5 ML

P-6L

E.I.P.I.CO. MED S.R.L. ROMANIA


E.I.P.I.CO. MED S.R.L. ROMANIA

CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.

P-RF

CUTIE X 5 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.

P-RF

MEDOCHEMIE LTD. CIPRU


MEDOCHEMIE LTD. CIPRU

CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.

P-RF/S

CUTIE X 10 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.

P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 5 BLIST. A-PVC/PVC X 10 COMPR. P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 2 BLIST. AL-PVC/PVC X 10 COMPR. P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 1 FLAC. DIN STICLA X 30 COMPR. P-RF

PHARMACEUTICAL WORKS POLPHARMA SA

ALLERGAN PHARMACEUTICALS IRELAND

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
CANT MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ITAT
L
MAXIMAL/UT 213 alin.(1) lit.
UT (RON)
E
(RON)
(RON)
a) si f)
PT. ADULTI

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

4.92
9.32
10.00
3.10
5.35
10.39
4.96
5.81
5.25
15.13
15.13
13.44
33.34
15.76
80.89
68.93
56.04
81.87
87.46
50.13
50.92
50.86
74.38
45.64
75.18
67.46
71.18

4.920000
9.320000
10.000000
3.100000
5.350000
10.390000
4.960000
5.810000
5.250000
15.130000
15.130000
13.440000
33.340000
15.760000
80.890000
68.930000
56.040000
81.870000
87.460000
50.130000
50.920000
50.860000
74.380000
45.640000
75.180000
67.460000
71.180000

4.920000
3.696000
5.904000
3.100000
5.350000
5.904000
4.960000
5.810000
5.250000
6.300000
15.130000
13.440000
33.340000
15.760000
80.890000
68.930000
56.040000
67.248000
87.460000
50.130000
50.920000
50.860000
54.768000
45.640000
75.180000
67.460000
71.180000

4.920000
3.696000
5.904000
3.100000
5.350000
5.904000
4.960000
5.810000
5.250000
6.300000
15.130000
13.440000
33.340000
15.760000
80.890000
68.930000
56.040000
67.248000
87.460000
50.130000
50.920000
50.860000
54.768000
45.640000
75.180000
67.460000
71.180000

22. PEMFIGUS - G 27
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20

H02AB02
H02AB02
H02AB02
H02AB02
H02AB04
H02AB04
H02AB04
H02AB04
H02AB04
H02AB04
H02AB07
H02AB07
H02AB07
H02AB07
H02AB07

J04BA02
L01AA01
L01AA01
L01BA01
L01BA01

DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
DAPSONUM4
CYCLOPHOSPHAMIDUM
CYCLOPHOSPHAMIDUM
METHOTREXATUM4
METHOTREXATUM

DEXAMETHASONE SODIUM PHOSPHATE


DEXAMETHASONE SODIUM PHOSPHATE

DEXAMED
DEXAMED
MEDROL A 16
MEDROL 32
MEDROL 4 mg
LEMOD SOLU 125 mg
LEMOD SOLU 500 mg
SOLU - MEDROL ACT-O-VIAL

SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
COMPR.
COMPR.
COMPR.
LIOF. PT. SOL. INJ.
LIOF. PT. SOL. INJ.
LIOF. SI SOLV.PT.SOL.INJ

PREDNISON MCC 5 mg
PREDNISON ARENA 5 mg
N - PREDNISON
PREDNISON 5 mg

COMPR.
COMPR.
COMPR.
COMPR.
PREDNISON - RICHTER 5 mg COMPR.
DISULONE
COMPR.
ENDOXAN (R) 50 mg
DRAJ.
ENDOXAN 200 mg
METOTREXATE BELLON 2,5 mg COMPR.

PULB. PT. SOL. PERF./INJ. I.V.

METHOTREXAT "EBEWE" 5000 mg

CONC. PT. SOL. INJ./PERF.

8mg
8mg
8mg/2ml
8mg/2ml
16mg
32mg
4mg
125mg
500mg
250mg/4ml
5mg
5mg
5mg
5mg
5mg
100mg
50mg
200mg
2,5mg
100mg/ml

ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 2 ML


STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 7,8 ML
STADA HEMOFARM S.R.L.

PFIZER EUROPE MA EEIG

MAREA BRITANIE

MAGISTRA C&C S.R.L. ROMANIA


ARENA GROUP SA ROMANIA
MEDUMAN SA
ROMANIA
SINTOFARM SA
ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
CN UNIFARM
ROMANIA

CUTIE X 1 FLAC. BICOMPARTIMENTAT (COMPARTIMENT INFERIOR) LIOF. PT. SOL. INJ. + (COMPARTIMENT SUPERIO

S/P-RF
S/P-RF

P-RF

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P-RF

CUTIE X 1 FLAC. X 30 COMPR.

P-RF

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.


CUTIE X 2 BLIST. AL./PVC X 10 COMPR.

P-RF

CUTIE X 100 COMPR.

P-RF

P-RF

P-RF

BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ. P-RF

ACTAVIS S.R.L.
ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. PERF./INJ S
FARMEXINM S.R.L. ROMANIA CUTIE X 20 COMPR.
P-RF/R
EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 50 ML
S

Pagina 89 din 205

100 122.21
1.222100
1.093200
1.093200
5
6.90
1.380000
1.093200
1.093200
100 91.10
0.911000
0.911000
0.911000
10 10.26
1.026000
1.026000
1.026000
50 32.23
0.644600
0.644600
0.644600
20 29.29
1.464500
1.464500
1.464500
30
6.46
0.215333
0.215333
0.215333
1
8.71
8.710000
8.710000
8.710000
1 30.65 30.650000 30.650000 30.650000
1 20.23 20.230000 20.230000 20.230000
20
2.62
0.131000
0.097200
0.097200
30
2.59
0.086333
0.086333
0.086333
30
2.43
0.081000
0.081000
0.081000
30
3.67
0.122333
0.097200
0.097200
20
2.54
0.127000
0.097200
0.097200
100 33.67
0.336700
0.336700
0.336700
50 25.82
0.516400
0.516400
0.516400
1 15.70 15.700000 15.700000 15.700000
20 22.57
1.128500
1.128500
1.128500
1 396.85 396.850000 396.850000 396.850000

NR.CRT

21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42

COD ATC

L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01

L04AX01
L04AX01
L04AX01
L04AX01

DCI

METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
AZATHIOPRINUM*
AZATHIOPRINUM*
AZATHIOPRINUM*
AZATHIOPRINUM*

Denumire Comerciala

METHOTREXAT "EBEWE" 500 mg


METHOTREXAT "EBEWE" 1000 mg

forma farm.
CONC. PT. SOL. INJ./PERF.
CONC. PT. SOL. INJ./PERF.

METHOTREXAT "EBEWE" 5 mg SOL. INJ.


METOTREXAT EBEWE 10 mg/ml
METOTREXAT EBEWE 10 mg/ml
METOTREXAT EBEWE 10 mg/ml
METOTREXAT EBEWE 10 mg/ml

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

METOJECT 50mg/ml
METOJECT 50mg/ml

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

METHOTREXAT "EBEWE" 50 mg SOL. INJ./PERF.

EQUORAL (R) 100 mg


SANDIMMUN NEORAL (R)
EQUORAL (R) 25 mg
CICLORAL 25 mg
SANDIMMUN NEORAL (R)
EQUORAL (R) 50 mg
CICLORAL 50 mg
EQUORAL (R)
IMMUNOPRIN 100 mg
IMMUNOPRIN 100 mg
IMURAN (R)
IMMUNOPRIN 75 mg

CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
SOL. ORALA
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

concentratie

100mg/ml
100mg/ml
5mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
50mg/ml
50mg/ml
10mg/ml
100mg
25mg
25mg
25mg
50mg
50mg
50mg
100mg/ml
100mg
100mg
50mg
75mg

DETINATOR APP

TARA
DET. APP

AMBALAJ

Prescriptie

EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRIA CUTIE X 5 FIOLE X 5 ML


S
AUSTRIA CUTIE X 1 TUB DIN MATERIAL PLASTIC X 1 FIOLA X 10 ML S
AUSTRIA CUTIE X 10 FIOLE X 1 ML
S
AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA CU AC X 1 ML SOL INJ. P-RF/R
AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA CU AC X 0,75 ML SOL INJ. P-RF/R
AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA CU AC X 2 ML SOL INJ. P-RF/R
AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA CU AC X 1,5 ML SOL INJ. P-RF/R

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,50ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL

P-RF

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,40ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL

P-RF

EBEWE PHARMA GMBH NFG. KG


EBEWE PHARMA GMBH NFG. KG
EBEWE PHARMA GMBH NFG. KG
EBEWE PHARMA GES.M.B.H. NFG KG
EBEWE PHARMA GES.M.B.H. NFG KG
EBEWE PHARMA GES.M.B.H. NFG KG

IVAX - PHARMACEUTICALS S.R.O.

AUSTRIA CUTIE X 1 FLACON X 5 ML


CEHIA
CUTIE X 5 BLIST. X 10 CAPS. MOI
GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI
CEHIA
CUTIE X 5 BLIST. X 10 CAPS. MOI

HEXAL AG

GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI

EBEWE PHARMA GMBH NFG. KG


IVAX - PHARMACEUTICALS S.R.O.

NOVARTIS PHARMA GMBH

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 10 BLIST. X 5 CAPS. MOI


CUTIE X 5 BLIST. X 10 CAPS. MOI

IVAX - PHARMACEUTICALS S.R.O.

CEHIA

HEXAL AG

GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI

S
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF

EBEWE PHARMA GES.M.B.H. NFG KG

CEHIA
AUSTRIA
AUSTRIA

THE WELLCOME FOUNDATION LTD.

MAREA BRITANIE

EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRIA CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM. PR

IVAX - PHARMACEUTICALS S.R.O.


EBEWE PHARMA GES.M.B.H. NFG KG

CUTIE X 1 FLACON DIN STICLA BRUNA X 50 ML, UN DISPOZITIV DE MASURAT + UN CAPAC CU FILET

S/P-RF

CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM.

CUTIE CU 1 FLAC. PEID X 50 COMPR. FILM.

PR
PR

CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM.

S/P-RF

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
CANT MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ITAT
L
MAXIMAL/UT 213 alin.(1) lit.
UT (RON)
E
(RON)
(RON)
a) si f)
PT. ADULTI

5
1
10
1
1
1
1
1
1
1
50
50
50
50
50
50
50
1
100
50
100
100

238.24
88.61
23.54
77.75
58.94
125.38
108.80
122.74
108.25
13.17
466.61
135.71
93.03
135.87
288.73
187.67
301.62
424.20
103.94
54.72
79.95
77.97

47.648000
88.610000
2.354000
77.750000
58.940000
125.380000
108.800000
122.740000
108.250000
13.170000
9.332200
2.714200
1.860600
2.717400
5.774600
3.753400
6.032400
424.200000
1.039400
1.094400
0.799500
0.779700

47.648000
88.610000
2.354000
77.750000
58.940000
125.380000
108.800000
122.740000
108.250000
13.170000
9.332200
2.232720
1.860600
2.232720
4.504080
3.753400
4.504080
424.200000
1.039400
1.094400
0.799500
0.779700

47.648000
88.610000
2.354000
77.750000
58.940000
125.380000
108.800000
122.740000
108.250000
13.170000
9.332200
2.232720
1.860600
2.232720
4.504080
3.753400
4.504080
424.200000
1.039400
1.094400
0.799500
0.779700

23. BOALA GAUCHER - G 29


1
2

A16AB02
A16AB02

IMIGLUCERASUM****
IMIGLUCERASUM****

CEREZYME 200U
CEREZYME 400U

PULB. PT.CONC. PT.SOL. PERF.


PULB. PT.CONC. PT.SOL. PERF.

200U
400U

GENZYME EUROPE BV OLANDA


GENZYME EUROPE BV OLANDA

CUTIE X 1 FLAC. PULB. PT. CONC. PT. SOL. PERF.


CUTIE X 1 FLAC. PULB. PT. CONC. PT. SOL. PERF.

S
S

1 3,452.05 3,452.050000 3,452.050000 3,452.050000


1 6,827.18 6,827.180000 6,827.180000 6,827.180000

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

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


1
2
3
4
5
6
7
8
9
10
11
12
13
14
15

J01AA02
J01AA02
J01AA02
J01AA02
J01AA02
J01AA07
J01AA07
J01AA07
J01AA07
J01CE01
J01CE01
J01CE01
J01CE02
J01CE02
J01CE02

DOXYCYCLINUM
DOXYCYCLINUM
DOXYCYCLINUM
DOXYCYCLINUM
DOXYCYCLINUM
TETRACYCLINUM
TETRACYCLINUM
TETRACYCLINUM
TETRACYCLINUM
BENZYLPENICILLINUM
BENZYLPENICILLINUM
BENZYLPENICILLINUM

DOXICICLINA ATB 100 mg


DOXICICLINA
DOXICICLINA 100 mg

CAPS.
CAPS.
CAPS.
DOXICICLINA SANDOZ 100 mg CAPS.
UNIDOX SOLUTAB
COMPR. DISP.
TETRACICLINA 250 mg
CAPS.
TETRACICLINA SANDOZ 250 mg CAPS.
TETRACICLINA 250 mg
CAPS.
TETRACICLINA ARENA 250 mg CAPS.
PENICILINA G SODICA
PULB. PT. SOL. INJ.
PENICILINA G POTASICA
PULB. PT. SOL. INJ.
PENICILINA G SODICA
PULB. PT. SOL. INJ.
PHENOXYMETHYLPENICILLINUM PENICILINA V 1 000 000 U.I. COMPR.
PHENOXYMETHYLPENICILLINUM OSPEN (R) 1000
COMPR. FILM.
PHENOXYMETHYLPENICILLINUM OSPEN (R) 1500
COMPR. FILM.

100 mg
100mg
100mg
100mg
100mg
250mg
250mg
250mg
250mg
1 000 000ui
1000000ui
400 000ui
1000000ui
1000000ui
1500000ui

ANTIBIOTICE S.A.
ARENA GROUP SA
ANTIBIOTICE SA
SANDOZ SRL

ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE CU 1 BLIST. PVC/AL X 10 CAPS. PRF


CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF

ASTELLAS PHARMA EUROPE BV

ANTIBIOTICE SA
SANDOZ SRL
EUROPHARM SA
ARENA GROUP SA
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA
EUROPHARM SA
SANDOZ GMBH
SANDOZ GMBH

CUTIE X 1 BLIST. X 10 CAPS.

P-RF

CUTIE X 1 BLIST. AL/PVC X 10 CAPS.

P-RF

OLANDA

CUTIE X 1 BLIST. DIN AL/PVC X 10 COMPR.DISP.

P-RF

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE X 2 BLIST. X 10 CAPS.

P-RF

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P-RF

CUTIE X 2 BLIST. X 10 CAPS.

P-RF

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P-RF

AUSTRIA
AUSTRIA

Pagina 90 din 205

CUTIE X 1 FLAC. DIN STICLA CU PULB. PT. SOL. INJ. P-RF


CUTIE X 1 FLAC. DIN STICLA CU PULB. PT. SOL. INJ. P-RF
CUTIE X 1 FLAC. DIN STICLA CU PULB. PT. SOL. INJ. P-RF

CUTIE X 2 BLIST. X 10 COMPR.

P-RF

CUTIE X 1 BLIST. AL/PVC-PVDC X 12 COMPR. FILM.

P-RF

CUTIE X 1 BLIST. AL/PVC-PVDC X 12 COMPR. FILM.

P-RF

10
20
10
10
10
20
20
20
20
1
1
1
20
12
12

3.54
6.92
3.54
3.56
9.48
3.14
2.70
2.99
2.96
3.08
3.08
2.08
9.00
3.42
6.02

0.354000
0.346000
0.354000
0.356000
0.948000
0.157000
0.135000
0.149500
0.148000
3.080000
3.080000
2.080000
0.450000
0.285000
0.501666

0.354000
0.346000
0.354000
0.356000
0.415200
0.157000
0.135000
0.149500
0.148000
3.080000
3.080000
2.080000
0.342000
0.285000
0.501666

0.354000
0.346000
0.354000
0.356000
0.415200
0.157000
0.135000
0.149500
0.148000
3.080000
3.080000
2.080000
0.342000
0.285000
0.501666

NR.CRT

16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66

J01CE02

PHENOXYMETHYLPENICILLINUM OSPEN (R) 500


PHENOXYMETHYLPENICILLINUM OSPEN 400

forma farm. concentratie


DETINATOR APP
COMPR. FILM. 500000ui
SANDOZ GMBH
SIROP
400000ui/5ml SANDOZ GMBH

J01CE08

BENZATHINI BENZYLPENICILLINUM MOLDAMIN 1200000 UI

PULB. PT. SUSP. INJ.

J01DD08

CEFIXIMUM
CEFIXIMUM
ERYTHROMYCINUM
ERYTHROMYCINUM
ERYTHROMYCINUM
ERYTHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM

COD ATC

J01CE02

J01DD08

J01FA01
J01FA01
J01FA01
J01FA01
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02

DCI

Denumire Comerciala

EFICEF 100 mg
EFICEF (R) 200 mg
ERITROMAGIS 200 mg
ERITROMICINA 200 mg
ERITROMICINA SANDOZ 200 mg COMPRIMATE

CAPS.
CAPS.
COMPR.
COMPR.
COMPR.

ERITROMICINA SANDOZ 200mg/5ml

PULB. PT. SUSP. ORALA

AZATRIL 250 mg
SUMAMED 250 mg
SUMAMED 125 mg

CAPS.
CAPS.

AZITROMICINA SANDOZ 250 mg COMPRIMATE FILMATE

AZITROMICINA TERAPIA 250 mg


AZITROMICINA TERAPIA 250 mg

SUMAMED 500 mg
AZITROMICINA SANDOZ 500 mg COMPRIMATE FILMATE

AZIBIOT 500 mg
ZITROCIN 500 mg
AZITROMICINA TERAPIA 500 mg
AZITROMICINA TERAPIA 500 mg

ZITROCIN 500 mg
AZITROX (R) 500
AZITROMICINA TERAPIA 600 mg
AZITROMICINA TERAPIA 600 mg

ZMAX 2 g
SUMAMED (R)
AZITROX 200 mg/5 ml

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
GRAN. ELIB. PREL. PT. SUSP. ORALA

LIOF. PT. SOL. PERF.


PULB. + SOLV. SUSP. ORALA

AZITROMICINA SANDOZ 100 mg/5 ml

PULB. PT. SUSP. ORALA

AZITROMICINA SANDOZ 200 mg/5 ml

PULB. PT. SUSP. ORALA

SUMAMED FORTE
SUMAMED FORTE
SUMAMED FORTE

PULB. PT. SUSP. ORALA


PULB. PT. SUSP. ORALA
PULB. PT. SUSP. ORALA

CIPROFLOXACINA ARENA 100 mg COMPR. FILM.


CIPROFLOXACINA ARENA 100 mg COMPR. FILM.

CIPROCIN 250 mg
CIPRINOL 250 mg
CIPROLEN (R) 250 mg
CUMINOL 250 mg
CUMINOL 250 mg
CIPROFLOXACINA ALKALOID 250 mg

CIFRAN
CIPROFLOXACINA ARENA 250 mg
CIPROFLOXACINA ARENA 250 mg

ALVEBAR 250 mg
CIPRINOL 500 mg
CIPROCIN 500 mg
CIPROLEN (R) 500 mg
CUMINOL 500 mg
CIPROZONE FORTE 500 mg
CIPROFLOXACINA ALKALOID 500 mg

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

1200000UI
100mg
200mg
200mg
200mg
200mg
200mg/5ml
250mg
250mg
125mg
250mg
250mg
250mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
600mg
600mg
2g
500mg
200mg/5ml
100mg/5ml
200 mg/5 ml
200mg/5ml
200mg/5ml
200mg/5ml
100mg
100mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
500mg
500mg
500mg
500mg
500mg
500mg

ANTIBIOTICE S.A.
ANTIBIOTICE S.A.
ANTIBIOTICE SA
ARENA GROUP SA
ANTIBIOTICE SA
SANDOZ S.R.L.
SANDOZ S.R.L.

TARA
DET. APP

AMBALAJ

Prescriptie

AUSTRIA CUTIE X 1 BLIST. AL/PVC-PVDC X 12 COMPR. FILM.


AUSTRIA CUTIE X 1 FLACON X 60ML

P-RF

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

P-RF

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SUSP. INJ. I.M.

P-RF

CUTIE CU 1 BLIST. PVC/AL X 10 CAPS. PRF


CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF

CUTIE X 2 BLIST. X 10 COMPR.


CUTIE X 2 BLIST. X 10 COMPR.
CUTIE X 2 BLIST. X 10 COMPR.
CUTIE X 1 FLAC. X 30G + PULB. PT. 60 ML SUSP. ORALA + O LIGURITA DOZATOARE

P-RF
P-RF
P-RF
P-RF

BULGARIA CUTIE X 1 BLIST. AL/PVC X 6 CAPS.


PLIVA LJUBLIJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. PVC-PVDC/AL X 6 CAPS.
PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. AL/PVC X 6 COMPR. FILM.

P-RF

SANDOZ S.R.L.
TERAPIA SA
TERAPIA SA

P-RF

BALKANPHARMA RAZGRAD AD

ROMANIA CUTIE X 1 BLIST. X 6 COMPR. FILM.


ROMANIA CUTIE X 1 BLIST. PVC-ACLAR/AL X 6 COMPR. FILM.
ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 6 COMPR. FILM.

P-RF
P-RF

P-RF
P-RF

PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM. P-RF

SANDOZ S.R.L.

ROMANIA CUTIE X 1 BLIST. X 3 COMPR. FILM.

P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM. P-RF
OZONE LABORATORIES LTD.

MAREA BRITANIE

CUTIE X 1 BLIST. PVC/AL X 3 COMPR. FILM. P-RF

TERAPIA SA
TERAPIA SA

ROMANIA CUTIE X 1 BLIST. PVC-ACLAR/AL X 3 COMPR. FILM.


ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 3 COMPR. FILM.
LABORMED PHARMA S.A. ROMANIA CUTIE X 1 BLIST. PVC/AL X 3 COMPR. FILM.

P-RF
P-RF
P-RF

ZENTIVA K.S.
TERAPIA SA
TERAPIA SA

CEHIA

CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM. P-RF

ROMANIA
ROMANIA

CUTIE X 1 BLIST. PVC-ACLAR/AL X 3 COMPR. FILM.

P-RF

CUTIE X 1 BLIST. PA-AL-PVC/AL X 3 COMPR. FILM.

P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 1 FLACON DIN PEID CU GRAN. CU ELIB. PREL.

PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 5 FLAC. LIOF. PT. SOL. PERF.

ZENTIVA S.A.
SANDOZ SRL
SANDOZ SRL

ROMANIA
ROMANIA
ROMANIA

P-RF
S/P-RF

CUTIE X 1 FLAC. DIN PE CU PULB. PT. 15 ML SUSP. ORALA RECONSTITUITA + FLAC. CU SOLV. X 7,5 ML SOLV.

P-RF

CUTIE X 1 FLAC. DIN PEID CONTINAD PULBERE PT. 20 ML SUSP. ORALA + SERINGA DOZATOARE DIN PE/PP

P-RF

CCUTIE X 1 FLAC. DIN PEID CONTINAD PULBERE PT. 20 ML SUSP. ORALA + SERINGA DOZATOARE DIN PE/PP

P-RF

PLIVA LJUBLIJANA D.O.O. SLOVENIA

CUTIE X 1 FLAC. DIN PEID CU PULB. PT.15 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE

P-RF

PLIVA LJUBLIJANA D.O.O. SLOVENIA

CUTIE X 1 FLAC. DIN PEID CU PULB. PT. 30 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE

P-RF

PLIVA LJUBLIJANA D.O.O. SLOVENIA

CUTIE X 1 FLAC. DIN PEID CU PULB. PT. 37,5 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE

P-RF

ARENA GROUP S.A. ROMANIA


ARENA GROUP S.A. ROMANIA

CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

E.I.P.I.CO. MED S.R.L. ROMANIA

CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM.

P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM.

P-RF

AC HELCOR SRL

P-RF

GEDEON RICHTER ROMANIA SA

ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.


ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM.

ALKALOID D.O.O.

SLOVENIA

CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 COMPR. FILM.

P-RF

RANBAXY UK LIMITED

MAREA BRITANIE

CUTIE X 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM.

P-RF

CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM.

P-RF

E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM.


AC HELCOR SRL
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.
OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. X 10 COMPR. FILM.

P-RF

ALKALOID D.O.O.

P-RF

GEDEON RICHTER ROMANIA SA

ARENA GROUP S.A. ROMANIA


ARENA GROUP S.A. ROMANIA
DR. REDDY'S LABORATORIES

SLOVENIA

Pagina 91 din 205

CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 COMPR. FILM.

P-RF
P-RF

P-RF
P-RF
P-RF

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
CANT MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ITAT
L
MAXIMAL/UT 213 alin.(1) lit.
UT (RON)
E
(RON)
(RON)
a) si f)
PT. ADULTI

12
2.59
1
9.40
1
3.57
10 21.31
10 34.37
20
7.01
20
9.49
20
8.35
1 11.33
6 25.21
6 37.55
6 25.07
6 48.24
6 43.94
6 43.94
3 37.73
3 48.24
3 25.35
3 25.35
3 36.73
3 36.73
3 25.35
3 25.33
3 44.09
3 44.09
1 62.78
5 159.86
1 16.18
1 22.19
1 33.95
1 24.88
1 48.01
1 59.64
10 36.88
20 64.85
10
6.75
10
6.75
10
6.75
10
6.75
20 12.16
10
7.78
10
6.86
10
6.49
20 12.16
10
4.70
10 13.07
10 13.07
10 13.07
10 13.07
10
8.37
10 14.93

0.215833
9.400000
3.570000
2.131000
3.437000
0.350500
0.474500
0.417500
11.330000
4.201666
6.258333
4.178333
8.040000
7.323333
7.323333
12.576666
16.080000
8.450000
8.450000
12.243333
12.243333
8.450000
8.443333
14.696666
14.696666
62.780000
31.972000
16.180000
22.190000
33.950000
24.880000
48.010000
59.640000
3.688000
3.242500
0.675000
0.675000
0.675000
0.675000
0.608000
0.778000
0.686000
0.649000
0.608000
0.470000
1.307000
1.307000
1.307000
1.307000
0.837000
1.493000

0.215833
9.400000
3.570000
2.131000
3.437000
0.350500
0.420600
0.417500
11.330000
4.201666
5.041999
4.178333
5.041999
5.041999
5.041999
10.131999
10.131999
8.450000
8.450000
10.131999
10.131999
8.450000
8.443333
14.696666
14.696666
62.780000
31.972000
16.180000
22.190000
33.950000
17.635999
48.010000
59.640000
3.688000
3.242500
0.564000
0.564000
0.564000
0.564000
0.564000
0.564000
0.564000
0.564000
0.564000
0.470000
0.769200
0.769200
0.769200
0.769200
0.769200
0.769200

0.215833
9.400000
3.570000
2.131000
3.437000
0.350500
0.420600
0.417500
11.330000
4.201666
5.041999
4.178333
5.041999
5.041999
5.041999
10.131999
10.131999
8.450000
8.450000
10.131999
10.131999
8.450000
8.443333
14.696666
14.696666
62.780000
31.972000
16.180000
22.190000
33.950000
17.635999
48.010000
59.640000
3.688000
3.242500
0.564000
0.564000
0.564000
0.564000
0.564000
0.564000
0.564000
0.564000
0.564000
0.470000
0.769200
0.769200
0.769200
0.769200
0.769200
0.769200

NR.CRT

67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86

COD ATC

J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02

DCI

CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM

forma farm.
CIFRAN
COMPR. FILM.
CIPRO QUIN (R)
COMPR. FILM.
CIPRODAR
COMPR. FILM.
CIPROFLOXACINA ARENA 500 mg COMPR. FILM.
CIPROFLOXACINA ARENA 500 mg COMPR. FILM.
ALVEBAR 500 mg
COMPR. FILM.
CIPRINOL 750 mg
COMPR. FILM.
CIPROFLOXACINA ARENA 750 mg COMPR. FILM.
Denumire Comerciala

concentratie

500mg
500mg
500mg
500mg
500mg
500mg
750mg
750mg
CIPROBAY XR 1000 mg
COMPR. FILM. ELIB. PREL. 1000 mg
CIPROBAY XR 500 mg
COMPR. FILM. ELIB. PREL. 500 mg
CIPRINOL (R)
CONC. PT. SOL. PERF. 100mg/10ml
CIPRINOL (R)
CONC. PT. SOL. PERF. 100mg/10ml
CIPROFLOXACINA 100 mg/10 ml CONC. PT. SOL. PERF. 100mg/10ml
CIPRINOL
SOL. PERF. 100mg/50ml
CIPRINOL
SOL. PERF. 200mg/100ml
UFEXIL 2 mg/ ml
SOL. PERF. 2mg/ml
CIPROFLOXACINA INFOMED 2 mg/ml SOL. PERF. 2mg/ml
CIPROBAY (R) 400
SOL. PERF. 2mg/ml
CIPROFLOXACINA INFOMED 2 mg/ml SOL. PERF. 2mg/ml
CIPRINOL (R)
SOL. PERF. 400mg/200ml

TARA
DET. APP
DETINATOR APP
RANBAXY UK LIMITED MAREA BRITANIE
ANTIBIOTICE SA
ROMANIA
DAR AL DAWA PHARMA S.R.L. ROMANIA
ARENA GROUP S.A. ROMANIA
ARENA GROUP S.A. ROMANIA
DR. REDDY'S LABORATORIES ROMANIA

AMBALAJ

Prescriptie

CUTIE X 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM.

P-RF

CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

CUTIE X 1 BLIST. X 10 COMPR. FILM.

P-RF

CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM.

P-RF

ARENA GROUP S.A. ROMANIA

CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

BAYER HEALTHCARE AG GERMANIA

CUTIE X 1 BLIST. DIN PP/AL X 7 COMPR. FILM. ELIB. PREL. P-RF

BAYER HEALTHCARE AG GERMANIA

CUTIE X 1 BLIST. DIN PP/AL X 3 COMPR. FILM. ELIB. PREL.

KRKA D.D.
KRKA D.D.
ZENTIVA S.A.

P-RF

SLOVENIA CUTIE X 50 FIOLE X 10 ML


SLOVENIA CUTIE X 5 FIOLE X 10 ML

S/P-RF

ROMANIA

S/P-RF

CUTIE X 5 FIOLE DIN STICLA INCOLORA PREVAZUTE CU INEL DE RUPERE X 10 ML

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE X 1 FLACON DIN STICLA INCOLORA X 50 ML SOL. PERF. S/P-RF

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML SOL. PERF. S/P-RF

DEMO SA

CUTIE X 10 PUNGI PP X 100 ML SOL. PERF.

GRECIA

INFOMED FLUIDS SRL ROMANIA CUTIE X 10 PUNGI PVC PLASTIFIAT X 100ML


BAYER HEALTHCARE AG GERMANIA

CUTIE X 5 FLACOANE X 200 ML

S
S
S/P-RF

INFOMED FLUIDS SRL ROMANIA CUTIE X 10 PUNGI PVC PLASTIFIAT X 200ML S


KRKA D.D.
SLOVENIA CUTIE X 1 FLACON DIN STICLA X 200 ML S/P-RF

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
CANT MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ITAT
L
MAXIMAL/UT 213 alin.(1) lit.
UT (RON)
E
(RON)
(RON)
a) si f)
PT. ADULTI

10
10
10
10
20
10
10
10
7
3
50
5
5
1
1
10
10
5
10
1

8.67
0.867000
13.07
1.307000
13.07
1.307000
9.12
0.912000
16.22
0.811000
6.41
0.641000
38.05
3.805000
36.88
3.688000
83.71 11.958571
27.30
9.100000
134.96
2.699200
16.59
3.318000
16.59
3.318000
4.73
4.730000
9.48
9.480000
160.68 16.068000
86.45
8.645000
696.32 139.264000
155.48 15.548000
19.08 19.080000

0.769200
0.769200
0.769200
0.769200
0.769200
0.641000
3.805000
3.688000
11.958571
0.769200
2.699200
3.239040
3.239040
3.239040
9.480000
10.374000
8.645000
18.657600
15.548000
18.657600

0.769200
0.769200
0.769200
0.769200
0.769200
0.641000
3.805000
3.688000
11.958571
0.769200
2.699200
3.239040
3.239040
3.239040
9.480000
10.374000
8.645000
18.657600
15.548000
18.657600

IMUNOSUPRESOARE SELECTIVE - G31


25. BOALA CRONICA INFLAMATORIE INTESTINALA - G31a
1
2
3

L04AB02
L04AB04
L04AB04

INFLIXIMABUM****
ADALIMUMABUM****
ADALIMUMABUM****

REMICADE 100 mg
HUMIRA 40 mg
HUMIRA 40 mg

PULB. PT. CONC. PT. SOL. PERF.


SOL. INJ. IN PEN PRE-UMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA

100mg
40mg
40mg

JANSSEN BIOLOGICS B.V.

OLANDA

CUTIE X 3 FLAC. DIN STICLA CU PULB. PT. CONC. PT. SOL. PERF.

PR

ABBOTT LABORATORIES LTD.

MAREA BRITANIE

CUTIE X 2 BLIST. X 1 PEN PREUMPLUTA X 0,8 ML + 1 TAMPON CU ALCOOL

P-RF/R

ABBOTT LABORATORIES LTD.

MAREA BRITANIE

CUTIE X 2 BLIST. X 1 SERINGA PREUMPLUTA X 0,8 ML + 1 TAMPON CU ALCOOL

P-RF/R

Tratamentul se prescrie i se monitorizeaz de ctre medicul n specialitatea gastro-enterologie i medicin intern (uniti sanitare nominalizate de ctre Ministerul Sntii Publice)

Pagina 92 din 205

3 6,585.39 2,195.130000 2,195.130000 2,195.130000


2 4,729.17 2,364.585000 2,364.585000 2,364.585000
2 4,694.22 2,347.110000 2,347.110000 2,347.110000

NR.CRT

COD ATC

DCI

Denumire Comerciala

forma farm.

concentratie

DETINATOR APP

TARA
DET. APP

AMBALAJ

Prescriptie

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
CANT MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ITAT
L
MAXIMAL/UT 213 alin.(1) lit.
UT (RON)
E
(RON)
(RON)
a) si f)
PT. ADULTI

26. POLIARTITRITA REUMATOIDA - G31b


1
2
3
4
5
6
7
8
9
10
11

L01XC02
L01XC02
L04AB01
L04AB01
L04AB01
L04AB01
L04AB01
L04AB01
L04AB02
L04AB04
L04AB04

RITUXIMABUM****
RITUXIMABUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
INFLIXIMABUM****
ADALIMUMABUM****
ADALIMUMABUM****

MABTHERA 100 mg
MABTHERA 500 mg
ENBREL 50 mg
ENBREL 25mg
ENBREL DE UZ PEDIATRIC
ENBREL 25mg
ENBREL 50mg
ENBREL 50mg
REMICADE 100 mg
HUMIRA 40 mg
HUMIRA 40 mg

CONC. PT. SOL. PERF.


CONC. PT. SOL. PERF.
PULB+SOLV.PT.SOL.INJ
PULB. + SOLV. PT. SOL. INJ.
PULB. + SOLV. PT. SOL. INJ.
SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN STILOU INJECTOR PREUMPLUT

PULB. PT. CONC. PT. SOL. PERF.


SOL. INJ. IN PEN PRE-UMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA

10mg/ml
10mg/ml
50mg
25mg
25mg
25mg
50mg
50mg
100mg
40mg
40mg

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 2 FLACOANE X 10 ML

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 1 FLACON X 50 ML(500MG RITUXIMAB IN 50ML- 10MG/ML)

S
S

WYETH EUROPA LIMITED

MAREA BRITANIE

CUTIE X 4 FLAC. PULB. PT. SOL. INJ. + 4 SERINGI PREUMPLUTE CU SOLVENT + 4 ADAPTOARE PT. FLAC. + 8 TA

P-RF/R

WYETH EUROPA LIMITED

MAREA BRITANIE

CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 TAMPOANE CU ALCOOL

P-RF/R

WYETH EUROPA LIMITED

MAREA BRITANIE

CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 SERINGI DIN PLASTIC GOALE + 20 ACE + 24 TAMPOANE

P-RF/R

WYETH EUROPA LIMITED

MAREA BRITANIE

CUTIE X 4 SERINGI PREUMPLUTE X 8 TAMPOANE CU ALCOOL P-RF/R

WYETH EUROPA LIMITED

MAREA BRITANIE

CUTIE X 4 SERINGI PREUMPLUTE X 8 TAMPOANE CU ALCOOL P-RF/R

WYETH EUROPA LIMITED

MAREA BRITANIE

CUTIE X 4 STILOURI INJECTOARE PREUMPLUTE (PEN) X 8 TAMPOANE CU ALCOOL

P-RF/R

JANSSEN BIOLOGICS B.V.

OLANDA

CUTIE X 3 FLAC. DIN STICLA CU PULB. PT. CONC. PT. SOL. PERF.

PR

ABBOTT LABORATORIES LTD.

MAREA BRITANIE

CUTIE X 2 BLIST. X 1 PEN PREUMPLUTA X 0,8 ML + 1 TAMPON CU ALCOOL

P-RF/R

ABBOTT LABORATORIES LTD.

MAREA BRITANIE

CUTIE X 2 BLIST. X 1 SERINGA PREUMPLUTA X 0,8 ML + 1 TAMPON CU ALCOOL

P-RF/R

2
1
4
4
4
4
4
4
3
2
2

2,431.60 1,215.800000 1,215.800000 1,215.800000


5,972.91 5,972.910000 5,972.910000 5,972.910000
4,512.91 1,128.227500 1,128.227500 1,128.227500

562.330000 562.330000 562.330000


561.050000 561.050000 561.050000
2,244.20 561.050000 561.050000 561.050000
2,249.32
2,244.20

4,417.55 1,104.387500 1,104.387500 1,104.387500


4,417.55 1,104.387500 1,104.387500 1,104.387500
6,585.39 2,195.130000 2,195.130000 2,195.130000
4,729.17 2,364.585000 2,364.585000 2,364.585000
4,694.22 2,347.110000 2,347.110000 2,347.110000

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

27. ARTROPATIA PSORIAZICA - G31c


1
2
3
4
5
6
7
8
9

L04AB01
L04AB01
L04AB01
L04AB01
L04AB01
L04AB01
L04AB02
L04AB04
L04AB04

ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
INFLIXIMABUM****
ADALIMUMABUM****
ADALIMUMABUM****

ENBREL 50 mg
ENBREL 25mg
ENBREL DE UZ PEDIATRIC
ENBREL 25mg
ENBREL 50mg
ENBREL 50mg
REMICADE 100 mg
HUMIRA 40 mg
HUMIRA 40 mg

PULB+SOLV.PT.SOL.INJ
PULB. + SOLV. PT. SOL. INJ.
PULB. + SOLV. PT. SOL. INJ.
SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN STILOU INJECTOR PREUMPLUT

PULB. PT. CONC. PT. SOL. PERF.


SOL. INJ. IN PEN PRE-UMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA

50mg
25mg
25mg
25mg
50mg
50mg
100mg
40mg
40mg

WYETH EUROPA LIMITED

MAREA BRITANIE

CUTIE X 4 FLAC. PULB. PT. SOL. INJ. + 4 SERINGI PREUMPLUTE CU SOLVENT + 4 ADAPTOARE PT. FLAC. + 8 TA

P-RF/R

WYETH EUROPA LIMITED

MAREA BRITANIE

CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 TAMPOANE CU ALCOOL

P-RF/R

WYETH EUROPA LIMITED

MAREA BRITANIE

CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 SERINGI DIN PLASTIC GOALE + 20 ACE + 24 TAMPOANE

P-RF/R

WYETH EUROPA LIMITED

MAREA BRITANIE

CUTIE X 4 SERINGI PREUMPLUTE X 8 TAMPOANE CU ALCOOL P-RF/R

WYETH EUROPA LIMITED

MAREA BRITANIE

CUTIE X 4 SERINGI PREUMPLUTE X 8 TAMPOANE CU ALCOOL P-RF/R

WYETH EUROPA LIMITED

MAREA BRITANIE

CUTIE X 4 STILOURI INJECTOARE PREUMPLUTE (PEN) X 8 TAMPOANE CU ALCOOL

P-RF/R

JANSSEN BIOLOGICS B.V.

OLANDA

CUTIE X 3 FLAC. DIN STICLA CU PULB. PT. CONC. PT. SOL. PERF.

PR

ABBOTT LABORATORIES LTD.

MAREA BRITANIE

CUTIE X 2 BLIST. X 1 PEN PREUMPLUTA X 0,8 ML + 1 TAMPON CU ALCOOL

P-RF/R

ABBOTT LABORATORIES LTD.

MAREA BRITANIE

CUTIE X 2 BLIST. X 1 SERINGA PREUMPLUTA X 0,8 ML + 1 TAMPON CU ALCOOL

P-RF/R

4
4
4
4
4
4
3
2
2

4,512.91 1,128.227500 1,128.227500 1,128.227500

4
4
4
4
4
4
3
2
2

4,512.91 1,128.227500 1,128.227500 1,128.227500

562.330000 562.330000 562.330000


561.050000 561.050000 561.050000
2,244.20 561.050000 561.050000 561.050000
2,249.32
2,244.20

4,417.55 1,104.387500 1,104.387500 1,104.387500


4,417.55 1,104.387500 1,104.387500 1,104.387500
6,585.39 2,195.130000 2,195.130000 2,195.130000
4,729.17 2,364.585000 2,364.585000 2,364.585000
4,694.22 2,347.110000 2,347.110000 2,347.110000

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

28. SPONDILITA ANKILOZANTA - G 31d


1
2
3
4
5
6
7
8
9

L04AB01
L04AB01
L04AB01
L04AB01
L04AB01
L04AB01
L04AB02
L04AB04
L04AB04

ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
INFLIXIMABUM****
ADALIMUMABUM****
ADALIMUMABUM****

ENBREL 50 mg
ENBREL 25mg
ENBREL DE UZ PEDIATRIC
ENBREL 25mg
ENBREL 50mg
ENBREL 50mg
REMICADE 100 mg
HUMIRA 40 mg
HUMIRA 40 mg

PULB+SOLV.PT.SOL.INJ
PULB. + SOLV. PT. SOL. INJ.
PULB. + SOLV. PT. SOL. INJ.
SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN STILOU INJECTOR PREUMPLUT

PULB. PT. CONC. PT. SOL. PERF.


SOL. INJ. IN PEN PRE-UMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA

50mg
25mg
25mg
25mg
50mg
50mg
100mg
40mg
40mg

WYETH EUROPA LIMITED

MAREA BRITANIE

CUTIE X 4 FLAC. PULB. PT. SOL. INJ. + 4 SERINGI PREUMPLUTE CU SOLVENT + 4 ADAPTOARE PT. FLAC. + 8 TA

P-RF/R

WYETH EUROPA LIMITED

MAREA BRITANIE

CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 TAMPOANE CU ALCOOL

P-RF/R

WYETH EUROPA LIMITED

MAREA BRITANIE

CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 SERINGI DIN PLASTIC GOALE + 20 ACE + 24 TAMPOANE

P-RF/R

WYETH EUROPA LIMITED

MAREA BRITANIE

CUTIE X 4 SERINGI PREUMPLUTE X 8 TAMPOANE CU ALCOOL P-RF/R

WYETH EUROPA LIMITED

MAREA BRITANIE

CUTIE X 4 SERINGI PREUMPLUTE X 8 TAMPOANE CU ALCOOL P-RF/R

WYETH EUROPA LIMITED

MAREA BRITANIE

CUTIE X 4 STILOURI INJECTOARE PREUMPLUTE (PEN) X 8 TAMPOANE CU ALCOOL

P-RF/R

JANSSEN BIOLOGICS B.V.

OLANDA

CUTIE X 3 FLAC. DIN STICLA CU PULB. PT. CONC. PT. SOL. PERF.

PR

ABBOTT LABORATORIES LTD.

MAREA BRITANIE

CUTIE X 2 BLIST. X 1 PEN PREUMPLUTA X 0,8 ML + 1 TAMPON CU ALCOOL

P-RF/R

ABBOTT LABORATORIES LTD.

MAREA BRITANIE

CUTIE X 2 BLIST. X 1 SERINGA PREUMPLUTA X 0,8 ML + 1 TAMPON CU ALCOOL

P-RF/R

562.330000 562.330000 562.330000


561.050000 561.050000 561.050000
2,244.20 561.050000 561.050000 561.050000
2,249.32
2,244.20

4,417.55 1,104.387500 1,104.387500 1,104.387500


4,417.55 1,104.387500 1,104.387500 1,104.387500
6,585.39 2,195.130000 2,195.130000 2,195.130000
4,729.17 2,364.585000 2,364.585000 2,364.585000
4,694.22 2,347.110000 2,347.110000 2,347.110000

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

Pagina 93 din 205

NR.CRT

COD ATC

DCI

Denumire Comerciala

forma farm.

concentratie

DETINATOR APP

TARA
DET. APP

AMBALAJ

Prescriptie

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
CANT MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ITAT
L
MAXIMAL/UT 213 alin.(1) lit.
UT (RON)
E
(RON)
(RON)
a) si f)
PT. ADULTI

29. ARTRITA JUVENILA - G 31e


1
2
3
4
5
6

L04AB01
L04AB01
L04AB01
L04AB01
L04AB01
L04AB01

ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****

ENBREL 50 mg
ENBREL 25mg
ENBREL DE UZ PEDIATRIC
ENBREL 25mg
ENBREL 50mg
ENBREL 50mg

PULB+SOLV.PT.SOL.INJ
PULB. + SOLV. PT. SOL. INJ.
PULB. + SOLV. PT. SOL. INJ.
SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN STILOU INJECTOR PREUMPLUT

50mg
25mg
25mg
25mg
50mg
50mg

WYETH EUROPA LIMITED

MAREA BRITANIE

CUTIE X 4 FLAC. PULB. PT. SOL. INJ. + 4 SERINGI PREUMPLUTE CU SOLVENT + 4 ADAPTOARE PT. FLAC. + 8 TA

P-RF/R

WYETH EUROPA LIMITED

MAREA BRITANIE

CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 TAMPOANE CU ALCOOL

P-RF/R

WYETH EUROPA LIMITED

MAREA BRITANIE

CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 SERINGI DIN PLASTIC GOALE + 20 ACE + 24 TAMPOANE

P-RF/R

WYETH EUROPA LIMITED

MAREA BRITANIE

CUTIE X 4 SERINGI PREUMPLUTE X 8 TAMPOANE CU ALCOOL P-RF/R

WYETH EUROPA LIMITED

MAREA BRITANIE

CUTIE X 4 SERINGI PREUMPLUTE X 8 TAMPOANE CU ALCOOL P-RF/R

WYETH EUROPA LIMITED

MAREA BRITANIE

CUTIE X 4 STILOURI INJECTOARE PREUMPLUTE (PEN) X 8 TAMPOANE CU ALCOOL

P-RF/R

4
4
4
4
4
4

4,512.91 1,128.227500 1,128.227500 1,128.227500

562.330000 562.330000 562.330000


561.050000 561.050000 561.050000
2,244.20 561.050000 561.050000 561.050000
2,249.32
2,244.20

4,417.55 1,104.387500 1,104.387500 1,104.387500


4,417.55 1,104.387500 1,104.387500 1,104.387500

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

30. PSORIAZIS CRONIC SEVER - G 31f


1
2
3
4
5
6
7
8
9

L04AB01
L04AB01
L04AB01
L04AB01
L04AB01
L04AB01
L04AB02
L04AB04
L04AB04

ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
INFLIXIMABUM****
ADALIMUMABUM****
ADALIMUMABUM****

ENBREL 50 mg
ENBREL 25mg
ENBREL DE UZ PEDIATRIC
ENBREL 25mg
ENBREL 50mg
ENBREL 50mg
REMICADE 100 mg
HUMIRA 40 mg
HUMIRA 40 mg

PULB+SOLV.PT.SOL.INJ
PULB. + SOLV. PT. SOL. INJ.
PULB. + SOLV. PT. SOL. INJ.
SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN STILOU INJECTOR PREUMPLUT

PULB. PT. CONC. PT. SOL. PERF.


SOL. INJ. IN PEN PRE-UMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA

50mg
25mg
25mg
25mg
50mg
50mg
100mg
40mg
40mg

WYETH EUROPA LIMITED

MAREA BRITANIE

CUTIE X 4 FLAC. PULB. PT. SOL. INJ. + 4 SERINGI PREUMPLUTE CU SOLVENT + 4 ADAPTOARE PT. FLAC. + 8 TA

P-RF/R

WYETH EUROPA LIMITED

MAREA BRITANIE

CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 TAMPOANE CU ALCOOL

P-RF/R

WYETH EUROPA LIMITED

MAREA BRITANIE

CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 SERINGI DIN PLASTIC GOALE + 20 ACE + 24 TAMPOANE

P-RF/R

WYETH EUROPA LIMITED

MAREA BRITANIE

CUTIE X 4 SERINGI PREUMPLUTE X 8 TAMPOANE CU ALCOOL P-RF/R

WYETH EUROPA LIMITED

MAREA BRITANIE

CUTIE X 4 SERINGI PREUMPLUTE X 8 TAMPOANE CU ALCOOL P-RF/R

WYETH EUROPA LIMITED

MAREA BRITANIE

CUTIE X 4 STILOURI INJECTOARE PREUMPLUTE (PEN) X 8 TAMPOANE CU ALCOOL

P-RF/R

JANSSEN BIOLOGICS B.V.

OLANDA

CUTIE X 3 FLAC. DIN STICLA CU PULB. PT. CONC. PT. SOL. PERF.

PR

ABBOTT LABORATORIES LTD.

MAREA BRITANIE

CUTIE X 2 BLIST. X 1 PEN PREUMPLUTA X 0,8 ML + 1 TAMPON CU ALCOOL

P-RF/R

ABBOTT LABORATORIES LTD.

MAREA BRITANIE

CUTIE X 2 BLIST. X 1 SERINGA PREUMPLUTA X 0,8 ML + 1 TAMPON CU ALCOOL

P-RF/R

Tratamentul se prescrie si monitorizeaza de catre medicul in specialitatea dermatologie (unitati sanitare nominalizate de catre Ministerul Sanatatii)
NOTA:
- Pentru medicamentele corespunzatoare acestei sectiuni initierea tratamentului se face de catre medicul de specialitate altul decat medicul de familie, exceptie facand medicamentele din G1INSUFICIENTA CARDIACA CRONICA (CLASA III SAU IV NYHA) pozitiile 2, 3, 4, 5, 6, 7, 9 pentru care initierea tratamentului poate fi efectuata si de medicul de familie;
- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (**) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MS;
- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (***) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MS si cu aprobarea comisiilor de
la nivelul Caselor Judetene de Asigurari de Sanatate;
- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (****) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MS si cu aprobarea comisiilor de
la nivelul Casei Nationale de Asigurari de Sanatate;
Medicamentul corespunzator DCI-ului notat cu (3) se livreaza impreuna cu solvent;
- Medicamentele corespunzatoare DCI-urilor notate cu (4) se importa cu avizul MS;
- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (5) se utilizeaza numai pentru cazurile fara raspuns terapeutic la prednisonum.

NOT: Medicamentele din aceast sublist se elibereaz prin farmacii cu circuit deschis pe baz de prescripie medical cu reinere n farmacie (P-RF).

Pagina 94 din 205

4
4
4
4
4
4
3
2
2

4,512.91 1,128.227500 1,128.227500 1,128.227500

562.330000 562.330000 562.330000


561.050000 561.050000 561.050000
2,244.20 561.050000 561.050000 561.050000
2,249.32
2,244.20

4,417.55 1,104.387500 1,104.387500 1,104.387500


4,417.55 1,104.387500 1,104.387500 1,104.387500
6,585.39 2,195.130000 2,195.130000 2,195.130000
4,729.17 2,364.585000 2,364.585000 2,364.585000
4,694.22 2,347.110000 2,347.110000 2,347.110000

ANEXA 4

SECIUNEA C2 - LISTA MEDICAMENTELOR CU PROCENT DE COMPENSARE 100% din pret de decontare - conform denumirilor comune internaionale
corespunztoare medicamentelor de care beneficiaza asiguratii inclusi in programele nationale de sntate cu scop curativ in tratamentul ambulatoriu si spitalicesc
DIN HG NR. 720/2008 CU MODIFICARILE SI COMPLETARILE ULTERIOARE SI ORDINUL MS NR. 426/2009
VALABIL NCEPND CU 01 IANUARIE 2012

Grupa
Nr.
terape
crt
utica

Denumire generica

Denumire comerciala

Forma
Concentrati
farmaceutic
e / U.T.
a

Tara

Firma

Ambalaj

Prescriptie

cant/
amba
laj

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

Pret cu ridicata
maximal de
decontare / U.T.

Pret cu
amanuntul
maximal /
ambalaj

Pret cu
amanuntul
maximal / U.T.

P1: PROGRAMUL NATIONAL DE BOLI TRANSMISIBILE


A) SUBPROGRAMUL DE TRATAMENT SI MONITORIZARE A PERSOANELOR CU INFECTIE HIV/SIDA si TRATAMENTUL POSTEXPUNERE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47

A07AA11
A07AA11
A07AA11
D01AC02
D01AC02
D01AC02

D06BB03
D06BB03
D06BB03
D06BB03
D06BB03
D06BB03
D06BB03
D06BB03
D06BB03
G01AF04
G01AF04
G01AF04
G01AF04
G01AF04
G01AF04

J01CF04
J01CF04
J01CF04
J01CF04
J01CF04
J01CF04
J01CF04
J01CF04
J01CF04
J01CF04
J01CF04
J01CF04
J01CF04
J01CF04
J01CF04
J01CF04
J01CF04
J01CF04
J01CR01
J01CR01

RIFAXIMINUM
RIFAXIMINUM
RIFAXIMINUM
MICONAZOLUM
MICONAZOLUM
MICONAZOLUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
MICONAZOLUM
MICONAZOLUM
MICONAZOLUM
MICONAZOLUM
MICONAZOLUM
MICONAZOLUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
AMPICILLINUM + SULBACTAM
AMPICILLINUM + SULBACTAM

NORMIX 200 mg
NORMIX 200 mg
NORMIX 100mg/5ml
MICONAZOL NITRAT 2%
MEDACTER
MICONAL ECOBI
ACICLOVIR MK
ACICLOVIR MK
ZOVIRAX
CLOVIRAL (R) 5%
ACICLOVIR 50mg/g
ACICLOVIR 50mg/g
ACICLOVIR HYPERION
ACICLOVIR TIS 50mg/g
ACICLOVIR SLAVIA 50 mg/g
GYNOZOL 200
GYNOZOL 400
MEDACTER
MICONAL ECOBI
MICONAL ECOBI
MICONAL ECOBI
OXACILINA FARMEX 250 mg
OXACILINA 250 mg
OXACILINA 250 mg
OXACILINA ARENA 250 mg
OXACILINA ARENA 250 mg
OXACILINA 250 mg
OXACILINA 250 mg
OXACILINA
OXACILINA SANDOZ 250 mg
OXACILINA 500 mg
OXACILINA 500 mg

COMPR. FILM. 200mg


COMPR. FILM. 200mg

100mg/5ml
2%
2%
20mg/g
5%
5%
5%
5%
5%
5%
50mg/g
50mg/g
50mg/g
200mg
400mg
CREMA VAG. 2%
CREMA VAG. 20mg/g
OVULE
50mg
SOL. VAGINALA 2mg/ml
CAPS.
250mg
CAPS.
250mg
CAPS.
250mg
CAPS.
250mg
CAPS.
250mg
CAPS.
250mg
CAPS.
250mg
CAPS.
250mg
CAPS.
250mg
CAPS.
500mg
CAPS.
500mg
OXACILINA FORTE LPH 500 mg CAPS.
500mg
OXACILINA FORTE 500 mg CAPS.
500mg
OXACILINA FORTE 500 mg CAPS.
500mg
OXACILINA ARENA 500 mg CAPS.
500mg
OXACILINA SANDOZ 500 mg CAPS.
500mg
OXACILINA ANTIBIOTICE 500 mg
500mg
OXACILINA ANTIBIOTICE 1 g
1g
AMPIPLUS (R) 1,5 g
PULB. PT. SOL. INJ. 1g+500mg
AMPIPLUS (R) 1,5 g
PULB. PT. SOL. INJ. 1g+500mg

ALFA WASSERMANN SPA


ALFA WASSERMANN SPA

J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM


J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

P-RF

CUTIE X 1 BLIST. AL/PVC X 12 COMPR. FILM. P-RF

ALFA WASSERMANN SPA

CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
CAPS. VAG.
CAPS. VAG.

SLAVIA PHARM SRL ROMANIA CUTIE X 1 TUB X 20 G


GRECIA CUTIE X 1 TUB X 30G
FARMACEUTICI ECOBI S.A.S ITALIA
CUTIE X 1 TUB DIN AL X 30 G CREMA
FITERMAN PHARMA S.R.L. ROMANIA CUTIE X 1 TUB AL X 15 G
FITERMAN PHARMA S.R.L. ROMANIA CUTIE X 1 TUB AL X 7,5 G
THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 1 TUB X 5G CREMA
ANTIBIOTICE SA
ROMANIA CUTIE X 1 TUB AL. X 12 G
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 TUB X 15 G CREMA
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 TUB X 5 G CREMA
HYPERION S.A.
ROMANIA CUTIE X 1 TUB DIN AL X 15 G CREMA

P-RF

TIS FARMACEUTIC SA ROMANIA CUTIE X 1 TUB DIN PEJD X 15 G CREMA


SLAVIA PHARM S.R.L. ROMANIA CUTIE CU 1 TUB AL X 15 G CREMA
PHARCO IMPEX 93 S.R.L. ROMANIA CUTIE X 2 BLIST. X 3 CAPS. VAG. MOI
PHARCO IMPEX 93 S.R.L. ROMANIA CUTIE X 1 BLIST. X 3 CAPS. VAG. MOI

P-RF

GRECIA CUTIE X 1 TUB X 78 G


ITALIA
CUTIE X 1 TUB DIN AL X 78 G CREMA VAGINALA + CANULA
ITALIA
CUTIE X 3 FOLII PREFORMATE PVC/PE X 5 OVULE
ITALIA
CUTIE X 5 FLACOANE DIN PEJD X 150 ML SOL. VAG. + 5 CANULE

P-RF

PULB. PT. SOL. INJ./PERF. I.M./I.V.

PULB. PT. SOL. INJ./PERF.I.M./I.V.

AMOKSIKLAV 2 x 1000 mg
MEDOCLAV 1000 mg
MEDOCLAV 375 mg
ENHANCIN 500 mg/125mg
AMOXIPLUS 500/125 mg

CUTIE X 3 BLIST. AL/PVC A CATE 12 COMPR. FILM.

GRAN. PT. SUSP. ORALA

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

1000mg
1000mg

CUTIE X 1 FLAC. GRAN. PT. 60 ML SUSP. ORALA + 1 MASURA DOZATOARE MARCATA LA 5, 10 SI 15 ML

FARAN LABORATORIES S.A.

FARAN LABORATORIES S.A.


FARMACEUTICI ECOBI S.A.S
FARMACEUTICI ECOBI S.A.S
FARMACEUTICI ECOBI S.A.S

P-RF

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

P-RF
P-RF
P-RF

P-RF
P-RF
P-RF

FARMEX COMPANY SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF

ANTIBIOTICE SA
ANTIBIOTICE SA
ARENA GROUP SA
ARENA GROUP SA

ROMANIA
ROMANIA
ROMANIA
ROMANIA
LABORMED PHARMA S.A. ROMANIA
OZONE LABORATORIES LTD.

MAREA BRITANIE

FARMACOM SA
SANDOZ SRL
ANTIBIOTICE SA
ANTIBIOTICE SA

ROMANIA
ROMANIA
ROMANIA
ROMANIA
LABORMED PHARMA S.A. ROMANIA
FARMEX COMPANY SRL ROMANIA
FARMEX COMPANY SRL ROMANIA
ARENA GROUP SA ROMANIA
SANDOZ SRL
ROMANIA
ANTIBIOTICE SA
ROMANIA
ANTIBIOTICE SA
ROMANIA
ANTIBIOTICE SA
ROMANIA
ANTIBIOTICE SA
ROMANIA

J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN SR 1000 mg/62,5 mg COMPR. ELIB. PREL. 1000mg/62,5mg BEECHAM GROUP PLC
J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

ITALIA
ITALIA
ITALIA

LEK PHARMACEUTICALS D.D.

MAREA BRITANIE

CUTIE X 100 BLIST. AL/PVC X 10 CAPS.

P-RF/S

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P-RF

20

CUTIE X 100 BLIST. AL/PVC X 10 CAPS.

P-RF/S

1,000

1,000

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P-RF

CUTIE X 1 BLIST. X 10 CAPS.


CUTIE X 100 BLIST. X 10 CAPS.

P-RF

20
20
20
20
20
10

P-RF/S

1,000

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.


CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P-RF

CUTIE X 2 BLIST. X 10 CAPS.

P-RF

P-RF
P-RF

CUTIE X 1 BLIST. AL/PVC X 10 CAPS.


CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
CUTIE X 50 BLIST. AL/PVC X 10 CAPS.
CUTIE X 1 BLIST. AL/PVC X 10 CAPS.
CUTIE X 1 BLIST. AL/PVC X 10 CAPS.

P-RF/S

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. I.M./I.V.

P-RF

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. I.M./I.V.

P-RF
P-RF

P-RF
P-RF

P-RF

CUTIE X 1 FLAC. PULB. PT. SOL. INJ. X 1,5 G P-RF


CUTIE X 50 FLAC. PULB. PT. SOL. INJ. X 1,5 G

P-RF/S

CUTIE CU 7 BLIST. AL/PVC-AL X 4 COMPR. ELIB. PREL.

P-RF

SLOVENIA CUTIE X 2 BLIST. AL/AL X 7 COMPR.FILM.

P-RF

MEDOCHEMIE LTD. CIPRU


250mg+125mg MEDOCHEMIE LTD. CIPRU

CUTIE X 2 BLIST. AL-PVC/AL X 7 COMPR. FILM. P-RF

500 mg/125 mg RANBAXY UK LIMITED

MAREA BRITANIE

CUTIE X 4 FOLII AL-PEJD X 7 COMPR. FILM. P-RF

500/125mg

ROMANIA

CUTIE X 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM.

ANTIBIOTICE S.A.

36
12
1
1
1
1
1
1
1
1
1
1
1
1
1
6
3
1
1
15
5
20

CUTIE X 4 BLIST. X 4 COMPR. FILM.

Pagina 95 din 205

P-RF

P-RF

10
20
500
10
10
1
1
1
50
28
14
14
16
28
14

71.32
24.20
13.97
4.99
6.26
6.95
4.93
3.06
15.40
4.68
5.55
3.64
5.36
3.43
4.91
4.36
4.18
14.16
10.18
6.58
13.15
4.93
254.69
5.52
239.70
5.20
4.41
4.41
4.16
5.63
5.04
292.78
4.53
8.16
192.81
4.53
5.15
2.43
3.90
18.47
626.68
33.88
29.56
30.76
16.55
24.18
7.92

1.981111
2.016666
13.970000
4.990000
6.260000
6.950000
4.930000
3.060000
15.400000
4.680000
5.550000
3.640000
5.360000
3.430000
4.910000
0.726666
1.393333
14.160000
10.180000
0.438666
2.630000
0.246500
0.254690
0.276000
0.239700
0.260000
0.220500
0.220500
0.208000
0.281500
0.504000
0.292780
0.453000
0.408000
0.385620
0.453000
0.515000
2.430000
3.900000
18.470000
12.533600
1.210000
2.111428
2.197142
1.034375
0.863571
0.565714

1.981111
2.016666
13.970000
4.990000
6.260000
6.950000
4.116000
3.060000
4.368000
4.680000
4.368000
3.640000
4.116000
3.430000
4.116000
0.726666
1.393333
12.216000
10.180000
0.438666
2.630000
0.246500
0.249600
0.249600
0.239700
0.249600
0.220500
0.220500
0.208000
0.249600
0.351336
0.292780
0.351336
0.351336
0.351336
0.351336
0.351336
2.430000
3.900000
15.040320
12.533600
1.210000
1.188857
1.188857
1.034375
0.678857
0.565714

90.18
32.71
18.88
6.75
8.46
9.40
6.66
4.14
20.82
6.32
7.50
4.92
7.24
4.64
6.64
5.89
5.65
19.14
13.76
8.89
17.78
6.66
310.92
7.46
292.63
7.03
5.96
5.96
5.62
7.61
6.81
357.43
6.12
11.03
235.38
6.12
6.96
3.28
5.27
24.96
721.23
44.32
38.66
40.23
22.37
32.68
10.71

2.505000
2.725833
18.880000
6.750000
8.460000
9.400000
6.660000
4.140000
20.820000
6.320000
7.500000
4.920000
7.240000
4.640000
6.640000
0.981666
1.883333
19.140000
13.760000
0.592666
3.556000
0.333000
0.310920
0.373000
0.292630
0.351500
0.298000
0.298000
0.281000
0.380500
0.681000
0.357430
0.612000
0.551500
0.470760
0.612000
0.696000
3.280000
5.270000
24.960000
14.424600
1.582857
2.761428
2.873571
1.398125
1.167142
0.765000

Grupa
Nr.
terape
crt
utica
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107

Denumire generica

Denumire comerciala

Tara

Firma

Ambalaj

Prescriptie

500mg+125mg MEDOCHEMIE LTD. CIPRU


CUTIE X 4 BLIST. X 4 COMPR. FILM.
500mg/125mg BEECHAM GROUP PLC MAREA BRITANIE
625mg
LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 BLIST. AL/AL X 14 COMPR. FILM.
875mg+125mg BEECHAM GROUP PLC MAREA BRITANIE
875mg/125mg BEECHAM GROUP PLC MAREA BRITANIE
875mg/125mg ANTIBIOTICE S.A.
ROMANIA CUTIE CU 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM.

P-RF

P-RF

PULB. PT. SOL. INJ./PERF.

1000mg
625mg
1,2g
1.2g
1.2g

PULB. PT. SOL. PERF.

2000mg+200mg BEECHAM GROUP PLC

PULB. PT. SUSP. ORALA

125mg+31,25/5ml

MEDOCHEMIE LTD. CIPRU

PULB. PT. SUSP. ORALA

156,25mg/5ml

LEK PHARMACEUTICALS D.D.

J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM MEDOCLAV FORTE 312,5mg/5ml

PULB. PT. SUSP. ORALA

250mg+62,5mg/5ml

MEDOCHEMIE LTD. CIPRU

J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN BIS 400 mg/57 mg/5 ml

PULB. PT. SUSP. ORALA

400mg/57mg/5ml SMITHKLINE BEECHAM PLC

J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN BIS 400 mg/57 mg/5 ml

PULB. PT. SUSP. ORALA

J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN BIS 400 mg/57 mg/5 ml

J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM


J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

MEDOCLAV 625 mg
AUGMENTIN 500 mg/125 mg
AMOKSIKLAV 2 x 625 mg
AUGMENTIN 1 g
AUGMENTIN 875 mg/125 mg
AMOXIPLUS 875 mg/125 mg

Forma
Concentrati
farmaceutic
e / U.T.
a

J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV QUICKTAB 1000 mg


J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV QUICKTAB 625 mg
J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

AMOXIPLUS 1,2 g
AMOXIPLUS 1,2 g
AMOXIPLUS 1,2 g

J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN INTRAVENOS 2,2g


J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

MEDOCLAV 156,25 mg/5 ml


AMOKSIKLAV 156,25mg/5ml

AUGMENTIN (R) ES

J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM ENHANCIN 250 mg/ 62,5 mg/5 ml

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE

COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE

PULB. PT. SOL. INJ./PERF.


PULB. PT. SOL. INJ./PERF.

P-RF

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. 35 ML SUSP. ORALA + 1 SERINGA PT. ADM. ORALA

P-RF

400mg/57mg/5ml SMITHKLINE BEECHAM PLC

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. 35 ML SUSP. ORALA + MASURA DOZATOARE

P-RF

PULB. PT. SUSP. ORALA

400mg/57mg/5ml SMITHKLINE BEECHAM PLC

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. 70 ML SUSP. ORALA + MASURA DOZATOARE

P-RF

PULB. PT. SUSP. ORALA

600 mg/42,9mg/5ml SMITHKLINE BEECHAM PLC

MAREA BRITANIE

CUTIE X 1 FLACON DIN STICLA CU PULB. PT. 100 ML SUSP. ORALA + 1 MASURA DOZATOARE

P-RF

PULB. PT.SUSP. ORALA 250 mg/ 62,5 mg/5 ml

RANBAXY UK LIMITED

MAREA BRITANIE

CUTIE X 1 FLAC. DIN PEID CU PULB. PT. SUSP. ORALA MARCAT PT. 100ML+ MASURA DOZATOARE

P-RF

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

LIOF. PT. SOL. INJ.

FARA CONCENTRATIE

PFIZER EUROPE MA EEIG

MAREA BRITANIE

LIOF. PT. SOL. INJ.

FARA CONCENTRATIE WYETH LEDERLE PHARMA GMBH

PIPERACILINA/TAZOBACTAM MYLAN 2g/0,25 g

PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF.

PULB. PT. SOL. INJ./PERF.


PULB. PT. SOL. INJ./PERF.
PULB. PT. SOL. INJ./PERF.
PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PULB. PT. SOL. INJ./PERF.

J01CR05

PULB. PT. SOL. INJ./PERF.

PIPERACILINA/TAZOBACTAN ACTAVIS 4 g/0,5 g

J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g

PULB. PT. SOL. INJ./PERF.


PULB. PT. SOL. INJ./PERF.
PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PERASIN 4g/0,5 g
BACTACIN 4 g/0,5 g

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g

PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g

PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g

PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04

CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM

NOVOSEF 500 mg i.m.


CEFTRIAXONA ACTAVIS 1 g
NOVOSEF 500mg i.v.
OFRAMAX 1000 mg
CEFORT 1 g
SEFTRION 1 g
CEFTRIAXONA ACTAVIS 2 g
CEFORT 250 mg
OFRAMAX 250 mg
CEFORT 250 mg
CEFORT 250 mg
CEFORT 250 mg
CEFORT 2 g
MEDAXONE 2 g

P-RF/S

P-RF

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

CUTIE X 50 FLACOANE CU PULB. PT. SOL. INJ. / PERF.

CUTIE X 1 FLAC. DIN STICLA BRUNA CU PULB. PT. 100 ML SUSP.

PULB. PT. SOL. INJ./PERF.

J01CR05

P-RF

CUTIE X 1 FLACON CU PULB. PT. SOL. INJ. / PERF. P-RF

P-RF

BACTACIN 2 g/0,25 g

TEBRANIC 4 g/0,5 g
PIPERACILLINUM + TAZOBACTAMUM ZOPECILIN 4 g/0,5 g
PIPERACILLINUM + TAZOBACTAMUM ZOPECILIN 4 g/0,5 g

CUTIE X 7 BLIST. AL/AL X 2 COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE

P-RF

CUTIE X 1 FLAC. DIN STICLA BRUNA CU 25 MG PULB. PT. 100 ML SUSP. ORALA

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

CUTIE X 7 BLIST. AL/AL X 2 COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE

S/P-RF

PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

P-RF

CUTIE X 1 FLAC. CU PULB. PT. 100ML SUSP. ORALA + LINGURITA DOZATOARE

PIPERACILINA/TAZOBACTAN ACTAVIS 2 g/0,25 g

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

P-RF

CUTIE CU 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM., FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA PROTECTO

P-RF/S

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

P-RF

CUTIE X 2 BLIST. AL/PVDC-PVC X 7 COMPR. FILM., FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA PROTECTOA

CUTIE X 100 FLACOANE CU PULB. PT. SOL. INJ. / PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

ROMANIA
BIOMEDIAL PHARMA S.R.L. ROMANIA
ANTIBIOTICE SA
ROMANIA
ANTIBIOTICE SA
ROMANIA
ANTIBIOTICE SA
ROMANIA
BIOMEDIAL PHARMA S.R.L.

P-RF

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF.

AMOKSIKLAV 312,5mg/5ml
TAZOCIN 4,5
TAZOCIN 2,25
ZOPECILIN 2 g/0,25 g
ZOPECILIN 2 g/0,25 g
PERASIN 2g/0,25 g
TEBRANIC 2g/0,25 g

J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

CUTIE CU 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM., FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA PROTECTO

PULB. PT. SOL. INJ./PERF.


PULB. PT. SOL. INJ./PERF.

PULB. + SOLV. PT. SOL. INJ.

PULB. PT. SOL. INJ.


PULB. PT. SOL. INJ. I.V./PERF.

PULB. PT. SOL. INJ./PERF.


PULB. PT. SOL. INJ./PERF.
PULB. PT. SOL. INJ./PERF.
PULB. PT. SOL. INJ./PERF.
PULB. PT. SOL. INJ./PERF.
PULB. PT. SOL. INJ./PERF.
PULB. PT. SOL. INJ./PERF.
PULB. PT. SOL. INJ./PERF.
PULB. PT. SOL. INJ./PERF.
PULB. PT. SOL. INJ./PERF.
PULB. PT. SOL. INJ./PERF.

2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
500mg
1g
500mg
1000mg
1g
1g
2g
250mg
250mg
250mg
250mg
250mg
2g
2g

MAREA BRITANIE

SLOVENIA

CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ.


AUSTRIA CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ.

ROMANIA
ROMASTRU TRADING SRL ROMANIA
ANTIBIOTICE S.A.
ROMANIA
ROMASTRU TRADING SRL

ASTRA ZENECA AB SUEDIA


ISLANDA
TERAPIA SA
ROMANIA
MYLAN S.A.S.
FRANTA

ACTAVIS GROUP PTC EHF.

S.C. FRESENIUS KABI S.R.L.


S.C. FRESENIUS KABI S.R.L.
S.C. FRESENIUS KABI S.R.L.
S.C. FRESENIUS KABI S.R.L.
S.C. FRESENIUS KABI S.R.L.
S.C. FRESENIUS KABI S.R.L.

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

ASTRA ZENECA AB SUEDIA


ROMANIA
ROMASTRU TRADING SRL ROMANIA
ROMASTRU TRADING SRL

ACTAVIS GROUP PTC EHF.

MYLAN S.A.S.
ANTIBIOTICE S.A.
TERAPIA SA

ISLANDA
FRANTA

ZENTIVA S.A.

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

ACTAVIS GROUP PTC EHF.

ISLANDA

S.C. FRESENIUS KABI S.R.L.


S.C. FRESENIUS KABI S.R.L.
S.C. FRESENIUS KABI S.R.L.

ZENTIVA S.A.
TERAPIA SA
ANTIBIOTICE SA

ROMANIA
ROMANIA
ROMANIA
E.I.P.I.CO. MED S.R.L. ROMANIA

P-RF
S/P-RF
S/P-RF

CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 15 ML CONTINAND PULB. PT. SOL. INJ. I.M.+ 1 FIOLA DIN STICLA

P-RF

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.


CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CU PULB. PT. SOL. INJ./PERF.


CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.


CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.


CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. INJ./PERF.
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 50 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE X 1 FLAC DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE CU 5 FLACOANE DIN STICLA INCOLORA X 20 ML, CU SIST. SIG. "FLIP - OFF" CU PULB. PT. SOL. INJ.

PR

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 15ML CONTINAND PULB. PT. SOL INJ./PERF. + 1 FIOLA DIN STICLA I

S/P-RF

CUTIE CU 50 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 15 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE X 10 FLAC. CU PULB. PT. SOL. INJ./PERF.

S/P-RF

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERFZ.

S/P-RF

CUTIE CU 5 FLACOANE DIN STICLA INCOLORA X 20 ML, CU SIST. SIG. "FLIP - OFF" CU PULB. PT. SOL. INJ./P

PR

ACTAVIS GROUP PTC EHF.

ISLANDA

ANTIBIOTICE SA
TERAPIA SA
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA
MEDOCHEMIE LTD.

ROMANIA CUTIE X 10 FLAC. CU PULB. PT. SOL.INJ./PERF. S/P-RF


ROMANIA
S
ROMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ.PERF. S/P-RF
ROMANIA CUTIE X 100 FLAC. CU PULB. PT. SOL. INJ.PERF. S
ROMANIA CUTIE X 50 FLAC. CU PULB. PT. SOL. INJ.PERF. S/P-RF
ROMANIA CUTIE X 10 FLAC. CU PULB. PT. SOL. INJ./PERF. S/P-RF
CUTIE CU 50 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 5 ML CU PULB. PT. SOL. INJ./PERF.

CIPRU

CUTIE X 10 FLACOANE X 2 G PULB. PT. SOL. INJ./PERF.

Pagina 96 din 205

S/P-RF

cant/
amba
laj

16
14
14
14
14
14
14
14
1
50
100
1
1
1
1
1
1
1
1
1
1
12
12
12
1
1
12
12
1
1
10
5
1
10
5
1
12
12
1
12
1
1
1
5
1
10
1
5
1
50
10
1
5
10
50
1
100
50
10
10

Pret cu
ridicata
maximal /
ambalaj

21.75
11.19
20.52
19.27
19.27
13.87
18.33
12.08
5.04
243.14
472.05
14.36
10.90
8.55
16.17
7.27
7.27
14.55
25.91
16.61
17.56
685.12
396.78
262.29
22.65
22.65
232.62
262.17
22.65
22.65
382.38
193.81
40.18
193.81
98.66
20.09
455.79
455.75
40.44
455.75
40.46
40.44
40.44
195.13
40.44
384.80
4.41
45.62
4.41
451.00
132.27
10.19
89.60
53.99
243.14
5.42
499.42
259.34
225.76
272.71

Pret cu ridicata
maximal / U.T.

1.359375
0.799285
1.465714
1.376428
1.376428
0.990714
1.309285
0.862857
5.040000
4.862800
4.720500
14.360000
10.900000
8.550000
16.170000
7.270000
7.270000
14.550000
25.910000
16.610000
17.560000
57.093333
33.065000
21.857500
22.650000
22.650000
19.385000
21.847500
22.650000
22.650000
38.238000
38.762000
40.180000
19.381000
19.732000
20.090000
37.982500
37.979166
40.440000
37.979166
40.460000
40.440000
40.440000
39.026000
40.440000
38.480000
4.410000
9.124000
4.410000
9.020000
13.227000
10.190000
17.920000
5.399000
4.862800
5.420000
4.994200
5.186800
22.576000
27.271000

Pret cu ridicata
maximal de
decontare / U.T.

0.678857
0.678857
0.678857
1.188857
1.188857
0.990714
1.188857
0.678857
5.040000
4.862800
4.720500
14.360000
10.260000
8.550000
16.170000
7.270000
7.270000
14.550000
25.910000
16.610000
17.560000
45.574999
23.257200
21.857500
22.650000
22.650000
19.385000
21.847500
22.650000
22.650000
23.257200
23.257200
23.257200
19.381000
19.732000
20.090000
37.982500
37.979166
40.440000
37.979166
40.460000
40.440000
40.440000
39.026000
40.440000
38.480000
4.410000
7.140000
4.410000
7.140000
7.140000
7.140000
15.348000
5.399000
4.862800
5.420000
4.994200
5.186800
15.348000
15.348000

Pret cu
amanuntul
maximal /
ambalaj

29.40
15.13
27.73
26.04
26.04
18.75
24.78
16.33
6.81
296.82
552.68
19.41
14.73
11.56
21.85
9.83
9.83
19.66
33.89
22.45
23.74
784.93
470.64
320.21
30.62
30.62
283.98
320.06
30.62
30.62
454.94
236.60
52.55
236.60
124.75
27.15
534.96
534.92
52.90
534.92
52.92
52.90
52.90
238.21
52.90
457.58
5.96
59.67
5.96
529.74
161.47
13.77
113.29
68.27
296.82
7.32
582.52
316.60
275.61
332.93

Pret cu
amanuntul
maximal / U.T.

1.837500
1.080714
1.980714
1.860000
1.860000
1.339285
1.770000
1.166428
6.810000
5.936400
5.526800
19.410000
14.730000
11.560000
21.850000
9.830000
9.830000
19.660000
33.890000
22.450000
23.740000
65.410833
39.220000
26.684166
30.620000
30.620000
23.665000
26.671666
30.620000
30.620000
45.494000
47.320000
52.550000
23.660000
24.950000
27.150000
44.580000
44.576666
52.900000
44.576666
52.920000
52.900000
52.900000
47.642000
52.900000
45.758000
5.960000
11.934000
5.960000
10.594800
16.147000
13.770000
22.658000
6.827000
5.936400
7.320000
5.825200
6.332000
27.561000
33.293000

Grupa
Nr.
terape
crt
utica
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167

J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD08
J01DD08
J01DD12
J01DD12
J01DD12
J01DD12
J01DD12
J01DD12

Denumire generica

CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFIXIMUM
CEFIXIMUM
CEFOPERAZONUM
CEFOPERAZONUM
CEFOPERAZONUM
CEFOPERAZONUM
CEFOPERAZONUM
CEFOPERAZONUM

J01DD62 COMBINATII (CEFOPERAZONUM+SULBACTAMUM)


J01DD62 COMBINATII (CEFOPERAZONUM+SULBACTAMUM)
J01DD62 COMBINATII (CEFOPERAZONUM+SULBACTAMUM)
J01DD62 COMBINATII (CEFOPERAZONUM+SULBACTAMUM)
J01DE02
J01DE02
J01DH02
J01DH02
J01DH02
J01DH02
J01DH02
J01DH02
J01DH02
J01DH02
J01DH02
J01DH02
J01DH02
J01DH02
J01DH51
J01DH51
J01DH51
J01DH51
J01DH51
J01DH51
J01DH51
J01DH51

CEFPIROMUM
CEFPIROMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM

J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM


J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM
J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM
J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM
J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM
J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM
J01FA02
J01FA02
J01FA06
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09

SPIRAMYCINUM
SPIRAMYCINUM
ROXITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM

Denumire comerciala

Forma
Concentrati
farmaceutic
e / U.T.
a

CEFORT 500 mg
PULB. PT. SOL. INJ./PERF.
CEFORT 500 mg
PULB. PT. SOL. INJ./PERF.
CEFORT 500 mg
PULB. PT. SOL. INJ./PERF.
SEFTRION 500 mg
PULB. PT. SOL. INJ./PERF.
SEFTRION 2 g
PULB. PT. SOL. PERF.
ROCEPHIN (R)
PULB. PT. SOL. PERF.
NOVOSEF 1 g i.m.
PULB.+SOLV. PT. SOL. INJ.
NOVOSEF 1 g i.v.
EFICEF 100 mg
CAPS.
EFICEF (R) 200 mg
CAPS.
MEDOCEF 1 g
PULB. PT. SOL. INJ.
MEDOCEF 2 g
PULB. PT. SOL. INJ.
LYZONE 2 g
PULB. PT. SOL. INJ.
CEFOZON 500 mg
PULB. PT. SOL. INJ.
CEFOZON 2 g
CEFOZON 1 g
SULCEF 1000 mg/1000 mg PULB. PT. SOL. INJ./PERF.
SULCEF 1000 mg/1000 mg PULB. PT. SOL. INJ./PERF.
SULCEF 1000 mg/1000 mg PULB. PT. SOL. INJ./PERF.
SULCEF 1000 mg/1000 mg PULB. PT. SOL. INJ./PERF.
CEFROM (R) 1 g
PULB. PT. SOL. INJ./PERF.
CEFROM (R) 2 g
PULB. PT. SOL. INJ./PERF.
MERONEM IV 1 g
PULB. PT. SOL. INJ. I.V./PERF.
MERONEM IV 500 mg
PULB. PT. SOL. INJ. I.V./PERF.
LODITER 1000 mg
PULB. PT. SOL. INJ./PERF.
MEROPENEM HOSPIRA 1 g PULB. PT. SOL. INJ./PERF.
MEROPENEM KABI 1 g
PULB. PT. SOL. INJ./PERF.
MEROPENEM KABI 1 g
PULB. PT. SOL. INJ./PERF.
MEROPENEM HOSPIRA 1 g PULB. PT. SOL. INJ./PERF.
LODITER 500 mg
PULB. PT. SOL. INJ./PERF.
PULB.+SOLV. PT. SOL. INJ./PERF.

PULB. PT. SOL. INJ./PERF. I.M./I.V.

PULB. PT. SOL. INJ./PERF.I.M./I.V.

MEROPENEM HOSPIRA 500 mg

MEROPENEM KABI 500 mg


MEROPENEM KABI 500 mg
MEROPENEM HOSPIRA 500 mg

CILOPEN 500mg/500mg
CILOPEN 500mg/500mg
CILOPEN 500mg/500mg
CILOPEN 500mg/500mg

PULB. PT. SOL. INJ./PERF.


PULB. PT. SOL. INJ./PERF.
PULB. PT. SOL. INJ./PERF.
PULB. PT. SOL. INJ./PERF.

500mg
500mg
500mg
500mg
2g
2g
1g
1g
100mg
200mg
1g
2g
2g
500mg
2g
1g
1000mg/1000mg
1000mg/1000mg
1000mg/1000mg
1000mg/1000mg

1g
2g
1g
500mg
1000mg
1g
1g
1g
1g
500mg
500mg
500mg
500mg
500mg

IMIPENEM/CILASTATIN HOSPIRA 500 mg/500 mg

PULB. PT. SOL. PERF.

500mg/500mg
500mg/500mg
500mg/500mg
500mg/500mg
500mg/500mg
500mg/500mg
500mg/500mg
500mg/500mg

CO - TRIM ELL
SUMETROLIM
TAGREMIN
BITRIM 400mg/80mg
SUMETROLIM
EPITRIM
ROVAMYCINE (R) 1,5 Mil. UI
ROVAMYCINE (R) 3 Mil. UI
ROXAMED (R) 150
FROMILID 250
KLABAX 250 mg
KLERIMED (R) 250
KLACID (R)
CLAR 250
LEKOKLAR (R) 250 mg
ROCLARIN 500 mg
FROMILID 500
CLAR 500

COMPR.
COMPR.
COMPR.
COMPR.
SIROP

400mg/80mg
400mg/80mg
400mg/80mg
400mg/80mg
25mg/5mg/ml

SUSP. ORALA
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

200mg/40mg /5ml

PULB. PT. SOL. INJ.


PULB. PT. SOL. INJ.
PULB. PT. SOL. INJ.
PULB. PT. SOL. INJ.

IMIPENEM/CILASTATIN KABI 500mg/500mg PULB. PT. SOL. PERF.

TIENAM I.V.
TIENAM I.V.

PULB. PT. SOL. PERF.


PULB. PT. SOL. PERF.

1,5 M ui
3M ui
150mg
250mg
250mg
250mg
250mg
250mg
250mg
500mg
500mg
500mg

Tara

Firma

Ambalaj

Prescriptie

ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA

ROMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ./PERF. S/P-RF


ROMANIA CUTIE X 100 FLAC. CU PULB. PT. SOL. INJ./PERF. S/P-RF
ROMANIA CUTIE X 50 FLAC. CU PULB. PT. SOL. INJ./PERF. S/P-RF
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
EIPICO MED SRL
ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. P-RF
ROCHE ROMANIA S.R.L. ROMANIA
S/P-RF
ZENTIVA S.A.
ROMANIA
P-RF
ZENTIVA S.A.
ROMANIA
S/P-RF
ANTIBIOTICE S.A.
ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 CAPS. PRF
ANTIBIOTICE SA
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF
MEDOCHEMIE LTD. CIPRU
CUTIE X 10 FLAC. PULB. PT. SOL. INJ. S/P-RF
MEDOCHEMIE LTD. CIPRU
CUTIE X 10 FLAC. PULB. PT. SOL. INJ. S/P-RF
MEDICAROM GROUP S.R.L. ROMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. S/P-RF
E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. INJ. S/P-RF
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
E.I.P.I.CO. MED S.R.L. ROMANIA
S/P-RF
MEDOCHEMIE S.R.L. ROMANIA CUTIE CU 50 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF. S/P-RF
MEDOCHEMIE S.R.L. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF. S/P-RF
MEDOCHEMIE S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF. S/P-RF
MEDOCHEMIE S.R.L. ROMANIA CUTIE CU 100 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF. S
CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPCITATEA DE 50ML CONTINAND PULB. PT. SOL. PERFUZ.

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 15 ML CONTINAND PULB. PT. SOL. INJ.+ 1 FIOLA DIN STICLA INCOLO

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 15 ML CONTINAND PULB. PT. SOL. INJ./PERF.+ 1 FIOLA DIN STICLA

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 15 ML CU PULB. PT. SOL. INJ. I.M./PERF. I.V.

LAB. AVENTIS
LAB. AVENTIS

FRANTA CUTIE X 1 FLAC. PULB. PT. SOL. INJ./PERF.


FRANTA CUTIE X 1 FLAC. PULB. PT. SOL. INJ./PERF.

ASTRAZENECA UK LIMITED

MAREA BRITANIE

CUTIE CU 10 FLAC. DIN STICLA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ. I.V./PERF.

ASTRAZENECA UK LIMITED

MAREA BRITANIE

CUTIE CU 10 FLAC. DIN STICLA CU CAPACITATEA DE 20 ML PULB. PT. SOL. INJ. I.V./PERF.

TERAPIA S.A.

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 40 ML CONTINAND PULB. PT. SOL. INJ./PERF.

HOSPIRA UK LIMITED

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.


CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF.

S/P-RF

CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF.

S/P-RF

CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 22 ML PULB. PT. SOL. PERF.

S/P-RF

CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 22 ML PULB. PT. SOL. PERF.

S/P-RF

CUTIE X 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF.

S/P-RF

TAVA DIN PLASTIC X 25 FLAC. DIN STICLA INCOLORA CU PULB.PT. SOL. PERF.

S/P-RF

TAVA DIN PLASTIC X 10 FLAC. DIN STICLA INCOLORA CU PULB.PT. SOL. PERF.

S/P-RF

CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.

ROMANIA
ROMANIA

HOSPIRA UK LIMITED

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.

TERAPIA S.A.

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CONTINAND PULB. PT. SOL. INJ./PERF.

HOSPIRA UK LIMITED

MAREA BRITANIE

FRESENIUS KABI ROMANIA SRL

ROMANIA
ROMANIA

HOSPIRA UK LIMITED

MAREA BRITANIE

FRESENIUS KABI ROMANIA SRL

TERAPIA SA
TERAPIA SA
TERAPIA SA
TERAPIA SA

ROMANIA
ROMANIA
ROMANIA
ROMANIA
FRESENIUS KABI ROMANIA SRL ROMANIA
MERCK SHARP & DOHME ROMANIA
MERCK SHARP & DOHME ROMANIA
HOSPIRA UK LIMITED MAREA BRITANIE
BIO EEL SRL
ROMANIA
EGIS PHARMACEUTICALS P.L.C. UNGARIA
ZENTIVA S.A.
ROMANIA
ARENA GROUP S.A. ROMANIA
EGIS PHARMACEUTICALS P.L.C. UNGARIA
E.I.P.I.CO. MED S.R.L. ROMANIA

S/P-RF

S
S
PR
PR
S
S
PR
PR
PR
S
S
PR

FRESENIUS KABI ROMANIA SRL

FRESENIUS KABI ROMANIA SRL

S/P-RF

CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.


CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 5 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. PERF.

PR

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-RF

CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SUSP. ORALA + MASURA DOZATOARE

P-RF

CUTIE X 1 FLACON DIN STICLA BRUNA CU MASURA DOZATOARE X 100 ML

P-RF

P-RF
P-RF
P-RF

LAB. AVENTIS
LAB. AVENTIS

FRANTA CUTIE X 2 BLIST. AL/PVC X 8 COMPR. FILM.


FRANTA CUTIE X 2 BLIST. AL/PVC X 5 COMPR. FILM.

P-RF

DAR AL DAWA PHARMA S.R.L.

ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM.

P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM.

P-RF

TERAPIA SA
ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM.
MEDOCHEMIE LTD. CIPRU
CUTIE X 2 BLIST. AL/PVC-PVDC X 7 COMPR. FILM.
ABBOTT SPA
ITALIA
CUTIE X 1 BLIST. X 14 COMPR. FILM.
MEDICAROM GROUP S.R.L. ROMANIA CUTIE X 5 BLIST. X 4 COMPR. FILM.
LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 2 BLIST. X 7 COMPR. FILM.
ANTIBIOTICE S.A.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM.

P-RF

MEDICAROM GROUP S.R.L.

ROMANIA CUTIE X 5 BLIST. AL/PVC X 4 COMPR. FILM.

Pagina 97 din 205

P-RF

P-RF
P-RF
P-RF
P-RF
P-RF

P-RF

cant/
amba
laj

1
100
50
1
1
1
1
1
10
10
10
10
1
1
1
1
50
10
1
100
1
1
10
10
1
10
10
1
1
1
10
10
1
1
10
5
10
5
10
25
10
5
20
20
20
20
1
1
16
10
10
14
14
14
14
20
14
20
14
20

Pret cu
ridicata
maximal /
ambalaj

8.64
783.59
407.85
7.65
12.79
43.49
5.95
5.95
15.77
26.28
152.68
254.47
19.82
3.83
11.47
6.95
839.32
178.05
18.46
1,648.64
59.22
103.03
1,018.93
533.62
71.99
534.86
672.80
71.99
56.55
37.32
300.03
357.36
37.32
31.10
289.09
144.54
289.09
144.54
293.49
1,056.45
440.58
144.54
5.15
3.02
5.65
5.65
5.99
3.48
7.21
20.38
11.13
12.20
10.73
12.20
20.89
16.80
23.56
32.75
23.85
33.52

Pret cu ridicata
maximal / U.T.

8.640000
7.835900
8.157000
7.650000
12.790000
43.490000
5.950000
5.950000
1.577000
2.628000
15.268000
25.447000
19.820000
3.830000
11.470000
6.950000
16.786400
17.805000
18.460000
16.486400
59.220000
103.030000
101.893000
53.362000
71.990000
53.486000
67.280000
71.990000
56.550000
37.320000
30.003000
35.736000
37.320000
31.100000
28.909000
28.908000
28.909000
28.908000
29.349000
42.258000
44.058000
28.908000
0.257500
0.151000
0.282500
0.282500
5.990000
3.480000
0.450625
2.038000
1.113000
0.871428
0.766428
0.871428
1.492142
0.840000
1.682857
1.637500
1.703571
1.676000

Pret cu ridicata
maximal de
decontare / U.T.

5.292000
5.292000
5.292000
5.292000
12.790000
15.348000
5.950000
5.950000
1.577000
2.628000
8.340000
13.764000
13.764000
3.830000
11.470000
6.950000
16.786400
17.805000
18.460000
16.486400
59.220000
103.030000
64.183200
36.003600
64.183200
53.486000
64.183200
64.183200
56.550000
36.003600
30.003000
35.736000
36.003600
31.100000
28.909000
28.908000
28.909000
28.908000
29.349000
34.689600
34.689600
28.908000
0.181200
0.151000
0.181200
0.181200
5.990000
3.480000
0.450625
2.038000
1.113000
0.871428
0.766428
0.871428
0.919714
0.840000
0.919714
1.637500
1.703571
1.676000

Pret cu
amanuntul
maximal /
ambalaj

11.68
892.26
482.71
10.34
17.29
56.89
8.04
8.04
21.31
34.37
186.39
310.66
26.79
5.18
15.50
9.40
953.01
217.36
24.95
1,835.17
74.88
125.78
1,148.78
619.80
91.03
621.15
771.50
91.03
71.50
48.82
365.18
427.67
48.82
40.68
352.92
176.45
352.92
176.45
358.29
1,189.68
518.38
176.45
6.96
4.08
7.63
7.63
8.10
4.70
9.74
27.55
15.05
16.49
14.50
16.49
28.23
22.71
31.85
42.84
32.23
43.84

Pret cu
amanuntul
maximal / U.T.

11.680000
8.922600
9.654200
10.340000
17.290000
56.890000
8.040000
8.040000
2.131000
3.437000
18.639000
31.066000
26.790000
5.180000
15.500000
9.400000
19.060200
21.736000
24.950000
18.351700
74.880000
125.780000
114.878000
61.980000
91.030000
62.115000
77.150000
91.030000
71.500000
48.820000
36.518000
42.767000
48.820000
40.680000
35.292000
35.290000
35.292000
35.290000
35.829000
47.587200
51.838000
35.290000
0.348000
0.204000
0.381500
0.381500
8.100000
4.700000
0.608750
2.755000
1.505000
1.177857
1.035714
1.177857
2.016428
1.135500
2.275000
2.142000
2.302142
2.192000

Grupa
Nr.
terape
crt
utica
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227

J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01GB03
J01GB03
J01GB03
J01GB03
J01GB06
J01GB06
J01GB06
J01GB07
J01GB07
J01GB07
J01MA01
J01MA01
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02

Denumire generica

CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
GENTAMICINUM
GENTAMICINUM
GENTAMICINUM
GENTAMICINUM
AMIKACINUM
AMIKACINUM
AMIKACINUM
NETILMICINUM
NETILMICINUM
NETILMICINUM
OFLOXACINUM
OFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM

Denumire comerciala

KLABAX 500 mg
KLERIMED (R) 500
LEKOKLAR (R) 500 mg
KLABAX MR 500 mg
LEKOKLAR XL 500 mg
LEKOKLAR XL 500 mg
KLACID SR
FROMILID (R) UNO
KLABAX 125 mg/5 ml
LEKOKLAR 125 mg/5 ml
FROMILID (R) 125 mg/5 ml
KLACID (R)
KLACID (R)
KLABAX 125 mg/5 ml
KLABAX 250 mg/5 ml
KLABAX 250 mg/5 ml
LEKOKLAR 250 mg/5 ml
LEKOKLAR 250 mg/5 ml
KLACID I.V.
SUMAMED 250 mg
AZATRIL 250 mg
SUMAMED 125 mg
AZITROMICINA SANDOZ 250 mg COMPRIMATE FILMATE

AZITROMICINA TERAPIA 250 mg


AZITROMICINA TERAPIA 250 mg

AZITROX (R) 500


AZIBIOT 500 mg
SUMAMED 500 mg
AZITROMICINA SANDOZ 500 mg COMPRIMATE FILMATE

AZITROMICINA TERAPIA 500 mg


AZITROMICINA TERAPIA 500 mg

ZITROCIN 500 mg
ZITROCIN 500 mg
AZITROMICINA TERAPIA 600 mg
AZITROMICINA TERAPIA 600 mg

ZMAX 2 g
SUMAMED (R)
AZITROX 200 mg/5 ml

Forma
Concentrati
farmaceutic
e / U.T.
a
COMPR. FILM. 500mg
COMPR. FILM. 500mg
COMPR. FILM. 500mg
COMPR. FILM. ELIB. MODIF.
COMPR. FILM. ELIB. MODIF.
COMPR. FILM. ELIB. MODIF.
COMPR. FILM. ELIB. PREL.
COMPR. FILM. ELIB. PREL.

GRAN. PT. SUSP. ORALA


GRAN. PT. SUSP. ORALA
GRAN. PT. SUSP. ORALA
GRAN. PT. SUSP. ORALA
GRAN. PT. SUSP. ORALA
GRAN. PT. SUSP. ORALA
GRAN. PT. SUSP. ORALA
GRAN. PT. SUSP. ORALA
GRAN. PT. SUSP. ORALA
GRAN. PT. SUSP. ORALA

LIOF. PT. SOL. PERF.

CAPS.
CAPS.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
GRAN. ELIB. PREL. PT. SUSP. ORALA

LIOF. PT. SOL. PERF.


PULB. + SOLV. SUSP. ORALA

AZITROMICINA SANDOZ 100 mg/5 ml

PULB. PT. SUSP. ORALA

AZITROMICINA SANDOZ 200 mg/5 ml

PULB. PT. SUSP. ORALA

SUMAMED FORTE
SUMAMED FORTE
SUMAMED FORTE
GENTAMICIN KRKA
GENTAMICIN KRKA
GENTAMICIN KRKA
PAN - GENTAMICINE
AMIKOZIT (R) 100 mg/2 ml
BIODACYNA
AMIKOZIT (R) 500 mg/2 ml
NETROMYCINE (R)
NETROMYCINE (R)
NETROMYCINE (R)
ZANOCIN
OFLOXIN 200
CIPROFLOXACINA ARENA 100 mg
CIPROFLOXACINA ARENA 100 mg
CIPROFLOXACINA ALKALOID 250 mg

CIPROFLOXACINA ARENA 250 mg

CIFRAN

PULB. PT. SUSP. ORALA


PULB. PT. SUSP. ORALA
PULB. PT. SUSP. ORALA

SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL.INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

500mg
500mg
500mg
500mg
500mg
125mg/5ml
125mg/5ml
125mg/5ml
125mg/5ml
125mg/5ml
125mg/5ml
250mg/5ml
250mg/5ml
250mg/5ml
250mg/5ml
500mg
250mg
250mg
125mg
250mg
250mg
250mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
600mg
600mg
2g
500mg
200mg/5ml
100mg/5ml
200 mg/5 ml
200mg/5ml
200mg/5ml
200mg/5ml
40mg/ml
80mg/2ml
80mg/2ml
80mg/2ml
100mg/2ml
1g/4ml
500mg/2ml
150mg/1,5ml
200mg/2ml
50mg/2ml
200mg
200mg
100mg
100mg
250mg
250mg
250mg

Tara

Firma

TERAPIA SA
ROMANIA
MEDOCHEMIE LTD. CIPRU

Ambalaj

Prescriptie

CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM.

P-RF

CUTIE X 2 BLIST. AL/PVC-PVDC X 7 COMPR. FILM.

P-RF

LEK PHARMACEUTICALS D.D.

SLOVENIA CUTIE X 2 BLIST. X 7 COMPR. FILM.

P-RF

TERAPIA SA

ROMANIA

CUTIE X 1 BLIST. PVC/PVDC-AL X 7 COMPR. FILM. ELIB. PREL.

P-RF

LEK PHARMACEUTICALS D.D.

CUTIE X 1 FOLIE AL/AL X 7 COMPR. FILM. ELIB. MODIF. P-RF

LEK PHARMACEUTICALS D.D.

SLOVENIA
SLOVENIA

ABBOTT LABORATORIES LTD.

MAREA BRITANIE

CUTIE X 1 BLIST. PVC-PVDC/AL X 5 COMPR. FILM. ELIB. PREL.

P-RF

KRKA D.D.
TERAPIA SA
SANDOZ SRL
KRKA D.D.
ABBOTT SPA
ABBOTT SPA
TERAPIA SA
TERAPIA SA
TERAPIA SA
SANDOZ SRL
SANDOZ SRL

SLOVENIA

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. ELIB. PREL.

P-RF

CUTIE X 1 FLAC. DIN PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA

P-RF

CUTIE X 1 FLAC. PEID CU 41 G GRANULE PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE PP

P-RF

ABBOTT LABORATORIES LTD.

FRANTA CUTIE X 1 FLAC. LIOF. PT. SOL. PERF.

ROMANIA
ROMANIA

CUTIE X 1 FOLIE AL/AL X 5 COMPR. FILM. ELIB. MODIF. P-RF

SLOVENIA CUTIE X 1 FLAC. PULB. PT. 60 ML SUSP.

P-RF

ITALIA
ITALIA

CUTIE X 1 FLACON PEID CU GRANULE PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML

P-RF

CUTIE X 1 FLACON PEID CU GRANULE PT. 100 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML

P-RF

CUTIE X 1 FLAC. DIN PEID X 70 G GRAN. PT. 100 ML SUSP . ORALA

P-RF

CUTIE X 1 FLAC. PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA

P-RF

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE X 1 FLAC. PEID X 70 G GRAN. PT. 100 ML SUSP . ORALA P-RF


CUTIE X 1 FLAC. DIN PEID CU 41 G GRANULE PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE PP

CUTIE X 1 FLAC. DIN PEID CU 68,3 G GRANULE PT. 100 ML SUSP. ORALA + LINGURITA DOZATOARE PP

P-RF
P-RF
S/P-RF

PLIVA LJUBLIJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. PVC-PVDC/AL X 6 CAPS. P-RF


BALKANPHARMA RAZGRAD AD

BULGARIA CUTIE X 1 BLIST. AL/PVC X 6 CAPS.

P-RF

PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. AL/PVC X 6 COMPR. FILM. P-RF

SANDOZ S.R.L.
TERAPIA SA
TERAPIA SA
ZENTIVA K.S.

ROMANIA CUTIE X 1 BLIST. X 6 COMPR. FILM.


ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 6 COMPR. FILM.
ROMANIA CUTIE X 1 BLIST. PVC-ACLAR/AL X 6 COMPR. FILM.

CEHIA

P-RF
P-RF
P-RF

CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM. P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM. P-RF
PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM. P-RF

SANDOZ S.R.L.
TERAPIA SA
TERAPIA SA

ROMANIA CUTIE X 1 BLIST. X 3 COMPR. FILM.


ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 3 COMPR. FILM.
ROMANIA CUTIE X 1 BLIST. PVC-ACLAR/AL X 3 COMPR. FILM.

OZONE LABORATORIES LTD.

MAREA BRITANIE

P-RF
P-RF
P-RF

CUTIE X 1 BLIST. PVC/AL X 3 COMPR. FILM. P-RF

LABORMED PHARMA S.A. ROMANIA CUTIE X 1 BLIST. PVC/AL X 3 COMPR. FILM. P-RF

TERAPIA SA
TERAPIA SA

ROMANIA
ROMANIA

CUTIE X 1 BLIST. PVC-ACLAR/AL X 3 COMPR. FILM.

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 1 FLACON DIN PEID CU GRAN. CU ELIB. PREL.

CUTIE X 1 BLIST. PA-AL-PVC/AL X 3 COMPR. FILM.

PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 5 FLAC. LIOF. PT. SOL. PERF.

ZENTIVA S.A.
SANDOZ SRL
SANDOZ SRL

ROMANIA
ROMANIA
ROMANIA

P-RF
P-RF
P-RF
S/P-RF

CUTIE X 1 FLAC. DIN PE CU PULB. PT. 15 ML SUSP. ORALA RECONSTITUITA + FLAC. CU SOLV. X 7,5 ML SOLV.

P-RF

CUTIE X 1 FLAC. DIN PEID CONTINAD PULBERE PT. 20 ML SUSP. ORALA + SERINGA DOZATOARE DIN PE/PP

P-RF

CCUTIE X 1 FLAC. DIN PEID CONTINAD PULBERE PT. 20 ML SUSP. ORALA + SERINGA DOZATOARE DIN PE/PP

P-RF

PLIVA LJUBLIJANA D.O.O. SLOVENIA

CUTIE X 1 FLAC. DIN PEID CU PULB. PT. 37,5 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE

P-RF

PLIVA LJUBLIJANA D.O.O. SLOVENIA

CUTIE X 1 FLAC. DIN PEID CU PULB. PT. 30 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE

P-RF

PLIVA LJUBLIJANA D.O.O. SLOVENIA

CUTIE X 1 FLAC. DIN PEID CU PULB. PT.15 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE

P-RF

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE X 10 FIOLE DIN STICLA INCOLORA X 1 ML SOL. INJ.

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE X 10 FIOLE DIN STICLA INCOLORA X 2 ML SOL. INJ.

P-RF

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE X 50 FIOLE DIN STICLA INCOLORA X 2 ML SOL. INJ.

P-RF/S

CUTIE X 10 FIOLE DIN STICLA INCOLORA X 2 ML SOL. INJ.

P-RF

P-RF

LAB. PANPHARMA
ZENTIVA S.A.
CN UNIFARM S.A.
ZENTIVA S.A.

FRANTA

SCHERING PLOUGH EUROPE

SCHERING PLOUGH EUROPE

BELGIA
BELGIA
BELGIA

CUTIE X 1 FLACON X 1,5 ML


CUTIE X 1 FLACON X 2 ML
CUTIE X 1 FLACON X 2 ML

RANBAXY UK LIMITED

MAREA BRITANIE

CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF

CEHIA

CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF

SCHERING PLOUGH EUROPE

ZENTIVA AS
ARENA GROUP S.A.
ARENA GROUP S.A.
ALKALOID D.O.O.
ARENA GROUP S.A.
RANBAXY UK LIMITED

ROMANIA CUTIE X 1 FLACON DIN STICLA X 2 ML


ROMANIA CUTIE CU 1 FL.X 1G SOL.INJ.
ROMANIA CUTIE X 1 FLACON DIN STICLA X 2 ML

ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM.


ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.
SLOVENIA

P-RF
P-RF
P-RF
S/P-RF
S/P-RF
S/P-RF

P-RF
P-RF

CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 COMPR. FILM. P-RF

ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

CUTIE X 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM.

P-RF

MAREA BRITANIE

Pagina 98 din 205

cant/
amba
laj

14
14
14
7
7
5
5
7
1
1
1
1
1
1
1
1
1
1
1
6
6
6
6
6
6
3
3
3
3
3
3
3
3
3
3
1
5
1
1
1
1
1
1
10
10
50
10
1
1
1
1
1
1
10
10
20
10
10
10
10

Pret cu
ridicata
maximal /
ambalaj

23.46
23.85
28.67
26.60
18.81
13.44
27.52
20.55
13.85
19.16
17.03
17.90
29.57
23.11
23.17
38.60
33.89
46.49
40.64
28.71
18.65
18.55
36.88
33.59
33.59
18.74
18.76
28.85
36.88
28.08
28.08
18.76
18.76
33.71
33.71
48.00
130.95
11.97
16.42
25.96
45.60
36.70
18.41
5.22
7.01
31.34
4.95
2.60
9.36
5.10
14.00
17.74
5.55
8.30
14.63
51.29
28.20
5.76
4.80
5.08

Pret cu ridicata
maximal / U.T.

1.675714
1.703571
2.047857
3.800000
2.687142
2.688000
5.504000
2.935714
13.850000
19.160000
17.030000
17.900000
29.570000
23.110000
23.170000
38.600000
33.890000
46.490000
40.640000
4.785000
3.108333
3.091666
6.146666
5.598333
5.598333
6.246666
6.253333
9.616666
12.293333
9.360000
9.360000
6.253333
6.253333
11.236666
11.236666
48.000000
26.190000
11.970000
16.420000
25.960000
45.600000
36.700000
18.410000
0.522000
0.701000
0.626800
0.495000
2.600000
9.360000
5.100000
14.000000
17.740000
5.550000
0.830000
1.463000
2.564500
2.820000
0.576000
0.480000
0.508000

Pret cu ridicata
maximal de
decontare / U.T.

1.675714
1.703571
1.965000
1.965000
1.965000
1.965000
1.965000
1.965000
13.850000
16.620000
16.620000
16.620000
27.732000
23.110000
23.170000
38.600000
27.804000
46.320000
40.640000
3.730000
3.108333
3.091666
3.730000
3.730000
3.730000
6.246666
6.253333
7.495999
7.495999
7.495999
7.495999
6.253333
6.253333
11.236666
11.236666
48.000000
26.190000
11.970000
16.420000
25.960000
45.600000
36.700000
13.483999
0.522000
0.594000
0.594000
0.495000
2.600000
9.360000
5.100000
14.000000
17.740000
5.550000
0.830000
0.996000
2.564500
2.820000
0.417600
0.417600
0.417600

Pret cu
amanuntul
maximal /
ambalaj

31.71
32.23
37.50
34.79
25.42
18.17
36.00
27.77
18.72
25.90
23.02
24.19
38.68
31.23
31.31
50.49
44.33
60.81
53.16
37.55
25.21
25.07
48.24
43.94
43.94
25.33
25.35
37.73
48.24
36.73
36.73
25.35
25.35
44.09
44.09
62.78
159.86
16.18
22.19
33.95
59.64
48.01
24.88
7.06
9.48
40.99
6.69
3.51
12.65
6.89
18.92
23.98
7.50
11.22
19.78
64.85
36.88
7.78
6.49
6.86

Pret cu
amanuntul
maximal / U.T.

2.265000
2.302142
2.678571
4.970000
3.631428
3.634000
7.200000
3.967142
18.720000
25.900000
23.020000
24.190000
38.680000
31.230000
31.310000
50.490000
44.330000
60.810000
53.160000
6.258333
4.201666
4.178333
8.040000
7.323333
7.323333
8.443333
8.450000
12.576666
16.080000
12.243333
12.243333
8.450000
8.450000
14.696666
14.696666
62.780000
31.972000
16.180000
22.190000
33.950000
59.640000
48.010000
24.880000
0.706000
0.948000
0.819800
0.669000
3.510000
12.650000
6.890000
18.920000
23.980000
7.500000
1.122000
1.978000
3.242500
3.688000
0.778000
0.649000
0.686000

Grupa
Nr.
terape
crt
utica
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287

J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA03
J01MA06
J01MA06
J01MA06
J01MA06
J01MA06
J01MA06
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA14
J01MA14

J01XA01

Denumire generica

CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
PEFLOXACINUM
NORFLOXACINUM
NORFLOXACINUM
NORFLOXACINUM
NORFLOXACINUM
NORFLOXACINUM
NORFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
MOXIFLOXACINUM
MOXIFLOXACINUM
VANCOMYCINUM

Denumire comerciala

CUMINOL 250 mg
ALVEBAR 250 mg
CIPROFLOXACINA ARENA 250 mg

CIPROCIN 250 mg
CUMINOL 250 mg
CIPROLEN (R) 250 mg
CIPRINOL 250 mg
CIPROFLOXACINA ALKALOID 500 mg

CIPROFLOXACINA ARENA 500 mg

CIPROZONE FORTE 500 mg


CIPRODAR
CIFRAN
CUMINOL 500 mg
ALVEBAR 500 mg
CIPROFLOXACINA ARENA 500 mg

CIPROLEN (R) 500 mg


CIPROCIN 500 mg
CIPRINOL 500 mg
CIPRO QUIN (R)
CIPRINOL 750 mg
CIPROFLOXACINA ARENA 750 mg

CIPROBAY XR 1000 mg
CIPROBAY XR 500 mg
CIPROFLOXACINA 100 mg/10 ml

CIPRINOL (R)
CIPRINOL (R)
CIPRINOL
CIPRINOL
UFEXIL 2 mg/ ml
CIPROBAY (R) 400
CIPROFLOXACINA INFOMED 2 mg/ml
CIPROFLOXACINA INFOMED 2 mg/ml

CIPRINOL (R)
PEFLOXACIN LAROPHARM
NOR QUIN 400 mg
NORFLOXACINA LPH 400 mg

EPINOR
NOLICIN 400 mg
NORFLOX - 400
H - NORFLOXACIN 400 mg
FLERADAY 250 mg
LEVOFLOXACINA ACTAVIS 250 mg

LEVOTOR 250 mg
TAVANIC 250 mg
FLERADAY 500 mg
TAVANIC 500 mg
LEVOTOR 500 mg
LEVOFLOXACINA ACTAVIS 500 mg

LEVOFLOXACIN KABI 5 mg/ml


LEVOFLOXACINA ACTAVIS 5 mg/ml
LEVOFLOXACINA ACTAVIS 5 mg/ml

TAVANIC I.V. 500 mg


EVOLOX 5 mg/ml
EVOLOX 5 mg/ml
LEVOFLOXACIN KABI 5 mg/ml
LEVOFLOXACIN KABI 5 mg/ml
LEVOFLOXACIN KABI 5 mg/ml

AVELOX (R) 400 mg


AVELOX (R) 400 mg/250 ml
VANCOMYCIN TEVA

Forma
Concentrati
farmaceutic
e / U.T.
a
250mg
250mg
250mg
250mg
250mg
250mg
250mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
750mg
750mg
COMPR. FILM. ELIB. PREL.
1000 mg
COMPR. FILM. ELIB. PREL.
500 mg
CONC. PT. SOL. PERF. 100mg/10ml
CONC. PT. SOL. PERF. 100mg/10ml
CONC. PT. SOL. PERF. 100mg/10ml
SOL. PERF. 100mg/50ml
SOL. PERF. 200mg/100ml
SOL. PERF. 2mg/ml
SOL. PERF. 2mg/ml
SOL. PERF. 2mg/ml
SOL. PERF. 2mg/ml
SOL. PERF. 400mg/200ml
COMPR. FILM. 400mg
COMPR. FILM. 400mg
COMPR. FILM. 400mg
COMPR. FILM. 400mg
COMPR. FILM. 400mg
COMPR. FILM. 400mg
COMPR. FILM. 400mg
COMPR. FILM. 250 mg
COMPR. FILM. 250mg
COMPR. FILM. 250mg
COMPR. FILM. 250mg
COMPR. FILM. 500 mg
COMPR. FILM. 500mg
COMPR. FILM. 500mg
COMPR. FILM. 500mg
SOL. PERF. 5mg/ml
SOL. PERF. 5mg/ml
SOL. PERF. 5mg/ml
SOL. PERF. 5mg/ml
SOL. PERF. 5mg/ml
SOL. PERF. 5mg/ml
SOL. PERF. 5mg/ml
SOL. PERF. 5mg/ml
SOL. PERF. 5mg/ml
COMPR. FILM. 400mg
SOL. PERF. 400mg/250ml
LIOF. PT. SOL. PERF. 1g
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

Tara

Firma

ROMANIA
ROMANIA
ARENA GROUP S.A. ROMANIA
E.I.P.I.CO. MED S.R.L. ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
AC HELCOR SRL
ROMANIA

Ambalaj

Prescriptie

GEDEON RICHTER ROMANIA SA

CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF

DR. REDDY'S LABORATORIES

CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF


CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM.

P-RF

CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF


CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF

ALKALOID D.O.O.
SLOVENIA
ARENA GROUP S.A. ROMANIA

CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 COMPR. FILM.

