Ordin Modif OMS 1275

MINISTERUL SNTII
ORDIN
pentru modificarea Ordinului ministrului sntii nr. 1275/2011 privind aprobarea listelor i
preurilor de decontare ale medicamentelor care se acord bolnavilor n cadrul programelor
naionale de sntate i a metodologiei de calcul al acestora
Ministrul sntii
Vznd Referatul de aprobare al Direciei politica medicamentului nr. ................
Avnd n vedere:
- prevederile Legii nr. 95/2006 privind reforma n domeniul sntii, cu modificrile i
completrile ulterioare;
- prevederile Hotrrii Guvernului nr. 720/2008 pentru aprobarea Listei cuprinznd denumirile
comune internaionale corespunztoare medicamentelor de care beneficiaz asiguraii, cu sau fr
contribuie personal, pe baz de prescripie medical n sistemul asigurrilor sociale de sntate, cu
modificrile i completrile ulterioare;
- prevederile Ordinului nr. 245 din 16 martie 2012 pentru aprobarea preurilor la medicamentele de
uz uman cuprinse n Catalogul naional al preurilor medicamentelor de uz uman autorizate de
punere pe pia n Romnia;
n temeiul Hotrrii Guvernului nr. 144/2010 privind organizarea i funcionarea Ministerului
Sntii, cu modificrile i completrile ulterioare,
emite urmtorul ordin:
Art. I. Ordinul ministrului sntii nr. 1275/2011 privind aprobarea listelor i preurilor
de decontare ale medicamentelor care se acord bolnavilor n cadrul programelor naionale de
sntate i a metodologiei de calcul al acestora, publicat n Monitorul Oficial Partea I nr. 609 din 30
august 2011, cu modificrile i completrile utlerioare, se modific dup cum urmeaz:
1. Anexa nr. 2 la Ordinul ministrului sntii nr. 1275/2011, cu modificrile i completrile
ulterioare se nlocuiete cu Anexa la prezentul ordin.
Art. II. Prezentul ordin se public n Monitorul Oficial al Romniei, Partea I.
MINISTRU
RITLI LADISLAU
ANEXA 4
SECIUNEA C2 - LISTA MEDICAMENTELOR CU PROCENT DE COMPENSARE 100% din pret de decontare - conform denumirilor comune internaionale
corespunztoare medicamentelor de care beneficiaza asiguratii inclusi in programele nationale de sntate cu scop curativ in tratamentul ambulatoriu si spitalicesc
DIN HG NR. 720/2008 CU MODIFICARILE SI COMPLETARILE ULTERIOARE SI ORDINUL MS NR. 1275/2011 CU MODIFICARILE SI COMPLETARILE ULTERIOARE
VALABIL NCEPND CU 06 APRILIE 2012
Grupa
Nr.
terape
crt
utica
Denumire generica
Denumire comerciala
Forma
Concentrati
farmaceutic
e / U.T.
a
Firma
Tara
Ambalaj
Prescriptie
cant/
amba
laj
Pret cu
ridicata
maximal /
ambalaj
Pret cu ridicata
maximal / U.T.
Pret cu ridicata
maximal de
decontare / U.T.
Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj
P1: PROGRAMUL NATIONAL DE BOLI TRANSMISIBILE

A) SUBPROGRAMUL DE TRATAMENT SI MONITORIZARE A PERSOANELOR CU INFECTIE HIV/SIDA si TRATAMENTUL POSTEXPUNERE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
A07AA11
A07AA11
A07AA11
D01AC02
D01AC02
D01AC02
D06BB03
D06BB03
D06BB03
D06BB03
D06BB03
D06BB03
D06BB03
D06BB03
D06BB03
D06BB03
G01AF04
G01AF04
G01AF04
G01AF04
G01AF04
G01AF04
J01CF04
J01CF04
J01CF04
J01CF04
J01CF04
J01CF04
J01CF04
J01CF04
J01CF04
J01CF04
J01CF04
J01CF04
J01CF04
J01CF04
J01CF04
J01CF04
J01CF04
J01CR01
J01CR01
RIFAXIMINUM
RIFAXIMINUM
RIFAXIMINUM
MICONAZOLUM
MICONAZOLUM
MICONAZOLUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
MICONAZOLUM
MICONAZOLUM
MICONAZOLUM
MICONAZOLUM
MICONAZOLUM
MICONAZOLUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
AMPICILLINUM + SULBACTAM
AMPICILLINUM + SULBACTAM
NORMIX 200 mg
NORMIX 200 mg
NORMIX 100mg/5ml
MICONAZOL NITRAT 2%
MEDACTER
MICONAL ECOBI
ACICLOVIR MK
ACICLOVIR MK
CLOVIRAL (R) 5%
ZOVIRAX
ACICLOVIR 50mg/g
ACICLOVIR 50mg/g
ACICLOVIR TERAPIA 50 mg/g
ACICLOVIR TIS 50mg/g
ACICLOVIR SLAVIA 50 mg/g
ACICLOVIR HYPERION
GYNOZOL 200
GYNOZOL 400
MEDACTER
MICONAL ECOBI
MICONAL ECOBI
MICONAL ECOBI
OXACILINA ARENA 250 mg
OXACILINA 250 mg
OXACILINA 250 mg
OXACILINA FARMEX 250 mg
OXACILINA SANDOZ 250 mg
OXACILINA FORTE 500 mg
OXACILINA FORTE 500 mg
COMPR. FILM. 200mg

COMPR. FILM. 200mg
100mg/5ml
2%
2%
20mg/g
5%
5%
5%
5%
5%
5%
50mg/g
50mg/g
50mg/g
50mg/g
200mg
400mg
CREMA VAG. 2%
CREMA VAG. 20mg/g
OVULE
50mg
SOL. VAGINALA 2mg/ml
CAPS.
250mg
CAPS.
250mg
CAPS.
250mg
CAPS.
250mg
CAPS.
250mg
CAPS.
250mg
CAPS.
500mg
CAPS.
500mg
CAPS.
500mg
OXACILINA FORTE LPH 500 mg CAPS.
500mg
OXACILINA 500 mg
CAPS.
500mg
OXACILINA 500 mg
CAPS.
500mg
OXACILINA SANDOZ 500 mg CAPS.
500mg
OXACILINA ANTIBIOTICE 500 mg
500mg
OXACILINA ANTIBIOTICE 500 mg
500mg
OXACILINA ANTIBIOTICE 1 g
1g
OXACILINA ANTIBIOTICE 1 g
1g
AMPIPLUS (R) 1,5 g
PULB. PT. SOL. INJ. 1g+500mg
AMPIPLUS (R) 1,5 g
PULB. PT. SOL. INJ. 1g+500mg
ALFA WASSERMANN SPA

ALFA WASSERMANN SPA
ITALIA
ITALIA
ITALIA
CUTIE X 3 BLIST. AL/PVC A CATE 12 COMPR. FILM. P-RF
CUTIE X 1 BLIST. AL/PVC X 12 COMPR. FILM. P-RF
GRAN. PT. SUSP. ORALA
ALFA WASSERMANN SPA
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
CAPS. VAG.
CAPS. VAG.
SLAVIA PHARM SRL ROMANIA CUTIE X 1 TUB X 20 G

FARAN LABORATORIES S.A. GRECIA CUTIE X 1 TUB X 30G
FARMACEUTICI ECOBI S.A.S ITALIA
CUTIE X 1 TUB DIN AL X 30 G CREMA
FITERMAN PHARMA S.R.L. ROMANIA CUTIE X 1 TUB AL X 7,5 G
FITERMAN PHARMA S.R.L. ROMANIA CUTIE X 1 TUB AL X 15 G
ANTIBIOTICE SA
ROMANIA CUTIE X 1 TUB AL. X 12 G
THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 1 TUB X 5G CREMA
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 TUB X 5 G CREMA
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 TUB X 15 G CREMA
TERAPIA S.A.
ROMANIA CUTIE CU 1 TUB DIN AL X 15 G CREMA
PULB. PT. SOL. INJ./PERF. I.M./I.V.

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

CUTIE X 1 FLAC. GRAN. PT. 60 ML SUSP. ORALA + 1 MASURA DOZATOARE MARCATA LA 5, 10 SI 15 ML
TIS FARMACEUTIC SA ROMANIA CUTIE X 1 TUB DIN PEJD X 15 G CREMA

SLAVIA PHARM S.R.L. ROMANIA CUTIE CU 1 TUB AL X 15 G CREMA
HYPERION S.A.
ROMANIA CUTIE X 1 TUB DIN AL X 15 G CREMA
PHARCO IMPEX 93 S.R.L. ROMANIA CUTIE X 2 BLIST. X 3 CAPS. VAG. MOI
PHARCO IMPEX 93 S.R.L. ROMANIA CUTIE X 1 BLIST. X 3 CAPS. VAG. MOI
FARAN LABORATORIES S.A.
FARMACEUTICI ECOBI S.A.S
ARENA GROUP SA
ARENA GROUP SA
ANTIBIOTICE SA
ANTIBIOTICE SA
FARMEX COMPANY SRL
SANDOZ SRL
ARENA GROUP SA
FARMEX COMPANY SRL
FARMEX COMPANY SRL
LABORMED PHARMA S.A.
ANTIBIOTICE SA
ANTIBIOTICE SA
SANDOZ SRL
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA
J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN SR 1000 mg/62,5 mg COMPR. ELIB. PREL. 1000mg/62,5mg BEECHAM GROUP PLC
GRECIA CUTIE X 1 TUB X 78 G

ITALIA
CUTIE X 1 TUB DIN AL X 78 G CREMA VAGINALA + CANULA
ITALIA
CUTIE X 3 FOLII PREFORMATE PVC/PE X 5 OVULE
ITALIA
CUTIE X 5 FLACOANE DIN PEJD X 150 ML SOL. VAG. + 5 CANULE
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
MAREA BRITANIE
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
PRF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
P-RF
P-RF/S
P-RF
P-RF/S

CUTIE X 100 BLIST. X 10 CAPS.

P-RF
P-RF
P-RF
P-RF/S
P-RF
P-RF
P-RF/S
P-RF
P-RF
CUTIE X 100 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. I.M./I.V.
P-RF/S
P-RF
P-RF/S
P-RF
CUTIE X 1 FLAC. PULB. PT. SOL. INJ. X 1,5 G P-RF

CUTIE X 50 FLAC. PULB. PT. SOL. INJ. X 1,5 G
P-RF/S
CUTIE CU 7 BLIST. AL/PVC-AL X 4 COMPR. ELIB. PREL.
P-RF
Pagina 1 din 56
36
12
1
1
1
1
1
1
1
1
1
1
1
1
1
1
6
3
1
1
15
5
20
1000
20
1000
20
20
10
500
20
10
1000
10
10
100
1
100
1
1
50
28
72.18
24.49
14.14
5.05
6.34
7.04
3.10
4.98
4.73
15.58
3.68
5.62
4.97
3.48
4.97
5.42
4.41
4.23
14.33
10.31
6.66
13.32
5.25
242.55
5.59
257.71
4.98
5.70
4.58
195.09
8.26
4.58
296.26
5.10
5.21
237.08
2.46
376.06
3.94
18.68
633.77
34.28
2.005000
2.040833
14.140000
5.050000
6.340000
7.040000
3.100000
4.980000
4.730000
15.580000
3.680000
5.620000
4.970000
3.480000
4.970000
5.420000
0.735000
1.410000
14.330000
10.310000
0.444000
2.664000
0.262500
0.242550
0.279500
0.257710
0.249000
0.285000
0.458000
0.390180
0.413000
0.458000
0.296260
0.510000
0.521000
2.370800
2.460000
3.760600
3.940000
18.680000
12.675400
1.224285
2.005000
2.040833
14.140000
5.050000
6.340000
7.040000
3.100000
4.176000
4.730000
4.416000
3.680000
4.176000
4.176000
3.480000
4.176000
4.176000
0.735000
1.410000
12.372000
10.310000
0.444000
2.664000
0.262500
0.242550
0.279500
0.257710
0.249000
0.285000
0.355512
0.355512
0.355512
0.355512
0.296260
0.355512
0.355512
2.370800
2.460000
3.760600
3.940000
15.210480
12.675400
1.224285
91.26
33.10
19.11
6.83
8.57
9.51
4.19
6.73
6.39
21.06
4.98
7.60
6.72
4.70
6.72
7.33
5.96
5.72
19.37
13.93
9.00
18.00
7.10
296.11
7.55
314.61
6.73
7.70
6.19
238.17
11.17
6.19
361.68
6.89
7.04
289.43
3.33
448.06
5.33
25.25
728.96
44.84
2.535000
2.758333
19.110000
6.830000
8.570000
9.510000
4.190000
6.730000
6.390000
21.060000
4.980000
7.600000
6.720000
4.700000
6.720000
7.330000
0.993333
1.906666
19.370000
13.930000
0.600000
3.600000
0.355000
0.296110
0.377500
0.314610
0.336500
0.385000
0.619000
0.476340
0.558500
0.619000
0.361680
0.689000
0.704000
2.894300
3.330000
4.480600
5.330000
25.250000
14.579200
1.601428
2.535000
2.758333
19.110000
6.830000
8.570000
9.510000
4.190000
5.640000
6.390000
5.976000
4.980000
5.640000
5.640000
4.700000
5.640000
5.640000
0.993333
1.906666
16.716000
13.930000
0.600000
3.600000
0.355000
0.296110
0.355332
0.314610
0.336500
0.355332
0.434016
0.434016
0.434016
0.434016
0.361680
0.434016
0.434016
2.894300
3.330000
4.480600
5.330000
17.495040
14.579200
1.601428
Grupa
Nr.
terape
crt
utica
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
Denumire generica
J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

Denumire comerciala
MEDOCLAV 1000 mg
AMOKSIKLAV 2 x 1000 mg
MEDOCLAV 375 mg
ENHANCIN 500 mg/125mg
AMOXIPLUS 500/125 mg
MEDOCLAV 625 mg
AUGMENTIN 500 mg/125 mg
AMOKSIKLAV 2 x 625 mg
AUGMENTIN 875 mg/125 mg
AMOXIPLUS 875 mg/125 mg
Forma
Concentrati
farmaceutic
e / U.T.
a
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
1000mg
1000mg
Firma
Tara
MEDOCHEMIE LTD. CIPRU

LEK PHARMACEUTICALS D.D.
250mg+125mg MEDOCHEMIE LTD. CIPRU
CUTIE X 4 BLIST. X 4 COMPR. FILM.
MAREA BRITANIE
CUTIE X 4 FOLII AL-PEJD X 7 COMPR. FILM. P-RF
500/125mg
ROMANIA
CUTIE X 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-RF
ANTIBIOTICE S.A.
500mg+125mg MEDOCHEMIE LTD. CIPRU

500mg/125mg BEECHAM GROUP PLC MAREA BRITANIE
625mg
LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 BLIST. AL/AL X 14 COMPR. FILM.
875mg/125mg BEECHAM GROUP PLC MAREA BRITANIE
875mg/125mg ANTIBIOTICE S.A.
ROMANIA CUTIE CU 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM.
PULB. PT. SOL. INJ./PERF.
PULB. PT. SUSP. ORALA
125mg+31,25/5ml
156,25mg/5ml
250mg+62,5mg/5ml
400mg+57mg/5ml LEK PHARMACEUTICALS D.D.
400mg+57mg/5ml LEK PHARMACEUTICALS D.D.
SLOVENIA
SLOVENIA
J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN BIS 400 mg/57 mg/5 ml
400mg/57mg/5ml SMITHKLINE BEECHAM PLC

AMOXIPLUS 1,2 g
AMOXIPLUS 1,2 g
AMOXIPLUS 1,2 g
MEDOCLAV 156,25 mg/5 ml
AMOKSIKLAV 156,25mg/5ml
J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM MEDOCLAV FORTE 312,5mg/5ml

AMOKSIKLAV 2x
AMOKSIKLAV 2x
AUGMENTIN (R) ES
J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM ENHANCIN 250 mg/ 62,5 mg/5 ml
COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE

P-RF
MAREA BRITANIE
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. 35 ML SUSP. ORALA + MASURA DOZATOARE
P-RF
600 mg/42,9mg/5ml SMITHKLINE BEECHAM PLC
MAREA BRITANIE
CUTIE X 1 FLACON DIN STICLA CU PULB. PT. 100 ML SUSP. ORALA + 1 MASURA DOZATOARE
P-RF
PULB. PT.SUSP. ORALA
250 mg/ 62,5 mg/5 ml
RANBAXY UK LIMITED
MAREA BRITANIE
CUTIE X 1 FLAC. DIN PEID CU PULB. PT. SUSP. ORALA MARCAT PT. 100ML+ MASURA DOZATOARE
P-RF
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g
PIPERACILINA/TAZOBACTAM MYLAN 2g/0,25 g
PIPERACILINA/TAZOBACTAN ACTAVIS 2 g/0,25 g
BACTACIN 2 g/0,25 g
PIPERACILINA/TAZOBACTAN ACTAVIS 4 g/0,5 g PULB. PT. SOL. INJ./PERF.
PULB. PT.SUSP. ORALA
312,5mg/5ml
SLOVENIA
CUTIE X 1 FLAC. DIN STICLA BRUNA CU 25 G PULB. PT. 100 ML SUSP. ORALA + LINGURITA DOZATOARE
P-RF
LIOF. PT. SOL. INJ.
FARA CONCENTRATIE
WYETH LEDERLE PHARMA GMBH
AUSTRIA CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ.
S/P-RF
LIOF. PT. SOL. INJ.
FARA CONCENTRATIE
PFIZER EUROPE MA EEIG
MAREA BRITANIE
CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ.
S/P-RF
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
500mg
1g
500mg
1000mg
1g
1g
ROMASTRU TRADING SRL ROMANIA
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.


PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PULB. PT. SOL. INJ./PERF.

BACTACIN 4 g/0,5 g
PERASIN 4g/0,5 g
NOVOSEF 500 mg i.m.
CEFTRIAXONA ACTAVIS 1 g
NOVOSEF 500mg i.v.
OFRAMAX 1000 mg
CEFORT 1 g
SEFTRION 1 g
J01DD04
J01DD04
J01DD04
P-RF
J01DD04
P-RF
CUTIE X 1 FLAC. DIN STICLA BRUNA CU 25 MG PULB. PT. 100 ML SUSP. ORALA
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
P-RF/S
CUTIE X 1 FLAC. CU PULB. PT. 100ML SUSP. ORALA + LINGURITA DOZATOARE
P-RF
J01DD04
P-RF/S
CUTIE X 50 FLACOANE CU PULB. PT. SOL. INJ. / PERF.
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. 70 ML SUSP. ORALA + MASURA DOZATOARE
J01DD04
CUTIE X 100 FLACOANE CU PULB. PT. SOL. INJ. / PERF.
MAREA BRITANIE
P-RF
CUTIE X 1 FLACON CU PULB. PT. SOL. INJ. / PERF. P-RF
J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g
P-RF
CUTIE X 7 BLIST. AL/AL X 2 COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE
P-RF
J01CR05
P-RF
CUTIE X 7 BLIST. AL/AL X 2 COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. 35 ML SUSP. ORALA + 1 SERINGA PT. ADM. ORALA
ZOPECILIN 4 g/0,5 g
PIPERACILLINUM + TAZOBACTAMUM ZOPECILIN 4 g/0,5 g
P-RF
MAREA BRITANIE
P-RF
P-RF
CUTIE CU 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM., FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA PROTECTO
CUTIE X 1 FLAC. DIN STICLA BRUNA CU PULB. PT. 35 ML SUSP.ORALA + SERINGA DOZATOARE
SLOVENIA
P-RF
P-RF
BIOMEDIAL PHARMA S.R.L.
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
P-RF
CUTIE CU 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM., FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA PROTECTO
CUTIE X 1 FLAC. DIN STICLA BRUNA CU PULB. PT. 100 ML SUSP.
BIOMEDIAL PHARMA S.R.L.
P-RF
CUTIE X 1 FLAC. DIN STICLA BRUNA CU PULB. PT. 70 ML SUSP.ORALA + SERINGA DOZATOARE
AMOKSIKLAV 312,5mg/5ml
TAZOCIN 2,25
TAZOCIN 4,5
ZOPECILIN 2 g/0,25 g
PERASIN 2g/0,25 g
P-RF
500 mg/125 mg RANBAXY UK LIMITED
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA
J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV QUICKTAB 625 mg
COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE
Prescriptie
CUTIE X 2 BLIST. AL-PVC/AL X 7 COMPR. FILM. P-RF
SLOVENIA CUTIE X 2 BLIST. AL/AL X 7 COMPR.FILM.
1000mg
625mg
1,2g
1.2g
1.2g
J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV QUICKTAB 1000 mg
Ambalaj

PULB. + SOLV. PT. SOL. INJ.
PULB. PT. SOL. INJ.

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

S.C. FRESENIUS KABI S.R.L.
ROMANIA
ROMANIA
MYLAN S.A.S.
FRANTA
TERAPIA SA
ANTIBIOTICE S.A.
ZENTIVA S.A.
ROMANIA
ROMANIA
ROMANIA
ROMANIA
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 15 ML CONTINAND PULB. PT. SOL. INJ. I.M.+ 1 FIOLA DIN STICLA
P-RF
ACTAVIS GROUP PTC EHF.
ISLANDA
CUTIE CU 5 FLACOANE DIN STICLA INCOLORA X 20 ML, CU SIST. SIG. "FLIP - OFF" CU PULB. PT. SOL. INJ.
PR
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 15ML CONTINAND PULB. PT. SOL INJ./PERF. + 1 FIOLA DIN STICLA I
S/P-RF
ANTIBIOTICE S.A.
MYLAN S.A.S.
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
FRANTA
ISLANDA
TERAPIA SA
ROMANIA
ISLANDA
CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF
CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CU PULB. PT. SOL. INJ./PERF.
CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.

ZENTIVA S.A.
TERAPIA SA
ANTIBIOTICE SA
ROMANIA
ROMANIA
ROMANIA
E.I.P.I.CO. MED S.R.L. ROMANIA
CUTIE X 1 FLAC DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE CU 50 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 15 ML CU PULB. PT. SOL. INJ./PERF.
CUTIE X 10 FLAC. CU PULB. PT. SOL. INJ./PERF.
S/P-RF
CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERFZ.
S/P-RF
Pagina 2 din 56
cant/
amba
laj
14
14
16
28
14
16
14
14
14
14
14
14
1
100
50
1
1
1
1
1
1
1
1
1
1
1
12
12
1
12
1
10
1
5
10
1
5
1
12
1
12
1
12
1
5
1
10
1
1
1
5
1
50
10
1
Pret cu
ridicata
maximal /
ambalaj
31.12
29.92
16.74
24.47
8.01
22.01
11.33
20.76
19.50
14.04
18.55
12.23
5.10
477.30
246.03
11.02
8.65
16.36
9.57
4.78
7.36
14.72
7.36
26.22
16.80
17.77
401.14
692.90
22.93
265.41
22.93
386.57
20.32
99.83
196.11
40.65
196.11
22.93
265.28
22.93
460.81
40.93
460.81
40.93
197.45
40.94
389.01
40.93
40.93
4.47
46.17
4.47
456.00
133.84
10.31
Pret cu ridicata
maximal / U.T.
2.222857
2.137142
1.046250
0.873928
0.572142
1.375625
0.809285
1.482857
1.392857
1.002857
1.325000
0.873571
5.100000
4.773000
4.920600
11.020000
8.650000
16.360000
9.570000
4.780000
7.360000
14.720000
7.360000
26.220000
16.800000
17.770000
33.428333
57.741666
22.930000
22.117500
22.930000
38.657000
20.320000
19.966000
19.611000
40.650000
39.222000
22.930000
22.106666
22.930000
38.400833
40.930000
38.400833
40.930000
39.490000
40.940000
38.901000
40.930000
40.930000
4.470000
9.234000
4.470000
9.120000
13.384000
10.310000
Pret cu ridicata
maximal de
decontare / U.T.
1.203428
1.203428
1.046250
0.686570
0.572142
0.686570
0.686570
0.686570
1.203428
1.002857
1.203428
0.686570
5.100000
4.773000
4.920600
10.380000
8.650000
16.360000
9.570000
4.780000
5.736000
11.484000
5.736000
26.220000
16.800000
17.770000
23.533200
46.081000
22.930000
22.117500
22.930000
23.533200
20.320000
19.966000
19.611000
23.533200
23.533200
22.930000
22.106666
22.930000
38.400833
40.930000
38.400833
40.930000
39.490000
40.940000
38.901000
40.930000
40.930000
4.470000
7.224000
4.470000
7.224000
7.224000
7.224000
Pret cu
maximal / U.T.
/ U.T.
maximal /
ambalaj
40.71
39.13
22.63
33.07
10.83
29.75
15.32
28.06
26.35
18.97
25.07
16.53
6.89
558.41
300.35
14.90
11.69
22.11
12.93
6.46
9.95
19.89
9.95
34.30
22.71
24.02
475.39
793.41
30.99
324.01
30.99
459.51
27.47
126.23
239.41
53.17
239.41
30.99
323.86
30.99
540.43
53.53
540.43
53.53
241.05
53.55
462.17
53.53
53.53
6.04
60.39
6.04
535.19
163.39
13.94
2.907857
2.795000
1.414375
1.181071
0.773571
1.859375
1.094285
2.004285
1.882142
1.355000
1.790714
1.180714
6.890000
5.584100
6.007000
14.900000
11.690000
22.110000
12.930000
6.460000
9.950000
19.890000
9.950000
34.300000
22.710000
24.020000
39.615833
66.117500
30.990000
27.000833
30.990000
45.951000
27.470000
25.246000
23.941000
53.170000
47.882000
30.990000
26.988333
30.990000
45.035833
53.530000
45.035833
53.530000
48.210000
53.550000
46.217000
53.530000
53.530000
6.040000
12.078000
6.040000
10.703800
16.339000
13.940000
1.626000
1.626000
1.414375
0.928285
0.773571
0.928285
0.928285
0.928285
1.626000
1.355000
1.626000
0.928285
6.700920
5.584100
6.007000
14.028000
11.690000
22.110000
12.930000
6.460000
7.752000
15.516000
7.752000
34.300000
22.710000
24.020000
28.729200
54.043000
28.729200
27.000833
28.729200
28.729200
27.470000
25.246000
23.941000
28.729200
28.729200
28.729200
26.988333
28.729200
45.035833
53.530000
45.035833
53.530000
48.210000
53.550000
46.217000
53.530000
53.530000
6.040000
9.768000
6.040000
9.768000
9.768000
9.768000
Grupa
Nr.
terape
crt
utica
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD08
J01DD08
J01DD12
J01DD12
J01DD12
J01DD12
J01DD12
J01DD12
Denumire generica
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFIXIMUM
CEFIXIMUM
CEFOPERAZONUM
CEFOPERAZONUM
CEFOPERAZONUM
CEFOPERAZONUM
CEFOPERAZONUM
CEFOPERAZONUM
J01DD62 COMBINATII (CEFOPERAZONUM+SULBACTAMUM)

J01DE02
J01DE02
J01DH02
J01DH02
J01DH02
J01DH02
J01DH02
J01DH02
J01DH02
J01DH02
J01DH02
J01DH02
J01DH02
J01DH02
J01DH51
J01DH51
J01DH51
J01DH51
J01DH51
J01DH51
J01DH51
J01DH51
CEFPIROMUM
CEFPIROMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
IMIPENEMUM + CILASTATINUM
J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM

Denumire comerciala
Forma
Concentrati
farmaceutic
e / U.T.
a
CEFTRIAXONA ACTAVIS 2 g PULB. PT. SOL. INJ./PERF.

OFRAMAX 250 mg
CEFORT 250 mg
CEFORT 250 mg
CEFORT 250 mg
CEFORT 250 mg
MEDAXONE 2 g
CEFORT 2 g
CEFORT 500 mg
CEFORT 500 mg
SEFTRION 500 mg
CEFORT 500 mg
SEFTRION 2 g
PULB. PT. SOL. PERF.
ROCEPHIN (R)
NOVOSEF 1 g i.m.
PULB.+SOLV. PT. SOL. INJ.
NOVOSEF 1 g i.v.
EFICEF 100 mg
CAPS.
EFICEF (R) 200 mg
CAPS.
MEDOCEF 1 g
PULB. PT. SOL. INJ.
MEDOCEF 2 g
PULB. PT. SOL. INJ.
LYZONE 2 g
PULB. PT. SOL. INJ.
CEFOZON 500 mg
PULB. PT. SOL. INJ.
CEFOZON 2 g
CEFOZON 1 g
SULCEF 1000 mg/1000 mg PULB. PT. SOL. INJ./PERF.
CEFROM (R) 1 g
CEFROM (R) 2 g
MERONEM IV 1 g
MERONEM IV 500 mg
LODITER 1000 mg
MEROPENEM KABI 1 g
MEROPENEM KABI 1 g
MEROPENEM HOSPIRA 1 g PULB. PT. SOL. INJ./PERF.
MEROPENEM HOSPIRA 1 g PULB. PT. SOL. INJ./PERF.
MEROPENEM KABI 500 mg PULB. PT. SOL. INJ./PERF.
MEROPENEM KABI 500 mg PULB. PT. SOL. INJ./PERF.
PULB.+SOLV. PT. SOL. INJ./PERF.

MEROPENEM HOSPIRA 500 mg
LODITER 500 mg
CILOPEN 500mg/500mg
CILOPEN 500mg/500mg
CILOPEN 500mg/500mg
CILOPEN 500mg/500mg
TIENAM I.V.
TIENAM I.V.
TAGREMIN
SUMETROLIM
CO - TRIM ELL
BITRIM 400mg/80mg
SUMETROLIM
1000mg/1000mg
1000mg/1000mg
1000mg/1000mg
1000mg/1000mg
1g
2g
1g
500mg
1000mg
1g
1g
1g
1g
500mg
500mg
500mg
500mg
500mg
500mg/500mg
500mg/500mg
500mg/500mg
500mg/500mg
500mg/500mg
500mg/500mg
500mg/500mg
500mg/500mg
COMPR.
COMPR.
COMPR.
COMPR.
SIROP
400mg/80mg
400mg/80mg
400mg/80mg
400mg/80mg
25mg/5mg/ml
PULB. PT. SOL. INJ.

PULB. PT. SOL. INJ.
PULB. PT. SOL. INJ.
PULB. PT. SOL. INJ.
IMIPENEM/CILASTATIN HOSPIRA 500 mg/500 mg PULB. PT. SOL. PERF.
IMIPENEM/CILASTATIN KABI 500mg/500mg
2g
250mg
250mg
250mg
250mg
250mg
2g
2g
500mg
500mg
500mg
500mg
2g
2g
1g
1g
100mg
200mg
1g
2g
2g
500mg
2g
1g

Firma
Tara
Ambalaj
Prescriptie
ISLANDA
TERAPIA SA
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA
MEDOCHEMIE LTD.
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA
ROMANIA
S
ROMANIA CUTIE X 10 FLAC. CU PULB. PT. SOL.INJ./PERF. S/P-RF
ROMANIA CUTIE X 50 FLAC. CU PULB. PT. SOL. INJ.PERF. S/P-RF
ROMANIA CUTIE X 100 FLAC. CU PULB. PT. SOL. INJ.PERF. S
ROMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ.PERF. S/P-RF
CUTIE CU 5 FLACOANE DIN STICLA INCOLORA X 20 ML, CU SIST. SIG. "FLIP - OFF" CU PULB. PT. SOL. INJ./P
PR
CUTIE CU 50 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 5 ML CU PULB. PT. SOL. INJ./PERF.
CIPRU
CUTIE X 10 FLACOANE X 2 G PULB. PT. SOL. INJ./PERF.
S/P-RF
ROMANIA CUTIE X 10 FLAC. CU PULB. PT. SOL. INJ./PERF. S/P-RF

E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERFZ. S/P-RF
ANTIBIOTICE SA
EIPICO MED SRL
ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. P-RF
ROCHE ROMANIA S.R.L. ROMANIA
S/P-RF
ZENTIVA S.A.
ROMANIA
P-RF
ZENTIVA S.A.
ROMANIA
S/P-RF
ANTIBIOTICE S.A.
ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 CAPS. PRF
ANTIBIOTICE SA
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF
CUTIE X 10 FLAC. PULB. PT. SOL. INJ. S/P-RF
CUTIE X 10 FLAC. PULB. PT. SOL. INJ. S/P-RF
MEDICAROM GROUP S.R.L. ROMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. S/P-RF
E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. INJ. S/P-RF
E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA A 20 ML CU PULB. PT. SOL. INJ./PERF. I.M./I.V. S/P-RF
S/P-RF
MEDOCHEMIE S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF. S/P-RF
MEDOCHEMIE S.R.L. ROMANIA CUTIE CU 100 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF. S
CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPCITATEA DE 50ML CONTINAND PULB. PT. SOL. PERFUZ.
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 15 ML CONTINAND PULB. PT. SOL. INJ.+ 1 FIOLA DIN STICLA INCOLO
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 15 ML CONTINAND PULB. PT. SOL. INJ./PERF.+ 1 FIOLA DIN STICLA
CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 15 ML CU PULB. PT. SOL. INJ. I.M./PERF. I.V.
LAB. AVENTIS
LAB. AVENTIS
FRANTA
FRANTA
CUTIE X 1 FLAC. PULB. PT. SOL. INJ./PERF.
S/P-RF
CUTIE X 1 FLAC. PULB. PT. SOL. INJ./PERF.
S/P-RF
ASTRAZENECA UK LIMITED
MAREA BRITANIE
CUTIE CU 10 FLAC. DIN STICLA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ. I.V./PERF.
MAREA BRITANIE
CUTIE CU 10 FLAC. DIN STICLA CU CAPACITATEA DE 20 ML PULB. PT. SOL. INJ. I.V./PERF.
TERAPIA S.A.
ROMANIA
ROMANIA
ROMANIA
FRESENIUS KABI ROMANIA SRL

HOSPIRA UK LIMITED
HOSPIRA UK LIMITED
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 40 ML CONTINAND PULB. PT. SOL. INJ./PERF.
MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.
ROMANIA
ROMANIA
HOSPIRA UK LIMITED
TERAPIA S.A.
ROMANIA
HOSPIRA UK LIMITED
TERAPIA SA
TERAPIA SA
TERAPIA SA
TERAPIA SA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
HOSPIRA UK LIMITED
MAREA BRITANIE
ROMANIA
MERCK SHARP & DOHME ROMANIA
MERCK SHARP & DOHME ROMANIA
ZENTIVA S.A.
ROMANIA
EGIS PHARMACEUTICALS P.L.C. UNGARIA
BIO EEL SRL
ROMANIA
ARENA GROUP S.A. ROMANIA
S
S
PR
S
S
PR
PR
S
S
PR
PR
PR
CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF.
S/P-RF
S/P-RF
CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 22 ML PULB. PT. SOL. PERF. S/P-RF
S/P-RF
CUTIE CU 5 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. PERF.
PR
CUTIE X 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. S/P-RF
TAVA DIN PLASTIC X 25 FLAC. DIN STICLA INCOLORA CU PULB.PT. SOL. PERF.
S/P-RF
S/P-RF
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-RF
CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SUSP. ORALA + MASURA DOZATOARE
P-RF
Pagina 3 din 56
P-RF
P-RF
P-RF
cant/
amba
laj
5
50
10
50
100
1
10
10
100
1
1
50
1
1
1
1
10
10
10
10
1
1
1
1
1
10
50
100
1
1
10
10
1
1
10
1
10
1
10
1
1
10
5
10
5
10
5
10
25
10
20
20
20
20
1
Pret cu
ridicata
maximal /
ambalaj
90.67
246.03
54.63
262.42
505.00
5.48
210.87
228.45
792.54
8.75
7.74
412.34
12.94
44.01
6.02
6.02
15.95
26.58
154.50
257.49
20.07
3.88
11.61
7.04
18.67
180.16
848.93
1,667.86
59.93
104.25
1,030.68
539.60
72.84
72.84
680.43
57.22
540.86
37.77
361.25
31.46
37.77
303.59
146.26
292.52
146.26
292.52
146.26
296.98
1,068.64
445.46
5.71
3.06
5.21
5.71
6.07
Pret cu ridicata
maximal / U.T.
18.134000
4.920600
5.463000
5.248400
5.050000
5.480000
21.087000
22.845000
7.925400
8.750000
7.740000
8.246800
12.940000
44.010000
6.020000
6.020000
1.595000
2.658000
15.450000
25.749000
20.070000
3.880000
11.610000
7.040000
18.670000
18.016000
16.978600
16.678600
59.930000
104.250000
103.068000
53.960000
72.840000
72.840000
68.043000
57.220000
54.086000
37.770000
36.125000
31.460000
37.770000
30.359000
29.252000
29.252000
29.252000
29.252000
29.252000
29.698000
42.745600
44.546000
0.285500
0.153000
0.260500
0.285500
6.070000
Pret cu ridicata
maximal de
decontare / U.T.
15.528000
4.920600
5.463000
5.248400
5.050000
5.480000
15.528000
15.528000
5.364000
5.364000
5.364000
5.364000
12.940000
15.528000
6.020000
6.020000
1.595000
2.658000
8.448000
13.932000
13.932000
3.880000
11.610000
7.040000
18.670000
18.016000
16.978600
16.678600
59.930000
104.250000
64.903200
36.430800
64.903200
64.903200
64.903200
57.220000
54.086000
36.430800
36.125000
31.460000
36.430800
30.359000
29.252000
29.252000
29.252000
29.252000
29.252000
29.698000
35.102400
35.102400
0.183600
0.153000
0.183600
0.183600
6.070000
Pret cu
maximal / U.T.
/ U.T.
maximal /
ambalaj
114.64
300.35
69.07
320.36
588.60
7.41
257.43
278.89
902.02
11.82
10.46
487.60
17.49
57.56
8.14
8.14
21.56
34.77
188.61
314.35
27.12
5.24
15.69
9.51
25.24
219.94
963.48
1,856.12
75.78
127.27
1,161.59
626.31
92.10
92.10
779.82
72.35
627.69
49.40
431.91
41.15
49.40
369.06
178.55
357.11
178.55
357.11
178.55
362.55
1,202.97
523.70
7.72
4.13
7.04
7.72
8.20
22.928000
6.007000
6.907000
6.407200
5.886000
7.410000
25.743000
27.889000
9.020200
11.820000
10.460000
9.752000
17.490000
57.560000
8.140000
8.140000
2.156000
3.477000
18.861000
31.435000
27.120000
5.240000
15.690000
9.510000
25.240000
21.994000
19.269600
18.561200
75.780000
127.270000
116.159000
62.631000
92.100000
92.100000
77.982000
72.350000
62.769000
49.400000
43.191000
41.150000
49.400000
36.906000
35.710000
35.711000
35.710000
35.711000
35.710000
36.255000
48.118800
52.370000
0.386000
0.206500
0.352000
0.386000
8.200000
20.988000
6.007000
6.907000
6.407200
5.886000
7.063200
20.988000
20.988000
7.248000
7.248000
7.248000
7.248000
17.490000
20.988000
8.140000
8.140000
2.156000
3.477000
11.412000
18.828000
18.828000
5.240000
15.690000
9.510000
22.273440
21.994000
19.269600
18.561200
75.780000
127.270000
75.322800
44.287200
75.322800
75.322800
75.322800
72.350000
62.769000
44.287200
43.191000
41.150000
44.287200
36.906000
35.710000
35.711000
35.710000
35.711000
35.710000
36.255000
42.852000
42.852000
0.247800
0.206500
0.247800
0.247800
8.200000
Grupa
Nr.
terape
crt
utica
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
Denumire generica
J01FA02
J01FA02
J01FA06
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
SPIRAMYCINUM
SPIRAMYCINUM
ROXITHROMYCINUM
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
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
Denumire comerciala
EPITRIM
ROVAMYCINE (R) 1,5 Mil. UI
ROVAMYCINE (R) 3 Mil. UI
ROXAMED (R) 150
FROMILID 250
KLERIMED (R) 250
KLABAX 250 mg
KLACID (R)
LEKOKLAR (R) 250 mg
CLAR 250
CLAR 500
FROMILID 500
ROCLARIN 500 mg
KLERIMED (R) 500
LEKOKLAR (R) 500 mg
KLABAX 500 mg
KLABAX MR 500 mg
LEKOKLAR XL 500 mg
LEKOKLAR XL 500 mg
KLACID SR
FROMILID (R) UNO
KLABAX 125 mg/5 ml
KLABAX 125 mg/5 ml
LEKOKLAR 125 mg/5 ml
KLACID (R)
KLACID (R)
FROMILID (R) 125 mg/5 ml
KLABAX 250 mg/5 ml
KLABAX 250 mg/5 ml
KLACID I.V.
AZATRIL 250 mg
SUMAMED 250 mg
SUMAMED 125 mg
AZITROMICINA SANDOZ 250 mg COMPRIMATE FILMATE
AZITROMICINA TERAPIA 250 mg

ZITROCIN 500 mg
AZITROX (R) 500
AZIBIOT 500 mg
AZITROMICINA SANDOZ 500 mg COMPRIMATE FILMATE
SUMAMED 500 mg
ZMAX 2 g
SUMAMED (R)
AZITROX 200 mg/5 ml
AZITROMICINA SANDOZ 100 mg/5 ml
AZITROMICINA SANDOZ 200 mg/5 ml
SUMAMED FORTE
SUMAMED FORTE
SUMAMED FORTE
Forma
Concentrati
farmaceutic
e / U.T.
a
SUSP. ORALA
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM. ELIB. MODIF.
COMPR. FILM. ELIB. PREL.


LIOF. PT. SOL. PERF.
CAPS.
CAPS.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
GRAN. ELIB. PREL. PT. SUSP. ORALA

PULB. + SOLV. SUSP. ORALA

Firma
Tara
Ambalaj
200mg/40mg /5ml
1,5 M ui
3M ui
150mg
250mg
250mg
250mg
250mg
250mg
250mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
125mg/5ml
125mg/5ml
125mg/5ml
125mg/5ml
125mg/5ml
125mg/5ml
250mg/5ml
250mg/5ml
250mg/5ml
250mg/5ml
500mg
250mg
250mg
125mg
250mg
250mg
250mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
600mg
600mg
2g
500mg
200mg/5ml
100mg/5ml
200 mg/5 ml
200mg/5ml
200mg/5ml
200mg/5ml
LAB. AVENTIS
LAB. AVENTIS
FRANTA
FRANTA
DAR AL DAWA PHARMA S.R.L.
ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM.
CUTIE X 1 FLACON DIN STICLA BRUNA CU MASURA DOZATOARE X 100 ML
Prescriptie
P-RF

P-RF
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. P-RF

CUTIE X 2 BLIST. AL/PVC-PVDC X 7 COMPR. FILM.
TERAPIA SA
ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM.
ABBOTT SPA
ITALIA
LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 2 BLIST. X 7 COMPR. FILM.
MEDICAROM GROUP S.R.L. ROMANIA CUTIE X 5 BLIST. X 4 COMPR. FILM.
MEDICAROM GROUP S.R.L.
ROMANIA CUTIE X 5 BLIST. AL/PVC X 4 COMPR. FILM.
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
ANTIBIOTICE S.A.
ROMANIA

P-RF
SLOVENIA CUTIE X 2 BLIST. X 7 COMPR. FILM.
P-RF
TERAPIA SA
TERAPIA SA
ROMANIA
ROMANIA
P-RF
CUTIE X 1 BLIST. PVC/PVDC-AL X 7 COMPR. FILM. ELIB. PREL.
P-RF

SLOVENIA
SLOVENIA
ABBOTT LABORATORIES LTD.
MAREA BRITANIE CUTIE X 1 BLIST. PVC-PVDC/AL X 5 COMPR. FILM. ELIB. PREL.
P-RF
KRKA D.D.
TERAPIA SA
TERAPIA SA
SANDOZ SRL
ABBOTT SPA
ABBOTT SPA
KRKA D.D.
TERAPIA SA
TERAPIA SA
SANDOZ SRL
SANDOZ SRL
SLOVENIA
CUTIE X 1 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. ELIB. PREL.
P-RF
CUTIE X 1 FLAC. DIN PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA
P-RF
P-RF

BALKANPHARMA RAZGRAD AD
ROMANIA
ROMANIA
ROMANIA
ITALIA
ITALIA
CUTIE X 1 FOLIE AL/AL X 7 COMPR. FILM. ELIB. MODIF. P-RF

CUTIE X 1 FLAC. PEID CU 41 G GRANULE PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE PP
P-RF
CUTIE X 1 FLACON PEID CU GRANULE PT. 100 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML
P-RF
P-RF
SLOVENIA CUTIE X 1 FLAC. PULB. PT. 60 ML SUSP.
P-RF
ROMANIA
ROMANIA
ROMANIA
ROMANIA
CUTIE X 1 FLAC. PEID X 70 G GRAN. PT. 100 ML SUSP . ORALA
P-RF
P-RF
CUTIE X 1 FLAC. DIN PEID CU 68,3 G GRANULE PT. 100 ML SUSP. ORALA + LINGURITA DOZATOARE PP
P-RF
CUTIE X 1 FLAC. DIN PEID CU 41 G GRANULE PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE PP
FRANTA CUTIE X 1 FLAC. LIOF. PT. SOL. PERF.

BULGARIA CUTIE X 1 BLIST. AL/PVC X 6 CAPS.
P-RF
S/P-RF
P-RF
PLIVA LJUBLIJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. PVC-PVDC/AL X 6 CAPS. P-RF
PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. AL/PVC X 6 COMPR. FILM. P-RF
SANDOZ S.R.L.
TERAPIA SA
TERAPIA SA

ROMANIA CUTIE X 1 BLIST. PVC-ACLAR/AL X 6 COMPR. FILM.
ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 6 COMPR. FILM.
LABORMED PHARMA S.A. ROMANIA CUTIE X 1 BLIST. PVC/AL X 3 COMPR. FILM.
ZENTIVA K.S.
CEHIA
P-RF
P-RF
P-RF
P-RF
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM. P-RF
SANDOZ S.R.L.
P-RF
PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM. P-RF
TERAPIA SA
TERAPIA SA
TERAPIA SA
TERAPIA SA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
MAREA BRITANIE CUTIE X 1 FLACON DIN PEID CU GRAN. CU ELIB. PREL.
CUTIE X 1 BLIST. PVC-ACLAR/AL X 3 COMPR. FILM.
P-RF

CUTIE X 1 BLIST. PVC-ACLAR/AL X 3 COMPR. FILM.
P-RF
P-RF
PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 5 FLAC. LIOF. PT. SOL. PERF.
S/P-RF
ZENTIVA S.A.
SANDOZ SRL
SANDOZ SRL
CUTIE X 1 FLAC. DIN PE CU PULB. PT. 15 ML SUSP. ORALA RECONSTITUITA + FLAC. CU SOLV. X 7,5 ML SOLV.
P-RF
ROMANIA
ROMANIA
ROMANIA
CUTIE X 1 FLAC. DIN PEID CONTINAD PULBERE PT. 20 ML SUSP. ORALA + SERINGA DOZATOARE DIN PE/PP
P-RF
CCUTIE X 1 FLAC. DIN PEID CONTINAD PULBERE PT. 20 ML SUSP. ORALA + SERINGA DOZATOARE DIN PE/PP
P-RF
PLIVA LJUBLIJANA D.O.O. SLOVENIA
CUTIE X 1 FLAC. DIN PEID CU PULB. PT.15 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE
P-RF
CUTIE X 1 FLAC. DIN PEID CU PULB. PT. 30 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE
P-RF
CUTIE X 1 FLAC. DIN PEID CU PULB. PT. 37,5 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE
P-RF
Pagina 4 din 56
cant/
amba
laj
1
16
10
10
14
14
14
14
14
20
20
14
20
14
14
14
7
7
5
5
7
1
1
1
1
1
1
1
1
1
1
1
6
6
6
6
6
6
3
3
3
3
3
3
3
3
3
1
5
1
1
1
1
1
1
Pret cu
ridicata
maximal /
ambalaj
3.52
7.30
20.62
11.28
12.35
12.35
10.85
21.14
23.85
17.01
33.91
24.13
33.14
24.13
29.01
23.73
26.92
19.04
13.60
27.85
20.78
14.01
23.38
19.39
29.92
18.11
17.24
39.06
23.44
47.03
34.29
41.12
18.87
29.04
18.76
37.31
34.00
34.00
18.98
18.97
18.98
37.31
29.18
28.41
28.41
34.11
34.11
48.56
132.49
12.10
16.61
26.27
18.63
37.14
46.15
Pret cu ridicata
maximal / U.T.
3.520000
0.456250
2.062000
1.128000
0.882142
0.882142
0.775000
1.510000
1.703571
0.850500
1.695500
1.723571
1.657000
1.723571
2.072142
1.695000
3.845714
2.720000
2.720000
5.570000
2.968571
14.010000
23.380000
19.390000
29.920000
18.110000
17.240000
39.060000
23.440000
47.030000
34.290000
41.120000
3.145000
4.840000
3.126666
6.218333
5.666666
5.666666
6.326666
6.323333
6.326666
12.436666
9.726666
9.470000
9.470000
11.370000
11.370000
48.560000
26.498000
12.100000
16.610000
26.270000
18.630000
37.140000
46.150000
Pret cu ridicata
maximal de
decontare / U.T.
3.520000
0.456250
2.062000
1.128000
0.882142
0.882142
0.775000
0.930000
0.930000
0.850500
1.695500
1.723571
1.657000
1.723571
1.988400
1.695000
1.988400
1.988400
1.988400
1.988400
1.988400
14.010000
23.380000
16.812000
28.056000
16.812000
16.812000
39.060000
23.440000
46.872000
28.128000
41.120000
3.145000
3.774000
3.126666
3.774000
3.774000
3.774000
6.326666
6.323333
6.326666
7.588000
7.588000
7.588000
7.588000
11.370000
11.370000
48.560000
26.498000
12.100000
16.610000
26.270000
13.644000
37.140000
46.150000
Pret cu
maximal / U.T.
/ U.T.
maximal /
ambalaj
4.76
9.86
27.87
15.24
16.69
16.69
14.67
28.57
32.23
22.99
44.36
32.62
43.35
32.62
37.95
32.08
35.21
25.73
18.38
36.43
28.09
18.94
31.60
26.21
39.14
24.48
23.30
51.09
31.68
61.52
44.85
53.78
25.50
37.99
25.36
48.80
44.47
44.47
25.65
25.64
25.65
48.80
38.17
37.16
37.16
44.61
44.61
63.52
161.75
16.36
22.45
34.36
25.18
48.58
60.36
4.760000
0.616250
2.787000
1.524000
1.192142
1.192142
1.047857
2.040714
2.302142
1.149500
2.218000
2.330000
2.167500
2.330000
2.710714
2.291428
5.030000
3.675714
3.676000
7.286000
4.012857
18.940000
31.600000
26.210000
39.140000
24.480000
23.300000
51.090000
31.680000
61.520000
44.850000
53.780000
4.250000
6.331666
4.226666
8.133333
7.411666
7.411666
8.550000
8.546666
8.550000
16.266666
12.723333
12.386666
12.386666
14.870000
14.870000
63.520000
32.350000
16.360000
22.450000
34.360000
25.180000
48.580000
60.360000
4.760000
0.616250
2.787000
1.524000
1.192142
1.192142
1.047857
1.257428
1.257428
1.149500
2.218000
2.330000
2.167500
2.330000
2.601000
2.291428
2.601000
2.601000
2.601000
2.601000
2.601000
18.940000
31.600000
22.728000
37.920000
22.728000
22.728000
51.090000
31.680000
61.308000
38.016000
53.780000
4.250000
5.100000
4.226666
5.100000
5.100000
5.100000
8.550000
8.546666
8.550000
10.255999
10.255999
10.255999
10.255999
14.870000
14.870000
63.520000
32.350000
16.360000
22.450000
34.360000
17.844000
48.580000
60.360000
Grupa
Nr.
terape
crt
utica
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
J01GB03
J01GB03
J01GB03
J01GB03
J01GB06
J01GB06
J01GB06
J01GB07
J01GB07
J01GB07
J01MA01
J01MA01
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA03
J01MA06
J01MA06
J01MA06
J01MA06
J01MA06
J01MA06
Denumire generica
GENTAMICINUM
GENTAMICINUM
GENTAMICINUM
GENTAMICINUM
AMIKACINUM
AMIKACINUM
AMIKACINUM
NETILMICINUM
NETILMICINUM
NETILMICINUM
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
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
PEFLOXACINUM
NORFLOXACINUM
NORFLOXACINUM
NORFLOXACINUM
NORFLOXACINUM
NORFLOXACINUM
NORFLOXACINUM
Denumire comerciala
GENTAMICIN KRKA
GENTAMICIN KRKA
GENTAMICIN KRKA
PAN - GENTAMICINE
AMIKOZIT (R) 100 mg/2 ml
BIODACYNA
NETROMYCINE (R)
NETROMYCINE (R)
NETROMYCINE (R)
OFLOXIN 200
ZANOCIN
CIPROFLOXACINA ARENA 100 mg
CUMINOL 250 mg
CIPROFLOXACINA ALKALOID 250 mg
CIPROLEN (R) 250 mg

CUMINOL 250 mg
CIPROCIN 250 mg
ALVEBAR 250 mg
CIFRAN
CIPRINOL 250 mg
CUMINOL 500 mg
CIPROCIN 500 mg
CIPROLEN (R) 500 mg
ALVEBAR 500 mg
CIPRODAR
CIFRAN
CIPRINOL 500 mg
CIPRO QUIN (R)
CIPRINOL 750 mg
CIPROBAY XR 1000 mg
CIPROBAY XR 500 mg
CIPROFLOXACINA 100 mg/10 ml
CIPRINOL (R)
CIPRINOL (R)
CIPRINOL
CIPRINOL
UFEXIL 2 mg/ ml
Forma
Concentrati
farmaceutic
e / U.T.
a
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL.INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
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. PERF.

SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
40mg/ml
80mg/2ml
80mg/2ml
80mg/2ml
100mg/2ml
1g/4ml
500mg/2ml
150mg/1,5ml
200mg/2ml
50mg/2ml
200mg
200mg
100mg
100mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
750mg
750mg
1000 mg
500 mg
100mg/10ml
100mg/10ml
100mg/10ml
100mg/50ml
Firma
Tara
Ambalaj
Prescriptie
KRKA D.D. NOVO MESTO SLOVENIA
CUTIE X 10 FIOLE DIN STICLA INCOLORA X 1 ML SOL. INJ.
P-RF
P-RF/S
P-RF
LAB. PANPHARMA
ZENTIVA S.A.
CN UNIFARM S.A.
ZENTIVA S.A.
P-RF
ROMANIA CUTIE X 1 FLACON DIN STICLA X 2 ML

ROMANIA CUTIE CU 1 FL.X 1G SOL.INJ.
P-RF
FRANTA
P-RF
ZENTIVA K.S.
BELGIA
BELGIA
BELGIA
CEHIA
RANBAXY UK LIMITED
MAREA BRITANIE

SCHERING PLOUGH EUROPE

CUTIE X 1 FLACON X 1,5 ML

CUTIE X 1 FLACON X 2 ML
P-RF
S/P-RF
S/P-RF
S/P-RF

GEDEON RICHTER ROMANIA SA
P-RF
ALKALOID D.O.O.
AC HELCOR SRL
SLOVENIA
CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 COMPR. FILM.
P-RF

E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM.
DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.
RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM.
ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.
P-RF
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM.
ALKALOID D.O.O.
SLOVENIA
AC HELCOR SRL
ROMANIA
DR. REDDY'S LABORATORIES ROMANIA
DAR AL DAWA PHARMA S.R.L. ROMANIA
RANBAXY UK LIMITED MAREA BRITANIE
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

P-RF
CUTIE X 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM.
P-RF
P-RF
ANTIBIOTICE SA
ROMANIA

P-RF
BAYER HEALTHCARE AG GERMANIA
CUTIE X 1 BLIST. DIN PP/AL X 7 COMPR. FILM. ELIB. PREL.
P-RF
CUTIE X 1 BLIST. DIN PP/AL X 3 COMPR. FILM. ELIB. PREL. P-RF
ZENTIVA S.A.
KRKA D.D.
KRKA D.D.
ROMANIA
DEMO SA
GRECIA
CUTIE X 5 FIOLE DIN STICLA INCOLORA PREVAZUTE CU INEL DE RUPERE X 10 ML S/P-RF
SLOVENIA CUTIE X 50 FIOLE X 10 ML

S
S/P-RF
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 50 ML SOL. PERF. S/P-RF
200mg/100ml KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML SOL. PERF. S/P-RF
2mg/ml
2mg/ml
2mg/ml
CUTIE X 10 PUNGI PP X 100 ML SOL. PERF.
INFOMED FLUIDS SRL ROMANIA CUTIE X 10 PUNGI PVC PLASTIFIAT X 100ML S

CIPROFLOXACINA INFOMED 2 mg/ml
CIPRINOL (R)
400mg/200ml KRKA D.D.
SLOVENIA CUTIE X 1 FLACON DIN STICLA X 200 ML S/P-RF
PEFLOXACIN LAROPHARM COMPR. FILM. 400mg
LAROPHARM S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
NORFLOXACINA LPH 400 mg COMPR. FILM. 400mg
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
NORFLOX - 400
COMPR. FILM. 400mg
CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF
NOLICIN 400 mg
COMPR. FILM. 400mg
EPINOR
COMPR. FILM. 400mg
E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 2 BLIST. X 7 COMPR. FILM. P-RF
H - NORFLOXACIN 400 mg COMPR. FILM. 400mg
AC HELCOR SRL
ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF
NOR QUIN 400 mg
COMPR. FILM. 400mg
ANTIBIOTICE S.A.
ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM. P-RF/S
CIPROFLOXACINA INFOMED 2 mg/ml
Pagina 5 din 56
cant/
amba
laj
10
50
10
10
1
1
1
1
1
1
10
10
10
20
20
20
10
10
10
10
10
10
10
10
10
10
10
10
10
10
20
10
10
10
10
10
10
7
3
5
50
5
1
1
10
10
10
1
10
20
10
20
14
20
20
Pret cu
ridicata
maximal /
ambalaj
5.28
31.71
7.09
5.00
2.63
9.47
5.15
14.17
17.94
5.62
14.81
8.40
28.52
51.89
9.10
9.10
5.82
5.05
5.05
5.05
3.52
5.13
4.85
5.05
9.78
11.19
6.83
9.78
9.78
4.80
12.16
9.78
6.50
9.78
9.78
28.52
29.43
66.99
20.44
12.42
111.86
12.42
3.54
7.09
133.17
69.19
128.87
14.29
20.61
11.64
4.58
13.02
5.70
13.02
13.02
Pret cu ridicata
maximal / U.T.
0.528000
0.634200
0.709000
0.500000
2.630000
9.470000
5.150000
14.170000
17.940000
5.620000
1.481000
0.840000
2.852000
2.594500
0.455000
0.455000
0.582000
0.505000
0.505000
0.505000
0.352000
0.513000
0.485000
0.505000
0.978000
1.119000
0.683000
0.978000
0.978000
0.480000
0.608000
0.978000
0.650000
0.978000
0.978000
2.852000
2.943000
9.570000
6.813333
2.484000
2.237200
2.484000
3.540000
7.090000
13.317000
6.919000
12.887000
14.290000
2.061000
0.582000
0.458000
0.651000
0.407142
0.651000
0.651000
Pret cu ridicata
maximal de
decontare / U.T.
0.528000
0.600000
0.600000
0.500000
2.630000
9.470000
5.150000
14.170000
17.940000
5.620000
1.008000
0.840000
2.852000
2.594500
0.422400
0.422400
0.422400
0.422400
0.422400
0.422400
0.352000
0.422400
0.422400
0.422400
0.576000
0.576000
0.576000
0.576000
0.576000
0.480000
0.576000
0.576000
0.576000
0.576000
0.576000
2.852000
2.943000
9.570000
0.576000
2.484000
2.237200
2.484000
2.684640
7.090000
8.302800
6.919000
12.887000
14.290000
2.061000
0.488570
0.458000
0.488570
0.407142
0.488570
0.488570
Pret cu
maximal / U.T.
/ U.T.
maximal /
ambalaj
7.13
41.48
9.58
6.76
3.56
12.80
6.96
19.15
24.25
7.60
20.02
11.36
37.31
65.61
12.30
12.30
7.87
6.83
6.83
6.83
4.76
6.93
6.56
6.83
13.22
15.12
9.23
13.22
13.22
6.49
16.43
13.22
8.78
13.22
13.22
37.31
38.50
84.70
27.63
16.79
136.56
16.79
4.79
9.58
162.58
87.49
157.33
19.31
27.86
15.73
6.19
17.60
7.70
17.60
17.60
0.713000
0.829600
0.958000
0.676000
3.560000
12.800000
6.960000
19.150000
24.250000
7.600000
2.002000
1.136000
3.731000
3.280500
0.615000
0.615000
0.787000
0.683000
0.683000
0.683000
0.476000
0.693000
0.656000
0.683000
1.322000
1.512000
0.923000
1.322000
1.322000
0.649000
0.821500
1.322000
0.878000
1.322000
1.322000
3.731000
3.850000
12.100000
9.210000
3.358000
2.731200
3.358000
4.790000
9.580000
16.258000
8.749000
15.733000
19.310000
2.786000
0.786500
0.619000
0.880000
0.550000
0.880000
0.880000
0.713000
0.811200
0.811200
0.676000
3.560000
12.800000
6.960000
19.150000
24.250000
7.600000
1.363200
1.136000
3.731000
3.280500
0.571200
0.571200
0.571200
0.571200
0.571200
0.571200
0.476000
0.571200
0.571200
0.571200
0.778800
0.778800
0.778800
0.778800
0.778800
0.649000
0.778800
0.778800
0.778800
0.778800
0.778800
3.731000
3.850000
12.100000
0.778800
3.277440
2.731200
3.277440
3.277440
9.580000
10.498800
8.749000
15.733000
18.879600
2.786000
0.660000
0.619000
0.660000
0.550000
0.660000
0.660000
Grupa
Nr.
terape
crt
utica
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA14
J01MA14
J01XA01
J01XA01
J01XA01
J01XA01
J01XA01
J01XA01
J01XA01
J01XA01
J01XA02
J01XB01
J01XB01
J01XB01
J01XB01
J01XD01
J01XD01
J01XD01
J01XD01
J01XD01
J01XD01
J01XD01
J01XD01
J01XD01
J01XD01
J01XX08
J01XX08
J01XX08
J01XX08
J02AB02
J02AB02
J02AB02
J02AB02
J02AB02
J02AC01
J02AC01
Denumire generica
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
MOXIFLOXACINUM
MOXIFLOXACINUM
VANCOMYCINUM
VANCOMYCINUM
VANCOMYCINUM
VANCOMYCINUM
VANCOMYCINUM
VANCOMYCINUM
VANCOMYCINUM
VANCOMYCINUM
TEICOPLANINUM
COLISTINUM
COLISTINUM
COLISTINUM
COLISTINUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM
KETOCONAZOLUM
KETOCONAZOLUM
KETOCONAZOLUM
KETOCONAZOLUM
KETOCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
Denumire comerciala
FLERADAY 250 mg
LEVOTOR 250 mg
TAVANIC 250 mg
LEVOFLOXACINA ACTAVIS 250 mg
FLERADAY 500 mg
LEVOTOR 500 mg
LEVOFLOXACINA BLUEFISH 500 mg
LEVOFLOXACINA BLUEFISH 500 mg
TAVANIC 500 mg
LEVOFLOXACINA ACTAVIS 500 mg
TAVANIC I.V. 500 mg

LEVOFLOXACIN KABI 5 mg/ml
LEVOFLOXACINA ACTAVIS 5 mg/ml
LEVOFLOXACINA ACTAVIS 5 mg/ml
EVOLOX 5 mg/ml
EVOLOX 5 mg/ml
AVELOX (R) 400 mg
AVELOX (R) 400 mg/250 ml
VANCOMYCIN TEVA
VANCOMYCIN TEVA
Forma
Concentrati
farmaceutic
e / U.T.
a
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
COMPR. FILM.
250 mg
250mg
250mg
250mg
500 mg
500mg
500mg
500mg
500mg
500mg
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
400mg
SOL. PERF. 400mg/250ml

LIOF. PT. SOL. PERF. 1g
LIOF. PT. SOL. PERF. 500mg
PULB. PT. SOL. PERF. 1000mg
1000mg
1000mg
500mg
PULB.LIOF.PT.SOL.PERF./INJ
1g
LIOF. + SOLV. PT. SOL. INJ. 400mg
PULB. PT. SOL. INJ./PERF. 1000000ui
COMPR.
250mg
COMPR. FILM. 250mg
SOL. PERF. 5g/l
SOL. PERF. 5g/l
SOL. PERF. 5g/l
SOL. PERF. 5g/l
SOL. PERF. 5mg/ml
SOL. PERF. 5mg/ml
SOL. PERF. 5mg/ml
SUSP. ORALA 4%
COMPR. FILM. 600mg
GRAN. PT. SUSP. ORALA 100mg/5ml
SOL. PERF. 2mg/ml
SOL. PERF. 2mg/ml
COMPR.
200mg
COMPR.
200mg
COMPR.
200mg
COMPR.
200mg
COMPR.
200mg
CAPS.
100mg
CAPS.
100mg
Firma
Tara
DR. REDDY'S LABORATORIES
ROMANIA
Ambalaj
Prescriptie
CUTIE CU BLIST. PVC/PVDC - AL X 7 COMPR. FILM. PRF
TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 7 COMPR. FILM. P-RF
TERAPIA S.A.
ROMANIA CUTIE X1 BLIST. PVC/AL. X 7 COMPR. FILM.
ISLANDA
ROMANIA
CUTIE CU BLIST. PVC/PVDC - AL X 7 COMPR. FILM. PRF
P-RF
TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 7 COMPR. FILM. P-RF
BLUEFISH PHARMACEUTICALS AB
SUEDIA
SUEDIA
CUTIE CU BLIST. PVC-PVDC/PVC X 7 COMPR. FILM.
PRF
TERAPIA S.A.
ROMANIA CUTIE X 1 BLIST. PVC/AL X 7COMPR. FILM.
P-RF
CUTIE CU BLIST. PVC/AL X 7 COMPR. FILM. PRF
ISLANDA
TERAPIA S.A.
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML SOL. PERF.
CUTIE X 25 FLAC. PEJD KABIPAC X 100 ML CONTINAD 100 ML SOL. PERF. (500MG LEVOFLOXACINA)
ISLANDA
ISLANDA
CUTIE CU 1 FLAC. DIN STICLA X 100 ML SOL. PERF.
ROMANIA
ROMANIA
CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF.


TEVA PHARMACEUTICALS S.R.L.
CUTIE CU 1 FLAC. DIN STICLA X 50 ML SOL. PERF.
CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL. PERF.
BAYER HEALTHCARE AG GERMANIA CUTIE X 1 BLIST. ALB OPAC PP/AL X 5 COMPR. FILM.
BAYER HEALTHCARE AG GERMANIA CUTIE X 5 FLACOANE DIN STICLA X 250 ML
TEVA PHARM. WORKS PRIVATE LTD. COMPANY
UNGARIA
UNGARIA
PHARMASWISS CESKA REPUBLIKA S.R.O.
REPUBLICA CEHA CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF.
P-RF/S
S
S
S
S
S
S
S
S
P-RF
CUTIE X 1 FLAC. DIN STICLA CU LIOF. PT. SOL. PERF.
S/P-RF
S/P-RF
VANCOMICINA KABI 1000 mg
PULB. PT.CONC. PT.SOL. PERF.
ROMANIA
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CARE CONTINE PULB. PT. CONC. PT. SOL. P
PR
PR
PR
VANCOMICINA ACTAVIS 1000mg
ISLANDA
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CONTINAND 1000 MG VANCOMICINA
P-PR
ROMANIA
PR
SLOVENIA
CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. LIOF. PT. SOL. PERF./INJ.
S/P-RF
AVENTIS PHARMA LTD.
MAREA BRITANIE
VANCOMICINA PHARMASWISS 1000 mg

EDICIN
TARGOCID (R) 400 mg
COLISTINA ANTIBIOTICE 1000000 UI
METRONIDAZOL ARENA 250 mg (J01XD01)
FLAGYL ( vezi J01XD01)

METRONIDAZOL B 5 g/l
METRONIDAZOL B 5 g/l
METRONIDAZOL A 5 g/l
METRONIDAZOL A 5 g/l
METRONIDAZOL BRAUN 5mg/ml
FLAGYL 4 % (J01XD01)
ZYVOXID (R)
ZYVOXID (R)
LINEZOLID TEVA 2 mg/ml
ZYVOXID (R)
NIZORAL 200 mg
KETOCONAZOL 200 mg
KETOCONAZOL 200 mg
KETOSTIN 200 mg
KETOCONAZOL ARENA 200 mg
FUNGOLON 100 mg
DIFLAZON 100 mg
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA
ARENA GROUP SA
CUTIE X 1 FLAC. LIOF. + O FIOLA SOLV.

ROMANIA CUTIE X 100 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
LABORATOIRE AVENTIS
FRANTA
CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.
INFOMED FLUIDS SRL

INFOMED FLUIDS SRL
INFOMED FLUIDS SRL
INFOMED FLUIDS SRL
ROMANIA
ROMANIA
ROMANIA
ROMANIA
CUTIE X 12 FLACOANE X 200 ML

P-RF
S
S
S
S
P-RF
P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FLAC. DIN PEJD X 100 ML SOL. PERF.
S/P-RF
B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. DIN PEJD X 100 ML SOL. PERF.
S/P-RF
B. BRAUN MELSUNGEN AG GERMANIA
CUTIE X 10 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF.
S/P-RF
LABORATOIRE AVENTIS
FRANTA
CUTIE X 1 FLACON X 120 ML SUSP. ORALA + LINGURITA DOZATOARE X 5 ML
P-RF
MAREA BRITANIE
CUTIE X 1 FLAC. X 10 COMPR. FILM.
P-RF
MAREA BRITANIE
CUTIE X 1 FLACON X 66 G GRAN. PTR. 150 ML SUSP. + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML
P-RF
ROMANIA
10 PUNGI PT. PERFUZIE (DIN POLIMER MULTISTRAT) CU 1 PERFUZOR SAU 2 PERFUZOARE CU 300 ML SOL., ECHIPA
PRF
MAREA BRITANIE
CUTIE X 10 PUNGI X 300 ML

ROMANIA CUTIE X 1 BLIST. X 10 COMPR.
TERAPIA SA
MAGISTRA C & C
SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR.
AC HELCOR SRL
ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR.
BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 2 BLIST. PVC/AL X 8 CAPS.
KRKA D.D.
SLOVENIA CUTIE X 4 BLIST. X 7 CAPS.
Pagina 6 din 56
S
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
cant/
amba
laj
7
7
7
7
7
7
7
7
7
7
1
1
25
1
25
1
1
1
1
5
5
1
1
10
10
1
1
1
1
1
100
50
10
150
30
20
12
1
12
1
20
10
10
1
10
1
10
10
10
10
10
10
10
16
28
Pret cu
ridicata
maximal /
ambalaj
20.76
23.08
19.81
23.31
25.88
25.73
23.65
23.65
39.82
25.89
112.19
37.79
858.58
74.25
1,687.14
37.71
74.10
37.79
74.25
65.97
619.74
48.56
24.28
456.00
234.30
48.39
48.45
24.17
56.90
118.16
1,606.36
818.19
173.48
2,394.53
5.71
6.21
77.74
6.59
79.29
6.74
228.10
36.98
37.40
5.88
1,603.26
879.36
1,052.62
1,603.26
15.15
5.94
5.08
9.34
6.78
65.37
193.65
Pret cu ridicata
maximal / U.T.
2.965714
3.297142
2.830000
3.330000
3.697142
3.675714
3.378571
3.378571
5.688571
3.698571
112.190000
37.790000
34.343200
74.250000
67.485600
37.710000
74.100000
37.790000
74.250000
13.194000
123.948000
48.560000
24.280000
45.600000
23.430000
48.390000
48.450000
24.170000
56.900000
118.160000
16.063600
16.363800
17.348000
15.963533
0.190333
0.310500
6.478333
6.590000
6.607500
6.740000
11.405000
3.698000
3.740000
5.880000
160.326000
879.360000
105.262000
160.326000
1.515000
0.594000
0.508000
0.934000
0.678000
4.085625
6.916071
Pret cu ridicata
maximal de
decontare / U.T.
2.965714
3.297142
2.830000
3.330000
3.697142
3.675714
3.378571
3.378571
4.054285
3.698571
80.982720
37.790000
34.343200
74.250000
67.485600
37.710000
74.100000
37.790000
74.250000
13.194000
123.948000
48.560000
24.280000
45.600000
23.430000
48.390000
48.450000
24.170000
54.720000
118.160000
16.063600
16.363800
17.348000
15.963533
0.190333
0.228400
6.478333
6.590000
6.607500
6.740000
4.437600
3.698000
3.740000
5.880000
160.326000
879.360000
105.262000
126.314400
0.609600
0.594000
0.508000
0.609600
0.609600
3.996000
3.996000
Pret cu
maximal / U.T.
/ U.T.
maximal /
ambalaj
28.06
31.19
26.78
31.51
33.85
33.65
31.96
31.96
52.08
33.86
136.96
49.43
974.00
93.88
1,877.13
49.33
93.69
49.43
93.88
83.41
713.67
63.52
32.82
535.19
286.03
63.30
63.37
32.67
71.94
144.25
1,789.09
929.98
211.79
2,648.19
7.72
8.40
98.29
8.91
100.25
9.11
278.47
48.37
48.92
7.95
1,785.71
996.65
1,185.51
1,785.71
20.48
8.03
6.87
12.62
9.17
82.66
236.41
4.008571
4.455714
3.825714
4.501428
4.835714
4.807142
4.565714
4.565714
7.440000
4.837142
136.960000
49.430000
38.960000
93.880000
75.085200
49.330000
93.690000
49.430000
93.880000
16.682000
142.734000
63.520000
32.820000
53.519000
28.603000
63.300000
63.370000
32.670000
71.940000
144.250000
17.890900
18.599600
21.179000
17.654600
0.257333
0.420000
8.190833
8.910000
8.354166
9.110000
13.923500
4.837000
4.892000
7.950000
178.571000
996.650000
118.551000
178.571000
2.048000
0.803000
0.687000
1.262000
0.917000
5.166250
8.443214
4.008571
4.455714
3.825714
4.501428
4.835714
4.807142
4.565714
4.565714
5.478857
4.837142
90.102240
46.752000
38.960000
90.102240
75.085200
46.752000
90.102240
46.752000
90.102240
16.682000
142.734000
63.520000
32.820000
53.519000
28.603000
63.300000
63.370000
32.670000
64.222800
144.250000
17.890900
18.599600
21.179000
17.654600
0.257333
0.308800
8.190833
8.910000
8.354166
9.110000
5.804400
4.837000
4.892000
7.950000
178.571000
996.650000
118.551000
142.261200
0.824400
0.803000
0.687000
0.824400
0.824400
5.166250
5.401714
Grupa
Nr.
terape
crt
utica
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
Denumire generica
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
Denumire comerciala
Forma
Concentrati
farmaceutic
e / U.T.
a
FLUCONAZOLE TEVA 100 mg CAPS.

