05 07 2010 Lista Medicamente

Denumire medicament
ULCORAN
RANITIDIN ARENA 150mg
RANITIDINA 150 mg
RANITIDIN
ZANTAC 150 mg
RANITIDINA 150 mg
RANITIDIN 150 mg
RANITIDINA LAROPHARM 150 mg
RANITIDINA LPH 150 mg
RANITIDINA ATB 150 MG
RANITIDIN 300 mg
RANITIDINA LPH 300 mg
RANITIDINA ATB 300 mg
RANITIDINA ATB 300 mg
ARNETIN
ZANTAC SOLUTIE INJECTABILA
FAMODIN 20
FAMOTIDINA ZENTIVA 20mg
QUAMATEL 20 mg
QUAMATEL (R) 40 mg
FAMOTIDINA ZENTIVA 40 mg
FAMODIN 40
Substan activ
RANITIDINUM
RANITIDINUM
RANITIDINUM
RANITIDINUM
RANITIDINUM
RANITIDINUM
RANITIDINUM
RANITIDINUM
RANITIDINUM
RANITIDINUM
RANITIDINUM
RANITIDINUM
RANITIDINUM
RANITIDINUM
RANITIDINUM
RANITIDINUM
FAMOTIDINUM
FAMOTIDINUM
FAMOTIDINUM
FAMOTIDINUM
FAMOTIDINUM
FAMOTIDINUM
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
W54839001
W53668001
W51636002
W14124002
W51693001
W12519001
W51254002
W51254001
W07481003
W42129001
W42284001
W43134002
W43134001
W43709002
W43709001
W51990001
W52044001
W52887001
W53138001
W53267001
W53340001
W42284003
W54326001
W54326002
W55066002
W14125001
W52078002
W07975001
W07976001
W52018001
W42951001
W03936001
W42952001
W51690004
W10517001
W10517002
W04080002
W42619001
W51982001
W52004001
W08438001
W42800002
W07832001
W52909001
W08933002
W08691002
W04258001
W04254002
W54362001
W04256001
W52254001
W04255001
W12227001
W00187002
W00187001
W00188001
W53024004
W53025002
W03917001
W44054002
W44054001
W54245003
W54245004
W54468001
W07013005
W05695001
W07440001
W52803001
W53996001
QUAMATEL 20 mg
NIZATIDIN VIM SPECTRUM 150 mg
RISEK
ORTANOL S 10 mg
OMEZ
ORTANOL (R) 20 mg
OMEPRAZOL BIOFARM 20 mg
OMEPRAZOL BIOFARM 20 mg
ULTOP
OMEPRAZOL 20 mg
OMEPRAZOL LPH 20 mg
HELICID 20
HELICID 20
OMERAN 20
OMERAN 20
OMEPRAZOL 20 mg
OMEPRAZOL TERAPIA 20 mg
OMEPRAZOL ARENA 20 mg
OMEPRAZOL FARMEX 20 mg
OMEPRAZOL RPH 20 mg
NOVOGAST 20 mg
OMEPRAZOL LPH 20 mg
OMEPRAZOL FARMAL 20 mg
OMEPRAZOL FARMAL 20 mg
OMEPRAZOL OZONE 20 mg
ORTANOL 40 mg
OMERAN 40
LOSEC MUPS 10 mg
LOSEC MUPS 20 mg
OMEDAR (R)
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
PAPAVERINA LAROPHARM 100 mg
PAPAVERINA
METOCLOPRAMID
N - METOCLOPRAMID
METOCLOPRAMID 10 mg
METOCLOPRAMID ARENA 10 mg
METOCLOPRAMID
METOCLOPRAMID BIOFARM 1mg/5ml
METOCLOPRAMID 10 mg
MOTILIUM 10 mg
URSOFALK (R)
URSOFALK (R)
URSOSAN
URSOCHOL 150 mg
URSOCHOL 300 mg
DUPHALAC (R)
LACTULOSE
LACTULOSE
LACTULOSE-MIP 650 mg/ml
LACTULAK 660 mg/ml
LAEVOLAC 670mg/ml
NISTATINA
SULFASALAZIN EN
SALAZOPYRIN EN
PENTASA
FAMOTIDINUM
NIZATIDINUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
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
DOMPERIDONUM
ACIDUM URSODEOXYCHOLICUM
LACTULOSUM
LACTULOSUM
LACTULOSUM
LACTULOSUM
LACTULOSUM
LACTULOSUM
LACTULOSUM
NYSTATINUM
SULFASALAZINUM
SULFASALAZINUM
MESALAZINUM
Form farmaceutic
CAPS.
COMPR.
COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
SOL. INJ.
SOL. INJ.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
PULB+SOLV. PT. SOL.
INJ./PERF.
CAPS.
CAPS. ENTER.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
COMPR. FILM. GASTROREZ.
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
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
PIC. ORALE-SOL.
SIROP
SOL. INJ.
COMPR. FILM.
CAPS.
CAPS.
CAPS.
COMPR.
COMPR.
LICHID ORAL
SIROP
SIROP
SIROP
SIROP
SOL. ORALA
SOL. ORALA
COMPR. FILM.
COMPR. ELIB. PREL.
Concentraie
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
300mg
300mg
300mg
300mg
25mg/ml
25mg/ml
20mg
20mg
20mg
40mg
40mg
40mg
Cantitate Cod boli

UT/amb cronice Descriere categorie boli cronice
20
20
20
20
20
20
20
20
20
20
10
30
10
20
5
5
30
30
28
14
30
30
20mg
150mg
20mg
10mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
40mg
40mg
10mg
20mg
20mg
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
10mg
250mg
250mg
250mg
150mg
300mg
66,7%
65%
65%
650mg/ml
650mg/ml
660 mg/ml
670mg/ml
500.000ui
500mg
500mg
500mg
5
20
14
14
30
14
28
14
14
14
20
28
14
28
14
30
30
30
30
30
20
10
14
28
28
7
14
14
7
14
14
14
14
20
30
30
20
20
30
30
30
20
1
20
20
40
40
40
40
1
1
5
10
100
50
50
60
20
1
1
1
1
1
1
1
20
50
100
100
Cod PNS Descriere PNS
lista medicamente gratuite si compensate valabila cu data de 05.07.2010
Mentiuni
sublista
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
Cod
medicament
W05404001
W05395003
W05401002
W07339001
W05408001
W41440001
W07060001
W42410001
W42722001
W53915001
W07061001
W42721001
W54029001
W54029002
W06812001
W05411001
W03078002
W42868002
W54838001
W12520002
W42867001
W03079002
MSP
Grupa
terapeutica RO
0A02BAO V
0A02BAO V
0A02BAO V
0A02BAO V
0A02BAO V
0A02BAO V
0A02BAO V
0A02BAO V
0A02BAO V
0A02BAO V
0A02BAO V
0A02BAO V
0A02BAO V
0A02BAO V
0A02BAP V
0A02BAP V
0A02BAO V
0A02BAO V
0A02BAO V
0A02BAO V
0A02BAO V
0A02BAO V
Pre maxim Pre cu ridicata

Pre de
Valoare
Valabil de la /amb
/amb
Pre maxim /UT referin/UT
compensare/UT
05-07-2010
6.52
4.82
0.326000
0.258899
0.233009
05-07-2010
6.64
4.91
0.332000
0.258899
0.233009
05-07-2010
6.92
5.12
0.346000
0.258899
0.233009
05-07-2010
5.35
3.96
0.267500
0.258899
0.233009
05-07-2010
10.65
7.88
0.532500
0.258899
0.233009
05-07-2010
4.71
3.48
0.235500
0.235500
0.211950
05-07-2010
7.63
5.65
0.381500
0.258899
0.233009
05-07-2010
6.06
4.48
0.303000
0.258899
0.233009
05-07-2010
6.90
5.11
0.345000
0.258899
0.233009
05-07-2010
6.90
5.11
0.345000
0.258899
0.233009
05-07-2010
6.46
4.78
0.646000
0.517799
0.466019
05-07-2010
17.26
12.77
0.575333
0.517799
0.466019
05-07-2010
6.46
4.78
0.646000
0.517799
0.466019
05-07-2010
12.90
9.54
0.645000
0.517799
0.466019
05-07-2010
12.63
9.34
2.526000
1.874097
1.686687
05-07-2010
14.90
11.02
2.980000
1.874097
1.686687
05-07-2010
8.86
6.56
0.295333
0.258899
0.233009
05-07-2010
5.86
4.34
0.195333
0.195333
0.175799
05-07-2010
9.43
6.98
0.336785
0.258899
0.233009
05-07-2010
9.43
6.98
0.673571
0.517799
0.466019
05-07-2010
7.70
5.70
0.256666
0.256666
0.230999
05-07-2010
12.30
9.10
0.410000
0.410000
0.369000
0A02BAP V
0A02BAO V
0A02BCO V
0A02BCO V
0A02BCO V
0A02BCO V
0A02BCO V
0A02BCO V
0A02BCO V
0A02BCO V
0A02BCO V
0A02BCO V
0A02BCO V
0A02BCO V
0A02BCO V
0A02BCO V
0A02BCO V
0A02BCO V
0A02BCO V
0A02BCO V
0A02BCO V
0A02BCO V
0A02BCO V
0A02BCO V
0A02BCO V
0A02BCO V
0A02BCO V
0A02BCO V
0A02BCO V
0A02BCO V
0A02BCO V
0A02BCO V
0A02BCO V
0A02BCO V
0A03AAO V
0A03AAO V
0A03AAO V
0A03AAO V
0A03AAO V
0A03AAO V
0A03AAO V
0A03AAO V
0A03AAO K
0A03ADO V
0A03ADO V
0A03FAO V
0A03FAO V
0A03FAO V
0A03FAO V
0A03FAO K
0A03FAO K
0A03FAP V
0A03FAO V
9A05AA02O V
9A05AA02O V
9A05AA02O V
9A05AA02O V
9A05AA02O V
9A06AD11O V
9A06AD11O V
9A06AD11O V
9A06AD11O V
9A06AD11O V
9A06AD11O V
9A06AD11O V
0A07AAO V
0A07ECO V
0A07ECO V
0A07ECO V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
24.58
18.18
14.42
8.91
21.37
8.06
20.51
10.82
14.42
14.42
12.77
20.74
10.03
23.05
14.22
22.63
22.48
21.96
20.80
22.10
15.01
6.47
14.42
28.84
18.54
8.01
26.10
33.11
24.90
14.42
6.55
13.10
11.33
16.61
27.70
27.70
9.01
13.85
11.11
11.11
17.09
35.94
12.02
4.42
5.38
1.16
1.36
4.28
1.39
2.85
8.66
8.67
12.30
123.98
71.32
68.61
54.05
35.80
10.94
10.39
3.45
17.20
33.27
7.07
3.56
6.80
28.17
31.17
155.01
18.19
13.45
10.67
6.59
15.81
5.96
15.17
8.01
10.67
10.67
9.45
15.34
7.42
17.05
10.52
16.74
16.63
16.25
15.39
16.35
11.11
4.79
10.67
21.34
13.72
5.93
19.31
24.50
18.42
10.67
4.85
9.69
8.38
12.29
20.49
20.49
6.67
10.25
8.22
8.22
12.64
27.48
8.89
3.27
3.98
0.86
1.01
3.17
1.03
2.11
6.41
6.41
9.10
98.05
56.41
54.26
41.32
27.37
8.09
7.69
2.55
12.73
25.44
5.23
2.63
5.03
20.84
23.06
126.97
4.916000
0.909000
1.030000
0.636428
0.712333
0.575714
0.732500
0.772857
1.030000
1.030000
0.638500
0.740714
0.716428
0.823214
1.015714
0.754333
0.749333
0.732000
0.693333
0.736666
0.750500
0.647000
1.030000
1.030000
0.662142
1.144285
1.864285
2.365000
3.557142
1.030000
0.467857
0.935714
0.809285
0.830500
0.923333
0.923333
0.450500
0.692500
0.370333
0.370333
0.569666
1.797000
12.020000
0.221000
0.269000
0.029000
0.034000
0.107000
0.034750
2.850000
8.660000
1.734000
1.230000
1.239800
1.426400
1.372200
0.900833
1.790000
10.940000
10.390000
3.450000
17.200000
33.270000
7.070000
3.560000
0.340000
0.563400
0.311700
1.550100
4.916000
0.258899
0.678899
0.339449
0.678899
0.575714
0.678899
0.678899
0.678899
0.678899
0.638500
0.678899
0.678899
0.678899
0.678899
0.678899
0.678899
0.678899
0.678899
0.678899
0.678899
0.647000
0.678899
0.678899
0.662142
1.144285
1.357799
0.339449
0.678899
0.678899
0.339449
0.678899
0.678899
0.678899
0.923333
0.923333
0.450500
0.230832
0.230832
0.230832
0.230832
0.692500
12.020000
0.140512
0.269000
0.029000
0.030600
0.030600
0.030600
2.850000
2.223321
1.734000
0.030600
1.239800
1.372200
1.372200
0.823320
1.646641
7.070199
10.335000
3.444999
17.200000
33.270000
6.996000
3.551000
0.340000
0.563400
0.311700
0.778521
4.424400
0.233009
0.611009
0.305504
0.611009
0.518142
0.611009
0.611009
0.611009
0.611009
0.574650
0.611009
0.611009
0.611009
0.611009
0.611009
0.611009
0.611009
0.611009
0.611009
0.611009
0.582300
0.611009
0.611009
0.595927
1.029856
1.222019
0.305504
0.611009
0.611009
0.305504
0.611009
0.611009
0.611009
0.830999
0.830999
0.405450
0.207749
0.207749
0.207749
0.207749
0.623250
10.818000
0.126461
0.242100
0.026100
0.027540
0.027540
0.027540
2.565000
2.000989
1.560600
0.027540
1.115820
1.234980
1.234980
0.740988
1.481977
6.363179
9.301500
3.100499
15.480000
29.943000
6.296400
3.195900
0.306000
0.507060
0.280530
0.700669
1 / 135
W44026001 MALTOFER
W54079001 FERGLUROM FORTE 50 mg/ml
W42621001 PHARMA-FERRUM (R)
W42621002 PHARMA-FERRUM (R)
W51228001 FERRUM HAUSMANN (R)
W51231001 FERRUM HAUSMANN (R)
W52797001 FERGLUROM 50mg/5ml
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
W10038001
W42875001
W42797002
W42882001
W02550001
W54361001
W05268001
W10615001
W12499002
W12499001
W12499003
W43349003
W13542001
W00319002
W00319001
W00311002
W42162001
W53954002
W06951001
W04591002
W42792002
W04587001
W07257001
W13503001
W13504001
W44053001
W03800001
W54816001
W03824001
W03825001
W13871002
W53697001
W42917001
W53655001
W41825001
W14059001
W41842001
W54945001
W07058001
W13661001
W53199001
W42652001
W04208001
W54360001
W08738002
A
A
W51947001
W08738002
A
A
W51947001
W08648002
A
A
W51948001
W08648002
A
A
W51948001
W08649002
W51949001
A
A
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
RYTMONORM (R)
PROPAFENON AL 150
PROPAFENON AL 150
PROPAFENON AL 150
PROPAFENON SANDOZ 150 mg
RYTMONORM
SEDACORON (R)
SEDACORON (R)
AMIODARONA LPH 200 mg
DARITMIN (R) 200 mg
AMIODARONA ARENA 200 MG
CORDARONE 200 mg
NITROMINT 2,6 mg
NITROGLICERINA 0,5 mg
NITRODERM (R) TTS 5
NITROMINT
DINITER SR 20 mg
DINITER SR 40 mg
ISOSORBIDE DINITRATE 10 mg
ISODINIT (R) RETARD
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
MODUXIN (R) 20 mg
DILATAN 20 mg
TRIMETAZIDINA LPH (R) 20 mg
PREDUCTAL 20 mg
PREDUCTAL MR 35 mg
TRIMETAZIDINA LPH (R) 35 mg
MODUXIN MR 35 mg
TRIMETAZIDINA 20 mg
DOPEGYT
CLONIDINA ARENA 0,15 mg
KAMIREN (vezi G04CAN1)
DOXAZOSIN 1 MEDOCHEMIE (vezi
G04CAN1)
G04CAN1)
G04CAN1)
G04CAN1)
G04CAN1)
Substan activ
Form farmaceutic
Concentraie
Cantitate Cod boli

MESALAZINUM
COMPR. GASTROREZ.
250mg
100
MESALAZINUM
COMPR. GASTROREZ.
500mg
MESALAZINUM
MESALAZINUM
MESALAZINUM
MESALAZINUM
MESALAZINUM
ACENOCUMAROLUM
ACENOCUMAROLUM
TICLOPIDINUM
TICLOPIDINUM
TICLOPIDINUM
PHYTOMENADIONUM
FERROSI SULFAS
FERROSI SULFAS
FERROSI SULFAS
COMPLEX DE HIDROXID DE FER (III)
POLIMALTOZAT
POLIMALTOZAT
POLIMALTOZAT
POLIMALTOZAT
POLIMALTOZAT
POLIMALTOZAT
POLIMALTOZAT
COMBINATII (FERROSI
SULFAS+ACIDUM ASCORBICUM)
ACIDUM FOLICUM
DIGOXINUM
DIGOXINUM
DIGOXINUM
CHINIDINI SULFAS
PROPAFENONUM
PROPAFENONUM
PROPAFENONUM
PROPAFENONUM
PROPAFENONUM
PROPAFENONUM
PROPAFENONUM
AMIODARONUM
AMIODARONUM
AMIODARONUM
AMIODARONUM
AMIODARONUM
AMIODARONUM
NITROGLYCERINUM
NITROGLYCERINUM
NITROGLYCERINUM
NITROGLYCERINUM
ISOSORBIDI DINITRAS
ISOSORBIDI DINITRAS
ISOSORBIDI DINITRAS
ISOSORBIDI DINITRAS
ISOSORBIDI DINITRAS
ISOSORBIDI MONONITRAS
ALPROSTADILUM
ALPROSTADILUM
TRIMETAZIDINUM
TRIMETAZIDINUM
TRIMETAZIDINUM
TRIMETAZIDINUM
TRIMETAZIDINUM
TRIMETAZIDINUM
TRIMETAZIDINUM
TRIMETAZIDINUM
TRIMETAZIDINUM
METHYLDOPUM
CLONIDINUM
DOXAZOSINUM
COMPR. GASTROREZ.
SUPOZ.
SUPOZ.
SUPOZ.
SUSP. RECTALA
COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
SOL. INJ.
COMPR. ELIB. PREL.
COMPR.FILM.ELIB.PREL
DRAJ. ELIB. PREL.
Mentiuni
sublista
A
A
A
A
A
A
A
A
A
A
A
A
A
A
Cod
medicament Denumire medicament
SALOFALK 250 mg COMPRIMATE
W04124001 GASTROREZISTENTE
W53998001 PENTASA
W04125003 SALOFALK (R) 250 mg
W04127003 SALOFALK (R) 500 mg
W04128001 SALOFALK 4 g/ 60 ml
W00009002 TROMBOSTOP 2 mg
W10586001 SINTROM (R)
W07616001 TICLODIN
W07968001 IPATON
W53454001 TICLID (R) 250 mg
W05001002 FITOMENADION 10 mg/ml
W43097001 FERROGRADUMET (R)
W51647001 FERRO-GRADUMET
W08016001 TARDYFERON 80 mg
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
MSP
0A07ECO V
05-07-2010
67.08
53.05
0.670800
0.389259
0.350333
100
MSP
0A07ECO V
05-07-2010
120.65
95.42
1.206500
0.778521
0.700669
500mg
1g
250mg
500mg
4g/60ml
2mg
4mg
250mg
250mg
250mg
10mg/ml
105mg
329,724mg
80mg
50
28
10
10
7
30
20
20
20
20
5
30
30
30
MSP
MSP
MSP
MSP
MSP
0A07ECO V
0A07ECR V
0A07ECR V
0A07ECR V
0A07ECR V
0B01AAO V
0B01AAO V
0B01ACO V
0B01ACO V
0B01ACO V
9B02BA01P V
3B03A5O V
3B03A5O V
3B03A5O V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
73.68
173.39
31.90
50.89
169.22
6.52
6.75
35.44
33.30
12.79
10.20
8.55
7.80
12.05
58.27
142.03
23.60
38.91
138.61
4.82
4.99
27.09
25.46
9.46
7.55
6.33
5.77
8.92
1.473600
6.192500
3.190000
5.089000
24.174285
0.217333
0.337500
1.772000
1.665000
0.639500
2.040000
0.285000
0.260000
0.401666
0.778521
6.155190
1.538793
3.077595
24.174285
0.180895
0.337500
1.203310
1.203310
0.639500
2.040000
0.268388
0.260000
0.204486
0.700669
5.539671
1.384913
2.769835
21.756856
0.162806
0.303750
1.082979
1.082979
0.575550
1.836000
0.241549
0.234000
0.184037
COMPR. MAST.
100mg
30
3B03A5O V
05-07-2010
21.45
15.87
0.715000
0.568017
0.511216
PICATURI ORALE, SOL.
50mg/ml
3B03A5O K
05-07-2010
8.78
6.50
8.780000
8.572500
7.715250
PICATURI ORALE-SOL.
5%
3B03A5O K
05-07-2010
13.65
10.10
13.650000
13.650000
12.285000
PICATURI ORALE-SOL.
5%
3B03A5O K
05-07-2010
11.76
8.70
11.760000
8.572500
7.715250
PICATURI ORALE-SOL.
50mg/ml
3B03A5O K
05-07-2010
13.50
9.99
13.500000
8.572500
7.715250
SIROP
10mg/ml
3B03A5O K
05-07-2010
15.35
11.36
15.350000
8.572500
7.715250
SIROP
50mg/5ml
3B03A5O K
05-07-2010
10.03
7.42
10.030000
5.715000
5.143500
COMPR. FILM.
COMPR. FILM.
COMPR.
SOL. INJ.
SOL. ORALA
COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
SOL. INJ.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. DIVIZ.
COMPR. ELIB. PREL.
COMPR. SUBLING.
SIST. TERAP. TRANSDERM.
SPRAY SUBLINGUAL
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
COMPR.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CONC. PT. SOL. PERF.
LIOF. PT. SOL. PERF.
CAPS.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM. ELIB. MODIF.
DRAJ.
COMPR.
COMPR.
COMPR.
FARA CONCENT50
5mg
30
0,25mg
25
0,5mg/ml
5
0,05mg/ml
1
200mg
20
150mg
20
150mg
50
150mg
50
150mg
20
150mg
100
150mg
50
70mg/20ml
5
200mg
20
200mg
50
200mg
30
200mg
30
200mg
30
200mg
30
2,6mg
60
0,5mg
20
25mg
10
0,4mg/doza
1
20mg
20
40mg
20
10mg
60
20mg
60
20mg
60
40mg
20
60mg
20
60mg
40
20mcg
5
20mcg
10
20mg
30
20mg
30
20mg
30
20mg
60
20mg
60
35mg
60
35mg
60
35mg
30
20mg
30
250mg
50
0,15mg
50
1mg
30
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
14.82
7.37
2.79
6.63
11.06
12.36
49.86
31.96
18.66
7.47
34.86
18.04
36.70
13.82
28.55
10.97
10.97
11.26
16.86
9.85
3.85
18.43
15.25
5.44
9.01
2.13
3.93
3.93
11.99
19.12
36.32
328.17
520.05
7.60
7.60
14.58
15.19
23.37
49.62
33.31
16.67
14.44
12.63
12.33
10.15
10.96
5.45
2.06
4.91
8.18
9.14
38.12
23.65
13.81
5.53
26.65
13.35
28.06
10.22
21.12
8.12
8.12
8.33
12.47
7.29
2.85
13.64
11.28
4.02
6.67
1.58
2.91
2.91
8.87
14.15
27.77
268.82
442.11
5.62
5.62
10.79
11.24
17.29
37.94
24.64
12.33
10.68
9.34
9.12
7.51
0.296400
0.245666
0.111600
1.326000
11.060000
0.618000
2.493000
0.639200
0.373200
0.373500
0.348600
0.360800
7.340000
0.691000
0.571000
0.365666
0.365666
0.375333
0.562000
0.164166
0.192500
1.843000
15.250000
0.272000
0.450500
0.035500
0.065500
0.065500
0.599500
0.956000
0.908000
65.634000
52.005000
0.253333
0.253333
0.486000
0.253166
0.389500
0.827000
0.555166
0.555666
0.481333
0.252600
0.246600
0.338333
0.296400
0.245666
0.111600
1.326000
11.060000
0.618000
0.363900
0.363900
0.363900
0.363900
0.348600
0.360800
7.340000
0.368082
0.368082
0.365666
0.365666
0.368082
0.368082
0.110760
0.114796
1.843000
15.250000
0.071000
0.142000
0.035500
0.065500
0.065500
0.213000
0.319501
0.319501
55.412250
52.005000
0.253333
0.253333
0.285513
0.253166
0.285513
0.499649
0.499649
0.499649
0.285513
0.252600
0.246600
0.249318
0.266760
0.221099
0.100440
1.193400
9.954000
0.556200
0.327510
0.327510
0.327510
0.327510
0.313740
0.324720
6.606000
0.331274
0.331274
0.329099
0.329099
0.331274
0.331274
0.099684
0.103317
1.658700
13.725000
0.063900
0.127800
0.031950
0.058950
0.058950
0.191700
0.287551
0.287551
49.871025
46.804500
0.227999
0.227999
0.256962
0.227849
0.256962
0.449684
0.449684
0.449684
0.256962
0.227340
0.221940
0.224386
DOXAZOSINUM
DOXAZOSINUM
COMPR.
COMPR.
1mg
1mg
14
30
0G04CAO V
0G04CAO V
05-07-2010
05-07-2010
10.79
10.15
7.98
7.51
0.770714
0.338333
0.249318
0.249318
0.224386
0.224386
DOXAZOSINUM
DOXAZOSINUM
COMPR.
COMPR.
1mg
2mg
14
30
0G04CAO V
0G04CAO V
05-07-2010
05-07-2010
10.79
17.03
7.98
12.60
0.770714
0.567666
0.249318
0.498637
0.224386
0.448773
DOXAZOSINUM
DOXAZOSINUM
COMPR.
COMPR.
2mg
2mg
14
30
0G04CAO V
0G04CAO V
05-07-2010
05-07-2010
12.51
17.03
9.26
12.60
0.893571
0.567666
0.498637
0.498637
0.448773
0.448773
DOXAZOSINUM
DOXAZOSINUM
COMPR.
COMPR.
2mg
4mg
14
30
0G04CAO V
0G04CAO V
05-07-2010
05-07-2010
12.51
30.79
9.26
22.78
0.893571
1.026333
0.498637
0.997274
0.448773
0.897546
DOXAZOSINUM
COMPR.
4mg
14
0G04CAO V
05-07-2010
17.33
12.82
1.237857
0.997274
0.897546
9B03AEN1O V
9B03BB01O V
9C01AA05O V
9C01AA05P V
9C01AA05O K
9C01BA01O V
9C01BC03O V
9C01BC03O V
9C01BC03O V
9C01BC03O V
9C01BC03O V
9C01BC03O V
9C01BC03P V
9C01BD01O V
9C01BD01O V
9C01BD01O V
9C01BD01O V
9C01BD01O V
9C01BD01O V
0C01DAO V
0C01DASL V
0C01DATD V
0C01DASL V
0C01DAO V
0C01DAO V
0C01DAO V
0C01DAO V
0C01DAO V
0C01DAO V
0C01DAO V
0C01DAO V
CJAS 9C01EA01P V
CJAS 9C01EA01P V
0C01EBO V
0C01EBO V
0C01EBO V
0C01EBO V
0C01EBO V
0C01EBO V
0C01EBO V
0C01EBO V
0C01EBO V
9C02AB01O V
0C02ACO V
0G04CAO V
Valoare
compensare/UT
2 / 135
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
W07005001
W53002004
W53002005
W53002006
W53506004
W53506005
W53506006
W54452002
W13301001
W13574002
W13574001
W53123001
W53123003
W13302001
W53734001
W05291001
W42179001
W08683002
W53171001
W53171002
W12724002
W08684002
W53172001
W53172002
W53681002
W41674001
W41674003
W08419001
W08419002
W08419003
W07724004
W41673003
W41673001
W08420006
W08420005
W04265001
W04263002
W04266001
W07222003
W07225001
W07225003
W07225002
W42176001
W52230001
W52474002
A
A
A
W53669001 METOPROLOL VIM SPECTRUM 100 mg

W53941002 METOPROLOL ARENA 100 MG
W55076001 METOPROLOL 100 mg
DIUREX 50
PENTOXIFILINA SR ZENTIVA 400 mg
VASONIT RETARD 600 mg
ANGIOPENT 400 mg
PENTOXI RETARD 400 mg
PENTOXI RETARD 400 mg
OXIFLUX 400 mg
OXIFLUX 400 mg
ANGIOPENT 600 mg
TRENTAL (R)
PROPRANOLOL
N - PROPRANOLOL 10 mg
PROPRANOLOL 10 mg
PROPRANOLOL FABIOL 10 mg
PROPRANOLOL EEL 40 mg
PROPRANOLOL 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
EGILOK 100 mg
METOPROLOL LPH 100 mg
METOPROLOL AL 100
METOPROLOL AL 100
METOPROLOL AL 100
METOPROLOL 100 mg
METOPROLOL TERAPIA 100 mg
METOPROLOL MEDICO UNO 100 mg
Substan activ
DOXAZOSINUM
Form farmaceutic
COMPR.
Concentraie
4mg
Cantitate Cod boli

30
DOXAZOSINUM
DOXAZOSINUM
DOXAZOSINUM
DOXAZOSINUM
DOXAZOSINUM
HYDROCHLOROTHIAZIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
COMBINATII
(SPIRONOLACTONUM+FUROSEMIDUM
)
PENTOXIFYLLINUM
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
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
COMPR.
COMPR. ELIB. MODIF.
COMPR. ELIB. MODIF.
COMPR.
COMPR.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. FILM.
COMPR. FILM.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
SOL. INJ.
CAPS.
CAPS.
CAPS.
CAPS.
COMPR.
COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
4mg
4mg
4mg
4mg
4mg
25mg
2,5mg
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
40mg
40mg
40mg
10mg/ml
100mg
25mg
50mg
50mg
25mg
25mg
25mg
25mg
25mg
50mg
CAPS.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
DRAJ. ELIB. PREL.
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.
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
COMPR.
COMPR.
COMPR.
Mentiuni
sublista
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
Cod
W08649002 KAMIREN (vezi G04CAN1)
W51949001 G04CAN1)
W13893001 CARDURA XL 4 mg (vezi G04CAN1)
W13893001 CARDURA XL 4 mg (vezi G04CAN1)
W43887002 KAMIREN XL 4 mg (vezi C02CA04)
W43887002 KAMIREN XL 4 mg (vezi C02CA04)
W43198002 NEFRIX 25 mg
W13568001 IMPAMID (R) 2,5 mg
W52005001 INDAPAMID MCC 1,5 mg
W53212001 IDUREN SR 1,5 mg
W53868001 DIUREMID SR 1,5 mg
W55332006 INDAPAMIDA TEVA 1,5 mg
W55068001 IZEPOX 1,5mg
W13675001 INDAPAMID LPH (R) 2,5 mg
W41975001 INDATER (R) 2,5 mg
W42238001 INDAPAMID SR 1,5 mg LAROPHARM
W03592001 TERTENSIF (R) SR
W13662001 INDAPAMID LPH (R) 1,5 mg
W42707001 INDATER SR 1,5 mg
W43065002 RAWEL SR 1,5 mg
W52836001 IMPAMID SR 1,5 mg
W52963001 INDAPAMID SR OZONE 1,5mg
W53216001 REDITENS SR 1.5 mg
W53208005 INDAPAMIDA ACTAVIS 1,5 mg
W03265002 FUROSEMID MCC 40 mg
W42036002 FUROSEMID SLAVIA
W07878001 FUROSEMID EEL
W43155001 FUROSEMID ZENTIVA
W03264001 FUROSEMID LPH 40 mg
W52043001 FUROSEMID ARENA 40 mg
W42799002 FUROSEMID 20 mg/2 ml
W54824001 VEROSPIRON
W55360002 SPIRONOLACTONA ARENA 25 mg
W54823001 VEROSPIRON
W55359001 SPIRONOLACTONA ARENA 50 mg
W53792001 SPIRONOLACTONA EEL 25 mg
W53791001 SPIRONOLACTONA OZONE 25 mg
W55072001 SPIRONOLACTONA OZONE 25 mg
W08893001 SPIRONOLACTONA 25 mg
W52138001 ALSPIRON 25 mg
W41550001 ALSPIRON 50 mg
Grupa
terapeutica RO
0G04CAO V

Pre de
Valoare
Valabil de la /amb
/amb
compensare/UT
05-07-2010
30.79
22.78
1.026333
0.997274
0.897546
14
28
28
30
30
25
30
30
30
30
30
30
30
30
20
30
30
30
30
30
20
30
30
20
20
20
20
20
20
5
30
50
30
30
20
50
50
50
20
20
0G04CAO V
0G04CAO V
0G04CAO V
0G04CAO V
0G04CAO V
0C03AAO V
0C03BAO V
0C03BAO V
0C03BAO V
0C03BAO V
0C03BAO V
0C03BAO V
0C03BAO V
0C03BAO V
0C03BAO V
0C03BAO V
0C03BAO V
0C03BAO V
0C03BAO V
0C03BAO V
0C03BAO V
0C03BAO V
0C03BAO V
9C03CA01O V
9C03CA01O V
9C03CA01O V
9C03CA01O V
9C03CA01O V
9C03CA01O V
9C03CA01P V
9C03DA01O V
9C03DA01O V
9C03DA01O V
9C03DA01O V
9C03DA01O V
9C03DA01O V
9C03DA01O V
9C03DA01O V
9C03DA01O V
9C03DA01O V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
17.33
46.37
46.37
37.26
37.26
3.47
15.13
13.65
10.63
13.65
13.28
13.65
15.04
14.87
9.09
21.00
13.65
13.27
11.68
13.13
7.83
13.65
13.65
1.62
2.27
1.62
6.01
3.04
1.60
6.06
28.43
16.04
16.67
16.21
4.30
10.77
10.77
16.18
4.30
13.71
12.82
35.45
35.45
28.49
28.49
2.57
11.19
10.10
7.86
10.10
9.83
10.10
11.13
11.00
6.73
15.54
10.10
9.82
8.64
9.71
5.79
10.10
10.10
1.20
1.68
1.20
4.45
2.25
1.18
4.48
21.03
11.87
12.33
11.99
3.18
7.97
7.97
11.97
3.18
10.14
1.237857
1.656071
1.656071
1.242000
1.242000
0.138800
0.504333
0.455000
0.354333
0.455000
0.442666
0.455000
0.501333
0.495666
0.454500
0.700000
0.455000
0.442333
0.389333
0.437666
0.391500
0.455000
0.455000
0.081000
0.113500
0.081000
0.300500
0.152000
0.080000
1.212000
0.947666
0.320800
0.555666
0.540333
0.215000
0.215400
0.215400
0.323600
0.215000
0.685500
0.997274
0.997274
0.997274
0.997274
0.997274
0.138800
0.504333
0.350399
0.350399
0.350399
0.350399
0.350399
0.501333
0.495666
0.350399
0.350399
0.350399
0.350399
0.350399
0.350399
0.350399
0.350399
0.350399
0.081000
0.081000
0.081000
0.081000
0.081000
0.080000
1.212000
0.861600
0.215400
0.430800
0.430800
0.215000
0.215400
0.215400
0.215400
0.215000
0.430800
0.897546
0.897546
0.897546
0.897546
0.897546
0.124920
0.453899
0.315359
0.315359
0.315359
0.315359
0.315359
0.451199
0.446099
0.315359
0.315359
0.315359
0.315359
0.315359
0.315359
0.315359
0.315359
0.315359
0.072900
0.072900
0.072900
0.072900
0.072900
0.072000
1.090800
0.775440
0.193860
0.387720
0.387720
0.193500
0.193860
0.193860
0.193860
0.193500
0.387720
50mg/20mg
400mg
400mg
400mg
600mg
600mg
600mg
600mg
400mg
400mg
400mg
400mg
400mg
600mg
400mg
10mg
10mg
10mg
10mg
10mg
40mg
40mg
40mg
40mg
40mg
160mg
160mg
160mg
160mg
160mg
80mg
80mg
80mg
80mg
80mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
20
20
50
100
20
50
100
50
20
40
20
20
60
20
20
50
50
50
10
50
50
50
10
50
50
20
100
20
50
100
20
100
20
100
50
30
30
20
30
30
100
50
30
30
30
9C03EB01O V
9C04AD03O V
9C04AD03O V
9C04AD03O V
9C04AD03O V
9C04AD03O V
9C04AD03O V
9C04AD03O V
9C04AD03O V
9C04AD03O V
9C04AD03O V
9C04AD03O V
9C04AD03O V
9C04AD03O V
9C04AD03O V
0C07AAO V
0C07AAO V
0C07AAO V
0C07AAO V
0C07AAO V
0C07AAO V
0C07AAO V
0C07AAO V
0C07AAO V
0C07AAO V
0C07AAO V
0C07AAO V
0C07AAO V
0C07AAO V
0C07AAO V
0C07AAO V
0C07AAO V
0C07AAO V
0C07AAO V
0C07AAO V
0C07ABO V
0C07ABO V
0C07ABO V
0C07ABO V
0C07ABO V
0C07ABO V
0C07ABO V
0C07ABO V
0C07ABO V
0C07ABO V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
21.11
10.22
15.36
30.69
13.94
26.10
50.49
33.56
6.12
22.37
17.16
6.12
18.35
16.41
9.43
3.25
3.22
3.00
0.72
2.91
3.25
3.25
0.79
3.25
4.96
11.59
58.30
11.14
26.86
54.50
10.03
39.23
8.58
36.44
17.49
14.02
10.92
6.55
7.10
9.11
19.71
12.97
9.48
15.07
7.00
15.62
7.56
11.36
22.71
10.31
19.31
38.60
24.83
4.53
16.55
12.70
4.53
13.58
12.14
6.98
2.40
2.38
2.22
0.53
2.15
2.40
2.40
0.58
2.40
3.67
8.58
44.57
8.24
19.87
41.67
7.42
29.99
6.35
27.86
12.94
10.37
8.08
4.85
5.25
6.74
14.58
9.60
7.01
11.15
5.18
1.055500
0.511000
0.307200
0.306900
0.697000
0.522000
0.504900
0.671200
0.306000
0.559250
0.858000
0.306000
0.305833
0.820500
0.471500
0.065000
0.064400
0.060000
0.072000
0.058200
0.065000
0.065000
0.079000
0.065000
0.099200
0.579500
0.583000
0.557000
0.537200
0.545000
0.501500
0.392300
0.429000
0.364400
0.349800
0.467333
0.364000
0.327500
0.236666
0.303666
0.197100
0.259400
0.316000
0.502333
0.233333
1.055500
0.306975
0.306975
0.306900
0.460462
0.460462
0.460462
0.460462
0.306000
0.306975
0.306975
0.306000
0.305833
0.460462
0.306975
0.028243
0.028243
0.028243
0.028243
0.028243
0.065000
0.065000
0.079000
0.065000
0.099200
0.451890
0.451890
0.451890
0.451890
0.451890
0.225945
0.225945
0.225945
0.225945
0.225945
0.284249
0.284249
0.284249
0.236666
0.284249
0.197100
0.259400
0.284249
0.284249
0.233333
0.949950
0.276277
0.276277
0.276210
0.414416
0.414416
0.414416
0.414416
0.275400
0.276277
0.276277
0.275400
0.275249
0.414416
0.276277
0.025418
0.025418
0.025418
0.025418
0.025418
0.058500
0.058500
0.071100
0.058500
0.089280
0.406701
0.406701
0.406701
0.406701
0.406701
0.203350
0.203350
0.203350
0.203350
0.203350
0.255824
0.255824
0.255824
0.212999
0.255824
0.177390
0.233460
0.255824
0.255824
0.209999
100mg
100mg
100mg
20
30
20
0C07ABO V
0C07ABO V
0C07ABO V
05-07-2010
05-07-2010
05-07-2010
7.35
7.00
8.07
5.44
5.18
5.97
0.367500
0.233333
0.403500
0.284249
0.233333
0.284249
0.255824
0.209999
0.255824
3 / 135
W53644004
W53641004
A
A
A
W53642004
W04262001
W43341001
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
W53643004
W43228004
W43226004
W43227004
W00489001
W00491002
W13741001
W53950002
W00492002
W13703001
W13740001
W00490001
W53949002
W12244002
W12244001
W43306001
W08713001
W08713002
W12507001
W42300002
W42300004
W42300003
W42300001
W13967001
W54669001
W13966001
W54668001
W00625001
W13630003
W13630002
W13630001
W08906002
W43154001
W08907002
W00626001
W13629002
W13629001
W13629003
W08908002
W43153001
W43389001
W44082002
W12649001
W42058001
W42731002
W42742001
W42659001
W44030001
W53658001
W53751001
W54103001
W44083002
W12648002
W42059001
W42732001
W42743001
W43390001
W42658001
W44031001
W53752001
W54104001
W44081003
W41867002
W41912001
Denumire medicament
EGILOK 25 mg
METOPROLOL 25 mg
METOPROLOL ARENA 25 MG
BETAPROL 50 mg
EGILOK 50 mg
METOPROLOL AL 50
METOPROLOL AL 50
METOPROLOL AL 50
METOPROLOL 50 mg
METOPROLOL TERAPIA 50 mg
METOPROLOL VIM SPECTRUM 50 mg
METOPROLOL ARENA 50 MG
METOPROLOL 50 mg
METOPROLOL RETARD 100 mg
BETALOC (R) ZOK 100 mg
EMZOK 100 mg
METOPROLOL SUCCINAT POLPHARMA
190 mg
23,75 mg
47,5 mg
BETALOC (R) ZOK 50 mg
EMZOK 50 mg
95 mg
METOSUCCINAT SANDOZ 190 mg
METOSUCCINAT SANDOZ 47,5 mg
METOSUCCINAT SANDOZ 95 mg
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
ATENOLOL ARENA 50 MG
ATENOLOL 100 mg
ATENOLOL 100 mg
ATENOLOL 100 mg MEDO
ATENOLOL 50 mg
ATENOLOL 50 mg
LOKREN 20 mg
BETAC
BETAC
BETAC
BETAC
BISOBLOCK 10 mg
BISOBLOCK 10 mg
BISOBLOCK 5 mg
BISOBLOCK 5 mg
CONCOR 10 mg
BISOGAMMA (R) 10
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
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
ATRAM 12,5
CARVEDILOL HELCOR 12,5 mg
CARVEDILOL LPH 12,5 mg
CARVEDILOL TEVA 12,5 mg
CARVEDILOL VIM SPECTRUM 12,5mg
GLADYCOR 12,5 mg
MIOCARVIL 12,5 mg
DILATREND (R) 25 mg
CORYOL 25 mg
TALLITON (R) 25 mg
ATRAM 25
CARVEDILOL HELCOR 25 mg
CARVEDILOL SANDOZ
CARVEDILOL LPH 25 mg
CARVEDILOL TEVA 25 mg
GLADYCOR 25 mg
MIOCARVIL 25 mg
DILATREND (R) 6,25 mg
CORYOL (R)
TALLITON 6,25 mg
Substan activ
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
Form farmaceutic
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. ELIB. PREL.
Concentraie
25mg
25mg
25mg
25mg
25mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
100mg
100mg
100mg
Cantitate Cod boli

20
20
30
30
30
30
20
30
30
100
50
30
30
30
20
30
20
20
30
30
METOPROLOLUM
190mg
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
ATENOLOLUM
ATENOLOLUM
ATENOLOLUM
ATENOLOLUM
ATENOLOLUM
ATENOLOLUM
ATENOLOLUM
ATENOLOLUM
ATENOLOLUM
ATENOLOLUM
ATENOLOLUM
ATENOLOLUM
ATENOLOLUM
ATENOLOLUM
BETAXOLOLUM
BETAXOLOLUM
BETAXOLOLUM
BETAXOLOLUM
BETAXOLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
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
Mentiuni
sublista
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
Cod
medicament
W04267001
W42973001
W42025001
W52472002
W53922001
W04264002
W04268001
W07223003
W07227001
W07227003
W07227002
W42197001
W52231001
W52473002
W53670001
W53940001
W55075001
W51986001
W04260001
W43342001
Grupa
terapeutica RO
0C07ABO V
0C07ABO V
0C07ABO V
0C07ABO V
0C07ABO V
0C07ABO V
0C07ABO V
0C07ABO V
0C07ABO V
0C07ABO V
0C07ABO V
0C07ABO V
0C07ABO V
0C07ABO V
0C07ABO V
0C07ABO V
0C07ABO V
0C07ABO V
0C07ABO V
0C07ABO V

Pre de
Valoare
Valabil de la /amb
/amb
compensare/UT
05-07-2010
1.90
1.41
0.095000
0.071062
0.063955
05-07-2010
1.90
1.41
0.095000
0.071062
0.063955
05-07-2010
2.85
2.11
0.095000
0.071062
0.063955
05-07-2010
2.85
2.11
0.095000
0.071062
0.063955
05-07-2010
2.85
2.11
0.095000
0.071062
0.063955
05-07-2010
5.25
3.88
0.175000
0.142124
0.127912
05-07-2010
3.50
2.59
0.175000
0.142124
0.127912
05-07-2010
4.73
3.50
0.157666
0.142124
0.127912
05-07-2010
5.25
3.88
0.175000
0.142124
0.127912
05-07-2010
8.38
6.20
0.083800
0.083800
0.075420
05-07-2010
7.07
5.23
0.141400
0.141400
0.127260
05-07-2010
5.25
3.88
0.175000
0.142124
0.127912
05-07-2010
7.04
5.21
0.234666
0.142124
0.127912
05-07-2010
5.25
3.88
0.175000
0.142124
0.127912
05-07-2010
3.44
2.55
0.172000
0.142124
0.127912
05-07-2010
5.25
3.88
0.175000
0.142124
0.127912
05-07-2010
3.50
2.59
0.175000
0.142124
0.127912
05-07-2010
11.11
8.22
0.555500
0.284249
0.255824
05-07-2010
25.64
18.97
0.854666
0.284249
0.255824
05-07-2010
16.66
12.33
0.555333
0.284249
0.255824
28
0C07ABO V
05-07-2010
21.16
15.66
0.755714
0.540074
0.486067
23,75mg
28
0C07ABO V
05-07-2010
2.76
2.04
0.098571
0.067509
0.060758

47,5mg
50mg
50mg
28
30
30
0C07ABO V
0C07ABO V
0C07ABO V
05-07-2010
05-07-2010
05-07-2010
9.49
15.65
10.18
7.02
11.58
7.53
0.338928
0.521666
0.339333
0.135018
0.142124
0.142124
0.121516
0.127912
0.127912

COMPR.FILM.ELIB.MOD.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
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.
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.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
95mg
190mg
47,5mg
95mg
100mg
100mg
100mg
100mg
50mg
50mg
50mg
50mg
50mg
100mg
100mg
100mg
50mg
50mg
20mg
20mg
20mg
20mg
20mg
10mg
10mg
5mg
5mg
10mg
10mg
10mg
10mg
10mg
10mg
2,5mg
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
28
30
30
30
30
20
20
20
20
20
20
30
20
20
30
20
50
30
28
28
30
20
14
30
30
30
30
30
100
50
30
30
30
30
30
50
30
100
30
30
30
28
28
30
30
20
30
30
20
30
30
28
28
30
30
20
30
30
30
30
30
28
28
30
0C07ABO V
0C07ABO V
0C07ABO V
0C07ABO V
0C07ABO V
0C07ABO V
0C07ABO V
0C07ABO V
0C07ABO V
0C07ABO V
0C07ABO V
0C07ABO V
0C07ABO V
0C07ABO V
0C07ABO V
0C07ABO V
0C07ABO V
0C07ABO V
0C07ABO V
0C07ABO V
0C07ABO V
0C07ABO V
0C07ABO V
0C07ABO V
0C07ABO V
0C07ABO V
0C07ABO V
0C07ABO V
0C07ABO V
0C07ABO V
0C07ABO V
0C07ABO V
0C07ABO V
0C07ABO V
0C07ABO V
0C07ABO V
0C07ABO V
0C07ABO V
0C07ABO V
0C07ABO V
0C07AGO V
0C07AGO V
0C07AGO V
0C07AGO V
0C07AGO V
0C07AGO V
0C07AGO V
0C07AGO V
0C07AGO V
0C07AGO V
0C07AGO V
0C07AGO V
0C07AGO V
0C07AGO V
0C07AGO V
0C07AGO V
0C07AGO V
0C07AGO V
0C07AGO V
0C07AGO V
0C07AGO V
0C07AGO V
0C07AGO V
0C07AGO V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
15.55
22.67
8.12
13.56
10.82
7.03
6.24
6.24
3.91
3.68
4.50
5.33
3.54
6.86
10.88
4.59
11.62
6.64
22.77
21.28
27.41
21.62
15.07
16.50
16.50
7.53
7.53
31.76
49.31
29.88
18.07
33.73
18.07
14.73
16.30
13.99
8.52
24.95
22.26
8.52
8.71
29.86
12.45
13.27
12.84
8.69
13.33
8.64
6.70
13.07
13.33
33.37
21.99
23.56
19.52
15.69
9.17
23.56
9.04
22.94
23.56
16.41
6.43
6.87
11.50
16.77
6.01
10.03
8.01
5.20
4.62
4.62
2.89
2.72
3.33
3.94
2.62
5.08
8.05
3.40
8.60
4.91
16.85
15.74
20.28
16.00
11.15
12.21
12.21
5.57
5.57
23.50
37.70
22.11
13.37
24.96
13.37
10.90
12.06
10.35
6.30
18.46
16.47
6.30
6.44
22.09
9.21
9.82
9.50
6.43
9.86
6.39
4.96
9.67
9.86
25.51
16.27
17.43
14.44
11.61
6.78
17.43
6.69
16.97
17.43
12.14
4.76
5.08
0.555357
0.755666
0.270666
0.452000
0.360666
0.351500
0.312000
0.312000
0.195500
0.184000
0.225000
0.177666
0.177000
0.343000
0.362666
0.229500
0.232400
0.221333
0.813214
0.760000
0.913666
1.081000
1.076428
0.550000
0.550000
0.251000
0.251000
1.058666
0.493100
0.597600
0.602333
1.124333
0.602333
0.491000
0.543333
0.279800
0.284000
0.249500
0.742000
0.284000
0.290333
1.066428
0.444642
0.442333
0.428000
0.434500
0.444333
0.288000
0.335000
0.435666
0.444333
1.191785
0.785357
0.785333
0.650666
0.784500
0.305666
0.785333
0.301333
0.764666
0.785333
0.586071
0.229642
0.229000
0.270037
0.540074
0.135018
0.270037
0.360666
0.351500
0.312000
0.312000
0.195500
0.184000
0.225000
0.177666
0.177000
0.343000
0.362666
0.229500
0.232400
0.221333
0.426374
0.426374
0.426374
0.426374
0.426374
0.426374
0.426374
0.213187
0.213187
0.426374
0.426374
0.426374
0.426374
0.426374
0.426374
0.106593
0.213187
0.213187
0.213187
0.213187
0.213187
0.213187
0.290333
0.353399
0.353399
0.353399
0.353399
0.353399
0.353399
0.288000
0.335000
0.353399
0.353399
0.706799
0.706799
0.706799
0.650666
0.706799
0.305666
0.706799
0.301333
0.706799
0.706799
0.176699
0.176699
0.176699
0.243033
0.486067
0.121516
0.243033
0.324599
0.316350
0.280800
0.280800
0.175950
0.165600
0.202500
0.159899
0.159300
0.308700
0.326399
0.206550
0.209160
0.199199
0.383737
0.383737
0.383737
0.383737
0.383737
0.383737
0.383737
0.191868
0.191868
0.383737
0.383737
0.383737
0.383737
0.383737
0.383737
0.095934
0.191868
0.191868
0.191868
0.191868
0.191868
0.191868
0.261299
0.318059
0.318059
0.318059
0.318059
0.318059
0.318059
0.259200
0.301500
0.318059
0.318059
0.636119
0.636119
0.636119
0.585599
0.636119
0.275099
0.636119
0.271199
0.636119
0.636119
0.159029
0.159029
0.159029
4 / 135
Denumire medicament
ATRAM 6,25
CARVEDILOL SANDOZ
CARVEDILOL LPH 6,25 mg
CARVEDILOL TEVA 6,25 mg
CARVEDILOL VIM SPECTRUM 6,25 mg
GLADYCOR 6,25 mg
MIOCARVIL 6,25 mg
CARVEDIGAMMA 12,5 mg
CARVEDIGAMMA 25 mg
CARVEDIGAMMA 6,25 mg
NORVASC 10 mg
AMLOHEXAL 10 mg
TENOX (R) 10
AMLODIPINE-TEVA 10 mg
ALOZUR 10 mg
STAMLO M 10 mg
VASOREX 10 mg
CARDILOPIN 10 mg
AMLODIPINA BIOGALENICA 10 mg
AMLODIGAMMA 10 mg
AMLODIGAMMA 10 mg
ALMACOR 10 mg
EPLODIN 10 mg
AMLODIPINA ACTAVIS 10 mg
AMLODIPIN VIM SPECTRUM 10 mg
TARDIP 10 mg
TARDIP 10 mg
AGEN 10
ALOZUR 10 mg
AMLODIPINE VALEANT 10 mg
NORVASC 5 mg
AMLOHEXAL 5 mg
TENOX (R) 5
AMLODIPINE-TEVA 5 mg
ALOZUR 5 mg
STAMLO M 5 mg
VASOREX 5 mg
CARDILOPIN 5 mg
AMLODIPINA BIOGALENICA 5 mg
AMLODIGAMMA 5 mg
AMLODIGAMMA 5 mg
ALMACOR 5 mg
EPLODIN 5 mg
AMLODIPINA ACTAVIS 5 mg
AMLODIPIN VIM SPECTRUM 5 mg
TARDIP 5 mg
TARDIP 5 mg
AGEN 5
ALOZUR 5 mg
FELODIPIN AL 10 RETARD
FELODIPIN AL 2,5 RETARD
FELODIPIN AL 2,5 RETARD
FELODIPIN AL 5 RETARD
PLENDIL
PLENDIL
PLENDIL
SISTAR 10 mg
SISTAR 2,5 mg
SISTAR 5 mg
AURONAL 10 mg
PRESID (R) 10 mg
FELODIPIN SANDOZ 10 mg
AURONAL 2,5 mg
PRESID (R) 2,5 mg
AURONAL 5 mg
PRESID (R) 5 mg
FELODIPIN SANDOZ 5 mg
ADALAT CR 30
NIFEDIPIN RETARD TERAPIA 20 mg
EPILAT RETARD
ISOPTIN (R) 40 mg
VERAPAMIL AL 80
VERAPAMIL AL 80
ISOPTIN (R) 80 mg
VEROGALID (R) ER 240 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
CORZEM 120
DILZEM 90 mg RETARD
CAPTOPRIL 12,5 mg
CAPTOPRIL MCC 12,5 mg
CAPTOPRIL 25 mg
Substan activ
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
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
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
VERAPAMILUM
DILTIAZEMUM
DILTIAZEMUM
DILTIAZEMUM
DILTIAZEMUM
DILTIAZEMUM
DILTIAZEMUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
Form farmaceutic
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
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. ELIB. MODIF.
COMPR. ELIB. MODIF.
COMPR. ELIB. MODIF.
COMPR. ELIB. MODIF.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. MODIF.
DRAJ.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
DRAJ.
DRAJ.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. FILM.
COMPR.
COMPR.
COMPR.
Concentraie
6,25mg
6,25mg
6,25mg
6,25mg
6,25mg
6,25mg
6,25mg
12,5mg
25mg
6,25mg
10mg
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
5mg
5mg
5mg
10mg
2,5mg
2,5mg
5mg
10mg
2,5mg
5mg
10mg
2,5mg
5mg
10mg
10mg
10mg
2,5mg
2,5mg
5mg
5mg
5mg
30mg
20mg
20mg
40mg
80mg
80mg
80mg
240mg
240mg
240mg
40mg
80mg
60mg
60mg
60mg
60mg
120mg
90mg
12,5mg
12,5mg
25mg
Cantitate Cod boli

30
30
30
30
20
30
30
30
30
30
30
30
30
30
30
28
30
30
30
30
100
30
30
20
20
30
30
30
30
30
50
100
30
30
30
30
30
28
30
30
30
30
100
30
30
20
20
30
30
30
30
30
50
100
30
30
50
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
28
50
20
100
100
50
50
10
30
20
50
50
30
20
20
50
10
30
30
30
30
Mentiuni
sublista
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
Cod
medicament
W42730002
W43388001
W42660001
W44029001
W53663001
W53750001
W54102001
W42392001
W42393001
W42391001
W12452001
W41513001
W42020001
W44028002
W52406001
W52417001
W52477001
W52901001
W53203002
W53242003
W53242005
W53430001
W53512001
W53614001
W53664001
W53936001
W53936002
W54891002
W55079001
W55211005
W55211006
W55211008
W12451001
W41512001
W42019001
W44027002
W52405001
W52416001
W52478001
W52900001
W53202002
W53239003
W53239005
W53429001
W53511001
W53613001
W53665001
W53935001
W53935002
W54890002
W55078001
W55210005
W55210006
W55210008
W13294002
W13500002
W13500003
W13501002
W03102002
W03103001
W03104001
W42170001
W42169001
W42168001
W06813001
W13587001
W53011001
W06814001
W13589001
W06815001
W13588001
W53010001
W08258001
W04542001
W44066002
W12461003
W12166002
W12166001
W06081002
W12255003
W12255004
W06083001
W52127001
W52126003
W02584002
W44079001
W41897001
W12201003
W02568001
W02586002
W06859002
W41841001
W06861002
Grupa
terapeutica RO
0C07AGO V
0C07AGO V
0C07AGO V
0C07AGO V
0C07AGO V
0C07AGO V
0C07AGO V
0C07AGO V
0C07AGO V
0C07AGO V
1C08CAO V
1C08CAO V
1C08CAO V
1C08CAO V
1C08CAO V
1C08CAO V
1C08CAO V
1C08CAO V
1C08CAO V
1C08CAO V
1C08CAO V
1C08CAO V
1C08CAO V
1C08CAO V
1C08CAO V
1C08CAO V
1C08CAO V
1C08CAO V
1C08CAO V
1C08CAO V
1C08CAO V
1C08CAO V
1C08CAO V
1C08CAO V
1C08CAO V
1C08CAO V
1C08CAO V
1C08CAO V
1C08CAO V
1C08CAO V
1C08CAO V
1C08CAO V
1C08CAO V
1C08CAO V
1C08CAO V
1C08CAO V
1C08CAO V
1C08CAO V
1C08CAO V
1C08CAO V
1C08CAO V
1C08CAO V
1C08CAO V
1C08CAO V
1C08CAO V
1C08CAO V
1C08CAO V
1C08CAO V
1C08CAO V
1C08CAO V
1C08CAO V
1C08CAO V
1C08CAO V
1C08CAO V
1C08CAO V
1C08CAO V
1C08CAO V
1C08CAO V
1C08CAO V
1C08CAO V
1C08CAO V
1C08CAO V
1C08CAO V
1C08CAO V
1C08CAO V
0C08DAO V
0C08DAO V
0C08DAO V
0C08DAO V
0C08DAO V
0C08DAO V
0C08DAO V
0C08DAO V
0C08DAO V
0C08DBO V
0C08DBO V
0C08DBO V
0C08DBO V
0C08DBO V
0C08DBO V
0C09AAO V
0C09AAO V
0C09AAO V

Pre de
Valoare
Valabil de la /amb
/amb
compensare/UT
05-07-2010
6.43
4.76
0.214333
0.176699
0.159029
05-07-2010
6.87
5.08
0.229000
0.176699
0.159029
05-07-2010
6.87
5.08
0.229000
0.176699
0.159029
05-07-2010
6.02
4.45
0.200666
0.176699
0.159029
05-07-2010
4.56
3.37
0.228000
0.176699
0.159029
05-07-2010
6.69
4.95
0.223000
0.176699
0.159029
05-07-2010
6.87
5.08
0.229000
0.176699
0.159029
05-07-2010
13.88
10.27
0.462666
0.353399
0.318059
05-07-2010
24.24
17.93
0.808000
0.706799
0.636119
05-07-2010
9.04
6.69
0.301333
0.176699
0.159029
05-07-2010
29.60
21.90
0.986666
0.576900
0.519210
05-07-2010
19.23
14.23
0.641000
0.576900
0.519210
05-07-2010
19.21
14.21
0.640333
0.576900
0.519210
05-07-2010
5.12
3.79
0.170666
0.170666
0.153599
05-07-2010
19.23
14.23
0.641000
0.576900
0.519210
05-07-2010
14.64
10.83
0.522857
0.522857
0.470571
05-07-2010
19.23
14.23
0.641000
0.576900
0.519210
05-07-2010
19.23
14.23
0.641000
0.576900
0.519210
05-07-2010
19.23
14.23
0.641000
0.576900
0.519210
05-07-2010
5.12
3.79
0.170666
0.170666
0.153599
05-07-2010
17.03
12.60
0.170300
0.170300
0.153270
05-07-2010
19.23
14.23
0.641000
0.576900
0.519210
05-07-2010
19.21
14.21
0.640333
0.576900
0.519210
05-07-2010
12.82
9.49
0.641000
0.576900
0.519210
05-07-2010
12.82
9.49
0.641000
0.576900
0.519210
05-07-2010
19.26
14.25
0.642000
0.576900
0.519210
05-07-2010
19.26
14.25
0.642000
0.576900
0.519210
05-07-2010
19.23
14.23
0.641000
0.576900
0.519210
05-07-2010
19.23
14.23
0.641000
0.576900
0.519210
05-07-2010
17.87
13.22
0.595666
0.576900
0.519210
05-07-2010
32.06
23.72
0.641200
0.576900
0.519210
05-07-2010
62.06
47.45
0.620600
0.576900
0.519210
05-07-2010
19.89
14.72
0.663000
0.288450
0.259605
05-07-2010
11.34
8.39
0.378000
0.288450
0.259605
05-07-2010
11.37
8.41
0.379000
0.288450
0.259605
05-07-2010
2.56
1.89
0.085333
0.085333
0.076799
05-07-2010
11.00
8.14
0.366666
0.288450
0.259605
05-07-2010
8.72
6.45
0.311428
0.288450
0.259605
05-07-2010
11.34
8.39
0.378000
0.288450
0.259605
05-07-2010
11.34
8.39
0.378000
0.288450
0.259605
05-07-2010
7.87
5.82
0.262333
0.262333
0.236099
05-07-2010
2.56
1.89
0.085333
0.085333
0.076799
05-07-2010
8.52
6.30
0.085200
0.085200
0.076680
05-07-2010
11.33
8.38
0.377666
0.288450
0.259605
05-07-2010
11.34
8.39
0.378000
0.288450
0.259605
05-07-2010
7.57
5.60
0.378500
0.288450
0.259605
05-07-2010
7.43
5.50
0.371500
0.288450
0.259605
05-07-2010
10.80
7.99
0.360000
0.288450
0.259605
05-07-2010
10.80
7.99
0.360000
0.288450
0.259605
05-07-2010
11.22
8.30
0.374000
0.288450
0.259605
05-07-2010
11.00
8.14
0.366666
0.288450
0.259605
05-07-2010
9.61
7.11
0.320333
0.288450
0.259605
05-07-2010
18.91
13.99
0.378200
0.288450
0.259605
05-07-2010
36.59
27.97
0.365900
0.288450
0.259605
05-07-2010
45.63
34.89
1.521000
0.576900
0.519210
05-07-2010
20.63
15.26
0.687666
0.144225
0.129802
05-07-2010
33.27
25.44
0.665400
0.144225
0.129802
05-07-2010
29.48
21.81
0.982666
0.288450
0.259605
05-07-2010
50.09
38.30
1.669666
0.576900
0.519210
05-07-2010
22.22
16.44
0.740666
0.144225
0.129802
05-07-2010
28.29
20.93
0.943000
0.288450
0.259605
05-07-2010
30.35
22.45
1.011666
0.576900
0.519210
05-07-2010
14.44
10.68
0.481333
0.144225
0.129802
05-07-2010
18.38
13.60
0.612666
0.288450
0.259605
05-07-2010
42.47
32.47
1.415666
0.576900
0.519210
05-07-2010
33.47
24.76
1.115666
0.576900
0.519210
05-07-2010
30.46
22.54
1.015333
0.576900
0.519210
05-07-2010
16.43
12.16
0.547666
0.144225
0.129802
05-07-2010
8.58
6.35
0.286000
0.144225
0.129802
05-07-2010
26.59
19.67
0.886333
0.288450
0.259605
05-07-2010
17.16
12.70
0.572000
0.288450
0.259605
05-07-2010
15.65
11.58
0.521666
0.288450
0.259605
05-07-2010
29.80
22.05
1.064285
0.288450
0.259605
05-07-2010
8.38
6.20
0.167600
0.167600
0.150840
05-07-2010
4.79
3.54
0.239500
0.192299
0.173069
05-07-2010
17.04
12.61
0.170400
0.112799
0.101519
05-07-2010
20.97
15.51
0.209700
0.209700
0.188730
05-07-2010
10.48
7.75
0.209600
0.209600
0.188640
05-07-2010
15.25
11.28
0.305000
0.225599
0.203039
05-07-2010
10.69
7.91
1.069000
0.676800
0.609120
05-07-2010
22.56
16.69
0.752000
0.676800
0.609120
05-07-2010
19.86
14.69
0.993000
0.676800
0.609120
05-07-2010
11.79
8.72
0.235800
0.112799
0.101519
05-07-2010
17.29
12.79
0.345800
0.225599
0.203039
05-07-2010
12.39
9.17
0.413000
0.269000
0.242100
05-07-2010
5.38
3.98
0.269000
0.269000
0.242100
05-07-2010
5.38
3.98
0.269000
0.269000
0.242100
05-07-2010
13.34
9.87
0.266800
0.266800
0.240120
05-07-2010
12.80
9.47
1.280000
0.538000
0.484200
05-07-2010
15.33
11.34
0.511000
0.403500
0.363150
05-07-2010
2.94
2.18
0.098000
0.050085
0.045076
05-07-2010
2.94
2.18
0.098000
0.050085
0.045076
05-07-2010
3.41
2.52
0.113666
0.100170
0.090153
5 / 135
Denumire medicament
CAPTOPRIL 25 mg
CAPTOPRIL 25 EEL
CAPTOPRIL - AC 25 mg
CAPTOPRIL MCC 25 mg
CAPTOPRIL LPH 25 mg
CAPTOPRIL SINTOFARM 25 mg
CAPTOPRIL ARENA 25 mg
CAPTOPRIL ARENA 50 mg
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
ENALAP
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 VIM SPECTRUM 10 mg
EDNYT 10 mg
EDNYT 2,5 mg
ENALAPRIL 20 mg
EDNYT (R) 20 mg
ENALAPRIL LPH 20 mg
ENAP 20 mg
ENALAPRIL FABIOL 20 mg
ENALAPRIL AL 20
RENITEC 20 mg
ENALAPRIL ARENA 20 mg
ENALAPRIL 5 mg
ENALAPRIL 5 mg
EDNYT (R) 5 mg
ENALAPRIL AL 5
ENAP 5 mg
RENITEC 5 mg
ENALAPRIL LPH (R) 5 mg
INVORIL 5 mg
ENALAPRIL VIM SPECTRUM 5 mg
ENAP (R)
RANOLIP
LISIREN 10 mg
LISINOPRIL SANDOZ 10 mg
LISIGAMMA 10 mg
LISINOPRIL 10 MEDO
LISINOPRIL ACTAVIS 10 mg
LISINOPRIL ATB 10 MG
TONOLYSIN 10 mg
TONOLYSIN 2,5 mg
RANOLIP
LISIREN 20 mg
LISIGAMMA 20 mg
LISINOPRIL 20 MEDO
TONOLYSIN 20 mg
RANOLIP
LISIGAMMA 5 mg
LISINOPRIL 5 MEDO
TONOLYSIN 5 mg
VIVOKAR 10 mg
VIVOKAR 2,5 mg
VIVOKAR 5 mg
VIVACE 10 mg
PIRAMIL 10 mg
RAMIPRIL-AC 10 mg
AMPRIL 10 mg
HARTIL 10 mg
ZENRA 10
RAMIGAMMA 10 mg
Substan activ
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
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
ENALAPRILUM
ENALAPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
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
Form farmaceutic
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.
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.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
CAPS.
CAPS.
CAPS.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
Concentraie
25mg
25mg
25mg
25mg
25mg
25mg
25mg
50 mg
50mg
50mg
50mg
50mg
50mg
50mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
2,5mg
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
10mg
2,5mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
40mg
40mg
5mg
5mg
5mg
5mg
5mg
5mg
10mg
2,5mg
5mg
10 mg
10mg
10mg
10mg
10mg
10mg
10mg
Cantitate Cod boli

30
20
20
30
30
30
20
20
20
30
20
20
30
30
20
20
20
20
20
20
20
20
30
28
20
30
50
100
20
20
30
30
20
20
30
20
20
20
30
28
20
30
50
20
20
20
30
30
20
28
20
20
30
30
20
5
30
20
30
30
30
30
20
30
28
28
30
20
30
30
20
30
10
30
28
10
30
30
30
30
30
30
28
30
30
30
28
28
30
30
28
28
100
Mentiuni
sublista
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
Cod
medicament
W00775001
W06860001
W43029001
W06857001
W08550001
W41981002
W53677002
W53678001
W06863002
W00777001
W06862001
W43028001
W42060001
W00776003
W08813001
W12405001
W42909001
W44078001
W02920001
W02922001
W14084003
W41447001
W41640001
W51276001
W52009001
W53672002
W53672003
W53672004
W53672006
W53666002
W54952001
W54951001
W12199001
W42911001
W12731001
W02921001
W02923001
W41487003
W41639001
W51277001
W52008001
W53674001
W53674004
W08814001
W12198001
W42908001
W12726001
W41641001
W02925001
W51275001
W12811001
W52937001
W52938003
W53673001
W53667001
W02924001
W12794001
W42156001
W42593001
W42829001
W43054001
W53748003
W53916001
W53916002
W54841001
W54843001
W12793001
W42088001
W42594001
W42830001
W43055001
W53747003
W53917001
W53917002
W54840001
W53918001
W53918002
W12795001
W42592001
W42828001
W43053001
W53746003
W54842001
W55106005
W55105005
W55107005
W51933002
W43077006
W42940001
W42972001
W42991001
W43524001
W43925003
Grupa
terapeutica RO
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAP V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V

Pre de
Valoare
Valabil de la /amb
/amb
compensare/UT
05-07-2010
4.10
3.03
0.136666
0.100170
0.090153
05-07-2010
3.02
2.23
0.151000
0.100170
0.090153
05-07-2010
2.27
1.68
0.113500
0.100170
0.090153
05-07-2010
3.41
2.52
0.113666
0.100170
0.090153
05-07-2010
3.41
2.52
0.113666
0.100170
0.090153
05-07-2010
3.37
2.49
0.112333
0.100170
0.090153
05-07-2010
2.27
1.68
0.113500
0.100170
0.090153
05-07-2010
2.67
1.98
0.133500
0.133500
0.120150
05-07-2010
4.44
3.28
0.222000
0.200340
0.180306
05-07-2010
6.66
4.93
0.222000
0.200340
0.180306
05-07-2010
3.85
2.85
0.192500
0.192500
0.173250
05-07-2010
2.67
1.98
0.133500
0.133500
0.120150
05-07-2010
4.50
3.33
0.150000
0.150000
0.135000
05-07-2010
3.91
2.89
0.130333
0.130333
0.117299
05-07-2010
4.39
3.25
0.219500
0.200340
0.180306
05-07-2010
4.39
3.25
0.219500
0.200340
0.180306
05-07-2010
3.94
2.92
0.197000
0.197000
0.177300
05-07-2010
4.39
3.25
0.219500
0.200340
0.180306
05-07-2010
4.39
3.25
0.219500
0.200340
0.180306
05-07-2010
4.39
3.25
0.219500
0.200340
0.180306
05-07-2010
4.39
3.25
0.219500
0.200340
0.180306
05-07-2010
4.39
3.25
0.219500
0.200340
0.180306
05-07-2010
6.58
4.87
0.219333
0.200340
0.180306
05-07-2010
10.49
7.76
0.374642
0.200340
0.180306
05-07-2010
7.27
5.38
0.363500
0.200340
0.180306
05-07-2010
6.86
5.08
0.228666
0.200340
0.180306
05-07-2010
11.22
8.30
0.224400
0.200340
0.180306
05-07-2010
21.96
16.25
0.219600
0.200340
0.180306
05-07-2010
11.25
8.32
0.562500
0.200340
0.180306
05-07-2010
4.10
3.03
0.205000
0.200340
0.180306
05-07-2010
10.17
7.52
0.339000
0.200340
0.180306
05-07-2010
8.23
6.09
0.274333
0.050085
0.045076
05-07-2010
7.92
5.86
0.396000
0.396000
0.356400
05-07-2010
10.15
7.51
0.507500
0.400680
0.360612
05-07-2010
17.57
13.00
0.585666
0.400680
0.360612
05-07-2010
8.72
6.45
0.436000
0.400680
0.360612
05-07-2010
7.92
5.86
0.396000
0.396000
0.356400
05-07-2010
7.10
5.25
0.355000
0.355000
0.319500
05-07-2010
11.59
8.58
0.386333
0.386333
0.347699
05-07-2010
17.07
12.63
0.609642
0.400680
0.360612
05-07-2010
11.09
8.21
0.554500
0.400680
0.360612
05-07-2010
11.11
8.22
0.370333
0.370333
0.333299
05-07-2010
16.38
12.12
0.327600
0.327600
0.294840
05-07-2010
3.65
2.70
0.182500
0.100170
0.090153
05-07-2010
3.65
2.70
0.182500
0.100170
0.090153
05-07-2010
3.65
2.70
0.182500
0.100170
0.090153
05-07-2010
8.23
6.09
0.274333
0.100170
0.090153
05-07-2010
5.24
3.88
0.174666
0.100170
0.090153
05-07-2010
3.65
2.70
0.182500
0.100170
0.090153
05-07-2010
7.86
5.82
0.280714
0.100170
0.090153
05-07-2010
3.82
2.83
0.191000
0.100170
0.090153
05-07-2010
3.91
2.89
0.195500
0.100170
0.090153
05-07-2010
5.50
4.07
0.183333
0.100170
0.090153
05-07-2010
5.56
4.11
0.185333
0.100170
0.090153
05-07-2010
3.64
2.69
0.182000
0.100170
0.090153
05-07-2010
15.41
11.40
3.082000
3.082000
2.773800
05-07-2010
14.95
11.06
0.498333
0.200340
0.180306
05-07-2010
10.72
7.93
0.536000
0.200340
0.180306
05-07-2010
10.28
7.61
0.342666
0.200340
0.180306
05-07-2010
16.12
11.93
0.537333
0.200340
0.180306
05-07-2010
14.41
10.66
0.480333
0.200340
0.180306
05-07-2010
12.84
9.50
0.428000
0.200340
0.180306
05-07-2010
10.14
7.50
0.507000
0.200340
0.180306
05-07-2010
15.73
11.64
0.524333
0.200340
0.180306
05-07-2010
15.42
11.41
0.550714
0.200340
0.180306
05-07-2010
8.72
6.45
0.311428
0.050085
0.045076
05-07-2010
23.05
17.05
0.768333
0.400680
0.360612
05-07-2010
15.62
11.56
0.781000
0.400680
0.360612
05-07-2010
15.02
11.11
0.500666
0.400680
0.360612
05-07-2010
28.47
21.06
0.949000
0.400680
0.360612
05-07-2010
14.41
10.66
0.720500
0.400680
0.360612
05-07-2010
23.31
17.25
0.777000
0.400680
0.360612
05-07-2010
7.41
5.48
0.741000
0.400680
0.360612
05-07-2010
23.42
17.33
0.780666
0.400680
0.360612
05-07-2010
22.85
16.91
0.816071
0.400680
0.360612
05-07-2010
13.76
10.18
1.376000
0.801360
0.721224
05-07-2010
39.22
29.98
1.307333
0.801360
0.721224
05-07-2010
7.63
5.65
0.254333
0.100170
0.090153
05-07-2010
7.13
5.28
0.237666
0.100170
0.090153
05-07-2010
10.09
7.47
0.336333
0.100170
0.090153
05-07-2010
8.64
6.39
0.288000
0.100170
0.090153
05-07-2010
7.33
5.42
0.244333
0.100170
0.090153
05-07-2010
9.26
6.85
0.330714
0.100170
0.090153
05-07-2010
24.88
18.41
0.829333
0.801360
0.721224
05-07-2010
10.00
7.40
0.333333
0.200340
0.180306
05-07-2010
15.01
11.11
0.500333
0.400680
0.360612
05-07-2010
23.22
17.18
0.829285
0.801360
0.721224
05-07-2010
23.22
17.18
0.829285
0.801360
0.721224
05-07-2010
24.88
18.41
0.829333
0.801360
0.721224
05-07-2010
24.87
18.40
0.829000
0.801360
0.721224
05-07-2010
23.22
17.18
0.829285
0.801360
0.721224
05-07-2010
23.22
17.18
0.829285
0.801360
0.721224
05-07-2010
38.02
29.07
0.380200
0.380200
0.342180
6 / 135
W43553001
W01855001
W01854001
W42590001
W43554001
W13184001
W13185002
W52319001
W52395005
W52481005
W52483001
W54355001
W52320001
W52396005
W52482005
W52484001
A
A
A
A
W54356001
W52860001
W53261001
W53261003
Denumire medicament
RAMIGAMMA 10 mg
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
RAMIGAMMA 5 mg
RAMIGAMMA 5 mg
TRITACE 5
RAMIRAN 1,25 mg
RAMIRAN 10 mg
RAMIRAN 2,5 mg
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
Substan activ
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
QUINAPRILUM
QUINAPRILUM
QUINAPRILUM
QUINAPRILUM
QUINAPRILUM
QUINAPRILUM
QUINAPRILUM
QUINAPRILUM
FOSINOPRILUM
FOSINOPRILUM
FOSINOPRILUM
FOSINOPRILUM
FOSINOPRILUM
FOSINOPRILUM
FOSINOPRILUM
FOSINOPRILUM
FOSINOPRILUM
COMBINATII
(ENALAPRILUM+HYDROCHLOROTHIAZ
ENALAPRIL HCT SANDOZ 10 mg/25 mg
IDUM)
COMBINATII
ENAP HL
IDUM)
COMBINATII
ENAP H
IDUM)
COMBINATII
ENAP (R) HL 20 mg/12,5 mg
IDUM)
COMBINATII
ENALAPRIL HCT SANDOZ 20 mg/12,5 mg IDUM)
COMBINATII
IDUM)
VIMAPRIL HL
COMBINATII
VIMAPRIL H
IDUM)
COMBINATII
(RAMIPRILUM+HYDROCHLOROTHIAZI
HARTIL HCT 2,5 mg/12,5mg
DUM)
COMBINATII
RAMIPRIL HCT-MEDOCHEMIE
DUM)
COMBINATII
TENSIL 2,5mg/12,5mg
DUM)
COMBINATII
EMREN HCT 2,5mg/12,5mg
DUM)
COMBINATII
TRITACE 2,5 PLUS
DUM)
COMBINATII
HARTIL HCT 5 mg/25mg
DUM)
COMBINATII
RAMIPRIL HCT-MEDOCHEMIE
DUM)
COMBINATII
TENSIL 5mg/25mg
DUM)
COMBINATII
EMREN HCT 5mg/25mg
DUM)
COMBINATII
TRITACE 5 PLUS
DUM)
LOZAP 100
LOSARTANUM
TALOSAN 100 mg
LOSARTANUM
TALOSAN 100 mg
LOSARTANUM
Form farmaceutic
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.
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.
Concentraie
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
5mg
5mg
1,25mg
10mg
2,5mg
5mg
10mg
10mg
10mg
20mg
20mg
40mg
5mg
5mg
10mg
10mg
10mg
10mg
20mg
20mg
20mg
20mg
20mg
Cantitate Cod boli

20
28
28
28
30
30
28
28
28
28
28
30
30
28
28
100
20
28
30
30
30
30
30
30
30
30
30
30
30
30
28
30
30
20
28
30
30
30
20
COMPR.
10mg/25mg
COMPR.
Mentiuni
sublista
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
Cod
medicament
W43925001
W54354001
W51934002
W43075006
W42939001
W42970001
W42989001
W43522001
W54352003
W51932002
W43076006
W42237001
W42971001
W42990001
W43523001
W43924003
W43924001
W54353001
W42225001
W42074001
W42226001
W42073001
W41895001
W05345001
W43896002
W41466001
W43897002
W43898002
W41465001
W43895002
W03249001
W52069001
W52069002
W52012001
W51953001
W43926001
W52068001
W52068002
W52013001
Grupa
terapeutica RO
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V

Pre de
Valoare
Valabil de la /amb
/amb
compensare/UT
05-07-2010
10.48
7.75
0.524000
0.524000
0.471600
05-07-2010
34.56
26.42
1.234285
0.801360
0.721224
05-07-2010
7.44
5.50
0.265714
0.200340
0.180306
05-07-2010
9.35
6.92
0.333928
0.200340
0.180306
05-07-2010
10.02
7.41
0.334000
0.200340
0.180306
05-07-2010
9.98
7.38
0.332666
0.200340
0.180306
05-07-2010
9.35
6.92
0.333928
0.200340
0.180306
05-07-2010
9.35
6.92
0.333928
0.200340
0.180306
05-07-2010
14.38
10.64
0.513571
0.200340
0.180306
05-07-2010
10.12
7.49
0.361428
0.361428
0.325285
05-07-2010
10.14
7.50
0.362142
0.362142
0.325927
05-07-2010
10.82
8.01
0.360666
0.360666
0.324599
05-07-2010
10.83
8.01
0.361000
0.361000
0.324900
05-07-2010
10.14
7.50
0.362142
0.362142
0.325927
05-07-2010
10.14
7.50
0.362142
0.362142
0.325927
05-07-2010
25.81
19.10
0.258100
0.258100
0.232290
05-07-2010
7.07
5.23
0.353500
0.353500
0.318150
05-07-2010
15.59
11.53
0.556785
0.400680
0.360612
05-07-2010
6.87
5.08
0.229000
0.100170
0.090153
05-07-2010
32.92
25.17
1.097333
0.801360
0.721224
05-07-2010
11.20
8.29
0.373333
0.200340
0.180306
05-07-2010
20.45
15.13
0.681666
0.400680
0.360612
05-07-2010
7.58
5.61
0.252666
0.133559
0.120203
05-07-2010
11.66
8.63
0.388666
0.133559
0.120203
05-07-2010
7.58
5.61
0.252666
0.133559
0.120203
05-07-2010
16.70
12.36
0.556666
0.267119
0.240407
05-07-2010
15.02
11.11
0.500666
0.267119
0.240407
05-07-2010
43.99
33.63
1.466333
0.534239
0.480815
05-07-2010
8.18
6.05
0.272666
0.066779
0.060101
05-07-2010
7.60
5.62
0.253333
0.066779
0.060101
05-07-2010
20.79
15.38
0.742500
0.133559
0.120203
05-07-2010
14.73
10.90
0.491000
0.133559
0.120203
05-07-2010
14.73
10.90
0.491000
0.133559
0.120203
05-07-2010
15.44
11.42
0.772000
0.133559
0.120203
05-07-2010
28.51
21.09
1.018214
0.267119
0.240407
05-07-2010
18.86
13.95
0.628666
0.267119
0.240407
05-07-2010
25.55
18.90
0.851666
0.267119
0.240407
05-07-2010
25.55
18.90
0.851666
0.267119
0.240407
05-07-2010
20.68
15.30
1.034000
0.267119
0.240407
30
YC09BAO V
05-07-2010
12.00
8.88
0.400000
0.397574
0.357817
10mg+12,5mg
20
YC09BAO V
05-07-2010
8.86
6.56
0.443000
0.397574
0.357817
COMPR.
10mg+25mg
20
YC09BAO V
05-07-2010
9.80
7.25
0.490000
0.397574
0.357817
COMPR.
20 mg/12,5mg
20
YC09BAO V
05-07-2010
7.94
5.87
0.397000
0.397000
0.357300
COMPR.
20mg/12,5mg
30
YC09BAO V
05-07-2010
16.70
12.36
0.556666
0.397574
0.357817
COMPR.
FARA CONCENT30
YC09BAO V
05-07-2010
8.84
6.54
0.294666
0.294666
0.265199
COMPR.
FARA CONCENT30
YC09BAO V
05-07-2010
11.79
8.72
0.393000
0.393000
0.353700
COMPR.
2,5mg/12,5mg
28
YC09BAO V
05-07-2010
23.16
17.14
0.827142
0.397574
0.357817
COMPR.
2,5mg/12,5mg
30
YC09BAO V
05-07-2010
13.24
9.80
0.441333
0.397574
0.357817
COMPR.
2,5mg/12,5mg
30
YC09BAO V
05-07-2010
8.55
6.33
0.285000
0.285000
0.256500
COMPR.
2,5mg/12,5mg
30
YC09BAO V
05-07-2010
13.13
9.71
0.437666
0.397574
0.357817
COMPR.
2,5mg/12,5mg
28
YC09BAO V
05-07-2010
24.53
18.15
0.876071
0.397574
0.357817
COMPR.
5mg/25mg
28
YC09BAO V
05-07-2010
29.38
21.74
1.049285
0.397574
0.357817
COMPR.
5mg/25mg
30
YC09BAO V
05-07-2010
22.67
16.77
0.755666
0.397574
0.357817
COMPR.
5mg/25mg
30
YC09BAO V
05-07-2010
18.17
13.44
0.605666
0.397574
0.357817
COMPR.
5mg/25mg
30
YC09BAO V
05-07-2010
23.37
17.29
0.779000
0.397574
0.357817
COMPR.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
5mg/25mg
100mg
100mg
100mg
28
30
30
30
YC09BAO V
0C09CAO V
0C09CAO V
0C09CAO V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
28.89
37.52
33.33
33.33
21.37
28.68
24.66
24.66
1.031785
1.250666
1.111000
1.111000
0.397574
1.066756
1.066756
1.066756
0.357817
0.960080
0.960080
0.960080
7 / 135
Denumire medicament
LORISTA 100 mg
TALOSAN 12,5 mg
TALOSAN 12,5 mg
TALOSAN 25 mg
TALOSAN 25 mg
COZAAR
LORISTA
LOZAP 50
TALOSAN 50 mg
TALOSAN 50 mg
LOSARTAN FARMAL 50 mg
SIMVASTATINA BIOGALENICA 10 mg
SIMVOR 10 mg
SIMVACARD (R) 10
SIMGAL (R) 10 mg
SIMVAHEXAL (R) 10 mg
ZEPLAN (R) 10 mg
ZEPLAN (R) 10 mg
ZOCOR 10 mg
ZOCOR 10 mg
SINTENAL 10 mg
SIMVAGAMMA 10 mg
SIMVAGAMMA 10 mg
VASILIP 10 mg
SIMVASTATIN LPH 10 mg
VABADIN 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
SIMVOR 20 mg
SIMVACARD (R) 20
SIMGAL (R) 20 mg
ZEPLAN (R) 20 mg
ZEPLAN (R) 20 mg
ZOCOR 20 mg
ZOCOR 20 mg
SINTENAL 20 mg
SIMVAGAMMA 20 mg
SIMVAGAMMA 20 mg
VASILIP 20 mg
SIMCOR 20 mg
VABADIN 20 mg
RANVOR 20 mg
RANVOR 20 mg
ZAREDIL 20 mg
SIMVOR 40 mg
VASILIP (R) 40 mg
SIMVACARD (R) 40
ZOCOR FORTE
ZOCOR FORTE
ZEPLAN (R) 40 mg
ZEPLAN (R) 40 mg
SIMGAL (R) 40 mg
SINTENAL 40 mg
SIMVAGAMMA 40 mg
SIMVAGAMMA 40 mg
SIMCOR 40 mg
SIMCOR 40 mg
VABADIN 40 mg
RANVOR 40 mg
ZAREDIL 40 mg
RANVOR 5 mg
MEDOSTATIN
MEDOSTATIN
MEDOSTATIN
MEDOSTATIN 40 mg
PRAVATOR 10 mg
PRAVATOR 20 mg
PRALIP 40 mg
Substan activ
LOSARTANUM
LOSARTANUM
LOSARTANUM
LOSARTANUM
LOSARTANUM
LOSARTANUM
LOSARTANUM
LOSARTANUM
LOSARTANUM
LOSARTANUM
LOSARTANUM
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
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
PRAVASTATINUM
PRAVASTATINUM
PRAVASTATINUM
Form farmaceutic
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. 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.
COMPR.
COMPR.
Concentraie
100mg
12,5mg
12,5mg
25mg
25mg
50mg
50mg
50mg
50mg
50mg
50mg
10 mg
10mg
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
30mg
40 mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
5mg
80mg
80mg
20mg
20mg
20mg
40mg
10mg
20mg
40mg
Cantitate Cod boli

28
30
30
30
30
28
28
30
30
30
28
28
28
28
28
30
14
28
14
28
30
30
100
28
30
28
28
30
30
28
14
28
28
28
28
28
28
30
28
14
14
28
30
100
30
28
30
30
28
28
30
30
28
30
14
28
28
30
28
14
28
28
28
14
28
14
28
30
30
100
30
10
30
28
30
28
30
30
14
28
30
14
28
14
30
30
100
10
30
30
28
28
30
Mentiuni
sublista
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
Cod
medicament
W54647005
W53254001
W53254003
W53259001
W53259003
W51364002
W43459001
W52859001
W53260001
W53260003
W53509001
W52228002
W10578002
W41756001
W41481001
W41615002
W12477001
W12477002
W51356001
W51356002
W42158001
W42581001
W42581003
W08725001
W42328001
W43908002
W52788003
W53328004
W53350004
W53368003
W54371001
W54371002
W55062001
W52227002
W10580002
W41755001
W41485001
W41616002
W12478002
W12478001
W51357001
W51357002
W42159001
W42582003
W42582001
W08479001
W41911001
W42327001
W43909002
W52789003
W53329004
W53351004
W53369003
W53369004
W54372001
W54372002
W55063001
W41703002
W52226002
W10582001
W13137001
W41754001
W51365001
W51365002
W41446002
W41446001
W41480001
W41547001
W41704002
W42583003
W42583001
W43265001
W43265002
W43910002
W52431001
W52790003
W53330004
W53352004
W53370002
W53370003
W53370004
W54373001
W55064001
W54370001
W52432001
W53331004
W06752003
W06752001
W06752002
W43983002
W43036001
W43037001
W43073002
Grupa
terapeutica RO
0C09CAO V
0C09CAO V
0C09CAO V
0C09CAO V
0C09CAO V
0C09CAO V
0C09CAO V
0C09CAO V
0C09CAO V
0C09CAO V
0C09CAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V

Pre de
Valoare
Valabil de la /amb
/amb
compensare/UT
05-07-2010
32.68
24.18
1.167142
1.066756
0.960080
05-07-2010
4.25
3.14
0.141666
0.133344
0.120010
05-07-2010
4.25
3.14
0.141666
0.133344
0.120010
05-07-2010
7.80
5.77
0.260000
0.260000
0.234000
05-07-2010
7.80
5.77
0.260000
0.260000
0.234000
05-07-2010
64.40
50.93
2.300000
0.533378
0.480040
05-07-2010
17.95
13.28
0.641071
0.533378
0.480040
05-07-2010
19.58
14.49
0.652666
0.533378
0.480040
05-07-2010
17.87
13.22
0.595666
0.533378
0.480040
05-07-2010
17.87
13.22
0.595666
0.533378
0.480040
05-07-2010
17.84
13.20
0.637142
0.533378
0.480040
05-07-2010
8.72
6.45
0.311428
0.240749
0.216674
05-07-2010
8.46
6.26
0.302142
0.240749
0.216674
05-07-2010
8.71
6.44
0.311071
0.240749
0.216674
05-07-2010
8.72
6.45
0.311428
0.240749
0.216674
05-07-2010
9.35
6.92
0.311666
0.240749
0.216674
05-07-2010
4.38
3.24
0.312857
0.240749
0.216674
05-07-2010
8.72
6.45
0.311428
0.240749
0.216674
05-07-2010
6.72
4.97
0.480000
0.240749
0.216674
05-07-2010
13.42
9.93
0.479285
0.240749
0.216674
05-07-2010
9.34
6.91
0.311333
0.240749
0.216674
05-07-2010
9.35
6.92
0.311666
0.240749
0.216674
05-07-2010
31.17
23.06
0.311700
0.240749
0.216674
05-07-2010
8.71
6.44
0.311071
0.240749
0.216674
05-07-2010
9.35
6.92
0.311666
0.240749
0.216674
05-07-2010
22.93
16.97
0.818928
0.240749
0.216674
05-07-2010
8.72
6.45
0.311428
0.240749
0.216674
05-07-2010
9.24
6.84
0.308000
0.240749
0.216674
05-07-2010
9.20
6.81
0.306666
0.240749
0.216674
05-07-2010
3.16
2.34
0.112857
0.112857
0.101571
05-07-2010
4.24
3.14
0.302857
0.240749
0.216674
05-07-2010
8.46
6.26
0.302142
0.240749
0.216674
05-07-2010
8.72
6.45
0.311428
0.240749
0.216674
05-07-2010
16.50
12.21
0.589285
0.481499
0.433349
05-07-2010
15.76
11.66
0.562857
0.481499
0.433349
05-07-2010
16.50
12.21
0.589285
0.481499
0.433349
05-07-2010
16.50
12.21
0.589285
0.481499
0.433349
05-07-2010
17.70
13.10
0.590000
0.481499
0.433349
05-07-2010
16.52
12.22
0.590000
0.481499
0.433349
05-07-2010
8.26
6.11
0.590000
0.481499
0.433349
05-07-2010
12.71
9.40
0.907857
0.481499
0.433349
05-07-2010
25.41
18.80
0.907500
0.481499
0.433349
05-07-2010
17.66
13.07
0.588666
0.481499
0.433349
05-07-2010
57.08
43.64
0.570800
0.481499
0.433349
05-07-2010
17.70
13.10
0.590000
0.481499
0.433349
05-07-2010
16.50
12.21
0.589285
0.481499
0.433349
05-07-2010
17.69
13.09
0.589666
0.481499
0.433349
05-07-2010
17.69
13.09
0.589666
0.481499
0.433349
05-07-2010
44.36
33.91
1.584285
0.481499
0.433349
05-07-2010
16.50
12.21
0.589285
0.481499
0.433349
05-07-2010
17.69
13.09
0.589666
0.481499
0.433349
05-07-2010
17.43
12.90
0.581000
0.481499
0.433349
05-07-2010
13.57
10.04
0.484642
0.481499
0.433349
05-07-2010
14.55
10.77
0.485000
0.481499
0.433349
05-07-2010
7.89
5.84
0.563571
0.481499
0.433349
05-07-2010
15.76
11.66
0.562857
0.481499
0.433349
05-07-2010
16.52
12.22
0.590000
0.481499
0.433349
05-07-2010
21.05
15.57
0.701666
0.701666
0.631499
05-07-2010
29.80
22.05
1.064285
0.963000
0.866700
05-07-2010
14.98
11.08
1.070000
0.963000
0.866700
05-07-2010
29.78
22.03
1.063571
0.963000
0.866700
05-07-2010
29.95
22.16
1.069642
0.963000
0.866700
05-07-2010
44.36
33.91
1.584285
0.963000
0.866700
05-07-2010
22.93
16.97
1.637857
0.963000
0.866700
05-07-2010
29.80
22.05
1.064285
0.963000
0.866700
05-07-2010
14.90
11.02
1.064285
0.963000
0.866700
05-07-2010
29.80
22.05
1.064285
0.963000
0.866700
05-07-2010
31.93
23.62
1.064333
0.963000
0.866700
05-07-2010
31.93
23.62
1.064333
0.963000
0.866700
05-07-2010
97.80
77.35
0.978000
0.963000
0.866700
05-07-2010
31.93
23.62
1.064333
0.963000
0.866700
05-07-2010
10.65
7.88
1.065000
0.963000
0.866700
05-07-2010
31.93
23.62
1.064333
0.963000
0.866700
05-07-2010
67.39
53.30
2.406785
0.963000
0.866700
05-07-2010
31.93
23.62
1.064333
0.963000
0.866700
05-07-2010
29.80
22.05
1.064285
0.963000
0.866700
05-07-2010
31.93
23.62
1.064333
0.963000
0.866700
05-07-2010
31.43
23.25
1.047666
0.963000
0.866700
05-07-2010
14.98
11.08
1.070000
0.963000
0.866700
05-07-2010
29.95
22.16
1.069642
0.963000
0.866700
05-07-2010
18.49
13.68
0.616333
0.616333
0.554699
05-07-2010
14.98
11.08
1.070000
0.963000
0.866700
05-07-2010
18.34
13.57
0.655000
0.655000
0.589500
05-07-2010
2.43
1.80
0.173571
0.120374
0.108337
05-07-2010
54.19
41.43
1.806333
1.806333
1.625699
05-07-2010
56.04
42.84
1.868000
1.868000
1.681200
05-07-2010
67.43
53.33
0.674300
0.320999
0.288899
05-07-2010
14.41
10.66
1.441000
0.320999
0.288899
05-07-2010
20.74
15.34
0.691333
0.320999
0.288899
05-07-2010
47.54
36.35
1.584666
0.641999
0.577799
05-07-2010
17.16
12.70
0.612857
0.240749
0.216674
05-07-2010
22.40
16.57
0.800000
0.481499
0.433349
05-07-2010
37.96
29.02
1.265333
0.963000
0.866700
8 / 135
Denumire medicament
PRAVATOR 40 mg
LIPANTHYL (R) 100
LIPOFIB 160 mg
LIPANTHYL 200 M
LIPOFIB 200 mg
FENOFIBRAT TERAPIA 200 mg
LIPOFIB 267 mg
LIPOFIB 67 mg
FENOFIBRAT LPH 200 mg
LIPIVIM
LIPANTIL NANO 145 mg
FENOFIBRAT TEVA 160 mg
LIPANTHYL SUPRA 160 mg
LIPANTHYL SUPRA 160 mg
MEDACTER
MICONAZOL NITRAT 2%
MICONAL ECOBI
BIAZOL 10 mg/g
CLOVIRAL (R) 5%
ZOVIRAX
ACICLOVIR 5%
ACICLOVIR 5%
ACICLOVIR MK
ACICLOVIR MK
ACIKLOVIR CREMA
ACIKLOVIR CREMA
ACICLOVIR HYPERION
ACICLOVIR TIS 50mg/g
ACICLOVIR SLAVIA 50 mg/g
HIDROCORTIZON 1%
HIDROCORTIZON FITERMAN 10 mg/g
HIDROCORTIZON FITERMAN 10 mg/g
BETADERM
BELODERM CREMA
EKARZIN 0,5MG/G
BETADERM
BELODERM UNGUENT
GYNOZOL 200
GYNOZOL 400
MEDACTER
MICONAL ECOBI
MICONAL ECOBI
MICONAL ECOBI
MALEAT DE ERGOMETRINA 0,2 mg/ml
UNDESTOR TESTOCAPS 40 mg
ANDROGEL 50 mg
NEBIDO 1000 mg/4 ml
OESTROGEL (R)
ESTREVA (R)
CLIMARA
ANIPROSIN 2 mg (vezi C02CA04)
LEMOD SOLU 125 mg
LEMOD SOLU 500 mg
SOLU - MEDROL ACT-O-VIAL
PREDNISON MCC 5 mg
PREDNISON ARENA 5 mg
N - PREDNISON
PREDNISON 5 mg
PREDNISON - RICHTER 5 mg
HYDROCORTISONE ROUSSEL
HYDROCORTISONE 100 mg
HYDROCORTISONE SUCCINAT SODIC
HIDROCORTIZON HEMISUCCINAT
DOXICICLINA
DOXICICLINA 100 mg
DOXICICLINA SANDOZ 100 mg
UNIDOX SOLUTAB
VIBRAMYCIN D
AMOXICILINA ARENA 250 mg
AMOXICILINA ANTIBIOTICE 250 mg
OSPAMOX 250 mg
Substan activ
PRAVASTATINUM
FENOFIBRATUM
FENOFIBRATUM
FENOFIBRATUM
FENOFIBRATUM
FENOFIBRATUM
FENOFIBRATUM
FENOFIBRATUM
FENOFIBRATUM
FENOFIBRATUM
FENOFIBRATUM
FENOFIBRATUM
FENOFIBRATUM
FENOFIBRATUM
MICONAZOLUM
MICONAZOLUM
MICONAZOLUM
BIFONAZOLUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
HYDROCORTISONUM
HYDROCORTISONUM
HYDROCORTISONUM
BETAMETHASONUM
BETAMETHASONUM
BETAMETHASONUM
BETAMETHASONUM
BETAMETHASONUM
MICONAZOLUM
MICONAZOLUM
MICONAZOLUM
MICONAZOLUM
MICONAZOLUM
MICONAZOLUM
ERGOMETRINUM
TESTOSTERONUM
TESTOSTERONUM
TESTOSTERONUM
ESTRADIOLUM
ESTRADIOLUM
ESTRADIOLUM
DOXAZOSINUM
DOXAZOSINUM
DOXAZOSINUM
DOXAZOSINUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
HYDROCORTISONUM
HYDROCORTISONUM
HYDROCORTISONUM
HYDROCORTISONUM
HYDROCORTISONUM
DOXYCYCLINUM
DOXYCYCLINUM
DOXYCYCLINUM
DOXYCYCLINUM
DOXYCYCLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
Form farmaceutic
COMPR.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS. PULB. MICRONIZATA
CAPS. PULB. MICRONIZATA
COMPR. FILM.
COMPR. FILM.
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
UNGUENT
UNGUENT
UNGUENT
CREMA
CREMA
CREMA
UNGUENT
UNGUENT
CAPS. VAG.
CAPS. VAG.
CREMA VAG.
CREMA VAG.
OVULE
SOL. VAGINALA
SOL. INJ.
CAPS. MOI
GEL
SOL. INJ.
GEL
GEL
PLASTURE TRANSDERM.
COMPR.
COMPR.
COMPR.
COMPR.
LIOF. PT. SOL. INJ.
LIOF. PT. SOL. INJ.
LIOF. SI SOLV.PT.SOL.INJ
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
LIOF. + SOLV. PT. SOL. INJ.
LIOF. PT. SOL. INJ. + SOLV.
SOL. INJ. I.V.
CAPS.
CAPS.
CAPS.
COMPR. DISP.
COMPR. DISP.
CAPS.
CAPS.
CAPS.
Concentraie
40mg
100mg
160mg
200mg
200mg
200mg
267mg
67mg
200mg
200mg
145mg
160mg
160mg
160mg
2%
2%
20mg/g
10mg/g
5%
5%
5%
5%
5%
5%
50mg/g
50mg/g
50mg/g
50mg/g
50mg/g
1%
10mg/g
10mg/g
0,1%
0,5mg/g
0,5mg/g
0,1%
0,5mg/g
200mg
400mg
2%
20mg/g
50mg
2mg/ml
0,2mg/ml
40mg
50mg
1000mg/4ml
0,06%
0,1%
50mcg/24ore
2 mg
2 mg
4mg
4mg
125mg
500mg
250mg/4ml
5mg
5mg
5mg
5mg
5mg
10mg
100mg
100mg
500mg
25mg/5ml
100mg
100mg
100mg
100mg
100mg
250mg
250mg
250mg
Cantitate Cod boli

28
48
30
10
30
30
30
30
20
30
30
30
10
30
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
6
3
1
1
15
5
5
60
30
1
1
1
4
30
30
30
30
1
1
1
20
30
30
30
20
25
1
1
1
5
20
10
10
10
10
20
20
12
A
A
A
A
A
A
A
A
A
A
A
A
W42903001
W08747001
W52433001
W52939001
W55176001
W00369001
W00351001
W44073001
W08428003
W08428001
W13739001
W00375001
AMOXICILINA SANDOZ 250 mg CAPSULE

AMOXICILINA 250 mg
AMOXICILINA FARMEX 250 mg
RANOXIL 250 mg
AMOXICILINA 250 mg
EPHAMOX 500 mg
AMOXICILINA ANTIBIOTICE 500 mg
E - MOX
AMOXICILINA FORTE 500 mg
AMOXICILINA ARENA 500 mg
MOXILEN
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
250mg
250mg
250mg
250mg
250mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
A
A
A
A
W42902001
W13736001
W52940001
W55177001
AMOXICILINA SANDOZ 500 mg CAPSULE

RANOXIL 500 mg
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
CAPS.
CAPS.
CAPS.
CAPS.
500mg
500mg
500mg
500mg
Mentiuni
sublista
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
Cod
medicament
W43843001
W03106001
W43325002
W07015002
W43326001
W52247001
W52248001
W52246001
W13125001
W13251001
W43691001
W55561006
W12180001
W12180002
W04306001
W13742001
W04314001
W14069002
W42008001
W00040001
W00030001
W00030002
W52926001
W52926002
W51497001
W51497002
W52146002
W53041001
W55128001
W12026001
W53471001
W53471002
W44047001
W43718001
W53912001
W44048001
W43719001
W51339001
W51340001
W08391001
W04315001
W04316001
W04317001
W42873003
W12903002
W42963001
W53387001
W03029001
W03025001
W53395002
W55212001
W55212001
W55214002
W55214002
W08307001
W08310001
W04237001
W05242001
W12565002
W42180001
W13686002
W53341001
W54315001
W51319001
W44080001
W51320001
W51922003
W02885004
W12627001
W42906001
W02896001
W43836001
W00347001
W00346001
W41579001
Grupa
terapeutica RO
0C10AAO V
0C10ABO V
0C10ABO V
0C10ABO V
0C10ABO V
0C10ABO V
0C10ABO V
0C10ABO V
0C10ABO V
0C10ABO V
0C10ABO V
0C10ABO V
0C10ABO V
0C10ABO V
1D01ACTD V
1D01ACTD V
1D01ACTD V
1D01ACTD V
9D06BB03TD V
9D06BB03TD V
9D06BB03TD V
9D06BB03TD V
9D06BB03TD V
9D06BB03TD V
9D06BB03TD V
9D06BB03TD V
9D06BB03TD V
9D06BB03TD V
9D06BB03TD V
9D07AA02TD V
9D07AA02TD V
9D07AA02TD V
9D07AC01TD V
9D07AC01TD V
9D07AC01TD V
9D07AC01TD V
9D07AC01TD V
1G01AFV V
1G01AFV V
1G01AFV V
1G01AFV V
1G01AFV V
1G01AFV V
9G02AB03P V
9G03BA03O V
9G03BA03TD V
9G03BA03P V
0G03CATD V
0G03CATD V
0G03CATD V
9G04CAN1O V
9G04CAN1O V
9G04CAN1O V
9G04CAN1O V
9H02AB04P V
9H02AB04P V
9H02AB04P V
9H02AB07O V
9H02AB07O V
9H02AB07O V
9H02AB07O V
9H02AB07O V
9H02AB09O V
9H02AB09P V
9H02AB09P V
9H02AB09P V
9H02AB09P V
0J01AAO V
0J01AAO V
0J01AAO V
0J01AAO V
0J01AAO V
0J01CAO K
0J01CAO K
0J01CAO K

Pre de
Valoare
Valabil de la /amb
/amb
compensare/UT
05-07-2010
35.43
27.09
1.265357
0.963000
0.866700
05-07-2010
20.69
15.31
0.431041
0.431041
0.387936
05-07-2010
50.38
38.52
1.679333
0.696232
0.626609
05-07-2010
13.53
10.01
1.353000
0.870291
0.783261
05-07-2010
27.77
20.55
0.925666
0.870291
0.783261
05-07-2010
25.75
19.05
0.858333
0.858333
0.772499
05-07-2010
33.46
25.58
1.115333
1.115333
1.003799
05-07-2010
12.19
9.02
0.406333
0.291547
0.262392
05-07-2010
17.57
13.00
0.878500
0.870291
0.783261
05-07-2010
26.36
19.50
0.878666
0.870291
0.783261
05-07-2010
34.67
26.51
1.155666
0.630960
0.567864
05-07-2010
26.83
19.85
0.894333
0.696232
0.626609
05-07-2010
13.76
10.18
1.376000
0.696232
0.626609
05-07-2010
39.93
30.53
1.331000
0.696232
0.626609
05-07-2010
8.54
6.32
8.540000
8.540000
7.686000
05-07-2010
6.81
5.04
6.810000
6.322500
5.690250
05-07-2010
9.49
7.02
9.490000
9.483750
8.535375
05-07-2010
9.45
6.99
9.450000
4.741875
4.267687
05-07-2010
6.38
4.72
6.380000
5.047200
4.542480
05-07-2010
21.02
15.55
21.020000
2.103000
1.892700
05-07-2010
4.96
3.67
4.960000
2.103000
1.892700
05-07-2010
7.58
5.61
7.580000
6.309000
5.678100
05-07-2010
4.19
3.10
4.190000
3.154500
2.839050
05-07-2010
6.72
4.97
6.720000
6.309000
5.678100
05-07-2010
5.90
4.37
5.900000
2.103000
1.892700
05-07-2010
8.84
6.54
8.840000
4.206000
3.785400
05-07-2010
7.30
5.40
7.300000
6.309000
5.678100
05-07-2010
4.68
3.46
4.680000
4.680000
4.212000
05-07-2010
6.70
4.96
6.700000
6.309000
5.678100
05-07-2010
7.37
5.45
7.370000
5.656428
5.090785
05-07-2010
5.65
4.18
5.650000
5.650000
5.085000
05-07-2010
9.91
7.33
9.910000
9.898750
8.908875
05-07-2010
5.95
4.40
5.950000
2.121600
1.909440
05-07-2010
8.84
6.54
8.840000
7.956000
7.160400
05-07-2010
7.37
5.45
7.370000
7.370000
6.633000
05-07-2010
5.95
4.40
5.950000
2.121600
1.909440
05-07-2010
8.84
6.54
8.840000
7.956000
7.160400
05-07-2010
5.95
4.40
0.991666
0.991666
0.892499
05-07-2010
5.70
4.22
1.900000
1.900000
1.710000
05-07-2010
19.32
14.29
19.320000
11.109373
9.998436
05-07-2010
13.88
10.27
13.880000
11.109373
9.998436
05-07-2010
8.97
6.64
0.598000
0.356069
0.320462
05-07-2010
17.95
13.28
3.590000
2.136418
1.922776
05-07-2010
5.93
4.39
1.186000
1.186000
1.067400
05-07-2010
47.22
36.10
0.787000
0.787000
0.708300
05-07-2010
222.82
182.52
7.427333
7.427333
6.684599
05-07-2010
483.56
408.63
483.560000
483.560000
435.204000
05-07-2010
16.56
12.25
16.560000
9.814500
8.833050
05-07-2010
29.34
21.71
29.340000
10.223437
9.201093
05-07-2010
33.25
25.42
8.312500
8.312500
7.481250
05-07-2010
13.10
9.69
0.436666
0.398416
0.358574
05-07-2010
13.10
9.69
0.436666
0.398416
0.358574
05-07-2010
23.14
17.12
0.771333
0.771333
0.694199
05-07-2010
23.14
17.12
0.771333
0.771333
0.694199
05-07-2010
8.78
6.50
8.780000
8.257500
7.431750
05-07-2010
30.94
22.89
30.940000
30.940000
27.846000
05-07-2010
20.42
15.11
20.420000
16.515000
14.863500
05-07-2010
2.00
1.48
0.100000
0.082833
0.074549
05-07-2010
2.62
1.94
0.087333
0.082833
0.074549
05-07-2010
2.47
1.83
0.082333
0.082333
0.074099
05-07-2010
2.53
1.87
0.084333
0.082833
0.074549
05-07-2010
2.57
1.90
0.128500
0.082833
0.074549
05-07-2010
13.56
10.03
0.542400
0.542400
0.488160
05-07-2010
3.90
2.89
3.900000
3.167099
2.850389
05-07-2010
3.90
2.89
3.900000
3.167099
2.850389
05-07-2010
11.88
8.79
11.880000
11.880000
10.692000
05-07-2010
21.28
15.74
4.256000
0.791774
0.712597
05-07-2010
6.98
5.16
0.349000
0.349000
0.314100
05-07-2010
3.57
2.64
0.357000
0.357000
0.321300
05-07-2010
3.59
2.66
0.359000
0.359000
0.323100
05-07-2010
9.57
7.08
0.957000
0.398646
0.358781
05-07-2010
10.48
7.75
1.048000
0.398646
0.358781
05-07-2010
5.93
4.39
0.296500
0.275850
0.248265
05-07-2010
6.22
4.60
0.311000
0.275850
0.248265
05-07-2010
4.44
3.28
0.370000
0.275850
0.248265
20
20
20
20
20
12
10
8
10
20
10
16
0J01CAO K
0J01CAO K
0J01CAO K
0J01CAO K
0J01CAO K
0J01CAO V
0J01CAO V
0J01CAO V
0J01CAO V
0J01CAO V
0J01CAO V
0J01CAO V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
6.13
4.85
5.24
6.13
4.85
6.53
5.41
7.52
5.90
8.78
5.67
7.21
4.54
3.59
3.88
4.54
3.59
4.83
4.00
5.56
4.37
6.50
4.20
5.33
0.306500
0.242500
0.262000
0.306500
0.242500
0.544166
0.541000
0.940000
0.590000
0.439000
0.567000
0.450625
0.275850
0.242500
0.262000
0.275850
0.242500
0.472500
0.472500
0.472500
0.472500
0.439000
0.472500
0.450625
0.248265
0.218250
0.235800
0.248265
0.218250
0.425250
0.425250
0.425250
0.425250
0.395100
0.425250
0.405562
10
10
20
10
0J01CAO V
0J01CAO V
0J01CAO V
0J01CAO V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
4.90
4.85
9.26
4.85
3.63
3.59
6.85
3.59
0.490000
0.485000
0.463000
0.485000
0.472500
0.472500
0.463000
0.472500
0.425250
0.425250
0.416700
0.425250
9 / 135
W00363001 DUOMOX 1000 mg
AMOXICILLINUM
W00364001 DUOMOX 250 mg
AMOXICILLINUM
W00365001 DUOMOX 500 mg
AMOXICILLINUM
A
A
W00366001 DUOMOX 750 mg

W51639001 JULPHAMOX
AMOXICILLINUM
AMOXICILLINUM
Form farmaceutic
COMPR. FILM.
COMPR. FILM.
COMPR. PT. DISP. ORALA
COMPR. PT. DISPERSIE
ORALA
ORALA
ORALA
ORALA
PULB. PT. SUSP. ORALA
A
A
A
A
W42893001
W41580002
W44094001
W51638001
AMOXICILINA SANDOZ 125 mg/5 ml

PULBERE PENTRU SUSPENSIE ORALA
OSPAMOX (R) 125 mg/5 ml
RANOXIL 125 mg/5 ml
JULPHAMOX
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM

125mg/5ml
125mg/5ml
125mg/5ml
250mg/5ml
1
1
1
1
0J01CAO K
0J01CAO K
0J01CAO K
0J01CAO K
05-07-2010
05-07-2010
05-07-2010
05-07-2010
5.73
4.55
6.87
8.18
4.24
3.37
5.08
6.05
5.730000
4.550000
6.870000
8.180000
1.655100
1.655100
2.758500
5.517000
1.489590
1.489590
2.482650
4.965300
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
W42892002
W44074001
W00388002
W44095001
W10693001
W41595001
W41594001
W41596001
W41597001
W55416003
W00560003
W04675002
W11729001
W08782001
W43090001
W04680001
W12722004
W52056001
W55171004
W07274001
W13743001
W12910001
W43092001
W13752001
W55172001
AMOXICILINA SANDOZ 250 mg/ 5 ml

PULBERE PENTRU SUSPENSIE ORALA
E - MOX
OSPAMOX 250 mg/5 ml
RANOXIL 250 mg/5 ml
PENICILINA V 1 000 000 U.I.
OSPEN (R) 1000
OSPEN (R) 1500
OSPEN (R) 500
OSPEN 400
MOLDAMIN 1200000 UI
MOLDAMIN (R)
OXACILINA ARENA 250 mg
OXACILINA 250 mg
OXACILINA 250 mg
OXACILINA SANDOZ 250 mg
OXACILINA
OXACILINA 250 mg
OXACILINA FARMEX 250 mg
OXACILINA 250 mg
OXACILINA 500 mg
OXACILINA ARENA 500 mg
OXACILINA FORTE 500 mg
OXACILINA SANDOZ 500 mg
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
PHENOXYMETHYLPENICILLINUM
BENZATHINI BENZYLPENICILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
250mg/5ml
250mg/5ml
250mg/5ml
250mg/5ml
1000000ui
1000000ui
1500000ui
500000ui
400000ui/5ml
1200000UI
600000ui
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
500mg
500mg
500mg
500mg
500mg
500mg
1
1
1
1
20
12
12
12
1
1
1
20
20
12
20
20
20
20
20
10
10
20
10
10
10
0J01CAO K
0J01CAO K
0J01CAO K
0J01CAO K
0J01CEO V
0J01CEO V
0J01CEO V
0J01CEO V
0J01CEO V
0J01CEP V
0J01CEP V
9J01CF04O V
9J01CF04O V
9J01CF04O V
9J01CF04O V
9J01CF04O V
9J01CF04O V
9J01CF04O V
9J01CF04O V
9J01CF04O V
9J01CF04O V
9J01CF04O V
9J01CF04O V
9J01CF04O V
9J01CF04O V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
4.87
4.87
4.87
8.01
9.09
3.45
6.09
2.62
9.49
3.61
1.39
7.09
7.53
6.09
7.69
5.67
6.02
6.72
6.02
6.87
6.18
11.14
7.03
6.18
6.18
3.60
3.60
3.60
5.93
6.73
2.55
4.51
1.94
7.02
2.67
1.03
5.25
5.57
4.51
5.69
4.20
4.45
4.97
4.45
5.08
4.57
8.24
5.20
4.57
4.57
4.870000
4.870000
4.870000
8.010000
0.454500
0.287500
0.507500
0.218333
9.490000
3.610000
1.390000
0.354500
0.376500
0.507500
0.384500
0.283500
0.301000
0.336000
0.301000
0.687000
0.618000
0.557000
0.703000
0.618000
0.618000
3.310200
3.310200
3.310200
5.517000
0.304500
0.287500
0.456750
0.152250
0.203000
3.276451
1.390000
0.296807
0.296807
0.296807
0.296807
0.283500
0.296807
0.296807
0.296807
0.593615
0.593615
0.557000
0.593615
0.593615
0.593615
2.979180
2.979180
2.979180
4.965300
0.274050
0.258750
0.411075
0.137025
0.182700
2.948806
1.251000
0.267126
0.267126
0.267126
0.267126
0.255150
0.267126
0.267126
0.267126
0.534253
0.534253
0.501300
0.534253
0.534253
0.534253
W04684004 OXACILINA ANTIBIOTICE 500 mg
OXACILLINUM
500mg
9J01CF04P V
05-07-2010
3.31
2.45
3.310000
2.686500
2.417850
W04682003 OXACILINA ANTIBIOTICE 1 g
OXACILLINUM
1g
9J01CF04P V
05-07-2010
5.32
3.94
5.320000
5.320000
4.788000
W04683004 OXACILINA ANTIBIOTICE 250 mg
250mg
9J01CF04P V
05-07-2010
1.74
1.29
1.740000
1.343250
1.208925
W00400003 AMOKSIKLAV 2 x 1000 mg
COMPR. FILM.
1000mg
14
9J01CR02O V
05-07-2010
39.04
29.85
2.788571
2.079999
1.871999
W43757001 MEDOCLAV 1000 mg
COMPR. FILM.
1000mg
14
9J01CR02O V
05-07-2010
40.62
31.06
2.901428
2.079999
1.871999
COMPR. FILM.
250mg+125mg
16
9J01CR02O V
05-07-2010
22.59
16.71
1.411875
0.594285
0.534856
W54453002 AMOXIPLUS 500/125 mg
COMPR. FILM.
500/125mg
14
9J01CR02O V
05-07-2010
10.82
8.01
0.772857
0.772857
0.695571
W12801002 AUGMENTIN 625 mg
COMPR. FILM.
500mg+125mg
14
9J01CR02O V
05-07-2010
16.64
12.31
1.188571
1.188571
1.069713
COMPR. FILM.
500mg+125mg
16
9J01CR02O V
05-07-2010
29.68
21.96
1.855000
1.188571
1.069713
W00401004 AMOKSIKLAV 2 x 625 mg
COMPR. FILM.
625mg
14
9J01CR02O V
05-07-2010
28.00
20.72
2.000000
1.188571
1.069713
W43139002 ENHANCIN 625 mg
COMPR. FILM.
625mg
28
9J01CR02O V
05-07-2010
32.99
24.41
1.178214
1.178214
1.060392
W55401002 AMOXIPLUS 875 mg/125 mg
COMPR. FILM.
875mg/125mg
14
9J01CR02O V
05-07-2010
18.94
14.01
1.352857
1.352857
1.217571
W12800001 AUGMENTIN 1 g
COMPR. FILM.
875mg+125mg
14
9J01CR02O V
05-07-2010
29.12
21.54
2.080000
2.079999
1.871999
W41860004 AUGMENTIN SR
28
9J01CR02O V
05-07-2010
67.52
53.40
2.411428
2.377142
2.139427
W51992004 AMOKSIKLAV QUICKTAB 1000 mg
1000mg
14
9J01CR02O V
05-07-2010
63.37
48.45
4.526428
2.079999
1.871999
W51991002 AMOKSIKLAV QUICKTAB 625 mg

ORALA/ORODISPERSABILE
1062,5mg
625mg
14
9J01CR02O V
05-07-2010
35.18
26.90
2.512857
1.188571
1.069713
W10678001 MEDOCLAV 156,25 mg/5 ml
125mg+31,25/5m 1
9J01CR02O K
05-07-2010
14.87
11.00
14.870000
7.987500
7.188750
W00399001 AMOKSIKLAV 156,25mg/5ml
156,25mg/5ml
9J01CR02O K
05-07-2010
11.66
8.63
11.660000
7.987500
7.188750
W10679001 MEDOCLAV FORTE 312,5mg/5ml
250mg+62,5mg/5 1
9J01CR02O K
05-07-2010
22.05
16.31
22.050000
15.975000
14.377500
W00410004 AUGMENTIN BIS
400mg+57mg/5m 1
9J01CR02O K
05-07-2010
9.94
7.35
9.940000
8.946000
8.051400
400mg+57mg/5m 1
9J01CR02O K
05-07-2010
19.88
14.71
19.880000
17.892000
16.102800
400mg+57mg/5m 1
9J01CR02O K
05-07-2010
9.94
7.35
9.940000
8.946000
8.051400
W42113003 AUGMENTIN (R) ES
642,90mg/5ml
9J01CR02O K
05-07-2010
34.22
26.16
34.220000
34.220000
30.798000
W00402001 AMOKSIKLAV 312,5mg/5ml
OXACILLINUM
AMOXICILLINUM + ACIDUM
CLAVULANICUM
CLAVULANICUM
CLAVULANICUM
CLAVULANICUM
CLAVULANICUM
CLAVULANICUM
CLAVULANICUM
CLAVULANICUM
CLAVULANICUM
CLAVULANICUM
CLAVULANICUM
CLAVULANICUM
CLAVULANICUM
CLAVULANICUM
CLAVULANICUM
CLAVULANICUM
CLAVULANICUM
CLAVULANICUM
CLAVULANICUM
CLAVULANICUM
CLAVULANICUM

COMPR.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
SIROP
PULB. PT. SUSP. INJ.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
PULB. PT. SOL. INJ./PERF.
I.M./I.V.
PULB. PT. SOL.
INJ./PERF.I.M./I.V.
PULB. PT. SOL.
INJ./PERF.I.M./I.V.
PULB. PT.SUSP. ORALA
312,5mg/5ml
9J01CR02O K
05-07-2010
23.98
17.74
23.980000
15.975000
14.377500
Denumire medicament
OSPAMOX 1000 mg
OSPAMOX 500 mg
REBOXIL 1g
Substan activ
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
Concentraie
1000mg
500mg
1g
Cantitate Cod boli

12
12
21
1000mg
Mentiuni
sublista
A
A
A
Cod
medicament
W41600001
W41578001
W54366002
Grupa
terapeutica RO
0J01CAO V
0J01CAO V
0J01CAO V

Pre de
Valoare
Valabil de la /amb
/amb
compensare/UT
05-07-2010
11.60
8.58
0.966666
0.945000
0.850500
05-07-2010
5.67
4.20
0.472500
0.472500
0.425250
05-07-2010
19.37
14.33
0.922380
0.922380
0.830142
20
0J01CAO V
05-07-2010
23.71
17.54
1.185500
0.945000
0.850500
250mg
20
0J01CAO K
05-07-2010
10.09
7.47
0.504500
0.275850
0.248265
500mg
20
0J01CAO V
05-07-2010
14.73
10.90
0.736500
0.472500
0.425250
750mg
125mg/5ml
20
1
0J01CAO V
0J01CAO K
05-07-2010
05-07-2010
19.71
7.53
14.58
5.57
0.985500
7.530000
0.708750
2.758500
0.637875
2.482650
10 / 135
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
W43140001
W01016005
W12083001
W41667001
W41880001
W43087001
W43267001
W55184001
W12084001
W06883003
W41881001
W43268001
W55185001
W41665001
W41666001
A
A
A
ENHANCIN 312,5 mg/5 ml

CEFALEXINA ARENA 250 mg
CEFALEXINA 250 mg
OSPEXIN (R) 250 mg
CEFALEXIN 250 mg
CEFALEXIN SANDOZ 250 mg CAPSULE
SPORIDEX 250 mg
CEFALEXIN 250 mg
CEFALEXINA 500 mg
CEFALEXINA ARENA 500 mg
CEFALEXIN 500 mg
SPORIDEX 500 mg
CEFALEXIN 500 mg
OSPEXIN 1000 mg
OSPEXIN 500 mg
CEFALEXIN SANDOZ 500 mg
W43093001 COMPRIMATE FILMATE
W44128002 KEFLEX (R) 125 mg/5 ml
W41664001 OSPEXIN (R) 125 mg/5 ml
A
A
CEFALEXIN SANDOZ 125 mg/5 ml

W43088001 GRANULE PENTRU SUSPENSIE ORALA
W44127002 KEFLEX (R) 250 mg/5 ml
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
W43089001
W41651001
W01001001
W42039001
W41662001
W52244001
W41663002
W41659001
W41660001
W42373001
W53168001
W53168002
W42374001
W53169001
W53169002
W42899001
W42898001
W42897001
W12655001
W12657001
W12659001
W12552001
W43975002
W43976002
W42900001
W12455001
W43078001
W00985003
W07215001
W51694001
W52028001
W55187001
W44101001
W12219001
W07216001
W43079001
W52029001
W55186001
W55271001
W14067001
W14068001
W43082001
W43083001
W43084001
W44130002
W42343001
W43080001
W52128001
W55188001
W52129001
W52129002
W44129002
W42344001
W43081001
W55189001
W12210001
W52033001
W51321001
W52034001
W13701001
W05741001 TAGREMIN
W05738001 SUMETROLIM
W12479001 CO - TRIM ELL
CEFALEXIN SANDOZ 250 mg/5 ml

GRANULE PENTRU SUSPENSIE ORALA
OSPEXIN (R) 250 mg/5 ml
CEXYL 250 mg
CEFORAN (R) 500 mg
CEXYL 500 mg
CEFADROXIL TERAPIA
CEXYL 1000 mg
CEXYL 125 mg/5 ml
CEXYL 250 mg/5 ml
CEROXIM 250 mg
CEFUROXIMA ANTIBIOTICE 250 mg
CEROXIM 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
CEFACLOR OZONE 250 mg
CECLODYNE 250 mg
CEFACLOR ARENA 250 mg
MEDOCLOR 250
VERCEF 250 mg
CLORACEF (R) 250
VERCEF 500 mg
MEDOCLOR 500
CECLODYNE FORTE 500 mg
CLORACEF (R) FORTE 500
CEFACLOR ARENA 500 mg
CECLOZONE MR 375 mg
CECLOZONE MR 750 mg
CECLODYNE (R) MR 375 mg
CECLOR (R) 125 mg/5 ml
CEFACLOR 125 mg/5ml
CECLODYNE 125 mg/5 ml
VERCEF 125 mg/5 ml
CEFACLOR 125 mg/5ml
VERCEF 250 mg/5 ml
VERCEF 250 mg/5 ml
CECLOR (R) 250 mg/5 ml
CEFACLOR 250 mg/5ml
CECLODYNE 250 mg/ 5 ml
CEFACLOR 250 mg/5ml
CEFAKLOR 125 mg/5 ml
CLORACEF (R) 125
CEFAKLOR 250 mg/5 ml
CLORACEF (R) 250
EFICEF (R) 200 mg
Substan activ
CLAVULANICUM
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
Form farmaceutic
Concentraie
Cantitate Cod boli


CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
COMPR. FILM.
COMPR. FILM.
312,5mg/5ml
250mg
250mg
250mg
250mg
250mg
250mg
250mg
500mg
500mg
500mg
500mg
500mg
1000mg
500mg
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
COMPR. FILM.
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFADROXILUM
CEFADROXILUM
CEFADROXILUM
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
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFIXIMUM
SULFAMETHOXAZOLUM +
TRIMETHOPRIMUM
SULFAMETHOXAZOLUM +
TRIMETHOPRIMUM
SULFAMETHOXAZOLUM +
TRIMETHOPRIMUM
Mentiuni
sublista
Cod
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
1
20
20
12
10
10
10
10
10
10
10
10
10
12
12
9J01CR02O K
0J01DBO V
0J01DBO V
0J01DBO V
0J01DBO V
0J01DBO V
0J01DBO V
0J01DBO V
0J01DBO V
0J01DBO V
0J01DBO V
0J01DBO V
0J01DBO V
0J01DBO V
0J01DBO V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
22.67
11.88
11.79
7.13
4.85
5.96
5.90
4.85
9.83
8.97
8.31
10.48
8.31
15.76
11.85
16.77
8.79
8.72
5.28
3.59
4.41
4.37
3.59
7.27
6.64
6.15
7.75
6.15
11.66
8.77
22.670000
0.594000
0.589500
0.594166
0.485000
0.596000
0.590000
0.485000
0.983000
0.897000
0.831000
1.048000
0.831000
1.313333
0.987500
15.975000
0.434137
0.434137
0.434137
0.434137
0.434137
0.434137
0.434137
0.868275
0.868275
0.831000
0.868275
0.831000
1.313333
0.868275
14.377500
0.390723
0.390723
0.390723
0.390723
0.390723
0.390723
0.390723
0.781447
0.781447
0.747900
0.781447
0.747900
1.181999
0.781447
500mg
125mg/5ml
125mg/5ml
10
1
1
0J01DBO V
0J01DBO K
0J01DBO K
05-07-2010
05-07-2010
05-07-2010
9.89
6.18
7.60
7.32
4.57
5.62
0.989000
6.180000
7.600000
0.868275
5.122500
5.122500
0.781447
4.610250
4.610250

125mg/5ml
250mg/5ml
1
1
0J01DBO K
0J01DBO K
05-07-2010
05-07-2010
6.92
10.45
5.12
7.73
6.920000
10.450000
5.122500
10.245000
4.610250
9.220500

CAPS.
CAPS.
CAPS.
CAPS.
COMPR. FILM.
GRAN. SUSP. ORALA
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. ACOPERITE
COMPR. ACOPERITE
COMPR. ACOPERITE
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
CAPS.
250mg/5ml
250mg/5ml
250mg
500mg
500mg
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
250mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
375mg
750mg
375mg
500mg
750mg
125mg/5ml
125mg/5ml
125mg/5ml
125mg/5ml
125mg/5ml
250 mg/5 ml
250 mg/5 ml
250mg/5ml
250mg/5ml
250mg/5ml
250mg/5ml
125mg/5ml
125mg/5ml
250mg/5ml
250mg/5ml
200mg
1
1
10
10
10
10
10
1
1
10
10
10
10
10
10
10
10
10
10
10
10
1
1
1
1
15
10
10
16
15
16
15
15
15
16
10
16
15
10
10
10
10
10
10
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
10
0J01DBO K
0J01DBO K
0J01DBO V
0J01DBO V
0J01DBO V
0J01DBO V
0J01DBO V
0J01DBO K
0J01DBO K
0J01DCO V
0J01DCO V
0J01DCO V
0J01DCO V
0J01DCO V
0J01DCO V
0J01DCO K
0J01DCO V
0J01DCO V
0J01DCO K
0J01DCO V
0J01DCO V
0J01DCO K
0J01DCO K
0J01DCO K
0J01DCO K
0J01DCO V
0J01DCO V
0J01DCO V
0J01DCO V
0J01DCO V
0J01DCO V
0J01DCO V
0J01DCO V
0J01DCO V
0J01DCO V
0J01DCO V
0J01DCO V
0J01DCO V
0J01DCO V
0J01DCO V
0J01DCO V
0J01DCO V
0J01DCO V
0J01DCO V
0J01DCO K
0J01DCO K
0J01DCO K
0J01DCO K
0J01DCO K
0J01DCO K
0J01DCO K
0J01DCO K
0J01DCO K
0J01DCO K
0J01DCO K
0J01DCO K
0J01DCO K
0J01DCO K
0J01DCO K
0J01DDO V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
9.63
9.61
18.51
12.99
13.42
9.49
26.09
12.02
22.37
14.35
14.25
14.25
30.12
30.05
30.05
9.80
11.79
20.17
15.08
16.56
27.58
19.37
39.04
58.56
17.63
13.90
16.04
15.12
24.93
13.76
21.36
13.90
32.59
29.48
45.99
29.48
28.47
29.48
27.83
32.74
55.45
35.40
46.79
66.42
16.69
16.16
16.96
12.37
16.16
22.25
29.66
33.08
29.66
29.48
29.66
9.08
11.86
16.49
21.36
34.70
7.12
7.11
13.69
9.61
9.93
7.02
19.30
8.89
16.55
10.62
10.54
10.54
22.28
22.23
22.23
7.25
8.72
14.92
11.16
12.25
20.41
14.33
29.85
44.77
13.04
10.28
11.87
11.19
18.44
10.18
15.80
10.28
24.11
21.81
35.16
21.81
21.06
21.81
20.59
24.22
42.39
27.06
35.77
52.53
12.35
11.96
12.55
9.15
11.96
16.46
21.94
24.47
21.94
21.81
21.94
6.72
8.77
12.20
15.80
26.53
9.630000
9.610000
1.851000
1.299000
1.342000
0.949000
2.609000
12.020000
22.370000
1.435000
1.425000
1.425000
3.012000
3.005000
3.005000
0.980000
1.179000
2.017000
1.508000
1.656000
2.758000
19.370000
39.040000
58.560000
17.630000
0.926666
1.604000
1.512000
1.558125
0.917333
1.335000
0.926666
2.172666
1.965333
2.874375
2.948000
1.779375
1.965333
2.783000
3.274000
5.545000
3.540000
4.679000
6.642000
16.690000
16.160000
16.960000
12.370000
16.160000
22.250000
29.660000
33.080000
29.660000
29.480000
29.660000
9.080000
11.860000
16.490000
21.360000
3.470000
9.630000
9.610000
0.434137
0.868275
0.868275
0.868275
1.736550
5.122500
10.245000
1.352250
1.352250
1.352250
2.704500
2.704500
2.704500
0.980000
1.179000
2.017000
1.334700
1.352250
2.704500
13.347000
26.694000
53.388000
17.630000
0.676125
0.676125
0.676125
0.676125
0.676125
0.676125
0.676125
1.352250
1.352250
1.352250
1.352250
1.352250
1.352250
1.352250
1.014187
2.028375
1.014187
1.352250
2.028375
10.010250
10.010250
8.008200
10.010250
10.010250
20.020500
26.694000
20.020500
20.020500
16.016400
20.020500
8.008200
10.010250
16.016400
20.020500
2.946550
8.667000
8.649000
0.390723
0.781447
0.781447
0.781447
1.562895
4.610250
9.220500
1.217025
1.217025
1.217025
2.434050
2.434050
2.434050
0.882000
1.061100
1.815300
1.201230
1.217025
2.434050
12.012300
24.024600
48.049200
15.867000
0.608512
0.608512
0.608512
0.608512
0.608512
0.608512
0.608512
1.217025
1.217025
1.217025
1.217025
1.217025
1.217025
1.217025
0.912768
1.825537
0.912768
1.217025
1.825537
9.009225
9.009225
7.207380
9.009225
9.009225
18.018450
24.024600
18.018450
18.018450
14.414760
18.018450
7.207380
9.009225
14.414760
18.018450
2.651895
COMPR.
400mg/80mg
20
0J01EEO V
05-07-2010
7.70
5.70
0.385000
0.174500
0.157050
COMPR.
400mg/80mg
20
0J01EEO V
05-07-2010
4.13
3.06
0.206500
0.174500
0.157050
COMPR.
400mg/80mg
20
0J01EEO V
05-07-2010
3.54
2.62
0.177000
0.174500
0.157050
Valoare
compensare/UT
11 / 135
W53671001 BITRIM 400mg/80mg
W05739001 SUMETROLIM
A
A
A
W44046001 EPITRIM
W02983002 ERITROMAGIS 200 mg
W08244001 ERITROMICINA 200 mg
ERITROMICINA SANDOZ 200 mg
W44040001 COMPRIMATE
W07045001 ERITROMICINA EUROPHARM 200 mg
W53821001 ERITROMICINA SANDOZ 200mg/5ml
W01326002 KLACID (R)
W12279002 LEKOKLAR (R) 250 mg
W51965001 CLAR 250
W14043001 KLERIMED (R) 250
W44093001 KLABAX 250 mg
W42303001 CLARITROMICINA 250 mg
W08490001 FROMILID 250
W12280001 LEKOKLAR (R) 500 mg
W14044001 KLERIMED (R) 500
W44087001 KLABAX 500 mg
W51964001 CLAR 500
W08491001 FROMILID 500
W54044001 ROCLARIN 500 mg
W41606001 LEKOKLAR XL 500 mg
W41606002 LEKOKLAR XL 500 mg
W44088001 KLABAX MR 500 mg
W13607002 KLACID SR
W41838002 FROMILID (R) UNO
W06981001 FROMILID (R) 125 mg/5 ml
W42258001 LEKOKLAR 125 mg/5 ml
W44092002 KLABAX 125 mg/5 ml
W44092001 KLABAX 125 mg/5 ml
W44091002 KLABAX 250 mg/5 ml
W44091001 KLABAX 250 mg/5 ml
W12904002 OFLOXACIN 200 mg
W12404001 OFLOXIN 200
W07914001 ZANOCIN
W13598001 ZANOCIN (R) OD 400
W13598002 ZANOCIN (R) OD 400
W01291001 EUCIPRIN
W54038001 CIPROFLOXACINA ARENA 250 mg
W44077004 CIPROCIN 250 mg
W01273001 CIPRINOL 250 mg
W01288001 CIPROLEN (R) 250 mg
W01271002 CUMINOL 250 mg
W51913001 CIPROFLOXACINA ALKALOID 250 mg
W07862001 CIFRAN
W53066001 EUCIPRIN 250 mg
W53288001 ALVEBAR 250 mg
W55179001 CIPROFLOXACINA OZONE 250 mg
W44076001 CIPROCIN 500 mg
W01289001 CIPROLEN (R) 500 mg
W13734001 CIPROZONE FORTE 500 mg
W51912001 CIPROFLOXACINA ALKALOID 500 mg
W07863001 CIFRAN
W12545001 CIPRO QUIN (R)
W52031001 CIPRODAR
W53067001 EUCIPRIN 500 mg
W53287001 ALVEBAR 500 mg
W55180001 CIPROFLOXACINA OZONE 500 mg
W43891001 CIPROBAY XR 1000 mg
W43890001 CIPROBAY XR 500 mg
W52445001 PEFLOXACIN LAROPHARM
W04612001 H - NORFLOXACIN 400 mg
W41800001 NORFLOXACINA LPH 400 mg
W51610001 NORFLOX - 400
W07984001 NOLICIN 400 mg
W44067001 EPINOR
W52912001 NORFLOXACINA TERAPIA 400 mg
W54101001 NOR QUIN 400 mg
W55059001 NORFLOXACIN OZONE 400 mg
W42791002 NALIXID 500 mg
METRONIDAZOL ARENA 250 mg
W53689002 (J01XD01)
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
Form farmaceutic
Concentraie
Cantitate Cod boli

COMPR.
400mg/80mg
SIROP
25mg/5mg/ml
SUSP. ORALA
COMPR.
COMPR.
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
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
OFLOXACINUM
OFLOXACINUM
OFLOXACINUM
OFLOXACINUM
OFLOXACINUM
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
NORFLOXACINUM
NORFLOXACINUM
ACIDUM NALIDIXICUM
METRONIDAZOLUM
Substan activ
SULFAMETHOXAZOLUM +
TRIMETHOPRIMUM
SULFAMETHOXAZOLUM +
TRIMETHOPRIMUM
SULFAMETHOXAZOLUM +
TRIMETHOPRIMUM
ERYTHROMYCINUM
ERYTHROMYCINUM
Mentiuni
sublista
Cod
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
20
0J01EEO V
05-07-2010
3.34
2.47
0.167000
0.167000
0.150300
0J01EEO K
05-07-2010
8.18
6.05
8.180000
3.844406
3.459965
200mg/40mg /5m 1
200mg
20
200mg
20
0J01EEO K
0J01FAO V
0J01FAO V
05-07-2010
05-07-2010
05-07-2010
4.75
7.07
9.58
3.51
5.23
7.09
4.750000
0.353500
0.479000
4.750000
0.353500
0.418371
4.275000
0.318150
0.376534
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. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
CAPS.
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. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
CAPS.
200mg
200mg
200mg/5ml
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
500mg
500mg
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
200mg
200mg
200mg
400mg
400mg
250mg
250mg
250mg
100mg
100mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
500mg
500mg
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
400mg
400mg
500mg
20
20
1
14
14
20
14
14
14
14
14
14
14
14
20
14
14
20
14
5
7
7
5
7
1
1
1
1
1
1
1
1
1
1
10
10
10
5
10
12
10
20
10
20
10
10
10
10
20
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
20
10
10
10
7
3
10
20
20
10
20
14
10
20
10
30
0J01FAO V
0J01FAO V
0J01FAO K
0J01FAO V
0J01FAO V
0J01FAO V
0J01FAO V
0J01FAO V
0J01FAO V
0J01FAO V
0J01FAO V
0J01FAO V
0J01FAO V
0J01FAO V
0J01FAO V
0J01FAO V
0J01FAO V
0J01FAO V
0J01FAO V
0J01FAO V
0J01FAO V
0J01FAO V
0J01FAO V
0J01FAO V
0J01FAO K
0J01FAO K
0J01FAO K
0J01FAO K
0J01FAO K
0J01FAO K
0J01FAO K
0J01FAO K
0J01FAO K
0J01FAO K
1J01MAO V
1J01MAO V
1J01MAO V
1J01MAO V
1J01MAO V
1J01MAO V
1J01MAO V
1J01MAO V
1J01MAO V
1J01MAO V
1J01MAO V
1J01MAO V
1J01MAO V
1J01MAO V
1J01MAO V
1J01MAO V
1J01MAO V
1J01MAO V
1J01MAO V
1J01MAO V
1J01MAO V
1J01MAO V
1J01MAO V
1J01MAO V
1J01MAO V
1J01MAO V
1J01MAO V
1J01MAO V
1J01MAO V
1J01MAO V
1J01MAO V
1J01MAO V
1J01MAO V
1J01MAO V
1J01MAO V
1J01MAO V
1J01MAO V
1J01MAO V
1J01MAO V
9J01MA06O V
9J01MA06O V
9J01MA06O V
9J01MA06O V
9J01MA06O V
9J01MA06O V
9J01MA06O V
9J01MA06O V
9J01MB02O V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
8.43
10.09
11.43
28.49
32.16
22.93
16.64
14.64
14.64
16.64
14.64
37.86
32.54
32.02
44.26
32.02
32.54
50.70
32.02
18.34
25.67
35.12
36.34
28.03
39.05
24.42
23.24
26.15
31.53
18.91
61.39
44.75
50.97
31.60
48.34
19.97
11.33
27.38
50.38
8.01
6.55
12.28
37.23
65.47
6.81
6.81
6.81
6.81
12.26
7.86
6.92
6.09
4.75
5.29
13.19
13.19
13.19
13.19
8.44
15.07
8.75
13.19
13.19
9.21
6.47
9.21
16.38
8.44
38.41
37.23
84.50
27.57
27.80
17.57
15.70
6.18
17.57
7.69
5.82
17.57
5.70
24.35
6.24
7.47
8.46
21.08
23.79
16.97
12.31
10.83
10.83
12.31
10.83
28.94
24.08
23.69
33.84
23.69
24.08
38.76
23.69
13.57
18.99
26.85
27.78
20.74
29.85
18.07
17.19
19.35
23.33
13.99
46.93
34.21
38.97
23.38
36.96
14.78
8.38
20.26
38.52
5.93
4.85
9.09
28.46
51.78
5.04
5.04
5.04
5.04
9.07
5.82
5.12
4.51
3.51
3.91
9.76
9.76
9.76
9.76
6.24
11.15
6.47
9.76
9.76
6.81
4.79
6.81
12.12
6.24
29.37
28.46
66.83
20.40
20.57
13.00
11.62
4.57
13.00
5.69
4.31
13.00
4.22
18.02
0.421500
0.504500
11.430000
2.035000
2.297142
1.146500
1.188571
1.045714
1.045714
1.188571
1.045714
2.704285
2.324285
2.287142
2.213000
2.287142
2.324285
2.535000
2.287142
3.668000
3.667142
5.017142
7.268000
4.004285
39.050000
24.420000
23.240000
26.150000
31.530000
18.910000
61.390000
44.750000
50.970000
31.600000
4.834000
1.997000
1.133000
5.476000
5.038000
0.667500
0.655000
0.614000
3.723000
3.273500
0.681000
0.681000
0.681000
0.681000
0.613000
0.786000
0.692000
0.609000
0.475000
0.529000
1.319000
1.319000
1.319000
1.319000
0.844000
1.507000
0.875000
1.319000
1.319000
0.921000
0.647000
0.921000
0.819000
0.844000
3.841000
3.723000
12.071428
9.190000
2.780000
0.878500
0.785000
0.618000
0.878500
0.549285
0.582000
0.878500
0.570000
0.811666
0.418371
0.418371
11.430000
1.045928
1.045928
1.045928
1.045928
1.045714
1.045714
1.045928
1.045714
2.091856
2.091856
2.091856
2.091856
2.091856
2.091856
2.091856
2.091856
2.091856
2.091856
2.091856
2.091856
2.091856
28.365000
17.019000
17.019000
17.019000
28.365000
17.019000
56.730000
34.038000
50.970000
31.600000
1.019700
1.019700
1.019700
2.039400
2.039400
0.509850
0.509850
0.509850
0.203940
0.203940
0.509850
0.509850
0.509850
0.509850
0.509850
0.509850
0.509850
0.509850
0.475000
0.509850
1.019700
1.019700
1.019700
1.019700
0.844000
1.019700
0.875000
1.019700
1.019700
0.921000
0.647000
0.921000
0.819000
0.844000
1.529550
1.529550
2.039400
1.019700
1.019700
0.579000
0.579000
0.579000
0.579000
0.549285
0.579000
0.579000
0.570000
0.811666
0.376534
0.376534
10.287000
0.941335
0.941335
0.941335
0.941335
0.941142
0.941142
0.941335
0.941142
1.882670
1.882670
1.882670
1.882670
1.882670
1.882670
1.882670
1.882670
1.882670
1.882670
1.882670
1.882670
1.882670
25.528500
15.317100
15.317100
15.317100
25.528500
15.317100
51.057000
30.634200
45.873000
28.440000
0.917730
0.917730
0.917730
1.835460
1.835460
0.458865
0.458865
0.458865
0.183546
0.183546
0.458865
0.458865
0.458865
0.458865
0.458865
0.458865
0.458865
0.458865
0.427500
0.458865
0.917730
0.917730
0.917730
0.917730
0.759600
0.917730
0.787500
0.917730
0.917730
0.828900
0.582300
0.828900
0.737100
0.759600
1.376595
1.376595
1.835460
0.917730
0.917730
0.521100
0.521100
0.521100
0.521100
0.494356
0.521100
0.521100
0.513000
0.730499
COMPR.
250mg
30
0J01XDO V
05-07-2010
7.70
5.70
0.256666
0.256666
0.230999
Valoare
compensare/UT
12 / 135
A
A
A
A
A
A
A
A
A
A
A
A
A
Substan activ
Form farmaceutic
Concentraie
Cantitate Cod boli

METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
TINIDAZOLUM
TINIDAZOLUM
TINIDAZOLUM
TINIDAZOLUM
KETOCONAZOLUM
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
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
AMINOGLUTETHIMIDUM
INDOMETACINUM
INDOMETACINUM
INDOMETACINUM
INDOMETACINUM
INDOMETACINUM
INDOMETACINUM
DICLOFENACUM
COMPR.
COMPR. FILM.
COMPR. FILM.
SUSP. ORALA
SUSP. ORALA
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
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.
CAPS.
CAPS.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. DISP.
COMPR. DISP.
COMPR. DISP.
COMPR. FILM.
COMPR.
CAPS.
CAPS.
CAPS.
SUPOZ.
SUPOZ.
SUPOZ.
CAPS. ELIB. PREL.
250mg
250mg
250mg
4%
4%
500mg
500mg
500mg
500mg
200mg
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
200mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg/5ml
200mg
200mg
400mg
200mg
200mg
200mg
200mg
200mg
400mg
200mg
200mg
200mg
400mg
250mg
250mg
25mg
25mg
50mg
50mg
50mg
50mg
150mg
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
CAPS. ELIB. PREL.

