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ANEXA 1

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

Nr crt.

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

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

DCI

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

Denumire Comerciala

RANITIDIN ARENA 150mg


RANITIDINA 150 mg
RANITIDIN
ZANTAC 150 mg
N - RANITIDIN

forma farm.

COMPR.
COMPR.
COMPR.

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

ARNETIN
FAMODIN 20
FAMOTIDINA ZENTIVA 20mg
QUAMATEL 20 mg
FAMOTIDINA ZENTIVA 40 mg
FAMODIN 40
QUAMATEL 40 mg
QUAMATEL 20 mg

NIZATIDIN VIM SPECTRUM 150 mg

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

OMEPRAZOL TERAPIA 20 mg

OMEPRAZOL ARENA 20 mg

OMEPRAZOL FARMEX 20 mg

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

OMEPRAZOL ROMPHARM 20 mg

ORTANOL 20 mg
HELICID 20
HELICID 20
OMEZ 20mg
ORTANOL 40 mg
LOSEC MUPS 10 mg
LOSEC MUPS 20 mg

SOL. INJ.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
PULB+SOLV. PT. SOL. INJ./PERF.

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

concentratie

150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
300mg
300mg
300mg
25mg/ml
20mg
20mg
20mg
40mg
40mg
40mg
20mg
150mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
40mg
10mg
20mg

Detinator APP

tara det.
APP

Ambalaj

ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR.


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

MAREA BRITANIE

MEDUMAN SA
LAROPHARM SRL

ROMANIA
ROMANIA
LABORMED PHARMA SA ROMANIA
ANTIBIOTICE SA
ROMANIA
LABORMED PHARMA SA ROMANIA
ANTIBIOTICE S.A.
ROMANIA
ANTIBIOTICE S.A.
ROMANIA

MEDOCHEMIE LTD. CIPRU

ROMANIA
ZENTIVA S.A
ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
ZENTIVA S.A
ROMANIA
AC HELCOR PHARMA SRL ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
VIM SPECTRUM SRL ROMANIA
AC HELCOR PHARMA SRL

KRKA D.D.

GEDEON RICHTER ROMANIA SA

P-6L
P-6L

CUTIE X 1 FLAC. PE X 20 COMPR. FILM.

P-6L

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


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

CUTIE X 2 BLIST. X 10 COMPR. FILM.

P-6L

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

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


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

CUTIE X 5 FIOLE X 2 ML

P-RF

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


CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.
CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.
CUTIE X 1 BLIST. AL/PVC X 14 COMPR. FILM.

P-6L

CUTIE X 5 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERFUZ. + 5 FIOLE DIN STCLA INCOLORA X 5

S/P-RF

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

P-6L

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

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

ROMANIA

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

ROMANIA
ROMANIA
ROMANIA
ROMANIA
FARMEX COMPANY SRL ROMANIA
ANTIBIOTICE S.A.
ROMANIA
LABORMED PHARMA SA ROMANIA
FARMAL INTERNATIONAL S.R.L. ROMANIA
FARMAL INTERNATIONAL S.R.L. ROMANIA
OZONE LABORATORIES PHARMA S.A. ROMANIA
ROMPHARM COMPANY SRL ROMANIA

ZENTIVA K.S.
ZENTIVA K.S.

P-6L

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

CUTIE X 2 BLIST. PVC-AL-PA/AL X 7 CAPS. GASTROREZ. P-6L

LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. GASTROREZ.

LEK PHARMACEUTICALS D.D.

Prescriptie

P-6L

CUTIE X 4 BLIST. AL/AL X 7 CAPS. GASTROREZ. P-6L


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

P-6L

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

P-6L

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

P-6L

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

P-6L

CUTIE X 2 FOLII AL/PE X 10 CAPS. GASTR. P-6L


CUTIE X 1 BLIST. PVC/AL X 10CAPS. GASTROREZ P-6L
CUTIE X 2 BLIST. PA-AL-PVC/AL X 7 CAPS. GASTROREZ. P-6L
CUTIE X 4 BLIST. PA-AL-PVC/AL X 7 CAPS. GASTROREZ. P-6L
CUTIE X 1 FLAC. DIN STICLA BRUNA X 28 CAPS. GASTROREZ.

P-6L

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

P-6L

SLOVENIA CUTIE CU 2 BLIST. AL/AL X 7 CAPS. GASTROREZ. P-6L

CEHIA
CEHIA

CUTIE X 1 FLAC. DIN STICLA X 14 CAPS. GASTROREZ.

P-6L

CUTIE X 1 FLAC. DIN STICLA X 28 CAPS. GASTROREZ.

P-6L

DR. REDDY'S LABORATORIES

ROMANIA

LEK PHARMACEUTICALS D.D.

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

ASTRAZENECA AB SUEDIA
ASTRAZENECA AB SUEDIA

Pagina 1 din 29

CUTIE X 3 FOLII AL/PE-PE/AL X 10 CAPS. GASTROREZ. P-6L

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

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

Pret
amanun
tul
cant/ maximal
amba /ambalaj
(RON)
laj

20
20
20
20
20
20
20
20
30
10
20
5
30
30
28
30
30
14
5
20
14
14
20
28
30
30
30
30
20
10
14
28
28
30
14
14
28
30
7
14
7

4.55
4.56
4.55
7.01
3.99
4.55
4.56
4.55
13.00
4.33
8.66
12.67
8.89
5.86
9.45
7.72
12.31
9.45
24.64
18.23
14.45
14.45
12.80
21.42
22.68
22.53
22.02
20.85
15.04
6.49
14.45
28.91
18.58
22.16
8.07
10.06
20.79
21.42
8.03
33.19
24.96

Pret
amanuntul
maximal/UT
(RON)

0.227500
0.228000
0.227500
0.350500
0.199500
0.227500
0.228000
0.227500
0.433333
0.433000
0.433000
2.534000
0.296333
0.195333
0.337500
0.257333
0.410333
0.675000
4.928000
0.911500
1.032142
1.032142
0.640000
0.765000
0.756000
0.751000
0.734000
0.695000
0.752000
0.649000
1.032142
1.032500
0.663571
0.738666
0.576428
0.718571
0.742500
0.714000
1.147142
2.370714
3.565714

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

0.194850
0.194850
0.194850
0.194850
0.194850
0.194850
0.194850
0.194850
0.389700
0.389700
0.389700
1.678945
0.194850
0.194850
0.194850
0.257333
0.389700
0.389700
4.928000
0.194850
0.709392
0.709392
0.640000
0.709392
0.709392
0.709392
0.709392
0.695000
0.709392
0.649000
0.709392
0.709392
0.663571
0.709392
0.576428
0.709392
0.709392
0.709392
1.147142
0.354696
0.709392

0.175365
0.175365
0.175365
0.175365
0.175365
0.175365
0.175365
0.175365
0.350730
0.350730
0.350730
1.511051
0.175365
0.175365
0.175365
0.231599
0.350730
0.350730
4.435200
0.175365
0.638453
0.638453
0.576000
0.638453
0.638453
0.638453
0.638453
0.625500
0.638453
0.584100
0.638453
0.638453
0.597213
0.638453
0.518785
0.638453
0.638453
0.638453
1.032427
0.319226
0.638453

Nr crt.

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

cod ATC
A02BC01
A02BC01
A02BC01
A02BC01
A02BC03
A02BC03
A02BC03
A02BC03

A03AA04
A03AA04
A03AA04
A03AA04
A03AA04
A03AA05
A03AA05
A03AA05
A03AA05
A03AA05
A03AD01
A03AD01

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

A07AA02
A07EC01
A07EC01
A07EC02
A07EC02
A07EC02
A07EC02
A07EC02
A07EC02

DCI

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

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

LACTULOSUM
LACTULOSUM
LACTULOSUM
LACTULOSUM
LACTULOSUM
LACTULOSUM
LACTULOSUM
LACTULOSUM
NYSTATINUM
SULFASALAZINUM
SULFASALAZINUM
MESALAZINUM**
MESALAZINUM**
MESALAZINUM**
MESALAZINUM**
MESALAZINUM**
MESALAZINUM**

Denumire Comerciala

OMEDAR (R)
LOSEC 40 mg

forma farm.
COMPR. FILM. GASTROREZ.

LIOF. PT. SOL. PERF.

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

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

20mg
40mg
40mg

PULB. PT. SOL. PERF. FARA CONCENTRATIE

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

CAPS. ELIB. PREL.


CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.

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

GRAN. PT. SUSP. ORALA

PAPAVERINA ARENA 100 mg COMPR.

PAPAVERINA
METOCLOPRAMID
N - METOCLOPRAMID
METOCLOPRAMID 10 mg

COMPR.
COMPR.
COMPR.
COMPR.
METOCLOPRAMID ARENA 10 mg COMPR.
METOCLOPRAMID
PIC. ORALE-SOL.
METOCLOPRAMID BIOFARM 1mg/5ml SIROP
METOCLOPRAMID 10 mg
SOL. INJ.
MOTILIUM 10 mg
COMPR. FILM.
URSOFALK (R)
CAPS.
URSOFALK (R)
CAPS.
URSOSAN
CAPS.
URSOCHOL 150 mg
COMPR.
URSOCHOL 300 mg
COMPR.
DUPHALAC (R)
LICHID ORAL
DUPHALAC (R)
LICHID ORAL
LACTULOSE
SIROP
LACTULOSE
SIROP
LACTULOSE-MIP 650 mg/ml SIROP
LACTULOSE-MIP 650 mg/ml SIROP
LACTULAK 660 mg/ml
SOL. ORALA
LAEVOLAC 670mg/ml
SOL. ORALA
NISTATINA
COMPR. FILM.
SULFASALAZIN EN
COMPR. FILM. GASTROREZ.
SALAZOPYRIN EN
COMPR. FILM. GASTROREZ.
PENTASA 1 g
COMPR. CU ELIB. PREL.
PENTASA
COMPR. ELIB. PREL.
SALOFALK 250 mg COMPRIMATE GASTROREZISTENTE COMPR. GASTROREZ.
SALOFALK 500 mg COMPRIMATE GASTROREZISTENTE COMPR. GASTROREZ.
SALOFALK 500 mg COMPRIMATE GASTROREZISTENTE COMPR. GASTROREZ.

MESALAZINA DUO 400 mg

concentratie

COMPR. GASTROREZISTENTE

15mg
30mg
30mg
30mg
200mg
200mg
200mg
200mg
100mg
100mg
100mg
100mg
300mg
24mg/5ml
100mg
200mg
10mg
10mg
10mg
10mg
7mg/ml
1mg/5ml
5mg/ml
10mg
250mg
250mg
250mg
150mg
300mg
66,7%
66,7%
65%
65%
650mg/ml
650mg/ml
660 mg/ml
670mg/ml
500.000ui
500mg
500mg
1g
500mg
250mg
500mg
500mg
400mg

Detinator APP
DAR AL DAWA PHARMA S.R.L.

tara det.
APP
ROMANIA

Ambalaj

14
5
ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATE DE 15 ML CU PULB.PT. SOL. PERF. S/P-RF
1
CEHIA
CUTIE X 1 FLAC. DIN STICLA CU PULB. PT. SOL. PERF. S/P-RF
1
MAREA BRITANIE CUTIE X 2 BLIST. PVC-AL-PO/AL-PE X 7 CAPS. GASTROREZ. P-6L
14
SLOVENIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 7 CAPS. GASTROREZ. P-6L
14
MAREA BRITANIE CUTIE X 2 BLIST. PVC-AL-PO/AL-PE X 7 CAPS. GASTROREZ. P-6L
14
ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 CAPS. GASTROREZ. P-6L
20
OLANDA CUTIE X 3 BLIST. X 10 CAPS. ELIB. PREL. P-6L
30
OLANDA CUTIE X 2 BLIST. X 15 CAPS. ELIB. PREL. P-6L
30
OLANDA CUTIE X 3 BLIST. X 10 CAPS. ELIB. PREL. P-6L
30
OLANDA CUTIE X 2 BLIST. X 15 CAPS. ELIB. PREL. P-6L
30
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 DRAJ. P-6L
20
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-6L
30
MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM. P-6L
30
ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L
20
MAREA BRITANIE
P-6L
1
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
ROMANIA CUTIE X 4 BLIST. AL/PVC X 10 COMPR. P-6L
40
ROMANIA CUTIE X 1 FLAC. PE X 40 COMPR.
P-6L
40
ROMANIA CUTIE X 4 BLIST. AL/PVC X 10 COMPR. P-6L
40
ROMANIA CUTIE X 1 FLAC. X 40 COMPR.
P-6L
40
ROMANIA CUTIE X 1 FLACON DIN STICLA X 20 ML PIC. ORALE.,SOLUTIE, PREVAZUT CU PICURATOR P-RF
1
ROMANIA CUTIE X 1 FLAC. DIN STICLA X 100 ML SIROP + MASURA DOZATOARE P-RF
1
ROMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 2 ML P-RF
5
ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM.
P-6L
10
GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 CAPS.
P-6L/S
100
GERMANIA CUTIE X 2 BLIST. AL/PVC X 25 CAPS.
P-6L
50
CEHIA
CUTIE X 5 BLIST. AL/PVC X 10 CAPS.
P-6L
50
ITALIA
CUTIE X 6 BLIST. AL/PVC X 10 COMPR. P-6L
60
ITALIA
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
OLANDA FLACON DIN PEID PREVAZUT CU MASURA DOZATOARE X 200 ML P-RF
1
OLANDA FLACON DIN PEID PREVAZUT CU MASURA DOZATOARE X 200 ML P-RF
1
ROMANIA CUTIE X 1 FLACON X 300 ML
P-6L
1
ROMANIA CUTIE X 1 FLACON X 100 ML
P-6L
1
GERMANIA CUTIE X 1 FLAC. PET DE CULOARE BRUNA X 500 ML SIROP + 1 MASURA DOZATOARE DIN PP P-6L
1
GERMANIA CUTIE X 1 FLAC. PET DE CULOARE BRUNA X 1000 ML SIROP + 1 MASURA DOZATOARE DIN PP P-6L
1
ROMANIA CUTIE X 1 FLAC. PEID X 200 ML SOL. ORALA SI O LINGURITA DOZATOARE P-6L
1
AUSTRIA
P-RF
1
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
20
SLOVENIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ. P-6L
50
MAREA BRITANIE CUTIE X 1 FLAC. PEID X 100 COMPR. FILM. GASTROREZ. P-6L
100
GERMANIA CUTIE CU 6 BLIST. AL/AL X 10 COMPR. CU ELIB. PREL. P6L
60
GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. ELIB. PREL. P-6L 100
GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. GASTROREZ. P-6L 100
GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. GASTROREZ. P-6L 100
GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. GASTROREZ. P-6L
50
ROMANIA CUTIE CU 4 BLIST. PVC/AL X 15 COMPR. GASTROREZISTENTE P6L
60
CUTIE X 1 FLAC. DE STICLA BRUNA X 14 COMPR. FILM. GASTROREZ.

ASTRAZENECA AB SUEDIA CUTIE X 5 FLAC. X 45 MG LIOF. PT. SOL. PERF.


DR. REDDY'S LABORATORIES

ZENTIVA K.S.
RANBAXY UK LTD.
KRKA D.D. NOVO MESTO

RANBAXY UK LTD.

DR. REDDY'S LABORATORIES


SOLVAY PHARMACEUTICALS BV
SOLVAY PHARMACEUTICALS BV
ABBOTT HEALTHCARE PRODUCTS B.V.
ABBOTT HEALTHCARE PRODUCTS B.V.

E.I.P.I.CO. MED SRL


MAGISTRA C & C
GEDEON RICHTER ROMANIA SA

PFIZER EUROPE MA EEIG

ZENTIVA SA
PFIZER EUROPE MA EEIG

ARENA GROUP SA
FARMACOM SA
SLAVIA PHARM SRL
MEDUMAN SA
TERAPIA SA
ARENA GROUP SA
BIOFARM SA
BIOFARM S.A.
TERAPIA SA
TERAPIA SA
DR. FALK PHARMA GMBH
DR. FALK PHARMA GMBH
PRO. MED. CS PRAHA AS

ZAMBON S.P.A.
ZAMBON S.P.A.
SOLVAY PHARMACEUTICALS BV
ABBOTT HEALTHCARE PRODUCTS B.V.

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


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

MIP PHARMA GMBH


MIP PHARMA GMBH

ROMPHARM COMPANY SRL


FRESENIUS KABI AUSTRIA GMBH

ANTIBIOTICE SA
KRKA D.D. NOVO MESTO
PFIZER EUROPE MA EEIG

FERRING GMBH
FERRING GMBH
DR. FALK PHARMA GMBH
DR. FALK PHARMA GMBH
DR. FALK PHARMA GMBH
DUO FARMACEUTICI S.R.L.

Pagina 2 din 29

Prescriptie

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

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

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

P-6L

S/P-RF

14.45
114.72
16.22
22.77
6.56
13.13
11.36
16.66
25.07
25.07
25.07
25.07
9.03
11.12
11.12
17.13
36.01
12.05
4.42
5.39
1.16
1.36
4.28
1.39
2.85
8.69
10.03
12.31
124.28
71.49
68.77
54.19
35.88
10.37
10.37
10.42
3.47
17.23
33.34
7.09
3.57
6.81
28.24
31.25
197.11
143.02
67.24
120.94
73.85
47.43

Pret
amanuntul
maximal/UT
(RON)

1.032142
22.944000
16.220000
22.770000
0.468571
0.937857
0.811428
0.833000
0.835666
0.835666
0.835666
0.835666
0.451500
0.370666
0.370666
0.571000
1.800500
12.050000
0.221000
0.269500
0.029000
0.034000
0.107000
0.034750
2.850000
8.690000
2.006000
1.231000
1.242800
1.429800
1.375400
0.903166
1.794000
10.370000
10.370000
10.420000
3.470000
17.230000
33.340000
7.090000
3.570000
0.340500
0.564800
0.312500
3.285166
1.430200
0.672400
1.209400
1.477000
0.790500

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

0.709392
22.944000
16.220000
1.418785
0.354696
0.709392
0.709392
0.709392
0.835666
0.835666
0.835666
0.835666
0.417833
0.370666
0.370666
0.370666
1.112002
12.050000
0.140681
0.269500
0.029000
0.030600
0.030600
0.030600
2.850000
2.230071
2.006000
0.030600
1.242800
1.375400
1.375400
0.825240
1.650481
7.099085
7.099085
10.377223
3.459074
17.230000
33.340000
7.024582
3.565507
0.340500
0.564800
0.312500
1.645732
0.822866
0.411431
0.822866
0.822866
0.658292

0.638453
20.649600
14.598000
1.276906
0.319226
0.638453
0.638453
0.638453
0.752099
0.752099
0.752099
0.752099
0.376049
0.333599
0.333599
0.333599
1.000802
10.845000
0.126613
0.242550
0.026100
0.027540
0.027540
0.027540
2.565000
2.007064
1.805400
0.027540
1.118520
1.237860
1.237860
0.742716
1.485433
6.389176
6.389176
9.339501
3.113167
15.507000
30.006000
6.322123
3.208956
0.306450
0.508320
0.281250
1.481159
0.740579
0.370288
0.740579
0.740579
0.592462

Nr crt.

92
93
94
95
96
97
98
99

cod ATC

DCI

107 B03AB05 COMPLEX DE HIDROXID DE FER (III) POLIMALTOZAT

MESALAZINA DUO 800 mg


MESALAZINA DUO 800 mg
PENTASA
SALOFALK 1 g
SALOFALK (R) 250 mg
SALOFALK (R) 500 mg
SALOFALK 4 g/ 60 ml
TROMBOSTOP 2 mg
SINTROM 4 mg
TICLODIN
IPATON
TICLID (R) 250 mg
FITOMENADION 10 mg/ml
FERROGRADUMET (R)
TARDYFERON 80 mg
MALTOFER

108 B03AB05 COMPLEX DE HIDROXID DE FER (III) POLIMALTOZAT

FERGLUROM FORTE 50 mg/ml

A07EC02
A07EC02
A07EC02
A07EC02
A07EC02
A07EC02
A07EC02

B01AA07

100 B01AA07
101 B01AC05
102 B01AC05
103 B01AC05
104 B02BA01
105 B03AA07
106 B03AA07

MESALAZINUM**
MESALAZINUM**
MESALAZINUM**
MESALAZINUM**
MESALAZINUM**
MESALAZINUM**
MESALAZINUM**
ACENOCUMAROLUM
ACENOCUMAROLUM
TICLOPIDINUM1
TICLOPIDINUM1
TICLOPIDINUM1
PHYTOMENADIONUM
FERROSI SULFAS
FERROSI SULFAS

Denumire Comerciala

109 B03AB05 COMPLEX DE HIDROXID DE FER (III) POLIMALTOZAT


110 B03AB05 COMPLEX DE HIDROXID DE FER (III) POLIMALTOZAT
111 B03AB05 COMPLEX DE HIDROXID DE FER (III) POLIMALTOZAT
112 B03AEN1

COMBINATII (FERROSI SULFAS+ACIDUM ASCORBICUM)

113 B03BB01

ACIDUM FOLICUM
DIGOXINUM
DIGOXINUM
CHINIDINI SULFAS
PROPAFENONUM
PROPAFENONUM
PROPAFENONUM
PROPAFENONUM
PROPAFENONUM
PROPAFENONUM
PROPAFENONUM
PROPAFENONUM
PROPAFENONUM
PROPAFENONUM
AMIODARONUM
AMIODARONUM
AMIODARONUM
AMIODARONUM
AMIODARONUM
NITROGLYCERINUM
NITROGLYCERINUM
NITROGLYCERINUM
NITROGLYCERINUM
ISOSORBIDI DINITRAS
ISOSORBIDI DINITRAS
ISOSORBIDI DINITRAS
ISOSORBIDI MONONITRAS
ISOSORBIDI MONONITRAS
ALPROSTADILUM***

114 C01AA05
115 C01AA05
116 C01BA01
117 C01BC03
118 C01BC03
119 C01BC03
120 C01BC03
121 C01BC03
122 C01BC03
123 C01BC03
124 C01BC03
125 C01BC03
126 C01BC03
127 C01BD01
128 C01BD01
129 C01BD01
130 C01BD01
131 C01BD01
132 C01DA02
133 C01DA02
134 C01DA02
135 C01DA02
136 C01DA08
137 C01DA08
138 C01DA08
139 C01DA14
140 C01DA14
141 C01EA01

FERRUM HAUSMANN (R)


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

PROPAFENON SANDOZ 150 mg

PROPANORM 300 mg
RYTMONORM
SEDACORON (R)
SEDACORON (R)
AMIODARONA LPH 200 mg

AMIODARONA ARENA 200 MG

CORDARONE 200 mg
NITROMINT 2,6 mg
NITROGLICERINA 0,5 mg
NITRODERM (R) TTS 5
NITROMINT
DINITER SR 40 mg

ISOSORBIDE DINITRATE 10 mg

ISODINIT(R) RETARD
OLICARD 40 mg RETARD
MONONITRON (R) EP 60 mg
PRIDAX 20mcg

forma farm.

concentratie

Ambalaj

Prescriptie

60
90
SUPOZ.
FERRING GMBH
GERMANIA
P-6L
28
SUPOZ.
DR. FALK PHARMA GMBH GERMANIA CUTIE CU FOLII TERMOSUDATE PVC/PE X 30 SUPOZ. P6L
30
SUPOZ.
DR. FALK PHARMA GMBH GERMANIA CUTIE X 2 FOLII PVC/PE X 5 SUPOZ.
P-6L
10
SUPOZ.
DR. FALK PHARMA GMBH GERMANIA CUTIE X 2 FOLII PVC/PE X 5 SUPOZ.
P-6L
10
SUSP. RECTALA
DR. FALK PHARMA GMBH GERMANIA
P-6L
7
COMPR.
TERAPIA SA
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF
30
COMPR.
NOVARTIS PHARMA GMBH GERMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. P-RF
20
COMPR. FILM.
AC HELCOR SRL
ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM.
P-RF
20
COMPR. FILM.
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. AL/ PVC X 10 COMPR.FILM. P-RF
20
COMPR. FILM.
SANOFI-AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST PVC TRANSPARENT/AL X 10 COMPR. FILM. P-RF
20
SOL. INJ.
TERAPIA SA
ROMANIA CUTIE X 5 FIOLE PREVAZUTE CU PUNCT DE RUPERE X 1 ML S/P-RF
5
COMPR. ELIB. PREL.
TEOFARMA SRL
ITALIA
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. ELIB. PREL. P-6L
30
DRAJ. ELIB. PREL.
LAB. PIERRE FABRE FRANTA CUTIE X 3 BLIST. AL/PVDC-PE-PVC X 10 DRAJ. ELIB. PREL. P-6L
30
COMPR. MAST.
VIFOR FRANCE S.A. FRANTA CUTIE X 3 BLIST. AL/PA-AL-PVC X 10 COMPR. MASTIC. P-6L
30
PICATURI ORALE, SOL.
BIOFARM S.A.
ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 ML PICATURI ORALE, SOLUTIE P-6L
1
PICATURI ORALE-SOL.
VIFOR FRANCE S.A. FRANTA CUTIE X 1 FLACON CU PICURATOR X 30 ML P-6L
1
SIROP
VIFOR FRANCE S.A. FRANTA CUTIE X 1 FLACON X 150 ML + O MASURA DOZATOARE P-6L
1
SIROP
BIOFARM S.A.
ROMANIA
P-6L
1
COMPR. FILM. FARA CONCENTRATIE EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 50 COMPR. FILM.
P-6L
50
COMPR. FILM. 5mg
ZENTIVA S.A.
ROMANIA CUTIE X 1 FLAC. DIN PEID X 30 COMPR. FILM. P-6L
30
COMPR.
0,25mg
ZENTIVA S.A.
ROMANIA CUTIE X 1 BLIST. AL/PVC X 25 COMPR. P-RF
25
SOL. INJ.
0,5mg/2ml ZENTIVA S.A.
ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 2 ML SOL. INJ. S/P-RF
5
COMPR.
200mg
ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. PEID X 20 COMPR.
P-RF
20
COMPR.
150mg
ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
20
COMPR.
150mg
ARENA GROUP SA ROMANIA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. P-RF 100
COMPR.
150mg
ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. DIN PE X 20 COMPR. P-RF
20
COMPR. FILM. 150mg
ABBOTT GMBH&CO.KG GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
50
COMPR. FILM. 150mg
ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 2 BLIST. X 25 COMPR. FILM.
P-RF
50
COMPR. FILM. 150mg
ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 1 BLIST. X 20 COMPR. FILM.
P-RF
20
COMPR. FILM. 150mg
ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 4 BLIST. X 25 COMPR. FILM.
P-RF 100
COMPR. FILM. 150mg
HEXAL AG
GERMANIA CUTIE X 5 BLIST. AL/PP X 10 COMPR. FILM. P-RF
50
COMPR. FILM. 300mg
PRO. MED. CS PRAHA CEHIA
CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
50
SOL. INJ.
70mg/20ml ABBOTT GMBH&CO.KG GERMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 20 ML SOL. INJ. P-RF
5
COMPR.
200mg
EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 2 BLIST. X 10 COMPR.
P-RF
20
COMPR.
200mg
EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 5 BLIST. X 10 COMPR.
P-RF
50
COMPR.
200mg
LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF
30
COMPR.
200mg
ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF
30
COMPR. DIVIZ. 200mg
SANOFI-AVENTIS FRANCE FRANTA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. DIVIZ. P-RF
30
COMPR. ELIB. PREL. 2,6mg
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 60 COMPR. ELIB. PREL. P-6L
60
COMPR. SUBLING. 0,5mg
ZENTIVA SA
ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. SUBLINGUALE P-6L
20
SIST. TERAP. TRANSDERM. 25mg
NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 PLICURI X 1 SIST. TERAPEUTIC TRANSDERMIC P-6L
10
SPRAY SUBLINGUAL 0,4mg/doza EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLACON X 10G (180 DOZE) SPRAY SUBLINGUAL P-6L
1
CAPS. ELIB. PREL. 40mg
TERAPIA SA
ROMANIA CUTIEX 2 BLIST. X 10 CAPS. ELIB. PREL. P-6L
20
COMPR.
10mg
E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 3 BLIST. AL/PVC X 20 COMPR. P-6L
60
COMPR. ELIB. PREL. 20mg
PHARMAKI GENERICS LIMITED MAREA BRITANIE CUTIE X 6 BLIST. X 10 COMPR. ELIB. PREL.
P-6L
60
CAPS. ELIB. PREL. 40mg
ABBOTT PRODUCTS GMBH GERMANIA CUTIE X 2 BLIST. PVC/AL X 10 CAPS. ELIB. PREL. P-6L
20
COMPR. FILM. ELIB. PREL. 60mg
ZENTIVA S.A
ROMANIA CUTIE X 4 BLIST. X 10 COMPR. FILM. ELIB. PREL. P-6L
40
CONC. PT. SOL. PERF. 20mcg
GEBRO PHARMA GMBH AUSTRIA CUTIE X 5 FLAC. X 1 ML CONC. PT. SOL. PERF S/P-RF
5

COMPR. GASTROREZISTENTE

COMPR. GASTROREZISTENTE

800mg
800mg
1g
1g
250mg
500mg
4g/60ml
2mg
4mg
250mg
250mg
250mg
10mg/ml
105mg
80mg
100mg
50mg/ml
50mg/ml
10mg/ml
50mg/5ml

tara det.
APP
DUO FARMACEUTICI S.R.L. ROMANIA
DUO FARMACEUTICI S.R.L. ROMANIA
Detinator APP

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

CUTIE CU 4 BLIST. PVC/AL X 15 COMPR. GASTROREZISTENTE

CUTIE CU 6 BLIST. PVC/AL X 15 COMPR. GASTROREZISTENTE

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

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

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

Pagina 3 din 29

P6L
P6L

90.11
130.49
173.80
223.62
21.74
36.00
169.61
6.53
6.76
35.53
33.37
12.82
11.77
8.58
12.08
21.49
8.81
13.53
15.39
10.06
14.85
7.40
2.79
6.64
12.37
8.03
36.25
49.98
32.02
18.71
7.49
34.95
18.09
40.30
36.79
13.87
28.63
10.99
11.29
16.90
9.88
3.87
18.47
15.30
9.03
2.14
3.94
12.02
36.41
328.95

Pret
amanuntul
maximal/UT
(RON)

1.501833
1.449888
6.207142
7.454000
2.174000
3.600000
24.230000
0.217666
0.338000
1.776500
1.668500
0.641000
2.354000
0.286000
0.402666
0.716333
8.810000
13.530000
15.390000
10.060000
0.297000
0.246666
0.111600
1.328000
0.618500
0.401500
0.362500
2.499000
0.640400
0.374200
0.374500
0.349500
0.361800
0.806000
7.358000
0.693500
0.572600
0.366333
0.376333
0.563333
0.164666
0.193500
1.847000
15.300000
0.451500
0.035666
0.065666
0.601000
0.910250
65.790000

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

1.316586
1.316586
6.207142
6.207142
1.551780
3.103571
24.230000
0.181166
0.338000
1.186231
1.186231
0.641000
2.354000
0.286000
0.264668
0.716333
8.810000
11.115000
11.115000
7.410000
0.297000
0.246666
0.111600
1.328000
0.618500
0.362500
0.362500
0.362500
0.362500
0.362500
0.362500
0.349500
0.361800
0.725000
7.358000
0.376333
0.376333
0.366333
0.376333
0.376333
0.124625
0.115256
1.847000
15.300000
0.159775
0.035666
0.065666
0.239663
0.359495
55.530750

1.184928
1.184928
5.586427
5.586427
1.396602
2.793213
21.807000
0.163049
0.304200
1.067608
1.067608
0.576900
2.118600
0.257400
0.238201
0.644699
7.929000
10.003500
10.003500
6.669000
0.267300
0.221999
0.100440
1.195200
0.556650
0.326250
0.326250
0.326250
0.326250
0.326250
0.326250
0.314550
0.325620
0.652500
6.622200
0.338699
0.338699
0.329699
0.338699
0.338699
0.112162
0.103730
1.662300
13.770000
0.143798
0.032099
0.059099
0.215697
0.323546
49.977675

Nr crt.

cod ATC

142 C01EA01
143 C01EB15
144 C01EB15
145 C01EB15
146 C01EB15
147 C01EB15
148 C01EB15
149 C01EB15
150 C01EB15
151 C01EB15
152 C01EB15
153 C01EB15
154 C01EB15
155 C02AB01
156 C02AC01
157 C02AC01
158 C03AA03
159 C03BA11
160 C03BA11
161 C03BA11
162 C03BA11
163 C03BA11
164 C03BA11
165 C03BA11
166 C03BA11
167 C03BA11
168 C03BA11
169 C03BA11
170 C03BA11
171 C03BA11
172 C03BA11
173 C03BA11
174 C03BA11
175 C03BA11
176 C03BA11
177 C03BA11
178 C03BA11
179 C03CA01
180 C03CA01
181 C03CA01
182 C03CA01
183 C03CA01
184 C03CA01
185 C03CA01
186 C03DA01
187 C03DA01
188 C03DA01
189 C03DA01
190 C03DA01
191 C03DA01

DCI

ALPROSTADILUM***
TRIMETAZIDINUM
TRIMETAZIDINUM
TRIMETAZIDINUM
TRIMETAZIDINUM
TRIMETAZIDINUM
TRIMETAZIDINUM
TRIMETAZIDINUM
TRIMETAZIDINUM
TRIMETAZIDINUM
TRIMETAZIDINUM
TRIMETAZIDINUM
TRIMETAZIDINUM
METHYLDOPUM
CLONIDINUM
CLONIDINUM
HYDROCHLOROTHIAZIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM

Denumire Comerciala

VASAPROSTAN 20

TRIMETAZIDIN VIM SPECTRUM 20 mg

forma farm.
LIOF. PT. SOL. PERF.