FLUCORIC 100 mg
FLUCOVIM 100
FLUCONAZOL MEDOCHEMIE 150 mg
FLUCONAZOL ACTAVIS 150 mg

FLUCONAZOL MEDICO UNO 150 mg
FLUCONAZOL LPH 150 mg

FLUCONAZOL ROMPHARM 150 mg
FLUCONAZOL 150 mg
FLUCONAZOL SANDOZ (R) 150
MYCOMAX 150
DIFLAZON 150 mg
FLUCONAZOLE TEVA 150 mg
FLUCOVIM 150
DIFLUCAN 150 mg
FLUCORIC 150 mg
FLUCONAZOL BIOGALENICA 150 mg
MYCOSYST 150 mg
FLUCONAZOL 150 mg
FLUCONAZOL ARENA 150 MG
FLUCONAZOL 50 mg
DIFLAZON 50 mg
FLUCOVIM 50
FUNGOLON 50 mg
FLUCONAZOL OZONE 50 mg
DIFLUCAN 50 mg
FLUCORIC 50 mg
FLUCONAZOL 50 mg
DIFLUCAN (R) 50 mg/5 ml
MYCOMAX INF 2mg/ml
MYCOMAX INF 2mg/ml
DIFLUCAN (R)
DIFLUCAN (R)
FLUCONAZOL KABI 2 mg/ml
MYCOMAX INF 2mg/ml
FLUCONAZOL BIOGALENICA 2mg/ml
DIFLAZON 2mg/ml
FLUCONAZOL B. BRAUN 2mg/ml
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.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
100mg
100mg
100mg
100mg
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
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
Firma
Tara
ROMANIA
ROMANIA
TERAPIA SA
ROMANIA
VIM SPECTRUM SRL ROMANIA
MEDOCHEMIE ROMANIA SRL ROMANIA

MEDICO UNO PHARMACEUTICAL SRL
ISLANDA
Ambalaj
Prescriptie
CUTIE X 1 BLIST. PVC-PVDC/AL X 2 CAPS.

P-RF

P-RF
P-RF
P-RF
P-RF
CUTIE CU 1 BLIST. PVC-PVDC/AL X 1 CAPS. PRF
ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA P-RF

CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF
ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF
LABORMED PHARMA S.A. ROMANIA

ROMPHARM COMPANY S.R.L.
OZONE LABORATORIES PHARMA S.A.
SANDOZ SRL
ZENTIVA K.S.
KRKA D.D.
GERMANIA

P-RF
CEHIA
P-RF
ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.

VIM SPECTRUM SRL ROMANIA CUTIE X 1 FLAC. X 1 CAPS.
P-RF
MAREA BRITANIE
TERAPIA SA
ROMANIA
LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
SLAVIA PHARM SRL ROMANIA
ARENA GROUP SA ROMANIA
TEVA PHARMACEUTICALS S.R.L. ROMANIA
ANTIBIOTICE S.A.
ROMANIA
P-RF
P-RF
CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS.
P-RF
P-RF

P-RF
P-RF
P-RF
KRKA D.D.
VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS.
MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS.
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
BULGARIA CUTIE X 1 BLIST. PVC/AL X 8 CAPS.

MAREA BRITANIE
P-RF
TERAPIA SA
SANDOZ SRL
SLAVIA PHARM SRL
ARENA GROUP SA
ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS.

ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS.
P-RF
MAREA BRITANIE
CUTIE X 1 FLAC. PEID PULB. PT. 35 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 5 ML
P-RF
LABORATOARELE PROF.DR.MORAIT S.R.L.
ZENTIVA K.S.
ZENTIVA K.S.
REPUBLICA CEHA
CUTIE CU 1 FLACON DIN STICLA INCOLORA A 50 ML SOL. PERF. X 100 MG FLUCONAZOL
REPUBLICA CEHA
MAREA BRITANIE
MAREA BRITANIE
ROMANIA
ROMANIA
ROMANIA
ZENTIVA K.S.
REPUBLICA CEHA
ROMANIA
FRESENIUS KABI ROMANIA SRL ROMANIA


ROMANIA
ROMANIA
ROMANIA
P-RF
P-RF
P-RF
P-RF
S
S
S/P-RF
S/P-RF
S
S
CUTIE CU 10 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF. S
S
CUTIE X 1 FLAC. X 100 ML SOL. PERF. S
CUTIE CU 25 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF.
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML
P-RF

B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FLAC. PEJD X 50 ML SOL. PERF.
Pagina 7 din 56
S/PR-F
S
S
S
S
cant/
amba
laj
2
7
7
4
1
1
1
1
1
1
1
1
1
1
1
1
1
1
4
1
1
7
10
7
7
7
7
7
8
7
7
7
7
7
7
7
1
1
1
1
1
25
1
10
1
20
25
1
10
1
1
1
10
20
20
Pret cu
ridicata
maximal /
ambalaj
6.98
23.31
33.15
18.95
6.07
7.44
6.68
7.35
9.57
7.35
10.79
9.27
16.65
4.88
7.35
18.56
13.95
4.88
48.24
7.16
6.68
30.10
18.88
47.19
16.69
11.95
16.69
11.66
14.09
12.35
16.69
43.23
21.91
32.06
14.49
14.15
43.23
30.54
137.44
133.17
30.99
781.76
81.95
761.71
42.66
631.41
443.47
34.28
330.71
40.63
35.03
18.84
181.93
360.77
362.55
Pret cu ridicata
maximal / U.T.
3.490000
3.330000
4.735714
4.737500
6.070000
7.440000
6.680000
7.350000
9.570000
7.350000
10.790000
9.270000
16.650000
4.880000
7.350000
18.560000
13.950000
4.880000
12.060000
7.160000
6.680000
4.300000
1.888000
6.741428
2.384285
1.707142
2.384285
1.665714
1.761250
1.764285
2.384285
6.175714
3.130000
4.580000
2.070000
2.021428
43.230000
30.540000
137.440000
133.170000
30.990000
31.270400
81.950000
76.171000
42.660000
31.570500
17.738800
34.280000
33.071000
40.630000
35.030000
18.840000
18.193000
18.038500
18.127500
Pret cu ridicata
maximal de
decontare / U.T.
3.490000
3.330000
3.996000
3.996000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
4.880000
5.856000
5.856000
5.856000
4.880000
5.856000
5.856000
5.856000
4.300000
1.888000
1.998857
1.998857
1.707142
1.998857
1.665714
1.761250
1.764285
1.998857
1.998857
1.998857
1.998857
1.998857
1.998857
43.230000
21.286560
91.405200
91.405200
21.286560
31.270400
81.950000
76.171000
37.524480
31.570500
17.738800
34.280000
33.071000
37.524480
35.030000
18.840000
18.193000
18.038500
18.127500
Pret cu
maximal / U.T.
/ U.T.
maximal /
ambalaj
9.43
31.51
43.36
25.61
8.20
10.06
9.03
9.94
12.94
9.94
14.58
12.53
22.51
6.59
9.94
25.08
18.86
6.59
63.10
9.68
9.03
39.37
25.52
61.72
22.56
16.15
22.56
15.76
19.04
16.69
22.56
56.54
29.61
41.93
19.58
19.12
56.54
39.95
167.79
162.58
40.53
890.27
103.62
868.42
55.80
726.39
521.53
44.84
398.62
53.14
45.82
25.47
222.10
431.39
433.33
4.715000
4.501428
6.194285
6.402500
8.200000
10.060000
9.030000
9.940000
12.940000
9.940000
14.580000
12.530000
22.510000
6.590000
9.940000
25.080000
18.860000
6.590000
15.775000
9.680000
9.030000
5.624285
2.552000
8.817142
3.222857
2.307142
3.222857
2.251428
2.380000
2.384285
3.222857
8.077142
4.230000
5.990000
2.797142
2.731428
56.540000
39.950000
167.790000
162.580000
40.530000
35.610800
103.620000
86.842000
55.800000
36.319500
20.861200
44.840000
39.862000
53.140000
45.820000
25.470000
22.210000
21.569500
21.666500
4.715000
4.501428
5.401714
5.401714
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
6.590000
7.908000
7.908000
7.908000
6.590000
7.908000
7.908000
7.908000
5.624285
2.552000
2.701714
2.701714
2.307142
2.701714
2.251428
2.380000
2.384285
2.701714
2.701714
2.701714
2.701714
2.701714
2.701714
56.540000
25.033440
104.210400
104.210400
25.033440
35.610800
103.620000
86.842000
42.732960
36.319500
20.861200
42.732960
39.862000
42.732960
42.732960
25.033440
22.210000
21.569500
21.666500
Grupa
Nr.
terape
crt
utica
373
374
375
376
377
378
379
380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
398
399
400
401
402
403
404
405
406
407
408
409
410
411
412
413
414
415
416
417
418
419
420
421
422
423
424
425
426
427
J02AC01
J02AC01
J02AC01
J02AC01
J02AC02
J02AC02
J02AC02
J02AC02
J02AC02
J02AC02
J02AC02
J02AC03
J02AC03
J02AC03
J02AC03
J02AC04
J02AC04
J02AX04
J02AX04
J02AX06
J04AC01
J04AC01
J04AK01
J04AK01
J04AK02
J04AK02
J04AM02
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB04
J05AB04
J05AB06
J05AB11
J05AB14
J05AB15
J05AE01
J05AE01
J05AE02
J05AE02
J05AE03
J05AE03
J05AE03
J05AE04
J05AE06
J05AE06
J05AE07
Denumire generica
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
POSACONAZOLUM**
POSACONAZOLUM**
CASPOFUNGINUM**
CASPOFUNGINUM**
ANIDULAFUNGINUM
ISONIAZIDUM
ISONIAZIDUM
PYRAZINAMIDUM
PYRAZINAMIDUM
ETHAMBUTOLUM
ETHAMBUTOLUM
Denumire comerciala
Forma
Concentrati
farmaceutic
e / U.T.
a
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
OMICRAL 100 mg
CAPS.
ORUNGAL
CAPS.
ITRACONAZOL 100 mg
CAPS.
ITRACONAZOL LPH 100 mg CAPS.
MICOGAL 100 mg
CAPS.
ITRACONAZOL 100 mg
CAPS.
SPORILIN 100 mg
CAPS.
VFEND 200mg
COMPR. FILM.
VFEND 50mg
COMPR. FILM.
VFEND 200mg
VFEND 40 mg/ml
NOXAFIL SP 40mg/ml
SUSP. ORALA
NOXAFIL SP 40mg/ml
SUSP. ORALA
CANCIDAS 50 mg
CANCIDAS 70 mg
ECALTA 100mg
ISONIAZIDA 100 mg
COMPR.
IZONIAZIDA ANTIBIOTICE 300 mg COMPR.
PIRAZINAMIDA ANTIBIOTICE 500 mg COMPR.
ETAMBUTOL 250 mg
COMPR. FILM.
ETAMBUTOL 400 mg
COMPR. FILM.
COMBINATII (RIFAMPICINUM+IZONIAZIDUM) SINERDOL ISO
CAPS.
ACICLOVIRUM
ACICLOVIR 200 mg
CAPS.
ACICLOVIRUM
ACICLOVIR ARENA 200 mg CAPS.
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIR 200 mg
COMPR.
ACICLOVIRUM
CLOVIRAL 200 mg
COMPR.
ACICLOVIRUM
ACICLOVIR 200 mg
COMPR.
ACICLOVIRUM
ACICLOVIR TERAPIA 200 mg COMPR.
ACICLOVIRUM
ACICLOVIR 200 mg
COMPR.
ACICLOVIRUM
ACICLOVIR 400 mg
COMPR.
ACICLOVIRUM
VIROLEX
RIBAVIRINUM
REBETOL 200 mg
CAPS.
RIBAVIRINUM
COPEGUS 200mg
COMPR. FILM.
GANCICLOVIRUM
CYMEVENE
LIOF. PT. SOL. INJ.
VALACYCLOVIRUM
VALTREX 500 mg
COMPR. FILM.
VALGANCICLOVIRUM**
VALCYTE (R) 450 mg
COMPR. FILM.
BRIVUDINUM
BRIVAL 125mg
COMPR.
SAQUINAVIRUM
INVIRASE 200mg
CAPS.
SAQUINAVIRUM
INVIRASE 500 mg
COMPR. FILM.
INDINAVIRUM
CRIXIVAN 200mg
CAPS.
INDINAVIRUM
CRIXIVAN 400mg
CAPS.
RITONAVIRUM**
NORVIR 100 mg
COMPR. FILM.
RITONAVIRUM**
NORVIR 100 mg
COMPR. FILM.
RITONAVIRUM**
NORVIR 100 mg
COMPR. FILM.
NELFINAVIRUM
VIRACEPT 250 mg
COMPR. FILM.
LOPINAVIRUM+RITONAVIRUM** KALETRA 200mg/50mg
COMPR. FILM.
LOPINAVIRUM+RITONAVIRUM** KALETRA 80mg/ml+20mg/ml SOL. ORALA
FOSAMPRENAVIRUM**
TELZIR 700mg
COMPR. FILM.
PULB. PT. CONC. PT. SOL. PERF.

2mg/ml
2mg/ml
2mg/ml
2mg/ml
100mg
100mg
100mg
100mg
100mg
100mg
100mg
200mg
50mg
200mg
40mg/ml
40mg/ml
40mg/ml
50mg
70mg
100mg
100mg
300mg
500mg
500mg
250mg
400mg
Firma
Tara
Ambalaj

ROMANIA CUTIE X 3 BLIST. AL/AL X 5 CAPS.
JANSSEN PHARMACEUTICA N.V.
BELGIA
SLAVIA PHARM SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS.

CUTIE X 3 BLIST. PVC/AL X 5 CAPS.
ROMPHARM COMPANY SRL ROMANIA CUTIE X 3 BLIST. PVC/AL X 5 CAPS.
ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS.
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 5 CAPS.
PFIZER LIMITED
MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL)
PFIZER LIMITED
MAREA BRITANIE CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL)
PFIZER LIMITED
MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML
PFIZER LIMITED
MAREA BRITANIE
CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA
SP EUROPE
BELGIA
CUTIE X 1 FLAC. X 105ML SUSP. ORALA

MERCK SHARP & DOHME
MAREA BRITANIE
CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF.
MERCK SHARP & DOHME
MAREA BRITANIE
MAREA BRITANIE
CUTIE X 1FLAC.DIN STICLA A 30ML X 100MG PULB.
PFIZER LIMITED
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE S.A.
ANTIBIOTICE S.A.
ANTIBIOTICE SA
ANTIBIOTICE SA
300mg+150mg ANTIBIOTICE SA
200mg
SLAVIA PHARM SRL
200mg
ARENA GROUP SA
200mg
ARENA GROUP SA
400mg
ARENA GROUP S.A.
200mg
200mg
ANTIBIOTICE SA
200mg
EGIS PHARMACEUTICALS P.L.C.
200mg
TERAPIA SA
200mg
LAROPHARM S.R.L.
400mg
250mg
KRKA D.D. NOVO MESTO
200mg
SP EUROPE
200mg
ROCHE ROMANIA SRL
500mg
ROCHE ROMANIA S.R.L.
500mg
THE WELLCOME FOUNDATION LTD.
450mg
ROCHE ROMANIA SRL
125mg
BERLIN CHEMIE AG MENARINI GROUP
200mg
ROCHE REGISTRATION LTD.
500mg
200mg
MERCK SHARP & DOHME
400mg
MERCK SHARP & DOHME
100mg
100mg
100mg
250mg
200mg/50mg ABBOTT LABORATORIES LTD.
MAREA BRITANIE
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
UNGARIA
ROMANIA
ROMANIA
UNGARIA
S
S
S
S
P-RF
CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 5 CAPS. P-RF
MERCK SHARP & DOHME
Prescriptie
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF/R
P-RF/R
CUTIE X 150 BLIST. X 10 COMPR.
S
S
S
S
CUTIE X 150 BLIST. PVC/AL X 10 COMPR.
S/P-RF
S/P-RF
S
S
CUTIE X 150 BLIST. AL/PVC X 10 COMPR. FILM. S
CUTIE X 100 BLIST. AL/PVC X 10 CAPS. S
CUTIE X 150 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF
P-RF
P-RF/S
P-RF
CUTIE X 2 BLIST. AL./PVC X 10 COMPR.

P-RF
P-RF
CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF
P-RF
P-RF
SLOVENIA
CUTIE X 5 FLAC. X 250 MG PULB. PT. SOL. INJ./PERF.
S/P-RF
BELGIA
CUTIE X 140CAPS. ( BLIST. PVC/PE/PVDC )
P-RF/R
ROMANIA CUTIE X 1 FLAC. PEID X 168 COMPR. FILM. P-RF/R

ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU LIOF. PT. SOL. INJ. S
MAREA BRITANIE
ROMANIA CUTIE X 1 FLAC. X 60 COMPR. FILM.

GERMANIA CUTIE X 1 BLIST. PVC/AL X 7 COMPR.
P-RF
P-RF
MAREA BRITANIE
CUTIE X 1 FLAC. X 270 CAPS.
P-RF/R
MAREA BRITANIE
CUTIE X 1 FLAC. PEID X 120 COMPR. FILM.
P-RF/R
MAREA BRITANIE
CUTIE X 1 FLAC. PEID X 360 CAPS.
MAREA BRITANIE
CUTIE X 1 FLAC DIN PEID. X 180 CAPS.

CUTIE X 1 FLAC. PEID X 30 COMPR.FILM.
MAREA BRITANIE
CUTIE X 1 FLAC. PEID X 270 COMPR. FILM.
MAREA BRITANIE
CUTIE X 1 FLAC. DIN PEID X 120 COMPR. FILM.
MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE
P-RF/R
P-RF/R
P-RF/R
P-RF/R
P-RF/R
P-RF/R
P-RF/R
80mg/ml+20mg/ml ABBOTT LABORATORIES LTD.
MAREA BRITANIE CUTIE X 5 FLAC. MULTIDOZA DIN TPE X 60 ML + 5 SERINGI GRADATE A 5 ML
P-RF/R
700mg
MAREA BRITANIE
P-RF/R
GLAXO GROUP LTD.
CUTIE X 1 FLAC. DIN HDPE X 60 COMPR. FILM. PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII
Pagina 8 din 56
cant/
amba
laj
Pret cu
ridicata
maximal /
ambalaj
Pret cu ridicata
maximal / U.T.
10
20
10
10
15
15
15
15
15
15
15
28
28
1
1
1
1
1
1
1
1500
1500
20
1500
1500
1500
1000
20
20
1000
10
20
20
20
20
20
10
5
140
168
1
10
60
7
270
120
360
180
30
90
60
270
120
5
60
454.59
796.39
770.66
182.90
40.18
60.84
40.18
40.18
40.18
40.18
40.18
3,559.23
912.09
458.07
2,203.52
2,488.19
2,488.19
1,202.39
1,560.14
1,458.70
108.12
270.36
6.75
434.58
252.90
395.15
438.43
14.97
15.85
704.14
14.41
12.75
12.16
10.22
12.69
9.62
14.23
231.79
2,210.48
2,406.37
92.79
43.54
4,863.09
272.43
1,020.66
1,013.90
167.56
167.56
196.38
565.59
387.06
1,020.66
1,564.58
1,487.86
1,219.58
45.459000
39.819500
77.066000
18.290000
2.678666
4.056000
2.678666
2.678666
2.678666
2.678666
2.678666
127.115357
32.574642
458.070000
2,203.520000
2,488.190000
2,488.190000
1,202.390000
1,560.140000
1,458.700000
0.072080
0.180240
0.337500
0.289720
0.168600
0.263433
0.438430
0.748500
0.792500
0.704140
1.441000
0.637500
0.608000
0.511000
0.634500
0.481000
1.423000
46.358000
15.789142
14.323630
92.790000
4.354000
81.051500
38.918571
3.780222
8.449166
0.465444
0.930888
6.546000
6.284333
6.451000
3.780222
13.038166
297.572000
20.326333
Pret cu ridicata
maximal de
decontare / U.T.
37.524480
37.524480
77.066000
18.290000
2.678666
3.214399
2.678666
2.678666
2.678666
2.678666
2.678666
127.115357
32.574642
458.070000
2,203.520000
2,488.190000
2,488.190000
1,202.390000
1,560.140000
1,458.700000
0.072080
0.180240
0.337500
0.289720
0.168600
0.263433
0.438430
0.577200
0.577200
0.577200
1.441000
0.577200
0.577200
0.511000
0.577200
0.481000
1.423000
46.358000
15.789142
14.323630
92.790000
4.354000
81.051500
38.918571
3.780222
8.449166
0.465444
0.930888
6.546000
6.284333
6.451000
3.780222
13.038166
297.572000
20.326333
Pret cu
maximal / U.T.
/ U.T.
maximal /
ambalaj
533.65
906.22
878.17
223.28
52.56
76.92
52.56
52.56
52.55
52.56
52.56
3,917.72
1,032.33
537.45
2,439.99
2,750.28
2,750.28
1,348.76
1,738.70
1,628.13
131.99
330.05
9.12
511.84
308.74
468.86
516.04
20.23
21.42
805.66
19.48
17.23
16.44
13.81
17.15
13.00
19.23
282.97
2,447.58
2,661.10
117.33
56.95
5,338.93
332.58
1,150.67
1,143.30
204.56
204.56
239.74
654.64
460.05
1,150.67
1,743.54
1,659.92
1,367.49
53.365000
45.311000
87.817000
22.328000
3.504000
5.128000
3.504000
3.504000
3.503333
3.504000
3.504000
139.918571
36.868928
537.450000
2,439.990000
2,750.280000
2,750.280000
1,348.760000
1,738.700000
1,628.130000
0.087993
0.220033
0.456000
0.341226
0.205826
0.312573
0.516040
1.011500
1.071000
0.805660
1.948000
0.861500
0.822000
0.690500
0.857500
0.650000
1.923000
56.594000
17.482714
15.839880
117.330000
5.695000
88.982166
47.511428
4.261740
9.527500
0.568222
1.136444
7.991333
7.273777
7.667500
4.261740
14.529500
331.984000
22.791500
42.732960
42.732960
87.817000
22.328000
3.504000
4.204000
3.504000
3.504000
3.503333
3.504000
3.504000
139.918571
36.868928
537.450000
2,439.990000
2,750.280000
2,750.280000
1,348.760000
1,738.700000
1,628.130000
0.087993
0.220033
0.409471
0.341226
0.205826
0.312573
0.516040
0.780000
0.780000
0.780000
1.948000
0.780000
0.780000
0.690500
0.780000
0.650000
1.923000
56.594000
17.482714
15.839880
117.330000
5.695000
88.982166
47.511428
4.261740
9.527500
0.568222
1.136444
7.991333
7.273777
7.667500
4.261740
14.529500
331.984000
22.791500
Grupa
Nr.
terape
crt
utica
428
429
430
431
432
433
434
435
436
437
438
439
440
441
442
443
444
445
446
447
448
449
450
451
452
453
454
455
456
457
458
459
460
461
462
463
464
465
466
467
468
469
470
471
472
473
474
475
476
477
478
479
480
481
482
J05AE07
J05AE08
J05AE08
J05AE09
J05AE10
J05AE10
J05AE10
J05AF01
J05AF01
J05AF02
J05AF02
J05AF04
J05AF04
J05AF05
J05AF05
J05AF05
J05AF05
J05AF05
J05AF05
J05AF06
J05AF06
Denumire generica
FOSAMPRENAVIRUM**
ATAZANAVIRUM
ATAZANAVIRUM
TIPRANAVIRUM**
DARUNAVIRUM**
DARUNAVIRUM**
DARUNAVIRUM**
ZIDOVUDINUM
ZIDOVUDINUM
DIDANOSINUM
DIDANOSINUM
STAVUDINUM
STAVUDINUM
LAMIVUDINUM
LAMIVUDINUM
LAMIVUDINUM
LAMIVUDINUM
LAMIVUDINUM
LAMIVUDINUM
ABACAVIRUM
ABACAVIRUM
J05AF07 TENOFOVIRUM DISOPROXIL FUMARATE

J05AF09
J05AG01
J05AG01
J05AG01
J05AG01
J05AG01
J05AG01
J05AG03
J05AG03
J05AG03
J05AG04
EMTRICITABINUM
NEVIRAPINUM
NEVIRAPINUM
NEVIRAPINUM
NEVIRAPINUM
NEVIRAPINUM
NEVIRAPINUM
EFAVIRENZUM
EFAVIRENZUM
EFAVIRENZUM
ETRAVIRINUM
Denumire comerciala
TELZIR 50mg/ml
REYATAZ 150 mg
REYATAZ 300 mg
APTIVUS 250mg
PREZISTA 300mg
PREZISTA 400mg
PREZISTA 600mg
RETROVIR (R)
RETROVIR (R)
VIDEX EC 250 mg
VIDEX EC 400 mg
ZERIT 30 mg
ZERIT 40 mg
LAMIVUDINE TEVA 100 mg
ZEFFIX 100 mg
LAMIVUDINE TEVA PHARMA B.V. 150 mg
EPIVIR 150mg
EPIVIR 10mg/ml
ZIAGEN 300 mg
ZIAGEN 20 mg/ml
VIREAD 245mg
EMTRIVA 200mg
VIRAMUNE 200mg
NEVIRAPINA 200mg
VIRAMUNE 100mg
VIRAMUNE 400mg
VIRAMUNE 50mg
VIRAMUNE 50mg/ml
STOCRIN 50 mg
STOCRIN 600 mg
STOCRIN 600 mg
INTELENCE
Forma
Concentrati
farmaceutic
e / U.T.
a
Firma
Tara
SUSP. ORALA 50mg/ml
GLAXO GROUP LTD.
MAREA BRITANIE
CUTIE X 1 FLAC. DIN HDPE X 225 ML SUSP. ORALA PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII +
P-RF/R
CAPS.
CAPS.
CAPS. MOI
BRISTOL-MYERS SQUIBB
MAREA BRITANIE
CUTIE X 60 CAPS. (BLIST. AL/AL 6X1)
P-RF/R
MAREA BRITANIE
CUTIE X 1 FLAC. PEID X 30 CAPS.
BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG
GERMANIA CUTIE X 1 FLAC. DIN PEID X 120 CAPS. MOI
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
CAPS.
SOL. ORALA
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS.
CAPS.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
SOL. ORALA
COMPR. FILM.
SOL. ORALA
COMPR. FILM.
CAPS.
COMPR.
COMPR.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
SUSP. ORALA
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR.
150mg
300mg
250mg
300mg
400mg
600mg
100mg
1%
250mg
400mg
30mg
40mg
100 mg
100mg
150 mg
150mg
300 mg
10mg/ml
300mg
20mg/ml
245mg
200mg
200mg
200mg
100mg
400mg
50mg
50mg/5ml
50mg
600mg
600mg
100mg
Ambalaj
VIIV HEALTHCARE UK LIMITED
BELGIA
BELGIA
BELGIA
UK
MAREA BRITANIE
BRISTOL MYERS SQUIBB KFT

UNGARIA CUTIE X 3 BLIST. X 10 CAPS. GASTROREZ.

UNGARIA CUTIE X 3 BLIST. X 10 CAPS. GASTROREZ.
MAREA BRITANIE
MAREA BRITANIE
JANSSEN-CILAG INTERNATIONAL NV
Prescriptie
P-RF/R
P-RF/R
P-RF/R
P-RF/R
P-RF/R
S/P-RF
CUTIE X 1 FLACON DIN STICLA BRUNA X 200 ML + 1 ADAPTOR DE DOZARE + 1 SERINGA PT. ADM. ORALA A 10 ML
S/P-RF
CUTIE X 4 BLIST. ACLAR/AL X 14 CAPS.

CUTIE X 4 BLIST. ACLAR/AL X 14 CAPS.
TEVA PHARMA B.V. OLANDA CUTIE CU BLIST. PVC/PVDC/AL X 30 COMPR. FILM.

GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST. PVC-AL/PVC-AL)
GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLAC. PEID X 60 COMPR. FILM.
GLAXO GROUP LTD. MAREA BRITANIE
GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 60 COMPR. FILM.
CUTIE X 1 FLACON PEID X 240ML SOL. ORALA + 1 SERINGA DOZATOARE + 1 ADAPTOR
S/P-RF
S/P-RF
P-RF/R
P-RF/R
P-RF/R
P-RF/R
P-RF/R
P-RF/R
P-RF/R
P-RF/R
P-RF/R
CUTIE X 1 FLACON PEID X 240 ML SOL. ORALA + SERINGA DOZATOARE PP X 10 ML + ADAPTOR PE
P-RF/R
GILEAD SCIENCE INTERNATIONAL LIMITED
MAREA BRITANIE
CUTIE X 1 FLAC. DIN PEID X 30 COMPR. FILM
P-RF/R
GILEAD SCIENCE INTERNATIONAL LIMITED
MAREA BRITANIE
CUTIE X 1 FLAC. DIN PEID X 30 CAPS.
P-RF/R
GERMANIA
P-RF/R
BLISTERE DIN PVC/PE/PVDC - AL X 60 COMP.
P-RF/R
TEVA PHARMA B.V. OLANDA

GERMANIA
CUTIE CU UN FLACON DIN PEID X 90 COMPR. CU ELIB. PRELUNGITA
GERMANIA
GERMANIA
PR
PR
PR
GERMANIA
CUTIE X 1 FLACON PEID X 240 ML + O SERINGA X 5 ML + UN DISPOZITIV DE ADAPTARE A SERINGII LA FLACON
P-RF/R
MERCK SHARP & DOHME
MAREA BRITANIE
CUTIE X 1 FLAC. PEID X 30COMPR. FILM. PREVAZUT CU UN SIST. DE INCHIDERE SECURIZAT PT. COPII
P-RF/R
MERCK SHARP & DOHME
MAREA BRITANIE
CUTIE X 1 FLAC. PEID X 30 COMPR. FILM. PREVAZUT CU UN SIST. DE INCHIDERE SECURIZAT PT. COPII
P-RF/R
MERCK SHARP & DOHME
MAREA BRITANIE
CUTIE X 1 BLIST. AL PERFORAT X 30 COMPR. FILM.
P-RF/R
BELGIA CUTIE X 1 FLAC. PEID X 120 COMPR.

TEVA PHARMA B.V. OLANDA CUTIE CU BLIST. DIN OPA/AL/PVC X 60 COMPRIMATE FILMATE
ZIDOVUDINUM+LAMIVUDINUM** COMBIVIR 150mg/300mg
COMPR. FILM. 150mg/300mg GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 6 BLIST. X 10 COMPR. FILM.
ABACAVIRUM+LAMIVUDINUM** KIVEXA 600mg/300mg
COMPR. FILM. 600mg/300mg GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 30 COMPR. FILM.( BLIST.ALB-OPAC PVC-PVDC/AL )
ABACAVIRUM+LAMIVUDINUM+ZIDOVUDINUM** TRIZIVIR 300mg/150mg/300mg COMPR. FILM. 300mg/150mg/300mg GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM.
ENFUVIRTIDUM**
FUZEON 90mg/ml
PULB. + SOLV. PT. SOL. INJ. 90mg/ml
ROCHE REGISTRATION LTD. MAREA BRITANIE
RALTEGRAVIRUM
ISENTRESS 400mg
COMPR. FILM. 400 mg
MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. PEID X 60 COMPR. FILMATE
MARAVIROCUM
CELSENTRI 150mg
COMPR. FILM. 150mg
PFIZER LIMITED
MAREA BRITANIE CUTIE X 60 COMPR. FILM.( BLIST. PVC/AL)
MARAVIROCUM
CELSENTRI 300mg
COMPR. FILM. 300mg
PFIZER LIMITED
MAREA BRITANIE CUTIE X 60 COMPR. FILM.( BLIST. PVC/AL)
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**
HUMAGLOBIN
PULB.+SOLV. PT. SOL. PERF.
5%
UNGARIA CUTIE X 1 CUTIE X 1 FLAC. CU PULB. + 1 CUTIE X 1 FLAC. SOLV. X 50 ML
HUMAGLOBIN
5%
UNGARIA CUTIE X 1 CUTIE X 1 FLAC. CU PULB. + 1 CUTIE X 1 FLAC. SOLV. X 100 ML
OCTAGAM 10%
SOL. PERF. 100 mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF.
OCTAGAM 10%
OCTAGAM 10%
OCTAGAM 10%
PRIVIGEN 100mg/ml
SOL. PERF. 100mg/ml
CSL BEHRING GMBH GERMANIA CUTIE X 1 FLAC.X 25 ML SOL. PERF.
KIOVIG 100mg/ml
SOL. PERF. 100mg/ml
BAXTER AG
AUSTRIA CUTIE X 1 FLAC X 200ML SOL. PERF.(20G/200ML)
KIOVIG 100mg/ml
SOL. PERF. 100mg/ml
BAXTER AG
PRIVIGEN 100mg/ml
SOL. PERF. 100mg/ml
PRIVIGEN 100mg/ml
SOL. PERF. 100mg/ml
PRIVIGEN 100mg/ml
SOL. PERF. 100mg/ml
KIOVIG 100mg/ml
SOL. PERF. 100mg/ml
BAXTER AG
KIOVIG 100mg/ml
SOL. PERF. 100mg/ml
BAXTER AG
P-RF/R
J05AR01 COMBINATII (LAMIVUDINUM+ZIDOVUDINUM)** LAMIVUDINA/ZIDOVUDINA TEVA COMPR. FILM. 150 mg/300 mg
P-RF
J05AR01
P-RF/R
J05AR02
J05AR04
J05AX07
J05AX08
J05AX09
J05AX09
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
CUTIE X 60 FLAC. PULB. PT. SOL. INJ. + 60 FLAC. SOLV. + 60 SERINGI X 3 ML + 60 SERINGI X 1 ML, 180 T
HUMAN BIOPLAZMA MANUFACTURING AND TRADING LTD.
Pagina 9 din 56
P-RF/R
P-RF/R
P-RF/R
P-RF/R
P-RF/R
P-RF/R
S
S
S
S
S
S
S
S
S
S
S
S
S
S
cant/
amba
laj
1
60
30
120
120
60
60
100
1
30
30
56
56
30
28
60
60
30
1
60
1
30
30
60
60
90
30
180
1
30
30
30
120
60
60
30
60
60
60
60
60
1
1
1
1
1
1
1
1
1
1
1
1
1
1
Pret cu
ridicata
maximal /
ambalaj
Pret cu ridicata
maximal / U.T.
384.56
1,579.88
1,691.40
2,969.40
2,768.37
2,015.15
2,841.59
354.20
84.40
421.93
657.08
487.42
502.69
159.00
228.32
319.27
476.54
319.27
131.82
787.53
209.91
1,097.01
656.22
625.14
416.84
731.60
966.78
731.60
186.84
12.04
67.45
67.45
1,947.00
677.93
1,026.84
1,328.77
1,675.67
6,090.78
3,480.67
3,352.86
3,352.86
451.00
872.00
3,072.10
6,114.44
663.61
1,550.55
460.47
3,469.04
7,459.41
890.95
1,751.89
3,473.78
889.76
1,749.51
384.560000
26.331333
56.380000
24.745000
23.069750
33.585833
47.359833
3.542000
84.400000
14.064333
21.902666
8.703928
8.976607
5.300000
8.154285
5.321166
7.942333
10.642333
131.820000
13.125500
209.910000
36.567000
21.874000
10.419000
6.947333
8.128888
32.226000
4.064444
186.840000
0.401333
2.248333
2.248333
16.225000
11.298833
17.114000
44.292333
27.927833
101.513000
58.011166
55.881000
55.881000
451.000000
872.000000
3,072.100000
6,114.440000
663.610000
1,550.550000
460.470000
3,469.040000
7,459.410000
890.950000
1,751.890000
3,473.780000
889.760000
1,749.510000
Pret cu ridicata
maximal de
decontare / U.T.
384.560000
26.331333
56.380000
24.745000
23.069750
33.585833
47.359833
3.542000
84.400000
14.064333
21.902666
8.703928
8.976607
5.300000
6.360000
5.321166
6.385399
10.642333
131.820000
13.125500
209.910000
36.567000
21.874000
8.336800
6.947333
8.128888
32.226000
4.064444
186.840000
0.401333
2.248333
2.248333
16.225000
11.298833
13.558600
44.292333
27.927833
101.513000
58.011166
55.881000
55.881000
451.000000
872.000000
3,072.100000
6,114.440000
663.610000
1,550.550000
460.470000
3,469.040000
7,459.410000
890.950000
1,751.890000
3,473.780000
889.760000
1,749.510000
Pret cu
maximal / U.T.
/ U.T.
maximal /
ambalaj
457.32
1,760.22
1,881.78
3,274.80
3,055.68
2,234.67
3,135.49
424.23
106.72
498.05
754.37
569.44
586.08
194.11
278.73
386.16
557.58
386.16
160.92
896.56
256.26
1,233.89
753.43
719.55
492.51
835.60
1,091.94
835.60
228.10
16.27
85.28
85.28
2,160.38
777.10
1,157.41
1,486.51
1,864.63
6,677.11
3,832.08
3,692.77
3,692.77
529.74
988.63
3,386.74
6,702.89
761.48
1,728.25
540.07
3,819.40
8,168.91
1,009.28
1,947.71
3,824.57
1,007.99
1,945.12
457.320000
29.337000
62.726000
27.290000
25.464000
37.244500
52.258166
4.242300
106.720000
16.601666
25.145666
10.168571
10.465714
6.470333
9.954642
6.436000
9.293000
12.872000
160.920000
14.942666
256.260000
41.129666
25.114333
11.992500
8.208500
9.284444
36.398000
4.642222
228.100000
0.542333
2.842666
2.842666
18.003166
12.951666
19.290166
49.550333
31.077166
111.285166
63.868000
61.546166
61.546166
529.740000
988.630000
3,386.740000
6,702.890000
761.480000
1,728.250000
540.070000
3,819.400000
8,168.910000
1,009.280000
1,947.710000
3,824.570000
1,007.990000
1,945.120000
457.320000
29.337000
62.726000
27.290000
25.464000
37.244500
52.258166
4.242300
106.720000
16.601666
25.145666
10.168571
10.465714
6.470333
7.764400
6.436000
7.723200
12.872000
160.920000
14.942666
256.260000
41.129666
25.114333
9.850200
8.208500
9.284444
36.398000
4.642222
228.100000
0.542333
2.842666
2.842666
18.003166
12.951666
15.541999
49.550333
31.077166
111.285166
63.868000
61.546166
61.546166
529.740000
988.630000
3,386.740000
6,702.890000
761.480000
1,728.250000
540.070000
3,819.400000
8,168.910000
1,009.280000
1,947.710000
3,824.570000
1,007.990000
1,945.120000
Grupa
Nr.
terape
crt
utica
483
484
485
486
487
488
489
490
491
492
493
494
495
496
497
498
499
500
501
502
503
504
505
506
507
508
509
510
511
512
513
514
515
516
Denumire generica
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BB16
PALIVIZUMABUM**
PALIVIZUMABUM**
FILGRASTIMUM (G-CSF)**
PRIMAQUINE 4)
MEFLOQUINUM 4)
NETILMICINUM
NETILMICINUM
NETILMICINUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
NORFLOXACINUM
J06BB16
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
P01BA03
P01BC02
S01AA23
S01AA23
S01AA23
S01BA01
S01BA01
S01BA01
S01BA01
S03AAN2
Denumire comerciala
KIOVIG 100mg/ml
KIOVIG 100mg/ml
IG VENA 10g/200ml
IG VENA 1g/20ml
IG VENA 2,5g/50ml
FLEBOGAMMA 5%
FLEBOGAMMA 5%
FLEBOGAMMA 5%
FLEBOGAMMA 5%
OCTAGAM
OCTAGAM
OCTAGAM
IG VENA 5g/100ml
SYNAGIS 100 mg
SYNAGIS 50 mg
NEUPOGEN (R)
NEUPOGEN (R)
ZARZIO 30MU/0,5ml
ZARZIO 48MU/0,5ml
NIVESTIM 12 MU/0,2ml
TEVAGRASTIM 30MUI/0,5ml
NIVESTIM 30 MU/0,5 ml
MALIRID
ELOQUINE 250 mg
NETTACIN (R)
NETTACIN (R)
NETTAVISC 3mg/g
OZURDEX
DEXAMETAZONA ROMPHARM 1mg/ml
DEXAMETAZONA ROMPHARM 1mg/ml
MAXIDEX (R)
NORFLOX
Forma
Concentrati
farmaceutic
e / U.T.
a
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. INJ.
SOL. INJ.
SOL. INJ. /PERF. IN SERINGA PREUMPLUTA
SOL. INJ./PERF.
100mg/ml
100mg/ml
10g/200ml
1g/20ml
2,5g/50ml
5%
5%
5%
5%
50mg/ml
50mg/ml
50mg/ml
5g/100ml
100mg
50mg
30MU/0,5ml
48MU/0,5ml
60MU/ml
96MU/ml
120g/0,2ml
Firma
BAXTER AG
BAXTER AG
KEDRION SPA
KEDRION SPA
KEDRION SPA
INSTITUTO GRIFOLS S.A.
Tara
AUSTRIA
AUSTRIA
ITALIA
ITALIA
ITALIA
SPANIA
SPANIA
SPANIA
SPANIA
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL. PERF. + 1 SET ADMINISTRARE
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL.PERF.

MAREA BRITANIE
KEDRION SPA
ITALIA
MAREA BRITANIE CUTIE X 1 FLAC. PULB. PT. SOL. INJ. + FIOLA X 1 ML SOLV.
MAREA BRITANIE CUTIE X 1 FLAC. PULB. PT. SOL. INJ. + FIOLA X 1 ML SOLV.
MAREA BRITANIE
MAREA BRITANIE
AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML

SANDOZ GMBH
SANDOZ GMBH
AUSTRIA
AUSTRIA
HOSPIRA UK LIMITED
MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,2ML SOL. INJ. SAU PERF.
300g/0,5ml HOSPIRA UK LIMITED
SOL. INJ./PERF.
HOSPIRA UK LIMITED
COMPR.
COMPR.
CN UNIFARM S.A.
CN UNIFARM
S.I.F.I. SPA
S.I.F.I. SPA
S.I.F.I. SPA
ALLERGAN PHARMACEUTICALS IRELAND
ROMPHARM COMPANY SRL

ROMPHARM COMPANY SRL
Prescriptie
S
S
S
S
S
S
S
S
S
S
S
S
S
P-RF
P-RF
S/P-RF
S/P-RF
CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL
P-RF/R
P-RF/R
CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF.
MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF.
SOL. INJ./PERF. 480mcg/0,8ml TEVA GENERICS GMBH GERMANIA
480g/0,5ml
7,5 mg
250mg
PIC. OFT., SOL 0,3%
PICATURI OFT.-SOL. 0,3%
UNG. OFT. 3mg/g
IMPLANT
700 micrograme
PIC. OFT. SUSP. 1mg/ml
PIC. OFT. SUSP. 1mg/ml
PICATURI OFT.-SUSP. 0,1%
PICATURI OFT./AURIC.-SOL. 0,3%
CUTIE X 1 FLAC X 25ML SOL. PERF.(2,5G/25ML)
CUTIE X 1 FLAC X 10ML SOL. PERF.(1G/10ML)

OCTAPHARMA (IP) LTD.


SOL. INJ./PERF.
Ambalaj
P-RF
S/P-RF/R
P-RF
CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF.
S/P-RF/R
P-RF
ROMANIA CUTIE CU 10 BLIST.X 10 COMPR.

P-RF
ITALIA
CUTIE X 1 FLACON X 5ML
ITALIA
CUTIE X 3 FOLII TERMOSUDATE X 5 FLACOANE UNIDOZA DIN POLIETILENA X 0,3 ML
ITALIA
CUTIE X 1 TUB DIN AL X 5 G UNGUENT OFTALMIC, PREV. CU APLICATOR
IRLANDA
P-RF
ROMANIA
ROMANIA
X
P-RF
P-RF
CUTIE CU1 IMPLANT STERIL DE TIP FILAMENT CU ELIBERARE PRELUNGIT CONINND DEXAMETAZON 700 MICR
P-RF
CUTIE X 1 FLAC. DIN PEID X 5 ML PIC. OFT., SUSPENSIE
P-RF
CUTIE X 1 FLAC. DIN PEID X 10 ML PIC. OFT., SUSPENSIE P-RF
ALCON COUVREUR NV BELGIA
CUTIE X 1 FLACON PICURATOR DIN PE X 5 ML P-RF
CIPLA (UK) LIMITED
CUTIE X 1 FLACON PEJD X 5 ML
MAREA BRITANIE
P-RF
Pret cu
ridicata
maximal /
ambalaj
Pret cu ridicata
maximal / U.T.
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
5
1
5
1
5
100
100
1
15
1
1
1
1
1
1
459.88
188.56
2,050.80
222.29
535.20
914.10
1,798.20
472.05
99.02
1,166.70
640.45
2,261.30
1,040.40
3,499.13
2,119.02
267.05
436.57
162.10
260.91
418.45
214.16
1,001.12
355.90
1,656.30
14.81
140.58
10.49
21.41
24.05
4,694.69
4.11
7.49
6.33
3.52
459.880000
188.560000
2,050.800000
222.290000
535.200000
914.100000
1,798.200000
472.050000
99.020000
1,166.700000
640.450000
2,261.300000
1,040.400000
3,499.130000
2,119.020000
267.050000
436.570000
162.100000
260.910000
83.690000
214.160000
200.224000
355.900000
331.260000
0.148100
1.405800
10.490000
1.427333
24.050000
4,694.690000
4.110000
7.490000
6.330000
3.520000
459.880000
188.560000
2,050.800000
222.290000
535.200000
914.100000
1,798.200000
472.050000
99.020000
1,166.700000
640.450000
2,261.300000
1,040.400000
3,499.130000
2,119.020000
194.520000
313.092000
162.100000
260.910000
83.690000
194.520000
194.520000
313.092000
313.092000
0.148100
1.405800
10.490000
1.427333
12.588000
4,694.690000
4.110000
7.490000
4.932000
3.520000
539.42
230.20
2,273.52
271.37
621.52
1,034.52
1,998.19
552.68
125.20
1,309.85
736.24
2,502.97
1,172.19
3,852.21
2,347.88
326.02
514.01
197.89
318.52
494.26
261.45
1,129.37
426.08
1,843.52
20.02
171.62
14.18
28.94
32.50
5,155.37
5.55
10.12
8.55
4.76
539.420000
230.200000
2,273.520000
271.370000
621.520000
1,034.520000
1,998.190000
552.680000
125.200000
1,309.850000
736.240000
2,502.970000
1,172.190000
3,852.210000
2,347.880000
326.020000
514.010000
197.890000
318.520000
98.852000
261.450000
225.874000
426.080000
368.704000
0.200200
1.716200
14.180000
1.929333
32.500000
5,155.370000
5.550000
10.120000
8.550000
4.760000
539.420000
230.200000
2,273.520000
271.370000
621.520000
1,034.520000
1,998.190000
552.680000
125.200000
1,309.850000
736.240000
2,502.970000
1,172.190000
3,852.210000
2,347.880000
237.468000
382.224000
197.890000
318.520000
98.852000
237.468000
225.874000
382.224000
368.704000
0.200200
1.716200
14.180000
1.929333
17.016000
5,155.370000
5.550000
10.120000
6.660000
4.760000
20
20
20
5
5
5
5
20
1000
30
30
30
20
14
14
14
6.74
6.74
6.74
7.65
7.65
5.16
5.16
1.96
44.43
1.94
1.83
2.74
1.90
12.35
12.35
10.85
0.337000
0.337000
0.337000
1.530000
1.530000
1.032000
1.032000
0.098000
0.044430
0.064666
0.061000
0.091333
0.095000
0.882142
0.882142
0.775000
0.337000
0.337000
0.337000
1.530000
1.530000
1.032000
1.032000
0.053316
0.044430
0.053316
0.053316
0.053316
0.053316
0.882142
0.882142
0.775000
9.11
9.11
9.11
10.34
10.34
6.98
6.98
2.65
58.12
2.62
2.47
3.71
2.57
16.69
16.69
14.67
0.455500
0.455500
0.455500
2.068000
2.068000
1.396000
1.396000
0.132500
0.058120
0.087333
0.082333
0.123666
0.128500
1.192142
1.192142
1.047857
0.455500
0.455500
0.455500
2.068000
2.068000
1.396000
1.396000
0.069744
0.058120
0.069744
0.069744
0.069744
0.069744
1.192142
1.192142
1.047857
cant/
amba
laj
Pret cu ridicata
maximal de
decontare / U.T.
Pret cu
maximal / U.T.
/ U.T.
maximal /
ambalaj

B) SUBPROGRAMUL DE TRATAMENT AL BOLNAVILOR CU TUBERCULOZA
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
A11HA02
A11HA02
A11HA02
A11HA02
A11HA02
A11HA02
A11HA02
H02AB07
H02AB07
H02AB07
H02AB07
H02AB07
H02AB07
J01FA09
J01FA09
J01FA09
PYRIDOXINUM
PYRIDOXINUM
PYRIDOXINUM
PYRIDOXINUM
PYRIDOXINUM
PYRIDOXINUM
PYRIDOXINUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
VITAMINA B6 250 mg
SICOVIT B6 250 mg
COMPR.
COMPR.
VITAMINA B6 ZENTIVA 250 mg COMPR.
SICOVIT B6 250 mg/5 ml
SOL. INJ.
VITAMINA B6 ZENTIVA 250 mg/5 ml SOL. INJ.
VITAMINA B6 ZENTIVA 50 mg/2ml SOL. INJ.
SICOVIT B6 50 mg/2ml
SOL. INJ.
PREDNISON MCC 5 mg
COMPR.
PREDNISON ARENA 5 mg
COMPR.
COMPR.
N - PREDNISON
COMPR.
PREDNISON 5 mg
COMPR.
PREDNISON - RICHTER 5 mg COMPR.
FROMILID 250
COMPR. FILM.
KLERIMED (R) 250
COMPR. FILM.
KLABAX 250 mg
COMPR. FILM.
250 mg
250mg
250mg
250mg/5ml
250mg/5ml
50mg/2ml
50mg/2ml
5mg
5mg
5mg
5mg
5mg
5mg
250mg
250mg
250mg
ARENA GROUP SA
ZENTIVA SA
ZENTIVA SA
ZENTIVA SA
ZENTIVA SA
ZENTIVA SA
ZENTIVA SA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
MAGISTRA C&C S.R.L. ROMANIA
MEDUMAN SA
ROMANIA
SINTOFARM SA
ROMANIA
CUTIE X 1 FLACON DIN PE X 20 COMPR. P-6L
CUTIE X 1 FLAC. DIN PE X 20 COMPR.

P-6L
CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 5 ML SOL. INJ.
P-RF
P-RF
P-RF
P-RF
P-6L
P-RF
P-RF/S
P-RF
CUTIE X 1 FLAC. X 30 COMPR.
P-RF

P-RF
P-RF

TERAPIA SA
ROMANIA
P-RF
P-RF
Pagina 10 din 56
Grupa
Nr.
terape
crt
utica
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01GA01
J01GA01
J01GA01
J01GA01
J01GB04
J01GB06
J01GB06
J01GB06
J01MA01
J01MA01
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
Denumire generica
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
STREPTOMYCINUM
STREPTOMYCINUM
STREPTOMYCINUM
STREPTOMYCINUM
KANAMYCINUM
AMIKACINUM
AMIKACINUM
AMIKACINUM
OFLOXACINUM
OFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
Denumire comerciala
KLACID (R)
LEKOKLAR (R) 250 mg
CLAR 250
CLAR 500
FROMILID 500
ROCLARIN 500 mg
KLERIMED (R) 500
LEKOKLAR (R) 500 mg
KLABAX 500 mg
KLABAX MR 500 mg
LEKOKLAR XL 500 mg
LEKOKLAR XL 500 mg
KLACID SR
FROMILID (R) UNO
KLABAX 125 mg/5 ml
KLABAX 125 mg/5 ml
KLACID (R)
KLACID (R)
KLABAX 250 mg/5 ml
KLABAX 250 mg/5 ml
KLACID I.V.
STREVITAL 1 g
STREVITAL 1 g
Forma
Concentrati
farmaceutic
e / U.T.
a
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.


PULB. PT. SOL. INJ.

PULB. PT. SOL. INJ.
STREPTOMICINA SULFAT BP
PULB. PT. SOL. INJ.
STREVITAL 1 g
PAN - KANAMYCINE
BIODACYNA
OFLOXIN 200
ZANOCIN
PULB. PT. SOL. INJ.

CUMINOL 250 mg
CIPROLEN (R) 250 mg

CUMINOL 250 mg
CIPROCIN 250 mg
ALVEBAR 250 mg
CIFRAN
CIPRINOL 250 mg
CUMINOL 500 mg
CIPROCIN 500 mg
CIPROLEN (R) 500 mg
ALVEBAR 500 mg
CIPRODAR
PULB. PT. SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
250mg
250mg
250mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
125mg/5ml
125mg/5ml
125mg/5ml
125mg/5ml
125mg/5ml
125mg/5ml
250mg/5ml
250mg/5ml
250mg/5ml
250mg/5ml
500mg
1g
1g
1g
1g
1g
100mg/2ml
1g/4ml
500mg/2ml
200mg
200mg
100mg
100mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
Firma
Tara
Ambalaj
Prescriptie
ABBOTT SPA
ITALIA
P-RF
P-RF

P-RF
P-RF
ANTIBIOTICE S.A.
ROMANIA

P-RF
P-RF
TERAPIA SA
TERAPIA SA
ROMANIA
ROMANIA
P-RF
P-RF
SLOVENIA
SLOVENIA
P-RF
KRKA D.D.
TERAPIA SA
TERAPIA SA
SANDOZ SRL
ABBOTT SPA
ABBOTT SPA
KRKA D.D.
TERAPIA SA
TERAPIA SA
SANDOZ SRL
SANDOZ SRL
SLOVENIA
P-RF
P-RF
P-RF
ROMANIA
ROMANIA
ROMANIA
ROMANIA
P-RF
P-RF
P-RF
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE S.A.
ANTIBIOTICE SA
LAB. PANPHARMA
ZENTIVA S.A.
CN UNIFARM S.A.
ZENTIVA S.A.
ZENTIVA K.S.
ROMANIA CUTIE X 50 FLAC. DIN STICLA CONTINAND PULB. PT. SOL. INJ.
ROMANIA CUTIE X 50 FL.PULB.PT. SOL.INJ. A 1 G
ROMANIA
ROMANIA
ROMANIA
ITALIA
ITALIA
P-RF
P-RF
P-RF
P-RF
P-RF
S/P-RF
S
S
PRF
FRANTA CUTIE X 50 FLAC. X 1 G
P-RF/S

ROMANIA CUTIE CU 1 FL.X 1G SOL.INJ.
P-RF
P-RF
P-RF
CEHIA
MAREA BRITANIE

RANBAXY UK LIMITED

P-RF
ALKALOID D.O.O.
AC HELCOR SRL
SLOVENIA
P-RF

E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM.
DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.
RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM.
ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.
P-RF
ALKALOID D.O.O.
SLOVENIA
AC HELCOR SRL
ROMANIA
DAR AL DAWA PHARMA S.R.L. ROMANIA
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

Pagina 11 din 56
P-RF
cant/
amba
laj
14
14
20
20
14
20
14
14
14
7
7
5
5
7
1
1
1
1
1
1
1
1
1
1
1
50
100
50
10
50
1
1
1
10
10
10
20
20
20
10
10
10
10
10
10
10
10
10
10
10
10
10
10
20
10
Pret cu
ridicata
maximal /
ambalaj
21.14
23.85
17.01
33.91
24.13
33.14
24.13
29.01
23.73
26.92
19.04
13.60
27.85
20.78
14.01
23.38
19.39
29.92
18.11
17.24
39.06
23.44
47.03
34.29
41.12
139.72
277.91
139.72
29.14
81.11
2.63
9.47
5.15
14.81
8.40
28.52
51.89
9.10
9.10
5.82
5.05
5.05
5.05
3.52
5.13
4.85
5.05
9.78
11.19
6.83
9.78
9.78
4.80
12.16
9.78
Pret cu ridicata
maximal / U.T.
1.510000
1.703571
0.850500
1.695500
1.723571
1.657000
1.723571
2.072142
1.695000
3.845714
2.720000
2.720000
5.570000
2.968571
14.010000
23.380000
19.390000
29.920000
18.110000
17.240000
39.060000
23.440000
47.030000
34.290000
41.120000
2.794400
2.779100
2.794400
2.914000
1.622200
2.630000
9.470000
5.150000
1.481000
0.840000
2.852000
2.594500
0.455000
0.455000
0.582000
0.505000
0.505000
0.505000
0.352000
0.513000
0.485000
0.505000
0.978000
1.119000
0.683000
0.978000
0.978000
0.480000
0.608000
0.978000
Pret cu ridicata
maximal de
decontare / U.T.
0.930000
0.930000
0.850500
1.695500
1.723571
1.657000
1.723571
1.988400
1.695000
1.988400
1.988400
1.988400
1.988400
1.988400
14.010000
23.380000
16.812000
28.056000
16.812000
16.812000
39.060000
23.440000
46.872000
28.128000
41.120000
2.794400
2.779100
2.794400
2.914000
1.622200
2.630000
9.470000
5.150000
1.008000
0.840000
2.852000
2.594500
0.422400
0.422400
0.422400
0.422400
0.422400
0.422400
0.352000
0.422400
0.422400
0.422400
0.576000
0.576000
0.576000
0.576000
0.576000
0.480000
0.576000
0.576000
Pret cu
maximal / U.T.
/ U.T.
maximal /
ambalaj
28.57
32.23
22.99
44.36
32.62
43.35
32.62
37.95
32.08
35.21
25.73
18.38
36.43
28.09
18.94
31.60
26.21
39.14
24.48
23.30
51.09
31.68
61.52
44.85
53.78
170.57
339.27
170.57
38.11
102.56
3.56
12.80
6.96
20.02
11.36
37.31
65.61
12.30
12.30
7.87
6.83
6.83
6.83
4.76
6.93
6.56
6.83
13.22
15.12
9.23
13.22
13.22
6.49
16.43
13.22
2.040714
2.302142
1.149500
2.218000
2.330000
2.167500
2.330000
2.710714
2.291428
5.030000
3.675714
3.676000
7.286000
4.012857
18.940000
31.600000
26.210000
39.140000
24.480000
23.300000
51.090000
31.680000
61.520000
44.850000
53.780000
3.411400
3.392700
3.411400
3.811000
2.051200
3.560000
12.800000
6.960000
2.002000
1.136000
3.731000
3.280500
0.615000
0.615000
0.787000
0.683000
0.683000
0.683000
0.476000
0.693000
0.656000
0.683000
1.322000
1.512000
0.923000
1.322000
1.322000
0.649000
0.821500
1.322000
1.257428
1.257428
1.149500
2.218000
2.330000
2.167500
2.330000
2.601000
2.291428
2.601000
2.601000
2.601000
2.601000
2.601000
18.940000
31.600000
22.728000
37.920000
22.728000
22.728000
51.090000
31.680000
61.308000
38.016000
53.780000
3.411400
3.392700
3.411400
3.811000
2.051200
3.560000
12.800000
6.960000
1.363200
1.136000
3.731000
3.280500
0.571200
0.571200
0.571200
0.571200
0.571200
0.571200
0.476000
0.571200
0.571200
0.571200
0.778800
0.778800
0.778800
0.778800
0.778800
0.649000
0.778800
0.778800
Grupa
Nr.
terape
crt
utica
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA14
J01MA14
J04AB01
J04AB01
J04AB01
J04AB02
J04AB02
J04AB02
J04AB02
J04AC01
J04AC01
J04AD01
J04AK01
J04AK01
J04AK02
J04AK02
Denumire generica
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
MOXIFLOXACINUM
MOXIFLOXACINUM
CICLOSERINUM
CICLOSERINUM
CICLOSERINUM
RIFAMPICINUM
RIFAMPICINUM
RIFAMPICINUM
RIFAMPICINUM
ISONIAZIDUM
ISONIAZIDUM
PROTIONAMIDUM
PYRAZINAMIDUM
PYRAZINAMIDUM
ETHAMBUTOLUM
ETHAMBUTOLUM
J04AM02 COMBINATII (RIFAMPICINUM+IZONIAZIDUM)
Denumire comerciala
Forma
Concentrati
farmaceutic
e / U.T.
a
CIFRAN
CIPRINOL 500 mg
CIPRO QUIN (R)
500mg
500mg
500mg
750mg
750mg
CIPROBAY XR 1000 mg
COMPR. FILM. ELIB. PREL. 1000 mg
CIPROBAY XR 500 mg
COMPR. FILM. ELIB. PREL. 500 mg
CIPROFLOXACINA 100 mg/10 ml CONC. PT. SOL. PERF. 100mg/10ml
CIPRINOL (R)
CONC. PT. SOL. PERF. 100mg/10ml
CIPRINOL (R)
CIPRINOL
CIPRINOL
UFEXIL 2 mg/ ml
SOL. PERF. 2mg/ml
CIPROFLOXACINA INFOMED 2 mg/ml SOL. PERF. 2mg/ml
CIPROFLOXACINA INFOMED 2 mg/ml SOL. PERF. 2mg/ml
CIPRINOL (R)
AVELOX (R) 400 mg
COMPR. FILM. 400mg
AVELOX (R) 400 mg/250 ml SOL. PERF. 400mg/250ml
HELPOCERIN
CAPS.
250mg
CICLOSERINA ANTIBIOTICE 250 mg CAPS.
250mg
CICLOSERINA ANTIBIOTICE 250 mg CAPS.
250mg
SINERDOL 150 mg
CAPS.
150mg
SINERDOL 150 mg
CAPS.
150mg
SINERDOL 300 mg
CAPS.
300mg
SINERDOL 300 mg
CAPS.
300mg
ISONIAZIDA 100 mg
COMPR.
100mg
IZONIAZIDA ANTIBIOTICE 300 mg COMPR.
300mg
PETEHA
COMPR.
250 mg
500mg
500mg
ETAMBUTOL 250 mg
COMPR. FILM. 250mg
ETAMBUTOL 400 mg
COMPR. FILM. 400mg
SINERDOL ISO
CAPS.
300mg+150mg
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
CIPROFLOXACINA ARENA 750 mg COMPR. FILM.
CIPRINOL 750 mg
COMPR. FILM.
Firma
RANBAXY UK LIMITED
Tara
Ambalaj
Prescriptie
CUTIE X 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM.
P-RF
P-RF
MAREA BRITANIE
ANTIBIOTICE SA
ROMANIA

P-RF
CUTIE X 1 BLIST. DIN PP/AL X 7 COMPR. FILM. ELIB. PREL.
P-RF
CUTIE X 1 BLIST. DIN PP/AL X 3 COMPR. FILM. ELIB. PREL. P-RF
ZENTIVA S.A.
KRKA D.D.
KRKA D.D.
ROMANIA
DEMO SA
GRECIA
CUTIE X 5 FIOLE DIN STICLA INCOLORA PREVAZUTE CU INEL DE RUPERE X 10 ML S/P-RF

S
S/P-RF
CUTIE X 10 PUNGI PP X 100 ML SOL. PERF.

KRKA D.D.
SLOVENIA CUTIE X 1 FLACON DIN STICLA X 200 ML S/P-RF
BAYER HEALTHCARE AG GERMANIA CUTIE X 1 BLIST. ALB OPAC PP/AL X 5 COMPR. FILM.
BAYER HEALTHCARE AG GERMANIA CUTIE X 5 FLACOANE DIN STICLA X 250 ML
HELP PHARMACEUTICALS LTD.
GRECIA CUTIE X 5 BLIST. X 10 CAPS.
ANTIBIOTICE S.A.
ANTIBIOTICE S.A.
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA
S.C. PHARMA S.A.
ANTIBIOTICE S.A.
ANTIBIOTICE S.A.
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
P-RF
S
S/P-RF
CUTIE X 5 FOLII TERMOSUDATE DIN AL/AL X 10 CAPS.
P-RF
CUTIE X 10 FOLII TERMOSUDATE DIN AL/AL X 10 CAPS.
P-RF
S/P-RF
S/P-RF
CUTIE X 150 BLIST. PVC/AL X 10 COMPR.
S/P-RF
CUTIE X 100 COMPR.
S/P-RF
S/P-RF
S
S
CUTIE X 150 BLIST. AL/PVC X 10 COMPR. FILM. S
cant/
amba
laj
Pret cu
ridicata
maximal /
ambalaj
Pret cu ridicata
maximal / U.T.
Pret cu ridicata
maximal de
decontare / U.T.
Pret cu
maximal / U.T.
/ U.T.
maximal /
ambalaj
10
10
10
10
10
7
3
5
50
5
1
1
10
10
10
1
5
5
50
50
100
1000
20
1000
10
1500
1500
100
20
1500
1500
1500
1000
6.50
9.78
9.78
28.52
29.43
66.99
20.44
12.42
111.86
12.42
3.54
7.09
133.17
69.19
128.87
14.29
65.97
619.74
190.37
219.50
425.06
163.52
4.16
436.71
4.80
108.12
270.36
84.78
6.75
434.58
252.90
395.15
438.43
0.650000
0.978000
0.978000
2.852000
2.943000
9.570000
6.813333
2.484000
2.237200
2.484000
3.540000
7.090000
13.317000
6.919000
12.887000
14.290000
13.194000
123.948000
3.807400
4.390000
4.250600
0.163520
0.208000
0.436710
0.480000
0.072080
0.180240
0.847800
0.337500
0.289720
0.168600
0.263433
0.438430
0.576000
0.576000
0.576000
2.852000
2.943000
9.570000
0.576000
2.484000
2.237200
2.484000
2.684640
7.090000
8.302800
6.919000
12.887000
14.290000
13.194000
123.948000
3.807400
4.390000
4.250600
0.163520
0.196224
0.436710
0.480000
0.072080
0.180240
0.847800
0.337500
0.289720
0.168600
0.263433
0.438430
8.78
13.22
13.22
37.31
38.50
84.70
27.63
16.79
136.56
16.79
4.79
9.58
162.58
87.49
157.33
19.31
83.41
713.67
232.40
267.96
501.47
199.62
5.62
514.17
6.49
131.99
330.05
107.19
9.12
511.84
308.74
468.86
516.04
0.878000
1.322000
1.322000
3.731000
3.850000
12.100000
9.210000
3.358000
2.731200
3.358000
4.790000
9.580000
16.258000
8.749000
15.733000
19.310000
16.682000
142.734000
4.648000
5.359200
5.014700
0.199620
0.281000
0.514170
0.649000
0.087993
0.220033
1.071900
0.456000
0.341226
0.205826
0.312573
0.516040
0.778800
0.778800
0.778800
3.731000
3.850000
12.100000
0.778800
3.277440
2.731200
3.277440
3.277440
9.580000
10.498800
8.749000
15.733000
18.879600
16.682000
142.734000
4.648000
5.359200
5.014700
0.199620
0.239544
0.514170
0.617004
0.087993
0.220033
1.071900
0.409471
0.341226
0.205826
0.312573
0.516040
5
10
10
10
1
59.59
37.94
67.34
60.15
60.15
11.918000
3.794000
6.734000
6.015000
60.150000
11.918000
3.794000
6.734000
6.015000
60.150000
75.34
49.62
85.15
76.06
76.06
15.068000
4.962000
8.515000
7.606000
76.060000
15.068000
4.962000
8.515000
7.606000
76.060000
50
50
1
25
25
1
25
132.97
19.33
11.76
5.25
6.90
92.66
11.61
2.659400
0.386600
11.760000
0.210000
0.276000
92.660000
0.464400
2.659400
0.386600
11.760000
0.210000
0.276000
92.660000
0.464400
162.33
26.13
15.89
7.09
9.32
117.16
15.69
3.246600
0.522600
15.890000
0.283600
0.372800
117.160000
0.627600
3.246600
0.522600
15.890000
0.283600
0.372800
117.160000
0.627600

C) SUBPROGRAMUL DE SUPRAVEGHERE SI CONTROL AL BOLILOR TRANSMISIBILE PRIORITATRE PREV-TRAT GRIPEI
1
2
3
4
5
J05AH01
J05AH02
J05AH02
J05AH02
J05AH02
ZANAMIVIRUM
OSELTAMIVIRUM
OSELTAMIVIRUM
OSELTAMIVIRUM
OSELTAMIVIRUM
RELENZA 5 mg
TAMIFLU 30mg
TAMIFLU 45mg
TAMIFLU 75 mg
TAMIFLU 12 mg/ml
PULB. UNIDOZA DE INHALAT
CAPS.
CAPS.
CAPS.
5mg
30mg
45mg
75mg
12mg/ml
GLAXO GROUP LTD.
MAREA BRITANIE
CUTIE X 1 FLAC. X 5 BLIST. TIP ROTADISK X 4 DOZE + DISPOZITIV DE ADMINISTRARE DISKHALER
P-RF
MAREA BRITANIE
CUTIE X 1BLISTER PVC/PE/PVDC/ALX 10 CAPSULE
P-RF
MAREA BRITANIE
CUTIE X 1 BLISTER PVC/PE/PVDC/ALX 10 CAPSULE
P-RF
MAREA BRITANIE
CUTIE X 1BLISTER PVC/PE/PVDC/AL X 10 CAPSULE P-RF
MAREA BRITANIE
CUTIE X 1 FLAC. A 100ML X 30 G PULB. PT. SUSP. ORALA + ADAPTOR, SERINGA SI CUPA PT. MASURARE
P-RF
BAYER SCHERING PHARMA AG
GERMANIA
P-RF
BAXTER ONCOLOGY GMBH
GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ. P-RF
P3: PROGRAMUL NATIONAL DE ONCOLOGIE

1
2
3
4
5
6
7
G03HA01
L01AA01
L01AA01
L01AA02
L01AA03
L01AA06
L01AB01
CYPROTERONUM
CYCLOPHOSPHAMIDUM
CYCLOPHOSPHAMIDUM
CHLORAMBUCILUM
MELPHALANUM
IFOSFAMIDUM
BUSULFANUM
ANDROCUR
ENDOXAN (R) 50 mg
ENDOXAN 200 mg
LEUKERAN
ALKERAN 2 mg
HOLOXAN 1 g
MYLERAN
COMPR.
DRAJ.
50mg
50mg
PULB. PT. SOL. PERF./INJ. I.V. 200mg
COMPR. FILM. 2mg
COMPR. FILM. 2mg
PULB. PT. SOL. PERF. 1g
COMPR. FILM. 2mg
ACTAVIS S.R.L.
ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. PERF./INJ S

CUTIE X 1 FLAC. X 25 COMPR. FILM. P-RF
MAREA BRITANIE
MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA BRUNA X 25 COMPR. FILM.
GERMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. PERF.
P-RF
Pagina 12 din 56
P-RF
Grupa
Nr.
terape
crt
utica
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
L01AD02
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX04
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA04
L01BB02
L01BB03
L01BB04
L01BB05
L01BB05
L01BB05
L01BC01
L01BC01
L01BC01
L01BC01
Denumire generica
LOMUSTINUM 4)
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
DACARBAZINUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
PEMETREXEDUM****
MERCAPTOPURINUM
TIOGUANINUM
CLADRIBINUM
FLUDARABINUM****
FLUDARABINUM
FLUDARABINUM
CYTARABINUM
CYTARABINUM
CYTARABINUM
CYTARABINUM
Denumire comerciala
CEENU
TEMOMEDAC 100 mg
TEMOZOLOMIDE SANDOZ 100 mg
TEMOZOLOMIDE SUN 100 mg
TEMODAL 100 mg
TEMODAL 100 mg
TEMOZOLOMIDE HOSPIRA 100mg
TEMOZOLOMIDE TEVA 100 mg

TEMODAL 140mg
TEMODAL 180 mg
TEMOZOLOMIDE HOSPIRA 20 mg
TEMODAL 20 mg
TEMOMEDAC 20 mg
TEMODAL 20 mg
TEMOMEDAC 250 mg
TEMODAL 250 mg
TEMODAL 5 mg
TEMODAL 2,5mg/ml
DACARBAZINE 500 mg
METOTREXATE BELLON 2,5 mg
METHOTREXAT "EBEWE" 500 mg
METOTREXAT EBEWE 10 mg/ml
METOJECT 50mg/ml
METOJECT 50mg/ml
METOJECT 50mg/ml
METOJECT 50mg/ml
ALIMTA 500mg
PURI - NETHOL
LANVIS
LITAK 2 mg/ml
FLUDARA ORAL 10 mg
FLUDARA
FLUDARABINA ACTAVIS 25 mg/ml
ALEXAN 20mg/ml
ALEXAN 20mg/ml
ALEXAN 50mg/ml
ALEXAN 50mg/ml
Forma
Concentrati
farmaceutic
e / U.T.
a
CAPS. MOI
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.
40mg
100 mg
100 mg
100mg
100mg
100mg
100mg
100mg
140mg
140mg
140mg
180mg
180mg
20 mg
20mg
20mg
20mg
20mg
20mg
20mg
250 mg
250 mg
250mg
250mg
250mg
250mg
5mg
5mg
PULB. PT. SOL. PERF. 2,5mg/ml
PULB. PT. SOL. INJ. 500mg
COMPR.
2,5mg
CONC. PT. SOL. INJ./PERF. 100mg/ml
SOL. INJ.
5mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
50mg/ml
50mg/ml
50mg/ml
50mg/ml
SOL. INJ./PERF. 10mg/ml
500mg
COMPR.
50mg
COMPR.
40mg
SOL. INJ.
2mg/ml
COMPR. FILM. 10mg
LIOF. PT. SOL. INJ./PERF. 50mg
PULB. PT. SOL. INJ./PERF. 25mg/ml
SOL. INJ.
20mg/ml
SOL. INJ.
20mg/ml
SOL. INJ.
50mg/ml
SOL. INJ.
50mg/ml
Firma
Tara
Ambalaj
Prescriptie
CN UNIFARM
ROMANIA CUTIE X 1 BLIST. 20 CAPS. MOI
MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE
GERMANIA
P-RF
FLACON DIN STICL BRUN, CU CAPAC ALB CU FILET DIN POLIPROPILEN, SECURIZAT PENTRU COPII, CU SIGI
SANDOZ PHARMACEUTICALS GMBH
GERMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS.
FARA
SP EUROPE
SP EUROPE
FARA TARA CUTIE CU FLACON DIN STICLA BRUNA X 5 CAPSULE
HOSPIRA UK LIMITED
P-RF/R
PRF
BELGIA
BELGIA
CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS.
P-RF/R
CUTIE X 5 CAPS. AMBALATE INDIVIDUAL IN PLICURI
P-RF/R
MAREA BRITANIE
CUTIE CU 1 FL DIN STICLA BRUNA X 5 CAPS.
PR
P-RF/R
PRF

SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V.
ROMANIA
CUTIE CU FLACON DIN STICLA BRUNA X 5 CAPSULE
HOSPIRA UK LIMITED
MAREA BRITANIE
PR
SP EUROPE
BELGIA
P-RF/R
HOSPIRA UK LIMITED
MAREA BRITANIE
PR
SP EUROPE
BELGIA
P-RF/R
P-RF/R
OLANDA
PRF
HOSPIRA UK LIMITED
MAREA BRITANIE
PR
SP EUROPE
BELGIA
P-RF/R
GERMANIA
P-RF
P-RF/R
P-RF/R

SP EUROPE
BELGIA
P-RF/R
GERMANIA
P-RF
OLANDA
PRF
HOSPIRA UK LIMITED
MAREA BRITANIE
PR
SP EUROPE
BELGIA
P-RF/R
P-RF/R
HOSPIRA UK LIMITED
MAREA BRITANIE
PR
BELGIA
BELGIA
P-RF/R
SP EUROPE
SP EUROPE
CN UNIFARM S.A.
FARMEXINM S.R.L.
CUTIE X 1 FLAC. PULB. PT. SOL. PERF.