P-RF

CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF


P-RF

DAR AL DAWA PHARMA S.R.L.

CUTIE X 1 BLIST. X 10 COMPR. FILM.


ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM.

RANBAXY UK LIMITED

MAREA BRITANIE

CUTIE X 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM.

P-RF

OZONE LABORATORIES LTD.

MAREA BRITANIE

ROMANIA
DR. REDDY'S LABORATORIES ROMANIA
ARENA GROUP S.A. ROMANIA
AC HELCOR SRL
ROMANIA
E.I.P.I.CO. MED S.R.L. ROMANIA
GEDEON RICHTER ROMANIA SA

P-RF

CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF


CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF

CUTIE X 1 BLIST. X 10 COMPR. FILM.

P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF

ANTIBIOTICE SA

ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF

ARENA GROUP S.A. ROMANIA

CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF

BAYER HEALTHCARE AG GERMANIA

CUTIE X 1 BLIST. DIN PP/AL X 7 COMPR. FILM. ELIB. PREL.

BAYER HEALTHCARE AG GERMANIA

CUTIE X 1 BLIST. DIN PP/AL X 3 COMPR. FILM. ELIB. PREL.

P-RF

CUTIE X 5 FIOLE DIN STICLA INCOLORA PREVAZUTE CU INEL DE RUPERE X 10 ML

S/P-RF

ZENTIVA S.A.
KRKA D.D.
KRKA D.D.

ROMANIA

P-RF

SLOVENIA CUTIE X 5 FIOLE X 10 ML


S/P-RF
SLOVENIA CUTIE X 50 FIOLE X 10 ML
S
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 50 ML SOL. PERF. S/P-RF
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML SOL. PERF. S/P-RF
DEMO SA
GRECIA CUTIE X 10 PUNGI PP X 100 ML SOL. PERF. S
BAYER HEALTHCARE AG GERMANIA

CUTIE X 5 FLACOANE X 200 ML

S/P-RF

INFOMED FLUIDS SRL ROMANIA CUTIE X 10 PUNGI PVC PLASTIFIAT X 100ML S


INFOMED FLUIDS SRL ROMANIA CUTIE X 10 PUNGI PVC PLASTIFIAT X 200ML S
KRKA D.D.
SLOVENIA CUTIE X 1 FLACON DIN STICLA X 200 ML S/P-RF
LAROPHARM S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
ANTIBIOTICE S.A.
ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM. P-RF/S
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 2 BLIST. X 7 COMPR. FILM. P-RF
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF

CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 1 BLIST. X 10 COMPR. FILM.


AC HELCOR SRL
ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.
DR. REDDY'S LABORATORIES

ROMANIA

ACTAVIS GROUP PTC EHF.

ISLANDA CUTIE X 1 BLIST. AL/PVC X 7 COMPR. FILM.

CUTIE CU BLIST. PVC/PVDC - AL X 7 COMPR. FILM.

P-RF
P-RF

PRF
P-RF

TORRENT PHARMA GMBH GERMANIA CUTIE CU BLIST. PVC/AL X 7 COMPR. FILM. P-RF

TERAPIA S.A.
DR. REDDY'S LABORATORIES

TERAPIA S.A.

ROMANIA CUTIE X1 BLIST. PVC/AL. X 7 COMPR. FILM. P-RF


ROMANIA CUTIE CU BLIST. PVC/PVDC - AL X 7 COMPR. FILM. PRF
ROMANIA CUTIE X 1 BLIST. PVC/AL X 7COMPR. FILM. P-RF

TORRENT PHARMA GMBH GERMANIA CUTIE CU BLIST. PVC/AL X 7 COMPR. FILM. P-RF
ACTAVIS GROUP PTC EHF.

ISLANDA CUTIE X 1 BLIST. AL/PVC X 7 COMPR. FILM.

P-RF

FRESENIUS KABI ROMANIA SRL

ROMANIA

ACTAVIS GROUP PTC EHF.

ISLANDA
ISLANDA

CUTIE CU 1 FLAC. DIN STICLA X 50 ML SOL. PERF.

S
S
S

CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML SOL. PERF.

P-RF/S

ACTAVIS GROUP PTC EHF.

TERAPIA S.A.
TEVA PHARMACEUTICALS S.R.L.
TEVA PHARMACEUTICALS S.R.L.

FRESENIUS KABI ROMANIA SRL


FRESENIUS KABI ROMANIA SRL
FRESENIUS KABI ROMANIA SRL

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE X 1 FLAC. PEJD KABIPAC X 100 ML CONTINAD 50 ML SOL. PERF. (250MG LEVOFLOXACINA)

CUTIE CU 1 FLAC. DIN STICLA X 100 ML SOL. PERF.

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF.


CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL. PERF.
CUTIE X 25 FLAC. PEJD KABIPAC X 100 ML CONTINAD 100 ML SOL. PERF. (500MG LEVOFLOXACINA)

CUTIE X 1 FLAC. PEJD KABIPAC X 100 ML CONTINAD 100 ML SOL. PERF. (500MG LEVOFLOXACINA)

CUTIE X 25 FLAC. PEJD KABIPAC X 100 ML CONTINAD 50 ML SOL. PERF. (250MG LEVOFLOXACINA)

S
S
S
S
S

BAYER HEALTHCARE AG GERMANIA CUTIE X 1 BLIST. ALB OPAC PP/AL X 5 COMPR. FILM. P-RF
BAYER HEALTHCARE AG GERMANIA CUTIE X 5 FLACOANE DIN STICLA X 250 ML
TEVA PHARM. WORKS PRIVATE LTD. COMPANY

UNGARIA

CUTIE X 1 FLAC. DIN STICLA CU LIOF. PT. SOL. PERF.

Pagina 99 din 205

S
S/P-RF

cant/
amba
laj

20
10
20
10
10
10
10
10
20
10
10
10
10
10
10
10
10
10
10
10
10
7
3
5
5
50
1
1
10
5
10
10
1
10
20
20
14
20
10
20
7
7
7
7
7
7
7
7
1
1
1
1
1
1
25
1
25
5
5
1

Pret cu
ridicata
maximal /
ambalaj

9.00
3.48
9.00
4.99
4.99
4.99
4.99
11.05
12.00
6.19
9.67
6.41
9.67
4.74
6.75
9.67
9.67
9.67
9.67
29.09
28.20
66.21
20.20
12.27
12.27
110.55
3.50
7.01
131.62
603.82
68.37
127.36
14.12
20.37
12.87
11.50
5.63
12.87
4.53
12.87
20.52
23.04
22.80
19.58
25.57
39.35
25.44
25.58
37.35
73.23
37.26
110.87
73.37
37.35
1,667.69
73.37
848.85
65.19
612.82
48.00

Pret cu ridicata
maximal / U.T.

0.450000
0.348000
0.450000
0.499000
0.499000
0.499000
0.499000
1.105000
0.600000
0.619000
0.967000
0.641000
0.967000
0.474000
0.675000
0.967000
0.967000
0.967000
0.967000
2.909000
2.820000
9.458571
6.733333
2.454000
2.454000
2.211000
3.500000
7.010000
13.162000
120.764000
6.837000
12.736000
14.120000
2.037000
0.643500
0.575000
0.402142
0.643500
0.453000
0.643500
2.931428
3.291428
3.257142
2.797142
3.652857
5.621428
3.634285
3.654285
37.350000
73.230000
37.260000
110.870000
73.370000
37.350000
66.707600
73.370000
33.954000
13.038000
122.564000
48.000000

Pret cu ridicata
maximal de
decontare / U.T.

0.417600
0.348000
0.417600
0.417600
0.417600
0.417600
0.417600
0.568800
0.568800
0.568800
0.568800
0.568800
0.568800
0.474000
0.568800
0.568800
0.568800
0.568800
0.568800
2.909000
2.820000
9.458571
0.568800
2.454000
2.454000
2.211000
2.653200
7.010000
8.204400
15.283200
6.837000
12.736000
14.120000
2.037000
0.482570
0.482570
0.402142
0.482570
0.453000
0.482570
2.931428
3.291428
3.257142
2.797142
3.652857
4.361142
3.634285
3.654285
37.350000
73.230000
37.260000
80.049120
73.370000
37.350000
66.707600
73.370000
33.954000
13.038000
122.564000
48.000000

Pret cu
amanuntul
maximal /
ambalaj

12.16
4.70
12.16
6.75
6.75
6.75
6.75
14.93
16.22
8.37
13.07
8.67
13.07
6.41
9.12
13.07
13.07
13.07
13.07
38.05
36.88
83.71
27.30
16.59
16.59
134.96
4.73
9.48
160.68
696.32
86.45
155.48
19.08
27.53
17.40
15.55
7.61
17.40
6.12
17.40
27.73
31.14
30.82
26.47
33.45
51.47
33.27
33.46
48.85
92.59
48.74
135.35
92.77
48.85
1,855.93
92.77
963.40
82.43
706.12
62.78

Pret cu
amanuntul
maximal / U.T.

0.608000
0.470000
0.608000
0.675000
0.675000
0.675000
0.675000
1.493000
0.811000
0.837000
1.307000
0.867000
1.307000
0.641000
0.912000
1.307000
1.307000
1.307000
1.307000
3.805000
3.688000
11.958571
9.100000
3.318000
3.318000
2.699200
4.730000
9.480000
16.068000
139.264000
8.645000
15.548000
19.080000
2.753000
0.870000
0.777500
0.543571
0.870000
0.612000
0.870000
3.961428
4.448571
4.402857
3.781428
4.778571
7.352857
4.752857
4.780000
48.850000
92.590000
48.740000
135.350000
92.770000
48.850000
74.237200
92.770000
38.536000
16.486000
141.224000
62.780000

Grupa
Nr.
terape
crt
utica
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347

J01XA01
J01XA01
J01XA01
J01XA01
J01XA01
J01XA02
J01XB01
J01XB01
J01XB01
J01XB01
J01XD01
J01XD01
J01XD01
J01XD01
J01XD01
J01XD01
J01XD01
J01XD01
J01XD01
J01XD01

J01XX08
J01XX08
J01XX08
J02AB02
J02AB02
J02AB02
J02AB02
J02AB02
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01

Denumire generica

VANCOMYCINUM
VANCOMYCINUM
VANCOMYCINUM
VANCOMYCINUM
VANCOMYCINUM
TEICOPLANINUM
COLISTINUM
COLISTINUM
COLISTINUM
COLISTINUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM
KETOCONAZOLUM
KETOCONAZOLUM
KETOCONAZOLUM
KETOCONAZOLUM
KETOCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM

Denumire comerciala

VANCOMYCIN TEVA

Forma
Concentrati
farmaceutic
e / U.T.
a
LIOF. PT. SOL. PERF.

VANCOMICINA PHARMASWISS 1000 mg PULB. PT. SOL. PERF.

VANCOMICINA PHARMASWISS 500 mg PULB. PT. SOL. PERF.

VANCOMICINA ACTAVIS 1000mg

EDICIN
TARGOCID (R) 400 mg

PULB. PT.CONC. PT.SOL. PERF.

PULB.LIOF.PT.SOL.PERF./INJ

LIOF. + SOLV. PT. SOL. INJ.

COLISTINA ANTIBIOTICE 1000000 UI

PULB. PT. SOL. INJ./PERF.

COLISTINA ANTIBIOTICE 1000000 UI

PULB. PT. SOL. INJ./PERF.

COLISTINA ANTIBIOTICE 1000000 UI

PULB. PT. SOL. INJ./PERF.

COLISTINA ANTIBIOTICE 1000000 UI

PULB. PT. SOL. INJ./PERF.

METRONIDAZOL ARENA 250 mg (J01XD01)

COMPR.

FLAGYL ( vezi J01XD01)


METRONIDAZOL B 5 g/l
METRONIDAZOL B 5 g/l
METRONIDAZOL A 5 g/l
METRONIDAZOL A 5 g/l

COMPR. FILM.

SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
METRONIDAZOL BRAUN 5mg/ml SOL. PERF.
METRONIDAZOL BRAUN 5mg/ml SOL. PERF.
METRONIDAZOL BRAUN 5mg/ml SOL. PERF.
FLAGYL 4 % (J01XD01)
SUSP. ORALA
ZYVOXID (R)
COMPR. FILM.
ZYVOXID (R)
GRAN. PT. SUSP. ORALA
ZYVOXID (R)
SOL. PERF.
KETOCONAZOL ARENA 200 mg COMPR.
KETOCONAZOL 200 mg
COMPR.
KETOCONAZOL 200 mg
COMPR.
NIZORAL 200 mg
COMPR.
KETOSTIN 200 mg
COMPR.
FLUCORIC 100 mg
CAPS.
FLUCOVIM 100
CAPS.
DIFLAZON 100 mg
CAPS.
FUNGOLON 100 mg
CAPS.
FLUCONAZOLE TEVA 100 mg CAPS.
FLUCONAZOLE TEVA 100 mg CAPS.
FLUCONAZOL ROMPHARM 150 mg CAPS.
FLUCONAZOL LPH 150 mg CAPS.
FLUCONAZOL ARENA 150 MG CAPS.
FLUCONAZOL MEDOCHEMIE 150 mg CAPS.
FLUCONAZOL BIOGALENICA 150 mg CAPS.
FLUCONAZOL OZONE 150 mg CAPS.
MYCOSYST 150 mg
CAPS.
MYCOSYST 150 mg
CAPS.
FLUCORIC 150 mg
CAPS.
DIFLUCAN 150 mg
CAPS.
FLUCOVIM 150
CAPS.
DIFLAZON 150 mg
CAPS.
FLUCONAZOL ACTAVIS 150 mg CAPS.
FLUCONAZOL SANDOZ (R) 150 CAPS.
FLUCONAZOL 150 mg
CAPS.
FLUCONAZOL MEDICO UNO 150 mg CAPS.
MYCOMAX 150
CAPS.
FLUCONAZOLE TEVA 150 mg CAPS.
FLUCONAZOL 150 mg
CAPS.
FLUCONAZOLE TEVA 200 mg CAPS.
FLUCONAZOL LPH 50 mg
CAPS.
FLUCOVIM 50
CAPS.
FLUCONAZOL ARENA 50 MG CAPS.
FLUCONAZOL OZONE 50 mg CAPS.
FLUCONAZOL SANDOZ (R) 50 CAPS.
FLUCORIC 50 mg
CAPS.

500mg
1000mg
500mg
1000mg
1g
400mg
1000000ui
1000000ui
1000000ui
1000000ui
250mg
250mg
5g/l
5g/l
5g/l
5g/l
5mg/ml
5mg/ml
5mg/ml
4%
600mg
100mg/5ml
2mg/ml
200mg
200mg
200mg
200mg
200mg
100mg
100mg
100mg
100mg
100mg
100mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
200mg
50mg
50mg
50mg
50mg
50mg
50mg

Tara

Firma

Ambalaj

Prescriptie

S/P-RF

TEVA PHARM. WORKS PRIVATE LTD. COMPANY

UNGARIA

CUTIE X 1 FLAC. DIN STICLA CU LIOF. PT. SOL. PERF.

PHARMASWISS CESKA REPUBLIKA S.R.O.

REPUBLICA CEHA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF.

PHARMASWISS CESKA REPUBLIKA S.R.O.

REPUBLICA CEHA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF.

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CONTINAND 1000 MG VANCOMICINA

P-PR

LEK PHARMACEUTICALS D.D.

SLOVENIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. LIOF. PT. SOL. PERF./INJ.

S/P-RF

AVENTIS PHARMA LTD.

MAREA BRITANIE

CUTIE X 1 FLAC. LIOF. + O FIOLA SOLV.


ROMANIA CUTIE X 150 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.
ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.
ROMANIA CUTIE X 50 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.
ROMANIA CUTIE X 100 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P-RF

ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA
ARENA GROUP SA
LABORATOIRE AVENTIS

FRANTA

CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

INFOMED FLUIDS SRL


INFOMED FLUIDS SRL
INFOMED FLUIDS SRL
INFOMED FLUIDS SRL

ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE X 1 FLACON X 200 ML


CUTIE X 12 FLACOANE X 200 ML
CUTIE X 1 FLACON X 200 ML
CUTIE X 12 FLACOANE X 200 ML

B. BRAUN MELSUNGEN AG GERMANIA

PR
PR

S
S
S
S
P-RF
P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF

CUTIE X 10 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. S/P-RF

B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FLAC. DIN PEJD X 100 ML SOL. PERF.

S/P-RF

B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. DIN PEJD X 100 ML SOL. PERF.

S/P-RF

LABORATOIRE AVENTIS

FRANTA

CUTIE X 1 FLACON X 120 ML SUSP. ORALA + LINGURITA DOZATOARE X 5 ML

P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 1 FLAC. X 10 COMPR. FILM.

P-RF

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

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 10 PUNGI X 300 ML

CUTIE X 1 BLIST. AL/PVC X 10 COMPR.


CUTIE X 1 BLIST. AL/PVC X 10 COMPR.

P-RF

CUTIE X 1 BLIST. X 10 COMPR.


CUTIE X 1 BLIST. X 10 COMPR.

P-RF

CUTIE X 1 BLIST. AL/PVC X 10 COMPR.

P-RF

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

P-RF

CUTIE X 1 BLIST. X 4 CAPS.


SLOVENIA CUTIE X 4 BLIST. X 7 CAPS.
BULGARIA CUTIE X 2 BLIST. PVC/AL X 8 CAPS.

P-RF

ARENA GROUP SA
SLAVIA PHARM SRL
MAGISTRA C & C
TERAPIA SA
AC HELCOR SRL
TERAPIA SA

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
VIM SPECTRUM SRL ROMANIA

KRKA D.D.
BALKANPHARMA RAZGRAD AD

ROMANIA
TEVA PHARMACEUTICALS S.R.L. ROMANIA
ROMPHARM COMPANY S.R.L. ROMANIA
LABORMED PHARMA S.A. ROMANIA
ARENA GROUP SA ROMANIA
MEDOCHEMIE ROMANIA SRL ROMANIA
LABORATOARELE PROF.DR.MORAIT S.R.L.
ROMANIA
OZONE LABORATORIES PHARMA S.A.
ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
TERAPIA SA
ROMANIA
TEVA PHARMACEUTICALS S.R.L.

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.


CUTIE X 1 BLIST. PVC-PVDC/AL X 2 CAPS.

CUTIE CU 1 BLIST. PVC/AL X 1 CAPS.


CUTIE CU 1 BLIST. PVC/AL X 1 CAPS.
CUTIE X 1 BLIST. AL/PVC X 1 CAPS.
CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P-RF

P-RF

P-RF
P-RF
P-RF
P-RF

PRF
PRF
P-RF
P-RF

CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.


CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.

P-RF

CUTIE X 4 BLIST. AL/PVC X 1 CAPS.


CUTIE X 2 BLIST. AL/PVC X 1 CAPS.

P-RF

CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS.

P-RF

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.


VIM SPECTRUM SRL ROMANIA CUTIE X 1 FLAC. X 1 CAPS.
KRKA D.D.
SLOVENIA CUTIE X 1 BLIST. X 1 CAPS.
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 BLIST. PVC-PVDC/AL X 1 CAPS.
SANDOZ SRL
GERMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P-RF

ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.


ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA

P-RF

MEDICO UNO PHARMACEUTICAL SRL

ZENTIVA K.S.

CEHIA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P-RF

CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.

P-RF

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P-RF

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

P-RF

PFIZER EUROPE MA EEIG

OZONE LABORATORIES PHARMA S.A.

MAREA BRITANIE

ROMANIA
SLAVIA PHARM SRL ROMANIA
TEVA PHARMACEUTICALS S.R.L. ROMANIA
LABORMED PHARMA S.A. ROMANIA
VIM SPECTRUM SRL ROMANIA
ARENA GROUP SA ROMANIA
OZONE LABORATORIES PHARMA S.A.
ROMANIA
SANDOZ SRL
ROMANIA
TERAPIA SA
ROMANIA
TEVA PHARMACEUTICALS S.R.L.

P-RF

P-RF

P-RF
P-RF

PRF
P-RF

P-RF

CUTIE CU 1 BLIST. PVC/AL X 7 CAPS.

PRF

CUTIE X 1 BLIST. X 7 CAPS.


CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P-RF

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

P-RF

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P-RF

CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS.

P-RF

Pagina 100 din 205

P-RF

cant/
amba
laj

1
10
10
1
1
1
150
10
50
100
30
20
1
12
1
12
10
20
10
1
10
1
10
10
10
10
10
10
7
4
28
16
7
2
1
1
1
1
1
1
4
2
1
1
1
1
1
1
1
1
1
1
1
7
7
7
7
7
7
7

Pret cu
ridicata
maximal /
ambalaj

23.99
451.00
231.55
47.88
56.22
116.78
2,366.78
171.44
808.93
1,587.87
5.65
6.15
6.51
76.83
6.66
78.35
36.96
225.43
36.55
5.82
1,584.80
869.39
1,584.80
6.70
5.03
5.87
14.97
9.23
32.76
18.72
191.37
64.60
23.04
6.90
9.46
7.27
6.60
5.99
4.82
7.27
47.68
23.84
13.79
18.34
7.27
16.46
7.35
10.66
7.27
6.60
9.15
4.82
7.08
29.74
16.50
16.50
13.98
16.50
31.68
21.65

Pret cu ridicata
maximal / U.T.

23.990000
45.100000
23.155000
47.880000
56.220000
116.780000
15.778533
17.144000
16.178600
15.878700
0.188333
0.307500
6.510000
6.402500
6.660000
6.529166
3.696000
11.271500
3.655000
5.820000
158.480000
869.390000
158.480000
0.670000
0.503000
0.587000
1.497000
0.923000
4.680000
4.680000
6.834642
4.037500
3.291428
3.450000
9.460000
7.270000
6.600000
5.990000
4.820000
7.270000
11.920000
11.920000
13.790000
18.340000
7.270000
16.460000
7.350000
10.660000
7.270000
6.600000
9.150000
4.820000
7.080000
4.248571
2.357142
2.357142
1.997142
2.357142
4.525714
3.092857

Pret cu ridicata
maximal de
decontare / U.T.

23.990000
45.100000
23.155000
47.880000
54.120000
116.780000
15.778533
17.144000
16.178600
15.878700
0.188333
0.226000
6.510000
6.402500
6.660000
6.529166
3.696000
4.386000
3.655000
5.820000
158.480000
869.390000
158.480000
0.603600
0.503000
0.587000
0.603600
0.603600
3.949714
3.949714
3.949714
3.949714
3.291428
3.450000
5.784000
5.784000
5.784000
5.784000
4.820000
5.784000
5.784000
5.784000
5.784000
5.784000
5.784000
5.784000
5.784000
5.784000
5.784000
5.784000
5.784000
4.820000
5.784000
4.248571
1.976570
1.976570
1.976570
1.976570
1.976570
1.976570

Pret cu
amanuntul
maximal /
ambalaj

32.43
529.74
282.68
62.63
71.09
142.56
2,617.94
209.30
919.89
1,768.93
7.63
8.31
8.80
97.15
9.00
99.07
48.34
275.21
47.81
7.86
1,765.58
985.79
1,765.58
9.06
6.80
7.94
20.23
12.47
42.85
25.30
233.63
81.68
31.14
9.32
12.79
9.82
8.92
8.10
6.52
9.82
62.36
32.22
18.64
24.79
9.82
22.25
9.94
14.41
9.82
8.92
12.37
6.52
9.57
38.90
22.30
22.30
18.89
22.30
41.44
29.26

Pret cu
amanuntul
maximal / U.T.

32.430000
52.974000
28.268000
62.630000
71.090000
142.560000
17.452933
20.930000
18.397800
17.689300
0.254333
0.415500
8.800000
8.095833
9.000000
8.255833
4.834000
13.760500
4.781000
7.860000
176.558000
985.790000
176.558000
0.906000
0.680000
0.794000
2.023000
1.247000
6.121428
6.325000
8.343928
5.105000
4.448571
4.660000
12.790000
9.820000
8.920000
8.100000
6.520000
9.820000
15.590000
16.110000
18.640000
24.790000
9.820000
22.250000
9.940000
14.410000
9.820000
8.920000
12.370000
6.520000
9.570000
5.557142
3.185714
3.185714
2.698571
3.185714
5.920000
4.180000

Grupa
Nr.
terape
crt
utica
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
378
379
380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
398
399
400
401
402
403
404
405
406
407

J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC02
J02AC02
J02AC02
J02AC02
J02AC02
J02AC02
J02AC02
J02AC03
J02AC03
J02AC03
J02AC03
J02AC04

J02AX04
J02AX04
J02AX06
J04AC01
J04AC01

J04AK01
J04AK01
J04AK02
J04AK02

Denumire generica

FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
POSACONAZOLUM**
CASPOFUNGINUM**
CASPOFUNGINUM**
ANIDULAFUNGINUM
ISONIAZIDUM
ISONIAZIDUM
PYRAZINAMIDUM
PYRAZINAMIDUM
ETHAMBUTOLUM
ETHAMBUTOLUM

J04AM02 COMBINATII (RIFAMPICINUM+IZONIAZIDUM)

J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01

ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM

Denumire comerciala

Forma
Concentrati
farmaceutic
e / U.T.
a

DIFLUCAN 50 mg
DIFLAZON 50 mg
FLUCONAZOL 50 mg
FUNGOLON 50 mg

CAPS.
CAPS.
CAPS.
CAPS.
FLUCONAZOL BIOGALENICA 50 mg CAPS.
FLUCONAZOL MEDOCHEMIE 50 mg CAPS.
FLUCONAZOLE TEVA 50 mg CAPS.
FLUCONAZOL 50 mg
CAPS.
DIFLUCAN (R) 50 mg/5 ml
PULB. PT. SUSP. ORALA
FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
FLUCONAZOL BIOGALENICA 2mg/ml SOL. PERF.
FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF.
FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF.
FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF.
FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
DIFLUCAN (R)
SOL. PERF.
DIFLUCAN (R)
SOL. PERF.
MYCOMAX INF 2mg/ml
SOL. PERF.
MYCOMAX INF 2mg/ml
SOL. PERF.
MYCOMAX INF 2mg/ml
SOL. PERF.
DIFLAZON 2mg/ml
SOL. PERF.
SPORILIN 100 mg
CAPS.
OMICRAL 100 mg
CAPS.
ITRACONAZOL 100 mg
CAPS.
MICOGAL 100 mg
CAPS.
ITRACONAZOL LPH 100 mg CAPS.
ITRACONAZOL 100 mg
CAPS.
ORUNGAL
CAPS.
VFEND 200mg
COMPR. FILM.
VFEND 50mg
COMPR. FILM.
VFEND 200mg
PULB. PT. SOL. PERF.
VFEND 40 mg/ml
PULB. PT. SUSP. ORALA
NOXAFIL SP 40mg/ml
SUSP. ORALA
CANCIDAS 50 mg
CANCIDAS 70 mg
ECALTA 100mg
ISONIAZIDA 100 mg
COMPR.
IZONIAZIDA ANTIBIOTICE 300 mg COMPR.
PIRAZINAMIDA ANTIBIOTICE 500 mg COMPR.
PIRAZINAMIDA ANTIBIOTICE 500 mg COMPR.
ETAMBUTOL 250 mg
COMPR. FILM.
ETAMBUTOL 400 mg
COMPR. FILM.
SINERDOL ISO
CAPS.
ACICLOVIR ARENA 200 mg CAPS.
ACICLOVIR 200 mg
CAPS.
ACICLOVIR ARENA 200 mg CAPS.
ACICLOVIR ARENA 400 mg CAPS.
CLOVIRAL 200 mg
COMPR.
ACICLOVIR TERAPIA 200 mg COMPR.
ACICLOVIR 200 mg
COMPR.
PULB. PT. CONC. PT. SOL. PERF.
PULB. PT. CONC. PT. SOL. PERF.
PULB. PT. CONC. PT. SOL. PERF.

50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg/5ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
100mg
100mg
100mg
100mg
100mg
100mg
100mg
200mg
50mg
200mg
40mg/ml
40mg/ml
50mg
70mg
100mg
100mg
300mg
500mg
500mg
250mg
400mg

Tara

Firma

Ambalaj

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

Prescriptie

PFIZER EUROPE MA EEIG

MAREA BRITANIE

KRKA D.D.
ANTIBIOTICE S.A.

SLOVENIA CUTIE X 1 BLIST. X 7 CAPS.

P-RF

ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS.

P-RF

BALKANPHARMA RAZGRAD AD

BULGARIA CUTIE X 1 BLIST. PVC/AL X 8 CAPS.


ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

P-RF

ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS.


TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.
SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P-RF

PFIZER EUROPE MA EEIG

P-RF

LABORATOARELE PROF.DR.MORAIT S.R.L.

MEDOCHEMIE ROMANIA SRL

MAREA BRITANIE

CUTIE X 1 FLAC. PEID PULB. PT. 35 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 5 ML

B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. PEJD X 50 ML SOL. PERF.

ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF.


FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF.
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 25 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF.
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF.
ARENA GROUP S.A. ROMANIA CUTIE X 1 FLAC. X 100 ML SOL. PERF.
FRESENIUS KABI ROMANIA SRL

B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. PEJD X 200 ML SOL. PERF.


B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FLAC. PEJD X 100 ML SOL. PERF.
B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. PEJD X 100 ML SOL. PERF.
B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FLAC. PEJD X 50 ML SOL. PERF.

FRESENIUS KABI ROMANIA SRL

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

PFIZER EUROPE MA EEIG

MAREA BRITANIE

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 1 FLACON X 50 ML
CUTIE X 1 FLACON X 200 ML

REPUBLICA CEHA

CUTIE CU 1 FLACON DIN STICLA INCOLORA A 100 ML SOL. PERF. X 200 MG FLUCONAZOL

REPUBLICA CEHA

CUTIE CU 1 FLACON DIN STICLA INCOLORA A 200 ML SOL. PERF. X 400 MG FLUCONAZOL

REPUBLICA CEHA

CUTIE CU 1 FLACON DIN STICLA INCOLORA A 50 ML SOL. PERF. X 100 MG FLUCONAZOL

FRESENIUS KABI ROMANIA SRL


FRESENIUS KABI ROMANIA SRL
FRESENIUS KABI ROMANIA SRL
FRESENIUS KABI ROMANIA SRL
FRESENIUS KABI ROMANIA SRL

ZENTIVA K.S.
ZENTIVA K.S.
ZENTIVA K.S.

CUTIE CU 20 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.


CUTIE CU 10 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.

CUTIE CU 1 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.


CUTIE CU 10 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF.

CUTIE CU 1 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF.


CUTIE CU 25 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML

PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
SP EUROPE

P-RF

P-RF
P-RF

S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S/P-RF
S/P-RF

S
S
S
S/PR-F

CUTIE X 3 BLIST. AL/AL X 5 CAPS.


CUTIE X 3 BLIST. AL/AL X 5 CAPS.
CUTIE X 3 BLIST. AL/PVC X 5 CAPS.
CUTIE X 3 BLIST. PVC/AL X 5 CAPS.
CUTIE X 3 BLIST. PVC/AL X 5 CAPS.
CUTIE X 3 BLIST. AL/PVC X 5 CAPS.

P-RF

BELGIA

CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 5 CAPS.

P-RF

MAREA BRITANIE

P-RF

MAREA BRITANIE

CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL)


CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL)

MAREA BRITANIE

CUTIE X 1 FLAC. UNIDOZA X 30ML

P-RF

ROMANIA
MEDICO UNO PHARMACEUTICAL SRL
ROMANIA
ARENA GROUP S.A. ROMANIA
ROMPHARM COMPANY SRL ROMANIA
LABORMED PHARMA S.A. ROMANIA
SLAVIA PHARM SRL ROMANIA
GEDEON RICHTER ROMANIA SA

JANSSEN PHARMACEUTICA N.V.

P-RF

P-RF
P-RF
P-RF
P-RF
P-RF

P-RF

cant/
amba
laj

7
7
10
8
7
7
7
7
1
10
10
1
25
20
1
10
20
10
20
20
10
1
10
1
25
1
1
1
1
1
1
15
15
15
15
15
15
15
28
28
1
1
1
1
1
1

MAREA BRITANIE

CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA

P-RF

BELGIA

CUTIE X 1 FLAC. X 105ML SUSP. ORALA

P-RF/R

MERCK SHARP & DOHME

MAREA BRITANIE

CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF.

MERCK SHARP & DOHME

MAREA BRITANIE

CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF.

MAREA BRITANIE

CUTIE X 1FLAC.DIN STICLA A 30ML X 100MG PULB.

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
UNGARIA

CUTIE X 150 BLIST. X 10 COMPR.


1,500
CUTIE X 150 BLIST. PVC/AL X 10 COMPR. S/P-RF 1,500
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. S/P-RF
20
CUTIE X 150 BLIST. AL/PVC X 10 COMPR. S
1,500
CUTIE X 150 BLIST. AL/PVC X 10 COMPR. FILM. S
1,500
CUTIE X 150 BLIST. AL/PVC X 10 COMPR. FILM. S
1,500
CUTIE X 100 BLIST. AL/PVC X 10 CAPS. S
1,000

PFIZER LIMITED
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE S.A.
ANTIBIOTICE S.A.
ANTIBIOTICE SA
ANTIBIOTICE SA
300mg+150mg ANTIBIOTICE SA
200mg
ARENA GROUP SA
200mg
SLAVIA PHARM SRL
200mg
ARENA GROUP SA
400mg
ARENA GROUP S.A.
200mg
ANTIBIOTICE SA
200mg
TERAPIA SA
200mg
EGIS PHARMACEUTICALS P.L.C.

S
S
S
S

P-RF

20
20

CUTIE X 100 BLIST. AL/PVC X 10 CAPS.

P-RF/S

1,000

CUTIE X 1 BLIST. AL/PVC X 10 CAPS.

P-RF

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-RF

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.


CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P-RF

P-RF

CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF

Pagina 101 din 205

10
20
20
20

Pret cu
ridicata
maximal /
ambalaj

42.71
46.63
18.66
13.92
11.53
11.81
12.20
14.32
42.71
180.75
753.13
80.99
772.93
624.35
40.15
761.97
787.39
449.60
358.65
356.89
179.79
18.63
326.90
33.88
438.62
30.62
131.62
42.16
135.83
30.18
34.63
39.72
39.72
39.72
39.71
39.72
39.72
60.12
3,517.81
901.74
453.05
2,178.01
2,669.12
1,188.63
1,542.18
1,441.92
106.85
267.19
6.67
429.83
249.93
390.86
433.64
15.66
14.80
696.23
14.23
12.02
12.54
10.09

Pret cu ridicata
maximal / U.T.

6.101428
6.661428
1.866000
1.740000
1.647142
1.687142
1.742857
2.045714
42.710000
18.075000
75.313000
80.990000
30.917200
31.217500
40.150000
76.197000
39.369500
44.960000
17.932500
17.844500
17.979000
18.630000
32.690000
33.880000
17.544800
30.620000
131.620000
42.160000
135.830000
30.180000
34.630000
2.648000
2.648000
2.648000
2.647333
2.648000
2.648000
4.008000
125.636071
32.205000
453.050000
2,178.010000
2,669.120000
1,188.630000
1,542.180000
1,441.920000
0.071233
0.178126
0.333500
0.286553
0.166620
0.260573
0.433640
0.783000
0.740000
0.696230
1.423000
0.601000
0.627000
0.504500

Pret cu ridicata
maximal de
decontare / U.T.

1.976570
1.976570
1.866000
1.740000
1.647142
1.687142
1.742857
1.976570
42.710000
18.075000
75.313000
80.990000
30.917200
31.217500
37.100640
76.197000
37.100640
37.100640
17.932500
17.844500
17.979000
18.630000
32.690000
33.880000
17.544800
21.053760
90.375600
37.100640
90.375600
21.053760
34.630000
2.648000
2.648000
2.648000
2.647333
2.648000
2.648000
3.176800
125.636071
32.205000
453.050000
2,178.010000
2,669.120000
1,188.630000
1,542.180000
1,441.920000
0.071233
0.178126
0.333500
0.286553
0.166620
0.260573
0.433640
0.570600
0.570600
0.570600
1.423000
0.570600
0.570600
0.504500

Pret cu
amanuntul
maximal /
ambalaj

55.87
60.99
25.22
18.81
15.58
15.96
16.49
19.35
55.87
220.66
859.06
102.40
880.65
718.69
52.52
868.70
896.41
528.22
429.08
427.16
219.49
25.18
394.47
44.32
516.25
40.05
160.68
55.14
165.82
39.48
45.29
51.95
51.95
51.95
51.94
51.95
51.95
76.02
3,872.57
1,021.05
531.97
2,412.18
2,947.50
1,333.76
1,719.13
1,609.85
130.44
326.19
9.01
506.66
305.12
464.19
510.82
21.17
20.00
797.04
19.24
16.24
16.95
13.64

Pret cu
amanuntul
maximal / U.T.

7.981428
8.712857
2.522000
2.351250
2.225714
2.280000
2.355714
2.764285
55.870000
22.066000
85.906000
102.400000
35.226000
35.934500
52.520000
86.870000
44.820500
52.822000
21.454000
21.358000
21.949000
25.180000
39.447000
44.320000
20.650000
40.050000
160.680000
55.140000
165.820000
39.480000
45.290000
3.463333
3.463333
3.463333
3.462666
3.463333
3.463333
5.068000
138.306071
36.466071
531.970000
2,412.180000
2,947.500000
1,333.760000
1,719.130000
1,609.850000
0.086960
0.217460
0.450500
0.337773
0.203413
0.309460
0.510820
1.058500
1.000000
0.797040
1.924000
0.812000
0.847500
0.682000

Grupa
Nr.
terape
crt
utica
408
409
410
411
412
413
414
415
416
417
418
419
420
421
422
423
424
425
426
427
428
429
430
431
432
433
434
435
436
437
438
439
440
441
442
443
444
445
446
447
448
449
450
451
452
453
454
455
456
457
458
459
460
461
462
463
464
465
466
467

J05AB01
J05AB01
J05AB01
J05AB01
J05AB04
J05AB04
J05AB06
J05AB11
J05AB14
J05AB15
J05AE01
J05AE01
J05AE02
J05AE02
J05AE03
J05AE03
J05AE03
J05AE04
J05AE06
J05AE06
J05AE07
J05AE07
J05AE08
J05AE08
J05AE09
J05AE10
J05AE10
J05AE10
J05AF01
J05AF01
J05AF02
J05AF02
J05AF04
J05AF04
J05AF04
J05AF04
J05AF05
J05AF05
J05AF05
J05AF05
J05AF05
J05AF05
J05AF05
J05AF06
J05AF06

Denumire generica

Denumire comerciala

ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
RIBAVIRINUM
RIBAVIRINUM
GANCICLOVIRUM
VALACYCLOVIRUM
VALGANCICLOVIRUM**
BRIVUDINUM
SAQUINAVIRUM
SAQUINAVIRUM
INDINAVIRUM
INDINAVIRUM
RITONAVIRUM**
RITONAVIRUM**
RITONAVIRUM**
NELFINAVIRUM
LOPINAVIRUM+RITONAVIRUM**
LOPINAVIRUM+RITONAVIRUM**
FOSAMPRENAVIRUM**
FOSAMPRENAVIRUM**
ATAZANAVIRUM
ATAZANAVIRUM
TIPRANAVIRUM**
DARUNAVIRUM**
DARUNAVIRUM**
DARUNAVIRUM**
ZIDOVUDINUM
ZIDOVUDINUM
DIDANOSINUM
DIDANOSINUM
STAVUDINUM
STAVUDINUM
STAVUDINUM
STAVUDINUM
LAMIVUDINUM
LAMIVUDINUM
LAMIVUDINUM
LAMIVUDINUM
LAMIVUDINUM
LAMIVUDINUM
LAMIVUDINUM
ABACAVIRUM
ABACAVIRUM

ACICLOVIR 200 mg
ACICLOVIR 200 mg
ACICLOVIR 400 mg
VIROLEX
REBETOL 200 mg
COPEGUS 200mg
CYMEVENE
VALTREX 500 mg
VALCYTE (R) 450 mg
BRIVAL 125mg
INVIRASE 200mg
INVIRASE 500 mg
CRIXIVAN 200mg
CRIXIVAN 400mg
NORVIR 100 mg
NORVIR 100 mg
NORVIR 100 mg
VIRACEPT 250 mg
KALETRA 200mg/50mg
KALETRA 80mg/ml+20mg/ml
TELZIR 700mg
TELZIR 50mg/ml
REYATAZ 150 mg
REYATAZ 300 mg
APTIVUS 250mg
PREZISTA 300mg
PREZISTA 400mg
PREZISTA 600mg
RETROVIR (R)
RETROVIR (R)
VIDEX EC 250 mg
VIDEX EC 400 mg
ZERIT 15 mg
ZERIT 20 mg
ZERIT 30 mg
ZERIT 40 mg
LAMIVUDINE TEVA 100 mg
ZEFFIX 100 mg

J05AF07 TENOFOVIRUM DISOPROXIL FUMARATE


J05AF09
J05AG01
J05AG01
J05AG01
J05AG01
J05AG01
J05AG01
J05AG03
J05AG03
J05AG03
J05AG04
J05AR01
J05AR01
J05AR02

EMTRICITABINUM
NEVIRAPINUM
NEVIRAPINUM
NEVIRAPINUM
NEVIRAPINUM
NEVIRAPINUM
NEVIRAPINUM
EFAVIRENZUM
EFAVIRENZUM
EFAVIRENZUM
ETRAVIRINUM

LAMIVUDINE TEVA PHARMA B.V. 150 mg

EPIVIR 150mg
LAMIVUDINE TEVA PHARMA B.V. 300 mg

EPIVIR 10mg/ml
ZEFFIX 5 mg/ml
ZIAGEN 300 mg
ZIAGEN 20 mg/ml
VIREAD 245mg
EMTRIVA 200mg
NEVIRAPINA 200mg
VIRAMUNE 200mg
VIRAMUNE 100mg
VIRAMUNE 400mg
VIRAMUNE 50mg
VIRAMUNE 50mg/ml
STOCRIN 50 mg
STOCRIN 600 mg
STOCRIN 600 mg
INTELENCE

Forma
Concentrati
farmaceutic
e / U.T.
a
COMPR.
COMPR.
COMPR.

Tara

Firma

Ambalaj

Prescriptie

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

200mg
200mg
400mg
250mg
200mg
200mg
500mg
500mg
450mg
125mg
200mg
500mg
200mg
400mg
100mg
100mg
100mg
250mg
200mg/50mg

MAREA BRITANIE

CUTIE X 1 FLAC. PEID X 270 COMPR. FILM.

P-RF/R

ABBOTT LABORATORIES LTD.

MAREA BRITANIE

CUTIE X 1 FLAC. DIN PEID X 120 COMPR. FILM.

P-RF/R

SOL. ORALA

80mg/ml+20mg/ml ABBOTT LABORATORIES LTD.

MAREA BRITANIE

CUTIE X 5 FLAC. MULTIDOZA DIN TPE X 60 ML + 5 SERINGI GRADATE A 5 ML

P-RF/R

MAREA BRITANIE

CUTIE X 1 FLAC. DIN HDPE X 60 COMPR. FILM. PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII

P-RF/R

MAREA BRITANIE

CUTIE X 1 FLAC. DIN HDPE X 225 ML SUSP. ORALA PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII +

P-RF/R

PULB. PT. SOL. INJ./PERF.

CAPS.
COMPR. FILM.
LIOF. PT. SOL. INJ.

COMPR. FILM.
COMPR. FILM.

COMPR.
CAPS.
COMPR. FILM.

CAPS.
CAPS.

GEDEON RICHTER ROMANIA SA

ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR.

LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR.

P-RF
P-RF

UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 5 COMPR.

P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 5 FLAC. X 250 MG PULB. PT. SOL. INJ./PERF.

S/P-RF

SP EUROPE

P-RF/R

EGIS PHARMACEUTICALS P.L.C.

BELGIA

CUTIE X 140CAPS. ( BLIST. PVC/PE/PVDC )

ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. PEID X 168 COMPR. FILM. P-RF/R
ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU LIOF. PT. SOL. INJ. S
THE WELLCOME FOUNDATION LTD. MAREA BRITANIE

CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF

ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. X 60 COMPR. FILM.


GERMANIA CUTIE X 1 BLIST. PVC/AL X 7 COMPR.

BERLIN CHEMIE AG MENARINI GROUP

P-RF
P-RF

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 1 FLAC. X 270 CAPS.

P-RF/R

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 1 FLAC. PEID X 120 COMPR. FILM.

P-RF/R

MERCK SHARP & DOHME

MAREA BRITANIE

CUTIE X 1 FLAC. PEID X 360 CAPS.

P-RF/R

MERCK SHARP & DOHME

MAREA BRITANIE

ABBOTT LABORATORIES LTD.

MAREA BRITANIE

ABBOTT LABORATORIES LTD.

MAREA BRITANIE

ABBOTT LABORATORIES LTD.

MAREA BRITANIE

CUTIE X 1 FLAC DIN PEID. X 180 CAPS.


CUTIE X 1 FLAC. PEID X 30 COMPR.FILM.
CUTIE X 3 FLAC. PEID X 30 COMPR.FILM.
CUTIE X 1 FLAC. PEID X 60 COMPR.FILM.

ROCHE REGISTRATION LTD.

P-RF/R
P-RF/R
P-RF/R
P-RF/R

COMPR. FILM. 700mg


SUSP. ORALA 50mg/ml

GLAXO GROUP LTD.


GLAXO GROUP LTD.

CAPS.
CAPS.
CAPS. MOI

BRISTOL-MYERS SQUIBB

MAREA BRITANIE

CUTIE X 60 CAPS. (BLIST. AL/AL 6X1)

P-RF/R

BRISTOL-MYERS SQUIBB

MAREA BRITANIE

CUTIE X 1 FLAC. PEID X 30 CAPS.

P-RF/R

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA CUTIE X 1 FLAC. DIN PEID X 120 CAPS. MOI

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

CAPS.
SOL. ORALA
CAPS. GASTROREZ.
CAPS. GASTROREZ.

CAPS.
CAPS.
CAPS.
CAPS.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

SOL. ORALA
SOL. ORALA
COMPR. FILM.

SOL. ORALA
COMPR. FILM.

CAPS.
COMPR.
COMPR.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.

SUSP. ORALA
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

COMPR.

150mg
300mg
250mg
300mg
400mg
600mg
100mg
1%
250mg
400mg
15mg
20mg
30mg
40mg
100 mg
100mg
150 mg
150mg
300 mg
10mg/ml
5mg/ml
300mg
20mg/ml
245mg
200mg
200mg
200mg
100mg
400mg
50mg
50mg/5ml
50mg
600mg
600mg
100mg

JANSSEN-CILAG INTERNATIONAL NV
JANSSEN-CILAG INTERNATIONAL NV
JANSSEN-CILAG INTERNATIONAL NV

BELGIA
BELGIA
BELGIA

THE WELLCOME FOUNDATION LTD. MAREA BRITANIE


THE WELLCOME FOUNDATION LTD. MAREA BRITANIE

P-RF/R

CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM.

P-RF/R

CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM.

P-RF/R

CUTIE X 10 BLIST. AL/PVC X 10 CAPS.

S/P-RF

CUTIE X 1 FLACON DIN STICLA BRUNA X 200 ML + 1 ADAPTOR DE DOZARE + 1 SERINGA PT. ADM. ORALA A 10 ML

UNGARIA CUTIE X 3 BLIST. X 10 CAPS. GASTROREZ.


BRISTOL MYERS SQUIBB KFT UNGARIA CUTIE X 3 BLIST. X 10 CAPS. GASTROREZ.
BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE X 4 BLIST. ACLA/AL X 14 CAPS.
BRISTOL MYERS SQUIBB KFT

BRISTOL-MYERS SQUIBB

MAREA BRITANIE

BRISTOL-MYERS SQUIBB

MAREA BRITANIE

BRISTOL-MYERS SQUIBB

MAREA BRITANIE

P-RF/R

CUTIE X 1 FLAC. DIN PEID X 120 COMPR. FILM.

CUTIE X 4 BLIST. ACLAR/AL X 14 CAPS.


CUTIE X 4 BLIST. ACLAR/AL X 14 CAPS.
CUTIE X 4 BLIST. ACLAR/AL X 14 CAPS.

TEVA PHARMA B.V. OLANDA CUTIE CU BLIST. PVC/PVDC/AL X 30 COMPR. FILM.


GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST. PVC-AL/PVC-AL)
TEVA PHARMA B.V. OLANDA CUTIE CU BLIST. PVC/PVDC/AL X 60 COMPR. FILM.
GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLAC. PEID X 60 COMPR. FILM.
TEVA PHARMA B.V. OLANDA CUTIE CU BLIST. PVC/PVDC/AL X 30 COMPR. FILM.
GLAXO GROUP LTD. MAREA BRITANIE
GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLACON HDPE X 240 ML + 1 SERINGA DOZATOARE PP + 1 ADAPTOR PE
GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 60 COMPR. FILM.
GLAXO GROUP LTD. MAREA BRITANIE
CUTIE X 1 FLACON PEID X 240ML SOL. ORALA + 1 SERINGA DOZATOARE + 1 ADAPTOR

S/P-RF
S/P-RF
S/P-RF
P-RF/R
P-RF/R
P-RF/R
P-RF/R
P-RF/R
P-RF/R
P-RF/R
P-RF/R
P-RF/R
P-RF/R
P-RF/R
P-RF/R

CUTIE X 1 FLACON PEID X 240 ML SOL. ORALA + SERINGA DOZATOARE PP X 10 ML + ADAPTOR PE

P-RF/R

GILEAD SCIENCE INTERNATIONAL LIMITED

MAREA BRITANIE

CUTIE X 1 FLAC. DIN PEID X 30 COMPR. FILM

P-RF/R

GILEAD SCIENCE INTERNATIONAL LIMITED

MAREA BRITANIE

CUTIE X 1 FLAC. DIN PEID X 30 CAPS.

P-RF/R

BLISTERE DIN PVC/PE/PVDC - AL X 60 COMP.

P-RF/R
P-RF/R

TEVA PHARMA B.V. OLANDA


BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA

CUTIE X 6 BLIST. X 10 COMPR.

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU UN FLACON DIN PEID X 90 COMPR. CU ELIB. PRELUNGITA

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU UN FLACON DIN PEID X 30 COMPR. CU ELIB. PRELUNGITA

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU UN FLACON DIN PEID X 180 COMPR. CU ELIB. PRELUNGITA

PR
PR
PR

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA

CUTIE X 1 FLACON PEID X 240 ML + O SERINGA X 5 ML + UN DISPOZITIV DE ADAPTARE A SERINGII LA FLACON

P-RF/R

MERCK SHARP & DOHME

MAREA BRITANIE

CUTIE X 1 FLAC. PEID X 30COMPR. FILM. PREVAZUT CU UN SIST. DE INCHIDERE SECURIZAT PT. COPII

P-RF/R

MERCK SHARP & DOHME

MAREA BRITANIE

CUTIE X 1 BLIST. AL PERFORAT X 30 COMPR. FILM.

P-RF/R

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

BELGIA CUTIE X 1 FLAC. PEID X 120 COMPR.


COMBINATII (LAMIVUDINUM+ZIDOVUDINUM)** LAMIVUDINA/ZIDOVUDINA TEVA COMPR. FILM. 150 mg/300 mg TEVA PHARMA B.V. OLANDA CUTIE CU BLIST. DIN OPA/AL/PVC X 60 COMPRIMATE FILMATE
ZIDOVUDINUM+LAMIVUDINUM** COMBIVIR 150mg/300mg
COMPR. FILM. 150mg/300mg GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 6 BLIST. X 10 COMPR. FILM.
ABACAVIRUM+LAMIVUDINUM** KIVEXA 600mg/300mg
COMPR. FILM. 600mg/300mg GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 30 COMPR. FILM.( BLIST.ALB-OPAC PVC-PVDC/AL )
JANSSEN-CILAG INTERNATIONAL NV

Pagina 102 din 205

P-RF/R

P-RF
P-RF/R
P-RF/R

cant/
amba
laj

20
20
10
5
140
168
1
10
60
7
270
120
360
180
30
90
60
270
120
5
60
1
60
30
120
120
60
60
100
1
30
30
56
56
56
56
30
28
60
60
30
1
1
60
1
30
30
60
60
90
30
180
1
30
30
30
120
60
60
30

Pret cu
ridicata
maximal /
ambalaj

12.60
9.51
14.06
229.07
2,184.90
2,378.48
91.70
78.65
4,806.36
269.22
1,009.03
1,002.35
165.60
165.60
194.07
559.30
382.87
1,009.03
1,546.57
1,470.75
1,205.62
380.40
1,561.69
1,671.90
2,934.90
2,736.23
1,991.86
2,808.59
350.39
83.41
417.33
649.71
446.57
462.10
482.05
497.14
157.13
225.63
315.52
471.30
315.52
130.26
102.79
778.64
207.45
1,084.48
648.87
412.30
618.15
723.38
955.78
723.38
184.66
11.90
66.65
66.65
1,924.50
670.34
1,015.14
1,313.53

Pret cu ridicata
maximal / U.T.

0.630000
0.475500
1.406000
45.814000
15.606428
14.157619
91.700000
7.865000
80.106000
38.460000
3.737148
8.352916
0.460000
0.920000
6.469000
6.214444
6.381166
3.737148
12.888083
294.150000
20.093666
380.400000
26.028166
55.730000
24.457500
22.801916
33.197666
46.809833
3.503900
83.410000
13.911000
21.657000
7.974464
8.251785
8.608035
8.877500
5.237666
8.058214
5.258666
7.855000
10.517333
130.260000
102.790000
12.977333
207.450000
36.149333
21.629000
6.871666
10.302500
8.037555
31.859333
4.018777
184.660000
0.396666
2.221666
2.221666
16.037500
11.172333
16.919000
43.784333

Pret cu ridicata
maximal de
decontare / U.T.

0.570600
0.475500
1.406000
45.814000
15.606428
14.157619
91.700000
7.865000
80.106000
38.460000
3.737148
8.352916
0.460000
0.920000
6.469000
6.214444
6.381166
3.737148
12.888083
294.150000
20.093666
380.400000
26.028166
55.730000
24.457500
22.801916
33.197666
46.809833
3.503900
83.410000
13.911000
21.657000
7.974464
8.251785
8.608035
8.877500
5.237666
6.285199
5.258666
6.310399
10.517333
130.260000
102.790000
12.977333
207.450000
36.149333
21.629000
6.871666
8.245999
8.037555
31.859333
4.018777
184.660000
0.396666
2.221666
2.221666
16.037500
11.172333
13.406800
43.784333

Pret cu
amanuntul
maximal /
ambalaj

17.03
12.85
19.00
279.65
2,419.69
2,630.70
115.95
99.45
5,277.09
328.67
1,137.99
1,130.71
202.16
202.16
236.92
647.79
455.48
1,137.99
1,723.91
1,641.27
1,352.28
452.79
1,740.39
1,860.52
3,237.19
3,020.65
2,209.28
3,099.52
420.08
105.47
493.04
746.34
524.91
541.84
563.58
580.03
191.83
275.45
382.07
551.87
382.07
159.02
125.49
886.87
253.25
1,220.24
745.42
487.56
711.93
826.63
1,079.95
826.63
225.43
16.09
84.27
84.27
2,135.86
768.82
1,144.65
1,469.90

Pret cu
amanuntul
maximal / U.T.

0.851500
0.642500
1.900000
55.930000
17.283500
15.658928
115.950000
9.945000
87.951500
46.952857
4.214777
9.422583
0.561555
1.123111
7.897333
7.197666
7.591333
4.214777
14.365916
328.254000
22.538000
452.790000
29.006500
62.017333
26.976583
25.172083
36.821333
51.658666
4.200800
105.470000
16.434666
24.878000
9.373392
9.675714
10.063928
10.357678
6.394333
9.837500
6.367833
9.197833
12.735666
159.020000
125.490000
14.781166
253.250000
40.674666
24.847333
8.126000
11.865500
9.184777
35.998333
4.592388
225.430000
0.536333
2.809000
2.809000
17.798833
12.813666
19.077500
48.996666

Grupa
Nr.
terape
crt
utica
468
469
470
471
472
473
474
475
476
477
478
479
480
481
482
483
484
485
486
487
488
489
490
491
492
493
494
495
496
497
498
499
500
501
502
503
504
505
506
507
508
509
510
511
512
513
514
515
516
517
518
519
520

Denumire generica

J05AR04 ABACAVIRUM+LAMIVUDINUM+ZIDOVUDINUM**

J05AX09

ENFUVIRTIDUM**
RALTEGRAVIRUM
MARAVIROCUM
MARAVIROCUM

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BB16

PALIVIZUMABUM**
PALIVIZUMABUM**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
PRIMAQUINE4
MEFLOQUINUM4
NETILMICINUM
NETILMICINUM
NETILMICINUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
NORFLOXACINUM

J05AX07
J05AX08
J05AX09

J06BB16
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
P01BA03
P01BC02

S01AA23
S01AA23
S01AA23
S01BA01
S01BA01
S01BA01
S01BA01
S03AAN2

Denumire comerciala

Forma
Concentrati
farmaceutic
e / U.T.
a

Tara

Firma

Ambalaj

Prescriptie

TRIZIVIR 300mg/150mg/300mg COMPR. FILM.

300mg/150mg/300mg

GLAXO GROUP LTD.

MAREA BRITANIE

CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM.

P-RF/R

FUZEON 90mg/ml
ISENTRESS 400mg
CELSENTRI 150mg
CELSENTRI 300mg
HUMAGLOBIN
HUMAGLOBIN
OCTAGAM 10%
OCTAGAM 10%
OCTAGAM 10%
OCTAGAM 10%
PRIVIGEN 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
PRIVIGEN 100mg/ml
PRIVIGEN 100mg/ml
PRIVIGEN 100mg/ml
IG VENA 10g/200ml
IG VENA 1g/20ml
IG VENA 2,5g/50ml
FLEBOGAMMA 5%
FLEBOGAMMA 5%
FLEBOGAMMA 5%
FLEBOGAMMA 5%
OCTAGAM
OCTAGAM
OCTAGAM
IG VENA 5g/100ml
SYNAGIS 100 mg
SYNAGIS 50 mg
NEUPOGEN (R)
NEUPOGEN (R)
ZARZIO 30MU/0,5ml
ZARZIO 48MU/0,5ml
NIVESTIM 12 MU/0,2ml
TEVAGRASTIM 30MUI/0,5ml
NIVESTIM 30 MU/0,5 ml
TEVAGRASTIM 48MUI/0,8ml
NIVESTIM 48 MU/0,5 ml
MALIRID
ELOQUINE 250 mg
NETTACIN (R)
NETTACIN (R)
NETTAVISC 3mg/g
OZURDEX

90mg/ml
400 mg
150mg
300mg
5%
5%
100 mg/ml
100 mg/ml
100 mg/ml
100 mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
10g/200ml
1g/20ml
2,5g/50ml
5%
5%
5%
5%
50mg/ml
50mg/ml
50mg/ml
5g/100ml
100mg
50mg
30MU/0,5ml
48MU/0,5ml
60MU/ml
96MU/ml
120g/0,2ml

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 60 FLAC. PULB. PT. SOL. INJ. + 60 FLAC. SOLV. + 60 SERINGI X 3 ML + 60 SERINGI X 1 ML, 180 T

P-RF/R

MERCK SHARP & DOHME

MAREA BRITANIE

CUTIE X 1 FLAC. PEID X 60 COMPR. FILMATE

P-RF/R

MAREA BRITANIE

CUTIE X 60 COMPR. FILM.( BLIST. PVC/AL)

P-RF/R

MAREA BRITANIE

CUTIE X 60 COMPR. FILM.( BLIST. PVC/AL)

P-RF/R

DEXAMETAZONA ROMPHARM 1mg/ml


DEXAMETAZONA ROMPHARM 1mg/ml

MAXIDEX (R)
NORFLOX

PULB. + SOLV. PT. SOL. INJ.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
PULB.+SOLV. PT. SOL. PERF.
PULB.+SOLV. PT. SOL. PERF.

SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
PULB. + SOLV. PT. SOL. INJ.
PULB. + SOLV. PT. SOL. INJ.

SOL. INJ.
SOL. INJ.
SOL. INJ. /PERF. IN SERINGA PREUMPLUTA

SOL. INJ. /PERF. IN SERINGA PREUMPLUTA

SOL. INJ./PERF.

PFIZER LIMITED
PFIZER LIMITED

MAREA BRITANIE

CUTIE X 1 FLACON X 100 ML


CUTIE X 1 FLACON X 200 ML
CUTIE X 1 FLACON X 50 ML

KEDRION SPA

ITALIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. + 1 SET ADMINISTRARE

S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S

ABBOTT LABORATORIES LTD.

MAREA BRITANIE

CUTIE X 1 FLAC. PULB. PT. SOL. INJ. + FIOLA X 1 ML SOLV.

P-RF

ABBOTT LABORATORIES LTD.

MAREA BRITANIE

CUTIE X 1 FLAC. PULB. PT. SOL. INJ. + FIOLA X 1 ML SOLV.

HUMAN BIOPLAZMA MANUFACTURING AND TRADING LTD.

UNGARIA
UNGARIA

OCTAPHARMA (IP) LIMITED

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL. PERF.

OCTAPHARMA (IP) LIMITED

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF.

OCTAPHARMA (IP) LIMITED

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL. PERF.

OCTAPHARMA (IP) LIMITED

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 20 ML SOL. PERF.

HUMAN BIOPLAZMA MANUFACTURING AND TRADING LTD.

CSL BEHRING GMBH GERMANIA


BAXTER AG
AUSTRIA
BAXTER AG
AUSTRIA
BAXTER AG
AUSTRIA
BAXTER AG
AUSTRIA
BAXTER AG
AUSTRIA
BAXTER AG
AUSTRIA
CSL BEHRING GMBH GERMANIA
CSL BEHRING GMBH GERMANIA
CSL BEHRING GMBH GERMANIA

KEDRION SPA
KEDRION SPA
KEDRION SPA
INSTITUTO GRIFOLS S.A.
INSTITUTO GRIFOLS S.A.
INSTITUTO GRIFOLS S.A.
INSTITUTO GRIFOLS S.A.

OCTAPHARMA (IP) LTD.


OCTAPHARMA (IP) LTD.
OCTAPHARMA (IP) LTD.

ITALIA
ITALIA
ITALIA
SPANIA
SPANIA
SPANIA
SPANIA
MAREA BRITANIE
MAREA BRITANIE

CUTIE X 1 FLAC.X 25 ML SOL. PERF.


CUTIE X 1 FLAC X 100ML SOL. PERF.(10G/100ML)

CUTIE X 1 FLAC X 50ML SOL. PERF.(5G/50ML)


CUTIE X 1 FLAC X 300ML SOL. PERF.(30G/300ML)
CUTIE X 1 FLAC X 200ML SOL. PERF.(20G/200ML)

CUTIE X 1 FLAC X 10ML SOL. PERF.(1G/10ML)


CUTIE X 1 FLAC X 25ML SOL. PERF.(2,5G/25ML)

CUTIE X 1 FLAC.X 200 ML SOL. PERF.


CUTIE X 1 FLAC.X 100 ML SOL. PERF.
CUTIE X 1 FLAC.X 50 ML SOL. PERF.
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL. PERF. + 1 SET ADMINISTRARE

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 20 ML SOL. PERF. + 1 SET ADMINISTRARE


CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL. PERF. + 1 SET ADMINISTRARE

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL.PERF.


CUTIE X 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL.PERF.
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL.PERF.

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10 ML SOL.PERF.

P-RF
S/P-RF
S/P-RF

SANDOZ GMBH
SANDOZ GMBH

AUSTRIA
AUSTRIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL

P-RF/R

CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL

P-RF/R

HOSPIRA UK LIMITED

MAREA BRITANIE

CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,2ML SOL. INJ. SAU PERF.

P-RF

CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF.

S/P-RF/R

300g/0,5ml HOSPIRA UK LIMITED

MAREA BRITANIE

SOL. INJ./PERF. 480mcg/0,8ml TEVA GENERICS GMBH GERMANIA

480g/0,5ml
7,5 mg
250mg
PIC. OFT., SOL 0,3%
PICATURI OFT.-SOL. 0,3%
UNG. OFT. 3mg/g
IMPLANT
700 micrograme
PIC. OFT. SUSP. 1mg/ml
PIC. OFT. SUSP. 1mg/ml
PICATURI OFT.-SUSP. 0,1%
PICATURI OFT./AURIC.-SOL. 0,3%

CUTIE X 1 CUTIE X 1 FLAC. CU PULB. + 1 CUTIE X 1 FLAC. SOLV. X 50 ML

AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML


AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML

SOL. INJ./PERF. 300mcg/0,5ml TEVA GENERICS GMBH GERMANIA


SOL. INJ./PERF.

CUTIE X 1 CUTIE X 1 FLAC. CU PULB. + 1 CUTIE X 1 FLAC. SOLV. X 100 ML

SOL. INJ./PERF.

HOSPIRA UK LIMITED

COMPR.
COMPR.

CN UNIFARM S.A.
CN UNIFARM
S.I.F.I. SPA
S.I.F.I. SPA
S.I.F.I. SPA
ALLERGAN PHARMACEUTICALS IRELAND

ROMPHARM COMPANY SRL


ROMPHARM COMPANY SRL

MAREA BRITANIE

CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF.

P-RF

CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF.

S/P-RF/R

CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF.

P-RF

ROMANIA CUTIE CU 10 BLIST.X 10 COMPR.


ROMANIA CUTIE X 10 BLIST. X 10 COMPR.

P-RF

ITALIA
CUTIE X 1 FLACON X 5ML
ITALIA
CUTIE X 3 FOLII TERMOSUDATE X 5 FLACOANE UNIDOZA DIN POLIETILENA X 0,3 ML
ITALIA
CUTIE X 1 TUB DIN AL X 5 G UNGUENT OFTALMIC, PREV. CU APLICATOR
IRLANDA

P-RF

CUTIE CU1 IMPLANT STERIL DE TIP FILAMENT CU ELIBERARE PRELUNGIT CONINND DEXAMETAZON 700 MICR

P-RF

ROMANIA
ROMANIA

CUTIE X 1 FLAC. DIN PEID X 10 ML PIC. OFT., SUSPENSIE

P-RF

X
P-RF
P-RF

CUTIE X 1 FLAC. DIN PEID X 5 ML PIC. OFT., SUSPENSIE P-RF

ALCON COUVREUR NV BELGIA

CUTIE X 1 FLACON PICURATOR DIN PE X 5 ML P-RF

CIPLA (UK) LIMITED

CUTIE X 1 FLACON PEJD X 5 ML

MAREA BRITANIE

P-RF

cant/
amba
laj

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

Pret cu ridicata
maximal de
decontare / U.T.

Pret cu
amanuntul
maximal /
ambalaj

Pret cu
amanuntul
maximal / U.T.

60
60
60
60
60
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
5
1
5
1
5
100
100
1
15
1
1
1
1
1
1

1,656.35
6,019.64
3,440.17
3,313.86
3,313.86
872.00
451.00
6,114.44
3,072.10
1,550.55
663.61
460.47
1,749.51
889.76
7,459.41
3,469.04
188.56
459.88
3,473.78
1,751.89
890.95
2,050.80
222.29
535.20
472.05
1,798.20
914.10
99.02
1,166.70
2,261.30
640.45
1,040.40
3,458.42
2,094.50
263.92
431.80
160.19
257.85
413.89
211.64
989.71
352.07
1,637.21
14.63
138.93
10.37
21.16
23.76
4,639.95
7.40
4.06
6.24
3.48

27.605833
100.327333
57.336166
55.231000
55.231000
872.000000
451.000000
6,114.440000
3,072.100000
1,550.550000
663.610000
460.470000
1,749.510000
889.760000
7,459.410000
3,469.040000
188.560000
459.880000
3,473.780000
1,751.890000
890.950000
2,050.800000
222.290000
535.200000
472.050000
1,798.200000
914.100000
99.020000
1,166.700000
2,261.300000
640.450000
1,040.400000
3,458.420000
2,094.500000
263.920000
431.800000
160.190000
257.850000
82.778000
211.640000
197.942000
352.070000
327.442000
0.146300
1.389300
10.370000
1.410666
23.760000
4,639.950000
7.400000
4.060000
6.240000
3.480000

27.605833
100.327333
57.336166
55.231000
55.231000
872.000000
451.000000
6,114.440000
3,072.100000
1,550.550000
663.610000
460.470000
1,749.510000
889.760000
7,459.410000
3,469.040000
188.560000
459.880000
3,473.780000
1,751.890000
890.950000
2,050.800000
222.290000
535.200000
472.050000
1,798.200000
914.100000
99.020000
1,166.700000
2,261.300000
640.450000
1,040.400000
3,458.420000
2,094.500000
192.228000
309.420000
160.190000
257.850000
82.778000
192.228000
192.228000
309.420000
309.420000
0.146300
1.389300
10.370000
1.410666
12.444000
4,639.950000
7.400000
4.060000
4.872000
3.480000

1,843.57
6,599.57
3,787.94
3,650.26
3,650.26
988.63
529.74
6,702.89
3,386.74
1,728.25
761.48
540.07
1,945.12
1,007.99
8,168.91
3,819.40
230.20
539.42
3,824.57
1,947.71
1,009.28
2,273.52
271.37
621.52
552.68
1,998.19
1,034.52
125.20
1,309.85
2,502.97
736.24
1,172.19
3,807.83
2,321.16
322.20
508.81
195.56
314.78
489.29
258.37
1,116.94
421.91
1,822.71
19.78
169.61
14.01
28.60
32.11
5,095.70
10.00
5.49
8.44
4.70

30.726166
109.992833
63.132333
60.837666
60.837666
988.630000
529.740000
6,702.890000
3,386.740000
1,728.250000
761.480000
540.070000
1,945.120000
1,007.990000
8,168.910000
3,819.400000
230.200000
539.420000
3,824.570000
1,947.710000
1,009.280000
2,273.520000
271.370000
621.520000
552.680000
1,998.190000
1,034.520000
125.200000
1,309.850000
2,502.970000
736.240000
1,172.190000
3,807.830000
2,321.160000
322.200000
508.810000
195.560000
314.780000
97.858000
258.370000
223.388000
421.910000
364.542000
0.197800
1.696100
14.010000
1.906666
32.110000
5,095.700000
10.000000
5.490000
8.440000
4.700000

20
20

6.66
6.66

0.333000
0.333000

0.333000
0.333000

9.00
9.00

0.450000
0.450000

P1: PROGRAMUL NATIONAL DE BOLI TRANSMISIBILE


B) SUBPROGRAMUL DE TRATAMENT AL BOLNAVILOR CU TUBERCULOZA
1
2

A11HA02
A11HA02

PYRIDOXINUM
PYRIDOXINUM

VITAMINA B6 250 mg

COMPR.

VITAMINA B6 ZENTIVA 250 mg COMPR.

250 mg
250mg

ARENA GROUP SA ROMANIA CUTIE X 1 FLACON DIN PE X 20 COMPR.


ZENTIVA SA
ROMANIA CUTIE X 1 FLAC. DIN PE X 20 COMPR.

Pagina 103 din 205

P-6L
P-6L

Grupa
Nr.
terape
crt
utica
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62

A11HA02
A11HA02
A11HA02
A11HA02
A11HA02
H02AB07
H02AB07
H02AB07
H02AB07
H02AB07
H02AB07

J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01GA01
J01GA01
J01GA01
J01GA01
J01GB04
J01GB06
J01GB06
J01GB06
J01MA01
J01MA01
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02

Denumire generica

PYRIDOXINUM
PYRIDOXINUM
PYRIDOXINUM
PYRIDOXINUM
PYRIDOXINUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
STREPTOMYCINUM
STREPTOMYCINUM
STREPTOMYCINUM
STREPTOMYCINUM
KANAMYCINUM
AMIKACINUM
AMIKACINUM
AMIKACINUM
OFLOXACINUM
OFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM

Denumire comerciala

Forma
Concentrati
farmaceutic
e / U.T.
a

SICOVIT B6 250 mg

COMPR.
SOL. INJ.
SICOVIT B6 250 mg/5 ml
SOL. INJ.
VITAMINA B6 ZENTIVA 50 mg/2ml SOL. INJ.
SICOVIT B6 50 mg/2ml
SOL. INJ.
N - PREDNISON
COMPR.
PREDNISON ARENA 5 mg COMPR.
PREDNISON ARENA 5 mg COMPR.
PREDNISON MCC 5 mg
COMPR.
PREDNISON - RICHTER 5 mg COMPR.
PREDNISON 5 mg
COMPR.
FROMILID 250
COMPR. FILM.
KLABAX 250 mg
COMPR. FILM.
KLERIMED (R) 250
COMPR. FILM.
KLACID (R)
COMPR. FILM.
CLAR 250
COMPR. FILM.
LEKOKLAR (R) 250 mg
COMPR. FILM.
ROCLARIN 500 mg
COMPR. FILM.
FROMILID 500
COMPR. FILM.
CLAR 500
COMPR. FILM.
KLABAX 500 mg
COMPR. FILM.
KLERIMED (R) 500
COMPR. FILM.
LEKOKLAR (R) 500 mg
COMPR. FILM.
KLABAX MR 500 mg
COMPR. FILM. ELIB. MODIF.
LEKOKLAR XL 500 mg
COMPR. FILM. ELIB. MODIF.
LEKOKLAR XL 500 mg
COMPR. FILM. ELIB. MODIF.
KLACID SR
COMPR. FILM. ELIB. PREL.
FROMILID (R) UNO
COMPR. FILM. ELIB. PREL.
KLABAX 125 mg/5 ml
GRAN. PT. SUSP. ORALA
LEKOKLAR 125 mg/5 ml
GRAN. PT. SUSP. ORALA
FROMILID (R) 125 mg/5 ml GRAN. PT. SUSP. ORALA
KLACID (R)
GRAN. PT. SUSP. ORALA
KLACID (R)
GRAN. PT. SUSP. ORALA
KLABAX 125 mg/5 ml
GRAN. PT. SUSP. ORALA
KLABAX 250 mg/5 ml
GRAN. PT. SUSP. ORALA
KLABAX 250 mg/5 ml
GRAN. PT. SUSP. ORALA
LEKOKLAR 250 mg/5 ml
GRAN. PT. SUSP. ORALA
LEKOKLAR 250 mg/5 ml
GRAN. PT. SUSP. ORALA
KLACID I.V.
LIOF. PT. SOL. PERF.
VITAMINA B6 ZENTIVA 250 mg/5 ml

STREPTOMICINA SULFAT BP

PULB. PT. SOL. INJ.

STREVITAL 1 g
STREVITAL 1 g
STREVITAL 1 g
PAN - KANAMYCINE
AMIKOZIT (R) 100 mg/2 ml
BIODACYNA
AMIKOZIT (R) 500 mg/2 ml
ZANOCIN
OFLOXIN 200

PULB. PT. SOL. INJ.

CIPROFLOXACINA ARENA 100 mg


CIPROFLOXACINA ARENA 100 mg
CIPROFLOXACINA ALKALOID 250 mg

CIPROFLOXACINA ARENA 250 mg

CIFRAN
CUMINOL 250 mg
ALVEBAR 250 mg
CIPROFLOXACINA ARENA 250 mg

CIPROCIN 250 mg
CUMINOL 250 mg
CIPROLEN (R) 250 mg

PULB. PT. SOL. INJ.


PULB. PT. SOL. INJ.
PULB. PT. SOL. INJ.

SOL. INJ.
SOL. INJ.
SOL. INJ.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

250mg
250mg/5ml
250mg/5ml
50mg/2ml
50mg/2ml
5mg
5mg
5mg
5mg
5mg
5mg
250mg
250mg
250mg
250mg
250mg
250mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
125mg/5ml
125mg/5ml
125mg/5ml
125mg/5ml
125mg/5ml
125mg/5ml
250mg/5ml
250mg/5ml
250mg/5ml
250mg/5ml
500mg
1g
1g
1g
1g
1g
100mg/2ml
1g/4ml
500mg/2ml
200mg
200mg
100mg
100mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg

Tara

Firma

ZENTIVA SA
ZENTIVA SA
ZENTIVA SA
ZENTIVA SA
ZENTIVA SA
MEDUMAN SA
ARENA GROUP SA
ARENA GROUP SA

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
MAGISTRA C&C S.R.L. ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
SINTOFARM SA
ROMANIA

Ambalaj

Prescriptie

P-RF

20
5
5
5
5
30
30

P-RF/S

1,000

CUTIE X 1 FLAC. DIN PE X 20 COMPR.

P-6L

CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 5 ML SOL. INJ.

P-RF

CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 5 ML SOL. INJ.

P-RF

CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 2 ML SOL. INJ.

P-RF

CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 2 ML SOL. INJ.

P-RF

CUTIE X 1 FLAC. X 30 COMPR.

P-RF

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.


CUTIE X 100 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL./PVC X 10 COMPR.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P-RF
P-RF
P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM.

P-RF

TERAPIA SA
ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM.
MEDOCHEMIE LTD. CIPRU
CUTIE X 2 BLIST. AL/PVC-PVDC X 7 COMPR. FILM.
ABBOTT SPA
ITALIA
CUTIE X 1 BLIST. X 14 COMPR. FILM.
MEDICAROM GROUP S.R.L. ROMANIA CUTIE X 5 BLIST. X 4 COMPR. FILM.
LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 2 BLIST. X 7 COMPR. FILM.
ANTIBIOTICE S.A.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM.

P-RF

MEDICAROM GROUP S.R.L.

ROMANIA CUTIE X 5 BLIST. AL/PVC X 4 COMPR. FILM.


ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM.

TERAPIA SA
MEDOCHEMIE LTD. CIPRU

P-RF
P-RF
P-RF
P-RF
P-RF

P-RF
P-RF

CUTIE X 2 BLIST. AL/PVC-PVDC X 7 COMPR. FILM.

P-RF

LEK PHARMACEUTICALS D.D.

SLOVENIA CUTIE X 2 BLIST. X 7 COMPR. FILM.

P-RF

TERAPIA SA

ROMANIA

CUTIE X 1 BLIST. PVC/PVDC-AL X 7 COMPR. FILM. ELIB. PREL.

P-RF

LEK PHARMACEUTICALS D.D.

CUTIE X 1 FOLIE AL/AL X 7 COMPR. FILM. ELIB. MODIF. P-RF

LEK PHARMACEUTICALS D.D.

SLOVENIA
SLOVENIA

ABBOTT LABORATORIES LTD.

MAREA BRITANIE

CUTIE X 1 BLIST. PVC-PVDC/AL X 5 COMPR. FILM. ELIB. PREL.

P-RF

KRKA D.D.
TERAPIA SA
SANDOZ SRL
KRKA D.D.
ABBOTT SPA
ABBOTT SPA
TERAPIA SA
TERAPIA SA
TERAPIA SA
SANDOZ SRL
SANDOZ SRL

SLOVENIA

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. ELIB. PREL.

P-RF

CUTIE X 1 FLAC. DIN PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA

P-RF

CUTIE X 1 FLAC. PEID CU 41 G GRANULE PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE PP

P-RF

ABBOTT LABORATORIES LTD.

FRANTA CUTIE X 1 FLAC. LIOF. PT. SOL. PERF.

ANTIBIOTICE S.A.
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA
LAB. PANPHARMA
ZENTIVA S.A.
CN UNIFARM S.A.
ZENTIVA S.A.

ROMANIA CUTIE X 50 FL.PULB.PT. SOL.INJ. A 1 G


ROMANIA CUTIE X 50 FLAC. DIN STICLA CONTINAND PULB. PT. SOL. INJ.
ROMANIA CUTIE X 10 FLAC. DIN STICLA CONTINAND PULB. PT. SOL. INJ.
ROMANIA CUTIE X 100 FLAC. DIN STICLA CONTINAND PULB. PT. SOL. INJ.

ROMANIA
ROMANIA

RANBAXY UK LIMITED

ZENTIVA AS
ARENA GROUP S.A.
ARENA GROUP S.A.
ALKALOID D.O.O.
ARENA GROUP S.A.
RANBAXY UK LIMITED

P-RF

ITALIA
ITALIA

CUTIE X 1 FLACON PEID CU GRANULE PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML

P-RF

CUTIE X 1 FLACON PEID CU GRANULE PT. 100 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML

P-RF

CUTIE X 1 FLAC. DIN PEID X 70 G GRAN. PT. 100 ML SUSP . ORALA

P-RF

CUTIE X 1 FLAC. PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA

P-RF

CUTIE X 1 FLAC. PEID X 70 G GRAN. PT. 100 ML SUSP . ORALA P-RF


CUTIE X 1 FLAC. DIN PEID CU 41 G GRANULE PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE PP

CUTIE X 1 FLAC. DIN PEID CU 68,3 G GRANULE PT. 100 ML SUSP. ORALA + LINGURITA DOZATOARE PP

FRANTA CUTIE X 50 FLAC. X 1 G


ROMANIA CUTIE X 1 FLACON DIN STICLA X 2 ML
ROMANIA CUTIE CU 1 FL.X 1G SOL.INJ.
ROMANIA CUTIE X 1 FLACON DIN STICLA X 2 ML

P-RF
P-RF
S/P-RF

PRF

S
S
S
P-RF/S

P-RF
P-RF
P-RF

MAREA BRITANIE

CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF

CEHIA

CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF

ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM.


ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.
SLOVENIA

P-RF
P-RF

CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 COMPR. FILM. P-RF

ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

CUTIE X 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM.

P-RF

MAREA BRITANIE

ROMANIA
DR. REDDY'S LABORATORIES ROMANIA
ARENA GROUP S.A. ROMANIA
E.I.P.I.CO. MED S.R.L. ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
AC HELCOR SRL
ROMANIA
GEDEON RICHTER ROMANIA SA

CUTIE X 1 FOLIE AL/AL X 5 COMPR. FILM. ELIB. MODIF. P-RF

SLOVENIA CUTIE X 1 FLAC. PULB. PT. 60 ML SUSP.

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF


CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM.

P-RF

CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF


CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF

Pagina 104 din 205

cant/
amba
laj

20
20
30
14
14
14
14
20
14
20
14
20
14
14
14
7
7
5
5
7
1
1
1
1
1
1
1
1
1
1
1
50
50
10
100
50
1
1
1
10
10
20
10
10
10
10
20
10
20
10
10
10

Pret cu
ridicata
maximal /
ambalaj

6.66
7.56
7.56
5.11
5.11
1.80
1.92
43.91
1.94
1.88
2.72
12.20
10.73
12.20
20.89
16.80
23.56
32.75
23.85
33.52
23.46
23.85
28.67
26.60
18.81
13.44
27.52
20.55
13.85
19.16
17.03
17.90
29.57
23.11
23.17
38.60
33.89
46.49
40.64
138.08
138.08
28.80
274.64
80.16
2.60
9.36
5.10
8.30
14.63
51.29
28.20
5.76
4.80
5.08
9.00
3.48
9.00
4.99
4.99
4.99

Pret cu ridicata
maximal / U.T.

0.333000
1.512000
1.512000
1.022000
1.022000
0.060000
0.064000
0.043910
0.097000
0.094000
0.090666
0.871428
0.766428
0.871428
1.492142
0.840000
1.682857
1.637500
1.703571
1.676000
1.675714
1.703571
2.047857
3.800000
2.687142
2.688000
5.504000
2.935714
13.850000
19.160000
17.030000
17.900000
29.570000
23.110000
23.170000
38.600000
33.890000
46.490000
40.640000
2.761600
2.761600
2.880000
2.746400
1.603200
2.600000
9.360000
5.100000
0.830000
1.463000
2.564500
2.820000
0.576000
0.480000
0.508000
0.450000
0.348000
0.450000
0.499000
0.499000
0.499000

Pret cu ridicata
maximal de
decontare / U.T.

0.333000
1.512000
1.512000
1.022000
1.022000
0.052692
0.052692
0.043910
0.052692
0.052692
0.052692
0.871428
0.766428
0.871428
0.919714
0.840000
0.919714
1.637500
1.703571
1.676000
1.675714
1.703571
1.965000
1.965000
1.965000
1.965000
1.965000
1.965000
13.850000
16.620000
16.620000
16.620000
27.732000
23.110000
23.170000
38.600000
27.804000
46.320000
40.640000
2.761600
2.761600
2.880000
2.746400
1.603200
2.600000
9.360000
5.100000
0.830000
0.996000
2.564500
2.820000
0.417600
0.417600
0.417600
0.417600
0.348000
0.417600
0.417600
0.417600
0.417600

Pret cu
amanuntul
maximal /
ambalaj

9.00
10.22
10.22
6.90
6.90
2.43
2.59
57.44
2.62
2.54
3.67
16.49
14.50
16.49
28.23
22.71
31.85
42.84
32.23
43.84
31.71
32.23
37.50
34.79
25.42
18.17
36.00
27.77
18.72
25.90
23.02
24.19
38.68
31.23
31.31
50.49
44.33
60.81
53.16
168.57
168.57
37.67
335.28
101.35
3.51
12.65
6.89
11.22
19.78
64.85
36.88
7.78
6.49
6.86
12.16
4.70
12.16
6.75
6.75
6.75

Pret cu
amanuntul
maximal / U.T.

0.450000
2.044000
2.044000
1.380000
1.380000
0.081000
0.086333
0.057440
0.131000
0.127000
0.122333
1.177857
1.035714
1.177857
2.016428
1.135500
2.275000
2.142000
2.302142
2.192000
2.265000
2.302142
2.678571
4.970000
3.631428
3.634000
7.200000
3.967142
18.720000
25.900000
23.020000
24.190000
38.680000
31.230000
31.310000
50.490000
44.330000
60.810000
53.160000
3.371400
3.371400
3.767000
3.352800
2.027000
3.510000
12.650000
6.890000
1.122000
1.978000
3.242500
3.688000
0.778000
0.649000
0.686000
0.608000
0.470000
0.608000
0.675000
0.675000
0.675000

Grupa
Nr.
terape
crt
utica
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106

J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA14
J01MA14

J04AB01
J04AB01
J04AB01
J04AB02
J04AB02
J04AB02
J04AB02
J04AC01
J04AC01
J04AD01

J04AK01
J04AK01
J04AK02
J04AK02

Denumire generica

CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
MOXIFLOXACINUM
MOXIFLOXACINUM
CICLOSERINUM
CICLOSERINUM
CICLOSERINUM
RIFAMPICINUM
RIFAMPICINUM
RIFAMPICINUM
RIFAMPICINUM
ISONIAZIDUM
ISONIAZIDUM
PROTIONAMIDUM
PYRAZINAMIDUM
PYRAZINAMIDUM
ETHAMBUTOLUM
ETHAMBUTOLUM

J04AM02 COMBINATII (RIFAMPICINUM+IZONIAZIDUM)

Denumire comerciala

CIPRINOL 250 mg

Forma
Concentrati
farmaceutic
e / U.T.
a
COMPR. FILM. 250mg

CIPROFLOXACINA ALKALOID 500 mg COMPR. FILM.

CIPROFLOXACINA ARENA 500 mg COMPR. FILM.

CIPROZONE FORTE 500 mg


CIPRODAR
CIFRAN
CUMINOL 500 mg
ALVEBAR 500 mg

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
CIPROFLOXACINA ARENA 500 mg COMPR. FILM.
CIPROLEN (R) 500 mg
COMPR. FILM.
CIPROCIN 500 mg
COMPR. FILM.
CIPRINOL 500 mg
COMPR. FILM.
CIPRO QUIN (R)
COMPR. FILM.
CIPRINOL 750 mg
COMPR. FILM.
CIPROFLOXACINA ARENA 750 mg COMPR. FILM.

CIPROBAY XR 1000 mg
CIPROBAY XR 500 mg
CIPROFLOXACINA 100 mg/10 ml

CIPRINOL (R)
CIPRINOL (R)
CIPRINOL
CIPRINOL
UFEXIL 2 mg/ ml
CIPROBAY (R) 400
CIPROFLOXACINA INFOMED 2 mg/ml
CIPROFLOXACINA INFOMED 2 mg/ml

CIPRINOL (R)
AVELOX (R) 400 mg
AVELOX (R) 400 mg/250 ml
HELPOCERIN

COMPR. FILM. ELIB. PREL.


COMPR. FILM. ELIB. PREL.

CONC. PT. SOL. PERF.


CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.

SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.

500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
750mg
750mg
1000 mg
500 mg
100mg/10ml
100mg/10ml
100mg/10ml
100mg/50ml

Ambalaj

Prescriptie

ALKALOID D.O.O.
SLOVENIA
ARENA GROUP S.A. ROMANIA

5
10
10
10
1

58.89
37.49
66.55
59.45
59.45

11.778000
3.749000
6.655000
5.945000
59.450000

11.778000
3.749000
6.655000
5.945000
59.450000

74.46
49.04
84.15
75.17
75.17

14.892000
4.904000
8.415000
7.517000
75.170000

50
50

131.41
19.10

2.628200
0.382000

2.628200
0.382000

160.42
25.82

3.208400
0.516400

RANBAXY UK LIMITED

MAREA BRITANIE

CUTIE X 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM.

P-RF

P-RF

CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF


CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF

CUTIE X 1 BLIST. X 10 COMPR. FILM.

P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF

ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF

ARENA GROUP S.A. ROMANIA

CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF

BAYER HEALTHCARE AG GERMANIA

CUTIE X 1 BLIST. DIN PP/AL X 7 COMPR. FILM. ELIB. PREL.

BAYER HEALTHCARE AG GERMANIA

CUTIE X 1 BLIST. DIN PP/AL X 3 COMPR. FILM. ELIB. PREL.

P-RF

CUTIE X 5 FIOLE DIN STICLA INCOLORA PREVAZUTE CU INEL DE RUPERE X 10 ML

S/P-RF

ZENTIVA S.A.
KRKA D.D.
KRKA D.D.

ROMANIA

2mg/ml
2mg/ml
2mg/ml

BAYER HEALTHCARE AG GERMANIA

P-RF

CUTIE X 5 FLACOANE X 200 ML

S/P-RF

INFOMED FLUIDS SRL ROMANIA CUTIE X 10 PUNGI PVC PLASTIFIAT X 100ML S


INFOMED FLUIDS SRL ROMANIA CUTIE X 10 PUNGI PVC PLASTIFIAT X 200ML S
400mg/200ml KRKA D.D.
SLOVENIA CUTIE X 1 FLACON DIN STICLA X 200 ML S/P-RF
BAYER HEALTHCARE AG GERMANIA CUTIE X 1 BLIST. ALB OPAC PP/AL X 5 COMPR. FILM. P-RF

400mg/250ml BAYER HEALTHCARE AG GERMANIA CUTIE X 5 FLACOANE DIN STICLA X 250 ML S

250mg
250mg
250mg
150mg
150mg
300mg
300mg
100mg
300mg
250 mg
500mg
500mg
250mg
400mg

HELP PHARMACEUTICALS LTD.

ANTIBIOTICE S.A.
ANTIBIOTICE S.A.
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA
S.C. PHARMA S.A.
ANTIBIOTICE S.A.
ANTIBIOTICE S.A.
ANTIBIOTICE SA
ANTIBIOTICE SA
300mg+150mg ANTIBIOTICE SA

GRECIA CUTIE X 5 BLIST. X 10 CAPS.


ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

Pret cu
amanuntul
maximal / U.T.

CUTIE X 2 BLIST. AL/PVC X 10 COMPR. S/P-RF


20
CUTIE X 150 BLIST. AL/PVC X 10 COMPR. S
1,500
CUTIE X 150 BLIST. AL/PVC X 10 COMPR. FILM. S
1,500
CUTIE X 150 BLIST. AL/PVC X 10 COMPR. FILM. S
1,500
CUTIE X 100 BLIST. AL/PVC X 10 CAPS. S
1,000

CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF


P-RF

ANTIBIOTICE SA

Pret cu
amanuntul
maximal /
ambalaj

0.675000
1.493000
0.811000
0.837000
1.307000
0.867000
1.307000
0.641000
0.912000
1.307000
1.307000
1.307000
1.307000
3.805000
3.688000
11.958571
9.100000
3.318000
3.318000
2.699200
4.730000
9.480000
16.068000
139.264000
8.645000
15.548000
19.080000
16.486000
141.224000
4.593400
4.964100
5.296400
0.278000
0.197280
0.641000
0.508980
0.086960
0.217460
1.059300
0.450500
0.337773
0.203413
0.309460
0.510820

CUTIE X 1 BLIST. X 10 COMPR. FILM.


ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM.

ROMANIA
DR. REDDY'S LABORATORIES ROMANIA
ARENA GROUP S.A. ROMANIA
AC HELCOR SRL
ROMANIA
E.I.P.I.CO. MED S.R.L. ROMANIA

Pret cu ridicata
maximal de
decontare / U.T.

6.75
14.93
16.22
8.37
13.07
8.67
13.07
6.41
9.12
13.07
13.07
13.07
13.07
38.05
36.88
83.71
27.30
16.59
16.59
134.96
4.73
9.48
160.68
696.32
86.45
155.48
19.08
82.43
706.12
229.67
496.41
264.82
5.56
197.28
6.41
508.98
130.44
326.19
105.93
9.01
506.66
305.12
464.19
510.82

MAREA BRITANIE

GEDEON RICHTER ROMANIA SA

Pret cu ridicata
maximal / U.T.

0.417600
0.568800
0.568800
0.568800
0.568800
0.568800
0.568800
0.474000
0.568800
0.568800
0.568800
0.568800
0.568800
2.909000
2.820000
9.458571
0.568800
2.454000
2.454000
2.211000
2.653200
7.010000
8.204400
15.283200
6.837000
12.736000
14.120000
13.038000
122.564000
3.762600
4.204200
4.338400
0.193920
0.161600
0.474000
0.431950
0.071233
0.178126
0.837800
0.333500
0.286553
0.166620
0.260573
0.433640

P-RF

S/P-RF

CUTIE X 10 FOLII TERMOSUDATE DIN AL/AL X 10 CAPS. P-RF


CUTIE X 5 FOLII TERMOSUDATE DIN AL/AL X 10 CAPS.

P-RF

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

S/P-RF

CUTIE X 100 BLIST. AL/PVC X 10 CAPS. S

CUTIE X 1 BLIST. AL/PVC X 10 CAPS.

S/P-RF

CUTIE X 100 BLIST. AL/PVC X 10 COMPR. S

10
10
20
10
10
10
10
10
10
10
10
10
10
10
10
7
3
5
5
50
1
1
10
5
10
10
1
5
5
50
100
50
20

Pret cu
ridicata
maximal /
ambalaj

0.499000
1.105000
0.600000
0.619000
0.967000
0.641000
0.967000
0.474000
0.675000
0.967000
0.967000
0.967000
0.967000
2.909000
2.820000
9.458571
6.733333
2.454000
2.454000
2.211000
3.500000
7.010000
13.162000
120.764000
6.837000
12.736000
14.120000
13.038000
122.564000
3.762600
4.204200
4.338400
0.205500
0.161600
0.474000
0.431950
0.071233
0.178126
0.837800
0.333500
0.286553
0.166620
0.260573
0.433640

CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 COMPR. FILM.

DAR AL DAWA PHARMA S.R.L.

OZONE LABORATORIES LTD.

cant/
amba
laj

4.99
11.05
12.00
6.19
9.67
6.41
9.67
4.74
6.75
9.67
9.67
9.67
9.67
29.09
28.20
66.21
20.20
12.27
12.27
110.55
3.50
7.01
131.62
603.82
68.37
127.36
14.12
65.19
612.82
188.13
420.42
216.92
4.11
161.60
4.74
431.95
106.85
267.19
83.78
6.67
429.83
249.93
390.86
433.64

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF

SLOVENIA CUTIE X 5 FIOLE X 10 ML


S/P-RF
SLOVENIA CUTIE X 50 FIOLE X 10 ML
S
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 50 ML SOL. PERF. S/P-RF
200mg/100ml KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML SOL. PERF. S/P-RF
2mg/ml
DEMO SA
GRECIA CUTIE X 10 PUNGI PP X 100 ML SOL. PERF. S

COMPR. FILM. 400mg

SOL. PERF.
CAPS.
CICLOSERINA ANTIBIOTICE 250 mg CAPS.
CICLOSERINA ANTIBIOTICE 250 mg CAPS.
SINERDOL 150 mg
CAPS.
SINERDOL 150 mg
CAPS.
SINERDOL 300 mg
CAPS.
SINERDOL 300 mg
CAPS.
ISONIAZIDA 100 mg
COMPR.
IZONIAZIDA ANTIBIOTICE 300 mg COMPR.
PETEHA
COMPR.
PIRAZINAMIDA ANTIBIOTICE 500 mg COMPR.
PIRAZINAMIDA ANTIBIOTICE 500 mg COMPR.
ETAMBUTOL 250 mg
COMPR. FILM.
ETAMBUTOL 400 mg
COMPR. FILM.
SINERDOL ISO
CAPS.

Tara

Firma

1,000

10

CUTIE X 150 BLIST. X 10 COMPR.

CUTIE X 150 BLIST. PVC/AL X 10 COMPR.

S/P-RF

1,000
1,500
1,500

CUTIE X 100 COMPR.

S/P-RF

100

P1: PROGRAMUL NATIONAL DE BOLI TRANSMISIBILE


C) SUBPROGRAMUL DE SUPRAVEGHERE SI CONTROL AL BOLILOR TRANSMISIBILE PRIORITATRE PREV-TRAT GRIPEI
1
2
3
4
5

J05AH01
J05AH02
J05AH02
J05AH02
J05AH02

ZANAMIVIRUM
OSELTAMIVIRUM
OSELTAMIVIRUM
OSELTAMIVIRUM
OSELTAMIVIRUM

RELENZA 5 mg
TAMIFLU 30mg
TAMIFLU 45mg
TAMIFLU 75 mg
TAMIFLU 12 mg/ml

PULB. PT. SUSP. ORALA

5mg
30mg
45mg
75mg
12mg/ml

COMPR.
DRAJ.

50mg
50mg

PULB. UNIDOZA DE INHALAT

CAPS.
CAPS.
CAPS.

GLAXO GROUP LTD.

MAREA BRITANIE

CUTIE X 1 FLAC. X 5 BLIST. TIP ROTADISK X 4 DOZE + DISPOZITIV DE ADMINISTRARE DISKHALER

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 1BLISTER PVC/PE/PVDC/ALX 10 CAPSULE P-RF

ROCHE REGISTRATION LTD.

MAREA BRITANIE

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 1BLISTER PVC/PE/PVDC/AL X 10 CAPSULE

P-RF

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 1 FLAC. A 100ML X 30 G PULB. PT. SUSP. ORALA + ADAPTOR, SERINGA SI CUPA PT. MASURARE

P-RF

BAYER SCHERING PHARMA AG

GERMANIA

CUTIE X 1 FLAC. X 50 COMPR.

P-RF

P-RF

CUTIE X 1 BLISTER PVC/PE/PVDC/ALX 10 CAPSULE P-RF

P3: PROGRAMUL NATIONAL DE ONCOLOGIE


1
2

G03HA01

L01AA01

CYPROTERONUM
CYCLOPHOSPHAMIDUM

ANDROCUR
ENDOXAN (R) 50 mg

BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ. P-RF

Pagina 105 din 205

Grupa
Nr.
terape
crt
utica
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62

L01AA01
L01AA02
L01AA03
L01AA06
L01AB01
L01AD02
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX04
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA04
L01BB02
L01BB03
L01BB04
L01BB05
L01BB05
L01BB05
L01BC01
L01BC01
L01BC01
L01BC01
L01BC01
L01BC02
L01BC02
L01BC02
L01BC02
L01BC02

Denumire generica

CYCLOPHOSPHAMIDUM
CHLORAMBUCILUM
MELPHALANUM
IFOSFAMIDUM
BUSULFANUM
LOMUSTINUM4
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
DACARBAZINUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
PEMETREXEDUM****
MERCAPTOPURINUM
TIOGUANINUM
CLADRIBINUM
FLUDARABINUM****
FLUDARABINUM
FLUDARABINUM
CYTARABINUM
CYTARABINUM
CYTARABINUM
CYTARABINUM
CYTARABINUM
FLUOROURACILUM
FLUOROURACILUM
FLUOROURACILUM
FLUOROURACILUM
FLUOROURACILUM

Denumire comerciala

ENDOXAN 200 mg
LEUKERAN
ALKERAN 2 mg
HOLOXAN 1 g
MYLERAN
CEENU

Forma
Concentrati
farmaceutic
e / U.T.
a
PULB. PT. SOL. PERF./INJ. I.V.

200mg

COMPR. FILM. 2mg


COMPR. FILM. 2mg

1g
COMPR. FILM. 2mg
CAPS. MOI 40mg
TEMOZOLOMIDE SANDOZ 100 mg CAPS.
100 mg
TEMOMEDAC 100 mg
CAPS.
100 mg
TEMOZOLOMIDE HOSPIRA 100mg CAPS.
100mg
TEMOZOLOMIDE TEVA 100 mg CAPS.
100mg
TEMODAL 100 mg
CAPS.
100mg
TEMODAL 100 mg
CAPS.
100mg
TEMOZOLOMIDE HOSPIRA 140mg CAPS.
140mg
TEMODAL 140mg
CAPS.
140mg
TEMOZOLOMIDE HOSPIRA 180mg CAPS.
180mg
TEMODAL 180 mg
CAPS.
180mg
TEMOZOLOMIDE SANDOZ 20 mg CAPS.
20 mg
TEMOZOLOMIDE HOSPIRA 20 mg CAPS.
20mg
TEMODAL 20 mg
CAPS.
20mg
TEMODAL 20 mg
CAPS.
20mg
TEMOMEDAC 20 mg
CAPS.
20mg
TEMOZOLOMIDE TEVA 20 mg CAPS.
20mg
TEMOMEDAC 250 mg
CAPS.
250 mg
TEMOZOLOMIDE SANDOZ 250 mg CAPS.
250 mg
TEMOZOLOMIDE HOSPIRA 250mg CAPS.
250mg
TEMODAL 250 mg
CAPS.
250mg
TEMOZOLOMIDE TEVA 250 mg CAPS.
250mg
TEMOZOLOMIDE HOSPIRA 5mg CAPS.
5mg
TEMODAL 5 mg
CAPS.
5mg
TEMODAL 2,5mg/ml
PULB. PT. SOL. PERF. 2,5mg/ml
DACARBAZINE 500 mg
PULB. PT. SOL. INJ. 500mg
METOTREXATE BELLON 2,5 mg COMPR.
2,5mg
METHOTREXAT "EBEWE" 5000 mg CONC. PT. SOL. INJ./PERF. 100mg/ml
METHOTREXAT "EBEWE" 1000 mg CONC. PT. SOL. INJ./PERF. 100mg/ml
METHOTREXAT "EBEWE" 500 mg CONC. PT. SOL. INJ./PERF. 100mg/ml
METHOTREXAT "EBEWE" 5 mg SOL. INJ.
5mg/ml
METOTREXAT EBEWE 10 mg/ml
10mg/ml
METOTREXAT EBEWE 10 mg/ml
10mg/ml
METOTREXAT EBEWE 10 mg/ml
10mg/ml
METOTREXAT EBEWE 10 mg/ml
10mg/ml
METOJECT 50mg/ml
50mg/ml
METOJECT 50mg/ml
50mg/ml
METHOTREXAT "EBEWE" 50 mg SOL. INJ./PERF. 10mg/ml
ALIMTA 500mg
500mg
PURI - NETHOL
COMPR.
50mg
LANVIS
COMPR.
40mg
LITAK 2 mg/ml
SOL. INJ.
2mg/ml
FLUDARA ORAL 10 mg
COMPR. FILM. 10mg
FLUDARA
LIOF. PT. SOL. INJ./PERF. 50mg
FLUDARABINA ACTAVIS 25 mg/ml PULB. PT. SOL. INJ./PERF. 25mg/ml
ALEXAN 20mg/ml
SOL. INJ.
20mg/ml
ALEXAN 20mg/ml
SOL. INJ.
20mg/ml
ALEXAN 50mg/ml
SOL. INJ.
50mg/ml
ALEXAN 50mg/ml
SOL. INJ.
50mg/ml
DEPOCYTE 50mg
SUSP. INJ. 50mg
5 - FLUOROURACIL EBEWE 50mg/ml CONC. PT. SOL. INJ./PERF. 50mg/ml
5 - FLUOROURACIL EBEWE 50mg/ml CONC. PT. SOL. INJ./PERF. 50mg/ml
5 - FLUOROURACIL EBEWE 50mg/ml CONC. PT. SOL. INJ./PERF. 50mg/ml
5 - FLUOROURACIL EBEWE 50mg/ml CONC. PT. SOL. INJ./PERF. 50mg/ml
EFUDIX
UNGUENT 50 mg/g
PULB. PT. SOL. PERF.

Tara

Firma

ACTAVIS S.R.L.

Ambalaj

Prescriptie

ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. PERF./INJ S


CUTIE X 1 FLAC. X 25 COMPR. FILM. P-RF

THE WELLCOME FOUNDATION LTD. MAREA BRITANIE


THE WELLCOME FOUNDATION LTD. MAREA BRITANIE

CUTIE X 1 FLAC. DIN STICLA BRUNA X 25 COMPR. FILM.

BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. PERF.
THE WELLCOME FOUNDATION LTD. MAREA BRITANIE

CUTIE X 1 FLAC. DIN STICLA BRUNA X 25 COMPR. FILM.

P-RF

S
P-RF

CN UNIFARM

ROMANIA CUTIE X 1 BLIST. 20 CAPS. MOI

SANDOZ PHARMACEUTICALS GMBH

GERMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS.

P-RF/R

GERMANIA

FLACON DIN STICL BRUN, CU CAPAC ALB CU FILET DIN POLIPROPILEN, SECURIZAT PENTRU COPII, CU SIGI

MAREA BRITANIE

CUTIE CU 1 FL DIN STICLA BRUNA X 5 CAPS.

PR

TEVA PHARMA B.V. OLANDA


SP EUROPE
BELGIA
SP EUROPE
BELGIA

CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS.

P-RF/R

CUTIE X 5 CAPS. AMBALATE INDIVIDUAL IN PLICURI

P-RF/R

CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS.

P-RF/R

HOSPIRA UK LIMITED

MAREA BRITANIE

CUTIE CU 1 FL DIN STICLA BRUNA X 5 CAPS.

PR

SP EUROPE

BELGIA

CUTIE X 5 CAPS. AMBALATE INDIVIDUAL IN PLICURI

P-RF/R

HOSPIRA UK LIMITED

MAREA BRITANIE

CUTIE CU 1 FL DIN STICLA BRUNA X 5 CAPS.

PR

SP EUROPE

BELGIA

CUTIE X 5 CAPS. AMBALATE INDIVIDUAL IN PLICURI

P-RF/R

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

HOSPIRA UK LIMITED

SANDOZ PHARMACEUTICALS GMBH

GERMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS.

HOSPIRA UK LIMITED

MAREA BRITANIE

SP EUROPE
SP EUROPE

BELGIA
BELGIA

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANIA

TEVA PHARMA B.V. OLANDA

P-RF

P-RF/R

CUTIE CU 1 FL DIN STICLA BRUNA X 5 CAPS.

PR

CUTIE X 5 CAPS. AMBALATE INDIVIDUAL IN PLICURI

P-RF/R

CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS.

P-RF/R

FLACON DIN STICL BRUN, CU CAPAC ALB CU FILET DIN POLIPROPILEN, SECURIZAT PENTRU COPII, CU SIGI

P-RF

CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS.

P-RF/R

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANIA

SANDOZ PHARMACEUTICALS GMBH

GERMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS.

HOSPIRA UK LIMITED

FLACON DIN STICL BRUN, CU CAPAC ALB CU FILET DIN POLIPROPILEN, SECURIZAT PENTRU COPII, CU SIGI

P-RF
P-RF/R

MAREA BRITANIE

CUTIE CU 1 FL DIN STICLA BRUNA X 5 CAPS.

PR

SP EUROPE
BELGIA
TEVA PHARMA B.V. OLANDA

CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS.

P-RF/R

CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS.

P-RF/R

HOSPIRA UK LIMITED

MAREA BRITANIE

CUTIE CU 1 FL DIN STICLA BRUNA X 5 CAPS.

PR

BELGIA
BELGIA

CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS.

P-RF/R

SP EUROPE
SP EUROPE
CN UNIFARM S.A.
FARMEXINM S.R.L.

CUTIE X 1 FLAC. PULB. PT. SOL. PERF.


ROMANIA CUTIE CU 1 FLAC.X 500MG PULB. PT. SOL. INJ.
ROMANIA CUTIE X 20 COMPR.

P-RF/R

P-RF
P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

EBEWE PHARMA GES.M.B.H. NFG KG

SOL. INJ. IN SERINGA PREUMPLUTA

EBEWE PHARMA GES.M.B.H. NFG KG

SOL. INJ. IN SERINGA PREUMPLUTA

EBEWE PHARMA GES.M.B.H. NFG KG

SOL. INJ. IN SERINGA PREUMPLUTA

EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRIA CUTIE X 1 FLACON X 50 ML


AUSTRIA CUTIE X 1 TUB DIN MATERIAL PLASTIC X 1 FIOLA X 10 ML
AUSTRIA CUTIE X 5 FIOLE X 5 ML
AUSTRIA CUTIE X 10 FIOLE X 1 ML
AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA CU AC X 2 ML SOL INJ.
AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA CU AC X 1,5 ML SOL INJ.
AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA CU AC X 1 ML SOL INJ.
AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA CU AC X 0,75 ML SOL INJ.

SOL. INJ. IN SERINGA PREUMPLUTA

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,50ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL

P-RF

SOL. INJ. IN SERINGA PREUMPLUTA

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,40ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL

P-RF

PULB. PT. CONC. PT. SOL. PERF.

EBEWE PHARMA GMBH NFG. KG


EBEWE PHARMA GMBH NFG. KG
EBEWE PHARMA GMBH NFG. KG
EBEWE PHARMA GMBH NFG. KG

EBEWE PHARMA GMBH NFG. KG

ELI LILLY NEDERLAND BV

S
S
S
S
P-RF/R
P-RF/R
P-RF/R
P-RF/R

AUSTRIA CUTIE X 1 FLACON X 5 ML


S
OLANDA CUTIE X 1 FLAC. PULB. PT. CONC. PT. SOL. PERF. S
CUTIE X 1 FLAC. DIN STICLA BRUNA X 25 COMPR.

P-RF

GERMANIA

CUTIE X 1 FLAC. X 25 COMPR.


CUTIE X 1 FLACON X 5 ML

P-RF

LIPOMED GMBH
BAYER SCHERING PHARMA AG

GERMANIA

CUTIE X 1 FLAC. DIN PE X 4 BLIST. AL/AL X 5 COMPR. FILM.

BAYER SCHERING PHARMA AG

GERMANIA CUTIE X 5 FLAC. CU LIOF. PT. SOL. INJ./PERF.

ACTAVIS S.R.L.

ROMANIA

EBEWE PHARMA GMBH NFG. KG

EBEWE PHARMA GMBH NFG. KG

AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA

PACIRA LIMITED

MAREA BRITANIE

THE WELLCOME FOUNDATION LTD. MAREA BRITANIE


THE WELLCOME FOUNDATION LTD. MAREA BRITANIE

EBEWE PHARMA GMBH NFG. KG


EBEWE PHARMA GMBH NFG. KG

AUSTRIA
AUSTRIA
EBEWE PHARMA GMBH NFG. KG AUSTRIA
EBEWE PHARMA GMBH NFG. KG AUSTRIA
ICN HUNGARY CO. LTD. UNGARIA
EBEWE PHARMA GMBH NFG. KG
EBEWE PHARMA GMBH NFG. KG

S
P-RF/S

S
S
CUTIE X 1 FLACON DIN STICLA X 2 ML SOL. INJ. S
CUTIE X 10 FLACOANE DIN STICLA X 5 ML SOL. INJ. S
CUTIE X 1 FLACON X 10 ML. SOL. INJ. S
CUTIE X 1 FLACON X 20 ML. SOL. INJ. S
CUTIE X 1 FLAC. X 50MG SUSP.INJ. (MONODOZA 5ML) S
CUTIE X 1 FLACON DIN STICLA BRUNA X 10 ML CONCENTRAT PT. SOL. INJ./PERF.
S
CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML CONCENTRAT PT. SOL. INJ./PERF.
S
CUTIE X 1 FLACON DIN STICLA BRUNA X 20 ML CONCENTRAT PT. SOL. INJ./PERF.
S
CUTIE X 1 FLACON DIN STICLA BRUNA X 5 ML CONCENTRAT PT. SOL. INJ./PERF.
S
CUTIE X 1 TUB X 20 G UNGUENT S/P-RF

CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 5ML) CU PULB. PT. SOL. INJ/PERF CONTINAND 50MG FLUDA

Pagina 106 din 205

cant/
amba
laj

1
25
25
1
25
20
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
1
1
20
1
1
5
10
1
1
1
1
1
1
1
1
25
25
1
20
5
1
1
10
1
1
1
1
1
1
1
1

Pret cu
ridicata
maximal /
ambalaj

11.62
5.19
6.81
91.57
11.47
393.22
1,041.85
1,041.85
969.98
1,041.85
1,526.81
1,586.68
1,423.28
2,490.31
1,876.58
3,174.58
226.97
166.06
335.22
347.44
226.97
226.97
2,510.02
2,510.02
2,510.02
3,845.41
2,510.02
43.04
90.59
1,205.59
67.44
16.70
329.08
70.08
195.15
17.42
99.16
86.05
61.49
45.06
100.54
85.61
9.74
4,986.20
35.14
75.36
1,419.30
1,660.81
2,387.59
336.49
4.56
96.42
44.69
75.44
6,889.13
7.01
89.06
13.97
3.46
90.95

Pret cu ridicata
maximal / U.T.

11.620000
0.207600
0.272400
91.570000
0.458800
19.661000
208.370000
208.370000
193.996000
208.370000
305.362000
317.336000
284.656000
498.062000
375.316000
634.916000
45.394000
33.212000
67.044000
69.488000
45.394000
45.394000
502.004000
502.004000
502.004000
769.082000
502.004000
8.608000
18.118000
1,205.590000
67.440000
0.835000
329.080000
70.080000
39.030000
1.742000
99.160000
86.050000
61.490000
45.060000
100.540000
85.610000
9.740000
4,986.200000
1.405600
3.014400
1,419.300000
83.040500
477.518000
336.490000
4.560000
9.642000
44.690000
75.440000
6,889.130000
7.010000
89.060000
13.970000
3.460000
90.950000

Pret cu ridicata
maximal de
decontare / U.T.

11.620000
0.207600
0.272400
91.570000
0.458800
19.661000
208.370000
208.370000
193.996000
208.370000
232.795200
232.795200
284.656000
341.587200
375.316000
450.379200
39.854400
33.212000
39.854400
39.854400
39.854400
39.854400
502.004000
502.004000
502.004000
602.404800
502.004000
8.608000
10.329600
1,205.590000
67.440000
0.835000
329.080000
70.080000
39.030000
1.742000
99.160000
86.050000
61.490000
45.060000
100.540000
85.610000
9.740000
4,986.200000
1.405600
3.014400
1,419.300000
83.040500
403.788000
336.490000
4.560000
9.642000
44.690000
75.440000
6,889.130000
7.010000
89.060000
13.970000
3.460000
90.950000

Pret cu
amanuntul
maximal /
ambalaj

15.70
7.01
9.21
115.78
15.50
466.76
1,173.77
1,173.77
1,095.43
1,173.77
1,702.38
1,767.63
1,589.53
2,752.59
2,083.63
3,498.45
277.09
202.73
403.54
416.86
277.09
277.09
2,774.07
2,774.07
2,774.07
4,229.65
2,774.07
56.30
114.54
1,352.25
85.27
22.57
396.85
88.61
238.24
23.54
125.38
108.80
77.75
58.94
122.74
108.25
13.17
5,473.12
45.96
95.28
1,585.19
1,848.44
2,640.63
404.92
6.16
121.91
58.45
95.39
7,547.31
9.48
112.61
18.88
4.67
115.00

Pret cu
amanuntul
maximal / U.T.