CAPS.

TRIMETAZIDINA ATB 35 mg COMPR. CU ELIB. PREL.


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

PREDUCTAL MR 35 mg

COMPR. FILM. ELIB. MODIF.

TRIMETAZIDINA LPH (R) 35 mg

COMPR. FILM. ELIB. MODIF.

MODUXIN MR 35 mg
PREDUTRIM 20 mg/ml
DOPEGYT

COMPR. FILM. ELIB. PREL.

PIC. ORALE, SOL.

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

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

INDAPAMIDA SR TORRENT 1,5 mg

COMPR. CU ELIB. PRELUNGITA


COMPR. CU ELIB. PRELUNGITA

COMPR. ELIB. PREL.


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

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


INDATER (R) 2,5 mg
COMPR. FILM.

INDAPAMID SR 1,5 mg LAROPHARM

INDAPAMID LPH (R) 1,5 mg


RAWEL SR 1,5 mg
IMPAMID SR 1,5 mg

INDAPAMID SR OZONE 1,5mg


INDAPAMIDA ACTAVIS 1,5 mg

INDAPAMIDA MYLAN 1,5 mg


REDITENS SR 1.5 mg
INDAPEN SR 1,5 mg
FUROSEMID MCC 40 mg
FUROSEMID SLAVIA
FUROSEMID EEL
FUROSEMID ZENTIVA
FUROSEMID LPH 40 mg
FUROSEMID ARENA 40 mg
FUROSEMID 20 mg/2 ml
VEROSPIRON
SPIRONOLACTONA ARENA 25 mg

SPIRONOLACTONA LPH 25 mg

VEROSPIRON

SPIRONOLACTONA ARENA 50 mg

SPIRONOLACTONA EEL 25 mg

COMPR. FILM. ELIB. PREL.


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

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

concentratie

20mcg
20mg
35mg
35mg
35mg
20mg
20mg
20mg
20mg
35mg
35mg
35mg
20mg/ml
250mg
0,15mg
0,15mg
25mg
2,5mg
1,5mg
2,5mg
1,5mg
1,5mg
1,5mg
1,5mg
1,5mg
1,5mg
2,5mg
2,5mg
1,5 mg
1,5mg
1,5mg
1,5mg
1,5mg
1,5mg
1,5mg
1,5mg
1,5mg
40mg
40mg
40mg
40mg
40mg
40mg
10mg/ml
100mg
25mg
25mg
50mg
50mg
25mg

Detinator APP

tara det.
APP

Ambalaj

Prescriptie

SCHWARZ PHARMA AG GERMANIA CUTIE X 10 FIOLE X 5 ML LIOF. PT. SOL. PERF. S/P-RF
VIM SPECTRUM SRL ROMANIA CUTIE X 3 BLIST. AL/PVC-COC-PVDC X 10 CAPS. P-6L

ANTIBIOTICE S.A.

ROMANIA

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

GLENMARK PHARMACEUTICALS SRL

REPUBLICA SLOVACA

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

LUPIN (EUROPE) LTD

MAREA BRITANIE

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

P6L
P6L
P6L

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


TERAPIA SA
ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-6L
LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 20 COMPR. FILM. P-6L

GEDEON RICHTER ROMANIA SA

LES LABORATOIRES SERVIER

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

LES LAB. SERVIER IND. FRANTA

LABORMED PHARMA SA ROMANIA


GEDEON RICHTER ROMANIA SA

ROMPHARM COMPANY S.R.L.


EGIS PHARMACEUTICALS P.L.C.

SINTOFARM SA
ARENA GROUP SA
ZENTIVA SA
GEDEON RICHTER ROMANIA SA

TERAPIA SA
TERAPIA SA

ROMANIA
ROMANIA
UNGARIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

P-6L

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

P-6L

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

P-6L

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

P-6L

CUTIE CU 1 FLAC. PEID + APLICATOR PT. PICURARE DIN PEJD X 50 ML PIC. ORALE

P6L

CUTIE X 1 FLAC. X 50 COMPR.


CUTIE X 5 BLIST. AL/PVC X 10 COMPR.
CUTIE X 1 FLAC. X 50 COMPR.
CUTIE X 1 BLIST. AL/PVC X 25 COMPR.
CUTIE X 2 BLIST. X 15 COMPR.

P-6L

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

P-6L

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

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

LES LAB. SERVIER IND. FRANTA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. ELIB. PREL. P-6L

MAGISTRA C&C SRL ROMANIA


VIM SPECTRUM SRL ROMANIA

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


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

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


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

P-6L

KRKA D.D. NOVO MESTO SLOVENIA

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

P-6L

ROMANIA

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

P-6L

GLENMARK PHARMACEUTICALS SRL

GEDEON RICHTER ROMANIA SA

OZONE LABORATORIES BV

ACTAVIS GROUP PTC EHF.

MYLAN S.A.S.

OLANDA
ISLANDA
FRANTA

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

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

P-6L

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

P-6L

ROMANIA

J & P PHARMA UK. LTD.

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

Pagina 4 din 29

P6L
P-6L

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

DR. REDDY'S LABORATORIES

MAGISTRA C&C S.R.L. ROMANIA


SLAVIA PHARM SRL ROMANIA
BIO EEL SRL
ROMANIA
ZENTIVA SA
ROMANIA
LABORMED PHARMA SA ROMANIA
ARENA GROUP S.A. ROMANIA
ZENTIVA SA
ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
ARENA GROUP S.A. ROMANIA
LABORMED PHARMA S.A. ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
ARENA GROUP S.A. ROMANIA
BIO EEL SRL
ROMANIA

P-6L

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

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


CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. X 10 COMPR.
CUTIE X 1 FLAC. DIN PEID X 20 COMPR.

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

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


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

P-6L

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

P-RF

P-6L

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


P-6L
CUTIE CU 5 BLIST. PVC/AL X 10 CAPS. P-6L
CUTIE CU 6 BLIST. PVC/AL X 10 CAPS. P6L
CUTIE X 3 BLIST. AL/PVC X 10 CAPS.
P-6L
CUTIE CU 3 BLIST. PVC/AL X 10 CAPS. P-6L
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

10 521.11
30
7.61
30 16.72
60 33.41
10 26.64
30
7.61
30 14.61
60 15.24
60 23.44
60 49.74
60 33.39
30 16.72
1 12.33
50 12.67
50 10.05
50 12.34
25
3.48
30 15.18
30 13.30
30 14.90
30 21.05
30 13.68
30 10.66
30 13.68
30 13.31
30 13.68
30 15.07
30 14.90
20
9.11
30 13.68
30 11.71
30 13.16
20
7.84
30 13.68
30 12.60
30 13.68
30
9.88
20
3.02
20
2.28
20
5.42
20
6.02
20
3.04
20
6.02
5
6.07
30 28.51
50 16.07
60 19.46
30 16.72
30 16.24
20
4.30

Pret
amanuntul
maximal/UT
(RON)

52.111000
0.253666
0.557333
0.556833
2.664000
0.253666
0.487000
0.254000
0.390666
0.829000
0.556500
0.557333
12.330000
0.253400
0.201000
0.246800
0.139200
0.506000
0.443333
0.496666
0.701666
0.456000
0.355333
0.456000
0.443666
0.456000
0.502333
0.496666
0.455500
0.456000
0.390333
0.438666
0.392000
0.456000
0.420000
0.456000
0.329333
0.151000
0.114000
0.271000
0.301000
0.152000
0.301000
1.214000
0.950333
0.321400
0.324333
0.557333
0.541333
0.215000

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

52.111000
0.253666
0.444353
0.444353
0.444353
0.253666
0.253916
0.253916
0.253916
0.444353
0.444353
0.444353
12.330000
0.253400
0.201000
0.217854
0.139200
0.506000
0.313949
0.496666
0.313949
0.313949
0.313949
0.313949
0.313949
0.313949
0.502333
0.496666
0.313949
0.313949
0.313949
0.313949
0.313949
0.313949
0.313949
0.313949
0.313949
0.151000
0.114000
0.151250
0.151250
0.151250
0.151250
1.214000
0.863200
0.215800
0.215800
0.431600
0.431600
0.215000

46.899900
0.228299
0.399918
0.399918
0.399918
0.228299
0.228524
0.228524
0.228524
0.399918
0.399918
0.399918
11.097000
0.228060
0.180900
0.196069
0.125280
0.455400
0.282554
0.446999
0.282554
0.282554
0.282554
0.282554
0.282554
0.282554
0.452099
0.446999
0.282554
0.282554
0.282554
0.282554
0.282554
0.282554
0.282554
0.282554
0.282554
0.135900
0.102600
0.136125
0.136125
0.136125
0.136125
1.092600
0.776880
0.194220
0.194220
0.388440
0.388440
0.193500

Nr crt.

cod ATC

192 C03DA01
193 C03DA01
194 C03DA01
195 C03DA01
196 C03DA01

DCI

SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM

197 C03EB01 COMBINATII (SPIRONOLACTONUM+FUROSEMIDUM)


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

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

Denumire Comerciala

forma farm.

25mg
SPIRONOLACTONA OZONE 25 mg
25mg
SPIRONOLACTONA 25 mg COMPR. FILM. 25mg
ALSPIRON 25 mg
COMPR. FILM. 25mg
ALSPIRON 50 mg
COMPR. FILM. 50mg
DIUREX 50
CAPS.
50mg/20mg
PENTOXIFILINA SR ZENTIVA 400 mg COMPR. ELIB. PREL. 400mg
PENTOXIFILINA SR ZENTIVA 400 mg COMPR. ELIB. PREL. 400mg
PENTOXIFILINA SR ZENTIVA 600 mg COMPR. ELIB. PREL. 600mg
PENTOXIFILINA SR ZENTIVA 600 mg COMPR. ELIB. PREL. 600mg
VASONIT RETARD 600 mg COMPR. ELIB. PREL. 600mg
ANGIOPENT 400 mg
COMPR. FILM. ELIB. PREL. 400mg
PENTOXI RETARD 400 mg COMPR. FILM. ELIB. PREL. 400mg
PENTOXI RETARD 400 mg COMPR. FILM. ELIB. PREL. 400mg
OXIFLUX 400 mg
COMPR. FILM. ELIB. PREL. 400mg
OXIFLUX 400 mg
COMPR. FILM. ELIB. PREL. 400mg
ANGIOPENT 600 mg
COMPR. FILM. ELIB. PREL. 600mg
PROPRANOLOL
COMPR.
10mg
N - PROPRANOLOL 10 mg COMPR.
10mg
PROPRANOLOL 10 mg
COMPR.
10mg
PROPRANOLOL FABIOL 10 mg COMPR.
10mg
PROPRANOLOL FABIOL 10 mg COMPR.
10mg
PROPRANOLOL EEL 40 mg COMPR.
40mg
PROPRANOLOL 40 mg
COMPR.
40mg
PROPRANOLOL FABIOL 40 mg COMPR.
40mg
PROPRANOLOL FABIOL 40 mg COMPR.
40mg
PROPRANOLOL ARENA 40 mg COMPR.
40mg
SOTAGAMMA 160
COMPR.
160mg
SOTAGAMMA 160
COMPR.
160mg
SOTALOL AL 160
COMPR.
160mg
SOTALOL AL 160
COMPR.
160mg
SOTALOL AL 160
COMPR.
160mg
DAROB (R) 80 mg
COMPR.
80mg
SOTAGAMMA 80
COMPR.
80mg
SOTAGAMMA 80
COMPR.
80mg
SOTALOL AL 80
COMPR.
80mg
SOTALOL AL 80
COMPR.
80mg
BLOXAN
COMPR.
100mg
BETAPROL 100 mg
COMPR.
100mg
EGILOK 100 mg
COMPR.
100mg
METOPROLOL LPH 100 mg COMPR.
100mg
METOPROLOL AL 100
COMPR.
100mg
METOPROLOL AL 100
COMPR.
100mg
METOPROLOL AL 100
COMPR.
100mg
METOPROLOL 100 mg
COMPR.
100mg
METOPROLOL TERAPIA 100 mg COMPR.
100mg
METOPROLOL VIM SPECTRUM 100 mg COMPR.
100mg
METOPROLOL ARENA 100 MG COMPR.
100mg
METOPROLOL 100 mg
COMPR.
100mg
METOPROLOL 100 mg
COMPR.
100mg
SPIRONOLACTONA OZONE 25 mg

COMPR.
COMPR.

concentratie

Detinator APP
OZONE LABORATORIES LTD.
OZONE LABORATORIES PHARMA S.A.

TERAPIA SA

tara det.
APP

ROMANIA
ROMANIA
AC HELCOR PHARMA SRL ROMANIA
TERAPIA SA
ROMANIA
AC HELCOR PHARMA SRL

ZENTIVA AS
ZENTIVA AS
ZENTIVA AS
ZENTIVA AS

LANNACHER HEILMITTEL GES.M.B.H.

Ambalaj

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


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

MAREA BRITANIE

SLOVACIA
SLOVACIA
SLOVACIA
SLOVACIA

AUSTRIA

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

Prescriptie

P-6L
P-6L

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


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

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

P-6L

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

P-6L

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

P-6L

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

P-6L

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

P-6L

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

AC HELCOR PHARMA SRL

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

TERAPIA SA
TERAPIA SA

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


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

CUTIE X 2 BLIST. X 25 COMPR.


CUTIE X 1 FLAC. X 50 COMPR.
CUTIE X 5 BLIST. AL/PVC X 10 COMPR.
CUTIE X 1 BLIST. AL/PVC X 10 COMPR.
CUTIE X 5 BLIST. AL/PVC X 10 COMPR.
CUTIE X 5 BLIST. AL/PVC X 10 COMPR.
CUTIE X 5 BLIST. AL/PVC X 10 COMPR.
CUTIE X 1 BLIST. AL/PVC X 10 COMPR.
CUTIE X 5 BLIST. AL/PVC X 10 COMPR.
CUTIE X 5 BLIST. AL/PVC X 10 COMPR.

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

WORWAG PHARMA GMBH & CO. KG

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

WORWAG PHARMA GMBH & CO. KG

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

ALIUD PHARMA GMBH


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

GERMANIA
GERMANIA

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


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

P-6L
P-6L

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

P-6L

GERMANIA

P-6L

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

WORWAG PHARMA GMBH & CO. KG

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

WORWAG PHARMA GMBH & CO. KG

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

ALIUD PHARMA GMBH GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. P-6L


ALIUD PHARMA GMBH GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC/PVDC TRANSPARENT/AL X 10 COMPR. P-6L

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


UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 20 COMPR. P-6L
LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L

AC HELCOR PHARMA SRL

EGIS PHARMACEUTICALS P.L.C.

ALIUD PHARMA GMBH & CO.KG

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

P-6L

ALIUD PHARMA GMBH & CO.KG

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

P-6L

ALIUD PHARMA GMBH & CO.KG

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

P-6L

MAGISTRA C & C SRL ROMANIA


TERAPIA SA
ROMANIA
VIM SPECTRUM SRL ROMANIA
ARENA GROUP SA ROMANIA
OZONE LABORATORIES PHARMA S.A. ROMANIA
SLAVIA PHARMA S.R.L. ROMANIA

Pagina 5 din 29

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


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

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

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

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

10.79
10.79
16.21
4.30
13.74
23.31
10.25
20.54
33.83
65.38
33.65
6.13
22.42
17.21
6.13
18.40
16.46
3.25
3.22
3.59
0.74
2.91
4.98
4.64
0.80
3.25
4.98
11.62
58.44
11.17
26.93
54.63
10.06
39.32
8.61
36.53
17.52
14.05
10.94
6.56
7.12
9.12
19.75
13.00
9.49
15.12
7.38
7.01
8.09
8.09

Pret
amanuntul
maximal/UT
(RON)

0.215800
0.215800
0.324200
0.215000
0.687000
1.165500
0.512500
0.410800
0.676600
0.653800
0.673000
0.306500
0.560500
0.860500
0.306500
0.306666
0.823000
0.065000
0.064400
0.071800
0.074000
0.058200
0.099600
0.092800
0.080000
0.065000
0.099600
0.581000
0.584400
0.558500
0.538600
0.546300
0.503000
0.393200
0.430500
0.365300
0.350400
0.468333
0.364666
0.328000
0.237333
0.304000
0.197500
0.260000
0.316333
0.504000
0.369000
0.233666
0.404500
0.404500

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

0.215800
0.215800
0.215800
0.215000
0.431600
1.165500
0.358733
0.358733
0.538099
0.538099
0.538099
0.306500
0.358733
0.358733
0.306500
0.306666
0.538099
0.028324
0.028324
0.028324
0.028324
0.028324
0.099600
0.092800
0.080000
0.065000
0.099600
0.453195
0.453195
0.453195
0.453195
0.453195
0.226597
0.226597
0.226597
0.226597
0.226597
0.296570
0.296570
0.296570
0.237333
0.296570
0.197500
0.260000
0.296570
0.296570
0.296570
0.233666
0.296570
0.296570

0.194220
0.194220
0.194220
0.193500
0.388440
1.048950
0.322859
0.322859
0.484289
0.484289
0.484289
0.275850
0.322859
0.322859
0.275850
0.275999
0.484289
0.025492
0.025492
0.025492
0.025492
0.025492
0.089640
0.083520
0.072000
0.058500
0.089640
0.407875
0.407875
0.407875
0.407875
0.407875
0.203937
0.203937
0.203937
0.203937
0.203937
0.266913
0.266913
0.266913
0.213599
0.266913
0.177750
0.234000
0.266913
0.266913
0.266913
0.210299
0.266913
0.266913

Nr crt.

cod ATC

242 C07AB02
243 C07AB02
244 C07AB02
245 C07AB02
246 C07AB02
247 C07AB02
248 C07AB02
249 C07AB02
250 C07AB02
251 C07AB02
252 C07AB02
253 C07AB02
254 C07AB02
255 C07AB02
256 C07AB02
257 C07AB02
258 C07AB02
259 C07AB02
260 C07AB02
261 C07AB02
262 C07AB02
263 C07AB02
264 C07AB02
265 C07AB02
266 C07AB02
267 C07AB02
268 C07AB02
269 C07AB02
270 C07AB02
271 C07AB03
272 C07AB03
273 C07AB03
274 C07AB03
275 C07AB03
276 C07AB03
277 C07AB03
278 C07AB03
279 C07AB03
280 C07AB03
281 C07AB05
282 C07AB05
283 C07AB05
284 C07AB05
285 C07AB05
286 C07AB07
287 C07AB07
288 C07AB07
289 C07AB07
290 C07AB07
291 C07AB07

DCI

METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
ATENOLOLUM
ATENOLOLUM
ATENOLOLUM
ATENOLOLUM
ATENOLOLUM
ATENOLOLUM
ATENOLOLUM
ATENOLOLUM
ATENOLOLUM
ATENOLOLUM
BETAXOLOLUM
BETAXOLOLUM
BETAXOLOLUM
BETAXOLOLUM
BETAXOLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM

Denumire Comerciala

forma farm.

COMPR.
EGILOK 25 mg
COMPR.
METOPROLOL LPH 25 mg COMPR.
METOPROLOL 25 mg
COMPR.
METOPROLOL ARENA 25 MG COMPR.
BETAPROL 50 mg
COMPR.
EGILOK 50 mg
COMPR.
METOPROLOL LPH 50 mg COMPR.
METOPROLOL AL 50
COMPR.
METOPROLOL AL 50
COMPR.
METOPROLOL AL 50
COMPR.
METOPROLOL 50 mg
COMPR.
METOPROLOL TERAPIA 50 mg COMPR.
METOPROLOL VIM SPECTRUM 50 mg COMPR.
METOPROLOL ARENA 50 MG COMPR.
METOPROLOL 50 mg
COMPR.
METOPROLOL 50 mg
COMPR.
METOPROLOL TARTRAT INTAS 50 mg COMPR.

METOPROLOL TARTRAT INTAS 100 mg

METOPROLOL RETARD 100 mg

BETALOC (R) ZOK 100 mg


EMZOK 100 mg

COMPR. ELIB. PREL.


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

METOPROLOL SUCCINAT POLPHARMA 190 mg COMPR. FILM. ELIB. PREL.


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

BETALOC (R) ZOK 50 mg


EMZOK 50 mg

COMPR. FILM. ELIB. PREL.


COMPR. FILM. ELIB. PREL.

METOPROLOL SUCCINAT POLPHARMA 95 mg

COMPR. FILM. ELIB. PREL.

METOSUCCINAT SANDOZ 190 mg

COMPR.FILM.ELIB.MOD.

METOSUCCINAT SANDOZ 47,5 mg

COMPR.FILM.ELIB.MOD.

METOSUCCINAT SANDOZ 95 mg

COMPR.FILM.ELIB.MOD.

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

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
ATENOLOL MEDUMAN 50mg COMPR.
ATENOLOL 50 mg
COMPR.
ATENOCOR 50 mg
COMPR.
ATENOLOL ARENA 50 MG COMPR.
ATENOLOL 100 mg MEDO COMPR. FILM.
LOKREN 20 mg
COMPR. FILM.
BETAC
COMPR. FILM.
BETAC
COMPR. FILM.
BETAC
COMPR. FILM.
BETAC
COMPR. FILM.
BISOBLOCK 10 mg
COMPR.
BISOPROLOL LPH 10mg
COMPR.
BISOBLOCK 5 mg
COMPR.
BISOPROLOL LPH 5mg
COMPR.
CONCOR 10 mg
COMPR. FILM.
BISOGAMMA (R) 10
COMPR. FILM.

concentratie

100mg
25mg
25mg
25mg
25mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
100mg
100mg
100mg
190mg
47,5mg
50mg
50mg
95mg
190mg
47,5mg
95mg
100mg
100mg
100mg
100mg
50mg
50mg
50mg
50mg
50mg
100mg
20mg
20mg
20mg
20mg
20mg
10mg
10mg
5mg
5mg
10mg
10mg

Detinator APP

tara det.
APP

Ambalaj

Prescriptie

30
20
LABORMED PHARMA SA
CUTIE X 1 BLIST. AL/PVC X 20 COMPR. P-6L
20
MAGISTRA C & C SRL
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
ARENA GROUP S.A.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
AC HELCOR PHARMA SRL
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
EGIS PHARMACEUTICALS P.L.C.
CUTIE X 1 FLAC. DIN STICLA BRUNA X 20 COMPR. P-6L
20
LABORMED PHARMA SA
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
ALIUD PHARMA GMBH GERMANIA CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L
30
ALIUD PHARMA GMBH GERMANIA CUTIE X 10 BLIST. DIN PVC-PVDC/ALX 10 COMPR P-6L 100
ALIUD PHARMA GMBH GERMANIA CUTIE X 5 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L
50
MAGISTRA C & C SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
TERAPIA SA
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
SLAVIA PHARMA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
INTAS PHARMACEUTICALS LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 30 COMPR. P6L
30
TERAPIA SA
ROMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. CU ELIB. PREL. P-6L
20
ASTRAZENECA AB SUEDIA CUTIE X 1 FLAC. X 30 COMPR. FILM. ELIB. PREL. P-6L
30
IVAX PHARMCEUTICALS S.R.O. CEHIA
CUTIE X 3 BLIST. AL/PP X 10 COMPR. FILM. ELIB. PREL. P-6L
30
PHARMACEUTICAL WORKS POLPHARMA SA POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. CU ELIB. PREL. P-6L
28
PHARMACEUTICAL WORKS POLPHARMA SA POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. CU ELIB. PREL. P-6L
28
ASTRAZENECA AB SUEDIA CUTIE X 1 FLAC. X 30 COMPR. FILM. ELIB. PREL. P-6L
30
IVAX PHARMCEUTICALS S.R.O. CEHIA
CUTIE X 3 BLIST. AL/PP X 10 COMPR. FILM. ELIB. PREL. P-6L
30
PHARMACEUTICAL WORKS POLPHARMA SA POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. CU ELIB. PREL. P-6L
28
HEXAL AG
GERMANIA CUTIE X 3 BLIST. ACLAR-PVC/AL X 10 COMPR. FILM. ELIB. MODIF. P-6L
30
HEXAL AG
GERMANIA CUTIE X 3 BLIST. ACLAR-PVC/AL X 10 COMPR. FILM. ELIB. MODIF. P-6L
30
HEXAL AG
GERMANIA CUTIE X 3 BLIST. ACLAR-PVC/AL X 10 COMPR. FILM. ELIB. MODIF. P-6L
30
AC HELCOR SRL
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
P-6L
20
ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
MEDUMAN SA
ROMANIA CUTIE X 1 FLAC. DIN PE X 20 COMPR. P-6L
20
SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
P-6L
20
AC HELCOR SRL
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
20
SANOFI-AVENTIS FRANCE FRANTA CUTIE X 2 BLIST. AL/PVC X 14 COMPR.FILM. P-6L
28
MEDOCHEMIE LTD. CIPRU
CUTIE X 4 BLIST. AL/PVC X 7 COMPR. FILM. P-6L
28
MEDOCHEMIE LTD. CIPRU
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
30
MEDOCHEMIE LTD. CIPRU
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
20
MEDOCHEMIE LTD. CIPRU
CUTIE X 2 BLIST. AL/PVC X 7 COMPR. FILM. P-6L
14
ACTAVIS HUNGARY KFT. UNGARIA CUTIE X 3 BLIST. X 10 COMPR.
P-6L
30
LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L
30
ACTAVIS HUNGARY KFT. UNGARIA CUTIE X 3 BLIST. X 10 COMPR.
P-6L
30
LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L
30
MERCK KGAA
GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.FILM. P-6L
30
WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. X 10 COMPR. FILM.
P-6L/S
100
INTAS PHARMACEUTICALS LIMITED MAREA BRITANIE

EGIS PHARMACEUTICALS P.L.C.

Pagina 6 din 29

UNGARIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
UNGARIA
ROMANIA

CUTIE CU BLIST. PVC/AL X 30 COMPR. P6L

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

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

8.09
1.90
1.90
2.85
2.85
5.27
3.51
4.75
5.27
8.40
7.09
5.27
7.06
3.45
5.27
3.51
3.51
5.27
11.12
25.70
16.70
21.20
9.51
15.69
10.22
15.59
22.71
8.14
13.59
10.83
7.04
6.26
6.26
3.93
3.70
4.50
5.35
3.56
4.61
22.82
14.84
15.89
10.60
7.41
16.55
18.12
7.55
8.55
31.83
49.43

Pret
amanuntul
maximal/UT
(RON)

0.269666
0.095000
0.095000
0.095000
0.095000
0.175666
0.175500
0.158333
0.175666
0.084000
0.141800
0.175666
0.235333
0.172500
0.175666
0.175500
0.175500
0.175666
0.556000
0.856666
0.556666
0.757142
0.339642
0.523000
0.340666
0.556785
0.757000
0.271333
0.453000
0.361000
0.352000
0.313000
0.313000
0.196500
0.185000
0.225000
0.178333
0.178000
0.230500
0.815000
0.530000
0.529666
0.530000
0.529285
0.551666
0.604000
0.251666
0.285000
1.061000
0.494300

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

0.269666
0.074142
0.074142
0.074142
0.074142
0.148285
0.148285
0.148285
0.148285
0.084000
0.141800
0.148285
0.148285
0.148285
0.148285
0.148285
0.148285
0.148285
0.296570
0.296570
0.296570
0.563484
0.140870
0.148285
0.148285
0.281742
0.563484
0.140870
0.281742
0.361000
0.352000
0.313000
0.313000
0.196500
0.185000
0.225000
0.178333
0.178000
0.230500
0.444856
0.444856
0.444856
0.444856
0.444856
0.444856
0.444856
0.222428
0.222428
0.444856
0.444856

0.242699
0.066728
0.066728
0.066728
0.066728
0.133456
0.133456
0.133456
0.133456
0.075600
0.127620
0.133456
0.133456
0.133456
0.133456
0.133456
0.133456
0.133456
0.266913
0.266913
0.266913
0.507136
0.126783
0.133456
0.133456
0.253568
0.507136
0.126783
0.253568
0.324900
0.316800
0.281700
0.281700
0.176850
0.166500
0.202500
0.160499
0.160200
0.207450
0.400370
0.400370
0.400370
0.400370
0.400370
0.400370
0.400370
0.200185
0.200185
0.400370
0.400370

Nr crt.

cod ATC

292 C07AB07
293 C07AB07
294 C07AB07
295 C07AB07
296 C07AB07
297 C07AB07
298 C07AB07
299 C07AB07
300 C07AB07
301 C07AG02
302 C07AG02
303 C07AG02
304 C07AG02
305 C07AG02
306 C07AG02
307 C07AG02
308 C07AG02
309 C07AG02
310 C07AG02
311 C07AG02
312 C07AG02
313 C07AG02
314 C07AG02
315 C07AG02
316 C07AG02
317 C07AG02
318 C07AG02
319 C07AG02
320 C07AG02
321 C07AG02
322 C07AG02
323 C07AG02
324 C07AG02
325 C07AG02
326 C07AG02
327 C07AG02
328 C07AG02
329 C07AG02
330 C07AG02
331 C07AG02
332 C08CA01
333 C08CA01
334 C08CA01
335 C08CA01
336 C08CA01
337 C08CA01
338 C08CA01
339 C08CA01
340 C08CA01
341 C08CA01

DCI

BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM

Denumire Comerciala

BISOGAMMA (R) 10
CONCOR COR 10 mg
BISOTENS 10 mg
CONCOR COR 2,5 mg
CONCOR 5 mg
BISOGAMMA (R) 5
BISOGAMMA (R) 5
CONCOR COR 5 mg
BISOTENS 5 mg
CARVEDILOL SANDOZ
DILATREND (R) 12,5 mg
CORYOL 12,5 mg
TALLITON (R) 12,5 mg
CARVEDILOL LPH 12,5 mg

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

concentratie

10mg
10mg
10mg
2,5mg
5mg
5mg
5mg
5mg
5mg
COMPR.
12,5 mg
COMPR.
12,5mg
COMPR.
12,5mg
COMPR.
12,5mg
COMPR.
12,5mg
CARVEDILOL VIM SPECTRUM 12,5mg COMPR.
12,5mg
GLADYCOR 12,5 mg
COMPR.
12,5mg
MIOCARVIL 12,5 mg
COMPR.
12,5mg
ATRAM 12,5
COMPR.
12,5mg
CARVEDILOL HELCOR 12,2 mg COMPR.
12,5mg
DILATREND (R) 25 mg
COMPR.
25mg
CORYOL 25 mg
COMPR.
25mg
TALLITON (R) 25 mg
COMPR.
25mg
CARVEDILOL SANDOZ
COMPR.
25mg
CARVEDILOL LPH 25 mg
COMPR.
25mg
GLADYCOR 25 mg
COMPR.
25mg
MIOCARVIL 25 mg
COMPR.
25mg
ATRAM 25
COMPR.
25mg
CARVEDILOL HELCOR 25 mg COMPR.
25mg
DILATREND (R) 6,25 mg
COMPR.
6,25mg
CORYOL (R)
COMPR.
6,25mg
TALLITON 6,25 mg
COMPR.
6,25mg
CARVEDILOL SANDOZ
COMPR.
6,25mg
CARVEDILOL LPH 6,25 mg COMPR.
6,25mg
CARVEDILOL VIM SPECTRUM 6,25 mg COMPR.
6,25mg
GLADYCOR 6,25 mg
COMPR.
6,25mg
MIOCARVIL 6,25 mg
COMPR.
6,25mg
ATRAM 6,25
COMPR.
6,25mg
CARVEDIGAMMA 12,5 mg
COMPR. FILM. 12,5mg
CARVEDIGAMMA 25 mg
COMPR. FILM. 25mg
CARVEDIGAMMA 6,25 mg
COMPR. FILM. 6,25mg
NORVASC 10 mg
COMPR.
10mg
AMLOHEXAL 10 mg
COMPR.
10mg
TENOX (R) 10
COMPR.
10mg
VASOREX 10 mg
COMPR.
10mg
CARDILOPIN 10 mg
COMPR.
10mg
AMLODIPINA BIOGALENICA 10 mg COMPR.
10mg
ALMACOR 10 mg
COMPR.
10mg
EPLODIN 10 mg
COMPR.
10mg
AMLODIPINA ACTAVIS 10 mg COMPR.
10mg
AMLODIPIN VIM SPECTRUM 10 mg COMPR.
10mg

Detinator APP

tara det.
APP

WORWAG PHARMA GMBH & CO. KG

GERMANIA

MERCK KGAA
ANTIBIOTICE S.A.
MERCK KGAA
MERCK KGAA

Prescriptie

P-6L

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

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


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

WORWAG PHARMA GMBH & CO. KG

GERMANIA

WORWAG PHARMA GMBH & CO. KG

GERMANIA

MERCK KGAA
ANTIBIOTICE S.A.
HEXAL AG

Ambalaj

CUTIE X 3 BLIST. X 10 COMPR. FILM.

CUTIE X 3 BLIST. X 10 COMPR. FILM.


CUTIE X 4 BLIST. X 25 COMPR. FILM.

P-6L
P-6L

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

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


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

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


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

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

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


VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
ANTIBIOTICE S.A.
ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR.

LABORMED PHARMA SA ROMANIA

LABORMED PHARMA S.A.

ZENTIVA K.S.

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

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

CEHIA

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

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


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

AC HELCOR PHARMA SRL

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. P-6L
EGIS PHARMACEUTICALS P.L.C.

HEXAL AG

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

P-6L

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

LABORMED PHARMA SA ROMANIA

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

ZENTIVA K.S.

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

ANTIBIOTICE S.A.

P-6L

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


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

CEHIA

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

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

KRKA D.D.

EGIS PHARMACEUTICALS P.L.C.