CAPS. GASTROREZ.
COMPR. ELIB. MODIF.
DICLOFENACUM
DICLOFENACUM

COMPR. GASTROREZ.
Mentiuni
sublista
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
Cod
W53689002 (J01XD01)
W08257001 FLAGYL ( vezi J01XD01)
W08257001 FLAGYL ( vezi J01XD01)
W13543001 FLAGYL 4 % (J01XD01)
W13543001 FLAGYL 4 % (J01XD01)
W42888001 TINIZOL (R) 500 mg (J01XD02)
W10714001 TIPROGYN 500 (vezi J01XD02)
W42888001 TINIZOL (R) 500 mg (J01XD02)
W10714001 TIPROGYN 500 (vezi J01XD02)
W03875001 NIZORAL 200 mg
W12109001 KETOCONAZOL 200 mg
W08175002 KETOCONAZOL 200 mg
W12122001 KETOSTIN 200 mg
W41983001 KEFUNGIN
W54365002 KETOCONAZOL ARENA 200 mg
W08955001 DIFLAZON 100 mg
W08372001 FLUCOVIM 100
W44099001 FLUCORIC 100 mg
W42371002 FUNGOLON 100 mg
W43597001 FLUCONAZOLE TEVA 100 mg
W08970003 MYCOSYST 150 mg
W08970002 MYCOSYST 150 mg
W03156001 DIFLUCAN 150 mg
W43288001 FLUCONAZOL SANDOZ (R) 150
W42174001 FLUCONAZOL 150 mg
W42741001 FLUCONAZOL TERAPIA 150 mg
W42192002 MYCOMAX 150
W42192001 MYCOMAX 150
W51994001 FLUCONAZOL MEDOCHEMIE 150 mg
W52224001 FLUCONAZOL BIOGALENICA 150 mg
W52335001 FLUCONAZOL MEDICO UNO 150 mg
W53943002 FLUCONAZOL ARENA 150 MG
W03157001 DIFLUCAN 50 mg
W43287001 FLUCONAZOL SANDOZ (R) 50
W42370002 FUNGOLON 50 mg
W42414001 FLUCONAZOL TERAPIA 50 mg
W51993001 FLUCONAZOL MEDOCHEMIE 50 mg
W52225001 FLUCONAZOL BIOGALENICA 50 mg
W53942002 FLUCONAZOL ARENA 50 MG
W03159001 DIFLUCAN (R) 50 mg/5 ml
W42857001 ACICLOVIR 200 mg
W53675001 ACICLOVIR ARENA 200 mg
W53676001 ACICLOVIR ARENA 400 mg
W00044001 ACICLOVIR TERAPIA 200 mg
W41451001 CLOVIRAL 200 mg
W08894001 ACICLOVIR OZONE 200 mg
W08177003 LOVIR 200 mg
W55183001 ACICLOVIR OZONE 200 mg
W51494001 ACIKLOVIR
W00058001 VIROLEX
W52201001 ROGLUTEN (R) 250 mg
W42120001 INDOMETACIN LAROPHARM 25 mg
W53947002 INDOMETACIN ARENA 25 MG
W53948002 INDOMETACIN ARENA 50 MG
W03600001 INDOMETACIN 50 mg
W44020001 DICLOREUM 150 mg
DICLOFENAC DUO PHARMASWISS 75
W53220001 mg
W02504001 TRATUL 50
W13296001 DICLAC (R) 75 ID
W51407001 VOLTAREN (R) RETARD
W51307002 REFEN (R) RETARD
W02472001 DICLOTARD (R) 100 mg
W02500001 RHEUMAVEK
W51404002 VOLTAREN (R) 50
W02459003 DICLOFENAC 50 mg
W13867001 CLAFEN 50 mg
W42674001 DICLOFENAC 50 mg
DICLOGESIC 50 COMPRIMATE FILMATE
W44068001 EPIFENAC
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
30
20
20
1
1
4
4
4
4
10
10
10
10
10
10
28
4
7
16
2
7
1
4
2
1
1
1
1
1
1
3
1
1
1
1
1
1
1
1
7
7
7
7
7
7
7
8
10
7
7
7
7
7
7
1
20
20
10
20
20
20
20
20
10
20
10
20
35
5
40
20
30
20
6
10
10
20
0J01XDO V
0J01XDO V
0J01XDO V
0J01XDO K
0J01XDO K
0J01XDO V
0J01XDO V
0J01XDO V
0J01XDO V
9J02AB02O V
9J02AB02O V
9J02AB02O V
9J02AB02O V
9J02AB02O V
9J02AB02O V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J05ABO V
1J05ABO V
1J05ABO V
1J05ABO V
1J05ABO V
1J05ABO V
1J05ABO V
1J05ABO V
1J05ABO V
1J05ABO V
1J05ABO V
1J05ABO V
1J05ABO V
9J05AB01P V
9L02BG01O V
1M01ABO V
1M01ABO V
1M01ABO V
1M01ABR V
1M01ABR V
1M01ABR V
1M01ABO V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
7.70
8.38
8.38
7.94
7.94
3.68
3.67
3.68
3.67
20.42
8.01
6.86
12.59
6.86
9.15
235.85
25.55
43.26
82.46
9.41
31.43
22.47
78.44
43.15
9.91
25.02
18.83
14.55
9.91
9.18
31.93
12.50
6.58
9.66
8.18
6.58
9.01
9.01
9.91
39.28
61.57
22.51
56.41
29.54
41.83
22.51
19.00
25.47
16.64
19.65
19.54
16.12
15.73
19.08
56.41
20.18
21.37
19.43
17.10
17.18
16.39
13.76
12.97
19.18
7.23
3.73
7.23
57.04
282.31
151.03
1.62
2.13
3.51
4.13
4.93
3.88
47.60
5.70
6.20
6.20
5.87
5.87
2.72
2.72
2.72
2.72
15.11
5.93
5.08
9.31
5.08
6.77
193.19
18.90
33.07
65.22
6.96
23.25
16.62
62.04
32.99
7.33
18.51
13.93
10.77
7.33
6.79
23.62
9.25
4.87
7.15
6.05
4.87
6.67
6.67
7.33
30.03
47.07
16.65
43.13
21.86
31.98
16.65
14.06
18.84
12.31
14.54
14.46
11.93
11.64
14.12
43.13
14.93
15.81
14.38
12.65
12.71
12.13
10.18
9.60
14.19
5.35
2.76
5.35
43.61
231.25
123.71
1.20
1.58
2.60
3.06
3.65
2.87
36.39
0.256666
0.419000
0.419000
7.940000
7.940000
0.920000
0.917500
0.920000
0.917500
2.042000
0.801000
0.686000
1.259000
0.686000
0.915000
8.423214
6.387500
6.180000
5.153750
4.705000
4.490000
22.470000
19.610000
21.575000
9.910000
25.020000
18.830000
14.550000
9.910000
9.180000
10.643333
12.500000
6.580000
9.660000
8.180000
6.580000
9.010000
9.010000
9.910000
5.611428
8.795714
3.215714
8.058571
4.220000
5.975714
3.215714
2.375000
2.547000
2.377142
2.807142
2.791428
2.302857
2.247142
2.725714
56.410000
1.009000
1.068500
1.943000
0.855000
0.859000
0.819500
0.688000
0.648500
1.918000
0.361500
0.373000
0.361500
1.629714
56.462000
3.775750
0.081000
0.071000
0.175500
0.688333
0.493000
0.388000
2.380000
0.256666
0.340574
0.340574
7.940000
7.940000
0.681149
0.681149
0.681149
0.681149
0.714750
0.714750
0.686000
0.714750
0.686000
0.714750
4.212160
4.212160
4.212160
4.212160
4.212160
4.212160
6.318240
6.318240
6.318240
6.318240
6.318240
6.318240
6.318240
6.318240
6.318240
6.318240
6.318240
6.318240
6.318240
6.318240
6.318240
6.318240
6.318240
6.318240
5.611428
2.106080
2.106080
2.106080
2.106080
2.106080
2.106080
2.106080
2.106080
2.106080
2.106080
2.106080
2.106080
2.106080
2.106080
14.742562
0.601425
0.601425
1.202850
0.601425
0.601425
0.601425
0.601425
0.601425
1.202850
0.361500
0.373000
0.361500
1.202850
56.462000
3.775750
0.077456
0.071000
0.154912
0.280187
0.280187
0.280187
0.464737
0.230999
0.306517
0.306517
7.146000
7.146000
0.613034
0.613034
0.613034
0.613034
0.643275
0.643275
0.617400
0.643275
0.617400
0.643275
3.790944
3.790944
3.790944
3.790944
3.790944
3.790944
5.686416
5.686416
5.686416
5.686416
5.686416
5.686416
5.686416
5.686416
5.686416
5.686416
5.686416
5.686416
5.686416
5.686416
5.686416
5.686416
5.686416
5.686416
5.050285
1.895472
1.895472
1.895472
1.895472
1.895472
1.895472
1.895472
1.895472
1.895472
1.895472
1.895472
1.895472
1.895472
1.895472
13.268306
0.541282
0.541282
1.082565
0.541282
0.541282
0.541282
0.541282
0.541282
1.082565
0.325350
0.335700
0.325350
1.082565
50.815800
3.398175
0.069710
0.063900
0.139421
0.252168
0.252168
0.252168
0.418263
75mg
50mg
75mg
100mg
100mg
100mg
25mg
50mg
50mg
50mg
50mg
30
30
10
10
20
20
30
20
20
20
20
1M01ABO V
1M01ABO V
1M01ABO V
1M01ABO V
1M01ABO V
1M01ABO V
1M01ABO V
1M01ABO V
1M01ABO V
1M01ABO V
1M01ABO V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
20.43
6.38
3.91
6.55
8.52
8.20
5.70
6.55
4.25
2.45
2.25
15.12
4.72
2.89
4.85
6.30
6.07
4.22
4.85
3.14
1.81
1.66
0.681000
0.212666
0.391000
0.655000
0.426000
0.410000
0.190000
0.327500
0.212500
0.122500
0.112500
0.232368
0.154912
0.232368
0.309825
0.309825
0.309825
0.077456
0.154912
0.154912
0.122500
0.112500
0.209131
0.139421
0.209131
0.278842
0.278842
0.278842
0.069710
0.139421
0.139421
0.110250
0.101250
50mg
25mg
20
30
1M01ABO V
1M01ABO V
05-07-2010
05-07-2010
3.81
4.50
2.82
3.33
0.190500
0.150000
0.154912
0.077456
0.139421
0.069710
Valoare
compensare/UT
13 / 135
Denumire medicament
VOLTAREN RAPID (R)
DICLOFENAC ARENA 25 mg
N - DICLOFENAC
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
KETOROL
KETANOV 10 mg
KETOROL
KETANOV
AFLAMIL
TENOXICAM LPH 20 mg
TENOXICAM 20 mg
NEO - ENDUSIX (R)
TILCOTIL
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
MOXCIPAM 15 mg
MOXCIPAM 15 mg
MOXCIPAM 15 mg
MOXCIPAM 15 mg
MOXCIPAM 15 mg
MOXCIPAM 15 mg
MELOXICAM MCC 15 mg
CELOMIX
VALZER 15 mg
ANTREND 15 mg
MELOXICAM VIM SPECTRUM 15 mg
ASPIFLEX 15 mg
ASPIFLEX 15 mg
ASPIFLEX 15 mg
ANTREND 15 mg
MELOX 7,5 mg
MELOX 7,5 mg
MOVALIS (R) 7,5 mg
MOVALIS (R) 7,5 mg
MELOXICAM LPH 7,5 mg
MELOXICAM SANDOZ 7,5 mg
MOXCIPAM 7,5 mg
MOXCIPAM 7,5 mg
MOXCIPAM 7,5 mg
MOXCIPAM 7,5 mg
MOXCIPAM 7,5 mg
MOXCIPAM 7,5 mg
MELOXICAM MCC 7,5 mg
VALZER 7,5mg
MELOXICAM VIM SPECTRUM 7,5 mg
ASPIFLEX 7,5 mg
ASPIFLEX 7,5 mg
ASPIFLEX 7,5 mg
MOVALIS 15mg/1,5ml
MOVALIS (R) 15 mg
MELOXICAM 15 mg
MELOXICAM 7,5 mg
KETOPROFEN SR TERAPIA 100 MG
KETONAL (R) DUO 150 mg
KETONAL UNO
KETOPROFEN SR TERAPIA 200 MG
KETARD 200 mg
KETONAL RETARD
RUBIFEN 100 mg
PROFENID (R) 100 mg
KETONAL FORTE 100 mg
KETOPROXIN 100 mg
KETOPROXIN 50 mg
PROFENID (R) LP 200 mg
PROFENID (R) 100 mg
KETONAL 100 mg/ 2 ml
KETOPROFEN TERAPIA 100MG/2ML
Substan activ
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
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
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
Form farmaceutic
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.
SUPOZ.
SUPOZ.
SUPOZ.
SUPOZ.
SUPOZ.
SUPOZ.
COMPR. FILM.
COMPR. FILM.
SOL. INJ.
SOL. INJ.
COMPR. FILM.
CAPS.
COMPR.
COMPR. FILM.
COMPR. FILM.
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.
SUPOZ.
SUPOZ.
SUPOZ.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
SOL. INJ.
SOL. INJ./CONC. SOL. PERF.
Concentraie
50mg
25mg
50mg
50mg
25mg/ml
25mg/ml
30mg/ml
75mg
75mg/3ml
75mg/3ml
75mg/3ml
75mg/3ml
75mg/ml
100mg
100mg
100mg
100mg
100mg
12,5mg
120mg
50mg
60mg
10mg
10mg
30mg/ml
30mg/ml
100mg
20mg
20mg
20mg
20mg
20mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
7,5 mg
7,5 mg
7,5mg
7,5mg
7,5mg
7,5mg
7,5mg
7,5mg
7,5mg
7,5mg
7,5mg
7,5mg
7,5mg
7,5mg
7,5mg
7,5mg
7,5mg
7,5mg
15mg/1,5ml
15mg
15mg
7,5mg
100mg
150mg
200mg
200mg
200mg
150mg
100 mg
100mg
100mg
100mg
50mg
200mg
100mg
100mg/2ml
100mg/2ml
Cantitate Cod boli

10
30
20
20
5
5
5
5
10
5
5
10
5
6
5
10
10
5
10
6
10
6
20
20
10
10
20
20
20
10
10
1
20
10
20
20
30
10
20
10
20
10
14
7
20
28
30
20
30
20
30
20
10
20
30
30
10
30
10
20
20
20
14
30
20
10
28
7
20
20
20
10
20
30
5
6
6
6
10
20
20
10
10
20
20
30
20
20
20
14
6
10
5
Mentiuni
sublista
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
Cod
medicament
W51408001
W54364001
W02488001
W54363002
W51406001
W02501001
W02505001
W42558001
W14097002
W42122001
W08159003
W08159002
W55024001
W14114001
W51402003
W12288001
W02480002
W44069001
W52023001
W02506001
W51403001
W02507001
W51689001
W44108002
W51688003
W44107001
W54825001
W07704001
W05796002
W12900001
W51332001
W12899001
W04103001
W04103002
W42654001
W42561002
W42697003
W42697001
W42833002
W42833001
W42615001
W43431002
W43431003
W43431001
W43431004
W43431006
W43431005
W43917001
W44002002
W52965002
W53196007
W53657001
W53984001
W53984002
W53984003
W55069007
W42696001
W42696003
W04104002
W04104001
W42653001
W42560002
W43430003
W43430005
W43430004
W43430002
W43430006
W43430001
W43916001
W52964002
W53656001
W53985001
W53985002
W53985003
W08929002
W42256002
W41449001
W41448001
W54213001
W42896001
W43992002
W54212001
W54887001
W03880001
W13904001
W12622001
W03883001
W43110001
W43111001
W12623001
W12621001
W03881002
W54214001
Grupa
terapeutica RO
1M01ABO V
1M01ABO V
1M01ABO V
1M01ABO V
1M01ABP V
1M01ABP V
1M01ABP V
1M01ABP V
1M01ABP V
1M01ABP V
1M01ABP V
1M01ABP V
1M01ABP V
1M01ABR V
1M01ABR V
1M01ABR V
1M01ABR V
1M01ABR V
1M01ABR K
1M01ABR V
1M01ABR V
1M01ABR V
1M01ABO V
1M01ABO V
1M01ABP V
1M01ABP V
1M01ABO V
0M01ACO V
0M01ACO V
0M01ACO V
0M01ACO V
0M01ACP V
0M01ACO V
0M01ACO V
0M01ACO V
0M01ACO V
0M01ACO V
0M01ACO V
0M01ACO V
0M01ACO V
0M01ACO V
0M01ACO V
0M01ACO V
0M01ACO V
0M01ACO V
0M01ACO V
0M01ACO V
0M01ACO V
0M01ACO V
0M01ACO V
0M01ACO V
0M01ACO V
0M01ACO V
0M01ACO V
0M01ACO V
0M01ACO V
0M01ACO V
0M01ACO V
0M01ACO V
0M01ACO V
0M01ACO V
0M01ACO V
0M01ACO V
0M01ACO V
0M01ACO V
0M01ACO V
0M01ACO V
0M01ACO V
0M01ACO V
0M01ACO V
0M01ACO V
0M01ACO V
0M01ACO V
0M01ACO V
0M01ACP V
0M01ACR V
0M01ACR V
0M01ACR V
1M01A5O V
1M01A5O V
1M01A5O V
1M01A5O V
1M01A5O V
1M01A5O V
1M01A5O V
1M01A5O V
1M01A5O V
1M01A5O V
1M01A5O V
1M01A5O V
1M01A5P V
1M01A5P V
1M01A5P V

Pre de
Valoare
Valabil de la /amb
/amb
compensare/UT
05-07-2010
2.33
1.72
0.233000
0.154912
0.139421
05-07-2010
5.70
4.22
0.190000
0.077456
0.069710
05-07-2010
2.54
1.88
0.127000
0.127000
0.114300
05-07-2010
2.65
1.96
0.132500
0.132500
0.119250
05-07-2010
9.38
6.94
1.876000
0.993150
0.893835
05-07-2010
6.09
4.51
1.218000
0.993150
0.893835
05-07-2010
14.21
10.51
2.842000
1.191780
1.072602
05-07-2010
6.09
4.51
1.218000
1.218000
1.096200
05-07-2010
9.89
7.32
0.989000
0.989000
0.890100
05-07-2010
6.09
4.51
1.218000
0.993150
0.893835
05-07-2010
6.09
4.51
1.218000
0.993150
0.893835
05-07-2010
12.19
9.02
1.219000
0.993150
0.893835
05-07-2010
4.04
2.99
0.808000
0.808000
0.727200
05-07-2010
3.93
2.91
0.655000
0.560374
0.504337
05-07-2010
5.45
4.03
1.090000
0.560374
0.504337
05-07-2010
5.24
3.88
0.524000
0.524000
0.471600
05-07-2010
3.70
2.74
0.370000
0.370000
0.333000
05-07-2010
3.54
2.62
0.708000
0.560374
0.504337
05-07-2010
5.02
3.71
0.502000
0.502000
0.451800
05-07-2010
4.25
3.14
0.708333
0.672449
0.605204
05-07-2010
9.43
6.98
0.943000
0.280187
0.252168
05-07-2010
3.68
2.72
0.613333
0.336224
0.302602
05-07-2010
6.73
4.98
0.336500
0.103274
0.092947
05-07-2010
6.73
4.98
0.336500
0.103274
0.092947
05-07-2010
19.57
14.48
1.957000
1.324200
1.191780
05-07-2010
24.68
18.26
2.468000
1.324200
1.191780
05-07-2010
22.67
16.77
1.133500
0.154912
0.139421
05-07-2010
11.42
8.45
0.571000
0.450000
0.405000
05-07-2010
14.08
10.42
0.704000
0.450000
0.405000
05-07-2010
6.33
4.68
0.633000
0.450000
0.405000
05-07-2010
9.75
7.21
0.975000
0.450000
0.405000
05-07-2010
5.42
4.01
5.420000
2.113200
1.901880
05-07-2010
15.39
11.39
0.769500
0.450000
0.405000
05-07-2010
7.69
5.69
0.769000
0.450000
0.405000
05-07-2010
10.00
7.40
0.500000
0.450000
0.405000
05-07-2010
9.95
7.36
0.497500
0.450000
0.405000
05-07-2010
30.32
22.43
1.010666
0.450000
0.405000
05-07-2010
10.57
7.82
1.057000
0.450000
0.405000
05-07-2010
14.08
10.42
0.704000
0.450000
0.405000
05-07-2010
8.72
6.45
0.872000
0.450000
0.405000
05-07-2010
32.14
23.78
1.607000
0.450000
0.405000
05-07-2010
4.92
3.64
0.492000
0.450000
0.405000
05-07-2010
6.87
5.08
0.490714
0.450000
0.405000
05-07-2010
3.44
2.55
0.491428
0.450000
0.405000
05-07-2010
9.83
7.27
0.491500
0.450000
0.405000
05-07-2010
13.76
10.18
0.491428
0.450000
0.405000
05-07-2010
14.73
10.90
0.491000
0.450000
0.405000
05-07-2010
10.00
7.40
0.500000
0.450000
0.405000
05-07-2010
16.12
11.93
0.537333
0.450000
0.405000
05-07-2010
10.00
7.40
0.500000
0.450000
0.405000
05-07-2010
14.87
11.00
0.495666
0.450000
0.405000
05-07-2010
10.00
7.40
0.500000
0.450000
0.405000
05-07-2010
5.01
3.71
0.501000
0.450000
0.405000
05-07-2010
10.00
7.40
0.500000
0.450000
0.405000
05-07-2010
15.01
11.11
0.500333
0.450000
0.405000
05-07-2010
14.87
11.00
0.495666
0.450000
0.405000
05-07-2010
9.60
7.10
0.960000
0.225000
0.202500
05-07-2010
25.59
18.93
0.853000
0.225000
0.202500
05-07-2010
7.40
5.47
0.740000
0.225000
0.202500
05-07-2010
14.81
10.96
0.740500
0.225000
0.202500
05-07-2010
9.63
7.12
0.481500
0.225000
0.202500
05-07-2010
9.63
7.12
0.481500
0.225000
0.202500
05-07-2010
6.43
4.76
0.459285
0.225000
0.202500
05-07-2010
13.76
10.18
0.458666
0.225000
0.202500
05-07-2010
9.17
6.78
0.458500
0.225000
0.202500
05-07-2010
4.59
3.40
0.459000
0.225000
0.202500
05-07-2010
12.84
9.50
0.458571
0.225000
0.202500
05-07-2010
3.20
2.37
0.457142
0.225000
0.202500
05-07-2010
9.63
7.12
0.481500
0.225000
0.202500
05-07-2010
9.63
7.12
0.481500
0.225000
0.202500
05-07-2010
9.63
7.12
0.481500
0.225000
0.202500
05-07-2010
4.81
3.56
0.481000
0.225000
0.202500
05-07-2010
9.63
7.12
0.481500
0.225000
0.202500
05-07-2010
14.44
10.68
0.481333
0.225000
0.202500
05-07-2010
15.07
11.15
3.014000
2.113200
1.901880
05-07-2010
13.36
9.88
2.226666
0.256500
0.230850
05-07-2010
8.52
6.30
1.420000
0.256500
0.230850
05-07-2010
8.14
6.02
1.356666
0.128250
0.115425
05-07-2010
11.90
8.80
1.190000
0.492599
0.443339
05-07-2010
16.44
12.16
0.822000
0.738900
0.665010
05-07-2010
26.26
19.43
1.313000
0.985199
0.886679
05-07-2010
15.08
11.16
1.508000
0.985199
0.886679
05-07-2010
7.55
5.59
0.755000
0.755000
0.679500
05-07-2010
14.99
11.09
0.749500
0.738900
0.665010
05-07-2010
9.00
6.66
0.450000
0.450000
0.405000
05-07-2010
18.21
13.47
0.607000
0.492599
0.443339
05-07-2010
11.59
8.58
0.579500
0.492599
0.443339
05-07-2010
7.87
5.82
0.393500
0.393500
0.354150
05-07-2010
7.13
5.28
0.356500
0.246299
0.221669
05-07-2010
16.24
12.02
1.160000
0.985199
0.886679
05-07-2010
8.64
6.39
1.440000
1.440000
1.296000
05-07-2010
11.33
8.38
1.133000
0.810675
0.729607
05-07-2010
9.61
7.11
1.922000
1.621350
1.459215
14 / 135
Denumire medicament
KETONAL 100 mg
RUBIFEN (R) 100 mg
KETOMAG
MYOLASTAN 50 mg
MILURIT 100 mg
MILURIT 300 mg
COLCHICINA
COLCHICINA FABIOL
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
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
TRAMADOL RETARD 150 mg
TRALGIT
TRALGIT
TRAMADOL AL PICATURI
TRAMAL (R)
MABRON
TRALGIT 100
TRAMAL (R) 50
TRAMADOL
TRALGIT 50
URGENDOL
TRAMADOL
URGENDOL
TRAMADOL
SUMATRIPTAN TERAPIA 100 mg
IMIGRAN (R) 100
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
NEUROTOP
TEGRETOL (R) 200
CARBAMAZEPINA LPH 200 mg
CARBAVIM
CARBEPSIL 200
TAVER
CARBAMAZEPIN
Substan activ
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
TETRAZEPAMUM
ALLOPURINOLUM
ALLOPURINOLUM
COLCHICINUM
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
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
SUMATRIPTANUM
SUMATRIPTANUM
SUMATRIPTANUM
SUMATRIPTANUM
SUMATRIPTANUM
SUMATRIPTANUM
SUMATRIPTANUM
SUMATRIPTANUM
SUMATRIPTANUM
SUMATRIPTANUM
SUMATRIPTANUM
SUMATRIPTANUM
SUMATRIPTANUM
SUMATRIPTANUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
Form farmaceutic
SUPOZ.
SUPOZ.
SUPOZ.
COMPR. FILM.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
SOL. INJ.
SOL. INJ.
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.
PIC. ORALE, SOL.
PIC. ORALE, SOL.
PIC. ORALE, SOL.
PICATURI ORALE-SOL.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SUPOZ.
COMPR.
COMPR.
COMPR.
COMPR.
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.
COMPR.
COMPR.
Cantitate Cod boli

Concentraie
100mg
12
100mg
6
100mg
10
50mg
20
100mg
50
300mg
30
1mg
40
1mg
40
50mg
100
50mg
20
30mg/ml
10
30mg/ml
50
50mg
20
50mg
20
50mg
20
50mg
30
50mg
10
50mg
10
50mg
20
50mg
10
50mg
20
50mg
10
50mg
20
100mg
10
100mg
20
100mg
30
100mg
50
150mg
10
150mg
20
150mg
30
150mg
50
200mg
10
200mg
20
200mg
30
200mg
50
50mg
20
50mg
20
50mg
20
50mg
20
100mg
10
100mg
30
100mg
50
100mg
10
100mg
30
100mg
5
100mg
30
150mg
30
150mg
10
200mg
10
200mg
10
200mg
30
300mg
10
300mg
30
50mg
30
100mg
10
150mg
10
150mg
30
200mg
10
200mg
30
100mg/ml
1
100mg/ml
1
FARA CONCENT1
100mg/ml
1
100mg
100
100mg/2ml
5
50mg/ml
5
50mg/ml
5
50mg/ml
5
50mg/ml
5
50mg/ml
5
50mg/ml
5
100mg
5
100mg
6
100mg
12
50mg
3
50mg
6
100mg
2
100mg
2
100mg
6
100mg
10
100mg
6
50mg
2
50mg
6
50mg
2
50mg
10
50mg
6
200mg
50
200mg
50
200mg
50
200mg
50
200mg
50
200mg
50
200mg
20
Mentiuni
sublista
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
Cod
medicament
W03882002
W42037001
W14020001
W54359002
W00242001
W00243001
W01429002
W12716003
W04926001
W04926002
W04927001
W04927002
W05977002
W42813002
W12691002
W07472002
W07472001
W05960001
W41593001
W42576001
W13570001
W08476001
W52049001
W53128005
W53128006
W53128007
W53128008
W53129005
W53129006
W53129007
W53129008
W53130005
W53130006
W53130007
W53130008
W42440001
W42957001
W42178001
W55077001
W13507001
W12750001
W41922003
W41922001
W41922002
W53489001
W53489005
W41923002
W41923001
W41924001
W53488002
W53488005
W53487002
W53487012
W07784001
W07473001
W05978001
W43360001
W05979001
W43361001
W43913002
W43913001
W07470002
W05982001
W05961002
W43912001
W05980001
W05966001
W43914001
W08477001
W05967001
W08478001
W05969001
W52867001
W52867002
W52866001
W52866002
W12971001
W52092001
W52092004
W53286001
W53286005
W12556001
W52091004
W52091001
W53285001
W53285005
W12596003
W51397003
W00796002
W13249001
W00806001
W00818001
W12403002
Grupa
terapeutica RO
1M01AER V
1M01AER V
1M01AER V
1M03B5O V
0M04AAO V
0M04AAO V
9M04AC01O V
9M04AC01O V
9N02AD01O V
9N02AD01O V
9N02AD01P V
9N02AD01P V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02P V
9N02AX02P V
9N02AX02P V
9N02AX02P V
9N02AX02P V
9N02AX02P V
9N02AX02P V
9N02AX02P V
9N02AX02R V
0N02CCO V
0N02CCO V
0N02CCO V
0N02CCO V
0N02CCO V
0N02CCO V
0N02CCO V
0N02CCO V
0N02CCO V
0N02CCO V
0N02CCO V
0N02CCO V
0N02CCO V
0N02CCO V
9N03AF01O V
9N03AF01O V
9N03AF01O V
9N03AF01O V
9N03AF01O V
9N03AF01O V
9N03AF01O V

Pre de
Valoare
Valabil de la /amb
/amb
compensare/UT
05-07-2010
8.18
6.05
0.681666
0.666000
0.599400
05-07-2010
4.08
3.02
0.680000
0.666000
0.599400
05-07-2010
6.52
4.82
0.652000
0.652000
0.586800
05-07-2010
9.51
7.04
0.475500
0.475500
0.427950
05-07-2010
6.02
4.45
0.120400
0.116766
0.105089
05-07-2010
10.40
7.69
0.346666
0.346666
0.311999
05-07-2010
5.76
4.26
0.144000
0.082012
0.073811
05-07-2010
2.94
2.18
0.073500
0.073500
0.066150
05-07-2010
76.36
60.39
0.763600
0.763600
0.687240
05-07-2010
18.52
13.70
0.926000
0.804200
0.723780
05-07-2010
14.67
10.85
1.467000
1.365600
1.229040
05-07-2010
66.59
52.67
1.331800
1.331800
1.198620
05-07-2010
11.79
8.72
0.589500
0.345600
0.311040
05-07-2010
7.89
5.84
0.394500
0.345600
0.311040
05-07-2010
5.82
4.31
0.291000
0.291000
0.261900
05-07-2010
11.49
8.50
0.383000
0.345600
0.311040
05-07-2010
3.84
2.84
0.384000
0.345600
0.311040
05-07-2010
4.98
3.68
0.498000
0.345600
0.311040
05-07-2010
7.66
5.67
0.383000
0.345600
0.311040
05-07-2010
3.84
2.84
0.384000
0.345600
0.311040
05-07-2010
7.66
5.67
0.383000
0.345600
0.311040
05-07-2010
3.81
2.82
0.381000
0.345600
0.311040
05-07-2010
8.97
6.64
0.448500
0.345600
0.311040
05-07-2010
17.35
12.84
1.735000
0.691202
0.622081
05-07-2010
33.41
24.72
1.670500
0.691202
0.622081
05-07-2010
47.28
36.15
1.576000
0.691202
0.622081
05-07-2010
71.47
56.52
1.429400
0.691202
0.622081
05-07-2010
26.02
19.25
2.602000
1.036804
0.933123
05-07-2010
48.48
37.06
2.424000
1.036804
0.933123
05-07-2010
68.55
54.22
2.285000
1.036804
0.933123
05-07-2010
107.20
84.78
2.144000
1.036804
0.933123
05-07-2010
32.48
24.03
3.248000
1.382404
1.244163
05-07-2010
58.30
44.57
2.915000
1.382404
1.244163
05-07-2010
77.94
61.64
2.598000
1.382404
1.244163
05-07-2010
121.12
95.79
2.422400
1.382404
1.244163
05-07-2010
7.66
5.67
0.383000
0.345600
0.311040
05-07-2010
7.66
5.67
0.383000
0.345600
0.311040
05-07-2010
9.94
7.35
0.497000
0.345600
0.311040
05-07-2010
9.94
7.35
0.497000
0.345600
0.311040
05-07-2010
6.29
4.65
0.629000
0.629000
0.566100
05-07-2010
18.88
13.97
0.629333
0.629333
0.566399
05-07-2010
48.37
36.98
0.967400
0.691202
0.622081
05-07-2010
9.85
7.29
0.985000
0.691202
0.622081
05-07-2010
27.23
20.15
0.907666
0.691202
0.622081
05-07-2010
7.40
5.47
1.480000
0.691202
0.622081
05-07-2010
39.43
30.15
1.314333
0.691202
0.622081
05-07-2010
33.48
24.77
1.116000
1.036804
0.933123
05-07-2010
21.00
15.54
2.100000
1.036804
0.933123
05-07-2010
27.44
20.30
2.744000
1.382404
1.244163
05-07-2010
20.05
14.83
2.005000
1.382404
1.244163
05-07-2010
51.71
39.53
1.723666
1.382404
1.244163
05-07-2010
27.86
20.61
2.786000
2.073608
1.866247
05-07-2010
76.29
60.34
2.543000
2.073608
1.866247
05-07-2010
10.62
7.86
0.354000
0.345600
0.311040
05-07-2010
9.68
7.16
0.968000
0.691202
0.622081
05-07-2010
21.97
16.25
2.197000
1.036804
0.933123
05-07-2010
62.30
47.63
2.076666
1.036804
0.933123
05-07-2010
28.12
20.80
2.812000
1.382404
1.244163
05-07-2010
74.39
58.83
2.479666
1.382404
1.244163
05-07-2010
100.21
79.25
100.210000
66.355465
59.719918
05-07-2010
12.57
9.30
12.570000
6.912026
6.220824
05-07-2010
5.02
3.71
5.020000
5.020000
4.518000
05-07-2010
7.73
5.72
7.730000
6.912026
6.220824
05-07-2010
136.67
111.95
1.366700
1.366700
1.230030
05-07-2010
12.25
9.06
2.450000
1.662303
1.496073
05-07-2010
7.55
5.59
1.510000
0.831149
0.748034
05-07-2010
10.69
7.91
2.138000
0.831149
0.748034
05-07-2010
11.46
8.48
2.292000
0.831149
0.748034
05-07-2010
4.88
3.61
0.976000
0.831149
0.748034
05-07-2010
13.07
9.67
2.614000
1.662303
1.496073
05-07-2010
7.66
5.67
1.532000
1.532000
1.378800
05-07-2010
5.56
4.11
1.112000
1.112000
1.000800
05-07-2010
54.81
41.90
9.135000
9.135000
8.221500
05-07-2010
104.14
82.36
8.678333
8.678333
7.810499
05-07-2010
21.28
15.74
7.093333
4.757999
4.282199
05-07-2010
40.30
30.81
6.716666
4.757999
4.282199
05-07-2010
42.30
32.34
21.150000
9.515999
8.564399
05-07-2010
27.04
20.01
13.520000
9.515999
8.564399
05-07-2010
74.57
58.98
12.428333
9.515999
8.564399
05-07-2010
99.55
78.73
9.955000
9.515999
8.564399
05-07-2010
57.99
44.33
9.665000
9.515999
8.564399
05-07-2010
24.05
17.79
12.025000
4.757999
4.282199
05-07-2010
55.51
42.44
9.251666
4.757999
4.282199
05-07-2010
19.12
14.15
9.560000
4.757999
4.282199
05-07-2010
66.62
52.69
6.662000
4.757999
4.282199
05-07-2010
41.35
31.61
6.891666
4.757999
4.282199
05-07-2010
11.28
8.35
0.225600
0.203040
0.182736
05-07-2010
17.35
12.84
0.347000
0.203040
0.182736
05-07-2010
11.28
8.35
0.225600
0.203040
0.182736
05-07-2010
11.28
8.35
0.225600
0.203040
0.182736
05-07-2010
11.28
8.35
0.225600
0.203040
0.182736
05-07-2010
7.21
5.33
0.144200
0.144200
0.129780
05-07-2010
4.42
3.27
0.221000
0.203040
0.182736
15 / 135
W10514001
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W10515001
W04085001
W41725002
W41725003
W12943002
W04093002
W53797001
W41692001
W43439001
W06824001
W43438002
W44084001
W00634001
W06826001
W08798003
W00252001
W08624001
W41469001
W07122001
W00253001
W08625001
W07123001
W42783001
W00254001
W08626001
W41470001
W07126001
W00255001
W41918003
W41919003
W41920003
W12245001
W12246001
W07256001
W43099001
W41753001
W41753003
W13133001
Denumire medicament
CARBAMAZEPIN EEL
FINLEPSIN
CARBAMAZEPINA ARENA 200 mg
TAVER
CARBAMAZEPINA
CARBEPSIL 400
NEUROTOP (R) RETARD 300 mg
TEGRETOL CR 200
TEGRETOL CR 400
FINLEPSIN 400 RETARD
TIMONIL 150 RETARD
TIMONIL 300 RETARD
TIMONIL 600 RETARD
TIMONIL SIROP
GABAGAMMA 100 mg
GABAGAMMA 100 mg
GABALEPT 100 mg
GRIMODIN 100 mg
GABAGAMMA 300 mg
GABAGAMMA 300 mg
GABAGAMMA 300 mg
GABARAN 300 mg
GABALEPT 300 mg
GRIMODIN 300 mg
GABAGAMMA 400 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
HALDOL
HALOPERIDOL 2 mg/ml
HALOPERIDOL
HALOPERIDOL DECANOAT
HALOPERIDOL RICHTER 5 mg/ml
DIAZEPAM 10 mg
DIAZEPAM
DIAZEPAM LAROPHARM 10 mg
DIAZEPAM 10 mg
CALMPOSE
DIAZEPAM DESITIN (R) SOLUTIE
RECTALA 10 mg
DIAZEPAM DESITIN (R) SOLUTIE
RECTALA 5 mg
ANSILAN 10 mg
MEDAZEPAM
MEDAZEPAM
MEDAZEPAM 10 mg
RUDOTEL
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
XANAX 0,25 mg
ALPRAZOLAM LPH (R) 0,25 mg
PRAZOLEX (R) 0,25 mg
FRONTIN 0,25 mg
XANAX 0,5 mg
ALPRAZOLAM LPH (R) 0,5 mg
FRONTIN 0,5 mg
PRAZOLEX (R) 0,5 mg
XANAX 1 mg
ALPRAZOLAM LPH (R) 1 mg
PRAZOLEX (R) 1 mg
FRONTIN 1mg
XANAX 2 mg
NEUROL (R) SR 0,5
NEUROL (R) SR 1
NEUROL (R) SR 2
NITRAZEPAM LPH (R) 2,5 mg
NITRAZEPAM LPH (R) 5 mg
NITRAZEPAM 5 mg
IMOVANE 7,5 mg
HYPNOGEN 10 mg
HYPNOGEN 10 mg
SANVAL (R) 10 mg
Substan activ
CARBAMAZEPINUM
CARBAMAZEPINUM
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
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
DIAZEPAMUM
DIAZEPAMUM
DIAZEPAMUM
DIAZEPAMUM
DIAZEPAMUM
Form farmaceutic
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. RET.
COMPR. RET.
COMPR. RET.
SUSP. ORALA
CAPS.
CAPS.
CAPS.
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.
PIC. ORALE-SOL.
PICATURI ORALE-SOL.
SOL. INJ.
SOL. INJ.
COMPR.
COMPR.
COMPR.
SOL. INJ.
SOL. INJ.
Concentraie
200mg
200mg
200mg
200mg
200mg
400mg
400mg
300mg
600mg
200mg
400mg
400mg
150mg
300mg
600mg
200mg
100mg/5ml
100mg
100mg
100mg
100mg
300mg
300mg
300mg
300mg
300mg
300mg
400mg
400mg
400mg
400mg
400mg
400mg
600mg
600mg
600mg
600mg
800mg
800mg
800mg
800mg
0,5mg
5mg
2mg/ml
2mg/ml
50mg/ml
5mg/ml
10mg
10mg
10mg
10mg/2ml
10mg/2ml
Cantitate Cod boli

20
50
20
20
20
50
20
50
50
50
30
50
50
50
50
50
1
100
50
100
60
50
20
100
50
100
60
50
20
100
50
100
60
30
20
100
60
30
20
100
60
20
25
1
1
5
5
20
30
20
5
100
DIAZEPAMUM
SOL. RECTALA
10mg/2,5ml
DIAZEPAMUM
MEDAZEPAMUM
MEDAZEPAMUM
MEDAZEPAMUM
MEDAZEPAMUM
MEDAZEPAMUM
MEDAZEPAMUM
LORAZEPAMUM
BROMAZEPAMUM
BROMAZEPAMUM
BROMAZEPAMUM
BROMAZEPAMUM
BROMAZEPAMUM
BROMAZEPAMUM
BROMAZEPAMUM
ALPRAZOLAMUM
ALPRAZOLAMUM
ALPRAZOLAMUM
ALPRAZOLAMUM
ALPRAZOLAMUM
ALPRAZOLAMUM
ALPRAZOLAMUM
ALPRAZOLAMUM
ALPRAZOLAMUM
ALPRAZOLAMUM
ALPRAZOLAMUM
ALPRAZOLAMUM
ALPRAZOLAMUM
ALPRAZOLAMUM
ALPRAZOLAMUM
ALPRAZOLAMUM
NITRAZEPAMUM
NITRAZEPAMUM
NITRAZEPAMUM
ZOPICLONUM
ZOLPIDEMUM
ZOLPIDEMUM
ZOLPIDEMUM
SOL. RECTALA
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. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR.
COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
5mg/2,5ml
10mg
10 mg
10 mg
10mg
10mg
10mg
1 mg
1,5mg
1,5mg
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
2mg
0,5mg
1mg
2mg
2,5mg
5mg
5mg
7,5mg
10mg
10mg
10mg
Mentiuni
sublista
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
Cod
medicament
W00797001
W00810001
W00798002
W00818003
W55081002
W00807001
W53816001
W12426001
W12428001
W51395001
W51394001
W00812001
W00826001
W00827001
W00828001
W00811001
W00825001
W41588005
W41588004
W43539001
W54332002
W41589004
W41589002
W41589005
W42824001
W43540001
W54333001
W41590004
W41590002
W41590005
W42825001
W43541001
W54334001
W42826001
W54124001
W54124003
W54330002
W42827001
W54125001
W54125003
W54331002
W52419001
W03416001
W03427002
W42642002
W54850001
W54845001
W02443001
W12717001
W52908001
W02444003
W44100001
Grupa
terapeutica RO
9N03AF01O V
9N03AF01O V
9N03AF01O V
9N03AF01O V
9N03AF01O V
9N03AF01O V
9N03AF01O V
9N03AF01O V
9N03AF01O V
9N03AF01O V
9N03AF01O V
9N03AF01O V
9N03AF01O V
9N03AF01O V
9N03AF01O V
9N03AF01O V
9N03AF01O K
1N03AXO V
0N03AXO V
1N03AXO V
1N03AXO V
1N03AXO V
1N03AXO V
1N03AXO V
1N03AXO V
1N03AXO V
1N03AXO V
1N03AXO V
1N03AXO V
1N03AXO V
1N03AXO V
1N03AXO V
1N03AXO V
1N03AXO V
1N03AXO V
1N03AXO V
1N03AXO V
1N03AXO V
1N03AXO V
1N03AXO V
1N03AXO V
0N05ADO V
0N05ADO V
0N05ADO V
0N05ADO V
0N05ADP V
0N05ADP V
0N05BAO V
0N05BAO V
0N05BAO V
0N05BAP V
0N05BAP V

Pre de
Valoare
Valabil de la /amb
/amb
compensare/UT
05-07-2010
4.50
3.33
0.225000
0.203040
0.182736
05-07-2010
11.28
8.35
0.225600
0.203040
0.182736
05-07-2010
4.95
3.66
0.247500
0.203040
0.182736
05-07-2010
4.50
3.33
0.225000
0.203040
0.182736
05-07-2010
4.51
3.34
0.225500
0.203040
0.182736
05-07-2010
26.19
19.38
0.523800
0.406080
0.365472
05-07-2010
10.48
7.75
0.524000
0.406080
0.365472
05-07-2010
20.63
15.26
0.412600
0.304560
0.274104
05-07-2010
36.50
27.91
0.730000
0.609120
0.548208
05-07-2010
19.12
14.15
0.382400
0.203040
0.182736
05-07-2010
25.28
18.70
0.842666
0.406080
0.365472
05-07-2010
27.04
20.01
0.540800
0.406080
0.365472
05-07-2010
15.12
11.19
0.302400
0.152280
0.137052
05-07-2010
20.57
15.22
0.411400
0.304560
0.274104
05-07-2010
36.44
27.86
0.728800
0.609120
0.548208
05-07-2010
12.42
9.19
0.248400
0.203040
0.182736
05-07-2010
22.47
16.62
22.470000
22.470000
20.223000
05-07-2010
60.46
46.22
0.604600
0.369202
0.332282
05-07-2010
30.97
22.91
0.619400
0.619400
0.557460
05-07-2010
57.04
43.61
0.570400
0.369202
0.332282
05-07-2010
33.27
25.44
0.554500
0.369202
0.332282
05-07-2010
71.98
56.93
1.439600
1.107615
0.996853
05-07-2010
33.13
25.33
1.656500
1.107615
0.996853
05-07-2010
133.24
109.14
1.332400
1.107615
0.996853
05-07-2010
65.80
52.04
1.316000
1.107615
0.996853
05-07-2010
132.78
108.76
1.327800
1.107615
0.996853
05-07-2010
63.47
50.20
1.057833
1.057833
0.952049
05-07-2010
94.31
74.59
1.886200
1.476824
1.329142
05-07-2010
42.90
32.80
2.145000
1.476824
1.329142
05-07-2010
174.76
143.15
1.747600
1.476824
1.329142
05-07-2010
72.55
57.38
1.451000
1.451000
1.305900
05-07-2010
168.76
138.24
1.687600
1.476824
1.329142
05-07-2010
85.76
67.83
1.429333
1.429333
1.286399
05-07-2010
65.06
49.74
2.168666
2.168666
1.951799
05-07-2010
43.36
33.15
2.168000
2.168000
1.951200
05-07-2010
195.28
159.96
1.952800
1.952800
1.757520
05-07-2010
123.39
97.59
2.056500
2.056500
1.850850
05-07-2010
104.00
82.25
3.466666
2.953649
2.658284
05-07-2010
70.57
55.81
3.528500
2.953649
2.658284
05-07-2010
328.74
269.28
3.287400
2.953649
2.658284
05-07-2010
196.91
161.30
3.281833
2.953649
2.658284
05-07-2010
3.24
2.40
0.162000
0.095076
0.085568
05-07-2010
17.89
13.24
0.715600
0.715600
0.644040
05-07-2010
6.64
4.91
6.640000
3.803040
3.422736
05-07-2010
4.68
3.46
4.680000
3.803040
3.422736
05-07-2010
44.42
33.96
8.884000
8.884000
7.995600
05-07-2010
12.45
9.21
2.490000
1.159919
1.043927
05-07-2010
1.97
1.46
0.098500
0.098500
0.088650
05-07-2010
3.14
2.32
0.104666
0.104666
0.094199
05-07-2010
1.05
0.78
0.052500
0.052500
0.047250
05-07-2010
8.32
6.16
1.664000
0.850005
0.765004
05-07-2010
70.46
55.73
0.704600
0.704600
0.634140
0N05BAR V
05-07-2010
32.54
24.08
6.508000
6.508000
5.857200
5
25
20
50
20
50
20
50
10
20
10
30
10
20
10
30
20
30
30
30
20
30
30
30
20
30
30
30
30
30
30
20
20
20
20
15
7
10
0N05BAR K
0N05BAO V
0N05BAO V
0N05BAO V
0N05BAO V
0N05BAO V
0N05BAO V
0N05BAO V
0N05BAO V
0N05BAO V
0N05BAO V
0N05BAO V
0N05BAO V
0N05BAO V
0N05BAO V
0N05BAO V
0N05BAO V
0N05BAO V
0N05BAO V
0N05BAO V
0N05BAO V
0N05BAO V
0N05BAO V
0N05BAO V
0N05BAO V
0N05BAO V
0N05BAO V
0N05BAO V
0N05BAO V
0N05BAO V
0N05BAO V
0N05CDO V
0N05CDO V
0N05CDO V
9N05CF01O V
9N05CF02O V
9N05CF02O V
9N05CF02O V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
25.93
3.81
2.43
5.59
2.23
8.60
2.45
6.69
3.08
2.13
1.56
7.15
1.56
3.10
2.38
5.64
2.68
4.35
4.92
8.91
4.24
7.44
5.79
12.67
6.04
8.23
12.57
31.05
7.21
11.33
28.60
1.37
1.57
2.39
15.45
6.92
2.97
4.13
19.18
2.82
1.80
4.14
1.65
6.36
1.81
4.95
2.28
1.58
1.15
5.29
1.15
2.29
1.76
4.17
1.98
3.22
3.64
6.59
3.14
5.50
4.28
9.37
4.47
6.09
9.30
22.97
5.33
8.38
21.16
1.01
1.16
1.77
11.43
5.12
2.20
3.06
5.186000
0.152400
0.121500
0.111800
0.111500
0.172000
0.122500
0.133800
0.308000
0.106500
0.156000
0.238333
0.156000
0.155000
0.238000
0.188000
0.134000
0.145000
0.164000
0.297000
0.212000
0.248000
0.193000
0.422333
0.302000
0.274333
0.419000
1.035000
0.240333
0.377666
0.953333
0.068500
0.078500
0.119500
0.772500
0.461333
0.424285
0.413000
5.186000
0.132787
0.121500
0.111800
0.111500
0.132787
0.122500
0.106229
0.039836
0.039836
0.079672
0.079672
0.079672
0.079672
0.079672
0.066393
0.066393
0.066393
0.066393
0.132787
0.132787
0.132787
0.132787
0.265574
0.265574
0.265574
0.265574
0.531149
0.132787
0.265574
0.531149
0.055743
0.078500
0.111487
0.772500
0.422588
0.422588
0.413000
4.667400
0.119508
0.109350
0.100620
0.100350
0.119508
0.110250
0.095606
0.035852
0.035852
0.071705
0.071705
0.071705
0.071705
0.071705
0.059754
0.059754
0.059754
0.059754
0.119508
0.119508
0.119508
0.119508
0.239017
0.239017
0.239017
0.239017
0.478034
0.119508
0.239017
0.478034
0.050169
0.070650
0.100338
0.695250
0.380329
0.380329
0.371700
16 / 135
Denumire medicament
SANVAL (R) 10 mg
ZOLPIDEM 10 mg
BUNAPTE
BUNAPTE
ZOLPIDEM ACTAVIS 10 mg
ZOLPIDEM ATB 10 MG
STILNOX 10 mg
STILNOX 10 mg
ZOLSANA 5 mg
ANAFRANIL (R) 10 mg
ANAFRANIL (R) 25 mg
AMITRIPTILIN 25 R. DESITIN
AMITRIPTILINA ARENA 25 mg
DOXEPIN 25 mg
FLUOXIN 20 mg
FLUOXIN 20 mg
FLURAN
MAGRILAN 20 mg
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
SEROXAT 20 mg
PALUXETIL 20 mg
PAXETIN 20 mg
PAROXETIN TEVA 20 mg
REXETIN
PALUXETIL 40 mg
ZOLOFT 100 mg
SERLIFT 100 mg
ASENTRA (R)
STIMULOTON (R) 100 mg
SERTRALIN SANDOZ 100 mg
SERTRALINA 100 mg
SETALOFT 100 mg
ASERTIN 100 mg
SERTRALINA BIOGALENICA 100 mg
XIMPROVE 100 mg
SERTRALIN 100 mg
ZOLOFT 50 mg
SERLIFT 50 mg
ASENTRA (R)
STIMULOTON (R) 50 mg
SERTRALIN SANDOZ 50 mg
SERTRALINA 50 mg
SETALOFT 50 mg
ASERTIN 50 mg
SERTRALINA BIOGALENICA 50 mg
XIMPROVE 50 mg
SERTRALIN 50 mg
ZOLOFT (R)
FEVARIN (R) 100
FLUVOXAMINE TEVA 100 mg
FEVARIN (R) 50
FLUVOXAMINE TEVA 50 mg
MIANSERIN 10
MIANSERIN 30
MIANSERIN 10 mg
MIANSERIN 30 mg
REMERON SOLTAB 30 mg
MIRZATEN (R) 30 mg
ESPRITAL (R) 30
MIRTAZAPINE-TEVA 30 mg
PHARMATAZ 30 mg
MIRTAZAPIN AUROBINDO 15 mg
MIRZATEN Q-TAB 30 mg
MIRTAZAPINA BLUEFISH 30 mg
ZULIN 30 mg
ZULIN 30 mg
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
VENLAFAXINA ACTAVIS 150 mg
FOBILESS 37,5 mg
NOPEKAR 37,5 mg
Substan activ
ZOLPIDEMUM
ZOLPIDEMUM
ZOLPIDEMUM
ZOLPIDEMUM
ZOLPIDEMUM
ZOLPIDEMUM
ZOLPIDEMUM
ZOLPIDEMUM
ZOLPIDEMUM
CLOMIPRAMINUM
CLOMIPRAMINUM
AMITRIPTYLINUM
AMITRIPTYLINUM
DOXEPINUM
FLUOXETINUM
FLUOXETINUM
FLUOXETINUM
FLUOXETINUM
FLUOXETINUM
FLUOXETINUM
CITALOPRAMUM
CITALOPRAMUM
CITALOPRAMUM
CITALOPRAMUM
CITALOPRAMUM
CITALOPRAMUM
CITALOPRAMUM
CITALOPRAMUM
CITALOPRAMUM
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
SERTRALINUM
FLUVOXAMINUM
FLUVOXAMINUM
FLUVOXAMINUM
FLUVOXAMINUM
MIANSERINUM
MIANSERINUM
MIANSERINUM
MIANSERINUM
MIRTAZAPINUM
MIRTAZAPINUM
MIRTAZAPINUM
MIRTAZAPINUM
MIRTAZAPINUM
MIRTAZAPINUM
MIRTAZAPINUM
MIRTAZAPINUM
MIRTAZAPINUM
MIRTAZAPINUM
MIRTAZAPINUM
MIRTAZAPINUM
VENLAFAXINUM
VENLAFAXINUM
VENLAFAXINUM
VENLAFAXINUM
VENLAFAXINUM
VENLAFAXINUM
VENLAFAXINUM
VENLAFAXINUM
VENLAFAXINUM
VENLAFAXINUM
VENLAFAXINUM
VENLAFAXINUM
VENLAFAXINUM
VENLAFAXINUM
Form farmaceutic
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
DRAJ.
DRAJ.
CAPS. RET.
COMPR. FILM.
DRAJ.
CAPS.
CAPS.
CAPS.
CAPS.
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.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
CONC. PT. SOL. ORALA
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
DRAJ.
DRAJ.
COMPR. DISP.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. ORODISPERSABILE
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.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
Concentraie
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
5mg
10mg
25mg
25mg
25mg
25mg
20mg
20mg
20mg
20mg
20mg
20mg
10mg
10mg
10mg
20mg
20mg
20mg
40mg
40mg
40mg
20mg
20mg
20mg
20mg
20mg
20mg
40mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
20mg/ml
100mg
100mg
50mg
50mg
10mg
30mg
10mg
30mg
30mg
30mg
30mg
30mg
30mg
15mg
30mg
30mg
30mg
30mg
30mg
45mg
150 mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
37,5mg
37,5mg
Cantitate Cod boli

20
10
10
20
7
10
10
20
20
30
30
50
50
30
14
28
30
30
20
28
28
30
28
28
30
28
28
30
28
30
30
30
30
30
30
30
28
28
28
28
30
30
28
30
28
28
28
28
28
28
30
30
30
28
30
28
28
28
1
30
30
30
30
100
20
30
20
30
30
30
30
30
30
30
30
30
6
30
30
28
28
28
30
30
28
30
30
30
100
30
28
30
28
Mentiuni
sublista
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
Cod
medicament
W13133002
W13658001
W52951001
W52951002
W53337001
W53913001
W54358001
W54358002
W43128002
W01358001
W01359001
W00323001
W52017001
W02865001
W13241001
W13241002
W13585001
W08497001
W52902001
W10228001
W43494001
W43705001
W43993001
W43495001
W43706001
W43994001
W43496001
W43707001
W43995001
W41796001
W04913003
W42515001
W43958002
W52950004
W54836001
W42516001
W05515001
W44097001
W12874001
W41888002
W42676001
W43276001
W52511006
W53111003
W53214001
W53282002
W55174001
W05516001
W44096001
W12873001
W13745001
W42675001
W42836001
W52510006
W53112003
W53213001
W53283002
W55173001
W14101001
W03236001
W43292002
W03237001
W43293004
W41583002
W41584002
W42624001
W42635001
W12823003
W42062001
W42267001
W43779001
W44013002
W52955003
W52486008
W52953003
W52956003
W53476001
W53476002
W52957003
W55194001
W12589003
W52122001
W52962005
W53270003
W53494001
W53486006
W53499003
W53627004
W53627008
W53630003
W54057002
W53268003
W53496001
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
Grupa
terapeutica RO
9N05CF02O V
9N05CF02O V
9N05CF02O V
9N05CF02O V
9N05CF02O V
9N05CF02O V
9N05CF02O V
9N05CF02O V
9N05CF02O V
0N06AAO V
0N06AAO V
0N06AAO V
0N06AAO V
0N06AAO V
0N06ABO V
0N06ABO V
0N06ABO V
0N06ABO V
0N06ABO V
0N06ABO V
0N06ABO V
0N06ABO V
0N06ABO V
0N06ABO V
0N06ABO V
0N06ABO V
0N06ABO V
0N06ABO V
0N06ABO V
0N06ABO V
0N06ABO V
0N06ABO V
0N06ABO V
0N06ABO V
0N06ABO V
0N06ABO V
0N06ABO V
0N06ABO V
0N06ABO V
0N06ABO V
0N06ABO V
0N06ABO V
0N06ABO V
0N06ABO V
0N06ABO V
0N06ABO V
0N06ABO V
0N06ABO V
0N06ABO V
0N06ABO V
0N06ABO V
0N06ABO V
0N06ABO V
0N06ABO V
0N06ABO V
0N06ABO V
0N06ABO V
0N06ABO V
0N06ABO V
0N06ABO V
0N06ABO V
0N06ABO V
0N06ABO V
9N06AX03O V
9N06AX03O V
9N06AX03O V
9N06AX03O V
9N06AX11O V
9N06AX11O V
9N06AX11O V
9N06AX11O V
9N06AX11O V
9N06AX11O V
9N06AX11O V
9N06AX11O V
9N06AX11O V
9N06AX11O V
9N06AX11O V
9N06AX11O V
9N06AX16O V
9N06AX16O V
9N06AX16O V
9N06AX16O V
9N06AX16O V
9N06AX16O V
9N06AX16O V
9N06AX16O V
9N06AX16O V
9N06AX16O V
9N06AX16O V
9N06AX16O V
9N06AX16O V
9N06AX16O V

Pre de
Valoare
Valabil de la /amb
/amb
compensare/UT
05-07-2010
8.26
6.11
0.413000
0.413000
0.371700
05-07-2010
4.25
3.14
0.425000
0.422588
0.380329
05-07-2010
4.25
3.14
0.425000
0.422588
0.380329
05-07-2010
8.35
6.18
0.417500
0.417500
0.375750
05-07-2010
2.97
2.20
0.424285
0.422588
0.380329
05-07-2010
4.25
3.14
0.425000
0.422588
0.380329
05-07-2010
6.55
4.85
0.655000
0.422588
0.380329
05-07-2010
14.19
10.50
0.709500
0.422588
0.380329
05-07-2010
13.53
10.01
0.676500
0.211294
0.190164
05-07-2010
7.21
5.33
0.240333
0.123297
0.110967
05-07-2010
14.28
10.57
0.476000
0.308242
0.277418
05-07-2010
22.51
16.65
0.450200
0.410989
0.369890
05-07-2010
14.98
11.08
0.299600
0.299600
0.269640
05-07-2010
18.26
13.51
0.608666
0.308242
0.277418
05-07-2010
11.25
8.32
0.803571
0.564977
0.508479
05-07-2010
22.00
16.28
0.785714
0.564977
0.508479
05-07-2010
16.44
12.16
0.548000
0.548000
0.493200
05-07-2010
17.60
13.02
0.586666
0.564977
0.508479
05-07-2010
15.07
11.15
0.753500
0.564977
0.508479
05-07-2010
36.73
28.08
1.311785
0.564977
0.508479
05-07-2010
7.37
5.45
0.263214
0.263214
0.236892
05-07-2010
7.10
5.25
0.236666
0.236666
0.212999
05-07-2010
7.37
5.45
0.263214
0.263214
0.236892
05-07-2010
10.71
7.92
0.382500
0.382500
0.344250
05-07-2010
39.46
30.17
1.315333
0.564977
0.508479
05-07-2010
10.71
7.92
0.382500
0.382500
0.344250
05-07-2010
33.50
24.79
1.196428
1.129954
1.016959
05-07-2010
32.30
23.90
1.076666
1.076666
0.968999
05-07-2010
33.50
24.79
1.196428
1.129954
1.016959
05-07-2010
22.99
17.01
0.766333
0.564977
0.508479
05-07-2010
34.22
26.16
1.140666
0.564977
0.508479
05-07-2010
22.99
17.01
0.766333
0.564977
0.508479
05-07-2010
22.99
17.01
0.766333
0.564977
0.508479
05-07-2010
22.99
17.01
0.766333
0.564977
0.508479
05-07-2010
46.06
35.21
1.535333
0.564977
0.508479
05-07-2010
61.55
47.06
2.051666
1.129954
1.016959
05-07-2010
68.35
54.06
2.441071
1.129954
1.016959
05-07-2010
35.19
26.90
1.256785
1.129954
1.016959
05-07-2010
40.75
31.15
1.455357
1.129954
1.016959
05-07-2010
35.19
26.90
1.256785
1.129954
1.016959
05-07-2010
37.71
28.83
1.257000
1.129954
1.016959
05-07-2010
37.55
28.71
1.251666
1.129954
1.016959
05-07-2010
34.00
25.99
1.214285
1.129954
1.016959
05-07-2010
37.55
28.71
1.251666
1.129954
1.016959
05-07-2010
35.19
26.90
1.256785
1.129954
1.016959
05-07-2010
35.19
26.90
1.256785
1.129954
1.016959
05-07-2010
43.24
33.06
1.544285
1.129954
1.016959
05-07-2010
36.89
28.20
1.317500
0.564977
0.508479
05-07-2010
19.49
14.42
0.696071
0.564977
0.508479
05-07-2010
22.82
16.88
0.815000
0.564977
0.508479
05-07-2010
20.89
15.46
0.696333
0.564977
0.508479
05-07-2010
20.77
15.37
0.692333
0.564977
0.508479
05-07-2010
20.88
15.45
0.696000
0.564977
0.508479
05-07-2010
18.69
13.83
0.667500
0.564977
0.508479
05-07-2010
21.12
15.63
0.704000
0.564977
0.508479
05-07-2010
19.49
14.42
0.696071
0.564977
0.508479
05-07-2010
19.49
14.42
0.696071
0.564977
0.508479
05-07-2010
23.11
17.10
0.825357
0.564977
0.508479
05-07-2010
65.47
51.78
65.470000
0.225990
0.203391
05-07-2010
48.73
37.26
1.624333
0.564977
0.508479
05-07-2010
32.73
24.22
1.091000
0.564977
0.508479
05-07-2010
25.15
18.61
0.838333
0.282488
0.254239
05-07-2010
16.33
12.08
0.544333
0.282488
0.254239
05-07-2010
46.58
35.61
0.465800
0.308961
0.278065
05-07-2010
25.99
19.23
1.299500
0.926887
0.834199
05-07-2010
8.63
6.39
0.287666
0.287666
0.258899
05-07-2010
21.71
16.06
1.085500
0.926887
0.834199
05-07-2010
81.95
64.81
2.731666
1.260833
1.134749
05-07-2010
37.83
28.92
1.261000
1.260833
1.134749
05-07-2010
37.83
28.92
1.261000
1.260833
1.134749
05-07-2010
37.81
28.91
1.260333
1.260333
1.134299
05-07-2010
35.94
27.48
1.198000
1.198000
1.078200
05-07-2010
24.56
18.17
0.818666
0.630416
0.567374
05-07-2010
37.83
28.92
1.261000
1.260833
1.134749
05-07-2010
37.83
28.92
1.261000
1.260833
1.134749
05-07-2010
38.02
29.07
1.267333
1.260833
1.134749
05-07-2010
7.81
5.78
1.301666
1.260833
1.134749
05-07-2010
37.81
28.91
1.260333
1.260333
1.134299
05-07-2010
63.37
48.45
2.112333
1.891249
1.702124
05-07-2010
91.33
72.23
3.261785
2.446799
2.202119
05-07-2010
135.66
111.12
4.845000
2.446799
2.202119
05-07-2010
91.33
72.23
3.261785
2.446799
2.202119
05-07-2010
75.14
59.43
2.504666
2.446799
2.202119
05-07-2010
97.80
77.35
3.260000
2.446799
2.202119
05-07-2010
91.33
72.23
3.261785
2.446799
2.202119
05-07-2010
97.54
77.14
3.251333
2.446799
2.202119
05-07-2010
97.85
77.39
3.261666
2.446799
2.202119
05-07-2010
96.01
75.93
3.200333
2.446799
2.202119
05-07-2010
303.48
248.59
3.034800
2.446799
2.202119
05-07-2010
97.85
77.39
3.261666
2.446799
2.202119
05-07-2010
75.21
59.48
2.686071
2.446799
2.202119
05-07-2010
35.49
27.13
1.183000
0.611699
0.550529
05-07-2010
46.45
35.51
1.658928
0.611699
0.550529
17 / 135
A
A
A
A
A
W12043001
W41683001
W43499001
W43881003
W43881001
A
A
A
W00680001 PULMICORT TURBUHALER 200 mcg/doza BUDESONIDUM

W43882003 FRENOLYN 400
BUDESONIDUM
W43882002 FRENOLYN 400
BUDESONIDUM
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
W52856001
W03767001
W44064001
W10493001
W42239001
W08503001
W42627001
W43437001
W13716001
W07705001
W43436001
W13717001
W43435001
W13718001
W05848001
W13715001
W01411002
W01409002
W10630001
W11887002
W42290001
W01407004
W54406001
W55070002
W01189001
W42728001
W12818002
W01150002
W03904003
W03904001
W12605001
W11534001
W11987002
W52907001
W03905001
W51506001
Denumire medicament
ADOXA EP 37,5 mg
VENLAGAMMA 37,5 mg
VENLAGAMMA 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
ADOXA 25 mg
ADOXA 25 mg
VENLAFAXINA LPH 37,5 mg
VELAXIN 37,5 mg
ADOXA 37,5 mg
ADOXA 37,5 mg
ADOXA 50 mg
ADOXA 50 mg
VENLAFAXINA LPH 75 mg
VELAXIN 75 mg
ADOXA 75 mg
ADOXA 75 mg
ARGOFAN 150 SR
ARGOFAN 75 SR
VENLAFAXINA ACTAVIS 37,5 mg
NEOSTIGMINA LPH 15 mg
DUADOR 200 mg
ZENTEL 200 mg
ALBENDAZOL
ALBENDAZOL
ZENTEL 0,4 g/10 ml
VERMIGAL NOVO 400 mg
DECARIS 150 mg
LEVAMISOL ARENA 150 mg
DECARIS 50 mg
LEVAMISOL ARENA 50 mg
VENTOLIN (R)
VENTOLIN (R)
VENTOLIN 100 INHALER CFC-FREE
ASTHALIN INHALER
ECOBEC EASI - BREATHE 250 mcg CFC
FREE
CLENIL (R) JET 250 mcg
RINOCLENIL 100
FRENOLYN 200
FRENOLYN 200
IPRAXA 500mcg/2ml
IPRAVENT INHALER 20mcg/doza
SALBUTAMOL EIPICO 2mg/5ml
VENTOLIN 2mg/5ml
VENTOLIN (R)
SALBUTAMOL T
SALBUTAMOL
THEO SR 100
TEOFILINA SR 100 mg
TEOTARD (R) 200
THEO SR 200
TEOFILINA SR 200 mg
THEO SR 300
TEOFILINA SR 300 mg
TEOTARD (R) 350
TEOFILINA SR 50 mg
FOSFAT DE CODEINA 15 mg
CODEINA FOSFORICA
FARMACOD
CODEINA FOSFAT 15 mg
CODEINA FOSFAT
CODEINA FOSFAT LPH 15 mg
CODEINA FOSFAT MCC 15 mg
CODEINA FOSFAT 15 mg
CLORFENIRAMIN
CELERG
LETIZEN (R) 10 mg
ZYRTEC 10 mg/ml
KETOF 1 mg
KETOF 1 mg
KETOTIFEN LPH (R) 1 mg
H - KETOTIFEN
KETOTIFEN
KETOTIFEN LAROPHARM 1 mg
KETOF 1 mg/5 ml
CIPLOX (vezi S01AX13)
Substan activ
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
NEOSTIGMINI BROMIDUM
ALBENDAZOLUM
ALBENDAZOLUM
ALBENDAZOLUM
ALBENDAZOLUM
ALBENDAZOLUM
ALBENDAZOLUM
LEVAMISOLUM
LEVAMISOLUM
LEVAMISOLUM
LEVAMISOLUM
SALBUTAMOLUM
SALBUTAMOLUM
SALBUTAMOLUM
SALBUTAMOLUM
Form farmaceutic
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.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. FILM.
COMPR. FILM.
COMPR.
COMPR. FILM.
COMPR. FILM.
COMPR.FILM
COMPR.FILM
SUSP. ORALA
SUSP. ORALA
COMPR.
COMPR.
COMPR.
COMPR.
SOL. INHAL.
SOL. INHAL.
SUSP. INHAL. PRESURIZATA
Cantitate Cod boli

Concentraie
37,5mg
30
37,5mg
30
37,5mg
100
75 mg
28
75mg
28
75mg
28
75mg
30
75mg
30
75mg
28
75mg
30
75mg
30
75mg
30
75mg
100
75mg
30
75mg
28
25mg
30
25mg
30
37,5mg
60
37,5mg
56
37,5mg
30
37,5mg
30
50mg
30
50mg
30
75mg
60
75mg
56
75mg
30
75mg
30
150mg
30
75mg
30
37,5 mg
56
75mg
56
15mg
20
200mg
2
200mg
2
200mg
2
FARA CONCENT2
0,4g/10ml
1
400mg/10ml
1
150mg
1
150mg
1
50mg
2
50mg
2
5mg/ml
1
5mg/ml
1
100mcg/doza
1
100mcg/doza
1
BECLOMETASONUM
BECLOMETASONUM
BECLOMETASONUM
BUDESONIDUM
BUDESONIDUM
AEROSOL SOL. INHAL.

SOL. INHALAT PRESURIZATA
SPRAY NAZ.,SUSP.
PULB. INHAL.
PULB. INHAL.
250mcg/doza
250mcg/doza
100mcg/doza
200 mcg/doza
200 mcg/doza
PULB. INHAL.
PULB. INHAL.
PULB. INHAL.
SOL. DE INHALAT PRIN
NEBULIZ.
SIROP
SIROP
SOL. INJ.
SOL. ORALA
SOL. ORALA
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.
COMPR.
COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.
PICATURI ORALE-SOL.
CAPS.
CAPS.
COMPR.
COMPR.
COMPR.
COMPR.
SIROP
UNG. OFT.
IPRATROPII BROMIDUM
IPRATROPII BROMIDUM
SALBUTAMOLUM
SALBUTAMOLUM
SALBUTAMOLUM
SALBUTAMOLUM
SALBUTAMOLUM
THEOPHYLLINUM
THEOPHYLLINUM
THEOPHYLLINUM
THEOPHYLLINUM
THEOPHYLLINUM
THEOPHYLLINUM
THEOPHYLLINUM
THEOPHYLLINUM
THEOPHYLLINUM
CODEINUM
CODEINUM
CODEINUM
CODEINUM
CODEINUM
CODEINUM
CODEINUM
CODEINUM
CHLORPHENAMINUM
CETIRIZINUM
CETIRIZINUM
CETIRIZINUM
KETOTIFENUM
KETOTIFENUM
KETOTIFENUM
KETOTIFENUM
KETOTIFENUM
KETOTIFENUM
KETOTIFENUM
CIPROFLOXACINUM
Mentiuni
sublista
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
Cod
medicament
W53483006
W53625004
W53625008
W55192001
W12588002
W52123001
W52961005
W53269003
W53495001
W53485006
W53498003
W53626004
W53626008
W53629003
W54056002
W53376001
W53376002
W42662001
W43057002
W53375001
W53375002
W53377001
W53377002
W42661001
W43059002
W53378001
W53378002
W52959001
W52958001
W53044006
W53046007
W52868001
W13994001
W12018001
W43708001
W55178001
W00228001
W53484001
W14081001
W55331001
W14082001
W55330001
W12650001
W12650002
W10597001
W51508001
Grupa
terapeutica RO
9N06AX16O V
9N06AX16O V
9N06AX16O V
9N06AX16O V
9N06AX16O V
9N06AX16O V
9N06AX16O V
9N06AX16O V
9N06AX16O V
9N06AX16O V
9N06AX16O V
9N06AX16O V
9N06AX16O V
9N06AX16O V
9N06AX16O V
9N06AX16O V
9N06AX16O V
9N06AX16O V
9N06AX16O V
9N06AX16O V
9N06AX16O V
9N06AX16O V
9N06AX16O V
9N06AX16O V
9N06AX16O V
9N06AX16O V
9N06AX16O V
9N06AX16O V
9N06AX16O V
9N06AX16O V
9N06AX16O V
9N07AA01O V
9P02CA03O V
9P02CA03O V
9P02CA03O V
9P02CA03O V
9P02CA03O K
9P02CA03O K
9P02CE01O V
9P02CE01O V
9P02CE01O V
9P02CE01O V
9R03AC02Inh V
9R03AC02Inh V
9R03AC02Inh V
9R03AC02Inh V

Pre de
Valoare
Valabil de la /amb
/amb
compensare/UT
05-07-2010
41.57
31.78
1.385666
0.611699
0.550529
05-07-2010
21.05
15.57
0.701666
0.611699
0.550529
05-07-2010
65.64
51.91
0.656400
0.611699
0.550529
05-07-2010
47.42
36.25
1.693571
1.223399
1.101059
05-07-2010
70.53
55.78
2.518928
1.223399
1.101059
05-07-2010
47.42
36.25
1.693571
1.223399
1.101059
05-07-2010
32.83
25.10
1.094333
1.094333
0.984899
05-07-2010
50.77
38.81
1.692333
1.223399
1.101059
05-07-2010
47.42
36.25
1.693571
1.223399
1.101059
05-07-2010
50.65
38.72
1.688333
1.223399
1.101059
05-07-2010
50.82
38.85
1.694000
1.223399
1.101059
05-07-2010
35.26
26.96
1.175333
1.175333
1.057799
05-07-2010
111.66
88.31
1.116600
1.116600
1.004940
05-07-2010
50.82
38.85
1.694000
1.223399
1.101059
05-07-2010
47.61
36.40
1.700357
1.223399
1.101059
05-07-2010
29.21
21.61
0.973666
0.973666
0.876299
05-07-2010
29.21
21.61
0.973666
0.407799
0.367019
05-07-2010
62.11
47.48
1.035166
0.611699
0.550529
05-07-2010
58.00
44.34
1.035714
0.611699
0.550529
05-07-2010
32.13
23.77
1.071000
0.611699
0.550529
05-07-2010
32.13
23.77
1.071000
0.611699
0.550529
05-07-2010
38.41
29.37
1.280333
0.815599
0.734039
05-07-2010
38.41
29.37
1.280333
0.815599
0.734039
05-07-2010
77.33
61.16
1.288833
1.223399
1.101059
05-07-2010
72.29
57.17
1.290892
1.223399
1.101059
05-07-2010
40.78
31.18
1.359333
1.223399
1.101059
05-07-2010
40.78
31.18
1.359333
1.223399
1.101059
05-07-2010
111.51
88.19
3.717000
2.446799
2.202119
05-07-2010
57.90
44.27
1.930000
1.223399
1.101059
05-07-2010
38.02
29.07
0.678928
0.611699
0.550529
05-07-2010
63.65
50.34
1.136607
1.136607
1.022946
05-07-2010
13.70
10.14
0.685000
0.685000
0.616500
05-07-2010
6.36
4.71
3.180000
3.180000
2.862000
05-07-2010
9.80
7.25
4.900000
3.187500
2.868750
05-07-2010
6.38
4.72
3.190000
3.187500
2.868750
05-07-2010
6.38
4.72
3.190000
3.187500
2.868750
05-07-2010
5.73
4.24
5.730000
3.807000
3.426300
05-07-2010
3.73
2.76
3.730000
3.730000
3.357000
05-07-2010
3.41
2.52
3.410000
3.410000
3.069000
05-07-2010
3.41
2.52
3.410000
3.410000
3.069000
05-07-2010
3.02
2.23
1.510000
1.136655
1.022989
05-07-2010
3.02
2.23
1.510000
1.136655
1.022989
05-07-2010
8.89
6.58
8.890000
1.720800
1.548720
05-07-2010
15.10
11.17
15.100000
3.441600
3.097440
05-07-2010
10.48
7.75
10.480000
8.604000
7.743600
05-07-2010
6.80
5.03
6.800000
6.800000
6.120000
1
1
1
1
1
9R03BA01Inh V
9R03BA01Inh V
9R03BA01Inh V
9R03BA02Inh V
9R03BA02Inh V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
91.77
101.72
48.42
101.69
41.13
72.58
80.45
37.02
80.43
31.44
91.770000
101.720000
48.420000
101.690000
41.130000
91.770000
96.745000
38.698000
84.000000
41.130000
82.593000
87.070500
34.828200
75.600000
37.017000
200mcg/doza
400 mcg/doza
400 mcg/doza
1
1
1
9R03BA02Inh V 05-07-2010
9R03BA02Inh V 05-07-2010
9R03BA02Inh V 05-07-2010
60.61
171.96
84.00
46.34
140.86
66.43
60.610000
171.960000
84.000000
42.000000
168.000000
84.000000
37.800000
151.200000
75.600000
500mcg/2ml
20mcg/doza
2mg/5ml
2mg/5ml
0,5mg/ml
0,04%
2mg/5ml
100mg
100mg
200mg
200mg
200mg
300mg
300mg
350mg
50mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
4mg
10 mg
10mg
10mg/ml
1mg
1mg
1mg
1mg
1mg
1mg
1mg/5ml
0,3%
20
1
1
1
5
1
1
20
10
40
10
10
10
10
40
10
30
25
20
20
20
20
20
20
20
20
20
1
50
20
20
20
20
20
1
1
9R03BB01Inh V
9R03BB01Inh V
0R03CCO K
0R03CCO K
0R03CCP V
0R03CCO K
0R03CCO K
0R03DAO V
0R03DAO V
0R03DAO V
0R03DAO V
0R03DAO V
0R03DAO V
0R03DAO V
0R03DAO V
0R03DAO V
9R05DA04O V
9R05DA04O V
9R05DA04O V
9R05DA04O V
9R05DA04O V
9R05DA04O V
9R05DA04O V
9R05DA04O V
9R06AB04O V
1R06AEO V
1R06AEO V
1R06AEO K
0R06AXO V
0R06AXO V
0R06AXO V
0R06AXO V
0R06AXO V
0R06AXO V
0R06AXO K
9S01AX13F V
31.76
12.57
3.05
5.61
3.54
2.67
3.99
5.70
2.85
9.37
4.27
2.34
5.95
5.95
13.94
3.61
4.90
5.12
3.02
2.96
3.02
3.19
3.64
2.96
2.30
21.11
13.50
22.93
13.76
5.24
3.30
3.64
3.44
3.44
11.40
4.27
23.50
9.30
2.26
4.15
2.62
1.98
2.95
4.22
2.11
6.93
3.16
1.73
4.40
4.40
10.31
2.67
3.63
3.79
2.23
2.19
2.23
2.36
2.69
2.19
1.70
15.62
9.99
16.97
10.18
3.88
2.44
2.69
2.55
2.55
8.43
3.16
1.588000
12.570000
3.050000
5.610000
0.708000
2.670000
3.990000
0.285000
0.285000
0.234250
0.427000
0.234000
0.595000
0.595000
0.348500
0.361000
0.163333
0.204800
0.151000
0.148000
0.151000
0.159500
0.182000
0.148000
0.115000
1.055500
0.675000
22.930000
0.275200
0.262000
0.165000
0.182000
0.172000
0.172000
11.400000
4.270000
1.575437
12.570000
3.050000
3.918750
0.708000
2.612500
2.612500
0.105300
0.105300
0.210600
0.210600
0.210600
0.315900
0.315900
0.348500
0.052650
0.150250
0.150250
0.150250
0.148000
0.150250
0.150250
0.150250
0.148000
0.115000
0.977962
0.675000
22.930000
0.205481
0.205481
0.165000
0.182000
0.172000
0.172000
0.144791
4.270000
1.417893
11.313000
2.745000
3.526875
0.637200
2.351250
2.351250
0.094770
0.094770
0.189540
0.189540
0.189540
0.284310
0.284310
0.313650
0.047385
0.135225
0.135225
0.135225
0.133200
0.135225
0.135225
0.135225
0.133200
0.103500
0.880166
0.607500
20.637000
0.184933
0.184933
0.148500
0.163800
0.154800
0.154800
0.130312
3.843000
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
18 / 135
W02229001 BETABIOPTAL
A
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
W42433001
W53765001
W54294004
W54294003
W53727001
W54296003
W54296004
W54296005
W54296006
W54403001
W54401001
W54405001
W54405003
W54511003
W54511006
W54514003
W54514006
W54515003
W54515006
W54684002
W54871003
W54404002
W54402001
W54994001
W54994003
W54512003
W54512006
W54516003
W54516006
W54517003
W54517006
W54685002
W54872003
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
A
A
Grupa
terapeutica RO
1S01BCF V
1S01BCF V

Pre de
Valoare
Valabil de la /amb
/amb
compensare/UT
05-07-2010
5.02
3.71
5.020000
5.020000
4.518000
05-07-2010
11.20
8.29
11.200000
10.910000
9.819000
0,1%
1
FARA CONCENT1
1S01BCF V
9S01CA05F V
05-07-2010
05-07-2010
10.68
4.50
7.90
3.33
10.680000
4.500000
5.455000
4.500000
4.909500
4.050000
PICATURI OFT.SUSP.
0,2g+0,5g/100ml 1
9S01CA05F V
05-07-2010
13.42
9.93
13.420000
7.051500
6.346350
UNG. OFT.
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.
0,2g+0,5g/100g
20mg
20mg
20mg
40mg
40mg
40mg
40mg
40mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
1
28
30
28
28
14
28
15
30
28
28
10
30
14
28
14
28
14
28
30
28
28
28
10
30
14
28
14
28
14
28
30
28
9S01CA05F V
0A02BCO V
0A02BCO V
0A02BCO V
0A02BCO V
0A02BCO V
0A02BCO V
0A02BCO V
0A02BCO V
0A02BCO V
0A02BCO V
0A02BCO V
0A02BCO V
0A02BCO V
0A02BCO V
0A02BCO V
0A02BCO V
0A02BCO V
0A02BCO V
0A02BCO V
0A02BCO V
0A02BCO V
0A02BCO V
0A02BCO V
0A02BCO V
0A02BCO V
0A02BCO V
0A02BCO V
0A02BCO V
0A02BCO V
0A02BCO V
0A02BCO V
0A02BCO V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
15.41
22.00
34.76
32.77
31.54
35.67
51.85
38.22
55.54
22.00
22.00
3.56
10.68
10.82
21.68
10.74
21.51
10.92
21.85
21.82
22.53
31.54
31.54
6.50
19.52
15.52
31.06
15.64
31.31
15.41
30.82
32.70
33.71
11.40
16.28
26.57
25.05
23.34
27.27
39.64
29.22
42.46
16.28
16.28
2.63
7.90
8.01
16.04
7.95
15.91
8.08
16.17
16.14
16.67
23.34
23.34
4.81
14.44
11.48
22.98
11.57
23.17
11.40
22.80
25.00
25.77
15.410000
0.785714
1.158666
1.170357
1.126428
2.547857
1.851785
2.548000
1.851333
0.785714
0.785714
0.356000
0.356000
0.772857
0.774285
0.767142
0.768214
0.780000
0.780357
0.727333
0.804642
1.126428
1.126428
0.650000
0.650666
1.108571
1.109285
1.117142
1.118214
1.100714
1.100714
1.090000
1.203928
7.051500
0.339449
0.339449
0.339449
0.678899
0.678899
0.678899
0.678899
0.678899
0.339449
0.339449
0.339449
0.339449
0.339449
0.339449
0.339449
0.339449
0.339449
0.339449
0.339449
0.339449
0.678899
0.678899
0.650000
0.650666
0.678899
0.678899
0.678899
0.678899
0.678899
0.678899
0.678899
0.678899
6.346350
0.169724
0.169724
0.169724
0.339449
0.339449
0.339449
0.339449
0.339449
0.169724
0.169724
0.169724
0.169724
0.169724
0.169724
0.169724
0.169724
0.169724
0.169724
0.169724
0.169724
0.339449
0.339449
0.325000
0.325333
0.339449
0.339449
0.339449
0.339449
0.339449
0.339449
0.339449
0.339449
LIOF. PT. SOL. INJ.

PULB. PT. SOL. INJ.
PULB. PT. SOL. INJ.
PULB. PT. SOL. INJ.
PULB. PT. SOL. INJ.
PULB. PT. SOL. INJ.
PULB. PT. SOL. INJ.
PULB. PT. SOL. INJ.
PULB. PT. SOL. INJ.
PULB. PT. SOL. INJ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
GRAN. GASTROREZ. PT.
SUSP.ORALA
COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
CAPS. GASTROREZ.
SPUMA RECTALA
SPUMA RECTALA
CAPS.
PULB. PT. SOL. ORALA
CAPS.
CAPS.
CAPS. MOI
CAPS. MOI
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
20mg
20mg
40mg
40mg
20mg
20mg
20mg
40mg
40mg
1
1
5
20
1
5
20
1
5
20
14
28
14
28
7
14
14
14
14
0A02BCP V
0A02BCP V
0A02BCP V
0A02BCP V
0A02BCP V
0A02BCP V
0A02BCP V
0A02BCP V
0A02BCP V
0A02BCP V
0A02BCO V
0A02BCO V
0A02BCO V
0A02BCO V
0A02BCO V
0A02BCO V
0A02BCO V
0A02BCO V
0A02BCO V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
33.53
21.79
100.15
377.32
21.45
98.60
372.10
21.62
99.37
374.71
30.09
58.24
44.02
83.61
20.31
39.32
30.09
59.42
44.02
24.81
16.12
79.21
311.16
15.87
77.98
306.38
16.00
78.59
308.77
22.26
44.53
33.65
66.13
15.03
30.06
22.26
45.43
33.65
33.530000
21.790000
20.030000
18.866000
21.450000
19.720000
18.605000
21.620000
19.874000
18.735500
2.149285
2.080000
3.144285
2.986071
2.901428
2.808571
2.149285
4.244285
3.144285
17.363700
17.363700
17.363700
18.866000
19.293000
19.293000
18.605000
19.293000
19.293000
18.735500
0.452599
0.452599
0.905199
0.905199
0.452599
0.452599
0.452599
0.905199
0.905199
8.681850
8.681850
8.681850
9.433000
9.646500
9.646500
9.302500
9.646500
9.646500
9.367750
0.226299
0.226299
0.452599
0.452599
0.226299
0.226299
0.226299
0.452599
0.452599
10mg
40mg
1g
1g
120mg
40mg
200mg
100mg/5ml
3mg
2mg/doza
2mg/doza
100mg
10mg
30mg
120mg
120mg
0,25mcg
0,50mcg
28
10
20
50
40
30
12
1
100
1
2
20
16
30
21
84
50
30
0A02BCO K
0A02BCP V
0A02BXO V
0A02BXO V
0A02BXO V
9A03AB06O V
9A07AA11O V
9A07AA11O V
MSP 9A07EA06O V
MSP 9A07EA06R V
MSP 9A07EA06R V
9A07XA04O V
9A07XA04O V
9A07XA04O V
CNAS 9A08AB01O V
CNAS 9A08AB01O V
1A11CCO V
1A11CCO V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
173.85
296.78
6.18
15.92
39.86
33.48
36.53
19.06
443.67
418.29
742.56
43.48
40.95
40.95
91.82
301.06
33.55
31.32
142.41
243.10
4.57
11.78
30.47
24.77
27.93
14.10
372.04
348.75
646.25
33.24
31.31
31.31
72.62
246.61
25.65
23.17
6.208928
29.678000
0.309000
0.318400
0.996500
1.116000
3.044166
19.060000
4.436700
418.290000
371.280000
2.174000
2.559375
1.365000
4.372380
3.584047
0.671000
1.044000
6.208928
25.723993
0.309000
0.313700
0.313700
1.116000
3.044166
6.343312
4.436700
383.032500
371.280000
1.592550
1.592550
1.365000
3.781130
3.584047
0.453000
0.906000
3.104464
12.861996
0.154500
0.156850
0.156850
0.558000
1.522083
3.171656
2.218350
191.516250
185.640000
0.796275
0.796275
0.682500
1.890565
1.792023
0.226500
0.453000
Substan activ
DICLOFENACUM
DICLOFENACUM
Form farmaceutic
PIC. OFT.-SOL.
PICATURI OFT.-SOL.
Concentraie
1mg/ml
0,1%
DICLOFENACUM
COMBINATII
COMBINATII
(CLORAMPHENICOLUM+BETHAMETAS
ONUM)
COMBINATII
(CLORAMPHENICOLUM+BETHAMETAS
ONUM)
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
PICATURI OFT.-SOL.
SOL. OFT.
Cantitate Cod boli

1
1
Mentiuni
sublista
A
A
Cod
W51939001 DICLOFENAC RPH
W41921001 UNICLOPHEN (R) 0,1%
DICLOGESIC 0,1% PICATURI
W51962001 OFTALMICE, SOLUTIE
W52025001 OPHTAMESONE - N
W54295001
W54513001
W54513004
W54513006
W54518001
W54518002
W54518006
W54519001
W54519002
W54519006
W55421002
W55421004
W55422002
W55422004
W06755003
W06755002
W54221002
W06756002
W54222002
BETABIOPTAL
SELTRAZ 20 mg
CONTROLOC 20 mg
CONTROLOC 20 mg
SELTRAZ 40 mg
CONTROLOC 40mg
CONTROLOC 40mg
CONTROLOC 40mg
CONTROLOC 40mg
PANTEXEL 20 mg
ZIPANTOLA 20 mg
PACID 20 mg
PACID 20 mg
PANTOPRAZOL NYCOMED 20 mg
DYSPEX 20 mg
DYSPEX 20 mg
PANTOSAL 20 mg
PANTOSAL 20 mg
NOLPAZA 20 mg
AZATOL 20 mg
PANTEXEL 40 mg
ZIPANTOLA 40 mg
PACID 40 mg
PACID 40 mg
PANTOSAL 40 mg
PANTOSAL 40 mg
DYSPEX 40 mg
DYSPEX 40 mg
NOLPAZA 40mg
AZATOL 40 mg
CONTROLOC 40mg LIOFILIZAT PENTRU
SOLUTIE INJECTABILA
PANTOPRAZOL NYCOMED I.V. 40 mg
DYSPEX I.V. 40 mg
DYSPEX I.V. 40 mg
DYSPEX I.V. 40 mg
PANTOSAL I.V. 40 mg
PANTOSAL I.V. 40 mg
PANTOSAL I.V. 40 mg
EMANERA 20 mg
EMANERA 20 mg
EMANERA 40 mg
EMANERA 40 mg
NEXIUM 20 mg
NEXIUM 20 mg
ESOMEPRAZOL SANDOZ 20 mg
NEXIUM 40 mg
ESOMEPRAZOL SANDOZ 40 mg
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
W53101001
W54870002
W44052002
W05702001
W43173002
W04674001
W05444001
W05445001
W08631001
W54445001
W54445002
W41577002
W41575002
W41576003
W12604001
W12604003
W00231001
W44042001
NEXIUM 10 mg
NEXIUM 40 mg
GASTROFAIT
VENTER
DE - NOL
SPASMOMEN (R)
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
ESOMEPRAZOLUM
ESOMEPRAZOLUM
SUCRALFATUM
SUCRALFATUM
BISMUTHI SUBCITRAS
OTILONIUM BROMIDUM
RIFAXIMINUM
RIFAXIMINUM
BUDESONIDUM
BUDESONIDUM
BUDESONIDUM
RACECADOTRILUM
RACECADOTRILUM
RACECADOTRILUM
ORLISTATUM
ORLISTATUM
ALFACALCIDOLUM
ALFACALCIDOLUM
W00107003 THIOGAMMA (R) 600 oral (vezi A16AX01)
ACIDUM TIOCTICUM (ALFA-LIPOICUM) COMPR. FILM.
600mg
100
MSP
9A16AX01O V
05-07-2010
212.56
174.12
2.125600
2.125600
1.062800
600mg
30
MSP
9A16AX01O V
05-07-2010
68.44
54.13
2.281333
2.154524
1.077262
600mg
60
MSP
9A16AX01O V
05-07-2010
129.85
106.36
2.164166
2.154524
1.077262
W52168001 THIOCTACID (R) 600 HR (vezi N07XN03)

THIOGAMMA (R) 600 INJEKT (vezi
W00108001 N07XN03)
600mg
30
MSP
9A16AX01O V
05-07-2010
103.46
81.83
3.448666
2.154524
1.077262
ACIDUM TIOCTICUM (ALFA-LIPOICUM) CONC. PT. SOL. PERF.
30mg/ml
MSP
9A16AX01P V
05-07-2010
134.04
109.80
26.808000
25.443250
12.721625
19 / 135
Concentraie
Cantitate Cod boli

ACIDUM TIOCTICUM (ALFA-LIPOICUM) CONC. PT. SOL. PERF.
30mg/ml
20
ACIDUM TIOCTICUM (ALFA-LIPOICUM) SOL. INJ.
25mg/ml
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
MSP
9A16AX01P V
05-07-2010
490.10
414.63
24.505000
24.505000
12.252500
MSP
9A16AX01P V
05-07-2010
136.87
112.11
27.374000
25.443250
12.721625
ACIDUM TIOCTICUM (ALFA-LIPOICUM)

DALTEPARINUM
DALTEPARINUM
DALTEPARINUM
DALTEPARINUM
DALTEPARINUM
DALTEPARINUM
DALTEPARINUM
DALTEPARINUM
ENOXAPARINUM
ENOXAPARINUM
ENOXAPARINUM
ENOXAPARINUM
SOL. PERF.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
12mg/ml
10
10000UI/0,4ml 5
10000ui/ml
10
12500 UI/0,5ml 5
15000ui/0,6ml
5
18000 UI/0,72ml 5
2500ui/0,2ml
10
5000ui/0,2ml
10
7500ui/0,3ml
10
2000ui anti-Xa/0,210
8000ui anti-Xa/0,82
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
9A16AX01P V
1B01ABP V
1B01ABP V
1B01ABP V
1B01ABP V
1B01ABP V
1B01ABP V
1B01ABP V
1B01ABP V
1B01ABP V
1B01ABP V
1B01ABP V
1B01ABP V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
257.56
125.68
266.21
170.47
206.39
234.71
77.41
141.82
202.52
72.76
144.23
187.44
52.07
210.98
102.95
218.06
139.64
169.06
192.26
61.22
116.17
165.89
57.55
118.14
153.54
39.81
25.756000
25.136000
26.621000
34.094000
41.278000
46.942000
7.741000
14.182000
20.252000
7.276000
14.423000
18.744000
26.035000
25.443250
25.136000
26.621000
33.753333
40.504000
46.942000
6.750666
13.501333
20.252000
6.750666
13.501333
18.744000
26.035000
12.721625
12.568000
13.310500
16.876666
20.252000
23.471000
3.375333
6.750666
10.126000
3.375333
6.750666
9.372000
13.017500
NADROPARINUM
SOL. INJ.
2850 ui AFXa/0,3 10
MSP
1B01ABP V
05-07-2010
75.24
59.51
7.524000
6.750666
3.375333
NADROPARINUM
SOL. INJ.
3800 ui AFXa/0,4 10
MSP
1B01ABP V
05-07-2010
103.22
81.64
10.322000
9.000886
4.500443
NADROPARINUM
SOL. INJ.
5700 ui AFXa/0,6 10
MSP
1B01ABP V
05-07-2010
132.15
108.25
13.215000
13.215000
6.607500
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
CAPS. MOI
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.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
CAPS.
7600 ui AXa/0,8m10
1432ui/0,25ml
10
3436ui/0,6ml
5
10000u ANTIF. X 2
10000u ANTIF. X 10
10000u ANTIF. X 2
20000u ANTIF. X 2
20000u ANTIF. X 2
20000u ANTIF. X 10
20000u ANTIF. X 2
250ULS
50
600ULS/2ml
10
300mg
30
75 mg
28
75 mg
28
75mg
28
75mg
30
75mg
28
75mg
28
75mg
28
75mg
28
75mg
30
75mg
28
75mg
28
75mg
84
75mg
84
75mg
28
75mg
30
75mg
28
75mg
84
75mg
28
75mg
28
75mg
30
75mg
28
75mg
28
300mg
50
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
1B01ABP V
1B01ABP V
1B01ABP V
1B01ABP V
1B01ABP V
1B01ABP V
1B01ABP V
1B01ABP V
1B01ABP V
1B01ABP V
9B01AB11O V
9B01AB11P V
0B01ACO V
0B01ACO V
0B01ACO V
0B01ACO V
0B01ACO V
0B01ACO V
0B01ACO V
0B01ACO V
0B01ACO V
0B01ACO V
0B01ACO V
0B01ACO V
0B01ACO V
0B01ACO V
0B01ACO V
0B01ACO V
0B01ACO V
0B01ACO V
0B01ACO V
0B01ACO V
0B01ACO V
0B01ACO V
0B01ACO V
0B01ACO V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
189.31
84.26
101.17
35.03
534.94
26.07
73.48
102.92
1,110.78
126.78
109.68
78.24
779.14
89.27
90.28
122.06
83.62
89.27
84.40
90.42
79.30
84.97
68.37
68.37
215.10
215.10
89.27
85.00
96.30
273.95
79.30
79.30
85.00
68.32
68.32
84.73
155.07
66.64
80.01
26.78
455.77
19.29
58.11
81.40
984.06
103.85
86.74
61.88
679.81
70.60
71.40
96.54
66.13
70.60
66.75
71.51
62.72
67.20
54.07
54.07
176.20
176.20
70.60
67.23
76.16
224.40
62.72
62.72
67.23
54.03
54.03
67.01
18.931000
8.426000
20.234000
17.515000
53.494000
13.035000
36.740000
51.460000
111.078000
63.390000
2.193600
7.824000
25.971333
3.188214
3.224285
4.359285
2.787333
3.188214
3.014285
3.229285
2.832142
2.832333
2.441785
2.441785
2.560714
2.560714
3.188214
2.833333
3.439285
3.261309
2.832142
2.832142
2.833333
2.440000
2.440000
1.694600
18.001773
6.760104
16.220488
8.679426
38.575233
6.750666
19.287613
27.002666
77.150473
34.717713
2.193600
7.824000
9.626484
2.406621
2.406621
2.406621
2.406621
2.406621
2.406621
2.406621
2.406621
2.406621
2.406621
2.406621
2.406621
2.406621
2.406621
2.406621
2.406621
2.406621
2.406621
2.406621
2.406621
2.406621
2.406621
1.203310
9.000886
3.380052
8.110244
4.339713
19.287616
3.375333
9.643806
13.501333
38.575236
17.358856
1.096800
3.912000
4.813242
1.203310
1.203310
1.203310
1.203310
1.203310
1.203310
1.203310
1.203310
1.203310
1.203310
1.203310
1.203310
1.203310
1.203310
1.203310
1.203310
1.203310
1.203310
1.203310
1.203310
1.203310
1.203310
0.601655
CAPS. ELIB. MODIF.

SOL. INJ. IN SERINGA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
25mg/200mg
60
MSP
9B01AC30O V
05-07-2010
63.46
48.52
1.057666
1.057666
0.528833
10mg/0,8ml
10
MSP
9B01AX05P V
05-07-2010
651.90
563.07
65.190000
65.190000
32.595000
2,5mg/0,5ml
10
MSP
9B01AX05P V
05-07-2010
233.24
191.05
23.324000
18.334687
9.167343
5mg/0,4ml
10
MSP
9B01AX05P V
05-07-2010
458.30
385.46
45.830000
36.669375
18.334687
7,5mg/0,6ml
10
MSP
9B01AX05P V
05-07-2010
651.90
563.07
65.190000
55.004062
27.502031
SOL. INJ./PERF.
CAPS.
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. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
20mg/ml
200mg
5mg
5mg
7,5mg
7,5mg
0,2mg
0,2mg
0,2mg
0,3mg
0,4mg
0,4mg
0,4mg
1mg
1mg
2mg
25mg
25mg
50mg
50mg
5
100
28
56
56
28
28
28
30
30
28
28
30
30
30
30
30
10
30
10
3B03A5P V
9C01BB02O V
0C01EBO V
0C01EBO V
0C01EBO V
0C01EBO V
0C02ACO V
0C02ACO V
0C02ACO V
0C02ACO V
0C02ACO V
0C02ACO V
0C02ACO V
0C02ACO V
9C02CA01O V
9C02CA01O V
9C03DA04O V
9C03DA04O V
9C03DA04O V
9C03DA04O V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
149.42
58.62
159.86
239.70
259.74
159.86
32.42
32.42
21.74
25.81
46.72
46.72
33.07
41.51
5.72
8.00
185.16
66.25
185.16
66.25
122.39
44.82
130.95
196.35
212.76
130.95
23.99
23.99
16.08
19.10
35.72
35.72
24.47
31.74
4.23
5.92
151.67
52.40
151.67
52.40
29.884000
0.586200
5.709285
4.280357
4.638214
5.709285
1.157857
1.157857
0.724666
0.860333
1.668571
1.668571
1.102333
1.383666
0.190666
0.266666
6.172000
6.625000
6.172000
6.625000
29.884000
0.586200
0.285513
0.285513
0.428270
0.428270
0.516199
0.516199
0.516199
0.774299
1.032399
1.032399
1.032399
0.774299
0.147666
0.266666
3.255875
3.255875
6.172000
6.511750
14.942000
0.293100
0.142756
0.142756
0.214135
0.214135
0.258099
0.258099
0.258099
0.387149
0.516199
0.516199
0.516199
0.387149
0.073833
0.133333
1.627937
1.627937
3.086000
3.255875
Substan activ
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
W53289002 THIOCTACID 600T (vezi N07XN03)

THIOGAMMA (R) TURBO-SET (vezi
W13510002 N07XN03)
W43774001 FRAGMIN 10000 UI/0,4 ml
W52806002 FRAGMIN 10000 UI/ml
W43775001 FRAGMIN 12500 UI/0,5 ml
W52805003 FRAGMIN15000 UI/0,6 ml
W43776001 FRAGMIN 18000 UI/0,72 ml
W52809004 FRAGMIN 2500 UI/0,2 ml
W52808004 FRAGMIN 5000 UI/0,2 ml
W52807002 FRAGMIN 7500 UI/0,3 ml
W13613002 CLEXANE 2000ui anti-Xa/0,2ml
FRAXIPARINE (R) 2850 UI anti-factor
W41789001 Xa/0,3 ml
W41790001 Xa/0,4 ml
W41788001 Xa/0,6 ml
W41791001 Xa/0,8 ml
W12805002 CLIVARIN (R) 1432UI/0,25 ml
W12806001 CLIVARIN (R) 3436 UI/0,6 ml
W12409001 INNOHEP
W08678002 INNOHEP
W12409002 INNOHEP
W42118001 INNOHEP
W42118002 INNOHEP
W08679002 INNOHEP
W42118003 INNOHEP
W05757002 VESSEL DUE F
W05758001 VESSEL DUE F
W53035002 PLAVIX 300mg
W54060002 CLOPIDOGREL TEVA 75 mg
W54626003 ZYLLT
W01373004 PLAVIX 75mg
W54317002 TROMBEX 75 mg
W54490001 EGITROMB 75 mg
W54756003 CLOPIDOGREL MYLAN 75mg
W54973001 TROGRAN 75 mg
W54744002 CLOPIDOGREL DR. REDDY'S 75 mg
W54744003 CLOPIDOGREL DR. REDDY'S 75 mg
W54853001 CLOPIGAMMA 75 mg
W54937002 PLAVOCORIN 75 mg
W55014003 TESSYRON 75 mg
W54935001 TUXEDON 75 mg
W54935002 TUXEDON 75 mg
W55371005 CLOPIDOGREL ACTAVIS 75 mg
W55447002 DEFROZYP 75 mg
W55445003 TESSYRON 75 mg
W54933002 CLORODEN 75 mg
W54933009 CLORODEN 75 mg
W53412001 AFLEN (R)
W43737002 AGGRENOX
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
TRIFLUSALUM
COMBINATII (ACID
ACETYLSALICYLICUM+DIPYRIDAMOL
UM)
W43261003 ARIXTRA 10mg/0,8ml
FONDAPARINUX SODIUM
W43258003 ARIXTRA 2,5mg/0,5ml
FONDAPARINUX SODIUM
W43259003 ARIXTRA 5mg/0,4ml
FONDAPARINUX SODIUM
W43260003 ARIXTRA 7,5mg/0,6ml
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
W51230001
W04293001
W42777002
W42777003
W42779003
W42779002
W04402002
W04402001
W42538001
W42539001
W04404001
W04404002
W42540001
W05447001
W05229001
W05230001
W42324004
W42324001
W42325004
W42325001
FONDAPARINUX SODIUM
SUCROZA
MEXILETINUM
IVABRADINUM
IVABRADINUM
IVABRADINUM
IVABRADINUM
MOXONIDINUM
MOXONIDINUM
MOXONIDINUM
MOXONIDINUM
MOXONIDINUM
MOXONIDINUM
MOXONIDINUM
RILMENIDINUM
PRAZOSINUM
PRAZOSINUM
EPLERENONUM
EPLERENONUM
EPLERENONUM
EPLERENONUM
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
VENOFER (R)
MEXITIL (R) 200 mg
CORLENTOR 5mg
CORLENTOR 5mg
CORLENTOR 7,5mg
CORLENTOR 7,5mg
PHYSIOTENS 0,2
PHYSIOTENS 0,2
MOXOGAMMA 0,2 mg
MOXOGAMMA 0,3 mg
PHYSIOTENS 0,4
PHYSIOTENS 0,4
MOXOGAMMA 0,4 mg
TENAXUM
MINIPRESS (R) 1 mg
MINIPRESS (R) 2 mg
INSPRA 25 mg
INSPRA 25 mg
INSPRA 50 mg
INSPRA 50 mg
Mentiuni
sublista
B
Cod
W00108003 N07XN03)
Form farmaceutic
MSP
MSP
MSP
MSP
Valoare
compensare/UT
20 / 135
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
W54451001
W43263001
W03328002
W11615001
W55080005
W53962006
W04501002
W52443005
W53475001
W53475002
W53828006
W53839001
W54369007
W54369008
W54524005
W55035003
W41854001 LODOZ 10 mg
W41852001 LODOZ 2,5 mg
W41853001 LODOZ 5 mg
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
W01849001
W03916001
W12827003
W54509003
W55253005
W55253006
W55253007
W55253008
W43062010
W54510003
W55254005
W55254006
W55254007
W55254008
W54193003
W41464001
W52436001
W52889001
W53478004
W54042001
W54042002
W54194003
W55290004
W52437001
W52890001
W53262004
W53479004
W54043001
W54043002
W55291004
W42663001
W42664001
W12968001
W12969001
W12579001
W05984001
W55036001
Denumire medicament
NICERIUM (R) 15
NICERIUM (R) 30 UNO
NICERGOLINA LPH 10 mg
GRALIN 10 mg
SERMION
GRALIN 30 mg
GRALIN 5 mg
NICERIUM (R) 10
SINERGOLIN 10
SINERGOLIN 30
SINERGOLIN 30
OXYBRAL SR 30 mg
VINCAMIL
VINCAMINA
BILOBIL INTENS 120 mg (vezi N06DX02)
BILOBIL 40 mg (C04AXN1)
BILOBIL 40 mg (C04AXN1)
BILOBIL FORTE (vezi C04AXN1)
GINGIUM 120mg (vezi N06DX02)
FLAVOTAN 40 mg (C04AXN1)
TANAKAN (EGB 761) (N06DX02)
GINGIUM 40mg (vezi N06DX02 )
TEBOKAN (vezi C04AXN1)
TEBOKAN (vezi C04AXN1)
GINKOFAR 40 mg (vezi N06DX02)
GINKO BILOBA BIOFARM 40 mg (vezi
N06DX02)
GINGIUM 80mg (vezi N06DX02)
TANAKAN (EGB 761) (C04AXN1)
DETRALEX ( R )
EZOCEM 5 mg
NEBLOTENSOL 5 mg
NEBILET (R)
NEBIVOLOL ACTAVIS 5 mg
NEBACOP 5 mg
NEBACOP 5 mg
X-PRESSOL 5 mg
NOLET 5 mg
NEBIVOLOL TEVA 5 mg
NEBIVOLOL TEVA 5 mg
VOXNEBIN 5 mg
NEBINORM 5 mg
LOGIMAX (R)
LACIPIL 4 mg
LERIDIP
LERCANIDIPIN ACTAVIS 10 mg
LERPIN 10 mg
LERPIN 10 mg
LERPIN 10 mg
LERPIN 10 mg
LERIDIP 20
LERCANIDIPIN ACTAVIS 20 mg
LERPIN 20 mg
LERPIN 20 mg
LERPIN 20 mg
LERPIN 20 mg
PRENESSA 2 mg
COVEREX (R) 4 mg
PERINDOPRIL TEVA 4 mg
VIDOTIN 4 mg
PRINDEX 4 mg
TREZEN 4 mg
TREZEN 4 mg
PRENESSA 4 mg
PRINDEX 4 mg
PERINDOPRIL TEVA 8 mg
VIDOTIN 8 mg
PRENESSA 8 mg
PRINDEX 8 mg
TREZEN 8 mg
TREZEN 8 mg
PRINDEX 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
Substan activ
NICERGOLINUM
NICERGOLINUM
NICERGOLINUM
NICERGOLINUM
NICERGOLINUM
NICERGOLINUM
NICERGOLINUM
NICERGOLINUM
NICERGOLINUM
NICERGOLINUM
NICERGOLINUM
NICERGOLINUM
NICERGOLINUM
VINCAMINUM
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
Form farmaceutic
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.
COMPR.
DRAJ.
CAPS.
CAPS.
CAPS.
CAPS.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
Concentraie
15mg
30mg
10mg
10mg
30mg
30mg
30mg
5mg
5mg
10mg
10mg
30mg
30mg
30mg
20mg
10mg
120mg
40mg
40mg
80mg
120mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
Cantitate Cod boli

30
30
30
30
30
30
30
30
30
25
20
30
20
10
50
20
60
20
60
60
30
30
30
30
50
20
20
60
90
GINKGO BILOBA
GINKGO BILOBA
GINKGO BILOBA
DIOSMINUM (COMBINATII)
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
COMBINATII
(BISOPROLOLUM+HYDROCHLOROTHI
AZIDUM)
COMBINATII
AZIDUM)
COMBINATII
AZIDUM)
COMBINATII
(METOPROLOLUL+FELODIPINUM)
LACIDIPINUM
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
PERINDOPRILUM
BENAZEPRILUM
BENAZEPRILUM
BENAZEPRILUM
TRANDOLAPRILUM
TRANDOLAPRILUM
COMPR. FILM.
COMPR. FILM.
PICATURI ORALE-SOL.
COMPR. FILM.
COMPR
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
40mg
80mg
40mg/ml
500mg
5mg
5 mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
30
30
1
30
28
30
28
30
28
30
30
30
28
30
28
30
COMPR. FILM.
Mentiuni
sublista
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
Cod
medicament
W13535001
W13536001
W42840001
W54408001
W04516004
W42841001
W54409001
W42839001
W54407001
W04514001
W08193002
W52057002
W52057001
W06109001
W43946001
W06107003
W54246002
W03323001
W03323002
W43052002
W43264001
W13569001
W03327001
W43262001
W43409002
W43409001
W53113001
W53113002
W53113003
Grupa
terapeutica RO
0C04AEO V
0C04AEO V
0C04AEO V
0C04AEO V
0C04AEO V
0C04AEO V
0C04AEO V
0C04AEO V
0C04AEO V
0C04AEO V
0C04AEO V
0C04AEO V
0C04AEO V
9C04AX07O V
9C04AX07O V
9C04AX07O V
9C04AXN1O V
9C04AXN1O V
9C04AXN1O V
9C04AXN1O V
9C04AXN1O V
9C04AXN1O V
9C04AXN1O V
9C04AXN1O V
9C04AXN1O V
9C04AXN1O V
9C04AXN1O V
9C04AXN1O V
9C04AXN1O V

Pre de
Valoare
Valabil de la /amb
/amb
compensare/UT
05-07-2010
27.83
20.59
0.927666
0.402599
0.201299
05-07-2010
51.26
39.19
1.708666
0.402599
0.201299
05-07-2010
13.42
9.93
0.447333
0.402599
0.201299
05-07-2010
13.42
9.93
0.447333
0.402599
0.201299
05-07-2010
48.19
36.84
1.606333
0.402599
0.201299
05-07-2010
32.37
23.95
1.079000
0.402599
0.201299
05-07-2010
32.37
23.95
1.079000
0.402599
0.201299
05-07-2010
6.75
4.99
0.225000
0.225000
0.112500
05-07-2010
6.75
4.99
0.225000
0.225000
0.112500
05-07-2010
14.08
10.42
0.563200
0.402599
0.201299
05-07-2010
9.06
6.70
0.453000
0.402599
0.201299
05-07-2010
32.31
23.90
1.077000
0.402599
0.201299
05-07-2010
21.54
15.94
1.077000
0.402599
0.201299
05-07-2010
9.24
6.84
0.924000
0.289850
0.144925
05-07-2010
13.76
10.18
0.275200
0.275200
0.137600
05-07-2010
6.09
4.51
0.304500
0.289850
0.144925
05-07-2010
65.02
51.42
1.083666
1.083666
0.541833
05-07-2010
9.57
7.08
0.478500
0.398972
0.199486
05-07-2010
27.44
20.30
0.457333
0.398972
0.199486
05-07-2010
45.18
34.54
0.753000
0.753000
0.376500
05-07-2010
33.65
25.73
1.121666
1.121666
0.560833
05-07-2010
13.70
10.14
0.456666
0.398972
0.199486
05-07-2010
25.15
18.61
0.838333
0.398972
0.199486
05-07-2010
12.45
9.21
0.415000
0.398972
0.199486
05-07-2010
23.31
17.25
0.466200
0.398972
0.199486
05-07-2010
9.31
6.89
0.465500
0.398972
0.199486
05-07-2010
9.17
6.78
0.458500
0.398972
0.199486
05-07-2010
26.55
19.64
0.442500
0.398972
0.199486
05-07-2010
36.64
28.01
0.407111
0.398972
0.199486
9C04AXN1O V
9C04AXN1O V
9C04AXN1O K
9C05CA53O V
0C07ABO V
0C07ABO V
0C07ABO V
0C07ABO V
0C07ABO V
0C07ABO V
0C07ABO V
0C07ABO V
0C07ABO V
0C07ABO V
0C07ABO V
0C07ABO V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
12.28
23.45
24.82
26.33
25.49
27.01
54.26
27.30
25.47
27.30
27.01
30.29
22.76
24.38
13.79
27.18
9.09
17.35
18.36
19.48
18.86
19.98
41.48
20.20
18.84
20.20
19.98
22.41
16.84
18.04
10.20
20.11
0.409333
0.781666
24.820000
0.877666
0.910357
0.900333
1.937857
0.910000
0.909642
0.910000
0.900333
1.009666
0.812857
0.812666
0.492500
0.906000
0.398972
0.781666
24.820000
0.877666
0.426374
0.426374
0.426374
0.426374
0.426374
0.426374
0.426374
0.426374
0.426374
0.426374
0.426374
0.426374
0.199486
0.390833
12.410000
0.438833
0.213187
0.213187
0.213187
0.213187
0.213187
0.213187
0.213187
0.213187
0.213187
0.213187
0.213187
0.213187
FARA CONCENT30
9C07BB07O V
05-07-2010
29.40
21.75
0.980000
0.927000
0.463500
COMPR. FILM.
FARA CONCENT30
9C07BB07O V
05-07-2010
26.22
19.40
0.874000
0.874000
0.437000
COMPR. FILM.
FARA CONCENT30
9C07BB07O V
05-07-2010
29.40
21.75
0.980000
0.927000
0.463500
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.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
CAPS.
CAPS.
50mg+5mg
4mg
10mg
10mg
10mg
10mg
10mg
10mg
20mg
20mg
20mg
20mg
20mg
20mg
2mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
10 mg
5mg
10mg
20mg
5mg
0,5mg
0,5mg
9C07EBN1O V
1C08CAO V
1C08CAO V
1C08CAO V
1C08CAO V
1C08CAO V
1C08CAO V
1C08CAO V
1C08CAO V
1C08CAO V
1C08CAO V
1C08CAO V
1C08CAO V
1C08CAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
44.44
12.77
63.82
41.48
41.15
70.76
130.99
133.08
71.80
49.12
48.45
81.85
151.57
154.10
13.41
28.95
32.88
33.37
32.74
25.81
25.81
26.81
32.74
53.31
53.32
49.33
53.87
49.00
49.00
53.87
63.45
41.02
43.56
57.17
21.74
9.69
7.92
33.98
9.45
48.79
31.71
31.46
55.96
107.30
109.01
56.79
37.55
37.04
64.73
124.16
126.23
9.92
21.42
24.33
24.69
24.22
19.10
19.10
19.84
24.22
40.76
40.76
37.71
41.18
37.46
37.46
41.18
50.18
31.36
33.30
43.71
16.08
7.17
5.86
1.481333
0.912142
2.279285
1.481428
1.469642
1.415200
1.336632
1.330800
2.564285
1.754285
1.730357
1.637000
1.546632
1.541000
0.447000
0.965000
1.096000
1.112333
1.091333
0.860333
0.860333
0.893666
1.091333
1.777000
1.777333
1.644333
1.795666
1.633333
1.633333
1.795666
2.115000
1.367333
1.555714
2.041785
0.776428
0.484500
0.282857
1.481333
0.288450
0.288450
0.288450
0.288450
0.288450
0.288450
0.288450
0.576900
0.576900
0.576900
0.576900
0.576900
0.576900
0.100170
0.200340
0.200340
0.200340
0.200340
0.200340
0.200340
0.200340
0.200340
0.400680
0.400680
0.400680
0.400680
0.400680
0.400680
0.400680
0.500850
0.250425
0.267119
0.534239
0.133559
0.050085
0.050085
0.740666
0.144225
0.144225
0.144225
0.144225
0.144225
0.144225
0.144225
0.288450
0.288450
0.288450
0.288450
0.288450
0.288450
0.050085
0.100170
0.100170
0.100170
0.100170
0.100170
0.100170
0.100170
0.100170
0.200340
0.200340
0.200340
0.200340
0.200340
0.200340
0.200340
0.250425
0.125212
0.133559
0.267119
0.066779
0.025042
0.025042
30
14
28
28
28
50
98
100
28
28
28
50
98
100
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
28
28
28
20
28
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
21 / 135
W52394004 CO-PRENESSA 2mg/0,625 mg
W52393004 CO-PRENESSA 4mg/1,25 mg
W54255004 NOLITERAX 10 mg/2,5mg
W52783004 NOLIPREL ARG 2,5mg/0,625mg
W52784004 NOLIPREL ARG FORTE 5mg/1,25mg
W52785004 PRESTARIUM ARG PLUS 5mg/1,25mg
W43136001 ACCUZIDE
W43137001 ACCUZIDE FORTE
W52873001 EDOLFIX H 20mg/12,5mg
W53990002 ENEAS
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
W43331001
W43619001
W43618001
W43617001
W42416002
W42417002
W00766003
W54059001
W00768003
W13090002
W54274008
W55585002
W05785002
W54273008
W55586002
W51359001 HYZAAR (R) 50 mg/12,5 mg
W43460003 LORISTA H
W07646001 COAPROVEL 150mg/12,5mg
W07647001 COAPROVEL 300mg/12,5mg
W52542002 COAPROVEL 300mg/25mg
W12033002 MICARDISPLUS 80/12,5mg
W53178002 MICARDISPLUS 80/25mg
W54271007 PRITOR PLUS 80mg/12,5mg
W54276007 PRITOR PLUS 80mg/25mg
W51851005 EXFORGE 10mg/160mg
B
B
B
B
B
B
B
W51853003
W51413001
W54257005
W51414001
W54258005
W51412001
W12893001
Denumire medicament
FEZZOR 1 mg
GOPTEN (R) 2 mg
TRANDOLAPRIL GALEX 2 mg
FEZZOR 2 mg
GOPTEN (R) 4 mg
TRANDOLAPRIL GALEX 4 mg
FEZZOR 4 mg
ZOMEN (R) 30 mg
ZOMEN (R) 7,5 mg
TARKA
DIOVAN 160 mg
DIOVAN 40 mg
DIOVAN 80 mg
APROVEL 150mg
APROVEL 300mg
ATACAND
ATACAND 32 mg
ATACAND
MICARDIS 40 mg
PRITOR 40 mg
TOLURA 40 mg
MICARDIS 80 mg
PRITOR 80 mg
TOLURA 80 mg
EXFORGE 5mg/80mg
LESCOL 20 mg
LUVINSTA 20 mg
LESCOL 40 mg
LUVINSTA 40 mg
LESCOL XL 80 mg
SORTIS 10 mg
Substan activ
TRANDOLAPRILUM
TRANDOLAPRILUM
TRANDOLAPRILUM
TRANDOLAPRILUM
TRANDOLAPRILUM
TRANDOLAPRILUM
TRANDOLAPRILUM
ZOFENOPRILUM
ZOFENOPRILUM
COMBINATII
(PERINDOPRILUM+INDAPAMIDUM)
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
(QUINAPRILUM+HYDROCHLOROTHIAZ
IDUM)
COMBINATII
IDUM)
COMBINATII
IDUM)
COMBINATII
(NITRENDIPINUM+ENALAPRILUM)
COMBINATII
(VERAPAMILUM+TRANDOLAPRILUM)
VALSARTANUM
VALSARTANUM
VALSARTANUM
IRBESARTANUM
IRBESARTANUM
CANDESARTANUM CILEXETIL
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
COMBINATII
(LOSARTANUM+HYDROCHLOROTHIAZ
IDUM)
COMBINATII
(LOSARTANUM+HYDROCHLOROTHIAZ
IDUM)
COMBINATII
(IRBERSARTANUM+HYDROCHLOROT
HIAZIDUM)
COMBINATII
HIAZIDUM)
COMBINATII
HIAZIDUM)
COMBINATII
(TELMISARTANUM+HYDROCHLOROTH
IAZIDUM)
COMBINATII
IAZIDUM)
COMBINATII
IAZIDUM)
COMBINATII
IAZIDUM)
COMBINATII (
VALSARTANUM+AMLODIPINUM)
COMBINATII (
COMBINATII (
COMBINATII (
COMBINATII (
COMBINATII (
FLUVASTATINUM
FLUVASTATINUM
FLUVASTATINUM
FLUVASTATINUM
FLUVASTATINUM
ATORVASTATINUM
Form farmaceutic
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
COMPR. FILM.
COMPR. FILM.
Concentraie
1mg
2mg
2mg
2mg
4mg
4mg
4mg
30mg
7,5mg
Cantitate Cod boli

28
28
28
28
28
28
28
28
28
COMPR.
2mg/0,625mg
COMPR.
Mentiuni
sublista
B
B
B
B
B
B
B
B
B
Cod
medicament
W55037001
W05985001
W54442001
W55038001
W41586001
W54443001
W55039001
W13178003
W13177003
Grupa
terapeutica RO
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V
0C09AAO V

Pre de
Valoare
Valabil de la /amb
/amb
compensare/UT
05-07-2010
11.37
8.41
0.406071
0.100170
0.050085
05-07-2010
28.03
20.74
1.001071
0.200340
0.100170
05-07-2010
18.21
13.47
0.650357
0.200340
0.100170
05-07-2010
18.21
13.47
0.650357
0.200340
0.100170
05-07-2010
46.67
35.68
1.666785
0.400680
0.200340
05-07-2010
31.34
23.19
1.119285
0.400680
0.200340
05-07-2010
31.34
23.19
1.119285
0.400680
0.200340
05-07-2010
44.36
33.91
1.584285
0.200340
0.100170
05-07-2010
19.65
14.54
0.701785
0.050085
0.025042
30
YC09BAO V
05-07-2010
16.15
11.95
0.538333
0.397574
0.198787
4mg/1,25mg
30
YC09BAO V
05-07-2010
29.35
21.71
0.978333
0.397574
0.198787
COMPR. FILM.
10mg/2,5mg
30
YC09BAO V
05-07-2010
75.58
59.78
2.519333
0.397574
0.198787
COMPR. FILM.
2,5mg/0,625mg 30
YC09BAO V
05-07-2010
57.04
43.61
1.901333
0.397574
0.198787
COMPR. FILM.
5mg/1,25mg
30
YC09BAO V
05-07-2010
61.48
47.00
2.049333
0.397574
0.198787
COMPR. FILM.
5mg/1,25mg
30
YC09BAO V
05-07-2010
61.48
47.00
2.049333
0.397574
0.198787
COMPR. FILM.
10mg/12,5mg
30
YC09BAO V
05-07-2010
21.62
16.00
0.720666
0.397574
0.198787
COMPR. FILM.
20mg/12,5mg
30
YC09BAO V
05-07-2010
31.49
23.30
1.049666
0.397574
0.198787
COMPR. FILM.
20mg/12,5mg
30
YC09BAO V
05-07-2010
31.43
23.25
1.047666
0.397574
0.198787
COMPR.
20mg+10mg
30
9C09BB02O V
05-07-2010
96.30
76.16
3.210000
3.210000
1.605000
COMPR.FILM.ELIB.MODIF.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
180mg/2mg
160mg
40mg
80mg
150mg
300mg
16mg
32mg
8mg
40mg
40mg
40mg
80mg
80mg
80mg
28
28
28
28
28
28
28
28
28
28
28
28
28
28
28
9C09BB10O V
0C09CAO V
0C09CAO V
0C09CAO V
0C09CAO V
0C09CAO V
0C09CAO V
0C09CAO V
0C09CAO V
0C09CAO V
0C09CAO V
0C09CAO V
0C09CAO V
0C09CAO V
0C09CAO V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
52.71
116.32
71.74
91.67
79.54
107.50
66.58
117.13
55.96
60.55
63.96
39.37
77.24
77.24
52.86
40.30
92.00
56.74
72.50
62.91
85.02
52.66
92.64
42.78
46.29
50.59
30.10
61.09
61.09
40.41
1.882500
4.154285
2.562142
3.273928
2.840714
3.839285
2.377857
4.183214
1.998571
2.162500
2.284285
1.406071
2.758571
2.758571
1.887857
1.882500
1.066756
0.266689
0.533378
0.533378
1.066756
1.066756
2.133512
0.533378
0.533378
0.533378
0.533378
1.066756
1.066756
1.066756
0.941250
0.533378
0.133344
0.266689
0.266689
0.533378
0.533378
1.066756
0.266689
0.266689
0.266689
0.266689
0.533378
0.533378
0.533378
COMPR. FILM.
50mg+12,5mg
28
YC09DAO V
05-07-2010
79.27
62.69
2.831071
2.547963
1.273981
COMPR.FILM
50mg+ 12,50mg 28
YC09DAO V
05-07-2010
21.02
15.55
0.750714
0.750714
0.375357
COMPR.
150mg/12,5mg
28
YC09DAO V
05-07-2010
82.99
65.64
2.963928
2.547963
1.273981
COMPR.
300mg/12,5mg
28
YC09DAO V
05-07-2010
112.04
88.61
4.001428
2.547963
1.273981
COMPR. FILM.
300mg/25mg
28
YC09DAO V
05-07-2010
112.10
88.66
4.003571
2.547963
1.273981
COMPR.
80/12,5mg
28
YC09DAO V
05-07-2010
77.24
61.09
2.758571
2.547963
1.273981
COMPR.
80/25mg
28
YC09DAO V
05-07-2010
104.61
82.73
3.736071
2.547963
1.273981
COMPR.
80mg/12,5mg
28
YC09DAO V
05-07-2010
79.39
62.79
2.835357
2.547963
1.273981
COMPR.
80mg/25mg
28
YC09DAO V
05-07-2010
104.61
82.73
3.736071
2.547963
1.273981
COMPR. FILM.
10mg/160mg
56
YC09DBO V
05-07-2010
252.15
206.54
4.502678
4.152187
2.076093
COMPR. FILM.
10mg/160mg
28
YC09DBO V
05-07-2010
128.36
105.14
4.584285
4.152187
2.076093
COMPR. FILM.
5mg/160mg
56
YC09DBO V
05-07-2010
252.15
206.54
4.502678
4.152187
2.076093
COMPR. FILM.
5mg/160mg
28
YC09DBO V
05-07-2010
128.36
105.14
4.584285
4.152187
2.076093
COMPR. FILM.
5mg/80mg
56
YC09DBO V
05-07-2010
214.30
175.54
3.826785
3.826785
1.913392
COMPR. FILM.
CAPS.
CAPS.
CAPS.
CAPS.
COMPR. ELIB. PREL.
COMPR. FILM.
5mg/80mg
20mg
20mg
40mg
40mg
80mg
10mg
28
28
30
28
30
28
30
YC09DBO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
112.99
15.95
11.09
29.03
20.20
46.14
79.02
89.36
11.80
8.21
21.48
14.95
35.28
62.50
4.035357
0.569642
0.369666
1.036785
0.673333
1.647857
2.634000
4.035357
0.240749
0.240749
0.481499
0.481499
0.963000
0.361125
2.017678
0.120374
0.120374
0.240749
0.240749
0.481500
0.180562
22 / 135
W43316001 CADUET 10mg/10mg
B
B
B
B
B
B
B
B
B
B
B
B
B
W43315001
W04456001
W52525002
W52525001
W05806001
W43387001
W43387002
W52527002
W52527001
W43931014
W53418001
W54205002
W07618001
Denumire medicament
SORTIS 20 mg
SORTIS 40 mg
SORTIS 80 mg
CRESTOR 10 mg
ROSUCARD 10 mg
ROSUVASTATINA SANDOZ 10 mg
ROSUVASTATINA TEVA 10 mg
CRESTOR 20 mg
ROSUCARD 20 mg
ROSUCARD 40 mg
CRESTOR 5 mg
REGADRIN (R) B
LIPANOR (R) 100 mg
OMACOR (R)
EZETROL (R)
EZETROL (R)
Substan activ
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
BEZAFIBRATUM
CIPROFIBRATUM
ACID OMEGA-3-ESTERI ETILICI 90
EZETIMIBUM
EZETIMIBUM
COMBINATII (ATORVASTATINUM +
AMLODIPINUM)
COMBINATII (ATORVASTATINUM +
AMLODIPINUM)
NATAMYCINUM
TERBINAFINUM
TERBINAFINUM
TERBINAFINUM
TERBINAFINUM
TERBINAFINUM
TERBINAFINUM
TERBINAFINUM
TERBINAFINUM
TERBINAFINUM
TERBINAFINUM
CALCIPOTRIOLUM
Form farmaceutic
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
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.
CAPS.
CAPS. MOI
COMPR.
COMPR.
Concentraie
20mg
40mg
80mg
10mg
10mg
10mg
10mg
20mg
20mg
20mg
20mg
40mg
40mg
5mg
5mg
5mg
200mg
100mg
1000mg
10mg
10mg
Cantitate Cod boli

30
14
14
28
30
28
30
28
30
28
30
30
30
28
28
30
50
30
28
14
28
COMPR. FILM.
10mg/10mg
COMPR. FILM.
CREMA
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
CREMA
Mentiuni
sublista
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
Cod
medicament
W12894001
W12895001
W12897001
W13864001
W55327002
W55567006
W55409005
W13865001
W55328002
W55568006
W55410005
W55329002
W55411005
W43678001
W55566006
W55408005
W00607001
W10633001
W13986001
W51918005
W51918006
Grupa
terapeutica RO
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10AAO V
0C10ABO V
0C10ABO V
9C10AX06O V
1C10AXO V
1C10AXO V

Pre de
Valoare
Valabil de la /amb
/amb
compensare/UT
05-07-2010
122.15
100.06
4.071666
0.722250
0.361125
05-07-2010
54.71
41.83
3.907857
1.444500
0.722250
05-07-2010
85.72
67.79
6.122857
2.889000
1.444500
05-07-2010
104.78
82.87
3.742142
0.722250
0.361125
05-07-2010
72.97
57.71
2.432333
0.722250
0.361125
05-07-2010
69.33
54.83
2.476071
0.722250
0.361125
05-07-2010
72.97
57.71
2.432333
0.722250
0.361125
05-07-2010
149.02
122.07
5.322142
1.444500
0.722250
05-07-2010
109.45
86.56
3.648333
1.444500
0.722250
05-07-2010
102.15
80.79
3.648214
1.444500
0.722250
05-07-2010
109.45
86.56
3.648333
1.444500
0.722250
05-07-2010
109.45
86.56
3.648333
2.889000
1.444500
05-07-2010
109.45
86.56
3.648333
2.889000
1.444500
05-07-2010
91.16
72.10
3.255714
0.361125
0.180562
05-07-2010
62.39
47.70
2.228214
0.361125
0.180562
05-07-2010
64.62
51.11
2.154000
0.361125
0.180562
05-07-2010
28.47
21.06
0.569400
0.290096
0.145048
05-07-2010
25.61
18.95
0.853666
0.853666
0.426833
05-07-2010
99.79
78.92
3.563928
3.563928
1.781964
05-07-2010
95.22
75.31
6.801428
6.537320
3.268660
05-07-2010
180.58
147.92
6.449285
6.449285
3.224642
30
9C10BX03O V
05-07-2010
81.26
64.27
2.708666
2.456416
1.228208
5mg/10mg
20mg/g
125mg
125mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
50mcg/g
30
1
28
14
14
30
28
28
14
28
14
28
1
9C10BX03O V
9D01AA02TD V
9D01BA02O V
9D01BA02O V
9D01BA02O V
9D01BA02O V
9D01BA02O V
9D01BA02O V
9D01BA02O V
9D01BA02O V
9D01BA02O V
9D01BA02O V
9D05AX02TD V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
71.17
12.45
51.47
26.96
87.69
234.40
107.19
33.24
16.61
29.66
18.17
108.52
43.15
56.29
9.21
39.35
19.95
69.35
192.00
84.78
24.59
12.29
21.94
13.44
85.83
32.99
2.372333
12.450000
1.838214
1.925714
6.263571
7.813333
3.828214
1.187142
1.186428
1.059285
1.297857
3.875714
43.150000
2.372333
12.450000
0.546669
0.546669
1.093338
1.093338
1.093338
1.093338
1.093338
1.059285
1.093338
1.093338
39.855000
1.186166
6.225000
0.273334
0.273334
0.546669
0.546669
0.546669
0.546669
0.546669
0.529642
0.546669
0.546669
19.927500
SOL. CUT.
UNGUENT
50mcg/ml
50mcg/g
1
1
9D05AX02TD V 05-07-2010
9D05AX02TD V 05-07-2010
47.54
36.56
36.35
27.95
47.540000
36.560000
39.855000
36.560000
19.927500
18.280000
GEL
0,5 mg/g
9D05AX52TD V 05-07-2010
81.53
64.48
81.530000
66.965000
33.482500
UNGUENT
CAPS.
CREMA
UNGUENT
CREMA
CREMA
SOL. CUT.
CREMA
CREMA
CREMA
EMULSIE CUT.
SOL. CUT.
CREMA
SOL. CUT.
UNGUENT
FARA CONCENT1
10mg
30
20mg/g
1
20mg/g
1
1%
1
1,5 mg/g
1
5mg/ml
1
5%
12
0,1%
1
0,1%
1
0.1%
1
0,1%
1
1mg/g
1
1mg/g
1
1mg/g
1
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
62.11
74.57
15.15
15.15
169.44
85.35
75.78
264.82
12.90
13.36
12.77
11.20
15.65
18.74
15.65
47.48
58.98
11.21
11.21
138.79
67.50
59.93
216.92
9.54
9.88
9.45
8.29
11.58
13.87
11.58
62.110000
2.485666
15.150000
15.150000
169.440000
85.350000
75.780000
22.068333
12.900000
13.360000
12.770000
11.200000
15.650000
18.740000
15.650000
62.110000
2.485666
15.150000
15.150000
169.440000
85.350000
63.753750
22.068333
12.377500
12.377500
12.377500
11.200000
14.852500
18.740000
14.852500
31.055000
1.242833
7.575000
7.575000
84.720000
42.675000
31.876875
11.034166
6.188750
6.188750
6.188750
5.600000
7.426250
9.370000
7.426250
MSP
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
CADUET 5mg/10mg
PIMAFUCIN
EXIFINE 125 mg
EXIFINE 125 mg
LAMISIL (R)
TERBINARAN
TERBINARAN
EXIFINE 250 mg
EXIFINE 250 mg
TERBINAFINE 250 mg
TERBINAFINA SLAVIA 250mg
TERBISIL (R) 250 mg
DAIVONEX
DAIVONEX SOLUTIE CUTANATA PENTRU
W07617001 SCALP
CALCIPOTRIOLUM
W07619001 DAIVONEX UNGUENT
CALCIPOTRIOLUM
COMBINATII
(CALCIPOTRIOLUM+BETAMETHASONU
W54663001 XAMIOL 50 micrograme/ 0,5 mg/g
M)
COMBINATII
(CALCIPOTRIOLUM+BETAMETHASONU
W13187002 DAIVOBET (R) UNGUENT
M)
W53799002 NEOTIGASON 10 mg
ACITRETINUM
W10102001 FUCIDIN 20 mg/g
ACIDUM FUSIDICUM
W08442001 FUCIDIN 20 mg/g
ACIDUM FUSIDICUM
W54309001 FLAMMAZINE
SULFADIAZINUM
W10104001 WARTEC 1,5 mg/g
PODOPHYLLOTOXINUM
W43172001 CONDYLINE
PODOPHYLLOTOXINUM
W07761001 ALDARA 5%
IMIQUIMODUM
W03525001 LOCOID (R) crema 0,1%
HYDROCORTISONUM BUTYRATUM
W43174001 LOCOID (R) LIPOCREAM 0,1%
W13109001 LOCOID CRELO (R) 0,1%
W43098001 LOCOID (R)
W04368001 ELOCOM
MOMETASONUM
W04369001 ELOCOM
MOMETASONUM
W04370001 ELOCOM
MOMETASONUM
W42458001 ADVANTAN
METHYLPREDNISOLONUM ACEPONAT CREMA
1mg/g
9D07AC14TD V 05-07-2010
13.24
9.80
13.240000
13.240000
6.620000
W42477001 ADVANTAN (R) MILK
METHYLPREDNISOLONUM ACEPONAT EMULSIE CUT.
0,1%
9D07AC14TD V 05-07-2010
19.57
14.48
19.570000
17.653333
8.826666
B
B
B
B
B
B
B
B
B
W42459001
W13497001
W13088001
W12703001
W55012001
W12704002
W12705002
W41878001
W52924001
UNGUENT
CREMA
UNGUENT
CREMA
CREMA
SOL. CUT.
UNGUENT
UNGUENT
UNGUENT
1mg/g
0,05%
0,005%
0,05%
0,5mg/g
0,05%
0,05%
0,05%
0,05%
1
1
1
1
1
1
1
1
1
9D07AC14TD V
9D07AC17TD V
9D07AC17TD V
9D07AD01TD V
9D07AD01TD V
9D07AD01TD V
9D07AD01TD V
9D07AD01TD V
9D07AD01TD V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
13.24
10.28
10.28
12.05
12.05
5.19
8.88
5.76
8.18
9.80
7.61
7.61
8.92
8.92
3.84
6.57
4.26
6.05
13.240000
10.280000
10.280000
12.050000
12.050000
5.190000
8.880000
5.760000
8.180000
13.240000
10.280000
10.280000
6.858000
6.858000
5.190000
6.858000
5.486400
5.486400
6.620000
5.140000
5.140000
3.429000
3.429000
2.595000
3.429000
2.743200
2.743200
W12411001 FUCIDIN H
CREMA
FARA CONCENT1
9D07CA01TD V 05-07-2010
21.68
16.04
21.680000
21.680000
10.840000
W10463001 FUCICORT 20 mg/1mg pe gram
CREMA
20mg/1mg pe gra1
9D07CC01TD V 05-07-2010
23.77
17.59
23.770000
10.940000
5.470000
W12075002 ELOSALIC
UNGUENT
1mg+5mg/gram 1
9D07XC03TD V 05-07-2010
20.57
15.22
20.570000
19.815000
9.907500
W12075003 ELOSALIC
UNGUENT
1mg+5mg/gram 1
9D07XC03TD V 05-07-2010
58.69
44.87
58.690000
58.690000
29.345000
B
B
B
B
B
B
B
B
B
B
W07819001
W42460001
W42476001
W03829001
W41979001
W41980001
W12641001
W51716002
W01949001
W51914001
METHYLPREDNISOLONUM ACEPONAT
FLUTICASONUM PROPIONAT
CLOBETASOLUM
CLOBETASOLUM
CLOBETASOLUM
CLOBETASOLUM
CLOBETASOLUM
CLOBETASOLUM
COMBINATII (ACIDUM
FUSIDICUM+HYDROCORTISONUM)
COMBINATII (ACIDUM FUSIDICUM+
BETAMETHASONUM)
COMBINATII (MOMETASONUM + AC.
SALICILICUM)
COMBINATII (MOMETASONUM + AC.
SALICILICUM)
COMBINATII (ISOTRETINOINUM +
ERITROMICINUM)
ACIDUM AZELAICUM
ACIDUM AZELAICUM
ISOTRETINOINUM
ISOTRETINOINUM
ISOTRETINOINUM
NATAMYCINUM
COMBINATII
COMBINATII
COMBINATII
GEL
CREMA
GEL
CAPS. MOI
CAPS. MOI
CAPS. MOI
OVULE
CAPS. MOI VAG.
CAPS. MOI VAG.
CREMA VAG.
0,05%/0,2%
1
200mg/g
1
15%
1
10mg
30
10mg
30
20mg
30
100mg
3
500mg/200000UI 12
FARA CONCENT6
10g/400000UI
1
9D10AD54TD V
9D10AX03TD V
9D10AX03TD V
9D10BA01O V
9D10BA01O V
9D10BA01O V
9G01AA02V V
9G01AA51V V
9G01AA51V V
9G01AA51V V
36.13
34.01
44.36
53.17
33.01
64.12
11.06
38.02
17.43
35.38
27.62
26.00
33.91
40.65
25.24
49.02
8.18
29.07
12.90
27.05
36.130000
34.010000
44.360000
1.772333
1.100333
2.137333
3.686666
3.168333
2.905000
35.380000
36.130000
34.010000
36.597500
1.084499
1.084499
2.137333
3.686666
1.837950
1.837950
35.380000
18.065000
17.005000
18.298750
0.542249
0.542249
1.068666
1.843333
0.918975
0.918975
17.690000
B
B
ADVANTAN
CUTIVATE
CUTIVATE
DERMOVATE
DERMOVATE 0,5 mg/g
DERMOVATE (R)
DERMOVATE
DERMIONE
CLOBETASOL MK
ISOTREXIN GEL
SKINOREN
SKINOREN (R) 15%
ROACCUTANE 10 mg
SOTRET 10 mg
SOTRET 20 mg
PIMAFUCIN (R)
MACMIROR COMPLEX
POLYGYNAX
MACMIROR COMPLEX
MSP
MSP
MSP
MSP
9D05AX52TD V
9D05BB02O V
9D06AX01TD V
9D06AX01TD V
9D06BA01TD V
9D06BB04TD V
9D06BB04TD V
9D06BB10TD V
9D07AB02TD V
9D07AB02TD V
9D07AB02TD V
9D07AB02TD V
9D07AC13TD V
9D07AC13TD V
9D07AC13TD V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
23 / 135
W52516001 MECLODIN
W54285001 MECLON
W54288001 MECLON
W54286002 MECLON
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
W54287001
W51715001
W00716002
W00716001
W53379001
W13173001
W13174001
W12178001
W12177001
W12902001
W43639001
W43639002
W12320001
W52826001
W42276001
W52827001
W05262001
W41913001
W07655001
W04045001
W13111001
MECLON
MACMIROR
DOSTINEX
DOSTINEX
MIRENA 20 mcg/24 h
OVESTIN
OVESTIN
COLPOTROPHINE (R)
COLPOTROPHINE (R)
LIVIAL (R) 2,5 mg
LADYBON
LADYBON
UTROGESTAN (R) 100 mg
AREFAM 100 mg
UTROGESTAN (R) 200 mg
AREFAM 200 mg
PROGESTOGEL
MASTOPROFEN 1%
DUPHASTON (R)
ORGAMETRIL
FEMOSTON (R) conti 1/5
Substan activ
FENTICONAZOLUM
BUTOCONAZOLUM
COMBINATII
(METRONIDAZOLUM+CLOTRIMAZOLU
M)
COMBINATII
M)
COMBINATII
M)
COMBINATII
M)
COMBINATII
M)
NIFURATELUM
CABERGOLINUM
CABERGOLINUM
LEVONORGESTRELUM
ESTRIOLUM
ESTRIOLUM
PROMESTRIENUM
PROMESTRIENUM
TIBOLONUM
TIBOLONUM
TIBOLONUM
PROGESTERONUM
PROGESTERONUM
PROGESTERONUM
PROGESTERONUM
PROGESTERONUM
PROGESTERONUM
DYDROGESTERONUM
LYNESTRENOLUM
COMBINATII
B
B
B
B
B
B
B
W53408001
W53392001
W53405001
W07080002
W08167001
W08169003
W08169001
KLIMODIEN
ANGELIQ
CYCLO PROGINOVA (R)
FEMOSTON 2/10
GONAL - f 150 UI
GONAL - f 75 UI
GONAL - f 75 UI
ESTRADIOLUMVALERAT+DIENOGEST
COMBINATII
COMBINATII
COMBINATII
FOLLITROPINUM ALFA
FOLLITROPINUM ALFA
FOLLITROPINUM ALFA
W52561001 GONAL-f 300 UI/0,5 ml ( 22 mcg/0,5 ml)
FOLLITROPINUM ALFA
W42201001 GONAL-f 450 UI/0,75 ml (33 mcg/0,75 ml)
FOLLITROPINUM ALFA
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
W52564001
W08409001
W43249001
W08414001
W43250001
W43251001
W13092009
W13092007
W13092008
W01354001
W01356001
W53455002
W11709001
W52804001
W52804003
W52891001
W54775001
W54775002
W52892001
W54779001
W54779002
W43104001
W43105001
W43786004
W43786002
W43786001
W43789002
W43789001
W43789004
W52232001
W43038001
W54199002
W54198002
W42715001
W42720001
W42850001
W42987001
W43106001
W51273001
W51273002
W52401001
W53198002
W53366005
FOLLITROPINUM ALFA
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
TROSPIUM
TROSPIUM
TROSPIUM
TROSPIUM
TROSPIUM
TROSPIUM
TROSPIUM
ALFUZOSINUM
ALFUZOSINUM
ALFUZOSINUM
TAMSULOSINUM
TAMSULOSINUM
TAMSULOSINUM
TAMSULOSINUM
TAMSULOSINUM
FINASTERIDUM
FINASTERIDUM
FINASTERIDUM
FINASTERIDUM
FINASTERIDUM
GONAL-f 900 UI/1,5ml (66 mcg/1,5 ml)

PUREGON 100UI/0,5ml
PUREGON 300UI/0,36 ml
PUREGON 50UI/0,5ml
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
UROFLOW 2
VESICARE 10 mg
VESICARE 5 mg
INKONTAN 15 mg
INKONTAN 15 mg
INKONTAN 15 mg
INKONTAN 30 mg
INKONTAN 30 mg
INKONTAN 30 mg
SPASMOLYT 20 mg
ALFURAN MR 10 mg
XATRAL SR 10 mg
XATRAL LP 5 mg
TAMSOL 0,4 mg
FOKUSIN
CONTIFLO MR
TANYZ
OMNIC TOCAS (R) 0,4
PROSCAR 5 mg
PROSCAR 5 mg
TAREDOX 5 mg
FINASTERIDA BIOGALENICA 5 mg
FINASTERIDE TEVA 5mg
Form farmaceutic
CAPS. MOI VAG.
CREMA VAG.
Cantitate Cod boli

Concentraie
600mg
1
FARA CONCENT1
COMPR. VAG.
500mg/200mg
CREMA
Mentiuni
sublista
B
B
Cod
W03125002 LOMEXIN 600 mg
W54844001 GYNOFORT 2%
Grupa
terapeutica RO
1G01AFV V
1G01AFV V