15.700000
0.280400
0.368400
115.780000
0.620000
23.338000
234.754000
234.754000
219.086000
234.754000
340.476000
353.526000
317.906000
550.518000
416.726000
699.690000
55.418000
40.546000
80.708000
83.372000
55.418000
55.418000
554.814000
554.814000
554.814000
845.930000
554.814000
11.260000
22.908000
1,352.250000
85.270000
1.128500
396.850000
88.610000
47.648000
2.354000
125.380000
108.800000
77.750000
58.940000
122.740000
108.250000
13.170000
5,473.120000
1.838400
3.811200
1,585.190000
92.422000
528.126000
404.920000
6.160000
12.191000
58.450000
95.390000
7,547.310000
9.480000
112.610000
18.880000
4.670000
115.000000

Grupa
Nr.
terape
crt
utica
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122

L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC06
L01BC06
L01BC53
L01BC53
L01CA02
L01CA04
L01CA04
L01CA04
L01CA04
L01CA04
L01CA04
L01CA04
L01CA04
L01CA04
L01CA04
L01CA04
L01CA04
L01CA04
L01CB01
L01CB01
L01CB01
L01CB01
L01CB01
L01CB01
L01CD01
L01CD01

Denumire generica

GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
CAPECITABINUM
CAPECITABINUM
COMBINATII (TAGAFUR+URACIL)
COMBINATII (TAGAFUR+URACIL)
VINCRISTINUM
VINORELBINUM
VINORELBINUM
VINORELBINUM
VINORELBINUM
VINORELBINUM
VINORELBINUM
VINORELBINUM
VINORELBINUM
VINORELBINUM
VINORELBINUM
VINORELBINUM
VINORELBINUM
VINORELBINUM
ETOPOSIDUM
ETOPOSIDUM
ETOPOSIDUM
ETOPOSIDUM
ETOPOSIDUM
ETOPOSIDUM
PACLITAXELUM**
PACLITAXELUM**

Denumire comerciala

GEMCITABINA EBEWE PHARMA 10 mg/ml


GEMCITABINA EBEWE PHARMA 10 mg/ml

GEMSOL 40 mg/ml
GEMSOL 40 mg/ml
GEMSOL 40 mg/ml
GITRABIN 40 mg/ml
GITRABIN 40 mg/ml
GITRABIN 40 mg/ml
GEMZAR 1000 mg
DERCIN 1000 mg
NALLIAN1000 mg
GEMCITABINA TEVA 1000 mg

GEMCITIN 1 g
GEMCITABINE POLPHARMA 1 g

GEMCITABINA TEVA 2000 mg

DAPLAX 200 mg
NALLIAN 200 mg
DERCIN 200 mg
GEMCITABINA TEVA 200 mg
GEMZAR (R) 200 mg
GEMCITIN 200 mg
GEMCITABINE POLPHARMA 200 mg

GEMCIRENA 38 mg/ml
GEMCITABINE MEDAC 38 mg/ml
GEMCITABINE MEDAC 38 mg/ml
GEMCITABINE MEDAC 38 mg/ml

GEMCIRENA 38 mg/ml
GITRABIN 38 mg/ml
GITRABIN 38 mg/ml
GITRABIN 38 mg/ml
GEMCIRENA 38 mg/ml
GEMCIRENA 38 mg/ml
GEMCITABINE MYLAN 38 mg/ml
GEMCITABINE MYLAN 38 mg/ml

XELODA 150 mg
XELODA 500 mg
UFT
UFT
SINDOVIN 1 mg
NAVELBINE 20 mg
NAVELBINE 30 mg
VINORELBIN EBEWE 10 mg/ ml
VINORELBIN EBEWE 10 mg/ ml
VINORELBIN ACTAVIS 10 mg/ml
VINORELBIN ACTAVIS 10 mg/ml

TELBINE 10 mg/ml
VINORELBINE POLPHARMA 10mg/ml
VINORELBINE POLPHARMA 10mg/ml

TELBINE 10 mg/ml
VINORELBINE POLPHARMA 50mg/5ml
VINORELBINE POLPHARMA 50mg/5ml

NAVELBINE (R)
VEPESID
VEPESID
ETOPOSID "EBEWE" 100 mg/5 ml

SINTOPOZID 100 mg/5 ml


ETOPOSIDE - TEVA
ETOPOSIDE - TEVA
SINDAXEL
SINDAXEL

Forma
Concentrati
farmaceutic
e / U.T.
a
10mg/ml
10mg/ml
CONC. PT. SOL. PERF. 40 mg/ml
CONC. PT. SOL. PERF. 40 mg/ml
CONC. PT. SOL. PERF. 40 mg/ml
CONC. PT. SOL. PERF. 40mg/ml
CONC. PT. SOL. PERF. 40mg/ml
CONC. PT. SOL. PERF. 40mg/ml
PULB. PT. SOL. PERF. 1000 mg
PULB. PT. SOL. PERF. 1000 mg
PULB. PT. SOL. PERF. 1000 mg
PULB. PT. SOL. PERF. 1000mg
PULB. PT. SOL. PERF. 1g
PULB. PT. SOL. PERF. 1g
PULB. PT. SOL. PERF. 2000mg
PULB. PT. SOL. PERF. 200mg
PULB. PT. SOL. PERF. 200mg
PULB. PT. SOL. PERF. 200mg
PULB. PT. SOL. PERF. 200mg
PULB. PT. SOL. PERF. 200mg
PULB. PT. SOL. PERF. 200mg
PULB. PT. SOL. PERF. 200mg
PULB. PT. SOL. PERF. 38mg/ml
PULB. PT. SOL. PERF. 38mg/ml
PULB. PT. SOL. PERF. 38mg/ml
PULB. PT. SOL. PERF. 38mg/ml
PULB. PT. SOL. PERF. 38mg/ml
PULB. PT. SOL. PERF. 38mg/ml
PULB. PT. SOL. PERF. 38mg/ml
PULB. PT. SOL. PERF. 38mg/ml
PULB. PT. SOL. PERF. 38mg/ml
PULB. PT. SOL. PERF. 38mg/ml
PULB. PT. SOL. PERF. 38mg/ml
PULB. PT. SOL. PERF. 38mg/ml
COMPR. FILM. 150mg
COMPR. FILM. 500mg
CAPS.
100mg+224mg
CAPS.
100mg+224mg
LIOF. PT. SOL. INJ./PERF. I.V. 1mg
CAPS. MOI 20mg
CAPS. MOI 30mg
CONC. PT. SOL. INJ./PERF.
10mg/ml
CONC. PT. SOL. INJ./PERF.
10mg/ml
CONC. PT. SOL. PERF. 10mg/ml
CONC. PT. SOL. PERF. 10mg/ml
CONC. PT. SOL. PERF. 10mg/ml
CONC. PT. SOL. PERF. 10mg/ml
CONC. PT. SOL. PERF. 10mg/ml
CONC. PT. SOL. PERF. 10mg/ml
CONC. PT. SOL. PERF. 50mg/5ml
CONC. PT. SOL. PERF. 50mg/5ml
SOL. INJ.
10mg/ml
CAPS. MOI 100mg
CAPS. MOI 50mg
CONC. PT. SOL. PERF. 100mg/5ml
CONC. PT. SOL. PERF. 100mg/5ml
CONC. PT. SOL. PERF. 20mg/ml
CONC. PT. SOL. PERF. 20mg/ml
CONC. PT. SOL. PERF. 6mg/ml
CONC. PT. SOL. PERF. 6mg/ml

Tara

Firma

AUSTRIA
AUSTRIA
EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA
EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA
EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA
ACTAVIS GROUP PTC EHF. ISLANDA
ACTAVIS GROUP PTC EHF. ISLANDA
ACTAVIS GROUP PTC EHF. ISLANDA
LILLY FRANCE SAS FRANTA
EGIS PHARMACEUTICALS P.L.C. UNGARIA

Ambalaj

S
S
PR
PR
PR
CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML X 2 G GEMCITABINA PR
CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 25 ML X 1 G GEMCITABINA PR
CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 5 ML X 200 MG GEMCITABINA
PR
CUTIE X 1FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. S
S
S
CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 1000 MG PULB. PT. SOL. PERF.
S
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF.
S
S
CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 200 MG PULB. PT. SOL. PERF.
S
S
S
S
CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 200 MG PULB. PT. SOL. PERF.
S
CUTIE X 1 FLAC. PULB. PT. SOL. PERF. S
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF.
S
S
S
S
S
S
S
S
S
S
S
S
S
S

CONC. PT. SOL. PERF.

EBEWE PHARMA GES.M.B.H. NFG KG

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 100 ML CONC. PT. SOL. PERF. X 1000 MG GEMCITABINA

CONC. PT. SOL. PERF.

EBEWE PHARMA GES.M.B.H. NFG KG

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 20 ML CONC. PT. SOL. PERF. X 200 MG GEMCITABINA

ROMANIA
TEVA PHARMACEUTICALS S.R.L. ROMANIA
ICN POLFA RZESZOW S.A. POLONIA
PHARMACEUTICAL WORKS POLPHARMA SA POLONIA
TEVA PHARMACEUTICALS S.R.L. ROMANIA
DR. REDDY'S LABORATORIES ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
EGIS PHARMACEUTICALS P.L.C. UNGARIA
TEVA PHARMACEUTICALS S.R.L. ROMANIA
GEDEON RICHTER ROMANIA SA

LILLY FRANCE SAS FRANTA

CUTIE CU 1 FLACOANE STICLA INCOLORA SIST. ,,ONCO-SAFE" A 25 ML CONC .SOL. PERF. X 1000 MG

CUTIE CU 1 FLACON STICLA INCOLORA FARA SIST. ,,ONCO-SAFE" A 5 ML CONC .SOL. PERF. X 200 MG

CUTIE CU 1 FLACON STICLA INCOLORA SIST. ,,ONCO-SAFE" A 50 ML CONC .SOL. PERF. X 2000 MG

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 50 ML CONTINAND PULB. PT. SOL. PERF.

CUTIE X 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. PERF. CONTINAND 1000 MG GEMCITABINA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50ML CONTINAND 1 G GEMCITABINA PULB.PT. SOL. PERF.

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. CONTINAND 200MG GEMCITABINA

CUTIE X 1 FLAC. DIN STICLA INCOLORA A 10 ML CU PULB. PT. SOL. PERF. CONTINAND 200MG GEMCITABINA

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 10 ML CU PULB. PT. SOL. PERF.

FRESENIUS KABI ROMANIA SRL

POLONIA
POLONIA
ROMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML CU PULB. PT. SOL. PERF. CARE CONTINE 2000MG GEMCITABINA

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML CU PULB. PT. SOL. PERF. CONTINAND 1500 MG GEMCITABINA

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF. CONTINAND 1000 MG GEMCITABINA

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10 ML CU PULB. PT. SOL. PERF. CONTINAND 200 MG GEMCITABINA

FRESENIUS KABI ROMANIA SRL

ROMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML CU PULB. PT. SOL. PERF. CARE CONTINE 1500MG GEMCITABINA

ACTAVIS GROUP PTC EHF.

ISLANDA
ISLANDA
ISLANDA

ICN POLFA RZESZOW S.A.


PHARMACEUTICAL WORKS POLPHARMA SA

ACTAVIS GROUP PTC EHF.


ACTAVIS GROUP PTC EHF.

Prescriptie

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10ML CONTINAND 200MG GEMCITABINA PULB.PT. SOL. PERF.

CUTIE X 1 FLAC. STICLA INCOLORA CU PULB. PT SOL. PERF. CARE CONTINE 2000MG GEMCITABINA

CUTIE X 1 FLAC. STICLA INCOLORA CU PULB. PT SOL. PERF. CARE CONTINE 1000MG GEMCITABINA

CUTIE X 1 FLAC. STICLA INCOLORA CU PULB. PT SOL. PERF. CARE CONTINE 200MG GEMCITABINA

FRESENIUS KABI ROMANIA SRL

ROMANIA
ROMANIA

MYLAN S.A.S.
MYLAN S.A.S.

FRANTA
FRANTA

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 6 BLIST. DIN PVC/PE/PVDC X 10 COMPR. FILM.

P-RF/R

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 12 BLIST. DIN PVC/PE/PVDC X 10 COMPR. FILM.

P-RF/R

MERCK KGAA
MERCK KGAA
ACTAVIS S.R.L.

GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 12 CAPS. P-RF

FRESENIUS KABI ROMANIA SRL

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF. CARE CONTINE 1000MG GEMCITABINA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10 ML CU PULB. PT. SOL. PERF. CARE CONTINE 200MG GEMCITABINA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML PULB. PT SOL. PERF. CARE CONTINE 1000 MG GEMCITABINA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10 ML PULB. PT SOL. PERF. CARE CONTINE 200 MG GEMCITABINA

GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL X 12 CAPS. P-RF

ROMANIA

PIERRE FABRE MEDICAMENT PRODUCTION


PIERRE FABRE MEDICAMENT PRODUCTION

EBEWE PHARMA GES.M.B.H. NFG KG


EBEWE PHARMA GES.M.B.H. NFG KG

ACTAVIS S.R.L.
ACTAVIS S.R.L.
TEVA PHARMACEUTICAL S.R.L.
PHARMACEUTICALS WORKS POLPHARMA SA
PHARMACEUTICALS WORKS POLPHARMA SA

TEVA PHARMACEUTICAL S.R.L.


PHARMACEUTICALS WORKS POLPHARMA SA
PHARMACEUTICALS WORKS POLPHARMA SA

FRANTA
FRANTA
AUSTRIA
AUSTRIA

CUTIE X 1 FLAC. DIN STICLA CU LIOF. PT. SOL. INJ./PERF. I.V.

CUTIE X 1 BLIST. PVC-PVDC/AL-PETP X 1 CAPS. MOALE

P-RF

CUTIE X 1 BLIST. PVC-PVDC/AL-PETP X 1 CAPS. MOALE

P-RF

CUTIE X 1 FLAC. X 1 ML CONC. PT. SOL. INJ/PERF.

S
S
S
S
S
S
S
S
S
S
S

CUTIE X 1 FLAC. X 5 ML CONC. PT. SOL. INJ/PERF.

ROMANIA CUTIE X 1 FLAC. X 1 ML CONC. PT. SOL. PERF.


ROMANIA CUTIE X 1 FLAC. X 5 ML CONC. PT. SOL. PERF.
ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 1 ML CONC. PT. SOL. PERF.
POLONIA CUTIE X 10 FLAC. DIN STICLA INCOLORA X 1 ML CONC. PT. SOL. PERF.
POLONIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 1 ML CONC. PT. SOL. PERF.
ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF.
POLONIA CUTIE X 10 FLAC. DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF.
POLONIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF.

LAB. PIERRE FABRE FRANTA CUTIE X 10 FIOLE X 1 ML


UNGARIA CUTIE X 1 BLIST. PVC/A0-PVC-PVDC X 10 CAPS. P-RF
BRISTOL MYERS SQUIBB KFT UNGARIA CUTIE X 2 BLIST. PVC/AL-PVC-PVDC X 10 CAPS. P-RF
EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 5 ML
S
ACTAVIS S.R.L.
ROMANIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. S
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 10 ML CONC. PT. SOL. PERF.
S
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 5 ML CONC. PT. SOL. PERF. S
ACTAVIS S.R.L.
ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 25 ML CONC. PT. SOL. PERF. S
ACTAVIS S.R.L.
ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. S
BRISTOL MYERS SQUIBB KFT

Pagina 107 din 205

cant/
amba
laj

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
60
120
36
120
1
1
1
1
1
1
1
1
10
1
1
10
1
10
10
20
1
1
1
1
1
1

Pret cu
ridicata
maximal /
ambalaj

183.59
41.05
183.59
41.05
363.80
512.71
183.59
41.05
282.45
183.58
183.59
183.59
273.36
183.59
363.81
41.05
41.05
41.05
41.05
62.05
55.56
41.05
364.82
624.90
426.47
93.61
276.22
363.80
183.59
41.05
179.23
41.05
282.45
62.05
237.29
1,461.14
605.34
1,947.87
20.42
192.78
289.15
71.29
348.23
71.30
443.97
71.29
470.57
71.30
348.23
1,902.36
348.20
1,009.29
307.71
304.95
38.59
32.45
60.36
31.59
553.20
113.60

Pret cu ridicata
maximal / U.T.

183.590000
41.050000
183.590000
41.050000
363.800000
512.710000
183.590000
41.050000
282.450000
183.580000
183.590000
183.590000
273.360000
183.590000
363.810000
41.050000
41.050000
41.050000
41.050000
62.050000
55.560000
41.050000
364.820000
624.900000
426.470000
93.610000
276.220000
363.800000
183.590000
41.050000
179.230000
41.050000
282.450000
62.050000
3.954833
12.176166
16.815000
16.232250
20.420000
192.780000
289.150000
71.290000
348.230000
71.300000
443.970000
71.290000
47.057000
71.300000
348.230000
190.236000
348.200000
100.929000
30.771000
15.247500
38.590000
32.450000
60.360000
31.590000
553.200000
113.600000

Pret cu ridicata
maximal de
decontare / U.T.

183.590000
41.050000
183.590000
41.050000
363.800000
436.560000
183.590000
41.050000
215.076000
183.580000
183.590000
183.590000
215.076000
183.590000
363.810000
41.050000
41.050000
41.050000
41.050000
49.260000
49.260000
41.050000
364.820000
331.464000
215.076000
49.260000
276.220000
363.800000
183.590000
41.050000
179.230000
41.050000
215.076000
49.260000
3.954833
12.176166
16.815000
16.232250
20.420000
192.780000
289.150000
56.468400
228.283200
56.468400
228.283200
56.468400
47.057000
56.468400
228.283200
190.236000
228.283200
56.468400
30.771000
15.247500
37.908000
32.450000
60.360000
31.590000
553.200000
113.600000

Pret cu
amanuntul
maximal /
ambalaj

224.13
53.70
224.13
53.70
434.69
597.01
224.13
53.70
344.81
224.11
224.13
224.13
333.72
224.13
434.70
53.70
53.70
53.70
53.70
78.45
70.25
53.70
435.80
719.29
503.00
118.36
337.21
434.69
224.13
53.70
218.80
53.70
344.81
78.45
289.69
1,630.80
697.97
2,161.33
27.60
235.35
353.00
90.14
417.72
90.15
522.08
90.14
551.07
90.15
417.72
2,111.72
417.69
1,138.28
373.55
370.55
50.47
42.44
76.32
41.32
641.14
138.68

Pret cu
amanuntul
maximal / U.T.

224.130000
53.700000
224.130000
53.700000
434.690000
597.010000
224.130000
53.700000
344.810000
224.110000
224.130000
224.130000
333.720000
224.130000
434.700000
53.700000
53.700000
53.700000
53.700000
78.450000
70.250000
53.700000
435.800000
719.290000
503.000000
118.360000
337.210000
434.690000
224.130000
53.700000
218.800000
53.700000
344.810000
78.450000
4.828166
13.590000
19.388055
18.011083
27.600000
235.350000
353.000000
90.140000
417.720000
90.150000
522.080000
90.140000
55.107000
90.150000
417.720000
211.172000
417.690000
113.828000
37.355000
18.527500
50.470000
42.440000
76.320000
41.320000
641.140000
138.680000

Grupa
Nr.
terape
crt
utica
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182

L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02
L01DA01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB01

Denumire generica

PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DACTINOMICINUM4
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM

Denumire comerciala

Forma
Concentrati
farmaceutic
e / U.T.
a

PACLITAXEL KABI 6mg/ml

CONC. PT. SOL. PERF.

PACLITAXEL ARCHIE SAMUEL 6 mg/ml

CONC. PT. SOL. PERF.

PACLITAXEL ARCHIE SAMUEL 6 mg/ml

CONC. PT. SOL. PERF.

SINDAXEL
PACLITAXEL KABI 6mg/ml
PACLITAXEL KABI 6mg/ml
PACLITAXEL ARCHIE SAMUEL 6 mg/ml

PACLITAXEL KABI 6mg/ml


PACLITAXEL KABI 6mg/ml
PACLITAXEL KABI 6mg/ml
PACLITAXEL EBEWE 6mg/ml
PACLITAXEL EBEWE 6mg/ml
PACLITAXEL EBEWE 6mg/ml

CONC. PT. SOL. PERF.


CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.

PACLITAXEL ACCORD 6 mg/ml


PACLITAXEL ACCORD 6 mg/ml
PACLITAXEL ACCORD 6 mg/ml

CONC. PT. SOL. PERF.

PACLITAXEL ARCHIE SAMUEL 6 mg/ml

CONC. PT. SOL. PERF.

CONC. PT. SOL. PERF.


CONC. PT. SOL. PERF.

PACLITAXEL EBEWE 6mg/ml


SINDAXEL
SINDAXEL
PACLITAXEL 6 mg/ml
PACLITAXEL 6 mg/ml
PACLITAXEL 6 mg/ml
TAXOTERE 20 mg

CONC. + SOLV. PT. SOL. PERF.

DOCETAXEL TEVA 20mg/0,5ml

CONC. + SOLV. PT. SOL. PERF.

DOCETAXEL ACTAVIS 20 mg/0,5 ml

CONC. + SOLV. PT. SOL. PERF.

TAXOTERE 80 mg
DOCETAXEL TEVA 80mg/2ml
DOCETAXEL ACTAVIS 80 mg/2 ml

CONC. PT. SOL. PERF.


CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.

CONC. + SOLV. PT. SOL. PERF.


CONC. + SOLV. PT. SOL. PERF.
CONC. + SOLV. PT. SOL. PERF.

DOCETAXEL EBEWE 10 mg/ml


DOCETAXEL EBEWE 10 mg/ml
DOCETAXEL EBEWE 10 mg/ml

CONC. PT. SOL. PERF.

DOCETAXEL HOSPIRA 10 mg/ml


DOCETAXEL HOSPIRA 10 mg/ml
DOCETAXEL HOSPIRA 10 mg/ml

CONC. PT. SOL. PERF.

TAXOTERE 160 mg/8ml


TAXOTERE 20 mg/1ml
DOCETAXEL ACTAVIS 20 mg/ml
DOCETAXEL ACTAVIS 20 mg/ml
DOCETAXEL ACTAVIS 20 mg/ml

CONC. PT. SOL. PERF.


CONC. PT. SOL. PERF.

CONC. PT. SOL. PERF.


CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.

TAXOTERE 80 mg/4ml
CONC. PT. SOL. PERF.
TAXEGIS 20 mg
TAXEGIS 80 mg
COSMEGEN LYOVAC 0,5 mg SOL. INJ.
CONC. SI SOLV. PT. SOL. PERF.
CONC. SI SOLV. PT. SOL. PERF.

DOXORUBICINA TEVA 2 mg/ml


DOXORUBICINA TEVA 2 mg/ml

CAELYX 2 mg/ml
DHARUXO 2 mg/ml
DHARUXO 2 mg/ml
DHARUXO 2 mg/ml

CONC. PT. SOL. PERF.


CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.

DOXORUBICINA ACCORD 2 mg/ml

CONC. PT. SOL. PERF.

DOXORUBICINA ACCORD 2 mg/ml

CONC. PT. SOL. PERF.

DOXORUBICINA ACCORD 2 mg/ml

CONC. PT. SOL. PERF.

DOXORUBICIN "EBEWE" 2mg/ml


DOXORUBICIN "EBEWE" 2mg/ml

CONC. PT. SOL. PERF.

CAELYX 2 mg/ml
CAELYX 2 mg/ml
CAELYX 2 mg/ml
SINDROXOCIN 2mg/ml
SINDROXOCIN 2mg/ml

CONC. PT. SOL. PERF.


CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.

PULB. PT. SOL. PERF.


PULB. PT. SOL. PERF.

6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
20mg
20mg/0,5ml
20mg/0,5ml
80mg
80mg/2ml
80mg/2ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
160 mg/8 ml
20mg/1ml
20mg/ml
20mg/ml
20mg/ml
80mg/4ml
20mg
80mg
0,5mg
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml

Tara

Firma

FRESENIUS KABI ROMANIA SRL

ARCHIE SAMUEL S.R.O.


ARCHIE SAMUEL S.R.O.

ACTAVIS S.R.L.

FRESENIUS KABI ROMANIA SRL


EBEWE PHARMA GES.M.B.H. NFG KG
EBEWE PHARMA GES.M.B.H. NFG KG
EBEWE PHARMA GES.M.B.H. NFG KG

P-RF/R

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 2 ML CONC. PT. SOL. PERF.

P-RF/R

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU FOLIE PROTECTOARE DIN PLASTIC ONCO-SAFE X 16 ML CONC. PT. SO

P-RF/R

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 8 ML CONC. PT. SOL. PERF.

S/P-RF

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 2 ML CONC. PT. SOL. PERF.

S/P-RF

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 16 ML CONC. PT. SOL. PERF.

S/P-RF

REPUBLICA CEHA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 100 MG CONC. PT. SOL. PERF.

REPUBLICA CEHA

FRESENIUS KABI ROMANIA SRL

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 8 ML CONC. PT. SOL. PERF.

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 150 MG CONC. PT. SOL. PERF.

ARCHIE SAMUEL S.R.O.


FRESENIUS KABI ROMANIA SRL

CUTIE CU 1 BLIST. DIN POLISTIREN TERMOFORMAT CU 1 FLAC. DIN STICLA INCOLORA X 2 ML CONC. PT. SOL. PE

CUTIE X 5 FLAC. DIN STICLA INCOLORA X 16,7 ML CONC. PT. SOL. PERF.

FRESENIUS KABI ROMANIA SRL

ROMANIA
ROMANIA
ROMANIA

AUSTRIA
AUSTRIA
AUSTRIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 43,33 ML CONC. PT. SOL. PERF.

CUTIE X 5 FLAC. DIN STICLA INCOLORA X 50 ML CONC. PT. SOL. PERF.


CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML CONC. PT. SOL. PERF.
CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 30 MG CONC. PT. SOL. PERF.

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 16,7 ML CONC. PT. SOL. PERF.

CUTIE X 5 FLAC. DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF.


CUTIE X 1 FLAC. DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF.
CUTIE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF.
CUTIE X 1 FLACON DIN STICLA INCOLORA X 16,6 ML CONC. PT. SOL. PERF.
CUTIE X 1 FLACON DIN STICLA INCOLORA X 50 ML CONC. PT. SOL. PERF.

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA A 50 ML CARE CONTINE 300 MG PACLITAXEL

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA A 16,7 ML CARE CONTINE 100 MG PACLITAXEL

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA A 5 ML CARE CONTINE 30 MG PACLITAXEL

ARCHIE SAMUEL S.R.O.

REPUBLICA CEHA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 300 MG CONC. PT. SOL. PERF.

EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRIA

CUTIE X 1 FLACON DIN STICLA INCOLORA X 25 ML CONC. PT. SOL. PERF.

ACTAVIS S.R.L.
ACTAVIS S.R.L.

ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML CONC. PT. SOL. PERF.
ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 16,67 ML CONC. PT. SOL. PERF.
PHARMEXPRESS S.R.L. ROMANIA CUTIE X 4 FLAC. X 16,7 ML
PHARMEXPRESS S.R.L. ROMANIA CUTIE X 10 FLAC. X 5 ML
PHARMEXPRESS S.R.L. ROMANIA CUTIE X 1 FLAC. X 50 ML
AVENTIS PHARMA SA FRANTA CUTIE X 1 FLACON X 0,5 ML CONC. SOL. PERF. + 1 FLACON X 1,5 ML SOLV.

TEVA PHARMA B.V. OLANDA


ISLANDA
AVENTIS PHARMA SA FRANTA
TEVA PHARMA B.V. OLANDA
ACTAVIS GROUP PTC EHF. ISLANDA
EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA
EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA
EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA
HOSPIRA UK LTD
MAREA BRITANIE
HOSPIRA UK LTD
MAREA BRITANIE
HOSPIRA UK LTD
MAREA BRITANIE
AVENTIS PHARMA SA FRANTA
AVENTIS PHARMA SA FRANTA
ACTAVIS GROUP PTC EHF. ISLANDA
ACTAVIS GROUP PTC EHF. ISLANDA
ACTAVIS GROUP PTC EHF. ISLANDA
AVENTIS PHARMA SA FRANTA
ACTAVIS GROUP PTC EHF.

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 0,5 ML CONCENTRAT PT. SOL.PERF.+1 FLAC.X1,5ML SOLV.

CUTIE CU 1 BLIST. DIN POLISTIREN TERMOFORMAT CU 1 FLAC. DIN STICLA INCOLORA X 0,5 ML CONC. PT. SOL.

CUTIE X 1 FLACON X 2 ML CONC. SOL. PERF. + 1 FLACON X 6 ML SOLV.


CUTIE X 1 FLAC. DIN STICLA INCOLORA X 2 ML CONCENTRAT PT. SOL.PERF.+1 FLAC.X 6ML SOLV.

CUTIE X 1 FLACON DIN STICLA CU 8 ML CONC. PT. SOL. PERF.X 160MG

CUTIE X 1 FLACON X 1 ML CONC. PT. SOL. PERF.


CUTIE CU 1 FLAC. UNIDOZA DIN STICLA INCOLORA CU 4 ML CONC. PT. SOL. PERF. CARE CONTINE 80 MG DOCETAX

CUTIE CU 1 FLAC. UNIDOZA DIN STICLA INCOLORA CU 1 ML CONC. PT. SOL. PERF. CARE CONTINE 20 MG DOCETAX

CUTIE CU 1 FLAC. UNIDOZA DIN STICLA INCOLORA CU 7 ML CONC. PT. SOL. PERF. CARE CONTINE 140 MG DOCETA

CUTIE X 1 FLACON DIN STICLA X 4 ML CONC. PT. SOL. PERF.

TEVA PHARMACEUTICALS S.R.L.

UNGARIA
UNGARIA
ROMANIA CUTIE X 1 FLAC. X 3 ML SOL. INJ
ROMANIA CUTIE CU 1 FLAC. CONC. PT. SOL. PERF. X 50 MG CLORHIDRAT DE DOXORUBICINA
ROMANIA CUTIE CU 1 FLAC. CONC. PT. SOL. PERF. X 20 MG CLORHIDRAT DE DOXORUBICINA

JANSSEN CILAG INTERNATIONALL NV

BELGIA

EGIS PHARMACEUTICALS P.L.C.


EGIS PHARMACEUTICALS P.L.C.

CN UNIFARM
TEVA PHARMACEUTICALS S.R.L.

ROMASTRU TRADING S.R.L.


ROMASTRU TRADING S.R.L.
ROMASTRU TRADING S.R.L.

CUTIE CU 1 BLIST. X 1 FLAC. UNIDOZA DIN STICLA INCOLORA CU CAPACITATEA DE 5 ML CU 0,5 ML CONC. PT. S

CUTIE CU 1 BLIST. X 1 FLAC. UNIDOZA DIN STICLA INCOLORA CU CAPACITATEA DE 15 ML CU 2 ML CONC. PT. SO

ROMANIA
ROMANIA
ROMANIA

CUTIE X 1 FLACON DIN STICLA X 25 ML


CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 25 ML CONC. PT. SOL. PERF.
CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 10 ML CONC. PT. SOL. PERF.
CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF.

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 100 ML CONC. PT. SOL. PERF. CONTINAND 200 MG DOXORUBICINA

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 25 ML CONC. PT. SOL. PERF. CONTINAND 50 MG DOXORUBICINA

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 5 ML CONC. PT. SOL. PERF. CONTINAND 10 MG DOXORUBICINA

JANSSEN CILAG INTERNATIONALL NV

AUSTRIA CUTIE X 1 FLACON X 5 ML CONC. PT. SOL. PERF. (10 MG DOXORUBICINA)


AUSTRIA CUTIE X 1 FLACON X 25 ML CONC. PT. SOL. PERF. (50 MG DOXORUBICINA)
BELGIA CUTIE X 1 FLACON DIN STICLA X 25 ML
BELGIA CUTIE X 1 FLACON DIN STICLA X 10 ML
BELGIA CUTIE X 10 FLACOANE DIN STICLA X 10 ML

ACTAVIS S.R.L
ACTAVIS S.R.L

ROMANIA
ROMANIA

EBEWE PHARMA GMBH NFG. KG


EBEWE PHARMA GMBH NFG. KG

SP EUROPE
SP EUROPE

Prescriptie

S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S

ROMANIA
REPUBLICA CEHA

ROMANIA
ROMANIA
ROMANIA

FRESENIUS KABI ROMANIA SRL

Ambalaj

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 50 ML X 50 MG CLORHIDRAT DE DOXORUBICINA

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 8 ML CONTINAND 10 MG CLORHIDRAT DE DOXORUBICIN

Pagina 108 din 205

S
S
PR
PR
PR
S
PR
PR
X
S
S
S
PR
PR
PR
PR
PR
PR
S
S
S
S
S
S
S

cant/
amba
laj

5
1
1
1
5
1
1
1
5
1
1
1
1
1
1
1
1
1
1
1
4
10
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
10
1
1

Pret cu
ridicata
maximal /
ambalaj

1,556.13
553.09
353.12
899.09
4,876.76
999.35
113.57
335.23
498.36
104.91
113.60
353.15
1,088.11
1,087.95
352.93
113.32
1,088.08
822.67
1,088.11
353.15
1,251.02
968.71
999.40
539.16
360.91
360.86
2,066.67
1,353.82
1,353.73
913.89
258.87
1,524.90
913.88
258.86
1,686.41
2,578.32
392.06
913.89
258.87
2,346.00
1,389.82
360.95
1,353.82
91.29
88.18
62.30
3,526.19
99.85
65.45
27.09
223.03
88.18
27.88
27.88
108.87
3,526.19
1,428.47
1,428.47
104.42
26.86

Pret cu ridicata
maximal / U.T.

311.226000
553.090000
353.120000
899.090000
975.352000
999.350000
113.570000
335.230000
99.672000
104.910000
113.600000
353.150000
1,088.110000
1,087.950000
352.930000
113.320000
1,088.080000
822.670000
1,088.110000
353.150000
312.755000
96.871000
999.400000
539.160000
360.910000
360.860000
2,066.670000
1,353.820000
1,353.730000
913.890000
258.870000
1,524.900000
913.880000
258.860000
1,686.410000
2,578.320000
392.060000
913.890000
258.870000
2,346.000000
1,389.820000
360.950000
1,353.820000
91.290000
88.180000
62.300000
3,526.190000
99.850000
65.450000
27.090000
223.030000
88.180000
27.880000
27.880000
108.870000
3,526.190000
1,428.470000
142.847000
104.420000
26.860000

Pret cu ridicata
maximal de
decontare / U.T.

311.226000
553.090000
353.120000
899.090000
975.352000
999.350000
113.570000
335.230000
99.672000
104.910000
113.600000
353.150000
1,088.110000
1,087.950000
352.930000
113.320000
1,088.080000
663.708000
1,088.110000
353.150000
312.755000
96.871000
999.400000
310.632000
310.632000
310.632000
1,096.656000
1,096.656000
1,096.656000
913.890000
258.870000
1,524.900000
913.880000
258.860000
1,686.410000
1,829.880000
310.632000
913.890000
258.870000
2,346.000000
1,096.656000
310.632000
1,096.656000
91.290000
88.180000
62.300000
3,526.190000
99.850000
65.450000
27.090000
223.030000
88.180000
27.880000
27.880000
105.816000
3,526.190000
171.416400
142.847000
104.420000
26.860000

Pret cu
amanuntul
maximal /
ambalaj

1,734.33
641.02
423.05
1,018.16
5,353.82
1,127.44
138.65
403.55
581.36
128.07
138.68
423.08
1,224.19
1,224.02
422.84
138.34
1,224.16
934.86
1,224.19
423.08
1,401.76
1,094.04
1,127.50
625.83
431.54
431.49
2,290.82
1,513.82
1,513.72
1,034.29
316.03
1,700.29
1,034.28
316.02
1,876.34
2,848.52
465.50
1,034.29
316.03
2,595.29
1,553.06
431.59
1,513.82
115.43
111.49
78.77
3,881.70
126.25
82.76
35.44
272.27
111.49
36.47
36.47
132.91
3,881.70
1,595.18
1,595.18
127.47
35.13

Pret cu
amanuntul
maximal / U.T.

346.866000
641.020000
423.050000
1,018.160000
1,070.764000
1,127.440000
138.650000
403.550000
116.272000
128.070000
138.680000
423.080000
1,224.190000
1,224.020000
422.840000
138.340000
1,224.160000
934.860000
1,224.190000
423.080000
350.440000
109.404000
1,127.500000
625.830000
431.540000
431.490000
2,290.820000
1,513.820000
1,513.720000
1,034.290000
316.030000
1,700.290000
1,034.280000
316.020000
1,876.340000
2,848.520000
465.500000
1,034.290000
316.030000
2,595.290000
1,553.060000
431.590000
1,513.820000
115.430000
111.490000
78.770000
3,881.700000
126.250000
82.760000
35.440000
272.270000
111.490000
36.470000
36.470000
132.910000
3,881.700000
1,595.180000
159.518000
127.470000
35.130000

Grupa
Nr.
terape
crt
utica
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242

L01DB01
L01DB01
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB06
L01DB06
L01DB07
L01DC01
L01XA01
L01XA01
L01XA01
L01XA01
L01XA01
L01XA01
L01XA01
L01XA01
L01XA02
L01XA02
L01XA02
L01XA02
L01XA02
L01XA02
L01XA02
L01XA02
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03

Denumire generica

DOXORUBICINUM
DOXORUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
IDARUBICINUM
IDARUBICINUM
MITOXANTRONUM**
BLEOMYCINUM SULFAS
CISPLATINUM
CISPLATINUM
CISPLATINUM
CISPLATINUM
CISPLATINUM
CISPLATINUM
CISPLATINUM
CISPLATINUM
CARBOPLATINUM
CARBOPLATINUM
CARBOPLATINUM
CARBOPLATINUM
CARBOPLATINUM
CARBOPLATINUM
CARBOPLATINUM
CARBOPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM

Denumire comerciala

Forma
Concentrati
farmaceutic
e / U.T.
a

DOXORUBICIN TEVA 2 mg/ml SOL. INJ.


DOXORUBICIN TEVA 2 mg/ml SOL. INJ.
EPIRUBICIN "EBEWE" 2 mg/ml CONC. PT. SOL. INJ.
EPIRUBICIN "EBEWE" 2 mg/ml CONC. PT. SOL. INJ.
EPIRUBICIN "EBEWE" 2 mg/ml CONC. PT. SOL. INJ.

EPISINDAN 10 mg
FARMORUBICIN RD 10 mg
EPISINDAN 50 mg

LIOF. PT. SOL. INJ.

FARMORUBICIN (R) RD 50 mg

LIOF. PT. SOL. INJ.

EPIRUBICINA KABI 2 mg/ml


EPIRUBICINA KABI 2 mg/ml
EPIRUBICINA TEVA 2 mg/ml
EPIRUBICINA TEVA 2 mg/ml
EPIRUBICINA TEVA 2 mg/ml
EPIRUBICINA TEVA 2 mg/ml
ECCLEPIA 2 mg/ml
ECCLEPIA 2 mg/ml
ECCLEPIA 2 mg/ml
ECCLEPIA 2 mg/ml
ECCLEPIA 2 mg/ml
EPIRUBICINA TEVA 2 mg/ml

SOL. INJ./PERF.

EPIRUBICINA ACTAVIS 2mg/ml


EPIRUBICINA ACTAVIS 2mg/ml
EPIRUBICINA ACTAVIS 2mg/ml
EPIRUBICINA ACTAVIS 2mg/ml
EPIRUBICINA ACTAVIS 2mg/ml

SOL. INJ./PERF.

ZAVEDOS
ZAVEDOS 5 mg
ONKOTRONE
BLEOCIN
CISPLATIN "EBEWE" 10 mg/20 ml

SINPLATIN 1 mg/1 ml
SINPLATIN 1 mg/1 ml

LIOF. PT. SOL. INJ.


LIOF. PT. SOL. INJ.

SOL. INJ./PERF.
SOL. INJ./PERF.
SOL. INJ./PERF.
SOL. INJ./PERF.
SOL. INJ./PERF.
SOL. INJ./PERF.
SOL. INJ./PERF.
SOL. INJ./PERF.
SOL. INJ./PERF.
SOL. INJ./PERF.
SOL. INJ./PERF.
SOL. INJ./PERF.
SOL. INJ./PERF.
SOL. INJ./PERF.
SOL. INJ./PERF.

CAPS.
LIOF. PT. SOL. INJ.
CONC. PT. SOL. INJ.

LIOF. PT. SOL. INJ.


CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.

CISPLATINA ACCORD 1 mg/ml


CISPLATINA ACCORD 1 mg/ml
CISPLATINA ACCORD 1 mg/ml

CONC. PT. SOL. PERF.

CISPLATIN "EBEWE" 25 mg/50 ml


CISPLATIN "EBEWE" 50 mg/100 ml
CARBOPLATIN ACTAVIS 10mg/ml
CARBOPLATIN ACTAVIS 10mg/ml
CARBOPLATIN ACTAVIS 10mg/ml

CONC. PT. SOL. PERF.

CONC. PT. SOL. PERF.


CONC. PT. SOL. PERF.

CONC. PT. SOL. PERF.


CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.

CARBOPLATIN TEVA 10mg/ml

CONC. PT. SOL. PERF.

CARBOPLATIN "EBEWE" 10 mg/ml

CONC. PT. SOL. PERF.

CARBOPLATIN "EBEWE" 10 mg/ml

CONC. PT. SOL. PERF.

CARBOPLATIN TEVA 10mg/ml

CONC. PT. SOL. PERF.

CARBOPLATIN "EBEWE" 10 mg/ml

CONC. PT. SOL. PERF.

OXALIPLATINA TEVA 5 mg/ml


OXALIPLATINA TEVA 5 mg/ml

OXALIPLATIN KABI 5 mg/ml


OXALIPLATIN KABI 5 mg/ml
ELOXATIN 5mg/ml
OXALIPLATIN ACTAVIS 5 mg/ml
OXALIPLATIN ACTAVIS 5 mg/ml
OXALIPLATIN ACTAVIS 5 mg/ml

ELOXATIN 5mg/ml
OXALIPLATIN ACCORD 5 mg/ml
OXALIPLATIN ACCORD 5 mg/ml

ELOXATIN 5mg/ml
OXALIPLATIN ACTAVIS 5 mg/ml
OXALIPLATIN ACTAVIS 5 mg/ml

CONC. PT. SOL. PERF.


CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.

LIOF. PT. SOL. PERF.


LIOF. PT. SOL. PERF.

2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
10mg
10mg
50mg
50mg
2 mg/ml
2 mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
10mg
5mg
2mg/ml
15mg
10mg/20ml
1mg/1ml
1mg/1ml
1mg/ml
1mg/ml
1mg/ml
25mg/50ml
50mg/100ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml

Prescriptie

cant/
amba
laj

S
S
CUTIE X 1 FLACON X 25 ML
S
CUTIE X 1 FLACON X 50 ML
S
CUTIE X 1 FLACON X 5 ML
S
CUTIE X 1 FLAC. CU LIOF. PT. SOL. INJ. S
CUTIE X 1 FLAC. X 10 MG LIOF. PT. SOL. INJ. S
CUTIE X 1 FLAC. CU LIOF. PT. SOL. INJ. S
CUTIE X 1 FLAC. X 50 MG LIOF. PT. SOL. INJ. S
CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 100 ML SOL. INJ./PERF. X 200 MG PR
CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 25 ML SOL. INJ./PERF. X 50 MG
PR
CUTIE X 1 FLAC. STICLA INCOLORA X 100 ML SOL. INJ. /PERFZ.
S
CUTIE X 1 FLAC. STICLA INCOLORA X 75 ML SOL. INJ. /PERFZ. S
CUTIE X 1 FLAC. STICLA INCOLORA X 10 ML SOL. INJ. /PERFZ. S
CUTIE X 1 FLAC. STICLA INCOLORA X 5 ML SOL. INJ. /PERFZ.
S
S
S
S
S
S
CUTIE X 1 FLAC. STICLA INCOLORA X 25 ML SOL. INJ. /PERFZ. S
CUTIE X 1 FLAC. A 100ML SOL. INJ. X 200MG (200MG/100ML) S
CUTIE X 1 FLAC. A 50 ML SOL. INJ. X 100MG (100MG/50ML) S
CUTIE X 1 FLAC. A 25 ML SOL. INJ. X 50MG (50MG/25ML) S
CUTIE X 1 FLAC. A 10 ML SOL. INJ. X 20MG (20MG/10ML) S
CUTIE X 1 FLAC. A 5 ML SOL. INJ. X 10MG (10MG/5ML) S
CUTIE X 1 FLAC. X 1 CAPS.
P-RF
CUTIE X 1 FLAC. DIN STICLA INCOLORA CU LIOF. PT. SOL. INJ. S
CUTIE X 1 FLACON X 10 ML CONC. PT. SOL. INJ. S
CUTIE X 1 FLAC. DIN STICLA INCOLORA CU LIOF. PT. SOL. INJ. S
CUTIE X 1 FLACON X 20 ML CONC. PT. SOL. PERF. S
CUTIE X 1 FLAC. X 10 ML X 10 MG CONC. SOL. PERF. S
CUTIE X 1 FLAC. X 50 ML X 50 MG CONC. SOL. PERF. S
CUTIE CU 1 FLAC. DE 50 ML DIN STICLA BRUNA CU CONC. PT. SOL. PERF.
S
CUTIE CU 1 FLAC. DE 30 ML DIN STICLA BRUNA CU CONC. PT. SOL. PERF.
S
CUTIE CU 1 FLAC. DE 10 ML DIN STICLA BRUNA CU CONC. PT. SOL. PERF.
S
CUTIE X 1 FLACON X 50 ML COND. PT. SOL. PERF. S
CUTIE X 1 FLACON X 100 ML CONC. PT. SOL. PERF. S
CUTIE X 1 FLACON DIN STICLA INCOLORA X 15 ML CONC. PT. SOL. PERF.
S
CUTIE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF.
S
CUTIE X 1 FLACON DIN STICLA INCOLORA X 45 ML CONC. PT. SOL. PERF.
S
CUTIE X 1 FLAC. DIN STICLA BRUNA X 45 ML CONC. PT. SOL. PERF.
S
CUTIE X 1 FLACON DIN STICLA X 5 ML CONC. PT. SOL. PERF.
S
CUTIE X 1 FLACON DIN STICLA X 45 ML CONC. PT. SOL. PERF. S
CUTIE X 1 FLAC. DIN STICLA BRUNA X 15 ML CONC. PT. SOL. PERF.
S
CUTIE X 1 FLACON DIN STICLA X 15 ML CONC. PT. SOL. PERF. S
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 20 ML CONC. PT. SOL. PERF.
S
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10 ML CONC. PT. SOL. PERF.
S
PR
PR
CUTIE X 1 FLACON X 200 MG/40 ML CONC. PT. SOL. PERF. S
PR
PR
PR
CUTIE X 1 FLACON X 100 MG/20 ML CONC. PT. SOL. PERF. S
S
S
CUTIE X 1 FLACON X 50 MG/10 ML CONC. PT. SOL. PERF.
S
CUTIE 1 FLAC. X 50 MG LIOF. PT. SOL. PERF. S
CUTIE X 1 FLAC. X 100 MG LIOF. PT. SOL. PERF. S

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

Tara

Firma

TEVA PHARMACEUTICALS S.R.L.


TEVA PHARMACEUTICALS S.R.L.

ROMANIA
ROMANIA

EBEWE PHARMA GMBH NFG. KG

AUSTRIA
AUSTRIA
AUSTRIA

ACTAVIS S.R.L.
ACTAVIS S.R.L.
ACTAVIS S.R.L.
ACTAVIS S.R.L.

ROMANIA
ROMANIA
ROMANIA
ROMANIA

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITANIE

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITANIE

TEVA PHARMACEUTICAL S.R.L.

ACTAVIS S.R.L.
ACTAVIS S.R.L.
ACTAVIS S.R.L.
ACTAVIS S.R.L.
ACTAVIS S.R.L.

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

PFIZER EUROPE MA EEIG

MAREA BRITANIE

PFIZER EUROPE MA EEIG

MAREA BRITANIE

EBEWE PHARMA GMBH NFG. KG


EBEWE PHARMA GMBH NFG. KG

TEVA PHARMACEUTICAL S.R.L.


TEVA PHARMACEUTICAL S.R.L.
TEVA PHARMACEUTICAL S.R.L.

ROMASTRU TRADING SRL


ROMASTRU TRADING SRL
ROMASTRU TRADING SRL
ROMASTRU TRADING SRL
ROMASTRU TRADING SRL
TEVA PHARMACEUTICAL S.R.L.

BAXTER ONCOLOGY GMBH GERMANIA


EURO NIPPON KAYAKU GMBH

GERMANIA

EBEWE PHARMA GMBH NFG. KG

AUSTRIA

ACTAVIS S.R.L.
ACTAVIS S.R.L.

ROMANIA
ROMANIA

ACCORD HEALTHCARE LIMITED MAREA BRITANIE


ACCORD HEALTHCARE LIMITED MAREA BRITANIE
ACCORD HEALTHCARE LIMITED MAREA BRITANIE
EBEWE PHARMA GMBH NFG. KG
EBEWE PHARMA GMBH NFG. KG

ACTAVIS S.R.L.
ACTAVIS S.R.L.
ACTAVIS S.R.L.
TEVA PHARMACEUTICALS S.R.L.

AUSTRIA
AUSTRIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRIA
AUSTRIA

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRIA

EBEWE PHARMA GES.M.B.H. NFG KG

Ambalaj

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 25 ML SOL. INJ.


CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10 ML SOL. INJ.

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 10 ML SOL. INJ./PERF. X 200 MG EPIRUBICINA


CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 50 ML SOL. INJ./PERF. X 100 MG EPIRUBICINA
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 25 ML SOL. INJ./PERF. X 50 MG EPIRUBICINA
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 10 ML SOL. INJ./PERF. X 20 MG EPIRUBICINA
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 5 ML SOL. INJ./PERF. X 10 MG EPIRUBICINA

TEVA PHARMACEUTICALS S.R.L.

ROMANIA
ROMANIA

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU FOLIE PROTECTOARE DIN PLASTIC A 20 ML CONC. PT. SOL. PERF. C

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU FOLIE PROTECTOARE DIN PLASTIC A 10 ML CONC. PT. SOL. PERF. C

SANOFI-AVENTIS FRANCE

FRANTA
ISLANDA
ISLANDA
ISLANDA
FRANTA

TEVA PHARMACEUTICALS S.R.L.

ACTAVIS GROUP PTC EHF.


ACTAVIS GROUP PTC EHF.
ACTAVIS GROUP PTC EHF.

SANOFI-AVENTIS FRANCE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 20 ML CONC. PT. SOL. PERF. CARE CONTINE 100 MG OXALIPLATINA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CONC. PT. SOL. PERF. CARE CONTINE 50 MG OXALIPLATINA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 40 ML CONC. PT. SOL. PERF. CARE CONTINE 200 MG OXALIPLATINA

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 20 ML CONC. PT. SOL. PERF. X 100 MG OXALIPLATINA

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CONC. PT. SOL. PERF. X 50 MG OXALIPLATINA

SANOFI-AVENTIS FRANCE

FRANTA

ACTAVIS S.R.L.
ACTAVIS S.R.L.

ROMANIA
ROMANIA

Pagina 109 din 205

Pret cu
ridicata
maximal /
ambalaj

88.18
65.68
229.05
449.48
48.10
42.24
59.02
230.91
258.76
392.00
136.40
764.65
581.51
82.39
42.00
763.04
446.05
196.14
79.88
39.53
202.26
393.00
214.44
195.06
80.99
37.58
200.93
141.67
549.31
59.83
9.06
7.66
24.12
24.12
18.95
7.66
21.80
31.20
49.42
17.83
131.47
131.25
21.60
175.97
46.89
61.78
608.90
318.46
558.00
290.40
2,107.64
608.90
318.47
1,380.47
920.62
608.90
318.46
475.41
318.47
608.90

Pret cu ridicata
maximal / U.T.

88.180000
65.680000
229.050000
449.480000
48.100000
42.240000
59.020000
230.910000
258.760000
392.000000
136.400000
764.650000
581.510000
82.390000
42.000000
763.040000
446.050000
196.140000
79.880000
39.530000
202.260000
393.000000
214.440000
195.060000
80.990000
37.580000
200.930000
141.670000
549.310000
59.830000
9.060000
7.660000
24.120000
24.120000
18.950000
7.660000
21.800000
31.200000
49.420000
17.830000
131.470000
131.250000
21.600000
175.970000
46.890000
61.780000
608.900000
318.460000
558.000000
290.400000
2,107.640000
608.900000
318.470000
1,380.470000
920.620000
608.900000
318.460000
475.410000
318.470000
608.900000

Pret cu ridicata
maximal de
decontare / U.T.

88.180000
65.680000
163.680000
257.328000
45.096000
42.240000
45.096000
163.680000
163.680000
392.000000
136.400000
470.400000
581.510000
82.390000
42.000000
470.400000
257.328000
163.680000
79.880000
39.530000
163.680000
393.000000
214.440000
163.680000
80.990000
37.580000
200.930000
141.670000
549.310000
59.830000
9.060000
7.660000
24.120000
24.120000
18.950000
7.660000
21.800000
28.944000
49.420000
17.830000
131.470000
131.250000
21.396000
157.500000
46.890000
56.268000
608.900000
318.460000
558.000000
290.400000
1,656.564000
608.900000
318.470000
1,380.470000
669.600000
608.900000
318.460000
348.480000
318.470000
608.900000

Pret cu
amanuntul
maximal /
ambalaj

111.49
83.04
279.63
528.08
62.91
55.25
74.62
281.90
315.89
465.43
166.52
871.62
672.00
104.18
54.93
869.86
524.34
239.45
101.00
51.70
246.92
466.52
261.79
238.13
102.40
49.16
245.30
172.95
636.90
75.65
12.25
10.35
32.60
32.60
25.61
10.35
29.46
40.81
64.64
24.10
160.50
160.23
29.20
214.83
61.33
78.11
701.85
385.27
646.37
354.52
2,335.48
701.85
385.28
1,542.86
1,041.63
701.85
385.27
556.35
385.28
701.85

Pret cu
amanuntul
maximal / U.T.

111.490000
83.040000
279.630000
528.080000
62.910000
55.250000
74.620000
281.900000
315.890000
465.430000
166.520000
871.620000
672.000000
104.180000
54.930000
869.860000
524.340000
239.450000
101.000000
51.700000
246.920000
466.520000
261.790000
238.130000
102.400000
49.160000
245.300000
172.950000
636.900000
75.650000
12.250000
10.350000
32.600000
32.600000
25.610000
10.350000
29.460000
40.810000
64.640000
24.100000
160.500000
160.230000
29.200000
214.830000
61.330000
78.110000
701.850000
385.270000
646.370000
354.520000
2,335.480000
701.850000
385.280000
1,542.860000
1,041.630000
701.850000
385.270000
556.350000
385.280000
701.850000

Grupa
Nr.
terape
crt
utica
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302

L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XC02
L01XC02
L01XC03
L01XC04
L01XC04
L01XC06
L01XC07
L01XC07
L01XE01
L01XE03
L01XE03
L01XE03
L01XE04
L01XE04
L01XE04
L01XE05
L01XE06
L01XE06
L01XE06
L01XE06
L01XE09

L01XX02
L01XX02
L01XX02
L01XX02
L01XX02
L01XX05
L01XX11
L01XX14
L01XX17
L01XX17
L01XX17
L01XX17
L01XX17
L01XX17
L01XX17
L01XX17
L01XX17
L01XX17
L01XX17
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19

Denumire generica

OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
RITUXIMABUM****
RITUXIMABUM****
TRASTUZUMABUM****
ALEMTUZUMABUM****
ALEMTUZUMABUM****
CETUXIMABUM****
BEVACIZUMABUM****
BEVACIZUMABUM****
IMATINIBUM****
ERLOTINIBUM****
ERLOTINIBUM****
ERLOTINIBUM****
SUNITINIBUM****
SUNITINIBUM****
SUNITINIBUM****
SORAFENIBUM****
DASATINIBUM****
DASATINIBUM****
DASATINIBUM****
DASATINIBUM****
TEMSIROLIMUSUM
ASPARAGINAZUM
ASPARAGINAZUM
ASPARAGINAZUM
ASPARAGINAZUM
ASPARAGINAZUM
HYDROXYCARBAMIDUM
ESTRAMUSTINUM
TRETINOINUM4
TOPOTECAMUM
TOPOTECAMUM
TOPOTECAMUM
TOPOTECAMUM
TOPOTECAMUM
TOPOTECAMUM
TOPOTECAMUM
TOPOTECAMUM
TOPOTECAMUM
TOPOTECAMUM
TOPOTECAMUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM

Denumire comerciala

Forma
Concentrati
farmaceutic
e / U.T.
a

OXALIPLATIN KABI 5 mg/ml


OXALIPLATIN KABI 5 mg/ml

PULB. PT. SOL. INJ.

OXALIPLATIN MEDICO UNO 5 mg/ml

PULB. PT. SOL. PERF.

OXALIPLATIN ACCORD 5 mg/ml

PULB. PT. SOL. PERF.

REZIDOL 5 mg/ml

PULB. PT. SOL. PERF.

OXALIPLATIN ACCORD 5 mg/ml

PULB. PT. SOL. PERF.

OXALIPLATIN PHARMASWISS 5 mg/ml

PULB. PT. SOL. PERF.

OXALIPLATIN PHARMASWISS 5 mg/ml

PULB. PT. SOL. PERF.

OXALIPLATIN MEDICO UNO 5 mg/ml

PULB. PT. SOL. PERF.

REZIDOL 5 mg/ml

PULB. PT. SOL. PERF.

OXALIPLATIN EBEWE 5mg/ml


OXALIPLATIN EBEWE 5mg/ml
OXALIPLATIN EBEWE 5mg/ml

MABTHERA 500 mg
MABTHERA 100 mg
HERCEPTIN 150mg
MABCAMPATH 10 mg/ml
MABCAMPATH 30 mg/ml
ERBITUX 5mg/ml
AVASTIN 25mg/ml
AVASTIN 25mg/ml
GLIVEC 100 mg
TARCEVA 100 mg
TARCEVA 150 mg
TARCEVA 25 mg
SUTENT 12,5 mg
SUTENT 25mg
SUTENT 50 mg
NEXAVAR 200 mg
SPRYCEL 100mg
SPRYCEL 20mg
SPRYCEL 50mg
SPRYCEL 70mg
TORISEL 25mg/ml
ASPARAGINASE 10000 MEDAC
ASPARAGINASE 10000 MEDAC
ASPARAGINASE 5000 MEDAC
ASPARAGINASE 5000 MEDAC

PULB. PT. SOL. INJ.

PULB. PT. SOL. PERF.


PULB. PT. SOL. PERF.
PULB. PT. SOL. PERF.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
PULB. PT. CONC. PT. SOL. PERF.

CONC. PT. SOL. PERF.


CONC. PT. SOL. PERF.

SOL. PERF.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.

CAPS.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

CAPS.
CAPS.
CAPS.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
CONC. + SOLV. PT. SOL. PERF.

LIOF. PT. SOL. INJ./PERF.


LIOF. PT. SOL. INJ./PERF.
LIOF. PT. SOL. INJ./PERF.
LIOF. PT. SOL. INJ./PERF.

ONCASPAR
HYDREA
ESTRACYT
VESANOID 10 mg
HYCAMTIN 1 mg
TOPOTECAN TEVA 1 mg/1ml

CONC. PT. SOL. PERF.

TOPOTECAN EBEWE 1 mg/ml

CONC. PT. SOL. PERF.

TOPOTECAN ACTAVIS
TOPOTECAN TEVA 4 mg/4ml
POTACTASOL 4mg
TOPOTECAN KABI 4 mg
TOPOTECAN KABI 4 mg
TOPOTECAN ATB 4 mg
TOPOTECAN ACCORD 4 mg
HYCAMTIN 4 mg
IRINOTECAN KABI 20 mg/ml
IRINOTECAN KABI 20 mg/ml
IRINOTECAN KABI 20 mg/ml
IRINOTECAN KABI 20 mg/ml
IRINOTESIN 20mg/ml
TEKAZOL 20 mg/ml
IRINOTRCAN MEDAC 20 mg/ml

PULB. PT. SOL. INJ.

CAPS.
CAPS.
CAPS. MOI
CAPS.

CONC. PT. SOL. PERF.


CONC. PT. SOL. PERF.
PULB. PT. CONC. PT. SOL. PERF.
PULB. PT. CONC. PT. SOL. PERF.
PULB. PT. CONC. PT. SOL. PERF.
PULB. PT. CONC. PT. SOL. PERF.
PULB. PT. CONC. PT. SOL. PERF.

PULB.CONC.SOL.PERF.

CONC. PT. SOL. PERF.


CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.

5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
10mg/ml
10mg/ml
150mg
10mg/ml
30mg/ml
5mg/ml
25mg/ml
25mg/ml
100mg
100mg
150mg
25mg
12,5mg
25mg
50mg
200mg
100 mg
20 mg
50 mg
70 mg
25mg/ml
10000ui
10000ui
5000ui
5000ui
3750U.I.
500mg
140mg
10mg
1mg
1mg/1ml
1mg/ml
4 mg
4mg/4ml
1 mg/ml
4 mg
4 mg
4mg
4mg
4mg
20 mg/ml
20 mg/ml
20 mg/ml
20 mg/ml
20mg/ml
20mg/ml
20mg/ml

Tara

Firma

Ambalaj

Prescriptie

MERCK KGAA

GERMANIA CUTIE X 1 FLAC. DIN STICLA X 20 ML SOL. PERF.

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 1 FLAC. DIN STICLA X 16 ML CONC. PT. SOL. PERF.

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 1 FLAC. DIN STICLA X 4 ML CONC. PT. SOL. PERF.

S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 120 CAPS.

P-RF/R

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 30 COMPR. FILM. (BLIST. AL/PVC)

P-RF/R

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 30 COMPR. FILM. (BLIST. AL/PVC)

P-RF/R

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 30 COMPR. FILM. (BLIST. AL/PVC)

P-RF/R

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCLORA CU CAPACITATEA DE 30 ML X 50 MG OXALIPLATINA

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCLORA CU CAPACITATEA DE 50 ML X 100 MG OXALIPLATINA

MEDICO UNO PHARMA LTD.

UNGARIA

CUTIE CU 1 FLAC. DIN STICLA BRUNA X 50 MG OXALIPLATINA

ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 50 MG OXALIPLATINA
EGIS PHARMACEUTICALS P.L.C.

UNGARIA

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 50 MG OXALIPLATINA


CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. CONTINAND 100 MG GEMCITABINA

PHARMASWISS CESKA REPUBLIKA S.R.O.

REPUBLICA CEHA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 100 MG OXALIPLATINA

PHARMASWISS CESKA REPUBLIKA S.R.O.

REPUBLICA CEHA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 50 MG OXALIPLATINA

MEDICO UNO PHARMA LTD.

EBEWE PHARMA GES.M.B.H. NFG KG

UNGARIA
UNGARIA
AUSTRIA
AUSTRIA
AUSTRIA

ROCHE REGISTRATION LTD.

MAREA BRITANIE

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 2 FLACOANE X 10 ML

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 1 FLAC. PULB. PT. CONC. PT. SOL. PERF.

EGIS PHARMACEUTICALS P.L.C.


EBEWE PHARMA GES.M.B.H. NFG KG
EBEWE PHARMA GES.M.B.H. NFG KG

GENZYME EUROPE BV OLANDA


GENZYME EUROPE BV OLANDA

PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED

CUTIE CU 1 FLAC. DIN STICLA BRUNA X 100 MG OXALIPLATINA


CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 100 MG OXALIPLATINA
CUTIE X 1 FLAC. DIN STICLA INCOLORA CU SUPORT TRANSPARENT DIN PLASTIC (ONKO-SAFE) X 50 MG OXALIPLATI

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU SUPORT TRANSPARENT DIN PLASTIC (ONKO-SAFE) X 100 MG OXALIPLAT

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU SUPORT TRANSPARENT DIN PLASTIC (ONKO-SAFE) X 150 MG OXALIPLAT

CUTIE X 1 FLACON X 50 ML(500MG RITUXIMAB IN 50ML- 10MG/ML)

CUTIE X 3 FIOLE X 3 ML CONCENTRAT INTR-O FIOLA DE 5ML


CUTIE X 3 FLACOANE X 1 ML CONCENTRAT INTR-UN FLACON DE 2ML

BAYER SCHERING PHARMA AG

CUTIE X 1 FLACON DIN PEID X 30 CAPS.


MAREA BRITANIE CUTIE X 1 FLACON DIN PEID X 30 CAPS.
MAREA BRITANIE CUTIE X 1 FLACON DIN PEID X 30 CAPS.
GERMANIA CUTIE X 4 BLIST. AL/PP X 28 COMPR.FILM.

BRISTOL-MYERS SQUIBB

MAREA BRITANIE

CUTIE X 1 FLAC. DIN PEID X 30 COMPR. FILM.

P-RF/R

BRISTOL-MYERS SQUIBB

MAREA BRITANIE

CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM.

P-RF/R

BRISTOL-MYERS SQUIBB

MAREA BRITANIE

CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM.

P-RF/R

BRISTOL-MYERS SQUIBB

MAREA BRITANIE

CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM.

P-RF/R

WYETH EUROPA LIMITED

MAREA BRITANIE

CUTIE X 1 FLAC. X 1,2ML CONCENTRAT + 1 FLAC. X 1,8 SOLVENT

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANIA

CUTIE X 5 FLAC. DIN STICLA X 10 000 UI LIOF. PT. SOL. INJ./PERF.

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANIA

CUTIE X 1 FLAC. DIN STICLA X 10 000 UI LIOF. PT. SOL. INJ./PERF.

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANIA

CUTIE X 1 FLAC. DIN STICLA X 5000 UI LIOF. PT. SOL. INJ./PERF.

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANIA

CUTIE X 5 FLAC. DIN STICLA X 5000 UI LIOF. PT. SOL. INJ./PERF.

MAREA BRITANIE

CN UNIFARM S.A.
BRISTOL MYERS SQUIBB KFT

ROMANIA CUTIE CU 1 FLAC. PULB. PT. SOL. INJ.


UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 CAPS.

CUTIE X 1 FLAC. X 100 CAPS.


ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 100 CAPS. MOI
PFIZER EUROPE MA EEIG

MAREA BRITANIE

SMITHKLINE BEECHAM PLC

MAREA BRITANIE

CUTIE X BLIST. PVC/PCTFE/AL X 10 CAPS.

P-RF/R
P-RF/R
P-RF/R
P-RF/R

S
S
S
S
S
P-RF
P-RF
P-RF

X
P-RF

TEVA PHARMA B.V. OLANDA CUTIE X 1 FLACON DIN STICLA TRANSPARENTA A 1ML P-RF/R
AUSTRIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 4 ML CONC. PT. SOL. PERF. PR
ISLANDA CUTIE X FLACON STICLA X 4MG
P-RF/R
TEVA PHARMA B.V. OLANDA CUTIE X 1 FLACON DIN STICLA TRANSPARENTA A 4ML P-RF/R
ACTAVIS GROUP PTC EHF. ISLANDA
PR
FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE
PR
FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE
PR
ANTIBIOTICE S.A.
ROMANIA
PR
ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. CONC. PT. SOL. PERF. S
SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X 1 FLAC. PULB. PT. CONC. PT. SOL. PERF. S
FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FLACON STICLA BRUNA DE 30 ML X 25 ML CONC. PT. SOL. PERF. PR
FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FLACON STICLA BRUNA DE 20 ML X 15 ML CONC. PT. SOL. PERF. PR
FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FLACON STICLA BRUNA DE 6 ML X 5 ML CONC. PT. SOL. PERF.
PR
FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FLACON STICLA BRUNA DE 6 ML X 2 ML CONC. PT. SOL. PERF.
PR
ACTAVIS S.R.L.
ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 15 ML CONC. PT. SOL.PERF. S
ICN POLFA RZESZOW S.A. POLONIA
S
GERMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA BRUNA X 5 ML CONC. PR. SOL. PERF. S
EBEWE PHARMA GES.M.B.H. NFG KG

ACTAVIS GROUP PTC EHF.

CUTIE CU 1FL DIN STICLA X 4 MG PULBERE PENTRU CONCENTRAT PENTRU SOLU_IE PERFUZABILA

CUTIE CU 5 FLAC. DIN STICLA INCOLORA, CU FOLIE PROTECTOARE DIN PLASTIC X 4 MG PULB. PT. CONC. PT. SO

CUTIE CU 1 FLAC. DIN STICLA INCOLORA, CU FOLIE PROTECTOARE DIN PLASTIC X 4 MG PULB. PT. CONC. PT. SO

CUTIE CU 1 FLAC DIN STICLA INCOLORA CU CAPACITATEA DE 10 ML X 4 MG TOPOTECAN

CUTIE X 1 FLAC. DIN STICLA BRUNA X 2 ML CONC. PT. SOL. PERF. CONTANAD 40MG IRINOTECAN

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

Pagina 110 din 205

cant/
amba
laj

1
1
1
1
1
1
1
1
1
1
1
1
1
1
2
1
3
3
1
1
1
120
30
30
30
30
30
30
112
30
60
60
60
1
5
1
1
5
1
100
100
100
10
1
1
1
1
1
5
1
1
1
1
1
1
1
1
1
1
1

Pret cu
ridicata
maximal /
ambalaj

294.21
565.91
512.05
318.46
318.43
608.90
608.90
318.46
994.09
608.88
452.27
861.69
1,590.52
5,444.73
2,195.82
2,591.32
4,865.80
4,866.20
861.32
5,185.35
1,317.25
8,927.16
6,231.07
8,292.96
1,889.25
4,983.58
9,937.18
19,844.37
14,417.13
16,120.83
7,607.81
15,185.65
15,185.65
3,693.66
1,444.56
311.20
259.34
1,208.80
4,435.86
64.95
341.81
737.79
1,564.63
168.26
641.82
641.82
641.82
641.82
3,080.00
640.00
641.82
640.45
971.28
925.37
502.03
309.16
117.62
1,280.88
124.29
421.53

Pret cu ridicata
maximal / U.T.

294.210000
565.910000
512.050000
318.460000
318.430000
608.900000
608.900000
318.460000
994.090000
608.880000
452.270000
861.690000
1,590.520000
5,444.730000
1,097.910000
2,591.320000
1,621.933333
1,622.066666
861.320000
5,185.350000
1,317.250000
74.393000
207.702333
276.432000
62.975000
166.119333
331.239333
661.479000
128.724375
537.361000
126.796833
253.094166
253.094166
3,693.660000
288.912000
311.200000
259.340000
241.760000
4,435.860000
0.649500
3.418100
7.377900
156.463000
168.260000
641.820000
641.820000
641.820000
641.820000
616.000000
640.000000
641.820000
640.450000
971.280000
925.370000
502.030000
309.160000
117.620000
1,280.880000
124.290000
421.530000

Pret cu ridicata
maximal de
decontare / U.T.

294.210000
565.910000
348.480000
318.460000
318.430000
608.900000
608.900000
318.460000
669.600000
608.880000
348.480000
669.600000
1,590.520000
5,444.730000
1,097.910000
2,591.320000
1,621.933333
1,622.066666
861.320000
5,185.350000
1,317.250000
74.393000
207.702333
276.432000
62.975000
166.119333
331.239333
661.479000
128.724375
537.361000
126.796833
253.094166
253.094166
3,693.660000
288.912000
311.200000
259.340000
241.760000
4,435.860000
0.649500
3.418100
7.377900
156.463000
168.260000
641.820000
641.820000
641.820000
641.820000
616.000000
640.000000
641.820000
640.450000
739.200000
925.370000
502.030000
309.160000
117.620000
602.436000
124.290000
354.240000

Pret cu
amanuntul
maximal /
ambalaj

Pret cu
amanuntul
maximal / U.T.

359.17
654.99
596.28
385.27
385.24
701.85
701.85
385.27
1,121.71
701.83
531.12
977.39
1,771.82
5,972.91
2,431.60
2,862.69
5,341.88
5,342.31
976.99
5,690.19
1,473.95
9,768.77
6,830.03
9,077.49
2,097.44
5,470.26
10,869.69
21,668.54
15,752.84
17,609.88
8,330.67
16,590.53
16,590.53
4,064.24
1,612.72
377.36
316.60
1,355.74
4,873.24
82.12
410.72
842.34
1,743.60
205.41
737.74
737.74
737.73
737.74
3,395.35
735.75
737.73
736.24
1,096.85
1,046.81
585.36
375.14
143.59
1,434.31
151.73
497.62

359.170000
654.990000
596.280000
385.270000
385.240000
701.850000
701.850000
385.270000
1,121.710000
701.830000
531.120000
977.390000
1,771.820000
5,972.910000
1,215.800000
2,862.690000
1,780.626666
1,780.770000
976.990000
5,690.190000
1,473.950000
81.406416
227.667666
302.583000
69.914666
182.342000
362.323000
722.284666
140.650357
586.996000
138.844500
276.508833
276.508833
4,064.240000
322.544000
377.360000
316.600000
271.148000
4,873.240000
0.821200
4.107200
8.423400
174.360000
205.410000
737.740000
737.740000
737.730000
737.740000
679.070000
735.750000
737.730000
736.240000
1,096.850000
1,046.810000
585.360000
375.140000
143.590000
1,434.310000
151.730000
497.620000

Grupa
Nr.
terape
crt
utica
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362

L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX23
L01XX32
L02AB01
L02AE02
L02AE02
L02AE02
L02AE02
L02AE02
L02AE03
L02AE03
L02AE04
L02AE04
L02AE04
L02AE04
L02AE04
L02BA01
L02BA01
L02BA01
L02BA03
L02BB01
L02BB01
L02BB01
L02BB03
L02BB03
L02BB03
L02BB03
L02BB03
L02BB03
L02BB03
L02BB03
L02BB03
L02BB03
L02BB03
L02BB03
L02BG01
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03

Denumire generica

IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
MITOTANUM
BORTEZOMIBUM****
MEGESTROLUM
LEUPRORELINUM**
LEUPRORELINUM**
LEUPRORELINUM**
LEUPRORELINUM**
LEUPRORELINUM**
GOSERELINUM**
GOSERELINUM**
TRIPTORELINUM**
TRIPTORELINUM**
TRIPTORELINUM**
TRIPTORELINUM**
TRIPTORELINUM**
TAMOXIFENUM
TAMOXIFENUM
TAMOXIFENUM
FULVESTRANTUM**
FLUTAMIDUM
FLUTAMIDUM
FLUTAMIDUM
BICALUTAMIDUM
BICALUTAMIDUM
BICALUTAMIDUM
BICALUTAMIDUM
BICALUTAMIDUM
BICALUTAMIDUM
BICALUTAMIDUM
BICALUTAMIDUM
BICALUTAMIDUM
BICALUTAMIDUM
BICALUTAMIDUM
BICALUTAMIDUM
AMINOGLUTETHIMIDUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM

Denumire comerciala

Forma
Concentrati
farmaceutic
e / U.T.
a

IRINOTRCAN MEDAC 20 mg/ml

CONC. PT. SOL. PERF.

IRINOTECAN ALVOGEN 20 mg/ml

CONC. PT. SOL. PERF.

IRINOTECAN POLPHARMA 20 mg/ml

CONC. PT. SOL. PERF.

CAMPTO

CONC. PT. SOL. PERF.

IRINOTECAN EBEWE 20 mg/ml


IRINOTECAN EBEWE 20 mg/ml

CAMPTO
CAMPTO
IRINOTESIN 20mg/ml

CONC. PT. SOL. PERF.


CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.

IRINOTECAN POLPHARMA 20 mg/ml

CONC. PT. SOL. PERF.

IRINOTRCAN MEDAC 20 mg/ml

CONC. PT. SOL. PERF.

TEKAZOL 20 mg/ml

CONC. PT. SOL. PERF.

IRINOTECAN PHARMASWISS 20 mg/ml

CONC. PT. SOL. PERF.

IRINOTECAN PHARMASWISS 20 mg/ml

CONC. PT. SOL. PERF.

IRINOTECAN HOSPIRA 20mg/ml


IRINOTECAN HOSPIRA 20mg/ml
IRINOTECAN HOSPIRA 20mg/ml

CONC. PT. SOL. PERF.

IRINOTESIN 20mg/ml
IRINOTESIN 20mg/ml
LYSODREN 500mg
VELCADE 3,5 mg
MEGESIN 160 mg
ELIGARD 22,5 mg
ELIGARD 7,5 mg
LUCRIN DEPOT 11,25mg
LUCRIN DEPOT 3,75mg
ELIGARD 45 mg
ZOLADEX LA 10,8 mg
ZOLADEX (R)
DIPHERELINE 0,1 mg
DIPHERELINE PR 11,25 mg
DIPHERELINE 3,75 mg

CONC. PT. SOL. PERF.


CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.

COMPR.
PULB. PT. SOL. INJ.

COMPR.
LIOF. SI SOLV. PT. SOL. INJ.
LIOF. SI SOLV. PT. SOL. INJ.
LIOF.+ SOLV. PT. SUSP. INJ. ELIB. PREL.

LIOF.+ SOLV. PT. SUSP. INJ. ELIB. PREL.

PULB+SOLV.PT.SOL.INJ

IMPLANT
IMPLANT
LIOF. + SOLV. PT. SOL. INJ.
PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL.

PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL.

GONAPEPTYL ZILNIC 0,1 mg/ml SOL. INJ.


GONAPEPTYL ZILNIC 0,1 mg/ml SOL. INJ.

TAMONEPRIN (R) 10 mg
TAMOXIFEN 10 TEVA
TAMOXIFEN SANDOZ 10
FASLODEX 250mg/5ml
FLUTAN
FLUTASIN 250 mg
FLUTAMIDE CSC 250 mg
CASODEX 150 mg
YONISTIB 150 mg
BICALUTAMID TERAPIA 150 mg

BICALUTAMIDA ATB 50 mg
BICATLON 50mg
CASODEX 50 mg
CALUMID
BICALUTAMIDA SANDOZ 50 mg
BICALUTAMIDA RANBAXY 50 mg
BICALUTAMIDA RANBAXY 50 mg
BICALUTAMIDA ACCORD 50 mg

YONISTIB 50 mg
ROGLUTEN (R) 250 mg
ANASTROZOL TEVA 1 mg
ANASTROZOL TEVA 1 mg
ANAROMAT 1 mg
ARIMIDEX
OZOLAN 1 mg
AXASTROL 1 mg

COMPR.
COMPR.
COMPR. FILM.

SOL. INJ.
COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

COMPR.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

20mg/ml
20mg/ml
20mg/ml
20mg/ml
20mg/ml
20mg/ml
20mg/ml
20mg/ml
20mg/ml
20mg/ml
20mg/ml
20mg/ml
20mg/ml
20mg/ml
20mg/ml
20mg/ml
20mg/ml
20mg/ml
20mg/ml
500mg
3,5mg
160mg
22,5mg
7,5mg
11,25mg
3,75mg
45mg
10,8 mg
3,6mg
0,1mg
11,25mg
3,75mg
0,1mg/ml
0,1mg/ml
10mg
10mg
10mg
250mg/5ml
250mg
250mg
250mg
150mg
150mg
150mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
250mg
1mg
1mg
1mg
1mg
1mg
1mg

Tara

Firma

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANIA

PHARMACEUTICAL WORKS POLPHARMA SA

ROMANIA
POLONIA

PFIZER EUROPE MA EEIG

MAREA BRITANIE

ALVOGEN ROMANIA S.R.L.

Ambalaj

CUTIE X 1 FLAC. DIN STICLA INCOLORA BRUNA X 2 ML CONC. PR. SOL. PERF.
CUTIE CU 1 FLAC. DIN STICLA BRUNA CU CAPACITATEA DE 5 ML CARE CONTINE 100 MG IRINOTECAN

CUTIE CU 1 FLAC. DIN STICLA BRUNA A 2 ML CONC. PT. SOL. PERF.


CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 ML CONC. PT. SOL. PERF.

EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRIA
AUSTRIA

PFIZER EUROPE MA EEIG

MAREA BRITANIE

PFIZER EUROPE MA EEIG

MAREA BRITANIE

ACTAVIS S.R.L.
PHARMACEUTICAL WORKS POLPHARMA SA

ROMANIA
POLONIA

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA BRUNA X 15 ML CONC. PR. SOL. PERF.

ICN POLFA RZESZOW S.A.

POLONIA

CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 ML CONC. PT. SOL. PERF. CONTANAD 100MG IRINOTECAN

PHARMASWISS CESKA REPUBLIKA S.R.O.

REPUBLICA CEHA

CUTIE CU 1 FLAC. DIN STICLA BRUNA X 100 MG CLORHIDRAT DE IRINOTECAN TRIHIDRAT

PHARMASWISS CESKA REPUBLIKA S.R.O.

REPUBLICA CEHA

CUTIE CU 1 FLAC. DIN STICLA BRUNA X 40 MG CLORHIDRAT DE IRINOTECAN TRIHIDRAT

MAREA BRITANIE

CUTIE X 1 FLAC. STICLA BRUNA X 25 ML CONC. PT. SOL. PERF.

MAREA BRITANIE

CUTIE X 1 FLAC. STICLA BRUNA X 5 ML CONC. PT. SOL. PERF.

MAREA BRITANIE

CUTIE X 1 FLAC. STICLA BRUNA X 2 ML CONC. PT. SOL. PERF.

EBEWE PHARMA GES.M.B.H. NFG KG

HOSPIRA UK LIMITED
HOSPIRA UK LIMITED
HOSPIRA UK LIMITED

CUTIE CU 1 FLAC. DIN STICLA BRUNA + DOP CAUCIUC FARA PLASTIC DE PROTECTIE TIP ONCO-SAFE A 15 ML CONC

CUTIE CU 1 FLAC. DIN STICLA BRUNA + DOP CAUCIUC FARA PLASTIC DE PROTECTIE TIP ONCO-SAFE A 5 ML CONC.

CUTIE X 1 FLAC. DIN PP X 15 ML CONC. PT. SOL. PERF.


CUTIE X 1 FLAC. DIN PP X 5 ML CONC. PT. SOL. PERF.
CUTIE X 1 FLAC. DIN STICLA BRUNA X 25 ML CONC. PT. SOL. INJ.
CUTIE CU 1 FLAC. DIN STICLA BRUNA A 5 ML CONC. PT. SOL. PERF.

Prescriptie

S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S

ACTAVIS S.R.L.
ACTAVIS S.R.L.

ROMANIA
ROMANIA

LABORATOIRE HRA PHARMA


JANSSEN-CILAG INTERNATIONAL NV

FRANTA CUTIE X 1 FLAC. DIN PEID X 100 COMPR.


BELGIA

ACTAVIS S.R.L.

ROMANIA

ASTELLAS PHARMA EUROPE BV

ASTELLAS PHARMA EUROPE BV

OLANDA
OLANDA
SPANIA
SPANIA
OLANDA

O CUTIE X 1 SET X 2 TAVITE TERMOFORMATE CE CONTIN 2 SERINGI PREUMPLUTE (O SERINGA A SI O SERINGA B)

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
S

ASTRAZENECA UK LTD.

MAREA BRITANIE

CUTIE X 1 PLIC X 1 SERINGA PRE-UMPLUTA X 3,6 MG

S/P-RF

IPSEN PHARMA
IPSEN PHARMA
IPSEN PHARMA

FRANTA
FRANTA
FRANTA
AUSTRIA
AUSTRIA

ASTELLAS PHARMA EUROPE BV

ABBOTT LABORATORIES LTD.


ABBOTT LABORATORIES LTD.

FERRING ARZEIMITTEL GES.MBH


FERRING ARZEIMITTEL GES.MBH

CUTIE X 1 FLAC. DIN STICLA BRUNA X 2 ML CONC. PT. SOL. INJ.


CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 ML CONC. PT. SOL. INJ.

P-RF/R

CUTIE X 1 FLAC. X 10ML X 3,5 MG PULB. PT. SOL. INJ., INTRODUS INTR-UN BLISTER TRANSPARENT

P-RF/R

CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR.

P-RF

CUTIE X 1 SET X 2 SERINGI DIN PP PREUMPLUTE (O SERINGA A SI O SERINGA B), IN PUNGI LAMINATE

S
S

CUTIE X 1 KIT X 1 FLAC. CU LIOFILIZAT (MICROSFERE) + 1 FIOLA X 2 ML SOLV. + 1 SERINGA + 2 ACE SI TA

S/P-RF

CUTIE X 1 KIT X 1 FLAC. CU LIOFILIZAT (MICROSFERE) + 1 FIOLA X 2 ML SOLV. + 1 SERINGA SI TAMPON IMB

S/P-RF

CUTIE X 1 SET X 2 SERINGI DIN PP PREUMPLUTE (O SERINGA A SI O SERINGA B), IN PUNGI LAMINATE

CUTIE X 7 FLAC. CU LIOF. PT. SOL. INJ. + 7 FIOLE X 1 ML SOLV.

S/P-RF

CUTIE CU 1 FLAC. DIN STICLA CU PULB. PT. SUSP. INJ. + 1 FIOLA DIN STICLA INCOLORA X 2 ML SOLV. + 1 B

S/P-RF

CUTIE CU 1 FLAC. DIN STICLA CU PULB. PT. SUSP. INJ. + 1 FIOLA DIN STICLA INCOLORA X 2 ML SOLV. + 1 B

S/P-RF

CUTIE X 7 SERINGI PREUMPLUTE DIN STICLA INCOLORA X 1 ML SOL. INJ

S/P-RF

CUTIE X 28 SERINGI PREUMPLUTE DIN STICLA INCOLORA X 1 ML SOL. INJ

S/P-RF

ACTAVIS S.R.L.
ROMANIA CUTIE X 1 FLAC. X 60 COMPR.
PHARMACHEMIE BV OLANDA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR.
HEXAL AG
GERMANIA CUTIE X 10 BLIST. X 10 COMPR. FILM.

P-RF/S

ASTRAZENECA UK LTD.

P-RF

P-RF/S

CUTIE X 1 SERINGA PREUMPLUTA X 5 ML + 1 AC

P-RF

MEDOCHEMIE LTD. CIPRU


CUTIE X 10 BLIST. AL/PVC X 10 COMPR.
ACTAVIS S.R.L.
ROMANIA CUTIE X 1 FLAC. STICLA BRUNA X 30 COMPR.
CSC PHARMACEUTICALS HANDELS GMBH
AUSTRIA CUTIE X 3 BLIST AL/PVC-PVDC X 10 COMPR. FILM.

P-RF

MAREA BRITANIE

P-RF
P-RF

ASTRAZENECA UK LTD.

MAREA BRITANIE

CUTIE X 2 BLIST. X 14 COMPR. FILM.

P-6L

ROMASTRU TRADING S.R.L.

P-6L

MEDICO UNO PHARMA KFT.

ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM.


ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM.
ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. FILM.
UNGARIA CUTIE CU BLIST. AL/PVC X 28 COMPR. FILM.

ASTRAZENECA UK LTD.

MAREA BRITANIE

CUTIE X 2 BLIST. TIP CALENDAR AL/PVC X 14 COMPR. FILM.

P-6L

GEDEON RICHTER ROMANIA SA

ROMANIA
ROMANIA

CUTIE X 2 BLIST. AL/PVDC-PVC X 15 COMPR. FILM.

P-6L

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM.

P-6L

MAREA BRITANIE

CUTIE X 1 FLAC. PEID X 28 COMPR. FILM. P-6L

MAREA BRITANIE

CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM.

P-6L

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.

P-6L

TERAPIA SA
ANTIBIOTICE S.A.

SANDOZ S.R.L.
RANBAXY (UK) LIMITED
RANBAXY (UK) LIMITED

P-6L

PR
P-6L

TEVA PHARMACEUTICALS S.R.L.

ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L


ROMANIA CUTIE X 1 FLAC. X 40 COMPR.
P-RF
ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L
ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L

ACTAVIS GROUP PTC EHF.

ISLANDA

ACTAVIS S.R.L.

ROMANIA CUTIE X 2 BLIST. PVC/AL X 14 COMPR. FILM. P-6L

ALVOGEN IPCO S.A.R.L

LUXEMBURG

CUTIE X BLIST. PVC/AL X 28 COMPR. FILM. P-6L

AS GRINDEKS

LETONIA

CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. P-6L

ROMASTRU TRADING S.R.L.

ACTAVIS S.R.L.
TEVA PHARMACEUTICALS S.R.L.

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.

Pagina 111 din 205

P-6L

cant/
amba
laj

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
100
1
30
1
1
1
1
1
1
1
7
1
1
7
28
60
100
100
1
100
30
30
28
28
28
30
28
28
30
30
28
28
28
28
40
30
28
28
28
28
28

Pret cu
ridicata
maximal /
ambalaj

165.15
323.02
118.07
632.35
1,330.31
412.31
2,104.69
632.24
1,987.65
295.20
1,378.55
310.74
421.53
165.15
1,732.95
370.59
150.69
165.15
421.53
2,537.68
4,533.67
96.60
1,008.66
365.24
867.84
355.37
2,007.33
1,028.89
361.54
108.98
1,039.98
365.22
188.60
715.76
21.12
15.93
39.30
1,534.03
217.79
30.46
33.12
584.09
390.13
352.71
197.21
184.08
284.71
198.33
198.29
166.62
166.62
139.53
185.10
122.55
111.84
106.29
106.29
160.60
106.29
105.28

Pret cu ridicata
maximal / U.T.

165.150000
323.020000
118.070000
632.350000
1,330.310000
412.310000
2,104.690000
632.240000
1,987.650000
295.200000
1,378.550000
310.740000
421.530000
165.150000
1,732.950000
370.590000
150.690000
165.150000
421.530000
25.376800
4,533.670000
3.220000
1,008.660000
365.240000
867.840000
355.370000
2,007.330000
1,028.890000
361.540000
15.568571
1,039.980000
365.220000
26.942857
25.562857
0.352000
0.159300
0.393000
1,534.030000
2.177900
1.015333
1.104000
20.860357
13.933214
12.596785
6.573666
6.574285
10.168214
6.611000
6.609666
5.950714
5.950714
4.983214
6.610714
3.063750
3.728000
3.796071
3.796071
5.735714
3.796071
3.760000

Pret cu ridicata
maximal de
decontare / U.T.

141.144000
323.020000
118.070000
354.240000
602.436000
354.240000
602.436000
354.240000
1,110.444000
295.200000
602.436000
310.740000
354.240000
141.144000
1,110.444000
354.240000
141.144000
141.144000
354.240000
25.376800
4,533.670000
3.220000
1,008.660000
365.240000
867.840000
355.370000
2,007.330000
1,028.890000
361.540000
15.568571
1,039.980000
365.220000
18.682285
18.682285
0.191160
0.159300
0.191160
1,534.030000
1.218400
1.015333
1.104000
15.116142
13.933214
12.596785
5.979857
5.979857
5.979857
5.979857
5.979857
5.950714
5.950714
4.983214
5.979857
3.063750
3.388714
3.388714
3.388714
3.388714
3.388714
3.388714

Pret cu
amanuntul
maximal /
ambalaj

201.62
390.24
144.14
727.41
1,488.19
487.57
2,332.26
727.29
2,204.69
360.38
1,540.77
376.86
497.62
201.62
1,927.07
442.09
183.96
201.62
497.62
2,804.22
4,979.86
122.14
1,137.59
436.26
984.10
425.50
2,226.14
1,159.64
432.23
133.04
1,171.73
436.24
230.24
818.33
28.54
21.53
51.41
1,710.24
265.88
39.84
43.32
674.81
463.39
422.60
240.76
224.73
347.58
242.12
242.07
203.41
203.41
170.34
225.97
149.61
136.54
129.76
129.76
196.06
129.76
128.53

Pret cu
amanuntul
maximal / U.T.

201.620000
390.240000
144.140000
727.410000
1,488.190000
487.570000
2,332.260000
727.290000
2,204.690000
360.380000
1,540.770000
376.860000
497.620000
201.620000
1,927.070000
442.090000
183.960000
201.620000
497.620000
28.042200
4,979.860000
4.071333
1,137.590000
436.260000
984.100000
425.500000
2,226.140000
1,159.640000
432.230000
19.005714
1,171.730000
436.240000
32.891428
29.226071
0.475666
0.215300
0.514100
1,710.240000
2.658800
1.328000
1.444000
24.100357
16.549642
15.092857
8.025333
8.026071
12.413571
8.070666
8.069000
7.264642
7.264642
6.083571
8.070357
3.740250
4.551333
4.634285
4.634285
7.002142
4.634285
4.590357

Grupa
Nr.
terape
crt
utica
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
378
379
380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
398
399
400
401
402
403
404
405
406
407
408
409
410
411
412
413
414
415
416
417
418
419
420
421
422

L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG04
L02BG04
L02BG04
L02BG04
L02BG04
L02BG04
L02BG04
L02BG04
L02BG04
L02BG04
L02BG04
L02BG04
L02BG04
L02BG06
L02BG06
L02BG06
L02BG06
L02BG06
L02BG06
L02BG06
L02BG06
L02BG06
L02BG06
L02BG06
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA13
L03AA13
L03AB04
L03AB04
L03AB04
L03AB05
L03AB05
M05BA02
M05BA02
M05BA02

Denumire generica

ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
LETROZOLUM
LETROZOLUM
LETROZOLUM
LETROZOLUM
LETROZOLUM
LETROZOLUM
LETROZOLUM
LETROZOLUM
LETROZOLUM
LETROZOLUM
LETROZOLUM
LETROZOLUM
LETROZOLUM
EXEMESTANUM
EXEMESTANUM
EXEMESTANUM
EXEMESTANUM
EXEMESTANUM
EXEMESTANUM
EXEMESTANUM
EXEMESTANUM
EXEMESTANUM
EXEMESTANUM
EXEMESTANUM
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
PEGFILGRASTIMUM***
PEGFILGRASTIMUM***
INTERFERONUM ALFA 2A***
INTERFERONUM ALFA 2A***
INTERFERONUM ALFA 2A***
INTERFERONUM ALFA 2B***
INTERFERONUM ALFA 2B***
ACIDUM CLODRONICUM**
ACIDUM CLODRONICUM**
ACIDUM CLODRONICUM**

Denumire comerciala

ANASTROZOL TERAPIA 1 mg
ANASTROZOL TERAPIA 1 mg
ANASTROZOL TERAPIA 1 mg
ANASTROZOL TERAPIA 1 mg

ANASTRAZE 1 mg
ANASTROZOL BLUEFISH 1 mg

ENZAMIDEX 1mg
EGISTROZOL 1 mg
ANASTROZOL TERAPIA 1 mg
ANASTROZOLE MEDICO UNO 1 mg

ANASTROZOL TERAPIA 1 mg

EGISTROZOL 1 mg
ANASTROZOL ATB 1 mg
KYARESTA 1 mg
OZOLAN 1 mg
ANASTROZOL TERAPIA 1 mg
ANASTROZOL TERAPIA 1 mg

LETROZOL TERAPIA 2,5 mg


LETROZOL ALVOGEN 2,5 mg

ZOTROL 2,5 mg
ZEQUIPRA 2,5 mg
LETROZOL POLPHARMA 2,5 mg

FEMARA 2,5 mg
ETRUZIL 2,5 mg
LETROZOL ATB 2,5 mg
LETRALAN 2,5 mg
TROZEL 2,5 mg
LEZRA 2,5 mg
LETROZOL SANOFI-AVENTIS 2,5 mg

LETROZOL TEVA 2,5 mg


AROSTANIL 25 mg
XANEPRA 25 mg
XANEPRA 25 mg
EXEMESTAN TERAPIA 25 mg
EXEMESTAN ACTAVIS 25 mg
EXEMESTAN ACCORD 25 mg

EXEMESTAN TEVA 25 mg
EXEMESTAN ALVOGEN 25 mg
EXEMESTAN GLENMARK 2 5mg

EXESTRALAN 25 mg
AROMASIN 25 mg
NEUPOGEN (R)
NEUPOGEN (R)
ZARZIO 30MU/0,5ml
ZARZIO 48MU/0,5ml
NIVESTIM 12 MU/0,2ml
TEVAGRASTIM 30MUI/0,5ml
NIVESTIM 30 MU/0,5 ml
TEVAGRASTIM 48MUI/0,8ml
NIVESTIM 48 MU/0,5 ml
NEULASTA 6mg
NEULASTA 6mg
ROFERON A
ROFERON A
ROFERON A
INTRON A 18 milioane U.I.
INTRON A 30 milioane U.I.
BONEFOS (R) 400 mg
BONEFOS (R) 800 mg
SINDRONAT (R) 300 mg/5 ml

Forma
Concentrati
farmaceutic
e / U.T.
a
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

DRAJ.
SOL. INJ.
SOL. INJ.
SOL. INJ. /PERF. IN SERINGA PREUMPLUTA

SOL. INJ. /PERF. IN SERINGA PREUMPLUTA

SOL. INJ./PERF.

1mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
2,5 mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
25 mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
30MU/0,5ml
48MU/0,5ml
60MU/ml
96MU/ml
120g/0,2ml

Tara

Firma

TERAPIA SA
TERAPIA SA
TERAPIA SA
TERAPIA SA
SANDOZ SRL

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

BLUEFISH PHARMACEUTICALS AB
LANNACHER HEILMITTEL GES.M.B.H.

SUEDIA
AUSTRIA

TERAPIA SA
TERAPIA SA
TERAPIA S.A.

UNGARIA
ROMANIA
UNGARIA
ROMANIA
UNGARIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

ALVOGEN IPCO S.A.R.L

LUXEMBURG

SANDOZ S.R.L.

ROMANIA
ROMANIA
POLONIA

EGIS PHARMACEUTICALS P.L.C.

TERAPIA SA
MEDICO UNO PHARMA KFT.

TERAPIA SA
EGIS PHARMACEUTICALS P.L.C.

ANTIBIOTICE S.A.
ROMASTRU TRADING SRL
S.C. CORIS PHARMA S.R.L.

ROMASTRU TRADING S.R.L.


PHARMACEUTICALS WORKS POLPHARMA SA

NOVARTIS PHARMA GMBH GERMANIA


EGIS PHARMACEUTICALS P.L.C.

ANTIBIOTICE S.A.
ICN POLFA RZESZOW S.A.

UNGARIA
ROMANIA
POLONIA

MEDICAMENTA A.S. CEHIA


ISLANDA

ACTAVIS GROUP PTC EHF.

TERAPIA S.A.

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

ACTAVIS GROUP PTC EHF.

ISLANDA

SANOFI - AVENTIS ROMANIA S.R.L.

TEVA PHARMACEUTICALS S.R.L.

SANDOZ S.R.L.
ROMASTRU TRADING S.R.L.
ROMASTRU TRADING S.R.L.

ACCORD HEALTHCARE LIMITED MAREA BRITANIE


TEVA PHARMACEUTICALS S.R.L.

ROMANIA

ALVOGEN IPCO S.A.R.L

LUXEMBURG

GLENMARK PHARMACEUTICALS SRL

REPUBLICA SLOVACA

ICN POLFA RZESZOW S.A.

POLONIA

PFIZER EUROPE MA EEIG

MAREA BRITANIE

AMGEN EUROPE B.V. OLANDA


AMGEN EUROPE B.V. OLANDA

SANDOZ GMBH
SANDOZ GMBH

AUSTRIA
AUSTRIA

HOSPIRA UK LIMITED

MAREA BRITANIE

SOL. INJ./PERF. 300mcg/0,5ml TEVA GENERICS GMBH GERMANIA


SOL. INJ./PERF.

300g/0,5ml HOSPIRA UK LIMITED

MAREA BRITANIE

SOL. INJ./PERF. 480mcg/0,8ml TEVA GENERICS GMBH GERMANIA

SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.

480g/0,5ml
6 mg
6mg
18Mui/0,6ml
3Mui/0,5ml
9Mui/0,5ml

HOSPIRA UK LIMITED MAREA BRITANIE


AMGEN EUROPE B.V. OLANDA
AMGEN EUROPE B.V. OLANDA
ROCHE ROMANIA S.R.L. ROMANIA
ROCHE ROMANIA S.R.L. ROMANIA
ROCHE ROMANIA S.R.L. ROMANIA

SOL. INJ. PEN MULTIDOZA

18 milioane U.I.

SOL. INJ. PEN MULTIDOZA

30 milioane U.I.

SP EUROPE
SP EUROPE

BELGIA
BELGIA

BAYER SCHERING PHARMA AG


BAYER SCHERING PHARMA AG

FINLANDA
FINLANDA

ACTAVIS S.R.L.

ROMANIA

SOL. INJ./PERF.

CAPS.

400mg
COMPR. FILM. 800mg
CONC. PT. SOL. PERF. 300mg/5ml

Ambalaj

Prescriptie

cant/
amba
laj

100
98
CUTIE X BLIST. PVC/AL X 84 COMPR. FILM. P-6L
84
CUTIE X BLIST. PVC/AL X 50 COMPR. FILM. P-6L
50
CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. P-6L
28
CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. P-6L
28
CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. P-6L
30
CUTIE CU BLIST. PVC-PE- PVDC/AL X 30 COMPR.FILM. P-6L
30
CUTIE X BLIST. PVC/AL X 300 COMPR. FILM. P-6L/S 300
CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L
28
CUTIE X BLIST. PVC/AL X 20 COMPR. FILM. P-6L
20
CUTIE CU BLIST. PVC-PE- PVDC/AL X 90 COMPR.FILM. P-6L
90
CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. FILM. P -6L
30
CUTIE CU 2 BLIST. PVC/AL X 14 COMPR. FILM. P-6L
28
CUTIE X BLIST. PVC/AL X 28 COMPR. FILM. P-6L
28
CUTIE X BLIST. PVC/AL X 30 COMPR. FILM. P-6L
30
CUTIE X BLIST. PVC/AL X 28 COMPR. FILM. P-6L
28
CUTIE CU BLIST. PVC/PE/PVDC - AL X 30 COMPR. FILM. P6L
30
CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. P-6L
30
CUTIE CU BLIST. DIN PVC/AL X 30 COMPR. FILM. P-6L
30
CUTIE CU BLIST. AL-PVC/PVC-PE-PVDC X 30 COMPR. FILM.
P-6L
30
CUTIE CU BLIST. DIN PVC/AL X 30 COMPR. FILM. P-6L
30
CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L
30
CUTIE CU BLIST. DIN PVC/AL X 30 COMPR. FILM. P-6L
30
CUTIE CU 3 BLIST. PVDC-PE-PVC/AL X 10 COMPR. FILM. P6L
30
CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-RF
30
CUTIE CU BLIST. DIN PVC-PVDC/AL X 30 COMPR. FILM. P-6L
30
CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. P-6L
30
CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. P-6L
30
CUTIE X BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L
30
CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. PRF
30
CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM PRF
30
CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM PRF
30
CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR. FILM. X
30
CUTIE CU BLIST. AL/PVC X 30 COMPR. FILM. PRF
30
CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-RF
30
CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM P-RF
30
CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF
30
CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-RF
30
CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-RF
30
CUTIE X 2 BLIST. PVC-PVDC/PVC-AL X 15 DRAJ. P-RF
30
CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML S/P-RF
1
CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML S/P-RF
1
CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R
1
CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R
1
CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,2ML SOL. INJ. SAU PERF.
P-RF
5
CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF.
1
CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF.
P-RF
5
CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF.
1
CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF.
P-RF
5
PR
1
CUTIE X BLISTER X 1 SERINGA PREUMPLUTA X 0,6ML SOL. INJ.
P-RF/R
1
CUTIE X 1 CARTUS MULTIDOZA X 0,6 ML SOL. INJ. S/P-RF
1
CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML + AC STERIL S/P-RF
1
CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. + AC STERIL
S/P-RF
1
P-RF/R
1
P-RF/R
1
CUTIE X 1 FLAC. PEID X 100 CAPS. P-6L 100
CUTIE X 6 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
60
CUTIE X 1 FLAC. DIN STICLA X 5 ML S
1
CUTIE X BLIST. PVC/AL X 100 COMPR. FILM. P-6L

CUTIE X BLIST. PVC/AL X 98 COMPR. FILM. P-6L

S/P-RF/R

S/P-RF/R

CUTIE CU 1 SERINGA PREUMPLUTA X 0,6ML SOL. INJ. IN BLISTER, CU PROTECTIE A ACULUI

CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML SOL. INJ. + 12 ACE + 12 TAMPOANE DEZINFECTANTE

CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML + 12 ACE + 12 TAMPOANE DEZINFECTANTE

Pagina 112 din 205

Pret cu
ridicata
maximal /
ambalaj

606.86
594.01
504.02
286.13
146.35
79.07
111.84
111.84
1,892.42
91.95
113.96
335.01
111.84
158.40
106.29
171.35
159.87
254.30
252.81
225.95
312.40
252.63
468.37
225.95
313.43
212.60
254.00
252.38
255.12
225.95
152.77
181.50
181.50
199.25
199.00
199.02
199.25
199.02
199.25
198.00
306.55
263.92
431.80
160.19
257.85
413.89
211.64
989.71
352.07
1,637.21
3,269.20
3,269.20
350.79
68.34
148.32
410.73
666.22
506.79
629.63
20.51

Pret cu ridicata
maximal / U.T.

6.068600
6.061326
6.000238
5.722600
5.226785
2.823928
3.728000
3.728000
6.308066
3.283928
5.698000
3.722333
3.728000
5.657142
3.796071
5.711666
5.709642
8.476666
8.427000
7.531666
10.413333
8.421000
15.612333
7.531666
10.447666
7.086666
8.466666
8.412666
8.504000
7.531666
5.092333
6.050000
6.050000
6.641666
6.633333
6.634000
6.641666
6.634000
6.641666
6.600000
10.218333
263.920000
431.800000
160.190000
257.850000
82.778000
211.640000
197.942000
352.070000
327.442000
3,269.200000
3,269.200000
350.790000
68.340000
148.320000
410.730000
666.220000
5.067900
10.493833
20.510000

Pret cu ridicata
maximal de
decontare / U.T.

3.388714
3.388714
3.388714
3.388714
3.388714
2.823928
3.388714
3.388714
3.388714
3.283928
3.388714
3.388714
3.388714
3.388714
3.388714
3.388714
3.388714
8.476666
8.427000
7.531666
8.503999
8.421000
8.503999
7.531666
8.503999
7.086666
8.466666
8.412666
8.503999
7.531666
5.092333
6.050000
6.050000
6.110800
6.110800
6.110800
6.110800
6.110800
6.110800
6.110800
6.110800
192.228000
309.420000
160.190000
257.850000
82.778000
192.228000
192.228000
309.420000
309.420000
3,269.200000
3,269.200000
350.790000
68.340000
148.320000
410.730000
666.220000
5.067900
10.493833
20.510000

Pret cu
amanuntul
maximal /
ambalaj

699.63
685.62
587.53
349.31
178.66
99.98
136.53
136.53
2,100.89
116.26
139.12
403.31
136.53
193.37
129.76
209.19
195.17
310.45
308.63
275.84
378.67
308.41
548.67
275.84
379.79
259.54
310.08
308.10
311.45
275.84
186.50
221.58
221.58
243.25
242.94
242.97
243.25
242.97
243.25
241.72
372.29
322.20
508.81
195.56
314.78
489.29
258.37
1,116.94
421.91
1,822.71
3,601.58
3,601.58
420.51
86.41
181.07
485.85
764.33
590.55
724.45
27.72

Pret cu
amanuntul
maximal / U.T.

6.996300
6.996122
6.994404
6.986200
6.380714
3.570714
4.551000
4.551000
7.002966
4.152142
6.956000
4.481222
4.551000
6.906071
4.634285
6.973000
6.970357
10.348333
10.287666
9.194666
12.622333
10.280333
18.289000
9.194666
12.659666
8.651333
10.336000
10.270000
10.381666
9.194666
6.216666
7.386000
7.386000
8.108333
8.098000
8.099000
8.108333
8.099000
8.108333
8.057333
12.409666
322.200000
508.810000
195.560000
314.780000
97.858000
258.370000
223.388000
421.910000
364.542000
3,601.580000
3,601.580000
420.510000
86.410000
181.070000
485.850000
764.330000
5.905500
12.074166
27.720000

Grupa
Nr.
terape
crt
utica
423
424
425
426
427
428
429
430
431
432
433
434
435
436
437
438
439
440
441
442
443
444
445
446
447
448
449
450
451

M05BA02
M05BA03
M05BA03
M05BA03
M05BA03
M05BA03
M05BA03
M05BA03
M05BA06
M05BA06
M05BA06
M05BA06
M05BA06
M05BA06
M05BA06
M05BA06
M05BA06
M05BA06
M05BA08
M05BA08

V03AF01
V03AF03
V03AF03
V03AF03
V03AF03
V03AF03
V03AF03
V03AF05
V03AF05

Denumire generica

ACIDUM CLODRONICUM**
ACIDUM PAMIDRONICUM**
ACIDUM PAMIDRONICUM**
ACIDUM PAMIDRONICUM**
ACIDUM PAMIDRONICUM**
ACIDUM PAMIDRONICUM**
ACIDUM PAMIDRONICUM**
ACIDUM PAMIDRONICUM**
ACIDUM IBANDRONICUM**
ACIDUM IBANDRONICUM**
ACIDUM IBANDRONICUM**
ACIDUM IBANDRONICUM**
ACIDUM IBANDRONICUM**
ACIDUM IBANDRONICUM**
ACIDUM IBANDRONICUM**
ACIDUM IBANDRONICUM**
ACIDUM IBANDRONICUM**
ACIDUM IBANDRONICUM**
ACIDUM ZOLEDRONICUM**
ACIDUM ZOLEDRONICUM**
MESNUM
CALCII FOLINAS
CALCII FOLINAS
CALCII FOLINAS
CALCII FOLINAS
CALCII FOLINAS
CALCII FOLINAS
AMIFOSTINUM**
AMIFOSTINUM**

Denumire comerciala

BONEFOS (R) 60 mg/ml


PAMIDRONAT TORREX
PAMIDRONAT TORREX
PAMIDRONAT TORREX
PAMIDRONAT TORREX
PAMIRED 30
PAMIRED 60
AREDIA (R) 15 mg

Forma
Concentrati
farmaceutic
e / U.T.
a

LIOF. PT. SOL. PERF.

60mg/ml
15mg/ml
15mg/ml
15mg/ml
15mg/ml
30mg
60mg
15mg
150 mg
150mg
150mg
50 mg
50mg
50mg
6mg/6ml
6mg/6ml
3mg/3ml
1mg/1ml
4mg
5mg/100ml
400mg/4ml
15mg
10mg/ml
10mg/ml
3mg/ml
10mg/ml
10mg/ml
375mg
500mg

PULB. + SOLV. PT. SOL. INJ.

30mcg (6 mil. UI)

SOL. INJ.

44mcg
250mcg/ml
250mcg/ml
20mg/ml
20mg/ml
100mg
100mg
50mg
75mg

CONC. PT. SOL. PERF.


CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
LIOF. PT. SOL. PERF. I.V.
LIOF. PT. SOL. PERF. I.V.
LIOF.+ SOLV. PT. SOL. PERF.

ACID IBANDRONIC TEVA 150 mg COMPR. FILM.


BONVIVA 150mg
COMPR. FILM.
OSSICA 150 mg
COMPR. FILM.
ACID IBANDRONIC SANDOZ 50 mg COMPR. FILM.
IASIBON 50 mg
COMPR. FILM.
BONDRONAT 50mg
COMPR. FILM.

IASIBON 6mg/6ml
BONDRONAT 6mg/6ml
OSAGRAND 3 mg/3 ml
BONVIVA 3mg/3ml
ZOMETA 4 mg
ACLASTA 5mg/100ml
UROMITEXAN (R) 400 mg

CONC. PT. SOL. PERF.


CONC. PT. SOL. PERF.

SOL. INJ.
SOL. INJ. IN SERINGA PREUMPLUTA

PULB. + SOLV. SOL. PERF.

SOL. PERF.
SOL. INJ.
CALCIUM FOLINAT "EBEWE" 15 mg CAPS.
FOLINAT DE CALCIU TEVA 10 mg/ml SOL. INJ.
FOLCASIN (R) 100 mg/10 ml SOL. INJ.
FOLCASIN (R) 30 mg/10 ml SOL. INJ.
CALCIUMFOLINAT "EBEWE" 10 mg/ml SOL. INJ./PERF.
CALCIUMFOLINAT "EBEWE" 10 mg/ml SOL. INJ./PERF.

ETHYOL
ETHYOL (R)

LIOF. PT. SOL. PERF.

Tara

Firma

Ambalaj

BAYER SCHERING PHARMA AG

FINLANDA CUTIE X 5 FIOLE X 5 ML

TORREX CHIESI PHARMA GMBH

AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA

TORREX CHIESI PHARMA GMBH


TORREX CHIESI PHARMA GMBH
TORREX CHIESI PHARMA GMBH

DR. REDDY'S LABORATORIES

ROMANIA
ROMANIA

CUTIE X 1 FIOLA PE X 4 ML
CUTIE X 1 FIOLA PE X 6 ML
CUTIE X 1 FIOLA PE X 1 ML
CUTIE X 1 FIOLA PE X 2 ML

Prescriptie

S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 30 MG LIOF. PT. SOL. PERF. I.V.

S/P-RF

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 60 MG LIOF. PT. SOL. PERF. I.V.

S/P-RF

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 4 FLAC. DIN STICLA X 15 MG LIOF. PT. SOL. PERF. + 4 FIOLE DIN STICLA X 5 ML SOLV.

S/P-RF

TEVA PHARMA B.V. OLANDA

CUTIE CU BLIST. DIN PVC/ACLAR/PVC-AL X 1 COMPRIMAT FILMAT

P-RF

ROCHE REGISTRATION LTD.

CUTIE X 1 COMPR. FILM.( BLIST. AL/AL)

P-6L

DR. REDDY'S LABORATORIES

MAREA BRITANIE

GEDEON RICHTER PLC. UNGARIA


SANDOZ PHARMACEUTICALS GMBH GERMANIA

CUTIE CU BLIST. DIN PA/AL/PVC/AL CU 28 COMPRIMATE FILMATE

PHARMATHEN S.A. GRECIA

CUTIE CU BLIST. PA/ALL/PVC/ALU X 28 COMPR. FILM

CUTIE CU 1 BLIST. PVC-PE-PVDC/AL X 1 COMPR. FILM. P-6L

PR
PR
ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X BLIST. AL/PVC X 28 COMPR. FILM. S
PHARMATHEN S.A. GRECIA CUTIE CU 1 FLAC. DIN STICLA X 6ML CONC. PT. SOL. PERF. PR
ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLACON X 6 ML CONC. PT. SOL. PERF. S
ZENTIVA K.S.
CUTIE CU 1 FIOLA DIN STICLA INCOLORA X 3 ML SOL. INJ. PR
REPUBLICA SLOVACA

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 1 SERINGA PREUMPLUTA DIN STICLA X 3 ML SOL. INJ. + 1 AC

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 1 FLAC. 4MG PULB. PT. SOL. PERF. + 1 FIOLA X 5 ML SOLV.

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 1 FLAC. X 100 ML + 1 CAPAC AL/PP CU COMPONENTA FLIP.

BAXTER ONCOLOGY GMBH GERMANIA


EBEWE PHARMA GES.M.B.H. NFG KG

TEVA PHARMACEUTICALS S.R.L.

ACTAVIS S.R.L.
ACTAVIS S.R.L.
EBEWE PHARMA GMBH NFG. KG
EBEWE PHARMA GMBH NFG. KG

SCHERING PLOUGH EUROPE


SCHERING PLOUGH EUROPE

CUTIE X 3 SUPORTURI TERMOFORMATE DIN PLASTIC X 5 FIOLE DE STICLA INCOLORA X 4 ML

P-6L

S
S
S

AUSTRIA CUTIE X1 FLAC. X 20 CAPS.


P-6L
ROMANIA CUTIE CU 1 FLAC. X 10 ML SOL. INJ. P-RF/S
ROMANIA CUTIE X 1 FLACON X 10 ML
S/P-RF
ROMANIA CUTIE X 1 FLACON X 10 ML
S/P-RF
AUSTRIA CUTIE X 5 FIOLE X 3 ML
P-RF
AUSTRIA CUTIE X 5 FIOLE X 10 ML
P-RF
BELGIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU LIOF. PT. SOL. PERF. S
BELGIA CUTIE X 3 FLAC. DIN STICLA INCOLORA CONTINAND 500 MG LIOF. PT. SOL. PERF. S

cant/
amba
laj

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

Pret cu ridicata
maximal de
decontare / U.T.

Pret cu
amanuntul
maximal /
ambalaj

Pret cu
amanuntul
maximal / U.T.

5
1
1
1
1
1
1
4
1
1
1
28
28
28
1
1
1
1
1
1
15
20
1
1
1
5
5
5
3

152.26
357.96
524.05
109.44
183.61
151.08
235.03
589.21
65.03
104.69
56.52
513.87
630.03
953.12
589.74
891.14
229.29
350.70
1,085.91
1,383.63
44.34
28.78
29.16
29.13
13.37
49.63
140.49
1,979.50
1,861.39

30.452000
357.960000
524.050000
109.440000
183.610000
151.080000
235.030000
147.302500
65.030000
104.690000
56.520000
18.352500
22.501071
34.040000
589.740000
891.140000
229.290000
350.700000
1,085.910000
1,383.630000
2.956000
1.439000
29.160000
29.130000
13.370000
9.926000
28.098000
395.900000
620.463333

24.612000
282.036000
524.050000
109.440000
181.296000
151.080000
235.030000
131.328000
65.030000
67.824000
56.520000
18.352500
22.023000
22.023000
589.740000
707.688000
229.290000
275.148000
1,085.910000
1,383.630000
2.956000
1.439000
29.160000
29.130000
11.911200
9.926000
28.098000
395.900000
620.463333

185.88
428.33
609.36
133.60
224.15
184.44
286.92
680.39
82.22
127.80
71.46
598.27
724.88
1,077.05
680.97
1,009.49
279.92
420.41
1,221.79
1,546.31
58.00
37.64
38.14
38.10
18.07
64.92
171.51
2,195.81
2,067.07

37.176000
428.330000
609.360000
133.600000
224.150000
184.440000
286.920000
170.097500
82.220000
127.800000
71.460000
21.366785
25.888571
38.466071
680.970000
1,009.490000
279.920000
420.410000
1,221.790000
1,546.310000
3.866666
1.882000
38.140000
38.100000
18.070000
12.984000
34.302000
439.162000
689.023333

4
12
15
15
28
1
100
50
100
100

3,049.36
4,134.75
3,465.34
3,262.76
3,047.24
6,870.70
82.20
41.83
63.23
61.67

762.340000
344.562500
231.022666
217.517333
108.830000
6,870.700000
0.822000
0.836600
0.632300
0.616700

762.340000
344.562500
231.022666
217.517333
108.830000
6,870.700000
0.822000
0.836600
0.632300
0.616700

3,361.96
4,545.03
3,815.38
3,594.56
3,359.65
7,527.22
103.94
54.72
79.95
77.97

840.490000
378.752500
254.358666
239.637333
119.987500
7,527.220000
1.039400
1.094400
0.799500
0.779700

5
1
5
5
5
5
5
5
5
5
5

89.92
42.81
97.88
94.85
135.93
111.75
94.85
127.45
154.67
129.03
129.03

17.984000
42.810000
19.576000
18.970000
27.186000
22.350000
18.970000
25.490000
30.934000
25.806000
25.806000

17.984000
42.810000
19.576000
18.970000
27.186000
21.580800
18.970000
25.490000
30.588000
25.806000
25.806000

113.69
55.99
123.76
119.93
165.94
136.42
119.93
155.59
188.82
157.52
157.52

22.738000
55.990000
24.752000
23.986000
33.188000
27.284000
23.986000
31.118000
37.764000
31.504000
31.504000

P4: PROGRAMUL NATIONAL DE BOLI NEUROLOGICE


Subprogramul de tratament al sclerozei multiple
1
2
3
4
5
6
7
8
9
10

L03AB07
L03AB07
L03AB08
L03AB08
L03AX13
L04AA23
L04AX01
L04AX01
L04AX01
L04AX01

INTERFERONUM BETA 1A****


INTERFERONUM BETA 1A****
INTERFERONUM BETA 1-B****
INTERFERONUM BETA 1-B****
GLATIRAMER ACETAT****
NATALIZUMABUM****
AZATHIOPRINUM*
AZATHIOPRINUM*
AZATHIOPRINUM*
AZATHIOPRINUM*

AVONEX 30 mcg BIO-SET


REBIF 44 micrograme
EXTAVIA 250 mcg/ ml
BETAFERON 250mcg/ml
COPAXONE
TYSABRI 300mg
IMMUNOPRIN 100 mg
IMMUNOPRIN 100 mg
IMURAN (R)
IMMUNOPRIN 75 mg

PULB+SOLV.PT.SOL.INJ
PULB. + SOLV. PT. SOL. INJ.