ROMANIA CUTIE CU 1 FLAC.X 500MG PULB. PT. SOL. INJ.
ROMANIA CUTIE X 20 COMPR.
P-RF/R
P-RF
P-RF/R
S
S
S
S
SOL. INJ. IN SERINGA PREUMPLUTA
EBEWE PHARMA GES.M.B.H. NFG KG
AUSTRIA CUTIE X 5 FIOLE X 5 ML

AUSTRIA CUTIE X 1 TUB DIN MATERIAL PLASTIC X 1 FIOLA X 10 ML
AUSTRIA CUTIE X 1 FLACON X 50 ML
AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA CU AC X 0,75 ML SOL INJ.
AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA CU AC X 1 ML SOL INJ.
GERMANIA
CUTIE X 1 SERINGA PREUMPLUTA X 0,15ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL
P-RF
GERMANIA
P-RF
GERMANIA
P-RF
GERMANIA
P-RF
EBEWE PHARMA GMBH NFG. KG

P-RF/R
P-RF/R
P-RF/R
P-RF/R
ELI LILLY NEDERLAND BV

S
OLANDA CUTIE X 1 FLAC. PULB. PT. CONC. PT. SOL. PERF. S
MAREA BRITANIE
MAREA BRITANIE
LIPOMED GMBH
GERMANIA

GERMANIA
CUTIE X 1 FLAC. DIN PE X 4 BLIST. AL/AL X 5 COMPR. FILM.
GENZYME EUROPE B.V.
OLANDA
ACTAVIS S.R.L.
ROMANIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA

CUTIE X 1 FLAC. DIN STICLA BRUNA X 25 COMPR. P-RF

P-RF
S
P-RF/S
S
S
CUTIE X 10 FLACOANE DIN STICLA X 5 ML SOL. INJ. S
CUTIE X 1 FLACON DIN STICLA X 2 ML SOL. INJ. S
CUTIE X 1 FLACON X 20 ML. SOL. INJ. S
CUTIE X 1 FLACON X 10 ML. SOL. INJ. S
CUTIE X 5 FLAC. CU LIOF. PT. SOL. INJ./PERF.
CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 5ML) CU PULB. PT. SOL. INJ/PERF CONTINAND 50MG FLUDA
Pagina 13 din 56
cant/
amba
laj
20
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
1
1
20
5
1
1
10
1
1
1
1
1
1
1
1
1
1
25
25
1
20
5
1
10
1
1
1
Pret cu
ridicata
maximal /
ambalaj
Pret cu ridicata
maximal / U.T.
397.53
1,053.87
1,053.87
1,014.50
1,605.17
1,544.59
981.14
1,053.87
1,648.19
1,439.82
2,519.53
1,898.52
3,211.93
229.67
200.35
168.04
351.21
229.67
229.67
338.84
2,539.46
2,539.46
2,539.46
2,539.46
3,890.71
2,539.46
43.56
91.66
1,219.56
68.24
16.90
197.47
70.91
332.72
17.62
45.60
62.22
87.07
100.34
59.16
62.22
86.63
101.74
9.86
5,045.07
35.56
76.25
1,435.80
1,680.19
1,252.62
340.13
97.56
4.62
76.34
45.22
19.876500
210.774000
210.774000
202.900000
321.034000
308.918000
196.228000
210.774000
329.638000
287.964000
503.906000
379.704000
642.386000
45.934000
40.070000
33.608000
70.242000
45.934000
45.934000
67.768000
507.892000
507.892000
507.892000
507.892000
778.142000
507.892000
8.712000
18.332000
1,219.560000
68.240000
0.845000
39.494000
70.910000
332.720000
1.762000
45.600000
62.220000
87.070000
100.340000
59.160000
62.220000
86.630000
101.740000
9.860000
5,045.070000
1.422400
3.050000
1,435.800000
84.009500
250.524000
340.130000
9.756000
4.620000
76.340000
45.220000
Pret cu ridicata
maximal de
decontare / U.T.
19.876500
210.774000
210.774000
202.900000
235.473600
235.473600
196.228000
210.774000
329.638000
287.964000
345.556800
379.704000
455.644800
40.329600
40.070000
33.608000
40.329600
40.329600
40.329600
40.329600
507.892000
507.892000
507.892000
507.892000
609.470400
507.892000
8.712000
10.454400
1,219.560000
68.240000
0.845000
39.494000
70.910000
332.720000
1.762000
45.600000
62.220000
87.070000
100.340000
54.720000
62.220000
86.630000
101.740000
9.860000
5,045.070000
1.422400
3.050000
1,435.800000
84.009500
250.524000
300.628800
9.756000
4.620000
76.340000
45.220000
Pret cu
maximal / U.T.
/ U.T.
maximal /
ambalaj
471.46
1,186.87
1,186.87
1,143.96
1,787.79
1,721.76
1,107.59
1,186.87
1,834.68
1,607.56
2,784.44
2,107.54
3,539.16
280.38
244.59
205.14
420.97
280.38
280.38
407.49
2,806.17
2,806.17
2,806.17
2,806.17
4,279.03
2,806.17
56.98
115.90
1,367.47
86.28
22.84
241.07
89.66
400.81
23.82
59.64
78.67
110.09
122.50
74.80
78.67
109.54
124.21
13.33
5,537.28
46.51
96.41
1,603.17
1,869.56
1,403.51
408.89
123.36
6.24
96.52
59.15
23.573000
237.374000
237.374000
228.792000
357.558000
344.352000
221.518000
237.374000
366.936000
321.512000
556.888000
421.508000
707.832000
56.076000
48.918000
41.028000
84.194000
56.076000
56.076000
81.498000
561.234000
561.234000
561.234000
561.234000
855.806000
561.234000
11.396000
23.180000
1,367.470000
86.280000
1.142000
48.214000
89.660000
400.810000
2.382000
59.640000
78.670000
110.090000
122.500000
74.800000
78.670000
109.540000
124.210000
13.330000
5,537.280000
1.860400
3.856400
1,603.170000
93.478000
280.702000
408.890000
12.336000
6.240000
96.520000
59.150000
23.573000
237.374000
237.374000
228.792000
265.821600
265.821600
221.518000
237.374000
366.936000
321.512000
385.814400
421.508000
505.809600
49.233600
48.918000
41.028000
49.233600
49.233600
49.233600
49.233600
561.234000
561.234000
561.234000
561.234000
673.480800
561.234000
11.396000
13.675200
1,367.470000
86.280000
1.142000
48.214000
89.660000
400.810000
2.382000
59.640000
78.670000
110.090000
122.500000
71.568000
78.670000
109.540000
124.210000
13.330000
5,537.280000
1.860400
3.856400
1,603.170000
93.478000
280.702000
336.842400
12.336000
6.240000
96.520000
59.150000
Grupa
Nr.
terape
crt
utica
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
L01BC01
L01BC02
L01BC02
L01BC02
L01BC02
L01BC02
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC06
L01BC06
L01BC53
L01BC53
L01CA02
L01CA04
L01CA04
L01CA04
L01CA04
L01CA04
L01CA04
L01CA04
L01CA04
L01CA04
Denumire generica
CYTARABINUM
FLUOROURACILUM
FLUOROURACILUM
FLUOROURACILUM
FLUOROURACILUM
FLUOROURACILUM
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
CAPECITABINUM
CAPECITABINUM
COMBINATII (TAGAFUR+URACIL)
COMBINATII (TAGAFUR+URACIL)
VINCRISTINUM
VINORELBINUM
VINORELBINUM
VINORELBINUM
VINORELBINUM
VINORELBINUM
VINORELBINUM
VINORELBINUM
VINORELBINUM
VINORELBINUM
Denumire comerciala
DEPOCYTE 50mg
5 - FLUOROURACIL EBEWE 50mg/ml
EFUDIX
GEMCITABINA EBEWE PHARMA 10 mg/ml
GEMCITABINA EBEWE PHARMA 10 mg/ml
GEMSOL 40 mg/ml
GEMSOL 40 mg/ml
GEMSOL 40 mg/ml
GITRABIN 40 mg/ml
GITRABIN 40 mg/ml
GITRABIN 40 mg/ml
GEMZAR 1000 mg
NALLIAN1000 mg
DERCIN 1000 mg
GEMCITABINA TEVA 1000 mg
GEMCITIN 1 g
GEMCITABINE POLPHARMA 1 g
DAPLAX 1 g
GEMCITIN 200 mg
DAPLAX 200 mg
GEMCITABINE POLPHARMA 200 mg
DERCIN 200 mg
GEMZAR (R) 200 mg
NALLIAN 200 mg
GEMCITABINE MYLAN 38 mg/ml
GEMCITABINE MYLAN 38 mg/ml
GITRABIN 38 mg/ml
GITRABIN 38 mg/ml
GITRABIN 38 mg/ml
GEMCIRENA 38 mg/ml
GEMCITABINE MEDAC 38 mg/ml
GEMCIRENA 38 mg/ml
GEMCIRENA 38 mg/ml
GEMCIRENA 38 mg/ml
XELODA 150 mg
XELODA 500 mg
UFT
UFT
SINDOVIN 1 mg
NAVELBINE 20 mg
NAVELBINE 30 mg
VINORELBIN EBEWE 10 mg/ ml
VINORELBIN EBEWE 10 mg/ ml
TELBINE 10 mg/ml
VINORELBIN ACTAVIS 10 mg/ml
VINORELBIN ACTAVIS 10 mg/ml
VINORELBINE POLPHARMA 10mg/ml
VINORELBINE POLPHARMA 10mg/ml
Forma
Concentrati
farmaceutic
e / U.T.
a
SUSP. INJ.
50mg
50mg/ml
UNGUENT
50 mg/g
CONC. PT. SOL. PERF. 10mg/ml
CONC. PT. SOL. PERF. 40 mg/ml
PULB. PT. SOL. PERF. 1000 mg
PULB. PT. SOL. PERF. 38mg/ml
COMPR. FILM. 150mg
COMPR. FILM. 500mg
CAPS.
100mg+224mg
CAPS.
100mg+224mg
LIOF. PT. SOL. INJ./PERF. I.V.
1mg
CAPS. MOI 20mg
CAPS. MOI 30mg
CONC. PT. SOL. INJ./PERF.
Firma
PACIRA LIMITED
Tara
MAREA BRITANIE
Ambalaj
CUTIE X 1 FLAC. X 50MG SUSP.INJ. (MONODOZA 5ML)
AUSTRIA CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML CONCENTRAT PT. SOL. INJ./PERF.
EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON DIN STICLA BRUNA X 10 ML CONCENTRAT PT. SOL. INJ./PERF.
ICN HUNGARY CO. LTD. UNGARIA CUTIE X 1 TUB X 20 G UNGUENT
EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 5 ML X 200 MG GEMCITABINA
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 25 ML X 1 G GEMCITABINA
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML X 2 G GEMCITABINA
LILLY FRANCE SAS FRANTA CUTIE X 1FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF.
Prescriptie
S
S
S
S
S
S/P-RF
S
S
PR
PR
PR
PR
PR
PR
S
S
S
CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 1000 MG PULB. PT. SOL. PERF. S
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF.
S
S
S
CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 2000 MG PULB. PT. SOL. PERF. S
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF.
S
CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 200 MG PULB. PT. SOL. PERF.
S
S
S
S
CUTIE X 1 FLAC. PULB. PT. SOL. PERF. S
S
S
S
S
S
S
S
S
S
S
S
S
S
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 20 ML CONC. PT. SOL. PERF. X 200 MG GEMCITABINA
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 100 ML CONC. PT. SOL. PERF. X 1000 MG GEMCITABINA
CUTIE CU 1 FLACON STICLA INCOLORA SIST. ,,ONCO-SAFE" A 50 ML CONC .SOL. PERF. X 2000 MG
CUTIE CU 1 FLACON STICLA INCOLORA FARA SIST. ,,ONCO-SAFE" A 5 ML CONC .SOL. PERF. X 200 MG
CUTIE CU 1 FLACOANE STICLA INCOLORA SIST. ,,ONCO-SAFE" A 25 ML CONC .SOL. PERF. X 1000 MG

ICN POLFA RZESZOW S.A.

PHARMACEUTICAL WORKS POLPHARMA SA

ROMANIA
UNGARIA
ROMANIA
POLONIA
POLONIA
ROMANIA
ROMANIA
POLONIA
ROMANIA
ROMANIA
POLONIA
LILLY FRANCE SAS FRANTA
CUTIE X 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. PERF. CONTINAND 1000 MG GEMCITABINA
CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 50 ML CONTINAND PULB. PT. SOL. PERF.
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50ML CONTINAND 1 G GEMCITABINA PULB.PT. SOL. PERF.
CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. CONTINAND 1000MG GEMCITABINA
CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. CONTINAND 200MG GEMCITABINA
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10ML CONTINAND 200MG GEMCITABINA PULB.PT. SOL. PERF.
CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 10 ML CU PULB. PT. SOL. PERF.
ROMANIA
MYLAN S.A.S.
MYLAN S.A.S.
FRANTA
FRANTA
ISLANDA
ISLANDA
ISLANDA
ROMANIA
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML CU PULB. PT. SOL. PERF. CARE CONTINE 2000MG GEMCITABINA
GERMANIA
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10 ML CU PULB. PT. SOL. PERF. CONTINAND 200 MG GEMCITABINA
GERMANIA
GERMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA A 10 ML CU PULB. PT. SOL. PERF. CONTINAND 200MG GEMCITABINA
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10 ML PULB. PT SOL. PERF. CARE CONTINE 200 MG GEMCITABINA
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML PULB. PT SOL. PERF. CARE CONTINE 1000 MG GEMCITABINA
CUTIE X 1 FLAC. STICLA INCOLORA CU PULB. PT SOL. PERF. CARE CONTINE 200MG GEMCITABINA
ROMANIA
ROMANIA
ROMANIA
MAREA BRITANIE CUTIE X 6 BLIST. DIN PVC/PE/PVDC X 10 COMPR. FILM.
P-RF/R
MAREA BRITANIE CUTIE X 12 BLIST. DIN PVC/PE/PVDC X 10 COMPR. FILM.
P-RF/R
MERCK KGAA
MERCK KGAA
ACTAVIS S.R.L.
GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL X 12 CAPS. P-RF

PIERRE FABRE MEDICAMENT PRODUCTION

PIERRE FABRE MEDICAMENT PRODUCTION

TEVA PHARMACEUTICAL S.R.L.
ACTAVIS S.R.L.
ACTAVIS S.R.L.
PHARMACEUTICALS WORKS POLPHARMA SA
GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 12 CAPS. P-RF
ROMANIA
FRANTA
FRANTA
AUSTRIA
AUSTRIA
CUTIE X 1 FLAC. DIN STICLA CU LIOF. PT. SOL. INJ./PERF. I.V.
CUTIE X 1 BLIST. PVC-PVDC/AL-PETP X 1 CAPS. MOALE
P-RF
CUTIE X 1 BLIST. PVC-PVDC/AL-PETP X 1 CAPS. MOALE
P-RF
CUTIE X 1 FLAC. X 5 ML CONC. PT. SOL. INJ/PERF.
S
S
S
S
S
S
S
CUTIE X 1 FLAC. X 1 ML CONC. PT. SOL. INJ/PERF.
ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF.
ROMANIA CUTIE X 1 FLAC. X 5 ML CONC. PT. SOL. PERF.
POLONIA
POLONIA
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 1 ML CONC. PT. SOL. PERF.

Pagina 14 din 56
cant/
amba
laj
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
60
120
120
36
1
1
1
1
1
1
1
1
1
10
Pret cu
ridicata
maximal /
ambalaj
Pret cu ridicata
maximal / U.T.
6,970.59
90.11
7.09
3.50
14.14
92.03
41.54
185.77
367.76
41.54
185.77
41.54
185.77
518.45
285.80
185.77
185.76
185.77
276.61
185.77
185.76
367.77
56.22
41.54
41.54
41.54
41.54
62.79
41.54
62.79
285.80
41.54
185.77
367.76
368.80
94.72
431.18
631.97
279.50
41.54
181.36
240.10
1,478.14
1,970.65
612.17
20.66
195.08
292.59
352.01
72.14
352.01
448.89
72.15
72.15
475.80
6,970.590000
90.110000
7.090000
3.500000
14.140000
92.030000
41.540000
185.770000
367.760000
41.540000
185.770000
41.540000
185.770000
518.450000
285.800000
185.770000
185.760000
185.770000
276.610000
185.770000
185.760000
367.770000
56.220000
41.540000
41.540000
41.540000
41.540000
62.790000
41.540000
62.790000
285.800000
41.540000
185.770000
367.760000
368.800000
94.720000
431.180000
631.970000
279.500000
41.540000
181.360000
4.001666
12.317833
16.422083
17.004722
20.660000
195.080000
292.590000
352.010000
72.140000
352.010000
448.890000
72.150000
72.150000
47.580000
Pret cu ridicata
maximal de
decontare / U.T.
6,970.590000
90.110000
7.090000
3.500000
14.140000
92.030000
41.540000
185.770000
367.760000
41.540000
185.770000
41.540000
185.770000
441.312000
217.632000
185.770000
185.760000
185.770000
217.632000
185.770000
185.760000
367.770000
49.848000
41.540000
41.540000
41.540000
41.540000
49.848000
41.540000
49.848000
217.632000
41.540000
185.770000
367.760000
368.800000
49.848000
217.632000
335.400000
279.500000
41.540000
181.360000
4.001666
12.317833
16.422083
17.004722
20.660000
195.080000
292.590000
230.950800
57.096000
230.950800
230.950800
57.096000
57.096000
47.580000
Pret cu
maximal / U.T.
/ U.T.
maximal /
ambalaj
7,636.10
113.94
9.58
4.73
19.11
116.36
54.34
226.79
439.01
54.34
226.79
54.34
226.79
603.26
348.91
226.79
226.77
226.79
337.68
226.79
226.77
439.02
71.09
54.34
54.34
54.34
54.34
79.39
54.34
79.39
348.91
54.34
226.79
439.01
440.14
119.76
508.14
727.00
341.21
54.34
221.40
293.12
1,649.33
2,186.16
705.42
27.92
238.15
357.19
421.84
91.21
421.84
527.44
91.23
91.23
556.77
7,636.100000
113.940000
9.580000
4.730000
19.110000
116.360000
54.340000
226.790000
439.010000
54.340000
226.790000
54.340000
226.790000
603.260000
348.910000
226.790000
226.770000
226.790000
337.680000
226.790000
226.770000
439.020000
71.090000
54.340000
54.340000
54.340000
54.340000
79.390000
54.340000
79.390000
348.910000
54.340000
226.790000
439.010000
440.140000
119.760000
508.140000
727.000000
341.210000
54.340000
221.400000
4.885333
13.744416
18.218000
19.595000
27.920000
238.150000
357.190000
421.840000
91.210000
421.840000
527.440000
91.230000
91.230000
55.677000
7,636.100000
113.940000
9.580000
4.730000
19.110000
116.360000
54.340000
226.790000
439.010000
54.340000
226.790000
54.340000
226.790000
526.812000
265.680000
226.790000
226.770000
226.790000
265.680000
226.790000
226.770000
439.020000
65.208000
54.340000
54.340000
54.340000
54.340000
65.208000
54.340000
65.208000
265.680000
54.340000
226.790000
439.010000
440.140000
65.208000
265.680000
409.452000
341.210000
54.340000
221.400000
4.885333
13.744416
18.218000
19.595000
27.920000
238.150000
357.190000
256.315200
66.812400
256.315200
256.315200
66.812400
66.812400
55.677000
Grupa
Nr.
terape
crt
utica
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
L01CA04
L01CA04
L01CA04
L01CA04
L01CB01
L01CB01
L01CB01
L01CB01
L01CB01
L01CB01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02
Denumire generica
VINORELBINUM
VINORELBINUM
VINORELBINUM
VINORELBINUM
ETOPOSIDUM
ETOPOSIDUM
ETOPOSIDUM
ETOPOSIDUM
ETOPOSIDUM
ETOPOSIDUM
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
Denumire comerciala
Forma
Concentrati
farmaceutic
e / U.T.
a
TELBINE 10 mg/ml
VINORELBINE POLPHARMA 50mg/5ml
VINORELBINE POLPHARMA 50mg/5ml
NAVELBINE (R)
VEPESID
VEPESID
SINTOPOZID 100 mg/5 ml
SOL. INJ.
CAPS. MOI
CAPS. MOI
ETOPOSID "EBEWE" 100 mg/5 ml
ETOPOSIDE - TEVA
ETOPOSIDE - TEVA
PACLITAXEL KABI 6mg/ml

PACLITAXEL ARCHIE SAMUEL 6 mg/ml
PACLITAXEL ACCORD 6 mg/ml

SINDAXEL

PACLITAXEL EBEWE 6mg/ml
SINDAXEL
SINDAXEL
PACLITAXEL 6 mg/ml
PACLITAXEL 6 mg/ml
PACLITAXEL 6 mg/ml
SINDAXEL
SINDAXEL
TAXOTERE 20 mg
CONC. + SOLV. PT. SOL. PERF.
DOCETAXEL ACTAVIS 20 mg/0,5 ml
DOCETAXEL TEVA 20mg/0,5ml
TAXOTERE 80 mg
DOCETAXEL ACTAVIS 80 mg/2 ml
DOCETAXEL TEVA 80mg/2ml
DOCETAXEL EBEWE 10 mg/ml

DOCETAXEL HOSPIRA 10 mg/ml
TAXOTERE 160 mg/8ml

DOCIRENA 20 mg/1 ml
TAXOTERE 20 mg/1ml
DOCETAXEL ACTAVIS 20 mg/ml


10mg/ml
50mg/5ml
50mg/5ml
10mg/ml
100mg
50mg
100mg/5ml
100mg/5ml
20mg/ml
20mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
20mg
20mg/0,5ml
20mg/0,5ml
80mg
80mg/2ml
80mg/2ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
160 mg/8 ml
20mg/1ml
20mg/1ml
20mg/ml
20mg/ml
20mg/ml
Firma
Tara
ROMANIA
Ambalaj
POLONIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF.
POLONIA CUTIE X 10 FLAC. DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF.
LAB. PIERRE FABRE FRANTA CUTIE X 10 FIOLE X 1 ML
BRISTOL MYERS SQUIBB KFT UNGARIA CUTIE X 1 BLIST. PVC/A0-PVC-PVDC X 10 CAPS.
BRISTOL MYERS SQUIBB KFT UNGARIA CUTIE X 2 BLIST. PVC/AL-PVC-PVDC X 10 CAPS.
ACTAVIS S.R.L.
ROMANIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF.
EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 5 ML

ARCHIE SAMUEL S.R.O.
REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 300 MG CONC. PT. SOL. PERF.

ACCORD HEALTHCARE LIMITED MAREA BRITANIE
CUTIE CU 1 FLAC. DIN STICLA A 5 ML CARE CONTINE 30 MG PACLITAXEL
CUTIE CU 1 FLAC. DIN STICLA A 16,7 ML CARE CONTINE 100 MG PACLITAXEL
CUTIE CU 1 FLAC. DIN STICLA A 50 ML CARE CONTINE 300 MG PACLITAXEL

ACTAVIS S.R.L.
ROMANIA
ROMANIA
CUTIE X 5 FLAC. DIN STICLA INCOLORA X 16,7 ML CONC. PT. SOL. PERF.
AUSTRIA
CUTIE X 1 FLACON DIN STICLA INCOLORA X 25 ML CONC. PT. SOL. PERF.
ACTAVIS S.R.L.
ACTAVIS S.R.L.
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
AUSTRIA
AUSTRIA
AUSTRIA


CUTIE X 1 FLACON DIN STICLA INCOLORA X 16,6 ML CONC. PT. SOL. PERF.
PHARMEXPRESS S.R.L. ROMANIA

CUTIE X 1 FLAC. X 50 ML
CUTIE X 10 FLAC. X 5 ML
CUTIE X 4 FLAC. X 16,7 ML
ACTAVIS S.R.L.
ACTAVIS S.R.L.
ROMANIA
ROMANIA
AVENTIS PHARMA SA FRANTA
ISLANDA
ACTAVIS GROUP PTC EHF. ISLANDA
HOSPIRA UK LTD
MAREA BRITANIE
HOSPIRA UK LTD
MAREA BRITANIE
HOSPIRA UK LTD
MAREA BRITANIE
ROMANIA

ISLANDA
ISLANDA
ISLANDA
CUTIE X 1 FLACON X 0,5 ML CONC. SOL. PERF. + 1 FLACON X 1,5 ML SOLV.

CUTIE CU 1 BLIST. DIN POLISTIREN TERMOFORMAT CU 1 FLAC. DIN STICLA INCOLORA X 0,5 ML CONC. PT. SOL.
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 0,5 ML CONCENTRAT PT. SOL.PERF.+1 FLAC.X1,5ML SOLV.
CUTIE X 1 FLACON X 2 ML CONC. SOL. PERF. + 1 FLACON X 6 ML SOLV.

CUTIE CU 1 BLIST. DIN POLISTIREN TERMOFORMAT CU 1 FLAC. DIN STICLA INCOLORA X 2 ML CONC. PT. SOL. PE
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 2 ML CONCENTRAT PT. SOL.PERF.+1 FLAC.X 6ML SOLV.
Prescriptie
S
S
S
S
P-RF
P-RF
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 2 ML CONC. PT. SOL. PERF.
P-RF/R
P-RF/R
S/P-RF
S/P-RF
S/P-RF
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU FOLIE PROTECTOARE DIN PLASTIC ONCO-SAFE X 16 ML CONC. PT. SO
P-RF/R
CUTIE X 1 FLACON DIN STICLA CU 8 ML CONC. PT. SOL. PERF.X 160MG

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP SI SIGILIU DETASABIL A 1 ML CONC. PT. SOL. PERF.
CUTIE X 1 FLACON X 1 ML CONC. PT. SOL. PERF.

CUTIE CU 1 FLAC. UNIDOZA DIN STICLA INCOLORA CU 1 ML CONC. PT. SOL. PERF. CARE CONTINE 20 MG DOCETAX
CUTIE CU 1 FLAC. UNIDOZA DIN STICLA INCOLORA CU 4 ML CONC. PT. SOL. PERF. CARE CONTINE 80 MG DOCETAX
CUTIE CU 1 FLAC. UNIDOZA DIN STICLA INCOLORA CU 7 ML CONC. PT. SOL. PERF. CARE CONTINE 140 MG DOCETA
Pagina 15 din 56
S
PR
S
PR
PR
PR
cant/
amba
laj
1
1
10
10
10
20
1
1
1
1
1
5
1
1
1
1
1
1
1
1
5
1
1
1
1
5
1
1
5
1
1
1
1
10
4
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
Pret cu
ridicata
maximal /
ambalaj
Pret cu ridicata
maximal / U.T.
72.14
351.98
1,924.59
1,020.92
311.36
308.57
32.83
39.04
31.96
61.07
448.50
2,122.51
1,100.65
114.66
356.77
1,100.51
356.96
559.30
114.95
114.92
1,574.25
832.08
909.41
559.41
106.15
503.92
338.86
1,010.86
4,934.31
1,100.68
356.99
114.95
1,010.91
979.86
1,265.52
356.99
1,100.68
545.21
364.79
364.84
2,090.86
1,369.45
1,369.55
261.95
924.39
1,706.08
261.93
924.37
1,542.65
2,608.58
258.23
396.36
261.95
924.39
2,373.51
72.140000
351.980000
192.459000
102.092000
31.136000
15.428500
32.830000
39.040000
31.960000
61.070000
448.500000
424.502000
1,100.650000
114.660000
356.770000
1,100.510000
356.960000
559.300000
114.950000
114.920000
314.850000
832.080000
909.410000
559.410000
106.150000
100.784000
338.860000
1,010.860000
986.862000
1,100.680000
356.990000
114.950000
1,010.910000
97.986000
316.380000
356.990000
1,100.680000
545.210000
364.790000
364.840000
2,090.860000
1,369.450000
1,369.550000
261.950000
924.390000
1,706.080000
261.930000
924.370000
1,542.650000
2,608.580000
258.230000
396.360000
261.950000
924.390000
2,373.510000
Pret cu ridicata
maximal de
decontare / U.T.
57.096000
230.950800
192.459000
57.096000
31.136000
15.428500
32.830000
38.352000
31.960000
61.070000
448.500000
424.502000
1,100.650000
114.660000
356.770000
1,100.510000
356.960000
509.402400
114.950000
114.920000
314.850000
509.402400
909.410000
509.402400
106.150000
100.784000
338.860000
1,010.860000
986.862000
1,100.680000
356.990000
114.950000
1,010.910000
97.986000
316.380000
356.990000
1,100.680000
309.876000
309.876000
309.876000
1,099.680000
1,099.680000
1,099.680000
261.950000
924.390000
1,706.080000
261.930000
924.370000
1,542.650000
1,851.180000
258.230000
309.876000
261.950000
924.390000
2,373.510000
Pret cu
maximal / U.T.
/ U.T.
maximal /
ambalaj
91.21
421.81
2,135.96
1,150.95
377.53
374.49
42.94
51.07
41.81
77.22
527.02
2,351.69
1,237.86
139.98
427.03
1,237.71
427.24
647.79
140.33
140.30
1,754.09
945.12
1,029.41
647.91
129.59
587.42
407.51
1,139.99
5,416.56
1,237.89
427.27
140.33
1,140.04
1,106.20
1,417.57
427.27
1,237.89
632.43
435.77
435.83
2,317.19
1,530.85
1,530.96
319.79
1,045.74
1,897.78
319.77
1,045.72
1,719.64
2,881.51
315.25
470.18
319.79
1,045.74
2,625.28
91.210000
421.810000
213.596000
115.095000
37.753000
18.724500
42.940000
51.070000
41.810000
77.220000
527.020000
470.338000
1,237.860000
139.980000
427.030000
1,237.710000
427.240000
647.790000
140.330000
140.300000
350.818000
945.120000
1,029.410000
647.910000
129.590000
117.484000
407.510000
1,139.990000
1,083.312000
1,237.890000
427.270000
140.330000
1,140.040000
110.620000
354.392500
427.270000
1,237.890000
632.430000
435.770000
435.830000
2,317.190000
1,530.850000
1,530.960000
319.790000
1,045.740000
1,897.780000
319.770000
1,045.720000
1,719.640000
2,881.510000
315.250000
470.180000
319.790000
1,045.740000
2,625.280000
66.812400
256.315200
213.596000
66.812400
37.753000
18.724500
42.940000
50.172000
41.810000
77.220000
527.020000
470.338000
1,237.860000
132.744000
427.030000
1,237.710000
427.240000
564.405600
132.744000
132.744000
350.818000
564.405600
1,029.410000
564.405600
129.590000
117.484000
407.510000
1,139.990000
1,083.312000
1,237.890000
427.270000
132.744000
1,140.040000
110.620000
354.392500
427.270000
1,237.890000
378.300000
378.300000
378.300000
1,244.436000
1,244.436000
1,244.436000
319.790000
1,045.740000
1,897.780000
319.770000
1,045.720000
1,719.640000
2,063.568000
315.250000
378.300000
319.790000
1,045.740000
2,625.280000
Grupa
Nr.
terape
crt
utica
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
L01CD02
L01CD02
L01CD02
L01CD02
L01DB01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB06
L01DB06
L01DB07
L01DC01
L01XA01
L01XA01
L01XA01
L01XA01
Denumire generica
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
IDARUBICINUM
IDARUBICINUM
MITOXANTRONUM**
BLEOMYCINUM SULFAS
CISPLATINUM
CISPLATINUM
CISPLATINUM
CISPLATINUM
Denumire comerciala
DOCIRENA 80 mg/4 ml
TAXOTERE 80 mg/4ml
TAXEGIS 20 mg
TAXEGIS 80 mg
CAELYX 2 mg/ml
DHARUXO 2 mg/ml
DHARUXO 2 mg/ml
DHARUXO 2 mg/ml
CAELYX 2 mg/ml
Forma
Concentrati
farmaceutic
e / U.T.
a
CONC. SI SOLV. PT. SOL. PERF.
CONC. SI SOLV. PT. SOL. PERF.

DOXORUBICINA TEVA 2 mg/ml

DOXORUBICINA TEVA 2 mg/ml
DOXORUBICINA ACCORD 2 mg/ml
CAELYX 2 mg/ml
CAELYX 2 mg/ml
DOXORUBICIN "EBEWE" 2mg/ml
DOXORUBICIN "EBEWE" 2mg/ml

MYOCET 50mg
SINDROXOCIN 2mg/ml
SINDROXOCIN 2mg/ml
DOXORUBICIN TEVA 2 mg/ml SOL. INJ.
DOXORUBICIN TEVA 2 mg/ml SOL. INJ.
PULB. + AMESTC. PT. CONC. PT.DISP.LIPOZOM.PT.PERF
EPIRUBICIN "EBEWE" 2 mg/ml

CONC. PT. SOL. INJ.

CONC. PT. SOL. INJ.
CONC. PT. SOL. INJ.
EPISINDAN 10 mg
FARMORUBICIN RD 10 mg
EPISINDAN 50 mg
LIOF. PT. SOL. INJ.
FARMORUBICIN (R) RD 50 mg
LIOF. PT. SOL. INJ.
EPIRUBICINA KABI 2 mg/ml

EPIRUBICINA KABI 2 mg/ml
EPIRUBICINA TEVA 2 mg/ml
ECCLEPIA 2 mg/ml
EPIRUBICINA ACTAVIS 2mg/ml
LIOF. PT. SOL. INJ.

LIOF. PT. SOL. INJ.
SOL. INJ./PERF.
SOL. INJ./PERF.
SOL. INJ./PERF.
SOL. INJ./PERF.
SOL. INJ./PERF.
SOL. INJ./PERF.
SOL. INJ./PERF.
SOL. INJ./PERF.
SOL. INJ./PERF.
SOL. INJ./PERF.
SOL. INJ./PERF.
SOL. INJ./PERF.
SOL. INJ./PERF.
ECCLEPIA 2 mg/ml
ECCLEPIA 2 mg/ml
ECCLEPIA 2 mg/ml
ECCLEPIA 2 mg/ml
ZAVEDOS
ZAVEDOS 5 mg
ONKOTRONE
BLEOCIN
LIOF. PT. SOL. INJ.
CISPLATIN "EBEWE" 10 mg/20 ml
SOL. INJ./PERF.
SOL. INJ./PERF.
SOL. INJ./PERF.
SOL. INJ./PERF.
CAPS.
PULB. PT. SOL. INJ.
CONC. PT. SOL. INJ.
SINPLATIN 1 mg/1 ml
SINPLATIN 1 mg/1 ml
CISPLATINA ACCORD 1 mg/ml
80mg/4ml
80mg/4ml
20mg
80mg
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
50mg
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
10mg
10mg
50mg
50mg
2 mg/ml
2 mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
10mg
5mg
2mg/ml
15mg
10mg/20ml
1mg/1ml
1mg/1ml
1mg/ml
Firma
Tara
Ambalaj
Prescriptie
ROMASTRU TRADING SRL
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 10 ML SOL. INJ./PERF. X 200 MG EPIRUBICINA
PR
S
PR
PR
S
PR
PR
PR
S
S
S
PR
PR
PR
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
PR
PR
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
MAREA BRITANIE
P-RF
MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA INCOLORA CU LIOF. PT. SOL. INJ.
GERMANIA CUTIE X 1 FLACON X 10 ML CONC. PT. SOL. INJ.
EURO NIPPON KAYAKU GMBH
GERMANIA
AUSTRIA
ACTAVIS S.R.L.
ACTAVIS S.R.L.
ROMANIA
ROMANIA
CUTIE X 1 FLAC. X 50 ML X 50 MG CONC. SOL. PERF.
ROMANIA
JANSSEN CILAG INTERNATIONALL NV
BELGIA
ROMASTRU TRADING S.R.L.
ROMANIA
ROMANIA
ROMANIA
JANSSEN CILAG INTERNATIONALL NV
BELGIA


ROMANIA
ROMANIA
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP SI SIGILIU DETASABIL A 4 ML CONC. PT. SOL. PERF.
CUTIE X 1 FLACON DIN STICLA X 4 ML CONC. PT. SOL. PERF.

CUTIE CU 1 BLIST. X 1 FLAC. UNIDOZA DIN STICLA INCOLORA CU CAPACITATEA DE 5 ML CU 0,5 ML CONC. PT. S
CUTIE CU 1 BLIST. X 1 FLAC. UNIDOZA DIN STICLA INCOLORA CU CAPACITATEA DE 15 ML CU 2 ML CONC. PT. SO
CUTIE X 1 FLACON DIN STICLA X 10 ML

CUTIE X 1 FLACON DIN STICLA X 25 ML

CUTIE CU 1 FLAC. CONC. PT. SOL. PERF. X 20 MG CLORHIDRAT DE DOXORUBICINA
CUTIE CU 1 FLAC. CONC. PT. SOL. PERF. X 50 MG CLORHIDRAT DE DOXORUBICINA
CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 5 ML CONC. PT. SOL. PERF. CONTINAND 10 MG DOXORUBICINA
SP EUROPE
SP EUROPE
BELGIA CUTIE X 1 FLACON DIN STICLA X 10 ML

BELGIA CUTIE X 1 FLACON DIN STICLA X 25 ML
EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 25 ML CONC. PT. SOL. PERF. (50 MG DOXORUBICINA)
EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 5 ML CONC. PT. SOL. PERF. (10 MG DOXORUBICINA)
CEPHALON EUROPE FRANTA CUTIE X 2 SETURI X 3 FLAC. (1 FLAC PULB. + 1 FLAC.LIPOZOMI +1 FLAC. SOL.TAMP.)
ACTAVIS S.R.L
ROMANIA
ACTAVIS S.R.L
ROMANIA
CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 50 ML X 50 MG CLORHIDRAT DE DOXORUBICINA
CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 8 ML CONTINAND 10 MG CLORHIDRAT DE DOXORUBICIN

ROMANIA
ROMANIA
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 25 ML SOL. INJ.

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10 ML SOL. INJ.

ACTAVIS S.R.L.
ACTAVIS S.R.L.
ACTAVIS S.R.L.
ACTAVIS S.R.L.
ROMANIA
ROMANIA
ROMANIA
ROMANIA


CUTIE X 1 FLAC. X 10 MG LIOF. PT. SOL. INJ.

CUTIE X 1 FLAC. X 50 MG LIOF. PT. SOL. INJ.
FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 25 ML SOL. INJ./PERF. X 50 MG
FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE

ACTAVIS S.R.L.
ACTAVIS S.R.L.
ACTAVIS S.R.L.
ACTAVIS S.R.L.
ACTAVIS S.R.L.
CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 100 ML SOL. INJ./PERF. X 200 MG
CUTIE X 1 FLAC. STICLA INCOLORA X 25 ML SOL. INJ. /PERFZ.

CUTIE X 1 FLAC. A 5 ML SOL. INJ. X 10MG (10MG/5ML)

CUTIE X 1 FLAC. A 100ML SOL. INJ. X 200MG (200MG/100ML)
CUTIE X 1 FLAC. DIN STICLA INCOLORA CU LIOF. PT. SOL. INJ.

CUTIE CU 1 FLAC. DE 10 ML DIN STICLA BRUNA CU CONC. PT. SOL. PERF.
Pagina 16 din 56
S
S
S
S
S
S
S
cant/
amba
laj
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
2
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
Pret cu
ridicata
maximal /
ambalaj
Pret cu ridicata
maximal / U.T.
916.40
1,405.98
364.88
1,369.55
1,445.08
101.03
27.42
66.23
3,567.70
63.03
89.23
28.22
89.23
225.68
1,445.08
3,567.70
110.17
28.22
4,092.58
105.66
27.18
89.23
66.46
48.67
454.46
231.77
42.74
59.72
233.65
261.82
138.02
396.30
204.65
42.50
83.38
588.06
773.38
39.99
38.03
81.95
197.39
217.00
397.31
80.83
198.48
450.99
771.75
203.33
143.35
555.48
60.53
9.17
24.41
7.75
7.75
916.400000
1,405.980000
364.880000
1,369.550000
1,445.080000
101.030000
27.420000
66.230000
3,567.700000
63.030000
89.230000
28.220000
89.230000
225.680000
1,445.080000
3,567.700000
110.170000
28.220000
2,046.290000
105.660000
27.180000
89.230000
66.460000
48.670000
454.460000
231.770000
42.740000
59.720000
233.650000
261.820000
138.020000
396.300000
204.650000
42.500000
83.380000
588.060000
773.380000
39.990000
38.030000
81.950000
197.390000
217.000000
397.310000
80.830000
198.480000
450.990000
771.750000
203.330000
143.350000
555.480000
60.530000
9.170000
24.410000
7.750000
7.750000
Pret cu ridicata
maximal de
decontare / U.T.
916.400000
1,099.680000
309.876000
1,099.680000
1,445.080000
101.030000
27.420000
66.230000
2,455.548000
63.030000
89.230000
28.220000
89.230000
225.680000
1,445.080000
2,455.548000
107.076000
28.220000
2,046.290000
105.660000
27.180000
89.230000
66.460000
45.636000
260.400000
165.624000
42.740000
45.636000
165.624000
165.624000
138.020000
396.300000
165.624000
42.500000
83.380000
588.060000
475.560000
39.990000
38.030000
81.950000
165.624000
217.000000
397.310000
80.830000
165.624000
260.400000
475.560000
203.330000
143.350000
555.480000
60.530000
9.170000
24.410000
7.750000
7.750000
Pret cu
maximal / U.T.
/ U.T.
maximal /
ambalaj
1,037.03
1,570.67
435.87
1,530.96
1,613.29
123.34
35.86
83.74
3,926.95
79.70
112.82
36.91
112.82
275.51
1,613.29
3,926.95
134.49
36.91
4,499.07
128.99
35.55
112.82
84.03
63.66
533.51
282.94
55.90
75.51
285.24
319.63
168.49
470.12
249.84
55.59
105.42
679.14
881.13
52.31
49.74
103.62
240.97
264.91
471.22
102.20
242.30
529.73
879.36
248.22
175.00
643.62
76.54
12.39
32.99
10.48
10.48
1,037.030000
1,570.670000
435.870000
1,530.960000
1,613.290000
123.340000
35.860000
83.740000
3,926.950000
79.700000
112.820000
36.910000
112.820000
275.510000
1,613.290000
3,926.950000
134.490000
36.910000
2,249.535000
128.990000
35.550000
112.820000
84.030000
63.660000
533.510000
282.940000
55.900000
75.510000
285.240000
319.630000
168.490000
470.120000
249.840000
55.590000
105.420000
679.140000
881.130000
52.310000
49.740000
103.620000
240.970000
264.910000
471.220000
102.200000
242.300000
529.730000
879.360000
248.220000
175.000000
643.620000
76.540000
12.390000
32.990000
10.480000
10.480000
1,037.030000
1,244.436000
378.300000
1,244.436000
1,613.290000
123.340000
35.860000
83.740000
2,699.442000
79.700000
112.820000
36.910000
112.820000
275.510000
1,613.290000
2,699.442000
134.490000
36.910000
2,249.535000
128.990000
35.550000
112.820000
84.030000
59.688000
317.892000
202.188000
55.900000
59.688000
202.188000
202.188000
168.490000
470.120000
202.188000
55.590000
105.420000
679.140000
564.144000
52.310000
49.740000
103.620000
202.188000
264.910000
471.220000
102.200000
202.188000
317.892000
564.144000
248.220000
175.000000
643.620000
76.540000
12.390000
32.990000
10.480000
10.480000
Grupa
Nr.
terape
crt
utica
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
L01XA01
L01XA01
L01XA01
L01XA01
L01XA02
L01XA02
L01XA02
L01XA02
L01XA02
L01XA02
L01XA02
L01XA02
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XC02
L01XC02
L01XC03
L01XC04
L01XC04
L01XC06
L01XC07
L01XC07
L01XE01
L01XE03
L01XE03
L01XE03
L01XE04
L01XE04
Denumire generica
CISPLATINUM
CISPLATINUM
CISPLATINUM
CISPLATINUM
CARBOPLATINUM
CARBOPLATINUM
CARBOPLATINUM
CARBOPLATINUM
CARBOPLATINUM
CARBOPLATINUM
CARBOPLATINUM
CARBOPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
RITUXIMABUM****
RITUXIMABUM****
TRASTUZUMABUM****
ALEMTUZUMABUM****
ALEMTUZUMABUM****
CETUXIMABUM****
BEVACIZUMABUM****
BEVACIZUMABUM****
IMATINIBUM****
ERLOTINIBUM****
ERLOTINIBUM****
ERLOTINIBUM****
SUNITINIBUM****
SUNITINIBUM****
Denumire comerciala
Forma
Concentrati
farmaceutic
e / U.T.
a

CARBOPLATIN ACTAVIS 10mg/ml

CARBOPLATIN TEVA 10mg/ml


CARBOPLATIN "EBEWE" 10 mg/ml
OXALIPLATIN KABI 5 mg/ml

ELOXATIN 5mg/ml
OXALIPLATIN ACTAVIS 5 mg/ml
ELOXATIN 5mg/ml
OXALIPLATIN ACCORD 5 mg/ml
ELOXATIN 5mg/ml
OXALIPLATINA TEVA 5 mg/ml
OXALIPLATINA TEVA 5 mg/ml



REZIDOL 5 mg/ml
OXALIPLATIN MEDICO UNO 5 mg/ml
OXALIPLATIN PHARMASWISS 5 mg/ml
PULB. PT. SOL. INJ.

PULB. PT. SOL. INJ.
OXALIPLATIN PHARMASWISS 5 mg/ml
OXALIPLATIN MEDICO UNO 5 mg/ml
OXALIPLATIN EBEWE 5mg/ml

REZIDOL 5 mg/ml
MABTHERA 100 mg
MABTHERA 500 mg
HERCEPTIN 150mg
MABCAMPATH 10 mg/ml
MABCAMPATH 30 mg/ml
ERBITUX 5mg/ml
AVASTIN 25mg/ml
AVASTIN 25mg/ml
GLIVEC 100 mg
TARCEVA 100 mg
TARCEVA 150 mg
TARCEVA 25 mg
SUTENT 12,5 mg
SUTENT 25mg


SOL. PERF.
CAPS.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
CAPS.
CAPS.
1mg/ml
1mg/ml
25mg/50ml
50mg/100ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
10mg/ml
10mg/ml
150mg
10mg/ml
30mg/ml
5mg/ml
25mg/ml
25mg/ml
100mg
100mg
150mg
25mg
12,5mg
25mg
Firma
Tara
Ambalaj
AUSTRIA
AUSTRIA

ACTAVIS S.R.L.
ACTAVIS S.R.L.
ROMANIA
ROMANIA
ROMANIA
ROMANIA
CUTIE X 1 FLACON X 50 ML COND. PT. SOL. PERF.

CUTIE X 1 FLAC. DIN STICLA BRUNA X 45 ML CONC. PT. SOL. PERF.

AUSTRIA
AUSTRIA
ACTAVIS S.R.L.
ROMANIA
AUSTRIA
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU FOLIE PROTECTOARE DIN PLASTIC A 40 ML CONC. PT. SOL. PERF. C
CUTIE CU 1 FLAC. DIN STICLA INCOLORA FARA FOLIE PROTECTOARE DIN PLASTIC A 40 ML CONC. PT. SOL. PERF.
SANOFI-AVENTIS FRANCE
FRANTA
ISLANDA
ISLANDA
ISLANDA
FRANTA
CUTIE X 1 FLACON X 200 MG/40 ML CONC. PT. SOL. PERF.

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CONC. PT. SOL. PERF. CARE CONTINE 50 MG OXALIPLATINA
CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CONC. PT. SOL. PERF. X 50 MG OXALIPLATINA
CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 20 ML CONC. PT. SOL. PERF. X 100 MG OXALIPLATINA
FRANTA
ROMANIA
ROMANIA

ACTAVIS S.R.L.
ACTAVIS S.R.L.
ROMANIA CUTIE X 1 FLAC. X 100 MG LIOF. PT. SOL. PERF.

ROMANIA CUTIE 1 FLAC. X 50 MG LIOF. PT. SOL. PERF.
CUTIE CU 1 FLAC. DIN STICLA INCLORA CU CAPACITATEA DE 30 ML X 50 MG OXALIPLATINA
CUTIE CU 1 FLAC. DIN STICLA INCLORA CU CAPACITATEA DE 50 ML X 100 MG OXALIPLATINA
MEDICO UNO PHARMA LTD.
UNGARIA
UNGARIA
REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 50 MG OXALIPLATINA
REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 100 MG OXALIPLATINA
MEDICO UNO PHARMA LTD.
UNGARIA
CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 100 MG OXALIPLATINA
CUTIE CU 1 FLAC. DIN STICLA BRUNA X 100 MG OXALIPLATINA
CUTIE CU 1 FLAC. DIN STICLA BRUNA X 50 MG OXALIPLATINA
ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 50 MG OXALIPLATINA
AUSTRIA
CUTIE X 1 FLAC. DIN STICLA INCOLORA CU SUPORT TRANSPARENT DIN PLASTIC (ONKO-SAFE) X 50 MG OXALIPLATI
CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. CONTINAND 100 MG GEMCITABINA
AUSTRIA
AUSTRIA
UNGARIA
MAREA BRITANIE
MAREA BRITANIE CUTIE X 1 FLACON X 50 ML(500MG RITUXIMAB IN 50ML- 10MG/ML)
MAREA BRITANIE

GENZYME EUROPE BV OLANDA

MERCK KGAA
CUTIE X 1 FLAC. DIN STICLA INCOLORA CU SUPORT TRANSPARENT DIN PLASTIC (ONKO-SAFE) X 150 MG OXALIPLAT
CUTIE X 1 FLAC. DIN STICLA INCOLORA CU SUPORT TRANSPARENT DIN PLASTIC (ONKO-SAFE) X 100 MG OXALIPLAT
CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 50 MG OXALIPLATINA
CUTIE X 1 FLAC. PULB. PT. CONC. PT. SOL. PERF.
CUTIE X 3 FIOLE X 3 ML CONCENTRAT INTR-O FIOLA DE 5ML
CUTIE X 3 FLACOANE X 1 ML CONCENTRAT INTR-UN FLACON DE 2ML
GERMANIA CUTIE X 1 FLAC. DIN STICLA X 20 ML SOL. PERF.
MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA X 16 ML CONC. PT. SOL. PERF.
MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA X 4 ML CONC. PT. SOL. PERF.
Prescriptie
S
S
S
S
S
S
S
S
S
S
S
S
PR
PR
S
PR
PR
PR
S
S
S
S
S
S
PR
PR
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
NOVARTIS EUROPHARM LTD.
MAREA BRITANIE
CUTIE X 120 CAPS.
P-RF/R
MAREA BRITANIE
CUTIE X 30 COMPR. FILM. (BLIST. AL/PVC)
P-RF/R
MAREA BRITANIE
P-RF/R
MAREA BRITANIE
P-RF/R
PFIZER LIMITED
PFIZER LIMITED
MAREA BRITANIE
MAREA BRITANIE
CUTIE X 1 FLACON DIN PEID X 30 CAPS.

P-RF/R
Pagina 17 din 56
P-RF/R
cant/
amba
laj
Pret cu
ridicata
maximal /
ambalaj
1
19.18
1
24.41
1
22.06
1
31.57
1
133.04
1
50.00
1
132.81
1
47.45
1
178.07
1
21.86
1
18.05
1
62.52
1 1,032.71
1 1,032.71
1 2,132.32
1
322.26
1
615.78
1 1,396.51
1
931.20
1
322.25
1
615.78
1
480.70
1
322.25
615.78
1
1
293.86
1
564.27
1
615.78
1
322.26
1
297.71
1
572.27
1
615.76
1 1,005.54
1
322.25
1
615.78
1
517.78
1
322.25
1
457.29
1
615.78
1 1,609.04
1
871.57
1
322.21
2 2,221.55
1 5,509.03
1 2,621.74
3 4,923.23
3 4,923.64
1
871.19
1 5,246.58
1 1,332.54
120 9,032.83
30 6,304.73
30 8,391.10
30 1,911.34
30 5,042.42
30 10,054.84
Pret cu ridicata
maximal / U.T.
19.180000
24.410000
22.060000
31.570000
133.040000
50.000000
132.810000
47.450000
178.070000
21.860000
18.050000
62.520000
1,032.710000
1,032.710000
2,132.320000
322.260000
615.780000
1,396.510000
931.200000
322.250000
615.780000
480.700000
322.250000
615.780000
293.860000
564.270000
615.780000
322.260000
297.710000
572.270000
615.760000
1,005.540000
322.250000
615.780000
517.780000
322.250000
457.290000
615.780000
1,609.040000
871.570000
322.210000
1,110.775000
5,509.030000
2,621.740000
1,641.076666
1,641.213333
871.190000
5,246.580000
1,332.540000
75.273583
210.157666
279.703333
63.711333
168.080666
335.161333
Pret cu ridicata
maximal de
decontare / U.T.
Pret cu
maximal / U.T.
/ U.T.
maximal /
ambalaj
19.180000
25.92
24.410000
32.99
22.060000
29.81
29.292000
41.30
133.040000
162.41
50.000000
63.22
132.810000
162.14
47.450000
62.06
159.372000
217.39
21.660000
29.55
18.050000
24.39
56.940000
79.05
1,032.710000 1,163.80
1,032.710000 1,163.80
1,239.252000 2,362.38
322.260000
389.41
615.780000
709.35
1,239.252000 1,560.35
677.124000 1,053.16
322.250000
389.40
615.780000
709.35
352.632000
562.11
322.250000
389.40
615.780000
709.35
293.860000
358.74
564.270000
653.20
615.780000
709.35
322.260000
389.41
297.710000
363.44
572.270000
661.92
615.760000
709.33
677.124000 1,134.19
322.250000
389.40
615.780000
709.35
352.632000
602.53
322.250000
389.40
352.632000
536.60
615.780000
709.35
1,609.040000 1,792.01
677.124000
988.16
322.210000
389.36
1,110.775000 2,459.64
5,509.030000 6,043.00
2,621.740000 2,895.85
1,641.076666 5,404.48
1,641.213333 5,404.92
871.190000
987.75
5,246.580000 5,756.93
1,332.540000 1,490.62
75.273583 9,883.95
210.157666 6,910.31
279.703333 9,184.46
63.711333 2,121.51
168.080666 5,534.39
335.161333 10,997.94
25.920000
32.990000
29.810000
41.300000
162.410000
63.220000
162.140000
62.060000
217.390000
29.550000
24.390000
79.050000
1,163.800000
1,163.800000
2,362.380000
389.410000
709.350000
1,560.350000
1,053.160000
389.400000
709.350000
562.110000
389.400000
709.350000
358.740000
653.200000
709.350000
389.410000
363.440000
661.920000
709.330000
1,134.190000
389.400000
709.350000
602.530000
389.400000
536.600000
709.350000
1,792.010000
988.160000
389.360000
1,229.820000
6,043.000000
2,895.850000
1,801.493333
1,801.640000
987.750000
5,756.930000
1,490.620000
82.366250
230.343666
306.148666
70.717000
184.479666
366.598000
25.920000
32.990000
29.810000
39.588000
162.410000
63.220000
162.140000
62.060000
194.568000
29.268000
24.390000
74.472000
1,163.800000
1,163.800000
1,396.560000
389.410000
709.350000
1,396.560000
783.840000
389.400000
709.350000
430.488000
389.400000
709.350000
358.740000
653.200000
709.350000
389.410000
363.440000
661.920000
709.330000
783.840000
389.400000
709.350000
430.488000
389.400000
430.488000
709.350000
1,792.010000
783.840000
389.360000
1,229.820000
6,043.000000
2,895.850000
1,801.493333
1,801.640000
987.750000
5,756.930000
1,490.620000
82.366250
230.343666
306.148666
70.717000
184.479666
366.598000
Grupa
Nr.
terape
crt
utica
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
L01XE04
L01XE05
L01XE06
L01XE06
L01XE06
L01XE06
L01XE09
L01XX02
L01XX02
L01XX02
L01XX02
L01XX02
L01XX05
L01XX11
L01XX14
L01XX17
L01XX17
L01XX17
L01XX17
L01XX17
L01XX17
L01XX17
L01XX17
L01XX17
L01XX17
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX23
L01XX32
L02AB01
Denumire generica
SUNITINIBUM****
SORAFENIBUM****
DASATINIBUM****
DASATINIBUM****
DASATINIBUM****
DASATINIBUM****
TEMSIROLIMUSUM
ASPARAGINAZUM
ASPARAGINAZUM
ASPARAGINAZUM
ASPARAGINAZUM
ASPARAGINAZUM
HYDROXYCARBAMIDUM
ESTRAMUSTINUM
TRETINOINUM 4)
TOPOTECAMUM
TOPOTECAMUM
TOPOTECAMUM
TOPOTECAMUM
TOPOTECAMUM
TOPOTECAMUM
TOPOTECAMUM
TOPOTECAMUM
TOPOTECAMUM
TOPOTECAMUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
MITOTANUM
BORTEZOMIBUM****
MEGESTROLUM
Denumire comerciala
SUTENT 50 mg
NEXAVAR 200 mg
SPRYCEL 100mg
SPRYCEL 20mg
SPRYCEL 50mg
SPRYCEL 70mg
TORISEL 25mg/ml
ASPARAGINASE 10000 MEDAC
ONCASPAR
HYDREA
ESTRACYT
VESANOID 10 mg
HYCAMTIN 1 mg
TOPOTECAN TEVA 1 mg/1ml
TOPOTECAN EBEWE 1 mg/ml
TOPOTECAN TEVA 4 mg/4ml
POTACTASOL 4mg
TOPOTECAN KABI 4 mg
TOPOTECAN KABI 4 mg
TOPOTECAN ATB 4 mg
TOPOTECAN ACCORD 4 mg
HYCAMTIN 4 mg
IRINOTECAN KABI 20 mg/ml
LUDIRADOL 20 mg/ml
IRINOTESIN 20mg/ml
TEKAZOL 20 mg/ml
IRINOTESIN 20mg/ml
IRINOTRCAN MEDAC 20 mg/ml
Forma
Concentrati
farmaceutic
e / U.T.
a
CAPS.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
LIOF. PT. SOL. INJ./PERF.

PULB. PT. SOL. INJ.
CAPS.
CAPS.
CAPS. MOI
CAPS.
PULB.CONC.SOL.PERF.

IRINOTECAN POLPHARMA 20 mg/ml
TEKAZOL 20 mg/ml
IRINOTECAN PHARMASWISS 20 mg/ml
IRINOTECAN PHARMASWISS 20 mg/ml
IRINOTECAN POLPHARMA 20 mg/ml

IRINOTECAN HOSPIRA 20mg/ml
CAMPTO
IRINOTECAN EBEWE 20 mg/ml
IRINOTECAN EBEWE 20 mg/ml
IRINOTESIN 20mg/ml
IRINOTESIN 20mg/ml
IRINOTECAN ALVOGEN 20 mg/ml
CAMPTO
CAMPTO
LYSODREN 500mg
VELCADE 3,5 mg
MEGESIN 160 mg

COMPR.
PULB. PT. SOL. INJ.
COMPR.
50mg
200mg
100 mg
20 mg
50 mg
70 mg
25mg/ml
10000ui
10000ui
5000ui
5000ui
3750U.I.
500mg
140mg
10mg
1mg
1mg/1ml
1mg/ml
4mg/4ml
1 mg/ml
4 mg
4 mg
4mg
4mg
4mg
20 mg/ml
20 mg/ml
20 mg/ml
20 mg/ml
20mg/ml
20mg/ml
20mg/ml
20mg/ml
20mg/ml
20mg/ml
20mg/ml
20mg/ml
20mg/ml
20mg/ml
20mg/ml
20mg/ml
20mg/ml
20mg/ml
20mg/ml
20mg/ml
20mg/ml
20mg/ml
20mg/ml
20mg/ml
20mg/ml
20mg/ml
20mg/ml
500mg
3,5mg
160mg
Tara
Ambalaj
PFIZER LIMITED
MAREA BRITANIE
GERMANIA CUTIE X 4 BLIST. AL/PP X 28 COMPR.FILM.
Firma
Prescriptie
P-RF/R
P-RF/R
MAREA BRITANIE
P-RF/R
MAREA BRITANIE
P-RF/R
MAREA BRITANIE
P-RF/R
MAREA BRITANIE
P-RF/R
WYETH EUROPA LIMITED
MAREA BRITANIE CUTIE X 1 FLAC. X 1,2ML CONCENTRAT + 1 FLAC. X 1,8 SOLVENT
GERMANIA
CUTIE X 1 FLAC. DIN STICLA X 10 000 UI LIOF. PT. SOL. INJ./PERF.
GERMANIA
CUTIE X 5 FLAC. DIN STICLA X 10 000 UI LIOF. PT. SOL. INJ./PERF.
GERMANIA
CUTIE X 5 FLAC. DIN STICLA X 5000 UI LIOF. PT. SOL. INJ./PERF.
GERMANIA
CUTIE X 1 FLAC. DIN STICLA X 5000 UI LIOF. PT. SOL. INJ./PERF.
CN UNIFARM S.A.
ROMANIA CUTIE CU 1 FLAC. PULB. PT. SOL. INJ.

UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 CAPS.

ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 100 CAPS. MOI
MAREA BRITANIE
SMITHKLINE BEECHAM PLC
MAREA BRITANIE
P-RF
P-RF
P-RF
CUTIE X BLIST. PVC/PCTFE/AL X 10 CAPS.
P-RF
CUTIE X 1 FLACON DIN STICLA TRANSPARENTA A 1ML
P-RF/R

AUSTRIA
ACTAVIS GROUP PTC EHF. ISLANDA
CUTIE CU 1FL DIN STICLA X 4 MG PULBERE PENTRU CONCENTRAT PENTRU SOLU_IE PERFUZABILA
CUTIE CU 1 FLAC. DIN STICLA INCOLORA, CU FOLIE PROTECTOARE DIN PLASTIC X 4 MG PULB. PT. CONC. PT. SO
S
S
S
S
S
PR
CUTIE X 1 FLACON DIN STICLA TRANSPARENTA A 4ML
P-RF/R
ROMANIA
ROMANIA
ALVOGEN ROMANIA S.R.L. ROMANIA
CUTIE CU 1 FLAC. DIN STICLA BRUNA CU CAPACITATEA DE 5 ML CARE CONTINE 100 MG IRINOTECAN
MAREA BRITANIE
CUTIE X 1 FLAC. DIN PP X 5 ML CONC. PT. SOL. PERF.
MAREA BRITANIE CUTIE X 1 FLAC. DIN PP X 15 ML CONC. PT. SOL. PERF.
PR
PR
PR
PR
S
S
PR
PR
PR
PR
PR
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
LABORATOIRE HRA PHARMA

FRANTA CUTIE X 1 FLAC. DIN PEID X 100 COMPR.

BELGIA
P-RF/R
ACTAVIS S.R.L.
ROMANIA
CUTIE CU 5 FLAC. DIN STICLA INCOLORA, CU FOLIE PROTECTOARE DIN PLASTIC X 4 MG PULB. PT. CONC. PT. SO
ANTIBIOTICE S.A.
ROMANIA
CUTIE CU 1 FLAC DIN STICLA INCOLORA CU CAPACITATEA DE 10 ML X 4 MG TOPOTECAN
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. CONC. PT. SOL. PERF.
SMITHKLINE BEECHAM PLC
CUTIE X 1 FLAC. PULB. PT. CONC. PT. SOL. PERF.
MAREA BRITANIE
FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FLACON STICLA BRUNA DE 6 ML X 2 ML CONC. PT. SOL. PERF.
FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FLACON STICLA BRUNA DE 6 ML X 5 ML CONC. PT. SOL. PERF.
CUTIE CU 1 FLACON STICLA BRUNA DE 20 ML X 15 ML CONC. PT. SOL. PERF.
CUTIE CU 1 FLACON STICLA BRUNA DE 30 ML X 25 ML CONC. PT. SOL. PERF.
ACTAVIS S.R.L.
UNGARIA
ROMANIA
POLONIA
CUTIE CU 1 FLAC. DIN STICLA BRUNA CU CAPACITATEA DE 6 ML X 100 MG IRINOTECAN
CUTIE X 1 FLAC. DIN STICLA BRUNA X 25 ML CONC. PT. SOL. INJ.

CUTIE X 1 FLAC. DIN STICLA BRUNA X 2 ML CONC. PT. SOL. PERF. CONTANAD 40MG IRINOTECAN
ACTAVIS S.R.L.
ROMANIA
CUTIE X 1 FLAC. DIN STICLA BRUNA X 15 ML CONC. PT. SOL.PERF.
GERMANIA
CUTIE X 1 FLAC. DIN STICLA INCOLORA BRUNA X 15 ML CONC. PR. SOL. PERF.
POLONIA
POLONIA
CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 ML CONC. PT. SOL. PERF. CONTANAD 100MG IRINOTECAN
CUTIE CU 1 FLAC. DIN STICLA BRUNA A 2 ML CONC. PT. SOL. PERF.
REPUBLICA CEHA
CUTIE CU 1 FLAC. DIN STICLA BRUNA X 40 MG CLORHIDRAT DE IRINOTECAN TRIHIDRAT
REPUBLICA CEHA
CUTIE CU 1 FLAC. DIN STICLA BRUNA X 100 MG CLORHIDRAT DE IRINOTECAN TRIHIDRAT
POLONIA
CUTIE CU 1 FLAC. DIN STICLA BRUNA A 5 ML CONC. PT. SOL. PERF.
GERMANIA
GERMANIA
HOSPIRA UK LIMITED
HOSPIRA UK LIMITED
HOSPIRA UK LIMITED
MAREA BRITANIE CUTIE X 1 FLAC. STICLA BRUNA X 25 ML CONC. PT. SOL. PERF.
MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 ML CONC. PT. SOL. PERF.

AUSTRIA
AUSTRIA
ACTAVIS S.R.L.
ACTAVIS S.R.L.
CUTIE CU 1 FLAC. DIN STICLA BRUNA + DOP CAUCIUC FARA PLASTIC DE PROTECTIE TIP ONCO-SAFE A 5 ML CONC.
CUTIE CU 1 FLAC. DIN STICLA BRUNA + DOP CAUCIUC FARA PLASTIC DE PROTECTIE TIP ONCO-SAFE A 15 ML CONC

CUTIE X 1 FLAC. X 10ML X 3,5 MG PULB. PT. SOL. INJ., INTRODUS INTR-UN BLISTER TRANSPARENT
P-RF/R
CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR. P-RF
Pagina 18 din 56
cant/
amba
laj
30
112
30
60
60
60
1
1
5
5
1
1
100
100
100
10
1
1
1
1
1
5
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
100
1
30
Pret cu
ridicata
maximal /
ambalaj
20,079.69
14,588.00
16,311.93
7,697.81
15,365.65
15,365.65
3,737.17
314.90
1,461.36
1,222.80
262.42
4,488.19
65.72
345.51
746.20
1,582.86
170.26
649.10
649.09
649.10
647.24
3,116.22
649.09
647.70
982.46
119.02
312.84
507.64
936.01
355.85
2,010.90
125.76
1,295.74
1,394.57
119.47
314.42
167.11
426.18
298.71
167.11
426.18
152.48
374.64
1,753.18
639.50
416.85
1,345.75
402.16
163.74
326.85
639.39
2,129.33
2,567.46
4,587.17
97.75
Pret cu ridicata
maximal / U.T.
669.323000
130.250000
543.731000
128.296833
256.094166
256.094166
3,737.170000
314.900000
292.272000
244.560000
262.420000
4,488.190000
0.657200
3.455100
7.462000
158.286000
170.260000
649.100000
649.090000
649.100000
647.240000
623.244000
649.090000
647.700000
982.460000
119.020000
312.840000
507.640000
936.010000
355.850000
2,010.900000
125.760000
1,295.740000
1,394.570000
119.470000
314.420000
167.110000
426.180000
298.710000
167.110000
426.180000
152.480000
374.640000
1,753.180000
639.500000
416.850000
1,345.750000
402.160000
163.740000
326.850000
639.390000
2,129.330000
25.674600
4,587.170000
3.258333
Pret cu ridicata
maximal de
decontare / U.T.
669.323000
130.250000
543.731000
128.296833
256.094166
256.094166
3,737.170000
314.900000
292.272000
244.560000
262.420000
4,488.190000
0.657200
3.455100
7.462000
158.286000
170.260000
649.100000
649.090000
649.100000
647.240000
623.244000
649.090000
647.700000
747.892800
119.020000
312.840000
507.640000
936.010000
355.850000
1,123.212000
125.760000
609.168000
609.168000
119.470000
314.420000
142.824000
358.452000
298.710000
142.824000
358.452000
142.824000
358.452000
1,123.212000
358.452000
358.452000
609.168000
358.452000
142.824000
326.850000
358.452000
609.168000
25.674600
4,587.170000
3.258333
Pret cu
maximal / U.T.
/ U.T.
maximal /
ambalaj
21,925.04
15,939.09
17,818.18
8,428.77
16,786.73
16,786.73
4,111.67
381.39
1,631.03
1,371.00
320.36
4,930.28
83.10
414.76
851.51
1,763.47
207.85
745.67
745.66
745.67
743.64
3,434.83
745.66
744.14
1,109.03
145.30
379.15
591.48
1,058.40
426.03
2,230.03
153.53
1,450.51
1,558.23
145.85
380.87
204.01
502.69
364.66
204.01
502.69
186.15
446.51
1,949.12
735.21
492.52
1,505.02
476.50
199.89
394.42
735.09
2,359.12
2,836.68
5,038.17
123.59
730.834666
142.313303
593.939333
140.479500
279.778833
279.778833
4,111.670000
381.390000
326.206000
274.200000
320.360000
4,930.280000
0.831000
4.147600
8.515100
176.347000
207.850000
745.670000
745.660000
745.670000
743.640000
686.966000
745.660000
744.140000
1,109.030000
145.300000
379.150000
591.480000
1,058.400000
426.030000
2,230.030000
153.530000
1,450.510000
1,558.230000
145.850000
380.870000
204.010000
502.690000
364.660000
204.010000
502.690000
186.150000
446.510000
1,949.120000
735.210000
492.520000
1,505.020000
476.500000
199.890000
394.420000
735.090000
2,359.120000
28.366800
5,038.170000
4.119666
730.834666
142.313303
593.939333
140.479500
279.778833
279.778833
4,111.670000
381.390000
326.206000
274.200000
320.360000
4,930.280000
0.831000
4.147600
8.515100
176.347000
207.850000
745.670000
745.660000
745.670000
743.640000
686.966000
745.660000
744.140000
824.359200
145.300000
379.150000
591.480000
1,058.400000
426.030000
1,270.080000
153.530000
709.776000
709.776000
145.850000
380.870000
174.360000
437.592000
364.660000
174.360000
437.592000
174.360000
437.592000
1,270.080000
437.592000
437.592000
709.776000
437.592000
174.360000
394.420000
437.592000
709.776000
28.366800
5,038.170000
4.119666
Grupa
Nr.
terape
crt
utica
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
378
379
380
381
382
383
384
385
386
387
388
389
390
391
392
L02AE02
L02AE02
L02AE02
L02AE02
L02AE02
L02AE03
L02AE03
L02AE04
L02AE04
L02AE04
L02AE04
L02AE04
L02BA01
L02BA01
L02BA03
L02BB01
L02BB01
L02BB01
L02BB03
L02BB03
L02BB03
L02BB03
L02BB03
L02BB03
L02BB03
L02BB03
L02BB03
L02BB03
L02BB03
L02BB03
L02BB03
L02BB03
L02BB03
L02BG01
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
Denumire generica
LEUPRORELINUM**
LEUPRORELINUM**
LEUPRORELINUM**
LEUPRORELINUM**
LEUPRORELINUM**
GOSERELINUM**
GOSERELINUM**
TRIPTORELINUM**
TRIPTORELINUM**
TRIPTORELINUM**
TRIPTORELINUM**
TRIPTORELINUM**
TAMOXIFENUM
TAMOXIFENUM
FULVESTRANTUM**
FLUTAMIDUM
FLUTAMIDUM
FLUTAMIDUM
BICALUTAMIDUM
BICALUTAMIDUM
BICALUTAMIDUM
BICALUTAMIDUM
BICALUTAMIDUM
BICALUTAMIDUM
BICALUTAMIDUM
BICALUTAMIDUM
BICALUTAMIDUM
BICALUTAMIDUM
BICALUTAMIDUM
BICALUTAMIDUM
BICALUTAMIDUM
BICALUTAMIDUM
BICALUTAMIDUM
AMINOGLUTETHIMIDUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
Denumire comerciala
Forma
Concentrati
farmaceutic
e / U.T.
a
ELIGARD 22,5 mg
LIOF. SI SOLV. PT. SOL. INJ.
ELIGARD 7,5 mg
LIOF. SI SOLV. PT. SOL. INJ.
LUCRIN DEPOT 11,25mg
LUCRIN DEPOT 3,75mg
ELIGARD 45 mg
PULB+SOLV.PT.SOL.INJ
ZOLADEX LA 10,8 mg
IMPLANT
ZOLADEX (R)
IMPLANT
DIPHERELINE 0,1 mg
LIOF. + SOLV. PT. SOL. INJ.
DIPHERELINE PR 11,25 mg
DIPHERELINE 3,75 mg
GONAPEPTYL ZILNIC 0,1 mg/ml SOL. INJ.
GONAPEPTYL ZILNIC 0,1 mg/ml SOL. INJ.
TAMOXIFEN 10 TEVA
COMPR.
TAMOXIFEN SANDOZ 10
COMPR. FILM.
FASLODEX 250mg/5ml
SOL. INJ.
FLUTASIN 250 mg
COMPR.
FLUTAN
COMPR.
FLUTAMIDE CSC 250 mg
COMPR. FILM.
BICALUTAMIDA KABI 150 mg COMPR. FILM.
YONISTIB 150 mg
COMPR. FILM.
CASODEX 150 mg
COMPR. FILM.
LIOF.+ SOLV. PT. SUSP. INJ. ELIB. PREL.
LIOF.+ SOLV. PT. SUSP. INJ. ELIB. PREL.
PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL.
BICALUTAMID TERAPIA 150 mg COMPR. FILM.