HEXAL AG

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

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

P-6L

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

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


VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
ANTIBIOTICE S.A.
ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR.
LABORMED PHARMA S.A. ROMANIA CUTIE X 2 BLIST. PVC/AL X 15 COMPR. FILM.
ZENTIVA K.S.
CEHIA
CUTIE X 2 BLIST. PVC-PVDC/AL X 15 COMPR.
LABORMED PHARMA SA ROMANIA

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

WORWAG PHARMA GMBH & CO. KG

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

WORWAG PHARMA GMBH & CO. KG

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

WORWAG PHARMA GMBH & CO. KG

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

PFIZER EUROPE MA EEIG

MAREA BRITANIE

HEXAL AG
KRKA D.D.

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

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

P-6L

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

LABORMED PHARMA S.A.

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

EGIS PHARMACEUTICALS P.L.C.

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


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

ROMANIA
UNGARIA
LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA
ANTIBIOTICE S.A.
ROMANIA
EXTRACTUMPHARMA UNGARIA

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

P-6L

P-6L

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


ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC-PVDC/AL X 20 COMPR. P-6L

VIM SPECTRUM SRL ROMANIA

Pagina 7 din 29

CUTIE X 2 BLIST. PVC-COC-PVDC/AL X 10 COMPR.

P-6L

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

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

18.12
32.72
18.12
14.76
16.33
8.55
25.01
22.31
8.55
8.74
29.94
12.48
13.30
13.36
6.72
13.10
13.36
12.87
8.72
33.45
22.05
23.62
9.18
23.62
23.00
23.62
19.57
15.72
16.46
6.44
6.89
6.89
6.89
4.56
6.70
6.89
6.44
13.93
24.30
9.06
29.68
19.28
19.26
19.28
19.28
19.28
19.28
19.26
12.85
12.85

Pret
amanuntul
maximal/UT
(RON)

0.604000
1.090666
0.604000
0.492000
0.544333
0.285000
0.250100
0.743666
0.285000
0.291333
1.069285
0.445714
0.443333
0.445333
0.336000
0.436666
0.445333
0.429000
0.436000
1.194642
0.787500
0.787333
0.306000
0.787333
0.766666
0.787333
0.652333
0.786000
0.587857
0.230000
0.229666
0.229666
0.229666
0.228000
0.223333
0.229666
0.214666
0.464333
0.810000
0.302000
0.989333
0.642666
0.642000
0.642666
0.642666
0.642666
0.642666
0.642000
0.642500
0.642500

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

0.444856
0.444856
0.444856
0.111214
0.222428
0.222428
0.222428
0.222428
0.222428
0.291333
0.354299
0.354299
0.354299
0.354299
0.336000
0.354299
0.354299
0.354299
0.354299
0.708599
0.708599
0.708599
0.306000
0.708599
0.708599
0.708599
0.652333
0.708599
0.177149
0.177149
0.177149
0.177149
0.177149
0.177149
0.177149
0.177149
0.177149
0.354299
0.708599
0.177149
0.578399
0.578399
0.578399
0.578399
0.578399
0.578399
0.578399
0.578399
0.578399
0.578399

0.400370
0.400370
0.400370
0.100092
0.200185
0.200185
0.200185
0.200185
0.200185
0.262199
0.318869
0.318869
0.318869
0.318869
0.302400
0.318869
0.318869
0.318869
0.318869
0.637739
0.637739
0.637739
0.275400
0.637739
0.637739
0.637739
0.587099
0.637739
0.159434
0.159434
0.159434
0.159434
0.159434
0.159434
0.159434
0.159434
0.159434
0.318869
0.637739
0.159434
0.520559
0.520559
0.520559
0.520559
0.520559
0.520559
0.520559
0.520559
0.520559
0.520559

Nr crt.

cod ATC

342 C08CA01
343 C08CA01
344 C08CA01
345 C08CA01
346 C08CA01
347 C08CA01
348 C08CA01
349 C08CA01
350 C08CA01
351 C08CA01
352 C08CA01
353 C08CA01
354 C08CA01
355 C08CA01
356 C08CA01
357 C08CA01
358 C08CA01
359 C08CA01
360 C08CA01
361 C08CA01
362 C08CA01
363 C08CA01
364 C08CA01
365 C08CA01
366 C08CA01
367 C08CA01
368 C08CA01
369 C08CA01
370 C08CA01
371 C08CA01
372 C08CA01
373 C08CA01
374 C08CA01
375 C08CA01
376 C08CA01
377 C08CA01
378 C08CA02
379 C08CA02
380 C08CA02
381 C08CA02
382 C08CA02
383 C08CA02
384 C08CA02
385 C08CA02
386 C08CA02
387 C08CA02
388 C08CA02
389 C08CA02
390 C08CA02
391 C08CA02

DCI

AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
FELODIPINUM
FELODIPINUM
FELODIPINUM
FELODIPINUM
FELODIPINUM
FELODIPINUM
FELODIPINUM
FELODIPINUM
FELODIPINUM
FELODIPINUM
FELODIPINUM
FELODIPINUM
FELODIPINUM
FELODIPINUM

Denumire Comerciala

AGEN 10
ALOZUR 10 mg

AMLODIPINE VALEANT 10 mg
AMLODIPINE VALEANT 10 mg
AMLODIPINE VALEANT 10 mg

AMLODIPINA LPH 10 mg
STAMLO M 10 mg

AMLODIPINA BLUEFISH 10 mg
AMLODIPINA BIOGALENICA 10 mg

AMLODIPINA HELCOR 10 mg
AMLODIPINA TERAPIA 10 mg
AMLODIPINA TERAPIA 10 mg
AMLODIPINA ACCORD 10 mg
NORVASC 5 mg
AMLOHEXAL 5 mg
TENOX (R) 5
VASOREX 5 mg
CARDILOPIN 5 mg
AMLODIPINA BIOGALENICA 5 mg

ALMACOR 5 mg
EPLODIN 5 mg
AMLODIPINA ACTAVIS 5 mg

AMLODIPIN VIM SPECTRUM 5 mg

AGEN 5
ALOZUR 5 mg
AMLODIPINE VALEANT 5 mg
AMLODIPINE VALEANT 5 mg
AMLODIPINE VALEANT 5 mg
AMLODIPINA LPH 5 mg
STAMLO M 5 mg
AMLODIPINA BLUEFISH 5 mg

AMLODIPINA BIOGALENICA 5 mg

AMLODIPINA HELCOR 5 mg
AMLODIPINA TERAPIA 5 mg
AMLODIPINA TERAPIA 5 mg
AMLODIPINA ACCORD 5 mg
PLENDIL
FELODIPIN AL 10 mg
PLENDIL
FELODIPIN AL 2,5 mg
FELODIPIN AL 2,5 mg
PLENDIL
FELODIPIN AL 5 mg
SISTAR 10 mg
SISTAR 2,5 mg
SISTAR 5 mg
AURONAL 10 mg
PRESID (R) 10 mg
FELODIPIN SANDOZ 10 mg
AURONAL 2,5 mg

forma farm.

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

COMPR. ELIB. PREL.


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

COMPR. FILM. ELIB. PREL.


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

concentratie

10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
10mg
10mg
2,5mg
2,5mg
2,5mg
5mg
5mg
10mg
2,5mg
5mg
10mg
10mg
10mg
2,5mg

Detinator APP

ZENTIVA K.S.

OZONE LABORATORIES PHARMA S.A.

tara det.
APP

CEHIA

Ambalaj

Prescriptie

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

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

ICN POLFA RZESZOW POLONIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR.


ICN POLFA RZESZOW POLONIA CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR.
ICN POLFA RZESZOW POLONIA CUTIE X 10 BLIST. PVC-PE-PVDC/AL X 10 COMPR.
LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. AL/OPA-AL-PVC X 14 COMPR.

P-6L/S

BLUEFISH PHARMACEUTICALS AB

P-6L

ARENA GROUP S.A.


HELCOR S.R.L.
TERAPIA SA
TERAPIA SA

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

ROMANIA
ROMANIA
ROMANIA
ROMANIA

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

PFIZER EUROPE MA EEIG

HEXAL AG
KRKA D.D.

MAREA BRITANIE

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

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

CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. P6L


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

CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR. P6L

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

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

P-6L
P-6L

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

LABORMED PHARMA S.A.

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

EGIS PHARMACEUTICALS P.L.C.

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


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

ROMANIA
UNGARIA
LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA
ANTIBIOTICE S.A.
ROMANIA
EXTRACTUMPHARMA UNGARIA

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

P-6L

P-6L

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


ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC-PVDC/AL X 20 COMPR. P-6L

VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. PVC-COC-PVDC/AL X 10 COMPR. P-6L


ZENTIVA K.S.
CEHIA
CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L
OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L
ICN POLFA RZESZOW POLONIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L
ICN POLFA RZESZOW POLONIA CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L
ICN POLFA RZESZOW POLONIA CUTIE X 10 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L/S
LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. AL/OPA-AL-PVC X 14 COMPR. P-6L
BLUEFISH PHARMACEUTICALS AB SUEDIA
CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L
ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L
HELCOR S.R.L.
ROMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. P6L
TERAPIA SA
ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L
TERAPIA SA
ROMANIA CUTIE X 3 BLIST. ACLAR-PVC/AL X 10 COMPR. P-6L
ACCORD HEALTHCARE LIMITED MAREA BRITANIE

ASTRAZENECA AB SUEDIA
ALIUD PHARMA GMBH & CO. KG

GERMANIA

ASTRAZENECA AB SUEDIA

CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR. P6L


CUTIE X 1 FLAC. DIN PE X 30 COMPR. ELIB. PREL. P-6L
CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. ELIB. PREL.

P-6L

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

ALIUD PHARMA GMBH & CO. KG

GERMANIA

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

P-6L

ALIUD PHARMA GMBH & CO. KG

GERMANIA

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

P-6L

CUTIE X 1 FLAC. DIN PE X 30 COMPR. ELIB. PREL.

P-6L

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

P-6L

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

P-6L

ASTRAZENECA AB SUEDIA
ALIUD PHARMA GMBH & CO. KG
GEDEON RICHTER ROMANIA SA
GEDEON RICHTER ROMANIA SA
GEDEON RICHTER ROMANIA SA
EGIS PHARMACEUTICALS P.L.C.
IVAX - PHARMACEUTICALS S.R.O.

HEXAL AG
EGIS PHARMACEUTICALS P.L.C.

Pagina 8 din 29

GERMANIA

ROMANIA
ROMANIA
ROMANIA
UNGARIA

CEHIA

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

P-6L

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

P-6L

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

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

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

UNGARIA

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

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

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

19.28
19.28
17.92
32.13
62.21
19.28
14.67
10.96
19.28
12.87
19.31
19.31
7.04
19.94
11.37
11.40
11.37
11.37
7.89
11.36
11.37
7.58
7.44
11.25
11.02
9.63
18.94
36.68
11.37
8.75
9.00
7.89
8.63
10.82
10.82
6.35
50.21
45.73
22.26
20.68
33.34
28.37
29.55
30.42
14.47
18.43
42.57
33.56
30.52
16.47

Pret
amanuntul
maximal/UT
(RON)

0.642666
0.642666
0.597333
0.642600
0.622100
0.642666
0.523928
0.365333
0.642666
0.643500
0.643666
0.643666
0.234666
0.664666
0.379000
0.380000
0.379000
0.379000
0.263000
0.378666
0.379000
0.379000
0.372000
0.375000
0.367333
0.321000
0.378800
0.366800
0.379000
0.312500
0.300000
0.263000
0.431500
0.360666
0.360666
0.211666
1.673666
1.524333
0.742000
0.689333
0.666800
0.945666
0.985000
1.014000
0.482333
0.614333
1.419000
1.118666
1.017333
0.549000

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

0.578399
0.578399
0.578399
0.578399
0.578399
0.578399
0.523928
0.365333
0.578399
0.578399
0.578399
0.578399
0.234666
0.289199
0.289199
0.289199
0.289199
0.289199
0.263000
0.289199
0.289199
0.289199
0.289199
0.289199
0.289199
0.289199
0.289199
0.289199
0.289199
0.289199
0.289199
0.263000
0.289199
0.289199
0.289199
0.211666
0.578399
0.578399
0.144599
0.144599
0.144599
0.289199
0.289199
0.578399
0.144599
0.289199
0.578399
0.578399
0.578399
0.144599

0.520559
0.520559
0.520559
0.520559
0.520559
0.520559
0.471535
0.328799
0.520559
0.520559
0.520559
0.520559
0.211199
0.260279
0.260279
0.260279
0.260279
0.260279
0.236700
0.260279
0.260279
0.260279
0.260279
0.260279
0.260279
0.260279
0.260279
0.260279
0.260279
0.260279
0.260279
0.236700
0.260279
0.260279
0.260279
0.190499
0.520559
0.520559
0.130139
0.130139
0.130139
0.260279
0.260279
0.520559
0.130139
0.260279
0.520559
0.520559
0.520559
0.130139

Nr crt.

cod ATC

392 C08CA02
393 C08CA02
394 C08CA02
395 C08CA02
396 C08CA05
397 C08CA05
398 C08CA05
399 C08DA01
400 C08DA01
401 C08DA01
402 C08DA01
403 C08DA01
404 C08DA01
405 C08DA01
406 C08DA01
407 C08DB01
408 C08DB01
409 C08DB01
410 C08DB01
411 C08DB01
412 C08DB01
413 C08DB01
414 C08DB01
415 C09AA01
416 C09AA01
417 C09AA01
418 C09AA01
419 C09AA01
420 C09AA01
421 C09AA01
422 C09AA01
423 C09AA01
424 C09AA01
425 C09AA01
426 C09AA01
427 C09AA01
428 C09AA01
429 C09AA02
430 C09AA02
431 C09AA02
432 C09AA02
433 C09AA02
434 C09AA02
435 C09AA02
436 C09AA02
437 C09AA02
438 C09AA02
439 C09AA02
440 C09AA02
441 C09AA02

DCI

FELODIPINUM
FELODIPINUM
FELODIPINUM
FELODIPINUM
NIFEDIPINUM
NIFEDIPINUM
NIFEDIPINUM
VERAPAMILUM
VERAPAMILUM
VERAPAMILUM
VERAPAMILUM
VERAPAMILUM
VERAPAMILUM
VERAPAMILUM
VERAPAMILUM
DILTIAZEMUM
DILTIAZEMUM
DILTIAZEMUM
DILTIAZEMUM
DILTIAZEMUM
DILTIAZEMUM
DILTIAZEMUM
DILTIAZEMUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM

Denumire Comerciala

PRESID (R) 2,5 mg


AURONAL 5 mg
PRESID (R) 5 mg
FELODIPIN SANDOZ 5 mg
ADALAT CR 30
NIFEDIPIN RETARD TERAPIA 20 mg

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

CAPTOPRIL ARENA 25 mg
CAPTOPRIL ARENA 50 mg
CAPTOPRIL 50 mg
CAPTOPRIL 50 EEL
CAPTOPRIL - AC 50 mg
CAPTOPRIL MCC 50 mg
CAPTOPRIL LPH 50 mg
ENALAPRIL 10 mg
ENALAPRIL 10 mg
ENALAPRIL SANDOZ 10 mg
ENALAPRIL LPH 10 mg
ENAP 10 mg
ENALAPRIL FABIOL 10 mg
ENALAPRIL SLAVIA 10 mg
ENALAPRIL AL 10
RENITEC 10 mg
ENALAPRIL TERAPIA 10 mg
ENALAPRIL ARENA 10mg
ENALAPRIL ARENA 10mg
ENALAPRIL ARENA 10mg

forma farm.
COMPR. FILM. ELIB. PREL.
COMPR. FILM. ELIB. PREL.
COMPR. FILM. ELIB. PREL.
COMPR. FILM. ELIB. PREL.

COMPR. ELIB. MODIF.


COMPR. FILM. ELIB. PREL.

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

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

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

concentratie

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

Detinator APP
IVAX - PHARMACEUTICALS S.R.O.

EGIS PHARMACEUTICALS P.L.C.


IVAX - PHARMACEUTICALS S.R.O.

HEXAL AG

tara det.
APP

CEHIA

UNGARIA

CEHIA

Ambalaj

Prescriptie

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


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

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

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

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

P-6L

TERAPIA SA

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


E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 2 FOLII X 10 DRAJ.
P-6L
CUTIE X 5 BLIST. AL/PVC X 20 COMPR. FILM. P-6L

ABBOTT GMBH&CO.KG GERMANIA


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

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

IVAX - PHARMACEUTICALS S.R.O.

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

ALIUD PHARMA GMBH & CO.KG

CEHIA

CUTIE X 10 BLIST. X 10 COMPR. FILM.


CUTIE X 5 BLIST. X 10 COMPR. FILM.

P-6L
P-6L

ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L


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

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


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

P-6L

MAREA BRITANIE

P-6L

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


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

PFIZER EUROPE MA EEIG

MAGISTRA C & C
TERAPIA SA
BIO EEL SRL

MAREA BRITANIE

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

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

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


CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
AC HELCOR PHARMA SRL
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
MAGISTRA C & C
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
LABORMED PHARMA SA
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
SINTOFARM SA
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
ARENA GROUP SA
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
ARENA GROUP SA
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
TERAPIA SA
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
BIO EEL SRL
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
AC HELCOR PHARMA SRL
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
MAGISTRA C & C
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
LABORMED PHARMA SA
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 FOLII X 10 COMPR.
MAGISTRA C & C
ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
SANDOZ SRL
ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/AL X 10 COMPR.
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

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

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. AL/OPA-AL-PVC X 10 COMPR. P-6L

FABIOL SA
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. PVC/ AL X 10 COMPR.

P-6L
P-6L

ALIUD PHARMA GMBH & CO.KG

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

MERCK SHARP & DOHME

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

TERAPIA SA
ARENA GROUP SA
ARENA GROUP SA
ARENA GROUP SA

Pagina 9 din 29

CUTIE X 2 BLIST. AL/AL X 14 COMPR.

P-6L

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

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


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

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

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

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

8.61
26.66
17.21
15.69
29.88
9.26
4.81
17.09
21.02
10.51
15.30
22.60
19.91
11.82
17.32
12.40
5.39
5.39
13.37
5.39
13.37
12.84
15.38
3.41
4.10
3.02
2.28
3.42
3.42
4.64
2.28
2.67
6.67
3.87
2.67
4.50
3.93
4.39
4.39
3.96
4.39
4.39
4.39
4.39
6.59
10.52
7.30
6.87
11.25
22.02

Pret
amanuntul
maximal/UT
(RON)

0.287000
0.888666
0.573666
0.523000
1.067142
0.185200
0.240500
0.170900
0.210200
0.210200
0.306000
0.753333
0.995500
0.236400
0.346400
0.413333
0.269500
0.269500
0.267400
0.269500
0.267400
1.284000
0.512666
0.113666
0.136666
0.151000
0.114000
0.114000
0.114000
0.154666
0.114000
0.133500
0.222333
0.193500
0.133500
0.150000
0.131000
0.219500
0.219500
0.198000
0.219500
0.219500
0.219500
0.219500
0.219666
0.375714
0.365000
0.229000
0.225000
0.220200

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

0.144599
0.289199
0.289199
0.289199
0.289199
0.185200
0.192799
0.108397
0.210200
0.210200
0.216794
0.650384
0.650384
0.108397
0.216794
0.268975
0.268975
0.268975
0.267400
0.268975
0.267400
0.537950
0.403462
0.049904
0.099809
0.099809
0.099809
0.099809
0.099809
0.099809
0.099809
0.133500
0.199619
0.193500
0.133500
0.150000
0.131000
0.199619
0.199619
0.198000
0.199619
0.199619
0.199619
0.199619
0.199619
0.199619
0.199619
0.199619
0.199619
0.199619

0.130139
0.260279
0.260279
0.260279
0.260279
0.166680
0.173519
0.097557
0.189180
0.189180
0.195115
0.585346
0.585346
0.097557
0.195115
0.242077
0.242077
0.242077
0.240660
0.242077
0.240660
0.484155
0.363116
0.044914
0.089828
0.089828
0.089828
0.089828
0.089828
0.089828
0.089828
0.120150
0.179657
0.174150
0.120150
0.135000
0.117900
0.179657
0.179657
0.178200
0.179657
0.179657
0.179657
0.179657
0.179657
0.179657
0.179657
0.179657
0.179657
0.179657

Nr crt.

cod ATC

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

DCI

ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM

Denumire Comerciala

ENALAPRIL ARENA 10mg


ENALAPRIL VIM SPECTRUM 10 mg

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

ENALAPRIL VIM SPECTRUM 5 mg

ENALAPRIL SLAVIA 5 mg
ENAP (R)
RANOLIP
LISIREN 10 mg
LISINOPRIL SANDOZ 10 mg
LISIGAMMA 10 mg
LISINOPRIL 10 MEDO
LISINOPRIL ACTAVIS 10 mg
LISINOPRIL ATB 10 MG
LISINOPRIL ATB 10 MG
TONOLYSIN 10 mg
TONOLYSIN 2,5 mg
RANOLIP
LISIREN 20 mg
LISINOPRIL SANDOZ 20 mg
LISIGAMMA 20 mg
LISINOPRIL 20 MEDO
LISINOPRIL ACTAVIS 20 mg
LISINOPRIL ATB 20 MG
LISINOPRIL ATB 20 MG
TONOLYSIN 20 mg
LISINOPRIL ATB 40 MG
LISINOPRIL ATB 40 MG
RANOLIP
LISINOPRIL SANDOZ 5 mg
LISIGAMMA 5 mg

forma farm.

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

concentratie

10mg
10mg
10mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
1,25mg/ml
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
2,5mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
40mg
40mg
5mg
5mg
5mg

tara det.
APP
ARENA GROUP SA ROMANIA
VIM SPECTRUM SRL ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
MAGISTRA C & C
ROMANIA
SANDOZ SRL
ROMANIA
LABORMED PHARMA SA ROMANIA
KRKA D.D. NOVO MESTO SLOVENIA
FABIOL SA
ROMANIA
Detinator APP

ALIUD PHARMA GMBH & CO.KG

Ambalaj

CUTIE X 1 FLAC. DIN PE X 20 COMPR.

Prescriptie

P-6L

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


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

CUTIE X 2 BLIST. X 10 COMPR.


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

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

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

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

P-6L

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

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


P-6L
TERAPIA SA
ROMANIA CUTIE X 2 BLIST. AL/PVC-PE-PVDC X 10 COMPR. P-6L
ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L
ARENA GROUP SA ROMANIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. P-6L
SLAVIA PHARM S.R.L. ROMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. P6L
OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 FOLII X 10 COMPR.
P-6L
MAGISTRA C & C
ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
P-6L
SANDOZ SRL
ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
P-6L
MERCK SHARP & DOHME

ALIUD PHARMA GMBH & CO.KG

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

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. AL/OPA-AL-PVC X 10 COMPR. P-6L
MERCK SHARP & DOHME

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

LABORMED PHARMA SA ROMANIA

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

P-6L
P-6L

TERAPIA SA
ROMANIA CUTIE X 2 BLIST. AL/PVC-PE-PVDC X 10 COMPR. P-6L
ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L
SLAVIA PHARM S.R.L. ROMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. P6L
KRKA D.D.
SLOVENIA CUTIE X 5 FIOLE X 1 ML
S/P-RF
RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 BLIST. X 10 COMPR.
P-6L
AC HELCOR SRL
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
HEXAL AG
GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
WORWAG PHARMA GMBH & CO. KG

MEDOCHEMIE ROMANIA SRL

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

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

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


ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR.
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR.
RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 BLIST. X 10 COMPR.
AC HELCOR SRL
ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR.
HEXAL AG
GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
ACTAVIS GROUP PTC EHF.

P-6L

ANTIBIOTICE SA
ANTIBIOTICE SA

P-6L

WORWAG PHARMA GMBH & CO. KG

MEDOCHEMIE ROMANIA SRL

WORWAG PHARMA GMBH & CO. KG

Pagina 10 din 29

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

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

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

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


ANTIBIOTICE SA
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR.
ANTIBIOTICE SA
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR.
ANTIBIOTICE SA
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR.
ANTIBIOTICE SA
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 BLIST. X 10 COMPR.
HEXAL AG
GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
ACTAVIS GROUP PTC EHF.

P-6L

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

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

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

20
20
30
20
20
20
20
20
30
28
20
30
50
20
20
20
20
30
20
28
20
20
30
20
20
5
30
20
30
30
30
30
20
30
28
28
30
20
30
30
20
30
10
30
28
10
30
30
30
30

11.28
4.10
10.20
7.94
10.18
8.75
7.94
7.12
11.62
17.12
11.11
11.12
16.43
7.92
3.67
3.67
3.67
5.25
3.67
7.87
3.84
3.93
5.58
3.65
3.67
15.45
14.98
10.74
10.31
8.61
14.44
12.87
6.27
9.72
15.47
8.75
23.11
15.65
15.05
12.93
14.44
23.37
7.43
23.48
22.90
13.81
39.31
7.64
7.15
6.50

Pret
amanuntul
maximal/UT
(RON)

0.564000
0.205000
0.340000
0.397000
0.509000
0.437500
0.397000
0.356000
0.387333
0.611428
0.555500
0.370666
0.328600
0.396000
0.183500
0.183500
0.183500
0.175000
0.183500
0.281071
0.192000
0.196500
0.186000
0.182500
0.183500
3.090000
0.499333
0.537000
0.343666
0.287000
0.481333
0.429000
0.313500
0.324000
0.552500
0.312500
0.770333
0.782500
0.501666
0.431000
0.722000
0.779000
0.743000
0.782666
0.817857
1.381000
1.310333
0.254666
0.238333
0.216666

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

0.199619
0.199619
0.199619
0.397000
0.399239
0.399239
0.397000
0.356000
0.387333
0.399239
0.399239
0.370666
0.328600
0.396000
0.099809
0.099809
0.099809
0.099809
0.099809
0.099809
0.099809
0.099809
0.099809
0.099809
0.099809
3.090000
0.199619
0.199619
0.199619
0.199619
0.199619
0.199619
0.199619
0.199619
0.199619
0.049904
0.399239
0.399239
0.399239
0.399239
0.399239
0.399239
0.399239
0.399239
0.399239
0.798479
0.798479
0.099809
0.099809
0.099809

0.179657
0.179657
0.179657
0.357300
0.359315
0.359315
0.357300
0.320400
0.348599
0.359315
0.359315
0.333599
0.295740
0.356400
0.089828
0.089828
0.089828
0.089828
0.089828
0.089828
0.089828
0.089828
0.089828
0.089828
0.089828
2.781000
0.179657
0.179657
0.179657
0.179657
0.179657
0.179657
0.179657
0.179657
0.179657
0.044914
0.359315
0.359315
0.359315
0.359315
0.359315
0.359315
0.359315
0.359315
0.359315
0.718631
0.718631
0.089828
0.089828
0.089828

Nr crt.

cod ATC

DCI

537 C09AA09

LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
QUINAPRILUM
QUINAPRILUM
QUINAPRILUM
QUINAPRILUM
QUINAPRILUM
QUINAPRILUM
QUINAPRILUM
QUINAPRILUM
FOSINOPRILUM
FOSINOPRILUM
FOSINOPRILUM
FOSINOPRILUM
FOSINOPRILUM
FOSINOPRILUM
FOSINOPRILUM

538 C09BA02

COMBINATII (ENALAPRILUM+HYDROCHLOROTHIAZIDUM)

539 C09BA02

COMBINATII (ENALAPRILUM+HYDROCHLOROTHIAZIDUM)

540 C09BA02

COMBINATII (ENALAPRILUM+HYDROCHLOROTHIAZIDUM)

541 C09BA02

COMBINATII (ENALAPRILUM+HYDROCHLOROTHIAZIDUM)

492 C09AA03
493 C09AA03
494 C09AA03
495 C09AA05
496 C09AA05
497 C09AA05
498 C09AA05
499 C09AA05
500 C09AA05
501 C09AA05
502 C09AA05
503 C09AA05
504 C09AA05
505 C09AA05
506 C09AA05
507 C09AA05
508 C09AA05
509 C09AA05
510 C09AA05
511 C09AA05
512 C09AA05
513 C09AA05
514 C09AA05
515 C09AA05
516 C09AA05
517 C09AA05
518 C09AA05
519 C09AA05
520 C09AA05
521 C09AA05
522 C09AA05
523 C09AA06
524 C09AA06
525 C09AA06
526 C09AA06
527 C09AA06
528 C09AA06
529 C09AA06
530 C09AA06
531 C09AA09
532 C09AA09
533 C09AA09
534 C09AA09
535 C09AA09
536 C09AA09

Denumire Comerciala

LISINOPRIL 5 MEDO
LISINOPRIL ACTAVIS 5 mg
TONOLYSIN 5 mg
VIVOKAR 10 mg
VIVACE 10 mg
PIRAMIL 10 mg
RAMIPRIL-AC 10 mg
AMPRIL 10 mg
HARTIL 10 mg
ZENRA 10
RAMIGAMMA 10 mg
TRITACE 10
VIVACE 2,5 mg
PIRAMIL 2,5 mg
RAMIPRIL-AC 2,5 mg
AMPRIL 2,5 mg
HARTIL 2,5 mg
ZENRA 2,5
TRITACE(R) 2,5
VIVACE 5 mg
PIRAMIL 5 mg
RAMIPRIL-AC 5 mg
AMPRIL 5 mg
HARTIL 5 mg
ZENRA 5
RAMIGAMMA 5 mg
TRITACE 5
RAMIRAN 1,25 mg
RAMIRAN 10 mg
RAMIRAN 2,5 mg
RAMIRAN 5 mg
AQUIRIL 10 mg
ACCUPRO 10 mg
QUINARAN 10 mg
ACCUPRO (R) 20
QUINARAN 20 mg
QUINARAN 40 mg
ACCUPRO (R) 5
QUINARAN 5 mg
MONOPRIL 10 mg
FOSYPRIL 10 mg
FOSYPRIL 10 mg
MONOPRIL 20 mg
FOSINOPRIL TEVA 20 mg
FOSYPRIL 20 mg
FOSYPRIL 20 mg
ENAP HL
ENAP H
ENAP (R) HL 20 mg/12,5 mg
VIMAPRIL HL

forma farm.

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

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

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

concentratie

5mg
5mg
5mg
10mg
10 mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
2,5 mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
5 mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
1,25mg
10mg
2,5mg
5mg
10mg
10mg
10mg
20mg
20mg
40mg
5mg
5mg
10mg
10mg
10mg
20mg
20mg
20mg
20mg

Detinator APP
MEDOCHEMIE ROMANIA SRL

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

Prescriptie

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


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

P-6L

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


SANDOZ SRL
ROMANIA CUTIE X 4 FOLII AL-LDPE/LDPE-AL X 7 COMPR.
AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P-6L

ACTAVIS GROUP PTC EHF.


GEDEON RICHTER ROMANIA SA

LABORMED PHARMA S.A.

P-6L
P-6L

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

ZENTIVA S.A.

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


ROMANIA CUTIE X 2 BLIST. X 14 COMPR.

P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA

P-6L

EGIS PHARMACEUTICALS P.L.C.

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


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

P-6L

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

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

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

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


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

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


SANDOZ SRL
ROMANIA CUTIE X 4 FOLII AL-LDPE/LDPE-AL X 7 COMPR.
AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

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

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

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


ROMANIA CUTIE X 2 BLIST. X 14 COMPR.

P-6L

ZENTIVA S.A.
WORWAG PHARMA GMBH & CO. KG

GERMANIA

P-6L

EGIS PHARMACEUTICALS P.L.C.

SANOFI - AVENTIS ROMANIA S.R.L.

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


ROMANIA CUTIE X 2 BLIST. X 14 COMPR.

CUTIE X 3 FOLII AL/PEJD X 10 COMPR. FILM.


CUTIE X 3 FOLII AL/PEJD X 10 COMPR. FILM.
MAREA BRITANIE CUTIE X 3 FOLII AL/PEJD X 10 COMPR. FILM.
MAREA BRITANIE CUTIE X 3 FOLII AL/PEJD X 10 COMPR. FILM.
LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. FILM.
RANBAXY U.K. LIMITED
RANBAXY U.K. LIMITED
RANBAXY U.K. LIMITED
RANBAXY U.K. LIMITED

P-6L
P-6L

MAREA BRITANIE

P-6L

MAREA BRITANIE

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

PFIZER EUROPE MA EEIG

MAREA BRITANIE

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

RANBAXY UK LIMITED

MAREA BRITANIE

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

PFIZER EUROPE MA EEIG

MAREA BRITANIE

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

MAREA BRITANIE

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

MAREA BRITANIE

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

PFIZER EUROPE MA EEIG

MAREA BRITANIE

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

RANBAXY UK LIMITED

MAREA BRITANIE

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

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

P-6L

RANBAXY UK LIMITED
RANBAXY UK LIMITED

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


CUTIE X 3 BLIST. AL-PVC-PA/AL X 10 COMPR.
CUTIE X 2 BLIST. AL-PVC-PA/AL X 15 COMPR.
CUTIE X 2 BLIST. AL/PVC-PVDC X 14 COMPR.
CUTIE X 3 BLIST. AL/PVC-PVDC X 10 COMPR.
CUTIE X 3 BLIST. AL-PVC-PA/AL X 10 COMPR.
CUTIE X 2 BLIST. AL-PVC-PA/AL X 15 COMPR.
10mg+12,5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. AL/OPA-AL-PVC X 10 COMPR.
10mg+25mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. AL/OPA-AL-PVC X 10 COMPR.
20 mg/12,5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 10 COMPR.

FARA CONCENTRATIE

P-6L

ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 CAPS. P-6L

BRISTOL MYERS SQUIBB KFT

VIM SPECTRUM SRL ROMANIA CUTIE X 3 BLIST. PVC/COC/PVDC-AL X 10 COMPR.