SOL. INJ.
CONC. PT. SOL. PERF.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

BIOGEN IDEC LIMITED


SERONO EUROPE LTD.
NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X (1 FLAC. DIN STICLA X 30 MCG PULBERE + 1 SERINGA PRE-UMPLUTA + 1 ML SOLV. + 4 FIOLE PREVAZUT

P-RF/R

MAREA BRITANIE

CUTIE X 12 SERINGI PREUMPLUTE X 0,5ML SOL. INJ.

P-RF/R

MAREA BRITANIE

BAYER SCHERING AG GERMANIA


TEVA PHARMACEUTICALS S.R.L. ROMANIA
ELAN PHARMA INTERNATIONAL LTD
EBEWE PHARMA GES.M.B.H. NFG KG
EBEWE PHARMA GES.M.B.H. NFG KG

CUTIE X 15 FLAC. CU PULBERE + 15 SERINGI PREUMPLUTE CU SOLVENT

P-RF/R

CUTIE X 15 AMBALAJE MULTIPLE CE CONTIN FIECARE CATE 1 FLAC. CU PULB., O SERINGA PREUMPLUTA CU SOLV.

P-RF/P

CUTIE X 28 BLIST. PVC X 1 SERINGA PREUMPLUTA X 1 ML PREVAZUTA CU AC FIX

S/P-RF

IRLANDA CUTIE X 1 FLAC. X 15ML CONC. PT. SOL. PERF S


AUSTRIA CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM. PR
AUSTRIA CUTIE CU 1 FLAC. PEID X 50 COMPR. FILM. PR
CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM.

S/P-RF

CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM.

PR

LILLY FRANCE SAS FRANTA CUTIE X 5 CARTUSE X 3 ML SOL. INJ.


LILLY FRANCE SAS FRANTA CUTIE X 1 FLAC. X 10 ML SOL. INJ.
NOVO NORDISK A/S DANEMARCA CUTIE X 5 CARTUSE X 3 ML SOL. INJ.

P-RF

THE WELLCOME FOUNDATION LTD. MAREA BRITANIE


EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRIA

P5: PROGRAMUL NATIONAL DE DIABET ZAHARAT


Tratamentul medicamentos al bolnavilor cu diabet zaharat
1
2
3
4
5
6
7
8
9
10
11

A10AB01
A10AB01
A10AB01
A10AB01
A10AB01
A10AB01
A10AB01
A10AB04
A10AB04
A10AB05
A10AB06

INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINUM LISPRO**
INSULINUM LISPRO**
INSULINUM ASPART**
INSULINUM GLULIZINA**

HUMULIN R
HUMULIN R

SOL. INJ.
SOL. INJ.

ACTRAPID PENFILL 100 UI/ml

SOL. INJ. IN CARTUS

INSUMAN RAPID 100UI/ml


INSUMAN RAPID 100UI/ml

SOL. INJ. IN CARTUS

SOL. INJ. IN FLACON

INSUMAN RAPID 100 UI/ml SoloStar

SOL. INJ. IN STILOU INJECTOR PREUMPLUT

INSUMAN RAPID 100 UI/ml OPTISET

SOL. INJ. IN STILOU INJECTOR PREUMPLUT

HUMALOG 100 U/ml

SOL. INJ.
HUMALOG KWIKPEN100U/ml SOL. INJ.
NOVORAPID PENFILL 100 U/ml

SOL. INJ. IN CARTUS

APIDRA 100U/ml

SOL. INJ. IN CARTUS

100UI/ml
100UI/ml
100UI/ml
100UI/ml
100UI/ml
100UI/ml
100UI/ml
100U/ml
100U/ml
100Uml
100U/ml

P-RF
P-RF

SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMANIA

CUTIE X 5 CARTUSE DIN STICLA INCOLORA X 3 ML SOL. INJ.

P-RF

SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMANIA

CUTIE X 5 FLACOANE DIN STICLA INCOLORA X 5 ML SOL. INJ.

P-RF

SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMANIA

CUTIE X 5 STILOURI INJECTOARE X 1 CARTUS DIN STICLA INCOLORA X 3 ML SOL. INJ.

P-RF

SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMANIA

CUTIE X 5 STILOURI INJECTOARE X 1 CARTUS DIN STICLA INCOLORA X 3 ML SOL. INJ.

P-RF

ELI LILLY NEDERLAND BV

P-RF

ELI LILLY NEDERLAND BV

OLANDA CUTIE X 5 CARTUSE X 3 ML SOL.INJ.


OLANDA CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PRE-UMPLUTE X 3 ML SOL. INJ.

NOVO NORDISK A/S

DANEMARCA

CUTIE X 5 CARTUSE X 3 ML SOL. INJ.


GERMANIA CUTIE X 5 CARTUSE X 3 ML SOL. INJ.

P-RF

SANOFI - AVENTIS DEUTSCHLAND GMBH

Pagina 113 din 205

P-RF

P-RF

Grupa
Nr.
terape
crt
utica
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71

A10AB06
A10AB06
A10AC01
A10AC01
A10AC01
A10AC01
A10AC01
A10AC01
A10AC04
A10AD01
A10AD01
A10AD01
A10AD01
A10AD01
A10AD01
A10AD01
A10AD01
A10AD01
A10AD04
A10AD04
A10AD04
A10AD04
A10AD05

A10AE04
A10AE04
A10AE04
A10AE04
A10AE05
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02

Denumire generica

INSULINUM GLULIZINA**
INSULINUM GLULIZINA**
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINUM LISPRO**
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINUM LISPRO**
INSULINUM LISPRO**
INSULINUM LISPRO**
INSULINUM LISPRO**
INSULINUM ASPART**
INSULINUM GLARGINE**
INSULINUM GLARGINE**
INSULINUM GLARGINE**
INSULINUM GLARGINE**
INSULINUM DETEMIR**
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM

Denumire comerciala

APIDRA 100U/ml
APIDRA 100U/ml
HUMULIN N
HUMULIN N
INSUMAN BASAL 100UI/ml
INSUMAN BASAL 100UI/ml

Forma
Concentrati
farmaceutic
e / U.T.
a
SOL. INJ. IN FLACON
SOL. INJ. IN STILOU INJECTOR PREUMPLUT

SUSP. INJ.
SUSP. INJ.
SUSP. INJ. IN CARTUS
SUSP. INJ. IN FLACON

INSUMAN BASAL 100UI/ml OPTISET

SUSP. INJ. IN STILOU INJECTOR PREUMPLUT

INSUMAN BASAL 100UI/ml SoloStar

SUSP. INJ. IN STILOU INJECTOR PREUMPLUT

HUMALOG BASAL KWIKPEN 100U/ml

HUMULIN M3
HUMULIN M3
INSUMAN COMB 50 100UI/ml
INSUMAN COMB 25 100UI/ml

SUSP. INJ.
SUSP. INJ.
SUSP. INJ.
SUSP. INJ. IN CARTUS
SUSP. INJ. IN CARTUS

MIXTARD 30 PENFILL 100 UI/ml

SUSP. INJ. IN CARTUS

INSUMAN COMB 25 100UI/ml

SUSP. INJ. IN FLACON

INSUMAN COMB 25 100UI/ml SoloStar

SUSP. INJ. IN STILOU INJECTOR PREUMPLUT

INSUMAN COMB 50 100UI/ml OPTISET

SUSP. INJ. IN STILOU INJECTOR PREUMPLUT

INSUMAN COMB 25 100UI/ml OPTISET

SUSP. INJ. IN STILOU INJECTOR PREUMPLUT

HUMALOG MIX25

HUMALOG MIX50

SUSP. INJ.
SUSP. INJ.
SUSP. INJ.
SUSP. INJ.

NOVOMIX 30 PENFILL 100 U/ml

SUSP. INJ. IN CARTUS

HUMALOG MIX50 KWIKPEN 100U/ml


HUMALOG MIX25 KWIKPEN 100U/ml

LANTUS 100UI/ml
LANTUS 100UI/ml
LANTUS SoloStar
LANTUS OptiSet
LEVEMIR PENFILL 100 U/ml

SOL. INJ. IN CARTUS

SOL. INJ. IN FLACON


SOL. INJ. IN STILOU INJECTOR PREUMPLUT

SOL. INJ. IN STILOU INJECTOR PREUMPLUT

SOL. INJ. IN CARTUS

METFORMIN ARENA 1000 MG


METFORMIN ARENA 1000 MG
METFORMIN ARENA 500 MG
METFORMIN ARENA 850 MG

COMPR.
COMPR.
COMPR.
COMPR.

GLUCOPHAGE XR
GLUCOPHAGE XR
SERDENIS 1000 mg
SERDENIS 1000 mg
SERDENIS 1000 mg

COMPR. ELIB. PREL.

METFORMIN AUROBINDO 1000 mg


METFORMIN AUROBINDO 1000 mg

SIOFOR 1000
METFORMIN BLUEFISH 1000 mg

GLUCOPHAGE 1000 mg
METFOGAMMA 1000mg
METFORMIN AUROBINDO 500 mg

METFORMIN LPH (R) 500 mg


METFORMIN AUROBINDO 500 mg

DIPIMET 500 mg
METFORMIN-TEVA 500 mg
MEGUAN (R) 500 mg
METFORMIN BLUEFISH 500 mg
METFORMIN BLUEFISH 500 mg

SERDENIS 850 mg
SERDENIS 850 mg
SERDENIS 850 mg
MEGUAN (R) 850 mg
GLUCOPHAGE 850 mg
SIOFOR (R) 850
METFOGAMMA 850
METFORMIN LPH (R) 850 mg
METFORMIN AUROBINDO 850 mg

COMPR. ELIB. PREL.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

100U/ml
100U/ml
100UI/ml
100UI/ml
100UI/ml
100UI/ml
100UI/ml
100UI/ml
100U/ml
100ui/ml
100ui/ml
100UI/ml
100UI/ml
100UI/ml
100UI/ml
100UI/ml
100UI/ml
100UI/ml
100U/ml
100U/ml
100U/ml
100U/ml
100U/ml
100UI/ml
100UI/ml
100UI/ml
100UI/ml
100U/ml
1000mg
1000mg
500mg
850mg
500mg
500mg
1000mg
1000mg
1000mg
1000mg
1000mg
1000mg
1000mg
1000mg
1000mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
850mg
850mg
850mg
850mg
850mg
850mg
850mg
850mg
850mg

Tara

Firma

Ambalaj

Prescriptie

SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMANIA

CUTIE X 1 FLACON X 10 ML SOL. INJ.

P-RF

SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMANIA

CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE (SOLOSTAR) X 3 ML SOL. INJ.

P-RF

CUTIE X 5 CARTUSE DIN STICLA INCOLORA X 3 ML SUSP. INJ.

P-RF

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10 ML SUSP. INJ.

P-RF

LILLY FRANCE SAS FRANTA


LILLY FRANCE SAS FRANTA
SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMANIA

CUTIE X 5 CARTUSE DIN STICLA INCOLORA X 3 ML SUSP. INJ.

P-RF

SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMANIA

CUTIE X 5 FLACOANE DIN STICLA INCOLORA X 5 ML SUSP. INJ.

P-RF

SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMANIA

CUTIE X 5 STILOURI INJECTOARE X 1 CARTUS DIN STICLA INCOLORA X 3 ML SUSP. INJ.

P-RF

SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMANIA

CUTIE X 5 STILOURI INJECTOARE X 1 CARTUS DIN STICLA INCOLORA X 3 ML SUSP. INJ.

P-RF

OLANDA
LILLY FRANCE S.A.S FRANTA
LILLY FRANCE S.A.S FRANTA

ELI LILLY NEDERLAND BV

CUTIE X 5 STILOURI INJECTOARE (PEN-URI) X 3 ML SUSP. INJ. P-RF


CUTIE X 5 CARTUSE DIN STICLA INCOLORA X 3 ML SUSP. INJ.

P-RF

CUTIE X 1 FLACON DIN STICLA INCOLORA X 10 ML SUSP. INJ.

P-RF

SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMANIA

CUTIE X 5 CARTUSE DIN STICLA INCOLORA X 3 ML SUSP. INJ.

P-RF

SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMANIA

CUTIE X 5 CARTUSE DIN STICLA INCOLORA X 3 ML SUSP. INJ.

P-RF

NOVO NORDISK A/S

DANEMARCA

CUTIE X 5 CARTUSE X 3 ML SUSP. INJ.

P-RF

SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMANIA

CUTIE X 5 FLACOANE DIN STICLA INCOLORA X 5 ML SUSP. INJ.

P-RF

SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMANIA

CUTIE X 5 STILOURI INJECTOARE X 1 CARTUS DIN STICLA INCOLORA X 3 ML SUSP. INJ.

P-RF

SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMANIA

CUTIE X 5 STILOURI INJECTOARE X 1 CARTUS DIN STICLA INCOLORA X 3 ML SUSP. INJ.

P-RF

SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMANIA

CUTIE X 5 STILOURI INJECTOARE X 1 CARTUS DIN STICLA INCOLORA X 3 ML SUSP. INJ.

P-RF

ELI LILLY NEDERLAND BV

P-RF

ELI LILLY NEDERLAND BV

OLANDA CUTIE X 5 CARTUSE X 3 ML SUSP.INJ.


OLANDA CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE X 3 ML SUSP. INJ.
OLANDA CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE X 3 ML SUSP. INJ.
OLANDA CUTIE X 5 CARTUSE X 3 ML SUSP. INJ.

NOVO NORDISK A/S

DANEMARCA

CUTIE X 5 CARTUSE X 3 ML SUSP. INJ.

P-RF

SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMANIA CUTIE X 5 CARTUSE DIN STICLA X 3 ML SOL. INJ. P-RF

SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMANIA CUTIE X 1 FLACON DIN STICLA X 10 ML SOL. INJ. P-RF

ELI LILLY NEDERLAND BV


ELI LILLY NEDERLAND BV

SANOFI - AVENTIS DEUTSCHLAND GMBH


SANOFI - AVENTIS DEUTSCHLAND GMBH

NOVO NORDISK A/S


ARENA GROUP S.A.
ARENA GROUP S.A.
ARENA GROUP SA
ARENA GROUP SA

GERMANIA

CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE X 3 ML

GERMANIA

CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE X 3 ML

CUTIE X 5 CARTUSE X 3 ML
ROMANIA FLACON DIN PE X 200 COMPR.

DANEMARCA

ROMANIA CUTIE X 10 BLIST. AL/PVC X 5 COMPR.


ROMANIA CUTIE X 1 FLAC. DIN PE X 60 COMPR.
ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 COMPR.

MERCK SANTE S.A.S. FRANTA


MERCK SANTE S.A.S. FRANTA
ROMASTRU TRADING S.R.L. ROMANIA
ROMASTRU TRADING S.R.L. ROMANIA
ROMASTRU TRADING S.R.L. ROMANIA

P-RF
P-RF
P-RF

P-RF
P-RF
P-RF
P-RF/S

P-RF
P-RF
P-RF

CUTIE X 2 BLIST. AL/PVC-PVDC X 15 COMPR. ELIB. PREL.

P-RF

CUTIE X 3 BLIST. AL/PVC-PVDC X 10 COMPR. ELIB. PREL.

P-RF

CUTIE CU 9 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

P6L
P6L
P6L

CUTIE CU 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

AUROBINDO PHARMA LIMITED

MAREA BRITANIE

CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM.

P-6L

AUROBINDO PHARMA LIMITED

MAREA BRITANIE

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM.

P-6L

BERLIN CHEMIE AG MENARINI GROUP

GERMANIA CUTIE X 4 BLIST. PVC/AL X 15 COMPR. FILM. P-RF

BLUEFISH PHARMACEUTICALS AB

MERCK SANTE

SUEDIA
FRANTA

CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM.

P-6L

CUTIE CU BLIST. PVC/AL X 60 COMPR. FILM. P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 8 BLIST. AL/PVC X 15 COMPR. FILM

AUROBINDO PHARMA LIMITED

MAREA BRITANIE

CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM.

P-RF/S

P-6L

LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF


AUROBINDO PHARMA LIMITED

MAREA BRITANIE

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM.

P-6L

ANTIBIOTICE SA

ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.


ROMANIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.
ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

P-RF

SUEDIA
SUEDIA

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM.

P-6L

CUTIE CU BLIST. PVC-PVDC/AL X 20 COMPR. FILM.

P-6L

CUTIE CU 9 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

P6L
P6L
P6L

GEDEON RICHTER ROMANIA SA

ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

P-RF

MERCK SANTE

FRANTA

CUTIE X 10 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF/S

BERLIN CHEMIE AG MENARINI GROUP

GERMANIA

CUTIE X 4 BLIST. X 15 COMPR. FILM.

P-RF

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 12 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF/S

TEVA PHARMACEUTICAL S.R.L.


GEDEON RICHTER ROMANIA SA
BLUEFISH PHARMACEUTICALS AB
BLUEFISH PHARMACEUTICALS AB

ROMASTRU TRADING S.R.L.


ROMASTRU TRADING S.R.L.
ROMASTRU TRADING S.R.L.

CUTIE CU 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.


CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

P-RF
P-RF

LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF


AUROBINDO PHARMA LIMITED

MAREA BRITANIE

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM.

Pagina 114 din 205

P-6L

cant/
amba
laj

1
5
5
1
5
5
5
5
5
5
1
5
5
5
5
5
5
5
5
5
5
5
5
5
1
5
5
5
200
50
60
15
30
30
90
60
30
60
30
60
60
60
120
60
30
30
30
60
20
30
20
90
60
30
20
100
60
120
30
30

Pret cu
ridicata
maximal /
ambalaj

78.35
129.03
89.92
42.81
97.84
135.93
132.67
111.75
154.67
89.92
42.81
97.84
97.84
103.83
135.93
111.75
132.67
94.85
134.44
154.67
154.67
133.14
138.93
222.29
152.19
222.29
222.29
242.66
24.87
6.24
3.54
1.66
11.21
11.21
20.01
13.34
6.67
13.12
6.57
13.26
12.10
20.49
15.74
5.04
2.92
2.52
2.82
4.03
3.20
2.05
1.37
10.77
7.18
3.59
5.59
18.48
13.30
13.38
3.60
3.56

Pret cu ridicata
maximal / U.T.

78.350000
25.806000
17.984000
42.810000
19.568000
27.186000
26.534000
22.350000
30.934000
17.984000
42.810000
19.568000
19.568000
20.766000
27.186000
22.350000
26.534000
18.970000
26.888000
30.934000
30.934000
26.628000
27.786000
44.458000
152.190000
44.458000
44.458000
48.532000
0.124350
0.124800
0.059000
0.110666
0.373666
0.373666
0.222333
0.222333
0.222333
0.218666
0.219000
0.221000
0.201666
0.341500
0.131166
0.084000
0.097333
0.084000
0.094000
0.067166
0.160000
0.068333
0.068500
0.119666
0.119666
0.119666
0.279500
0.184800
0.221666
0.111500
0.120000
0.118666

Pret cu ridicata
maximal de
decontare / U.T.

78.350000
25.806000
17.984000
42.810000
19.568000
27.186000
21.580800
21.580800
30.934000
17.984000
42.810000
19.568000
19.568000
20.766000
27.186000
21.580800
21.580800
18.970000
26.888000
30.934000
30.934000
26.628000
27.786000
44.458000
152.190000
44.458000
44.458000
48.532000
0.124350
0.124800
0.059000
0.110666
0.070800
0.070800
0.149220
0.149220
0.149220
0.149220
0.149220
0.149220
0.149220
0.149220
0.131166
0.070800
0.070800
0.070800
0.070800
0.067166
0.070800
0.068333
0.068500
0.115200
0.115200
0.115200
0.115200
0.115200
0.115200
0.111500
0.115200
0.115200

Pret cu
amanuntul
maximal /
ambalaj

99.06
157.52
113.69
55.99
123.71
165.94
161.96
136.42
188.82
113.69
55.99
123.71
123.71
126.76
165.94
136.42
161.96
119.93
164.13
188.82
188.82
162.54
169.61
271.37
185.79
271.37
271.37
296.24
33.61
8.43
4.78
2.25
15.15
15.15
27.04
18.03
9.01
17.73
8.88
17.92
16.35
27.70
21.28
6.81
3.94
3.41
3.81
5.45
4.33
2.77
1.85
14.56
9.71
4.85
7.55
24.98
17.97
18.09
4.87
4.81

Pret cu
amanuntul
maximal / U.T.

99.060000
31.504000
22.738000
55.990000
24.742000
33.188000
32.392000
27.284000
37.764000
22.738000
55.990000
24.742000
24.742000
25.352000
33.188000
27.284000
32.392000
23.986000
32.826000
37.764000
37.764000
32.508000
33.922000
54.274000
185.790000
54.274000
54.274000
59.248000
0.168050
0.168600
0.079666
0.150000
0.505000
0.505000
0.300444
0.300500
0.300333
0.295500
0.296000
0.298666
0.272500
0.461666
0.177333
0.113500
0.131333
0.113666
0.127000
0.090833
0.216500
0.092333
0.092500
0.161777
0.161833
0.161666
0.377500
0.249800
0.299500
0.150750
0.162333
0.160333

Grupa
Nr.
terape
crt
utica
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131

A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA03
A10BA03
A10BB01
A10BB01
A10BB01
A10BB01
A10BB01
A10BB01
A10BB01
A10BB01
A10BB01
A10BB01
A10BB01
A10BB01
A10BB01
A10BB07
A10BB07
A10BB07
A10BB07
A10BB08
A10BB09
A10BB09
A10BB09
A10BB09
A10BB09
A10BB09
A10BB09
A10BB09
A10BB09
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12

Denumire generica

METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
BUFORMINUM
BUFORMINUM
GLIBENCLAMIDUM
GLIBENCLAMIDUM
GLIBENCLAMIDUM
GLIBENCLAMIDUM
GLIBENCLAMIDUM
GLIBENCLAMIDUM
GLIBENCLAMIDUM
GLIBENCLAMIDUM
GLIBENCLAMIDUM
GLIBENCLAMIDUM
GLIBENCLAMIDUM
GLIBENCLAMIDUM
GLIBENCLAMIDUM
GLIPIZIDUM
GLIPIZIDUM
GLIPIZIDUM
GLIPIZIDUM
GLIQUIDONUM
GLICLAZIDUM
GLICLAZIDUM
GLICLAZIDUM
GLICLAZIDUM
GLICLAZIDUM
GLICLAZIDUM
GLICLAZIDUM
GLICLAZIDUM
GLICLAZIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM

Denumire comerciala

Forma
Concentrati
farmaceutic
e / U.T.
a

MEDIFOR 850
COMPR. FILM.
METFORMIN AUROBINDO 850 mg COMPR. FILM.
METFORMIN-TEVA 850 mg COMPR. FILM.
METFORMIN BLUEFISH 850 mg COMPR. FILM.
METFORMIN BLUEFISH 850 mg COMPR. FILM.
METFORMIN BLUEFISH 850 mg COMPR. FILM.
METFORMIN BLUEFISH 850 mg COMPR. FILM.
SILUBIN RETARD
SILUBIN RETARD
GLIBENCLAMID ATB 1,75 MG

MANINIL 1,75 mg
GLIBENCLAMID ARENA 1,75 mg

GLIBENCLAMID LPH 1,75 mg


GLIBENCLAMID ARENA 1,75 mg
GLIBENCLAMID ARENA 1,75 mg

MANINIL 3,5 mg
GLIBENCLAMID ATB 3,5 MG
GLIBENCLAMID ARENA 3,5 mg
GLIBENCLAMID ARENA 3,5 mg
GLIBENCLAMID ARENA 3,5 mg

GLIBENCLAMID LPH 3,5 mg


GLIBENCLAMID ARENA 5 mg

GLIPIZID LPH 5 mg
GLIPIZIDA ATB 5mg
GLUCOTROL XL 10 mg
GLUCOTROL XL 5mg
GLURENORM
GLICLAZID LPH
ESQUEL (R) 80 mg
DIABREZIDE
ADOZID MR 30 mg
DIAPREL MR
DIAPREL MR 60 mg
GLYCLADA 30 mg
GLICLAZID MR LPH 30 mg

DRAJ. RET.
DRAJ. RET.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. FILM. ELIB. MODIF.
COMPR. FILM. ELIB. MODIF.

COMPR.
COMPR.
COMPR.
COMPR.
COMPR. CU ELIBERARE PRELUNGITA

COMPR. ELIB. MODIF.


COMPR. ELIB. MODIF.

COMPR. ELIB. PREL.


COMPR. ELIB. PREL.

GLICLAZIDA EP ANTIBIOTICE 30 mg

COMPR. ELIB. PREL.

TINERIL 4 mg
AMYX 1
AMARYL 1mg
GLIMEPIRIDA ACCORD 1 mg
GLIMEPIRID LPH 1 mg
GLIMERAN 1 mg
MEGLIMID 1 mg
GLIMERAN 1 mg
GLIMEPIRIDA ATB 1 mg
TINERIL 1 mg
AMARYL 2 mg
AMYX 2
GLIMERAN 2 mg
GLIMERAN 2 mg
MEGLIMID 2 mg
GLIMEPIRIDA ACCORD 2 mg
GLIMEPIRID LPH 2 mg
GLIMEPIRIDE 2 mg
TINERIL 2 mg
GLIMEPIRIDA ATB 2 mg
AMARYL 3 mg
GLIMERAN 3 mg
GLIMERAN 3 mg
GLIMEPIRID LPH 3 mg

COMPR
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.

850mg
850mg
850mg
850mg
850mg
850mg
850mg
100mg
100mg
1,75 mg
1,75mg
1,75mg
1,75mg
1,75mg
1,75mg
3,5mg
3,5mg
3,5mg
3,5mg
3,5mg
3,5mg
5mg
5mg
5mg
10mg
5mg
30mg
80mg
80mg
80mg
30mg
30mg
60mg
30mg
30mg
30mg
4mg
1 mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
2mg
2mg
2mg
2mg
2mg
2mg
2mg
2mg
2mg
2mg
3mg
3mg
3mg
3mg

Tara

Firma

Ambalaj

Prescriptie

P-RF

56
60
60
60
30
20
100
60
60
30
120
100
60
30

P-RF/S

1,000

STD CHEMICALS LTD.

MAREA BRITANIE

CUTIE X 4 BLIST. PVC-PVDC/AL X 14 COMPR. FILM.

P-RF

AUROBINDO PHARMA LIMITED

MAREA BRITANIE

CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM.

P-6L

TEVA PHARMACEUTICAL S.R.L.

ROMANIA

CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

P-RF

SUEDIA
SUEDIA
SUEDIA
SUEDIA

CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM.

P-6L

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM.

P-6L

CUTIE CU BLIST. PVC-PVDC/AL X 20 COMPR. FILM.

P-6L

BLUEFISH PHARMACEUTICALS AB
BLUEFISH PHARMACEUTICALS AB
BLUEFISH PHARMACEUTICALS AB
BLUEFISH PHARMACEUTICALS AB

CUTIE CU BLIST. PVC-PVDC/AL X 100 COMPR. FILM.

PHARMAFARM S.A. ROMANIA CUTIE X 4 BLLIST. X 15 DRAJ.RET.


ROMANIA CUTIE X 4 BLLIST. X 15 DRAJ.RET.
ANTIBIOTICE S.A.
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 1 FLAC. X 120 COMPR.
ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. PEID X 100 COMPR.
DITA IMPORT EXPORT SRL

P-6L
P-RF
P-RF
P-RF
P-RF/S
P-RF/S

LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 20 COMPR. P-RF

ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.


ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 COMPR.
BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 1 FLAC. X 120 COMPR.
ANTIBIOTICE S.A.
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. PEID X 100 COMPR.
ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 COMPR.
ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P-RF/S

120
30
100

P-RF/S

1,000

P-RF/S

P-RF

P-RF

LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 20 COMPR. P-RF

ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P-RF

LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF

ANTIBIOTICE S.A.

ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. P-6L

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 1 FLAC. DIN PEID, PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII X 30 COMPR. FILM. CU E

P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 1 FLAC. DIN PEID PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII X 30 COMPR. FILM. CU EL

P-RF

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. P-RF

LABORMED PHARMA SA ROMANIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. P-RF


GEDEON RICHTER ROMANIA SA

ROMANIA CUTIE X 2 BLIST. X 15 COMPR.

P-RF

L. MOLTENI

ITALIA

CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 20 COMPR.

P-RF

CUTIE CU 3 BLIST. PVC/AL X 20 COMPR. CU ELIB. PRELUNGITA

P-6L

LABORMED PHARMA S.A. ROMANIA


LES LABORATOIRES SERVIER

FRANTA
FRANTA

CUTIE CU BLIST. PVC/AL X 60 COMPR. CU ELIB. MODIF.

P-RF

KRKA

SLOVENIA

CUTIE X 6 BLIST. PVC/AL X 10 COMPR. CU ELIB. PREL.

P-6L

LES LABORATOIRES SERVIER

CUTIE X 2 BLIST. X 30 COMPR. ELIB. MODIF. P-RF

LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 20 COMPR. ELIB. PREL. P-RF

ANTIBIOTICE S.A.

ROMANIA

CUTIE X 3 BLIST. AL/PVC X 10 COMPR. ELIB. PREL.

P-RF

GEDEON RICHTER ROMANIA SA

ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR.


SLOVACIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR.
ROMANIA CUTIE CU BLIST. AL/PVC X 30 COMPR.

P-RF

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR.

P-6L

ZENTIVA A.S.
SANOFI-AVENTIS ROMANIA S.R.L.

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

P-RF
P-RF

LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF

RANBAXY UK LIMITED

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.


SLOVENIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 FLACON DIN PEID X 30 COMPR.
ANTIBIOTICE S.A.
ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR.
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR.
SANOFI-AVENTIS ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. AL/PVC X 30 COMPR.
ZENTIVA A.S.
SLOVACIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR.
RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 FLACON DIN PEID X 30 COMPR.
RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
KRKA D.D.
SLOVENIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P-RF

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR.

P-6L

MAREA BRITANIE

KRKA D.D.

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF

ACTAVIS GROUP HF. ISLANDA


ROMANIA
ANTIBIOTICE S.A.
ROMANIA
SANOFI-AVENTIS ROMANIA S.R.L. ROMANIA

CUTIE X 2 BLIST. AL/PVC X 15 COMPR.


CUTIE X 2 BLIST. AL/PVC X 15 COMPR.
CUTIE CU 3 BLIST. PVC/AL X 10 COMPR.
CUTIE CU BLIST. AL/PVC X 30 COMPR.
RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 FLACON DIN PEID X 30 COMPR.
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR.

GEDEON RICHTER ROMANIA SA

Pagina 115 din 205

cant/
amba
laj

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

30
60
30
30
30
30
30
60
60
30
40
60
60
60
60
60
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30

Pret cu
ridicata
maximal /
ambalaj

6.66
7.10
5.76
6.51
3.25
2.17
10.84
13.97
13.97
1.41
8.64
8.49
3.08
1.49
54.91
6.26
1.01
10.51
75.55
4.11
2.23
4.20
11.36
11.36
34.94
17.47
20.15
12.96
9.60
9.60
11.99
18.46
34.49
11.97
12.00
5.95
10.51
3.06
3.59
3.03
3.06
2.34
6.64
2.34
3.04
3.06
6.03
5.30
3.92
3.92
13.19
5.29
5.30
3.92
5.30
5.03
11.17
7.27
7.27
9.89

Pret cu ridicata
maximal / U.T.

0.118928
0.118333
0.096000
0.108500
0.108333
0.108500
0.108400
0.232833
0.232833
0.047000
0.072000
0.084900
0.051333
0.049666
0.054910
0.052166
0.033666
0.105100
0.075550
0.137000
0.037166
0.140000
0.378666
0.378666
1.164666
0.582333
0.335833
0.216000
0.320000
0.240000
0.199833
0.307666
0.574833
0.199500
0.200000
0.198333
0.350333
0.102000
0.119666
0.101000
0.102000
0.078000
0.221333
0.078000
0.101333
0.102000
0.201000
0.176666
0.130666
0.130666
0.439666
0.176333
0.176666
0.130666
0.176666
0.167666
0.372333
0.242333
0.242333
0.329666

Pret cu ridicata
maximal de
decontare / U.T.

0.115200
0.115200
0.096000
0.108500
0.108333
0.108500
0.108400
0.232833
0.232833
0.047000
0.059599
0.059599
0.051333
0.049666
0.054910
0.040399
0.033666
0.040399
0.040399
0.040399
0.037166
0.140000
0.378666
0.378666
1.164666
0.454399
0.335833
0.216000
0.259200
0.240000
0.199833
0.238000
0.574833
0.199500
0.200000
0.198333
0.307600
0.093600
0.093600
0.093600
0.093600
0.078000
0.093600
0.078000
0.093600
0.093600
0.156799
0.156799
0.130666
0.130666
0.156799
0.156799
0.156799
0.130666
0.156799
0.156799
0.290800
0.242333
0.242333
0.290800

Pret cu
amanuntul
maximal /
ambalaj

9.00
9.60
7.78
8.80
4.39
2.93
14.65
18.88
18.88
1.90
11.68
11.48
4.16
2.02
69.43
8.46
1.36
14.21
95.52
5.55
3.02
5.67
15.35
15.35
45.70
23.61
27.23
17.52
12.97
12.97
16.21
24.95
45.11
16.18
16.22
8.04
14.21
4.14
4.85
4.10
4.14
3.16
8.98
3.16
4.11
4.14
8.15
7.16
5.30
5.30
17.83
7.15
7.16
5.30
7.16
6.80
15.10
9.82
9.82
13.37

Pret cu
amanuntul
maximal / U.T.

0.160714
0.160000
0.129666
0.146666
0.146333
0.146500
0.146500
0.314666
0.314666
0.063333
0.097333
0.114800
0.069333
0.067333
0.069430
0.070500
0.045333
0.142100
0.095520
0.185000
0.050333
0.189000
0.511666
0.511666
1.523333
0.787000
0.453833
0.292000
0.432333
0.324250
0.270166
0.415833
0.751833
0.269666
0.270333
0.268000
0.473666
0.138000
0.161666
0.136666
0.138000
0.105333
0.299333
0.105333
0.137000
0.138000
0.271666
0.238666
0.176666
0.176666
0.594333
0.238333
0.238666
0.176666
0.238666
0.226666
0.503333
0.327333
0.327333
0.445666

Grupa
Nr.
terape
crt
utica
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189

A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12

Denumire generica

GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM

A10BD02 COMBINATII (METFORMINUM+GLIBENCLAMIDUM)


A10BD02 COMBINATII (METFORMINUM+GLIBENCLAMIDUM)
A10BD02 COMBINATII(GLIBENCLAMIDUM+METFORMINUM)
A10BD02 COMBINATII(GLIBENCLAMIDUM+METFORMINUM)
A10BD02 COMBINATII(GLIBENCLAMIDUM+METFORMINUM)
A10BD02 COMBINATII(GLIBENCLAMIDUM+METFORMINUM)
A10BD05 COMBINATII ( PIOGLITAZONUM + METFORMINUM)***

A10BF01
A10BF01
A10BG03
A10BG03
A10BG03

A10BH01

A10BX02
A10BX02
A10BX02
A10BX02
A10BX02
A10BX02
A10BX02
A10BX02
A10BX02
A10BX02
A10BX02
A10BX02
A10BX02
A10BX02
A10BX02
A10BX04
A10BX04
A10BX04
A11DA03
A11DA03
A11DBN1
A11DBN1
A11DBN1
A11DBN1
A11DBN1
A11DBN1
A11DBN1
A11DBN1
A11DBN1

B03BA51
B03BA51
B03BA51

ACARBOSUM
ACARBOSUM
PIOGLITAZONUM***
PIOGLITAZONUM***
PIOGLITAZONUM***
SITAGLIPTINUM***
REPAGLINIDUM
REPAGLINIDUM
REPAGLINIDUM
REPAGLINIDUM
REPAGLINIDUM
REPAGLINIDUM
REPAGLINIDUM
REPAGLINIDUM
REPAGLINIDUM
REPAGLINIDUM
REPAGLINIDUM
REPAGLINIDUM
REPAGLINIDUM
REPAGLINIDUM
REPAGLINIDUM
EXENATIDUM***
EXENATIDUM***
EXENATIDUM***
BENFOTIAMINUM
BENFOTIAMINUM
COMBINATII**
COMBINATII**
COMBINATII**
COMBINATII**
COMBINATII**
COMBINATII**
COMBINATII**
COMBINATII**
COMBINATII**
COMBINATII**
COMBINATII**
COMBINATII**

Denumire comerciala

AMYX 3
GLIMEPIRIDA ACCORD 3 mg
GLIMEPIRIDE 3 mg
TINERIL 3 mg
GLIMEPIRIDA ATB 3 mg
MEGLIMID 3 mg
AMARYL 4 mg
GLIMERAN 4 mg
GLIMERAN 4 mg
AMYX 4
GLIMEPIRIDA ATB 4 mg
GLIMEPIRIDA ACCORD 4mg
AMARYL 6 mg
BIDIAB 400 mg/2,5 mg
BIDIAB 400 mg/2,5 mg
GLIBOMET (R)
GLIFORMIN

Forma
Concentrati
farmaceutic
e / U.T.
a
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
CAPS.
CAPS.

3mg
3mg
3mg
3mg
3mg
3mg
4mg
4mg
4mg
4mg
4mg
4mg
6mg

400mg+2,5mg
400mg+2,5mg
COMPR. FILM. 2,5mg/400mg
COMPR. FILM. 400mg + 2,5mg
GLUCOVANCE (R) 500 mg/2,5 mg COMPR. FILM. 500mg/2,5mg
GLUCOVANCE (R) 500 mg/5 mg COMPR. FILM. 500mg/5mg
COMPETACT
COMPR. FILM. 15mg/850mg

GLUCOBAY (R) 100


GLUCOBAY (R) 50
ACTOS 15mg
ACTOS 30mg
ACTOS 45mg
JANUVIA 100mg
RENEOS 0,5 mg
REPAGLINIDA FARMAL 0,5 mg
REPAGLINIDA FARMAL 0,5 mg
REPAGLINIDA FARMAL 0,5 mg
REPAGLINIDA FARMAL 0,5 mg

RENEOS 1 mg
REPAGLINIDA FARMAL 1 mg
REPAGLINIDA FARMAL 1 mg
REPAGLINIDA FARMAL 1 mg
REPAGLINIDA FARMAL 1 mg
RENEOS 2 mg
REPAGLINIDA FARMAL 2 mg
REPAGLINIDA FARMAL 2 mg
REPAGLINIDA FARMAL 2 mg
REPAGLINIDA FARMAL 2 mg
BYDUREON 2 mg
BYETTA 10mcg/doza
BYETTA 5mcg/doza
BENFOGAMMA
BENFOGAMMA
MILGAMMA (R) N
MILGAMMA (R) N
MILGAMMA (R) N
MILGAMMA (R) 100
MILGAMMA (R) 100
MILGAMMA (R) 100
MILGAMMA (R) N
MILGAMMA (R) NA
MILGAMMA (R) N
MILGAMMA (R) (vezi B03BA51)
MILGAMMA (R) (vezi B03BA51)
MILGAMMA (R) (vezi B03BA51)

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.

Tara

Firma

ZENTIVA A.S.

SOL. INJ. IN STILOU INJECTOR PREUMPLUT

SOL. INJ. IN STILOU INJECTOR PREUMPLUT

Prescriptie

SLOVACIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR.

P-RF

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR.

P-6L

ACTAVIS GROUP HF. ISLANDA CUTIE X 2 BLIST. AL/PVC X 15 COMPR.


ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR.
ANTIBIOTICE S.A.
ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR.

P-RF

KRKA D.D.

SLOVENIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.


ROMANIA CUTIE CU BLIST. AL/PVC X 30 COMPR.

P-RF

MAREA BRITANIE

CUTIE X 3 BLIST AL/PVC X 10 COMPR.

P-RF

MAREA BRITANIE

CUTIE X 1 FLACON DIN PEID X 30 COMPR.

P-RF

SLOVACIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR.


ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR.

P-RF

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

GEDEON RICHTER ROMANIA SA

SANOFI-AVENTIS ROMANIA S.R.L.

RANBAXY UK LIMITED
RANBAXY UK LIMITED

ZENTIVA A.S.
ANTIBIOTICE S.A.

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR.

ROMANIA CUTIE CU BLIST. AL/PVC X 30 COMPR.


ARENA GROUP SA ROMANIA CUTIE X 4 BLIST. AL/PVC X 5 CAPS.
ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 5 CAPS.
LAB. GUIDOTTI SPA ITALIA
CUTIE X 3 BLIST. X 20 COMPR. FILM.
LABORMED PHARMA SA ROMANIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. FILM.
MERCK SANTE
FRANTA CUTIE X 4 BLIST. X 15 COMPR. FILM.
MERCK SANTE
FRANTA CUTIE X 4 BLIST. X 15 COMPR. FILM.

SANOFI-AVENTIS ROMANIA S.R.L.

TAKEDA GLOBAL RESEARCH AND DEVELOPMENT CENTRE LTD

100mg
BAYER HEALTHCARE AG
50mg
BAYER HEALTHCARE AG
15mg
30mg
45mg
COMPR. FILM. 100mg
MERCK SHARP & DOHME
COMPR.
0,5 mg
ZENTIVA K.S.
COMPR.
0,5mg
FARMAL INTERNATIONAL S.R.L.
COMPR.
0,5mg
FARMAL INTERNATIONAL S.R.L.
COMPR.
0,5mg
FARMAL INTERNATIONAL S.R.L.
COMPR.
0,5mg
FARMAL INTERNATIONAL S.R.L.
COMPR.
1 mg
ZENTIVA K.S.
COMPR.
1mg
FARMAL INTERNATIONAL S.R.L.
COMPR.
1mg
FARMAL INTERNATIONAL S.R.L.
COMPR.
1mg
FARMAL INTERNATIONAL S.R.L.
COMPR.
1mg
FARMAL INTERNATIONAL S.R.L.
COMPR.
2 mg
ZENTIVA K.S.
COMPR.
2mg
FARMAL INTERNATIONAL S.R.L.
COMPR.
2mg
FARMAL INTERNATIONAL S.R.L.
COMPR.
2mg
FARMAL INTERNATIONAL S.R.L.
COMPR.
2mg
FARMAL INTERNATIONAL S.R.L.
2 mg
ELI LILLY NEDERLAND BV
10mcg/doza ELI LILLY NEDERLAND BV
5mcg/doza ELI LILLY NEDERLAND BV
DRAJ.
50mg
WORWAG PHARMA GMBH & CO. KG
DRAJ.
50mg
WORWAG PHARMA GMBH & CO. KG
CAPS. MOI FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG
CAPS. MOI FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG
CAPS. MOI FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG
DRAJ.
FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG
DRAJ.
FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG
DRAJ.
FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG
SOL. INJ.
FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG
SOL. INJ.
FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG
SOL. INJ.
FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG
DRAJ.
FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG
DRAJ.
FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG
DRAJ.
FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG

PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL.

Ambalaj

P-RF
P-RF

P-RF

P-RF

P-6L
P-RF
P-RF
P-RF/S

P-RF
P-RF
P-RF
P-RF

CUTIE X 56 COMPR. FILM. ( BLIST. AL/AL )

P-RF

CUTIE X 8 BLIST. AL/PP X 15 COMPR.


GERMANIA CUTIE X 8 BLIST. AL/PP X 15 COMPR.

P-RF

P-RF

P-RF

MAREA BRITANIE

GERMANIA

P-RF

TAKEDA GLOBAL RESEARCH AND DEVELOPMENT CENTRE LTD

MAREA BRITANIE

TAKEDA GLOBAL RESEARCH AND DEVELOPMENT CENTRE LTD

MAREA BRITANIE

TAKEDA GLOBAL RESEARCH AND DEVELOPMENT CENTRE LTD

MAREA BRITANIE

CUTIE X 28 COMPR. (BLIST. AL/AL)


CUTIE X 28 COMPR.(BLIST. AL/AL)
CUTIE X 28 COMPR.(BLIST. AL/AL)

MAREA BRITANIE

CUTIE X 28 COMPR. FILM. (BLIST. PVC/PE/PVDC/AL)

REPUBLICA SLOVACA

CUTIE CU BLIST. OPA-AL-PVC/AL X 90 COMPR. PRF

ROMANIA
ROMANIA
ROMANIA
ROMANIA
REPUBLICA SLOVACA

ROMANIA
ROMANIA
ROMANIA
ROMANIA
REPUBLICA SLOVACA

ROMANIA
ROMANIA
ROMANIA
ROMANIA

OLANDA
OLANDA
OLANDA

P-RF
P-RF

CUTIE CU BLIST. AL/AL X 270 COMPR. FILM. P-RF

CUTIE CU BLIST. AL/AL X 90 COMPR. FILM. P-RF


CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-RF
CUTIE CU BLIST. AL/AL X 120 COMPR. FILM. P-RF
CUTIE CU BLIST. OPA-AL-PVC/AL X 90 COMPR. PRF

CUTIE CU BLIST. AL/AL X 120 COMPR. FILM. P-RF

CUTIE CU BLIST. AL/AL X 90 COMPR. FILM. P-RF


CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-RF
CUTIE CU BLIST. AL/AL X 270 COMPR. FILM. P-RF
CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 90 COMPR.

PRF

CUTIE CU BLIST. AL/AL X 270 COMPR. FILM. P-RF


CUTIE CU BLIST. AL/AL X 120 COMPR. FILM. P-RF

CUTIE CU BLIST. AL/AL X 90 COMPR. FILM. P-RF


CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-RF
AMBALAJ CU 4 X 1 DISPOZITIV DE ADMINISTRAREA UNICA (1FL X2MG PULB.+1SERINGA PREUMPLUTAX0,65ML SOLVEN

PRF

CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT (60 DOZE)

P-RF

CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT (60 DOZE)

P-RF

GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 20 DRAJ. P-6L


GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ. P-6L
GERMANIA CUTIE X 5 BLIST. PVC/PVDC X 10 CAPS. MOI P-6L
GERMANIA CUTIE X 10 BLIST. PVC/PVDC X 10 CAPS. MOI P-6L
GERMANIA CUTIE X 2 BLIST. PVC/PVDC X 10 CAPS. MOI P-6L
GERMANIA CUTIE X 4 BLIST. PVC-PVDC/AL X 15 DRAJ. P-6L
GERMANIA CUTIE X 4 BLIST. PVC-PVDC/AL X 25 DRAJ. P-6L
GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 15 DRAJ. P-6L
GERMANIA

CUTIE X 5 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 2 ML

P-RF

GERMANIA

CUTIE X 5 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 1 ML

P-RF

GERMANIA

CUTIE X 25 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 2 ML

P-RF

GERMANIA CUTIE X 5 BLIST. PVC/PVDC X 10 DRAJ. P-6L


GERMANIA CUTIE X 2 BLIST. PVC/PVDC X 10 DRAJ. P-6L
GERMANIA CUTIE X 10 BLIST. PVC/PVDC X 10 DRAJ. P-6L

Pagina 116 din 205

cant/
amba
laj

30
30
30
30
30
30
30
30
30
30
30
30
30
20
500
60
60
60
60
56
120
120
28
28
28
28
90
270
90
30
120
90
120
90
30
270
90
270
120
90
30
4
1
1
100
50
50
100
20
60
100
30
5
5
25
50
20
100

Pret cu
ridicata
maximal /
ambalaj

9.89
9.83
7.27
9.89
9.31
18.27
11.83
7.69
7.69
10.51
10.50
10.51
18.86
7.53
176.07
18.83
18.83
20.19
20.19
157.85
66.70
48.10
104.32
157.00
204.00
158.85
45.05
130.43
45.05
15.01
59.02
58.71
78.29
58.71
19.92
172.99
71.76
211.39
95.68
71.76
24.35
463.80
389.37
333.12
39.40
21.00
35.42
65.92
14.83
70.30
112.58
37.68
13.54
13.54
65.30
35.42
14.83
65.92

Pret cu ridicata
maximal / U.T.

0.329666
0.327666
0.242333
0.329666
0.310333
0.609000
0.394333
0.256333
0.256333
0.350333
0.350000
0.350333
0.628666
0.376500
0.352140
0.313833
0.313833
0.336500
0.336500
2.818750
0.555833
0.400833
3.725714
5.607142
7.285714
5.673214
0.500555
0.483074
0.500555
0.500333
0.491833
0.652333
0.652416
0.652333
0.664000
0.640703
0.797333
0.782925
0.797333
0.797333
0.811666
115.950000
389.370000
333.120000
0.394000
0.420000
0.708400
0.659200
0.741500
1.171666
1.125800
1.256000
2.708000
2.708000
2.612000
0.708400
0.741500
0.659200

Pret cu ridicata
maximal de
decontare / U.T.

0.290800
0.290800
0.242333
0.290800
0.290800
0.290800
0.307600
0.256333
0.256333
0.307600
0.307600
0.307600
0.628666
0.376500
0.352140
0.313833
0.313833
0.336500
0.336500
2.818750
0.555833
0.400833
3.725714
5.607142
7.285714
5.673214
0.500555
0.483074
0.500555
0.500333
0.491833
0.652333
0.652416
0.652333
0.664000
0.640703
0.797333
0.782925
0.797333
0.797333
0.811666
115.950000
389.370000
333.120000
0.394000
0.420000
0.708400
0.659200
0.741500
1.171666
1.125800
1.256000
2.708000
2.708000
2.612000
0.708400
0.741500
0.659200

Pret cu
amanuntul
maximal /
ambalaj

13.37
13.28
9.82
13.37
12.59
24.70
15.99
10.40
10.40
14.21
14.19
14.21
25.49
10.18
214.95
25.45
25.45
27.29
27.29
192.70
84.34
62.91
127.36
191.67
249.04
193.93
58.93
159.23
58.93
20.29
74.63
74.23
98.99
74.23
26.92
211.19
90.73
258.06
120.98
90.73
32.91
543.69
462.56
401.25
51.53
28.38
46.33
83.35
20.05
88.89
137.44
49.28
18.30
18.30
82.57
46.33
20.05
83.35

Pret cu
amanuntul
maximal / U.T.

0.445666
0.442666
0.327333
0.445666
0.419666
0.823333
0.533000
0.346666
0.346666
0.473666
0.473000
0.473666
0.849666
0.509000
0.429900
0.424166
0.424166
0.454833
0.454833
3.441071
0.702833
0.524250
4.548571
6.845357
8.894285
6.926071
0.654777
0.589740
0.654777
0.676333
0.621916
0.824777
0.824916
0.824777
0.897333
0.782185
1.008111
0.955777
1.008166
1.008111
1.097000
135.922500
462.560000
401.250000
0.515300
0.567600
0.926600
0.833500
1.002500
1.481500
1.374400
1.642666
3.660000
3.660000
3.302800
0.926600
1.002500
0.833500

Grupa
Nr.
terape
crt
utica

Denumire generica

Denumire comerciala

Forma
Concentrati
farmaceutic
e / U.T.
a

Tara

Firma

Ambalaj

Prescriptie

cant/
amba
laj

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

Pret cu ridicata
maximal de
decontare / U.T.

Pret cu
amanuntul
maximal /
ambalaj

Pret cu
amanuntul
maximal / U.T.

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.1: HEMOFILIE SI TALASEMIE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50

B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02

FACTOR VIII DE COAGULARE**


FACTOR VIII DE COAGULARE**
FACTOR VIII DE COAGULARE**
FACTOR VIII DE COAGULARE**
FACTOR VIII DE COAGULARE**
FACTOR VIII DE COAGULARE**
FACTOR VIII DE COAGULARE**
FACTOR VIII DE COAGULARE**
FACTOR VIII DE COAGULARE**
MOROCTOCOG ALFA**
MOROCTOCOG ALFA**
MOROCTOCOG ALFA**
MOROCTOCOG ALFA**
OCTOCOG ALFA**
OCTOCOG ALFA**
OCTOCOG ALFA**
OCTOCOG ALFA**
OCTOCOG ALFA**
OCTOCOG ALFA**
OCTOCOG ALFA**
OCTOCOG ALFA**
OCTOCOG ALFA**
OCTOCOG ALFA**
OCTOCOG ALFA**
OCTOCOG ALFA**
OCTOCOG ALFA**

B02BD03 COMPLEX DE ANTIINHIBITORI AI COAGULARII**


B02BD03 COMPLEX DE ANTIINHIBITORI AI COAGULARII**

B02BD04

FACTOR IX DE COAGULARE**
FACTOR IX DE COAGULARE**
FACTOR IX DE COAGULARE**
FACTOR IX DE COAGULARE**
FACTOR IX DE COAGULARE**
NONACOG ALPHA**
NONACOG ALPHA**
NONACOG ALPHA**
NONACOG ALPHA**

B02BD06

FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND**

B02BD06

FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND**

B02BD06

FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND**

B02BD06

FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND**

B02BD06

FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND**

B02BD06

FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND**

B02BD08

EPTACOG ALFA ACTIVATUM**


EPTACOG ALFA ACTIVATUM**
EPTACOG ALFA ACTIVATUM**
DEFEROXAMINUM**3)
DEFERASIROXUM****
DEFERASIROXUM****
DEFERASIROXUM****

B02BD04
B02BD04
B02BD04
B02BD04
B02BD04
B02BD04
B02BD04
B02BD04

B02BD08
B02BD08
V03AC01
V03AC03
V03AC03
V03AC03

HAEMOCTIN SDH 1000


PULB+SOLV. PT. SOL. INJ. 100UI/ml
HAEMOCTIN SDH 500
PULB+SOLV. PT. SOL. INJ. 50UI/ml
HAEMOCTIN SDH 250
PULB+SOLV. PT. SOL. INJ. 50UI/ml
FANHDI 100ui/ml
PULB+SOLV.PT.SOL.INJ 1000ui
FANHDI 25 ui/ml
PULB+SOLV.PT.SOL.INJ 250ui
FANHDI 50 ui/ml
PULB+SOLV.PT.SOL.INJ 500ui
OCTANATE 100 UI/ml
PULB. + SOLV. PT. SOL. INJ. 100 UI/ml
OCTANATE 50 UI/ml
PULB. + SOLV. PT. SOL. INJ. 50 UI/ml
OCTANATE 50 UI/ml
PULB. + SOLV. PT. SOL. INJ. 50 UI/ml
REFACTO 1000UI
PULB. + SOL. PT. SOL. INJ.
1000 UI
REFACTO 2000UI
PULB. + SOL. PT. SOL. INJ.
2000 UI
REFACTO 250UI
PULB. + SOL. PT. SOL. INJ.
250 UI
REFACTO 500UI
PULB. + SOL. PT. SOL. INJ.
500 UI
RECOMBINATE 1000 UI
PULB+SOLV. PT. SOL. INJ. 1000UI
RECOMBINATE 250 UI
PULB+SOLV. PT. SOL. INJ. 250UI
RECOMBINATE 500 UI
PULB+SOLV. PT. SOL. INJ. 500UI
ADVATE 1000UI
PULB+SOLV.PT.SOL.INJ 1000UI
KOGENATE BAYER 1000UI PULB+SOLV.PT.SOL.INJ 1000UI
ADVATE 1500UI
PULB+SOLV.PT.SOL.INJ 1500UI
KOGENATE BAYER 2000UI PULB+SOLV.PT.SOL.INJ 2000UI
KOGENATE BAYER 250UI PULB+SOLV.PT.SOL.INJ 250UI
ADVATE 500UI
PULB+SOLV.PT.SOL.INJ 500 UI
KOGENATE BAYER 500UI PULB+SOLV.PT.SOL.INJ 500UI
ADVATE 2000UI
PULB+SOLV.PT.SOL.INJ. 2000 UI
ADVATE 250UI
PULB+SOLV.PT.SOL.INJ. 250 UI
ADVATE 3000UI
PULB+SOLV.PT.SOL.INJ. 3000 UI
FEIBA NF 1000 U FEIBA
1000 U/20 ml
FEIBA NF 500 U FEIBA
500 U/20ml
OCTANINE F 250
LIOF. + SOLV. PT. SOL. PERF.
250 UI
OCTANINE F 1000 UI
PULB. + SOLV. PT. SOL. PERF. 1000UI
OCTANINE F 500 UI
PULB. + SOLV. SOL. PERF.
500 UI
IMMUNINE 1200 UI
1200UI
IMMUNINE 600 UI
600UI
BENEFIX 1000UI
PULB+SOLV.PT.SOL.INJ 1000UI
BENEFIX 2000UI
PULB+SOLV.PT.SOL.INJ 2000UI
BENEFIX 250UI
PULB+SOLV.PT.SOL.INJ 250UI
BENEFIX 500UI
PULB+SOLV.PT.SOL.INJ 500UI
IMMUNATE 1000 UI
1000UI
IMMUNATE 250 UI
250UI
IMMUNATE 500 UI
500UI
HAEMATE P 500 UI
FARA CONCENTRATIE
WILATE 450 U.I./400 U.I.
PULB+SOLV. PT. SOL. INJ. 450U.I./400U.I.
WILATE 900 U.I./800 U.I.
PULB+SOLV. PT. SOL. INJ. 900U.I./800U.I.
NOVOSEVEN 2mg (100 KUI) PULB. + SOLV. PT. SOL. INJ. 100 KIU
NOVOSEVEN 5mg (250 KUI) PULB. + SOLV. PT. SOL. INJ. 250 KIU
NOVOSEVEN 1mg (50 KUI) PULB. + SOLV. PT. SOL. INJ. 50 KIU
DESFERAL
LIOF. PT. SOL. INJ./PERF. 500mg
EXJADE 125mg
COMPR. DISP. 125mg
EXJADE 250mg
COMPR. DISP. 250mg
EXJADE 500mg
COMPR. DISP. 500mg
LIOF. + SOLV. PT. SOL. INJ./PERF.

LIOF. + SOLV. PT. SOL. INJ./PERF.

PULB.+SOLV. PT. SOL. INJ./PERF.

PULB.+SOLV. PT. SOL. INJ./PERF.

BIOTEST PHARMA GMBH GERMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. + 1 FLAC. DIN STICLA INCOLORA CU 10 ML S

P-PR

BIOTEST PHARMA GMBH GERMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. + 1 FLAC. DIN STICLA INCOLORA CU 10 ML S

P-PR

BIOTEST PHARMA GMBH GERMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. + 1 FLAC. DIN STICLA INCOLORA CU 5 ML SO

P-PR

MAREA BRITANIE

CUTIE X 1 FLAC. CU 250 U.I. PULB. + 1 FL.SOLVENT X 5ML+ CUTIE CU SET DE RECONSTITUIRE SI ADM.

S
S
S
PR
PR
PR

MAREA BRITANIE

CUTIE X 1 FLAC.CU PULB. + 1 SERINGA PREUMPL. X 4 ML SOLV + 1 ADAPTOR + 2 TAMP.CU ALCOOL + 1 SET STER

P-RF/R

MAREA BRITANIE

CUTIE X 1 FLAC.CU PULB. + 1 SERINGA PREUMPL. X 4 ML SOLV + 1 ADAPTOR + 2 TAMP.CU ALCOOL + 1 SET STER

P-RF/R

MAREA BRITANIE

CUTIE X 1 FLAC.CU PULB. + 1 SERINGA PREUMPL. X 4 ML SOLV + 1 ADAPTOR + 2 TAMP.CU ALCOOL + 1 SET STER

P-RF/R

MAREA BRITANIE

CUTIE X 1 FLAC.CU PULB. + 1 SERINGA PREUMPL. X 4 ML SOLV + 1 ADAPTOR + 2 TAMP.CU ALCOOL + 1 SET STER

P-RF/R

CUTIE CU 1 FLAC. PULB.+1 FLAC. SOLV.+DISPOZITIV PT. RECONST. CU AC STERIL DUBLU SI 1 AC FILTRU STERI

S/P-RF

CUTIE CU 1 FLAC. PULB.+1 FLAC. SOLV.+DISPOZITIV PT. RECONST. CU AC STERIL DUBLU SI 1 AC FILTRU STERI

S/P-RF

CUTIE CU 1 FLAC. PULB.+1 FLAC. SOLV.+DISPOZITIV PT. RECONST. CU AC STERIL DUBLU SI 1 AC FILTRU STERI

S/P-RF

CUTIE X 1 FLAC. CU PULB. + 1 FLAC. X 5 ML APA PT. SOL. INJ. + 1 DISPOZITIV BAXJECT II

P-RF/R

BAYER HEALTHCARE AG GERMANIA

CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA PREUMPLUTA X 2,5ML SOL. + AMBALAJ SUPL. CE CONTIN

P-RF/R

BAXTER AG

CUTIE X 1 FLAC. CU PULB. + 1 FLAC. X 5 ML APA PT. SOL. INJ. + 1 DISPOZITIV BAXJECT II

P-RF/R

BAYER HEALTHCARE AG GERMANIA

CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA PREUMPLUTA X 5,0ML SOL. + AMBALAJ SUPL. CE CONTIN

P-RF/R

BAYER HEALTHCARE AG GERMANIA

CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA PREUMPLUTA X 2,5ML SOL. + AMBALAJ SUPL. CE CONTIN

P-RF/R

BAXTER AG

CUTIE X 1 FLAC. CU PULB. + 1 FLAC. X 5 ML APA PT. SOL. INJ. + 1 DISPOZITIV BAXJECT II

P-RF/R

CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA PREUMPLUTA X 2,5ML SOL. + AMBALAJ SUPL. CE CONTIN

P-RF/R

CUTIE X 1 FLAC CU PULB. + 1 FLAC. X 5 ML SOLVENT + 1 DISPOZITIV BAXJECT II

P-RF/R

CUTIE X 1 FLAC CU PULB. + 1 FLAC. X 5 ML APA PT. SOL. INJ. + 1 DISPOZITIV BAXJECT II

P-RF/R

CUTIE X 1 FLAC CU PULB. + 1 FLAC. X 5 ML SOLVENT + 1 DISPOZITIV BAXJECT II

P-RF/R

INSTITUTO GRIFOLS S.A.


INSTITUTO GRIFOLS S.A.
INSTITUTO GRIFOLS S.A.

OCTAPHARMA (IP) LTD.


OCTAPHARMA (IP) LTD.
OCTAPHARMA (IP) LTD.
WYETH EUROPA LTD
WYETH EUROPA LTD
WYETH EUROPA LTD
WYETH EUROPA LTD

BAXTER AG
BAXTER AG
BAXTER AG
BAXTER AG

SPANIA
SPANIA
SPANIA

CUTIE X 1 FLAC. CU PULB. X 1 SERINGA PREUMPLUTA X 10 ML SOLV. + 1 CANULA + 2 TAMPOANE CU ALCOOL

CUTIE X 1 FLAC. X 1000 UI PULB. PT.SOL. INJ. + 1 FL. SOLVENT X 10ML + CUTIE CU SET DE RECONSTITUIRE

MAREA BRITANIE

CUTIE X 1 FLAC. CU 500 U.I. PULB. + 1 FL. SOLVENT X 10ML + CUTIE CU SET DE RECONSTITUIRE SI ADM.

AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA

AUSTRIA

BAYER HEALTHCARE AG GERMANIA

BAXTER AG
BAXTER AG
BAXTER AG
BAXTER AG
BAXTER AG

AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA

OCTAPHARMA (IP) LIMITED

MAREA BRITANIE

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA A 30 ML CU LIOF. + 1 FLAC. X 5 ML SOLV. + 1 SERIN

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA CU PULB. PT. SOL. PERF. + 1 FLAC. DIN STICLA CU 10 ML SOLV. PT. SOL. PER

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA CU PULB. PT. SOL. PERF. + 1 FLAC. DIN STICLA CU 5 ML SOLV. PT. SOL. PERF

OCTAPHARMA (IP) LTD.


OCTAPHARMA (IP) LTD.

BAXTER AG
BAXTER AG
WYETH
WYETH
WYETH
WYETH

CUTIE X 1 FLAC. PULB. PT. SOL. INJ./ PERF. + 1 FLAC. X 5 ML SOLV. + 1 SET DE RECONSTITUIRE SI ADMIN

S
S
S
S
S
S
S

MAREA BRITANIE

CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA UMPLUTA. X 5ML SOL. INJ. + 1 SET STERIL DE PERF.

P-RF

MAREA BRITANIE

CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA UMPLUTA. X 5ML SOL. INJ. + 1 SET STERIL DE PERF.

MAREA BRITANIE

CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA UMPLUTA. X 5ML SOL. INJ. + 1 SET STERIL DE PERF.

P-RF

MAREA BRITANIE

CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA UMPLUTA. X 5ML SOL. INJ. + 1 SET STERIL DE PERF.

P-RF

AUSTRIA
AUSTRIA

EUROPA LTD
EUROPA LTD
EUROPA LTD
EUROPA LTD

LIOF. + SOLV. PT. SOL. INJ./PERF.

LIOF. SI SOLV. PT. SOL. INJ./PERF.

CSL BEHRING GMBH GERMANIA

LIOF. + SOLV. PT. SOL. INJ./PERF.

CUTIE X 1 FLAC. CU PULB. X 1 SERINGA PREUMPLUTA X 10 ML SOLVENT + 1 CANULA + 2 TAMPOANE ALCOOL

MAREA BRITANIE

BAXTER AG
BAXTER AG
BAXTER AG

LIOF. + SOLV. PT. SOL. INJ./PERF.

CUTIE X 1 FLAC. CU PULB. X 1 SERINGA PREUMPLUTA X 10 ML SOLV. + 1 CANULA + 2 TAMPOANE CU ALCOOL

AUSTRIA
AUSTRIA
AUSTRIA

CUTIE X 1 FLAC. LIOF. + 1 FLAC. SOLV. + 1 TRUSA DE RECONSTITUIRE SI ADM.


CUTIE X 1 FLAC. LIOF. + 1 FLAC. SOLV. + 1 TRUSA MEDICALA PT. RECONSTITUIRE SI ADM.

CUTIE X 1 FLAC. PULB. PT. SOL. INJ./ PERF. + 1 FLAC. X 10 ML SOLV. + 1 SET DE RECONSTITUIRE SI ADMI

CUTIE X 1 FLAC. LIOF. + 1 FLAC. X 5 ML SOLV. + 1 TRUSA MEDICALA PT. RECONSTITUIRE SI ADMINISTRARE

S
S
S

CUTIE X 1 FLAC. DIN STICLA INCOLORA A 30 ML CU LIOF. + 1 FLAC. X 10 ML SOLV. + 1 SET DE RECONSTIT.

P-RF

CUTIE X 1 FLAC. LIOF. + 1 FLAC. X 10 ML SOLV. + 1 TRUSA MEDICALA PT. RECONSTITUIRE SI ADMINISTRARE

CUTIE X 1 FLAC. LIOF. + 1 FLAC. X 5 ML SOLV. + 1 TRUSA MEDICALA PT. RECONSTITUIRE SI ADMINISTRARE

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. + SOLV. + DISPOZITIV PT. RECONSTITUIRE S

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. + SOLV. + DISPOZITIV PT. RECONSTITUIRE S

S
S

DANEMARCA

CUTIE X 1 FLAC. PULB. PT. SOL. INJ. + 1 FLAC. SOLV. PT. RECONSTITUIRE

P-RF/R

DANEMARCA

CUTIE X 1 FLAC. PULB. PT. SOL. INJ. + 1 FLAC. SOLV. PT. RECONSTITUIRE

P-RF/R

DANEMARCA

CUTIE X 1 FLAC. PULB. PT. SOL. INJ. + 1 FLAC. SOLV. PT. RECONSTITUIRE

P-RF/R

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 10 FLAC. DIN STICLA X 500 MG LIOF. PT. SOL. INJ./PERF.

S/P-RF

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 28 COMPR. DISP.(BLIST. PVC/PE/PVDC/AL)

P-RF/R

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL)

P-RF/R

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL)

P-RF/R

OCTAPHARMA (IP) LTD.


OCTAPHARMA (IP) LTD.

NOVO NORDISK A/S


NOVO NORDISK A/S
NOVO NORDISK A/S

1 1,475.99 1,475.990000 1,475.990000 1,646.98 1,646.980000


1
753.00
753.000000
753.000000
858.92
858.920000
1
375.37
375.370000
375.370000
447.30
447.300000
1 1,765.78 1,765.780000 1,765.780000 1,962.85 1,962.850000
1
463.88
463.880000
463.880000
543.78
543.780000
1
897.84
897.840000
897.840000 1,016.80 1,016.800000
1 1,419.30 1,419.300000 1,419.300000 1,585.19 1,585.190000
1
724.65
724.650000
724.650000
828.02
828.020000
1
377.32
377.320000
377.320000
449.43
449.430000
1 2,441.69 2,441.690000 2,441.690000 2,699.59 2,699.590000
1 4,853.37 4,853.370000 4,853.370000 5,328.32 5,328.320000
1
632.91
632.910000
632.910000
728.02
728.020000
1 1,235.86 1,235.860000 1,235.860000 1,385.24 1,385.240000
1 2,301.15 2,301.150000 2,301.150000 2,546.40 2,546.400000
1
597.46
597.460000
597.460000
689.38
689.380000
1 1,165.59 1,165.590000 1,165.590000 1,308.64 1,308.640000
1 3,035.05 3,035.050000 3,035.050000 3,346.35 3,346.350000
1 2,630.24 2,630.240000 2,630.240000 2,905.11 2,905.110000
1 4,766.25 4,766.250000 4,766.250000 5,233.36 5,233.360000
1 5,541.15 5,541.150000 5,541.150000 6,078.00 6,078.000000
1
718.85
718.850000
718.850000
821.70
821.700000
1 1,608.75 1,608.750000 1,608.750000 1,791.69 1,791.690000
1 1,396.36 1,396.360000 1,396.360000 1,560.18 1,560.180000
1 6,345.00 6,345.000000 6,345.000000 6,954.20 6,954.200000
1
781.26
781.260000
781.260000
889.72
889.720000
1 9,502.50 9,502.500000 9,502.500000 10,395.88 10,395.880000
1 2,766.50 2,766.500000 2,766.500000 3,053.64 3,053.640000
1 1,407.44 1,407.440000 1,407.440000 1,572.26 1,572.260000
1
492.34
492.340000
492.340000
574.80
574.800000
1 1,629.80 1,629.800000 1,629.800000 1,814.63 1,814.630000
1
829.90
829.900000
829.900000
942.74
942.740000
1 1,586.83 1,586.830000 1,586.830000 1,767.79 1,767.790000
1
891.90
891.900000
891.900000 1,010.32 1,010.320000
1 2,519.23 2,519.230000 2,519.230000 2,784.11 2,784.110000
1 5,008.46 5,008.460000 5,008.460000 5,497.37 5,497.370000
1
712.99
712.990000
712.990000
815.31
815.310000
1 1,274.61 1,274.610000 1,274.610000 1,427.47 1,427.470000
1 1,107.58 1,107.580000 1,107.580000 1,245.41 1,245.410000
1
296.35
296.350000
296.350000
361.79
361.790000
1
568.81
568.810000
568.810000
658.15
658.150000
1 1,337.63 1,337.630000 1,337.630000 1,496.17 1,496.170000
1
996.20
996.200000
996.200000 1,124.01 1,124.010000
1 1,962.39 1,962.390000 1,962.390000 2,177.16 2,177.160000
1 5,431.43 5,431.430000 5,431.430000 5,958.41 5,958.410000
1 13,793.54 13,793.540000 13,793.540000 15,073.11 15,073.110000
1 2,730.72 2,730.720000 2,730.720000 3,014.63 3,014.630000
10
111.33
11.133000
11.133000
135.91
13.591000
28
679.82
24.279285
24.279285
779.15
27.826785
28 1,444.56
51.591428
51.591428 1,612.72
57.597142
28 2,629.24
93.901428
93.901428 2,904.03
103.715357

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.2: EPIDERMOLIZA BULOASA
1
2

D05BB02
D06AA04

ACITRETINUM
TETRACYCLINUM

NEOTIGASON 10 mg

CAPS.

TETRACICLINA CLORHIDRAT UNGUENT

10mg
3%

ACTAVIS GROUP PTC EHF.

ANTIBIOTICE SA

ISLANDA CUTIE X 3 BLIST. AL/PVC-PVDC X 10 CAPS.


ROMANIA CUTIE X 1 TUB X 12 G

Pagina 117 din 205

P-RF
P-RF

30
1

58.42
4.80

1.947333
4.800000

1.947333
4.800000

73.87
6.49

2.462333
6.490000

Grupa
Nr.
terape
crt
utica
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18

Denumire generica

Denumire comerciala

D06BA01

ACIDUM FUSIDICUM
ACIDUM FUSIDICUM
SULFADIAZINUM

D07CA01

COMBINATII (ACIDUM FUSIDICUM+HYDROCORTISONUM)

D07CC01

D07CC01

COMBINATII
COMBINATII
COMBINATII
COMBINATII

FUCIDIN 20 mg/g
FUCIDIN 20 mg/g
FLAMMAZINE
FUCIDIN H
DIPROGENTA (R)
TRIDERM (R)
DIPROGENTA (R)
TRIDERM

D07CC01

COMBINATII (ACIDUM FUSIDICUM+ BETAMETHASONUM)

FUCICORT 20 mg/1mg pe gram

J01AA07

TETRACYCLINUM
TETRACYCLINUM
TETRACYCLINUM
TETRACYCLINUM
TETRACYCLINUM
PHENYTOINUM
PHENYTOINUM

TETRACICLINA SANDOZ 250 mg

D06AX01
D06AX01

D07CC01
D07CC01

J01AA07
J01AA07
J01AA07
J01AA07
N03AB02
N03AB02

TETRACICLINA 250 mg
TETRACICLINA ARENA 250 mg
TETRACICLINA ARENA 250 mg

TETRACICLINA 250 mg
FENITOIN 100 mg
PHENHYDAN 250 mg/5 ml

Forma
Concentrati
farmaceutic
e / U.T.
a
CREMA
UNGUENT
CREMA
CREMA
CREMA
CREMA
UNGUENT
UNGUENT
CREMA
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
COMPR.
SOL. INJ.

20mg/g
20mg/g
1%

Tara

Firma

Ambalaj

Prescriptie

LEO PHARMACEUTICAL PRODUCTS DANEMARCA

CUTIE X 1 TUB DIN AL X 15 G CREMA

P-RF

LEO PHARMACEUTICAL PRODUCTS DANEMARCA

CUTIE X 1 TUB DIN AL X 15 G UNGUENT

P-RF

CN UNIFARM

ROMANIA BORCAN X 500 G CREMA


PRF
CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF

FARA CONCENTRATIE LEO PHARMACEUTICAL PRODUCTS

DANEMARCA

0,5mg/1mg pe gram SCHERING PLOUGH EUROPE

BELGIA
BELGIA
BELGIA
BELGIA

FARA CONCENTRATIE

SCHERING PLOUGH EUROPE

0,5mg/1mg pe gram SCHERING PLOUGH EUROPE


FARA CONCENTRATIE

SCHERING PLOUGH EUROPE

CUTIE X 1 TUB X 15 G
CUTIE X 1 TUB AL X 15 G
CUTIE X 1 TUB X 15 G

P-RF

CUTIE X 1 TUB DIN AL X 15 G UNGUENT

P-RF

P-RF
P-RF

P-RF/S

GEDEON RICHTER ROMANIA SA

CUTIE X 1 TUB DIN AL X 15 G CREMA


ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
ROMANIA CUTIE X 2 BLIST. X 10 CAPS.
ROMANIA CUTIE X 50 BLIST. AL/PVC X 10 CAPS.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
ROMANIA CUTIE X 2 BLIST. X 10 CAPS.
ROMANIA CUTIE X 2 BLIST. X 10 COMPR.

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE CU 5 FIOLE DIN STICLA INCOLORA X 5 ML SOL. INJ.

P-RF

20mg/1mg pe gram LEO PHARMACEUTICAL PRODUCTS DANEMARCA

P-RF

250mg
250mg
250mg
250mg
250mg
100mg
250mg/5ml

P-RF

SANDOZ SRL
ANTIBIOTICE SA
ARENA GROUP SA
ARENA GROUP SA
EUROPHARM SA

P-RF

P-RF
P-RF

P-6L

cant/
amba
laj

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

1
1
1
1
1
1
1
1
1
20
20
500
20
20
20
5

11.11
11.11
82.52
15.89
9.14
11.13
9.14
11.13
17.42
2.00
2.32
51.60
2.19
2.21
2.03
52.94

11.110000
11.110000
82.520000
15.890000
9.140000
11.130000
9.140000
11.130000
17.420000
0.100000
0.116000
0.103200
0.109500
0.110500
0.101500
10.588000

56
56
90

9,418.29
9,093.02
1,851.89

168.183750
162.375357
20.576555

20
20
20
50
14
14
14
14
20
14
20
14
20
14
14
14
7
7
5
5
7
1
1
1
1
1
1
1
1
1
1

42.40
21.60
33.00
109.87
12.20
10.73
12.20
20.89
16.80
23.56
32.75
23.85
33.52
23.46
23.85
28.67
26.60
18.81
13.44
27.52
20.55
13.85
19.16
17.03
17.90
29.57
23.11
23.17
38.60
33.89
46.49

2.120000
1.080000
1.650000
2.197400
0.871428
0.766428
0.871428
1.492142
0.840000
1.682857
1.637500
1.703571
1.676000
1.675714
1.703571
2.047857
3.800000
2.687142
2.688000
5.504000
2.935714
13.850000
19.160000
17.030000
17.900000
29.570000
23.110000
23.170000
38.600000
33.890000
46.490000

Pret cu ridicata
maximal de
decontare / U.T.

11.110000
11.110000
82.520000
15.890000
9.140000
11.130000
9.140000
11.130000
17.420000
0.100000
0.116000
0.103200
0.109500
0.110500
0.101500
10.588000

Pret cu
amanuntul
maximal /
ambalaj

Pret cu
amanuntul
maximal / U.T.

15.01
15.01
104.34
21.48
12.36
15.05
12.36
15.05
23.54
2.70
3.14
65.24
2.96
2.99
2.74
66.94

15.010000
15.010000
104.340000
21.480000
12.360000
15.050000
12.360000
15.050000
23.540000
0.135000
0.157000
0.130480
0.148000
0.149500
0.137000
13.388000

168.183750 10,304.10
162.375357 9,949.56
20.576555 2,056.71

184.001785
177.670714
22.852333

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.3: HIPERTENSIUNE PULMONARA
1
2
3

C02KX01
C02KX01
G04BE03

BOSENTANUM**
BOSENTANUM**
SILDENAFILUM**

TRACLEER 125 mg
TRACLEER 62,5 mg
REVATIO 20 mg

COMPR. FILM. 125mg


COMPR. FILM. 62,5mg
COMPR. FILM. 20mg

ACTELION REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 4 BLIST. PVC/PE/PVDC/AL X 14 COMPR. FILM.

P-RF/R

ACTELION REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 4 BLIST. PVC/PE/PVDC/AL X 14 COMPR. FILM.

P-RF/R

PFIZER LIMITED

MAREA BRITANIE

CUTIE X 6 BLIST. AL/PVC X 15 COMPR. FILM.

P-RF/R

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.4: MUCOVISCIDOZA
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31

A09AA02
A09AA02
A09AA02
A09AA02

J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09

PANCREATINUM**
PANCREATINUM**
PANCREATINUM**
PANCREATINUM**
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM

MEZYM FORTE 25000


KREON 10000
KREON 25000
KREON 40000
FROMILID 250
KLABAX 250 mg
KLERIMED (R) 250
KLACID (R)
CLAR 250
LEKOKLAR (R) 250 mg
ROCLARIN 500 mg
FROMILID 500
CLAR 500
KLABAX 500 mg
KLERIMED (R) 500
LEKOKLAR (R) 500 mg
KLABAX MR 500 mg
LEKOKLAR XL 500 mg
LEKOKLAR XL 500 mg
KLACID SR
FROMILID (R) UNO
KLABAX 125 mg/5 ml
LEKOKLAR 125 mg/5 ml
FROMILID (R) 125 mg/5 ml
KLACID (R)
KLACID (R)
KLABAX 125 mg/5 ml
KLABAX 250 mg/5 ml
KLABAX 250 mg/5 ml
LEKOKLAR 250 mg/5 ml
LEKOKLAR 250 mg/5 ml

CAPS. CU MINI-COMPR. GASTROREZ.

CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM. ELIB. MODIF.
COMPR. FILM. ELIB. MODIF.
COMPR. FILM. ELIB. MODIF.
COMPR. FILM. ELIB. PREL.
COMPR. FILM. ELIB. PREL.

GRAN. PT. SUSP. ORALA


GRAN. PT. SUSP. ORALA
GRAN. PT. SUSP. ORALA
GRAN. PT. SUSP. ORALA
GRAN. PT. SUSP. ORALA
GRAN. PT. SUSP. ORALA
GRAN. PT. SUSP. ORALA
GRAN. PT. SUSP. ORALA
GRAN. PT. SUSP. ORALA
GRAN. PT. SUSP. ORALA

356,100mg
150mg
300mg
400mg
250mg
250mg
250mg
250mg
250mg
250mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
125mg/5ml
125mg/5ml
125mg/5ml
125mg/5ml
125mg/5ml
125mg/5ml
250mg/5ml
250mg/5ml
250mg/5ml
250mg/5ml

BERLIN CHEMIE AG (MENARINI GROUP)

GERMANIA

CUTIE X 1 FLACON DIN PP X 20 CAPS. CU MINI-COMPR. GASTROREZ.

OTC

SOLVAY PHARMACEUTICALS BV

GERMANIA FLACON DIN PEID CU 20 CAPS. GASTROREZ.

OTC

SOLVAY PHARMACEUTICALS BV

GERMANIA FLACON DIN PEID CU 20 CAPS. GASTROREZ.

OTC

SOLVAY PHARMACEUTICALS BV

GERMANIA FLACON DIN PEID CU 50 CAPS. GASTROREZ.

P-6L

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM.

P-RF

TERAPIA SA
ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM.
MEDOCHEMIE LTD. CIPRU
CUTIE X 2 BLIST. AL/PVC-PVDC X 7 COMPR. FILM.
ABBOTT SPA
ITALIA
CUTIE X 1 BLIST. X 14 COMPR. FILM.
MEDICAROM GROUP S.R.L. ROMANIA CUTIE X 5 BLIST. X 4 COMPR. FILM.
LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 2 BLIST. X 7 COMPR. FILM.
ANTIBIOTICE S.A.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM.

P-RF

MEDICAROM GROUP S.R.L.

ROMANIA CUTIE X 5 BLIST. AL/PVC X 4 COMPR. FILM.


ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM.

TERAPIA SA
MEDOCHEMIE LTD. CIPRU

P-RF
P-RF
P-RF
P-RF
P-RF

P-RF
P-RF

CUTIE X 2 BLIST. AL/PVC-PVDC X 7 COMPR. FILM.

P-RF

LEK PHARMACEUTICALS D.D.

SLOVENIA CUTIE X 2 BLIST. X 7 COMPR. FILM.

P-RF

TERAPIA SA

ROMANIA

CUTIE X 1 BLIST. PVC/PVDC-AL X 7 COMPR. FILM. ELIB. PREL.

P-RF

LEK PHARMACEUTICALS D.D.

CUTIE X 1 FOLIE AL/AL X 7 COMPR. FILM. ELIB. MODIF. P-RF

LEK PHARMACEUTICALS D.D.

SLOVENIA
SLOVENIA

ABBOTT LABORATORIES LTD.

MAREA BRITANIE

CUTIE X 1 BLIST. PVC-PVDC/AL X 5 COMPR. FILM. ELIB. PREL.

P-RF

KRKA D.D.
TERAPIA SA
SANDOZ SRL
KRKA D.D.
ABBOTT SPA
ABBOTT SPA
TERAPIA SA
TERAPIA SA
TERAPIA SA
SANDOZ SRL
SANDOZ SRL

SLOVENIA

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. ELIB. PREL.

P-RF

CUTIE X 1 FLAC. DIN PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA

P-RF

CUTIE X 1 FLAC. PEID CU 41 G GRANULE PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE PP

P-RF

ROMANIA
ROMANIA

CUTIE X 1 FOLIE AL/AL X 5 COMPR. FILM. ELIB. MODIF. P-RF

SLOVENIA CUTIE X 1 FLAC. PULB. PT. 60 ML SUSP.

P-RF

ITALIA
ITALIA

CUTIE X 1 FLACON PEID CU GRANULE PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML

P-RF

CUTIE X 1 FLACON PEID CU GRANULE PT. 100 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML

P-RF

CUTIE X 1 FLAC. DIN PEID X 70 G GRAN. PT. 100 ML SUSP . ORALA

P-RF

CUTIE X 1 FLAC. PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA

P-RF

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE X 1 FLAC. PEID X 70 G GRAN. PT. 100 ML SUSP . ORALA P-RF


CUTIE X 1 FLAC. DIN PEID CU 41 G GRANULE PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE PP

P-RF

CUTIE X 1 FLAC. DIN PEID CU 68,3 G GRANULE PT. 100 ML SUSP. ORALA + LINGURITA DOZATOARE PP

P-RF

Pagina 118 din 205

2.120000
1.080000
1.650000
2.197400
0.871428
0.766428
0.871428
0.919714
0.840000
0.919714
1.637500
1.703571
1.676000
1.675714
1.703571
1.965000
1.965000
1.965000
1.965000
1.965000
1.965000
13.850000
16.620000
16.620000
16.620000
27.732000
23.110000
23.170000
38.600000
27.804000
46.320000

42.40
21.60
33.00
134.13
16.49
14.50
16.49
28.23
22.71
31.85
42.84
32.23
43.84
31.71
32.23
37.50
34.79
25.42
18.17
36.00
27.77
18.72
25.90
23.02
24.19
38.68
31.23
31.31
50.49
44.33
60.81

2.120000
1.080000
1.650000
2.682600
1.177857
1.035714
1.177857
2.016428
1.135500
2.275000
2.142000
2.302142
2.192000
2.265000
2.302142
2.678571
4.970000
3.631428
3.634000
7.200000
3.967142
18.720000
25.900000
23.020000
24.190000
38.680000
31.230000
31.310000
50.490000
44.330000
60.810000

Grupa
Nr.
terape
crt
utica
32
33
34

J01FA09
J01GB01
R05CB13

Denumire generica

CLARITHROMYCINUM
TOBRAMYCINUM**
DORNAZA ALFA**

Denumire comerciala

KLACID I.V.
TOBI (R)
PULMOZYME

Forma
Concentrati
farmaceutic
e / U.T.
a
500mg
SOL. INHAL. 300mg/5ml
SOL. INHAL. 1mg/ml

LIOF. PT. SOL. PERF.

Tara

Firma

ABBOTT LABORATORIES LTD.

Ambalaj

FRANTA CUTIE X 1 FLAC. LIOF. PT. SOL. PERF.

Prescriptie

S/P-RF

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 4 PLICURI DIN AL; FIECARE PLIC CONTINE 7 FIOLE GEMENE DIN PEJD X 5 ML SOL. DE INHALAT PRIN N

P-RF

ROCHE ROMANIA S.R.L. ROMANIA

CUTIE X 6 FIOLE UNIDOZA PE X 2,5 ML SOL. INHAL. PRIN NEBULIZATOR, INTRODUSE IN PUNGA AL

S/P-RF

cant/
amba
laj

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

Pret cu ridicata
maximal de
decontare / U.T.

Pret cu
amanuntul
maximal /
ambalaj

Pret cu
amanuntul
maximal / U.T.

1
28
6

40.64
8,017.20
545.47

40.640000
286.328571
90.911666

40.640000
286.328571
90.911666

53.16
8,776.91
632.71

53.160000
313.461071
105.451666

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
56

872.00
451.00
6,114.44
3,072.10
1,550.55
663.61
460.47
1,749.51
889.76
7,459.41
3,469.04
188.56
459.88
3,473.78
1,751.89
890.95
2,050.80
222.29
535.20
472.05
1,798.20
914.10
99.02
1,166.70
2,261.30
640.45
1,040.40
874.73

872.000000
451.000000
6,114.440000
3,072.100000
1,550.550000
663.610000
460.470000
1,749.510000
889.760000
7,459.410000
3,469.040000
188.560000
459.880000
3,473.780000
1,751.890000
890.950000
2,050.800000
222.290000
535.200000
472.050000
1,798.200000
914.100000
99.020000
1,166.700000
2,261.300000
640.450000
1,040.400000
15.620178

872.000000
451.000000
6,114.440000
3,072.100000
1,550.550000
663.610000
460.470000
1,749.510000
889.760000
7,459.410000
3,469.040000
188.560000
459.880000
3,473.780000
1,751.890000
890.950000
2,050.800000
222.290000
535.200000
472.050000
1,798.200000
914.100000
99.020000
1,166.700000
2,261.300000
640.450000
1,040.400000
15.620178

988.63
529.74
6,702.89
3,386.74
1,728.25
761.48
540.07
1,945.12
1,007.99
8,168.91
3,819.40
230.20
539.42
3,824.57
1,947.71
1,009.28
2,273.52
271.37
621.52
552.68
1,998.19
1,034.52
125.20
1,309.85
2,502.97
736.24
1,172.19
991.61

988.630000
529.740000
6,702.890000
3,386.740000
1,728.250000
761.480000
540.070000
1,945.120000
1,007.990000
8,168.910000
3,819.400000
230.200000
539.420000
3,824.570000
1,947.710000
1,009.280000
2,273.520000
271.370000
621.520000
552.680000
1,998.190000
1,034.520000
125.200000
1,309.850000
2,502.970000
736.240000
1,172.190000
17.707321

1
1
1
1
1
1
4

357.96
524.05
109.44
183.61
151.08
235.03
589.21

357.960000
524.050000
109.440000
183.610000
151.080000
235.030000
147.302500

282.036000
524.050000
109.440000
181.296000
151.080000
235.030000
131.328000

428.33
609.36
133.60
224.15
184.44
286.92
680.39

428.330000
609.360000
133.600000
224.150000
184.440000
286.920000
170.097500

1
1
1
1
1
1
1

369.62
469.53
404.70
660.02
1,163.21
1,531.24
780.62

369.620000
469.530000
404.700000
660.020000
1,163.210000
1,531.240000
780.620000

369.620000
469.530000
404.700000
660.020000
792.024000
792.024000
485.640000

441.04
549.94
479.27
757.57
1,306.05
1,707.20
889.03

441.040000
549.940000
479.270000
757.570000
1,306.050000
1,707.200000
889.030000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.5: BOLI NEUROLOGICE DEGENERATIVE/INFLAMATORII SI MIASTENIA GRAVIS
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

N07XX02

RILUZOLUM**

HUMAGLOBIN
HUMAGLOBIN
OCTAGAM 10%
OCTAGAM 10%
OCTAGAM 10%
OCTAGAM 10%
PRIVIGEN 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
PRIVIGEN 100mg/ml
PRIVIGEN 100mg/ml
PRIVIGEN 100mg/ml
IG VENA 10g/200ml
IG VENA 1g/20ml
IG VENA 2,5g/50ml
FLEBOGAMMA 5%
FLEBOGAMMA 5%
FLEBOGAMMA 5%
FLEBOGAMMA 5%
OCTAGAM
OCTAGAM
OCTAGAM
IG VENA 5g/100ml
RILUTEK 50 mg

PULB.+SOLV. PT. SOL. PERF.


PULB.+SOLV. PT. SOL. PERF.

SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
COMPR. FILM.

5%
5%
100 mg/ml
100 mg/ml
100 mg/ml
100 mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
10g/200ml
1g/20ml
2,5g/50ml
5%
5%
5%
5%
50mg/ml
50mg/ml
50mg/ml
5g/100ml
50mg

HUMAN BIOPLAZMA MANUFACTURING AND TRADING LTD.

UNGARIA
UNGARIA

OCTAPHARMA (IP) LIMITED

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL. PERF.

OCTAPHARMA (IP) LIMITED

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF.

OCTAPHARMA (IP) LIMITED

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL. PERF.

OCTAPHARMA (IP) LIMITED

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 20 ML SOL. PERF.

HUMAN BIOPLAZMA MANUFACTURING AND TRADING LTD.

CSL BEHRING GMBH GERMANIA


BAXTER AG
AUSTRIA
BAXTER AG
AUSTRIA
BAXTER AG
AUSTRIA
BAXTER AG
AUSTRIA
BAXTER AG
AUSTRIA
BAXTER AG
AUSTRIA
CSL BEHRING GMBH GERMANIA
CSL BEHRING GMBH GERMANIA
CSL BEHRING GMBH GERMANIA

KEDRION SPA
KEDRION SPA
KEDRION SPA
INSTITUTO GRIFOLS S.A.
INSTITUTO GRIFOLS S.A.
INSTITUTO GRIFOLS S.A.
INSTITUTO GRIFOLS S.A.

OCTAPHARMA (IP) LTD.


OCTAPHARMA (IP) LTD.
OCTAPHARMA (IP) LTD.

KEDRION SPA

ITALIA
ITALIA
ITALIA
SPANIA
SPANIA
SPANIA
SPANIA

CUTIE X 1 CUTIE X 1 FLAC. CU PULB. + 1 CUTIE X 1 FLAC. SOLV. X 100 ML

CUTIE X 1 CUTIE X 1 FLAC. CU PULB. + 1 CUTIE X 1 FLAC. SOLV. X 50 ML

CUTIE X 1 FLAC.X 25 ML SOL. PERF.


CUTIE X 1 FLAC X 100ML SOL. PERF.(10G/100ML)

CUTIE X 1 FLAC X 50ML SOL. PERF.(5G/50ML)


CUTIE X 1 FLAC X 300ML SOL. PERF.(30G/300ML)
CUTIE X 1 FLAC X 200ML SOL. PERF.(20G/200ML)

CUTIE X 1 FLAC X 10ML SOL. PERF.(1G/10ML)


CUTIE X 1 FLAC X 25ML SOL. PERF.(2,5G/25ML)

CUTIE X 1 FLAC.X 200 ML SOL. PERF.


CUTIE X 1 FLAC.X 100 ML SOL. PERF.
CUTIE X 1 FLAC.X 50 ML SOL. PERF.
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL. PERF. + 1 SET ADMINISTRARE

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 20 ML SOL. PERF. + 1 SET ADMINISTRARE


CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL. PERF. + 1 SET ADMINISTRARE

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL.PERF.


CUTIE X 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL.PERF.
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL.PERF.

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10 ML SOL.PERF.

MAREA BRITANIE

CUTIE X 1 FLACON X 100 ML


CUTIE X 1 FLACON X 200 ML
CUTIE X 1 FLACON X 50 ML

ITALIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. + 1 SET ADMINISTRARE

MAREA BRITANIE
MAREA BRITANIE

AVENTIS PHARMA SA FRANTA CUTIE X 4 BLIST. X 14 COMPR.

S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
P-RF/R

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.6: OSTEOGENEZA IMPERFECTA
1
2
3
4
5
6
7

M05BA03
M05BA03
M05BA03
M05BA03
M05BA03
M05BA03
M05BA03

ACIDUM PAMIDRONICUM
ACIDUM PAMIDRONICUM
ACIDUM PAMIDRONICUM
ACIDUM PAMIDRONICUM
ACIDUM PAMIDRONICUM
ACIDUM PAMIDRONICUM
ACIDUM PAMIDRONICUM

PAMIDRONAT TORREX
PAMIDRONAT TORREX
PAMIDRONAT TORREX
PAMIDRONAT TORREX
PAMIRED 30
PAMIRED 60
AREDIA (R) 15 mg

CONC. PT. SOL. PERF.


CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
LIOF. PT. SOL. PERF. I.V.
LIOF. PT. SOL. PERF. I.V.
LIOF.+ SOLV. PT. SOL. PERF.

15mg/ml
15mg/ml
15mg/ml
15mg/ml
30mg
60mg
15mg

TORREX CHIESI PHARMA GMBH


TORREX CHIESI PHARMA GMBH
TORREX CHIESI PHARMA GMBH
TORREX CHIESI PHARMA GMBH

DR. REDDY'S LABORATORIES


DR. REDDY'S LABORATORIES

AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
ROMANIA
ROMANIA

CUTIE X 1 FIOLA PE X 4 ML
CUTIE X 1 FIOLA PE X 6 ML
CUTIE X 1 FIOLA PE X 1 ML
CUTIE X 1 FIOLA PE X 2 ML

S/P-RF
S/P-RF
S/P-RF
S/P-RF

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 30 MG LIOF. PT. SOL. PERF. I.V.

S/P-RF

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 60 MG LIOF. PT. SOL. PERF. I.V.

S/P-RF

CUTIE X 4 FLAC. DIN STICLA X 15 MG LIOF. PT. SOL. PERF. + 4 FIOLE DIN STICLA X 5 ML SOLV.

S/P-RF

GERMANIA

CUTIE X 1 FLAC. LIOF. PT. SOL. INJ. + 1 FIOLA X 3,5 ML SOLV.

P-RF

MAREA BRITANIE

CUTIE X 1 CARTUS BICAMERAL MULTIDOZA CU PULB. SI SOLV. PT. SOL. INJ.

P-RF

NOVARTIS PHARMA GMBH GERMANIA

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.7: SINDROM PRADER WILLI
1
2
3
4
5
6
7

H01AC01
H01AC01
H01AC01
H01AC01
H01AC01
H01AC01
H01AC01

SOMATROPINUM**
SOMATROPINUM**
SOMATROPINUM**
SOMATROPINUM**
SOMATROPINUM**
SOMATROPINUM**
SOMATROPINUM**

ZOMACTON

LIOF. + SOLV. PT. SOL. INJ.

4mg (12ui)

GENOTROPIN (R) 16 ui (5,3 mg)

PULB. + SOLV. PT. SOL. INJ.

5,3mg/ml (16ui) PFIZER EUROPE MA EEIG

OMNITROPE 3,3mg/ml
OMNITROPE 6,7mg/ml

SOL. INJ.
SOL. INJ.

NORDITROPIN SIMPLEXx 10 mg/1,5ml SOL. INJ. IN CARTUS


NORDITROPIN FLEXPRO 10 mg/1,5 ml

SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT

NORDITROPIN FLEXPRO 5 mg/1,5 ml

SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT

3,3mg/ml
6,7mg/ml
10mg/1,5ml
10mg/1,5 ml
5mg/1,5 ml

FERING GMBH

SANDOZ GMBH
AUSTRIA CUTIE X 1CARTUS X 1,5 ML SOL.INJ.
SANDOZ GMBH
AUSTRIA CUTIE X 1CARTUS X 1,5 ML SOL.INJ.
NOVO NORDISK A/S DANEMARCA CUTIE X 1 CARTUS DIN STICLA INCOLORA X 1,5 ML SOL. INJ.
NOVO NORDISK A/S DANEMARCA
NOVO NORDISK A/S DANEMARCA

P-RF/R
P-RF/R

P-RF

CUTIE CU 1 STILOU INJECTOR (PEN) PREUMPLUT MULTI-DOZA ( CARTUS DIN STICLA INCOLORA X 1,5 ML SOL. INJ

P-RF

CUTIE CU 1 STILOU INJECTOR (PEN) PREUMPLUT MULTI-DOZA ( CARTUS DIN STICLA INCOLORA X 1,5 ML SOL. INJ

P-RF

Pagina 119 din 205

Grupa
Nr.
terape
crt
utica

Denumire generica

Denumire comerciala

Forma
Concentrati
farmaceutic
e / U.T.
a

Tara

Firma

Ambalaj

Prescriptie

cant/
amba
laj

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

Pret cu ridicata
maximal de
decontare / U.T.

Pret cu
amanuntul
maximal /
ambalaj

Pret cu
amanuntul
maximal / U.T.

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.8: BOALA FABRY
1

A16AB04

AGALSIDASUM BETA**

FABRAZYME 35 mg

PULB. PT. CONC. PT. SOL. PERF.

35mg

GENZYME EUROPE BV OLANDA

CUTIE X 1 FLAC. CU PULB. PT. CONC. PT. SOL. PERF.

1 13,635.68 13,635.680000 13,635.680000 14,901.06 14,901.060000

CUTIE X 1 FLAC. CU 50MG PULB. PT. CONC. PT. SOL. PERF.

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.9: BOALA POMPE
1

A16AB07

ALGLUCOSIDASUM ALPHA**

MYOZYME 50mg

PULB. PT. CONC. PT. SOL. PERF.

50mg

GENZYME EUROPE B.V.

OLANDA

2,238.48

2,238.480000

60 12,653.00
60 3,481.07
60 6,932.14

210.883333
58.017833
115.535666

2,238.480000

2,478.10

2,478.100000

210.883333 13,829.94
58.017833 3,832.52
115.535666 7,594.19

230.499000
63.875333
126.569833

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.10: TIROZINEMIE
1
2
3

A16AX04
A16AX04
A16AX04

NITISINONUM
NITISINONUM
NITISINONUM

ORFADIN 10mg
ORFADIN 2mg
ORFADIN 5mg

CAPS.
CAPS.
CAPS.

10mg
2mg
5mg

SWEDISH ORPHAN INTERNATIONAL AB


SWEDISH ORPHAN INTERNATIONAL AB
SWEDISH ORPHAN INTERNATIONAL AB

SUEDIA
SUEDIA
SUEDIA

CUTIE X 1 FLAC. DIN PEID X 60 CAPS.


CUTIE X 1 FLAC. DIN PEID X 60 CAPS.
CUTIE X 1 FLAC. DIN PEID X 60 CAPS.

P-RF/R
P-RF/R
P-RF/R

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.12: MUCOPOLIZAHARIDOZ TIP II (SINDROM HUNTER)
1

A16AB09

IDURSULFASUM**

ELAPRASE 2mg/ml

CONC. PT. SOL. PERF.

2mg/ml

SHIRE HUMAN GENETIC THERAPIES AB

SUEDIA

CUTIE X 4 FLAC. X 3 ML CONC. PT. SOL. PERF.

4 49,286.94 12,321.735000 12,321.735000 53,760.98 13,440.245000

2,770.33

2,770.330000

2,770.330000

3,057.81

3,057.810000

S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

872.00
451.00
6,114.44
3,072.10
1,550.55
663.61
460.47
1,749.51
889.76
7,459.41
3,469.04
188.56
459.88
3,473.78
1,751.89
890.95
2,050.80
222.29
535.20
472.05
1,798.20
914.10

872.000000
451.000000
6,114.440000
3,072.100000
1,550.550000
663.610000
460.470000
1,749.510000
889.760000
7,459.410000
3,469.040000
188.560000
459.880000
3,473.780000
1,751.890000
890.950000
2,050.800000
222.290000
535.200000
472.050000
1,798.200000
914.100000

872.000000
451.000000
6,114.440000
3,072.100000
1,550.550000
663.610000
460.470000
1,749.510000
889.760000
7,459.410000
3,469.040000
188.560000
459.880000
3,473.780000
1,751.890000
890.950000
2,050.800000
222.290000
535.200000
472.050000
1,798.200000
914.100000

988.63
529.74
6,702.89
3,386.74
1,728.25
761.48
540.07
1,945.12
1,007.99
8,168.91
3,819.40
230.20
539.42
3,824.57
1,947.71
1,009.28
2,273.52
271.37
621.52
552.68
1,998.19
1,034.52

988.630000
529.740000
6,702.890000
3,386.740000
1,728.250000
761.480000
540.070000
1,945.120000
1,007.990000
8,168.910000
3,819.400000
230.200000
539.420000
3,824.570000
1,947.710000
1,009.280000
2,273.520000
271.370000
621.520000
552.680000
1,998.190000
1,034.520000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.13: MUCOPOLIZAHARIDOZ TIP I (SINDROM HURLER)
1

A16AB05

LARONIDAZUM**

ALDURAZYME 100UI/ml

CONC. PT. SOL. PERF.

100U/ml

GENZYME EUROPE BV OLANDA CUTIE X 1 FLAC. X 5 ML

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.15: SINDROM DE IMUNODEFICIEN PRIMAR
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

HUMAGLOBIN
HUMAGLOBIN
OCTAGAM 10%
OCTAGAM 10%
OCTAGAM 10%
OCTAGAM 10%
PRIVIGEN 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
PRIVIGEN 100mg/ml
PRIVIGEN 100mg/ml
PRIVIGEN 100mg/ml
IG VENA 10g/200ml
IG VENA 1g/20ml
IG VENA 2,5g/50ml
FLEBOGAMMA 5%
FLEBOGAMMA 5%
FLEBOGAMMA 5%

PULB.+SOLV. PT. SOL. PERF.


PULB.+SOLV. PT. SOL. PERF.

SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.

5%
5%
100 mg/ml
100 mg/ml
100 mg/ml
100 mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
10g/200ml
1g/20ml
2,5g/50ml
5%
5%
5%

HUMAN BIOPLAZMA MANUFACTURING AND TRADING LTD.

UNGARIA
UNGARIA

OCTAPHARMA (IP) LIMITED

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL. PERF.

OCTAPHARMA (IP) LIMITED

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF.

OCTAPHARMA (IP) LIMITED

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL. PERF.

OCTAPHARMA (IP) LIMITED

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 20 ML SOL. PERF.

HUMAN BIOPLAZMA MANUFACTURING AND TRADING LTD.

CSL BEHRING GMBH GERMANIA


BAXTER AG
AUSTRIA
BAXTER AG
AUSTRIA
BAXTER AG
AUSTRIA
BAXTER AG
AUSTRIA
BAXTER AG
AUSTRIA
BAXTER AG
AUSTRIA
CSL BEHRING GMBH GERMANIA
CSL BEHRING GMBH GERMANIA
CSL BEHRING GMBH GERMANIA

KEDRION SPA
KEDRION SPA
KEDRION SPA
INSTITUTO GRIFOLS S.A.
INSTITUTO GRIFOLS S.A.
INSTITUTO GRIFOLS S.A.

ITALIA
ITALIA
ITALIA
SPANIA
SPANIA
SPANIA

CUTIE X 1 CUTIE X 1 FLAC. CU PULB. + 1 CUTIE X 1 FLAC. SOLV. X 100 ML

CUTIE X 1 CUTIE X 1 FLAC. CU PULB. + 1 CUTIE X 1 FLAC. SOLV. X 50 ML

CUTIE X 1 FLAC.X 25 ML SOL. PERF.


CUTIE X 1 FLAC X 100ML SOL. PERF.(10G/100ML)

CUTIE X 1 FLAC X 50ML SOL. PERF.(5G/50ML)


CUTIE X 1 FLAC X 300ML SOL. PERF.(30G/300ML)
CUTIE X 1 FLAC X 200ML SOL. PERF.(20G/200ML)

CUTIE X 1 FLAC X 10ML SOL. PERF.(1G/10ML)


CUTIE X 1 FLAC X 25ML SOL. PERF.(2,5G/25ML)

CUTIE X 1 FLAC.X 200 ML SOL. PERF.


CUTIE X 1 FLAC.X 100 ML SOL. PERF.
CUTIE X 1 FLAC.X 50 ML SOL. PERF.
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL. PERF. + 1 SET ADMINISTRARE

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 20 ML SOL. PERF. + 1 SET ADMINISTRARE


CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL. PERF. + 1 SET ADMINISTRARE

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL.PERF.


CUTIE X 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL.PERF.
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL.PERF.

Pagina 120 din 205

Grupa
Nr.
terape
crt
utica
23
24
25
26
27

Denumire generica

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

Denumire comerciala

FLEBOGAMMA 5%
OCTAGAM
OCTAGAM
OCTAGAM
IG VENA 5g/100ml

Forma
Concentrati
farmaceutic
e / U.T.
a
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.

5%
50mg/ml
50mg/ml
50mg/ml
5g/100ml

Tara

Firma

INSTITUTO GRIFOLS S.A.

OCTAPHARMA (IP) LTD.


OCTAPHARMA (IP) LTD.
OCTAPHARMA (IP) LTD.

KEDRION SPA

SPANIA

Ambalaj

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10 ML SOL.PERF.

MAREA BRITANIE

CUTIE X 1 FLACON X 100 ML


CUTIE X 1 FLACON X 200 ML
CUTIE X 1 FLACON X 50 ML

ITALIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. + 1 SET ADMINISTRARE

MAREA BRITANIE
MAREA BRITANIE

Prescriptie

S
S
S
S
S

cant/
amba
laj

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

Pret cu ridicata
maximal de
decontare / U.T.

Pret cu
amanuntul
maximal /
ambalaj

Pret cu
amanuntul
maximal / U.T.

1
1
1
1
1

99.02
1,166.70
2,261.30
640.45
1,040.40

99.020000
1,166.700000
2,261.300000
640.450000
1,040.400000

99.020000
1,166.700000
2,261.300000
640.450000
1,040.400000

125.20
1,309.85
2,502.97
736.24
1,172.19

125.200000
1,309.850000
2,502.970000
736.240000
1,172.190000

50
30
10
10
100
1
1
4
28
28
2
50
20
30
1
1
1
100
100
100
100
100
100
50
100
50
50
100
100
100
100
100
1
5
5
5
1
1
28
4
4
4
2
4
2
4
4
2
12
12

25.41
22.96
201.40
107.51
60.16
21.50
12.14
25.18
56.92
97.67
3,029.34
23.85
21.67
4.78
6.44
22.68
14.97
8.55
9.12
17.66
6.95
6.05
6.15
10.79
12.33
15.35
18.66
22.56
9.02
9.02
14.06
14.06
1,456.67
50.44
23.65
26.04
36.54
56.71
36.47
36.47
36.00
18.07
18.23
36.00
28.06
36.47
36.24
18.11
106.79
106.79

0.508200
0.765333
20.140000
10.751000
0.601600
21.500000
12.140000
6.295000
2.032857
3.488214
1,514.670000
0.477000
1.083500
0.159333
6.440000
22.680000
14.970000
0.085500
0.091200
0.176600
0.069500
0.060500
0.061500
0.215800
0.123300
0.307000
0.373200
0.225600
0.090200
0.090200
0.140600
0.140600
1,456.670000
10.088000
4.730000
5.208000
36.540000
56.710000
1.302500
9.117500
9.000000
4.517500
9.115000
9.000000
14.030000
9.117500
9.060000
9.055000
8.899166
8.899166

0.508200
0.765333
20.140000
10.751000
0.601600
21.500000
12.140000
6.295000
2.032857
3.488214
1,514.670000
0.477000
1.083500
0.159333
6.440000
22.680000
14.970000
0.085500
0.091200
0.176600
0.069500
0.060500
0.061500
0.215800
0.123300
0.307000
0.373200
0.225600
0.090200
0.090200
0.140600
0.140600
1,456.670000
5.676000
4.730000
5.208000
36.540000
56.710000
1.302500
5.421000
5.421000
4.517500
5.421000
5.421000
5.421000
5.421000
5.421000
5.421000
5.421000
5.421000

33.24
31.03
245.87
131.25
76.07
29.06
16.41
32.94
71.97
123.50
3,340.14
32.23
29.29
6.46
8.71
30.65
20.23
11.56
12.33
23.87
9.40
8.18
8.31
14.59
16.67
20.75
25.22
30.49
12.19
12.19
19.00
19.00
1,625.92
63.78
31.97
34.06
47.79
71.71
47.70
47.70
47.09
24.42
24.64
47.09
36.70
47.70
47.40
24.48
130.37
130.37

0.664800
1.034333
24.587000
13.125000
0.760700
29.060000
16.410000
8.235000
2.570357
4.410714
1,670.070000
0.644600
1.464500
0.215333
8.710000
30.650000
20.230000
0.115600
0.123300
0.238700
0.094000
0.081800
0.083100
0.291800
0.166700
0.415000
0.504400
0.304900
0.121900
0.121900
0.190000
0.190000
1,625.920000
12.756000
6.394000
6.812000
47.790000
71.710000
1.703571
11.925000
11.772500
6.105000
12.320000
11.772500
18.350000
11.925000
11.850000
12.240000
10.864166
10.864166

P7: PROGRAM NATIONAL DE BOLI ENDOCRINE


Tratamentul medicamentos al bolnavilor cu osteoporoza, gusa datorata carentei de iod si proliferarii maligne
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50

A11CC03
A11CC03
A11CC03
A11CC03
A11CC04
G03CA03
G03CA03
G03CA03
G03DC05

G03XC01

H01AB01
H02AB04
H02AB04
H02AB04
H02AB04
H02AB04
H02AB04
H03AA01
H03AA01
H03AA01
H03AA01
H03AA01
H03AA01
H03AAN1

H03BB01
H03BB02
H03BB02
H03BB02
H03CA01
H03CA01
H03CA01
H03CA01

H05AA02
H05BA01
H05BA01
H05BA01
H05BA01
H05BA01
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04

ALFACALCIDOLUM
ALFACALCIDOLUM
ALFACALCIDOLUM
ALFACALCIDOLUM
CALCITRIOLUM
ESTRADIOLUM
ESTRADIOLUM
ESTRADIOLUM
TIBOLONUM
RALOXIFENUM
TIREOTROPINUM ALFA
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
LEVOTHYROXINUM
LEVOTHYROXINUM
LEVOTHYROXINUM
LEVOTHYROXINUM
LEVOTHYROXINUM
LEVOTHYROXINUM
LEVOTIROXINUM+KALII IODIDUM
CARBIMAZOLUM
THIAMAZOLUM
THIAMAZOLUM
THIAMAZOLUM
KALII IODIDUM
KALII IODIDUM
KALII IODIDUM
KALII IODIDUM
TERIPARATIDUM**
CALCITONINUM (SOMON)
CALCITONINUM (SOMON)
CALCITONINUM (SOMON)
CALCITONINUM (SOMON)
CALCITONINUM (SOMON)
ACIDUM ALENDRONICUM**
ACIDUM ALENDRONICUM**
ACIDUM ALENDRONICUM**
ACIDUM ALENDRONICUM**
ACIDUM ALENDRONICUM**
ACIDUM ALENDRONICUM**
ACIDUM ALENDRONICUM**
ACIDUM ALENDRONICUM**
ACIDUM ALENDRONICUM**
ACIDUM ALENDRONICUM**
ACIDUM ALENDRONICUM**
ACIDUM ALENDRONICUM**

ALPHA D3 0,25 mcg


ALPHA D3 0,50 mcg
ONE-ALPHA 2 micrograme/ml
ONE-ALPHA 2 micrograme/ml
ROCALTROL
ESTREVA (R)
OESTROGEL 0,6 mg/g
CLIMARA
LIVIAL (R) 2,5 mg
EVISTA 60mg
THYROGEN 0,9 mg
MEDROL A 16
MEDROL 32
MEDROL 4 mg
LEMOD SOLU 125 mg
LEMOD SOLU 500 mg

CAPS. MOI
CAPS. MOI
SOL. INJ.
SOL. INJ.
CAPS. MOI
GEL
GEL

0,25mcg
0,50mcg
2micrograme/ml
2micrograme/ml

0,25mcg
0,1%
0,6mg/g
PLASTURE TRANSDERM. 50mcg/24ore
COMPR.
2,5mg
COMPR. FILM. 60mg
PULB. PT. SOL. INJ. 0,9mg
COMPR.
16mg
COMPR.
32mg
COMPR.
4mg
LIOF. PT. SOL. INJ. 125mg
LIOF. PT. SOL. INJ. 500mg
SOLU - MEDROL ACT-O-VIAL LIOF. SI SOLV.PT.SOL.INJ 250mg/4ml
EUTHYROX 100mcg
COMPR.
100mcg
L-THYROXIN 100 BERLIN - CHEMIE COMPR.
100mcg
EUTHYROX 200mcg
COMPR.
200mcg
EUTHYROX 25mcg
COMPR.
25mcg
EUTHYROX 50mcg
COMPR.
50mcg
L-THYROXIN 50
COMPR.
50mcg
JODTHYROX (R) 100/130,8 COMPR.
FARA CONCENTRATIE
CARBIMAZOLE 5
COMPR. FILM. 5mg
THYROZOL 10 mg
COMPR. FILM. 10mg
THYROZOL 20mg
COMPR. FILM. 20mg
THYROZOL 5 mg
COMPR. FILM. 5mg
JODID 100
COMPR.
100mcg
JODID 100
COMPR.
100mcg
JODID 200
COMPR.
200mcg
JODID 200
COMPR.
200mcg
FORSTEO 20g/80g
SOL. INJ.
20g/80l
TONOCALCIN 100 UI
SOL. INJ.
100UI
NYLEX (R)
SOL. INJ.
100UI/ml
MIACALCIC (R)
SOL. INJ.
50ui/ml
NYLEX 100 UI/doza
SPRAY NAZ.,SOL. 100UI/doza
NYLEX (R)
SPRAY NAZAL - SOL. 200UI/doza
ACID ALENDRONIC ACCORD 10 mg COMPR.
10mg
TEVANAT 70 mg
COMPR.
70 mg
RANOS 70 mg
COMPR.
70mg
ACID ALENDRONIC BLUEFISH 70 mg COMPR.
70mg
ACID ALENDRONIC BLUEFISH 70 mg COMPR.
70mg
INSTREL 70 mg
COMPR.
70mg
FOSAMAX 70 mg
COMPR.
70mg
ACID ALENDRONIC ACCORD 70 mg COMPR.
70mg
ADRONIK 70 mg
COMPR. FILM. 70mg
ADRONIK 70 mg
COMPR. FILM. 70mg
ADRONIK 70 mg
COMPR. FILM. 70mg
ADRONIK 70 mg
COMPR. FILM. 70mg

TEVA PHARMACEUTICALS S.R.L.