YONISTIB 50 mg
COMPR. FILM.
CASODEX 50 mg
COMPR. FILM.
CALUMID
COMPR. FILM.
BICALUTAMIDA RANBAXY 50 mg COMPR. FILM.
BICALUTAMIDA RANBAXY 50 mg COMPR. FILM.
BICATLON 50mg
COMPR. FILM.
BICALUTAMIDA SANDOZ 50 mg COMPR. FILM.
BICALUTAMIDA ACCORD 50 mg COMPR. FILM.
BICALUTAMIDA ATB 50 mg COMPR. FILM.
ROGLUTEN (R) 250 mg

ANASTROZOL KABI 1 mg
ANASTROZOL KABI 1 mg
OZOLAN 1 mg
ANASTROZOL TEVA 1 mg
ANASTROZOL TEVA 1 mg
OZOLAN 1 mg
ANASTROZOL BLUEFISH 1 mg
ARIMIDEX
ANASTROZOL TERAPIA 1 mg
ANASTRAZE 1 mg
EGISTROZOL 1 mg
EGISTROZOL 1 mg
ARIMIDEX 1 mg
ENZAMIDEX 1mg
KYARESTA 1 mg
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.
22,5mg
7,5mg
11,25mg
3,75mg
45mg
10,8 mg
3,6mg
0,1mg
11,25mg
3,75mg
0,1mg/ml
0,1mg/ml
10mg
10mg
250mg/5ml
250mg
250mg
250mg
150mg
150mg
150mg
150mg
50 mg
50 mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
250mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
Firma
Tara
ASTELLAS PHARMA EUROPE BV
OLANDA
OLANDA
SPANIA
SPANIA
OLANDA
ASTRAZENECA UK LTD.
MAREA BRITANIE
CUTIE X 1 PLIC DIN PET-AL-PE X 1 SERINGA PREUMPLUTA CU 10,8 MG IMPLANT+AC DIN INOX CU SIST. DE PROT
S
S
ASTRAZENECA UK LTD.
MAREA BRITANIE
CUTIE X 1 PLIC X 1 SERINGA PRE-UMPLUTA X 3,6 MG
S/P-RF

IPSEN PHARMA
IPSEN PHARMA
IPSEN PHARMA
Ambalaj
CUTIE X 1 SET X 2 SERINGI DIN PP PREUMPLUTE (O SERINGA A SI O SERINGA B), IN PUNGI LAMINATE
S
S
CUTIE X 1 KIT X 1 FLAC. CU LIOFILIZAT (MICROSFERE) + 1 FIOLA X 2 ML SOLV. + 1 SERINGA + 2 ACE SI TA
S/P-RF
CUTIE X 1 KIT X 1 FLAC. CU LIOFILIZAT (MICROSFERE) + 1 FIOLA X 2 ML SOLV. + 1 SERINGA SI TAMPON IMB
S/P-RF
CUTIE X 1 SET X 2 SERINGI DIN PP PREUMPLUTE (O SERINGA A SI O SERINGA B), IN PUNGI LAMINATE
O CUTIE X 1 SET X 2 TAVITE TERMOFORMATE CE CONTIN 2 SERINGI PREUMPLUTE (O SERINGA A SI O SERINGA B)
FRANTA CUTIE X 7 FLAC. CU LIOF. PT. SOL. INJ. + 7 FIOLE X 1 ML SOLV.

FRANTA
FRANTA
FERRING ARZEIMITTEL GES.MBH AUSTRIA CUTIE X 7 SERINGI PREUMPLUTE DIN STICLA INCOLORA X 1 ML SOL. INJ
FERRING ARZEIMITTEL GES.MBH AUSTRIA CUTIE X 28 SERINGI PREUMPLUTE DIN STICLA INCOLORA X 1 ML SOL. INJ
PHARMACHEMIE BV OLANDA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR.
HEXAL AG
GERMANIA CUTIE X 10 BLIST. X 10 COMPR. FILM.
ASTRAZENECA UK LTD.
MAREA BRITANIE
Prescriptie
S/P-RF
CUTIE CU 1 FLAC. DIN STICLA CU PULB. PT. SUSP. INJ. + 1 FIOLA DIN STICLA INCOLORA X 2 ML SOLV. + 1 B
S/P-RF
CUTIE CU 1 FLAC. DIN STICLA CU PULB. PT. SUSP. INJ. + 1 FIOLA DIN STICLA INCOLORA X 2 ML SOLV. + 1 B
S/P-RF
CUTIE X 1 SERINGA PREUMPLUTA X 5 ML + 1 AC
ACTAVIS S.R.L.
ROMANIA CUTIE X 1 FLAC. STICLA BRUNA X 30 COMPR.
CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 3 BLIST AL/PVC-PVDC X 10 COMPR. FILM.
S/P-RF
S/P-RF
P-RF/S
P-RF/S
P-RF
P-RF
P-RF
P-RF
CUTIE CU 2 BLIST. PVC/AL X 14 COMPR. FILM. P6L
ROMANIA
CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L
ASTRAZENECA UK LTD.
MAREA BRITANIE
TERAPIA SA
ROMANIA
CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L
FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 14 (1X14) COMPR. FILM.
FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 (2X14) COMPR. FILM.
P-6L
P6L
P6L
ROMANIA
ASTRAZENECA UK LTD.
MAREA BRITANIE CUTIE X 2 BLIST. TIP CALENDAR AL/PVC X 14 COMPR. FILM.
P-6L
ROMANIA
CUTIE X 2 BLIST. AL/PVDC-PVC X 15 COMPR. FILM.
P-6L
RANBAXY (UK) LIMITED

RANBAXY (UK) LIMITED
MAREA BRITANIE
MAREA BRITANIE
CUTIE X 1 FLAC. PEID X 28 COMPR. FILM. P-6L
MEDICO UNO PHARMA KFT.
UNGARIA CUTIE CU BLIST. AL/PVC X 28 COMPR. FILM.

ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM.
SANDOZ S.R.L.
CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L
ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.
ANTIBIOTICE S.A.
ACTAVIS S.R.L.
P-6L
P-6L
P-6L
FRESENIUS KABI ONCOLOGY PLC
ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. FILM. PR

ROMANIA CUTIE X 1 FLAC. X 40 COMPR.
P-RF
MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 14 (1X14) COMPR. FILM.
P6L
MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 (2X14) COMPR. FILM.
P6L
ALVOGEN IPCO S.A.R.L
LUXEMBURG CUTIE X BLIST. PVC/AL X 28 COMPR. FILM.
ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM.

TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM.
S.C. CORIS PHARMA S.R.L. ROMANIA CUTIE X BLIST. PVC/AL X 28 COMPR. FILM.
P-6L
P-6L
P-6L
P-6L
SUEDIA
CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. P-6L

CUTIE X 2 BLIST. PVC/AL X 14 COMPR. FILM. P-6L
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
UNGARIA
UNGARIA
ASTRAZENECA UK LTD.
MAREA BRITANIE CUTIE X 2 BLIST. TIP CALENDAR AL/PVC X 14 COMPR. FILM.
P-6L
TERAPIA SA
TERAPIA SA
ROMANIA CUTIE X BLIST. PVC/AL X 28 COMPR. FILM.

P-6L
LANNACHER HEILMITTEL GES.M.B.H.
AUSTRIA
P-6L
ACTAVIS S.R.L.
TERAPIA SA
TERAPIA SA
TERAPIA SA
TERAPIA SA
TERAPIA SA
SANDOZ SRL
CUTIE X BLIST. PVC/AL X 50 COMPR. FILM.
P-6L
P-6L
P-6L
CUTIE X BLIST. PVC/AL X 100 COMPR. FILM. P-6L

P-6L/S

CUTIE CU BLIST. PVC-PE- PVDC/AL X 90 COMPR.FILM. P-6L
CUTIE CU BLIST. PVC-PE- PVDC/AL X 30 COMPR.FILM. P-6L
CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM.
P-6L
ROMASTRU TRADING SRL ROMANIA CUTIE CU 2 BLIST. PVC/AL X 14 COMPR. FILM. P-6L
Pagina 19 din 56
cant/
amba
laj
1
1
1
1
1
1
1
7
1
1
7
28
100
100
1
30
100
30
28
28
28
28
14
28
28
28
30
28
28
28
30
28
30
40
14
28
28
28
30
28
28
28
50
84
98
100
300
28
90
30
28
28
30
30
28
Pret cu
ridicata
maximal /
ambalaj
Pret cu ridicata
maximal / U.T.
1,020.28
369.22
877.79
359.23
2,030.80
1,040.75
365.48
110.27
1,051.98
369.20
190.84
723.90
16.12
39.78
1,551.89
30.83
113.97
33.52
355.82
394.41
590.67
356.54
71.40
140.25
187.29
288.09
200.69
168.59
168.59
186.27
200.64
141.19
199.57
124.00
40.38
79.33
95.20
107.55
113.18
107.55
80.01
162.50
289.53
509.65
600.71
613.71
1,914.54
148.08
338.63
113.17
128.99
161.78
173.39
113.17
160.28
1,020.280000
369.220000
877.790000
359.230000
2,030.800000
1,040.750000
365.480000
15.752857
1,051.980000
369.200000
27.262857
25.853571
0.161200
0.397800
1,551.890000
1.027666
1.139700
1.117333
12.707857
14.086071
21.095357
12.733571
5.100000
5.008928
6.688928
10.288928
6.689666
6.021071
6.021071
6.652500
6.688000
5.042500
6.652333
3.100000
2.884285
2.833214
3.400000
3.841071
3.772666
3.841071
2.857500
5.803571
5.790600
6.067261
6.129693
6.137100
6.381800
5.288571
3.762555
3.772333
4.606785
5.777857
5.779666
3.772333
5.724285
Pret cu ridicata
maximal de
decontare / U.T.
1,020.280000
369.220000
877.790000
359.230000
2,030.800000
1,040.750000
365.480000
15.752857
1,051.980000
369.200000
18.903428
18.903428
0.161200
0.193440
1,551.890000
1.027666
1.139700
1.117333
12.707857
14.086071
15.249428
12.733571
5.100000
5.008928
6.010714
6.010714
6.010714
6.010714
6.010714
6.010714
6.010714
5.042500
6.010714
3.100000
2.884285
2.833214
3.399857
3.399857
3.399857
3.399857
2.857500
3.399857
3.399857
3.399857
3.399857
3.399857
3.399857
3.399857
3.399857
3.399857
3.399857
3.399857
3.399857
3.399857
3.399857
Pret cu
maximal / U.T.
/ U.T.
maximal /
ambalaj
1,150.26
440.60
994.94
429.71
2,251.73
1,172.57
436.52
134.62
1,184.81
440.58
232.98
827.20
21.79
52.03
1,729.71
40.32
139.14
43.84
425.99
468.06
681.98
426.78
90.28
171.22
228.65
351.70
245.00
205.82
205.82
227.40
244.94
172.37
243.63
151.38
52.82
100.30
120.37
131.30
138.17
131.30
101.17
198.38
353.46
593.67
692.92
707.09
2,125.00
180.78
407.26
138.16
157.47
197.50
211.68
138.16
195.67
1,150.260000
440.600000
994.940000
429.710000
2,251.730000
1,172.570000
436.520000
19.231428
1,184.810000
440.580000
33.282857
29.542857
0.217900
0.520300
1,729.710000
1.344000
1.391400
1.461333
15.213928
16.716428
24.356428
15.242142
6.448571
6.115000
8.166071
12.560714
8.166666
7.350714
7.350714
8.121428
8.164666
6.156071
8.121000
3.784500
3.772857
3.582142
4.298928
4.689285
4.605666
4.689285
3.613214
7.085000
7.069200
7.067500
7.070612
7.070900
7.083333
6.456428
4.525111
4.605333
5.623928
7.053571
7.056000
4.605333
6.988214
1,150.260000
440.600000
994.940000
429.710000
2,251.730000
1,172.570000
436.520000
19.231428
1,184.810000
440.580000
23.077714
23.077714
0.217900
0.261480
1,729.710000
1.344000
1.391400
1.461333
15.213928
16.716428
18.256714
15.242142
6.448571
6.115000
7.338000
7.338000
7.338000
7.338000
7.338000
7.338000
7.338000
6.156071
7.338000
3.784500
3.772857
3.582142
4.298570
4.298570
4.298570
4.298570
3.613214
4.298570
4.298570
4.298570
4.298570
4.298570
4.298570
4.298570
4.298570
4.298570
4.298570
4.298570
4.298570
4.298570
4.298570
Grupa
Nr.
terape
crt
utica
393
394
395
396
397
398
399
400
401
402
403
404
405
406
407
408
409
410
411
412
413
414
415
416
417
418
419
420
421
422
423
424
425
426
427
428
429
430
431
432
433
434
435
436
437
438
439
440
441
442
443
444
445
446
447
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG04
L02BG04
L02BG04
L02BG04
L02BG04
L02BG04
L02BG04
L02BG04
L02BG04
L02BG04
L02BG04
L02BG04
L02BG04
L02BG04
L02BG04
L02BG04
L02BG04
L02BG04
L02BG06
L02BG06
L02BG06
L02BG06
L02BG06
L02BG06
L02BG06
L02BG06
L02BG06
L02BG06
L02BG06
L02BG06
L02BG06
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA13
L03AA13
L03AB04
L03AB04
L03AB05
L03AB05
M05BA02
M05BA02
M05BA02
M05BA03
Denumire generica
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
LETROZOLUM
LETROZOLUM
LETROZOLUM
LETROZOLUM
LETROZOLUM
LETROZOLUM
LETROZOLUM
LETROZOLUM
LETROZOLUM
LETROZOLUM
LETROZOLUM
LETROZOLUM
LETROZOLUM
LETROZOLUM
LETROZOLUM
LETROZOLUM
LETROZOLUM
LETROZOLUM
EXEMESTANUM
EXEMESTANUM
EXEMESTANUM
EXEMESTANUM
EXEMESTANUM
EXEMESTANUM
EXEMESTANUM
EXEMESTANUM
EXEMESTANUM
EXEMESTANUM
EXEMESTANUM
EXEMESTANUM
EXEMESTANUM
PEGFILGRASTIMUM***
PEGFILGRASTIMUM***
INTERFERONUM ALFA 2A***
INTERFERONUM ALFA 2A***
INTERFERONUM ALFA 2B***
INTERFERONUM ALFA 2B***
ACIDUM CLODRONICUM**
ACIDUM PAMIDRONICUM**
Denumire comerciala
ANASTROZOL ATB 1 mg
Forma
Concentrati
farmaceutic
e / U.T.
a
COMPR. FILM. 1mg
ANASTROZOL TERAPIA 1 mg COMPR. FILM. 1mg

ANASTROZOLE MEDICO UNO 1 mg COMPR. FILM.
ANAROMAT 1 mg
AXASTROL 1 mg
LETROZOL TERAPIA 2,5 mg
LETROZOL BLUEFISH 2,5 mg
LETROZOL KABI 2,5 mg
LETROZOL ATB 2,5 mg
ETRUZIL 2,5 mg
LETROZOLE MEDICO UNO 2,5mg
TROZEL 2,5 mg
LETRALAN 2,5 mg
ZEQUIPRA 2,5 mg
LETROZOL TEVA 2,5 mg
LETROZOL SANOFI-AVENTIS 2,5 mg
ZOTROL 2,5 mg
LETROZOL ALVOGEN 2,5 mg
FEMARA 2,5 mg
LETROZOL POLPHARMA 2,5 mg
LEZRA 2,5 mg
AROSTANIL 25 mg
INPLAVIA 25 mg
EXEMESTAN MEDISON PHARMA 25 mg
EXEMESTAN ALVOGEN 25 mg
EXEMESTAN TERAPIA 25 mg
XANEPRA 25 mg
XANEPRA 25 mg
EXESTRALAN 25 mg
EXEMESTAN GLENMARK 2 5mg
EXEMESTAN ACTAVIS 25 mg
EXEMESTAN ACCORD 25 mg
EXEMESTAN TEVA 25 mg
AROMASIN 25 mg
NEUPOGEN (R)
NEUPOGEN (R)
ZARZIO 30MU/0,5ml
ZARZIO 48MU/0,5ml
NEULASTA 6mg
NEULASTA 6mg
ROFERON A
ROFERON A
INTRON A 18 milioane U.I.
INTRON A 30 milioane U.I.
BONEFOS (R) 800 mg
SINDRONAT (R) 300 mg/5 ml
BONEFOS (R) 60 mg/ml
PAMIDRONAT TORREX
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
DRAJ.
SOL. INJ.
SOL. INJ.
SOL. INJ./PERF.
1mg
1mg
1mg
2,5 mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
25 mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
30MU/0,5ml
48MU/0,5ml
60MU/ml
96MU/ml
120g/0,2ml
Firma
ANTIBIOTICE S.A.
TERAPIA SA
Tara
P -6L
P-6L
AS GRINDEKS
TERAPIA S.A.
ISLANDA
LETONIA
ROMANIA
CUTIE CU BLIST. PVC/PE/PVDC - AL X 30 COMPR. FILM.
P6L
SUEDIA
P-6L
CUTIE CU 3 BLIST. PVDC-PE-PVC/AL X 10 COMPR. FILM.
P6L
P6L
P6L
P6L
CUTIE CU BLIST. DIN PVC/AL X 30 COMPR. FILM.
P-6L
MACEDONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM.

ANTIBIOTICE S.A.
ROMANIA
UNGARIA
UNGARIA
MEDICAMENTA A.S. CEHIA

POLONIA
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
18 milioane U.I.

CUTIE CU BLIST. DIN PVC-PVDC/AL X 30 COMPR. FILM. P-6L
CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-RF
SANDOZ S.R.L.
LUXEMBURG CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. P-6L

SANOFI - AVENTIS ROMANIA S.R.L.
NOVARTIS PHARMA GMBH GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR.

POLONIA CUTIE CU BLIST. DIN PVC/AL X 30 COMPR. FILM.

ISLANDA CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM.
SANDOZ S.R.L.
ROMANIA
MEDISON PHARMA S.R.L. ROMANIA
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. PRF

CUTIE CU BLIST. UNIDOZA PVC-PVDC/AL X 30 (30X1) COMPR. FILM.
PRF
CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR. FILM. PRF
LUXEMBURG CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF
TERAPIA S.A.
CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM
PRF
ROMANIA
ROMANIA
ROMANIA
CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM
PRF
POLONIA
GLENMARK PHARMACEUTICALS SRL
REPUBLICA SLOVACA
ISLANDA
CUTIE CU BLIST. AL/PVC X 30 COMPR. FILM. PRF
CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR. FILM. PRF
ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-RF
ROMANIA
CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM P-RF
MAREA BRITANIE
CUTIE X 2 BLIST. PVC-PVDC/PVC-AL X 15 DRAJ. P-RF

S/P-RF
SANDOZ GMBH
SANDOZ GMBH
AUSTRIA
AUSTRIA
P-RF/R
P-RF/R
HOSPIRA UK LIMITED
HOSPIRA UK LIMITED MAREA BRITANIE

AMGEN EUROPE B.V. OLANDA
AMGEN EUROPE B.V. OLANDA
SP EUROPE
SOL. INJ. PEN MULTIDOZA 30 milioane U.I. SP EUROPE
COMPR. FILM. 800mg
ACTAVIS S.R.L.
TORREX CHIESI PHARMA GMBH
SOL. INJ. PEN MULTIDOZA
P-6L
ROMANIA CUTIE CU BLIST. AL-PVC/PVC-PE-PVDC X 30 COMPR. FILM.

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

480g/0,5ml
6 mg
6mg
3Mui/0,5ml
9Mui/0,5ml
P-6L

SOL. INJ./PERF.
Prescriptie
ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. FILM.

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

SOL. INJ./PERF.
Ambalaj
BELGIA
BELGIA
S/P-RF
P-RF
S/P-RF/R
P-RF
S/P-RF/R
CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF.
P-RF
CUTIE CU 1 SERINGA PREUMPLUTA X 0,6ML SOL. INJ. IN BLISTER, CU PROTECTIE A ACULUI
PR
CUTIE X BLISTER X 1 SERINGA PREUMPLUTA X 0,6ML SOL. INJ.
P-RF/R
CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML + AC STERIL
S/P-RF
CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. + AC STERIL
S/P-RF
CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML SOL. INJ. + 12 ACE + 12 TAMPOANE DEZINFECTANTE
P-RF/R
CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML + 12 ACE + 12 TAMPOANE DEZINFECTANTE
P-RF/R
FINLANDA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. FILM. P-6L

ROMANIA CUTIE X 1 FLAC. DIN STICLA X 5 ML S
FINLANDA CUTIE X 5 FIOLE X 5 ML
S/P-RF
AUSTRIA CUTIE X 1 FIOLA PE X 4 ML
Pagina 20 din 56
S/P-RF
cant/
amba
laj
30
20
28
28
28
30
30
10
14
28
30
30
28
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
1
1
1
1
5
1
5
1
5
1
1
1
1
1
1
60
1
5
1
Pret cu
ridicata
maximal /
ambalaj
Pret cu ridicata
maximal / U.T.
113.17
115.31
93.05
95.76
106.54
257.32
165.03
72.53
101.54
199.46
317.16
228.64
166.18
257.01
215.13
316.11
228.64
258.15
228.64
255.82
473.58
255.63
255.37
154.58
176.84
201.50
183.67
201.62
183.66
183.66
200.35
185.49
183.66
201.38
201.62
310.19
267.05
436.57
162.10
260.91
418.45
214.16
1,001.12
355.90
1,656.30
3,307.67
3,307.67
69.15
150.08
415.25
673.78
636.75
20.75
154.06
361.86
3.772333
5.765500
3.323214
3.420000
3.805000
8.577333
5.501000
7.253000
7.252857
7.123571
10.572000
7.621333
5.935000
8.567000
7.171000
10.537000
7.621333
8.605000
7.621333
8.527333
15.786000
8.521000
8.512333
5.152666
5.894666
6.716666
6.122333
6.720666
6.122000
6.122000
6.678333
6.183000
6.122000
6.712666
6.720666
10.339666
267.050000
436.570000
162.100000
260.910000
83.690000
214.160000
200.224000
355.900000
331.260000
3,307.670000
3,307.670000
69.150000
150.080000
415.250000
673.780000
10.612500
20.750000
30.812000
361.860000
Pret cu ridicata
maximal de
decontare / U.T.
3.399857
3.399857
3.323214
3.399857
3.399857
6.601200
5.501000
6.601200
6.601200
6.601200
6.601200
6.601200
5.935000
6.601200
6.601200
6.601200
6.601200
6.601200
6.601200
6.601200
6.601200
6.601200
6.601200
5.152666
5.894666
6.183199
6.122333
6.183199
6.122000
6.122000
6.183199
6.183000
6.122000
6.183199
6.183199
6.183199
194.520000
313.092000
162.100000
260.910000
83.690000
194.520000
194.520000
313.092000
313.092000
3,307.670000
3,307.670000
69.150000
150.080000
415.250000
673.780000
10.612500
20.750000
24.900000
285.384000
Pret cu
maximal / U.T.
/ U.T.
maximal /
ambalaj
138.16
140.77
117.65
121.08
130.06
314.14
201.47
91.71
123.96
243.50
383.85
279.12
202.87
313.76
262.63
382.71
279.12
315.15
279.12
312.30
554.35
312.07
311.75
188.71
215.89
245.99
224.23
246.14
224.21
224.21
244.59
226.45
224.21
245.85
246.14
376.26
326.02
514.01
197.89
318.52
494.26
261.45
1,129.37
426.08
1,843.52
3,643.51
3,643.51
87.43
183.22
490.77
772.57
732.21
28.04
188.08
432.58
4.605333
7.038500
4.201785
4.324285
4.645000
10.471333
6.715666
9.171000
8.854285
8.696428
12.795000
9.304000
7.245357
10.458666
8.754333
12.757000
9.304000
10.505000
9.304000
10.410000
18.478333
10.402333
10.391666
6.290333
7.196333
8.199666
7.474333
8.204666
7.473666
7.473666
8.153000
7.548333
7.473666
8.195000
8.204666
12.542000
326.020000
514.010000
197.890000
318.520000
98.852000
261.450000
225.874000
426.080000
368.704000
3,643.510000
3,643.510000
87.430000
183.220000
490.770000
772.570000
12.203500
28.040000
37.616000
432.580000
4.298570
4.298570
4.201785
4.298570
4.298570
8.058799
6.715666
8.058799
8.058799
8.058799
8.058799
8.058799
7.245357
8.058799
8.058799
8.058799
8.058799
8.058799
8.058799
8.058799
8.058799
8.058799
8.058799
6.290333
7.196333
7.548400
7.474333
7.548400
7.473666
7.473666
7.548400
7.548333
7.473666
7.548400
7.548400
7.548400
237.468000
382.224000
197.890000
318.520000
98.852000
237.468000
225.874000
382.224000
368.704000
3,643.510000
3,643.510000
87.430000
183.220000
490.770000
772.570000
12.203500
28.040000
33.648000
348.396000
Grupa
Nr.
terape
crt
utica
448
449
450
451
452
453
454
455
456
457
458
459
460
461
462
463
464
465
466
467
468
469
470
471
472
473
474
475
476
477
M05BA03
M05BA03
M05BA03
M05BA03
M05BA03
M05BA03
M05BA06
M05BA06
M05BA06
M05BA06
M05BA06
M05BA06
M05BA06
M05BA06
M05BA06
M05BA06
M05BA06
M05BA06
M05BA06
M05BA08
M05BA08
V03AF01
V03AF03
V03AF03
V03AF03
V03AF03
V03AF03
V03AF03
V03AF05
V03AF05
Denumire generica
ACIDUM IBANDRONICUM**
ACIDUM ZOLEDRONICUM**
MESNUM
CALCII FOLINAS
CALCII FOLINAS
CALCII FOLINAS
CALCII FOLINAS
CALCII FOLINAS
CALCII FOLINAS
AMIFOSTINUM**
AMIFOSTINUM**
Denumire comerciala
PAMIDRONAT TORREX
PAMIDRONAT TORREX
PAMIDRONAT TORREX
PAMIRED 30
PAMIRED 60
AREDIA (R) 15 mg
Forma
Concentrati
farmaceutic
e / U.T.
a
15mg/ml
15mg/ml
15mg/ml
30mg
60mg
15mg
150 mg
150mg
150mg
150mg
50 mg
50mg
50mg
50mg
6mg/6ml
6mg/6ml
3mg
3mg/3ml
1mg/1ml
4mg
5mg/100ml
400mg/4ml
15mg
10mg/ml
10mg/ml
3mg/ml
10mg/ml
10mg/ml
375mg
500mg
30mcg (6 mil. UI)
SOL. INJ.
44mcg
250mcg/ml
250mcg/ml
20mg/ml
20mg/ml
100mg
100mg
50mg
75mg

LIOF. PT. SOL. PERF. I.V.
LIOF.+ SOLV. PT. SOL. PERF.
ACID IBANDRONIC TEVA 150 mg COMPR. FILM.

MIRDEZEL 150 mg
COMPR. FILM.
BONVIVA 150mg
COMPR. FILM.
OSSICA 150 mg
COMPR. FILM.
ACID IBANDRONIC SANDOZ 50 mg COMPR. FILM.
HOLMEVIS 50 mg
COMPR. FILM.
IASIBON 50 mg
COMPR. FILM.
BONDRONAT 50mg
COMPR. FILM.
IASIBON 6mg/6ml
BONDRONAT 6mg/6ml
OSSICA 3 mg
OSAGRAND 3 mg/3 ml
BONVIVA 3mg/3ml
ZOMETA 4 mg
ACLASTA 5mg/100ml
UROMITEXAN (R) 400 mg

SOL INJ. IN SERINGA PREUMPLUTA
SOL. INJ.
PULB. + SOLV. SOL. PERF.
SOL. PERF.
SOL. INJ.
CALCIUM FOLINAT "EBEWE" 15 mg CAPS.
FOLINAT DE CALCIU TEVA 10 mg/ml SOL. INJ.
FOLCASIN (R) 100 mg/10 ml SOL. INJ.
FOLCASIN (R) 30 mg/10 ml SOL. INJ.
CALCIUMFOLINAT "EBEWE" 10 mg/ml SOL. INJ./PERF.
CALCIUMFOLINAT "EBEWE" 10 mg/ml SOL. INJ./PERF.
ETHYOL
ETHYOL (R)
Firma


Tara

ROMANIA
ROMANIA
NOVARTIS PHARMA GMBH GERMANIA

SANDOZ S.R.L.
ROMANIA
Ambalaj
MAREA BRITANIE
GEDEON RICHTER PLC. UNGARIA

GERMANIA
Prescriptie
S/P-RF
S/P-RF
S/P-RF
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 30 MG LIOF. PT. SOL. PERF. I.V.
S/P-RF
S/P-RF
CUTIE X 4 FLAC. DIN STICLA X 15 MG LIOF. PT. SOL. PERF. + 4 FIOLE DIN STICLA X 5 ML SOLV.
S/P-RF
CUTIE CU BLIST. DIN PVC/ACLAR/PVC-AL X 1 COMPRIMAT FILMAT
P-RF
P6L
CUTIE X 1 COMPR. FILM.( BLIST. AL/AL) P-6L
CUTIE CU 1 BLIST. PA-AL-PVC/AL X 1 COMPR. FILM.
CUTIE CU 1 BLIST. PVC-PE-PVDC/AL X 1 COMPR. FILM. P-6L

CUTIE CU BLIST. DIN PA/AL/PVC/AL CU 28 COMPRIMATE FILMATE
PR
CUTIE CU BLIST. PA/AL/PVC-AL X 28 COMPR. FILM.
PRF
PHARMATHEN S.A. GRECIA
CUTIE CU BLIST. PA/ALL/PVC/ALU X 28 COMPR. FILM
CUTIE X BLIST. AL/PVC X 28 COMPR. FILM.
UNGARIA
ZENTIVA K.S.
REPUBLICA CEHA CUTIE CU 1 FIOLA DIN STICLA INCOLORA X 3 ML SOL. INJ.
PR
S
PR
S
PR
PR
MAREA BRITANIE CUTIE X 1 SERINGA PREUMPLUTA DIN STICLA X 3 ML SOL. INJ. + 1 AC
P-6L
MAREA BRITANIE CUTIE X 1 FLAC. 4MG PULB. PT. SOL. PERF. + 1 FIOLA X 5 ML SOLV.
MAREA BRITANIE CUTIE X 1 FLAC. X 100 ML + 1 CAPAC AL/PP CU COMPONENTA FLIP.
GERMANIA
MAREA BRITANIE
CUTIE CU 1 FLAC. DIN STICLA X 6ML CONC. PT. SOL. PERF.
MAREA BRITANIE
ROMANIA
CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA A 3 ML SOL. INJ. + 1 AC PT. INJECTIE
ACTAVIS S.R.L.
ACTAVIS S.R.L.

CUTIE X 3 SUPORTURI TERMOFORMATE DIN PLASTIC X 5 FIOLE DE STICLA INCOLORA X 4 ML
S
S
S
AUSTRIA CUTIE X1 FLAC. X 20 CAPS.

P-6L
ROMANIA CUTIE CU 1 FLAC. X 10 ML SOL. INJ. P-RF/S
ROMANIA CUTIE X 1 FLACON X 10 ML
S/P-RF
ROMANIA CUTIE X 1 FLACON X 10 ML
S/P-RF
P-RF
P-RF
BELGIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU LIOF. PT. SOL. PERF. S
BELGIA CUTIE X 3 FLAC. DIN STICLA INCOLORA CONTINAND 500 MG LIOF. PT. SOL. PERF. S
Pret cu
ridicata
maximal /
ambalaj
Pret cu ridicata
maximal / U.T.
1
1
1
1
1
4
1
1
1
1
28
28
28
28
1
1
1
1
1
1
1
15
20
1
1
1
5
5
5
3
185.79
110.73
529.92
152.87
237.82
595.85
65.80
46.80
105.93
57.19
519.62
637.16
629.47
964.08
596.39
901.37
196.40
232.02
354.51
1,098.45
1,399.70
44.87
29.11
29.50
29.47
13.53
142.16
50.23
2,002.65
1,883.14
185.790000
110.730000
529.920000
152.870000
237.820000
148.962500
65.800000
46.800000
105.930000
57.190000
18.557857
22.755714
22.481071
34.431428
596.390000
901.370000
196.400000
232.020000
354.510000
1,098.450000
1,399.700000
2.991333
1.455500
29.500000
29.470000
13.530000
28.432000
10.046000
400.530000
627.713333
183.444000
110.730000
529.920000
152.870000
237.820000
132.876000
56.160000
46.800000
56.160000
56.160000
18.557857
22.269428
22.269428
22.269428
596.390000
715.668000
196.400000
232.020000
235.680000
1,098.450000
1,399.700000
2.991333
1.455500
29.500000
29.470000
12.055200
28.432000
10.046000
400.530000
627.713333
226.81
135.18
615.76
186.63
290.33
687.63
83.20
61.21
129.32
72.31
604.54
732.65
724.27
1,089.00
688.22
1,020.64
239.77
283.25
424.57
1,235.46
1,563.83
58.69
38.08
38.59
38.55
18.29
173.55
63.51
2,221.04
2,090.77
226.810000
135.180000
615.760000
186.630000
290.330000
171.907500
83.200000
61.210000
129.320000
72.310000
21.590714
26.166071
25.866785
38.892857
688.220000
1,020.640000
239.770000
283.250000
424.570000
1,235.460000
1,563.830000
3.912666
1.904000
38.590000
38.550000
18.290000
34.710000
12.702000
444.208000
696.923333
223.956000
135.180000
615.760000
186.630000
290.330000
162.216000
73.452000
61.210000
73.452000
72.310000
21.590714
25.908857
25.866785
25.908857
688.220000
825.864000
239.770000
283.250000
287.724000
1,235.460000
1,563.830000
3.912666
1.904000
38.590000
38.550000
15.242400
34.710000
12.702000
444.208000
696.923333
4
12
15
15
28
1
50
100
100
100
3,085.23
4,183.50
3,506.14
3,301.14
3,083.08
6,951.95
42.34
83.19
63.98
62.39
771.307500
348.625000
233.742666
220.076000
110.110000
6,951.950000
0.846800
0.831900
0.639800
0.623900
771.307500
348.625000
233.742666
220.076000
110.110000
6,951.950000
0.846800
0.831900
0.639800
0.623900
3,401.05
4,598.17
3,859.85
3,636.40
3,398.71
7,615.78
55.38
105.18
80.90
78.89
850.262500
383.180833
257.323333
242.426666
121.382500
7,615.780000
1.107600
1.051800
0.809000
0.788900
850.262500
383.180833
257.323333
242.426666
121.382500
7,615.780000
1.107600
1.051800
0.809000
0.788900
5
1
5
5
5
90.98
43.32
95.98
99.04
137.54
18.196000
43.320000
19.196000
19.808000
27.508000
18.196000
43.320000
19.196000
19.808000
27.508000
115.03
56.66
121.36
125.23
167.91
23.006000
56.660000
24.272000
25.046000
33.582000
23.006000
56.660000
24.272000
25.046000
33.582000
cant/
amba
laj
Pret cu ridicata
maximal de
decontare / U.T.
Pret cu
maximal / U.T.
/ U.T.
maximal /
ambalaj
P4: PROGRAMUL NATIONAL DE BOLI NEUROLOGICE

Subprogramul de tratament al sclerozei multiple
1
2
3
4
5
6
7
8
9
10
L03AB07
L03AB07
L03AB08
L03AB08
L03AX13
L04AA23
L04AX01
L04AX01
L04AX01
L04AX01
INTERFERONUM BETA 1A****

INTERFERONUM BETA 1A****
INTERFERONUM BETA 1-B****
INTERFERONUM BETA 1-B****
GLATIRAMER ACETAT****
NATALIZUMABUM****
AZATHIOPRINUM*
AZATHIOPRINUM*
AZATHIOPRINUM*
AZATHIOPRINUM*
AVONEX 30 mcg BIO-SET

REBIF 44 micrograme
EXTAVIA 250 mcg/ ml
BETAFERON 250mcg/ml
COPAXONE
TYSABRI 300mg
IMMUNOPRIN 100 mg
IMMUNOPRIN 100 mg
IMURAN (R)
IMMUNOPRIN 75 mg
SOL. INJ.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
BIOGEN IDEC LIMITED

SERONO EUROPE LTD.
MAREA BRITANIE
CUTIE X (1 FLAC. DIN STICLA X 30 MCG PULBERE + 1 SERINGA PRE-UMPLUTA + 1 ML SOLV. + 4 FIOLE PREVAZUT
P-RF/R
MAREA BRITANIE
CUTIE X 12 SERINGI PREUMPLUTE X 0,5ML SOL. INJ.
P-RF/R
MAREA BRITANIE CUTIE X 15 FLAC. CU PULBERE + 15 SERINGI PREUMPLUTE CU SOLVENT
P-RF/R
BAYER SCHERING AG GERMANIA

CUTIE X 15 AMBALAJE MULTIPLE CE CONTIN FIECARE CATE 1 FLAC. CU PULB., O SERINGA PREUMPLUTA CU SOLV.
P-RF/P
CUTIE X 28 BLIST. PVC X 1 SERINGA PREUMPLUTA X 1 ML PREVAZUTA CU AC FIX
S/P-RF
IRLANDA CUTIE X 1 FLAC. X 15ML CONC. PT. SOL. PERF S

AUSTRIA CUTIE CU 1 FLAC. PEID X 50 COMPR. FILM. PR
MAREA BRITANIE
S/P-RF
AUSTRIA
CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM.
PR
LILLY FRANCE SAS FRANTA CUTIE X 5 CARTUSE X 3 ML SOL. INJ.

LILLY FRANCE SAS FRANTA CUTIE X 1 FLAC. X 10 ML SOL. INJ.
P-RF
ELAN PHARMA INTERNATIONAL LTD

P5: PROGRAMUL NATIONAL DE DIABET ZAHARAT

Tratamentul medicamentos al bolnavilor cu diabet zaharat
1
2
3
4
5
A10AB01
A10AB01
A10AB01
A10AB01
A10AB01
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
HUMULIN R
HUMULIN R
INSUMAN RAPID 100UI/ml
SOL. INJ.
SOL. INJ.
SOL. INJ. IN CARTUS
ACTRAPID PENFILL 100 UI/ml
SOL. INJ. IN CARTUS
INSUMAN RAPID 100UI/ml
SOL. INJ. IN FLACON
100UI/ml
100UI/ml
100UI/ml
100UI/ml
100UI/ml
P-RF
SANOFI - AVENTIS DEUTSCHLAND GMBH
GERMANIA
NOVO NORDISK A/S
DANEMARCA
CUTIE X 5 CARTUSE X 3 ML SOL. INJ.
P-RF
GERMANIA
CUTIE X 5 FLACOANE DIN STICLA INCOLORA X 5 ML SOL. INJ.
P-RF
CUTIE X 5 CARTUSE DIN STICLA INCOLORA X 3 ML SOL. INJ. P-RF
Pagina 21 din 56
Grupa
Nr.
terape
crt
utica
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
A10AB01
A10AB01
A10AB04
A10AB04
A10AB05
A10AB06
A10AB06
A10AB06
A10AC01
A10AC01
A10AC01
A10AC01
A10AC01
A10AC01
A10AC04
A10AD01
A10AD01
A10AD01
A10AD01
A10AD01
A10AD01
A10AD01
A10AD01
A10AD01
A10AD04
A10AD04
A10AD04
A10AD04
A10AD05
A10AE04
A10AE04
A10AE04
A10AE04
A10AE05
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
Denumire generica
INSULINE UMANE
INSULINE UMANE
INSULINUM LISPRO**
INSULINUM LISPRO**
INSULINUM ASPART**
INSULINUM GLULIZINA**
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINUM LISPRO**
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINUM LISPRO**
INSULINUM LISPRO**
INSULINUM LISPRO**
INSULINUM LISPRO**
INSULINUM ASPART**
INSULINUM GLARGINE**
INSULINUM DETEMIR**
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
Denumire comerciala
Forma
Concentrati
farmaceutic
e / U.T.
a
INSUMAN RAPID 100 UI/ml OPTISET
SOL. INJ. IN STILOU INJECTOR PREUMPLUT
INSUMAN RAPID 100 UI/ml SoloStar
HUMALOG 100 U/ml
SOL. INJ.
HUMALOG KWIKPEN100U/ml SOL. INJ.

NOVORAPID PENFILL 100 U/ml
SOL. INJ. IN CARTUS
APIDRA 100U/ml
APIDRA 100U/ml
APIDRA 100U/ml
HUMULIN N
HUMULIN N
INSUMAN BASAL 100UI/ml
INSUMAN BASAL 100UI/ml
SOL. INJ. IN CARTUS

SOL. INJ. IN FLACON
SUSP. INJ.
SUSP. INJ.
SUSP. INJ. IN CARTUS
SUSP. INJ. IN FLACON
INSUMAN BASAL 100UI/ml SoloStar
SUSP. INJ. IN STILOU INJECTOR PREUMPLUT
INSUMAN BASAL 100UI/ml OPTISET
HUMALOG BASAL KWIKPEN 100U/ml
HUMULIN M3
HUMULIN M3
INSUMAN COMB 25 100UI/ml
SUSP. INJ.
SUSP. INJ.
SUSP. INJ.
MIXTARD 30 PENFILL 100 UI/ml
SUSP. INJ. IN FLACON
INSUMAN COMB 25 100UI/ml OPTISET
INSUMAN COMB 25 100UI/ml SoloStar
INSUMAN COMB 50 100UI/ml OPTISET
HUMALOG MIX25
HUMALOG MIX50
SUSP. INJ.
SUSP. INJ.
SUSP. INJ.
SUSP. INJ.
NOVOMIX 30 PENFILL 100 U/ml
HUMALOG MIX25 KWIKPEN 100U/ml

HUMALOG MIX50 KWIKPEN 100U/ml
LANTUS 100UI/ml
LANTUS 100UI/ml
LANTUS OptiSet
LANTUS SoloStar
LEVEMIR PENFILL 100 U/ml
SOL. INJ. IN CARTUS

SOL. INJ. IN FLACON
SOL. INJ. IN CARTUS
METFORMIN ARENA 1000 MG COMPR.


GLUCOPHAGE XR
COMPR. ELIB. PREL.
GLUCOPHAGE XR
COMPR. ELIB. PREL.
METFORMIN BLUEFISH 1000 mg COMPR. FILM.
METFOGAMMA 1000mg
COMPR. FILM.
SIOFOR 1000
COMPR. FILM.
GLUCOPHAGE 1000 mg
COMPR. FILM.
METFORMIN AUROBINDO 1000 mg COMPR. FILM.
SERDENIS 1000 mg
COMPR. FILM.
SERDENIS 1000 mg
COMPR. FILM.
SERDENIS 1000 mg
COMPR. FILM.
METFORMIN-TEVA 500 mg COMPR. FILM.
DIPIMET 500 mg
COMPR. FILM.
METFORMIN LPH (R) 500 mg COMPR. FILM.
100UI/ml
100UI/ml
100U/ml
100U/ml
100Uml
100U/ml
100U/ml
100U/ml
100UI/ml
100UI/ml
100UI/ml
100UI/ml
100UI/ml
100UI/ml
100U/ml
100ui/ml
100ui/ml
100UI/ml
100UI/ml
100UI/ml
100UI/ml
100UI/ml
100UI/ml
100UI/ml
100U/ml
100U/ml
100U/ml
100U/ml
100U/ml
100UI/ml
100UI/ml
100UI/ml
100UI/ml
100U/ml
1000mg
1000mg
500mg
850mg
500mg
500mg
1000mg
1000mg
1000mg
1000mg
1000mg
1000mg
1000mg
1000mg
1000mg
500mg
500mg
500mg
500mg
500mg
500mg
Firma
Tara
Ambalaj
GERMANIA
CUTIE X 5 STILOURI INJECTOARE X 1 CARTUS DIN STICLA INCOLORA X 3 ML SOL. INJ.
GERMANIA
CUTIE X 5 STILOURI INJECTOARE X 1 CARTUS DIN STICLA INCOLORA X 3 ML SOL. INJ.

OLANDA CUTIE X 5 CARTUSE X 3 ML SOL.INJ.

OLANDA CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PRE-UMPLUTE X 3 ML SOL. INJ.
NOVO NORDISK A/S
DANEMARCA
GERMANIA CUTIE X 5 CARTUSE X 3 ML SOL. INJ.
GERMANIA CUTIE X 1 FLACON X 10 ML SOL. INJ.
GERMANIA

CUTIE X 5 CARTUSE X 3 ML SOL. INJ.
CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE (SOLOSTAR) X 3 ML SOL. INJ.
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10 ML SUSP. INJ.

CUTIE X 5 CARTUSE DIN STICLA INCOLORA X 3 ML SUSP. INJ.
GERMANIA
GERMANIA
CUTIE X 5 FLACOANE DIN STICLA INCOLORA X 5 ML SUSP. INJ.
GERMANIA
CUTIE X 5 STILOURI INJECTOARE X 1 CARTUS DIN STICLA INCOLORA X 3 ML SUSP. INJ.
GERMANIA
OLANDA
LILLY FRANCE S.A.S FRANTA
LILLY FRANCE S.A.S FRANTA
GERMANIA
GERMANIA
NOVO NORDISK A/S
DANEMARCA
CUTIE X 5 CARTUSE X 3 ML SUSP. INJ.
GERMANIA
CUTIE X 5 FLACOANE DIN STICLA INCOLORA X 5 ML SUSP. INJ.
GERMANIA
GERMANIA
GERMANIA
OLANDA CUTIE X 5 CARTUSE X 3 ML SUSP.INJ.

OLANDA CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE X 3 ML SUSP. INJ.
OLANDA CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE X 3 ML SUSP. INJ.
OLANDA CUTIE X 5 CARTUSE X 3 ML SUSP. INJ.

CUTIE X 5 STILOURI INJECTOARE (PEN-URI) X 3 ML SUSP. INJ.

CUTIE X 1 FLACON DIN STICLA INCOLORA X 10 ML SUSP. INJ.
NOVO NORDISK A/S
DANEMARCA
GERMANIA CUTIE X 5 CARTUSE DIN STICLA X 3 ML SOL. INJ.
GERMANIA CUTIE X 1 FLACON DIN STICLA X 10 ML SOL. INJ.
CUTIE X 5 CARTUSE X 3 ML SUSP. INJ.
GERMANIA
CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE X 3 ML
GERMANIA
CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE X 3 ML
NOVO NORDISK A/S

ARENA GROUP S.A.
ARENA GROUP S.A.
ARENA GROUP SA
ARENA GROUP SA
DANEMARCA
CUTIE X 5 CARTUSE X 3 ML
ROMANIA
ROMANIA
ROMANIA
ROMANIA
MERCK SANTE S.A.S. FRANTA

MERCK SANTE S.A.S. FRANTA
FLACON DIN PE X 200 COMPR.

CUTIE X 2 BLIST. AL/PVC-PVDC X 15 COMPR. ELIB. PREL.
CUTIE X 3 BLIST. AL/PVC-PVDC X 10 COMPR. ELIB. PREL.
SUEDIA
WORWAG PHARMA GMBH & CO. KG
GERMANIA CUTIE X 8 BLIST. AL/PVC X 15 COMPR. FILM
GERMANIA CUTIE X 4 BLIST. PVC/AL X 15 COMPR. FILM.
CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM.
MERCK SANTE
FRANTA
CUTIE CU BLIST. PVC/AL X 60 COMPR. FILM.
AUROBINDO PHARMA LIMITED
MAREA BRITANIE
MAREA BRITANIE
CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

ROMANIA
ROMANIA
ROMANIA
MAREA BRITANIE
ROMANIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

ANTIBIOTICE SA
SUEDIA
SUEDIA

LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.
Pagina 22 din 56
Prescriptie
cant/
amba
laj
5
5
P-RF
5
P-RF
5
P-RF
5
P-RF
5
P-RF
1
P-RF
5
P-RF
1
P-RF
5
P-RF
5
P-RF
5
P-RF
5
P-RF
5
P-RF
5
P-RF
1
P-RF
5
P-RF
5
P-RF
5
P-RF
5
P-RF
5
P-RF
5
P-RF
5
P-RF
5
P-RF
5
P-RF
5
P-RF
5
P-RF
5
P-RF
5
P-RF
5
P-RF
1
P-RF
5
P-RF
5
P-RF
5
P-RF
50
P-RF/S
200
P-RF
60
P-RF
15
P-RF
30
P-RF
30
P-6L
60
P-RF/S
120
P-RF
60
P-6L
60
P-6L
30
P-6L
60
P6L
30
P6L
60
P6L
90
P-6L
60
P-RF
60
P-RF
30
P-6L
20
P-6L
30
P-RF
30
P-RF
P-RF
Pret cu
ridicata
maximal /
ambalaj
95.98
113.08
128.96
156.50
130.56
130.56
79.27
130.56
43.32
90.98
99.01
137.54
113.08
134.25
156.50
43.32
90.98
99.01
99.01
105.07
137.54
95.98
113.08
134.25
136.03
156.50
156.50
134.73
140.58
224.93
153.99
224.93
224.93
245.54
6.30
25.16
3.58
1.69
11.34
11.34
12.24
15.93
13.42
20.74
6.64
13.28
6.75
13.50
20.25
5.10
4.08
2.85
1.38
2.07
2.95
Pret cu ridicata
maximal / U.T.
19.196000
22.616000
25.792000
31.300000
26.112000
26.112000
79.270000
26.112000
43.320000
18.196000
19.802000
27.508000
22.616000
26.850000
31.300000
43.320000
18.196000
19.802000
19.802000
21.014000
27.508000
19.196000
22.616000
26.850000
27.206000
31.300000
31.300000
26.946000
28.116000
44.986000
153.990000
44.986000
44.986000
49.108000
0.126000
0.125800
0.059666
0.112666
0.378000
0.378000
0.204000
0.132750
0.223666
0.345666
0.221333
0.221333
0.225000
0.225000
0.225000
0.085000
0.068000
0.095000
0.069000
0.069000
0.098333
Pret cu ridicata
maximal de
decontare / U.T.
19.196000
21.835200
25.792000
30.950400
26.112000
26.112000
79.270000
26.112000
43.320000
18.196000
19.802000
27.508000
21.835200
21.835200
31.300000
43.320000
18.196000
19.802000
19.802000
21.014000
27.508000
19.196000
21.835200
21.835200
27.206000
31.300000
31.300000
26.946000
28.116000
44.986000
153.990000
44.986000
44.986000
49.108000
0.126000
0.125800
0.059666
0.112666
0.071599
0.071599
0.150960
0.132750
0.150960
0.150960
0.150960
0.150960
0.150960
0.150960
0.150960
0.071599
0.068000
0.071599
0.069000
0.069000
0.071599
Pret cu
maximal / U.T.
/ U.T.
maximal /
ambalaj
121.36
138.05
157.44
191.06
159.39
159.39
100.23
159.39
56.66
115.03
125.19
167.91
138.05
163.89
191.06
56.66
115.03
125.19
125.19
128.27
167.91
121.36
138.05
163.89
166.07
191.06
191.06
164.48
171.62
274.59
187.99
274.59
274.59
299.76
8.52
32.91
4.84
2.28
15.33
15.33
16.55
21.53
18.14
28.03
8.98
17.95
9.12
18.24
27.37
6.89
5.52
3.85
1.86
2.80
3.99
24.272000
27.610000
31.488000
38.212000
31.878000
31.878000
100.230000
31.878000
56.660000
23.006000
25.038000
33.582000
27.610000
32.778000
38.212000
56.660000
23.006000
25.038000
25.038000
25.654000
33.582000
24.272000
27.610000
32.778000
33.214000
38.212000
38.212000
32.896000
34.324000
54.918000
187.990000
54.918000
54.918000
59.952000
0.170400
0.164550
0.080666
0.152000
0.511000
0.511000
0.275833
0.179416
0.302333
0.467166
0.299333
0.299166
0.304000
0.304000
0.304111
0.114833
0.092000
0.128333
0.093000
0.093333
0.133000
24.272000
27.607200
31.488000
37.785600
31.878000
31.878000
100.230000
31.878000
56.660000
23.006000
25.038000
33.582000
27.607200
27.607200
38.212000
56.660000
23.006000
25.038000
25.038000
25.654000
33.582000
24.272000
27.607200
27.607200
33.214000
38.212000
38.212000
32.896000
34.324000
54.918000
187.990000
54.918000
54.918000
59.952000
0.170400
0.164550
0.080666
0.152000
0.096799
0.096799
0.197460
0.179416
0.197460
0.197460
0.197460
0.197460
0.197460
0.197460
0.197460
0.096799
0.092000
0.096799
0.093000
0.093333
0.096799
Grupa
Nr.
terape
crt
utica
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA03
A10BA03
A10BB01
A10BB01
A10BB01
A10BB01
A10BB01
A10BB01
A10BB01
A10BB01
A10BB01
A10BB01
A10BB01
A10BB01
A10BB01
A10BB07
A10BB07
A10BB07
A10BB07
A10BB08
A10BB09
A10BB09
A10BB09
A10BB09
A10BB09
A10BB09
A10BB09
A10BB09
A10BB09
A10BB09
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
Denumire generica
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
BUFORMINUM
BUFORMINUM
GLIBENCLAMIDUM
GLIBENCLAMIDUM
GLIBENCLAMIDUM
GLIBENCLAMIDUM
GLIBENCLAMIDUM
GLIBENCLAMIDUM
GLIBENCLAMIDUM
GLIBENCLAMIDUM
GLIBENCLAMIDUM
GLIBENCLAMIDUM
GLIBENCLAMIDUM
GLIBENCLAMIDUM
GLIBENCLAMIDUM
GLIPIZIDUM
GLIPIZIDUM
GLIPIZIDUM
GLIPIZIDUM
GLIQUIDONUM
GLICLAZIDUM
GLICLAZIDUM
GLICLAZIDUM
GLICLAZIDUM
GLICLAZIDUM
GLICLAZIDUM
GLICLAZIDUM
GLICLAZIDUM
GLICLAZIDUM
GLICLAZIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
Denumire comerciala
MEGUAN (R) 500 mg
Forma
Concentrati
farmaceutic
e / U.T.
a
COMPR. FILM. 500mg
SIOFOR 850 mg
COMPR. FILM.
GLUCOPHAGE 850 mg
MEGUAN (R) 850 mg
METFORMIN AUROBINDO 850 mg
METFORMIN-TEVA 850 mg
METFORMIN BLUEFISH 850 mg
METFORMIN LPH (R) 850 mg

METFOGAMMA 850
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
SERDENIS 850 mg
SERDENIS 850 mg
SERDENIS 850 mg
SILUBIN RETARD
DRAJ. RET.
SILUBIN RETARD
DRAJ. RET.
GLIBENCLAMID ATB 1,75 MG COMPR.
GLIBENCLAMID ARENA 1,75 mg COMPR.
MANINIL 1,75 mg
COMPR.
GLIBENCLAMID LPH 1,75 mg COMPR.
MANINIL 3,5 mg
COMPR.
GLIBENCLAMID ATB 3,5 MG COMPR.
GLIBENCLAMID LPH 3,5 mg COMPR.
GLIBENCLAMID ARENA 5 mg COMPR.
GLIPIZIDA ATB 5mg
COMPR.
GLIPIZID LPH 5 mg
COMPR.
GLUCOTROL XL 10 mg
GLUCOTROL XL 5mg
GLURENORM
COMPR.
DIABREZIDE
COMPR.
ESQUEL (R) 80 mg
COMPR.
GLICLAZID LPH
COMPR.
ADOZID MR 30 mg
DIAPREL MR
COMPR. ELIB. MODIF.
DIAPREL MR 60 mg
COMPR. ELIB. MODIF.
GLYCLADA 30 mg
COMPR. ELIB. PREL.
GLYCLADA 30 mg
COMPR. ELIB. PREL.
GLICLAZID MR LPH 30 mg COMPR. ELIB. PREL.
COMPR. CU ELIBERARE PRELUNGITA
GLICLAZIDA EP ANTIBIOTICE 30 mg
COMPR. ELIB. PREL.
TINERIL 4 mg
AMYX 1
GLIMEPIRIDA ATB 1 mg
GLIMERAN 1 mg
GLIMEPIRID LPH 1 mg
TINERIL 1 mg
GLIMEPIRIDA ACCORD 1 mg
MEGLIMID 1 mg
COMPR
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
500mg
850mg
850mg
850mg
850mg
850mg
850mg
850mg
850mg
850mg
850mg
850mg
850mg
850mg
850mg
850mg
100mg
100mg
1,75 mg
1,75mg
1,75mg
1,75mg
1,75mg
1,75mg
3,5mg
3,5mg
3,5mg
3,5mg
3,5mg
3,5mg
5mg
5mg
5mg
10mg
5mg
30mg
80mg
80mg
80mg
30mg
30mg
60mg
30mg
30mg
30mg
30mg
4mg
1 mg
1mg
1mg
1mg
1mg
1mg
1mg
Firma
Tara
Ambalaj
Prescriptie
cant/
amba
laj
20
30
BERLIN-CHEMIE AG (MENARINI GROUP) GERMANIA CUTIE CU 4 BLIST. AL/PVC X 15 COMPR. FILM. P-6L
60
AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. P-6L
60
MERCK SANTE
FRANTA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. FILM. P-RF/S 100
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.
P-RF
20
AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L
30
TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.
P-RF
60
BLUEFISH PHARMACEUTICALS AB SUEDIA
60
LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
30
WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 12 BLIST. AL/PVC X 10 COMPR. FILM. P-RF/S
120
20
30
CUTIE CU BLIST. PVC-PVDC/AL X 100 COMPR. FILM. P-6L 100
ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P6L
30
60
90
DITA IMPORT EXPORT SRL ROMANIA CUTIE X 4 BLLIST. X 15 DRAJ.RET. P-RF
60
PHARMAFARM S.A. ROMANIA CUTIE X 4 BLLIST. X 15 DRAJ.RET. P-RF
60
ANTIBIOTICE S.A.
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF
30
ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 COMPR. P-RF/S 1000
ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF
30
BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 1 FLAC. X 120 COMPR.
P-RF/S
120
LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 20 COMPR. P-RF
60
ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. PEID X 100 COMPR. P-RF/S 100
30
ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 COMPR. P-RF/S 1000
BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 1 FLAC. X 120 COMPR.
P-RF/S
120
ANTIBIOTICE S.A.
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF
30
ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. PEID X 100 COMPR. P-RF/S 100
60
30
ANTIBIOTICE S.A.
ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. P-6L
30
30
PFIZER EUROPE MA EEIG MAREA BRITANIE
P-RF
30
PFIZER EUROPE MA EEIG MAREA BRITANIE
P-RF
30
GERMANIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. P-RF
60
L. MOLTENI
ITALIA
CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 20 COMPR. P-RF
40
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. X 15 COMPR.
P-RF
30
60
LABORMED PHARMA S.A. ROMANIA CUTIE CU 3 BLIST. PVC/AL X 20 COMPR. CU ELIB. PRELUNGITA P-6L
60
LES LABORATOIRES SERVIER FRANTA CUTIE X 2 BLIST. X 30 COMPR. ELIB. MODIF. P-RF
60
LES LABORATOIRES SERVIER FRANTA CUTIE CU BLIST. PVC/AL X 60 COMPR. CU ELIB. MODIF. P-RF
60
KRKA
SLOVENIA CUTIE X 6 BLIST. PVC/AL X 10 COMPR. CU ELIB. PREL. P-6L
60
KRKA
SLOVENIA CUTIE X 4 BLIST. PVC/AL X 15 COMPR. CU ELIB. PREL. P-6L
60
LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 20 COMPR. ELIB. PREL. P-RF
60
ANTIBIOTICE S.A.
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. ELIB. PREL. P-RF
30
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF
30
ZENTIVA A.S.
SLOVACIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-RF
30
ANTIBIOTICE S.A.
ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. P-RF
30
RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF
30
30
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF
30
ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L
30
KRKA D.D.
SLOVENIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF
30
ROMANIA
MAREA BRITANIE
CUTIE X 1 FLAC. DIN PEID, PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII X 30 COMPR. FILM. CU E
CUTIE X 1 FLAC. DIN PEID PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII X 30 COMPR. FILM. CU EL
Pagina 23 din 56
P-RF
Pret cu
ridicata
maximal /
ambalaj
3.24
2.55
13.45
7.18
18.70
5.65
3.60
5.82
6.59
3.65
13.54
2.19
3.28
10.96
3.64
7.27
10.90
14.14
14.14
1.41
55.56
1.52
8.75
3.11
8.60
4.15
76.44
6.34
1.01
10.64
2.26
4.24
11.49
11.49
35.35
17.67
20.38
9.71
9.71
13.12
12.13
18.67
34.89
12.10
12.10
12.16
6.02
10.64
3.10
3.08
2.36
3.10
3.10
3.06
6.73
Pret cu ridicata
maximal / U.T.
0.162000
0.085000
0.224166
0.119666
0.187000
0.282500
0.120000
0.097000
0.109833
0.121666
0.112833
0.109500
0.109333
0.109600
0.121333
0.121166
0.121111
0.235666
0.235666
0.047000
0.055560
0.050666
0.072916
0.051833
0.086000
0.138333
0.076440
0.052833
0.033666
0.106400
0.037666
0.141333
0.383000
0.383000
1.178333
0.589000
0.339666
0.242750
0.323666
0.218666
0.202166
0.311166
0.581500
0.201666
0.201666
0.202666
0.200666
0.354666
0.103333
0.102666
0.078666
0.103333
0.103333
0.102000
0.224333
Pret cu ridicata
maximal de
decontare / U.T.
0.071599
0.071599
0.116400
0.116400
0.116400
0.116400
0.116400
0.097000
0.109833
0.116400
0.112833
0.109500
0.109333
0.109600
0.116400
0.116400
0.116400
0.235666
0.235666
0.047000
0.055560
0.050666
0.060799
0.051833
0.060799
0.040399
0.040399
0.040399
0.033666
0.040399
0.037666
0.141333
0.383000
0.383000
1.178333
0.459600
0.339666
0.242750
0.262399
0.218666
0.202166
0.240799
0.581500
0.201666
0.201666
0.202666
0.200666
0.311200
0.094399
0.094399
0.078666
0.094399
0.094399
0.094399
0.094399
Pret cu
maximal / U.T.
/ U.T.
maximal /
ambalaj
4.38
3.45
18.18
9.71
25.27
7.64
4.87
7.87
8.91
4.93
18.30
2.96
4.44
14.82
4.92
9.82
14.73
19.11
19.11
1.91
70.25
2.05
11.82
4.21
11.62
5.61
96.65
8.57
1.37
14.38
3.05
5.73
15.53
15.53
46.24
23.88
27.55
13.13
13.13
17.73
16.39
25.24
45.64
16.36
16.36
16.43
8.14
14.38
4.19
4.16
3.19
4.19
4.19
4.14
9.09
0.219000
0.115000
0.303000
0.161833
0.252700
0.382000
0.162333
0.131166
0.148500
0.164333
0.152500
0.148000
0.148000
0.148200
0.164000
0.163666
0.163666
0.318500
0.318500
0.063666
0.070250
0.068333
0.098500
0.070166
0.116200
0.187000
0.096650
0.071416
0.045666
0.143800
0.050833
0.191000
0.517666
0.517666
1.541333
0.796000
0.459166
0.328250
0.437666
0.295500
0.273166
0.420666
0.760666
0.272666
0.272666
0.273833
0.271333
0.479333
0.139666
0.138666
0.106333
0.139666
0.139666
0.138000
0.303000
0.096799
0.096799
0.157399
0.157399
0.157399
0.157399
0.157399
0.131166
0.148500
0.157399
0.152500
0.148000
0.148000
0.148200
0.157399
0.157399
0.157399
0.318500
0.318500
0.063666
0.070250
0.068333
0.082000
0.070166
0.082000
0.054799
0.054799
0.054799
0.045666
0.054799
0.050833
0.191000
0.517666
0.517666
1.541333
0.621199
0.459166
0.328250
0.354600
0.295500
0.273166
0.325600
0.760666
0.272666
0.272666
0.273833
0.271333
0.420799
0.127600
0.127600
0.106333
0.127600
0.127600
0.127600
0.127600
Grupa
Nr.
terape
crt
utica
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
Denumire generica
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
A10BD02 COMBINATII (METFORMINUM+GLIBENCLAMIDUM)

A10BD02 COMBINATII (METFORMINUM+GLIBENCLAMIDUM)
A10BD02 COMBINATII(GLIBENCLAMIDUM+METFORMINUM)
A10BD05 COMBINATII ( PIOGLITAZONUM + METFORMINUM)***
A10BF01
A10BF01
A10BG03
A10BG03
A10BG03
A10BG03
A10BG03
A10BG03
A10BH01
A10BX02
A10BX02
A10BX02
A10BX02
A10BX02
A10BX02
A10BX02
A10BX02
A10BX02
A10BX02
ACARBOSUM
ACARBOSUM
PIOGLITAZONUM***
PIOGLITAZONUM***
PIOGLITAZONUM***
PIOGLITAZONUM***
PIOGLITAZONUM***
PIOGLITAZONUM***
SITAGLIPTINUM***
REPAGLINIDUM
REPAGLINIDUM
REPAGLINIDUM
REPAGLINIDUM
REPAGLINIDUM
REPAGLINIDUM
REPAGLINIDUM
REPAGLINIDUM
REPAGLINIDUM
REPAGLINIDUM
Denumire comerciala
AMARYL 1mg
GLIMERAN 1 mg
GLIMEPIRIDE 2 mg
TINERIL 2 mg
GLIMERAN 2 mg
GLIMERAN 2 mg
MEGLIMID 2 mg
AMARYL 2 mg
GLIMEPIRID LPH 2 mg
AMYX 2
GLIMEPIRIDE 3 mg
TINERIL 3 mg
GLIMERAN 3 mg
AMARYL 3 mg
AMYX 3
GLIMEPIRID LPH 3 mg
GLIMERAN 3 mg
MEGLIMID 3 mg
GLIMERAN 4 mg
AMARYL 4 mg
AMYX 4
GLIMEPIRIDA ACCORD 4mg
GLIMERAN 4 mg
AMARYL 6 mg
BIDIAB 400 mg/2,5 mg
BIDIAB 400 mg/2,5 mg
GLIBOMET (R)
GLIFORMIN
Forma
Concentrati
farmaceutic
e / U.T.
a
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
CAPS.
CAPS.
1mg
1mg
2mg
2mg
2mg
2mg
2mg
2mg
2mg
2mg
2mg
2mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
4mg
4mg
4mg
4mg
4mg
4mg
6mg
Firma
100mg
50mg
15mg
15mg
30mg
30mg
45mg
45mg
100mg
0,5 mg
0,5mg
0,5mg
0,5mg
0,5mg
1 mg
1mg
1mg
1mg
1mg
Prescriptie
ROMANIA CUTIE CU BLIST. AL/PVC X 30 COMPR.
P-RF
RANBAXY UK LIMITED
MAREA BRITANIE
CUTIE X 1 FLACON DIN PEID X 30 COMPR.
P-RF
CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L
ACTAVIS GROUP HF. ISLANDA CUTIE X 2 BLIST. AL/PVC X 15 COMPR.

GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR.
P-RF
RANBAXY UK LIMITED
RANBAXY UK LIMITED
KRKA D.D.
ANTIBIOTICE S.A.
SANOFI-AVENTIS ROMANIA S.R.L.
LABORMED PHARMA SA
ZENTIVA A.S.
ACTAVIS GROUP HF.
RANBAXY UK LIMITED
ANTIBIOTICE S.A.
ZENTIVA A.S.
LABORMED PHARMA SA
RANBAXY UK LIMITED
P-RF
MAREA BRITANIE
P-RF
MAREA BRITANIE
P-RF
SLOVENIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR.
SLOVACIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR.
ISLANDA CUTIE X 2 BLIST. AL/PVC X 15 COMPR.
MAREA BRITANIE CUTIE X 1 FLACON DIN PEID X 30 COMPR.
MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
KRKA D.D.
ANTIBIOTICE S.A.
SLOVENIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

RANBAXY UK LIMITED
MAREA BRITANIE
P-RF
P-RF
CUTIE X 3 BLIST AL/PVC X 10 COMPR.

P-RF
ZENTIVA A.S.
P-RF
P-RF
RANBAXY UK LIMITED
TAKEDA GLOBAL RESEARCH AND DEVELOPMENT CENTRE LTD
COMPR.
COMPR.
PIOGLITAZONA TORRENT 15 mg COMPR.
ACTOS 15mg
COMPR.
ACTOS 30mg
COMPR.
ACTOS 45mg
COMPR.
JANUVIA 100mg
COMPR. FILM.
RENEOS 0,5 mg
COMPR.
REPAGLINIDA FARMAL 0,5 mg COMPR.
RENEOS 1 mg
COMPR.
REPAGLINIDA FARMAL 1 mg COMPR.
Ambalaj
400mg+2,5mg ARENA GROUP SA

400mg+2,5mg ARENA GROUP SA
COMPR. FILM. 2,5mg/400mg LAB. GUIDOTTI SPA
COMPR. FILM. 400mg + 2,5mg LABORMED PHARMA SA
GLUCOVANCE (R) 500 mg/2,5 mg COMPR. FILM. 500mg/2,5mg MERCK SANTE
GLUCOVANCE (R) 500 mg/5 mg COMPR. FILM. 500mg/5mg MERCK SANTE
COMPETACT
COMPR. FILM. 15mg/850mg
GLUCOBAY (R) 100

GLUCOBAY (R) 50
Tara
MAREA BRITANIE
P-RF

P-RF/S
ITALIA
P-RF
P-RF
FRANTA CUTIE X 4 BLIST. X 15 COMPR. FILM.