Pagina 11 din 29

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

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

30
30
28
30
28
28
30
30
28
28
20
28
28
28
30
30
28
28
28
28
28
30
30
28
28
20
28
30
30
30
30
30
30
30
30
30
30
30
30
28
30
30
28
30
30
30
20
20
20
30

8.67
7.37
9.28
24.95
23.28
23.28
24.95
24.93
23.28
23.28
10.51
34.64
7.46
9.37
10.05
10.02
9.37
9.37
14.41
10.15
10.17
10.83
10.85
10.17
10.17
7.09
15.62
6.89
33.00
11.23
20.51
7.60
11.69
7.60
16.75
15.05
44.09
8.20
7.61
20.83
14.76
14.76
28.58
18.89
25.61
25.61
8.89
9.82
7.95
8.88

Pret
amanuntul
maximal/UT
(RON)

0.289000
0.245666
0.331428
0.831666
0.831428
0.831428
0.831666
0.831000
0.831428
0.831428
0.525500
1.237142
0.266428
0.334642
0.335000
0.334000
0.334642
0.334642
0.514642
0.362500
0.363214
0.361000
0.361666
0.363214
0.363214
0.354500
0.557857
0.229666
1.100000
0.374333
0.683666
0.253333
0.389666
0.253333
0.558333
0.501666
1.469666
0.273333
0.253666
0.743928
0.492000
0.492000
1.020714
0.629666
0.853666
0.853666
0.444500
0.491000
0.397500
0.296000

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

0.099809
0.099809
0.099809
0.798479
0.798479
0.798479
0.798479
0.798479
0.798479
0.798479
0.525500
0.798479
0.199619
0.199619
0.199619
0.199619
0.199619
0.199619
0.199619
0.362500
0.363214
0.361000
0.361666
0.363214
0.363214
0.354500
0.399239
0.099809
0.798479
0.199619
0.399239
0.133079
0.133079
0.133079
0.266159
0.266159
0.532319
0.066539
0.066539
0.133079
0.133079
0.133079
0.266159
0.266159
0.266159
0.266159
0.444500
0.485399
0.397500
0.296000

0.089828
0.089828
0.089828
0.718631
0.718631
0.718631
0.718631
0.718631
0.718631
0.718631
0.472950
0.718631
0.179657
0.179657
0.179657
0.179657
0.179657
0.179657
0.179657
0.326250
0.326892
0.324900
0.325499
0.326892
0.326892
0.319050
0.359315
0.089828
0.718631
0.179657
0.359315
0.119771
0.119771
0.119771
0.239543
0.239543
0.479087
0.059885
0.059885
0.119771
0.119771
0.119771
0.239543
0.239543
0.239543
0.239543
0.400050
0.436859
0.357750
0.266400

Nr crt.

cod ATC

DCI

542 C09BA02

COMBINATII (ENALAPRILUM+HYDROCHLOROTHIAZIDUM)

543 C09BA05

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM)

544 C09BA05

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM)

545 C09BA05

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM)

546 C09BA05

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM)

547 C09BA05

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM)

548 C09BA05

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM)

549 C09BA05

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM)

550 C09BA05

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM)

551 C09CA01

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

552 C09CA01
553 C09CA01
554 C09CA01
555 C09CA01
556 C09CA01
557 C09CA01
558 C09CA01
559 C09CA01
560 C09CA01
561 C09CA01
562 C09CA01
563 C09CA01
564 C10AA01
565 C10AA01
566 C10AA01
567 C10AA01
568 C10AA01
569 C10AA01
570 C10AA01
571 C10AA01
572 C10AA01
573 C10AA01
574 C10AA01
575 C10AA01
576 C10AA01
577 C10AA01
578 C10AA01
579 C10AA01
580 C10AA01
581 C10AA01
582 C10AA01
583 C10AA01
584 C10AA01
585 C10AA01
586 C10AA01
587 C10AA01
588 C10AA01
589 C10AA01
590 C10AA01
591 C10AA01

Denumire Comerciala

forma farm.

VIMAPRIL H
COMPR.
HARTIL HCT 2,5 mg/12,5mg COMPR.
RAMIPRIL HCT-MEDOCHEMIE COMPR.
TENSIL 2,5mg/12,5mg
COMPR.
TRITACE 2,5 PLUS
COMPR.
HARTIL HCT 5 mg/25mg
COMPR.
RAMIPRIL HCT-MEDOCHEMIE COMPR.
TENSIL 5mg/25mg
COMPR.
TRITACE 5 PLUS
COMPR.
TALOSAN 100 mg
COMPR. FILM.
TALOSAN 100 mg
COMPR. FILM.
LOZAP 100
COMPR. FILM.
LORISTA 100 mg
COMPR. FILM.
TALOSAN 12,5 mg
COMPR. FILM.
TALOSAN 25 mg
COMPR. FILM.
TALOSAN 25 mg
COMPR. FILM.
TALOSAN 50 mg
COMPR. FILM.
TALOSAN 50 mg
COMPR. FILM.
LOSARTAN FARMAL 50 mg COMPR. FILM.
LOZAP 50
COMPR. FILM.
COZAAR 50 mg
COMPR. FILM.
LORISTA 50 mg
COMPR. FILM.
SIMVASTATINA BIOGALENICA 10 mg COMPR. FILM.

SIMGAL (R) 10 mg
SIMVAHEXAL (R) 10 mg
ZEPLAN (R) 10 mg
ZEPLAN (R) 10 mg
ZOCOR 10 mg
SINTENAL 10 mg
VASILIP 10 mg
SIMVASTATIN LPH 10 mg

SIMVASTATINA ACTAVIS 10 mg
SIMVASTATINA ACTAVIS 10 mg
SIMVASTATIN ACCORD 10 mg
SIMVASTATIN AUROBINDO 10 mg

SIMVASTATIN BLUEFISH 10 mg

RANVOR 10 mg
RANVOR 10 mg
ZAREDIL 10 mg
RANVOR 10 mg
SIMVASTATINA SUN 10 mg
SIMVACARD 10 mg

SIMVASTATINA BIOGALENICA 20 mg

SIMGAL (R) 20 mg
SIMVAHEXAL (R) 20 mg
ZEPLAN (R) 20 mg
ZEPLAN (R) 20 mg
ZOCOR 20 mg
ZOCOR 20 mg
SINTENAL 20 mg

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

tara det.
APP
Ambalaj
FARA CONCENTRATIE VIM SPECTRUM SRL ROMANIA CUTIE X 3 BLIST. PVC/COC/PVDC-AL X 10 COMPR. P-6L
2,5mg/12,5mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PCTFE/AL X 14 COMPR. P-6L
2,5mg/12,5mg MEDOCHEMIE LTD. CIPRU
CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L
2,5mg/12,5mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-6L
2,5mg/12,5mg SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L
5mg/25mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PCTFE/AL X 14 COMPR. P-6L
concentratie

5mg/25mg
5mg/25mg
5mg/25mg
100mg
100mg
100mg
100mg
12,5mg
25mg
25mg
50mg
50mg
50mg
50mg
50mg
50mg
10 mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
20 mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg

Detinator APP

Prescriptie

MEDOCHEMIE LTD. CIPRU

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

TEVA PHARMACEUTICALS S.R.L.

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

SANOFI - AVENTIS ROMANIA S.R.L.

TERAPIA SA
TERAPIA SA
ZENTIVA A.S.

ROMANIA
ROMANIA
ROMANIA
ROMANIA

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

P-6L

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

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

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


P6L

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

TERAPIA SA
TERAPIA SA
TERAPIA SA
TERAPIA SA
TERAPIA SA

FARMAL INTERNATIONAL S.R.L.

ZENTIVA A.S.
MERCK SHARP & DOHME

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

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


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

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


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

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


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

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

ROMANIA

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

KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. DIN PVC-PVDC/AL X 28 COMPR. FILM.

P-6L

P6L

ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. DIN PVC - PVD /AL X 14 COMPR. FILM.
IVAX - PHARMACEUTICALS S.R.O. CEHIA
CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM.
HEXAL AG
GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.

P-6L

GEDEON RICHTER ROMANIA SA

P-6L

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


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

KRKA D.D.

SLOVENIA

ACTAVIS GROUP PTC EHF.

ISLANDA
ISLANDA

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

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

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


ACTAVIS GROUP PTC EHF.

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


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

ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC- PE- PVDC /AL X 30 COMPR. FILM.

AUROBINDO PHARMA LIMITED


BLUEFISH PHARMACEUTICALS AB

RANBAXY U.K. LIMITED


RANBAXY U.K. LIMITED

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

MAREA BRITANIE

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

SUEDIA

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

P-6L

CUTIE X 2 BLIST. X 7 COMPR. FILM.


CUTIE X 4 BLIST. X 7 COMPR. FILM.

P-6L

MAREA BRITANIE
MAREA BRITANIE

P-6L

OZONE LABORATORIES PHARMA S.A.

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

RANBAXY U.K. LIMITED

MAREA BRITANIE

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

CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 1 BLIST. PVC-PVDC/AL X 28 COMPR. FILM.
ZENTIVA K.S.
CEHIA
CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 14 COMPR. FILM.
ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. DIN PVC - PVD /AL X 14 COMPR. FILM.
IVAX - PHARMACEUTICALS S.R.O. CEHIA
CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM.
HEXAL AG
GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.

P-6L

GEDEON RICHTER ROMANIA SA

P-6L

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


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

Pagina 12 din 29

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

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

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

11.82
23.22
13.27
8.58
24.59
29.45
22.71
18.21
28.95
33.41
33.41
37.61
32.76
4.25
7.81
7.81
17.92
17.92
17.89
19.63
64.56
18.00
8.75
8.75
9.37
4.38
8.75
13.45
9.35
8.74
9.37
8.75
9.35
9.26
9.21
5.56
4.24
8.47
8.75
9.37
8.46
8.74
16.55
16.55
17.75
16.56
8.27
12.74
25.45
17.69

Pret
amanuntul
maximal/UT
(RON)

0.394000
0.829285
0.442333
0.286000
0.878214
1.051785
0.757000
0.607000
1.033928
1.113666
1.113666
1.253666
1.170000
0.141666
0.260333
0.260333
0.597333
0.597333
0.638928
0.654333
2.305714
0.642857
0.312500
0.312500
0.312333
0.312857
0.312500
0.480357
0.311666
0.312142
0.312333
0.312500
0.311666
0.308666
0.307000
0.185333
0.302857
0.302500
0.312500
0.312333
0.302142
0.312142
0.591071
0.591071
0.591666
0.591428
0.590714
0.910000
0.908928
0.589666

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

0.394000
0.485399
0.442333
0.286000
0.485399
0.485399
0.485399
0.485399
0.485399
1.113666
1.113666
1.253666
1.170000
0.141666
0.260333
0.260333
0.597333
0.597333
0.638928
0.654333
0.662785
0.642857
0.253315
0.253315
0.253315
0.253315
0.253315
0.253315
0.253315
0.253315
0.253315
0.253315
0.253315
0.253315
0.253315
0.185333
0.253315
0.253315
0.253315
0.253315
0.253315
0.253315
0.506631
0.506631
0.506631
0.506631
0.506631
0.506631
0.506631
0.506631

0.354600
0.436859
0.398099
0.257400
0.436859
0.436859
0.436859
0.436859
0.436859
1.002299
1.002299
1.128299
1.053000
0.127499
0.234299
0.234299
0.537599
0.537599
0.575035
0.588899
0.596506
0.578571
0.227984
0.227984
0.227984
0.227984
0.227984
0.227984
0.227984
0.227984
0.227984
0.227984
0.227984
0.227984
0.227984
0.166799
0.227984
0.227984
0.227984
0.227984
0.227984
0.227984
0.455968
0.455968
0.455968
0.455968
0.455968
0.455968
0.455968
0.455968

Nr crt.

cod ATC

592 C10AA01
593 C10AA01
594 C10AA01
595 C10AA01
596 C10AA01
597 C10AA01
598 C10AA01
599 C10AA01
600 C10AA01
601 C10AA01
602 C10AA01
603 C10AA01
604 C10AA01
605 C10AA01
606 C10AA01
607 C10AA01
608 C10AA01
609 C10AA01
610 C10AA01
611 C10AA01
612 C10AA01
613 C10AA01
614 C10AA01
615 C10AA01
616 C10AA01
617 C10AA01
618 C10AA01
619 C10AA01
620 C10AA01
621 C10AA01
622 C10AA01
623 C10AA01
624 C10AA01
625 C10AA01
626 C10AA01
627 C10AA01
628 C10AA01
629 C10AA01
630 C10AA01
631 C10AA01
632 C10AA01
633 C10AA01
634 C10AA01
635 C10AA01
636 C10AA01
637 C10AA01
638 C10AA01
639 C10AA01
640 C10AA02
641 C10AA02

DCI

SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
LOVASTATINUM
LOVASTATINUM

Denumire Comerciala

VASILIP 20 mg
SIMCOR 20 mg
SIMVASTATIN LPH 20 mg
VABADIN 20 mg
ZAREDIL 20 mg
SIMVASTATINA ACTAVIS 20 mg
SIMVASTATINA ACTAVIS 20 mg
SIMVASTATIN ACCORD 20 mg
SIMVASTATIN AUROBINDO 20 mg

SIMVASTATIN BLUEFISH 20 mg
SIMVASTATIN BLUEFISH 20 mg

RANVOR 20 mg
RANVOR 20 mg
ZAREDIL 20 mg
RANVOR 20 mg
SIMVASTATINA SUN 20 mg
SIMVACARD 20 mg
SIMVAHEXAL (R) 30 mg

SIMVASTATINA BIOGALENICA 40 mg

VASILIP (R) 40 mg
ZOCOR FORTE
ZOCOR FORTE
ZEPLAN (R) 40 mg
ZEPLAN (R) 40 mg
SIMGAL (R) 40 mg
SINTENAL 40 mg
SIMVAHEXAL (R) 40 mg
SIMCOR 40 mg
SIMCOR 40 mg
VABADIN 40 mg
ZAREDIL 40 mg
SIMVASTATIN LPH 40 mg
SIMVASTATINA ACTAVIS 40 mg
SIMVASTATINA ACTAVIS 40 mg
SIMVASTATIN ACCORD 40 mg
SIMVASTATIN AUROBINDO 40 mg

SIMVASTATIN BLUEFISH 40 mg
SIMVASTATIN BLUEFISH 40 mg
SIMVASTATIN BLUEFISH 40 mg

RANVOR 40 mg
ZAREDIL 40 mg
RANVOR 40 mg
SIMVASTATINA SUN 40 mg

SIMVASTATINA ALVOGEN 40 mg

SIMVACARD 40 mg
RANVOR 5 mg
SIMVASTATIN LPH 80 mg

SIMVASTATIN ACCORD 80 mg

MEDOSTATIN
MEDOSTATIN

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

COMPR.
COMPR.

concentratie

20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
30mg
40 mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
5mg
80mg
80mg
20mg
20mg

tara det.
APP
Ambalaj
KRKA D.D.
SLOVENIA CUTIE X 4 BLIST. DIN PVC/PE/PVDC/AL X 7 COMPR. FILM. P-6L
ANTIBIOTICE SA
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
Detinator APP

Prescriptie

MENARINI INTERNATIONAL OPERATIONS S.A.

LUXEMBOURG

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

OZONE LABORATORIES LTD.

MAREA BRITANIE

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

ISLANDA
ISLANDA

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

P-6L

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

P-6L

ACTAVIS GROUP PTC EHF.


ACTAVIS GROUP PTC EHF.

ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC- PE- PVDC /AL X 30 COMPR. FILM.

AUROBINDO PHARMA LIMITED


BLUEFISH PHARMACEUTICALS AB
BLUEFISH PHARMACEUTICALS AB

RANBAXY U.K. LIMITED


RANBAXY U.K. LIMITED

MAREA BRITANIE

SUEDIA
SUEDIA
MAREA BRITANIE
MAREA BRITANIE

P-6L

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

P-6L

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

P-6L

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

P-6L

CUTIE X 2 BLIST. X 7 COMPR. FILM.


CUTIE X 4 BLIST. X 7 COMPR. FILM.

P-6L
P-6L

OZONE LABORATORIES PHARMA S.A.

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

RANBAXY U.K. LIMITED

MAREA BRITANIE

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

MAREA BRITANIE

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

CEHIA

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

CIPLA (UK) LIMITED


ZENTIVA K.S.
HEXAL AG
ARENA GROUP S.A.
KRKA D.D.

MERCK SHARP & DOHME


MERCK SHARP & DOHME
GEDEON RICHTER ROMANIA SA
GEDEON RICHTER ROMANIA SA
IVAX - PHARMACEUTICALS S.R.O.

AC HELCOR PHARMA SRL

P-6L

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

ROMANIA

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

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

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


ROMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 14 COMPR.FILM.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM.
ROMANIA CUTIE X 1 BLIST. AL/PVC X 14 COMPR. FILM.

CEHIA

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

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

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

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

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

MENARINI INTERNATIONAL OPERATIONS S.A.

LUXEMBOURG

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

OZONE LABORATORIES LTD.

MAREA BRITANIE

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

LABORMED PHARMA S.A.

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

ACTAVIS GROUP PTC EHF.


ACTAVIS GROUP PTC EHF.

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


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

ISLANDA
ISLANDA

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


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

ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC- PE- PVDC /AL X 30 COMPR. FILM.

AUROBINDO PHARMA LIMITED

MAREA BRITANIE

P-6L
P-6L

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

P-6L

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

P-6L

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

P-6L

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

P-6L

CUTIE X 2 BLIST. X 7 COMPR. FILM.

P-6L

BLUEFISH PHARMACEUTICALS AB

SUEDIA
SUEDIA
SUEDIA

RANBAXY U.K. LIMITED

MAREA BRITANIE

OZONE LABORATORIES PHARMA S.A.

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

RANBAXY U.K. LIMITED

MAREA BRITANIE

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

BLUEFISH PHARMACEUTICALS AB
BLUEFISH PHARMACEUTICALS AB

CIPLA (UK) LIMITED

MAREA BRITANIE

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

ALVOGEN IPCO S.A.R.L

LUXEMBOURG

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

ZENTIVA K.S.

CEHIA

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

P-6L

RANBAXY U.K. LIMITED

MAREA BRITANIE

CUTIE X 2 BLIST. X 7 COMPR. FILM.

P-6L

LABORMED PHARMA S.A.

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

ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC- PE- PVDC /AL X 30 COMPR. FILM.

P-6L

MEDOCHEMIE LTD. CIPRU


MEDOCHEMIE LTD. CIPRU

P-6L

Pagina 13 din 29

CUTIE X 10 BLIST. X 10 COMPR.


CUTIE X 1 BLIST. X 10 COMPR.

P-6L

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

28
30
30
28
28
28
30
30
30
28
30
14
28
28
30
28
28
30
28
28
28
14
28
14
28
30
30
10
30
28
28
30
28
30
30
30
14
28
30
14
28
30
28
30
28
14
30
30
100
10

16.55
17.73
17.73
44.47
16.56
13.11
14.05
17.73
17.46
13.61
14.58
7.90
15.79
16.56
14.05
15.78
16.55
21.09
29.88
29.86
44.47
22.99
29.88
14.93
29.88
31.99
31.99
10.66
31.99
67.54
18.38
31.99
21.56
23.11
31.99
31.51
15.01
30.03
18.54
15.01
18.38
23.14
29.83
23.14
30.03
2.45
54.32
56.17
67.59
14.44

Pret
amanuntul
maximal/UT
(RON)

0.591071
0.591000
0.591000
1.588214
0.591428
0.468214
0.468333
0.591000
0.582000
0.486071
0.486000
0.564285
0.563928
0.591428
0.468333
0.563571
0.591071
0.703000
1.067142
1.066428
1.588214
1.642142
1.067142
1.066428
1.067142
1.066333
1.066333
1.066000
1.066333
2.412142
0.656428
1.066333
0.770000
0.770333
1.066333
1.050333
1.072142
1.072500
0.618000
1.072142
0.656428
0.771333
1.065357
0.771333
1.072500
0.175000
1.810666
1.872333
0.675900
1.444000

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

0.506631
0.506631
0.506631
0.506631
0.506631
0.468214
0.468333
0.506631
0.506631
0.486071
0.486000
0.506631
0.506631
0.506631
0.468333
0.506631
0.506631
0.703000
1.013264
1.013264
1.013264
1.013264
1.013264
1.013264
1.013264
1.013264
1.013264
1.013264
1.013264
1.013264
0.656428
1.013264
0.770000
0.770333
1.013264
1.013264
1.013264
1.013264
0.618000
1.013264
0.656428
0.771333
1.013264
0.771333
1.013264
0.126657
1.810666
1.872333
0.337754
0.337754

0.455968
0.455968
0.455968
0.455968
0.455968
0.421392
0.421499
0.455968
0.455968
0.437463
0.437400
0.455968
0.455968
0.455968
0.421499
0.455968
0.455968
0.632700
0.911937
0.911937
0.911937
0.911937
0.911937
0.911937
0.911937
0.911937
0.911937
0.911937
0.911937
0.911937
0.590785
0.911937
0.693000
0.693299
0.911937
0.911937
0.911937
0.911937
0.556200
0.911937
0.590785
0.694199
0.911937
0.694199
0.911937
0.113991
1.629599
1.685099
0.303978
0.303978

Nr crt.

cod ATC

642 C10AA02
643 C10AA02
644 C10AA02
645 C10AA03
646 C10AA03
647 C10AA03
648 C10AB05
649 C10AB05
650 C10AB05
651 C10AB05
652 C10AB05
653 C10AB05
654 C10AB05
655 C10AB05
656 C10AB05
657 C10AB05
658 C10AB05
659 C10AB05
660 C10AB05
661 D01AC02
662 D01AC02
663 D01AC02
664 D06BB03
665 D06BB03
666 D06BB03
667 D06BB03
668 D06BB03
669 D06BB03
670 D06BB03
671 D06BB03
672 D07AA02
673 D07AC01
674 D07AC01
675 D07AC01
676 G01AF04
677 G01AF04
678 G01AF04
679 G01AF04
680 G01AF04
681 G01AF04
682 G02AB03
683 G03BA03
684 G03BA03
685 G03BA03
686 G03CA03
687 G03CA03
688 G03CA03
689 G04CAN1
690 G04CAN1
691 G04CAN1

DCI

LOVASTATINUM
LOVASTATINUM
LOVASTATINUM
PRAVASTATINUM
PRAVASTATINUM
PRAVASTATINUM
FENOFIBRATUM
FENOFIBRATUM
FENOFIBRATUM
FENOFIBRATUM
FENOFIBRATUM
FENOFIBRATUM
FENOFIBRATUM
FENOFIBRATUM
FENOFIBRATUM
FENOFIBRATUM
FENOFIBRATUM
FENOFIBRATUM
FENOFIBRATUM
MICONAZOLUM
MICONAZOLUM
MICONAZOLUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
HYDROCORTISONUM
BETAMETHASONUM
BETAMETHASONUM
BETAMETHASONUM
MICONAZOLUM
MICONAZOLUM
MICONAZOLUM
MICONAZOLUM
MICONAZOLUM
MICONAZOLUM
ERGOMETRINUM
TESTOSTERONUM*
TESTOSTERONUM*
TESTOSTERONUM*
ESTRADIOLUM*
ESTRADIOLUM*
ESTRADIOLUM*
DOXAZOSINUM
DOXAZOSINUM
DOXAZOSINUM

Denumire Comerciala

MEDOSTATIN

LOVASTATINA BIOGALENICA 20 mg

MEDOSTATIN 40 mg
PRAVATOR 10 mg
PRAVATOR 20 mg
PRAVATOR 40 mg
LIPANTHYL (R) 100
LIPOFIB 160 mg
FENOLIP 160 mg
LIPANTHYL 200 M
LIPOFIB 200 mg
LIPOFIB 267 mg
FENOFIBRAT LPH 200 mg
LIPIVIM
TRIGLIPO 160 mg
LIPANTIL NANO 145 mg
FENOFIBRAT TEVA 160 mg
LIPANTHYL SUPRA 160 mg
LIPANTHYL SUPRA 160 mg
MEDACTER
MICONAZOL NITRAT 2%
MICONAL ECOBI
ACICLOVIR 50mg/g
ZOVIRAX
ACICLOVIR 50mg/g
CLOVIRAL (R) 5%
ACICLOVIR HYPERION
ACICLOVIR TIS 50mg/g
ACICLOVIR SLAVIA 50 mg/g

forma farm.

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

CAPS. PULB. MICRONIZATA


CAPS. PULB. MICRONIZATA

COMPR.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM. ELIB. MODIF.
COMPR. FILM. ELIB. MODIF.

CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
ACICLOVIR TERAPIA 50 mg/g CREMA
HIDROCORTIZON 1%
UNGUENT
BETADERM
CREMA
EKARZIN 0,5MG/G
CREMA
BETADERM
UNGUENT
GYNOZOL 200
CAPS. VAG.
GYNOZOL 400
CAPS. VAG.
MEDACTER
CREMA VAG.
MICONAL ECOBI
CREMA VAG.
MICONAL ECOBI
OVULE
MICONAL ECOBI
SOL. VAGINALA
MALEAT DE ERGOMETRINA 0,2 mg/ml SOL. INJ.
UNDESTOR TESTOCAPS 40 mg CAPS. MOI
ANDROGEL 50 mg
GEL
NEBIDO 1000 mg/4 ml
SOL. INJ.
ESTREVA (R)
GEL
OESTROGEL 0,6 mg/g
GEL
CLIMARA
PLASTURE TRANSDERM.
KAMIREN (vezi G04CAN1)
COMPR.
KAMIREN (vezi G04CAN1)
COMPR.
KAMIREN (vezi G04CAN1)
COMPR.

concentratie

20mg
20mg
40mg
10mg
20mg
40mg
100mg
160mg
160mg
200mg
200mg
267mg
200mg
200mg
160mg
145mg
160mg
160mg
160mg
2%
2%
20mg/g
5%
5%
5%
5%
50mg/g
50mg/g
50mg/g
50mg/g
1%
0,1%
0,5mg/g
0,1%
200mg
400mg
2%
20mg/g
50mg
2mg/ml
0,2mg/ml
40mg
50mg
1000mg/4ml
0,1%
0,6mg/g
50mcg/24ore
1mg
1mg
2mg

Detinator APP

tara det.
APP

Ambalaj

MEDOCHEMIE LTD. CIPRU


CUTIE X 3 BLIST. X 10 COMPR.
ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR.
MEDOCHEMIE LTD. CIPRU
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 4 BLIST. AL/PVC X 7 COMPR.
RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 4 BLIST. AL/PVC X 7 COMPR.

Prescriptie

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

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

RANBAXY U.K. LIMITED

MAREA BRITANIE

LABORMED PHARMA S.A.

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

LAB. FOURNIER SA FRANTA CUTIE X 4 BLIST. AL/PVC X 12 CAPS.


P-6L
TERAPIA SA
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS.
P-6L
PHARMASWISS CESKA REPUBLIKA S.R.O. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 30 CAPS.
P6L
LAB. FOURNIER SA FRANTA CUTIE X 1 BLIST. PVC/AL X 10 CAPS.
P-6L
TERAPIA SA
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS.
P-6L
TERAPIA SA
ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS. P-6L
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
P-6L
VIM SPECTRUM SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS.
P-6L
LAB. FOURNIER S.A. FRANTA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.
TEVA PHARMACEUTICALS S.R.L.

P-6L

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

LAB. FOURNIER SA FRANTA CUTIE X 1 BLIST. PVC- PE-PVDC/AL X 10 COMPR. FILM. CU ELIB. MOD.
LAB. FOURNIER SA FRANTA CUTIE X 3 BLIST. PVC- PE-PVDC/AL X 10 COMPR. FILM. CU ELIB. MOD.
FARAN LABORATORIES S.A. GRECIA CUTIE X 1 TUB X 30G
SLAVIA PHARM SRL ROMANIA CUTIE X 1 TUB X 20 G
FARMACEUTICI ECOBI S.A.S ITALIA
CUTIE X 1 TUB DIN AL X 30 G CREMA
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 TUB X 15 G CREMA
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
ANTIBIOTICE SA
ROMANIA CUTIE X 1 TUB AL. X 12 G
HYPERION S.A.
ROMANIA CUTIE X 1 TUB DIN AL X 15 G CREMA

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

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


SLAVIA PHARM S.R.L. ROMANIA CUTIE CU 1 TUB AL X 15 G CREMA
P-RF
TERAPIA S.A.
ROMANIA CUTIE CU 1 TUB DIN AL X 15 G CREMA PRF
ANTIBIOTICE SA
ROMANIA CUTIE X 1 TUB X 20 G
P-RF
E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 TUB X 20 G
P-RF
ANTIBIOTICE S.A.
ROMANIA CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF
E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 TUB X 20 G
P-RF
PHARCO IMPEX 93 S.R.L. ROMANIA CUTIE X 2 BLIST. X 3 CAPS. VAG. MOI P-RF
PHARCO IMPEX 93 S.R.L. ROMANIA CUTIE X 1 BLIST. X 3 CAPS. VAG. MOI P-RF

FARAN LABORATORIES S.A.


FARMACEUTICI ECOBI S.A.S
FARMACEUTICI ECOBI S.A.S
FARMACEUTICI ECOBI S.A.S

ZENTIVA S.A.
N.V. ORGANON

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

LAB. BESINS INTERNATIONAL

OLANDA
FRANTA

BAYER SCHERING PHARMA AG

GERMANIA

LAB. THERAMEX

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

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

P-RF

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

P-RF

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

CUTIE X 1 FIOLA X 4 ML SOL. INJ.

S/P-RF

LABORATOIRES BESINS INTERNATIONAL

MONACO
FRANTA

BAYER SCHERING PHARMA AG

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

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

P-6L

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

P-6L

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

Pagina 14 din 29

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

Pret
amanuntul
maximal/UT
(RON)

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

30 20.79
0.693000
0.337754
0.303978
30 25.87
0.862333
0.337754
0.303978
30 47.66
1.588666
0.675508
0.607957
28 17.21
0.614642
0.253315
0.227984
28 22.45
0.801785
0.506631
0.455968
28 35.52
1.268571
1.013264
0.911937
48 20.74
0.432083
0.396225
0.356602
30 26.89
0.896333
0.633960
0.570564
30 26.44
0.881333
0.633960
0.570564
10 13.56
1.356000
0.792450
0.713205
30 27.83
0.927666
0.792450
0.713205
30 33.54
1.118000
1.057920
0.952128
20 17.60
0.880000
0.792450
0.713205
30 26.43
0.881000
0.792450
0.713205
30 26.87
0.895666
0.633960
0.570564
30 34.74
1.158000
0.574526
0.517073
30 26.89
0.896333
0.633960
0.570564
10 13.81
1.381000
0.633960
0.570564
30 40.04
1.334666
0.633960
0.570564
1
8.57
8.570000
8.570000
7.713000
1
6.83
6.830000
5.926500
5.333850
1
9.51
9.510000
8.889750
8.000775
1
7.60
7.600000
6.050250
5.445225
1 21.06 21.060000
2.016750
1.815075
1
4.98
4.980000
2.016750
1.815075
1
6.39
6.390000
4.840200
4.356180
1
7.33
7.330000
6.050250
5.445225
1
4.70
4.700000
4.700000
4.230000
1
6.72
6.720000
6.050250
5.445225
1
6.72
6.720000
6.050250
5.445225
1
7.40
7.400000
7.400000
6.660000
1
5.96
5.960000
3.570000
3.213000
1
7.40
7.400000
7.400000
6.660000
1
5.96
5.960000
3.570000
3.213000
6
5.96
0.993333
0.993333
0.893999
3
5.72
1.906666
1.906666
1.715999
1 19.37 19.370000 13.614750 12.253275
1 13.93 13.930000 13.614750 12.253275
15
9.00
0.600000
0.436370
0.392733
5 18.00
3.600000
2.618221
2.356399
5
5.95
1.190000
1.190000
1.071000
60 47.33
0.788833
0.788833
0.709949
30 223.35
7.445000
7.445000
6.700500
1 484.53 484.530000 484.530000 436.077000
1 29.40 29.400000 10.252796
9.227516
1 16.61 16.610000
9.842684
8.858415
4 33.33
8.332500
8.332500
7.499250
30 10.18
0.339333
0.202537
0.182283
30 10.18
0.339333
0.202537
0.182283
30 17.07
0.569000
0.405074
0.364567

Nr crt.

cod ATC

692 G04CAN1
693 G04CAN1
694 G04CAN1
695 G04CAN1
696 G04CAN1
697 G04CAN1
698 G04CAN1
699 H02AB04
700 H02AB04
701 H02AB07
702 H02AB07
703 H02AB07
704 H02AB07
705 H02AB07
706 H02AB09
707 H02AB09
708 H02AB09
709 H02AB09
710 H02AB09
711 J01AA02
712 J01AA02
713 J01AA02
714 J01AA02
715 J01AA02
716 J01CA04
717 J01CA04
718 J01CA04
719 J01CA04
720 J01CA04
721 J01CA04
722 J01CA04
723 J01CA04
724 J01CA04
725 J01CA04
726 J01CA04
727 J01CA04
728 J01CA04
729 J01CA04
730 J01CA04
731 J01CA04
732 J01CA04
733 J01CA04
734 J01CA04
735 J01CA04
736 J01CA04
737 J01CA04
738 J01CA04
739 J01CA04
740 J01CE02
741 J01CE02

DCI

DOXAZOSINUM
DOXAZOSINUM
DOXAZOSINUM
DOXAZOSINUM
DOXAZOSINUM
DOXAZOSINUM
DOXAZOSINUM
METHYLPREDNISOLONUM*
METHYLPREDNISOLONUM*
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
HYDROCORTISONUM*
HYDROCORTISONUM*
HYDROCORTISONUM*
HYDROCORTISONUM*
HYDROCORTISONUM*
DOXYCYCLINUM
DOXYCYCLINUM
DOXYCYCLINUM
DOXYCYCLINUM
DOXYCYCLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
PHENOXYMETHYLPENICILLINUM
PHENOXYMETHYLPENICILLINUM

Denumire Comerciala

forma farm.