TEVA PHARMACEUTICALS S.R.L.

LEO PHARMA A/S


LEO PHARMA A/S

ROMANIA CUTIE X 1 FLAC. DIN PPID X 50 CAPS. MOI


ROMANIA CUTIE X 1 FLAC. X 30 CAPS. MOI

P-RF

DANEMARCA CUTIE CU 10 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ.

S
S

DANEMARCA CUTIE CU 10 FIOLE DIN STICLA BRUNA X 0,5 ML SOL. INJ.

P-RF

ROCHE ROMANIA S.R.L. ROMANIA

CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 CAPS. MOI P-RF

LAB. THERAMEX

MONACO

CUTIE X 1 FLACON PE, INCHIS CU POMPA DOZATOARE X 50 G

P-6L

LABORATOIRES BESINS INTERNATIONAL

FRANTA

CUTIE CU 1 TUB AL X 80 G GEL + DISPOZITIV DE DOZARE DIN POLISTIREN

P-6L

BAYER SCHERING PHARMA AG

GERMANIA CUTIE X 4 PLICURI X 1 PLASTURE TRANSDERM.

P-6L

ORGANON NV

OLANDA CUTIE X 1 BLIST. X 28 COMPR.

P-RF

GERMANIA CUTIE X 28 COMPR. FILM. (BLIST. ACLAR) P-RF


GENZYME EUROPE BV OLANDA CUTIE X 2 FLACOANE
S
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 5 BLIST. A-PVC/PVC X 10 COMPR. P-RF

DAIICHI SANKYO EUROPE GMBH

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 2 BLIST. AL-PVC/PVC X 10 COMPR. P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 1 FLAC. DIN STICLA X 30 COMPR.

ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 2 ML


STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 7,8 ML
STADA HEMOFARM S.R.L.

P-RF
S/P-RF
S/P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

MERCK KGAA

GERMANIA

BERLIN CHEMIE AG MENARINI GROUP

GERMANIA CUTIE X 4 BLIST. PVC-PVDC/AL X 25 COMPR. P-6L

MERCK KGAA
MERCK KGAA
MERCK KGAA

GERMANIA

CUTIE X 4 BLIST. AL/PP X 25 COMPR.


CUTIE X 4 BLIST. PP/AL X 25 COMPR.
CUTIE X 4 BLIST. PP/AL X 25 COMPR.

P-6L

BERLIN CHEMIE AG MENARINI GROUP

GERMANIA CUTIE X 4 BLIST. PVC-PVDC/AL X 25 COMPR.

P-6L/S

MERCK KGAA
REMEDICA LTD.
MERCK KGAA
MERCK KGAA
MERCK KGAA
MERCK KGAA
MERCK KGAA
MERCK KGAA
MERCK KGAA

GERMANIA

CUTIE X 2 BLIST. PP/AL X 25 COMPR.

P-6L

CIPRU

CUTIE X 10 BLIST. AL/PVC X 10 COMPR. FILM.

P-6L

ELI LILLY NEDERLAND BV

OLANDA CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT X 2,4 ML (28 DOZE X 20 G/80L)
ITALIA
CUTIE X 5 FIOLE X 1 ML SOL. INJ.
GRECIA CUTIE X 5 FIOLE X 1ML
GERMANIA CUTIE X 5 FIOLE X 1 ML
GRECIA CUTIE X 1 FLACON PREVAZUT CU POMPA DOZATOARE X 2 ML SPRAY NAZAL, SOL.
GRECIA

GERMANIA
GERMANIA

CUTIE X 1 FLAC. BICOMPARTIMENTAT (COMPARTIMENT INFERIOR) LIOF. PT. SOL. INJ. + (COMPARTIMENT SUPERIO

CUTIE X 4 BLIST. PP/AL X 25 COMPR.

P-RF

P-6L

P-6L
P-6L

GERMANIA CUTIE CU BLIST. PVC/AL X 50 COMPR. FILM. P-6L


GERMANIA CUTIE CU BLIST. PVC/AL X 50 COMPR. FILM. P-6L
GERMANIA CUTIE CU BLIST. PVC/AL X 100 COMPR. FILM.

P-6L/S

GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 COMPR. P-RF


GERMANIA

CUTIE X 4 BLIST. AL/PP X 25 COMPR.

P-RF

GERMANIA CUTIE X 4 BLIST. PVC/AL X 25 COMPR. P-RF


GERMANIA

ALFA WASSERMANN SPA

PROEL E.P. CORONIS SA


NOVARTIS PHARMA GMBH
PHARMACEUTICAL IND. PROEL EPAM. G.CORONIS SA

PROEL E.P. CORONIS SA

CUTIE X 4 BLIST. PP/AL X 25 COMPR.

CUTIE X 1 FLACON DIN STICLA PREVAZUT CU POMPA DOZATOARE CU APLICATOR NAZAL X 2 ML

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

CUTIE CU BLIST. PVC/AL X 28 COMPR. P-6L


ROMANIA CUTIE X 1 BLIST. PVC-AL-OPA/AL X 4 COMPR. P-6L
ROMANIA CUTIE X 1 BLIST. DIN PAO-PVC-AL/AL X 4 COMPR. P-6L

ACCORD HEALTHCARE LIMITED MAREA BRITANIE


TEVA PHARMACEUTICALS S.R.L.

TERAPIA SA
BLUEFISH PHARMACEUTICALS AB
BLUEFISH PHARMACEUTICALS AB

SUEDIA
SUEDIA

CUTIE CU BLIST. AL/AL X 4 COMPR.


CUTIE CU BLIST. AL/AL X 2 COMPR.

P-6L
P-6L

ROMANIA CUTIE CU BLIST. AL/AL X 4 COMPR. FILM. P-RF


MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. AL/AL IN PORTOFEL X 2 COMPR. P-6L

DR. REDDY'S LABORATORIES

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

CUTIE CU BLIST. OPA -AL-PVC/AL X 4 COMPR. P-6L

ARENA GROUP S.A. ROMANIA


ARENA GROUP S.A. ROMANIA
ARENA GROUP S.A. ROMANIA

CUTIE X 1 BLIST. PVC-PVDC/AL X 4 COMPR. FILM.

P-6L

CUTIE X 1 BLIST. PVC-PVDC/AL X 2 COMPR. FILM.

P-6L

CUTIE X 1 BLIST. PVC-PVDC/AL X 12 COMPR. FILM.

P-6L

ROMANIA

CUTIE X 1 BLIST. PVC-PVDC/AL X 12 COMPR. FILM.

P-6L

LABORATOARELE PROF.DR.MORAIT S.R.L.

Pagina 121 din 205

Grupa
Nr.
terape
crt
utica
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82

Denumire generica

M05BA08

ACIDUM ALENDRONICUM**
ACIDUM ALENDRONICUM**
ACIDUM ALENDRONICUM**
ACIDUM IBANDRONICUM**
ACIDUM IBANDRONICUM**
ACIDUM IBANDRONICUM**
ACIDUM IBANDRONICUM**
ACIDUM IBANDRONICUM**
ACIDUM IBANDRONICUM**
ACIDUM IBANDRONICUM**
ACIDUM IBANDRONICUM**
ACIDUM IBANDRONICUM**
ACIDUM IBANDRONICUM**
ACIDUM RISEDRONICUM**
ACIDUM RISEDRONICUM**
ACIDUM RISEDRONICUM**
ACIDUM RISEDRONICUM**
ACIDUM RISEDRONICUM**
ACIDUM RISEDRONICUM**
ACIDUM RISEDRONICUM**
ACIDUM RISEDRONICUM**
ACIDUM RISEDRONICUM**
ACIDUM RISEDRONICUM**
ACIDUM RISEDRONICUM**
ACIDUM ZOLEDRONICUM**
ACIDUM ZOLEDRONICUM**

M05BB03

COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)**

M05BB03

COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)**

M05BB03

COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)**

M05BB03

COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)**

M05BX03

STRONTIUM RANELATUM
STRONTIUM RANELATUM

M05BA04
M05BA04
M05BA04
M05BA06
M05BA06
M05BA06
M05BA06
M05BA06
M05BA06
M05BA06
M05BA06
M05BA06
M05BA06
M05BA07
M05BA07
M05BA07
M05BA07
M05BA07
M05BA07
M05BA07
M05BA07
M05BA07
M05BA07
M05BA07
M05BA08

M05BX03

Denumire comerciala

Forma
Concentrati
farmaceutic
e / U.T.
a

ALENDRONAT SANDOZ 70 mg COMPR. FILM. 70mg

ADRONIK 70 mg
ADRONIK 70 mg

COMPR. FILM.
COMPR. FILM.
ACID IBANDRONIC TEVA 150 mg COMPR. FILM.
BONVIVA 150mg
COMPR. FILM.
OSSICA 150 mg
COMPR. FILM.
ACID IBANDRONIC SANDOZ 50 mg COMPR. FILM.
IASIBON 50 mg
COMPR. FILM.
BONDRONAT 50mg
COMPR. FILM.

IASIBON 6mg/6ml
BONDRONAT 6mg/6ml
OSAGRAND 3 mg/3 ml
BONVIVA 3mg/3ml
PEXALIT 35 mg
OSTEORON 35 mg
JUVERITAL 35 mg

CONC. PT. SOL. PERF.


CONC. PT. SOL. PERF.

SOL. INJ.
SOL. INJ. IN SERINGA PREUMPLUTA

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
ACTONEL SAPTAMANAL 35 mg COMPR. FILM.
LORINE 35mg
COMPR. FILM.
OSODENS 35 mg
COMPR. FILM.
RISEDRONAT TEVA 35 mg COMPR. FILM.
RISENDROS 35 mg
COMPR. FILM.
JUVERITAL 35 mg
COMPR. FILM.
JUVERITAL 5 mg
COMPR. FILM.
ACTONEL 75 mg
COMPR. FILM.

ZOMETA 4 mg
ACLASTA 5mg/100ml
FOSAVANCE 70mg/2800UI
FOSAVANCE 70mg/2800UI
FOSAVANCE 70mg/5600UI
FOSAVANCE 70mg/5600UI
OSSEOR 2 g
OSSEOR 2 g

PULB. + SOLV. SOL. PERF.

SOL. PERF.
COMPR.
COMPR.
COMPR.
COMPR.
GRAN. PT. SUSP. ORALA
GRAN. PT. SUSP. ORALA

70mg
70mg
150 mg
150mg
150mg
50 mg
50mg
50mg
6mg/6ml
6mg/6ml
3mg/3ml
1mg/1ml
35mg
35mg
35mg
35mg
35mg
35mg
35mg
35mg
35mg
5mg
75mg
4mg
5mg/100ml

Tara

Ambalaj

ROMANIA
ROMANIA
ROMANIA

CUTIE X 1 BLIST. OPA-AL-PVC/AL X 2 COMPR. FILM

P-6L

CUTIE X 1 BLIST. PVC-PVDC/AL X 4 COMPR. FILM.

P-6L

Firma

SANDOZ S.R.L.
LABORATOARELE PROF.DR.MORAIT S.R.L.
LABORATOARELE PROF.DR.MORAIT S.R.L.

TEVA PHARMA B.V. OLANDA


ROCHE REGISTRATION LTD.

MAREA BRITANIE

Prescriptie

CUTIE X 1 BLIST. PVC-PVDC/AL X 2 COMPR. FILM.

P-6L

CUTIE CU BLIST. DIN PVC/ACLAR/PVC-AL X 1 COMPRIMAT FILMAT

P-RF

CUTIE X 1 COMPR. FILM.( BLIST. AL/AL)

P-6L

GEDEON RICHTER PLC. UNGARIA


SANDOZ PHARMACEUTICALS GMBH GERMANIA

CUTIE CU BLIST. DIN PA/AL/PVC/AL CU 28 COMPRIMATE FILMATE

PHARMATHEN S.A. GRECIA

CUTIE CU BLIST. PA/ALL/PVC/ALU X 28 COMPR. FILM

ROCHE REGISTRATION LTD.

CUTIE X BLIST. AL/PVC X 28 COMPR. FILM.

CUTIE CU 1 BLIST. PVC-PE-PVDC/AL X 1 COMPR. FILM. P-6L

PHARMATHEN S.A. GRECIA

CUTIE CU 1 FLAC. DIN STICLA X 6ML CONC. PT. SOL. PERF.

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 1 FLACON X 6 ML CONC. PT. SOL. PERF.

ZENTIVA K.S.

REPUBLICA SLOVACA

CUTIE CU 1 FIOLA DIN STICLA INCOLORA X 3 ML SOL. INJ.

PR
PR
S
PR
S
PR

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 1 SERINGA PREUMPLUTA DIN STICLA X 3 ML SOL. INJ. + 1 AC

P-6L

DR. REDDY'S LABORATORIES

ROMANIA CUTIE CU BLIST. PVC/HT-AL X 4 COMPR. FILM. P6L

ACTAVIS GROUP PTC EHF.

ISLANDA

MAREA BRITANIE

CUTIE X 1 BLIST. PVC- PVDC/AL X 4 COMPR. FILM. P-6L

LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 4 COMPR. FILM. P-6L

ANTIBIOTICE S.A.
TERAPIA SA

ROMANIA CUTIE CU 1 BLIST. PVC/AL X 4 COMPR. FILM. P-6L


ROMANIA CUTIE X 1BLIST. PVC- PVDC/AL X 4 COMPR. FILM. P-6L
ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 4 COMPR. FILM. P-6L

TEVA PHARMACEUTICAL S.R.L.

MAREA BRITANIE

CUTIE X BLIST. PVC-PVDC/AL X 4 COMPR. FILM.

ZENTIVA A.S.

CEHIA
OLANDA

CUTIE X 1 BLIST. OPA-AL-PVC/AL X 4 COMPR. FILM. P-6L

SANOFI - AVENTIS ROMANIA S.R.L.

OZONE LABORATORIES BV

CUTIE X BLISTER PVC-PE-PVDC/AL X 4 COMPRIMATE FILMATE

P-6L
P-6L

LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-6L
SANOFI - AVENTIS ROMANIA S.R.L.

ROMANIA CUTIE CU 1 BLIST. PVC/AL X 2 COMPR. FILM. P-6L

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 1 FLAC. 4MG PULB. PT. SOL. PERF. + 1 FIOLA X 5 ML SOLV.

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 1 FLAC. X 100 ML + 1 CAPAC AL/PP CU COMPONENTA FLIP.

S
S

70mg/2800UI
70mg/2800UI
70mg/5600UI
70mg/5600UI

MERCK SHARP & DOHME

MAREA BRITANIE

CUTIE X 2 COMPR. (1 PLIANT CU BLIST. AL/AL X 2 COMPR.)

P-6L

MERCK SHARP & DOHME

MAREA BRITANIE

CUTIE X 4 COMPR. (1 PLIANT CU BLIST. AL/AL X 4 COMPR.)

P-6L

MERCK SHARP & DOHME

MAREA BRITANIE

CUTIE X 4 COMPR. (1 PLIANT CU BLIST. AL/AL X 4 COMPR.)

P-6L

MERCK SHARP & DOHME

MAREA BRITANIE

CUTIE X 2 COMPR. (1 PLIANT CU BLIST. AL/AL X 2 COMPR.)

P-6L

2g
2g

LES LAB. SERVIER


LES LAB. SERVIER

FRANTA
FRANTA

CUTIE X 14 PLICURI HARTI-PE-AL/PE GRAN. PT. SUSP. ORALA

P-RF

CUTIE X 28 PLICURI HARTI-PE-AL/PE GRAN. PT. SUSP. ORALA

P-RF

ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE X 1 BLIST. HARTIE/AL, PVDC/PVC X 10 COMPR. FILM.

P-RF

CUTIE X 1 BLIST. HARTIE/AL, PVDC/PVC X 10 COMPR. FILM.

P-RF

CUTIE X 1 BLIST. AL/PVC X 5 FIOLE X 4 ML SOL. INJ.

S/P-RF

CUTIE 1 BLIST. AL/PVC X 5 FIOLE X 2 ML SOL. INJ.

S/P-RF

MAREA BRITANIE

CUTIE X 5 FIOLE STICLA + INEL RUPERE X 4ML SOL. INJ. / PERF. S/P-RF

MAREA BRITANIE

CUTIE X 5 FIOLE STICLA + INEL RUPERE X 2ML SOL. INJ/ PERF.

cant/
amba
laj

2
4
2
1
1
1
28
28
28
1
1
1
1
4
4
4
4
4
4
4
4
4
28
2
1
1
2
4
4
2
14
28

Pret cu
ridicata
maximal /
ambalaj

9.37
36.24
18.11
65.03
104.69
56.52
513.87
630.03
953.12
589.74
891.14
229.29
350.70
27.58
56.71
56.71
87.23
27.58
56.71
56.71
42.83
56.71
56.71
74.22
1,085.91
1,383.63
35.74
70.22
70.22
35.74
81.86
141.34

Pret cu ridicata
maximal / U.T.

4.685000
9.060000
9.055000
65.030000
104.690000
56.520000
18.352500
22.501071
34.040000
589.740000
891.140000
229.290000
350.700000
6.895000
14.177500
14.177500
21.807500
6.895000
14.177500
14.177500
10.707500
14.177500
2.025357
37.110000
1,085.910000
1,383.630000
17.870000
17.555000
17.555000
17.870000
5.847142
5.047857

Pret cu ridicata
maximal de
decontare / U.T.

4.685000
5.421000
5.421000
65.030000
67.824000
56.520000
18.352500
22.023000
22.023000
589.740000
707.688000
229.290000
275.148000
6.895000
8.274000
8.274000
8.274000
6.895000
8.274000
8.274000
8.274000
8.274000
2.025357
37.110000
1,085.910000
1,383.630000
17.870000
17.555000
17.555000
17.870000
5.847142
5.047857

Pret cu
amanuntul
maximal /
ambalaj

12.67
47.40
24.48
82.22
127.80
71.46
598.27
724.88
1,077.05
680.97
1,009.49
279.92
420.41
36.07
71.70
71.70
110.30
36.07
71.70
71.70
56.02
71.70
71.70
93.85
1,221.79
1,546.31
46.75
88.79
88.79
46.75
103.50
172.55

Pret cu
amanuntul
maximal / U.T.

6.335000
11.850000
12.240000
82.220000
127.800000
71.460000
21.366785
25.888571
38.466071
680.970000
1,009.490000
279.920000
420.410000
9.017500
17.925000
17.925000
27.575000
9.017500
17.925000
17.925000
14.005000
17.925000
2.560714
46.925000
1,221.790000
1,546.310000
23.375000
22.197500
22.197500
23.375000
7.392857
6.162500

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


P9.1: TRANSPLANT MEDULAR
1 A04AA01 ONDANSETRONUM**
2 A04AA01 ONDANSETRONUM**
3 A04AA01 ONDANSETRONUM**
4 A04AA01 ONDANSETRONUM**
5 A04AA01 ONDANSETRONUM**
6 A04AA01 ONDANSETRONUM**
7 A05AA02 ACIDUM URSODEOXYCHOLICUM
8 A05AA02 ACIDUM URSODEOXYCHOLICUM
9 A05AA02 ACIDUM URSODEOXYCHOLICUM
10 A05AA02 ACIDUM URSODEOXYCHOLICUM
11 A05AA02 ACIDUM URSODEOXYCHOLICUM
12 B01AB08 REVIPARINUM
13 B01AB08 REVIPARINUM
14 B02AA02 ACIDUM TRANEXAMICUM4
15 B02BD08 EPTACOG ALFA ACTIVATUM**
16 B02BD08 EPTACOG ALFA ACTIVATUM**
17 B02BD08 EPTACOG ALFA ACTIVATUM**
18 B03XA01 EPOETINUM ALFA
19 B03XA01 EPOETINUM ALFA
20 B03XA01 EPOETINUM ALFA
21 B03XA01 EPOETINUM ALFA
22 B03XA01 EPOETINUM ALFA
23 B03XA01 EPOETINUM ALFA
24 B03XA01 EPOETINUM ALFA

OSETRON 4 mg
OSETRON 8 mg
OSETRON 8 mg SOLUTIE INJECTABILA

OSETRON 4 mg SOLUTIE INJECTABILA

EMESET 8 mg/4 ml
EMESET 4 mg/2 ml
URSOFALK (R)
URSOFALK (R)
URSOSAN
URSOCHOL 150 mg
URSOCHOL 300 mg
CLIVARIN (R) 1432UI/0,25 ml
CLIVARIN (R) 3436 UI/0,6 ml
EXACYL
NOVOSEVEN 2mg (100 KUI)
NOVOSEVEN 5mg (250 KUI)
NOVOSEVEN 1mg (50 KUI)
EPREX (R) 3000 UI
EPREX (R) 40 000 UI
BINOCRIT 10000UI/1,0ml
BINOCRIT 1000UI/0,5ml
BINOCRIT 2000UI/1,0ml
BINOCRIT 30000UI/0,75ml
BINOCRIT 3000UI/0,3ml

COMPR. FILM. 4mg


COMPR. FILM. 8mg

DR. REDDY'S LABORATORIES

SOL. INJ.
SOL. INJ.

DR. REDDY'S LABORATORIES

SOL. INJ./PERF.
SOL. INJ./PERF.

CAPS.
CAPS.
CAPS.
COMPR.
COMPR.
SOL. INJ.
SOL. INJ.
SOL. INJ.
PULB. + SOLV. PT. SOL. INJ.
PULB. + SOLV. PT. SOL. INJ.
PULB. + SOLV. PT. SOL. INJ.

SOL. INJ.
SOL. INJ.
SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

2mg/ml
2mg/ml
2mg/ml
2mg/ml
250mg
250mg
250mg
150mg
300mg

DR. REDDY'S LABORATORIES

DR. REDDY'S LABORATORIES

CIPLA (UK) LIMITED


CIPLA (UK) LIMITED

CUTIE X 2 BLIST. AL/PVC X 25 CAPS.


DR. FALK PHARMA GMBH GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 CAPS.
PRO. MED. CS PRAHA AS CEHIA
CUTIE X 5 BLIST. AL/PVC X 10 CAPS.
DR. FALK PHARMA GMBH GERMANIA

ZAMBON S.P.A.
ZAMBON S.P.A.

ITALIA
ITALIA

S/P-RF

P-6L
P-6L/S

P-6L

CUTIE X 6 BLIST. AL/PVC X 10 COMPR. P-6L


CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L

1432ui/0,25ml ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. X 5 SERINGI PREUMPLUTE UNIDOZA X 0,25ML S/P-RF
3436ui/0,6ml ABBOTT GMBH&CO.KG GERMANIA CUTIE X 1 BLIST X 5 SERINGI PREUMPLUTE UNIDOZA X 0,60 ML S/P-RF
500mg/5ml CN UNIFARM
ROMANIA CUTIE X 5 FIOLE X 5ML SOL. INJ.
X

100 KIU
NOVO NORDISK A/S DANEMARCA CUTIE X 1 FLAC. PULB. PT. SOL. INJ. + 1 FLAC. SOLV. PT. RECONSTITUIRE
250 KIU
NOVO NORDISK A/S DANEMARCA CUTIE X 1 FLAC. PULB. PT. SOL. INJ. + 1 FLAC. SOLV. PT. RECONSTITUIRE
50 KIU
NOVO NORDISK A/S DANEMARCA CUTIE X 1 FLAC. PULB. PT. SOL. INJ. + 1 FLAC. SOLV. PT. RECONSTITUIRE
3000ui/0,3ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,3 ML
40 000UI
JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 1 FLACON DIN STICLA X 1 ML
10000UI/1,0ml SANDOZ GMBH
AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ.
1000UI/0,5ml SANDOZ GMBH
AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ.
2000UI/1,0ml SANDOZ GMBH
AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ.
30000UI/0,75ml SANDOZ GMBH
AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,75ML SOL. INJ.
3000UI/0,3ml SANDOZ GMBH
AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ.

Pagina 122 din 205

P-RF/R
P-RF/R
P-RF/R
S/P-RF
S/P-RF
S/P-RF/R

S/P-RF/R

S/P-RF/R

P-RF/R
S/P-RF/R

10
13.92
1.392000
1.392000
18.81
1.881000
10
24.36
2.436000
2.436000
32.93
3.293000
5
33.06
6.612000
6.612000
43.24
8.648000
5
17.39
3.478000
3.478000
23.51
4.702000
5
33.05
6.610000
6.610000
43.23
8.646000
5
17.39
3.478000
3.478000
23.51
4.702000
50
56.87
1.137400
1.137400
71.91
1.438200
100
97.14
0.971400
0.971400
122.82
1.228200
50
53.75
1.075000
1.075000
67.96
1.359200
60
40.94
0.682333
0.682333
53.55
0.892500
20
27.11
1.355500
1.355500
35.46
1.773000
10
66.02
6.602000
6.602000
83.47
8.347000
5
79.26
15.852000
15.852000
100.22
20.044000
5
9.36
1.872000
1.872000
12.65
2.530000
1 5,431.43 5,431.430000 5,431.430000 5,958.41 5,958.410000
1 13,793.54 13,793.540000 13,793.540000 15,073.11 15,073.110000
1 2,730.72 2,730.720000 2,730.720000 3,014.63 3,014.630000
6
653.92
108.986666
102.628000
750.92
125.153333
1 1,192.91 1,192.910000 1,040.844000 1,338.42 1,338.420000
6 1,532.97
255.495000
255.495000 1,709.09
284.848333
6
176.81
29.468333
29.468333
215.85
35.975000
6
351.85
58.641666
58.641666
421.67
70.278333
1
680.43
680.430000
680.430000
779.82
779.820000
6
513.14
85.523333
85.523333
597.47
99.578333

Grupa
Nr.
terape
crt
utica
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84

B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01

Denumire generica

EPOETINUM ALFA
EPOETINUM ALFA
EPOETINUM ALFA
EPOETINUM ALFA
EPOETINUM BETA
EPOETINUM BETA
EPOETINUM BETA
EPOETINUM BETA
EPOETINUM BETA
EPOETINUM BETA
EPOETINUM BETA

Denumire comerciala

EPREX 40000 UI/ml


BINOCRIT 40000 UI/1 ml
BINOCRIT 4000UI/0,4ml
BINOCRIT 5000UI/0,5ml
NEORECORMON 10000UI/0,6ml
NEORECORMON 1000UI/0,3ml
NEORECORMON 2000UI/0,3ml
NEORECORMON 30000UI/0,6ml
NEORECORMON 4000UI/0,3ml
NEORECORMON 5000UI/0,3ml

NEORECORMON 500UI/0,3ml

Forma
Concentrati
farmaceutic
e / U.T.
a

CUTIE CU 1 SERINGA PREUMPLUTA X 1 ML SOL. INJ.

S/P-RF

CUTIE X 1 SERINGA PREUMPLUTA X 1ML SOL. INJ.

P-RF/R

CUTIE X 6 SERINGI PREUMPLUTE X 0,4ML SOL. INJ.

S/P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ.

S/P-RF/R

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

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE

S/P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

1000UI/0,3ml
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

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

MAREA BRITANIE

CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE

S/P-RF/R

MAREA BRITANIE

CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE

S/P-RF/R

MAREA BRITANIE

CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ. + 6 ACE

S/P-RF/R

MAREA BRITANIE

CUTIE X 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.

S/P-RF

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

PULB. PT. SOL. INJ./PERF.

4000UI/0,3ml ROCHE REGISTRATION LTD.


5000UI/0,3ml ROCHE REGISTRATION LTD.
500UI/0,3ml ROCHE REGISTRATION LTD.
3,2g
BEECHAM GROUP PLC

LIOF. PT. SOL. INJ.

FARA CONCENTRATIE

LIOF. PT. SOL. INJ.

FARA CONCENTRATIE WYETH LEDERLE PHARMA GMBH

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

PIPERACILINA/TAZOBACTAN ACTAVIS 2 g/0,25 g

PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

BACTACIN 2 g/0,25 g

PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILINA/TAZOBACTAM MYLAN 2g/0,25 g

PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM


J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM

TEBRANIC 4 g/0,5 g
PIPERACILLINUM + TAZOBACTAMUM ZOPECILIN 4 g/0,5 g
PIPERACILLINUM + TAZOBACTAMUM ZOPECILIN 4 g/0,5 g

PULB. PT. SOL. INJ./PERF.


PULB. PT. SOL. INJ./PERF.
PULB. PT. SOL. INJ./PERF.
PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PULB. PT. SOL. INJ./PERF.

J01CR05

PULB. PT. SOL. INJ./PERF.

J01CR05

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILINA/TAZOBACTAN ACTAVIS 4 g/0,5 g

J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g

PULB. PT. SOL. INJ./PERF.


PULB. PT. SOL. INJ./PERF.
PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PERASIN 4g/0,5 g
BACTACIN 4 g/0,5 g

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g

PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g

PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g

PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

J01DH02
J01DH02
J01DH02
J01DH02
J01DH02
J01DH02
J01DH02
J01DH02
J01DH02
J01DH02
J01DH02
J01DH02
J01DH51
J01DH51
J01DH51
J01DH51
J01DH51
J01DH51
J01DH51
J01DH51

J01XA01
J01XA01
J01XA01

MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
VANCOMYCINUM
VANCOMYCINUM
VANCOMYCINUM

MERONEM IV 1 g
MERONEM IV 500 mg
LODITER 1000 mg
MEROPENEM HOSPIRA 1 g
MEROPENEM KABI 1 g
MEROPENEM KABI 1 g
MEROPENEM HOSPIRA 1 g
LODITER 500 mg
MEROPENEM HOSPIRA 500 mg

MEROPENEM KABI 500 mg


MEROPENEM KABI 500 mg
MEROPENEM HOSPIRA 500 mg

CILOPEN 500mg/500mg
CILOPEN 500mg/500mg
CILOPEN 500mg/500mg
CILOPEN 500mg/500mg

PULB. PT. SOL. INJ./PERF.


PULB. PT. SOL. INJ./PERF.

PULB. PT. SOL. INJ. I.V./PERF.


PULB. PT. SOL. INJ. I.V./PERF.

PULB. PT. SOL. INJ./PERF.


PULB. PT. SOL. INJ./PERF.
PULB. PT. SOL. INJ./PERF.
PULB. PT. SOL. INJ./PERF.
PULB. PT. SOL. INJ./PERF.
PULB. PT. SOL. INJ./PERF.
PULB. PT. SOL. INJ./PERF.
PULB. PT. SOL. INJ./PERF.
PULB. PT. SOL. INJ./PERF.
PULB. PT. SOL. INJ./PERF.

PULB. PT. SOL. INJ.


PULB. PT. SOL. INJ.
PULB. PT. SOL. INJ.
PULB. PT. SOL. INJ.

IMIPENEM/CILASTATIN KABI 500mg/500mg PULB. PT. SOL. PERF.

TIENAM I.V.
TIENAM I.V.
IMIPENEM/CILASTATIN HOSPIRA 500 mg/500 mg

VANCOMYCIN TEVA
VANCOMYCIN TEVA

JOHNSON & JOHNSON D.O.O.

Prescriptie

AUSTRIA
AUSTRIA
AUSTRIA

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

Ambalaj

SLOVENIA

SOL. INJ. IN SERINGA PREUMPLUTA

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

Tara

40000 UI/1 ml SANDOZ GMBH


4000UI/0,4ml SANDOZ GMBH
5000UI/0,5ml SANDOZ GMBH

SOL. INJ. IN SERINGA PREUMPLUTA

TIMENTIN 3,2 g
TAZOCIN 4,5
TAZOCIN 2,25
ZOPECILIN 2 g/0,25 g
ZOPECILIN 2 g/0,25 g
PERASIN 2g/0,25 g
TEBRANIC 2g/0,25 g

J01CR03 TICARCILLINUM + ACIDUM CLAVULANICUM

40 000UI/ml

Firma

PULB. PT. SOL. PERF.


PULB. PT. SOL. PERF.
PULB. PT. SOL. PERF.

LIOF. PT. SOL. PERF.


LIOF. PT. SOL. PERF.

VANCOMICINA PHARMASWISS 1000 mg PULB. PT. SOL. PERF.

2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
1g
500mg
1000mg
1g
1g
1g
1g
500mg
500mg
500mg
500mg
500mg
500mg/500mg
500mg/500mg
500mg/500mg
500mg/500mg
500mg/500mg
500mg/500mg
500mg/500mg
500mg/500mg

1g
500mg
1000mg

PFIZER EUROPE MA EEIG

CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ.


AUSTRIA CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ.

MAREA BRITANIE

ROMANIA
ROMASTRU TRADING SRL ROMANIA
ANTIBIOTICE S.A.
ROMANIA
ROMASTRU TRADING SRL

ASTRA ZENECA AB SUEDIA


ISLANDA
TERAPIA SA
ROMANIA
MYLAN S.A.S.
FRANTA

ACTAVIS GROUP PTC EHF.

S.C. FRESENIUS KABI S.R.L.


S.C. FRESENIUS KABI S.R.L.
S.C. FRESENIUS KABI S.R.L.
S.C. FRESENIUS KABI S.R.L.
S.C. FRESENIUS KABI S.R.L.
S.C. FRESENIUS KABI S.R.L.

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

ASTRA ZENECA AB SUEDIA


ROMANIA
ROMASTRU TRADING SRL ROMANIA
ROMASTRU TRADING SRL

ACTAVIS GROUP PTC EHF.

MYLAN S.A.S.
ANTIBIOTICE S.A.
TERAPIA SA

ISLANDA
FRANTA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.


CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF.

S/P-RF

CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF.

S/P-RF

CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 22 ML PULB. PT. SOL. PERF.

S/P-RF

CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 22 ML PULB. PT. SOL. PERF.

S/P-RF

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.


CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CU PULB. PT. SOL. INJ./PERF.


CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.


CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.


CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. INJ./PERF.

S.C. FRESENIUS KABI S.R.L.


ASTRAZENECA UK LIMITED

MAREA BRITANIE

CUTIE CU 10 FLAC. DIN STICLA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ. I.V./PERF.

ASTRAZENECA UK LIMITED

MAREA BRITANIE

CUTIE CU 10 FLAC. DIN STICLA CU CAPACITATEA DE 20 ML PULB. PT. SOL. INJ. I.V./PERF.

TERAPIA S.A.

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 40 ML CONTINAND PULB. PT. SOL. INJ./PERF.

HOSPIRA UK LIMITED

MAREA BRITANIE

S.C. FRESENIUS KABI S.R.L.

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 50 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE X 1 FLAC DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.

FRESENIUS KABI ROMANIA SRL

ROMANIA
ROMANIA

HOSPIRA UK LIMITED

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.

TERAPIA S.A.

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CONTINAND PULB. PT. SOL. INJ./PERF.

HOSPIRA UK LIMITED

MAREA BRITANIE

FRESENIUS KABI ROMANIA SRL

FRESENIUS KABI ROMANIA SRL

ROMANIA
ROMANIA

HOSPIRA UK LIMITED

MAREA BRITANIE

FRESENIUS KABI ROMANIA SRL

TERAPIA SA
TERAPIA SA
TERAPIA SA
TERAPIA SA

ROMANIA
ROMANIA
ROMANIA
ROMANIA
FRESENIUS KABI ROMANIA SRL ROMANIA
MERCK SHARP & DOHME ROMANIA
MERCK SHARP & DOHME ROMANIA
HOSPIRA UK LIMITED MAREA BRITANIE
TEVA PHARM. WORKS PRIVATE LTD. COMPANY
UNGARIA
TEVA PHARM. WORKS PRIVATE LTD. COMPANY
UNGARIA
PHARMASWISS CESKA REPUBLIKA S.R.O.

REPUBLICA CEHA

S/P-RF

S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
PR
PR
S
S
PR
PR
PR
S
S
PR

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

S.C. FRESENIUS KABI S.R.L.

S/P-RF

CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.


CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE X 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF.

S/P-RF

TAVA DIN PLASTIC X 25 FLAC. DIN STICLA INCOLORA CU PULB.PT. SOL. PERF.

S/P-RF

TAVA DIN PLASTIC X 10 FLAC. DIN STICLA INCOLORA CU PULB.PT. SOL. PERF.

S/P-RF

CUTIE CU 5 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. PERF.

PR

CUTIE X 1 FLAC. DIN STICLA CU LIOF. PT. SOL. PERF.

S/P-RF

CUTIE X 1 FLAC. DIN STICLA CU LIOF. PT. SOL. PERF.

S/P-RF

CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF.

PR

Pagina 123 din 205

cant/
amba
laj

1
1
6
6
6
6
6
1
6
6
6
10
12
12
12
1
1
12
12
1
1
10
5
1
10
5
1
12
12
1
12
1
1
1
5
1
10
10
10
1
10
10
1
1
1
10
10
1
1
10
5
10
5
10
25
10
5
1
1
10

Pret cu
ridicata
maximal /
ambalaj

1,192.91
867.37
674.39
835.59
2,093.33
226.59
442.92
1,030.67
855.25
1,061.28
116.51
210.12
685.12
396.78
262.29
22.65
22.65
232.62
262.17
22.65
22.65
382.38
193.81
40.18
193.81
98.66
20.09
455.79
455.75
40.44
455.75
40.46
40.44
40.44
195.13
40.44
384.80
1,018.93
533.62
71.99
534.86
672.80
71.99
56.55
37.32
300.03
357.36
37.32
31.10
289.09
144.54
289.09
144.54
293.49
1,056.45
440.58
144.54
48.00
23.99
451.00

Pret cu ridicata
maximal / U.T.

1,192.910000
867.370000
112.398333
139.265000
348.888333
37.765000
73.820000
1,030.670000
142.541666
176.880000
19.418333
21.012000
57.093333
33.065000
21.857500
22.650000
22.650000
19.385000
21.847500
22.650000
22.650000
38.238000
38.762000
40.180000
19.381000
19.732000
20.090000
37.982500
37.979166
40.440000
37.979166
40.460000
40.440000
40.440000
39.026000
40.440000
38.480000
101.893000
53.362000
71.990000
53.486000
67.280000
71.990000
56.550000
37.320000
30.003000
35.736000
37.320000
31.100000
28.909000
28.908000
28.909000
28.908000
29.349000
42.258000
44.058000
28.908000
48.000000
23.990000
45.100000

Pret cu ridicata
maximal de
decontare / U.T.

1,040.844000
867.370000
112.398333
139.265000
348.888333
37.765000
73.820000
1,030.670000
142.541666
176.880000
19.418333
21.012000
45.574999
23.257200
21.857500
22.650000
22.650000
19.385000
21.847500
22.650000
22.650000
23.257200
23.257200
23.257200
19.381000
19.732000
20.090000
37.982500
37.979166
40.440000
37.979166
40.460000
40.440000
40.440000
39.026000
40.440000
38.480000
64.183200
36.003600
64.183200
53.486000
64.183200
64.183200
56.550000
36.003600
30.003000
35.736000
36.003600
31.100000
28.909000
28.908000
28.909000
28.908000
29.349000
34.689600
34.689600
28.908000
48.000000
23.990000
45.100000

Pret cu
amanuntul
maximal /
ambalaj

1,338.42
983.58
773.24
948.94
2,319.88
276.62
520.93
1,161.58
970.37
1,194.95
142.24
256.52
784.93
470.64
320.21
30.62
30.62
283.98
320.06
30.62
30.62
454.94
236.60
52.55
236.60
124.75
27.15
534.96
534.92
52.90
534.92
52.92
52.90
52.90
238.21
52.90
457.58
1,148.78
619.80
91.03
621.15
771.50
91.03
71.50
48.82
365.18
427.67
48.82
40.68
352.92
176.45
352.92
176.45
358.29
1,189.68
518.38
176.45
62.78
32.43
529.74

Pret cu
amanuntul
maximal / U.T.

1,338.420000
983.580000
128.873333
158.156666
386.646666
46.103333
86.821666
1,161.580000
161.728333
199.158333
23.706666
25.652000
65.410833
39.220000
26.684166
30.620000
30.620000
23.665000
26.671666
30.620000
30.620000
45.494000
47.320000
52.550000
23.660000
24.950000
27.150000
44.580000
44.576666
52.900000
44.576666
52.920000
52.900000
52.900000
47.642000
52.900000
45.758000
114.878000
61.980000
91.030000
62.115000
77.150000
91.030000
71.500000
48.820000
36.518000
42.767000
48.820000
40.680000
35.292000
35.290000
35.292000
35.290000
35.829000
47.587200
51.838000
35.290000
62.780000
32.430000
52.974000

Grupa
Nr.
terape
crt
utica
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144

J01XA01
J01XA01
J01XA01
J01XA02
J01XX08
J01XX08
J01XX08
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01

Denumire generica

VANCOMYCINUM
VANCOMYCINUM
VANCOMYCINUM
TEICOPLANINUM
LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM

Denumire comerciala

Forma
Concentrati
farmaceutic
e / U.T.
a

VANCOMICINA PHARMASWISS 500 mg PULB. PT. SOL. PERF.

VANCOMICINA ACTAVIS 1000mg

EDICIN
TARGOCID (R) 400 mg
ZYVOXID (R)
ZYVOXID (R)
ZYVOXID (R)
FLUCORIC 100 mg
FLUCOVIM 100
DIFLAZON 100 mg
FUNGOLON 100 mg
FLUCONAZOLE TEVA 100 mg
FLUCONAZOLE TEVA 100 mg
FLUCONAZOL ROMPHARM 150 mg

FLUCONAZOL LPH 150 mg


FLUCONAZOL ARENA 150 MG
FLUCONAZOL MEDOCHEMIE 150 mg
FLUCONAZOL BIOGALENICA 150 mg

FLUCONAZOL OZONE 150 mg

MYCOSYST 150 mg
MYCOSYST 150 mg
FLUCORIC 150 mg
DIFLUCAN 150 mg
FLUCOVIM 150
DIFLAZON 150 mg
FLUCONAZOL ACTAVIS 150 mg
FLUCONAZOL SANDOZ (R) 150

FLUCONAZOL 150 mg
FLUCONAZOL MEDICO UNO 150 mg

MYCOMAX 150
FLUCONAZOLE TEVA 150 mg

FLUCONAZOL 150 mg
FLUCONAZOLE TEVA 200 mg

FLUCONAZOL LPH 50 mg
FLUCOVIM 50
FLUCONAZOL ARENA 50 MG
FLUCONAZOL OZONE 50 mg
FLUCONAZOL SANDOZ (R) 50

FLUCORIC 50 mg
DIFLUCAN 50 mg
DIFLAZON 50 mg
FLUCONAZOL 50 mg
FUNGOLON 50 mg
FLUCONAZOL BIOGALENICA 50 mg
FLUCONAZOL MEDOCHEMIE 50 mg

FLUCONAZOLE TEVA 50 mg
FLUCONAZOL 50 mg
DIFLUCAN (R) 50 mg/5 ml

PULB. PT.CONC. PT.SOL. PERF.

PULB.LIOF.PT.SOL.PERF./INJ

LIOF. + SOLV. PT. SOL. INJ.

COMPR. FILM.
GRAN. PT. SUSP. ORALA

SOL. PERF.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
PULB. PT. SUSP. ORALA

FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF.

FLUCONAZOL KABI 2 mg/ml


FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL BIOGALENICA 2mg/ml

FLUCONAZOL B. BRAUN 2mg/ml


FLUCONAZOL B. BRAUN 2mg/ml
FLUCONAZOL B. BRAUN 2mg/ml
FLUCONAZOL B. BRAUN 2mg/ml

FLUCONAZOL KABI 2 mg/ml


FLUCONAZOL KABI 2 mg/ml

SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.

500mg
1000mg
1g
400mg
600mg
100mg/5ml
2mg/ml
100mg
100mg
100mg
100mg
100mg
100mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
200mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg/5ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml

Tara

Firma

Ambalaj

Prescriptie

PHARMASWISS CESKA REPUBLIKA S.R.O.

REPUBLICA CEHA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF.

PR

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CONTINAND 1000 MG VANCOMICINA

P-PR

LEK PHARMACEUTICALS D.D.

SLOVENIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. LIOF. PT. SOL. PERF./INJ.

S/P-RF

AVENTIS PHARMA LTD.

MAREA BRITANIE

CUTIE X 1 FLAC. LIOF. + O FIOLA SOLV.

P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 1 FLAC. X 10 COMPR. FILM.

P-RF

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

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 10 PUNGI X 300 ML

TERAPIA SA

ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.


VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS.

P-RF

KRKA D.D.

SLOVENIA CUTIE X 4 BLIST. X 7 CAPS.


BULGARIA CUTIE X 2 BLIST. PVC/AL X 8 CAPS.
ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.
ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 2 CAPS.

P-RF

CUTIE CU 1 BLIST. PVC/AL X 1 CAPS.


CUTIE CU 1 BLIST. PVC/AL X 1 CAPS.
CUTIE X 1 BLIST. AL/PVC X 1 CAPS.
CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

PRF

BALKANPHARMA RAZGRAD AD
TEVA PHARMACEUTICALS S.R.L.
TEVA PHARMACEUTICALS S.R.L.

ROMANIA
LABORMED PHARMA S.A. ROMANIA
ARENA GROUP SA ROMANIA
MEDOCHEMIE ROMANIA SRL ROMANIA
LABORATOARELE PROF.DR.MORAIT S.R.L.
ROMANIA
OZONE LABORATORIES PHARMA S.A.
ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
TERAPIA SA
ROMANIA
ROMPHARM COMPANY S.R.L.

P-RF

P-RF
P-RF
P-RF

PRF
P-RF
P-RF

CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.


CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.

P-RF

CUTIE X 4 BLIST. AL/PVC X 1 CAPS.


CUTIE X 2 BLIST. AL/PVC X 1 CAPS.

P-RF

CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS.

P-RF

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.


VIM SPECTRUM SRL ROMANIA CUTIE X 1 FLAC. X 1 CAPS.
KRKA D.D.
SLOVENIA CUTIE X 1 BLIST. X 1 CAPS.
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 BLIST. PVC-PVDC/AL X 1 CAPS.
SANDOZ SRL
GERMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P-RF

P-RF

MEDICO UNO PHARMACEUTICAL SRL

ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.


ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA

ZENTIVA K.S.

CEHIA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P-RF

CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.

P-RF

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P-RF

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

P-RF

PFIZER EUROPE MA EEIG

OZONE LABORATORIES PHARMA S.A.

MAREA BRITANIE

ROMANIA
SLAVIA PHARM SRL ROMANIA
TEVA PHARMACEUTICALS S.R.L. ROMANIA
LABORMED PHARMA S.A. ROMANIA
VIM SPECTRUM SRL ROMANIA
ARENA GROUP SA ROMANIA
OZONE LABORATORIES PHARMA S.A.
ROMANIA
SANDOZ SRL
ROMANIA
TERAPIA SA
ROMANIA
TEVA PHARMACEUTICALS S.R.L.

PFIZER EUROPE MA EEIG

KRKA D.D.
ANTIBIOTICE S.A.
BALKANPHARMA RAZGRAD AD

P-RF

PRF
P-RF

P-RF

PRF
P-RF

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

P-RF

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P-RF

CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS.

P-RF

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.


SLOVENIA CUTIE X 1 BLIST. X 7 CAPS.
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS.
BULGARIA CUTIE X 1 BLIST. PVC/AL X 8 CAPS.

P-RF

MAREA BRITANIE

MAREA BRITANIE

P-RF
P-RF
P-RF
P-RF

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P-RF

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

P-RF

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P-RF

CUTIE X 1 FLAC. PEID PULB. PT. 35 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 5 ML

P-RF

ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF.


FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF.
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 25 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF.
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF.
ARENA GROUP S.A. ROMANIA CUTIE X 1 FLAC. X 100 ML SOL. PERF.
FRESENIUS KABI ROMANIA SRL

B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. PEJD X 200 ML SOL. PERF.


B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FLAC. PEJD X 100 ML SOL. PERF.
B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. PEJD X 100 ML SOL. PERF.
B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FLAC. PEJD X 50 ML SOL. PERF.

ROMANIA
ROMANIA

P-RF

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. PEJD X 50 ML SOL. PERF.

FRESENIUS KABI ROMANIA SRL

P-RF

CUTIE X 1 BLIST. X 7 CAPS.


CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

ROMANIA
MEDOCHEMIE ROMANIA SRL ROMANIA
TEVA PHARMACEUTICALS S.R.L. ROMANIA
SLAVIA PHARM SRL ROMANIA

FRESENIUS KABI ROMANIA SRL

P-RF

CUTIE CU 1 BLIST. PVC/AL X 7 CAPS.

LABORATOARELE PROF.DR.MORAIT S.R.L.

PFIZER EUROPE MA EEIG

P-RF

CUTIE CU 20 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.


CUTIE CU 10 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.

Pagina 124 din 205

S
S
S
S
S
S
S
S
S
S
S
S

cant/
amba
laj

10
1
1
1
10
1
10
7
4
28
16
7
2
1
1
1
1
1
1
4
2
1
1
1
1
1
1
1
1
1
1
1
7
7
7
7
7
7
7
7
7
10
8
7
7
7
7
1
10
10
1
25
20
1
10
20
10
20
20
10

Pret cu
ridicata
maximal /
ambalaj

231.55
47.88
56.22
116.78
1,584.80
869.39
1,584.80
32.76
18.72
191.37
64.60
23.04
6.90
9.46
7.27
6.60
5.99
4.82
7.27
47.68
23.84
13.79
18.34
7.27
16.46
7.35
10.66
7.27
6.60
9.15
4.82
7.08
29.74
16.50
16.50
13.98
16.50
31.68
21.65
42.71
46.63
18.66
13.92
11.53
11.81
12.20
14.32
42.71
180.75
753.13
80.99
772.93
624.35
40.15
761.97
787.39
449.60
358.65
356.89
179.79

Pret cu ridicata
maximal / U.T.

23.155000
47.880000
56.220000
116.780000
158.480000
869.390000
158.480000
4.680000
4.680000
6.834642
4.037500
3.291428
3.450000
9.460000
7.270000
6.600000
5.990000
4.820000
7.270000
11.920000
11.920000
13.790000
18.340000
7.270000
16.460000
7.350000
10.660000
7.270000
6.600000
9.150000
4.820000
7.080000
4.248571
2.357142
2.357142
1.997142
2.357142
4.525714
3.092857
6.101428
6.661428
1.866000
1.740000
1.647142
1.687142
1.742857
2.045714
42.710000
18.075000
75.313000
80.990000
30.917200
31.217500
40.150000
76.197000
39.369500
44.960000
17.932500
17.844500
17.979000

Pret cu ridicata
maximal de
decontare / U.T.

23.155000
47.880000
54.120000
116.780000
158.480000
869.390000
158.480000
3.949714
3.949714
3.949714
3.949714
3.291428
3.450000
5.784000
5.784000
5.784000
5.784000
4.820000
5.784000
5.784000
5.784000
5.784000
5.784000
5.784000
5.784000
5.784000
5.784000
5.784000
5.784000
5.784000
4.820000
5.784000
4.248571
1.976570
1.976570
1.976570
1.976570
1.976570
1.976570
1.976570
1.976570
1.866000
1.740000
1.647142
1.687142
1.742857
1.976570
42.710000
18.075000
75.313000
80.990000
30.917200
31.217500
37.100640
76.197000
37.100640
37.100640
17.932500
17.844500
17.979000

Pret cu
amanuntul
maximal /
ambalaj

282.68
62.63
71.09
142.56
1,765.58
985.79
1,765.58
42.85
25.30
233.63
81.68
31.14
9.32
12.79
9.82
8.92
8.10
6.52
9.82
62.36
32.22
18.64
24.79
9.82
22.25
9.94
14.41
9.82
8.92
12.37
6.52
9.57
38.90
22.30
22.30
18.89
22.30
41.44
29.26
55.87
60.99
25.22
18.81
15.58
15.96
16.49
19.35
55.87
220.66
859.06
102.40
880.65
718.69
52.52
868.70
896.41
528.22
429.08
427.16
219.49

Pret cu
amanuntul
maximal / U.T.

28.268000
62.630000
71.090000
142.560000
176.558000
985.790000
176.558000
6.121428
6.325000
8.343928
5.105000
4.448571
4.660000
12.790000
9.820000
8.920000
8.100000
6.520000
9.820000
15.590000
16.110000
18.640000
24.790000
9.820000
22.250000
9.940000
14.410000
9.820000
8.920000
12.370000
6.520000
9.570000
5.557142
3.185714
3.185714
2.698571
3.185714
5.920000
4.180000
7.981428
8.712857
2.522000
2.351250
2.225714
2.280000
2.355714
2.764285
55.870000
22.066000
85.906000
102.400000
35.226000
35.934500
52.520000
86.870000
44.820500
52.822000
21.454000
21.358000
21.949000

Grupa
Nr.
terape
crt
utica
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204

Denumire generica

J05AB14

FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
POSACONAZOLUM**
CASPOFUNGINUM**
CASPOFUNGINUM**
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
VALACYCLOVIRUM
VALGANCICLOVIRUM**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

L01AA01

CYCLOPHOSPHAMIDUM
CYCLOPHOSPHAMIDUM
MELPHALANUM

J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC03
J02AC03
J02AC03
J02AC03
J02AC04

J02AX04
J02AX04
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB11

L01AA01
L01AA03

Denumire comerciala

FLUCONAZOL KABI 2 mg/ml


FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL KABI 2 mg/ml
DIFLUCAN (R)
DIFLUCAN (R)
MYCOMAX INF 2mg/ml
MYCOMAX INF 2mg/ml
MYCOMAX INF 2mg/ml
DIFLAZON 2mg/ml
VFEND 200mg
VFEND 50mg
VFEND 200mg
VFEND 40 mg/ml
NOXAFIL SP 40mg/ml
CANCIDAS 50 mg
CANCIDAS 70 mg
ACICLOVIR ARENA 200 mg
ACICLOVIR 200 mg
ACICLOVIR ARENA 200 mg
ACICLOVIR ARENA 400 mg
CLOVIRAL 200 mg

Forma
Concentrati
farmaceutic
e / U.T.
a
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
COMPR. FILM.
COMPR. FILM.
PULB. PT. SOL. PERF.
PULB. PT. SUSP. ORALA

SUSP. ORALA
PULB. PT. CONC. PT. SOL. PERF.
PULB. PT. CONC. PT. SOL. PERF.

CAPS.
CAPS.
CAPS.
CAPS.
COMPR.
ACICLOVIR TERAPIA 200 mg COMPR.
ACICLOVIR 200 mg
COMPR.
ACICLOVIR 200 mg
COMPR.
ACICLOVIR 200 mg
COMPR.
ACICLOVIR 400 mg
COMPR.
VIROLEX
PULB. PT. SOL. INJ./PERF.
VALTREX 500 mg
COMPR. FILM.
VALCYTE (R) 450 mg
COMPR. FILM.
HUMAGLOBIN
PULB.+SOLV. PT. SOL. PERF.
HUMAGLOBIN
PULB.+SOLV. PT. SOL. PERF.
OCTAGAM 10%
SOL. PERF.
OCTAGAM 10%
SOL. PERF.
OCTAGAM 10%
SOL. PERF.
OCTAGAM 10%
SOL. PERF.
PRIVIGEN 100mg/ml
SOL. PERF.
KIOVIG 100mg/ml
SOL. PERF.
KIOVIG 100mg/ml
SOL. PERF.
KIOVIG 100mg/ml
SOL. PERF.
KIOVIG 100mg/ml
SOL. PERF.
KIOVIG 100mg/ml
SOL. PERF.
KIOVIG 100mg/ml
SOL. PERF.
PRIVIGEN 100mg/ml
SOL. PERF.
PRIVIGEN 100mg/ml
SOL. PERF.
PRIVIGEN 100mg/ml
SOL. PERF.
IG VENA 10g/200ml
SOL. PERF.
IG VENA 1g/20ml
SOL. PERF.
IG VENA 2,5g/50ml
SOL. PERF.
FLEBOGAMMA 5%
SOL. PERF.
FLEBOGAMMA 5%
SOL. PERF.
FLEBOGAMMA 5%
SOL. PERF.
FLEBOGAMMA 5%
SOL. PERF.
OCTAGAM
SOL. PERF.
OCTAGAM
SOL. PERF.
OCTAGAM
SOL. PERF.
IG VENA 5g/100ml
SOL. PERF.
ENDOXAN (R) 50 mg
DRAJ.
ENDOXAN 200 mg
PULB. PT. SOL. PERF./INJ. I.V.
ALKERAN 2 mg
COMPR. FILM.

2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
200mg
50mg
200mg
40mg/ml
40mg/ml
50mg
70mg
200mg
200mg
200mg
400mg
200mg
200mg
200mg
200mg
200mg
400mg
250mg
500mg
450mg
5%
5%
100 mg/ml
100 mg/ml
100 mg/ml
100 mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
10g/200ml
1g/20ml
2,5g/50ml
5%
5%
5%
5%
50mg/ml
50mg/ml
50mg/ml
5g/100ml
50mg
200mg
2mg

Firma

Tara

Ambalaj

FRESENIUS KABI ROMANIA SRL

CUTIE CU 1 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.

FRESENIUS KABI ROMANIA SRL

ROMANIA
ROMANIA
ROMANIA
ROMANIA

PFIZER EUROPE MA EEIG

MAREA BRITANIE

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 1 FLACON X 50 ML
CUTIE X 1 FLACON X 200 ML

REPUBLICA CEHA

CUTIE CU 1 FLACON DIN STICLA INCOLORA A 100 ML SOL. PERF. X 200 MG FLUCONAZOL

REPUBLICA CEHA

CUTIE CU 1 FLACON DIN STICLA INCOLORA A 200 ML SOL. PERF. X 400 MG FLUCONAZOL

REPUBLICA CEHA

CUTIE CU 1 FLACON DIN STICLA INCOLORA A 50 ML SOL. PERF. X 100 MG FLUCONAZOL

FRESENIUS KABI ROMANIA SRL


FRESENIUS KABI ROMANIA SRL

ZENTIVA K.S.
ZENTIVA K.S.
ZENTIVA K.S.

P-RF

CUTIE X 100 BLIST. AL/PVC X 10 CAPS.

P-RF/S

1,000

CUTIE X 1 BLIST. AL/PVC X 10 CAPS.

P-RF

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-RF

CUTIE CU 1 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF.


CUTIE CU 25 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.

S
S
S
S
S/P-RF
S/P-RF

S
S
S
S/PR-F

P-RF

MAREA BRITANIE

CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL)


CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL)

MAREA BRITANIE

CUTIE X 1 FLAC. UNIDOZA X 30ML

P-RF

MAREA BRITANIE

P-RF

MAREA BRITANIE

CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA

P-RF

BELGIA

CUTIE X 1 FLAC. X 105ML SUSP. ORALA

P-RF/R

MERCK SHARP & DOHME

MAREA BRITANIE

CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF.

MERCK SHARP & DOHME

MAREA BRITANIE

CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF.

ARENA GROUP SA
SLAVIA PHARM SRL
ARENA GROUP SA
ARENA GROUP S.A.
ANTIBIOTICE SA
TERAPIA SA

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
EGIS PHARMACEUTICALS P.L.C. UNGARIA
GEDEON RICHTER ROMANIA SA ROMANIA
LAROPHARM S.R.L. ROMANIA
EGIS PHARMACEUTICALS P.L.C. UNGARIA

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.


CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

CUTIE X 2 BLIST. AL./PVC X 10 COMPR.

CUTIE X 2 BLIST. X 10 COMPR.

HUMAN BIOPLAZMA MANUFACTURING AND TRADING LTD.

OCTAPHARMA (IP) LIMITED

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL. PERF.

OCTAPHARMA (IP) LIMITED

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF.

OCTAPHARMA (IP) LIMITED

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL. PERF.

OCTAPHARMA (IP) LIMITED

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 20 ML SOL. PERF.

KEDRION SPA
KEDRION SPA
KEDRION SPA
INSTITUTO GRIFOLS S.A.
INSTITUTO GRIFOLS S.A.
INSTITUTO GRIFOLS S.A.
INSTITUTO GRIFOLS S.A.

OCTAPHARMA (IP) LTD.


OCTAPHARMA (IP) LTD.
OCTAPHARMA (IP) LTD.

KEDRION SPA

ITALIA
ITALIA
ITALIA
SPANIA
SPANIA
SPANIA
SPANIA

CUTIE X 1 CUTIE X 1 FLAC. CU PULB. + 1 CUTIE X 1 FLAC. SOLV. X 100 ML

CUTIE X 1 CUTIE X 1 FLAC. CU PULB. + 1 CUTIE X 1 FLAC. SOLV. X 50 ML

CUTIE X 1 FLAC.X 25 ML SOL. PERF.


CUTIE X 1 FLAC X 100ML SOL. PERF.(10G/100ML)

CUTIE X 1 FLAC X 50ML SOL. PERF.(5G/50ML)


CUTIE X 1 FLAC X 300ML SOL. PERF.(30G/300ML)
CUTIE X 1 FLAC X 200ML SOL. PERF.(20G/200ML)

CUTIE X 1 FLAC X 10ML SOL. PERF.(1G/10ML)


CUTIE X 1 FLAC X 25ML SOL. PERF.(2,5G/25ML)

CUTIE X 1 FLAC.X 200 ML SOL. PERF.


CUTIE X 1 FLAC.X 100 ML SOL. PERF.
CUTIE X 1 FLAC.X 50 ML SOL. PERF.
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL. PERF. + 1 SET ADMINISTRARE

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 20 ML SOL. PERF. + 1 SET ADMINISTRARE


CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL. PERF. + 1 SET ADMINISTRARE

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL.PERF.


CUTIE X 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL.PERF.
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL.PERF.

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10 ML SOL.PERF.

MAREA BRITANIE

CUTIE X 1 FLACON X 100 ML


CUTIE X 1 FLACON X 200 ML
CUTIE X 1 FLACON X 50 ML

ITALIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. + 1 SET ADMINISTRARE

MAREA BRITANIE
MAREA BRITANIE

P-RF

P-RF
P-RF

S/P-RF

CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF

UNGARIA
UNGARIA

CSL BEHRING GMBH GERMANIA


BAXTER AG
AUSTRIA
BAXTER AG
AUSTRIA
BAXTER AG
AUSTRIA
BAXTER AG
AUSTRIA
BAXTER AG
AUSTRIA
BAXTER AG
AUSTRIA
CSL BEHRING GMBH GERMANIA
CSL BEHRING GMBH GERMANIA
CSL BEHRING GMBH GERMANIA

P-RF

CUTIE X 2 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF

ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. X 60 COMPR. FILM.


HUMAN BIOPLAZMA MANUFACTURING AND TRADING LTD.

S
S

CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 5 FLAC. X 250 MG PULB. PT. SOL. INJ./PERF.
THE WELLCOME FOUNDATION LTD. MAREA BRITANIE

P-RF

S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S

BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ. P-RF

ACTAVIS S.R.L.

ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. PERF./INJ S

THE WELLCOME FOUNDATION LTD. MAREA BRITANIE

cant/
amba
laj

1
10
1
25
1
1
1
1
1
1
28
28
1
1
1
1
1
20
20

CUTIE CU 10 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF.

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML

PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
SP EUROPE

Prescriptie

CUTIE X 1 FLAC. DIN STICLA BRUNA X 25 COMPR. FILM.

Pagina 125 din 205

P-RF

10
20
20
20
20
20
10
5
10
60
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
50
1
25

Pret cu
ridicata
maximal /
ambalaj

18.63
326.90
33.88
438.62
30.62
131.62
42.16
135.83
30.18
34.63
3,517.81
901.74
453.05
2,178.01
2,669.12
1,188.63
1,542.18
15.66
14.80
696.23
14.23
12.02
12.54
10.09
12.60
9.51
14.06
229.07
78.65
4,806.36
872.00
451.00
6,114.44
3,072.10
1,550.55
663.61
460.47
1,749.51
889.76
7,459.41
3,469.04
188.56
459.88
3,473.78
1,751.89
890.95
2,050.80
222.29
535.20
472.05
1,798.20
914.10
99.02
1,166.70
2,261.30
640.45
1,040.40
19.10
11.62
6.81

Pret cu ridicata
maximal / U.T.

18.630000
32.690000
33.880000
17.544800
30.620000
131.620000
42.160000
135.830000
30.180000
34.630000
125.636071
32.205000
453.050000
2,178.010000
2,669.120000
1,188.630000
1,542.180000
0.783000
0.740000
0.696230
1.423000
0.601000
0.627000
0.504500
0.630000
0.475500
1.406000
45.814000
7.865000
80.106000
872.000000
451.000000
6,114.440000
3,072.100000
1,550.550000
663.610000
460.470000
1,749.510000
889.760000
7,459.410000
3,469.040000
188.560000
459.880000
3,473.780000
1,751.890000
890.950000
2,050.800000
222.290000
535.200000
472.050000
1,798.200000
914.100000
99.020000
1,166.700000
2,261.300000
640.450000
1,040.400000
0.382000
11.620000
0.272400

Pret cu ridicata
maximal de
decontare / U.T.

18.630000
32.690000
33.880000
17.544800
21.053760
90.375600
37.100640
90.375600
21.053760
34.630000
125.636071
32.205000
453.050000
2,178.010000
2,669.120000
1,188.630000
1,542.180000
0.570600
0.570600
0.570600
1.423000
0.570600
0.570600
0.504500
0.570600
0.475500
1.406000
45.814000
7.865000
80.106000
872.000000
451.000000
6,114.440000
3,072.100000
1,550.550000
663.610000
460.470000
1,749.510000
889.760000
7,459.410000
3,469.040000
188.560000
459.880000
3,473.780000
1,751.890000
890.950000
2,050.800000
222.290000
535.200000
472.050000
1,798.200000
914.100000
99.020000
1,166.700000
2,261.300000
640.450000
1,040.400000
0.382000
11.620000
0.272400

Pret cu
amanuntul
maximal /
ambalaj

25.18
394.47
44.32
516.25
40.05
160.68
55.14
165.82
39.48
45.29
3,872.57
1,021.05
531.97
2,412.18
2,947.50
1,333.76
1,719.13
21.17
20.00
797.04
19.24
16.24
16.95
13.64
17.03
12.85
19.00
279.65
99.45
5,277.09
988.63
529.74
6,702.89
3,386.74
1,728.25
761.48
540.07
1,945.12
1,007.99
8,168.91
3,819.40
230.20
539.42
3,824.57
1,947.71
1,009.28
2,273.52
271.37
621.52
552.68
1,998.19
1,034.52
125.20
1,309.85
2,502.97
736.24
1,172.19
25.82
15.70
9.21

Pret cu
amanuntul
maximal / U.T.

25.180000
39.447000
44.320000
20.650000
40.050000
160.680000
55.140000
165.820000
39.480000
45.290000
138.306071
36.466071
531.970000
2,412.180000
2,947.500000
1,333.760000
1,719.130000
1.058500
1.000000
0.797040
1.924000
0.812000
0.847500
0.682000
0.851500
0.642500
1.900000
55.930000
9.945000
87.951500
988.630000
529.740000
6,702.890000
3,386.740000
1,728.250000
761.480000
540.070000
1,945.120000
1,007.990000
8,168.910000
3,819.400000
230.200000
539.420000
3,824.570000
1,947.710000
1,009.280000
2,273.520000
271.370000
621.520000
552.680000
1,998.190000
1,034.520000
125.200000
1,309.850000
2,502.970000
736.240000
1,172.190000
0.516400
15.700000
0.368400

Grupa
Nr.
terape
crt
utica
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264

L01AA06
L01AB01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BB05
L01BB05
L01BB05
L01CB01
L01CB01
L01CB01
L01CB01
L01CB01
L01CB01
L01DB06
L01DB06
L01DB07
L01XA01
L01XA01
L01XA01
L01XA01
L01XA01
L01XA01
L01XA01
L01XA01
L01XA02
L01XA02
L01XA02
L01XA02
L01XA02
L01XA02
L01XA02
L01XA02
L01XC02
L01XC02
L01XC04
L01XC04
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06

Denumire generica

IFOSFAMIDUM
BUSULFANUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
FLUDARABINUM
FLUDARABINUM
FLUDARABINUM
ETOPOSIDUM
ETOPOSIDUM
ETOPOSIDUM
ETOPOSIDUM
ETOPOSIDUM
ETOPOSIDUM
IDARUBICINUM
IDARUBICINUM
MITOXANTRONUM**
CISPLATINUM
CISPLATINUM
CISPLATINUM
CISPLATINUM
CISPLATINUM
CISPLATINUM
CISPLATINUM
CISPLATINUM
CARBOPLATINUM
CARBOPLATINUM
CARBOPLATINUM
CARBOPLATINUM
CARBOPLATINUM
CARBOPLATINUM
CARBOPLATINUM
CARBOPLATINUM
RITUXIMABUM**
RITUXIMABUM**
ALEMTUZUMABUM**
ALEMTUZUMABUM**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**

Denumire comerciala

HOLOXAN 1 g
MYLERAN

Forma
Concentrati
farmaceutic
e / U.T.
a
PULB. PT. SOL. PERF.

1g

COMPR. FILM. 2mg

Ambalaj

BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. PERF.
THE WELLCOME FOUNDATION LTD. MAREA BRITANIE

CUTIE X 1 FLAC. DIN STICLA BRUNA X 25 COMPR. FILM.

CUTIE X 20 COMPR.
CUTIE X 1 FLACON X 50 ML

SOL. INJ. IN SERINGA PREUMPLUTA

FARMEXINM S.R.L. ROMANIA


AUSTRIA
EBEWE PHARMA GMBH NFG. KG AUSTRIA
EBEWE PHARMA GMBH NFG. KG AUSTRIA
EBEWE PHARMA GMBH NFG. KG AUSTRIA
EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA
EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA
EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA
EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA

SOL. INJ. IN SERINGA PREUMPLUTA

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

SOL. INJ. IN SERINGA PREUMPLUTA

METOTREXATE BELLON 2,5 mg COMPR.

2,5mg
100mg/ml
METHOTREXAT "EBEWE" 1000 mg CONC. PT. SOL. INJ./PERF. 100mg/ml
METHOTREXAT "EBEWE" 500 mg CONC. PT. SOL. INJ./PERF. 100mg/ml
METHOTREXAT "EBEWE" 5 mg SOL. INJ.
5mg/ml
METOTREXAT EBEWE 10 mg/ml
10mg/ml
METOTREXAT EBEWE 10 mg/ml
10mg/ml
METOTREXAT EBEWE 10 mg/ml
10mg/ml
METOTREXAT EBEWE 10 mg/ml
10mg/ml
METOJECT 50mg/ml
50mg/ml
METOJECT 50mg/ml
50mg/ml
METHOTREXAT "EBEWE" 50 mg SOL. INJ./PERF. 10mg/ml
FLUDARA ORAL 10 mg
COMPR. FILM. 10mg
FLUDARA
LIOF. PT. SOL. INJ./PERF. 50mg
FLUDARABINA ACTAVIS 25 mg/ml PULB. PT. SOL. INJ./PERF. 25mg/ml
VEPESID
CAPS. MOI 100mg
VEPESID
CAPS. MOI 50mg
ETOPOSID "EBEWE" 100 mg/5 ml CONC. PT. SOL. PERF. 100mg/5ml
SINTOPOZID 100 mg/5 ml
CONC. PT. SOL. PERF. 100mg/5ml
ETOPOSIDE - TEVA
CONC. PT. SOL. PERF. 20mg/ml
ETOPOSIDE - TEVA
CONC. PT. SOL. PERF. 20mg/ml
ZAVEDOS
CAPS.
10mg
ZAVEDOS 5 mg
LIOF. PT. SOL. INJ. 5mg
ONKOTRONE
CONC. PT. SOL. INJ. 2mg/ml
CISPLATIN "EBEWE" 10 mg/20 ml CONC. PT. SOL. PERF. 10mg/20ml
SINPLATIN 1 mg/1 ml
CONC. PT. SOL. PERF. 1mg/1ml
SINPLATIN 1 mg/1 ml
CONC. PT. SOL. PERF. 1mg/1ml
CISPLATINA ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml
CISPLATINA ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml
CISPLATINA ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml
CISPLATIN "EBEWE" 25 mg/50 ml CONC. PT. SOL. PERF. 25mg/50ml
CISPLATIN "EBEWE" 50 mg/100 ml CONC. PT. SOL. PERF. 50mg/100ml
CARBOPLATIN ACTAVIS 10mg/ml CONC. PT. SOL. PERF. 10mg/ml
CARBOPLATIN ACTAVIS 10mg/ml CONC. PT. SOL. PERF. 10mg/ml
CARBOPLATIN ACTAVIS 10mg/ml CONC. PT. SOL. PERF. 10mg/ml
CARBOPLATIN TEVA 10mg/ml CONC. PT. SOL. PERF. 10mg/ml
CARBOPLATIN "EBEWE" 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml
CARBOPLATIN "EBEWE" 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml
CARBOPLATIN TEVA 10mg/ml CONC. PT. SOL. PERF. 10mg/ml
CARBOPLATIN "EBEWE" 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml
MABTHERA 500 mg
CONC. PT. SOL. PERF. 10mg/ml
MABTHERA 100 mg
CONC. PT. SOL. PERF. 10mg/ml
MABCAMPATH 10 mg/ml
CONC. PT. SOL. PERF. 10mg/ml
MABCAMPATH 30 mg/ml
CONC. PT. SOL. PERF. 30mg/ml
NEUPOGEN (R)
SOL. INJ.
30MU/0,5ml
NEUPOGEN (R)
SOL. INJ.
48MU/0,5ml
ZARZIO 30MU/0,5ml
60MU/ml
ZARZIO 48MU/0,5ml
96MU/ml
NIVESTIM 12 MU/0,2ml
SOL. INJ./PERF. 120g/0,2ml
TEVAGRASTIM 30MUI/0,5ml SOL. INJ./PERF. 300mcg/0,5ml
NIVESTIM 30 MU/0,5 ml
SOL. INJ./PERF. 300g/0,5ml
TEVAGRASTIM 48MUI/0,8ml SOL. INJ./PERF. 480mcg/0,8ml
NIVESTIM 48 MU/0,5 ml
SOL. INJ./PERF. 480g/0,5ml
CELLCEPT 250mg
CAPS.
250mg
CELLCEPT 500mg
COMPR. FILM. 500mg
MYCOPHENOLATE MOFETIL MEDICO UNO 500 MG COMPR. FILM. 500mg
MYFORTIC 180 mg
COMPR. FILM. GASTROREZ. 180mg
MYFORTIC 360 mg
COMPR. FILM. GASTROREZ. 360mg
METHOTREXAT "EBEWE" 5000 mg

Tara

Firma

CONC. PT. SOL. INJ./PERF.

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. /PERF. IN SERINGA PREUMPLUTA

SOL. INJ. /PERF. IN SERINGA PREUMPLUTA

EBEWE PHARMA GMBH NFG. KG

Prescriptie

S
P-RF
P-RF/R

CUTIE X 5 FIOLE X 5 ML
CUTIE X 10 FIOLE X 1 ML

S
S
S
S

CUTIE X 1 TUB DIN MATERIAL PLASTIC X 1 FIOLA X 10 ML

CUTIE X 1 SERINGA PREUMPLUTA CU AC X 2 ML SOL INJ.

P-RF/R

CUTIE X 1 SERINGA PREUMPLUTA CU AC X 1,5 ML SOL INJ.

P-RF/R

CUTIE X 1 SERINGA PREUMPLUTA CU AC X 1 ML SOL INJ.

P-RF/R

CUTIE X 1 SERINGA PREUMPLUTA CU AC X 0,75 ML SOL INJ.

P-RF/R

GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,50ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL

P-RF

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,40ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL

P-RF

EBEWE PHARMA GMBH NFG. KG

AUSTRIA CUTIE X 1 FLACON X 5 ML

BAYER SCHERING PHARMA AG

GERMANIA

P-RF/S

BAYER SCHERING PHARMA AG

GERMANIA CUTIE X 5 FLAC. CU LIOF. PT. SOL. INJ./PERF.

ACTAVIS S.R.L.
BRISTOL MYERS SQUIBB KFT

ROMANIA
UNGARIA
UNGARIA

EBEWE PHARMA GMBH NFG. KG

AUSTRIA CUTIE X 1 FLACON X 5 ML

BRISTOL MYERS SQUIBB KFT

ACTAVIS S.R.L.

CUTIE X 1 FLAC. DIN PE X 4 BLIST. AL/AL X 5 COMPR. FILM.

CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 5ML) CU PULB. PT. SOL. INJ/PERF CONTINAND 50MG FLUDA

S
S

CUTIE X 1 BLIST. PVC/A0-PVC-PVDC X 10 CAPS.

P-RF

CUTIE X 2 BLIST. PVC/AL-PVC-PVDC X 10 CAPS.

P-RF

TEVA PHARMACEUTICALS S.R.L.

ROMANIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. S
ROMANIA CUTIE X 1 FLAC. X 10 ML CONC. PT. SOL. PERF. S
ROMANIA CUTIE X 1 FLAC. X 5 ML CONC. PT. SOL. PERF. S

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 1 FLAC. X 1 CAPS.

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU LIOF. PT. SOL. INJ.

TEVA PHARMACEUTICALS S.R.L.

BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 1 FLACON X 10 ML CONC. PT. SOL. INJ.
EBEWE PHARMA GMBH NFG. KG

AUSTRIA

CUTIE X 1 FLACON X 20 ML CONC. PT. SOL. PERF.

ACTAVIS S.R.L.
ACTAVIS S.R.L.

ROMANIA
ROMANIA

CUTIE X 1 FLAC. X 10 ML X 10 MG CONC. SOL. PERF.


CUTIE X 1 FLAC. X 50 ML X 50 MG CONC. SOL. PERF.

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

CUTIE CU 1 FLAC. DE 50 ML DIN STICLA BRUNA CU CONC. PT. SOL. PERF.

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

CUTIE CU 1 FLAC. DE 30 ML DIN STICLA BRUNA CU CONC. PT. SOL. PERF.

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

CUTIE CU 1 FLAC. DE 10 ML DIN STICLA BRUNA CU CONC. PT. SOL. PERF.

EBEWE PHARMA GMBH NFG. KG


EBEWE PHARMA GMBH NFG. KG

ACTAVIS S.R.L.
ACTAVIS S.R.L.
ACTAVIS S.R.L.
TEVA PHARMACEUTICALS S.R.L.

AUSTRIA
AUSTRIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE X 1 FLACON X 50 ML COND. PT. SOL. PERF.


CUTIE X 1 FLACON X 100 ML CONC. PT. SOL. PERF.
CUTIE X 1 FLACON DIN STICLA INCOLORA X 15 ML CONC. PT. SOL. PERF.

CUTIE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF.


CUTIE X 1 FLACON DIN STICLA INCOLORA X 45 ML CONC. PT. SOL. PERF.

CUTIE X 1 FLAC. DIN STICLA BRUNA X 45 ML CONC. PT. SOL. PERF.

EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRIA
AUSTRIA

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE X 1 FLAC. DIN STICLA BRUNA X 15 ML CONC. PT. SOL. PERF.

EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRIA

CUTIE X 1 FLACON DIN STICLA X 15 ML CONC. PT. SOL. PERF.

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 1 FLACON X 50 ML(500MG RITUXIMAB IN 50ML- 10MG/ML)

ROCHE REGISTRATION LTD.

MAREA BRITANIE

EBEWE PHARMA GES.M.B.H. NFG KG

GENZYME EUROPE BV OLANDA


GENZYME EUROPE BV OLANDA

CUTIE X 1 FLACON DIN STICLA X 5 ML CONC. PT. SOL. PERF.


CUTIE X 1 FLACON DIN STICLA X 45 ML CONC. PT. SOL. PERF.

CUTIE X 2 FLACOANE X 10 ML
CUTIE X 3 FIOLE X 3 ML CONCENTRAT INTR-O FIOLA DE 5ML
CUTIE X 3 FLACOANE X 1 ML CONCENTRAT INTR-UN FLACON DE 2ML

AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML


AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML

P-RF

S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S/P-RF
S/P-RF

SANDOZ GMBH
SANDOZ GMBH

AUSTRIA
AUSTRIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL

P-RF/R

CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL

P-RF/R

HOSPIRA UK LIMITED

MAREA BRITANIE

CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,2ML SOL. INJ. SAU PERF.

P-RF

TEVA GENERICS GMBH GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF.

S/P-RF/R

HOSPIRA UK LIMITED

CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF.

P-RF

TEVA GENERICS GMBH GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF.

S/P-RF/R

HOSPIRA UK LIMITED

MAREA BRITANIE

CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF.

P-RF

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 10 BLIST. X 10 CAPS.

P-RF/R

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 5 BLIST. X 10 COMPR. FILM.

P-RF/R

MEDICO UNO PHARMA KFT.

UNGARIA

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

P-RF/R

NOVARTIS PHARMA GMBH GERMANIA

CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ.

S/P-RF

NOVARTIS PHARMA GMBH GERMANIA

CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ.

S/P-RF

MAREA BRITANIE

Pagina 126 din 205

cant/
amba
laj

1
25
20
1
1
5
10
1
1
1
1
1
1
1
20
5
1
10
20
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
2
3
3
1
1
1
1
5
1
5
1
5
100
50
50
120
120

Pret cu
ridicata
maximal /
ambalaj

91.57
11.47
16.70
329.08
70.08
195.15
17.42
99.16
86.05
61.49
45.06
100.54
85.61
9.74
1,660.81
2,387.59
336.49
307.71
304.95
38.59
32.45
60.36
31.59
200.93
141.67
549.31
9.06
7.66
24.12
24.12
18.95
7.66
21.80
31.20
49.42
17.83
131.47
131.25
21.60
175.97
46.89
61.78
5,444.73
2,195.82
4,865.80
4,866.20
263.92
431.80
160.19
257.85
413.89
211.64
989.71
352.07
1,637.21
447.90
447.90
289.44
551.46
1,030.04

Pret cu ridicata
maximal / U.T.

91.570000
0.458800
0.835000
329.080000
70.080000
39.030000
1.742000
99.160000
86.050000
61.490000
45.060000
100.540000
85.610000
9.740000
83.040500
477.518000
336.490000
30.771000
15.247500
38.590000
32.450000
60.360000
31.590000
200.930000
141.670000
549.310000
9.060000
7.660000
24.120000
24.120000
18.950000
7.660000
21.800000
31.200000
49.420000
17.830000
131.470000
131.250000
21.600000
175.970000
46.890000
61.780000
5,444.730000
1,097.910000
1,621.933333
1,622.066666
263.920000
431.800000
160.190000
257.850000
82.778000
211.640000
197.942000
352.070000
327.442000
4.479000
8.958000
5.788800
4.595500
8.583666

Pret cu ridicata
maximal de
decontare / U.T.

91.570000
0.458800
0.835000
329.080000
70.080000
39.030000
1.742000
99.160000
86.050000
61.490000
45.060000
100.540000
85.610000
9.740000
83.040500
403.788000
336.490000
30.771000
15.247500
37.908000
32.450000
60.360000
31.590000
200.930000
141.670000
549.310000
9.060000
7.660000
24.120000
24.120000
18.950000
7.660000
21.800000
28.944000
49.420000
17.830000
131.470000
131.250000
21.396000
157.500000
46.890000
56.268000
5,444.730000
1,097.910000
1,621.933333
1,622.066666
192.228000
309.420000
160.190000
257.850000
82.778000
192.228000
192.228000
309.420000
309.420000
3.458400
5.388240
5.388240
4.595500
8.583666

Pret cu
amanuntul
maximal /
ambalaj

115.78
15.50
22.57
396.85
88.61
238.24
23.54
125.38
108.80
77.75
58.94
122.74
108.25
13.17
1,848.44
2,640.63
404.92
373.55
370.55
50.47
42.44
76.32
41.32
245.30
172.95
636.90
12.25
10.35
32.60
32.60
25.61
10.35
29.46
40.81
64.64
24.10
160.50
160.23
29.20
214.83
61.33
78.11
5,972.91
2,431.60
5,341.88
5,342.31
322.20
508.81
195.56
314.78
489.29
258.37
1,116.94
421.91
1,822.71
526.36
526.36
353.35
639.24
1,160.90

Pret cu
amanuntul
maximal / U.T.

115.780000
0.620000
1.128500
396.850000
88.610000
47.648000
2.354000
125.380000
108.800000
77.750000
58.940000
122.740000
108.250000
13.170000
92.422000
528.126000
404.920000
37.355000
18.527500
50.470000
42.440000
76.320000
41.320000
245.300000
172.950000
636.900000
12.250000
10.350000
32.600000
32.600000
25.610000
10.350000
29.460000
40.810000
64.640000
24.100000
160.500000
160.230000
29.200000
214.830000
61.330000
78.110000
5,972.910000
1,215.800000
1,780.626666
1,780.770000
322.200000
508.810000
195.560000
314.780000
97.858000
258.370000
223.388000
421.910000
364.542000
5.263600
10.527200
7.067000
5.327000
9.674166

Grupa
Nr.
terape
crt
utica
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324

L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA10
L04AB01
L04AB01
L04AB01
L04AB01
L04AB01
L04AB01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02

Denumire generica

Denumire comerciala

MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL DR. REDDY'S 250 mg


MYCOPHENOLATUM MOFETILUM** MYFENAX 250mg
MYCOPHENOLATUM MOFETILUM** MYCOPHENOLATE MOFETIL ACCORD 250 mg
MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL SANDOZ 500 mg
MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL TERAPIA 500 mg
MYCOPHENOLATUM MOFETILUM** ARZIP 500 mg
MYCOPHENOLATUM MOFETILUM** MYCOFENOLAT MOFETIL ACTAVIS 500 mg
MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL DR. REDDY'S 500 mg
MYCOPHENOLATUM MOFETILUM** MYFENAX 500mg

SIROLIMUS**
ETANERCEPTUM**
ETANERCEPTUM**
ETANERCEPTUM**
ETANERCEPTUM**
ETANERCEPTUM**
ETANERCEPTUM**
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM

RAPAMUNE 1mg
ENBREL 50 mg
ENBREL DE UZ PEDIATRIC
ENBREL 25mg
ENBREL 25mg
ENBREL 50mg
ENBREL 50mg
EQUORAL (R) 100 mg
SANDIMMUN NEORAL (R)
EQUORAL (R) 25 mg
CICLORAL 25 mg
SANDIMMUN NEORAL (R)
EQUORAL (R) 50 mg
CICLORAL 50 mg
EQUORAL (R)
TACNI 0,5 mg
TACROLIMUSUM ACCORD 0,5 mg

TACROLIMUS SANDOZ 0,5 mg

PROGRAF (R) 0,5 mg


TACNI 1 mg
TACROLIMUS SANDOZ 1 mg
TACROLIMUSUM ACCORD 1 mg

PROGRAF (R) 1 mg
TACNI 5 mg
PROGRAF (R) 5 mg
ADVAGRAF 0,5mg
ADVAGRAF 1mg
ADVAGRAF 5mg
PROGRAF (R) 5 mg/ml
TRAMADOL ARENA
TRAMACALM
K-ALMA (R)
URGENDOL
TRAMADOL
TRAMADOL LPH 50 mg
TRALGIT 50
TRAMAL (R)
MABRON 50 mg
TRAMADOL AL 50
TRAMADOL AL 50
TRAMAL UNO 100 mg
TRAMAL UNO 100 mg
TRAMAL UNO 100 mg
TRAMAL UNO 100 mg
TRAMAL UNO 150 mg
TRAMAL UNO 150 mg
TRAMAL UNO 150 mg
TRAMAL UNO 150 mg
TRAMAL UNO 200 mg
TRAMAL UNO 200 mg
TRAMAL UNO 200 mg

Forma
Concentrati
farmaceutic
e / U.T.
a
CAPS.
CAPS.
CAPS.
COMPR.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

DRAJ.
PULB+SOLV.PT.SOL.INJ
PULB. + SOLV. PT. SOL. INJ.
PULB. + SOLV. PT. SOL. INJ.
SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN STILOU INJECTOR PREUMPLUT

CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
SOL. ORALA
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CONC. PT. SOL. PERF.

CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.

250 mg
250mg
250mg
500mg
500 mg
500mg
500mg
500mg
500mg
1mg
50mg
25mg
25mg
25mg
50mg
50mg
100mg
25mg
25mg
25mg
50mg
50mg
50mg
100mg/ml
0,5 mg
0,5mg
0,5mg
0,5mg
1 mg
1mg
1mg
1mg
5 mg
5mg
0,5mg
1mg
5mg
5mg/ml
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
100mg
100mg
100mg
100mg
150mg
150mg
150mg
150mg
200mg
200mg
200mg

Tara

Firma

Ambalaj

Prescriptie

DR. REDDY'S LABORATORIES

ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 100 CAPS. PR

TEVA PHARMA BV

OLANDA CUTIE X BLIST. PVC/PVDC/AL X 100 CAPS.

P-RF/R

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

CUTIE CU BLIST. PVC-PVDC/AL CU 100 CAPS.

P-RF/R

SANDOZ S.R.L.
TERAPIA S.A.
ZENTIVA K.S.

CUTIE CU BLIST. PVC-PE-PVDC/AL X 50 COMPR. FILM.

P-RF

CUTIE CU 1 BLIST. DIN AL-PA-PVC/AL X 50 COMPR. FILM.

REPUBLICA SLOVACA

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

PR
PR
P-RF/R

ROMANIA
ROMANIA

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

DR. REDDY'S LABORATORIES

ROMANIA

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

P-RF

TEVA PHARMA BV

OLANDA

CUTIE X BLIST. PVC/PVDC/AL X 50 COMPR. FILM.

P-RF/R

WYETH EUROPA LTD.

MAREA BRITANIE

CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR)

P-RF/R

WYETH EUROPA LIMITED

MAREA BRITANIE

CUTIE X 4 FLAC. PULB. PT. SOL. INJ. + 4 SERINGI PREUMPLUTE CU SOLVENT + 4 ADAPTOARE PT. FLAC. + 8 TA

P-RF/R

WYETH EUROPA LIMITED

MAREA BRITANIE

CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 SERINGI DIN PLASTIC GOALE + 20 ACE + 24 TAMPOANE

P-RF/R

WYETH EUROPA LIMITED

MAREA BRITANIE

CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 TAMPOANE CU ALCOOL

P-RF/R

WYETH EUROPA LIMITED

MAREA BRITANIE

CUTIE X 4 SERINGI PREUMPLUTE X 8 TAMPOANE CU ALCOOL P-RF/R

WYETH EUROPA LIMITED

MAREA BRITANIE

CUTIE X 4 SERINGI PREUMPLUTE X 8 TAMPOANE CU ALCOOL P-RF/R

WYETH EUROPA LIMITED

MAREA BRITANIE

CUTIE X 4 STILOURI INJECTOARE PREUMPLUTE (PEN) X 8 TAMPOANE CU ALCOOL

IVAX - PHARMACEUTICALS S.R.O.

CEHIA

CUTIE X 5 BLIST. X 10 CAPS. MOI


CUTIE X 10 BLIST. X 5 CAPS. MOI
CUTIE X 5 BLIST. X 10 CAPS. MOI

NOVARTIS PHARMA GMBH GERMANIA


IVAX - PHARMACEUTICALS S.R.O.

CEHIA

HEXAL AG

GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 10 BLIST. X 5 CAPS. MOI


CUTIE X 5 BLIST. X 10 CAPS. MOI

P-RF/R
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF

IVAX - PHARMACEUTICALS S.R.O.

CEHIA

HEXAL AG

GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI

S/P-RF

IVAX - PHARMACEUTICALS S.R.O.

CEHIA

CUTIE X 1 FLACON DIN STICLA BRUNA X 50 ML, UN DISPOZITIV DE MASURAT + UN CAPAC CU FILET

S/P-RF

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI DE AL A CATE 10 CAPSULE

PRF

S/P-RF

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

CUTIE CU BLIST. AL/AL X 50 CAPS. PR

SANDOZ S.R.L.

ROMANIA

CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS. S/P-RF

ASTELLAS PHARMA EUROPE BV

OLANDA

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT

S/P-RF

TEVA PHARMACEUTICALS S.R.L.

ROMANIA
ROMANIA

CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI AL A CATE 10 CAPSULE

PRF

SANDOZ S.R.L.

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS. S/P-RF

CUTIE CU BLIST. AL/AL X 50 CAPS. PR

ASTELLAS PHARMA EUROPE BV

OLANDA

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI AL A CATE 10 CAPS.

PRF

ASTELLAS PHARMA EUROPE BV

OLANDA

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT

S/P-RF

S/P-RF

ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)

P-RF/R

ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)

P-RF/R

ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)

P-RF/R

ASTELLAS PHARMA EUROPE BV

OLANDA CUTIE X 10 FIOLE X 1 ML

ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.


AC HELCOR SRL
ROMANIA CUTIE X 1 BLIST. PVC/AL X 10 CAPS.
ANTIBIOTICE SA
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
MEDICAROM GROUP SRL ROMANIA CUTIE X 1 BLIST. X 10 CAPS.
KRKA D.D.
SLOVENIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
ZENTIVA A.S.
SLOVACIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
GRUNENTHAL GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
MEDOCHEMIE LTD. CIPRU
CUTIE X 1 BLIST. AL/PVC X 10 CAPS.
ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 1 BLIST. X 10 CAPS.
ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. X 10 CAPS.
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 50 CAPS. CU ELIB. PREL.
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 30 CAPS. CU ELIB. PREL.
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 20 CAPS. CU ELIB. PREL.
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL.
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 50 CAPS. CU ELIB. PREL.
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 30 CAPS. CU ELIB. PREL.
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 20 CAPS. CU ELIB. PREL.
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL.
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 20 CAPS. CU ELIB. PREL.
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL.
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 50 CAPS. CU ELIB. PREL.

Pagina 127 din 205

S
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF/S

P-RF
P-RF
P-RF
P-RF/S

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF/S

cant/
amba
laj

100
100
100
50
50
50
50
50
50
30
4
4
4
4
4
4
50
50
50
50
50
50
50
1
50
50
50
50
50
50
50
50
50
50
50
50
50
10
20
10
20
10
20
20
20
20
10
10
30
50
30
20
10
50
30
20
10
20
10
50

Pret cu
ridicata
maximal /
ambalaj

288.20
298.76
289.44
224.51
298.80
269.39
269.39
298.76
298.76
483.90
4,105.28
2,023.90
2,028.59
2,023.90
4,017.79
4,017.79
393.08
111.16
73.58
111.30
236.51
153.73
247.07
354.17
131.94
131.94
131.94
202.98
235.82
235.82
235.82
359.82
1,101.92
1,695.40
202.51
398.16
1,844.03
1,527.41
6.58
2.82
5.61
2.80
4.26
5.61
4.26
8.64
2.82
2.82
8.43
56.99
35.81
24.49
12.71
83.99
53.71
36.70
19.07
44.15
23.80
94.90

Pret cu ridicata
maximal / U.T.

2.882000
2.987600
2.894400
4.490200
5.976000
5.387800
5.387800
5.975200
5.975200
16.130000
1,026.320000
505.975000
507.147500
505.975000
1,004.447500
1,004.447500
7.861600
2.223200
1.471600
2.226000
4.730200
3.074600
4.941400
354.170000
2.638800
2.638800
2.638800
4.059600
4.716400
4.716400
4.716400
7.196400
22.038400
33.908000
4.050200
7.963200
36.880600
152.741000
0.329000
0.282000
0.280500
0.280000
0.213000
0.280500
0.213000
0.432000
0.282000
0.282000
0.281000
1.139800
1.193666
1.224500
1.271000
1.679800
1.790333
1.835000
1.907000
2.207500
2.380000
1.898000

Pret cu ridicata
maximal de
decontare / U.T.

2.882000
2.987600
2.894400
4.490200
5.388240
5.387800
5.387800
5.388240
5.388240
16.130000
1,026.320000
505.975000
507.147500
505.975000
1,004.447500
1,004.447500
7.861600
1.765920
1.471600
1.765920
3.689520
3.074600
3.689520
354.170000
2.638800
2.638800
2.638800
3.166560
4.716400
4.716400
4.716400
5.659680
22.038400
26.446080
3.166560
5.659680
26.446080
152.741000
0.255600
0.255600
0.255600
0.255600
0.213000
0.255600
0.213000
0.255600
0.255600
0.255600
0.255600
0.552000
0.552000
0.552000
0.552000
0.981600
0.981600
0.981600
0.981600
1.566400
1.566400
1.566400

Pret cu
amanuntul
maximal /
ambalaj

351.83
364.73
353.35
274.08
364.78
328.87
328.87
364.73
364.73
565.60
4,512.91
2,244.20
2,249.32
2,244.20
4,417.55
4,417.55
466.61
135.71
93.03
135.87
288.73
187.67
301.62
424.20
161.07
161.07
161.07
247.80
287.89
287.89
287.89
430.35
1,239.24
1,886.14
247.22
472.14
2,048.15
1,703.03
8.89
3.81
7.58
3.78
5.76
7.58
5.76
11.68
3.81
3.81
11.39
72.06
46.84
33.10
17.18
106.20
67.91
48.01
25.78
57.75
32.17
119.99

Pret cu
amanuntul
maximal / U.T.

3.518300
3.647300
3.533500
5.481600
7.295600
6.577400
6.577400
7.294600
7.294600
18.853333
1,128.227500
561.050000
562.330000
561.050000
1,104.387500
1,104.387500
9.332200
2.714200
1.860600
2.717400
5.774600
3.753400
6.032400
424.200000
3.221400
3.221400
3.221400
4.956000
5.757800
5.757800
5.757800
8.607000
24.784800
37.722800
4.944400
9.442800
40.963000
170.303000
0.444500
0.381000
0.379000
0.378000
0.288000
0.379000
0.288000
0.584000
0.381000
0.381000
0.379666
1.441200
1.561333
1.655000
1.718000
2.124000
2.263666
2.400500
2.578000
2.887500
3.217000
2.399800

Grupa
Nr.
terape
crt
utica
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366

N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
R05CB13

V03AC03
V03AC03
V03AC03

V03AF01

Denumire generica

TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
DORNAZA ALFA**
DEFERASIROXUM**
DEFERASIROXUM**
DEFERASIROXUM**
MESNUM

Denumire comerciala

TRAMAL UNO 200 mg


TRAMAG 50
TRAMADOL 50 mg
TRAMADOL 50 mg
TRAMADOL EEL
TRAMADOLOR (R) 100 ID
NOAX UNO 100 mg
NOAX UNO 100 mg
TRAMADOL (R) RETARD
TRALGIT SR 100
TRALGIT SR 100
TRALGIT SR 100
TRALGIT SR 150
TRALGIT SR 150
TRALGIT SR 200
NOAX UNO 200 mg
NOAX UNO 200 mg
NOAX UNO 300 mg
NOAX UNO 300 mg
TRADOLAN 50 mg
TRAMAL RETARD 100 mg
TRAMAL RETARD 150 mg
TRAMADOL RETARD 150 mg
TRAMAL RETARD 200 mg
TRAMADOL RETARD 200 mg
TRAMADOL AL PICATURI
TRAMAL (R)
MABRON
MABRON
TRALGIT 100
URGENDOL
URGENDOL
TRAMAL (R) 50
TRAMADOL
TRAMADOL
TRALGIT 50
TRAMADOL
PULMOZYME
EXJADE 125mg
EXJADE 250mg
EXJADE 500mg
UROMITEXAN (R) 400 mg

Forma
Concentrati
farmaceutic
e / U.T.
a
200mg
50mg
50mg
50mg
50mg
COMPR. ELIB. MODIF. 100mg
COMPR. ELIB. PREL. 100mg
COMPR. ELIB. PREL. 100mg
COMPR. ELIB. PREL. 100mg
COMPR. ELIB. PREL. 100mg
COMPR. ELIB. PREL. 100mg
COMPR. ELIB. PREL. 100mg
COMPR. ELIB. PREL. 150mg
COMPR. ELIB. PREL. 150mg
COMPR. ELIB. PREL. 200mg
COMPR. ELIB. PREL. 200mg
COMPR. ELIB. PREL. 200mg
COMPR. ELIB. PREL. 300mg
COMPR. ELIB. PREL. 300mg
COMPR. FILM. 50mg
COMPR. FILM. ELIB. PREL.
100mg
COMPR. FILM. ELIB. PREL.
150mg
COMPR. FILM. ELIB. PREL.
150mg
COMPR. FILM. ELIB. PREL.
200mg
COMPR. FILM. ELIB. PREL.
200mg
CAPS. ELIB. PREL.

COMPR.
COMPR.
COMPR.
COMPR.

PIC. ORALE, SOL.

FARA CONCENTRATIE

100mg/ml
100mg
100mg
100mg/2ml
50mg/ml
50mg/ml
50mg/ml
50mg/ml
50mg/ml
50mg/ml
100mg
1mg/ml
COMPR. DISP. 125mg
COMPR. DISP. 250mg
COMPR. DISP. 500mg
SOL. INJ.
400mg/4ml

PICATURI ORALE-SOL.

SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SUPOZ.
SOL. INHAL.

Tara

Firma

Ambalaj

Prescriptie

GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 30 CAPS. CU ELIB. PREL.


MAGISTRA C & C
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-RF

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-RF

OZONE LABORATORIES LTD.


OZONE LABORATORIES PHARMA S.A.

BIO EEL SRL


HEXAL AG

MAREA BRITANIE

P-RF

P-RF
P-RF

GERMANIA CUTIE X 1 BLIST. X 10 COMPR. ELIB. MODIF. P-RF

CSC PHARMACEUTICALS HANDELS GMBH

AUSTRIA
AUSTRIA

KRKA D.D.
ZENTIVA AS
ZENTIVA AS
ZENTIVA AS
ZENTIVA AS
ZENTIVA AS
ZENTIVA AS

SLOVENIA CUTIE X 3 BLIST. X 10 COMPR. ELIB. PREL.


SLOVACIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL.
SLOVACIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. ELIB. PREL.
SLOVACIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. ELIB. PREL.
SLOVACIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. ELIB. PREL.
SLOVACIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL.
SLOVACIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. ELIB. PREL.

P-RF

AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA

CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR.ELIB. PREL.

P-RF

CUTIE X 1 BLIST. DIN PVC-PVDC/AL X 10 COMPR.ELIB. PREL.

P-RF

CUTIE X 1 BLIST. X PVC-PVDC/AL X 10 COMPR. ELIB. PREL.

P-RF

CUTIE X 3 BLIST. X PVC-PE-ACLAR/AL X 10 COMPR. ELIB. PREL.

P-RF

CSC PHARMACEUTICALS HANDELS GMBH

CSC PHARMACEUTICALS HANDELS GMBH


CSC PHARMACEUTICALS HANDELS GMBH
CSC PHARMACEUTICALS HANDELS GMBH
CSC PHARMACEUTICALS HANDELS GMBH

LANNACHER HEILMITTEL GES.M.B.H.

GRUNENTHAL GMBH GERMANIA


GRUNENTHAL GMBH GERMANIA

CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR.ELIM.PREL.

P-RF

CUTIE X 1 BLIST. DIN PVC-PVDC/AL X 5 COMPR.ELIM.PREL.

P-RF

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.FILM. P-RF


CUTIE X 1 BLIST. AL/PVDC X 10 COMPR. FILM. CU ELIB. PREL.

P-RF

CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR.FILM. CU ELIB. PREL.

P-RF

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-RF

GRUNENTHAL GMBH GERMANIA

CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR.FILM. ELIB. PREL. P-RF

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL.

ALIUD PHARMA GMBH GERMANIA

CUTIE X 1 FLACON DIN STICLA BRUNA X 10 ML PIC. ORALE, SOL.

GRUNENTHAL GMBH GERMANIA CUTIE X 1 FLACON PICURATOR X 10 ML

MEDOCHEMIE LTD. CIPRU


CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.
MEDOCHEMIE LTD. CIPRU
CUTIE X 5 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.
ZENTIVA A.S.
SLOVACIA CUTIE X 5 FIOLE X 2 ML SOL. INJ.
MEDICAROM GROUP SRL ROMANIA CUTIE X 5 FIOLE X 2 ML
MEDICAROM GROUP SRL ROMANIA CUTIE X 5 FIOLE X 1 ML
GRUNENTHAL GMBH GERMANIA CUTIE X 5 FIOLE X 1 ML
KRKA D.D.
SLOVENIA CUTIE X 5 FIOLE X 1 ML
KRKA D.D.
SLOVENIA CUTIE X 5 FIOLE X 2 ML
ZENTIVA A.S.
SLOVACIA CUTIE X 5 FIOLE X 1 ML SOL. INJ.
KRKA D.D.
SLOVENIA CUTIE X 1 BLIST. X 5 SUPOZ.

P-RF
P-RF
P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF

P-RF

ROCHE ROMANIA S.R.L. ROMANIA

CUTIE X 6 FIOLE UNIDOZA PE X 2,5 ML SOL. INHAL. PRIN NEBULIZATOR, INTRODUSE IN PUNGA AL

S/P-RF

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 28 COMPR. DISP.(BLIST. PVC/PE/PVDC/AL)

P-RF/R

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL)

P-RF/R

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL)

P-RF/R

CUTIE X 3 SUPORTURI TERMOFORMATE DIN PLASTIC X 5 FIOLE DE STICLA INCOLORA X 4 ML

BAXTER ONCOLOGY GMBH GERMANIA

cant/
amba
laj

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

Pret cu ridicata
maximal de
decontare / U.T.

Pret cu
amanuntul
maximal /
ambalaj

Pret cu
amanuntul
maximal / U.T.

30
20
20
20
20
10
30
5
30
30
10
50
10
30
10
30
10
10
30
30
10
10
30
10
30
1
1
100
5
5
5
5
5
5
5
5
5
6
28
28
28
15

61.06
5.61
5.61
5.61
5.61
4.60
29.85
5.42
13.83
13.81
4.60
23.80
15.39
24.54
20.11
39.16
14.69
20.42
59.76
7.78
7.09
16.11
31.41
20.61
40.20
3.68
5.67
110.90
7.19
8.98
5.61
3.58
5.53
3.60
9.57
8.40
4.08
545.47
679.82
1,444.56
2,629.24
44.34

2.035333
0.280500
0.280500
0.280500
0.280500
0.460000
0.995000
1.084000
0.461000
0.460333
0.460000
0.476000
1.539000
0.818000
2.011000
1.305333
1.469000
2.042000
1.992000
0.259333
0.709000
1.611000
1.047000
2.061000
1.340000
3.680000
5.670000
1.109000
1.438000
1.796000
1.122000
0.716000
1.106000
0.720000
1.914000
1.680000
0.816000
90.911666
24.279285
51.591428
93.901428
2.956000

1.566400
0.255600
0.255600
0.255600
0.255600
0.460000
0.552000
0.552000
0.461000
0.460333
0.460000
0.476000
0.981600
0.818000
1.566400
1.305333
1.469000
2.042000
1.992000
0.255600
0.552000
0.981600
0.981600
1.566400
1.340000
3.680000
4.416000
1.109000
1.330800
1.330800
1.122000
0.716000
0.859200
0.720000
1.330800
0.859200
0.816000
90.911666
24.279285
51.591428
93.901428
2.956000

77.21
7.58
7.58
7.58
7.58
6.22
39.05
7.32
18.69
18.67
6.22
32.17
20.80
33.17
27.18
51.22
19.86
27.60
75.56
10.52
9.58
21.77
41.08
27.86
52.58
4.98
7.66
135.39
9.72
12.14
7.58
4.84
7.47
4.87
12.94
11.36
5.52
632.71
779.15
1,612.72
2,904.03
58.00

2.573666
0.379000
0.379000
0.379000
0.379000
0.622000
1.301666
1.464000
0.623000
0.622333
0.622000
0.643400
2.080000
1.105666
2.718000
1.707333
1.986000
2.760000
2.518666
0.350666
0.958000
2.177000
1.369333
2.786000
1.752666
4.980000
7.660000
1.353900
1.944000
2.428000
1.516000
0.968000
1.494000
0.974000
2.588000
2.272000
1.104000
105.451666
27.826785
57.597142
103.715357
3.866666

10
5
100
12
12
12
1
1
12
12
1
1
10
5

66.02
79.26
112.23
685.12
396.78
262.29
22.65
22.65
232.62
262.17
22.65
22.65
382.38
193.81

6.602000
15.852000
1.122300
57.093333
33.065000
21.857500
22.650000
22.650000
19.385000
21.847500
22.650000
22.650000
38.238000
38.762000

6.602000
15.852000
1.122300
45.574999
23.257200
21.857500
22.650000
22.650000
19.385000
21.847500
22.650000
22.650000
23.257200
23.257200

83.47
100.22
137.01
784.93
470.64
320.21
30.62
30.62
283.98
320.06
30.62
30.62
454.94
236.60

8.347000
20.044000
1.370100
65.410833
39.220000
26.684166
30.620000
30.620000
23.665000
26.671666
30.620000
30.620000
45.494000
47.320000

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


P9.2: TRANSPLANT DE CORD
1 B01AB08 REVIPARINUM
2 B01AB08 REVIPARINUM
3 C01CA24 EPINEPHRINUM
4 J01CR05 PIPERACILLINUM + TAZOBACTAMUM
5 J01CR05 PIPERACILLINUM + TAZOBACTAMUM
6 J01CR05 PIPERACILLINUM + TAZOBACTAMUM
7 J01CR05 PIPERACILLINUM + TAZOBACTAMUM
8 J01CR05 PIPERACILLINUM + TAZOBACTAMUM
9 J01CR05 PIPERACILLINUM + TAZOBACTAMUM
10 J01CR05 PIPERACILLINUM + TAZOBACTAMUM
11 J01CR05 PIPERACILLINUM + TAZOBACTAMUM
12 J01CR05 PIPERACILLINUM + TAZOBACTAMUM
13 J01CR05 PIPERACILLINUM + TAZOBACTAMUM
14 J01CR05 PIPERACILLINUM + TAZOBACTAMUM

CLIVARIN (R) 1432UI/0,25 ml SOL. INJ.


CLIVARIN (R) 3436 UI/0,6 ml SOL. INJ.
ADRENALINA 1 mg
SOL. INJ.
TAZOCIN 4,5
LIOF. PT. SOL. INJ.
TAZOCIN 2,25
LIOF. PT. SOL. INJ.
ZOPECILIN 2 g/0,25 g
PULB. PT. SOL. INJ./PERF.
ZOPECILIN 2 g/0,25 g
PULB. PT. SOL. INJ./PERF.
PERASIN 2g/0,25 g
PULB. PT. SOL. INJ./PERF.
TEBRANIC 2g/0,25 g
PULB. PT. SOL. INJ./PERF.
PIPERACILINA/TAZOBACTAN ACTAVIS 2 g/0,25 g

PULB. PT. SOL. INJ./PERF.

BACTACIN 2 g/0,25 g

PULB. PT. SOL. INJ./PERF.

PIPERACILINA/TAZOBACTAM MYLAN 2g/0,25 g

PULB. PT. SOL. INJ./PERF.

PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF.


PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF.

1432ui/0,25ml ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. X 5 SERINGI PREUMPLUTE UNIDOZA X 0,25ML
3436ui/0,6ml ABBOTT GMBH&CO.KG GERMANIA CUTIE X 1 BLIST X 5 SERINGI PREUMPLUTE UNIDOZA X 0,60 ML
1mg/ml
TERAPIA SA
ROMANIA CUTIE X 100 FIOLE X 1 ML
FARA CONCENTRATIE PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ.
FARA CONCENTRATIE WYETH LEDERLE PHARMA GMBH
AUSTRIA CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ.
2g/0,25g
ROMASTRU TRADING SRL ROMANIA
2g/0,25g
ROMASTRU TRADING SRL ROMANIA
2g/0,25g
ANTIBIOTICE S.A.
ROMANIA
CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g

ASTRA ZENECA AB SUEDIA


ACTAVIS GROUP PTC EHF. ISLANDA
TERAPIA SA
ROMANIA
MYLAN S.A.S.
FRANTA
S.C. FRESENIUS KABI S.R.L.
S.C. FRESENIUS KABI S.R.L.

ROMANIA
ROMANIA

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.


CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CU PULB. PT. SOL. INJ./PERF.


CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

Pagina 128 din 205

S/P-RF
S/P-RF

S
S/P-RF
S/P-RF

S
S
S
S
S
S
S
S
S

Grupa
Nr.
terape
crt
utica
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74

Denumire generica

Denumire comerciala

Forma
Concentrati
farmaceutic
e / U.T.
a

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF.

TEBRANIC 4 g/0,5 g
PIPERACILLINUM + TAZOBACTAMUM ZOPECILIN 4 g/0,5 g
PIPERACILLINUM + TAZOBACTAMUM ZOPECILIN 4 g/0,5 g

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PULB. PT. SOL. INJ./PERF.

J01CR05

PULB. PT. SOL. INJ./PERF.

J01CR05

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILINA/TAZOBACTAN ACTAVIS 4 g/0,5 g

J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g

PERASIN 4g/0,5 g
PIPERACILLINUM + TAZOBACTAMUM BACTACIN 4 g/0,5 g

J01CR05 PIPERACILLINUM + TAZOBACTAMUM


J01CR05

PULB. PT. SOL. INJ./PERF.


PULB. PT. SOL. INJ./PERF.
PULB. PT. SOL. INJ./PERF.
PULB. PT. SOL. INJ./PERF.
PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g

PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g

PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g

PULB. PT. SOL. INJ./PERF.

J01DD12
J01DD12
J01DD12
J01DD12
J01DD12
J01DD12
J01DH51
J01DH51
J01DH51
J01DH51
J01DH51
J01DH51
J01DH51
J01DH51

J01XX08
J01XX08
J01XX08
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01

CEFOPERAZONUM
CEFOPERAZONUM
CEFOPERAZONUM
CEFOPERAZONUM
CEFOPERAZONUM
CEFOPERAZONUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM

MEDOCEF 1 g
MEDOCEF 2 g
LYZONE 2 g
CEFOZON 500 mg
CEFOZON 2 g
CEFOZON 1 g
CILOPEN 500mg/500mg
CILOPEN 500mg/500mg
CILOPEN 500mg/500mg
CILOPEN 500mg/500mg

PULB. PT. SOL. INJ.


PULB. PT. SOL. INJ.
PULB. PT. SOL. INJ.
PULB. PT. SOL. INJ.
PULB. PT. SOL. INJ./PERF. I.M./I.V.

PULB. PT. SOL. INJ./PERF.I.M./I.V.

PULB. PT. SOL. INJ.


PULB. PT. SOL. INJ.
PULB. PT. SOL. INJ.
PULB. PT. SOL. INJ.

IMIPENEM/CILASTATIN KABI 500mg/500mg PULB. PT. SOL. PERF.

TIENAM I.V.
TIENAM I.V.

PULB. PT. SOL. PERF.


PULB. PT. SOL. PERF.

Firma

Tara

2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
1g
2g
2g
500mg
2g
1g

S.C. FRESENIUS KABI S.R.L.

ROMANIA
ROMANIA
ROMANIA
ROMANIA

500mg/500mg
500mg/500mg
500mg/500mg
500mg/500mg
500mg/500mg
500mg/500mg
500mg/500mg
500mg/500mg

TERAPIA SA
TERAPIA SA
TERAPIA SA
TERAPIA SA

IMIPENEM/CILASTATIN HOSPIRA 500 mg/500 mg

PULB. PT. SOL. PERF.

ZYVOXID (R)
ZYVOXID (R)
ZYVOXID (R)
FLUCORIC 100 mg
FLUCOVIM 100
DIFLAZON 100 mg
FUNGOLON 100 mg

COMPR. FILM. 600mg

FLUCONAZOLE TEVA 100 mg


FLUCONAZOLE TEVA 100 mg
FLUCONAZOL ROMPHARM 150 mg

FLUCONAZOL LPH 150 mg


FLUCONAZOL ARENA 150 MG
FLUCONAZOL MEDOCHEMIE 150 mg
FLUCONAZOL BIOGALENICA 150 mg

FLUCONAZOL OZONE 150 mg

MYCOSYST 150 mg
MYCOSYST 150 mg
FLUCORIC 150 mg
DIFLUCAN 150 mg
FLUCOVIM 150
DIFLAZON 150 mg
FLUCONAZOL ACTAVIS 150 mg
FLUCONAZOL SANDOZ (R) 150

FLUCONAZOL 150 mg
FLUCONAZOL MEDICO UNO 150 mg

MYCOMAX 150
FLUCONAZOLE TEVA 150 mg

FLUCONAZOL 150 mg
FLUCONAZOLE TEVA 200 mg

FLUCONAZOL LPH 50 mg
FLUCOVIM 50
FLUCONAZOL ARENA 50 MG

GRAN. PT. SUSP. ORALA

SOL. PERF.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.

100mg/5ml
2mg/ml
100mg
100mg
100mg
100mg
100mg
100mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
200mg
50mg
50mg
50mg

S.C. FRESENIUS KABI S.R.L.


S.C. FRESENIUS KABI S.R.L.
S.C. FRESENIUS KABI S.R.L.

ASTRA ZENECA AB SUEDIA


ROMANIA
ROMASTRU TRADING SRL ROMANIA
ROMASTRU TRADING SRL

ACTAVIS GROUP PTC EHF.

MYLAN S.A.S.
ANTIBIOTICE S.A.
TERAPIA SA
S.C. FRESENIUS KABI S.R.L.
S.C. FRESENIUS KABI S.R.L.
S.C. FRESENIUS KABI S.R.L.