FRANTA CUTIE X 4 BLIST. X 15 COMPR. FILM.
P-RF
CUTIE X 56 COMPR. FILM. ( BLIST. AL/AL )
P-RF
MAREA BRITANIE
P-RF
P-RF
P-RF
CUTIE X 8 BLIST. AL/PP X 15 COMPR. P-RF

BAYER HEALTHCARE AG GERMANIA CUTIE X 8 BLIST. AL/PP X 15 COMPR. P-RF
TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC-AL X 30 COMPR. PRF
MAREA BRITANIE
CUTIE X 28 COMPR. (BLIST. AL/AL)
P-RF
TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC-AL X 30 COMPR.
PRF
CUTIE X 28 COMPR.(BLIST. AL/AL)
P-RF
MAREA BRITANIE
TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC-AL X 30 COMPR.
PRF
MAREA BRITANIE
CUTIE X 28 COMPR.(BLIST. AL/AL)
P-RF
MERCK SHARP & DOHME
MAREA BRITANIE
CUTIE X 28 COMPR. FILM. (BLIST. PVC/PE/PVDC/AL)
P-RF
ZENTIVA K.S.
REPUBLICA SLOVACA
CUTIE CU BLIST. OPA-AL-PVC/AL X 90 COMPR. PRF
FARMAL INTERNATIONAL S.R.L.
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ZENTIVA K.S.
REPUBLICA SLOVACA


ROMANIA
ROMANIA
ROMANIA
ROMANIA
CUTIE CU BLIST. AL/AL X 30 COMPR. FILM.
P-RF
P-RF
CUTIE CU BLIST. AL/AL X 270 COMPR. FILM. P-RF

CUTIE CU BLIST. OPA-AL-PVC/AL X 90 COMPR. PRF
P-RF
P-RF
Pagina 24 din 56
cant/
amba
laj
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
500
20
60
60
60
60
56
120
120
30
28
30
28
30
28
28
90
30
90
270
120
90
270
30
90
120
Pret cu
ridicata
maximal /
ambalaj
3.64
2.36
5.36
3.97
5.37
3.97
3.97
13.35
5.08
6.10
5.37
5.37
7.35
10.01
7.35
9.43
11.31
10.01
10.01
7.35
9.94
18.49
10.62
7.78
11.97
10.64
10.64
7.78
19.08
178.17
7.63
19.06
19.06
20.43
20.43
159.72
67.50
48.67
69.84
100.29
107.02
150.92
143.75
206.41
160.75
45.59
15.20
45.59
131.98
59.73
59.40
175.06
20.15
59.40
79.22
Pret cu ridicata
maximal / U.T.
0.121333
0.078666
0.178666
0.132333
0.179000
0.132333
0.132333
0.445000
0.169333
0.203333
0.179000
0.179000
0.245000
0.333666
0.245000
0.314333
0.377000
0.333666
0.333666
0.245000
0.331333
0.616333
0.354000
0.259333
0.399000
0.354666
0.354666
0.259333
0.636000
0.356340
0.381500
0.317666
0.317666
0.340500
0.340500
2.852142
0.562500
0.405583
2.328000
3.581785
3.567333
5.390000
4.791666
7.371785
5.741071
0.506555
0.506666
0.506555
0.488814
0.497750
0.660000
0.648370
0.671666
0.660000
0.660166
Pret cu ridicata
maximal de
decontare / U.T.
0.094399
0.078666
0.158800
0.132333
0.158800
0.132333
0.132333
0.158800
0.158800
0.158800
0.158800
0.158800
0.245000
0.294000
0.245000
0.294000
0.294000
0.294000
0.294000
0.245000
0.294000
0.294000
0.311200
0.259333
0.311200
0.311200
0.311200
0.259333
0.636000
0.356340
0.381199
0.317666
0.317666
0.340500
0.340500
2.852142
0.562500
0.405583
2.328000
2.793600
3.567333
4.280800
4.791666
5.749999
5.741071
0.506555
0.506666
0.506555
0.488814
0.497750
0.660000
0.648370
0.671666
0.660000
0.660166
Pret cu
maximal / U.T.
/ U.T.
maximal /
ambalaj
4.92
3.19
7.24
5.36
7.26
5.36
5.36
18.04
6.87
8.24
7.26
7.26
9.94
13.53
9.94
12.74
15.28
13.53
13.53
9.94
13.44
24.99
14.36
10.52
16.18
14.38
14.38
10.52
25.79
217.51
10.31
25.76
25.76
27.61
27.61
194.99
85.35
63.66
88.30
122.43
130.65
184.24
175.49
251.99
196.24
59.63
20.54
59.63
161.12
75.52
75.11
213.71
27.24
75.11
100.16
0.164000
0.106333
0.241333
0.178666
0.242000
0.178666
0.178666
0.601333
0.229000
0.274666
0.242000
0.242000
0.331333
0.451000
0.331333
0.424666
0.509333
0.451000
0.451000
0.331333
0.448000
0.833000
0.478666
0.350666
0.539333
0.479333
0.479333
0.350666
0.859666
0.435020
0.515500
0.429333
0.429333
0.460166
0.460166
3.481964
0.711250
0.530500
2.943333
4.372500
4.355000
6.580000
5.849666
8.999642
7.008571
0.662555
0.684666
0.662555
0.596740
0.629333
0.834555
0.791518
0.908000
0.834555
0.834666
0.127600
0.106333
0.214399
0.178666
0.214399
0.178666
0.178666
0.214399
0.214399
0.214399
0.214399
0.214399
0.331333
0.397600
0.331333
0.397600
0.397600
0.397600
0.397600
0.331333
0.397600
0.397600
0.420799
0.350666
0.420799
0.420799
0.420799
0.350666
0.859666
0.435020
0.515200
0.429333
0.429333
0.460166
0.460166
3.481964
0.711250
0.530500
2.943333
3.532000
4.355000
5.226000
5.849666
7.019599
7.008571
0.662555
0.684666
0.662555
0.596740
0.629333
0.834555
0.791518
0.908000
0.834555
0.834666
Grupa
Nr.
terape
crt
utica
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
A10BX02
A10BX02
A10BX02
A10BX02
A10BX02
A10BX04
A10BX04
A10BX04
A11DA03
A11DA03
A11DBN1
A11DBN1
A11DBN1
A11DBN1
A11DBN1
A11DBN1
A11DBN1
A11DBN1
A11DBN1
B03BA51
B03BA51
B03BA51
Denumire generica
REPAGLINIDUM
REPAGLINIDUM
REPAGLINIDUM
REPAGLINIDUM
REPAGLINIDUM
EXENATIDUM***
EXENATIDUM***
EXENATIDUM***
BENFOTIAMINUM
BENFOTIAMINUM
COMBINATII**
COMBINATII**
COMBINATII**
COMBINATII**
COMBINATII**
COMBINATII**
COMBINATII**
COMBINATII**
COMBINATII**
COMBINATII**
COMBINATII**
COMBINATII**
Denumire comerciala
RENEOS 2 mg
REPAGLINIDA FARMAL 2 mg
BYDUREON 2 mg
BYETTA 10mcg/doza
BYETTA 5mcg/doza
BENFOGAMMA
BENFOGAMMA
MILGAMMA (R) N
MILGAMMA (R) N
MILGAMMA (R) N
MILGAMMA (R) 100
MILGAMMA (R) 100
MILGAMMA (R) 100
MILGAMMA (R) N
MILGAMMA (R) N
MILGAMMA (R) NA
Forma
Concentrati
farmaceutic
e / U.T.
a
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
DRAJ.
DRAJ.
CAPS. MOI
CAPS. MOI
CAPS. MOI
DRAJ.
DRAJ.
DRAJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
MILGAMMA (R) (vezi B03BA51) DRAJ.
Tara
Firma
2 mg
ZENTIVA K.S.
2mg
2mg
2mg
2mg
2 mg
10mcg/doza ELI LILLY NEDERLAND BV
5mcg/doza ELI LILLY NEDERLAND BV
50mg
50mg
Ambalaj
Prescriptie
REPUBLICA SLOVACA
CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 90 COMPR.
PRF
ROMANIA
ROMANIA
ROMANIA
ROMANIA
P-RF
P-RF
OLANDA
OLANDA
OLANDA

AMBALAJ CU 4 X 1 DISPOZITIV DE ADMINISTRAREA UNICA (1FL X2MG PULB.+1SERINGA PREUMPLUTAX0,65ML SOLVEN
PRF
CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT (60 DOZE)
P-RF
CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT (60 DOZE)
P-RF
GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 20 DRAJ. P-6L

FARA CONCENTRATIE
GERMANIA CUTIE X 2 BLIST. PVC/PVDC X 10 CAPS. MOI P-6L
FARA CONCENTRATIE
FARA CONCENTRATIE
FARA CONCENTRATIE
FARA CONCENTRATIE
FARA CONCENTRATIE
FARA CONCENTRATIE
GERMANIA
CUTIE X 25 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 2 ML
P-RF
FARA CONCENTRATIE
GERMANIA
P-RF
FARA CONCENTRATIE
GERMANIA
P-RF
FARA CONCENTRATIE
GERMANIA CUTIE X 10 BLIST. PVC/PVDC X 10 DRAJ. P-6L
FARA CONCENTRATIE
FARA CONCENTRATIE
cant/
amba
laj
Pret cu
ridicata
maximal /
ambalaj
Pret cu ridicata
maximal / U.T.
90
30
90
120
270
4
1
1
100
50
20
100
50
30
100
60
25
5
5
100
20
50
72.61
24.64
72.61
96.81
213.89
468.95
393.64
336.72
39.86
21.25
15.00
66.70
35.84
38.12
113.93
71.14
66.08
13.70
13.70
66.70
15.00
35.84
0.806777
0.821333
0.806777
0.806750
0.792185
117.237500
393.640000
336.720000
0.398600
0.425000
0.750000
0.667000
0.716800
1.270666
1.139300
1.185666
2.643200
2.740000
2.740000
0.667000
0.750000
0.716800
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1,475.99
375.37
753.00
1,765.78
463.88
897.84
1,419.30
377.32
724.65
2,441.69
4,853.37
632.91
1,235.86
2,301.15
597.46
1,165.59
3,035.05
2,630.24
4,766.25
5,541.15
718.85
1,608.75
1,396.36
6,345.00
781.26
9,502.50
2,766.50
1,407.44
1,475.990000
375.370000
753.000000
1,765.780000
463.880000
897.840000
1,419.300000
377.320000
724.650000
2,441.690000
4,853.370000
632.910000
1,235.860000
2,301.150000
597.460000
1,165.590000
3,035.050000
2,630.240000
4,766.250000
5,541.150000
718.850000
1,608.750000
1,396.360000
6,345.000000
781.260000
9,502.500000
2,766.500000
1,407.440000
Pret cu ridicata
maximal de
decontare / U.T.
0.806777
0.821333
0.806777
0.806750
0.792185
117.237500
393.640000
336.720000
0.398600
0.425000
0.750000
0.667000
0.716800
1.270666
1.139300
1.185666
2.643200
2.740000
2.740000
0.667000
0.750000
0.716800
Pret cu
maximal / U.T.
/ U.T.
maximal /
ambalaj
91.81
33.30
91.81
122.41
261.12
549.31
467.22
405.17
52.14
28.72
20.28
84.34
46.88
49.86
139.08
89.95
83.55
18.52
18.52
84.34
20.28
46.88
1.020111
1.110000
1.020111
1.020083
0.967111
137.327500
467.220000
405.170000
0.521400
0.574400
1.014000
0.843400
0.937600
1.662000
1.390800
1.499166
3.342000
3.704000
3.704000
0.843400
1.014000
0.937600
1.020111
1.110000
1.020111
1.020083
0.967111
137.327500
467.220000
405.170000
0.521400
0.574400
1.012080
0.843400
0.937600
1.662000
1.390800
1.499166
3.342000
3.704000
3.704000
0.843400
1.012080
0.937600
P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.1: HEMOFILIE SI TALASEMIE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
FACTOR VIII DE COAGULARE**

MOROCTOCOG ALFA**
MOROCTOCOG ALFA**
MOROCTOCOG ALFA**
MOROCTOCOG ALFA**
OCTOCOG ALFA**
OCTOCOG ALFA**
OCTOCOG ALFA**
OCTOCOG ALFA**
OCTOCOG ALFA**
OCTOCOG ALFA**
OCTOCOG ALFA**
OCTOCOG ALFA**
OCTOCOG ALFA**
OCTOCOG ALFA**
OCTOCOG ALFA**
OCTOCOG ALFA**
OCTOCOG ALFA**
B02BD03 COMPLEX DE ANTIINHIBITORI AI COAGULARII**

B02BD03 COMPLEX DE ANTIINHIBITORI AI COAGULARII**
HAEMOCTIN SDH 1000

HAEMOCTIN SDH 250
HAEMOCTIN SDH 500
FANHDI 100ui/ml
FANHDI 25 ui/ml
FANHDI 50 ui/ml
OCTANATE 100 UI/ml
OCTANATE 50 UI/ml
OCTANATE 50 UI/ml
REFACTO 1000UI
REFACTO 2000UI
REFACTO 250UI
REFACTO 500UI
RECOMBINATE 1000 UI
RECOMBINATE 250 UI
RECOMBINATE 500 UI
ADVATE 1000UI
KOGENATE BAYER 1000UI
ADVATE 1500UI
ADVATE 500UI
ADVATE 2000UI
ADVATE 250UI
ADVATE 3000UI
FEIBA NF 1000 U FEIBA
FEIBA NF 500 U FEIBA
PULB+SOLV. PT. SOL. INJ.

PULB. + SOL. PT. SOL. INJ.


PULB+SOLV.PT.SOL.INJ.
LIOF. + SOLV. PT. SOL. INJ./PERF.
100UI/ml
50UI/ml
50UI/ml
1000ui
250ui
500ui
100 UI/ml
50 UI/ml
50 UI/ml
1000 UI
2000 UI
250 UI
500 UI
1000UI
250UI
500UI
1000UI
1000UI
1500UI
2000UI
250UI
500 UI
500UI
2000 UI
250 UI
3000 UI
1000 U/20 ml
500 U/20ml
BIOTEST PHARMA GMBH GERMANIA
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. + 1 FLAC. DIN STICLA INCOLORA CU 10 ML S
P-PR
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. + 1 FLAC. DIN STICLA INCOLORA CU 5 ML SO
P-PR
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. + 1 FLAC. DIN STICLA INCOLORA CU 10 ML S
P-PR


WYETH
WYETH
WYETH
WYETH
EUROPA LTD
EUROPA LTD
EUROPA LTD
EUROPA LTD
BAXTER AG
BAXTER AG
BAXTER AG
BAXTER AG
SPANIA
SPANIA
SPANIA
MAREA BRITANIE
CUTIE X 1 FLAC. CU 250 U.I. PULB. + 1 FL.SOLVENT X 5ML+ CUTIE CU SET DE RECONSTITUIRE SI ADM.
MAREA BRITANIE
CUTIE X 1 FLAC. CU 500 U.I. PULB. + 1 FL. SOLVENT X 10ML + CUTIE CU SET DE RECONSTITUIRE SI ADM.
S
S
S
PR
PR
PR
MAREA BRITANIE
CUTIE X 1 FLAC.CU PULB. + 1 SERINGA PREUMPL. X 4 ML SOLV + 1 ADAPTOR + 2 TAMP.CU ALCOOL + 1 SET STER
P-RF/R
MAREA BRITANIE
P-RF/R
MAREA BRITANIE
P-RF/R
MAREA BRITANIE
P-RF/R
CUTIE CU 1 FLAC. PULB.+1 FLAC. SOLV.+DISPOZITIV PT. RECONST. CU AC STERIL DUBLU SI 1 AC FILTRU STERI
S/P-RF
S/P-RF
MAREA BRITANIE
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
CUTIE X 1 FLAC. CU PULB. X 1 SERINGA PREUMPLUTA X 10 ML SOLV. + 1 CANULA + 2 TAMPOANE CU ALCOOL
CUTIE X 1 FLAC. CU PULB. X 1 SERINGA PREUMPLUTA X 10 ML SOLVENT + 1 CANULA + 2 TAMPOANE ALCOOL
CUTIE X 1 FLAC. CU PULB. X 1 SERINGA PREUMPLUTA X 10 ML SOLV. + 1 CANULA + 2 TAMPOANE CU ALCOOL
CUTIE X 1 FLAC. X 1000 UI PULB. PT.SOL. INJ. + 1 FL. SOLVENT X 10ML + CUTIE CU SET DE RECONSTITUIRE
S/P-RF
CUTIE X 1 FLAC. CU PULB. + 1 FLAC. X 5 ML APA PT. SOL. INJ. + 1 DISPOZITIV BAXJECT II
P-RF/R
CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA PREUMPLUTA X 2,5ML SOL. + AMBALAJ SUPL. CE CONTIN
P-RF/R
BAXTER AG
P-RF/R
P-RF/R
P-RF/R
BAXTER AG
P-RF/R
P-RF/R
CUTIE X 1 FLAC CU PULB. + 1 FLAC. X 5 ML SOLVENT + 1 DISPOZITIV BAXJECT II
P-RF/R
CUTIE X 1 FLAC CU PULB. + 1 FLAC. X 5 ML APA PT. SOL. INJ. + 1 DISPOZITIV BAXJECT II
P-RF/R
CUTIE X 1 FLAC CU PULB. + 1 FLAC. X 5 ML SOLVENT + 1 DISPOZITIV BAXJECT II
P-RF/R
AUSTRIA
AUSTRIA
BAXTER AG
BAXTER AG
BAXTER AG
BAXTER AG
BAXTER AG
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
CUTIE X 1 FLAC. LIOF. + 1 FLAC. SOLV. + 1 TRUSA DE RECONSTITUIRE SI ADM.

CUTIE X 1 FLAC. LIOF. + 1 FLAC. SOLV. + 1 TRUSA MEDICALA PT. RECONSTITUIRE SI ADM.
Pagina 25 din 56
S
S
1,475.990000 1,646.98 1,646.980000 1,646.980000

375.370000
447.30
447.300000
447.300000
753.000000
858.92
858.920000
858.920000
1,765.780000 1,962.85 1,962.850000 1,962.850000
463.880000
543.78
543.780000
543.780000
897.840000 1,016.80 1,016.800000 1,016.800000
1,419.300000 1,585.19 1,585.190000 1,585.190000
449.430000
449.430000
377.320000
449.43
724.650000
828.02
828.020000
828.020000
2,441.690000 2,699.59 2,699.590000 2,699.590000
4,853.370000 5,328.32 5,328.320000 5,328.320000
632.910000
728.02
728.020000
728.020000
1,235.860000 1,385.24 1,385.240000 1,385.240000
2,301.150000 2,546.40 2,546.400000 2,546.400000
597.460000
689.38
689.380000
689.380000
1,165.590000 1,308.64 1,308.640000 1,308.640000
3,035.050000 3,346.35 3,346.350000 3,346.350000
2,630.240000 2,905.11 2,905.110000 2,905.110000
4,766.250000 5,233.36 5,233.360000 5,233.360000
5,541.150000 6,078.00 6,078.000000 6,078.000000
718.850000
821.70
821.700000
821.700000
1,608.750000 1,791.69 1,791.690000 1,791.690000
1,396.360000 1,560.18 1,560.180000 1,560.180000
6,345.000000 6,954.20 6,954.200000 6,954.200000
781.260000
889.72
889.720000
889.720000
9,502.500000 10,395.88 10,395.880000 10,395.880000
2,766.500000 3,053.64 3,053.640000 3,053.640000
1,407.440000 1,572.26 1,572.260000 1,572.260000
Grupa
Nr.
terape
crt
utica
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
Denumire generica
B02BD04
FACTOR IX DE COAGULARE**
NONACOG ALPHA**
NONACOG ALPHA**
NONACOG ALPHA**
NONACOG ALPHA**
B02BD06
FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND**
B02BD06
B02BD04
B02BD04
B02BD04
B02BD04
B02BD04
B02BD04
B02BD04
B02BD04
B02BD06
B02BD06
B02BD06
B02BD06
B02BD08
EPTACOG ALFA ACTIVATUM**

DEFEROXAMINUM** 3)
DEFERASIROXUM****
DEFERASIROXUM****
DEFERASIROXUM****
B02BD08
B02BD08
V03AC01
V03AC03
V03AC03
V03AC03
Denumire comerciala
Forma
Concentrati
farmaceutic
e / U.T.
a
OCTANINE F 250
LIOF. + SOLV. PT. SOL. PERF. 250 UI
OCTANINE F 1000 UI
PULB. + SOLV. PT. SOL. PERF.
1000UI
OCTANINE F 500 UI
PULB. + SOLV. SOL. PERF. 500 UI
IMMUNINE 1200 UI
1200UI
IMMUNINE 600 UI
600UI
BENEFIX 1000UI
PULB+SOLV.PT.SOL.INJ 1000UI
BENEFIX 2000UI
BENEFIX 250UI
BENEFIX 500UI
IMMUNATE 1000 UI
1000UI
IMMUNATE 250 UI
250UI
IMMUNATE 500 UI
500UI
HAEMATE P 500 UI
500UI+1200UI
WILATE 450 U.I./400 U.I.
PULB+SOLV. PT. SOL. INJ. 450U.I./400U.I.
WILATE 900 U.I./800 U.I.
PULB+SOLV. PT. SOL. INJ. 900U.I./800U.I.
NOVOSEVEN 2mg (100 KUI) PULB. + SOLV. PT. SOL. INJ. 100 KIU
DESFERAL
EXJADE 125mg
COMPR. DISP. 125mg
EXJADE 250mg
COMPR. DISP. 250mg
EXJADE 500mg
COMPR. DISP. 500mg
Tara
Firma
Ambalaj
Prescriptie
OCTAPHARMA (IP) LIMITED
MAREA BRITANIE
CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA A 30 ML CU LIOF. + 1 FLAC. X 5 ML SOLV. + 1 SERIN

MAREA BRITANIE
CUTIE CU 1 FLAC. DIN STICLA CU PULB. PT. SOL. PERF. + 1 FLAC. DIN STICLA CU 10 ML SOLV. PT. SOL. PER
MAREA BRITANIE
BAXTER AG
BAXTER AG
AUSTRIA
AUSTRIA
CUTIE X 1 FLAC. PULB. PT. SOL. INJ./ PERF. + 1 FLAC. X 5 ML SOLV. + 1 SET DE RECONSTITUIRE SI ADMIN
S
S
S
S
S
MAREA BRITANIE
CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA UMPLUTA. X 5ML SOL. INJ. + 1 SET STERIL DE PERF.
P-RF
MAREA BRITANIE
MAREA BRITANIE
P-RF
MAREA BRITANIE
P-RF
WYETH
WYETH
WYETH
WYETH
EUROPA LTD
EUROPA LTD
EUROPA LTD
EUROPA LTD
CUTIE CU 1 FLAC. DIN STICLA CU PULB. PT. SOL. PERF. + 1 FLAC. DIN STICLA CU 5 ML SOLV. PT. SOL. PERF
CUTIE X 1 FLAC. PULB. PT. SOL. INJ./ PERF. + 1 FLAC. X 10 ML SOLV. + 1 SET DE RECONSTITUIRE SI ADMI
BAXTER AG
BAXTER AG
BAXTER AG
AUSTRIA
AUSTRIA
AUSTRIA
CUTIE X 1 FLAC. LIOF. + 1 FLAC. X 5 ML SOLV. + 1 TRUSA MEDICALA PT. RECONSTITUIRE SI ADMINISTRARE
S
S
S
LIOF. SI SOLV. PT. SOL. INJ./PERF.
CSL BEHRING GMBH GERMANIA
CUTIE X 1 FLAC. DIN STICLA INCOLORA A 30 ML CU LIOF. + 1 FLAC. X 10 ML SOLV. + 1 SET DE RECONSTIT.
P-RF
MAREA BRITANIE
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. + SOLV. + DISPOZITIV PT. RECONSTITUIRE S
MAREA BRITANIE
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. + SOLV. + DISPOZITIV PT. RECONSTITUIRE S
S
S
DANEMARCA
CUTIE X 1 FLAC. PULB. PT. SOL. INJ. + 1 FLAC. SOLV. PT. RECONSTITUIRE
P-RF/R
DANEMARCA
P-RF/R
DANEMARCA
P-RF/R
CUTIE X 10 FLAC. DIN STICLA X 500 MG LIOF. PT. SOL. INJ./PERF.
S/P-RF
MAREA BRITANIE
CUTIE X 28 COMPR. DISP.(BLIST. PVC/PE/PVDC/AL)
P-RF/R
MAREA BRITANIE
CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL)
P-RF/R
MAREA BRITANIE
P-RF/R

NOVO NORDISK A/S

NOVO NORDISK A/S
NOVO NORDISK A/S
cant/
amba
laj
Pret cu
ridicata
maximal /
ambalaj
Pret cu ridicata
maximal / U.T.
Pret cu ridicata
maximal de
decontare / U.T.
Pret cu
maximal / U.T.
/ U.T.
maximal /
ambalaj
1
492.34
492.340000
492.340000
574.80
574.800000
574.800000
1 1,629.80 1,629.800000 1,629.800000 1,814.63 1,814.630000 1,814.630000
1
829.90
829.900000
829.900000
942.74
942.740000
942.740000
1 1,586.83 1,586.830000 1,586.830000 1,767.79 1,767.790000 1,767.790000
1
891.90
891.900000
891.900000 1,010.32 1,010.320000 1,010.320000
1 2,519.23 2,519.230000 2,519.230000 2,784.11 2,784.110000 2,784.110000
1 5,008.46 5,008.460000 5,008.460000 5,497.37 5,497.370000 5,497.370000
815.310000
815.310000
1
712.99
712.990000
712.990000
815.31
1 1,274.61 1,274.610000 1,274.610000 1,427.47 1,427.470000 1,427.470000
1 1,107.58 1,107.580000 1,107.580000 1,245.41 1,245.410000 1,245.410000
1
296.35
296.350000
296.350000
361.79
361.790000
361.790000
1
568.81
568.810000
568.810000
658.15
658.150000
658.150000
1 1,337.63 1,337.630000 1,337.630000 1,496.17 1,496.170000 1,496.170000
1
996.20
996.200000
996.200000 1,124.01 1,124.010000 1,124.010000
1 1,962.39 1,962.390000 1,962.390000 2,177.16 2,177.160000 2,177.160000
1 5,431.43 5,431.430000 5,431.430000 5,958.41 5,958.410000 5,958.410000
1 13,793.54 13,793.540000 13,793.540000 15,073.11 15,073.110000 15,073.110000
1 2,730.72 2,730.720000 2,730.720000 3,014.63 3,014.630000 3,014.630000
10
110.64
11.064000
11.064000
135.07
13.507000
13.507000
28
687.54
24.555000
24.555000
787.57
28.127500
28.127500
28 1,461.36
52.191428
52.191428 1,631.03
58.251071
58.251071
28 2,660.12
95.004285
95.004285 2,937.68
104.917142
104.917142
P6.2: EPIDERMOLIZA BULOASA
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
D06BA01
ACITRETINUM
TETRACYCLINUM
ACIDUM FUSIDICUM
ACIDUM FUSIDICUM
SULFADIAZINUM
D07CA01
COMBINATII (ACIDUM FUSIDICUM+HYDROCORTISONUM)
D07CC01
D07CC01
COMBINATII
COMBINATII
COMBINATII
COMBINATII
FUCIDIN 20 mg/g
FUCIDIN 20 mg/g
FLAMMAZINE
FUCIDIN H
DIPROGENTA (R)
TRIDERM (R)
DIPROGENTA (R)
TRIDERM
D07CC01
COMBINATII (ACIDUM FUSIDICUM+ BETAMETHASONUM)
FUCICORT 20 mg/1mg pe gram
J01AA07
TETRACYCLINUM
TETRACYCLINUM
TETRACYCLINUM
TETRACYCLINUM
PHENYTOINUM
PHENYTOINUM
TETRACICLINA ATB 250 mg

TETRACICLINA 250 mg
D05BB02
D06AA04
D06AX01
D06AX01
D07CC01
D07CC01
J01AA07
J01AA07
J01AA07
N03AB02
N03AB02
NEOTIGASON 10 mg
CAPS.
TETRACICLINA CLORHIDRAT UNGUENT
TETRACICLINA ARENA 250 mg

TETRACICLINA ARENA 250 mg
FENITOINA RICHTER 100 mg

PHENHYDAN 250 mg/5 ml
CREMA
UNGUENT
CREMA
CREMA
CREMA
CREMA
UNGUENT
UNGUENT
CREMA
CAPS.
CAPS.
CAPS.
CAPS.
COMPR.
SOL. INJ.
10mg
3%
20mg/g
20mg/g
1%
ISLANDA
ANTIBIOTICE SA
P-RF
LEO PHARMACEUTICAL PRODUCTS
ROMANIA CUTIE X 1 TUB X 12 G

DANEMARCA CUTIE X 1 TUB DIN AL X 15 G CREMA
DANEMARCA
CUTIE X 1 TUB DIN AL X 15 G UNGUENT
P-RF
CN UNIFARM
ROMANIA BORCAN X 500 G CREMA

PRF
DANEMARCA CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF
FARA CONCENTRATIE
0,5mg/1mg pe gram
FARA CONCENTRATIE
0,5mg/1mg pe gram
FARA CONCENTRATIE
BELGIA
BELGIA
BELGIA
BELGIA
CUTIE X 3 BLIST. AL/PVC-PVDC X 10 CAPS. P-RF

P-RF
CUTIE X 1 TUB X 15 G
CUTIE X 1 TUB AL X 15 G
CUTIE X 1 TUB X 15 G
P-RF
CUTIE X 1 TUB DIN AL X 15 G UNGUENT
P-RF
P-RF
P-RF
20mg/1mg pe gram LEO PHARMACEUTICAL PRODUCTS
DANEMARCA
250mg
250mg
250mg
250mg
100mg
250mg/5ml
CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF

ROMANIA CUTIE X 2 BLIST. X 10 CAPS.
P-RF
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF
ROMANIA CUTIE X 50 BLIST. AL/PVC X 10 CAPS. P-RF/S
P-6L
DESITIN ARZNEIMITTEL GMBH
GERMANIA
ANTIBIOTICE S.A.
ANTIBIOTICE SA
ARENA GROUP SA
ARENA GROUP SA
CUTIE CU 5 FIOLE DIN STICLA INCOLORA X 5 ML SOL. INJ. P-RF
30
1
1
1
1
1
1
1
1
1
1
20
20
20
500
20
5
59.11
4.85
11.24
11.24
83.51
16.08
9.26
11.28
9.26
11.28
17.62
4.79
2.35
2.21
52.21
2.05
53.57
1.970333
4.850000
11.240000
11.240000
83.510000
16.080000
9.260000
11.280000
9.260000
11.280000
17.620000
0.239500
0.117500
0.110500
0.104420
0.102500
10.714000
56
56
90
9,529.79
9,200.67
1,873.53
170.174821
164.297678
20.817000
1.970333
4.850000
11.240000
11.240000
83.510000
16.080000
9.260000
11.280000
9.260000
11.280000
17.620000
0.125304
0.117500
0.110500
0.104420
0.102500
10.714000
74.74
6.56
15.19
15.19
105.59
21.74
12.51
15.24
12.51
15.24
23.82
6.47
3.17
2.99
66.02
2.77
67.73
2.491333
6.560000
15.190000
15.190000
105.590000
21.740000
12.510000
15.240000
12.510000
15.240000
23.820000
0.323500
0.158500
0.149500
0.132040
0.138500
13.546000
2.491333
6.560000
15.190000
15.190000
105.590000
21.740000
12.510000
15.240000
12.510000
15.240000
23.820000
0.158448
0.158448
0.149500
0.132040
0.138500
13.546000
170.174821 10,425.63
164.297678 10,066.89
20.817000 2,080.30
186.171964
179.765892
23.114444
186.171964
179.765892
23.114444
P6.3: HIPERTENSIUNE PULMONARA
1
2
3
C02KX01
C02KX01
G04BE03
BOSENTANUM**
BOSENTANUM**
SILDENAFILUM**
TRACLEER 125 mg
TRACLEER 62,5 mg
REVATIO 20 mg
COMPR. FILM. 125mg

COMPR. FILM. 62,5mg
COMPR. FILM. 20mg
ACTELION REGISTRATION LTD. MAREA BRITANIE CUTIE X 4 BLIST. PVC/PE/PVDC/AL X 14 COMPR. FILM.
P-RF/R
ACTELION REGISTRATION LTD. MAREA BRITANIE CUTIE X 4 BLIST. PVC/PE/PVDC/AL X 14 COMPR. FILM.
P-RF/R
PFIZER LIMITED
P-RF/R
MAREA BRITANIE
Pagina 26 din 56
Grupa
Nr.
terape
crt
utica
Denumire generica
Denumire comerciala
Forma
Concentrati
farmaceutic
e / U.T.
a
Tara
Firma
Ambalaj
Prescriptie
cant/
amba
laj
Pret cu
ridicata
maximal /
ambalaj
Pret cu ridicata
maximal / U.T.
Pret cu ridicata
maximal de
decontare / U.T.
Pret cu
maximal / U.T.
/ U.T.
maximal /
ambalaj
P6.4: MUCOVISCIDOZA
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
A09AA02
A09AA02
A09AA02
A09AA02
A09AA02
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01GB01
R05CB13
PANCREATINUM**
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
TOBRAMYCINUM**
DORNAZA ALFA**
MEZYM FORTE 25000

KREON 10000
KREON 25000
KREON 40000
KREON 40000
FROMILID 250
KLERIMED (R) 250
KLABAX 250 mg
KLACID (R)
LEKOKLAR (R) 250 mg
CLAR 250
CLAR 500
FROMILID 500
ROCLARIN 500 mg
KLERIMED (R) 500
LEKOKLAR (R) 500 mg
KLABAX 500 mg
KLABAX MR 500 mg
LEKOKLAR XL 500 mg
LEKOKLAR XL 500 mg
KLACID SR
FROMILID (R) UNO
KLABAX 125 mg/5 ml
KLABAX 125 mg/5 ml
KLACID (R)
KLACID (R)
KLABAX 250 mg/5 ml
KLABAX 250 mg/5 ml
KLACID I.V.
TOBI (R)
PULMOZYME
CAPS. CU MINI-COMPR. GASTROREZ.
CAPS. 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.


SOL. INHAL.
SOL. INHAL.
356,100mg
150mg
300mg
400mg
400mg
250mg
250mg
250mg
250mg
250mg
250mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
125mg/5ml
125mg/5ml
125mg/5ml
125mg/5ml
125mg/5ml
125mg/5ml
250mg/5ml
250mg/5ml
250mg/5ml
250mg/5ml
500mg
300mg/5ml
1mg/ml
BERLIN CHEMIE AG (MENARINI GROUP)
GERMANIA
SOLVAY PHARMACEUTICALS BV
GERMANIA FLACON DIN PEID CU 20 CAPS. GASTROREZ. OTC
GERMANIA FLACON DIN PEID CU 20 CAPS. GASTROREZ. OTC
CUTIE X 1 FLACON DIN PP X 20 CAPS. CU MINI-COMPR. GASTROREZ.
ABBOTT PRODUCTS GMBH GERMANIA CUTIE X UN FLACON DIN PEID CU 50 CAPS. GASTROREZ.
OTC
P-6L
GERMANIA FLACON DIN PEID CU 50 CAPS. GASTROREZ. P-6L

TERAPIA SA
ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM.
ABBOTT SPA
ITALIA
LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 2 BLIST. X 7 COMPR. FILM.
MEDICAROM GROUP S.R.L. ROMANIA CUTIE X 5 BLIST. X 4 COMPR. FILM.
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
ANTIBIOTICE S.A.
ROMANIA

P-RF
P-RF
TERAPIA SA
TERAPIA SA
ROMANIA
ROMANIA
P-RF
P-RF
SLOVENIA
SLOVENIA
P-RF
KRKA D.D.
TERAPIA SA
TERAPIA SA
SANDOZ SRL
ABBOTT SPA
ABBOTT SPA
KRKA D.D.
TERAPIA SA
TERAPIA SA
SANDOZ SRL
SANDOZ SRL
SLOVENIA
P-RF
P-RF
P-RF
ROMANIA
ROMANIA
ROMANIA
ROMANIA
P-RF
P-RF
P-RF
ROMANIA
ROMANIA
ROMANIA
ITALIA
ITALIA
P-RF
P-RF
P-RF
P-RF
P-RF
S/P-RF
CUTIE X 4 PLICURI DIN AL; FIECARE PLIC CONTINE 7 FIOLE GEMENE DIN PEJD X 5 ML SOL. DE INHALAT PRIN N
P-RF
CUTIE X 6 FIOLE UNIDOZA PE X 2,5 ML SOL. INHAL. PRIN NEBULIZATOR, INTRODUSE IN PUNGA AL
S/P-RF
20
20
20
50
50
14
14
14
14
14
20
20
14
20
14
14
14
7
7
5
5
7
1
1
1
1
1
1
1
1
1
1
1
28
6
42.40
21.60
33.00
111.16
109.87
12.35
12.35
10.85
21.14
23.85
17.01
33.91
24.13
33.14
24.13
29.01
23.73
26.92
19.04
13.60
27.85
20.78
14.01
23.38
19.39
29.92
18.11
17.24
39.06
23.44
47.03
34.29
41.12
8,112.06
551.59
2.120000
1.080000
1.650000
2.223200
2.197400
0.882142
0.882142
0.775000
1.510000
1.703571
0.850500
1.695500
1.723571
1.657000
1.723571
2.072142
1.695000
3.845714
2.720000
2.720000
5.570000
2.968571
14.010000
23.380000
19.390000
29.920000
18.110000
17.240000
39.060000
23.440000
47.030000
34.290000
41.120000
289.716428
91.931666
2.120000
1.080000
1.650000
2.223200
2.223200
0.882142
0.882142
0.775000
0.930000
0.930000
0.850500
1.695500
1.723571
1.657000
1.723571
1.988400
1.695000
1.988400
1.988400
1.988400
1.988400
1.988400
14.010000
23.380000
16.812000
28.056000
16.812000
16.812000
39.060000
23.440000
46.872000
28.128000
41.120000
289.716428
91.931666
42.40
21.60
33.00
135.70
134.13
16.69
16.69
14.67
28.57
32.23
22.99
44.36
32.62
43.35
32.62
37.95
32.08
35.21
25.73
18.38
36.43
28.09
18.94
31.60
26.21
39.14
24.48
23.30
51.09
31.68
61.52
44.85
53.78
8,880.31
639.38
2.120000
1.080000
1.650000
2.714000
2.682600
1.192142
1.192142
1.047857
2.040714
2.302142
1.149500
2.218000
2.330000
2.167500
2.330000
2.710714
2.291428
5.030000
3.675714
3.676000
7.286000
4.012857
18.940000
31.600000
26.210000
39.140000
24.480000
23.300000
51.090000
31.680000
61.520000
44.850000
53.780000
317.153928
106.563333
2.120000
1.080000
1.650000
2.714000
2.714000
1.192142
1.192142
1.047857
1.257428
1.257428
1.149500
2.218000
2.330000
2.167500
2.330000
2.601000
2.291428
2.601000
2.601000
2.601000
2.601000
2.601000
18.940000
31.600000
22.728000
37.920000
22.728000
22.728000
51.090000
31.680000
61.308000
38.016000
53.780000
317.153928
106.563333
1
1
1
1
1
1
1
1
1
1
1
1
451.00
872.00
3,072.10
6,114.44
663.61
1,550.55
460.47
3,469.04
7,459.41
890.95
1,751.89
3,473.78
451.000000
872.000000
3,072.100000
6,114.440000
663.610000
1,550.550000
460.470000
3,469.040000
7,459.410000
890.950000
1,751.890000
3,473.780000
451.000000
872.000000
3,072.100000
6,114.440000
663.610000
1,550.550000
460.470000
3,469.040000
7,459.410000
890.950000
1,751.890000
3,473.780000
529.74
988.63
3,386.74
6,702.89
761.48
1,728.25
540.07
3,819.40
8,168.91
1,009.28
1,947.71
3,824.57
529.740000
988.630000
3,386.740000
6,702.890000
761.480000
1,728.250000
540.070000
3,819.400000
8,168.910000
1,009.280000
1,947.710000
3,824.570000
529.740000
988.630000
3,386.740000
6,702.890000
761.480000
1,728.250000
540.070000
3,819.400000
8,168.910000
1,009.280000
1,947.710000
3,824.570000
P6.5: BOLI NEUROLOGICE DEGENERATIVE/INFLAMATORII SI MIASTENIA GRAVIS
1
2
3
4
5
6
7
8
9
10
11
12
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
HUMAGLOBIN
HUMAGLOBIN
OCTAGAM 10%
OCTAGAM 10%
OCTAGAM 10%
OCTAGAM 10%
PRIVIGEN 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
PRIVIGEN 100mg/ml
PRIVIGEN 100mg/ml
PRIVIGEN 100mg/ml

SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
5%
5%
100 mg/ml
100 mg/ml
100 mg/ml
100 mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
UNGARIA
UNGARIA
MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF.

BAXTER AG
AUSTRIA
BAXTER AG
AUSTRIA
CUTIE X 1 CUTIE X 1 FLAC. CU PULB. + 1 CUTIE X 1 FLAC. SOLV. X 50 ML

CUTIE X 1 FLAC.X 25 ML SOL. PERF.


Pagina 27 din 56
S
S
S
S
S
S
S
S
S
S
S
S
Grupa
Nr.
terape
crt
utica
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
Denumire generica
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
N07XX02
RILUZOLUM**
Denumire comerciala
KIOVIG 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
IG VENA 10g/200ml
IG VENA 1g/20ml
IG VENA 2,5g/50ml
FLEBOGAMMA 5%
FLEBOGAMMA 5%
FLEBOGAMMA 5%
FLEBOGAMMA 5%
OCTAGAM
OCTAGAM
OCTAGAM
IG VENA 5g/100ml
RILUTEK 50 mg
Forma
Concentrati
farmaceutic
e / U.T.
a
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
100mg/ml
100mg/ml
100mg/ml
100mg/ml
10g/200ml
1g/20ml
2,5g/50ml
5%
5%
5%
5%
50mg/ml
50mg/ml
50mg/ml
5g/100ml
COMPR. FILM. 50mg
Tara
Firma
BAXTER AG
BAXTER AG
BAXTER AG
BAXTER AG
KEDRION SPA
KEDRION SPA
KEDRION SPA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
ITALIA
ITALIA
ITALIA
SPANIA
SPANIA
SPANIA
SPANIA
Ambalaj




MAREA BRITANIE

KEDRION SPA
ITALIA
MAREA BRITANIE
MAREA BRITANIE
AVENTIS PHARMA SA FRANTA CUTIE X 4 BLIST. X 14 COMPR.
Prescriptie
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
P-RF/R
Pret cu
ridicata
maximal /
ambalaj
Pret cu ridicata
maximal / U.T.
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
56
889.76
1,749.51
459.88
188.56
2,050.80
222.29
535.20
914.10
1,798.20
472.05
99.02
1,166.70
640.45
2,261.30
1,040.40
884.76
889.760000
1,749.510000
459.880000
188.560000
2,050.800000
222.290000
535.200000
914.100000
1,798.200000
472.050000
99.020000
1,166.700000
640.450000
2,261.300000
1,040.400000
15.799285
889.760000
1,749.510000
459.880000
188.560000
2,050.800000
222.290000
535.200000
914.100000
1,798.200000
472.050000
99.020000
1,166.700000
640.450000
2,261.300000
1,040.400000
15.799285
1,007.99
1,945.12
539.42
230.20
2,273.52
271.37
621.52
1,034.52
1,998.19
552.68
125.20
1,309.85
736.24
2,502.97
1,172.19
1,002.54
1,007.990000
1,945.120000
539.420000
230.200000
2,273.520000
271.370000
621.520000
1,034.520000
1,998.190000
552.680000
125.200000
1,309.850000
736.240000
2,502.970000
1,172.190000
17.902500
1,007.990000
1,945.120000
539.420000
230.200000
2,273.520000
271.370000
621.520000
1,034.520000
1,998.190000
552.680000
125.200000
1,309.850000
736.240000
2,502.970000
1,172.190000
17.902500
1
1
1
1
1
1
4
361.86
185.79
110.73
529.92
152.87
237.82
595.85
361.860000
185.790000
110.730000
529.920000
152.870000
237.820000
148.962500
285.384000
183.444000
110.730000
529.920000
152.870000
237.820000
132.876000
432.58
226.81
135.18
615.76
186.63
290.33
687.63
432.580000
226.810000
135.180000
615.760000
186.630000
290.330000
171.907500
348.396000
223.956000
135.180000
615.760000
186.630000
290.330000
162.216000
373.65
474.75
409.15
667.50
1,176.67
1,549.07
789.53
373.650000
474.750000
409.150000
667.500000
1,176.670000
1,549.070000
789.530000
373.650000
474.750000
409.150000
667.500000
801.000000
801.000000
490.980000
445.43
555.63
484.12
765.73
1,320.72
1,726.64
898.74
445.430000
555.630000
484.120000
765.730000
1,320.720000
1,726.640000
898.740000
445.430000
555.630000
484.120000
765.730000
918.876000
918.876000
580.944000
cant/
amba
laj
Pret cu ridicata
maximal de
decontare / U.T.
Pret cu
maximal / U.T.
/ U.T.
maximal /
ambalaj
P6.6: OSTEOGENEZA IMPERFECTA
1
2
3
4
5
6
7
M05BA03
M05BA03
M05BA03
M05BA03
M05BA03
M05BA03
M05BA03
ACIDUM PAMIDRONICUM
ACIDUM PAMIDRONICUM
ACIDUM PAMIDRONICUM
ACIDUM PAMIDRONICUM
ACIDUM PAMIDRONICUM
ACIDUM PAMIDRONICUM
ACIDUM PAMIDRONICUM
PAMIDRONAT TORREX
PAMIDRONAT TORREX
PAMIDRONAT TORREX
PAMIDRONAT TORREX
PAMIRED 30
PAMIRED 60
AREDIA (R) 15 mg

LIOF.+ SOLV. PT. SOL. PERF.
15mg/ml
15mg/ml
15mg/ml
15mg/ml
30mg
60mg
15mg


AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
ROMANIA
ROMANIA
CUTIE X 1 FIOLA PE X 4 ML
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
CUTIE X 4 FLAC. DIN STICLA X 15 MG LIOF. PT. SOL. PERF. + 4 FIOLE DIN STICLA X 5 ML SOLV.
S/P-RF
P6.7: SINDROM PRADER WILLI
1
2
3
4
5
6
7
H01AC01
H01AC01
H01AC01
H01AC01
H01AC01
H01AC01
H01AC01
SOMATROPINUM**
SOMATROPINUM**
SOMATROPINUM**
SOMATROPINUM**
SOMATROPINUM**
SOMATROPINUM**
SOMATROPINUM**
ZOMACTON
4mg (12ui)
GENOTROPIN (R) 16 ui (5,3 mg)
5,3mg/ml (16ui) PFIZER EUROPE MA EEIG
OMNITROPE 3,3mg/ml
OMNITROPE 6,7mg/ml
SOL. INJ.
SOL. INJ.
NORDITROPIN SIMPLEXx 10 mg/1,5ml SOL. INJ. IN CARTUS

NORDITROPIN FLEXPRO 10 mg/1,5 ml
SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT
NORDITROPIN FLEXPRO 5 mg/1,5 ml
SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT
3,3mg/ml
6,7mg/ml
10mg/1,5ml
10mg/1,5 ml
5mg/1,5 ml
FERING GMBH
GERMANIA
CUTIE CU 1 STILOU INJECTOR (PEN) PREUMPLUT MULTI-DOZA ( CARTUS DIN STICLA INCOLORA X 1,5 ML SOL. INJ
P-RF
CUTIE CU 1 STILOU INJECTOR (PEN) PREUMPLUT MULTI-DOZA ( CARTUS DIN STICLA INCOLORA X 1,5 ML SOL. INJ
P-RF
1
1
1
1
1
1
1
CUTIE X 1 FLAC. CU PULB. PT. CONC. PT. SOL. PERF.
1 13,797.28 13,797.280000 13,797.280000 15,077.20 15,077.200000 15,077.200000
CUTIE X 1 FLAC. CU 50MG PULB. PT. CONC. PT. SOL. PERF.
CUTIE X 1 FLAC. LIOF. PT. SOL. INJ. + 1 FIOLA X 3,5 ML SOLV.
P-RF
MAREA BRITANIE CUTIE X 1 CARTUS BICAMERAL MULTIDOZA CU PULB. SI SOLV. PT. SOL. INJ.
P-RF
SANDOZ GMBH
AUSTRIA CUTIE X 1CARTUS X 1,5 ML SOL.INJ.
SANDOZ GMBH
AUSTRIA CUTIE X 1CARTUS X 1,5 ML SOL.INJ.
NOVO NORDISK A/S DANEMARCA CUTIE X 1 CARTUS DIN STICLA INCOLORA X 1,5 ML SOL. INJ.
NOVO NORDISK A/S DANEMARCA
NOVO NORDISK A/S DANEMARCA
P-RF/R
P-RF/R
P-RF
P6.8: BOALA FABRY
1
A16AB04
AGALSIDASUM BETA**
FABRAZYME 35 mg
35mg
P6.9: BOALA POMPE
1
A16AB07
ALGLUCOSIDASUM ALPHA**
MYOZYME 50mg
50mg
GENZYME EUROPE B.V.
OLANDA
Pagina 28 din 56
2,264.71
2,264.710000
2,264.710000
2,506.69
2,506.690000
2,506.690000
Grupa
Nr.
terape
crt
utica
Denumire generica
Denumire comerciala
Forma
Concentrati
farmaceutic
e / U.T.
a
Tara
Firma
Ambalaj
Prescriptie
cant/
amba
laj
Pret cu
ridicata
maximal /
ambalaj
Pret cu ridicata
maximal / U.T.
Pret cu ridicata
maximal de
decontare / U.T.
Pret cu
maximal / U.T.
/ U.T.
maximal /
ambalaj
P6.10: TIROZINEMIE
1
2
3
A16AX04
A16AX04
A16AX04
NITISINONUM
NITISINONUM
NITISINONUM
ORFADIN 10mg
ORFADIN 2mg
ORFADIN 5mg
CAPS.
CAPS.
CAPS.
10mg
2mg
5mg
SWEDISH ORPHAN INTERNATIONAL AB

SUEDIA
SUEDIA
SUEDIA

P-RF/R
P-RF/R
P-RF/R
60 12,802.92
60 3,522.06
60 7,014.11
213.382000
58.701000
116.901833
213.382000 13,993.35
58.701000 3,877.20
116.901833 7,683.54
233.222500
64.620000
128.059000
233.222500
64.620000
128.059000
P6.12: MUCOPOLIZAHARIDOZ TIP II (SINDROM HUNTER)
1
A16AB09
IDURSULFASUM**
ELAPRASE 2mg/ml
2mg/ml
SHIRE HUMAN GENETIC THERAPIES AB
SUEDIA
CUTIE X 4 FLAC. X 3 ML CONC. PT. SOL. PERF.
4 49,871.94 12,467.985000 12,467.985000 54,398.63 13,599.657500 13,599.657500
2,802.88
2,802.880000
2,802.880000
3,093.29
3,093.290000
3,093.290000
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
451.00
872.00
3,072.10
6,114.44
663.61
1,550.55
460.47
3,469.04
7,459.41
890.95
1,751.89
3,473.78
889.76
1,749.51
459.88
188.56
2,050.80
222.29
535.20
914.10
1,798.20
472.05
99.02
1,166.70
640.45
2,261.30
1,040.40
451.000000
872.000000
3,072.100000
6,114.440000
663.610000
1,550.550000
460.470000
3,469.040000
7,459.410000
890.950000
1,751.890000
3,473.780000
889.760000
1,749.510000
459.880000
188.560000
2,050.800000
222.290000
535.200000
914.100000
1,798.200000
472.050000
99.020000
1,166.700000
640.450000
2,261.300000
1,040.400000
451.000000
872.000000
3,072.100000
6,114.440000
663.610000
1,550.550000
460.470000
3,469.040000
7,459.410000
890.950000
1,751.890000
3,473.780000
889.760000
1,749.510000
459.880000
188.560000
2,050.800000
222.290000
535.200000
914.100000
1,798.200000
472.050000
99.020000
1,166.700000
640.450000
2,261.300000
1,040.400000
529.74
988.63
3,386.74
6,702.89
761.48
1,728.25
540.07
3,819.40
8,168.91
1,009.28
1,947.71
3,824.57
1,007.99
1,945.12
539.42
230.20
2,273.52
271.37
621.52
1,034.52
1,998.19
552.68
125.20
1,309.85
736.24
2,502.97
1,172.19
529.740000
988.630000
3,386.740000
6,702.890000
761.480000
1,728.250000
540.070000
3,819.400000
8,168.910000
1,009.280000
1,947.710000
3,824.570000
1,007.990000
1,945.120000
539.420000
230.200000
2,273.520000
271.370000
621.520000
1,034.520000
1,998.190000
552.680000
125.200000
1,309.850000
736.240000
2,502.970000
1,172.190000
529.740000
988.630000
3,386.740000
6,702.890000
761.480000
1,728.250000
540.070000
3,819.400000
8,168.910000
1,009.280000
1,947.710000
3,824.570000
1,007.990000
1,945.120000
539.420000
230.200000
2,273.520000
271.370000
621.520000
1,034.520000
1,998.190000
552.680000
125.200000
1,309.850000
736.240000
2,502.970000
1,172.190000
P6.13: MUCOPOLIZAHARIDOZ TIP I (SINDROM HURLER)
1
A16AB05
LARONIDAZUM**
ALDURAZYME 100UI/ml
100U/ml
GENZYME EUROPE BV OLANDA CUTIE X 1 FLAC. X 5 ML
P6.15: SINDROM DE IMUNODEFICIEN PRIMAR
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
HUMAGLOBIN
HUMAGLOBIN
OCTAGAM 10%
OCTAGAM 10%
OCTAGAM 10%
OCTAGAM 10%
PRIVIGEN 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
PRIVIGEN 100mg/ml
PRIVIGEN 100mg/ml
PRIVIGEN 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
IG VENA 10g/200ml
IG VENA 1g/20ml
IG VENA 2,5g/50ml
FLEBOGAMMA 5%
FLEBOGAMMA 5%
FLEBOGAMMA 5%
FLEBOGAMMA 5%
OCTAGAM
OCTAGAM
OCTAGAM
IG VENA 5g/100ml

SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
5%
5%
100 mg/ml
100 mg/ml
100 mg/ml
100 mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
10g/200ml
1g/20ml
2,5g/50ml
5%
5%
5%
5%
50mg/ml
50mg/ml
50mg/ml
5g/100ml
UNGARIA
UNGARIA

BAXTER AG
AUSTRIA
BAXTER AG
AUSTRIA
BAXTER AG
AUSTRIA
BAXTER AG
AUSTRIA
BAXTER AG
AUSTRIA
BAXTER AG
AUSTRIA
KEDRION SPA
KEDRION SPA
KEDRION SPA
ITALIA
ITALIA
ITALIA
SPANIA
SPANIA
SPANIA
SPANIA






MAREA BRITANIE
MAREA BRITANIE

KEDRION SPA
ITALIA
MAREA BRITANIE
P7: PROGRAM NATIONAL DE BOLI ENDOCRINE

Tratamentul medicamentos al bolnavilor cu osteoporoza, gusa datorata carentei de iod si proliferarii maligne
Pagina 29 din 56
Grupa
Nr.
terape
crt
utica
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
A11CC03
A11CC03
A11CC03
A11CC03
A11CC03
A11CC03
A11CC04
G03CA03
G03CA03
G03CA03
G03DC05
G03XC01
H01AB01
H02AB04
H02AB04
H02AB04
H02AB04
H02AB04
H02AB04
H03AA01
H03AA01
H03AA01
H03AA01
H03AA01
H03AA01
H03AAN1
H03BB01
H03BB02
H03BB02
H03BB02
H03CA01
H03CA01
H03CA01
H03CA01
H05AA02
H05BA01
H05BA01
H05BA01
H05BA01
H05BA01
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA06
M05BA06
Denumire generica
ALFACALCIDOLUM
ALFACALCIDOLUM
ALFACALCIDOLUM
ALFACALCIDOLUM
ALFACALCIDOLUM
ALFACALCIDOLUM
CALCITRIOLUM
ESTRADIOLUM
ESTRADIOLUM
ESTRADIOLUM
TIBOLONUM
RALOXIFENUM
TIREOTROPINUM ALFA
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
LEVOTHYROXINUM
LEVOTHYROXINUM
LEVOTHYROXINUM
LEVOTHYROXINUM
LEVOTHYROXINUM
LEVOTHYROXINUM
LEVOTIROXINUM+KALII IODIDUM
CARBIMAZOLUM
THIAMAZOLUM
THIAMAZOLUM
THIAMAZOLUM
KALII IODIDUM
KALII IODIDUM
KALII IODIDUM
KALII IODIDUM
TERIPARATIDUM**
CALCITONINUM (SOMON)
ACIDUM ALENDRONICUM**
Denumire comerciala
ALPHA D3 0,25 mcg
Forma
Concentrati
farmaceutic
e / U.T.
a
CAPS. MOI
CAPS. MOI
ALPHA D3 0,50 mcg
CAPS. MOI
ALFACALCIDOL SANDOZ 0,5 mcg CAPS. MOI
ONE-ALPHA 2 micrograme/ml SOL. INJ.
ONE-ALPHA 2 micrograme/ml SOL. INJ.
ROCALTROL
CAPS. MOI
ESTREVA (R)
GEL
OESTROGEL 0,6 mg/g
GEL
CLIMARA
PLASTURE TRANSDERM.
LIVIAL (R) 2,5 mg
COMPR.
EVISTA 60mg
COMPR. FILM.
THYROGEN 0,9 mg
PULB. PT. SOL. INJ.
MEDROL A 16
COMPR.
MEDROL 32
COMPR.
MEDROL 4 mg
COMPR.
LEMOD SOLU 125 mg
LIOF. PT. SOL. INJ.
LEMOD SOLU 500 mg
LIOF. PT. SOL. INJ.
SOLU - MEDROL ACT-O-VIAL LIOF. SI SOLV.PT.SOL.INJ
L-THYROXIN 100 BERLIN - CHEMIE COMPR.
EUTHYROX 100mcg
COMPR.
EUTHYROX 200mcg
COMPR.
EUTHYROX 25mcg
COMPR.
L-THYROXIN 50
COMPR.
EUTHYROX 50mcg
COMPR.
JODTHYROX (R) 100/130,8 COMPR.
CARBIMAZOLE 5
COMPR. FILM.
THYROZOL 10 mg
COMPR. FILM.
THYROZOL 20mg
COMPR. FILM.
THYROZOL 5 mg
COMPR. FILM.
JODID 100
COMPR.
JODID 100
COMPR.
JODID 200
COMPR.
JODID 200
COMPR.
FORSTEO 20g/80g
SOL. INJ.
TONOCALCIN 100 UI
SOL. INJ.
NYLEX (R)
SOL. INJ.
MIACALCIC (R)
SOL. INJ.
NYLEX 100 UI/doza
SPRAY NAZ.,SOL.
NYLEX (R)
SPRAY NAZAL - SOL.
ACID ALENDRONIC ACCORD 10 mg COMPR.
TEVANAT 70 mg
COMPR.
INSTREL 70 mg
COMPR.
ACID ALENDRONIC BLUEFISH 70 mg COMPR.
ACID ALENDRONIC BLUEFISH 70 mg COMPR.
RANOS 70 mg
COMPR.
ACID ALENDRONIC ACCORD 70 mg COMPR.
FOSAMAX 70 mg
COMPR.
ADRONIK 70 mg
COMPR. FILM.
ADRONIK 70 mg
COMPR. FILM.
ADRONIK 70 mg
COMPR. FILM.
ALFACALCIDOL SANDOZ 0,25 mcg
0,25mcg
0,25g
0,50mcg
0,5g
2micrograme/ml
2micrograme/ml
0,25mcg
0,1%
0,6mg/g
50mcg/24ore
2,5mg
60mg
0,9mg
16mg
32mg
4mg
125mg
500mg
250mg/4ml
100mcg
100mcg
200mcg
25mcg
50mcg
50mcg
FARA CONCENTRATIE
5mg
10mg
20mg
5mg
100mcg
100mcg
200mcg
200mcg
20g/80l
100UI
100UI/ml
50ui/ml
100UI/doza
200UI/doza
10mg
70 mg
70mg
70mg
70mg
70mg
70mg
70mg
70mg
70mg
70mg
ALENDRONAT SANDOZ 70 mg COMPR. FILM. 70mg
ACID IBANDRONIC TEVA 150 mg COMPR. FILM. 150 mg
MIRDEZEL 150 mg
COMPR. FILM. 150mg
Firma
SANDOZ S.R.L.
SANDOZ S.R.L.
LEO PHARMA A/S
LEO PHARMA A/S
Tara
Ambalaj
DANEMARCA CUTIE CU 10 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ.

DANEMARCA CUTIE CU 10 FIOLE DIN STICLA BRUNA X 0,5 ML SOL. INJ.
CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 CAPS. MOI
LAB. THERAMEX
MONACO
CUTIE X 1 FLACON PE, INCHIS CU POMPA DOZATOARE X 50 G
LABORATOIRES BESINS INTERNATIONAL
FRANTA
CUTIE CU 1 TUB AL X 80 G GEL + DISPOZITIV DE DOZARE DIN POLISTIREN
GERMANIA CUTIE X 4 PLICURI X 1 PLASTURE TRANSDERM.
ORGANON NV
OLANDA CUTIE X 1 BLIST. X 28 COMPR.
DAIICHI SANKYO EUROPE GMBH
GERMANIA CUTIE X 28 COMPR. FILM. (BLIST. ACLAR)
GENZYME EUROPE BV OLANDA CUTIE X 2 FLACOANE

MAREA BRITANIE
CUTIE X 5 BLIST. A-PVC/PVC X 10 COMPR.
MAREA BRITANIE
CUTIE X 2 BLIST. AL-PVC/PVC X 10 COMPR.
MAREA BRITANIE
CUTIE X 1 FLAC. DIN STICLA X 30 COMPR.
STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 2 ML

STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 7,8 ML
MAREA BRITANIE
GERMANIA CUTIE X 4 BLIST. PVC-PVDC/AL X 25 COMPR.
MERCK KGAA
MERCK KGAA
MERCK KGAA
GERMANIA CUTIE X 4 BLIST. PP/AL X 25 COMPR.
CUTIE X 1 FLAC. BICOMPARTIMENTAT (COMPARTIMENT INFERIOR) LIOF. PT. SOL. INJ. + (COMPARTIMENT SUPERIO
GERMANIA CUTIE X 4 BLIST. AL/PP X 25 COMPR.

GERMANIA CUTIE X 4 BLIST. PVC-PVDC/AL X 25 COMPR.
MERCK KGAA
MERCK KGAA
REMEDICA LTD.
MERCK KGAA
MERCK KGAA
MERCK KGAA
MERCK KGAA
MERCK KGAA
MERCK KGAA
MERCK KGAA
OLANDA CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT X 2,4 ML (28 DOZE X 20 G/80L)
ITALIA
CUTIE X 5 FIOLE X 1 ML SOL. INJ.
GRECIA CUTIE X 5 FIOLE X 1ML
GERMANIA CUTIE X 5 FIOLE X 1 ML
GRECIA CUTIE X 1 FLACON PREVAZUT CU POMPA DOZATOARE X 2 ML SPRAY NAZAL, SOL.
GRECIA
PROEL E.P. CORONIS SA

NOVARTIS PHARMA GMBH
PHARMACEUTICAL IND. PROEL EPAM. G.CORONIS SA
PROEL E.P. CORONIS SA
CIPRU
GERMANIA CUTIE CU BLIST. PVC/AL X 50 COMPR. FILM.

GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 COMPR.
GERMANIA CUTIE X 4 BLIST. AL/PP X 25 COMPR.
GERMANIA CUTIE X 4 BLIST. PVC/AL X 25 COMPR.
CUTIE X 1 FLACON DIN STICLA PREVAZUT CU POMPA DOZATOARE CU APLICATOR NAZAL X 2 ML
CUTIE CU BLIST. PVC/AL X 28 COMPR.

ROMANIA CUTIE X 1 BLIST. PVC-AL-OPA/AL X 4 COMPR.
ROMANIA CUTIE CU BLIST. AL/AL X 4 COMPR. FILM.

SUEDIA
SUEDIA
CUTIE CU BLIST. AL/AL X 2 COMPR.

TERAPIA SA
ROMANIA
CUTIE X 1 BLIST. DIN PAO-PVC-AL/AL X 4 COMPR.
CUTIE CU BLIST. OPA -AL-PVC/AL X 4 COMPR.
MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. AL/AL IN PORTOFEL X 2 COMPR.
ARENA GROUP S.A.

ARENA GROUP S.A.
ARENA GROUP S.A.
SANDOZ S.R.L.
TEVA PHARMA B.V.
SANDOZ S.R.L.
ROMANIA
ROMANIA
ROMANIA
ROMANIA


CUTIE X 1 BLIST. OPA-AL-PVC/AL X 2 COMPR. FILM
OLANDA
CUTIE CU BLIST. DIN PVC/ACLAR/PVC-AL X 1 COMPRIMAT FILMAT
ROMANIA
CUTIE CU 1 BLIST. PA-AL-PVC/AL X 1 COMPR. FILM.
Pagina 30 din 56
cant/
amba
laj
50
30
30
30
S
10
S
10
P-RF
100
P-6L
1
P-6L
1
P-6L
4
P-RF
28
P-RF
28
S
2
P-RF
50
P-RF
20
P-RF
30
S/P-RF
1
S/P-RF
1
P-RF
1
P-6L 100
P-6L 100
P-6L 100
P-6L 100
P-6L/S
100
P-6L 100
P-6L
50
P-6L 100
P-6L
50
P-6L
50
P-6L/S
100
P-RF
100
P-RF
100
P-RF
100
P-RF
100
P-RF
1
P-RF
5
P-RF
5
P-RF
5
P-RF
1
P-RF
1
P-6L
28
P-6L
4
P-RF
4
P-6L
2
P-6L
4
P-6L
4
P-6L
4
P-6L
2
P-6L
4
P-6L
12
P-6L
2
P-6L
2
P-RF
1
P6L
1
ROMANIA CUTIE X 1 FLAC. DIN PPID X 50 CAPS. MOI P-RF

ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 CAPS. MOI PRF
ROMANIA CUTIE X 1 FLAC. X 30 CAPS. MOI
P-RF
ALFA WASSERMANN SPA
Prescriptie
Pret cu
ridicata
maximal /
ambalaj
Pret cu ridicata
maximal / U.T.
25.70
28.49
23.23
42.10
203.78
108.79
60.88
21.75
12.29
25.48
57.59
98.84
3,064.97
24.13
21.94
4.83
6.52
22.95
15.15
9.23
8.65
17.86
7.04
6.21
6.12
10.92
12.48
15.54
18.88
22.83
9.12
9.12
14.23
14.23
1,473.60
51.05
23.94
26.35
36.97
56.38
36.90
36.90
36.44
18.44
18.28
36.44
36.90
28.39
36.67
108.06
18.33
9.49
65.80
46.80
0.514000
0.949666
0.774333
1.403333
20.378000
10.879000
0.608800
21.750000
12.290000
6.370000
2.056785
3.530000
1,532.485000
0.482600
1.097000
0.161000
6.520000
22.950000
15.150000
0.092300
0.086500
0.178600
0.070400
0.062100
0.061200
0.218400
0.124800
0.310800
0.377600
0.228300
0.091200
0.091200
0.142300
0.142300
1,473.600000
10.210000
4.788000
5.270000
36.970000
56.380000
1.317857
9.225000
9.110000
9.220000
4.570000
9.110000
9.225000
14.195000
9.167500
9.005000
9.165000
4.745000
65.800000
46.800000
Pret cu ridicata
maximal de
decontare / U.T.
0.514000
0.616800
0.774333
0.929200
20.378000
10.879000
0.608800
21.750000
12.290000
6.370000
2.056785
3.530000
1,532.485000
0.482600
1.097000
0.161000
6.520000
22.950000
15.150000
0.092300
0.086500
0.178600
0.070400
0.062100
0.061200
0.218400
0.124800
0.310800
0.377600
0.228300
0.091200
0.091200
0.142300
0.142300
1,473.600000
5.745600
4.788000
5.270000
36.970000
56.380000
1.317857
5.484000
5.484000
5.484000
4.570000
5.484000
5.484000
5.484000
5.484000
5.484000
5.484000
4.745000
56.160000
46.800000
Pret cu
maximal / U.T.
/ U.T.
maximal /
ambalaj
33.62
37.26
31.40
55.07
248.78
132.81
76.98
29.40
16.61
33.33
72.82
124.97
3,378.97
32.62
29.65
6.53
8.81
31.02
20.48
12.48
11.69
24.14
9.51
8.40
8.27
14.76
16.87
21.00
25.52
30.86
12.33
12.33
19.23
19.23
1,644.38
64.55
32.36
34.46
48.36
71.29
48.27
48.27
47.66
24.93
24.71
47.66
48.27
37.13
47.97
131.92
24.78
12.82
83.20
61.21
0.672400
1.242000
1.046666
1.835666
24.878000
13.281000
0.769800
29.400000
16.610000
8.332500
2.600714
4.463214
1,689.485000
0.652400
1.482500
0.217666
8.810000
31.020000
20.480000
0.124800
0.116900
0.241400
0.095100
0.084000
0.082700
0.295200
0.168700
0.420000
0.510400
0.308600
0.123300
0.123300
0.192300
0.192300
1,644.380000
12.910000
6.472000
6.892000
48.360000
71.290000
1.723928
12.067500
11.915000
12.465000
6.177500
11.915000
12.067500
18.565000
11.992500
10.993333
12.390000
6.410000
83.200000
61.210000
0.672400
0.806880
1.046666
1.255999
24.878000
13.281000
0.769800
29.400000
16.610000
8.332500
2.600714
4.463214
1,689.485000
0.652400
1.482500
0.217666
8.810000
31.020000
20.480000
0.124800
0.116900
0.241400
0.095100
0.084000
0.082700
0.295200
0.168700
0.420000
0.510400
0.308600
0.123300
0.123300
0.192300
0.192300
1,644.380000
7.766400
6.472000
6.892000
48.360000
71.290000
1.723928
7.413000
7.413000
7.413000
6.177500
7.413000
7.413000
7.413000
7.413000
7.413000
7.413000
6.410000
73.452000
61.210000
Grupa
Nr.
terape
crt
utica
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
M05BA06
M05BA06
M05BA06
M05BA06
M05BA06
M05BA06
M05BA06
M05BA06
M05BA06
M05BA06
M05BA06
M05BA07
M05BA07
M05BA07
M05BA07
M05BA07
M05BA07
M05BA07
M05BA07
M05BA07
M05BA07
M05BA07
M05BA08
M05BA08
Denumire generica
ACIDUM RISEDRONICUM**
M05BB03
COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)**
M05BB03
M05BB03
M05BB03
M05BX03
STRONTIUM RANELATUM
STRONTIUM RANELATUM
M05BX03
Denumire comerciala
Forma
Concentrati
farmaceutic
e / U.T.
a
BONVIVA 150mg
OSSICA 150 mg
COMPR. FILM.
COMPR. FILM.
ACID IBANDRONIC SANDOZ 50 mg COMPR. FILM.
HOLMEVIS 50 mg
COMPR. FILM.
IASIBON 50 mg
COMPR. FILM.
BONDRONAT 50mg
COMPR. FILM.
IASIBON 6mg/6ml
BONDRONAT 6mg/6ml
OSSICA 3 mg
OSAGRAND 3 mg/3 ml
BONVIVA 3mg/3ml
RISEDRONAT TEVA 35 mg
OSODENS 35 mg
RISENDROS 35 mg

SOL INJ. IN SERINGA PREUMPLUTA
SOL. INJ.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
ACTONEL SAPTAMANAL 35 mg COMPR. FILM.
JUVERITAL 35 mg
COMPR. FILM.
OSTEORON 35 mg
COMPR. FILM.
PEXALIT 35 mg
COMPR. FILM.
JUVERITAL 35 mg
COMPR. FILM.
LORINE 35mg
COMPR. FILM.
JUVERITAL 5 mg
COMPR. FILM.
ACTONEL 75 mg
COMPR. FILM.
ZOMETA 4 mg
ACLASTA 5mg/100ml
FOSAVANCE 70mg/2800UI
OSSEOR 2 g
OSSEOR 2 g
PULB. + SOLV. SOL. PERF.
SOL. PERF.
COMPR.
COMPR.
COMPR.
COMPR.
150mg
150mg
50 mg
50mg
50mg
50mg
6mg/6ml
6mg/6ml
3mg
3mg/3ml
1mg/1ml
35mg
35mg
35mg
35mg
35mg
35mg
35mg
35mg
35mg
5mg
75mg
4mg
5mg/100ml
Firma
Tara
MAREA BRITANIE
GEDEON RICHTER PLC. UNGARIA

SANDOZ PHARMACEUTICALS GMBH GERMANIA
Ambalaj
Prescriptie
CUTIE X 1 COMPR. FILM.( BLIST. AL/AL) P-6L

CUTIE CU 1 BLIST. PVC-PE-PVDC/AL X 1 COMPR. FILM. P-6L
CUTIE CU BLIST. DIN PA/AL/PVC/AL CU 28 COMPRIMATE FILMATE
PR
CUTIE CU BLIST. PA/AL/PVC-AL X 28 COMPR. FILM.
PRF
CUTIE CU BLIST. PA/ALL/PVC/ALU X 28 COMPR. FILM
CUTIE X BLIST. AL/PVC X 28 COMPR. FILM.
UNGARIA
ZENTIVA K.S.
REPUBLICA CEHA CUTIE CU 1 FIOLA DIN STICLA INCOLORA X 3 ML SOL. INJ.
PR
S
PR
S
PR
PR
MAREA BRITANIE CUTIE X 1 SERINGA PREUMPLUTA DIN STICLA X 3 ML SOL. INJ. + 1 AC
P-6L
MAREA BRITANIE
CUTIE CU 1 FLAC. DIN STICLA X 6ML CONC. PT. SOL. PERF.
MAREA BRITANIE
ROMANIA
CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA A 3 ML SOL. INJ. + 1 AC PT. INJECTIE
TEVA PHARMACEUTICAL S.R.L. MAREA BRITANIE CUTIE X BLIST. PVC-PVDC/AL X 4 COMPR. FILM. P-6L
TERAPIA SA
ZENTIVA A.S.
ROMANIA
CUTIE CU BLIST. OPA-AL-PVC/AL X 4 COMPR. FILM.
P-6L
CEHIA
CUTIE X 1 BLIST. OPA-AL-PVC/AL X 4 COMPR. FILM.
P-6L

LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 4 COMPR. FILM.
P-6L
P-6L
ISLANDA
ROMANIA CUTIE CU BLIST. PVC/HT-AL X 4 COMPR. FILM. P6L
OZONE LABORATORIES BV
OLANDA
CUTIE X 1 BLIST. PVC- PVDC/AL X 4 COMPR. FILM. P-6L
CUTIE X BLISTER PVC-PE-PVDC/AL X 4 COMPRIMATE FILMATE
ANTIBIOTICE S.A.
P-6L
ROMANIA CUTIE X 1BLIST. PVC- PVDC/AL X 4 COMPR. FILM.

LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.
P-6L
MAREA BRITANIE CUTIE X 1 FLAC. 4MG PULB. PT. SOL. PERF. + 1 FIOLA X 5 ML SOLV.
MAREA BRITANIE CUTIE X 1 FLAC. X 100 ML + 1 CAPAC AL/PP CU COMPONENTA FLIP.
S
S
P-6L
P-6L
70mg/2800UI
70mg/2800UI
70mg/5600UI
70mg/5600UI
MERCK SHARP & DOHME
MAREA BRITANIE CUTIE X 4 COMPR. (1 PLIANT CU BLIST. AL/AL X 4 COMPR.)
P-6L
MERCK SHARP & DOHME
P-6L
2g
2g
LES LAB. SERVIER

LES LAB. SERVIER
FRANTA
FRANTA
CUTIE X 28 PLICURI HARTI-PE-AL/PE GRAN. PT. SUSP. ORALA
P-RF
CUTIE X 14 PLICURI HARTI-PE-AL/PE GRAN. PT. SUSP. ORALA
P-RF
CUTIE X 1 BLIST. HARTIE/AL, PVDC/PVC X 10 COMPR. FILM.
P-RF
CUTIE X 1 BLIST. HARTIE/AL, PVDC/PVC X 10 COMPR. FILM.
P-RF
MERCK SHARP & DOHME
P-6L
MERCK SHARP & DOHME
P-6L
cant/
amba
laj
1
1
28
28
28
28
1
1
1
1
1
4
4
4
4
4
4
4
4
4
28
2
1
1
2
4
4
2
28
14
Pret cu
ridicata
maximal /
ambalaj
Pret cu ridicata
maximal / U.T.
105.93
57.19
519.62
637.16
629.47
964.08
596.39
901.37
196.40
232.02
354.51
57.38
57.38
43.34
88.28
57.38
57.38
27.91
57.38
27.91
57.38
75.11
1,098.45
1,399.70
36.16
71.05
71.05
36.16
143.02
82.84
105.930000
57.190000
18.557857
22.755714
22.481071
34.431428
596.390000
901.370000
196.400000
232.020000
354.510000
14.345000
14.345000
10.835000
22.070000
14.345000
14.345000
6.977500
14.345000
6.977500
2.049285
37.555000
1,098.450000
1,399.700000
18.080000
17.762500
17.762500
18.080000
5.107857
5.917142
Pret cu ridicata
maximal de
decontare / U.T.
56.160000
56.160000
18.557857
22.269428
22.269428
22.269428
596.390000
715.668000
196.400000
232.020000
235.680000
8.373000
8.373000
8.373000
8.373000
8.373000
8.373000
6.977500
8.373000
6.977500
2.049285
37.555000
1,098.450000
1,399.700000
18.080000
17.762500
17.762500
18.080000
5.107857
5.917142
Pret cu
maximal / U.T.
/ U.T.
maximal /
ambalaj
129.32
72.31
604.54
732.65
724.27
1,089.00
688.22
1,020.64
239.77
283.25
424.57
72.55
72.55
56.69
111.62
72.55
72.55
36.50
72.55
36.50
72.55
94.97
1,235.46
1,563.83
47.30
89.84
89.84
47.30
174.60
104.74
129.320000
72.310000
21.590714
26.166071
25.866785
38.892857
688.220000
1,020.640000
239.770000
283.250000
424.570000
18.137500
18.137500
14.172500
27.905000
18.137500
18.137500
9.125000
18.137500
9.125000
2.591071
47.485000
1,235.460000
1,563.830000
23.650000
22.460000
22.460000
23.650000
6.235714
7.481428
73.452000
72.310000
21.590714
25.908857
25.866785
25.908857
688.220000
825.864000
239.770000
283.250000
287.724000
10.950000
10.950000
10.950000
10.950000
10.950000
10.950000
9.125000
10.950000
9.125000
2.591071
47.485000
1,235.460000
1,563.830000
23.650000
22.460000
22.460000
23.650000
6.235714
7.481428
P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA

P9.1: TRANSPLANT MEDULAR
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
A04AA01
A04AA01
A04AA01
A04AA01
A04AA01
A04AA01
A05AA02
A05AA02
A05AA02
A05AA02
A05AA02
B01AB08
B01AB08
B02AA02
B02BD08
B02BD08
B02BD08
B03XA01
B03XA01
B03XA01
ONDANSETRONUM**
ONDANSETRONUM**
ONDANSETRONUM**
ONDANSETRONUM**
ONDANSETRONUM**
ONDANSETRONUM**
ACIDUM URSODEOXYCHOLICUM
REVIPARINUM
REVIPARINUM
ACIDUM TRANEXAMICUM 4)
EPOETINUM ALFA
EPOETINUM ALFA
EPOETINUM ALFA
OSETRON 4 mg
OSETRON 8 mg
COMPR. FILM. 4mg

COMPR. FILM. 8mg
OSETRON 4 mg SOLUTIE INJECTABILA
SOL. INJ.
SOL. INJ.
OSETRON 8 mg SOLUTIE INJECTABILA
EMESET 8 mg/4 ml
EMESET 4 mg/2 ml
URSOSAN
URSOFALK (R)
URSOFALK (R)
URSOCHOL 150 mg
URSOCHOL 300 mg
CLIVARIN (R) 1432UI/0,25 ml
CLIVARIN (R) 3436 UI/0,6 ml
EXACYL
NOVOSEVEN 2mg (100 KUI)
BINOCRIT 10000UI/1,0ml
SOL. INJ./PERF.
SOL. INJ./PERF.
CAPS.
CAPS.
CAPS.
COMPR.
COMPR.
SOL. INJ.
SOL. INJ.
SOL. INJ.
2mg/ml
2mg/ml
2mg/ml
2mg/ml
250mg
250mg
250mg
150mg
300mg
CIPLA (UK) LIMITED

CIPLA (UK) LIMITED
ROMANIA
ROMANIA
ROMANIA
ROMANIA
CUTIE 1 BLIST. AL/PVC X 5 FIOLE X 2 ML SOL. INJ.
S/P-RF
CUTIE X 1 BLIST. AL/PVC X 5 FIOLE X 4 ML SOL. INJ.
S/P-RF
MAREA BRITANIE CUTIE X 5 FIOLE STICLA + INEL RUPERE X 4ML SOL. INJ. / PERF.
S/P-RF
MAREA BRITANIE CUTIE X 5 FIOLE STICLA + INEL RUPERE X 2ML SOL. INJ/ PERF.
S/P-RF
CEHIA

DR. FALK PHARMA GMBH GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 CAPS.
PRO. MED. CS PRAHA AS
ZAMBON S.P.A.
ZAMBON S.P.A.
ITALIA
ITALIA
1432ui/0,25ml ABBOTT GMBH&CO.KG GERMANIA
3436ui/0,6ml
500mg/5ml
100 KIU
250 KIU
50 KIU
ABBOTT GMBH&CO.KG GERMANIA
CN UNIFARM
NOVO NORDISK A/S
NOVO NORDISK A/S
NOVO NORDISK A/S
10000UI/1,0ml SANDOZ GMBH
P-6L
P-6L/S
P-6L
CUTIE X 6 BLIST. AL/PVC X 10 COMPR. P-6L

CUTIE X 2 BLIST. X 5 SERINGI PREUMPLUTE UNIDOZA X 0,25ML
S/P-RF
CUTIE X 1 BLIST X 5 SERINGI PREUMPLUTE UNIDOZA X 0,60 ML
S/P-RF
ROMANIA CUTIE X 5 FIOLE X 5ML SOL. INJ.
DANEMARCA
P-RF/R
DANEMARCA
P-RF/R
DANEMARCA
P-RF/R
AUSTRIA
AUSTRIA
AUSTRIA
CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ.
S/P-RF/R
S/P-RF/R
S/P-RF/R
Pagina 31 din 56
10
14.09
1.409000
1.409000
19.04
1.904000
1.904000
10
24.64
2.464000
2.464000
33.31
3.331000
3.331000
5
17.60
3.520000
3.520000
23.79
4.758000
4.758000
5
33.45
6.690000
6.690000
43.75
8.750000
8.750000
5
33.43
6.686000
6.686000
43.73
8.746000
8.746000
5
17.60
3.520000
3.520000
23.79
4.758000
4.758000
50
54.39
1.087800
1.087800
68.77
1.375400
1.375400
100
98.29
0.982900
0.982900
124.28
1.242800
1.242800
50
56.54
1.130800
1.130800
71.49
1.429800
1.429800
60
41.43
0.690500
0.690500
54.19
0.903166
0.903166
20
27.43
1.371500
1.371500
35.88
1.794000
1.794000
10
66.80
6.680000
6.680000
84.46
8.446000
8.446000
5
80.20
16.040000
16.040000
101.41
20.282000
20.282000
5
9.47
1.894000
1.894000
12.80
2.560000
2.560000
1 5,431.43 5,431.430000 5,431.430000 5,958.41 5,958.410000 5,958.410000
1 13,793.54 13,793.540000 13,793.540000 15,073.11 15,073.110000 15,073.110000
1 2,730.72 2,730.720000 2,730.720000 3,014.63 3,014.630000 3,014.630000
6 1,550.81
258.468333
258.468333 1,728.54
288.090000
288.090000
6
178.92
29.820000
29.820000
218.42
36.403333
36.403333
6
355.67
59.278333
59.278333
425.83
70.971666
70.971666
Grupa
Nr.
terape
crt
utica
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
Denumire generica
EPOETINUM ALFA
EPOETINUM ALFA
EPOETINUM ALFA
EPOETINUM ALFA
EPOETINUM ALFA
EPOETINUM ALFA
EPOETINUM BETA
EPOETINUM BETA
EPOETINUM BETA
EPOETINUM BETA
EPOETINUM BETA
EPOETINUM BETA
EPOETINUM BETA
Denumire comerciala
EPREX 40000 UI/ml
BINOCRIT 40000 UI/1 ml
NEORECORMON 10000UI/0,6ml
Forma
Concentrati
farmaceutic
e / U.T.
a
10000UI/0,6ml
MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ. + 6 ACE
S/P-RF/R
S/P-RF/R
1000UI/0,3ml
2000UI/0,3ml
MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. X 6 ACE
S/P-RF/R
30000 UI/0,6ml ROCHE REGISTRATION LTD.
S/P-RF

BACTACIN 2 g/0,25 g


BACTACIN 4 g/0,5 g
PERASIN 4g/0,5 g
MERONEM IV 1 g
MERONEM IV 500 mg
LODITER 1000 mg
MEROPENEM KABI 1 g
MEROPENEM KABI 1 g
MEROPENEM HOSPIRA 1 g
MEROPENEM HOSPIRA 1 g
MEROPENEM KABI 500 mg
MEROPENEM KABI 500 mg
J01DH02
J01DH02
J01DH02
J01DH02
J01DH02
J01DH02
J01DH02
J01DH51
J01DH51
J01DH51
J01DH51
J01DH51
J01DH51


LODITER 500 mg
CILOPEN 500mg/500mg
CILOPEN 500mg/500mg
CILOPEN 500mg/500mg
CILOPEN 500mg/500mg
PULB. PT. SOL. INJ.