Pre de
Valoare
Valabil de la /amb
/amb
compensare/UT
05-07-2010
20.05
14.83
20.050000
4.272836
2.136418
05-07-2010
40.19
30.73
40.190000
0.712139
0.356069
9G01AF20V V
05-07-2010
14.98
11.08
1.498000
0.848250
0.424125
FARA CONCENT1
9G01AF20TD V 05-07-2010
9.61
7.11
9.610000
9.610000
4.805000
CREMA VAG.
FARA CONCENT1
9G01AF20V V
05-07-2010
12.84
9.50
12.840000
12.840000
6.420000
OVULE
FARA CONCENT10
9G01AF20V V
05-07-2010
11.14
8.24
1.114000
0.848250
0.424125
SOL. VAGINALA
DRAJ.
COMPR.
COMPR.
DISPOZITIV INTRAUTERIN
CREMA VAG.
OVULE
CAPS. MOI VAG.
CREMA VAG.
COMPR.
COMPR.
COMPR.
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
GEL
GEL
COMPR. FILM.
COMPR.
COMPR. FILM.
FARA CONCENT5
200mg
20
0,5mg
2
0,5mg
8
52mg
1
0.1%
1
0,5mg
15
10mg
10
1%
1
2,5mg
28
2,5mg
28
2,5mg
84
100mg
30
100mg
30
200mg
14
200mg
30
1%
1
1%
1
10mg
20
5mg
30
FARA CONCENT28
9G01AF20V V
9G01AX05O V
0G02CBO V
0G02CBO V
CJAS 0G03ACV V
0G03CAV V
0G03CAV V
0G03CAV V
0G03CAV V
MSP 9G03CX01O V
MSP 9G03CX01O V
MSP 9G03CX01O V
9G03DA04O V
9G03DA04O V
9G03DA04O V
9G03DA04O V
3G03D5TD V
3G03D5TD V
9G03DB01O V
0G03ACO V
MSP YG03FAO V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
21.93
19.52
43.48
123.44
512.49
14.73
20.57
12.05
13.82
72.65
71.02
180.35
29.92
19.45
29.92
37.65
17.95
5.82
14.35
9.11
31.57
16.23
14.44
33.24
97.63
435.17
10.90
15.22
8.92
10.22
57.46
56.17
147.73
22.14
14.39
22.14
28.78
13.28
4.31
10.62
6.74
23.36
4.386000
0.976000
21.740000
15.430000
512.490000
14.730000
1.371333
1.205000
13.820000
2.594642
2.536428
2.147023
0.997333
0.648333
2.137142
1.255000
17.950000
5.820000
0.717500
0.303666
1.127500
0.848250
0.976000
8.242750
8.242750
512.490000
14.730000
1.036124
0.414449
6.216748
2.341725
2.341725
2.147023
0.643124
0.643124
1.286249
1.255000
7.967250
5.820000
0.717500
0.303666
1.127500
0.424125
0.488000
4.121375
4.121375
256.245000
7.365000
0.518062
0.207224
3.108374
1.170862
1.170862
1.073511
0.321562
0.321562
0.643124
0.627500
3.983625
2.910000
0.358750
0.151833
0.563750
DRAJ.
COMPR. FILM.
DRAJ.
COMPR. FILM.
PULB. + SOLV. PT. SOL. INJ.
SOL. INJ. IN STILOU INJECTOR
PREUMPLUT
PREUMPLUT
PREUMPLUT
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
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.
DRAJ.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
CAPS. ELIB. MODIF.
CAPS. ELIB. MODIF.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
FARA CONCENT28
FARA CONCENT28
FARA CONCENT21
FARA CONCENT28
150UI
1
75UI
5
75UI
1
MSP
MSP
MSP
MSP
CNAS
CNAS
CNAS
YG03FAO V
YG03FAO V
YG03FBO V
YG03FBO V
1G03GAP V
1G03GAP V
1G03GAP V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
34.12
68.22
8.06
31.57
184.95
446.18
97.51
26.09
53.95
5.96
23.36
151.50
374.34
77.12
1.218571
2.436428
0.383809
1.127500
184.950000
89.236000
97.510000
1.173035
1.173035
0.383809
0.512758
184.950000
89.236000
96.688623
0.586517
0.586517
0.191904
0.256379
92.475000
44.618000
48.344311
300UI/0,5ml
CNAS 1G03GAP V
05-07-2010
526.69
448.20
526.690000
386.754494
193.377247
450UI/0,75ml
CNAS 1G03GAP V
05-07-2010
754.65
657.34
754.650000
580.131741
290.065870
900UI/0,75ml
100UI/0,5ml
300UI/0,36ml
50UI/0,5ml
600UI/0,72ml
900UI/1,08ml
75UI
75UI
75UI
50mg
50mg
60mg
5mg
4mg
4mg
1mg
1mg
1mg
2mg
2mg
2mg
10mg
5mg
15mg
15mg
15mg
30mg
30mg
30mg
20mg
10mg
10mg
5mg
0,4mg
0,4mg
0,4mg
0,4mg
0,4mg
5mg
5mg
5mg
5mg
5mg
1
1
1
1
1
1
10
1
3
10
10
28
60
28
7
28
14
28
28
14
28
30
30
20
50
30
50
30
20
30
30
30
28
30
30
30
30
30
14
28
28
28
30
CNAS
CNAS
CNAS
CNAS
CNAS
CNAS
CNAS
CNAS
CNAS
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
1,438.51
200.41
516.27
106.10
961.69
1,407.68
2,086.02
146.39
742.57
14.28
13.24
124.68
26.56
174.18
48.36
27.24
12.50
24.98
52.73
24.98
48.36
226.58
182.91
28.89
58.56
38.02
92.69
63.37
46.84
29.68
35.97
58.74
33.67
36.25
34.79
26.86
30.45
63.84
33.19
64.21
32.83
32.83
35.09
1,284.73
164.16
438.64
83.91
847.28
1,256.45
1,878.78
119.91
646.26
10.57
9.80
98.61
19.65
142.68
36.97
20.15
9.25
18.48
40.31
18.48
36.97
185.60
149.83
21.37
44.77
29.07
73.31
48.45
35.81
21.96
27.50
44.91
25.74
27.71
26.60
19.87
22.53
50.49
24.56
49.09
25.10
25.10
26.83
1,438.510000
200.410000
516.270000
106.100000
961.690000
1,407.680000
208.602000
146.390000
247.523333
1.428000
1.324000
4.452857
0.442666
6.220714
6.908571
0.972857
0.892857
0.892142
1.883214
1.784285
1.727142
7.552666
6.097000
1.444500
1.171200
1.267333
1.853800
2.112333
2.342000
0.989333
1.199000
1.958000
1.202500
1.208333
1.159666
0.895333
1.015000
2.128000
2.370714
2.293214
1.172500
1.172500
1.169666
1,160.263484
128.918132
386.599792
64.459017
773.199585
1,159.799378
159.746400
146.390000
159.746400
1.350000
1.324000
4.452857
0.442666
2.810520
2.810520
0.702630
0.702630
0.702630
1.405260
1.405260
1.405260
5.621040
2.810520
1.053945
1.053945
1.053945
1.853800
2.107890
2.107890
0.989333
1.199000
1.329698
0.664848
0.997274
0.997274
0.895333
0.997274
0.997274
1.171791
1.171791
1.171791
1.171791
1.169666
580.131741
64.459066
193.299896
32.229508
386.599792
579.899689
79.873200
73.195000
79.873200
0.675000
0.662000
2.226428
0.221333
1.405260
1.405260
0.351315
0.351315
0.351315
0.702630
0.702630
0.702630
2.810520
1.405260
0.526972
0.526972
0.526972
0.926900
1.053945
1.053945
0.494666
0.599500
0.664849
0.332424
0.498637
0.498637
0.447666
0.498637
0.498637
0.585895
0.585895
0.585895
0.585895
0.584833
10
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
1G03GAP V
1G03GAP V
1G03GAP V
1G03GAP V
1G03GAP V
1G03GAP V
9G03GA07P V
9G03GA07P V
9G03GA07P V
9G03GB02O V
9G03GB02O V
9G03XC01O V
0G04BDO V
0G04BDO V
0G04BDO V
0G04BDO V
0G04BDO V
0G04BDO V
0G04BDO V
0G04BDO V
0G04BDO V
0G04BDO V
0G04BDO V
0G04BDO V
0G04BDO V
0G04BDO V
0G04BDO V
0G04BDO V
0G04BDO V
0G04BDO V
0G04CAO V
0G04CAO V
0G04CAO V
0G04CAO V
0G04CAO V
0G04CAO V
0G04CAO V
0G04CAO V
0G04CBO V
0G04CBO V
0G04CBO V
0G04CBO V
0G04CBO V
24 / 135
W55238001 NORDITROPIN FLEXPRO 10 mg/1,5 ml
SOMATROPINUM

(PEN) PREUMPLUT
10mg/1,5 ml
CJAS 9H01AC01P K
05-07-2010
1,722.75
1,545.50
1,722.750000
830.323027
415.161513
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
W55237001
W08401001
W06895002
W06897001
W03165001
W12267001
W05233001
W05234001
W00834003
W13148002
W13149002
W13147003
W00761001
W08119001
W00756001
W08186001
W41439001
W14112001
W14112002
W05764001
W05765001
W01102001
W01103001
W05561001
W13604002
W42271001
W00517001
W00518001
SOMATROPINUM
GANIRELIXUM
CETRORELIXUM
CETRORELIXUM
FLUDROCORTISONUM
BETAMETHASONUM
PREDNISOLONUM
PREDNISOLONUM
CARBIMAZOLUM
THIAMAZOLUM
THIAMAZOLUM
THIAMAZOLUM
CALCITONINUM (SOMON)
AMPICILLINUM + SULBACTAM
SULTAMICILLINUM
SULTAMICILLINUM
CEFTIBUTENUM
CEFTIBUTENUM
SPIRAMYCINUM
SPIRAMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM

(PEN) PREUMPLUT
SOL. INJ.
PULB+SOLV. PT. SOL. INJ.
PULB+SOLV.PT.SOL.INJ.
COMPR.
SUSP. INJ. I.M.
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.
CAPS.
COMPR. FILM.
COMPR. FILM.
CAPS.
CAPS.
COMPR. FILM.
5mg/1,5 ml
0,25mg/0,5ml
0,25mg
3mg
0,1mg
7mg/ml
250mg
50mg
5mg
10mg
20mg
5mg
100UI
100UI/ml
50ui/ml
100UI/doza
200UI/doza
1g+500mg
1g+500mg
375mg
250mg/5ml
400mg
36mg/ml
1,5 M ui
3M ui
250mg
250mg
125mg
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
CJAS
CJAS
CJAS
CJAS
9H01AC01P K
0H01CCP V
0H01CCP V
0H01CCP V
9H02AA02O V
9H02AB01P V
9H02AB06P V
9H02AB06P V
0H03BBO V
0H03BBO V
0H03BBO V
0H03BBO V
9H05BA01P V
9H05BA01P V
9H05BA01P V
9H05BA01N V
9H05BA01N V
9J01CR01P V
9J01CR01P V
9J01CR04O V
9J01CR04O V
0J01DDO V
0J01DDO K
0J01FAO V
0J01FAO V
0J01FAO V
0J01FAO V
0J01FAO V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
896.80
176.47
843.33
843.33
47.66
34.46
95.39
35.62
16.83
20.96
25.47
30.79
67.76
32.28
34.39
48.24
71.12
25.19
727.41
33.10
24.35
70.33
43.60
9.83
27.81
25.45
37.90
25.30
787.75
144.55
738.70
738.70
36.44
26.35
75.44
27.23
12.45
15.51
18.84
22.78
53.59
23.88
26.29
36.88
56.25
18.64
632.35
25.31
18.02
55.62
33.33
7.27
20.58
18.83
28.98
18.72
896.800000
176.470000
120.475714
843.330000
0.953200
6.892000
31.796666
11.873333
0.168300
0.419200
0.509400
0.307900
13.552000
6.456000
6.878000
48.240000
71.120000
25.190000
14.548200
2.758333
24.350000
14.066000
43.600000
0.614375
2.781000
4.241666
6.316666
4.216666
414.539082
85.838946
85.838946
843.330000
0.953200
6.892000
30.523334
6.104666
0.113422
0.340267
0.509400
0.170133
9.003600
6.456000
4.501800
38.730000
71.120000
15.487785
14.548200
2.758333
22.637498
5.893100
43.600000
0.348641
0.697284
1.743213
1.743213
0.871605
207.269541
42.919473
42.919473
421.665000
0.476600
3.446000
15.261667
3.052333
0.056711
0.170133
0.254700
0.085066
4.501800
3.228000
2.250900
19.365000
35.560000
7.743892
7.274100
1.379166
11.318749
2.946550
21.800000
0.174320
0.348642
0.871606
0.871606
0.435802
B
B
B
B
B
W42879004
W52838001
W52838002
W00519001
W42252001
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
250mg
250mg
250mg
500mg
500mg
6
6
6
3
3
0J01FAO V
0J01FAO V
0J01FAO V
0J01FAO V
0J01FAO V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
48.70
44.36
44.36
38.08
25.58
37.23
33.91
33.91
29.11
18.93
8.116666
7.393333
7.393333
12.693333
8.526666
1.743213
1.743213
1.743213
3.486426
3.486426
0.871606
0.871606
0.871606
1.743213
1.743213
B
B
B
B
B
B
B
B
W42878001
W43486001
W43952001
W52840001
W52840002
W55169001
W52841001
W52841002
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
500mg
500mg
500mg
500mg
500mg
500mg
600mg
600mg
3
3
3
3
3
3
3
3
0J01FAO V
0J01FAO V
0J01FAO V
0J01FAO V
0J01FAO V
0J01FAO V
0J01FAO V
0J01FAO V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
48.70
25.59
25.59
37.07
37.07
25.59
44.51
44.51
37.23
18.93
18.93
28.34
28.34
18.93
34.03
34.03
16.233333
8.530000
8.530000
12.356666
12.356666
8.530000
14.836666
14.836666
3.486426
3.486426
3.486426
3.486426
3.486426
3.486426
4.183713
4.183713
1.743213
1.743213
1.743213
1.743213
1.743213
1.743213
2.091856
2.091856
W43050001 ZMAX 2 g
AZITHROMYCINUM
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
GRAN. ELIB. PREL. PT. SUSP.
ORALA
2g
0J01FAO V
05-07-2010
63.37
48.45
63.370000
13.945708
6.972854
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
W53281001
W42901001
W42877002
W00520002
W00520001
W00520003
W08637001
W08638001
W53633002
W53633003
W53634002
W53634003
W52786004
W52787004
W54301002
W42166002
W03837002
W43051001
W51942001
W51946001
W52343006
W52249002
W53957001
W53958001
W06049001
W12651002
W12490001
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
CLINDAMYCINUM
CLINDAMYCINUM
CLINDAMYCINUM
CLINDAMYCINUM
CLINDAMYCINUM
CLINDAMYCINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
MOXIFLOXACINUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
VALACYCLOVIRUM
BRIVUDINUM
CYCLOPHOSPHAMIDUM
200mg/5ml
100mg/5ml
200 mg/5 ml
200mg/5ml
200mg/5ml
200mg/5ml
150mg
300mg
300mg
300mg
600mg
600mg
250mg
500mg
500mg
400mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
500mg
125mg
50mg
1
1
1
1
1
1
16
16
16
30
16
30
7
7
7
5
15
15
15
15
15
15
15
15
10
7
50
0J01FAO K
0J01FAO K
0J01FAO K
0J01FAO K
0J01FAO K
0J01FAO K
9J01FF01O V
9J01FF01O V
9J01FF01O V
9J01FF01O V
9J01FF01O V
9J01FF01O V
1J01MAO V
1J01MAO V
1J01MAO V
1J01MAO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J05ABO V
9J05AB15O V
9L01AA01O V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
16.33
22.40
34.28
25.12
48.48
60.21
12.11
23.27
23.25
53.87
52.04
95.63
31.43
33.77
51.97
83.21
76.74
52.44
124.00
52.44
52.44
52.44
52.44
52.43
100.40
331.80
26.07
12.08
16.57
26.21
18.59
37.06
46.03
8.96
17.22
17.20
41.18
39.79
75.63
23.25
25.82
39.73
65.81
60.69
40.09
98.07
40.09
40.09
40.09
40.09
40.08
79.41
271.79
19.29
16.330000
22.400000
34.280000
25.120000
48.480000
60.210000
0.756875
1.454375
1.453125
1.795666
3.252500
3.187666
4.490000
4.824285
7.424285
16.642000
5.116000
3.496000
8.266666
3.496000
3.496000
3.496000
3.496000
3.495333
10.040000
47.400000
0.521400
11.346000
7.563998
15.127996
11.346000
22.692000
28.365000
0.734609
1.454375
1.453125
1.469218
2.938437
2.938437
1.019700
2.039400
2.039400
2.039400
4.212160
3.496000
4.212160
3.496000
3.496000
3.496000
3.496000
3.495333
2.004741
47.400000
0.521400
5.673000
3.781999
7.563998
5.673000
11.346000
14.182500
0.367304
0.727187
0.726562
0.734609
1.469218
1.469218
0.509850
1.019700
1.019700
1.019700
2.106080
1.748000
2.106080
1.748000
1.748000
1.748000
1.748000
1.747666
1.002370
23.700000
0.260700
W07196002 LUCRIN DEPOT 11,25mg
LEUPRORELINUM
11,25mg
CJAS 1L02AEP V
05-07-2010
992.77
875.80
992.770000
992.770000
496.385000
B
B
W07197002 LUCRIN DEPOT 3,75mg

W10173001 ZOLADEX (R)
LEUPRORELINUM
GOSERELINUM
PULB. + SOLV. SUSP. ORALA

CAPS.
CAPS.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
COMPR. FILM.
COMPR.
DRAJ.
LIOF.+ SOLV. PT. SUSP. INJ.
ELIB. PREL.
ELIB. PREL.
IMPLANT
3,75mg
3,6mg
1
1
CJAS 1L02AEP V
CJAS 9L02AE03P V
05-07-2010
05-07-2010
428.87
435.66
358.46
364.69
428.870000
435.660000
388.424250
401.409993
194.212125
200.704996
Denumire medicament
FINANORM 5 mg
FINANORM 5 mg
AVODART 0,5 mg
SYNACHTEN DEPOT
ZOMACTON
GENOTROPIN (R) 16 ui (5,3 mg)
NUTROPINAq 10 mg/2 ml
OMNITROPE 3,3mg/ml
OMNITROPE 6,7mg/ml
NORDITROPIN SIMPLEXx 10 mg/1,5ml
NORDITROPIN FLEXPRO 5 mg/1,5 ml

ORGALUTRAN 0.25mg/0,5ml
CETROTIDE 0,25 mg
CETROTIDE 3 mg
ASTONIN H
DIPROPHOS (R)
SOLU - DECORTIN H 250
CARBIMAZOLE 5
THYROZOL (R) 10 mg
THYROZOL (R) 20 mg
THYROZOL (R) 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
SUMAMED 500 mg
AZITROX (R) 500
COMPRIMATE FILMATE
AZIBIOT 500 mg
ZITROCIN 500 mg
ZITROCIN 500 mg
AZITROX 200 mg/5 ml

AZITROMICINA SANDOZ 100 mg/5 ml
SUMAMED FORTE
SUMAMED FORTE
SUMAMED FORTE
DALACIN C 150 mg
DALACIN C 300 mg
CLINDAMYCIN - MIP 300 mg
LEVOFLOXACINA ACTAVIS 250 mg
LEVOFLOXACINA ACTAVIS 500 mg
TAVANIC 500 mg
AVELOX (R) 400 mg
ORUNGAL
ITRACONAZOL 100 mg
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
Substan activ
FINASTERIDUM
FINASTERIDUM
DUTASTERIDUM
TETRACOSACTIDUM
SOMATROPINUM
SOMATROPINUM
SOMATROPINUM
SOMATROPINUM
SOMATROPINUM
SOMATROPINUM
Form farmaceutic
COMPR. FILM.
COMPR. FILM.
CAPS. MOI
SUSP. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ. IN CARTUS
Concentraie
5mg
5mg
0,5mg
1mg/ml
4mg (12ui)
5,3mg/ml (16ui)
10mg/2ml
3,3mg/ml
6,7mg/ml
10mg/1,5ml
Cantitate Cod boli

30
100
30
1
1
1
1
1
1
1
Mentiuni
sublista
B
B
B
B
B
B
B
B
B
B
Cod
medicament
W54107002
W54107004
W13534002
W05830001
W07530001
W05539002
W41642001
W52345001
W52346001
W54046001
CJAS
CJAS
CJAS
CJAS
CJAS
CJAS
Grupa
terapeutica RO
0G04CBO V
0G04CBO V
0G04CBO V
9H01AA02P V
9H01AC01P K
9H01AC01P K
9H01AC01P K
9H01AC01P K
9H01AC01P K
9H01AC01P K

Pre de
Valoare
Valabil de la /amb
/amb
compensare/UT
05-07-2010
35.18
26.90
1.172666
1.171791
0.585895
05-07-2010
111.35
88.07
1.113500
1.113500
0.556750
05-07-2010
95.39
75.44
3.179666
1.171791
0.585895
05-07-2010
5.75
4.25
5.750000
5.750000
2.875000
05-07-2010
465.54
392.10
465.540000
465.540000
232.770000
05-07-2010
554.49
473.71
554.490000
439.851278
219.925639
05-07-2010
989.06
872.39
989.060000
829.908073
414.954036
05-07-2010
483.15
408.26
483.150000
410.804496
205.402248
05-07-2010
764.10
666.01
764.100000
764.100000
382.050000
05-07-2010
1,317.79
1,173.98 1,317.790000
830.323027
415.161513
25 / 135
Substan activ
TRIPTORELINUM
W12169001 DIPHERELINE (R) 11,25 mg
TRIPTORELINUM
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
W12506001
W54084001
W54084002
W00513001
W05099002
W12442003
W12442002
W05089001
W05088001
W10488001
W53944002
W43407001
W43407002
W43407003
W12441001
W05076001
W05080001
W09001001
W05096001
W12870003
W12870002
W12870001
W12629001
W12629002
W12629003
W54560002
W54560003
W54560004
W08618001
W06864001
DIPHERELINE (R) 3,75 mg

GONAPEPTYL ZILNIC 0,1 mg/ml
GONAPEPTYL ZILNIC 0,1 mg/ml
IMURAN (R)
PIROXSAL 20 mg
FLAMEXIN
FLAMEXIN
PIROXICAM LPH 20 mg
PIROXICAM 20 mg
N - PIROXICAM MEDUMAN 20 mg
PIROXICAM ARENA 20 MG
FLAMEXIN
FLAMEXIN
FLAMEXIN
FLAMEXIN (R)
FELDENE (R) 20 mg/ml
HOTEMIN
PIROXICAM 20 mg
PIROXICAM 40 mg
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
TRIPTORELINUM
TRIPTORELINUM
TRIPTORELINUM
AZATHIOPRINUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
LORNOXICAMUM
LORNOXICAMUM
LORNOXICAMUM
LORNOXICAMUM
LORNOXICAMUM
LORNOXICAMUM
LORNOXICAMUM
LORNOXICAMUM
LORNOXICAMUM
LORNOXICAMUM
DEXKETOPROFENUM
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
W43063001
W08360009
W08361007
W08361009
W51225001
W51225004
W51225002
W51225003
W51227001
W51227002
W51227004
W51227003
W51226003
W51226001
W51226002
W51226004
W43416002
W06825001
W08513001
W04553001
W08886001
W42589001
W42864002
W42864003
W41708001
W43252002
W43252001
W51945001
W52125001
W53837001
W04552009
W08659001
W14021001
W10193001
W10194001
W53635001
W54297001
W08599002
W53636001
W53741001
W54083001
W54083002
W55248001
W52948001
W54078001
W54078002
W54078003
W42716001
TADOR INJECT
CELEBREX 100 mg
CELEBREX 200 mg
CELEBREX 200 mg
ARCOXIA 120 mg
ARCOXIA 120 mg
ARCOXIA 120 mg
ARCOXIA 120 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
FLEXODON FORTE
DONA (R)
LEMESIL
AULIN (R) 100 mg
NIMESULID 100 mg
NIMESULID SLAVIA
COXTRAL
COXTRAL
NIMESULID LPH 100 mg
APONIL
APONIL
NIMESULID ARENA 100 mg
NISE 100 mg
NIMESULID FARMEX 100 mg
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
ACID ALENDRONIC BLUEFISH 70 mg
ACID ALENDRONIC BLUEFISH 70 mg
INSTREL 70 mg
ALENDRONAT SANDOZ 70 mg
ADRONIK 70 mg
ADRONIK 70 mg
ADRONIK 70 mg
BONVIVA 150mg
DEXKETOPROFENUM
CELECOXIBUM
CELECOXIBUM
CELECOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
GLUCOSAMINUM
GLUCOSAMINUM
NIMESULIDUM
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
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
ACIDUM IBANDRONICUM
B
B
B
B
B
B
B
B
B
W43328001
W52144002
W53578003
W53774001
W53733003
W54377002
W55054001
W55168002
W55053001
BONVIVA 3mg/3ml
RISENDROS 35 mg
RISEDRONAT TEVA 35 mg
JUVERITAL 35 mg
ACTONEL (R) SAPTAMANAL
LORINE 35mg
JUVERITAL 35 mg
OSTEORON 35 mg
JUVERITAL 5 mg
ACIDUM IBANDRONICUM
ACIDUM RISEDRONICUM
ACIDUM RISEDRONICUM
ACIDUM RISEDRONICUM
ACIDUM RISEDRONICUM
ACIDUM RISEDRONICUM
ACIDUM RISEDRONICUM
ACIDUM RISEDRONICUM
ACIDUM RISEDRONICUM
Form farmaceutic
I.M. ELIB. PREL.
I.M. ELIB. PREL.
SOL. INJ.
SOL. INJ.
COMPR. FILM.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. EFF.
COMPR. EFF.
COMPR. EFF.
SOL. INJ.
SOL. INJ.
SUPOZ.
SUPOZ.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
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.
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.
COMPR. FILM.
PREUMPLUTA
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
Concentraie
0,1mg
Cantitate Cod boli

7
11,25mg
Mentiuni
sublista
B
Cod
W12505001 DIPHERELINE 0,1 mg
Grupa
terapeutica RO
CJAS 1L02AEP V

Pre de
Valoare
Valabil de la /amb
/amb
compensare/UT
05-07-2010
134.30
110.01
19.185714
10.357971
5.178985
CJAS 1L02AEP V
05-07-2010
1,182.19
1,049.58
1,182.190000
1,165.272764
582.636381
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
20mg
40mg
4mg
4mg
4mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg/2ml
25mg
1
7
28
100
20
30
10
20
20
20
20
10
20
30
20
6
5
10
6
30
20
10
10
20
30
10
20
30
10
10
CJAS 1L02AEP V
CJAS 1L02AEP V
CJAS 1L02AEP V
0L04AXO V
0M01ACO V
0M01ACO V
0M01ACO V
0M01ACO V
0M01ACO V
0M01ACO V
0M01ACO V
0M01ACO V
0M01ACO V
0M01ACO V
0M01ACO V
0M01ACP V
0M01ACP V
0M01ACR V
0M01ACR V
0M01ACO V
0M01ACO V
0M01ACO V
0M01ACO V
0M01ACO V
0M01ACO V
0M01ACO V
0M01ACO V
0M01ACO V
0M01ACP V
1M01A5O V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
439.72
232.43
825.44
80.72
2.63
28.95
17.55
3.13
4.44
2.37
2.47
20.75
39.28
48.30
27.30
9.52
11.74
2.85
2.45
18.40
12.42
6.19
11.66
23.59
28.29
16.56
33.14
48.10
136.99
14.02
368.41
190.39
722.28
63.84
1.95
21.42
12.98
2.32
3.28
1.75
1.83
15.35
30.03
36.93
20.20
7.04
8.69
2.11
1.81
13.61
9.19
4.58
8.63
17.45
20.93
12.25
24.52
36.77
112.21
10.37
439.720000
33.204285
29.480000
0.807200
0.131500
0.965000
1.755000
0.156500
0.222000
0.118500
0.123500
2.075000
1.964000
1.610000
1.365000
1.586666
2.348000
0.285000
0.408333
0.613333
0.621000
0.619000
1.166000
1.179500
0.943000
1.656000
1.657000
1.603333
13.699000
1.402000
388.424250
10.357971
10.357971
0.807200
0.131500
0.450000
0.450000
0.156500
0.222000
0.118500
0.123500
0.450000
0.450000
0.450000
0.450000
1.586666
2.113200
0.256500
0.408333
0.149999
0.149999
0.149999
0.299999
0.299999
0.299999
0.299999
0.299999
0.299999
0.704399
0.246299
194.212125
5.178985
5.178985
0.403600
0.065750
0.225000
0.225000
0.078250
0.111000
0.059250
0.061750
0.225000
0.225000
0.225000
0.225000
0.793333
1.056600
0.128250
0.204166
0.074999
0.074999
0.074999
0.149999
0.149999
0.149999
0.149999
0.149999
0.149999
0.352199
0.123149
50mg/2ml
100mg
200mg
200mg
120mg
120mg
120mg
120mg
60mg
60mg
60mg
60mg
90mg
90mg
90mg
90mg
1,5g/plic
1500mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg/plic
100mg/plic
100mg
10mg
25mg
10mg
70 mg
70mg
70mg
70mg
70mg
70mg
70mg
70mg
70mg
70mg
70mg
150mg
5
30
10
30
7
28
14
14
7
14
28
14
14
7
14
28
30
20
20
10
10
10
10
30
10
20
10
10
10
10
15
9
30
50
50
28
4
2
4
4
2
4
4
2
12
2
4
1
1M01A5P V
0M01AHO V
0M01AHO V
0M01AHO V
0M01AHO V
0M01AHO V
0M01AHO V
0M01AHO V
0M01AHO V
0M01AHO V
0M01AHO V
0M01AHO V
0M01AHO V
0M01AHO V
0M01AHO V
0M01AHO V
9M01AX05O V
9M01AX05O V
1M01A5O V
1M01A5O V
1M01A5O V
1M01A5O V
1M01A5O V
1M01A5O V
1M01A5O V
1M01A5O V
1M01A5O V
1M01A5O V
1M01A5O V
1M01A5O V
1M01A5O V
1M01A5O V
1M01A5O V
1M03B5O V
1M03B5O V
0M05BAO V
0M05BAO V
0M05BAO V
0M05BAO V
0M05BAO V
0M05BAO V
0M05BAO V
0M05BAO V
0M05BAO V
0M05BAO V
0M05BAO V
0M05BAO V
0M05BAO V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
30.45
63.41
32.95
93.88
35.00
128.39
67.67
67.67
28.71
55.54
105.50
55.54
59.00
30.48
59.00
112.09
38.02
43.09
9.71
7.47
4.85
7.21
4.79
12.79
4.85
8.18
4.51
4.76
3.57
7.18
11.22
7.64
10.39
20.31
33.41
48.15
48.15
37.04
48.15
47.54
24.87
24.65
47.54
12.79
131.62
24.71
47.85
129.02
22.53
50.15
25.19
74.25
26.76
105.17
53.52
53.52
21.24
42.46
83.44
42.46
45.11
22.55
45.11
88.65
29.07
32.94
7.18
5.53
3.59
5.33
3.54
9.46
3.59
6.05
3.34
3.52
2.64
5.31
8.30
5.65
7.69
15.03
24.72
36.81
36.81
28.32
36.81
36.35
18.40
18.24
36.35
9.46
107.81
18.28
36.58
105.68
6.090000
2.113666
3.295000
3.129333
5.000000
4.585357
4.833571
4.833571
4.101428
3.967142
3.767857
3.967142
4.214285
4.354285
4.214285
4.003214
1.267333
2.154500
0.485500
0.747000
0.485000
0.721000
0.479000
0.426333
0.485000
0.409000
0.451000
0.476000
0.357000
0.718000
0.748000
0.848888
0.346333
0.406200
0.668200
1.719642
12.037500
18.520000
12.037500
11.885000
12.435000
6.162500
11.885000
6.395000
10.968333
12.355000
11.962500
129.020000
1.621350
1.162982
2.325964
2.325964
4.651928
4.585357
4.651928
4.651928
2.325964
2.325964
2.325964
2.325964
3.488946
3.488946
3.488946
3.488946
1.267333
1.340212
0.369450
0.369450
0.369450
0.369450
0.369450
0.369450
0.369450
0.369450
0.369450
0.369450
0.357000
0.369450
0.369450
0.369450
0.346333
0.123600
0.309000
1.540446
10.783123
10.783123
10.783123
10.783123
10.783123
6.162500
10.783123
6.395000
10.783123
10.783123
10.783123
46.213387
0.810675
0.581491
1.162982
1.162982
2.325964
2.292678
2.325964
2.325964
1.162982
1.162982
1.162982
1.162982
1.744473
1.744473
1.744473
1.744473
0.633666
0.670106
0.184725
0.184725
0.184725
0.184725
0.184725
0.184725
0.184725
0.184725
0.184725
0.184725
0.178500
0.184725
0.184725
0.184725
0.173166
0.061800
0.154500
0.770223
5.391561
5.391561
5.391561
5.391561
5.391561
3.081250
5.391561
3.197500
5.391561
5.391561
5.391561
23.106693
1mg/1ml
35mg
35mg
35mg
35mg
35mg
35mg
35mg
5mg
1
4
4
4
4
4
4
4
28
0M05BAP V
0M05BAO V
0M05BAO V
0M05BAO V
0M05BAO V
0M05BAO V
0M05BAO V
0M05BAO V
0M05BAO V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
423.74
81.75
84.06
84.06
111.35
36.41
84.06
72.38
72.38
353.75
64.66
66.48
66.48
88.07
27.84
66.48
57.24
57.24
423.740000
20.437500
21.015000
21.015000
27.837500
9.102500
21.015000
18.095000
2.585000
279.300000
10.783123
10.783123
10.783123
10.783123
9.102500
10.783123
10.783123
1.540446
139.650000
5.391561
5.391561
5.391561
5.391561
4.551250
5.391561
5.391561
0.770223
26 / 135
W42702002 FOSAVANCE 70mg/2800UI
B
B
B
B
B
B
B
B
B
B
W52559002
W42094002
W42094003
W44115003
W44116003
W44117003
W44118003
W44121001
W44119001
W44120001
W42004007 ZALDIAR (R)
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
W42004006
W51336001
W44086001
W41745001
W41745002
W41747002
W41747001
W41743001
W41743002
W51243005
W53524002
W41648001
W53525002
W54233001
W53881001
W54682003
W54712001
W55286001
W41649001
W53527002
W54235001
W53883001
W54995003
W54713001
W55288001
W54798001
W54799002
W54800002
W54801002
W54802002
W10479001
W05889001
W05890001
W08133001
W08134001
W51401001
W51400001
W13298001
W13298008
W13297008
W13019001
W08616002
W08616001
W08424001
W41558001
W04338001
W04339001
W43297002
W43298001
W08060001
W13167001
W54827001
W53115002
W53115003
W54822001
W53114001
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)
RIVOTRIL
RIVOTRIL (R)
LYRICA 150 mg
LYRICA 150 mg
LYRICA 300 mg
LYRICA 300 mg
LYRICA 75 mg
LYRICA 75 mg
AKINETON
OPRYMEA 0,088mg
MIRAPEXIN 0,18 mg
OPRYMEA 0,18mg
GLEPARK 0,18 mg
PRAMIPEXOL TEVA 0,18mg
PRAMIPEXOL SANDOZ 0,18 mg
MEDOPEXOL 0,18 mg
GLEPARK 0,18 mg
MIRAPEXIN 0,7 mg
OPRYMEA 0,7mg
GLEPARK 0,7 mg
MEDOPEXOL 0,7 mg
GLEPARK 0,7 mg
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
CIPRALEX 10 mg
CIPRALEX 5 mg
TRITTICO AC 150 mg
TRITTICO AC 75 mg
TRITTICO AC 75 mg
WELLBUTRIN SR 150 mg
COAXIL (R)
IXEL
IXEL
CYMBALTA 30mg
CYMBALTA 60mg
PRAMISTAR
VIMPOCETIN 5 mg
CAVINTON(R) FORTE
VICEBROL
VICEBROL
CAVINTON(R)
GINKOFAR 40 mg (vezi C04AXN1)
Substan activ
ACIDUM RISEDRONICUM
COMBINATII (ACIDUM
ALENDRONICUM+COLECALCIFEROLU
M)
COMBINATII (ACIDUM
M)
COMBINATII (ACIDUM
M)
COMBINATII (ACIDUM
M)
STRONTIUM RANELATUM
STRONTIUM RANELATUM
OXYCODONUM
OXYCODONUM
OXYCODONUM
OXYCODONUM
DIHYDROCODEINUM
DIHYDROCODEINUM
DIHYDROCODEINUM
COMBINATII
(TRAMADOLUM+PARACETAMOLUM
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
CLONAZEPAMUM
CLONAZEPAMUM
PREGABALINUM
PREGABALINUM
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
PIRIBEDILUM
TIAPRIDUM
TIAPRIDUM
BUSPIRONUM
BUSPIRONUM
MAPROTILINUM
MAPROTILINUM
ESCITALOPRAMUM
ESCITALOPRAMUM
ESCITALOPRAMUM
TRAZODONUM
TRAZODONUM
TRAZODONUM
BUPROPIONUM
TIANEPTINUM
MILNACIPRANUM
MILNACIPRANUM
DULOXETINUM
DULOXETINUM
PRAMIRACETAMUM
VINPOCETINUM
VINPOCETINUM
VINPOCETINUM
VINPOCETINUM
VINPOCETINUM
GINKGO BILOBA
Form farmaceutic
COMPR. FILM.
Concentraie
75mg
Cantitate Cod boli

2
COMPR.
70mg/2800UI
COMPR.
Mentiuni
sublista
B
Cod
W54976001 ACTONEL 75 mg
Grupa
terapeutica RO
0M05BAO V

Pre de
Valoare
Valabil de la /amb
/amb
compensare/UT
05-07-2010
127.84
104.72
63.920000
23.106693
11.553346
0M05BBO V
05-07-2010
89.64
70.90
22.410000
22.410000
11.205000
70mg/2800UI
0M05BBO V
05-07-2010
47.19
36.08
23.595000
22.410000
11.205000
COMPR.
70mg/5600UI
0M05BBO V
05-07-2010
47.19
36.08
23.595000
22.410000
11.205000
COMPR.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
70mg/5600UI
2g
2g
10 mg
20 mg
40 mg
80mg
120mg
60mg
90mg
4
14
28
56
56
56
56
56
56
56
0M05BBO V
0M05BXO V
0M05BXO V
1N02AAO V
1N02AAO V
1N02AAO V
1N02AAO V
9N02AA08O V
9N02AA08O V
9N02AA08O V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
89.64
104.48
174.18
116.55
214.14
394.66
651.43
128.24
29.28
101.45
70.90
82.63
142.68
92.18
175.41
327.07
562.64
105.05
21.66
80.24
22.410000
7.462857
6.220714
2.081250
3.823928
7.047500
11.632678
2.290000
0.522857
1.811607
22.410000
6.531249
6.220714
0.048894
0.977919
1.955843
3.911686
1.501071
0.522857
1.125803
11.205000
3.265624
3.110357
0.024447
0.488959
0.977921
1.955843
0.750535
0.261428
0.562901
COMPR. FILM.
37,5mg+325mg 30
9N02AX52O V
05-07-2010
34.68
26.51
1.156000
1.155250
0.577625
COMPR. FILM.
37,5mg+325mg 10
9N02AX52O V
05-07-2010
12.11
8.96
1.211000
1.155250
0.577625
COMPR. FILM.
37,5mg+325mg 20
9N02AX52O V
05-07-2010
23.91
17.69
1.195500
1.155250
0.577625
COMPR. FILM.
37,5mg+325mg 30
9N02AX52O V
05-07-2010
34.68
26.51
1.156000
1.155250
0.577625
COMPR. FILM.
37,5mg+325mg 10
9N02AX52O V
05-07-2010
12.11
8.96
1.211000
1.155250
0.577625
COMPR. FILM.
37,5mg+325mg 50
9N02AX52O V
05-07-2010
57.65
44.07
1.153000
1.153000
0.576500
COMPR. FILM.
37,5mg+325mg 50
9N02AX52O V
05-07-2010
57.65
44.07
1.153000
1.153000
0.576500
COMPR. FILM.
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. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
DRAJ. ELIB. PREL.
COMPR.
SOL. INJ.
COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
DRAJ.
CAPS.
CAPS.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
COMPR. FILM.
CAPS.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. FILM.
37,5mg+325mg
0,5mg
2mg
150mg
150mg
300mg
300mg
75mg
75mg
2mg
0,088mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,26mg
0,52mg
1,05mg
2,1mg
3,15mg
50mg
100mg
100mg/2ml
10mg
5mg
10mg
25mg
10mg
10mg
5mg
150mg
75mg
75mg
150mg
12,5mg
25mg
50mg
30mg
60mg
600mg
5mg
10mg
5mg
5mg
5mg
40mg
9N02AX52O V
9N03AE01O V
9N03AE01O V
1N03AXO V
1N03AXO V
1N03AXO V
1N03AXO V
1N03AXO V
1N03AXO V
0N04AAO V
0N04BCO V
0N04BCO V
0N04BCO V
0N04BCO V
0N04BCO V
0N04BCO V
0N04BCO V
0N04BCO V
0N04BCO V
0N04BCO V
0N04BCO V
0N04BCO V
0N04BCO V
0N04BCO V
0N04BCO V
0N04BCO V
0N04BCO V
0N04BCO V
0N04BCO V
0N04BCO V
0N04BCO V
0N05ALO V
0N05ALP V
9N05BE01O V
9N05BE01O V
0N06AAO V
0N06AAO V
0N06ABO V
0N06ABO V
0N06ABO V
9N06AX05O V
9N06AX05O V
9N06AX05O V
9N06AX12O V
9N06AX14O V
9N06AX17O V
9N06AX17O V
1N06AXO V
1N06AXO V
9N06BX16O V
9N06BX18O V
9N06BX18O V
9N06BX18O V
9N06BX18O V
9N06BX18O V
9N06DX02O V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
23.91
6.87
6.55
75.99
288.22
421.84
114.01
53.59
193.07
10.54
19.71
49.65
33.34
33.34
33.33
33.34
33.34
33.34
167.46
114.78
114.78
114.78
114.78
114.78
114.78
57.99
313.33
648.99
1,227.12
1,805.26
28.61
9.21
9.49
17.70
10.80
15.15
10.42
61.81
90.16
49.56
24.88
18.66
18.66
128.57
33.65
71.36
116.99
105.15
178.47
71.77
10.26
14.42
10.26
20.52
15.79
9.17
17.69
5.08
4.85
60.10
236.09
352.01
90.17
40.97
158.15
7.80
14.58
37.96
24.67
24.67
24.66
24.67
24.67
24.67
137.17
90.78
90.78
90.78
90.78
90.78
90.78
44.33
256.66
560.40
1,090.80
1,621.20
21.17
6.81
7.02
13.10
7.99
11.21
7.71
47.26
71.31
37.89
18.41
13.81
13.81
105.32
25.73
56.44
92.53
83.16
146.19
56.76
7.59
10.67
7.59
15.18
11.68
6.78
1.195500
0.137400
0.218333
5.427857
5.146785
7.532857
8.143571
3.827857
3.447678
0.210800
0.657000
1.655000
1.111333
1.111333
1.111000
1.111333
1.111333
1.111333
5.582000
3.826000
3.826000
3.826000
3.826000
3.826000
3.826000
5.799000
10.444333
21.633000
40.904000
60.175333
0.953666
0.460500
0.790833
0.295000
0.180000
0.303000
0.347333
4.415000
3.220000
1.770000
1.244000
0.622000
0.622000
2.142833
1.121666
1.274285
2.089107
3.755357
6.373928
3.588500
0.205200
0.480666
0.205200
0.205200
0.315800
0.458500
1.155250
0.067758
0.218333
3.322859
3.322859
6.645718
6.645718
1.661429
1.661429
0.210800
0.207640
0.424719
0.424719
0.424719
0.424719
0.424719
0.424719
0.424719
1.651685
1.651685
1.651685
1.651685
1.651685
1.651685
1.651685
0.613483
1.226966
2.477527
4.955055
7.432583
0.953666
0.460500
0.790833
0.295000
0.155624
0.123297
0.308242
0.564977
0.564977
0.282488
1.244000
0.622000
0.622000
2.142833
1.121666
1.274285
1.330191
3.329062
6.373928
3.588500
0.205200
0.205200
0.205200
0.205200
0.205200
0.408777
0.577625
0.033879
0.109166
1.661429
1.661429
3.322859
3.322859
0.830714
0.830714
0.105400
0.103820
0.212359
0.212359
0.212359
0.212359
0.212359
0.212359
0.212359
0.825842
0.825842
0.825842
0.825842
0.825842
0.825842
0.825842
0.306741
0.613483
1.238763
2.477527
3.716291
0.476833
0.230250
0.395416
0.147500
0.077812
0.061648
0.154121
0.282488
0.282488
0.141244
0.622000
0.311000
0.311000
1.071416
0.560833
0.637142
0.665095
1.664531
3.186964
1.794250
0.102600
0.102600
0.102600
0.102600
0.102600
0.204388
20
50
30
14
56
56
14
14
56
50
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
14
28
28
20
30
30
60
30
56
56
28
28
20
50
30
50
100
50
20
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
27 / 135
W02144001 ARLEVERT
W02144006 ARLEVERT
B
B
W52169001 THIOCTACID (R) 600 HR (vezi A16AX01)

W00108002 N07XN03)
W54195003 CEREBROLYSIN (R)
W54195001 CEREBROLYSIN (R)
B
B
B
B
B
B
W54195002
W54357001
W08669001
W10703001
W10242001
W13214001
W13043001 BEROTEC N - 100 mcg
B
B
B
B
W13044001
W08233001
W08232001
W08231001
W12104001
W12080001
W12105001
W41610002
W41610001
W41675001
W41609001
B
B
B
B
B
B
W41609002
W41902002
W41903002
W41904002
W03222001
W41591001
W12420001 FLIXOTIDE NEBULES 0,5 mg/2 ml
B
B
B
B
W12419001
W12160002
W12160001
W12159003
MOMETASONUM
MOMETASONUM
MOMETASONUM
W54291001 ALVESCO 160 INHALER
CICLESONIDUM
CICLESONIDUM
CICLESONIDUM
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
W54290002
W13253003
W42796002
W42330001
W53945002
W53946002
W42891001
W51362003
W51362004
W08614003
W08614002
W51361003
W51361004
W51363002
W03116001
W03117002
W08919001
W12773001
W12772001
CICLESONIDUM
TIOTROPIUM
AMINOPHYLLINUM
AMINOPHYLLINUM
AMINOPHYLLINUM
AMINOPHYLLINUM
AMINOPHYLLINUM
MONTELUKASTUM
MONTELUKASTUM
MONTELUKASTUM
MONTELUKASTUM
MONTELUKASTUM
MONTELUKASTUM
MONTELUKASTUM
FENSPIRIDUM
FENSPIRIDUM
ERDOSTEINUM
ERDOSTEINUM
ERDOSTEINUM
B
B
CEREBROLYSIN (R)
PLAQUENIL
TAFEN NASAL
RHINOCORT (R) AQUA
FLIXONASE (R)
NASONEX
BERODUAL (R) N
SERETIDE DISKUS 50/100
SERETIDE 25 mcg/125 mcg INHALER CFC
FREE
FREE
FREE
SYMBICORT (R) TURBUHALER (R)
160/4,5 mcg
SYMBICORT (R) TURBUHALER (R)
160/4,5 mcg
SYMBICORT (R) TURBUHALER (R) 320/9
mcg
SYMBICORT (R) TURBUHALER (R) 80/4,5
mcg
SYMBICORT (R) TURBUHALER (R) 80/4,5
mcg
FLIXOTIDE DISKUS 100 mcg
FLIXOTIDE 125 INHALER CFC - Free
FLIXOTIDE (R) 50 INHALER CFC - Free
FLIXOTIDE NEBULES 2 mg/2 ml

ASMANEX TWISTHALER 200 mcg
ALVESCO 80 INHALER
SPIRIVA 18 mcg
MIOFILIN 100 mg
AMINOFILINA EEL
AMINOFILINA ARENA 100 MG
AMINOFILINA ARENA 200 MG
MIOFILIN
SINGULAIR (R)
SINGULAIR (R)
SINGULAIR
SINGULAIR
SINGULAIR (R)
SINGULAIR (R)
SINGULAIR (R)
EURESPAL 80 mg
EURESPAL 2 mg/ml
ERDOMED 300 mg
ERDOMED (R) 225
ERDOMED (R) 175
Substan activ
GINKGO BILOBA
GINKGO BILOBA
Form farmaceutic
COMPR. FILM.
COMPR. FILM.
Concentraie
40mg
40mg
Cantitate Cod boli

60
90
GINKGO BILOBA
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
COMBINATII (CINARIZINUM
+DIMENHIDRINATUM)
COMBINATII (CINARIZINUM
+DIMENHIDRINATUM)
COMPR. FILM.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
SOL. ORALA
SOL. ORALA
40mg
24mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg/doza
8mg/doza
30
20
100
30
50
100
30
100
1
1
COMPR.
COMPR.
Mentiuni
sublista
B
B
B
B
B
B
B
B
B
B
Cod
W53114002 GINKOFAR 40 mg (vezi C04AXN1)
W53114003 GINKOFAR 40 mg (vezi C04AXN1)
GINKO BILOBA BIOFARM 40 mg (vezi
W54451002 C04AXN1)
W13877001 BETASERC (R) 24 mg
W00589001 MICROSER
W51496001 URUTAL 8 mg
W52101002 VESTIBO 8 mg
W52101004 VESTIBO 8 mg
W53856001 ACUVER 8 mg/doza
W53856002 ACUVER 8 mg/doza
Grupa
terapeutica RO
9N06DX02O V
9N06DX02O V

Pre de
Valoare
Valabil de la /amb
/amb
compensare/UT
05-07-2010
26.55
19.64
0.442500
0.408777
0.204388
05-07-2010
36.64
28.01
0.407111
0.407111
0.203555
9N06DX02O V
9N07CA01O V
9N07CA01O V
9N07CA01O V
9N07CA01O V
9N07CA01O V
9N07CA01O V
9N07CA01O V
9N07CA01O V
9N07CA01O V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
12.28
28.17
33.05
14.73
26.59
40.25
8.21
27.41
38.02
69.84
9.09
20.84
24.45
10.90
19.67
30.77
6.07
20.28
29.07
55.24
0.409333
1.408500
0.330500
0.491000
0.531800
0.402500
0.273666
0.274100
38.020000
69.840000
0.408777
0.892350
0.297450
0.297450
0.297450
0.297450
0.273666
0.274100
0.297450
0.297450
0.204388
0.446175
0.148725
0.148725
0.148725
0.148725
0.136833
0.137050
0.148725
0.148725
FARA CONCENT50
9N07CA52O V
05-07-2010
32.16
23.79
0.643200
0.568143
0.284071
FARA CONCENT48
9N07CA52O V
05-07-2010
26.07
19.29
0.543125
0.543125
0.271562
MSP
MSP
MSP
600mg
30
MSP
9N07XN03O V
05-07-2010
103.46
81.83
3.448666
3.448666
1.724333
ACIDUM TIOCTICUM (ALFA-LIPOICUM)

HIDROLIZAT DE PROTEINA DIN
CREIER DE PORCINA
CREIER DE PORCINA
CREIER DE PORCINA
HYDROXYCHLOROQUINUM
BUDESONIDUM
BUDESONIDUM
MOMETASONUM
30mg/ml
10
MSP
9N07XN03P V
05-07-2010
263.27
215.65
26.327000
26.327000
13.163500
SOL. INJ./PERF.
215,2mg/ml
MSP
9N07XXN3P V
05-07-2010
126.57
103.68
25.314000
25.314000
12.657000
SOL. INJ./PERF.
215,2mg/ml
10
MSP
9N07XXN3P V
05-07-2010
39.17
29.95
3.917000
2.712150
1.356075
SOL. INJ./PERF.
COMPR. FILM.
SPRAY NAZ.,SUSP.
SPRAY NAZAL SUSP.
SPRAY NAZAL SUSP.
SPRAY NAZAL SUSP.
SOL. DE INHALAT
PRESURIZATA
215,2mg/ml
200mg
50mcg/doza
32mcg/doza
50mcg/doza
50mcg/doza
5
60
1
1
1
1
MSP
9N07XXN3P V
9P01BA02O V
9R01AD05N V
9R01AD05N V
9R01AD08N V
9R01AD09N V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
87.39
33.36
16.96
25.36
40.01
58.97
69.12
24.68
12.55
18.76
30.59
45.08
17.478000
0.556000
16.960000
25.360000
40.010000
58.970000
13.560750
0.556000
16.960000
12.574800
40.010000
58.970000
6.780375
0.278000
8.480000
6.287400
20.005000
29.485000
100mcg/doza
9R03AC04Inh V 05-07-2010
16.61
12.29
16.610000
16.610000
8.305000
AEROSOL SOL. INHAL.

PULB. INHAL.
PULB. INHAL.
PULB. INHAL.
0,020mg+0,050m 1
50mg/100mg
1
50mg/250mg
1
50mg/500mg
1
9R03AK03Inh V
9R03AK06Inh V
9R03AK06Inh V
9R03AK06Inh V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
40.19
117.16
156.98
223.35
30.73
92.66
128.59
182.95
40.190000
117.160000
156.980000
223.350000
40.190000
45.594000
113.985000
223.350000
20.095000
22.797000
56.992500
111.675000
SALMETEROLUM+FLUTICASONUM
25mcg/125mcg
9R03AK06Inh V 05-07-2010
163.91
134.26
163.910000
113.985000
56.992500
25mcg/250mcg
9R03AK06Inh V 05-07-2010
233.08
190.92
233.080000
227.970000
113.985000
COMBINATII (BUDESONIDUM +
FORMOTEROLUM)
FORMOTEROLUM)
FORMOTEROLUM)
FORMOTEROLUM)
FORMOTEROLUM)
25mcg/50mcg
9R03AK06Inh V 05-07-2010
122.30
96.73
122.300000
45.594000
22.797000
PULB. INHAL.
160/4,5mcg
9R03AK07Inh V 05-07-2010
227.27
186.16
227.270000
227.270000
113.635000
PULB. INHAL.
160/4,5mcg
9R03AK07Inh V 05-07-2010
119.83
94.77
119.830000
113.635000
56.817500
PULB. INHAL.
320/9mcg
9R03AK07Inh V 05-07-2010
227.27
186.16
227.270000
227.270000
113.635000
PULB. INHAL.
80/4,5mcg
9R03AK07Inh V 05-07-2010
94.88
75.04
94.880000
56.817500
28.408750
PULB. INHAL.
PULB. INHAL.
PULB. INHAL.
PULB. INHAL.
SUSP. INHAL. PRIN
NEBULIZATOR
SUSP. INHAL. PRIN
NEBULIZATOR
PULB. INHAL.
PULB. INHAL.
PULB. INHAL.
SOL. DE INHALAT
PRESURIZATA
SOL. DE INHALAT
PRESURIZATA
SOL. DE INHALAT
PRESURIZATA
SOL. DE INHALAT
PRESURIZATA
CAPS. CU PULB.INHAL.
CAPS.
COMPR.
COMPR.
COMPR.
SOL. INJ.
COMPR. FILM.
COMPR. FILM.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
GRANULE
COMPR. FILM.
SIROP
CAPS.
80/4,5mcg
100mcg/doza
250mcg/doza
500mcg/doza
125mcg/doza
50mcg/doza
1
1
1
1
1
1
9R03AK07Inh V
9R03BA05Inh V
9R03BA05Inh V
9R03BA05Inh V
9R03BA05Inh V
9R03BA05Inh V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
179.95
40.56
84.26
136.92
44.50
36.31
147.40
31.01
66.64
112.16
34.02
27.76
179.950000
40.560000
84.260000
136.920000
44.500000
36.310000
113.635000
31.186800
77.967000
136.920000
38.983500
31.186800
56.817500
15.593400
38.983500
68.460000
19.491750
15.593400
0,5mg/2ml
10
9R03BA05Inh V 05-07-2010
31.31
23.17
3.131000
1.039558
0.519779
2mg/2ml
200mcg/doza
200mcg/doza
400mcg/doza
10
1
1
1
9R03BA05Inh V
9R03BA07Inh V
9R03BA07Inh V
9R03BA07Inh V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
90.45
139.67
85.83
248.85
71.54
114.41
67.88
203.84
9.045000
139.670000
85.830000
248.850000
4.158238
132.047500
66.023750
248.850000
2.079119
66.023750
33.011875
124.425000
160g/doza
9R03BA08Inh V 05-07-2010
124.51
101.99
124.510000
124.510000
62.255000
160g/doza
9R03BA08Inh V 05-07-2010
249.52
204.39
249.520000
249.395000
124.697500
80g/doza
9R03BA08Inh V 05-07-2010
112.07
88.63
112.070000
62.348750
31.174375
80g/doza
18mcg
100mg
100mg
100mg
200mg
24mg/ml
10mg
10mg
4mg
4mg
5mg
5mg
4mg/plic
80mg
2mg/ml
300mg
225mg/plic
175mg/5ml
1
1
20
50
40
20
5
14
28
28
14
14
28
28
30
1
10
20
1
9R03BA08Inh V
9R03BB04Inh V
0R03DAO V
0R03DAO V
0R03DAO V
0R03DAO V
0R03DAP V
9R03DC03O V
9R03DC03O V
9R03DC03O V
9R03DC03O V
9R03DC03O V
9R03DC03O V
9R03DC03O V
9R03DX03O V
9R03DX03O K
9R05CB15O V
9R05CB15O V
9R05CB15O K
226.01
163.95
3.61
2.65
1.54
4.38
11.79
76.61
145.37
157.13
82.84
76.44
144.98
158.55
28.03
19.97
15.78
33.07
24.88
185.13
134.30
2.67
1.96
1.14
3.24
8.72
60.59
119.08
128.71
65.52
60.46
118.76
129.87
20.74
14.78
11.68
24.47
18.41
226.010000
163.950000
0.180500
0.053000
0.038500
0.219000
2.358000
5.472142
5.191785
5.611785
5.917142
5.460000
5.177857
5.662500
0.934333
19.970000
1.578000
1.653500
24.880000
124.697500
163.950000
0.070199
0.053000
0.038500
0.140399
2.358000
5.472142
5.191785
2.849014
2.849014
3.561267
3.561267
2.849014
0.934333
19.970000
1.578000
1.301000
24.880000
62.348750
81.975000
0.035099
0.026500
0.019250
0.070199
1.179000
2.736071
2.595892
1.424507
1.424507
1.780633
1.780633
1.424507
0.467166
9.985000
0.789000
0.650500
12.440000
FENOTEROLUM
COMBINATII (FENOTEROLUM +
IPRATROPIUM)
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
28 / 135
Grupa
terapeutica RO
9R05DA09O V
9R05DA09O V
9R05DA09O V
9R05DA09O K
9R05DA09O V
9R05DA09O V
9R05DA09O V
9R05DA09O K
9R05DA09O V
1R06AEO V
1R06AEO V
1R06AEO V
1R06AEO V
1R06AEO V
1R06AEO V
0R06AXO V
0R06AXO V
0R06AXO V
0R06AXO V
0R06AXO V
0R06AXO V
0R06AXO V
0R06AXO V
0R06AXO K
0R06AXO K
1S01AAF V
1S01AAF V
1S01AAF V
1S01AAF V
1S01AAF V
1S01AAF V
9S01AA23F V
9S01AA23F V
9S01AA23F V
1S01AXF V
1S01AXF V
1S01BAF V
1S01BAF V
1S01BAF V
9S01BA06F V

Pre de
Valoare
Valabil de la /amb
/amb
compensare/UT
05-07-2010
3.71
2.74
0.185500
0.177500
0.088750
05-07-2010
6.76
5.00
0.338000
0.338000
0.169000
05-07-2010
2.70
2.00
0.270000
0.266249
0.133124
05-07-2010
8.44
6.24
8.440000
8.440000
4.220000
05-07-2010
10.80
7.99
10.800000
4.615008
2.307504
05-07-2010
5.25
3.88
5.250000
5.250000
2.625000
05-07-2010
7.86
5.82
7.860000
2.653630
1.326815
05-07-2010
8.58
6.35
8.580000
5.348700
2.674350
05-07-2010
8.58
6.35
8.580000
2.662504
1.331252
05-07-2010
16.87
12.48
1.687000
0.977962
0.488981
05-07-2010
42.08
32.17
1.402666
0.977962
0.488981
05-07-2010
10.97
8.12
1.097000
0.977962
0.488981
05-07-2010
10.97
8.12
1.097000
0.977962
0.488981
05-07-2010
21.94
16.23
1.097000
0.977962
0.488981
05-07-2010
36.14
27.63
36.140000
19.559250
9.779625
05-07-2010
11.93
8.83
1.193000
0.410962
0.205481
05-07-2010
13.28
9.83
1.328000
0.410962
0.205481
05-07-2010
17.87
13.22
1.787000
0.616444
0.308222
05-07-2010
19.34
14.31
1.934000
0.616444
0.308222
05-07-2010
5.73
4.24
0.382000
0.102740
0.051370
05-07-2010
54.41
41.60
1.813666
0.410962
0.205481
05-07-2010
21.71
16.06
2.171000
0.410962
0.205481
05-07-2010
17.43
12.90
2.490000
0.410962
0.205481
05-07-2010
10.06
7.44
10.060000
8.687500
4.343750
05-07-2010
20.43
15.12
20.430000
17.375000
8.687500
05-07-2010
4.70
3.48
4.700000
4.700000
2.350000
05-07-2010
4.07
3.01
4.070000
4.070000
2.035000
05-07-2010
4.08
3.02
4.080000
4.072500
2.036250
05-07-2010
11.28
8.35
11.280000
4.072500
2.036250
05-07-2010
20.75
15.35
20.750000
4.072500
2.036250
05-07-2010
8.61
6.37
8.610000
3.054375
1.527187
05-07-2010
14.14
10.46
14.140000
14.140000
7.070000
05-07-2010
28.88
21.37
1.925333
1.248179
0.624089
05-07-2010
32.42
23.99
32.420000
20.802997
10.401498
05-07-2010
14.42
10.67
14.420000
11.270000
5.635000
05-07-2010
15.33
11.34
15.330000
15.330000
7.665000
05-07-2010
7.52
5.56
7.520000
6.865000
3.432500
05-07-2010
13.73
10.16
13.730000
13.730000
6.865000
05-07-2010
8.52
6.30
8.520000
6.865000
3.432500
05-07-2010
4.50
3.33
4.500000
4.500000
2.250000
W43769001 NETILDEX
FARA CONCENT1
9S01CA01F V
05-07-2010
31.31
23.17
31.310000
11.891250
5.945625
W43768002 NETILDEX
PIC. OFT.SOL. UNIDOZA
FARA CONCENT20
9S01CA01F V
05-07-2010
51.19
39.14
2.559500
0.713475
0.356737
W13203001 SPERSADEX COMP
PICATURI OFT.-SOL.
5mg/ml+1mg/ml 1
9S01CA01F V
05-07-2010
12.50
9.25
12.500000
11.891250
5.945625
W55127001 DEXATOBROM 3 mg+1 mg/ml
PIC. OFT. SUSP.
3mg+1mg/ml
9S01CA01F V
05-07-2010
9.97
7.38
9.970000
9.970000
4.985000
W11950002 TOBRADEX ( R )
PICATURI OFT.-SUSP.
1mg+3mg
9S01CA01F V
05-07-2010
15.35
11.36
15.350000
11.891250
5.945625
B
B
B
W02225001 TOBRADEX (R)

W12189001 OPATANOL 1mg/ml
W13204001 OCULOTECT
UNG. OFT.
PIC. OFT., SOL.
GEL OFT.
1mg+3mg
1mg/ml
10mg/g
1
1
1
9S01CA01F V
0S01GXF V
9S01XA02F V
05-07-2010
05-07-2010
05-07-2010
13.04
30.43
16.38
9.65
22.51
12.12
13.040000
30.430000
16.380000
8.323875
30.430000
16.380000
4.161937
15.215000
8.190000
ACENOCUMAROLUM
COMPR.
2mg
30
G1
INSUFICIENTA CARDIACA
CRONICA(CLS.III SAU IV NYHA)
0B01AAO V
05-07-2010
6.52
4.82
0.217333
0.217333
0.217333
C1 W10586001 SINTROM (R)
ACENOCUMAROLUM
COMPR.
4mg
20
G1
0B01AAO V
05-07-2010
6.75
4.99
0.337500
0.337500
0.337500
C1 W42797002 DIGOXIN 0,25 mg
DIGOXINUM
COMPR.
0,25mg
25
G1
9C01AA05O V
05-07-2010
2.79
2.06
0.111600
0.111600
0.111600
C1 W42882001 DIGOXIN 0,5 mg/2 ml
DIGOXINUM
SOL. INJ.
0,5mg/ml
G1
9C01AA05P V
05-07-2010
6.63
4.91
1.326000
1.326000
1.326000
C1 W02550001 LANOXIN SOLUTIE ORALA
DIGOXINUM
SOL. ORALA
0,05mg/ml
G1
9C01AA05O K
05-07-2010
11.06
8.18
11.060000
11.060000
11.060000
C1 W43198002 NEFRIX 25 mg
HYDROCHLOROTHIAZIDUM
COMPR.
25mg
25
G1
0C03AAO V
05-07-2010
3.47
2.57
0.138800
0.138800
0.138800
C1 W03265002 FUROSEMID MCC 40 mg
FUROSEMIDUM
COMPR.
40mg
20
G1
9C03CA01O V
05-07-2010
1.62
1.20
0.081000
0.080000
0.080000
C1 W42036002 FUROSEMID SLAVIA
FUROSEMIDUM
COMPR.
40mg
20
G1
9C03CA01O V
05-07-2010
2.27
1.68
0.113500
0.080000
0.080000
C1 W07878001 FUROSEMID EEL
FUROSEMIDUM
COMPR.
40mg
20
G1
9C03CA01O V
05-07-2010
1.62
1.20
0.081000
0.080000
0.080000
C1 W43155001 FUROSEMID ZENTIVA
FUROSEMIDUM
COMPR.
40mg
20
G1
9C03CA01O V
05-07-2010
6.01
4.45
0.300500
0.080000
0.080000
C1 W03264001 FUROSEMID LPH 40 mg
FUROSEMIDUM
COMPR.
40mg
20
G1
9C03CA01O V
05-07-2010
3.04
2.25
0.152000
0.080000
0.080000
C1 W52043001 FUROSEMID ARENA 40 mg
FUROSEMIDUM
COMPR.
40mg
20
G1
9C03CA01O V
05-07-2010
1.60
1.18
0.080000
0.080000
0.080000
Denumire medicament
TUSSIN
TUSSIN FORTE
TUSALIN 15 mg
HUMEX
HUMEX 0,133 g/100 ml
ROFEDEX
TUSSIN 6,5mg/5ml
ROBITUSSIN JUNIOR
ROBITUSSIN ANTITUSSICUM
XYZAL (R)
XYZAL (R)
LEVOCETIRIZINA SANDOZ 5 mg
LEVOCETIRIZINA ACTAVIS 5 mg
ZENARO 5 mg
XYZAL
EWOFEX 120 mg
TELFAST 120 mg
EWOFEX 180 mg
TELFAST 180 mg
TELFAST 30 mg
AERIUS 5mg
AERIUS 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)
DEXAMETAZONA RPH 1mg/ml
DEXAMETAZONA RPH 1mg/ml
MAXIDEX (R)
OPHTAMESONE
Substan activ
DEXTROMETHORPHANUM
DEXTROMETHORPHANUM
DEXTROMETHORPHANUM
DEXTROMETHORPHANUM
DEXTROMETHORPHANUM
DEXTROMETHORPHANUM
DEXTROMETHORPHANUM
DEXTROMETHORPHANUM
DEXTROMETHORPHANUM
LEVOCETIRIZINUM
LEVOCETIRIZINUM
LEVOCETIRIZINUM
LEVOCETIRIZINUM
LEVOCETIRIZINUM
LEVOCETIRIZINUM
FEXOFENADINUM
FEXOFENADINUM
FEXOFENADINUM
FEXOFENADINUM
FEXOFENADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
GENTAMICINUM
TOBRAMYCINUM
TOBRAMYCINUM
TOBRAMYCINUM
TOBRAMYCINUM
TOBRAMYCINUM
NETILMICINUM
NETILMICINUM
NETILMICINUM
OFLOXACINUM
OFLOXACINUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
BETAMETHASONUM
COMBINATII ( NETILMICINUM +
DEXAMETHASONUM)
COMBINATII ( NETILMICINUM +
DEXAMETHASONUM)
COMBINATII
(CLORAMPHENICOLUM+DEXAMETHAS
ONUM)
COMBINATII (TOBRAMYCINUM
+DEXAMETAZONUM)
+DEXAMETAZONUM)
+DEXAMETAZONUM)
OLOPATADINUM
RETINOLUM
Form farmaceutic
COMPR.
COMPR.
COMPR. FILM.
SIROP
SIROP
SIROP
SIROP
SOL. ORALA
SOL. ORALA
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
PIC. ORALE, SOL.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
SIROP
SOL. ORALA
PIC. OFT., SOL
PIC. OFT., SOL
PIC. OFT., SOL.
PIC. OFT.,SOL.
PICATURI OFT.-SOL.
UNG. OFT.
PIC. OFT., SOL
PICATURI OFT.-SOL.
UNG. OFT.
PICATURI OFT.-SOL.
UNG. OFT.
PIC. OFT. SUSP.
PIC. OFT. SUSP.
PICATURI OFT.-SUSP.
SOL. OFT.
Concentraie
10mg
20mg
15mg
0,1%
0,13%
15mg/5ml
6,5mg/5ml
3,75mg/5ml
7,5mg/5ml
5mg
5mg
5mg
5mg
5mg
5mg/ml
120mg
120mg
180mg
180mg
30mg
5mg
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%
PIC. OFT.,SOL.
C1 W00009002 TROMBOSTOP 2 mg
Cantitate Cod boli

20
20
10
1
1
1
1
1
1
10
30
10
10
20
1
10
10
10
10
15
30
10
7
1
1
1
1
1
1
1
1
1
15
1
1
1
1
1
1
1
Mentiuni
sublista
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
Cod
medicament
W02436002
W02437002
W54303001
W02434001
W10575001
W06856002
W54808002
W10257002
W10255002
W12852003
W12852011
W54237002
W54419006
W55326002
W43474003
W52153003
W54299001
W52154003
W54300001
W54298005
W08347011
W08347006
W08347005
W08897003
W52756006
W44051001
W53829001
W52229001
W10602001
W42218001
W05932001
W12757001
W41510001
W43512001
W41891001
W41890001
W52997001
W52997002
W02427001
W52024001
29 / 135
Substan activ
Form farmaceutic
Concentraie
Cantitate Cod boli

C1 W42799002 FUROSEMID 20 mg/2 ml
FUROSEMIDUM
SOL. INJ.
10mg/ml
G1
C1 W54824001 VEROSPIRON
SPIRONOLACTONUM
CAPS.
100mg
30
C1 W55360002 SPIRONOLACTONA ARENA 25 mg
SPIRONOLACTONUM
CAPS.
25mg
C1 W54823001 VEROSPIRON
SPIRONOLACTONUM
CAPS.
C1 W55359001 SPIRONOLACTONA ARENA 50 mg
SPIRONOLACTONUM
C1 W53792001 SPIRONOLACTONA EEL 25 mg
Mentiuni
sublista
Cod
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
9C03CA01P V
05-07-2010
6.06
4.48
1.212000
1.212000
1.212000
G1
9C03DA01O V
05-07-2010
28.43
21.03
0.947666
0.947666
0.947666
50
G1
9C03DA01O V
05-07-2010
16.04
11.87
0.320800
0.320800
0.320800
50mg
30
G1
9C03DA01O V
05-07-2010
16.67
12.33
0.555666
0.540333
0.540333
CAPS.
50mg
30
G1
9C03DA01O V
05-07-2010
16.21
11.99
0.540333
0.540333
0.540333
SPIRONOLACTONUM
COMPR.
25mg
20
G1
9C03DA01O V
05-07-2010
4.30
3.18
0.215000
0.215000
0.215000
C1 W53791001 SPIRONOLACTONA OZONE 25 mg
SPIRONOLACTONUM
COMPR.
25mg
50
G1
9C03DA01O V
05-07-2010
10.77
7.97
0.215400
0.215000
0.215000
C1 W55072001 SPIRONOLACTONA OZONE 25 mg
SPIRONOLACTONUM
COMPR.
25mg
50
G1
9C03DA01O V
05-07-2010
10.77
7.97
0.215400
0.215000
0.215000
C1 W08893001 SPIRONOLACTONA 25 mg
SPIRONOLACTONUM
COMPR. FILM.
25mg
50
G1
9C03DA01O V
05-07-2010
16.18
11.97
0.323600
0.215000
0.215000
C1 W52138001 ALSPIRON 25 mg
SPIRONOLACTONUM
COMPR. FILM.
25mg
20
G1
9C03DA01O V
05-07-2010
4.30
3.18
0.215000
0.215000
0.215000
C1 W41550001 ALSPIRON 50 mg
SPIRONOLACTONUM
COMPR. FILM.
50mg
20
G1
9C03DA01O V
05-07-2010
13.71
10.14
0.685500
0.685500
0.685500
C1 W04265001 BLOXAN
METOPROLOLUM
COMPR.
100mg
30
G1
0C07ABO V
05-07-2010
14.02
10.37
0.467333
0.197100
0.197100
C1 W04263002 BETAPROL 100 mg
METOPROLOLUM
COMPR.
100mg
30
G1
0C07ABO V
05-07-2010
10.92
8.08
0.364000
0.197100
0.197100
C1 W04266001 EGILOK 100 mg
METOPROLOLUM
COMPR.
100mg
20
G1
0C07ABO V
05-07-2010
6.55
4.85
0.327500
0.197100
0.197100
C1 W07222003 METOPROLOL LPH 100 mg
METOPROLOLUM
COMPR.
100mg
30
G1
0C07ABO V
05-07-2010
7.10
5.25
0.236666
0.197100
0.197100
C1 W07225001 METOPROLOL AL 100
METOPROLOLUM
COMPR.
100mg
30
G1
0C07ABO V
05-07-2010
9.11
6.74
0.303666
0.197100
0.197100
METOPROLOLUM
COMPR.
100mg
100
G1
0C07ABO V
05-07-2010
19.71
14.58
0.197100
0.197100
0.197100
METOPROLOLUM
COMPR.
100mg
50
G1
0C07ABO V
05-07-2010
12.97
9.60
0.259400
0.197100
0.197100
C1 W42176001 METOPROLOL 100 mg
METOPROLOLUM
COMPR.
100mg
30
G1
0C07ABO V
05-07-2010
9.48
7.01
0.316000
0.197100
0.197100
C1 W52230001 METOPROLOL TERAPIA 100 mg
METOPROLOLUM
COMPR.
100mg
30
G1
0C07ABO V
05-07-2010
15.07
11.15
0.502333
0.197100
0.197100
C1 W52474002 METOPROLOL MEDICO UNO 100 mg
METOPROLOLUM
COMPR.
100mg
30
G1
0C07ABO V
05-07-2010
7.00
5.18
0.233333
0.197100
0.197100
C1 W53669001 METOPROLOL VIM SPECTRUM 100 mg
METOPROLOLUM
COMPR.
100mg
20
G1
0C07ABO V
05-07-2010
7.35
5.44
0.367500
0.197100
0.197100
C1 W53941002 METOPROLOL ARENA 100 MG
METOPROLOLUM
COMPR.
100mg
30
G1
0C07ABO V
05-07-2010
7.00
5.18
0.233333
0.197100
0.197100
METOPROLOLUM
COMPR.
100mg
20
G1
0C07ABO V
05-07-2010
8.07
5.97
0.403500
0.197100
0.197100
C1 W04267001 EGILOK 25 mg
METOPROLOLUM
COMPR.
25mg
20
G1
0C07ABO V
05-07-2010
1.90
1.41
0.095000
0.095000
0.095000
METOPROLOLUM
COMPR.
25mg
20
G1
0C07ABO V
05-07-2010
1.90
1.41
0.095000
0.095000
0.095000
METOPROLOLUM
COMPR.
25mg
30
G1
0C07ABO V
05-07-2010
2.85
2.11
0.095000
0.095000
0.095000
METOPROLOLUM
COMPR.
25mg
30
G1
0C07ABO V
05-07-2010
2.85
2.11
0.095000
0.095000
0.095000
METOPROLOLUM
COMPR.
25mg
30
G1
0C07ABO V
05-07-2010
2.85
2.11
0.095000
0.095000
0.095000
C1 W04264002 BETAPROL 50 mg
METOPROLOLUM
COMPR.
50mg
30
G1
0C07ABO V
05-07-2010
5.25
3.88
0.175000
0.083800
0.083800
C1 W04268001 EGILOK 50 mg
METOPROLOLUM
COMPR.
50mg
20
G1
0C07ABO V
05-07-2010
3.50
2.59
0.175000
0.083800
0.083800
Valoare
compensare/UT
30 / 135
Substan activ
Form farmaceutic
Concentraie
Cantitate Cod boli

METOPROLOLUM
COMPR.
50mg
30
G1
METOPROLOLUM
COMPR.
50mg
30
METOPROLOLUM
COMPR.
50mg
METOPROLOLUM
COMPR.
METOPROLOLUM
C1 W52231001 METOPROLOL TERAPIA 50 mg
Mentiuni
sublista
Cod
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
0C07ABO V
05-07-2010
4.73
3.50
0.157666
0.083800
0.083800
G1
0C07ABO V
05-07-2010
5.25
3.88
0.175000
0.083800
0.083800
100
G1
0C07ABO V
05-07-2010
8.38
6.20
0.083800
0.083800
0.083800
50mg
50
G1
0C07ABO V
05-07-2010
7.07
5.23
0.141400
0.083800
0.083800
COMPR.
50mg
30
G1
0C07ABO V
05-07-2010
5.25
3.88
0.175000
0.083800
0.083800
METOPROLOLUM
COMPR.
50mg
30
G1
0C07ABO V
05-07-2010
7.04
5.21
0.234666
0.083800
0.083800
METOPROLOLUM
COMPR.
50mg
30
G1
0C07ABO V
05-07-2010
5.25
3.88
0.175000
0.083800
0.083800
C1 W53670001 METOPROLOL VIM SPECTRUM 50 mg
METOPROLOLUM
COMPR.
50mg
20
G1
0C07ABO V
05-07-2010
3.44
2.55
0.172000
0.083800
0.083800
METOPROLOLUM
COMPR.
50mg
30
G1
0C07ABO V
05-07-2010
5.25
3.88
0.175000
0.083800
0.083800
METOPROLOLUM
COMPR.
50mg
20
G1
0C07ABO V
05-07-2010
3.50
2.59
0.175000
0.083800
0.083800
C1 W51986001 METOPROLOL RETARD 100 mg
METOPROLOLUM
COMPR. ELIB. PREL.
100mg
20
G1
0C07ABO V
05-07-2010
11.11
8.22
0.555500
0.555333
0.555333
C1 W04260001 BETALOC (R) ZOK 100 mg
METOPROLOLUM
100mg
30
G1
0C07ABO V
05-07-2010
25.64
18.97
0.854666
0.555333
0.555333
C1 W43342001 EMZOK 100 mg
METOPROLOLUM
100mg
30
G1
0C07ABO V
05-07-2010
16.66
12.33
0.555333
0.555333
0.555333

C1 W53644004 190 mg
METOPROLOLUM
190mg
28
G1
0C07ABO V
05-07-2010
21.16
15.66
0.755714
0.755666
0.755666

C1 W53641004 23,75 mg
METOPROLOLUM
23,75mg
28
G1
0C07ABO V
05-07-2010
2.76
2.04
0.098571
0.098571
0.098571

C1 W53642004 47,5 mg
METOPROLOLUM
47,5mg
28
G1
0C07ABO V
05-07-2010
9.49
7.02
0.338928
0.270666
0.270666
C1 W04262001 BETALOC (R) ZOK 50 mg
METOPROLOLUM
50mg
30
G1
0C07ABO V
05-07-2010
15.65
11.58
0.521666
0.339333
0.339333
C1 W43341001 EMZOK 50 mg
METOPROLOLUM
50mg
30
G1
0C07ABO V
05-07-2010
10.18
7.53
0.339333
0.339333
0.339333

C1 W53643004 95 mg
METOPROLOLUM
95mg
28
G1
0C07ABO V
05-07-2010
15.55
11.50
0.555357
0.452000
0.452000
C1 W43228004 METOSUCCINAT SANDOZ 190 mg
METOPROLOLUM
190mg
30
G1
0C07ABO V
05-07-2010
22.67
16.77
0.755666
0.755666
0.755666
C1 W43226004 METOSUCCINAT SANDOZ 47,5 mg
METOPROLOLUM
47,5mg
30
G1
0C07ABO V
05-07-2010
8.12
6.01
0.270666
0.270666
0.270666
C1 W43227004 METOSUCCINAT SANDOZ 95 mg
METOPROLOLUM
95mg
30
G1
0C07ABO V
05-07-2010
13.56
10.03
0.452000
0.452000
0.452000
C1 W04259001 BETALOC
METOPROLOLUM
SOL. INJ.
5mg/5ml
G1
0C07ABP V
05-07-2010
22.10
16.35
4.420000
4.420000
4.420000
C1 W08906002 CONCOR COR 10 mg
BISOPROLOLUM
COMPR. FILM.
10mg
30
G1
0C07ABO V
05-07-2010
33.73
24.96
1.124333
0.493100
0.493100
C1 W08907002 CONCOR COR 2,5 mg
BISOPROLOLUM
COMPR. FILM.
2,5mg
30
G1
0C07ABO V
05-07-2010
14.73
10.90
0.491000
0.491000
0.491000
C1 W08908002 CONCOR COR 5 mg
BISOPROLOLUM
COMPR. FILM.
5mg
30
G1
0C07ABO V
05-07-2010
22.26
16.47
0.742000
0.249500
0.249500
C1 W55080005 EZOCEM 5 mg
NEBIVOLOLUM
COMPR
5mg
28
G1
MSP
0C07ABO V
05-07-2010
25.49
18.86
0.910357
0.492500
0.492500
C1 W53962006 NEBLOTENSOL 5 mg
NEBIVOLOLUM
COMPR.
5 mg
30
G1
MSP
0C07ABO V
05-07-2010
27.01
19.98
0.900333
0.492500
0.492500
C1 W04501002 NEBILET (R)
NEBIVOLOLUM
COMPR.
5mg
28
G1
MSP
0C07ABO V
05-07-2010
54.26
41.48
1.937857
0.492500
0.492500
C1 W52443005 NEBIVOLOL ACTAVIS 5 mg
NEBIVOLOLUM
COMPR.
5mg
30
G1
MSP
0C07ABO V
05-07-2010
27.30
20.20
0.910000
0.492500
0.492500
C1 W53475001 NEBACOP 5 mg
NEBIVOLOLUM
COMPR.
5mg
28
G1
MSP
0C07ABO V
05-07-2010
25.47
18.84
0.909642
0.492500
0.492500
Valoare
compensare/UT
31 / 135
Substan activ
Form farmaceutic
Concentraie
Cantitate Cod boli

C1 W53475002 NEBACOP 5 mg
NEBIVOLOLUM
COMPR.
5mg
30
G1
C1 W53828006 X-PRESSOL 5 mg
NEBIVOLOLUM
COMPR.
5mg
30
G1
C1 W53839001 NOLET 5 mg
NEBIVOLOLUM
COMPR.
5mg
30
C1 W54369007 NEBIVOLOL TEVA 5 mg
NEBIVOLOLUM
COMPR.
5mg
C1 W54369008 NEBIVOLOL TEVA 5 mg
NEBIVOLOLUM
COMPR.
C1 W54524005 VOXNEBIN 5 mg
NEBIVOLOLUM
C1 W55035003 NEBINORM 5 mg
Mentiuni
sublista
Cod
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
MSP
0C07ABO V
05-07-2010
27.30
20.20
0.910000
0.492500
0.492500
MSP
0C07ABO V
05-07-2010
27.01
19.98
0.900333
0.492500
0.492500
G1
MSP
0C07ABO V
05-07-2010
30.29
22.41
1.009666
0.492500
0.492500
28
G1
MSP
0C07ABO V
05-07-2010
22.76
16.84
0.812857
0.492500
0.492500
5mg
30
G1
MSP
0C07ABO V
05-07-2010
24.38
18.04
0.812666
0.492500
0.492500
COMPR.
5mg
28
G1
MSP
0C07ABO V
05-07-2010
13.79
10.20
0.492500
0.492500
0.492500
NEBIVOLOLUM
COMPR.
5mg
30
G1
MSP
0C07ABO V
05-07-2010
27.18
20.11
0.906000
0.492500
0.492500
C1 W43389001 CARVEDILOL SANDOZ
CARVEDILOLUM
COMPR.
12,5 mg
30
G1
0C07AGO V
05-07-2010
8.71
6.44
0.290333
0.288000
0.288000
C1 W44082002 DILATREND (R) 12,5 mg
CARVEDILOLUM
COMPR.
12,5mg
28
G1
0C07AGO V
05-07-2010
29.86
22.09
1.066428
0.288000
0.288000
C1 W12649001 CORYOL 12,5 mg
CARVEDILOLUM
COMPR.
12,5mg
28
G1
0C07AGO V
05-07-2010
12.45
9.21
0.444642
0.288000
0.288000
C1 W42058001 TALLITON (R) 12,5 mg
CARVEDILOLUM
COMPR.
12,5mg
30
G1
0C07AGO V
05-07-2010
13.27
9.82
0.442333
0.288000
0.288000
C1 W42731002 ATRAM 12,5
CARVEDILOLUM
COMPR.
12,5mg
30
G1
0C07AGO V
05-07-2010
12.84
9.50
0.428000
0.288000
0.288000
C1 W42742001 CARVEDILOL HELCOR 12,5 mg
CARVEDILOLUM
COMPR.
12,5mg
20
G1
0C07AGO V
05-07-2010
8.69
6.43
0.434500
0.288000
0.288000
C1 W42659001 CARVEDILOL LPH 12,5 mg
CARVEDILOLUM
COMPR.
12,5mg
30
G1
0C07AGO V
05-07-2010
13.33
9.86
0.444333
0.288000
0.288000
C1 W44030001 CARVEDILOL TEVA 12,5 mg
CARVEDILOLUM
COMPR.
12,5mg
30
G1
0C07AGO V
05-07-2010
8.64
6.39
0.288000
0.288000
0.288000
C1 W53658001 CARVEDILOL VIM SPECTRUM 12,5mg
CARVEDILOLUM
COMPR.
12,5mg
20
G1
0C07AGO V
05-07-2010
6.70
4.96
0.335000
0.288000
0.288000
C1 W53751001 GLADYCOR 12,5 mg
CARVEDILOLUM
COMPR.
12,5mg
30
G1
0C07AGO V
05-07-2010
13.07
9.67
0.435666
0.288000
0.288000
C1 W54103001 MIOCARVIL 12,5 mg
CARVEDILOLUM
COMPR.
12,5mg
30
G1
0C07AGO V
05-07-2010
13.33
9.86
0.444333
0.288000
0.288000
C1 W44083002 DILATREND (R) 25 mg
CARVEDILOLUM
COMPR.
25mg
28
G1
0C07AGO V
05-07-2010
33.37
25.51
1.191785
0.301333
0.301333
C1 W12648002 CORYOL 25 mg
CARVEDILOLUM
COMPR.
25mg
28
G1
0C07AGO V
05-07-2010
21.99
16.27
0.785357
0.301333
0.301333
C1 W42059001 TALLITON (R) 25 mg
CARVEDILOLUM
COMPR.
25mg
30
G1
0C07AGO V
05-07-2010
23.56
17.43
0.785333
0.301333
0.301333
C1 W42732001 ATRAM 25
CARVEDILOLUM
COMPR.
25mg
30
G1
0C07AGO V
05-07-2010
19.52
14.44
0.650666
0.301333
0.301333
C1 W42743001 CARVEDILOL HELCOR 25 mg
CARVEDILOLUM
COMPR.
25mg
20
G1
0C07AGO V
05-07-2010
15.69
11.61
0.784500
0.301333
0.301333
CARVEDILOLUM
COMPR.
25mg
30
G1
0C07AGO V
05-07-2010
9.17
6.78
0.305666
0.301333
0.301333
C1 W42658001 CARVEDILOL LPH 25 mg
CARVEDILOLUM
COMPR.
25mg
30
G1
0C07AGO V
05-07-2010
23.56
17.43
0.785333
0.301333
0.301333
C1 W44031001 CARVEDILOL TEVA 25 mg
CARVEDILOLUM
COMPR.
25mg
30
G1
0C07AGO V
05-07-2010
9.04
6.69
0.301333
0.301333
0.301333
C1 W53752001 GLADYCOR 25 mg
CARVEDILOLUM
COMPR.
25mg
30
G1
0C07AGO V
05-07-2010
22.94
16.97
0.764666
0.301333
0.301333
C1 W54104001 MIOCARVIL 25 mg
CARVEDILOLUM
COMPR.
25mg
30
G1
0C07AGO V
05-07-2010
23.56
17.43
0.785333
0.301333
0.301333
C1 W44081003 DILATREND (R) 6,25 mg
CARVEDILOLUM
COMPR.
6,25mg
28
G1
0C07AGO V
05-07-2010
16.41
12.14
0.586071
0.200666
0.200666
C1 W41867002 CORYOL (R)
CARVEDILOLUM
COMPR.
6,25mg
28
G1
0C07AGO V
05-07-2010
6.43
4.76
0.229642
0.200666
0.200666
C1 W41912001 TALLITON 6,25 mg
CARVEDILOLUM
COMPR.
6,25mg
30
G1
0C07AGO V
05-07-2010
6.87
5.08
0.229000
0.200666
0.200666
Valoare
compensare/UT
32 / 135
Substan activ
Form farmaceutic
Concentraie
Cantitate Cod boli

C1 W42730002 ATRAM 6,25
CARVEDILOLUM
COMPR.
6,25mg
30
G1
CARVEDILOLUM
COMPR.
6,25mg
30
C1 W42660001 CARVEDILOL LPH 6,25 mg
CARVEDILOLUM
COMPR.
6,25mg
C1 W44029001 CARVEDILOL TEVA 6,25 mg
CARVEDILOLUM
COMPR.
C1 W53663001 CARVEDILOL VIM SPECTRUM 6,25 mg
CARVEDILOLUM
C1 W53750001 GLADYCOR 6,25 mg
Mentiuni
sublista
Cod
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
0C07AGO V
05-07-2010
6.43
4.76
0.214333
0.200666
0.200666
G1
0C07AGO V
05-07-2010
6.87
5.08
0.229000
0.200666
0.200666
30
G1
0C07AGO V
05-07-2010
6.87
5.08
0.229000
0.200666
0.200666
6,25mg
30
G1
0C07AGO V
05-07-2010
6.02
4.45
0.200666
0.200666
0.200666
COMPR.
6,25mg
20
G1
0C07AGO V
05-07-2010
4.56
3.37
0.228000
0.200666
0.200666
CARVEDILOLUM
COMPR.
6,25mg
30
G1
0C07AGO V
05-07-2010
6.69
4.95
0.223000
0.200666
0.200666
C1 W54102001 MIOCARVIL 6,25 mg
CARVEDILOLUM
COMPR.
6,25mg
30
G1
0C07AGO V
05-07-2010
6.87
5.08
0.229000
0.200666
0.200666
C1 W42392001 CARVEDIGAMMA 12,5 mg
CARVEDILOLUM
COMPR. FILM.
12,5mg
30
G1
0C07AGO V
05-07-2010
13.88
10.27
0.462666
0.462666
0.462666
C1 W42393001 CARVEDIGAMMA 25 mg
CARVEDILOLUM
COMPR. FILM.
25mg
30
G1
0C07AGO V
05-07-2010
24.24
17.93
0.808000
0.808000
0.808000
C1 W42391001 CARVEDIGAMMA 6,25 mg
CARVEDILOLUM
COMPR. FILM.
6,25mg
30
G1
0C07AGO V
05-07-2010
9.04
6.69
0.301333
0.301333
0.301333
C1 W06859002 CAPTOPRIL 12,5 mg
CAPTOPRILUM
COMPR.
12,5mg
30
G1
0C09AAO V
05-07-2010
2.94
2.18
0.098000
0.098000
0.098000
C1 W41841001 CAPTOPRIL MCC 12,5 mg
CAPTOPRILUM
COMPR.
12,5mg
30
G1
0C09AAO V
05-07-2010
2.94
2.18
0.098000
0.098000
0.098000
C1 W06861002 CAPTOPRIL 25 mg
CAPTOPRILUM
COMPR.
25mg
30
G1
0C09AAO V
05-07-2010
3.41
2.52
0.113666
0.112333
0.112333
CAPTOPRILUM
COMPR.
25mg
30
G1
0C09AAO V
05-07-2010
4.10
3.03
0.136666
0.112333
0.112333
C1 W06860001 CAPTOPRIL 25 EEL
CAPTOPRILUM
COMPR.
25mg
20
G1
0C09AAO V
05-07-2010
3.02
2.23
0.151000
0.112333
0.112333
C1 W43029001 CAPTOPRIL - AC 25 mg
CAPTOPRILUM
COMPR.
25mg
20
G1
0C09AAO V
05-07-2010
2.27
1.68
0.113500
0.112333
0.112333
C1 W06857001 CAPTOPRIL MCC 25 mg
CAPTOPRILUM
COMPR.
25mg
30
G1
0C09AAO V
05-07-2010
3.41
2.52
0.113666
0.112333
0.112333
C1 W08550001 CAPTOPRIL LPH 25 mg
CAPTOPRILUM
COMPR.
25mg
30
G1
0C09AAO V
05-07-2010
3.41
2.52
0.113666
0.112333
0.112333
C1 W41981002 CAPTOPRIL SINTOFARM 25 mg
CAPTOPRILUM
COMPR.
25mg
30
G1
0C09AAO V
05-07-2010
3.37
2.49
0.112333
0.112333
0.112333
C1 W53677002 CAPTOPRIL ARENA 25 mg
CAPTOPRILUM
COMPR.
25mg
20
G1
0C09AAO V
05-07-2010
2.27
1.68
0.113500
0.112333
0.112333
C1 W53678001 CAPTOPRIL ARENA 50 mg
CAPTOPRILUM
COMPR.
50 mg
20
G1
0C09AAO V
05-07-2010
2.67
1.98
0.133500
0.130333
0.130333
CAPTOPRILUM
COMPR.
50mg
20
G1
0C09AAO V
05-07-2010
4.44
3.28
0.222000
0.130333
0.130333
CAPTOPRILUM
COMPR.
50mg
30
G1
0C09AAO V
05-07-2010
6.66
4.93
0.222000
0.130333
0.130333
C1 W06862001 CAPTOPRIL 50 EEL
CAPTOPRILUM
COMPR.
50mg
20
G1
0C09AAO V
05-07-2010
3.85
2.85
0.192500
0.130333
0.130333
C1 W43028001 CAPTOPRIL - AC 50 mg
CAPTOPRILUM
COMPR.
50mg
20
G1
0C09AAO V
05-07-2010
2.67
1.98
0.133500
0.130333
0.130333
C1 W42060001 CAPTOPRIL MCC 50 mg
CAPTOPRILUM
COMPR.
50mg
30
G1
0C09AAO V
05-07-2010
4.50
3.33
0.150000
0.130333
0.130333
C1 W00776003 CAPTOPRIL LPH 50 mg
CAPTOPRILUM
COMPR.
50mg
30
G1
0C09AAO V
05-07-2010
3.91
2.89
0.130333
0.130333
0.130333
C1 W08813001 ENALAPRIL 10 mg
ENALAPRILUM
COMPR.
10mg
20
G1
0C09AAO V
05-07-2010
4.39
3.25
0.219500
0.197000
0.197000
ENALAPRILUM
COMPR.
10mg
20
G1
0C09AAO V
05-07-2010
4.39
3.25
0.219500
0.197000
0.197000
C1 W42909001 ENALAPRIL SANDOZ 10 mg
ENALAPRILUM
COMPR.
10mg
20
G1
0C09AAO V
05-07-2010
3.94
2.92
0.197000
0.197000
0.197000
C1 W44078001 ENALAP
ENALAPRILUM
COMPR.
10mg
20
G1
0C09AAO V
05-07-2010
4.39
3.25
0.219500
0.197000
0.197000
Valoare
compensare/UT
33 / 135
Substan activ
Form farmaceutic
Concentraie
Cantitate Cod boli

C1 W02920001 ENALAPRIL LPH 10 mg
ENALAPRILUM
COMPR.
10mg
20
G1
C1 W02922001 ENAP 10 mg
ENALAPRILUM
COMPR.
10mg
20
C1 W14084003 ENALAPRIL FABIOL 10 mg
ENALAPRILUM
COMPR.
10mg
C1 W41447001 ENALAPRIL SLAVIA 10 mg
ENALAPRILUM
COMPR.
C1 W41640001 ENALAPRIL AL 10
ENALAPRILUM
C1 W51276001 RENITEC 10 mg
Mentiuni
sublista
Cod
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
0C09AAO V
05-07-2010
4.39
3.25
0.219500
0.197000
0.197000
G1
0C09AAO V
05-07-2010
4.39
3.25
0.219500
0.197000
0.197000
20
G1
0C09AAO V
05-07-2010
4.39
3.25
0.219500
0.197000
0.197000
10mg
20
G1
0C09AAO V
05-07-2010
4.39
3.25
0.219500
0.197000
0.197000
COMPR.
10mg
30
G1
0C09AAO V
05-07-2010
6.58
4.87
0.219333
0.197000
0.197000
ENALAPRILUM
COMPR.
10mg
28
G1
0C09AAO V
05-07-2010
10.49
7.76
0.374642
0.197000
0.197000
C1 W52009001 ENALAPRIL TERAPIA 10 mg
ENALAPRILUM
COMPR.
10mg
20
G1
0C09AAO V
05-07-2010
7.27
5.38
0.363500
0.197000
0.197000
C1 W53672002 ENALAPRIL ARENA 10mg
ENALAPRILUM
COMPR.
10mg
30
G1
0C09AAO V
05-07-2010
6.86
5.08
0.228666
0.197000
0.197000
ENALAPRILUM
COMPR.
10mg
50
G1
0C09AAO V
05-07-2010
11.22
8.30
0.224400
0.197000
0.197000
ENALAPRILUM
COMPR.
10mg
100
G1
0C09AAO V
05-07-2010
21.96
16.25
0.219600
0.197000
0.197000
ENALAPRILUM
COMPR.
10mg
20
G1
0C09AAO V
05-07-2010
11.25
8.32
0.562500
0.197000
0.197000
C1 W53666002 ENALAPRIL VIM SPECTRUM 10 mg
ENALAPRILUM
COMPR.
10mg
20
G1
0C09AAO V
05-07-2010
4.10
3.03
0.205000
0.197000
0.197000
C1 W54952001 EDNYT 10 mg
ENALAPRILUM
COMPR.
10mg
30
G1
0C09AAO V
05-07-2010
10.17
7.52
0.339000
0.197000
0.197000
C1 W54951001 EDNYT 2,5 mg
ENALAPRILUM
COMPR.
2,5mg
30
G1
0C09AAO V
05-07-2010
8.23
6.09
0.274333
0.274333
0.274333
ENALAPRILUM
COMPR.
20mg
20
G1
0C09AAO V
05-07-2010
7.92
5.86
0.396000
0.327600
0.327600
ENALAPRILUM
COMPR.
20mg
20
G1
0C09AAO V
05-07-2010
10.15
7.51
0.507500
0.327600
0.327600
C1 W12731001 EDNYT (R) 20 mg
ENALAPRILUM
COMPR.
20mg
30
G1
0C09AAO V
05-07-2010
17.57
13.00
0.585666
0.327600
0.327600
C1 W02921001 ENALAPRIL LPH 20 mg
ENALAPRILUM
COMPR.
20mg
20
G1
0C09AAO V
05-07-2010
8.72
6.45
0.436000
0.327600
0.327600
C1 W02923001 ENAP 20 mg
ENALAPRILUM
COMPR.
20mg
20
G1
0C09AAO V
05-07-2010
7.92
5.86
0.396000
0.327600
0.327600
C1 W41487003 ENALAPRIL FABIOL 20 mg
ENALAPRILUM
COMPR.
20mg
20
G1
0C09AAO V
05-07-2010
7.10
5.25
0.355000
0.327600
0.327600
ENALAPRILUM
COMPR.
20mg
30
G1
0C09AAO V
05-07-2010
11.59
8.58
0.386333
0.327600
0.327600
ENALAPRILUM
COMPR.
20mg
28
G1
0C09AAO V
05-07-2010
17.07
12.63
0.609642
0.327600
0.327600
ENALAPRILUM
COMPR.
20mg
20
G1
0C09AAO V
05-07-2010
11.09
8.21
0.554500
0.327600
0.327600
C1 W53674001 ENALAPRIL ARENA 20 mg
ENALAPRILUM
COMPR.
20mg
30
G1
0C09AAO V
05-07-2010
11.11
8.22
0.370333
0.327600
0.327600
ENALAPRILUM
COMPR.
20mg
50
G1
0C09AAO V
05-07-2010
16.38
12.12
0.327600
0.327600
0.327600
ENALAPRILUM
COMPR.
5mg
20
G1
0C09AAO V
05-07-2010
3.65
2.70
0.182500
0.174666
0.174666
ENALAPRILUM
COMPR.
5mg
20
G1
0C09AAO V
05-07-2010
3.65
2.70
0.182500
0.174666
0.174666
ENALAPRILUM
COMPR.
5mg
20
G1
0C09AAO V
05-07-2010
3.65
2.70
0.182500
0.174666
0.174666
C1 W12726001 EDNYT (R) 5 mg
ENALAPRILUM
COMPR.
5mg
30
G1
0C09AAO V
05-07-2010
8.23
6.09
0.274333
0.174666
0.174666
ENALAPRILUM
COMPR.
5mg
30
G1
0C09AAO V
05-07-2010
5.24
3.88
0.174666
0.174666
0.174666
C1 W02925001 ENAP 5 mg
ENALAPRILUM
COMPR.
5mg
20
G1
0C09AAO V
05-07-2010
3.65
2.70
0.182500
0.174666
0.174666
Valoare
compensare/UT
34 / 135
Substan activ
Form farmaceutic
Concentraie
Cantitate Cod boli

ENALAPRILUM
COMPR.
5mg
28
G1
C1 W12811001 ENALAPRIL LPH (R) 5 mg
ENALAPRILUM
COMPR.
5mg
20
ENALAPRILUM
COMPR.
5mg
C1 W52938003 INVORIL 5 mg
ENALAPRILUM
COMPR.
ENALAPRILUM
C1 W53667001 ENALAPRIL VIM SPECTRUM 5 mg
Mentiuni
sublista
Cod
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
0C09AAO V
05-07-2010
7.86
5.82
0.280714
0.174666
0.174666
G1
0C09AAO V
05-07-2010
3.82
2.83
0.191000
0.174666
0.174666
20
G1
0C09AAO V
05-07-2010
3.91
2.89
0.195500
0.174666
0.174666
5mg
30
G1
0C09AAO V
05-07-2010
5.50
4.07
0.183333
0.174666
0.174666
COMPR.
5mg
30
G1
0C09AAO V
05-07-2010
5.56
4.11
0.185333
0.174666
0.174666
ENALAPRILUM
COMPR.
5mg
20
G1
0C09AAO V
05-07-2010
3.64
2.69
0.182000
0.174666
0.174666
C1 W02924001 ENAP (R)
ENALAPRILUM
SOL. INJ.
1,25mg/ml
G1
0C09AAP V
05-07-2010
15.41
11.40
3.082000
3.082000
3.082000
C1 W12794001 RANOLIP
LISINOPRILUM
COMPR.
10mg
30
G1
0C09AAO V
05-07-2010
14.95
11.06
0.498333
0.342666
0.342666
C1 W42156001 LISIREN 10 mg
LISINOPRILUM
COMPR.
10mg
20
G1
0C09AAO V
05-07-2010
10.72
7.93
0.536000
0.342666
0.342666
C1 W42593001 LISINOPRIL SANDOZ 10 mg
LISINOPRILUM
COMPR.
10mg
30
G1
0C09AAO V
05-07-2010
10.28
7.61
0.342666
0.342666
0.342666
C1 W42829001 LISIGAMMA 10 mg
LISINOPRILUM
COMPR.
10mg
30
G1
0C09AAO V
05-07-2010
16.12
11.93
0.537333
0.342666
0.342666
C1 W43054001 LISINOPRIL 10 MEDO
LISINOPRILUM
COMPR.
10mg
30
G1
0C09AAO V
05-07-2010
14.41
10.66
0.480333
0.342666
0.342666
C1 W53748003 LISINOPRIL ACTAVIS 10 mg
LISINOPRILUM
COMPR.
10mg
30
G1
0C09AAO V
05-07-2010
12.84
9.50
0.428000
0.342666
0.342666
C1 W53916001 LISINOPRIL ATB 10 MG
LISINOPRILUM
COMPR.
10mg
20
G1
0C09AAO V
05-07-2010
10.14
7.50
0.507000
0.342666
0.342666
LISINOPRILUM
COMPR.
10mg
30
G1
0C09AAO V
05-07-2010
15.73
11.64
0.524333
0.342666
0.342666
C1 W54841001 TONOLYSIN 10 mg
LISINOPRILUM
COMPR.
10mg
28
G1
0C09AAO V
05-07-2010
15.42
11.41
0.550714
0.342666
0.342666
C1 W54843001 TONOLYSIN 2,5 mg
LISINOPRILUM
COMPR.
2,5mg
28
G1
0C09AAO V
05-07-2010
8.72
6.45
0.311428
0.311428
0.311428
LISINOPRILUM
COMPR.
20mg
30
G1
0C09AAO V
05-07-2010
23.05
17.05
0.768333
0.500666
0.500666
C1 W42088001 LISIREN 20 mg
LISINOPRILUM
COMPR.
20mg
20
G1
0C09AAO V
05-07-2010
15.62
11.56
0.781000
0.500666
0.500666
LISINOPRILUM
COMPR.
20mg
30
G1
0C09AAO V
05-07-2010
15.02
11.11
0.500666
0.500666
0.500666
LISINOPRILUM
COMPR.
20mg
30
G1
0C09AAO V
05-07-2010
28.47
21.06
0.949000
0.500666
0.500666
LISINOPRILUM
COMPR.
20mg
20
G1
0C09AAO V
05-07-2010
14.41
10.66
0.720500
0.500666
0.500666
LISINOPRILUM
COMPR.
20mg
30
G1
0C09AAO V
05-07-2010
23.31
17.25
0.777000
0.500666
0.500666
LISINOPRILUM
COMPR.
20mg
10
G1
0C09AAO V
05-07-2010
7.41
5.48
0.741000
0.500666
0.500666
LISINOPRILUM
COMPR.
20mg
30
G1
0C09AAO V
05-07-2010
23.42
17.33
0.780666
0.500666
0.500666
LISINOPRILUM
COMPR.
20mg
28
G1
0C09AAO V
05-07-2010
22.85
16.91
0.816071
0.500666
0.500666
LISINOPRILUM
COMPR.
40mg
10
G1
0C09AAO V
05-07-2010
13.76
10.18
1.376000
1.307333
1.307333
LISINOPRILUM
COMPR.
40mg
30
G1
0C09AAO V
05-07-2010
39.22
29.98
1.307333
1.307333
1.307333
LISINOPRILUM
COMPR.
5mg
30
G1
0C09AAO V
05-07-2010
7.63
5.65
0.254333
0.237666
0.237666
LISINOPRILUM
COMPR.
5mg
30
G1
0C09AAO V
05-07-2010
7.13
5.28
0.237666
0.237666
0.237666
LISINOPRILUM
COMPR.
5mg
30
G1
0C09AAO V
05-07-2010
10.09
7.47
0.336333
0.237666
0.237666
Valoare
compensare/UT
35 / 135
Substan activ
Form farmaceutic
Concentraie
Cantitate Cod boli

LISINOPRILUM
COMPR.
5mg
30
G1
LISINOPRILUM
COMPR.
5mg
30
LISINOPRILUM
COMPR.
5mg
C1 W55106005 VIVOKAR 10 mg
RAMIPRILUM
CAPS.
C1 W55105005 VIVOKAR 2,5 mg
RAMIPRILUM
C1 W55107005 VIVOKAR 5 mg
Mentiuni
sublista
Cod
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
0C09AAO V
05-07-2010
8.64
6.39
0.288000
0.237666
0.237666
G1
0C09AAO V
05-07-2010
7.33
5.42
0.244333
0.237666
0.237666
28
G1
0C09AAO V
05-07-2010
9.26
6.85
0.330714
0.237666
0.237666
10mg
30
G1
0C09AAO V
05-07-2010
24.88
18.41
0.829333
0.829333
0.829333
CAPS.
2,5mg
30
G1
0C09AAO V
05-07-2010
10.00
7.40
0.333333
0.333333
0.333333
RAMIPRILUM
CAPS.
5mg
30
G1
0C09AAO V
05-07-2010
15.01
11.11
0.500333
0.500333
0.500333
C1 W51933002 VIVACE 10 mg
RAMIPRILUM
COMPR.
10 mg
28
G1
0C09AAO V
05-07-2010
23.22
17.18
0.829285
0.380200
0.380200
C1 W43077006 PIRAMIL 10 mg
RAMIPRILUM
COMPR.
10mg
28
G1
0C09AAO V
05-07-2010
23.22
17.18
0.829285
0.380200
0.380200
C1 W42940001 RAMIPRIL-AC 10 mg
RAMIPRILUM
COMPR.
10mg
30
G1
0C09AAO V
05-07-2010
24.88
18.41
0.829333
0.380200
0.380200
C1 W42972001 AMPRIL 10 mg
RAMIPRILUM
COMPR.
10mg
30
G1
0C09AAO V
05-07-2010
24.87
18.40
0.829000
0.380200
0.380200
C1 W42991001 HARTIL 10 mg
RAMIPRILUM
COMPR.
10mg
28
G1
0C09AAO V
05-07-2010
23.22
17.18
0.829285
0.380200
0.380200
C1 W43524001 ZENRA 10
RAMIPRILUM
COMPR.
10mg
28
G1
0C09AAO V
05-07-2010
23.22
17.18
0.829285
0.380200
0.380200
C1 W43925003 RAMIGAMMA 10 mg
RAMIPRILUM
COMPR.
10mg
100
G1
0C09AAO V
05-07-2010
38.02
29.07
0.380200
0.380200
0.380200
RAMIPRILUM
COMPR.
10mg
20
G1
0C09AAO V
05-07-2010
10.48
7.75
0.524000
0.380200
0.380200
C1 W54354001 TRITACE 10
RAMIPRILUM
COMPR.
10mg
28
G1
0C09AAO V
05-07-2010
34.56
26.42
1.234285
0.380200
0.380200
C1 W51934002 VIVACE 2,5 mg
RAMIPRILUM
COMPR.
2,5 mg
28
G1
0C09AAO V
05-07-2010
7.44
5.50
0.265714
0.265714
0.265714
C1 W43075006 PIRAMIL 2,5 mg
RAMIPRILUM
COMPR.
2,5mg
28
G1
0C09AAO V
05-07-2010
9.35
6.92
0.333928
0.265714
0.265714
C1 W42939001 RAMIPRIL-AC 2,5 mg
RAMIPRILUM
COMPR.
2,5mg
30
G1
0C09AAO V
05-07-2010
10.02
7.41
0.334000
0.265714
0.265714
C1 W42970001 AMPRIL 2,5 mg
RAMIPRILUM
COMPR.
2,5mg
30
G1
0C09AAO V
05-07-2010
9.98
7.38
0.332666
0.265714
0.265714
C1 W42989001 HARTIL 2,5 mg
RAMIPRILUM
COMPR.
2,5mg
28
G1
0C09AAO V
05-07-2010
9.35
6.92
0.333928
0.265714
0.265714
C1 W43522001 ZENRA 2,5
RAMIPRILUM
COMPR.
2,5mg
28
G1
0C09AAO V
05-07-2010
9.35
6.92
0.333928
0.265714
0.265714
C1 W54352003 TRITACE(R) 2,5
RAMIPRILUM
COMPR.
2,5mg
28
G1
0C09AAO V
05-07-2010
14.38
10.64
0.513571
0.265714
0.265714
C1 W51932002 VIVACE 5 mg
RAMIPRILUM
COMPR.
5 mg
28
G1
0C09AAO V
05-07-2010
10.12
7.49
0.361428
0.258100
0.258100
C1 W43076006 PIRAMIL 5 mg
RAMIPRILUM
COMPR.
5mg
28
G1
0C09AAO V
05-07-2010
10.14
7.50
0.362142
0.258100
0.258100
C1 W42237001 RAMIPRIL-AC 5 mg
RAMIPRILUM
COMPR.
5mg
30
G1
0C09AAO V
05-07-2010
10.82
8.01
0.360666
0.258100
0.258100
C1 W42971001 AMPRIL 5 mg
RAMIPRILUM
COMPR.
5mg
30
G1
0C09AAO V
05-07-2010
10.83
8.01
0.361000
0.258100
0.258100
C1 W42990001 HARTIL 5 mg
RAMIPRILUM
COMPR.
5mg
28
G1
0C09AAO V
05-07-2010
10.14
7.50
0.362142
0.258100
0.258100
C1 W43523001 ZENRA 5
RAMIPRILUM
COMPR.
5mg
28
G1
0C09AAO V
05-07-2010
10.14
7.50
0.362142
0.258100
0.258100
RAMIPRILUM
COMPR.
5mg
100
G1
0C09AAO V
05-07-2010
25.81
19.10
0.258100
0.258100
0.258100
RAMIPRILUM
COMPR.
5mg
20
G1
0C09AAO V
05-07-2010
7.07
5.23
0.353500
0.258100
0.258100
C1 W54353001 TRITACE 5
RAMIPRILUM
COMPR.
5mg
28
G1
0C09AAO V
05-07-2010
15.59
11.53
0.556785
0.258100
0.258100
Valoare
compensare/UT
36 / 135
Substan activ
Form farmaceutic
Concentraie
Cantitate Cod boli

C1 W42225001 RAMIRAN 1,25 mg
RAMIPRILUM
COMPR. FILM.
1,25mg
30
G1
C1 W42074001 RAMIRAN 10 mg
RAMIPRILUM
COMPR. FILM.
10mg
30
C1 W42226001 RAMIRAN 2,5 mg
RAMIPRILUM
COMPR. FILM.
2,5mg
C1 W42073001 RAMIRAN 5 mg
RAMIPRILUM
COMPR. FILM.
C1 W43619001 DIOVAN 160 mg
VALSARTANUM
C1 W43618001 DIOVAN 40 mg
Mentiuni
sublista
Cod
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
0C09AAO V
05-07-2010
6.87
5.08
0.229000
0.229000
0.229000
G1
0C09AAO V
05-07-2010
32.92
25.17
1.097333
1.097333
1.097333
30
G1
0C09AAO V
05-07-2010
11.20
8.29
0.373333
0.373333
0.373333
5mg
30
G1
0C09AAO V
05-07-2010
20.45
15.13
0.681666
0.681666
0.681666
COMPR. FILM.
160mg
28
G1
MSP
0C09CAO V
05-07-2010
116.32
92.00
4.154285
4.154285
4.154285
VALSARTANUM
COMPR. FILM.
40mg
28
G1
MSP
0C09CAO V
05-07-2010
71.74
56.74
2.562142
2.562142
2.562142
C1 W43617001 DIOVAN 80 mg
VALSARTANUM
COMPR. FILM.
80mg
28
G1
MSP
0C09CAO V
05-07-2010
91.67
72.50
3.273928
3.273928
3.273928
C1 W00766003 ATACAND
COMPR.
16mg
28
G1
MSP
0C09CAO V
05-07-2010
66.58
52.66
2.377857
2.377857
2.377857
C1 W54059001 ATACAND 32 mg
COMPR.
32mg
28
G1
MSP
0C09CAO V
05-07-2010
117.13
92.64
4.183214
4.183214
4.183214
C1 W00768003 ATACAND
COMPR.
8mg
28
G1
MSP
0C09CAO V
05-07-2010
55.96
42.78
1.998571
1.998571
1.998571
C1 W51687001 OSETRON 4 mg
ONDANSETRONUM
COMPR. FILM.
4mg
10
G10
MSP
0A04AAO V
05-07-2010
19.00
14.06
1.900000
1.900000
1.900000
C1 W13065003 ZOFRAN 4 mg
ONDANSETRONUM
COMPR. FILM.
4mg
10
G10
MSP
0A04AAO V
05-07-2010
66.19
52.35
6.619000
1.900000
1.900000
ONDANSETRONUM
COMPR. FILM.
8mg
10
G10
MSP
0A04AAO V
05-07-2010
33.24
24.59
3.324000
3.324000
3.324000
C1 W43039002 ONDARAN MD 4mg
ONDANSETRONUM
4mg
10
G10
MSP
0A04AAO V
05-07-2010
19.12
14.15
1.912000
1.912000
1.912000
C1 W43039003 ONDARAN MD 4mg
ONDANSETRONUM
4mg
10
G10
MSP
0A04AAO V
05-07-2010
19.12
14.15
1.912000
1.912000
1.912000
C1 W44038001 ONDARAN MD 8 mg
ONDANSETRONUM
8mg
10
G10
MSP
0A04AAO V
05-07-2010
33.48
24.77
3.348000
3.348000
3.348000
ONDANSETRONUM
SOL. INJ.
2mg/ml
G10
MSP
0A04AAP V
05-07-2010
23.73
17.56
4.746000
4.746000
4.746000
ONDANSETRONUM
SOL. INJ.
2mg/ml
G10
MSP
0A04AAP V
05-07-2010
43.66
33.38
8.732000
8.730000
8.730000
C1 W10005001 ZOFRAN 4mg/2ml
ONDANSETRONUM
SOL. INJ.
4mg/2ml
G10
MSP
0A04AAP V
05-07-2010
136.39
111.72
27.278000
4.746000
4.746000
C1 W07916001 ZOFRAN 8mg/4ml
ONDANSETRONUM
SOL. INJ.
8mg/4ml
G10
MSP
0A04AAP V
05-07-2010
175.65
143.88
35.130000
8.730000
8.730000
C1 W51504002 EMESET 4 mg/2 ml
ONDANSETRONUM
SOL. INJ./PERF.
2mg/ml
G10
MSP
0A04AAP V
05-07-2010
23.74
17.56
4.748000
4.746000
4.746000
C1 W51505002 EMESET 8 mg/4 ml
ONDANSETRONUM
SOL. INJ./PERF.
2mg/ml
G10
MSP
0A04AAP V
05-07-2010
43.65
33.37
8.730000
8.730000
8.730000
C1 W44085001 KYTRIL (R) 1 mg
GRANISETRONUM
COMPR. FILM.
1mg
10
G10
MSP
0A04AAO V
05-07-2010
286.92
235.03
28.692000
14.828000
14.828000
C1 W54347002 GRANISETRON ACTAVIS 1 mg
GRANISETRONUM
COMPR. FILM.
1mg
10
G10
MSP
0A04AAO V
05-07-2010
186.49
152.76
18.649000
14.828000
14.828000
C1 W54806002 GRANEGIS 1 mg
GRANISETRONUM
COMPR. FILM.
1mg
10
G10
MSP
0A04AAO V
05-07-2010
148.28
121.46
14.828000
14.828000
14.828000
C1 W53853003 GRANISETRON KABI 1 mg/ml
GRANISETRONUM
CONC. PT. SOL. INJ./PERF.
1mg/ml
G10
MSP
0A04AAP V
05-07-2010
198.83
162.87
39.766000
39.320000
39.320000
GRANISETRONUM
1mg/ml
10
G10
MSP
0A04AAP V
05-07-2010
393.20
325.73
39.320000
39.320000
39.320000
GRANISETRONUM
1mg/ml
G10
MSP
0A04AAP V
05-07-2010
71.13
56.26
14.226000
13.497000
13.497000
GRANISETRONUM
1mg/ml
10
G10
MSP
0A04AAP V
05-07-2010
134.97
110.56
13.497000
13.497000
13.497000
C1 W53091002 GRANISETRON TEVA 1mg/1ml
GRANISETRONUM
CONC. PT. SOL. PERF./INJ.
1mg/1ml
G10
MSP
0A04AAP V
05-07-2010
71.36
56.44
14.272000
13.497000
13.497000
C1 W53092002 GRANISETRON TEVA 3mg/3ml
GRANISETRONUM
CONC. PT. SOL. PERF./INJ.
3mg/3ml
G10
MSP
0A04AAP V
05-07-2010
199.39
163.33
39.878000
39.320000
39.320000
C1 W03395004 KYTRIL
GRANISETRONUM
SOL. INJ.
3mg/3ml
G10
MSP
0A04AAP V
05-07-2010
65.86
52.09
65.860000
65.860000
65.860000
C1 W43177001 ALOXI
PALONOSETRONUM
SOL. INJ.
250 mcg/5ml
G10
MSP
0A04AAP V
05-07-2010
380.38
313.97
380.380000
380.380000
380.380000
C1 W51301001 EPOPHAR 2000 U.I.
EPOETINUM ALFA
SOL. INJ.
2000UI
10
G10
CJAS 0B03XAP V
05-07-2010
331.02
271.15
33.102000
33.102000
33.102000
C1 W44143001 EPREX (R) 3000 UI
EPOETINUM ALFA
SOL. INJ.
3000ui/0,3ml
G10
CJAS 0B03XAP V
05-07-2010
757.39
659.85
126.231666
100.413333
100.413333
C1 W44140001 EPREX (R) 40 000 UI
EPOETINUM ALFA
SOL. INJ.
40 000UI
G10
CJAS 0B03XAP V
05-07-2010
1,350.47
1,203.96
1,350.470000
1,350.470000
1,350.470000
C1 W51299001 EPOPHAR 4000 U.I.
EPOETINUM ALFA
4000UI
10
G10
CJAS 0B03XAP V
05-07-2010
608.23
523.01
60.823000
60.823000
60.823000
C1 W52289002 BINOCRIT 10000UI/1,0ml
EPOETINUM ALFA
10000UI/1,0ml
G10
CJAS 0B03XAP V
05-07-2010
1,724.65
1,547.25
287.441666
287.441666
287.441666
C1 W52297002 ABSEAMED 10000UI/1,0ml
EPOETINUM ALFA
10000UI/1,0ml
G10
CJAS 0B03XAP V
05-07-2010
1,834.63
1,648.14
305.771666
287.441666
287.441666
EPOETINUM ALFA
1000UI/0,5ml
G10
CJAS 0B03XAP V
05-07-2010
217.91
178.50
36.318333
36.318333
36.318333
EPOETINUM ALFA
SOL. INJ.
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
1000UI/0,5ml
G10
CJAS 0B03XAP V
05-07-2010
238.11
195.04
39.685000
36.318333
36.318333
LEUCEMII, LIMFOAME SI
APLAZIE MEDULARA, TUMORI
Valoare
compensare/UT
37 / 135
Substan activ
EPOETINUM ALFA
EPOETINUM ALFA
C1 W55046001 BINOCRIT 30000UI/0,75ml
EPOETINUM ALFA
EPOETINUM ALFA
EPOETINUM ALFA
C1 W55048001 BINOCRIT 40000 UI/1 ml
EPOETINUM ALFA
EPOETINUM ALFA
EPOETINUM ALFA
EPOETINUM ALFA
EPOETINUM ALFA
EPOETINUM ALFA
EPOETINUM ALFA
C1 W07740002 NEORECORMON 10000UI/0,6ml
EPOETINUM BETA
EPOETINUM BETA
EPOETINUM BETA
EPOETINUM BETA
EPOETINUM BETA
EPOETINUM BETA
EPOETINUM BETA
C1 W41530002 ARANESP 100mcg/0,5ml
DARBEPOETINUM ALFA
DARBEPOETINUM ALFA
DARBEPOETINUM ALFA
DARBEPOETINUM ALFA
DARBEPOETINUM ALFA
DARBEPOETINUM ALFA
DARBEPOETINUM ALFA
DARBEPOETINUM ALFA
C1 W41533001 ARANESP 500mcg/ml
DARBEPOETINUM ALFA
DARBEPOETINUM ALFA
DARBEPOETINUM ALFA
DARBEPOETINUM ALFA
Form farmaceutic
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
C1 W53396002 ANDROCUR
CYPROTERONUM
COMPR.
C1 W44063002 DEXAMETHASONE SODIUM PHOSPHATE DEXAMETHASONUM
SOL. INJ.
SOL. INJ.
C1 W08299002 DEXAMED
DEXAMETHASONUM
SOL. INJ.
C1 W08299001 DEXAMED
DEXAMETHASONUM
SOL. INJ.
C1 W03837002 ORUNGAL
ITRACONAZOLUM
CAPS.
C1 W43051001 ITRACONAZOL 100 mg
ITRACONAZOLUM
CAPS.
ITRACONAZOLUM
CAPS.
ITRACONAZOLUM
CAPS.
C1 W52343006 OMICRAL 100 mg
ITRACONAZOLUM
CAPS.
C1 W52249002 SPORILIN 100 mg
ITRACONAZOLUM
CAPS.
C1 W53957001 ITRACONAZOL LPH 100 mg
ITRACONAZOLUM
CAPS.
C1 W53958001 MICOGAL 100 mg
ITRACONAZOLUM
CAPS.
C1 W08947008 VFEND 200mg
VORICONAZOLUM
COMPR. FILM.
C1 W08946008 VFEND 50mg
VORICONAZOLUM
COMPR. FILM.
Cantitate Cod boli

2000UI/1,0ml
6
G10
2000UI/1,0ml
6
G10
30000UI/0,75ml 1
G10
3000UI/0,3ml
6
G10
3000UI/0,3ml
6
G10
40000 UI/1 ml
1
G10
4000UI/0,4ml
6
G10
4000UI/0,4ml
6
G10
5000UI/0,5ml
6
G10
5000UI/0,5ml
6
G10
6000UI/0,6ml
6
G10
8000UI/0,8ml
6
G10
10000UI/0,6ml 6
G10
1000UI/0,3ml
6
G10
2000UI/0,3ml
6
G10
30000 UI/0,6ml 1
G10
4000UI/0,3ml
6
G10
5000UI/0,3ml
6
G10
500UI/0,3ml
6
G10
100mcg/0,5ml
4
G10
10mcg/0,4ml
4
G10
150mcg/0,3ml
4
G10
15mcg/0,375ml 4
G10
20mcg/0,5ml
4
G10
300mcg/0,6ml
1
G10
30mcg/0,3ml
4
G10
40mcg/0,4ml
4
G10
500mcg/ml
1
G10
50mcg/0,5ml
4
G10
60mcg/0,3ml
4
G10
80mcg/0,4ml
4
G10
50mg
50
G10
8mg
100
G10
8mg
5
G10
8mg/2ml
100
G10
8mg/2ml
10
G10
100mg
15
G10
100mg
15
G10
100mg
15
G10
100mg
15
G10
100mg
15
G10
100mg
15
G10
100mg
15
G10
100mg
15
G10
200mg
28
G10
50mg
28
G10
Concentraie
Mentiuni
sublista
Cod
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
Valoare
compensare/UT
CJAS 0B03XAP V
05-07-2010
425.00
354.91
70.833333
70.833333
70.833333
CJAS 0B03XAP V
05-07-2010
457.85
385.05
76.308333
70.833333
70.833333
CJAS 0B03XAP V
05-07-2010
786.55
686.60
786.550000
786.550000
786.550000
CJAS 0B03XAP V
05-07-2010
602.48
517.73
100.413333
100.413333
100.413333
CJAS 0B03XAP V
05-07-2010
651.86
563.04
108.643333
100.413333
100.413333
CJAS 0B03XAP V
05-07-2010
992.26
875.33
992.260000
992.260000
992.260000
CJAS 0B03XAP V
05-07-2010
779.91
680.51
129.985000
129.985000
129.985000
CJAS 0B03XAP V
05-07-2010
840.17
735.80
140.028333
129.985000
129.985000
CJAS 0B03XAP V
05-07-2010
957.28
843.24
159.546666
159.546666
159.546666
CJAS 0B03XAP V
05-07-2010
1,039.51
918.68
173.251666
159.546666
159.546666
CJAS 0B03XAP V
05-07-2010
1,233.28
1,096.45
205.546666
205.546666
205.546666
CJAS 0B03XAP V
05-07-2010
1,620.80
1,451.97
270.133333
270.133333
270.133333
CJAS 0B03XAP V
05-07-2010
2,341.24
2,112.92
390.206666
390.206666
390.206666
CJAS 0B03XAP V
05-07-2010
279.25
228.74
46.541666
46.541666
46.541666
CJAS 0B03XAP V
05-07-2010
525.21
446.84
87.535000
87.535000
87.535000
CJAS 0B03XAP V
05-07-2010
1,171.95
1,040.18
1,171.950000
1,171.950000
1,171.950000
CJAS 0B03XAP V
05-07-2010
978.92
863.09
163.153333
163.153333
163.153333
CJAS 0B03XAP V
05-07-2010
1,205.63
1,071.08
200.938333
200.938333
200.938333
CJAS 0B03XAP V
05-07-2010
143.59
117.62
23.931666
23.931666
23.931666
CJAS 0B03XAP V
05-07-2010
3,165.73
2,869.34
791.432500
791.432500
791.432500
CJAS 0B03XAP V
05-07-2010
390.73
323.47
97.682500
97.682500
97.682500
CJAS 0B03XAP V
05-07-2010
4,697.46
4,274.59
1,174.365000
1,174.365000
1,174.365000
CJAS 0B03XAP V
05-07-2010
546.33
466.22
136.582500
136.582500
136.582500
CJAS 0B03XAP V
05-07-2010
701.15
608.26
175.287500
175.287500
175.287500
CJAS 0B03XAP V
05-07-2010
2,203.60
1,986.65
2,203.600000
2,203.600000
2,203.600000
CJAS 0B03XAP V
05-07-2010
1,007.27
889.10
251.817500
251.817500
251.817500
CJAS 0B03XAP V
05-07-2010
1,316.02
1,172.36
329.005000
329.005000
329.005000
CJAS 0B03XAP V
05-07-2010
3,625.44
3,291.09
3,625.440000
3,625.440000
3,625.440000
CJAS 0B03XAP V
05-07-2010
1,623.11
1,454.09
405.777500
405.777500
405.777500
CJAS 0B03XAP V
05-07-2010
1,932.79
1,738.20
483.197500
483.197500
483.197500
CJAS 0B03XAP V
05-07-2010
2,550.12
2,304.56
637.530000
637.530000
637.530000
MSP
9G03HA01O V
05-07-2010
161.95
132.66
3.239000
3.239000
3.239000
9H02AB02P V
05-07-2010
123.37
101.06
1.233700
0.919600
0.919600
9H02AB02P V
05-07-2010
6.96
5.15
1.392000
0.919600
0.919600
9H02AB02P V
05-07-2010
91.96
72.73
0.919600
0.919600
0.919600
9H02AB02P V
05-07-2010
10.35
7.66
1.035000
0.919600
0.919600
1J02ACO V
05-07-2010
76.74
60.69
5.116000
3.495333
3.495333
1J02ACO V
05-07-2010
52.44
40.09
3.496000
3.495333
3.495333
1J02ACO V
05-07-2010
124.00
98.07
8.266666
3.495333
3.495333
1J02ACO V
05-07-2010
52.44
40.09
3.496000
3.495333
3.495333
1J02ACO V
05-07-2010
52.44
40.09
3.496000
3.495333
3.495333
1J02ACO V
05-07-2010
52.44
40.09
3.496000
3.495333
3.495333
1J02ACO V
05-07-2010
52.44
40.09
3.496000
3.495333
3.495333
1J02ACO V
05-07-2010
52.43
40.08
3.495333
3.495333
3.495333
MSP
2J02ACO V
05-07-2010
3,908.70
3,550.96
139.596428
139.596428
139.596428
MSP
2J02ACO V
05-07-2010
1,030.07
910.02
36.788214
36.788214
36.788214
38 / 135
Substan activ
Form farmaceutic
C1 W10489001 VFEND 200mg
VORICONAZOLUM
PULB. PT. SOL. PERF.
C1 W41889001 VFEND 40 mg/ml
VORICONAZOLUM
C1 W51607001 NOXAFIL SP 40mg/ml
POSACONAZOLUM
C1 W06665001 CANCIDAS 50 mg
CASPOFUNGINUM
CASPOFUNGINUM
SUSP. ORALA
PULB. PT. CONC. PT. SOL.
PERF.
PERF.
C1 W51527001 THROMBOREDUCTIN
ANAGRELIDUM
CAPS.
C1 W51527002 THROMBOREDUCTIN
ANAGRELIDUM
CAPS.
C1 W13970003 EQUORAL (R) 100 mg
CICLOSPORINUM
CAPS. MOI
C1 W51399001 SANDIMMUN NEORAL (R)
CICLOSPORINUM
CAPS. MOI
C1 W13968003 EQUORAL (R) 25 mg
CICLOSPORINUM
CAPS. MOI
C1 W41697001 CICLORAL 25 mg
CICLOSPORINUM
CAPS. MOI
CICLOSPORINUM
CAPS. MOI
CICLOSPORINUM
CAPS. MOI
CICLOSPORINUM
CAPS. MOI
C1 W13980001 EQUORAL (R)
CICLOSPORINUM
SOL. ORALA
C1 W04389001 SEVREDOL 10 mg
MORPHYNUM
COMPR. FILM.
C1 W04390001 SEVREDOL 20 mg
MORPHYNUM
COMPR. FILM.
C1 W44125001 MST CONTINUS 100 mg
MORPHYNUM
MORPHYNUM
MORPHYNUM
MORPHYNUM
MORPHYNUM
C1 W12686002 VENDAL (R) RETARD 100 mg
MORPHYNUM
MORPHYNUM
MORPHYNUM
C1 W43679001 MSI 10 mg MUNDIPHARMA
MORPHYNUM
SOL. INJ.
C1 W43680001 MSI 20 mg MUNDIPHARMA
MORPHYNUM
SOL. INJ.
C1 W42887001 MORFINA 20 mg/ml
MORPHYNUM
SOL. INJ.
C1 W44115003 OXYCONTIN (R) 10 mg
OXYCODONUM
OXYCODONUM
OXYCODONUM
OXYCODONUM
C1 W44121001 DHC CONTINUS 120 mg
DIHYDROCODEINUM
COMPR. ELIB. PREL.
DIHYDROCODEINUM
COMPR. ELIB. PREL.
DIHYDROCODEINUM
COMPR. ELIB. PREL.
C1 W42905002 MIALGIN (R) 100 mg/2 ml
PETHIDINUM
SOL. INJ.
C1 W44035001 FENTANYL SANDOZ MATRIX 75mcg/h
FENTANYLUM
PLASTURE TRANSDERM.
FENTANYLUM
PLASTURE TRANSDERM.
C1 W54989001 DOLFORIN 100 g/ORA
FENTANYLUM
PLASTURE TRANSDERMIC
C1 W43686001 FENTANYL SANDOZ 100 mcg/h
FENTANYLUM
C1 W53503005 FENTANYL TTS SANDOZ 100 mcg/h
FENTANYLUM
C1 W53251003 FENTANYL ACTAVIS 100micrograme/h
FENTANYLUM
FENTANYLUM
FENTANYLUM
FENTANYLUM
FENTANYLUM
Cantitate Cod boli

200mg
1
G10
40mg/ml
1
G10
40mg/ml
1
G10
50mg
1
G10
70mg
1
G10
0,5mg
42
G10
0,5mg
100
G10
100mg
50
G10
25mg
50
G10
25mg
50
G10
25mg
50
G10
50mg
50
G10
50mg
50
G10
50mg
50
G10
100mg/ml
1
G10
10mg
56
G10
20mg
56
G10
100mg
60
G10
10mg
60
G10
200mg
60
G10
30mg
60
G10
60mg
60
G10
100mg
30
G10
30mg
30
G10
60mg
30
G10
10 mg
10
G10
20mg
10
G10
20mg/ml
5
G10
10 mg
56
G10
20 mg
56
G10
40 mg
56
G10
80mg
56
G10
120mg
56
G10
60mg
56
G10
90mg
56
G10
50mg/ml
5
G10
G10
17,34mg/31,50cm5
G10
23,12mg/42.00cm5
100g/ora
5
G10
100mcg/h
5
G10
100mcg/h
5
G10
G10
100micrograme/h 5
G10
11,56mg/21,00cm5
25g/ora
5
G10
25mcg/h
5
G10
25mcg/h
5
G10
Concentraie
Mentiuni
sublista
Cod
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
Valoare
compensare/UT
MSP
2J02ACP V
05-07-2010
536.36
457.07
536.360000
536.360000
536.360000
MSP
2J02ACO V
05-07-2010
2,434.43
2,198.42
2,434.430000
2,434.430000
2,434.430000
MSP
2J02ACO V
05-07-2010
2,974.83
2,694.20
2,974.830000
2,974.830000
2,974.830000
MSP
9J02AX04P V
05-07-2010
1,345.76
1,199.64
1,345.760000
1,345.760000
1,345.760000
MSP
9J02AX04P V
05-07-2010
1,734.79
1,556.55
1,734.790000
1,734.790000
1,734.790000
CJAS 9L01XX35O V
05-07-2010
874.04
766.87
20.810476
16.517600
16.517600
CJAS 9L01XX35O V
05-07-2010
1,651.76
1,480.37
16.517600
16.517600
16.517600
9L04AD01O V
05-07-2010
470.37
396.53
9.407400
9.407400
9.407400
9L04AD01O V
05-07-2010
137.00
112.22
2.740000
1.878000
1.878000
9L04AD01O V
05-07-2010
93.90
74.26
1.878000
1.878000
1.878000
9L04AD01O V
05-07-2010
137.16
112.35
2.743200
1.878000
1.878000
9L04AD01O V
05-07-2010
291.47
238.75
5.829400
3.789000
3.789000
9L04AD01O V
05-07-2010
189.45
155.18
3.789000
3.789000
3.789000
9L04AD01O V
05-07-2010
304.48
249.41
6.089600
3.789000
3.789000
9L04AD01O V
05-07-2010
427.55
357.25
427.550000
427.550000
427.550000
1N02AAO V
05-07-2010
46.85
35.82
0.836607
0.836607
0.836607
1N02AAO V
05-07-2010
67.18
53.13
1.199642
1.199642
1.199642
1N02AAO V
05-07-2010
247.55
202.78
4.125833
2.828000
2.828000
1N02AAO V
05-07-2010
46.02
35.18
0.767000
0.767000
0.767000
1N02AAO V
05-07-2010
421.72
351.90
7.028666
7.028666
7.028666
1N02AAO V
05-07-2010
76.29
60.34
1.271500
0.899333
0.899333
1N02AAO V
05-07-2010
154.28
126.38
2.571333
1.856000
1.856000
1N02AAO V
05-07-2010
84.84
67.10
2.828000
2.828000
2.828000
1N02AAO V
05-07-2010
26.98
19.96
0.899333
0.899333
0.899333
1N02AAO V
05-07-2010
55.68
42.57
1.856000
1.856000
1.856000
1N02AAP V
05-07-2010
25.73
19.04
2.573000
2.573000
2.573000
1N02AAP V
05-07-2010
48.80
37.31
4.880000
1.654000
1.654000
1N02AAP V
05-07-2010
8.27
6.12
1.654000
1.654000
1.654000
1N02AAO V
05-07-2010
116.55
92.18
2.081250
2.081250
2.081250
1N02AAO V
05-07-2010
214.14
175.41
3.823928
3.823928
3.823928
1N02AAO V
05-07-2010
394.66
327.07
7.047500
7.047500
7.047500
1N02AAO V
05-07-2010
651.43
562.64
11.632678
11.632678
11.632678
9N02AA08O V
05-07-2010
128.24
105.05
2.290000
2.290000
2.290000
9N02AA08O V
05-07-2010
29.28
21.66
0.522857
0.522857
0.522857
9N02AA08O V
05-07-2010
101.45
80.24
1.811607
1.811607
1.811607
9N02AB02P V
05-07-2010
7.78
5.76
1.556000
1.556000
1.556000
MSP
9N02AB03TD V 05-07-2010
154.22
126.33
30.844000
30.844000
30.844000
MSP
9N02AB03TD V 05-07-2010
190.80
156.29
38.160000
38.160000
38.160000
MSP
9N02AB03TD V 05-07-2010
190.80
156.29
38.160000
38.160000
38.160000
MSP
9N02AB03TD V 05-07-2010
190.80
156.29
38.160000
38.094000
38.094000
MSP
9N02AB03TD V 05-07-2010
190.80
156.29
38.160000
38.094000
38.094000
MSP
9N02AB03TD V 05-07-2010
190.47
156.02
38.094000
38.094000
38.094000
MSP
9N02AB03TD V 05-07-2010
120.50
95.30
24.100000
24.100000
24.100000
MSP
9N02AB03TD V 05-07-2010
69.53
54.99
13.906000
13.906000
13.906000
MSP
9N02AB03TD V 05-07-2010
71.63
56.65
14.326000
13.782000
13.782000
MSP
9N02AB03TD V 05-07-2010
71.63
56.65
14.326000
13.782000
13.782000
39 / 135
Substan activ
Form farmaceutic
FENTANYLUM
FENTANYLUM
FENTANYLUM
FENTANYLUM
FENTANYLUM
FENTANYLUM
FENTANYLUM
FENTANYLUM
FENTANYLUM
C1 W05977002 TRAMAL (R)
TRAMADOLUM
CAPS.
C1 W42813002 TRALGIT 50
TRAMADOLUM
CAPS.
C1 W12691002 TRAMADOL
TRAMADOLUM
CAPS.
C1 W07472002 TRAMADOL AL 50
TRAMADOLUM
CAPS.
C1 W07472001 TRAMADOL AL 50
TRAMADOLUM
CAPS.
C1 W05960001 MABRON 50 mg
TRAMADOLUM
CAPS.
C1 W41593001 K-ALMA (R)
TRAMADOLUM
CAPS.
C1 W42576001 TRAMACALM
TRAMADOLUM
CAPS.
C1 W13570001 TRAMADOL LPH 50 mg
TRAMADOLUM
CAPS.
C1 W08476001 URGENDOL
TRAMADOLUM
CAPS.
C1 W52049001 TRAMADOL ARENA
TRAMADOLUM
CAPS.
C1 W53128005 TRAMAL UNO 100 mg
TRAMADOLUM
CAPS. ELIB. PREL.
TRAMADOLUM
CAPS. ELIB. PREL.
TRAMADOLUM
CAPS. ELIB. PREL.
TRAMADOLUM
CAPS. ELIB. PREL.
TRAMADOLUM
CAPS. ELIB. PREL.
TRAMADOLUM
CAPS. ELIB. PREL.
TRAMADOLUM
CAPS. ELIB. PREL.
TRAMADOLUM
CAPS. ELIB. PREL.
TRAMADOLUM
CAPS. ELIB. PREL.
TRAMADOLUM
CAPS. ELIB. PREL.
TRAMADOLUM
CAPS. ELIB. PREL.
TRAMADOLUM
CAPS. ELIB. PREL.
C1 W42440001 TRAMAG 50
TRAMADOLUM
COMPR.
C1 W42957001 TRAMADOL EEL
TRAMADOLUM
COMPR.
C1 W42178001 TRAMADOL 50 mg
TRAMADOLUM
COMPR.
C1 W55077001 TRAMADOL 50 mg
TRAMADOLUM
COMPR.
C1 W13507001 TRAMADOLOR (R) 100 ID
TRAMADOLUM
COMPR. ELIB. MODIF.
C1 W12750001 TRAMADOL (R) RETARD
TRAMADOLUM
COMPR. ELIB. PREL.
C1 W41922003 TRALGIT SR 100
TRAMADOLUM
COMPR. ELIB. PREL.
TRAMADOLUM
COMPR. ELIB. PREL.
TRAMADOLUM
COMPR. ELIB. PREL.
C1 W53489001 NOAX UNO 100 mg
TRAMADOLUM
COMPR. ELIB. PREL.
C1 W53489005 NOAX UNO 100 mg
TRAMADOLUM
COMPR. ELIB. PREL.
TRAMADOLUM
COMPR. ELIB. PREL.
TRAMADOLUM
COMPR. ELIB. PREL.
TRAMADOLUM
COMPR. ELIB. PREL.
Cantitate Cod boli

25micrograme/h 5
G10
5,78mg/10,5cmp 5
G10
50g/ora
5
G10
50mcg/h
5
G10
50mcg/h
5
G10
50micrograme/h 5
G10
75g/ora
5
G10
75mcg/h
5
G10
75mcg/h
5
G10
50mg
20
G10
50mg
20
G10
50mg
20
G10
50mg
30
G10
50mg
10
G10
50mg
10
G10
50mg
20
G10
50mg
10
G10
50mg
20
G10
50mg
10
G10
50mg
20
G10
100mg
10
G10
100mg
20
G10
100mg
30
G10
100mg
50
G10
150mg
10
G10
150mg
20
G10
150mg
30
G10
150mg
50
G10
200mg
10
G10
200mg
20
G10
200mg
30
G10
200mg
50
G10
50mg
20
G10
50mg
20
G10
50mg
20
G10
50mg
20
G10
100mg
10
G10
100mg
30
G10
100mg
50
G10
100mg
10
G10
100mg
30
G10
100mg
5
G10
100mg
30
G10
150mg
30
G10
150mg
10
G10
200mg
10
G10
Concentraie
Mentiuni
sublista
Cod
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
Valoare
compensare/UT
MSP
9N02AB03TD V 05-07-2010
68.91
54.50
13.782000
13.782000
13.782000
MSP
9N02AB03TD V 05-07-2010
71.63
56.65
14.326000
14.326000
14.326000
MSP
9N02AB03TD V 05-07-2010
120.50
95.30
24.100000
24.100000
24.100000
MSP
9N02AB03TD V 05-07-2010
120.50
95.30
24.100000
24.088000
24.088000
MSP
9N02AB03TD V 05-07-2010
120.50
95.30
24.100000
24.088000
24.088000
MSP
9N02AB03TD V 05-07-2010
120.44
95.25
24.088000
24.088000
24.088000
MSP
9N02AB03TD V 05-07-2010
154.22
126.33
30.844000
30.844000
30.844000
MSP
9N02AB03TD V 05-07-2010
154.22
126.33
30.844000
30.844000
30.844000
MSP
9N02AB03TD V 05-07-2010
154.22
126.33
30.844000
30.844000
30.844000
9N02AX02O V
05-07-2010
11.79
8.72
0.589500
0.291000
0.291000
9N02AX02O V
05-07-2010
7.89
5.84
0.394500
0.291000
0.291000
9N02AX02O V
05-07-2010
5.82
4.31
0.291000
0.291000
0.291000
9N02AX02O V
05-07-2010
11.49
8.50
0.383000
0.291000
0.291000
9N02AX02O V
05-07-2010
3.84
2.84
0.384000
0.291000
0.291000
9N02AX02O V
05-07-2010
4.98
3.68
0.498000
0.291000
0.291000
9N02AX02O V
05-07-2010
7.66
5.67
0.383000
0.291000
0.291000
9N02AX02O V
05-07-2010
3.84
2.84
0.384000
0.291000
0.291000
9N02AX02O V
05-07-2010
7.66
5.67
0.383000
0.291000
0.291000
9N02AX02O V
05-07-2010
3.81
2.82
0.381000
0.291000
0.291000
9N02AX02O V
05-07-2010
8.97
6.64
0.448500
0.291000
0.291000
9N02AX02O V
05-07-2010
17.35
12.84
1.735000
1.429400
1.429400
9N02AX02O V
05-07-2010
33.41
24.72
1.670500
1.429400
1.429400
9N02AX02O V
05-07-2010
47.28
36.15
1.576000
1.429400
1.429400
9N02AX02O V
05-07-2010
71.47
56.52
1.429400
1.429400
1.429400
9N02AX02O V
05-07-2010
26.02
19.25
2.602000
2.144000
2.144000
9N02AX02O V
05-07-2010
48.48
37.06
2.424000
2.144000
2.144000
9N02AX02O V
05-07-2010
68.55
54.22
2.285000
2.144000
2.144000
9N02AX02O V
05-07-2010
107.20
84.78
2.144000
2.144000
2.144000
9N02AX02O V
05-07-2010
32.48
24.03
3.248000
2.422400
2.422400
9N02AX02O V
05-07-2010
58.30
44.57
2.915000
2.422400
2.422400
9N02AX02O V
05-07-2010
77.94
61.64
2.598000
2.422400
2.422400
9N02AX02O V
05-07-2010
121.12
95.79
2.422400
2.422400
2.422400
9N02AX02O V
05-07-2010
7.66
5.67
0.383000
0.383000
0.383000
9N02AX02O V
05-07-2010
7.66
5.67
0.383000
0.383000
0.383000
9N02AX02O V
05-07-2010
9.94
7.35
0.497000
0.383000
0.383000
9N02AX02O V
05-07-2010
9.94
7.35
0.497000
0.383000
0.383000
9N02AX02O V
05-07-2010
6.29
4.65
0.629000
0.629000
0.629000
9N02AX02O V
05-07-2010
18.88
13.97
0.629333
0.629000
0.629000
9N02AX02O V
05-07-2010
48.37
36.98
0.967400
0.629000
0.629000
9N02AX02O V
05-07-2010
9.85
7.29
0.985000
0.629000
0.629000
9N02AX02O V
05-07-2010
27.23
20.15
0.907666
0.629000
0.629000
9N02AX02O V
05-07-2010
7.40
5.47
1.480000
0.629000
0.629000
9N02AX02O V
05-07-2010
39.43
30.15
1.314333
0.629000
0.629000
9N02AX02O V
05-07-2010
33.48
24.77
1.116000
1.116000
1.116000
9N02AX02O V
05-07-2010
21.00
15.54
2.100000
1.116000
1.116000
9N02AX02O V
05-07-2010
27.44
20.30
2.744000
1.723666
1.723666
40 / 135
Substan activ
Form farmaceutic
C1 W53488002 NOAX UNO 200 mg
TRAMADOLUM
COMPR. ELIB. PREL.
C1 W53488005 NOAX UNO 200 mg
TRAMADOLUM
COMPR. ELIB. PREL.
C1 W53487002 NOAX UNO 300 mg
TRAMADOLUM
COMPR. ELIB. PREL.
C1 W53487012 NOAX UNO 300 mg
TRAMADOLUM
COMPR. ELIB. PREL.
C1 W07784001 TRADOLAN 50 mg
TRAMADOLUM
COMPR. FILM.
C1 W07473001 TRAMAL RETARD 100 mg
TRAMADOLUM
TRAMADOLUM
C1 W43360001 TRAMADOL RETARD 150 mg
TRAMADOLUM
TRAMADOLUM
C1 W43361001 TRAMADOL RETARD 200 mg
TRAMADOLUM
C1 W43913002 TRALGIT
TRAMADOLUM
PIC. ORALE, SOL.
C1 W43913001 TRALGIT
TRAMADOLUM
PIC. ORALE, SOL.
C1 W07470002 TRAMADOL AL PICATURI
TRAMADOLUM
PIC. ORALE, SOL.
C1 W05982001 TRAMAL (R)
TRAMADOLUM
PICATURI ORALE-SOL.
C1 W05961002 MABRON
TRAMADOLUM
SOL. INJ.
C1 W43912001 TRALGIT 100
TRAMADOLUM
SOL. INJ.
C1 W05980001 TRAMAL (R) 50
TRAMADOLUM
SOL. INJ.
TRAMADOLUM
SOL. INJ.
C1 W43914001 TRALGIT 50
TRAMADOLUM
SOL. INJ.
TRAMADOLUM
SOL. INJ.
TRAMADOLUM
SOL. INJ.
TRAMADOLUM
SOL. INJ.
TRAMADOLUM
SUPOZ.
C1 W51921003 SINTALGON 2,5 mg
METHADONUM
COMPR.
C1 W52853001 SUBSTIDON 20 mg
METHADONUM
COMPR.
METHADONUM
COMPR.
METHADONUM
COMPR.
METHADONUM
COMPR.
C1 W01411002 FOSFAT DE CODEINA 15 mg
CODEINUM
COMPR.
C1 W01409002 CODEINA FOSFORICA
CODEINUM
COMPR.
C1 W10630001 FARMACOD
CODEINUM
COMPR.
C1 W11887002 CODEINA FOSFAT 15 mg
CODEINUM
COMPR.
C1 W42290001 CODEINA FOSFAT
CODEINUM
COMPR.
C1 W01407004 CODEINA FOSFAT LPH 15 mg
CODEINUM
COMPR.
C1 W54406001 CODEINA FOSFAT MCC 15 mg
CODEINUM
COMPR.
C1 W55070002 CODEINA FOSFAT 15 mg
CODEINUM
COMPR.
C1 W02408001 DESFERAL
DEFEROXAMINUM
LIOF. PT. SOL. INJ./PERF.
C1 W51484001 EXJADE 125mg
DEFERASIROXUM
COMPR. DISP.
C1 W51485001 EXJADE 250mg
DEFERASIROXUM
COMPR. DISP.
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
DEFERASIROXUM
PHENOBARBITALUM
PHENOBARBITALUM
PHENOBARBITALUM
PHENYTOINUM
PHENYTOINUM
CLONAZEPAMUM
CLONAZEPAMUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
COMPR. DISP.
COMPR.
COMPR.
SOL. INJ.
COMPR.
SOL. INJ.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
W51486001
W42801002
W43461001
W42870001
W12143001
W12761001
W51336001
W44086001
W12596003
W51397003
W00796002
W13249001
W00806001
W00818001
EXJADE 500mg
FENOBARBITAL 100 mg
FENOBARBITAL 100 mg
FENOBARBITAL 200 mg/ 2 ml
FENITOIN 100 mg
PHENHYDAN (R)SOLUTIE INJECTABILA
RIVOTRIL
RIVOTRIL (R)
NEUROTOP
TEGRETOL (R) 200
CARBAMAZEPINA LPH 200 mg
CARBAVIM
CARBEPSIL 200
TAVER
Cantitate Cod boli

200mg
10
G10
200mg
30
G10
300mg
10
G10
300mg
30
G10
50mg
30
G10
100mg
10
G10
150mg
10
G10
150mg
30
G10
200mg
10
G10
200mg
30
G10
100mg/ml
1
G10
100mg/ml
1
G10
G10
FARA CONCENT1
100mg/ml
1
G10
100mg
100
G10
100mg/2ml
5
G10
50mg/ml
5
G10
50mg/ml
5
G10
50mg/ml
5
G10
50mg/ml
5
G10
50mg/ml
5
G10
50mg/ml
5
G10
100mg
5
G10
2,5mg
50
G10
20mg
20
G10
20mg
50
G10
5mg
20
G10
5mg
50
G10
15mg
30
G10
15mg
25
G10
15mg
20
G10
15mg
20
G10
15mg
20
G10
15mg
20
G10
15mg
20
G10
15mg
20
G10
500mg
10
G10
125mg
28
G10
250mg
28
G10
500mg
28
G10
100 mg
25
G11
EPILEPSIE
100mg
10
G11
EPILEPSIE
10%
5
G11
EPILEPSIE
100mg
20
G11
EPILEPSIE
50mg/ml
5
G11
EPILEPSIE
0,5mg
50
G11
EPILEPSIE
2mg
30
G11
EPILEPSIE
200mg
50
G11
EPILEPSIE
200mg
50
G11
EPILEPSIE
200mg
50
G11
EPILEPSIE
200mg
50
G11
EPILEPSIE
200mg
50
G11
EPILEPSIE
200mg
50
G11
EPILEPSIE
Concentraie
Mentiuni
sublista
Cod
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
9N02AX02O V
05-07-2010
20.05
14.83
2.005000
1.723666
1.723666
9N02AX02O V
05-07-2010
51.71
39.53
1.723666
1.723666
1.723666
9N02AX02O V
05-07-2010
27.86
20.61
2.786000
2.543000
2.543000
9N02AX02O V
05-07-2010
76.29
60.34
2.543000
2.543000
2.543000
9N02AX02O V
05-07-2010
10.62
7.86
0.354000
0.354000
0.354000
9N02AX02O V
05-07-2010
9.68
7.16
0.968000
0.629000
0.629000
9N02AX02O V
05-07-2010
21.97
16.25
2.197000
1.116000
1.116000
9N02AX02O V
05-07-2010
62.30
47.63
2.076666
1.116000
1.116000
9N02AX02O V
05-07-2010
28.12
20.80
2.812000
1.723666
1.723666
9N02AX02O V
05-07-2010
74.39
58.83
2.479666
1.723666
1.723666
9N02AX02O V
05-07-2010
100.21
79.25
100.210000
5.020000
5.020000
9N02AX02O V
05-07-2010
12.57
9.30
12.570000
5.020000
5.020000
9N02AX02O V
05-07-2010
5.02
3.71
5.020000
5.020000
5.020000
9N02AX02O V
05-07-2010
7.73
5.72
7.730000
5.020000
5.020000
9N02AX02P V
05-07-2010
136.67
111.95
1.366700
1.366700
1.366700
9N02AX02P V
05-07-2010
12.25
9.06
2.450000
1.366700
1.366700
9N02AX02P V
05-07-2010
7.55
5.59
1.510000
0.976000
0.976000
9N02AX02P V
05-07-2010
10.69
7.91
2.138000
0.976000
0.976000
9N02AX02P V
05-07-2010
11.46
8.48
2.292000
0.976000
0.976000
9N02AX02P V
05-07-2010
4.88
3.61
0.976000
0.976000
0.976000
9N02AX02P V
05-07-2010
13.07
9.67
2.614000
1.366700
1.366700
9N02AX02P V
05-07-2010
7.66
5.67
1.532000
1.366700
1.366700
9N02AX02R V
05-07-2010
5.56
4.11
1.112000
1.112000
1.112000
9N07BC02O V
05-07-2010
24.35
18.02
0.487000
0.487000
0.487000
9N07BC02O V
05-07-2010
25.10
18.57
1.255000
1.214600
1.214600
9N07BC02O V
05-07-2010
60.73
46.43
1.214600
1.214600
1.214600
9N07BC02O V
05-07-2010
6.27
4.64
0.313500
0.313500
0.313500
9N07BC02O V
05-07-2010
15.69
11.61
0.313800
0.313500
0.313500
9R05DA04O V
05-07-2010
4.90
3.63
0.163333
0.148000
0.148000
9R05DA04O V
05-07-2010
5.12
3.79
0.204800
0.148000
0.148000
9R05DA04O V
05-07-2010
3.02
2.23
0.151000
0.148000
0.148000
9R05DA04O V
05-07-2010
2.96
2.19
0.148000
0.148000
0.148000
9R05DA04O V
05-07-2010
3.02
2.23
0.151000
0.148000
0.148000
9R05DA04O V
05-07-2010
3.19
2.36
0.159500
0.148000
0.148000
9R05DA04O V
05-07-2010
3.64
2.69
0.182000
0.148000
0.148000
9R05DA04O V
05-07-2010
2.96
2.19
0.148000
0.148000
0.148000
9V03AC01P V
05-07-2010
134.74
110.37
13.474000
13.474000
13.474000
CJAS 9V03AC03O V
05-07-2010
785.88
685.99
28.067142
28.067142
28.067142
CJAS 9V03AC03O V
05-07-2010
1,627.37
1,458.00
58.120357
58.120357
58.120357
CJAS 9V03AC03O V
9N03AA02O V
9N03AA02O V
9N03AA02P V
9N03AB02O V
9N03AB02P V
9N03AE01O V
9N03AE01O V
9N03AF01O V
9N03AF01O V
9N03AF01O V
9N03AF01O V
9N03AF01O V
9N03AF01O V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
2,930.96
4.39
1.14
10.94
2.77
67.57
6.87
6.55
11.28
17.35
11.28
11.28
11.28
7.21
2,653.95
3.25
0.84
8.09
2.05
53.44
5.08
4.85
8.35
12.84
8.35
8.35
8.35
5.33
104.677142
0.175600
0.114000
2.188000
0.138500
13.514000
0.137400
0.218333
0.225600
0.347000
0.225600
0.225600
0.225600
0.144200
104.677142
0.114000
0.114000
2.188000
0.138500
13.514000
0.137400
0.218333
0.144200
0.144200
0.144200
0.144200
0.144200
0.144200
104.677142
0.114000
0.114000
2.188000
0.138500
13.514000
0.137400
0.218333
0.144200
0.144200
0.144200
0.144200
0.144200
0.144200
MSP
Valoare
compensare/UT
41 / 135
C1 W06973001 DEPAKINE CHRONO 300 mg
ACIDUM VALPROICUM + SARURI
C1
C1
C1
C1
C1
W10512001
W00201002
W07649002
W00202002
W00204001

Form farmaceutic
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. RET.
COMPR. RET.
COMPR. RET.
SUSP. ORALA
COMPR. FILM.
COMPR. FILM.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. MOI GASTROREZ.
DIVIZ.
DIVIZ.
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
W06971001
W08325001
W10222001
W00200001
W00192002
W06972001
W42977002
W42977001
W42997002
W43429001
W52100001
W52780001
W52968001
W03925002
W03925008
W54035001
W42978001
W42978002
W42996002
W52781001
W54036001
W12304001
W42975002
W42975001
W42994002
W43427001
W52778001
W52966001
W54033001
W12304010
W41956001
W42976002
W42976001
W42995002
W43428001
W52779001
W52967001
W03926004
W03926009
W54034001
W44019005
W44012005
W44018005
W44137001
W52141001
W53074004
W53160001
W53461002
W54219015
W54730004
W54794003
W55269002
W55269003
W55389015
W52142001
W53075004
W53462002
W54795003

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
LAMOTRIGINUM
LAMOTRIGINUM
LAMOTRIGINUM
LAMOTRIGINUM
LAMOTRIGINUM
LAMOTRIGINUM
TOPIRAMATUM
TOPIRAMATUM
TOPIRAMATUM
TOPIRAMATUM
TOPIRAMATUM
TOPIRAMATUM
TOPIRAMATUM
TOPIRAMATUM
TOPIRAMATUM
TOPIRAMATUM
TOPIRAMATUM
TOPIRAMATUM
TOPIRAMATUM
TOPIRAMATUM
TOPIRAMATUM
LIOF. + SOLV. PT. SOL.