ISLANDA
FRANTA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

MEDOCHEMIE LTD. CIPRU


MEDOCHEMIE LTD. CIPRU

Ambalaj

CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.


CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.


CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. INJ./PERF.
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 50 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE X 1 FLAC DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE X 10 FLAC. PULB. PT. SOL. INJ.


CUTIE X 10 FLAC. PULB. PT. SOL. INJ.

Prescriptie

S
S
S
S
S
S
S
S
S
S
S
S
S
S
S/P-RF
S/P-RF

MERCK SHARP & DOHME

ROMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ.


ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. INJ.
ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA A 20 ML CU PULB. PT. SOL. INJ./PERF. I.M./I.V.
ROMANIA
ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF.
ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF.
ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 22 ML PULB. PT. SOL. PERF.
ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 22 ML PULB. PT. SOL. PERF.
ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF.
ROMANIA TAVA DIN PLASTIC X 25 FLAC. DIN STICLA INCOLORA CU PULB.PT. SOL. PERF.
ROMANIA TAVA DIN PLASTIC X 10 FLAC. DIN STICLA INCOLORA CU PULB.PT. SOL. PERF.

HOSPIRA UK LIMITED

MAREA BRITANIE

CUTIE CU 5 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. PERF.

PR

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 1 FLAC. X 10 COMPR. FILM.

P-RF

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

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 10 PUNGI X 300 ML

MEDICAROM GROUP S.R.L.

E.I.P.I.CO. MED S.R.L.


E.I.P.I.CO. MED S.R.L.
E.I.P.I.CO. MED S.R.L.

FRESENIUS KABI ROMANIA SRL

MERCK SHARP & DOHME

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 15 ML CU PULB. PT. SOL. INJ. I.M./PERF. I.V.

TERAPIA SA

S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF

ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.


VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS.

P-RF

KRKA D.D.

SLOVENIA CUTIE X 4 BLIST. X 7 CAPS.


BULGARIA CUTIE X 2 BLIST. PVC/AL X 8 CAPS.
ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.
ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 2 CAPS.

P-RF

CUTIE CU 1 BLIST. PVC/AL X 1 CAPS.


CUTIE CU 1 BLIST. PVC/AL X 1 CAPS.
CUTIE X 1 BLIST. AL/PVC X 1 CAPS.
CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

PRF

BALKANPHARMA RAZGRAD AD
TEVA PHARMACEUTICALS S.R.L.
TEVA PHARMACEUTICALS S.R.L.

ROMANIA
LABORMED PHARMA S.A. ROMANIA
ARENA GROUP SA ROMANIA
MEDOCHEMIE ROMANIA SRL ROMANIA
LABORATOARELE PROF.DR.MORAIT S.R.L.
ROMANIA
OZONE LABORATORIES PHARMA S.A.
ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
TERAPIA SA
ROMANIA
ROMPHARM COMPANY S.R.L.

P-RF

P-RF
P-RF
P-RF

PRF
P-RF
P-RF

CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.


CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.

P-RF

CUTIE X 4 BLIST. AL/PVC X 1 CAPS.


CUTIE X 2 BLIST. AL/PVC X 1 CAPS.

P-RF

CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS.

P-RF

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.


VIM SPECTRUM SRL ROMANIA CUTIE X 1 FLAC. X 1 CAPS.
KRKA D.D.
SLOVENIA CUTIE X 1 BLIST. X 1 CAPS.
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 BLIST. PVC-PVDC/AL X 1 CAPS.
SANDOZ SRL
GERMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P-RF

ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.


ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA

P-RF

MEDICO UNO PHARMACEUTICAL SRL

ZENTIVA K.S.

CEHIA

PFIZER EUROPE MA EEIG

OZONE LABORATORIES PHARMA S.A.

MAREA BRITANIE

ROMANIA
SLAVIA PHARM SRL ROMANIA
TEVA PHARMACEUTICALS S.R.L. ROMANIA
LABORMED PHARMA S.A. ROMANIA
VIM SPECTRUM SRL ROMANIA
ARENA GROUP SA ROMANIA
TEVA PHARMACEUTICALS S.R.L.

P-RF

P-RF

P-RF
P-RF

PRF
P-RF

P-RF

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P-RF

CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.

P-RF

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P-RF

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

P-RF

CUTIE CU 1 BLIST. PVC/AL X 7 CAPS.

PRF

CUTIE X 1 BLIST. X 7 CAPS.


CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P-RF

Pagina 129 din 205

P-RF

cant/
amba
laj

1
10
5
1
12
12
1
12
1
1
1
5
1
10
10
10
1
1
1
1
10
5
10
5
10
25
10
5
10
1
10
7
4
28
16
7
2
1
1
1
1
1
1
4
2
1
1
1
1
1
1
1
1
1
1
1
7
7
7
7

Pret cu
ridicata
maximal /
ambalaj

40.18
193.81
98.66
20.09
455.79
455.75
40.44
455.75
40.46
40.44
40.44
195.13
40.44
384.80
152.68
254.47
19.82
3.83
11.47
6.95
289.09
144.54
289.09
144.54
293.49
1,056.45
440.58
144.54
1,584.80
869.39
1,584.80
32.76
18.72
191.37
64.60
23.04
6.90
9.46
7.27
6.60
5.99
4.82
7.27
47.68
23.84
13.79
18.34
7.27
16.46
7.35
10.66
7.27
6.60
9.15
4.82
7.08
29.74
16.50
16.50
13.98

Pret cu ridicata
maximal / U.T.

40.180000
19.381000
19.732000
20.090000
37.982500
37.979166
40.440000
37.979166
40.460000
40.440000
40.440000
39.026000
40.440000
38.480000
15.268000
25.447000
19.820000
3.830000
11.470000
6.950000
28.909000
28.908000
28.909000
28.908000
29.349000
42.258000
44.058000
28.908000
158.480000
869.390000
158.480000
4.680000
4.680000
6.834642
4.037500
3.291428
3.450000
9.460000
7.270000
6.600000
5.990000
4.820000
7.270000
11.920000
11.920000
13.790000
18.340000
7.270000
16.460000
7.350000
10.660000
7.270000
6.600000
9.150000
4.820000
7.080000
4.248571
2.357142
2.357142
1.997142

Pret cu ridicata
maximal de
decontare / U.T.

23.257200
19.381000
19.732000
20.090000
37.982500
37.979166
40.440000
37.979166
40.460000
40.440000
40.440000
39.026000
40.440000
38.480000
8.340000
13.764000
13.764000
3.830000
11.470000
6.950000
28.909000
28.908000
28.909000
28.908000
29.349000
34.689600
34.689600
28.908000
158.480000
869.390000
158.480000
3.949714
3.949714
3.949714
3.949714
3.291428
3.450000
5.784000
5.784000
5.784000
5.784000
4.820000
5.784000
5.784000
5.784000
5.784000
5.784000
5.784000
5.784000
5.784000
5.784000
5.784000
5.784000
5.784000
4.820000
5.784000
4.248571
1.976570
1.976570
1.976570

Pret cu
amanuntul
maximal /
ambalaj

52.55
236.60
124.75
27.15
534.96
534.92
52.90
534.92
52.92
52.90
52.90
238.21
52.90
457.58
186.39
310.66
26.79
5.18
15.50
9.40
352.92
176.45
352.92
176.45
358.29
1,189.68
518.38
176.45
1,765.58
985.79
1,765.58
42.85
25.30
233.63
81.68
31.14
9.32
12.79
9.82
8.92
8.10
6.52
9.82
62.36
32.22
18.64
24.79
9.82
22.25
9.94
14.41
9.82
8.92
12.37
6.52
9.57
38.90
22.30
22.30
18.89

Pret cu
amanuntul
maximal / U.T.

52.550000
23.660000
24.950000
27.150000
44.580000
44.576666
52.900000
44.576666
52.920000
52.900000
52.900000
47.642000
52.900000
45.758000
18.639000
31.066000
26.790000
5.180000
15.500000
9.400000
35.292000
35.290000
35.292000
35.290000
35.829000
47.587200
51.838000
35.290000
176.558000
985.790000
176.558000
6.121428
6.325000
8.343928
5.105000
4.448571
4.660000
12.790000
9.820000
8.920000
8.100000
6.520000
9.820000
15.590000
16.110000
18.640000
24.790000
9.820000
22.250000
9.940000
14.410000
9.820000
8.920000
12.370000
6.520000
9.570000
5.557142
3.185714
3.185714
2.698571

Grupa
Nr.
terape
crt
utica
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134

J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC03
J02AC03
J02AC03
J02AC03

J05AB14
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01

Denumire generica

FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
VALGANCICLOVIRUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**

Denumire comerciala

Forma
Concentrati
farmaceutic
e / U.T.
a

CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
FLUCONAZOL BIOGALENICA 50 mg CAPS.
FLUCONAZOL MEDOCHEMIE 50 mg CAPS.
FLUCONAZOLE TEVA 50 mg CAPS.
FLUCONAZOL 50 mg
CAPS.
DIFLUCAN (R) 50 mg/5 ml
PULB. PT. SUSP. ORALA
FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
FLUCONAZOL BIOGALENICA 2mg/ml SOL. PERF.
FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF.
FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF.
FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF.
FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
DIFLUCAN (R)
SOL. PERF.
DIFLUCAN (R)
SOL. PERF.
MYCOMAX INF 2mg/ml
SOL. PERF.
MYCOMAX INF 2mg/ml
SOL. PERF.
MYCOMAX INF 2mg/ml
SOL. PERF.
DIFLAZON 2mg/ml
SOL. PERF.
VFEND 200mg
COMPR. FILM.
VFEND 50mg
COMPR. FILM.
VFEND 200mg
PULB. PT. SOL. PERF.
VFEND 40 mg/ml
PULB. PT. SUSP. ORALA
VALCYTE (R) 450 mg
COMPR. FILM.
CELLCEPT 250mg
CAPS.
CELLCEPT 500mg
COMPR. FILM.
FLUCONAZOL OZONE 50 mg
FLUCONAZOL SANDOZ (R) 50
FLUCORIC 50 mg
DIFLUCAN 50 mg
DIFLAZON 50 mg
FLUCONAZOL 50 mg
FUNGOLON 50 mg

MYCOPHENOLATE MOFETIL MEDICO UNO 500 MG

MYFORTIC 180 mg
MYFORTIC 360 mg

COMPR. FILM.
COMPR. FILM. GASTROREZ.
COMPR. FILM. GASTROREZ.

CAPS.
CAPS.
CAPS.
COMPR.

MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL DR. REDDY'S 250 mg


MYCOPHENOLATUM MOFETILUM** MYFENAX 250mg
MYCOPHENOLATUM MOFETILUM** MYCOPHENOLATE MOFETIL ACCORD 250 mg
MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL SANDOZ 500 mg
MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL TERAPIA 500 mg
MYCOPHENOLATUM MOFETILUM** ARZIP 500 mg
MYCOPHENOLATUM MOFETILUM** MYCOFENOLAT MOFETIL ACTAVIS 500 mg
MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL DR. REDDY'S 500 mg
MYCOPHENOLATUM MOFETILUM** MYFENAX 500mg

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM

CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI

EQUORAL (R) 100 mg


SANDIMMUN NEORAL (R)
EQUORAL (R) 25 mg
CICLORAL 25 mg
SANDIMMUN NEORAL (R)
EQUORAL (R) 50 mg
CICLORAL 50 mg

50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg/5ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
200mg
50mg
200mg
40mg/ml
450mg
250mg
500mg
500mg
180mg
360mg
250 mg
250mg
250mg
500mg
500 mg
500mg
500mg
500mg
500mg
100mg
25mg
25mg
25mg
50mg
50mg
50mg

Tara

Firma

Ambalaj

Prescriptie

ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.


ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS.
ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS.

P-RF

SANDOZ SRL
TERAPIA SA
PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.


SLOVENIA CUTIE X 1 BLIST. X 7 CAPS.
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS.
BULGARIA CUTIE X 1 BLIST. PVC/AL X 8 CAPS.

P-RF

OZONE LABORATORIES PHARMA S.A.

KRKA D.D.
ANTIBIOTICE S.A.
BALKANPHARMA RAZGRAD AD

ROMANIA
ROMANIA
TEVA PHARMACEUTICALS S.R.L. ROMANIA
SLAVIA PHARM SRL ROMANIA

P-RF
P-RF

P-RF
P-RF
P-RF

LABORATOARELE PROF.DR.MORAIT S.R.L.

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

P-RF

MEDOCHEMIE ROMANIA SRL

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P-RF

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

P-RF

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P-RF

CUTIE X 1 FLAC. PEID PULB. PT. 35 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 5 ML

P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. PEJD X 50 ML SOL. PERF.

ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF.


FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF.
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 25 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF.
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF.
ARENA GROUP S.A. ROMANIA CUTIE X 1 FLAC. X 100 ML SOL. PERF.
FRESENIUS KABI ROMANIA SRL

B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. PEJD X 200 ML SOL. PERF.


B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FLAC. PEJD X 100 ML SOL. PERF.
B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. PEJD X 100 ML SOL. PERF.
B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FLAC. PEJD X 50 ML SOL. PERF.

FRESENIUS KABI ROMANIA SRL

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

PFIZER EUROPE MA EEIG

MAREA BRITANIE

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 1 FLACON X 50 ML
CUTIE X 1 FLACON X 200 ML

REPUBLICA CEHA

CUTIE CU 1 FLACON DIN STICLA INCOLORA A 100 ML SOL. PERF. X 200 MG FLUCONAZOL

REPUBLICA CEHA

CUTIE CU 1 FLACON DIN STICLA INCOLORA A 200 ML SOL. PERF. X 400 MG FLUCONAZOL

REPUBLICA CEHA

CUTIE CU 1 FLACON DIN STICLA INCOLORA A 50 ML SOL. PERF. X 100 MG FLUCONAZOL

FRESENIUS KABI ROMANIA SRL


FRESENIUS KABI ROMANIA SRL
FRESENIUS KABI ROMANIA SRL
FRESENIUS KABI ROMANIA SRL
FRESENIUS KABI ROMANIA SRL

ZENTIVA K.S.
ZENTIVA K.S.
ZENTIVA K.S.

CUTIE CU 20 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.


CUTIE CU 10 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.

CUTIE CU 1 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.


CUTIE CU 10 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF.

CUTIE CU 1 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF.


CUTIE CU 25 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML

PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED

S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S/P-RF
S/P-RF

S
S
S
S/PR-F

P-RF

MAREA BRITANIE

CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL)


CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL)

MAREA BRITANIE

CUTIE X 1 FLAC. UNIDOZA X 30ML

P-RF

MAREA BRITANIE

MAREA BRITANIE

CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA

ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. X 60 COMPR. FILM.

P-RF

P-RF
P-RF

CUTIE X 10 BLIST. X 10 CAPS.

P-RF/R

MAREA BRITANIE

CUTIE X 5 BLIST. X 10 COMPR. FILM.

P-RF/R

UNGARIA

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

P-RF/R

NOVARTIS PHARMA GMBH GERMANIA

CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ.

S/P-RF

NOVARTIS PHARMA GMBH GERMANIA

CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ.

S/P-RF

ROCHE REGISTRATION LTD.

MAREA BRITANIE

ROCHE REGISTRATION LTD.

MEDICO UNO PHARMA KFT.

DR. REDDY'S LABORATORIES

ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 100 CAPS. PR

TEVA PHARMA BV

OLANDA CUTIE X BLIST. PVC/PVDC/AL X 100 CAPS.

P-RF/R

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

CUTIE CU BLIST. PVC-PVDC/AL CU 100 CAPS.

P-RF/R

SANDOZ S.R.L.
TERAPIA S.A.
ZENTIVA K.S.

CUTIE CU BLIST. PVC-PE-PVDC/AL X 50 COMPR. FILM.

P-RF

CUTIE CU 1 BLIST. DIN AL-PA-PVC/AL X 50 COMPR. FILM.

REPUBLICA SLOVACA

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

PR
PR
P-RF/R

ROMANIA
ROMANIA

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

DR. REDDY'S LABORATORIES

ROMANIA

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

TEVA PHARMA BV

IVAX - PHARMACEUTICALS S.R.O.

OLANDA CUTIE X BLIST. PVC/PVDC/AL X 50 COMPR. FILM.


CEHIA
CUTIE X 5 BLIST. X 10 CAPS. MOI
GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI
CEHIA
CUTIE X 5 BLIST. X 10 CAPS. MOI

HEXAL AG

GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI

IVAX - PHARMACEUTICALS S.R.O.

NOVARTIS PHARMA GMBH

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 10 BLIST. X 5 CAPS. MOI


CUTIE X 5 BLIST. X 10 CAPS. MOI

IVAX - PHARMACEUTICALS S.R.O.

CEHIA

HEXAL AG

GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI

Pagina 130 din 205

P-RF
P-RF/R
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF

cant/
amba
laj

7
7
7
7
7
10
8
7
7
7
7
1
10
10
1
25
20
1
10
20
10
20
20
10
1
10
1
25
1
1
1
1
1
1
28
28
1
1
60
100
50
50
120
120
100
100
100
50
50
50
50
50
50
50
50
50
50
50
50
50

Pret cu
ridicata
maximal /
ambalaj

16.50
31.68
21.65
42.71
46.63
18.66
13.92
11.53
11.81
12.20
14.32
42.71
180.75
753.13
80.99
772.93
624.35
40.15
761.97
787.39
449.60
358.65
356.89
179.79
18.63
326.90
33.88
438.62
30.62
131.62
42.16
135.83
30.18
34.63
3,517.81
901.74
453.05
2,178.01
4,806.36
447.90
447.90
289.44
551.46
1,030.04
288.20
298.76
289.44
224.51
298.80
269.39
269.39
298.76
298.76
393.08
111.16
73.58
111.30
236.51
153.73
247.07

Pret cu ridicata
maximal / U.T.

2.357142
4.525714
3.092857
6.101428
6.661428
1.866000
1.740000
1.647142
1.687142
1.742857
2.045714
42.710000
18.075000
75.313000
80.990000
30.917200
31.217500
40.150000
76.197000
39.369500
44.960000
17.932500
17.844500
17.979000
18.630000
32.690000
33.880000
17.544800
30.620000
131.620000
42.160000
135.830000
30.180000
34.630000
125.636071
32.205000
453.050000
2,178.010000
80.106000
4.479000
8.958000
5.788800
4.595500
8.583666
2.882000
2.987600
2.894400
4.490200
5.976000
5.387800
5.387800
5.975200
5.975200
7.861600
2.223200
1.471600
2.226000
4.730200
3.074600
4.941400

Pret cu ridicata
maximal de
decontare / U.T.

1.976570
1.976570
1.976570
1.976570
1.976570
1.866000
1.740000
1.647142
1.687142
1.742857
1.976570
42.710000
18.075000
75.313000
80.990000
30.917200
31.217500
37.100640
76.197000
37.100640
37.100640
17.932500
17.844500
17.979000
18.630000
32.690000
33.880000
17.544800
21.053760
90.375600
37.100640
90.375600
21.053760
34.630000
125.636071
32.205000
453.050000
2,178.010000
80.106000
3.458400
5.388240
5.388240
4.595500
8.583666
2.882000
2.987600
2.894400
4.490200
5.388240
5.387800
5.387800
5.388240
5.388240
7.861600
1.765920
1.471600
1.765920
3.689520
3.074600
3.689520

Pret cu
amanuntul
maximal /
ambalaj

22.30
41.44
29.26
55.87
60.99
25.22
18.81
15.58
15.96
16.49
19.35
55.87
220.66
859.06
102.40
880.65
718.69
52.52
868.70
896.41
528.22
429.08
427.16
219.49
25.18
394.47
44.32
516.25
40.05
160.68
55.14
165.82
39.48
45.29
3,872.57
1,021.05
531.97
2,412.18
5,277.09
526.36
526.36
353.35
639.24
1,160.90
351.83
364.73
353.35
274.08
364.78
328.87
328.87
364.73
364.73
466.61
135.71
93.03
135.87
288.73
187.67
301.62

Pret cu
amanuntul
maximal / U.T.

3.185714
5.920000
4.180000
7.981428
8.712857
2.522000
2.351250
2.225714
2.280000
2.355714
2.764285
55.870000
22.066000
85.906000
102.400000
35.226000
35.934500
52.520000
86.870000
44.820500
52.822000
21.454000
21.358000
21.949000
25.180000
39.447000
44.320000
20.650000
40.050000
160.680000
55.140000
165.820000
39.480000
45.290000
138.306071
36.466071
531.970000
2,412.180000
87.951500
5.263600
10.527200
7.067000
5.327000
9.674166
3.518300
3.647300
3.533500
5.481600
7.295600
6.577400
6.577400
7.294600
7.294600
9.332200
2.714200
1.860600
2.717400
5.774600
3.753400
6.032400

Grupa
Nr.
terape
crt
utica
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149

L04AD01
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02

Denumire generica

CICLOSPORINUM
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**

Denumire comerciala

EQUORAL (R)
TACNI 0,5 mg
TACROLIMUSUM ACCORD 0,5 mg

TACROLIMUS SANDOZ 0,5 mg

PROGRAF (R) 0,5 mg


TACNI 1 mg
TACROLIMUS SANDOZ 1 mg
TACROLIMUSUM ACCORD 1 mg

PROGRAF (R) 1 mg
TACNI 5 mg
PROGRAF (R) 5 mg
ADVAGRAF 0,5mg
ADVAGRAF 1mg
ADVAGRAF 5mg
PROGRAF (R) 5 mg/ml

Forma
Concentrati
farmaceutic
e / U.T.
a
SOL. ORALA
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CONC. PT. SOL. PERF.

100mg/ml
0,5 mg
0,5mg
0,5mg
0,5mg
1 mg
1mg
1mg
1mg
5 mg
5mg
0,5mg
1mg
5mg
5mg/ml

Tara

Firma

Ambalaj

Prescriptie

IVAX - PHARMACEUTICALS S.R.O.

CEHIA

CUTIE X 1 FLACON DIN STICLA BRUNA X 50 ML, UN DISPOZITIV DE MASURAT + UN CAPAC CU FILET

S/P-RF

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI DE AL A CATE 10 CAPSULE

PRF

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

CUTIE CU BLIST. AL/AL X 50 CAPS. PR

SANDOZ S.R.L.

ROMANIA

CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS. S/P-RF

ASTELLAS PHARMA EUROPE BV

OLANDA

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT

S/P-RF

TEVA PHARMACEUTICALS S.R.L.

ROMANIA
ROMANIA

CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI AL A CATE 10 CAPSULE

PRF

SANDOZ S.R.L.

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS. S/P-RF

CUTIE CU BLIST. AL/AL X 50 CAPS. PR

ASTELLAS PHARMA EUROPE BV

OLANDA

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI AL A CATE 10 CAPS.

PRF

ASTELLAS PHARMA EUROPE BV

OLANDA

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT

S/P-RF

S/P-RF

ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)

P-RF/R

ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)

P-RF/R

ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)

P-RF/R

ASTELLAS PHARMA EUROPE BV

OLANDA CUTIE X 10 FIOLE X 1 ML

cant/
amba
laj

1
50
50
50
50
50
50
50
50
50
50
50
50
50
10

Pret cu
ridicata
maximal /
ambalaj

354.17
131.94
131.94
131.94
202.98
235.82
235.82
235.82
359.82
1,101.92
1,695.40
202.51
398.16
1,844.03
1,527.41

Pret cu ridicata
maximal / U.T.

354.170000
2.638800
2.638800
2.638800
4.059600
4.716400
4.716400
4.716400
7.196400
22.038400
33.908000
4.050200
7.963200
36.880600
152.741000

Pret cu ridicata
maximal de
decontare / U.T.

354.170000
2.638800
2.638800
2.638800
3.166560
4.716400
4.716400
4.716400
5.659680
22.038400
26.446080
3.166560
5.659680
26.446080
152.741000

Pret cu
amanuntul
maximal /
ambalaj

424.20
161.07
161.07
161.07
247.80
287.89
287.89
287.89
430.35
1,239.24
1,886.14
247.22
472.14
2,048.15
1,703.03

Pret cu
amanuntul
maximal / U.T.

424.200000
3.221400
3.221400
3.221400
4.956000
5.757800
5.757800
5.757800
8.607000
24.784800
37.722800
4.944400
9.442800
40.963000
170.303000

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


P9.3: TRANSPLANT HEPATIC
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40

A05AA02
A05AA02
A05AA02
A05AA02
A05AA02
B01AB05
B01AB05
B01AB05
B01AB05

ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM

URSOFALK (R)
URSOFALK (R)
URSOSAN
URSOCHOL 150 mg
URSOCHOL 300 mg

ENOXAPARINUM
ENOXAPARINUM
ENOXAPARINUM
ENOXAPARINUM
REVIPARINUM
REVIPARINUM
ILOPROSTUM**
ILOPROSTUM**
ALTEPLASUM**
ACIDUM TRANEXAMICUM4
EPTACOG ALFA ACTIVATUM**
EPTACOG ALFA ACTIVATUM**
EPTACOG ALFA ACTIVATUM**

CLEXANE 2000ui anti-Xa/0,2ml


CLEXANE 4000ui anti-Xa/0,4ml
CLEXANE 6000ui anti-Xa/0,6ml
CLEXANE 8000ui anti-Xa/0,8ml

CAPS.
CAPS.
CAPS.
COMPR.
COMPR.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

CLIVARIN (R) 1432UI/0,25 ml


CLIVARIN (R) 3436 UI/0,6 ml
ILOMEDIN 20
VENTAVIS 10mcg/ml
ACTILYSE
EXACYL
NOVOSEVEN 2mg (100 KUI)
NOVOSEVEN 5mg (250 KUI)
NOVOSEVEN 1mg (50 KUI)
DIUREX 50
DESMOPRESINA TEVA 0,2mg
MINIRIN 0,2 mg
MINIRIN MELT 120 mcg
MINIRIN MELT 60 mcg
TAZOCIN 4,5
TAZOCIN 2,25
ZOPECILIN 2 g/0,25 g
ZOPECILIN 2 g/0,25 g
PERASIN 2g/0,25 g
TEBRANIC 2g/0,25 g

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILINA/TAZOBACTAN ACTAVIS 2 g/0,25 g

PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

BACTACIN 2 g/0,25 g

PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILINA/TAZOBACTAM MYLAN 2g/0,25 g

PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF.

B01AB08
B01AB08
B01AC11
B01AC11
B01AD02

B02AA02
B02BD08
B02BD08
B02BD08

C03EB01 COMBINATII (SPIRONOLACTONUM+FUROSEMIDUM)


H01BA02
H01BA02
H01BA02
H01BA02

DESMOPRESSINUM
DESMOPRESSINUM
DESMOPRESSINUM
DESMOPRESSINUM

J01CR05 PIPERACILLINUM + TAZOBACTAMUM


J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM

TEBRANIC 4 g/0,5 g
PIPERACILLINUM + TAZOBACTAMUM ZOPECILIN 4 g/0,5 g

250mg
250mg
250mg
150mg
300mg
2000ui anti-Xa/0,2ml
4000ui anti-Xa/0,4ml
6000ui anti-Xa/0,6ml
8000ui anti-Xa/0,8ml

DR. FALK PHARMA GMBH GERMANIA


DR. FALK PHARMA GMBH GERMANIA
PRO. MED. CS PRAHA AS

ZAMBON S.P.A.
ZAMBON S.P.A.
LAB. AVENTIS
LAB. AVENTIS
LAB. AVENTIS
LAB. AVENTIS

CUTIE X 2 BLIST. AL/PVC X 25 CAPS.


CUTIE X 4 BLIST. AL/PVC X 25 CAPS.

CEHIA
CUTIE X 5 BLIST. AL/PVC X 10 CAPS.
ITALIA
CUTIE X 6 BLIST. AL/PVC X 10 COMPR.
ITALIA
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
FRANTA CUTIE X 10 SERINGI PREUMPLUTE X 0,2 ML SOL. INJ.
FRANTA CUTIE X 10 SERINGI PREUMPLUTE X 0.4 ML SOL. INJ.
FRANTA CUTIE X 10 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ.
FRANTA CUTIE X 2 SERINGI PREUMPLUTE X 0,8 ML SOL. INJ.

1432ui/0,25ml ABBOTT GMBH&CO.KG GERMANIA


3436ui/0,6ml ABBOTT GMBH&CO.KG GERMANIA

P-6L
P-6L/S

P-6L
P-6L
P-6L
S/P-RF
S/P-RF
S/P-RF
S/P-RF

CUTIE X 2 BLIST. X 5 SERINGI PREUMPLUTE UNIDOZA X 0,25ML

S/P-RF

CUTIE X 1 BLIST X 5 SERINGI PREUMPLUTE UNIDOZA X 0,60 ML

S/P-RF

CONC. PT. SOL. PERF.

BAYER SCHERING PHARMA AG

GERMANIA

CUTIE X 5 FIOLE STICLA INCOLORA X 1 ML CONC. PT. SOL. PERFZ.

S/P-RF

SOL. DE INHALAT PRIN NEBULIZ.

BAYER SCHERING PHARMA AG

GERMANIA

CUTIE X 30 FIOLE X 1 ML SOL. DE INHALAT PRIN NEBULIZ.

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA

CUTIE X 1 FLAC. LIOF. PT. SOL. INJ. + 1 FLACON SOLV. + CANULA DE TRANSFER

20mcg/ml
10mcg/ml
PULB+SOLV. PT. SOL. INJ
50mg
SOL. INJ.
500mg/5ml
PULB. + SOLV. PT. SOL. INJ. 100 KIU
PULB. + SOLV. PT. SOL. INJ. 250 KIU
PULB. + SOLV. PT. SOL. INJ. 50 KIU
CAPS.
50mg/20mg
COMPR.
0,2mg
COMPR.
0,2mg
LIOF. ORAL 120mcg
LIOF. ORAL 60mcg

CN UNIFARM
ROMANIA CUTIE X 5 FIOLE X 5ML SOL. INJ.
NOVO NORDISK A/S DANEMARCA CUTIE X 1 FLAC. PULB. PT. SOL. INJ. + 1 FLAC. SOLV. PT. RECONSTITUIRE
NOVO NORDISK A/S DANEMARCA CUTIE X 1 FLAC. PULB. PT. SOL. INJ. + 1 FLAC. SOLV. PT. RECONSTITUIRE
NOVO NORDISK A/S DANEMARCA CUTIE X 1 FLAC. PULB. PT. SOL. INJ. + 1 FLAC. SOLV. PT. RECONSTITUIRE
TERAPIA SA
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PULB. PT. SOL. INJ./PERF.

J01CR05

PULB. PT. SOL. INJ./PERF.

P-6L

ROMANIA CUTIE CU BLIST. OPA-AL- PVC/AL X 30 COMPR.

PFIZER EUROPE MA EEIG

MAREA BRITANIE

FARA CONCENTRATIE WYETH LEDERLE PHARMA GMBH

PULB. PT. SOL. INJ./PERF.

P-RF/R

GERMANIA CUTIE X 1 FLAC. DIN PEID X 30 COMPR. P-RF

LIOF. PT. SOL. INJ.

PULB. PT. SOL. INJ./PERF.

P-RF/R

FERRING GMBH
FERRING GMBH
FERRING GMBH

FARA CONCENTRATIE

2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
4g/0,5g
4g/0,5g

P-RF/R

TEVA PHARMACEUTICAL S.R.L.

LIOF. PT. SOL. INJ.

PULB. PT. SOL. INJ./PERF.

S
S
X

GERMANIA

CUTIE X 3 BLIST. AL/AL X 10 UNITATI DOZATE LIOF. ORAL

GERMANIA

CUTIE X 3 BLIST AL/AL X 10 UNITATI DOZATE LIOF. ORAL

CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ.


AUSTRIA CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ.

ROMANIA
ROMASTRU TRADING SRL ROMANIA
ANTIBIOTICE S.A.
ROMANIA
ROMASTRU TRADING SRL

ASTRA ZENECA AB SUEDIA


ISLANDA
TERAPIA SA
ROMANIA
MYLAN S.A.S.
FRANTA

ACTAVIS GROUP PTC EHF.

S.C. FRESENIUS KABI S.R.L.


S.C. FRESENIUS KABI S.R.L.
S.C. FRESENIUS KABI S.R.L.
S.C. FRESENIUS KABI S.R.L.
S.C. FRESENIUS KABI S.R.L.
S.C. FRESENIUS KABI S.R.L.

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

ASTRA ZENECA AB SUEDIA


ROMASTRU TRADING SRL

ROMANIA

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.


CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CU PULB. PT. SOL. INJ./PERF.


CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.


CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

Pagina 131 din 205

P-RF

P-RF
P-RF
S/P-RF
S/P-RF

S
S
S
S
S
S
S
S
S
S
S
S
S
S
S

50
56.87
1.137400
1.137400
71.91
1.438200
100
97.14
0.971400
0.971400
122.82
1.228200
50
53.75
1.075000
1.075000
67.96
1.359200
60
40.94
0.682333
0.682333
53.55
0.892500
20
27.11
1.355500
1.355500
35.46
1.773000
10
57.01
5.701000
5.701000
72.08
7.208000
10
117.03
11.703000
11.703000
142.87
14.287000
10
152.10
15.210000
15.210000
185.68
18.568000
2
39.43
19.715000
19.715000
51.58
25.790000
10
66.02
6.602000
6.602000
83.47
8.347000
5
79.26
15.852000
15.852000
100.22
20.044000
5
756.04
151.208000
151.208000
862.23
172.446000
30 1,924.50
64.150000
64.150000 2,135.86
71.195333
1 1,473.74 1,473.740000 1,473.740000 1,644.53 1,644.530000
5
9.36
1.872000
1.872000
12.65
2.530000
1 5,431.43 5,431.430000 5,431.430000 5,958.41 5,958.410000
1 13,793.54 13,793.540000 13,793.540000 15,073.11 15,073.110000
1 2,730.72 2,730.720000 2,730.720000 3,014.63 3,014.630000
20
17.05
0.852500
0.852500
23.04
1.152000
30
104.02
3.467333
3.467333
126.99
4.233000
30
158.10
5.270000
4.160800
193.01
6.433666
30
158.08
5.269333
5.269333
192.99
6.433000
30
80.69
2.689666
2.689666
102.02
3.400666
12
685.12
57.093333
45.574999
784.93
65.410833
12
396.78
33.065000
23.257200
470.64
39.220000
12
262.29
21.857500
21.857500
320.21
26.684166
1
22.65
22.650000
22.650000
30.62
30.620000
1
22.65
22.650000
22.650000
30.62
30.620000
12
232.62
19.385000
19.385000
283.98
23.665000
12
262.17
21.847500
21.847500
320.06
26.671666
1
22.65
22.650000
22.650000
30.62
30.620000
1
22.65
22.650000
22.650000
30.62
30.620000
10
382.38
38.238000
23.257200
454.94
45.494000
5
193.81
38.762000
23.257200
236.60
47.320000
1
40.18
40.180000
23.257200
52.55
52.550000
10
193.81
19.381000
19.381000
236.60
23.660000
5
98.66
19.732000
19.732000
124.75
24.950000
1
20.09
20.090000
20.090000
27.15
27.150000
12
455.79
37.982500
37.982500
534.96
44.580000
12
455.75
37.979166
37.979166
534.92
44.576666

Grupa
Nr.
terape
crt
utica
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100

Denumire generica

Denumire comerciala

Forma
Concentrati
farmaceutic
e / U.T.
a

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

ZOPECILIN 4 g/0,5 g

PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILINA/TAZOBACTAN ACTAVIS 4 g/0,5 g

PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g

PERASIN 4g/0,5 g
PIPERACILLINUM + TAZOBACTAMUM BACTACIN 4 g/0,5 g

PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PULB. PT. SOL. INJ./PERF.

J01CR05

PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g

PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g

PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g

PULB. PT. SOL. INJ./PERF.

ZYVOXID (R)
ZYVOXID (R)
ZYVOXID (R)
VFEND 200mg
VFEND 50mg
VFEND 200mg
VFEND 40 mg/ml
CANCIDAS 50 mg
CANCIDAS 70 mg
VALCYTE (R) 450 mg
ZUTECTRA
HEPATECT CP 50 UI/ml
NEUPOGEN (R)
NEUPOGEN (R)
ZARZIO 30MU/0,5ml
ZARZIO 48MU/0,5ml
NIVESTIM 12 MU/0,2ml
TEVAGRASTIM 30MUI/0,5ml
NIVESTIM 30 MU/0,5 ml
TEVAGRASTIM 48MUI/0,8ml
NIVESTIM 48 MU/0,5 ml
CELLCEPT 250mg
CELLCEPT 500mg

COMPR. FILM.

J01XX08
J01XX08
J01XX08
J02AC03
J02AC03
J02AC03
J02AC03

J02AX04
J02AX04
J05AB14

LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
CASPOFUNGINUM**
CASPOFUNGINUM**
VALGANCICLOVIRUM**

J06BB04 IMUNOGLOBULINA ANTI-HEPATITICA B**


J06BB04 IMUNOGLOBULINA ANTI-HEPATITICA B**
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA10
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02

FILGRASTIMUM (G-CSF)
FILGRASTIMUM (G-CSF)
FILGRASTIMUM (G-CSF)
FILGRASTIMUM (G-CSF)
FILGRASTIMUM (G-CSF)
FILGRASTIMUM (G-CSF)
FILGRASTIMUM (G-CSF)
FILGRASTIMUM (G-CSF)
FILGRASTIMUM (G-CSF)
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**

MYCOPHENOLATE MOFETIL MEDICO UNO 500 MG

MYFORTIC 180 mg
MYFORTIC 360 mg

GRAN. PT. SUSP. ORALA

SOL. PERF.
COMPR. FILM.
COMPR. FILM.
PULB. PT. SOL. PERF.
PULB. PT. SUSP. ORALA
PULB. PT. CONC. PT. SOL. PERF.
PULB. PT. CONC. PT. SOL. PERF.

COMPR. FILM.
SOL INJ. IN SERINGA PRE-UMPLUTA

SOL. PERF.
SOL. INJ.
SOL. INJ.
SOL. INJ. /PERF. IN SERINGA PREUMPLUTA

SOL. INJ. /PERF. IN SERINGA PREUMPLUTA

SOL. INJ./PERF.
SOL. INJ./PERF.
SOL. INJ./PERF.

CAPS.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM. GASTROREZ.
COMPR. FILM. GASTROREZ.

CAPS.
CAPS.
CAPS.
COMPR.

SIROLIMUS**
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**

DRAJ.
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
SOL. ORALA
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.

TACROLIMUS SANDOZ 0,5 mg

PROGRAF (R) 0,5 mg


TACNI 1 mg
TACROLIMUS SANDOZ 1 mg
TACROLIMUSUM ACCORD 1 mg

PROGRAF (R) 1 mg

ROMASTRU TRADING SRL

ROMANIA

ACTAVIS GROUP PTC EHF.

ISLANDA
FRANTA

Prescriptie

S.C. FRESENIUS KABI S.R.L.

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 1 FLAC. X 10 COMPR. FILM.

P-RF

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

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 10 PUNGI X 300 ML

MAREA BRITANIE

CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL)

P-RF

MAREA BRITANIE

CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL)

P-RF

MAREA BRITANIE

CUTIE X 1 FLAC. UNIDOZA X 30ML

P-RF

MYLAN S.A.S.
ANTIBIOTICE S.A.
TERAPIA SA
S.C. FRESENIUS KABI S.R.L.
S.C. FRESENIUS KABI S.R.L.

PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.


CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. INJ./PERF.
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 50 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE X 1 FLAC DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

MAREA BRITANIE

CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA

MERCK SHARP & DOHME

MAREA BRITANIE

CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF.

MERCK SHARP & DOHME

MAREA BRITANIE

CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF.

P-RF

S
S

ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. X 60 COMPR. FILM.

P-RF

BIOTEST PHARMA GMBH GERMANIA

CUTIE CU 5 SERINGI PREUMPLUTE DIN STICLA A CATE 500 UI AMBALATE N BLISTERE

PRF

BIOTEST PHARMA GMBH GERMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 40 ML SOL. PERF. (2000UI)

AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML


AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML

PR
S/P-RF
S/P-RF

SANDOZ GMBH
SANDOZ GMBH

AUSTRIA
AUSTRIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL

P-RF/R

CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL

P-RF/R

HOSPIRA UK LIMITED

MAREA BRITANIE

CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,2ML SOL. INJ. SAU PERF.

P-RF

CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF.

S/P-RF/R

300g/0,5ml HOSPIRA UK LIMITED


480g/0,5ml
250mg
500mg
500mg
180mg
360mg
250 mg
250mg
250mg
500mg
500 mg
500mg
500mg
500mg
500mg
1mg
100mg
25mg
25mg
25mg
50mg
50mg
50mg
100mg/ml
0,5 mg
0,5mg
0,5mg
0,5mg
1 mg
1mg
1mg
1mg

Ambalaj

S
S
S
S
S
S
S
S

MAREA BRITANIE

SOL. INJ./PERF. 480mcg/0,8ml TEVA GENERICS GMBH GERMANIA

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

TACROLIMUSUM ACCORD 0,5 mg

Tara

SOL. INJ./PERF. 300mcg/0,5ml TEVA GENERICS GMBH GERMANIA

MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL DR. REDDY'S 250 mg


MYCOPHENOLATUM MOFETILUM** MYFENAX 250mg
MYCOPHENOLATUM MOFETILUM** MYCOPHENOLATE MOFETIL ACCORD 250 mg
MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL SANDOZ 500 mg
MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL TERAPIA 500 mg
MYCOPHENOLATUM MOFETILUM** ARZIP 500 mg
MYCOPHENOLATUM MOFETILUM** MYCOFENOLAT MOFETIL ACTAVIS 500 mg
MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL DR. REDDY'S 500 mg
MYCOPHENOLATUM MOFETILUM** MYFENAX 500mg

RAPAMUNE 1mg
EQUORAL (R) 100 mg
SANDIMMUN NEORAL (R)
EQUORAL (R) 25 mg
CICLORAL 25 mg
SANDIMMUN NEORAL (R)
EQUORAL (R) 50 mg
CICLORAL 50 mg
EQUORAL (R)
TACNI 0,5 mg

4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
600mg
100mg/5ml
2mg/ml
200mg
50mg
200mg
40mg/ml
50mg
70mg
450mg
500 UI
50 UI/ ml
30MU/0,5ml
48MU/0,5ml
60MU/ml
96MU/ml
120g/0,2ml

Firma

CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF.

P-RF

CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF.

S/P-RF/R

HOSPIRA UK LIMITED

MAREA BRITANIE

CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF.

P-RF

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 10 BLIST. X 10 CAPS.

P-RF/R

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 5 BLIST. X 10 COMPR. FILM.

P-RF/R

MEDICO UNO PHARMA KFT.

UNGARIA

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

P-RF/R

NOVARTIS PHARMA GMBH GERMANIA

CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ.

S/P-RF

NOVARTIS PHARMA GMBH GERMANIA

CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ.

S/P-RF

DR. REDDY'S LABORATORIES

ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 100 CAPS. PR

TEVA PHARMA BV

OLANDA CUTIE X BLIST. PVC/PVDC/AL X 100 CAPS.

P-RF/R

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

CUTIE CU BLIST. PVC-PVDC/AL CU 100 CAPS.

P-RF/R

SANDOZ S.R.L.
TERAPIA S.A.
ZENTIVA K.S.

CUTIE CU BLIST. PVC-PE-PVDC/AL X 50 COMPR. FILM.

P-RF

CUTIE CU 1 BLIST. DIN AL-PA-PVC/AL X 50 COMPR. FILM.

REPUBLICA SLOVACA

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

PR
PR
P-RF/R

ROMANIA
ROMANIA

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

DR. REDDY'S LABORATORIES

ROMANIA

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

P-RF

TEVA PHARMA BV

OLANDA

CUTIE X BLIST. PVC/PVDC/AL X 50 COMPR. FILM.

P-RF/R

WYETH EUROPA LTD.

MAREA BRITANIE

CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR)

P-RF/R

IVAX - PHARMACEUTICALS S.R.O.

CEHIA

CUTIE X 5 BLIST. X 10 CAPS. MOI


CUTIE X 10 BLIST. X 5 CAPS. MOI
CUTIE X 5 BLIST. X 10 CAPS. MOI

NOVARTIS PHARMA GMBH GERMANIA


IVAX - PHARMACEUTICALS S.R.O.

CEHIA

HEXAL AG

GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 10 BLIST. X 5 CAPS. MOI


CUTIE X 5 BLIST. X 10 CAPS. MOI

S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF

IVAX - PHARMACEUTICALS S.R.O.

CEHIA

HEXAL AG

GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI

S/P-RF

IVAX - PHARMACEUTICALS S.R.O.

CEHIA

CUTIE X 1 FLACON DIN STICLA BRUNA X 50 ML, UN DISPOZITIV DE MASURAT + UN CAPAC CU FILET

S/P-RF

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI DE AL A CATE 10 CAPSULE

PRF

S/P-RF

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

CUTIE CU BLIST. AL/AL X 50 CAPS. PR

SANDOZ S.R.L.

ROMANIA

CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS. S/P-RF

ASTELLAS PHARMA EUROPE BV

OLANDA

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT

S/P-RF

TEVA PHARMACEUTICALS S.R.L.

ROMANIA
ROMANIA

CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI AL A CATE 10 CAPSULE

PRF

SANDOZ S.R.L.

ACCORD HEALTHCARE LIMITED MAREA BRITANIE


ASTELLAS PHARMA EUROPE BV

OLANDA

CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS. S/P-RF

CUTIE CU BLIST. AL/AL X 50 CAPS. PR


CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT

Pagina 132 din 205

S/P-RF

cant/
amba
laj

1
12
1
1
1
5
1
10
10
1
10
28
28
1
1
1
1
60
5
1
1
1
1
1
5
1
5
1
5
100
50
50
120
120
100
100
100
50
50
50
50
50
50
30
50
50
50
50
50
50
50
1
50
50
50
50
50
50
50
50

Pret cu
ridicata
maximal /
ambalaj

40.44
455.75
40.46
40.44
40.44
195.13
40.44
384.80
1,584.80
869.39
1,584.80
3,517.81
901.74
453.05
2,178.01
1,188.63
1,542.18
4,806.36
9,205.00
4,477.57
263.92
431.80
160.19
257.85
413.89
211.64
989.71
352.07
1,637.21
447.90
447.90
289.44
551.46
1,030.04
288.20
298.76
289.44
224.51
298.80
269.39
269.39
298.76
298.76
483.90
393.08
111.16
73.58
111.30
236.51
153.73
247.07
354.17
131.94
131.94
131.94
202.98
235.82
235.82
235.82
359.82

Pret cu ridicata
maximal / U.T.

40.440000
37.979166
40.460000
40.440000
40.440000
39.026000
40.440000
38.480000
158.480000
869.390000
158.480000
125.636071
32.205000
453.050000
2,178.010000
1,188.630000
1,542.180000
80.106000
1,841.000000
4,477.570000
263.920000
431.800000
160.190000
257.850000
82.778000
211.640000
197.942000
352.070000
327.442000
4.479000
8.958000
5.788800
4.595500
8.583666
2.882000
2.987600
2.894400
4.490200
5.976000
5.387800
5.387800
5.975200
5.975200
16.130000
7.861600
2.223200
1.471600
2.226000
4.730200
3.074600
4.941400
354.170000
2.638800
2.638800
2.638800
4.059600
4.716400
4.716400
4.716400
7.196400

Pret cu ridicata
maximal de
decontare / U.T.

Pret cu
amanuntul
maximal /
ambalaj

40.440000
52.90
37.979166
534.92
40.460000
52.92
40.440000
52.90
40.440000
52.90
39.026000
238.21
40.440000
52.90
38.480000
457.58
158.480000 1,765.58
869.390000
985.79
158.480000 1,765.58
125.636071 3,872.57
32.205000 1,021.05
453.050000
531.97
2,178.010000 2,412.18
1,188.630000 1,333.76
1,542.180000 1,719.13
80.106000 5,277.09
1,841.000000 10,071.60
4,477.570000 4,918.70
192.228000
322.20
309.420000
508.81
160.190000
195.56
257.850000
314.78
82.778000
489.29
192.228000
258.37
192.228000 1,116.94
309.420000
421.91
309.420000 1,822.71
3.458400
526.36
5.388240
526.36
5.388240
353.35
4.595500
639.24
8.583666 1,160.90
2.882000
351.83
2.987600
364.73
2.894400
353.35
4.490200
274.08
5.388240
364.78
5.387800
328.87
5.387800
328.87
5.388240
364.73
5.388240
364.73
16.130000
565.60
7.861600
466.61
1.765920
135.71
1.471600
93.03
1.765920
135.87
3.689520
288.73
3.074600
187.67
3.689520
301.62
354.170000
424.20
2.638800
161.07
2.638800
161.07
2.638800
161.07
3.166560
247.80
4.716400
287.89
4.716400
287.89
4.716400
287.89
5.659680
430.35

Pret cu
amanuntul
maximal / U.T.

52.900000
44.576666
52.920000
52.900000
52.900000
47.642000
52.900000
45.758000
176.558000
985.790000
176.558000
138.306071
36.466071
531.970000
2,412.180000
1,333.760000
1,719.130000
87.951500
2,014.320000
4,918.700000
322.200000
508.810000
195.560000
314.780000
97.858000
258.370000
223.388000
421.910000
364.542000
5.263600
10.527200
7.067000
5.327000
9.674166
3.518300
3.647300
3.533500
5.481600
7.295600
6.577400
6.577400
7.294600
7.294600
18.853333
9.332200
2.714200
1.860600
2.717400
5.774600
3.753400
6.032400
424.200000
3.221400
3.221400
3.221400
4.956000
5.757800
5.757800
5.757800
8.607000

Grupa
Nr.
terape
crt
utica
101
102
103
104
105
106

L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02

Denumire generica

TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**

Denumire comerciala

TACNI 5 mg
PROGRAF (R) 5 mg
ADVAGRAF 0,5mg
ADVAGRAF 1mg
ADVAGRAF 5mg
PROGRAF (R) 5 mg/ml

Forma
Concentrati
farmaceutic
e / U.T.
a
CAPS.
CAPS.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CONC. PT. SOL. PERF.

5 mg
5mg
0,5mg
1mg
5mg
5mg/ml

Tara

Firma

Ambalaj

Prescriptie

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI AL A CATE 10 CAPS.

PRF

ASTELLAS PHARMA EUROPE BV

OLANDA

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT

S/P-RF

ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)

P-RF/R

ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)

P-RF/R

ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)

P-RF/R

ASTELLAS PHARMA EUROPE BV

OLANDA CUTIE X 10 FIOLE X 1 ML

cant/
amba
laj

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

Pret cu ridicata
maximal de
decontare / U.T.

Pret cu
amanuntul
maximal /
ambalaj

Pret cu
amanuntul
maximal / U.T.

50
50
50
50
50
10

1,101.92
1,695.40
202.51
398.16
1,844.03
1,527.41

22.038400
33.908000
4.050200
7.963200
36.880600
152.741000

22.038400
26.446080
3.166560
5.659680
26.446080
152.741000

1,239.24
1,886.14
247.22
472.14
2,048.15
1,703.03

24.784800
37.722800
4.944400
9.442800
40.963000
170.303000

50
100
50
60
20
50
30
10
10
5
10
5
5
5
10
10
10
10
10
10
2
10
5
6
1
6
6
6
1
6
1
1
6
6
6
6
6
1
6
6
6
1
1
1
5
12
12
12
1

56.87
97.14
53.75
40.94
27.11
25.41
22.96
201.40
107.51
101.97
216.01
138.33
167.46
190.46
60.65
115.08
164.33
57.01
117.03
152.10
39.43
66.02
79.26
653.92
1,192.91
1,532.97
176.81
351.85
680.43
513.14
1,192.91
867.37
674.39
835.59
2,093.33
226.59
442.92
1,030.67
855.25
1,061.28
116.51
3,437.93
2,142.24
4,761.02
123.55
685.12
396.78
262.29
22.65

1.137400
0.971400
1.075000
0.682333
1.355500
0.508200
0.765333
20.140000
10.751000
20.394000
21.601000
27.666000
33.492000
38.092000
6.065000
11.508000
16.433000
5.701000
11.703000
15.210000
19.715000
6.602000
15.852000
108.986666
1,192.910000
255.495000
29.468333
58.641666
680.430000
85.523333
1,192.910000
867.370000
112.398333
139.265000
348.888333
37.765000
73.820000
1,030.670000
142.541666
176.880000
19.418333
3,437.930000
2,142.240000
4,761.020000
24.710000
57.093333
33.065000
21.857500
22.650000

1.137400
0.971400
1.075000
0.682333
1.355500
0.508200
0.765333
20.140000
10.751000
20.394000
21.601000
27.666000
33.492000
38.092000
6.065000
11.508000
16.433000
5.701000
11.703000
15.210000
19.715000
6.602000
15.852000
102.628000
1,040.844000
255.495000
29.468333
58.641666
680.430000
85.523333
1,040.844000
867.370000
112.398333
139.265000
348.888333
37.765000
73.820000
1,030.670000
142.541666
176.880000
19.418333
3,437.930000
2,142.240000
4,761.020000
24.710000
45.574999
23.257200
21.857500
22.650000

71.91
122.82
67.96
53.55
35.46
33.24
31.03
245.87
131.25
124.49
263.70
168.87
204.44
232.51
76.68
140.49
200.61
72.08
142.87
185.68
51.58
83.47
100.22
750.92
1,338.42
1,709.09
215.85
421.67
779.82
597.47
1,338.42
983.58
773.24
948.94
2,319.88
276.62
520.93
1,161.58
970.37
1,194.95
142.24
3,785.50
2,373.19
5,227.67
150.83
784.93
470.64
320.21
30.62

1.438200
1.228200
1.359200
0.892500
1.773000
0.664800
1.034333
24.587000
13.125000
24.898000
26.370000
33.774000
40.888000
46.502000
7.668000
14.049000
20.061000
7.208000
14.287000
18.568000
25.790000
8.347000
20.044000
125.153333
1,338.420000
284.848333
35.975000
70.278333
779.820000
99.578333
1,338.420000
983.580000
128.873333
158.156666
386.646666
46.103333
86.821666
1,161.580000
161.728333
199.158333
23.706666
3,785.500000
2,373.190000
5,227.670000
30.166000
65.410833
39.220000
26.684166
30.620000

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


P9.4: TRANSPLANT RENAL combinat RINICHI si PANCREAS
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49

A05AA02
A05AA02
A05AA02
A05AA02
A05AA02
A11CC03
A11CC03
A11CC03
A11CC03

B01AB04
B01AB04
B01AB04
B01AB04
B01AB04
B01AB04
B01AB04
B01AB04
B01AB05
B01AB05
B01AB05
B01AB05
B01AB08
B01AB08
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
H01CB02
H01CB02
H01CB02
H01CB02

ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM

ALFACALCIDOLUM
ALFACALCIDOLUM
ALFACALCIDOLUM
ALFACALCIDOLUM
DALTEPARINUM
DALTEPARINUM
DALTEPARINUM
DALTEPARINUM
DALTEPARINUM
DALTEPARINUM
DALTEPARINUM
DALTEPARINUM
ENOXAPARINUM
ENOXAPARINUM
ENOXAPARINUM
ENOXAPARINUM
REVIPARINUM
REVIPARINUM
EPOETINUM ALFA
EPOETINUM ALFA
EPOETINUM ALFA
EPOETINUM ALFA
EPOETINUM ALFA
EPOETINUM ALFA
EPOETINUM ALFA
EPOETINUM ALFA
EPOETINUM ALFA
EPOETINUM ALFA
EPOETINUM ALFA
EPOETINUM BETA
EPOETINUM BETA
EPOETINUM BETA
EPOETINUM BETA
EPOETINUM BETA
EPOETINUM BETA
EPOETINUM BETA
OCTREOTIDUM**
OCTREOTIDUM**
OCTREOTIDUM**
OCTREOTIDUM**

J01CR05 PIPERACILLINUM + TAZOBACTAMUM


J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM

URSOFALK (R)
URSOFALK (R)
URSOSAN
URSOCHOL 150 mg
URSOCHOL 300 mg
ALPHA D3 0,25 mcg
ALPHA D3 0,50 mcg
ONE-ALPHA 2 micrograme/ml
ONE-ALPHA 2 micrograme/ml
FRAGMIN 10000 UI/0,4 ml
FRAGMIN 10000 UI/ml
FRAGMIN 12500 UI/0,5 ml
FRAGMIN15000 UI/0,6 ml
FRAGMIN 18000 UI/0,72 ml
FRAGMIN 2500 UI/0,2 ml
FRAGMIN 5000 UI/0,2 ml
FRAGMIN 7500 UI/0,3 ml
CLEXANE 2000ui anti-Xa/0,2ml
CLEXANE 4000ui anti-Xa/0,4ml
CLEXANE 6000ui anti-Xa/0,6ml
CLEXANE 8000ui anti-Xa/0,8ml

CLIVARIN (R) 1432UI/0,25 ml


CLIVARIN (R) 3436 UI/0,6 ml
EPREX (R) 3000 UI
EPREX (R) 40 000 UI
BINOCRIT 10000UI/1,0ml
BINOCRIT 1000UI/0,5ml
BINOCRIT 2000UI/1,0ml
BINOCRIT 30000UI/0,75ml
BINOCRIT 3000UI/0,3ml
EPREX 40000 UI/ml
BINOCRIT 40000 UI/1 ml
BINOCRIT 4000UI/0,4ml
BINOCRIT 5000UI/0,5ml
NEORECORMON 10000UI/0,6ml
NEORECORMON 1000UI/0,3ml
NEORECORMON 2000UI/0,3ml
NEORECORMON 30000UI/0,6ml
NEORECORMON 4000UI/0,3ml
NEORECORMON 5000UI/0,3ml

NEORECORMON 500UI/0,3ml

SANDOSTATIN LAR 20 mg
SANDOSTATIN LAR 10 mg
SANDOSTATIN LAR 30 mg
SANDOSTATIN (R)
TAZOCIN 4,5
TAZOCIN 2,25
ZOPECILIN 2 g/0,25 g
ZOPECILIN 2 g/0,25 g

CAPS.
CAPS.
CAPS.
COMPR.
COMPR.
CAPS. MOI
CAPS. MOI
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ. IN SERINGA PREUMPLUTA

250mg
250mg
250mg
150mg
300mg
0,25mcg
0,50mcg
2micrograme/ml
2micrograme/ml

DR. FALK PHARMA GMBH GERMANIA


DR. FALK PHARMA GMBH GERMANIA
PRO. MED. CS PRAHA AS

ZAMBON S.P.A.
ZAMBON S.P.A.
TEVA PHARMACEUTICALS S.R.L.
TEVA PHARMACEUTICALS S.R.L.

LEO PHARMA A/S


LEO PHARMA A/S

CEHIA
ITALIA
ITALIA

CUTIE X 2 BLIST. AL/PVC X 25 CAPS.


CUTIE X 4 BLIST. AL/PVC X 25 CAPS.
CUTIE X 5 BLIST. AL/PVC X 10 CAPS.

P-6L
P-6L/S

P-6L

CUTIE X 6 BLIST. AL/PVC X 10 COMPR. P-6L


CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L

ROMANIA CUTIE X 1 FLAC. DIN PPID X 50 CAPS. MOI


ROMANIA CUTIE X 1 FLAC. X 30 CAPS. MOI

P-RF

DANEMARCA CUTIE CU 10 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ.

S
S

DANEMARCA CUTIE CU 10 FIOLE DIN STICLA BRUNA X 0,5 ML SOL. INJ.

P-RF

10000UI/0,4ml PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 5 BLIST. X 1 SERINGA X 0,4 ML SOL. INJ.

S/P-RF

10000ui/ml

MAREA BRITANIE

CUTIE X 2 SUPORTURI TERMOFORMATATE X 5 FIOLE X 1 ML

S/P-RF

MAREA BRITANIE

CUTIE X 5 BLIST. X 1 SERINGA X 0,5 ML SOL. INJ.

S/P-RF

MAREA BRITANIE

CUTIE X 5 BLIST. INDIVIDUALE CONTINAND FIECARE 1 SERINGA PREUMPLUTA X 0,6 ML SOL. INJ.

S/P-RF

MAREA BRITANIE

CUTIE X 5 BLIST. X 1 SERINGA X 0,72 ML SOL. INJ.

S/P-RF

PFIZER EUROPE MA EEIG

12500 UI/0,5ml PFIZER EUROPE MA EEIG


15000ui/0,6ml PFIZER EUROPE MA EEIG
18000 UI/0,72ml PFIZER EUROPE MA EEIG

2500ui/0,2ml
5000ui/0,2ml
7500ui/0,3ml

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 10 BLIST. INDIVIDUALE CONTINAND FIECARE 1 SERINGA PREUMPLUTA X 0,2 ML

S/P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 10 BLIST. INDIVIDUALE CONTINAND FIECARE 1 SERINGA PREUMPLUTA X 0,2 ML

S/P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 10 BLIST. INDIVIDUALE CONTINAND FIECARE 1 SERINGA PREUMPLUTA X 0,3 ML

S/P-RF

2000ui anti-Xa/0,2ml

LAB. AVENTIS
LAB. AVENTIS
LAB. AVENTIS
LAB. AVENTIS

FRANTA
FRANTA
FRANTA
FRANTA

CUTIE X 10 SERINGI PREUMPLUTE X 0,2 ML SOL. INJ.

S/P-RF

CUTIE X 10 SERINGI PREUMPLUTE X 0.4 ML SOL. INJ.

S/P-RF

CUTIE X 10 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ.

S/P-RF

CUTIE X 2 SERINGI PREUMPLUTE X 0,8 ML SOL. INJ.

S/P-RF

4000ui anti-Xa/0,4ml
6000ui anti-Xa/0,6ml
8000ui anti-Xa/0,8ml

1432ui/0,25ml ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. X 5 SERINGI PREUMPLUTE UNIDOZA X 0,25ML
3436ui/0,6ml ABBOTT GMBH&CO.KG GERMANIA CUTIE X 1 BLIST X 5 SERINGI PREUMPLUTE UNIDOZA X 0,60 ML
3000ui/0,3ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,3 ML
40 000UI
JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 1 FLACON DIN STICLA X 1 ML
10000UI/1,0ml SANDOZ GMBH
AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ.

S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

1000UI/0,5ml SANDOZ GMBH


2000UI/1,0ml SANDOZ GMBH
30000UI/0,75ml SANDOZ GMBH
3000UI/0,3ml SANDOZ GMBH
40 000UI/ml JOHNSON & JOHNSON D.O.O.
40000 UI/1 ml SANDOZ GMBH
4000UI/0,4ml SANDOZ GMBH
5000UI/0,5ml SANDOZ GMBH

CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ.

S/P-RF/R

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

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE

S/P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

1000UI/0,3ml
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

SOL. INJ. IN SERINGA PREUMPLUTA

30000 UI/0,6ml ROCHE REGISTRATION LTD.

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA

CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ.

S/P-RF/R

CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ.

S/P-RF/R

CUTIE X 1 SERINGA PREUMPLUTA X 0,75ML SOL. INJ.

P-RF/R

CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ.

S/P-RF/R

SLOVENIA

CUTIE CU 1 SERINGA PREUMPLUTA X 1 ML SOL. INJ.

S/P-RF

AUSTRIA
AUSTRIA
AUSTRIA

CUTIE X 1 SERINGA PREUMPLUTA X 1ML SOL. INJ.

P-RF/R

CUTIE X 6 SERINGI PREUMPLUTE X 0,4ML SOL. INJ.

S/P-RF/R

MAREA BRITANIE

CUTIE X 1 SERINGA PRE-UMPLUTA X 0,6 ML + 1 AC

S/P-RF/R

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE

S/P-RF/R

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE

S/P-RF/R

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ. + 6 ACE

S/P-RF/R

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 1 FLAC. PULBERE + 1 SERINGA PREUMPLUTA X 2,5 ML SOLVENT + 2 ACE

S/P-RF

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 1 FLAC. PULBERE + 1 SERINGA PREUMPLUTA X 2,5 ML SOLVENT + 2 ACE

S/P-RF

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 1 FLAC. PULB. + 1 SERINGA PREUMPLUTA X 2,5 ML SOLVENT + 2 ACE

S/P-RF

SOL. INJ.

4000UI/0,3ml
5000UI/0,3ml
500UI/0,3ml
20mg
10mg
30mg
0,1mg/ml

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 5 FIOLE X 1 ML

S/P-RF

LIOF. PT. SOL. INJ.

FARA CONCENTRATIE

PFIZER EUROPE MA EEIG

LIOF. PT. SOL. INJ.

FARA CONCENTRATIE WYETH LEDERLE PHARMA GMBH

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

PULB. + SOLV. PT. SUSP. INJ. (I.M.) CU ELIB. PRELU

PULB.+SOLV.PT.SUSP. INJ. (I.M.) CU ELIB. PRELUNG.

PULB.+SOLV.PT.SUSP. INJ. (I.M.) CU ELIB. PRELUNG.

PULB. PT. SOL. INJ./PERF.


PULB. PT. SOL. INJ./PERF.

2g/0,25g
2g/0,25g

CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ.


AUSTRIA CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ.

MAREA BRITANIE

ROMANIA
ROMASTRU TRADING SRL ROMANIA
ROMASTRU TRADING SRL

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

Pagina 133 din 205

S/P-RF
S/P-RF

S
S

Grupa
Nr.
terape
crt
utica
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109

Denumire generica

J01CR05 PIPERACILLINUM + TAZOBACTAMUM


J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM

J01XA02
J01XX08
J01XX08
J01XX08
J02AB02
J02AB02
J02AB02
J02AB02
J02AB02
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01

TEICOPLANINUM
LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM
KETOCONAZOLUM
KETOCONAZOLUM
KETOCONAZOLUM
KETOCONAZOLUM
KETOCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM

Denumire comerciala

PERASIN 2g/0,25 g
TEBRANIC 2g/0,25 g

Forma
Concentrati
farmaceutic
e / U.T.
a

2g/0,25g
2g/0,25g
PIPERACILINA/TAZOBACTAN ACTAVIS 2 g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g
BACTACIN 2 g/0,25 g
PULB. PT. SOL. INJ./PERF. 2g/0,25g
PIPERACILINA/TAZOBACTAM MYLAN 2g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g
PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g
PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g
PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g
PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g
PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g
PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g
TEBRANIC 4 g/0,5 g
PULB. PT. SOL. INJ./PERF. 4g/0,5g
ZOPECILIN 4 g/0,5 g
PULB. PT. SOL. INJ./PERF. 4g/0,5g
ZOPECILIN 4 g/0,5 g
PULB. PT. SOL. INJ./PERF. 4g/0,5g
PIPERACILINA/TAZOBACTAN ACTAVIS 4 g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g
PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g
PERASIN 4g/0,5 g
PULB. PT. SOL. INJ./PERF. 4g/0,5g
BACTACIN 4 g/0,5 g
PULB. PT. SOL. INJ./PERF. 4g/0,5g
PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g
PULB. PT. SOL. INJ./PERF. 4g/0,5g
PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g
PULB. PT. SOL. INJ./PERF. 4g/0,5g
PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g
PULB. PT. SOL. INJ./PERF. 4g/0,5g
TARGOCID (R) 400 mg
LIOF. + SOLV. PT. SOL. INJ.
400mg
ZYVOXID (R)
COMPR. FILM. 600mg
ZYVOXID (R)
GRAN. PT. SUSP. ORALA 100mg/5ml
ZYVOXID (R)
SOL. PERF. 2mg/ml
KETOCONAZOL ARENA 200 mg COMPR.
200mg
KETOCONAZOL 200 mg
COMPR.
200mg
KETOCONAZOL 200 mg
COMPR.
200mg
NIZORAL 200 mg
COMPR.
200mg
KETOSTIN 200 mg
COMPR.
200mg
FLUCORIC 100 mg
CAPS.
100mg
FLUCOVIM 100
CAPS.
100mg
DIFLAZON 100 mg
CAPS.
100mg
FUNGOLON 100 mg
CAPS.
100mg
FLUCONAZOLE TEVA 100 mg CAPS.
100mg
FLUCONAZOLE TEVA 100 mg CAPS.
100mg
FLUCONAZOL ROMPHARM 150 mg CAPS.
150mg
FLUCONAZOL LPH 150 mg CAPS.
150mg
FLUCONAZOL ARENA 150 MG CAPS.
150mg
FLUCONAZOL MEDOCHEMIE 150 mg CAPS.
150mg
FLUCONAZOL BIOGALENICA 150 mg CAPS.
150mg
FLUCONAZOL OZONE 150 mg CAPS.
150mg
MYCOSYST 150 mg
CAPS.
150mg
MYCOSYST 150 mg
CAPS.
150mg
FLUCORIC 150 mg
CAPS.
150mg
DIFLUCAN 150 mg
CAPS.
150mg
FLUCOVIM 150
CAPS.
150mg
DIFLAZON 150 mg
CAPS.
150mg
FLUCONAZOL ACTAVIS 150 mg CAPS.
150mg
FLUCONAZOL SANDOZ (R) 150 CAPS.
150mg
FLUCONAZOL 150 mg
CAPS.
150mg
FLUCONAZOL MEDICO UNO 150 mg CAPS.
150mg
MYCOMAX 150
CAPS.
150mg
FLUCONAZOLE TEVA 150 mg CAPS.
150mg
FLUCONAZOL 150 mg
CAPS.
150mg
FLUCONAZOLE TEVA 200 mg CAPS.
200mg
FLUCONAZOL LPH 50 mg
CAPS.
50mg
FLUCOVIM 50
CAPS.
50mg
FLUCONAZOL ARENA 50 MG CAPS.
50mg
FLUCONAZOL OZONE 50 mg CAPS.
50mg
PULB. PT. SOL. INJ./PERF.
PULB. PT. SOL. INJ./PERF.

Tara

Firma

ANTIBIOTICE S.A.
ROMANIA
ASTRA ZENECA AB SUEDIA
ACTAVIS GROUP PTC EHF. ISLANDA
TERAPIA SA
ROMANIA
MYLAN S.A.S.
FRANTA

Ambalaj

Prescriptie

S.C. FRESENIUS KABI S.R.L.

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S

AVENTIS PHARMA LTD.

MAREA BRITANIE

CUTIE X 1 FLAC. LIOF. + O FIOLA SOLV.

P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 1 FLAC. X 10 COMPR. FILM.

P-RF

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

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 10 PUNGI X 300 ML

CUTIE X 1 BLIST. AL/PVC X 10 COMPR.


CUTIE X 1 BLIST. AL/PVC X 10 COMPR.

P-RF

CUTIE X 1 BLIST. X 10 COMPR.


CUTIE X 1 BLIST. X 10 COMPR.

P-RF

CUTIE X 1 BLIST. AL/PVC X 10 COMPR.

P-RF

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

P-RF

CUTIE X 1 BLIST. X 4 CAPS.


SLOVENIA CUTIE X 4 BLIST. X 7 CAPS.
BULGARIA CUTIE X 2 BLIST. PVC/AL X 8 CAPS.

P-RF

S.C. FRESENIUS KABI S.R.L.


S.C. FRESENIUS KABI S.R.L.
S.C. FRESENIUS KABI S.R.L.
S.C. FRESENIUS KABI S.R.L.
S.C. FRESENIUS KABI S.R.L.
S.C. FRESENIUS KABI S.R.L.

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

ASTRA ZENECA AB SUEDIA


ROMANIA
ROMASTRU TRADING SRL ROMANIA
ROMASTRU TRADING SRL

ACTAVIS GROUP PTC EHF.

MYLAN S.A.S.
ANTIBIOTICE S.A.
TERAPIA SA
S.C. FRESENIUS KABI S.R.L.
S.C. FRESENIUS KABI S.R.L.

ISLANDA
FRANTA

ARENA GROUP SA
SLAVIA PHARM SRL
MAGISTRA C & C
TERAPIA SA
AC HELCOR SRL
TERAPIA SA

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
VIM SPECTRUM SRL ROMANIA

KRKA D.D.
BALKANPHARMA RAZGRAD AD

ROMANIA
TEVA PHARMACEUTICALS S.R.L. ROMANIA
ROMPHARM COMPANY S.R.L. ROMANIA
LABORMED PHARMA S.A. ROMANIA
ARENA GROUP SA ROMANIA
MEDOCHEMIE ROMANIA SRL ROMANIA
LABORATOARELE PROF.DR.MORAIT S.R.L.
ROMANIA
OZONE LABORATORIES PHARMA S.A.
ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
TERAPIA SA
ROMANIA
TEVA PHARMACEUTICALS S.R.L.

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.


CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CU PULB. PT. SOL. INJ./PERF.


CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.


CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.


CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. INJ./PERF.
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 50 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE X 1 FLAC DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

P-RF

P-RF

P-RF
P-RF

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.


CUTIE X 1 BLIST. PVC-PVDC/AL X 2 CAPS.

P-RF

CUTIE CU 1 BLIST. PVC/AL X 1 CAPS.


CUTIE CU 1 BLIST. PVC/AL X 1 CAPS.
CUTIE X 1 BLIST. AL/PVC X 1 CAPS.
CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

PRF

P-RF

PRF
P-RF
P-RF

CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.


CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.

P-RF

CUTIE X 4 BLIST. AL/PVC X 1 CAPS.


CUTIE X 2 BLIST. AL/PVC X 1 CAPS.

P-RF

CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS.

P-RF

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.


VIM SPECTRUM SRL ROMANIA CUTIE X 1 FLAC. X 1 CAPS.
KRKA D.D.
SLOVENIA CUTIE X 1 BLIST. X 1 CAPS.
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 BLIST. PVC-PVDC/AL X 1 CAPS.
SANDOZ SRL
GERMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P-RF

ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.


ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA

P-RF

MEDICO UNO PHARMACEUTICAL SRL

ZENTIVA K.S.

CEHIA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P-RF

TEVA PHARMACEUTICALS S.R.L.

PFIZER EUROPE MA EEIG

OZONE LABORATORIES PHARMA S.A.

MAREA BRITANIE

P-RF

P-RF

P-RF
P-RF

PRF
P-RF

P-RF

ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.

P-RF

SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P-RF

ROMANIA
LABORMED PHARMA S.A. ROMANIA
VIM SPECTRUM SRL ROMANIA
ARENA GROUP SA ROMANIA
OZONE LABORATORIES PHARMA S.A.
ROMANIA

P-RF

TEVA PHARMACEUTICALS S.R.L.

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

CUTIE CU 1 BLIST. PVC/AL X 7 CAPS.

PRF

CUTIE X 1 BLIST. X 7 CAPS.


CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P-RF

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

P-RF

Pagina 134 din 205

P-RF

cant/
amba
laj

1
12
12
1
1
10
5
1
10
5
1
12
12
1
12
1
1
1
5
1
10
1
10
1
10
10
10
10
10
10
7
4
28
16
7
2
1
1
1
1
1
1
4
2
1
1
1
1
1
1
1
1
1
1
1
7
7
7
7
7

Pret cu
ridicata
maximal /
ambalaj

22.65
232.62
262.17
22.65
22.65
382.38
193.81
40.18
193.81
98.66
20.09
455.79
455.75
40.44
455.75
40.46
40.44
40.44
195.13
40.44
384.80
116.78
1,584.80
869.39
1,584.80
6.70
5.03
5.87
14.97
9.23
32.76
18.72
191.37
64.60
23.04
6.90
9.46
7.27
6.60
5.99
4.82
7.27
47.68
23.84
13.79
18.34
7.27
16.46
7.35
10.66
7.27
6.60
9.15
4.82
7.08
29.74
16.50
16.50
13.98
16.50

Pret cu ridicata
maximal / U.T.

22.650000
19.385000
21.847500
22.650000
22.650000
38.238000
38.762000
40.180000
19.381000
19.732000
20.090000
37.982500
37.979166
40.440000
37.979166
40.460000
40.440000
40.440000
39.026000
40.440000
38.480000
116.780000
158.480000
869.390000
158.480000
0.670000
0.503000
0.587000
1.497000
0.923000
4.680000
4.680000
6.834642
4.037500
3.291428
3.450000
9.460000
7.270000
6.600000
5.990000
4.820000
7.270000
11.920000
11.920000
13.790000
18.340000
7.270000
16.460000
7.350000
10.660000
7.270000
6.600000
9.150000
4.820000
7.080000
4.248571
2.357142
2.357142
1.997142
2.357142

Pret cu ridicata
maximal de
decontare / U.T.

22.650000
19.385000
21.847500
22.650000
22.650000
23.257200
23.257200
23.257200
19.381000
19.732000
20.090000
37.982500
37.979166
40.440000
37.979166
40.460000
40.440000
40.440000
39.026000
40.440000
38.480000
116.780000
158.480000
869.390000
158.480000
0.603600
0.503000
0.587000
0.603600
0.603600
3.949714
3.949714
3.949714
3.949714
3.291428
3.450000
5.784000
5.784000
5.784000
5.784000
4.820000
5.784000
5.784000
5.784000
5.784000
5.784000
5.784000
5.784000
5.784000
5.784000
5.784000
5.784000
5.784000
4.820000
5.784000
4.248571
1.976570
1.976570
1.976570
1.976570

Pret cu
amanuntul
maximal /
ambalaj

30.62
283.98
320.06
30.62
30.62
454.94
236.60
52.55
236.60
124.75
27.15
534.96
534.92
52.90
534.92
52.92
52.90
52.90
238.21
52.90
457.58
142.56
1,765.58
985.79
1,765.58
9.06
6.80
7.94
20.23
12.47
42.85
25.30
233.63
81.68
31.14
9.32
12.79
9.82
8.92
8.10
6.52
9.82
62.36
32.22
18.64
24.79
9.82
22.25
9.94
14.41
9.82
8.92
12.37
6.52
9.57
38.90
22.30
22.30
18.89
22.30

Pret cu
amanuntul
maximal / U.T.

30.620000
23.665000
26.671666
30.620000
30.620000
45.494000
47.320000
52.550000
23.660000
24.950000
27.150000
44.580000
44.576666
52.900000
44.576666
52.920000
52.900000
52.900000
47.642000
52.900000
45.758000
142.560000
176.558000
985.790000
176.558000
0.906000
0.680000
0.794000
2.023000
1.247000
6.121428
6.325000
8.343928
5.105000
4.448571
4.660000
12.790000
9.820000
8.920000
8.100000
6.520000
9.820000
15.590000
16.110000
18.640000
24.790000
9.820000
22.250000
9.940000
14.410000
9.820000
8.920000
12.370000
6.520000
9.570000
5.557142
3.185714
3.185714
2.698571
3.185714

Grupa
Nr.
terape
crt
utica
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169

Denumire generica

J05AB14

FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
CASPOFUNGINUM**
CASPOFUNGINUM**
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
VALACYCLOVIRUM
VALGANCICLOVIRUM**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC02
J02AC02
J02AC02
J02AC02
J02AC02
J02AC02
J02AC02
J02AC03
J02AC03
J02AC03
J02AC03

J02AX04
J02AX04
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB11

Denumire comerciala

Forma
Concentrati
farmaceutic
e / U.T.
a

FLUCONAZOL SANDOZ (R) 50 CAPS.

FLUCORIC 50 mg
DIFLUCAN 50 mg
DIFLAZON 50 mg
FLUCONAZOL 50 mg
FUNGOLON 50 mg

CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
FLUCONAZOL BIOGALENICA 50 mg CAPS.
FLUCONAZOL MEDOCHEMIE 50 mg CAPS.
FLUCONAZOLE TEVA 50 mg CAPS.
FLUCONAZOL 50 mg
CAPS.
DIFLUCAN (R) 50 mg/5 ml
PULB. PT. SUSP. ORALA
FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
FLUCONAZOL BIOGALENICA 2mg/ml SOL. PERF.
FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF.
FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF.
FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF.
FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
DIFLUCAN (R)
SOL. PERF.
DIFLUCAN (R)
SOL. PERF.
MYCOMAX INF 2mg/ml
SOL. PERF.
MYCOMAX INF 2mg/ml
SOL. PERF.
MYCOMAX INF 2mg/ml
SOL. PERF.
DIFLAZON 2mg/ml
SOL. PERF.
SPORILIN 100 mg
CAPS.
OMICRAL 100 mg
CAPS.
ITRACONAZOL 100 mg
CAPS.
MICOGAL 100 mg
CAPS.
ITRACONAZOL LPH 100 mg CAPS.
ITRACONAZOL 100 mg
CAPS.
ORUNGAL
CAPS.
VFEND 200mg
COMPR. FILM.
VFEND 50mg
COMPR. FILM.
VFEND 200mg
PULB. PT. SOL. PERF.
VFEND 40 mg/ml
PULB. PT. SUSP. ORALA
CANCIDAS 50 mg
CANCIDAS 70 mg
ACICLOVIR ARENA 200 mg CAPS.
ACICLOVIR 200 mg
CAPS.
ACICLOVIR ARENA 200 mg CAPS.
ACICLOVIR ARENA 400 mg CAPS.
CLOVIRAL 200 mg
COMPR.
ACICLOVIR TERAPIA 200 mg COMPR.
ACICLOVIR 200 mg
COMPR.
ACICLOVIR 200 mg
COMPR.
ACICLOVIR 200 mg
COMPR.
ACICLOVIR 400 mg
COMPR.
VIROLEX
PULB. PT. SOL. INJ./PERF.
VALTREX 500 mg
COMPR. FILM.
VALCYTE (R) 450 mg
COMPR. FILM.
HUMAGLOBIN
PULB.+SOLV. PT. SOL. PERF.
PULB. PT. CONC. PT. SOL. PERF.
PULB. PT. CONC. PT. SOL. PERF.

50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg/5ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
100mg
100mg
100mg
100mg
100mg
100mg
100mg
200mg
50mg
200mg
40mg/ml
50mg
70mg
200mg
200mg
200mg
400mg
200mg
200mg
200mg
200mg
200mg
400mg
250mg
500mg
450mg
5%

Tara

Firma

Ambalaj

Prescriptie

SANDOZ SRL
TERAPIA SA

ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS.


ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS.

P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P-RF

KRKA D.D.
ANTIBIOTICE S.A.

SLOVENIA CUTIE X 1 BLIST. X 7 CAPS.

P-RF

ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS.

P-RF

BALKANPHARMA RAZGRAD AD

BULGARIA CUTIE X 1 BLIST. PVC/AL X 8 CAPS.


ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

P-RF

MEDOCHEMIE ROMANIA SRL

ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS.


ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.
SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P-RF

TEVA PHARMACEUTICALS S.R.L.

P-RF

PFIZER EUROPE MA EEIG

P-RF

LABORATOARELE PROF.DR.MORAIT S.R.L.

MAREA BRITANIE

P-RF

7
7
7
7
10
8
7
7
7
7
1
10
10
1
25
20
1
10
20
10
20
20
10
1
10
1
25
1
1
1
1
1
1
15
15
15
15
15
15
15
28
28
1
1
1
1
20
20

CUTIE X 100 BLIST. AL/PVC X 10 CAPS.

P-RF/S

1,000

CUTIE X 1 BLIST. AL/PVC X 10 CAPS.

P-RF

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-RF

CUTIE X 1 FLAC. PEID PULB. PT. 35 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 5 ML

B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. PEJD X 50 ML SOL. PERF.

ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF.


FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF.
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 25 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF.
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF.
ARENA GROUP S.A. ROMANIA CUTIE X 1 FLAC. X 100 ML SOL. PERF.
FRESENIUS KABI ROMANIA SRL

B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. PEJD X 200 ML SOL. PERF.


B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FLAC. PEJD X 100 ML SOL. PERF.
B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. PEJD X 100 ML SOL. PERF.
B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FLAC. PEJD X 50 ML SOL. PERF.

FRESENIUS KABI ROMANIA SRL

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

PFIZER EUROPE MA EEIG

MAREA BRITANIE

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 1 FLACON X 50 ML
CUTIE X 1 FLACON X 200 ML

REPUBLICA CEHA

CUTIE CU 1 FLACON DIN STICLA INCOLORA A 100 ML SOL. PERF. X 200 MG FLUCONAZOL

REPUBLICA CEHA

CUTIE CU 1 FLACON DIN STICLA INCOLORA A 200 ML SOL. PERF. X 400 MG FLUCONAZOL

REPUBLICA CEHA

CUTIE CU 1 FLACON DIN STICLA INCOLORA A 50 ML SOL. PERF. X 100 MG FLUCONAZOL

FRESENIUS KABI ROMANIA SRL


FRESENIUS KABI ROMANIA SRL
FRESENIUS KABI ROMANIA SRL
FRESENIUS KABI ROMANIA SRL
FRESENIUS KABI ROMANIA SRL

ZENTIVA K.S.
ZENTIVA K.S.
ZENTIVA K.S.

CUTIE CU 20 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.


CUTIE CU 10 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.

CUTIE CU 1 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.


CUTIE CU 10 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF.

CUTIE CU 1 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF.


CUTIE CU 25 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML

JANSSEN PHARMACEUTICA N.V.

PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED

P-RF

P-RF

S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S/P-RF
S/P-RF

S
S
S
S/PR-F

P-RF

BELGIA

CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 5 CAPS.

P-RF

MAREA BRITANIE

P-RF

MAREA BRITANIE

CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL)


CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL)

MAREA BRITANIE

CUTIE X 1 FLAC. UNIDOZA X 30ML

P-RF

MAREA BRITANIE

CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA

MERCK SHARP & DOHME

MAREA BRITANIE

CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF.

MERCK SHARP & DOHME

MAREA BRITANIE

CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF.

ARENA GROUP SA
SLAVIA PHARM SRL
ARENA GROUP SA
ARENA GROUP S.A.
ANTIBIOTICE SA
TERAPIA SA

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
EGIS PHARMACEUTICALS P.L.C. UNGARIA
GEDEON RICHTER ROMANIA SA ROMANIA
LAROPHARM S.R.L. ROMANIA
EGIS PHARMACEUTICALS P.L.C. UNGARIA

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.


CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P-RF
P-RF
P-RF
P-RF

P-RF

P-RF

S
S
P-RF

P-RF

CUTIE X 2 BLIST. AL./PVC X 10 COMPR.

P-RF

CUTIE X 2 BLIST. X 10 COMPR.

P-RF

CUTIE X 2 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF


S/P-RF

CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF

ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. X 60 COMPR. FILM.

UNGARIA

P-RF

CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 5 FLAC. X 250 MG PULB. PT. SOL. INJ./PERF.
THE WELLCOME FOUNDATION LTD. MAREA BRITANIE

HUMAN BIOPLAZMA MANUFACTURING AND TRADING LTD.

P-RF

CUTIE X 3 BLIST. AL/AL X 5 CAPS.


CUTIE X 3 BLIST. AL/AL X 5 CAPS.
CUTIE X 3 BLIST. AL/PVC X 5 CAPS.
CUTIE X 3 BLIST. PVC/AL X 5 CAPS.
CUTIE X 3 BLIST. PVC/AL X 5 CAPS.
CUTIE X 3 BLIST. AL/PVC X 5 CAPS.

ROMANIA
MEDICO UNO PHARMACEUTICAL SRL
ROMANIA
ARENA GROUP S.A. ROMANIA
ROMPHARM COMPANY SRL ROMANIA
LABORMED PHARMA S.A. ROMANIA
SLAVIA PHARM SRL ROMANIA
GEDEON RICHTER ROMANIA SA

cant/
amba
laj

CUTIE X 1 CUTIE X 1 FLAC. CU PULB. + 1 CUTIE X 1 FLAC. SOLV. X 100 ML

Pagina 135 din 205

P-RF

10
20
20
20
20
20
10
5
10
60
1

Pret cu
ridicata
maximal /
ambalaj

31.68
21.65
42.71
46.63
18.66
13.92
11.53
11.81
12.20
14.32
42.71
180.75
753.13
80.99
772.93
624.35
40.15
761.97
787.39
449.60
358.65
356.89
179.79
18.63
326.90
33.88
438.62
30.62
131.62
42.16
135.83
30.18
34.63
39.72
39.72
39.72
39.71
39.72
39.72
60.12
3,517.81
901.74
453.05
2,178.01
1,188.63
1,542.18
15.66
14.80
696.23
14.23
12.02
12.54
10.09
12.60
9.51
14.06
229.07
78.65
4,806.36
872.00

Pret cu ridicata
maximal / U.T.

4.525714
3.092857
6.101428
6.661428
1.866000
1.740000
1.647142
1.687142
1.742857
2.045714
42.710000
18.075000
75.313000
80.990000
30.917200
31.217500
40.150000
76.197000
39.369500
44.960000
17.932500
17.844500
17.979000
18.630000
32.690000
33.880000
17.544800
30.620000
131.620000
42.160000
135.830000
30.180000
34.630000
2.648000
2.648000
2.648000
2.647333
2.648000
2.648000
4.008000
125.636071
32.205000
453.050000
2,178.010000
1,188.630000
1,542.180000
0.783000
0.740000
0.696230
1.423000
0.601000
0.627000
0.504500
0.630000
0.475500
1.406000
45.814000
7.865000
80.106000
872.000000

Pret cu ridicata
maximal de
decontare / U.T.

1.976570
1.976570
1.976570
1.976570
1.866000
1.740000
1.647142
1.687142
1.742857
1.976570
42.710000
18.075000
75.313000
80.990000
30.917200
31.217500
37.100640
76.197000
37.100640
37.100640
17.932500
17.844500
17.979000
18.630000
32.690000
33.880000
17.544800
21.053760
90.375600
37.100640
90.375600
21.053760
34.630000
2.648000
2.648000
2.648000
2.647333
2.648000
2.648000
3.176800
125.636071
32.205000
453.050000
2,178.010000
1,188.630000
1,542.180000
0.570600
0.570600
0.570600
1.423000
0.570600
0.570600
0.504500
0.570600
0.475500
1.406000
45.814000
7.865000
80.106000
872.000000

Pret cu
amanuntul
maximal /
ambalaj

41.44
29.26
55.87
60.99
25.22
18.81
15.58
15.96
16.49
19.35
55.87
220.66
859.06
102.40
880.65
718.69
52.52
868.70
896.41
528.22
429.08
427.16
219.49
25.18
394.47
44.32
516.25
40.05
160.68
55.14
165.82
39.48
45.29
51.95
51.95
51.95
51.94
51.95
51.95
76.02
3,872.57
1,021.05
531.97
2,412.18
1,333.76
1,719.13
21.17
20.00
797.04
19.24
16.24
16.95
13.64
17.03
12.85
19.00
279.65
99.45
5,277.09
988.63

Pret cu
amanuntul
maximal / U.T.

5.920000
4.180000
7.981428
8.712857
2.522000
2.351250
2.225714
2.280000
2.355714
2.764285
55.870000
22.066000
85.906000
102.400000
35.226000
35.934500
52.520000
86.870000
44.820500
52.822000
21.454000
21.358000
21.949000
25.180000
39.447000
44.320000
20.650000
40.050000
160.680000
55.140000
165.820000
39.480000
45.290000
3.463333
3.463333
3.463333
3.462666
3.463333
3.463333
5.068000
138.306071
36.466071
531.970000
2,412.180000
1,333.760000
1,719.130000
1.058500
1.000000
0.797040
1.924000
0.812000
0.847500
0.682000
0.851500
0.642500
1.900000
55.930000
9.945000
87.951500
988.630000

Grupa
Nr.
terape
crt
utica
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229

Denumire generica

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

L01AA01

CYCLOPHOSPHAMIDUM
CYCLOPHOSPHAMIDUM
FILGRASTIMUM (G-CSF)
FILGRASTIMUM (G-CSF)
FILGRASTIMUM (G-CSF)
FILGRASTIMUM (G-CSF)
FILGRASTIMUM (G-CSF)
FILGRASTIMUM (G-CSF)
FILGRASTIMUM (G-CSF)
FILGRASTIMUM (G-CSF)
FILGRASTIMUM (G-CSF)
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**

L01AA01
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA10
L04AC02
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01

Denumire comerciala

HUMAGLOBIN
OCTAGAM 10%
OCTAGAM 10%
OCTAGAM 10%
OCTAGAM 10%
PRIVIGEN 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
PRIVIGEN 100mg/ml
PRIVIGEN 100mg/ml
PRIVIGEN 100mg/ml
IG VENA 10g/200ml
IG VENA 1g/20ml
IG VENA 2,5g/50ml
FLEBOGAMMA 5%
FLEBOGAMMA 5%
FLEBOGAMMA 5%
FLEBOGAMMA 5%
OCTAGAM
OCTAGAM
OCTAGAM
IG VENA 5g/100ml
ENDOXAN (R) 50 mg
ENDOXAN 200 mg
NEUPOGEN (R)
NEUPOGEN (R)
ZARZIO 30MU/0,5ml
ZARZIO 48MU/0,5ml
NIVESTIM 12 MU/0,2ml
TEVAGRASTIM 30MUI/0,5ml
NIVESTIM 30 MU/0,5 ml
TEVAGRASTIM 48MUI/0,8ml
NIVESTIM 48 MU/0,5 ml
CELLCEPT 250mg
CELLCEPT 500mg
MYCOPHENOLATE MOFETIL MEDICO UNO 500 MG

MYFORTIC 180 mg
MYFORTIC 360 mg

MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL DR. REDDY'S 250 mg


MYCOPHENOLATUM MOFETILUM** MYFENAX 250mg
MYCOPHENOLATUM MOFETILUM** MYCOPHENOLATE MOFETIL ACCORD 250 mg
MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL SANDOZ 500 mg
MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL TERAPIA 500 mg
MYCOPHENOLATUM MOFETILUM** ARZIP 500 mg
MYCOPHENOLATUM MOFETILUM** MYCOFENOLAT MOFETIL ACTAVIS 500 mg
MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL DR. REDDY'S 500 mg
MYCOPHENOLATUM MOFETILUM** MYFENAX 500mg

SIROLIMUS**
BASILIXIMABUM**
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM

RAPAMUNE 1mg
SIMULECT 20 mg
EQUORAL (R) 100 mg
SANDIMMUN NEORAL (R)
EQUORAL (R) 25 mg
CICLORAL 25 mg
SANDIMMUN NEORAL (R)
EQUORAL (R) 50 mg
CICLORAL 50 mg

Forma
Concentrati
farmaceutic
e / U.T.
a
PULB.+SOLV. PT. SOL. PERF.

SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
DRAJ.
PULB. PT. SOL. PERF./INJ. I.V.

SOL. INJ.
SOL. INJ.
SOL. INJ. /PERF. IN SERINGA PREUMPLUTA

SOL. INJ. /PERF. IN SERINGA PREUMPLUTA

SOL. INJ./PERF.

5%
100 mg/ml
100 mg/ml
100 mg/ml
100 mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
10g/200ml
1g/20ml
2,5g/50ml
5%
5%
5%
5%
50mg/ml
50mg/ml
50mg/ml
5g/100ml
50mg
200mg
30MU/0,5ml
48MU/0,5ml
60MU/ml
96MU/ml
120g/0,2ml

Tara

Firma

HUMAN BIOPLAZMA MANUFACTURING AND TRADING LTD.

UNGARIA

CUTIE X 1 CUTIE X 1 FLAC. CU PULB. + 1 CUTIE X 1 FLAC. SOLV. X 50 ML

OCTAPHARMA (IP) LIMITED

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL. PERF.

OCTAPHARMA (IP) LIMITED

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF.

OCTAPHARMA (IP) LIMITED

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL. PERF.

OCTAPHARMA (IP) LIMITED

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 20 ML SOL. PERF.

CSL BEHRING GMBH GERMANIA


BAXTER AG
AUSTRIA
BAXTER AG
AUSTRIA
BAXTER AG
AUSTRIA
BAXTER AG
AUSTRIA
BAXTER AG
AUSTRIA
BAXTER AG
AUSTRIA
CSL BEHRING GMBH GERMANIA
CSL BEHRING GMBH GERMANIA
CSL BEHRING GMBH GERMANIA

KEDRION SPA
KEDRION SPA
KEDRION SPA
INSTITUTO GRIFOLS S.A.
INSTITUTO GRIFOLS S.A.
INSTITUTO GRIFOLS S.A.
INSTITUTO GRIFOLS S.A.

OCTAPHARMA (IP) LTD.


OCTAPHARMA (IP) LTD.
OCTAPHARMA (IP) LTD.

KEDRION SPA

ITALIA
ITALIA
ITALIA
SPANIA
SPANIA
SPANIA
SPANIA

CAPS.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM. GASTROREZ.
COMPR. FILM. GASTROREZ.

CAPS.
CAPS.
CAPS.
COMPR.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

DRAJ.
LIOF. + SOLV. PT. SOL. INJ./PERF.

CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI

CUTIE X 1 FLAC X 200ML SOL. PERF.(20G/200ML)

CUTIE X 1 FLAC X 10ML SOL. PERF.(1G/10ML)


CUTIE X 1 FLAC X 25ML SOL. PERF.(2,5G/25ML)

CUTIE X 1 FLAC.X 200 ML SOL. PERF.


CUTIE X 1 FLAC.X 100 ML SOL. PERF.
CUTIE X 1 FLAC.X 50 ML SOL. PERF.
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL. PERF. + 1 SET ADMINISTRARE

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 20 ML SOL. PERF. + 1 SET ADMINISTRARE


CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL. PERF. + 1 SET ADMINISTRARE

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL.PERF.


CUTIE X 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL.PERF.
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL.PERF.

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10 ML SOL.PERF.

ITALIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. + 1 SET ADMINISTRARE

Prescriptie

S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S

BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ. P-RF

ACTAVIS S.R.L.

ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. PERF./INJ S

AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML


AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML

S/P-RF
S/P-RF

SANDOZ GMBH
SANDOZ GMBH

AUSTRIA
AUSTRIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL

P-RF/R

CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL

P-RF/R

HOSPIRA UK LIMITED

MAREA BRITANIE

CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,2ML SOL. INJ. SAU PERF.

P-RF

CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF.

S/P-RF/R

300g/0,5ml HOSPIRA UK LIMITED


480g/0,5ml
250mg
500mg
500mg
180mg
360mg
250 mg
250mg
250mg
500mg
500 mg
500mg
500mg
500mg
500mg
1mg
20mg
100mg
25mg
25mg
25mg
50mg
50mg
50mg

CUTIE X 1 FLAC X 50ML SOL. PERF.(5G/50ML)


CUTIE X 1 FLAC X 300ML SOL. PERF.(30G/300ML)

MAREA BRITANIE

MAREA BRITANIE

MAREA BRITANIE

SOL. INJ./PERF. 480mcg/0,8ml TEVA GENERICS GMBH GERMANIA


SOL. INJ./PERF.

CUTIE X 1 FLAC.X 25 ML SOL. PERF.


CUTIE X 1 FLAC X 100ML SOL. PERF.(10G/100ML)

CUTIE X 1 FLACON X 100 ML


CUTIE X 1 FLACON X 200 ML
CUTIE X 1 FLACON X 50 ML

MAREA BRITANIE

SOL. INJ./PERF. 300mcg/0,5ml TEVA GENERICS GMBH GERMANIA


SOL. INJ./PERF.

Ambalaj

CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF.

P-RF

CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF.

S/P-RF/R

HOSPIRA UK LIMITED

MAREA BRITANIE

CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF.

P-RF

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 10 BLIST. X 10 CAPS.

P-RF/R

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 5 BLIST. X 10 COMPR. FILM.

P-RF/R

MEDICO UNO PHARMA KFT.

UNGARIA

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

P-RF/R

NOVARTIS PHARMA GMBH GERMANIA

CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ.

S/P-RF

NOVARTIS PHARMA GMBH GERMANIA

CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ.

S/P-RF

DR. REDDY'S LABORATORIES

ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 100 CAPS. PR

TEVA PHARMA BV

OLANDA CUTIE X BLIST. PVC/PVDC/AL X 100 CAPS.

P-RF/R

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

CUTIE CU BLIST. PVC-PVDC/AL CU 100 CAPS.

P-RF/R

SANDOZ S.R.L.
TERAPIA S.A.
ZENTIVA K.S.

CUTIE CU BLIST. PVC-PE-PVDC/AL X 50 COMPR. FILM.

P-RF

CUTIE CU 1 BLIST. DIN AL-PA-PVC/AL X 50 COMPR. FILM.

REPUBLICA SLOVACA

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

PR
PR
P-RF/R

ROMANIA
ROMANIA

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

DR. REDDY'S LABORATORIES

ROMANIA

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

P-RF

TEVA PHARMA BV

OLANDA

CUTIE X BLIST. PVC/PVDC/AL X 50 COMPR. FILM.

P-RF/R
P-RF/R

WYETH EUROPA LTD.

MAREA BRITANIE

CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR)

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 1 FLAC. CU LIOF.+ 1 FIOLA SOLV. APA PT. PREP. INJ.

IVAX - PHARMACEUTICALS S.R.O.

CEHIA

CUTIE X 5 BLIST. X 10 CAPS. MOI


CUTIE X 10 BLIST. X 5 CAPS. MOI
CUTIE X 5 BLIST. X 10 CAPS. MOI

NOVARTIS PHARMA GMBH GERMANIA


IVAX - PHARMACEUTICALS S.R.O.

CEHIA

HEXAL AG

GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 10 BLIST. X 5 CAPS. MOI


CUTIE X 5 BLIST. X 10 CAPS. MOI

IVAX - PHARMACEUTICALS S.R.O.

CEHIA

HEXAL AG

GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI

Pagina 136 din 205

S
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF

cant/
amba
laj

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
50
1
1
1
1
1
5
1
5
1
5
100
50
50
120
120
100
100
100
50
50
50
50
50
50
30
1
50
50
50
50
50
50
50

Pret cu
ridicata
maximal /
ambalaj

451.00
6,114.44
3,072.10
1,550.55
663.61
460.47
1,749.51
889.76
7,459.41
3,469.04
188.56
459.88
3,473.78
1,751.89
890.95
2,050.80
222.29
535.20
472.05
1,798.20
914.10
99.02
1,166.70
2,261.30
640.45
1,040.40
19.10
11.62
263.92
431.80
160.19
257.85
413.89
211.64
989.71
352.07
1,637.21
447.90
447.90
289.44
551.46
1,030.04
288.20
298.76
289.44
224.51
298.80
269.39
269.39
298.76
298.76
483.90
4,217.73
393.08
111.16
73.58
111.30
236.51
153.73
247.07

Pret cu ridicata
maximal / U.T.

451.000000
6,114.440000
3,072.100000
1,550.550000
663.610000
460.470000
1,749.510000
889.760000
7,459.410000
3,469.040000
188.560000
459.880000
3,473.780000
1,751.890000
890.950000
2,050.800000
222.290000
535.200000
472.050000
1,798.200000
914.100000
99.020000
1,166.700000
2,261.300000
640.450000
1,040.400000
0.382000
11.620000
263.920000
431.800000
160.190000
257.850000
82.778000
211.640000
197.942000
352.070000
327.442000
4.479000
8.958000
5.788800
4.595500
8.583666
2.882000
2.987600
2.894400
4.490200
5.976000
5.387800
5.387800
5.975200
5.975200
16.130000
4,217.730000
7.861600
2.223200
1.471600
2.226000
4.730200
3.074600
4.941400

Pret cu ridicata
maximal de
decontare / U.T.

451.000000
6,114.440000
3,072.100000
1,550.550000
663.610000
460.470000
1,749.510000
889.760000
7,459.410000
3,469.040000
188.560000
459.880000
3,473.780000
1,751.890000
890.950000
2,050.800000
222.290000
535.200000
472.050000
1,798.200000
914.100000
99.020000
1,166.700000
2,261.300000
640.450000
1,040.400000
0.382000
11.620000
192.228000
309.420000
160.190000
257.850000
82.778000
192.228000
192.228000
309.420000
309.420000
3.458400
5.388240
5.388240
4.595500
8.583666
2.882000
2.987600
2.894400
4.490200
5.388240
5.387800
5.387800
5.388240
5.388240
16.130000
4,217.730000
7.861600
1.765920
1.471600
1.765920
3.689520
3.074600
3.689520

Pret cu
amanuntul
maximal /
ambalaj

529.74
6,702.89
3,386.74
1,728.25
761.48
540.07
1,945.12
1,007.99
8,168.91
3,819.40
230.20
539.42
3,824.57
1,947.71
1,009.28
2,273.52
271.37
621.52
552.68
1,998.19
1,034.52
125.20
1,309.85
2,502.97
736.24
1,172.19
25.82
15.70
322.20
508.81
195.56
314.78
489.29
258.37
1,116.94
421.91
1,822.71
526.36
526.36
353.35
639.24
1,160.90
351.83
364.73
353.35
274.08
364.78
328.87
328.87
364.73
364.73
565.60
4,635.48
466.61
135.71
93.03
135.87
288.73
187.67
301.62

Pret cu
amanuntul
maximal / U.T.

529.740000
6,702.890000
3,386.740000
1,728.250000
761.480000
540.070000
1,945.120000
1,007.990000
8,168.910000
3,819.400000
230.200000
539.420000
3,824.570000
1,947.710000
1,009.280000
2,273.520000
271.370000
621.520000
552.680000
1,998.190000
1,034.520000
125.200000
1,309.850000
2,502.970000
736.240000
1,172.190000
0.516400
15.700000
322.200000
508.810000
195.560000
314.780000
97.858000
258.370000
223.388000
421.910000
364.542000
5.263600
10.527200
7.067000
5.327000
9.674166
3.518300
3.647300
3.533500
5.481600
7.295600
6.577400
6.577400
7.294600
7.294600
18.853333
4,635.480000
9.332200
2.714200
1.860600
2.717400
5.774600
3.753400
6.032400

Grupa
Nr.
terape
crt
utica
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264

L04AD01
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AX01
L04AX01
L04AX01
L04AX01
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04

N02AB02

Denumire generica

CICLOSPORINUM
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
AZATHIOPRINUM
AZATHIOPRINUM
AZATHIOPRINUM
AZATHIOPRINUM
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
PETHIDINUM

Denumire comerciala

EQUORAL (R)
TACNI 0,5 mg
TACROLIMUSUM ACCORD 0,5 mg

TACROLIMUS SANDOZ 0,5 mg

PROGRAF (R) 0,5 mg


TACNI 1 mg
TACROLIMUS SANDOZ 1 mg
TACROLIMUSUM ACCORD 1 mg

PROGRAF (R) 1 mg
TACNI 5 mg
PROGRAF (R) 5 mg
ADVAGRAF 0,5mg
ADVAGRAF 1mg
ADVAGRAF 5mg
PROGRAF (R) 5 mg/ml
IMMUNOPRIN 100 mg
IMMUNOPRIN 100 mg
IMURAN (R)
IMMUNOPRIN 75 mg
ACID ALENDRONIC ACCORD 10 mg

TEVANAT 70 mg
RANOS 70 mg
ACID ALENDRONIC BLUEFISH 70 mg
ACID ALENDRONIC BLUEFISH 70 mg

INSTREL 70 mg
FOSAMAX 70 mg
ACID ALENDRONIC ACCORD 70 mg

Forma
Concentrati
farmaceutic
e / U.T.
a
SOL. ORALA
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CONC. PT. SOL. PERF.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.

ADRONIK 70 mg
ADRONIK 70 mg
ADRONIK 70 mg
ADRONIK 70 mg

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
ALENDRONAT SANDOZ 70 mg COMPR. FILM.
ADRONIK 70 mg
COMPR. FILM.
ADRONIK 70 mg
COMPR. FILM.

MIALGIN (R) 100 mg/2 ml

SOL. INJ.

100mg/ml
0,5 mg
0,5mg
0,5mg
0,5mg
1 mg
1mg
1mg
1mg
5 mg
5mg
0,5mg
1mg
5mg
5mg/ml
100mg
100mg
50mg
75mg
10mg
70 mg
70mg
70mg
70mg
70mg
70mg
70mg
70mg
70mg
70mg
70mg
70mg
70mg
70mg
50mg/ml

Tara

Firma

Ambalaj

Prescriptie

IVAX - PHARMACEUTICALS S.R.O.

CEHIA

CUTIE X 1 FLACON DIN STICLA BRUNA X 50 ML, UN DISPOZITIV DE MASURAT + UN CAPAC CU FILET

S/P-RF

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI DE AL A CATE 10 CAPSULE

PRF

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

CUTIE CU BLIST. AL/AL X 50 CAPS. PR

SANDOZ S.R.L.

ROMANIA

CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS. S/P-RF

ASTELLAS PHARMA EUROPE BV

OLANDA

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT

S/P-RF

TEVA PHARMACEUTICALS S.R.L.

ROMANIA
ROMANIA

CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI AL A CATE 10 CAPSULE

PRF

SANDOZ S.R.L.

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS. S/P-RF

CUTIE CU BLIST. AL/AL X 50 CAPS. PR

ASTELLAS PHARMA EUROPE BV

OLANDA

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI AL A CATE 10 CAPS.

PRF

ASTELLAS PHARMA EUROPE BV

OLANDA

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT

S/P-RF

S/P-RF

ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)

P-RF/R

ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)

P-RF/R

ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)

P-RF/R

ASTELLAS PHARMA EUROPE BV


EBEWE PHARMA GES.M.B.H. NFG KG
EBEWE PHARMA GES.M.B.H. NFG KG

OLANDA CUTIE X 10 FIOLE X 1 ML


S
AUSTRIA CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM. PR
AUSTRIA CUTIE CU 1 FLAC. PEID X 50 COMPR. FILM. PR

THE WELLCOME FOUNDATION LTD. MAREA BRITANIE


EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRIA

ACCORD HEALTHCARE LIMITED MAREA BRITANIE


TEVA PHARMACEUTICALS S.R.L.

TERAPIA SA
BLUEFISH PHARMACEUTICALS AB
BLUEFISH PHARMACEUTICALS AB

CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM.

S/P-RF

CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM.

PR

CUTIE CU BLIST. PVC/AL X 28 COMPR. P-6L

ROMANIA CUTIE X 1 BLIST. PVC-AL-OPA/AL X 4 COMPR. P-6L


ROMANIA CUTIE X 1 BLIST. DIN PAO-PVC-AL/AL X 4 COMPR. P-6L

SUEDIA
SUEDIA

CUTIE CU BLIST. AL/AL X 4 COMPR.


CUTIE CU BLIST. AL/AL X 2 COMPR.

P-6L
P-6L

ROMANIA CUTIE CU BLIST. AL/AL X 4 COMPR. FILM. P-RF


MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. AL/AL IN PORTOFEL X 2 COMPR. P-6L

DR. REDDY'S LABORATORIES

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

CUTIE CU BLIST. OPA -AL-PVC/AL X 4 COMPR. P-6L

ARENA GROUP S.A. ROMANIA


ARENA GROUP S.A. ROMANIA
ARENA GROUP S.A. ROMANIA

CUTIE X 1 BLIST. PVC-PVDC/AL X 4 COMPR. FILM.

P-6L

CUTIE X 1 BLIST. PVC-PVDC/AL X 2 COMPR. FILM.

P-6L

CUTIE X 1 BLIST. PVC-PVDC/AL X 12 COMPR. FILM.

P-6L

ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 12 COMPR. FILM.


ROMANIA CUTIE X 1 BLIST. OPA-AL-PVC/AL X 2 COMPR. FILM
ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 4 COMPR. FILM.
ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 2 COMPR. FILM.
ROMANIA CUTIE X 5 FIOLE DIN STICLA X 2 ML

P-6L

LABORATOARELE PROF.DR.MORAIT S.R.L.

SANDOZ S.R.L.
LABORATOARELE PROF.DR.MORAIT S.R.L.
LABORATOARELE PROF.DR.MORAIT S.R.L.

ZENTIVA SA

P-6L
P-6L
P-6L
P-TS

cant/
amba
laj

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

Pret cu ridicata
maximal de
decontare / U.T.

Pret cu
amanuntul
maximal /
ambalaj

Pret cu
amanuntul
maximal / U.T.

1
50
50
50
50
50
50
50
50
50
50
50
50
50
10
100
50
100
100
28
4
4
4
2
4
2
4
4
2
12
12
2
4
2
5

354.17
131.94
131.94
131.94
202.98
235.82
235.82
235.82
359.82
1,101.92
1,695.40
202.51
398.16
1,844.03
1,527.41
82.20
41.83
63.23
61.67
36.47
36.47
36.00
18.07
18.23
36.00
28.06
36.47
36.24
18.11
106.79
106.79
9.37
36.24
18.11
5.70

354.170000
2.638800
2.638800
2.638800
4.059600
4.716400
4.716400
4.716400
7.196400
22.038400
33.908000
4.050200
7.963200
36.880600
152.741000
0.822000
0.836600
0.632300
0.616700
1.302500
9.117500
9.000000
4.517500
9.115000
9.000000
14.030000
9.117500
9.060000
9.055000
8.899166
8.899166
4.685000
9.060000
9.055000
1.140000

354.170000
2.638800
2.638800
2.638800
3.166560
4.716400
4.716400
4.716400
5.659680
22.038400
26.446080
3.166560
5.659680
26.446080
152.741000
0.822000
0.836600
0.632300
0.616700
1.302500
5.421000
5.421000
4.517500
5.421000
5.421000
5.421000
5.421000
5.421000
5.421000
5.421000
5.421000
4.685000
5.421000
5.421000
1.140000

424.20
161.07
161.07
161.07
247.80
287.89
287.89
287.89
430.35
1,239.24
1,886.14
247.22
472.14
2,048.15
1,703.03
103.94
54.72
79.95
77.97
47.70
47.70
47.09
24.42
24.64
47.09
36.70
47.70
47.40
24.48
130.37
130.37
12.67
47.40
24.48
7.70

424.200000
3.221400
3.221400
3.221400
4.956000
5.757800
5.757800
5.757800
8.607000
24.784800
37.722800
4.944400
9.442800
40.963000
170.303000
1.039400
1.094400
0.799500
0.779700
1.703571
11.925000
11.772500
6.105000
12.320000
11.772500
18.350000
11.925000
11.850000
12.240000
10.864166
10.864166
6.335000
11.850000
12.240000
1.540000

10
5
10
1
10
28
28
1
1
60

66.02
79.26
1,584.80
869.39
1,584.80
3,517.81
901.74
453.05
2,178.01
4,806.36

6.602000
15.852000
158.480000
869.390000
158.480000
125.636071
32.205000
453.050000
2,178.010000
80.106000

6.602000
15.852000
158.480000
869.390000
158.480000
125.636071
32.205000
453.050000
2,178.010000
80.106000

83.47
100.22
1,765.58
985.79
1,765.58
3,872.57
1,021.05
531.97
2,412.18
5,277.09

8.347000
20.044000
176.558000
985.790000
176.558000
138.306071
36.466071
531.970000
2,412.180000
87.951500

10
10
10
2
10

57.01
117.03
152.10
39.43
66.02

5.701000
11.703000
15.210000
19.715000
6.602000

5.701000
11.703000
15.210000
19.715000
6.602000

72.08
142.87
185.68
51.58
83.47

7.208000
14.287000
18.568000
25.790000
8.347000

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


P9.5: TRANSPLANT CELULE PANCREATICE
1
2
3
4
5
6
7
8
9
10

B01AB08
B01AB08

J01XX08
J01XX08
J01XX08
J02AC03
J02AC03
J02AC03
J02AC03

J05AB14

REVIPARINUM
REVIPARINUM
LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
VALGANCICLOVIRUM**

CLIVARIN (R) 1432UI/0,25 ml


CLIVARIN (R) 3436 UI/0,6 ml
ZYVOXID (R)
ZYVOXID (R)
ZYVOXID (R)
VFEND 200mg
VFEND 50mg
VFEND 200mg
VFEND 40 mg/ml
VALCYTE (R) 450 mg

SOL. INJ.
SOL. INJ.

1432ui/0,25ml ABBOTT GMBH&CO.KG GERMANIA


3436ui/0,6ml ABBOTT GMBH&CO.KG GERMANIA

COMPR. FILM. 600mg


GRAN. PT. SUSP. ORALA

SOL. PERF.
COMPR. FILM.
COMPR. FILM.
PULB. PT. SOL. PERF.
PULB. PT. SUSP. ORALA

COMPR. FILM.

100mg/5ml
2mg/ml
200mg
50mg
200mg
40mg/ml
450mg

CUTIE X 2 BLIST. X 5 SERINGI PREUMPLUTE UNIDOZA X 0,25ML

S/P-RF

CUTIE X 1 BLIST X 5 SERINGI PREUMPLUTE UNIDOZA X 0,60 ML

S/P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 1 FLAC. X 10 COMPR. FILM.

P-RF

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

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 10 PUNGI X 300 ML

S
P-RF

MAREA BRITANIE

CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL)


CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL)

MAREA BRITANIE

CUTIE X 1 FLAC. UNIDOZA X 30ML

P-RF

PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED

MAREA BRITANIE

MAREA BRITANIE

CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA

ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. X 60 COMPR. FILM.

P-RF

P-RF
P-RF

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


P9.6: TRANSPLANT PULMONAR
1
2
3
4
5

B01AB05
B01AB05
B01AB05
B01AB05
B01AB08

ENOXAPARINUM
ENOXAPARINUM
ENOXAPARINUM
ENOXAPARINUM
REVIPARINUM

SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
CLIVARIN (R) 1432UI/0,25 ml SOL. INJ.
CLEXANE 2000ui anti-Xa/0,2ml
CLEXANE 4000ui anti-Xa/0,4ml
CLEXANE 6000ui anti-Xa/0,6ml
CLEXANE 8000ui anti-Xa/0,8ml

2000ui anti-Xa/0,2ml
4000ui anti-Xa/0,4ml
6000ui anti-Xa/0,6ml
8000ui anti-Xa/0,8ml

LAB. AVENTIS
LAB. AVENTIS
LAB. AVENTIS
LAB. AVENTIS

FRANTA
FRANTA
FRANTA
FRANTA

1432ui/0,25ml ABBOTT GMBH&CO.KG GERMANIA

CUTIE X 10 SERINGI PREUMPLUTE X 0,2 ML SOL. INJ.