KAMIREN (vezi G04CAN1)


KAMIREN (vezi G04CAN1)
KAMIREN (vezi G04CAN1)

COMPR.
COMPR.
COMPR.

CARDURA XL 4 mg (vezi G04CAN1)

COMPR. ELIB. MODIF.

CARDURA XL 4 mg (vezi G04CAN1)

COMPR. ELIB. MODIF.

KAMIREN XL 4 mg (vezi C02CA04)

COMPR. FILM. ELIB. PREL.

KAMIREN XL 4 mg (vezi C02CA04)

COMPR. FILM. ELIB. PREL.

LEMOD SOLU 125 mg


LEMOD SOLU 500 mg
PREDNISON MCC 5 mg
PREDNISON ARENA 5 mg
N - PREDNISON
PREDNISON 5 mg
PREDNISON - RICHTER 5 mg

LIOF. PT. SOL. INJ.


LIOF. PT. SOL. INJ.

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
HYDROCORTISONE ROUSSEL COMPR.
HYDROCORTISONE 100 mg LIOF. + SOLV. PT. SOL. INJ.
HYDROCORTISONE SUCCINAT SODIC

LIOF. + SOLV. PT. SOL. INJ.

HYDROCORTISONE 500 mg

LIOF. PT. SOL. INJ. + SOLV.

SOL. INJ. I.V.


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

COMPR. PT. DISPERSIE ORALA

COMPR. PT. DISPERSIE ORALA

COMPR. PT. DISPERSIE ORALA

COMPR. PT. DISPERSIE ORALA

AMOXICILINA SANDOZ 125 mg/5 ml PULBERE PENTRU SUSPENSIE ORALA

PULB. PT. SUSP. ORALA

OSPAMOX (R) 125 mg/5 ml


JULPHAMOX

PULB. PT. SUSP. ORALA

AMOXICILINA SANDOZ 250 mg/ 5 ml PULBERE PENTRU SUSPENSIE ORALA

PULB. PT. SUSP. ORALA

OSPAMOX 250 mg/5 ml


OSPEN (R) 1000
OSPEN (R) 1500

PULB. PT. SUSP. ORALA

PULB. PT. SUSP. ORALA

COMPR. FILM.
COMPR. FILM.

concentratie

2mg
4mg
4mg
4mg
4mg
4mg
4mg
125mg
500mg
5mg
5mg
5mg
5mg
5mg
10mg
100mg
100mg
500mg
25mg/5ml
100 mg
100mg
100mg
100mg
100mg
250mg
250mg
250mg
250mg
250mg
500mg
500mg
500mg
500mg
500mg
500mg
1000mg
500mg
1g
1000mg
250mg
500mg
750mg
125mg/5ml
125mg/5ml
125mg/5ml
250mg/5ml
250mg/5ml
250mg/5ml
1000000ui
1500000ui

tara det.
APP
Ambalaj
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC-PVDE/AL X 10 COMPR. P-6L
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC-PVDE/AL X 10 COMPR. P-6L
Detinator APP

Prescriptie

PFIZER EUROPE MA EEIG

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

P-6L

PFIZER EUROPE MA EEIG

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

P-6L

KRKA D.D. NOVO MESTO SLOVENIA

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

KRKA D.D. NOVO MESTO SLOVENIA

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

P-6L

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

S/P-RF

CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 7,8 ML

S/P-RF

STADA HEMOFARM S.R.L.


STADA HEMOFARM S.R.L.

MAGISTRA C&C S.R.L.

ARENA GROUP SA
MEDUMAN SA
SINTOFARM SA

GEDEON RICHTER ROMANIA SA

CN UNIFARM
STADA HEMOFARM S.R.L.

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


STADA HEMOFARM S.R.L.

ZENTIVA S.A.
ANTIBIOTICE S.A.
ARENA GROUP SA
ANTIBIOTICE SA
SANDOZ SRL
ASTELLAS PHARMA EUROPE BV

ARENA GROUP SA
ANTIBIOTICE SA
SANDOZ GMBH
SANDOZ SRL
FARMEX COMPANY SRL

ANTIBIOTICE SA

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


FARMEX COMPANY SRL
FARMEX COMPANY SRL

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

GULF PHARMACEUTICAL IND. (JUPHAR)

SANDOZ S.R.L.
SANDOZ GMBH
GULF PHARMACEUTICAL IND. (JUPHAR)

SANDOZ S.R.L.
SANDOZ GMBH
SANDOZ GMBH
SANDOZ GMBH

Pagina 15 din 29

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


CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF
CUTIE X 1 FLAC. X 30 COMPR.
P-RF
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF
CUTIE X 2 BLIST. AL./PVC X 10 COMPR. P-RF
CUTIE X 1 FLAC. 25 COMPR.
PRF

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

P-RF

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

S/P-RF

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

P-RF

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

S/P-RF

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


CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
P-RF
CUTIE X 1 BLIST. X 10 CAPS.
P-RF
CUTIE X 1 BLIST. AL/PVC X 10 CAPS.
P-RF

OLANDA CUTIE X 1 BLIST. DIN AL/PVC X 10 COMPR.DISP.

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


ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
AUSTRIA CUTIE X 2 BLIST. AL-PVC/PVDC X 6 CAPS.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS.
ROMANIA CUTIE X 1 BLIST. X 8 CAPS.
ROMANIA CUTIE X 1 BLIST. X 10 CAPS.
ROMANIA CUTIE X 2 BLIST. X 10 CAPS.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 5 CAPS.
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS.

ARENA GROUP SA
SANDOZ SRL
SANDOZ GMBH
AUSTRIA
SANDOZ GMBH
AUSTRIA
TERAPIA SA
ROMANIA
ASTELLAS PHARMA EUROPE BV OLANDA
ASTELLAS PHARMA EUROPE BV OLANDA
ASTELLAS PHARMA EUROPE BV OLANDA
ASTELLAS PHARMA EUROPE BV OLANDA

P-RF
P-RF/S

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

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


P-RF

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

P-RF

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


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

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

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

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


ROMANIA

AUSTRIA
AUSTRIA
AUSTRIA

P-RF
P-RF

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

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


ROMANIA

AUSTRIA

P-6L

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

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

P-RF

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

P-RF

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


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

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

30
30
30
28
28
30
30
1
1
20
30
30
30
20
25
1
1
1
5
10
20
10
10
10
20
20
12
20
20
10
8
10
20
10
10
12
12
21
20
20
20
20
1
1
1
1
1
1
12
12

17.07
30.86
30.86
46.49
46.49
37.34
37.34
8.81
31.02
2.65
2.62
2.47
3.71
2.57
12.20
3.91
3.91
11.91
21.33
3.59
7.00
3.59
3.61
9.58
5.95
6.24
4.44
6.15
5.25
5.42
7.53
5.92
8.81
5.69
4.92
11.63
5.69
19.41
23.77
10.12
14.76
19.75
7.55
5.73
4.55
8.20
4.88
4.88
3.47
6.10

Pret
amanuntul
maximal/UT
(RON)

0.569000
1.028666
1.028666
1.660357
1.660357
1.244666
1.244666
8.810000
31.020000
0.132500
0.087333
0.082333
0.123666
0.128500
0.488000
3.910000
3.910000
11.910000
4.266000
0.359000
0.350000
0.359000
0.361000
0.958000
0.297500
0.312000
0.370000
0.307500
0.262500
0.542000
0.941250
0.592000
0.440500
0.569000
0.492000
0.969166
0.474166
0.924285
1.188500
0.506000
0.738000
0.987500
7.550000
5.730000
4.550000
8.200000
4.880000
4.880000
0.289166
0.508333

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

0.405074
0.810149
0.810149
0.810149
0.810149
0.810149
0.810149
8.018750
31.020000
0.083583
0.083583
0.082333
0.083583
0.083583
0.488000
3.175199
3.175199
11.910000
0.793799
0.323100
0.323100
0.323100
0.323100
0.323100
0.279787
0.279787
0.279787
0.279787
0.262500
0.481978
0.481978
0.481978
0.440500
0.481978
0.481978
0.963957
0.474166
0.924285
0.963957
0.279787
0.481978
0.722968
2.797875
1.678725
1.678725
5.595750
3.357450
3.357450
0.289166
0.440718

0.364567
0.729134
0.729134
0.729134
0.729134
0.729134
0.729134
7.216875
27.918000
0.075224
0.075224
0.074099
0.075224
0.075224
0.439200
2.857679
2.857679
10.719000
0.714419
0.290790
0.290790
0.290790
0.290790
0.290790
0.251808
0.251808
0.251808
0.251808
0.236250
0.433780
0.433780
0.433780
0.396450
0.433780
0.433780
0.867561
0.426749
0.831856
0.867561
0.251808
0.433780
0.650671
2.518087
1.510852
1.510852
5.036175
3.021705
3.021705
0.260249
0.396646

Nr crt.

cod ATC

742 J01CE02
743 J01CE02
744 J01CE08
745 J01CE08
746 J01CF04
747 J01CF04
748 J01CF04
749 J01CF04
750 J01CF04
751 J01CF04
752 J01CF04
753 J01CF04
754 J01CF04
755 J01CF04
756 J01CF04
757 J01CF04

DCI

Denumire Comerciala

PHENOXYMETHYLPENICILLINUM OSPEN (R) 500


PHENOXYMETHYLPENICILLINUM OSPEN 400
BENZATHINI BENZYLPENICILLINUM MOLDAMIN 1200000 UI
BENZATHINI BENZYLPENICILLINUM MOLDAMIN 1200000 UI
OXACILLINUM
OXACILINA ARENA 250 mg
OXACILLINUM
OXACILINA 250 mg
OXACILLINUM
OXACILINA SANDOZ 250 mg
OXACILLINUM
OXACILINA FARMEX 250 mg
OXACILLINUM
OXACILINA 500 mg
OXACILLINUM
OXACILINA ARENA 500 mg
OXACILLINUM
OXACILINA FORTE 500 mg
OXACILLINUM
OXACILINA SANDOZ 500 mg
OXACILLINUM
OXACILINA ANTIBIOTICE 500 mg
OXACILLINUM
OXACILINA ANTIBIOTICE 500 mg
OXACILLINUM
OXACILINA ANTIBIOTICE 1 g
OXACILLINUM
OXACILINA ANTIBIOTICE 1 g

758 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

AUGMENTIN SR 1000 mg/62,5 mg

766 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

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

767 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

AMOKSIKLAV QUICKTAB 1000 mg

768 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

AMOKSIKLAV QUICKTAB 625 mg

759 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM


760 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
761 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
762 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
763 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
764 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
765 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

770 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

MEDOCLAV 156,25 mg/5 ml


AMOKSIKLAV 156,25mg/5ml

771 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

MEDOCLAV FORTE 312,5mg/5ml

769 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

forma farm. concentratie


Detinator APP
COMPR. FILM. 500000ui
SANDOZ GMBH

SIROP

PULB. PT. SUSP. INJ.


PULB. PT. SUSP. INJ.

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

COMPR. ELIB. PREL.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE

COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE

400000ui/5ml
1200000UI
1200000UI
250mg
250mg
250mg
250mg
500mg
500mg
500mg
500mg
500mg
500mg
1g
1g

SANDOZ GMBH
ANTIBIOTICE S.A.
ANTIBIOTICE S.A.
ARENA GROUP SA
ANTIBIOTICE SA
SANDOZ SRL

LEK PHARMACEUTICALS D.D.

LEK PHARMACEUTICALS D.D.

125mg+31,25/5ml

MEDOCHEMIE LTD. CIPRU

156,25mg/5ml

LEK PHARMACEUTICALS D.D.

PULB. PT. SUSP. ORALA

250mg+62,5mg/5ml

PULB. PT. SUSP. ORALA

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

PULB. PT. SUSP. ORALA

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

SLOVENIA
SLOVENIA

790 J01DB01
791 J01DB01

SLOVENIA

MEDOCHEMIE LTD. CIPRU

777 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

789 J01DB01

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

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

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

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

P-RF

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


P-RF

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

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

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

PULB. PT. SUSP. ORALA

778 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

788 J01DB01

P-RF

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

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

PULB. PT. SUSP. ORALA

AUGMENTIN BIS 400 mg/57 mg/5 ml

787 J01DB01

P-RF

P-RF
P-RF

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

776 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

786 J01DB01

P-RF

875mg/125mg ANTIBIOTICE S.A.


ROMANIA CUTIE CU 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-RF
875mg/125mg BEECHAM GROUP PLC MAREA BRITANIE
P-RF
1000mg
BIOMEDIAL PHARMA S.R.L. ROMANIA CUTIE X 7 BLIST. AL/AL X 2 COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE P-RF
625mg
BIOMEDIAL PHARMA S.R.L. ROMANIA CUTIE X 7 BLIST. AL/AL X 2 COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE P-RF

PULB. PT. SUSP. ORALA

785 J01DB01

P-RF

P-RF

625mg

AUGMENTIN BIS 400 mg/57 mg/5 ml

784 J01DB01

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


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

MAREA BRITANIE

775 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

783 J01DB01

S/P-RF

500mg/125mg BEECHAM GROUP PLC

400mg/57mg/5ml SMITHKLINE BEECHAM PLC

782 J01DB01

P-RF

CUTIE CU 100 FLAC. DIN STICLA INCOLORA CU PULB. PT. SUSP. INJ. I.M.

P-RF

PULB. PT. SUSP. ORALA

781 J01DB01

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

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


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

ANTIBIOTICE S.A.

AUGMENTIN BIS 400 mg/57 mg/5 ml

CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM

P-RF

MAREA BRITANIE

500/125mg

774 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

780 J01DB01

Prescriptie

P-RF

500 mg/125 mg RANBAXY UK LIMITED

AMOKSIKLAV 2x
AMOKSIKLAV 2x

779 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

MAREA BRITANIE

MEDOCHEMIE LTD. CIPRU

773 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

772 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

Ambalaj

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


AUSTRIA CUTIE X 1 FLACON X 60ML

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
FARMEX COMPANY SRL ROMANIA
ANTIBIOTICE SA
ROMANIA
ARENA GROUP SA ROMANIA
FARMEX COMPANY SRL ROMANIA
SANDOZ SRL
ROMANIA
ANTIBIOTICE SA
ROMANIA
ANTIBIOTICE SA
ROMANIA
ANTIBIOTICE SA
ROMANIA
ANTIBIOTICE SA
ROMANIA

1000mg/62,5mg BEECHAM GROUP PLC

1000mg
1000mg

tara det.
APP

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

P-RF

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

P-RF

CUTIE X 1 FLAC. DIN STICLA BRUNA CU PULB. PT. 100 ML SUSP. P-RF
CUTIE X 1 FLAC. DIN STICLA BRUNA CU PULB. PT. 35 ML SUSP.ORALA + SERINGA DOZATOARE

P-RF

CUTIE X 1 FLAC. DIN STICLA BRUNA CU PULB. PT. 70 ML SUSP.ORALA + SERINGA DOZATOARE

P-RF

MAREA BRITANIE

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

P-RF

400mg/57mg/5ml SMITHKLINE BEECHAM PLC

MAREA BRITANIE

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

P-RF

PULB. PT. SUSP. ORALA

400mg/57mg/5ml SMITHKLINE BEECHAM PLC

MAREA BRITANIE

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

P-RF

AUGMENTIN (R) ES

PULB. PT. SUSP. ORALA

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

ENHANCIN 250 mg/ 62,5 mg/5 ml

PULB. PT.SUSP. ORALA 250 mg/ 62,5 mg/5 ml

AMOKSIKLAV 312,5mg/5ml

312,5mg/5ml
250mg
CEFALEXINA 250 mg
CAPS.
250mg
OSPEXIN (R) 250 mg
CAPS.
250mg
CEFALEXIN SANDOZ 250 mg CAPSULE CAPS.
250mg
CEFALEXINA 500 mg
CAPS.
500mg
CEFALEXINA ARENA 500 mg CAPS.
500mg
CEFALEXIN SANDOZ
CAPS.
500mg
OSPEXIN 1000 mg
COMPR. FILM. 1000mg
OSPEXIN 500 mg
COMPR. FILM. 500mg
KEFLEX (R) 125 mg/5 ml
GRAN. PT. SUSP. ORALA 125mg/5ml
OSPEXIN (R) 125 mg/5 ml
GRAN. PT. SUSP. ORALA 125mg/5ml
GRAN. PT. SUSP. ORALA 125mg/5ml
PULB. PT.SUSP. ORALA

CEFALEXINA ARENA 250 mg CAPS.

CEFALEXIN SANDOZ 125 mg/5 ml GRANULE PENTRU SUSPENSIE ORALA

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

P-RF

RANBAXY UK LIMITED

MAREA BRITANIE

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

P-RF

LEK PHARMACEUTICALS D.D.

SLOVENIA

CUTIE X 1 FLAC. DIN STICLA BRUNA CU 25 G PULB. PT. 100 ML SUSP. ORALA + LINGURITA DOZATOARE

P-RF

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

Pagina 16 din 29

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


ROMANIA CUTIE X 2 BLIST. X 10 CAPS.
AUSTRIA CUTIE X 1 BLIST. PVC-PVDC/AL X 12 CAPS.
ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 CAPS.
ROMANIA CUTIE X 1 BLIST. X 10 CAPS.
ROMANIA CUTIE X 1 BLIST. PVC/AL X 10 CAPS.
ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 CAPS.

AUSTRIA
AUSTRIA
ISLANDA
AUSTRIA

ROMANIA

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

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

P-RF

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

P-RF

CUTIE X 1 FLAC. PEID CU GRANULE PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE

P-RF

CUTIE X 1 FLAC. X 33 G GRANULE PT. 60 ML SUSP. ORALA + 1 LINGURITA PP

P-RF

CUTIE X 1 FLAC. DIN STICLA BRUNA X 33 G PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE

P-RF

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

12
2.62
1
9.51
1
3.62
100 315.25
20
7.10
20
7.55
20
7.70
20
6.73
10
6.89
10
6.19
20 11.17
10
7.04
100 289.43
1
3.33
100 448.06
1
5.33
28 44.84
14 39.13
14 40.71
28 33.07
14 10.83
14 15.32
14 28.06
14 18.97
14 26.35
14 25.07
14 16.53
1 14.90
1 11.69
1 22.11
1
6.46
1 12.93
1
9.95
1
9.95
1 19.89
1 34.30
1 22.71
1 24.02
20 11.91
20 11.82
12
7.15
10
5.98
10
9.86
10
9.00
10 10.02
12 15.79
12 11.88
1
6.19
1
7.61
1
6.93

Pret
amanuntul
maximal/UT
(RON)

0.218333
9.510000
3.620000
3.152500
0.355000
0.377500
0.385000
0.336500
0.689000
0.619000
0.558500
0.704000
2.894300
3.330000
4.480600
5.330000
1.601428
2.795000
2.907857
1.181071
0.773571
1.094285
2.004285
1.355000
1.882142
1.790714
1.180714
14.900000
11.690000
22.110000
6.460000
12.930000
9.950000
9.950000
19.890000
34.300000
22.710000
24.020000
0.595500
0.591000
0.595833
0.598000
0.986000
0.900000
1.002000
1.315833
0.990000
6.190000
7.610000
6.930000

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

0.146906
0.195874
2.935121
2.935121
0.291895
0.291895
0.291895
0.291895
0.583790
0.583790
0.558500
0.583790
2.558825
2.558825
4.480600
5.117650
1.601428
1.436383
1.436383
0.820790
0.773571
0.820790
0.820790
1.355000
1.436383
1.436383
0.820790
7.211383
7.211383
14.422767
6.460000
12.930000
8.076750
8.076750
16.153500
34.300000
14.422767
14.422767
0.444150
0.444150
0.444150
0.444150
0.888300
0.888300
0.888300
1.315833
0.888300
5.136250
5.136250
5.136250

0.132215
0.176287
2.641609
2.641609
0.262705
0.262705
0.262705
0.262705
0.525411
0.525411
0.502650
0.525411
2.302942
2.302942
4.032540
4.605885
1.441285
1.292745
1.292745
0.738711
0.696213
0.738711
0.738711
1.219500
1.292745
1.292745
0.738711
6.490245
6.490245
12.980491
5.814000
11.637000
7.269075
7.269075
14.538150
30.870000
12.980491
12.980491
0.399735
0.399735
0.399735
0.399735
0.799470
0.799470
0.799470
1.184249
0.799470
4.622625
4.622625
4.622625

Nr crt.

cod ATC

792 J01DB01
793 J01DB01
794 J01DB01
795 J01DB05
796 J01DB05
797 J01DB05
798 J01DB05
799 J01DB05
800 J01DB05
801 J01DB05
802 J01DC02
803 J01DC02
804 J01DC02
805 J01DC02
806 J01DC02
807 J01DC02
808 J01DC02
809 J01DC02
810 J01DC02
811 J01DC02
812 J01DC02
813 J01DC02
814 J01DC02
815 J01DC02
816 J01DC02
817 J01DC02
818 J01DC04
819 J01DC04
820 J01DC04
821 J01DC04
822 J01DC04
823 J01DC04
824 J01DC04
825 J01DC04
826 J01DC04
827 J01DC04
828 J01DC04
829 J01DC04
830 J01DC04
831 J01DC04
832 J01DC04
833 J01DC04
834 J01DC04
835 J01DC04
836 J01DC04
837 J01DC04
838 J01DC04
839 J01DC04
840 J01DC04
841 J01DC04

DCI

CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFADROXILUM
CEFADROXILUM
CEFADROXILUM
CEFADROXILUM
CEFADROXILUM
CEFADROXILUM
CEFADROXILUM
CEFUROXIMUM
CEFUROXIMUM
CEFUROXIMUM
CEFUROXIMUM
CEFUROXIMUM
CEFUROXIMUM
CEFUROXIMUM
CEFUROXIMUM
CEFUROXIMUM
CEFUROXIMUM
CEFUROXIMUM
CEFUROXIMUM
CEFUROXIMUM
CEFUROXIMUM
CEFUROXIMUM
CEFUROXIMUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM

Denumire Comerciala

forma farm.

KEFLEX (R) 250 mg/5 ml

GRAN. PT. SUSP. ORALA

CEFALEXIN SANDOZ 250 mg/5 ml GRANULE PENTRU SUSPENSIE ORALA

GRAN. PT. SUSP. ORALA

OSPEXIN (R) 250 mg/5 ml


CEXYL 250 mg
CEXYL 500 mg
CEFADROXIL TERAPIA
CEFORAN 500 mg
CEXYL 1000 mg
CEXYL 125 mg/5 ml
CEXYL 250 mg/5 ml
CEROXIM 250 mg
CEFUROXIMA ANTIBIOTICE 250 mg
CEFUROXIMA ANTIBIOTICE 250 mg

CEROXIM 500 mg
CEFUROXIMA ANTIBIOTICE 500 mg
CEFUROXIMA ANTIBIOTICE 500 mg

AXYCEF (R) 125


AXYCEF (R) 250
AXYCEF (R) 500
ZINNAT (R) 125 mg
ZINNAT (R) 250 mg
ZINNAT (R) 500 mg
ZINNAT
CEROXIM 125mg/5ml
CEROXIM 250mg/5ml
AXYCEF (R) 125 mg/5 ml
CECLODYNE 250 mg
CEFACLOR ARENA 250 mg
CLORACEF (R) 250

CEFACLOR TERAPIA 250 mg


CECLODYNE FORTE 500 mg

CLORACEF (R) FORTE 500


CEFACLOR ARENA 500 mg

CEFACLOR TERAPIA 500 mg

CECLOR MR 500 mg
CECLOR MR 750 mg

CEFACLOR TERAPIA MR 375


CEFACLOR TERAPIA MR 750

CECLODYNE (R) MR 375 mg


CECLODYNE (R) MR 500 mg
CECLODYNE (R) MR 750 mg
CECLOR (R) 125 mg/5 ml
CEFACLOR TERAPIA 125mg/5ml

CECLODYNE 125 mg/5 ml

CEFACLOR TERAPIA 250mg/5ml


CEFACLOR TERAPIA 250mg/5ml

CECLOR (R) 250 mg/5 ml


CECLODYNE 250 mg/ 5 ml
CLORACEF (R) 125
CEFAKLOR 125 mg/5 ml

GRAN. PT. SUSP. ORALA

CAPS.
CAPS.
CAPS.
CAPS.
COMPR. FILM.
GRAN. PT. SUSP. ORALA

GRAN. SUSP. ORALA

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. ACOPERITE
COMPR. ACOPERITE
COMPR. ACOPERITE

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
GRAN. PT. SUSP. ORALA
GRAN. PT. SUSP. ORALA
GRAN. PT. SUSP. ORALA

PULB. PT. SUSP. ORALA

CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
COMPR. CU ELIB. PREL.
COMPR. CU ELIB. PREL.

COMPR. ELIB. PREL.


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

GRAN. PT. SUSP. ORALA


GRAN. PT. SUSP. ORALA
GRAN. PT. SUSP. ORALA
GRAN. PT. SUSP. ORALA
GRAN. PT. SUSP. ORALA
GRAN. PT. SUSP. ORALA
GRAN. PT. SUSP. ORALA

PULB. PT. SUSP. ORALA


PULB. PT. SUSP. ORALA

concentratie

250mg/5ml
250mg/5ml
250mg/5ml
250mg
500mg
500mg
500mg
1000mg
125mg/5ml
250mg/5ml
250mg
250mg
250mg
500mg
500mg
500mg
125mg
250mg
500mg
125mg
250mg
500mg
125mg/5ml
125mg/5ml
250mg/5ml
125mg/5ml
250mg
250mg
250mg
250mg
500mg
500mg
500mg
500mg
500mg
750mg
375mg
750mg
375mg
500mg
750mg
125mg/5ml
125mg/5ml
125mg/5ml
250 mg/5 ml
250 mg/5 ml
250mg/5ml
250mg/5ml
125mg/5ml
125mg/5ml

Detinator APP

ACTAVIS GROUP HF
SANDOZ SRL
SANDOZ GMBH
SANDOZ S.R.L.
SANDOZ S.R.L.
TERAPIA SA
ANTIBIOTICE S.A.
SANDOZ S.R.L.
SANDOZ S.R.L.
SANDOZ S.R.L.
RANBAXY U.K. LIMITED

tara det.
APP

ISLANDA

ROMANIA

AUSTRIA

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
MAREA BRITANIE

Ambalaj

Prescriptie

CUTIE X 1 FLAC. PEID CU GRANULE PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE

P-RF

CUTIE X 1 FLAC. DIN STICLA BRUNA X 33 G PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE

P-RF

CUTIE X 1 FLAC. X 33G GRANULE PT. 60ML SUSP.+ LINGURITA DOZATOARE X 5ML

P-RF

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


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

P-RF

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

P-RF
P-RF
P-RF

CUTIE X 1 BLIST. PVC/PVDC X 10. COMPR. FILM. P-RF


CUTIE X 1 FLAC. CU GRAN PENTRU 60 ML SUSP. ORALA + O LINGURITA DOZATOARE

P-RF

CUTIE X 1 FLAC. CU GRAN. PT. 60 ML SUSP. ORALA + O LINGURITA DOZATOARE

P-RF

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

ANTIBIOTICE S.A.
ANTIBIOTICE S.A.

ROMANIA CUTIE X 1 BLIST. PVC-AL-PA/AL X 10 COMPR.


ROMANIA CUTIE X 1 BLIST. PVC-ACLAR/AL X 10 COMPR.

RANBAXY U.K. LIMITED

MAREA BRITANIE

P-RF
P-RF

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

ANTIBIOTICE S.A.
ANTIBIOTICE S.A.
SANDOZ SRL
SANDOZ SRL
SANDOZ SRL

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

GLAXOWELLCOME UK LTD.

MAREA BRITANIE

GLAXOWELLCOME UK LTD.

MAREA BRITANIE

GLAXOWELLCOME UK LTD.

MAREA BRITANIE

CUTIE X 1 BLIST. X 10 COMPR. FILM.


CUTIE X 1 BLIST. X 10 COMPR.FILM
CUTIE X 1 BLIST. X 10 COMPR.FILM

GLAXO WELLCOME UK LTD.

MAREA BRITANIE

CUTIE X 1 FLAC. DIN STICLA BRUNA CU GRANULE PT 50 ML SUSP. ORALA + PAHAR MENZURA A 20 ML SI LINGURIT

P-RF

MAREA BRITANIE

CUTIE X 1 FLACON CU GRANULE PT. SUSP. ORALA (PT. 100 ML SUSPENSIE ORALA) + LINGURITA DOZATOARE A 5 M

P-RF

MAREA BRITANIE

CUTIE X 1 FLACON CU GRANULE PT. SUSP. ORALA (PT. 100 ML SUSPENSIE ORALA) + LINGURITA DOZATOARE A 5 M

P-RF

RANBAXY UK LIMITED
RANBAXY UK LIMITED

CUTIE X 1 BLIST. PVC-AL-PA/AL X 10 COMPR.

P-RF

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

CUTIE X 1 BLIST. X 10 COMPR. ACOPERITE


CUTIE X 1 BLIST. X 10 COMPR. ACOPERITE
CUTIE X 1 BLIST. X 10 COMPR. ACOPERITE

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

SANDOZ SRL
ROMANIA CUTIE X 1 FLAC. PULB. PT. 70 ML SUSP. ORALA + 1 LINGURITA DOZATOARE P-RF
SANDOZ SRL
ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 CAPS. P-RF
ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS.
P-RF
DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 2 BLIST. X 8 CAPS.
P-RF
TERAPIA SA
ROMANIA CUTIE CU 1 BLIST. PVC/PVDC-AL X 15 CAPS. P-RF
SANDOZ SRL
ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 CAPS. P-RF
DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 2 BLIST. X 8 CAPS.
P-RF
ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. AL/PVC X 10 CAPS. P-RF
TERAPIA SA
ROMANIA CUTIE CU 1 BLIST. PVC/PVDC-AL X 15 CAPS. P-RF
ACTAVIS GROUP HF ISLANDA CUTIE CU 1 BLIST. PVC-ACLAR/AL X 10 COMPR. CU ELIB. PREL. PRF
ACTAVIS GROUP HF ISLANDA CUTIE CU 1 BLIST. PVC-ACLAR/AL X 10 COMPR. CU ELIB. PREL. PRF
TERAPIA SA
ROMANIA CUTIE X 1 BLIST. PVC/PVDC/AL X 10 COMPR. ELIB. PREL. P-RF
TERAPIA SA
ROMANIA CUTIE X 1 BLIST. X 10 COMPR. ELIB. PREL. P-RF
SANDOZ SRL
ROMANIA CUTIE X 1 BLIST. PVC-PE-ACLAR/AL X 10 COMPR. FILM. ELIB. MODIF. P-RF
SANDOZ SRL
ROMANIA CUTIE X 1 BLIST. PVC-PE-ACLAR/AL X 10 COMPR. FILM. ELIB. MODIF. P-RF
SANDOZ SRL
ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ELIB. MODIF. P-RF
ACTAVIS GROUP HF ISLANDA
P-RF
TERAPIA SA
ROMANIA CUTIE X 1 FLAC. DIN PEID CU GRAN.PT. 75 ML SUSP.ORALA P-RF
SANDOZ SRL
ROMANIA CUTIE X 1 FLAC. X 38,1 G GRANULE PT. 60 ML SUSP. ORALA P-RF
TERAPIA SA
ROMANIA CUTIE X 1 FLAC. DIN PEID CU GRAN. PT. 75 ML SUSP. ORALA P-RF
TERAPIA SA
ROMANIA CUTIE X 1 FLAC. DIN PEID CU GRAN. PT. 100 ML SUSP. ORALA P-RF
ACTAVIS GROUP HF ISLANDA
P-RF
SANDOZ SRL
ROMANIA CUTIE X 1 FLAC. X 38,1 G GRANULE PT. 60 ML SUSP. ORALA P-RF
CUTIE X 1 FLAC. PEID DE CULOARE ALBA, CU GRANULE PT. 75 ML SUSP. ORALA + 1 LINGURITA DOZATOARE

CUTIE X 1 FLAC. PEID DE CULOARE ALBA, CU GRANULE PT. 75 ML SUSP. ORALA + 1 LINGURITA DOZATOARE

DAR AL DAWA PHARMA S.R.L.

STADA HEMOFARM S.R.L.