MINICOMPR. ELIB. PREL.
SIROP
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.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. DISP.
COMPR. DISP.
COMPR. DISP.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
Denumire medicament
CARBAMAZEPIN
CARBAMAZEPIN EEL
FINLEPSIN
TAVER
CARBAMAZEPINA
CARBEPSIL 400
TEGRETOL CR 200
TEGRETOL CR 400
TIMONIL 150 RETARD
TIMONIL 300 RETARD
TIMONIL 600 RETARD
TIMONIL SIROP
TRILEPTAL (R) 300 mg
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

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
CONVULEX 50mg/ml
DEPAKINE
LAMOTIRAN 100 mg
LAMOTIRAN 100 mg
LAMOTRIX 100 mg
EPIMIL 100 mg
PLEXXO (R) 100 mg
XEBARIN 100 mg
LAMOTRIGINE FARMAL 100 mg
LAMICTAL 100 mg
LAMICTAL 100 mg
LAMOTRIGINA SUN 100 mg
LAMOTIRAN 200 mg
LAMOTIRAN 200 mg
LAMOTRIX 200 mg
XEBARIN 200 mg
LAMICTAL 25 mg
LAMOTIRAN 25 mg
LAMOTIRAN 25 mg
LAMOTRIX 25 mg
EPIMIL 25mg
XEBARIN 25 mg
LAMICTAL 25 mg
PLEXXO (R) 50 mg
LAMOTIRAN 50 mg
LAMOTIRAN 50 mg
LAMOTRIX 50 mg
EPIMIL 50 mg
XEBARIN 50 mg
LAMICTAL 50 mg
LAMICTAL 50 mg
LAMOTRIN 100 mg
LAMOTRIN 25 mg
LAMOTRIN 50 mg
TOPAMAX 100 mg
TOPRAN 100 mg
TOPIRAMAT TEVA 100 mg
TOPIRAMAT ACTAVIS 100 mg
ZIDOXER 100 mg
TORLEPTA 100 mg
TOPILEX 100 mg
LUSITRAX 100mg
ZIDOXER 100 mg
ZIDOXER 100 mg
TORLEPTA 100 mg
TOPRAN 200 mg
ZIDOXER 200 mg
LUSITRAX 200mg
Substan activ
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
OXCARBAZEPINUM
OXCARBAZEPINUM
Concentraie
200mg
200mg
200mg
200mg
200mg
200mg
400mg
400mg
300mg
600mg
200mg
400mg
400mg
150mg
300mg
600mg
200mg
100mg/5ml
300mg
600mg
150mg
300mg
150mg
300mg
500mg
Cantitate
UT/amb
20
20
50
20
20
20
50
20
50
50
50
30
50
50
50
50
50
1
50
50
50
50
100
100
100
Cod boli
cronice
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
Descriere categorie boli cronice

EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
300mg
100
G11
500mg
150mg
200mg
300mg
600mg
30
100
40
100
50
400mg/4ml
1000mg
500mg
300mg/5ml
50mg/ml
57,64mg/ml
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
200mg
200mg
200mg
200mg
200mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
100mg
25mg
50mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
200mg
200mg
200mg
200mg
4
50
50
1
1
1
28
30
30
30
30
28
30
30
28
56
30
28
30
28
56
30
28
30
30
30
28
30
56
28
30
28
30
30
30
28
30
30
28
56
30
30
30
28
60
30
60
28
30
30
30
28
60
30
60
30
28
30
Mentiuni
sublista
Cod
medicament
W12403002
W00797001
W00810001
W00798002
W00818003
W55081002
W00807001
W53816001
W12426001
W12428001
W51395001
W51394001
W00812001
W00826001
W00827001
W00828001
W00811001
W00825001
W51417002
W51416002
W08721001
W08722001
W12559001
W12561001
W12563001
Grupa
terapeutica RO
9N03AF01O V
9N03AF01O V
9N03AF01O V
9N03AF01O V
9N03AF01O V
9N03AF01O V
9N03AF01O V
9N03AF01O V
9N03AF01O V
9N03AF01O V
9N03AF01O V
9N03AF01O V
9N03AF01O V
9N03AF01O V
9N03AF01O V
9N03AF01O V
9N03AF01O V
9N03AF01O K
9N03AF02O V
9N03AF02O V
9N03AG01O V
9N03AG01O V
9N03AG01O V
9N03AG01O V
9N03AG01O V

Pre de
Valoare
Valabil de la /amb
/amb
compensare/UT
05-07-2010
4.42
3.27
0.221000
0.144200
0.144200
05-07-2010
4.50
3.33
0.225000
0.144200
0.144200
05-07-2010
11.28
8.35
0.225600
0.144200
0.144200
05-07-2010
4.95
3.66
0.247500
0.144200
0.144200
05-07-2010
4.50
3.33
0.225000
0.144200
0.144200
05-07-2010
4.51
3.34
0.225500
0.144200
0.144200
05-07-2010
26.19
19.38
0.523800
0.523800
0.523800
05-07-2010
10.48
7.75
0.524000
0.523800
0.523800
05-07-2010
20.63
15.26
0.412600
0.411400
0.411400
05-07-2010
36.50
27.91
0.730000
0.728800
0.728800
05-07-2010
19.12
14.15
0.382400
0.248400
0.248400
05-07-2010
25.28
18.70
0.842666
0.540800
0.540800
05-07-2010
27.04
20.01
0.540800
0.540800
0.540800
05-07-2010
15.12
11.19
0.302400
0.302400
0.302400
05-07-2010
20.57
15.22
0.411400
0.411400
0.411400
05-07-2010
36.44
27.86
0.728800
0.728800
0.728800
05-07-2010
12.42
9.19
0.248400
0.248400
0.248400
05-07-2010
22.47
16.62
22.470000
22.470000
22.470000
05-07-2010
64.58
49.37
1.291600
1.291600
1.291600
05-07-2010
118.02
93.34
2.360400
2.360400
2.360400
05-07-2010
21.90
16.20
0.438000
0.438000
0.438000
05-07-2010
36.67
28.04
0.733400
0.733400
0.733400
05-07-2010
20.22
14.96
0.202200
0.202200
0.202200
05-07-2010
33.20
24.56
0.332000
0.332000
0.332000
05-07-2010
51.00
38.99
0.510000
0.510000
0.510000
EPILEPSIE
9N03AG01O V
05-07-2010
34.68
26.51
0.346800
0.346800
0.346800
G11
G11
G11
G11
G11
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
9N03AG01O V
9N03AG01O V
9N03AG01O V
9N03AG01O V
9N03AG01O V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
16.02
29.08
10.71
37.49
39.90
11.85
21.52
7.92
28.66
30.50
0.534000
0.290800
0.267750
0.374900
0.798000
0.534000
0.290800
0.267750
0.374900
0.798000
0.534000
0.290800
0.267750
0.374900
0.798000
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
9N03AG01P V
9N03AG01O V
9N03AG01O V
9N03AG01O K
9N03AG01O K
9N03AG01O K
9N03AX09O V
9N03AX09O V
9N03AX09O V
9N03AX09O V
9N03AX09O V
9N03AX09O V
9N03AX09O V
9N03AX09O V
9N03AX09O V
9N03AX09O V
9N03AX09O V
9N03AX09O V
9N03AX09O V
9N03AX09O V
9N03AX09O V
9N03AX09O V
9N03AX09O V
9N03AX09O V
9N03AX09O V
9N03AX09O V
9N03AX09O V
9N03AX09O V
9N03AX09O V
9N03AX09O V
9N03AX09O V
9N03AX09O V
9N03AX09O V
9N03AX09O V
9N03AX09O V
9N03AX09O V
9N03AX09O V
9N03AX09O V
9N03AX09O V
9N03AX09O V
9N03AX09O V
9N03AX09O V
9N03AX09O V
9N03AX11O V
9N03AX11O V
9N03AX11O V
9N03AX11O V
9N03AX11O V
9N03AX11O V
9N03AX11O V
9N03AX11O V
9N03AX11O V
9N03AX11O V
9N03AX11O V
9N03AX11O V
9N03AX11O V
9N03AX11O V
9N03AX11O V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
126.76
94.70
59.33
36.17
8.67
23.07
26.59
28.49
28.80
28.80
28.80
26.86
28.78
42.87
40.02
52.00
54.66
51.01
99.28
51.01
99.28
11.11
6.64
7.12
7.23
7.23
0.71
7.23
13.62
10.37
14.38
13.30
14.24
14.38
14.38
13.41
14.39
22.11
20.65
26.83
38.34
3.81
26.39
124.82
165.51
90.04
168.37
84.03
90.04
87.28
87.25
84.03
170.75
90.04
310.07
158.70
148.12
155.04
103.83
74.90
45.36
27.65
6.41
17.07
19.67
21.08
21.31
21.31
21.31
19.87
21.29
32.78
30.60
39.76
41.79
39.00
78.52
39.00
78.52
8.22
4.91
5.27
5.35
5.35
0.53
5.35
10.08
7.67
10.64
9.84
10.54
10.64
10.64
9.92
10.65
16.36
15.28
19.85
29.31
2.82
19.52
102.24
135.57
71.21
137.92
66.46
71.21
69.03
69.00
66.46
139.87
71.21
253.99
130.00
121.33
127.00
31.690000
1.894000
1.186600
36.170000
8.670000
23.070000
0.949642
0.949666
0.960000
0.960000
0.960000
0.959285
0.959333
1.429000
1.429285
0.928571
1.822000
1.821785
3.309333
1.821785
1.772857
0.370333
0.237142
0.237333
0.241000
0.241000
0.025357
0.241000
0.243214
0.370357
0.479333
0.475000
0.474666
0.479333
0.479333
0.478928
0.479666
0.737000
0.737500
0.479107
1.278000
0.127000
0.879666
4.457857
2.758500
3.001333
2.806166
3.001071
3.001333
2.909333
2.908333
3.001071
2.845833
3.001333
5.167833
5.290000
5.290000
5.168000
31.690000
1.894000
1.186600
36.170000
8.670000
23.070000
0.928571
0.928571
0.928571
0.928571
0.928571
0.928571
0.928571
0.928571
0.928571
0.928571
1.772857
1.772857
1.772857
1.772857
1.772857
0.025357
0.025357
0.025357
0.025357
0.025357
0.025357
0.025357
0.025357
0.025357
0.474666
0.474666
0.474666
0.474666
0.474666
0.474666
0.474666
0.474666
0.474666
0.474666
1.278000
0.127000
0.879666
2.758500
2.758500
2.758500
2.758500
2.758500
2.758500
2.758500
2.758500
2.758500
2.758500
2.758500
5.167833
5.167833
5.167833
5.167833
31.690000
1.894000
1.186600
36.170000
8.670000
23.070000
0.928571
0.928571
0.928571
0.928571
0.928571
0.928571
0.928571
0.928571
0.928571
0.928571
1.772857
1.772857
1.772857
1.772857
1.772857
0.025357
0.025357
0.025357
0.025357
0.025357
0.025357
0.025357
0.025357
0.025357
0.474666
0.474666
0.474666
0.474666
0.474666
0.474666
0.474666
0.474666
0.474666
0.474666
1.278000
0.127000
0.879666
2.758500
2.758500
2.758500
2.758500
2.758500
2.758500
2.758500
2.758500
2.758500
2.758500
2.758500
5.167833
5.167833
5.167833
5.167833
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
42 / 135
Denumire medicament
ZIDOXER 200 mg
ZIDOXER 200 mg
TOPAMAX 25 mg
TOPRAN 25 mg
ZIDOXER 25 mg
TORLEPTA 25 mg
TOPILEX 25 mg
LUSITRAX 25 mg
ZIDOXER 25 mg
ZIDOXER 25 mg
TORLEPTA 25 mg
TOPAMAX 50 mg
TOPRAN 50 mg
ZIDOXER 50 mg
TORLEPTA 50 mg
TOPILEX 50 mg
LUSITRAX 50 mg
ZIDOXER 50 mg
ZIDOXER 50 mg
TORLEPTA 50 mg
GABAGAMMA 100 mg
GABAGAMMA 100 mg
GABALEPT 100 mg
GRIMODIN 100 mg
GABAGAMMA 300 mg
GABAGAMMA 300 mg
GABAGAMMA 300 mg
GABARAN 300 mg
GABALEPT 300 mg
GRIMODIN 300 mg
GABAGAMMA 400 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
KEPPRA 250 mg
KEPPRA 500 mg
KEPPRA 100 mg/ml
LYRICA 150 mg
LYRICA 150 mg
LYRICA 300 mg
LYRICA 300 mg
LYRICA 75 mg
LYRICA 75 mg
BROCRIPTIN (N04BC01)
ROMPARKIN (R) 2 mg
AKINETON
C1 W51325002 MADOPAR HBS

LEVODOPA/BENSERASIDE TEVA
C1 W54606005 100mg/25mg
LEVODOPA/BENSERASIDE TEVA
C1 W54607002 200mg/50mg
C1 W03958001 MADOPAR (R) 250
C1 W03957002 MADOPAR 250
C1 W03950004 ISICOM 250 mg/25 mg
C1 W03955001 ZIMOX
C1 W03949003 CREDANIL 25/250
C1 W43291003 CARBIDOPA / LEVODOPA TEVA 25/250
C1 W12453001 NAKOM
C1 W43479001 DUODOPA
C1 W41627003 STALEVO 100 mg/25 mg/200 mg
C1 W54594003 STALEVO 125 mg/31,25 mg/200 mg
Substan activ
TOPIRAMATUM
TOPIRAMATUM
TOPIRAMATUM
TOPIRAMATUM
TOPIRAMATUM
TOPIRAMATUM
TOPIRAMATUM
TOPIRAMATUM
TOPIRAMATUM
TOPIRAMATUM
TOPIRAMATUM
TOPIRAMATUM
TOPIRAMATUM
TOPIRAMATUM
TOPIRAMATUM
TOPIRAMATUM
TOPIRAMATUM
TOPIRAMATUM
TOPIRAMATUM
TOPIRAMATUM
TOPIRAMATUM
TOPIRAMATUM
TOPIRAMATUM
TOPIRAMATUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
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
PREGABALINUM
PREGABALINUM
PREGABALINUM
PREGABALINUM
PREGABALINUM
PREGABALINUM
BROMOCRIPTINUM
TRIHEXYPHENIDYLUM
BIPERIDENUM
COMBINATII
(LEVODOPUM+BENSERAZIDUM)
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
(LEVODOPUM+CARBIDOPUM)
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
(LEVODOPUM+CARBIDOPUM+ENTACA
PONUM)
COMBINATII
PONUM)
COMBINATII
PONUM)
Form farmaceutic
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
CAPS.
CAPS.
CAPS.
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. FILM.
COMPR. FILM.
COMPR. FILM.
SOL. ORALA
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
DRAJ.
COMPR.
COMPR.
Concentraie
200mg
200mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
100mg
100mg
100mg
100mg
300mg
300mg
300mg
300mg
300mg
300mg
400mg
400mg
400mg
400mg
400mg
400mg
600mg
600mg
600mg
600mg
800mg
800mg
800mg
800mg
1000mg
250mg
500mg
100mg/ml
150mg
150mg
300mg
300mg
75mg
75mg
2,5mg
2mg
2mg
Cantitate
UT/amb
28
60
28
60
30
60
28
30
30
30
28
60
30
28
60
30
60
28
30
30
30
28
60
30
100
50
100
60
50
20
100
50
100
60
50
20
100
50
100
60
30
20
100
60
30
20
100
60
30
30
30
1
14
56
56
14
14
56
40
50
50
Cod boli
cronice
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G11
G12
G12
G12

EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
EPILEPSIE
BOALA PARKINSON
BOALA PARKINSON
BOALA PARKINSON
CAPS. ELIB. MODIF.
100mg+25mg
100
G12
BOALA PARKINSON
COMPR.
100mg/25mg
100
G12
COMPR.
200mg/50mg
30
COMPR.
200mg+50mg
COMPR.
Mentiuni
sublista
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
Cod
medicament
W55270002
W55270003
W44139001
W52139001
W53073004
W53158001
W53459002
W54217015
W54732004
W54792003
W55267002
W55267003
W55387015
W44138001
W52140001
W53072004
W53159001
W53460002
W54218015
W54731004
W54793003
W55268002
W55268003
W55388015
W41588005
W41588004
W43539001
W54332002
W41589004
W41589002
W41589005
W42824001
W43540001
W54333001
W41590004
W41590002
W41590005
W42825001
W43541001
W54334001
W42826001
W54124001
W54124003
W54330002
W42827001
W54125001
W54125003
W54331002
W12147003
W12144002
W12146003
W42835001
W41745001
W41745002
W41747002
W41747001
W41743001
W41743002
W11164002
W06002001
W51243005
Grupa
terapeutica RO
9N03AX11O V
9N03AX11O V
9N03AX11O V
9N03AX11O V
9N03AX11O V
9N03AX11O V
9N03AX11O V
9N03AX11O V
9N03AX11O V
9N03AX11O V
9N03AX11O V
9N03AX11O V
9N03AX11O V
9N03AX11O V
9N03AX11O V
9N03AX11O V
9N03AX11O V
9N03AX11O V
9N03AX11O V
9N03AX11O V
9N03AX11O V
9N03AX11O V
9N03AX11O V
9N03AX11O V
1N03AXO V
0N03AXO V
1N03AXO V
1N03AXO V
1N03AXO V
1N03AXO V
1N03AXO V
1N03AXO V
1N03AXO V
1N03AXO V
1N03AXO V
1N03AXO V
1N03AXO V
1N03AXO V
1N03AXO V
1N03AXO V
1N03AXO V
1N03AXO V
1N03AXO V
1N03AXO V
1N03AXO V
1N03AXO V
1N03AXO V
1N03AXO V
9N03AX14O V
9N03AX14O V
9N03AX14O V
9N03AX14O V
1N03AXO V
1N03AXO V
1N03AXO V
1N03AXO V
1N03AXO V
1N03AXO V
0G02CBO V
0N04AAO V
0N04AAO V

Pre de
Valoare
Valabil de la /amb
/amb
compensare/UT
05-07-2010
148.12
121.33
5.290000
5.167833
5.167833
05-07-2010
317.39
259.98
5.289833
5.167833
5.167833
05-07-2010
40.53
30.99
1.447500
0.897333
0.897333
05-07-2010
53.84
41.16
0.897333
0.897333
0.897333
05-07-2010
29.15
21.57
0.971666
0.897333
0.897333
05-07-2010
55.45
42.39
0.924166
0.897333
0.897333
05-07-2010
27.23
20.15
0.972500
0.897333
0.897333
05-07-2010
29.15
21.57
0.971666
0.897333
0.897333
05-07-2010
27.75
20.53
0.925000
0.897333
0.897333
05-07-2010
27.81
20.58
0.927000
0.897333
0.897333
05-07-2010
27.23
20.15
0.972500
0.897333
0.897333
05-07-2010
56.45
43.16
0.940833
0.897333
0.897333
05-07-2010
29.15
21.57
0.971666
0.897333
0.897333
05-07-2010
73.03
57.76
2.608214
1.617166
1.617166
05-07-2010
97.03
76.74
1.617166
1.617166
1.617166
05-07-2010
53.55
40.94
1.785000
1.617166
1.617166
05-07-2010
97.80
77.35
1.630000
1.617166
1.617166
05-07-2010
49.98
38.21
1.785000
1.617166
1.617166
05-07-2010
53.55
40.94
1.785000
1.617166
1.617166
05-07-2010
51.09
39.06
1.703000
1.617166
1.617166
05-07-2010
51.09
39.06
1.703000
1.617166
1.617166
05-07-2010
49.98
38.21
1.785000
1.617166
1.617166
05-07-2010
101.73
80.46
1.695500
1.617166
1.617166
05-07-2010
53.55
40.94
1.785000
1.617166
1.617166
05-07-2010
60.46
46.22
0.604600
0.554500
0.554500
05-07-2010
30.97
22.91
0.619400
0.554500
0.554500
05-07-2010
57.04
43.61
0.570400
0.554500
0.554500
05-07-2010
33.27
25.44
0.554500
0.554500
0.554500
05-07-2010
71.98
56.93
1.439600
1.057833
1.057833
05-07-2010
33.13
25.33
1.656500
1.057833
1.057833
05-07-2010
133.24
109.14
1.332400
1.057833
1.057833
05-07-2010
65.80
52.04
1.316000
1.057833
1.057833
05-07-2010
132.78
108.76
1.327800
1.057833
1.057833
05-07-2010
63.47
50.20
1.057833
1.057833
1.057833
05-07-2010
94.31
74.59
1.886200
1.429333
1.429333
05-07-2010
42.90
32.80
2.145000
1.429333
1.429333
05-07-2010
174.76
143.15
1.747600
1.429333
1.429333
05-07-2010
72.55
57.38
1.451000
1.429333
1.429333
05-07-2010
168.76
138.24
1.687600
1.429333
1.429333
05-07-2010
85.76
67.83
1.429333
1.429333
1.429333
05-07-2010
65.06
49.74
2.168666
1.952800
1.952800
05-07-2010
43.36
33.15
2.168000
1.952800
1.952800
05-07-2010
195.28
159.96
1.952800
1.952800
1.952800
05-07-2010
123.39
97.59
2.056500
1.952800
1.952800
05-07-2010
104.00
82.25
3.466666
3.281833
3.281833
05-07-2010
70.57
55.81
3.528500
3.281833
3.281833
05-07-2010
328.74
269.28
3.287400
3.281833
3.281833
05-07-2010
196.91
161.30
3.281833
3.281833
3.281833
05-07-2010
344.38
282.09
11.479333
11.479333
11.479333
05-07-2010
90.90
71.89
3.030000
3.030000
3.030000
05-07-2010
171.12
140.17
5.704000
5.704000
5.704000
05-07-2010
338.47
277.25
338.470000
338.470000
338.470000
05-07-2010
75.99
60.10
5.427857
5.146785
5.146785
05-07-2010
288.22
236.09
5.146785
5.146785
5.146785
05-07-2010
421.84
352.01
7.532857
7.532857
7.532857
05-07-2010
114.01
90.17
8.143571
7.532857
7.532857
05-07-2010
53.59
40.97
3.827857
3.447678
3.447678
05-07-2010
193.07
158.15
3.447678
3.447678
3.447678
05-07-2010
21.11
15.62
0.527750
0.527750
0.527750
05-07-2010
17.66
13.07
0.353200
0.353200
0.353200
05-07-2010
10.54
7.80
0.210800
0.210800
0.210800
MSP
9N04BA02O V
05-07-2010
58.74
44.91
0.587400
0.587400
0.587400
BOALA PARKINSON
MSP
9N04BA02O V
05-07-2010
38.19
29.20
0.381900
0.381900
0.381900
G12
BOALA PARKINSON
MSP
9N04BA02O V
05-07-2010
15.70
11.62
0.523333
0.523333
0.523333
30
G12
BOALA PARKINSON
MSP
9N04BA02O V
05-07-2010
48.24
36.88
1.608000
0.805333
0.805333
200mg+50mg
30
G12
BOALA PARKINSON
MSP
9N04BA02O V
05-07-2010
24.16
17.88
0.805333
0.805333
0.805333
COMPR.
250mg/25mg
100
G12
BOALA PARKINSON
9N04BA02O V
05-07-2010
74.39
58.83
0.743900
0.425700
0.425700
COMPR.
250mg+25mg
30
G12
BOALA PARKINSON
9N04BA02O V
05-07-2010
19.17
14.18
0.639000
0.425700
0.425700
COMPR.
250mg+25mg
20
G12
BOALA PARKINSON
9N04BA02O V
05-07-2010
19.26
14.25
0.963000
0.425700
0.425700
COMPR.
250mg+25mg
100
G12
BOALA PARKINSON
9N04BA02O V
05-07-2010
42.57
32.55
0.425700
0.425700
0.425700
COMPR.
250mg+25mg
100
G12
BOALA PARKINSON
9N04BA02O V
05-07-2010
61.90
47.32
0.619000
0.425700
0.425700
GEL INT.
FARA CONCENT7
G12
BOALA PARKINSON
9N04BA02V V
05-07-2010
3,416.89
3,099.76
488.127142
488.127142
488.127142
COMPR. FILM.
100mg/25mg/200 100
G12
BOALA PARKINSON
CJAS 9N04BA03O V
05-07-2010
413.66
344.50
4.136600
4.136600
4.136600
COMPR. FILM.
125mg/31,25mg/2100
G12
BOALA PARKINSON
CJAS 9N04BA03O V
05-07-2010
413.66
344.50
4.136600
4.136600
4.136600
COMPR. FILM.
150mg/37,5mg/20100
G12
BOALA PARKINSON
CJAS 9N04BA03O V
05-07-2010
413.66
344.50
4.136600
4.136600
4.136600
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
CJAS
CJAS
CJAS
CJAS
CJAS
CJAS
CJAS
CJAS
CJAS
CJAS
CJAS
CJAS
CJAS
CJAS
CJAS
CJAS
CJAS
CJAS
CJAS
CJAS
CJAS
CJAS
CJAS
CJAS
MSP
MSP
MSP
MSP
CJAS
CJAS
CJAS
CJAS
CJAS
CJAS
43 / 135
C1 W53032003 STALEVO 200 mg/50 mg/200 mg
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
W54593003
W00264001
W05461001
W53597013
W53692001
W53692002
W53963003
W53693001
W53693002
W53964002
W53964003
W05462001
W53599010
W53694001
W53694002
W53965002
W05463001
W53600010
W53695001
W53695002
W53966002
W53966003
W05464001
W53603009
W53696001
W53696002
W53967002
W53187002
W53189001
W53190001
W53524002
W41648001
W53525002
W54233001
W53881001
W54682003
W54712001
W55286001
W41649001
W53527002
W54235001
W53883001
W54995003
W54713001
W55288001
W54798001
W54799002
W54800002
W54801002
W54802002
W51600003
W51600001
W51601001
W51601003
W51602003
W51602001
W51603003
W51603001
W08952005
W08952003
W12444001
W42418004
W06943003
W06943001
W01400001
W01401001
W05242001
W12565002
W42180001
W13686002
W53341001
W54019001
W04185002
W12733003
W12735001
W04186001
STALEVO 75 mg/18,75 mg/200 mg

VIREGYT (R)- K
REQUIP 0,25 mg
ROPINIROL ACTAVIS 0,25 mg
ALETA 0,25mg
ALETA 0,25mg
ROPINIROL TEVA 0,25 mg
ALETA 0,5mg
ALETA 0,5mg
REQUIP 1 mg
ROPINIROL ACTAVIS 1 mg
ALETA 1mg
ALETA 1mg
ROPINIROL TEVA 1 mg
REQUIP 2 mg
ALETA 2mg
ALETA 2mg
ROPINIROL TEVA 2 mg
ROPINIROL TEVA 2 mg
REQUIP 5 mg
ALETA 5mg
ALETA 5mg
ROPINIROL TEVA 5 mg
REQUIP-MODUTAB 2 mg
REQUIP-MODUTAB 4 mg
REQUIP-MODUTAB 8 mg
OPRYMEA 0,088mg
MIRAPEXIN 0,18 mg
OPRYMEA 0,18mg
GLEPARK 0,18 mg
MEDOPEXOL 0,18 mg
GLEPARK 0,18 mg
MIRAPEXIN 0,7 mg
OPRYMEA 0,7mg
GLEPARK 0,7 mg
MEDOPEXOL 0,7 mg
GLEPARK 0,7 mg
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
PREDNISON MCC 5 mg
N - PREDNISON
PREDNISON 5 mg
METOTREXATE BELLON 2,5 mg
METHOTREXAT "EBEWE" 500 mg
Substan activ
COMBINATII
PONUM)
COMBINATII
PONUM)
COMBINATII
PONUM)
AMANTADINUM
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
ROPINIROLUM
ROPINIROLUM
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
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
C1 W53758016 METOJECT 50mg/ml
METHOTREXATUM
C1
C1
C1
C1
C1
C1
METHOTREXATUM
METHOTREXATUM
AZATHIOPRINUM
NEOSTIGMINI BROMIDUM
PYRIDOSTIGMINI BROMIDUM
METHYLPREDNISOLONUM
W53758021
W12308002
W00513001
W52868001
W51425001
W04224001
METOJECT 50mg/ml
IMURAN (R)
NEOSTIGMINA LPH 15 mg
MESTINON 60 mg
MEDROL A 16
Cantitate Cod boli

Mentiuni
sublista
Cod
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
Valoare
compensare/UT
Form farmaceutic
Concentraie
COMPR. FILM.
200mg/50mg/200 100
G12
BOALA PARKINSON
CJAS 9N04BA03O V
05-07-2010
543.78
463.88
5.437800
5.437800
5.437800
COMPR. FILM.
50mg/12,5mg/200100
G12
BOALA PARKINSON
CJAS 9N04BA03O V
05-07-2010
413.66
344.50
4.136600
4.136600
4.136600
COMPR. FILM.
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.
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.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
SOL. INJ.
PREUMPLUTA
PREUMPLUTA
SOL. INJ./PERF.
COMPR. FILM.
COMPR.
DRAJ.
COMPR.
75mg/18,5mg/200100
100mg
50
0,25mg
210
0,25mg
21
0,25mg
30
0,25mg
30
0,25mg
21
0,5mg
30
0,5mg
30
0,5mg
21
0,5mg
28
1mg
21
1mg
21
1mg
30
1mg
30
1mg
21
2mg
21
2mg
21
2mg
30
2mg
30
2mg
21
2mg
28
5mg
21
5mg
21
5mg
30
5mg
30
5mg
21
2mg
28
4mg
28
8mg
28
0,088mg
30
0,18mg
30
0,18mg
30
0,18mg
30
0,18mg
30
0,18mg
30
0,18mg
30
0,18mg
30
0,7mg
30
0,7mg
30
0,7mg
30
0,7mg
30
0,7mg
30
0,7mg
30
0,7mg
30
0,26mg
10
0,52mg
30
1,05mg
30
2,1mg
30
3,15mg
30
2mg/24h
28
2mg/24h
7
4mg/24h
7
4mg/24h
28
6mg/24h
28
6mg/24h
7
8mg/24h
28
8mg/24h
7
5mg
50
5mg
100
5mg
50
1mg
30
200mg
100
200mg
30
100mg
50
25mg
50
5mg
20
5mg
30
5mg
30
5mg
30
5mg
20
2,5mg
20
100mg/ml
5
100mg/ml
1
100mg/ml
1
5mg/ml
10
G12
G12
G12
G12
G12
G12
G12
G12
G12
G12
G12
G12
G12
G12
G12
G12
G12
G12
G12
G12
G12
G12
G12
G12
G12
G12
G12
G12
G12
G12
G12
G12
G12
G12
G12
G12
G12
G12
G12
G12
G12
G12
G12
G12
G12
G12
G12
G12
G12
G12
G12
G12
G12
G12
G12
G12
G12
G12
G12
G12
G12
G12
G12
G12
G12
G12
G13
G13
G13
G13
G13
G13
G13
G13
G13
G13
BOALA PARKINSON
BOALA PARKINSON
BOALA PARKINSON
BOALA PARKINSON
BOALA PARKINSON
BOALA PARKINSON
BOALA PARKINSON
BOALA PARKINSON
BOALA PARKINSON
BOALA PARKINSON
BOALA PARKINSON
BOALA PARKINSON
BOALA PARKINSON
BOALA PARKINSON
BOALA PARKINSON
BOALA PARKINSON
BOALA PARKINSON
BOALA PARKINSON
BOALA PARKINSON
BOALA PARKINSON
BOALA PARKINSON
BOALA PARKINSON
BOALA PARKINSON
BOALA PARKINSON
BOALA PARKINSON
BOALA PARKINSON
BOALA PARKINSON
BOALA PARKINSON
BOALA PARKINSON
BOALA PARKINSON
BOALA PARKINSON
BOALA PARKINSON
BOALA PARKINSON
BOALA PARKINSON
BOALA PARKINSON
BOALA PARKINSON
BOALA PARKINSON
BOALA PARKINSON
BOALA PARKINSON
BOALA PARKINSON
BOALA PARKINSON
BOALA PARKINSON
BOALA PARKINSON
BOALA PARKINSON
BOALA PARKINSON
BOALA PARKINSON
BOALA PARKINSON
BOALA PARKINSON
BOALA PARKINSON
BOALA PARKINSON
BOALA PARKINSON
BOALA PARKINSON
BOALA PARKINSON
BOALA PARKINSON
BOALA PARKINSON
BOALA PARKINSON
BOALA PARKINSON
BOALA PARKINSON
BOALA PARKINSON
BOALA PARKINSON
BOALA PARKINSON
BOALA PARKINSON
BOALA PARKINSON
BOALA PARKINSON
BOALA PARKINSON
BOALA PARKINSON
MIASTENIA GRAVIS
MIASTENIA GRAVIS
MIASTENIA GRAVIS
MIASTENIA GRAVIS
MIASTENIA GRAVIS
MIASTENIA GRAVIS
MIASTENIA GRAVIS
MIASTENIA GRAVIS
MIASTENIA GRAVIS
MIASTENIA GRAVIS
CJAS
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
CJAS
CJAS
CJAS
CJAS
CJAS
CJAS
CJAS
CJAS
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
413.66
17.03
108.90
6.30
9.04
9.04
6.32
17.23
17.23
12.05
16.07
35.25
22.94
32.79
32.79
22.96
56.22
35.68
51.00
51.00
35.70
47.60
121.63
76.61
109.48
109.48
76.63
61.23
116.19
220.45
19.71
49.65
33.34
33.34
33.33
33.34
33.34
33.34
167.46
114.78
114.78
114.78
114.78
114.78
114.78
57.99
313.33
648.99
1,227.12
1,805.26
366.72
97.93
101.41
381.51
476.61
127.27
570.23
153.81
36.22
70.21
41.63
522.52
390.82
124.96
106.54
33.56
2.00
2.62
2.47
2.53
2.57
22.79
240.51
89.44
400.04
23.77
344.50
12.60
86.13
4.66
6.69
6.69
4.68
12.75
12.75
8.92
11.89
26.95
16.97
24.26
24.26
16.99
42.98
27.28
38.99
38.99
27.29
36.39
96.20
60.59
86.59
86.59
60.61
46.81
91.89
180.58
14.58
37.96
24.67
24.67
24.66
24.67
24.67
24.67
137.17
90.78
90.78
90.78
90.78
90.78
90.78
44.33
256.66
560.40
1,090.80
1,621.20
301.44
77.45
80.20
315.01
402.26
104.25
488.15
125.99
27.69
55.53
31.83
444.38
323.55
98.83
84.26
24.83
1.48
1.94
1.83
1.87
1.90
16.86
197.01
70.74
332.01
17.59
4.136600
0.340600
0.518571
0.300000
0.301333
0.301333
0.300952
0.574333
0.574333
0.573809
0.573928
1.678571
1.092380
1.093000
1.093000
1.093333
2.677142
1.699047
1.700000
1.700000
1.700000
1.700000
5.791904
3.648095
3.649333
3.649333
3.649047
2.186785
4.149642
7.873214
0.657000
1.655000
1.111333
1.111333
1.111000
1.111333
1.111333
1.111333
5.582000
3.826000
3.826000
3.826000
3.826000
3.826000
3.826000
5.799000
10.444333
21.633000
40.904000
60.175333
13.097142
13.990000
14.487142
13.625357
17.021785
18.181428
20.365357
21.972857
0.724400
0.702100
0.832600
17.417333
3.908200
4.165333
2.130800
0.671200
0.100000
0.087333
0.082333
0.084333
0.128500
1.139500
48.102000
89.440000
400.040000
2.377000
4.136600
0.340600
0.300000
0.300000
0.300000
0.300000
0.300000
0.573809
0.573809
0.573809
0.573809
1.092380
1.092380
1.092380
1.092380
1.092380
1.699047
1.699047
1.699047
1.699047
1.699047
1.699047
3.648095
3.648095
3.648095
3.648095
3.648095
2.186785
4.149642
7.873214
0.657000
1.111000
1.111000
1.111000
1.111000
1.111000
1.111000
1.111000
3.826000
3.826000
3.826000
3.826000
3.826000
3.826000
3.826000
5.799000
10.444333
21.633000
40.904000
60.175333
13.097142
13.097142
13.625357
13.625357
17.021785
17.021785
20.365357
20.365357
0.702100
0.702100
0.702100
17.417333
3.908200
3.908200
2.130800
0.671200
0.082333
0.082333
0.082333
0.082333
0.082333
1.139500
48.102000
89.440000
400.040000
2.377000
4.136600
0.340600
0.300000
0.300000
0.300000
0.300000
0.300000
0.573809
0.573809
0.573809
0.573809
1.092380
1.092380
1.092380
1.092380
1.092380
1.699047
1.699047
1.699047
1.699047
1.699047
1.699047
3.648095
3.648095
3.648095
3.648095
3.648095
2.186785
4.149642
7.873214
0.657000
1.111000
1.111000
1.111000
1.111000
1.111000
1.111000
1.111000
3.826000
3.826000
3.826000
3.826000
3.826000
3.826000
3.826000
5.799000
10.444333
21.633000
40.904000
60.175333
13.097142
13.097142
13.625357
13.625357
17.021785
17.021785
20.365357
20.365357
0.702100
0.702100
0.702100
17.417333
3.908200
3.908200
2.130800
0.671200
0.082333
0.082333
0.082333
0.082333
0.082333
1.139500
48.102000
89.440000
400.040000
2.377000
50mg/ml
G13
MIASTENIA GRAVIS
9L01BA01P V
05-07-2010
109.28
86.43
109.280000
109.280000
109.280000
50mg/ml
10mg/ml
50mg
15mg
60mg
16mg
1
1
100
20
20
50
G13
G13
G13
G13
G13
G14
MIASTENIA GRAVIS
MIASTENIA GRAVIS
MIASTENIA GRAVIS
MIASTENIA GRAVIS
MIASTENIA GRAVIS
SCLEROZA MULTIPLA
9L01BA01P V
9L01BA01P V
0L04AXO V
9N07AA01O V
9N07AA02O V
9H02AB04O V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
123.90
13.30
80.72
13.70
16.52
32.54
101.49
9.84
63.84
10.14
12.22
24.08
123.900000
13.300000
0.807200
0.685000
0.826000
0.650800
109.280000
13.300000
0.807200
0.685000
0.826000
0.650800
109.280000
13.300000
0.807200
0.685000
0.826000
0.650800
9N04BA03O V
9N04BB01O V
0N04BCO V
0N04BCO V
0N04BCO V
0N04BCO V
0N04BCO V
0N04BCO V
0N04BCO V
0N04BCO V
0N04BCO V
0N04BCO V
0N04BCO V
0N04BCO V
0N04BCO V
0N04BCO V
0N04BCO V
0N04BCO V
0N04BCO V
0N04BCO V
0N04BCO V
0N04BCO V
0N04BCO V
0N04BCO V
0N04BCO V
0N04BCO V
0N04BCO V
0N04BCO V
0N04BCO V
0N04BCO V
0N04BCO V
0N04BCO V
0N04BCO V
0N04BCO V
0N04BCO V
0N04BCO V
0N04BCO V
0N04BCO V
0N04BCO V
0N04BCO V
0N04BCO V
0N04BCO V
0N04BCO V
0N04BCO V
0N04BCO V
0N04BCO V
0N04BCO V
0N04BCO V
0N04BCO V
0N04BCO V
0N04BCTD V
0N04BCTD V
0N04BCTD V
0N04BCTD V
0N04BCTD V
0N04BCTD V
0N04BCTD V
0N04BCTD V
0N04BDO V
0N04BDO V
0N04BDO V
CJAS 0N04BDO V
CJAS 9N04BX02O V
CJAS 9N04BX02O V
MSP 9N05AH02O V
MSP 9N05AH02O V
9H02AB07O V
9H02AB07O V
9H02AB07O V
9H02AB07O V
9H02AB07O V
MS
9L01BA01O V
9L01BA01P V
9L01BA01P V
9L01BA01P V
9L01BA01P V
44 / 135
C1 W06973001 DEPAKINE CHRONO 300 mg
C1
C1
C1
C1
C1
W10512001
W00201002
W07649002
W00202002
W00204001

Form farmaceutic
COMPR.
COMPR.
LIOF. PT. SOL. INJ.
LIOF. PT. SOL. INJ.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
SOL. INJ.
PREUMPLUTA
PREUMPLUTA
SOL. INJ./PERF.
CONC. PT. SOL. INJ.
COMPR. FILM.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
DIVIZ.
DIVIZ.
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
W06971001
W08325001
W10222001
W00200001
W00192002
W06972001
W42977002
W42977001
W42997002
W43429001
W52100001
W52780001
W52968001
W03925002
W03925008
W54035001
W42978001
W42978002
W42996002
W52781001
W54036001
W12304001
W42975002
W42975001
W42994002
W43427001
W52778001
W52966001
W54033001
W12304010
W41956001
W42976002
W42976001
W42995002
W43428001
W52779001
W52967001
W03926004
W03926009
W54034001
W44019005
W44012005
W44018005
W06002001
W52419001
W03416001
W03427002
W42642002
W54850001
W54845001
W44016001
W44015001
W44014001
W44017001
W12139005
W12140005

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
LAMOTRIGINUM
LAMOTRIGINUM
LAMOTRIGINUM
LAMOTRIGINUM
LAMOTRIGINUM
LAMOTRIGINUM
TRIHEXYPHENIDYLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
SERTINDOL
SERTINDOL
SERTINDOL
SERTINDOL
ZIPRASIDONUM
ZIPRASIDONUM

SIROP
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.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. DISP.
COMPR. DISP.
COMPR. DISP.
COMPR.
COMPR.
COMPR.
PIC. ORALE-SOL.
PICATURI ORALE-SOL.
SOL. INJ.
SOL. INJ.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
CAPS.
CAPS.
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
Denumire medicament
MEDROL 32
MEDROL 4 mg
LEMOD SOLU 125 mg
LEMOD SOLU 500 mg
PREDNISON MCC 5 mg
N - PREDNISON
PREDNISON 5 mg
Substan activ
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
C1
C1
C1
C1
C1
C1
C1
C1
C1
METHOTREXATUM
METHOTREXATUM
MITOXANTRONUM
AZATHIOPRINUM
W53758021
W12308002
W42735002
W00513001
W08721001
W08722001
W12559001
W12561001
W12563001
METOJECT 50mg/ml
ONKOTRONE
IMURAN (R)
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

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
CONVULEX 50mg/ml
DEPAKINE
LAMOTIRAN 100 mg
LAMOTIRAN 100 mg
LAMOTRIX 100 mg
EPIMIL 100 mg
PLEXXO (R) 100 mg
XEBARIN 100 mg
LAMICTAL 100 mg
LAMICTAL 100 mg
LAMOTIRAN 200 mg
LAMOTIRAN 200 mg
LAMOTRIX 200 mg
XEBARIN 200 mg
LAMICTAL 25 mg
LAMOTIRAN 25 mg
LAMOTIRAN 25 mg
LAMOTRIX 25 mg
EPIMIL 25mg
XEBARIN 25 mg
LAMICTAL 25 mg
PLEXXO (R) 50 mg
LAMOTIRAN 50 mg
LAMOTIRAN 50 mg
LAMOTRIX 50 mg
EPIMIL 50 mg
XEBARIN 50 mg
LAMICTAL 50 mg
LAMICTAL 50 mg
LAMOTRIN 100 mg
LAMOTRIN 25 mg
LAMOTRIN 50 mg
ROMPARKIN (R) 2 mg
HALOPERIDOL LAROPHARM 0,5 mg
HALDOL
HALOPERIDOL 2 mg/ml
HALOPERIDOL
HALOPERIDOL DECANOAT
HALOPERIDOL RICHTER 5 mg/ml
SERDOLECT 12 mg
SERDOLECT 16 mg
SERDOLECT 20 mg
SERDOLECT 4 mg
ZELDOX (R) 40 mg
ZELDOX (R) 60 mg
Concentraie
32mg
4mg
125mg
500mg
250mg/4ml
5mg
5mg
5mg
5mg
5mg
2,5mg
100mg/ml
100mg/ml
100mg/ml
5mg/ml
Cantitate
UT/amb
20
30
1
1
1
20
30
30
30
20
20
5
1
1
10
Cod boli
cronice
G14
G14
G14
G14
G14
G14
G14
G14
G14
G14
G14
G14
G14
G14
G14

SCLEROZA MULTIPLA
SCLEROZA MULTIPLA
SCLEROZA MULTIPLA
SCLEROZA MULTIPLA
SCLEROZA MULTIPLA
SCLEROZA MULTIPLA
SCLEROZA MULTIPLA
SCLEROZA MULTIPLA
SCLEROZA MULTIPLA
SCLEROZA MULTIPLA
SCLEROZA MULTIPLA
SCLEROZA MULTIPLA
SCLEROZA MULTIPLA
SCLEROZA MULTIPLA
SCLEROZA MULTIPLA
50mg/ml
G14
SCLEROZA MULTIPLA
50mg/ml
10mg/ml
2mg/ml
50mg
150mg
300mg
150mg
300mg
500mg
1
1
1
100
50
50
100
100
100
G14
G14
G14
G14
G15
G15
G15
G15
G15
SCLEROZA MULTIPLA
SCLEROZA MULTIPLA
SCLEROZA MULTIPLA
SCLEROZA MULTIPLA
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
300mg
100
G15
500mg
150mg
200mg
300mg
600mg
30
100
40
100
50
400mg/4ml
1000mg
500mg
300mg/5ml
50mg/ml
57,64mg/ml
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
200mg
200mg
200mg
200mg
200mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
100mg
25mg
50mg
2mg
0,5mg
5mg
2mg/ml
2mg/ml
50mg/ml
5mg/ml
12mg
16mg
20mg
4mg
40mg
60mg
4
50
50
1
1
1
28
30
30
30
30
28
30
30
28
56
30
28
30
28
56
30
28
30
30
30
28
30
56
28
30
28
30
30
30
28
30
30
28
56
30
30
30
50
20
25
1
1
5
5
28
28
28
30
56
56
Mentiuni
sublista
Cod
medicament
W04222001
W04223002
W08307001
W08310001
W04237001
W05242001
W12565002
W42180001
W13686002
W53341001
W54019001
W04185002
W12733003
W12735001
W04186001
Grupa
terapeutica RO
9H02AB04O V
9H02AB04O V
9H02AB04P V
9H02AB04P V
9H02AB04P V
9H02AB07O V
9H02AB07O V
9H02AB07O V
9H02AB07O V
9H02AB07O V
9L01BA01O V
9L01BA01P V
9L01BA01P V
9L01BA01P V
9L01BA01P V

Pre de
Valoare
Valabil de la /amb
/amb
compensare/UT
05-07-2010
29.57
21.88
1.478500
1.478500
1.478500
05-07-2010
6.52
4.82
0.217333
0.217333
0.217333
05-07-2010
8.78
6.50
8.780000
8.780000
8.780000
05-07-2010
30.94
22.89
30.940000
30.940000
30.940000
05-07-2010
20.42
15.11
20.420000
20.420000
20.420000
05-07-2010
2.00
1.48
0.100000
0.082333
0.082333
05-07-2010
2.62
1.94
0.087333
0.082333
0.082333
05-07-2010
2.47
1.83
0.082333
0.082333
0.082333
05-07-2010
2.53
1.87
0.084333
0.082333
0.082333
05-07-2010
2.57
1.90
0.128500
0.082333
0.082333
05-07-2010
22.79
16.86
1.139500
1.139500
1.139500
05-07-2010
240.51
197.01
48.102000
48.102000
48.102000
05-07-2010
89.44
70.74
89.440000
89.440000
89.440000
05-07-2010
400.04
332.01
400.040000
400.040000
400.040000
05-07-2010
23.77
17.59
2.377000
2.377000
2.377000
9L01BA01P V
05-07-2010
109.28
86.43
109.280000
109.280000
109.280000
9L01BA01P V
9L01BA01P V
CJAS 9L01DB07P V
0L04AXO V
9N03AG01O V
9N03AG01O V
9N03AG01O V
9N03AG01O V
9N03AG01O V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
123.90
13.30
642.27
80.72
21.90
36.67
20.22
33.20
51.00
101.49
9.84
554.24
63.84
16.20
28.04
14.96
24.56
38.99
123.900000
13.300000
642.270000
0.807200
0.438000
0.733400
0.202200
0.332000
0.510000
109.280000
13.300000
642.270000
0.807200
0.438000
0.733400
0.202200
0.332000
0.510000
109.280000
13.300000
642.270000
0.807200
0.438000
0.733400
0.202200
0.332000
0.510000
BOLI PSIHICE
9N03AG01O V
05-07-2010
34.68
26.51
0.346800
0.346800
0.346800
G15
G15
G15
G15
G15
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
9N03AG01O V
9N03AG01O V
9N03AG01O V
9N03AG01O V
9N03AG01O V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
16.02
29.08
10.71
37.49
39.90
11.85
21.52
7.92
28.66
30.50
0.534000
0.290800
0.267750
0.374900
0.798000
0.534000
0.290800
0.267750
0.374900
0.798000
0.534000
0.290800
0.267750
0.374900
0.798000
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
9N03AG01P V
9N03AG01O V
9N03AG01O V
9N03AG01O K
9N03AG01O K
9N03AG01O K
9N03AX09O V
9N03AX09O V
9N03AX09O V
9N03AX09O V
9N03AX09O V
9N03AX09O V
9N03AX09O V
9N03AX09O V
9N03AX09O V
9N03AX09O V
9N03AX09O V
9N03AX09O V
9N03AX09O V
9N03AX09O V
9N03AX09O V
9N03AX09O V
9N03AX09O V
9N03AX09O V
9N03AX09O V
9N03AX09O V
9N03AX09O V
9N03AX09O V
9N03AX09O V
9N03AX09O V
9N03AX09O V
9N03AX09O V
9N03AX09O V
9N03AX09O V
9N03AX09O V
9N03AX09O V
9N03AX09O V
9N03AX09O V
9N03AX09O V
9N03AX09O V
9N03AX09O V
9N03AX09O V
9N03AX09O V
0N04AAO V
0N05ADO V
0N05ADO V
0N05ADO V
0N05ADO V
0N05ADP V
0N05ADP V
0N05AEO V
0N05AEO V
0N05AEO V
0N05AEO V
0N05AEO V
0N05AEO V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
126.76
94.70
59.33
36.17
8.67
23.07
26.59
28.49
28.80
28.80
28.80
26.86
28.78
42.87
40.02
52.00
54.66
51.01
99.28
51.01
99.28
11.11
6.64
7.12
7.23
7.23
0.71
7.23
13.62
10.37
14.38
13.30
14.24
14.38
14.38
13.41
14.39
22.11
20.65
26.83
38.34
3.81
26.39
17.66
3.24
17.89
6.64
4.68
44.42
12.45
372.25
483.80
534.07
127.56
416.09
541.07
103.83
74.90
45.36
27.65
6.41
17.07
19.67
21.08
21.31
21.31
21.31
19.87
21.29
32.78
30.60
39.76
41.79
39.00
78.52
39.00
78.52
8.22
4.91
5.27
5.35
5.35
0.53
5.35
10.08
7.67
10.64
9.84
10.54
10.64
10.64
9.92
10.65
16.36
15.28
19.85
29.31
2.82
19.52
13.07
2.40
13.24
4.91
3.46
33.96
9.21
306.51
408.85
454.97
104.49
346.73
461.39
31.690000
1.894000
1.186600
36.170000
8.670000
23.070000
0.949642
0.949666
0.960000
0.960000
0.960000
0.959285
0.959333
1.429000
1.429285
0.928571
1.822000
1.821785
3.309333
1.821785
1.772857
0.370333
0.237142
0.237333
0.241000
0.241000
0.025357
0.241000
0.243214
0.370357
0.479333
0.475000
0.474666
0.479333
0.479333
0.478928
0.479666
0.737000
0.737500
0.479107
1.278000
0.127000
0.879666
0.353200
0.162000
0.715600
6.640000
4.680000
8.884000
2.490000
13.294642
17.278571
19.073928
4.252000
7.430178
9.661964
31.690000
1.894000
1.186600
36.170000
8.670000
23.070000
0.928571
0.928571
0.928571
0.928571
0.928571
0.928571
0.928571
0.928571
0.928571
0.928571
1.772857
1.772857
1.772857
1.772857
1.772857
0.025357
0.025357
0.025357
0.025357
0.025357
0.025357
0.025357
0.025357
0.025357
0.474666
0.474666
0.474666
0.474666
0.474666
0.474666
0.474666
0.474666
0.474666
0.474666
1.278000
0.127000
0.879666
0.353200
0.162000
0.715600
4.680000
4.680000
8.884000
2.490000
13.294642
17.278571
19.073928
4.252000
7.430178
9.661964
31.690000
1.894000
1.186600
36.170000
8.670000
23.070000
0.928571
0.928571
0.928571
0.928571
0.928571
0.928571
0.928571
0.928571
0.928571
0.928571
1.772857
1.772857
1.772857
1.772857
1.772857
0.025357
0.025357
0.025357
0.025357
0.025357
0.025357
0.025357
0.025357
0.025357
0.474666
0.474666
0.474666
0.474666
0.474666
0.474666
0.474666
0.474666
0.474666
0.474666
1.278000
0.127000
0.879666
0.353200
0.162000
0.715600
4.680000
4.680000
8.884000
2.490000
13.294642
17.278571
19.073928
4.252000
7.430178
9.661964
MS
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
45 / 135
Denumire medicament
ZELDOX (R) 80 mg
ZELDOX (R) 20 mg/ml
ZELDOX (R) 10 mg/ml
FLUANXOL DEPOT
CLOPIXOL (R) 10 mg
CLOPIXOL (R) 25 mg
CLOPIXOL 20 mg/ml
CLOPIXOL (R) DEPOT
CLOPIXOL ACUPHASE (R)
LEPONEX (R) 100 mg
LEPONEX (R) 25 mg
ZYPREXA 10 mg
ZYPREXA 5 mg
ZYPREXA VELOTAB 10 mg
Substan activ
ZIPRASIDONUM
ZIPRASIDONUM
ZIPRASIDONUM
FLUPENTIXOLUM
ZUCLOPENTHIXOLUM
ZUCLOPENTHIXOLUM
ZUCLOPENTHIXOLUM
ZUCLOPENTHIXOLUM
ZUCLOPENTHIXOLUM
CLOZAPINUM
CLOZAPINUM
OLANZAPINUM
OLANZAPINUM
OLANZAPINUM
OLANZAPINUM
OLANZAPINUM
OLANZAPINUM
C1 W53870001 ZYPADHERA 210mg
OLANZAPINUM
C1 W53871001 ZYPADHERA 300mg
OLANZAPINUM
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
OLANZAPINUM
QUETIAPINUM
QUETIAPINUM
QUETIAPINUM
QUETIAPINUM
QUETIAPINUM
SULPIRIDUM
SULPIRIDUM
AMISULPRIDUM
AMISULPRIDUM
AMISULPRIDUM
AMISULPRIDUM
AMISULPRIDUM
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
RISPERIDONUM
RISPERIDONUM
RISPERIDONUM
RISPERIDONUM
RISPERIDONUM
RISPERIDONUM
RISPERIDONUM
W53872001
W08531001
W52499001
W52500001
W54069001
W52894001
W05759001
W07868001
W55403001
W55404001
W55435001
W54239004
W00321001
W07071001
W42944002
W42944001
W42684003
W42684001
W43798003
W44037002
W44037003
W52045001
W52463001
W52490001
W52490002
W52989001
W52989002
W52989003
W53141004
W53843001
W55379002
W42685003
W42685001
W42945001
W42945002
W43799003
W43840002
W43840003
W43971010
W52046001
W52464001
W52492001
W52990001
W52990002
W52990003
W53117001
W53142004
W53844001
W54658002
W54658005
W55380002
W42686003
W42686001
W42946001
W42946002
W43800003
W43830002
W43842002
W43842003
W43972010
W52047001
W52465001
W52493001
W52991001
W52991002
W52991003
W53116001
W53143004
W53845001
W54659002
W54659005
ZYPADHERA 405mg
SEROQUEL 100mg
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
AMISULPRIDA LPH 200 mg
MIDORA 200 mg
AMISULPRIDE TEVA 400 mg
SOLIAN 200 mg
SOLIAN 400 mg
RISSET 1 mg
RISSET 1 mg
RISPEN 1
RISPEN 1
RILEPTID 1 mg
RISPERIDONE TEVA 1 mg
RISPERIDONA 1 mg
RISPERIDONA ACCORD 1 mg
XENOMA 1 mg
XENOMA 1 mg
SPRING 1 mg
SPRING 1 mg
SPRING 1 mg
RISPERIDONA FARMAL 1 mg
RISPERIDONE TORRENT 1 mg
RONYDAL 1 mg
RISPEN 2
RISPEN 2
RISSET 2 mg
RISSET 2 mg
RILEPTID 2 mg
RISON 2 mg
RISPERIDONA 2 mg
XENOMA 2 mg
SPRING 2 mg
SPRING 2 mg
SPRING 2 mg
ESSENS 2 mg
RISPEMAR 2 mg
RISPEMAR 2 mg
RONYDAL 2 mg
RISPEN 3
RISPEN 3
RISSET 3 mg
RISSET 3 mg
RILEPTID 3 mg
TORENDO 3 mg
RISON 3 mg
RISPERIDONA 3 mg
XENOMA 3 mg
SPRING 3 mg
SPRING 3 mg
SPRING 3 mg
ESSENS 3 mg
RISPEMAR 3 mg
RISPEMAR 3 mg
Form farmaceutic
CAPS.
SUSP. ORALA
SOL. INJ.
COMPR. FILM.
COMPR. FILM.
PIC. ORALE-SOL.
SOL. INJ.
SOL. INJ.
COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.
PULB. + SOLV. PT. SUSP. INJ.
CU ELIB. PREL.
CU ELIB. PREL.
CU ELIB. PREL.
COMPR. FILM.
CAPS.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. DIVIZ.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
Concentraie
80mg
20mg/ml
10mg/ml
20mg/ml
10mg
25mg
20mg/ml
200mg/ml
50mg/ml
100mg
25mg
10mg
5mg
10mg
15mg
20mg
5mg
Cantitate
UT/amb
56
1
1
10
50
50
1
10
5
50
50
28
28
28
28
28
28
Cod boli
cronice
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15

BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
210mg
G15
300mg
405mg
100mg
200mg
300mg
400mg
50mg
50mg
200mg
100mg
200mg
200mg
400mg
200mg
400mg
1 mg
1 mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
2 mg
2 mg
2 mg
2 mg
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
3mg
3mg
1
60
60
60
60
60
30
12
30
30
30
30
30
30
20
60
50
20
60
20
60
20
60
20
60
20
30
60
50
20
60
50
20
60
20
60
20
60
20
20
60
60
20
30
60
30
50
20
20
60
60
50
20
60
20
60
30
20
60
20
20
60
60
20
30
60
30
50
20
20
60
Mentiuni
sublista
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
Cod
medicament
W12141005
W12137001
W42356001
W03207001
W12437002
W12439002
W10638002
W12431001
W13182005
W01400001
W01401001
W08727002
W08557001
W14024001
W14025001
W14026001
W14023001
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
Grupa
terapeutica RO
0N05AEO V
0N05AEP V
0N05AEO V
0N05AFP V
0N05AFO V
0N05AFO V
0N05AFO V
0N05AFP V
0N05AFP V
9N05AH02O V
9N05AH02O V
9N05AH03O V
9N05AH03O V
9N05AH03O V
9N05AH03O V
9N05AH03O V
9N05AH03O V

Pre de
Valoare
Valabil de la /amb
/amb
compensare/UT
05-07-2010
581.89
498.84
10.390892
10.390892
10.390892
05-07-2010
64.04
50.65
64.040000
64.040000
64.040000
05-07-2010
178.93
146.57
178.930000
178.930000
178.930000
05-07-2010
71.64
56.66
7.164000
7.164000
7.164000
05-07-2010
23.07
17.07
0.461400
0.461400
0.461400
05-07-2010
33.49
25.60
0.669800
0.669800
0.669800
05-07-2010
32.62
24.13
32.620000
32.620000
32.620000
05-07-2010
157.44
128.96
15.744000
15.744000
15.744000
05-07-2010
46.37
35.45
9.274000
9.274000
9.274000
05-07-2010
106.54
84.26
2.130800
2.130800
2.130800
05-07-2010
33.56
24.83
0.671200
0.671200
0.671200
05-07-2010
465.42
391.99
16.622142
16.622142
16.622142
05-07-2010
243.02
199.07
8.679285
8.679285
8.679285
05-07-2010
465.31
391.89
16.618214
16.618214
16.618214
05-07-2010
776.23
677.14
27.722500
27.722500
27.722500
05-07-2010
1,011.36
892.85
36.120000
36.120000
36.120000
05-07-2010
242.95
199.01
8.676785
8.676785
8.676785
BOLI PSIHICE
MSP
0N05AHP V
05-07-2010
891.69
783.06
891.690000
891.690000
891.690000
G15
BOLI PSIHICE
MSP
0N05AHP V
05-07-2010
1,376.76
1,228.08
1,376.760000
1,376.760000
1,376.760000
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
MSP
MSP
MSP
MSP
MSP
MSP
0N05AHP V
9N05AH04O V
9N05AH04O V
9N05AH04O V
9N05AH04O V
9N05AH04O V
0N05ALO V
0N05ALO V
0N05ALO V
0N05ALO V
0N05ALO V
0N05ALO V
0N05ALO V
0N05ALO V
9N05AX08O V
9N05AX08O V
9N05AX08O V
9N05AX08O V
9N05AX08O V
9N05AX08O V
9N05AX08O V
9N05AX08O V
9N05AX08O V
9N05AX08O V
9N05AX08O V
9N05AX08O V
9N05AX08O V
9N05AX08O V
9N05AX08O V
9N05AX08O V
9N05AX08O V
9N05AX08O V
9N05AX08O V
9N05AX08O V
9N05AX08O V
9N05AX08O V
9N05AX08O V
9N05AX08O V
9N05AX08O V
9N05AX08O V
9N05AX08O V
9N05AX08O V
9N05AX08O V
9N05AX08O V
9N05AX08O V
9N05AX08O V
9N05AX08O V
9N05AX08O V
9N05AX08O V
9N05AX08O V
9N05AX08O V
9N05AX08O V
9N05AX08O V
9N05AX08O V
9N05AX08O V
9N05AX08O V
9N05AX08O V
9N05AX08O V
9N05AX08O V
9N05AX08O V
9N05AX08O V
9N05AX08O V
9N05AX08O V
9N05AX08O V
9N05AX08O V
9N05AX08O V
9N05AX08O V
9N05AX08O V
9N05AX08O V
9N05AX08O V
9N05AX08O V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
1,712.52
257.08
495.12
574.91
741.59
231.49
10.75
10.49
56.42
85.73
85.39
86.26
127.35
128.14
7.80
24.68
23.57
9.43
51.23
8.32
24.56
8.75
23.48
8.07
24.21
23.31
33.85
64.33
23.90
6.95
32.08
45.63
18.86
47.15
16.24
101.10
16.04
46.58
22.26
17.46
44.67
45.94
45.08
65.32
123.48
24.36
44.36
16.18
17.55
52.53
64.26
66.16
28.29
75.85
27.52
144.92
34.55
27.12
75.30
32.94
29.54
69.56
74.62
65.41
96.30
179.78
39.93
67.39
27.44
26.72
75.11
1,536.12
210.58
419.24
492.44
645.36
189.62
7.95
7.76
43.13
67.80
67.53
68.22
104.32
104.96
5.77
18.26
17.44
6.98
39.17
6.16
18.17
6.47
17.37
5.97
17.91
17.25
25.88
50.88
17.68
5.14
23.73
34.89
13.95
36.05
12.02
79.96
11.87
35.61
16.47
12.92
34.15
35.12
34.46
51.66
101.15
18.02
33.91
11.97
12.98
40.16
50.82
52.33
20.93
59.99
20.36
118.71
26.41
20.07
59.55
25.18
21.86
55.01
59.02
51.73
76.16
147.26
30.53
53.30
20.30
19.77
59.40
1,712.520000
4.284666
8.252000
9.581833
12.359833
3.858166
0.358333
0.874166
1.880666
2.857666
2.846333
2.875333
4.245000
4.271333
0.390000
0.411333
0.471400
0.471500
0.853833
0.416000
0.409333
0.437500
0.391333
0.403500
0.403500
1.165500
1.128333
1.072166
0.478000
0.347500
0.534666
0.912600
0.943000
0.785833
0.812000
1.685000
0.802000
0.776333
1.113000
0.873000
0.744500
0.765666
2.254000
2.177333
2.058000
0.812000
0.887200
0.809000
0.877500
0.875500
1.071000
1.323200
1.414500
1.264166
1.376000
2.415333
1.151666
1.356000
1.255000
1.647000
1.477000
1.159333
1.243666
3.270500
3.210000
2.996333
1.331000
1.347800
1.372000
1.336000
1.251833
1,712.520000
4.284666
8.252000
9.581833
12.359833
3.858166
0.358333
0.874166
1.880666
2.846333
2.846333
2.875333
4.245000
4.271333
0.347500
0.347500
0.347500
0.347500
0.347500
0.347500
0.347500
0.347500
0.347500
0.347500
0.347500
0.347500
0.347500
0.347500
0.347500
0.347500
0.347500
0.744500
0.744500
0.744500
0.744500
0.744500
0.744500
0.744500
0.744500
0.744500
0.744500
0.744500
0.744500
0.744500
0.744500
0.744500
0.744500
0.744500
0.744500
0.744500
0.744500
1.151666
1.151666
1.151666
1.151666
1.151666
1.151666
1.151666
1.151666
1.151666
1.151666
1.151666
1.151666
1.151666
1.151666
1.151666
1.151666
1.151666
1.151666
1.151666
1.151666
1,712.520000
4.284666
8.252000
9.581833
12.359833
3.858166
0.358333
0.874166
1.880666
2.846333
2.846333
2.875333
4.245000
4.271333
0.347500
0.347500
0.347500
0.347500
0.347500
0.347500
0.347500
0.347500
0.347500
0.347500
0.347500
0.347500
0.347500
0.347500
0.347500
0.347500
0.347500
0.744500
0.744500
0.744500
0.744500
0.744500
0.744500
0.744500
0.744500
0.744500
0.744500
0.744500
0.744500
0.744500
0.744500
0.744500
0.744500
0.744500
0.744500
0.744500
0.744500
1.151666
1.151666
1.151666
1.151666
1.151666
1.151666
1.151666
1.151666
1.151666
1.151666
1.151666
1.151666
1.151666
1.151666
1.151666
1.151666
1.151666
1.151666
1.151666
1.151666
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
46 / 135
Denumire medicament
RONYDAL 3 mg
RISPEN 4
RISPEN 4
RISSET 4 mg
RISSET 4 mg
RILEPTID 4 mg
TORENDO 4 mg
RISON 4 mg
RISPERIDONA 4 mg
ESSENS 4 mg
XENOMA 4 mg
SPRING 4 mg
SPRING 4 mg
SPRING 4 mg
RISPEMAR 4 mg
RISPEMAR 4 mg
RONYDAL 4 mg
ESSENS 6 mg
TORENDO Q-TAB 1 mg
ESSENS OD 1 mg
TORENDO Q-TAB 2 mg
ESSENS OD 2 mg
ESSENS OD 3 mg
Substan activ
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
C1 W13666001 RISPOLEPT CONSTA (R) 25 mg
RISPERIDONUM
C1 W13666002 RISPOLEPT CONSTA 25 mg
RISPERIDONUM
C1 W13667001 RISPOLEPT CONSTA (R) 37,5 mg
RISPERIDONUM
C1 W13667002 RISPOLEPT CONSTA 37,5 mg
RISPERIDONUM
C1 W13833001 RISPOLEPT CONSTA (R) 50 mg
RISPERIDONUM
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
RISPERIDONUM
RISPERIDONUM
RISPERIDONUM
ARIPIPRAZOLUM
ARIPIPRAZOLUM
ARIPIPRAZOLUM
CITALOPRAMUM
CITALOPRAMUM
CITALOPRAMUM
CITALOPRAMUM
CITALOPRAMUM
CITALOPRAMUM
CITALOPRAMUM
CITALOPRAMUM
CITALOPRAMUM
ESCITALOPRAMUM
ESCITALOPRAMUM
ESCITALOPRAMUM
TRAZODONUM
TRAZODONUM
TRAZODONUM
TIANEPTINUM
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
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
W13833002
W08728004
W08728003
W41602002
W41603002
W52520001
W43494001
W43705001
W43993001
W43495001
W43706001
W43994001
W43496001
W43707001
W43995001
W13298001
W13298008
W13297008
W13019001
W08616002
W08616001
W41558001
W55194001
W12589003
W52122001
W52962005
W53270003
W53494001
W53486006
W53499003
W53627004
W53627008
W53630003
W54057002
W53268003
W53496001
W53483006
W53625004
W53625008
W55192001
W12588002
W52123001
W52961005
W53269003
W53495001
W53485006
W53498003
W53626004
W53626008
W53629003
W54056002
W53376001
W53376002
W42662001
W43057002
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
CIPRALEX 10 mg
CIPRALEX 5 mg
TRITTICO AC 150 mg
TRITTICO AC 75 mg
TRITTICO AC 75 mg
COAXIL (R)
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
FOBILESS 37,5 mg
NOPEKAR 37,5 mg
ADOXA EP 37,5 mg
VENLAGAMMA 37,5 mg
VENLAGAMMA 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
ADOXA 25 mg
ADOXA 25 mg
VENLAFAXINA LPH 37,5 mg
VELAXIN 37,5 mg
Form farmaceutic
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
CU ELIB. PREL.
CU ELIB. PREL.
CU ELIB. PREL.
CU ELIB. PREL.
CU ELIB. PREL.
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. FILM.
COMPR. FILM.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
DRAJ.
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.
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.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
COMPR.
COMPR.
COMPR.
COMPR.
Concentraie
3mg
4 mg
4 mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
6mg
1mg
1mg
2mg
2mg
3mg
Cantitate
UT/amb
60
50
20
20
60
60
30
60
20
20
20
30
60
20
30
60
50
20
20
60
60
30
30
30
30
30
30
Cod boli
cronice
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15

BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
25mg
G15
25mg
37,5mg
Mentiuni
sublista
Cod
medicament
W55381002
W42687003
W42687001
W42947002
W42947001
W43801003
W43831002
W43845003
W43845002
W43973010
W52048001
W52479001
W52491001
W52992001
W52992002
W52992003
W53144004
W53846001
W54660002
W54660005
W55382002
W52480001
W43835001
W53155001
W43838001
W53156001
W53157001
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
Grupa
terapeutica RO
9N05AX08O V
9N05AX08O V
9N05AX08O V
9N05AX08O V
9N05AX08O V
9N05AX08O V
9N05AX08O V
9N05AX08O V
9N05AX08O V
9N05AX08O V
9N05AX08O V
9N05AX08O V
9N05AX08O V
9N05AX08O V
9N05AX08O V
9N05AX08O V
9N05AX08O V
9N05AX08O V
9N05AX08O V
9N05AX08O V
9N05AX08O V
9N05AX08O V
9N05AX08O V
9N05AX08O V
9N05AX08O V
9N05AX08O V
9N05AX08O V

Pre de
Valoare
Valabil de la /amb
/amb
compensare/UT
05-07-2010
97.71
77.28
1.628500
1.151666
1.151666
05-07-2010
86.67
68.55
1.733400
1.583666
1.583666
05-07-2010
36.50
27.91
1.825000
1.583666
1.583666
05-07-2010
35.49
27.13
1.774500
1.583666
1.583666
05-07-2010
101.11
79.97
1.685166
1.583666
1.583666
05-07-2010
193.87
158.81
3.231166
1.583666
1.583666
05-07-2010
47.51
36.32
1.583666
1.583666
1.583666
05-07-2010
100.57
79.54
1.676166
1.583666
1.583666
05-07-2010
35.29
26.98
1.764500
1.583666
1.583666
05-07-2010
45.63
34.89
2.281500
1.583666
1.583666
05-07-2010
36.50
27.91
1.825000
1.583666
1.583666
05-07-2010
50.00
38.23
1.666666
1.583666
1.583666
05-07-2010
99.48
78.68
1.658000
1.583666
1.583666
05-07-2010
85.14
67.34
4.257000
1.583666
1.583666
05-07-2010
123.19
100.91
4.106333
1.583666
1.583666
05-07-2010
240.56
197.05
4.009333
1.583666
1.583666
05-07-2010
93.29
73.78
1.865800
1.583666
1.583666
05-07-2010
33.27
25.44
1.663500
1.583666
1.583666
05-07-2010
34.73
26.55
1.736500
1.583666
1.583666
05-07-2010
100.39
79.40
1.673166
1.583666
1.583666
05-07-2010
129.62
106.18
2.160333
1.583666
1.583666
05-07-2010
67.82
53.64
2.260666
2.260666
2.260666
05-07-2010
19.65
14.54
0.655000
0.655000
0.655000
05-07-2010
20.83
15.41
0.694333
0.655000
0.655000
05-07-2010
41.10
31.42
1.370000
1.370000
1.370000
05-07-2010
44.36
33.91
1.478666
1.370000
1.370000
05-07-2010
70.14
55.47
2.338000
2.338000
2.338000
BOLI PSIHICE
MSP
9N05AX08P V
05-07-2010
423.41
353.45
423.410000
423.410000
423.410000
G15
BOLI PSIHICE
MSP
9N05AX08P V
05-07-2010
423.41
353.45
423.410000
423.410000
423.410000
G15
BOLI PSIHICE
MSP
9N05AX08P V
05-07-2010
596.20
511.97
596.200000
596.200000
596.200000
37,5mg
G15
BOLI PSIHICE
MSP
9N05AX08P V
05-07-2010
596.20
511.97
596.200000
596.200000
596.200000
50mg
G15
BOLI PSIHICE
MSP
9N05AX08P V
05-07-2010
717.50
623.26
717.500000
717.500000
717.500000
50mg
1mg/ml
1mg/ml
10mg
15mg
7,5mg/ml
10mg
10mg
10mg
20mg
20mg
20mg
40mg
40mg
40mg
10mg
10mg
5mg
150mg
75mg
75mg
12,5mg
150 mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
37,5mg
37,5mg
37,5mg
37,5mg
37,5mg
75 mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
25mg
25mg
37,5mg
37,5mg
1
1
1
28
28
1
28
30
28
28
30
28
28
30
28
14
28
28
20
30
30
30
28
28
28
30
30
28
30
30
30
100
30
28
30
28
30
30
100
28
28
28
30
30
28
30
30
30
100
30
28
30
30
60
56
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
9N05AX08P V
9N05AX08O V
9N05AX08O V
9N05AX12O V
9N05AX12O V
9N05AX12P V
0N06ABO V
0N06ABO V
0N06ABO V
0N06ABO V
0N06ABO V
0N06ABO V
0N06ABO V
0N06ABO V
0N06ABO V
0N06ABO V
0N06ABO V
0N06ABO V
9N06AX05O V
9N06AX05O V
9N06AX05O V
9N06AX14O V
9N06AX16O V
9N06AX16O V
9N06AX16O V
9N06AX16O V
9N06AX16O V
9N06AX16O V
9N06AX16O V
9N06AX16O V
9N06AX16O V
9N06AX16O V
9N06AX16O V
9N06AX16O V
9N06AX16O V
9N06AX16O V
9N06AX16O V
9N06AX16O V
9N06AX16O V
9N06AX16O V
9N06AX16O V
9N06AX16O V
9N06AX16O V
9N06AX16O V
9N06AX16O V
9N06AX16O V
9N06AX16O V
9N06AX16O V
9N06AX16O V
9N06AX16O V
9N06AX16O V
9N06AX16O V
9N06AX16O V
9N06AX16O V
9N06AX16O V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
717.50
156.27
52.03
482.25
482.25
20.96
7.37
7.10
7.37
10.71
39.46
10.71
33.50
32.30
33.50
61.81
90.16
49.56
24.88
18.66
18.66
33.65
91.33
135.66
91.33
75.14
97.80
91.33
97.54
97.85
96.01
303.48
97.85
75.21
35.49
46.45
41.57
21.05
65.64
47.42
70.53
47.42
32.83
50.77
47.42
50.65
50.82
35.26
111.66
50.82
47.61
29.21
29.21
62.11
58.00
623.26
128.01
39.78
407.43
407.43
15.51
5.45
5.25
5.45
7.92
30.17
7.92
24.79
23.90
24.79
47.26
71.31
37.89
18.41
13.81
13.81
25.73
72.23
111.12
72.23
59.43
77.35
72.23
77.14
77.39
75.93
248.59
77.39
59.48
27.13
35.51
31.78
15.57
51.91
36.25
55.78
36.25
25.10
38.81
36.25
38.72
38.85
26.96
88.31
38.85
36.40
21.61
21.61
47.48
44.34
717.500000
156.270000
52.030000
17.223214
17.223214
20.960000
0.263214
0.236666
0.263214
0.382500
1.315333
0.382500
1.196428
1.076666
1.196428
4.415000
3.220000
1.770000
1.244000
0.622000
0.622000
1.121666
3.261785
4.845000
3.261785
2.504666
3.260000
3.261785
3.251333
3.261666
3.200333
3.034800
3.261666
2.686071
1.183000
1.658928
1.385666
0.701666
0.656400
1.693571
2.518928
1.693571
1.094333
1.692333
1.693571
1.688333
1.694000
1.175333
1.116600
1.694000
1.700357
0.973666
0.973666
1.035166
1.035714
717.500000
52.030000
52.030000
17.223214
17.223214
20.960000
0.236666
0.236666
0.236666
0.382500
0.382500
0.382500
1.076666
1.076666
1.076666
3.220000
3.220000
1.770000
1.244000
0.622000
0.622000
1.121666
2.504666
2.504666
2.504666
2.504666
2.504666
2.504666
2.504666
2.504666
2.504666
2.504666
2.504666
2.504666
0.656400
0.656400
0.656400
0.656400
0.656400
1.094333
1.094333
1.094333
1.094333
1.094333
1.094333
1.094333
1.094333
1.094333
1.094333
1.094333
1.094333
0.973666
0.973666
1.035166
1.035166
717.500000
52.030000
52.030000
17.223214
17.223214
20.960000
0.236666
0.236666
0.236666
0.382500
0.382500
0.382500
1.076666
1.076666
1.076666
3.220000
3.220000
1.770000
1.244000
0.622000
0.622000
1.121666
2.504666
2.504666
2.504666
2.504666
2.504666
2.504666
2.504666
2.504666
2.504666
2.504666
2.504666
2.504666
0.656400
0.656400
0.656400
0.656400
0.656400
1.094333
1.094333
1.094333
1.094333
1.094333
1.094333
1.094333
1.094333
1.094333
1.094333
1.094333
1.094333
0.973666
0.973666
1.035166
1.035166
47 / 135
Form farmaceutic
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. FILM.
COMPR. FILM.
CAPS.
CAPS.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
Concentraie
37,5mg
37,5mg
50mg
50mg
75mg
75mg
75mg
75mg
150mg
75mg
37,5 mg
75mg
25mg
50mg
30mg
60mg
Cantitate
UT/amb
30
30
30
30
60
56
30
30
30
30
56
56
56
56
28
28
Cod boli
cronice
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
G15
C1 W02850001 ARICEPT (R) 10 mg
DONEPEZILUM
COMPR. FILM.
10mg
28
G16
C1 W53372004 ZILDON 10mg
DONEPEZILUM
COMPR. FILM.
10mg
28
G16
C1 W53425001 DAVIA 10 mg
DONEPEZILUM
COMPR. FILM.
10mg
30
G16
C1 W53425002 DAVIA 10 mg
DONEPEZILUM
COMPR. FILM.
10mg
30
G16
C1 W53618001 TUADIN 10 mg
DONEPEZILUM
COMPR. FILM.
10mg
30
G16
DONEPEZILUM
COMPR. FILM.
10mg
60
G16
DONEPEZILUM
COMPR. FILM.
10mg
90
G16
C1 W54062002 PRIDIA 10 mg
DONEPEZILUM
COMPR. FILM.
10mg
28
G16
C1 W54224001 ALZEPIL 10 mg
DONEPEZILUM
COMPR. FILM.
10mg
28
G16
DONEPEZILUM
COMPR. FILM.
10mg
56
G16
DONEPEZILUM
COMPR. FILM.
10mg
28
G16
DONEPEZILUM
COMPR. FILM.
10mg
56
G16
C1 W54141002 DONECEPT 10 MG
DONEPEZILUM
COMPR. FILM.
10mg
28
G16
C1 W54338002 ALDEMIZ 10 mg
DONEPEZILUM
COMPR. FILM.
10mg
28
G16
DONEPEZILUM
COMPR. FILM.
10mg
30
G16
C1 W55206002 COGNEZIL 10 mg
DONEPEZILUM
COMPR. FILM.
10mg
28
G16
C1 W54898003 DONEPEZIL TEVA 10 mg
DONEPEZILUM
COMPR. FILM.
10mg
30
G16
C1 W02851001 ARICEPT (R) 5 mg
DONEPEZILUM
COMPR. FILM.
5mg
28
G16
C1 W53371004 ZILDON 5 mg
DONEPEZILUM
COMPR. FILM.
5mg
28
G16
C1 W53424001 DAVIA 5 mg
DONEPEZILUM
COMPR. FILM.
5mg
30
G16
C1 W53424002 DAVIA 5 mg
DONEPEZILUM
COMPR. FILM.
5mg
30
G16
DONEPEZILUM
COMPR. FILM.
5mg
30
G16
DONEPEZILUM
COMPR. FILM.
5mg
60
G16
DONEPEZILUM
COMPR. FILM.
5mg
90
G16
C1 W54061002 PRIDIA 5 mg
DONEPEZILUM
COMPR. FILM.
5mg
28
G16
DONEPEZILUM
COMPR. FILM.
5mg
28
G16
DONEPEZILUM
COMPR. FILM.
5mg
56
G16
DONEPEZILUM
COMPR. FILM.
5mg
28
G16
DONEPEZILUM
COMPR. FILM.
5mg
56
G16
C1 W54140002 DONECEPT 5 MG
DONEPEZILUM
COMPR. FILM.
5mg
28
G16
DONEPEZILUM
COMPR. FILM.
5mg
28
G16
DONEPEZILUM
COMPR. FILM.
5mg
30
G16
C1 W55205002 COGNEZIL 5 mg
DONEPEZILUM
COMPR. FILM.
5mg
28
G16
C1 W54897003 DONEPEZIL TEVA 5 mg
DONEPEZILUM
COMPR. FILM.
5mg
30
G16
C1 W43353001 ARICEPT EVESS
DONEPEZILUM
10mg
28
G16
C1 W43352001 ARICEPT EVESS
DONEPEZILUM
5mg
28
G16
C1 W08735005 EXELON 1,5mg
RIVASTIGMINUM
CAPS.
1,5mg
56
G16
C1 W54389002 RIVASTIGMINA TEVA 1,5mg
RIVASTIGMINUM
CAPS.
1,5mg
56
G16
Denumire medicament
ADOXA 37,5 mg
ADOXA 37,5 mg
ADOXA 50 mg
ADOXA 50 mg
VENLAFAXINA LPH 75 mg
VELAXIN 75 mg
ADOXA 75 mg
ADOXA 75 mg
ARGOFAN 150 SR
ARGOFAN 75 SR
VENLAFAXINA ACTAVIS 37,5 mg
IXEL
IXEL
CYMBALTA 30mg
CYMBALTA 60mg

BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
BOLI PSIHICE
DEMENTE(DEGENERATIVE,VAS
CULARE,MIXTE)
CULARE,MIXTE)
CULARE,MIXTE)
CULARE,MIXTE)
CULARE,MIXTE)
CULARE,MIXTE)
CULARE,MIXTE)
CULARE,MIXTE)
CULARE,MIXTE)
CULARE,MIXTE)
CULARE,MIXTE)
CULARE,MIXTE)
CULARE,MIXTE)
CULARE,MIXTE)
CULARE,MIXTE)
CULARE,MIXTE)
CULARE,MIXTE)
CULARE,MIXTE)
CULARE,MIXTE)
CULARE,MIXTE)
CULARE,MIXTE)
CULARE,MIXTE)
CULARE,MIXTE)
CULARE,MIXTE)
CULARE,MIXTE)
CULARE,MIXTE)
CULARE,MIXTE)
CULARE,MIXTE)
CULARE,MIXTE)
CULARE,MIXTE)
CULARE,MIXTE)
CULARE,MIXTE)
CULARE,MIXTE)
CULARE,MIXTE)
CULARE,MIXTE)
CULARE,MIXTE)
CULARE,MIXTE)
CULARE,MIXTE)
Mentiuni
sublista
Substan activ
VENLAFAXINUM
VENLAFAXINUM
VENLAFAXINUM
VENLAFAXINUM
VENLAFAXINUM
VENLAFAXINUM
VENLAFAXINUM
VENLAFAXINUM
VENLAFAXINUM
VENLAFAXINUM
VENLAFAXINUM
VENLAFAXINUM
MILNACIPRANUM
MILNACIPRANUM
DULOXETINUM
DULOXETINUM
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
Cod
medicament
W53375001
W53375002
W53377001
W53377002
W42661001
W43059002
W53378001
W53378002
W52959001
W52958001
W53044006
W53046007
W04338001
W04339001
W43297002
W43298001
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
Grupa
terapeutica RO
9N06AX16O V
9N06AX16O V
9N06AX16O V
9N06AX16O V
9N06AX16O V
9N06AX16O V
9N06AX16O V
9N06AX16O V
9N06AX16O V
9N06AX16O V
9N06AX16O V
9N06AX16O V
9N06AX17O V
9N06AX17O V
1N06AXO V
1N06AXO V

Pre de
Valoare
Valabil de la /amb
/amb
compensare/UT
05-07-2010
32.13
23.77
1.071000
1.035166
1.035166
05-07-2010
32.13
23.77
1.071000
1.035166
1.035166
05-07-2010
38.41
29.37
1.280333
1.280333
1.280333
05-07-2010
38.41
29.37
1.280333
1.280333
1.280333
05-07-2010
77.33
61.16
1.288833
1.288833
1.288833
05-07-2010
72.29
57.17
1.290892
1.288833
1.288833
05-07-2010
40.78
31.18
1.359333
1.288833
1.288833
05-07-2010
40.78
31.18
1.359333
1.288833
1.288833
05-07-2010
111.51
88.19
3.717000
3.717000
3.717000
05-07-2010
57.90
44.27
1.930000
1.930000
1.930000
05-07-2010
38.02
29.07
0.678928
0.678928
0.678928
05-07-2010
63.65
50.34
1.136607
1.136607
1.136607
05-07-2010
71.36
56.44
1.274285
1.274285
1.274285
05-07-2010
116.99
92.53
2.089107
2.089107
2.089107
05-07-2010
105.15
83.16
3.755357
3.755357
3.755357
05-07-2010
178.47
146.19
6.373928
6.373928
6.373928
CJAS 0N06DAO V
05-07-2010
357.96
293.22
12.784285
6.091071
6.091071
CJAS 0N06DAO V
05-07-2010
171.42
140.42
6.122142
6.091071
6.091071
CJAS 0N06DAO V
05-07-2010
249.29
204.20
8.309666
6.091071
6.091071
CJAS 0N06DAO V
05-07-2010
249.29
204.20
8.309666
6.091071
6.091071
CJAS 0N06DAO V
05-07-2010
249.27
204.19
8.309000
6.091071
6.091071
CJAS 0N06DAO V
05-07-2010
475.50
401.24
7.925000
6.091071
6.091071
CJAS 0N06DAO V
05-07-2010
677.82
586.85
7.531333
6.091071
6.091071
CJAS 0N06DAO V
05-07-2010
171.42
140.42
6.122142
6.091071
6.091071
CJAS 0N06DAO V
05-07-2010
198.33
162.46
7.083214
6.091071
6.091071
CJAS 0N06DAO V
05-07-2010
392.31
324.92
7.005535
6.091071
6.091071
CJAS 0N06DAO V
05-07-2010
198.33
162.46
7.083214
6.091071
6.091071
CJAS 0N06DAO V
05-07-2010
392.31
324.92
7.005535
6.091071
6.091071
CJAS 0N06DAO V
05-07-2010
170.55
139.70
6.091071
6.091071
6.091071
CJAS 0N06DAO V
05-07-2010
232.57
190.51
8.306071
6.091071
6.091071
CJAS 0N06DAO V
05-07-2010
248.27
203.37
8.275666
6.091071
6.091071
CJAS 0N06DAO V
05-07-2010
170.55
139.70
6.091071
6.091071
6.091071
CJAS 0N06DAO V
05-07-2010
231.43
189.57
7.714333
6.091071
6.091071
CJAS 0N06DAO V
05-07-2010
304.77
249.65
10.884642
5.131785
5.131785
CJAS 0N06DAO V
05-07-2010
145.54
119.22
5.197857
5.131785
5.131785
CJAS 0N06DAO V
05-07-2010
212.26
173.87
7.075333
5.131785
5.131785
CJAS 0N06DAO V
05-07-2010
212.26
173.87
7.075333
5.131785
5.131785
CJAS 0N06DAO V
05-07-2010
212.24
173.85
7.074666
5.131785
5.131785
CJAS 0N06DAO V
05-07-2010
415.39
346.09
6.923166
5.131785
5.131785
CJAS 0N06DAO V
05-07-2010
587.66
504.14
6.529555
5.131785
5.131785
CJAS 0N06DAO V
05-07-2010
145.54
119.22
5.197857
5.131785
5.131785
CJAS 0N06DAO V
05-07-2010
169.34
138.71
6.047857
5.131785
5.131785
CJAS 0N06DAO V
05-07-2010
338.67
277.42
6.047678
5.131785
5.131785
CJAS 0N06DAO V
05-07-2010
169.34
138.71
6.047857
5.131785
5.131785
CJAS 0N06DAO V
05-07-2010
338.67
277.42
6.047678
5.131785
5.131785
CJAS 0N06DAO V
05-07-2010
143.69
117.70
5.131785
5.131785
5.131785
CJAS 0N06DAO V
05-07-2010
196.91
161.30
7.032500
5.131785
5.131785
CJAS 0N06DAO V
05-07-2010
209.74
171.81
6.991333
5.131785
5.131785
CJAS 0N06DAO V
05-07-2010
145.03
118.80
5.179642
5.131785
5.131785
CJAS 0N06DAO V
05-07-2010
174.78
143.17
5.826000
5.131785
5.131785
CJAS 0N06DAO V
05-07-2010
378.37
312.13
13.513214
13.513214
13.513214
CJAS 0N06DAO V
05-07-2010
304.77
249.65
10.884642
10.884642
10.884642
CJAS 0N06DAO V
05-07-2010
331.48
271.53
5.919285
1.260178
1.260178
CJAS 0N06DAO V
05-07-2010
194.05
158.95
3.465178
1.260178
1.260178
48 / 135
Substan activ
Form farmaceutic
Concentraie
C1 W54714001 EVERTAS 1,5 mg
RIVASTIGMINUM
CAPS.
1,5mg
C1 W55161002 RIVASTIGMINE SANDOZ1,5mg
RIVASTIGMINUM
CAPS.
1,5mg
C1 W55429002 RIDAXIN 1,5 mg
RIVASTIGMINUM
CAPS.
1,5mg
C1 W55025001 RISTIDIC 1,5 mg
RIVASTIGMINUM
CAPS.
1,5mg
RIVASTIGMINUM
CAPS.
1,5mg
C1 W54536002 NIMVASTID 1.5mg
RIVASTIGMINUM
CAPS.
1.5mg
C1 W05456005 EXELON 3mg
RIVASTIGMINUM
CAPS.
3mg
C1 W54390002 RIVASTIGMINA TEVA 3mg
RIVASTIGMINUM
CAPS.
3mg
C1 W54537001 NIMVASTID 3mg
RIVASTIGMINUM
CAPS.
3mg
C1 W55160002 RIVASTIGMINE SANDOZ 3mg
RIVASTIGMINUM
CAPS.
3mg
C1 W55430002 RIDAXIN 3 mg
RIVASTIGMINUM
CAPS.
3mg
C1 W55026001 RISTIDIC 3 mg
RIVASTIGMINUM
CAPS.
3mg
RIVASTIGMINUM
CAPS.
3mg
C1 W54391002 RIVASTIGMINA TEVA 4,5mg
RIVASTIGMINUM
CAPS.
4,5mg
C1 W54717001 EVERTAS 4,5 mg
RIVASTIGMINUM
CAPS.
4,5mg
C1 W55431002 RIDAXIN 4,5 mg
RIVASTIGMINUM
CAPS.
4,5mg
RIVASTIGMINUM
CAPS.
4,5mg
RIVASTIGMINUM
CAPS.
4,5mg
C1 W54392002 RIVASTIGMINA TEVA 6mg
RIVASTIGMINUM
CAPS.
6mg
C1 W54718001 EVERTAS 6 mg
RIVASTIGMINUM
CAPS.
6mg
C1 W55432002 RIDAXIN 6 mg
RIVASTIGMINUM
CAPS.
6mg
RIVASTIGMINUM
CAPS.
6mg
RIVASTIGMINUM
CAPS.
6mg
C1 W54535002 NIMVASTID 1.5 mg
RIVASTIGMINUM
1.5mg
RIVASTIGMINUM
3mg
C1 W54541001 NIMVASTID 4.5 mg
RIVASTIGMINUM
4.5mg
RIVASTIGMINUM
6mg
C1 W52347002 EXELON 4,6mg/24h
RIVASTIGMINUM
4,6mg/24h
C1 W52348002 EXELON 9,5mg/24h
RIVASTIGMINUM
9,5mg/24h
C1 W55333001 RIVASTIGMINA TEVA 2 mg/ml
RIVASTIGMINUM
SOL. ORALA
2mg/ml
C1 W43623002 REMINYL 16 mg
GALANTAMINUM
CAPS. ELIB. PREL.
16mg
GALANTAMINUM
CAPS. ELIB. PREL.
24mg
GALANTAMINUM
CAPS. ELIB. PREL.
8mg
C1 W41503001 REMINYL (R) 4 mg/ml
GALANTAMINUM
SOL. ORALA
4mg/ml
C1 W12136004 EBIXA 10 mg
MEMANTINUM
COMPR. FILM.
10mg
C1 W12136001 EBIXA 10 mg
MEMANTINUM
COMPR. FILM.
10mg
C1 W12135002 EBIXA (R) 10 mg/g
MEMANTINUM
PIC. ORALE, SOL.
10mg/g
C1 W12135003 EBIXA (R) 10 mg/g
MEMANTINUM
PIC. ORALE, SOL.
10mg/g
Cantitate Cod boli

30
G16
CULARE,MIXTE)
56
G16
CULARE,MIXTE)
56
G16
CULARE,MIXTE)
28
G16
CULARE,MIXTE)
56
G16
CULARE,MIXTE)
28
G16
CULARE,MIXTE)
56
G16
CULARE,MIXTE)
56
G16
CULARE,MIXTE)
28
G16
CULARE,MIXTE)
56
G16
CULARE,MIXTE)
56
G16
CULARE,MIXTE)
28
G16
CULARE,MIXTE)
56
G16
CULARE,MIXTE)
56
G16
CULARE,MIXTE)
30
G16
CULARE,MIXTE)
56
G16
CULARE,MIXTE)
28
G16
CULARE,MIXTE)
56
G16
CULARE,MIXTE)
56
G16
CULARE,MIXTE)
30
G16
CULARE,MIXTE)
56
G16
CULARE,MIXTE)
28
G16
CULARE,MIXTE)
56
G16
CULARE,MIXTE)
28
G16
CULARE,MIXTE)
28
G16
CULARE,MIXTE)
28
G16
CULARE,MIXTE)
28
G16
CULARE,MIXTE)
30
G16
CULARE,MIXTE)
30
G16
CULARE,MIXTE)
1
G16
CULARE,MIXTE)
28
G16
CULARE,MIXTE)
28
G16
CULARE,MIXTE)
28
G16
CULARE,MIXTE)
CULARE,MIXTE)
1
G16
56
G16
CULARE,MIXTE)
28
G16
CULARE,MIXTE)
1
G16
CULARE,MIXTE)
1
G16
CULARE,MIXTE)
C1 W04224001 MEDROL A 16
METHYLPREDNISOLONUM
COMPR.
16mg
50
G17
C1 W04222001 MEDROL 32
METHYLPREDNISOLONUM
COMPR.
32mg
20
C1 W04223002 MEDROL 4 mg
METHYLPREDNISOLONUM
COMPR.
4mg
C1 W12490001 ENDOXAN (R) 50 mg
CYCLOPHOSPHAMIDUM
DRAJ.
50mg
C1 W52215001 ENDOXAN 200 mg
CYCLOPHOSPHAMIDUM
PULB. PT. SOL. PERF./INJ. I.V. 200mg
Mentiuni
sublista
Cod
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
Valoare
compensare/UT
CJAS 0N06DAO V
05-07-2010
103.18
81.60
3.439333
1.260178
1.260178
CJAS 0N06DAO V
05-07-2010
206.17
168.88
3.681607
1.260178
1.260178
CJAS 0N06DAO V
05-07-2010
180.48
147.84
3.222857
1.260178
1.260178
CJAS 0N06DAO V
05-07-2010
36.50
27.91
1.303571
1.260178
1.260178
CJAS 0N06DAO V
05-07-2010
70.57
55.81
1.260178
1.260178
1.260178
CJAS 0N06DAO V
05-07-2010
96.30
76.16
3.439285
1.260178
1.260178
CJAS 0N06DAO V
05-07-2010
347.86
284.94
6.211785
2.386964
2.386964
CJAS 0N06DAO V
05-07-2010
215.45
176.48
3.847321
2.386964
2.386964
CJAS 0N06DAO V
05-07-2010
107.58
85.08
3.842142
2.386964
2.386964
CJAS 0N06DAO V
05-07-2010
215.45
176.48
3.847321
2.386964
2.386964
CJAS 0N06DAO V
05-07-2010
203.04
166.32
3.625714
2.386964
2.386964
CJAS 0N06DAO V
05-07-2010
70.46
55.73
2.516428
2.386964
2.386964
CJAS 0N06DAO V
05-07-2010
133.67
109.49
2.386964
2.386964
2.386964
CJAS 0N06DAO V
05-07-2010
323.18
264.73
5.771071
2.777857
2.777857
CJAS 0N06DAO V
05-07-2010
173.12
141.81
5.770666
2.777857
2.777857
CJAS 0N06DAO V
05-07-2010
321.86
263.65
5.747500
2.777857
2.777857
CJAS 0N06DAO V
05-07-2010
82.02
64.87
2.929285
2.777857
2.777857
CJAS 0N06DAO V
05-07-2010
155.56
127.42
2.777857
2.777857
2.777857
CJAS 0N06DAO V
05-07-2010
406.71
338.13
7.262678
3.130892
3.130892
CJAS 0N06DAO V
05-07-2010
214.48
175.69
7.149333
3.130892
3.130892
CJAS 0N06DAO V
05-07-2010
394.01
326.48
7.035892
3.130892
3.130892
CJAS 0N06DAO V
05-07-2010
92.44
73.11
3.301428
3.130892
3.130892
CJAS 0N06DAO V
05-07-2010
175.33
143.62
3.130892
3.130892
3.130892
CJAS 0N06DAO V
05-07-2010
107.92
85.35
3.854285
3.854285
3.854285
CJAS 0N06DAO V
05-07-2010
113.90
90.08
4.067857
4.067857
4.067857
CJAS 0N06DAO V
05-07-2010
124.97
98.84
4.463214
4.463214
4.463214
CJAS 0N06DAO V
05-07-2010
131.63
107.82
4.701071
4.701071
4.701071
CJAS 1N06DATD V
05-07-2010
389.76
322.58
12.992000
12.992000
12.992000
CJAS 1N06DATD V
05-07-2010
389.76
322.58
12.992000
12.992000
12.992000
CJAS 0N06DAO V
05-07-2010
419.44
349.81
419.440000
419.440000
419.440000
CJAS 0N06DAO V
05-07-2010
373.59
307.74
13.342500
13.342500
13.342500
CJAS 0N06DAO V
05-07-2010
416.76
347.35
14.884285
14.884285
14.884285
CJAS 0N06DAO V
05-07-2010
200.61
164.33
7.164642
7.164642
7.164642
CJAS 0N06DAO V
05-07-2010
253.63
207.76
253.630000
253.630000
253.630000
CJAS 9N06DX01O V
05-07-2010
416.58
347.18
7.438928
7.438928
7.438928
CJAS 9N06DX01O V
05-07-2010
214.39
175.61
7.656785
7.438928
7.438928
CJAS 9N06DX01O V
05-07-2010
377.23
311.08
377.230000
377.230000
377.230000
CJAS 9N06DX01O V
05-07-2010
719.40
625.00
719.400000
377.230000
377.230000
COLAGENOZE MAJORE(LUPUS
ERIT.SIST,SCLERODERMIE)
9H02AB04O V
05-07-2010
32.54
24.08
0.650800
0.650800
0.650800
G17
9H02AB04O V
05-07-2010
29.57
21.88
1.478500
1.478500
1.478500
30
G17
9H02AB04O V
05-07-2010
6.52
4.82
0.217333
0.217333
0.217333
50
G17
9L01AA01O V
05-07-2010
26.07
19.29
0.521400
0.521400
0.521400
G17
9L01AA01P V
05-07-2010
15.86
11.73
15.860000
15.860000
15.860000
49 / 135
Substan activ
Form farmaceutic
Concentraie
Cantitate Cod boli

C1 W00513001 IMURAN (R)
AZATHIOPRINUM
COMPR. FILM.
50mg
100
G17
C1 W54357001 PLAQUENIL
HYDROXYCHLOROQUINUM
COMPR. FILM.
200mg
60
G17
C1 W07440001 SULFASALAZIN EN
SULFASALAZINUM
500mg
50
G18
C1 W52803001 SALAZOPYRIN EN
SULFASALAZINUM
500mg
100
G18
C1 W12267001 DIPROPHOS (R)
BETAMETHASONUM
SUSP. INJ. I.M.
7mg/ml
G18
C1 W04224001 MEDROL A 16
METHYLPREDNISOLONUM
COMPR.
16mg
50
G18
C1 W04222001 MEDROL 32
METHYLPREDNISOLONUM
COMPR.
32mg
20
G18
METHYLPREDNISOLONUM
COMPR.
4mg
30
G18
C1 W54019001 METOTREXATE BELLON 2,5 mg
METHOTREXATUM
COMPR.
2,5mg
20
G18
C1 W04185002 METHOTREXAT "EBEWE" 500 mg
METHOTREXATUM
100mg/ml
G18
METHOTREXATUM
100mg/ml
G18
METHOTREXATUM
100mg/ml
G18
METHOTREXATUM
5mg/ml
10
G18
METHOTREXATUM
50mg/ml
G18
METHOTREXATUM
SOL. INJ.
PREUMPLUTA
PREUMPLUTA
50mg/ml
G18
METHOTREXATUM
SOL. INJ./PERF.
10mg/ml
G18
C1 W41654001 ARAVA 10mg
LEFLUNOMIDUM
COMPR. FILM.
10mg
30
G18
C1 W41653001 ARAVA 20mg
LEFLUNOMIDUM
COMPR. FILM.
20mg
30
G18
C1 W13970003 EQUORAL (R) 100 mg
CICLOSPORINUM
CAPS. MOI
100mg
50
G18
CICLOSPORINUM
CAPS. MOI
25mg
50
G18
CICLOSPORINUM
CAPS. MOI
25mg
50
G18
CICLOSPORINUM
CAPS. MOI
25mg
50
G18
CICLOSPORINUM
CAPS. MOI
50mg
50
G18
CICLOSPORINUM
CAPS. MOI
50mg
50
G18
CICLOSPORINUM
CAPS. MOI
50mg
50
G18
CICLOSPORINUM
SOL. ORALA
100mg/ml
G18
C1 W00513001 IMURAN (R)
AZATHIOPRINUM
COMPR. FILM.
50mg
100
G18
C1 W44020001 DICLOREUM 150 mg

C1 W53220001 mg
DICLOFENACUM
CAPS. ELIB. PREL.
150mg
20
G18
DICLOFENACUM
CAPS. ELIB. PREL.
75mg
30
G18
C1 W02504001 TRATUL 50
DICLOFENACUM
CAPS. GASTROREZ.
50mg
30
G18
C1 W13296001 DICLAC (R) 75 ID
DICLOFENACUM
COMPR. ELIB. MODIF.
75mg
10
G18
C1 W51407001 VOLTAREN (R) RETARD
DICLOFENACUM
100mg
10
G18
C1 W51307002 REFEN (R) RETARD
DICLOFENACUM
100mg
20
G18
C1 W02472001 DICLOTARD (R) 100 mg
DICLOFENACUM
100mg
20
G18
C1 W02500001 RHEUMAVEK
DICLOFENACUM
25mg
30
G18
C1 W51404002 VOLTAREN (R) 50
DICLOFENACUM
50mg
20
G18
C1 W02459003 DICLOFENAC 50 mg
DICLOFENACUM
50mg
20
G18
C1 W13867001 CLAFEN 50 mg
DICLOFENACUM
50mg
20
G18
DICLOFENACUM
C1 W52030001 GASTROREZISTENTE
DICLOFENACUM
50mg
20
G18
50mg
20
G18
C1 W44068001 EPIFENAC
DICLOFENACUM
COMPR. GASTROREZ.
25mg
30
G18
C1 W51408001 VOLTAREN RAPID (R)
DICLOFENACUM
DRAJ.
50mg
10
G18
C1 W54364001 DICLOFENAC ARENA 25 mg
DICLOFENACUM
DRAJ. GASTROREZ.
25mg
30
G18
C1 W02488001 N - DICLOFENAC
DICLOFENACUM
DRAJ. GASTROREZ.
50mg
20
G18
C1 W54363002 DICLOFENAC ARENA 50 mg
DICLOFENACUM
DRAJ. GASTROREZ.
50mg
20
G18
Mentiuni
sublista
Cod
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
0L04AXO V
05-07-2010
80.72
63.84
0.807200
0.807200
0.807200
9P01BA02O V
05-07-2010
33.36
24.68
0.556000
0.556000
0.556000
0A07ECO V
05-07-2010
28.17
20.84
0.563400
0.311700
0.311700
0A07ECO V
05-07-2010
31.17
23.06
0.311700
0.311700
0.311700
9H02AB01P V
05-07-2010
34.46
26.35
6.892000
6.892000
6.892000
9H02AB04O V
05-07-2010
32.54
24.08
0.650800
0.650800
0.650800
9H02AB04O V
05-07-2010
29.57
21.88
1.478500
1.478500
1.478500
9H02AB04O V
05-07-2010
6.52
4.82
0.217333
0.217333
0.217333
9L01BA01O V
05-07-2010
22.79
16.86
1.139500
1.139500
1.139500
9L01BA01P V
05-07-2010
240.51
197.01
48.102000
48.102000
48.102000
9L01BA01P V
05-07-2010
89.44
70.74
89.440000
89.440000
89.440000
9L01BA01P V
05-07-2010
400.04
332.01
400.040000
400.040000
400.040000
9L01BA01P V
05-07-2010
23.77
17.59
2.377000
2.377000
2.377000
9L01BA01P V
05-07-2010
109.28
86.43
109.280000
109.280000
109.280000
9L01BA01P V
05-07-2010
123.90
101.49
123.900000
109.280000
109.280000
9L01BA01P V
05-07-2010
13.30
9.84
13.300000
13.300000
13.300000
MSP
9L04AA13O V
05-07-2010
279.37
228.84
9.312333
9.312333
9.312333
MSP
9L04AA13O V
05-07-2010
291.97
239.16
9.732333
9.732333
9.732333
9L04AD01O V
05-07-2010
470.37
396.53
9.407400
9.407400
9.407400
9L04AD01O V
05-07-2010
137.00
112.22
2.740000
1.878000
1.878000
9L04AD01O V
05-07-2010
93.90
74.26
1.878000
1.878000
1.878000
9L04AD01O V
05-07-2010
137.16
112.35
2.743200
1.878000
1.878000
9L04AD01O V
05-07-2010
291.47
238.75
5.829400
3.789000
3.789000
9L04AD01O V
05-07-2010
189.45
155.18
3.789000
3.789000
3.789000
9L04AD01O V
05-07-2010
304.48
249.41
6.089600
3.789000
3.789000
9L04AD01O V
05-07-2010
427.55
357.25
427.550000
427.550000
427.550000
0L04AXO V
05-07-2010
80.72
63.84
0.807200
0.807200
0.807200
1M01ABO V
05-07-2010
47.60
36.39
2.380000
2.380000
2.380000
1M01ABO V
05-07-2010
20.43
15.12
0.681000
0.681000
0.681000
1M01ABO V
05-07-2010
6.38
4.72
0.212666
0.212666
0.212666
1M01ABO V
05-07-2010
3.91
2.89
0.391000
0.391000
0.391000
1M01ABO V
05-07-2010
6.55
4.85
0.655000
0.410000
0.410000
1M01ABO V
05-07-2010
8.52
6.30
0.426000
0.410000
0.410000
1M01ABO V
05-07-2010
8.20
6.07
0.410000
0.410000
0.410000
1M01ABO V
05-07-2010
5.70
4.22
0.190000
0.150000
0.150000
1M01ABO V
05-07-2010
6.55
4.85
0.327500
0.112500
0.112500
1M01ABO V
05-07-2010
4.25
3.14
0.212500
0.112500
0.112500
1M01ABO V
05-07-2010
2.45
1.81
0.122500
0.112500
0.112500
1M01ABO V
05-07-2010
2.25
1.66
0.112500
0.112500
0.112500
1M01ABO V
05-07-2010
3.81
2.82
0.190500
0.112500
0.112500
1M01ABO V
05-07-2010
4.50
3.33
0.150000
0.150000
0.150000
1M01ABO V
05-07-2010
2.33
1.72
0.233000
0.233000
0.233000
1M01ABO V
05-07-2010
5.70
4.22
0.190000
0.190000
0.190000
1M01ABO V
05-07-2010
2.54
1.88
0.127000
0.127000
0.127000
1M01ABO V
05-07-2010
2.65
1.96
0.132500
0.127000
0.127000
POLIARTRITA REUMATOIDA SI
ARTROPATIA PSORIAZICA
MS
Valoare
compensare/UT
50 / 135
Substan activ
Form farmaceutic
Concentraie
C1 W51406001 VOLTAREN (R)
DICLOFENACUM
SOL. INJ.
25mg/ml
C1 W02501001 RHEUMAVEK
DICLOFENACUM
SOL. INJ.
25mg/ml
C1 W02505001 TRATUL (R)
DICLOFENACUM
SOL. INJ.
30mg/ml
C1 W42558001 DICLAC
DICLOFENACUM
SOL. INJ.
75mg
C1 W14097002 ALMIRAL
DICLOFENACUM
SOL. INJ.
75mg/3ml
DICLOFENACUM
SOL. INJ.
75mg/3ml
C1 W08159003 DICLOFENAC AL I.M.
DICLOFENACUM
SOL. INJ.
75mg/3ml
C1 W08159002 DICLOFENAC AL I.M.
DICLOFENACUM
SOL. INJ.
75mg/3ml
C1 W55024001 REFEN 75 mg
DICLOFENACUM
SOL. INJ./PERF.
75mg/ml
C1 W14114001 CLAFEN 100 mg
DICLOFENACUM
SUPOZ.
100mg
DICLOFENACUM
SUPOZ.
100mg
DICLOFENACUM
SUPOZ.
100mg
C1 W02480002 DICLOFENAC SODIC 100 mg
DICLOFENACUM
SUPOZ.
100mg
C1 W44069001 EPIFENAC
DICLOFENACUM
SUPOZ.
100mg
C1 W52023001 DICLOGESIC 12,5 SUPOZITOARE
DICLOFENACUM
SUPOZ.
12,5mg
C1 W02506001 TRATUL 120
DICLOFENACUM
SUPOZ.
120mg
DICLOFENACUM
SUPOZ.
50mg
C1 W02507001 TRATUL 60
DICLOFENACUM
SUPOZ.
60mg
C1
C1
C1
C1
C1
W54357001
W07440001
W52803001
W12267001
W44020001
HYDROXYCHLOROQUINUM
SULFASALAZINUM
SULFASALAZINUM
BETAMETHASONUM
DICLOFENACUM
COMPR. FILM.
SUSP. INJ. I.M.
CAPS. ELIB. PREL.
200mg
500mg
500mg
7mg/ml
150mg
Cantitate Cod boli

5
G18
5
G18
5
G18
5
G18
10
G18
5
G18
5
G18
10
G18
5
G18
6
G18
5
G18
10
G18
10
G18
5
G18
10
G18
6
G18
10
G18
6
G18
60
G18
50
G19
SPONDILITA ANKILOZANTA
100
G19
5
G19
20
G19
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
W53220001
W02504001
W13296001
W51407001
W51307002
W02472001
W02500001
W51404002
W02459003
W13867001
W42674001
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
CAPS. ELIB. PREL.

CAPS. GASTROREZ.
COMPR. ELIB. MODIF.
75mg
50mg
75mg
100mg
100mg
100mg
25mg
50mg
50mg
50mg
50mg
30
30
10
10
20
20
30
20
20
20
20
G19
G19
G19
G19
G19
G19
G19
G19
G19
G19
G19
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
W52030001
W44068001
W51408001
W54364001
W02488001
W54363002
W51406001
W02501001
W02505001
W42558001
W14097002
W42122001
W08159003
W08159002
W55024001
W14114001
W51402003
W12288001
W02480002
W44069001
W52023001
W02506001
W51403001
W02507001
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM

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.
SUPOZ.
SUPOZ.
SUPOZ.
SUPOZ.
SUPOZ.
SUPOZ.
50mg
25mg
50mg
25mg
50mg
50mg
25mg/ml
25mg/ml
30mg/ml
75mg
75mg/3ml
75mg/3ml
75mg/3ml
75mg/3ml
75mg/ml
100mg
100mg
100mg
100mg
100mg
12,5mg
120mg
50mg
60mg
20
30
10
30
20
20
5
5
5
5
10
5
5
10
5
6
5
10
10
5
10
6
10
6
G19
G19
G19
G19
G19
G19
G19
G19
G19
G19
G19
G19
G19
G19
G19
G19
G19
G19
G19
G19
G19
G19
G19
G19
C1 W00009002 TROMBOSTOP 2 mg
ACENOCUMAROLUM
COMPR.
2mg
30
G2
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
ACENOCUMAROLUM
BROMOCRIPTINUM
CABERGOLINUM
CABERGOLINUM
PEGVISOMANTUM
PEGVISOMANTUM
PEGVISOMANTUM
DESMOPRESSINUM
DESMOPRESSINUM
DESMOPRESSINUM
DESMOPRESSINUM
COMPR.
DRAJ.
COMPR.
COMPR.
COMPR.
COMPR.
LIOF. ORAL
LIOF. ORAL
4mg
2,5mg
0,5mg
0,5mg
10mg
15mg
20mg
0,2mg
0,2mg
120mcg
60mcg
20
40
2
8
30
30
30
30
30
30
30
G2
G22
G22
G22
G22
G22
G22
G22
G22
G22
G22
W10586001
W11164002
W00716002
W00716001
W42027001
W42028001
W42029002
W53832002
W53989001
W53992002
W53991002
PLAQUENIL
SULFASALAZIN EN
SALAZOPYRIN EN
DIPROPHOS (R)
DICLOREUM 150 mg
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
GASTROREZISTENTE
EPIFENAC
VOLTAREN RAPID (R)
N - DICLOFENAC
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
SINTROM (R)
BROCRIPTIN (N04BC01)
DOSTINEX
DOSTINEX
SOMAVERT 10 mg
SOMAVERT 15 mg
SOMAVERT 20 mg
DESMOPRESINA TEVA 0,2mg
MINIRIN 0,2 mg
MINIRIN MELT 120 mcg
MINIRIN MELT 60 mcg
Mentiuni
sublista
Cod
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
1M01ABP V
05-07-2010
9.38
6.94
1.876000
0.989000
0.989000
1M01ABP V
05-07-2010
6.09
4.51
1.218000
0.989000
0.989000
1M01ABP V
05-07-2010
14.21
10.51
2.842000
2.842000
2.842000
1M01ABP V
05-07-2010
6.09
4.51
1.218000
0.989000
0.989000
1M01ABP V
05-07-2010
9.89
7.32
0.989000
0.989000
0.989000
1M01ABP V
05-07-2010
6.09
4.51
1.218000
0.989000
0.989000
1M01ABP V
05-07-2010
6.09
4.51
1.218000
0.989000
0.989000
1M01ABP V
05-07-2010
12.19
9.02
1.219000
0.989000
0.989000
1M01ABP V
05-07-2010
4.04
2.99
0.808000
0.808000
0.808000
1M01ABR V
05-07-2010
3.93
2.91
0.655000
0.370000
0.370000
1M01ABR V
05-07-2010
5.45
4.03
1.090000
0.370000
0.370000
1M01ABR V
05-07-2010
5.24
3.88
0.524000
0.370000
0.370000
1M01ABR V
05-07-2010
3.70
2.74
0.370000
0.370000
0.370000
1M01ABR V
05-07-2010
3.54
2.62
0.708000
0.370000
0.370000
1M01ABR K
05-07-2010
5.02
3.71
0.502000
0.502000
0.502000
1M01ABR V
05-07-2010
4.25
3.14
0.708333
0.708333
0.708333
1M01ABR V
05-07-2010
9.43
6.98
0.943000
0.943000
0.943000
1M01ABR V
05-07-2010
3.68
2.72
0.613333
0.613333
0.613333
9P01BA02O V
0A07ECO V
0A07ECO V
9H02AB01P V
1M01ABO V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
33.36
28.17
31.17
34.46
47.60
24.68
20.84
23.06
26.35
36.39
0.556000
0.563400
0.311700
6.892000
2.380000
0.556000
0.311700
0.311700
6.892000
2.380000
0.556000
0.311700
0.311700
6.892000
2.380000
1M01ABO V
1M01ABO V
1M01ABO V
1M01ABO V
1M01ABO V
1M01ABO V
1M01ABO V
1M01ABO V
1M01ABO V
1M01ABO V
1M01ABO V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
20.43
6.38
3.91
6.55
8.52
8.20
5.70
6.55
4.25
2.45
2.25
15.12
4.72
2.89
4.85
6.30
6.07
4.22
4.85
3.14
1.81
1.66
0.681000
0.212666
0.391000
0.655000
0.426000
0.410000
0.190000
0.327500
0.212500
0.122500
0.112500
0.681000
0.212666
0.391000
0.410000
0.410000
0.410000
0.150000
0.112500
0.112500
0.112500
0.112500
0.681000
0.212666
0.391000
0.410000
0.410000
0.410000
0.150000
0.112500
0.112500
0.112500
0.112500
BOLNAVI CU PROTEZE
VALVULARE SI VASCULARE
BOLNAVI CU PROTEZE
VALVULARE SI VASCULARE
BOLI ENDOCRINE
BOLI ENDOCRINE
BOLI ENDOCRINE
BOLI ENDOCRINE
BOLI ENDOCRINE
BOLI ENDOCRINE
BOLI ENDOCRINE
BOLI ENDOCRINE
BOLI ENDOCRINE
BOLI ENDOCRINE
1M01ABO V
1M01ABO V
1M01ABO V
1M01ABO V
1M01ABO V
1M01ABO V
1M01ABP V
1M01ABP V
1M01ABP V
1M01ABP V
1M01ABP V
1M01ABP V
1M01ABP V
1M01ABP V
1M01ABP V
1M01ABR V
1M01ABR V
1M01ABR V
1M01ABR V
1M01ABR V
1M01ABR K
1M01ABR V
1M01ABR V
1M01ABR V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
3.81
4.50
2.33
5.70
2.54
2.65
9.38
6.09
14.21
6.09
9.89
6.09
6.09
12.19
4.04
3.93
5.45
5.24
3.70
3.54
5.02
4.25
9.43
3.68
2.82
3.33
1.72
4.22
1.88
1.96
6.94
4.51
10.51
4.51
7.32
4.51
4.51
9.02
2.99
2.91
4.03
3.88
2.74
2.62
3.71
3.14
6.98
2.72
0.190500
0.150000
0.233000
0.190000
0.127000
0.132500
1.876000
1.218000
2.842000
1.218000
0.989000
1.218000
1.218000
1.219000
0.808000
0.655000
1.090000
0.524000
0.370000
0.708000
0.502000
0.708333
0.943000
0.613333
0.112500
0.150000
0.233000
0.190000
0.127000
0.127000
0.989000
0.989000
2.842000
0.989000
0.989000
0.989000
0.989000
0.989000
0.808000
0.370000
0.370000
0.370000
0.370000
0.370000
0.502000
0.708333
0.943000
0.613333
0.112500
0.150000
0.233000
0.190000
0.127000
0.127000
0.989000
0.989000
2.842000
0.989000
0.989000
0.989000
0.989000
0.989000
0.808000
0.370000
0.370000
0.370000
0.370000
0.370000
0.502000
0.708333
0.943000
0.613333
0B01AAO V
05-07-2010
6.52
4.82
0.217333
0.217333
0.217333
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
6.75
21.11
43.48
123.44
8,582.99
12,624.51
17,095.11
128.20
194.85
194.83
102.98
4.99
15.62
33.24
97.63
7,839.29
11,547.10
15,648.57
105.01
159.61
159.59
81.45
0.337500
0.527750
21.740000
15.430000
286.099666
420.817000
569.837000
4.273333
6.495000
6.494333
3.432666
0.337500
0.527750
15.430000
15.430000
286.099666
420.817000
569.837000
4.273333
4.273333
6.494333
3.432666
0.337500
0.527750
15.430000
15.430000
286.099666
420.817000
569.837000
4.273333
4.273333
6.494333
3.432666
0B01AAO V
0G02CBO V
MSP 0G02CBO V
MSP 0G02CBO V
CNAS 9H01AX01P V
CNAS 9H01AX01P V
CNAS 9H01AX01P V
9H01BA02O V
9H01BA02O V
9H01BA02O V
9H01BA02O V
Valoare
compensare/UT
51 / 135
Substan activ
C1 W42955001 SANDOSTATIN LAR 20 mg
OCTREOTIDUM
OCTREOTIDUM
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1 W51230001 VENOFER (R)
OCTREOTIDUM
OCTREOTIDUM
LANREOTIDUM
FLUDROCORTISONUM
PREDNISOLONUM
PREDNISOLONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
HYDROCORTISONUM
HYDROCORTISONUM
HYDROCORTISONUM
HYDROCORTISONUM
HYDROCORTISONUM
LEVOTHYROXINUM
LEVOTHYROXINUM
LEVOTHYROXINUM
LEVOTHYROXINUM
LEVOTHYROXINUM
LEVOTHYROXINUM
LEVOTHYROXINUM
LEVOTHYROXINUM
KALII IODIDUM
KALII IODIDUM
KALII IODIDUM
KALII IODIDUM
PENICILLAMINUM
PENICILLAMINUM
SUCROZA
C1 W51301001 EPOPHAR 2000 U.I.
Mentiuni
sublista
Cod
Concentraie
Cantitate Cod boli

20mg
G22
BOLI ENDOCRINE
CNAS 0H01CBP V
05-07-2010
3,820.80
3,470.32
3,820.800000
3,820.800000
3,820.800000
10mg
G22
BOLI ENDOCRINE
CNAS 0H01CBP V
05-07-2010
2,395.07
2,162.31
2,395.070000
2,395.070000
2,395.070000
30mg
0,1mg/ml
30mg
0,1mg
250mg
50mg
5mg
5mg
5mg
5mg
5mg
10mg
100mg
100mg
500mg
25mg/5ml
0,1mg
0,2mg
100mcg
100mcg
200mcg
25mcg
50mcg
50mcg
100mcg
100mcg
200mcg
200mcg
250mg
250mg
1
5
1
50
3
3
20
30
30
30
20
25
1
1
1
5
100
100
100
100
100
100
100
100
100
100
100
100
100
30
G22
G22
G22
G22
G22
G22
G22
G22
G22
G22
G22
G22
G22
G22
G22
G22
G22
G22
G22
G22
G22
G22
G22
G22
G22
G22
G22
G22
G23
G23
CNAS 0H01CBP V
CNAS 0H01CBP V
CNAS 0H01CBP V
9H02AA02O V
9H02AB06P V
9H02AB06P V
9H02AB07O V
9H02AB07O V
9H02AB07O V
9H02AB07O V
9H02AB07O V
9H02AB09O V
9H02AB09P V
9H02AB09P V
9H02AB09P V
9H02AB09P V
9H03AA01O V
9H03AA01O V
9H03AA01O V
9H03AA01O V
9H03AA01O V
9H03AA01O K
9H03AA01O V
9H03AA01O V
9H03CA01O V
9H03CA01O V
9H03CA01O V
9H03CA01O V
MS
9M01CC01O V
MS
9M01CC01O V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
5,276.67
152.27
1,569.65
47.66
95.39
35.62
2.00
2.62
2.47
2.53
2.57
13.56
3.90
3.90
11.88
21.28
7.60
9.49
11.66
12.45
24.10
9.49
8.26
8.38
12.31
12.31
19.18
19.18
113.45
37.37
4,805.98
124.73
1,405.04
36.44
75.44
27.23
1.48
1.94
1.83
1.87
1.90
10.03
2.89
2.89
8.79
15.74
5.62
7.02
8.63
9.21
17.83
7.02
6.11
6.20
9.11
9.11
14.19
14.19
89.73
28.57
5,276.670000
30.454000
1,569.650000
0.953200
31.796666
11.873333
0.100000
0.087333
0.082333
0.084333
0.128500
0.542400
3.900000
3.900000
11.880000
4.256000
0.076000
0.094900
0.116600
0.124500
0.241000
0.094900
0.082600
0.083800
0.123100
0.123100
0.191800
0.191800
1.134500
1.245666
5,276.670000
30.454000
1,569.650000
0.953200
31.796666
11.873333
0.082333
0.082333
0.082333
0.082333
0.082333
0.542400
3.900000
3.900000
11.880000
4.256000
0.076000
0.094900
0.116600
0.116600
0.241000
0.094900
0.082600
0.082600
0.123100
0.123100
0.191800
0.191800
1.134500
1.134500
5,276.670000
30.454000
1,569.650000
0.953200
31.796666
11.873333
0.082333
0.082333
0.082333
0.082333
0.082333
0.542400
3.900000
3.900000
11.880000
4.256000
0.076000
0.094900
0.116600
0.116600
0.241000
0.094900
0.082600
0.082600
0.123100
0.123100
0.191800
0.191800
1.134500
1.134500
SOL. INJ./PERF.
20mg/ml
G25
MSP
3B03A5P V
05-07-2010
149.42
122.39
29.884000
29.884000
29.884000
EPOETINUM ALFA
SOL. INJ.
2000UI
10
G25
MSP
0B03XAP V
05-07-2010
331.02
271.15
33.102000
33.102000
33.102000
C1 W44143001 EPREX (R) 3000 UI
EPOETINUM ALFA
SOL. INJ.
3000ui/0,3ml
G25
MSP
0B03XAP V
05-07-2010
757.39
659.85
126.231666
100.413333
100.413333
C1 W44140001 EPREX (R) 40 000 UI
EPOETINUM ALFA
SOL. INJ.
40 000UI
G25
MSP
0B03XAP V
05-07-2010
1,350.47
1,203.96
1,350.470000
1,350.470000
1,350.470000
C1 W51299001 EPOPHAR 4000 U.I.
EPOETINUM ALFA
4000UI
10
G25
MSP
0B03XAP V
05-07-2010
608.23
523.01
60.823000
60.823000
60.823000
EPOETINUM ALFA
10000UI/1,0ml
G25
MSP
0B03XAP V
05-07-2010
1,724.65
1,547.25
287.441666
287.441666
287.441666
EPOETINUM ALFA
10000UI/1,0ml
G25
MSP
0B03XAP V
05-07-2010
1,834.63
1,648.14
305.771666
287.441666
287.441666
EPOETINUM ALFA
1000UI/0,5ml
G25
MSP
0B03XAP V
05-07-2010
217.91
178.50
36.318333
36.318333
36.318333
EPOETINUM ALFA
1000UI/0,5ml
G25
MSP
0B03XAP V
05-07-2010
238.11
195.04
39.685000
36.318333
36.318333
EPOETINUM ALFA
2000UI/1,0ml
G25
MSP
0B03XAP V
05-07-2010
425.00
354.91
70.833333
70.833333
70.833333
EPOETINUM ALFA
2000UI/1,0ml
G25
MSP
0B03XAP V
05-07-2010
457.85
385.05
76.308333
70.833333
70.833333
C1 W55046001 BINOCRIT 30000UI/0,75ml
EPOETINUM ALFA
30000UI/0,75ml 1
G25
MSP
0B03XAP V
05-07-2010
786.55
686.60
786.550000
786.550000
786.550000
EPOETINUM ALFA
3000UI/0,3ml
G25
MSP
0B03XAP V
05-07-2010
602.48
517.73
100.413333
100.413333
100.413333
EPOETINUM ALFA
3000UI/0,3ml
G25
MSP
0B03XAP V
05-07-2010
651.86
563.04
108.643333
100.413333
100.413333
EPOETINUM ALFA
40000 UI/1 ml
G25
MSP
0B03XAP V
05-07-2010
992.26
875.33
992.260000
992.260000
992.260000
EPOETINUM ALFA
4000UI/0,4ml
G25
MSP
0B03XAP V
05-07-2010
779.91
680.51
129.985000
129.985000
129.985000
EPOETINUM ALFA
4000UI/0,4ml
G25
MSP
0B03XAP V
05-07-2010
840.17
735.80
140.028333
129.985000
129.985000
EPOETINUM ALFA
5000UI/0,5ml
G25
MSP
0B03XAP V
05-07-2010
957.28
843.24
159.546666
159.546666
159.546666
EPOETINUM ALFA
5000UI/0,5ml
G25
MSP
0B03XAP V
05-07-2010
1,039.51
918.68
173.251666
159.546666
159.546666
EPOETINUM ALFA
6000UI/0,6ml
G25
MSP
0B03XAP V
05-07-2010
1,233.28
1,096.45
205.546666
205.546666
205.546666
EPOETINUM ALFA
8000UI/0,8ml
G25
MSP
0B03XAP V
05-07-2010
1,620.80
1,451.97
270.133333
270.133333
270.133333
EPOETINUM BETA
10000UI/0,6ml
G25
MSP
0B03XAP V
05-07-2010
2,341.24
2,112.92
390.206666
390.206666
390.206666
EPOETINUM BETA
1000UI/0,3ml
G25
MSP
0B03XAP V
05-07-2010
279.25
228.74
46.541666
46.541666
46.541666
EPOETINUM BETA
2000UI/0,3ml
G25
MSP
0B03XAP V
05-07-2010
525.21
446.84
87.535000
87.535000
87.535000
EPOETINUM BETA
30000 UI/0,6ml
G25
MSP
0B03XAP V
05-07-2010
1,171.95
1,040.18
1,171.950000
1,171.950000
1,171.950000
EPOETINUM BETA
4000UI/0,3ml
G25
MSP
0B03XAP V
05-07-2010
978.92
863.09
163.153333
163.153333
163.153333
EPOETINUM BETA
5000UI/0,3ml
G25
MSP
0B03XAP V
05-07-2010
1,205.63
1,071.08
200.938333
200.938333
200.938333
EPOETINUM BETA
500UI/0,3ml
G25
MSP
0B03XAP V
05-07-2010
143.59
117.62
23.931666
23.931666
23.931666
DARBEPOETINUM ALFA
SOL. INJ.
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
100mcg/0,5ml
G25
BOLI ENDOCRINE
BOLI ENDOCRINE
BOLI ENDOCRINE
BOLI ENDOCRINE
BOLI ENDOCRINE
BOLI ENDOCRINE
BOLI ENDOCRINE
BOLI ENDOCRINE
BOLI ENDOCRINE
BOLI ENDOCRINE
BOLI ENDOCRINE
BOLI ENDOCRINE
BOLI ENDOCRINE
BOLI ENDOCRINE
BOLI ENDOCRINE
BOLI ENDOCRINE
BOLI ENDOCRINE
BOLI ENDOCRINE
BOLI ENDOCRINE
BOLI ENDOCRINE
BOLI ENDOCRINE
BOLI ENDOCRINE
BOLI ENDOCRINE
BOLI ENDOCRINE
BOLI ENDOCRINE
BOLI ENDOCRINE
BOLI ENDOCRINE
BOLI ENDOCRINE
BOALA WILLSON
BOALA WILLSON
INSUFICIENTA RENALA
CRONICA
INSUFICIENTA RENALA
CRONICA
INSUFICIENTA RENALA
CRONICA
INSUFICIENTA RENALA
CRONICA
INSUFICIENTA RENALA
CRONICA
INSUFICIENTA RENALA
CRONICA
INSUFICIENTA RENALA
CRONICA
INSUFICIENTA RENALA
CRONICA
INSUFICIENTA RENALA
CRONICA
INSUFICIENTA RENALA
CRONICA
INSUFICIENTA RENALA
CRONICA
INSUFICIENTA RENALA
CRONICA
INSUFICIENTA RENALA
CRONICA
INSUFICIENTA RENALA
CRONICA
INSUFICIENTA RENALA
CRONICA
INSUFICIENTA RENALA
CRONICA
INSUFICIENTA RENALA
CRONICA
INSUFICIENTA RENALA
CRONICA
INSUFICIENTA RENALA
CRONICA
INSUFICIENTA RENALA
CRONICA
INSUFICIENTA RENALA
CRONICA
INSUFICIENTA RENALA
CRONICA
INSUFICIENTA RENALA
CRONICA
INSUFICIENTA RENALA
CRONICA
INSUFICIENTA RENALA
CRONICA
INSUFICIENTA RENALA
CRONICA
INSUFICIENTA RENALA
CRONICA
INSUFICIENTA RENALA
CRONICA
INSUFICIENTA RENALA
CRONICA
MSP
0B03XAP V
05-07-2010
3,165.73
2,869.34
791.432500
791.432500
791.432500
W42956001
W12789001
W12079001
W03165001
W05233001
W05234001
W05242001
W12565002
W42180001
W13686002
W53341001
W54315001
W51319001
W44080001
W51320001
W51922003
W03975001
W03976001
W03965001
W12400002
W03967001
W03968001
W41954001
W07735003
W03843003
W03843004
W03844003
W03844004
W54017001
W54017002
SANDOSTATIN LAR 30 mg
SANDOSTATIN (R)
SOMATULINE (R) PR 30 mg
ASTONIN H
PREDNISON MCC 5 mg
N - PREDNISON
PREDNISON 5 mg
HYDROCORTISONE ROUSSEL
HYDROCORTISONE SUCCINAT SODIC
HIDROCORTIZON HEMISUCCINAT
THYRO - 4 0,1 mg
THYRO - 4 0,2 mg
EUTHYROX (R) 100
L-THYROXIN 100 BERLIN - CHEMIE
EUTHYROX (R) 200
EUTHYROX (R) 25
EUTHYROX (R) 50
L-THYROXIN 50
JODID 100
JODID 100
JODID 200
JODID 200
CUPRENIL
CUPRENIL
Form farmaceutic
(I.M.) CU ELIB. PRELU
PULB.+SOLV.PT.SUSP. INJ.
(I.M.) CU ELIB. PRELUNG.
SOL. INJ.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
SOL. INJ. I.V.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
Valoare
compensare/UT
52 / 135
DARBEPOETINUM ALFA
DARBEPOETINUM ALFA
DARBEPOETINUM ALFA
DARBEPOETINUM ALFA
DARBEPOETINUM ALFA
DARBEPOETINUM ALFA
DARBEPOETINUM ALFA
DARBEPOETINUM ALFA
DARBEPOETINUM ALFA
DARBEPOETINUM ALFA
DARBEPOETINUM ALFA
Form farmaceutic
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
C1 W42416002 APROVEL 150mg
IRBESARTANUM
COMPR. FILM.
C1 W42417002 APROVEL 300mg
IRBESARTANUM
COMPR. FILM.
C1 W05242001 PREDNISON MCC 5 mg
PREDNISONUM
COMPR.
C1 W12565002 PREDNISON ARENA 5 mg
PREDNISONUM
COMPR.
C1 W42180001 N - PREDNISON
PREDNISONUM
COMPR.
C1 W13686002 PREDNISON 5 mg
PREDNISONUM
COMPR.
C1 W53341001 PREDNISON - RICHTER 5 mg
PREDNISONUM
COMPR.
C1 W52424002 ZEMPLAR 1mcg
PARICALCITOLUM
CAPS. MOI
PARICALCITOLUM
CAPS. MOI
PARICALCITOLUM
CAPS. MOI
C1 W42936001 ZEMPLAR
PARICALCITOLUM
SOL. INJ.
PARICALCITOLUM
SOL. INJ.
CYCLOPHOSPHAMIDUM
DRAJ.
C1 W13970003 EQUORAL (R) 100 mg
CICLOSPORINUM
CAPS. MOI
CICLOSPORINUM
CAPS. MOI
CICLOSPORINUM
CAPS. MOI
CICLOSPORINUM
CAPS. MOI
CICLOSPORINUM
CAPS. MOI
CICLOSPORINUM
CAPS. MOI
CICLOSPORINUM
CAPS. MOI
CICLOSPORINUM
SOL. ORALA
C1 W00513001 IMURAN (R)
AZATHIOPRINUM
COMPR. FILM.
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
COMBINATII (AMINOACIZI)
DORZOLAMIDUM
DORZOLAMIDUM
BRINZOLAMIDUM
TIMOLOLUM
TIMOLOLUM
TIMOLOLUM
TIMOLOLUM
TIMOLOLUM
TIMOLOLUM
TIMOLOLUM
TIMOLOLUM
TIMOLOLUM
TIMOLOLUM
BETAXOLOLUM
BETAXOLOLUM
BETAXOLOLUM
BETAXOLOLUM
COMPR. FILM.
PIC. OFT., SOL
SOL. OFT.
PICATURI OFT.-SUSP.
GEL OFT.
PIC. OFT., SOL.
PIC. OFT.,SOL.
PIC. OFT.,SOL.
PIC. OFT.-SOL.
PIC. OFT.-SOL.
PICATURI OFT.-SOL.
PICATURI OFT.-SOL.
PICATURI OFT.-SOL.
PICATURI OFT.-SOL.
PIC. OFT., SOL.
PIC. OFT.-SOL.
PIC.OFTALMICE,SOL.
PICATURI OFT.-SUSP.
PIC. OFTALMICE CU ELIB.
PREL.
PICATURI OFT.-SOL.
PICATURI OFT.-SOL.
W12240001
W53830001
W02860001
W07615001
W13201001
W52052001
W43675001
W52051001
W51280001
W51281001
W44059001
W44058002
W41629002
W42628001
W42638001
W43453001
W00604001
W00605001
KETOSTERIL
DORZOPT 20 mg/ml
TRUSOPT
AZOPT 10mg/ml
NYOLOL GEL
TIMOLOL RPH 0,25%
TIMABAK 5 mg/ml
TIMOLOL RPH 0,5%
TIMOPTIC
TIMOPTIC
TIMOLOL 0,25%
TIMOLOL 0,5%
UNITIMOLOL (R)
TIMO-GAL (R)
BETAXOLOL
BETAX
BETOPTIC
BETOPTIC - S
C1 W52116001 FORTINOL EP 2%
C1 W41898001 CARTEOL 2%
C1 W07542002 CARTEOL 2%
C1 W51521001 GANFORT
C1 W51271001 COSOPT
Substan activ
CARTEOLOLUM
CARTEOLOLUM
CARTEOLOLUM
COMBINATII (BIMATOPROSTUM +
TIMOLOLUM)
COMBINATII
(DORZOLAMIDUM+TIMOLOLUM)
Cantitate Cod boli

INSUFICIENTA RENALA
10mcg/0,4ml
4
G25
CRONICA
INSUFICIENTA RENALA
150mcg/0,3ml
4
G25
CRONICA
INSUFICIENTA RENALA
15mcg/0,375ml 4
G25
CRONICA
INSUFICIENTA RENALA
20mcg/0,5ml
4
G25
CRONICA
INSUFICIENTA RENALA
300mcg/0,6ml
1
G25
CRONICA
INSUFICIENTA RENALA
30mcg/0,3ml
4
G25
CRONICA
INSUFICIENTA RENALA
40mcg/0,4ml
4
G25
CRONICA
INSUFICIENTA RENALA
500mcg/ml
1
G25
CRONICA
INSUFICIENTA RENALA
50mcg/0,5ml
4
G25
CRONICA
INSUFICIENTA RENALA
60mcg/0,3ml
4
G25
CRONICA
INSUFICIENTA RENALA
80mcg/0,4ml
4
G25
CRONICA
INSUFICIENTA RENALA
150mg
28
G25
CRONICA
INSUFICIENTA RENALA
300mg
28
G25
CRONICA
INSUFICIENTA RENALA
5mg
20
G25
CRONICA
INSUFICIENTA RENALA
5mg
30
G25
CRONICA
INSUFICIENTA RENALA
5mg
30
G25
CRONICA
INSUFICIENTA RENALA
5mg
30
G25
CRONICA
INSUFICIENTA RENALA
5mg
20
G25
CRONICA
INSUFICIENTA RENALA
1mcg
28
G25
CRONICA
INSUFICIENTA RENALA
2mcg
28
G25
CRONICA
INSUFICIENTA RENALA
4mcg
28
G25
CRONICA
INSUFICIENTA RENALA
5 mcg/ml
5
G25
CRONICA
INSUFICIENTA RENALA
5 mcg/ml
5
G25
CRONICA
INSUFICIENTA RENALA
50mg
50
G25
CRONICA
INSUFICIENTA RENALA
CRONICA
100mg
50
G25
INSUFICIENTA RENALA
25mg
50
G25
CRONICA
INSUFICIENTA RENALA
25mg
50
G25
CRONICA
INSUFICIENTA RENALA
25mg
50
G25
CRONICA
INSUFICIENTA RENALA
50mg
50
G25
CRONICA
INSUFICIENTA RENALA
50mg
50
G25
CRONICA
INSUFICIENTA RENALA
50mg
50
G25
CRONICA
INSUFICIENTA RENALA
100mg/ml
1
G25
CRONICA
INSUFICIENTA RENALA
50mg
100
G25
CRONICA
INSUFICIENTA RENALA
G25
CRONICA
FARA CONCENT100
20mg/ml
1
G26
GLAUCOM
20mg/ml
1
G26
GLAUCOM
10mg/ml
1
G26
GLAUCOM
1mg/g
1
G26
GLAUCOM
2,5mg/ml
1
G26
GLAUCOM
5mg/ml
1
G26
GLAUCOM
5mg/ml
1
G26
GLAUCOM
2,5mg/ml
1
G26
GLAUCOM
5mg/ml
1
G26
GLAUCOM
0,25%
1
G26
GLAUCOM
0,5%
1
G26
GLAUCOM
0,5%
1
G26
GLAUCOM
0,5%
1
G26
GLAUCOM
5mg/ml
1
G26
GLAUCOM
5mg/ml
1
G26
GLAUCOM
5mg/ml
1
G26
GLAUCOM
0,25%
1
G26
GLAUCOM
Concentraie
20mg/ml
2%
20mg/ml
Mentiuni
sublista
Cod
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
MSP
0B03XAP V
05-07-2010
390.73
323.47
97.682500
97.682500
97.682500
MSP
0B03XAP V
05-07-2010
4,697.46
4,274.59
1,174.365000
1,174.365000
1,174.365000
MSP
0B03XAP V
05-07-2010
546.33
466.22
136.582500
136.582500
136.582500
MSP
0B03XAP V
05-07-2010
701.15
608.26
175.287500
175.287500
175.287500
MSP
0B03XAP V
05-07-2010
2,203.60
1,986.65
2,203.600000
2,203.600000
2,203.600000
MSP
0B03XAP V
05-07-2010
1,007.27
889.10
251.817500
251.817500
251.817500
MSP
0B03XAP V
05-07-2010
1,316.02
1,172.36
329.005000
329.005000
329.005000
MSP
0B03XAP V
05-07-2010
3,625.44
3,291.09
3,625.440000
3,625.440000
3,625.440000
MSP
0B03XAP V
05-07-2010
1,623.11
1,454.09
405.777500
405.777500
405.777500
MSP
0B03XAP V
05-07-2010
1,932.79
1,738.20
483.197500
483.197500
483.197500
MSP
0B03XAP V
05-07-2010
2,550.12
2,304.56
637.530000
637.530000
637.530000
MSP
0C09CAO V
05-07-2010
79.54
62.91
2.840714
2.840714
2.840714
MSP
0C09CAO V
05-07-2010
107.50
85.02
3.839285
3.839285
3.839285
9H02AB07O V
05-07-2010
2.00
1.48
0.100000
0.082333
0.082333
9H02AB07O V
05-07-2010
2.62
1.94
0.087333
0.082333
0.082333
9H02AB07O V
05-07-2010
2.47
1.83
0.082333
0.082333
0.082333
9H02AB07O V
05-07-2010
2.53
1.87
0.084333
0.082333
0.082333
9H02AB07O V
05-07-2010
2.57
1.90
0.128500
0.082333
0.082333
MSP
9H05BX02O V
05-07-2010
467.07
393.50
16.681071
16.681071
16.681071
MSP
9H05BX02O V
05-07-2010
929.16
817.44
33.184285
33.184285
33.184285
MSP
9H05BX02O V
05-07-2010
1,736.88
1,558.47
62.031428
62.031428
62.031428
MSP
9H05BX02P V
05-07-2010
473.88
399.75
94.776000
94.776000
94.776000
MSP
9H05BX02P V
05-07-2010
900.07
790.75
180.014000
180.014000
180.014000
9L01AA01O V
05-07-2010
26.07
19.29
0.521400
0.521400
0.521400
9L04AD01O V
05-07-2010
470.37
396.53
9.407400
9.407400
9.407400
9L04AD01O V
05-07-2010
137.00
112.22
2.740000
1.878000
1.878000
9L04AD01O V
05-07-2010
93.90
74.26
1.878000
1.878000
1.878000
9L04AD01O V
05-07-2010
137.16
112.35
2.743200
1.878000
1.878000
9L04AD01O V
05-07-2010
291.47
238.75
5.829400
3.789000
3.789000
9L04AD01O V
05-07-2010
189.45
155.18
3.789000
3.789000
3.789000
9L04AD01O V
05-07-2010
304.48
249.41
6.089600
3.789000
3.789000
9L04AD01O V
05-07-2010
427.55
357.25
427.550000
427.550000
427.550000
0L04AXO V
05-07-2010
80.72
63.84
0.807200
0.807200
0.807200
9V06DDN1O V
0S01ECF V
0S01ECF V
0S01ECF V
1S01EDF V
1S01EDF V
1S01EDF V
1S01EDF V
1S01EDF V
1S01EDF V
1S01EDF V
1S01EDF V
1S01EDF V
1S01EDF V
1S01EDF V
1S01EDF V
1S01EDF V
1S01EDF V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
233.43
30.72
40.66
50.83
15.35
3.11
27.50
4.67
9.41
10.09
3.13
5.39
10.48
5.01
5.87
5.30
15.27
15.27
191.21
22.73
31.09
38.86
11.36
2.30
20.35
3.46
6.96
7.47
2.32
3.99
7.75
3.71
4.34
3.92
11.30
11.30
2.334300
30.720000
40.660000
50.830000
15.350000
3.110000
27.500000
4.670000
9.410000
10.090000
3.130000
5.390000
10.480000
5.010000
5.870000
5.300000
15.270000
15.270000
2.334300
30.720000
30.720000
50.830000
15.350000
3.110000
4.670000
4.670000
3.110000
4.670000
3.110000
4.670000
4.670000
4.670000
5.300000
5.300000
5.300000
15.270000
2.334300
30.720000
30.720000
50.830000
15.350000
3.110000
4.670000
4.670000
3.110000
4.670000
3.110000
4.670000
4.670000
4.670000
5.300000
5.300000
5.300000
15.270000
MSP
Valoare
compensare/UT
1
1
1
G26
G26
G26
GLAUCOM
GLAUCOM
GLAUCOM
1S01EDF V
1S01EDF V
1S01EDF V
05-07-2010
05-07-2010
05-07-2010
13.56
33.67
15.92
10.03
24.91
11.78
13.560000
33.670000
15.920000
13.560000
33.670000
15.920000
13.560000
33.670000
15.920000
PIC. OFT.,SOL.
300mcg/ml+5mg/ 1
G26
GLAUCOM
9S01ED51F V
05-07-2010
81.65
64.58
81.650000
81.650000
81.650000
PIC. OFT.-SOL.
FARA CONCENT1
G26
GLAUCOM
9S01ED51F V
05-07-2010
69.58
55.03
69.580000
69.580000
69.580000
53 / 135
Cantitate Cod boli

Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
GLAUCOM
9S01ED51F V
05-07-2010
82.65
65.37
82.650000
82.650000
82.650000
G26
G26
G26
G26
G26
G26
GLAUCOM
GLAUCOM
GLAUCOM
GLAUCOM
GLAUCOM
GLAUCOM
9S01ED51F V
0S01EEF V
0S01EEF V
0S01EEF V
0S01EEF V
0S01EEF V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
88.30
51.40
75.08
51.38
68.09
71.85
69.84
39.30
59.38
39.28
53.85
56.83
88.300000
51.400000
75.080000
51.380000
68.090000
71.850000
88.300000
51.380000
51.380000
51.380000
68.090000
71.850000
88.300000
51.380000
51.380000
51.380000
68.090000
71.850000
100
G27
PEMFIGUS
9H02AB02P V
05-07-2010
123.37
101.06
1.233700
0.919600
0.919600
8mg
8mg/2ml
8mg/2ml
16mg
32mg
4mg
125mg
500mg
250mg/4ml
5mg
5mg
5mg
5mg
5mg
100mg
50mg
5
100
10
50
20
30
1
1
1
20
30
30
30
20
100
50
G27
G27
G27
G27
G27
G27
G27
G27
G27
G27
G27
G27
G27
G27
G27
G27
PEMFIGUS
PEMFIGUS
PEMFIGUS
PEMFIGUS
PEMFIGUS
PEMFIGUS
PEMFIGUS
PEMFIGUS
PEMFIGUS
PEMFIGUS
PEMFIGUS
PEMFIGUS
PEMFIGUS
PEMFIGUS
PEMFIGUS
PEMFIGUS
9H02AB02P V
9H02AB02P V
9H02AB02P V
9H02AB04O V
9H02AB04O V
9H02AB04O V
9H02AB04P V
9H02AB04P V
9H02AB04P V
9H02AB07O V
9H02AB07O V
9H02AB07O V
9H02AB07O V
9H02AB07O V
9J04BA02O V
9L01AA01O V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
6.96
91.96
10.35
32.54
29.57
6.52
8.78
30.94
20.42
2.00
2.62
2.47
2.53
2.57
32.91
26.07
5.15
72.73
7.66
24.08
21.88
4.82
6.50
22.89
15.11
1.48
1.94
1.83
1.87
1.90
25.16
19.29
1.392000
0.919600
1.035000
0.650800
1.478500
0.217333
8.780000
30.940000
20.420000
0.100000
0.087333
0.082333
0.084333
0.128500
0.329100
0.521400
0.919600
0.919600
0.919600
0.650800
1.478500
0.217333
8.780000
30.940000
20.420000
0.082333
0.082333
0.082333
0.082333
0.082333
0.329100
0.521400
0.919600
0.919600
0.919600
0.650800
1.478500
0.217333
8.780000
30.940000
20.420000
0.082333
0.082333
0.082333
0.082333
0.082333
0.329100
0.521400
200mg
2,5mg
100mg/ml
100mg/ml
100mg/ml
5mg/ml
1
20
5
1
1
10
G27
G27
G27
G27
G27
G27
PEMFIGUS
PEMFIGUS
PEMFIGUS
PEMFIGUS
PEMFIGUS
PEMFIGUS
9L01AA01P V
9L01BA01O V
9L01BA01P V
9L01BA01P V
9L01BA01P V
9L01BA01P V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
15.86
22.79
240.51
89.44
400.04
23.77
11.73
16.86
197.01
70.74
332.01
17.59
15.860000
1.139500
48.102000
89.440000
400.040000
2.377000
15.860000
1.139500
48.102000
89.440000
400.040000
2.377000
15.860000
1.139500
48.102000
89.440000
400.040000
2.377000
50mg/ml
G27
PEMFIGUS
9L01BA01P V
05-07-2010
109.28
86.43
109.280000
109.280000
109.280000
50mg/ml
10mg/ml
100mg
25mg
25mg
25mg
50mg
50mg
50mg
100mg/ml
50mg
1
1
50
50
50
50
50
50
50
1
100
G27
G27
G27
G27
G27
G27
G27
G27
G27
G27
G27
PEMFIGUS
PEMFIGUS
PEMFIGUS
PEMFIGUS
PEMFIGUS
PEMFIGUS
PEMFIGUS
PEMFIGUS
PEMFIGUS
PEMFIGUS
PEMFIGUS
9L01BA01P V
9L01BA01P V
9L04AD01O V
9L04AD01O V
9L04AD01O V
9L04AD01O V
9L04AD01O V
9L04AD01O V
9L04AD01O V
9L04AD01O V
0L04AXO V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
123.90
13.30
470.37
137.00
93.90
137.16
291.47
189.45
304.48
427.55
80.72
101.49
9.84
396.53
112.22
74.26
112.35
238.75
155.18
249.41
357.25
63.84
123.900000
13.300000
9.407400
2.740000
1.878000
2.743200
5.829400
3.789000
6.089600
427.550000
0.807200
109.280000
13.300000
9.407400
1.878000
1.878000
1.878000
3.789000
3.789000
3.789000
427.550000
0.807200
109.280000
13.300000
9.407400
1.878000
1.878000
1.878000
3.789000
3.789000
3.789000
427.550000
0.807200
200U
G29
BOALA GAUCHER
CNAS 9A16AB02P V
05-07-2010
3,484.17
3,161.48
3,484.170000
3,484.170000
3,484.170000
400U
100mg
1
84
G29
G29
BOALA GAUCHER
BOALA GAUCHER
BOLNAVI CU PROCEDURI
INTERVENTIONALE
PERCUTANE
INTERVENTIONALE
PERCUTANE
INTERVENTIONALE
PERCUTANE
INTERVENTIONALE
PERCUTANE
INTERVENTIONALE
PERCUTANE
INTERVENTIONALE
PERCUTANE
INTERVENTIONALE
PERCUTANE
INTERVENTIONALE
PERCUTANE
INTERVENTIONALE
PERCUTANE
INTERVENTIONALE
PERCUTANE
INTERVENTIONALE
PERCUTANE
INTERVENTIONALE
PERCUTANE
INTERVENTIONALE
PERCUTANE
CNAS 9A16AB02P V
CNAS 9A16AX06O V
05-07-2010
05-07-2010
6,891.37
27,681.16
6,287.35
25,360.53
6,891.370000
329.537619
6,891.370000
329.537619
6,891.370000
329.537619
CJAS 0B01ACO V
05-07-2010
779.14
679.81
25.971333
25.971333
25.971333
CJAS 0B01ACO V
05-07-2010
89.27
70.60
3.188214
2.440000
2.440000
CJAS 0B01ACO V
05-07-2010
90.28
71.40
3.224285
2.440000
2.440000
CJAS 0B01ACO V
05-07-2010
122.06
96.54
4.359285
2.440000
2.440000
CJAS 0B01ACO V
05-07-2010
83.62
66.13
2.787333
2.440000
2.440000
CJAS 0B01ACO V
05-07-2010
89.27
70.60
3.188214
2.440000
2.440000
CJAS 0B01ACO V
05-07-2010
84.40
66.75
3.014285
2.440000
2.440000
CJAS 0B01ACO V
05-07-2010
90.42
71.51
3.229285
2.440000
2.440000
CJAS 0B01ACO V
05-07-2010
79.30
62.72
2.832142
2.440000
2.440000
CJAS 0B01ACO V
05-07-2010
84.97
67.20
2.832333
2.440000
2.440000
CJAS 0B01ACO V
05-07-2010
68.37
54.07
2.441785
2.440000
2.440000
CJAS 0B01ACO V
05-07-2010
68.37
54.07
2.441785
2.440000
2.440000
CJAS 0B01ACO V
05-07-2010
215.10
176.20
2.560714
2.440000
2.440000
Form farmaceutic
Concentraie
SOL. OFT.
FARA CONCENT1
G26
PIC. OFT.-SOL.
PIC. OFT., SOL.
PICATURI OFT.-SOL.
PICATURI OFT.-SOL.
PIC. OFT.,SOL.
PICATURI OFT.SOL.
40mcg/ml + 5mg/ 1
50micrograme/ml 1
0,005%
1
0,005%
1
0,3mg/ml
1
40mcg/ml
1
SOL. INJ.
8mg
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
W44063001
W08299002
W08299001
W04224001
W04222001
W04223002
W08307001
W08310001
W04237001
W05242001
W12565002
W42180001
W13686002
W53341001
W54013001
W12490001
DEXAMETHASONE SODIUM PHOSPHATE

DEXAMED
DEXAMED
MEDROL A 16
MEDROL 32
MEDROL 4 mg
LEMOD SOLU 125 mg
LEMOD SOLU 500 mg
PREDNISON MCC 5 mg
N - PREDNISON
PREDNISON 5 mg
DISULONE
ENDOXAN (R) 50 mg
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
DAPSONUM
CYCLOPHOSPHAMIDUM
SOL. INJ.
SOL. INJ.
SOL. INJ.
COMPR.
COMPR.
COMPR.
LIOF. PT. SOL. INJ.
LIOF. PT. SOL. INJ.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
DRAJ.
C1
C1
C1
C1
C1
C1
W52215001
W54019001
W04185002
W12733003
W12735001
W04186001
ENDOXAN 200 mg
CYCLOPHOSPHAMIDUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
C1 W52810001 XALCOM (R)

C1
C1
C1
C1
C1
C1
W43319001
W54876001
W03937002
W54612002
W51533001
W06866001
DUOTRAV 40mcg/ml + 5mg/ml

UNILAT 50 micrograme/ml
XALATAN (R)
XALOPTIC
LUMIGAN 0,3mg/ml
TRAVATAN 40mcg/ml
Substan activ
COMBINATII
(LATANOPROSTUM+TIMOLOLUM)
COMBINATII
(TAVOPROSTUM+TIMOLOLUM)
LATANOPROSTUM
LATANOPROSTUM
LATANOPROSTUM
BIMATOPROSTUM
TRAVOPROSTUM
C1 W08252001 CEREZYME 200U
IMIGLUCERASUM
C1 W08253003 CEREZYME 400U

C1 W51776001 ZAVESCA
IMIGLUCERASUM
MIGLUSTATUM
PULB. PT. SOL. PERF./INJ. I.V.