S/P-RF

CUTIE X 10 SERINGI PREUMPLUTE X 0.4 ML SOL. INJ.

S/P-RF

CUTIE X 10 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ.

S/P-RF

CUTIE X 2 SERINGI PREUMPLUTE X 0,8 ML SOL. INJ.

S/P-RF

CUTIE X 2 BLIST. X 5 SERINGI PREUMPLUTE UNIDOZA X 0,25ML

S/P-RF

Pagina 137 din 205

Grupa
Nr.
terape
crt
utica
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65

B01AB08
B02AA02
C01CA24

Denumire generica

REVIPARINUM
ACIDUM TRANEXAMICUM4
EPINEPHRINUM

J01CR05 PIPERACILLINUM + TAZOBACTAMUM


J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM

J01XX08
J01XX08
J01XX08
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01

LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM

Denumire comerciala

Forma
Concentrati
farmaceutic
e / U.T.
a

CLIVARIN (R) 3436 UI/0,6 ml SOL. INJ.


EXACYL
SOL. INJ.
ADRENALINA 1 mg
SOL. INJ.
TAZOCIN 4,5
LIOF. PT. SOL. INJ.
TAZOCIN 2,25
LIOF. PT. SOL. INJ.
ZOPECILIN 2 g/0,25 g
PULB. PT. SOL. INJ./PERF.
ZOPECILIN 2 g/0,25 g
PULB. PT. SOL. INJ./PERF.
PERASIN 2g/0,25 g
PULB. PT. SOL. INJ./PERF.
TEBRANIC 2g/0,25 g
PULB. PT. SOL. INJ./PERF.

Tara

Firma

Ambalaj

Prescriptie

3436ui/0,6ml ABBOTT GMBH&CO.KG GERMANIA CUTIE X 1 BLIST X 5 SERINGI PREUMPLUTE UNIDOZA X 0,60 ML S/P-RF
500mg/5ml CN UNIFARM
ROMANIA CUTIE X 5 FIOLE X 5ML SOL. INJ.
X
1mg/ml
TERAPIA SA
ROMANIA CUTIE X 100 FIOLE X 1 ML
S
FARA CONCENTRATIE

PFIZER EUROPE MA EEIG

FARA CONCENTRATIE WYETH LEDERLE PHARMA GMBH

2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
PIPERACILINA/TAZOBACTAN ACTAVIS 2 g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g
BACTACIN 2 g/0,25 g
PULB. PT. SOL. INJ./PERF. 2g/0,25g
PIPERACILINA/TAZOBACTAM MYLAN 2g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g
PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g
PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g
PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g
PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g
PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g
PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g
TEBRANIC 4 g/0,5 g
PULB. PT. SOL. INJ./PERF. 4g/0,5g
ZOPECILIN 4 g/0,5 g
PULB. PT. SOL. INJ./PERF. 4g/0,5g
ZOPECILIN 4 g/0,5 g
PULB. PT. SOL. INJ./PERF. 4g/0,5g
PIPERACILINA/TAZOBACTAN ACTAVIS 4 g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g
PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g
PERASIN 4g/0,5 g
PULB. PT. SOL. INJ./PERF. 4g/0,5g
BACTACIN 4 g/0,5 g
PULB. PT. SOL. INJ./PERF. 4g/0,5g
PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g
PULB. PT. SOL. INJ./PERF. 4g/0,5g
PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g
PULB. PT. SOL. INJ./PERF. 4g/0,5g
PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g
PULB. PT. SOL. INJ./PERF. 4g/0,5g
ZYVOXID (R)
COMPR. FILM. 600mg
ZYVOXID (R)
GRAN. PT. SUSP. ORALA 100mg/5ml
ZYVOXID (R)
SOL. PERF. 2mg/ml
FLUCORIC 100 mg
CAPS.
100mg
FLUCOVIM 100
CAPS.
100mg
DIFLAZON 100 mg
CAPS.
100mg
FUNGOLON 100 mg
CAPS.
100mg
FLUCONAZOLE TEVA 100 mg CAPS.
100mg
FLUCONAZOLE TEVA 100 mg CAPS.
100mg
FLUCONAZOL ROMPHARM 150 mg CAPS.
150mg
FLUCONAZOL LPH 150 mg CAPS.
150mg
FLUCONAZOL ARENA 150 MG CAPS.
150mg
FLUCONAZOL MEDOCHEMIE 150 mg CAPS.
150mg
FLUCONAZOL BIOGALENICA 150 mg CAPS.
150mg
FLUCONAZOL OZONE 150 mg CAPS.
150mg
MYCOSYST 150 mg
CAPS.
150mg
MYCOSYST 150 mg
CAPS.
150mg
FLUCORIC 150 mg
CAPS.
150mg
DIFLUCAN 150 mg
CAPS.
150mg
FLUCOVIM 150
CAPS.
150mg
DIFLAZON 150 mg
CAPS.
150mg
FLUCONAZOL ACTAVIS 150 mg CAPS.
150mg
FLUCONAZOL SANDOZ (R) 150 CAPS.
150mg
FLUCONAZOL 150 mg
CAPS.
150mg
FLUCONAZOL MEDICO UNO 150 mg CAPS.
150mg
MYCOMAX 150
CAPS.
150mg
FLUCONAZOLE TEVA 150 mg CAPS.
150mg
FLUCONAZOL 150 mg
CAPS.
150mg
FLUCONAZOLE TEVA 200 mg CAPS.
200mg
FLUCONAZOL LPH 50 mg
CAPS.
50mg
FLUCOVIM 50
CAPS.
50mg
FLUCONAZOL ARENA 50 MG CAPS.
50mg

CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ.

S/P-RF

AUSTRIA CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ.

S/P-RF

MAREA BRITANIE

S.C. FRESENIUS KABI S.R.L.

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 1 FLAC. X 10 COMPR. FILM.

P-RF

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

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 10 PUNGI X 300 ML

ROMANIA
ROMASTRU TRADING SRL ROMANIA
ANTIBIOTICE S.A.
ROMANIA
ROMASTRU TRADING SRL

ASTRA ZENECA AB SUEDIA


ISLANDA
TERAPIA SA
ROMANIA
MYLAN S.A.S.
FRANTA

ACTAVIS GROUP PTC EHF.

S.C. FRESENIUS KABI S.R.L.


S.C. FRESENIUS KABI S.R.L.
S.C. FRESENIUS KABI S.R.L.
S.C. FRESENIUS KABI S.R.L.
S.C. FRESENIUS KABI S.R.L.
S.C. FRESENIUS KABI S.R.L.

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

ASTRA ZENECA AB SUEDIA


ROMANIA
ROMASTRU TRADING SRL ROMANIA
ROMASTRU TRADING SRL

ACTAVIS GROUP PTC EHF.

MYLAN S.A.S.
ANTIBIOTICE S.A.
TERAPIA SA
S.C. FRESENIUS KABI S.R.L.
S.C. FRESENIUS KABI S.R.L.

ISLANDA
FRANTA

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.


CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CU PULB. PT. SOL. INJ./PERF.


CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.


CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.


CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. INJ./PERF.
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 50 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE X 1 FLAC DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

TERAPIA SA

ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.


VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS.

P-RF

KRKA D.D.

SLOVENIA CUTIE X 4 BLIST. X 7 CAPS.


BULGARIA CUTIE X 2 BLIST. PVC/AL X 8 CAPS.
ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.
ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 2 CAPS.

P-RF

CUTIE CU 1 BLIST. PVC/AL X 1 CAPS.


CUTIE CU 1 BLIST. PVC/AL X 1 CAPS.
CUTIE X 1 BLIST. AL/PVC X 1 CAPS.
CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

PRF

BALKANPHARMA RAZGRAD AD
TEVA PHARMACEUTICALS S.R.L.
TEVA PHARMACEUTICALS S.R.L.

ROMANIA
LABORMED PHARMA S.A. ROMANIA
ARENA GROUP SA ROMANIA
MEDOCHEMIE ROMANIA SRL ROMANIA
LABORATOARELE PROF.DR.MORAIT S.R.L.
ROMANIA
OZONE LABORATORIES PHARMA S.A.
ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
TERAPIA SA
ROMANIA
ROMPHARM COMPANY S.R.L.

P-RF

P-RF
P-RF
P-RF

PRF
P-RF
P-RF

CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.


CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.

P-RF

CUTIE X 4 BLIST. AL/PVC X 1 CAPS.


CUTIE X 2 BLIST. AL/PVC X 1 CAPS.

P-RF

CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS.

P-RF

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.


VIM SPECTRUM SRL ROMANIA CUTIE X 1 FLAC. X 1 CAPS.
KRKA D.D.
SLOVENIA CUTIE X 1 BLIST. X 1 CAPS.
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 BLIST. PVC-PVDC/AL X 1 CAPS.
SANDOZ SRL
GERMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P-RF

ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.


ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA

P-RF

MEDICO UNO PHARMACEUTICAL SRL

ZENTIVA K.S.

CEHIA

PFIZER EUROPE MA EEIG

OZONE LABORATORIES PHARMA S.A.

MAREA BRITANIE

ROMANIA
SLAVIA PHARM SRL ROMANIA
TEVA PHARMACEUTICALS S.R.L. ROMANIA
LABORMED PHARMA S.A. ROMANIA
VIM SPECTRUM SRL ROMANIA
ARENA GROUP SA ROMANIA
TEVA PHARMACEUTICALS S.R.L.

P-RF

P-RF

P-RF
P-RF

PRF
P-RF

P-RF

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P-RF

CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.

P-RF

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P-RF

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

P-RF

CUTIE CU 1 BLIST. PVC/AL X 7 CAPS.

PRF

CUTIE X 1 BLIST. X 7 CAPS.


CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P-RF

Pagina 138 din 205

P-RF

cant/
amba
laj

5
5
100
12
12
12
1
1
12
12
1
1
10
5
1
10
5
1
12
12
1
12
1
1
1
5
1
10
10
1
10
7
4
28
16
7
2
1
1
1
1
1
1
4
2
1
1
1
1
1
1
1
1
1
1
1
7
7
7
7

Pret cu
ridicata
maximal /
ambalaj

79.26
9.36
112.23
685.12
396.78
262.29
22.65
22.65
232.62
262.17
22.65
22.65
382.38
193.81
40.18
193.81
98.66
20.09
455.79
455.75
40.44
455.75
40.46
40.44
40.44
195.13
40.44
384.80
1,584.80
869.39
1,584.80
32.76
18.72
191.37
64.60
23.04
6.90
9.46
7.27
6.60
5.99
4.82
7.27
47.68
23.84
13.79
18.34
7.27
16.46
7.35
10.66
7.27
6.60
9.15
4.82
7.08
29.74
16.50
16.50
13.98

Pret cu ridicata
maximal / U.T.

15.852000
1.872000
1.122300
57.093333
33.065000
21.857500
22.650000
22.650000
19.385000
21.847500
22.650000
22.650000
38.238000
38.762000
40.180000
19.381000
19.732000
20.090000
37.982500
37.979166
40.440000
37.979166
40.460000
40.440000
40.440000
39.026000
40.440000
38.480000
158.480000
869.390000
158.480000
4.680000
4.680000
6.834642
4.037500
3.291428
3.450000
9.460000
7.270000
6.600000
5.990000
4.820000
7.270000
11.920000
11.920000
13.790000
18.340000
7.270000
16.460000
7.350000
10.660000
7.270000
6.600000
9.150000
4.820000
7.080000
4.248571
2.357142
2.357142
1.997142

Pret cu ridicata
maximal de
decontare / U.T.

15.852000
1.872000
1.122300
45.574999
23.257200
21.857500
22.650000
22.650000
19.385000
21.847500
22.650000
22.650000
23.257200
23.257200
23.257200
19.381000
19.732000
20.090000
37.982500
37.979166
40.440000
37.979166
40.460000
40.440000
40.440000
39.026000
40.440000
38.480000
158.480000
869.390000
158.480000
3.949714
3.949714
3.949714
3.949714
3.291428
3.450000
5.784000
5.784000
5.784000
5.784000
4.820000
5.784000
5.784000
5.784000
5.784000
5.784000
5.784000
5.784000
5.784000
5.784000
5.784000
5.784000
5.784000
4.820000
5.784000
4.248571
1.976570
1.976570
1.976570

Pret cu
amanuntul
maximal /
ambalaj

100.22
12.65
137.01
784.93
470.64
320.21
30.62
30.62
283.98
320.06
30.62
30.62
454.94
236.60
52.55
236.60
124.75
27.15
534.96
534.92
52.90
534.92
52.92
52.90
52.90
238.21
52.90
457.58
1,765.58
985.79
1,765.58
42.85
25.30
233.63
81.68
31.14
9.32
12.79
9.82
8.92
8.10
6.52
9.82
62.36
32.22
18.64
24.79
9.82
22.25
9.94
14.41
9.82
8.92
12.37
6.52
9.57
38.90
22.30
22.30
18.89

Pret cu
amanuntul
maximal / U.T.

20.044000
2.530000
1.370100
65.410833
39.220000
26.684166
30.620000
30.620000
23.665000
26.671666
30.620000
30.620000
45.494000
47.320000
52.550000
23.660000
24.950000
27.150000
44.580000
44.576666
52.900000
44.576666
52.920000
52.900000
52.900000
47.642000
52.900000
45.758000
176.558000
985.790000
176.558000
6.121428
6.325000
8.343928
5.105000
4.448571
4.660000
12.790000
9.820000
8.920000
8.100000
6.520000
9.820000
15.590000
16.110000
18.640000
24.790000
9.820000
22.250000
9.940000
14.410000
9.820000
8.920000
12.370000
6.520000
9.570000
5.557142
3.185714
3.185714
2.698571

Grupa
Nr.
terape
crt
utica
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125

J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC03
J02AC03
J02AC03
J02AC03

J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB14
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06

Denumire generica

FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
VALGANCICLOVIRUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**

Denumire comerciala

Forma
Concentrati
farmaceutic
e / U.T.
a

CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
FLUCONAZOL BIOGALENICA 50 mg CAPS.
FLUCONAZOL MEDOCHEMIE 50 mg CAPS.
FLUCONAZOLE TEVA 50 mg CAPS.
FLUCONAZOL 50 mg
CAPS.
DIFLUCAN (R) 50 mg/5 ml
PULB. PT. SUSP. ORALA
FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
FLUCONAZOL BIOGALENICA 2mg/ml SOL. PERF.
FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF.
FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF.
FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF.
FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
DIFLUCAN (R)
SOL. PERF.
DIFLUCAN (R)
SOL. PERF.
MYCOMAX INF 2mg/ml
SOL. PERF.
MYCOMAX INF 2mg/ml
SOL. PERF.
MYCOMAX INF 2mg/ml
SOL. PERF.
DIFLAZON 2mg/ml
SOL. PERF.
VFEND 200mg
COMPR. FILM.
VFEND 50mg
COMPR. FILM.
VFEND 200mg
PULB. PT. SOL. PERF.
VFEND 40 mg/ml
PULB. PT. SUSP. ORALA
ACICLOVIR ARENA 200 mg CAPS.
ACICLOVIR 200 mg
CAPS.
ACICLOVIR ARENA 200 mg CAPS.
ACICLOVIR ARENA 400 mg CAPS.
CLOVIRAL 200 mg
COMPR.
ACICLOVIR TERAPIA 200 mg COMPR.
ACICLOVIR 200 mg
COMPR.
ACICLOVIR 200 mg
COMPR.
ACICLOVIR 200 mg
COMPR.
ACICLOVIR 400 mg
COMPR.
VIROLEX
PULB. PT. SOL. INJ./PERF.
VALCYTE (R) 450 mg
COMPR. FILM.
CELLCEPT 250mg
CAPS.
CELLCEPT 500mg
COMPR. FILM.
FLUCONAZOL OZONE 50 mg
FLUCONAZOL SANDOZ (R) 50
FLUCORIC 50 mg
DIFLUCAN 50 mg
DIFLAZON 50 mg
FLUCONAZOL 50 mg
FUNGOLON 50 mg

MYCOPHENOLATE MOFETIL MEDICO UNO 500 MG

MYFORTIC 180 mg
MYFORTIC 360 mg

MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL DR. REDDY'S 250 mg


MYCOPHENOLATUM MOFETILUM** MYFENAX 250mg
MYCOPHENOLATUM MOFETILUM** MYCOPHENOLATE MOFETIL ACCORD 250 mg
MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL SANDOZ 500 mg
MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL TERAPIA 500 mg

50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg/5ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
200mg
50mg
200mg
40mg/ml
200mg
200mg
200mg
400mg
200mg
200mg
200mg
200mg
200mg
400mg
250mg
450mg
250mg
500mg
COMPR. FILM. 500mg
COMPR. FILM. GASTROREZ. 180mg
COMPR. FILM. GASTROREZ. 360mg
CAPS.
250 mg
CAPS.
250mg
CAPS.
250mg
COMPR.
500mg
COMPR. FILM. 500 mg

Tara

Firma

Ambalaj

Prescriptie

P-RF

7
7
7
7
7
10
8
7
7
7
7
1
10
10
1
25
20
1
10
20
10
20
20
10
1
10
1
25
1
1
1
1
1
1
28
28
1
1
20
20

CUTIE X 100 BLIST. AL/PVC X 10 CAPS.

P-RF/S

1,000

CUTIE X 1 BLIST. AL/PVC X 10 CAPS.

P-RF

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-RF

ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.


ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS.
ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS.

P-RF

SANDOZ SRL
TERAPIA SA
PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.


SLOVENIA CUTIE X 1 BLIST. X 7 CAPS.
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS.
BULGARIA CUTIE X 1 BLIST. PVC/AL X 8 CAPS.

P-RF

OZONE LABORATORIES PHARMA S.A.

KRKA D.D.
ANTIBIOTICE S.A.
BALKANPHARMA RAZGRAD AD

ROMANIA
ROMANIA
TEVA PHARMACEUTICALS S.R.L. ROMANIA
SLAVIA PHARM SRL ROMANIA

P-RF
P-RF

P-RF
P-RF
P-RF

LABORATOARELE PROF.DR.MORAIT S.R.L.

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

P-RF

MEDOCHEMIE ROMANIA SRL

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P-RF

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

P-RF

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P-RF

CUTIE X 1 FLAC. PEID PULB. PT. 35 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 5 ML

P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. PEJD X 50 ML SOL. PERF.

ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF.


FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF.
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 25 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF.
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF.
ARENA GROUP S.A. ROMANIA CUTIE X 1 FLAC. X 100 ML SOL. PERF.
FRESENIUS KABI ROMANIA SRL

B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. PEJD X 200 ML SOL. PERF.


B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FLAC. PEJD X 100 ML SOL. PERF.
B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. PEJD X 100 ML SOL. PERF.
B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FLAC. PEJD X 50 ML SOL. PERF.

FRESENIUS KABI ROMANIA SRL

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

PFIZER EUROPE MA EEIG

MAREA BRITANIE

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 1 FLACON X 50 ML
CUTIE X 1 FLACON X 200 ML

REPUBLICA CEHA

CUTIE CU 1 FLACON DIN STICLA INCOLORA A 100 ML SOL. PERF. X 200 MG FLUCONAZOL

REPUBLICA CEHA

CUTIE CU 1 FLACON DIN STICLA INCOLORA A 200 ML SOL. PERF. X 400 MG FLUCONAZOL

REPUBLICA CEHA

CUTIE CU 1 FLACON DIN STICLA INCOLORA A 50 ML SOL. PERF. X 100 MG FLUCONAZOL

FRESENIUS KABI ROMANIA SRL


FRESENIUS KABI ROMANIA SRL
FRESENIUS KABI ROMANIA SRL
FRESENIUS KABI ROMANIA SRL
FRESENIUS KABI ROMANIA SRL

ZENTIVA K.S.
ZENTIVA K.S.
ZENTIVA K.S.

CUTIE CU 20 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.


CUTIE CU 10 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.

CUTIE CU 1 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.


CUTIE CU 10 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF.

CUTIE CU 1 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF.


CUTIE CU 25 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML

PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
ARENA GROUP SA
SLAVIA PHARM SRL
ARENA GROUP SA
ARENA GROUP S.A.
ANTIBIOTICE SA
TERAPIA SA

S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S/P-RF
S/P-RF

S
S
S
S/PR-F

P-RF

MAREA BRITANIE

CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL)


CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL)

MAREA BRITANIE

CUTIE X 1 FLAC. UNIDOZA X 30ML

P-RF

MAREA BRITANIE

MAREA BRITANIE

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
EGIS PHARMACEUTICALS P.L.C. UNGARIA
GEDEON RICHTER ROMANIA SA ROMANIA
LAROPHARM S.R.L. ROMANIA
EGIS PHARMACEUTICALS P.L.C. UNGARIA

CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.


CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P-RF

P-RF
P-RF

P-RF

CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF

CUTIE X 2 BLIST. AL./PVC X 10 COMPR.

P-RF

CUTIE X 2 BLIST. X 10 COMPR.

P-RF

CUTIE X 2 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 5 FLAC. X 250 MG PULB. PT. SOL. INJ./PERF.

ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. X 60 COMPR. FILM.

S/P-RF

P-RF

CUTIE X 10 BLIST. X 10 CAPS.

P-RF/R

MAREA BRITANIE

CUTIE X 5 BLIST. X 10 COMPR. FILM.

P-RF/R

UNGARIA

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

P-RF/R

NOVARTIS PHARMA GMBH GERMANIA

CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ.

S/P-RF

NOVARTIS PHARMA GMBH GERMANIA

CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ.

S/P-RF

ROCHE REGISTRATION LTD.

MAREA BRITANIE

ROCHE REGISTRATION LTD.

MEDICO UNO PHARMA KFT.

DR. REDDY'S LABORATORIES

ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 100 CAPS. PR

TEVA PHARMA BV

OLANDA CUTIE X BLIST. PVC/PVDC/AL X 100 CAPS.

P-RF/R

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

CUTIE CU BLIST. PVC-PVDC/AL CU 100 CAPS.

P-RF/R

SANDOZ S.R.L.
TERAPIA S.A.

CUTIE CU BLIST. PVC-PE-PVDC/AL X 50 COMPR. FILM.

P-RF

CUTIE CU 1 BLIST. DIN AL-PA-PVC/AL X 50 COMPR. FILM.

PR

ROMANIA
ROMANIA

cant/
amba
laj

Pagina 139 din 205

10
20
20
20
20
20
10
5
60
100
50
50
120
120
100
100
100
50
50

Pret cu
ridicata
maximal /
ambalaj

16.50
31.68
21.65
42.71
46.63
18.66
13.92
11.53
11.81
12.20
14.32
42.71
180.75
753.13
80.99
772.93
624.35
40.15
761.97
787.39
449.60
358.65
356.89
179.79
18.63
326.90
33.88
438.62
30.62
131.62
42.16
135.83
30.18
34.63
3,517.81
901.74
453.05
2,178.01
15.66
14.80
696.23
14.23
12.02
12.54
10.09
12.60
9.51
14.06
229.07
4,806.36
447.90
447.90
289.44
551.46
1,030.04
288.20
298.76
289.44
224.51
298.80

Pret cu ridicata
maximal / U.T.

2.357142
4.525714
3.092857
6.101428
6.661428
1.866000
1.740000
1.647142
1.687142
1.742857
2.045714
42.710000
18.075000
75.313000
80.990000
30.917200
31.217500
40.150000
76.197000
39.369500
44.960000
17.932500
17.844500
17.979000
18.630000
32.690000
33.880000
17.544800
30.620000
131.620000
42.160000
135.830000
30.180000
34.630000
125.636071
32.205000
453.050000
2,178.010000
0.783000
0.740000
0.696230
1.423000
0.601000
0.627000
0.504500
0.630000
0.475500
1.406000
45.814000
80.106000
4.479000
8.958000
5.788800
4.595500
8.583666
2.882000
2.987600
2.894400
4.490200
5.976000

Pret cu ridicata
maximal de
decontare / U.T.

1.976570
1.976570
1.976570
1.976570
1.976570
1.866000
1.740000
1.647142
1.687142
1.742857
1.976570
42.710000
18.075000
75.313000
80.990000
30.917200
31.217500
37.100640
76.197000
37.100640
37.100640
17.932500
17.844500
17.979000
18.630000
32.690000
33.880000
17.544800
21.053760
90.375600
37.100640
90.375600
21.053760
34.630000
125.636071
32.205000
453.050000
2,178.010000
0.570600
0.570600
0.570600
1.423000
0.570600
0.570600
0.504500
0.570600
0.475500
1.406000
45.814000
80.106000
3.458400
5.388240
5.388240
4.595500
8.583666
2.882000
2.987600
2.894400
4.490200
5.388240

Pret cu
amanuntul
maximal /
ambalaj

22.30
41.44
29.26
55.87
60.99
25.22
18.81
15.58
15.96
16.49
19.35
55.87
220.66
859.06
102.40
880.65
718.69
52.52
868.70
896.41
528.22
429.08
427.16
219.49
25.18
394.47
44.32
516.25
40.05
160.68
55.14
165.82
39.48
45.29
3,872.57
1,021.05
531.97
2,412.18
21.17
20.00
797.04
19.24
16.24
16.95
13.64
17.03
12.85
19.00
279.65
5,277.09
526.36
526.36
353.35
639.24
1,160.90
351.83
364.73
353.35
274.08
364.78

Pret cu
amanuntul
maximal / U.T.

3.185714
5.920000
4.180000
7.981428
8.712857
2.522000
2.351250
2.225714
2.280000
2.355714
2.764285
55.870000
22.066000
85.906000
102.400000
35.226000
35.934500
52.520000
86.870000
44.820500
52.822000
21.454000
21.358000
21.949000
25.180000
39.447000
44.320000
20.650000
40.050000
160.680000
55.140000
165.820000
39.480000
45.290000
138.306071
36.466071
531.970000
2,412.180000
1.058500
1.000000
0.797040
1.924000
0.812000
0.847500
0.682000
0.851500
0.642500
1.900000
55.930000
87.951500
5.263600
10.527200
7.067000
5.327000
9.674166
3.518300
3.647300
3.533500
5.481600
7.295600

Grupa
Nr.
terape
crt
utica
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185

Denumire generica

Denumire comerciala

MYCOPHENOLATUM MOFETILUM** ARZIP 500 mg


MYCOPHENOLATUM MOFETILUM** MYCOFENOLAT MOFETIL ACTAVIS 500 mg
L04AA06 MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL DR. REDDY'S 500 mg
L04AA06 MYCOPHENOLATUM MOFETILUM** MYFENAX 500mg
L04AA06
L04AA06

L04AC02
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AX01
L04AX01
L04AX01
L04AX01
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02

BASILIXIMABUM**
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
AZATHIOPRINUM
AZATHIOPRINUM
AZATHIOPRINUM
AZATHIOPRINUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM

SIMULECT 20 mg
EQUORAL (R) 100 mg
SANDIMMUN NEORAL (R)
EQUORAL (R) 25 mg
CICLORAL 25 mg
SANDIMMUN NEORAL (R)
EQUORAL (R) 50 mg
CICLORAL 50 mg
EQUORAL (R)
IMMUNOPRIN 100 mg
IMMUNOPRIN 100 mg
IMURAN (R)
IMMUNOPRIN 75 mg
TRAMADOL ARENA
TRAMACALM
K-ALMA (R)
URGENDOL
TRAMADOL
TRAMADOL LPH 50 mg
TRALGIT 50
TRAMAL (R)
MABRON 50 mg
TRAMADOL AL 50
TRAMADOL AL 50
TRAMAL UNO 100 mg
TRAMAL UNO 100 mg
TRAMAL UNO 100 mg
TRAMAL UNO 100 mg
TRAMAL UNO 150 mg
TRAMAL UNO 150 mg
TRAMAL UNO 150 mg
TRAMAL UNO 150 mg
TRAMAL UNO 200 mg
TRAMAL UNO 200 mg
TRAMAL UNO 200 mg
TRAMAL UNO 200 mg
TRAMAG 50
TRAMADOL 50 mg
TRAMADOL 50 mg
TRAMADOL EEL
TRAMADOLOR (R) 100 ID
NOAX UNO 100 mg
NOAX UNO 100 mg
TRAMADOL (R) RETARD
TRALGIT SR 100
TRALGIT SR 100
TRALGIT SR 100
TRALGIT SR 150
TRALGIT SR 150
TRALGIT SR 200
NOAX UNO 200 mg
NOAX UNO 200 mg
NOAX UNO 300 mg
NOAX UNO 300 mg
TRADOLAN 50 mg
TRAMAL RETARD 100 mg

Forma
Concentrati
farmaceutic
e / U.T.
a
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
LIOF. + SOLV. PT. SOL. INJ./PERF.

CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
SOL. ORALA
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.

COMPR.
COMPR.
COMPR.
COMPR.
COMPR. ELIB. MODIF.

COMPR. ELIB. PREL.


COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.

COMPR. FILM.
COMPR. FILM. ELIB. PREL.

500mg
500mg
500mg
500mg
20mg
100mg
25mg
25mg
25mg
50mg
50mg
50mg
100mg/ml
100mg
100mg
50mg
75mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
100mg
100mg
100mg
100mg
150mg
150mg
150mg
150mg
200mg
200mg
200mg
200mg
50mg
50mg
50mg
50mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
150mg
150mg
200mg
200mg
200mg
300mg
300mg
50mg
100mg

Tara

Firma

Ambalaj

Prescriptie

ZENTIVA K.S.

REPUBLICA SLOVACA

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

PR

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

P-RF/R

DR. REDDY'S LABORATORIES

ROMANIA

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

P-RF

TEVA PHARMA BV

OLANDA

CUTIE X BLIST. PVC/PVDC/AL X 50 COMPR. FILM.

P-RF/R

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 1 FLAC. CU LIOF.+ 1 FIOLA SOLV. APA PT. PREP. INJ.

IVAX - PHARMACEUTICALS S.R.O.

CEHIA

CUTIE X 5 BLIST. X 10 CAPS. MOI


CUTIE X 10 BLIST. X 5 CAPS. MOI
CUTIE X 5 BLIST. X 10 CAPS. MOI

NOVARTIS PHARMA GMBH GERMANIA


IVAX - PHARMACEUTICALS S.R.O.

CEHIA

HEXAL AG

GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 10 BLIST. X 5 CAPS. MOI


CUTIE X 5 BLIST. X 10 CAPS. MOI

IVAX - PHARMACEUTICALS S.R.O.

CEHIA

HEXAL AG

GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI

IVAX - PHARMACEUTICALS S.R.O.


EBEWE PHARMA GES.M.B.H. NFG KG
EBEWE PHARMA GES.M.B.H. NFG KG

S
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF

CEHIA
S/P-RF
AUSTRIA CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM. PR
AUSTRIA CUTIE CU 1 FLAC. PEID X 50 COMPR. FILM. PR
CUTIE X 1 FLACON DIN STICLA BRUNA X 50 ML, UN DISPOZITIV DE MASURAT + UN CAPAC CU FILET

THE WELLCOME FOUNDATION LTD. MAREA BRITANIE

CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM.

S/P-RF

CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM.

PR

ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.


AC HELCOR SRL
ROMANIA CUTIE X 1 BLIST. PVC/AL X 10 CAPS.
ANTIBIOTICE SA
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
MEDICAROM GROUP SRL ROMANIA CUTIE X 1 BLIST. X 10 CAPS.
KRKA D.D.
SLOVENIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
ZENTIVA A.S.
SLOVACIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
GRUNENTHAL GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
MEDOCHEMIE LTD. CIPRU
CUTIE X 1 BLIST. AL/PVC X 10 CAPS.
ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 1 BLIST. X 10 CAPS.
ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. X 10 CAPS.
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 50 CAPS. CU ELIB. PREL.
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 30 CAPS. CU ELIB. PREL.
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 20 CAPS. CU ELIB. PREL.
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL.
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 50 CAPS. CU ELIB. PREL.
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 30 CAPS. CU ELIB. PREL.
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 20 CAPS. CU ELIB. PREL.
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL.
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 20 CAPS. CU ELIB. PREL.
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL.
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 50 CAPS. CU ELIB. PREL.
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 30 CAPS. CU ELIB. PREL.
MAGISTRA C & C
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-RF

EBEWE PHARMA GES.M.B.H. NFG KG

OZONE LABORATORIES LTD.


OZONE LABORATORIES PHARMA S.A.

BIO EEL SRL


HEXAL AG

AUSTRIA

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

MAREA BRITANIE

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF/S

P-RF
P-RF
P-RF
P-RF/S

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF/S

P-RF
P-RF
P-RF
P-RF
P-RF

GERMANIA CUTIE X 1 BLIST. X 10 COMPR. ELIB. MODIF. P-RF

CSC PHARMACEUTICALS HANDELS GMBH

AUSTRIA
AUSTRIA

KRKA D.D.
ZENTIVA AS
ZENTIVA AS
ZENTIVA AS
ZENTIVA AS
ZENTIVA AS
ZENTIVA AS

SLOVENIA CUTIE X 3 BLIST. X 10 COMPR. ELIB. PREL.


SLOVACIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL.
SLOVACIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. ELIB. PREL.
SLOVACIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. ELIB. PREL.
SLOVACIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. ELIB. PREL.
SLOVACIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL.
SLOVACIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. ELIB. PREL.

P-RF

AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA

CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR.ELIB. PREL.

P-RF

CUTIE X 1 BLIST. DIN PVC-PVDC/AL X 10 COMPR.ELIB. PREL.

P-RF

CUTIE X 1 BLIST. X PVC-PVDC/AL X 10 COMPR. ELIB. PREL.

P-RF

CUTIE X 3 BLIST. X PVC-PE-ACLAR/AL X 10 COMPR. ELIB. PREL.

P-RF

CSC PHARMACEUTICALS HANDELS GMBH

CSC PHARMACEUTICALS HANDELS GMBH


CSC PHARMACEUTICALS HANDELS GMBH
CSC PHARMACEUTICALS HANDELS GMBH
CSC PHARMACEUTICALS HANDELS GMBH

LANNACHER HEILMITTEL GES.M.B.H.

GRUNENTHAL GMBH GERMANIA

CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR.ELIM.PREL.

P-RF

CUTIE X 1 BLIST. DIN PVC-PVDC/AL X 5 COMPR.ELIM.PREL.

P-RF

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.FILM. P-RF


CUTIE X 1 BLIST. AL/PVDC X 10 COMPR. FILM. CU ELIB. PREL.

Pagina 140 din 205

P-RF

cant/
amba
laj

50
50
50
50
1
50
50
50
50
50
50
50
1
100
50
100
100
20
10
20
10
20
20
20
20
10
10
30
50
30
20
10
50
30
20
10
20
10
50
30
20
20
20
20
10
30
5
30
30
10
50
10
30
10
30
10
10
30
30
10

Pret cu
ridicata
maximal /
ambalaj

269.39
269.39
298.76
298.76
4,217.73
393.08
111.16
73.58
111.30
236.51
153.73
247.07
354.17
82.20
41.83
63.23
61.67
6.58
2.82
5.61
2.80
4.26
5.61
4.26
8.64
2.82
2.82
8.43
56.99
35.81
24.49
12.71
83.99
53.71
36.70
19.07
44.15
23.80
94.90
61.06
5.61
5.61
5.61
5.61
4.60
29.85
5.42
13.83
13.81
4.60
23.80
15.39
24.54
20.11
39.16
14.69
20.42
59.76
7.78
7.09

Pret cu ridicata
maximal / U.T.

5.387800
5.387800
5.975200
5.975200
4,217.730000
7.861600
2.223200
1.471600
2.226000
4.730200
3.074600
4.941400
354.170000
0.822000
0.836600
0.632300
0.616700
0.329000
0.282000
0.280500
0.280000
0.213000
0.280500
0.213000
0.432000
0.282000
0.282000
0.281000
1.139800
1.193666
1.224500
1.271000
1.679800
1.790333
1.835000
1.907000
2.207500
2.380000
1.898000
2.035333
0.280500
0.280500
0.280500
0.280500
0.460000
0.995000
1.084000
0.461000
0.460333
0.460000
0.476000
1.539000
0.818000
2.011000
1.305333
1.469000
2.042000
1.992000
0.259333
0.709000

Pret cu ridicata
maximal de
decontare / U.T.

5.387800
5.387800
5.388240
5.388240
4,217.730000
7.861600
1.765920
1.471600
1.765920
3.689520
3.074600
3.689520
354.170000
0.822000
0.836600
0.632300
0.616700
0.255600
0.255600
0.255600
0.255600
0.213000
0.255600
0.213000
0.255600
0.255600
0.255600
0.255600
0.552000
0.552000
0.552000
0.552000
0.981600
0.981600
0.981600
0.981600
1.566400
1.566400
1.566400
1.566400
0.255600
0.255600
0.255600
0.255600
0.460000
0.552000
0.552000
0.461000
0.460333
0.460000
0.476000
0.981600
0.818000
1.566400
1.305333
1.469000
2.042000
1.992000
0.255600
0.552000

Pret cu
amanuntul
maximal /
ambalaj

328.87
328.87
364.73
364.73
4,635.48
466.61
135.71
93.03
135.87
288.73
187.67
301.62
424.20
103.94
54.72
79.95
77.97
8.89
3.81
7.58
3.78
5.76
7.58
5.76
11.68
3.81
3.81
11.39
72.06
46.84
33.10
17.18
106.20
67.91
48.01
25.78
57.75
32.17
119.99
77.21
7.58
7.58
7.58
7.58
6.22
39.05
7.32
18.69
18.67
6.22
32.17
20.80
33.17
27.18
51.22
19.86
27.60
75.56
10.52
9.58

Pret cu
amanuntul
maximal / U.T.

6.577400
6.577400
7.294600
7.294600
4,635.480000
9.332200
2.714200
1.860600
2.717400
5.774600
3.753400
6.032400
424.200000
1.039400
1.094400
0.799500
0.779700
0.444500
0.381000
0.379000
0.378000
0.288000
0.379000
0.288000
0.584000
0.381000
0.381000
0.379666
1.441200
1.561333
1.655000
1.718000
2.124000
2.263666
2.400500
2.578000
2.887500
3.217000
2.399800
2.573666
0.379000
0.379000
0.379000
0.379000
0.622000
1.301666
1.464000
0.623000
0.622333
0.622000
0.643400
2.080000
1.105666
2.718000
1.707333
1.986000
2.760000
2.518666
0.350666
0.958000

Grupa
Nr.
terape
crt
utica
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201

N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02

Denumire generica

TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM

Denumire comerciala

TRAMAL RETARD 150 mg


TRAMADOL RETARD 150 mg
TRAMAL RETARD 200 mg
TRAMADOL RETARD 200 mg
TRAMADOL AL PICATURI
TRAMAL (R)
MABRON
MABRON
TRALGIT 100
URGENDOL
URGENDOL
TRAMAL (R) 50
TRAMADOL
TRAMADOL
TRALGIT 50
TRAMADOL

Forma
Concentrati
farmaceutic
e / U.T.
a

COMPR. FILM. ELIB. PREL.

150mg
150mg
200mg
200mg

PIC. ORALE, SOL.

COMPR. FILM. ELIB. PREL.


COMPR. FILM. ELIB. PREL.
COMPR. FILM. ELIB. PREL.

PICATURI ORALE-SOL.

SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SUPOZ.

Tara

Firma

Ambalaj

Prescriptie

GRUNENTHAL GMBH GERMANIA

CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR.FILM. CU ELIB. PREL.

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-RF

GRUNENTHAL GMBH GERMANIA

CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR.FILM. ELIB. PREL. P-RF

P-RF

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL.

P-RF

FARA CONCENTRATIE

ALIUD PHARMA GMBH GERMANIA

CUTIE X 1 FLACON DIN STICLA BRUNA X 10 ML PIC. ORALE, SOL.

P-RF

100mg/ml
100mg
100mg
100mg/2ml
50mg/ml
50mg/ml
50mg/ml
50mg/ml
50mg/ml
50mg/ml
100mg

GRUNENTHAL GMBH GERMANIA CUTIE X 1 FLACON PICURATOR X 10 ML

MEDOCHEMIE LTD. CIPRU


CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.
MEDOCHEMIE LTD. CIPRU
CUTIE X 5 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.
ZENTIVA A.S.
SLOVACIA CUTIE X 5 FIOLE X 2 ML SOL. INJ.
MEDICAROM GROUP SRL ROMANIA CUTIE X 5 FIOLE X 2 ML
MEDICAROM GROUP SRL ROMANIA CUTIE X 5 FIOLE X 1 ML
GRUNENTHAL GMBH GERMANIA CUTIE X 5 FIOLE X 1 ML
KRKA D.D.
SLOVENIA CUTIE X 5 FIOLE X 1 ML
KRKA D.D.
SLOVENIA CUTIE X 5 FIOLE X 2 ML
ZENTIVA A.S.
SLOVACIA CUTIE X 5 FIOLE X 1 ML SOL. INJ.
KRKA D.D.
SLOVENIA CUTIE X 1 BLIST. X 5 SUPOZ.

P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF

P-RF

cant/
amba
laj

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

Pret cu ridicata
maximal de
decontare / U.T.

Pret cu
amanuntul
maximal /
ambalaj

Pret cu
amanuntul
maximal / U.T.

10
30
10
30
1
1
100
5
5
5
5
5
5
5
5
5

16.11
31.41
20.61
40.20
3.68
5.67
110.90
7.19
8.98
5.61
3.58
5.53
3.60
9.57
8.40
4.08

1.611000
1.047000
2.061000
1.340000
3.680000
5.670000
1.109000
1.438000
1.796000
1.122000
0.716000
1.106000
0.720000
1.914000
1.680000
0.816000

0.981600
0.981600
1.566400
1.340000
3.680000
4.416000
1.109000
1.330800
1.330800
1.122000
0.716000
0.859200
0.720000
1.330800
0.859200
0.816000

21.77
41.08
27.86
52.58
4.98
7.66
135.39
9.72
12.14
7.58
4.84
7.47
4.87
12.94
11.36
5.52

2.177000
1.369333
2.786000
1.752666
4.980000
7.660000
1.353900
1.944000
2.428000
1.516000
0.968000
1.494000
0.974000
2.588000
2.272000
1.104000

50
100
50
60
20
6
1
6
6
6
1
6
1
1
6
6
6
6
6
1
6
6
6
4
4
4
4
4
1
4
4
1
4
4
4
50
20
30
1
1

56.87
97.14
53.75
40.94
27.11
653.92
1,192.91
1,532.97
176.81
351.85
680.43
513.14
1,192.91
867.37
674.39
835.59
2,093.33
226.59
442.92
1,030.67
855.25
1,061.28
116.51
2,842.62
320.42
4,234.65
462.11
602.82
1,968.23
881.01
1,161.60
3,260.40
1,440.69
1,722.12
2,283.14
23.85
21.67
4.78
6.44
22.68

1.137400
0.971400
1.075000
0.682333
1.355500
108.986666
1,192.910000
255.495000
29.468333
58.641666
680.430000
85.523333
1,192.910000
867.370000
112.398333
139.265000
348.888333
37.765000
73.820000
1,030.670000
142.541666
176.880000
19.418333
710.655000
80.105000
1,058.662500
115.527500
150.705000
1,968.230000
220.252500
290.400000
3,260.400000
360.172500
430.530000
570.785000
0.477000
1.083500
0.159333
6.440000
22.680000

1.137400
0.971400
1.075000
0.682333
1.355500
102.628000
1,040.844000
255.495000
29.468333
58.641666
680.430000
85.523333
1,040.844000
867.370000
112.398333
139.265000
348.888333
37.765000
73.820000
1,030.670000
142.541666
176.880000
19.418333
710.655000
80.105000
1,058.662500
115.527500
150.705000
1,968.230000
220.252500
290.400000
3,260.400000
360.172500
430.530000
570.785000
0.477000
1.083500
0.159333
6.440000
22.680000

71.91
122.82
67.96
53.55
35.46
750.92
1,338.42
1,709.09
215.85
421.67
779.82
597.47
1,338.42
983.58
773.24
948.94
2,319.88
276.62
520.93
1,161.58
970.37
1,194.95
142.24
3,136.61
387.41
4,653.92
541.85
695.22
2,183.52
998.45
1,304.30
3,591.99
1,608.50
1,915.26
2,526.78
32.23
29.29
6.46
8.71
30.65

1.438200
1.228200
1.359200
0.892500
1.773000
125.153333
1,338.420000
284.848333
35.975000
70.278333
779.820000
99.578333
1,338.420000
983.580000
128.873333
158.156666
386.646666
46.103333
86.821666
1,161.580000
161.728333
199.158333
23.706666
784.152500
96.852500
1,163.480000
135.462500
173.805000
2,183.520000
249.612500
326.075000
3,591.990000
402.125000
478.815000
631.695000
0.644600
1.464500
0.215333
8.710000
30.650000

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


P9.7: TRATAMENTUL STARII POSTTRANSPLANT IN AMBULATORIU A PACIENTILOR TRANSPLANTATI
1 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK (R)
CAPS.
250mg
DR. FALK PHARMA GMBH
2 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK (R)
CAPS.
250mg
DR. FALK PHARMA GMBH
3 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOSAN
CAPS.
250mg
PRO. MED. CS PRAHA AS
4 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOCHOL 150 mg
COMPR.
150mg
ZAMBON S.P.A.
5 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOCHOL 300 mg
COMPR.
300mg
ZAMBON S.P.A.
6 B03XA01 EPOETINUM ALFA**
EPREX (R) 3000 UI
SOL. INJ.
3000ui/0,3ml JOHNSON & JOHNSON D.O.O.
7 B03XA01 EPOETINUM ALFA**
EPREX (R) 40 000 UI
SOL. INJ.
40 000UI
JOHNSON & JOHNSON D.O.O.
8 B03XA01 EPOETINUM ALFA**
BINOCRIT 10000UI/1,0ml
10000UI/1,0ml SANDOZ GMBH
9 B03XA01 EPOETINUM ALFA**
BINOCRIT 1000UI/0,5ml
1000UI/0,5ml SANDOZ GMBH
10 B03XA01 EPOETINUM ALFA**
BINOCRIT 2000UI/1,0ml
2000UI/1,0ml SANDOZ GMBH
11 B03XA01 EPOETINUM ALFA**
BINOCRIT 30000UI/0,75ml
30000UI/0,75ml SANDOZ GMBH
12 B03XA01 EPOETINUM ALFA**
BINOCRIT 3000UI/0,3ml
3000UI/0,3ml SANDOZ GMBH
13 B03XA01 EPOETINUM ALFA**
EPREX 40000 UI/ml
40 000UI/ml JOHNSON & JOHNSON D.O.O.
14 B03XA01 EPOETINUM ALFA**
BINOCRIT 40000 UI/1 ml
40000 UI/1 ml SANDOZ GMBH
15 B03XA01 EPOETINUM ALFA**
BINOCRIT 4000UI/0,4ml
4000UI/0,4ml SANDOZ GMBH
16 B03XA01 EPOETINUM ALFA**
BINOCRIT 5000UI/0,5ml
5000UI/0,5ml SANDOZ GMBH
17 B03XA01 EPOETINUM BETA**
NEORECORMON 10000UI/0,6ml
10000UI/0,6ml ROCHE REGISTRATION LTD.
18 B03XA01 EPOETINUM BETA**
NEORECORMON 1000UI/0,3ml
1000UI/0,3ml ROCHE REGISTRATION LTD.
19 B03XA01 EPOETINUM BETA**
NEORECORMON 2000UI/0,3ml
2000UI/0,3ml ROCHE REGISTRATION LTD.
20 B03XA01 EPOETINUM BETA**
NEORECORMON 30000UI/0,6ml
30000 UI/0,6ml ROCHE REGISTRATION LTD.
21 B03XA01 EPOETINUM BETA**
NEORECORMON 4000UI/0,3ml
4000UI/0,3ml ROCHE REGISTRATION LTD.
22 B03XA01 EPOETINUM BETA**
NEORECORMON 5000UI/0,3ml
5000UI/0,3ml ROCHE REGISTRATION LTD.
23 B03XA01 EPOETINUM BETA**
NEORECORMON 500UI/0,3ml
500UI/0,3ml ROCHE REGISTRATION LTD.
24 B03XA02 DARBEPOETINUM ALFA**
ARANESP 100mcg/0,5ml
100mcg/0,5ml AMGEN EUROPE BV
25 B03XA02 DARBEPOETINUM ALFA**
ARANESP 10mcg/0,4ml
10mcg/0,4ml AMGEN EUROPE BV
26 B03XA02 DARBEPOETINUM ALFA**
ARANESP 150mcg/0,3ml
150mcg/0,3ml AMGEN EUROPE BV
27 B03XA02 DARBEPOETINUM ALFA**
ARANESP 15mcg/0,375ml
15mcg/0,375ml AMGEN EUROPE BV
28 B03XA02 DARBEPOETINUM ALFA**
ARANESP 20mcg/0,5ml
20mcg/0,5ml AMGEN EUROPE BV
29 B03XA02 DARBEPOETINUM ALFA**
ARANESP 300mcg/0,6ml
300mcg/0,6ml AMGEN EUROPE BV
30 B03XA02 DARBEPOETINUM ALFA**
ARANESP 30mcg/0,3ml
30mcg/0,3ml AMGEN EUROPE BV
31 B03XA02 DARBEPOETINUM ALFA**
ARANESP 40mcg/0,4ml
40mcg/0,4ml AMGEN EUROPE BV
32 B03XA02 DARBEPOETINUM ALFA**
ARANESP 500mcg/ml
500mcg/ml AMGEN EUROPE BV
33 B03XA02 DARBEPOETINUM ALFA**
ARANESP 50mcg/0,5ml
50mcg/0,5ml AMGEN EUROPE BV
34 B03XA02 DARBEPOETINUM ALFA**
ARANESP 60mcg/0,3ml
60mcg/0,3ml AMGEN EUROPE BV
35 B03XA02 DARBEPOETINUM ALFA**
ARANESP 80mcg/0,4ml
80mcg/0,4ml AMGEN EUROPE BV
36 H02AB04 METHYLPREDNISOLONUM
MEDROL A 16
COMPR.
16mg
PFIZER EUROPE MA EEIG
37 H02AB04 METHYLPREDNISOLONUM
MEDROL 32
COMPR.
32mg
PFIZER EUROPE MA EEIG
38 H02AB04 METHYLPREDNISOLONUM
MEDROL 4 mg
COMPR.
4mg
PFIZER EUROPE MA EEIG
39 H02AB04 METHYLPREDNISOLONUM
LEMOD SOLU 125 mg
LIOF. PT. SOL. INJ. 125mg
STADA HEMOFARM S.R.L.
40 H02AB04 METHYLPREDNISOLONUM
LEMOD SOLU 500 mg
LIOF. PT. SOL. INJ. 500mg
STADA HEMOFARM S.R.L.

GERMANIA
GERMANIA

CEHIA
ITALIA
ITALIA

CUTIE X 2 BLIST. AL/PVC X 25 CAPS.


CUTIE X 4 BLIST. AL/PVC X 25 CAPS.
CUTIE X 5 BLIST. AL/PVC X 10 CAPS.

P-6L
P-6L/S

P-6L

CUTIE X 6 BLIST. AL/PVC X 10 COMPR. P-6L


CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L

SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,3 ML


SLOVENIA CUTIE X 1 FLACON DIN STICLA X 1 ML

S/P-RF
S/P-RF

CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ.

S/P-RF/R

CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ.

S/P-RF/R

CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ.

S/P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

CUTIE X 1 SERINGA PREUMPLUTA X 0,75ML SOL. INJ.

P-RF/R

CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ.

S/P-RF/R

SLOVENIA

CUTIE CU 1 SERINGA PREUMPLUTA X 1 ML SOL. INJ.

S/P-RF

CUTIE X 1 SERINGA PREUMPLUTA X 1ML SOL. INJ.

P-RF/R

CUTIE X 6 SERINGI PREUMPLUTE X 0,4ML SOL. INJ.

S/P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

AUSTRIA
AUSTRIA
AUSTRIA

CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ.

S/P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

MAREA BRITANIE

CUTIE X 6 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ. + 6 ACE

S/P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

MAREA BRITANIE

CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE

S/P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

MAREA BRITANIE

CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. X 6 ACE

S/P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

MAREA BRITANIE

CUTIE X 1 SERINGA PRE-UMPLUTA X 0,6 ML + 1 AC

S/P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

MAREA BRITANIE

CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE

S/P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

MAREA BRITANIE

CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE

S/P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

MAREA BRITANIE

CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ. + 6 ACE

S/P-RF/R

OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML

P-RF/R

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML

P-RF/R

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML

P-RF/R

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,375 ML

P-RF/R

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML

P-RF/R

CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 0,6 ML

P-RF/R

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML

P-RF/R

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML

P-RF/R

CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 1 ML

P-RF/R

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML

P-RF/R

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML

P-RF/R

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML

P-RF/R

MAREA BRITANIE

CUTIE X 5 BLIST. A-PVC/PVC X 10 COMPR. P-RF

MAREA BRITANIE

CUTIE X 2 BLIST. AL-PVC/PVC X 10 COMPR. P-RF

MAREA BRITANIE

CUTIE X 1 FLAC. DIN STICLA X 30 COMPR.

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 2 ML


ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 7,8 ML

Pagina 141 din 205

P-RF
S/P-RF
S/P-RF

Grupa
Nr.
terape
crt
utica
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100

H02AB04
H02AB07
H02AB07
H02AB07
H02AB07
H02AB07
H02AB07

Denumire generica

METHYLPREDNISOLONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM

J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM


J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM
J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM
J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM
J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM
J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01

FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM

Denumire comerciala

SOLU - MEDROL ACT-O-VIAL

N - PREDNISON
PREDNISON ARENA 5 mg
PREDNISON ARENA 5 mg
PREDNISON MCC 5 mg

Forma
Concentrati
farmaceutic
e / U.T.
a
LIOF. SI SOLV.PT.SOL.INJ

COMPR.
COMPR.
COMPR.
COMPR.
PREDNISON - RICHTER 5 mg COMPR.
PREDNISON 5 mg
COMPR.
CO - TRIM ELL
COMPR.
SUMETROLIM
COMPR.
TAGREMIN
COMPR.
BITRIM 400mg/80mg
COMPR.
SUMETROLIM
SIROP
EPITRIM
SUSP. ORALA
FLUCORIC 100 mg
CAPS.
FLUCOVIM 100
CAPS.
DIFLAZON 100 mg
CAPS.
FUNGOLON 100 mg
CAPS.
FLUCONAZOLE TEVA 100 mg CAPS.
FLUCONAZOLE TEVA 100 mg CAPS.
FLUCONAZOL ROMPHARM 150 mg CAPS.
FLUCONAZOL LPH 150 mg CAPS.
FLUCONAZOL ARENA 150 MG CAPS.
FLUCONAZOL MEDOCHEMIE 150 mg CAPS.
FLUCONAZOL BIOGALENICA 150 mg CAPS.
FLUCONAZOL OZONE 150 mg CAPS.
MYCOSYST 150 mg
CAPS.
MYCOSYST 150 mg
CAPS.
FLUCORIC 150 mg
CAPS.
DIFLUCAN 150 mg
CAPS.
FLUCOVIM 150
CAPS.
DIFLAZON 150 mg
CAPS.
FLUCONAZOL ACTAVIS 150 mg CAPS.
FLUCONAZOL SANDOZ (R) 150 CAPS.
FLUCONAZOL 150 mg
CAPS.
FLUCONAZOL MEDICO UNO 150 mg CAPS.
MYCOMAX 150
CAPS.
FLUCONAZOLE TEVA 150 mg CAPS.
FLUCONAZOL 150 mg
CAPS.
FLUCONAZOLE TEVA 200 mg CAPS.
FLUCONAZOL LPH 50 mg
CAPS.
FLUCOVIM 50
CAPS.
FLUCONAZOL ARENA 50 MG CAPS.
FLUCONAZOL OZONE 50 mg CAPS.
FLUCONAZOL SANDOZ (R) 50 CAPS.
FLUCORIC 50 mg
CAPS.
DIFLUCAN 50 mg
CAPS.
DIFLAZON 50 mg
CAPS.
FLUCONAZOL 50 mg
CAPS.
FUNGOLON 50 mg
CAPS.
FLUCONAZOL BIOGALENICA 50 mg CAPS.
FLUCONAZOL MEDOCHEMIE 50 mg CAPS.
FLUCONAZOLE TEVA 50 mg CAPS.
FLUCONAZOL 50 mg
CAPS.
DIFLUCAN (R) 50 mg/5 ml
PULB. PT. SUSP. ORALA
FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
FLUCONAZOL BIOGALENICA 2mg/ml SOL. PERF.

250mg/4ml
5mg
5mg
5mg
5mg
5mg
5mg
400mg/80mg
400mg/80mg
400mg/80mg
400mg/80mg
25mg/5mg/ml
200mg/40mg /5ml

100mg
100mg
100mg
100mg
100mg
100mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
200mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg/5ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml

Tara

Firma

PFIZER EUROPE MA EEIG

MAREA BRITANIE

Ambalaj

CUTIE X 1 FLAC. BICOMPARTIMENTAT (COMPARTIMENT INFERIOR) LIOF. PT. SOL. INJ. + (COMPARTIMENT SUPERIO

MEDUMAN SA
ROMANIA CUTIE X 1 FLAC. X 30 COMPR.
ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 COMPR.
MAGISTRA C&C S.R.L. ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
SINTOFARM SA
ROMANIA
BIO EEL SRL
ROMANIA

Prescriptie

P-RF

1
30
30

P-RF/S

1,000

P-RF
P-RF

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


CUTIE X 2 BLIST. AL./PVC X 10 COMPR.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
ZENTIVA S.A.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-RF

UNGARIA CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SUSP. ORALA + MASURA DOZATOARE
E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON DIN STICLA BRUNA CU MASURA DOZATOARE X 100 ML
TERAPIA SA
ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.
VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS.

P-RF

KRKA D.D.

SLOVENIA CUTIE X 4 BLIST. X 7 CAPS.


BULGARIA CUTIE X 2 BLIST. PVC/AL X 8 CAPS.
ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.
ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 2 CAPS.

P-RF

CUTIE CU 1 BLIST. PVC/AL X 1 CAPS.


CUTIE CU 1 BLIST. PVC/AL X 1 CAPS.
CUTIE X 1 BLIST. AL/PVC X 1 CAPS.
CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

PRF

EGIS PHARMACEUTICALS P.L.C.

BALKANPHARMA RAZGRAD AD
TEVA PHARMACEUTICALS S.R.L.
TEVA PHARMACEUTICALS S.R.L.

ROMANIA
LABORMED PHARMA S.A. ROMANIA
ARENA GROUP SA ROMANIA
MEDOCHEMIE ROMANIA SRL ROMANIA
LABORATOARELE PROF.DR.MORAIT S.R.L.
ROMANIA
OZONE LABORATORIES PHARMA S.A.
ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
TERAPIA SA
ROMANIA
ROMPHARM COMPANY S.R.L.

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

P-RF
P-RF
P-RF

P-RF
P-RF
P-RF

PRF
P-RF
P-RF

CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.


CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.

P-RF

CUTIE X 4 BLIST. AL/PVC X 1 CAPS.


CUTIE X 2 BLIST. AL/PVC X 1 CAPS.

P-RF

CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS.

P-RF

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.


VIM SPECTRUM SRL ROMANIA CUTIE X 1 FLAC. X 1 CAPS.
KRKA D.D.
SLOVENIA CUTIE X 1 BLIST. X 1 CAPS.
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 BLIST. PVC-PVDC/AL X 1 CAPS.
SANDOZ SRL
GERMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P-RF

ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.


ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA

P-RF

MEDICO UNO PHARMACEUTICAL SRL

ZENTIVA K.S.

CEHIA

PFIZER EUROPE MA EEIG

OZONE LABORATORIES PHARMA S.A.

MAREA BRITANIE

ROMANIA
SLAVIA PHARM SRL ROMANIA
TEVA PHARMACEUTICALS S.R.L. ROMANIA
LABORMED PHARMA S.A. ROMANIA
VIM SPECTRUM SRL ROMANIA
ARENA GROUP SA ROMANIA
OZONE LABORATORIES PHARMA S.A.
ROMANIA
SANDOZ SRL
ROMANIA
TERAPIA SA
ROMANIA
TEVA PHARMACEUTICALS S.R.L.

PFIZER EUROPE MA EEIG

KRKA D.D.
ANTIBIOTICE S.A.
BALKANPHARMA RAZGRAD AD

P-RF

P-RF
P-RF

PRF
P-RF

P-RF

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P-RF
P-RF

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P-RF

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

P-RF

CUTIE CU 1 BLIST. PVC/AL X 7 CAPS.

PRF

CUTIE X 1 BLIST. X 7 CAPS.


CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P-RF

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

P-RF

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P-RF

CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS.

P-RF

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.


SLOVENIA CUTIE X 1 BLIST. X 7 CAPS.
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS.
BULGARIA CUTIE X 1 BLIST. PVC/AL X 8 CAPS.

P-RF

ROMANIA
MEDOCHEMIE ROMANIA SRL ROMANIA
TEVA PHARMACEUTICALS S.R.L. ROMANIA
SLAVIA PHARM SRL ROMANIA

LABORATOARELE PROF.DR.MORAIT S.R.L.

PFIZER EUROPE MA EEIG

P-RF

CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.

MAREA BRITANIE

MAREA BRITANIE

P-RF

P-RF
P-RF
P-RF

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

P-RF

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P-RF

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

P-RF

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P-RF

CUTIE X 1 FLAC. PEID PULB. PT. 35 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 5 ML

P-RF

B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. PEJD X 50 ML SOL. PERF.

ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF.


FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF.
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 25 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF.
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF.
ARENA GROUP S.A. ROMANIA CUTIE X 1 FLAC. X 100 ML SOL. PERF.
FRESENIUS KABI ROMANIA SRL

Pagina 142 din 205

cant/
amba
laj

S
S
S
S
S
S

20
20
30
20
20
20
20
1
1
7
4
28
16
7
2
1
1
1
1
1
1
4
2
1
1
1
1
1
1
1
1
1
1
1
7
7
7
7
7
7
7
7
7
10
8
7
7
7
7
1
10
10
1
25
20
1

Pret cu
ridicata
maximal /
ambalaj

14.97
1.80
1.92
43.91
1.94
1.88
2.72
5.15
3.02
5.65
5.65
5.99
3.48
32.76
18.72
191.37
64.60
23.04
6.90
9.46
7.27
6.60
5.99
4.82
7.27
47.68
23.84
13.79
18.34
7.27
16.46
7.35
10.66
7.27
6.60
9.15
4.82
7.08
29.74
16.50
16.50
13.98
16.50
31.68
21.65
42.71
46.63
18.66
13.92
11.53
11.81
12.20
14.32
42.71
180.75
753.13
80.99
772.93
624.35
40.15

Pret cu ridicata
maximal / U.T.

14.970000
0.060000
0.064000
0.043910
0.097000
0.094000
0.090666
0.257500
0.151000
0.282500
0.282500
5.990000
3.480000
4.680000
4.680000
6.834642
4.037500
3.291428
3.450000
9.460000
7.270000
6.600000
5.990000
4.820000
7.270000
11.920000
11.920000
13.790000
18.340000
7.270000
16.460000
7.350000
10.660000
7.270000
6.600000
9.150000
4.820000
7.080000
4.248571
2.357142
2.357142
1.997142
2.357142
4.525714
3.092857
6.101428
6.661428
1.866000
1.740000
1.647142
1.687142
1.742857
2.045714
42.710000
18.075000
75.313000
80.990000
30.917200
31.217500
40.150000

Pret cu ridicata
maximal de
decontare / U.T.

14.970000
0.052692
0.052692
0.043910
0.052692
0.052692
0.052692
0.181200
0.151000
0.181200
0.181200
5.990000
3.480000
3.949714
3.949714
3.949714
3.949714
3.291428
3.450000
5.784000
5.784000
5.784000
5.784000
4.820000
5.784000
5.784000
5.784000
5.784000
5.784000
5.784000
5.784000
5.784000
5.784000
5.784000
5.784000
5.784000
4.820000
5.784000
4.248571
1.976570
1.976570
1.976570
1.976570
1.976570
1.976570
1.976570
1.976570
1.866000
1.740000
1.647142
1.687142
1.742857
1.976570
42.710000
18.075000
75.313000
80.990000
30.917200
31.217500
37.100640

Pret cu
amanuntul
maximal /
ambalaj

20.23
2.43
2.59
57.44
2.62
2.54
3.67
6.96
4.08
7.63
7.63
8.10
4.70
42.85
25.30
233.63
81.68
31.14
9.32
12.79
9.82
8.92
8.10
6.52
9.82
62.36
32.22
18.64
24.79
9.82
22.25
9.94
14.41
9.82
8.92
12.37
6.52
9.57
38.90
22.30
22.30
18.89
22.30
41.44
29.26
55.87
60.99
25.22
18.81
15.58
15.96
16.49
19.35
55.87
220.66
859.06
102.40
880.65
718.69
52.52

Pret cu
amanuntul
maximal / U.T.

20.230000
0.081000
0.086333
0.057440
0.131000
0.127000
0.122333
0.348000
0.204000
0.381500
0.381500
8.100000
4.700000
6.121428
6.325000
8.343928
5.105000
4.448571
4.660000
12.790000
9.820000
8.920000
8.100000
6.520000
9.820000
15.590000
16.110000
18.640000
24.790000
9.820000
22.250000
9.940000
14.410000
9.820000
8.920000
12.370000
6.520000
9.570000
5.557142
3.185714
3.185714
2.698571
3.185714
5.920000
4.180000
7.981428
8.712857
2.522000
2.351250
2.225714
2.280000
2.355714
2.764285
55.870000
22.066000
85.906000
102.400000
35.226000
35.934500
52.520000

Grupa
Nr.
terape
crt
utica
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160

J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC03
J02AC03
J02AC03
J02AC03
J02AC04

J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB14
J05AF05
J05AF05
J05AF05
J05AF05
J05AF05
J05AF05
J05AF05
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA10
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01

Denumire generica

FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
POSACONAZOLUM**
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
VALGANCICLOVIRUM**
LAMIVUDINUM
LAMIVUDINUM
LAMIVUDINUM
LAMIVUDINUM
LAMIVUDINUM
LAMIVUDINUM
LAMIVUDINUM
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**

Denumire comerciala

FLUCONAZOL B. BRAUN 2mg/ml


FLUCONAZOL B. BRAUN 2mg/ml
FLUCONAZOL B. BRAUN 2mg/ml
FLUCONAZOL B. BRAUN 2mg/ml

FLUCONAZOL KABI 2 mg/ml


FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL KABI 2 mg/ml
DIFLUCAN (R)
DIFLUCAN (R)
MYCOMAX INF 2mg/ml
MYCOMAX INF 2mg/ml
MYCOMAX INF 2mg/ml
DIFLAZON 2mg/ml
VFEND 200mg
VFEND 50mg
VFEND 200mg
VFEND 40 mg/ml
NOXAFIL SP 40mg/ml
ACICLOVIR ARENA 200 mg
ACICLOVIR 200 mg
ACICLOVIR ARENA 200 mg
ACICLOVIR ARENA 400 mg
CLOVIRAL 200 mg

Forma
Concentrati
farmaceutic
e / U.T.
a
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
COMPR. FILM.
COMPR. FILM.
PULB. PT. SOL. PERF.
PULB. PT. SUSP. ORALA

SUSP. ORALA

CAPS.
CAPS.
CAPS.
CAPS.
COMPR.
ACICLOVIR TERAPIA 200 mg COMPR.
ACICLOVIR 200 mg
COMPR.
ACICLOVIR 200 mg
COMPR.
ACICLOVIR 200 mg
COMPR.
ACICLOVIR 400 mg
COMPR.
VIROLEX
PULB. PT. SOL. INJ./PERF.
VALCYTE (R) 450 mg
COMPR. FILM.
LAMIVUDINE TEVA 100 mg COMPR. FILM.
ZEFFIX 100 mg
COMPR. FILM.
LAMIVUDINE TEVA PHARMA B.V. 150 mg

EPIVIR 150mg
LAMIVUDINE TEVA PHARMA B.V. 300 mg

EPIVIR 10mg/ml
ZEFFIX 5 mg/ml
CELLCEPT 250mg
CELLCEPT 500mg
MYCOPHENOLATE MOFETIL MEDICO UNO 500 MG

MYFORTIC 180 mg
MYFORTIC 360 mg

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

SOL. ORALA
SOL. ORALA
CAPS.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM. GASTROREZ.
COMPR. FILM. GASTROREZ.

CAPS.
CAPS.
CAPS.
COMPR.

MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL DR. REDDY'S 250 mg


MYCOPHENOLATUM MOFETILUM** MYFENAX 250mg
MYCOPHENOLATUM MOFETILUM** MYCOPHENOLATE MOFETIL ACCORD 250 mg
MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL SANDOZ 500 mg
MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL TERAPIA 500 mg
MYCOPHENOLATUM MOFETILUM** ARZIP 500 mg
MYCOPHENOLATUM MOFETILUM** MYCOFENOLAT MOFETIL ACTAVIS 500 mg
MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL DR. REDDY'S 500 mg
MYCOPHENOLATUM MOFETILUM** MYFENAX 500mg

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

SIROLIMUS**
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM

DRAJ.
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI

RAPAMUNE 1mg
EQUORAL (R) 100 mg
SANDIMMUN NEORAL (R)
EQUORAL (R) 25 mg
CICLORAL 25 mg
SANDIMMUN NEORAL (R)

2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
200mg
50mg
200mg
40mg/ml
40mg/ml
200mg
200mg
200mg
400mg
200mg
200mg
200mg
200mg
200mg
400mg
250mg
450mg
100 mg
100mg
150 mg
150mg
300 mg
10mg/ml
5mg/ml
250mg
500mg
500mg
180mg
360mg
250 mg
250mg
250mg
500mg
500 mg
500mg
500mg
500mg
500mg
1mg
100mg
25mg
25mg
25mg
50mg

Tara

Firma

Ambalaj

P-RF

CUTIE X 100 BLIST. AL/PVC X 10 CAPS.

P-RF/S

1,000

CUTIE X 1 BLIST. AL/PVC X 10 CAPS.

P-RF

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-RF

B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FLAC. PEJD X 100 ML SOL. PERF.


B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. PEJD X 100 ML SOL. PERF.
B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FLAC. PEJD X 50 ML SOL. PERF.

FRESENIUS KABI ROMANIA SRL

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

PFIZER EUROPE MA EEIG

MAREA BRITANIE

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 1 FLACON X 50 ML
CUTIE X 1 FLACON X 200 ML

REPUBLICA CEHA

CUTIE CU 1 FLACON DIN STICLA INCOLORA A 100 ML SOL. PERF. X 200 MG FLUCONAZOL

REPUBLICA CEHA

CUTIE CU 1 FLACON DIN STICLA INCOLORA A 200 ML SOL. PERF. X 400 MG FLUCONAZOL

REPUBLICA CEHA

CUTIE CU 1 FLACON DIN STICLA INCOLORA A 50 ML SOL. PERF. X 100 MG FLUCONAZOL

FRESENIUS KABI ROMANIA SRL


FRESENIUS KABI ROMANIA SRL
FRESENIUS KABI ROMANIA SRL
FRESENIUS KABI ROMANIA SRL

ZENTIVA K.S.
ZENTIVA K.S.
ZENTIVA K.S.

CUTIE CU 20 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.


CUTIE CU 10 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.

CUTIE CU 1 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.


CUTIE CU 10 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF.

CUTIE CU 1 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF.


CUTIE CU 25 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML

PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
SP EUROPE
ARENA GROUP SA
SLAVIA PHARM SRL
ARENA GROUP SA
ARENA GROUP S.A.
ANTIBIOTICE SA
TERAPIA SA

S
S
S
S
S
S
S
S
S
S
S/P-RF
S/P-RF

S
S
S
S/PR-F

P-RF

MAREA BRITANIE

CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL)


CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL)

MAREA BRITANIE

CUTIE X 1 FLAC. UNIDOZA X 30ML

P-RF

MAREA BRITANIE

P-RF

MAREA BRITANIE

CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA

P-RF

BELGIA

CUTIE X 1 FLAC. X 105ML SUSP. ORALA

P-RF/R

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
EGIS PHARMACEUTICALS P.L.C. UNGARIA
GEDEON RICHTER ROMANIA SA ROMANIA
LAROPHARM S.R.L. ROMANIA
EGIS PHARMACEUTICALS P.L.C. UNGARIA

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.


CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P-RF

P-RF

CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF

CUTIE X 2 BLIST. AL./PVC X 10 COMPR.

P-RF

CUTIE X 2 BLIST. X 10 COMPR.

P-RF

CUTIE X 2 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 5 FLAC. X 250 MG PULB. PT. SOL. INJ./PERF.

ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. X 60 COMPR. FILM.

TEVA PHARMA B.V. OLANDA CUTIE CU BLIST. PVC/PVDC/AL X 30 COMPR. FILM.


GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST. PVC-AL/PVC-AL)
TEVA PHARMA B.V. OLANDA CUTIE CU BLIST. PVC/PVDC/AL X 60 COMPR. FILM.
GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLAC. PEID X 60 COMPR. FILM.
TEVA PHARMA B.V. OLANDA CUTIE CU BLIST. PVC/PVDC/AL X 30 COMPR. FILM.
GLAXO GROUP LTD. MAREA BRITANIE
GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLACON HDPE X 240 ML + 1 SERINGA DOZATOARE PP + 1 ADAPTOR PE
ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 10 BLIST. X 10 CAPS.
CUTIE X 1 FLACON PEID X 240ML SOL. ORALA + 1 SERINGA DOZATOARE + 1 ADAPTOR

S/P-RF

P-RF
P-RF/R
P-RF/R
P-RF/R
P-RF/R
P-RF/R
P-RF/R
P-RF/R
P-RF/R

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 5 BLIST. X 10 COMPR. FILM.

P-RF/R

MEDICO UNO PHARMA KFT.

UNGARIA

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

P-RF/R

NOVARTIS PHARMA GMBH GERMANIA

CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ.

S/P-RF

NOVARTIS PHARMA GMBH GERMANIA

CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ.

S/P-RF

DR. REDDY'S LABORATORIES

ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 100 CAPS. PR

TEVA PHARMA BV

OLANDA CUTIE X BLIST. PVC/PVDC/AL X 100 CAPS.

P-RF/R

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

CUTIE CU BLIST. PVC-PVDC/AL CU 100 CAPS.

P-RF/R

SANDOZ S.R.L.
TERAPIA S.A.
ZENTIVA K.S.

CUTIE CU BLIST. PVC-PE-PVDC/AL X 50 COMPR. FILM.

P-RF

CUTIE CU 1 BLIST. DIN AL-PA-PVC/AL X 50 COMPR. FILM.

REPUBLICA SLOVACA

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

PR
PR

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

P-RF/R

DR. REDDY'S LABORATORIES

ROMANIA

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

P-RF

ROMANIA
ROMANIA

TEVA PHARMA BV

OLANDA

CUTIE X BLIST. PVC/PVDC/AL X 50 COMPR. FILM.

P-RF/R

WYETH EUROPA LTD.

MAREA BRITANIE

CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR)

P-RF/R

IVAX - PHARMACEUTICALS S.R.O.

CEHIA

CUTIE X 5 BLIST. X 10 CAPS. MOI


CUTIE X 10 BLIST. X 5 CAPS. MOI
CUTIE X 5 BLIST. X 10 CAPS. MOI

NOVARTIS PHARMA GMBH GERMANIA


IVAX - PHARMACEUTICALS S.R.O.

CEHIA

HEXAL AG

GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI

NOVARTIS PHARMA GMBH GERMANIA

cant/
amba
laj

10
20
10
20
20
10
1
10
1
25
1
1
1
1
1
1
28
28
1
1
1
20
20

B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. PEJD X 200 ML SOL. PERF.

FRESENIUS KABI ROMANIA SRL

Prescriptie

CUTIE X 10 BLIST. X 5 CAPS. MOI

Pagina 143 din 205

S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF

10
20
20
20
20
20
10
5
60
30
28
60
60
30
1
1
100
50
50
120
120
100
100
100
50
50
50
50
50
50
30
50
50
50
50
50

Pret cu
ridicata
maximal /
ambalaj

761.97
787.39
449.60
358.65
356.89
179.79
18.63
326.90
33.88
438.62
30.62
131.62
42.16
135.83
30.18
34.63
3,517.81
901.74
453.05
2,178.01
2,669.12
15.66
14.80
696.23
14.23
12.02
12.54
10.09
12.60
9.51
14.06
229.07
4,806.36
157.13
225.63
315.52
471.30
315.52
130.26
102.79
447.90
447.90
289.44
551.46
1,030.04
288.20
298.76
289.44
224.51
298.80
269.39
269.39
298.76
298.76
483.90
393.08
111.16
73.58
111.30
236.51

Pret cu ridicata
maximal / U.T.

76.197000
39.369500
44.960000
17.932500
17.844500
17.979000
18.630000
32.690000
33.880000
17.544800
30.620000
131.620000
42.160000
135.830000
30.180000
34.630000
125.636071
32.205000
453.050000
2,178.010000
2,669.120000
0.783000
0.740000
0.696230
1.423000
0.601000
0.627000
0.504500
0.630000
0.475500
1.406000
45.814000
80.106000
5.237666
8.058214
5.258666
7.855000
10.517333
130.260000
102.790000
4.479000
8.958000
5.788800
4.595500
8.583666
2.882000
2.987600
2.894400
4.490200
5.976000
5.387800
5.387800
5.975200
5.975200
16.130000
7.861600
2.223200
1.471600
2.226000
4.730200

Pret cu ridicata
maximal de
decontare / U.T.

76.197000
37.100640
37.100640
17.932500
17.844500
17.979000
18.630000
32.690000
33.880000
17.544800
21.053760
90.375600
37.100640
90.375600
21.053760
34.630000
125.636071
32.205000
453.050000
2,178.010000
2,669.120000
0.570600
0.570600
0.570600
1.423000
0.570600
0.570600
0.504500
0.570600
0.475500
1.406000
45.814000
80.106000
5.237666
6.285199
5.258666
6.310399
10.517333
130.260000
102.790000
3.458400
5.388240
5.388240
4.595500
8.583666
2.882000
2.987600
2.894400
4.490200
5.388240
5.387800
5.387800
5.388240
5.388240
16.130000
7.861600
1.765920
1.471600
1.765920
3.689520

Pret cu
amanuntul
maximal /
ambalaj

868.70
896.41
528.22
429.08
427.16
219.49
25.18
394.47
44.32
516.25
40.05
160.68
55.14
165.82
39.48
45.29
3,872.57
1,021.05
531.97
2,412.18
2,947.50
21.17
20.00
797.04
19.24
16.24
16.95
13.64
17.03
12.85
19.00
279.65
5,277.09
191.83
275.45
382.07
551.87
382.07
159.02
125.49
526.36
526.36
353.35
639.24
1,160.90
351.83
364.73
353.35
274.08
364.78
328.87
328.87
364.73
364.73
565.60
466.61
135.71
93.03
135.87
288.73

Pret cu
amanuntul
maximal / U.T.

86.870000
44.820500
52.822000
21.454000
21.358000
21.949000
25.180000
39.447000
44.320000
20.650000
40.050000
160.680000
55.140000
165.820000
39.480000
45.290000
138.306071
36.466071
531.970000
2,412.180000
2,947.500000
1.058500
1.000000
0.797040
1.924000
0.812000
0.847500
0.682000
0.851500
0.642500
1.900000
55.930000
87.951500
6.394333
9.837500
6.367833
9.197833
12.735666
159.020000
125.490000
5.263600
10.527200
7.067000
5.327000
9.674166
3.518300
3.647300
3.533500
5.481600
7.295600
6.577400
6.577400
7.294600
7.294600
18.853333
9.332200
2.714200
1.860600
2.717400
5.774600

Grupa
Nr.
terape
crt
utica
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181

L04AD01
L04AD01
L04AD01
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AX01
L04AX01
L04AX01
L04AX01

Denumire generica

CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
AZATHIOPRINUM*
AZATHIOPRINUM*
AZATHIOPRINUM*
AZATHIOPRINUM*

Denumire comerciala

EQUORAL (R) 50 mg
CICLORAL 50 mg
EQUORAL (R)
TACNI 0,5 mg
TACROLIMUSUM ACCORD 0,5 mg

TACROLIMUS SANDOZ 0,5 mg

PROGRAF (R) 0,5 mg


TACNI 1 mg
TACROLIMUS SANDOZ 1 mg
TACROLIMUSUM ACCORD 1 mg

PROGRAF (R) 1 mg
TACNI 5 mg
PROGRAF (R) 5 mg
ADVAGRAF 0,5mg
ADVAGRAF 1mg
ADVAGRAF 5mg
PROGRAF (R) 5 mg/ml
IMMUNOPRIN 100 mg
IMMUNOPRIN 100 mg
IMURAN (R)
IMMUNOPRIN 75 mg

Forma
Concentrati
farmaceutic
e / U.T.
a
CAPS. MOI
CAPS. MOI
SOL. ORALA
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CONC. PT. SOL. PERF.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

50mg
50mg
100mg/ml
0,5 mg
0,5mg
0,5mg
0,5mg
1 mg
1mg
1mg
1mg
5 mg
5mg
0,5mg
1mg
5mg
5mg/ml
100mg
100mg
50mg
75mg

Tara

Firma

Ambalaj

CUTIE X 5 BLIST. X 10 CAPS. MOI

Prescriptie

IVAX - PHARMACEUTICALS S.R.O.

CEHIA

HEXAL AG

GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI

S/P-RF

IVAX - PHARMACEUTICALS S.R.O.

CEHIA

CUTIE X 1 FLACON DIN STICLA BRUNA X 50 ML, UN DISPOZITIV DE MASURAT + UN CAPAC CU FILET

S/P-RF

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI DE AL A CATE 10 CAPSULE

PRF

S/P-RF

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

CUTIE CU BLIST. AL/AL X 50 CAPS. PR

SANDOZ S.R.L.

ROMANIA

CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS. S/P-RF

ASTELLAS PHARMA EUROPE BV

OLANDA

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT

S/P-RF

TEVA PHARMACEUTICALS S.R.L.

ROMANIA
ROMANIA

CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI AL A CATE 10 CAPSULE

PRF

CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS. S/P-RF

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

CUTIE CU BLIST. AL/AL X 50 CAPS. PR

SANDOZ S.R.L.
ASTELLAS PHARMA EUROPE BV

OLANDA

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI AL A CATE 10 CAPS.

PRF

ASTELLAS PHARMA EUROPE BV

OLANDA

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT

S/P-RF

S/P-RF

ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)

P-RF/R

ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)

P-RF/R

ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)

P-RF/R

ASTELLAS PHARMA EUROPE BV


EBEWE PHARMA GES.M.B.H. NFG KG
EBEWE PHARMA GES.M.B.H. NFG KG

OLANDA CUTIE X 10 FIOLE X 1 ML


S
AUSTRIA CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM. PR
AUSTRIA CUTIE CU 1 FLAC. PEID X 50 COMPR. FILM. PR

THE WELLCOME FOUNDATION LTD. MAREA BRITANIE


EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRIA

CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM.

S/P-RF

CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM.

PR

cant/
amba
laj

50
50
1
50
50
50
50
50
50
50
50
50
50
50
50
50
10
100
50
100
100

Pret cu
ridicata
maximal /
ambalaj

153.73
247.07
354.17
131.94
131.94
131.94
202.98
235.82
235.82
235.82
359.82
1,101.92
1,695.40
202.51
398.16
1,844.03
1,527.41
82.20
41.83
63.23
61.67

Pret cu ridicata
maximal / U.T.

3.074600
4.941400
354.170000
2.638800
2.638800
2.638800
4.059600
4.716400
4.716400
4.716400
7.196400
22.038400
33.908000
4.050200
7.963200
36.880600
152.741000
0.822000
0.836600
0.632300
0.616700

Pret cu ridicata
maximal de
decontare / U.T.

Pret cu
amanuntul
maximal /
ambalaj

Pret cu
amanuntul
maximal / U.T.

3.074600
3.689520
354.170000
2.638800
2.638800
2.638800
3.166560
4.716400
4.716400
4.716400
5.659680
22.038400
26.446080
3.166560
5.659680
26.446080
152.741000
0.822000
0.836600
0.632300
0.616700

187.67
301.62
424.20
161.07
161.07
161.07
247.80
287.89
287.89
287.89
430.35
1,239.24
1,886.14
247.22
472.14
2,048.15
1,703.03
103.94
54.72
79.95
77.97

3.753400
6.032400
424.200000
3.221400
3.221400
3.221400
4.956000
5.757800
5.757800
5.757800
8.607000
24.784800
37.722800
4.944400
9.442800
40.963000
170.303000
1.039400
1.094400
0.799500
0.779700

0.508200
0.765333
20.140000
10.751000
0.601600
13.931428
28.929642
55.145714
156.718000
79.254000
12.204000
12.298000
3.070000
10.374000
5.701000
11.703000
15.210000
19.715000
5.894000
8.086000
10.722000
15.360000
75.100000
6.602000
15.852000
45.176000
9.550000
13.265000
40.320000
28.785000
51.440000

33.24
31.03
245.87
131.25
76.07
463.34
921.08
1,721.20
892.26
470.08
77.15
150.13
20.75
126.64
72.08
142.87
185.68
51.58
74.53
102.24
130.90
187.52
856.74
83.47
100.22
530.57
25.82
34.70
101.96
72.79
125.59

0.664800
1.034333
24.587000
13.125000
0.760700
16.547857
32.895714
61.471428
178.452000
94.016000
15.430000
15.013000
4.150000
12.664000
7.208000
14.287000
18.568000
25.790000
7.453000
10.224000
13.090000
18.752000
85.674000
8.347000
20.044000
53.057000
12.910000
17.350000
50.980000
36.395000
62.795000

Pentru urmtoarele DCI-uri: VORICONAZOLUM, VALGANCICLOVIRUM, EPOETINUM BETA i DARBOPOETINUM, prescrierea i eliberarea medicamentelor se fac numai cu aprobarea Ageniei Naionale
de Transplant

P10: PROGRAM NATIONAL DE SUPLEERE A FUNCTIEI RENALE LA BOLNAVII CU INSUFICIENTA RENALA CRONICA
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31

A11CC03
A11CC03
A11CC03
A11CC03
A11CC04
A11CC07
A11CC07
A11CC07
A11CC07
A11CC07

B01AB01
B01AB01
B01AB01
B01AB01
B01AB05
B01AB05
B01AB05
B01AB05
B01AB06
B01AB06
B01AB06
B01AB06
B01AB06
B01AB08
B01AB08
B01AB10
B01AB10
B01AB10
B01AB10
B01AB10
B01AB10

ALFACALCIDOLUM
ALFACALCIDOLUM
ALFACALCIDOLUM
ALFACALCIDOLUM
CALCITRIOLUM**
PARICALCITOLUM**
PARICALCITOLUM**
PARICALCITOLUM**
PARICALCITOLUM**
PARICALCITOLUM**
HEPARINUM**
HEPARINUM**
HEPARINUM**
HEPARINUM**
ENOXAPARINUM**
ENOXAPARINUM**
ENOXAPARINUM**
ENOXAPARINUM**
NADROPARINUM**
NADROPARINUM**
NADROPARINUM**
NADROPARINUM**
NADROPARINUM**
REVIPARINUM**
REVIPARINUM**
TINZAPARINUM**
TINZAPARINUM**
TINZAPARINUM**
TINZAPARINUM**
TINZAPARINUM**
TINZAPARINUM**

ALPHA D3 0,25 mcg


ALPHA D3 0,50 mcg
ONE-ALPHA 2 micrograme/ml
ONE-ALPHA 2 micrograme/ml
ROCALTROL
ZEMPLAR 1mcg
ZEMPLAR 2mcg
ZEMPLAR 4mcg
ZEMPLAR
ZEMPLAR
HEPARIBENE Na 25000
HEPARIN
HEPARIN
HEPARINE SODIQUE PANPHARMA

CLEXANE 2000ui anti-Xa/0,2ml


CLEXANE 4000ui anti-Xa/0,4ml
CLEXANE 6000ui anti-Xa/0,6ml
CLEXANE 8000ui anti-Xa/0,8ml
FRAXIPARINE 2850 UI anti-factor Xa/0,3 ml
FRAXIPARINE 3800 UI anti-factor Xa/0,4 ml
FRAXIPARINE 5700 UI anti-factor Xa/0,6 ml
FRAXIPARINE 7600 UI anti-factor Xa/0,8 ml
FRAXIPARINE 9500 UI anti-factor Xa/1 ml multidoza

CLIVARIN (R) 1432UI/0,25 ml


CLIVARIN (R) 3436 UI/0,6 ml
INNOHEP
INNOHEP
INNOHEP
INNOHEP
INNOHEP
INNOHEP

CAPS. MOI
CAPS. MOI
SOL. INJ.
SOL. INJ.
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.

0,25mcg
0,50mcg
2micrograme/ml
2micrograme/ml

0,25mcg
1mcg
2mcg
4mcg
5 mcg/ml
5 mcg/ml
5000 UI/ml
5000ui/ml
5000ui/ml
5000ui/ml

TEVA PHARMACEUTICALS S.R.L.


TEVA PHARMACEUTICALS S.R.L.

LEO PHARMA A/S


LEO PHARMA A/S

ROMANIA CUTIE X 1 FLAC. DIN PPID X 50 CAPS. MOI


ROMANIA CUTIE X 1 FLAC. X 30 CAPS. MOI

P-RF

DANEMARCA CUTIE CU 10 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ.

S
S

DANEMARCA CUTIE CU 10 FIOLE DIN STICLA BRUNA X 0,5 ML SOL. INJ.

ROCHE ROMANIA S.R.L. ROMANIA


ABBOTT LABORATORIES LTD.
ABBOTT LABORATORIES LTD.
ABBOTT LABORATORIES LTD.

SPANIA
SPANIA
SPANIA
SPANIA
SPANIA

P-RF

CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 CAPS. MOI P-RF


CUTIE X 4 BLIST. PVC/FLUOROPOLIMER/AL X 7 CAPS. MOI

P-RF

CUTIE X 4 BLIST. PVC/FLUOROPOLIMER/AL X 7 CAPS.

P-RF

CUTIE X 4 BLIST. PVC/FLUOROPOLIMER/AL X 7 CAPS. MOI

P-RF

8000ui anti-Xa/0,8ml

LAB. PANPHARMA
LAB. AVENTIS
LAB. AVENTIS
LAB. AVENTIS
LAB. AVENTIS

CUTIE X 5 FIOLE X 2 ML SOL. INJ.


CUTIE X 5 FIOLE X 1 ML SOL. INJ.
ROMANIA CUTIE CU 5 FLACOANE X 25000 UI
ROMANIA CUTIE X 10 FIOLE X 5ML
ROMANIA CUTIE X 5 FIOLE X 1ML
FRANTA CUTIE X 10 FLACOANE DIN STICLA INCOLORA X 5 ML SOL. INJ.
FRANTA CUTIE X 10 SERINGI PREUMPLUTE X 0,2 ML SOL. INJ.
FRANTA CUTIE X 10 SERINGI PREUMPLUTE X 0.4 ML SOL. INJ.
FRANTA CUTIE X 10 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ.
FRANTA CUTIE X 2 SERINGI PREUMPLUTE X 0,8 ML SOL. INJ.

2850 ui AFXa/0,3ml

GLAXO GROUP LIMITED/GLAXO WELLCOME HOUSE

MAREA BRITANIE

CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,3 ML SOL. INJ.

S/P-RF

3800 ui AFXa/0,4ml

GLAXO GROUP LIMITED/GLAXO WELLCOME HOUSE

MAREA BRITANIE

CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,4 ML SOL. INJ.

S/P-RF

5700 ui AFXa/0,6ml

GLAXO GROUP LIMITED/GLAXO WELLCOME HOUSE

MAREA BRITANIE

CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,6 ML SOL. INJ.

S/P-RF

7600 ui AFXa/0,8ml

GLAXO GROUP LIMITED/GLAXO WELLCOME HOUSE

MAREA BRITANIE

CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,8 ML SOL. INJ.

S/P-RF

2000ui anti-Xa/0,2ml
4000ui anti-Xa/0,4ml
6000ui anti-Xa/0,6ml

ABBOTT LABORATORIES LTD.


ABBOTT LABORATORIES LTD.
HK&ZY BEST PHARMA DISTRIBUTION

POLIPHARMA INDUSTRIES S.R.L.


POLIPHARMA INDUSTRIES S.R.L.

GLAXO GROUP LIMITED MAREA BRITANIE


1432ui/0,25ml ABBOTT GMBH&CO.KG GERMANIA
3436ui/0,6ml ABBOTT GMBH&CO.KG GERMANIA

9500 UI AFXa/1 ml

10000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA

S
S
P-RF

S
S
S
S/P-RF
S/P-RF
S/P-RF
S/P-RF

CUTIE CU 10 FLAC. DIN STICLA INCOLORA, MULTIDOZA X 5 ML SOL. INJ.

CUTIE X 2 BLIST. X 5 SERINGI PREUMPLUTE UNIDOZA X 0,25ML

S/P-RF

CUTIE X 1 BLIST X 5 SERINGI PREUMPLUTE UNIDOZA X 0,60 ML

S/P-RF

CUTIE X 10 FLAC. DIN STICLA INCOLORA X 2 ML SOL. INJ. (10000 U-AXA)

S/P-RF

10000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 2 SERINGI PREUMPLUTE X 0.35 ML SOL. INJ. (3500 U-AXA)

S/P-RF

10000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 2 SERINGI PREUMPLUTE X 0.45 ML SOL. INJ. (4500 U-AXA)

S/P-RF

20000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 2 SERINGI PREUMPLUTE X 0,70 ML SOL. IN. (14000 U-AXA)

S/P-RF

20000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 2 SERINGI PREUMPLUTE X 0,50 ML SOL. IN. (10000 U-AXA)

S/P-RF

20000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 2 SERINGI PREUMPLUTE X 0,90 ML SOL. IN. (18000 U-AXA)

S/P-RF

Pagina 144 din 205

50
30
10
10
100
28
28
28
5
5
5
10
5
10
10
10
10
2
10
10
10
10
10
10
5
10
2
2
2
2
2

25.41
22.96
201.40
107.51
60.16
390.08
810.03
1,544.08
783.59
396.27
61.02
122.98
15.35
103.74
57.01
117.03
152.10
39.43
58.94
80.86
107.22
153.60
751.00
66.02
79.26
451.76
19.10
26.53
80.64
57.57
102.88

0.508200
0.765333
20.140000
10.751000
0.601600
13.931428
28.929642
55.145714
156.718000
79.254000
12.204000
12.298000
3.070000
10.374000
5.701000
11.703000
15.210000
19.715000
5.894000
8.086000
10.722000
15.360000
75.100000
6.602000
15.852000
45.176000
9.550000
13.265000
40.320000
28.785000
51.440000

Grupa
Nr.
terape
crt
utica
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67

B01AB10

Denumire generica

TINZAPARINUM**

B03AC02 COMPLEX DE HIDROXID DE FER (III) SUCROZA

B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
H05BX01
H05BX01
H05BX01

V03AE02

EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
CINACALCETUM****
CINACALCETUM****
CINACALCETUM****
SEVELAMER**

Denumire comerciala

INNOHEP
VENOFER (R)
EPREX (R) 3000 UI
EPREX (R) 40 000 UI
BINOCRIT 10000UI/1,0ml
BINOCRIT 1000UI/0,5ml
BINOCRIT 2000UI/1,0ml
BINOCRIT 30000UI/0,75ml
BINOCRIT 3000UI/0,3ml
EPREX 40000 UI/ml
BINOCRIT 40000 UI/1 ml
BINOCRIT 4000UI/0,4ml
BINOCRIT 5000UI/0,5ml
NEORECORMON 10000UI/0,6ml
NEORECORMON 1000UI/0,3ml
NEORECORMON 2000UI/0,3ml
NEORECORMON 30000UI/0,6ml
NEORECORMON 4000UI/0,3ml
NEORECORMON 5000UI/0,3ml

NEORECORMON 500UI/0,3ml

ARANESP 100mcg/0,5ml
ARANESP 10mcg/0,4ml
ARANESP 150mcg/0,3ml
ARANESP 15mcg/0,375ml
ARANESP 20mcg/0,5ml
ARANESP 300mcg/0,6ml
ARANESP 30mcg/0,3ml
ARANESP 40mcg/0,4ml
ARANESP 500mcg/ml
ARANESP 50mcg/0,5ml
ARANESP 60mcg/0,3ml
ARANESP 80mcg/0,4ml
MIMPARA 30 mg
MIMPARA 60 mg
MIMPARA 90 mg
RENAGEL 800mg

Forma
Concentrati
farmaceutic
e / U.T.
a

Tara

Firma

SOL. INJ.

20000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA

SOL. INJ./PERF.

SOL. INJ. IN SERINGA PREUMPLUTA

20mg/ml
VIFOR FRANCE S.A.
3000ui/0,3ml JOHNSON & JOHNSON D.O.O.
40 000UI
JOHNSON & JOHNSON D.O.O.
10000UI/1,0ml SANDOZ GMBH
1000UI/0,5ml SANDOZ GMBH
2000UI/1,0ml SANDOZ GMBH
30000UI/0,75ml SANDOZ GMBH
3000UI/0,3ml SANDOZ GMBH
40 000UI/ml JOHNSON & JOHNSON D.O.O.
40000 UI/1 ml SANDOZ GMBH
4000UI/0,4ml SANDOZ GMBH
5000UI/0,5ml SANDOZ GMBH

SOL. INJ. IN SERINGA PREUMPLUTA

10000UI/0,6ml

SOL. INJ. IN SERINGA PREUMPLUTA

1000UI/0,3ml
2000UI/0,3ml

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ.
SOL. INJ.
SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,3 ML


SLOVENIA CUTIE X 1 FLACON DIN STICLA X 1 ML

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

S/P-RF
S/P-RF
S/P-RF
S/P-RF/R

CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ.

S/P-RF/R

CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ.

S/P-RF/R

CUTIE X 1 SERINGA PREUMPLUTA X 0,75ML SOL. INJ.

P-RF/R

CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ.

S/P-RF/R

SLOVENIA

CUTIE CU 1 SERINGA PREUMPLUTA X 1 ML SOL. INJ.

S/P-RF

AUSTRIA
AUSTRIA
AUSTRIA

CUTIE X 1 SERINGA PREUMPLUTA X 1ML SOL. INJ.

P-RF/R

CUTIE X 6 SERINGI PREUMPLUTE X 0,4ML SOL. INJ.

S/P-RF/R

CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ.

S/P-RF/R

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 6 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ. + 6 ACE

S/P-RF/R

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE

S/P-RF/R

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. X 6 ACE

S/P-RF/R

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

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE

S/P-RF/R

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE

S/P-RF/R

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ. + 6 ACE

S/P-RF/R

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML

P-RF/R

100mcg/0,5ml AMGEN EUROPE BV OLANDA

SOL. INJ. IN SERINGA PREUMPLUTA

S/P-RF

CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ.

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

Prescriptie

AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

CUTIE X 10 FLAC. DIN STICLA INCOLORA X 2ML SOL. INJ. (20000 U-AXA)

FRANTA CUTIE X 5 FIOLE X 5 ML

4000UI/0,3ml
5000UI/0,3ml
500UI/0,3ml

SOL. INJ. IN SERINGA PREUMPLUTA

Ambalaj

10mcg/0,4ml AMGEN EUROPE BV


150mcg/0,3ml AMGEN EUROPE BV
15mcg/0,375ml AMGEN EUROPE BV
20mcg/0,5ml AMGEN EUROPE BV
300mcg/0,6ml AMGEN EUROPE BV
30mcg/0,3ml AMGEN EUROPE BV
40mcg/0,4ml AMGEN EUROPE BV
500mcg/ml AMGEN EUROPE BV
50mcg/0,5ml AMGEN EUROPE BV
60mcg/0,3ml AMGEN EUROPE BV
80mcg/0,4ml AMGEN EUROPE BV
30mg
AMGEN EUROPE B.V.
60mg
AMGEN EUROPE B.V.
90mg
AMGEN EUROPE B.V.
800mg
GENZYME EUROPE BV

OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML


OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML
OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,375 ML
OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML
OLANDA CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 0,6 ML
OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML
OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML
OLANDA CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 1 ML
OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML
OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML
OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML
OLANDA CUTIE X 2 BLIST. ACLAR-PVC-PVAC/AL X 14 COMPR. FILM.
OLANDA CUTIE X 2 BLIST. ACLAR-PVC-PVAC/AL X 14 COMPR. FILM.
OLANDA CUTIE X 2 BLIST. ACLAR-PVC-PVAC/AL X 14 COMPR. FILM.
OLANDA CUTIE X 1 FLAC.PEID. X 180 COMPR. FILM.

P-RF/R
P-RF/R
P-RF/R
P-RF/R
P-RF/R
P-RF/R
P-RF/R
P-RF/R
P-RF/R
P-RF/R
P-RF/R

P-RF
P-RF
P-RF
P-RF

cant/
amba
laj

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

Pret cu ridicata
maximal de
decontare / U.T.

Pret cu
amanuntul
maximal /
ambalaj

Pret cu
amanuntul
maximal / U.T.

10
5
6
1
6
6
6
1
6
1
1
6
6
6
6
6
1
6
6
6
4
4
4
4
4
1
4
4
1
4
4
4
28
28
28
180

975.08
121.24
653.92
1,192.91
1,532.97
176.81
351.85
680.43
513.14
1,192.91
867.37
674.39
835.59
2,093.33
226.59
442.92
1,030.67
855.25
1,061.28
116.51
2,842.62
320.42
4,234.65
462.11
602.82
1,968.23
881.01
1,161.60
3,260.40
1,440.69
1,722.12
2,283.14
745.62
1,367.29
1,945.08
691.10

97.508000
24.248000
108.986666
1,192.910000
255.495000
29.468333
58.641666
680.430000
85.523333
1,192.910000
867.370000
112.398333
139.265000
348.888333
37.765000
73.820000
1,030.670000
142.541666
176.880000
19.418333
710.655000
80.105000
1,058.662500
115.527500
150.705000
1,968.230000
220.252500
290.400000
3,260.400000
360.172500
430.530000
570.785000
26.629285
48.831785
69.467142
3.839444

97.508000
24.248000
102.628000
1,040.844000
255.495000
29.468333
58.641666
680.430000
85.523333
1,040.844000
867.370000
112.398333
139.265000
348.888333
37.765000
73.820000
1,030.670000
142.541666
176.880000
19.418333
710.655000
80.105000
1,058.662500
115.527500
150.705000
1,968.230000
220.252500
290.400000
3,260.400000
360.172500
430.530000
570.785000
26.629285
48.831785
69.467142
3.839444

1,100.99
148.01
750.92
1,338.42
1,709.09
215.85
421.67
779.82
597.47
1,338.42
983.58
773.24
948.94
2,319.88
276.62
520.93
1,161.58
970.37
1,194.95
142.24
3,136.61
387.41
4,653.92
541.85
695.22
2,183.52
998.45
1,304.30
3,591.99
1,608.50
1,915.26
2,526.78
850.88
1,528.50
2,158.29
791.45

110.099000
29.602000
125.153333
1,338.420000
284.848333
35.975000
70.278333
779.820000
99.578333
1,338.420000
983.580000
128.873333
158.156666
386.646666
46.103333
86.821666
1,161.580000
161.728333
199.158333
23.706666
784.152500
96.852500
1,163.480000
135.462500
173.805000
2,183.520000
249.612500
326.075000
3,591.990000
402.125000
478.815000
631.695000
30.388571
54.589285
77.081785
4.396944

14
28
50
50
20
50
20
1
7
7

165.42
246.61
17.84
46.00
18.40
11.49
4.59
451.00
21.80
84.13

11.815714
8.807500
0.356800
0.920000
0.920000
0.229800
0.229500
451.000000
3.114285
12.018571

10.569000
8.807500
0.356800
0.920000
0.920000
0.229800
0.229500
451.000000
3.114285
12.018571

201.94
301.06
24.11
60.17
24.87
15.53
6.21
529.74
29.46
106.37

14.424285
10.752142
0.482200
1.203400
1.243500
0.310600
0.310500
529.740000
4.208571
15.195714

P11: PROGRAM NATIONAL DE SANATATE MINTALA


SUBPROGRAMUL TRATAMENTUL TOXICODEPENDENTELOR
1
2
3
4
5
6
7
8
9
10

N07BB04
N07BB04
N07BC02
N07BC02
N07BC02
N07BC02
N07BC02
N07BC02

NALTREXONUM
NALTREXONUM
METHADONUM
METHADONUM
METHADONUM
METHADONUM
METHADONUM
METHADONUM

N07BC51 COMBINATII ( BUPRENORPHINUM + NALAXONE)


N07BC51 COMBINATII ( BUPRENORPHINUM + NALAXONE)

REVIA
REVIA
SINTALGON 2,5 mg
METADON BIOEEL 20 mg
METADON BIOEEL 20 mg
METADON BIOEEL 5 mg
METADON BIOEEL 5 mg
EPTADONE
SUBOXONE 2mg/0,5mg
SUBOXONE 8mg/2mg

COMPR. FILM. 50mg


COMPR. FILM. 50mg

TORREX CHIESI PHARMA GMBH

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
SOL. ORALA

ZENTIVA S.A.
BIO EEL SRL
BIO EEL SRL
BIO EEL SRL
BIO EEL SRL

COMPR. SUBLING.
COMPR. SUBLING.

2,5mg
20mg
20mg
5mg
5mg
5mg/ml
2mg/0,5mg
8mg/2mg

TORREX CHIESI PHARMA GMBH

AUSTRIA
AUSTRIA

ROMASTRU TRADING S.R.L.

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

SP EUROPE
SP EUROPE

BELGIA
BELGIA

CUTIE X 2 BLIST. PVC-PE-ACLAR/AL X 7 COMPR. FILM.

P-RF

CUTIE X 4 BLIST. PVC-PE-ACLAR/AL X 7 COMPR. FILM.

P-RF

CUTIE X 2 BLIST. AL/PVC X 25 COMPR.

P-TS

CUTIE X 5 BLIST. AL/PVC-PVDC X 10 COMPR. P-TS


CUTIE X 2 BLIST. AL/PVC-PVDC X 10 COMPR. P-TS
CUTIE X 5 BLIST. AL/PVC-PVDC X 10 COMPR. P-TS
CUTIE X 2 BLIST. AL/PVC-PVDC X 10 COMPR. P-TS

CUTIE CU 1 FL. X 1000ML

PS

CUTIE X 7 COMPR. SUBLING. ( BLIST.NYLON/AL/PVC)

P-TS; S

CUTIE X 7 COMPR. SUBLING. ( BLIST.NYLON/AL/PVC)

P-TS; S

NOTA:
- Tratamentul cu medicamentele corespunztoare DCI-urilor notate cu (*) se iniiaza de medicul de specialitate in limita competenei i poate fi prescris n continuare de medicul de familie
pe baza scrisorii medicale emise de medicul de specialitate;
- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (**) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MS;
- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (***) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MS si cu aprobarea
comisiilor de la nivelul Caselor Judetene de Asigurari de Sanatate;

Pagina 145 din 205

Grupa
Nr.
terape
crt
utica

Denumire generica

Denumire comerciala

Forma
Concentrati
farmaceutic
e / U.T.
a

Firma

Tara

Ambalaj

- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (****) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MS si cu aprobarea
comisiilor de la nivelul Casei Nationale de Asigurari de Sanatate;
Medicamentul corespunzator DCI-ului notat cu (3) se livreaza impreuna cu solvent;
Medicamentele corespunzatoare DCI-urilor notate cu ( 4) se importa cu avizul Ministerului Sanatatii;
Medicamentele din aceast sublist se elibereaz att prin farmacii cu circuit nchis ct i prin farmacii cu circuit deschis pe baz de prescripie medical cu reinere n farmacie (P-RF).

Pagina 146 din 205

Prescriptie

cant/
amba
laj

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

Pret cu ridicata
maximal de
decontare / U.T.

Pret cu
amanuntul
maximal /
ambalaj

Pret cu
amanuntul
maximal / U.T.

Pret de decontare
/ U.T.

2.505000
2.725833
18.880000
6.750000
8.460000
9.400000
5.568000
4.140000
5.904000
6.320000
5.904000
4.920000
5.568000
4.640000
5.568000
0.981666
1.883333
16.512000
13.760000
0.592666
3.556000
0.333000
0.310920
0.337200
0.292630
0.337200
0.298000
0.298000
0.281000
0.337200
0.428916
0.357430
0.428916
0.428916
0.428916
0.428916
0.428916
3.280000
5.270000
17.309520
14.424600
1.582857
1.607142
1.607142
1.398125
0.918000
0.765000

Pagina 147 din 205

Pret de decontare
/ U.T.

0.918000
0.918000
0.918000
1.607142
1.607142
1.339285
1.607142
0.918000
6.632160
5.936400
5.526800
19.410000
13.872000
11.560000
21.850000
9.830000
9.830000
19.660000
33.890000
22.450000
23.740000
53.491999
28.392000
26.684166
28.392000
28.392000
23.665000
26.671666
28.392000
28.392000
28.392000
28.392000
28.392000
23.660000
24.950000
27.150000
44.580000
44.576666
52.900000
44.576666
52.920000
52.900000
52.900000
47.642000
52.900000
45.758000
5.960000
9.648000
5.960000
9.648000
9.648000
9.648000
20.748000
6.827000
5.936400
6.990240
5.825200
6.332000
20.748000
20.748000

Pagina 148 din 205

Pret de decontare
/ U.T.

7.152000
7.152000
7.152000
7.152000
17.290000
20.748000
8.040000
8.040000
2.131000
3.437000
11.280000
18.600000
18.600000
5.180000
15.500000
9.400000
19.060200
21.736000
22.022040
18.351700
74.880000
125.780000
74.538000
43.821600
74.538000
62.115000
74.538000
74.538000
71.500000
43.821600
36.518000
42.767000
43.821600
40.680000
35.292000
35.290000
35.292000
35.290000
35.829000
42.348000
42.348000
35.290000
0.244800
0.204000
0.244800
0.244800
8.100000
4.700000
0.608750
2.755000
1.505000
1.177857
1.035714
1.177857
1.242857
1.135500
1.242857
2.142000
2.302142
2.192000

Pagina 149 din 205

Pret de decontare
/ U.T.

2.265000
2.302142
2.570400
2.570400
2.570400
2.570400
2.570400
2.570400
18.720000
22.464000
22.464000
22.464000
37.476000
31.230000
31.310000
50.490000
37.572000
60.588000
53.160000
5.041999
4.201666
4.178333
5.041999
5.041999
5.041999
8.443333
8.450000
10.132000
10.132000
10.132000
10.132000
8.450000
8.450000
14.696666
14.696666
62.780000
31.972000
16.180000
22.190000
33.950000
59.640000
48.010000
17.635999
0.706000
0.802800
0.802800
0.669000
3.510000
12.650000
6.890000
18.920000
23.980000
7.500000
1.122000
1.346400
3.242500
3.688000
0.564000
0.564000
0.564000

Pagina 150 din 205

Pret de decontare
/ U.T.

0.564000
0.470000
0.564000
0.564000
0.564000
0.564000
0.564000
0.769200
0.769200
0.769200
0.769200
0.769200
0.769200
0.641000
0.769200
0.769200
0.769200
0.769200
0.769200
3.805000
3.688000
11.958571
0.769200
3.239040
3.239040
2.699200
3.239040
9.480000
10.374000
18.657600
8.645000
15.548000
18.657600
2.753000
0.652285
0.652285
0.543571
0.652285
0.612000
0.652285
3.961428
4.448571
4.402857
3.781428
4.778571
5.703428
4.752857
4.780000
46.243200
89.084640
46.243200
89.084640
89.084640
46.243200
74.237200
89.084640
38.536000
16.486000
141.224000
62.780000

Pagina 151 din 205

Pret de decontare
/ U.T.

32.430000
52.974000
28.268000
62.630000
63.568800
142.560000
17.452933
20.930000
18.397800
17.689300
0.254333
0.305200
8.800000
8.095833
9.000000
8.255833
4.834000
5.737200
4.781000
7.860000
176.558000
985.790000
176.558000
0.816000
0.680000
0.794000
0.816000
0.816000
5.338285
5.338285
5.338285
5.105000
4.448571
4.660000
7.824000
7.824000
7.824000
7.824000
6.520000
7.824000
7.824000
7.824000
7.824000
7.824000
7.824000
7.824000
7.824000
7.824000
7.824000
7.824000
7.824000
6.520000
7.824000
5.557142
2.670857
2.670857
2.670857
2.670857
2.670857
2.670857

Pagina 152 din 205

Pret de decontare
/ U.T.

2.670857
2.670857
2.522000
2.351250
2.225714
2.280000
2.355714
2.670857
55.870000
22.066000
85.906000
102.400000
35.226000
35.934500
42.271200
86.870000
42.271200
42.271200
21.454000
21.358000
21.949000
24.780000
39.447000
42.271200
20.650000
24.780000
103.087200
42.271200
103.087200
24.780000
42.271200
3.463333
3.463333
3.463333
3.462666
3.463333
3.463333
4.155199
138.306071
36.466071
531.970000
2,412.180000
2,947.500000
1,333.760000
1,719.130000
1,609.850000
0.086960
0.217460
0.405328
0.337773
0.203413
0.309460
0.510820
0.771000
0.771000
0.771000
1.924000
0.771000
0.771000
0.682000

Pagina 153 din 205

Pret de decontare
/ U.T.

0.771000
0.642500
1.900000
55.930000
17.283500
15.658928
115.950000
9.945000
87.951500
46.952857
4.214777
9.422583
0.561555
1.123111
7.897333
7.197666
7.591333
4.214777
14.365916
328.254000
22.538000
452.790000
29.006500
62.017333
26.976583
25.172083
36.821333
51.658666
4.200800
105.470000
16.434666
24.878000
9.373392
9.675714
10.063928
10.357678
6.394333
7.673200
6.367833
7.641400
12.735666
159.020000
125.490000
14.781166
253.250000
40.674666
24.847333
8.126000
9.751200
9.184777
35.998333
4.592388
225.430000
0.536333
2.809000
2.809000
17.798833
12.813666
15.376399
48.996666

Pagina 154 din 205

Pret de decontare
/ U.T.

30.726166
109.992833
63.132333
60.837666
60.837666
988.630000
529.740000
6,702.890000
3,386.740000
1,728.250000
761.480000
540.070000
1,945.120000
1,007.990000
8,168.910000
3,819.400000
230.200000
539.420000
3,824.570000
1,947.710000
1,009.280000
2,273.520000
271.370000
621.520000
552.680000
1,998.190000
1,034.520000
125.200000
1,309.850000
2,502.970000
736.240000
1,172.190000
3,807.830000
2,321.160000
234.672000
377.736000
195.560000
314.780000
97.858000
234.672000
223.388000
377.736000
364.542000
0.197800
1.696100
14.010000
1.906666
16.812000
5,095.700000
10.000000
5.490000
6.588000
4.700000

0.450000
0.450000

Pagina 155 din 205

Pret de decontare
/ U.T.

0.450000
2.044000
2.044000
1.380000
1.380000
0.068928
0.068928
0.057440
0.068928
0.068928
0.068928
1.177857
1.035714
1.177857
1.242857
1.135500
1.242857
2.142000
2.302142
2.192000
2.265000
2.302142
2.570400
2.570400
2.570400
2.570400
2.570400
2.570400
18.720000
22.464000
22.464000
22.464000
37.476000
31.230000
31.310000
50.490000
37.572000
60.588000
53.160000
3.371400
3.371400
3.767000
3.352800
2.027000
3.510000
12.650000
6.890000
1.122000
1.346400
3.242500
3.688000
0.564000
0.564000
0.564000
0.564000
0.470000
0.564000
0.564000
0.564000
0.564000

Pagina 156 din 205

Pret de decontare
/ U.T.

0.564000
0.769200
0.769200
0.769200
0.769200
0.769200
0.769200
0.641000
0.769200
0.769200
0.769200
0.769200
0.769200
3.805000
3.688000
11.958571
0.769200
3.239040
3.239040
2.699200
3.239040
9.480000
10.374000
18.657600
8.645000
15.548000
18.657600
16.486000
141.224000
4.593400
4.964100
5.296400
0.236736
0.197280
0.610776
0.508980
0.086960
0.217460
1.059300
0.405328
0.337773
0.203413
0.309460
0.510820

14.892000
4.904000
8.415000
7.517000
75.170000

3.208400
0.516400

Pagina 157 din 205

Pret de decontare
/ U.T.

15.700000
0.280400
0.368400
115.780000
0.620000
23.338000
234.754000
234.754000
219.086000
234.754000
262.903200
262.903200
317.906000
381.487200
416.726000
500.071200
48.655200
40.546000
48.655200
48.655200
48.655200
48.655200
554.814000
554.814000
554.814000
665.776800
554.814000
11.260000
13.512000
1,352.250000
85.270000
1.128500
396.850000
88.610000
47.648000
2.354000
125.380000
108.800000
77.750000
58.940000
122.740000
108.250000
13.170000
5,473.120000
1.838400
3.811200
1,585.190000
92.422000
485.904000
404.920000
6.160000
12.191000
58.450000
95.390000
7,547.310000
9.480000
112.610000
18.880000
4.670000
115.000000

Pagina 158 din 205

Pret de decontare
/ U.T.

224.130000
53.700000
224.130000
53.700000
434.690000
521.628000
224.130000
53.700000
262.560000
224.110000
224.130000
224.130000
262.560000
224.130000
434.700000
53.700000
53.700000
53.700000
53.700000
64.440000
64.440000
53.700000
435.800000
404.652000
262.560000
64.440000
337.210000
434.690000
224.130000
53.700000
218.800000
53.700000
262.560000
64.440000
4.828166
13.590000
19.388055
18.011083
27.600000
235.350000
353.000000
66.128400
253.406400
66.128400
253.406400
66.128400
55.107000
66.128400
253.406400
211.172000
253.406400
66.128400
37.355000
18.527500
49.584000
42.440000
76.320000
41.320000
641.140000
131.284800

Pagina 159 din 205

Pret de decontare
/ U.T.