Pagina 17 din 29

ROMANIA
ROMANIA

CUTIE X 1 FLAC. CU PULB. PT. 75ML SUSP.+ LINGURITA DOZATOARE

P-RF

CUTIE X 1 FLAC. PULB. PT. 60 ML SUSP. ORALA + O MASURA DOZATOARE

P-RF

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

1
1
1
10
10
10
10
10
1
1
10
10
10
10
10
10
10
10
10
10
10
10
1
1
1
1
10
10
16
15
10
16
10
15
10
10
10
10
10
10
10
1
1
1
1
1
1
1
1
1

10.48
9.65
9.63
18.55
13.45
9.51
13.02
26.15
12.05
22.42
14.38
14.28
14.28
30.20
30.12
30.12
9.82
11.82
20.22
15.13
16.61
27.64
19.41
39.13
58.69
17.66
16.07
15.16
21.40
13.81
29.55
28.55
27.89
32.67
26.19
35.79
32.82
55.59
35.49
46.90
66.58
16.73
12.39
17.01
22.30
29.74
33.16
29.55
11.90
9.09

Pret
amanuntul
maximal/UT
(RON)

10.480000
9.650000
9.630000
1.855000
1.345000
0.951000
1.302000
2.615000
12.050000
22.420000
1.438000
1.428000
1.428000
3.020000
3.012000
3.012000
0.982000
1.182000
2.022000
1.513000
1.661000
2.764000
19.410000
39.130000
58.690000
17.660000
1.607000
1.516000
1.337500
0.920666
2.955000
1.784375
2.789000
2.178000
2.619000
3.579000
3.282000
5.559000
3.549000
4.690000
6.658000
16.730000
12.390000
17.010000
22.300000
29.740000
33.160000
29.550000
11.900000
9.090000

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

10.272500
9.650000
9.630000
0.444150
0.888300
0.888300
0.888300
1.776600
5.136250
10.272500
1.355400
1.355400
1.355400
2.710800
2.710800
2.710800
0.982000
1.182000
2.022000
1.320525
1.355400
2.710800
13.205250
26.410500
52.821000
17.660000
0.677700
0.677700
0.677700
0.677700
1.355400
1.355400
1.355400
1.355400
1.355400
2.033100
1.016550
2.033100
1.016550
1.355400
2.033100
9.903937
9.903937
7.923150
19.807875
26.410500
19.807875
15.846300
9.903937
7.923150

9.245250
8.685000
8.667000
0.399735
0.799470
0.799470
0.799470
1.598940
4.622625
9.245250
1.219860
1.219860
1.219860
2.439720
2.439720
2.439720
0.883800
1.063800
1.819800
1.188472
1.219860
2.439720
11.884725
23.769450
47.538900
15.894000
0.609930
0.609930
0.609930
0.609930
1.219860
1.219860
1.219860
1.219860
1.219860
1.829790
0.914895
1.829790
0.914895
1.219860
1.829790
8.913543
8.913543
7.130835
17.827087
23.769450
17.827087
14.261670
8.913543
7.130835

Nr crt.

cod ATC

842 J01DC04
843 J01DC04
844 J01DD08
845 J01DD08

DCI

CEFACLORUM
CEFACLORUM
CEFIXIMUM
CEFIXIMUM

846 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM


847 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM
848 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM
849 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM
850 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM
851 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM
852 J01FA01
853 J01FA01
854 J01FA01
855 J01FA01
856 J01FA09
857 J01FA09
858 J01FA09
859 J01FA09
860 J01FA09
861 J01FA09
862 J01FA09
863 J01FA09
864 J01FA09
865 J01FA09
866 J01FA09
867 J01FA09
868 J01FA09
869 J01FA09
870 J01FA09
871 J01FA09
872 J01FA09
873 J01FA09
874 J01FA09
875 J01FA09
876 J01FA09
877 J01FA09
878 J01FA09
879 J01FA09
880 J01FA09
881 J01FA09
882 J01FA09
883 J01FA09
884 J01FA09
885 J01MA01
886 J01MA01
887 J01MA02
888 J01MA02
889 J01MA02
890 J01MA02
891 J01MA02

ERYTHROMYCINUM
ERYTHROMYCINUM
ERYTHROMYCINUM
ERYTHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
OFLOXACINUM
OFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM

Denumire Comerciala

CLORACEF (R) 250


CEFAKLOR 250 mg/5 ml
EFICEF 100 mg
EFICEF (R) 200 mg
TAGREMIN
SUMETROLIM
CO - TRIM ELL
BITRIM 400mg/80mg
SUMETROLIM
EPITRIM
ERITROMAGIS 200 mg
ERITROMICINA 200 mg

forma farm.
PULB. PT. SUSP. ORALA
PULB. PT. SUSP. ORALA

CAPS.
CAPS.
COMPR.
COMPR.
COMPR.
COMPR.
SIROP
SUSP. ORALA

ERITROMICINA SANDOZ 200 mg COMPRIMATE

COMPR.
COMPR.
COMPR.

ERITROMICINA SANDOZ 200mg/5ml

PULB. PT. SUSP. ORALA

CLAXIRIT 500 mg
KLACID (R)
LEKOKLAR (R) 250 mg
CLAR 250
KLERIMED (R) 250
KLABAX 250 mg
FROMILID 250
LEKOKLAR (R) 500 mg
KLERIMED (R) 500
KLABAX 500 mg
CLAR 500
FROMILID 500
ROCLARIN 500 mg
LEKOKLAR XL 500 mg
LEKOKLAR XL 500 mg
KLABAX MR 500 mg
KLACID SR
FROMILID (R) UNO
KLACID (R)
KLABAX 125 mg/5 ml
KLACID (R)
FROMILID (R) 125 mg/5 ml
LEKOKLAR 125 mg/5 ml
KLABAX 125 mg/5 ml
LEKOKLAR 250 mg/5 ml
KLABAX 250 mg/5 ml
LEKOKLAR 250 mg/5 ml
KLABAX 250 mg/5 ml
KLACID I.V.
ZANOCIN
OFLOXIN 200

COMPR. CU ELIB. PREL.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM. ELIB. MODIF.
COMPR. FILM. ELIB. MODIF.
COMPR. FILM. ELIB. MODIF.

COMPR. FILM. ELIB. PREL.


COMPR. FILM. ELIB. PREL.

GRAN. PT. SUSP. ORALA


GRAN. PT. SUSP. ORALA
GRAN. PT. SUSP. ORALA
GRAN. PT. SUSP. ORALA
GRAN. PT. SUSP. ORALA
GRAN. PT. SUSP. ORALA
GRAN. PT. SUSP. ORALA
GRAN. PT. SUSP. ORALA
GRAN. PT. SUSP. ORALA
GRAN. PT. SUSP. ORALA

LIOF. PT. SOL. PERF.

COMPR. FILM.
COMPR. FILM.
CIPROFLOXACINA ARENA 100 mg COMPR. FILM.
CIPROFLOXACINA ARENA 100 mg COMPR. FILM.
CIPROCIN 250 mg
COMPR. FILM.
CIPRINOL 250 mg
COMPR. FILM.
CIPROLEN (R) 250 mg
COMPR. FILM.

concentratie

250mg/5ml
250mg/5ml
100mg
200mg
400mg/80mg
400mg/80mg
400mg/80mg
400mg/80mg
25mg/5mg/ml
200mg/40mg /5ml

200mg
200mg
200mg
200mg/5ml
500mg
250mg
250mg
250mg
250mg
250mg
250mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
125mg/5ml
125mg/5ml
125mg/5ml
125mg/5ml
125mg/5ml
125mg/5ml
250mg/5ml
250mg/5ml
250mg/5ml
250mg/5ml
500mg
200mg
200mg
100mg
100mg
250mg
250mg
250mg

tara det.
APP
DAR AL DAWA PHARMA S.R.L. ROMANIA
STADA HEMOFARM S.R.L. ROMANIA
ANTIBIOTICE S.A.
ROMANIA
ANTIBIOTICE SA
ROMANIA
ZENTIVA S.A.
ROMANIA
EGIS PHARMACEUTICALS P.L.C. UNGARIA
BIO EEL SRL
ROMANIA
ARENA GROUP S.A. ROMANIA
EGIS PHARMACEUTICALS P.L.C. UNGARIA
E.I.P.I.CO. MED S.R.L. ROMANIA
ARENA GROUP SA ROMANIA
ANTIBIOTICE SA
ROMANIA
SANDOZ S.R.L.
ROMANIA
SANDOZ S.R.L.
ROMANIA
Detinator APP

Ambalaj

Prescriptie

CUTIE X 1 FLAC. CU PULB. PT. 75ML SUSP. + LINGURITA DOZATOARE

P-RF

CUTIE X 1 FLAC. PULB. PT. 60 ML SUSP. ORALA + O MASURA DOZATOARE

P-RF

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


CUTIE X 1 BLIST. AL/PVC X 10 CAPS.
P-RF
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. 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

CUTIE X 1 FLACON DIN STICLA BRUNA CU MASURA DOZATOARE X 100 ML

P-RF

CUTIE X 2 BLIST. X 10 COMPR.


CUTIE X 2 BLIST. X 10 COMPR.
CUTIE X 2 BLIST. X 10 COMPR.
CUTIE X 1 FLAC. X 30G + PULB. PT. 60 ML SUSP. ORALA + O LIGURITA DOZATOARE

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

ISLANDA CUTIE CU BLIST. PVC/PVDC//AL X 7 COMPR. CU ELIB. PREL. PRF


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

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

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

MEDOCHEMIE LTD. CIPRU


TERAPIA SA
ROMANIA
MEDICAROM GROUP S.R.L.

P-RF

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


CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF

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

P-RF

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

ANTIBIOTICE S.A.

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

P-RF

LEK PHARMACEUTICALS D.D.

SLOVENIA CUTIE X 1 FOLIE AL/AL X 5 COMPR. FILM. ELIB. MODIF.


SLOVENIA CUTIE X 1 FOLIE AL/AL X 7 COMPR. FILM. ELIB. MODIF.

P-RF

ROMANIA

CUTIE X 1 BLIST. PVC/PVDC-AL X 7 COMPR. FILM. ELIB. PREL.

P-RF

ABBOTT LABORATORIES LTD.

MAREA BRITANIE CUTIE X 1 BLIST. PVC-PVDC/AL X 5 COMPR. FILM. ELIB. PREL.

P-RF

KRKA D.D.
ABBOTT SPA
TERAPIA SA
ABBOTT SPA
KRKA D.D.
SANDOZ SRL
TERAPIA SA
SANDOZ SRL
TERAPIA SA
SANDOZ SRL
TERAPIA SA

SLOVENIA

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. ELIB. PREL.

P-RF

CUTIE X 1 FLACON PEID CU GRANULE PT. 100 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML

P-RF

LEK PHARMACEUTICALS D.D.

TERAPIA SA

ITALIA

ROMANIA

ITALIA

P-RF

CUTIE X 1 FLAC. DIN PEID X 70 G GRAN. PT. 100 ML SUSP . ORALA P-RF
CUTIE X 1 FLACON PEID CU GRANULE PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML

P-RF

SLOVENIA CUTIE X 1 FLAC. PULB. PT. 60 ML SUSP.

P-RF

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE X 1 FLAC. PEID CU 41 G GRANULE PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE PP

P-RF

CUTIE X 1 FLAC. DIN PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA

P-RF

CUTIE X 1 FLAC. DIN PEID CU 68,3 G GRANULE PT. 100 ML SUSP. ORALA + LINGURITA DOZATOARE PP

P-RF

CUTIE X 1 FLAC. PEID X 70 G GRAN. PT. 100 ML SUSP . ORALA

P-RF

CUTIE X 1 FLAC. DIN PEID CU 41 G GRANULE PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE PP

P-RF

CUTIE X 1 FLAC. PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA

P-RF

ABBOTT LABORATORIES LTD.

FRANTA CUTIE X 1 FLAC. LIOF. PT. SOL. PERF.

RANBAXY UK LIMITED

MAREA BRITANIE

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


ZENTIVA K.S.
CEHIA
CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.
ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.
ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM.

E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM.

S/P-RF

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

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF

AC HELCOR SRL

Pagina 18 din 29

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

P-RF

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

1
1
10
10
20
20
20
20
1
1
20
20
20
1
7
14
14
20
14
14
14
14
14
14
20
14
20
5
7
7
5
7
1
1
1
1
1
1
1
1
1
1
1
10
10
10
20
10
10
10

21.40
16.53
21.56
34.77
7.72
4.13
7.04
7.72
8.20
4.76
7.09
9.60
8.44
11.46
32.05
28.57
32.23
22.99
16.69
14.67
16.69
37.95
32.62
32.08
44.36
32.62
43.35
18.38
25.73
35.21
36.43
28.09
39.14
31.60
24.48
23.30
26.21
18.94
61.52
51.09
44.85
31.68
53.78
11.36
20.02
37.31
65.61
6.83
6.83
6.83

Pret
amanuntul
maximal/UT
(RON)

21.400000
16.530000
2.156000
3.477000
0.386000
0.206500
0.352000
0.386000
8.200000
4.760000
0.354500
0.480000
0.422000
11.460000
4.578571
2.040714
2.302142
1.149500
1.192142
1.047857
1.192142
2.710714
2.330000
2.291428
2.218000
2.330000
2.167500
3.676000
3.675714
5.030000
7.286000
4.012857
39.140000
31.600000
24.480000
23.300000
26.210000
18.940000
61.520000
51.090000
44.850000
31.680000
53.780000
1.136000
2.002000
3.731000
3.280500
0.683000
0.683000
0.683000

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

19.807875
15.846300
1.752525
3.477000
0.284062
0.206500
0.284062
0.284062
3.853125
4.760000
0.354500
0.429171
0.422000
11.460000
2.145855
1.072927
1.072927
1.072927
1.072927
1.047857
1.072927
2.145855
2.145855
2.145855
2.145855
2.145855
2.145855
2.145855
2.145855
2.145855
2.145855
2.145855
28.410000
28.410000
17.046000
17.046000
17.046000
17.046000
56.820000
51.090000
34.092000
31.680000
25.576250
1.136000
1.189800
0.237960
0.237960
0.594900
0.594900
0.594900

17.827087
14.261670
1.577272
3.129300
0.255656
0.185850
0.255656
0.255656
3.467812
4.284000
0.319050
0.386254
0.379800
10.314000
1.931270
0.965635
0.965635
0.965635
0.965635
0.943071
0.965635
1.931270
1.931270
1.931270
1.931270
1.931270
1.931270
1.931270
1.931270
1.931270
1.931270
1.931270
25.569000
25.569000
15.341400
15.341400
15.341400
15.341400
51.138000
45.981000
30.682800
28.512000
23.018625
1.022400
1.070820
0.214164
0.214164
0.535410
0.535410
0.535410

Nr crt.

cod ATC

892 J01MA02
893 J01MA02
894 J01MA02
895 J01MA02
896 J01MA02
897 J01MA02
898 J01MA02
899 J01MA02
900 J01MA02
901 J01MA02
902 J01MA02
903 J01MA02
904 J01MA02
905 J01MA02
906 J01MA02
907 J01MA02
908 J01MA02
909 J01MA02
910 J01MA02
911 J01MA02
912 J01MA02
913 J01MA02
914 J01MA03
915 J01MA06
916 J01MA06
917 J01MA06
918 J01MA06
919 J01MA06
920 J01MA06
921 J01MB02
922 J01XD01
923 J01XD01
924 J01XD01
925 J01XD01
926 J01XD01
927 J01XD01
928 J01XD01
929 J01XD01
930 J01XD01
931 J01XD01
932 J01XD01
933 J01XD01
934 J01XD01
935 J02AB02
936 J02AB02
937 J02AB02
938 J02AB02
939 J02AB02
940 J02AC01
941 J02AC01

DCI

CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
PEFLOXACINUM
NORFLOXACINUM
NORFLOXACINUM
NORFLOXACINUM
NORFLOXACINUM
NORFLOXACINUM
NORFLOXACINUM
ACIDUM NALIDIXICUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
KETOCONAZOLUM
KETOCONAZOLUM
KETOCONAZOLUM
KETOCONAZOLUM
KETOCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM

Denumire Comerciala

CUMINOL 250 mg
CUMINOL 250 mg

CIPROFLOXACINA ALKALOID 250 mg

CIFRAN
CIPROFLOXACINA ARENA 250 mg
CIPROFLOXACINA ARENA 250 mg

ALVEBAR 250 mg
CIPRINOL 500 mg
CIPROCIN 500 mg
CIPROLEN (R) 500 mg
CUMINOL 500 mg

CIPROFLOXACINA ALKALOID 500 mg

CIFRAN
CIPRO QUIN (R)
CIPRODAR
CIPROFLOXACINA ARENA 500 mg
CIPROFLOXACINA ARENA 500 mg

ALVEBAR 500 mg
CIPRINOL 750 mg

CIPROFLOXACINA ARENA 750 mg

CIPROBAY XR 1000 mg
CIPROBAY XR 500 mg
PEFLOXACIN LAROPHARM
H - NORFLOXACIN 400 mg
NORFLOXACINA LPH 400 mg
NORFLOX - 400
NOLICIN 400 mg
EPINOR
NOR QUIN 400 mg
NALIXID 500 mg

METRONIDAZOL ARENA 250 mg (J01XD01)


METRONIDAZOL ARENA 250 mg (J01XD01)

FLAGYL ( vezi J01XD01)


FLAGYL ( vezi J01XD01)
METRONIDAZOL A 5 g/l
METRONIDAZOL A 5 g/l
METRONIDAZOL B 5 g/l
METRONIDAZOL B 5 g/l

forma farm.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM. ELIB. PREL.
COMPR. FILM. ELIB. PREL.

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

CAPS.
COMPR.
COMPR.

COMPR. FILM.
COMPR. FILM.

SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
METRONIDAZOL BRAUN 5mg/ml SOL. PERF.
METRONIDAZOL BRAUN 5mg/ml SOL. PERF.
METRONIDAZOL BRAUN 5mg/ml SOL. PERF.
FLAGYL 4 % (J01XD01)
SUSP. ORALA
FLAGYL 4 % (J01XD01)
SUSP. ORALA
NIZORAL 200 mg
COMPR.
KETOCONAZOL 200 mg
COMPR.
KETOCONAZOL 200 mg
COMPR.
KETOSTIN 200 mg
COMPR.
KETOCONAZOL ARENA 200 mg COMPR.
DIFLAZON 100 mg
CAPS.
FLUCOVIM 100
CAPS.

concentratie

250mg
250mg
250mg
250mg
250mg
250mg
250mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
750mg
750mg
1000 mg
500 mg
400mg
400mg
400mg
400mg
400mg
400mg
400mg
500mg
250mg
250mg
250mg
250mg
5g/l
5g/l
5g/l
5g/l
5mg/ml
5mg/ml
5mg/ml
4%
4%
200mg
200mg
200mg
200mg
200mg
100mg
100mg

ALKALOID D.O.O.

tara det.
APP
Ambalaj
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM.
SLOVENIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 COMPR. FILM.

RANBAXY UK LIMITED

MAREA BRITANIE

Detinator APP
GEDEON RICHTER ROMANIA SA
GEDEON RICHTER ROMANIA SA

Prescriptie

P-RF
P-RF
P-RF

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

ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.


ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

DR. REDDY'S LABORATORIES

P-RF

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

P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF

E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM.


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

AC HELCOR SRL

P-RF
P-RF
P-RF

ALKALOID D.O.O.

SLOVENIA

CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 COMPR. FILM. P-RF

RANBAXY UK LIMITED

MAREA BRITANIE

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

ANTIBIOTICE SA

ROMANIA
DAR AL DAWA PHARMA S.R.L. ROMANIA
ARENA GROUP S.A. ROMANIA
ARENA GROUP S.A. ROMANIA
DR. REDDY'S LABORATORIES ROMANIA

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

P-RF

CUTIE X 1 BLIST. X 10 COMPR. FILM.

P-RF

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


CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM.
CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF
P-RF
P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF

ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

BAYER HEALTHCARE AG GERMANIA CUTIE X 1 BLIST. DIN PP/AL X 7 COMPR. FILM. ELIB. PREL.

P-RF

BAYER HEALTHCARE AG GERMANIA CUTIE X 1 BLIST. DIN PP/AL X 3 COMPR. FILM. ELIB. PREL. P-RF

LAROPHARM S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.


AC HELCOR SRL
ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

P-RF

CIPLA (UK) LIMITED

P-RF

P-RF

LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF


MAREA BRITANIE

CUTIE X 1 BLIST. X 10 COMPR. FILM.

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF

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


ANTIBIOTICE S.A.
ROMANIA
ZENTIVA SA
ROMANIA
ARENA GROUP SA ROMANIA
ARENA GROUP SA ROMANIA

FRANTA
LABORATOIRE AVENTIS FRANTA
LABORATOIRE AVENTIS

INFOMED FLUIDS SRL


INFOMED FLUIDS SRL
INFOMED FLUIDS SRL
INFOMED FLUIDS SRL

ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE X 2 BLIST. X 7 COMPR. FILM.

P-RF

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

P-RF/S

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


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

P-RF
P-RF
P-RF

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


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

CUTIE X 12 FLACOANE X 200 ML


CUTIE X 1 FLACON X 200 ML
CUTIE X 12 FLACOANE X 200 ML
CUTIE X 1 FLACON X 200 ML

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

B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF.

S/P-RF

B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. DIN PEJD X 100 ML SOL. PERF.

S/P-RF

B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FLAC. DIN PEJD X 100 ML SOL. PERF.

S/P-RF

LABORATOIRE AVENTIS

P-RF

FRANTA CUTIE X 1 FLACON X 120 ML SUSP. ORALA + LINGURITA DOZATOARE X 5 ML


LABORATOIRE AVENTIS FRANTA CUTIE X 1 FLACON X 120 ML SUSP. ORALA + LINGURITA DOZATOARE X 5 ML
TERAPIA SA
ROMANIA CUTIE X 1 BLIST. X 10 COMPR.
MAGISTRA C & C
ROMANIA CUTIE X 1 BLIST. X 10 COMPR.
SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR.
AC HELCOR SRL
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR.
ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR.
KRKA D.D.
SLOVENIA CUTIE X 4 BLIST. X 7 CAPS.
VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS.

Pagina 19 din 29

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

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

10
6.83
20 12.30
10
7.87
10
6.93
10
6.56
20 12.30
10
4.76
10 13.22
10 13.22
10 13.22
10 13.22
10 15.12
10
8.78
10 13.22
10 13.22
10
9.23
20 16.43
10
6.49
10 38.50
10 37.31
7 84.70
3 27.63
10 27.86
20 17.60
20 15.73
10
6.19
20 17.60
14
7.70
20 17.60
30 24.41
30
7.72
30
7.72
20
8.40
20
8.40
12 100.25
1
9.11
12 98.29
1
8.91
10 48.92
10 48.37
20 278.47
1
7.95
1
7.95
10 20.48
10
8.03
10
6.87
10 12.62
10
9.17
28 236.41
4 25.61

Pret
amanuntul
maximal/UT
(RON)

0.683000
0.615000
0.787000
0.693000
0.656000
0.615000
0.476000
1.322000
1.322000
1.322000
1.322000
1.512000
0.878000
1.322000
1.322000
0.923000
0.821500
0.649000
3.850000
3.731000
12.100000
9.210000
2.786000
0.880000
0.786500
0.619000
0.880000
0.550000
0.880000
0.813666
0.257333
0.257333
0.420000
0.420000
8.354166
9.110000
8.190833
8.910000
4.892000
4.837000
13.923500
7.950000
7.950000
2.048000
0.803000
0.687000
1.262000
0.917000
8.443214
6.402500

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

0.594900
0.594900
0.594900
0.594900
0.594900
0.594900
0.476000
1.189800
1.189800
1.189800
1.189800
1.189800
0.878000
1.189800
1.189800
0.923000
0.821500
0.594900
1.784700
1.784700
2.379600
1.189800
1.189800
0.660875
0.660875
0.619000
0.660875
0.550000
0.660875
0.813666
0.257333
0.257333
0.341399
0.341399
8.354166
8.632083
8.190833
8.632083
4.316041
4.316041
4.316041
7.950000
7.950000
0.803000
0.803000
0.687000
0.803000
0.803000
4.127784
4.127784

0.535410
0.535410
0.535410
0.535410
0.535410
0.535410
0.428400
1.070820
1.070820
1.070820
1.070820
1.070820
0.790200
1.070820
1.070820
0.830700
0.739350
0.535410
1.606230
1.606230
2.141640
1.070820
1.070820
0.594787
0.594787
0.557100
0.594787
0.495000
0.594787
0.732299
0.231599
0.231599
0.307259
0.307259
7.518749
7.768874
7.371749
7.768874
3.884437
3.884437
3.884437
7.155000
7.155000
0.722700
0.722700
0.618300
0.722700
0.722700
3.715005
3.715005

Nr crt.

cod ATC

942 J02AC01
943 J02AC01
944 J02AC01
945 J02AC01
946 J02AC01
947 J02AC01
948 J02AC01
949 J02AC01
950 J02AC01
951 J02AC01
952 J02AC01
953 J02AC01
954 J02AC01
955 J02AC01
956 J02AC01
957 J02AC01
958 J02AC01
959 J02AC01
960 J02AC01
961 J02AC01
962 J02AC01
963 J02AC01
964 J02AC01
965 J02AC01
966 J02AC01
967 J02AC01
968 J02AC01
969 J02AC01
970 J02AC01
971 J02AC01
972 J02AC01
973 J02AC01
974 J02AC01
975 J02AC01
976 J02AC01
977 J02AC01
978 J02AC01
979 J02AC01
980 J05AB01
981 J05AB01
982 J05AB01
983 J05AB01
984 J05AB01
985 J05AB01
986 J05AB01
987 J05AB01
988 J05AB01
989 J05AB01
990 J05AB01
991 L02BG01

DCI

FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
AMINOGLUTETHIMIDUM

Denumire Comerciala

FLUCORIC 100 mg
FUNGOLON 100 mg

forma farm.

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.

concentratie

100mg
100mg
FLUCONAZOLE TEVA 100 mg
100mg
FLUCONAZOLE TEVA 100 mg
100mg
DIFLAZON 150 mg
150mg
FLUCOVIM 150
150mg
DIFLUCAN 150 mg
150mg
FLUCORIC 150 mg
150mg
FLUCONAZOL SANDOZ (R) 150
150mg
FLUCONAZOLE TEVA 150 mg
150mg
FLUCONAZOL 150 mg
150mg
FLUCONAZOL MEDOCHEMIE 150 mg
150mg
FLUCONAZOL BIOGALENICA 150 mg
150mg
FLUCONAZOL ARENA 150 MG
150mg
FLUCONAZOL 150 mg
150mg
MYCOSYST 150 mg
150mg
FLUCONAZOL ACTAVIS 150 mg
150mg
MYCOMAX 150
150mg
FLUCONAZOL LPH 150 mg
150mg
FLUCONAZOLE TEVA 200 mg
200mg
DIFLAZON 50 mg
50mg
FLUCOVIM 50
50mg
DIFLUCAN 50 mg
50mg
FLUCORIC 50 mg
50mg
FLUCONAZOL SANDOZ (R) 50
50mg
FUNGOLON 50 mg
50mg
FLUCONAZOL 50 mg
50mg
FLUCONAZOLE TEVA 50 mg
50mg
FLUCONAZOL 50 mg
50mg
FLUCONAZOL MEDOCHEMIE 50 mg
50mg
FLUCONAZOL BIOGALENICA 50 mg
50mg
FLUCONAZOL ARENA 50 MG
50mg
FLUCONAZOL OZONE 50 mg
50mg
FLUCONAZOL LPH 50 mg
50mg
DIFLUCAN (R) 50 mg/5 ml
PULB. PT. SUSP. ORALA 50mg/5ml
DIFLAZON 2mg/ml
SOL. PERF. 2mg/ml
DIFLUCAN (R)
SOL. PERF. 2mg/ml
DIFLUCAN (R)
SOL. PERF. 2mg/ml
ACICLOVIR 200 mg
CAPS.
200mg
ACICLOVIR ARENA 200 mg CAPS.
200mg
ACICLOVIR FARMEX 200 mg CAPS.
200mg
ACICLOVIR ARENA 400 mg CAPS.
400mg
ACICLOVIR TERAPIA 200 mg COMPR.
200mg
ACICLOVIR 200 mg
COMPR.
200mg
CLOVIRAL 200 mg
COMPR.
200mg
ACICLOVIR 200 mg
COMPR.
200mg
ACICLOVIR 200 mg
COMPR.
200mg
ACICLOVIR 400 mg
COMPR.
400mg
VIROLEX
PULB. PT. SOL. INJ./PERF. 250mg
ROGLUTEN (R) 250 mg
COMPR.
250mg

Detinator APP

TERAPIA SA

BALKANPHARMA RAZGRAD AD
TEVA PHARMACEUTICALS S.R.L.
TEVA PHARMACEUTICALS S.R.L.

tara det.
APP
Ambalaj
ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

BULGARIA CUTIE X 2 BLIST. PVC/AL X 8 CAPS.

ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 2 CAPS.


ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

KRKA D.D.
SLOVENIA CUTIE X 1 BLIST. X 1 CAPS.
VIM SPECTRUM SRL ROMANIA CUTIE X 1 FLAC. X 1 CAPS.
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 1 CAPS.
TERAPIA SA
ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS.
SANDOZ SRL
GERMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

ROMANIA
SLAVIA PHARM SRL ROMANIA
MEDOCHEMIE ROMANIA SRL ROMANIA
LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA
ARENA GROUP SA ROMANIA
OZONE LABORATORIES PHARMA S.A. ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
TEVA PHARMACEUTICALS S.R.L.

ACTAVIS GROUP PTC EHF.

ZENTIVA K.S.
LABORMED PHARMA S.A.
TEVA PHARMACEUTICALS S.R.L.

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

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


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

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

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

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

CUTIE X 4 BLIST. AL/PVC X 1 CAPS.

ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS.


MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

ROMANIA
ARENA GROUP SA ROMANIA
OZONE LABORATORIES PHARMA S.A. ROMANIA
LABORMED PHARMA S.A. ROMANIA

LABORATOARELE PROF.DR.MORAIT S.R.L.

PFIZER EUROPE MA EEIG

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

ISLANDA CUTIE CU 1 BLIST. PVC-PVDC/AL X 1 CAPS. PRF


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

KRKA D.D.
SLOVENIA CUTIE X 1 BLIST. X 7 CAPS.
VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS.
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 7 CAPS.
TERAPIA SA
ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS.
SANDOZ SRL
ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS.
BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 1 BLIST. PVC/AL X 8 CAPS.
ANTIBIOTICE S.A.
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS.
TEVA PHARMACEUTICALS S.R.L.

Prescriptie

P-RF

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

CUTIE CU 1 BLIST. PVC/AL X 7 CAPS.

MAREA BRITANIE CUTIE X 1 FLAC. PEID PULB. PT. 35 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 5 ML

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

PRF
P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML

S/PR-F

PFIZER EUROPE MA EEIG

MAREA BRITANIE

S/P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

SLAVIA PHARM SRL ROMANIA


ARENA GROUP SA ROMANIA

CUTIE X 1 FLACON X 200 ML


CUTIE X 1 FLACON X 50 ML
CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
CUTIE CU 2 BLIST. PVC/AL X 10 CAPS.
CUTIE X 1 BLIST. AL/PVC X 10 CAPS.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL./PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

ROMANIA
ARENA GROUP S.A. ROMANIA
TERAPIA SA
ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
ANTIBIOTICE SA
ROMANIA
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR.
LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 5 COMPR.
FARMEX COMPANY S.R.L.

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 5 FLAC. X 250 MG PULB. PT. SOL. INJ./PERF.

ACTAVIS S.R.L.

Pagina 20 din 29

ROMANIA CUTIE X 1 FLAC. X 40 COMPR.

S/P-RF

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

P-RF

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

Pret
amanuntul
maximal/UT
(RON)

7 43.36
6.194285
16 82.66
5.166250
2
9.43
4.715000
7 31.51
4.501428
1 22.51 22.510000
1
9.94
9.940000
1 25.08 25.080000
1 18.86 18.860000
1 14.58 14.580000
1
6.59
6.590000
1
9.68
9.680000
1
8.20
8.200000
1
6.59
6.590000
1
9.03
9.030000
1
9.94
9.940000
4 63.10 15.775000
1 10.06 10.060000
1 12.53 12.530000
1
9.94
9.940000
7 39.37
5.624285
7 61.72
8.817142
7 22.56
3.222857
7 56.54
8.077142
7 29.61
4.230000
7 41.93
5.990000
8 19.04
2.380000
10 25.52
2.552000
7 16.69
2.384285
7 19.58
2.797142
7 16.15
2.307142
7 15.76
2.251428
7 19.12
2.731428
7 22.56
3.222857
7 22.56
3.222857
1 56.54 56.540000
1 45.82 45.820000
1 162.58 162.580000
1 40.53 40.530000
20 20.23
1.011500
20 21.42
1.071000
20 21.42
1.071000
10 19.48
1.948000
20 17.15
0.857500
20 17.23
0.861500
20 16.44
0.822000
20 13.81
0.690500
20 13.00
0.650000
10 19.23
1.923000
5 282.97 56.594000
40 151.38
3.784500

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

4.127784
4.127784
4.127784
4.127784
6.191676
6.191676
6.191676
6.191676
6.191676
6.191676
6.191676
6.191676
6.191676
6.191676
6.191676
6.191676
6.191676
6.191676
6.191676
5.624285
2.063892
2.063892
2.063892
2.063892
2.063892
2.063892
2.063892
2.063892
2.063892
2.063892
2.063892
2.063892
2.063892
2.063892
14.447245
38.999700
77.999400
19.499850
0.736123
0.736123
0.736123
1.472247
0.736123
0.736123
0.736123
0.690500
0.650000
1.472247
56.594000
3.784500

3.715005
3.715005
3.715005
3.715005
5.572508
5.572508
5.572508
5.572508
5.572508
5.572508
5.572508
5.572508
5.572508
5.572508
5.572508
5.572508
5.572508
5.572508
5.572508
5.061856
1.857502
1.857502
1.857502
1.857502
1.857502
1.857502
1.857502
1.857502
1.857502
1.857502
1.857502
1.857502
1.857502
1.857502
13.002520
35.099730
70.199460
17.549865
0.662511
0.662511
0.662511
1.325022
0.662511
0.662511
0.662511
0.621450
0.585000
1.325022
50.934600
3.406050

Nr crt.

cod ATC

992 M01AB01
993 M01AB01
994 M01AB01
995 M01AB01
996 M01AB01
997 M01AB01
998 M01AB05
999 M01AB05
1000

M01AB05

1001

M01AB05

1002

M01AB05

1003

M01AB05

1004

M01AB05

1005

M01AB05

1006

M01AB05

1007

M01AB05

1008

M01AB05

1009

M01AB05

1010

M01AB05

1011

M01AB05

1012

M01AB05

1013

M01AB05

1014

M01AB05

1015

M01AB05

1016

M01AB05

1017

M01AB05

1018

M01AB05

1019

M01AB05

1020

M01AB05

1021

M01AB05

1022

M01AB05

1023

M01AB05

1024

M01AB05

1025

M01AB05

1026

M01AB05

1027

M01AB05

1028

M01AB15

1029

M01AB15

1030

M01AB15

1031

M01AB15

1032

M01AB16

1033

M01AC02

1034

M01AC02

1035

M01AC02

1036

M01AC02

1037

M01AC02

1038

M01AC06

1039

M01AC06

1040

M01AC06

1041

M01AC06

DCI

INDOMETACINUM
INDOMETACINUM
INDOMETACINUM
INDOMETACINUM
INDOMETACINUM
INDOMETACINUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
KETOROLACUM TROMETHAMIN
KETOROLACUM TROMETHAMIN
KETOROLACUM TROMETHAMIN
KETOROLACUM TROMETHAMIN
ACECLOFENACUM
TENOXICAMUM
TENOXICAMUM
TENOXICAMUM
TENOXICAMUM
TENOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM

Denumire Comerciala

forma farm.