COMPR.
SOL. INJ.
PREUMPLUTA
PREUMPLUTA
SOL. INJ./PERF.
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
SOL. ORALA
COMPR. FILM.
PULB. PT.CONC. PT.SOL.
PERF.
PULB. PT.CONC. PT.SOL.
PERF.
CAPS.
C1 W53035002 PLAVIX 300mg
CLOPIDOGRELUM
COMPR. FILM.
300mg
30
G3
C1 W54060002 CLOPIDOGREL TEVA 75 mg
CLOPIDOGRELUM
COMPR. FILM.
75 mg
28
G3
C1 W54626003 ZYLLT
CLOPIDOGRELUM
COMPR. FILM.
75 mg
28
G3
C1 W01373004 PLAVIX 75mg
CLOPIDOGRELUM
COMPR. FILM.
75mg
28
G3
C1 W54317002 TROMBEX 75 mg
CLOPIDOGRELUM
COMPR. FILM.
75mg
30
G3
C1 W54490001 EGITROMB 75 mg
CLOPIDOGRELUM
COMPR. FILM.
75mg
28
G3
C1 W54756003 CLOPIDOGREL MYLAN 75mg
CLOPIDOGRELUM
COMPR. FILM.
75mg
28
G3
C1 W54973001 TROGRAN 75 mg
CLOPIDOGRELUM
COMPR. FILM.
75mg
28
G3
C1 W54744002 CLOPIDOGREL DR. REDDY'S 75 mg
CLOPIDOGRELUM
COMPR. FILM.
75mg
28
G3
C1 W54744003 CLOPIDOGREL DR. REDDY'S 75 mg
CLOPIDOGRELUM
COMPR. FILM.
75mg
30
G3
C1 W54853001 CLOPIGAMMA 75 mg
CLOPIDOGRELUM
COMPR. FILM.
75mg
28
G3
CLOPIDOGRELUM
COMPR. FILM.
75mg
28
G3
CLOPIDOGRELUM
COMPR. FILM.
75mg
84
G3
METHOTREXATUM
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
METHOTREXATUM
METHOTREXATUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
AZATHIOPRINUM
W53758021
W12308002
W13970003
W51399001
W13968003
W41697001
W51398001
W13969003
W41701001
W13980001
W00513001
METOJECT 50mg/ml
EQUORAL (R) 100 mg
SANDIMMUN NEORAL (R)
EQUORAL (R) 25 mg
CICLORAL 25 mg
EQUORAL (R) 50 mg
CICLORAL 50 mg
EQUORAL (R)
IMURAN (R)
Mentiuni
sublista
Cod
MS
MS
Valoare
compensare/UT
54 / 135
Substan activ
Form farmaceutic
Concentraie
CLOPIDOGRELUM
COMPR. FILM.
75mg
C1 W54937002 PLAVOCORIN 75 mg
CLOPIDOGRELUM
COMPR. FILM.
75mg
C1 W55014003 TESSYRON 75 mg
CLOPIDOGRELUM
COMPR. FILM.
75mg
C1 W54935001 TUXEDON 75 mg
CLOPIDOGRELUM
COMPR. FILM.
75mg
C1 W54935002 TUXEDON 75 mg
CLOPIDOGRELUM
COMPR. FILM.
75mg
C1 W55371005 CLOPIDOGREL ACTAVIS 75 mg
CLOPIDOGRELUM
COMPR. FILM.
75mg
C1 W55447002 DEFROZYP 75 mg
CLOPIDOGRELUM
COMPR. FILM.
75mg
C1 W55445003 TESSYRON 75 mg
CLOPIDOGRELUM
COMPR. FILM.
75mg
C1 W54933002 CLORODEN 75 mg
CLOPIDOGRELUM
COMPR. FILM.
75mg
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
W54933009
W02885004
W12627001
W42906001
W02896001
W43836001
W12028001
W42907001
W05834002
W12701001
W00574004
W00571004
W00576004
W00572004
W10693001
W41595001
W41594001
W41596001
W41597001
W55416003
W00560003
W13701001
W02983002
W08244001
CLOPIDOGRELUM
DOXYCYCLINUM
DOXYCYCLINUM
DOXYCYCLINUM
DOXYCYCLINUM
DOXYCYCLINUM
TETRACYCLINUM
TETRACYCLINUM
TETRACYCLINUM
TETRACYCLINUM
BENZYLPENICILLINUM
BENZYLPENICILLINUM
BENZYLPENICILLINUM
BENZYLPENICILLINUM
CEFIXIMUM
ERYTHROMYCINUM
ERYTHROMYCINUM
COMPR. FILM.
CAPS.
CAPS.
CAPS.
COMPR. DISP.
COMPR. DISP.
CAPS.
CAPS.
CAPS.
CAPS.
PULB. PT. SOL. INJ.
PULB. PT. SOL. INJ.
PULB. PT. SOL. INJ.
PULB. PT. SOL. INJ.
COMPR.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
SIROP
CAPS.
COMPR.
COMPR.
75mg
100mg
100mg
100mg
100mg
100mg
250mg
250mg
250mg
250mg
1 000 000ui
1000000ui
400 000ui
400000ui
1000000ui
1000000ui
1500000ui
500000ui
400000ui/5ml
1200000UI
600000ui
200mg
200mg
200mg
Cantitate Cod boli

INTERVENTIONALE
84
G3
PERCUTANE
INTERVENTIONALE
28
G3
PERCUTANE
INTERVENTIONALE
30
G3
PERCUTANE
INTERVENTIONALE
28
G3
PERCUTANE
INTERVENTIONALE
84
G3
PERCUTANE
INTERVENTIONALE
PERCUTANE
28
G3
INTERVENTIONALE
28
G3
PERCUTANE
INTERVENTIONALE
PERCUTANE
30
G3
INTERVENTIONALE
PERCUTANE
28
G3
INTERVENTIONALE
28
G3
PERCUTANE
20
G30
BOLI VENERICE
10
G30
BOLI VENERICE
10
G30
BOLI VENERICE
10
G30
BOLI VENERICE
10
G30
BOLI VENERICE
20
G30
BOLI VENERICE
20
G30
BOLI VENERICE
20
G30
BOLI VENERICE
20
G30
BOLI VENERICE
1
G30
BOLI VENERICE
1
G30
BOLI VENERICE
1
G30
BOLI VENERICE
1
G30
BOLI VENERICE
20
G30
BOLI VENERICE
12
G30
BOLI VENERICE
12
G30
BOLI VENERICE
12
G30
BOLI VENERICE
1
G30
BOLI VENERICE
1
G30
BOLI VENERICE
1
G30
BOLI VENERICE
10
G30
BOLI VENERICE
20
G30
BOLI VENERICE
20
G30
BOLI VENERICE
C1
C1
C1
C1
C1
C1
W44040001
W07045001
W53821001
W42271001
W00517001
W00518001
ERYTHROMYCINUM
ERYTHROMYCINUM
ERYTHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
COMPR.
COMPR.
CAPS.
CAPS.
COMPR. FILM.
200mg
200mg
200mg/5ml
250mg
250mg
125mg
20
20
1
6
6
6
G30
G30
G30
G30
G30
G30
C1
C1
C1
C1
C1
W42879004
W52838001
W52838002
W00519001
W42252001
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
250mg
250mg
250mg
500mg
500mg
6
6
6
3
3
C1
C1
C1
C1
C1
C1
C1
C1
W42878001
W43486001
W43952001
W52840001
W52840002
W55169001
W52841001
W52841002
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
500mg
500mg
500mg
500mg
500mg
500mg
600mg
600mg
CLORODEN 75 mg
DOXICICLINA
DOXICICLINA 100 mg
DOXICICLINA SANDOZ 100 mg
UNIDOX SOLUTAB
VIBRAMYCIN D
TETRACICLINA 250 mg
TETRACICLINA SANDOZ 250 mg
TETRACICLINA 250 mg
TETRACICLINA ARENA 250 mg
PENICILINA G SODICA
PENICILINA G POTASICA
PENICILINA G SODICA
PENICILINA G POTASICA
PENICILINA V 1 000 000 U.I.
OSPEN (R) 1000
OSPEN (R) 1500
OSPEN (R) 500
OSPEN 400
MOLDAMIN 1200000 UI
MOLDAMIN (R)
EFICEF (R) 200 mg
ERITROMAGIS 200 mg
ERITROMICINA 200 mg
ERITROMICINA SANDOZ 200 mg
COMPRIMATE
ERITROMICINA EUROPHARM 200 mg
ERITROMICINA SANDOZ 200mg/5ml
AZATRIL 250 mg
SUMAMED 250 mg
SUMAMED 125 mg
COMPRIMATE FILMATE
SUMAMED 500 mg
AZITROX (R) 500
COMPRIMATE FILMATE
AZIBIOT 500 mg
ZITROCIN 500 mg
ZITROCIN 500 mg
C1 W43050001 ZMAX 2 g
C1 W44152001 SUMAMED (R)
AZITHROMYCINUM
AZITHROMYCINUM
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
ORALA
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM

CAPS.
COMPR
COMPR
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
W53281001
W42901001
W42877002
W00520002
W00520001
W00520003
W01291001
W54038001
W54038002
W54037001
W54037002
W44077004
W01273001
W01288001
AZITROX 200 mg/5 ml

SUMAMED FORTE
SUMAMED FORTE
SUMAMED FORTE
EUCIPRIN
CIPROFLOXACINA ARENA 250 mg
CIPROCIN 250 mg
CIPRINOL 250 mg
CIPROLEN (R) 250 mg
Mentiuni
sublista
Cod
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
Valoare
compensare/UT
CJAS 0B01ACO V
05-07-2010
215.10
176.20
2.560714
2.440000
2.440000
CJAS 0B01ACO V
05-07-2010
89.27
70.60
3.188214
2.440000
2.440000
CJAS 0B01ACO V
05-07-2010
85.00
67.23
2.833333
2.440000
2.440000
CJAS 0B01ACO V
05-07-2010
96.30
76.16
3.439285
2.440000
2.440000
CJAS 0B01ACO V
05-07-2010
273.95
224.40
3.261309
2.440000
2.440000
CJAS 0B01ACO V
05-07-2010
79.30
62.72
2.832142
2.440000
2.440000
CJAS 0B01ACO V
05-07-2010
79.30
62.72
2.832142
2.440000
2.440000
CJAS 0B01ACO V
05-07-2010
85.00
67.23
2.833333
2.440000
2.440000
CJAS 0B01ACO V
05-07-2010
68.32
54.03
2.440000
2.440000
2.440000
CJAS 0B01ACO V
0J01AAO V
0J01AAO V
0J01AAO V
0J01AAO V
0J01AAO V
0J01AAO V
0J01AAO V
0J01AAO V
0J01AAO V
0J01CEP V
0J01CEP V
0J01CEP V
0J01CEP V
0J01CEO V
0J01CEO V
0J01CEO V
0J01CEO V
0J01CEO V
0J01CEP V
0J01CEP V
0J01DDO V
0J01FAO V
0J01FAO V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
68.32
6.98
3.57
3.59
9.57
10.48
3.17
2.73
3.02
2.99
3.11
3.11
2.10
1.39
9.09
3.45
6.09
2.62
9.49
3.61
1.39
34.70
7.07
9.58
54.03
5.16
2.64
2.66
7.08
7.75
2.35
2.02
2.23
2.21
2.30
2.30
1.55
1.03
6.73
2.55
4.51
1.94
7.02
2.67
1.03
26.53
5.23
7.09
2.440000
0.349000
0.357000
0.359000
0.957000
1.048000
0.158500
0.136500
0.151000
0.149500
3.110000
3.110000
2.100000
1.390000
0.454500
0.287500
0.507500
0.218333
9.490000
3.610000
1.390000
3.470000
0.353500
0.479000
2.440000
0.349000
0.349000
0.349000
0.957000
0.957000
0.136500
0.136500
0.136500
0.136500
3.110000
3.110000
1.390000
1.390000
0.454500
0.287500
0.507500
0.218333
9.490000
3.610000
1.390000
3.470000
0.353500
0.353500
2.440000
0.349000
0.349000
0.349000
0.957000
0.957000
0.136500
0.136500
0.136500
0.136500
3.110000
3.110000
1.390000
1.390000
0.454500
0.287500
0.507500
0.218333
9.490000
3.610000
1.390000
3.470000
0.353500
0.353500
BOLI VENERICE
BOLI VENERICE
BOLI VENERICE
BOLI VENERICE
BOLI VENERICE
BOLI VENERICE
0J01FAO V
0J01FAO V
0J01FAO K
0J01FAO V
0J01FAO V
0J01FAO V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
8.43
10.09
11.43
25.45
37.90
25.30
6.24
7.47
8.46
18.83
28.98
18.72
0.421500
0.504500
11.430000
4.241666
6.316666
4.216666
0.353500
0.353500
11.430000
4.241666
4.241666
4.216666
0.353500
0.353500
11.430000
4.241666
4.241666
4.216666
G30
G30
G30
G30
G30
BOLI VENERICE
BOLI VENERICE
BOLI VENERICE
BOLI VENERICE
BOLI VENERICE
0J01FAO V
0J01FAO V
0J01FAO V
0J01FAO V
0J01FAO V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
48.70
44.36
44.36
38.08
25.58
37.23
33.91
33.91
29.11
18.93
8.116666
7.393333
7.393333
12.693333
8.526666
7.393333
7.393333
7.393333
8.526666
8.526666
7.393333
7.393333
7.393333
8.526666
8.526666
3
3
3
3
3
3
3
3
G30
G30
G30
G30
G30
G30
G30
G30
BOLI VENERICE
BOLI VENERICE
BOLI VENERICE
BOLI VENERICE
BOLI VENERICE
BOLI VENERICE
BOLI VENERICE
BOLI VENERICE
0J01FAO V
0J01FAO V
0J01FAO V
0J01FAO V
0J01FAO V
0J01FAO V
0J01FAO V
0J01FAO V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
48.70
25.59
25.59
37.07
37.07
25.59
44.51
44.51
37.23
18.93
18.93
28.34
28.34
18.93
34.03
34.03
16.233333
8.530000
8.530000
12.356666
12.356666
8.530000
14.836666
14.836666
8.526666
8.526666
8.526666
8.526666
8.526666
8.526666
14.836666
14.836666
8.526666
8.526666
8.526666
8.526666
8.526666
8.526666
14.836666
14.836666
2g
500mg
1
5
G30
G30
BOLI VENERICE
BOLI VENERICE
0J01FAO V
0J01FAP V
05-07-2010
05-07-2010
63.37
161.37
48.45
132.18
63.370000
32.274000
63.370000
32.274000
63.370000
32.274000
200mg/5ml
100mg/5ml
200 mg/5 ml
200mg/5ml
200mg/5ml
200mg/5ml
250mg
250mg
250mg
100mg
100mg
250mg
250mg
250mg
1
1
1
1
1
1
12
10
20
10
20
10
10
10
G30
G30
G30
G30
G30
G30
G30
G30
G30
G30
G30
G30
G30
G30
BOLI VENERICE
BOLI VENERICE
BOLI VENERICE
BOLI VENERICE
BOLI VENERICE
BOLI VENERICE
BOLI VENERICE
BOLI VENERICE
BOLI VENERICE
BOLI VENERICE
BOLI VENERICE
BOLI VENERICE
BOLI VENERICE
BOLI VENERICE
0J01FAO K
0J01FAO K
0J01FAO K
0J01FAO K
0J01FAO K
0J01FAO K
1J01MAO V
1J01MAO V
1J01MAO V
1J01MAO V
1J01MAO V
1J01MAO V
1J01MAO V
1J01MAO V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
16.33
22.40
34.28
25.12
48.48
60.21
8.01
6.55
12.28
37.23
65.47
6.81
6.81
6.81
12.08
16.57
26.21
18.59
37.06
46.03
5.93
4.85
9.09
28.46
51.78
5.04
5.04
5.04
16.330000
22.400000
34.280000
25.120000
48.480000
60.210000
0.667500
0.655000
0.614000
3.723000
3.273500
0.681000
0.681000
0.681000
16.330000
22.400000
16.330000
16.330000
16.330000
16.330000
0.667500
0.614000
0.614000
3.273500
3.273500
0.475000
0.475000
0.475000
16.330000
22.400000
16.330000
16.330000
16.330000
16.330000
0.667500
0.614000
0.614000
3.273500
3.273500
0.475000
0.475000
0.475000
55 / 135
Denumire medicament
CUMINOL 250 mg
CUMINOL 250 mg
CIPROFLOXACINA ALKALOID 250 mg
CIFRAN
EUCIPRIN 250 mg
ALVEBAR 250 mg
CIPROFLOXACINA OZONE 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
EUCIPRIN 500 mg
ALVEBAR 500 mg
CIPROFLOXACINA OZONE 500 mg
CIPRINOL 750 mg
CIPROBAY XR 1000 mg
CIPROBAY XR 500 mg
CIPRINOL (R)
CIPRINOL (R)
CIPRINOL
CIPRINOL
CIPROFLOXACINA INFOMED 2 mg/ml
CIPROFLOXACINA INFOMED 2 mg/ml
UFEXIL 2 mg/ ml
CIPROBAY (R) 400
CIPRINOL (R)
Substan activ
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
CIPROFLOXACINUM
C1 W07349003 REMICADE 100 mg
INFLIXIMABUM
INFLIXIMABUM
C1 W52748002 HUMIRA 40 mg
ADALIMUMABUM
C1
C1
C1
C1
C1
C1
ADALIMUMABUM
RITUXIMABUM
RITUXIMABUM
ETANERCEPTUM
ETANERCEPTUM
ETANERCEPTUM
W52746002
W07199001
W07200001
W41764001
W52554001
W43135002
HUMIRA 40 mg
MABTHERA 100 mg
MABTHERA 500 mg
ENBREL 25mg
ENBREL DE UZ PEDIATRIC
ENBREL 50 mg
C1 W52266001 ENBREL 25mg
ETANERCEPTUM
ETANERCEPTUM
ETANERCEPTUM
INFLIXIMABUM
INFLIXIMABUM
ADALIMUMABUM
C1
C1
C1
C1
ADALIMUMABUM
ETANERCEPTUM
ETANERCEPTUM
ETANERCEPTUM
W52746002
W41764001
W52554001
W43135002
HUMIRA 40 mg
ENBREL 25mg
ENBREL 50 mg
ETANERCEPTUM
ETANERCEPTUM
ETANERCEPTUM
INFLIXIMABUM
INFLIXIMABUM
ADALIMUMABUM
C1
C1
C1
C1
ADALIMUMABUM
ETANERCEPTUM
ETANERCEPTUM
ETANERCEPTUM
W52746002
W41764001
W52554001
W43135002
HUMIRA 40 mg
ENBREL 25mg
ENBREL 50 mg
ETANERCEPTUM
ETANERCEPTUM
ETANERCEPTUM
INFLIXIMABUM
INFLIXIMABUM
ADALIMUMABUM
Form farmaceutic
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
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. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
PERF.
PERF.
SOL. INJ. IN PEN PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUT
PERF.
PERF.
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUT
PERF.
PERF.
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUT
PERF.
PERF.
Concentraie
250mg
250mg
250mg
250mg
250mg
250mg
250mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
750mg
750mg
1000 mg
500 mg
100mg/10ml
100mg/10ml
100mg/50ml
200mg/100ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
400mg/200ml
Cantitate
UT/amb
10
20
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
20
10
10
10
7
3
50
5
1
1
10
10
10
5
1
Cod boli
cronice
G30
G30
G30
G30
G30
G30
G30
G30
G30
G30
G30
G30
G30
G30
G30
G30
G30
G30
G30
G30
G30
G30
G30
G30
G30
G30
G30
G30
G30
G30
G30
G30
G30
G30
100mg
G31A
100mg
G31A
40mg
G31A
40mg
10mg/ml
10mg/ml
25mg
25mg
50mg
2
2
1
4
4
4
G31A
G31B
G31B
G31B
G31B
G31B

BOLI VENERICE
BOLI VENERICE
BOLI VENERICE
BOLI VENERICE
BOLI VENERICE
BOLI VENERICE
BOLI VENERICE
BOLI VENERICE
BOLI VENERICE
BOLI VENERICE
BOLI VENERICE
BOLI VENERICE
BOLI VENERICE
BOLI VENERICE
BOLI VENERICE
BOLI VENERICE
BOLI VENERICE
BOLI VENERICE
BOLI VENERICE
BOLI VENERICE
BOLI VENERICE
BOLI VENERICE
BOLI VENERICE
BOLI VENERICE
BOLI VENERICE
BOLI VENERICE
BOLI VENERICE
BOLI VENERICE
BOLI VENERICE
BOLI VENERICE
BOLI VENERICE
BOLI VENERICE
BOLI VENERICE
BOLI VENERICE
Boala cronica inflamatorie
intestinala
intestinala
intestinala
intestinala
Poliartrita reumatoida
25mg
G31B
50mg
G31B
50mg
100mg
Mentiuni
sublista
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
Cod
medicament
W01271002
W01271001
W51913001
W07862001
W53066001
W53288001
W55179001
W01274001
W44076001
W01289001
W01272001
W13734001
W51912001
W07863001
W12545001
W52031001
W53067001
W53287001
W54039001
W54039002
W55180001
W42772001
W54040001
W43891001
W43890001
W01275002
W01275001
W08223001
W08224001
W53353002
W53353003
W07480002
W13653002
W42193001
Grupa
terapeutica RO
1J01MAO V
1J01MAO V
1J01MAO V
1J01MAO V
1J01MAO V
1J01MAO V
1J01MAO V
1J01MAO V
1J01MAO V
1J01MAO V
1J01MAO V
1J01MAO V
1J01MAO V
1J01MAO V
1J01MAO V
1J01MAO V
1J01MAO V
1J01MAO V
1J01MAO V
1J01MAO V
1J01MAO V
1J01MAO V
1J01MAO V
1J01MAO V
1J01MAO V
1J01MAP V
1J01MAP V
1J01MAP V
1J01MAP V
1J01MAP V
1J01MAP V
1J01MAP V
1J01MAP V
1J01MAP V

Pre de
Valoare
Valabil de la /amb
/amb
compensare/UT
05-07-2010
6.81
5.04
0.681000
0.475000
0.475000
05-07-2010
12.26
9.07
0.613000
0.475000
0.475000
05-07-2010
7.86
5.82
0.786000
0.475000
0.475000
05-07-2010
6.92
5.12
0.692000
0.475000
0.475000
05-07-2010
6.09
4.51
0.609000
0.475000
0.475000
05-07-2010
4.75
3.51
0.475000
0.475000
0.475000
05-07-2010
5.29
3.91
0.529000
0.475000
0.475000
05-07-2010
13.19
9.76
1.319000
0.647000
0.647000
05-07-2010
13.19
9.76
1.319000
0.647000
0.647000
05-07-2010
13.19
9.76
1.319000
0.647000
0.647000
05-07-2010
13.19
9.76
1.319000
0.647000
0.647000
05-07-2010
8.44
6.24
0.844000
0.647000
0.647000
05-07-2010
15.07
11.15
1.507000
0.647000
0.647000
05-07-2010
8.75
6.47
0.875000
0.647000
0.647000
05-07-2010
13.19
9.76
1.319000
0.647000
0.647000
05-07-2010
13.19
9.76
1.319000
0.647000
0.647000
05-07-2010
9.21
6.81
0.921000
0.647000
0.647000
05-07-2010
6.47
4.79
0.647000
0.647000
0.647000
05-07-2010
9.21
6.81
0.921000
0.647000
0.647000
05-07-2010
16.38
12.12
0.819000
0.647000
0.647000
05-07-2010
8.44
6.24
0.844000
0.647000
0.647000
05-07-2010
38.41
29.37
3.841000
3.723000
3.723000
05-07-2010
37.23
28.46
3.723000
3.723000
3.723000
05-07-2010
84.50
66.83
12.071428
12.071428
12.071428
05-07-2010
27.57
20.40
9.190000
9.190000
9.190000
05-07-2010
136.24
111.60
2.724800
2.724800
2.724800
05-07-2010
16.75
12.39
3.350000
2.724800
2.724800
05-07-2010
4.78
3.54
4.780000
4.780000
4.780000
05-07-2010
9.57
7.08
9.570000
9.570000
9.570000
05-07-2010
87.28
69.03
8.728000
8.728000
8.728000
05-07-2010
156.96
128.57
15.696000
8.728000
8.728000
05-07-2010
162.21
132.87
16.221000
9.570000
9.570000
05-07-2010
702.27
609.28
140.454000
19.260000
19.260000
05-07-2010
19.26
14.25
19.260000
19.260000
19.260000
CNAS 0L04ABP V
05-07-2010
7,483.01
6,830.14
2,494.336666
2,494.336666
2,494.336666
CNAS 0L04ABP V
05-07-2010
5,120.38
4,662.59
2,560.190000
2,494.336666
2,494.336666
CNAS 0L04ABP V
05-07-2010
4,773.44
4,344.30
2,386.720000
2,386.720000
2,386.720000
CNAS
CNAS
CNAS
CNAS
CNAS
CNAS
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
4,738.14
2,454.04
6,028.99
2,270.02
2,264.85
4,555.11
4,311.91
2,216.41
5,496.18
2,047.58
2,042.84
4,143.99
2,369.070000
1,227.020000
6,028.990000
567.505000
566.212500
1,138.777500
2,369.070000
1,227.020000
6,028.990000
566.212500
566.212500
1,138.777500
2,369.070000
1,227.020000
6,028.990000
566.212500
566.212500
1,138.777500
CNAS 0L04ABP V
05-07-2010
2,264.85
2,042.84
566.212500
566.212500
566.212500
CNAS 0L04ABP V
05-07-2010
4,458.85
4,055.68
1,114.712500
1,114.712500
1,114.712500
G31B
CNAS 0L04ABP V
05-07-2010
4,458.85
4,055.68
1,114.712500
1,114.712500
1,114.712500
G31B
CNAS 0L04ABP V
05-07-2010
7,483.01
6,830.14
2,494.336666
2,494.336666
2,494.336666
100mg
G31B
CNAS 0L04ABP V
05-07-2010
5,120.38
4,662.59
2,560.190000
2,494.336666
2,494.336666
40mg
G31B
CNAS 0L04ABP V
05-07-2010
4,773.44
4,344.30
2,386.720000
2,386.720000
2,386.720000
40mg
25mg
25mg
50mg
2
4
4
4
G31B
G31C
G31C
G31C
Artropatia psoriazica
CNAS
CNAS
CNAS
CNAS
0L04ABP V
0L04ABP V
0L04ABP V
0L04ABP V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
4,738.14
2,270.02
2,264.85
4,555.11
4,311.91
2,047.58
2,042.84
4,143.99
2,369.070000
567.505000
566.212500
1,138.777500
2,369.070000
566.212500
566.212500
1,138.777500
2,369.070000
566.212500
566.212500
1,138.777500
25mg
G31C
CNAS 0L04ABP V
05-07-2010
2,264.85
2,042.84
566.212500
566.212500
566.212500
50mg
G31C
CNAS 0L04ABP V
05-07-2010
4,458.85
4,055.68
1,114.712500
1,114.712500
1,114.712500
50mg
G31C
CNAS 0L04ABP V
05-07-2010
4,458.85
4,055.68
1,114.712500
1,114.712500
1,114.712500
100mg
G31C
CNAS 0L04ABP V
05-07-2010
7,483.01
6,830.14
2,494.336666
2,494.336666
2,494.336666
100mg
G31C
CNAS 0L04ABP V
05-07-2010
5,120.38
4,662.59
2,560.190000
2,494.336666
2,494.336666
40mg
G31C
CNAS 0L04ABP V
05-07-2010
4,773.44
4,344.30
2,386.720000
2,386.720000
2,386.720000
40mg
25mg
25mg
50mg
2
4
4
4
G31C
G31D
G31D
G31D
Spondilita ankilozanta
CNAS
CNAS
CNAS
CNAS
0L04ABP V
0L04ABP V
0L04ABP V
0L04ABP V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
4,738.14
2,270.02
2,264.85
4,555.11
4,311.91
2,047.58
2,042.84
4,143.99
2,369.070000
567.505000
566.212500
1,138.777500
2,369.070000
566.212500
566.212500
1,138.777500
2,369.070000
566.212500
566.212500
1,138.777500
25mg
G31D
CNAS 0L04ABP V
05-07-2010
2,264.85
2,042.84
566.212500
566.212500
566.212500
50mg
G31D
CNAS 0L04ABP V
05-07-2010
4,458.85
4,055.68
1,114.712500
1,114.712500
1,114.712500
50mg
G31D
CNAS 0L04ABP V
05-07-2010
4,458.85
4,055.68
1,114.712500
1,114.712500
1,114.712500
100mg
G31D
CNAS 0L04ABP V
05-07-2010
7,483.01
6,830.14
2,494.336666
2,494.336666
2,494.336666
100mg
G31D
CNAS 0L04ABP V
05-07-2010
5,120.38
4,662.59
2,560.190000
2,494.336666
2,494.336666
40mg
G31D
CNAS 0L04ABP V
05-07-2010
4,773.44
4,344.30
2,386.720000
2,386.720000
2,386.720000
0L04ABP V
9L01XC02P V
9L01XC02P V
0L04ABP V
0L04ABP V
0L04ABP V
56 / 135
Substan activ
C1
C1
C1
C1
W52746002
W41764001
W52554001
W43135002
ADALIMUMABUM
ETANERCEPTUM
ETANERCEPTUM
ETANERCEPTUM
Concentraie
Cantitate Cod boli

Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
40mg
25mg
25mg
50mg
2
4
4
4
G31D
G31E
G31E
G31E
Artrita juvenila
Artrita juvenila
Artrita juvenila
CNAS
CNAS
CNAS
CNAS
0L04ABP V
0L04ABP V
0L04ABP V
0L04ABP V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
4,738.14
2,270.02
2,264.85
4,555.11
4,311.91
2,047.58
2,042.84
4,143.99
2,369.070000
567.505000
566.212500
1,138.777500
2,369.070000
566.212500
566.212500
1,138.777500
2,369.070000
566.212500
566.212500
1,138.777500
25mg
G31E
Artrita juvenila
CNAS 0L04ABP V
05-07-2010
2,264.85
2,042.84
566.212500
566.212500
566.212500
50mg
G31E
Artrita juvenila
CNAS 0L04ABP V
05-07-2010
4,458.85
4,055.68
1,114.712500
1,114.712500
1,114.712500
50mg
25mg
25mg
50mg
4
4
4
4
G31E
G31F
G31F
G31F
Artrita juvenila
Psoriazis cronic sever (placi)
CNAS
CNAS
CNAS
CNAS
0L04ABP V
0L04ABP V
0L04ABP V
0L04ABP V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
4,458.85
2,270.02
2,264.85
4,555.11
4,055.68
2,047.58
2,042.84
4,143.99
1,114.712500
567.505000
566.212500
1,138.777500
1,114.712500
566.212500
566.212500
1,138.777500
1,114.712500
566.212500
566.212500
1,138.777500
25mg
G31F
CNAS 0L04ABP V
05-07-2010
2,264.85
2,042.84
566.212500
566.212500
566.212500
50mg
G31F
CNAS 0L04ABP V
05-07-2010
4,458.85
4,055.68
1,114.712500
1,114.712500
1,114.712500
50mg
G31F
CNAS 0L04ABP V
05-07-2010
4,458.85
4,055.68
1,114.712500
1,114.712500
1,114.712500
100mg
G31F
CNAS 0L04ABP V
05-07-2010
7,483.01
6,830.14
2,494.336666
2,494.336666
2,494.336666
100mg
G31F
CNAS 0L04ABP V
05-07-2010
5,120.38
4,662.59
2,560.190000
2,494.336666
2,494.336666
40mg
G31F
CNAS 0L04ABP V
05-07-2010
4,773.44
4,344.30
2,386.720000
2,386.720000
2,386.720000
40mg
G31F

HEPATITE CRONICE DE
ETIOLOGIE VIRALA(HVB,HCV)
HEPATITE CRONICE DE
HEPATITE CRONICE DE
HEPATITE CRONICE DE
HEPATITE CRONICE DE
HEPATITE CRONICE DE
HEPATITE CRONICE DE
HEPATITE CRONICE DE
HEPATITE CRONICE DE
HEPATITE CRONICE DE
HEPATITE CRONICE DE
HEPATITE CRONICE DE
HEPATITE CRONICE DE
HEPATITE CRONICE DE
HEPATITE CRONICE DE
HEPATITE CRONICE DE
HEPATITE CRONICE DE
HEPATITE CRONICE DE
HEPATITE CRONICE DE
HEPATITE CRONICE DE
HEPATITE CRONICE DE
HEPATITE CRONICE DE
HEPATITE CRONICE DE
HEPATITE CRONICE DE
HEPATITE CRONICE DE
HEPATITE CRONICE DE
HEPATITE CRONICE DE
HEPATITE CRONICE DE
HEPATITE CRONICE DE
HEPATITE CRONICE DE
HEPATITE CRONICE DE
HEPATITE CRONICE DE
CNAS 0L04ABP V
05-07-2010
4,738.14
4,311.91
2,369.070000
2,369.070000
2,369.070000
MSP
0B03XAP V
05-07-2010
331.02
271.15
33.102000
33.102000
33.102000
MSP
0B03XAP V
05-07-2010
757.39
659.85
126.231666
100.413333
100.413333
MSP
0B03XAP V
05-07-2010
1,350.47
1,203.96
1,350.470000
1,350.470000
1,350.470000
MSP
0B03XAP V
05-07-2010
608.23
523.01
60.823000
60.823000
60.823000
MSP
0B03XAP V
05-07-2010
1,724.65
1,547.25
287.441666
287.441666
287.441666
MSP
0B03XAP V
05-07-2010
1,834.63
1,648.14
305.771666
287.441666
287.441666
MSP
0B03XAP V
05-07-2010
217.91
178.50
36.318333
36.318333
36.318333
MSP
0B03XAP V
05-07-2010
238.11
195.04
39.685000
36.318333
36.318333
MSP
0B03XAP V
05-07-2010
425.00
354.91
70.833333
70.833333
70.833333
MSP
0B03XAP V
05-07-2010
457.85
385.05
76.308333
70.833333
70.833333
MSP
0B03XAP V
05-07-2010
786.55
686.60
786.550000
786.550000
786.550000
MSP
0B03XAP V
05-07-2010
602.48
517.73
100.413333
100.413333
100.413333
MSP
0B03XAP V
05-07-2010
651.86
563.04
108.643333
100.413333
100.413333
MSP
0B03XAP V
05-07-2010
992.26
875.33
992.260000
992.260000
992.260000
MSP
0B03XAP V
05-07-2010
779.91
680.51
129.985000
129.985000
129.985000
MSP
0B03XAP V
05-07-2010
840.17
735.80
140.028333
129.985000
129.985000
MSP
0B03XAP V
05-07-2010
957.28
843.24
159.546666
159.546666
159.546666
MSP
0B03XAP V
05-07-2010
1,039.51
918.68
173.251666
159.546666
159.546666
MSP
0B03XAP V
05-07-2010
1,233.28
1,096.45
205.546666
205.546666
205.546666
MSP
0B03XAP V
05-07-2010
1,620.80
1,451.97
270.133333
270.133333
270.133333
MSP
0B03XAP V
05-07-2010
2,341.24
2,112.92
390.206666
390.206666
390.206666
MSP
0B03XAP V
05-07-2010
279.25
228.74
46.541666
46.541666
46.541666
MSP
0B03XAP V
05-07-2010
525.21
446.84
87.535000
87.535000
87.535000
MSP
0B03XAP V
05-07-2010
1,171.95
1,040.18
1,171.950000
1,171.950000
1,171.950000
MSP
0B03XAP V
05-07-2010
978.92
863.09
163.153333
163.153333
163.153333
MSP
0B03XAP V
05-07-2010
1,205.63
1,071.08
200.938333
200.938333
200.938333
MSP
0B03XAP V
05-07-2010
143.59
117.62
23.931666
23.931666
23.931666
CNAS 9J05AB04O V
05-07-2010
610.50
551.34
4.360714
4.360714
4.360714
CNAS 9J05AB04O V
05-07-2010
663.76
600.20
3.950952
3.950952
3.950952
CNAS 9J05AF05O V
05-07-2010
278.07
227.78
9.931071
9.931071
9.931071
CNAS 9J05AF05O V
05-07-2010
397.36
329.55
6.622666
6.622666
6.622666
CNAS 9J05AF05O V
05-07-2010
113.11
89.46
113.110000
113.110000
113.110000
ETANERCEPTUM
ETANERCEPTUM
ETANERCEPTUM
INFLIXIMABUM
INFLIXIMABUM
ADALIMUMABUM
ADALIMUMABUM
Form farmaceutic
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUT
PREUMPLUTA
PREUMPLUTA
PREUMPLUT
PERF.
PERF.
PREUMPLUTA
C1 W51301001 EPOPHAR 2000 U.I.
EPOETINUM ALFA
SOL. INJ.
2000UI
10
G4
C1 W44143001 EPREX (R) 3000 UI
EPOETINUM ALFA
SOL. INJ.
3000ui/0,3ml
G4
C1 W44140001 EPREX (R) 40 000 UI
EPOETINUM ALFA
SOL. INJ.
40 000UI
G4
C1 W51299001 EPOPHAR 4000 U.I.
EPOETINUM ALFA
4000UI
10
G4
EPOETINUM ALFA
10000UI/1,0ml
G4
EPOETINUM ALFA
10000UI/1,0ml
G4
EPOETINUM ALFA
1000UI/0,5ml
G4
EPOETINUM ALFA
1000UI/0,5ml
G4
EPOETINUM ALFA
2000UI/1,0ml
G4
EPOETINUM ALFA
2000UI/1,0ml
G4
C1 W55046001 BINOCRIT 30000UI/0,75ml
EPOETINUM ALFA
30000UI/0,75ml 1
G4
EPOETINUM ALFA
3000UI/0,3ml
G4
EPOETINUM ALFA
3000UI/0,3ml
G4
EPOETINUM ALFA
40000 UI/1 ml
G4
EPOETINUM ALFA
4000UI/0,4ml
G4
EPOETINUM ALFA
4000UI/0,4ml
G4
EPOETINUM ALFA
5000UI/0,5ml
G4
EPOETINUM ALFA
5000UI/0,5ml
G4
EPOETINUM ALFA
6000UI/0,6ml
G4
EPOETINUM ALFA
8000UI/0,8ml
G4
EPOETINUM BETA
10000UI/0,6ml
G4
EPOETINUM BETA
1000UI/0,3ml
G4
EPOETINUM BETA
2000UI/0,3ml
G4
EPOETINUM BETA
30000 UI/0,6ml
G4
EPOETINUM BETA
4000UI/0,3ml
G4
EPOETINUM BETA
5000UI/0,3ml
G4
EPOETINUM BETA
SOL. INJ.
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
500UI/0,3ml
G4
C1 W08062003 REBETOL 200 mg
RIBAVIRINUM
CAPS.
200mg
140
G4
C1 W53326004 COPEGUS 200mg
RIBAVIRINUM
COMPR. FILM.
200mg
168
G4
C1 W07518002 ZEFFIX 100 mg
LAMIVUDINUM
COMPR. FILM.
100mg
28
G4
C1 W03923002 EPIVIR 150mg
LAMIVUDINUM
COMPR. FILM.
150mg
60
G4
C1 W03924002 EPIVIR 10mg/ml
LAMIVUDINUM
SOL. ORALA
10mg/ml
G4
HUMIRA 40 mg
ENBREL 25mg
ENBREL 50 mg
ETANERCEPTUM
ETANERCEPTUM
C1
C1
C1
C1
ETANERCEPTUM
ETANERCEPTUM
ETANERCEPTUM
ETANERCEPTUM
W54896002
W41764001
W52554001
W43135002
ENBREL 50mg
ENBREL 25mg
ENBREL 50 mg
Mentiuni
sublista
Cod
Valoare
compensare/UT
57 / 135
Substan activ
Form farmaceutic
C1 W07520001 ZEFFIX 5 mg/ml
LAMIVUDINUM
SOL. ORALA
C1 W51522001 HEPSERA
ADEFOVIRUM DIPIVOXILUM
COMPR.
C1 W51442002 BARACLUDE 0,5mg
ENTECAVIRUM
COMPR. FILM.
C1 W51443002 BARACLUDE 1mg
ENTECAVIRUM
COMPR. FILM.
C1 W51424001 NEUPOGEN (R)
FILGRASTIMUM (G-CSF)
SOL. INJ.
SOL. INJ.
C1 W53520001 TEVAGRASTIM 30MUI/0,5ml
SOL. INJ./PERF.
SOL. INJ./PERF.
C1 W51330002 ROFERON A
INTERFERONUM ALFA 2A
SOL. INJ.
SOL. INJ.
SOL. INJ.
C1 W13209002 INTRON A 18 milioane U.I.
INTERFERONUM ALFA 2B
SOL. INJ. PEN MULTIDOZA
C1 W07812002 PEGINTRON 100 mcg
PEGINTERFERON ALFA-2B
C1 W52673003 PEGASYS 135 mcg/0,5ml
PEGINTERFERON ALFA-2A

PREUMPLUTA
PREUMPLUTA
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
AMANTADINUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
PREDNISOLONUM
PREDNISOLONUM
AZATHIOPRINUM
CAPS.
COMPR.
COMPR.
COMPR.
LIOF. PT. SOL. INJ.
LIOF. PT. SOL. INJ.
COMPR. FILM.
C1 W00187002 URSOFALK (R)
CAPS.
CAPS.
C1 W00188001 URSOSAN
CAPS.
C1 W53024004 URSOCHOL 150 mg
COMPR.
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
LACTULOSUM
LACTULOSUM
LACTULOSUM
LACTULOSUM
LACTULOSUM
LACTULOSUM
LACTULOSUM
RIFAXIMINUM
RIFAXIMINUM
EPOETINUM ALFA
EPOETINUM ALFA
EPOETINUM ALFA
EPOETINUM ALFA
COMPR.
LICHID ORAL
SIROP
SIROP
SIROP
SIROP
SOL. ORALA
SOL. ORALA
COMPR. FILM.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
W00264001
W04224001
W04222001
W04223002
W08307001
W08310001
W04237001
W05233001
W05234001
W00513001
W53025002
W03917001
W44054002
W44054001
W54245003
W54245004
W54468001
W07013005
W05444001
W05445001
W51301001
W44143001
W44140001
W51299001
VIREGYT (R)- K
MEDROL A 16
MEDROL 32
MEDROL 4 mg
LEMOD SOLU 125 mg
LEMOD SOLU 500 mg
IMURAN (R)
URSOCHOL 300 mg
DUPHALAC (R)
LACTULOSE
LACTULOSE
LACTULAK 660 mg/ml
LAEVOLAC 670mg/ml
NORMIX 200 mg
NORMIX 100mg/5ml
EPOPHAR 2000 U.I.
EPREX (R) 3000 UI
EPREX (R) 40 000 UI
EPOPHAR 4000 U.I.
EPOETINUM ALFA
EPOETINUM ALFA
EPOETINUM ALFA
EPOETINUM ALFA
EPOETINUM ALFA
EPOETINUM ALFA
C1 W55046001 BINOCRIT 30000UI/0,75ml
EPOETINUM ALFA
EPOETINUM ALFA
Cantitate Cod boli

HEPATITE CRONICE DE
5mg/ml
1
G4
HEPATITE CRONICE DE
10mg
30
G4
HEPATITE CRONICE DE
0,5mg
30
G4
HEPATITE CRONICE DE
1mg
30
G4
HEPATITE CRONICE DE
30MU/0,5ml
1
G4
HEPATITE CRONICE DE
48MU/0,5ml
1
G4
HEPATITE CRONICE DE
300mcg/0,5ml
1
G4
HEPATITE CRONICE DE
480mcg/0,8ml
1
G4
HEPATITE CRONICE DE
18Mui/0,6ml
1
G4
HEPATITE CRONICE DE
3Mui/0,5ml
1
G4
HEPATITE CRONICE DE
9Mui/0,5ml
1
G4
HEPATITE CRONICE DE
18 milioane U.I. 1
G4
HEPATITE CRONICE DE
30 milioane U.I. 1
G4
HEPATITE CRONICE DE
100mcg
1
G4
HEPATITE CRONICE DE
120mcg
1
G4
HEPATITE CRONICE DE
150mcg
1
G4
HEPATITE CRONICE DE
50mcg
1
G4
HEPATITE CRONICE DE
135mcg/0,5ml
1
G4
HEPATITE CRONICE DE
180mcg/0,5ml
1
G4
HEPATITE CRONICE DE
100mg
50
G4
16mg
50
G5
HEPATITA AUTOIMUNA
32mg
20
G5
HEPATITA AUTOIMUNA
4mg
30
G5
HEPATITA AUTOIMUNA
125mg
1
G5
HEPATITA AUTOIMUNA
500mg
1
G5
HEPATITA AUTOIMUNA
250mg/4ml
1
G5
HEPATITA AUTOIMUNA
250mg
3
G5
HEPATITA AUTOIMUNA
50mg
3
G5
HEPATITA AUTOIMUNA
50mg
100
G5
HEPATITA AUTOIMUNA
CIROZA BILIARA
PRIMARA,COLANGITA
250mg
100
G6
SCLEROZANTA
CIROZA BILIARA
PRIMARA,COLANGITA
250mg
50
G6
SCLEROZANTA
CIROZA BILIARA
PRIMARA,COLANGITA
250mg
50
G6
SCLEROZANTA
CIROZA BILIARA
PRIMARA,COLANGITA
150mg
60
G6
SCLEROZANTA
CIROZA BILIARA
PRIMARA,COLANGITA
300mg
20
G6
SCLEROZANTA
66,7%
1
G7
CIROZA HEPATICA
65%
1
G7
CIROZA HEPATICA
65%
1
G7
CIROZA HEPATICA
650mg/ml
1
G7
CIROZA HEPATICA
650mg/ml
1
G7
CIROZA HEPATICA
660 mg/ml
1
G7
CIROZA HEPATICA
670mg/ml
1
G7
CIROZA HEPATICA
200mg
12
G7
CIROZA HEPATICA
100mg/5ml
1
G7
CIROZA HEPATICA
2000UI
10
G7
CIROZA HEPATICA
3000ui/0,3ml
6
G7
CIROZA HEPATICA
40 000UI
1
G7
CIROZA HEPATICA
4000UI
10
G7
CIROZA HEPATICA
Concentraie
Mentiuni
sublista
Cod
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
Valoare
compensare/UT
CNAS 9J05AF05O V
05-07-2010
126.68
103.77
126.680000
126.680000
126.680000
CNAS 0J05AFO V
05-07-2010
1,924.62
1,730.70
64.154000
64.154000
64.154000
CNAS 0J05AFO V
05-07-2010
1,744.69
1,565.63
58.156333
58.156333
58.156333
CNAS 0J05AFO V
05-07-2010
1,934.04
1,739.35
64.468000
64.468000
64.468000
MSP
0L03AAP V
05-07-2010
325.26
266.43
325.260000
325.260000
325.260000
MSP
0L03AAP V
05-07-2010
512.98
435.62
512.980000
512.980000
512.980000
MSP
0L03AAP V
05-07-2010
260.83
213.65
260.830000
260.830000
260.830000
MSP
0L03AAP V
05-07-2010
425.24
355.13
425.240000
425.240000
425.240000
CNAS 1L03ABBP V
05-07-2010
423.84
353.84
423.840000
423.840000
423.840000
CNAS 1L03ABBP V
05-07-2010
87.23
68.99
87.230000
87.230000
87.230000
CNAS 1L03ABBP V
05-07-2010
182.79
149.73
182.790000
182.790000
182.790000
CNAS 1L03ABBP V
05-07-2010
489.79
414.35
489.790000
489.790000
489.790000
CNAS 1L03ABBP V
05-07-2010
770.91
672.26
770.910000
770.910000
770.910000
CNAS 1L03ABCP V
05-07-2010
818.23
715.67
818.230000
818.230000
818.230000
CNAS 1L03ABCP V
05-07-2010
967.73
852.82
967.730000
967.730000
967.730000
CNAS 1L03ABCP V
05-07-2010
1,191.02
1,057.68
1,191.020000
1,191.020000
1,191.020000
CNAS 1L03ABCP V
05-07-2010
444.84
373.11
444.840000
444.840000
444.840000
CNAS 1L03ABCP V
05-07-2010
774.99
676.00
774.990000
774.990000
774.990000
CNAS 1L03ABCP V
05-07-2010
973.03
857.69
973.030000
973.030000
973.030000
MSP
9N04BB01O V
9H02AB04O V
9H02AB04O V
9H02AB04O V
9H02AB04P V
9H02AB04P V
9H02AB04P V
9H02AB06P V
9H02AB06P V
0L04AXO V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
17.03
32.54
29.57
6.52
8.78
30.94
20.42
95.39
35.62
80.72
12.60
24.08
21.88
4.82
6.50
22.89
15.11
75.44
27.23
63.84
0.340600
0.650800
1.478500
0.217333
8.780000
30.940000
20.420000
31.796666
11.873333
0.807200
0.340600
0.650800
1.478500
0.217333
8.780000
30.940000
20.420000
31.796666
11.873333
0.807200
0.340600
0.650800
1.478500
0.217333
8.780000
30.940000
20.420000
31.796666
11.873333
0.807200
9A05AA02O V
05-07-2010
123.98
98.05
1.239800
1.239800
1.239800
9A05AA02O V
05-07-2010
71.32
56.41
1.426400
1.239800
1.239800
9A05AA02O V
05-07-2010
68.61
54.26
1.372200
1.239800
1.239800
9A05AA02O V
05-07-2010
54.05
41.32
0.900833
0.900833
0.900833
MSP
MSP
MSP
MSP
9A05AA02O V
9A06AD11O V
9A06AD11O V
9A06AD11O V
9A06AD11O V
9A06AD11O V
9A06AD11O V
9A06AD11O V
9A07AA11O V
9A07AA11O V
0B03XAP V
0B03XAP V
0B03XAP V
0B03XAP V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
35.80
10.94
10.39
3.45
17.20
33.27
7.07
3.56
36.53
19.06
331.02
757.39
1,350.47
608.23
27.37
8.09
7.69
2.55
12.73
25.44
5.23
2.63
27.93
14.10
271.15
659.85
1,203.96
523.01
1.790000
10.940000
10.390000
3.450000
17.200000
33.270000
7.070000
3.560000
3.044166
19.060000
33.102000
126.231666
1,350.470000
60.823000
1.790000
10.940000
3.450000
3.450000
17.200000
17.200000
7.070000
3.560000
3.044166
19.060000
33.102000
100.413333
1,350.470000
60.823000
1.790000
10.940000
3.450000
3.450000
17.200000
17.200000
7.070000
3.560000
3.044166
19.060000
33.102000
100.413333
1,350.470000
60.823000
10000UI/1,0ml
G7
CIROZA HEPATICA
MSP
0B03XAP V
05-07-2010
1,724.65
1,547.25
287.441666
287.441666
287.441666
10000UI/1,0ml
G7
CIROZA HEPATICA
MSP
0B03XAP V
05-07-2010
1,834.63
1,648.14
305.771666
287.441666
287.441666
1000UI/0,5ml
G7
CIROZA HEPATICA
MSP
0B03XAP V
05-07-2010
217.91
178.50
36.318333
36.318333
36.318333
1000UI/0,5ml
G7
CIROZA HEPATICA
MSP
0B03XAP V
05-07-2010
238.11
195.04
39.685000
36.318333
36.318333
2000UI/1,0ml
G7
CIROZA HEPATICA
MSP
0B03XAP V
05-07-2010
425.00
354.91
70.833333
70.833333
70.833333
2000UI/1,0ml
G7
CIROZA HEPATICA
MSP
0B03XAP V
05-07-2010
457.85
385.05
76.308333
70.833333
70.833333
30000UI/0,75ml 1
G7
CIROZA HEPATICA
MSP
0B03XAP V
05-07-2010
786.55
686.60
786.550000
786.550000
786.550000
3000UI/0,3ml
G7
CIROZA HEPATICA
MSP
0B03XAP V
05-07-2010
602.48
517.73
100.413333
100.413333
100.413333
58 / 135
Substan activ
Concentraie
Cantitate Cod boli

Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
3000UI/0,3ml
G7
CIROZA HEPATICA
MSP
0B03XAP V
05-07-2010
651.86
563.04
108.643333
100.413333
100.413333
40000 UI/1 ml
G7
CIROZA HEPATICA
MSP
0B03XAP V
05-07-2010
992.26
875.33
992.260000
992.260000
992.260000
4000UI/0,4ml
G7
CIROZA HEPATICA
MSP
0B03XAP V
05-07-2010
779.91
680.51
129.985000
129.985000
129.985000
4000UI/0,4ml
G7
CIROZA HEPATICA
MSP
0B03XAP V
05-07-2010
840.17
735.80
140.028333
129.985000
129.985000
5000UI/0,5ml
G7
CIROZA HEPATICA
MSP
0B03XAP V
05-07-2010
957.28
843.24
159.546666
159.546666
159.546666
5000UI/0,5ml
G7
CIROZA HEPATICA
MSP
0B03XAP V
05-07-2010
1,039.51
918.68
173.251666
159.546666
159.546666
6000UI/0,6ml
G7
CIROZA HEPATICA
MSP
0B03XAP V
05-07-2010
1,233.28
1,096.45
205.546666
205.546666
205.546666
8000UI/0,8ml
G7
CIROZA HEPATICA
MSP
0B03XAP V
05-07-2010
1,620.80
1,451.97
270.133333
270.133333
270.133333
10000UI/0,6ml
G7
CIROZA HEPATICA
MSP
0B03XAP V
05-07-2010
2,341.24
2,112.92
390.206666
390.206666
390.206666
1000UI/0,3ml
G7
CIROZA HEPATICA
MSP
0B03XAP V
05-07-2010
279.25
228.74
46.541666
46.541666
46.541666
2000UI/0,3ml
G7
CIROZA HEPATICA
MSP
0B03XAP V
05-07-2010
525.21
446.84
87.535000
87.535000
87.535000
30000 UI/0,6ml
G7
CIROZA HEPATICA
MSP
0B03XAP V
05-07-2010
1,171.95
1,040.18
1,171.950000
1,171.950000
1,171.950000
4000UI/0,3ml
G7
CIROZA HEPATICA
MSP
0B03XAP V
05-07-2010
978.92
863.09
163.153333
163.153333
163.153333
5000UI/0,3ml
G7
CIROZA HEPATICA
MSP
0B03XAP V
05-07-2010
1,205.63
1,071.08
200.938333
200.938333
200.938333
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
100mg
150mg
10mg/ml
5mg/ml
10mg
0,5mg
1mg
30MU/0,5ml
48MU/0,5ml
300mcg/0,5ml
480mcg/0,8ml
18Mui/0,6ml
3Mui/0,5ml
9Mui/0,5ml
18 milioane U.I.
30 milioane U.I.
100mcg
120mcg
150mcg
50mcg
6
20
20
20
20
20
20
5
30
50
30
30
20
50
50
50
20
20
3
3
140
168
28
60
1
1
30
30
30
1
1
1
1
1
1
1
1
1
1
1
1
1
G7
G7
G7
G7
G7
G7
G7
G7
G7
G7
G7
G7
G7
G7
G7
G7
G7
G7
G7
G7
G7
G7
G7
G7
G7
G7
G7
G7
G7
G7
G7
G7
G7
G7
G7
G7
G7
G7
G7
G7
G7
G7
CIROZA HEPATICA
CIROZA HEPATICA
CIROZA HEPATICA
CIROZA HEPATICA
CIROZA HEPATICA
CIROZA HEPATICA
CIROZA HEPATICA
CIROZA HEPATICA
CIROZA HEPATICA
CIROZA HEPATICA
CIROZA HEPATICA
CIROZA HEPATICA
CIROZA HEPATICA
CIROZA HEPATICA
CIROZA HEPATICA
CIROZA HEPATICA
CIROZA HEPATICA
CIROZA HEPATICA
CIROZA HEPATICA
CIROZA HEPATICA
CIROZA HEPATICA
CIROZA HEPATICA
CIROZA HEPATICA
CIROZA HEPATICA
CIROZA HEPATICA
CIROZA HEPATICA
CIROZA HEPATICA
CIROZA HEPATICA
CIROZA HEPATICA
CIROZA HEPATICA
CIROZA HEPATICA
CIROZA HEPATICA
CIROZA HEPATICA
CIROZA HEPATICA
CIROZA HEPATICA
CIROZA HEPATICA
CIROZA HEPATICA
CIROZA HEPATICA
CIROZA HEPATICA
CIROZA HEPATICA
CIROZA HEPATICA
CIROZA HEPATICA
MSP
CNAS
CNAS
CNAS
CNAS
CNAS
CNAS
CNAS
CNAS
CNAS
MSP
MSP
MSP
MSP
CNAS
CNAS
CNAS
CNAS
CNAS
CNAS
CNAS
CNAS
CNAS
0B03XAP V
9C03CA01O V
9C03CA01O V
9C03CA01O V
9C03CA01O V
9C03CA01O V
9C03CA01O V
9C03CA01P V
9C03DA01O V
9C03DA01O V
9C03DA01O V
9C03DA01O V
9C03DA01O V
9C03DA01O V
9C03DA01O V
9C03DA01O V
9C03DA01O V
9C03DA01O V
9H02AB06P V
9H02AB06P V
9J05AB04O V
9J05AB04O V
9J05AF05O V
9J05AF05O V
9J05AF05O V
9J05AF05O V
0J05AFO V
0J05AFO V
0J05AFO V
0L03AAP V
0L03AAP V
0L03AAP V
0L03AAP V
1L03ABBP V
1L03ABBP V
1L03ABBP V
1L03ABBP V
1L03ABBP V
1L03ABCP V
1L03ABCP V
1L03ABCP V
1L03ABCP V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
143.59
1.62
2.27
1.62
6.01
3.04
1.60
6.06
28.43
16.04
16.67
16.21
4.30
10.77
10.77
16.18
4.30
13.71
95.39
35.62
610.50
663.76
278.07
397.36
113.11
126.68
1,924.62
1,744.69
1,934.04
325.26
512.98
260.83
425.24
423.84
87.23
182.79
489.79
770.91
818.23
967.73
1,191.02
444.84
117.62
1.20
1.68
1.20
4.45
2.25
1.18
4.48
21.03
11.87
12.33
11.99
3.18
7.97
7.97
11.97
3.18
10.14
75.44
27.23
551.34
600.20
227.78
329.55
89.46
103.77
1,730.70
1,565.63
1,739.35
266.43
435.62
213.65
355.13
353.84
68.99
149.73
414.35
672.26
715.67
852.82
1,057.68
373.11
23.931666
0.081000
0.113500
0.081000
0.300500
0.152000
0.080000
1.212000
0.947666
0.320800
0.555666
0.540333
0.215000
0.215400
0.215400
0.323600
0.215000
0.685500
31.796666
11.873333
4.360714
3.950952
9.931071
6.622666
113.110000
126.680000
64.154000
58.156333
64.468000
325.260000
512.980000
260.830000
425.240000
423.840000
87.230000
182.790000
489.790000
770.910000
818.230000
967.730000
1,191.020000
444.840000
23.931666
0.080000
0.080000
0.080000
0.080000
0.080000
0.080000
1.212000
0.947666
0.320800
0.540333
0.540333
0.215000
0.215000
0.215000
0.215000
0.215000
0.685500
31.796666
11.873333
4.360714
3.950952
9.931071
6.622666
113.110000
126.680000
64.154000
58.156333
64.468000
325.260000
512.980000
260.830000
425.240000
423.840000
87.230000
182.790000
489.790000
770.910000
818.230000
967.730000
1,191.020000
444.840000
23.931666
0.080000
0.080000
0.080000
0.080000
0.080000
0.080000
1.212000
0.947666
0.320800
0.540333
0.540333
0.215000
0.215000
0.215000
0.215000
0.215000
0.685500
31.796666
11.873333
4.360714
3.950952
9.931071
6.622666
113.110000
126.680000
64.154000
58.156333
64.468000
325.260000
512.980000
260.830000
425.240000
423.840000
87.230000
182.790000
489.790000
770.910000
818.230000
967.730000
1,191.020000
444.840000
135mcg/0,5ml
G7
CIROZA HEPATICA
CNAS 1L03ABCP V
05-07-2010
774.99
676.00
774.990000
774.990000
774.990000
180mcg/0,5ml
100mg
1
50
G7
G7
CIROZA HEPATICA
CIROZA HEPATICA
CNAS 1L03ABCP V
MSP 9N04BB01O V
05-07-2010
05-07-2010
973.03
17.03
857.69
12.60
973.030000
0.340600
973.030000
0.340600
973.030000
0.340600
9G03HA01O V
05-07-2010
161.95
132.66
3.239000
3.239000
3.239000
9L01AA01O V
05-07-2010
26.07
19.29
0.521400
0.521400
0.521400
9L01AA01P V
05-07-2010
15.86
11.73
15.860000
15.860000
15.860000
9L01AA02O V
05-07-2010
7.07
5.23
0.282800
0.282800
0.282800
9L01AA03O V
05-07-2010
9.31
6.89
0.372400
0.372400
0.372400
9L01AA06P V
05-07-2010
116.89
92.45
116.890000
116.890000
116.890000
9L01AB01O V
05-07-2010
15.65
11.58
0.626000
0.626000
0.626000
9L01AD02O V
05-07-2010
470.52
396.67
23.526000
23.526000
23.526000

C1 W00264001 VIREGYT (R)- K
AMANTADINUM
Form farmaceutic
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
SOL. INJ.
CAPS.
CAPS.
CAPS.
CAPS.
COMPR.
COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
CAPS.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
SOL. ORALA
SOL. ORALA
COMPR.
COMPR. FILM.
COMPR. FILM.
SOL. INJ.
SOL. INJ.
SOL. INJ./PERF.
SOL. INJ./PERF.
SOL. INJ.
SOL. INJ.
SOL. INJ.
PREUMPLUTA
PREUMPLUTA
CAPS.
C2 W53396002 ANDROCUR
CYPROTERONUM
COMPR.
50mg
50
CYCLOPHOSPHAMIDUM
DRAJ.
50mg
50
CYCLOPHOSPHAMIDUM
C2 W01163002 LEUKERAN
CHLORAMBUCILUM
COMPR. FILM.
2mg
25
C2 W08256001 ALKERAN 2 mg
MELPHALANUM
COMPR. FILM.
2mg
25
C2 W12497001 HOLOXAN 1 g
IFOSFAMIDUM
1g
C2 W00699001 MYLERAN
BUSULFANUM
COMPR. FILM.
2mg
25
C2 W54014001 CEENU
LOMUSTINUM
CAPS. MOI
40mg
20
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
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
C1
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
ADEFOVIRUM DIPIVOXILUM
ENTECAVIRUM
ENTECAVIRUM
W07743002
W03265002
W42036002
W07878001
W43155001
W03264001
W52043001
W42799002
W54824001
W55360002
W54823001
W55359001
W53792001
W53791001
W55072001
W08893001
W52138001
W41550001
W05233001
W05234001
W08062003
W53326004
W07518002
W03923002
W03924002
W07520001
W51522001
W51442002
W51443002
W51424001
W51423001
W53520001
W53523001
W51330002
W51327001
W51329001
W13209002
W13208001
W07812002
W07813001
W07840001
W07841001
NEORECORMON 500UI/0,3ml
FUROSEMID MCC 40 mg
FUROSEMID SLAVIA
FUROSEMID EEL
FUROSEMID ZENTIVA
FUROSEMID LPH 40 mg
FUROSEMID ARENA 40 mg
FUROSEMID 20 mg/2 ml
VEROSPIRON
SPIRONOLACTONA ARENA 25 mg
VEROSPIRON
SPIRONOLACTONA ARENA 50 mg
SPIRONOLACTONA EEL 25 mg
SPIRONOLACTONA OZONE 25 mg
SPIRONOLACTONA OZONE 25 mg
SPIRONOLACTONA 25 mg
ALSPIRON 25 mg
ALSPIRON 50 mg
REBETOL 200 mg
COPEGUS 200mg
ZEFFIX 100 mg
EPIVIR 150mg
EPIVIR 10mg/ml
ZEFFIX 5 mg/ml
HEPSERA
BARACLUDE 0,5mg
BARACLUDE 1mg
NEUPOGEN (R)
NEUPOGEN (R)
TEVAGRASTIM 30MUI/0,5ml
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
Mentiuni
sublista
Cod
Programul national de
oncologie
oncologie
oncologie
oncologie
oncologie
oncologie
oncologie
oncologie
MS
Valoare
compensare/UT
59 / 135
Substan activ
Form farmaceutic
Concentraie
Cantitate Cod boli

C2 W55506001 TEMOZOLOMIDE SANDOZ 100 mg
TEMOZOLOMIDUM
CAPS.
100 mg
C2 W05788001 TEMODAL 100 mg
TEMOZOLOMIDUM
CAPS.
100mg
TEMOZOLOMIDUM
CAPS.
100mg
C2 W55335001 TEMOZOLOMIDE TEVA 100 mg
TEMOZOLOMIDUM
CAPS.
100mg
C2 W52722003 TEMODAL 140mg
TEMOZOLOMIDUM
CAPS.
140mg
TEMOZOLOMIDUM
CAPS.
180mg
TEMOZOLOMIDUM
CAPS.
20 mg
TEMOZOLOMIDUM
CAPS.
20mg
TEMOZOLOMIDUM
CAPS.
20mg
TEMOZOLOMIDUM
CAPS.
20mg
TEMOZOLOMIDUM
CAPS.
250 mg
TEMOZOLOMIDUM
CAPS.
250mg
TEMOZOLOMIDUM
CAPS.
250mg
TEMOZOLOMIDUM
CAPS.
5mg
C2 W54150001 TEMODAL 2,5mg/ml
TEMOZOLOMIDUM
2,5mg/ml
C2 W55580001 DACARBAZINE 200 mg
DACARBAZINUM
PULB. PT. SOL. INJ.
200mg
10
C2 W54019001 METOTREXATE BELLON 2,5 mg
METHOTREXATUM
COMPR.
2,5mg
20
METHOTREXATUM
100mg/ml
METHOTREXATUM
100mg/ml
METHOTREXATUM
100mg/ml
METHOTREXATUM
5mg/ml
10
METHOTREXATUM
50mg/ml
METHOTREXATUM
SOL. INJ.
PREUMPLUTA
PREUMPLUTA
50mg/ml
METHOTREXATUM
C2 W42003001 ALIMTA 500mg
10mg/ml
PEMETREXEDUM
SOL. INJ./PERF.
PERF.
500mg
C2 W04118001 PURI - NETHOL
MERCAPTOPURINUM
COMPR.
50mg
25
C2 W05922001 LANVIS
TIOGUANINUM
COMPR.
40mg
25
C2 W44114001 LITAK 2 mg/ml
CLADRIBINUM
SOL. INJ.
2mg/ml
C2 W53403002 FLUDARA ORAL 10 mg
FLUDARABINUM
COMPR. FILM.
10mg
20
C2 W53398001 FLUDARA
FLUDARABINUM
50mg
C2 W53700001 FLUDARABINA ACTAVIS 25 mg/ml
FLUDARABINUM
25mg/ml
C2 W02380001 CYTOSAR 100 mg
CYTARABINUM
100mg
C2 W13946007 ALEXAN 20mg/ml
CYTARABINUM
SOL. INJ.
20mg/ml
10
CYTARABINUM
SOL. INJ.
20mg/ml
CYTARABINUM
SOL. INJ.
50mg/ml
CYTARABINUM
SOL. INJ.
50mg/ml
C2 W53814001 DEPOCYTE 50mg
CYTARABINUM
SUSP. INJ.
50mg
C2 W43451001 5 - FLUOROURACIL EBEWE 50mg/ml
FLUOROURACILUM
50mg/ml
FLUOROURACILUM
50mg/ml
FLUOROURACILUM
50mg/ml
FLUOROURACILUM
50mg/ml
C2 W41582001 EFUDIX
FLUOROURACILUM
UNGUENT
50 mg/g
C2 W52182001 GEMCITABINA SINDAN 1 g
GEMCITABINUM
1g
C2 W53192001 DERCIN 1 g
GEMCITABINUM
1g
C2 W53505001 DAPLAX 1 g
GEMCITABINUM
1g
C2 W53508001 GEMCITABINE POLPHARMA 1 g
GEMCITABINUM
1g

3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
oncologie
3
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
Mentiuni
sublista
Cod
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
Valoare
compensare/UT
MSP
9L01AX03O V
05-07-2010
1,184.24
1,051.46
236.848000
236.848000
236.848000
MSP
9L01AX03O V
05-07-2010
1,783.75
1,601.47
356.750000
356.750000
356.750000
MSP
9L01AX03O V
05-07-2010
1,717.88
1,541.03
343.576000
343.576000
343.576000
MSP
9L01AX03O V
05-07-2010
1,184.24
1,051.46
236.848000
236.848000
236.848000
MSP
9L01AX03O V
05-07-2010
2,778.07
2,513.68
555.614000
555.614000
555.614000
MSP
9L01AX03O V
05-07-2010
3,531.02
3,204.46
706.204000
706.204000
706.204000
MSP
9L01AX03O V
05-07-2010
279.72
229.13
55.944000
55.944000
55.944000
MSP
9L01AX03O V
05-07-2010
420.15
350.46
84.030000
84.030000
84.030000
MSP
9L01AX03O V
05-07-2010
406.70
338.12
81.340000
81.340000
81.340000
MSP
9L01AX03O V
05-07-2010
279.72
229.13
55.944000
55.944000
55.944000
MSP
9L01AX03O V
05-07-2010
2,799.75
2,533.57
559.950000
559.950000
559.950000
MSP
9L01AX03O V
05-07-2010
4,269.16
3,881.66
853.832000
853.832000
853.832000
MSP
9L01AX03O V
05-07-2010
2,799.75
2,533.57
559.950000
559.950000
559.950000
MSP
9L01AX03O V
05-07-2010
115.63
91.45
23.126000
23.126000
23.126000
MSP
9L01AX03P V
05-07-2010
1,364.43
1,216.77
1,364.430000
1,364.430000
1,364.430000
9L01AX04P V
05-07-2010
208.83
171.06
20.883000
20.883000
20.883000
9L01BA01O V
05-07-2010
22.79
16.86
1.139500
1.139500
1.139500
9L01BA01P V
05-07-2010
240.51
197.01
48.102000
48.102000
48.102000
9L01BA01P V
05-07-2010
89.44
70.74
89.440000
89.440000
89.440000
9L01BA01P V
05-07-2010
400.04
332.01
400.040000
400.040000
400.040000
9L01BA01P V
05-07-2010
23.77
17.59
2.377000
2.377000
2.377000
9L01BA01P V
05-07-2010
109.28
86.43
109.280000
109.280000
109.280000
9L01BA01P V
05-07-2010
123.90
101.49
123.900000
123.900000
123.900000
9L01BA01P V
05-07-2010
13.30
9.84
13.300000
13.300000
13.300000
CNAS 9L01BA04P V
05-07-2010
5,524.45
5,033.30
5,524.450000
5,524.450000
5,524.450000
9L01BB02O V
05-07-2010
46.39
35.47
1.855600
1.855600
1.855600
9L01BB03O V
05-07-2010
96.18
76.07
3.847200
3.847200
3.847200
9L01BB04P V
05-07-2010
1,599.58
1,432.50
1,599.580000
1,599.580000
1,599.580000
CNAS 9L01BB05O V
05-07-2010
1,865.33
1,676.31
93.266500
93.266500
93.266500
9L01BB05P V
05-07-2010
2,665.05
2,410.00
533.010000
533.010000
533.010000
9L01BB05P V
05-07-2010
408.10
339.40
408.100000
408.100000
408.100000
9L01BC01P V
05-07-2010
14.24
10.54
14.240000
14.240000
14.240000
9L01BC01P V
05-07-2010
123.08
97.34
12.308000
12.308000
12.308000
9L01BC01P V
05-07-2010
6.22
4.60
6.220000
6.220000
6.220000
9L01BC01P V
05-07-2010
96.30
76.16
96.300000
96.300000
96.300000
9L01BC01P V
05-07-2010
59.00
45.11
59.000000
59.000000
59.000000
9L01BC01P V
05-07-2010
7,618.35
6,954.30
7,618.350000
7,618.350000
7,618.350000
9L01BC02P V
05-07-2010
4.71
3.48
4.710000
4.710000
4.710000
9L01BC02P V
05-07-2010
19.06
14.10
19.060000
19.060000
19.060000
9L01BC02P V
05-07-2010
113.69
89.92
113.690000
113.690000
113.690000
9L01BC02P V
05-07-2010
9.57
7.08
9.570000
9.570000
9.570000
9L01BC02TD V 05-07-2010
116.09
91.81
116.090000
116.090000
116.090000
MSP
9L01BC05P V
05-07-2010
1,104.30
978.12
1,104.300000
1,104.300000
1,104.300000
MSP
9L01BC05P V
05-07-2010
442.91
371.34
442.910000
442.910000
442.910000
MSP
9L01BC05P V
05-07-2010
742.29
646.00
742.290000
742.290000
742.290000
MSP
9L01BC05P V
05-07-2010
698.65
605.96
698.650000
698.650000
698.650000
60 / 135
Substan activ
Form farmaceutic
Concentraie
Cantitate Cod boli

C2 W53937001 GITRABIN 1 g
GEMCITABINUM
1g
C2 W54991001 NALLIAN1 g
GEMCITABINUM
1g
C2 W55240001 GEMCITIN 1 g
GEMCITABINUM
1g
C2 W52183001 GEMCITABINA SINDAN 200 mg
GEMCITABINUM
200mg
C2 W53191001 DERCIN 200 mg
GEMCITABINUM
200mg
C2 W53504001 DAPLAX 200 mg
GEMCITABINUM
200mg
C2 W53507001 GEMCITABINE POLPHARMA 200 mg
GEMCITABINUM
200mg
C2 W53649001 GITRABIN 200 mg
GEMCITABINUM
200mg
C2 W54990001 NALLIAN 200 mg
GEMCITABINUM
200mg
C2 W55241001 GEMCITIN 200 mg
GEMCITABINUM
200mg
C2 W54088001 GEMCITABINE MEDAC 38 mg/ml
GEMCITABINUM
38mg/ml
GEMCITABINUM
38mg/ml
GEMCITABINUM
38mg/ml
C2 W54270001 GEMCITABINE MYLAN 38 mg/ml
GEMCITABINUM
38mg/ml
C2 W54270005 GEMCITABINE MYLAN 38 mg/ml
GEMCITABINUM
38mg/ml
C2 W54381001 GEMCIRENA 38 mg/ml
GEMCITABINUM
38mg/ml
GEMCITABINUM
38mg/ml
GEMCITABINUM
38mg/ml
C2 W08338001 XELODA 150 mg
CAPECITABINUM
COMPR. FILM.
150mg
60
C2 W08339001 XELODA 500 mg
CAPECITABINUM
COMPR. FILM.
500mg
120
C2 W42670006 UFT
COMBINATII (TAGAFUR+URACIL)
CAPS.
100mg+224mg
120
C2 W42670005 UFT
COMBINATII (TAGAFUR+URACIL)
CAPS.
100mg+224mg
36
C2 W54621001 VINBLASTINE PCH
VINBLASTINUM
SOL. INJ.
1mg/ml
C2 W52220001 SINDOVIN 1 mg
VINCRISTINUM
LIOF. PT. SOL. INJ./PERF. I.V.
1mg
C2 W42512002 NAVELBINE 20 mg
VINORELBINUM
CAPS. MOI
20mg
C2 W42513002 NAVELBINE 30 mg
VINORELBINUM
CAPS. MOI
30mg
C2 W43735002 VINORELBIN EBEWE 10 mg/ ml
VINORELBINUM
10mg/ml
C2 W43735001 VINORELBIN EBEWE 10 mg/ ml
VINORELBINUM
10mg/ml
C2 W43637003 VINORELBIN TEVA 10 mg/ml
VINORELBINUM
10mg/ml
C2 W43637001 VINORELBIN TEVA 10 mg/ml
VINORELBINUM
10mg/ml
C2 W52194002 VINORELBIN ACTAVIS 10 mg/ml
VINORELBINUM
10mg/ml
C2 W52194001 VINORELBIN ACTAVIS 10 mg/ml
VINORELBINUM
10mg/ml
C2 W53906001 TELBINE 10 mg/ml
VINORELBINUM
10mg/ml
C2 W53906003 TELBINE 10 mg/ml
VINORELBINUM
10mg/ml
C2 W54483001 VINORELBINE POLPHARMA 10mg/ml
VINORELBINUM
10mg/ml
C2 W54483002 VINORELBINE POLPHARMA 10mg/ml
VINORELBINUM
10mg/ml
10
C2 W54484001 VINORELBINE POLPHARMA 50mg/5ml
VINORELBINUM
50mg/5ml
C2 W54484002 VINORELBINE POLPHARMA 50mg/5ml
VINORELBINUM
50mg/5ml
10
C2 W03901001 NAVELBINE (R)
VINORELBINUM
SOL. INJ.
10mg/ml
10
C2 W08035001 VEPESID
ETOPOSIDUM
CAPS. MOI
100mg
10
C2 W08036001 VEPESID
ETOPOSIDUM
CAPS. MOI
50mg
20
C2 W03065001 ETOPOSID "EBEWE" 100 mg/5 ml
ETOPOSIDUM
100mg/5ml
C2 W52210001 SINTOPOZID 100 mg/5 ml
ETOPOSIDUM
100mg/5ml
C2 W52574001 ETOPOSIDE - TEVA
ETOPOSIDUM
20mg/ml
C2 W52574002 ETOPOSIDE - TEVA
ETOPOSIDUM
20mg/ml
C2 W51255002 ONXOL 6mg/ml
PACLITAXELUM
6mg/ml

3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
oncologie
3
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
Mentiuni
sublista
Cod
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
MSP
9L01BC05P V
05-07-2010
748.35
651.56
748.350000
748.350000
748.350000
MSP
9L01BC05P V
05-07-2010
742.60
646.28
742.600000
742.600000
742.600000
MSP
9L01BC05P V
05-07-2010
336.89
275.96
336.890000
336.890000
336.890000
MSP
9L01BC05P V
05-07-2010
288.60
236.40
288.600000
288.600000
288.600000
MSP
9L01BC05P V
05-07-2010
96.68
76.46
96.680000
96.680000
96.680000
MSP
9L01BC05P V
05-07-2010
174.92
143.28
174.920000
174.920000
174.920000
MSP
9L01BC05P V
05-07-2010
153.81
125.99
153.810000
153.810000
153.810000
MSP
9L01BC05P V
05-07-2010
171.22
140.25
171.220000
171.220000
171.220000
MSP
9L01BC05P V
05-07-2010
187.59
153.66
187.590000
187.590000
187.590000
MSP
9L01BC05P V
05-07-2010
70.92
56.09
70.920000
70.920000
70.920000
MSP
9L01BC05P V
05-07-2010
119.48
94.50
119.480000
119.480000
119.480000
MSP
9L01BC05P V
05-07-2010
507.11
430.24
507.110000
507.110000
507.110000
MSP
9L01BC05P V
05-07-2010
725.45
630.55
725.450000
725.450000
725.450000
MSP
9L01BC05P V
05-07-2010
94.91
75.06
94.910000
94.910000
94.910000
MSP
9L01BC05P V
05-07-2010
422.96
353.04
422.960000
422.960000
422.960000
MSP
9L01BC05P V
05-07-2010
96.59
76.39
96.590000
96.590000
96.590000
MSP
9L01BC05P V
05-07-2010
442.85
371.28
442.850000
442.850000
442.850000
MSP
9L01BC05P V
05-07-2010
628.83
541.91
628.830000
628.830000
628.830000
9L01BC06O V
05-07-2010
292.44
239.55
4.874000
4.874000
4.874000
9L01BC06O V
05-07-2010
1,645.63
1,474.75
13.713583
13.713583
13.713583
9L01BC53O V
05-07-2010
2,181.19
1,966.09
18.176583
18.176583
18.176583
9L01BC53O V
05-07-2010
703.93
610.81
19.553611
19.553611
19.553611
9L01CA01P V
05-07-2010
44.87
34.30
44.870000
44.870000
44.870000
9L01CA02P V
05-07-2010
27.86
20.61
27.860000
27.860000
27.860000
9L01CA04O V
05-07-2010
237.60
194.63
237.600000
237.600000
237.600000
9L01CA04O V
05-07-2010
356.36
291.91
356.360000
356.360000
356.360000
9L01CA04P V
05-07-2010
421.01
351.25
421.010000
421.010000
421.010000
9L01CA04P V
05-07-2010
90.99
71.96
90.990000
90.990000
90.990000
9L01CA04P V
05-07-2010
421.01
351.25
421.010000
421.010000
421.010000
9L01CA04P V
05-07-2010
90.99
71.96
90.990000
90.990000
90.990000
9L01CA04P V
05-07-2010
526.36
447.90
526.360000
526.360000
526.360000
9L01CA04P V
05-07-2010
91.00
71.97
91.000000
91.000000
91.000000
9L01CA04P V
05-07-2010
90.99
71.96
90.990000
90.990000
90.990000
9L01CA04P V
05-07-2010
421.01
351.25
421.010000
421.010000
421.010000
9L01CA04P V
05-07-2010
91.00
71.97
91.000000
91.000000
91.000000
9L01CA04P V
05-07-2010
555.64
474.76
55.564000
55.564000
55.564000
9L01CA04P V
05-07-2010
420.98
351.22
420.980000
420.980000
420.980000
9L01CA04P V
05-07-2010
2,131.11
1,920.14
213.111000
213.111000
213.111000
9L01CA04P V
05-07-2010
1,148.41
1,018.59
114.841000
114.841000
114.841000
9L01CB01O V
05-07-2010
376.74
310.63
37.674000
37.674000
37.674000
9L01CB01O V
05-07-2010
373.70
307.84
18.685000
18.685000
18.685000
9L01CB01P V
05-07-2010
50.95
38.95
50.950000
50.950000
50.950000
9L01CB01P V
05-07-2010
42.84
32.75
42.840000
42.840000
42.840000
9L01CB01P V
05-07-2010
41.71
31.89
41.710000
41.710000
41.710000
9L01CB01P V
05-07-2010
77.04
60.93
77.040000
77.040000
77.040000
9L01CD01P V
05-07-2010
426.40
356.19
426.400000
426.400000
426.400000
MS
MSP
Valoare
compensare/UT
61 / 135
Substan activ
Form farmaceutic
Concentraie
Cantitate Cod boli

PACLITAXELUM
6mg/ml
PACLITAXELUM
6mg/ml
PACLITAXELUM
6mg/ml
C2 W43372003 PACLITAXEL EBEWE 6mg/ml
PACLITAXELUM
6mg/ml
PACLITAXELUM
6mg/ml
PACLITAXELUM
6mg/ml
PACLITAXELUM
6mg/ml
C2 W52058003 PACLITAXEL 6 mg/ml
PACLITAXELUM
6mg/ml
PACLITAXELUM
6mg/ml
10
PACLITAXELUM
6mg/ml
C2 W52212002 SINDAXEL
PACLITAXELUM
6mg/ml
PACLITAXELUM
6mg/ml
PACLITAXELUM
6mg/ml
PACLITAXELUM
6mg/ml
PACLITAXELUM
6mg/ml
C2 W54068001 PACLITAXEL KABI 6mg/ml
PACLITAXELUM
6mg/ml
PACLITAXELUM
6mg/ml
PACLITAXELUM
6mg/ml
PACLITAXELUM
6mg/ml
PACLITAXELUM
6mg/ml
PACLITAXELUM
6mg/ml
C2 W55204001 PACLITAXEL PHARMASWISS 6 mg/ml
PACLITAXELUM
6mg/ml
C2 W55204002 PACLITAXEL PHARMASWISS 6 mg/ml
PACLITAXELUM
6mg/ml
C2 W54978001 PACLITAXEL ARCHIE SAMUEL 6 mg/ml
PACLITAXELUM
6mg/ml
PACLITAXELUM
6mg/ml
PACLITAXELUM
6mg/ml
PACLITAXELUM
6mg/ml
C2 W12995001 TAXOTERE 20 mg
DOCETAXELUM
20mg
C2 W55406001 DOCETAXEL TEVA 20mg/0,5ml
DOCETAXELUM
20mg/0,5ml
C2 W12994001 TAXOTERE 80 mg
DOCETAXELUM
80mg
C2 W55407001 DOCETAXEL TEVA 80mg/2ml
DOCETAXELUM

CONC. + SOLV. PT. SOL.
PERF.
PERF.
PERF.
PERF.
80mg/2ml
C2 W55044001 TAXOTERE 20 mg/1ml
DOCETAXELUM
20mg/1ml
C2 W55045001 TAXOTERE 80 mg/4ml
DOCETAXELUM
80mg/4ml
C2 W54311001 COSMOGEN LYOVAC 0,5 mg
DACTINOMICINUM
SOL. INJ.
0,5mg
C2 W02868002 CAELYX 2 mg/ml
DOXORUBICINUM
2mg/ml
C2 W02868003 CAELYX 2 mg/ml
DOXORUBICINUM
2mg/ml
C2 W42736002 DOXORUBICIN "EBEWE" 2mg/ml
DOXORUBICINUM
2mg/ml
C2 W42736001 DOXORUBICIN "EBEWE" 2mg/ml
DOXORUBICINUM
2mg/ml
C2 W52191001 ADRIBLASTINA RD 10 mg
DOXORUBICINUM
LIOF. PT. SOL. INJ.
10mg
C2 W52192001 ADRIBLASTINA RD 50 mg
DOXORUBICINUM
LIOF. PT. SOL. INJ.
50mg
C2 W52903001 SINDROXOCIN 2mg/ml
DOXORUBICINUM
2mg/ml
C2 W52903002 SINDROXOCIN 2mg/ml
DOXORUBICINUM
2mg/ml
C2 W52570002 DOXORUBICIN TEVA 2 mg/ml
DOXORUBICINUM
SOL. INJ.
2mg/ml
C2 W52570003 DOXORUBICIN TEVA 2 mg/ml
DOXORUBICINUM
SOL. INJ.
2mg/ml
C2 W41876001 EPIRUBICIN "EBEWE" 2 mg/ml
EPIRUBICINUM
CONC. PT. SOL. INJ.
2mg/ml
EPIRUBICINUM
CONC. PT. SOL. INJ.
2mg/ml

3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
Mentiuni
sublista
Cod
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
Valoare
compensare/UT
MSP
9L01CD01P V
05-07-2010
646.44
558.06
646.440000
646.440000
646.440000
MSP
9L01CD01P V
05-07-2010
1,235.11
1,098.13
1,235.110000
1,235.110000
1,235.110000
MSP
9L01CD01P V
05-07-2010
139.97
114.65
139.970000
139.970000
139.970000
MSP
9L01CD01P V
05-07-2010
943.07
830.20
943.070000
943.070000
943.070000
MSP
9L01CD01P V
05-07-2010
1,235.14
1,098.15
1,235.140000
1,235.140000
1,235.140000
MSP
9L01CD01P V
05-07-2010
426.43
356.22
426.430000
426.430000
426.430000
MSP
9L01CD01P V
05-07-2010
140.00
114.68
140.000000
140.000000
140.000000
MSP
9L01CD01P V
05-07-2010
1,137.53
1,008.60
1,137.530000
1,137.530000
1,137.530000
MSP
9L01CD01P V
05-07-2010
1,103.77
977.63
110.377000
110.377000
110.377000
MSP
9L01CD01P V
05-07-2010
1,414.41
1,262.62
353.602500
353.602500
353.602500
MSP
9L01CD01P V
05-07-2010
426.43
356.22
426.430000
426.430000
426.430000
MSP
9L01CD01P V
05-07-2010
1,235.14
1,098.15
1,235.140000
1,235.140000
1,235.140000
MSP
9L01CD01P V
05-07-2010
140.00
114.68
140.000000
140.000000
140.000000
MSP
9L01CD01P V
05-07-2010
646.56
558.17
646.560000
646.560000
646.560000
MSP
9L01CD01P V
05-07-2010
1,027.16
907.35
1,027.160000
1,027.160000
1,027.160000
MSP
9L01CD01P V
05-07-2010
129.29
105.91
129.290000
129.290000
129.290000
MSP
9L01CD01P V
05-07-2010
586.21
502.81
117.242000
117.242000
117.242000
MSP
9L01CD01P V
05-07-2010
406.71
338.13
406.710000
406.710000
406.710000
MSP
9L01CD01P V
05-07-2010
1,750.14
1,570.63
350.028000
350.028000
350.028000
MSP
9L01CD01P V
05-07-2010
1,137.48
1,008.56
1,137.480000
1,137.480000
1,137.480000
MSP
9L01CD01P V
05-07-2010
5,404.01
4,922.80
1,080.802000
1,080.802000
1,080.802000
MSP
9L01CD01P V
05-07-2010
128.85
105.55
128.850000
128.850000
128.850000
MSP
9L01CD01P V
05-07-2010
407.02
338.41
407.020000
407.020000
407.020000
MSP
9L01CD01P V
05-07-2010
139.97
114.65
139.970000
139.970000
139.970000
MSP
9L01CD01P V
05-07-2010
426.40
356.19
426.400000
426.400000
426.400000
MSP
9L01CD01P V
05-07-2010
646.44
558.06
646.440000
646.440000
646.440000
MSP
9L01CD01P V
05-07-2010
1,235.11
1,098.13
1,235.110000
1,235.110000
1,235.110000
MSP
9L01CD02P V
05-07-2010
631.11
544.00
631.110000
631.110000
631.110000
MSP
9L01CD02P V
05-07-2010
434.96
364.05
434.960000
434.960000
434.960000
MSP
9L01CD02P V
05-07-2010
2,311.91
2,086.02
2,311.910000
2,311.910000
2,311.910000
MSP
9L01CD02P V
05-07-2010
1,527.54
1,366.41
1,527.540000
1,527.540000
1,527.540000
MSP
9L01CD02P V
05-07-2010
631.11
544.00
631.110000
631.110000
631.110000
MSP
9L01CD02P V
05-07-2010
2,311.91
2,086.02
2,311.910000
2,311.910000
2,311.910000
MS
9L01DA01P V
05-07-2010
123.43
101.11
123.430000
123.430000
123.430000
9L01DB01P V
05-07-2010
1,610.02
1,442.08
1,610.020000
1,610.020000
1,610.020000
9L01DB01P V
05-07-2010
3,918.76
3,560.19
3,918.760000
3,918.760000
3,918.760000
9L01DB01P V
05-07-2010
134.17
109.90
134.170000
134.170000
134.170000
9L01DB01P V
05-07-2010
36.82
28.15
36.820000
36.820000
36.820000
9L01DB01P V
05-07-2010
37.25
28.48
37.250000
37.250000
37.250000
9L01DB01P V
05-07-2010
139.01
113.87
139.010000
139.010000
139.010000
9L01DB01P V
05-07-2010
35.46
27.11
35.460000
35.460000
35.460000
9L01DB01P V
05-07-2010
128.69
105.41
128.690000
128.690000
128.690000
9L01DB01P V
05-07-2010
83.83
66.30
83.830000
83.830000
83.830000
9L01DB01P V
05-07-2010
112.55
89.01
112.550000
112.550000
112.550000
9L01DB03P V
05-07-2010
63.51
48.55
63.510000
63.510000
63.510000
9L01DB03P V
05-07-2010
532.43
453.47
532.430000
532.430000
532.430000
62 / 135
Substan activ
Form farmaceutic
Concentraie
Cantitate Cod boli

EPIRUBICINUM
CONC. PT. SOL. INJ.
2mg/ml
C2 W52209001 EPISINDAN 10 mg
EPIRUBICINUM
LIOF. PT. SOL. INJ.
10mg
C2 W52197001 FARMORUBICIN RD 10 mg
EPIRUBICINUM
LIOF. PT. SOL. INJ.
10mg
C2 W52208001 EPISINDAN 50 mg
EPIRUBICINUM
LIOF. PT. SOL. INJ.
50mg
C2 W52196001 FARMORUBICIN (R) RD 50 mg
EPIRUBICINUM
LIOF. PT. SOL. INJ.
50mg
C2 W53860001 EPIRUBICINA TEVA 2 mg/ml
EPIRUBICINUM
SOL. INJ./PERF.
2mg/ml
EPIRUBICINUM
SOL. INJ./PERF.
2mg/ml
EPIRUBICINUM
SOL. INJ./PERF.
2mg/ml
EPIRUBICINUM
SOL. INJ./PERF.
2mg/ml
EPIRUBICINUM
SOL. INJ./PERF.
2mg/ml
C2 W55573001 ECCLEPIA 2 mg/ml
EPIRUBICINUM
SOL. INJ./PERF.
2mg/ml
EPIRUBICINUM
SOL. INJ./PERF.
2mg/ml
EPIRUBICINUM
SOL. INJ./PERF.
2mg/ml
EPIRUBICINUM
SOL. INJ./PERF.
2mg/ml
EPIRUBICINUM
SOL. INJ./PERF.
2mg/ml
C2 W03575001 ZAVEDOS
IDARUBICINUM
CAPS.
10mg
C2 W03581001 ZAVEDOS 5 mg
IDARUBICINUM
LIOF. PT. SOL. INJ.
5mg
C2 W42735002 ONKOTRONE
MITOXANTRONUM
CONC. PT. SOL. INJ.
2mg/ml
C2 W51235001 BLEOCIN
BLEOMYCINUM SULFAS
LIOF. PT. SOL. INJ.
15mg
C2 W01315001 CISPLATIN "EBEWE" 10 mg/20 ml
CISPLATINUM
10mg/20ml
C2 W52577001 CISPLATIN TEVA 10 mg/20 ml
CISPLATINUM
10mg/20ml
C2 W52187002 SINPLATIN 1 mg/1 ml
CISPLATINUM
1mg/1ml
C2 W52187001 SINPLATIN 1 mg/1 ml
CISPLATINUM
1mg/1ml
CISPLATINUM
25mg/50ml
CISPLATINUM
50mg/100ml
C2 W13052003 CARBOPLATIN "EBEWE" 10 mg/ml
CARBOPLATINUM
10mg/ml
CARBOPLATINUM
10mg/ml
CARBOPLATINUM
10mg/ml
C2 W52579002 CARBOPLATIN TEVA 10mg/ml
CARBOPLATINUM
10mg/ml
C2 W52579003 CARBOPLATIN TEVA 10mg/ml
CARBOPLATINUM
10mg/ml
C2 W53000001 CARBOPLATIN ACTAVIS 10mg/ml
CARBOPLATINUM
10mg/ml
CARBOPLATINUM
10mg/ml
CARBOPLATINUM
10mg/ml
C2 W42983002 ELOXATIN 5mg/ml
OXALIPLATINUM
5mg/ml
C2 W42983001 ELOXATIN 5mg/ml
OXALIPLATINUM
5mg/ml
C2 W54318002 OXALIPLATINA TEVA 5 mg/ml
OXALIPLATINUM
5mg/ml
C2 W54318003 OXALIPLATINA TEVA 5 mg/ml
OXALIPLATINUM
5mg/ml
C2 W12948001 ELOXATIN 5 mg/ml
OXALIPLATINUM
5mg/ml
C2 W12948002 ELOXATIN 5 mg/ml
OXALIPLATINUM
5mg/ml
C2 W52195002 OXALIPLATIN ACTAVIS 5 mg/ml
OXALIPLATINUM
5mg/ml
C2 W52195001 OXALIPLATIN ACTAVIS 5 mg/ml
OXALIPLATINUM
5mg/ml
C2 W52468003 OXALIPLATIN EBEWE 5mg/ml
OXALIPLATINUM
5mg/ml
OXALIPLATINUM
5mg/ml
OXALIPLATINUM
5mg/ml
C2 W53414001 OXALIPLATIN ACCORD 5 mg/ml
OXALIPLATINUM
5mg/ml
C2 W54652001 OXALIPLATIN ACCORD 5 mg/ml
OXALIPLATINUM
5mg/ml

3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
oncologie
3
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
Mentiuni
sublista
Cod
MSP
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
Valoare
compensare/UT
9L01DB03P V
05-07-2010
282.29
231.23
282.290000
282.290000
282.290000
9L01DB03P V
05-07-2010
55.77
42.64
55.770000
55.770000
55.770000
9L01DB03P V
05-07-2010
75.32
59.57
75.320000
75.320000
75.320000
9L01DB03P V
05-07-2010
284.57
233.10
284.570000
284.570000
284.570000
9L01DB03P V
05-07-2010
318.89
261.21
318.890000
318.890000
318.890000
9L01DB03P V
05-07-2010
55.45
42.39
55.450000
55.450000
55.450000
9L01DB03P V
05-07-2010
105.18
83.19
105.180000
105.180000
105.180000
9L01DB03P V
05-07-2010
249.27
204.19
249.270000
249.270000
249.270000
9L01DB03P V
05-07-2010
677.71
586.75
677.710000
677.710000
677.710000
9L01DB03P V
05-07-2010
879.23
771.63
879.230000
879.230000
879.230000
9L01DB03P V
05-07-2010
52.19
39.90
52.190000
52.190000
52.190000
9L01DB03P V
05-07-2010
101.96
80.64
101.960000
101.960000
101.960000
9L01DB03P V
05-07-2010
241.72
198.00
241.720000
241.720000
241.720000
9L01DB03P V
05-07-2010
528.65
450.00
528.650000
528.650000
528.650000
9L01DB03P V
05-07-2010
877.45
770.00
877.450000
877.450000
877.450000
9L01DB06O V
05-07-2010
247.64
202.85
247.640000
247.640000
247.640000
9L01DB06P V
05-07-2010
174.59
143.01
174.590000
174.590000
174.590000
9L01DB07P V
05-07-2010
642.27
554.24
642.270000
642.270000
642.270000
9L01DC01P V
05-07-2010
76.37
60.40
76.370000
76.370000
76.370000
9L01XA01P V
05-07-2010
12.37
9.15
12.370000
12.370000
12.370000
9L01XA01P V
05-07-2010
11.99
8.87
11.990000
11.990000
11.990000
9L01XA01P V
05-07-2010
32.91
24.35
32.910000
32.910000
32.910000
9L01XA01P V
05-07-2010
10.45
7.73
10.450000
10.450000
10.450000
9L01XA01P V
05-07-2010
29.74
22.00
29.740000
29.740000
29.740000
9L01XA01P V
05-07-2010
41.20
31.50
41.200000
41.200000
41.200000
9L01XA02P V
05-07-2010
216.88
177.65
216.880000
216.880000
216.880000
9L01XA02P V
05-07-2010
29.48
21.81
29.480000
29.480000
29.480000
9L01XA02P V
05-07-2010
78.85
62.36
78.850000
78.850000
78.850000
9L01XA02P V
05-07-2010
61.91
47.33
61.910000
61.910000
61.910000
9L01XA02P V
05-07-2010
161.75
132.49
161.750000
161.750000
161.750000
9L01XA02P V
05-07-2010
24.33
18.00
24.330000
24.330000
24.330000
9L01XA02P V
05-07-2010
65.25
49.89
65.250000
65.250000
65.250000
9L01XA02P V
05-07-2010
162.03
132.72
162.030000
162.030000
162.030000
9L01XA03P V
05-07-2010
1,704.18
1,528.47
1,704.180000
1,704.180000
1,704.180000
9L01XA03P V
05-07-2010
887.70
779.40
887.700000
887.700000
887.700000
9L01XA03P V
05-07-2010
547.78
467.55
547.780000
547.780000
547.780000
9L01XA03P V
05-07-2010
1,024.71
905.10
1,024.710000
1,024.710000
1,024.710000
9L01XA03P V
05-07-2010
1,704.18
1,528.47
1,704.180000
1,704.180000
1,704.180000
9L01XA03P V
05-07-2010
887.70
779.40
887.700000
887.700000
887.700000
9L01XA03P V
05-07-2010
1,132.27
1,003.78
1,132.270000
1,132.270000
1,132.270000
9L01XA03P V
05-07-2010
601.73
517.05
601.730000
601.730000
601.730000
9L01XA03P V
05-07-2010
1,787.98
1,605.35
1,787.980000
1,787.980000
1,787.980000
9L01XA03P V
05-07-2010
986.00
869.59
986.000000
986.000000
986.000000
9L01XA03P V
05-07-2010
535.50
456.28
535.500000
535.500000
535.500000
9L01XA03P V
05-07-2010
1,101.59
975.63
1,101.590000
1,101.590000
1,101.590000
9L01XA03P V
05-07-2010
586.21
502.81
586.210000
586.210000
586.210000
63 / 135
Substan activ
Form farmaceutic
Concentraie
Cantitate Cod boli

C2 W55017001 OXALIPLATIN MEDICO UNO 5 mg/ml
OXALIPLATINUM
5mg/ml
C2 W55017002 OXALIPLATIN MEDICO UNO 5 mg/ml
OXALIPLATINUM
5mg/ml
C2 W55242001 OXALIPLATIN PHARMASWISS 5 mg/ml
OXALIPLATINUM
5mg/ml
C2 W55242003 OXALIPLATIN PHARMASWISS 5 mg/ml
OXALIPLATINUM
5mg/ml
C2 W54761001 REZIDOL 5 mg/ml
OXALIPLATINUM
5mg/ml
C2 W54761002 REZIDOL 5 mg/ml
OXALIPLATINUM
5mg/ml
C2 W07199001 MABTHERA 100 mg
RITUXIMABUM
10mg/ml
C2 W07200001 MABTHERA 500 mg
RITUXIMABUM
10mg/ml
C2 W07881001 HERCEPTIN 150mg
TRASTUZUMABUM

PERF.
150mg
C2 W42668001 MABCAMPATH 10 mg/ml
ALEMTUZUMABUM
10mg/ml
C2 W42669001 MABCAMPATH 30 mg/ml
ALEMTUZUMABUM
30mg/ml
C2 W52549002 ERBITUX 5mg/ml
CETUXIMABUM
SOL. PERF.
5mg/ml
C2 W42165002 AVASTIN 25mg/ml
BEVACIZUMABUM
25mg/ml
C2 W42165001 AVASTIN 25mg/ml
BEVACIZUMABUM
25mg/ml
C2 W06844004 GLIVEC 100 mg
IMATINIBUM
CAPS.
100mg
120
C2 W42501001 TARCEVA 100 mg
ERLOTINIBUM
COMPR. FILM.
100mg
30
ERLOTINIBUM
COMPR. FILM.
150mg
30
ERLOTINIBUM
COMPR. FILM.
25mg
30
C2 W43546001 SUTENT 12,5 mg
SUNITINIBUM
CAPS.
12,5mg
30
C2 W43556001 SUTENT 25mg
SUNITINIBUM
CAPS.
25mg
30
C2 W43557001 SUTENT 50 mg
SUNITINIBUM
CAPS.
50mg
30
C2 W54280001 NEXAVAR 200 mg
SORAFENIBUM
COMPR. FILM.
200mg
112
C2 W54613001 SPRYCEL 100mg
DASATINIBUM
COMPR. FILM.
100 mg
30
DASATINIBUM
COMPR. FILM.
20 mg
60
DASATINIBUM
COMPR. FILM.
50 mg
60
DASATINIBUM
70 mg
60
C2 W52721001 TORISEL 25mg/ml
TEMSIROLIMUSUM
COMPR. FILM.
PERF.
25mg/ml
C2 W10506002 ASPARAGINASE 10000 MEDAC
ASPARAGINAZUM
10000ui
C2 W10508002 ASPARAGINASE 5000 MEDAC
ASPARAGINAZUM
5000ui
C2 W55579001 ONCASPAR
ASPARAGINAZUM
PULB. PT. SOL. INJ.
3750U.I.
C2 W03542001 HYDREA
HYDROXYCARBAMIDUM
CAPS.
500mg
100
C2 W07049006 ESTRACYT
ESTRAMUSTINUM
CAPS.
140mg
100
C2 W54018001 VESANOID 10 mg
TRETINOINUM
CAPS. MOI
10mg
100
C2 W53177001 HYCAMTIN 1 mg
TOPOTECAMUM
CAPS.
1mg
10
C2 W54750001 TOPOTECAN TEVA 1 mg/1ml
TOPOTECAMUM
1mg/1ml
C2 W54571001 TOPOTECAN ACTAVIS
TOPOTECAMUM
4 mg
C2 W54751001 TOPOTECAN TEVA 4 mg/4ml
TOPOTECAMUM
4mg/4ml
C2 W55110001 TOPOTECAN ACCORD 4 mg
TOPOTECAMUM

PERF.
4mg
C2 W05958002 HYCAMTIN 4 mg
TOPOTECAMUM
PULB.CONC.SOL.PERF.
4mg
C2 W52206002 IRINOTESIN 20mg/ml
IRINOTECANUM
20mg/ml
C2 W52206001 IRINOTESIN 20mg/ml
IRINOTECANUM
20mg/ml
C2 W52802002 CAMPTO
IRINOTECANUM
20mg/ml
C2 W52802003 CAMPTO
IRINOTECANUM
20mg/ml
C2 W52802004 CAMPTO
IRINOTECANUM
20mg/ml
C2 W54336001 IRINOTRCAN MEDAC 20 mg/ml
IRINOTECANUM
20mg/ml
IRINOTECANUM
20mg/ml

3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
oncologie
3
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
Mentiuni
sublista
Cod
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
9L01XA03P V
05-07-2010
601.28
516.63
601.280000
601.280000
601.280000
9L01XA03P V
05-07-2010
1,131.69
1,003.25
1,131.690000
1,131.690000
1,131.690000
9L01XA03P V
05-07-2010
530.07
451.30
530.070000
530.070000
530.070000
9L01XA03P V
05-07-2010
993.24
876.23
993.240000
993.240000
993.240000
9L01XA03P V
05-07-2010
598.96
514.50
598.960000
598.960000
598.960000
9L01XA03P V
05-07-2010
1,131.69
1,003.25
1,131.690000
1,131.690000
1,131.690000
CNAS 9L01XC02P V
05-07-2010
2,454.04
2,216.41
1,227.020000
1,227.020000
1,227.020000
CNAS 9L01XC02P V
05-07-2010
6,028.99
5,496.18
6,028.990000
6,028.990000
6,028.990000
CNAS 9L01XC03P V
05-07-2010
2,889.22
2,615.66
2,889.220000
2,889.220000
2,889.220000
CNAS 9L01XC04P V
05-07-2010
5,391.97
4,911.76
1,797.323333
1,797.323333
1,797.323333
CNAS 9L01XC04P V
05-07-2010
5,392.39
4,912.14
1,797.463333
1,797.463333
1,797.463333
CNAS 9L01XC06P V
05-07-2010
985.60
869.22
985.600000
985.600000
985.600000
CNAS 9L01XC07P V
05-07-2010
5,743.58
5,234.33
5,743.580000
5,743.580000
5,743.580000
CNAS 9L01XC07P V
05-07-2010
1,487.28
1,329.48
1,487.280000
1,487.280000
1,487.280000
CNAS 9L01XE01O V
05-07-2010
9,860.90
9,011.69
82.174166
82.174166
82.174166
CNAS 9L01XE03O V
05-07-2010
6,894.25
6,289.99
229.808333
229.808333
229.808333
CNAS 9L01XE03O V
05-07-2010
9,163.06
8,371.47
305.435333
305.435333
305.435333
CNAS 9L01XE03O V
05-07-2010
2,116.70
1,906.92
70.556666
70.556666
70.556666
CNAS 9L01XE04O V
05-07-2010
5,521.57
5,030.65
184.052333
184.052333
184.052333
CNAS 9L01XE04O V
05-07-2010
10,972.29
10,031.31
365.743000
365.743000
365.743000
CNAS 9L01XE04O V
05-07-2010
21,873.74
20,032.63
729.124666
729.124666
729.124666
CNAS 9L01XE05O V
05-07-2010
15,901.84
14,553.83
141.980714
141.980714
141.980714
CNAS 9L01XE06O V
05-07-2010
17,776.52
16,273.71
592.550666
592.550666
592.550666
CNAS 9L01XE06O V
05-07-2010
8,409.15
7,679.81
140.152500
140.152500
140.152500
CNAS 9L01XE06O V
05-07-2010
16,747.49
15,329.65
279.124833
279.124833
279.124833
CNAS 9L01XE06O V
05-07-2010
16,747.49
15,329.65
279.124833
279.124833
279.124833
9L01XE09P V
05-07-2010
4,102.18
3,728.46
4,102.180000
4,102.180000
4,102.180000
9L01XX02P V
05-07-2010
1,312.36
1,169.00
262.472000
262.472000
262.472000
9L01XX02P V
05-07-2010
858.38
752.50
171.676000
171.676000
171.676000
9L01XX02P V
05-07-2010
4,918.86
4,477.71
4,918.860000
4,918.860000
4,918.860000
9L01XX05O V
05-07-2010
82.90
65.56
0.829000
0.829000
0.829000
9L01XX11O V
05-07-2010
413.95
344.77
4.139500
4.139500
4.139500
9L01XX14O V
05-07-2010
849.67
744.51
8.496700
8.496700
8.496700
9L01XX17O V
05-07-2010
1,759.49
1,579.21
175.949000
175.949000
175.949000
9L01XX17P V
05-07-2010
207.35
169.85
207.350000
207.350000
207.350000
9L01XX17P V
05-07-2010
744.08
647.64
744.080000
744.080000
744.080000
9L01XX17P V
05-07-2010
744.07
647.63
744.070000
744.070000
744.070000
9L01XX17P V
05-07-2010
742.56
646.25
742.560000
742.560000
742.560000
9L01XX17P V
05-07-2010
1,106.59
980.22
1,106.590000
1,106.590000
1,106.590000
9L01XX19P V
05-07-2010
501.67
425.25
501.670000
501.670000
501.670000
9L01XX19P V
05-07-2010
203.54
166.73
203.540000
203.540000
203.540000
9L01XX19P V
05-07-2010
733.65
638.07
733.650000
733.650000
733.650000
9L01XX19P V
05-07-2010
733.53
637.96
733.530000
733.530000
733.530000
9L01XX19P V
05-07-2010
2,353.75
2,124.40
2,353.750000
2,353.750000
2,353.750000
9L01XX19P V
05-07-2010
203.54
166.73
203.540000
203.540000
203.540000
9L01XX19P V
05-07-2010
501.67
425.25
501.670000
501.670000
501.670000
MS
Valoare
compensare/UT
64 / 135
Substan activ
Form farmaceutic
Concentraie
Cantitate Cod boli

IRINOTECANUM
20mg/ml
C2 W54522001 TEKAZOL 20 mg/ml
IRINOTECANUM
20mg/ml
C2 W54522002 TEKAZOL 20 mg/ml
IRINOTECANUM
20mg/ml
C2 W55114001 IRINOTECAN PHARMASWISS 20 mg/ml
IRINOTECANUM
20mg/ml
C2 W55114002 IRINOTECAN PHARMASWISS 20 mg/ml
IRINOTECANUM
20mg/ml
C2 W51535001 LYSODREN 500mg
MITOTANUM
COMPR.
500mg
100
C2 W42249001 VELCADE 3,5 mg
BORTEZOMIBUM
PULB. PT. SOL. INJ.
3,5mg
C2 W52184001 MEGESIN 160 mg
MEGESTROLUM
COMPR.
160mg
30
C2 W43179001 ELIGARD 22,5 mg
LEUPRORELINUM
LIOF. SI SOLV. PT. SOL. INJ.
22,5mg
C2 W43178001 ELIGARD 7,5 mg
LEUPRORELINUM
7,5mg
C2 W07196002 LUCRIN DEPOT 11,25mg
LEUPRORELINUM
11,25mg
C2 W07197002 LUCRIN DEPOT 3,75mg
LEUPRORELINUM
LIOF. SI SOLV. PT. SOL. INJ.

ELIB. PREL.
ELIB. PREL.
3,75mg
C2 W52321002 ELIGARD 45 mg
LEUPRORELINUM
45mg
C2 W10731001 ZOLADEX LA 10,8 mg
GOSERELINUM
IMPLANT
10,8 mg
C2 W10173001 ZOLADEX (R)
GOSERELINUM
IMPLANT
3,6mg
C2 W12505001 DIPHERELINE 0,1 mg
TRIPTORELINUM
0,1mg
C2 W12169001 DIPHERELINE (R) 11,25 mg
TRIPTORELINUM
11,25mg
C2 W12506001 DIPHERELINE (R) 3,75 mg
TRIPTORELINUM

I.M. ELIB. PREL.
I.M. ELIB. PREL.
3,75mg
C2 W54084001 GONAPEPTYL ZILNIC 0,1 mg/ml
TRIPTORELINUM
SOL. INJ.
0,1mg/ml
C2 W54084002 GONAPEPTYL ZILNIC 0,1 mg/ml
TRIPTORELINUM
SOL. INJ.
0,1mg/ml
28
C2 W43979006 TAMOXIFEN 10 TEVA
TAMOXIFENUM
COMPR.
10mg
100
C2 W52193001 TAMONEPRIN (R) 10 mg
TAMOXIFENUM
COMPR.
10mg
60
C2 W53654002 TAMOXIFEN SANDOZ 10
TAMOXIFENUM
COMPR. FILM.
10mg
100
C2 W51514001 FASLODEX 250mg/5ml
FULVESTRANTUM
SOL. INJ.
250mg/5ml
C2 W03217002 FLUTAN
FLUTAMIDUM
COMPR.
250mg
100
C2 W52204001 FLUTASIN 250 mg
FLUTAMIDUM
COMPR.
250mg
30
C2 W51924001 FLUTAMIDE CSC 250 mg
FLUTAMIDUM
COMPR. FILM.
250mg
30
C2 W12048001 CASODEX 150 mg
BICALUTAMIDUM
COMPR. FILM.
150mg
28
C2 W55157001 YONISTIB 150 mg
BICALUTAMIDUM
COMPR. FILM.
150mg
28
C2 W10174001 CASODEX 50 mg
BICALUTAMIDUM
COMPR. FILM.
50mg
28
C2 W53339003 BICALUTAMIDA SANDOZ 50 mg
BICALUTAMIDUM
COMPR. FILM.
50mg
30
C2 W53567003 BICALTON 50 mg
BICALUTAMIDUM
COMPR. FILM.
50mg
28
C2 W54250001 BICALUTAMIDA RANBAXY 50 mg
BICALUTAMIDUM
COMPR. FILM.
50mg
28
C2 W54250009 BICALUTAMIDA RANBAXY 50 mg
BICALUTAMIDUM
COMPR. FILM.
50mg
28
C2 W54851001 CALUMID
BICALUTAMIDUM
COMPR. FILM.
50mg
30
C2 W55156001 YONISTIB 50 mg
BICALUTAMIDUM
COMPR. FILM.
50mg
28
C2 W52201001 ROGLUTEN (R) 250 mg
AMINOGLUTETHIMIDUM
COMPR.
250mg
40
C2 W52207001 ARIMIDEX
ANASTROZOLUM
COMPR. FILM.
1mg
28
C2 W53147002 ANASTROZOL TERAPIA 1 mg
ANASTROZOLUM
COMPR. FILM.
1mg
28
ANASTROZOLUM
COMPR. FILM.
1mg
30
ANASTROZOLUM
COMPR. FILM.
1mg
50
ANASTROZOLUM
COMPR. FILM.
1mg
84
ANASTROZOLUM
COMPR. FILM.
1mg
98
ANASTROZOLUM
COMPR. FILM.
1mg
100
ANASTROZOLUM
COMPR. FILM.
1mg
300
ANASTROZOLUM
COMPR. FILM.
1mg
20

3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
Mentiuni
sublista
Cod
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
9L01XX19P V
05-07-2010
1,554.73
1,391.36
1,554.730000
1,554.730000
1,554.730000
9L01XX19P V
05-07-2010
203.54
166.73
203.540000
203.540000
203.540000
9L01XX19P V
05-07-2010
501.67
425.25
501.670000
501.670000
501.670000
9L01XX19P V
05-07-2010
203.54
166.73
203.540000
203.540000
203.540000
9L01XX19P V
05-07-2010
501.67
425.25
501.670000
501.670000
501.670000
9L01XX23O V
05-07-2010
2,830.20
2,561.51
28.302000
28.302000
28.302000
CNAS 9L01XX32P V
05-07-2010
5,026.50
4,576.46
5,026.500000
5,026.500000
5,026.500000
0L02ABO V
05-07-2010
123.30
97.52
4.110000
4.110000
4.110000
MSP
1L02AEP V
05-07-2010
1,147.73
1,017.96
1,147.730000
1,147.730000
1,147.730000
MSP
1L02AEP V
05-07-2010
439.74
368.43
439.740000
439.740000
439.740000
MSP
1L02AEP V
05-07-2010
992.77
875.80
992.770000
992.770000
992.770000
MSP
1L02AEP V
05-07-2010
428.87
358.46
428.870000
428.870000
428.870000
MSP
1L02AEP V
05-07-2010
2,246.62
2,026.12
2,246.620000
2,246.620000
2,246.620000
MSP
9L02AE03P V
05-07-2010
1,169.98
1,038.37
1,169.980000
1,169.980000
1,169.980000
MSP
9L02AE03P V
05-07-2010
435.66
364.69
435.660000
435.660000
435.660000
MSP
1L02AEP V
05-07-2010
134.30
110.01
19.185714
19.185714
19.185714
MSP
1L02AEP V
05-07-2010
1,182.19
1,049.58
1,182.190000
1,182.190000
1,182.190000
MSP
1L02AEP V
05-07-2010
439.72
368.41
439.720000
439.720000
439.720000
MSP
1L02AEP V
05-07-2010
232.43
190.39
33.204285
33.204285
33.204285
MSP
1L02AEP V
05-07-2010
825.44
722.28
29.480000
29.480000
29.480000
9L02BA01O V
05-07-2010
21.73
16.08
0.217300
0.217300
0.217300
9L02BA01O V
05-07-2010
28.81
21.32
0.480166
0.480166
0.480166
9L02BA01O V
05-07-2010
51.91
39.69
0.519100
0.519100
0.519100
9L02BA03P V
05-07-2010
1,725.82
1,548.32
1,725.820000
1,725.820000
1,725.820000
0L02BBO V
05-07-2010
268.40
219.86
2.684000
2.684000
2.684000
0L02BBO V
05-07-2010
40.22
30.75
1.340666
1.340666
1.340666
0L02BBO V
05-07-2010
43.73
33.43
1.457666
1.457666
1.457666
0L02BBO V
05-07-2010
680.54
589.35
24.305000
24.305000
24.305000
0L02BBO V
05-07-2010
467.12
393.55
16.682857
16.682857
16.682857
0L02BBO V
05-07-2010
350.88
287.42
12.531428
12.531428
12.531428
0L02BBO V
05-07-2010
244.36
200.16
8.145333
8.145333
8.145333
0L02BBO V
05-07-2010
226.87
185.84
8.102500
8.102500
8.102500
0L02BBO V
05-07-2010
228.07
186.82
8.145357
8.145357
8.145357
0L02BBO V
05-07-2010
228.07
186.82
8.145357
8.145357
8.145357
0L02BBO V
05-07-2010
244.42
200.21
8.147333
8.147333
8.147333
0L02BBO V
05-07-2010
228.12
186.86
8.147142
8.147142
8.147142
9L02BG01O V
05-07-2010
151.03
123.71
3.775750
3.775750
3.775750
0L02BGO V
05-07-2010
528.50
449.86
18.875000
18.875000
18.875000
0L02BGO V
05-07-2010
400.97
332.86
14.320357
14.320357
14.320357
0L02BGO V
05-07-2010
424.54
354.49
14.151333
14.151333
14.151333
0L02BGO V
05-07-2010
630.83
543.74
12.616600
12.616600
12.616600
0L02BGO V
05-07-2010
964.60
849.95
11.483333
11.483333
11.483333
0L02BGO V
05-07-2010
1,061.56
938.91
10.832244
10.832244
10.832244
0L02BGO V
05-07-2010
1,081.76
957.44
10.817600
10.817600
10.817600
0L02BGO V
05-07-2010
2,950.27
2,671.67
9.834233
9.834233
9.834233
0L02BGO V
05-07-2010
290.44
237.91
14.522000
14.522000
14.522000
MSP
Valoare
compensare/UT
65 / 135
Substan activ
Form farmaceutic
Concentraie
Cantitate Cod boli

C2 W53245005 ENZAMIDEX 1mg
ANASTROZOLUM
COMPR. FILM.
1mg
30
C2 W53266005 EGISTROZOL 1 mg
ANASTROZOLUM
COMPR. FILM.
1mg
30
C2 W53266010 EGISTROZOL 1 mg
ANASTROZOLUM
COMPR. FILM.
1mg
90
C2 W53924001 ANASTROZOLE MEDICO UNO 1 mg
ANASTROZOLUM
COMPR. FILM.
1mg
28
C2 W55088002 OZOLAN 1 mg
ANASTROZOLUM
COMPR. FILM.
1mg
28
C2 W55347004 ANASTROZOL TEVA 1 mg
ANASTROZOLUM
COMPR. FILM.
1mg
28
C2 W55347005 ANASTROZOL TEVA 1 mg
ANASTROZOLUM
COMPR. FILM.
1mg
30
C2 W51409001 FEMARA 2,5 mg
LETROZOLUM
COMPR. FILM.
2,5mg
30
C2 W55524001 LETRALAN 2,5 mg
LETROZOLUM
COMPR. FILM.
2,5mg
30
C2 W08074001 AROMASIN 25 mg
EXEMESTANUM
DRAJ.
25mg
30
SOL. INJ.
30MU/0,5ml
SOL. INJ.
48MU/0,5ml
SOL. INJ./PERF.
300mcg/0,5ml
SOL. INJ./PERF.
480mcg/0,8ml
C2 W51563001 NEULASTA 6mg
PEGFILGRASTIMUM
SOL. INJ.
6mg
SOL. INJ.
18Mui/0,6ml
SOL. INJ.
3Mui/0,5ml
SOL. INJ.
9Mui/0,5ml
18 milioane U.I. 1
30 milioane U.I. 1
C2 W52200003 SINDRONAT (R) 400 mg
ACIDUM CLODRONICUM
CAPS.
400mg
120
C2 W53382001 BONEFOS (R) 400 mg
ACIDUM CLODRONICUM
CAPS.
400mg
100
C2 W53383001 BONEFOS (R) 800 mg
ACIDUM CLODRONICUM
COMPR. FILM.
800mg
60
C2 W52199001 SINDRONAT (R) 300 mg/5 ml
ACIDUM CLODRONICUM
300mg/5ml
C2 W53384001 BONEFOS (R) 60 mg/ml
ACIDUM CLODRONICUM
60mg/ml
C2 W42119006 PAMIDRONAT TORREX
ACIDUM PAMIDRONICUM
15mg/ml
ACIDUM PAMIDRONICUM
15mg/ml
ACIDUM PAMIDRONICUM
15mg/ml
ACIDUM PAMIDRONICUM
15mg/ml
C2 W52121001 PAMIRED 30
ACIDUM PAMIDRONICUM
LIOF. PT. SOL. PERF. I.V.
30mg
C2 W52120001 PAMIRED 60
ACIDUM PAMIDRONICUM
60mg
C2 W07918001 AREDIA (R) 15 mg
ACIDUM PAMIDRONICUM
LIOF.+ SOLV. PT. SOL. PERF.
15mg
C2 W42716001 BONVIVA 150mg
ACIDUM IBANDRONICUM
COMPR. FILM.
150mg
C2 W41499001 BONDRONAT 50mg
ACIDUM IBANDRONICUM
COMPR. FILM.
50mg
28
C2 W41498001 BONDRONAT 6mg/6ml
ACIDUM IBANDRONICUM
6mg/6ml
C2 W43328001 BONVIVA 3mg/3ml
ACIDUM IBANDRONICUM

PREUMPLUTA
1mg/1ml
C2 W08426001 ZOMETA 4 mg
ACIDUM ZOLEDRONICUM
PULB. + SOLV. SOL. PERF.
4mg
C2 W42407001 ACLASTA 5mg/100ml
ACIDUM ZOLEDRONICUM
SOL. PERF.
5mg/100ml
C2 W04133001 UROMITEXAN (R) 400 mg
MESNUM
SOL. INJ.
400mg/4ml
15
C2 W00734001 CALCIUM FOLINAT "EBEWE" 15 mg
CALCII FOLINAS
CAPS.
15mg
20
C2 W10673002 LEUCOVORIN-TEVA 100 mg/10 ml
CALCII FOLINAS
SOL. INJ.
10mg/ml
C2 W52217001 FOLCASIN (R) 100 mg/10 ml
CALCII FOLINAS
SOL. INJ.
10mg/ml
C2 W54980002 FOLINAT DE CALCIU TEVA 10 mg/ml
CALCII FOLINAS
SOL. INJ.
10mg/ml
C2 W52219001 FOLCASIN (R) 30 mg/10 ml
CALCII FOLINAS
SOL. INJ.
3mg/ml
C2 W00735003 CALCIUMFOLINAT "EBEWE" 10 mg/ml
CALCII FOLINAS
SOL. INJ./PERF.
10mg/ml
C2 W00735001 CALCIUMFOLINAT "EBEWE" 10 mg/ml
CALCII FOLINAS
SOL. INJ./PERF.
10mg/ml

3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
oncologie
3
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
3
oncologie
Mentiuni
sublista
Cod
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
Valoare
compensare/UT
0L02BGO V
05-07-2010
297.35
243.57
9.911666
9.911666
9.911666
0L02BGO V
05-07-2010
276.97
226.88
9.232333
9.232333
9.232333
0L02BGO V
05-07-2010
1,090.93
965.85
12.121444
12.121444
12.121444
0L02BGO V
05-07-2010
309.33
253.38
11.047500
11.047500
11.047500
0L02BGO V
05-07-2010
356.71
292.19
12.739642
12.739642
12.739642
0L02BGO V
05-07-2010
253.12
207.34
9.040000
9.040000
9.040000
0L02BGO V
05-07-2010
271.19
222.14
9.039666
9.039666
9.039666
0L02BGO V
05-07-2010
553.21
472.53
18.440333
18.440333
18.440333
0L02BGO V
05-07-2010
322.47
264.15
10.749000
10.749000
10.749000
0L02BGO V
05-07-2010
375.46
309.46
12.515333
12.515333
12.515333
MSP
0L03AAP V
05-07-2010
325.26
266.43
325.260000
325.260000
325.260000
MSP
0L03AAP V
05-07-2010
512.98
435.62
512.980000
512.980000
512.980000
MSP
0L03AAP V
05-07-2010
260.83
213.65
260.830000
260.830000
260.830000
MSP
0L03AAP V
05-07-2010
425.24
355.13
425.240000
425.240000
425.240000
CJAS 0L03AAP V
05-07-2010
4,252.70
3,866.55
4,252.700000
4,252.700000
4,252.700000
CJAS 1L03ABBP V
05-07-2010
423.84
353.84
423.840000
423.840000
423.840000
CJAS 1L03ABBP V
05-07-2010
87.23
68.99
87.230000
87.230000
87.230000
CJAS 1L03ABBP V
05-07-2010
182.79
149.73
182.790000
182.790000
182.790000
CJAS 1L03ABBP V
05-07-2010
489.79
414.35
489.790000
489.790000
489.790000
CJAS 1L03ABBP V
05-07-2010
770.91
672.26
770.910000
770.910000
770.910000
MSP
0M05BAO V
05-07-2010
354.57
290.44
2.954750
2.954750
2.954750
MSP
0M05BAO V
05-07-2010
595.49
511.32
5.954900
5.954900
5.954900
MSP
0M05BAO V
05-07-2010
730.66
635.33
12.177666
12.177666
12.177666
MSP
0M05BAP V
05-07-2010
27.98
20.70
27.980000
27.980000
27.980000
MSP
0M05BAP V
05-07-2010
187.65
153.71
37.530000
37.530000
37.530000
MSP
0M05BAP V
05-07-2010
226.29
185.36
226.290000
226.290000
226.290000
MSP
0M05BAP V
05-07-2010
134.87
110.48
134.870000
134.870000
134.870000
MSP
0M05BAP V
05-07-2010
614.48
528.74
614.480000
614.480000
614.480000
MSP
0M05BAP V
05-07-2010
431.73
361.08
431.730000
431.730000
431.730000
MSP
0M05BAP V
05-07-2010
186.20
152.52
186.200000
186.200000
186.200000
MSP
0M05BAP V
05-07-2010
289.65
237.26
289.650000
289.650000
289.650000
MSP
0M05BAP V
05-07-2010
686.18
594.52
171.545000
171.545000
171.545000
MSP
0M05BAO V
05-07-2010
129.02
105.68
129.020000
129.020000
129.020000
MSP
0M05BAO V
05-07-2010
1,086.61
961.89
38.807500
38.807500
38.807500
MSP
0M05BAP V
05-07-2010
1,018.41
899.32
1,018.410000
1,018.410000
1,018.410000
MSP
0M05BAP V
05-07-2010
423.74
353.75
423.740000
423.740000
423.740000
MSP
0M05BAP V
05-07-2010
1,232.72
1,095.93
1,232.720000
1,232.720000
1,232.720000
MSP
0M05BAP V
05-07-2010
1,560.32
1,396.48
1,560.320000
1,560.320000
1,560.320000
9V03AF01P V
05-07-2010
58.56
44.77
3.904000
3.904000
3.904000
1V03AFO V
05-07-2010
37.99
29.04
1.899500
1.899500
1.899500
1V03AFP V
05-07-2010
38.50
29.43
38.500000
38.500000
38.500000
1V03AFP V
05-07-2010
38.46
29.40
38.460000
38.460000
38.460000
1V03AFP V
05-07-2010
38.50
29.43
38.500000
38.500000
38.500000
1V03AFP V
05-07-2010
18.24
13.50
18.240000
18.240000
18.240000
1V03AFP V
05-07-2010
173.14
141.82
34.628000
34.628000
34.628000
1V03AFP V
05-07-2010
63.35
50.10
12.670000
12.670000
12.670000
66 / 135
Substan activ
Form farmaceutic
Concentraie
Cantitate Cod boli

C2 W08161001 ETHYOL
AMIFOSTINUM
375mg
C2 W10542001 ETHYOL (R)
AMIFOSTINUM
500mg
C2 W52999001 HUMULIN R
INSULINE UMANE
SOL. INJ.
100UI/ml
C2 W52999002 HUMULIN R
INSULINE UMANE
SOL. INJ.
100UI/ml
C2 W08452003 INSUMAN RAPID 100UI/ml
INSULINE UMANE
SOL. INJ. IN CARTUS
100UI/ml
C2 W10503002 ACTRAPID PENFILL 100 UI/ml
INSULINE UMANE
SOL. INJ. IN CARTUS
100UI/ml
C2 W08451001 INSUMAN RAPID 100UI/ml
INSULINE UMANE
C2 W08453003 INSUMAN RAPID 100 UI/ml OPTISET
INSULINE UMANE
SOL. INJ. IN FLACON

100UI/ml
PREUMPLUT
100UI/ml
C2 W52601001 HUMALOG 100 U/ml
INSULINUM LISPRO
SOL. INJ.
100U/ml
C2 W53873001 HUMALOG KWIKPEN100U/ml
INSULINUM LISPRO
SOL. INJ.
100U/ml
C2 W07268001 NOVORAPID PENFILL 100 U/ml
INSULINUM ASPART
SOL. INJ. IN CARTUS
100Uml
C2 W41740004 APIDRA 100U/ml
INSULINUM GLULIZINA
SOL. INJ. IN CARTUS
100U/ml
INSULINUM GLULIZINA
INSULINUM GLULIZINA
INSULINUM GLULIZINA
SOL. INJ. IN FLACON

100U/ml
PREUMPLUT
100U/ml
PREUMPLUT
100U/ml
C2 W52986001 HUMULIN N
INSULINE UMANE
SUSP. INJ.
100UI/ml
C2 W52986002 HUMULIN N
INSULINE UMANE
SUSP. INJ.
100UI/ml
C2 W08444003 INSUMAN BASAL 100UI/ml
INSULINE UMANE
SUSP. INJ. IN CARTUS
100UI/ml
C2 W03714002 INSULATARD PENFILL 100 UI/ml
INSULINE UMANE
100UI/ml
C2 W08381002 INSUMAN BASAL 100UI/ml
INSULINE UMANE
100UI/ml
C2 W08382003 INSUMAN BASAL 100UI/ml OPTISET
INSULINE UMANE
SUSP. INJ. IN FLACON

SUSP. INJ. IN STILOU
INJECTOR PREUMPLUT
100UI/ml
C2 W53876001 HUMALOG BASAL KWIKPEN 100U/ml
INSULINUM LISPRO
SUSP. INJ.
100U/ml
C2 W53106001 HUMULIN M3
INSULINE UMANE
SUSP. INJ.
100ui/ml
C2 W53106002 HUMULIN M3
INSULINE UMANE
SUSP. INJ.
100ui/ml
C2 W08446003 INSUMAN COMB 25 100UI/ml
INSULINE UMANE
100UI/ml
INSULINE UMANE
100UI/ml
C2 W03703002 MIXTARD 30 PENFILL 100 UI/ml
INSULINE UMANE
100UI/ml
INSULINE UMANE
100UI/ml
C2 W08447003 INSUMAN COMB 25 100UI/ml OPTISET
INSULINE UMANE
100UI/ml
C2 W08450003 INSUMAN COMB 50 100UI/ml OPTISET
INSULINE UMANE
SUSP. INJ. IN FLACON

INJECTOR PREUMPLUT
INJECTOR PREUMPLUT
100UI/ml
C2 W03665001 HUMALOG MIX50
INSULINUM LISPRO
SUSP. INJ.
100U/ml
C2 W52602001 HUMALOG MIX25
INSULINUM LISPRO
SUSP. INJ.
100U/ml
C2 W53874001 HUMALOG MIX25 KWIKPEN 100U/ml
INSULINUM LISPRO
SUSP. INJ.
100U/ml
C2 W53875001 HUMALOG MIX50 KWIKPEN 100U/ml
INSULINUM LISPRO
SUSP. INJ.
100U/ml
C2 W08254001 NOVOMIX 30 PENFILL 100 U/ml
INSULINUM ASPART
100U/ml
C2 W08054002 LANTUS 100UI/ml
INSULINUM GLARGINE
SOL. INJ. IN CARTUS
100UI/ml
C2 W10010005 LANTUS 100UI/ml
INSULINUM GLARGINE
C2 W06751008 LANTUS OptiSet
INSULINUM GLARGINE
C2 W52628008 LANTUS SoloStar
INSULINUM GLARGINE
SOL. INJ. IN FLACON

100UI/ml
PREUMPLUT
100UI/ml
PREUMPLUT
100UI/ml
C2 W41732002 LEVEMIR PENFILL 100 U/ml
INSULINUM DETEMIR
SOL. INJ. IN CARTUS
100U/ml
C2 W53953001 METFORMIN ARENA 1000 MG
METFORMINUM
COMPR.
1000mg
50
METFORMINUM
COMPR.
1000mg
200
METFORMINUM
COMPR.
500mg
60
METFORMINUM
COMPR.
850mg
15
METFORMINUM
COMPR.
850mg
1000
C2 W43318001 GLUCOPHAGE XR
METFORMINUM
COMPR. ELIB. PREL.
500mg
30
5
5
5
5

3
oncologie
3
oncologie
Programul national de diabet
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
zaharat
5
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
Mentiuni
sublista
Cod
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
MSP
9V03AF05P V
05-07-2010
2,215.99
1,998.02
443.198000
443.198000
443.198000
MSP
9V03AF05P V
05-07-2010
2,086.03
1,878.79
695.343333
695.343333
695.343333
0A10ABP V
05-07-2010
56.53
43.22
56.530000
56.530000
56.530000
0A10ABP V
05-07-2010
114.76
90.76
22.952000
22.952000
22.952000
0A10ABP V
05-07-2010
121.06
95.74
24.212000
24.212000
24.212000
0A10ABP V
05-07-2010
124.93
98.81
24.986000
24.986000
24.986000
0A10ABP V
05-07-2010
167.51
137.21
33.502000
33.502000
33.502000
0A10ABP V
05-07-2010
121.06
95.74
24.212000
24.212000
24.212000
MSP
0A10ABP V
05-07-2010
157.06
128.65
31.412000
31.412000
31.412000
MSP
0A10ABP V
05-07-2010
190.62
156.14
38.124000
38.124000
38.124000
MSP
0A10ABP V
05-07-2010
159.01
130.25
31.802000
31.802000
31.802000
MSP
0A10ABP V
05-07-2010
159.01
130.25
31.802000
31.802000
31.802000
MSP
0A10ABP V
05-07-2010
99.99
79.08
99.990000
99.990000
99.990000
MSP
0A10ABP V
05-07-2010
169.46
138.81
33.892000
33.892000
33.892000
MSP
0A10ABP V
05-07-2010
159.01
130.25
31.802000
31.802000
31.802000
0A10ACP V
05-07-2010
56.53
43.22
56.530000
56.530000
56.530000
0A10ACP V
05-07-2010
114.76
90.76
22.952000
22.952000
22.952000
0A10ACP V
05-07-2010
124.89
98.77
24.978000
24.978000
24.978000
0A10ACP V
05-07-2010
124.93
98.81
24.986000
24.986000
24.986000
0A10ACP V
05-07-2010
167.51
137.21
33.502000
33.502000
33.502000
0A10ACP V
05-07-2010
163.51
133.94
32.702000
32.702000
32.702000
0A10ACP V
05-07-2010
190.62
156.14
38.124000
38.124000
38.124000
0A10ADP V
05-07-2010
56.53
43.22
56.530000
56.530000
56.530000
0A10ADP V
05-07-2010
114.76
90.76
22.952000
22.952000
22.952000
0A10ADP V
05-07-2010
124.89
98.77
24.978000
24.978000
24.978000
0A10ADP V
05-07-2010
124.89
98.77
24.978000
24.978000
24.978000
0A10ADP V
05-07-2010
127.97
104.82
25.594000
25.594000
25.594000
0A10ADP V
05-07-2010
167.51
137.21
33.502000
33.502000
33.502000
0A10ADP V
05-07-2010
121.06
95.74
24.212000
24.212000
24.212000
0A10ADP V
05-07-2010
163.51
133.94
32.702000
32.702000
32.702000
MSP
0A10ADP V
05-07-2010
164.09
134.41
32.818000
32.818000
32.818000
MSP
0A10ADP V
05-07-2010
165.68
135.71
33.136000
33.136000
33.136000
MSP
0A10ADP V
05-07-2010
190.62
156.14
38.124000
38.124000
38.124000
MSP
0A10ADP V
05-07-2010
190.62
156.14
38.124000
38.124000
38.124000
MSP
0A10ADP V
05-07-2010
171.22
140.25
34.244000
34.244000
34.244000
MSP
0A10AEP V
05-07-2010
273.95
224.40
54.790000
54.790000
54.790000
MSP
0A10AEP V
05-07-2010
187.55
153.63
187.550000
187.550000
187.550000
MSP
0A10AEP V
05-07-2010
273.95
224.40
54.790000
54.790000
54.790000
MSP
0A10AEP V
05-07-2010
273.95
224.40
54.790000
54.790000
54.790000
MSP
0A10AEP V
05-07-2010
299.06
244.97
59.812000
59.812000
59.812000
0A10BAO V
05-07-2010
25.15
18.61
0.503000
0.503000
0.503000
0A10BAO V
05-07-2010
89.95
71.14
0.449750
0.449750
0.449750
0A10BAO V
05-07-2010
4.82
3.57
0.080333
0.080333
0.080333
0A10BAO V
05-07-2010
5.18
3.83
0.345333
0.345333
0.345333
0A10BAO V
05-07-2010
299.64
245.45
0.299640
0.299640
0.299640
0A10BAO V
05-07-2010
15.28
11.31
0.509333
0.509333
0.509333
MSP
Valoare
compensare/UT
67 / 135
Substan activ
Form farmaceutic
Concentraie
Cantitate Cod boli