PULB. PT. SOL. INJ.
PULB. PT. SOL. INJ.
PULB. PT. SOL. INJ.
S/P-RF/R
J01DH02
CUTIE X 1 SERINGA PRE-UMPLUTA X 0,6 ML + 1 AC
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
1g
500mg
1000mg
1g
1g
1g
1g
500mg
500mg
500mg
500mg
500mg
J01DH02
MAREA BRITANIE
S/P-RF
J01DH02
S/P-RF/R
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MAREA BRITANIE
J01DH02
S/P-RF/R
J01DH02
P-RF/R
FARA CONCENTRATIE
S/P-RF
CUTIE X 1 SERINGA PREUMPLUTA X 1ML SOL. INJ.
LIOF. PT. SOL. INJ.
CUTIE CU 1 SERINGA PREUMPLUTA X 1 ML SOL. INJ.
AUSTRIA
AUSTRIA
AUSTRIA
J01CR05
SLOVENIA
ZOPECILIN 4 g/0,5 g
P-RF/R
S/P-RF/R
FARA CONCENTRATIE
CUTIE X 1 SERINGA PREUMPLUTA X 0,75ML SOL. INJ.
LIOF. PT. SOL. INJ.
AUSTRIA
AUSTRIA
30000UI/0,75ml
4000UI/0,3ml ROCHE REGISTRATION LTD.

3,2g
BEECHAM GROUP PLC
Prescriptie
Ambalaj
J01CR03 TICARCILLINUM + ACIDUM CLAVULANICUM
Tara
SANDOZ GMBH
40 000UI/ml JOHNSON & JOHNSON D.O.O.
40000 UI/1 ml SANDOZ GMBH
TIMENTIN 3,2 g
TAZOCIN 2,25
TAZOCIN 4,5
PERASIN 2g/0,25 g
B03XA01
Firma
500mg/500mg
500mg/500mg
500mg/500mg
500mg/500mg
500mg/500mg
500mg/500mg
ANTIBIOTICE S.A.
S/P-RF/R
S/P-RF/R
MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ. + 6 ACE
S/P-RF/R
MAREA BRITANIE CUTIE X 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.
S/P-RF
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
FRANTA
ISLANDA
TERAPIA SA
ROMANIA
ISLANDA

MYLAN S.A.S.

ROMANIA
ROMANIA
MYLAN S.A.S.
FRANTA
TERAPIA SA
ANTIBIOTICE S.A.
ROMANIA
ROMANIA
ROMANIA
MAREA BRITANIE
CUTIE CU 10 FLAC. DIN STICLA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ. I.V./PERF.
MAREA BRITANIE
CUTIE CU 10 FLAC. DIN STICLA CU CAPACITATEA DE 20 ML PULB. PT. SOL. INJ. I.V./PERF.
TERAPIA S.A.
ROMANIA
ROMANIA
ROMANIA

HOSPIRA UK LIMITED
HOSPIRA UK LIMITED

ROMANIA
ROMANIA
HOSPIRA UK LIMITED
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
PR
S
S
PR
PR
S
S
PR
PR
PR
TERAPIA S.A.
ROMANIA
HOSPIRA UK LIMITED
TERAPIA SA
TERAPIA SA
TERAPIA SA
TERAPIA SA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
S/P-RF
HOSPIRA UK LIMITED
MAREA BRITANIE
PR
ROMANIA
CUTIE X 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. S/P-RF
S/P-RF
S/P-RF
CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 22 ML PULB. PT. SOL. PERF. S/P-RF
Pagina 32 din 56
cant/
amba
laj
1
6
1
1
6
6
6
6
6
1
6
6
6
10
12
12
1
12
1
10
1
5
10
1
5
1
12
1
12
1
12
1
5
1
10
1
1
10
10
1
1
10
1
10
1
10
1
1
10
5
10
5
10
5
10
Pret cu
ridicata
maximal /
ambalaj
Pret cu ridicata
maximal / U.T.
688.15
518.88
1,206.71
877.32
682.04
845.15
2,117.84
229.28
447.82
1,042.55
865.04
1,073.53
117.90
212.62
401.14
692.90
22.93
265.41
22.93
386.57
20.32
99.83
196.11
40.65
196.11
22.93
265.28
22.93
460.81
40.93
460.81
40.93
197.45
40.94
389.01
40.93
40.93
1,030.68
539.60
72.84
72.84
680.43
57.22
540.86
37.77
361.25
31.46
37.77
303.59
146.26
292.52
146.26
292.52
146.26
296.98
688.150000
86.480000
1,206.710000
877.320000
113.673333
140.858333
352.973333
38.213333
74.636666
1,042.550000
144.173333
178.921666
19.650000
21.262000
33.428333
57.741666
22.930000
22.117500
22.930000
38.657000
20.320000
19.966000
19.611000
40.650000
39.222000
22.930000
22.106666
22.930000
38.400833
40.930000
38.400833
40.930000
39.490000
40.940000
38.901000
40.930000
40.930000
103.068000
53.960000
72.840000
72.840000
68.043000
57.220000
54.086000
37.770000
36.125000
31.460000
37.770000
30.359000
29.252000
29.252000
29.252000
29.252000
29.252000
29.698000
Pret cu ridicata
maximal de
decontare / U.T.
688.150000
86.480000
1,052.784000
877.320000
113.673333
140.858333
352.973333
38.213333
74.636666
1,042.550000
144.173333
178.921666
19.650000
21.262000
23.533200
46.081000
22.930000
22.117500
22.930000
23.533200
20.320000
19.966000
19.611000
23.533200
23.533200
22.930000
22.106666
22.930000
38.400833
40.930000
38.400833
40.930000
39.490000
40.940000
38.901000
40.930000
40.930000
64.903200
36.430800
64.903200
64.903200
64.903200
57.220000
54.086000
36.430800
36.125000
31.460000
36.430800
30.359000
29.252000
29.252000
29.252000
29.252000
29.252000
29.698000
Pret cu
maximal / U.T.
/ U.T.
maximal /
ambalaj
788.23
603.73
1,353.47
994.43
781.57
959.37
2,346.60
279.91
526.27
1,174.53
981.05
1,208.30
143.93
259.57
475.39
793.41
30.99
324.01
30.99
459.51
27.47
126.23
239.41
53.17
239.41
30.99
323.86
30.99
540.43
53.53
540.43
53.53
241.05
53.55
462.17
53.53
53.53
1,161.59
626.31
92.10
92.10
779.82
72.35
627.69
49.40
431.91
41.15
49.40
369.06
178.55
357.11
178.55
357.11
178.55
362.55
788.230000
100.621666
1,353.470000
994.430000
130.261666
159.895000
391.100000
46.651666
87.711666
1,174.530000
163.508333
201.383333
23.988333
25.957000
39.615833
66.117500
30.990000
27.000833
30.990000
45.951000
27.470000
25.246000
23.941000
53.170000
47.882000
30.990000
26.988333
30.990000
45.035833
53.530000
45.035833
53.530000
48.210000
53.550000
46.217000
53.530000
53.530000
116.159000
62.631000
92.100000
92.100000
77.982000
72.350000
62.769000
49.400000
43.191000
41.150000
49.400000
36.906000
35.710000
35.711000
35.710000
35.711000
35.710000
36.255000
788.230000
100.621666
1,193.316000
994.430000
130.261666
159.895000
391.100000
46.651666
87.711666
1,174.530000
163.508333
201.383333
23.988333
25.957000
28.729200
54.043000
28.729200
27.000833
28.729200
28.729200
27.470000
25.246000
23.941000
28.729200
28.729200
28.729200
26.988333
28.729200
45.035833
53.530000
45.035833
53.530000
48.210000
53.550000
46.217000
53.530000
53.530000
75.322800
44.287200
75.322800
75.322800
75.322800
72.350000
62.769000
44.287200
43.191000
41.150000
44.287200
36.906000
35.710000
35.711000
35.710000
35.711000
35.710000
36.255000
Grupa
Nr.
terape
crt
utica
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
J01DH51
J01DH51
J01XA01
J01XA01
J01XA01
J01XA01
J01XA01
J01XA01
J01XA01
J01XA01
J01XA02
J01XX08
J01XX08
J01XX08
J01XX08
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
Denumire generica
VANCOMYCINUM
VANCOMYCINUM
VANCOMYCINUM
VANCOMYCINUM
VANCOMYCINUM
VANCOMYCINUM
VANCOMYCINUM
VANCOMYCINUM
TEICOPLANINUM
LINEZOLIDUM
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
Denumire comerciala
TIENAM I.V.
TIENAM I.V.
VANCOMYCIN TEVA
VANCOMYCIN TEVA
Forma
Concentrati
farmaceutic
e / U.T.
a

VANCOMICINA PHARMASWISS 1000 mg PULB. PT. SOL. PERF.
VANCOMICINA ACTAVIS 1000mg

EDICIN
TARGOCID (R) 400 mg
ZYVOXID (R)
ZYVOXID (R)
ZYVOXID (R)
FUNGOLON 100 mg
DIFLAZON 100 mg
FLUCORIC 100 mg
FLUCOVIM 100


FLUCONAZOL 150 mg
MYCOMAX 150
DIFLAZON 150 mg
FLUCOVIM 150
DIFLUCAN 150 mg
FLUCORIC 150 mg
MYCOSYST 150 mg
FLUCONAZOL 150 mg
FLUCONAZOL 50 mg
DIFLAZON 50 mg
FLUCOVIM 50
FUNGOLON 50 mg
DIFLUCAN 50 mg
FLUCORIC 50 mg
PULB.LIOF.PT.SOL.PERF./INJ
COMPR. FILM.
SOL. PERF.
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.
FLUCONAZOL 50 mg
MYCOMAX INF 2mg/ml
SOL. PERF.
Firma
Tara
500mg/500mg MERCK SHARP & DOHME ROMANIA

500mg/500mg MERCK SHARP & DOHME ROMANIA
1g
500mg
1000mg
500mg
1000mg
1000mg
500mg
1g
400mg
600mg
100mg/5ml
2mg/ml
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
200mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg/5ml
2mg/ml
Ambalaj
Prescriptie
S/P-RF
S/P-RF
S/P-RF
S/P-RF
UNGARIA
UNGARIA
ROMANIA
PR
PR
PR
ISLANDA
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CONTINAND 1000 MG VANCOMICINA
P-PR
ROMANIA
PR
SLOVENIA
CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. LIOF. PT. SOL. PERF./INJ.
S/P-RF
AVENTIS PHARMA LTD.
MAREA BRITANIE
P-RF
MAREA BRITANIE
P-RF
MAREA BRITANIE
P-RF
ROMANIA
PRF
MAREA BRITANIE
KRKA D.D.

S
BULGARIA CUTIE X 2 BLIST. PVC/AL X 8 CAPS. P-RF
P-RF
ROMANIA
ROMANIA
TERAPIA SA
ROMANIA


ISLANDA

P-RF

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


SANDOZ SRL
ZENTIVA K.S.
KRKA D.D.

GERMANIA
P-RF
CEHIA
P-RF
P-RF

P-RF
MAREA BRITANIE
TERAPIA SA
ROMANIA
ANTIBIOTICE S.A.
ROMANIA
P-RF
P-RF
P-RF

P-RF
P-RF
P-RF
P-RF
P-RF
KRKA D.D.
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

P-RF
MAREA BRITANIE
P-RF
TERAPIA SA
SANDOZ SRL
SLAVIA PHARM SRL
ARENA GROUP SA

P-RF
MAREA BRITANIE
P-RF
ZENTIVA K.S.
REPUBLICA CEHA
Pagina 33 din 56
P-RF
P-RF
P-RF
P-RF
cant/
amba
laj
25
10
1
1
10
10
1
1
1
1
1
10
1
10
10
16
28
2
7
7
4
1
1
1
1
1
1
1
1
1
1
1
1
1
1
4
1
1
7
10
7
7
7
7
7
8
7
7
7
7
7
7
7
1
1
Pret cu
ridicata
maximal /
ambalaj
1,068.64
445.46
48.56
24.28
456.00
234.30
48.39
48.45
24.17
56.90
118.16
1,603.26
879.36
1,052.62
1,603.26
65.37
193.65
6.98
23.31
33.15
18.95
6.07
7.44
6.68
7.35
9.57
7.35
10.79
9.27
16.65
4.88
7.35
18.56
13.95
4.88
48.24
7.16
6.68
30.10
18.88
47.19
16.69
11.95
16.69
11.66
14.09
12.35
16.69
43.23
21.91
32.06
14.49
14.15
43.23
30.54
Pret cu ridicata
maximal / U.T.
42.745600
44.546000
48.560000
24.280000
45.600000
23.430000
48.390000
48.450000
24.170000
56.900000
118.160000
160.326000
879.360000
105.262000
160.326000
4.085625
6.916071
3.490000
3.330000
4.735714
4.737500
6.070000
7.440000
6.680000
7.350000
9.570000
7.350000
10.790000
9.270000
16.650000
4.880000
7.350000
18.560000
13.950000
4.880000
12.060000
7.160000
6.680000
4.300000
1.888000
6.741428
2.384285
1.707142
2.384285
1.665714
1.761250
1.764285
2.384285
6.175714
3.130000
4.580000
2.070000
2.021428
43.230000
30.540000
Pret cu ridicata
maximal de
decontare / U.T.
35.102400
35.102400
48.560000
24.280000
45.600000
23.430000
48.390000
48.450000
24.170000
54.720000
118.160000
160.326000
879.360000
105.262000
126.314400
3.996000
3.996000
3.490000
3.330000
3.996000
3.996000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
4.880000
5.856000
5.856000
5.856000
4.880000
5.856000
5.856000
5.856000
4.300000
1.888000
1.998857
1.998857
1.707142
1.998857
1.665714
1.761250
1.764285
1.998857
1.998857
1.998857
1.998857
1.998857
1.998857
43.230000
21.286560
Pret cu
maximal / U.T.
/ U.T.
maximal /
ambalaj
1,202.97
523.70
63.52
32.82
535.19
286.03
63.30
63.37
32.67
71.94
144.25
1,785.71
996.65
1,185.51
1,785.71
82.66
236.41
9.43
31.51
43.36
25.61
8.20
10.06
9.03
9.94
12.94
9.94
14.58
12.53
22.51
6.59
9.94
25.08
18.86
6.59
63.10
9.68
9.03
39.37
25.52
61.72
22.56
16.15
22.56
15.76
19.04
16.69
22.56
56.54
29.61
41.93
19.58
19.12
56.54
39.95
48.118800
52.370000
63.520000
32.820000
53.519000
28.603000
63.300000
63.370000
32.670000
71.940000
144.250000
178.571000
996.650000
118.551000
178.571000
5.166250
8.443214
4.715000
4.501428
6.194285
6.402500
8.200000
10.060000
9.030000
9.940000
12.940000
9.940000
14.580000
12.530000
22.510000
6.590000
9.940000
25.080000
18.860000
6.590000
15.775000
9.680000
9.030000
5.624285
2.552000
8.817142
3.222857
2.307142
3.222857
2.251428
2.380000
2.384285
3.222857
8.077142
4.230000
5.990000
2.797142
2.731428
56.540000
39.950000
42.852000
42.852000
63.520000
32.820000
53.519000
28.603000
63.300000
63.370000
32.670000
64.222800
144.250000
178.571000
996.650000
118.551000
142.261200
5.166250
5.401714
4.715000
4.501428
5.401714
5.401714
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
6.590000
7.908000
7.908000
7.908000
6.590000
7.908000
7.908000
7.908000
5.624285
2.552000
2.701714
2.701714
2.307142
2.701714
2.251428
2.380000
2.384285
2.701714
2.701714
2.701714
2.701714
2.701714
2.701714
56.540000
25.033440
Grupa
Nr.
terape
crt
utica
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
Denumire generica
J05AB14
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**
POSACONAZOLUM**
CASPOFUNGINUM**
CASPOFUNGINUM**
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
VALACYCLOVIRUM
VALGANCICLOVIRUM**
J06BA02
J06BA02
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC03
J02AC03
J02AC03
J02AC03
J02AC04
J02AC04
J02AX04
J02AX04
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB11
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
Denumire comerciala
MYCOMAX INF 2mg/ml

DIFLUCAN (R)
DIFLUCAN (R)
MYCOMAX INF 2mg/ml
DIFLAZON 2mg/ml
VFEND 200mg
VFEND 50mg
VFEND 200mg
VFEND 40 mg/ml
NOXAFIL SP 40mg/ml
NOXAFIL SP 40mg/ml
CANCIDAS 50 mg
CANCIDAS 70 mg
ACICLOVIR 200 mg
ACICLOVIR ARENA 200 mg
ACICLOVIR 200 mg
CLOVIRAL 200 mg
ACICLOVIR 200 mg
ACICLOVIR TERAPIA 200 mg
ACICLOVIR 200 mg
ACICLOVIR 400 mg
VIROLEX
VALTREX 500 mg
VALCYTE (R) 450 mg
HUMAGLOBIN
HUMAGLOBIN
OCTAGAM 10%
OCTAGAM 10%
OCTAGAM 10%
OCTAGAM 10%
PRIVIGEN 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
PRIVIGEN 100mg/ml
PRIVIGEN 100mg/ml
PRIVIGEN 100mg/ml
KIOVIG 100mg/ml
Forma
Concentrati
farmaceutic
e / U.T.
a
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
COMPR. FILM.
COMPR. FILM.
SUSP. ORALA
SUSP. ORALA
CAPS.
CAPS.
CAPS.
CAPS.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
200mg
50mg
200mg
40mg/ml
40mg/ml
40mg/ml
50mg
70mg
200mg
200mg
200mg
400mg
200mg
200mg
200mg
200mg
200mg
400mg
250mg
500mg
450mg
5%
5%
100 mg/ml
100 mg/ml
100 mg/ml
100 mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
Firma
Tara
ZENTIVA K.S.
REPUBLICA CEHA
MAREA BRITANIE
MAREA BRITANIE
ROMANIA
ROMANIA
ROMANIA
ZENTIVA K.S.
REPUBLICA CEHA
ROMANIA
Ambalaj


ROMANIA
ROMANIA
ROMANIA
S
S
S


CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL)
P-RF
CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL)
P-RF
MAREA BRITANIE
CUTIE X 1 FLAC. UNIDOZA X 30ML
P-RF
MAREA BRITANIE
SP EUROPE
BELGIA
MAREA BRITANIE
MERCK SHARP & DOHME
MAREA BRITANIE
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ANTIBIOTICE SA
ROMANIA
TERAPIA SA
ROMANIA
LAROPHARM S.R.L. ROMANIA

MAREA BRITANIE
SLAVIA PHARM SRL

ARENA GROUP SA
ARENA GROUP SA
ARENA GROUP S.A.
MAREA BRITANIE
S
S
P-RF
P-RF
P-RF

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

S/P-RF


BAXTER AG
AUSTRIA
BAXTER AG
AUSTRIA
BAXTER AG
AUSTRIA
P-RF/R
P-RF/S
ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. X 60 COMPR. FILM.
UNGARIA
UNGARIA
P-RF
P-RF/R
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 5 FLAC. X 250 MG PULB. PT. SOL. INJ./PERF.
S
S
S
S
S
S
S
S
MAREA BRITANIE
MERCK SHARP & DOHME
S/PR-F
MAREA BRITANIE

MERCK SHARP & DOHME
S/P-RF
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
S
S/P-RF
Prescriptie


Pagina 34 din 56
P-RF
S
S
S
S
S
S
S
S
S
S
S
S
S
cant/
amba
laj
Pret cu
ridicata
maximal /
ambalaj
Pret cu ridicata
maximal / U.T.
1
1
1
25
1
10
1
20
25
1
10
1
1
1
10
20
20
10
20
10
10
28
28
1
1
1
1
1
1
20
20
1000
10
20
20
20
20
20
10
5
10
60
1
1
1
1
1
1
1
1
1
1
1
1
1
137.44
133.17
30.99
781.76
81.95
761.71
42.66
631.41
443.47
34.28
330.71
40.63
35.03
18.84
181.93
360.77
362.55
454.59
796.39
770.66
182.90
3,559.23
912.09
458.07
2,203.52
2,488.19
2,488.19
1,202.39
1,560.14
14.97
15.85
704.14
14.41
12.75
12.16
10.22
12.69
9.62
14.23
231.79
43.54
4,863.09
451.00
872.00
3,072.10
6,114.44
663.61
1,550.55
460.47
3,469.04
7,459.41
890.95
1,751.89
3,473.78
889.76
137.440000
133.170000
30.990000
31.270400
81.950000
76.171000
42.660000
31.570500
17.738800
34.280000
33.071000
40.630000
35.030000
18.840000
18.193000
18.038500
18.127500
45.459000
39.819500
77.066000
18.290000
127.115357
32.574642
458.070000
2,203.520000
2,488.190000
2,488.190000
1,202.390000
1,560.140000
0.748500
0.792500
0.704140
1.441000
0.637500
0.608000
0.511000
0.634500
0.481000
1.423000
46.358000
4.354000
81.051500
451.000000
872.000000
3,072.100000
6,114.440000
663.610000
1,550.550000
460.470000
3,469.040000
7,459.410000
890.950000
1,751.890000
3,473.780000
889.760000
Pret cu ridicata
maximal de
decontare / U.T.
91.405200
91.405200
21.286560
31.270400
81.950000
76.171000
37.524480
31.570500
17.738800
34.280000
33.071000
37.524480
35.030000
18.840000
18.193000
18.038500
18.127500
37.524480
37.524480
77.066000
18.290000
127.115357
32.574642
458.070000
2,203.520000
2,488.190000
2,488.190000
1,202.390000
1,560.140000
0.577200
0.577200
0.577200
1.441000
0.577200
0.577200
0.511000
0.577200
0.481000
1.423000
46.358000
4.354000
81.051500
451.000000
872.000000
3,072.100000
6,114.440000
663.610000
1,550.550000
460.470000
3,469.040000
7,459.410000
890.950000
1,751.890000
3,473.780000
889.760000
Pret cu
maximal / U.T.
/ U.T.
maximal /
ambalaj
167.79
162.58
40.53
890.27
103.62
868.42
55.80
726.39
521.53
44.84
398.62
53.14
45.82
25.47
222.10
431.39
433.33
533.65
906.22
878.17
223.28
3,917.72
1,032.33
537.45
2,439.99
2,750.28
2,750.28
1,348.76
1,738.70
20.23
21.42
805.66
19.48
17.23
16.44
13.81
17.15
13.00
19.23
282.97
56.95
5,338.93
529.74
988.63
3,386.74
6,702.89
761.48
1,728.25
540.07
3,819.40
8,168.91
1,009.28
1,947.71
3,824.57
1,007.99
167.790000
162.580000
40.530000
35.610800
103.620000
86.842000
55.800000
36.319500
20.861200
44.840000
39.862000
53.140000
45.820000
25.470000
22.210000
21.569500
21.666500
53.365000
45.311000
87.817000
22.328000
139.918571
36.868928
537.450000
2,439.990000
2,750.280000
2,750.280000
1,348.760000
1,738.700000
1.011500
1.071000
0.805660
1.948000
0.861500
0.822000
0.690500
0.857500
0.650000
1.923000
56.594000
5.695000
88.982166
529.740000
988.630000
3,386.740000
6,702.890000
761.480000
1,728.250000
540.070000
3,819.400000
8,168.910000
1,009.280000
1,947.710000
3,824.570000
1,007.990000
104.210400
104.210400
25.033440
35.610800
103.620000
86.842000
42.732960
36.319500
20.861200
42.732960
39.862000
42.732960
42.732960
25.033440
22.210000
21.569500
21.666500
42.732960
42.732960
87.817000
22.328000
139.918571
36.868928
537.450000
2,439.990000
2,750.280000
2,750.280000
1,348.760000
1,738.700000
0.780000
0.780000
0.780000
1.948000
0.780000
0.780000
0.690500
0.780000
0.650000
1.923000
56.594000
5.695000
88.982166
529.740000
988.630000
3,386.740000
6,702.890000
761.480000
1,728.250000
540.070000
3,819.400000
8,168.910000
1,009.280000
1,947.710000
3,824.570000
1,007.990000
Grupa
Nr.
terape
crt
utica
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
Denumire generica
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
L01AA01
CYCLOPHOSPHAMIDUM
CYCLOPHOSPHAMIDUM
MELPHALANUM
IFOSFAMIDUM
BUSULFANUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
FLUDARABINUM
FLUDARABINUM
FLUDARABINUM
ETOPOSIDUM
ETOPOSIDUM
ETOPOSIDUM
ETOPOSIDUM
ETOPOSIDUM
ETOPOSIDUM
IDARUBICINUM
IDARUBICINUM
MITOXANTRONUM**
CISPLATINUM
CISPLATINUM
CISPLATINUM
CISPLATINUM
CISPLATINUM
CISPLATINUM
CISPLATINUM
CISPLATINUM
CARBOPLATINUM
CARBOPLATINUM
L01AA01
L01AA03
L01AA06
L01AB01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BB05
L01BB05
L01BB05
L01CB01
L01CB01
L01CB01
L01CB01
L01CB01
L01CB01
L01DB06
L01DB06
L01DB07
L01XA01
L01XA01
L01XA01
L01XA01
L01XA01
L01XA01
L01XA01
L01XA01
L01XA02
L01XA02
Denumire comerciala
KIOVIG 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
IG VENA 10g/200ml
IG VENA 1g/20ml
IG VENA 2,5g/50ml
FLEBOGAMMA 5%
FLEBOGAMMA 5%
FLEBOGAMMA 5%
FLEBOGAMMA 5%
OCTAGAM
OCTAGAM
OCTAGAM
IG VENA 5g/100ml
ENDOXAN (R) 50 mg
ENDOXAN 200 mg
ALKERAN 2 mg
HOLOXAN 1 g
MYLERAN
Forma
Concentrati
farmaceutic
e / U.T.
a
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
DRAJ.
100mg/ml
100mg/ml
100mg/ml
10g/200ml
1g/20ml
2,5g/50ml
5%
5%
5%
5%
50mg/ml
50mg/ml
50mg/ml
5g/100ml
50mg
PULB. PT. SOL. PERF./INJ. I.V. 200mg
COMPR. FILM. 2mg
COMPR. FILM. 2mg
METOTREXATE BELLON 2,5 mg COMPR.
2,5mg
METHOTREXAT "EBEWE" 500 mg CONC. PT. SOL. INJ./PERF. 100mg/ml
METHOTREXAT "EBEWE" 5 mg SOL. INJ.
5mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
METOJECT 50mg/ml
50mg/ml
METOJECT 50mg/ml
50mg/ml
METOJECT 50mg/ml
50mg/ml
METOJECT 50mg/ml
50mg/ml
METHOTREXAT "EBEWE" 50 mg SOL. INJ./PERF. 10mg/ml
FLUDARA ORAL 10 mg
COMPR. FILM. 10mg
FLUDARA
FLUDARABINA ACTAVIS 25 mg/ml PULB. PT. SOL. INJ./PERF. 25mg/ml
VEPESID
CAPS. MOI 100mg
VEPESID
CAPS. MOI 50mg
SINTOPOZID 100 mg/5 ml
ETOPOSID "EBEWE" 100 mg/5 ml CONC. PT. SOL. PERF. 100mg/5ml
ETOPOSIDE - TEVA
ETOPOSIDE - TEVA
ZAVEDOS
CAPS.
10mg
ZAVEDOS 5 mg
PULB. PT. SOL. INJ. 5mg
ONKOTRONE
CONC. PT. SOL. INJ. 2mg/ml
CISPLATIN "EBEWE" 10 mg/20 ml CONC. PT. SOL. PERF. 10mg/20ml
SINPLATIN 1 mg/1 ml
SINPLATIN 1 mg/1 ml
CISPLATINA ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml
CARBOPLATIN ACTAVIS 10mg/ml CONC. PT. SOL. PERF. 10mg/ml
CARBOPLATIN ACTAVIS 10mg/ml CONC. PT. SOL. PERF. 10mg/ml
Firma
BAXTER AG
BAXTER AG
BAXTER AG
KEDRION SPA
KEDRION SPA
KEDRION SPA
Tara
AUSTRIA
AUSTRIA
AUSTRIA
ITALIA
ITALIA
ITALIA
SPANIA
SPANIA
SPANIA
SPANIA
Ambalaj


Prescriptie
S
S
S
S
S
S
S
S
S
S
S
S
S
S
MAREA BRITANIE

KEDRION SPA
ITALIA

MAREA BRITANIE
MAREA BRITANIE
ACTAVIS S.R.L.
GERMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. PERF.
P-RF
FARMEXINM S.R.L.
ROMANIA CUTIE X 20 COMPR.
P-RF/R
P-RF

AUSTRIA CUTIE X 1 TUB DIN MATERIAL PLASTIC X 1 FIOLA X 10 ML
GERMANIA
P-RF
GERMANIA
P-RF
GERMANIA
P-RF
GERMANIA
P-RF

S
S
S
S
P-RF/R
P-RF/R
P-RF/R
P-RF/R
GERMANIA
CUTIE X 1 FLAC. DIN PE X 4 BLIST. AL/AL X 5 COMPR. FILM.
P-RF/S
CUTIE X 5 FLAC. CU LIOF. PT. SOL. INJ./PERF.
S
S
GENZYME EUROPE B.V.
OLANDA
ACTAVIS S.R.L.
ACTAVIS S.R.L.
ROMANIA
UNGARIA
UNGARIA
ROMANIA


CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 5ML) CU PULB. PT. SOL. INJ/PERF CONTINAND 50MG FLUDA
CUTIE X 1 BLIST. PVC/A0-PVC-PVDC X 10 CAPS. P-RF

CUTIE X 2 BLIST. PVC/AL-PVC-PVDC X 10 CAPS. P-RF
MAREA BRITANIE
MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA INCOLORA CU LIOF. PT. SOL. INJ.
GERMANIA CUTIE X 1 FLACON X 10 ML CONC. PT. SOL. INJ.
AUSTRIA
ACTAVIS S.R.L.
ACTAVIS S.R.L.
ROMANIA
ROMANIA

AUSTRIA
AUSTRIA
ACTAVIS S.R.L.
ACTAVIS S.R.L.
ROMANIA
ROMANIA
CUTIE X 1 FLACON X 50 ML COND. PT. SOL. PERF.
Pagina 35 din 56
S
S
S
S
P-RF
S
S
S
S
S
S
S
S
S
S
S
S
cant/
amba
laj
1
1
1
1
1
1
1
1
1
1
1
1
1
1
50
1
25
1
25
20
5
1
1
10
1
1
1
1
1
1
1
1
1
20
5
1
10
20
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
Pret cu
ridicata
maximal /
ambalaj
Pret cu ridicata
maximal / U.T.
1,749.51
459.88
188.56
2,050.80
222.29
535.20
914.10
1,798.20
472.05
99.02
1,166.70
640.45
2,261.30
1,040.40
19.33
11.76
6.90
92.66
11.61
16.90
197.47
70.91
332.72
17.62
45.60
62.22
87.07
100.34
59.16
62.22
86.63
101.74
9.86
1,680.19
1,252.62
340.13
311.36
308.57
32.83
39.04
31.96
61.07
203.33
143.35
555.48
9.17
24.41
7.75
7.75
19.18
24.41
22.06
31.57
133.04
50.00
1,749.510000
459.880000
188.560000
2,050.800000
222.290000
535.200000
914.100000
1,798.200000
472.050000
99.020000
1,166.700000
640.450000
2,261.300000
1,040.400000
0.386600
11.760000
0.276000
92.660000
0.464400
0.845000
39.494000
70.910000
332.720000
1.762000
45.600000
62.220000
87.070000
100.340000
59.160000
62.220000
86.630000
101.740000
9.860000
84.009500
250.524000
340.130000
31.136000
15.428500
32.830000
39.040000
31.960000
61.070000
203.330000
143.350000
555.480000
9.170000
24.410000
7.750000
7.750000
19.180000
24.410000
22.060000
31.570000
133.040000
50.000000
Pret cu ridicata
maximal de
decontare / U.T.
1,749.510000
459.880000
188.560000
2,050.800000
222.290000
535.200000
914.100000
1,798.200000
472.050000
99.020000
1,166.700000
640.450000
2,261.300000
1,040.400000
0.386600
11.760000
0.276000
92.660000
0.464400
0.845000
39.494000
70.910000
332.720000
1.762000
45.600000
62.220000
87.070000
100.340000
54.720000
62.220000
86.630000
101.740000
9.860000
84.009500
250.524000
300.628800
31.136000
15.428500
32.830000
38.352000
31.960000
61.070000
203.330000
143.350000
555.480000
9.170000
24.410000
7.750000
7.750000
19.180000
24.410000
22.060000
29.292000
133.040000
50.000000
Pret cu
maximal / U.T.
/ U.T.
maximal /
ambalaj
1,945.12
539.42
230.20
2,273.52
271.37
621.52
1,034.52
1,998.19
552.68
125.20
1,309.85
736.24
2,502.97
1,172.19
26.13
15.89
9.32
117.16
15.69
22.84
241.07
89.66
400.81
23.82
59.64
78.67
110.09
122.50
74.80
78.67
109.54
124.21
13.33
1,869.56
1,403.51
408.89
377.53
374.49
42.94
51.07
41.81
77.22
248.22
175.00
643.62
12.39
32.99
10.48
10.48
25.92
32.99
29.81
41.30
162.41
63.22
1,945.120000
539.420000
230.200000
2,273.520000
271.370000
621.520000
1,034.520000
1,998.190000
552.680000
125.200000
1,309.850000
736.240000
2,502.970000
1,172.190000
0.522600
15.890000
0.372800
117.160000
0.627600
1.142000
48.214000
89.660000
400.810000
2.382000
59.640000
78.670000
110.090000
122.500000
74.800000
78.670000
109.540000
124.210000
13.330000
93.478000
280.702000
408.890000
37.753000
18.724500
42.940000
51.070000
41.810000
77.220000
248.220000
175.000000
643.620000
12.390000
32.990000
10.480000
10.480000
25.920000
32.990000
29.810000
41.300000
162.410000
63.220000
1,945.120000
539.420000
230.200000
2,273.520000
271.370000
621.520000
1,034.520000
1,998.190000
552.680000
125.200000
1,309.850000
736.240000
2,502.970000
1,172.190000
0.522600
15.890000
0.372800
117.160000
0.627600
1.142000
48.214000
89.660000
400.810000
2.382000
59.640000
78.670000
110.090000
122.500000
71.568000
78.670000
109.540000
124.210000
13.330000
93.478000
280.702000
336.842400
37.753000
18.724500
42.940000
50.172000
41.810000
77.220000
248.220000
175.000000
643.620000
12.390000
32.990000
10.480000
10.480000
25.920000
32.990000
29.810000
39.588000
162.410000
63.220000
Grupa
Nr.
terape
crt
utica
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295
L01XA02
L01XA02
L01XA02
L01XA02
L01XA02
L01XA02
L01XC02
L01XC02
L01XC04
L01XC04
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
Denumire generica
CARBOPLATINUM
CARBOPLATINUM
CARBOPLATINUM
CARBOPLATINUM
CARBOPLATINUM
CARBOPLATINUM
RITUXIMABUM**
RITUXIMABUM**
ALEMTUZUMABUM**
ALEMTUZUMABUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
Denumire comerciala

Forma
Concentrati
farmaceutic
e / U.T.
a
MABTHERA 100 mg
MABTHERA 500 mg
MABCAMPATH 10 mg/ml
MABCAMPATH 30 mg/ml
NEUPOGEN (R)
NEUPOGEN (R)
ZARZIO 30MU/0,5ml
ZARZIO 48MU/0,5ml
CELLCEPT 250mg
CELLCEPT 500mg
MYCOPHENOLATE MOFETIL MEDICO UNO 500 MG
MYFORTIC 180 mg
MYFORTIC 360 mg
L04AA06 MYCOPHENOLATUM MOFETILUM**
MICOFENOLAT MOFETIL DR. REDDY'S 250 mg
MYFENAX 250mg
L04AA06 MYCOPHENOLATUM MOFETILUM** MYCOPHENOLATE MOFETIL ACCORD 250 mg

L04AA06 MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL SANDOZ 500 mg

SOL. INJ.
SOL. INJ.
SOL. INJ./PERF.
ARZIP 500 mg
L04AA06 MYCOPHENOLATUM MOFETILUM** MYCOFENOLAT MOFETIL ACTAVIS 500 mg

MYFENAX 500mg
L04AA10
L04AB01
L04AB01
L04AB01
L04AB01
L04AB01
L04AB01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
SIROLIMUS**
ETANERCEPTUM**
ETANERCEPTUM**
ETANERCEPTUM**
ETANERCEPTUM**
ETANERCEPTUM**
ETANERCEPTUM**
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
RAPAMUNE 1mg
ENBREL 50 mg
ENBREL DE UZ PEDIATRIC
ENBREL 25mg
ENBREL 25mg
ENBREL 50mg
ENBREL 50mg
EQUORAL (R) 100 mg
EQUORAL (R) 25 mg
SANDIMMUN NEORAL (R)
CICLORAL 25 mg
EQUORAL (R) 50 mg
CICLORAL 50 mg
EQUORAL (R)
TACNI 0,5 mg
PROGRAF (R) 0,5 mg
Tara
ROMANIA
ROMANIA
AUSTRIA
AUSTRIA

SOL. INJ./PERF.
CAPS.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM. GASTROREZ.
CAPS.
CAPS.
CAPS.
COMPR.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
DRAJ.
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
SOL. ORALA
CAPS.
CAPS.
TACROLIMUSUM ACCORD 0,5 mg CAPS.
TACROLIMUS SANDOZ 0,5 mg CAPS.
TACNI 1 mg
CAPS.
PROGRAF (R) 1 mg
CAPS.
TACROLIMUSUM ACCORD 1 mg CAPS.
ROMANIA
AUSTRIA
MAREA BRITANIE
MAREA BRITANIE CUTIE X 1 FLACON X 50 ML(500MG RITUXIMAB IN 50ML- 10MG/ML)

CUTIE X 3 FIOLE X 3 ML CONCENTRAT INTR-O FIOLA DE 5ML

CUTIE X 3 FLACOANE X 1 ML CONCENTRAT INTR-UN FLACON DE 2ML

SANDOZ GMBH
SANDOZ GMBH
AUSTRIA
AUSTRIA
HOSPIRA UK LIMITED

480g/0,5ml
250mg
500mg
500mg
180mg
360mg
250 mg
250mg
250mg
500mg
500 mg
500mg
500mg
500mg
500mg
1mg
50mg
25mg
25mg
25mg
50mg
50mg
100mg
25mg
25mg
25mg
50mg
50mg
50mg
100mg/ml
0,5 mg
0,5mg
0,5mg
0,5mg
1 mg
1mg
1mg
ACTAVIS S.R.L.
Prescriptie
S
S
S
S
S
S
S
S
S
S
S/P-RF
S/P-RF
P-RF/R
P-RF/R

SOL. INJ./PERF.
Ambalaj
L04AA06 MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL TERAPIA 500 mg COMPR. FILM.

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
60MU/ml
96MU/ml
120g/0,2ml
Firma
P-RF
S/P-RF/R
P-RF
S/P-RF/R
HOSPIRA UK LIMITED
MAREA BRITANIE
MAREA BRITANIE

UNGARIA
P-RF/R
CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ.
S/P-RF
S/P-RF
P-RF
P-RF/R
P-RF/R
ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 100 CAPS. PR
TEVA PHARMA BV
OLANDA CUTIE X BLIST. PVC/PVDC/AL X 100 CAPS.
P-RF/R
CUTIE CU BLIST. PVC-PVDC/AL CU 100 CAPS.
P-RF/R
SANDOZ S.R.L.
TERAPIA S.A.
ZENTIVA K.S.
ROMANIA
ROMANIA
P-RF
CUTIE CU 1 BLIST. DIN AL-PA-PVC/AL X 50 COMPR. FILM.
REPUBLICA CEHA
PR
PR
ISLANDA
OLANDA
P-RF/R
CUTIE X BLIST. PVC/PVDC/AL X 50 COMPR. FILM.
P-RF/R
ROMANIA
WYETH EUROPA LTD.
MAREA BRITANIE
CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR)
P-RF/R
MAREA BRITANIE
CUTIE X 4 FLAC. PULB. PT. SOL. INJ. + 4 SERINGI PREUMPLUTE CU SOLVENT + 4 ADAPTOARE PT. FLAC. + 8 TA
P-RF/R
MAREA BRITANIE
CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 SERINGI DIN PLASTIC GOALE + 20 ACE + 24 TAMPOANE
P-RF/R
MAREA BRITANIE CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 TAMPOANE CU ALCOOL P-RF/R
MAREA BRITANIE CUTIE X 4 SERINGI PREUMPLUTE X 8 TAMPOANE CU ALCOOL
MAREA BRITANIE CUTIE X 4 SERINGI PREUMPLUTE X 8 TAMPOANE CU ALCOOL
P-RF/R
MAREA BRITANIE
CUTIE X 4 STILOURI INJECTOARE PREUMPLUTE (PEN) X 8 TAMPOANE CU ALCOOL
P-RF/R
CEHIA
CEHIA
CUTIE X 5 BLIST. X 10 CAPS. MOI

TEVA PHARMA BV
IVAX - PHARMACEUTICALS S.R.O.

P-RF/R
S/P-RF
S/P-RF
S/P-RF
HEXAL AG
GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI
S/P-RF
CEHIA
S/P-RF

S/P-RF
HEXAL AG
S/P-RF
CEHIA
S/P-RF
ROMANIA
CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI DE AL A CATE 10 CAPSULE
PRF
OLANDA
CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT
S/P-RF
CUTIE X 1 FLACON DIN STICLA BRUNA X 50 ML, UN DISPOZITIV DE MASURAT + UN CAPAC CU FILET
CUTIE CU BLIST. AL/AL X 50 CAPS. PR
SANDOZ S.R.L.
CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS.
ROMANIA
ROMANIA
OLANDA
S/P-RF
CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI AL A CATE 10 CAPSULE
PRF
S/P-RF
Pagina 36 din 56
cant/
amba
laj
1
1
1
1
1
1
2
1
3
3
1
1
1
1
5
1
5
1
5
100
50
50
120
120
100
100
100
50
50
50
50
50
50
30
4
4
4
4
4
4
50
50
50
50
50
50
50
1
50
50
50
50
50
50
50
Pret cu
ridicata
maximal /
ambalaj
Pret cu ridicata
maximal / U.T.
132.81
47.45
178.07
21.86
18.05
62.52
2,221.55
5,509.03
4,923.23
4,923.64
267.05
436.57
162.10
260.91
418.45
214.16
1,001.12
355.90
1,656.30
452.86
452.86
292.89
557.65
1,041.93
291.62
302.31
292.89
227.17
302.36
272.59
272.59
302.31
272.59
489.29
4,153.67
2,047.58
2,052.34
2,047.58
4,065.15
4,065.15
397.39
74.45
112.48
112.61
155.55
239.32
250.01
358.02
133.49
205.39
133.49
133.49
238.62
363.74
238.62
132.810000
47.450000
178.070000
21.860000
18.050000
62.520000
1,110.775000
5,509.030000
1,641.076666
1,641.213333
267.050000
436.570000
162.100000
260.910000
83.690000
214.160000
200.224000
355.900000
331.260000
4.528600
9.057200
5.857800
4.647083
8.682750
2.916200
3.023100
2.928900
4.543400
6.047200
5.451800
5.451800
6.046200
5.451800
16.309666
1,038.417500
511.895000
513.085000
511.895000
1,016.287500
1,016.287500
7.947800
1.489000
2.249600
2.252200
3.111000
4.786400
5.000200
358.020000
2.669800
4.107800
2.669800
2.669800
4.772400
7.274800
4.772400
Pret cu ridicata
maximal de
decontare / U.T.
132.810000
47.450000
159.372000
21.660000
18.050000
56.940000
1,110.775000
5,509.030000
1,641.076666
1,641.213333
194.520000
313.092000
162.100000
260.910000
83.690000
194.520000
194.520000
313.092000
313.092000
3.499440
5.452080
5.452080
4.647083
8.682750
2.916200
3.023100
2.928900
4.543400
5.452080
5.451800
5.451800
5.452080
5.451800
16.309666
1,038.417500
511.895000
513.085000
511.895000
1,016.287500
1,016.287500
7.947800
1.489000
1.786800
1.786800
3.111000
3.733200
3.733200
358.020000
2.669800
3.203760
2.669800
2.669800
4.772400
5.726880
4.772400
Pret cu
maximal / U.T.
/ U.T.
maximal /
ambalaj
162.14
62.06
217.39
29.55
24.39
79.05
2,459.64
6,043.00
5,404.48
5,404.92
326.02
514.01
197.89
318.52
494.26
261.45
1,129.37
426.08
1,843.52
531.77
531.77
357.56
645.99
1,173.85
356.01
367.67
357.56
277.33
367.72
332.78
332.78
367.67
332.78
571.48
4,565.66
2,270.01
2,275.20
2,270.01
4,469.17
4,469.17
471.31
94.13
137.32
137.48
189.90
292.16
305.21
428.39
162.97
250.74
162.97
162.97
291.31
434.63
291.31
162.140000
62.060000
217.390000
29.550000
24.390000
79.050000
1,229.820000
6,043.000000
1,801.493333
1,801.640000
326.020000
514.010000
197.890000
318.520000
98.852000
261.450000
225.874000
426.080000
368.704000
5.317700
10.635400
7.151200
5.383250
9.782083
3.560100
3.676700
3.575600
5.546600
7.354400
6.655600
6.655600
7.353400
6.655600
19.049333
1,141.415000
567.502500
568.800000
567.502500
1,117.292500
1,117.292500
9.426200
1.882600
2.746400
2.749600
3.798000
5.843200
6.104200
428.390000
3.259400
5.014800
3.259400
3.259400
5.826200
8.692600
5.826200
162.140000
62.060000
194.568000
29.268000
24.390000
74.472000
1,229.820000
6,043.000000
1,801.493333
1,801.640000
237.468000
382.224000
197.890000
318.520000
98.852000
237.468000
225.874000
382.224000
368.704000
4.272120
6.655920
6.655920
5.383250
9.782083
3.560100
3.676700
3.575600
5.546600
6.655920
6.655600
6.655600
6.655920
6.655600
19.049333
1,141.415000
567.502500
568.800000
567.502500
1,117.292500
1,117.292500
9.426200
1.882600
2.259120
2.259120
3.798000
4.557600
4.557600
428.390000
3.259400
3.911280
3.259400
3.259400
5.826200
6.991440
5.826200
Grupa
Nr.
terape
crt
utica
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
Denumire generica
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
Denumire comerciala
TACROLIMUS SANDOZ 1 mg
TACNI 5 mg
PROGRAF (R) 5 mg
ADVAGRAF 0,5mg
ADVAGRAF 1mg
ADVAGRAF 5mg
PROGRAF (R) 5 mg/ml
TRAMADOL
K-ALMA (R)
TRAMADOL LPH 50 mg
TRAMADOL ARENA
TRAMACALM
TRAMADOL AL 50
TRAMADOL AL 50
MABRON 50 mg
TRALGIT 50
URGENDOL
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
TRAMADOLOR (R) 100 ID
TRAMADOL (R) RETARD
TRALGIT SR 100
TRALGIT SR 100
TRALGIT SR 100
TRALGIT SR 150
TRALGIT SR 150
TRALGIT SR 200
TRADOLAN 50 mg
TRAMAL RETARD 100 mg
TRAMADOL RETARD 150 mg
TRAMADOL AL PICATURI
MABRON
MABRON
TRALGIT 100
TRAMADOL
TRAMADOL
TRAMAL (R) 50
TRALGIT 50
URGENDOL
Forma
Concentrati
farmaceutic
e / U.T.
a
CAPS.
CAPS.
CAPS.
1mg
5 mg
5mg
CAPS. ELIB. PREL. 0,5mg
CAPS. ELIB. PREL. 1mg
CAPS.
50mg
CAPS.
50mg
CAPS.
50mg
CAPS.
50mg
CAPS.
50mg
CAPS.
50mg
CAPS.
50mg
CAPS.
50mg
CAPS.
50mg
CAPS.
50mg
COMPR.
50mg
COMPR.
50mg
COMPR.
50mg
COMPR. ELIB. MODIF. 100mg
COMPR. ELIB. PREL. 100mg
COMPR. FILM. 50mg
COMPR. FILM. ELIB. PREL. 100mg
PIC. ORALE, SOL.
FARA CONCENTRATIE
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
100mg
100mg
100mg/2ml
50mg/ml
50mg/ml
50mg/ml
50mg/ml
50mg/ml
Firma
SANDOZ S.R.L.
Tara
ROMANIA
ROMANIA
OLANDA
Ambalaj
S/P-RF
CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI AL A CATE 10 CAPS.
PRF
S/P-RF
ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)
OLANDA
Prescriptie
P-RF/R
CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)
P-RF/R
P-RF/R
OLANDA CUTIE X 10 FIOLE X 1 ML
KRKA D.D.
ANTIBIOTICE SA
SLOVENIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
P-RF
P-RF
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
P-RF

AC HELCOR SRL
ROMANIA CUTIE X 1 BLIST. PVC/AL X 10 CAPS.
ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. X 10 CAPS.
ZENTIVA A.S.
SLOVACIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
MEDICAROM GROUP SRL ROMANIA CUTIE X 1 BLIST. X 10 CAPS.
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GERMANIA
CUTIE X BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-RF
GERMANIA
GERMANIA
GERMANIA
CUTIE X BLIST. PVC-PVDC/AL X 50 CAPS. CU ELIB. PREL.
GERMANIA
GERMANIA
MAGISTRA C & C
BIO EEL SRL

HEXAL AG
KRKA D.D.
ZENTIVA AS
ZENTIVA AS
ZENTIVA AS
ZENTIVA AS
ZENTIVA AS
ZENTIVA AS
P-RF/S
GERMANIA
GERMANIA
GERMANIA
GERMANIA
GERMANIA
GERMANIA
P-RF/S
P-RF/S
P-RF
P-RF
P-RF
GERMANIA CUTIE X 1 BLIST. X 10 COMPR. ELIB. MODIF. P-RF
SLOVENIA
SLOVACIA
SLOVACIA
SLOVACIA
SLOVACIA
SLOVACIA
SLOVACIA
CUTIE X 3 BLIST. X 10 COMPR. ELIB. PREL. P-RF

CUTIE X 5 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF
AUSTRIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.FILM.

GRUNENTHAL GMBH GERMANIA CUTIE X 1 BLIST. AL/PVDC X 10 COMPR. FILM. CU ELIB. PREL.
P-RF
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL.
P-RF
CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR.FILM. CU ELIB. PREL.
P-RF
CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR.FILM. ELIB. PREL.
P-RF
GRUNENTHAL GMBH GERMANIA

P-RF
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-RF
ALIUD PHARMA GMBH GERMANIA
CUTIE X 1 FLACON DIN STICLA BRUNA X 10 ML PIC. ORALE, SOL.
P-RF
CUTIE X 5 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.
S/P-RF
S/P-RF
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
ZENTIVA A.S.
KRKA D.D.
KRKA D.D.
CIPRU
CIPRU
SLOVACIA CUTIE X 5 FIOLE X 2 ML SOL. INJ.

S/P-RF
S/P-RF
S/P-RF
GRUNENTHAL GMBH GERMANIA CUTIE X 5 FIOLE X 1 ML
S/P-RF
ZENTIVA A.S.
S/P-RF
CUTIE X 5 FIOLE X 1 ML
S/P-RF
MEDICAROM GROUP SRL ROMANIA
Pagina 37 din 56
cant/
amba
laj
50
50
50
50
50
50
10
20
20
20
20
10
30
10
10
20
10
10
20
30
50
10
20
30
50
10
20
30
50
20
20
20
10
30
50
10
30
10
30
10
30
10
30
10
10
30
1
5
100
5
5
5
5
5
5
Pret cu
ridicata
maximal /
ambalaj
238.62
1,114.65
1,715.18
204.92
402.53
1,865.58
1,545.19
4.31
5.67
5.67
6.66
2.85
8.53
2.85
2.85
4.31
2.83
12.86
24.79
36.23
56.65
19.30
37.14
54.34
84.99
24.09
44.68
61.79
96.03
5.67
5.67
5.67
4.66
13.99
24.09
4.66
13.98
15.57
24.84
20.35
7.88
7.17
31.78
16.30
20.85
40.67
3.73
7.27
110.22
9.09
9.69
3.65
5.60
8.50
3.63
Pret cu ridicata
maximal / U.T.
4.772400
22.293000
34.303600
4.098400
8.050600
37.311600
154.519000
0.215500
0.283500
0.283500
0.333000
0.285000
0.284333
0.285000
0.285000
0.215500
0.283000
1.286000
1.239500
1.207666
1.133000
1.930000
1.857000
1.811333
1.699800
2.409000
2.234000
2.059666
1.920600
0.283500
0.283500
0.283500
0.466000
0.466333
0.481800
0.466000
0.466000
1.557000
0.828000
2.035000
0.262666
0.717000
1.059333
1.630000
2.085000
1.355666
3.730000
1.454000
1.102200
1.818000
1.938000
0.730000
1.120000
1.700000
0.726000
Pret cu ridicata
maximal de
decontare / U.T.
4.772400
22.293000
26.751600
3.203760
5.726880
26.751600
154.519000
0.215500
0.258600
0.258600
0.258600
0.258600
0.258600
0.258600
0.258600
0.215500
0.258600
0.559200
0.559200
0.559200
0.559200
0.993600
0.993600
0.993600
0.993600
1.626799
1.626799
1.626799
1.626799
0.258600
0.258600
0.258600
0.466000
0.466333
0.481800
0.466000
0.466000
0.993600
0.828000
1.626799
0.258600
0.559200
0.993600
0.993600
1.626799
1.355666
3.730000
1.322640
1.102200
1.322640
1.322640
0.730000
0.871200
0.871200
0.726000
Pret cu
maximal / U.T.
/ U.T.
maximal /
ambalaj
291.31
1,253.12
1,907.70
250.17
476.91
2,071.63
1,722.41
5.82
7.67
7.67
9.00
3.85
11.53
3.85
3.85
5.82
3.82
17.38
33.50
47.39
71.63
26.09
48.58
68.71
107.46
32.56
58.44
78.13
121.42
7.67
7.67
7.67
6.30
18.91
32.56
6.30
18.89
21.05
33.57
27.50
10.65
9.69
41.57
22.03
28.18
53.20
5.04
9.83
134.56
12.28
13.10
4.93
7.57
11.49
4.90
5.826200
25.062400
38.154000
5.003400
9.538200
41.432600
172.241000
0.291000
0.383500
0.383500
0.450000
0.385000
0.384333
0.385000
0.385000
0.291000
0.382000
1.738000
1.675000
1.579666
1.432600
2.609000
2.429000
2.290333
2.149200
3.256000
2.922000
2.604333
2.428400
0.383500
0.383500
0.383500
0.630000
0.630333
0.651200
0.630000
0.629666
2.105000
1.119000
2.750000
0.355000
0.969000
1.385666
2.203000
2.818000
1.773333
5.040000
1.966000
1.345600
2.456000
2.620000
0.986000
1.514000
2.298000
0.980000
5.826200
25.062400
30.074880
3.911280
6.991440
30.074880
172.241000
0.291000
0.349200
0.349200
0.349200
0.349200
0.349200
0.349200
0.349200
0.291000
0.349200
0.755599
0.755599
0.755599
0.755599
1.342800
1.342800
1.342800
1.342800
2.128000
2.128000
2.128000
2.128000
0.349200
0.349200
0.349200
0.630000
0.630333
0.651200
0.630000
0.629666
1.342800
1.119000
2.128000
0.349200
0.755599
1.342800
1.342800
2.128000
1.773333
5.040000
1.614720
1.345600
1.614720
1.614720
0.986000
1.176000
1.176000
0.980000
Grupa
Nr.
terape
crt
utica
351
352
353
354
355
356
357
N02AX02
N02AX02
R05CB13
V03AC03
V03AC03
V03AC03
V03AF01
Denumire generica
TRAMADOLUM
TRAMADOLUM
DORNAZA ALFA**
DEFERASIROXUM**
DEFERASIROXUM**
DEFERASIROXUM**
MESNUM
Denumire comerciala
URGENDOL
TRAMADOL
PULMOZYME
EXJADE 125mg
EXJADE 250mg
EXJADE 500mg
UROMITEXAN (R) 400 mg
Forma
Concentrati
farmaceutic
e / U.T.
a
SOL. INJ.
50mg/ml
SUPOZ.
100mg
SOL. INHAL. 1mg/ml
COMPR. DISP. 125mg
COMPR. DISP. 250mg
COMPR. DISP. 500mg
SOL. INJ.
400mg/4ml
Tara
Firma
KRKA D.D.
Ambalaj
SLOVENIA CUTIE X 1 BLIST. X 5 SUPOZ.
Prescriptie
S/P-RF
P-RF
CUTIE X 6 FIOLE UNIDOZA PE X 2,5 ML SOL. INHAL. PRIN NEBULIZATOR, INTRODUSE IN PUNGA AL
S/P-RF
MAREA BRITANIE
CUTIE X 28 COMPR. DISP.(BLIST. PVC/PE/PVDC/AL)
P-RF/R
MAREA BRITANIE
P-RF/R
MAREA BRITANIE
P-RF/R
GERMANIA
CUTIE X 3 SUPORTURI TERMOFORMATE DIN PLASTIC X 5 FIOLE DE STICLA INCOLORA X 4 ML
S/P-RF
cant/
amba
laj
Pret cu
ridicata
maximal /
ambalaj
Pret cu ridicata
maximal / U.T.
Pret cu ridicata
maximal de
decontare / U.T.
Pret cu
maximal / U.T.
/ U.T.
maximal /
ambalaj
5
5
6
28
28
28
15
5.67
4.13
551.59
687.54
1,461.36
2,660.12
44.87
1.134000
0.826000
91.931666
24.555000
52.191428
95.004285
2.991333
1.134000
0.826000
91.931666
24.555000
52.191428
95.004285
2.991333
7.67
5.58
639.38
787.57
1,631.03
2,937.68
58.69
1.534000
1.116000
106.563333
28.127500
58.251071
104.917142
3.912666
1.534000
1.116000
106.563333
28.127500
58.251071
104.917142
3.912666
10
5
100
12
12
1
12
1
10
1
5
10
1
5
1
12
1
12
1
12
1
5
1
10
1
1
10
10
1
1
1
1
5
10
5
10
5
10
25
10
10
1
10
66.80
80.20
113.56
401.14
692.90
22.93
265.41
22.93
386.57
20.32
99.83
196.11
40.65
196.11
22.93
265.28
22.93
460.81
40.93
460.81
40.93
197.45
40.94
389.01
40.93
40.93
154.50
257.49
20.07
3.88
11.61
7.04
146.26
292.52
146.26
292.52
146.26
296.98
1,068.64
445.46
1,603.26
879.36
1,052.62
6.680000
16.040000
1.135600
33.428333
57.741666
22.930000
22.117500
22.930000
38.657000
20.320000
19.966000
19.611000
40.650000
39.222000
22.930000
22.106666
22.930000
38.400833
40.930000
38.400833
40.930000
39.490000
40.940000
38.901000
40.930000
40.930000
15.450000
25.749000
20.070000
3.880000
11.610000
7.040000
29.252000
29.252000
29.252000
29.252000
29.252000
29.698000
42.745600
44.546000
160.326000
879.360000
105.262000
6.680000
16.040000
1.135600
23.533200
46.081000
22.930000
22.117500
22.930000
23.533200
20.320000
19.966000
19.611000
23.533200
23.533200
22.930000
22.106666
22.930000
38.400833
40.930000
38.400833
40.930000
39.490000
40.940000
38.901000
40.930000
40.930000
8.448000
13.932000
13.932000
3.880000
11.610000
7.040000
29.252000
29.252000
29.252000
29.252000
29.252000
29.698000
35.102400
35.102400
160.326000
879.360000
105.262000
84.46
101.41
138.64
475.39
793.41
30.99
324.01
30.99
459.51
27.47
126.23
239.41
53.17
239.41
30.99
323.86
30.99
540.43
53.53
540.43
53.53
241.05
53.55
462.17
53.53
53.53
188.61
314.35
27.12
5.24
15.69
9.51
178.55
357.11
178.55
357.11
178.55
362.55
1,202.97
523.70
1,785.71
996.65
1,185.51
8.446000
20.282000
1.386400
39.615833
66.117500
30.990000
27.000833
30.990000
45.951000
27.470000
25.246000
23.941000
53.170000
47.882000
30.990000
26.988333
30.990000
45.035833
53.530000
45.035833
53.530000
48.210000
53.550000
46.217000
53.530000
53.530000
18.861000
31.435000
27.120000
5.240000
15.690000
9.510000
35.710000
35.711000
35.710000
35.711000
35.710000
36.255000
48.118800
52.370000
178.571000
996.650000
118.551000
8.446000
20.282000
1.386400
28.729200
54.043000
28.729200
27.000833
28.729200
28.729200
27.470000
25.246000
23.941000
28.729200
28.729200
28.729200
26.988333
28.729200
45.035833
53.530000
45.035833
53.530000
48.210000
53.550000
46.217000
53.530000
53.530000
11.412000
18.828000
18.828000
5.240000
15.690000
9.510000
35.710000
35.711000
35.710000
35.711000
35.710000
36.255000
42.852000
42.852000
178.571000
996.650000
118.551000

P9.2: TRANSPLANT DE CORD
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
CLIVARIN (R) 1432UI/0,25 ml SOL. INJ.

CLIVARIN (R) 3436 UI/0,6 ml SOL. INJ.
ADRENALINA 1 mg
SOL. INJ.
TAZOCIN 2,25
LIOF. PT. SOL. INJ.
TAZOCIN 4,5
LIOF. PT. SOL. INJ.
PERASIN 2g/0,25 g
BACTACIN 2 g/0,25 g
B01AB08
B01AB08
C01CA24
REVIPARINUM
REVIPARINUM
EPINEPHRINUM

ZOPECILIN 4 g/0,5 g

J01CR05

BACTACIN 4 g/0,5 g
PERASIN 4g/0,5 g
MEDOCEF 1 g
MEDOCEF 2 g
LYZONE 2 g
CEFOZON 500 mg
CEFOZON 2 g
CEFOZON 1 g
CILOPEN 500mg/500mg
CILOPEN 500mg/500mg
CILOPEN 500mg/500mg
CILOPEN 500mg/500mg

J01DD12
J01DD12
J01DD12
J01DD12
J01DD12
J01DD12
J01DH51
J01DH51
J01DH51
J01DH51
J01DH51
J01DH51
J01DH51
J01DH51
J01XX08
J01XX08
J01XX08
CEFOPERAZONUM
CEFOPERAZONUM
CEFOPERAZONUM
CEFOPERAZONUM
CEFOPERAZONUM
CEFOPERAZONUM
LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM

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.
TIENAM I.V.
TIENAM I.V.
ZYVOXID (R)
ZYVOXID (R)

3436ui/0,6ml ABBOTT GMBH&CO.KG GERMANIA CUTIE X 1 BLIST X 5 SERINGI PREUMPLUTE UNIDOZA X 0,60 ML S/P-RF
1mg/ml
TERAPIA SA
ROMANIA CUTIE X 100 FIOLE X 1 ML
S
FARA CONCENTRATIE WYETH LEDERLE PHARMA GMBH AUSTRIA CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ. S/P-RF
FARA CONCENTRATIE
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
1g
2g
2g
500mg
2g
1g
ANTIBIOTICE S.A.
MYLAN S.A.S.
MAREA BRITANIE
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
FRANTA
ISLANDA
TERAPIA SA
ROMANIA
ISLANDA
ROMANIA
ROMANIA
MYLAN S.A.S.
FRANTA
ROMANIA
ROMANIA
ROMANIA
TERAPIA SA
ANTIBIOTICE S.A.

CUTIE X 10 FLAC. PULB. PT. SOL. INJ.

CUTIE X 10 FLAC. PULB. PT. SOL. INJ.
S/P-RF
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S/P-RF
S/P-RF
ROMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. S/P-RF

E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. INJ. S/P-RF
E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA A 20 ML CU PULB. PT. SOL. INJ./PERF. I.M./I.V. S/P-RF
S/P-RF
500mg/500mg TERAPIA SA
ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF. S/P-RF
500mg/500mg HOSPIRA UK LIMITED MAREA BRITANIE
PR
500mg/500mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. S/P-RF
500mg/500mg MERCK SHARP & DOHME ROMANIA TAVA DIN PLASTIC X 25 FLAC. DIN STICLA INCOLORA CU PULB.PT. SOL. PERF. S/P-RF
500mg/500mg MERCK SHARP & DOHME ROMANIA TAVA DIN PLASTIC X 10 FLAC. DIN STICLA INCOLORA CU PULB.PT. SOL. PERF. S/P-RF
CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 15 ML CU PULB. PT. SOL. INJ. I.M./PERF. I.V.
COMPR. FILM. 600mg
MAREA BRITANIE
P-RF
100mg/5ml
SOL. PERF. 2mg/ml
MAREA BRITANIE
P-RF
ROMANIA
PRF
Pagina 38 din 56
Grupa
Nr.
terape
crt
utica
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
J01XX08
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
Denumire generica
LINEZOLIDUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
Denumire comerciala
ZYVOXID (R)
FUNGOLON 100 mg
DIFLAZON 100 mg
FLUCORIC 100 mg
FLUCOVIM 100


FLUCONAZOL 150 mg
MYCOMAX 150
DIFLAZON 150 mg
FLUCOVIM 150
DIFLUCAN 150 mg
FLUCORIC 150 mg
MYCOSYST 150 mg
FLUCONAZOL 150 mg
FLUCONAZOL 50 mg
DIFLAZON 50 mg
FLUCOVIM 50
FUNGOLON 50 mg
DIFLUCAN 50 mg
FLUCORIC 50 mg
FLUCONAZOL 50 mg
MYCOMAX INF 2mg/ml
MYCOMAX INF 2mg/ml
DIFLUCAN (R)
DIFLUCAN (R)
MYCOMAX INF 2mg/ml
Forma
Concentrati
farmaceutic
e / U.T.
a
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.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
FLUCONAZOL BIOGALENICA 2mg/ml SOL. PERF.
DIFLAZON 2mg/ml
SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
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
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
2mg/ml
2mg/ml
2mg/ml
Firma
Tara
Ambalaj
MAREA BRITANIE

KRKA D.D.
Prescriptie
S
P-RF
P-RF
P-RF
P-RF
TERAPIA SA
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 BLIST. PVC-PVDC/AL X 1 CAPS.
P-RF
ROMANIA
ROMPHARM COMPANY S.R.L. ROMANIA
OZONE LABORATORIES PHARMA S.A. ROMANIA
P-RF
CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA
P-RF
P-RF
PRF

P-RF

CEHIA
P-RF

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

P-RF
P-RF
P-RF
P-RF
SANDOZ SRL
ZENTIVA K.S.
KRKA D.D.
GERMANIA
MAREA BRITANIE
TERAPIA SA
ROMANIA
ANTIBIOTICE S.A.
ROMANIA
KRKA D.D.
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

MAREA BRITANIE
P-RF
TERAPIA SA
SANDOZ SRL
SLAVIA PHARM SRL
ARENA GROUP SA

P-RF
MAREA BRITANIE
P-RF
ZENTIVA K.S.
ZENTIVA K.S.
REPUBLICA CEHA
REPUBLICA CEHA
MAREA BRITANIE
MAREA BRITANIE
ROMANIA
ROMANIA
ROMANIA
ZENTIVA K.S.
REPUBLICA CEHA
ROMANIA

ROMANIA
P-RF
P-RF
P-RF
P-RF
S
S
S/P-RF
S/P-RF
S
S
S
P-RF
Pagina 39 din 56
S/PR-F
cant/
amba
laj
10
16
28
2
7
7
4
1
1
1
1
1
1
1
1
1
1
1
1
1
1
4
1
1
7
10
7
7
7
7
7
8
7
7
7
7
7
7
7
1
1
1
1
1
25
1
10
1
20
25
1
10
1
1
1
Pret cu
ridicata
maximal /
ambalaj
1,603.26
65.37
193.65
6.98
23.31
33.15
18.95
6.07
7.44
6.68
7.35
9.57
7.35
10.79
9.27
16.65
4.88
7.35
18.56
13.95
4.88
48.24
7.16
6.68
30.10
18.88
47.19
16.69
11.95
16.69
11.66
14.09
12.35
16.69
43.23
21.91
32.06
14.49
14.15
43.23
30.54
137.44
133.17
30.99
781.76
81.95
761.71
42.66
631.41
443.47
34.28
330.71
40.63
35.03
18.84
Pret cu ridicata
maximal / U.T.
160.326000
4.085625
6.916071
3.490000
3.330000
4.735714
4.737500
6.070000
7.440000
6.680000
7.350000
9.570000
7.350000
10.790000
9.270000
16.650000
4.880000
7.350000
18.560000
13.950000
4.880000
12.060000
7.160000
6.680000
4.300000
1.888000
6.741428
2.384285
1.707142
2.384285
1.665714
1.761250
1.764285
2.384285
6.175714
3.130000
4.580000
2.070000
2.021428
43.230000
30.540000
137.440000
133.170000
30.990000
31.270400
81.950000
76.171000
42.660000
31.570500
17.738800
34.280000
33.071000
40.630000
35.030000
18.840000
Pret cu ridicata
maximal de
decontare / U.T.
126.314400
3.996000
3.996000
3.490000
3.330000
3.996000
3.996000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
4.880000
5.856000
5.856000
5.856000
4.880000
5.856000
5.856000
5.856000
4.300000
1.888000
1.998857
1.998857
1.707142
1.998857
1.665714
1.761250
1.764285
1.998857
1.998857
1.998857
1.998857
1.998857
1.998857
43.230000
21.286560
91.405200
91.405200
21.286560
31.270400
81.950000
76.171000
37.524480
31.570500
17.738800
34.280000
33.071000
37.524480
35.030000
18.840000
Pret cu
maximal / U.T.
/ U.T.
maximal /
ambalaj
1,785.71
82.66
236.41
9.43
31.51
43.36
25.61
8.20
10.06
9.03
9.94
12.94
9.94
14.58
12.53
22.51
6.59
9.94
25.08
18.86
6.59
63.10
9.68
9.03
39.37
25.52
61.72
22.56
16.15
22.56
15.76
19.04
16.69
22.56
56.54
29.61
41.93
19.58
19.12
56.54
39.95
167.79
162.58
40.53
890.27
103.62
868.42
55.80
726.39
521.53
44.84
398.62
53.14
45.82
25.47
178.571000
5.166250
8.443214
4.715000
4.501428
6.194285
6.402500
8.200000
10.060000
9.030000
9.940000
12.940000
9.940000
14.580000
12.530000
22.510000
6.590000
9.940000
25.080000
18.860000
6.590000
15.775000
9.680000
9.030000
5.624285
2.552000
8.817142
3.222857
2.307142
3.222857
2.251428
2.380000
2.384285
3.222857
8.077142
4.230000
5.990000
2.797142
2.731428
56.540000
39.950000
167.790000
162.580000
40.530000
35.610800
103.620000
86.842000
55.800000
36.319500
20.861200
44.840000
39.862000
53.140000
45.820000
25.470000
142.261200
5.166250
5.401714
4.715000
4.501428
5.401714
5.401714
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
6.590000
7.908000
7.908000
7.908000
6.590000
7.908000
7.908000
7.908000
5.624285
2.552000
2.701714
2.701714
2.307142
2.701714
2.251428
2.380000
2.384285
2.701714
2.701714
2.701714
2.701714
2.701714
2.701714
56.540000
25.033440
104.210400
104.210400
25.033440
35.610800
103.620000
86.842000
42.732960
36.319500
20.861200
42.732960
39.862000
42.732960
42.732960
25.033440
Grupa
Nr.
terape
crt
utica
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC03
J02AC03
J02AC03
J02AC03
J05AB14
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
Denumire generica
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
VALGANCICLOVIRUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
Denumire comerciala
Forma
Concentrati
farmaceutic
e / U.T.
a

FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF.
VFEND 200mg
COMPR. FILM.
VFEND 50mg
COMPR. FILM.
VFEND 200mg
VFEND 40 mg/ml
VALCYTE (R) 450 mg
COMPR. FILM.
CELLCEPT 250mg
CAPS.
CELLCEPT 500mg
COMPR. FILM.
MYFORTIC 180 mg
MYFORTIC 360 mg
MYFENAX 250mg

COMPR. FILM.
CAPS.
CAPS.
CAPS.
COMPR.