CAPS.
INDOMETACIN ARENA 25 MG CAPS.
INDOMETACIN ARENA 50 MG CAPS.
INDOMETACIN 50 mg
SUPOZ.
INDOMETACIN 50 mg
SUPOZ.
INDOMETACIN 50 mg
SUPOZ.
DICLOREUM 150 mg
CAPS. ELIB. PREL.

INDOMETACIN LAROPHARM 25 mg

DICLOFENAC DUO PHARMASWISS 75 mg CAPS. ELIB. PREL.

TRATUL 50
DICLAC (R) 75 ID
VOLTAREN (R) RETARD
REFEN (R) RETARD
DICLOTARD (R) 100 mg
RHEUMAVEK
VOLTAREN (R) 50
DICLOFENAC 50 mg
CLAFEN 50 mg
DICLOFENAC 50 mg
VOLTAREN RAPID (R)
DICLOFENAC ARENA 25 mg
N - DICLOFENAC
DICLOFENAC ARENA 50 mg
DICLOFENAC ARENA 50 mg
VOLTAREN (R)
RHEUMAVEK
TRATUL (R)
DICLAC
DICLOFENAC 75 mg
DICLOFENAC AL I.M.
DICLOFENAC AL I.M.
REFEN 75 mg
CLAFEN 100 mg
VOLTAREN (R)
DICLOFENAC 100 mg
DICLOFENAC SODIC 100 mg
VOLTAREN (R)
KETOROL
KETANOV 10 mg
KETANOV
KETOROL
AFLAMIL 100mg
TENOXICAM LPH 20 mg
TENOXICAM 20 mg
TENOXICAM ARENA 20 mg
NEO - ENDUSIX (R)
NEO - ENDUSIX (R)
MOVALIS (R) 15 mg
MOVALIS (R) 15 mg
MELOXICAM LPH 15 mg
MELOXICAM SANDOZ 15 mg

CAPS. MOI GASTROREZ.

COMPR. ELIB. MODIF.


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

DRAJ.
DRAJ. GASTROREZ.
DRAJ. GASTROREZ.
DRAJ. GASTROREZ.
DRAJ. GASTROREZ.

SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ./PERF.

SUPOZ.
SUPOZ.
SUPOZ.
SUPOZ.
SUPOZ.

COMPR. FILM.
COMPR. FILM.

SOL. INJ.
SOL. INJ.

COMPR. FILM.

CAPS.
COMPR.
COMPR.

COMPR. FILM.
LIOF. + SOLV. PT. SOL. INJ.

COMPR.
COMPR.
COMPR.
COMPR.

concentratie

25mg
25mg
50mg
50mg
50mg
50mg
150mg
75mg
50mg
75mg
100mg
100mg
100mg
25mg
50mg
50mg
50mg
50mg
50mg
25mg
50mg
50mg
50mg
25mg/ml
25mg/ml
30mg/ml
75mg
75mg/3ml
75mg/3ml
75mg/3ml
25mg/ml
100mg
100mg
100mg
100mg
50mg
10mg
10mg
30mg/ml
30mg/ml
100mg
20mg
20mg
20mg
20mg
20mg
15mg
15mg
15mg
15mg

Detinator APP

LAROPHARM SRL
ARENA GROUP SA
ARENA GROUP SA
ANTIBIOTICE SA
SINTOFARM SA
MAGISTRA C & C
ALFA WASSERMANN SPA
PHARMASWISS CESKA REPUBLIKA S.R.O.

GEROT PHARMAZEUTIKA GMBH

HEXAL AG

tara det.
APP
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

ITALIA
CEHIA
AUSTRIA

TERAPIA SA
FARAN LABORATORIES S.A.

Prescriptie

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

CUTIE X 2 FOLII TERMOSUDATE AL-PE X 3 SUPOZ. P-6L

CUTIE X 2 FOLII PVC/PE X 5 SUPOZ.

P-6L

CUTIE X 2 FOLII TERMOSUDATE PVC/PE X 5 SUPOZ. P-6L

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


CUTIE X 3 BLIST. PVC/PVDC/AL X 10 CAPS. ELIB. PREL. P-6L
CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS. MOI GASTROREZ.

P-6L

GERMANIA CUTIE X 1 BLIST. AL/PP X 10 COMPR. ELIB. MODIF. P-6L

NOVARTIS PHARMA GMBH GERMANIA

STADA HEMOFARM S.R.L.

Ambalaj

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


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

ROMANIA
ROMANIA

GRECIA

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 1 BLIST. PVC-PE-PVDC/AL. X 10 COMPR. FILM. ELIB. PREL.

P-6L

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


CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL P-6L
CUTIE X 3 BLIST. PVC-AL/PVDC X 10 COMPR. FILM. GASTROREZ.

P-6L

CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. GASTROREZ.

P-6L

TERAPIA SA
ANTIBIOTICE SA

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


ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM. GASTROREZ. P-6L
AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ. P-6L
NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 10 DRAJ.

ARENA GROUP SA
MEDUMAN SA
ARENA GROUP SA
ARENA GROUP SA

ROMANIA
ROMANIA
ROMANIA
ROMANIA

P-6L

CUTIE X 3 BLIST. AL/PVC X 10 DRAJ. GASTROREZ.

P-6L

CUTIE X 1 FLAC. PE X 20 DRAJ. GASTROREZ.

P-6L

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


CUTIE X 1 BLIST. AL/PVC X 30 DRAJ GASTROREZ. P-6L

NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 FIOLE CU PUNCT DE RUPERE X 3 ML P-RF


FARAN LABORATORIES S.A.
GEROT PHARMAZEUTIKA GMBH

HEXAL AG
TERAPIA SA

GRECIA
AUSTRIA

GERMANIA

ROMANIA

ALIUD PHARMA GMBH GERMANIA


ALIUD PHARMA GMBH GERMANIA
STADA HEMOFARM S.R.L.

ANTIBIOTICE SA
NOVARTIS PHARMA GMBH

SINTOFARM SA
MAGISTRA C & C

CUTIE X 5 FIOLE DE STICLA BRUNA PREVAZUTE CU INEL DE RUPERE X 3 ML

P-RF

CUTIE X 1 BLIST PVC X 5 FIOLE DIN STICLA BRUNA X 3 ML SOL. INJ.

P-RF

CUTIE X 5 FIOLE X 3 ML SOL. INJ.

P-RF

CUTIE X 5 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 3 ML

P-RF

CUTIE X 5 FIOLE DIN STICLA INCOLORA X 3ML SOL. INJ. P-RF


CUTIE X 10 FIOLE DIN STICLA INCOLORA X 3ML SOL. INJ. P-RF

ROMANIA CUTIE CU 5 FIOLE DIN STICLA INCOLORA X 3 ML SOL. INJ./PERF.


ROMANIA CUTIE X 2 FOLII TERMOSUDANTE X 3 SUPOZ.
GERMANIA CUTIE X 1 FOLIE PVC/PE-JD X 5 SUPOZ.
ROMANIA CUTIE X 2 FOLII PVC/PE X 5 SUPOZ.
ROMANIA CUTIE X 2 FOLII TERMOSUDATE PVC/PE X 5 SUPOZ.

NOVARTIS PHARMA GMBH GERMANIA

ROMANIA
TERAPIA SA
ROMANIA
TERAPIA SA
ROMANIA
DR. REDDY'S LABORATORIES ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
LABORMED PHARMA SA ROMANIA
ARENA GROUP SA ROMANIA
ARENA GROUP SA ROMANIA
DR. REDDY'S LABORATORIES

CUTIE X 2 FOLII PVC/PEJD X 5 SUPOZ.

P-RF

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

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


CUTIE CU 2 BLIST. OPA-AL-PVC/AL A CATE 10 COMPR. FILM. P-6L

CUTIE X 10 FIOLE X 1 ML

P-RF

CUTIE X 1 BLIST. X 10 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ. P-RF

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

P-6L

ANFARM HELLAS S.A. PHARMACEUTICALS

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


CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
GRECIA CUTIE X 1 BLIST. X 10 COMPR. FILM.
GRECIA CUTIE X 1 FLAC. PULB. + 1 FIOLA SOLV.

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

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

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

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

ANFARM HELLAS S.A. PHARMACEUTICALS

LABORMED PHARMA SA ROMANIA

HEXAL AG

Pagina 21 din 29

CUTIE X 2 BLIST. X 10 COMPR.

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

P-6L

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

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

20
30
20
6
10
10
20
30
30
10
10
20
20
30
20
20
20
20
10
30
20
20
30
5
5
5
5
5
5
10
5
6
5
10
10
10
20
20
10
10
20
20
20
20
10
1
20
10
20
20

1.62
2.14
3.53
4.13
6.87
5.27
47.70
20.49
6.39
3.93
6.56
8.55
8.21
5.72
6.56
4.25
3.04
2.27
2.34
5.72
2.54
2.65
3.98
9.40
6.10
14.24
6.10
6.10
6.10
12.22
4.05
3.94
5.47
6.95
5.10
9.45
6.75
10.14
24.75
19.61
22.71
11.45
14.11
14.11
6.35
5.44
15.44
7.70
10.03
9.98

Pret
amanuntul
maximal/UT
(RON)

0.081000
0.071333
0.176500
0.688333
0.687000
0.527000
2.385000
0.683000
0.213000
0.393000
0.656000
0.427500
0.410500
0.190666
0.328000
0.212500
0.152000
0.113500
0.234000
0.190666
0.127000
0.132500
0.132666
1.880000
1.220000
2.848000
1.220000
1.220000
1.220000
1.222000
0.810000
0.656666
1.094000
0.695000
0.510000
0.945000
0.337500
0.507000
2.475000
1.961000
1.135500
0.572500
0.705500
0.705500
0.635000
5.440000
0.772000
0.770000
0.501500
0.499000

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

0.071775
0.071333
0.143550
0.312750
0.312750
0.312750
0.430650
0.215325
0.143550
0.215325
0.287100
0.287100
0.287100
0.071775
0.143550
0.143550
0.143550
0.113500
0.143550
0.071775
0.127000
0.132500
0.132666
1.098000
1.098000
1.317600
1.098000
1.098000
1.098000
1.098000
0.810000
0.625500
0.625500
0.625500
0.510000
0.312750
0.095699
0.095699
1.464000
1.464000
0.143550
0.557437
0.557437
0.557437
0.557437
2.118600
0.557437
0.557437
0.501500
0.499000

0.064597
0.064199
0.129195
0.281475
0.281475
0.281475
0.387585
0.193792
0.129195
0.193792
0.258390
0.258390
0.258390
0.064597
0.129195
0.129195
0.129195
0.102150
0.129195
0.064597
0.114300
0.119250
0.119399
0.988200
0.988200
1.185840
0.988200
0.988200
0.988200
0.988200
0.729000
0.562950
0.562950
0.562950
0.459000
0.281475
0.086129
0.086129
1.317600
1.317600
0.129195
0.501693
0.501693
0.501693
0.501693
1.906740
0.501693
0.501693
0.451350
0.449100

Nr crt.

cod ATC

1042

M01AC06

1043

M01AC06

1044

M01AC06

1045

M01AC06

1046

M01AC06

1047

M01AC06

1048

M01AC06

1049

M01AC06

1050

M01AC06

1051

M01AC06

1052

M01AC06

1053

M01AC06

1054

M01AC06

1055

M01AC06

1056

M01AC06

1057

M01AC06

1058

M01AC06

1059

M01AC06

1060

M01AC06

1061

M01AC06

1062

M01AE03

1063

M01AE03

1064

M01AE03

1065

M01AE03

1066

M01AE03

1067

M01AE03

1068

M01AE03

1069

M01AE03

1070

M01AE03

1071

M01AE03

1072

M01AE03

1073

M01AE03

1074

M01AE03

1075

M01AE03

1076

M01AE03

1077

M01AE03

1078

M01AE03

1079

M01AE03

1080

M03BX07

1081

M04AA01

1082

M04AA01

1083

M04AC01

1084

N02AD01

1085

N02AD01

1086

N02AD01

1087

N02AD01

1088

N02AX02

1089

N02AX02

1090

N02AX02

1091

N02AX02

DCI

MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
TETRAZEPAMUM
ALLOPURINOLUM*
ALLOPURINOLUM*
COLCHICINUM
PENTAZOCINUM
PENTAZOCINUM
PENTAZOCINUM
PENTAZOCINUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM

Denumire Comerciala

MELOX 15 mg
MELOX 15 mg
RECOXA 15
MELOXICAM MCC 15 mg
VALZER 15 mg
NOFLAMEN 15 mg

forma farm.

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
MELOXICAM VIM SPECTRUM 15 mg COMPR.
ASPIFLEX 15 mg
COMPR.
MELOX 7,5 mg
COMPR.
MELOX 7,5 mg
COMPR.
MOVALIS (R) 7,5 mg
COMPR.
MOVALIS (R) 7,5 mg
COMPR.
MELOXICAM LPH 7,5 mg
COMPR.
MELOXICAM SANDOZ 7,5 mg COMPR.
MELOXICAM MCC 7,5 mg
COMPR.
VALZER 7,5mg
COMPR.
MELOXICAM VIM SPECTRUM 7,5 mg COMPR.
ASPIFLEX 7,5 mg
COMPR.
MOVALIS 15mg/1,5ml
SOL. INJ.
MELOXICAM 15 mg
SUPOZ.

KETOPROFEN SR TERAPIA 100 MG CAPS. ELIB. PREL.

KETONAL (R) DUO 150 mg


KETONAL UNO
KETALGON 200 mg

CAPS. ELIB. PREL.


CAPS. ELIB. PREL.
CAPS. ELIB. PREL.

KETOPROFEN SR TERAPIA 200 MG CAPS. ELIB. PREL.

KETARD 200 mg
KETONAL RETARD
RUBIFEN 100 mg
PROFENID (R) 100 mg
KETONAL FORTE 100 mg
KETOPROXIN 100 mg
KETOPROXIN 50 mg
PROFENID (R) LP 200 mg
KETONAL 100 mg/ 2 ml
KETOPROFEN TERAPIA 100MG/2ML

KETONAL 100 mg
RUBIFEN (R) 100 mg
KETOMAG
MYOLASTAN 50 mg
MILURIT 100 mg
MILURIT 300 mg
COLCHICINA
FORTRAL 50 mg
FORTRAL 50 mg
FORTRAL
FORTRAL
TRALGIT 50
TRAMADOL
TRAMADOL AL 50
TRAMADOL AL 50

CAPS. ELIB. PREL.


COMPR. ELIB. PREL.

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

SOL. INJ.
SOL. INJ./CONC. SOL. PERF.

SUPOZ.
SUPOZ.
SUPOZ.
COMPR. FILM.

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

concentratie

15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
7,5 mg
7,5 mg
7,5mg
7,5mg
7,5mg
7,5mg
7,5mg
7,5mg
7,5mg
7,5mg
15mg/1,5ml
15mg
100mg
150mg
200mg
200mg
200mg
200mg
150mg
100 mg
100mg
100mg
100mg
50mg
200mg
100mg/2ml
100mg/2ml
100mg
100mg
100mg
50mg
100mg
300mg
1mg
50mg
50mg
30mg/ml
30mg/ml
50mg
50mg
50mg
50mg

Detinator APP

MEDOCHEMIE LTD
MEDOCHEMIE LTD
ZENTIVA AS

tara det.
APP

CIPRU
CIPRU
CEHIA

MAGISTRA C & C SRL ROMANIA


GEDEON RICHTER ROMANIA SA ROMANIA
EGIS PHARMACEUTICALS P.L.C. UNGARIA
VIM SPECTRUM SRL ROMANIA
BMF PHARM S.R.L. ROMANIA

MEDOCHEMIE LTD
MEDOCHEMIE LTD

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG


BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

CIPRU
CIPRU

MAGISTRA C & C SRL ROMANIA


ROMANIA
VIM SPECTRUM SRL ROMANIA
BMF PHARM S.R.L. ROMANIA

MAGISTRA C & C
TERAPIA SA
SANDOZ S.R.L.
SANDOZ S.R.L.

ANTIBIOTICE SA
LAB. AVENTIS

P-6L

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


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

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


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

CUTIE X 2 BLIST. X 10 COMPR.

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

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

P-6L

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

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


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

P-6L
P-6L

GERMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 1,5 ML SIL. INJ. P-RF

ROMANIA
ROMANIA
ROMANIA
ROMANIA
LABORMED PHARMA S.A. ROMANIA
TERAPIA SA
ROMANIA
LABORMED PHARMA S.A. ROMANIA
LEK PHARMACEUTICALS D.D.

Prescriptie

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

GEDEON RICHTER ROMANIA SA

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

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

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


CUTIE X 3 BLIST. AL-PVC/PVDC X 10 COMPR.
GERMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR.
GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR.

LABORMED PHARMA SA ROMANIA

HEXAL AG

Ambalaj

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


CUTIE X 1 BLIST. AL-PVC/PVDC X 10 COMPR. P-6L
CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L

CUTII X 2 FOLII TERMOSUDATE PVC/PE X 3 SUPOZ. P-6L

CUTIE X 1 BLIST. X 10 CAPS. CU ELIB. PREL. P-6L


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

P-6L

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

P-6L

CUTIE X 1 BLIST. AL/PVC X 10 CAPS. ELIB. PREL. P-6L

CUTIE X 1 BLIST. X 10 CAPS. CU ELIB. PREL. P-6L


CUTIE X 1 BLIST. AL/PVC X 10 CAPS. ELIB. PREL. P-6L

SLOVENIA CUTIE X 1 FLAC. X 20 COMPR. CU ELIB. PREL. P-6L


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

FRANTA CUTIE X 2 BLIST X 15 COMPR. FILM.

P-6L

LAB. AVENTIS

FRANTA CUTIE X 1 BLIST X 14 COMPR. FILM. ELIB. PREL.

P-6L

LEK PHARMACEUTICALS D.D.

SLOVENIA

SLOVENIA CUTIE X 1 FLAC. X 20 COMPR. FILM.


P-6L
AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. PVC/ALX 10 COMPR. FILM. P-6L
AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. PVC/ALX 10 COMPR. FILM. P-6L

LEK PHARMACEUTICALS D.D.

TERAPIA SA
LEK PHARMACEUTICALS D.D.

ANTIBIOTICE SA
MAGISTRA C & C
SANOFI - AVENTIS ROMANIA S.R.L.

EGIS PHARMACEUTICALS P.L.C.


EGIS PHARMACEUTICALS P.L.C.

BIOFARM SA

ROMANIA CUTIE X 5 FIOLE X 2 ML

P-RF

ROMANIA
ROMANIA
ROMANIA
UNGARIA
UNGARIA
ROMANIA

P-6L

SLOVENIA CUTIE X 2 FOLII AL/PE X 6 SUPOZ.

KRKA D.D. NOVO MESTO SLOVENIA


KRKA D.D. NOVO MESTO SLOVENIA
KRKA D.D. NOVO MESTO SLOVENIA
KRKA D.D. NOVO MESTO SLOVENIA

ZENTIVA A.S.
KRKA D.D.

SLOVACIA
SLOVENIA

ALIUD PHARMA GMBH & CO.KG

GERMANIA

ALIUD PHARMA GMBH & CO.KG

GERMANIA

Pagina 22 din 29

CUTIE X 10 FIOLE X 2 ML SOL. INJ/CONC PT.SOL. PERF. P-RF

CUTIE X 2 FOLII TERMOSUDATE METALIZATE AL-PE X 3 SUPOZ.

P-6L

CUTIE X 2 FOLII LAMINATE PVC/PE X 5 SUPOZ. P-6L

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

CUTIE X 1 FLAC. X 50 COMPR.


CUTIE X 1 FLAC. X 30 COMPR.
CUTIE X 2 BLIST. AL/PVC X 20 COMPR.
CUTIE X 1 FLAC. X 100 COMPR.
CUTIE X 1 FLAC X 20 COMPR.
CUTIE X 10 FIOLE X 1 ML SOL. INJ.
CUTIE X 50 FIOLE X 1 ML SOL. INJ.
CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
CUTIE X 3 BLIST. X 10 CAPS.
CUTIE X 1 BLIST. X 10 CAPS.

P-RF

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

P-RF
P-RF
P-RF/S

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

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

30
10
20
20
20
10
20
20
10
30
10
20
20
20
20
20
20
20
5
6
10
20
20
10
10
10
20
20
30
20
20
20
14
10
5
12
6
10
20
50
30
40
100
20
10
50
20
20
30
10

30.39
10.60
14.11
10.03
10.03
5.01
10.03
10.03
9.61
25.65
7.41
14.84
9.65
9.65
9.65
9.65
9.65
9.65
15.12
9.46
11.93
16.49
26.32
7.55
15.13
7.57
15.02
9.03
18.26
11.62
7.89
7.15
16.27
11.36
9.63
8.20
4.10
6.53
9.52
6.04
10.43
5.76
76.53
18.57
14.70
66.75
5.82
5.82
11.53
3.85

Pret
amanuntul
maximal/UT
(RON)

1.013000
1.060000
0.705500
0.501500
0.501500
0.501000
0.501500
0.501500
0.961000
0.855000
0.741000
0.742000
0.482500
0.482500
0.482500
0.482500
0.482500
0.482500
3.024000
1.576666
1.193000
0.824500
1.316000
0.755000
1.513000
0.757000
0.751000
0.451500
0.608666
0.581000
0.394500
0.357500
1.162142
1.136000
1.926000
0.683333
0.683333
0.653000
0.476000
0.120800
0.347666
0.144000
0.765300
0.928500
1.470000
1.335000
0.291000
0.291000
0.384333
0.385000

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

0.557437
0.557437
0.557437
0.501500
0.501500
0.501000
0.501500
0.501500
0.278718
0.278718
0.278718
0.278718
0.278718
0.278718
0.278718
0.278718
0.278718
0.278718
2.118600
0.563625
0.496874
0.745312
0.993749
0.755000
0.993749
0.757000
0.745312
0.451500
0.496874
0.496874
0.394500
0.248437
0.993749
1.049500
1.926000
0.668166
0.668166
0.653000
0.476000
0.117116
0.347666
0.144000
0.765300
0.806100
1.368750
1.335000
0.291000
0.291000
0.323549
0.323549

0.501693
0.501693
0.501693
0.451350
0.451350
0.450900
0.451350
0.451350
0.250846
0.250846
0.250846
0.250846
0.250846
0.250846
0.250846
0.250846
0.250846
0.250846
1.906740
0.507262
0.447187
0.670781
0.894374
0.679500
0.894374
0.681300
0.670781
0.406350
0.447187
0.447187
0.355050
0.223593
0.894374
0.944550
1.733400
0.601349
0.601349
0.587700
0.428400
0.105404
0.312899
0.129600
0.688770
0.725490
1.231875
1.201500
0.261900
0.261900
0.291194
0.291194

Nr crt.

cod ATC

1092

N02AX02

1093

N02AX02

1094

N02AX02

1095

N02AX02

1096

N02AX02

1097

N02AX02

1098

N02AX02

1099

N02AX02

1100

N02AX02

1101

N02AX02

1102

N02AX02

1103

N02AX02

1104

N02AX02

1105

N02AX02

1106

N02AX02

1107

N02AX02

1108

N02AX02

1109

N02AX02

1110

N02AX02

1111

N02AX02

1112

N02AX02

1113

N02AX02

1114

N02AX02

1115

N02AX02

1116

N02AX02

1117

N02AX02

1118

N02AX02

1119

N02AX02

1120

N02AX02

1121

N02AX02

1122

N02AX02

1123

N02AX02

1124

N02AX02

1125

N02AX02

1126

N02AX02

1127

N02AX02

1128

N02AX02

1129

N02AX02

1130

N02CC01

1131

N02CC01

1132

N02CC01

1133

N02CC01

1134

N02CC01

1135

N02CC01

1136

N02CC01

1137

N02CC01

1138

N02CC01

1139

N02CC01

1140

N02CC01

1141

N02CC01

DCI

TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
SUMATRIPTANUM*
SUMATRIPTANUM*
SUMATRIPTANUM*
SUMATRIPTANUM*
SUMATRIPTANUM*
SUMATRIPTANUM*
SUMATRIPTANUM*
SUMATRIPTANUM*
SUMATRIPTANUM*
SUMATRIPTANUM*
SUMATRIPTANUM*
SUMATRIPTANUM*

Denumire Comerciala

MABRON 50 mg
K-ALMA (R)
TRAMACALM
TRAMADOL LPH 50 mg
URGENDOL
TRAMADOL ARENA
TRAMAL UNO 100 mg
TRAMAL UNO 100 mg
TRAMAL UNO 150 mg
TRAMAL UNO 150 mg
TRAMAL UNO 150 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
TRAMAL RETARD 150 mg
TRAMADOL RETARD 150 mg
TRAMAL RETARD 200 mg
TRAMADOL RETARD 200 mg
TRAMADOL AL PICATURI
MABRON
MABRON
TRALGIT 100
TRAMADOL
URGENDOL
TRAMADOL
URGENDOL
TRAMADOL
SUMATRIPTAN TERAPIA 100 mg
SUMATRIPTAN TERAPIA 100 mg
SUMATRIPTAN TERAPIA 50 mg
SUMATRIPTAN TERAPIA 50 mg

IMIGRAN DR 100 mg
IMIGRAN DR 50 mg
SUMACTA 100 mg
SUMACTA 100 mg
XIBIMER 100 mg
XIBIMER 100 mg
SUMACTA 50 mg
SUMACTA 50 mg

forma farm.

CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.

concentratie

Detinator APP

tara det.
APP

50mg
50mg
50mg
50mg
50mg
50mg
CAPS. ELIB. PREL. 100mg
CAPS. ELIB. PREL. 100mg
CAPS. ELIB. PREL. 150mg
CAPS. ELIB. PREL. 150mg
CAPS. ELIB. PREL. 150mg
CAPS. ELIB. PREL. 200mg
COMPR.
50mg
COMPR.
50mg
COMPR.
50mg
COMPR. ELIB. MODIF. 100mg
COMPR. ELIB. PREL. 100mg
COMPR. ELIB. PREL. 100mg
COMPR. ELIB. PREL. 100mg
COMPR. ELIB. PREL. 100mg
COMPR. ELIB. PREL. 150mg
COMPR. ELIB. PREL. 150mg
COMPR. ELIB. PREL. 200mg
COMPR. FILM. 50mg
COMPR. FILM. ELIB. PREL. 100mg
COMPR. FILM. ELIB. PREL. 150mg
COMPR. FILM. ELIB. PREL. 150mg
COMPR. FILM. ELIB. PREL. 200mg
COMPR. FILM. ELIB. PREL. 200mg

OZONE LABORATORIES PHARMA S.A.

PIC. ORALE, SOL.

FARA CONCENTRATIE

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

100mg
100mg
100mg/2ml
50mg/ml
50mg/ml
50mg/ml
50mg/ml
100mg
100mg
100mg
50mg
50mg
100mg
50mg
100mg
100mg
100mg
100mg
50mg
50mg

ALIUD PHARMA GMBH GERMANIA

COMPR. DISP.
COMPR. DISP.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

Ambalaj

MEDOCHEMIE LTD. CIPRU


CUTIE X 1 BLIST. AL/PVC X 10 CAPS.
ANTIBIOTICE SA
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
AC HELCOR SRL
ROMANIA CUTIE X 1 BLIST. PVC/AL X 10 CAPS.
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
MEDICAROM GROUP SRL ROMANIA CUTIE X 1 BLIST. X 10 CAPS.
ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH

MAGISTRA C & C
BIO EEL SRL

HEXAL AG
KRKA D.D.
ZENTIVA AS
ZENTIVA AS
ZENTIVA AS
ZENTIVA AS
ZENTIVA AS
ZENTIVA AS
LANNACHER HEILMITTEL GES.M.B.H.

Prescriptie

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

GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-RF


GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 30 CAPS. CU ELIB. PREL. P-RF
GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-RF
GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 20 CAPS. CU ELIB. PREL. P-RF
GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 30 CAPS. CU ELIB. PREL. P-RF
GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 30 CAPS. CU ELIB. PREL. P-RF

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


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

P-RF
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.

CUTIE X 1 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF


CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF
CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF
CUTIE X 1 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF
CUTIE X 1 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF

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

GRUNENTHAL GMBH GERMANIA


GRUNENTHAL GMBH GERMANIA

P-RF

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

CUTIE X 1 BLIST. AL/PVDC X 10 COMPR. FILM. CU ELIB. PREL.

P-RF
P-RF

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

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-RF

GRUNENTHAL GMBH GERMANIA

CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR.FILM. ELIB. PREL. P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-RF

MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
ZENTIVA A.S.
KRKA D.D.

MEDICAROM GROUP SRL

KRKA D.D.
MEDICAROM GROUP SRL

CIPRU
CIPRU

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

CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.

S/P-RF

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


SLOVENIA CUTIE X 5 FIOLE X 1 ML

S/P-RF
S/P-RF

ROMANIA CUTIE X 5 FIOLE X 1 ML

S/P-RF

ROMANIA CUTIE X 5 FIOLE X 2 ML

S/P-RF

SLOVENIA CUTIE X 5 FIOLE X 2 ML

S/P-RF

KRKA D.D.
TERAPIA SA
TERAPIA SA
TERAPIA SA
TERAPIA SA

SLOVENIA CUTIE X 1 BLIST. X 5 SUPOZ.


ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 6 COMPR.
ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 6 COMPR.
ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 3 COMPR.
ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 3 COMPR.

GLAXO WELLCOME UK LTD.

MAREA BRITANIE

CUTIE CU 1 BLIST. (OPA)-AL-PVC/AL X 2 COMPR. DISP. P-RF

GLAXO WELLCOME UK LTD.

MAREA BRITANIE

CUTIE CU 1 BLIST. (OPA)-AL-PVC/AL X 2 COMPR. DISP. P-RF

ACTAVIS GROUP PTC EHF.


ACTAVIS GROUP PTC EHF.
DR. REDDY'S LABORATORIES
DR. REDDY'S LABORATORIES

ACTAVIS GROUP PTC EHF.


ACTAVIS GROUP PTC EHF.

Pagina 23 din 29

ISLANDA CUTIE X 1 BLIST. AL/PVC X 2 COMPR. FILM.


ISLANDA CUTIE X 2 BLIST. AL/PVC X 3 COMPR. FILM.

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


ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 6 COMPR. FILM.
ISLANDA CUTIE X 2 BLIST. AL/PVC X 3 COMPR. FILM.
ISLANDA CUTIE X 1 BLIST. AL/PVC X 2 COMPR. FILM.