C2 W43318002 GLUCOPHAGE XR
METFORMINUM
COMPR. ELIB. PREL.
500mg
30
C2 W42349002 SIOFOR 1000
METFORMINUM
COMPR. FILM.
1000mg
60
C2 W43828002 METFOGAMMA 1000mg
METFORMINUM
COMPR. FILM.
1000mg
120
C2 W44032002 METFORMIN TEVA 1000 mg
METFORMINUM
COMPR. FILM.
1000mg
60
C2 W13583011 GLUCOPHAGE 1000 mg
METFORMINUM
COMPR. FILM.
1000mg
60
C2 W53864005 METFORMIN BLUEFISH 1000 mg
METFORMINUM
COMPR. FILM.
1000mg
60
C2 W53905002 METFORMIN AUROBINDO 1000 mg
METFORMINUM
COMPR. FILM.
1000mg
30
METFORMINUM
COMPR. FILM.
1000mg
60
C2 W13955001 MEGUAN (R) 500 mg
METFORMINUM
COMPR. FILM.
500mg
20
C2 W13724002 METFOGAMMA (R) 500
METFORMINUM
COMPR. FILM.
500mg
120
C2 W41726001 METFORMIN LPH (R) 500 mg
METFORMINUM
COMPR. FILM.
500mg
30
C2 W42688001 DIPIMET 500 mg
METFORMINUM
COMPR. FILM.
500mg
30
C2 W43670003 METFORMIN-TEVA 500 mg
METFORMINUM
COMPR. FILM.
500mg
60
METFORMINUM
COMPR. FILM.
500mg
20
METFORMINUM
COMPR. FILM.
500mg
30
METFORMINUM
COMPR. FILM.
500mg
30
METFORMINUM
COMPR. FILM.
500mg
60
C2 W07422002 SIOFOR (R) 850
METFORMINUM
COMPR. FILM.
850mg
60
C2 W13873005 GLUCOPHAGE 850 mg
METFORMINUM
COMPR. FILM.
850mg
100
C2 W14102001 MEGUAN (R) 850 mg
METFORMINUM
COMPR. FILM.
850mg
20
C2 W51844001 MEDIFOR 850
METFORMINUM
COMPR. FILM.
850mg
56
C2 W14042001 METFORMIN LPH (R) 850 mg
METFORMINUM
COMPR. FILM.
850mg
30
C2 W08499004 METFOGAMMA 850
METFORMINUM
COMPR. FILM.
850mg
120
C2 W43671007 METFORMIN-TEVA 850 mg
METFORMINUM
COMPR. FILM.
850mg
60
METFORMINUM
COMPR. FILM.
850mg
20
METFORMINUM
COMPR. FILM.
850mg
30
METFORMINUM
COMPR. FILM.
850mg
60
METFORMINUM
COMPR. FILM.
850mg
100
METFORMINUM
COMPR. FILM.
850mg
30
METFORMINUM
COMPR. FILM.
850mg
60
C2 W52149002 FORMIRAN 1000 mg
METFORMINUM
COMPR. PT. SOL. ORALA
1000mg
30
METFORMINUM
1000mg
30
METFORMINUM
500mg
30
METFORMINUM
500mg
30
METFORMINUM
850mg
30
METFORMINUM
850mg
30
C2 W42141001 SILUBIN RETARD
BUFORMINUM
DRAJ. RET.
100mg
60
C2 W53919001 GLIBENCLAMID ATB 1,75 MG
GLIBENCLAMIDUM
COMPR.
1,75 mg
30
C2 W07202003 MANINIL 1,75 mg
GLIBENCLAMIDUM
COMPR.
1,75mg
120
C2 W41462002 GLIBENCLAMID LPH 1,75 mg
GLIBENCLAMIDUM
COMPR.
1,75mg
60
C2 W41858002 GLIBENCLAMID ARENA 1,75 mg
GLIBENCLAMIDUM
COMPR.
1,75mg
100
GLIBENCLAMIDUM
COMPR.
1,75mg
1000
GLIBENCLAMIDUM
COMPR.
1,75mg
30
C2 W07206003 MANINIL 3,5 mg
GLIBENCLAMIDUM
COMPR.
3,5mg
120
GLIBENCLAMIDUM
COMPR.
3,5mg
100
C2 W41463002 GLIBENCLAMID LPH 3,5 mg
GLIBENCLAMIDUM
COMPR.
3,5mg
60

5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
zaharat
5
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
Mentiuni
sublista
Cod
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
Valoare
compensare/UT
0A10BAO V
05-07-2010
15.28
11.31
0.509333
0.509333
0.509333
0A10BAO V
05-07-2010
18.09
13.38
0.301500
0.301500
0.301500
0A10BAO V
05-07-2010
21.48
15.89
0.179000
0.179000
0.179000
0A10BAO V
05-07-2010
8.52
6.30
0.142000
0.142000
0.142000
0A10BAO V
05-07-2010
27.97
20.69
0.466166
0.466166
0.466166
0A10BAO V
05-07-2010
16.50
12.21
0.275000
0.275000
0.275000
0A10BAO V
05-07-2010
8.95
6.62
0.298333
0.298333
0.298333
0A10BAO V
05-07-2010
17.90
13.24
0.298333
0.298333
0.298333
0A10BAO V
05-07-2010
4.38
3.24
0.219000
0.219000
0.219000
0A10BAO V
05-07-2010
10.74
7.95
0.089500
0.089500
0.089500
0A10BAO V
05-07-2010
3.98
2.94
0.132666
0.132666
0.132666
0A10BAO V
05-07-2010
3.84
2.84
0.128000
0.128000
0.128000
0A10BAO V
05-07-2010
5.50
4.07
0.091666
0.091666
0.091666
0A10BAO V
05-07-2010
1.86
1.38
0.093000
0.093000
0.093000
0A10BAO V
05-07-2010
2.80
2.07
0.093333
0.093333
0.093333
0A10BAO V
05-07-2010
3.44
2.55
0.114666
0.114666
0.114666
0A10BAO V
05-07-2010
6.87
5.08
0.114500
0.114500
0.114500
0A10BAO V
05-07-2010
18.14
13.42
0.302333
0.302333
0.302333
0A10BAO V
05-07-2010
25.21
18.65
0.252100
0.252100
0.252100
0A10BAO V
05-07-2010
7.63
5.65
0.381500
0.381500
0.381500
0A10BAO V
05-07-2010
9.09
6.73
0.162321
0.162321
0.162321
0A10BAO V
05-07-2010
4.92
3.64
0.164000
0.164000
0.164000
0A10BAO V
05-07-2010
18.26
13.51
0.152166
0.152166
0.152166
0A10BAO V
05-07-2010
7.86
5.82
0.131000
0.131000
0.131000
0A10BAO V
05-07-2010
2.96
2.19
0.148000
0.148000
0.148000
0A10BAO V
05-07-2010
4.44
3.28
0.148000
0.148000
0.148000
0A10BAO V
05-07-2010
8.88
6.57
0.148000
0.148000
0.148000
0A10BAO V
05-07-2010
14.79
10.94
0.147900
0.147900
0.147900
0A10BAO V
05-07-2010
4.85
3.59
0.161666
0.161666
0.161666
0A10BAO V
05-07-2010
9.69
7.17
0.161500
0.161500
0.161500
0A10BAO V
05-07-2010
9.31
6.89
0.310333
0.310333
0.310333
0A10BAO V
05-07-2010
9.31
6.89
0.310333
0.310333
0.310333
0A10BAO V
05-07-2010
3.85
2.85
0.128333
0.128333
0.128333
0A10BAO V
05-07-2010
3.85
2.85
0.128333
0.128333
0.128333
0A10BAO V
05-07-2010
6.61
4.89
0.220333
0.220333
0.220333
0A10BAO V
05-07-2010
6.61
4.89
0.220333
0.220333
0.220333
9A10BA03O V
05-07-2010
19.06
14.10
0.317666
0.317666
0.317666
0A10BBO V
05-07-2010
1.91
1.41
0.063666
0.063666
0.063666
0A10BBO V
05-07-2010
11.79
8.72
0.098250
0.098250
0.098250
0A10BBO V
05-07-2010
4.21
3.11
0.070166
0.070166
0.070166
0A10BBO V
05-07-2010
11.59
8.58
0.115900
0.115900
0.115900
0A10BBO V
05-07-2010
70.10
55.44
0.070100
0.070100
0.070100
0A10BBO V
05-07-2010
2.03
1.50
0.067666
0.067666
0.067666
0A10BBO V
05-07-2010
8.54
6.32
0.071166
0.071166
0.071166
0A10BBO V
05-07-2010
14.35
10.62
0.143500
0.143500
0.143500
0A10BBO V
05-07-2010
3.05
2.26
0.050833
0.050833
0.050833
68 / 135
Substan activ
Form farmaceutic
Concentraie
Cantitate Cod boli

GLIBENCLAMIDUM
COMPR.
3,5mg
30
GLIBENCLAMIDUM
COMPR.
3,5mg
1000
C2 W53920001 GLIBENCLAMID ATB 3,5 MG
GLIBENCLAMIDUM
COMPR.
3,5mg
30
C2 W53679002 GLIBENCLAMID ARENA 5 mg
GLIBENCLAMIDUM
COMPR.
5mg
100
C2 W53679003 GLIBENCLAMID ARENA 5 mg
GLIBENCLAMIDUM
COMPR.
5mg
30
C2 W41467001 GLIPIZID LPH 5 mg
GLIPIZIDUM
COMPR.
5mg
30
C2 W54934001 GLIPIZIDA ATB 5mg
GLIPIZIDUM
COMPR.
5mg
30
C2 W03348001 GLUCOTROL XL 10 mg
GLIPIZIDUM
10mg
30
C2 W03349001 GLUCOTROL XL 5mg
GLIPIZIDUM
5mg
30
C2 W03352001 GLURENORM
GLIQUIDONUM
COMPR.
30mg
60
C2 W03343002 DIABREZIDE
GLICLAZIDUM
COMPR.
80mg
40
C2 W42334001 ESQUEL (R) 80 mg
GLICLAZIDUM
COMPR.
80mg
30
C2 W43501001 GLICLAZID LPH
GLICLAZIDUM
COMPR.
80mg
60
C2 W08547001 DIAPREL MR
GLICLAZIDUM
COMPR. ELIB. MODIF.
30mg
60
C2 W42385001 GLICLAZID MR LPH 30 mg
GLICLAZIDUM
COMPR. ELIB. PREL.
30mg
60
C2 W52505001 GLICLAZIDA EP ANTIBIOTICE 30 mg
GLICLAZIDUM
COMPR. ELIB. PREL.
30mg
30
C2 W52941001 GLITOPP MR 30 mg
GLICLAZIDUM
COMPR. ELIB. PREL.
30mg
10
GLICLAZIDUM
COMPR. ELIB. PREL.
30mg
20
GLICLAZIDUM
COMPR. ELIB. PREL.
30mg
30
C2 W54001004 GLYCLADA 30 mg
GLICLAZIDUM
COMPR. ELIB. PREL.
30mg
60
C2 W52457001 TINERIL 4 mg
GLIMEPIRIDUM
COMPR
4mg
30
C2 W43475001 AMYX 1
GLIMEPIRIDUM
COMPR.
1 mg
30
C2 W43299001 MEGLIMID 1 mg
GLIMEPIRIDUM
COMPR.
1mg
30
C2 W42241001 GLIMEPIRID LPH 1 mg
GLIMEPIRIDUM
COMPR.
1mg
30
C2 W43825002 GLIMERAN 1 mg
GLIMEPIRIDUM
COMPR.
1mg
30
GLIMEPIRIDUM
COMPR.
1mg
30
GLIMEPIRIDUM
COMPR.
1mg
30
C2 W52831001 GLIMEGAMMA AAA-PHARMA 1 mg
GLIMEPIRIDUM
COMPR.
1mg
30
GLIMEPIRIDUM
COMPR.
1mg
120
C2 W53362002 GLIMEPIRIDA ACCORD 1 mg
GLIMEPIRIDUM
COMPR.
1mg
30
C2 W53439001 GLIMEGAMMA 1 mg
GLIMEPIRIDUM
COMPR.
1mg
30
GLIMEPIRIDUM
COMPR.
1mg
120
C2 W53450001 AMARYL 1mg
GLIMEPIRIDUM
COMPR.
1mg
30
GLIMEPIRIDUM
COMPR.
2mg
30
C2 W43476001 AMYX 2
GLIMEPIRIDUM
COMPR.
2mg
30
GLIMEPIRIDUM
COMPR.
2mg
30
GLIMEPIRIDUM
COMPR.
2mg
30
GLIMEPIRIDUM
COMPR.
2mg
30
C2 W44007003 GLIMEPIRIDE 2 mg
GLIMEPIRIDUM
COMPR.
2mg
30
GLIMEPIRIDUM
COMPR.
2mg
30
GLIMEPIRIDUM
COMPR.
2mg
30
GLIMEPIRIDUM
COMPR.
2mg
120
GLIMEPIRIDUM
COMPR.
2mg
30
GLIMEPIRIDUM
COMPR.
2mg
30
GLIMEPIRIDUM
COMPR.
2mg
120
C2 W53451001 AMARYL 2 mg
GLIMEPIRIDUM
COMPR.
2mg
30

5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
zaharat
5
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
Mentiuni
sublista
Cod
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
Valoare
compensare/UT
0A10BBO V
05-07-2010
5.59
4.14
0.186333
0.186333
0.186333
0A10BBO V
05-07-2010
96.42
76.26
0.096420
0.096420
0.096420
0A10BBO V
05-07-2010
1.37
1.01
0.045666
0.045666
0.045666
0A10BBO V
05-07-2010
3.71
2.74
0.037100
0.037100
0.037100
0A10BBO V
05-07-2010
5.73
4.24
0.191000
0.191000
0.191000
0A10BBO V
05-07-2010
15.49
11.46
0.516333
0.516333
0.516333
0A10BBO V
05-07-2010
15.49
11.46
0.516333
0.516333
0.516333
0A10BBO V
05-07-2010
46.14
35.28
1.538000
1.538000
1.538000
0A10BBO V
05-07-2010
23.84
17.64
0.794666
0.794666
0.794666
0A10BBO V
05-07-2010
27.49
20.34
0.458166
0.458166
0.458166
0A10BBO V
05-07-2010
13.10
9.69
0.327500
0.327500
0.327500
0A10BBO V
05-07-2010
13.10
9.69
0.436666
0.436666
0.436666
0A10BBO V
05-07-2010
17.69
13.09
0.294833
0.294833
0.294833
0A10BBO V
05-07-2010
25.18
18.63
0.419666
0.419666
0.419666
0A10BBO V
05-07-2010
16.38
12.12
0.273000
0.273000
0.273000
0A10BBO V
05-07-2010
8.12
6.01
0.270666
0.270666
0.270666
0A10BBO V
05-07-2010
2.68
1.98
0.268000
0.268000
0.268000
0A10BBO V
05-07-2010
5.38
3.98
0.269000
0.269000
0.269000
0A10BBO V
05-07-2010
8.06
5.96
0.268666
0.268666
0.268666
0A10BBO V
05-07-2010
16.33
12.08
0.272166
0.272166
0.272166
0A10BBO V
05-07-2010
14.35
10.62
0.478333
0.478333
0.478333
0A10BBO V
05-07-2010
4.19
3.10
0.139666
0.139666
0.139666
0A10BBO V
05-07-2010
9.08
6.72
0.302666
0.302666
0.302666
0A10BBO V
05-07-2010
4.19
3.10
0.139666
0.139666
0.139666
0A10BBO V
05-07-2010
4.08
3.02
0.136000
0.136000
0.136000
0A10BBO V
05-07-2010
4.08
3.02
0.136000
0.136000
0.136000
0A10BBO V
05-07-2010
4.19
3.10
0.139666
0.139666
0.139666
0A10BBO V
05-07-2010
4.19
3.10
0.139666
0.139666
0.139666
0A10BBO V
05-07-2010
16.76
12.40
0.139666
0.139666
0.139666
0A10BBO V
05-07-2010
4.14
3.06
0.138000
0.138000
0.138000
0A10BBO V
05-07-2010
4.39
3.25
0.146333
0.146333
0.146333
0A10BBO V
05-07-2010
25.81
19.10
0.215083
0.215083
0.215083
0A10BBO V
05-07-2010
6.46
4.78
0.215333
0.215333
0.215333
0A10BBO V
05-07-2010
18.00
13.32
0.600000
0.600000
0.600000
0A10BBO V
05-07-2010
7.23
5.35
0.241000
0.241000
0.241000
0A10BBO V
05-07-2010
7.23
5.35
0.241000
0.241000
0.241000
0A10BBO V
05-07-2010
6.89
5.10
0.229666
0.229666
0.229666
0A10BBO V
05-07-2010
6.89
5.10
0.229666
0.229666
0.229666
0A10BBO V
05-07-2010
7.23
5.35
0.241000
0.241000
0.241000
0A10BBO V
05-07-2010
7.23
5.35
0.241000
0.241000
0.241000
0A10BBO V
05-07-2010
7.23
5.35
0.241000
0.241000
0.241000
0A10BBO V
05-07-2010
28.88
21.37
0.240666
0.240666
0.240666
0A10BBO V
05-07-2010
7.21
5.33
0.240333
0.240333
0.240333
0A10BBO V
05-07-2010
9.45
6.99
0.315000
0.315000
0.315000
0A10BBO V
05-07-2010
47.48
36.30
0.395666
0.395666
0.395666
0A10BBO V
05-07-2010
11.11
8.22
0.370333
0.370333
0.370333
69 / 135
Substan activ
Form farmaceutic
Concentraie
Cantitate Cod boli

GLIMEPIRIDUM
COMPR.
3mg
30
C2 W43477001 AMYX 3
GLIMEPIRIDUM
COMPR.
3mg
30
GLIMEPIRIDUM
COMPR.
3mg
30
GLIMEPIRIDUM
COMPR.
3mg
30
GLIMEPIRIDUM
COMPR.
3mg
30
C2 W44010003 GLIMEPIRIDE 3 mg
GLIMEPIRIDUM
COMPR.
3mg
30
GLIMEPIRIDUM
COMPR.
3mg
30
GLIMEPIRIDUM
COMPR.
3mg
30
GLIMEPIRIDUM
COMPR.
3mg
120
GLIMEPIRIDUM
COMPR.
3mg
30
GLIMEPIRIDUM
COMPR.
3mg
30
GLIMEPIRIDUM
COMPR.
3mg
120
GLIMEPIRIDUM
COMPR.
3mg
30
C2 W43478001 AMYX 4
GLIMEPIRIDUM
COMPR.
4mg
30
GLIMEPIRIDUM
COMPR.
4mg
30
GLIMEPIRIDUM
COMPR.
4mg
30
GLIMEPIRIDUM
COMPR.
4mg
30
GLIMEPIRIDUM
COMPR.
4mg
120
C2 W53365002 GLIMEPIRIDA ACCORD 4mg
GLIMEPIRIDUM
COMPR.
4mg
30
GLIMEPIRIDUM
COMPR.
4mg
30
GLIMEPIRIDUM
COMPR.
4mg
120
GLIMEPIRIDUM
COMPR.
4mg
30
GLIMEPIRIDUM
COMPR.
6mg
30
COMPR.
6mg
30
CAPS.
400mg+2,5mg
500
CAPS.
400mg+2,5mg
20
COMPR. FILM.
2,5mg/400mg
60
COMPR. FILM.
400mg + 2,5mg 60
COMPR. FILM.
500mg/2,5mg
60
COMPR. FILM.
500mg/5mg
60
COMPR. FILM.
2mg/1000mg
56
COMPR. FILM.
4mg/1000mg
56
COMPR. FILM.
4mg/4mg
28
COMPR. FILM.
8mg/4mg
28
C2 W52765005 COMPETACT
GLIMEPIRIDUM
COMBINATII
(METFORMINUM+GLIBENCLAMIDUM)
COMBINATII
(METFORMINUM+GLIBENCLAMIDUM)
COMBINATII(GLIBENCLAMIDUM+METF
ORMINUM)
ORMINUM)
ORMINUM)
ORMINUM)
COMBINATII
(ROSIGLITAZONUM+METFORMINUM)
COMBINATII
(ROSIGLITAZONUM+METFORMINUM)
COMBINATII (ROSIGLITAZONUM +
GLIMEPIRIDUM)
COMBINATII (ROSIGLITAZONUM +
GLIMEPIRIDUM)
COMBINATII ( PIOGLITAZONUM +
METFORMINUM)
COMPR. FILM.
15mg/850mg
56
C2 W00001002 GLUCOBAY (R) 100
ACARBOSUM
COMPR.
100mg
120
C2 W00002002 GLUCOBAY (R) 50
ACARBOSUM
COMPR.
50mg
120
C2 W07718001 AVANDIA 4mg
ROSIGLITAZONUM
COMPR. FILM.
4mg
28
C2 W08069002 ACTOS 15mg
PIOGLITAZONUM
COMPR.
15mg
28
C2 W08070003 ACTOS 30mg
PIOGLITAZONUM
COMPR.
30mg
28
C2 W08071002 ACTOS 45mg
PIOGLITAZONUM
COMPR.
45mg
28
C2 W51928002 JANUVIA 100mg
SITAGLIPTINUM
COMPR. FILM.
100mg
28
C2 W54877001 REPAGLINIDA FARMAL 0,5 mg
REPAGLINIDUM
COMPR.
0,5mg
30
REPAGLINIDUM
COMPR.
0,5mg
90
REPAGLINIDUM
COMPR.
0,5mg
120
REPAGLINIDUM
COMPR.
0,5mg
270
C2 W42117002 BIDIAB 400 mg/2,5 mg

C2 W42117001 BIDIAB 400 mg/2,5 mg
C2 W10546002 GLIBOMET (R)
C2 W41557001 GLIFORMIN
C2 W13594002 GLUCOVANCE (R) 500 mg/2,5 mg
C2 W13595002 GLUCOVANCE (R) 500 mg/5 mg
C2 W43043009 AVANDAMET 2mg/1000mg
C2 W43044009 AVANDAMET 4mg/1000mg
C2 W51439002 AVAGLIM 4mg/4mg
C2 W51440002 AVAGLIM 8mg/4mg

5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
zaharat
5
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
Mentiuni
sublista
Cod
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
Valoare
compensare/UT
0A10BBO V
05-07-2010
24.93
18.44
0.831000
0.831000
0.831000
0A10BBO V
05-07-2010
13.50
9.99
0.450000
0.450000
0.450000
0A10BBO V
05-07-2010
13.50
9.99
0.450000
0.450000
0.450000
0A10BBO V
05-07-2010
12.88
9.53
0.429333
0.429333
0.429333
0A10BBO V
05-07-2010
12.88
9.53
0.429333
0.429333
0.429333
0A10BBO V
05-07-2010
13.50
9.99
0.450000
0.450000
0.450000
0A10BBO V
05-07-2010
13.50
9.99
0.450000
0.450000
0.450000
0A10BBO V
05-07-2010
13.50
9.99
0.450000
0.450000
0.450000
0A10BBO V
05-07-2010
52.22
39.92
0.435166
0.435166
0.435166
0A10BBO V
05-07-2010
13.41
9.92
0.447000
0.447000
0.447000
0A10BBO V
05-07-2010
13.50
9.99
0.450000
0.450000
0.450000
0A10BBO V
05-07-2010
52.22
39.92
0.435166
0.435166
0.435166
0A10BBO V
05-07-2010
20.75
15.35
0.691666
0.691666
0.691666
0A10BBO V
05-07-2010
14.35
10.62
0.478333
0.478333
0.478333
0A10BBO V
05-07-2010
13.47
9.97
0.449000
0.449000
0.449000
0A10BBO V
05-07-2010
13.47
9.97
0.449000
0.449000
0.449000
0A10BBO V
05-07-2010
14.35
10.62
0.478333
0.478333
0.478333
0A10BBO V
05-07-2010
55.51
42.44
0.462583
0.462583
0.462583
0A10BBO V
05-07-2010
14.35
10.62
0.478333
0.478333
0.478333
0A10BBO V
05-07-2010
14.35
10.62
0.478333
0.478333
0.478333
0A10BBO V
05-07-2010
55.51
42.44
0.462583
0.462583
0.462583
0A10BBO V
05-07-2010
22.06
16.32
0.735333
0.735333
0.735333
0A10BBO V
05-07-2010
56.08
42.87
1.869333
1.869333
1.869333
0A10BBO V
05-07-2010
25.73
19.04
0.857666
0.857666
0.857666
9A10BD02O V
05-07-2010
217.00
177.75
0.434000
0.434000
0.434000
9A10BD02O V
05-07-2010
10.66
7.89
0.533000
0.533000
0.533000
9A10BD02O V
05-07-2010
25.70
19.01
0.428333
0.428333
0.428333
9A10BD02O V
05-07-2010
25.70
19.01
0.428333
0.428333
0.428333
9A10BD02O V
05-07-2010
27.55
20.38
0.459166
0.459166
0.459166
9A10BD02O V
05-07-2010
27.55
20.38
0.459166
0.459166
0.459166
CJAS 9A10BD03O V
05-07-2010
124.02
98.09
2.214642
2.214642
2.214642
CJAS 9A10BD03O V
05-07-2010
197.13
161.48
3.520178
3.520178
3.520178
CJAS 9A10BD04O V
05-07-2010
118.22
93.50
4.222142
4.222142
4.222142
CJAS 9A10BD04O V
05-07-2010
206.09
168.82
7.360357
7.360357
7.360357
CJAS 9A10BD05O V
05-07-2010
194.53
159.35
3.473750
3.473750
3.473750
0A10BFO V
05-07-2010
85.15
67.34
0.709583
0.709583
0.709583
0A10BFO V
05-07-2010
63.51
48.55
0.529250
0.529250
0.529250
CJAS 0A10BGO V
05-07-2010
100.39
79.40
3.585357
3.585357
3.585357
CJAS 0A10BGO V
05-07-2010
128.58
105.32
4.592142
4.592142
4.592142
CJAS 0A10BGO V
05-07-2010
193.50
158.50
6.910714
6.910714
6.910714
CJAS 0A10BGO V
05-07-2010
251.40
205.93
8.978571
8.978571
8.978571
CJAS 9A10BH01O V
05-07-2010
195.77
160.36
6.991785
6.991785
6.991785
9A10BX02O V
05-07-2010
20.49
15.16
0.683000
0.683000
0.683000
9A10BX02O V
05-07-2010
59.50
45.49
0.661111
0.661111
0.661111
9A10BX02O V
05-07-2010
75.34
59.59
0.627833
0.627833
0.627833
9A10BX02O V
05-07-2010
160.74
131.67
0.595333
0.595333
0.595333
70 / 135
Substan activ
Form farmaceutic
Concentraie
Cantitate Cod boli

C2 W54878001 REPAGLINIDA FARMAL 1 mg
REPAGLINIDUM
COMPR.
1mg
30
REPAGLINIDUM
COMPR.
1mg
90
REPAGLINIDUM
COMPR.
1mg
120
REPAGLINIDUM
COMPR.
1mg
270
REPAGLINIDUM
COMPR.
2mg
30
REPAGLINIDUM
COMPR.
2mg
90
REPAGLINIDUM
COMPR.
2mg
120
REPAGLINIDUM
270
C2 W52269001 BYETTA 10mcg/doza
EXENATIDUM
C2 W52268001 BYETTA 5mcg/doza
EXENATIDUM
COMPR.
2mg
PREUMPLUT
10mcg/doza
PREUMPLUT
5mcg/doza
C2 W41932004 BENFOGAMMA
BENFOTIAMINUM
DRAJ.
50mg
50
C2 W41932003 BENFOGAMMA
BENFOTIAMINUM
DRAJ.
50mg
100
C2 W01610001 MILGAMMA (R) N
COMBINATII
CAPS. MOI
FARA CONCENT20
COMBINATII
CAPS. MOI
FARA CONCENT100
COMBINATII
CAPS. MOI
FARA CONCENT50
C2 W42092001 MILGAMMA (R) 100
COMBINATII
DRAJ.
FARA CONCENT30
C2 W42092003 MILGAMMA (R) 100
COMBINATII
DRAJ.
FARA CONCENT100
C2 W42092002 MILGAMMA (R) 100
COMBINATII
DRAJ.
FARA CONCENT60
COMBINATII
SOL. INJ.
FARA CONCENT25
COMBINATII
SOL. INJ.
FARA CONCENT5
C2 W41647001 MILGAMMA (R) NA
COMBINATII
SOL. INJ.
FARA CONCENT5
C2 W01731003 MILGAMMA (R) (vezi B03BA51)
COMBINATII
DRAJ.
FARA CONCENT100
COMBINATII
DRAJ.
FARA CONCENT20

COMBINATII
Teste de automonitorizare a glicemiei pentru
C2 T0001
bolnavii cu diabet zaharat
FARA DCI
DRAJ.
FARA CONCENT50
FARA FORMA
FARA CONCENT1
C2 W02559001 A.T. 10 (R)
DIHYDROTACHYSTEROLUM
PICATURI ORALE-SOL.
1mg/ml
C2 W00231001 ALPHA D3 0,25 mcg
ALFACALCIDOLUM
CAPS. MOI
0,25mcg
50
C2 W44042001 ALPHA D3 0,50 mcg
ALFACALCIDOLUM
CAPS. MOI
0,50mcg
30
C2 W51334001 ROCALTROL
CALCITRIOLUM
CAPS. MOI
0,25mcg
100
C2 W03029001 OESTROGEL (R)
ESTRADIOLUM
GEL
0,06%
C2 W03025001 ESTREVA (R)
ESTRADIOLUM
GEL
0,1%
C2 W53395002 CLIMARA
ESTRADIOLUM
PLASTURE TRANSDERM.
50mcg/24ore
C2 W12902001 LIVIAL (R) 2,5 mg
TIBOLONUM
COMPR.
2,5mg
28
C2 W43639001 LADYBON
TIBOLONUM
COMPR.
2,5mg
28
C2 W43639002 LADYBON
TIBOLONUM
COMPR.
2,5mg
84
C2 W53408001 KLIMODIEN
ESTRADIOLUMVALERAT+DIENOGEST DRAJ.
FARA CONCENT28
C2 W53455002 EVISTA 60mg
RALOXIFENUM
COMPR. FILM.
60mg
28
C2 W42160002 THYROGEN 0,9 mg
TIREOTROPINUM ALFA
PULB. PT. SOL. INJ.
0,9mg
C2 W04224001 MEDROL A 16
METHYLPREDNISOLONUM
COMPR.
16mg
50
C2 W04222001 MEDROL 32
METHYLPREDNISOLONUM
COMPR.
32mg
20
METHYLPREDNISOLONUM
COMPR.
4mg
30
C2 W08307001 LEMOD SOLU 125 mg
METHYLPREDNISOLONUM
LIOF. PT. SOL. INJ.
125mg
METHYLPREDNISOLONUM
LIOF. PT. SOL. INJ.
500mg
C2 W04237001 SOLU - MEDROL ACT-O-VIAL
METHYLPREDNISOLONUM
250mg/4ml
C2 W03975001 THYRO - 4 0,1 mg
LEVOTHYROXINUM
COMPR.
0,1mg
100
C2 W03976001 THYRO - 4 0,2 mg
LEVOTHYROXINUM
COMPR.
0,2mg
100
1
1

5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
5
zaharat
Programul national de boli
7
endocrine
7
endocrine
7
endocrine
7
endocrine
7
endocrine
7
endocrine
7
endocrine
7
endocrine
7
endocrine
7
endocrine
7
endocrine
7
endocrine
7
endocrine
7
endocrine
7
endocrine
7
endocrine
7
endocrine
7
endocrine
7
endocrine
7
endocrine
7
endocrine
Mentiuni
sublista
Cod
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
Valoare
compensare/UT
9A10BX02O V
05-07-2010
27.18
20.11
0.906000
0.906000
0.906000
9A10BX02O V
05-07-2010
74.94
59.27
0.832666
0.832666
0.832666
9A10BX02O V
05-07-2010
99.92
79.03
0.832666
0.832666
0.832666
9A10BX02O V
05-07-2010
213.20
174.64
0.789629
0.789629
0.789629
9A10BX02O V
05-07-2010
33.22
24.58
1.107333
1.107333
1.107333
9A10BX02O V
05-07-2010
91.60
72.45
1.017777
1.017777
1.017777
9A10BX02O V
05-07-2010
122.13
96.59
1.017750
1.017750
1.017750
9A10BX02O V
05-07-2010
260.52
213.40
0.964888
0.964888
0.964888
CJAS 9A10BX04P V
05-07-2010
466.28
392.78
466.280000
466.280000
466.280000
CJAS 9A10BX04P V
05-07-2010
404.39
336.00
404.390000
404.390000
404.390000
0A11DAO V
05-07-2010
28.66
21.20
0.573200
0.573200
0.573200
0A11DAO V
05-07-2010
52.03
39.78
0.520300
0.520300
0.520300
MSP
9A11DBN1O V
05-07-2010
20.23
14.97
1.011500
1.011500
1.011500
MSP
9A11DBN1O V
05-07-2010
84.15
66.55
0.841500
0.841500
0.841500
MSP
9A11DBN1O V
05-07-2010
46.78
35.76
0.935600
0.935600
0.935600
MSP
9A11DBN1O V
05-07-2010
49.74
38.03
1.658000
1.658000
1.658000
MSP
9A11DBN1O V
05-07-2010
138.75
113.65
1.387500
1.387500
1.387500
MSP
9A11DBN1O V
05-07-2010
89.74
70.97
1.495666
1.495666
1.495666
MSP
9A11DBN1P V
05-07-2010
83.35
65.92
3.334000
3.334000
3.334000
MSP
9A11DBN1P V
05-07-2010
18.47
13.67
3.694000
3.694000
3.694000
MSP
9A11DBN1P V
05-07-2010
20.49
15.16
4.098000
4.098000
4.098000
MSP
9B03BA51O V
05-07-2010
84.15
66.55
0.841500
0.841500
0.841500
MSP
9B03BA51O V
05-07-2010
20.23
14.97
1.011500
1.011500
1.011500
MSP
9B03BA51O V
05-07-2010
46.78
35.76
0.935600
0.935600
0.935600
9FARA ATC0 V 05-07-2010
1.20
1.20
1.200000
1.200000
1.200000
1A11CCO K
05-07-2010
25.93
19.18
25.930000
25.930000
25.930000
1A11CCO V
05-07-2010
33.55
25.65
0.671000
0.671000
0.671000
1A11CCO V
05-07-2010
31.32
23.17
1.044000
1.044000
1.044000
1A11CCO V
05-07-2010
76.80
60.74
0.768000
0.768000
0.768000
0G03CATD V
05-07-2010
16.56
12.25
16.560000
16.560000
16.560000
0G03CATD V
05-07-2010
29.34
21.71
29.340000
29.340000
29.340000
0G03CATD V
05-07-2010
33.25
25.42
8.312500
8.312500
8.312500
9G03CX01O V
05-07-2010
72.65
57.46
2.594642
2.594642
2.594642
9G03CX01O V
05-07-2010
71.02
56.17
2.536428
2.536428
2.536428
9G03CX01O V
05-07-2010
180.35
147.73
2.147023
2.147023
2.147023
YG03FAO V
05-07-2010
34.12
26.09
1.218571
1.218571
1.218571
9G03XC01O V
05-07-2010
124.68
98.61
4.452857
4.452857
4.452857
9H01AB01P V
05-07-2010
3,371.21
3,057.85
1,685.605000
1,685.605000
1,685.605000
9H02AB04O V
05-07-2010
32.54
24.08
0.650800
0.650800
0.650800
9H02AB04O V
05-07-2010
29.57
21.88
1.478500
1.478500
1.478500
9H02AB04O V
05-07-2010
6.52
4.82
0.217333
0.217333
0.217333
9H02AB04P V
05-07-2010
8.78
6.50
8.780000
8.780000
8.780000
9H02AB04P V
05-07-2010
30.94
22.89
30.940000
30.940000
30.940000
9H02AB04P V
05-07-2010
20.42
15.11
20.420000
20.420000
20.420000
9H03AA01O V
05-07-2010
7.60
5.62
0.076000
0.076000
0.076000
9H03AA01O V
05-07-2010
9.49
7.02
0.094900
0.094900
0.094900
71 / 135
Substan activ
Form farmaceutic
Concentraie
Cantitate Cod boli

C2 W03965001 EUTHYROX (R) 100
LEVOTHYROXINUM
COMPR.
100mcg
100
C2 W12400002 L-THYROXIN 100 BERLIN - CHEMIE
LEVOTHYROXINUM
COMPR.
100mcg
100
C2 W03967001 EUTHYROX (R) 200
LEVOTHYROXINUM
COMPR.
200mcg
100
C2 W03968001 EUTHYROX (R) 25
LEVOTHYROXINUM
COMPR.
25mcg
100
C2 W41954001 EUTHYROX (R) 50
LEVOTHYROXINUM
COMPR.
50mcg
100
C2 W07735003 L-THYROXIN 50
LEVOTHYROXINUM
COMPR.
50mcg
100
C2 W02017003 JODTHYROX (R) 100/130,8
LEVOTIROXINUM+KALII IODIDUM
COMPR.
FARA CONCENT50
C2 W00834003 CARBIMAZOLE 5
CARBIMAZOLUM
COMPR. FILM.
5mg
100
C2 W13148002 THYROZOL (R) 10 mg
THIAMAZOLUM
COMPR. FILM.
10mg
50
THIAMAZOLUM
COMPR. FILM.
20mg
50
THIAMAZOLUM
COMPR. FILM.
5mg
100
C2 W03843003 JODID 100
KALII IODIDUM
COMPR.
100mcg
100
C2 W03843004 JODID 100
KALII IODIDUM
COMPR.
100mcg
100
C2 W03844003 JODID 200
KALII IODIDUM
COMPR.
200mcg
100
C2 W03844004 JODID 200
KALII IODIDUM
COMPR.
200mcg
100
C2 W13566001 FORSTEO 20mcg/80mcg
TERIPARATIDUM
SOL. INJ.
20mcg/80mcg
C2 W00761001 TONOCALCIN 100 UI
SOL. INJ.
100UI
C2 W08119001 NYLEX (R)
SOL. INJ.
100UI/ml
C2 W00756001 MIACALCIC (R)
SOL. INJ.
50ui/ml
C2 W08186001 NYLEX 100 UI/doza
SPRAY NAZ.,SOL.
100UI/doza
C2 W41439001 NYLEX (R)
SPRAY NAZAL - SOL.
200UI/doza
C2 W53635001 ACID ALENDRONIC ACCORD 10 mg
ACIDUM ALENDRONICUM
COMPR.
10mg
28
C2 W54297001 TEVANAT 70 mg
ACIDUM ALENDRONICUM
COMPR.
70 mg
C2 W08599002 FOSAMAX 70 mg
ACIDUM ALENDRONICUM
COMPR.
70mg
ACIDUM ALENDRONICUM
COMPR.
70mg
C2 W53741001 RANOS 70 mg
ACIDUM ALENDRONICUM
COMPR.
70mg
C2 W54083001 ACID ALENDRONIC BLUEFISH 70 mg
ACIDUM ALENDRONICUM
COMPR.
70mg
ACIDUM ALENDRONICUM
COMPR.
70mg
C2 W55248001 INSTREL 70 mg
ACIDUM ALENDRONICUM
COMPR.
70mg
C2 W52948001 ALENDRONAT SANDOZ 70 mg
ACIDUM ALENDRONICUM
COMPR. FILM.
70mg
C2 W54078001 ADRONIK 70 mg
ACIDUM ALENDRONICUM
COMPR. FILM.
70mg
12
ACIDUM ALENDRONICUM
COMPR. FILM.
70mg
ACIDUM ALENDRONICUM
COMPR. FILM.
70mg
C2 W42716001 BONVIVA 150mg
ACIDUM IBANDRONICUM
COMPR. FILM.
150mg
C2 W41499001 BONDRONAT 50mg
ACIDUM IBANDRONICUM
COMPR. FILM.
50mg
28
C2 W41498001 BONDRONAT 6mg/6ml
ACIDUM IBANDRONICUM
6mg/6ml
C2 W43328001 BONVIVA 3mg/3ml
ACIDUM IBANDRONICUM

PREUMPLUTA
1mg/1ml
C2 W52144002 RISENDROS 35 mg
ACIDUM RISEDRONICUM
COMPR. FILM.
35mg
C2 W53578003 RISEDRONAT TEVA 35 mg
ACIDUM RISEDRONICUM
COMPR. FILM.
35mg
C2 W53774001 JUVERITAL 35 mg
ACIDUM RISEDRONICUM
COMPR. FILM.
35mg
C2 W53733003 ACTONEL (R) SAPTAMANAL
ACIDUM RISEDRONICUM
COMPR. FILM.
35mg
C2 W54377002 LORINE 35mg
ACIDUM RISEDRONICUM
COMPR. FILM.
35mg
ACIDUM RISEDRONICUM
COMPR. FILM.
35mg
C2 W55168002 OSTEORON 35 mg
ACIDUM RISEDRONICUM
COMPR. FILM.
35mg
ACIDUM RISEDRONICUM
COMPR. FILM.
5mg
28
C2 W54976001 ACTONEL 75 mg
ACIDUM RISEDRONICUM
COMPR. FILM.
75mg

7
endocrine
7
endocrine
7
endocrine
7
endocrine
7
endocrine
7
endocrine
7
endocrine
7
endocrine
7
endocrine
7
endocrine
7
endocrine
7
endocrine
7
endocrine
7
endocrine
7
endocrine
7
endocrine
7
endocrine
7
endocrine
7
endocrine
7
endocrine
7
endocrine
7
endocrine
7
endocrine
7
endocrine
7
endocrine
7
endocrine
7
endocrine
7
endocrine
7
endocrine
7
endocrine
7
endocrine
7
endocrine
7
endocrine
7
endocrine
7
endocrine
7
endocrine
7
endocrine
7
endocrine
7
endocrine
7
endocrine
7
endocrine
7
endocrine
7
endocrine
7
endocrine
7
endocrine
7
endocrine
Mentiuni
sublista
Cod
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
9H03AA01O V
05-07-2010
11.66
8.63
0.116600
0.116600
0.116600
9H03AA01O V
05-07-2010
12.45
9.21
0.124500
0.124500
0.124500
9H03AA01O V
05-07-2010
24.10
17.83
0.241000
0.241000
0.241000
9H03AA01O K
05-07-2010
9.49
7.02
0.094900
0.094900
0.094900
9H03AA01O V
05-07-2010
8.26
6.11
0.082600
0.082600
0.082600
9H03AA01O V
05-07-2010
8.38
6.20
0.083800
0.083800
0.083800
9H03AAN1O V
05-07-2010
14.73
10.90
0.294600
0.294600
0.294600
0H03BBO V
05-07-2010
16.83
12.45
0.168300
0.168300
0.168300
0H03BBO V
05-07-2010
20.96
15.51
0.419200
0.419200
0.419200
0H03BBO V
05-07-2010
25.47
18.84
0.509400
0.509400
0.509400
0H03BBO V
05-07-2010
30.79
22.78
0.307900
0.307900
0.307900
9H03CA01O V
05-07-2010
12.31
9.11
0.123100
0.123100
0.123100
9H03CA01O V
05-07-2010
12.31
9.11
0.123100
0.123100
0.123100
9H03CA01O V
05-07-2010
19.18
14.19
0.191800
0.191800
0.191800
9H03CA01O V
05-07-2010
19.18
14.19
0.191800
0.191800
0.191800
9H05AA02P V
05-07-2010
1,640.71
1,470.24
1,640.710000
1,640.710000
1,640.710000
9H05BA01P V
05-07-2010
67.76
53.59
13.552000
13.552000
13.552000
9H05BA01P V
05-07-2010
32.28
23.88
6.456000
6.456000
6.456000
9H05BA01P V
05-07-2010
34.39
26.29
6.878000
6.878000
6.878000
9H05BA01N V
05-07-2010
48.24
36.88
48.240000
48.240000
48.240000
9H05BA01N V
05-07-2010
71.12
56.25
71.120000
71.120000
71.120000
MSP
0M05BAO V
05-07-2010
48.15
36.81
1.719642
1.719642
1.719642
MSP
0M05BAO V
05-07-2010
48.15
36.81
12.037500
12.037500
12.037500
MSP
0M05BAO V
05-07-2010
37.04
28.32
18.520000
18.520000
18.520000
MSP
0M05BAO V
05-07-2010
48.15
36.81
12.037500
12.037500
12.037500
MSP
0M05BAO V
05-07-2010
47.54
36.35
11.885000
11.885000
11.885000
MSP
0M05BAO V
05-07-2010
24.87
18.40
12.435000
12.435000
12.435000
MSP
0M05BAO V
05-07-2010
24.65
18.24
6.162500
6.162500
6.162500
MSP
0M05BAO V
05-07-2010
47.54
36.35
11.885000
11.885000
11.885000
MSP
0M05BAO V
05-07-2010
12.79
9.46
6.395000
6.395000
6.395000
MSP
0M05BAO V
05-07-2010
131.62
107.81
10.968333
10.968333
10.968333
MSP
0M05BAO V
05-07-2010
24.71
18.28
12.355000
12.355000
12.355000
MSP
0M05BAO V
05-07-2010
47.85
36.58
11.962500
11.962500
11.962500
MSP
0M05BAO V
05-07-2010
129.02
105.68
129.020000
129.020000
129.020000
MSP
0M05BAO V
05-07-2010
1,086.61
961.89
38.807500
38.807500
38.807500
MSP
0M05BAP V
05-07-2010
1,018.41
899.32
1,018.410000
1,018.410000
1,018.410000
MSP
0M05BAP V
05-07-2010
423.74
353.75
423.740000
423.740000
423.740000
MSP
0M05BAO V
05-07-2010
81.75
64.66
20.437500
20.437500
20.437500
MSP
0M05BAO V
05-07-2010
84.06
66.48
21.015000
21.015000
21.015000
MSP
0M05BAO V
05-07-2010
84.06
66.48
21.015000
21.015000
21.015000
MSP
0M05BAO V
05-07-2010
111.35
88.07
27.837500
27.837500
27.837500
MSP
0M05BAO V
05-07-2010
36.41
27.84
9.102500
9.102500
9.102500
MSP
0M05BAO V
05-07-2010
84.06
66.48
21.015000
21.015000
21.015000
MSP
0M05BAO V
05-07-2010
72.38
57.24
18.095000
18.095000
18.095000
MSP
0M05BAO V
05-07-2010
72.38
57.24
2.585000
2.585000
2.585000
MSP
0M05BAO V
05-07-2010
127.84
104.72
63.920000
63.920000
63.920000
MSP
Valoare
compensare/UT
72 / 135
Substan activ
Form farmaceutic
Concentraie
Cantitate Cod boli

C2 W08426001 ZOMETA 4 mg
ACIDUM ZOLEDRONICUM
PULB. + SOLV. SOL. PERF.
4mg
C2 W42407001 ACLASTA 5mg/100ml
SOL. PERF.
5mg/100ml
COMPR.
70mg/2800UI
COMPR.
70mg/2800UI
COMPR.
70mg/5600UI
C2 W52559002 FOSAVANCE 70mg/5600UI
ACIDUM ZOLEDRONICUM
COMBINATII (ACIDUM
M)
COMBINATII (ACIDUM
M)
COMBINATII (ACIDUM
M)
COMBINATII (ACIDUM
M)

7
endocrine
7
endocrine
COMPR.
C2 W42094002 OSSEOR 2 g
STRONTIUM RANELATUM
C2 W42094003 OSSEOR 2 g
Mentiuni
sublista
Cod
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
MSP
0M05BAP V
05-07-2010
1,232.72
1,095.93
1,232.720000
1,232.720000
1,232.720000
MSP
0M05BAP V
05-07-2010
1,560.32
1,396.48
1,560.320000
1,560.320000
1,560.320000

endocrine
MSP
0M05BBO V
05-07-2010
89.64
70.90
22.410000
22.410000
22.410000

endocrine
MSP
0M05BBO V
05-07-2010
47.19
36.08
23.595000
23.595000
23.595000

endocrine
MSP
0M05BBO V
05-07-2010
47.19
36.08
23.595000
23.595000
23.595000
70mg/5600UI
MSP
0M05BBO V
05-07-2010
89.64
70.90
22.410000
22.410000
22.410000
2g
14
0M05BXO V
05-07-2010
104.48
82.63
7.462857
7.462857
7.462857
STRONTIUM RANELATUM
2g
28
0M05BXO V
05-07-2010
174.18
142.68
6.220714
6.220714
6.220714
C2 W00231001 ALPHA D3 0,25 mcg
ALFACALCIDOLUM
CAPS. MOI
0,25mcg
50
10
1A11CCO V
05-07-2010
33.55
25.65
0.671000
0.671000
0.671000
C2 W44042001 ALPHA D3 0,50 mcg
ALFACALCIDOLUM
CAPS. MOI
0,50mcg
30
10
1A11CCO V
05-07-2010
31.32
23.17
1.044000
1.044000
1.044000
C2 W51334001 ROCALTROL
CALCITRIOLUM
CAPS. MOI
0,25mcg
100
10
MSP
1A11CCO V
05-07-2010
76.80
60.74
0.768000
0.768000
0.768000
C2 W03447001 HEPARINE SODIQUE PANPHARMA
HEPARINUM
SOL. INJ.
5000ui/ml
10
10
MSP
9B01AB01P V
05-07-2010
127.84
104.72
12.784000
12.784000
12.784000
C2 W51289001 HEPARIN
HEPARINUM
SOL. INJ.
5000ui/ml
10
MSP
9B01AB01P V
05-07-2010
8.64
6.39
1.728000
1.728000
1.728000
C2 W51290001 HEPARIN
HEPARINUM
SOL. INJ.
5000ui/ml
10
10
MSP
9B01AB01P V
05-07-2010
43.79
33.48
4.379000
4.379000
4.379000
C2 W13613002 CLEXANE 2000ui anti-Xa/0,2ml
ENOXAPARINUM
SOL. INJ.
10
MSP
1B01ABP V
05-07-2010
72.76
57.55
7.276000
7.276000
7.276000
ENOXAPARINUM
SOL. INJ.
10
MSP
1B01ABP V
05-07-2010
144.23
118.14
14.423000
14.423000
14.423000
ENOXAPARINUM
SOL. INJ.
10
MSP
1B01ABP V
05-07-2010
187.44
153.54
18.744000
18.744000
18.744000
ENOXAPARINUM
SOL. INJ.
8000ui anti-Xa/0,82
10
MSP
1B01ABP V
05-07-2010
52.07
39.81
26.035000
26.035000
26.035000

C2 W41789001 Xa/0,3 ml
NADROPARINUM
SOL. INJ.
2850 ui AFXa/0,3 10
10
MSP
1B01ABP V
05-07-2010
75.24
59.51
7.524000
7.524000
7.524000

C2 W41790001 Xa/0,4 ml
NADROPARINUM
SOL. INJ.
3800 ui AFXa/0,4 10
10
MSP
1B01ABP V
05-07-2010
103.22
81.64
10.322000
10.322000
10.322000

C2 W41788001 Xa/0,6 ml
NADROPARINUM
SOL. INJ.
5700 ui AFXa/0,6 10
10
MSP
1B01ABP V
05-07-2010
132.15
108.25
13.215000
13.215000
13.215000

C2 W41791001 Xa/0,8 ml
NADROPARINUM
SOL. INJ.
7600 ui AXa/0,8m10
10
MSP
1B01ABP V
05-07-2010
189.31
155.07
18.931000
18.931000
18.931000
C2 W12805002 CLIVARIN (R) 1432UI/0,25 ml
REVIPARINUM
SOL. INJ.
1432ui/0,25ml
10
10
MSP
1B01ABP V
05-07-2010
84.26
66.64
8.426000
8.426000
8.426000
C2 W12806001 CLIVARIN (R) 3436 UI/0,6 ml
REVIPARINUM
SOL. INJ.
3436ui/0,6ml
10
MSP
1B01ABP V
05-07-2010
101.17
80.01
20.234000
20.234000
20.234000
C2 W12409001 INNOHEP
TINZAPARINUM
SOL. INJ.
10000u ANTIF. X 2
10
MSP
1B01ABP V
05-07-2010
35.03
26.78
17.515000
17.515000
17.515000
TINZAPARINUM
SOL. INJ.
10000u ANTIF. X 2
10
MSP
1B01ABP V
05-07-2010
26.07
19.29
13.035000
13.035000
13.035000

endocrine
endocrine
endocrine
supleere a functiei renale la
bolnavii cu insuficienta renala
cronica
cronica
cronica
cronica
cronica
cronica
cronica
cronica
cronica
cronica
cronica
cronica
cronica
cronica
cronica
cronica
cronica
cronica
Valoare
compensare/UT
73 / 135
Cantitate Cod boli

Substan activ
Form farmaceutic
Concentraie
TINZAPARINUM
SOL. INJ.
10000u ANTIF. X 10
TINZAPARINUM
SOL. INJ.
20000u ANTIF. X 10
TINZAPARINUM
SOL. INJ.
20000u ANTIF. X 2
TINZAPARINUM
SOL. INJ.
20000u ANTIF. X 2
TINZAPARINUM
SOL. INJ.
20000u ANTIF. X 2
C2 W51230001 VENOFER (R)

SUCROZA
SOL. INJ./PERF.
20mg/ml
C2 W51301001 EPOPHAR 2000 U.I.
EPOETINUM ALFA
SOL. INJ.
2000UI
10
C2 W44143001 EPREX (R) 3000 UI
EPOETINUM ALFA
SOL. INJ.
3000ui/0,3ml
C2 W44140001 EPREX (R) 40 000 UI
EPOETINUM ALFA
SOL. INJ.
40 000UI
C2 W51299001 EPOPHAR 4000 U.I.
EPOETINUM ALFA
SOL. INJ.
4000UI
10
EPOETINUM ALFA

PREUMPLUTA
10000UI/1,0ml
EPOETINUM ALFA

PREUMPLUTA
10000UI/1,0ml
EPOETINUM ALFA

PREUMPLUTA
1000UI/0,5ml
EPOETINUM ALFA

PREUMPLUTA
1000UI/0,5ml
EPOETINUM ALFA

PREUMPLUTA
2000UI/1,0ml
EPOETINUM ALFA

PREUMPLUTA
2000UI/1,0ml
C2 W55046001 BINOCRIT 30000UI/0,75ml
EPOETINUM ALFA

PREUMPLUTA
30000UI/0,75ml 1
EPOETINUM ALFA

PREUMPLUTA
3000UI/0,3ml
EPOETINUM ALFA

PREUMPLUTA
3000UI/0,3ml
EPOETINUM ALFA

PREUMPLUTA
40000 UI/1 ml
EPOETINUM ALFA

PREUMPLUTA
4000UI/0,4ml
EPOETINUM ALFA

PREUMPLUTA
4000UI/0,4ml
EPOETINUM ALFA

PREUMPLUTA
5000UI/0,5ml

10
cronica
10
cronica
10
cronica
10
cronica
10
cronica
10
cronica
10
cronica
10
cronica
cronica
10
10
cronica
10
cronica
10
cronica
10
cronica
10
cronica
10
cronica
10
cronica
10
cronica
10
cronica
10
cronica
10
cronica
10
cronica
10
cronica
10
cronica
Mentiuni
sublista
Cod
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
Valoare
compensare/UT
MSP
1B01ABP V
05-07-2010
534.94
455.77
53.494000
53.494000
53.494000
MSP
1B01ABP V
05-07-2010
1,110.78
984.06
111.078000
111.078000
111.078000
MSP
1B01ABP V
05-07-2010
102.92
81.40
51.460000
51.460000
51.460000
MSP
1B01ABP V
05-07-2010
126.78
103.85
63.390000
63.390000
63.390000
MSP
1B01ABP V
05-07-2010
73.48
58.11
36.740000
36.740000
36.740000
3B03A5P V
05-07-2010
149.42
122.39
29.884000
29.884000
29.884000
MSP
0B03XAP V
05-07-2010
331.02
271.15
33.102000
33.102000
33.102000
MSP
0B03XAP V
05-07-2010
757.39
659.85
126.231666
126.231666
126.231666
MSP
0B03XAP V
05-07-2010
1,350.47
1,203.96
1,350.470000
1,350.470000
1,350.470000
MSP
0B03XAP V
05-07-2010
608.23
523.01
60.823000
60.823000
60.823000
MSP
0B03XAP V
05-07-2010
1,724.65
1,547.25
287.441666
287.441666
287.441666
MSP
0B03XAP V
05-07-2010
1,834.63
1,648.14
305.771666
305.771666
305.771666
MSP
0B03XAP V
05-07-2010
217.91
178.50
36.318333
36.318333
36.318333
MSP
0B03XAP V
05-07-2010
238.11
195.04
39.685000
39.685000
39.685000
MSP
0B03XAP V
05-07-2010
425.00
354.91
70.833333
70.833333
70.833333
MSP
0B03XAP V
05-07-2010
457.85
385.05
76.308333
76.308333
76.308333
MSP
0B03XAP V
05-07-2010
786.55
686.60
786.550000
786.550000
786.550000
MSP
0B03XAP V
05-07-2010
602.48
517.73
100.413333
100.413333
100.413333
MSP
0B03XAP V
05-07-2010
651.86
563.04
108.643333
108.643333
108.643333
MSP
0B03XAP V
05-07-2010
992.26
875.33
992.260000
992.260000
992.260000
MSP
0B03XAP V
05-07-2010
779.91
680.51
129.985000
129.985000
129.985000
MSP
0B03XAP V
05-07-2010
840.17
735.80
140.028333
140.028333
140.028333
MSP
0B03XAP V
05-07-2010
957.28
843.24
159.546666
159.546666
159.546666
74 / 135
Substan activ
Form farmaceutic
Concentraie
Cantitate Cod boli

EPOETINUM ALFA

PREUMPLUTA
5000UI/0,5ml
EPOETINUM ALFA

PREUMPLUTA
6000UI/0,6ml
EPOETINUM ALFA

PREUMPLUTA
8000UI/0,8ml
EPOETINUM BETA

PREUMPLUTA
10000UI/0,6ml
EPOETINUM BETA

PREUMPLUTA
1000UI/0,3ml
EPOETINUM BETA

PREUMPLUTA
2000UI/0,3ml
EPOETINUM BETA

PREUMPLUTA
30000 UI/0,6ml
EPOETINUM BETA

PREUMPLUTA
4000UI/0,3ml
EPOETINUM BETA

PREUMPLUTA
5000UI/0,3ml
EPOETINUM BETA

PREUMPLUTA
500UI/0,3ml
DARBEPOETINUM ALFA

PREUMPLUTA
100mcg/0,5ml
DARBEPOETINUM ALFA

PREUMPLUTA
10mcg/0,4ml
DARBEPOETINUM ALFA

PREUMPLUTA
150mcg/0,3ml
DARBEPOETINUM ALFA

PREUMPLUTA
15mcg/0,375ml
DARBEPOETINUM ALFA

PREUMPLUTA
20mcg/0,5ml
DARBEPOETINUM ALFA

PREUMPLUTA
300mcg/0,6ml
DARBEPOETINUM ALFA

PREUMPLUTA
30mcg/0,3ml
DARBEPOETINUM ALFA

PREUMPLUTA
40mcg/0,4ml
DARBEPOETINUM ALFA

PREUMPLUTA
500mcg/ml
DARBEPOETINUM ALFA

PREUMPLUTA
50mcg/0,5ml
DARBEPOETINUM ALFA

PREUMPLUTA
60mcg/0,3ml
DARBEPOETINUM ALFA

PREUMPLUTA
80mcg/0,4ml
C2 W43185002 MIMPARA 30 mg
CINACALCETUM
COMPR. FILM.
30mg
28

10
cronica
10
cronica
10
cronica
10
cronica
cronica
10
10
cronica
cronica
10
10
cronica
10
cronica
10
cronica
10
cronica
10
cronica
10
cronica
10
cronica
10
cronica
10
cronica
10
cronica
10
cronica
10
cronica
10
cronica
10
cronica
10
cronica
10
cronica
Mentiuni
sublista
Cod
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
Valoare
compensare/UT
MSP
0B03XAP V
05-07-2010
1,039.51
918.68
173.251666
173.251666
173.251666
MSP
0B03XAP V
05-07-2010
1,233.28
1,096.45
205.546666
205.546666
205.546666
MSP
0B03XAP V
05-07-2010
1,620.80
1,451.97
270.133333
270.133333
270.133333
MSP
0B03XAP V
05-07-2010
2,341.24
2,112.92
390.206666
390.206666
390.206666
MSP
0B03XAP V
05-07-2010
279.25
228.74
46.541666
46.541666
46.541666
MSP
0B03XAP V
05-07-2010
525.21
446.84
87.535000
87.535000
87.535000
MSP
0B03XAP V
05-07-2010
1,171.95
1,040.18
1,171.950000
1,171.950000
1,171.950000
MSP
0B03XAP V
05-07-2010
978.92
863.09
163.153333
163.153333
163.153333
MSP
0B03XAP V
05-07-2010
1,205.63
1,071.08
200.938333
200.938333
200.938333
MSP
0B03XAP V
05-07-2010
143.59
117.62
23.931666
23.931666
23.931666
MSP
0B03XAP V
05-07-2010
3,165.73
2,869.34
791.432500
791.432500
791.432500
MSP
0B03XAP V
05-07-2010
390.73
323.47
97.682500
97.682500
97.682500
MSP
0B03XAP V
05-07-2010
4,697.46
4,274.59
1,174.365000
1,174.365000
1,174.365000
MSP
0B03XAP V
05-07-2010
546.33
466.22
136.582500
136.582500
136.582500
MSP
0B03XAP V
05-07-2010
701.15
608.26
175.287500
175.287500
175.287500
MSP
0B03XAP V
05-07-2010
2,203.60
1,986.65
2,203.600000
2,203.600000
2,203.600000
MSP
0B03XAP V
05-07-2010
1,007.27
889.10
251.817500
251.817500
251.817500
MSP
0B03XAP V
05-07-2010
1,316.02
1,172.36
329.005000
329.005000
329.005000
MSP
0B03XAP V
05-07-2010
3,625.44
3,291.09
3,625.440000
3,625.440000
3,625.440000
MSP
0B03XAP V
05-07-2010
1,623.11
1,454.09
405.777500
405.777500
405.777500
MSP
0B03XAP V
05-07-2010
1,932.79
1,738.20
483.197500
483.197500
483.197500
MSP
0B03XAP V
05-07-2010
2,550.12
2,304.56
637.530000
637.530000
637.530000
CNAS 0H05BXO V
05-07-2010
858.29
752.42
30.653214
30.653214
30.653214
75 / 135
Substan activ
Form farmaceutic
Concentraie
Cantitate Cod boli

CINACALCETUM
COMPR. FILM.
60mg
28
CINACALCETUM
COMPR. FILM.
90mg
28
PARICALCITOLUM
CAPS. MOI
1mcg
28
PARICALCITOLUM
CAPS. MOI
2mcg
28
PARICALCITOLUM
CAPS. MOI
4mcg
28
PARICALCITOLUM
SOL. INJ.
5 mcg/ml
PARICALCITOLUM
SOL. INJ.
5 mcg/ml
C2
C2
C2
C2
C2
SEVELAMER
MOROCTOCOG ALFA
MOROCTOCOG ALFA
MOROCTOCOG ALFA
MOROCTOCOG ALFA
800mg
1000 UI
2000 UI
250 UI
500 UI
W08985002
W51713001
W52041001
W51711001
W51712001
180
1
1
1
1
1000UI/10ml
6.1
250UI/10ml
500 UI/10ml
1000UI
1000UI
2000UI
250UI
500 UI
500UI
250 UI
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
Valoare
compensare/UT
CNAS 0H05BXO V
05-07-2010
1,542.35
1,380.00
55.083928
55.083928
55.083928
CNAS 0H05BXO V
05-07-2010
2,178.13
1,963.28
77.790357
77.790357
77.790357
MSP
9H05BX02O V
05-07-2010
467.07
393.50
16.681071
16.681071
16.681071
MSP
9H05BX02O V
05-07-2010
929.16
817.44
33.184285
33.184285
33.184285
MSP
9H05BX02O V
05-07-2010
1,736.88
1,558.47
62.031428
62.031428
62.031428
MSP
9H05BX02P V
05-07-2010
473.88
399.75
94.776000
94.776000
94.776000
MSP
9H05BX02P V
05-07-2010
900.07
790.75
180.014000
180.014000
180.014000
MSP
MSP
MSP
MSP
MSP
0V03AEO V
9B02BD02P V
9B02BD02P V
9B02BD02P V
9B02BD02P V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
798.29
2,724.56
5,378.28
734.27
1,397.73
697.38
2,464.60
4,899.20
638.64
1,247.32
4.434944
2,724.560000
5,378.280000
734.270000
1,397.730000
4.434944
2,724.560000
5,378.280000
734.270000
1,397.730000
4.434944
2,724.560000
5,378.280000
734.270000
1,397.730000
Hemofilie si talasemie
MSP
9B02BD02P V
05-07-2010
2,846.10
2,576.10
2,846.100000
2,846.100000
2,846.100000
6.1
MSP
9B02BD02P V
05-07-2010
764.66
666.53
764.660000
764.660000
764.660000
1
1
1
1
1
1
1
1
6.1
6.1
6.1
6.1
6.1
6.1
6.1
6.1
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
9B02BD02P V
9B02BD02P V
9B02BD02P V
9B02BD02P V
9B02BD02P V
9B02BD02P V
9B02BD02P V
9B02BD02P V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
1,458.47
3,425.96
3,067.11
6,063.73
819.90
1,774.96
1,569.00
909.63
1,303.05
3,108.08
2,778.86
5,528.05
717.20
1,593.41
1,404.45
799.52
1,458.470000
3,425.960000
3,067.110000
6,063.730000
819.900000
1,774.960000
1,569.000000
909.630000
1,458.470000
3,425.960000
3,067.110000
6,063.730000
819.900000
1,774.960000
1,569.000000
909.630000
1,458.470000
3,425.960000
3,067.110000
6,063.730000
819.900000
1,774.960000
1,569.000000
909.630000
500 U/20ml
6.1
MSP
9B02BD03P V
05-07-2010
1,676.20
1,502.80
1,676.200000
1,676.200000
1,676.200000
C2 W43876001 RECOMBINATE 1000 UI/10 ml
OCTOCOG ALFA
C2 W43874001 RECOMBINATE 250 UI/10 ml
OCTOCOG ALFA
C2
C2
C2
C2
C2
C2
C2
C2
C2 W52172001 FEIBA NF 500 U FEIBA
OCTOCOG ALFA
OCTOCOG ALFA
OCTOCOG ALFA
OCTOCOG ALFA
OCTOCOG ALFA
OCTOCOG ALFA
OCTOCOG ALFA
OCTOCOG ALFA
COMPLEX DE ANTIINHIBITORI AI
COAGULARII
COMPR. FILM.
PULB. + SOL. PT. SOL. INJ.
INJ./PERF.
INJ./PERF.
INJ./PERF.
PULB+SOLV.PT.SOL.INJ.
INJ./PERF.
C2 W51619001 OCTANINE F 250
FACTOR IX DE COAGULARE
LIOF. + SOLV. PT. SOL. PERF.
250 UI
6.1
MSP
9B02BD04P V
05-07-2010
549.67
469.28
549.670000
549.670000
549.670000
C2 W51615001 OCTANINE F 500

C2 W51617001 OCTANINE F 1000
500 UI
1000 UI
1
1
6.1
6.1
MSP
MSP
9B02BD04P V
9B02BD04P V
05-07-2010
05-07-2010
986.45
1,902.05
870.00
1,710.00
986.450000
1,902.050000
986.450000
1,902.050000
986.450000
1,902.050000
C2
C2
C2
C2
C2
NONACOG ALPHA
NONACOG ALPHA
NONACOG ALPHA
NONACOG ALPHA
FACTOR VIII DE COAGULARE SI
FACTOR VON WILLEBRAND
EPTACOG ALFA ACTIVATUM
DEFEROXAMINUM
DEFERASIROXUM
DEFERASIROXUM
DEFERASIROXUM
ONDANSETRONUM
ONDANSETRONUM
ONDANSETRONUM
ONDANSETRONUM
ONDANSETRONUM
ONDANSETRONUM
ONDANSETRONUM
ONDANSETRONUM
ONDANSETRONUM
ONDANSETRONUM
ONDANSETRONUM
ONDANSETRONUM
LIOF. + SOLV. PT. SOL. PERF.

PULB. LIOF. + SOLV.
PULB.+SOLV. PT. SOL.
INJ./PERF.
INJ./PERF.
INJ./PERF.
INJ./PERF.
LIOF. SI SOLV. PT. SOL.
INJ./PERF.
COMPR. DISP.
COMPR. DISP.
COMPR. DISP.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ./PERF.
SOL. INJ./PERF.
CAPS.
CAPS.
CAPS.
COMPR.
600UI
1000UI
2000UI
250UI
500UI
1
1
1
1
1
6.1
6.1
6.1
6.1
6.1
MSP
MSP
MSP
MSP
MSP
9B02BD04P V
9B02BD04P V
9B02BD04P V
9B02BD04P V
9B02BD04P V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
1,046.72
2,809.89
5,548.93
822.38
1,440.37
925.30
2,542.88
5,055.76
719.48
1,286.44
1,046.720000
2,809.890000
5,548.930000
822.380000
1,440.370000
1,046.720000
2,809.890000
5,548.930000
822.380000
1,440.370000
1,046.720000
2,809.890000
5,548.930000
822.380000
1,440.370000
1000UI
6.1
MSP
9B02BD06P V
05-07-2010
1,264.07
1,124.70
1,264.070000
1,264.070000
1,264.070000
250UI
6.1
MSP
9B02BD06P V
05-07-2010
364.26
298.38
364.260000
364.260000
364.260000
500UI
6.1
MSP
9B02BD06P V
05-07-2010
662.18
572.50
662.180000
662.180000
662.180000
6.1
6.1
6.1
6.1
6.1
6.1
6.1
6.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
MSP
MSP
MSP
MSP
MSP
CNAS
CNAS
CNAS
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
9B02BD06P V
9B02BD08P V
9B02BD08P V
9B02BD08P V
9V03AC01P V
9V03AC03O V
9V03AC03O V
9V03AC03O V
0A04AAO V
0A04AAO V
0A04AAO V
0A04AAO V
0A04AAO V
0A04AAO V
0A04AAP V
0A04AAP V
0A04AAP V
0A04AAP V
0A04AAP V
0A04AAP V
9A05AA02O V
9A05AA02O V
9A05AA02O V
9A05AA02O V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
1,869.35
5,682.80
14,100.73
2,876.83
134.74
785.88
1,627.37
2,930.96
19.00
66.19
33.24
19.12
19.12
33.48
23.73
43.66
136.39
175.65
43.65
23.74
123.98
71.32
68.61
54.05
1,680.00 1,869.350000 1,869.350000

5,178.58 5,682.800000 5,682.800000
12,901.45 14,100.730000 14,100.730000
2,604.29 2,876.830000 2,876.830000
110.37
13.474000
13.474000
685.99
28.067142
28.067142
1,458.00
58.120357
58.120357
2,653.95
104.677142
104.677142
14.06
1.900000
1.900000
52.35
6.619000
6.619000
24.59
3.324000
3.324000
14.15
1.912000
1.912000
14.15
1.912000
1.912000
24.77
3.348000
3.348000
17.56
4.746000
4.746000
33.38
8.732000
8.732000
111.72
27.278000
27.278000
143.88
35.130000
35.130000
33.37
8.730000
8.730000
17.56
4.748000
4.748000
98.05
1.239800
1.239800
56.41
1.426400
1.426400
54.26
1.372200
1.372200
41.32
0.900833
0.900833
1,869.350000
5,682.800000
14,100.730000
2,876.830000
13.474000
28.067142
58.120357
104.677142
1.900000
6.619000
3.324000
1.912000
1.912000
3.348000
4.746000
8.732000
27.278000
35.130000
8.730000
4.748000
1.239800
1.426400
1.372200
0.900833
W43875001
W51449001
W52624001
W52627001
W52620001
W51448001
W52622001
W51447001
W43969001
W51453002
W52572002
W51451002
W51452001
RENAGEL 800mg
REFACTO 1000UI
REFACTO 2000UI
REFACTO 250UI
REFACTO 500UI

10
cronica
10
cronica
10
cronica
10
cronica
cronica
10
10
cronica
cronica
10
10
cronica
6.1
6.1
6.1
6.1
Mentiuni
sublista
Cod
RECOMBINATE 500 UI/10 ml

ADVATE 1000UI
KOGENATE BAYER 1000UI
ADVATE 500UI
ADVATE 250UI
IMMUNINE 600 UI
BENEFIX 1000UI
BENEFIX 2000UI
BENEFIX 250UI
BENEFIX 500UI
C2 W42961003 IMMUNATE 1000 UI

C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
W52389001
W53036001
W53037001
W53034001
W02408001
W51484001
W51485001
W51486001
W51687001
W13065003
W51686001
W43039002
W43039003
W44038001
W51665001
W51663001
W10005001
W07916001
W51505002
W51504002
W00187002
W00187001
W00188001
W53024004
HAEMATE P 500 UI
NOVOSEVEN 2mg (100 KUI)
DESFERAL
EXJADE 125mg
EXJADE 250mg
EXJADE 500mg
OSETRON 4 mg
ZOFRAN 4 mg
OSETRON 8 mg
ONDARAN MD 4mg
ONDARAN MD 4mg
ONDARAN MD 8 mg
OSETRON 4 mg
OSETRON 8 mg
ZOFRAN 4mg/2ml
ZOFRAN 8mg/4ml
EMESET 8 mg/4 ml
EMESET 4 mg/2 ml
URSOFALK (R)
URSOFALK (R)
URSOSAN
URSOCHOL 150 mg
FARA CONCENT1
100 KIU
1
250 KIU
1
50 KIU
1
500mg
10
125mg
28
250mg
28
500mg
28
4mg
10
4mg
10
8mg
10
4mg
10
4mg
10
8mg
10
2mg/ml
5
2mg/ml
5
4mg/2ml
5
8mg/4ml
5
2mg/ml
5
2mg/ml
5
250mg
100
250mg
50
250mg
50
150mg
60
76 / 135
Denumire medicament
URSOCHOL 300 mg
CLIVARIN (R) 1432UI/0,25 ml
CLIVARIN (R) 3436 UI/0,6 ml
EXACYL
EPOPHAR 2000 U.I.
EPREX (R) 3000 UI
EPREX (R) 40 000 UI
EPOPHAR 4000 U.I.
Substan activ
REVIPARINUM
REVIPARINUM
ACIDUM TRANEXAMICUM
EPOETINUM ALFA
EPOETINUM ALFA
EPOETINUM ALFA
EPOETINUM ALFA
Form farmaceutic
COMPR.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
PREUMPLUTA
Concentraie
300mg
1432ui/0,25ml
3436ui/0,6ml
500mg/5ml
100 KIU
250 KIU
50 KIU
2000UI
3000ui/0,3ml
40 000UI
4000UI
Cantitate Cod boli

20
10
5
5
1
1
1
10
6
1
10
Cod PNS
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
Descriere PNS
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
10000UI/1,0ml
9.1
10000UI/1,0ml
1000UI/0,5ml
Mentiuni
sublista
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
Cod
medicament
W53025002
W12805002
W12806001
W54011001
W53036001
W53037001
W53034001
W51301001
W44143001
W44140001
W51299001
Grupa
terapeutica RO
9A05AA02O V
1B01ABP V
1B01ABP V
9B02AA02P V
9B02BD08P V
9B02BD08P V
9B02BD08P V
0B03XAP V
0B03XAP V
0B03XAP V
0B03XAP V

Pre de
Valoare
Valabil de la /amb
/amb
compensare/UT
05-07-2010
35.80
27.37
1.790000
1.790000
1.790000
05-07-2010
84.26
66.64
8.426000
8.426000
8.426000
05-07-2010
101.17
80.01
20.234000
20.234000
20.234000
05-07-2010
12.77
9.45
2.554000
2.554000
2.554000
05-07-2010
5,682.80
5,178.58 5,682.800000 5,682.800000
5,682.800000
05-07-2010
14,100.73
12,901.45 14,100.730000 14,100.730000 14,100.730000
05-07-2010
2,876.83
2,604.29 2,876.830000 2,876.830000
2,876.830000
05-07-2010
331.02
271.15
33.102000
33.102000
33.102000
05-07-2010
757.39
659.85
126.231666
126.231666
126.231666
05-07-2010
1,350.47
1,203.96 1,350.470000 1,350.470000
1,350.470000
05-07-2010
608.23
523.01
60.823000
60.823000
60.823000
Transplant medular
0B03XAP V
05-07-2010
1,724.65
1,547.25
287.441666
287.441666
287.441666
9.1
Transplant medular
0B03XAP V
05-07-2010
1,834.63
1,648.14
305.771666
305.771666
305.771666
9.1
Transplant medular
0B03XAP V
05-07-2010
217.91
178.50
36.318333
36.318333
36.318333
1000UI/0,5ml
9.1
Transplant medular
0B03XAP V
05-07-2010
238.11
195.04
39.685000
39.685000
39.685000
2000UI/1,0ml
9.1
Transplant medular
0B03XAP V
05-07-2010
425.00
354.91
70.833333
70.833333
70.833333
2000UI/1,0ml
9.1
Transplant medular
0B03XAP V
05-07-2010
457.85
385.05
76.308333
76.308333
76.308333
30000UI/0,75ml 1
9.1
Transplant medular
0B03XAP V
05-07-2010
786.55
686.60
786.550000
786.550000
786.550000
3000UI/0,3ml
9.1
Transplant medular
0B03XAP V
05-07-2010
602.48
517.73
100.413333
100.413333
100.413333
3000UI/0,3ml
9.1
Transplant medular
0B03XAP V
05-07-2010
651.86
563.04
108.643333
108.643333
108.643333
40000 UI/1 ml
9.1
Transplant medular
0B03XAP V
05-07-2010
992.26
875.33
992.260000
992.260000
992.260000
4000UI/0,4ml
9.1
Transplant medular
0B03XAP V
05-07-2010
779.91
680.51
129.985000
129.985000
129.985000
4000UI/0,4ml
9.1
Transplant medular
0B03XAP V
05-07-2010
840.17
735.80
140.028333
140.028333
140.028333
5000UI/0,5ml
9.1
Transplant medular
0B03XAP V
05-07-2010
957.28
843.24
159.546666
159.546666
159.546666
5000UI/0,5ml
9.1
Transplant medular
0B03XAP V
05-07-2010
1,039.51
918.68
173.251666
173.251666
173.251666
6000UI/0,6ml
9.1
Transplant medular
0B03XAP V
05-07-2010
1,233.28
1,096.45
205.546666
205.546666
205.546666
8000UI/0,8ml
9.1
Transplant medular
0B03XAP V
05-07-2010
1,620.80
1,451.97
270.133333
270.133333
270.133333
10000UI/0,6ml
9.1
Transplant medular
MSP
0B03XAP V
05-07-2010
2,341.24
2,112.92
390.206666
390.206666
390.206666
1000UI/0,3ml
9.1
Transplant medular
MSP
0B03XAP V
05-07-2010
279.25
228.74
46.541666
46.541666
46.541666
2000UI/0,3ml
9.1
Transplant medular
MSP
0B03XAP V
05-07-2010
525.21
446.84
87.535000
87.535000
87.535000
30000 UI/0,6ml
9.1
Transplant medular
MSP
0B03XAP V
05-07-2010
1,171.95
1,040.18
1,171.950000
1,171.950000
1,171.950000
4000UI/0,3ml
9.1
Transplant medular
MSP
0B03XAP V
05-07-2010
978.92
863.09
163.153333
163.153333
163.153333
5000UI/0,3ml
9.1
Transplant medular
MSP
0B03XAP V
05-07-2010
1,205.63
1,071.08
200.938333
200.938333
200.938333
500UI/0,3ml
9.1
Transplant medular
MSP
0B03XAP V
05-07-2010
143.59
117.62
23.931666
23.931666
23.931666
3,2g
10
9.1
Transplant medular
9J01CR03P V
05-07-2010
258.95
212.11
25.895000
25.895000
25.895000
MS
MSP
MSP
MSP
EPOETINUM ALFA
EPOETINUM ALFA
EPOETINUM ALFA
EPOETINUM ALFA
EPOETINUM ALFA
EPOETINUM ALFA
C2 W55046001 BINOCRIT 30000UI/0,75ml
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

C2 W05892003 TIMENTIN 3,2 g
EPOETINUM BETA
TICARCILLINUM + ACIDUM
CLAVULANICUM
C2 W13057003 TAZOCIN 4,5
PIPERACILLINUM + TAZOBACTAMUM
LIOF. PT. SOL. INJ.
FARA CONCENT12
9.1
Transplant medular
9J01CR05P V
05-07-2010
791.71
691.34
65.975833
65.975833
65.975833
C2 W41794002 TAZOCIN 2,25

PIPERACILLINUM/TAZOBACTAMUM KABI
C2 W53595001 2g/0,25g
C2 W53595002 2g/0,25g
C2 W53595003 2g/0,25g
C2 W53595004 2g/0,25g
C2 W53595005 2g/0,25g
C2 W53595006 2g/0,25g
PIPERACILINA/TAZOBACTAM MYLAN
C2 W54763001 2g/0,25 g
LIOF. PT. SOL. INJ.
FARA CONCENT12
9.1
Transplant medular
9J01CR05P V
05-07-2010
474.43
400.26
39.535833
39.535833
39.535833
2g/0,25g
9.1
Transplant medular
9J01CR05P V
05-07-2010
27.41
20.28
27.410000
27.410000
27.410000
2g/0,25g
9.1
Transplant medular
9J01CR05P V
05-07-2010
125.94
99.60
25.188000
25.188000
25.188000
2g/0,25g
10
9.1
Transplant medular
9J01CR05P V
05-07-2010
238.84
195.64
23.884000
23.884000
23.884000
2g/0,25g
9.1
Transplant medular
9J01CR05P V
05-07-2010
53.04
40.55
53.040000
53.040000
53.040000
2g/0,25g
9.1
Transplant medular
9J01CR05P V
05-07-2010
238.84
195.64
47.768000
47.768000
47.768000
2g/0,25g
10
9.1
Transplant medular
9J01CR05P V
05-07-2010
458.60
385.73
45.860000
45.860000
45.860000
2g/0,25g
9.1
Transplant medular
9J01CR05P V
05-07-2010
30.91
22.87
30.910000
30.910000
30.910000
C2 W55423001 PERASIN 2g/0,25 g
2g/0,25g
9.1
Transplant medular
9J01CR05P V
05-07-2010
30.91
22.87
30.910000
30.910000
30.910000
C2 W55369001 BACTACIN 2 g/0,25 g

PIPERACILINA/TAZOBACTAN ACTAVIS 2
C2 W55116002 g/0,25 g
C2 W53596001 4g/0,5g
C2 W53596002 4g/0,5g
C2 W53596003 4g/0,5g
C2 W54765001 4g/0,5 g
2g/0,25g
9.1
Transplant medular
9J01CR05P V
05-07-2010
30.91
22.87
30.910000
30.910000
30.910000
2g/0,25g
12
9.1
Transplant medular
9J01CR05P V
05-07-2010
323.10
264.66
26.925000
26.925000
26.925000
4g/0,5g
9.1
Transplant medular
9J01CR05P V
05-07-2010
53.41
40.83
53.410000
53.410000
53.410000
4g/0,5g
9.1
Transplant medular
9J01CR05P V
05-07-2010
240.48
196.99
48.096000
48.096000
48.096000
4g/0,5g
10
9.1
Transplant medular
9J01CR05P V
05-07-2010
461.26
388.17
46.126000
46.126000
46.126000
4g/0,5g
9.1
Transplant medular
9J01CR05P V
05-07-2010
53.43
40.85
53.430000
53.430000
53.430000
C2 W55424001 PERASIN 4g/0,5 g
4g/0,5g
9.1
Transplant medular
9J01CR05P V
05-07-2010
53.41
40.83
53.410000
53.410000
53.410000
77 / 135
Form farmaceutic
Concentraie
Cantitate Cod boli

C2 W55370001 BACTACIN 4 g/0,5 g

C2 W55117002 g/0,5 g
4g/0,5g
9.1
4g/0,5g
12
C2 W04120001 MERONEM IV 1 g
MEROPENEMUM
PULB. PT. SOL. INJ. I.V./PERF. 1g
C2
C2
C2
C2
C2
C2
C2
MEROPENEMUM
IMIPENEMUM + CILASTATINUM
PULB. PT. SOL. INJ. I.V./PERF.

PULB. PT. SOL. INJ.
PULB. PT. SOL. INJ.
PULB. PT. SOL. INJ.
PULB. PT. SOL. INJ.
W04121001
W54471002
W54471003
W54471005
W54471006
W51274002
W51274003
C2 W54532001
C2 W54533003
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
W54534003
W43348001
W43347001
W06052001
W06051001
W13105001
W52799001
W52800001
W52801001
W08955001
W08372001
W44099001
W42371002
W43597001
W43597002
W08956001
W08970003
W08970002
W08373001
W03156001
W44089001
W43288001
W42174001
W42741001
W42192002
W42192001
W43598001
W42693001
W51994001
W52224001
W52335001
W53943002
W55071001
W43599002
W08958001
W08374001
W03157001
W44098001
W43287001
W42172001
W42370002
W43225001
W43596001
W42414001
W42321001
W51993001
W52225001
W53942002
W03159001
W03160004
W03160002
W12072001
W42083003
W42083001
W42083002
W52223003
W53987001
W53987002
W53987004
W53987005
W53987007
W08947008
W08946008
W10489001
W41889001
W51607001
MERONEM IV 500 mg
CILOPEN 500mg/500mg
CILOPEN 500mg/500mg
CILOPEN 500mg/500mg
CILOPEN 500mg/500mg
TIENAM I.V.
TIENAM I.V.
IMIPENEM/CILASTATIN KABI
500mg/500mg
IMIPENEM/CILASTAN TEVA 250
mg/250mg
mg/500mg
VANCOMYCIN TEVA
VANCOMYCIN TEVA
EDICIN
EDICIN
TARGOCID (R) 400 mg
ZYVOXID (R)
ZYVOXID (R)
ZYVOXID (R)
DIFLAZON 100 mg
FLUCOVIM 100
FLUCORIC 100 mg
FUNGOLON 100 mg
FLUCONAZOLE TEVA 100 mg
DIFLAZON 150 mg
MYCOSYST 150 mg
MYCOSYST 150 mg
FLUCOVIM 150
DIFLUCAN 150 mg
FLUCORIC 150 mg
FLUCONAZOL SANDOZ (R) 150
FLUCONAZOL 150 mg
FLUCONAZOL TERAPIA 150 mg
MYCOMAX 150
MYCOMAX 150
FLUCONAZOL 150 mg
FLUCONAZOL MEDOCHEMIE 150 mg
FLUCONAZOL BIOGALENICA 150 mg
FLUCONAZOL MEDICO UNO 150 mg
FLUCONAZOL ARENA 150 MG
FLUCONAZOL 150 mg
DIFLAZON 50 mg
FLUCOVIM 50
DIFLUCAN 50 mg
FLUCORIC 50 mg
FLUCONAZOL 50 mg
FUNGOLON 50 mg
FLUCONAZOL 50 mg
FLUCONAZOL 50 mg
DIFLUCAN (R) 50 mg/5 ml
DIFLUCAN (R)
DIFLUCAN (R)
DIFLAZON 2mg/ml
MYCOMAX (R) INF
MYCOMAX (R) INF
MYCOMAX (R) INF
FLUCONAZOL BIOGALENICA 2mg/ml
FLUCONAZOL B. BRAUN 2mg/ml
VFEND 200mg
VFEND 50mg
VFEND 200mg
VFEND 40 mg/ml
NOXAFIL SP 40mg/ml
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
Transplant medular
9J01CR05P V
05-07-2010
53.41
40.83
53.410000
53.410000
53.410000
9.1
Transplant medular
9J01CR05P V
05-07-2010
539.33
459.80
44.944166
44.944166
44.944166
10
9.1
Transplant medular
0J01DHP V
05-07-2010
1,159.03
1,028.33
115.903000
115.903000
115.903000
500mg
500mg/500mg
500mg/500mg
500mg/500mg
500mg/500mg
500mg/500mg
500mg/500mg
10
5
10
5
10
10
25
9.1
9.1
9.1
9.1
9.1
9.1
9.1
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
0J01DHP V
0J01DHP V
0J01DHP V
0J01DHP V
0J01DHP V
0J01DHP V
0J01DHP V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
625.02
178.13
356.28
178.13
356.28
522.63
1,200.31
538.41
145.91
291.84
145.91
291.84
444.48
1,066.20
62.502000
35.626000
35.628000
35.626000
35.628000
52.263000
48.012400
62.502000
35.626000
35.628000
35.626000
35.628000
52.263000
48.012400
62.502000
35.626000
35.628000
35.626000
35.628000
52.263000
48.012400
500mg/500mg
10
9.1
Transplant medular
0J01DHP V
05-07-2010
361.69
296.27
36.169000
36.169000
36.169000
PULB. PT. SUSP. PERF.
250mg/250mg
10
9.1
Transplant medular
0J01DHP V
05-07-2010
178.13
145.91
17.813000
17.813000
17.813000
VANCOMYCINUM
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
VORICONAZOLUM
VORICONAZOLUM
VORICONAZOLUM
VORICONAZOLUM
POSACONAZOLUM

LIOF. PT. SOL. PERF./INJ.
PULB.LIOF.PT.SOL.PERF./INJ
COMPR. FILM.
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.
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.
SUSP. ORALA
PERF.
PERF.
CAPS.
CAPS.
CAPS.
CAPS.
500mg/500mg
1g
500mg
500mg
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
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
200mg
50mg
200mg
40mg/ml
40mg/ml
10
1
1
1
1
1
10
1
10
28
4
7
16
2
7
1
4
2
1
1
1
1
1
1
3
1
1
1
1
1
1
1
1
7
7
7
7
7
7
7
8
10
7
7
7
7
7
7
1
1
1
1
1
1
1
1
10
20
10
20
10
28
28
1
1
1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
MSP
MSP
MSP
MSP
MSP
0J01DHP V
9J01XA01P V
9J01XA01P V
9J01XA01P V
9J01XA01P V
9J01XA02P V
9J01XX08O V
9J01XX08O V
9J01XX08P V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACP V
1J02ACP V
1J02ACP V
1J02ACP V
1J02ACP V
1J02ACP V
1J02ACP V
1J02ACP V
1J02ACP V
1J02ACP V
1J02ACP V
1J02ACP V
2J02ACO V
2J02ACO V
2J02ACP V
2J02ACO V
2J02ACO V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
356.28
63.37
32.74
51.26
71.77
143.92
1,781.68
994.48
1,781.68
235.85
25.55
43.26
82.46
9.41
31.43
22.47
78.44
43.15
9.91
25.02
18.83
14.55
9.91
9.18
31.93
12.50
6.58
9.66
8.18
6.58
9.01
9.01
9.91
39.28
61.57
22.51
56.41
29.54
41.83
22.51
19.00
25.47
16.64
19.65
19.54
16.12
15.73
19.08
56.41
162.21
40.44
45.72
39.86
55.66
167.39
53.01
222.76
432.48
532.57
904.25
876.27
3,908.70
1,030.07
536.36
2,434.43
2,974.83
291.84
48.45
24.22
39.19
56.76
117.89
1,599.57
877.37
1,599.57
193.19
18.90
33.07
65.22
6.96
23.25
16.62
62.04
32.99
7.33
18.51
13.93
10.77
7.33
6.79
23.62
9.25
4.87
7.15
6.05
4.87
6.67
6.67
7.33
30.03
47.07
16.65
43.13
21.86
31.98
16.65
14.06
18.84
12.31
14.54
14.46
11.93
11.64
14.12
43.13
132.87
30.92
34.95
30.47
42.55
137.11
40.53
182.47
361.77
453.60
794.59
768.92
3,550.96
910.02
457.07
2,198.42
2,694.20
35.628000
63.370000
32.740000
51.260000
71.770000
143.920000
178.168000
994.480000
178.168000
8.423214
6.387500
6.180000
5.153750
4.705000
4.490000
22.470000
19.610000
21.575000
9.910000
25.020000
18.830000
14.550000
9.910000
9.180000
10.643333
12.500000
6.580000
9.660000
8.180000
6.580000
9.010000
9.010000
9.910000
5.611428
8.795714
3.215714
8.058571
4.220000
5.975714
3.215714
2.375000
2.547000
2.377142
2.807142
2.791428
2.302857
2.247142
2.725714
56.410000
162.210000
40.440000
45.720000
39.860000
55.660000
167.390000
53.010000
22.276000
21.624000
53.257000
45.212500
87.627000
139.596428
36.788214
536.360000
2,434.430000
2,974.830000
35.628000
63.370000
32.740000
51.260000
71.770000
143.920000
178.168000
994.480000
178.168000
8.423214
6.387500
6.180000
5.153750
4.705000
4.490000
22.470000
19.610000
21.575000
9.910000
25.020000
18.830000
14.550000
9.910000
9.180000
10.643333
12.500000
6.580000
9.660000
8.180000
6.580000
9.010000
9.010000
9.910000
5.611428
8.795714
3.215714
8.058571
4.220000
5.975714
3.215714
2.375000
2.547000
2.377142
2.807142
2.791428
2.302857
2.247142
2.725714
56.410000
162.210000
40.440000
45.720000
39.860000
55.660000
167.390000
53.010000
22.276000
21.624000
53.257000
45.212500
87.627000
139.596428
36.788214
536.360000
2,434.430000
2,974.830000
35.628000
63.370000
32.740000
51.260000
71.770000
143.920000
178.168000
994.480000
178.168000
8.423214
6.387500
6.180000
5.153750
4.705000
4.490000
22.470000
19.610000
21.575000
9.910000
25.020000
18.830000
14.550000
9.910000
9.180000
10.643333
12.500000
6.580000
9.660000
8.180000
6.580000
9.010000
9.010000
9.910000
5.611428
8.795714
3.215714
8.058571
4.220000
5.975714
3.215714
2.375000
2.547000
2.377142
2.807142
2.791428
2.302857
2.247142
2.725714
56.410000
162.210000
40.440000
45.720000
39.860000
55.660000
167.390000
53.010000
22.276000
21.624000
53.257000
45.212500
87.627000
139.596428
36.788214
536.360000
2,434.430000
2,974.830000
50mg
9.1
Transplant medular
MSP
9J02AX04P V
05-07-2010
1,345.76
1,199.64
1,345.760000
1,345.760000
1,345.760000
70mg
200mg
200mg
200mg
400mg
1
20
20
1000
10
9.1
9.1
9.1
9.1
9.1
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
MSP
9J02AX04P V
1J05ABO V
1J05ABO V
1J05ABO V
1J05ABO V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
1,734.79
20.18
21.37
803.94
19.43
1,556.55
14.93
15.81
702.56
14.38
1,734.790000
1.009000
1.068500
0.803940
1.943000
1,734.790000
1.009000
1.068500
0.803940
1.943000
1,734.790000
1.009000
1.068500
0.803940
1.943000
Substan activ
CASPOFUNGINUM
C2
C2
C2
C2
C2
CASPOFUNGINUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
W06670001
W42857001
W53675001
W53675003
W53676001
CANCIDAS 70 mg
ACICLOVIR 200 mg
ACICLOVIR ARENA 200 mg
Mentiuni
sublista
Cod
Valoare
compensare/UT
78 / 135
Concentraie
200mg
200mg
200mg
200mg
200mg
400mg
200mg
200mg
200mg
400mg
250mg
500mg
450mg
Cantitate Cod boli

20
20
20
20
20
10
20
10
20
35
5
10
60
Cod PNS
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
Descriere PNS
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
SOL. PERF.
5%
9.1
SOL. PERF.
5%
SOL. PERF.
5%
SOL. PERF.
C2
C2
C2
C2
C2
C2
C2
C2
C2
CYCLOPHOSPHAMIDUM
MELPHALANUM
IFOSFAMIDUM
BUSULFANUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
Denumire medicament
ACICLOVIR TERAPIA 200 mg
ACICLOVIR 200 mg
CLOVIRAL 200 mg
ACICLOVIR 200 mg
ACICLOVIR 200 mg
ACICLOVIR 400 mg
ACICLOVIR OZONE 200 mg
LOVIR 200 mg
ACIKLOVIR
VIROLEX
VALTREX 500 mg
VALCYTE (R) 450 mg
C2 W43357003 FLEBOGAMMA 5%
C2 W51530002 KIOVIG 100mg/ml
C2 W43965001 IG VENA 10g/200ml
C2 W43962001 IG VENA 1g/20ml
C2 W43963001 IG VENA 2,5g/50ml
C2 W13462001 OCTAGAM
W52215001
W08256001
W12497001
W00699001
W54019001
W04185002
W12733003
W12735001
W04186001
MSP
Grupa
terapeutica RO
1J05ABO V
1J05ABO V
1J05ABO V
1J05ABO V
1J05ABO V
1J05ABO V
1J05ABO V
1J05ABO V
1J05ABO V
1J05ABO V
9J05AB01P V
1J05ABO V
9J05AB14O V

Pre de
Valoare
Valabil de la /amb
/amb
compensare/UT
05-07-2010
17.10
12.65
0.855000
0.855000
0.855000
05-07-2010
17.18
12.71
0.859000
0.859000
0.859000
05-07-2010
16.39
12.13
0.819500
0.819500
0.819500
05-07-2010
13.76
10.18
0.688000
0.688000
0.688000
05-07-2010
12.97
9.60
0.648500
0.648500
0.648500
05-07-2010
19.18
14.19
1.918000
1.918000
1.918000
05-07-2010
7.23
5.35
0.361500
0.361500
0.361500
05-07-2010
3.73
2.76
0.373000
0.373000
0.373000
05-07-2010
7.23
5.35
0.361500
0.361500
0.361500
05-07-2010
57.04
43.61
1.629714
1.629714
1.629714
05-07-2010
282.31
231.25
56.462000
56.462000
56.462000
05-07-2010
100.40
79.41
10.040000
10.040000
10.040000
05-07-2010
5,326.56
4,851.75
88.776000
88.776000
88.776000
Transplant medular
MSP
9J06BA02P V
05-07-2010
986.45
870.00
986.450000
986.450000
986.450000
9.1
Transplant medular
MSP
9J06BA02P V
05-07-2010
1,902.05
1,710.00
1,902.050000
1,902.050000
1,902.050000
9.1
Transplant medular
MSP
9J06BA02P V
05-07-2010
528.65
450.00
528.650000
528.650000
528.650000
5%
9.1
Transplant medular
MSP
9J06BA02P V
05-07-2010
118.95
94.08
118.950000
118.950000
118.950000
SOL. PERF.
100mg/ml
9.1
Transplant medular
MSP
9J06BA02P V
05-07-2010
544.52
464.56
544.520000
544.520000
544.520000
SOL. PERF.
100mg/ml
9.1
Transplant medular
MSP
9J06BA02P V
05-07-2010
1,018.20
899.13
1,018.200000
1,018.200000
1,018.200000
SOL. PERF.
10g/200ml
9.1
Transplant medular
MSP
9J06BA02P V
05-07-2010
2,265.63
2,043.56
2,265.630000
2,265.630000
2,265.630000
SOL. PERF.
1g/20ml
9.1
Transplant medular
MSP
9J06BA02P V
05-07-2010
270.72
221.76
270.720000
270.720000
270.720000
SOL. PERF.
2,5g/50ml
9.1
Transplant medular
MSP
9J06BA02P V
05-07-2010
619.82
533.64
619.820000
619.820000
619.820000
SOL. PERF.
50mg/ml
9.1
Transplant medular
MSP
9J06BA02P V
05-07-2010
745.56
649.00
745.560000
745.560000
745.560000
SOL. PERF.
50mg/ml
9.1
Transplant medular
MSP
9J06BA02P V
05-07-2010
2,508.09
2,266.00
2,508.090000
2,508.090000
2,508.090000
SOL. PERF.
50mg/ml
9.1
Transplant medular
MSP
9J06BA02P V
05-07-2010
1,312.36
1,169.00
1,312.360000
1,312.360000
1,312.360000
SOL. PERF.
DRAJ.
5g/100ml
50mg
1
50
9.1
9.1
Transplant medular
Transplant medular
MSP
9J06BA02P V
9L01AA01O V
05-07-2010
05-07-2010
1,168.26
26.07
1,036.80
19.29
1,168.260000
0.521400
1,168.260000
0.521400
1,168.260000
0.521400
200mg
2mg
1g
2mg
2,5mg
100mg/ml
100mg/ml
100mg/ml
5mg/ml
1
25
1
25
20
5
1
1
10
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
9L01AA01P V
9L01AA03O V
9L01AA06P V
9L01AB01O V
9L01BA01O V
9L01BA01P V
9L01BA01P V
9L01BA01P V
9L01BA01P V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
15.86
9.31
116.89
15.65
22.79
240.51
89.44
400.04
23.77
11.73
6.89
92.45
11.58
16.86
197.01
70.74
332.01
17.59
15.860000
0.372400
116.890000
0.626000
1.139500
48.102000
89.440000
400.040000
2.377000
15.860000
0.372400
116.890000
0.626000
1.139500
48.102000
89.440000
400.040000
2.377000
15.860000
0.372400
116.890000
0.626000
1.139500
48.102000
89.440000
400.040000
2.377000
50mg/ml
9.1
Transplant medular
9L01BA01P V
05-07-2010
109.28
86.43
109.280000
109.280000
109.280000
50mg/ml
10mg/ml
10mg
50mg
25mg/ml
100mg
50mg
100mg/5ml
100mg/5ml
20mg/ml
20mg/ml
10mg
5mg
2mg/ml
10mg/20ml
10mg/20ml
1mg/1ml
1mg/1ml
25mg/50ml
50mg/100ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
30mg/ml
30MU/0,5ml
48MU/0,5ml
300mcg/0,5ml
480mcg/0,8ml
250mg
500mg
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
2
1
3
3
1
1
1
1
100
50
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
9L01BA01P V
9L01BA01P V
9L01BB05O V
9L01BB05P V
9L01BB05P V
9L01CB01O V
9L01CB01O V
9L01CB01P V
9L01CB01P V
9L01CB01P V
9L01CB01P V
9L01DB06O V
9L01DB06P V
9L01DB07P V
9L01XA01P V
9L01XA01P V
9L01XA01P V
9L01XA01P V
9L01XA01P V
9L01XA01P V
9L01XA02P V
9L01XA02P V
9L01XA02P V
9L01XA02P V
9L01XA02P V
9L01XA02P V
9L01XA02P V
9L01XA02P V
9L01XC02P V
9L01XC02P V
9L01XC04P V
9L01XC04P V
0L03AAP V
0L03AAP V
0L03AAP V
0L03AAP V
1L04AAO V
1L04AAO V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
123.90
13.30
1,865.33
2,665.05
408.10
376.74
373.70
50.95
42.84
41.71
77.04
247.64
174.59
642.27
12.37
11.99
32.91
10.45
29.74
41.20
216.88
29.48
78.85
61.91
161.75
24.33
65.25
162.03
2,454.04
6,028.99
5,391.97
5,392.39
325.26
512.98
260.83
425.24
530.69
530.69
101.49
9.84
1,676.31
2,410.00
339.40
310.63
307.84
38.95
32.75
31.89
60.93
202.85
143.01
554.24
9.15
8.87
24.35
7.73
22.00
31.50
177.65
21.81
62.36
47.33
132.49
18.00
49.89
132.72
2,216.41
5,496.18
4,911.76
4,912.14
266.43
435.62
213.65
355.13
451.87
451.87
123.900000
13.300000
93.266500
533.010000
408.100000
37.674000
18.685000
50.950000
42.840000
41.710000
77.040000
247.640000
174.590000
642.270000
12.370000
11.990000
32.910000
10.450000
29.740000
41.200000
216.880000
29.480000
78.850000
61.910000
161.750000
24.330000
65.250000
162.030000
1,227.020000
6,028.990000
1,797.323333
1,797.463333
325.260000
512.980000
260.830000
425.240000
5.306900
10.613800
123.900000
13.300000
93.266500
533.010000
408.100000
37.674000
18.685000
50.950000
42.840000
41.710000
77.040000
247.640000
174.590000
642.270000
12.370000
11.990000
32.910000
10.450000
29.740000
41.200000
216.880000
29.480000
78.850000
61.910000
161.750000
24.330000
65.250000
162.030000
1,227.020000
6,028.990000
1,797.323333
1,797.463333
325.260000
512.980000
260.830000
425.240000
5.306900
10.613800
123.900000
13.300000
93.266500
533.010000
408.100000
37.674000
18.685000
50.950000
42.840000
41.710000
77.040000
247.640000
174.590000
642.270000
12.370000
11.990000
32.910000
10.450000
29.740000
41.200000
216.880000
29.480000
78.850000
61.910000
161.750000
24.330000
65.250000
162.030000
1,227.020000
6,028.990000
1,797.323333
1,797.463333
325.260000
512.980000
260.830000
425.240000
5.306900
10.613800
500mg
50
9.1
Transplant medular
MSP
1L04AAO V
05-07-2010
356.71
292.19
7.134200
7.134200
7.134200
METHOTREXATUM
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
METHOTREXATUM
METHOTREXATUM
FLUDARABINUM
FLUDARABINUM
FLUDARABINUM
ETOPOSIDUM
ETOPOSIDUM
ETOPOSIDUM
ETOPOSIDUM
ETOPOSIDUM
ETOPOSIDUM
IDARUBICINUM
IDARUBICINUM
MITOXANTRONUM
CISPLATINUM
CISPLATINUM
CISPLATINUM
CISPLATINUM
CISPLATINUM
CISPLATINUM
CARBOPLATINUM
CARBOPLATINUM
CARBOPLATINUM
CARBOPLATINUM
CARBOPLATINUM
CARBOPLATINUM
CARBOPLATINUM
CARBOPLATINUM
RITUXIMABUM
RITUXIMABUM
ALEMTUZUMABUM
ALEMTUZUMABUM
MYCOPHENOLATUM
MYCOPHENOLATUM
PULB. PT. SOL. PERF./INJ. I.V.

COMPR. FILM.
COMPR. FILM.
COMPR.
SOL. INJ.
PREUMPLUTA
PREUMPLUTA
SOL. INJ./PERF.
COMPR. FILM.
CAPS. MOI
CAPS. MOI
CAPS.
LIOF. PT. SOL. INJ.
CONC. PT. SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ./PERF.
SOL. INJ./PERF.
CAPS.
COMPR. FILM.
MYCOPHENOLATUM
COMPR. FILM.
W53758021
W12308002
W53403002
W53398001
W53700001
W08035001
W08036001
W03065001
W52210001
W52574001
W52574002
W03575001
W03581001
W42735002
W01315001
W52577001
W52187002
W52187001
W01316001
W01317001
W13052003
W13052002
W13052001
W52579002
W52579003
W53000001
W53000002
W53000003
W07199001
W07200001
W42668001
W42669001
W51424001
W51423001
W53520001
W53523001
W04406001
W04407001
ENDOXAN 200 mg
ALKERAN 2 mg
HOLOXAN 1 g
MYLERAN
METOJECT 50mg/ml
FLUDARA ORAL 10 mg
FLUDARA
FLUDARABINA ACTAVIS 25 mg/ml
VEPESID
VEPESID
ETOPOSID "EBEWE" 100 mg/5 ml
SINTOPOZID 100 mg/5 ml
ETOPOSIDE - TEVA
ETOPOSIDE - TEVA
ZAVEDOS
ZAVEDOS 5 mg
ONKOTRONE
CISPLATIN "EBEWE" 10 mg/20 ml
CISPLATIN TEVA 10 mg/20 ml
SINPLATIN 1 mg/1 ml
SINPLATIN 1 mg/1 ml
CARBOPLATIN "EBEWE" 10 mg/ml
CARBOPLATIN TEVA 10mg/ml
CARBOPLATIN TEVA 10mg/ml
CARBOPLATIN ACTAVIS 10mg/ml
MABTHERA 100 mg
MABTHERA 500 mg
MABCAMPATH 10 mg/ml
MABCAMPATH 30 mg/ml
NEUPOGEN (R)
NEUPOGEN (R)
CELLCEPT 250mg
CELLCEPT 500mg
MYCOPHENOLATE MOFETIL MEDICO
C2 W54137001 UNO 500 MG
Mentiuni
sublista
Form farmaceutic
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. DISP.
COMPR. DISP.
COMPR. DISP.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
C2 W43964001 IG VENA 5g/100ml

Substan activ
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
VALACYCLOVIRUM
VALGANCICLOVIRUM
IMUNOGLOBULINA NORMALA PT.
ADM. INTRAVASCULARA
ADM. INTRAVASCULARA
ADM. INTRAVASCULARA
ADM. INTRAVASCULARA
ADM. INTRAVASCULARA
ADM. INTRAVASCULARA
ADM. INTRAVASCULARA
ADM. INTRAVASCULARA
ADM. INTRAVASCULARA
ADM. INTRAVASCULARA
ADM. INTRAVASCULARA
ADM. INTRAVASCULARA
ADM. INTRAVASCULARA
CYCLOPHOSPHAMIDUM
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
Cod
medicament
W00044001
W13972001
W41451001
W06667003
W53225001
W06668003
W08894001
W08177003
W55183001
W51494001
W00058001
W06049001
W51832001
MSP
79 / 135
C2 W54699001
C2 W52876001
C2 W54225001
C2
C2
C2
C2
C2
W54939001
W10576001
W41764001
W52554001
W43135002
Denumire medicament
MYFORTIC 180 mg
MYFORTIC 360 mg
MYFENAX 250mg
MYCOPHENOLATE MOFETIL ACCORD
250 mg
MYFENAX 500mg
MYCOFENOLAT MOFETIL ACTAVIS 500
mg
MICOFENOLAT MOFETIL DR. REDDY'S
500 mg
RAPAMUNE 1mg
ENBREL 25mg
ENBREL 50 mg
Substan activ
MYCOPHENOLATUM
MYCOPHENOLATUM
MYCOPHENOLATUM MOFETILUM
Form farmaceutic
CAPS.
Concentraie
180mg
360mg
250mg
Cantitate Cod boli

120
120
100
Cod PNS
9.1
9.1
9.1
Descriere PNS
Transplant medular
Transplant medular
Transplant medular
CAPS.
COMPR. FILM.
250mg
500mg
100
50
9.1
9.1
COMPR. FILM.
500mg
50
SIROLIMUS
ETANERCEPTUM
ETANERCEPTUM
ETANERCEPTUM
COMPR. FILM.
DRAJ.
PREUMPLUTA
PREUMPLUTA
PREUMPLUT
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
SOL. ORALA
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
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.
PIC. ORALE, SOL.
PIC. ORALE, SOL.
PIC. ORALE, SOL.
PICATURI ORALE-SOL.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
500mg
1mg
25mg
25mg
50mg
ETANERCEPTUM
ETANERCEPTUM
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
ETANERCEPTUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
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
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
W54896002
W13970003
W51399001
W13968003
W41697001
W51398001
W13969003
W41701001
W13980001
W53729001
W55262007
W53730001
W55263007
W53731001
W51974002
W51975002
W51976002
W53732001
W05977002
W42813002
W12691002
W07472002
W07472001
W05960001
W41593001
W42576001
W13570001
W08476001
W52049001
W53128005
W53128006
W53128007
W53128008
W53129005
W53129006
W53129007
W53129008
W53130005
W53130006
W53130007
W53130008
W42440001
W42957001
W42178001
W55077001
W13507001
W12750001
W41922003
W41922001
W41922002
W53489001
W53489005
W41923002
W41923001
W41924001
W53488002
W53488005
W53487002
W53487012
W07784001
W07473001
W05978001
W43360001
W05979001
W43361001
W43913002
W43913001
W07470002
W05982001
W05961002
W43912001
W05980001
W05967001
W05966001
ENBREL 50mg
EQUORAL (R) 100 mg
EQUORAL (R) 25 mg
CICLORAL 25 mg
EQUORAL (R) 50 mg
CICLORAL 50 mg
EQUORAL (R)
PROGRAF (R) 0,5 mg
TACROLIMUS SANDOZ 0,5 mg
PROGRAF (R) 1 mg
TACROLIMUS SANDOZ 1 mg
PROGRAF (R) 5 mg
ADVAGRAF 0,5mg
ADVAGRAF 1mg
ADVAGRAF 5mg
PROGRAF (R) 5 mg/ml
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
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
TRALGIT
TRALGIT
TRAMAL (R)
MABRON
TRALGIT 100
TRAMAL (R) 50
TRAMADOL
TRAMADOL
Mentiuni
sublista
Cod
medicament
C2 W42264003
C2 W42265003
C2 W52877001
MSP
MSP
MSP
Grupa
terapeutica RO
1L04AAO V
1L04AAO V
1L04AAO V

Pre de
Valoare
Valabil de la /amb
/amb
compensare/UT
05-07-2010
644.64
556.41
5.372000
5.372000
5.372000
05-07-2010
1,171.26
1,039.55
9.760500
9.760500
9.760500
05-07-2010
366.89
301.60
3.668900
3.668900
3.668900
Transplant medular
Transplant medular
MSP
MSP
1L04AAO V
1L04AAO V
05-07-2010
05-07-2010
356.71
366.89
292.19
301.60
3.567100
7.337800
3.567100
7.337800
3.567100
7.337800
9.1
Transplant medular
MSP
1L04AAO V
05-07-2010
363.84
298.03
7.276800
7.276800
7.276800
50
30
4
4
4
9.1
9.1
9.1
9.1
9.1
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
MSP
MSP
MSP
MSP
MSP
1L04AAO V
9L04AA10O V
0L04ABP V
0L04ABP V
0L04ABP V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
366.89
570.30
2,270.02
2,264.85
4,555.11
301.60
488.21
2,047.58
2,042.84
4,143.99
7.337800
19.010000
567.505000
566.212500
1,138.777500
7.337800
19.010000
567.505000
566.212500
1,138.777500
7.337800
19.010000
567.505000
566.212500
1,138.777500
25mg
9.1
Transplant medular
MSP
0L04ABP V
05-07-2010
2,264.85
2,042.84
566.212500
566.212500
566.212500
50mg
9.1
Transplant medular
MSP
0L04ABP V
05-07-2010
4,458.85
4,055.68
1,114.712500
1,114.712500
1,114.712500
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
MSP
0L04ABP V
9L04AD01O V
9L04AD01O V
9L04AD01O V
9L04AD01O V
9L04AD01O V
9L04AD01O V
9L04AD01O V
9L04AD01O V
9L04AD02O V
9L04AD02O V
9L04AD02O V
9L04AD02O V
9L04AD02O V
9L04AD02O V
9L04AD02O V
9L04AD02O V
9L04AD02P V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02P V
9N02AX02P V
9N02AX02P V
9N02AX02P V
9N02AX02P V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
4,458.85
470.37
137.00
93.90
137.16
291.47
189.45
304.48
427.55
250.15
162.60
433.77
290.63
1,903.38
249.57
475.96
2,066.95
1,718.54
11.79
7.89
5.82
11.49
3.84
4.98
7.66
3.84
7.66
3.81
8.97
17.35
33.41
47.28
71.47
26.02
48.48
68.55
107.20
32.48
58.30
77.94
121.12
7.66
7.66
9.94
9.94
6.29
18.88
48.37
9.85
27.23
7.40
39.43
33.48
21.00
27.44
20.05
51.71
27.86
76.29
10.62
9.68
21.97
62.30
28.12
74.39
100.21
12.57
5.02
7.73
136.67
12.25
7.55
13.07
10.69
4,055.68
396.53
112.22
74.26
112.35
238.75
155.18
249.41
357.25
204.91
133.19
362.95
238.06
1,711.22
204.43
401.66
1,861.28
1,541.64
8.72
5.84
4.31
8.50
2.84
3.68
5.67
2.84
5.67
2.82
6.64
12.84
24.72
36.15
56.52
19.25
37.06
54.22
84.78
24.03
44.57
61.64
95.79
5.67
5.67
7.35
7.35
4.65
13.97
36.98
7.29
20.15
5.47
30.15
24.77
15.54
20.30
14.83
39.53
20.61
60.34
7.86
7.16
16.25
47.63
20.80
58.83
79.25
9.30
3.71
5.72
111.95
9.06
5.59
9.67
7.91
1,114.712500
9.407400
2.740000
1.878000
2.743200
5.829400
3.789000
6.089600
427.550000
5.003000
3.252000
8.675400
5.812600
38.067600
4.991400
9.519200
41.339000
171.854000
0.589500
0.394500
0.291000
0.383000
0.384000
0.498000
0.383000
0.384000
0.383000
0.381000
0.448500
1.735000
1.670500
1.576000
1.429400
2.602000
2.424000
2.285000
2.144000
3.248000
2.915000
2.598000
2.422400
0.383000
0.383000
0.497000
0.497000
0.629000
0.629333
0.967400
0.985000
0.907666
1.480000
1.314333
1.116000
2.100000
2.744000
2.005000
1.723666
2.786000
2.543000
0.354000
0.968000
2.197000
2.076666
2.812000
2.479666
100.210000
12.570000
5.020000
7.730000
1.366700
2.450000
1.510000
2.614000
2.138000
1,114.712500
9.407400
2.740000
1.878000
2.743200
5.829400
3.789000
6.089600
427.550000
5.003000
3.252000
8.675400
5.812600
38.067600
4.991400
9.519200
41.339000
171.854000
0.589500
0.394500
0.291000
0.383000
0.384000
0.498000
0.383000
0.384000
0.383000
0.381000
0.448500
1.735000
1.670500
1.576000
1.429400
2.602000
2.424000
2.285000
2.144000
3.248000
2.915000
2.598000
2.422400
0.383000
0.383000
0.497000
0.497000
0.629000
0.629333
0.967400
0.985000
0.907666
1.480000
1.314333
1.116000
2.100000
2.744000
2.005000
1.723666
2.786000
2.543000
0.354000
0.968000
2.197000
2.076666
2.812000
2.479666
100.210000
12.570000
5.020000
7.730000
1.366700
2.450000
1.510000
2.614000
2.138000
1,114.712500
9.407400
2.740000
1.878000
2.743200
5.829400
3.789000
6.089600
427.550000
5.003000
3.252000
8.675400
5.812600
38.067600
4.991400
9.519200
41.339000
171.854000
0.589500
0.394500
0.291000
0.383000
0.384000
0.498000
0.383000
0.384000
0.383000
0.381000
0.448500
1.735000
1.670500
1.576000
1.429400
2.602000
2.424000
2.285000
2.144000
3.248000
2.915000
2.598000
2.422400
0.383000
0.383000
0.497000
0.497000
0.629000
0.629333
0.967400
0.985000
0.907666
1.480000
1.314333
1.116000
2.100000
2.744000
2.005000
1.723666
2.786000
2.543000
0.354000
0.968000
2.197000
2.076666
2.812000
2.479666
100.210000
12.570000
5.020000
7.730000
1.366700
2.450000
1.510000
2.614000
2.138000
50mg
4
100mg
50
25mg
50
25mg
50
25mg
50
50mg
50
50mg
50
50mg
50
100mg/ml
1
0,5mg
50
0,5mg
50
1mg
50
1mg
50
5mg
50
0,5mg
50
1mg
50
5mg
50
5mg/ml
10
50mg
20
50mg
20
50mg
20
50mg
30
50mg
10
50mg
10
50mg
20
50mg
10
50mg
20
50mg
10
50mg
20
100mg
10
100mg
20
100mg
30
100mg
50
150mg
10
150mg
20
150mg
30
150mg
50
200mg
10
200mg
20
200mg
30
200mg
50
50mg
20
50mg
20
50mg
20
50mg
20
100mg
10
100mg
30
100mg
50
100mg
10
100mg
30
100mg
5
100mg
30
150mg
30
150mg
10
200mg
10
200mg
10
200mg
30
300mg
10
300mg
30
50mg
30
100mg
10
150mg
10
150mg
30
200mg
10
200mg
30
100mg/ml
1
100mg/ml
1
FARA CONCENT1
100mg/ml
1
100mg
100
100mg/2ml
5
50mg/ml
5
50mg/ml
5
50mg/ml
5
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
80 / 135
Form farmaceutic
SOL. INJ.
SOL. INJ.
SOL. INJ.
SUPOZ.
SOL. INHAL.
COMPR. DISP.
COMPR. DISP.
COMPR. DISP.
SOL. INJ.
Concentraie
50mg/ml
50mg/ml
50mg/ml
100mg
1mg/ml
125mg
250mg
500mg
400mg/4ml
Cantitate Cod boli

5
5
5
5
6
28
28
28
15
Cod PNS
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
C2 W43351003 REVIA
NALTREXONUM
COMPR. FILM.
50mg
28
11.1
C2 W43351002 REVIA
NALTREXONUM
COMPR. FILM.
50mg
14
11.1
C2 W51921003 SINTALGON 2,5 mg
METHADONUM
COMPR.
2,5mg
50
11.1
METHADONUM
COMPR.
20mg
20
11.1
METHADONUM
COMPR.
20mg
50
11.1
METHADONUM
COMPR.
5mg
20
11.1
METHADONUM
COMBINATII ( BUPRENORPHINUM +
NALAXONE)
COMBINATII ( BUPRENORPHINUM +
NALAXONE)
ACITRETINUM
TETRACYCLINUM
ACIDUM FUSIDICUM
ACIDUM FUSIDICUM
SULFADIAZINUM
COMBINATII (ACIDUM
FUSIDICUM+HYDROCORTISONUM)
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII (ACIDUM FUSIDICUM+
BETAMETHASONUM)
TETRACYCLINUM
TETRACYCLINUM
TETRACYCLINUM
TETRACYCLINUM
TETRACYCLINUM
TETRACYCLINUM
PHENYTOINUM
PHENYTOINUM
REVIPARINUM
REVIPARINUM
EPINEPHRINUM
COMPR.
5mg
50
11.1
COMPR. SUBLING.
2mg/0,5mg
11.1
COMPR. SUBLING.
CAPS.
UNGUENT
CREMA
UNGUENT
CREMA
8mg/2mg
10mg
3%
20mg/g
20mg/g
1%
7
30
1
1
1
1
11.1
6.2
6.2
6.2
6.2
6.2
Descriere PNS
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Transplant medular
Tratamentul
toxicodependentelor
Tratamentul
toxicodependentelor
Tratamentul
toxicodependentelor
Tratamentul
toxicodependentelor
Tratamentul
toxicodependentelor
Tratamentul
toxicodependentelor
Tratamentul
toxicodependentelor
Tratamentul
toxicodependentelor
Tratamentul
toxicodependentelor
Epidermoliza buloasa
CREMA
CREMA
CREMA
CREMA
CREMA
UNGUENT
UNGUENT
UNGUENT
UNGUENT
FARA CONCENT1
0,5mg/1mg pe gra1
FARA CONCENT1
FARA CONCENT1
FARA CONCENT1
0,5mg/1mg pe gra1
FARA CONCENT1
FARA CONCENT1
FARA CONCENT1
6.2
6.2
6.2
6.2
6.2
6.2
6.2
6.2
6.2
CREMA
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
COMPR.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
20mg/1mg pe gra1
250mg
20
250mg
1000
250mg
20
250mg
20
250mg
20
250mg
500
100mg
20
50mg/ml
5
1432ui/0,25ml
10
3436ui/0,6ml
5
1mg/ml
100
C2 W13057003 TAZOCIN 4,5
LIOF. PT. SOL. INJ.
C2 W41794002 TAZOCIN 2,25

C2 W53595001 2g/0,25g
C2 W53595002 2g/0,25g
C2 W53595003 2g/0,25g
C2 W53595004 2g/0,25g
C2 W53595005 2g/0,25g
C2 W53595006 2g/0,25g
C2 W54763001 2g/0,25 g
Denumire medicament
TRALGIT 50
URGENDOL
URGENDOL
TRAMADOL
PULMOZYME
EXJADE 125mg
EXJADE 250mg
EXJADE 500mg
UROMITEXAN (R) 400 mg
C2 W51719001 SUBOXONE 2mg/0,5mg

C2
C2
C2
C2
C2
C2
W51728001
W53799002
W08066001
W10102001
W08442001
W54309001
SUBOXONE 8mg/2mg
NEOTIGASON 10 mg
TETRACICLINA CLORHIDRAT
FUCIDIN 20 mg/g
FUCIDIN 20 mg/g
FLAMMAZINE
C2
C2
C2
C2
C2
C2
C2
C2
C2
W12411001
W12126001
W01905001
W51499002
W51499001
W12125001
W01906001
W51493002
W51493001
FUCIDIN H
DIPROGENTA (R)
TRIDERM (R)
BELOGENT
BELOGENT
DIPROGENTA (R)
TRIDERM
BELOGENT
BELOGENT
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
W10463001
W12028001
W12028002
W42907001
W05834002
W12701001
W12701002
W12143001
W12761001
W12805002
W12806001
W02947001
FUCICORT 20 mg/1mg pe gram

TETRACICLINA 250 mg
TETRACICLINA 250 mg
TETRACICLINA SANDOZ 250 mg
TETRACICLINA 250 mg
FENITOIN 100 mg
PHENHYDAN (R)SOLUTIE INJECTABILA
ADRENALINA 1 mg
Mentiuni
sublista
Substan activ
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
DORNAZA ALFA
DEFERASIROXUM
DEFERASIROXUM
DEFERASIROXUM
MESNUM
C2
C2
C2
C2
C2
C2
C2
C2
C2
Cod
medicament
W43914001
W08477001
W08478001
W05969001
W51323001
W51484001
W51485001
W51486001
W04133001
MSP
MSP
MSP
MSP
Grupa
terapeutica RO
9N02AX02P V
9N02AX02P V
9N02AX02P V
9N02AX02R V
9R05CB13Inh V
9V03AC03O V
9V03AC03O V
9V03AC03O V
9V03AF01P V

Pre de
Valoare
Valabil de la /amb
/amb
compensare/UT
05-07-2010
11.46
8.48
2.292000
2.292000
2.292000
05-07-2010
4.88
3.61
0.976000
0.976000
0.976000
05-07-2010
7.66
5.67
1.532000
1.532000
1.532000
05-07-2010
5.56
4.11
1.112000
1.112000
1.112000
05-07-2010
638.05
550.37
106.341666
106.341666
106.341666
05-07-2010
785.88
685.99
28.067142
28.067142
28.067142
05-07-2010
1,627.37
1,458.00
58.120357
58.120357
58.120357
05-07-2010
2,930.96
2,653.95
104.677142
104.677142
104.677142
05-07-2010
58.56
44.77
3.904000
3.904000
3.904000
9N07BB04O V
05-07-2010
303.92
248.95
10.854285
10.854285
10.854285
9N07BB04O V
05-07-2010
203.86
166.99
14.561428
14.561428
14.561428
9N07BC02O V
05-07-2010
24.35
18.02
0.487000
0.487000
0.487000
9N07BC02O V
05-07-2010
25.10
18.57
1.255000
1.255000
1.255000
9N07BC02O V
05-07-2010
60.73
46.43
1.214600
1.214600
1.214600
9N07BC02O V
05-07-2010
6.27
4.64
0.313500
0.313500
0.313500
9N07BC02O V
05-07-2010
15.69
11.61
0.313800
0.313800
0.313800
9N07BC51SL V 05-07-2010
29.74
22.00
4.248571
4.248571
4.248571
9N07BC51SL V
9D05BB02O V
9D06AA04TD V
9D06AX01TD V
9D06AX01TD V
9D06BA01TD V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
107.37
74.57
6.55
15.15
15.15
169.44
84.92
58.98
4.85
11.21
11.21
138.79
15.338571
2.485666
6.550000
15.150000
15.150000
169.440000
15.338571
2.485666
6.550000
15.150000
15.150000
169.440000
15.338571
2.485666
6.550000
15.150000
15.150000
169.440000
9D07CA01TD V
9D07CC01TD V
9D07CC01TD V
9D07CC01TD V
9D07CC01TD V
9D07CC01TD V
9D07CC01TD V
9D07CC01TD V
9D07CC01TD V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
21.68
12.48
15.19
12.51
10.94
12.48
15.19
12.51
10.94
16.04
9.23
11.24
9.26
8.09
9.23
11.24
9.26
8.09
21.680000
12.480000
15.190000
12.510000
10.940000
12.480000
15.190000
12.510000
10.940000
21.680000
12.480000
15.190000
12.510000
10.940000
12.480000
15.190000
12.510000
10.940000
21.680000
12.480000
15.190000
12.510000
10.940000
12.480000
15.190000
12.510000
10.940000
6.2
6.2
6.2
6.2
6.2
6.2
6.2
6.2
6.2
9.2
9.2
9.2
Transplant de cord
Transplant de cord
Transplant de cord
9D07CC01TD V
0J01AAO V
0J01AAO V
0J01AAO V
0J01AAO V
0J01AAO V
0J01AAO V
9N03AB02O V
9N03AB02P V
1B01ABP V
1B01ABP V
9C01CA24P V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
23.77
3.17
135.12
2.73
3.02
2.99
65.86
2.77
67.57
84.26
101.17
138.32
17.59
2.35
110.68
2.02
2.23
2.21
52.09
2.05
53.44
66.64
80.01
113.30
23.770000
0.158500
0.135120
0.136500
0.151000
0.149500
0.131720
0.138500
13.514000
8.426000
20.234000
1.383200
23.770000
0.158500
0.135120
0.136500
0.151000
0.149500
0.131720
0.138500
13.514000
8.426000
20.234000
1.383200
23.770000
0.158500
0.135120
0.136500
0.151000
0.149500
0.131720
0.138500
13.514000
8.426000
20.234000
1.383200
FARA CONCENT12
9.2
Transplant de cord
9J01CR05P V
05-07-2010
791.71
691.34
65.975833
65.975833
65.975833
LIOF. PT. SOL. INJ.
FARA CONCENT12
9.2
Transplant de cord
9J01CR05P V
05-07-2010
474.43
400.26
39.535833
39.535833
39.535833
2g/0,25g
9.2
Transplant de cord
9J01CR05P V
05-07-2010
27.41
20.28
27.410000
27.410000
27.410000
2g/0,25g
9.2
Transplant de cord
9J01CR05P V
05-07-2010
125.94
99.60
25.188000
25.188000
25.188000
2g/0,25g
10
9.2
Transplant de cord
9J01CR05P V
05-07-2010
238.84
195.64
23.884000
23.884000
23.884000
2g/0,25g
9.2
Transplant de cord
9J01CR05P V
05-07-2010
53.04
40.55
53.040000
53.040000
53.040000
2g/0,25g
9.2
Transplant de cord
9J01CR05P V
05-07-2010
238.84
195.64
47.768000
47.768000
47.768000
2g/0,25g
10
9.2
Transplant de cord
9J01CR05P V
05-07-2010
458.60
385.73
45.860000
45.860000
45.860000
2g/0,25g
9.2
Transplant de cord
9J01CR05P V
05-07-2010
30.91
22.87
30.910000
30.910000
30.910000
C2 W55423001 PERASIN 2g/0,25 g
2g/0,25g
9.2
Transplant de cord
9J01CR05P V
05-07-2010
30.91
22.87
30.910000
30.910000
30.910000
C2 W55369001 BACTACIN 2 g/0,25 g

C2 W55116002 g/0,25 g
C2 W53596001 4g/0,5g
C2 W53596002 4g/0,5g
C2 W53596003 4g/0,5g
C2 W54765001 4g/0,5 g
2g/0,25g
9.2
Transplant de cord
9J01CR05P V
05-07-2010
30.91
22.87
30.910000
30.910000
30.910000
2g/0,25g
12
9.2
Transplant de cord
9J01CR05P V
05-07-2010
323.10
264.66
26.925000
26.925000
26.925000
4g/0,5g
9.2
Transplant de cord
9J01CR05P V
05-07-2010
53.41
40.83
53.410000
53.410000
53.410000
4g/0,5g
9.2
Transplant de cord
9J01CR05P V
05-07-2010
240.48
196.99
48.096000
48.096000
48.096000
4g/0,5g
10
9.2
Transplant de cord
9J01CR05P V
05-07-2010
461.26
388.17
46.126000
46.126000
46.126000
4g/0,5g
9.2
Transplant de cord
9J01CR05P V
05-07-2010
53.43
40.85
53.430000
53.430000
53.430000
C2 W55424001 PERASIN 4g/0,5 g
4g/0,5g
9.2
Transplant de cord
9J01CR05P V
05-07-2010
53.41
40.83
53.410000
53.410000
53.410000
C2 W55370001 BACTACIN 4 g/0,5 g

C2 W55117002 g/0,5 g
4g/0,5g
9.2
Transplant de cord
9J01CR05P V
05-07-2010
53.41
40.83
53.410000
53.410000
53.410000
4g/0,5g
12
9.2
Transplant de cord
9J01CR05P V
05-07-2010
539.33
459.80
44.944166
44.944166
44.944166
81 / 135
Cantitate Cod boli

10
10
1
1
Cod PNS
9.2
9.2
9.2
9.2
Descriere PNS
Transplant de cord
Transplant de cord
Transplant de cord
Transplant de cord
Grupa
terapeutica RO
0J01DDP V
0J01DDP V
0J01DDP V
0J01DDP V

Pre de
Valoare
Valabil de la /amb
/amb
compensare/UT
05-07-2010
188.16
154.13
18.816000
18.816000
18.816000
05-07-2010
313.62
256.90
31.362000
31.362000
31.362000
05-07-2010
27.06
20.02
27.060000
27.060000
27.060000
05-07-2010
5.22
3.86
5.220000
5.220000
5.220000
2g
9.2
Transplant de cord
0J01DDP V
05-07-2010
15.65
11.58
15.650000
15.650000
15.650000
1g
500mg/500mg
500mg/500mg
500mg/500mg
500mg/500mg
500mg/500mg
500mg/500mg
1
5
10
5
10
10
25
9.2
9.2
9.2
9.2
9.2
9.2
9.2
Transplant de cord
Transplant de cord
Transplant de cord
Transplant de cord
Transplant de cord
Transplant de cord
Transplant de cord
0J01DDP V
0J01DHP V
0J01DHP V
0J01DHP V
0J01DHP V
0J01DHP V
0J01DHP V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
9.49
178.13
356.28
178.13
356.28
522.63
1,200.31
7.02
145.91
291.84
145.91
291.84
444.48
1,066.20
9.490000
35.626000
35.628000
35.626000
35.628000
52.263000
48.012400
9.490000
35.626000
35.628000
35.626000
35.628000
52.263000
48.012400
9.490000
35.626000
35.628000
35.626000
35.628000
52.263000
48.012400
C2 W52795001 CEFOZON 2 g
CEFOPERAZONUM
C2
C2
C2
C2
C2
C2
C2
CEFOPERAZONUM
500mg/500mg
10
9.2
Transplant de cord
0J01DHP V
05-07-2010
361.69
296.27
36.169000
36.169000
36.169000
250mg/250mg
10
9.2
Transplant de cord
0J01DHP V
05-07-2010
178.13
145.91
17.813000
17.813000
17.813000
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
VORICONAZOLUM
VORICONAZOLUM
VORICONAZOLUM
VORICONAZOLUM
VALGANCICLOVIRUM
MYCOPHENOLATUM
MYCOPHENOLATUM

COMPR. FILM.
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.
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.
COMPR. FILM.
CAPS.
COMPR. FILM.
500mg/500mg
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
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
200mg
50mg
200mg
40mg/ml
450mg
250mg
500mg
10
10
1
10
28
4
7
16
2
7
1
4
2
1
1
1
1
1
1
3
1
1
1
1
1
1
1
1
7
7
7
7
7
7
7
8
10
7
7
7
7
7
7
1
1
1
1
1
1
1
1
10
20
10
20
10
28
28
1
1
60
100
50
9.2
9.2
9.2
9.2
9.2
9.2
9.2
9.2
9.2
9.2
9.2
9.2
9.2
9.2
9.2
9.2
9.2
9.2
9.2
9.2
9.2
9.2
9.2
9.2
9.2
9.2
9.2
9.2
9.2
9.2
9.2
9.2
9.2
9.2
9.2
9.2
9.2
9.2
9.2
9.2
9.2
9.2
9.2
9.2
9.2
9.2
9.2
9.2
9.2
9.2
9.2
9.2
9.2
9.2
9.2
9.2
9.2
9.2
9.2
9.2
9.2
9.2
9.2
Transplant de cord
Transplant de cord
Transplant de cord
Transplant de cord
Transplant de cord
Transplant de cord
Transplant de cord
Transplant de cord
Transplant de cord
Transplant de cord
Transplant de cord
Transplant de cord
Transplant de cord
Transplant de cord
Transplant de cord
Transplant de cord
Transplant de cord
Transplant de cord
Transplant de cord
Transplant de cord
Transplant de cord
Transplant de cord
Transplant de cord
Transplant de cord
Transplant de cord
Transplant de cord
Transplant de cord
Transplant de cord
Transplant de cord
Transplant de cord
Transplant de cord
Transplant de cord
Transplant de cord
Transplant de cord
Transplant de cord
Transplant de cord
Transplant de cord
Transplant de cord
Transplant de cord
Transplant de cord
Transplant de cord
Transplant de cord
Transplant de cord
Transplant de cord
Transplant de cord
Transplant de cord
Transplant de cord
Transplant de cord
Transplant de cord
Transplant de cord
Transplant de cord
Transplant de cord
Transplant de cord
Transplant de cord
Transplant de cord
Transplant de cord
Transplant de cord
Transplant de cord
Transplant de cord
Transplant de cord
Transplant de cord
Transplant de cord
Transplant de cord
MSP
MSP
MSP
MSP
MSP
MSP
MSP
0J01DHP V
9J01XX08O V
9J01XX08O V
9J01XX08P V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACP V
1J02ACP V
1J02ACP V
1J02ACP V
1J02ACP V
1J02ACP V
1J02ACP V
1J02ACP V
1J02ACP V
1J02ACP V
1J02ACP V
1J02ACP V
2J02ACO V
2J02ACO V
2J02ACP V
2J02ACO V
9J05AB14O V
1L04AAO V
1L04AAO V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
356.28
1,781.68
994.48
1,781.68
235.85
25.55
43.26
82.46
9.41
31.43
22.47
78.44
43.15
9.91
25.02
18.83
14.55
9.91
9.18
31.93
12.50
6.58
9.66
8.18
6.58
9.01
9.01
9.91
39.28
61.57
22.51
56.41
29.54
41.83
22.51
19.00
25.47
16.64
19.65
19.54
16.12
15.73
19.08
56.41
162.21
40.44
45.72
39.86
55.66
167.39
53.01
222.76
432.48
532.57
904.25
876.27
3,908.70
1,030.07
536.36
2,434.43
5,326.56
530.69
530.69
291.84
1,599.57
877.37
1,599.57
193.19
18.90
33.07
65.22
6.96
23.25
16.62
62.04
32.99
7.33
18.51
13.93
10.77
7.33
6.79
23.62
9.25
4.87
7.15
6.05
4.87
6.67
6.67
7.33
30.03
47.07
16.65
43.13
21.86
31.98
16.65
14.06
18.84
12.31
14.54
14.46
11.93
11.64
14.12
43.13
132.87
30.92
34.95
30.47
42.55
137.11
40.53
182.47
361.77
453.60
794.59
768.92
3,550.96
910.02
457.07
2,198.42
4,851.75
451.87
451.87
35.628000
178.168000
994.480000
178.168000
8.423214
6.387500
6.180000
5.153750
4.705000
4.490000
22.470000
19.610000
21.575000
9.910000
25.020000
18.830000
14.550000
9.910000
9.180000
10.643333
12.500000
6.580000
9.660000
8.180000
6.580000
9.010000
9.010000
9.910000
5.611428
8.795714
3.215714
8.058571
4.220000
5.975714
3.215714
2.375000
2.547000
2.377142
2.807142
2.791428
2.302857
2.247142
2.725714
56.410000
162.210000
40.440000
45.720000
39.860000
55.660000
167.390000
53.010000
22.276000
21.624000
53.257000
45.212500
87.627000
139.596428
36.788214
536.360000
2,434.430000
88.776000
5.306900
10.613800
35.628000
178.168000
994.480000
178.168000
8.423214
6.387500
6.180000
5.153750
4.705000
4.490000
22.470000
19.610000
21.575000
9.910000
25.020000
18.830000
14.550000
9.910000
9.180000
10.643333
12.500000
6.580000
9.660000
8.180000
6.580000
9.010000
9.010000
9.910000
5.611428
8.795714
3.215714
8.058571
4.220000
5.975714
3.215714
2.375000
2.547000
2.377142
2.807142
2.791428
2.302857
2.247142
2.725714
56.410000
162.210000
40.440000
45.720000
39.860000
55.660000
167.390000
53.010000
22.276000
21.624000
53.257000
45.212500
87.627000
139.596428
36.788214
536.360000
2,434.430000
88.776000
5.306900
10.613800
35.628000
178.168000
994.480000
178.168000
8.423214
6.387500
6.180000
5.153750
4.705000
4.490000
22.470000
19.610000
21.575000
9.910000
25.020000
18.830000
14.550000
9.910000
9.180000
10.643333
12.500000
6.580000
9.660000
8.180000
6.580000
9.010000
9.010000
9.910000
5.611428
8.795714
3.215714
8.058571
4.220000
5.975714
3.215714
2.375000
2.547000
2.377142
2.807142
2.791428
2.302857
2.247142
2.725714
56.410000
162.210000
40.440000
45.720000
39.860000
55.660000
167.390000
53.010000
22.276000
21.624000
53.257000
45.212500
87.627000
139.596428
36.788214
536.360000
2,434.430000
88.776000
5.306900
10.613800
MYCOPHENOLATUM
MYCOPHENOLATUM
MYCOPHENOLATUM
COMPR. FILM.
CAPS.
500mg
180mg
360mg
250mg
50
120
120
100
9.2
9.2
9.2
9.2
Transplant de cord
Transplant de cord
Transplant de cord
Transplant de cord
MSP
MSP
MSP
MSP
1L04AAO V
1L04AAO V
1L04AAO V
1L04AAO V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
356.71
644.64
1,171.26
366.89
292.19
556.41
1,039.55
301.60
7.134200
5.372000
9.760500
3.668900
7.134200
5.372000
9.760500
3.668900
7.134200
5.372000
9.760500
3.668900
CAPS.
COMPR. FILM.
250mg
500mg
100
50
9.2
9.2
Transplant de cord
Transplant de cord
MSP
MSP
1L04AAO V
1L04AAO V
05-07-2010
05-07-2010
356.71
366.89
292.19
301.60
3.567100
7.337800
3.567100
7.337800
3.567100
7.337800
COMPR. FILM.
500mg
50
9.2
Transplant de cord
MSP
1L04AAO V
05-07-2010
363.84
298.03
7.276800
7.276800
7.276800
W44061001
W54471002
W54471003
W54471005
W54471006
W51274002
W51274003
C2 W54532001
C2 W54533003
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
W54534003
W52799001
W52800001
W52801001
W08955001
W08372001
W44099001
W42371002
W43597001
W43597002
W08956001
W08970003
W08970002
W08373001
W03156001
W44089001
W43288001
W42174001
W42741001
W42192002
W42192001
W43598001
W42693001
W51994001
W52224001
W52335001
W53943002
W55071001
W43599002
W08958001
W08374001
W03157001
W44098001
W43287001
W42172001
W42370002
W43225001
W43596001
W42414001
W42321001
W51993001
W52225001
W53942002
W03159001
W03160004
W03160002
W12072001
W42083003
W42083001
W42083002
W52223003
W53987001
W53987002
W53987004
W53987005
W53987007
W08947008
W08946008
W10489001
W41889001
W51832001
W04406001
W04407001
C2
C2
C2
C2
W54137001
W42264003
W42265003
W52877001
C2 W54699001
C2 W52876001
C2 W54225001
CEFOZON 1 g
CILOPEN 500mg/500mg
CILOPEN 500mg/500mg
CILOPEN 500mg/500mg
CILOPEN 500mg/500mg
TIENAM I.V.
TIENAM I.V.
500mg/500mg
mg/250mg
mg/500mg
ZYVOXID (R)
ZYVOXID (R)
ZYVOXID (R)
DIFLAZON 100 mg
FLUCOVIM 100
FLUCORIC 100 mg
FUNGOLON 100 mg
DIFLAZON 150 mg
MYCOSYST 150 mg
MYCOSYST 150 mg
FLUCOVIM 150
DIFLUCAN 150 mg
FLUCORIC 150 mg
FLUCONAZOL 150 mg
MYCOMAX 150
MYCOMAX 150
FLUCONAZOL 150 mg
FLUCONAZOL MEDICO UNO 150 mg
FLUCONAZOL 150 mg
DIFLAZON 50 mg
FLUCOVIM 50
DIFLUCAN 50 mg
FLUCORIC 50 mg
FLUCONAZOL 50 mg
FUNGOLON 50 mg
FLUCONAZOL 50 mg
FLUCONAZOL 50 mg
DIFLUCAN (R) 50 mg/5 ml
DIFLUCAN (R)
DIFLUCAN (R)
DIFLAZON 2mg/ml
MYCOMAX (R) INF
MYCOMAX (R) INF
MYCOMAX (R) INF
FLUCONAZOL BIOGALENICA 2mg/ml
VFEND 200mg
VFEND 50mg
VFEND 200mg
VFEND 40 mg/ml
VALCYTE (R) 450 mg
CELLCEPT 250mg
CELLCEPT 500mg
UNO 500 MG
MYFORTIC 180 mg
MYFORTIC 360 mg
MYFENAX 250mg
250 mg
MYFENAX 500mg
mg
Substan activ
CEFOPERAZONUM
CEFOPERAZONUM
CEFOPERAZONUM
CEFOPERAZONUM
Concentraie
1g
2g
2g
500mg
Form farmaceutic
PULB. PT. SOL. INJ.
PULB. PT. SOL. INJ.
PULB. PT. SOL. INJ.
PULB. PT. SOL. INJ.
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.
C2
C2
C2
C2
Denumire medicament
MEDOCEF 1 g
MEDOCEF 2 g
LYZONE 2 g
CEFOZON 500 mg
Mentiuni
sublista
Cod
medicament
W13676001
W13677001
W51970001
W44045001
82 / 135
C2
C2
C2
C2
C2
C2
W51786004
W00257001
W54011001
W53036001
W53037001
W53034001
VENTAVIS 10mcg/ml
ACTILYSE
EXACYL
C2
C2
C2
C2
C2
W07005001
W53832002
W53989001
W53992002
W53991002
DIUREX 50
DESMOPRESINA TEVA 0,2mg
MINIRIN 0,2 mg
MINIRIN MELT 120 mcg
MINIRIN MELT 60 mcg
Cantitate Cod boli

Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
MSP
1L04AAO V
9L04AD01O V
9L04AD01O V
9L04AD01O V
9L04AD01O V
9L04AD01O V
9L04AD01O V
9L04AD01O V
9L04AD01O V
9L04AD02O V
9L04AD02O V
9L04AD02O V
9L04AD02O V
9L04AD02O V
9L04AD02O V
9L04AD02O V
9L04AD02O V
9L04AD02P V
9C02KX01O V
9C02KX01O V
9G04BE03O V
9A05AA02O V
9A05AA02O V
9A05AA02O V
9A05AA02O V
9A05AA02O V
1B01ABP V
1B01ABP V
1B01ABP V
1B01ABP V
1B01ABP V
1B01ABP V
0B01ACP V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
366.89
470.37
137.00
93.90
137.16
291.47
189.45
304.48
427.55
250.15
162.60
433.77
290.63
1,903.38
249.57
475.96
2,066.95
1,718.54
10,401.33
10,043.42
2,075.58
123.98
71.32
68.61
54.05
35.80
72.76
144.23
187.44
52.07
84.26
101.17
869.75
MSP
MSP
MS
MSP
MSP
MSP
0B01ACInh V
9B01AD02P V
9B02AA02P V
9B02BD08P V
9B02BD08P V
9B02BD08P V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
2,155.48
1,659.48
12.77
5,682.80
14,100.73
2,876.83
Transplant hepatic
Transplant hepatic
Transplant hepatic
Transplant hepatic
Transplant hepatic
9C03EB01O V
9H01BA02O V
9H01BA02O V
9H01BA02O V
9H01BA02O V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
21.11
128.20
194.85
194.83
102.98
15.62
105.01
159.61
159.59
81.45
1.055500
4.273333
6.495000
6.494333
3.432666
1.055500
4.273333
6.495000
6.494333
3.432666
1.055500
4.273333
6.495000
6.494333
3.432666
Substan activ
Form farmaceutic
Concentraie
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
TACROLIMUSUM
TACROLIMUSUM
TACROLIMUSUM
TACROLIMUSUM
TACROLIMUSUM
TACROLIMUSUM
TACROLIMUSUM
TACROLIMUSUM
TACROLIMUSUM
BOSENTANUM
BOSENTANUM
SILDENAFILUM
ENOXAPARINUM
ENOXAPARINUM
ENOXAPARINUM
ENOXAPARINUM
REVIPARINUM
REVIPARINUM
ILOPROSTUM
COMPR. FILM.
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
SOL. ORALA
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
CAPS.
CAPS.
CAPS.
COMPR.
COMPR.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. DE INHALAT PRIN
NEBULIZ.
PULB+SOLV. PT. SOL. INJ
SOL. INJ.
500mg
50
100mg
50
25mg
50
25mg
50
25mg
50
50mg
50
50mg
50
50mg
50
100mg/ml
1
0,5mg
50
0,5mg
50
1mg
50
1mg
50
5mg
50
0,5mg
50
1mg
50
5mg
50
5mg/ml
10
125mg
56
62,5mg
56
20mg
90
250mg
100
250mg
50
250mg
50
150mg
60
300mg
20
8000ui anti-Xa/0,82
1432ui/0,25ml
10
3436ui/0,6ml
5
20mcg/ml
5
9.2
9.2
9.2
9.2
9.2
9.2
9.2
9.2
9.2
9.2
9.2
9.2
9.2
9.2
9.2
9.2
9.2
9.2
6.3
6.3
6.3
9.3
9.3
9.3
9.3
9.3
9.3
9.3
9.3
9.3
9.3
9.3
9.3
Transplant de cord
Transplant de cord
Transplant de cord
Transplant de cord
Transplant de cord
Transplant de cord
Transplant de cord
Transplant de cord
Transplant de cord
Transplant de cord
Transplant de cord
Transplant de cord
Transplant de cord
Transplant de cord
Transplant de cord
Transplant de cord
Transplant de cord
Transplant de cord
Hipertensiunea pulmonara
Transplant hepatic
Transplant hepatic
Transplant hepatic
Transplant hepatic
Transplant hepatic
Transplant hepatic
Transplant hepatic
Transplant hepatic
Transplant hepatic
Transplant hepatic
Transplant hepatic
Transplant hepatic
10mcg/ml
50mg
500mg/5ml
100 KIU
250 KIU
50 KIU
30
1
5
1
1
1
9.3
9.3
9.3
9.3
9.3
9.3
Transplant hepatic
Transplant hepatic
Transplant hepatic
Transplant hepatic
Transplant hepatic
Transplant hepatic
CAPS.
COMPR.
COMPR.
LIOF. ORAL
LIOF. ORAL
50mg/20mg
0,2mg
0,2mg
120mcg
60mcg
20
30
30
30
30
9.3
9.3
9.3
9.3
9.3
ILOPROSTUM
ALTEPLASUM
ACIDUM TRANEXAMICUM
COMBINATII
(SPIRONOLACTONUM+FUROSEMIDUM
)
DESMOPRESSINUM
DESMOPRESSINUM
DESMOPRESSINUM
DESMOPRESSINUM
Mentiuni
sublista
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
Cod
W54939001 500 mg
W13970003 EQUORAL (R) 100 mg
W51399001 SANDIMMUN NEORAL (R)
W13968003 EQUORAL (R) 25 mg
W41697001 CICLORAL 25 mg
W51398001 SANDIMMUN NEORAL (R)
W13969003 EQUORAL (R) 50 mg
W41701001 CICLORAL 50 mg
W13980001 EQUORAL (R)
W53729001 PROGRAF (R) 0,5 mg
W55262007 TACROLIMUS SANDOZ 0,5 mg
W53730001 PROGRAF (R) 1 mg
W55263007 TACROLIMUS SANDOZ 1 mg
W53731001 PROGRAF (R) 5 mg
W51974002 ADVAGRAF 0,5mg
W51975002 ADVAGRAF 1mg
W51976002 ADVAGRAF 5mg
W53732001 PROGRAF (R) 5 mg/ml
W43049001 TRACLEER 125 mg
W43048002 TRACLEER 62,5 mg
W42831001 REVATIO 20 mg
W00187002 URSOFALK (R)
W00187001 URSOFALK (R)
W00188001 URSOSAN
W53024004 URSOCHOL 150 mg
W53025002 URSOCHOL 300 mg
W12805002 CLIVARIN (R) 1432UI/0,25 ml
W12806001 CLIVARIN (R) 3436 UI/0,6 ml
W53401001 ILOMEDIN 20
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
301.60
396.53
112.22
74.26
112.35
238.75
155.18
249.41
357.25
204.91
133.19
362.95
238.06
1,711.22
204.43
401.66
1,861.28
1,541.64
9,507.49
9,179.13
1,869.20
98.05
56.41
54.26
41.32
27.37
57.55
118.14
153.54
39.81
66.64
80.01
762.93
7.337800
9.407400
2.740000
1.878000
2.743200
5.829400
3.789000
6.089600
427.550000
5.003000
3.252000
8.675400
5.812600
38.067600
4.991400
9.519200
41.339000
171.854000
185.738035
179.346785
23.062000
1.239800
1.426400
1.372200
0.900833
1.790000
7.276000
14.423000
18.744000
26.035000
8.426000
20.234000
173.950000
Valoare
compensare/UT
7.337800
9.407400
2.740000
1.878000
2.743200
5.829400
3.789000
6.089600
427.550000
5.003000
3.252000
8.675400
5.812600
38.067600
4.991400
9.519200
41.339000
171.854000
185.738035
179.346785
23.062000
1.239800
1.426400
1.372200
0.900833
1.790000
7.276000
14.423000
18.744000
26.035000
8.426000
20.234000
173.950000
7.337800
9.407400
2.740000
1.878000
2.743200
5.829400
3.789000
6.089600
427.550000
5.003000
3.252000
8.675400
5.812600
38.067600
4.991400
9.519200
41.339000
171.854000
185.738035
179.346785
23.062000
1.239800
1.426400
1.372200
0.900833
1.790000
7.276000
14.423000
18.744000
26.035000
8.426000
20.234000
173.950000
1,942.50
71.849333
71.849333
1,487.46 1,659.480000 1,659.480000
9.45
2.554000
2.554000
5,178.58 5,682.800000 5,682.800000
12,901.45 14,100.730000 14,100.730000
2,604.29 2,876.830000 2,876.830000
71.849333
1,659.480000
2.554000
5,682.800000
14,100.730000
2,876.830000
C2 W13057003 TAZOCIN 4,5
LIOF. PT. SOL. INJ.
FARA CONCENT12
9.3
Transplant hepatic
9J01CR05P V
05-07-2010
791.71
691.34
65.975833
65.975833
65.975833
C2 W41794002 TAZOCIN 2,25

C2 W53595001 2g/0,25g
C2 W53595002 2g/0,25g
C2 W53595003 2g/0,25g
C2 W53595004 2g/0,25g
C2 W53595005 2g/0,25g
C2 W53595006 2g/0,25g
C2 W54763001 2g/0,25 g
LIOF. PT. SOL. INJ.
FARA CONCENT12
9.3
Transplant hepatic
9J01CR05P V
05-07-2010
474.43
400.26
39.535833
39.535833
39.535833
2g/0,25g
9.3
Transplant hepatic
9J01CR05P V
05-07-2010
27.41
20.28
27.410000
27.410000
27.410000
2g/0,25g
9.3
Transplant hepatic
9J01CR05P V
05-07-2010
125.94
99.60
25.188000
25.188000
25.188000
2g/0,25g
10
9.3
Transplant hepatic
9J01CR05P V
05-07-2010
238.84
195.64
23.884000
23.884000
23.884000
2g/0,25g
9.3
Transplant hepatic
9J01CR05P V
05-07-2010
53.04
40.55
53.040000
53.040000
53.040000
2g/0,25g
9.3
Transplant hepatic
9J01CR05P V
05-07-2010
238.84
195.64
47.768000
47.768000
47.768000
2g/0,25g
10
9.3
Transplant hepatic
9J01CR05P V
05-07-2010
458.60
385.73
45.860000
45.860000
45.860000
2g/0,25g
9.3
Transplant hepatic
9J01CR05P V
05-07-2010
30.91
22.87
30.910000
30.910000
30.910000
C2 W55423001 PERASIN 2g/0,25 g
2g/0,25g
9.3
Transplant hepatic
9J01CR05P V
05-07-2010
30.91
22.87
30.910000
30.910000
30.910000
C2 W55369001 BACTACIN 2 g/0,25 g

C2 W55116002 g/0,25 g
C2 W53596001 4g/0,5g
C2 W53596002 4g/0,5g
C2 W53596003 4g/0,5g
C2 W54765001 4g/0,5 g
2g/0,25g
9.3
Transplant hepatic
9J01CR05P V
05-07-2010
30.91
22.87
30.910000
30.910000
30.910000
2g/0,25g
12
9.3
Transplant hepatic
9J01CR05P V
05-07-2010
323.10
264.66
26.925000
26.925000
26.925000
4g/0,5g
9.3
Transplant hepatic
9J01CR05P V
05-07-2010
53.41
40.83
53.410000
53.410000
53.410000
4g/0,5g
9.3
Transplant hepatic
9J01CR05P V
05-07-2010
240.48
196.99
48.096000
48.096000
48.096000
4g/0,5g
10
9.3
Transplant hepatic
9J01CR05P V
05-07-2010
461.26
388.17
46.126000
46.126000
46.126000
4g/0,5g
9.3
Transplant hepatic
9J01CR05P V
05-07-2010
53.43
40.85
53.430000
53.430000
53.430000
C2 W55424001 PERASIN 4g/0,5 g
4g/0,5g
9.3
Transplant hepatic
9J01CR05P V
05-07-2010
53.41
40.83
53.410000
53.410000
53.410000
C2 W55370001 BACTACIN 4 g/0,5 g

C2 W55117002 g/0,5 g
C2 W52799001 ZYVOXID (R)
C2 W08947008 VFEND 200mg
C2 W08946008 VFEND 50mg
C2 W10489001 VFEND 200mg
4g/0,5g
9.3
Transplant hepatic
9J01CR05P V
05-07-2010
53.41
40.83
53.410000
53.410000
53.410000
LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM
VORICONAZOLUM
VORICONAZOLUM
VORICONAZOLUM
VORICONAZOLUM

COMPR. FILM.
SOL. PERF.
COMPR. FILM.
COMPR. FILM.
4g/0,5g
600mg
100mg/5ml
2mg/ml
200mg
50mg
200mg
40mg/ml
12
10
1
10
28
28
1
1
9.3
9.3
9.3
9.3
9.3
9.3
9.3
9.3
Transplant hepatic
Transplant hepatic
Transplant hepatic
Transplant hepatic
Transplant hepatic
Transplant hepatic
Transplant hepatic
Transplant hepatic
9J01CR05P V
9J01XX08O V
9J01XX08O V
9J01XX08P V
2J02ACO V
2J02ACO V
2J02ACP V
2J02ACO V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
539.33
1,781.68
994.48
1,781.68
3,908.70
1,030.07
536.36
2,434.43
459.80
1,599.57
877.37
1,599.57
3,550.96
910.02
457.07
2,198.42
44.944166
178.168000
994.480000
178.168000
139.596428
36.788214
536.360000
2,434.430000
44.944166
178.168000
994.480000
178.168000
139.596428
36.788214
536.360000
2,434.430000
44.944166
178.168000
994.480000
178.168000
139.596428
36.788214
536.360000
2,434.430000
MSP
MSP
MSP
MSP
83 / 135
Concentraie
Cantitate Cod boli

Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
50mg
9.3
Transplant hepatic
70mg
450mg
1
60
9.3
9.3
Valoare
compensare/UT
MSP
9J02AX04P V
05-07-2010
1,345.76
1,199.64
1,345.760000
1,345.760000
1,345.760000
Transplant hepatic
Transplant hepatic
MSP
MSP
9J02AX04P V
9J05AB14O V
05-07-2010
05-07-2010
1,734.79
5,326.56
1,556.55
4,851.75
1,734.790000
88.776000
1,734.790000
88.776000
1,734.790000
88.776000
MSP
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
7,482.85
325.26
512.98
260.83
425.24
530.69
530.69
6,830.00
266.43
435.62
213.65
355.13
451.87
451.87
7,482.850000
325.260000
512.980000
260.830000
425.240000
5.306900
10.613800
7,482.850000
325.260000
512.980000
260.830000
425.240000
5.306900
10.613800
7,482.850000
325.260000
512.980000
260.830000
425.240000
5.306900
10.613800
CASPOFUNGINUM
C2 W51832001 VALCYTE (R) 450 mg
CASPOFUNGINUM
VALGANCICLOVIRUM
Form farmaceutic
PERF.
PERF.
COMPR. FILM.
C2
C2
C2
C2
C2
C2
C2
W54188003
W51424001
W51423001
W53520001
W53523001
W04406001
W04407001
IMUNOGLOBULINA ANTI-HEPATITICA B
MYCOPHENOLATUM
MYCOPHENOLATUM
SOL. PERF.
SOL. INJ.
SOL. INJ.
SOL. INJ./PERF.
SOL. INJ./PERF.
CAPS.
COMPR. FILM.
50 UI/ ml
30MU/0,5ml
48MU/0,5ml
300mcg/0,5ml
480mcg/0,8ml
250mg
500mg
1
1
1
1
1
100
50
9.3
9.3
9.3
9.3
9.3
9.3
9.3
Transplant hepatic
Transplant hepatic
Transplant hepatic
Transplant hepatic
Transplant hepatic
Transplant hepatic
Transplant hepatic
MSP
MSP
9J06BB04P V
0L03AAP V
0L03AAP V
0L03AAP V
0L03AAP V
1L04AAO V
1L04AAO V
C2
C2
C2
C2
W54137001
W42264003
W42265003
W52877001
MYCOPHENOLATUM
MYCOPHENOLATUM
MYCOPHENOLATUM
COMPR. FILM.
CAPS.
500mg
180mg
360mg
250mg
50
120
120
100
9.3
9.3
9.3
9.3
Transplant hepatic
Transplant hepatic
Transplant hepatic
Transplant hepatic
MSP
MSP
MSP
MSP
1L04AAO V
1L04AAO V
1L04AAO V
1L04AAO V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
356.71
644.64
1,171.26
366.89
292.19
556.41
1,039.55
301.60
7.134200
5.372000
9.760500
3.668900
7.134200
5.372000
9.760500
3.668900
7.134200
5.372000
9.760500
3.668900
CAPS.
COMPR. FILM.
250mg
500mg
100
50
9.3
9.3
Transplant hepatic
Transplant hepatic
MSP
MSP
1L04AAO V
1L04AAO V
05-07-2010
05-07-2010
356.71
366.89
292.19
301.60
3.567100
7.337800
3.567100
7.337800
3.567100
7.337800
COMPR. FILM.
500mg
50
9.3
Transplant hepatic
MSP
1L04AAO V
05-07-2010
363.84
298.03
7.276800
7.276800
7.276800
SIROLIMUS
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
TACROLIMUSUM
TACROLIMUSUM
TACROLIMUSUM
TACROLIMUSUM
TACROLIMUSUM
TACROLIMUSUM
TACROLIMUSUM
TACROLIMUSUM
TACROLIMUSUM
500mg
1mg
100mg
25mg
25mg
25mg
50mg
50mg
50mg
100mg/ml
0,5mg
0,5mg
1mg
1mg
5mg
0,5mg
1mg
5mg
5mg/ml
50
30
50
50
50
50
50
50
50
1
50
50
50
50
50
50
50
50
10
9.3
9.3
9.3
9.3
9.3
9.3
9.3
9.3
9.3
9.3
9.3
9.3
9.3
9.3
9.3
9.3
9.3
9.3
9.3
Transplant hepatic
Transplant hepatic
Transplant hepatic
Transplant hepatic
Transplant hepatic
Transplant hepatic
Transplant hepatic
Transplant hepatic
Transplant hepatic
Transplant hepatic
Transplant hepatic
Transplant hepatic
Transplant hepatic
Transplant hepatic
Transplant hepatic
Transplant hepatic
Transplant hepatic
Transplant hepatic
Transplant hepatic
MSP
MSP
1L04AAO V
9L04AA10O V
9L04AD01O V
9L04AD01O V
9L04AD01O V
9L04AD01O V
9L04AD01O V
9L04AD01O V
9L04AD01O V
9L04AD01O V
9L04AD02O V
9L04AD02O V
9L04AD02O V
9L04AD02O V
9L04AD02O V
9L04AD02O V
9L04AD02O V
9L04AD02O V
9L04AD02P V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
366.89
570.30
470.37
137.00
93.90
137.16
291.47
189.45
304.48
427.55
250.15
162.60
433.77
290.63
1,903.38
249.57
475.96
2,066.95
1,718.54
301.60
488.21
396.53
112.22
74.26
112.35
238.75
155.18
249.41
357.25
204.91
133.19
362.95
238.06
1,711.22
204.43
401.66
1,861.28
1,541.64
7.337800
19.010000
9.407400
2.740000
1.878000
2.743200
5.829400
3.789000
6.089600
427.550000
5.003000
3.252000
8.675400
5.812600
38.067600
4.991400
9.519200
41.339000
171.854000
7.337800
19.010000
9.407400
2.740000
1.878000
2.743200
5.829400
3.789000
6.089600
427.550000
5.003000
3.252000
8.675400
5.812600
38.067600
4.991400
9.519200
41.339000
171.854000
7.337800
19.010000
9.407400
2.740000
1.878000
2.743200
5.829400
3.789000
6.089600
427.550000
5.003000
3.252000
8.675400
5.812600
38.067600
4.991400
9.519200
41.339000
171.854000
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
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
TOBRAMYCINUM
DORNAZA ALFA
COMPR. FILM.
DRAJ.
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
SOL. ORALA
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
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.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
SOL. INHAL.
SOL. INHAL.
356,100mg
150mg
300mg
400mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
500mg
500mg
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
300mg/5ml
1mg/ml
20
20
20
50
14
14
20
14
14
14
14
14
14
14
14
20
14
14
20
14
5
7
7
5
7
1
1
1
1
1
1
1
1
1
1
1
28
6
6.4
6.4
6.4
6.4
6.4
6.4
6.4
6.4
6.4
6.4
6.4
6.4
6.4
6.4
6.4
6.4
6.4
6.4
6.4
6.4
6.4
6.4
6.4
6.4
6.4
6.4
6.4
6.4
6.4
6.4
6.4
6.4
6.4
6.4
6.4
6.4
6.4
6.4
MSP
MSP
MSP
MSP
9A09AA02O V
9A09AA02O V
9A09AA02O V
9A09AA02O V
0J01FAO V
0J01FAO V
0J01FAO V
0J01FAO V
0J01FAO V
0J01FAO V
0J01FAO V
0J01FAO V
0J01FAO V
0J01FAO V
0J01FAO V
0J01FAO V
0J01FAO V
0J01FAO V
0J01FAO V
0J01FAO V
0J01FAO V
0J01FAO V
0J01FAO V
0J01FAO V
0J01FAO V
0J01FAO K
0J01FAO K
0J01FAO K
0J01FAO K
0J01FAO K
0J01FAO K
0J01FAO K
0J01FAO K
0J01FAO K
0J01FAO K
0J01FAP V
0J01GBInh V
9R05CB13Inh V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
42.40
21.60
33.00
135.40
28.49
32.16
22.93
16.64
14.64
14.64
16.64
14.64
37.86
32.54
32.02
44.26
32.02
32.54
50.70
32.02
18.34
25.67
35.12
36.34
28.03
39.05
24.42
23.24
26.15
31.53
18.91
61.39
44.75
50.97
31.60
53.67
8,859.63
638.05
42.40
21.60
33.00
110.91
21.08
23.79
16.97
12.31
10.83
10.83
12.31
10.83
28.94
24.08
23.69
33.84
23.69
24.08
38.76
23.69
13.57
18.99
26.85
27.78
20.74
29.85
18.07
17.19
19.35
23.33
13.99
46.93
34.21
38.97
23.38
41.03
8,093.09
550.37
2.120000
1.080000
1.650000
2.708000
2.035000
2.297142
1.146500
1.188571
1.045714
1.045714
1.188571
1.045714
2.704285
2.324285
2.287142
2.213000
2.287142
2.324285
2.535000
2.287142
3.668000
3.667142
5.017142
7.268000
4.004285
39.050000
24.420000
23.240000
26.150000
31.530000
18.910000
61.390000
44.750000
50.970000
31.600000
53.670000
316.415357
106.341666
2.120000
1.080000
1.650000
2.708000
2.035000
2.297142
1.146500
1.188571
1.045714
1.045714
1.188571
1.045714
2.704285
2.324285
2.287142
2.213000
2.287142
2.324285
2.535000
2.287142
3.668000
3.667142
5.017142
7.268000
4.004285
39.050000
24.420000
23.240000
26.150000
31.530000
18.910000
61.390000
44.750000
50.970000
31.600000
53.670000
316.415357
106.341666
2.120000
1.080000
1.650000
2.708000
2.035000
2.297142
1.146500
1.188571
1.045714
1.045714
1.188571
1.045714
2.704285
2.324285
2.287142
2.213000
2.287142
2.324285
2.535000
2.287142
3.668000
3.667142
5.017142
7.268000
4.004285
39.050000
24.420000
23.240000
26.150000
31.530000
18.910000
61.390000
44.750000
50.970000
31.600000
53.670000
316.415357
106.341666
CAPS.
250mg
100
9.4
9A05AA02O V
05-07-2010
123.98
98.05
1.239800
1.239800
1.239800
CAPS.
250mg
50
9.4
9A05AA02O V
05-07-2010
71.32
56.41
1.426400
1.426400
1.426400
CAPS.
250mg
50
9.4
Mucoviscidoza
Mucoviscidoza
Mucoviscidoza
Mucoviscidoza
Mucoviscidoza
Mucoviscidoza
Mucoviscidoza
Mucoviscidoza
Mucoviscidoza
Mucoviscidoza
Mucoviscidoza
Mucoviscidoza
Mucoviscidoza
Mucoviscidoza
Mucoviscidoza
Mucoviscidoza
Mucoviscidoza
Mucoviscidoza
Mucoviscidoza
Mucoviscidoza
Mucoviscidoza
Mucoviscidoza
Mucoviscidoza
Mucoviscidoza
Mucoviscidoza
Mucoviscidoza
Mucoviscidoza
Mucoviscidoza
Mucoviscidoza
Mucoviscidoza
Mucoviscidoza
Mucoviscidoza
Mucoviscidoza
Mucoviscidoza
Mucoviscidoza
Mucoviscidoza
Mucoviscidoza
Mucoviscidoza
Transplant renal, transplant
combinat de rinichi si
pancreas
pancreas
pancreas
9A05AA02O V
05-07-2010
68.61
54.26
1.372200
1.372200
1.372200
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
W54939001
W10576001
W13970003
W51399001
W13968003
W41697001
W51398001
W13969003
W41701001
W13980001
W53729001
W55262007
W53730001
W55263007
W53731001
W51974002
W51975002
W51976002
W53732001
HEPATECT CP 50 UI/ml
NEUPOGEN (R)
NEUPOGEN (R)
CELLCEPT 250mg
CELLCEPT 500mg
UNO 500 MG
MYFORTIC 180 mg
MYFORTIC 360 mg
MYFENAX 250mg
250 mg
MYFENAX 500mg
mg
500 mg
RAPAMUNE 1mg
EQUORAL (R) 100 mg
EQUORAL (R) 25 mg
CICLORAL 25 mg
EQUORAL (R) 50 mg
CICLORAL 50 mg
EQUORAL (R)
PROGRAF (R) 0,5 mg
TACROLIMUS SANDOZ 0,5 mg
PROGRAF (R) 1 mg
TACROLIMUS SANDOZ 1 mg
PROGRAF (R) 5 mg
ADVAGRAF 0,5mg
ADVAGRAF 1mg
ADVAGRAF 5mg
PROGRAF (R) 5 mg/ml
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
W52872001
W11904002
W11894002
W43772002
W01326002
W12279002
W51965001
W14043001
W44093001
W42303001
W08490001
W55181001
W12280001
W14044001
W44087001
W51964001
W42304001
W08491001
W54044001
W55182001
W41606001
W41606002
W44088001
W13607002
W41838002
W01327001
W01327002
W06981001
W42258001
W44092002
W44092001
W42259002
W42259001
W44091002
W44091001
W01329001
W52060001
W51323001
MEZYM FORTE 25000

KREON 10000
KREON 25000
KREON 40000
KLACID (R)
LEKOKLAR (R) 250 mg
CLAR 250
KLERIMED (R) 250
KLABAX 250 mg
CLARITROMICINA 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)
KLACID (R)
FROMILID (R) 125 mg/5 ml
LEKOKLAR 125 mg/5 ml
KLABAX 125 mg/5 ml
KLABAX 125 mg/5 ml
KLABAX 250 mg/5 ml
KLABAX 250 mg/5 ml
KLACID I.V.
TOBI (R)
PULMOZYME
C2 W54699001
C2 W52876001
C2 W54225001
Substan activ
Mentiuni
sublista
Cod
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
MSP
84 / 135
Substan activ
Form farmaceutic
Concentraie
Cantitate Cod boli

COMPR.
150mg
60
COMPR.
300mg
20
C2 W00231001 ALPHA D3 0,25 mcg
ALFACALCIDOLUM
CAPS. MOI
0,25mcg
50
C2 W44042001 ALPHA D3 0,50 mcg
ALFACALCIDOLUM
CAPS. MOI
0,50mcg
30
C2 W43774001 FRAGMIN 10000 UI/0,4 ml
DALTEPARINUM
SOL. INJ.
10000UI/0,4ml
C2 W52806002 FRAGMIN 10000 UI/ml
DALTEPARINUM
SOL. INJ.
10000ui/ml
10
C2 W43775001 FRAGMIN 12500 UI/0,5 ml
DALTEPARINUM
SOL. INJ.
12500 UI/0,5ml
C2 W52805003 FRAGMIN15000 UI/0,6 ml
DALTEPARINUM
SOL. INJ.
15000ui/0,6ml
C2 W43776001 FRAGMIN 18000 UI/0,72 ml
DALTEPARINUM
SOL. INJ.
18000 UI/0,72ml 5
C2 W52809004 FRAGMIN 2500 UI/0,2 ml
DALTEPARINUM
SOL. INJ.
2500ui/0,2ml
10
C2 W52808004 FRAGMIN 5000 UI/0,2 ml
DALTEPARINUM
SOL. INJ.
5000ui/0,2ml
10
C2 W52807002 FRAGMIN 7500 UI/0,3 ml
DALTEPARINUM
SOL. INJ.
7500ui/0,3ml
10
ENOXAPARINUM
SOL. INJ.
ENOXAPARINUM
SOL. INJ.
ENOXAPARINUM
SOL. INJ.
ENOXAPARINUM
SOL. INJ.
8000ui anti-Xa/0,82
REVIPARINUM
SOL. INJ.
1432ui/0,25ml
10
REVIPARINUM
SOL. INJ.
3436ui/0,6ml
C2 W51301001 EPOPHAR 2000 U.I.
EPOETINUM ALFA
SOL. INJ.
2000UI
10
C2 W44143001 EPREX (R) 3000 UI
EPOETINUM ALFA
SOL. INJ.
3000ui/0,3ml
C2 W44140001 EPREX (R) 40 000 UI
EPOETINUM ALFA
SOL. INJ.
40 000UI
C2 W51299001 EPOPHAR 4000 U.I.
EPOETINUM ALFA
SOL. INJ.
4000UI
10
EPOETINUM ALFA

PREUMPLUTA
10000UI/1,0ml
EPOETINUM ALFA

PREUMPLUTA
10000UI/1,0ml
EPOETINUM ALFA

PREUMPLUTA
1000UI/0,5ml
EPOETINUM ALFA

PREUMPLUTA
1000UI/0,5ml
EPOETINUM ALFA

PREUMPLUTA
2000UI/1,0ml
EPOETINUM ALFA

PREUMPLUTA
2000UI/1,0ml
C2 W55046001 BINOCRIT 30000UI/0,75ml
EPOETINUM ALFA

PREUMPLUTA
30000UI/0,75ml 1
EPOETINUM ALFA

PREUMPLUTA
3000UI/0,3ml
EPOETINUM ALFA

PREUMPLUTA
3000UI/0,3ml

9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
pancreas
9.4
9.4
pancreas
pancreas
9.4
pancreas
9.4
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
Mentiuni
sublista
Cod
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
Valoare
compensare/UT
9A05AA02O V
05-07-2010
54.05
41.32
0.900833
0.900833
0.900833
9A05AA02O V
05-07-2010
35.80
27.37
1.790000
1.790000
1.790000
1A11CCO V
05-07-2010
33.55
25.65
0.671000
0.671000
0.671000
1A11CCO V
05-07-2010
31.32
23.17
1.044000
1.044000
1.044000
1B01ABP V
05-07-2010
125.68
102.95
25.136000
25.136000
25.136000
1B01ABP V
05-07-2010
266.21
218.06
26.621000
26.621000
26.621000
1B01ABP V
05-07-2010
170.47
139.64
34.094000
34.094000
34.094000
1B01ABP V
05-07-2010
206.39
169.06
41.278000
41.278000
41.278000
1B01ABP V
05-07-2010
234.71
192.26
46.942000
46.942000
46.942000
1B01ABP V
05-07-2010
77.41
61.22
7.741000
7.741000
7.741000
1B01ABP V
05-07-2010
141.82
116.17
14.182000
14.182000
14.182000
1B01ABP V
05-07-2010
202.52
165.89
20.252000
20.252000
20.252000
1B01ABP V
05-07-2010
72.76
57.55
7.276000
7.276000
7.276000
1B01ABP V
05-07-2010
144.23
118.14
14.423000
14.423000
14.423000
1B01ABP V
05-07-2010
187.44
153.54
18.744000
18.744000
18.744000
1B01ABP V
05-07-2010
52.07
39.81
26.035000
26.035000
26.035000
1B01ABP V
05-07-2010
84.26
66.64
8.426000
8.426000
8.426000
1B01ABP V
05-07-2010
101.17
80.01
20.234000
20.234000
20.234000
0B03XAP V
05-07-2010
331.02
271.15
33.102000
33.102000
33.102000
0B03XAP V
05-07-2010
757.39
659.85
126.231666
126.231666
126.231666
0B03XAP V
05-07-2010
1,350.47
1,203.96
1,350.470000
1,350.470000
1,350.470000
0B03XAP V
05-07-2010
608.23
523.01
60.823000
60.823000
60.823000
0B03XAP V
05-07-2010
1,724.65
1,547.25
287.441666
287.441666
287.441666
0B03XAP V
05-07-2010
1,834.63
1,648.14
305.771666
305.771666
305.771666
0B03XAP V
05-07-2010
217.91
178.50
36.318333
36.318333
36.318333
0B03XAP V
05-07-2010
238.11
195.04
39.685000
39.685000
39.685000
0B03XAP V
05-07-2010
425.00
354.91
70.833333
70.833333
70.833333
0B03XAP V
05-07-2010
457.85
385.05
76.308333
76.308333
76.308333
0B03XAP V
05-07-2010
786.55
686.60
786.550000
786.550000
786.550000
0B03XAP V
05-07-2010
602.48
517.73
100.413333
100.413333
100.413333
0B03XAP V
05-07-2010
651.86
563.04
108.643333
108.643333
108.643333
85 / 135
Substan activ
Form farmaceutic
Concentraie
Cantitate Cod boli

EPOETINUM ALFA

PREUMPLUTA
40000 UI/1 ml
EPOETINUM ALFA

PREUMPLUTA
4000UI/0,4ml
EPOETINUM ALFA

PREUMPLUTA
4000UI/0,4ml
EPOETINUM ALFA

PREUMPLUTA
5000UI/0,5ml
EPOETINUM ALFA

PREUMPLUTA
5000UI/0,5ml
EPOETINUM ALFA

PREUMPLUTA
6000UI/0,6ml
EPOETINUM ALFA

PREUMPLUTA
8000UI/0,8ml
EPOETINUM BETA

PREUMPLUTA
10000UI/0,6ml
EPOETINUM BETA

PREUMPLUTA
1000UI/0,3ml
EPOETINUM BETA

PREUMPLUTA
2000UI/0,3ml
EPOETINUM BETA

PREUMPLUTA
30000 UI/0,6ml
EPOETINUM BETA

PREUMPLUTA
4000UI/0,3ml
EPOETINUM BETA

PREUMPLUTA
5000UI/0,3ml
EPOETINUM BETA

PREUMPLUTA
500UI/0,3ml
OCTREOTIDUM

(I.M.) CU ELIB. PRELU
20mg
OCTREOTIDUM
10mg
OCTREOTIDUM
30mg
C2 W12789001 SANDOSTATIN (R)
OCTREOTIDUM
SOL. INJ.
0,1mg/ml
C2 W13057003 TAZOCIN 4,5
LIOF. PT. SOL. INJ.
FARA CONCENT12
C2 W41794002 TAZOCIN 2,25
LIOF. PT. SOL. INJ.
FARA CONCENT12
C2 W53595001 2g/0,25g
2g/0,25g
C2 W53595002 2g/0,25g
2g/0,25g
C2 W53595003 2g/0,25g
2g/0,25g
10
C2 W53595004 2g/0,25g
2g/0,25g
C2 W53595005 2g/0,25g
2g/0,25g
C2 W53595006 2g/0,25g
2g/0,25g
10
C2 W54763001 2g/0,25 g
2g/0,25g
C2 W55423001 PERASIN 2g/0,25 g
2g/0,25g
C2 W55369001 BACTACIN 2 g/0,25 g
2g/0,25g
C2 W55116002 g/0,25 g
2g/0,25g
12
C2 W53596001 4g/0,5g
4g/0,5g

9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
pancreas
9.4
9.4
pancreas
pancreas
9.4
pancreas
9.4
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
Mentiuni
sublista
Cod
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
Valoare
compensare/UT
0B03XAP V
05-07-2010
992.26
875.33
992.260000
992.260000
992.260000
0B03XAP V
05-07-2010
779.91
680.51
129.985000
129.985000
129.985000
0B03XAP V
05-07-2010
840.17
735.80
140.028333
140.028333
140.028333
0B03XAP V
05-07-2010
957.28
843.24
159.546666
159.546666
159.546666
0B03XAP V
05-07-2010
1,039.51
918.68
173.251666
173.251666
173.251666
0B03XAP V
05-07-2010
1,233.28
1,096.45
205.546666
205.546666
205.546666
0B03XAP V
05-07-2010
1,620.80
1,451.97
270.133333
270.133333
270.133333
MSP
0B03XAP V
05-07-2010
2,341.24
2,112.92
390.206666
390.206666
390.206666
MSP
0B03XAP V
05-07-2010
279.25
228.74
46.541666
46.541666
46.541666
MSP
0B03XAP V
05-07-2010
525.21
446.84
87.535000
87.535000
87.535000
MSP
0B03XAP V
05-07-2010
1,171.95
1,040.18
1,171.950000
1,171.950000
1,171.950000
MSP
0B03XAP V
05-07-2010
978.92
863.09
163.153333
163.153333
163.153333
MSP
0B03XAP V
05-07-2010
1,205.63
1,071.08
200.938333
200.938333
200.938333
MSP
0B03XAP V
05-07-2010
143.59
117.62
23.931666
23.931666
23.931666
MSP
0H01CBP V
05-07-2010
3,820.80
3,470.32
3,820.800000
3,820.800000
3,820.800000
MSP
0H01CBP V
05-07-2010
2,395.07
2,162.31
2,395.070000
2,395.070000
2,395.070000
MSP
0H01CBP V
05-07-2010
5,276.67
4,805.98
5,276.670000
5,276.670000
5,276.670000
MSP
0H01CBP V
05-07-2010
152.27
124.73
30.454000
30.454000
30.454000
9J01CR05P V
05-07-2010
791.71
691.34
65.975833
65.975833
65.975833
9J01CR05P V
05-07-2010
474.43
400.26
39.535833
39.535833
39.535833
9J01CR05P V
05-07-2010
27.41
20.28
27.410000
27.410000
27.410000
9J01CR05P V
05-07-2010
125.94
99.60
25.188000
25.188000
25.188000
9J01CR05P V
05-07-2010
238.84
195.64
23.884000
23.884000
23.884000
9J01CR05P V
05-07-2010
53.04
40.55
53.040000
53.040000
53.040000
9J01CR05P V
05-07-2010
238.84
195.64
47.768000
47.768000
47.768000
9J01CR05P V
05-07-2010
458.60
385.73
45.860000
45.860000
45.860000
9J01CR05P V
05-07-2010
30.91
22.87
30.910000
30.910000
30.910000
9J01CR05P V
05-07-2010
30.91
22.87
30.910000
30.910000
30.910000
9J01CR05P V
05-07-2010
30.91
22.87
30.910000
30.910000
30.910000
9J01CR05P V
05-07-2010
323.10
264.66
26.925000
26.925000
26.925000
9J01CR05P V
05-07-2010
53.41
40.83
53.410000
53.410000
53.410000
86 / 135
Form farmaceutic
Concentraie
Cantitate Cod boli

C2 W53596002 4g/0,5g
4g/0,5g
C2 W53596003 4g/0,5g
4g/0,5g
10
C2 W54765001 4g/0,5 g
4g/0,5g
C2 W55424001 PERASIN 4g/0,5 g
4g/0,5g
C2 W55370001 BACTACIN 4 g/0,5 g
4g/0,5g
C2 W55117002 g/0,5 g
4g/0,5g
12
C2 W13105001 TARGOCID (R) 400 mg
TEICOPLANINUM
400mg
LINEZOLIDUM
COMPR. FILM.
600mg
10
LINEZOLIDUM
100mg/5ml
LINEZOLIDUM
SOL. PERF.
2mg/ml
10
C2 W03875001 NIZORAL 200 mg
KETOCONAZOLUM
COMPR.
200mg
10
C2 W12109001 KETOCONAZOL 200 mg
KETOCONAZOLUM
COMPR.
200mg
10
KETOCONAZOLUM
COMPR.
200mg
10
C2 W12122001 KETOSTIN 200 mg
KETOCONAZOLUM
COMPR.
200mg
10
C2 W41983001 KEFUNGIN
KETOCONAZOLUM
COMPR.
200mg
10
C2 W54365002 KETOCONAZOL ARENA 200 mg
KETOCONAZOLUM
COMPR.
200mg
10
C2 W08955001 DIFLAZON 100 mg
FLUCONAZOLUM
CAPS.
100mg
28
C2 W08372001 FLUCOVIM 100
FLUCONAZOLUM
CAPS.
100mg
C2 W44099001 FLUCORIC 100 mg
FLUCONAZOLUM
CAPS.
100mg
C2 W42371002 FUNGOLON 100 mg
FLUCONAZOLUM
CAPS.
100mg
16
C2 W43597001 FLUCONAZOLE TEVA 100 mg
FLUCONAZOLUM
CAPS.
100mg
FLUCONAZOLUM
CAPS.
100mg
FLUCONAZOLUM
CAPS.
150mg
C2 W08970003 MYCOSYST 150 mg
FLUCONAZOLUM
CAPS.
150mg
FLUCONAZOLUM
CAPS.
150mg
FLUCONAZOLUM
CAPS.
150mg
C2 W03156001 DIFLUCAN 150 mg
FLUCONAZOLUM
CAPS.
150mg
FLUCONAZOLUM
CAPS.
150mg
C2 W43288001 FLUCONAZOL SANDOZ (R) 150
FLUCONAZOLUM
CAPS.
150mg
C2 W42174001 FLUCONAZOL 150 mg
FLUCONAZOLUM
CAPS.
150mg
C2 W42741001 FLUCONAZOL TERAPIA 150 mg
FLUCONAZOLUM
CAPS.
150mg
Substan activ

9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
pancreas
9.4
9.4
pancreas
pancreas
9.4
pancreas
9.4
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
pancreas
9.4
Mentiuni
sublista
Cod
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
Valoare
compensare/UT
9J01CR05P V
05-07-2010
240.48
196.99
48.096000
48.096000
48.096000
9J01CR05P V
05-07-2010
461.26
388.17
46.126000
46.126000
46.126000
9J01CR05P V
05-07-2010
53.43
40.85
53.430000
53.430000
53.430000
9J01CR05P V
05-07-2010
53.41
40.83
53.410000
53.410000
53.410000
9J01CR05P V
05-07-2010
53.41
40.83
53.410000
53.410000
53.410000
9J01CR05P V
05-07-2010
539.33
459.80
44.944166
44.944166
44.944166
9J01XA02P V
05-07-2010
143.92
117.89
143.920000
143.920000
143.920000
9J01XX08O V
05-07-2010
1,781.68
1,599.57
178.168000
178.168000
178.168000
9J01XX08O V
05-07-2010
994.48
877.37
994.480000
994.480000
994.480000
9J01XX08P V
05-07-2010
1,781.68
1,599.57
178.168000
178.168000
178.168000
9J02AB02O V
05-07-2010
20.42
15.11
2.042000
2.042000
2.042000
9J02AB02O V
05-07-2010
8.01
5.93
0.801000
0.801000
0.801000
9J02AB02O V
05-07-2010
6.86
5.08
0.686000
0.686000
0.686000
9J02AB02O V
05-07-2010
12.59
9.31
1.259000
1.259000
1.259000
9J02AB02O V
05-07-2010
6.86
5.08
0.686000
0.686000
0.686000
9J02AB02O V
05-07-2010
9.15
6.77
0.915000
0.915000
0.915000
1J02ACO V
05-07-2010
235.85
193.19
8.423214
8.423214
8.423214
1J02ACO V
05-07-2010
25.55
18.90
6.387500
6.387500
6.387500
1J02ACO V
05-07-2010
43.26
33.07
6.180000
6.180000
6.180000
1J02ACO V
05-07-2010
82.46
65.22
5.153750
5.153750
5.153750
1J02ACO V
05-07-2010
9.41
6.96
4.705000
4.705000
4.705000
1J02ACO V
05-07-2010
31.43
23.25
4.490000
4.490000
4.490000
1J02ACO V
05-07-2010
22.47
16.62
22.470000
22.470000
22.470000
1J02ACO V
05-07-2010
78.44
62.04
19.610000
19.610000
19.610000
1J02ACO V
05-07-2010
43.15
32.99
21.575000
21.575000
21.575000
1J02ACO V
05-07-2010
9.91
7.33
9.910000
9.910000
9.910000
1J02ACO V
05-07-2010
25.02
18.51
25.020000
25.020000
25.020000
1J02ACO V
05-07-2010
18.83
13.93
18.830000
18.830000
18.830000
1J02ACO V
05-07-2010
14.55
10.77
14.550000
14.550000
14.550000
1J02ACO V
05-07-2010
9.91
7.33
9.910000
9.910000
9.910000
1J02ACO V
05-07-2010
9.18
6.79
9.180000
9.180000
9.180000
87 / 135
Substan activ
Form farmaceutic
Concentraie
Cantitate Cod boli

C2 W42192002 MYCOMAX 150
FLUCONAZOLUM
CAPS.
150mg
C2 W42192001 MYCOMAX 150
FLUCONAZOLUM
CAPS.
150mg
FLUCONAZOLUM
CAPS.
150mg
FLUCONAZOLUM
CAPS.
150mg
C2 W51994001 FLUCONAZOL MEDOCHEMIE 150 mg
FLUCONAZOLUM
CAPS.
150mg
C2 W52224001 FLUCONAZOL BIOGALENICA 150 mg
FLUCONAZOLUM
CAPS.
150mg
C2 W52335001 FLUCONAZOL MEDICO UNO 150 mg
FLUCONAZOLUM
CAPS.
150mg
C2 W53943002 FLUCONAZOL ARENA 150 MG
FLUCONAZOLUM
CAPS.
150mg
FLUCONAZOLUM
CAPS.
150mg
FLUCONAZOLUM
CAPS.
200mg
FLUCONAZOLUM
CAPS.
50mg
FLUCONAZOLUM
CAPS.
50mg
FLUCONAZOLUM
CAPS.
50mg
FLUCONAZOLUM
CAPS.
50mg
FLUCONAZOLUM
CAPS.
50mg
FLUCONAZOLUM
CAPS.
50mg
FLUCONAZOLUM
CAPS.
50mg
FLUCONAZOLUM
CAPS.
50mg
10
FLUCONAZOLUM
CAPS.
50mg
FLUCONAZOLUM
CAPS.
50mg
FLUCONAZOLUM
CAPS.
50mg
FLUCONAZOLUM
CAPS.
50mg
FLUCONAZOLUM
CAPS.
50mg
FLUCONAZOLUM
CAPS.
50mg
C2 W03159001 DIFLUCAN (R) 50 mg/5 ml
FLUCONAZOLUM
50mg/5ml
C2 W03160004 DIFLUCAN (R)
FLUCONAZOLUM
SOL. PERF.
2mg/ml
FLUCONAZOLUM
SOL. PERF.
2mg/ml
C2 W12072001 DIFLAZON 2mg/ml
FLUCONAZOLUM
SOL. PERF.
2mg/ml
C2 W42083003 MYCOMAX (R) INF
FLUCONAZOLUM
SOL. PERF.
2mg/ml
FLUCONAZOLUM
SOL. PERF.
2mg/ml
FLUCONAZOLUM
SOL. PERF.
2mg/ml

9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
pancreas
9.4
9.4
pancreas
pancreas
9.4
pancreas
9.4
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
Mentiuni
sublista
Cod
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
Valoare
compensare/UT
1J02ACO V
05-07-2010
31.93
23.62
10.643333
10.643333
10.643333
1J02ACO V
05-07-2010
12.50
9.25
12.500000
12.500000
12.500000
1J02ACO V
05-07-2010
6.58
4.87
6.580000
6.580000
6.580000
1J02ACO V
05-07-2010
9.66
7.15
9.660000
9.660000
9.660000
1J02ACO V
05-07-2010
8.18
6.05
8.180000
8.180000
8.180000
1J02ACO V
05-07-2010
6.58
4.87
6.580000
6.580000
6.580000
1J02ACO V
05-07-2010
9.01
6.67
9.010000
9.010000
9.010000
1J02ACO V
05-07-2010
9.01
6.67
9.010000
9.010000
9.010000
1J02ACO V
05-07-2010
9.91
7.33
9.910000
9.910000
9.910000
1J02ACO V
05-07-2010
39.28
30.03
5.611428
5.611428
5.611428
1J02ACO V
05-07-2010
61.57
47.07
8.795714
8.795714
8.795714
1J02ACO V
05-07-2010
22.51
16.65
3.215714
3.215714
3.215714
1J02ACO V
05-07-2010
56.41
43.13
8.058571
8.058571
8.058571
1J02ACO V
05-07-2010
29.54
21.86
4.220000
4.220000
4.220000
1J02ACO V
05-07-2010
41.83
31.98
5.975714
5.975714
5.975714
1J02ACO V
05-07-2010
22.51
16.65
3.215714
3.215714
3.215714
1J02ACO V
05-07-2010
19.00
14.06
2.375000
2.375000
2.375000
1J02ACO V
05-07-2010
25.47
18.84
2.547000
2.547000
2.547000
1J02ACO V
05-07-2010
16.64
12.31
2.377142
2.377142
2.377142
1J02ACO V
05-07-2010
19.65
14.54
2.807142
2.807142
2.807142
1J02ACO V
05-07-2010
19.54
14.46
2.791428
2.791428
2.791428
1J02ACO V
05-07-2010
16.12
11.93
2.302857
2.302857
2.302857
1J02ACO V
05-07-2010
15.73
11.64
2.247142
2.247142
2.247142
1J02ACO V
05-07-2010
19.08
14.12
2.725714
2.725714
2.725714
1J02ACO V
05-07-2010
56.41
43.13
56.410000
56.410000
56.410000
1J02ACP V
05-07-2010
162.21
132.87
162.210000
162.210000
162.210000
1J02ACP V
05-07-2010
40.44
30.92
40.440000
40.440000
40.440000
1J02ACP V
05-07-2010
45.72
34.95
45.720000
45.720000
45.720000
1J02ACP V
05-07-2010
39.86
30.47
39.860000
39.860000
39.860000
1J02ACP V
05-07-2010
55.66
42.55
55.660000
55.660000
55.660000
1J02ACP V
05-07-2010
167.39
137.11
167.390000
167.390000
167.390000
88 / 135
Substan activ
Form farmaceutic
Concentraie
Cantitate Cod boli

C2 W52223003 FLUCONAZOL BIOGALENICA 2mg/ml
FLUCONAZOLUM
SOL. PERF.
2mg/ml
C2 W53987001 FLUCONAZOL B. BRAUN 2mg/ml
FLUCONAZOLUM
SOL. PERF.
2mg/ml
10
FLUCONAZOLUM
SOL. PERF.
2mg/ml
20
FLUCONAZOLUM
SOL. PERF.
2mg/ml
10
FLUCONAZOLUM
SOL. PERF.
2mg/ml
20
FLUCONAZOLUM
SOL. PERF.
2mg/ml
10
ITRACONAZOLUM
CAPS.
100mg
15
ITRACONAZOLUM
CAPS.
100mg
15
ITRACONAZOLUM
CAPS.
100mg
15
ITRACONAZOLUM
CAPS.
100mg
15
ITRACONAZOLUM
CAPS.
100mg
15
ITRACONAZOLUM
CAPS.
100mg
15
ITRACONAZOLUM
CAPS.
100mg
15
ITRACONAZOLUM
CAPS.
100mg
15
C2 W08947008 VFEND 200mg
VORICONAZOLUM
COMPR. FILM.
200mg
28
C2 W08946008 VFEND 50mg
VORICONAZOLUM
COMPR. FILM.
50mg
28
C2 W10489001 VFEND 200mg
VORICONAZOLUM
200mg
VORICONAZOLUM
40mg/ml
CASPOFUNGINUM

PERF.
50mg
CASPOFUNGINUM

PERF.
70mg
C2 W42857001 ACICLOVIR 200 mg
ACICLOVIRUM
CAPS.
200mg
20
C2 W53675001 ACICLOVIR ARENA 200 mg
ACICLOVIRUM
CAPS.
200mg
20
ACICLOVIRUM
CAPS.
200mg
1000
ACICLOVIRUM
CAPS.
400mg
10
C2 W00044001 ACICLOVIR TERAPIA 200 mg
ACICLOVIRUM
COMPR.
200mg
20
ACICLOVIRUM
COMPR.
200mg
20
C2 W41451001 CLOVIRAL 200 mg
ACICLOVIRUM
COMPR.
200mg
20
ACICLOVIRUM
COMPR.
200mg
20
ACICLOVIRUM
COMPR.
200mg
20
ACICLOVIRUM
COMPR.
400mg
10
C2 W08894001 ACICLOVIR OZONE 200 mg
ACICLOVIRUM
COMPR. DISP.
200mg
20

9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
pancreas
9.4
9.4
pancreas
pancreas
9.4
pancreas
9.4
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
Mentiuni
sublista
Cod
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
Valoare
compensare/UT
1J02ACP V
05-07-2010
53.01
40.53
53.010000
53.010000
53.010000
1J02ACP V
05-07-2010
222.76
182.47
22.276000
22.276000
22.276000
1J02ACP V
05-07-2010
432.48
361.77
21.624000
21.624000
21.624000
1J02ACP V
05-07-2010
532.57
453.60
53.257000
53.257000
53.257000
1J02ACP V
05-07-2010
904.25
794.59
45.212500
45.212500
45.212500
1J02ACP V
05-07-2010
876.27
768.92
87.627000
87.627000
87.627000
1J02ACO V
05-07-2010
76.74
60.69
5.116000
5.116000
5.116000
1J02ACO V
05-07-2010
52.44
40.09
3.496000
3.496000
3.496000
1J02ACO V
05-07-2010
124.00
98.07
8.266666
8.266666
8.266666
1J02ACO V
05-07-2010
52.44
40.09
3.496000
3.496000
3.496000
1J02ACO V
05-07-2010
52.44
40.09
3.496000
3.496000
3.496000
1J02ACO V
05-07-2010
52.44
40.09
3.496000
3.496000
3.496000
1J02ACO V
05-07-2010
52.44
40.09
3.496000
3.496000
3.496000
1J02ACO V
05-07-2010
52.43
40.08
3.495333
3.495333
3.495333
MSP
2J02ACO V
05-07-2010
3,908.70
3,550.96
139.596428
139.596428
139.596428
MSP
2J02ACO V
05-07-2010
1,030.07
910.02
36.788214
36.788214
36.788214
MSP
2J02ACP V
05-07-2010
536.36
457.07
536.360000
536.360000
536.360000
MSP
2J02ACO V
05-07-2010
2,434.43
2,198.42
2,434.430000
2,434.430000
2,434.430000
MSP
9J02AX04P V
05-07-2010
1,345.76
1,199.64
1,345.760000
1,345.760000
1,345.760000
MSP
9J02AX04P V
05-07-2010
1,734.79
1,556.55
1,734.790000
1,734.790000
1,734.790000
1J05ABO V
05-07-2010
20.18
14.93
1.009000
1.009000
1.009000
1J05ABO V
05-07-2010
21.37
15.81
1.068500
1.068500
1.068500
1J05ABO V
05-07-2010
803.94
702.56
0.803940
0.803940
0.803940
1J05ABO V
05-07-2010
19.43
14.38
1.943000
1.943000
1.943000
1J05ABO V
05-07-2010
17.10
12.65
0.855000
0.855000
0.855000
1J05ABO V
05-07-2010
17.18
12.71
0.859000
0.859000
0.859000
1J05ABO V
05-07-2010
16.39
12.13
0.819500
0.819500
0.819500
1J05ABO V
05-07-2010
13.76
10.18
0.688000
0.688000
0.688000
1J05ABO V
05-07-2010
12.97
9.60
0.648500
0.648500
0.648500
1J05ABO V
05-07-2010
19.18
14.19
1.918000
1.918000
1.918000
1J05ABO V
05-07-2010
7.23
5.35
0.361500
0.361500
0.361500
89 / 135
Substan activ
Form farmaceutic
Concentraie
Cantitate Cod boli

C2 W08177003 LOVIR 200 mg
ACICLOVIRUM
COMPR. DISP.
200mg
10
ACICLOVIRUM
COMPR. DISP.
200mg
20
C2 W51494001 ACIKLOVIR
ACICLOVIRUM
COMPR. FILM.
400mg
35
C2 W00058001 VIROLEX
ACICLOVIRUM
250mg
C2 W06049001 VALTREX 500 mg
VALACYCLOVIRUM
COMPR. FILM.
500mg
10
C2 W51832001 VALCYTE (R) 450 mg
VALGANCICLOVIRUM
COMPR. FILM.
450mg
60

ADM. INTRAVASCULARA
SOL. PERF.
5%

ADM. INTRAVASCULARA
SOL. PERF.
5%

ADM. INTRAVASCULARA
SOL. PERF.
5%

ADM. INTRAVASCULARA
SOL. PERF.
5%

ADM. INTRAVASCULARA
SOL. PERF.
100mg/ml

ADM. INTRAVASCULARA
SOL. PERF.
100mg/ml
C2 W43965001 IG VENA 10g/200ml

ADM. INTRAVASCULARA
SOL. PERF.
10g/200ml
C2 W43962001 IG VENA 1g/20ml

ADM. INTRAVASCULARA
SOL. PERF.
1g/20ml
C2 W43963001 IG VENA 2,5g/50ml

ADM. INTRAVASCULARA
SOL. PERF.
2,5g/50ml

ADM. INTRAVASCULARA
SOL. PERF.
50mg/ml

ADM. INTRAVASCULARA
SOL. PERF.
50mg/ml

ADM. INTRAVASCULARA
SOL. PERF.
50mg/ml
C2 W43964001 IG VENA 5g/100ml

ADM. INTRAVASCULARA
SOL. PERF.
5g/100ml
CYCLOPHOSPHAMIDUM
DRAJ.
50mg
50
CYCLOPHOSPHAMIDUM
SOL. INJ.
30MU/0,5ml
SOL. INJ.
48MU/0,5ml
SOL. INJ./PERF.
300mcg/0,5ml
SOL. INJ./PERF.
480mcg/0,8ml
C2 W04406001 CELLCEPT 250mg
MYCOPHENOLATUM
CAPS.
250mg
100
MYCOPHENOLATUM
COMPR. FILM.
500mg
50

C2 W54137001 UNO 500 MG
MYCOPHENOLATUM
COMPR. FILM.
500mg
50
C2 W42264003 MYFORTIC 180 mg
MYCOPHENOLATUM
180mg
120
MYCOPHENOLATUM
360mg
120
C2 W52877001 MYFENAX 250mg
CAPS.
250mg
100

9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
pancreas
9.4
9.4
pancreas
pancreas
9.4
pancreas
9.4
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
pancreas
9.4
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
Mentiuni
sublista
Cod
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
Valoare
compensare/UT
1J05ABO V
05-07-2010
3.73
2.76
0.373000
0.373000
0.373000
1J05ABO V
05-07-2010
7.23
5.35
0.361500
0.361500
0.361500
1J05ABO V
05-07-2010
57.04
43.61
1.629714
1.629714
1.629714
9J05AB01P V
05-07-2010
282.31
231.25
56.462000
56.462000
56.462000
1J05ABO V
05-07-2010
100.40
79.41
10.040000
10.040000
10.040000
MSP
9J05AB14O V
05-07-2010
5,326.56
4,851.75
88.776000
88.776000
88.776000
MSP
9J06BA02P V
05-07-2010
986.45
870.00
986.450000
986.450000
986.450000
MSP
9J06BA02P V
05-07-2010
1,902.05
1,710.00
1,902.050000
1,902.050000
1,902.050000
MSP
9J06BA02P V
05-07-2010
528.65
450.00
528.650000
528.650000
528.650000
MSP
9J06BA02P V
05-07-2010
118.95
94.08
118.950000
118.950000
118.950000
MSP
9J06BA02P V
05-07-2010
544.52
464.56
544.520000
544.520000
544.520000
MSP
9J06BA02P V
05-07-2010
1,018.20
899.13
1,018.200000
1,018.200000
1,018.200000
MSP
9J06BA02P V
05-07-2010
2,265.63
2,043.56
2,265.630000
2,265.630000
2,265.630000
MSP
9J06BA02P V
05-07-2010
270.72
221.76
270.720000
270.720000
270.720000
MSP
9J06BA02P V
05-07-2010
619.82
533.64
619.820000
619.820000
619.820000
MSP
9J06BA02P V
05-07-2010
745.56
649.00
745.560000
745.560000
745.560000
MSP
9J06BA02P V
05-07-2010
2,508.09
2,266.00
2,508.090000
2,508.090000
2,508.090000
MSP
9J06BA02P V
05-07-2010
1,312.36
1,169.00
1,312.360000
1,312.360000
1,312.360000
MSP
9J06BA02P V
05-07-2010
1,168.26
1,036.80
1,168.260000
1,168.260000
1,168.260000
9L01AA01O V
05-07-2010
26.07
19.29
0.521400
0.521400
0.521400
9L01AA01P V
05-07-2010
15.86
11.73
15.860000
15.860000
15.860000
0L03AAP V
05-07-2010
325.26
266.43
325.260000
325.260000
325.260000
0L03AAP V
05-07-2010
512.98
435.62
512.980000
512.980000
512.980000
0L03AAP V
05-07-2010
260.83
213.65
260.830000
260.830000
260.830000
0L03AAP V
05-07-2010
425.24
355.13
425.240000
425.240000
425.240000
MSP
1L04AAO V
05-07-2010
530.69
451.87
5.306900
5.306900
5.306900
MSP
1L04AAO V
05-07-2010
530.69
451.87
10.613800
10.613800
10.613800
MSP
1L04AAO V
05-07-2010
356.71
292.19
7.134200
7.134200
7.134200
MSP
1L04AAO V
05-07-2010
644.64
556.41
5.372000
5.372000
5.372000
MSP
1L04AAO V
05-07-2010
1,171.26
1,039.55
9.760500
9.760500
9.760500
MSP
1L04AAO V
05-07-2010
366.89
301.60
3.668900
3.668900
3.668900
90 / 135
Substan activ
Form farmaceutic
Concentraie
Cantitate Cod boli


C2 W54699001 250 mg
CAPS.
250mg
100
COMPR. FILM.
500mg
50

C2 W54225001 mg
COMPR. FILM.
500mg
50

C2 W54939001 500 mg
COMPR. FILM.
500mg
50
C2 W10576001 RAPAMUNE 1mg
SIROLIMUS
DRAJ.
1mg
30
C2 W13098001 SIMULECT 20 mg
BASILIXIMABUM

INJ./PERF.
20mg
C2 W13970003 EQUORAL (R) 100 mg
CICLOSPORINUM
CAPS. MOI
100mg
50
CICLOSPORINUM
CAPS. MOI
25mg
50
CICLOSPORINUM
CAPS. MOI
25mg
50
CICLOSPORINUM
CAPS. MOI
25mg
50
CICLOSPORINUM
CAPS. MOI
50mg
50
CICLOSPORINUM
CAPS. MOI
50mg
50
CICLOSPORINUM
CAPS. MOI
50mg
50
CICLOSPORINUM
SOL. ORALA
100mg/ml
C2 W53729001 PROGRAF (R) 0,5 mg
TACROLIMUSUM
CAPS.
0,5mg
50
C2 W55262007 TACROLIMUS SANDOZ 0,5 mg
TACROLIMUSUM
CAPS.
0,5mg
50
C2 W53730001 PROGRAF (R) 1 mg
TACROLIMUSUM
CAPS.
1mg
50
C2 W55263007 TACROLIMUS SANDOZ 1 mg
TACROLIMUSUM
CAPS.
1mg
50
TACROLIMUSUM
CAPS.
5mg
50
C2 W51974002 ADVAGRAF 0,5mg
TACROLIMUSUM
CAPS. ELIB. PREL.
0,5mg
50
C2 W51975002 ADVAGRAF 1mg
TACROLIMUSUM
CAPS. ELIB. PREL.
1mg
50
TACROLIMUSUM
CAPS. ELIB. PREL.
5mg
50
C2 W53732001 PROGRAF (R) 5 mg/ml
TACROLIMUSUM
5mg/ml
10
C2 W00513001 IMURAN (R)
AZATHIOPRINUM
COMPR. FILM.
50mg
100
ACIDUM ALENDRONICUM
COMPR.
10mg
28
C2 W54297001 TEVANAT 70 mg
ACIDUM ALENDRONICUM
COMPR.
70 mg
C2 W08599002 FOSAMAX 70 mg
ACIDUM ALENDRONICUM
COMPR.
70mg
ACIDUM ALENDRONICUM
COMPR.
70mg
C2 W53741001 RANOS 70 mg
ACIDUM ALENDRONICUM
COMPR.
70mg
ACIDUM ALENDRONICUM
COMPR.
70mg
ACIDUM ALENDRONICUM
COMPR.
70mg

9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
pancreas
9.4
9.4
pancreas
pancreas
9.4
pancreas
9.4
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
pancreas
9.4
Mentiuni
sublista
Cod
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
Valoare
compensare/UT
MSP
1L04AAO V
05-07-2010
356.71
292.19
3.567100
3.567100
3.567100
MSP
1L04AAO V
05-07-2010
366.89
301.60
7.337800
7.337800
7.337800
MSP
1L04AAO V
05-07-2010
363.84
298.03
7.276800
7.276800
7.276800
MSP
1L04AAO V
05-07-2010
366.89
301.60
7.337800
7.337800
7.337800
MSP
9L04AA10O V
05-07-2010
570.30
488.21
19.010000
19.010000
19.010000
MSP
9L04AC02P V
05-07-2010
4,678.85
4,257.52
4,678.850000
4,678.850000
4,678.850000
9L04AD01O V
05-07-2010
470.37
396.53
9.407400
9.407400
9.407400
9L04AD01O V
05-07-2010
137.00
112.22
2.740000
2.740000
2.740000
9L04AD01O V
05-07-2010
93.90
74.26
1.878000
1.878000
1.878000
9L04AD01O V
05-07-2010
137.16
112.35
2.743200
2.743200
2.743200
9L04AD01O V
05-07-2010
291.47
238.75
5.829400
5.829400
5.829400
9L04AD01O V
05-07-2010
189.45
155.18
3.789000
3.789000
3.789000
9L04AD01O V
05-07-2010
304.48
249.41
6.089600
6.089600
6.089600
9L04AD01O V
05-07-2010
427.55
357.25
427.550000
427.550000
427.550000
MSP
9L04AD02O V
05-07-2010
250.15
204.91
5.003000
5.003000
5.003000
MSP
9L04AD02O V
05-07-2010
162.60
133.19
3.252000
3.252000
3.252000
MSP
9L04AD02O V
05-07-2010
433.77
362.95
8.675400
8.675400
8.675400
MSP
9L04AD02O V
05-07-2010
290.63
238.06
5.812600
5.812600
5.812600
MSP
9L04AD02O V
05-07-2010
1,903.38
1,711.22
38.067600
38.067600
38.067600
MSP
9L04AD02O V
05-07-2010
249.57
204.43
4.991400
4.991400
4.991400
MSP
9L04AD02O V
05-07-2010
475.96
401.66
9.519200
9.519200
9.519200
MSP
9L04AD02O V
05-07-2010
2,066.95
1,861.28
41.339000
41.339000
41.339000
MSP
9L04AD02P V
05-07-2010
1,718.54
1,541.64
171.854000
171.854000
171.854000
0L04AXO V
05-07-2010
80.72
63.84
0.807200
0.807200
0.807200
0M05BAO V
05-07-2010
48.15
36.81
1.719642
1.719642
1.719642
0M05BAO V
05-07-2010
48.15
36.81
12.037500
12.037500
12.037500
0M05BAO V
05-07-2010
37.04
28.32
18.520000
18.520000
18.520000
0M05BAO V
05-07-2010
48.15
36.81
12.037500
12.037500
12.037500
0M05BAO V
05-07-2010
47.54
36.35
11.885000
11.885000
11.885000
0M05BAO V
05-07-2010
24.87
18.40
12.435000
12.435000
12.435000
0M05BAO V
05-07-2010
24.65
18.24
6.162500
6.162500
6.162500
91 / 135
Substan activ
Form farmaceutic
Concentraie
Cantitate Cod boli

C2 W55248001 INSTREL 70 mg
ACIDUM ALENDRONICUM
COMPR.
70mg
C2 W52948001 ALENDRONAT SANDOZ 70 mg
ACIDUM ALENDRONICUM
COMPR. FILM.
70mg
ACIDUM ALENDRONICUM
COMPR. FILM.
70mg
12
ACIDUM ALENDRONICUM
COMPR. FILM.
70mg
ACIDUM ALENDRONICUM
COMPR. FILM.
70mg
C2 W42905002 MIALGIN (R) 100 mg/2 ml
PETHIDINUM
SOL. INJ.
50mg/ml

ADM. INTRAVASCULARA
SOL. PERF.
5%

ADM. INTRAVASCULARA
SOL. PERF.
5%

ADM. INTRAVASCULARA
SOL. PERF.
5%

ADM. INTRAVASCULARA
SOL. PERF.
5%

ADM. INTRAVASCULARA
SOL. PERF.
100mg/ml

ADM. INTRAVASCULARA
SOL. PERF.
100mg/ml
C2 W43965001 IG VENA 10g/200ml

ADM. INTRAVASCULARA
SOL. PERF.
10g/200ml
C2 W43962001 IG VENA 1g/20ml

ADM. INTRAVASCULARA
SOL. PERF.
1g/20ml
C2 W43963001 IG VENA 2,5g/50ml

ADM. INTRAVASCULARA
SOL. PERF.
2,5g/50ml

ADM. INTRAVASCULARA
SOL. PERF.
50mg/ml

ADM. INTRAVASCULARA
SOL. PERF.
50mg/ml

ADM. INTRAVASCULARA
SOL. PERF.
50mg/ml
C2 W43964001 IG VENA 5g/100ml

ADM. INTRAVASCULARA
SOL. PERF.
5g/100ml
C2 W12590001 RILUTEK 50 mg
RILUZOLUM
COMPR. FILM.
50mg
56
REVIPARINUM
SOL. INJ.
1432ui/0,25ml
10
REVIPARINUM
SOL. INJ.
3436ui/0,6ml
LINEZOLIDUM
COMPR. FILM.
600mg
10
LINEZOLIDUM
100mg/5ml
LINEZOLIDUM
SOL. PERF.
2mg/ml
10
C2 W08947008 VFEND 200mg
VORICONAZOLUM
COMPR. FILM.
200mg
28
C2 W08946008 VFEND 50mg
VORICONAZOLUM
COMPR. FILM.
50mg
28
C2 W10489001 VFEND 200mg
VORICONAZOLUM
200mg
VORICONAZOLUM
40mg/ml
C2
C2
C2
C2
C2
C2
C2
W51832001
W42119006
W42119005
W42119008
W42119007
W52121001
W52120001
VALCYTE (R) 450 mg

PAMIDRONAT TORREX
PAMIDRONAT TORREX
PAMIDRONAT TORREX
PAMIDRONAT TORREX
PAMIRED 30
PAMIRED 60
VALGANCICLOVIRUM
ACIDUM PAMIDRONICUM
ACIDUM PAMIDRONICUM
ACIDUM PAMIDRONICUM
ACIDUM PAMIDRONICUM
ACIDUM PAMIDRONICUM
ACIDUM PAMIDRONICUM
COMPR. FILM.
450mg
15mg/ml
15mg/ml
15mg/ml
15mg/ml
30mg
60mg
60
1
1
1
1
1
1
C2
C2
C2
C2
C2
C2
W07918001
W13613002
W13612002
W13611002
W13610001
W12805002
AREDIA (R) 15 mg
CLEXANE 2000ui anti-Xa/0,2ml
ACIDUM PAMIDRONICUM
ENOXAPARINUM
ENOXAPARINUM
ENOXAPARINUM
ENOXAPARINUM
REVIPARINUM
LIOF.+ SOLV. PT. SOL. PERF.

SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
15mg
4
8000ui anti-Xa/0,82
1432ui/0,25ml
10

9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
9.4
pancreas
pancreas
9.4
Boli neurologice
degenerative/inflamatorii si
6.5
miastenia gravis
Boli neurologice
miastenia gravis
6.5
Boli neurologice
miastenia gravis
6.5
Boli neurologice
6.5
miastenia gravis
Boli neurologice
6.5
miastenia gravis
Boli neurologice
6.5
miastenia gravis
Boli neurologice
6.5
miastenia gravis
Boli neurologice
6.5
miastenia gravis
Boli neurologice
6.5
miastenia gravis
Boli neurologice
6.5
miastenia gravis
Boli neurologice
6.5
miastenia gravis
Boli neurologice
6.5
miastenia gravis
Boli neurologice
6.5
miastenia gravis
Boli neurologice
6.5
miastenia gravis
Transplant de celule
9.5
pancreatice
9.5
pancreatice
9.5
pancreatice
9.5
pancreatice
9.5
pancreatice
9.5
pancreatice
9.5
pancreatice
9.5
pancreatice
9.5
pancreatice
9.5
pancreatice
6.6
Osteogeneza imperfecta
6.6
6.6
6.6
6.6
6.6
6.6
9.6
9.6
9.6
9.6
9.6
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Mentiuni
sublista
Cod
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
Valoare
compensare/UT
0M05BAO V
05-07-2010
47.54
36.35
11.885000
11.885000
11.885000
0M05BAO V
05-07-2010
12.79
9.46
6.395000
6.395000
6.395000
0M05BAO V
05-07-2010
131.62
107.81
10.968333
10.968333
10.968333
0M05BAO V
05-07-2010
24.71
18.28
12.355000
12.355000
12.355000
0M05BAO V
05-07-2010
47.85
36.58
11.962500
11.962500
11.962500
9N02AB02P V
05-07-2010
7.78
5.76
1.556000
1.556000
1.556000
MSP
9J06BA02P V
05-07-2010
986.45
870.00
986.450000
986.450000
986.450000
MSP
9J06BA02P V
05-07-2010
1,902.05
1,710.00
1,902.050000
1,902.050000
1,902.050000
MSP
9J06BA02P V
05-07-2010
528.65
450.00
528.650000
528.650000
528.650000
MSP
9J06BA02P V
05-07-2010
118.95
94.08
118.950000
118.950000
118.950000
MSP
9J06BA02P V
05-07-2010
544.52
464.56
544.520000
544.520000
544.520000
MSP
9J06BA02P V
05-07-2010
1,018.20
899.13
1,018.200000
1,018.200000
1,018.200000
MSP
9J06BA02P V
05-07-2010
2,265.63
2,043.56
2,265.630000
2,265.630000
2,265.630000
MSP
9J06BA02P V
05-07-2010
270.72
221.76
270.720000
270.720000
270.720000
MSP
9J06BA02P V
05-07-2010
619.82
533.64
619.820000
619.820000
619.820000
MSP
9J06BA02P V
05-07-2010
745.56
649.00
745.560000
745.560000
745.560000
MSP
9J06BA02P V
05-07-2010
2,508.09
2,266.00
2,508.090000
2,508.090000
2,508.090000
MSP
9J06BA02P V
05-07-2010
1,312.36
1,169.00
1,312.360000
1,312.360000
1,312.360000
MSP
9J06BA02P V
05-07-2010
1,168.26
1,036.80
1,168.260000
1,168.260000
1,168.260000
MSP
9N07XX02O V
05-07-2010
1,000.36
882.76
17.863571
17.863571
17.863571
1B01ABP V
05-07-2010
84.26
66.64
8.426000
8.426000
8.426000
1B01ABP V
05-07-2010
101.17
80.01
20.234000
20.234000
20.234000
9J01XX08O V
05-07-2010
1,781.68
1,599.57
178.168000
178.168000
178.168000
9J01XX08O V
05-07-2010
994.48
877.37
994.480000
994.480000
994.480000
9J01XX08P V
05-07-2010
1,781.68
1,599.57
178.168000
178.168000
178.168000
MSP
2J02ACO V
05-07-2010
3,908.70
3,550.96
139.596428
139.596428
139.596428
MSP
2J02ACO V
05-07-2010
1,030.07
910.02
36.788214
36.788214
36.788214
MSP
2J02ACP V
05-07-2010
536.36
457.07
536.360000
536.360000
536.360000
MSP
2J02ACO V
05-07-2010
2,434.43
2,198.42
2,434.430000
2,434.430000
2,434.430000
MSP
9J05AB14O V
0M05BAP V
0M05BAP V
0M05BAP V
0M05BAP V
0M05BAP V
0M05BAP V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
5,326.56
226.29
134.87
614.48
431.73
186.20
289.65
4,851.75
185.36
110.48
528.74
361.08
152.52
237.26
88.776000
226.290000
134.870000
614.480000
431.730000
186.200000
289.650000
88.776000
226.290000
134.870000
614.480000
431.730000
186.200000
289.650000
88.776000
226.290000
134.870000
614.480000
431.730000
186.200000
289.650000
0M05BAP V
1B01ABP V
1B01ABP V
1B01ABP V
1B01ABP V
1B01ABP V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
686.18
72.76
144.23
187.44
52.07
84.26
594.52
57.55
118.14
153.54
39.81
66.64
171.545000
7.276000
14.423000
18.744000
26.035000
8.426000
171.545000
7.276000
14.423000
18.744000
26.035000
8.426000
171.545000
7.276000
14.423000
18.744000
26.035000
8.426000
92 / 135
Grupa
terapeutica RO
1B01ABP V
9B02AA02P V
9C01CA24P V

Pre de
Valoare
Valabil de la /amb
/amb
compensare/UT
05-07-2010
101.17
80.01
20.234000
20.234000
20.234000
05-07-2010
12.77
9.45
2.554000
2.554000
2.554000
05-07-2010
138.32
113.30
1.383200
1.383200
1.383200
Transplant pulmonar
9J01CR05P V
05-07-2010
791.71
691.34
65.975833
65.975833
65.975833
9.6
Transplant pulmonar
9J01CR05P V
05-07-2010
474.43
400.26
39.535833
39.535833
39.535833
9.6
Transplant pulmonar
9J01CR05P V
05-07-2010
27.41
20.28
27.410000
27.410000
27.410000
2g/0,25g
9.6
Transplant pulmonar
9J01CR05P V
05-07-2010
125.94
99.60
25.188000
25.188000
25.188000
2g/0,25g
10
9.6
Transplant pulmonar
9J01CR05P V
05-07-2010
238.84
195.64
23.884000
23.884000
23.884000
2g/0,25g
9.6
Transplant pulmonar
9J01CR05P V
05-07-2010
53.04
40.55
53.040000
53.040000
53.040000
2g/0,25g
9.6
Transplant pulmonar
9J01CR05P V
05-07-2010
238.84
195.64
47.768000
47.768000
47.768000
2g/0,25g
10
9.6
Transplant pulmonar
9J01CR05P V
05-07-2010
458.60
385.73
45.860000
45.860000
45.860000
2g/0,25g
9.6
Transplant pulmonar
9J01CR05P V
05-07-2010
30.91
22.87
30.910000
30.910000
30.910000
C2 W55423001 PERASIN 2g/0,25 g
2g/0,25g
9.6
Transplant pulmonar
9J01CR05P V
05-07-2010
30.91
22.87
30.910000
30.910000
30.910000
C2 W55369001 BACTACIN 2 g/0,25 g

C2 W55116002 g/0,25 g
C2 W53596001 4g/0,5g
C2 W53596002 4g/0,5g
C2 W53596003 4g/0,5g
C2 W54765001 4g/0,5 g
2g/0,25g
9.6
Transplant pulmonar
9J01CR05P V
05-07-2010
30.91
22.87
30.910000
30.910000
30.910000
2g/0,25g
12
9.6
Transplant pulmonar
9J01CR05P V
05-07-2010
323.10
264.66
26.925000
26.925000
26.925000
4g/0,5g
9.6
Transplant pulmonar
9J01CR05P V
05-07-2010
53.41
40.83
53.410000
53.410000
53.410000
4g/0,5g
9.6
Transplant pulmonar
9J01CR05P V
05-07-2010
240.48
196.99
48.096000
48.096000
48.096000
4g/0,5g
10
9.6
Transplant pulmonar
9J01CR05P V
05-07-2010
461.26
388.17
46.126000
46.126000
46.126000
4g/0,5g
9.6
Transplant pulmonar
9J01CR05P V
05-07-2010
53.43
40.85
53.430000
53.430000
53.430000
C2 W55424001 PERASIN 4g/0,5 g
4g/0,5g
9.6
Transplant pulmonar
9J01CR05P V
05-07-2010
53.41
40.83
53.410000
53.410000
53.410000
C2 W55370001 BACTACIN 4 g/0,5 g

C2 W55117002 g/0,5 g
C2 W42192002 MYCOMAX 150
C2 W42192001 MYCOMAX 150
4g/0,5g
9.6
Transplant pulmonar
9J01CR05P V
05-07-2010
53.41
40.83
53.410000
53.410000
53.410000
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

COMPR. FILM.
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.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
4g/0,5g
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
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
12
10
1
10
28
4
7
16
2
7
1
4
2
1
1
1
1
1
1
3
1
1
1
1
1
1
1
1
7
7
7
7
7
7
7
8
10
7
7
7
7
7
7
1
1
1
1
1
1
1
1
10
20
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
9J01CR05P V
9J01XX08O V
9J01XX08O V
9J01XX08P V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACO V
1J02ACP V
1J02ACP V
1J02ACP V
1J02ACP V
1J02ACP V
1J02ACP V
1J02ACP V
1J02ACP V
1J02ACP V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
539.33
1,781.68
994.48
1,781.68
235.85
25.55
43.26
82.46
9.41
31.43
22.47
78.44
43.15
9.91
25.02
18.83
14.55
9.91
9.18
31.93
12.50
6.58
9.66
8.18
6.58
9.01
9.01
9.91
39.28
61.57
22.51
56.41
29.54
41.83
22.51
19.00
25.47
16.64
19.65
19.54
16.12
15.73
19.08
56.41
162.21
40.44
45.72
39.86
55.66
167.39
53.01
222.76
432.48
459.80
1,599.57
877.37
1,599.57
193.19
18.90
33.07
65.22
6.96
23.25
16.62
62.04
32.99
7.33
18.51
13.93
10.77
7.33
6.79
23.62
9.25
4.87
7.15
6.05
4.87
6.67
6.67
7.33
30.03
47.07
16.65
43.13
21.86
31.98
16.65
14.06
18.84
12.31
14.54
14.46
11.93
11.64
14.12
43.13
132.87
30.92
34.95
30.47
42.55
137.11
40.53
182.47
361.77
44.944166
178.168000
994.480000
178.168000
8.423214
6.387500
6.180000
5.153750
4.705000
4.490000
22.470000
19.610000
21.575000
9.910000
25.020000
18.830000
14.550000
9.910000
9.180000
10.643333
12.500000
6.580000
9.660000
8.180000
6.580000
9.010000
9.010000
9.910000
5.611428
8.795714
3.215714
8.058571
4.220000
5.975714
3.215714
2.375000
2.547000
2.377142
2.807142
2.791428
2.302857
2.247142
2.725714
56.410000
162.210000
40.440000
45.720000
39.860000
55.660000
167.390000
53.010000
22.276000
21.624000
44.944166
178.168000
994.480000
178.168000
8.423214
6.387500
6.180000
5.153750
4.705000
4.490000
22.470000
19.610000
21.575000
9.910000
25.020000
18.830000
14.550000
9.910000
9.180000
10.643333
12.500000
6.580000
9.660000
8.180000
6.580000
9.010000
9.010000
9.910000
5.611428
8.795714
3.215714
8.058571
4.220000
5.975714
3.215714
2.375000
2.547000
2.377142
2.807142
2.791428
2.302857
2.247142
2.725714
56.410000
162.210000
40.440000
45.720000
39.860000
55.660000
167.390000
53.010000
22.276000
21.624000
44.944166
178.168000
994.480000
178.168000
8.423214
6.387500
6.180000
5.153750
4.705000
4.490000
22.470000
19.610000
21.575000
9.910000
25.020000
18.830000
14.550000
9.910000
9.180000
10.643333
12.500000
6.580000
9.660000
8.180000
6.580000
9.010000
9.010000
9.910000
5.611428
8.795714
3.215714
8.058571
4.220000
5.975714
3.215714
2.375000
2.547000
2.377142
2.807142
2.791428
2.302857
2.247142
2.725714
56.410000
162.210000
40.440000
45.720000
39.860000
55.660000
167.390000
53.010000
22.276000
21.624000
Denumire medicament
EXACYL
ADRENALINA 1 mg
Substan activ
REVIPARINUM
ACIDUM TRANEXAMICUM
EPINEPHRINUM
Form farmaceutic
SOL. INJ.
SOL. INJ.
SOL. INJ.
Concentraie
3436ui/0,6ml
500mg/5ml
1mg/ml
C2 W13057003 TAZOCIN 4,5
LIOF. PT. SOL. INJ.
C2 W41794002 TAZOCIN 2,25

C2 W53595001 2g/0,25g
C2 W53595002 2g/0,25g
C2 W53595003 2g/0,25g
C2 W53595004 2g/0,25g
C2 W53595005 2g/0,25g
C2 W53595006 2g/0,25g
C2 W54763001 2g/0,25 g
Cantitate Cod boli

5
5
100
Mentiuni
sublista
Cod
medicament
C2 W12806001
C2 W54011001
C2 W02947001
Cod PNS
9.6
9.6
9.6
Descriere PNS
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
FARA CONCENT12
9.6
LIOF. PT. SOL. INJ.
FARA CONCENT12
2g/0,25g
MS
93 / 135
Substan activ
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
VORICONAZOLUM
VORICONAZOLUM
VORICONAZOLUM
VORICONAZOLUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
VALGANCICLOVIRUM
MYCOPHENOLATUM
MYCOPHENOLATUM
Form farmaceutic
SOL. PERF.
SOL. PERF.
SOL. PERF.
COMPR. FILM.
COMPR. FILM.
CAPS.
CAPS.
CAPS.
CAPS.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. DISP.
COMPR. DISP.
COMPR. DISP.
COMPR. FILM.
COMPR. FILM.
CAPS.
COMPR. FILM.
Concentraie
2mg/ml
2mg/ml
2mg/ml
200mg
50mg
200mg
40mg/ml
200mg
200mg
200mg
400mg
200mg
200mg
200mg
200mg
200mg
400mg
200mg
200mg
200mg
400mg
250mg
450mg
250mg
500mg
Cantitate Cod boli

10
20
10
28
28
1
1
20
20
1000
10
20
20
20
20
20
10
20
10
20
35
5
60
100
50
Cod PNS
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
Descriere PNS
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
MYCOPHENOLATUM
MYCOPHENOLATUM
MYCOPHENOLATUM
COMPR. FILM.
CAPS.
500mg
180mg
360mg
250mg
50
120
120
100
9.6
9.6
9.6
9.6
CAPS.
COMPR. FILM.
250mg
500mg
100
50
COMPR. FILM.
500mg
C2 W54939001
Denumire medicament
VFEND 200mg
VFEND 50mg
VFEND 200mg
VFEND 40 mg/ml
ACICLOVIR 200 mg
ACICLOVIR TERAPIA 200 mg
ACICLOVIR 200 mg
CLOVIRAL 200 mg
ACICLOVIR 200 mg
ACICLOVIR 200 mg
ACICLOVIR 400 mg
LOVIR 200 mg
ACIKLOVIR
VIROLEX
VALCYTE (R) 450 mg
CELLCEPT 250mg
CELLCEPT 500mg
UNO 500 MG
MYFORTIC 180 mg
MYFORTIC 360 mg
MYFENAX 250mg
250 mg
MYFENAX 500mg
mg
500 mg
C2
C2
C2
C2
W54137001
W42264003
W42265003
W52877001
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
SIMULECT 20 mg
EQUORAL (R) 100 mg
EQUORAL (R) 25 mg
CICLORAL 25 mg
EQUORAL (R) 50 mg
CICLORAL 50 mg
EQUORAL (R)
IMURAN (R)
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
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
BASILIXIMABUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
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
TRAMADOLUM
TRAMADOLUM
COMPR. FILM.
INJ./PERF.
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
SOL. ORALA
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.
C2 W54699001
C2 W52876001
C2 W54225001
W13098001
W13970003
W51399001
W13968003
W41697001
W51398001
W13969003
W41701001
W13980001
W00513001
W05977002
W42813002
W12691002
W07472002
W07472001
W05960001
W41593001
W42576001
W13570001
W08476001
W52049001
W53128005
W53128006
W53128007
W53128008
W53129005
W53129006
W53129007
W53129008
W53130005
W53130006
W53130007
W53130008
W42440001
W42957001
W42178001
W55077001
W13507001
W12750001
W41922003
W41922001
W41922002
W53489001
W53489005
W41923002
W41923001
W41924001
W53488002
W53488005
W53487002
W53487012
W07784001
W07473001
W05978001
W43360001
Mentiuni
sublista
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
Cod
medicament
W53987004
W53987005
W53987007
W08947008
W08946008
W10489001
W41889001
W42857001
W53675001
W53675003
W53676001
W00044001
W13972001
W41451001
W06667003
W53225001
W06668003
W08894001
W08177003
W55183001
W51494001
W00058001
W51832001
W04406001
W04407001
MSP
MSP
MSP
Grupa
terapeutica RO
1J02ACP V
1J02ACP V
1J02ACP V
2J02ACO V
2J02ACO V
2J02ACP V
2J02ACO V
1J05ABO V
1J05ABO V
1J05ABO V
1J05ABO V
1J05ABO V
1J05ABO V
1J05ABO V
1J05ABO V
1J05ABO V
1J05ABO V
1J05ABO V
1J05ABO V
1J05ABO V
1J05ABO V
9J05AB01P V
9J05AB14O V
1L04AAO V
1L04AAO V

Pre de
Valoare
Valabil de la /amb
/amb
compensare/UT
05-07-2010
532.57
453.60
53.257000
53.257000
53.257000
05-07-2010
904.25
794.59
45.212500
45.212500
45.212500
05-07-2010
876.27
768.92
87.627000
87.627000
87.627000
05-07-2010
3,908.70
3,550.96
139.596428
139.596428
139.596428
05-07-2010
1,030.07
910.02
36.788214
36.788214
36.788214
05-07-2010
536.36
457.07
536.360000
536.360000
536.360000
05-07-2010
2,434.43
2,198.42 2,434.430000 2,434.430000
2,434.430000
05-07-2010
20.18
14.93
1.009000
1.009000
1.009000
05-07-2010
21.37
15.81
1.068500
1.068500
1.068500
05-07-2010
803.94
702.56
0.803940
0.803940
0.803940
05-07-2010
19.43
14.38
1.943000
1.943000
1.943000
05-07-2010
17.10
12.65
0.855000
0.855000
0.855000
05-07-2010
17.18
12.71
0.859000
0.859000
0.859000
05-07-2010
16.39
12.13
0.819500
0.819500
0.819500
05-07-2010
13.76
10.18
0.688000
0.688000
0.688000
05-07-2010
12.97
9.60
0.648500
0.648500
0.648500
05-07-2010
19.18
14.19
1.918000
1.918000
1.918000
05-07-2010
7.23
5.35
0.361500
0.361500
0.361500
05-07-2010
3.73
2.76
0.373000
0.373000
0.373000
05-07-2010
7.23
5.35
0.361500
0.361500
0.361500
05-07-2010
57.04
43.61
1.629714
1.629714
1.629714
05-07-2010
282.31
231.25
56.462000
56.462000
56.462000
05-07-2010
5,326.56
4,851.75
88.776000
88.776000
88.776000
05-07-2010
530.69
451.87
5.306900
5.306900
5.306900
05-07-2010
530.69
451.87
10.613800
10.613800
10.613800
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
MSP
MSP
MSP
MSP
1L04AAO V
1L04AAO V
1L04AAO V
1L04AAO V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
356.71
644.64
1,171.26
366.89
292.19
556.41
1,039.55
301.60
7.134200
5.372000
9.760500
3.668900
7.134200
5.372000
9.760500
3.668900
7.134200
5.372000
9.760500
3.668900
9.6
9.6
Transplant pulmonar
Transplant pulmonar
MSP
MSP
1L04AAO V
1L04AAO V
05-07-2010
05-07-2010
356.71
366.89
292.19
301.60
3.567100
7.337800
3.567100
7.337800
3.567100
7.337800
50
9.6
Transplant pulmonar
MSP
1L04AAO V
05-07-2010
363.84
298.03
7.276800
7.276800
7.276800
500mg
50
9.6
Transplant pulmonar
MSP
1L04AAO V
05-07-2010
366.89
301.60
7.337800
7.337800
7.337800
20mg
100mg
25mg
25mg
25mg
50mg
50mg
50mg
100mg/ml
50mg
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
150mg
150mg
1
50
50
50
50
50
50
50
1
100
20
20
20
30
10
10
20
10
20
10
20
10
20
30
50
10
20
30
50
10
20
30
50
20
20
20
20
10
30
50
10
30
5
30
30
10
10
10
30
10
30
30
10
10
30
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
MSP
9L04AC02P V
9L04AD01O V
9L04AD01O V
9L04AD01O V
9L04AD01O V
9L04AD01O V
9L04AD01O V
9L04AD01O V
9L04AD01O V
0L04AXO V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
4,678.85
470.37
137.00
93.90
137.16
291.47
189.45
304.48
427.55
80.72
11.79
7.89
5.82
11.49
3.84
4.98
7.66
3.84
7.66
3.81
8.97
17.35
33.41
47.28
71.47
26.02
48.48
68.55
107.20
32.48
58.30
77.94
121.12
7.66
7.66
9.94
9.94
6.29
18.88
48.37
9.85
27.23
7.40
39.43
33.48
21.00
27.44
20.05
51.71
27.86
76.29
10.62
9.68
21.97
62.30
4,257.52
396.53
112.22
74.26
112.35
238.75
155.18
249.41
357.25
63.84
8.72
5.84
4.31
8.50
2.84
3.68
5.67
2.84
5.67
2.82
6.64
12.84
24.72
36.15
56.52
19.25
37.06
54.22
84.78
24.03
44.57
61.64
95.79
5.67
5.67
7.35
7.35
4.65
13.97
36.98
7.29
20.15
5.47
30.15
24.77
15.54
20.30
14.83
39.53
20.61
60.34
7.86
7.16
16.25
47.63
4,678.850000
9.407400
2.740000
1.878000
2.743200
5.829400
3.789000
6.089600
427.550000
0.807200
0.589500
0.394500
0.291000
0.383000
0.384000
0.498000
0.383000
0.384000
0.383000
0.381000
0.448500
1.735000
1.670500
1.576000
1.429400
2.602000
2.424000
2.285000
2.144000
3.248000
2.915000
2.598000
2.422400
0.383000
0.383000
0.497000
0.497000
0.629000
0.629333
0.967400
0.985000
0.907666
1.480000
1.314333
1.116000
2.100000
2.744000
2.005000
1.723666
2.786000
2.543000
0.354000
0.968000
2.197000
2.076666
4,678.850000
9.407400
2.740000
1.878000
2.743200
5.829400
3.789000
6.089600
427.550000
0.807200
0.589500
0.394500
0.291000
0.383000
0.384000
0.498000
0.383000
0.384000
0.383000
0.381000
0.448500
1.735000
1.670500
1.576000
1.429400
2.602000
2.424000
2.285000
2.144000
3.248000
2.915000
2.598000
2.422400
0.383000
0.383000
0.497000
0.497000
0.629000
0.629333
0.967400
0.985000
0.907666
1.480000
1.314333
1.116000
2.100000
2.744000
2.005000
1.723666
2.786000
2.543000
0.354000
0.968000
2.197000
2.076666
4,678.850000
9.407400
2.740000
1.878000
2.743200
5.829400
3.789000
6.089600
427.550000
0.807200
0.589500
0.394500
0.291000
0.383000
0.384000
0.498000
0.383000
0.384000
0.383000
0.381000
0.448500
1.735000
1.670500
1.576000
1.429400
2.602000
2.424000
2.285000
2.144000
3.248000
2.915000
2.598000
2.422400
0.383000
0.383000
0.497000
0.497000
0.629000
0.629333
0.967400
0.985000
0.907666
1.480000
1.314333
1.116000
2.100000
2.744000
2.005000
1.723666
2.786000
2.543000
0.354000
0.968000
2.197000
2.076666
MSP
MSP
MSP
MSP
94 / 135
Cantitate Cod boli

Concentraie
200mg
10
200mg
30
100mg/ml
1
100mg/ml
1
FARA CONCENT1
100mg/ml
1
100mg
100
100mg/2ml
5
50mg/ml
5
50mg/ml
5
50mg/ml
5
50mg/ml
5
50mg/ml
5
50mg/ml
5
100mg
5
4mg (12ui)
1
5,3mg/ml (16ui) 1
3,3mg/ml
1
6,7mg/ml
1
10mg/1,5ml
1
Denumire medicament
TRALGIT
TRALGIT
TRAMAL (R)
MABRON
TRALGIT 100
TRAMAL (R) 50
TRAMADOL
TRAMADOL
TRALGIT 50
URGENDOL
URGENDOL
TRAMADOL
ZOMACTON
GENOTROPIN (R) 16 ui (5,3 mg)
OMNITROPE 3,3mg/ml
OMNITROPE 6,7mg/ml
NORDITROPIN SIMPLEXx 10 mg/1,5ml
Substan activ
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
SOMATROPINUM
SOMATROPINUM
SOMATROPINUM
SOMATROPINUM
SOMATROPINUM
Form farmaceutic
PIC. ORALE, SOL.
PIC. ORALE, SOL.
PIC. ORALE, SOL.
PICATURI ORALE-SOL.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SUPOZ.
SOL. INJ.
SOL. INJ.
SOL. INJ. IN CARTUS
C2 W55238001 NORDITROPIN FLEXPRO 10 mg/1,5 ml
SOMATROPINUM

(PEN) PREUMPLUT
10mg/1,5 ml
C2 W55237001 NORDITROPIN FLEXPRO 5 mg/1,5 ml
SOMATROPINUM

(PEN) PREUMPLUT
5mg/1,5 ml
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2
C2 W51301001 EPOPHAR 2000 U.I.
C2 W44143001 EPREX (R) 3000 UI
C2 W44140001 EPREX (R) 40 000 UI
C2 W51299001 EPOPHAR 4000 U.I.
C2 W55046001 BINOCRIT 30000UI/0,75ml
EPOETINUM ALFA
EPOETINUM ALFA
EPOETINUM ALFA
CAPS.
CAPS.
CAPS.
COMPR.
COMPR.
SOL. INJ.
SOL. INJ.
SOL. INJ.
EPOETINUM ALFA
SOL. INJ.
EPOETINUM ALFA

PREUMPLUTA
EPOETINUM ALFA

PREUMPLUTA
EPOETINUM ALFA

PREUMPLUTA
EPOETINUM ALFA

PREUMPLUTA
EPOETINUM ALFA

PREUMPLUTA
EPOETINUM ALFA

PREUMPLUTA
EPOETINUM ALFA

PREUMPLUTA
250mg
250mg
10
3000ui/0,3ml
40 000UI
4000UI
10
10000UI/1,0ml
10000UI/1,0ml
1000UI/0,5ml
1000UI/0,5ml
2000UI/1,0ml
2000UI/1,0ml
9H01AC01P K
05-07-2010
1,722.75
1,545.50
1,722.750000
1,722.750000
1,722.750000
6.7
Sindrom Prader Willi
MSP
9H01AC01P K
05-07-2010
896.80
787.75
896.800000
896.800000
896.800000
9.7
Tratamentul starii
posttransplant in ambulatoriu
al pacientilor transplantati
9A05AA02O V
05-07-2010
123.98
98.05
1.239800
1.239800
1.239800
9.7
Tratamentul starii
9A05AA02O V
05-07-2010
71.32
56.41
1.426400
1.426400
1.426400
9.7
Tratamentul starii
9A05AA02O V
05-07-2010
68.61
54.26
1.372200
1.372200
1.372200
9.7
Tratamentul starii
9A05AA02O V
05-07-2010
54.05
41.32
0.900833
0.900833
0.900833
9.7
Tratamentul starii
9A05AA02O V
05-07-2010
35.80
27.37
1.790000
1.790000
1.790000
9.7
Tratamentul starii
MSP
0B03XAP V
05-07-2010
331.02
271.15
33.102000
33.102000
33.102000
9.7
Tratamentul starii
MSP
0B03XAP V
05-07-2010
757.39
659.85
126.231666
126.231666
126.231666
9.7
Tratamentul starii
MSP
0B03XAP V
05-07-2010
1,350.47
1,203.96
1,350.470000
1,350.470000
1,350.470000
9.7
Tratamentul starii
MSP
0B03XAP V
05-07-2010
608.23
523.01
60.823000
60.823000
60.823000
9.7
Tratamentul starii
MSP
0B03XAP V
05-07-2010
1,724.65
1,547.25
287.441666
287.441666
287.441666
9.7
Tratamentul starii
MSP
0B03XAP V
05-07-2010
1,834.63
1,648.14
305.771666
305.771666
305.771666
9.7
Tratamentul starii
MSP
0B03XAP V
05-07-2010
217.91
178.50
36.318333
36.318333
36.318333
9.7
Tratamentul starii
MSP
0B03XAP V
05-07-2010
238.11
195.04
39.685000
39.685000
39.685000
9.7
Tratamentul starii
MSP
0B03XAP V
05-07-2010
425.00
354.91
70.833333
70.833333
70.833333
9.7
Tratamentul starii
MSP
0B03XAP V
05-07-2010
457.85
385.05
76.308333
76.308333
76.308333
9.7
Tratamentul starii
MSP
0B03XAP V
05-07-2010
786.55
686.60
786.550000
786.550000
786.550000
20
2000UI
MSP
6.7
60
300mg
50
150mg

Pre de
Valoare
Valabil de la /amb
/amb
compensare/UT
05-07-2010
28.12
20.80
2.812000
2.812000
2.812000
05-07-2010
74.39
58.83
2.479666
2.479666
2.479666
05-07-2010
100.21
79.25
100.210000
100.210000
100.210000
05-07-2010
12.57
9.30
12.570000
12.570000
12.570000
05-07-2010
5.02
3.71
5.020000
5.020000
5.020000
05-07-2010
7.73
5.72
7.730000
7.730000
7.730000
05-07-2010
136.67
111.95
1.366700
1.366700
1.366700
05-07-2010
12.25
9.06
2.450000
2.450000
2.450000
05-07-2010
7.55
5.59
1.510000
1.510000
1.510000
05-07-2010
13.07
9.67
2.614000
2.614000
2.614000
05-07-2010
10.69
7.91
2.138000
2.138000
2.138000
05-07-2010
11.46
8.48
2.292000
2.292000
2.292000
05-07-2010
4.88
3.61
0.976000
0.976000
0.976000
05-07-2010
7.66
5.67
1.532000
1.532000
1.532000
05-07-2010
5.56
4.11
1.112000
1.112000
1.112000
05-07-2010
465.54
392.10
465.540000
465.540000
465.540000
05-07-2010
554.49
473.71
554.490000
554.490000
554.490000
05-07-2010
483.15
408.26
483.150000
483.150000
483.150000
05-07-2010
764.10
666.01
764.100000
764.100000
764.100000
05-07-2010
1,317.79
1,173.98 1,317.790000 1,317.790000
1,317.790000
Descriere PNS
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
Transplant pulmonar
50
250mg
MSP
MSP
MSP
MSP
MSP
Grupa
terapeutica RO
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02O V
9N02AX02P V
9N02AX02P V
9N02AX02P V
9N02AX02P V
9N02AX02P V
9N02AX02P V
9N02AX02P V
9N02AX02P V
9N02AX02R V
9H01AC01P K
9H01AC01P K
9H01AC01P K
9H01AC01P K
9H01AC01P K
Cod PNS
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
9.6
6.7
6.7
6.7
6.7
6.7
100
30000UI/0,75ml 1
Mentiuni
sublista
Cod
medicament
W05979001
W43361001
W43913002
W43913001
W07470002
W05982001
W05961002
W43912001
W05980001
W05967001
W05966001
W43914001
W08477001
W08478001
W05969001
W07530001
W05539002
W52345001
W52346001
W54046001
95 / 135
Substan activ
Form farmaceutic
EPOETINUM ALFA

PREUMPLUTA
EPOETINUM ALFA

PREUMPLUTA
EPOETINUM ALFA

PREUMPLUTA
EPOETINUM ALFA

PREUMPLUTA
EPOETINUM ALFA

PREUMPLUTA
EPOETINUM ALFA

PREUMPLUTA
EPOETINUM ALFA

PREUMPLUTA
EPOETINUM ALFA

PREUMPLUTA
EPOETINUM ALFA

PREUMPLUTA
EPOETINUM BETA

PREUMPLUTA
EPOETINUM BETA

PREUMPLUTA
EPOETINUM BETA

PREUMPLUTA
EPOETINUM BETA

PREUMPLUTA
EPOETINUM BETA

PREUMPLUTA
EPOETINUM BETA

PREUMPLUTA
EPOETINUM BETA

PREUMPLUTA
DARBEPOETINUM ALFA

PREUMPLUTA
DARBEPOETINUM ALFA

PREUMPLUTA
DARBEPOETINUM ALFA

PREUMPLUTA
DARBEPOETINUM ALFA

PREUMPLUTA
DARBEPOETINUM ALFA

PREUMPLUTA
DARBEPOETINUM ALFA

PREUMPLUTA
DARBEPOETINUM ALFA

PREUMPLUTA
Concentraie
3000UI/0,3ml
3000UI/0,3ml
40000 UI/1 ml
4000UI/0,4ml
4000UI/0,4ml
5000UI/0,5ml
5000UI/0,5ml
6000UI/0,6ml
8000UI/0,8ml
10000UI/0,6ml
1000UI/0,3ml
2000UI/0,3ml
30000 UI/0,6ml
4000UI/0,3ml
5000UI/0,3ml
500UI/0,3ml
100mcg/0,5ml
10mcg/0,4ml
150mcg/0,3ml
15mcg/0,375ml
20mcg/0,5ml
300mcg/0,6ml
30mcg/0,3ml
Cantitate Cod boli

Mentiuni
sublista
Cod
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
9.7
Tratamentul starii
MSP
0B03XAP V
05-07-2010
602.48
517.73
100.413333
100.413333
100.413333
9.7
Tratamentul starii
MSP
0B03XAP V
05-07-2010
651.86
563.04
108.643333
108.643333
108.643333
9.7
Tratamentul starii
MSP
0B03XAP V
05-07-2010
992.26
875.33
992.260000
992.260000
992.260000
9.7
Tratamentul starii
MSP
0B03XAP V
05-07-2010
779.91
680.51
129.985000
129.985000
129.985000
9.7
Tratamentul starii
MSP
0B03XAP V
05-07-2010
840.17
735.80
140.028333
140.028333
140.028333
9.7
Tratamentul starii
MSP
0B03XAP V
05-07-2010
957.28
843.24
159.546666
159.546666
159.546666
9.7
Tratamentul starii
MSP
0B03XAP V
05-07-2010
1,039.51
918.68
173.251666
173.251666
173.251666
9.7
Tratamentul starii
MSP
0B03XAP V
05-07-2010
1,233.28
1,096.45
205.546666
205.546666
205.546666
9.7
Tratamentul starii
MSP
0B03XAP V
05-07-2010
1,620.80
1,451.97
270.133333
270.133333
270.133333
9.7
Tratamentul starii
ANT
0B03XAP V
05-07-2010
2,341.24
2,112.92
390.206666
390.206666
390.206666
9.7
Tratamentul starii
ANT
0B03XAP V
05-07-2010
279.25
228.74
46.541666
46.541666
46.541666
9.7
Tratamentul starii
ANT
0B03XAP V
05-07-2010
525.21
446.84
87.535000
87.535000
87.535000
9.7
Tratamentul starii
ANT
0B03XAP V
05-07-2010
1,171.95
1,040.18
1,171.950000
1,171.950000
1,171.950000
9.7
Tratamentul starii
ANT
0B03XAP V
05-07-2010
978.92
863.09
163.153333
163.153333
163.153333
9.7
Tratamentul starii
ANT
0B03XAP V
05-07-2010
1,205.63
1,071.08
200.938333
200.938333
200.938333
9.7
Tratamentul starii
ANT
0B03XAP V
05-07-2010
143.59
117.62
23.931666
23.931666
23.931666
9.7
Tratamentul starii
ANT
0B03XAP V
05-07-2010
3,165.73
2,869.34
791.432500
791.432500
791.432500
9.7
Tratamentul starii
ANT
0B03XAP V
05-07-2010
390.73
323.47
97.682500
97.682500
97.682500
9.7
Tratamentul starii
ANT
0B03XAP V
05-07-2010
4,697.46
4,274.59
1,174.365000
1,174.365000
1,174.365000
9.7
Tratamentul starii
ANT
0B03XAP V
05-07-2010
546.33
466.22
136.582500
136.582500
136.582500
9.7
Tratamentul starii
ANT
0B03XAP V
05-07-2010
701.15
608.26
175.287500
175.287500
175.287500
9.7
Tratamentul starii
ANT
0B03XAP V
05-07-2010
2,203.60
1,986.65
2,203.600000
2,203.600000
2,203.600000
9.7
Tratamentul starii
ANT
0B03XAP V
05-07-2010
1,007.27
889.10
251.817500
251.817500
251.817500
Valoare
compensare/UT
96 / 135
C2 W04224001 MEDROL A 16
C2 W04222001 MEDROL 32
C2 W04237001 SOLU - MEDROL ACT-O-VIAL
Substan activ
Form farmaceutic
DARBEPOETINUM ALFA

PREUMPLUTA
DARBEPOETINUM ALFA

PREUMPLUTA
DARBEPOETINUM ALFA

PREUMPLUTA
DARBEPOETINUM ALFA

PREUMPLUTA
DARBEPOETINUM ALFA

PREUMPLUTA
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
C2 W05741001 TAGREMIN
SULFAMETHOXAZOLUM +
TRIMETHOPRIMUM
C2 W05738001 SUMETROLIM
SULFAMETHOXAZOLUM +
TRIMETHOPRIMUM
C2 W12479001 CO - TRIM ELL
SULFAMETHOXAZOLUM +
TRIMETHOPRIMUM
C2 W53671001 BITRIM 400mg/80mg
SULFAMETHOXAZOLUM +
TRIMETHOPRIMUM
SULFAMETHOXAZOLUM +
TRIMETHOPRIMUM
C2 W44046001 EPITRIM
SULFAMETHOXAZOLUM +
TRIMETHOPRIMUM
COMPR.
COMPR.
COMPR.
LIOF. PT. SOL. INJ.
LIOF. PT. SOL. INJ.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
SIROP
SUSP. ORALA
Concentraie
40mcg/0,4ml
500mcg/ml
50mcg/0,5ml
60mcg/0,3ml
80mcg/0,4ml
16mg
Cantitate Cod boli

50
32mg
20
4mg
30
125mg
500mg
250mg/4ml
5mg
20
5mg
1000
5mg
30
5mg
30
5mg
30
5mg
20
400mg/80mg
400mg/80mg
400mg/80mg
400mg/80mg
25mg/5mg/ml
20
20
20
20
200mg/40mg /5m 1
Mentiuni
sublista
Cod
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
9.7
Tratamentul starii
ANT
0B03XAP V
05-07-2010
1,316.02
1,172.36
329.005000
329.005000
329.005000
9.7
Tratamentul starii
ANT
0B03XAP V
05-07-2010
3,625.44
3,291.09
3,625.440000
3,625.440000
3,625.440000
9.7
Tratamentul starii
ANT
0B03XAP V
05-07-2010
1,623.11
1,454.09
405.777500
405.777500
405.777500
9.7
Tratamentul starii
ANT
0B03XAP V
05-07-2010
1,932.79
1,738.20
483.197500
483.197500
483.197500
9.7
Tratamentul starii
ANT
0B03XAP V
05-07-2010
2,550.12
2,304.56
637.530000
637.530000
637.530000
9.7
Tratamentul starii
9H02AB04O V
05-07-2010
32.54
24.08
0.650800
0.650800
0.650800
9.7
Tratamentul starii
9H02AB04O V
05-07-2010
29.57
21.88
1.478500
1.478500
1.478500
9.7
Tratamentul starii
9H02AB04O V
05-07-2010
6.52
4.82
0.217333
0.217333
0.217333
9.7
Tratamentul starii
9H02AB04P V
05-07-2010
8.78
6.50
8.780000
8.780000
8.780000
9.7
Tratamentul starii
9H02AB04P V
05-07-2010
30.94
22.89
30.940000
30.940000
30.940000
9.7
Tratamentul starii
9H02AB04P V
05-07-2010
20.42
15.11
20.420000
20.420000
20.420000
9.7
Tratamentul starii
9H02AB07O V
05-07-2010
2.00
1.48
0.100000
0.100000
0.100000
9.7
Tratamentul starii
9H02AB07O V
05-07-2010
57.99
44.33
0.057990
0.057990
0.057990
9.7
Tratamentul starii
9H02AB07O V
05-07-2010
2.62
1.94
0.087333
0.087333
0.087333
9.7
Tratamentul starii
9H02AB07O V
05-07-2010
2.47
1.83
0.082333
0.082333
0.082333
9.7
Tratamentul starii
9H02AB07O V
05-07-2010
2.53
1.87
0.084333
0.084333
0.084333
9.7
Tratamentul starii
9H02AB07O V
05-07-2010
2.57
1.90
0.128500
0.128500
0.128500
9.7
Tratamentul starii
0J01EEO V
05-07-2010
7.70
5.70
0.385000
0.385000
0.385000
9.7
Tratamentul starii
0J01EEO V
05-07-2010
4.13
3.06
0.206500
0.206500
0.206500
9.7
Tratamentul starii
0J01EEO V
05-07-2010
3.54
2.62
0.177000
0.177000
0.177000
9.7
Tratamentul starii
0J01EEO V
05-07-2010
3.34
2.47
0.167000
0.167000
0.167000
9.7
Tratamentul starii
0J01EEO K
05-07-2010
8.18
6.05
8.180000
8.180000
8.180000
9.7
Tratamentul starii
0J01EEO K
05-07-2010
4.75
3.51
4.750000
4.750000
4.750000
Valoare
compensare/UT
97 / 135
C2 W42192002 MYCOMAX 150
C2 W42192001 MYCOMAX 150
Substan activ
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
Form farmaceutic
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
Concentraie
100mg
100mg
100mg
100mg
100mg
100mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
Cantitate Cod boli

28
16
Mentiuni
sublista
Cod
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
9.7
Tratamentul starii
1J02ACO V
05-07-2010
235.85
193.19
8.423214
8.423214
8.423214
9.7
Tratamentul starii
1J02ACO V
05-07-2010
25.55
18.90
6.387500
6.387500
6.387500
9.7
Tratamentul starii
1J02ACO V
05-07-2010
43.26
33.07
6.180000
6.180000
6.180000
9.7
Tratamentul starii
1J02ACO V
05-07-2010
82.46
65.22
5.153750
5.153750
5.153750
9.7
Tratamentul starii
1J02ACO V
05-07-2010
9.41
6.96
4.705000
4.705000
4.705000
9.7
Tratamentul starii
1J02ACO V
05-07-2010
31.43
23.25
4.490000
4.490000
4.490000
9.7
Tratamentul starii
1J02ACO V
05-07-2010
22.47
16.62
22.470000
22.470000
22.470000
9.7
Tratamentul starii
1J02ACO V
05-07-2010
78.44
62.04
19.610000
19.610000
19.610000
9.7
Tratamentul starii
1J02ACO V
05-07-2010
43.15
32.99
21.575000
21.575000
21.575000
9.7
Tratamentul starii
1J02ACO V
05-07-2010
9.91
7.33
9.910000
9.910000
9.910000
9.7
Tratamentul starii
1J02ACO V
05-07-2010
25.02
18.51
25.020000
25.020000
25.020000
9.7
Tratamentul starii
1J02ACO V
05-07-2010
18.83
13.93
18.830000
18.830000
18.830000
9.7
Tratamentul starii
1J02ACO V
05-07-2010
14.55
10.77
14.550000
14.550000
14.550000
9.7
Tratamentul starii
1J02ACO V
05-07-2010
9.91
7.33
9.910000
9.910000
9.910000
9.7
Tratamentul starii
1J02ACO V
05-07-2010
9.18
6.79
9.180000
9.180000
9.180000
9.7
Tratamentul starii
1J02ACO V
05-07-2010
31.93
23.62
10.643333
10.643333
10.643333
9.7
Tratamentul starii
1J02ACO V
05-07-2010
12.50
9.25
12.500000
12.500000
12.500000
9.7
Tratamentul starii
1J02ACO V
05-07-2010
6.58
4.87
6.580000
6.580000
6.580000
9.7
Tratamentul starii
1J02ACO V
05-07-2010
9.66
7.15
9.660000
9.660000
9.660000
9.7
Tratamentul starii
1J02ACO V
05-07-2010
8.18
6.05
8.180000
8.180000
8.180000
9.7
Tratamentul starii
1J02ACO V
05-07-2010
6.58
4.87
6.580000
6.580000
6.580000
9.7
Tratamentul starii
1J02ACO V
05-07-2010
9.01
6.67
9.010000
9.010000
9.010000
9.7
Tratamentul starii
1J02ACO V
05-07-2010
9.01
6.67
9.010000
9.010000
9.010000
Valoare
compensare/UT
98 / 135
Substan activ
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
Form farmaceutic
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
Concentraie
150mg
200mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
10
50mg
50mg
50mg
50mg
50mg
50mg
50mg/5ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
Cantitate Cod boli

Mentiuni
sublista
Cod
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
9.7
Tratamentul starii
1J02ACO V
05-07-2010
9.91
7.33
9.910000
9.910000
9.910000
9.7
Tratamentul starii
1J02ACO V
05-07-2010
39.28
30.03
5.611428
5.611428
5.611428
9.7
Tratamentul starii
1J02ACO V
05-07-2010
61.57
47.07
8.795714
8.795714
8.795714
9.7
Tratamentul starii
1J02ACO V
05-07-2010
22.51
16.65
3.215714
3.215714
3.215714
9.7
Tratamentul starii
1J02ACO V
05-07-2010
56.41
43.13
8.058571
8.058571
8.058571
9.7
Tratamentul starii
1J02ACO V
05-07-2010
29.54
21.86
4.220000
4.220000
4.220000
9.7
Tratamentul starii
1J02ACO V
05-07-2010
41.83
31.98
5.975714
5.975714
5.975714
9.7
Tratamentul starii
1J02ACO V
05-07-2010
22.51
16.65
3.215714
3.215714
3.215714
9.7
Tratamentul starii
1J02ACO V
05-07-2010
19.00
14.06
2.375000
2.375000
2.375000
9.7
Tratamentul starii
1J02ACO V
05-07-2010
25.47
18.84
2.547000
2.547000
2.547000
9.7
Tratamentul starii
1J02ACO V
05-07-2010
16.64
12.31
2.377142
2.377142
2.377142
9.7
Tratamentul starii
1J02ACO V
05-07-2010
19.65
14.54
2.807142
2.807142
2.807142
9.7
Tratamentul starii
1J02ACO V
05-07-2010
19.54
14.46
2.791428
2.791428
2.791428
9.7
Tratamentul starii
1J02ACO V
05-07-2010
16.12
11.93
2.302857
2.302857
2.302857
9.7
Tratamentul starii
1J02ACO V
05-07-2010
15.73
11.64
2.247142
2.247142
2.247142
9.7
Tratamentul starii
1J02ACO V
05-07-2010
19.08
14.12
2.725714
2.725714
2.725714
9.7
Tratamentul starii
1J02ACO V
05-07-2010
56.41
43.13
56.410000
56.410000
56.410000
9.7
Tratamentul starii
1J02ACP V
05-07-2010
162.21
132.87
162.210000
162.210000
162.210000
9.7
Tratamentul starii
1J02ACP V
05-07-2010
40.44
30.92
40.440000
40.440000
40.440000
9.7
Tratamentul starii
1J02ACP V
05-07-2010
45.72
34.95
45.720000
45.720000
45.720000
9.7
Tratamentul starii
1J02ACP V
05-07-2010
39.86
30.47
39.860000
39.860000
39.860000
9.7
Tratamentul starii
1J02ACP V
05-07-2010
55.66
42.55
55.660000
55.660000
55.660000
9.7
Tratamentul starii
1J02ACP V
05-07-2010
167.39
137.11
167.390000
167.390000
167.390000
Valoare
compensare/UT
99 / 135
C2 W08947008 VFEND 200mg
C2 W08946008 VFEND 50mg
C2 W10489001 VFEND 200mg
C2 W08177003 LOVIR 200 mg
Substan activ
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
VORICONAZOLUM
VORICONAZOLUM
VORICONAZOLUM
VORICONAZOLUM
POSACONAZOLUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
Form farmaceutic
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
COMPR. FILM.
COMPR. FILM.
SUSP. ORALA
CAPS.
CAPS.
CAPS.
CAPS.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. DISP.
COMPR. DISP.
Concentraie
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
200mg
200mg
Cantitate Cod boli

10
20
10
20
10
28
28
20
20
1000
10
20
20
20
20
20
10
20
10
Mentiuni
sublista
Cod
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
9.7
Tratamentul starii
1J02ACP V
05-07-2010
53.01
40.53
53.010000
53.010000
53.010000
9.7
Tratamentul starii
1J02ACP V
05-07-2010
222.76
182.47
22.276000
22.276000
22.276000
9.7
Tratamentul starii
1J02ACP V
05-07-2010
432.48
361.77
21.624000
21.624000
21.624000
9.7
Tratamentul starii
1J02ACP V
05-07-2010
532.57
453.60
53.257000
53.257000
53.257000
9.7
Tratamentul starii
1J02ACP V
05-07-2010
904.25
794.59
45.212500
45.212500
45.212500
9.7
Tratamentul starii
1J02ACP V
05-07-2010
876.27
768.92
87.627000
87.627000
87.627000
9.7
Tratamentul starii
ANT
2J02ACO V
05-07-2010
3,908.70
3,550.96
139.596428
139.596428
139.596428
9.7
Tratamentul starii
ANT
2J02ACO V
05-07-2010
1,030.07
910.02
36.788214
36.788214
36.788214
9.7
Tratamentul starii
ANT
2J02ACP V
05-07-2010
536.36
457.07
536.360000
536.360000
536.360000
9.7
Tratamentul starii
ANT
2J02ACO V
05-07-2010
2,434.43
2,198.42
2,434.430000
2,434.430000
2,434.430000
9.7
Tratamentul starii
MSP
2J02ACO V
05-07-2010
2,974.83
2,694.20
2,974.830000
2,974.830000
2,974.830000
9.7
Tratamentul starii
1J05ABO V
05-07-2010
20.18
14.93
1.009000
1.009000
1.009000
9.7
Tratamentul starii
1J05ABO V
05-07-2010
21.37
15.81
1.068500
1.068500
1.068500
9.7
Tratamentul starii
1J05ABO V
05-07-2010
803.94
702.56
0.803940
0.803940
0.803940
9.7
Tratamentul starii
1J05ABO V
05-07-2010
19.43
14.38
1.943000
1.943000
1.943000
9.7
Tratamentul starii
1J05ABO V
05-07-2010
17.10
12.65
0.855000
0.855000
0.855000
9.7
Tratamentul starii
1J05ABO V
05-07-2010
17.18
12.71
0.859000
0.859000
0.859000
9.7
Tratamentul starii
1J05ABO V
05-07-2010
16.39
12.13
0.819500
0.819500
0.819500
9.7
Tratamentul starii
1J05ABO V
05-07-2010
13.76
10.18
0.688000
0.688000
0.688000
9.7
Tratamentul starii
1J05ABO V
05-07-2010
12.97
9.60
0.648500
0.648500
0.648500
9.7
Tratamentul starii
1J05ABO V
05-07-2010
19.18
14.19
1.918000
1.918000
1.918000
9.7
Tratamentul starii
1J05ABO V
05-07-2010
7.23
5.35
0.361500
0.361500
0.361500
9.7
Tratamentul starii
1J05ABO V
05-07-2010
3.73
2.76
0.373000
0.373000
0.373000
Valoare
compensare/UT
100 / 135
C2 W51832001 VALCYTE (R) 450 mg
C2 W07518002 ZEFFIX 100 mg

C2 W54137001 UNO 500 MG

C2 W54699001 250 mg

C2 W54225001 mg

C2 W54939001 500 mg
C2 W10576001 RAPAMUNE 1mg
C2 W13970003 EQUORAL (R) 100 mg
Substan activ
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
VALGANCICLOVIRUM
LAMIVUDINUM
LAMIVUDINUM
LAMIVUDINUM
LAMIVUDINUM
MYCOPHENOLATUM
MYCOPHENOLATUM
MYCOPHENOLATUM
MYCOPHENOLATUM
MYCOPHENOLATUM
SIROLIMUS
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
Form farmaceutic
COMPR. DISP.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
SOL. ORALA
SOL. ORALA
CAPS.
COMPR. FILM.
COMPR. FILM.
CAPS.
CAPS.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
DRAJ.
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
Concentraie
200mg
400mg
250mg
450mg
100mg
150mg
10mg/ml
5mg/ml
250mg
500mg
500mg
180mg
360mg
250mg
250mg
500mg
500mg
500mg
1mg
100mg
25mg
25mg
25mg
Cantitate Cod boli

20
35
60
28
60
100
50
50
120
120
100
100
50
50
50
30
50
50
50
50
Mentiuni
sublista
Cod
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
9.7
Tratamentul starii
1J05ABO V
05-07-2010
7.23
5.35
0.361500
0.361500
0.361500
9.7
Tratamentul starii
1J05ABO V
05-07-2010
57.04
43.61
1.629714
1.629714
1.629714
9.7
Tratamentul starii
9J05AB01P V
05-07-2010
282.31
231.25
56.462000
56.462000
56.462000
9.7
Tratamentul starii
ANT
9J05AB14O V
05-07-2010
5,326.56
4,851.75
88.776000
88.776000
88.776000
9.7
Tratamentul starii
9J05AF05O V
05-07-2010
278.07
227.78
9.931071
9.931071
9.931071
9.7
Tratamentul starii
9J05AF05O V
05-07-2010
397.36
329.55
6.622666
6.622666
6.622666
9.7
Tratamentul starii
9J05AF05O V
05-07-2010
113.11
89.46
113.110000
113.110000
113.110000
9.7
Tratamentul starii
9J05AF05O V
05-07-2010
126.68
103.77
126.680000
126.680000
126.680000
9.7
Tratamentul starii
MSP
1L04AAO V
05-07-2010
530.69
451.87
5.306900
5.306900
5.306900
9.7
Tratamentul starii
MSP
1L04AAO V
05-07-2010
530.69
451.87
10.613800
10.613800
10.613800
9.7
Tratamentul starii
MSP
1L04AAO V
05-07-2010
356.71
292.19
7.134200
7.134200
7.134200
9.7
Tratamentul starii
MSP
1L04AAO V
05-07-2010
644.64
556.41
5.372000
5.372000
5.372000
9.7
Tratamentul starii
MSP
1L04AAO V
05-07-2010
1,171.26
1,039.55
9.760500
9.760500
9.760500
9.7
Tratamentul starii
MSP
1L04AAO V
05-07-2010
366.89
301.60
3.668900
3.668900
3.668900
9.7
Tratamentul starii
MSP
1L04AAO V
05-07-2010
356.71
292.19
3.567100
3.567100
3.567100
9.7
Tratamentul starii
MSP
1L04AAO V
05-07-2010
366.89
301.60
7.337800
7.337800
7.337800
9.7
Tratamentul starii
MSP
1L04AAO V
05-07-2010
363.84
298.03
7.276800
7.276800
7.276800
9.7
Tratamentul starii
MSP
1L04AAO V
05-07-2010
366.89
301.60
7.337800
7.337800
7.337800
9.7
Tratamentul starii
MSP
9L04AA10O V
05-07-2010
570.30
488.21
19.010000
19.010000
19.010000
9.7
Tratamentul starii
9L04AD01O V
05-07-2010
470.37
396.53
9.407400
9.407400
9.407400
9.7
Tratamentul starii
9L04AD01O V
05-07-2010
137.00
112.22
2.740000
2.740000
2.740000
9.7
Tratamentul starii
9L04AD01O V
05-07-2010
93.90
74.26
1.878000
1.878000
1.878000
9.7
Tratamentul starii
9L04AD01O V
05-07-2010
137.16
112.35
2.743200
2.743200
2.743200
Valoare
compensare/UT
101 / 135
C2 W53729001 PROGRAF (R) 0,5 mg
C2 W55262007 TACROLIMUS SANDOZ 0,5 mg
C2 W55263007 TACROLIMUS SANDOZ 1 mg
C2 W51974002 ADVAGRAF 0,5mg
C2 W53732001 PROGRAF (R) 5 mg/ml
Substan activ
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
TACROLIMUSUM
TACROLIMUSUM
TACROLIMUSUM
TACROLIMUSUM
TACROLIMUSUM
TACROLIMUSUM
TACROLIMUSUM
TACROLIMUSUM
TACROLIMUSUM
C2 W00513001 IMURAN (R)
AZATHIOPRINUM
C2 W08961001 FABRAZYME 35 mg
AGALSIDASUM BETA
C2
C2
C2
C2
W51536001
W51629001
W51622001
W51627001
MYOZYME 50mg
ORFADIN 10mg
ORFADIN 2mg
ORFADIN 5mg
C2 W12624001 XIGRIS 5mg
C2 W05444001 NORMIX 200 mg
C2 W05445001 NORMIX 100mg/5ml
C2 W04306001 MEDACTER
C2 W13742001 MICONAZOL NITRAT 2%
C2 W04314001 MICONAL ECOBI
Form farmaceutic
CAPS. MOI
CAPS. MOI
CAPS. MOI
SOL. ORALA
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
ALGLUCOSIDASUM ALPHA
NITISINONUM
NITISINONUM
NITISINONUM
COMPR. FILM.
PERF.
PERF.
CAPS.
CAPS.
CAPS.
DROTRECOGINUM ALFA
RIFAXIMINUM
RIFAXIMINUM
MICONAZOLUM
MICONAZOLUM
MICONAZOLUM
COMPR. FILM.
CREMA
CREMA
CREMA
Concentraie
50mg
Cantitate Cod boli

50
50mg
50
50mg
50
100mg/ml
0,5mg
50
0,5mg
50
1mg
50
1mg
50
5mg
50
0,5mg
50
1mg
50
5mg
50
5mg/ml
10
Mentiuni
sublista
Cod
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
9.7
Tratamentul starii
9L04AD01O V
05-07-2010
291.47
238.75
5.829400
5.829400
5.829400
9.7
Tratamentul starii
9L04AD01O V
05-07-2010
189.45
155.18
3.789000
3.789000
3.789000
9.7
Tratamentul starii
9L04AD01O V
05-07-2010
304.48
249.41
6.089600
6.089600
6.089600
9.7
Tratamentul starii
9L04AD01O V
05-07-2010
427.55
357.25
427.550000
427.550000
427.550000
9.7
Tratamentul starii
MSP
9L04AD02O V
05-07-2010
250.15
204.91
5.003000
5.003000
5.003000
9.7
Tratamentul starii
MSP
9L04AD02O V
05-07-2010
162.60
133.19
3.252000
3.252000
3.252000
9.7
Tratamentul starii
MSP
9L04AD02O V
05-07-2010
433.77
362.95
8.675400
8.675400
8.675400
9.7
Tratamentul starii
MSP
9L04AD02O V
05-07-2010
290.63
238.06
5.812600
5.812600
5.812600
9.7
Tratamentul starii
MSP
9L04AD02O V
05-07-2010
1,903.38
1,711.22
38.067600
38.067600
38.067600
9.7
Tratamentul starii
MSP
9L04AD02O V
05-07-2010
249.57
204.43
4.991400
4.991400
4.991400
9.7
Tratamentul starii
MSP
9L04AD02O V
05-07-2010
475.96
401.66
9.519200
9.519200
9.519200
9.7
Tratamentul starii
MSP
9L04AD02O V
05-07-2010
2,066.95
1,861.28
41.339000
41.339000
41.339000
9.7
Tratamentul starii
MSP
9L04AD02P V
05-07-2010
1,718.54
1,541.64
171.854000
171.854000
171.854000
0L04AXO V
05-07-2010
80.72
63.84
0.807200
0.807200
0.807200
15,041.970000
Valoare
compensare/UT
50mg
100
9.7
Tratamentul starii
35mg
6.8
Boala Fabry
MSP
9A16AB04P V
05-07-2010
15,041.97
13,764.95 15,041.970000 15,041.970000
50mg
10mg
2mg
5mg
1
60
60
60
6.9
6.10
6.10
6.10
MSP
9A16AB07P V
9A16AX04O V
9A16AX04O V
9A16AX04O V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
2,500.97
13,960.67
3,868.26
7,665.68
2,259.46
12,772.94
3,513.86
6,997.72
2,500.970000
232.677833
64.471000
127.761333
2,500.970000
232.677833
64.471000
127.761333
2,500.970000
232.677833
64.471000
127.761333
5mg
6.11
Boala Pompe
Tirozinemie
Tirozinemie
Tirozinemie
Subprogramul de tratament
al sepsisului sever
MSP
9B01AD10P V
05-07-2010
776.17
677.08
776.170000
776.170000
776.170000
1.A
si monitorizare a persoanelor
cu infectie HIV/SIDA si trat.
postexpunere
9A07AA11O V
05-07-2010
36.53
27.93
3.044166
3.044166
3.044166
1.A
postexpunere
9A07AA11O V
05-07-2010
19.06
14.10
19.060000
19.060000
19.060000
1.A
postexpunere
1D01ACTD V
05-07-2010
8.54
6.32
8.540000
8.540000
8.540000
1.A
postexpunere
1D01ACTD V
05-07-2010
6.81
5.04
6.810000
6.810000
6.810000
1.A
postexpunere
1D01ACTD V
05-07-2010
9.49
7.02
9.490000
9.490000
9.490000
200mg
12
100mg/5ml
2%
2%
20mg/g
102 / 135
C2 W42008001 CLOVIRAL (R) 5%
C2 W00040001 ZOVIRAX
C2 W00030001 ACICLOVIR 5%
C2 W00030002 ACICLOVIR 5%
C2 W52926001 ACICLOVIR MK
C2 W52926002 ACICLOVIR MK
C2 W51497001 ACIKLOVIR CREMA
C2 W51497002 ACIKLOVIR CREMA
C2 W52146002 ACICLOVIR HYPERION
C2 W53041001 ACICLOVIR TIS 50mg/g
C2 W55128001 ACICLOVIR SLAVIA 50 mg/g
C2 W51339001 GYNOZOL 200
C2 W51340001 GYNOZOL 400
C2 W08391001 MEDACTER
C2 W04675002 OXACILINA ARENA 250 mg
Substan activ
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
MICONAZOLUM
MICONAZOLUM
MICONAZOLUM
MICONAZOLUM
MICONAZOLUM
MICONAZOLUM
OXACILLINUM
Form farmaceutic
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
CAPS. VAG.
CAPS. VAG.
CREMA VAG.
CREMA VAG.
OVULE
SOL. VAGINALA
CAPS.
Concentraie
5%
5%
5%
5%
5%
5%
50mg/g
50mg/g
50mg/g
50mg/g
50mg/g
200mg
400mg
2%
20mg/g
50mg
2mg/ml
250mg
Cantitate Cod boli

15
20
Mentiuni
sublista
Cod
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
Valoare
compensare/UT
1.A
postexpunere
9D06BB03TD V 05-07-2010
6.38
4.72
6.380000
6.380000
6.380000
1.A
postexpunere
9D06BB03TD V 05-07-2010
21.02
15.55
21.020000
21.020000
21.020000
1.A
postexpunere
9D06BB03TD V 05-07-2010
4.96
3.67
4.960000
4.960000
4.960000
1.A
postexpunere
9D06BB03TD V 05-07-2010
7.58
5.61
7.580000
7.580000
7.580000
1.A
postexpunere
9D06BB03TD V 05-07-2010
4.19
3.10
4.190000
4.190000
4.190000
1.A
postexpunere
9D06BB03TD V 05-07-2010
6.72
4.97
6.720000
6.720000
6.720000
1.A
postexpunere
9D06BB03TD V 05-07-2010
5.90
4.37
5.900000
5.900000
5.900000
1.A
postexpunere
9D06BB03TD V 05-07-2010
8.84
6.54
8.840000
8.840000
8.840000
1.A
postexpunere
9D06BB03TD V 05-07-2010
7.30
5.40
7.300000
7.300000
7.300000
1.A
postexpunere
9D06BB03TD V 05-07-2010
4.68
3.46
4.680000
4.680000
4.680000
1.A
postexpunere
9D06BB03TD V 05-07-2010
6.70
4.96
6.700000
6.700000
6.700000
1.A
postexpunere
1G01AFV V
05-07-2010
5.95
4.40
0.991666
0.991666
0.991666
1.A
postexpunere
1G01AFV V
05-07-2010
5.70
4.22
1.900000
1.900000
1.900000
1.A
postexpunere
1G01AFV V
05-07-2010
19.32
14.29
19.320000
19.320000
19.320000
1.A
postexpunere
1G01AFV V
05-07-2010
13.88
10.27
13.880000
13.880000
13.880000
1.A
postexpunere
1G01AFV V
05-07-2010
8.97
6.64
0.598000
0.598000
0.598000
1.A
postexpunere
1G01AFV V
05-07-2010
17.95
13.28
3.590000
3.590000
3.590000
1.A
postexpunere
9J01CF04O V
05-07-2010
7.09
5.25
0.354500
0.354500
0.354500
103 / 135
C2 W11729001 OXACILINA 250 mg
C2 W43090001 OXACILINA SANDOZ 250 mg
C2 W04680001 OXACILINA
C2 W52056001 OXACILINA FARMEX 250 mg
C2 W12910002 OXACILINA FORTE 500 mg
C2 W43092001 OXACILINA SANDOZ 500 mg
C2 W04684004 OXACILINA ANTIBIOTICE 500 mg
Substan activ
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
Form farmaceutic
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.

I.M./I.V.
Concentraie
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
Cantitate Cod boli

1000
20
1000
12
20
20
20
20
20
1000
10
10
500
20
10
10
10
Mentiuni
sublista
Cod
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
1.A
postexpunere
9J01CF04O V
05-07-2010
295.41
241.98
0.295410
0.295410
0.295410
1.A
postexpunere
9J01CF04O V
05-07-2010
7.53
5.57
0.376500
0.376500
0.376500
1.A
postexpunere
9J01CF04O V
05-07-2010
313.87
257.10
0.313870
0.313870
0.313870
1.A
postexpunere
9J01CF04O V
05-07-2010
6.09
4.51
0.507500
0.507500
0.507500
1.A
postexpunere
9J01CF04O V
05-07-2010
7.69
5.69
0.384500
0.384500
0.384500
1.A
postexpunere
9J01CF04O V
05-07-2010
5.67
4.20
0.283500
0.283500
0.283500
1.A
postexpunere
9J01CF04O V
05-07-2010
6.02
4.45
0.301000
0.301000
0.301000
1.A
postexpunere
9J01CF04O V
05-07-2010
6.72
4.97
0.336000
0.336000
0.336000
1.A
postexpunere
9J01CF04O V
05-07-2010
6.02
4.45
0.301000
0.301000
0.301000
1.A
postexpunere
9J01CF04O V
05-07-2010
360.83
295.57
0.360830
0.360830
0.360830
1.A
postexpunere
9J01CF04O V
05-07-2010
6.87
5.08
0.687000
0.687000
0.687000
1.A
postexpunere
9J01CF04O V
05-07-2010
6.18
4.57
0.618000
0.618000
0.618000
1.A
postexpunere
9J01CF04O V
05-07-2010
237.62
194.64
0.475240
0.475240
0.475240
1.A
postexpunere
9J01CF04O V
05-07-2010
11.14
8.24
0.557000
0.557000
0.557000
1.A
postexpunere
9J01CF04O V
05-07-2010
7.03
5.20
0.703000
0.703000
0.703000
1.A
postexpunere
9J01CF04O V
05-07-2010
6.18
4.57
0.618000
0.618000
0.618000
1.A
postexpunere
9J01CF04O V
05-07-2010
6.18
4.57
0.618000
0.618000
0.618000
1.A
postexpunere
9J01CF04P V
05-07-2010
3.31
2.45
3.310000
3.310000
3.310000
Valoare
compensare/UT
104 / 135
C2 W04682003 OXACILINA ANTIBIOTICE 1 g
C2 W04683004 OXACILINA ANTIBIOTICE 250 mg
C2 W14112001 AMPIPLUS (R) 1,5 g
C2 W14112002 AMPIPLUS (R) 1,5 g
C2 W00400003 AMOKSIKLAV 2 x 1000 mg
C2 W43757001 MEDOCLAV 1000 mg
C2 W54453002 AMOXIPLUS 500/125 mg
C2 W12801002 AUGMENTIN 625 mg
C2 W00401004 AMOKSIKLAV 2 x 625 mg
C2 W43139002 ENHANCIN 625 mg
C2 W55401002 AMOXIPLUS 875 mg/125 mg
C2 W12800001 AUGMENTIN 1 g
C2 W41860004 AUGMENTIN SR
C2 W51992004 AMOKSIKLAV QUICKTAB 1000 mg
C2 W51991002 AMOKSIKLAV QUICKTAB 625 mg
C2 W42938003 AMOXIPLUS 1,2 g
Substan activ
OXACILLINUM
OXACILLINUM
CLAVULANICUM
CLAVULANICUM
CLAVULANICUM
CLAVULANICUM
CLAVULANICUM
CLAVULANICUM
CLAVULANICUM
CLAVULANICUM
CLAVULANICUM
CLAVULANICUM
CLAVULANICUM
CLAVULANICUM
CLAVULANICUM
CLAVULANICUM
Form farmaceutic
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.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.


Concentraie
1g
250mg
1g+500mg
1g+500mg
1000mg
500/125mg
500mg+125mg
500mg+125mg
625mg
16
14
14
16
14
625mg
28
875mg/125mg
875mg+125mg
1062,5mg
1,2g
50
14
250mg+125mg
625mg
14
1000mg
1000mg
Cantitate Cod boli

14
14
28
14
14
100
Mentiuni
sublista
Cod
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
1.A
postexpunere
9J01CF04P V
05-07-2010
5.32
3.94
5.320000
5.320000
5.320000
1.A
postexpunere
9J01CF04P V
05-07-2010
1.74
1.29
1.740000
1.740000
1.740000
1.A
postexpunere
9J01CR01P V
05-07-2010
25.19
18.64
25.190000
25.190000
25.190000
1.A
postexpunere
9J01CR01P V
05-07-2010
727.41
632.35
14.548200
14.548200
14.548200
1.A
postexpunere
9J01CR02O V
05-07-2010
39.04
29.85
2.788571
2.788571
2.788571
1.A
postexpunere
9J01CR02O V
05-07-2010
40.62
31.06
2.901428
2.901428
2.901428
1.A
postexpunere
9J01CR02O V
05-07-2010
22.59
16.71
1.411875
1.411875
1.411875
1.A
postexpunere
9J01CR02O V
05-07-2010
10.82
8.01
0.772857
0.772857
0.772857
1.A
postexpunere
9J01CR02O V
05-07-2010
16.64
12.31
1.188571
1.188571
1.188571
1.A
postexpunere
9J01CR02O V
05-07-2010
29.68
21.96
1.855000
1.855000
1.855000
1.A
postexpunere
9J01CR02O V
05-07-2010
28.00
20.72
2.000000
2.000000
2.000000
1.A
postexpunere
9J01CR02O V
05-07-2010
32.99
24.41
1.178214
1.178214
1.178214
1.A
postexpunere
9J01CR02O V
05-07-2010
18.94
14.01
1.352857
1.352857
1.352857
1.A
postexpunere
9J01CR02O V
05-07-2010
29.12
21.54
2.080000
2.080000
2.080000
1.A
postexpunere
9J01CR02O V
05-07-2010
67.52
53.40
2.411428
2.411428
2.411428
1.A
postexpunere
9J01CR02O V
05-07-2010
63.37
48.45
4.526428
4.526428
4.526428
1.A
postexpunere
9J01CR02O V
05-07-2010
35.18
26.90
2.512857
2.512857
2.512857
1.A
postexpunere
9J01CR02P V
05-07-2010
557.26
476.25
5.572600
5.572600
5.572600
Valoare
compensare/UT
105 / 135
C2 W07856002 AUGMENTIN INTRAVENOS 1,2g
C2 W42937001 AMOXIPLUS 600 mg
C2 W07857001 AUGMENTIN INTRAVENOS 2,2g
C2 W10678001 MEDOCLAV 156,25 mg/5 ml
C2 W00399001 AMOKSIKLAV 156,25mg/5ml
C2 W10679001 MEDOCLAV FORTE 312,5mg/5ml
C2 W00410004 AUGMENTIN BIS
C2 W42113003 AUGMENTIN (R) ES
C2 W00402001 AMOKSIKLAV 312,5mg/5ml
C2 W43140001 ENHANCIN 312,5 mg/5 ml
C2 W13057003 TAZOCIN 4,5
C2 W41794002 TAZOCIN 2,25
Substan activ
CLAVULANICUM
CLAVULANICUM
CLAVULANICUM
CLAVULANICUM
CLAVULANICUM
CLAVULANICUM
CLAVULANICUM
CLAVULANICUM
CLAVULANICUM
CLAVULANICUM
CLAVULANICUM
CLAVULANICUM
CLAVULANICUM
CLAVULANICUM
CLAVULANICUM
CLAVULANICUM
Form farmaceutic
LIOF. PT. SOL. INJ.
LIOF. PT. SOL. INJ.
Concentraie
1,2g
Cantitate Cod boli

50
1,2g
1000mg+200mg 10
600mg
600mg
100
600mg
50
2000mg+200mg 1
125mg+31,25/5m 1
156,25mg/5ml
250mg+62,5mg/5 1
400mg+57mg/5m 1
400mg+57mg/5m 1
400mg+57mg/5m 1
642,90mg/5ml
312,5mg/5ml
312,5mg/5ml
FARA CONCENT12
FARA CONCENT12
Mentiuni
sublista
Cod
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
1.A
postexpunere
9J01CR02P V
05-07-2010
299.64
245.45
5.992800
5.992800
5.992800
1.A
postexpunere
9J01CR02P V
05-07-2010
6.87
5.08
6.870000
6.870000
6.870000
1.A
postexpunere
9J01CR02P V
05-07-2010
67.52
53.40
6.752000
6.752000
6.752000
1.A
postexpunere
9J01CR02P V
05-07-2010
6.73
4.98
6.730000
6.730000
6.730000
1.A
postexpunere
9J01CR02P V
05-07-2010
520.86
442.85
5.208600
5.208600
5.208600
1.A
postexpunere
9J01CR02P V
05-07-2010
280.25
229.56
5.605000
5.605000
5.605000
1.A
postexpunere
9J01CR02P V
05-07-2010
19.60
14.50
19.600000
19.600000
19.600000
1.A
postexpunere
9J01CR02O K
05-07-2010
14.87
11.00
14.870000
14.870000
14.870000
1.A
postexpunere
9J01CR02O K
05-07-2010
11.66
8.63
11.660000
11.660000
11.660000
1.A
postexpunere
9J01CR02O K
05-07-2010
22.05
16.31
22.050000
22.050000
22.050000
1.A
postexpunere
9J01CR02O K
05-07-2010
9.94
7.35
9.940000
9.940000
9.940000
1.A
postexpunere
9J01CR02O K
05-07-2010
19.88
14.71
19.880000
19.880000
19.880000
1.A
postexpunere
9J01CR02O K
05-07-2010
9.94
7.35
9.940000
9.940000
9.940000
1.A
postexpunere
9J01CR02O K
05-07-2010
34.22
26.16
34.220000
34.220000
34.220000
1.A
postexpunere
9J01CR02O K
05-07-2010
23.98
17.74
23.980000
23.980000
23.980000
1.A
postexpunere
9J01CR02O K
05-07-2010
22.67
16.77
22.670000
22.670000
22.670000
1.A
postexpunere
9J01CR05P V
05-07-2010
791.71
691.34
65.975833
65.975833
65.975833
1.A
postexpunere
9J01CR05P V
05-07-2010
474.43
400.26
39.535833
39.535833
39.535833
Valoare
compensare/UT
106 / 135
Substan activ
C2 W53595001 2g/0,25g
C2 W53595002 2g/0,25g
C2 W53595003 2g/0,25g
C2 W53595004 2g/0,25g
C2 W53595005 2g/0,25g
C2 W53595006 2g/0,25g
C2 W54763001 2g/0,25 g
C2 W55423001 PERASIN 2g/0,25 g
C2 W55369001 BACTACIN 2 g/0,25 g
C2 W55116002 g/0,25 g
C2 W53596001 4g/0,5g
C2 W53596002 4g/0,5g
C2 W53596003 4g/0,5g
C2 W54765001 4g/0,5 g
C2 W55424001 PERASIN 4g/0,5 g
C2 W55370001 BACTACIN 4 g/0,5 g
C2 W55117002 g/0,5 g
C2 W12804001 SULPERAZON (R) 2 g
COMBINATII
(CEFOPERAZONUM+SULBACTAMUM)
Form farmaceutic
PULB. PT. SOL. INJ.
Concentraie
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
Cantitate Cod boli

10
10
12
10
12
FARA CONCENT1
Mentiuni
sublista
Cod
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
1.A
postexpunere
9J01CR05P V
05-07-2010
27.41
20.28
27.410000
27.410000
27.410000
1.A
postexpunere
9J01CR05P V
05-07-2010
125.94
99.60
25.188000
25.188000
25.188000
1.A
postexpunere
9J01CR05P V
05-07-2010
238.84
195.64
23.884000
23.884000
23.884000
1.A
postexpunere
9J01CR05P V
05-07-2010
53.04
40.55
53.040000
53.040000
53.040000
1.A
postexpunere
9J01CR05P V
05-07-2010
238.84
195.64
47.768000
47.768000
47.768000
1.A
postexpunere
9J01CR05P V
05-07-2010
458.60
385.73
45.860000
45.860000
45.860000
1.A
postexpunere
9J01CR05P V
05-07-2010
30.91
22.87
30.910000
30.910000
30.910000
1.A
postexpunere
9J01CR05P V
05-07-2010
30.91
22.87
30.910000
30.910000
30.910000
1.A
postexpunere
9J01CR05P V
05-07-2010
30.91
22.87
30.910000
30.910000
30.910000
1.A
postexpunere
9J01CR05P V
05-07-2010
323.10
264.66
26.925000
26.925000
26.925000
1.A
postexpunere
9J01CR05P V
05-07-2010
53.41
40.83
53.410000
53.410000
53.410000
1.A
postexpunere
9J01CR05P V
05-07-2010
240.48
196.99
48.096000
48.096000
48.096000
1.A
postexpunere
9J01CR05P V
05-07-2010
461.26
388.17
46.126000
46.126000
46.126000
1.A
postexpunere
9J01CR05P V
05-07-2010
53.43
40.85
53.430000
53.430000
53.430000
1.A
postexpunere
9J01CR05P V
05-07-2010
53.41
40.83
53.410000
53.410000
53.410000
1.A
postexpunere
9J01CR05P V
05-07-2010
53.41
40.83
53.410000
53.410000
53.410000
1.A
postexpunere
9J01CR05P V
05-07-2010
539.33
459.80
44.944166
44.944166
44.944166
1.A
postexpunere
9J01CR50P V
05-07-2010
37.49
28.66
37.490000
37.490000
37.490000
Valoare
compensare/UT
107 / 135
C2 W53273001 NOVOSEF 500 mg i.m.
C2 W51695002 OFRAMAX 1 g
C2 W51696001 OFRAMAX 250 mg
C2 W53274001 NOVOSEF 500mg i.v.
C2 W13949003 CEFORT 1 g
C2 W53779001 SEFTRION 1 g
C2 W13948002 CEFORT 250 mg
C2 W13948003 CEFORT 250 mg
C2 W13948001 CEFORT 250 mg
C2 W13948004 CEFORT 250 mg
C2 W42544001 MEDAXONE 2 g
C2 W13891004 CEFORT 2 g
C2 W13890002 CEFORT 500 mg
C2 W13890003 CEFORT 500 mg
C2 W13890001 CEFORT 500 mg
C2 W53778001 SEFTRION 500 mg
C2 W51335001 ROCEPHIN (R)
C2 W53276001 NOVOSEF 1 g i.m.
Substan activ
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
Form farmaceutic
PULB. PT. SOL. INJ. I.M./I.V.
PULB. PT. SOL. INJ. I.M./I.V.
Concentraie
500mg
1g
250mg
PULB. PT. SOL. INJ. I.V./PERF. 500mg
PULB.+SOLV. PT. SOL. INJ.
1g
1g
250mg
250mg
250mg
250mg
2g
2g
500mg
500mg
500mg
500mg
2g
1g
Cantitate Cod boli

50
50
10
50
100
10
10
10
50
100
Mentiuni
sublista
Cod
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
1.A
postexpunere
0J01DDP V
05-07-2010
6.02
4.45
6.020000
6.020000
6.020000
1.A
postexpunere
0J01DDP V
05-07-2010
534.10
455.00
10.682000
10.682000
10.682000
1.A
postexpunere
0J01DDP V
05-07-2010
299.64
245.45
5.992800
5.992800
5.992800
1.A
postexpunere
0J01DDP V
05-07-2010
6.02
4.45
6.020000
6.020000
6.020000
1.A
postexpunere
0J01DDP V
05-07-2010
163.00
133.52
16.300000
16.300000
16.300000
1.A
postexpunere
0J01DDP V
05-07-2010
13.90
10.28
13.900000
13.900000
13.900000
1.A
postexpunere
0J01DDP V
05-07-2010
319.61
261.80
6.392200
6.392200
6.392200
1.A
postexpunere
0J01DDP V
05-07-2010
587.38
503.88
5.873800
5.873800
5.873800
1.A
postexpunere
0J01DDP V
05-07-2010
7.40
5.47
7.400000
7.400000
7.400000
1.A
postexpunere
0J01DDP V
05-07-2010
68.91
54.50
6.891000
6.891000
6.891000
1.A
postexpunere
0J01DDP V
05-07-2010
336.10
275.31
33.610000
33.610000
33.610000
1.A
postexpunere
0J01DDP V
05-07-2010
278.23
227.91
27.823000
27.823000
27.823000
1.A
postexpunere
0J01DDP V
05-07-2010
486.62
411.44
9.732400
9.732400
9.732400
1.A
postexpunere
0J01DDP V
05-07-2010
900.07
790.75
9.000700
9.000700
9.000700
1.A
postexpunere
0J01DDP V
05-07-2010
11.79
8.72
11.790000
11.790000
11.790000
1.A
postexpunere
0J01DDP V
05-07-2010
10.43
7.72
10.430000
10.430000
10.430000
1.A
postexpunere
0J01DDP V
05-07-2010
57.42
43.90
57.420000
57.420000
57.420000
1.A
postexpunere
0J01DDP V
05-07-2010
8.12
6.01
8.120000
8.120000
8.120000
Valoare
compensare/UT
108 / 135
C2 W53275002 NOVOSEF 1 g i.v.
C2 W13701001 EFICEF (R) 200 mg
C2 W13701002 EFICEF (R) 200 mg
C2 W13676001 MEDOCEF 1 g
C2 W13677001 MEDOCEF 2 g
C2 W51970001 LYZONE 2 g
C2 W44045001 CEFOZON 500 mg
C2 W13605001 CEFROM (R) 1 g
C2 W13606001 CEFROM (R) 2 g
C2 W04120001 MERONEM IV 1 g
C2 W04121001 MERONEM IV 500 mg
C2 W54471002 CILOPEN 500mg/500mg
C2 W51274002 TIENAM I.V.
Substan activ
CEFTRIAXONUM
CEFIXIMUM
CEFIXIMUM
CEFOPERAZONUM
CEFOPERAZONUM
CEFOPERAZONUM
CEFOPERAZONUM
CEFOPERAZONUM
CEFOPERAZONUM
CEFPIROMUM
CEFPIROMUM
MEROPENEMUM
MEROPENEMUM
Form farmaceutic
PULB.+SOLV. PT. SOL.