ARZIP 500 mg

MYFENAX 500mg
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
EQUORAL (R) 100 mg

EQUORAL (R) 25 mg
CICLORAL 25 mg
EQUORAL (R) 50 mg
CICLORAL 50 mg
EQUORAL (R)
TACNI 0,5 mg
PROGRAF (R) 0,5 mg
TACROLIMUSUM ACCORD 0,5 mg
TACROLIMUS SANDOZ 0,5 mg
TACNI 1 mg
PROGRAF (R) 1 mg
TACROLIMUSUM ACCORD 1 mg
TACNI 5 mg
PROGRAF (R) 5 mg
ADVAGRAF 0,5mg
ADVAGRAF 1mg
ADVAGRAF 5mg
PROGRAF (R) 5 mg/ml
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
SOL. ORALA
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
200mg
50mg
200mg
40mg/ml
450mg
250mg
500mg
500mg
180mg
360mg
250 mg
250mg
250mg
500mg
500 mg
500mg
500mg
500mg
500mg
100mg
25mg
25mg
25mg
50mg
50mg
50mg
100mg/ml
0,5 mg
0,5mg
0,5mg
0,5mg
1 mg
1mg
1mg
1mg
5 mg
5mg
0,5mg
1mg
5mg
5mg/ml
Firma
Tara
Ambalaj
ROMANIA
ROMANIA

PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
Prescriptie
S
S
S
S
S
S
S
MAREA BRITANIE
MAREA BRITANIE
P-RF
MAREA BRITANIE
P-RF
MAREA BRITANIE
P-RF
P-RF
P-RF
MAREA BRITANIE
MAREA BRITANIE

UNGARIA
P-RF/R
S/P-RF
S/P-RF
P-RF/R
P-RF/R
TEVA PHARMA BV
P-RF/R
P-RF/R
SANDOZ S.R.L.
TERAPIA S.A.
ZENTIVA K.S.
ROMANIA
ROMANIA
P-RF
REPUBLICA CEHA
PR
PR
ISLANDA
OLANDA
P-RF/R
TEVA PHARMA BV
P-RF/R
ROMANIA
CEHIA
CEHIA

HEXAL AG
CEHIA

S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
HEXAL AG
S/P-RF
CEHIA
S/P-RF
ROMANIA
PRF
OLANDA
S/P-RF
SANDOZ S.R.L.
ROMANIA
ROMANIA
OLANDA
S/P-RF
PRF
S/P-RF
SANDOZ S.R.L.
ROMANIA
ROMANIA
OLANDA
PRF
S/P-RF
OLANDA
S/P-RF
P-RF/R
P-RF/R
P-RF/R
Pret cu
ridicata
maximal /
ambalaj
Pret cu ridicata
maximal / U.T.
10
20
20
10
20
10
10
28
28
1
1
60
100
50
50
120
120
100
100
100
50
50
50
50
50
50
50
50
50
50
50
50
50
1
50
50
50
50
50
50
50
50
50
50
50
50
50
10
181.93
360.77
362.55
454.59
796.39
770.66
182.90
3,559.23
912.09
458.07
2,203.52
4,863.09
452.86
452.86
292.89
557.65
1,041.93
291.62
302.31
292.89
227.17
302.36
272.59
272.59
302.31
272.59
397.39
74.45
112.48
112.61
155.55
239.32
250.01
358.02
133.49
205.39
133.49
133.49
238.62
363.74
238.62
238.62
1,114.65
1,715.18
204.92
402.53
1,865.58
1,545.19
18.193000
18.038500
18.127500
45.459000
39.819500
77.066000
18.290000
127.115357
32.574642
458.070000
2,203.520000
81.051500
4.528600
9.057200
5.857800
4.647083
8.682750
2.916200
3.023100
2.928900
4.543400
6.047200
5.451800
5.451800
6.046200
5.451800
7.947800
1.489000
2.249600
2.252200
3.111000
4.786400
5.000200
358.020000
2.669800
4.107800
2.669800
2.669800
4.772400
7.274800
4.772400
4.772400
22.293000
34.303600
4.098400
8.050600
37.311600
154.519000
18.193000
18.038500
18.127500
37.524480
37.524480
77.066000
18.290000
127.115357
32.574642
458.070000
2,203.520000
81.051500
3.499440
5.452080
5.452080
4.647083
8.682750
2.916200
3.023100
2.928900
4.543400
5.452080
5.451800
5.451800
5.452080
5.451800
7.947800
1.489000
1.786800
1.786800
3.111000
3.733200
3.733200
358.020000
2.669800
3.203760
2.669800
2.669800
4.772400
5.726880
4.772400
4.772400
22.293000
26.751600
3.203760
5.726880
26.751600
154.519000
222.10
431.39
433.33
533.65
906.22
878.17
223.28
3,917.72
1,032.33
537.45
2,439.99
5,338.93
531.77
531.77
357.56
645.99
1,173.85
356.01
367.67
357.56
277.33
367.72
332.78
332.78
367.67
332.78
471.31
94.13
137.32
137.48
189.90
292.16
305.21
428.39
162.97
250.74
162.97
162.97
291.31
434.63
291.31
291.31
1,253.12
1,907.70
250.17
476.91
2,071.63
1,722.41
22.210000
21.569500
21.666500
53.365000
45.311000
87.817000
22.328000
139.918571
36.868928
537.450000
2,439.990000
88.982166
5.317700
10.635400
7.151200
5.383250
9.782083
3.560100
3.676700
3.575600
5.546600
7.354400
6.655600
6.655600
7.353400
6.655600
9.426200
1.882600
2.746400
2.749600
3.798000
5.843200
6.104200
428.390000
3.259400
5.014800
3.259400
3.259400
5.826200
8.692600
5.826200
5.826200
25.062400
38.154000
5.003400
9.538200
41.432600
172.241000
22.210000
21.569500
21.666500
42.732960
42.732960
87.817000
22.328000
139.918571
36.868928
537.450000
2,439.990000
88.982166
4.272120
6.655920
6.655920
5.383250
9.782083
3.560100
3.676700
3.575600
5.546600
6.655920
6.655600
6.655600
6.655920
6.655600
9.426200
1.882600
2.259120
2.259120
3.798000
4.557600
4.557600
428.390000
3.259400
3.911280
3.259400
3.259400
5.826200
6.991440
5.826200
5.826200
25.062400
30.074880
3.911280
6.991440
30.074880
172.241000
50
100
54.39
98.29
1.087800
0.982900
1.087800
0.982900
68.77
124.28
1.375400
1.242800
1.375400
1.242800
cant/
amba
laj
Pret cu ridicata
maximal de
decontare / U.T.
Pret cu
maximal / U.T.
/ U.T.
maximal /
ambalaj

P9.3: TRANSPLANT HEPATIC
1
2
A05AA02
A05AA02
ACIDUM URSODEOXYCHOLICUM URSOSAN

ACIDUM URSODEOXYCHOLICUM URSOFALK (R)
CAPS.
CAPS.
250mg
250mg
CEHIA
DR. FALK PHARMA GMBH GERMANIA

Pagina 40 din 56
P-6L
P-6L/S
Grupa
Nr.
terape
crt
utica
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
A05AA02
A05AA02
A05AA02
B01AB05
B01AB05
B01AB05
B01AB05
B01AB08
Denumire generica
ENOXAPARINUM
ENOXAPARINUM
ENOXAPARINUM
ENOXAPARINUM
REVIPARINUM
REVIPARINUM
ILOPROSTUM**
ILOPROSTUM**
ALTEPLASUM**
Denumire comerciala
URSOFALK (R)
URSOCHOL 150 mg
URSOCHOL 300 mg
CLEXANE 2000ui anti-Xa/0,2ml
Forma
Concentrati
farmaceutic
e / U.T.
a
CAPS.
COMPR.
COMPR.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.

ILOMEDIN 20
VENTAVIS 10mcg/ml
ACTILYSE
PULB+SOLV. PT. SOL. INJ
EXACYL
SOL. INJ.
NOVOSEVEN 2mg (100 KUI) PULB. + SOLV. PT. SOL. INJ.
DIUREX 50
CAPS.
MINIRIN 0,2 mg
COMPR.
DESMOPRESINA TEVA 0,2mg COMPR.
MINIRIN MELT 120 mcg
LIOF. ORAL
MINIRIN MELT 60 mcg
LIOF. ORAL
TAZOCIN 2,25
LIOF. PT. SOL. INJ.
TAZOCIN 4,5
LIOF. PT. SOL. INJ.
PERASIN 2g/0,25 g
BACTACIN 2 g/0,25 g
B01AB08
B01AC11
B01AC11
B01AD02
B02AA02
B02BD08
B02BD08
B02BD08
C03EB01 COMBINATII (SPIRONOLACTONUM+FUROSEMIDUM)

H01BA02
H01BA02
H01BA02
H01BA02
DESMOPRESSINUM
DESMOPRESSINUM
DESMOPRESSINUM
DESMOPRESSINUM

SOL. DE INHALAT PRIN NEBULIZ.
ZOPECILIN 4 g/0,5 g

J01CR05

BACTACIN 4 g/0,5 g
PERASIN 4g/0,5 g
ZYVOXID (R)
ZYVOXID (R)
ZYVOXID (R)
VFEND 200mg
VFEND 50mg
VFEND 200mg
VFEND 40 mg/ml
CANCIDAS 50 mg
CANCIDAS 70 mg
VALCYTE (R) 450 mg
J01XX08
J01XX08
J01XX08
J01XX08
J02AC03
J02AC03
J02AC03
J02AC03
J02AX04
J02AX04
J05AB14
LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
CASPOFUNGINUM**
CASPOFUNGINUM**
VALGANCICLOVIRUM**

COMPR. FILM.
SOL. PERF.
SOL. PERF.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
250mg
150mg
300mg
2000ui anti-Xa/0,2ml
Firma
Tara
P-6L
P-6L
3436ui/0,6ml
20mcg/ml
10mcg/ml
50mg
500mg/5ml
100 KIU
250 KIU
50 KIU
50mg/20mg
0,2mg
0,2mg
120mcg
60mcg
Prescriptie
ITALIA
ITALIA
FRANTA CUTIE X 10 SERINGI PREUMPLUTE X 0,2 ML SOL. INJ.
FRANTA CUTIE X 10 SERINGI PREUMPLUTE X 0.4 ML SOL. INJ.
ZAMBON S.P.A.
ZAMBON S.P.A.
LAB. AVENTIS
LAB. AVENTIS
LAB. AVENTIS
LAB. AVENTIS
Ambalaj
P-6L
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
GERMANIA
CUTIE X 5 FIOLE STICLA INCOLORA X 1 ML CONC. PT. SOL. PERFZ.
S/P-RF
GERMANIA
CUTIE X 30 FIOLE X 1 ML SOL. DE INHALAT PRIN NEBULIZ.
GERMANIA
CUTIE X 1 FLAC. LIOF. PT. SOL. INJ. + 1 FLACON SOLV. + CANULA DE TRANSFER
CN UNIFARM
NOVO NORDISK A/S DANEMARCA CUTIE X 1 FLAC. PULB. PT. SOL. INJ. + 1 FLAC. SOLV. PT. RECONSTITUIRE
TERAPIA SA
FERRING GMBH
GERMANIA CUTIE X 1 FLAC. DIN PEID X 30 COMPR.
S
S
X
P-RF/R
P-RF/R
P-RF/R
P-6L
P-RF
ROMANIA
CUTIE CU BLIST. OPA-AL- PVC/AL X 30 COMPR.
P-RF
FERRING GMBH
FERRING GMBH
GERMANIA
CUTIE X 3 BLIST. AL/AL X 10 UNITATI DOZATE LIOF. ORAL
P-RF
GERMANIA
CUTIE X 3 BLIST AL/AL X 10 UNITATI DOZATE LIOF. ORAL P-RF
FARA CONCENTRATIE
S/P-RF
FARA CONCENTRATIE
MAREA BRITANIE
S/P-RF
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
600mg
100mg/5ml
2mg/ml
2mg/ml
200mg
50mg
200mg
40mg/ml
50mg
70mg
450mg
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
MAREA BRITANIE
P-RF
MAREA BRITANIE
P-RF
ROMANIA
PRF
MAREA BRITANIE
ANTIBIOTICE S.A.
MYLAN S.A.S.
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
FRANTA
ISLANDA
TERAPIA SA
ROMANIA
ISLANDA

ROMANIA
ROMANIA
MYLAN S.A.S.
FRANTA
TERAPIA SA
ANTIBIOTICE S.A.
ROMANIA
ROMANIA
ROMANIA


S
P-RF
P-RF
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
MAREA BRITANIE

MAREA BRITANIE
P-RF
MAREA BRITANIE
P-RF
MERCK SHARP & DOHME
MAREA BRITANIE
MERCK SHARP & DOHME
MAREA BRITANIE
MAREA BRITANIE
Pagina 41 din 56
S
S
P-RF
cant/
amba
laj
Pret cu
ridicata
maximal /
ambalaj
Pret cu ridicata
maximal / U.T.
Pret cu ridicata
maximal de
decontare / U.T.
Pret cu
maximal / U.T.
/ U.T.
maximal /
ambalaj
50
56.54
1.130800
1.130800
71.49
1.429800
1.429800
60
41.43
0.690500
0.690500
54.19
0.903166
0.903166
20
27.43
1.371500
1.371500
35.88
1.794000
1.794000
10
57.68
5.768000
5.768000
72.93
7.293000
7.293000
10
118.41
11.841000
11.841000
144.56
14.456000
14.456000
10
153.90
15.390000
15.390000
187.88
18.788000
18.788000
2
39.90
19.950000
19.950000
52.19
26.095000
26.095000
8.446000
8.446000
10
66.80
6.680000
6.680000
84.46
5
80.20
16.040000
16.040000
101.41
20.282000
20.282000
5
764.66
152.932000
152.932000
871.63
174.326000
174.326000
30 1,947.00
64.900000
64.900000 2,160.38
72.012666
72.012666
1 1,490.89 1,490.890000 1,490.890000 1,663.22 1,663.220000 1,663.220000
5
9.47
1.894000
1.894000
12.80
2.560000
2.560000
1 5,431.43 5,431.430000 5,431.430000 5,958.41 5,958.410000 5,958.410000
1 13,793.54 13,793.540000 13,793.540000 15,073.11 15,073.110000 15,073.110000
1 2,730.72 2,730.720000 2,730.720000 3,014.63 3,014.630000 3,014.630000
20
17.25
0.862500
0.862500
23.31
1.165500
1.165500
30
95.42
3.180666
3.180666
120.65
4.021666
4.021666
30
105.26
3.508666
3.508666
128.50
4.283333
4.283333
30
151.92
5.064000
5.064000
185.47
6.182333
6.182333
30
77.57
2.585666
2.585666
98.08
3.269333
3.269333
12
401.14
33.428333
23.533200
475.39
39.615833
28.729200
12
692.90
57.741666
46.081000
793.41
66.117500
54.043000
22.93
22.930000
22.930000
30.99
30.990000
28.729200
1
12
265.41
22.117500
22.117500
324.01
27.000833
27.000833
1
22.93
22.930000
22.930000
30.99
30.990000
28.729200
10
386.57
38.657000
23.533200
459.51
45.951000
28.729200
1
20.32
20.320000
20.320000
27.47
27.470000
27.470000
5
99.83
19.966000
19.966000
126.23
25.246000
25.246000
10
196.11
19.611000
19.611000
239.41
23.941000
23.941000
1
40.65
40.650000
23.533200
53.17
53.170000
28.729200
5
196.11
39.222000
23.533200
239.41
47.882000
28.729200
1
22.93
22.930000
22.930000
30.99
30.990000
28.729200
12
265.28
22.106666
22.106666
323.86
26.988333
26.988333
1
22.93
22.930000
22.930000
30.99
30.990000
28.729200
12
460.81
38.400833
38.400833
540.43
45.035833
45.035833
1
40.93
40.930000
40.930000
53.53
53.530000
53.530000
12
460.81
38.400833
38.400833
540.43
45.035833
45.035833
1
40.93
40.930000
40.930000
53.53
53.530000
53.530000
5
197.45
39.490000
39.490000
241.05
48.210000
48.210000
1
40.94
40.940000
40.940000
53.55
53.550000
53.550000
10
389.01
38.901000
38.901000
462.17
46.217000
46.217000
1
40.93
40.930000
40.930000
53.53
53.530000
53.530000
1
40.93
40.930000
40.930000
53.53
53.530000
53.530000
10 1,603.26
160.326000
160.326000 1,785.71
178.571000
178.571000
1
879.36
879.360000
879.360000
996.65
996.650000
996.650000
10 1,052.62
105.262000
105.262000 1,185.51
118.551000
118.551000
10 1,603.26
160.326000
126.314400 1,785.71
178.571000
142.261200
28 3,559.23
127.115357
127.115357 3,917.72
139.918571
139.918571
28
912.09
32.574642
32.574642 1,032.33
36.868928
36.868928
1
458.07
458.070000
458.070000
537.45
537.450000
537.450000
1 2,203.52 2,203.520000 2,203.520000 2,439.99 2,439.990000 2,439.990000
1 1,202.39 1,202.390000 1,202.390000 1,348.76 1,348.760000 1,348.760000
1 1,560.14 1,560.140000 1,560.140000 1,738.70 1,738.700000 1,738.700000
60 4,863.09
81.051500
81.051500 5,338.93
88.982166
88.982166
Grupa
Nr.
terape
crt
utica
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
Denumire generica
J06BB04 IMUNOGLOBULINA ANTI-HEPATITICA B**

J06BB04 IMUNOGLOBULINA ANTI-HEPATITICA B**
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
FILGRASTIMUM (G-CSF)
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
Denumire comerciala
ZUTECTRA
HEPATECT CP 50 UI/ml
NEUPOGEN (R)
NEUPOGEN (R)
ZARZIO 30MU/0,5ml
ZARZIO 48MU/0,5ml
CELLCEPT 250mg
CELLCEPT 500mg
MYFORTIC 180 mg
MYFORTIC 360 mg
MYFENAX 250mg

Forma
Concentrati
farmaceutic
e / U.T.
a
500 UI
SOL. PERF. 50 UI/ ml
SOL. INJ.
30MU/0,5ml
SOL. INJ.
48MU/0,5ml
60MU/ml
96MU/ml
SOL. INJ./PERF. 120g/0,2ml
SOL INJ. IN SERINGA PRE-UMPLUTA
SOL. INJ./PERF.
CAPS.
ARZIP 500 mg

MYFENAX 500mg
L04AA10
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
SIROLIMUS**
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
RAPAMUNE 1mg
EQUORAL (R) 100 mg
EQUORAL (R) 25 mg
CICLORAL 25 mg
EQUORAL (R) 50 mg
CICLORAL 50 mg
EQUORAL (R)
TACNI 0,5 mg
PROGRAF (R) 0,5 mg
TACNI 1 mg
PROGRAF (R) 1 mg
TACNI 5 mg
PROGRAF (R) 5 mg
ADVAGRAF 0,5mg
ADVAGRAF 1mg
ADVAGRAF 5mg
PROGRAF (R) 5 mg/ml
CUTIE CU 5 SERINGI PREUMPLUTE DIN STICLA A CATE 500 UI AMBALATE N BLISTERE
PRF
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 40 ML SOL. PERF. (2000UI)
PR

SANDOZ GMBH
SANDOZ GMBH
AUSTRIA
AUSTRIA
HOSPIRA UK LIMITED
COMPR. FILM.
COMPR. FILM.
CAPS.
CAPS.
CAPS.
COMPR.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
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.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
480g/0,5ml
250mg
500mg
500mg
180mg
360mg
250 mg
250mg
250mg
500mg
500 mg
500mg
500mg
500mg
500mg
1mg
100mg
25mg
25mg
25mg
50mg
50mg
50mg
100mg/ml
0,5 mg
0,5mg
0,5mg
0,5mg
1 mg
1mg
1mg
1mg
5 mg
5mg
0,5mg
1mg
5mg
5mg/ml
Prescriptie
S/P-RF
S/P-RF
P-RF/R
P-RF/R

SOL. INJ./PERF.
Ambalaj

Tara
Firma
P-RF
S/P-RF/R
P-RF
S/P-RF/R
HOSPIRA UK LIMITED
MAREA BRITANIE
MAREA BRITANIE

UNGARIA
P-RF/R
S/P-RF
S/P-RF
P-RF
P-RF/R
P-RF/R
TEVA PHARMA BV
P-RF/R
P-RF/R
SANDOZ S.R.L.
TERAPIA S.A.
ZENTIVA K.S.
ROMANIA
ROMANIA
P-RF
REPUBLICA CEHA
PR
PR
ISLANDA
OLANDA
P-RF/R
TEVA PHARMA BV
P-RF/R
ROMANIA
WYETH EUROPA LTD.
MAREA BRITANIE
CEHIA
CEHIA


HEXAL AG
CEHIA

P-RF/R
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
HEXAL AG
S/P-RF
CEHIA
S/P-RF
ROMANIA
PRF
OLANDA
S/P-RF
SANDOZ S.R.L.
ROMANIA
ROMANIA
OLANDA
S/P-RF
PRF
S/P-RF
SANDOZ S.R.L.
ROMANIA
ROMANIA
OLANDA
PRF
S/P-RF
OLANDA
S/P-RF
P-RF/R
P-RF/R
P-RF/R
Pret cu
ridicata
maximal /
ambalaj
Pret cu ridicata
maximal / U.T.
5
1
1
1
1
1
5
1
5
1
5
100
50
50
120
120
100
100
100
50
50
50
50
50
50
30
50
50
50
50
50
50
50
1
50
50
50
50
50
50
50
50
50
50
50
50
50
10
9,205.00
4,477.57
267.05
436.57
162.10
260.91
418.45
214.16
1,001.12
355.90
1,656.30
452.86
452.86
292.89
557.65
1,041.93
291.62
302.31
292.89
227.17
302.36
272.59
272.59
302.31
272.59
489.29
397.39
74.45
112.48
112.61
155.55
239.32
250.01
358.02
133.49
205.39
133.49
133.49
238.62
363.74
238.62
238.62
1,114.65
1,715.18
204.92
402.53
1,865.58
1,545.19
1,841.000000
4,477.570000
267.050000
436.570000
162.100000
260.910000
83.690000
214.160000
200.224000
355.900000
331.260000
4.528600
9.057200
5.857800
4.647083
8.682750
2.916200
3.023100
2.928900
4.543400
6.047200
5.451800
5.451800
6.046200
5.451800
16.309666
7.947800
1.489000
2.249600
2.252200
3.111000
4.786400
5.000200
358.020000
2.669800
4.107800
2.669800
2.669800
4.772400
7.274800
4.772400
4.772400
22.293000
34.303600
4.098400
8.050600
37.311600
154.519000
50
100
54.39
98.29
1.087800
0.982900
cant/
amba
laj
Pret cu ridicata
maximal de
decontare / U.T.
Pret cu
maximal / U.T.
/ U.T.
maximal /
ambalaj
1,841.000000 10,071.60
4,477.570000 4,918.70
194.520000
326.02
313.092000
514.01
162.100000
197.89
260.910000
318.52
83.690000
494.26
194.520000
261.45
194.520000 1,129.37
313.092000
426.08
313.092000 1,843.52
3.499440
531.77
5.452080
531.77
5.452080
357.56
4.647083
645.99
8.682750 1,173.85
2.916200
356.01
3.023100
367.67
2.928900
357.56
4.543400
277.33
5.452080
367.72
5.451800
332.78
5.451800
332.78
5.452080
367.67
5.451800
332.78
16.309666
571.48
7.947800
471.31
1.489000
94.13
1.786800
137.32
1.786800
137.48
3.111000
189.90
3.733200
292.16
3.733200
305.21
358.020000
428.39
2.669800
162.97
3.203760
250.74
2.669800
162.97
2.669800
162.97
4.772400
291.31
5.726880
434.63
4.772400
291.31
4.772400
291.31
22.293000 1,253.12
26.751600 1,907.70
3.203760
250.17
5.726880
476.91
26.751600 2,071.63
154.519000 1,722.41
2,014.320000
4,918.700000
326.020000
514.010000
197.890000
318.520000
98.852000
261.450000
225.874000
426.080000
368.704000
5.317700
10.635400
7.151200
5.383250
9.782083
3.560100
3.676700
3.575600
5.546600
7.354400
6.655600
6.655600
7.353400
6.655600
19.049333
9.426200
1.882600
2.746400
2.749600
3.798000
5.843200
6.104200
428.390000
3.259400
5.014800
3.259400
3.259400
5.826200
8.692600
5.826200
5.826200
25.062400
38.154000
5.003400
9.538200
41.432600
172.241000
2,014.320000
4,918.700000
237.468000
382.224000
197.890000
318.520000
98.852000
237.468000
225.874000
382.224000
368.704000
4.272120
6.655920
6.655920
5.383250
9.782083
3.560100
3.676700
3.575600
5.546600
6.655920
6.655600
6.655600
6.655920
6.655600
19.049333
9.426200
1.882600
2.259120
2.259120
3.798000
4.557600
4.557600
428.390000
3.259400
3.911280
3.259400
3.259400
5.826200
6.991440
5.826200
5.826200
25.062400
30.074880
3.911280
6.991440
30.074880
172.241000
1.375400
1.242800
1.375400
1.242800

P9.4: TRANSPLANT RENAL combinat RINICHI si PANCREAS
1
2
A05AA02
A05AA02
ACIDUM URSODEOXYCHOLICUM URSOSAN

ACIDUM URSODEOXYCHOLICUM URSOFALK (R)
CAPS.
CAPS.
250mg
250mg
CEHIA

Pagina 42 din 56
P-6L
P-6L/S
1.087800
0.982900
68.77
124.28
Grupa
Nr.
terape
crt
utica
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
A05AA02
A05AA02
A05AA02
A11CC03
A11CC03
A11CC03
A11CC03
A11CC03
A11CC03
B01AB04
B01AB04
B01AB04
B01AB04
B01AB04
B01AB04
B01AB04
B01AB04
B01AB05
B01AB05
B01AB05
B01AB05
B01AB08
B01AB08
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
H01CB02
H01CB02
H01CB02
H01CB02
Denumire generica
ALFACALCIDOLUM
ALFACALCIDOLUM
ALFACALCIDOLUM
ALFACALCIDOLUM
ALFACALCIDOLUM
ALFACALCIDOLUM
DALTEPARINUM
DALTEPARINUM
DALTEPARINUM
DALTEPARINUM
DALTEPARINUM
DALTEPARINUM
DALTEPARINUM
DALTEPARINUM
ENOXAPARINUM
ENOXAPARINUM
ENOXAPARINUM
ENOXAPARINUM
REVIPARINUM
REVIPARINUM
EPOETINUM ALFA
EPOETINUM ALFA
EPOETINUM ALFA
EPOETINUM ALFA
EPOETINUM ALFA
EPOETINUM ALFA
EPOETINUM ALFA
EPOETINUM ALFA
EPOETINUM ALFA
EPOETINUM BETA
EPOETINUM BETA
EPOETINUM BETA
EPOETINUM BETA
EPOETINUM BETA
EPOETINUM BETA
EPOETINUM BETA
OCTREOTIDUM**
OCTREOTIDUM**
OCTREOTIDUM**
OCTREOTIDUM**

Denumire comerciala
URSOFALK (R)
URSOCHOL 150 mg
URSOCHOL 300 mg
ALPHA D3 0,25 mcg
ALPHA D3 0,50 mcg

ONE-ALPHA 2 micrograme/ml
FRAGMIN 10000 UI/0,4 ml
FRAGMIN 10000 UI/ml
FRAGMIN15000 UI/0,6 ml
EPREX 40000 UI/ml
Forma
Concentrati
farmaceutic
e / U.T.
a
CAPS.
COMPR.
COMPR.
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
250mg
150mg
300mg
0,25mcg
0,25g
0,50mcg
0,5g
2micrograme/ml
2micrograme/ml
Firma
Tara
Ambalaj
Prescriptie
ZAMBON S.P.A.
ZAMBON S.P.A.
ITALIA
ITALIA


P-RF
SANDOZ S.R.L.
SANDOZ S.R.L.
LEO PHARMA A/S
LEO PHARMA A/S

10000UI/0,4ml PFIZER EUROPE MA EEIG
MAREA BRITANIE
10000ui/ml
MAREA BRITANIE CUTIE X 2 SUPORTURI TERMOFORMATATE X 5 FIOLE X 1 ML
CUTIE X 5 BLIST. X 1 SERINGA X 0,4 ML SOL. INJ.
P-6L
S
S
S/P-RF
S/P-RF
12500 UI/0,5ml PFIZER EUROPE MA EEIG
MAREA BRITANIE
S/P-RF
15000ui/0,6ml PFIZER EUROPE MA EEIG
MAREA BRITANIE
CUTIE X 5 BLIST. INDIVIDUALE CONTINAND FIECARE 1 SERINGA PREUMPLUTA X 0,6 ML SOL. INJ.
S/P-RF
18000 UI/0,72ml PFIZER EUROPE MA EEIG
MAREA BRITANIE
S/P-RF
MAREA BRITANIE
CUTIE X 10 BLIST. INDIVIDUALE CONTINAND FIECARE 1 SERINGA PREUMPLUTA X 0,2 ML
S/P-RF
MAREA BRITANIE
S/P-RF
MAREA BRITANIE
S/P-RF
LAB. AVENTIS
LAB. AVENTIS
LAB. AVENTIS
LAB. AVENTIS
FRANTA
FRANTA
FRANTA
FRANTA
CUTIE X 10 SERINGI PREUMPLUTE X 0,2 ML SOL. INJ.
S/P-RF
CUTIE X 10 SERINGI PREUMPLUTE X 0.4 ML SOL. INJ.
S/P-RF
S/P-RF
S/P-RF
S/P-RF
2500ui/0,2ml
5000ui/0,2ml
7500ui/0,3ml

GERMANIA
S/P-RF
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
S/P-RF/R
S/P-RF/R
S/P-RF/R
3436ui/0,6ml ABBOTT GMBH&CO.KG

40 000UI/ml JOHNSON & JOHNSON D.O.O.
10000UI/0,6ml
S/P-RF/R
S/P-RF/R
1000UI/0,3ml
2000UI/0,3ml
S/P-RF/R
4000UI/0,3ml
5000UI/0,3ml
500UI/0,3ml
20mg
10mg
30mg
0,1mg/ml
PULB. + SOLV. PT. SUSP. INJ. (I.M.) CU ELIB. PRELU
PULB.+SOLV.PT.SUSP. INJ. (I.M.) CU ELIB. PRELUNG.
PULB.+SOLV.PT.SUSP. INJ. (I.M.) CU ELIB. PRELUNG.
P-RF/R
S/P-RF/R
SLOVENIA
S/P-RF
AUSTRIA
AUSTRIA
AUSTRIA
P-RF/R
S/P-RF/R
S/P-RF/R
MAREA BRITANIE
S/P-RF/R
S/P-RF/R
S/P-RF/R
S/P-RF/R
GERMANIA
CUTIE X 1 FLAC. PULBERE + 1 SERINGA PREUMPLUTA X 2,5 ML SOLVENT + 2 ACE
S/P-RF
GERMANIA
CUTIE X 1 FLAC. PULBERE + 1 SERINGA PREUMPLUTA X 2,5 ML SOLVENT + 2 ACE
S/P-RF
GERMANIA
CUTIE X 1 FLAC. PULB. + 1 SERINGA PREUMPLUTA X 2,5 ML SOLVENT + 2 ACE
S/P-RF
GERMANIA
S/P-RF
SANDOSTATIN LAR 20 mg
SANDOSTATIN (R)
SOL. INJ.
TAZOCIN 2,25
LIOF. PT. SOL. INJ. FARA CONCENTRATIE WYETH LEDERLE PHARMA GMBH
TAZOCIN 4,5
LIOF. PT. SOL. INJ. FARA CONCENTRATIE PFIZER EUROPE MA EEIG
PULB. PT. SOL. INJ./PERF. 2g/0,25g
PERASIN 2g/0,25 g
ANTIBIOTICE S.A.
PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g
PIPERACILINA/TAZOBACTAM MYLAN 2g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g
MYLAN S.A.S.
CUTIE X 1 SERINGA PREUMPLUTA X 0,75ML SOL. INJ.
S/P-RF
S/P-RF
MAREA BRITANIE
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
FRANTA
Pagina 43 din 56
S
S
S
S
S
S
S
S
S
S
cant/
amba
laj
50
60
20
50
30
30
30
10
10
5
10
5
5
5
10
10
10
10
10
10
2
10
5
6
6
6
1
6
1
1
6
6
6
6
6
1
6
6
6
1
1
1
5
12
12
1
12
1
10
1
5
10
1
5
1
Pret cu
ridicata
maximal /
ambalaj
Pret cu ridicata
maximal / U.T.
56.54
41.43
27.43
25.70
28.49
23.23
42.10
203.78
108.79
103.19
218.57
139.97
169.45
192.72
61.36
116.45
166.28
57.68
118.41
153.90
39.90
66.80
80.20
1,550.81
178.92
355.67
688.15
518.88
1,206.71
877.32
682.04
845.15
2,117.84
229.28
447.82
1,042.55
865.04
1,073.53
117.90
3,478.41
2,167.33
4,817.21
125.02
401.14
692.90
22.93
265.41
22.93
386.57
20.32
99.83
196.11
40.65
196.11
22.93
1.130800
0.690500
1.371500
0.514000
0.949666
0.774333
1.403333
20.378000
10.879000
20.638000
21.857000
27.994000
33.890000
38.544000
6.136000
11.645000
16.628000
5.768000
11.841000
15.390000
19.950000
6.680000
16.040000
258.468333
29.820000
59.278333
688.150000
86.480000
1,206.710000
877.320000
113.673333
140.858333
352.973333
38.213333
74.636666
1,042.550000
144.173333
178.921666
19.650000
3,478.410000
2,167.330000
4,817.210000
25.004000
33.428333
57.741666
22.930000
22.117500
22.930000
38.657000
20.320000
19.966000
19.611000
40.650000
39.222000
22.930000
Pret cu ridicata
maximal de
decontare / U.T.
1.130800
0.690500
1.371500
0.514000
0.616800
0.774333
0.929200
20.378000
10.879000
20.638000
21.857000
27.994000
33.890000
38.544000
6.136000
11.645000
16.628000
5.768000
11.841000
15.390000
19.950000
6.680000
16.040000
258.468333
29.820000
59.278333
688.150000
86.480000
1,052.784000
877.320000
113.673333
140.858333
352.973333
38.213333
74.636666
1,042.550000
144.173333
178.921666
19.650000
3,478.410000
2,167.330000
4,817.210000
25.004000
23.533200
46.081000
22.930000
22.117500
22.930000
23.533200
20.320000
19.966000
19.611000
23.533200
23.533200
22.930000
Pret cu
maximal / U.T.
/ U.T.
maximal /
ambalaj
71.49
54.19
35.88
33.62
37.26
31.40
55.07
248.78
132.81
125.97
266.83
170.87
206.87
235.27
77.59
142.16
202.99
72.93
144.56
187.88
52.19
84.46
101.41
1,728.54
218.42
425.83
788.23
603.73
1,353.47
994.43
781.57
959.37
2,346.60
279.91
526.27
1,174.53
981.05
1,208.30
143.93
3,829.62
2,400.54
5,288.92
152.62
475.39
793.41
30.99
324.01
30.99
459.51
27.47
126.23
239.41
53.17
239.41
30.99
1.429800
0.903166
1.794000
0.672400
1.242000
1.046666
1.835666
24.878000
13.281000
25.194000
26.683000
34.174000
41.374000
47.054000
7.759000
14.216000
20.299000
7.293000
14.456000
18.788000
26.095000
8.446000
20.282000
288.090000
36.403333
70.971666
788.230000
100.621666
1,353.470000
994.430000
130.261666
159.895000
391.100000
46.651666
87.711666
1,174.530000
163.508333
201.383333
23.988333
3,829.620000
2,400.540000
5,288.920000
30.524000
39.615833
66.117500
30.990000
27.000833
30.990000
45.951000
27.470000
25.246000
23.941000
53.170000
47.882000
30.990000
1.429800
0.903166
1.794000
0.672400
0.806880
1.046666
1.255999
24.878000
13.281000
25.194000
26.683000
34.174000
41.374000
47.054000
7.759000
14.216000
20.299000
7.293000
14.456000
18.788000
26.095000
8.446000
20.282000
288.090000
36.403333
70.971666
788.230000
100.621666
1,193.316000
994.430000
130.261666
159.895000
391.100000
46.651666
87.711666
1,174.530000
163.508333
201.383333
23.988333
3,829.620000
2,400.540000
5,288.920000
30.524000
28.729200
54.043000
28.729200
27.000833
28.729200
28.729200
27.470000
25.246000
23.941000
28.729200
28.729200
28.729200
Grupa
Nr.
terape
crt
utica
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
Denumire generica
Denumire comerciala
Forma
Concentrati
farmaceutic
e / U.T.
a
Tara
Ambalaj
ISLANDA
BACTACIN 2 g/0,25 g
TERAPIA SA
ROMANIA
ISLANDA

J01XA02
J01XX08
J01XX08
J01XX08
J01XX08
J02AB02
J02AB02
J02AB02
J02AB02
J02AB02
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
TEICOPLANINUM
LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM
KETOCONAZOLUM
KETOCONAZOLUM
KETOCONAZOLUM
KETOCONAZOLUM
KETOCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
2g/0,25g
2g/0,25g
PIPERACILINA/TAZOBACTAN ACTAVIS 4 g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g
ZOPECILIN 4 g/0,5 g
ZOPECILIN 4 g/0,5 g
BACTACIN 4 g/0,5 g
PERASIN 4g/0,5 g
TARGOCID (R) 400 mg
LIOF. + SOLV. PT. SOL. INJ. 400mg
ZYVOXID (R)
COMPR. FILM. 600mg
ZYVOXID (R)
SOL. PERF. 2mg/ml
ZYVOXID (R)
SOL. PERF. 2mg/ml
NIZORAL 200 mg
COMPR.
200mg
KETOCONAZOL 200 mg
COMPR.
200mg
KETOCONAZOL 200 mg
COMPR.
200mg
KETOSTIN 200 mg
COMPR.
200mg
KETOCONAZOL ARENA 200 mg COMPR.
200mg
FUNGOLON 100 mg
CAPS.
100mg
DIFLAZON 100 mg
CAPS.
100mg
100mg
100mg
FLUCORIC 100 mg
CAPS.
100mg
FLUCOVIM 100
CAPS.
100mg
FLUCONAZOL MEDOCHEMIE 150 mg CAPS.
150mg
FLUCONAZOL ACTAVIS 150 mg CAPS.
150mg
FLUCONAZOL MEDICO UNO 150 mg CAPS.
150mg
FLUCONAZOL LPH 150 mg CAPS.
150mg
FLUCONAZOL ROMPHARM 150 mg CAPS.
150mg
FLUCONAZOL 150 mg
CAPS.
150mg
FLUCONAZOL SANDOZ (R) 150 CAPS.
150mg
MYCOMAX 150
CAPS.
150mg
DIFLAZON 150 mg
CAPS.
150mg
150mg
FLUCOVIM 150
CAPS.
150mg
DIFLUCAN 150 mg
CAPS.
150mg
FLUCORIC 150 mg
CAPS.
150mg
FLUCONAZOL BIOGALENICA 150 mg CAPS.
150mg
MYCOSYST 150 mg
CAPS.
150mg
FLUCONAZOL 150 mg
CAPS.
150mg
FLUCONAZOL ARENA 150 MG CAPS.
150mg
200mg
FLUCONAZOL 50 mg
CAPS.
50mg
DIFLAZON 50 mg
CAPS.
50mg
FLUCOVIM 50
CAPS.
50mg
50mg
CAPS.
50mg
FLUCONAZOL BIOGALENICA 50 mg CAPS.
50mg
FUNGOLON 50 mg
CAPS.
50mg
50mg
FLUCONAZOL OZONE 50 mg CAPS.
50mg
DIFLUCAN 50 mg
CAPS.
50mg
Firma
Prescriptie
ROMANIA
ROMANIA
MYLAN S.A.S.
FRANTA
ROMANIA
ROMANIA
ROMANIA
S
S
S
S
S
S
S
S
S
S
S
TERAPIA SA
ANTIBIOTICE S.A.

AVENTIS PHARMA LTD.
MAREA BRITANIE
P-RF
MAREA BRITANIE
P-RF
MAREA BRITANIE
P-RF
ROMANIA
PRF
MAREA BRITANIE

TERAPIA SA
MAGISTRA C & C
SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR.
AC HELCOR SRL
ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR.
BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 2 BLIST. PVC/AL X 8 CAPS.
KRKA D.D.
ROMANIA
TERAPIA SA
ROMANIA

ISLANDA
S
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

P-RF

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


SANDOZ SRL
ZENTIVA K.S.
KRKA D.D.

GERMANIA
P-RF
CEHIA
P-RF
P-RF

P-RF
MAREA BRITANIE
TERAPIA SA
ROMANIA
ANTIBIOTICE S.A.
ROMANIA
P-RF
P-RF
P-RF

P-RF
P-RF
P-RF
KRKA D.D.
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

MAREA BRITANIE
P-RF
Pagina 44 din 56
P-RF
P-RF
cant/
amba
laj
12
1
12
1
12
1
5
1
10
1
1
1
10
1
10
10
10
10
10
10
10
16
28
2
7
7
4
1
1
1
1
1
1
1
1
1
1
1
1
1
1
4
1
1
7
10
7
7
7
7
7
8
7
7
7
Pret cu
ridicata
maximal /
ambalaj
265.28
22.93
460.81
40.93
460.81
40.93
197.45
40.94
389.01
40.93
40.93
118.16
1,603.26
879.36
1,052.62
1,603.26
15.15
5.94
5.08
9.34
6.78
65.37
193.65
6.98
23.31
33.15
18.95
6.07
7.44
6.68
7.35
9.57
7.35
10.79
9.27
16.65
4.88
7.35
18.56
13.95
4.88
48.24
7.16
6.68
30.10
18.88
47.19
16.69
11.95
16.69
11.66
14.09
12.35
16.69
43.23
Pret cu ridicata
maximal / U.T.
22.106666
22.930000
38.400833
40.930000
38.400833
40.930000
39.490000
40.940000
38.901000
40.930000
40.930000
118.160000
160.326000
879.360000
105.262000
160.326000
1.515000
0.594000
0.508000
0.934000
0.678000
4.085625
6.916071
3.490000
3.330000
4.735714
4.737500
6.070000
7.440000
6.680000
7.350000
9.570000
7.350000
10.790000
9.270000
16.650000
4.880000
7.350000
18.560000
13.950000
4.880000
12.060000
7.160000
6.680000
4.300000
1.888000
6.741428
2.384285
1.707142
2.384285
1.665714
1.761250
1.764285
2.384285
6.175714
Pret cu ridicata
maximal de
decontare / U.T.
22.106666
22.930000
38.400833
40.930000
38.400833
40.930000
39.490000
40.940000
38.901000
40.930000
40.930000
118.160000
160.326000
879.360000
105.262000
126.314400
0.609600
0.594000
0.508000
0.609600
0.609600
3.996000
3.996000
3.490000
3.330000
3.996000
3.996000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
4.880000
5.856000
5.856000
5.856000
4.880000
5.856000
5.856000
5.856000
4.300000
1.888000
1.998857
1.998857
1.707142
1.998857
1.665714
1.761250
1.764285
1.998857
1.998857
Pret cu
maximal / U.T.
/ U.T.
maximal /
ambalaj
323.86
30.99
540.43
53.53
540.43
53.53
241.05
53.55
462.17
53.53
53.53
144.25
1,785.71
996.65
1,185.51
1,785.71
20.48
8.03
6.87
12.62
9.17
82.66
236.41
9.43
31.51
43.36
25.61
8.20
10.06
9.03
9.94
12.94
9.94
14.58
12.53
22.51
6.59
9.94
25.08
18.86
6.59
63.10
9.68
9.03
39.37
25.52
61.72
22.56
16.15
22.56
15.76
19.04
16.69
22.56
56.54
26.988333
30.990000
45.035833
53.530000
45.035833
53.530000
48.210000
53.550000
46.217000
53.530000
53.530000
144.250000
178.571000
996.650000
118.551000
178.571000
2.048000
0.803000
0.687000
1.262000
0.917000
5.166250
8.443214
4.715000
4.501428
6.194285
6.402500
8.200000
10.060000
9.030000
9.940000
12.940000
9.940000
14.580000
12.530000
22.510000
6.590000
9.940000
25.080000
18.860000
6.590000
15.775000
9.680000
9.030000
5.624285
2.552000
8.817142
3.222857
2.307142
3.222857
2.251428
2.380000
2.384285
3.222857
8.077142
26.988333
28.729200
45.035833
53.530000
45.035833
53.530000
48.210000
53.550000
46.217000
53.530000
53.530000
144.250000
178.571000
996.650000
118.551000
142.261200
0.824400
0.803000
0.687000
0.824400
0.824400
5.166250
5.401714
4.715000
4.501428
5.401714
5.401714
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
6.590000
7.908000
7.908000
7.908000
6.590000
7.908000
7.908000
7.908000
5.624285
2.552000
2.701714
2.701714
2.307142
2.701714
2.251428
2.380000
2.384285
2.701714
2.701714
Grupa
Nr.
terape
crt
utica
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
Denumire generica
J05AB14
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
CASPOFUNGINUM**
CASPOFUNGINUM**
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
VALACYCLOVIRUM
VALGANCICLOVIRUM**
J06BA02
J06BA02
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC02
J02AC02
J02AC02
J02AC02
J02AC02
J02AC02
J02AC02
J02AC03
J02AC03
J02AC03
J02AC03
J02AX04
J02AX04
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB11
Denumire comerciala
FLUCORIC 50 mg
Forma
Concentrati
farmaceutic
e / U.T.
a
CAPS.
FLUCONAZOL 50 mg
MYCOMAX INF 2mg/ml
MYCOMAX INF 2mg/ml
DIFLUCAN (R)
DIFLUCAN (R)
MYCOMAX INF 2mg/ml
DIFLAZON 2mg/ml
OMICRAL 100 mg
ORUNGAL
ITRACONAZOL 100 mg
ITRACONAZOL LPH 100 mg
MICOGAL 100 mg
ITRACONAZOL 100 mg
SPORILIN 100 mg
VFEND 200mg
VFEND 50mg
VFEND 200mg
VFEND 40 mg/ml
CANCIDAS 50 mg
CANCIDAS 70 mg
ACICLOVIR 200 mg
ACICLOVIR 200 mg
CLOVIRAL 200 mg
ACICLOVIR 200 mg
ACICLOVIR 200 mg
ACICLOVIR 400 mg
VIROLEX
VALTREX 500 mg
VALCYTE (R) 450 mg
HUMAGLOBIN
HUMAGLOBIN
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.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
COMPR. FILM.
COMPR. FILM.
CAPS.
CAPS.
CAPS.
CAPS.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.
50mg
50mg
50mg
50mg
50mg/5ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
100mg
100mg
100mg
100mg
100mg
100mg
100mg
200mg
50mg
200mg
40mg/ml
50mg
70mg
200mg
200mg
200mg
400mg
200mg
200mg
200mg
200mg
200mg
400mg
250mg
500mg
450mg
5%
5%
Firma
Tara
Ambalaj
Prescriptie
TERAPIA SA
SANDOZ SRL
SLAVIA PHARM SRL
ARENA GROUP SA

P-RF
MAREA BRITANIE
P-RF
REPUBLICA CEHA
REPUBLICA CEHA
S
S

S/P-RF
ZENTIVA K.S.
ZENTIVA K.S.
MAREA BRITANIE
MAREA BRITANIE
ROMANIA
ROMANIA
ROMANIA
ZENTIVA K.S.
REPUBLICA CEHA
ROMANIA

ROMANIA
ROMANIA
ROMANIA


ROMANIA CUTIE X 3 BLIST. AL/AL X 5 CAPS.
JANSSEN PHARMACEUTICA N.V.
BELGIA
SLAVIA PHARM SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS.

CUTIE X 3 BLIST. PVC/AL X 5 CAPS.
ROMPHARM COMPANY SRL ROMANIA CUTIE X 3 BLIST. PVC/AL X 5 CAPS.
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 5 CAPS.
PFIZER LIMITED
MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL)
PFIZER LIMITED
MAREA BRITANIE CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL)
PFIZER LIMITED
MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML
PFIZER LIMITED
MAREA BRITANIE
MERCK SHARP & DOHME
MAREA BRITANIE
MERCK SHARP & DOHME
MAREA BRITANIE
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ANTIBIOTICE SA
ROMANIA
TERAPIA SA
ROMANIA

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
S
S
P-RF
P-RF
P-RF/S
P-RF

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

S/P-RF
UNGARIA
UNGARIA
S
S
S
S
S
S
S
S
S/PR-F
CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 5 CAPS. P-RF
MAREA BRITANIE
S/P-RF
S
S
S
P-RF
SLAVIA PHARM SRL

ARENA GROUP SA
ARENA GROUP SA
ARENA GROUP S.A.
P-RF
P-RF

Pagina 45 din 56
P-RF
S
S
cant/
amba
laj
Pret cu
ridicata
maximal /
ambalaj
Pret cu ridicata
maximal / U.T.
7
7
7
7
1
1
1
1
1
25
1
10
1
20
25
1
10
1
1
1
10
20
20
10
20
10
10
15
15
15
15
15
15
15
28
28
1
1
1
1
20
20
1000
10
20
20
20
20
20
10
5
10
60
1
1
21.91
32.06
14.49
14.15
43.23
30.54
137.44
133.17
30.99
781.76
81.95
761.71
42.66
631.41
443.47
34.28
330.71
40.63
35.03
18.84
181.93
360.77
362.55
454.59
796.39
770.66
182.90
40.18
60.84
40.18
40.18
40.18
40.18
40.18
3,559.23
912.09
458.07
2,203.52
1,202.39
1,560.14
14.97
15.85
704.14
14.41
12.75
12.16
10.22
12.69
9.62
14.23
231.79
43.54
4,863.09
451.00
872.00
3.130000
4.580000
2.070000
2.021428
43.230000
30.540000
137.440000
133.170000
30.990000
31.270400
81.950000
76.171000
42.660000
31.570500
17.738800
34.280000
33.071000
40.630000
35.030000
18.840000
18.193000
18.038500
18.127500
45.459000
39.819500
77.066000
18.290000
2.678666
4.056000
2.678666
2.678666
2.678666
2.678666
2.678666
127.115357
32.574642
458.070000
2,203.520000
1,202.390000
1,560.140000
0.748500
0.792500
0.704140
1.441000
0.637500
0.608000
0.511000
0.634500
0.481000
1.423000
46.358000
4.354000
81.051500
451.000000
872.000000
Pret cu ridicata
maximal de
decontare / U.T.
1.998857
1.998857
1.998857
1.998857
43.230000
21.286560
91.405200
91.405200
21.286560
31.270400
81.950000
76.171000
37.524480
31.570500
17.738800
34.280000
33.071000
37.524480
35.030000
18.840000
18.193000
18.038500
18.127500
37.524480
37.524480
77.066000
18.290000
2.678666
3.214399
2.678666
2.678666
2.678666
2.678666
2.678666
127.115357
32.574642
458.070000
2,203.520000
1,202.390000
1,560.140000
0.577200
0.577200
0.577200
1.441000
0.577200
0.577200
0.511000
0.577200
0.481000
1.423000
46.358000
4.354000
81.051500
451.000000
872.000000
Pret cu
maximal / U.T.
/ U.T.
maximal /
ambalaj
29.61
41.93
19.58
19.12
56.54
39.95
167.79
162.58
40.53
890.27
103.62
868.42
55.80
726.39
521.53
44.84
398.62
53.14
45.82
25.47
222.10
431.39
433.33
533.65
906.22
878.17
223.28
52.56
76.92
52.56
52.56
52.55
52.56
52.56
3,917.72
1,032.33
537.45
2,439.99
1,348.76
1,738.70
20.23
21.42
805.66
19.48
17.23
16.44
13.81
17.15
13.00
19.23
282.97
56.95
5,338.93
529.74
988.63
4.230000
5.990000
2.797142
2.731428
56.540000
39.950000
167.790000
162.580000
40.530000
35.610800
103.620000
86.842000
55.800000
36.319500
20.861200
44.840000
39.862000
53.140000
45.820000
25.470000
22.210000
21.569500
21.666500
53.365000
45.311000
87.817000
22.328000
3.504000
5.128000
3.504000
3.504000
3.503333
3.504000
3.504000
139.918571
36.868928
537.450000
2,439.990000
1,348.760000
1,738.700000
1.011500
1.071000
0.805660
1.948000
0.861500
0.822000
0.690500
0.857500
0.650000
1.923000
56.594000
5.695000
88.982166
529.740000
988.630000
2.701714
2.701714
2.701714
2.701714
56.540000
25.033440
104.210400
104.210400
25.033440
35.610800
103.620000
86.842000
42.732960
36.319500
20.861200
42.732960
39.862000
42.732960
42.732960
25.033440
22.210000
21.569500
21.666500
42.732960
42.732960
87.817000
22.328000
3.504000
4.204000
3.504000
3.504000
3.503333
3.504000
3.504000
139.918571
36.868928
537.450000
2,439.990000
1,348.760000
1,738.700000
0.780000
0.780000
0.780000
1.948000
0.780000
0.780000
0.690500
0.780000
0.650000
1.923000
56.594000
5.695000
88.982166
529.740000
988.630000
Grupa
Nr.
terape
crt
utica
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
Denumire generica
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
L01AA01
CYCLOPHOSPHAMIDUM
CYCLOPHOSPHAMIDUM
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
L01AA01
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
Denumire comerciala
OCTAGAM 10%
OCTAGAM 10%
OCTAGAM 10%
OCTAGAM 10%
PRIVIGEN 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
PRIVIGEN 100mg/ml
PRIVIGEN 100mg/ml
PRIVIGEN 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
IG VENA 10g/200ml
IG VENA 1g/20ml
IG VENA 2,5g/50ml
FLEBOGAMMA 5%
FLEBOGAMMA 5%
FLEBOGAMMA 5%
FLEBOGAMMA 5%
OCTAGAM
OCTAGAM
OCTAGAM
IG VENA 5g/100ml
ENDOXAN (R) 50 mg
ENDOXAN 200 mg
NEUPOGEN (R)
NEUPOGEN (R)
ZARZIO 30MU/0,5ml
ZARZIO 48MU/0,5ml
CELLCEPT 250mg
CELLCEPT 500mg
MYFORTIC 180 mg
MYFORTIC 360 mg
MYFENAX 250mg

Forma
Concentrati
farmaceutic
e / U.T.
a
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
DRAJ.
PULB. PT. SOL. PERF./INJ. I.V.
SOL. INJ.
SOL. INJ.
SOL. INJ./PERF.
ARZIP 500 mg

MYFENAX 500mg
L04AA10
L04AC02
L04AD01
L04AD01
L04AD01
SIROLIMUS**
BASILIXIMABUM**
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
RAPAMUNE 1mg
SIMULECT 20 mg
EQUORAL (R) 100 mg
EQUORAL (R) 25 mg
Tara
SOL. INJ./PERF.

BAXTER AG
AUSTRIA
BAXTER AG
AUSTRIA
BAXTER AG
AUSTRIA
BAXTER AG
AUSTRIA
BAXTER AG
AUSTRIA
BAXTER AG
AUSTRIA
KEDRION SPA
KEDRION SPA
KEDRION SPA
ITALIA
ITALIA
ITALIA
SPANIA
SPANIA
SPANIA
SPANIA
CAPS.
COMPR. FILM.
COMPR. FILM.
CAPS.
CAPS.
CAPS.
COMPR.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
DRAJ.
CAPS. MOI
CAPS. MOI
CAPS. MOI



S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
MAREA BRITANIE
KEDRION SPA
ITALIA
MAREA BRITANIE
MAREA BRITANIE
ACTAVIS S.R.L.
AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML S/P-RF
AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML S/P-RF
SANDOZ GMBH
SANDOZ GMBH
AUSTRIA
AUSTRIA
HOSPIRA UK LIMITED

480g/0,5ml
250mg
500mg
500mg
180mg
360mg
250 mg
250mg
250mg
500mg
500 mg
500mg
500mg
500mg
500mg
1mg
20mg
100mg
25mg
25mg

Prescriptie


P-RF/R
P-RF/R

SOL. INJ./PERF.
Ambalaj

100 mg/ml
100 mg/ml
100 mg/ml
100 mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
10g/200ml
1g/20ml
2,5g/50ml
5%
5%
5%
5%
50mg/ml
50mg/ml
50mg/ml
5g/100ml
50mg
200mg
30MU/0,5ml
48MU/0,5ml
60MU/ml
96MU/ml
120g/0,2ml
Firma
P-RF
S/P-RF/R
P-RF
S/P-RF/R
HOSPIRA UK LIMITED
MAREA BRITANIE
MAREA BRITANIE

UNGARIA
P-RF/R
S/P-RF
S/P-RF
P-RF
P-RF/R
P-RF/R
TEVA PHARMA BV
P-RF/R
P-RF/R
SANDOZ S.R.L.
TERAPIA S.A.
ZENTIVA K.S.
ROMANIA
ROMANIA
P-RF
REPUBLICA CEHA
PR
PR
ISLANDA
OLANDA
P-RF/R
TEVA PHARMA BV
P-RF/R
ROMANIA
WYETH EUROPA LTD.
MAREA BRITANIE
MAREA BRITANIE CUTIE X 1 FLAC. CU LIOF.+ 1 FIOLA SOLV. APA PT. PREP. INJ.

CEHIA
CEHIA

Pagina 46 din 56
P-RF/R
S
S/P-RF
S/P-RF
S/P-RF
cant/
amba
laj
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
50
1
1
1
1
1
5
1
5
1
5
100
50
50
120
120
100
100
100
50
50
50
50
50
50
30
1
50
50
50
Pret cu
ridicata
maximal /
ambalaj
Pret cu ridicata
maximal / U.T.
3,072.10
6,114.44
663.61
1,550.55
460.47
3,469.04
7,459.41
890.95
1,751.89
3,473.78
889.76
1,749.51
459.88
188.56
2,050.80
222.29
535.20
914.10
1,798.20
472.05
99.02
1,166.70
640.45
2,261.30
1,040.40
19.33
11.76
267.05
436.57
162.10
260.91
418.45
214.16
1,001.12
355.90
1,656.30
452.86
452.86
292.89
557.65
1,041.93
291.62
302.31
292.89
227.17
302.36
272.59
272.59
302.31
272.59
489.29
4,267.46
397.39
74.45
112.48
3,072.100000
6,114.440000
663.610000
1,550.550000
460.470000
3,469.040000
7,459.410000
890.950000
1,751.890000
3,473.780000
889.760000
1,749.510000
459.880000
188.560000
2,050.800000
222.290000
535.200000
914.100000
1,798.200000
472.050000
99.020000
1,166.700000
640.450000
2,261.300000
1,040.400000
0.386600
11.760000
267.050000
436.570000
162.100000
260.910000
83.690000
214.160000
200.224000
355.900000
331.260000
4.528600
9.057200
5.857800
4.647083
8.682750
2.916200
3.023100
2.928900
4.543400
6.047200
5.451800
5.451800
6.046200
5.451800
16.309666
4,267.460000
7.947800
1.489000
2.249600
Pret cu ridicata
maximal de
decontare / U.T.
3,072.100000
6,114.440000
663.610000
1,550.550000
460.470000
3,469.040000
7,459.410000
890.950000
1,751.890000
3,473.780000
889.760000
1,749.510000
459.880000
188.560000
2,050.800000
222.290000
535.200000
914.100000
1,798.200000
472.050000
99.020000
1,166.700000
640.450000
2,261.300000
1,040.400000
0.386600
11.760000
194.520000
313.092000
162.100000
260.910000
83.690000
194.520000
194.520000
313.092000
313.092000
3.499440
5.452080
5.452080
4.647083
8.682750
2.916200
3.023100
2.928900
4.543400
5.452080
5.451800
5.451800
5.452080
5.451800
16.309666
4,267.460000
7.947800
1.489000
1.786800
Pret cu
maximal / U.T.
/ U.T.
maximal /
ambalaj
3,386.74
6,702.89
761.48
1,728.25
540.07
3,819.40
8,168.91
1,009.28
1,947.71
3,824.57
1,007.99
1,945.12
539.42
230.20
2,273.52
271.37
621.52
1,034.52
1,998.19
552.68
125.20
1,309.85
736.24
2,502.97
1,172.19
26.13
15.89
326.02
514.01
197.89
318.52
494.26
261.45
1,129.37
426.08
1,843.52
531.77
531.77
357.56
645.99
1,173.85
356.01
367.67
357.56
277.33
367.72
332.78
332.78
367.67
332.78
571.48
4,689.69
471.31
94.13
137.32
3,386.740000
6,702.890000
761.480000
1,728.250000
540.070000
3,819.400000
8,168.910000
1,009.280000
1,947.710000
3,824.570000
1,007.990000
1,945.120000
539.420000
230.200000
2,273.520000
271.370000
621.520000
1,034.520000
1,998.190000
552.680000
125.200000
1,309.850000
736.240000
2,502.970000
1,172.190000
0.522600
15.890000
326.020000
514.010000
197.890000
318.520000
98.852000
261.450000
225.874000
426.080000
368.704000
5.317700
10.635400
7.151200
5.383250
9.782083
3.560100
3.676700
3.575600
5.546600
7.354400
6.655600
6.655600
7.353400
6.655600
19.049333
4,689.690000
9.426200
1.882600
2.746400
3,386.740000
6,702.890000
761.480000
1,728.250000
540.070000
3,819.400000
8,168.910000
1,009.280000
1,947.710000
3,824.570000
1,007.990000
1,945.120000
539.420000
230.200000
2,273.520000
271.370000
621.520000
1,034.520000
1,998.190000
552.680000
125.200000
1,309.850000
736.240000
2,502.970000
1,172.190000
0.522600
15.890000
237.468000
382.224000
197.890000
318.520000
98.852000
237.468000
225.874000
382.224000
368.704000
4.272120
6.655920
6.655920
5.383250
9.782083
3.560100
3.676700
3.575600
5.546600
6.655920
6.655600
6.655600
6.655920
6.655600
19.049333
4,689.690000
9.426200
1.882600
2.259120
Grupa
Nr.
terape
crt
utica
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AX01
L04AX01
L04AX01
L04AX01
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
N02AB02
Denumire generica
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
AZATHIOPRINUM
AZATHIOPRINUM
AZATHIOPRINUM
AZATHIOPRINUM
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
PETHIDINUM
Denumire comerciala
CICLORAL 25 mg
EQUORAL (R) 50 mg
CICLORAL 50 mg
EQUORAL (R)
TACNI 0,5 mg
PROGRAF (R) 0,5 mg
TACNI 1 mg
PROGRAF (R) 1 mg
TACNI 5 mg
PROGRAF (R) 5 mg
ADVAGRAF 0,5mg
ADVAGRAF 1mg
ADVAGRAF 5mg
PROGRAF (R) 5 mg/ml
IMMUNOPRIN 100 mg
IMMUNOPRIN 100 mg
IMURAN (R)
IMMUNOPRIN 75 mg
ACID ALENDRONIC ACCORD 10 mg
TEVANAT 70 mg
INSTREL 70 mg
ACID ALENDRONIC BLUEFISH 70 mg
ACID ALENDRONIC BLUEFISH 70 mg
RANOS 70 mg
ACID ALENDRONIC ACCORD 70 mg
FOSAMAX 70 mg
ADRONIK 70 mg
ADRONIK 70 mg
ADRONIK 70 mg
Forma
Concentrati
farmaceutic
e / U.T.
a
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
SOL. ORALA
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
ALENDRONAT SANDOZ 70 mg COMPR. FILM.
MIALGIN (R) 100 mg/2 ml
SOL. INJ.
25mg
50mg
50mg
50mg
100mg/ml
0,5 mg
0,5mg
0,5mg
0,5mg
1 mg
1mg
1mg
1mg
5 mg
5mg
0,5mg
1mg
5mg
5mg/ml
100mg
100mg
50mg
75mg
10mg
70 mg
70mg
70mg
70mg
70mg
70mg
70mg
70mg
70mg
70mg
70mg
50mg/ml
Tara
Firma
Ambalaj
Prescriptie
HEXAL AG
S/P-RF
CEHIA
S/P-RF

S/P-RF
HEXAL AG
S/P-RF
CEHIA
S/P-RF
ROMANIA
PRF
OLANDA
S/P-RF
SANDOZ S.R.L.
ROMANIA
ROMANIA
OLANDA
S/P-RF
PRF
S/P-RF
SANDOZ S.R.L.
ROMANIA
ROMANIA
OLANDA
PRF
S/P-RF
OLANDA
S/P-RF
P-RF/R
P-RF/R
P-RF/R

S
MAREA BRITANIE
S/P-RF
AUSTRIA
PR


CUTIE CU BLIST. PVC/AL X 28 COMPR. P-6L
ROMANIA CUTIE X 1 BLIST. PVC-AL-OPA/AL X 4 COMPR.

ROMANIA CUTIE CU BLIST. AL/AL X 4 COMPR. FILM.
P-6L
P-RF
SUEDIA
SUEDIA

P-6L
TERAPIA SA
ROMANIA
CUTIE X 1 BLIST. DIN PAO-PVC-AL/AL X 4 COMPR.
P-6L
CUTIE CU BLIST. OPA -AL-PVC/AL X 4 COMPR.
P-6L
P-6L
MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. AL/AL IN PORTOFEL X 2 COMPR. P-6L
ARENA GROUP S.A.

ARENA GROUP S.A.
ARENA GROUP S.A.
SANDOZ S.R.L.
ZENTIVA SA

ROMANIA CUTIE X 1 BLIST. OPA-AL-PVC/AL X 2 COMPR. FILM
ROMANIA CUTIE X 5 FIOLE DIN STICLA X 2 ML
P-6L
P-6L
P-6L
P-6L
P-TS
cant/
amba
laj
Pret cu
ridicata
maximal /
ambalaj
Pret cu ridicata
maximal / U.T.
Pret cu ridicata
maximal de
decontare / U.T.
Pret cu
maximal / U.T.
/ U.T.
maximal /
ambalaj
50
50
50
50
1
50
50
50
50
50
50
50
50
50
50
50
50
50
10
50
100
100
100
28
4
4
2
4
4
4
2
4
12
2
2
5
112.61
155.55
239.32
250.01
358.02
133.49
205.39
133.49
133.49
238.62
363.74
238.62
238.62
1,114.65
1,715.18
204.92
402.53
1,865.58
1,545.19
42.34
83.19
63.98
62.39
36.90
36.90
36.44
18.44
18.28
36.44
36.90
28.39
36.67
108.06
18.33
9.49
5.77
2.252200
3.111000
4.786400
5.000200
358.020000
2.669800
4.107800
2.669800
2.669800
4.772400
7.274800
4.772400
4.772400
22.293000
34.303600
4.098400
8.050600
37.311600
154.519000
0.846800
0.831900
0.639800
0.623900
1.317857
9.225000
9.110000
9.220000
4.570000
9.110000
9.225000
14.195000
9.167500
9.005000
9.165000
4.745000
1.154000
1.786800
3.111000
3.733200
3.733200
358.020000
2.669800
3.203760
2.669800
2.669800
4.772400
5.726880
4.772400
4.772400
22.293000
26.751600
3.203760
5.726880
26.751600
154.519000
0.846800
0.831900
0.639800
0.623900
1.317857
5.484000
5.484000
5.484000
4.570000
5.484000
5.484000
5.484000
5.484000
5.484000
5.484000
4.745000
1.154000
137.48
189.90
292.16
305.21
428.39
162.97
250.74
162.97
162.97
291.31
434.63
291.31
291.31
1,253.12
1,907.70
250.17
476.91
2,071.63
1,722.41
55.38
105.18
80.90
78.89
48.27
48.27
47.66
24.93
24.71
47.66
48.27
37.13
47.97
131.92
24.78
12.82
7.80
2.749600
3.798000
5.843200
6.104200
428.390000
3.259400
5.014800
3.259400
3.259400
5.826200
8.692600
5.826200
5.826200
25.062400
38.154000
5.003400
9.538200
41.432600
172.241000
1.107600
1.051800
0.809000
0.788900
1.723928
12.067500
11.915000
12.465000
6.177500
11.915000
12.067500
18.565000
11.992500
10.993333
12.390000
6.410000
1.560000
2.259120
3.798000
4.557600
4.557600
428.390000
3.259400
3.911280
3.259400
3.259400
5.826200
6.991440
5.826200
5.826200
25.062400
30.074880
3.911280
6.991440
30.074880
172.241000
1.107600
1.051800
0.809000
0.788900
1.723928
7.413000
7.413000
7.413000
6.177500
7.413000
7.413000
7.413000
7.413000
7.413000
7.413000
6.410000
1.560000
10
5
10
1
10
10
28
28
1
1
60
66.80
80.20
1,603.26
879.36
1,052.62
1,603.26
3,559.23
912.09
458.07
2,203.52
4,863.09
6.680000
16.040000
160.326000
879.360000
105.262000
160.326000
127.115357
32.574642
458.070000
2,203.520000
81.051500
6.680000
16.040000
160.326000
879.360000
105.262000
126.314400
127.115357
32.574642
458.070000
2,203.520000
81.051500
84.46
101.41
1,785.71
996.65
1,185.51
1,785.71
3,917.72
1,032.33
537.45
2,439.99
5,338.93
8.446000
20.282000
178.571000
996.650000
118.551000
178.571000
139.918571
36.868928
537.450000
2,439.990000
88.982166
8.446000
20.282000
178.571000
996.650000
118.551000
142.261200
139.918571
36.868928
537.450000
2,439.990000
88.982166

P9.5: TRANSPLANT CELULE PANCREATICE
1
2
3
4
5
6
7
8
9
10
11
B01AB08
B01AB08
J01XX08
J01XX08
J01XX08
J01XX08
J02AC03
J02AC03
J02AC03
J02AC03
J05AB14
REVIPARINUM
REVIPARINUM
LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
VALGANCICLOVIRUM**

ZYVOXID (R)
ZYVOXID (R)
ZYVOXID (R)
VFEND 200mg
VFEND 50mg
VFEND 200mg
VFEND 40 mg/ml
VALCYTE (R) 450 mg
SOL. INJ.
SOL. INJ.
COMPR. FILM.
SOL. PERF.
SOL. PERF.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
3436ui/0,6ml
600mg
100mg/5ml
2mg/ml
2mg/ml
200mg
50mg
200mg
40mg/ml
450mg
S/P-RF
S/P-RF
MAREA BRITANIE
P-RF
MAREA BRITANIE
P-RF
ROMANIA
PRF
MAREA BRITANIE
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
S
P-RF
MAREA BRITANIE

MAREA BRITANIE
P-RF
MAREA BRITANIE
MAREA BRITANIE
Pagina 47 din 56
P-RF
P-RF
P-RF
Grupa
Nr.
terape
crt
utica
Denumire generica
Denumire comerciala
Forma
Concentrati
farmaceutic
e / U.T.
a
Firma
Tara
Ambalaj
Prescriptie
cant/
amba
laj
Pret cu
ridicata
maximal /
ambalaj
Pret cu ridicata
maximal / U.T.
Pret cu ridicata
maximal de
decontare / U.T.
Pret cu
maximal / U.T.
/ U.T.
maximal /
ambalaj
P9.6: TRANSPLANT PULMONAR

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
B01AB05
B01AB05
B01AB05
B01AB05
B01AB08
B01AB08
B02AA02
C01CA24
ENOXAPARINUM
ENOXAPARINUM
ENOXAPARINUM
ENOXAPARINUM
REVIPARINUM
REVIPARINUM
EPINEPHRINUM

J01XX08
J01XX08
J01XX08
J01XX08
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
CLIVARIN (R) 3436 UI/0,6 ml SOL. INJ.
EXACYL
SOL. INJ.
ADRENALINA 1 mg
SOL. INJ.
TAZOCIN 2,25
LIOF. PT. SOL. INJ.
TAZOCIN 4,5
LIOF. PT. SOL. INJ.
PERASIN 2g/0,25 g

LAB. AVENTIS
LAB. AVENTIS
LAB. AVENTIS
LAB. AVENTIS
FRANTA
FRANTA
FRANTA
FRANTA
S/P-RF
CUTIE X 10 SERINGI PREUMPLUTE X 0.4 ML SOL. INJ.
S/P-RF
S/P-RF
S/P-RF
S/P-RF
3436ui/0,6ml ABBOTT GMBH&CO.KG GERMANIA CUTIE X 1 BLIST X 5 SERINGI PREUMPLUTE UNIDOZA X 0,60 ML S/P-RF
500mg/5ml CN UNIFARM
X
1mg/ml
TERAPIA SA
S
FARA CONCENTRATIE WYETH LEDERLE PHARMA GMBH AUSTRIA CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ. S/P-RF
FARA CONCENTRATIE
2g/0,25g
2g/0,25g
2g/0,25g
BACTACIN 2 g/0,25 g
PIPERACILINA/TAZOBACTAN ACTAVIS 4 g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g
ZOPECILIN 4 g/0,5 g
ZOPECILIN 4 g/0,5 g
BACTACIN 4 g/0,5 g
PERASIN 4g/0,5 g
ZYVOXID (R)
COMPR. FILM. 600mg
ZYVOXID (R)
SOL. PERF. 2mg/ml
ZYVOXID (R)
SOL. PERF. 2mg/ml
FUNGOLON 100 mg
CAPS.
100mg
DIFLAZON 100 mg
CAPS.
100mg
100mg
100mg
FLUCORIC 100 mg
CAPS.
100mg
FLUCOVIM 100
CAPS.
100mg
150mg
FLUCONAZOL ACTAVIS 150 mg CAPS.
150mg
FLUCONAZOL MEDICO UNO 150 mg CAPS.
150mg
FLUCONAZOL LPH 150 mg CAPS.
150mg
FLUCONAZOL ROMPHARM 150 mg CAPS.
150mg
FLUCONAZOL 150 mg
CAPS.
150mg
150mg
MYCOMAX 150
CAPS.
150mg
DIFLAZON 150 mg
CAPS.
150mg
150mg
FLUCOVIM 150
CAPS.
150mg
DIFLUCAN 150 mg
CAPS.
150mg
MAREA BRITANIE
ANTIBIOTICE S.A.
MYLAN S.A.S.
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
FRANTA
ISLANDA
TERAPIA SA
ROMANIA
ISLANDA
ROMANIA
ROMANIA
MYLAN S.A.S.
FRANTA
ROMANIA
ROMANIA
ROMANIA
TERAPIA SA
ANTIBIOTICE S.A.
S/P-RF
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S

MAREA BRITANIE
P-RF
MAREA BRITANIE
P-RF
ROMANIA
PRF
MAREA BRITANIE
KRKA D.D.