346.866000
641.020000
423.050000
1,018.160000
1,070.764000
1,127.440000
131.284800
403.550000
116.272000
128.070000
131.284800
423.080000
1,224.190000
1,224.020000
422.840000
131.284800
1,224.160000
769.224000
1,224.190000
423.080000
350.440000
109.404000
1,127.500000
379.224000
379.224000
379.224000
1,241.136000
1,241.136000
1,241.136000
1,034.290000
316.030000
1,700.290000
1,034.280000
316.020000
1,876.340000
2,040.348000
379.224000
1,034.290000
316.030000
2,595.290000
1,241.136000
379.224000
1,241.136000
115.430000
111.490000
78.770000
3,881.700000
126.250000
82.760000
35.440000
272.270000
111.490000
36.470000
36.470000
132.910000
3,881.700000
191.421600
159.518000
127.470000
35.130000

Pagina 160 din 205

Pret de decontare
/ U.T.

111.490000
83.040000
199.824000
314.148000
58.992000
55.250000
58.992000
199.824000
199.824000
465.430000
166.520000
558.516000
672.000000
104.180000
54.930000
558.516000
314.148000
199.824000
101.000000
51.700000
199.824000
466.520000
261.790000
199.824000
102.400000
49.160000
245.300000
172.950000
636.900000
75.650000
12.250000
10.350000
32.600000
32.600000
25.610000
10.350000
29.460000
39.120000
64.640000
24.100000
160.500000
160.230000
28.920000
192.276000
61.330000
73.596000
701.850000
385.270000
646.370000
354.520000
1,851.432000
701.850000
385.280000
1,542.860000
775.644000
701.850000
385.270000
425.424000
385.280000
701.850000

Pagina 161 din 205

Pret de decontare
/ U.T.

359.170000
654.990000
425.424000
385.270000
385.240000
701.850000
701.850000
385.270000
775.644000
701.830000
425.424000
775.644000
1,771.820000
5,972.910000
1,215.800000
2,862.690000
1,780.626666
1,780.770000
976.990000
5,690.190000
1,473.950000
81.406416
227.667666
302.583000
69.914666
182.342000
362.323000
722.284666
140.650357
586.996000
138.844500
276.508833
276.508833
4,064.240000
322.544000
377.360000
316.600000
271.148000
4,873.240000
0.821200
4.107200
8.423400
174.360000
205.410000
737.740000
737.740000
737.730000
737.740000
679.070000
735.750000
737.730000
736.240000
814.884000
1,046.810000
585.360000
375.140000
143.590000
702.432000
151.730000
432.456000

Pagina 162 din 205

Pret de decontare
/ U.T.

172.308000
390.240000
144.140000
432.456000
702.432000
432.456000
702.432000
432.456000
1,256.172000
360.380000
702.432000
376.860000
432.456000
172.308000
1,256.172000
432.456000
172.308000
172.308000
432.456000
28.042200
4,979.860000
4.071333
1,137.590000
436.260000
984.100000
425.500000
2,226.140000
1,159.640000
432.230000
19.005714
1,171.730000
436.240000
22.806857
22.806857
0.258360
0.215300
0.258360
1,710.240000
1.593600
1.328000
1.444000
18.111428
16.549642
15.092857
7.300285
7.300285
7.300285
7.300285
7.300285
7.264642
7.264642
6.083571
7.300285
3.740250
4.284857
4.284857
4.284857
4.284857
4.284857
4.284857

Pagina 163 din 205

Pret de decontare
/ U.T.

4.284857
4.284857
4.284857
4.284857
4.284857
3.570714
4.284857
4.284857
4.284857
4.152142
4.284857
4.284857
4.284857
4.284857
4.284857
4.284857
4.284857
10.348333
10.287666
9.194666
10.381600
10.280333
10.381600
9.194666
10.381600
8.651333
10.336000
10.270000
10.381600
9.194666
6.216666
7.386000
7.386000
7.459999
7.459999
7.459999
7.459999
7.459999
7.459999
7.459999
7.459999
234.672000
377.736000
195.560000
314.780000
97.858000
234.672000
223.388000
377.736000
364.542000
3,601.580000
3,601.580000
420.510000
86.410000
181.070000
485.850000
764.330000
5.905500
12.074166
27.720000

Pagina 164 din 205

Pret de decontare
/ U.T.

33.264000
344.304000
609.360000
133.600000
221.328000
184.440000
286.920000
160.320000
82.220000
85.752000
71.460000
21.366785
25.640142
25.640142
680.970000
817.164000
279.920000
335.904000
1,221.790000
1,546.310000
3.866666
1.882000
38.140000
38.100000
15.580800
12.984000
34.302000
439.162000
689.023333

840.490000
378.752500
254.358666
239.637333
119.987500
7,527.220000
1.039400
1.094400
0.799500
0.779700

22.738000
55.990000
24.752000
23.986000
33.188000
27.284000
23.986000
31.118000
37.341600
31.504000
31.504000

Pagina 165 din 205

Pret de decontare
/ U.T.

99.060000
31.504000
22.738000
55.990000
24.742000
33.188000
27.285600
27.284000
37.764000
22.738000
55.990000
24.742000
24.742000
25.352000
33.188000
27.284000
27.285600
23.986000
32.826000
37.764000
37.764000
32.508000
33.922000
54.274000
185.790000
54.274000
54.274000
59.248000
0.168050
0.168600
0.079666
0.150000
0.095599
0.095599
0.201660
0.201660
0.201660
0.201660
0.201660
0.201660
0.201660
0.201660
0.177333
0.095599
0.095599
0.095599
0.095599
0.090833
0.095599
0.092333
0.092500
0.155599
0.155599
0.155599
0.155599
0.155599
0.155599
0.150750
0.155599
0.155599

Pagina 166 din 205

Pret de decontare
/ U.T.

0.155599
0.155599
0.129666
0.146666
0.146333
0.146500
0.146500
0.314666
0.314666
0.063333
0.080800
0.080800
0.069333
0.067333
0.069430
0.054400
0.045333
0.054400
0.054400
0.054400
0.050333
0.189000
0.511666
0.511666
1.523333
0.613999
0.453833
0.292000
0.350400
0.324250
0.270166
0.321600
0.751833
0.269666
0.270333
0.268000
0.415999
0.126400
0.126400
0.126400
0.126400
0.105333
0.126400
0.105333
0.126400
0.126400
0.211999
0.211999
0.176666
0.176666
0.211999
0.211999
0.211999
0.176666
0.211999
0.211999
0.392800
0.327333
0.327333
0.392800

Pagina 167 din 205

Pret de decontare
/ U.T.

0.392800
0.392800
0.327333
0.392800
0.392800
0.392800
0.415999
0.346666
0.346666
0.415999
0.415999
0.415999
0.849666
0.508999
0.429900
0.424166
0.424166
0.454833
0.454833
3.441071
0.702833
0.524250
4.548571
6.845357
8.894285
6.926071
0.654777
0.589740
0.654777
0.676333
0.621916
0.824777
0.824916
0.824777
0.897333
0.782185
1.008111
0.955777
1.008166
1.008111
1.097000
135.922500
462.560000
401.250000
0.515300
0.567600
0.926600
0.833500
1.000200
1.481500
1.374400
1.642666
3.660000
3.660000
3.302800
0.926600
1.000200
0.833500

Pagina 168 din 205

Pret de decontare
/ U.T.

1,646.980000
858.920000
447.300000
1,962.850000
543.780000
1,016.800000
1,585.190000
828.020000
449.430000
2,699.590000
5,328.320000
728.020000
1,385.240000
2,546.400000
689.380000
1,308.640000
3,346.350000
2,905.110000
5,233.360000
6,078.000000
821.700000
1,791.690000
1,560.180000
6,954.200000
889.720000
10,395.880000
3,053.640000
1,572.260000
574.800000
1,814.630000
942.740000
1,767.790000
1,010.320000
2,784.110000
5,497.370000
815.310000
1,427.470000
1,245.410000
361.790000
658.150000
1,496.170000
1,124.010000
2,177.160000
5,958.410000
15,073.110000
3,014.630000
13.591000
27.826785
57.597142
103.715357

2.462333
6.490000

Pagina 169 din 205

Pret de decontare
/ U.T.

15.010000
15.010000
104.340000
21.480000
12.360000
15.050000
12.360000
15.050000
23.540000
0.135000
0.156576
0.130480
0.148000
0.149500
0.137000
13.388000

184.001785
177.670714
22.852333

2.120000
1.080000
1.650000
2.682600
1.177857
1.035714
1.177857
1.242857
1.135500
1.242857
2.142000
2.302142
2.192000
2.265000
2.302142
2.570400
2.570400
2.570400
2.570400
2.570400
2.570400
18.720000
22.464000
22.464000
22.464000
37.476000
31.230000
31.310000
50.490000
37.572000
60.588000

Pagina 170 din 205

Pret de decontare
/ U.T.

53.160000
313.461071
105.451666

988.630000
529.740000
6,702.890000
3,386.740000
1,728.250000
761.480000
540.070000
1,945.120000
1,007.990000
8,168.910000
3,819.400000
230.200000
539.420000
3,824.570000
1,947.710000
1,009.280000
2,273.520000
271.370000
621.520000
552.680000
1,998.190000
1,034.520000
125.200000
1,309.850000
2,502.970000
736.240000
1,172.190000
17.707321

344.304000
609.360000
133.600000
221.328000
184.440000
286.920000
160.320000

441.040000
549.940000
479.270000
757.570000
909.084000
909.084000
575.124000

Pagina 171 din 205

Pret de decontare
/ U.T.

14,901.060000

2,478.100000

230.499000
63.875333
126.569833

13,440.245000

3,057.810000

988.630000
529.740000
6,702.890000
3,386.740000
1,728.250000
761.480000
540.070000
1,945.120000
1,007.990000
8,168.910000
3,819.400000
230.200000
539.420000
3,824.570000
1,947.710000
1,009.280000
2,273.520000
271.370000
621.520000
552.680000
1,998.190000
1,034.520000

Pagina 172 din 205

Pret de decontare
/ U.T.

125.200000
1,309.850000
2,502.970000
736.240000
1,172.190000

0.664800
1.034333
24.587000
13.125000
0.760700
29.060000
16.410000
8.235000
2.570357
4.410714
1,670.070000
0.644600
1.464500
0.215333
8.710000
30.650000
20.230000
0.115600
0.123300
0.238700
0.094000
0.081800
0.083100
0.291800
0.166700
0.415000
0.504400
0.304900
0.121900
0.121900
0.190000
0.190000
1,625.920000
7.672800
6.394000
6.812000
47.790000
71.710000
1.703571
7.326000
7.326000
6.105000
7.326000
7.326000
7.326000
7.326000
7.326000
7.326000
7.326000
7.326000

Pagina 173 din 205

Pret de decontare
/ U.T.

6.335000
7.326000
7.326000
82.220000
85.752000
71.460000
21.366785
25.640142
25.640142
680.970000
817.164000
279.920000
335.904000
9.017500
10.821000
10.821000
10.821000
9.017500
10.821000
10.821000
10.821000
10.821000
2.560714
46.925000
1,221.790000
1,546.310000
23.375000
22.197500
22.197500
23.375000
7.392857
6.162500

1.881000
3.293000
8.648000
4.702000
8.646000
4.702000
1.438200
1.228200
1.359200
0.892500
1.773000
8.347000
20.044000
2.530000
5,958.410000
15,073.110000
3,014.630000
119.494000
1,180.296000
284.848333
35.975000
70.278333
779.820000
99.578333

Pagina 174 din 205

Pret de decontare
/ U.T.

1,180.296000
983.580000
128.873333
158.156666
386.646666
46.103333
86.821666
1,161.580000
161.728333
199.158333
23.706666
25.652000
53.491999
28.392000
26.684166
28.392000
28.392000
23.665000
26.671666
28.392000
28.392000
28.392000
28.392000
28.392000
23.660000
24.950000
27.150000
44.580000
44.576666
52.900000
44.576666
52.920000
52.900000
52.900000
47.642000
52.900000
45.758000
74.538000
43.821600
74.538000
62.115000
74.538000
74.538000
71.500000
43.821600
36.518000
42.767000
43.821600
40.680000
35.292000
35.290000
35.292000
35.290000
35.829000
42.348000
42.348000
35.290000
62.780000
32.430000
52.974000

Pagina 175 din 205

Pret de decontare
/ U.T.

28.268000
62.630000
63.568800
142.560000
176.558000
985.790000
176.558000
5.338285
5.338285
5.338285
5.105000
4.448571
4.660000
7.824000
7.824000
7.824000
7.824000
6.520000
7.824000
7.824000
7.824000
7.824000
7.824000
7.824000
7.824000
7.824000
7.824000
7.824000
7.824000
7.824000
6.520000
7.824000
5.557142
2.670857
2.670857
2.670857
2.670857
2.670857
2.670857
2.670857
2.670857
2.522000
2.351250
2.225714
2.280000
2.355714
2.670857
55.870000
22.066000
85.906000
102.400000
35.226000
35.934500
42.271200
86.870000
42.271200
42.271200
21.454000
21.358000
21.949000

Pagina 176 din 205

Pret de decontare
/ U.T.

24.780000
39.447000
42.271200
20.650000
24.780000
103.087200
42.271200
103.087200
24.780000
42.271200
138.306071
36.466071
531.970000
2,412.180000
2,947.500000
1,333.760000
1,719.130000
0.771000
0.771000
0.771000
1.924000
0.771000
0.771000
0.682000
0.771000
0.642500
1.900000
55.930000
9.945000
87.951500
988.630000
529.740000
6,702.890000
3,386.740000
1,728.250000
761.480000
540.070000
1,945.120000
1,007.990000
8,168.910000
3,819.400000
230.200000
539.420000
3,824.570000
1,947.710000
1,009.280000
2,273.520000
271.370000
621.520000
552.680000
1,998.190000
1,034.520000
125.200000
1,309.850000
2,502.970000
736.240000
1,172.190000
0.516400
15.700000
0.368400

Pagina 177 din 205

Pret de decontare
/ U.T.

115.780000
0.620000
1.128500
396.850000
88.610000
47.648000
2.354000
125.380000
108.800000
77.750000
58.940000
122.740000
108.250000
13.170000
92.422000
485.904000
404.920000
37.355000
18.527500
49.584000
42.440000
76.320000
41.320000
245.300000
172.950000
636.900000
12.250000
10.350000
32.600000
32.600000
25.610000
10.350000
29.460000
39.120000
64.640000
24.100000
160.500000
160.230000
28.920000
192.276000
61.330000
73.596000
5,972.910000
1,215.800000
1,780.626666
1,780.770000
234.672000
377.736000
195.560000
314.780000
97.858000
234.672000
223.388000
377.736000
364.542000
4.221960
6.577920
6.577920
5.327000
9.674166

Pagina 178 din 205

Pret de decontare
/ U.T.

3.518300
3.647300
3.533500
5.481600
6.577920
6.577400
6.577400
6.577920
6.577920
18.853333
1,128.227500
561.050000
562.330000
561.050000
1,104.387500
1,104.387500
9.332200
2.232720
1.860600
2.232720
4.504080
3.753400
4.504080
424.200000
3.221400
3.221400
3.221400
3.865680
5.757800
5.757800
5.757800
6.909360
24.784800
29.741760
3.865680
6.909360
29.741760
170.303000
0.345600
0.345600
0.345600
0.345600
0.288000
0.345600
0.288000
0.345600
0.345600
0.345600
0.345600
0.746400
0.746400
0.746400
0.746400
1.326799
1.326799
1.326799
1.326799
2.048800
2.048800
2.048800

Pagina 179 din 205

Pret de decontare
/ U.T.

2.048800
0.345600
0.345600
0.345600
0.345600
0.622000
0.746400
0.746400
0.623000
0.622333
0.622000
0.643400
1.326799
1.105666
2.048800
1.707333
1.986000
2.760000
2.518666
0.345600
0.746400
1.326799
1.326799
2.048800
1.752666
4.980000
5.976000
1.353900
1.624680
1.624680
1.516000
0.968000
1.161600
0.974000
1.624680
1.161600
1.104000
105.451666
27.826785
57.597142
103.715357
3.866666

8.347000
20.044000
1.370100
53.491999
28.392000
26.684166
28.392000
28.392000
23.665000
26.671666
28.392000
28.392000
28.392000
28.392000

Pagina 180 din 205

Pret de decontare
/ U.T.

28.392000
23.660000
24.950000
27.150000
44.580000
44.576666
52.900000
44.576666
52.920000
52.900000
52.900000
47.642000
52.900000
45.758000
11.280000
18.600000
18.600000
5.180000
15.500000
9.400000
35.292000
35.290000
35.292000
35.290000
35.829000
42.348000
42.348000
35.290000
176.558000
985.790000
176.558000
5.338285
5.338285
5.338285
5.105000
4.448571
4.660000
7.824000
7.824000
7.824000
7.824000
6.520000
7.824000
7.824000
7.824000
7.824000
7.824000
7.824000
7.824000
7.824000
7.824000
7.824000
7.824000
7.824000
6.520000
7.824000
5.557142
2.670857
2.670857
2.670857

Pagina 181 din 205

Pret de decontare
/ U.T.

2.670857
2.670857
2.670857
2.670857
2.670857
2.522000
2.351250
2.225714
2.280000
2.355714
2.670857
55.870000
22.066000
85.906000
102.400000
35.226000
35.934500
42.271200
86.870000
42.271200
42.271200
21.454000
21.358000
21.949000
24.780000
39.447000
42.271200
20.650000
24.780000
103.087200
42.271200
103.087200
24.780000
42.271200
138.306071
36.466071
531.970000
2,412.180000
87.951500
4.221960
6.577920
6.577920
5.327000
9.674166
3.518300
3.647300
3.533500
5.481600
6.577920
6.577400
6.577400
6.577920
6.577920
9.332200
2.232720
1.860600
2.232720
4.504080
3.753400
4.504080

Pagina 182 din 205

Pret de decontare
/ U.T.

424.200000
3.221400
3.221400
3.221400
3.865680
5.757800
5.757800
5.757800
6.909360
24.784800
29.741760
3.865680
6.909360
29.741760
170.303000

1.438200
1.228200
1.359200
0.892500
1.773000
7.208000
14.287000
18.568000
25.790000
8.347000
20.044000
172.446000
71.195333
1,644.530000
2.530000
5,958.410000
15,073.110000
3,014.630000
1.152000
4.233000
5.079600
6.433000
3.400666
53.491999
28.392000
26.684166
28.392000
28.392000
23.665000
26.671666
28.392000
28.392000
28.392000
28.392000
28.392000
23.660000
24.950000
27.150000
44.580000
44.576666

Pagina 183 din 205

Pret de decontare
/ U.T.

52.900000
44.576666
52.920000
52.900000
52.900000
47.642000
52.900000
45.758000
176.558000
985.790000
176.558000
138.306071
36.466071
531.970000
2,412.180000
1,333.760000
1,719.130000
87.951500
2,014.320000
4,918.700000
234.672000
377.736000
195.560000
314.780000
97.858000
234.672000
223.388000
377.736000
364.542000
4.221960
6.577920
6.577920
5.327000
9.674166
3.518300
3.647300
3.533500
5.481600
6.577920
6.577400
6.577400
6.577920
6.577920
18.853333
9.332200
2.232720
1.860600
2.232720
4.504080
3.753400
4.504080
424.200000
3.221400
3.221400
3.221400
3.865680
5.757800
5.757800
5.757800
6.909360

Pagina 184 din 205

Pret de decontare
/ U.T.

24.784800
29.741760
3.865680
6.909360
29.741760
170.303000

1.438200
1.228200
1.359200
0.892500
1.773000
0.664800
1.034333
24.587000
13.125000
24.898000
26.370000
33.774000
40.888000
46.502000
7.668000
14.049000
20.061000
7.208000
14.287000
18.568000
25.790000
8.347000
20.044000
119.494000
1,180.296000
284.848333
35.975000
70.278333
779.820000
99.578333
1,180.296000
983.580000
128.873333
158.156666
386.646666
46.103333
86.821666
1,161.580000
161.728333
199.158333
23.706666
3,785.500000
2,373.190000
5,227.670000
30.166000
53.491999
28.392000
26.684166
28.392000

Pagina 185 din 205

Pret de decontare
/ U.T.

28.392000
23.665000
26.671666
28.392000
28.392000
28.392000
28.392000
28.392000
23.660000
24.950000
27.150000
44.580000
44.576666
52.900000
44.576666
52.920000
52.900000
52.900000
47.642000
52.900000
45.758000
142.560000
176.558000
985.790000
176.558000
0.816000
0.680000
0.794000
0.816000
0.816000
5.338285
5.338285
5.338285
5.105000
4.448571
4.660000
7.824000
7.824000
7.824000
7.824000
6.520000
7.824000
7.824000
7.824000
7.824000
7.824000
7.824000
7.824000
7.824000
7.824000
7.824000
7.824000
7.824000
6.520000
7.824000
5.557142
2.670857
2.670857
2.670857
2.670857

Pagina 186 din 205

Pret de decontare
/ U.T.

2.670857
2.670857
2.670857
2.670857
2.522000
2.351250
2.225714
2.280000
2.355714
2.670857
55.870000
22.066000
85.906000
102.400000
35.226000
35.934500
42.271200
86.870000
42.271200
42.271200
21.454000
21.358000
21.949000
24.780000
39.447000
42.271200
20.650000
24.780000
103.087200
42.271200
103.087200
24.780000
42.271200
3.463333
3.463333
3.463333
3.462666
3.463333
3.463333
4.155199
138.306071
36.466071
531.970000
2,412.180000
1,333.760000
1,719.130000
0.771000
0.771000
0.771000
1.924000
0.771000
0.771000
0.682000
0.771000
0.642500
1.900000
55.930000
9.945000
87.951500
988.630000

Pagina 187 din 205

Pret de decontare
/ U.T.

529.740000
6,702.890000
3,386.740000
1,728.250000
761.480000
540.070000
1,945.120000
1,007.990000
8,168.910000
3,819.400000
230.200000
539.420000
3,824.570000
1,947.710000
1,009.280000
2,273.520000
271.370000
621.520000
552.680000
1,998.190000
1,034.520000
125.200000
1,309.850000
2,502.970000
736.240000
1,172.190000
0.516400
15.700000
234.672000
377.736000
195.560000
314.780000
97.858000
234.672000
223.388000
377.736000
364.542000
4.221960
6.577920
6.577920
5.327000
9.674166
3.518300
3.647300
3.533500
5.481600
6.577920
6.577400
6.577400
6.577920
6.577920
18.853333
4,635.480000
9.332200
2.232720
1.860600
2.232720
4.504080
3.753400
4.504080

Pagina 188 din 205

Pret de decontare
/ U.T.

424.200000
3.221400
3.221400
3.221400
3.865680
5.757800
5.757800
5.757800
6.909360
24.784800
29.741760
3.865680
6.909360
29.741760
170.303000
1.039400
1.094400
0.799500
0.779700
1.703571
7.326000
7.326000
6.105000
7.326000
7.326000
7.326000
7.326000
7.326000
7.326000
7.326000
7.326000
6.335000
7.326000
7.326000
1.540000

8.347000
20.044000
176.558000
985.790000
176.558000
138.306071
36.466071
531.970000
2,412.180000
87.951500

7.208000
14.287000
18.568000
25.790000
8.347000

Pagina 189 din 205

Pret de decontare
/ U.T.

20.044000
2.530000
1.370100
53.491999
28.392000
26.684166
28.392000
28.392000
23.665000
26.671666
28.392000
28.392000
28.392000
28.392000
28.392000
23.660000
24.950000
27.150000
44.580000
44.576666
52.900000
44.576666
52.920000
52.900000
52.900000
47.642000
52.900000
45.758000
176.558000
985.790000
176.558000
5.338285
5.338285
5.338285
5.105000
4.448571
4.660000
7.824000
7.824000
7.824000
7.824000
6.520000
7.824000
7.824000
7.824000
7.824000
7.824000
7.824000
7.824000
7.824000
7.824000
7.824000
7.824000
7.824000
6.520000
7.824000
5.557142
2.670857
2.670857
2.670857

Pagina 190 din 205

Pret de decontare
/ U.T.

2.670857
2.670857
2.670857
2.670857
2.670857
2.522000
2.351250
2.225714
2.280000
2.355714
2.670857
55.870000
22.066000
85.906000
102.400000
35.226000
35.934500
42.271200
86.870000
42.271200
42.271200
21.454000
21.358000
21.949000
24.780000
39.447000
42.271200
20.650000
24.780000
103.087200
42.271200
103.087200
24.780000
42.271200
138.306071
36.466071
531.970000
2,412.180000
0.771000
0.771000
0.771000
1.924000
0.771000
0.771000
0.682000
0.771000
0.642500
1.900000
55.930000
87.951500
4.221960
6.577920
6.577920
5.327000
9.674166
3.518300
3.647300
3.533500
5.481600
6.577920

Pagina 191 din 205

Pret de decontare
/ U.T.

6.577400
6.577400
6.577920
6.577920
4,635.480000
9.332200
2.232720
1.860600
2.232720
4.504080
3.753400
4.504080
424.200000
1.039400
1.094400
0.799500
0.779700
0.345600
0.345600
0.345600
0.345600
0.288000
0.345600
0.288000
0.345600
0.345600
0.345600
0.345600
0.746400
0.746400
0.746400
0.746400
1.326799
1.326799
1.326799
1.326799
2.048800
2.048800
2.048800
2.048800
0.345600
0.345600
0.345600
0.345600
0.622000
0.746400
0.746400
0.623000
0.622333
0.622000
0.643400
1.326799
1.105666
2.048800
1.707333
1.986000
2.760000
2.518666
0.345600
0.746400

Pagina 192 din 205

Pret de decontare
/ U.T.

1.326799
1.326799
2.048800
1.752666
4.980000
5.976000
1.353900
1.624680
1.624680
1.516000
0.968000
1.161600
0.974000
1.624680
1.161600
1.104000

1.438200
1.228200
1.359200
0.892500
1.773000
119.494000
1,180.296000
284.848333
35.975000
70.278333
779.820000
99.578333
1,180.296000
983.580000
128.873333
158.156666
386.646666
46.103333
86.821666
1,161.580000
161.728333
199.158333
23.706666
784.152500
96.852500
1,163.480000
135.462500
173.805000
2,183.520000
249.612500
326.075000
3,591.990000
402.125000
478.815000
631.695000
0.644600
1.464500
0.215333
8.710000
30.650000

Pagina 193 din 205

Pret de decontare
/ U.T.

20.230000
0.068928
0.068928
0.057440
0.068928
0.068928
0.068928
0.244800
0.204000
0.244800
0.244800
8.100000
4.700000
5.338285
5.338285
5.338285
5.105000
4.448571
4.660000
7.824000
7.824000
7.824000
7.824000
6.520000
7.824000
7.824000
7.824000
7.824000
7.824000
7.824000
7.824000
7.824000
7.824000
7.824000
7.824000
7.824000
6.520000
7.824000
5.557142
2.670857
2.670857
2.670857
2.670857
2.670857
2.670857
2.670857
2.670857
2.522000
2.351250
2.225714
2.280000
2.355714
2.670857
55.870000
22.066000
85.906000
102.400000
35.226000
35.934500
42.271200

Pagina 194 din 205

Pret de decontare
/ U.T.

86.870000
42.271200
42.271200
21.454000
21.358000
21.949000
24.780000
39.447000
42.271200
20.650000
24.780000
103.087200
42.271200
103.087200
24.780000
42.271200
138.306071
36.466071
531.970000
2,412.180000
2,947.500000
0.771000
0.771000
0.771000
1.924000
0.771000
0.771000
0.682000
0.771000
0.642500
1.900000
55.930000
87.951500
6.394333
7.673200
6.367833
7.641400
12.735666
159.020000
125.490000
4.221960
6.577920
6.577920
5.327000
9.674166
3.518300
3.647300
3.533500
5.481600
6.577920
6.577400
6.577400
6.577920
6.577920
18.853333
9.332200
2.232720
1.860600
2.232720
4.504080

Pagina 195 din 205

Pret de decontare
/ U.T.

3.753400
4.504080
424.200000
3.221400
3.221400
3.221400
3.865680
5.757800
5.757800
5.757800
6.909360
24.784800
29.741760
3.865680
6.909360
29.741760
170.303000
1.039400
1.094400
0.799500
0.779700

0.664800
1.034333
24.587000
13.125000
0.760700
16.547857
32.895714
61.471428
178.452000
94.016000
15.430000
15.013000
4.150000
12.664000
7.208000
14.287000
18.568000
25.790000
7.453000
10.224000
13.090000
18.752000
85.674000
8.347000
20.044000
53.057000
12.910000
17.350000
50.980000
36.395000
62.795000

Pagina 196 din 205

Pret de decontare
/ U.T.

110.099000
29.602000
119.494000
1,180.296000
284.848333
35.975000
70.278333
779.820000
99.578333
1,180.296000
983.580000
128.873333
158.156666
386.646666
46.103333
86.821666
1,161.580000
161.728333
199.158333
23.706666
784.152500
96.852500
1,163.480000
135.462500
173.805000
2,183.520000
249.612500
326.075000
3,591.990000
402.125000
478.815000
631.695000
30.388571
54.589285
77.081785
4.396944

12.902570
10.752142
0.482200
1.203400
1.243500
0.310600
0.310500
529.740000
4.208571
15.195714

Pagina 197 din 205

Pret de decontare
/ U.T.

Pagina 198 din 205

ANEXA 5

SECIUNEA C3 - LISTA DE MEDICAMENTE CU PROCENT DE COMPENSARE 100% - CONFORM DCI-URILOR DIN CANAMED, ALTELE DECT CELE DIN SUBLISTELE A, B, C1, C2, INDICATE PENTRU COPII
PN LA 18 ANI, TINERI DE LA 18 LA 26 DE ANI DACA SUNT ELEVI, STUDENI SAU UCENICI DAC NU REALIZEAZ VENITURI, PRECUM I GRAVIDE I LUZE
DIN HG NR. 720/2008 CU MODIFICARILE SI COMPLETARILE ULTERIOARE
VALABIL NCEPND CU 01 IANUARIE 2012

Nr. crt

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40

cod
ATC
A03AD02

A03BA01
A03BB01
A03DA02
A03DA02
A03DA02
A05BAN3

A06AD65
A06AD65

A07AX03
A11CA01
A11CA01
A11CA01
A11CC04
A11CC05
A11CC05
A11CC05
A11CC05
A11CC20
A11CC20

A11DA01
A11DA01
A11DA03
A11DA03
A11DBN1
A11DBN1
A11DBN1
A11DBN1
A11DBN1
A11DBN1
A11DBN1
A11DBN1
A11DBN1
A11DBN2
A11DBN2

A11GA01

A11HA02
A11HA02
A11HA02
A11HA02

DCI
DROTAVERINUM
ATROPINUM

Denumire Comerciala
NO - SPA 40 mg/2 ml

forma farm.

SOL. INJ.
SOL. INJ.
BUTYLSCOPOLAMMONII BROMIDUM SCOBUTIL 10 mg/ml
SOL. INJ.
COMBINATII
PIAFEN
COMPR.
COMBINATII
ALGIFEN COMPRIMATE
COMPR.
COMBINATII
ALGIFEN SOLUTIE INJECTABILA SOL. INJ.
COMBINATII
ASPATOFORT (R)
SOL. INJ.
COMBINATII
ENDOFALK
PULB. PT. SOL. ORALA
COMBINATII
FORTRANS
PULB. PT. SOL. ORALA
NIFUROXAZIDUM
ERCEFURYL (R) 200 mg
CAPS.
RETINOLUM
VITAMINA A FORTE
CAPS. MOI
RETINOLUM
VITAMIN A 50000 ui
CAPS. MOI
RETINOLUM
VITAMINA A BIOFARM 20mg/ml PIC. ORALE, SOL.
CALCITRIOLUM
ROCALTROL
CAPS. MOI
COLECALCIFEROLUM
VIGANTOLETTEN 1000
COMPR.
COLECALCIFEROLUM
VIGANTOLETTEN 500
COMPR.
COLECALCIFEROLUM
VITAMINA D3 BIOFARM 18000UI/ml PIC. ORALE, SOL.
COLECALCIFEROLUM
VIGANTOL OIL
PIC. ORALE, SOL.
COMBINATII
FLUOR VIGANTOLETTEN 1000 COMPR.
COMBINATII
FLUOR VIGANTOLETTEN 500 COMPR.
THIAMINUM
SICOVIT (R) B1 100 mg/2 ml SOL. INJ.
THIAMINUM
VITAMINA B1 ZENTIVA 100 mg/2 ml SOL. INJ.
BENFOTIAMINUM
BENFOGAMMA
DRAJ.
BENFOTIAMINUM
BENFOGAMMA
DRAJ.
COMBINATII
MILGAMMA (R) N
CAPS. MOI
COMBINATII
MILGAMMA (R) N
CAPS. MOI
COMBINATII
MILGAMMA (R) N
CAPS. MOI
COMBINATII
MILGAMMA (R) 100
DRAJ.
COMBINATII
MILGAMMA (R) 100
DRAJ.
COMBINATII
MILGAMMA (R) 100
DRAJ.
COMBINATII
MILGAMMA (R) N
SOL. INJ.
COMBINATII
MILGAMMA (R) N
SOL. INJ.
COMBINATII
MILGAMMA (R) NA
SOL. INJ.
COMBINATII
NEUROMULTIVIT
COMPR. FILM.
COMBINATII
NEUROMULTIVIT
COMPR. FILM.
ACIDUM ASCORBICUM
VITAMINA C ARENA 750 mg SOL. INJ.
PYRIDOXINUM
VITAMINA B6 250 mg
COMPR.
PYRIDOXINUM
SICOVIT B6 250 mg
COMPR.
PYRIDOXINUM
VITAMINA B6 ZENTIVA 250 mg COMPR.
PYRIDOXINUM
SICOVIT B6 250 mg/5 ml
SOL. INJ.
SULFAT DE ATROPINA NYCOMED 1 mg/ml

concentratie

40mg/2ml
1mg/ml
10mg/ml

Detinator APP

tara det.
APP

Ambalaj

Prescriptie

CHINOIN PRIVATE CO. LTD.

UNGARIA CUTIE X 25 FIOLE X 2ML SOL. INJ.

P-RF

GERMANIA

CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 1 ML SOL. INJ.

GERMANIA

CUTIE X 5 FIOLE DIN STICLA BRUNA CU INEL DE RUPERE X 1 ML SOL. INJ.

P-RF

FARA CONCENTRATIE

NYCOMED GMBH
NYCOMED GMBH
ANTIBIOTICE SA
ZENTIVA SA
ZENTIVA SA
TERAPIA SA

FARA CONCENTRATIE

DR. FALK PHARMA GMBH GERMANIA

FARA CONCENTRATIE

IPSEN PHARMA

FARA CONCENTRATIE
FARA CONCENTRATIE
FARA CONCENTRATIE

200mg
50000ui
50000ui
20mg/ml
0,25mcg
1000UI
500UI
0,45mg/ml
0,5mg/ml
FARA CONCENTRATIE
FARA CONCENTRATIE

100mg/2ml
100mg/2ml
50mg
50mg

ROMANIA CUTIE X 2 BLIST. X 10 COMPR.


ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
ROMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA CU INEL DE RUPERE X 5 ML SOL. INJ.
ROMANIA CUTIE X 10 FIOLE X 10 ML
CUTIE X 6 PLICURI DE HARTIE/AL/PEJD X 55,318 G PULB. PT. SOL. ORALA

P-RF
P-RF
P-RF
P-RF
P-RF

FRANTA CUTIE CU 4 PLICURI DIN HARTIE-AL-PE X 73,69 G PULB. PT. SOL. ORALA
FRANTA CUTIE X 2 BLIST. X 14 CAPS.

P-RF

ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 CAPS. MOI


PHARCO IMPEX 93 S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 12 CAPS. MOI
BIOFARM SA
ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 ML PIC. ORALE, SOL.
ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 CAPS. MOI
MERCK KGAA
GERMANIA CUTIE X 1 BLIST. AL/PVC X 30 COMPR.
MERCK KGAA
GERMANIA CUTIE X 1 BLIST. AL/PVC X 30 COMPR.
BIOFARM S.A.
ROMANIA CUTIE X 1 FLACON X 10 ML PIC. ORALE, SOL.

P-6L

MERCK KGAA
MERCK KGAA
MERCK KGAA
ZENTIVA SA
ZENTIVA SA

GERMANIA

P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ. P-6L

SANOFI-SYNTHELABO OTC

BIOFARM SA

CUTIE X 1 FLACON DIN STICLA X 10 ML PIC. ORALE SOLUTIE, PREVAZUT CU PICURATOR

P-RF

P-6L
P-6L
P-RF

P-6L
P-6L
P-6L

GERMANIA CUTIE X 1 BLIST. AL/PVC X 30 COMPR. P-6L


GERMANIA CUTIE X 1 BLIST. AL/PVC X 30 COMPR. P-6L

ROMANIA
ROMANIA

CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 2 ML SOL. INJ.

P-RF

CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 2 ML SOL. INJ.

P-RF

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 20 DRAJ. P-6L

FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 2 BLIST. PVC/PVDC X 10 CAPS. MOI P-6L

FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 10 BLIST. PVC/PVDC X 10 CAPS. MOI

FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 5 BLIST. PVC/PVDC X 10 CAPS. MOI P-6L

FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 15 DRAJ. P-6L

FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 4 BLIST. PVC-PVDC/AL X 25 DRAJ. P-6L

FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 4 BLIST. PVC-PVDC/AL X 15 DRAJ. P-6L

FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE X 25 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 2 ML

P-RF

FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE X 5 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 2 ML

P-RF

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

CUTIE CU 1 BLIST. PVC/AL X 20 COMPR. FILM.

P-6L

CUTIE CU 5 BLIST. PVC/AL X 20 COMPR. FILM.

P-6L

FARA CONCENTRATIE LANNACHER HEILMITTEL GES.M.B.H.

AUSTRIA
AUSTRIA

750mg
250 mg
250mg
250mg
250mg/5ml

ROMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA X 5 ML SOL. INJ.


ROMANIA CUTIE X 1 FLACON DIN PE X 20 COMPR.
ROMANIA CUTIE X 1 FLAC. DIN PE X 20 COMPR.
ROMANIA CUTIE X 1 FLAC. DIN PE X 20 COMPR.
ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 5 ML SOL. INJ.

FARA CONCENTRATIE LANNACHER HEILMITTEL GES.M.B.H.

ARENA GROUP S.A.


ARENA GROUP SA
ZENTIVA SA
ZENTIVA SA
ZENTIVA SA

Pagina 199 din 212

P-6L

P-RF

P-6L
P-6L
P-6L
P-RF

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON)
cant (RON)
(RON)
a) si f)
PT. ADULTI

25 24.21
5
2.96
5
3.31
20
5.22
20
5.95
5 10.08
10 23.08
6 45.39
4 38.31
28 11.26
30
5.45
24
1.66
1
2.43
100 76.07
30
8.18
30
6.63
1
4.99
1
6.29
30
7.92
30
6.36
5
6.90
5
6.90
50 28.38
100 51.53
20 20.05
100 83.35
50 46.33
30 49.28
100 137.44
60 88.89
25 82.57
5 18.30
5 18.30
20 11.03
100 43.94
5 25.01
20
9.00
20
9.00
20
9.00
5 10.22

0.968400
0.592000
0.662000
0.261000
0.297500
2.016000
2.308000
7.565000
9.577500
0.402142
0.181666
0.069166
2.430000
0.760700
0.272666
0.221000
4.990000
6.290000
0.264000
0.212000
1.380000
1.380000
0.567600
0.515300
1.002500
0.833500
0.926600
1.642666
1.374400
1.481500
3.302800
3.660000
3.660000
0.551500
0.439400
5.002000
0.450000
0.450000
0.450000
2.044000

0.968400
0.592000
0.662000
0.261000
0.297500
2.016000
2.308000
7.565000
9.078000
0.402142
0.082999
0.069166
2.430000
0.760700
0.272666
0.221000
4.990000
6.290000
0.264000
0.212000
1.380000
1.380000
0.567600
0.515300
1.000200
0.833500
0.926600
1.642666
1.374400
1.481500
3.302800
3.660000
3.660000
0.527280
0.439400
5.002000
0.450000
0.450000
0.450000
2.044000

0.968400
0.592000
0.662000
0.261000
0.297500
2.016000
2.308000
7.565000
9.078000
0.402142
0.082999
0.069166
2.430000
0.760700
0.272666
0.221000
4.990000
6.290000
0.264000
0.212000
1.380000
1.380000
0.567600
0.515300
1.000200
0.833500
0.926600
1.642666
1.374400
1.481500
3.302800
3.660000
3.660000
0.527280
0.439400
5.002000
0.450000
0.450000
0.450000
2.044000

Nr. crt

41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89

cod
ATC
A11HA02
A11HA02
A11HA02
A11HA03

A12AA03
A12AA03
A12AA03
A14AA03
A16AA01
A16AA01
A16AXN1
A16AXN1

B02BX01
B02BX02
B03AA03
B03AA03
B03ABN1

B03AD02
B03AD02
B03AD03
B03AD04

B03AE01
B03AE01
B03AE10
B03BA01
B03BA01
B03BA01
B03BA51
B03BA51
B03BA51
B03BA51
B03BA51
B03BA51
C01EA01
C04AE01
C04AE01
C04AE01
C05AA01
C05AA08
C05AA08
C05AD01

C05BX01
C05CA54
C07NAN1
C07NAN1

C08CA06
C08CA06
D01AC05
D01AC08

DCI
PYRIDOXINUM
PYRIDOXINUM
PYRIDOXINUM
TOCOFEROLUM
CALCII GLUCONAS
CALCII GLUCONAS
CALCII GLUCONAS
METANDIENONUM
LEVOCARNITINUM
LEVOCARNITINUM
DIVERSE
DIVERSE
ETAMSYLATUM
CARBAZOCHROMI SALICYLAS
FERROSI GLUCONAS
FERROSI GLUCONAS
FERROCHOLINATUM
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
CYANOCOBALAMINUM
CYANOCOBALAMINUM
CYANOCOBALAMINUM
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
ALPROSTADILUM**
CODERGOCRINUM
CODERGOCRINUM
CODERGOCRINUM
COMBINATII
COMBINATII
COMBINATII
COMBINATII
CALCII DOBESILAS
TROXERUTINUM (COMBINATII)
COMBINATII
COMBINATII
NIMODIPINUM
NIMODIPINUM
ISOCONAZOLUM
KETOCONAZOLUM

Denumire Comerciala

forma farm.

SOL. INJ.
SICOVIT B6 50 mg/2ml
SOL. INJ.
VITAMINA B6 ZENTIVA 50 mg/2ml SOL. INJ.
VITAMINA E 400 mg
CAPS. MOI
GLUCONAT DE CALCIU 10% SOL. INJ.
GLUCONAT DE CALCIU 94mg/ml SOL. INJ.
GLUCONAT DE CALCIU
SOL. INJ.
NAPOSIM 5 mg
COMPR.
MIOCOR
SOL. ORALA
CARNIL (R)
SOL. ORALA
ACTOVEGIN (R)
DRAJ.
ACTOVEGIN (R)
SOL. INJ.
ETAMSILAT 250mg/2ml
SOL. INJ.
ADRENOSTAZIN
SOL. INJ.
ASCOFER
COMPR.
ALOFER 80,5 mg
COMPR. EFF.
FER-SOL
SOL. ORALA IN PICATURI
FERRETAB (R)
CAPS. ELIB. PREL.
FERRETAB (R)
CAPS. ELIB. PREL.
TARDYFERON FOL (R)
DRAJ. ELIB. PREL.
MALTOFER FOL
COMPR. MAST.
FERRO - FOLGAMMA (R)
CAPS. MOI
FERRO - FOLGAMMA (R)
CAPS. MOI
TOT'HEMA
SOL. ORALA
VITAMIN B12
SOL. INJ.
SICOVIT B12 50mcg/ml
SOL. INJ.
VITAMINA B12 ZENTIVA 50g/ml SOL. INJ.
MILGAMMA (R) (vezi B03BA51) DRAJ.
MILGAMMA (R) (vezi B03BA51) DRAJ.
MILGAMMA (R) (vezi B03BA51) DRAJ.
MILGAMMA (R) (vezi B03BA51) DRAJ.
MILGAMMA (R) (vezi B03BA51) DRAJ.
MILGAMMA (R) (vezi B03BA51) DRAJ.
VITAMINA B6 ZENTIVA 250 mg/5 ml

ALPROSTADIL "PINT" 500 mcg

REDERGIN 1 mg/ml
CO-DERGOCRIN
SECATOXIN
HEMORZON
ULTRAPROCT (R)
ULTRAPROCT (R)
DOXIPROCT
DOXILEK
GINKOR FORT
DISTONOVAL
DISTONOCALM (R)
NIMOTOP (R)
NIMOTOP (R)
TRAVOGEN
KETOCONAZOL MK

CONC. PT. SOL. PERF.


PICATURI ORALE-SOL.
SOL. ORALA IN PICATURI
SOL. ORALA IN PICATURI

UNGUENT
SUPOZ.

concentratie

250mg/5ml
50mg/2ml
50mg/2ml
400mg
10%
94mg/ml

B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FIOLE DIN PEJD X 10 ML SOL. INJ. P-RF
B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FIOLE DIN PEJD X 10 ML SOL. INJ. P-RF

ROMANIA CUTIE X 5 FIOLE X 10 ML SOL. INJ.


ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-RF

ECOBI PHARMACEUTICI

ITALIA
CUTIE X 10 FLACOANE X 10ML
GRECIA
AUSTRIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 50 DRAJ.
AUSTRIA CUTIE X 5 FIOLE PUNCT DE RUPERE X 5 ML
ROMANIA CUTIE X 5 FIOLE X 2 ML SOL. INJ.
ROMANIA CUTIE X 5 FIOLE X 5 ML
ROMANIA CUTIE X 1 FLAC. X 20 COMPR.

P-6L

80,5mg
ART MED INTERNATIONAL SRL ROMANIA CUTIE X 1 TUB DIN PP X 20 COMPR. EFF.
24mg Fe/ml E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON X 15 ML + DISPOZITIV PT. PICURARE
FARA CONCENTRATIE LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 5 BLIST. AL/PVC X 20 CAPS. ELIB. PREL.
FARA CONCENTRATIE LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. ELIB. PREL.
FARA CONCENTRATIE LAB. PIERRE FABRE FRANTA CUTIE X 3 BLIST. AL/PVDC-PE-PVC X 10 DRAJ. ELIB. PREL.
FARA CONCENTRATIE VIFOR FRANCE S.A. FRANTA CUTIE X 3 BLIST. AL/PA-AL-PVC X 10 COMPR. MAST.
FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. X 10 CAPS. MOI
FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. X 10 CAPS. MOI
FARA CONCENTRATIE LAB. INNOTHERA
FRANTA CUTIE X 20 FIOLE X 10 ML
1000mcg/ml FARMEXIM SA
ROMANIA CUTIE X 10 FIOLE X 1ML
50mcg/ml
ZENTIVA SA
ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 1 ML SOL. INJ.
50g/ml
ZENTIVA SA
ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 1 ML SOL. INJ.

P-6L

5mg
10%
100mg/ml
200mg
200mg/5ml
250mg/2ml
0,3mg/ml
FARA CONCENTRATIE

ANFARM HELLAS S.A. PHARMACEUTICALS

NYCOMED AUSTRIA GMBH


NYCOMED AUSTRIA GMBH

ZENTIVA S.A
TERAPIA SA
ARENA GROUP SA

CUTIE X 10 FLACOANE DIN STICLA BRUNA, ACOPERITE CU UN CAPAC DIN AL. X 10 ML

P-RF

P-6L
P-6L
P-RF
P-RF
P-RF

P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-RF
P-RF

P-6L
P-RF
P-RF
P-RF

FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 10 BLIST. PVC/PVDC X 10 DRAJ. P-6L

FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 2 BLIST. PVC/PVDC X 10 DRAJ. P-6L

FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 5 BLIST. PVC/PVDC X 10 DRAJ. P-6L

FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 10 BLIST. PVC/PVDC X 10 DRAJ. P-6L

FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 2 BLIST. PVC/PVDC X 10 DRAJ. P-6L

FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 5 BLIST. PVC/PVDC X 10 DRAJ. P-6L

500mcg
0,1%
0,1%
1mg/ml

TARUS MEDIA S.R.L. ROMANIA

CUTIE X 5 FLAC. X 1 ML CONC. PT. SOL. PERF.

LEK PHARMACEUTICALS D.D.

SLOVENIA CUTIE X 1 FLACON X 50 ML

P-6L

TERAPIA SA

ROMANIA

P-6L

IVAX - PHARMACEUTICALS S.R.O.

CEHIA
CUTIE X 1 FLACON X 10 ML + PICATOR
ROMANIA CUTIE X 1 TUB X 18 G

CUTIE X 1 FLACON CU DOP PICATOR X 50 ML PIC.ORALE, SOL.

P-6L

ANTIBIOTICE SA
INTENDIS GMBH
INTENDIS GMBH
OM PHARMA S.A.

GERMANIA CUTIE X 1 TUB X 15 G + 1 CANULA RECTALA

P-RF

PORTUGALIA

P-6L

500mg

LEK PHARMACEUTICALS D.D.

SLOVENIA CUTIE X 3 BLIST. AL/PVC. X 10 CAPS. P-6L

FARA CONCENTRATIE

BEAUFOUR IPSEN PHARMA

P-6L

FABIOL S.A.
ZENTIVA S.A.

P-6L

FARA CONCENTRATIE
FARA CONCENTRATIE

UNGUENT RECTAL FARA CONCENTRATIE

FARA CONCENTRATIE

COMPR. FILM. FARA CONCENTRATIE


COMPR. FILM. 30mg

SOL. PERF.
CREMA
CREMA

Prescriptie

ZENTIVA SA
TERAPIA SA

FARA CONCENTRATIE

UNGUENT RECTAL FARA CONCENTRATIE

CAPS.
CAPS.
COMPR.

tara det.
APP
Ambalaj
ZENTIVA SA
ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 5 ML SOL. INJ. P-RF
ZENTIVA SA
ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 2 ML SOL. INJ. P-RF
ZENTIVA SA
ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 2 ML SOL. INJ. P-RF
PHARCO IMPEX 93 S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 12 CAPS. MOI P-6L
Detinator APP

10mg/50ml
10mg/1g
2%

GERMANIA

CUTIE X 2 FOLII X 5 SUPOZ.


CUTIE X 1 TUB DIN AL X 30 G UNGUENT RECTAL + CANULA APLICATOARE

FRANTA CUTIE X 3 BLIST. AL/PVC X 10 CAPS.


ROMANIA CUTIE X 1 FLAC. DIN PEID X 20 COMPR.
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.
BAYER HEALTHCARE AG GERMANIA CUTIE X 10 BLIST. X 10 COMPR. FILM.
BAYER HEALTHCARE AG GERMANIA

CUTIE X 5 CUTII X 1 FLACON DIN STICLA DE CULOARE BRUNA X 50 ML + 1 PERFUZOR DIN POLIETILENA

P-6L
P-RF

P-6L
P-6L/S

INTENDIS GMBH

GERMANIA CUTIE X 1 TUB DIN AL X 20 G CREMA

P-RF

FITERMAN PHARMA S.R.L.

ROMANIA CUTIE X 1 TUB AL X 20 G

P-RF

Pagina 200 din 212

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON)
cant (RON)
(RON)
a) si f)
PT. ADULTI

5
5
5
24
20
20
5
20
10
10
50
5
5
5
20
1
1
100
30
30
30
100
50
20
10
5
5
100
20
50
100
20
50
5
1
1
1
1
10
1
1
30
30
20
30
100
5
1
1

10.22
6.90
6.90
9.24
16.67
16.67
15.73
5.04
18.10
29.54
143.38
107.44
6.66
8.27
7.63
20.75
3.30
27.24
10.57
14.85
17.66
42.69
24.01
17.52
37.41
6.90
6.90
83.35
20.05
46.33
83.35
20.05
46.33
1,585.21

11.68
5.39
2.17
8.10
12.77
14.41
22.05
21.22
25.42
3.81
5.84
111.28
300.17
11.48
7.60

2.044000
2.044000
2.044000
1.380000
1.380000
1.380000
1.380000
1.380000
1.380000
0.385000
0.385000
0.385000
0.833500
0.833500
0.833500
0.833500
0.833500
0.833500
3.146000
1.000200
1.000200
0.252000
0.252000
0.252000
1.810000
1.810000
1.810000
2.954000
2.172000
2.172000
2.867600
2.867600
2.867600
21.488000 21.488000 21.488000
1.332000
1.332000
1.332000
1.654000
1.654000
1.654000
0.381500
0.381500
0.381500
20.750000 20.750000 20.750000
3.300000
3.300000
3.300000
0.272400
0.272400
0.272400
0.352333
0.326880
0.326880
0.495000
0.495000
0.495000
0.588666
0.588666
0.588666
0.426900
0.426900
0.426900
0.480200
0.480200
0.480200
0.876000
0.876000
0.876000
3.741000
3.741000
3.741000
1.380000
1.380000
1.380000
1.380000
1.380000
1.380000
0.833500
0.833500
0.833500
1.002500
1.000200
1.000200
0.926600
0.926600
0.926600
0.833500
0.833500
0.833500
1.002500
1.000200
1.000200
0.926600
0.926600
0.926600
317.042000 317.042000 317.042000
11.680000
6.468000
6.468000
5.390000
5.390000
5.390000
2.170000
2.170000
2.170000
8.100000
8.100000
8.100000
1.277000
1.277000
1.277000
14.410000 14.410000 14.410000
22.050000 22.050000 22.050000
0.707333
0.707333
0.707333
0.847333
0.847333
0.847333
0.190500
0.190500
0.190500
0.194666
0.194666
0.194666
1.112800
1.112800
1.112800
60.034000 60.034000 60.034000
11.480000 11.480000 11.480000
7.600000
7.600000
7.600000

Nr. crt

90
91
92
93
94
95
96
97
98
99

cod
ATC
D01AC08
D01AC08
D01AC08
D01AC08
D01AC52
D05AXN1

D07AC04
D07AC05
D07AC05
D07CB01

100 D07CB01
101 D07CC02
102 D07CC02
103 D07CC02
104 D07XB02
105 D07XC01
106 D07XC01
107 D07XC01
108 D07XDN1
109 D10AD01
110 D10AF02
111 D10AF02
112 D10AF52
113 D11AX15
114 G01AF01
115 G01AX12
116 G01AX12
117 G01AXN1
118 G01BDN1
119 G03AC06
120 G03DB04
121 G03GA01
122 G03GA01
123 G03GA02
124 G04BCN1
125 H03AA03
126 J01DB04
127 J01DD62
128 J01DD62
129 J01DD62
130 J01DD62
131 J01DE02
132 J01DE02
133 J01EB05
134 J01FA06
135 J01GB03
136 J01GB03
137 J01GB03
138 J01GB03

DCI
KETOCONAZOLUM
KETOCONAZOLUM
KETOCONAZOLUM
KETOCONAZOLUM
COMBINATII
COMBINATII
FLUOCINOLONI ACETONIDUM
FLUOCORTOLONUM
FLUOCORTOLONUM
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII

Denumire Comerciala
NIZORAL
KETOCONAZOL
KETOCONAZOL CREMA
KEFUNGIN 2mg/100mg
MYCOHEAL (R) HC
ASORIAN

forma farm.

CREMA
CREMA
CREMA
CREMA
CREMA
SOL. CUT.
FLUOCINOLON ACETONID 0,025% UNGUENT
ULTRALAN CREMA
CREMA
ULTRALAN UNGUENT
UNGUENT
NIDOFLOR
CREMA
PANDERM
UNGUENT
FLUOCINOLON G MK
CREMA
FLUOCINOLON G MK
CREMA
FLUOCINOLON N
UNGUENT
TRIAMCINOLON S
CREMA
DIPROSALIC
SOL. CUT.
DIPROSALIC
UNGUENT
COMBINATII (BETAMETHASONUM+ACIDUM SALICYLICUM) SAL-EKARZIN 0,50 mg/30 mg pe gram UNGUENT
COMBINATII
FLUOCINOLON D MK
CREMA
TRETINOINUM
RETIN - A (R)
CREMA
ERYTHROMYCINUM
ERYFLUID
SOL. CUT.
ERYTHROMYCINUM
ERYFLUID
SOL. CUT.
COMBINATII
ZINERYT
PULB. + SOLV. SOL. CUT.
PIMECROLIMUS
ELIDEL 1%
CREMA
METRONIDAZOLUM
FLAGYL
OVULE
CICLOPIROXUM
DAFNEGIN
CREMA VAG.
CICLOPIROXUM
DAFNEGIN
OVULE
COMBINATII
COLPOSEPTINE (R)
COMPR. VAG.
COMBINATII
TERGYNAN
COMPR. VAG.
MEDROXYPROGESTERONUM
DEPO-PROVERA
SUSP. INJ.
NOMEGESTROLUM
LUTENYL (R)
COMPR.
GONADOTROPHINUM CHORIONICUM PREGNYL 5000
LIOF. + SOLV. PT. SOL. INJ.
GONADOTROPHINUM CHORIONICUM PREGNYL 5000
LIOF. + SOLV. PT. SOL. INJ.
MENOTROPINUM
MENOPUR
LIOF. + SOLV. PT. SOL. INJ.
COMBINATII
URALYT-U
GRANULE
COMBINATII
NOVOTHYRAL (R) 100
COMPR.
CEFAZOLINUM
LYZOLIN
PULB. PT. SOL. INJ.
COMBINATII (CEFOPERAZONUM+SULBACTAMUM) SULCEF 1000 mg/1000 mg
PULB. PT. SOL. INJ./PERF.
COMBINATII (CEFOPERAZONUM+SULBACTAMUM) SULCEF 1000 mg/1000 mg
PULB. PT. SOL. INJ./PERF.
COMBINATII (CEFOPERAZONUM+SULBACTAMUM) SULCEF 1000 mg/1000 mg
PULB. PT. SOL. INJ./PERF.
COMBINATII (CEFOPERAZONUM+SULBACTAMUM) SULCEF 1000 mg/1000 mg
PULB. PT. SOL. INJ./PERF.
CEFPIROMUM
CEFROM (R) 1 g
PULB. PT. SOL. INJ./PERF.
CEFPIROMUM
CEFROM (R) 2 g
PULB. PT. SOL. INJ./PERF.
SULFAFURAZOLUM
SULFAFURAZOL
COMPR.
ROXITHROMYCINUM
ROXAMED (R) 150
COMPR. FILM.
GENTAMICINUM
GENTAMICIN KRKA
SOL. INJ.
GENTAMICINUM
GENTAMICIN KRKA
SOL. INJ.
GENTAMICINUM
GENTAMICIN KRKA
SOL. INJ.
GENTAMICINUM
PAN - GENTAMICINE
SOL.INJ.

concentratie

Detinator APP

2%
JANSSEN PHARMACEUTICA N.V.
2%
TIS FARMACEUTIC SA
20mg/g
SC HYPERION SA
2mg/100mg ANTIBIOTICE S.A.
FARA CONCENTRATIE
FARA CONCENTRATIE

0,025%
0,25%
0,25%

DAR AL DAWA PHARMA S.R.L.

BIOFARM SA
LAROPHARM SRL
INTENDIS GMBH
SCHERING AG
ANTIBIOTICE SA

tara det.
APP

Ambalaj
CUTIE X 1 TUB X 15 G
ROMANIA CUTIE X 1 TUB PEJD X 15 G
BELGIA

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
GERMANIA
GERMANIA

FARA CONCENTRATIE

ROMANIA
GULF PHARMACEUTICAL IND. (JUPHAR) ROMANIA
FITERMAN PHARMA S.R.L. ROMANIA
FITERMAN PHARMA S.R.L. ROMANIA
ANTIBIOTICE SA
ROMANIA
ANTIBIOTICE SA
ROMANIA

FARA CONCENTRATIE

SCHERING-PLOUGH EUROPE

FARA CONCENTRATIE

SCHERING-PLOUGH EUROPE

0,50mg/30mg pe gram

ANTIBIOTICE S.A.

FARA CONCENTRATIE
FARA CONCENTRATIE
FARA CONCENTRATIE
FARA CONCENTRATIE
FARA CONCENTRATIE

FARA CONCENTRATIE

BELGIA
BELGIA

CUTIE X 1 TUB DIN AL X 20 G CREMA


CUTIE X 1 TUB DIN AL X 35 G CREMA

P-RF

CUTIE X 1 TUB X 18 G
CUTIE X 1 TUB X 15 G

P-RF

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

P-RF

P-RF

P-RF

NOVARTIS PHARMA GMBH

JOHNSON & JOHNSON D.O.O.

PIERRE FABRE DERMATOLOGIE

P-RF

FRANTA CUTIE X 1 FLACON X 30 ML SOL. CUT.


OLANDA
GERMANIA CUTIE X 1 TUB AL X 15 G CREMA
FRANTA CUTIE X 2 BLIST. X 5 OVULE

P-RF

LUXEMBURG

CUTIE X 1 TUB DIN AL X 78G CREMA VAG.+ 17 APLICATOARE DIN PE

P-6L

LUXEMBURG

CUTIE X 1 FOLIE. TERMOSUDATA DIN PVC/PE X 6 OVULE + 6 APLICATOARE DIN PE

P-6L

CUTIE X 1 FLAC. DIN PEID PULB. PT. SOL. CUTANATA + APLICATOR DIN PP CU SOLV. PT 30 ML SOL. CUTANATA

FARA CONCENTRATIE
FARA CONCENTRATIE

LAB. BOUCHARA-RECORDATI

FRANTA

150mg
5mg
5000ui/ml
5000ui/ml

PFIZER EUROPE MA EEIG

MAREA BRITANIE

100mcg+20mcg

LAB. THERAMEX
NV ORGANON
NV ORGANON
FERRING GMBH
MADAUS GMBH
MERCK KGAA

1g

MEDICAROM GROUP S.R.L.

1000mg/1000mg

MEDOCHEMIE S.R.L.
MEDOCHEMIE S.R.L.
MEDOCHEMIE S.R.L.
MEDOCHEMIE S.R.L.
LAB. AVENTIS
LAB. AVENTIS
ARENA GROUP SA
DAR AL DAWA PHARMA S.R.L.

P-RF

SLOVENIA CUTIE X 1 TUB X 30 G


FRANTA CUTIE X 1 FLACON X 100 ML SOL. CUT.

LAB. AVENTIS
POLICHEM SA
POLICHEM SA
LAB. THERAMEX

1g
2g
500mg
150mg
40mg/ml
80mg/2ml
80mg/2ml
80mg/2ml

P-RF

P-RF

10mg
500mg
1%
100mg

1000mg/1000mg

P-RF

CUTIE X 1 TUB AL X 15 G
CUTIE X 1 FLACON X 100 ML
CUTIE X 1 TUB AL X 20 G
CUTIE X 1 TUB X 15 G
CUTIE X 1 TUB X 15 G UNGUENT
CUTIE X 1 TUB X 15 G
CUTIE X 1 TUB X 15 G

ROMANIA CUTIE CU 1 TUB AL X 15 G UNGUENT


FITERMAN PHARMA S.R.L. ROMANIA CUTIE X 1 TUB AL X 20G

ASTELLAS PHARMA EUROPE BV

1000mg/1000mg

P-RF

CUTIE X 1 TUB DIN AL X 15 G CREMA

P-RF

40mg/12mg/ml

1000mg/1000mg

CUTIE X 1 TUB DIN AL X 20 MG CREMA

CUTIE X 1 TUB DIN AL X 15 G UNGUENT

PIERRE FABRE DERMATOLOGIE

FARA CONCENTRATIE

P-RF

CUTIE X 1 FLACON DIN PEID X 30 ML SOL. CUT., PREVAZUT CU PICURATOR

0,05%
4g/30ml
4g/30ml

FARA CONCENTRATIE

Prescriptie

P-RF

MONACO CUTIE X 3 BLIST. X 6 COMPR. VAG.

P-RF
P-RF
P-RF

P-RF

CUTIE X 1 FOLIE HARTIE/PE/AL/PE X 10 COMPR. VAG. P-RF

CUTIE X 1 FLACON X 1 ML SUSP. INJ.


MONACO CUTIE X 1 BLIST. AL/PVC X 10 COMPR.

OLANDA
OLANDA

P-RF

S/P-RF

P-RF

CUTIE X 3 FIOLE CU LIOF. PREVAZUTE CU INEL DE RUPERE + 3 FIOLE X 1 ML SOLV. PREVAZUTE CU INEL DE RUP

S/P-RF

CUTIE X 1 FIOLA CU LIOF. PREVAZUTA CU INEL DE RUPERE + 1 FIOLA X 1 ML SOLV. PREVAZUTE CU INEL DE RUPERE

S/P-RF

GERMANIA

CUTIE X 10 FLAC. DIN STICLA INCOLORA CU LIOF. + 10 FIOLE X 1 ML SOLV. PT. SOL. INJ.

S/P-RF

GERMANIA

CUTIE X 1 FLAC. PP X 280 G GRANULE + 1 LINGURITA DOZATOARE + 1 CALENDAR DE CONTROL + HARTIE INDICATO

P-6L

GERMANIA CUTIE X 4 BLIST. AL/PP X 25 COMPR. P-6L

ROMANIA CUTIE X 1 FLAC/. PULB.


S/P-RF
ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF. S/P-RF
ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF. S/P-RF
ROMANIA CUTIE CU 50 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF. S/P-RF
ROMANIA CUTIE CU 100 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF. S

FRANTA CUTIE X 1 FLAC. PULB. PT. SOL. INJ./PERF.


FRANTA CUTIE X 1 FLAC. PULB. PT. SOL. INJ./PERF.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM.

S/P-RF
S/P-RF

P-RF
P-RF

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE X 10 FIOLE DIN STICLA INCOLORA X 1 ML SOL. INJ.

P-RF

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE X 50 FIOLE DIN STICLA INCOLORA X 2 ML SOL. INJ.

P-RF/S

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE X 10 FIOLE DIN STICLA INCOLORA X 2 ML SOL. INJ.

P-RF

LAB. PANPHARMA

CUTIE X 10 FIOLE DIN STICLA INCOLORA X 2 ML SOL. INJ.

P-RF

Pagina 201 din 212

FRANTA

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON)
cant (RON)
(RON)
a) si f)
PT. ADULTI

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
10
1
6
18
10
1
10
3
1
10
1
100
1
1
10
50
100
1
1
20
10
10
50
10
10

9.01
5.32
7.84
5.86
6.33
10.05
7.30
12.16
12.63
7.30
7.57
8.10
14.19
7.30
7.30
15.96
10.63
6.92
8.10
13.84
20.77
8.00
32.11
81.98
8.46
37.67
37.67
17.44
21.65
12.94
31.14
42.26
14.87
816.27
56.26
28.60
3.41
24.95
217.36
953.01
1,835.17

74.88
125.78
9.61
15.05
7.06
40.99
9.48
6.69

9.010000
6.384000
6.384000
5.320000
5.320000
5.320000
7.840000
7.840000
7.840000
5.860000
5.860000
5.860000
6.330000
6.330000
6.330000
10.050000 10.050000 10.050000
7.300000
7.300000
7.300000
12.160000 12.160000 12.160000
12.630000 12.630000 12.630000
7.300000
7.300000
7.300000
7.570000
7.570000
7.570000
8.100000
8.100000
8.100000
14.190000 14.190000 14.190000
7.300000
7.300000
7.300000
7.300000
7.300000
7.300000
15.960000 15.960000 15.960000
10.630000 10.630000 10.630000
6.920000
6.920000
6.920000
8.100000
8.100000
8.100000
13.840000 13.840000 13.840000
20.770000 20.770000 20.770000
8.000000
8.000000
8.000000
32.110000 32.110000 32.110000
81.980000 81.980000 81.980000
0.846000
0.846000
0.846000
37.670000 37.670000 37.670000
6.278333
6.278333
6.278333
0.968888
0.968888
0.968888
2.165000
2.165000
2.165000
12.940000 12.940000 12.940000
3.114000
3.114000
3.114000
14.086666 14.086666 14.086666
14.870000 14.870000 14.870000
81.627000 81.627000 81.627000
56.260000 56.260000 56.260000
0.286000
0.286000
0.286000
3.410000
3.410000
3.410000
24.950000 22.022040 22.022040
21.736000 21.736000 21.736000
19.060200 19.060200 19.060200
18.351700 18.351700 18.351700
74.880000 74.880000 74.880000
125.780000 125.780000 125.780000
0.480500
0.480500
0.480500
1.505000
1.505000
1.505000
0.706000
0.706000
0.706000
0.819800
0.802800
0.802800
0.948000
0.802800
0.802800
0.669000
0.669000
0.669000

Nr. crt

cod
ATC

139 J01GB07
140 J01GB07
141 J01GB07
142 J01XB01
143 J01XB01
144 J01XB01
145 J02AC03
146 J02AC03
147 J02AC03
148 M01AA01
149 M01AB55
150 M01AB55
151 M01AB55
152 M01AE01
153 M01AE01
154 M01AE01
155 M01AE01
156 M01AE01
157 M01AE01
158 M01AE01
159 M01AE01
160 M01AE01
161 M01AE01
162 M01AE01
163 M01AE01
164 M01AE01
165 M01AE01
166 M01AE01
167 M01AE02
168 M01AE02
169 M01AG01
170 M01AH04
171 M01AH04
172 M03BB03
173 M03BB03
174 M03BX04
175 M03BX04
176 M03BX04
177 M03BX04
178 M09AX01
179 N02AA59
180 N02AA59
181 N02AA59
182 N02AA59
183 N02BA71
184 N02BA71
185 N02BB02
186 N02BB02
187 N02BB02

DCI
NETILMICINUM
NETILMICINUM
NETILMICINUM
COLISTINUM
COLISTINUM
COLISTINUM
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
PHENYLBUTAZONUM
COMBINATII
COMBINATII

Denumire Comerciala
NETROMYCINE (R)
NETROMYCINE (R)
NETROMYCINE (R)
COLISTINA ANTIBIOTICE 1000000 UI
COLISTINA ANTIBIOTICE 1000000 UI
COLISTINA ANTIBIOTICE 1000000 UI

VFEND 200mg
VFEND 50mg
VFEND 40 mg/ml
FENILBUTAZONA 250 mg
NEODOLPASSE
ACECLOFEN
DICLOFENACUM+MISOPROSTOLUM ARTHROTEC 75
IBUPROFENUM
PADUDEN (R) SR 300 mg
IBUPROFENUM
PROFINAL
IBUPROFENUM
REUPROFEN (R) 400 mg
IBUPROFENUM
IBUPROFEN 400
IBUPROFENUM
BRUFEN 400 mg
IBUPROFENUM
BRUFEN 400 mg
IBUPROFENUM
BRUFEN 400 mg
IBUPROFENUM
BRUFEN 400 mg
IBUPROFENUM
BRUFEN 400 mg
IBUPROFENUM
BRUFEN 400 mg
IBUPROFENUM
BRUFEN 400 mg
IBUPROFENUM
PROFINAL
IBUPROFENUM
IBUPROFEN 600
IBUPROFENUM
FASPIC 600
IBUPROFENUM
IBALGIN BABY
NAPROXENUM
REUXEN 250 mg
NAPROXENUM
REUXEN 500 mg
ACIDUM MEFENAMICUM
VIDAN
PARECOXIBUM
DYNASTAT 40mg
PARECOXIBUM
DYNASTAT 40mg
CHLORZOXAZONUM
CLORZOXAZON 250 mg
CHLORZOXAZONUM
CLORZOXAZONA 250 mg
TOLPERISONUM
MYDOCALM
TOLPERISONUM
MYDOCALM
TOLPERISONUM
TOLPERISON 50 mg
TOLPERISONUM
MYDOCALM
ACIDUM HIALURONICUM
HYALGAN (R)
COMBINATII ( PARACETAMOLUM+CODEINUM) PARADOREN 500mg/30mg
COMBINATII ( PARACETAMOLUM+CODEINUM) ULTRACOD
COMBINATII ( PARACETAMOLUM+CODEINUM) ULTRACOD
COMBINATII ( PARACETAMOLUM+CODEINUM) PARADOREN 500mg/60mg
COMBINATII
FASCONAL P
COMBINATII
FASCOREM
METAMIZOLUM NATRIUM
ALGOZONE
METAMIZOLUM NATRIUM
ALGOCALMIN (R) 500 mg
METAMIZOLUM NATRIUM
ALINDOR

forma farm.

concentratie

SOL. INJ.
SOL. INJ.
SOL. INJ.

150mg/1,5ml
200mg/2ml
50mg/2ml
PULB. PT. SOL. INJ./PERF. 1000000ui
PULB. PT. SOL. INJ./PERF. 1000000ui
PULB. PT. SOL. INJ./PERF. 1000000ui
COMPR. FILM. 200mg
COMPR. FILM. 50mg
PULB. PT. SUSP. ORALA 40mg/ml
SUPOZ.
250mg
SOL. PERF. FARA CONCENTRATIE
SUPOZ.
FARA CONCENTRATIE

Detinator APP
SCHERING PLOUGH EUROPE
SCHERING PLOUGH EUROPE
SCHERING PLOUGH EUROPE

tara det.
APP

BELGIA
BELGIA
BELGIA

Ambalaj
CUTIE X 1 FLACON X 1,5 ML
CUTIE X 1 FLACON X 2 ML
CUTIE X 1 FLACON X 2 ML

ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
SINTOFARM SA

MAREA BRITANIE

FRESENIUS KABI AUSTRIA GMBH

AUSTRIA CUTIE X 10 FLACOANE X 250 ML

ANTIBIOTICE SA

ROMANIA
ROMANIA
ROMANIA

CUTIE X 100 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.

CUTIE X 50 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.


CUTIE X 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.

Prescriptie

S/P-RF
S/P-RF
S/P-RF

S
S
S

MAREA BRITANIE

CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL)


CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL)

MAREA BRITANIE

CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA

ROMANIA

CUTIE X 2 FOLII TERMOSUDATE PVC/PE X 5 SUPOZ. P-6L

P-RF
P-RF
P-RF

ROMANIA

CUTIE X 2 FOLII TERMOSUDATE AL/PE X 3 SUPOZ. P-6L

COMPR. GASTROREZ.

75mg+0,200mg PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 2 BLIST. AL X 10 COMPR. GASTROREZ. P-6L

CAPS. ELIB. PREL.

300mg
400mg
400mg
400mg
400mg
400mg
400mg
400mg
400mg
400mg
400mg
600mg
600mg
600mg
100mg/5ml
250mg
500mg
500mg
40mg
40mg
250mg
250mg
150mg
50mg
50mg
100mg/ml
20mg/2ml

ROMANIA CUTIE X 1 BLIST. X 10 CAPS. ELIB. PREL.


ROMANIA CUTIE X 2 BLIST. X 12 COMPR. FILM.
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
GRAN. PT. SOL. ORALA

SUSP. ORALA

COMPR.
COMPR.
COMPR. FILM.
PULB. + SOLV. PT. SOL. INJ.

PULB. PT. SOL. INJ.

COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.

DRAJ.
SOL. INJ.
SOL. INJ.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.

30mg+500mg
500mg+30mg
500mg+30mg
60mg+500mg

TERAPIA SA
GULF PHARMACEUTICAL IND. (JUPHAR)

AC HELCOR SRL
CIPLA (UK) LIMITED

500mg
500mg
500mg

P-6L
P-6L

MAREA BRITANIE

CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L


CUTIE CU BLIST. AL/PVC X 20 COMPR. FILM. P-6L

ABBOTT SCANDINAVIA AB

SUEDIA
SUEDIA
SUEDIA
SUEDIA
SUEDIA
SUEDIA
SUEDIA

CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM.

P-6L/S

GULF PHARMACEUTICAL IND. (JUPHAR)

ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM.

P-6L

ABBOTT SCANDINAVIA AB
ABBOTT SCANDINAVIA AB
ABBOTT SCANDINAVIA AB
ABBOTT SCANDINAVIA AB
ABBOTT SCANDINAVIA AB
ABBOTT SCANDINAVIA AB

CIPLA (UK) LIMITED MAREA BRITANIE


ZAMBON S.P.A.
ITALIA
ZENTIVA K.S.
CEHIA

CUTIE CU BLIST. AL/PVC X 30 COMPR. FILM. P-6L


CUTIE CU BLIST. AL/PVC X 60 COMPR. FILM. P-6L
CUTIE CU BLIST. PVC-PVDC/AL X 20 COMPR. FILM. P-6L
CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L
CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. P-6L

CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L


CUTIE X 30 PLICURI UNIDOZA X 3 G GRAN. PT. SOL. ORALA

P-6L

CUTIE X 1 FLAC. DIN STICLA X 100 ML SUSP. ORALA + PIPETA DOZATOARE GRADATA

P-RF

ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
AC HELCOR PHARMA SRL

VIANEX SA
PFIZER LIMITED
PFIZER LIMITED
GEDEON RICHTER ROMANIA SA

ARENA GROUP SA
GEDEON RICHTER ROMANIA SA
GEDEON RICHTER ROMANIA SA

TERAPIA SA
GEDEON RICHTER ROMANIA SA
CSC PHARMACEUTICALS HANDELS GMBH

ARENA GROUP S.A.


ZENTIVA K.S.
ZENTIVA K.S.
ARENA GROUP S.A.

GRECIA CUTIE X 3 BLIST. AL/PVC X 8 COMPR. FILM.

P-6L
P-6L

CUTIE X 5 FLAC. PULB. X 40 MG + 5 FIOLE X 2 ML SOLV.

S/P-RF

MAREA BRITANIE

CUTIE X 10 FLAC. X 40 MG PULB. PT. SOL. INJ.

S/P-RF

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L


CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.FILM. P-6L
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L

CUTIE X 3 BLIST. AL/PVC X 10 DRAJ.

P-6L

CUTIE X 5 FIOLE DIN STICLA X 1 ML SOL. INJ. P-RF

AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 2 ML

P-RF

ROMANIA CUTIE X 2 BLIST. X 10 COMPR.

P-RF

CEHIA
CEHIA

CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. P-RF


CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-RF

REMEDIA SRL
OZONE LABORATORIES LTD.

MAREA BRITANIE

ZENTIVA S.A.
LAROPHARM SRL

ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR.

Pagina 202 din 212

P-6L

MAREA BRITANIE

ROMANIA CUTIE X 2 BLIST. X 10 COMPR.


ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

FARA CONCENTRATIE GEDEON RICHTER ROMANIA SA


FARA CONCENTRATIE

P-6L

CUTIE X 2 BLIST. X 10 COMPR.

P-RF

P-6L
P-6L
P-RF
P-RF
P-RF

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON)
cant (RON)
(RON)
a) si f)
PT. ADULTI

1
1
1
100
50
10
28
28
1
10
10
6
20
10
24
30
20
20
30
60
20
30
60
100
20
20
30
1
20
20
24
5
10
20
30
30
30
30
5
1
20
10
30
20
20
20
20
20
20

18.92
23.98
7.50
1,768.93

919.89
209.30
3,872.57
1,021.05

18.920000 18.920000 18.920000


23.980000 23.980000 23.980000
7.500000
7.500000
7.500000
17.689300 17.689300 17.689300
18.397800 18.397800 18.397800
20.930000 20.930000 20.930000
138.306071 138.306071 138.306071
36.466071 36.466071 36.466071

2,412.18 2,412.180000 2,412.180000 2,412.180000

9.46
0.946000
0.946000
0.946000
216.54 21.654000 21.654000 21.654000
4.55
0.758333
0.758333
0.758333
28.23
1.411500
1.411500
1.411500
13.84
1.384000
1.384000
1.384000
5.99
0.249583
0.169200
0.169200
7.49
0.249666
0.169200
0.169200
2.82
0.141000
0.141000
0.141000
10.12
0.506000
0.169200
0.169200
9.08
0.302666
0.169200
0.169200
18.17
0.302833
0.169200
0.169200
10.12
0.506000
0.169200
0.169200
9.08
0.302666
0.169200
0.169200
18.17
0.302833
0.169200
0.169200
30.26
0.302600
0.169200
0.169200
13.17
0.658500
0.291000
0.291000
4.85
0.242500
0.242500
0.242500
25.30
0.843333
0.291000
0.291000
9.77
9.770000
9.770000
9.770000
9.17
0.458500
0.458500
0.458500
16.58
0.829000
0.829000
0.829000
9.88
0.411666
0.411666
0.411666
145.50 29.100000 29.100000 29.100000
286.92 28.692000 28.692000 28.692000
4.38
0.219000
0.219000
0.219000
6.10
0.203333
0.203333
0.203333
14.41
0.480333
0.480333
0.480333
7.21
0.240333
0.208399
0.208399
5.21
0.173666
0.173666
0.173666
6.81
1.362000
1.362000
1.362000
141.74 141.740000 141.740000 141.740000
12.59
0.629500
0.629500
0.629500
11.56
1.156000
0.755400
0.755400
33.39
1.113000
0.755400
0.755400
19.60
0.980000
0.980000
0.980000
4.58
0.229000
0.229000
0.229000
4.58
0.229000
0.229000
0.229000
6.72
0.336000
0.324600
0.324600
6.81
0.340500
0.324600
0.324600
6.81
0.340500
0.324600
0.324600

Nr. crt

cod
ATC

188 N02BB02
189 N02BB02
190 N02BB02
191 N02BB02
192 N02BB02
193 N02BB02
194 N02BB02
195 N02BB02
196 N02BB02
197 N02BB02
198 N02BB02
199 N02BB02
200 N02BB02
201 N02BB02
202 N02BB02
203 N05BA05
204 N05BA05
205 N05BA23
206 N05CD08
207 N05CD08
208 N05CD08
209 N05CD08
210 N05CD08
211 N05CD08
212 N05CD08
213 N05CD08
214 N05CD13
215 N06BA04
216 N06BA04
217 N06BA04
218 N06BA04
219 N06BA04
220 N06BA04
221 N06BA04
222 N06BA09
223 N06BA09
224 N06BA09
225 N06BA09
226 N06BA09
227 N06BA09
228 N06BX02
229 N06BX02
230 N06BX02
231 N06BX02
232 N06BX03
233 N06BX03
234 N06BX03
235 N06BX03
236 N06BX03

DCI
METAMIZOLUM NATRIUM
METAMIZOLUM NATRIUM
METAMIZOLUM NATRIUM
METAMIZOLUM NATRIUM
METAMIZOLUM NATRIUM
METAMIZOLUM NATRIUM
METAMIZOLUM NATRIUM
METAMIZOLUM NATRIUM
METAMIZOLUM NATRIUM
METAMIZOLUM NATRIUM
METAMIZOLUM NATRIUM
METAMIZOLUM NATRIUM
METAMIZOLUM NATRIUM
METAMIZOLUM NATRIUM
METAMIZOLUM NATRIUM
CLORAZEPAT DIKALII
CLORAZEPAT DIKALII
TOFISOPAMUM
MIDAZOLAMUM
MIDAZOLAMUM
MIDAZOLAMUM
MIDAZOLAMUM
MIDAZOLAMUM
MIDAZOLAMUM
MIDAZOLAMUM
MIDAZOLAMUM
CINOLAZEPAMUM
METHYLFENIDATUM***
METHYLFENIDATUM***
METHYLFENIDATUM***
METHYLFENIDATUM***
METHYLFENIDATUM***
METHYLFENIDATUM***
METHYLFENIDATUM***
ATOMOXETINUM***
ATOMOXETINUM***
ATOMOXETINUM***
ATOMOXETINUM***
ATOMOXETINUM***
ATOMOXETINUM***
PYRITINOLUM
PYRITINOLUM
PYRITINOLUM
PYRITINOLUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM

Denumire Comerciala
SINTOCALMIN
ALGOREMIN
NOVOCALMIN

forma farm.

COMPR.
COMPR.
COMPR.
METAMIZOL FARMACOM 500 mg COMPR.
FABOCALM
COMPR.
ALGIOTOP
COMPR.
CENTRALGIN 500 mg
COMPR.
ALGOBLOCK
COMPR.
ALGOZONE 500mg
COMPR.
METAMIZOL SOLACIUM 500 mg COMPR.
NEVRALGIN
PIC. ORALE, SOL.
ALGOCALMIN (R) 1 g/2 ml
SOL. INJ.
NOVOCALMIN 300 mg
SUPOZ.
SINTOCALMIN 300 mg
SUPOZ.
SINTOCALMIN 300 mg
SUPOZ.
TRANXENE 10 mg
CAPS.
TRANXENE 5 mg
CAPS.
GRANDAXIN
COMPR.
DORMICUM (R)
COMPR. FILM.
DORMICUM (R) 7,5 mg
COMPR. FILM.
DORMICUM (R)
SOL. INJ.
MIDAZOLAM TORREX 1 mg/ml SOL. INJ.
MIDAZOLAM TORREX 1 mg/ml SOL. INJ.
MIDAZOLAM TORREX 5 mg/ml SOL. INJ.
MIDAZOLAM TORREX 5 mg/ml SOL. INJ.
MIDAZOLAM TORREX 5 mg/ml SOL. INJ.
GERODORM (R)
COMPR.
MEDIKINET EM 10 mg
CAPS. ELIB. MODIF.
MEDIKINET EM 20 mg
CAPS. ELIB. MODIF.
MEDIKINET EM 30 mg
CAPS. ELIB. MODIF.
MEDIKINET EM 40 mg
CAPS. ELIB. MODIF.
CONCERTA 18 mg
COMPR. FILM. ELIB. PREL.
CONCERTA 36 mg
COMPR. FILM. ELIB. PREL.
CONCERTA 54 mg
COMPR. FILM. ELIB. PREL.
STRATTERA 10 mg
CAPS.
STRATTERA 18 mg
CAPS.
STRATTERA 25 mg
CAPS.
STRATTERA 40 mg
CAPS.
STRATTERA 60 mg
CAPS.
STRATTERA 80 mg
CAPS.
ENCEPHABOL (R) 100 mg
DRAJ.
PIRITINOL ARENA 100 mg
DRAJ.
ENCEPHABOL (R) FORTE
DRAJ.

concentratie

500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg/ml
1g/2ml
300mg
300mg
300mg
10mg
5mg
50mg
7,5mg
7,5mg
1mg/ml
1mg/ml
1mg/ml
5mg/ml
5mg/ml
5mg/ml
40mg
10mg
20mg
30mg
40mg
18mg
36mg
54mg
10mg
18mg
25mg
40mg
60mg
80mg
100mg
100mg
200mg
ENCEPHABOL (R) SUSPENSIE SUSP. ORALA 80,5mg/5ml
PIRACETAM ARENA 400 mg CAPS.
400mg
PIRACETAM 400 mg
COMPR.
400 mg
PIRACETAM 400 mg
COMPR.
400mg
N - PIRACETAM
COMPR.
400mg
MEMOTAL 400mg
COMPR.
400mg

tara det.
APP
SINTOFARM SA
ROMANIA
REMEDIA SRL
ROMANIA
ANTIBIOTICE SA
ROMANIA
FARMACOM SA
ROMANIA
FABIOL S.A.
ROMANIA
SANTA SA
ROMANIA
CENTROFARM S.A. ROMANIA
BIOFARM S.A.
ROMANIA
LABORMED PHARMA S.A. ROMANIA
SOLACIUM PHARMA S.R.L. ROMANIA
TERAPIA SA
ROMANIA
ZENTIVA S.A.
ROMANIA
ANTIBIOTICE SA
ROMANIA
SINTOFARM SA
ROMANIA
SINTOFARM SA
ROMANIA
Detinator APP

SANOFI-AVENTIS FRANCE
SANOFI-AVENTIS FRANCE

FRANTA
FRANTA

Ambalaj

Prescriptie

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-RF
P-RF

CUTIE X 2 BLIST. X 10 COMPR.

P-RF

CUTIE X 2 BLIST. PVC/AL X 10 COMPR.


CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. PVC/AL X 10 COMPR.

P-RF

CUTIE X 2 BLIST.PVC-PVDC/AL A CATE 10 COMPR.

P-RF

CUTIE CU 2 BLIST. PVC/AL X 6 COMPR.

P-RF

P-RF
P-RF
P-RF
P-RF

CUTIE X 1 FLACON X 10 ML PIC. ORALE, SOL. P-RF


CUTIE X 5 FIOLE DIN STICLA BRUNA CU INEL DE RUPERE X 2 ML SOL. INJ.

P-RF

CUTIE X 2 FOLII X 6 SUPOZ.

P-RF

CUTIE X 2 BLIST. PVC/PE X 3 SUPOZ.


CUTIE X 2 BLIST. PVC/PE X 5 SUPOZ.

P-RF
P-RF

CUTIE X 3 BLIST. AL/PVC-AL-OPA X 10 CAPS. P-RF


CUTIE X 3 BLIST. AL/PVC-AL-OPA X 10 CAPS. P-RF

UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 20 COMPR.


ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 BLIST. PVC/PVDC/AL X 10 COMPR. FILM.
TERAPIA SA
ROMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM.
ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 10 FIOLE X 5 ML

EGIS PHARMACEUTICALS P.L.C.

P-RF
P-RF
S/P-RF

GEROT PHARMAZEUTIKA GMBH

AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA

CUTIE X 3 BLIST. AL/PVDC-PVC X 10 COMPR. P-RF

MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG

GERMANIA

CUTIE CU BLIST. PVC/PVDC/AL X 30 CAPS. ELIB. MODIF.

MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG

GERMANIA

CUTIE CU BLIST. PVC/PVDC/AL X 30 CAPS. ELIB. MODIF.

MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG

GERMANIA

CUTIE CU BLIST. PVC/PVDC/AL X 30 CAPS. ELIB. MODIF.

MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG

GERMANIA

CUTIE CU BLIST. PVC/PVDC/AL X 30 CAPS. ELIB. MODIF.

PR
PR
PR
PR

CUTIE X 1 FLAC. DIN PEID X 30 COMPR. FILM. CU ELIB. PREL.

P-RF/R

CUTIE X 1 FLAC. DIN PEID X 30 COMPR. FILM. CU ELIB. PREL.

P-RF/R

CUTIE X 1 FLAC. DIN PEID X 30 COMPR. FILM. CU ELIB. PREL.

P-RF/R

TORREX CHIESI PHARMA GMBH


TORREX CHIESI PHARMA GMBH
TORREX CHIESI PHARMA GMBH
TORREX CHIESI PHARMA GMBH
TORREX CHIESI PHARMA GMBH

CUTIE X 10 FIOLE X 5 ML SOL. INJ.


CUTIE X 10 FIOLE X 2 ML SOL. INJ.
CUTIE X 10 FIOLE X 1 ML SOL. INJ.
CUTIE X 10 FIOLE X 3 ML SOL. INJ.
CUTIE X 10 FIOLE X 10 ML SOL. INJ.

P-RF

S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF

JANSSEN PHARMACEUTICA N.V.

BELGIA
BELGIA
BELGIA

ELI LILLY AND COMPANY LTD.

MAREA BRITANIE

CUTIE X 1 BLIST. PVC-PE-PCTFE/AL X 7 CAPS. P-RF

ELI LILLY AND COMPANY LTD.

MAREA BRITANIE

CUTIE X 1 BLIST. PVC-PE-PCTFE/AL X 7 CAPS. P-RF

ELI LILLY AND COMPANY LTD.

MAREA BRITANIE

CUTIE X 4 BLIST. PVC-PE-PCTFE/AL X 7 CAPS. P-RF

ELI LILLY AND COMPANY LTD.

MAREA BRITANIE

CUTIE X 4 BLIST. PVC-PE-PCTFE/AL X 7 CAPS. P-RF

ELI LILLY AND COMPANY LTD.

MAREA BRITANIE

CUTIE X 4 BLIST. PVC-PE-PCTFE/AL X 7 CAPS. P-RF

ELI LILLY AND COMPANY LTD.

MAREA BRITANIE

CUTIE X 4 BLIST. PCTFE-PE-PVC/AL X 7 CAPS.

MERCK KGAA
ARENA GROUP S.A.
MERCK KGAA
MERCK KGAA
ARENA GROUP SA
ANTIBIOTICE SA

GERMANIA

OZONE LABORATORIES LTD.

MAREA BRITANIE

JANSSEN PHARMACEUTICA N.V.


JANSSEN PHARMACEUTICA N.V.

MEDUMAN SA
ZENTIVA S.A

Pagina 203 din 212

P-RF/R

CUTIE X 5 BLIST. X 10 DRAJ.


ROMANIA CUTIE X 3 BLIST. X 10 DRAJ.
GERMANIA CUTIE X 5 BLIST. X 10 DRAJ.
GERMANIA CUTIE X 1 FLACON X 200 ML

P-6L

ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS.


ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-6L

CUTIE X 2 BLIST. X 10 COMPR.


ROMANIA CUTIE X 1 FLAC. PE X 40 COMPR.
ROMANIA CUTIE X 2 BLIST. X 10 COMPR.

P-6L

P-6L
P-6L
P-6L
P-6L
P-6L
P-6L

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON)
cant (RON)
(RON)
a) si f)
PT. ADULTI

20
20
20
20
20
20
20
20
20
12
1
5
12
6
10
30
30
20
10
10
10
10
10
10
10
10
30
30
30
30
30
30
30
30
7
7
28
28
28
28
50
30
50
1
30
20
20
40
20

6.76
5.95
5.41
6.44
6.19
6.81
6.80
6.10
6.72
4.08
6.13
5.84
12.82
7.47
12.17
6.24
5.70
5.30
5.52
10.45
28.80
33.76
23.61
33.76
63.29
193.75
22.77
47.27
94.68
96.37
125.56
190.17
226.54
293.37
102.12
102.12
384.05
384.05
384.05
550.11
32.96
17.80
59.96
40.11
10.45
2.33
2.33
3.99
8.24

0.338000
0.297500
0.270500
0.322000
0.309500
0.340500
0.340000
0.305000
0.336000
0.340000
6.130000
1.168000
1.068333
1.245000
1.217000
0.208000
0.190000
0.265000
0.552000
1.045000
2.880000
3.376000
2.361000
3.376000
6.329000
19.375000
0.759000
1.575666
3.156000
3.212333
4.185333
6.339000
7.551333
9.779000
14.588571
14.588571
13.716071
13.716071
13.716071
19.646785
0.659200
0.593333
1.199200
40.110000
0.348333
0.116500
0.116500
0.099750
0.412000

0.324600
0.297500
0.270500
0.322000
0.309500
0.324600
0.324600
0.305000
0.324600
0.324600
6.130000
1.168000
1.068333
1.245000
1.217000
0.208000
0.190000
0.265000
0.552000
0.662400
2.880000
3.376000
2.361000
3.376000
6.329000
19.375000
0.759000
1.575666
3.156000
3.212333
4.185333
6.339000
7.551333
9.779000
14.588571
14.588571
13.716071
13.716071
13.716071
19.646785
0.659200
0.593333
1.199200
40.110000
0.115800
0.115800
0.115800
0.099750
0.115800

0.324600
0.297500
0.270500
0.322000
0.309500
0.324600
0.324600
0.305000
0.324600
0.324600
6.130000
1.168000
1.068333
1.245000
1.217000
0.208000
0.190000
0.265000
0.552000
0.662400
2.880000
3.376000
2.361000
3.376000
6.329000
19.375000
0.759000
1.575666
3.156000
3.212333
4.185333
6.339000
7.551333
9.779000
14.588571
14.588571
13.716071
13.716071
13.716071
19.646785
0.659200
0.593333
1.199200
40.110000
0.115800
0.115800
0.115800
0.099750
0.115800

Nr. crt

cod
ATC

237 N06BX03
238 N06BX03
239 N06BX03
240 N06BX03
241 N06BX03
242 N06BX03
243 N06BX03
244 N06BX03
245 N06BX03
246 N06BX03
247 N06BX03
248 N06BX03
249 N06BX03
250 N06BX03
251 N06BX03
252 N06BX03
253 N06BX03
254 N06BX03
255 N06BX03
256 N06BX03
257 N06BX03
258 N06BX03
259 N07CA02
260 N07CA02
261 N07CA02
262 N07CA02
263 P01AX08
264 P02CC01
265 P02CC01
266 P02CC01
267 P03AX01
268 P03AX01
269 R01AD07
270 R01ADN1
271 R01BA52
272 R02AB03
273 R03CA02
274 R03CA02
275 R03DX05
276 R03DX05
277 R05CB01
278 R05CB01
279 R05CB01
280 R05CB03
281 R05CB03
282 R05CB03
283 R05CB03
284 R06AD02
285 R06AD02

DCI
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
CINNARIZINUM
CINNARIZINUM
CINNARIZINUM
CINNARIZINUM
TENONITROZOLUM
PYRANTELUM
PYRANTELUM
PYRANTELUM
BENZYLUM BENZOICUM
BENZYLUM BENZOICUM
TIXOCORTOLUM
COMBINATII
COMBINATII
FUSAFUNGINUM
EPHEDRINI HYDROCHLORIDUM
EPHEDRINI HYDROCHLORIDUM
OMALIZUMABUM**
OMALIZUMABUM**
ACETYLCYSTEINUM
ACETYLCYSTEINUM
ACETYLCYSTEINUM
CARBOCISTEINUM
CARBOCISTEINUM
CARBOCISTEINUM
CARBOCISTEINUM
PROMETHAZINUM
PROMETHAZINUM

forma farm.
Denumire Comerciala
PIRACETAM SLAVIA 400 mg COMPR.
PIRACETAM LAROPHARM 400 mg COMPR.
PIRACETAM
COMPR.
PIRACETAM FARMEX 400 mg COMPR.
PIRACETAM MCC 400mg
COMPR.
PIRACETAM SINTOFARM 400 mg COMPR.
PIRACETAM SINTOFARM 400 mg COMPR.
LUCETAM (R) 1200 mg
COMPR. FILM.
NOOTROPIL (R) 1200 mg
COMPR. FILM.
PIRACETAM 400 mg
COMPR. FILM.
PIRACETAM LPH (R) 400 mg COMPR. FILM.
LUCETAM
COMPR. FILM.
NEUROSTIM 400 mg
COMPR. FILM.
NOOTROPIL (R) 800 mg
COMPR. FILM.
PIRACETAM 800 mg
COMPR. FILM.
PIRACETAM LPH 800 mg
COMPR. FILM.
LUCETAM
COMPR. FILM.
NEUROSTIM 800 mg
COMPR. FILM.
NOOTROPIL
SOL. INJ.
MEMOTAL1 g/5 ml
SOL. INJ.
NOOTROPIL (R)
SOL. ORALA
NOOTROPIL
SOL. PERF.
CINARIZINA ARENA 25 mg CAPS.
STUGERON 25 mg
COMPR.
CINARIZIN 25 mg
COMPR.
N-CINARIZINA
COMPR.
ATRICAN 250 mg
CAPS. MOI GASTROREZ.
HELMINTOX (R) 125 mg
COMPR. FILM.
HELMINTOX (R) 250 mg
COMPR. FILM.
HELMINTOX (R)
SUSP. ORALA
BENZOAT DE BENZIL MK
CREMA
BENZOAT DE BENZIL MK
CREMA
PIVALONE 1%
SUSP. NAZALA
BIORINIL
SPRAY NAZ.,SUSP.
CLARINASE (R)
COMPR. ELIB. MODIF.
BIOPAROX
EFEDRINA ARENA
COMPR.
EFEDRINA 50 mg/ ml
SOL. INJ.
XOLAIR 150 mg
SOL INJ.
XOLAIR 75 mg
SOL INJ.
ACC INJECT 300mg/3ml
SOL. INJ.
FLUIMUCIL 2% PEDIATRIC SOL. ORALA
FLUIMUCIL
HUMEX EXPECTORANT PENTRU COPII SI SUGARI SIROP
RHINATHIOL 2% pentru copii si sugari SIROP
MUCOTREIS
SIROP
FLUIDOL 100mg/5ml
SOL. ORALA

concentratie

400mg
400mg
400mg
400mg
400mg
400mg
400mg
1200mg
1200mg
400mg
400mg
400mg
400mg
800mg
800mg
800mg
800mg
800mg
1g
1g/5ml
20%
12g
25mg
25mg
25mg
25mg
250mg
125mg
250mg
125mg/2,5ml
25%
25%
1%

SOL.INJ./INHAL.NEBULIZ./INSTILATIE ENDOTRAHEOBRON.

EGIS PHARMACEUTICALS P.L.C.

U.C.B. SA
GEDEON RICHTER ROMANIA SA

LABORMED PHARMA SA
EGIS PHARMACEUTICALS P.L.C.

AC HELCOR PHARMA SRL

U.C.B. SA
GEDEON RICHTER ROMANIA SA

LABORMED PHARMA SA
EGIS PHARMACEUTICALS P.L.C.

AC HELCOR PHARMA SRL

U.C.B. SA
ZENTIVA SA
U.C.B. SA
U.C.B. SA
ARENA GROUP SA
TERAPIA SA
LAROPHARM SRL
MEDUMAN SA
LAB. INNOTECH INT.
LAB. INNOTECH INT.
LAB. INNOTECH INT.
LAB. INNOTECH INT.

Ambalaj

Prescriptie

CUTIE X 4 BLIST. DIN PVC/AL X 10 COMPR. P-6L

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 4 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. PVC/AL X 10 COMPR.
CUTIE X 2 BLIST. PVC/AL X 10 COMPR.
CUTIE X 4 BLIST. PVC/AL X 10 COMPR.

P-6L

UNGARIA CUTIE X 1 FLAC. X 20 COMPR. FILM.


BELGIA CUTIE X 10 BLIST. X 10 COMPR. FILM.
ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM.
ROMANIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. FILM.
UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 60 COMPR.FILM.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM.
BELGIA CUTIE X 6 BLIST. X 15 COMPR. FILM.
ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM.
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.
UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR.FILM.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.FILM.

P-6L

P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L

BELGIA

CUTIE X 12 FIOLE DIN STICLA X 5 ML SOL. INJ. P-RF

ROMANIA

CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 5 ML SOL. INJ.

P-RF

CUTIE X 1 FLACON DIN STICLA BRUNA X 125 ML + 1 MASURA DOZATOARE

P-6L

BELGIA
BELGIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE X 1 FLACON DIN STICLA X 60 ML SOL. PERF.

CUTIE X 4 BLIST. AL/PVC X 10 CAPS.

P-6L

CUTIE X 4 BLIST. X 10 COMPR.


CUTIE X 3 BLIST. X 20 COMPR.
CUTIE X 1 FLAC. PE X 20 COMPR.

P-6L
P-6L
P-6L

FRANTA CUTIE X 1 BLIST. AL/PVC X 8 CAPS. MOI GASTROREZ.


FRANTA CUTIE X 2 BLIST. AL/PVC X 3 COMPR. FILM.
FRANTA CUTIE X 1 BLIST. X 3 COMPR. FILM.
FRANTA CUTIE X 1 FLACON X 15 ML + LINGURITA DOZATOARE X 2,5 ML

P-RF

ROMANIA CUTIE X 1 TUB DIN AL X 35 G CREMA


FITERMAN PHARMA S.R.L. ROMANIA CUTIE X 1 TUB DIN AL X 50 G CREMA

P-RF

PFIZER EUROPE MA EEG

MAREA BRITANIE

P-RF

FARA CONCENTRATIE

FARMILA FARMACEUTICI

FARA CONCENTRATIE

SCHERING PLOUGH EUROPE


LES LABORATOIRES SERVIER

ITALIA
CUTIE X 1 FLACON X 10 ML SPRAY NAZAL, SUSP. PREVAZUT CU NEBULIZATOR
BELGIA CUTIE X 1 BLIST. X 7 COMPR. ELIB. MODIF.
FRANTA

ARENA GROUP SA
ZENTIVA S.A.

ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF


ROMANIA CUTIE X 5 FIOLE CU INEL DE RUPERE X 1ML SOL. INJ S

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE CU 1 SERINGA PREUMPLUTA X 1ML SOLUTIE INJECTABILA

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE CU 1 SERINGA PREUMPLUTA X 0.5ML SOLUTIE INJECTABILA

PR
PR

HEXAL AG
ZAMBON S.P.A.
ZAMBON S.P.A.
LAB. URGO

GERMANIA

CUTIE X 5 FIOLE DIN STICLA BRUNA X 3 ML SOL. INJ.

S/P-RF

50mg/10ml
50mg
50mg/ml
150mg
75mg
300mg/3ml
2%
300mg/3ml
100mg/5ml
2%
20mg/ml
100mg/5ml
PROMETAZINA ARENA 30 mg COMPR. FILM. 30mg
ROMERGAN
SIROP
5mg/5ml
SPRAY BUCOFARINGIAN SI NAZAL-SOL.

tara det.
APP
SLAVIA PHARM SRL ROMANIA
LAROPHARM SRL ROMANIA
FABIOL SA
ROMANIA
FARMEX COMPANY SRL ROMANIA
MAGISTRA C & C
ROMANIA
SINTOFARM SA
ROMANIA
SINTOFARM SA
ROMANIA
Detinator APP

FITERMAN PHARMA S.R.L.

CUTIE X 1 FLACON X 10 ML + POMPA DOZATOARE + APLICATOR NAZAL

CUTIE X 1 FLACON PRESURIZAT DIN AL X 10 ML SOL. + 3 APLIC. DIN PE: 1 APLIC. BUCAL (ALB) + 2 APLIC.

ITALIA
ITALIA
FRANTA
SANOFI-AVENTIS OTC FRANTA
ECOBI PHARMACEUTICI ITALIA

P-RF
P-RF

P-RF

P-RF

P-6L
P-RF

CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 ML SOL. ORALA + MASURA DOZATOARE (5 SI 10 ML)

P-RF

CUTIE X 5 FIOLE DIN STICLA X 3 ML SOL.INJ/SOL.PT.INHALAT PRIN NEBULIZATOR/SOL.PT.INSTILATIE ENDOTRAH

S/P-RF

CUTIE X 1 FLACON X 125ML SIROP + MASURA DOZATOARE A 5 ML

P-RF

CUTIE X 1 FLACON DIN STICLA INCOLORA X 125 ML SIROP + LINGURITA DOZATOARE

P-RF

CUTIE X 1 FLACON DIN STICLA BRUNA X 150 ML SIROP + MASURA DOZATOARE A 10 ML

P-RF

TIS FARMACEUTIC SA ROMANIA CUTIE X 1 FLACON DIN PVC X 100 ML SIROP + LINGURITA DUBLA GRADATA LA 2,5 SI 5 ML
ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM.
BIOFARM S.A.
ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 50 ML SIROP + MASURA DOZATOARE

Pagina 204 din 212

P-RF

P-RF
P-RF
P-RF

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON)
cant (RON)
(RON)
a) si f)
PT. ADULTI

40
4.58
0.114500
0.114500
0.114500
20
1.93
0.096500
0.096500
0.096500
30
2.90
0.096666
0.096666
0.096666
40
4.39
0.109750
0.109750
0.109750
20
3.07
0.153500
0.115800
0.115800
20
3.41
0.170500
0.115800
0.115800
40
6.38
0.159500
0.115800
0.115800
20
6.64
0.332000
0.332000
0.332000
100 49.42
0.494200
0.398400
0.398400
20
3.45
0.172500
0.115800
0.115800
60
6.26
0.104333
0.104333
0.104333
60
6.96
0.116000
0.115800
0.115800
20
2.33
0.116500
0.115800
0.115800
90 32.88
0.365333
0.235599
0.235599
20
6.69
0.334500
0.235599
0.235599
30
5.89
0.196333
0.196333
0.196333
30
6.55
0.218333
0.218333
0.218333
20
4.36
0.218000
0.218000
0.218000
12 16.61
1.384166
1.384166
1.384166
5
8.86
1.772000
1.660999
1.660999
1 13.14 13.140000 13.140000 13.140000
1 16.61 16.610000 16.610000 16.610000
40
3.25
0.081250
0.081250
0.081250
40
6.96
0.174000
0.085800
0.085800
60
4.47
0.074500
0.074500
0.074500
20
1.43
0.071500
0.071500
0.071500
8 11.42
1.427500
1.427500
1.427500
6
3.42
0.570000
0.570000
0.570000
3
3.42
1.140000
1.140000
1.140000
1
6.49
6.490000
6.490000
6.490000
1
3.79
3.790000
3.790000
3.790000
1
5.42
5.420000
4.548000
4.548000
1 10.35 10.350000 10.350000 10.350000
1 25.56 25.560000 25.560000 25.560000
7
9.15
1.307142
1.307142
1.307142
1 19.78 19.780000 19.780000 19.780000
30
9.28
0.309333
0.309333
0.309333
5
6.10
1.220000
1.220000
1.220000
1 1,558.61 1,558.610000 1,558.610000 1,558.610000
1 905.47 905.470000 905.470000 905.470000
5
7.46
1.492000
1.492000
1.492000
1 12.97 12.970000 12.970000 12.970000
5
8.15
1.630000
1.630000
1.630000
1
7.92
7.920000
7.920000
7.920000
1
9.08
9.080000
9.080000
9.080000
1
8.71
8.710000
8.710000
8.710000
1
3.48
3.480000
3.480000
3.480000
20 14.84
0.742000
0.742000
0.742000
1
2.31
2.310000
2.310000
2.310000

cod
ATC

295 R06AX13

DCI
MEQUITAZINUM
MECLOZINUM
CYPROHEPTADINUM
CYPROHEPTADINUM
CYPROHEPTADINUM
CYPROHEPTADINUM
LORATADINUM
LORATADINUM
LORATADINUM
LORATADINUM

COMPR.
COMPR.
COMPR.
COMPR.
SIROP
SIROP
SIROP
SIROP
LORATADINA BIOFARM 5mg/5ml SIROP
FLONIDAN
SUSP. ORALA

10mg
30mg
4mg
4mg
2mg/5ml
2mg/5ml
1mg/ml
1mg/ml
5mg/5ml
5mg/5ml

296 R06AX27

COMBINATII (DESLORATADINUM+ PSEUDOEPHEDRINE)

AERINAZE (vezi R06AX27) 2,5mg/120mg

2,5mg/120mg SP EUROPE

297 S01AA01

CHLORAMPHENICOLUM
ACIDUM FUSIDICUM
KANAMYCINUM
COMBINATII
COMBINATII
FLUOROMETHOLONUM
FLUOROMETHOLONUM
DESONIDUM
INDOMETACINUM
PIROXICAMUM
PILOCARPINUM
PILOCARPINUM
COMBINATII

SIFICETINA
FUCITHALMIC 10mg/g
KANAMICINA SULFAT 1%
ANTIBIOPTAL
COLBIOCIN
FLUMETOL S

Nr. crt

286 R06AD07
287 R06AE05
288 R06AX02
289 R06AX02
290 R06AX02
291 R06AX02
292 R06AX13
293 R06AX13
294 R06AX13

298 S01AA13
299 S01AA24
300 S01AA30
301 S01AA30
302 S01BA07
303 S01BA07
304 S01BA11
305 S01BC01
306 S01BC06
307 S01EB01
308 S01EB01
309 S02CA05

Denumire Comerciala
PRIMALAN (R) 10 mg
EMETOSTOP
PERITOL
CIPROHEPTADINA 4 mg
PERITOL
BIOHEPT
CLARITINE
CLARITINE

forma farm.

COMPR. FILM. ELIB. MODIF.


PULB. + SOLV. PT. SOL. OFT.

GEL OFT.
UNG. OFT.

concentratie

0,4%
10mg/g
1%

PICATURI OFT.-SOL. FARA CONCENTRATIE


PULB. + SOLV. PT. SOL. OFT.

FARA CONCENTRATIE

PILOCARPINA ROMPHARM 20 mg/ml

2mg/ml
UNG. OFT. 1mg/g
PICATURI OFT.-SOL. 0,25%
PICATURI OFT.-SOL. 0,1%
PIC. OFT., SOL. 0,5%
PIC. OFT., SOL 10 mg/ml
PIC. OFT., SOL 20 mg/ml

SOLUTIE AURICULARA CU CLORAMFENICOL SI FLUOCINOLON

SOL. AURICULARA

FLUMETOL S UNGUENT OFTALMIC

PRENACID
INDOCOLLYRE (R) 0,1%
BRUXICAM 0,5%
PILOCARPINA ROMPHARM 10 mg/ml

PICATURI OFT.SUSP.

FARA CONCENTRATIE

tara det.
APP

Ambalaj
LAB. PIERRE FABRE FRANTA CUTIE X 1 BLIST. AL/PVC X 14 COMPR.
SPECIFAR SA
GRECIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR.
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLACON X 100 ML + MASURA DOZATOARE PP
BIOFARM S.A.
ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 ML SIROP + MASURA DOZATOARE
SCHERING-PLOUGH EUROPE BELGIA
CUTIE X 1 FLACON X 60 ML + LINGURITA DOZATOARE
SCHERING-PLOUGH EUROPE BELGIA
CUTIE X 1 FLACON X 120 ML + LINGURITA DOZATOARE
BIOFARM S.A.
ROMANIA
Detinator APP

LEK PHARMACEUTICALS D.D.

SLOVENIA

Prescriptie

P-RF
P-RF

P-6L
P-6L
P-6L
P-6L
P-6L
P-6L

CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 ML SIROP + MASURA DOZATOARE DIN PE CU GRADATII DE LA 2,5 LA 2

P-RF

CUTIE X 1 FLACON DIN STICLA BRUNA X 120 ML SUSP. ORALA + LINGURITA DOZATOARE

P-6L

CUTIE X 10 COMPR.FILM.ELIB.MODIF. ( BLIST.PCTFE/PVC/AL)

P-RF

S.I.F.I. SPA

BELGIA
ITALIA

CUTIE X 1 FLAC. STICLA BRUNA X 5 ML SOLV. + O PUNGA X UN REZERVOR CU PULB. + UN PICURATOR

P-RF

LEO PHARMACEUTICAL PRODUCTS

DANEMARCA

CUTIE X 1 TUB AL CU CANULA APLICATOARE X 5 G GEL OFTALMIC

P-6L

ANTIBIOTICE SA

ROMANIA CUTIE X 1 TUB AL X 6 G

ITALIA
CUTIE X 1 FLACON PICURATOR X 10 ML
S.I.F.I. SPA
ITALIA
CUTIE X 1 FLACON X 5 ML SOLV. + PLIC REZERVOR PULBERE + DISP. PICURARE
FARMILA - THEA FARMACEUTICI SPA ITALIA
CUTIE X 1 FLACON PEJD X 10ML PIC. OFT. SUSP.
FARMILA - THEA FARMACEUTICI SPA ITALIA
CUTIE X 1 TUB X 5G
S.I.F.I. SPA
ITALIA
CUTIE X 1 FLACON DIN STICLA BRUNA X 10 ML, PREVAZUT CU PICURATOR
LAB. CHAUVIN
FRANTA CUTIE X 1 FLACON PICURATOR DIN POLIETILENA X 5 ML
BRUSCHETTINI S.R.L. ITALIA
CUTIE X 1 FLAC. DIN PEJD PREVAZUT CU PICURATOR X 10 ML PIC. OFT., SOL.
FARMILA FARMACEUTICI

ROMPHARM COMPANY S.R.L.


ROMPHARM COMPANY S.R.L.

BIOFARM SA

ROMANIA
ROMANIA
ROMANIA

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

P-6L
P-6L

CUTIE CU 1 FLACON PEJD X 10 ML PIC. OFT., SOL., CU PICURATOR PEJD

P6L
P6L

CUTIE X 1 FLAC DIN STICLA BRUNA+APLICATOR TIP PIPETA X 10 ML SOL. AURICULARA

P-RF

CUTIE CU 1 FLACON PEJD X 10 ML PIC. OFT., SOL., CU PICURATOR PEJD

Nota:
Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (**) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MS;
Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (***) se face pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MS si cu aprobarea comisiilor de la nivelul
Caselor Judetene de Asigurari de Sanatate;
Medicamentele din aceast sublist corespund DCI-urilor din CANAMED altele dect cele din sublistele A, B si C1. Pentru categoriile de asigurati mentionate in aceasta sublista, medicamentele
corespunzatoare denumirilor comune internationale din sublista A, sublista B, sectiunea C1 a sublistei C, se vor acorda in regim de compensare de 100% la pret de referinta, indiferent de indicatia pentru
care sunt prevazute in aceste subliste .

Pagina 205 din 212

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON)
cant (RON)
(RON)
a) si f)
PT. ADULTI

14
10
20
30
1
1
1
1
1
1
10
1
1
1
1
1
1
1
1
1
1
1
1
1

15.89
3.54
3.22
4.84
5.52
5.73
8.92
17.87
7.01
11.86
20.75
12.48
14.79
6.32
12.97
13.91
31.65
10.00
6.69
14.33
16.55
7.66
10.65
2.80

1.135000
0.354000
0.161000
0.161333
5.520000
5.730000
8.920000
17.870000
7.010000
11.860000
2.075000
12.480000
14.790000
6.320000
12.970000
13.910000
31.650000
10.000000
6.690000
14.330000
16.550000
7.660000
10.650000
2.800000

1.135000
0.354000
0.161000
0.161333
5.520000
5.730000
8.920000
14.232000
7.010000
11.860000
2.075000
12.480000
14.790000
6.320000
12.970000
13.910000
31.650000
10.000000
6.690000
14.330000
16.550000
7.660000
10.650000
2.800000

1.135000
0.354000
0.161000
0.161333
5.520000
5.730000
8.920000
14.232000
7.010000
11.860000
2.075000
12.480000
14.790000
6.320000
12.970000
13.910000
31.650000
10.000000
6.690000
14.330000
16.550000
7.660000
10.650000
2.800000

Вам также может понравиться