INJ./PERF.
CAPS.
CAPS.
PULB. PT. SOL. INJ.
PULB. PT. SOL. INJ.
PULB. PT. SOL. INJ.
PULB. PT. SOL. INJ.

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

INJ./PERF.I.M./I.V.
Concentraie
1g
200mg
10
200mg
1000
1g
10
2g
10
2g
500mg
2g
1g
1g
2g
PULB. PT. SOL. INJ. I.V./PERF. 1g
10
PULB. PT. SOL. INJ. I.V./PERF. 500mg
PULB. PT. SOL. INJ.
PULB. PT. SOL. INJ.
PULB. PT. SOL. INJ.
PULB. PT. SOL. INJ.
Cantitate Cod boli

10
500mg/500mg
500mg/500mg
500mg/500mg
500mg/500mg
500mg/500mg
10
10
10
Mentiuni
sublista
Cod
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
1.A
postexpunere
0J01DDP V
05-07-2010
8.12
6.01
8.120000
8.120000
8.120000
1.A
postexpunere
0J01DDO V
05-07-2010
34.70
26.53
3.470000
3.470000
3.470000
1.A
postexpunere
0J01DDO V
05-07-2010
2,423.10
2,188.02
2.423100
2.423100
2.423100
1.A
postexpunere
0J01DDP V
05-07-2010
188.16
154.13
18.816000
18.816000
18.816000
1.A
postexpunere
0J01DDP V
05-07-2010
313.62
256.90
31.362000
31.362000
31.362000
1.A
postexpunere
0J01DDP V
05-07-2010
27.06
20.02
27.060000
27.060000
27.060000
1.A
postexpunere
0J01DDP V
05-07-2010
5.22
3.86
5.220000
5.220000
5.220000
1.A
postexpunere
0J01DDP V
05-07-2010
15.65
11.58
15.650000
15.650000
15.650000
1.A
postexpunere
0J01DDP V
05-07-2010
9.49
7.02
9.490000
9.490000
9.490000
1.A
postexpunere
9J01DE02P V
05-07-2010
75.59
59.78
75.590000
75.590000
75.590000
1.A
postexpunere
9J01DE02P V
05-07-2010
126.97
104.01
126.970000
126.970000
126.970000
1.A
postexpunere
0J01DHP V
05-07-2010
1,159.03
1,028.33
115.903000
115.903000
115.903000
1.A
postexpunere
0J01DHP V
05-07-2010
625.02
538.41
62.502000
62.502000
62.502000
1.A
postexpunere
0J01DHP V
05-07-2010
178.13
145.91
35.626000
35.626000
35.626000
1.A
postexpunere
0J01DHP V
05-07-2010
356.28
291.84
35.628000
35.628000
35.628000
1.A
postexpunere
0J01DHP V
05-07-2010
178.13
145.91
35.626000
35.626000
35.626000
1.A
postexpunere
0J01DHP V
05-07-2010
356.28
291.84
35.628000
35.628000
35.628000
1.A
postexpunere
0J01DHP V
05-07-2010
522.63
444.48
52.263000
52.263000
52.263000
Valoare
compensare/UT
109 / 135
C2 W51274003 TIENAM I.V.
C2 W54532001 500mg/500mg

C2 W54533003 mg/250mg

C2 W54534003 mg/500mg
C2 W05741001 TAGREMIN
C2 W12479001 CO - TRIM ELL
C2 W53671001 BITRIM 400mg/80mg
C2 W44046001 EPITRIM
C2 W05561001 ROVAMYCINE (R) 1,5 Mil. UI
C2 W13604002 ROVAMYCINE (R) 3 Mil. UI
C2 W52022001 ROXAMED (R) 150
C2 W01326002 KLACID (R)
C2 W12279002 LEKOKLAR (R) 250 mg
C2 W51965001 CLAR 250
C2 W14043001 KLERIMED (R) 250
C2 W44093001 KLABAX 250 mg
Substan activ
SULFAMETHOXAZOLUM +
TRIMETHOPRIMUM
SULFAMETHOXAZOLUM +
TRIMETHOPRIMUM
SULFAMETHOXAZOLUM +
TRIMETHOPRIMUM
SULFAMETHOXAZOLUM +
TRIMETHOPRIMUM
SULFAMETHOXAZOLUM +
TRIMETHOPRIMUM
SULFAMETHOXAZOLUM +
TRIMETHOPRIMUM
SPIRAMYCINUM
SPIRAMYCINUM
ROXITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
Form farmaceutic
COMPR.
COMPR.
COMPR.
COMPR.
SIROP
SUSP. ORALA
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
Concentraie
500mg/500mg
500mg/500mg
250mg/250mg
500mg/500mg
400mg/80mg
400mg/80mg
400mg/80mg
400mg/80mg
25mg/5mg/ml
Cantitate Cod boli

25
10
10
10
20
20
20
20
200mg/40mg /5m 1
1,5 M ui
3M ui
150mg
250mg
250mg
250mg
250mg
250mg
16
10
10
14
14
20
14
14
Mentiuni
sublista
Cod
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
1.A
postexpunere
0J01DHP V
05-07-2010
1,200.31
1,066.20
48.012400
48.012400
48.012400
1.A
postexpunere
0J01DHP V
05-07-2010
361.69
296.27
36.169000
36.169000
36.169000
1.A
postexpunere
0J01DHP V
05-07-2010
178.13
145.91
17.813000
17.813000
17.813000
1.A
postexpunere
0J01DHP V
05-07-2010
356.28
291.84
35.628000
35.628000
35.628000
1.A
postexpunere
0J01EEO V
05-07-2010
7.70
5.70
0.385000
0.385000
0.385000
1.A
postexpunere
0J01EEO V
05-07-2010
4.13
3.06
0.206500
0.206500
0.206500
1.A
postexpunere
0J01EEO V
05-07-2010
3.54
2.62
0.177000
0.177000
0.177000
1.A
postexpunere
0J01EEO V
05-07-2010
3.34
2.47
0.167000
0.167000
0.167000
1.A
postexpunere
0J01EEO K
05-07-2010
8.18
6.05
8.180000
8.180000
8.180000
1.A
postexpunere
0J01EEO K
05-07-2010
4.75
3.51
4.750000
4.750000
4.750000
1.A
postexpunere
0J01FAO V
05-07-2010
9.83
7.27
0.614375
0.614375
0.614375
1.A
postexpunere
0J01FAO V
05-07-2010
27.81
20.58
2.781000
2.781000
2.781000
1.A
postexpunere
0J01FAO V
05-07-2010
15.19
11.24
1.519000
1.519000
1.519000
1.A
postexpunere
0J01FAO V
05-07-2010
28.49
21.08
2.035000
2.035000
2.035000
1.A
postexpunere
0J01FAO V
05-07-2010
32.16
23.79
2.297142
2.297142
2.297142
1.A
postexpunere
0J01FAO V
05-07-2010
22.93
16.97
1.146500
1.146500
1.146500
1.A
postexpunere
0J01FAO V
05-07-2010
16.64
12.31
1.188571
1.188571
1.188571
1.A
postexpunere
0J01FAO V
05-07-2010
14.64
10.83
1.045714
1.045714
1.045714
Valoare
compensare/UT
110 / 135
C2 W42303001 CLARITROMICINA 250 mg
C2 W08490001 FROMILID 250
C2 W14044001 KLERIMED (R) 500
C2 W44087001 KLABAX 500 mg
C2 W51964001 CLAR 500
C2 W54044001 ROCLARIN 500 mg
C2 W41606001 LEKOKLAR XL 500 mg
C2 W44088001 KLABAX MR 500 mg
C2 W13607002 KLACID SR
C2 W41838002 FROMILID (R) UNO
C2 W01327001 KLACID (R)
C2 W01327002 KLACID (R)
Substan activ
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
Form farmaceutic
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
Concentraie
250mg
Cantitate Cod boli

14
250mg
14
250mg
14
500mg
14
500mg
14
500mg
14
500mg
20
500mg
14
500mg
14
500mg
20
500mg
14
500mg
500mg
500mg
500mg
500mg
125mg/5ml
125mg/5ml
Mentiuni
sublista
Cod
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
1.A
postexpunere
0J01FAO V
05-07-2010
14.64
10.83
1.045714
1.045714
1.045714
1.A
postexpunere
0J01FAO V
05-07-2010
16.64
12.31
1.188571
1.188571
1.188571
1.A
postexpunere
0J01FAO V
05-07-2010
14.64
10.83
1.045714
1.045714
1.045714
1.A
postexpunere
0J01FAO V
05-07-2010
37.86
28.94
2.704285
2.704285
2.704285
1.A
postexpunere
0J01FAO V
05-07-2010
32.54
24.08
2.324285
2.324285
2.324285
1.A
postexpunere
0J01FAO V
05-07-2010
32.02
23.69
2.287142
2.287142
2.287142
1.A
postexpunere
0J01FAO V
05-07-2010
44.26
33.84
2.213000
2.213000
2.213000
1.A
postexpunere
0J01FAO V
05-07-2010
32.02
23.69
2.287142
2.287142
2.287142
1.A
postexpunere
0J01FAO V
05-07-2010
32.54
24.08
2.324285
2.324285
2.324285
1.A
postexpunere
0J01FAO V
05-07-2010
50.70
38.76
2.535000
2.535000
2.535000
1.A
postexpunere
0J01FAO V
05-07-2010
32.02
23.69
2.287142
2.287142
2.287142
1.A
postexpunere
0J01FAO V
05-07-2010
18.34
13.57
3.668000
3.668000
3.668000
1.A
postexpunere
0J01FAO V
05-07-2010
25.67
18.99
3.667142
3.667142
3.667142
1.A
postexpunere
0J01FAO V
05-07-2010
35.12
26.85
5.017142
5.017142
5.017142
1.A
postexpunere
0J01FAO V
05-07-2010
36.34
27.78
7.268000
7.268000
7.268000
1.A
postexpunere
0J01FAO V
05-07-2010
28.03
20.74
4.004285
4.004285
4.004285
1.A
postexpunere
0J01FAO K
05-07-2010
39.05
29.85
39.050000
39.050000
39.050000
1.A
postexpunere
0J01FAO K
05-07-2010
24.42
18.07
24.420000
24.420000
24.420000
Valoare
compensare/UT
111 / 135
C2 W06981001 FROMILID (R) 125 mg/5 ml
C2 W42258001 LEKOKLAR 125 mg/5 ml
C2 W44092002 KLABAX 125 mg/5 ml
C2 W44092001 KLABAX 125 mg/5 ml
C2 W44091002 KLABAX 250 mg/5 ml
C2 W44091001 KLABAX 250 mg/5 ml
C2 W01329001 KLACID I.V.
C2 W42271001 AZATRIL 250 mg
C2 W00517001 SUMAMED 250 mg

C2 W42879004 COMPRIMATE FILMATE
C2 W52838001 AZITROMICINA TERAPIA 250 mg
C2 W42252001 AZITROX (R) 500

C2 W42878001 COMPRIMATE FILMATE
Substan activ
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
Form farmaceutic
CAPS.
CAPS.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
Concentraie
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
Cantitate Cod boli

Mentiuni
sublista
Cod
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
1.A
postexpunere
0J01FAO K
05-07-2010
23.24
17.19
23.240000
23.240000
23.240000
1.A
postexpunere
0J01FAO K
05-07-2010
26.15
19.35
26.150000
26.150000
26.150000
1.A
postexpunere
0J01FAO K
05-07-2010
31.53
23.33
31.530000
31.530000
31.530000
1.A
postexpunere
0J01FAO K
05-07-2010
18.91
13.99
18.910000
18.910000
18.910000
1.A
postexpunere
0J01FAO K
05-07-2010
61.39
46.93
61.390000
61.390000
61.390000
1.A
postexpunere
0J01FAO K
05-07-2010
44.75
34.21
44.750000
44.750000
44.750000
1.A
postexpunere
0J01FAO K
05-07-2010
50.97
38.97
50.970000
50.970000
50.970000
1.A
postexpunere
0J01FAO K
05-07-2010
31.60
23.38
31.600000
31.600000
31.600000
1.A
postexpunere
0J01FAP V
05-07-2010
53.67
41.03
53.670000
53.670000
53.670000
1.A
postexpunere
0J01FAO V
05-07-2010
25.45
18.83
4.241666
4.241666
4.241666
1.A
postexpunere
0J01FAO V
05-07-2010
37.90
28.98
6.316666
6.316666
6.316666
1.A
postexpunere
0J01FAO V
05-07-2010
25.30
18.72
4.216666
4.216666
4.216666
1.A
postexpunere
0J01FAO V
05-07-2010
48.70
37.23
8.116666
8.116666
8.116666
1.A
postexpunere
0J01FAO V
05-07-2010
44.36
33.91
7.393333
7.393333
7.393333
1.A
postexpunere
0J01FAO V
05-07-2010
44.36
33.91
7.393333
7.393333
7.393333
1.A
postexpunere
0J01FAO V
05-07-2010
38.08
29.11
12.693333
12.693333
12.693333
1.A
postexpunere
0J01FAO V
05-07-2010
25.58
18.93
8.526666
8.526666
8.526666
1.A
postexpunere
0J01FAO V
05-07-2010
48.70
37.23
16.233333
16.233333
16.233333
Valoare
compensare/UT
112 / 135
C2 W43486001 AZIBIOT 500 mg
C2 W43952001 ZITROCIN 500 mg
C2 W55169001 ZITROCIN 500 mg
C2 W43050001 ZMAX 2 g
C2 W44152001 SUMAMED (R)
C2 W53281001 AZITROX 200 mg/5 ml
C2 W42901001 AZITROMICINA SANDOZ 100 mg/5 ml
C2 W42877002 AZITROMICINA SANDOZ 200 mg/5 ml
C2 W00520002 SUMAMED FORTE
C2 W03308001 GENTAMICIN KRKA
Substan activ
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
GENTAMICINUM
GENTAMICINUM
GENTAMICINUM
Form farmaceutic
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

ORALA
SOL. INJ.
SOL. INJ.
SOL. INJ.
Concentraie
500mg
Cantitate Cod boli

500mg
500mg
500mg
500mg
600mg
600mg
2g
500mg
200mg/5ml
100mg/5ml
200 mg/5 ml
200mg/5ml
200mg/5ml
200mg/5ml
40mg/ml
10
80mg/2ml
80mg/2ml
50
10
Mentiuni
sublista
Cod
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
1.A
postexpunere
0J01FAO V
05-07-2010
25.59
18.93
8.530000
8.530000
8.530000
1.A
postexpunere
0J01FAO V
05-07-2010
25.59
18.93
8.530000
8.530000
8.530000
1.A
postexpunere
0J01FAO V
05-07-2010
37.07
28.34
12.356666
12.356666
12.356666
1.A
postexpunere
0J01FAO V
05-07-2010
37.07
28.34
12.356666
12.356666
12.356666
1.A
postexpunere
0J01FAO V
05-07-2010
25.59
18.93
8.530000
8.530000
8.530000
1.A
postexpunere
0J01FAO V
05-07-2010
44.51
34.03
14.836666
14.836666
14.836666
1.A
postexpunere
0J01FAO V
05-07-2010
44.51
34.03
14.836666
14.836666
14.836666
1.A
postexpunere
0J01FAO V
05-07-2010
63.37
48.45
63.370000
63.370000
63.370000
1.A
postexpunere
0J01FAP V
05-07-2010
161.37
132.18
32.274000
32.274000
32.274000
1.A
postexpunere
0J01FAO K
05-07-2010
16.33
12.08
16.330000
16.330000
16.330000
1.A
postexpunere
0J01FAO K
05-07-2010
22.40
16.57
22.400000
22.400000
22.400000
1.A
postexpunere
0J01FAO K
05-07-2010
34.28
26.21
34.280000
34.280000
34.280000
1.A
postexpunere
0J01FAO K
05-07-2010
25.12
18.59
25.120000
25.120000
25.120000
1.A
postexpunere
0J01FAO K
05-07-2010
48.48
37.06
48.480000
48.480000
48.480000
1.A
postexpunere
0J01FAO K
05-07-2010
60.21
46.03
60.210000
60.210000
60.210000
1.A
postexpunere
0J01GBP V
05-07-2010
7.12
5.27
0.712000
0.712000
0.712000
1.A
postexpunere
0J01GBP V
05-07-2010
41.38
31.64
0.827600
0.827600
0.827600
1.A
postexpunere
0J01GBP V
05-07-2010
9.57
7.08
0.957000
0.957000
0.957000
Valoare
compensare/UT
113 / 135
C2 W08121001 PAN - GENTAMICINE
C2 W53278002 AMIKOZIT (R) 100 mg/2 ml
C2 W54314001 BIODACYNA
C2 W54618001 ORLOBIN
C2 W04510001 NETROMYCINE (R)
C2 W12904002 OFLOXACIN 200 mg
C2 W12404001 OFLOXIN 200
C2 W07914001 ZANOCIN
C2 W13598001 ZANOCIN (R) OD 400
C2 W13598002 ZANOCIN (R) OD 400
C2 W13553001 OFLOXIN (R) INF
C2 W01291001 EUCIPRIN
C2 W54038001 CIPROFLOXACINA ARENA 250 mg
Substan activ
GENTAMICINUM
AMIKACINUM
AMIKACINUM
AMIKACINUM
AMIKACINUM
NETILMICINUM
NETILMICINUM
NETILMICINUM
OFLOXACINUM
OFLOXACINUM
OFLOXACINUM
OFLOXACINUM
OFLOXACINUM
OFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
Form farmaceutic
SOL.INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
SOL. PERF.
CAPS.
COMPR
COMPR
COMPR. FILM.
Concentraie
80mg/2ml
100mg/2ml
1g/4ml
150mg/1,5ml
200mg/2ml
50mg/2ml
200mg
10
200mg
10
400mg
400mg
10
200mg/100ml
100mg
10
200mg
250mg
500mg/2ml
250mg
10
1g/4ml
250mg
Cantitate Cod boli

12
10
20
10
Mentiuni
sublista
Cod
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
1.A
postexpunere
0J01GBP V
05-07-2010
6.75
4.99
0.675000
0.675000
0.675000
1.A
postexpunere
0J01GBP V
05-07-2010
3.54
2.62
3.540000
3.540000
3.540000
1.A
postexpunere
0J01GBP V
05-07-2010
12.77
9.45
12.770000
12.770000
12.770000
1.A
postexpunere
0J01GBP V
05-07-2010
12.45
9.21
12.450000
12.450000
12.450000
1.A
postexpunere
0J01GBP V
05-07-2010
6.95
5.14
6.950000
6.950000
6.950000
1.A
postexpunere
0J01GBP V
05-07-2010
19.11
14.14
19.110000
19.110000
19.110000
1.A
postexpunere
0J01GBP V
05-07-2010
24.21
17.91
24.210000
24.210000
24.210000
1.A
postexpunere
0J01GBP V
05-07-2010
7.58
5.61
7.580000
7.580000
7.580000
1.A
postexpunere
1J01MAO V
05-07-2010
48.34
36.96
4.834000
4.834000
4.834000
1.A
postexpunere
1J01MAO V
05-07-2010
19.97
14.78
1.997000
1.997000
1.997000
1.A
postexpunere
1J01MAO V
05-07-2010
11.33
8.38
1.133000
1.133000
1.133000
1.A
postexpunere
1J01MAO V
05-07-2010
27.38
20.26
5.476000
5.476000
5.476000
1.A
postexpunere
1J01MAO V
05-07-2010
50.38
38.52
5.038000
5.038000
5.038000
1.A
postexpunere
1J01MAP V
05-07-2010
20.23
14.97
20.230000
20.230000
20.230000
1.A
postexpunere
1J01MAO V
05-07-2010
8.01
5.93
0.667500
0.667500
0.667500
1.A
postexpunere
1J01MAO V
05-07-2010
6.55
4.85
0.655000
0.655000
0.655000
1.A
postexpunere
1J01MAO V
05-07-2010
12.28
9.09
0.614000
0.614000
0.614000
1.A
postexpunere
1J01MAO V
05-07-2010
37.23
28.46
3.723000
3.723000
3.723000
Valoare
compensare/UT
114 / 135
C2 W44077004 CIPROCIN 250 mg
C2 W01273001 CIPRINOL 250 mg
C2 W01288001 CIPROLEN (R) 250 mg
C2 W01271002 CUMINOL 250 mg
C2 W51913001 CIPROFLOXACINA ALKALOID 250 mg
C2 W07862001 CIFRAN
C2 W51979001 CIPROLET 250 mg
C2 W53066001 EUCIPRIN 250 mg
C2 W53288001 ALVEBAR 250 mg
C2 W55179001 CIPROFLOXACINA OZONE 250 mg
C2 W13734001 CIPROZONE FORTE 500 mg
Substan activ
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
Form farmaceutic
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
Concentraie
100mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
500mg
500mg
500mg
500mg
500mg
500mg
Cantitate Cod boli

20
10
10
10
10
20
10
10
10
10
10
10
10
10
10
10
10
10
Mentiuni
sublista
Cod
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
1.A
postexpunere
1J01MAO V
05-07-2010
65.47
51.78
3.273500
3.273500
3.273500
1.A
postexpunere
1J01MAO V
05-07-2010
6.81
5.04
0.681000
0.681000
0.681000
1.A
postexpunere
1J01MAO V
05-07-2010
6.81
5.04
0.681000
0.681000
0.681000
1.A
postexpunere
1J01MAO V
05-07-2010
6.81
5.04
0.681000
0.681000
0.681000
1.A
postexpunere
1J01MAO V
05-07-2010
6.81
5.04
0.681000
0.681000
0.681000
1.A
postexpunere
1J01MAO V
05-07-2010
12.26
9.07
0.613000
0.613000
0.613000
1.A
postexpunere
1J01MAO V
05-07-2010
7.86
5.82
0.786000
0.786000
0.786000
1.A
postexpunere
1J01MAO V
05-07-2010
6.92
5.12
0.692000
0.692000
0.692000
1.A
postexpunere
1J01MAO V
05-07-2010
4.75
3.51
0.475000
0.475000
0.475000
1.A
postexpunere
1J01MAO V
05-07-2010
6.09
4.51
0.609000
0.609000
0.609000
1.A
postexpunere
1J01MAO V
05-07-2010
4.75
3.51
0.475000
0.475000
0.475000
1.A
postexpunere
1J01MAO V
05-07-2010
5.29
3.91
0.529000
0.529000
0.529000
1.A
postexpunere
1J01MAO V
05-07-2010
13.19
9.76
1.319000
1.319000
1.319000
1.A
postexpunere
1J01MAO V
05-07-2010
13.19
9.76
1.319000
1.319000
1.319000
1.A
postexpunere
1J01MAO V
05-07-2010
13.19
9.76
1.319000
1.319000
1.319000
1.A
postexpunere
1J01MAO V
05-07-2010
13.19
9.76
1.319000
1.319000
1.319000
1.A
postexpunere
1J01MAO V
05-07-2010
8.44
6.24
0.844000
0.844000
0.844000
1.A
postexpunere
1J01MAO V
05-07-2010
15.07
11.15
1.507000
1.507000
1.507000
Valoare
compensare/UT
115 / 135
C2 W07863001 CIFRAN
C2 W12545001 CIPRO QUIN (R)
C2 W52031001 CIPRODAR
C2 W43891001 CIPROBAY XR 1000 mg
C2 W01275002 CIPRINOL (R)
C2 W08223001 CIPRINOL
C2 W13653002 CIPROBAY (R) 400
Substan activ
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
Form farmaceutic
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
SOL. PERF.
SOL. PERF.
SOL. PERF.
Concentraie
500mg
10
500mg
10
500mg
10
500mg
10
500mg
10
500mg
10
500mg
10
500mg
20
500mg
10
750mg
10
750mg
10
1000 mg
500 mg
100mg/10ml
100mg/10ml
100mg/50ml
200mg/100ml
2mg/ml
Cantitate Cod boli

50
Mentiuni
sublista
Cod
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
1.A
postexpunere
1J01MAO V
05-07-2010
8.75
6.47
0.875000
0.875000
0.875000
1.A
postexpunere
1J01MAO V
05-07-2010
13.19
9.76
1.319000
1.319000
1.319000
1.A
postexpunere
1J01MAO V
05-07-2010
6.47
4.79
0.647000
0.647000
0.647000
1.A
postexpunere
1J01MAO V
05-07-2010
13.19
9.76
1.319000
1.319000
1.319000
1.A
postexpunere
1J01MAO V
05-07-2010
9.21
6.81
0.921000
0.921000
0.921000
1.A
postexpunere
1J01MAO V
05-07-2010
6.47
4.79
0.647000
0.647000
0.647000
1.A
postexpunere
1J01MAO V
05-07-2010
9.21
6.81
0.921000
0.921000
0.921000
1.A
postexpunere
1J01MAO V
05-07-2010
16.38
12.12
0.819000
0.819000
0.819000
1.A
postexpunere
1J01MAO V
05-07-2010
8.44
6.24
0.844000
0.844000
0.844000
1.A
postexpunere
1J01MAO V
05-07-2010
38.41
29.37
3.841000
3.841000
3.841000
1.A
postexpunere
1J01MAO V
05-07-2010
37.23
28.46
3.723000
3.723000
3.723000
1.A
postexpunere
1J01MAO V
05-07-2010
84.50
66.83
12.071428
12.071428
12.071428
1.A
postexpunere
1J01MAO V
05-07-2010
27.57
20.40
9.190000
9.190000
9.190000
1.A
postexpunere
1J01MAP V
05-07-2010
136.24
111.60
2.724800
2.724800
2.724800
1.A
postexpunere
1J01MAP V
05-07-2010
16.75
12.39
3.350000
3.350000
3.350000
1.A
postexpunere
1J01MAP V
05-07-2010
4.78
3.54
4.780000
4.780000
4.780000
1.A
postexpunere
1J01MAP V
05-07-2010
9.57
7.08
9.570000
9.570000
9.570000
1.A
postexpunere
1J01MAP V
05-07-2010
702.27
609.28
140.454000
140.454000
140.454000
Valoare
compensare/UT
116 / 135
C2 W07480002 UFEXIL 2 mg/ ml
C2 W53353002 CIPROFLOXACINA INFOMED 2 mg/ml
C2 W52445001 PEFLOXACIN LAROPHARM
C2 W04612001 H - NORFLOXACIN 400 mg
C2 W41800001 NORFLOXACINA LPH 400 mg
C2 W51610001 NORFLOX - 400
C2 W07984001 NOLICIN 400 mg
C2 W44067001 EPINOR
C2 W52912001 NORFLOXACINA TERAPIA 400 mg
C2 W54101001 NOR QUIN 400 mg
C2 W55059001 NORFLOXACIN OZONE 400 mg
C2 W52786004 LEVOFLOXACINA ACTAVIS 250 mg
C2 W52787004 LEVOFLOXACINA ACTAVIS 500 mg
C2 W54301002 TAVANIC 500 mg
C2 W12047001 TAVANIC I.V. 500 mg
C2 W54108001 LEVOFLOXACIN KABI 5 mg/ml
Substan activ
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
PEFLOXACINUM
NORFLOXACINUM
NORFLOXACINUM
NORFLOXACINUM
NORFLOXACINUM
NORFLOXACINUM
NORFLOXACINUM
NORFLOXACINUM
NORFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
Form farmaceutic
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. 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.
SOL. PERF.
SOL. PERF.
Concentraie
2mg/ml
10
2mg/ml
10
2mg/ml
10
400mg/200ml
400mg
400mg
400mg
400mg
400mg
400mg
400mg
400mg
400mg
250mg
500mg
500mg
5mg/ml
5mg/ml
Cantitate Cod boli

10
20
20
10
20
14
10
20
10
Mentiuni
sublista
Cod
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
1.A
postexpunere
1J01MAP V
05-07-2010
162.21
132.87
16.221000
16.221000
16.221000
1.A
postexpunere
1J01MAP V
05-07-2010
87.28
69.03
8.728000
8.728000
8.728000
1.A
postexpunere
1J01MAP V
05-07-2010
156.96
128.57
15.696000
15.696000
15.696000
1.A
postexpunere
1J01MAP V
05-07-2010
19.26
14.25
19.260000
19.260000
19.260000
1.A
postexpunere
1J01MAO V
05-07-2010
27.80
20.57
2.780000
2.780000
2.780000
1.A
postexpunere
9J01MA06O V
05-07-2010
17.57
13.00
0.878500
0.878500
0.878500
1.A
postexpunere
9J01MA06O V
05-07-2010
15.70
11.62
0.785000
0.785000
0.785000
1.A
postexpunere
9J01MA06O V
05-07-2010
6.18
4.57
0.618000
0.618000
0.618000
1.A
postexpunere
9J01MA06O V
05-07-2010
17.57
13.00
0.878500
0.878500
0.878500
1.A
postexpunere
9J01MA06O V
05-07-2010
7.69
5.69
0.549285
0.549285
0.549285
1.A
postexpunere
9J01MA06O V
05-07-2010
5.82
4.31
0.582000
0.582000
0.582000
1.A
postexpunere
9J01MA06O V
05-07-2010
17.57
13.00
0.878500
0.878500
0.878500
1.A
postexpunere
9J01MA06O V
05-07-2010
5.70
4.22
0.570000
0.570000
0.570000
1.A
postexpunere
1J01MAO V
05-07-2010
31.43
23.25
4.490000
4.490000
4.490000
1.A
postexpunere
1J01MAO V
05-07-2010
33.77
25.82
4.824285
4.824285
4.824285
1.A
postexpunere
1J01MAO V
05-07-2010
51.97
39.73
7.424285
7.424285
7.424285
1.A
postexpunere
1J01MAP V
05-07-2010
136.64
111.93
136.640000
136.640000
136.640000
1.A
postexpunere
1J01MAP V
05-07-2010
49.31
37.70
49.310000
49.310000
49.310000
Valoare
compensare/UT
117 / 135
C2 W55456001 EVOLOX
C2 W55456003 EVOLOX
5 mg/ml
5 mg/ml
C2 W42166002 AVELOX (R) 400 mg
C2 W42098004 AVELOX (R) 400 mg/250 ml
C2 W43348001 VANCOMYCIN TEVA
C2 W43347001 VANCOMYCIN TEVA
C2 W06052001 EDICIN
C2 W06051001 EDICIN
C2 W13105001 TARGOCID (R) 400 mg
C2 W52501001 COLISTINA ANTIBIOTICE 1000000 UI
C2 W52501002 COLISTINA ANTIBIOTICE 1000000 UI

C2 W53689002 (J01XD01)
C2 W08257001 FLAGYL ( vezi J01XD01)
C2 W42139002 METRONIDAZOL A 5 g/l
C2 W42139001 METRONIDAZOL A 5 g/l
Substan activ
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
MOXIFLOXACINUM
MOXIFLOXACINUM
VANCOMYCINUM
VANCOMYCINUM
VANCOMYCINUM
VANCOMYCINUM
TEICOPLANINUM
COLISTINUM
COLISTINUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
Form farmaceutic
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
COMPR. FILM.
SOL. PERF.
LIOF. PT. SOL. PERF./INJ.
PULB.LIOF.PT.SOL.PERF./INJ
COMPR.
COMPR. FILM.
SOL. PERF.
SOL. PERF.
Concentraie
5mg/ml
25
5mg/ml
5mg/ml
25
5mg/ml
5mg/ml
400mg
400mg/250ml
1g
500mg
1g
400mg
1000000ui
1000000ui
250mg
5g/l
5g/l
500mg
250mg
Cantitate Cod boli

100
50
30
20
12
Mentiuni
sublista
Cod
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
1.A
postexpunere
1J01MAP V
05-07-2010
971.88
856.63
38.875200
38.875200
38.875200
1.A
postexpunere
1J01MAP V
05-07-2010
93.65
74.07
93.650000
93.650000
93.650000
1.A
postexpunere
1J01MAP V
05-07-2010
1,872.89
1,683.25
74.915600
74.915600
74.915600
1.A
postexpunere
1J01MAP V
05-07-2010
49.31
37.70
49.310000
49.310000
49.310000
1.A
postexpunere
1J01MAP V
05-07-2010
93.65
74.07
93.650000
93.650000
93.650000
1.A
postexpunere
1J01MAO V
05-07-2010
83.21
65.81
16.642000
16.642000
16.642000
1.A
postexpunere
1J01MAP V
05-07-2010
712.16
618.36
142.432000
142.432000
142.432000
1.A
postexpunere
9J01XA01P V
05-07-2010
63.37
48.45
63.370000
63.370000
63.370000
1.A
postexpunere
9J01XA01P V
05-07-2010
32.74
24.22
32.740000
32.740000
32.740000
1.A
postexpunere
9J01XA01P V
05-07-2010
51.26
39.19
51.260000
51.260000
51.260000
1.A
postexpunere
9J01XA01P V
05-07-2010
71.77
56.76
71.770000
71.770000
71.770000
1.A
postexpunere
9J01XA02P V
05-07-2010
143.92
117.89
143.920000
143.920000
143.920000
1.A
postexpunere
9J01XB01P V
05-07-2010
1,785.06
1,602.67
17.850600
17.850600
17.850600
1.A
postexpunere
9J01XB01P V
05-07-2010
927.96
816.34
18.559200
18.559200
18.559200
1.A
postexpunere
0J01XDO V
05-07-2010
7.70
5.70
0.256666
0.256666
0.256666
1.A
postexpunere
0J01XDO V
05-07-2010
8.38
6.20
0.419000
0.419000
0.419000
1.A
postexpunere
0J01XDP V
05-07-2010
100.01
79.10
8.334166
8.334166
8.334166
1.A
postexpunere
0J01XDP V
05-07-2010
9.09
6.73
9.090000
9.090000
9.090000
Valoare
compensare/UT
118 / 135
C2 W42138002 METRONIDAZOL B 5 g/l
C2 W42138001 METRONIDAZOL B 5 g/l
C2 W08927001 METRONIDAZOL BRAUN 5mg/ml
C2 W13543001 FLAGYL 4 % (J01XD01)
C2 W54619001 FUNGIZONE
C2 W03875001 NIZORAL 200 mg
C2 W12122001 KETOSTIN 200 mg
C2 W41983001 KEFUNGIN
C2 W54365002 KETOCONAZOL ARENA 200 mg
Substan activ
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM
AMPHOTERICINUM B
KETOCONAZOLUM
KETOCONAZOLUM
KETOCONAZOLUM
KETOCONAZOLUM
KETOCONAZOLUM
KETOCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
Form farmaceutic
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SUSP. ORALA
COMPR. FILM.
SOL. PERF.
PULB. LIOFILIZ. PT. SOL. INJ.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
CAPS.
CAPS.
Concentraie
5g/l
12
5g/l
5mg/ml
10
5mg/ml
10
5mg/ml
20
4%
600mg
10
100mg/5ml
2mg/ml
200mg
200mg
200mg
200mg
200mg
100mg
100mg
10
50mg/5ml
200mg
Cantitate Cod boli

10
10
10
10
10
10
28
Mentiuni
sublista
Cod
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
1.A
postexpunere
0J01XDP V
05-07-2010
98.07
77.56
8.172500
8.172500
8.172500
1.A
postexpunere
0J01XDP V
05-07-2010
8.88
6.57
8.880000
8.880000
8.880000
1.A
postexpunere
0J01XDP V
05-07-2010
48.80
37.31
4.880000
4.880000
4.880000
1.A
postexpunere
0J01XDP V
05-07-2010
48.25
36.89
4.825000
4.825000
4.825000
1.A
postexpunere
0J01XDP V
05-07-2010
277.83
227.58
13.891500
13.891500
13.891500
1.A
postexpunere
0J01XDO K
05-07-2010
7.94
5.87
7.940000
7.940000
7.940000
1.A
postexpunere
9J01XX08O V
05-07-2010
1,781.68
1,599.57
178.168000
178.168000
178.168000
1.A
postexpunere
9J01XX08O V
05-07-2010
994.48
877.37
994.480000
994.480000
994.480000
1.A
postexpunere
9J01XX08P V
05-07-2010
1,781.68
1,599.57
178.168000
178.168000
178.168000
1.A
postexpunere
MS
9J02AA01P V
05-07-2010
41.20
31.50
41.200000
41.200000
41.200000
1.A
postexpunere
9J02AB02O V
05-07-2010
20.42
15.11
2.042000
2.042000
2.042000
1.A
postexpunere
9J02AB02O V
05-07-2010
8.01
5.93
0.801000
0.801000
0.801000
1.A
postexpunere
9J02AB02O V
05-07-2010
6.86
5.08
0.686000
0.686000
0.686000
1.A
postexpunere
9J02AB02O V
05-07-2010
12.59
9.31
1.259000
1.259000
1.259000
1.A
postexpunere
9J02AB02O V
05-07-2010
6.86
5.08
0.686000
0.686000
0.686000
1.A
postexpunere
9J02AB02O V
05-07-2010
9.15
6.77
0.915000
0.915000
0.915000
1.A
postexpunere
1J02ACO V
05-07-2010
235.85
193.19
8.423214
8.423214
8.423214
1.A
postexpunere
1J02ACO V
05-07-2010
25.55
18.90
6.387500
6.387500
6.387500
Valoare
compensare/UT
119 / 135
C2 W42192002 MYCOMAX 150
C2 W42192001 MYCOMAX 150
Substan activ
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
Form farmaceutic
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
Concentraie
100mg
100mg
100mg
100mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
Cantitate Cod boli

16
Mentiuni
sublista
Cod
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
1.A
postexpunere
1J02ACO V
05-07-2010
43.26
33.07
6.180000
6.180000
6.180000
1.A
postexpunere
1J02ACO V
05-07-2010
82.46
65.22
5.153750
5.153750
5.153750
1.A
postexpunere
1J02ACO V
05-07-2010
9.41
6.96
4.705000
4.705000
4.705000
1.A
postexpunere
1J02ACO V
05-07-2010
31.43
23.25
4.490000
4.490000
4.490000
1.A
postexpunere
1J02ACO V
05-07-2010
22.47
16.62
22.470000
22.470000
22.470000
1.A
postexpunere
1J02ACO V
05-07-2010
78.44
62.04
19.610000
19.610000
19.610000
1.A
postexpunere
1J02ACO V
05-07-2010
43.15
32.99
21.575000
21.575000
21.575000
1.A
postexpunere
1J02ACO V
05-07-2010
9.91
7.33
9.910000
9.910000
9.910000
1.A
postexpunere
1J02ACO V
05-07-2010
25.02
18.51
25.020000
25.020000
25.020000
1.A
postexpunere
1J02ACO V
05-07-2010
18.83
13.93
18.830000
18.830000
18.830000
1.A
postexpunere
1J02ACO V
05-07-2010
14.55
10.77
14.550000
14.550000
14.550000
1.A
postexpunere
1J02ACO V
05-07-2010
9.91
7.33
9.910000
9.910000
9.910000
1.A
postexpunere
1J02ACO V
05-07-2010
9.18
6.79
9.180000
9.180000
9.180000
1.A
postexpunere
1J02ACO V
05-07-2010
31.93
23.62
10.643333
10.643333
10.643333
1.A
postexpunere
1J02ACO V
05-07-2010
12.50
9.25
12.500000
12.500000
12.500000
1.A
postexpunere
1J02ACO V
05-07-2010
6.58
4.87
6.580000
6.580000
6.580000
1.A
postexpunere
1J02ACO V
05-07-2010
9.66
7.15
9.660000
9.660000
9.660000
1.A
postexpunere
1J02ACO V
05-07-2010
8.18
6.05
8.180000
8.180000
8.180000
Valoare
compensare/UT
120 / 135
Substan activ
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
Form farmaceutic
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
Concentraie
150mg
150mg
150mg
150mg
200mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
Cantitate Cod boli

10
Mentiuni
sublista
Cod
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
1.A
postexpunere
1J02ACO V
05-07-2010
6.58
4.87
6.580000
6.580000
6.580000
1.A
postexpunere
1J02ACO V
05-07-2010
9.01
6.67
9.010000
9.010000
9.010000
1.A
postexpunere
1J02ACO V
05-07-2010
9.01
6.67
9.010000
9.010000
9.010000
1.A
postexpunere
1J02ACO V
05-07-2010
9.91
7.33
9.910000
9.910000
9.910000
1.A
postexpunere
1J02ACO V
05-07-2010
39.28
30.03
5.611428
5.611428
5.611428
1.A
postexpunere
1J02ACO V
05-07-2010
61.57
47.07
8.795714
8.795714
8.795714
1.A
postexpunere
1J02ACO V
05-07-2010
22.51
16.65
3.215714
3.215714
3.215714
1.A
postexpunere
1J02ACO V
05-07-2010
56.41
43.13
8.058571
8.058571
8.058571
1.A
postexpunere
1J02ACO V
05-07-2010
29.54
21.86
4.220000
4.220000
4.220000
1.A
postexpunere
1J02ACO V
05-07-2010
41.83
31.98
5.975714
5.975714
5.975714
1.A
postexpunere
1J02ACO V
05-07-2010
22.51
16.65
3.215714
3.215714
3.215714
1.A
postexpunere
1J02ACO V
05-07-2010
19.00
14.06
2.375000
2.375000
2.375000
1.A
postexpunere
1J02ACO V
05-07-2010
25.47
18.84
2.547000
2.547000
2.547000
1.A
postexpunere
1J02ACO V
05-07-2010
16.64
12.31
2.377142
2.377142
2.377142
1.A
postexpunere
1J02ACO V
05-07-2010
19.65
14.54
2.807142
2.807142
2.807142
1.A
postexpunere
1J02ACO V
05-07-2010
19.54
14.46
2.791428
2.791428
2.791428
1.A
postexpunere
1J02ACO V
05-07-2010
16.12
11.93
2.302857
2.302857
2.302857
1.A
postexpunere
1J02ACO V
05-07-2010
15.73
11.64
2.247142
2.247142
2.247142
Valoare
compensare/UT
121 / 135
Substan activ
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
Form farmaceutic
CAPS.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
CAPS.
CAPS.
CAPS.
CAPS.
Concentraie
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
100mg
100mg
100mg
100mg
Cantitate Cod boli

10
20
10
20
10
15
15
15
15
Mentiuni
sublista
Cod
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
1.A
postexpunere
1J02ACO V
05-07-2010
19.08
14.12
2.725714
2.725714
2.725714
1.A
postexpunere
1J02ACO V
05-07-2010
56.41
43.13
56.410000
56.410000
56.410000
1.A
postexpunere
1J02ACP V
05-07-2010
162.21
132.87
162.210000
162.210000
162.210000
1.A
postexpunere
1J02ACP V
05-07-2010
40.44
30.92
40.440000
40.440000
40.440000
1.A
postexpunere
1J02ACP V
05-07-2010
45.72
34.95
45.720000
45.720000
45.720000
1.A
postexpunere
1J02ACP V
05-07-2010
39.86
30.47
39.860000
39.860000
39.860000
1.A
postexpunere
1J02ACP V
05-07-2010
55.66
42.55
55.660000
55.660000
55.660000
1.A
postexpunere
1J02ACP V
05-07-2010
167.39
137.11
167.390000
167.390000
167.390000
1.A
postexpunere
1J02ACP V
05-07-2010
53.01
40.53
53.010000
53.010000
53.010000
1.A
postexpunere
1J02ACP V
05-07-2010
222.76
182.47
22.276000
22.276000
22.276000
1.A
postexpunere
1J02ACP V
05-07-2010
432.48
361.77
21.624000
21.624000
21.624000
1.A
postexpunere
1J02ACP V
05-07-2010
532.57
453.60
53.257000
53.257000
53.257000
1.A
postexpunere
1J02ACP V
05-07-2010
904.25
794.59
45.212500
45.212500
45.212500
1.A
postexpunere
1J02ACP V
05-07-2010
876.27
768.92
87.627000
87.627000
87.627000
1.A
postexpunere
1J02ACO V
05-07-2010
76.74
60.69
5.116000
5.116000
5.116000
1.A
postexpunere
1J02ACO V
05-07-2010
52.44
40.09
3.496000
3.496000
3.496000
1.A
postexpunere
1J02ACO V
05-07-2010
124.00
98.07
8.266666
8.266666
8.266666
1.A
postexpunere
1J02ACO V
05-07-2010
52.44
40.09
3.496000
3.496000
3.496000
Valoare
compensare/UT
122 / 135
C2 W08947008 VFEND 200mg
C2 W08946008 VFEND 50mg
C2 W10489001 VFEND 200mg
C2 W52364001 ECALTA 100mg
C2 W05430001 MYCOBUTIN 150 mg
C2 W12816001 ISONIAZIDA 100 mg
C2 W07180002 IZONIAZIDA ANTIBIOTICE 300 mg
C2 W08112002 IZONIAZIDA 500 mg
C2 W07316002 PIRAZINAMIDA ANTIBIOTICE 500 mg
Substan activ
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
VORICONAZOLUM
VORICONAZOLUM
VORICONAZOLUM
VORICONAZOLUM
POSACONAZOLUM
CASPOFUNGINUM
CASPOFUNGINUM
ANIDULAFUNGINUM
RIFABUTINUM
ISONIAZIDUM
ISONIAZIDUM
ISONIAZIDUM
PYRAZINAMIDUM
PYRAZINAMIDUM
Form farmaceutic
CAPS.
CAPS.
CAPS.
CAPS.
COMPR. FILM.
COMPR. FILM.
SUSP. ORALA

PERF.

PERF.
PULB. + SOLV. PT. CONC. PT.

SOL. PERF.
CAPS.
COMPR.
COMPR.
SOL. INJ.
COMPR.
COMPR.
Concentraie
100mg
15
100mg
15
100mg
15
100mg
15
200mg
28
50mg
28
200mg
40mg/ml
40mg/ml
50mg
70mg
100mg
150mg
30
100mg
1500
300mg
1500
500mg/10ml
500mg
500mg
Cantitate Cod boli

100
1500
20
Mentiuni
sublista
Cod
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
1.A
postexpunere
1J02ACO V
05-07-2010
52.44
40.09
3.496000
3.496000
3.496000
1.A
postexpunere
1J02ACO V
05-07-2010
52.44
40.09
3.496000
3.496000
3.496000
1.A
postexpunere
1J02ACO V
05-07-2010
52.44
40.09
3.496000
3.496000
3.496000
1.A
postexpunere
1J02ACO V
05-07-2010
52.43
40.08
3.495333
3.495333
3.495333
1.A
postexpunere
MSP
2J02ACO V
05-07-2010
3,908.70
3,550.96
139.596428
139.596428
139.596428
1.A
postexpunere
MSP
2J02ACO V
05-07-2010
1,030.07
910.02
36.788214
36.788214
36.788214
1.A
postexpunere
MSP
2J02ACP V
05-07-2010
536.36
457.07
536.360000
536.360000
536.360000
1.A
postexpunere
MSP
2J02ACO V
05-07-2010
2,434.43
2,198.42
2,434.430000
2,434.430000
2,434.430000
1.A
postexpunere
MSP
2J02ACO V
05-07-2010
2,974.83
2,694.20
2,974.830000
2,974.830000
2,974.830000
1.A
postexpunere
MSP
9J02AX04P V
05-07-2010
1,345.76
1,199.64
1,345.760000
1,345.760000
1,345.760000
1.A
postexpunere
MSP
9J02AX04P V
05-07-2010
1,734.79
1,556.55
1,734.790000
1,734.790000
1,734.790000
1.A
postexpunere
9J02AX06P V
05-07-2010
1,692.26
1,517.53
1,692.260000
1,692.260000
1,692.260000
1.A
postexpunere
9J04AB04O V
05-07-2010
370.64
305.04
12.354666
12.354666
12.354666
1.A
postexpunere
9J04AC01O V
05-07-2010
113.56
89.81
0.075706
0.075706
0.075706
1.A
postexpunere
9J04AC01O V
05-07-2010
329.29
269.73
0.219526
0.219526
0.219526
1.A
postexpunere
9J04AC01P V
05-07-2010
82.96
65.61
0.829600
0.829600
0.829600
1.A
postexpunere
9J04AK01O V
05-07-2010
510.81
433.63
0.340540
0.340540
0.340540
1.A
postexpunere
9J04AK01O V
05-07-2010
9.11
6.74
0.455500
0.455500
0.455500
Valoare
compensare/UT
123 / 135
C2 W42943002 ETAMBUTOL 250 mg
C2 W14071002 SINERDOL ISO
C2 W08177003 LOVIR 200 mg
Substan activ
ETHAMBUTOLUM
ETHAMBUTOLUM
COMBINATII
(RIFAMPICINUM+IZONIAZIDUM)
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
Form farmaceutic
COMPR. FILM.
COMPR. FILM.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. DISP.
COMPR. DISP.
COMPR. DISP.
COMPR. FILM.
Concentraie
250mg
1500
400mg
1500
300mg+150mg
200mg
200mg
200mg
400mg
200mg
200mg
200mg
200mg
200mg
400mg
200mg
200mg
200mg
400mg
250mg
Cantitate Cod boli

1000
20
20
1000
10
20
20
20
20
20
10
20
10
20
35
Mentiuni
sublista
Cod
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
1.A
postexpunere
9J04AK02O V
05-07-2010
308.02
252.31
0.205346
0.205346
0.205346
1.A
postexpunere
9J04AK02O V
05-07-2010
467.93
394.29
0.311953
0.311953
0.311953
1.A
postexpunere
9J04AM02O V
05-07-2010
515.00
437.48
0.515000
0.515000
0.515000
1.A
postexpunere
1J05ABO V
05-07-2010
20.18
14.93
1.009000
1.009000
1.009000
1.A
postexpunere
1J05ABO V
05-07-2010
21.37
15.81
1.068500
1.068500
1.068500
1.A
postexpunere
1J05ABO V
05-07-2010
803.94
702.56
0.803940
0.803940
0.803940
1.A
postexpunere
1J05ABO V
05-07-2010
19.43
14.38
1.943000
1.943000
1.943000
1.A
postexpunere
1J05ABO V
05-07-2010
17.10
12.65
0.855000
0.855000
0.855000
1.A
postexpunere
1J05ABO V
05-07-2010
17.18
12.71
0.859000
0.859000
0.859000
1.A
postexpunere
1J05ABO V
05-07-2010
16.39
12.13
0.819500
0.819500
0.819500
1.A
postexpunere
1J05ABO V
05-07-2010
13.76
10.18
0.688000
0.688000
0.688000
1.A
postexpunere
1J05ABO V
05-07-2010
12.97
9.60
0.648500
0.648500
0.648500
1.A
postexpunere
1J05ABO V
05-07-2010
19.18
14.19
1.918000
1.918000
1.918000
1.A
postexpunere
1J05ABO V
05-07-2010
7.23
5.35
0.361500
0.361500
0.361500
1.A
postexpunere
1J05ABO V
05-07-2010
3.73
2.76
0.373000
0.373000
0.373000
1.A
postexpunere
1J05ABO V
05-07-2010
7.23
5.35
0.361500
0.361500
0.361500
1.A
postexpunere
1J05ABO V
05-07-2010
57.04
43.61
1.629714
1.629714
1.629714
1.A
postexpunere
9J05AB01P V
05-07-2010
282.31
231.25
56.462000
56.462000
56.462000
Valoare
compensare/UT
124 / 135
C2 W08062003 REBETOL 200 mg
C2 W53326004 COPEGUS 200mg
C2 W51337001 CYMEVENE
C2 W06049001 VALTREX 500 mg
C2 W51832001 VALCYTE (R) 450 mg
C2 W12651002 BRIVAL 125mg
C2 W05508001 INVIRASE 200mg
C2 W42514001 INVIRASE 500 mg
C2 W03593003 CRIXIVAN 200mg
C2 W03594003 CRIXIVAN 400mg
C2 W08690001 NORVIR 100 mg
C2 W12175001 VIRACEPT 250 mg
C2 W43277001 KALETRA 200mg/50mg
C2 W12825002 KALETRA 80mg/ml+20mg/ml
C2 W41772001 TELZIR 700mg
C2 W41773001 TELZIR 50mg/ml
C2 W14087002 REYATAZ 150 mg
C2 W53181001 REYATAZ 300 mg
Substan activ
RIBAVIRINUM
RIBAVIRINUM
GANCICLOVIRUM
VALACYCLOVIRUM
VALGANCICLOVIRUM
BRIVUDINUM
SAQUINAVIRUM
SAQUINAVIRUM
INDINAVIRUM
INDINAVIRUM
RITONAVIRUM
NELFINAVIRUM
LOPINAVIRUM+RITONAVIRUM
LOPINAVIRUM+RITONAVIRUM
FOSAMPRENAVIRUM
FOSAMPRENAVIRUM
ATAZANAVIRUM
ATAZANAVIRUM
Form farmaceutic
CAPS.
COMPR. FILM.
LIOF. PT. SOL. INJ.
COMPR. FILM.
COMPR. FILM.
COMPR.
CAPS.
COMPR. FILM.
CAPS.
CAPS.
CAPS. MOI
COMPR. FILM.
COMPR. FILM.
SOL. ORALA
COMPR. FILM.
SUSP. ORALA
CAPS.
CAPS.
Concentraie
200mg
Cantitate Cod boli

140
200mg
168
500mg
500mg
10
450mg
60
125mg
200mg
270
500mg
120
200mg
360
400mg
180
100mg
336
250mg
270
200mg/50mg
120
80mg/ml+20mg/m5
700mg
50mg/ml
150mg
300mg
60
60
30
Mentiuni
sublista
Cod
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
1.A
postexpunere
9J05AB04O V
05-07-2010
2,442.00
2,205.36
17.442857
17.442857
17.442857
1.A
postexpunere
9J05AB04O V
05-07-2010
2,655.02
2,400.79
15.803690
15.803690
15.803690
1.A
postexpunere
9J05AB06P V
05-07-2010
117.06
92.58
117.060000
117.060000
117.060000
1.A
postexpunere
1J05ABO V
05-07-2010
100.40
79.41
10.040000
10.040000
10.040000
1.A
postexpunere
MSP
9J05AB14O V
05-07-2010
5,326.56
4,851.75
88.776000
88.776000
88.776000
1.A
postexpunere
9J05AB15O V
05-07-2010
331.80
271.79
47.400000
47.400000
47.400000
1.A
postexpunere
9J05AE01O V
05-07-2010
1,148.13
1,018.33
4.252333
4.252333
4.252333
1.A
postexpunere
9J05AE01O V
05-07-2010
1,140.78
1,011.59
9.506500
9.506500
9.506500
1.A
postexpunere
9J05AE02O V
05-07-2010
204.08
167.17
0.566888
0.566888
0.566888
1.A
postexpunere
9J05AE02O V
05-07-2010
204.08
167.17
1.133777
1.133777
1.133777
1.A
postexpunere
MSP
9J05AE03O V
05-07-2010
1,234.74
1,097.79
3.674821
3.674821
3.674821
1.A
postexpunere
9J05AE04O V
05-07-2010
1,148.13
1,018.33
4.252333
4.252333
4.252333
1.A
postexpunere
MSP
9J05AE06O V
05-07-2010
1,739.62
1,560.98
14.496833
14.496833
14.496833
1.A
postexpunere
MSP
9J05AE06O V
05-07-2010
1,656.19
1,484.44
331.238000
331.238000
331.238000
1.A
postexpunere
MSP
9J05AE07O V
05-07-2010
1,364.45
1,216.79
22.740833
22.740833
22.740833
1.A
postexpunere
MSP
9J05AE07O V
05-07-2010
456.42
383.73
456.420000
456.420000
456.420000
1.A
postexpunere
9J05AE08O V
05-07-2010
1,756.25
1,576.24
29.270833
29.270833
29.270833
1.A
postexpunere
9J05AE08O V
05-07-2010
1,877.53
1,687.50
62.584333
62.584333
62.584333
Valoare
compensare/UT
125 / 135
C2 W51426001 APTIVUS 250mg
C2 W51827001 PREZISTA 300mg
C2 W06151002 RETROVIR (R)
C2 W10722001 VIDEX EC 125 mg
C2 W10723001 VIDEX EC 200 mg
C2 W10724001 VIDEX EC 250 mg
C2 W10725001 VIDEX EC 400 mg
C2 W12059001 ZERIT 15 mg
C2 W12058001 ZERIT 20 mg
C2 W12057001 ZERIT 30 mg
C2 W12056001 ZERIT 40 mg
C2 W07518002 ZEFFIX 100 mg
C2 W12820001 ZIAGEN 300 mg
Substan activ
TIPRANAVIRUM
DARUNAVIRUM
DARUNAVIRUM
DARUNAVIRUM
ZIDOVUDINUM
DIDANOSINUM
DIDANOSINUM
DIDANOSINUM
DIDANOSINUM
STAVUDINUM
STAVUDINUM
STAVUDINUM
STAVUDINUM
LAMIVUDINUM
LAMIVUDINUM
LAMIVUDINUM
LAMIVUDINUM
ABACAVIRUM
Form farmaceutic
CAPS. MOI
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
CAPS.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS.
CAPS.
CAPS.
CAPS.
COMPR. FILM.
COMPR. FILM.
SOL. ORALA
SOL. ORALA
COMPR. FILM.
Concentraie
250mg
300mg
400mg
600mg
100mg
125mg
200mg
250mg
400mg
15mg
20mg
30mg
40mg
100mg
150mg
10mg/ml
5mg/ml
300mg
Cantitate Cod boli

120
120
60
60
100
30
30
30
30
56
56
56
56
28
60
60
Mentiuni
sublista
Cod
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
1.A
postexpunere
MSP
9J05AE09O V
05-07-2010
3,267.28
2,962.50
27.227333
27.227333
27.227333
1.A
postexpunere
MSP
9J05AE10O V
05-07-2010
3,048.68
2,761.95
25.405666
25.405666
25.405666
1.A
postexpunere
MSP
9J05AE10O V
05-07-2010
2,229.60
2,010.50
37.160000
37.160000
37.160000
1.A
postexpunere
MSP
9J05AE10O V
05-07-2010
3,128.30
2,835.00
52.138333
52.138333
52.138333
1.A
postexpunere
9J05AF01O V
05-07-2010
82.76
65.45
0.827600
0.827600
0.827600
1.A
postexpunere
9J05AF02O V
05-07-2010
262.53
215.05
8.751000
8.751000
8.751000
1.A
postexpunere
9J05AF02O V
05-07-2010
411.80
342.80
13.726666
13.726666
13.726666
1.A
postexpunere
9J05AF02O V
05-07-2010
497.05
421.01
16.568333
16.568333
16.568333
1.A
postexpunere
9J05AF02O V
05-07-2010
752.76
655.60
25.092000
25.092000
25.092000
1.A
postexpunere
9J05AF04O V
05-07-2010
529.23
450.53
9.450535
9.450535
9.450535
1.A
postexpunere
9J05AF04O V
05-07-2010
546.32
466.21
9.755714
9.755714
9.755714
1.A
postexpunere
9J05AF04O V
05-07-2010
568.27
486.35
10.147678
10.147678
10.147678
1.A
postexpunere
9J05AF04O V
05-07-2010
584.87
501.58
10.444107
10.444107
10.444107
1.A
postexpunere
9J05AF05O V
05-07-2010
278.07
227.78
9.931071
9.931071
9.931071
1.A
postexpunere
9J05AF05O V
05-07-2010
397.36
329.55
6.622666
6.622666
6.622666
1.A
postexpunere
9J05AF05O V
05-07-2010
113.11
89.46
113.110000
113.110000
113.110000
1.A
postexpunere
9J05AF05O V
05-07-2010
126.68
103.77
126.680000
126.680000
126.680000
1.A
postexpunere
9J05AF06O V
05-07-2010
726.18
631.22
12.103000
12.103000
12.103000
Valoare
compensare/UT
126 / 135
C2 W07524001 ZIAGEN 20 mg/ml
C2 W51800001 VIREAD 245mg
C2 W51482001 EMTRIVA 200mg
C2 W04513001 VIRAMUNE 200mg
C2 W13091001 VIRAMUNE 50mg/ml
C2 W52677001 STOCRIN 50 mg
C2 W53549001 INTELENCE
C2 W02028001 COMBIVIR 150mg/300mg
C2 W42301001 KIVEXA
600mg/300mg
C2 W08336001 TRIZIVIR 300mg/150mg/300mg
C2 W13961001 FUZEON 90mg/ml
C2 W52764001 ISENTRESS 40mg
C2 W52349003 CELSENTRI 150mg
C2 W52350003 CELSENTRI 300mg
Substan activ
ABACAVIRUM
TENOFOVIRUM DISOPROXIL
FUMARATE
EMTRICITABINUM
NEVIRAPINUM
NEVIRAPINUM
EFAVIRENZUM
EFAVIRENZUM
EFAVIRENZUM
ETRAVIRINUM
ZIDOVUDINUM+LAMIVUDINUM
ABACAVIRUM+LAMIVUDINUM
Form farmaceutic
SOL. ORALA
COMPR. FILM.
CAPS.
COMPR.
SUSP. ORALA
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR.
COMPR. FILM.
COMPR. FILM.
ABACAVIRUM+LAMIVUDINUM+ZIDOVU
DINUM
COMPR. FILM.
ENFUVIRTIDUM
RALTEGRAVIRUM
MARAVIROCUM
MARAVIROCUM

ADM. INTRAVASCULARA

ADM. INTRAVASCULARA
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
SOL. PERF.
SOL. PERF.
Concentraie
20mg/ml
Cantitate Cod boli

245mg
30
200mg
30
200mg
60
50mg/5ml
50mg
30
600mg
30
600mg
30
100mg
120
150mg/300mg
600mg/300mg
60
30
300mg/150mg/30 60
90mg/ml
400 mg
150mg
300mg
5%
5%
60
60
60
60
Mentiuni
sublista
Cod
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
1.A
postexpunere
9J05AF06O V
05-07-2010
232.53
190.47
232.530000
232.530000
232.530000
1.A
postexpunere
9J05AF07O V
05-07-2010
1,231.17
1,094.51
41.039000
41.039000
41.039000
1.A
postexpunere
9J05AF09O V
05-07-2010
751.83
654.75
25.061000
25.061000
25.061000
1.A
postexpunere
9J05AG01O V
05-07-2010
718.03
623.74
11.967166
11.967166
11.967166
1.A
postexpunere
9J05AG01O V
05-07-2010
227.58
186.42
227.580000
227.580000
227.580000
1.A
postexpunere
9J05AG03O V
05-07-2010
16.24
12.02
0.541333
0.541333
0.541333
1.A
postexpunere
9J05AG03O V
05-07-2010
85.08
67.29
2.836000
2.836000
2.836000
1.A
postexpunere
9J05AG03O V
05-07-2010
85.08
67.29
2.836000
2.836000
2.836000
1.A
postexpunere
9J05AG04O V
05-07-2010
2,155.48
1,942.50
17.962333
17.962333
17.962333
1.A
postexpunere
MSP
9J05AR01O V
05-07-2010
771.81
673.08
12.863500
12.863500
12.863500
1.A
postexpunere
MSP
9J05AR02O V
05-07-2010
1,483.20
1,325.73
49.440000
49.440000
49.440000
1.A
postexpunere
MSP
9J05AR04O V
05-07-2010
1,381.51
1,232.44
23.025166
23.025166
23.025166
1.A
postexpunere
MSP
9J05AX07P V
05-07-2010
6,661.60
6,076.55
111.026666
111.026666
111.026666
1.A
postexpunere
9J05AX08O V
05-07-2010
3,823.25
3,472.56
63.720833
63.720833
63.720833
1.A
postexpunere
9J05AX09O V
05-07-2010
3,684.27
3,345.06
61.404500
61.404500
61.404500
1.A
postexpunere
9J05AX09O V
05-07-2010
3,684.27
3,345.06
61.404500
61.404500
61.404500
1.A
postexpunere
MSP
9J06BA02P V
05-07-2010
986.45
870.00
986.450000
986.450000
986.450000
1.A
postexpunere
MSP
9J06BA02P V
05-07-2010
1,902.05
1,710.00
1,902.050000
1,902.050000
1,902.050000
Valoare
compensare/UT
127 / 135
C2 W43965001 IG VENA 10g/200ml
C2 W43962001 IG VENA 1g/20ml
C2 W43963001 IG VENA 2,5g/50ml
C2 W43964001 IG VENA 5g/100ml
C2 W12216001 SYNAGIS 100 mg
C2 W12215001 SYNAGIS 50 mg
C2 W54015001 ELOQUINE 250 mg
Substan activ

ADM. INTRAVASCULARA

ADM. INTRAVASCULARA

ADM. INTRAVASCULARA

ADM. INTRAVASCULARA

ADM. INTRAVASCULARA

ADM. INTRAVASCULARA

ADM. INTRAVASCULARA

ADM. INTRAVASCULARA

ADM. INTRAVASCULARA

ADM. INTRAVASCULARA

ADM. INTRAVASCULARA
PALIVIZUMABUM
PALIVIZUMABUM
MEFLOQUINUM
Form farmaceutic
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. INJ.
SOL. INJ.
SOL. INJ./PERF.
SOL. INJ./PERF.
COMPR.
Concentraie
5%
5%
100mg/ml
100mg/ml
10g/200ml
1g/20ml
2,5g/50ml
50mg/ml
50mg/ml
50mg/ml
5g/100ml
100mg
50mg
30MU/0,5ml
48MU/0,5ml
300mcg/0,5ml
480mcg/0,8ml
250mg
Cantitate Cod boli

100
Mentiuni
sublista
Cod
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
1.A
postexpunere
MSP
9J06BA02P V
05-07-2010
528.65
450.00
528.650000
528.650000
528.650000
1.A
postexpunere
MSP
9J06BA02P V
05-07-2010
118.95
94.08
118.950000
118.950000
118.950000
1.A
postexpunere
MSP
9J06BA02P V
05-07-2010
544.52
464.56
544.520000
544.520000
544.520000
1.A
postexpunere
MSP
9J06BA02P V
05-07-2010
1,018.20
899.13
1,018.200000
1,018.200000
1,018.200000
1.A
postexpunere
MSP
9J06BA02P V
05-07-2010
2,265.63
2,043.56
2,265.630000
2,265.630000
2,265.630000
1.A
postexpunere
MSP
9J06BA02P V
05-07-2010
270.72
221.76
270.720000
270.720000
270.720000
1.A
postexpunere
MSP
9J06BA02P V
05-07-2010
619.82
533.64
619.820000
619.820000
619.820000
1.A
postexpunere
MSP
9J06BA02P V
05-07-2010
745.56
649.00
745.560000
745.560000
745.560000
1.A
postexpunere
MSP
9J06BA02P V
05-07-2010
2,508.09
2,266.00
2,508.090000
2,508.090000
2,508.090000
1.A
postexpunere
MSP
9J06BA02P V
05-07-2010
1,312.36
1,169.00
1,312.360000
1,312.360000
1,312.360000
1.A
postexpunere
MSP
9J06BA02P V
05-07-2010
1,168.26
1,036.80
1,168.260000
1,168.260000
1,168.260000
1.A
postexpunere
MSP
9J06BB16P V
05-07-2010
3,843.33
3,490.99
3,843.330000
3,843.330000
3,843.330000
1.A
postexpunere
MSP
9J06BB16P V
05-07-2010
2,342.54
2,114.12
2,342.540000
2,342.540000
2,342.540000
1.A
postexpunere
MSP
0L03AAP V
05-07-2010
325.26
266.43
325.260000
325.260000
325.260000
1.A
postexpunere
MSP
0L03AAP V
05-07-2010
512.98
435.62
512.980000
512.980000
512.980000
1.A
postexpunere
MSP
0L03AAP V
05-07-2010
260.83
213.65
260.830000
260.830000
260.830000
1.A
postexpunere
MSP
0L03AAP V
05-07-2010
425.24
355.13
425.240000
425.240000
425.240000
1.A
postexpunere
MS
9P01BC02O V
05-07-2010
171.22
140.25
1.712200
1.712200
1.712200
Valoare
compensare/UT
128 / 135
C2 W12757001 NETTACIN (R)
C2 W41510001 NETTACIN (R)
C2 W43512001 NETTAVISC 3mg/g
C2 W13215002 OKACIN
C2 W52997001 DEXAMETAZONA RPH 1mg/ml
C2 W52997002 DEXAMETAZONA RPH 1mg/ml
C2 W02427001 MAXIDEX (R)
Substan activ
NETILMICINUM
NETILMICINUM
NETILMICINUM
LOMEFLOXACINUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
Form farmaceutic
PIC. OFT., SOL
PICATURI OFT.-SOL.
UNG. OFT.
PICATURI OFT.-SOL.
PIC. OFT. SUSP.
PIC. OFT. SUSP.
PICATURI OFT.-SUSP.
Concentraie
0,3%
Cantitate Cod boli

0,3%
15
3mg/g
3mg/ml
1mg/ml
1mg/ml
0,1%
Mentiuni
sublista
Cod
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
1.A
postexpunere
9S01AA23F V
05-07-2010
14.14
10.46
14.140000
14.140000
14.140000
1.A
postexpunere
9S01AA23F V
05-07-2010
28.88
21.37
1.925333
1.925333
1.925333
1.A
postexpunere
9S01AA23F V
05-07-2010
32.42
23.99
32.420000
32.420000
32.420000
1.A
postexpunere
9S01AX17F V
05-07-2010
14.67
10.85
14.670000
14.670000
14.670000
1.A
postexpunere
1S01BAF V
05-07-2010
7.52
5.56
7.520000
7.520000
7.520000
1.A
postexpunere
1S01BAF V
05-07-2010
13.73
10.16
13.730000
13.730000
13.730000
1.A
postexpunere
1S01BAF V
05-07-2010
8.52
6.30
8.520000
8.520000
8.520000
9S03AAN2F V
05-07-2010
4.75
3.51
4.750000
4.750000
4.750000
9A11HA02O V
05-07-2010
1.85
1.37
0.092500
0.092500
0.092500
9A11HA02O V
05-07-2010
9.09
6.73
0.454500
0.454500
0.454500
9A11HA02P V
05-07-2010
10.31
7.63
2.062000
2.062000
2.062000
9A11HA02P V
05-07-2010
6.96
5.15
1.392000
1.392000
1.392000
9H02AB07O V
05-07-2010
2.00
1.48
0.100000
0.100000
0.100000
9H02AB07O V
05-07-2010
57.99
44.33
0.057990
0.057990
0.057990
9H02AB07O V
05-07-2010
2.62
1.94
0.087333
0.087333
0.087333
9H02AB07O V
05-07-2010
2.47
1.83
0.082333
0.082333
0.082333
9H02AB07O V
05-07-2010
2.53
1.87
0.084333
0.084333
0.084333
9H02AB07O V
05-07-2010
2.57
1.90
0.128500
0.128500
0.128500
0J01FAO V
05-07-2010
28.49
21.08
2.035000
2.035000
2.035000
0J01FAO V
05-07-2010
32.16
23.79
2.297142
2.297142
2.297142
0J01FAO V
05-07-2010
22.93
16.97
1.146500
1.146500
1.146500
0J01FAO V
05-07-2010
16.64
12.31
1.188571
1.188571
1.188571
0J01FAO V
05-07-2010
14.64
10.83
1.045714
1.045714
1.045714
0J01FAO V
05-07-2010
14.64
10.83
1.045714
1.045714
1.045714
0J01FAO V
05-07-2010
16.64
12.31
1.188571
1.188571
1.188571
0J01FAO V
05-07-2010
14.64
10.83
1.045714
1.045714
1.045714
0J01FAO V
05-07-2010
37.86
28.94
2.704285
2.704285
2.704285
0J01FAO V
05-07-2010
32.54
24.08
2.324285
2.324285
2.324285
0J01FAO V
05-07-2010
32.02
23.69
2.287142
2.287142
2.287142
0J01FAO V
05-07-2010
44.26
33.84
2.213000
2.213000
2.213000
0J01FAO V
05-07-2010
32.02
23.69
2.287142
2.287142
2.287142
0J01FAO V
05-07-2010
32.54
24.08
2.324285
2.324285
2.324285
0J01FAO V
05-07-2010
50.70
38.76
2.535000
2.535000
2.535000
0J01FAO V
05-07-2010
32.02
23.69
2.287142
2.287142
2.287142
C2 W51513001 NORFLOX
NORFLOXACINUM
PICATURI OFT./AURIC.-SOL.
0,3%
1.A
C2 W42822001 VITAMINA B6 250 mg
PYRIDOXINUM
COMPR.
250 mg
20
1.B
C2 W12536001 SICOVIT B6 250 mg
PYRIDOXINUM
COMPR.
250mg
20
1.B
C2 W42805001 SICOVIT B6 250 mg/5 ml
PYRIDOXINUM
SOL. INJ.
250mg/5ml
1.B
C2 W42806001 SICOVIT B6 50 mg/2ml
PYRIDOXINUM
SOL. INJ.
50mg/2ml
1.B
PREDNISONUM
COMPR.
5mg
20
1.B
PREDNISONUM
COMPR.
5mg
1000
1.B
PREDNISONUM
COMPR.
5mg
30
1.B
PREDNISONUM
COMPR.
5mg
30
1.B
PREDNISONUM
COMPR.
5mg
30
1.B
PREDNISONUM
COMPR.
5mg
20
1.B
C2 W01326002 KLACID (R)
CLARITHROMYCINUM
COMPR. FILM.
250mg
14
1.B
CLARITHROMYCINUM
COMPR. FILM.
250mg
14
1.B
C2 W51965001 CLAR 250
CLARITHROMYCINUM
COMPR. FILM.
250mg
20
1.B
C2 W14043001 KLERIMED (R) 250
CLARITHROMYCINUM
COMPR. FILM.
250mg
14
1.B
C2 W44093001 KLABAX 250 mg
CLARITHROMYCINUM
COMPR. FILM.
250mg
14
1.B
CLARITHROMYCINUM
COMPR. FILM.
250mg
14
1.B
CLARITHROMYCINUM
COMPR. FILM.
250mg
14
1.B
CLARITHROMYCINUM
COMPR. FILM.
250mg
14
1.B
CLARITHROMYCINUM
COMPR. FILM.
500mg
14
1.B
C2 W14044001 KLERIMED (R) 500
CLARITHROMYCINUM
COMPR. FILM.
500mg
14
1.B
C2 W44087001 KLABAX 500 mg
CLARITHROMYCINUM
COMPR. FILM.
500mg
14
1.B
C2 W51964001 CLAR 500
CLARITHROMYCINUM
COMPR. FILM.
500mg
20
1.B
CLARITHROMYCINUM
COMPR. FILM.
500mg
14
1.B
CLARITHROMYCINUM
COMPR. FILM.
500mg
14
1.B
C2 W54044001 ROCLARIN 500 mg
CLARITHROMYCINUM
COMPR. FILM.
500mg
20
1.B
CLARITHROMYCINUM
COMPR. FILM.
500mg
14
1.B
postexpunere
al bolnavilor de tuberculoza
Valoare
compensare/UT
129 / 135
Substan activ
Form farmaceutic
Concentraie
Cantitate Cod boli

CLARITHROMYCINUM
500mg
CLARITHROMYCINUM
500mg
C2 W44088001 KLABAX MR 500 mg
CLARITHROMYCINUM
500mg
C2 W13607002 KLACID SR
CLARITHROMYCINUM
500mg
C2 W41838002 FROMILID (R) UNO
CLARITHROMYCINUM
500mg
C2 W01327001 KLACID (R)
CLARITHROMYCINUM
125mg/5ml
C2 W01327002 KLACID (R)
CLARITHROMYCINUM
125mg/5ml
C2 W06981001 FROMILID (R) 125 mg/5 ml
CLARITHROMYCINUM
125mg/5ml
CLARITHROMYCINUM
125mg/5ml
C2 W44092002 KLABAX 125 mg/5 ml
CLARITHROMYCINUM
125mg/5ml
C2 W44092001 KLABAX 125 mg/5 ml
CLARITHROMYCINUM
125mg/5ml
CLARITHROMYCINUM
250mg/5ml
CLARITHROMYCINUM
250mg/5ml
C2 W44091002 KLABAX 250 mg/5 ml
CLARITHROMYCINUM
250mg/5ml
C2 W44091001 KLABAX 250 mg/5 ml
CLARITHROMYCINUM
250mg/5ml
C2 W01329001 KLACID I.V.
CLARITHROMYCINUM
500mg
C2 W14119005 STREVITAL 1 g
STREPTOMYCINUM
PULB. PT. SOL. INJ.
1g
100
STREPTOMYCINUM
PULB. PT. SOL. INJ.
1g
50
STREPTOMYCINUM
PULB. PT. SOL. INJ.
1g
10
C2 W55578001 STREPTOMYCIN SULPHATE 1g
STREPTOMYCINUM
PULB. PT. SOL. INJ.
1g
50
C2 W08827001 PAN - KANAMYCINE
KANAMYCINUM
PULB. PT. SOL. INJ.
1g
50
AMIKACINUM
SOL. INJ.
100mg/2ml
C2 W54314001 BIODACYNA
AMIKACINUM
SOL. INJ.
1g/4ml
C2 W54618001 ORLOBIN
AMIKACINUM
SOL. INJ.
1g/4ml
AMIKACINUM
SOL. INJ.
500mg/2ml
C2 W12904002 OFLOXACIN 200 mg
OFLOXACINUM
COMPR. FILM.
200mg
10
C2 W12404001 OFLOXIN 200
OFLOXACINUM
COMPR. FILM.
200mg
10
C2 W07914001 ZANOCIN
OFLOXACINUM
COMPR. FILM.
200mg
10
C2 W13598001 ZANOCIN (R) OD 400
OFLOXACINUM
400mg
C2 W13598002 ZANOCIN (R) OD 400
OFLOXACINUM
400mg
10
C2 W13553001 OFLOXIN (R) INF
OFLOXACINUM
SOL. PERF.
200mg/100ml
C2 W01291001 EUCIPRIN
CIPROFLOXACINUM
CAPS.
250mg
12
CIPROFLOXACINUM
COMPR
250mg
10
CIPROFLOXACINUM
COMPR
250mg
20
CIPROFLOXACINUM
COMPR. FILM.
100mg
10
CIPROFLOXACINUM
COMPR. FILM.
100mg
20
CIPROFLOXACINUM
COMPR. FILM.
250mg
10
CIPROFLOXACINUM
COMPR. FILM.
250mg
10
CIPROFLOXACINUM
COMPR. FILM.
250mg
10
CIPROFLOXACINUM
COMPR. FILM.
250mg
10
CIPROFLOXACINUM
COMPR. FILM.
250mg
20
CIPROFLOXACINUM
COMPR. FILM.
250mg
10
C2 W07862001 CIFRAN
CIPROFLOXACINUM
COMPR. FILM.
250mg
10
CIPROFLOXACINUM
COMPR. FILM.
250mg
10
CIPROFLOXACINUM
COMPR. FILM.
250mg
10
CIPROFLOXACINUM
COMPR. FILM.
250mg
10

1.B
1.B
1.B
1.B
1.B
1.B
1.B
1.B
1.B
1.B
1.B
1.B
1.B
1.B
1.B
1.B
1.B
1.B
1.B
1.B
1.B
1.B
1.B
1.B
1.B
1.B
1.B
1.B
1.B
1.B
1.B
1.B
1.B
1.B
1.B
1.B
1.B
1.B
1.B
1.B
1.B
1.B
1.B
1.B
1.B
1.B
Mentiuni
sublista
Cod
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
Valoare
compensare/UT
0J01FAO V
05-07-2010
18.34
13.57
3.668000
3.668000
3.668000
0J01FAO V
05-07-2010
25.67
18.99
3.667142
3.667142
3.667142
0J01FAO V
05-07-2010
35.12
26.85
5.017142
5.017142
5.017142
0J01FAO V
05-07-2010
36.34
27.78
7.268000
7.268000
7.268000
0J01FAO V
05-07-2010
28.03
20.74
4.004285
4.004285
4.004285
0J01FAO K
05-07-2010
39.05
29.85
39.050000
39.050000
39.050000
0J01FAO K
05-07-2010
24.42
18.07
24.420000
24.420000
24.420000
0J01FAO K
05-07-2010
23.24
17.19
23.240000
23.240000
23.240000
0J01FAO K
05-07-2010
26.15
19.35
26.150000
26.150000
26.150000
0J01FAO K
05-07-2010
31.53
23.33
31.530000
31.530000
31.530000
0J01FAO K
05-07-2010
18.91
13.99
18.910000
18.910000
18.910000
0J01FAO K
05-07-2010
61.39
46.93
61.390000
61.390000
61.390000
0J01FAO K
05-07-2010
44.75
34.21
44.750000
44.750000
44.750000
0J01FAO K
05-07-2010
50.97
38.97
50.970000
50.970000
50.970000
0J01FAO K
05-07-2010
31.60
23.38
31.600000
31.600000
31.600000
0J01FAP V
05-07-2010
53.67
41.03
53.670000
53.670000
53.670000
9J01GA01P V
05-07-2010
338.46
277.24
3.384600
3.384600
3.384600
9J01GA01P V
05-07-2010
170.17
139.39
3.403400
3.403400
3.403400
9J01GA01P V
05-07-2010
38.02
29.07
3.802000
3.802000
3.802000
9J01GA01P V
05-07-2010
71.23
56.33
1.424600
1.424600
1.424600
0J01GBP V
05-07-2010
102.32
80.92
2.046400
2.046400
2.046400
0J01GBP V
05-07-2010
3.54
2.62
3.540000
3.540000
3.540000
0J01GBP V
05-07-2010
12.77
9.45
12.770000
12.770000
12.770000
0J01GBP V
05-07-2010
12.45
9.21
12.450000
12.450000
12.450000
0J01GBP V
05-07-2010
6.95
5.14
6.950000
6.950000
6.950000
1J01MAO V
05-07-2010
48.34
36.96
4.834000
4.834000
4.834000
1J01MAO V
05-07-2010
19.97
14.78
1.997000
1.997000
1.997000
1J01MAO V
05-07-2010
11.33
8.38
1.133000
1.133000
1.133000
1J01MAO V
05-07-2010
27.38
20.26
5.476000
5.476000
5.476000
1J01MAO V
05-07-2010
50.38
38.52
5.038000
5.038000
5.038000
1J01MAP V
05-07-2010
20.23
14.97
20.230000
20.230000
20.230000
1J01MAO V
05-07-2010
8.01
5.93
0.667500
0.667500
0.667500
1J01MAO V
05-07-2010
6.55
4.85
0.655000
0.655000
0.655000
1J01MAO V
05-07-2010
12.28
9.09
0.614000
0.614000
0.614000
1J01MAO V
05-07-2010
37.23
28.46
3.723000
3.723000
3.723000
1J01MAO V
05-07-2010
65.47
51.78
3.273500
3.273500
3.273500
1J01MAO V
05-07-2010
6.81
5.04
0.681000
0.681000
0.681000
1J01MAO V
05-07-2010
6.81
5.04
0.681000
0.681000
0.681000
1J01MAO V
05-07-2010
6.81
5.04
0.681000
0.681000
0.681000
1J01MAO V
05-07-2010
6.81
5.04
0.681000
0.681000
0.681000
1J01MAO V
05-07-2010
12.26
9.07
0.613000
0.613000
0.613000
1J01MAO V
05-07-2010
7.86
5.82
0.786000
0.786000
0.786000
1J01MAO V
05-07-2010
6.92
5.12
0.692000
0.692000
0.692000
1J01MAO V
05-07-2010
4.75
3.51
0.475000
0.475000
0.475000
1J01MAO V
05-07-2010
6.09
4.51
0.609000
0.609000
0.609000
1J01MAO V
05-07-2010
4.75
3.51
0.475000
0.475000
0.475000
130 / 135
Substan activ
Form farmaceutic
Concentraie
Cantitate Cod boli

CIPROFLOXACINUM
COMPR. FILM.
250mg
10
CIPROFLOXACINUM
COMPR. FILM.
500mg
10
CIPROFLOXACINUM
COMPR. FILM.
500mg
10
CIPROFLOXACINUM
COMPR. FILM.
500mg
10
CIPROFLOXACINUM
COMPR. FILM.
500mg
10
C2 W13734001 CIPROZONE FORTE 500 mg
CIPROFLOXACINUM
COMPR. FILM.
500mg
10
CIPROFLOXACINUM
COMPR. FILM.
500mg
10
C2 W07863001 CIFRAN
CIPROFLOXACINUM
COMPR. FILM.
500mg
10
C2 W12545001 CIPRO QUIN (R)
CIPROFLOXACINUM
COMPR. FILM.
500mg
10
CIPROFLOXACINUM
COMPR. FILM.
500mg
10
C2 W52031001 CIPRODAR
CIPROFLOXACINUM
COMPR. FILM.
500mg
10
CIPROFLOXACINUM
COMPR. FILM.
500mg
10
CIPROFLOXACINUM
COMPR. FILM.
500mg
10
CIPROFLOXACINUM
COMPR. FILM.
500mg
10
CIPROFLOXACINUM
COMPR. FILM.
500mg
20
CIPROFLOXACINUM
COMPR. FILM.
500mg
10
CIPROFLOXACINUM
COMPR. FILM.
750mg
10
CIPROFLOXACINUM
COMPR. FILM.
750mg
10
CIPROFLOXACINUM
1000 mg
CIPROFLOXACINUM
500 mg
CIPROFLOXACINUM
100mg/10ml
50
CIPROFLOXACINUM
100mg/10ml
CIPROFLOXACINUM
SOL. PERF.
100mg/50ml
CIPROFLOXACINUM
SOL. PERF.
200mg/100ml
C2 W13653002 CIPROBAY (R) 400
CIPROFLOXACINUM
SOL. PERF.
2mg/ml
C2 W07480002 UFEXIL 2 mg/ ml
CIPROFLOXACINUM
SOL. PERF.
2mg/ml
10
CIPROFLOXACINUM
SOL. PERF.
2mg/ml
10
CIPROFLOXACINUM
SOL. PERF.
2mg/ml
10
CIPROFLOXACINUM
SOL. PERF.
400mg/200ml
C2 W42166002 AVELOX (R) 400 mg
MOXIFLOXACINUM
COMPR. FILM.
400mg
C2 W42098004 AVELOX (R) 400 mg/250 ml
MOXIFLOXACINUM
SOL. PERF.
400mg/250ml
C2 W08238001 HELPOCERIN
CICLOSERINUM
CAPS.
250mg
50
C2 W52079002 CICLOSERINA ANTIBIOTICE 250 mg
CICLOSERINUM
CAPS.
250mg
100
C2 W52079001 CICLOSERINA ANTIBIOTICE 250 mg
CICLOSERINUM
CAPS.
250mg
50
C2 W41998002 SINERDOL 150 mg
RIFAMPICINUM
CAPS.
150mg
1000
RIFAMPICINUM
CAPS.
150mg
20
RIFAMPICINUM
CAPS.
300mg
1000
RIFAMPICINUM
CAPS.
300mg
10
C2 W05430001 MYCOBUTIN 150 mg
RIFABUTINUM
CAPS.
150mg
30
C2 W54313001 HELPOMYCIN
CAPREOMYCINUM
SOL. INJ.
1g
C2 W12816001 ISONIAZIDA 100 mg
ISONIAZIDUM
COMPR.
100mg
1500
C2 W07180002 IZONIAZIDA ANTIBIOTICE 300 mg
ISONIAZIDUM
COMPR.
300mg
1500
C2 W08112002 IZONIAZIDA 500 mg
ISONIAZIDUM
SOL. INJ.
500mg/10ml
100
C2 W43002001 PROTIONAMIDA 250 mg
PROTIONAMIDUM
COMPR. FILM.
250mg
50
PYRAZINAMIDUM
COMPR.
500mg
1500
PYRAZINAMIDUM
COMPR.
500mg
20

1.B
1.B
1.B
1.B
1.B
1.B
1.B
1.B
1.B
1.B
1.B
1.B
1.B
1.B
1.B
1.B
1.B
1.B
1.B
1.B
1.B
1.B
1.B
1.B
1.B
1.B
1.B
1.B
1.B
1.B
1.B
1.B
1.B
1.B
1.B
1.B
1.B
1.B
1.B
1.B
1.B
1.B
1.B
1.B
1.B
1.B
Mentiuni
sublista
Cod
MS
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
Valoare
compensare/UT
1J01MAO V
05-07-2010
5.29
3.91
0.529000
0.529000
0.529000
1J01MAO V
05-07-2010
13.19
9.76
1.319000
1.319000
1.319000
1J01MAO V
05-07-2010
13.19
9.76
1.319000
1.319000
1.319000
1J01MAO V
05-07-2010
13.19
9.76
1.319000
1.319000
1.319000
1J01MAO V
05-07-2010
13.19
9.76
1.319000
1.319000
1.319000
1J01MAO V
05-07-2010
8.44
6.24
0.844000
0.844000
0.844000
1J01MAO V
05-07-2010
15.07
11.15
1.507000
1.507000
1.507000
1J01MAO V
05-07-2010
8.75
6.47
0.875000
0.875000
0.875000
1J01MAO V
05-07-2010
13.19
9.76
1.319000
1.319000
1.319000
1J01MAO V
05-07-2010
6.47
4.79
0.647000
0.647000
0.647000
1J01MAO V
05-07-2010
13.19
9.76
1.319000
1.319000
1.319000
1J01MAO V
05-07-2010
9.21
6.81
0.921000
0.921000
0.921000
1J01MAO V
05-07-2010
6.47
4.79
0.647000
0.647000
0.647000
1J01MAO V
05-07-2010
9.21
6.81
0.921000
0.921000
0.921000
1J01MAO V
05-07-2010
16.38
12.12
0.819000
0.819000
0.819000
1J01MAO V
05-07-2010
8.44
6.24
0.844000
0.844000
0.844000
1J01MAO V
05-07-2010
38.41
29.37
3.841000
3.841000
3.841000
1J01MAO V
05-07-2010
37.23
28.46
3.723000
3.723000
3.723000
1J01MAO V
05-07-2010
84.50
66.83
12.071428
12.071428
12.071428
1J01MAO V
05-07-2010
27.57
20.40
9.190000
9.190000
9.190000
1J01MAP V
05-07-2010
136.24
111.60
2.724800
2.724800
2.724800
1J01MAP V
05-07-2010
16.75
12.39
3.350000
3.350000
3.350000
1J01MAP V
05-07-2010
4.78
3.54
4.780000
4.780000
4.780000
1J01MAP V
05-07-2010
9.57
7.08
9.570000
9.570000
9.570000
1J01MAP V
05-07-2010
702.27
609.28
140.454000
140.454000
140.454000
1J01MAP V
05-07-2010
162.21
132.87
16.221000
16.221000
16.221000
1J01MAP V
05-07-2010
87.28
69.03
8.728000
8.728000
8.728000
1J01MAP V
05-07-2010
156.96
128.57
15.696000
15.696000
15.696000
1J01MAP V
05-07-2010
19.26
14.25
19.260000
19.260000
19.260000
1J01MAO V
05-07-2010
83.21
65.81
16.642000
16.642000
16.642000
1J01MAP V
05-07-2010
712.16
618.36
142.432000
142.432000
142.432000
9J04AB01O V
05-07-2010
231.86
189.92
4.637200
4.637200
4.637200
9J04AB01O V
05-07-2010
500.45
424.13
5.004500
5.004500
5.004500
9J04AB01O V
05-07-2010
267.33
218.98
5.346600
5.346600
5.346600
0J04ABO V
05-07-2010
199.16
163.14
0.199160
0.199160
0.199160
0J04ABO V
05-07-2010
5.61
4.15
0.280500
0.280500
0.280500
0J04ABO V
05-07-2010
513.14
435.77
0.513140
0.513140
0.513140
0J04ABO V
05-07-2010
6.47
4.79
0.647000
0.647000
0.647000
9J04AB04O V
05-07-2010
370.64
305.04
12.354666
12.354666
12.354666
9J04AB30P V
05-07-2010
49.43
37.79
49.430000
49.430000
49.430000
9J04AC01O V
05-07-2010
113.56
89.81
0.075706
0.075706
0.075706
9J04AC01O V
05-07-2010
329.29
269.73
0.219526
0.219526
0.219526
9J04AC01P V
05-07-2010
82.96
65.61
0.829600
0.829600
0.829600
9J04AD01O V
05-07-2010
39.98
30.57
0.799600
0.799600
0.799600
9J04AK01O V
05-07-2010
510.81
433.63
0.340540
0.340540
0.340540
9J04AK01O V
05-07-2010
9.11
6.74
0.455500
0.455500
0.455500
131 / 135
Substan activ
Form farmaceutic
Concentraie
Cantitate Cod boli

ETHAMBUTOLUM
COMPR. FILM.
250mg
1500
COMPR. FILM.
400mg
1500
C2 W14071002 SINERDOL ISO
ETHAMBUTOLUM
COMBINATII
(RIFAMPICINUM+IZONIAZIDUM)
CAPS.
300mg+150mg
1000
C2 W08867001 RELENZA 5 mg
ZANAMIVIRUM
PULB. UNIDOZA DE INHALAT
5mg
C2 W52316001 TAMIFLU 30mg
OSELTAMIVIRUM
CAPS.
30mg
10
C2 W52317001 TAMIFLU 45mg
OSELTAMIVIRUM
CAPS.
45mg
10
C2 W13633001 TAMIFLU 75 mg
OSELTAMIVIRUM
CAPS.
75mg
10
C2 W13634001 TAMIFLU 12 mg/ml
OSELTAMIVIRUM
12mg/ml
C2 W42705001 AVONEX 30 mcg BIO-SET
INTERFERONUM BETA 1A
30mcg (6 mil. UI) 4
C2 W08472003 REBIF 22 micrograme
SOL. INJ.
22mcg/0,5ml
12
SOL. INJ.
22mcg/0,5ml
SOL. INJ.
22mcg/0,5ml
SOL. INJ.
44mcg
12
C2 W52752007 BETAFERON 250mcg/ml
INTERFERONUM BETA 1-B
250mcg/ml
15
C2 W53186002 EXTAVIA 250 mcg/ ml
INTERFERONUM BETA 1-B
250mcg/ml
15
C2 W44044001 COPAXONE
GLATIRAMER ACETAT
SOL. INJ.
20mg/ml
28
C2 W51764001 TYSABRI 300mg
NATALIZUMABUM
20mg/ml
C2 W00513001 IMURAN (R)

C3 W02902002 NO - SPA 40 mg/2 ml
AZATHIOPRINUM
DROTAVERINUM
COMPR. FILM.
SOL. INJ.
50mg
40mg/2ml
100
25
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
ATROPINUM
BUTYLSCOPOLAMMONII BROMIDUM
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
NIFUROXAZIDUM
RETINOLUM
RETINOLUM
RETINOLUM
DIHYDROTACHYSTEROLUM
CALCITRIOLUM
COLECALCIFEROLUM
COLECALCIFEROLUM
COLECALCIFEROLUM
COLECALCIFEROLUM
COMBINATII
COMBINATII
THIAMINUM
BENFOTIAMINUM
BENFOTIAMINUM
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
ACIDUM ASCORBICUM
PYRIDOXINUM
PYRIDOXINUM
PYRIDOXINUM
PYRIDOXINUM
TOCOFEROLUM
CALCII GLUCONAS
CALCII GLUCONAS
METANDIENONUM
LEVOCARNITINUM
SOL. INJ.
SOL. INJ.
COMPR.
COMPR.
SOL. INJ.
SUPOZ.
SOL. INJ.
CAPS.
CAPS.
CAPS. MOI
PIC. ORALE, SOL.
PICATURI ORALE-SOL.
CAPS. MOI
COMPR.
COMPR.
PIC. ORALE, SOL.
PIC. ORALE, SOL.
COMPR.
COMPR.
SOL. INJ.
DRAJ.
DRAJ.
CAPS. MOI
CAPS. MOI
CAPS. MOI
DRAJ.
DRAJ.
DRAJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
COMPR. FILM.
COMPR. FILM.
SOL. INJ.
COMPR.
COMPR.
SOL. INJ.
SOL. INJ.
CAPS. MOI
SOL. INJ.
SOL. INJ.
COMPR.
SOL. ORALA
1mg/ml
5
10mg/ml
5
FARA CONCENT20
FARA CONCENT20
FARA CONCENT5
FARA CONCENT6
FARA CONCENT10
FARA CONCENT4
FARA CONCENT6
200mg
28
50000ui
24
50000ui
30
20mg/ml
1
1mg/ml
1
0,25mcg
100
1000UI
30
500UI
30
0,45mg/ml
1
0,5mg/ml
1
FARA CONCENT30
FARA CONCENT30
100mg/2ml
5
50mg
50
50mg
100
FARA CONCENT20
FARA CONCENT100
FARA CONCENT50
FARA CONCENT30
FARA CONCENT100
FARA CONCENT60
FARA CONCENT25
FARA CONCENT5
FARA CONCENT5
FARA CONCENT20
FARA CONCENT100
750mg
5
250 mg
20
250mg
20
250mg/5ml
5
50mg/2ml
5
400mg
24
10%
20
FARA CONCENT5
5mg
20
10%
10
W55031002
W42808001
W01509001
W43286001
W43285001
W01512001
W01529001
W12087001
W43272006
W04551001
W05420003
W10017002
W08876001
W02559001
W51334001
W01433001
W01434001
W53793001
W01432001
W01608001
W01609001
W42804001
W41932004
W41932003
W01610001
W01610003
W01610002
W42092001
W42092003
W42092002
W01611002
W01611001
W41647001
W12615001
W12615002
W52512001
W42822001
W12536001
W42805001
W42806001
W51342001
W43445001
W42794003
W04160001
W00874001
SULFAT DE ATROPINA ZENTIVA 1 mg/ml

SCOBUTIL 10 mg/ml
PIAFEN
ALGIFEN COMPRIMATE
ALGIFEN SOLUTIE INJECTABILA
PIAFEN
ASPATOFORT (R)
FORTRANS (R)
ENDOFALK
ERCEFURYL (R) 200 mg
VITAMIN A 50000 ui
VITAMINA A FORTE
VITAMINA A BIOFARM 20mg/ml
A.T. 10 (R)
ROCALTROL
VIGANTOLETTEN 1000
VIGANTOLETTEN 500
VITAMINA D3 BIOFARM 18000UI/ml
VIGANTOL OIL
FLUOR VIGANTOLETTEN 1000
FLUOR VIGANTOLETTEN 500
SICOVIT (R) B1 100 mg/2 ml
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) N
MILGAMMA (R) NA
NEUROMULTIVIT (R)
NEUROMULTIVIT (R)
VITAMINA C ARENA 750 mg
VITAMINA B6 250 mg
SICOVIT B6 250 mg
SICOVIT B6 250 mg/5 ml
SICOVIT B6 50 mg/2ml
VITAMINA E 400 mg
GLUCONAT DE CALCIU 10%
GLUCONAT DE CALCIU
NAPOSIM 5 mg
MIOCOR

1.B
1.B
1.B
Subprogramul de
supraveghere si control al
bolilor transmisibile prioritare
1.C
prev-trat gripei
Subprogramul de
1.C
prev-trat gripei
Subprogramul de
prev-trat gripei
1.C
Subprogramul de
1.C
prev-trat gripei
Subprogramul de
prev-trat gripei
1.C
4.A
al sclerozei multiple
4.A
4.A
4.A
4.A
4.A
4.A
4.A
4.A
4.A
Mentiuni
sublista
Cod
Grupa
terapeutica RO

Pre de
Valabil de la /amb
/amb
Valoare
compensare/UT
9J04AK02O V
05-07-2010
308.02
252.31
0.205346
0.205346
0.205346
9J04AK02O V
05-07-2010
467.93
394.29
0.311953
0.311953
0.311953
9J04AM02O V
05-07-2010
515.00
437.48
0.515000
0.515000
0.515000
9J05AH01Inh V 05-07-2010
75.17
59.45
15.034000
15.034000
15.034000
9J05AH02O V
05-07-2010
49.51
37.85
4.951000
4.951000
4.951000
9J05AH02O V
05-07-2010
84.94
67.18
8.494000
8.494000
8.494000
9J05AH02O V
05-07-2010
75.88
60.01
7.588000
7.588000
7.588000
9J05AH02O K
05-07-2010
75.88
60.01
75.880000
75.880000
75.880000
CNAS 9L03AB07P V
05-07-2010
3,393.24
3,078.06
848.310000
848.310000
848.310000
CNAS 9L03AB07P V
05-07-2010
2,571.68
2,324.34
214.306666
214.306666
214.306666
CNAS 9L03AB07P V
05-07-2010
702.28
609.29
234.093333
234.093333
234.093333
CNAS 9L03AB07P V
05-07-2010
260.68
213.53
260.680000
260.680000
260.680000
CNAS 9L03AB07P V
05-07-2010
4,587.54
4,173.75
382.295000
382.295000
382.295000
CNAS 9L03AB08P V
05-07-2010
3,628.04
3,293.47
241.869333
241.869333
241.869333
CNAS 9L03AB08P V
05-07-2010
3,850.96
3,497.99
256.730666
256.730666
256.730666
CNAS 9L03AX13P V
05-07-2010
3,390.90
3,075.91
121.103571
121.103571
121.103571
CNAS 9L04AA23P V
05-07-2010
7,598.06
6,935.69
7,598.060000
7,598.060000
7,598.060000
0L04AXO V
0A03ADP V
05-07-2010
05-07-2010
80.72
24.44
63.84
18.08
0.807200
0.977600
0.807200
0.977600
0.807200
0.977600
9A03BA01P V
9A03BB01P V
9A03DA02O V
9A03DA02O V
9A03DA02P V
9A03DA02R V
9A05BAN3P V
0A06ADO V
0A06ADO V
9A07AX03O V
9A11CA01O V
9A11CA01O V
9A11CA01O V
1A11CCO K
1A11CCO V
1A11CCO K
1A11CCO K
1A11CCO K
1A11CCO K
9A11CC20O V
9A11CC20O V
0A11DAP V
0A11DAO V
0A11DAO V
9A11DBN1O V
9A11DBN1O V
9A11DBN1O V
9A11DBN1O V
9A11DBN1O V
9A11DBN1O V
9A11DBN1P V
9A11DBN1P V
9A11DBN1P V
9A11DBN2O V
9A11DBN2O V
9A11GA01P V
9A11HA02O V
9A11HA02O V
9A11HA02P V
9A11HA02P V
9A11HA03O V
9A12AA03P V
9A12AA03P V
9A14AA03O V
9A16AA01O V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
2.99
3.34
3.54
6.01
10.17
2.23
20.23
38.66
45.82
11.37
1.68
5.50
2.47
25.93
76.80
8.26
6.69
5.04
6.35
8.00
6.43
6.96
28.66
52.03
20.23
84.15
46.78
49.74
138.75
89.74
83.35
18.47
20.49
11.14
44.36
25.24
1.85
9.09
10.31
6.96
9.34
16.83
15.89
5.08
18.27
2.21
2.47
2.62
4.45
7.52
1.65
14.97
29.56
35.03
8.41
1.24
4.07
1.83
19.18
60.74
6.11
4.95
3.73
4.70
5.92
4.76
5.15
21.20
39.78
14.97
66.55
35.76
38.03
113.65
70.97
65.92
13.67
15.16
8.24
33.91
18.67
1.37
6.73
7.63
5.15
6.91
12.45
11.76
3.76
13.52
0.598000
0.668000
0.177000
0.300500
2.034000
0.371666
2.023000
9.665000
7.636666
0.406071
0.070000
0.183333
2.470000
25.930000
0.768000
0.275333
0.223000
5.040000
6.350000
0.266666
0.214333
1.392000
0.573200
0.520300
1.011500
0.841500
0.935600
1.658000
1.387500
1.495666
3.334000
3.694000
4.098000
0.557000
0.443600
5.048000
0.092500
0.454500
2.062000
1.392000
0.389166
0.841500
3.178000
0.254000
1.827000
0.598000
0.668000
0.177000
0.300500
2.034000
0.371666
2.023000
7.636666
7.636666
0.406071
0.070000
0.070000
2.470000
25.930000
0.768000
0.275333
0.223000
5.040000
6.350000
0.266666
0.214333
1.392000
0.520300
0.520300
0.841500
0.841500
0.841500
1.387500
1.387500
1.387500
3.334000
3.334000
3.334000
0.443600
0.443600
5.048000
0.092500
0.092500
2.062000
1.392000
0.389166
0.841500
0.841500
0.254000
1.827000
0.598000
0.668000
0.177000
0.300500
2.034000
0.371666
2.023000
7.636666
7.636666
0.406071
0.070000
0.070000
2.470000
25.930000
0.768000
0.275333
0.223000
5.040000
6.350000
0.266666
0.214333
1.392000
0.520300
0.520300
0.841500
0.841500
0.841500
1.387500
1.387500
1.387500
3.334000
3.334000
3.334000
0.443600
0.443600
5.048000
0.092500
0.092500
2.062000
1.392000
0.389166
0.841500
0.841500
0.254000
1.827000
132 / 135
Denumire medicament
CARNIL (R)
ACTOVEGIN (R)
ACTOVEGIN (R)
ETAMSILAT 250mg/2ml
ADRENOSTAZIN
ASCOFER
ALOFER 80,5 mg
FER-SOL
FERRETAB (R)
FERRETAB (R)
FERRO SANOL GYN
TARDYFERON FOL (R)
MALTOFER FOL
FERRO - FOLGAMMA (R)
TOT'HEMA
SICOVIT B12 50mcg/ml
MILGAMMA (R) (vezi B03BA51)
ALPROSTADIL "PINT" 500 mcg
REDERGIN 1 mg/ml
CO-DERGOCRIN
SECATOXIN
HEMORZON
ULTRAPROCT (R)
ULTRAPROCT (R)
DOXIPROCT PLUS
DOXIPROCT
DOXILEK
GINKOR FORT
CELIPRES (R)
CELIPRES (R)
DISTONOVAL
DISTONOCALM (R)
NIMOTOP (R)
NIMOTOP (R)
NIASPAN 1000 mg
NIASPAN 1000 mg
NIASPAN 1000 mg
NIASPAN 1000 mg
NIASPAN 375 mg
NIASPAN 375 mg
NIASPAN 375 mg
NIASPAN 375 mg
NIASPAN 500 mg
NIASPAN 500 mg
NIASPAN 500 mg
NIASPAN 500 mg
NIASPAN 750 mg
NIASPAN 750 mg
NIASPAN 750 mg
NIASPAN 750 mg
TRAVOGEN
NIZORAL
KETOCONAZOL
KETOCONAZOL MK
KETOCONAZOL CREMA
KEFUNGIN 2mg/100mg
MYCOHEAL (R) HC
ASORIAN
AFLODERM
AFLODERM
AFLODERM
AFLODERM
FLUOCINOLON ACETONID 0,025%
ULTRALAN CREMA
ULTRALAN UNGUENT
NIDOFLOR
PANDERM
FLUOCINOLON G MK
FLUOCINOLON N
TRIAMCINOLON S
DIPROSALIC
BELOSALIC
DIPROSALIC
BELOSALIC
FLUOCINOLON D MK
RETIN - A (R)
ERYFLUID
ERYFLUID
ZINERYT
ELIDEL 1%
FLAGYL
DAFNEGIN
DAFNEGIN
COLPOSEPTINE (R)
TERGYNAN
DEPO-PROVERA
Substan activ
LEVOCARNITINUM
DIVERSE
DIVERSE
ETAMSYLATUM
CARBAZOCHROMI SALICYLAS
FERROSI GLUCONAS
FERROSI GLUCONAS
FERROCHOLINATUM
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
CYANOCOBALAMINUM
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
ALPROSTADILUM
CODERGOCRINUM
CODERGOCRINUM
CODERGOCRINUM
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
CALCII DOBESILAS
TROXERUTINUM (COMBINATII)
CELIPROLOLUM
CELIPROLOLUM
COMBINATII
COMBINATII
NIMODIPINUM
NIMODIPINUM
ACIDUM NICOTINICUM
ACIDUM NICOTINICUM
ACIDUM NICOTINICUM
ACIDUM NICOTINICUM
ACIDUM NICOTINICUM
ACIDUM NICOTINICUM
ACIDUM NICOTINICUM
ACIDUM NICOTINICUM
ACIDUM NICOTINICUM
ACIDUM NICOTINICUM
ACIDUM NICOTINICUM
ACIDUM NICOTINICUM
ACIDUM NICOTINICUM
ACIDUM NICOTINICUM
ACIDUM NICOTINICUM
ACIDUM NICOTINICUM
ISOCONAZOLUM
KETOCONAZOLUM
KETOCONAZOLUM
KETOCONAZOLUM
KETOCONAZOLUM
KETOCONAZOLUM
COMBINATII
COMBINATII
ALCLOMETAZONUM
ALCLOMETAZONUM
ALCLOMETAZONUM
ALCLOMETAZONUM
FLUOCINOLONI ACETONIDUM
FLUOCORTOLONUM
FLUOCORTOLONUM
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
TRETINOINUM
ERYTHROMYCINUM
ERYTHROMYCINUM
COMBINATII
PIMECROLIMUS
METRONIDAZOLUM
CICLOPIROXUM
CICLOPIROXUM
COMBINATII
COMBINATII
MEDROXYPROGESTERONUM
Form farmaceutic
SOL. ORALA
DRAJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
COMPR.
COMPR. EFF.
SOL. ORALA IN PICATURI
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS.
DRAJ. ELIB. PREL.
COMPR. MAST.
CAPS. MOI
CAPS. MOI
CAPS. MOI
SOL. ORALA
SOL. INJ.
DRAJ.
DRAJ.
DRAJ.
DRAJ.
DRAJ.
DRAJ.
PICATURI ORALE-SOL.
UNGUENT
SUPOZ.
UNGUENT RECTAL
UNGUENT RECTAL
UNGUENT RECTAL
CAPS.
CAPS.
COMPR. FILM.
COMPR. FILM.
COMPR.
COMPR. FILM.
COMPR. FILM.
SOL. PERF.
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. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
SOL. CUT.
CREMA
CREMA
UNGUENT
UNGUENT
UNGUENT
CREMA
UNGUENT
CREMA
UNGUENT
CREMA
UNGUENT
CREMA
SOL. CUT.
SOL. CUT.
UNGUENT
UNGUENT
CREMA
CREMA
SOL. CUT.
SOL. CUT.
PULB. + SOLV. SOL. CUT.
CREMA
OVULE
CREMA VAG.
OVULE
COMPR. VAG.
COMPR. VAG.
SUSP. INJ.
Cantitate Cod boli

Concentraie
100mg/ml
10
200mg
50
200mg/5ml
5
250mg/2ml
5
0,3mg/ml
5
FARA CONCENT20
80,5mg
1
24mg Fe/ml
1
FARA CONCENT100
FARA CONCENT30
FARA CONCENT50
FARA CONCENT30
FARA CONCENT30
FARA CONCENT100
FARA CONCENT50
FARA CONCENT20
FARA CONCENT20
50mcg/ml
5
FARA CONCENT100
FARA CONCENT20
FARA CONCENT50
FARA CONCENT100
FARA CONCENT20
FARA CONCENT50
500mcg
5
0,1%
1
0,1%
1
1mg/ml
1
FARA CONCENT1
FARA CONCENT10
FARA CONCENT1
FARA CONCENT1
FARA CONCENT1
500mg
30
FARA CONCENT30
100mg
10
200mg
10
FARA CONCENT20
FARA CONCENT30
30mg
100
10mg/50ml
5
1000mg
14
1000mg
28
1000mg
56
1000mg
98
375mg
14
375mg
28
375mg
56
375mg
98
500mg
14
500mg
28
500mg
56
500mg
98
750mg
14
750mg
28
750mg
56
750mg
98
10mg/1g
1
2%
1
2%
1
2%
1
20mg/g
1
2mg/100mg
1
FARA CONCENT1
FARA CONCENT1
0,5mg/g
1
0,5mg/g
1
0,5mg/g
1
0,5mg/g
1
0,025%
1
0,25%
1
0,25%
1
FARA CONCENT1
FARA CONCENT1
FARA CONCENT1
FARA CONCENT1
FARA CONCENT1
FARA CONCENT1
FARA CONCENT1
FARA CONCENT1
FARA CONCENT1
FARA CONCENT1
0,05%
1
4g/30ml
1
4g/30ml
1
40mg/12mg/ml 1
10mg
1
500mg
10
1%
1
100mg
6
FARA CONCENT18
FARA CONCENT10
150mg
1
Mentiuni
sublista
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
Cod
medicament
W00868001
W02623002
W02626001
W42869003
W00831001
W14063001
W54472001
W07956001
W01714004
W01714003
W43521001
W01713001
W51229001
W12102003
W12102002
W12102001
W13288001
W42807001
W01731003
W01731001
W01731002
W01731003
W01731001
W01731002
W53735001
W01424001
W42639001
W12093001
W01826001
W42464001
W42463001
W51234001
W54548001
W00727001
W03326001
W12740001
W12741001
W43183001
W52430002
W04561002
W04562003
W53490001
W53490002
W53490003
W53490004
W53491001
W53491002
W53491003
W53491004
W53492001
W53492002
W53492003
W53492004
W53493001
W53493002
W53493003
W53493004
W42461003
W03866001
W41982001
W52933001
W43457002
W43713001
W52019001
W01868001
W51495002
W51495001
W51498002
W51498001
W03176001
W03181001
W03182001
W01894001
W51640001
W52916001
W01911001
W13665001
W01926001
W51492001
W01927001
W51491001
W52917001
W44134001
W02981002
W02981001
W08482001
W53127001
W08847001
W51917002
W51916001
W01959001
W01963001
W04096001
MSP
Grupa
terapeutica RO
9A16AA01O V
9A16AXN1O V
9A16AXN1P V
9B02BX01P V
9B02BX02P V
3B03A5O V
3B03A5O V
9B03ABN1O K
9B03AD02O V
9B03AD02O V
9B03AD03O V
9B03AD03O V
9B03AD04O V
9B03AE01O V
9B03AE01O V
9B03AE01O V
9B03AE10O V
9B03BA01P V
9B03BA51O V
9B03BA51O V
9B03BA51O V
9B03BA51O V
9B03BA51O V
9B03BA51O V
9C01EA01P K
0C04AEO V
0C04AEO V
0C04AEO V
9C05AA01R V
9C05AA08R V
9C05AA08R V
9C05AD01R V
9C05AD01R V
9C05BX01O V
9C05CA54O V
0C07ABO V
0C07ABO V
9C07NAN1O V
9C07NAN1O V
9C08CA06O V
9C08CA06P V
0C10ADO V
0C10ADO V
0C10ADO V
0C10ADO V
0C10ADO V
0C10ADO V
0C10ADO V
0C10ADO V
0C10ADO V
0C10ADO V
0C10ADO V
0C10ADO V
0C10ADO V
0C10ADO V
0C10ADO V
0C10ADO V
1D01ACTD V
1D01ACTD V
1D01ACTD V
1D01ACTD V
1D01ACTD V
1D01ACTD V
9D01AC52TD V
9D05AXN1TD V
9D07AB10TD V
9D07AB10TD V
9D07AB10TD V
9D07AB10TD V
9D07AC04TD V
9D07AC05TD V
9D07AC05TD V
9D07CB01TD V
9D07CB01TD V
9D07CC02TD V
9D07CC02TD V
9D07XB02TD V
9D07XC01TD V
9D07XC01TD V
9D07XC01TD V
9D07XC01TD V
9D07XDN1TD V
9D10AD01TD V
9D10AF02TD V
9D10AF02TD V
9D10AF52TD V
9D11AX15TD V
9G01AF01V V
9G01AX12V V
9G01AX12V V
9G01AXN1V V
9G01BDN1V V
0G03ACP V

Pre de
Valoare
Valabil de la /amb
/amb
compensare/UT
05-07-2010
29.81
22.06
2.981000
1.827000
1.827000
05-07-2010
144.74
118.56
2.894800
2.894800
2.894800
05-07-2010
108.46
85.78
21.692000
21.692000
21.692000
05-07-2010
6.72
4.97
1.344000
1.344000
1.344000
05-07-2010
8.35
6.18
1.670000
1.670000
1.670000
05-07-2010
3.99
2.95
0.199500
0.199500
0.199500
05-07-2010
20.96
15.51
20.960000
20.960000
20.960000
05-07-2010
3.33
2.46
3.330000
3.330000
3.330000
05-07-2010
27.50
20.35
0.275000
0.275000
0.275000
05-07-2010
10.68
7.90
0.356000
0.275000
0.275000
05-07-2010
37.14
28.39
0.742800
0.742800
0.742800
05-07-2010
14.99
11.09
0.499666
0.499666
0.499666
05-07-2010
17.83
13.19
0.594333
0.594333
0.594333
05-07-2010
43.09
32.94
0.430900
0.430900
0.430900
05-07-2010
24.24
17.93
0.484800
0.430900
0.430900
05-07-2010
10.48
7.75
0.524000
0.430900
0.430900
05-07-2010
17.69
13.09
0.884500
0.884500
0.884500
05-07-2010
6.96
5.15
1.392000
1.392000
1.392000
05-07-2010
84.15
66.55
0.841500
0.841500
0.841500
05-07-2010
20.23
14.97
1.011500
0.841500
0.841500
05-07-2010
46.78
35.76
0.935600
0.841500
0.841500
05-07-2010
84.15
66.55
0.841500
0.841500
0.841500
05-07-2010
20.23
14.97
1.011500
0.841500
0.841500
05-07-2010
46.78
35.76
0.935600
0.841500
0.841500
05-07-2010
1,599.60
1,432.52
319.920000
319.920000
319.920000
05-07-2010
11.79
8.72
11.790000
2.190000
2.190000
05-07-2010
5.44
4.02
5.440000
2.190000
2.190000
05-07-2010
2.19
1.62
2.190000
2.190000
2.190000
05-07-2010
8.18
6.05
8.180000
8.180000
8.180000
05-07-2010
12.90
9.54
1.290000
1.290000
1.290000
05-07-2010
14.55
10.77
14.550000
14.550000
14.550000
05-07-2010
22.42
16.59
22.420000
22.260000
22.260000
05-07-2010
22.26
16.47
22.260000
22.260000
22.260000
05-07-2010
21.42
15.85
0.714000
0.714000
0.714000
05-07-2010
25.67
18.99
0.855666
0.855666
0.855666
05-07-2010
7.86
5.82
0.786000
0.786000
0.786000
05-07-2010
11.06
8.18
1.106000
1.106000
1.106000
05-07-2010
3.84
2.84
0.192000
0.192000
0.192000
05-07-2010
5.90
4.37
0.196666
0.196666
0.196666
05-07-2010
112.34
88.85
1.123400
1.123400
1.123400
05-07-2010
303.02
248.21
60.604000
60.604000
60.604000
05-07-2010
46.58
35.61
3.327142
2.945000
2.945000
05-07-2010
87.63
69.31
3.129642
2.945000
2.945000
05-07-2010
165.46
135.53
2.954642
2.945000
2.945000
05-07-2010
288.61
236.41
2.945000
2.945000
2.945000
05-07-2010
22.00
16.28
1.571428
1.278469
1.278469
05-07-2010
42.21
32.27
1.507500
1.278469
1.278469
05-07-2010
79.87
63.17
1.426250
1.278469
1.278469
05-07-2010
125.29
102.63
1.278469
1.278469
1.278469
05-07-2010
28.86
21.35
2.061428
1.769285
1.769285
05-07-2010
55.40
42.35
1.978571
1.769285
1.769285
05-07-2010
104.50
82.65
1.866071
1.769285
1.769285
05-07-2010
173.39
142.03
1.769285
1.769285
1.769285
05-07-2010
38.17
29.18
2.726428
2.362653
2.362653
05-07-2010
72.11
57.03
2.575357
2.362653
2.362653
05-07-2010
134.68
110.32
2.405000
2.362653
2.362653
05-07-2010
231.54
189.66
2.362653
2.362653
2.362653
05-07-2010
11.59
8.58
11.590000
11.590000
11.590000
05-07-2010
9.11
6.74
9.110000
5.920000
5.920000
05-07-2010
8.23
6.09
8.230000
5.920000
5.920000
05-07-2010
7.67
5.67
7.670000
5.920000
5.920000
05-07-2010
7.92
5.86
7.920000
5.920000
5.920000
05-07-2010
5.92
4.38
5.920000
5.920000
5.920000
05-07-2010
6.39
4.73
6.390000
6.390000
6.390000
05-07-2010
10.14
7.50
10.140000
10.140000
10.140000
05-07-2010
31.76
23.50
31.760000
20.630000
20.630000
05-07-2010
20.63
15.26
20.630000
20.630000
20.630000
05-07-2010
31.76
23.50
31.760000
20.630000
20.630000
05-07-2010
20.63
15.26
20.630000
20.630000
20.630000
05-07-2010
4.30
3.18
4.300000
4.300000
4.300000
05-07-2010
12.28
9.09
12.280000
12.280000
12.280000
05-07-2010
12.76
9.44
12.760000
12.760000
12.760000
05-07-2010
7.37
5.45
7.370000
7.370000
7.370000
05-07-2010
7.64
5.65
7.640000
7.640000
7.640000
05-07-2010
1.48
1.09
1.480000
1.480000
1.480000
05-07-2010
7.37
5.45
7.370000
7.370000
7.370000
05-07-2010
7.37
5.45
7.370000
7.370000
7.370000
05-07-2010
16.12
11.93
16.120000
16.120000
16.120000
05-07-2010
20.96
15.51
20.960000
16.120000
16.120000
05-07-2010
10.74
7.95
10.740000
10.740000
10.740000
05-07-2010
12.90
9.54
12.900000
10.740000
10.740000
05-07-2010
3.88
2.87
3.880000
3.880000
3.880000
05-07-2010
13.98
10.34
13.980000
13.980000
13.980000
05-07-2010
20.97
15.51
20.970000
8.070000
8.070000
05-07-2010
8.07
5.97
8.070000
8.070000
8.070000
05-07-2010
32.42
23.99
32.420000
32.420000
32.420000
05-07-2010
82.76
65.45
82.760000
82.760000
82.760000
05-07-2010
8.54
6.32
0.854000
0.854000
0.854000
05-07-2010
38.02
29.07
38.020000
38.020000
38.020000
05-07-2010
38.02
29.07
6.336666
6.336666
6.336666
05-07-2010
17.61
13.03
0.978333
0.978333
0.978333
05-07-2010
21.85
16.17
2.185000
2.185000
2.185000
05-07-2010
13.07
9.67
13.070000
13.070000
13.070000
133 / 135
Denumire medicament
LUTENYL (R)
PREGNYL 5000
MENOPUR
URALYT-U
NOVOTHYRAL (R) 100
Substan activ
NOMEGESTROLUM
GONADOTROPHINUM CHORIONICUM
MENOTROPINUM
COMBINATII
COMBINATII
Form farmaceutic
COMPR.
GRANULE
COMPR.
Cantitate Cod boli

Concentraie
5mg
10
5000ui/ml
3
FARA CONCENT10
FARA CONCENT1
100mcg+20mcg 100
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
W12804001
W51963001
W13605001
W13606001
W08487002
W52022001
W03308001
W03309002
W03309001
W08121001
W04510001
W04509001
W04511001
W52501001
W52501002
W08947008
W08946008
W41889001
W04988001
W12859003
W14016001
W02034002
W02034001
W13106001
W51634001
W12983001
W51502001
W55239001
W55239002
W55239003
W55239004
W55239005
W55239006
W55239007
W51633001
W51503001
W53014005
W43126001
W04449002
W04450002
W00167001
W08960003
W41953001
W01212002
W06820002
W54833001
W54832001
W42632002
W54834001
W13628001
W51721001
W51722001
W13992001
W41947003
W04151001
W42787003
W07474002
W07477002
W05938001
W51338001
W12208001
W42678001
W51326001
W42678002
W42679002
W42671001
W42679001
W42679003
W12614002
W43107002
W43108002
W43109002
W41829001
W41830001
W41831003
W41832003
W41833003
W53076003
W12633001
W52014001
W12632001
W12631001
W08612001
W13995002
W05035001
W42872003
SULPERAZON (R) 2 g
LYZOLIN
CEFROM (R) 1 g
CEFROM (R) 2 g
SULFAFURAZOL
ROXAMED (R) 150
GENTAMICIN KRKA
GENTAMICIN KRKA
GENTAMICIN KRKA
PAN - GENTAMICINE
NETROMYCINE (R)
NETROMYCINE (R)
NETROMYCINE (R)
COLISTINA ANTIBIOTICE 1000000 UI
COLISTINA ANTIBIOTICE 1000000 UI
VFEND 200mg
VFEND 50mg
VFEND 40 mg/ml
FENILBUTAZONA 250 mg
NEODOLPASSE
ACECLOFEN
ARTHROTEC 75
ARTHROTEC 75
PADUDEN (R) SR 300 mg
PROFINAL
REUPROFEN (R) 400 mg
IBUPROFEN 400
BRUFEN 400 mg
BRUFEN 400 mg
BRUFEN 400 mg
BRUFEN 400 mg
BRUFEN 400 mg
BRUFEN 400 mg
BRUFEN 400 mg
PROFINAL
IBUPROFEN 600
FASPIC 600
IBALGIN BABY
REUXEN 250 mg
REUXEN 500 mg
VIDAN
DYNASTAT 40mg
DYNASTAT 40mg
CLORZOXAZON 250 mg
CLORZOXAZONA 250 mg
MYDOCALM
MYDOCALM
TOLPERISON 50 mg
MYDOCALM
HYALGAN (R)
PARADOREN 500mg/30mg
PARADOREN 500mg/60mg
FASCONAL P
FASCOREM
NEVRALGIN
ALGOCALMIN (R) 1 g/2 ml
TRANXENE 10 mg
TRANXENE 5 mg
GRANDAXIN
DORMICUM (R)
DORMICUM (R) 7,5 mg
MIDAZOLAM TORREX 1 mg/ml
DORMICUM (R)
MIDAZOLAM 5 mg/ml
GERODORM (R)
CONCERTA 18 mg
CONCERTA 36 mg
CONCERTA 54 mg
STRATTERA 10 mg
STRATTERA 18 mg
STRATTERA 25 mg
STRATTERA 40 mg
STRATTERA 60 mg
STRATTERA 80 mg
ENCEPHABOL (R) 100 mg
PIRITINOL ARENA 100 mg
ENCEPHABOL (R) FORTE
ENCEPHABOL (R) SUSPENSIE
PIRACETAM 400 mg
PIRACETAM 400 mg
N - PIRACETAM
MEMOTAL 400mg
COMBINATII
(CEFOPERAZONUM+SULBACTAMUM)
CEFAZOLINUM
CEFPIROMUM
CEFPIROMUM
SULFAFURAZOLUM
ROXITHROMYCINUM
GENTAMICINUM
GENTAMICINUM
GENTAMICINUM
GENTAMICINUM
NETILMICINUM
NETILMICINUM
NETILMICINUM
COLISTINUM
COLISTINUM
VORICONAZOLUM
VORICONAZOLUM
VORICONAZOLUM
PHENYLBUTAZONUM
COMBINATII
COMBINATII
DICLOFENACUM+MISOPROSTOLUM
DICLOFENACUM+MISOPROSTOLUM
IBUPROFENUM
IBUPROFENUM
IBUPROFENUM
IBUPROFENUM
IBUPROFENUM
IBUPROFENUM
IBUPROFENUM
IBUPROFENUM
IBUPROFENUM
IBUPROFENUM
IBUPROFENUM
IBUPROFENUM
IBUPROFENUM
IBUPROFENUM
IBUPROFENUM
NAPROXENUM
NAPROXENUM
ACIDUM MEFENAMICUM
PARECOXIBUM
PARECOXIBUM
CHLORZOXAZONUM
CHLORZOXAZONUM
TOLPERISONUM
TOLPERISONUM
TOLPERISONUM
TOLPERISONUM
ACIDUM HIALURONICUM
COMBINATII
COMBINATII
COMBINATII
COMBINATII
METAMIZOLUM NATRIUM
METAMIZOLUM NATRIUM
CLORAZEPAT DIKALII
CLORAZEPAT DIKALII
TOFISOPAMUM
MIDAZOLAMUM
MIDAZOLAMUM
MIDAZOLAMUM
MIDAZOLAMUM
MIDAZOLAMUM
MIDAZOLAMUM
MIDAZOLAMUM
MIDAZOLAMUM
MIDAZOLAMUM
CINOLAZEPAMUM
METHYLFENIDATUM
METHYLFENIDATUM
METHYLFENIDATUM
ATOMOXETINUM
ATOMOXETINUM
ATOMOXETINUM
ATOMOXETINUM
ATOMOXETINUM
ATOMOXETINUM
PYRITINOLUM
PYRITINOLUM
PYRITINOLUM
PYRITINOLUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PULB. PT. SOL. INJ.

PULB. PT. SOL. INJ.
COMPR.
COMPR. FILM.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL.INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
COMPR. FILM.
COMPR. FILM.
SUPOZ.
SOL. PERF.
SUPOZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
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.
GRAN. PT. SOL. ORALA
SUSP. ORALA
COMPR.
COMPR.
COMPR. FILM.
PULB. PT. SOL. INJ.
COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.
DRAJ.
SOL. INJ.
SOL. INJ.
COMPR.
COMPR.
COMPR.
COMPR.
PIC. ORALE, SOL.
SOL. INJ.
CAPS.
CAPS.
COMPR.
COMPR. FILM.
COMPR. FILM.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
COMPR.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
DRAJ.
DRAJ.
DRAJ.
SUSP. ORALA
COMPR.
COMPR.
COMPR.
COMPR.
FARA CONCENT1
1g
1
1g
1
2g
1
500mg
20
150mg
10
40mg/ml
10
80mg/2ml
50
80mg/2ml
10
80mg/2ml
10
150mg/1,5ml
1
200mg/2ml
1
50mg/2ml
1
1000000ui
100
1000000ui
50
200mg
28
50mg
28
40mg/ml
1
250mg
10
FARA CONCENT10
FARA CONCENT6
75mg+0,200mg 20
75mg+0,200mg 10
300mg
10
400mg
24
400mg
30
400mg
20
400mg
20
400mg
30
400mg
60
400mg
20
400mg
30
400mg
60
400mg
100
600mg
20
600mg
20
600mg
30
100mg/5ml
1
250mg
20
500mg
20
500mg
24
40mg
5
40mg
10
250mg
20
250mg
30
150mg
30
50mg
30
50mg
30
100mg/ml
5
20mg/2ml
1
30mg+500mg
20
60mg+500mg
20
FARA CONCENT20
FARA CONCENT20
500mg/ml
1
1g/2ml
5
10mg
30
5mg
30
50mg
20
7,5mg
10
7,5mg
10
1mg/ml
10
1mg/ml
10
1mg/ml
10
5mg/ml
10
5mg/ml
10
5mg/ml
10
5mg/ml
10
40mg
30
18mg
30
36mg
30
54mg
30
10mg
7
18mg
7
25mg
28
40mg
28
60mg
28
80mg
28
100mg
50
100mg
30
200mg
50
80,5mg/5ml
1
400 mg
20
400mg
20
400mg
40
400mg
20
Mentiuni
sublista
C3
C3
C3
C3
C3
Cod
medicament
W13158001
W13497003
W53997001
W51620001
W10690001
MSP
MSP
MSP
CJAS
CJAS
CJAS
CJAS
CJAS
CJAS
CJAS
CJAS
CJAS
Grupa
terapeutica RO
9G03DB04O V
9G03GA01P V
9G03GA02P V
9G04BCN1O V
9H03AA03O V

Pre de
Valoare
Valabil de la /amb
/amb
compensare/UT
05-07-2010
31.43
23.25
3.143000
3.143000
3.143000
05-07-2010
42.66
32.61
14.220000
14.220000
14.220000
05-07-2010
835.13
731.17
83.513000
83.513000
83.513000
05-07-2010
56.80
43.43
56.800000
56.800000
56.800000
05-07-2010
28.88
21.37
0.288800
0.288800
0.288800
9J01CR50P V
0J01DBP V
9J01DE02P V
9J01DE02P V
9J01EB05O V
0J01FAO V
0J01GBP V
0J01GBP V
0J01GBP V
0J01GBP V
0J01GBP V
0J01GBP V
0J01GBP V
9J01XB01P V
9J01XB01P V
2J02ACO V
2J02ACO V
2J02ACO V
9M01AA01R V
9M01AB55P V
9M01AB55R V
9M01AB55O V
9M01AB55O V
1M01A5O V
1M01A5O V
1M01A5O V
1M01A5O V
1M01A5O V
1M01A5O V
1M01A5O V
1M01A5O V
1M01A5O V
1M01A5O V
1M01A5O V
1M01A5O V
1M01A5O V
1M01A5O V
9M01AE01O K
1M01A5O V
1M01A5O V
9M01AG01O V
0M01AHP V
0M01AHP V
1M03B5O V
1M03B5O V
1M03B5O V
1M03B5O V
1M03B5O V
1M03B5P V
9M09AX01P V
9N02AA59O V
9N02AA59O V
9N02BA71O V
9N02BA71O V
9N02BB02O K
9N02BB02P V
0N05BAO V
0N05BAO V
0N05BAO V
0N05CDO V
0N05CDO V
0N05CDP V
0N05CDP V
0N05CDP V
0N05CDP V
0N05CDP V
0N05CDP V
0N05CDP V
0N05CDO V
9N06BA04O V
9N06BA04O V
9N06BA04O V
9N06BA09O V
9N06BA09O V
9N06BA09O V
9N06BA09O V
9N06BA09O V
9N06BA09O V
9N06BX02O V
9N06BX02O V
9N06BX02O V
9N06BX02O K
9N06BX03O V
9N06BX03O V
9N06BX03O V
9N06BX03O V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
37.49
3.44
75.59
126.97
4.87
15.19
7.12
41.38
9.57
6.75
19.11
24.21
7.58
1,785.06
927.96
3,908.70
1,030.07
2,434.43
5.55
218.59
4.59
28.49
16.61
13.98
6.06
7.57
2.85
10.22
9.17
18.34
10.22
9.17
18.34
30.55
13.30
4.90
25.55
9.86
9.26
16.73
9.97
146.88
289.65
4.42
3.85
14.55
7.27
5.25
6.87
143.08
12.71
19.78
4.62
4.62
6.19
5.90
6.30
5.76
5.35
5.56
10.54
23.84
29.08
32.98
63.90
32.77
32.98
195.59
22.99
191.98
228.69
296.16
103.09
103.09
387.33
387.33
387.33
554.67
33.27
17.97
60.52
40.50
2.34
2.34
4.02
8.32
28.66
2.55
59.78
104.01
3.60
11.24
5.27
31.64
7.08
4.99
14.14
17.91
5.61
1,602.67
816.34
3,550.96
910.02
2,198.42
4.11
179.05
3.40
21.08
12.29
10.34
4.48
5.60
2.11
7.56
6.78
13.57
7.56
6.78
13.57
22.60
9.84
3.63
18.90
7.30
6.85
12.38
7.38
120.31
237.26
3.27
2.85
10.77
5.38
3.88
5.08
117.20
9.40
14.63
3.42
3.42
4.58
4.37
4.66
4.26
3.96
4.11
7.80
17.64
21.52
25.21
50.54
25.05
25.21
160.21
17.01
157.26
187.33
242.59
81.53
81.53
320.35
320.35
320.35
473.87
24.62
13.30
46.27
30.96
1.73
1.73
2.97
6.16
37.490000
3.440000
75.590000
126.970000
0.243500
1.519000
0.712000
0.827600
0.957000
0.675000
19.110000
24.210000
7.580000
17.850600
18.559200
139.596428
36.788214
2,434.430000
0.555000
21.859000
0.765000
1.424500
1.661000
1.398000
0.252500
0.252333
0.142500
0.511000
0.305666
0.305666
0.511000
0.305666
0.305666
0.305500
0.665000
0.245000
0.851666
9.860000
0.463000
0.836500
0.415416
29.376000
28.965000
0.221000
0.128333
0.485000
0.242333
0.175000
1.374000
143.080000
0.635500
0.989000
0.231000
0.231000
6.190000
1.180000
0.210000
0.192000
0.267500
0.556000
1.054000
2.384000
2.908000
3.298000
6.390000
3.277000
3.298000
19.559000
0.766333
6.399333
7.623000
9.872000
14.727142
14.727142
13.833214
13.833214
13.833214
19.809642
0.665400
0.599000
1.210400
40.500000
0.117000
0.117000
0.100500
0.416000
37.490000
3.440000
75.590000
126.970000
0.243500
1.519000
0.712000
0.675000
0.675000
0.675000
19.110000
24.210000
7.580000
17.850600
17.850600
139.596428
36.788214
2,434.430000
0.555000
21.859000
0.765000
1.424500
1.424500
1.398000
0.142500
0.142500
0.142500
0.142500
0.142500
0.142500
0.142500
0.142500
0.142500
0.142500
0.245000
0.245000
0.851666
9.860000
0.463000
0.836500
0.415416
28.965000
28.965000
0.128333
0.128333
0.485000
0.242333
0.175000
1.374000
143.080000
0.635500
0.989000
0.231000
0.231000
6.190000
1.180000
0.210000
0.192000
0.267500
0.556000
0.556000
2.384000
2.908000
2.908000
6.390000
3.277000
3.277000
19.559000
0.766333
6.399333
7.623000
9.872000
14.727142
14.727142
13.833214
13.833214
13.833214
19.809642
0.599000
0.599000
1.210400
40.500000
0.097000
0.097000
0.097000
0.097000
37.490000
3.440000
75.590000
126.970000
0.243500
1.519000
0.712000
0.675000
0.675000
0.675000
19.110000
24.210000
7.580000
17.850600
17.850600
139.596428
36.788214
2,434.430000
0.555000
21.859000
0.765000
1.424500
1.424500
1.398000
0.142500
0.142500
0.142500
0.142500
0.142500
0.142500
0.142500
0.142500
0.142500
0.142500
0.245000
0.245000
0.851666
9.860000
0.463000
0.836500
0.415416
28.965000
28.965000
0.128333
0.128333
0.485000
0.242333
0.175000
1.374000
143.080000
0.635500
0.989000
0.231000
0.231000
6.190000
1.180000
0.210000
0.192000
0.267500
0.556000
0.556000
2.384000
2.908000
2.908000
6.390000
3.277000
3.277000
19.559000
0.766333
6.399333
7.623000
9.872000
14.727142
14.727142
13.833214
13.833214
13.833214
19.809642
0.599000
0.599000
1.210400
40.500000
0.097000
0.097000
0.097000
0.097000
134 / 135
C3
C3
C3
C3
C3
C3
W07920002
W02941002
W02944001
W06666001
W53020001
W00851001
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
W08110001
W00848001
W07656001
W51720001
W52326001
W07330002
W13788001
W02375001
W12613002
W02376001
W52322001
W13141002
W04030002
W04030001
W52861001
W07959001
BIOPAROX
FUSAFUNGINUM
EFEDRINA ARENA
EPHEDRINI HYDROCHLORIDUM
EFEDRINA 50 mg/ ml
EPHEDRINI HYDROCHLORIDUM
ACC INJECT 300mg/3ml
ACETYLCYSTEINUM
FLUIMUCIL 2% PEDIATRIC
ACETYLCYSTEINUM
RHINATHIOL 2% pentru copii si sugari
CARBOCISTEINUM
HUMEX EXPECTORANT PENTRU COPII SI
SUGARI
CARBOCISTEINUM
MUCOTREIS
CARBOCISTEINUM
FLUIDOL 100mg/5ml
CARBOCISTEINUM
PROMETAZINA ARENA 30 mg
PROMETHAZINUM
ROMERGAN
PROMETHAZINUM
PRIMALAN (R) 10 mg
MEQUITAZINUM
EMETOSTOP
MECLOZINUM
PERITOL
CYPROHEPTADINUM
CIPROHEPTADINA 4 mg
CYPROHEPTADINUM
PERITOL
CYPROHEPTADINUM
BIOHEPT
CYPROHEPTADINUM
SYMPHORAL (R) 1 mg/ml
LORATADINUM
CLARITINE
LORATADINUM
CLARITINE
LORATADINUM
LORATADINA BIOFARM 5mg/5ml
LORATADINUM
FLONIDAN
LORATADINUM
C3
C3
C3
C3
W13143001
W10664001
W41624001
W14015001
SIFICETINA
FUCITHALMIC 10mg/g
KANAMICINA SULFAT 1%
ANTIBIOPTAL
C3
C3
C3
C3
C3
C3
W02211001
W03187001
W03186001
W02417001
W03615001
W06816001
Denumire medicament
PIRACETAM SLAVIA 400 mg
PIRACETAM LAROPHARM 400 mg
PIRACETAM
PIRACETAM FARMEX 400 mg
PIRACETAM MCC 400mg
PIRACETAM SINTOFARM 400 mg
PIRACETAM SINTOFARM 400 mg
LUCETAM (R) 1200 mg
NOOTROPIL (R) 1200 mg
PIRACETAM 400 mg
PIRACETAM LPH (R) 400 mg
LUCETAM
NEUROSTIM 400 mg
NOOTROPIL (R) 800 mg
PIRACETAM 800 mg
PIRACETAM LPH 800 mg
LUCETAM
NEUROSTIM 800 mg
NOOTROPIL
MEMOTAL1 g/5 ml
NOOTROPIL (R)
NOOTROPIL
CINARIZINA ARENA 25 mg
STUGERON 25 mg
CINARIZIN 25 mg
N-CINARIZINA
ATRICAN 250 mg
HELMINTOX (R) 125 mg
HELMINTOX (R) 250 mg
HELMINTOX (R)
UNGUENT CU SULF 8%
BENZOAT DE BENZIL MK
BENZOAT DE BENZIL MK
PIVALONE 1%
BIORINIL
CLARINASE (R)
COLBIOCIN
FLUMETOL S
FLUMETOL S UNGUENT OFTALMIC
PRENACID
INDOCOLLYRE (R) 0,1%
BRUXICAM 0,5%
SOLUTIE AURICULARA CU
C3 W10587001 CLORAMFENICOL SI FLUOCINOLON
Substan activ
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
SULFUR
BENZYLUM BENZOICUM
BENZYLUM BENZOICUM
TIXOCORTOLUM
COMBINATII
COMBINATII
Cantitate Cod boli

Concentraie
400mg
40
400mg
20
400mg
30
400mg
40
400mg
20
400mg
20
400mg
40
1200mg
20
1200mg
100
400mg
20
400mg
60
400mg
60
400mg
20
800mg
90
800mg
20
800mg
30
800mg
30
800mg
20
1g
12
1g/5ml
5
20%
1
12g
1
25mg
40
25mg
40
25mg
60
25mg
20
250mg
8
125mg
6
250mg
3
125mg/2,5ml
1
8%
1
25%
1
25%
1
1%
1
FARA CONCENT1
FARA CONCENT7
Mentiuni
sublista
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
C3
Cod
medicament
W05051001
W12318001
W07315002
W08467001
W05045001
W54455001
W54455002
W10559001
W12197004
W14066001
W42248001
W10675001
W07791002
W12196002
W14065001
W42451001
W10676001
W07792001
W05038001
W42904001
W42296001
W05040001
W08294002
W10590001
W13160002
W42400001
W05792001
W12742001
W13289001
W10556001
W14064001
W52931001
W52931002
W05924001
W02162001
W12751001
Grupa
terapeutica RO
9N06BX03O V
9N06BX03O V
9N06BX03O V
9N06BX03O V
9N06BX03O V
9N06BX03O V
9N06BX03O V
9N06BX03O V
9N06BX03O V
9N06BX03O V
9N06BX03O V
9N06BX03O V
9N06BX03O V
9N06BX03O V
9N06BX03O V
9N06BX03O V
9N06BX03O V
9N06BX03O V
9N06BX03P V
9N06BX03P V
9N06BX03O V
9N06BX03P V
9N07CA02O V
9N07CA02O V
9N07CA02O V
9N07CA02O V
9P01AX08O V
9P02CC01O V
9P02CC01O V
9P02CC01O V
9P03AAN1TD V
9P03AX01TD V
9P03AX01TD V
9R01AD07N K
9R01ADN1N V
9R01BA52O V

Pre de
Valoare
Valabil de la /amb
/amb
compensare/UT
05-07-2010
4.62
3.42
0.115500
0.097000
0.097000
05-07-2010
1.94
1.44
0.097000
0.097000
0.097000
05-07-2010
2.93
2.17
0.097666
0.097000
0.097000
05-07-2010
4.44
3.28
0.111000
0.097000
0.097000
05-07-2010
2.34
1.73
0.117000
0.097000
0.097000
05-07-2010
2.34
1.73
0.117000
0.097000
0.097000
05-07-2010
4.56
3.37
0.114000
0.097000
0.097000
05-07-2010
6.70
4.96
0.335000
0.335000
0.335000
05-07-2010
49.88
38.13
0.498800
0.335000
0.335000
05-07-2010
3.48
2.57
0.174000
0.105333
0.105333
05-07-2010
6.32
4.68
0.105333
0.105333
0.105333
05-07-2010
7.03
5.20
0.117166
0.105333
0.105333
05-07-2010
2.34
1.73
0.117000
0.105333
0.105333
05-07-2010
33.19
24.56
0.368777
0.198333
0.198333
05-07-2010
6.75
4.99
0.337500
0.198333
0.198333
05-07-2010
5.95
4.40
0.198333
0.198333
0.198333
05-07-2010
6.61
4.89
0.220333
0.198333
0.198333
05-07-2010
4.41
3.26
0.220500
0.198333
0.198333
05-07-2010
16.76
12.40
1.396666
1.396666
1.396666
05-07-2010
8.94
6.61
1.788000
1.396666
1.396666
05-07-2010
13.27
9.82
13.270000
13.270000
13.270000
05-07-2010
16.76
12.40
16.760000
16.760000
16.760000
05-07-2010
3.28
2.43
0.082000
0.082000
0.082000
05-07-2010
7.03
5.20
0.175750
0.072500
0.072500
05-07-2010
4.51
3.34
0.075166
0.072500
0.072500
05-07-2010
1.45
1.07
0.072500
0.072500
0.072500
05-07-2010
11.53
8.53
1.441250
1.441250
1.441250
05-07-2010
3.45
2.55
0.575000
0.575000
0.575000
05-07-2010
3.45
2.55
1.150000
1.150000
1.150000
05-07-2010
6.55
4.85
6.550000
6.550000
6.550000
05-07-2010
1.91
1.41
1.910000
1.910000
1.910000
05-07-2010
3.82
2.83
3.820000
3.820000
3.820000
05-07-2010
5.47
4.05
5.470000
3.820000
3.820000
05-07-2010
10.45
7.73
10.450000
10.450000
10.450000
05-07-2010
25.81
19.10
25.810000
25.810000
25.810000
05-07-2010
9.24
6.84
1.320000
1.320000
1.320000
1
30
5
5
1
1
9R02AB03Inh V
9R03CA02O V
9R03CA02P V
1R05CBP V
1R05CBO K
1R05CBO K
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
19.97
9.37
6.16
7.53
13.10
9.17
14.78
6.93
4.56
5.57
9.69
6.78
19.970000
0.312333
1.232000
1.506000
13.100000
9.170000
19.970000
0.312333
1.232000
1.506000
13.100000
8.000000
19.970000
0.312333
1.232000
1.506000
13.100000
8.000000
1
1
1
20
1
14
10
20
30
1
1
1
1
1
1
1
1R05CBO K
1R05CBO V
1R05CBO V
9R06AD02O V
9R06AD02O K
9R06AD07O V
9R06AE05O V
0R06AXO V
0R06AXO V
0R06AXO K
0R06AXO K
0R06AXO K
0R06AXO K
0R06AXO K
0R06AXO K
0R06AXO K
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
8.00
8.78
3.51
14.98
2.33
16.04
3.57
3.25
4.88
5.56
5.79
17.16
9.01
18.04
7.07
11.97
5.92
6.50
2.60
11.08
1.72
11.87
2.64
2.40
3.61
4.11
4.28
12.70
6.67
13.35
5.23
8.86
8.000000
8.780000
3.510000
0.749000
2.330000
1.145714
0.357000
0.162500
0.162666
5.560000
5.790000
17.160000
9.010000
18.040000
7.070000
11.970000
8.000000
8.000000
3.510000
0.749000
2.330000
1.145714
0.357000
0.162500
0.162500
5.560000
5.560000
7.070000
7.070000
7.070000
7.070000
11.970000
8.000000
8.000000
3.510000
0.749000
2.330000
1.145714
0.357000
0.162500
0.162500
5.560000
5.560000
7.070000
7.070000
7.070000
7.070000
11.970000
0,4%
1
10mg/g
1
1%
1
FARA CONCENT1
9S01AA01F V
9S01AA13F V
9S01AA24F V
9S01AA30F V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
12.60
14.93
6.38
13.10
9.32
11.05
4.72
9.69
12.600000
14.930000
6.380000
13.100000
12.600000
14.930000
6.380000
13.100000
12.600000
14.930000
6.380000
13.100000
PULB. + SOLV. PT. SOL. OFT.

PICATURI OFT.SUSP.
UNG. OFT.
PICATURI OFT.-SOL.
PICATURI OFT.-SOL.
PIC. OFT., SOL.
FARA CONCENT1
2mg/ml
1
1mg/g
1
0,25%
1
0,1%
1
0,5%
1
9S01AA30F V
1S01BAF V
1S01BAF V
9S01BA11F V
1S01BCF V
9S01BC06F V
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
05-07-2010
14.05
31.96
10.09
6.75
14.47
16.70
10.40
23.65
7.47
4.99
10.71
12.36
14.050000
31.960000
10.090000
6.750000
14.470000
16.700000
14.050000
31.960000
10.090000
6.750000
14.470000
16.700000
14.050000
31.960000
10.090000
6.750000
14.470000
16.700000
SOL. AURICULARA
FARA CONCENT1
9S02CA05F V
05-07-2010
2.84
2.10
2.840000
2.840000
2.840000
Form farmaceutic
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
SOL. INJ.
SOL. INJ.
SOL. ORALA
SOL. PERF.
CAPS.
COMPR.
COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.
SUSP. ORALA
UNGUENT
CREMA
CREMA
SUSP. NAZALA
SPRAY NAZ.,SUSP.
COMPR. ELIB. MODIF.
SPRAY BUCOFARINGIAN SI
NAZAL-SOL.
COMPR.
SOL. INJ.
SOL. INJ.
SOL. ORALA
SIROP
50mg/10ml
50mg
50mg/ml
300mg/3ml
2%
2%
SIROP
SIROP
SOL. ORALA
COMPR. FILM.
SIROP
COMPR.
COMPR.
COMPR.
COMPR.
SIROP
SIROP
SIROP
SIROP
SIROP
SIROP
SUSP. ORALA
100mg/5ml
20mg/ml
100mg/5ml
30mg
5mg/5ml
10mg
30mg
4mg
4mg
2mg/5ml
2mg/5ml
1mg/ml
1mg/ml
1mg/ml
5mg/5ml
5mg/5ml
CHLORAMPHENICOLUM
ACIDUM FUSIDICUM
KANAMYCINUM
COMBINATII
PULB. + SOLV. PT. SOL. OFT.

GEL OFT.
UNG. OFT.
PICATURI OFT.-SOL.
COMBINATII
FLUOROMETHOLONUM
FLUOROMETHOLONUM
DESONIDUM
INDOMETACINUM
PIROXICAMUM
COMBINATII
135 / 135

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