S
BULGARIA CUTIE X 2 BLIST. PVC/AL X 8 CAPS. P-RF
P-RF
ROMANIA
ROMANIA
TERAPIA SA
ROMANIA


ISLANDA


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


SANDOZ SRL
ZENTIVA K.S.
KRKA D.D.

GERMANIA
P-RF
CEHIA
P-RF
P-RF

P-RF
P-RF
MAREA BRITANIE
Pagina 48 din 56
P-RF
10
10
10
2
10
5
5
100
12
12
1
12
1
10
1
5
10
1
5
1
12
1
12
1
12
1
5
1
10
1
1
10
1
10
10
16
28
2
7
7
4
1
1
1
1
1
1
1
1
1
1
1
1
57.68
118.41
153.90
39.90
66.80
80.20
9.47
113.56
401.14
692.90
22.93
265.41
22.93
386.57
20.32
99.83
196.11
40.65
196.11
22.93
265.28
22.93
460.81
40.93
460.81
40.93
197.45
40.94
389.01
40.93
40.93
1,603.26
879.36
1,052.62
1,603.26
65.37
193.65
6.98
23.31
33.15
18.95
6.07
7.44
6.68
7.35
9.57
7.35
10.79
9.27
16.65
4.88
7.35
18.56
5.768000
11.841000
15.390000
19.950000
6.680000
16.040000
1.894000
1.135600
33.428333
57.741666
22.930000
22.117500
22.930000
38.657000
20.320000
19.966000
19.611000
40.650000
39.222000
22.930000
22.106666
22.930000
38.400833
40.930000
38.400833
40.930000
39.490000
40.940000
38.901000
40.930000
40.930000
160.326000
879.360000
105.262000
160.326000
4.085625
6.916071
3.490000
3.330000
4.735714
4.737500
6.070000
7.440000
6.680000
7.350000
9.570000
7.350000
10.790000
9.270000
16.650000
4.880000
7.350000
18.560000
5.768000
11.841000
15.390000
19.950000
6.680000
16.040000
1.894000
1.135600
23.533200
46.081000
22.930000
22.117500
22.930000
23.533200
20.320000
19.966000
19.611000
23.533200
23.533200
22.930000
22.106666
22.930000
38.400833
40.930000
38.400833
40.930000
39.490000
40.940000
38.901000
40.930000
40.930000
160.326000
879.360000
105.262000
126.314400
3.996000
3.996000
3.490000
3.330000
3.996000
3.996000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
4.880000
5.856000
5.856000
72.93
144.56
187.88
52.19
84.46
101.41
12.80
138.64
475.39
793.41
30.99
324.01
30.99
459.51
27.47
126.23
239.41
53.17
239.41
30.99
323.86
30.99
540.43
53.53
540.43
53.53
241.05
53.55
462.17
53.53
53.53
1,785.71
996.65
1,185.51
1,785.71
82.66
236.41
9.43
31.51
43.36
25.61
8.20
10.06
9.03
9.94
12.94
9.94
14.58
12.53
22.51
6.59
9.94
25.08
7.293000
14.456000
18.788000
26.095000
8.446000
20.282000
2.560000
1.386400
39.615833
66.117500
30.990000
27.000833
30.990000
45.951000
27.470000
25.246000
23.941000
53.170000
47.882000
30.990000
26.988333
30.990000
45.035833
53.530000
45.035833
53.530000
48.210000
53.550000
46.217000
53.530000
53.530000
178.571000
996.650000
118.551000
178.571000
5.166250
8.443214
4.715000
4.501428
6.194285
6.402500
8.200000
10.060000
9.030000
9.940000
12.940000
9.940000
14.580000
12.530000
22.510000
6.590000
9.940000
25.080000
7.293000
14.456000
18.788000
26.095000
8.446000
20.282000
2.560000
1.386400
28.729200
54.043000
28.729200
27.000833
28.729200
28.729200
27.470000
25.246000
23.941000
28.729200
28.729200
28.729200
26.988333
28.729200
45.035833
53.530000
45.035833
53.530000
48.210000
53.550000
46.217000
53.530000
53.530000
178.571000
996.650000
118.551000
142.261200
5.166250
5.401714
4.715000
4.501428
5.401714
5.401714
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
6.590000
7.908000
7.908000
Grupa
Nr.
terape
crt
utica
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC03
J02AC03
J02AC03
J02AC03
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
Denumire generica
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
Denumire comerciala
FLUCORIC 150 mg
MYCOSYST 150 mg
FLUCONAZOL 150 mg
FLUCONAZOL 50 mg
DIFLAZON 50 mg
FLUCOVIM 50
FUNGOLON 50 mg
DIFLUCAN 50 mg
FLUCORIC 50 mg
FLUCONAZOL 50 mg
MYCOMAX INF 2mg/ml
MYCOMAX INF 2mg/ml
DIFLUCAN (R)
DIFLUCAN (R)
MYCOMAX INF 2mg/ml
DIFLAZON 2mg/ml
VFEND 200mg
VFEND 50mg
VFEND 200mg
VFEND 40 mg/ml
ACICLOVIR 200 mg
ACICLOVIR 200 mg
CLOVIRAL 200 mg
ACICLOVIR 200 mg
Forma
Concentrati
farmaceutic
e / U.T.
a
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.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
COMPR. FILM.
COMPR. FILM.
CAPS.
CAPS.
CAPS.
CAPS.
COMPR.
COMPR.
COMPR.
COMPR.
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
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
200mg
50mg
200mg
40mg/ml
200mg
200mg
200mg
400mg
200mg
200mg
200mg
200mg
Firma
Tara
Ambalaj
Prescriptie
TERAPIA SA
P-RF
P-RF

P-RF
P-RF
P-RF
P-RF
ROMANIA
ROMANIA
ANTIBIOTICE S.A.
ROMANIA
KRKA D.D.
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

MAREA BRITANIE
P-RF
TERAPIA SA
SANDOZ SRL
SLAVIA PHARM SRL
ARENA GROUP SA

P-RF
MAREA BRITANIE
P-RF
ZENTIVA K.S.
ZENTIVA K.S.
REPUBLICA CEHA
REPUBLICA CEHA
MAREA BRITANIE
MAREA BRITANIE
ROMANIA
ROMANIA
ROMANIA
ZENTIVA K.S.
REPUBLICA CEHA
ROMANIA


ROMANIA
ROMANIA
ROMANIA


TERAPIA SA
P-RF
S
S
S/P-RF
S/P-RF
ANTIBIOTICE SA
P-RF
S
S
S
P-RF
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
SLAVIA PHARM SRL
ARENA GROUP SA
ARENA GROUP SA
ARENA GROUP S.A.
P-RF
P-RF
S/PR-F
S
S
S
S
S
S
S
S
MAREA BRITANIE
P-RF
MAREA BRITANIE
P-RF
P-RF
MAREA BRITANIE
MAREA BRITANIE
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
UNGARIA
ROMANIA

P-RF
P-RF
P-RF
P-RF/S
P-RF

P-RF
P-RF
Pagina 49 din 56
P-RF
cant/
amba
laj
Pret cu
ridicata
maximal /
ambalaj
Pret cu ridicata
maximal / U.T.
1
1
4
1
1
7
10
7
7
7
7
7
8
7
7
7
7
7
7
7
1
1
1
1
1
25
1
10
1
20
25
1
10
1
1
1
10
20
20
10
20
10
10
28
28
1
1
20
20
1000
10
20
20
20
20
13.95
4.88
48.24
7.16
6.68
30.10
18.88
47.19
16.69
11.95
16.69
11.66
14.09
12.35
16.69
43.23
21.91
32.06
14.49
14.15
43.23
30.54
137.44
133.17
30.99
781.76
81.95
761.71
42.66
631.41
443.47
34.28
330.71
40.63
35.03
18.84
181.93
360.77
362.55
454.59
796.39
770.66
182.90
3,559.23
912.09
458.07
2,203.52
14.97
15.85
704.14
14.41
12.75
12.16
10.22
12.69
13.950000
4.880000
12.060000
7.160000
6.680000
4.300000
1.888000
6.741428
2.384285
1.707142
2.384285
1.665714
1.761250
1.764285
2.384285
6.175714
3.130000
4.580000
2.070000
2.021428
43.230000
30.540000
137.440000
133.170000
30.990000
31.270400
81.950000
76.171000
42.660000
31.570500
17.738800
34.280000
33.071000
40.630000
35.030000
18.840000
18.193000
18.038500
18.127500
45.459000
39.819500
77.066000
18.290000
127.115357
32.574642
458.070000
2,203.520000
0.748500
0.792500
0.704140
1.441000
0.637500
0.608000
0.511000
0.634500
Pret cu ridicata
maximal de
decontare / U.T.
5.856000
4.880000
5.856000
5.856000
5.856000
4.300000
1.888000
1.998857
1.998857
1.707142
1.998857
1.665714
1.761250
1.764285
1.998857
1.998857
1.998857
1.998857
1.998857
1.998857
43.230000
21.286560
91.405200
91.405200
21.286560
31.270400
81.950000
76.171000
37.524480
31.570500
17.738800
34.280000
33.071000
37.524480
35.030000
18.840000
18.193000
18.038500
18.127500
37.524480
37.524480
77.066000
18.290000
127.115357
32.574642
458.070000
2,203.520000
0.577200
0.577200
0.577200
1.441000
0.577200
0.577200
0.511000
0.577200
Pret cu
maximal / U.T.
/ U.T.
maximal /
ambalaj
18.86
6.59
63.10
9.68
9.03
39.37
25.52
61.72
22.56
16.15
22.56
15.76
19.04
16.69
22.56
56.54
29.61
41.93
19.58
19.12
56.54
39.95
167.79
162.58
40.53
890.27
103.62
868.42
55.80
726.39
521.53
44.84
398.62
53.14
45.82
25.47
222.10
431.39
433.33
533.65
906.22
878.17
223.28
3,917.72
1,032.33
537.45
2,439.99
20.23
21.42
805.66
19.48
17.23
16.44
13.81
17.15
18.860000
6.590000
15.775000
9.680000
9.030000
5.624285
2.552000
8.817142
3.222857
2.307142
3.222857
2.251428
2.380000
2.384285
3.222857
8.077142
4.230000
5.990000
2.797142
2.731428
56.540000
39.950000
167.790000
162.580000
40.530000
35.610800
103.620000
86.842000
55.800000
36.319500
20.861200
44.840000
39.862000
53.140000
45.820000
25.470000
22.210000
21.569500
21.666500
53.365000
45.311000
87.817000
22.328000
139.918571
36.868928
537.450000
2,439.990000
1.011500
1.071000
0.805660
1.948000
0.861500
0.822000
0.690500
0.857500
7.908000
6.590000
7.908000
7.908000
7.908000
5.624285
2.552000
2.701714
2.701714
2.307142
2.701714
2.251428
2.380000
2.384285
2.701714
2.701714
2.701714
2.701714
2.701714
2.701714
56.540000
25.033440
104.210400
104.210400
25.033440
35.610800
103.620000
86.842000
42.732960
36.319500
20.861200
42.732960
39.862000
42.732960
42.732960
25.033440
22.210000
21.569500
21.666500
42.732960
42.732960
87.817000
22.328000
139.918571
36.868928
537.450000
2,439.990000
0.780000
0.780000
0.780000
1.948000
0.780000
0.780000
0.690500
0.780000
Grupa
Nr.
terape
crt
utica
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
J05AB01
J05AB01
J05AB01
J05AB14
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
Denumire generica
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
VALGANCICLOVIRUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
Denumire comerciala
ACICLOVIR 200 mg
ACICLOVIR 400 mg
VIROLEX
VALCYTE (R) 450 mg
CELLCEPT 250mg
CELLCEPT 500mg
MYFORTIC 180 mg
MYFORTIC 360 mg
MYFENAX 250mg

Forma
Concentrati
farmaceutic
e / U.T.
a
COMPR.
COMPR.
COMPR. FILM.
CAPS.
COMPR. FILM.
COMPR. FILM.
CAPS.
CAPS.
CAPS.
COMPR.

ARZIP 500 mg

MYFENAX 500mg
L04AC02
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AX01
L04AX01
L04AX01
L04AX01
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
BASILIXIMABUM**
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
AZATHIOPRINUM
AZATHIOPRINUM
AZATHIOPRINUM
AZATHIOPRINUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
SIMULECT 20 mg
EQUORAL (R) 100 mg
EQUORAL (R) 25 mg
CICLORAL 25 mg
EQUORAL (R) 50 mg
CICLORAL 50 mg
EQUORAL (R)
IMMUNOPRIN 100 mg
IMMUNOPRIN 100 mg
IMURAN (R)
IMMUNOPRIN 75 mg
TRAMADOL
K-ALMA (R)
TRAMADOL LPH 50 mg
TRAMADOL ARENA
TRAMACALM
TRAMADOL AL 50
TRAMADOL AL 50
MABRON 50 mg
TRALGIT 50
URGENDOL
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
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
SOL. ORALA
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
CAPS.
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.
200mg
400mg
250mg
450mg
250mg
500mg
500mg
180mg
360mg
250 mg
250mg
250mg
500mg
500 mg
500mg
500mg
500mg
500mg
20mg
100mg
25mg
25mg
25mg
50mg
50mg
50mg
100mg/ml
100mg
100mg
50mg
75mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
100mg
100mg
100mg
100mg
150mg
150mg
150mg
150mg
200mg
200mg
200mg
200mg
50mg
50mg
Firma
Tara
Ambalaj
LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR.

UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 5 COMPR.

MAREA BRITANIE
MAREA BRITANIE

UNGARIA
Prescriptie
P-RF
P-RF
S/P-RF
P-RF
P-RF/R
P-RF/R
P-RF/R
S/P-RF
S/P-RF
TEVA PHARMA BV
P-RF/R
P-RF/R
SANDOZ S.R.L.
TERAPIA S.A.
ZENTIVA K.S.
ROMANIA
ROMANIA
P-RF
REPUBLICA CEHA
PR
PR
ISLANDA
OLANDA
P-RF/R
P-RF/R
ROMANIA
MAREA BRITANIE CUTIE X 1 FLAC. CU LIOF.+ 1 FIOLA SOLV. APA PT. PREP. INJ.
TEVA PHARMA BV

CEHIA
CEHIA

HEXAL AG
CEHIA

HEXAL AG
CEHIA
AUSTRIA
AUSTRIA

KRKA D.D.
ANTIBIOTICE SA
S
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF

PR
PR
MAREA BRITANIE
S/P-RF
AUSTRIA
PR
SLOVENIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
P-RF
P-RF
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
P-RF

AC HELCOR SRL
ROMANIA CUTIE X 1 BLIST. PVC/AL X 10 CAPS.
ZENTIVA A.S.
SLOVACIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
MEDICAROM GROUP SRL ROMANIA CUTIE X 1 BLIST. X 10 CAPS.
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GERMANIA
GERMANIA
GERMANIA
GERMANIA
GERMANIA
MAGISTRA C & C
BIO EEL SRL

P-RF/S
GERMANIA
GERMANIA
GERMANIA
GERMANIA
GERMANIA
GERMANIA
GERMANIA
Pagina 50 din 56
P-RF/S
P-RF/S
P-RF
P-RF
cant/
amba
laj
20
10
5
60
100
50
50
120
120
100
100
100
50
50
50
50
50
50
1
50
50
50
50
50
50
50
1
50
100
100
100
20
20
20
20
10
30
10
10
20
10
10
20
30
50
10
20
30
50
10
20
30
50
20
20
Pret cu
ridicata
maximal /
ambalaj
Pret cu ridicata
maximal / U.T.
9.62
14.23
231.79
4,863.09
452.86
452.86
292.89
557.65
1,041.93
291.62
302.31
292.89
227.17
302.36
272.59
272.59
302.31
272.59
4,267.46
397.39
74.45
112.48
112.61
155.55
239.32
250.01
358.02
42.34
83.19
63.98
62.39
4.31
5.67
5.67
6.66
2.85
8.53
2.85
2.85
4.31
2.83
12.86
24.79
36.23
56.65
19.30
37.14
54.34
84.99
24.09
44.68
61.79
96.03
5.67
5.67
0.481000
1.423000
46.358000
81.051500
4.528600
9.057200
5.857800
4.647083
8.682750
2.916200
3.023100
2.928900
4.543400
6.047200
5.451800
5.451800
6.046200
5.451800
4,267.460000
7.947800
1.489000
2.249600
2.252200
3.111000
4.786400
5.000200
358.020000
0.846800
0.831900
0.639800
0.623900
0.215500
0.283500
0.283500
0.333000
0.285000
0.284333
0.285000
0.285000
0.215500
0.283000
1.286000
1.239500
1.207666
1.133000
1.930000
1.857000
1.811333
1.699800
2.409000
2.234000
2.059666
1.920600
0.283500
0.283500
Pret cu ridicata
maximal de
decontare / U.T.
0.481000
1.423000
46.358000
81.051500
3.499440
5.452080
5.452080
4.647083
8.682750
2.916200
3.023100
2.928900
4.543400
5.452080
5.451800
5.451800
5.452080
5.451800
4,267.460000
7.947800
1.489000
1.786800
1.786800
3.111000
3.733200
3.733200
358.020000
0.846800
0.831900
0.639800
0.623900
0.215500
0.258600
0.258600
0.258600
0.258600
0.258600
0.258600
0.258600
0.215500
0.258600
0.559200
0.559200
0.559200
0.559200
0.993600
0.993600
0.993600
0.993600
1.626799
1.626799
1.626799
1.626799
0.258600
0.258600
Pret cu
maximal / U.T.
/ U.T.
maximal /
ambalaj
13.00
19.23
282.97
5,338.93
531.77
531.77
357.56
645.99
1,173.85
356.01
367.67
357.56
277.33
367.72
332.78
332.78
367.67
332.78
4,689.69
471.31
94.13
137.32
137.48
189.90
292.16
305.21
428.39
55.38
105.18
80.90
78.89
5.82
7.67
7.67
9.00
3.85
11.53
3.85
3.85
5.82
3.82
17.38
33.50
47.39
71.63
26.09
48.58
68.71
107.46
32.56
58.44
78.13
121.42
7.67
7.67
0.650000
1.923000
56.594000
88.982166
5.317700
10.635400
7.151200
5.383250
9.782083
3.560100
3.676700
3.575600
5.546600
7.354400
6.655600
6.655600
7.353400
6.655600
4,689.690000
9.426200
1.882600
2.746400
2.749600
3.798000
5.843200
6.104200
428.390000
1.107600
1.051800
0.809000
0.788900
0.291000
0.383500
0.383500
0.450000
0.385000
0.384333
0.385000
0.385000
0.291000
0.382000
1.738000
1.675000
1.579666
1.432600
2.609000
2.429000
2.290333
2.149200
3.256000
2.922000
2.604333
2.428400
0.383500
0.383500
0.650000
1.923000
56.594000
88.982166
4.272120
6.655920
6.655920
5.383250
9.782083
3.560100
3.676700
3.575600
5.546600
6.655920
6.655600
6.655600
6.655920
6.655600
4,689.690000
9.426200
1.882600
2.259120
2.259120
3.798000
4.557600
4.557600
428.390000
1.107600
1.051800
0.809000
0.788900
0.291000
0.349200
0.349200
0.349200
0.349200
0.349200
0.349200
0.349200
0.291000
0.349200
0.755599
0.755599
0.755599
0.755599
1.342800
1.342800
1.342800
1.342800
2.128000
2.128000
2.128000
2.128000
0.349200
0.349200
Grupa
Nr.
terape
crt
utica
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
Denumire generica
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
Denumire comerciala
TRAMADOL 50 mg
TRAMADOLOR (R) 100 ID
TRAMADOL (R) RETARD
TRALGIT SR 100
TRALGIT SR 100
TRALGIT SR 100
TRALGIT SR 150
TRALGIT SR 150
TRALGIT SR 200
TRADOLAN 50 mg
TRAMADOL AL PICATURI
MABRON
MABRON
TRALGIT 100
TRAMADOL
TRAMADOL
TRAMAL (R) 50
TRALGIT 50
URGENDOL
URGENDOL
TRAMADOL
Forma
Concentrati
farmaceutic
e / U.T.
a
COMPR.
50mg
100mg
COMPR. FILM. 50mg
COMPR. ELIB. MODIF.
PIC. ORALE, SOL.
FARA CONCENTRATIE
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SUPOZ.
100mg
100mg
100mg/2ml
50mg/ml
50mg/ml
50mg/ml
50mg/ml
50mg/ml
50mg/ml
100mg
Tara
Firma
HEXAL AG
KRKA D.D.
ZENTIVA AS
ZENTIVA AS
ZENTIVA AS
ZENTIVA AS
ZENTIVA AS
ZENTIVA AS
Ambalaj
Prescriptie
P-RF
GERMANIA CUTIE X 1 BLIST. X 10 COMPR. ELIB. MODIF. P-RF
SLOVENIA
SLOVACIA
SLOVACIA
SLOVACIA
SLOVACIA
SLOVACIA
SLOVACIA
CUTIE X 3 BLIST. X 10 COMPR. ELIB. PREL. P-RF

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

GRUNENTHAL GMBH GERMANIA CUTIE X 1 BLIST. AL/PVDC X 10 COMPR. FILM. CU ELIB. PREL.
P-RF
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL.
P-RF
CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR.FILM. CU ELIB. PREL.
P-RF
CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR.FILM. ELIB. PREL.
P-RF

P-RF
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-RF
ALIUD PHARMA GMBH GERMANIA
CUTIE X 1 FLACON DIN STICLA BRUNA X 10 ML PIC. ORALE, SOL.
P-RF
S/P-RF
S/P-RF
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
ZENTIVA A.S.
KRKA D.D.
KRKA D.D.
CIPRU
CIPRU

S/P-RF
S/P-RF
S/P-RF
GRUNENTHAL GMBH GERMANIA CUTIE X 5 FIOLE X 1 ML
S/P-RF
ZENTIVA A.S.
S/P-RF
S/P-RF
MEDICAROM GROUP SRL
SLOVENIA CUTIE X 1 BLIST. X 5 SUPOZ.
S/P-RF
KRKA D.D.
P-RF
cant/
amba
laj
Pret cu
ridicata
maximal /
ambalaj
Pret cu ridicata
maximal / U.T.
Pret cu ridicata
maximal de
decontare / U.T.
Pret cu
maximal / U.T.
/ U.T.
maximal /
ambalaj
20
10
30
50
10
30
10
30
10
30
10
30
10
10
30
1
5
100
5
5
5
5
5
5
5
5
5.67
4.66
13.99
24.09
4.66
13.98
15.57
24.84
20.35
7.88
7.17
31.78
16.30
20.85
40.67
3.73
7.27
110.22
9.09
9.69
3.65
5.60
8.50
3.63
5.67
4.13
0.283500
0.466000
0.466333
0.481800
0.466000
0.466000
1.557000
0.828000
2.035000
0.262666
0.717000
1.059333
1.630000
2.085000
1.355666
3.730000
1.454000
1.102200
1.818000
1.938000
0.730000
1.120000
1.700000
0.726000
1.134000
0.826000
0.258600
0.466000
0.466333
0.481800
0.466000
0.466000
0.993600
0.828000
1.626799
0.258600
0.559200
0.993600
0.993600
1.626799
1.355666
3.730000
1.322640
1.102200
1.322640
1.322640
0.730000
0.871200
0.871200
0.726000
1.134000
0.826000
7.67
6.30
18.91
32.56
6.30
18.89
21.05
33.57
27.50
10.65
9.69
41.57
22.03
28.18
53.20
5.04
9.83
134.56
12.28
13.10
4.93
7.57
11.49
4.90
7.67
5.58
0.383500
0.630000
0.630333
0.651200
0.630000
0.629666
2.105000
1.119000
2.750000
0.355000
0.969000
1.385666
2.203000
2.818000
1.773333
5.040000
1.966000
1.345600
2.456000
2.620000
0.986000
1.514000
2.298000
0.980000
1.534000
1.116000
0.349200
0.630000
0.630333
0.651200
0.630000
0.629666
1.342800
1.119000
2.128000
0.349200
0.755599
1.342800
1.342800
2.128000
1.773333
5.040000
1.614720
1.345600
1.614720
1.614720
0.986000
1.176000
1.176000
0.980000
1.534000
1.116000
50
100
50
60
20
6
6
6
1
6
1
1
6
6
6
6
6
1
6
6
6
4
4
4
54.39
98.29
56.54
41.43
27.43
1,550.81
178.92
355.67
688.15
518.88
1,206.71
877.32
682.04
845.15
2,117.84
229.28
447.82
1,042.55
865.04
1,073.53
117.90
2,876.01
324.23
4,284.58
1.087800
0.982900
1.130800
0.690500
1.371500
258.468333
29.820000
59.278333
688.150000
86.480000
1,206.710000
877.320000
113.673333
140.858333
352.973333
38.213333
74.636666
1,042.550000
144.173333
178.921666
19.650000
719.002500
81.057500
1,071.145000
1.087800
0.982900
1.130800
0.690500
1.371500
258.468333
29.820000
59.278333
688.150000
86.480000
1,052.784000
877.320000
113.673333
140.858333
352.973333
38.213333
74.636666
1,042.550000
144.173333
178.921666
19.650000
719.002500
81.057500
1,071.145000
68.77
124.28
71.49
54.19
35.88
1,728.54
218.42
425.83
788.23
603.73
1,353.47
994.43
781.57
959.37
2,346.60
279.91
526.27
1,174.53
981.05
1,208.30
143.93
3,173.01
391.56
4,708.35
1.375400
1.242800
1.429800
0.903166
1.794000
288.090000
36.403333
70.971666
788.230000
100.621666
1,353.470000
994.430000
130.261666
159.895000
391.100000
46.651666
87.711666
1,174.530000
163.508333
201.383333
23.988333
793.252500
97.890000
1,177.087500
1.375400
1.242800
1.429800
0.903166
1.794000
288.090000
36.403333
70.971666
788.230000
100.621666
1,193.316000
994.430000
130.261666
159.895000
391.100000
46.651666
87.711666
1,174.530000
163.508333
201.383333
23.988333
793.252500
97.890000
1,177.087500

P9.7: TRATAMENTUL STARII POSTTRANSPLANT IN AMBULATORIU A PACIENTILOR TRANSPLANTATI
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
A05AA02
A05AA02
A05AA02
A05AA02
A05AA02
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA02
B03XA02
B03XA02
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
DARBEPOETINUM ALFA **
URSOSAN
URSOFALK (R)
URSOFALK (R)
URSOCHOL 150 mg
URSOCHOL 300 mg
EPREX 40000 UI/ml
ARANESP 100mcg/0,5ml
ARANESP 10mcg/0,4ml
CAPS.
CAPS.
CAPS.
COMPR.
COMPR.
250mg
250mg
250mg
150mg
300mg
10000UI/1,0ml
CEHIA

P-6L
P-6L/S
P-6L
ZAMBON S.P.A.
ZAMBON S.P.A.
SANDOZ GMBH
SANDOZ GMBH
SANDOZ GMBH
SANDOZ GMBH
SANDOZ GMBH
ITALIA
ITALIA
AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ.
AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ.
AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,75ML SOL. INJ.
S/P-RF/R
JOHNSON & JOHNSON D.O.O.
SLOVENIA
S/P-RF
P-RF/R
S/P-RF/R

AUSTRIA
AUSTRIA
AUSTRIA
S/P-RF/R
10000UI/0,6ml
S/P-RF/R
1000UI/0,3ml
2000UI/0,3ml
S/P-RF/R
1000UI/0,5ml
2000UI/1,0ml
30000UI/0,75ml
3000UI/0,3ml
40 000UI/ml
MAREA BRITANIE
P-6L
P-6L
S/P-RF/R
S/P-RF/R
S/P-RF/R
P-RF/R
S/P-RF/R
S/P-RF/R
4000UI/0,3ml
5000UI/0,3ml
500UI/0,3ml
100mcg/0,5ml AMGEN EUROPE BV OLANDA
CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML
P-RF/R

P-RF/R
P-RF/R
S/P-RF/R
S/P-RF/R
S/P-RF/R
Pagina 51 din 56
Grupa
Nr.
terape
crt
utica
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
H02AB04
H02AB04
H02AB04
H02AB04
H02AB04
H02AB04
H02AB07
H02AB07
H02AB07
H02AB07
H02AB07
H02AB07
Denumire generica
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM

J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
Denumire comerciala
ARANESP 20mcg/0,5ml
ARANESP 30mcg/0,3ml
ARANESP 40mcg/0,4ml
ARANESP 500mcg/ml
ARANESP 50mcg/0,5ml
ARANESP 60mcg/0,3ml
ARANESP 80mcg/0,4ml
MEDROL A 16
MEDROL 32
MEDROL 4 mg
LEMOD SOLU 125 mg
LEMOD SOLU 500 mg
SOLU - MEDROL ACT-O-VIAL
PREDNISON MCC 5 mg
N - PREDNISON
PREDNISON 5 mg
PREDNISON - RICHTER 5 mg
TAGREMIN
SUMETROLIM
CO - TRIM ELL
BITRIM 400mg/80mg
SUMETROLIM
EPITRIM
FUNGOLON 100 mg
DIFLAZON 100 mg
FLUCORIC 100 mg
FLUCOVIM 100


FLUCONAZOL 150 mg
MYCOMAX 150
DIFLAZON 150 mg
FLUCOVIM 150
DIFLUCAN 150 mg
FLUCORIC 150 mg
MYCOSYST 150 mg
FLUCONAZOL 150 mg
FLUCONAZOL 50 mg
DIFLAZON 50 mg
FLUCOVIM 50
Forma
Concentrati
farmaceutic
e / U.T.
a
Firma
15mcg/0,375ml AMGEN EUROPE BV
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
SIROP

500mcg/ml AMGEN EUROPE BV
16mg
32mg
4mg
125mg
STADA HEMOFARM S.R.L.
500mg
STADA HEMOFARM S.R.L.
250mg/4ml PFIZER EUROPE MA EEIG
5mg
MAGISTRA C&C S.R.L.
5mg
ARENA GROUP SA
5mg
ARENA GROUP SA
5mg
MEDUMAN SA
5mg
SINTOFARM SA
5mg
400mg/80mg ZENTIVA S.A.
400mg/80mg EGIS PHARMACEUTICALS P.L.C.
400mg/80mg BIO EEL SRL
400mg/80mg ARENA GROUP S.A.
25mg/5mg/ml EGIS PHARMACEUTICALS P.L.C.
SUSP. ORALA
200mg/40mg /5ml
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
100mg
100mg
100mg
100mg
100mg
100mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
200mg
50mg
50mg
50mg
50mg
COMPR.
COMPR.
COMPR.
LIOF. PT. SOL. INJ.
LIOF. PT. SOL. INJ.
LIOF. SI SOLV.PT.SOL.INJ
Tara
KRKA D.D.
Prescriptie
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
P-RF/R
P-RF/R
CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 0,6 ML
P-RF/R
P-RF/R
P-RF/R
CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 1 ML
P-RF/R
P-RF/R
P-RF/R
P-RF/R
MAREA BRITANIE
CUTIE X 5 BLIST. A-PVC/PVC X 10 COMPR.
P-RF
MAREA BRITANIE
CUTIE X 2 BLIST. AL-PVC/PVC X 10 COMPR. P-RF
MAREA BRITANIE
CUTIE X 1 FLAC. DIN STICLA X 30 COMPR.
ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 2 ML

ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 7,8 ML
MAREA BRITANIE
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
UNGARIA
ROMANIA
ROMANIA
UNGARIA
Ambalaj
P-RF
S/P-RF
S/P-RF
CUTIE X 1 FLAC. BICOMPARTIMENTAT (COMPARTIMENT INFERIOR) LIOF. PT. SOL. INJ. + (COMPARTIMENT SUPERIO
P-RF
P-RF
P-RF/S
P-RF
P-RF

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SUSP. ORALA + MASURA DOZATOARE
P-RF
CUTIE X 1 FLACON DIN STICLA BRUNA CU MASURA DOZATOARE X 100 ML
P-RF

P-RF
P-RF
P-RF
P-RF
TERAPIA SA
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 BLIST. PVC-PVDC/AL X 1 CAPS.
P-RF
ROMANIA
ROMPHARM COMPANY S.R.L. ROMANIA
OZONE LABORATORIES PHARMA S.A. ROMANIA
P-RF
SANDOZ SRL
ZENTIVA K.S.
KRKA D.D.
CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA
P-RF
P-RF
PRF

P-RF

CEHIA
P-RF
GERMANIA
P-RF
P-RF

P-RF
P-RF
P-RF
TERAPIA SA
MAREA BRITANIE
ROMANIA
ANTIBIOTICE S.A.
ROMANIA
P-RF
P-RF

P-RF
P-RF
P-RF
P-RF
KRKA D.D.
Pagina 52 din 56
P-RF
P-RF
P-RF
P-RF
cant/
amba
laj
Pret cu
ridicata
maximal /
ambalaj
Pret cu ridicata
maximal / U.T.
4
4
1
4
4
1
4
4
4
50
20
30
1
1
1
20
1000
30
30
30
20
20
20
20
20
1
1
16
28
2
7
7
4
1
1
1
1
1
1
1
1
1
1
1
1
1
1
4
1
1
7
10
7
7
7
467.24
609.62
1,991.25
891.12
1,175.04
3,298.77
1,457.44
1,742.22
2,309.91
24.13
21.94
4.83
6.52
22.95
15.15
1.96
44.43
1.94
1.83
2.74
1.90
5.71
3.06
5.21
5.71
6.07
3.52
65.37
193.65
6.98
23.31
33.15
18.95
6.07
7.44
6.68
7.35
9.57
7.35
10.79
9.27
16.65
4.88
7.35
18.56
13.95
4.88
48.24
7.16
6.68
30.10
18.88
47.19
16.69
11.95
116.810000
152.405000
1,991.250000
222.780000
293.760000
3,298.770000
364.360000
435.555000
577.477500
0.482600
1.097000
0.161000
6.520000
22.950000
15.150000
0.098000
0.044430
0.064666
0.061000
0.091333
0.095000
0.285500
0.153000
0.260500
0.285500
6.070000
3.520000
4.085625
6.916071
3.490000
3.330000
4.735714
4.737500
6.070000
7.440000
6.680000
7.350000
9.570000
7.350000
10.790000
9.270000
16.650000
4.880000
7.350000
18.560000
13.950000
4.880000
12.060000
7.160000
6.680000
4.300000
1.888000
6.741428
2.384285
1.707142
Pret cu ridicata
maximal de
decontare / U.T.
116.810000
152.405000
1,991.250000
222.780000
293.760000
3,298.770000
364.360000
435.555000
577.477500
0.482600
1.097000
0.161000
6.520000
22.950000
15.150000
0.053316
0.044430
0.053316
0.053316
0.053316
0.053316
0.183600
0.153000
0.183600
0.183600
6.070000
3.520000
3.996000
3.996000
3.490000
3.330000
3.996000
3.996000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
4.880000
5.856000
5.856000
5.856000
4.880000
5.856000
5.856000
5.856000
4.300000
1.888000
1.998857
1.998857
1.707142
Pret cu
maximal / U.T.
/ U.T.
maximal /
ambalaj
547.44
702.64
2,208.61
1,009.47
1,318.95
3,633.81
1,626.76
1,937.17
2,555.95
32.62
29.65
6.53
8.81
31.02
20.48
2.65
58.12
2.62
2.47
3.71
2.57
7.72
4.13
7.04
7.72
8.20
4.76
82.66
236.41
9.43
31.51
43.36
25.61
8.20
10.06
9.03
9.94
12.94
9.94
14.58
12.53
22.51
6.59
9.94
25.08
18.86
6.59
63.10
9.68
9.03
39.37
25.52
61.72
22.56
16.15
136.860000
175.660000
2,208.610000
252.367500
329.737500
3,633.810000
406.690000
484.292500
638.987500
0.652400
1.482500
0.217666
8.810000
31.020000
20.480000
0.132500
0.058120
0.087333
0.082333
0.123666
0.128500
0.386000
0.206500
0.352000
0.386000
8.200000
4.760000
5.166250
8.443214
4.715000
4.501428
6.194285
6.402500
8.200000
10.060000
9.030000
9.940000
12.940000
9.940000
14.580000
12.530000
22.510000
6.590000
9.940000
25.080000
18.860000
6.590000
15.775000
9.680000
9.030000
5.624285
2.552000
8.817142
3.222857
2.307142
136.860000
175.660000
2,208.610000
252.367500
329.737500
3,633.810000
406.690000
484.292500
638.987500
0.652400
1.482500
0.217666
8.810000
31.020000
20.480000
0.069744
0.058120
0.069744
0.069744
0.069744
0.069744
0.247800
0.206500
0.247800
0.247800
8.200000
4.760000
5.166250
5.401714
4.715000
4.501428
5.401714
5.401714
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
6.590000
7.908000
7.908000
7.908000
6.590000
7.908000
7.908000
7.908000
5.624285
2.552000
2.701714
2.701714
2.307142
Grupa
Nr.
terape
crt
utica
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC03
J02AC03
J02AC03
J02AC03
J02AC04
J02AC04
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB14
J05AF05
J05AF05
J05AF05
J05AF05
Denumire generica
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
VORICONAZOLUM **
VORICONAZOLUM **
VORICONAZOLUM **
VORICONAZOLUM **
POSACONAZOLUM**
POSACONAZOLUM**
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
VALGANCICLOVIRUM **
LAMIVUDINUM
LAMIVUDINUM
LAMIVUDINUM
LAMIVUDINUM
Denumire comerciala
FUNGOLON 50 mg
DIFLUCAN 50 mg
FLUCORIC 50 mg
FLUCONAZOL 50 mg
MYCOMAX INF 2mg/ml
MYCOMAX INF 2mg/ml
DIFLUCAN (R)
DIFLUCAN (R)
MYCOMAX INF 2mg/ml
DIFLAZON 2mg/ml
VFEND 200mg
VFEND 50mg
VFEND 200mg
VFEND 40 mg/ml
NOXAFIL SP 40mg/ml
NOXAFIL SP 40mg/ml
ACICLOVIR 200 mg
ACICLOVIR 200 mg
CLOVIRAL 200 mg
ACICLOVIR 200 mg
ACICLOVIR 200 mg
ACICLOVIR 400 mg
VIROLEX
VALCYTE (R) 450 mg
LAMIVUDINE TEVA 100 mg
ZEFFIX 100 mg
EPIVIR 150mg
Forma
Concentrati
farmaceutic
e / U.T.
a
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.
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
SUSP. ORALA
CAPS.
CAPS.
CAPS.
CAPS.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg/5ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
200mg
50mg
200mg
40mg/ml
40mg/ml
40mg/ml
200mg
200mg
200mg
400mg
200mg
200mg
200mg
200mg
200mg
400mg
250mg
450mg
100 mg
100mg
150 mg
150mg
Firma
Tara
Ambalaj
Prescriptie


P-RF

MAREA BRITANIE
P-RF
TERAPIA SA
SANDOZ SRL
SLAVIA PHARM SRL
ARENA GROUP SA

P-RF
MAREA BRITANIE
ZENTIVA K.S.
ZENTIVA K.S.
REPUBLICA CEHA
REPUBLICA CEHA
MAREA BRITANIE
MAREA BRITANIE
ROMANIA
ROMANIA
ROMANIA
ZENTIVA K.S.
REPUBLICA CEHA
ROMANIA


ROMANIA
ROMANIA
ROMANIA


SP EUROPE
SLAVIA PHARM SRL
ARENA GROUP SA
ARENA GROUP SA
ARENA GROUP S.A.
BELGIA
P-RF
S
S
S/P-RF
S/P-RF
MAREA BRITANIE
P-RF
S
S
S
MERCK SHARP & DOHME
P-RF
P-RF
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
P-RF
P-RF
S/PR-F
S
S
S
S
S
S
S
S
MAREA BRITANIE
P-RF
MAREA BRITANIE
P-RF
MAREA BRITANIE
P-RF
MAREA BRITANIE
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ANTIBIOTICE SA
ROMANIA
TERAPIA SA
ROMANIA


P-RF
P-RF/R
P-RF/R
P-RF
P-RF
P-RF/S
P-RF

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

GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST. PVC-AL/PVC-AL)
GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLAC. PEID X 60 COMPR. FILM.
Pagina 53 din 56
S/P-RF
P-RF
P-RF/R
P-RF/R
P-RF/R
P-RF/R
cant/
amba
laj
Pret cu
ridicata
maximal /
ambalaj
Pret cu ridicata
maximal / U.T.
7
7
8
7
7
7
7
7
7
7
1
1
1
1
1
25
1
10
1
20
25
1
10
1
1
1
10
20
20
10
20
10
10
28
28
1
1
1
1
20
20
1000
10
20
20
20
20
20
10
5
60
30
28
60
60
16.69
11.66
14.09
12.35
16.69
43.23
21.91
32.06
14.49
14.15
43.23
30.54
137.44
133.17
30.99
781.76
81.95
761.71
42.66
631.41
443.47
34.28
330.71
40.63
35.03
18.84
181.93
360.77
362.55
454.59
796.39
770.66
182.90
3,559.23
912.09
458.07
2,203.52
2,488.19
2,488.19
14.97
15.85
704.14
14.41
12.75
12.16
10.22
12.69
9.62
14.23
231.79
4,863.09
159.00
228.32
319.27
476.54
2.384285
1.665714
1.761250
1.764285
2.384285
6.175714
3.130000
4.580000
2.070000
2.021428
43.230000
30.540000
137.440000
133.170000
30.990000
31.270400
81.950000
76.171000
42.660000
31.570500
17.738800
34.280000
33.071000
40.630000
35.030000
18.840000
18.193000
18.038500
18.127500
45.459000
39.819500
77.066000
18.290000
127.115357
32.574642
458.070000
2,203.520000
2,488.190000
2,488.190000
0.748500
0.792500
0.704140
1.441000
0.637500
0.608000
0.511000
0.634500
0.481000
1.423000
46.358000
81.051500
5.300000
8.154285
5.321166
7.942333
Pret cu ridicata
maximal de
decontare / U.T.
1.998857
1.665714
1.761250
1.764285
1.998857
1.998857
1.998857
1.998857
1.998857
1.998857
43.230000
21.286560
91.405200
91.405200
21.286560
31.270400
81.950000
76.171000
37.524480
31.570500
17.738800
34.280000
33.071000
37.524480
35.030000
18.840000
18.193000
18.038500
18.127500
37.524480
37.524480
77.066000
18.290000
127.115357
32.574642
458.070000
2,203.520000
2,488.190000
2,488.190000
0.577200
0.577200
0.577200
1.441000
0.577200
0.577200
0.511000
0.577200
0.481000
1.423000
46.358000
81.051500
5.300000
6.360000
5.321166
6.385399
Pret cu
maximal / U.T.
/ U.T.
maximal /
ambalaj
22.56
15.76
19.04
16.69
22.56
56.54
29.61
41.93
19.58
19.12
56.54
39.95
167.79
162.58
40.53
890.27
103.62
868.42
55.80
726.39
521.53
44.84
398.62
53.14
45.82
25.47
222.10
431.39
433.33
533.65
906.22
878.17
223.28
3,917.72
1,032.33
537.45
2,439.99
2,750.28
2,750.28
20.23
21.42
805.66
19.48
17.23
16.44
13.81
17.15
13.00
19.23
282.97
5,338.93
194.11
278.73
386.16
557.58
3.222857
2.251428
2.380000
2.384285
3.222857
8.077142
4.230000
5.990000
2.797142
2.731428
56.540000
39.950000
167.790000
162.580000
40.530000
35.610800
103.620000
86.842000
55.800000
36.319500
20.861200
44.840000
39.862000
53.140000
45.820000
25.470000
22.210000
21.569500
21.666500
53.365000
45.311000
87.817000
22.328000
139.918571
36.868928
537.450000
2,439.990000
2,750.280000
2,750.280000
1.011500
1.071000
0.805660
1.948000
0.861500
0.822000
0.690500
0.857500
0.650000
1.923000
56.594000
88.982166
6.470333
9.954642
6.436000
9.293000
2.701714
2.251428
2.380000
2.384285
2.701714
2.701714
2.701714
2.701714
2.701714
2.701714
56.540000
25.033440
104.210400
104.210400
25.033440
35.610800
103.620000
86.842000
42.732960
36.319500
20.861200
42.732960
39.862000
42.732960
42.732960
25.033440
22.210000
21.569500
21.666500
42.732960
42.732960
87.817000
22.328000
139.918571
36.868928
537.450000
2,439.990000
2,750.280000
2,750.280000
0.780000
0.780000
0.780000
1.948000
0.780000
0.780000
0.690500
0.780000
0.650000
1.923000
56.594000
88.982166
6.470333
7.764400
6.436000
7.723200
Grupa
Nr.
terape
crt
utica
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
J05AF05
J05AF05
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
Denumire generica
LAMIVUDINUM
LAMIVUDINUM
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
Denumire comerciala
COMPR. FILM. 300 mg
EPIVIR 10mg/ml
CELLCEPT 250mg
CELLCEPT 500mg
SOL. ORALA 10mg/ml

CAPS.
250mg
COMPR. FILM. 500mg
COMPR. FILM. 500mg
180mg
360mg
CAPS.
250 mg
CAPS.
250mg
CAPS.
250mg
COMPR.
500mg
COMPR. FILM. 500 mg
COMPR. FILM. 500mg
COMPR. FILM. 500mg
COMPR. FILM. 500mg
COMPR. FILM. 500mg
DRAJ.
1mg
CAPS. MOI 100mg
CAPS. MOI 25mg
CAPS. MOI 25mg
CAPS. MOI 25mg
CAPS. MOI 50mg
CAPS. MOI 50mg
CAPS. MOI 50mg
SOL. ORALA 100mg/ml
CAPS.
0,5 mg
CAPS.
0,5mg
CAPS.
0,5mg
CAPS.
0,5mg
CAPS.
1 mg
CAPS.
1mg
CAPS.
1mg
CAPS.
1mg
CAPS.
5 mg
CAPS.
5mg
CAPS. ELIB. PREL. 0,5mg
COMPR. FILM. 100mg
COMPR. FILM. 100mg
COMPR. FILM. 50mg
COMPR. FILM. 75mg
MYFORTIC 180 mg
MYFORTIC 360 mg
MYFENAX 250mg

L04AA06 MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL TERAPIA 500 mg
ARZIP 500 mg

MYFENAX 500mg
L04AA10
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AX01
L04AX01
L04AX01
L04AX01
SIROLIMUS**
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
AZATHIOPRINUM*
AZATHIOPRINUM*
AZATHIOPRINUM*
AZATHIOPRINUM*
Forma
Concentrati
farmaceutic
e / U.T.
a
RAPAMUNE 1mg
EQUORAL (R) 100 mg
EQUORAL (R) 25 mg
CICLORAL 25 mg
EQUORAL (R) 50 mg
CICLORAL 50 mg
EQUORAL (R)
TACNI 0,5 mg
PROGRAF (R) 0,5 mg
TACNI 1 mg
PROGRAF (R) 1 mg
TACNI 5 mg
PROGRAF (R) 5 mg
ADVAGRAF 0,5mg
ADVAGRAF 1mg
ADVAGRAF 5mg
PROGRAF (R) 5 mg/ml
IMMUNOPRIN 100 mg
IMMUNOPRIN 100 mg
IMURAN (R)
IMMUNOPRIN 75 mg
Firma
Tara

Ambalaj
Prescriptie
CUTIE CU BLIST. PVC/PVDC/AL X 30 COMPR. FILM.
P-RF/R
CUTIE X 1 FLACON PEID X 240ML SOL. ORALA + 1 SERINGA DOZATOARE + 1 ADAPTOR
P-RF/R
MAREA BRITANIE
MAREA BRITANIE

UNGARIA
P-RF/R
S/P-RF
S/P-RF
P-RF/R
P-RF/R
TEVA PHARMA BV
P-RF/R
P-RF/R
SANDOZ S.R.L.
TERAPIA S.A.
ZENTIVA K.S.
ROMANIA
ROMANIA
P-RF
REPUBLICA CEHA
PR
PR
ISLANDA
OLANDA
P-RF/R
TEVA PHARMA BV
P-RF/R
ROMANIA
WYETH EUROPA LTD.
MAREA BRITANIE
CEHIA
CEHIA


P-RF/R
S/P-RF
S/P-RF
S/P-RF
HEXAL AG
S/P-RF
CEHIA
S/P-RF

S/P-RF
HEXAL AG
S/P-RF
CEHIA
S/P-RF
ROMANIA
PRF
OLANDA
S/P-RF
SANDOZ S.R.L.
ROMANIA
ROMANIA
OLANDA
S/P-RF
PRF
S/P-RF
SANDOZ S.R.L.
ROMANIA
ROMANIA
OLANDA
PRF
S/P-RF
OLANDA
S/P-RF
P-RF/R
P-RF/R
P-RF/R

S
MAREA BRITANIE
S/P-RF
AUSTRIA
PR

cant/
amba
laj
30
1
100
50
50
120
120
100
100
100
50
50
50
50
50
50
30
50
50
50
50
50
50
50
1
50
50
50
50
50
50
50
50
50
50
50
50
50
10
50
100
100
100
Pret cu
ridicata
maximal /
ambalaj
319.27
131.82
452.86
452.86
292.89
557.65
1,041.93
291.62
302.31
292.89
227.17
302.36
272.59
272.59
302.31
272.59
489.29
397.39
74.45
112.48
112.61
155.55
239.32
250.01
358.02
133.49
205.39
133.49
133.49
238.62
363.74
238.62
238.62
1,114.65
1,715.18
204.92
402.53
1,865.58
1,545.19
42.34
83.19
63.98
62.39
Pret cu ridicata
maximal / U.T.
10.642333
131.820000
4.528600
9.057200
5.857800
4.647083
8.682750
2.916200
3.023100
2.928900
4.543400
6.047200
5.451800
5.451800
6.046200
5.451800
16.309666
7.947800
1.489000
2.249600
2.252200
3.111000
4.786400
5.000200
358.020000
2.669800
4.107800
2.669800
2.669800
4.772400
7.274800
4.772400
4.772400
22.293000
34.303600
4.098400
8.050600
37.311600
154.519000
0.846800
0.831900
0.639800
0.623900
Pret cu ridicata
maximal de
decontare / U.T.
Pret cu
maximal / U.T.
/ U.T.
maximal /
ambalaj
10.642333
131.820000
3.499440
5.452080
5.452080
4.647083
8.682750
2.916200
3.023100
2.928900
4.543400
5.452080
5.451800
5.451800
5.452080
5.451800
16.309666
7.947800
1.489000
1.786800
1.786800
3.111000
3.733200
3.733200
358.020000
2.669800
3.203760
2.669800
2.669800
4.772400
5.726880
4.772400
4.772400
22.293000
26.751600
3.203760
5.726880
26.751600
154.519000
0.846800
0.831900
0.639800
0.623900
386.16
160.92
531.77
531.77
357.56
645.99
1,173.85
356.01
367.67
357.56
277.33
367.72
332.78
332.78
367.67
332.78
571.48
471.31
94.13
137.32
137.48
189.90
292.16
305.21
428.39
162.97
250.74
162.97
162.97
291.31
434.63
291.31
291.31
1,253.12
1,907.70
250.17
476.91
2,071.63
1,722.41
55.38
105.18
80.90
78.89
12.872000
160.920000
5.317700
10.635400
7.151200
5.383250
9.782083
3.560100
3.676700
3.575600
5.546600
7.354400
6.655600
6.655600
7.353400
6.655600
19.049333
9.426200
1.882600
2.746400
2.749600
3.798000
5.843200
6.104200
428.390000
3.259400
5.014800
3.259400
3.259400
5.826200
8.692600
5.826200
5.826200
25.062400
38.154000
5.003400
9.538200
41.432600
172.241000
1.107600
1.051800
0.809000
0.788900
12.872000
160.920000
4.272120
6.655920
6.655920
5.383250
9.782083
3.560100
3.676700
3.575600
5.546600
6.655920
6.655600
6.655600
6.655920
6.655600
19.049333
9.426200
1.882600
2.259120
2.259120
3.798000
4.557600
4.557600
428.390000
3.259400
3.911280
3.259400
3.259400
5.826200
6.991440
5.826200
5.826200
25.062400
30.074880
3.911280
6.991440
30.074880
172.241000
1.107600
1.051800
0.809000
0.788900
0.514000
0.616800
0.774333
0.929200
33.62
37.26
31.40
55.07
0.672400
1.242000
1.046666
1.835666
0.672400
0.806880
1.046666
1.255999
Pentru urmtoarele DCI-uri: VORICONAZOLUM, VALGANCICLOVIRUM, EPOETINUM BETA i DARBOPOETINUM, prescrierea i eliberarea medicamentelor se fac numai cu aprobarea Ageniei Naionale
de Transplant
P10: PROGRAM NATIONAL DE SUPLEERE A FUNCTIEI RENALE LA BOLNAVII CU INSUFICIENTA RENALA CRONICA
1
2
3
4
A11CC03
A11CC03
A11CC03
A11CC03
ALFACALCIDOLUM
ALFACALCIDOLUM
ALFACALCIDOLUM
ALFACALCIDOLUM
ALPHA D3 0,25 mcg
CAPS. MOI
CAPS. MOI
ALPHA D3 0,50 mcg
CAPS. MOI
ALFACALCIDOL SANDOZ 0,5 mcg CAPS. MOI
0,25mcg
0,25g
0,50mcg
0,5g
SANDOZ S.R.L.
SANDOZ S.R.L.

P-RF
Pagina 54 din 56
50
30
30
30
25.70
28.49
23.23
42.10
0.514000
0.949666
0.774333
1.403333
Grupa
Nr.
terape
crt
utica
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
A11CC03
A11CC03
A11CC04
A11CC07
A11CC07
A11CC07
A11CC07
A11CC07
B01AB01
B01AB01
B01AB01
B01AB01
B01AB05
B01AB05
B01AB05
B01AB05
B01AB06
B01AB06
B01AB06
B01AB06
B01AB06
B01AB08
B01AB08
B01AB10
B01AB10
B01AB10
B01AB10
B01AB10
B01AB10
B01AB10
Denumire generica
ALFACALCIDOLUM
ALFACALCIDOLUM
CALCITRIOLUM**
PARICALCITOLUM**
PARICALCITOLUM**
PARICALCITOLUM**
PARICALCITOLUM**
PARICALCITOLUM**
HEPARINUM**
HEPARINUM**
HEPARINUM**
HEPARINUM**
ENOXAPARINUM**
ENOXAPARINUM**
ENOXAPARINUM**
ENOXAPARINUM**
NADROPARINUM**
NADROPARINUM**
NADROPARINUM**
NADROPARINUM**
NADROPARINUM**
REVIPARINUM**
REVIPARINUM**
TINZAPARINUM**
TINZAPARINUM**
TINZAPARINUM**
TINZAPARINUM**
TINZAPARINUM**
TINZAPARINUM**
TINZAPARINUM**
B03AC02 COMPLEX DE HIDROXID DE FER (III) SUCROZA
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
DARBEPOETINUM ALFA**
Denumire comerciala
ROCALTROL
ZEMPLAR 1mcg
ZEMPLAR 2mcg
ZEMPLAR 4mcg
ZEMPLAR
ZEMPLAR
HEPARIN NATRIUM 25000 RATIOPHARM
HEPARIBENE Na 25000
HEPARINE SODIQUE PANPHARMA
HEPARIN
FRAXIPARINE 2850 UI anti-factor Xa/0,3 ml
FRAXIPARINE 9500 UI anti-factor Xa/1 ml multidoza
Forma
Concentrati
farmaceutic
e / U.T.
a
SOL. INJ.
SOL. INJ.
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.

INNOHEP
INNOHEP
INNOHEP
INNOHEP
INNOHEP
INNOHEP
INNOHEP
VENOFER (R)
SOL. INJ./PERF.
EPREX 40000 UI/ml
0,25mcg
1mcg
2mcg
4mcg
5 mcg/ml
5 mcg/ml
5000 UI/ml
5000 UI/ml
5000ui/ml
5000ui/ml
LEO PHARMA A/S

LEO PHARMA A/S


Ambalaj
SPANIA
SPANIA
SPANIA
SPANIA
SPANIA
Prescriptie
S
S
CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 CAPS. MOI P-RF

CUTIE X 4 BLIST. PVC/FLUOROPOLIMER/AL X 7 CAPS. MOI P-RF
CUTIE X 4 BLIST. PVC/FLUOROPOLIMER/AL X 7 CAPS.
P-RF
CUTIE X 4 BLIST. PVC/FLUOROPOLIMER/AL X 7 CAPS. MOI P-RF
LAB. AVENTIS
LAB. AVENTIS
LAB. AVENTIS
LAB. AVENTIS
CUTIE X 5 FIOLE X 1 ML SOL. INJ. S

CUTIE X 5 FIOLE X 2 ML SOL. INJ. S
ROMANIA CUTIE CU 5 FLACOANE X 25000 UI P-RF
ROMANIA CUTIE CU 5 FLACOANE X 25000 UI P-RF
FRANTA CUTIE X 10 FLACOANE DIN STICLA INCOLORA X 5 ML SOL. INJ. S
ROMANIA CUTIE X 10 FIOLE X 5ML
S
FRANTA CUTIE X 10 SERINGI PREUMPLUTE X 0,2 ML SOL. INJ. S/P-RF
FRANTA CUTIE X 10 SERINGI PREUMPLUTE X 0.4 ML SOL. INJ. S/P-RF
2850 ui AFXa/0,3ml
GLAXO GROUP LIMITED/GLAXO WELLCOME HOUSE
MAREA BRITANIE CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,3 ML SOL. INJ. S/P-RF
3800 ui AFXa/0,4ml
5700 ui AFXa/0,6ml
7600 ui AFXa/0,8ml

HK&ZY BEST PHARMA DISTRIBUTION
HK&ZY BEST PHARMA DISTRIBUTION
LAB. PANPHARMA
POLIPHARMA INDUSTRIES S.R.L.
9500 UI AFXa/1 ml GLAXO GROUP LIMITED
MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA INCOLORA, MULTIDOZA X 5 ML SOL. INJ.
S/P-RF
S/P-RF
DANEMARCA
CUTIE X 2 SERINGI PREUMPLUTE X 0.45 ML SOL. INJ. (4500 U-AXA)
S/P-RF
10000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS
DANEMARCA
CUTIE X 2 SERINGI PREUMPLUTE X 0.35 ML SOL. INJ. (3500 U-AXA)
S/P-RF
DANEMARCA
CUTIE X 10 FLAC. DIN STICLA INCOLORA X 2 ML SOL. INJ. (10000 U-AXA)
S/P-RF
DANEMARCA
CUTIE X 10 FLAC. DIN STICLA INCOLORA X 2ML SOL. INJ. (20000 U-AXA)
S/P-RF
DANEMARCA
CUTIE X 2 SERINGI PREUMPLUTE X 0,90 ML SOL. IN. (18000 U-AXA)
S/P-RF
DANEMARCA
S/P-RF
DANEMARCA
S/P-RF
20mg/ml
VIFOR FRANCE S.A.

SANDOZ GMBH
SANDOZ GMBH
SANDOZ GMBH
SANDOZ GMBH
SANDOZ GMBH
FRANTA CUTIE X 5 FIOLE X 5 ML

AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,75ML SOL. INJ.
JOHNSON & JOHNSON D.O.O.
SLOVENIA
P-RF/R
S/P-RF/R

AUSTRIA
AUSTRIA
AUSTRIA
S/P-RF/R
10000UI/0,6ml
S/P-RF/R
S/P-RF/R
1000UI/0,3ml
2000UI/0,3ml
S/P-RF/R
10000UI/1,0ml
1000UI/0,5ml
2000UI/1,0ml
30000UI/0,75ml
3000UI/0,3ml
40 000UI/ml
ARANESP 10mcg/0,4ml
ARANESP 20mcg/0,5ml
ARANESP 30mcg/0,3ml
ARANESP 40mcg/0,4ml
2micrograme/ml
Tara
2micrograme/ml
Firma
MAREA BRITANIE
S/P-RF
S/P-RF/R
S/P-RF/R
S/P-RF/R
P-RF/R
S/P-RF/R
S/P-RF
S/P-RF/R
4000UI/0,3ml
5000UI/0,3ml
500UI/0,3ml
P-RF/R
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
P-RF/R
P-RF/R
P-RF/R
P-RF/R
CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 0,6 ML
P-RF/R
P-RF/R
P-RF/R
S/P-RF/R
S/P-RF/R
S/P-RF/R

Pagina 55 din 56
cant/
amba
laj
10
10
100
28
28
28
5
5
5
5
10
10
10
10
10
2
10
10
10
10
10
10
5
2
2
10
10
2
2
2
5
6
6
6
1
6
1
1
6
6
6
6
6
1
6
6
6
4
4
4
4
4
1
4
4
Pret cu
ridicata
maximal /
ambalaj
Pret cu ridicata
maximal / U.T.
203.78
108.79
60.88
394.36
819.29
1,562.06
400.62
792.54
72.53
61.74
104.96
124.44
57.68
118.41
153.90
39.90
59.65
81.83
108.50
155.43
759.56
66.80
80.20
26.85
19.33
456.77
986.30
104.10
58.25
81.60
122.68
1,550.81
178.92
355.67
688.15
518.88
1,206.71
877.32
682.04
845.15
2,117.84
229.28
447.82
1,042.55
865.04
1,073.53
117.90
2,876.01
324.23
4,284.58
467.24
609.62
1,991.25
891.12
1,175.04
20.378000
10.879000
0.608800
14.084285
29.260357
55.787857
80.124000
158.508000
14.506000
12.348000
10.496000
12.444000
5.768000
11.841000
15.390000
19.950000
5.965000
8.183000
10.850000
15.543000
75.956000
6.680000
16.040000
13.425000
9.665000
45.677000
98.630000
52.050000
29.125000
40.800000
24.536000
258.468333
29.820000
59.278333
688.150000
86.480000
1,206.710000
877.320000
113.673333
140.858333
352.973333
38.213333
74.636666
1,042.550000
144.173333
178.921666
19.650000
719.002500
81.057500
1,071.145000
116.810000
152.405000
1,991.250000
222.780000
293.760000
Pret cu ridicata
maximal de
decontare / U.T.
20.378000
10.879000
0.608800
14.084285
29.260357
55.787857
80.124000
158.508000
14.506000
12.348000
10.496000
12.444000
5.768000
11.841000
15.390000
19.950000
5.965000
8.183000
10.850000
15.543000
75.956000
6.680000
16.040000
13.425000
9.665000
45.677000
98.630000
52.050000
29.125000
40.800000
24.536000
258.468333
29.820000
59.278333
688.150000
86.480000
1,052.784000
877.320000
113.673333
140.858333
352.973333
38.213333
74.636666
1,042.550000
144.173333
178.921666
19.650000
719.002500
81.057500
1,071.145000
116.810000
152.405000
1,991.250000
222.780000
293.760000
Pret cu
maximal / U.T.
/ U.T.
maximal /
ambalaj
248.78
132.81
76.98
468.00
931.18
1,740.80
474.83
902.02
91.71
78.07
128.14
151.92
72.93
144.56
187.88
52.19
75.42
103.46
132.46
189.75
866.07
84.46
101.41
35.12
26.13
536.03
1,113.22
127.08
73.65
103.18
149.77
1,728.54
218.42
425.83
788.23
603.73
1,353.47
994.43
781.57
959.37
2,346.60
279.91
526.27
1,174.53
981.05
1,208.30
143.93
3,173.01
391.56
4,708.35
547.44
702.64
2,208.61
1,009.47
1,318.95
24.878000
13.281000
0.769800
16.714285
33.256428
62.171428
94.966000
180.404000
18.342000
15.614000
12.814000
15.192000
7.293000
14.456000
18.788000
26.095000
7.542000
10.346000
13.246000
18.975000
86.607000
8.446000
20.282000
17.560000
13.065000
53.603000
111.322000
63.540000
36.825000
51.590000
29.954000
288.090000
36.403333
70.971666
788.230000
100.621666
1,353.470000
994.430000
130.261666
159.895000
391.100000
46.651666
87.711666
1,174.530000
163.508333
201.383333
23.988333
793.252500
97.890000
1,177.087500
136.860000
175.660000
2,208.610000
252.367500
329.737500
24.878000
13.281000
0.769800
16.714285
33.256428
62.171428
94.966000
180.404000
18.342000
15.614000
12.814000
15.192000
7.293000
14.456000
18.788000
26.095000
7.542000
10.346000
13.246000
18.975000
86.607000
8.446000
20.282000
17.560000
13.065000
53.603000
111.322000
63.540000
36.825000
51.590000
29.954000
288.090000
36.403333
70.971666
788.230000
100.621666
1,193.316000
994.430000
130.261666
159.895000
391.100000
46.651666
87.711666
1,174.530000
163.508333
201.383333
23.988333
793.252500
97.890000
1,177.087500
136.860000
175.660000
2,208.610000
252.367500
329.737500
Grupa
Nr.
terape
crt
utica
60
61
62
63
64
65
66
67
B03XA02
B03XA02
B03XA02
B03XA02
H05BX01
H05BX01
H05BX01
V03AE02
Denumire generica
CINACALCETUM****
CINACALCETUM****
CINACALCETUM****
SEVELAMER**
Denumire comerciala
ARANESP 500mcg/ml
ARANESP 50mcg/0,5ml
ARANESP 60mcg/0,3ml
ARANESP 80mcg/0,4ml
MIMPARA 30 mg
MIMPARA 60 mg
MIMPARA 90 mg
RENAGEL 800mg
Forma
Concentrati
farmaceutic
e / U.T.
a
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
500mcg/ml
50mcg/0,5ml
60mcg/0,3ml
80mcg/0,4ml
30mg
60mg
90mg
800mg
Firma
AMGEN EUROPE BV
AMGEN EUROPE BV
AMGEN EUROPE BV
AMGEN EUROPE BV
AMGEN EUROPE B.V.
AMGEN EUROPE B.V.
AMGEN EUROPE B.V.
GENZYME EUROPE BV
Tara
Ambalaj
OLANDA CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 1 ML

OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML
OLANDA CUTIE X 2 BLIST. ACLAR-PVC-PVAC/AL X 14 COMPR. FILM.
OLANDA CUTIE X 1 FLAC.PEID. X 180 COMPR. FILM.
Prescriptie
P-RF/R
P-RF/R
P-RF/R
P-RF/R
P-RF
P-RF
P-RF
P-RF
Pret cu
ridicata
maximal /
ambalaj
Pret cu ridicata
maximal / U.T.
1
4
4
4
28
28
28
180
3,298.77
1,457.44
1,742.22
2,309.91
754.12
1,383.17
1,967.81
698.95
3,298.770000
364.360000
435.555000
577.477500
26.932857
49.398928
70.278928
3.883055
3,298.770000
364.360000
435.555000
577.477500
26.932857
49.398928
70.278928
3.883055
3,633.81
1,626.76
1,937.17
2,555.95
860.14
1,545.81
2,183.07
800.01
3,633.810000
406.690000
484.292500
638.987500
30.719285
55.207500
77.966785
4.444500
3,633.810000
406.690000
484.292500
638.987500
30.719285
55.207500
77.966785
4.444500
28
14
50
50
20
20
50
1
7
7
249.53
167.39
18.06
46.54
18.61
4.65
11.63
456.00
22.06
85.12
8.911785
11.956428
0.361200
0.930800
0.930500
0.232500
0.232600
456.000000
3.151428
12.160000
8.911785
10.694142
0.361200
0.930800
0.930500
0.232500
0.232600
456.000000
3.151428
12.160000
304.63
204.35
24.41
60.88
25.16
6.29
15.72
535.19
29.81
107.63
10.879642
14.596428
0.488200
1.217600
1.258000
0.314500
0.314400
535.190000
4.258571
15.375714
10.879642
13.055570
0.488200
1.217600
1.258000
0.314500
0.314400
535.190000
4.258571
15.375714
cant/
amba
laj
Pret cu ridicata
maximal de
decontare / U.T.
Pret cu
maximal / U.T.
/ U.T.
maximal /
ambalaj
P11: PROGRAM NATIONAL DE SANATATE MINTALA

SUBPROGRAMUL TRATAMENTUL TOXICODEPENDENTELOR
1
2
3
4
5
6
7
8
9
10
N07BB04
N07BB04
N07BC02
N07BC02
N07BC02
N07BC02
N07BC02
N07BC02
NALTREXONUM
NALTREXONUM
METHADONUM
METHADONUM
METHADONUM
METHADONUM
METHADONUM
METHADONUM
N07BC51 COMBINATII ( BUPRENORPHINUM + NALAXONE)

N07BC51 COMBINATII ( BUPRENORPHINUM + NALAXONE)
REVIA
REVIA
SINTALGON 2,5 mg
METADON BIOEEL 20 mg
METADON BIOEEL 20 mg
METADON BIOEEL 5 mg
METADON BIOEEL 5 mg
EPTADONE
SUBOXONE 2mg/0,5mg
SUBOXONE 8mg/2mg
COMPR. FILM. 50mg

COMPR. FILM. 50mg
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
SOL. ORALA
ZENTIVA S.A.
BIO EEL SRL
BIO EEL SRL
BIO EEL SRL
BIO EEL SRL
COMPR. SUBLING.
COMPR. SUBLING.
2,5mg
20mg
20mg
5mg
5mg
5mg/ml
2mg/0,5mg
8mg/2mg
AUSTRIA
AUSTRIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
SP EUROPE
SP EUROPE
BELGIA
BELGIA
CUTIE X 4 BLIST. PVC-PE-ACLAR/AL X 7 COMPR. FILM.
P-RF
CUTIE X 2 BLIST. PVC-PE-ACLAR/AL X 7 COMPR. FILM.
P-RF
P-TS
CUTIE X 5 BLIST. AL/PVC-PVDC X 10 COMPR.
P-TS
P-TS
P-TS
P-TS
CUTIE CU 1 FL. X 1000ML
PS
CUTIE X 7 COMPR. SUBLING. ( BLIST.NYLON/AL/PVC)
P-TS; S
CUTIE X 7 COMPR. SUBLING. ( BLIST.NYLON/AL/PVC)
P-TS; S
NOTA:
- Tratamentul cu medicamentele corespunztoare DCI-urilor notate cu (*) se iniiaza de medicul de specialitate in limita competenei i poate fi prescris n continuare de medicul de familie pe
baza scrisorii medicale emise de medicul de specialitate;
- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (**) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MS;
- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (***) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MS si cu aprobarea
comisiilor de la nivelul Caselor Judetene de Asigurari de Sanatate;
- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (****) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MS si cu aprobarea
comisiilor de la nivelul Casei Nationale de Asigurari de Sanatate;
Medicamentul corespunzator DCI-ului notat cu (3) se livreaza impreuna cu solvent;
Medicamentele corespunzatoare DCI-urilor notate cu (4) se importa cu avizul Ministerului Sanatatii;
Medicamentele din aceast sublist se elibereaz att prin farmacii cu circuit nchis ct i prin farmacii cu circuit deschis pe baz de prescripie medical cu reinere n farmacie (P-RF).
Pagina 56 din 56

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Ordin Modif OMS 1275

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MINISTERUL SNTII

P1: PROGRAMUL NATIONAL DE BOLI TRANSMISIBILE

COMPR. FILM. 200mg

ALFA WASSERMANN SPA

CUTIE X 3 BLIST. AL/PVC A CATE 12 COMPR. FILM. P-RF

CUTIE X 1 BLIST. AL/PVC X 12 COMPR. FILM. P-RF

GRAN. PT. SUSP. ORALA

ALFA WASSERMANN SPA

SLAVIA PHARM SRL ROMANIA CUTIE X 1 TUB X 20 G

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

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

CUTIE X 1 FLAC. GRAN. PT. 60 ML SUSP. ORALA + 1 MASURA DOZATOARE MARCATA LA 5, 10 SI 15 ML

TIS FARMACEUTIC SA ROMANIA CUTIE X 1 TUB DIN PEJD X 15 G CREMA

GRECIA CUTIE X 1 TUB X 78 G

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

CUTIE X 100 BLIST. AL/PVC X 10 CAPS.

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

CUTIE X 100 BLIST. AL/PVC X 10 CAPS.

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

CUTIE X 100 BLIST. X 10 CAPS.

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

CUTIE X 1 FLAC. PULB. PT. SOL. INJ. X 1,5 G P-RF

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

J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

MEDOCHEMIE LTD. CIPRU

250mg+125mg MEDOCHEMIE LTD. CIPRU

CUTIE X 4 BLIST. X 4 COMPR. FILM.

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

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

500mg+125mg MEDOCHEMIE LTD. CIPRU

PULB. PT. SOL. INJ./PERF.

PULB. PT. SUSP. ORALA

PULB. PT. SUSP. ORALA

LEK PHARMACEUTICALS D.D.

PULB. PT. SUSP. ORALA

MEDOCHEMIE LTD. CIPRU

PULB. PT. SUSP. ORALA

400mg+57mg/5ml LEK PHARMACEUTICALS D.D.

PULB. PT. SUSP. ORALA

400mg+57mg/5ml LEK PHARMACEUTICALS D.D.

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

PULB. PT. SUSP. ORALA

400mg/57mg/5ml SMITHKLINE BEECHAM PLC

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

PULB. PT. SUSP. ORALA

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

J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

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

J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM ENHANCIN 250 mg/ 62,5 mg/5 ml

COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE

PULB. PT. SOL. INJ./PERF.

PULB. PT. SUSP. ORALA

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

PULB. PT.SUSP. ORALA

250 mg/ 62,5 mg/5 ml

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g

PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g

PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILINA/TAZOBACTAM MYLAN 2g/0,25 g