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

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

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

10
3.85
20
7.67
10
3.85
20
7.67
10
3.82
20
9.00
10 17.38
30 47.39
10 26.09
20 48.58
30 68.71
30 78.13
20
7.67
20
7.67
20
7.67
10
6.30
30 18.91
50 32.56
10
6.30
30 18.89
30 33.57
10 21.05
10 27.50
30 10.65
10
9.69
10 22.03
30 41.57
10 28.18
30 53.20
1
5.04
5
9.83
100 134.56
5 12.28
5
4.93
5
4.90
5 13.10
5
7.67
5
5.58
6 54.93
12 104.40
3 21.33
6 40.41
2 44.81
2 25.36
2 20.02
6 58.12
10 99.79
6 58.12
6 41.47
2 14.28

Pret
amanuntul
maximal/UT
(RON)

0.385000
0.383500
0.385000
0.383500
0.382000
0.450000
1.738000
1.579666
2.609000
2.429000
2.290333
2.604333
0.383500
0.383500
0.383500
0.630000
0.630333
0.651200
0.630000
0.629666
1.119000
2.105000
2.750000
0.355000
0.969000
2.203000
1.385666
2.818000
1.773333
5.040000
1.966000
1.345600
2.456000
0.986000
0.980000
2.620000
1.534000
1.116000
9.155000
8.700000
7.110000
6.735000
22.405000
12.680000
10.010000
9.686666
9.979000
9.686666
6.911666
7.140000

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

0.323549
0.323549
0.323549
0.323549
0.323549
0.323549
0.647101
0.647101
0.970652
0.970652
0.970652
1.294202
0.323549
0.323549
0.323549
0.630000
0.630333
0.647101
0.630000
0.629666
0.970652
0.970652
1.294202
0.323549
0.647101
0.970652
0.970652
1.294202
1.294202
5.040000
1.572302
1.345600
1.572302
0.786148
0.786148
1.572302
1.534000
1.116000
8.783774
8.700000
4.391887
4.391887
8.783774
4.391887
8.783774
8.783774
8.783774
8.783774
4.391887
4.391887

0.291194
0.291194
0.291194
0.291194
0.291194
0.291194
0.582391
0.582391
0.873587
0.873587
0.873587
1.164782
0.291194
0.291194
0.291194
0.567000
0.567299
0.582391
0.567000
0.566699
0.873587
0.873587
1.164782
0.291194
0.582391
0.873587
0.873587
1.164782
1.164782
4.536000
1.415072
1.211040
1.415072
0.707534
0.707534
1.415072
1.380600
1.004400
7.905397
7.830000
3.952698
3.952698
7.905397
3.952698
7.905397
7.905397
7.905397
7.905397
3.952698
3.952698

Nr crt.

cod ATC

1142

N02CC01

1143

N02CC01

1144

N03AF01

1145

N03AF01

1146

N03AF01

1147

N03AF01

1148

N03AF01

1149

N03AF01

1150

N03AF01

1151

N03AF01

1152

N03AF01

1153

N03AF01

1154

N03AF01

1155

N03AF01

1156

N03AF01

1157

N03AF01

1158

N03AF01

1159

N03AF01

1160

N03AF01

1161

N03AF01

1162

N03AF01

1163

N03AF01

1164

N03AF01

1165

N03AF01

1166

N03AF01

1167

N03AX12

1168

N03AX12

1169

N03AX12

1170

N03AX12

1171

N03AX12

1172

N03AX12

1173

N03AX12

1174

N03AX12

1175

N03AX12

1176

N03AX12

1177

N03AX12

1178

N03AX12

1179

N03AX12

1180

N03AX12

1181

N03AX12

1182

N03AX12

1183

N03AX12

1184

N03AX12

1185

N03AX12

1186

N05AD01

1187

N05AD01

1188

N05AD01

1189

N05AD01

1190

N05AD01

1191

N05AD01

DCI

SUMATRIPTANUM*
SUMATRIPTANUM*
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM

Denumire Comerciala

XIBIMER 50 mg
XIBIMER 50 mg
TEGRETOL (R) 200

forma farm. concentratie


COMPR. FILM. 50mg
COMPR. FILM. 50mg

COMPR.

CARBAMAZEPINA LPH 200 mg COMPR.

CARBAVIM
CARBEPSIL 200
TAVER
CARBAMAZEPIN
CARBAMAZEPIN EEL
FINLEPSIN

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
CARBAMAZEPINA ARENA 200 mg COMPR.
TAVER
COMPR.
CARBAMAZEPINA
COMPR.
CARBEPSIL 400
COMPR.
CARBAMAZEPINA ARENA 400 mg COMPR.
NEUROTOP (R) RETARD 300 mg
NEUROTOP (R) RETARD 600 mg

TEGRETOL CR 200
TEGRETOL CR 400
FINLEPSIN 400 RETARD
TIMONIL 150 RETARD
TIMONIL 300 RETARD
TIMONIL 600 RETARD
FINLEPSIN 200 RETARD
TIMONIL SIROP
GABAGAMMA 100 mg
GABAGAMMA 100 mg
GRIMODIN 100 mg
GABAGAMMA 300 mg
GABAGAMMA 300 mg
GABARAN 300 mg
GABALEPT 300 mg
GRIMODIN 300 mg
GABAGAMMA 400 mg
GABAGAMMA 400 mg
GABARAN 400 mg
GABALEPT 400 mg
GRIMODIN 400 mg
GABARAN 600 mg
GABAGAMMA 600 mg
GRIMODIN 600 mg
GABARAN 800 mg
GABAGAMMA 800 mg
GRIMODIN 800 mg

HALOPERIDOL LAROPHARM 0,5 mg

HALOPERIDOL 1 mg
HALOPERIDOL 2 mg
HALDOL

COMPR. ELIB. PREL.


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

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

SUSP. ORALA

CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.

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

COMPR.
COMPR.
COMPR.
COMPR.

HALOPERIDOL ROMPHARM 2 mg/ml PIC. OFT., SOL.

HALOPERIDOL 2 mg/ml

PIC. ORALE-SOL.

200mg
200mg
200mg
200mg
200mg
200mg
200mg
200mg
200mg
200mg
200mg
400mg
400mg
300mg
600mg
200mg
400mg
400mg
150mg
300mg
600mg
200mg
100mg/5ml
100mg
100mg
100mg
300mg
300mg
300mg
300mg
300mg
400mg
400mg
400mg
400mg
400mg
600mg
600mg
600mg
800mg
800mg
800mg
0,5mg
1mg
2mg
5mg
2 mg/ml
2mg/ml

Detinator APP
DR. REDDY'S LABORATORIES
DR. REDDY'S LABORATORIES

tara det.
APP
Ambalaj
ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.
ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 6 COMPR. FILM.

NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR.

VIM SPECTRUM SRL


AC HELCOR SRL
MEDOCHEMIE LTD.
SLAVIA PHARM SRL
BIO EEL SRL

ROMANIA
ROMANIA
ROMANIA
ROMANIA

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


CUTIE X 5 BLIST. AL/PVC X 10 COMPR.
CUTIE X 5 BLIST. X 10 COMPR.
CUTIE X 5 BLIST. X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

AWD PHARMA GMBH & CO.KG

GERMANIA

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

LABORMED PHARMA SA ROMANIA

CIPRU

ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


MEDOCHEMIE LTD. CIPRU
CUTIE X 2 BLIST. X 10 COMPR.
OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 2 BLIST. AL/PVCX 10 COMPR.
AC HELCOR SRL
ROMANIA CUTIE X 5 BLIST. X 10 COMPR.
ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR.
GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 5 BLIST. AL/PVDC-PVC X 10 COMPR. ELIB. PREL
GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 5 BLIST. AL/PVDC-PVC X 10 COMPR. ELIB. PREL.
NOVARTIS PHARMA GMBH GERMANIA

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

NOVARTIS PHARMA GMBH GERMANIA

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

AWD PHARMA GMBH & CO.KG

DESITIN
DESITIN
DESITIN

GERMANIA

CUTIE X 5 BLIST. AL-HARTIE CERATA/PVC-PVDC X 10 COMPR. FILM. ELIB. PREL.

CUTIE X 5 BLIST. X 10 COMPR. RET.


CUTIE X 5 BLIST. X 10 COMPR. RET.
GERMANIA CUTIE X 5 BLIST. X 10 COMPR. RET.

GERMANIA

GERMANIA

AWD PHARMA GMBH & CO.KG

GERMANIA

CUTIE X 5 BLIST. AL-HARTIE/PVC-PVDC X 10 COMPR. FILM. ELIB. PREL.

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 1 FLACON X 250 ML SUSP.ORALA + MASURA DOZATOARE

WORWAG PHARMA GMBH & CO. KG

GERMANIA

WORWAG PHARMA GMBH & CO. KG

GERMANIA

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


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

EGIS PHARMACEUTICALS P.L.C.

UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 60 CAPS.

WORWAG PHARMA GMBH & CO. KG

GERMANIA

WORWAG PHARMA GMBH & CO. KG

GERMANIA

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


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

MAREA BRITANIE

CUTIE X 5 BLIST. PVC-PVDC/AL X 10 CAPS.

RANBAXY UK LTD.

PLIVA LJUBLJANA D.O.O. SLOVENIA

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

EGIS PHARMACEUTICALS P.L.C.

UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 60 CAPS.

WORWAG PHARMA GMBH & CO. KG

GERMANIA

WORWAG PHARMA GMBH & CO. KG

GERMANIA

RANBAXY UK LTD.

MAREA BRITANIE

PLIVA LJUBLJANA D.O.O. SLOVENIA


EGIS PHARMACEUTICALS P.L.C.

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


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

CUTIE X 5 BLIST. PVC-PVDC/AL X 10 CAPS.

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

UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 60 CAPS.

RANBAXY UK LTD.

MAREA BRITANIE

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. PVC/AL X 100 COMPR. FILM.

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

UNGARIA

CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM.

RANBAXY UK LTD.

MAREA BRITANIE

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

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. PVC/AL X 100 COMPR. FILM.

EGIS PHARMACEUTICALS P.L.C.

UNGARIA

EGIS PHARMACEUTICALS P.L.C.

CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM.

LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
JANSSEN PHARMACEUTICA N.V. BELGIA
CUTIE X 1 BLIST. AL/PVC X 25 COMPR.
ROMPHARM COMPANY S.R.L.
GEDEON RICHTER ROMANIA SA

Pagina 24 din 29

ROMANIA
ROMANIA

CUTIE CU 1 FLACON PEJD CU PICURATOR PEJD X 10 ML PIC. OFT., SOL.

CUTIE X 1 FLACON PICURATOR X 10ML PICATURI ORALE-SOLUTIE

Prescriptie

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

10
6
P-6L
50
P-6L
50
P-6L
50
P-6L
50
P-6L
50
P-6L
20
P-6L
20
P-6L
50
P-6L
20
P-6L
20
P-6L
20
P-6L
50
P-6L
20
P-6L
50
P-6L
50
P-6L
50
P-6L
30
P-6L
50
P-6L
50
P-6L
50
P-6L
50
P-6L
50
P-6L
1
P-6L 100
P-6L
50
P-6L
60
P-6L
50
P-6L 100
P-6L
50
P-6L 100
P-6L
60
P-6L
50
P-6L 100
P-6L
50
P-6L 100
P-6L
60
P-6L
30
P-6L 100
P-6L
60
P-6L
30
P-6L 100
P-6L
60
P-RF
20
P-RF
30
P-RF
30
P-RF
25
PRF
1
P-RF
1
P-RF

P-RF

66.77
41.45
17.38
11.31
11.31
11.31
7.24
4.42
4.50
11.31
4.96
4.50
4.51
26.26
10.51
20.68
36.59
19.17
25.35
27.10
15.16
20.62
36.53
12.43
22.51
60.61
31.05
33.34
70.89
133.56
65.96
133.09
63.62
94.53
175.18
72.72
169.16
85.96
65.21
195.74
123.68
104.24
329.52
197.38
3.24
7.72
10.80
17.94
4.31
6.66

Pret
amanuntul
maximal/UT
(RON)

6.677000
6.908333
0.347600
0.226200
0.226200
0.226200
0.144800
0.221000
0.225000
0.226200
0.248000
0.225000
0.225500
0.525200
0.525500
0.413600
0.731800
0.383400
0.845000
0.542000
0.303200
0.412400
0.730600
0.248600
22.510000
0.606100
0.621000
0.555666
1.417800
1.335600
1.319200
1.330900
1.060333
1.890600
1.751800
1.454400
1.691600
1.432666
2.173666
1.957400
2.061333
3.474666
3.295200
3.289666
0.162000
0.257333
0.360000
0.717600
4.310000
6.660000

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

4.391887
4.391887
0.203580
0.203580
0.203580
0.203580
0.144800
0.203580
0.203580
0.203580
0.203580
0.203580
0.203580
0.407160
0.407160
0.305370
0.610740
0.203580
0.407160
0.407160
0.152685
0.305370
0.610740
0.203580
22.510000
0.359372
0.621000
0.359372
1.078123
1.078123
1.078123
1.078123
1.060333
1.437502
1.437502
1.437502
1.437502
1.432666
2.156253
1.957400
2.061333
2.875004
2.875004
2.875004
0.081000
0.162000
0.324000
0.717600
4.310000
3.240000

3.952698
3.952698
0.183222
0.183222
0.183222
0.183222
0.130320
0.183222
0.183222
0.183222
0.183222
0.183222
0.183222
0.366444
0.366444
0.274833
0.549666
0.183222
0.366444
0.366444
0.137416
0.274833
0.549666
0.183222
20.259000
0.323435
0.558900
0.323435
0.970311
0.970311
0.970311
0.970311
0.954299
1.293752
1.293752
1.293752
1.293752
1.289399
1.940628
1.761660
1.855199
2.587504
2.587504
2.587504
0.072900
0.145800
0.291600
0.645840
3.879000
2.916000

Nr crt.

cod ATC

1192

N05AD01

1193

N05AD01

1194

N05BA01

1195

N05BA01

1196

N05BA01

1197

N05BA01

1198

N05BA01

1199

N05BA01

1200

N05BA03

1201

N05BA03

1202

N05BA03

1203

N05BA03

1204

N05BA03

1205

N05BA06

1206

N05BA08

1207

N05BA08

1208

N05BA08

1209

N05BA08

1210

N05BA08

1211

N05BA08

1212

N05BA08

1213

N05BA08

1214

N05BA12

1215

N05BA12

1216

N05BA12

1217

N05BA12

1218

N05BA12

1219

N05BA12

1220

N05BA12

1221

N05BA12

1222

N05BA12

1223

N05BA12

1224

N05BA12

1225

N05BA12

1226

N05CD02

1227

N05CD02

1228

N05CD02

1229

N05CF01

1230

N05CF02

1231

N05CF02

1232

N05CF02

1233

N05CF02

1234

N05CF02

1235

N05CF02

1236

N05CF02

1237

N06AA04

1238

N06AA04

1239

N06AA09

1240

N06AA12

1241

N06AB03

DCI

HALOPERIDOLUM
HALOPERIDOLUM
DIAZEPAMUM
DIAZEPAMUM
DIAZEPAMUM
DIAZEPAMUM
DIAZEPAMUM
DIAZEPAMUM
MEDAZEPAMUM*
MEDAZEPAMUM*
MEDAZEPAMUM*
MEDAZEPAMUM*
MEDAZEPAMUM*
LORAZEPAMUM*
BROMAZEPAMUM*
BROMAZEPAMUM*
BROMAZEPAMUM*
BROMAZEPAMUM*
BROMAZEPAMUM*
BROMAZEPAMUM*
BROMAZEPAMUM*
BROMAZEPAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
NITRAZEPAMUM
NITRAZEPAMUM
NITRAZEPAMUM
ZOPICLONUM*
ZOLPIDEMUM*
ZOLPIDEMUM*
ZOLPIDEMUM*
ZOLPIDEMUM*
ZOLPIDEMUM*
ZOLPIDEMUM*
ZOLPIDEMUM*
CLOMIPRAMINUM*
CLOMIPRAMINUM*
AMITRIPTYLINUM*
DOXEPINUM*
FLUOXETINUM*

Denumire Comerciala

forma farm.

HALOPERIDOL DECANOAT SOL. INJ.


HALOPERIDOL RICHTER 5 mg/ml SOL. INJ.
DIAZEPAM 10 mg
COMPR.
DIAZEPAM
COMPR.
DIAZEPAM LAROPHARM 10 mg COMPR.
DIAZEPAM 10 mg
SOL. INJ.
DIAZEPAM DESITIN (R) SOLUTIE RECTALA 10 mg
DIAZEPAM DESITIN (R) SOLUTIE RECTALA 5 mg

ANSILAN 10 mg
MEDAZEPAM
MEDAZEPAM
MEDAZEPAM 10 mg
MEDAZEPAM LPH 10 mg
ANXIAR (R) 1 mg
CALMEPAM (R)
BROMAZEPAM LPH 1,5 mg
CALMEPAM (R)
LEXOTAN
LEXOTANIL
BROMAZEPAM LPH 3 mg
BROMAZEPAM SLAVIA 3 mg
BROMAZEPAM ARENA 3 mg
XANAX 0,25 mg
ALPRAZOLAM LPH (R) 0,25 mg

PRAZOLEX (R) 0,25 mg


FRONTIN 0,25 mg
XANAX 0,5 mg

ALPRAZOLAM LPH (R) 0,5 mg

FRONTIN 0,5 mg
PRAZOLEX (R) 0,5 mg
XANAX 1 mg
ALPRAZOLAM LPH (R) 1 mg
PRAZOLEX (R) 1 mg
FRONTIN 1mg
NITRAZEPAM LPH (R) 2,5 mg
NITRAZEPAM LPH (R) 5 mg
NITRAZEPAM 5 mg
IMOVANE 7,5 mg
SANVAL (R) 10 mg
SANVAL (R) 10 mg
ZOLPIDEM 10 mg
ZOLPIDEM ATB 10 MG
STILNOX 10 mg
STILNOX 10 mg
ZOLSANA 5 mg
ANAFRANIL (R) 10 mg
ANAFRANIL (R) 25 mg

SOL. RECTALA
SOL. RECTALA

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

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

DRAJ.
DRAJ.

AMITRIPTILINA ARENA 25 mg COMPR. FILM.

DOXEPIN 25 mg
FLUOXIN 20 mg

DRAJ.
CAPS.

concentratie

50mg/ml
5mg/ml
10mg
10mg
10mg
10mg/2ml
10mg/2,5ml
5mg/2,5ml
10mg
10 mg
10 mg
10mg
10mg
1 mg
1,5mg
1,5mg
3mg
3mg
3mg
3mg
3mg
3mg
0,25mg
0,25mg
0,25mg
0,25mg
0,5mg
0,5mg
0,5mg
0,5mg
1mg
1mg
1mg
1mg
2,5mg
5mg
5mg
7,5mg
10mg
10mg
10mg
10mg
10mg
10mg
5mg
10mg
25mg
25mg
25mg
20mg

Detinator APP
GEDEON RICHTER ROMANIA SA
GEDEON RICHTER ROMANIA SA
GEDEON RICHTER ROMANIA SA

TERAPIA SA
LAROPHARM SRL
TERAPIA SA
DESITIN
DESITIN
LEK PHARMACEUTICALS D.D.

tara det.
APP
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

Ambalaj

CUTIE X 5 FIOLE X 1 ML

Prescriptie

P-RF

CUTIE X 5 FIOLE DIN STICLA INCOLORA X 1 ML SOL. INJ. P-RF

CUTIE X 2 BLIST. X 10 COMPR.


CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 5 FIOLE X 2 ML

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

GERMANIA CUTIE X 5 PUNGI X 1 TUB X 2,5 ML + CANULA

S/P-RF

GERMANIA CUTIE X 5 PUNGI X 1 TUB X 2,5 ML + CANULA

S/P-RF

SLOVENIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 25 CAPS.

ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


ARENA GROUP SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR.
LAROPHARM SRL ROMANIA CUTIE X 1 BLIST. X 20 COMPR.
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 25 COMPR.
GLAXOSMITHKLINE (GSK) SRL ROMANIA CUTIE X 1 BLIST X 10 COMPR.
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
GLAXOSMITHKLINE (GSK) SRL ROMANIA CUTIE X 1 BLIST. X 10 COMPR.
ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
TERAPIA SA
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR.
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR.
ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 COMPR.
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR.
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 30 COMPR.
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 30 COMPR.
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR.
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR.
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 30 COMPR.
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
SANOFI AVENTIS
FRANTA CUTIE X 1 BLIST. AL/PVC X 20 COMPR. FILM.
LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 BLIST. X 10 COMPR. FILM.
LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 2 BLIST. X 10 COMPR. FILM.

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

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

ANTIBIOTICE S.A.

SANOFI - AVENTIS ROMANIA S.R.L.


SANOFI - AVENTIS ROMANIA S.R.L.

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


ROMANIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. FILM.
ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM.

P-RF
P-RF
P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF
NOVARTIS PHARMA GMBH GERMANIA
NOVARTIS PHARMA GMBH GERMANIA

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


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

ARENA GROUP S.A. ROMANIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. FILM.


TERAPIA SA
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 DRAJ.
VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. PVC/AL X 7 CAPS.

Pagina 25 din 29

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

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

5
5
20
30
20
5
5
5
25
20
50
20
20
50
10
20
10
30
10
20
10
10
30
20
30
30
30
20
30
30
30
20
30
30
20
20
20
20
10
20
10
10
10
20
20
30
30
50
30
14

44.52
12.48
1.99
3.14
1.05
8.34
32.62
25.99
3.82
2.45
5.61
2.25
2.47
6.70
3.08
2.14
1.56
7.16
1.56
3.10
2.20
1.54
5.65
2.68
4.35
4.93
8.94
4.24
7.46
5.79
12.70
6.06
8.24
12.60
1.37
1.57
2.40
15.50
4.13
8.27
4.25
4.25
6.56
14.22
13.56
7.24
14.31
15.01
18.30
11.28

Pret
amanuntul
maximal/UT
(RON)

8.904000
2.496000
0.099500
0.104666
0.052500
1.668000
6.524000
5.198000
0.152800
0.122500
0.112200
0.112500
0.123500
0.134000
0.308000
0.107000
0.156000
0.238666
0.156000
0.155000
0.220000
0.154000
0.188333
0.134000
0.145000
0.164333
0.298000
0.212000
0.248666
0.193000
0.423333
0.303000
0.274666
0.420000
0.068500
0.078500
0.120000
0.775000
0.413000
0.413500
0.425000
0.425000
0.656000
0.711000
0.678000
0.241333
0.477000
0.300200
0.610000
0.805714

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

8.904000
1.162619
0.099500
0.104666
0.052500
1.668000
6.524000
5.198000
0.122849
0.122500
0.112200
0.112500
0.122849
0.098279
0.036854
0.036854
0.073709
0.073709
0.073709
0.073709
0.073709
0.073709
0.061424
0.061424
0.061424
0.061424
0.122849
0.122849
0.122849
0.122849
0.245699
0.245699
0.245699
0.245699
0.055912
0.078500
0.111825
0.775000
0.413000
0.413500
0.419250
0.419250
0.419250
0.419250
0.209625
0.136979
0.342449
0.300200
0.342449
0.565199

8.013600
1.046357
0.089550
0.094199
0.047250
1.501200
5.871600
4.678200
0.110564
0.110250
0.100980
0.101250
0.110564
0.088451
0.033169
0.033169
0.066338
0.066338
0.066338
0.066338
0.066338
0.066338
0.055282
0.055282
0.055282
0.055282
0.110564
0.110564
0.110564
0.110564
0.221129
0.221129
0.221129
0.221129
0.050321
0.070650
0.100642
0.697500
0.371700
0.372150
0.377325
0.377325
0.377325
0.377325
0.188662
0.123281
0.308204
0.270180
0.308204
0.508679

Nr crt.

cod ATC

1242

N06AB03

1243

N06AB03

1244

N06AB03

1245

N06AB03

1246

N06AB04

1247

N06AB04

1248

N06AB04

1249

N06AB04

1250

N06AB04

1251

N06AB04

1252

N06AB04

1253

N06AB04

1254

N06AB04

1255

N06AB05

1256

N06AB05

1257

N06AB05

1258

N06AB05

1259

N06AB05

1260

N06AB05

1261

N06AB05

1262

N06AB05

1263

N06AB06

1264

N06AB06

1265

N06AB06

1266

N06AB06

1267

N06AB06

1268

N06AB06

1269

N06AB06

1270

N06AB06

1271

N06AB06

1272

N06AB06

1273

N06AB06

1274

N06AB06

1275

N06AB06

1276

N06AB06

1277

N06AB06

1278

N06AB06

1279

N06AB06

1280

N06AB08

1281

N06AB08

1282

N06AX03

1283

N06AX03

1284

N06AX11

1285

N06AX11

1286

N06AX11

1287

N06AX11

1288

N06AX11

1289

N06AX11

1290

N06AX11

1291

N06AX11

DCI

FLUOXETINUM*
FLUOXETINUM*
FLUOXETINUM*
FLUOXETINUM*
CITALOPRAMUM**
CITALOPRAMUM**
CITALOPRAMUM**
CITALOPRAMUM**
CITALOPRAMUM**
CITALOPRAMUM**
CITALOPRAMUM**
CITALOPRAMUM**
CITALOPRAMUM**
PAROXETINUM*
PAROXETINUM*
PAROXETINUM*
PAROXETINUM*
PAROXETINUM*
PAROXETINUM*
PAROXETINUM*
PAROXETINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
FLUVOXAMINUM*
FLUVOXAMINUM*
MIANSERINUM*
MIANSERINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*

Denumire Comerciala

FLUOXIN 20 mg
MAGRILAN 20 mg
ROFLUXIN 20 mg
PROZAC 20 mg
CITALORAN 10 mg
LINISAN 10 mg
DALSAN 10 mg
CITALORAN 20mg
LINISAN 20 mg
DALSAN 20 mg
CITALORAN 40 mg
LINISAN 40 mg
DALSAN 40 mg
ARKETIS
PAROXETIN ATB 20 mg
SEROXAT 20 mg
PALUXETIL 20 mg
PAXETIN 20 mg
PAROXETIN TEVA 20 mg
REXETIN
PALUXETIL 40 mg
SERLIFT 100 mg
ASENTRA (R)
STIMULOTON (R) 100 mg
SERTRALIN SANDOZ 100 mg
SERTRALINA 100 mg
SETALOFT 100 mg
XIMPROVE 100 mg
ZOLOFT 100 mg
SERLIFT 50 mg
ASENTRA (R)
STIMULOTON (R) 50 mg
SERTRALIN SANDOZ 50 mg
SERTRALINA 50 mg
SETALOFT 50 mg
XIMPROVE 50 mg
ZOLOFT 50 mg
ZOLOFT 20 mg/ml
FEVARIN (R) 100
FEVARIN (R) 50
MIANSERIN 10
MIANSERIN 30
REMERON SOLTAB 30 mg
MIRZATEN (R) 30 mg
MIRTAZAPINE-TEVA 30 mg
PHARMATAZ 30 mg
ESPRITAL (R) 30
MIRTAZAPIN AUROBINDO 15 mg

forma farm.

CAPS.
CAPS.
CAPS.

COMPR. DISP.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

COMPR.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
CONC. PT. SOL. ORALA

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. DISP.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. ORODISPERSABILE

MIRZATEN Q-TAB 30 mg

COMPR. ORODISPERSABILE

MIRTAZAPINA BLUEFISH 30 mg

COMPR. ORODISPERSABILE

concentratie

20mg
20mg
20mg
20mg
10mg
10mg
10mg
20mg
20mg
20mg
40mg
40mg
40mg
20mg
20 mg
20mg
20mg
20mg
20mg
20mg
40mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
20mg/ml
100mg
50mg
10mg
30mg
30mg
30mg
30mg
30mg
30mg
15mg
30mg
30mg

tara det.
APP
Ambalaj
VIM SPECTRUM SRL ROMANIA CUTIE X 4 BLIST. PVC/AL X 7 CAPS.
Detinator APP

Prescriptie

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

28
30
P-RF
20
P-RF
28
RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 2 BLIST. PVDC-PVC/AL X 14 COMPR. FILM. P-RF
28
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
30
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. AL-PVC/PVDC X 14 COMPR. FILM. P-RF
28
RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 2 BLIST. PVDC-PVC/AL X 14 COMPR. FILM. P-RF
28
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
30
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. AL-PVC/PVDC X 14 COMPR. FILM. P-RF
28
RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 2 BLIST. PVDC-PVC/AL X 14 COMPR. FILM. P-RF
28
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
30
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. AL-PVC/PVDC X 14 COMPR. FILM. P-RF
28
MEDOCHEMIE LTD. CIPRU
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF
30
ANTIBIOTICE SA
ROMANIA CUTIE CU 3 BLIST. DIN PVC-PE-PVDC/AL X 10 COMPR. FILM. PRF
30
SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
30
HEXAL AG
GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
30
ACTAVIS GROUP HF. ISLANDA CUTIE X 3 BLIST. AL/AL X 10 COMPR. FILM. P-RF
30
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. TRANSPARENTE DIN PVC-PVDC/AL X 30 COMPR. FILM. P-RF
30
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
30
HEXAL AG
GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
30
TERAPIA SA
ROMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM.
P-RF
28
KRKA D.D.
SLOVENIA CUTIE X 4 BLIST. X 7 COMPR. FILM.
P-RF
28
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-RF
28
HEXAL AG
GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
30
ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF
30
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLISTERE DIN PVC-PVDC/AL X 28 COMPR. FILM. P-RF
28
DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-RF
28
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 2 BLIST. PVC/AL X 14 COMPR. FILM. P-RF
28
TERAPIA SA
ROMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM.
P-RF
28
KRKA D.D.
SLOVENIA CUTIE X 4 BLIST. X 7 COMPR. FILM.
P-RF
28
EGIS PHARMACEUTICALS P.L.C. MAREA BRITANIE CUTIE X 3 BLIST. X 10 COMPR. FILM.
P-RF
30
HEXAL AG
GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
30
ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF
30
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLISTERE DIN PVC-PVDC/AL X 28 COMPR. FILM. P-RF
28
DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-RF
28
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 2 BLIST. PVC/AL X 14 COMPR. FILM. P-RF
28
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA BRUNA X 60 ML CONC. PT. SOL. ORALA + 1 PIPETA GRADATA P-RF
1
ABBOTT HEALTHCARE PRODUCTS B.V. OLANDA CUTIE X 2 BLIST. PVC/PVDC X 15 COMPR. FILM. P-RF
30
ABBOTT HEALTHCARE PRODUCTS B.V. OLANDA CUTIE X 2 BLIST. PVC/PVDC X 15 COMPR. FILM. P-RF
30
REMEDICA LTD.
CIPRU
CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF/S 100
REMEDICA LTD.
CIPRU
CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF
20
NV ORGANON
OLANDA
P-RF
30
KRKA D.D.
SLOVENIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF
30
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF
30
ACTAVIS GROUP HF. ISLANDA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF
30
ZENTIVA KS
CEHIA
CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF
30
AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. PA-AL-PVC/AL-POLIESTER-HARTIE X 30 COMPR. ORODISPERSABILE P-RF
30
KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. DIN AL/OPA-AL-PVC X 30 COMPR. ORODISPERSABILE P-RF
30
BLUEFISH PHARMACEUTICALS AB SUEDIA
CUTIE CU BLIST. PA-AL-PVC/AL-POLIESTER-HARTIE X 30 COMPR. ORODISPERSABILE
P-RF
30
MEDOCHEMIE LTD. CIPRU
CUTIE X 3 BLIST. AL/PVC X 10 CAPS.
ANTIBIOTICE S.A.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
ELI LILLY SA
SPANIA CUTIE X 2 BLIST. PVC-PE-ACLAR/AL X 14 COMPR. DISP.

CUTIE X 5 BLIST. AL/PVC-PA-POLIESTER PERFORAT PT. ELIB. UNEI UNIT. DOZATE X 6 COMPR. DISP.

Pagina 26 din 29

P-RF

P-RF

22.06
17.63
15.12
36.82
7.40
7.12
7.40
10.72
39.54
10.72
33.59
32.37
33.59
23.05
23.04
34.30
23.05
23.05
23.05
46.17
61.70
35.28
40.84
35.28
37.80
37.64
34.09
35.28
68.51
19.54
22.87
20.94
20.82
20.92
18.74
19.54
36.98
65.61
48.83
25.21
46.70
26.06
82.15
37.92
37.90
36.01
37.92
24.62
37.92
37.92

Pret
amanuntul
maximal/UT
(RON)

0.787857
0.587666
0.756000
1.315000
0.264285
0.237333
0.264285
0.382857
1.318000
0.382857
1.199642
1.079000
1.199642
0.768333
0.768000
1.143333
0.768333
0.768333
0.768333
1.539000
2.056666
1.260000
1.458571
1.260000
1.260000
1.254666
1.217500
1.260000
2.446785
0.697857
0.816785
0.698000
0.694000
0.697333
0.669285
0.697857
1.320714
65.610000
1.627666
0.840333
0.467000
1.303000
2.738333
1.264000
1.263333
1.200333
1.264000
0.820666
1.264000
1.264000

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

0.565199
0.565199
0.565199
0.565199
0.264285
0.237333
0.264285
0.382857
0.565199
0.382857
1.130399
1.079000
1.130399
0.565199
0.565199
0.565199
0.565199
0.565199
0.565199
0.565199
1.130399
1.130399
1.130399
1.130399
1.130399
1.130399
1.130399
1.130399
1.130399
0.565199
0.565199
0.565199
0.565199
0.565199
0.565199
0.565199
0.565199
13.564794
0.565199
0.282599
0.398248
1.194751
1.263333
1.263333
1.263333
1.200333
1.263333
0.631666
1.263333
1.263333

0.508679
0.508679
0.508679
0.508679
0.237856
0.213599
0.237856
0.344571
0.508679
0.344571
1.017359
0.971100
1.017359
0.508679
0.508679
0.508679
0.508679
0.508679
0.508679
0.508679
1.017359
1.017359
1.017359
1.017359
1.017359
1.017359
1.017359
1.017359
1.017359
0.508679
0.508679
0.508679
0.508679
0.508679
0.508679
0.508679
0.508679
12.208315
0.508679
0.254339
0.358423
1.075276
1.136999
1.136999
1.136999
1.080299
1.136999
0.568499
1.136999
1.136999

Nr crt.

cod ATC

1292

N06AX11

1293

N06AX11

1294

N06AX11

1295

N06AX11

1296

N06AX11

1297

N06AX16

1298

N06AX16

1299

N06AX16

1300

N06AX16

1301

N06AX16

1302

N06AX16

1303

N06AX16

1304

N06AX16

1305

N06AX16

1306

N06AX16

1307

N06AX16

1308

N06AX16

1309

N06AX16

1310

N06AX16

1311

N06AX16

1312

N06AX16

1313

N06AX16

1314

N06AX16

1315

N06AX16

1316

N06AX16

1317

N06AX16

1318

N06AX16

1319

N06AX16

1320

N06AX16

1321

N06AX16

1322

N06AX16

1323

N06AX16

1324

N06AX16

1325

N06AX16

1326

N06AX16

1327

N06AX16

1328

N06AX16

1329

N06AX16

1330

N06AX16

1331

N06AX16

1332

N06AX16

1333

N06AX16

1334

N06AX16

1335

N06AX16

1336

N06AX16

1337

N06AX16

1338

N06AX16

1339

N06AX16

1340

N06AX16

1341

N06AX16

DCI

MIRTAZAPINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**

Denumire Comerciala
MIRTAZAPIN AUROBINDO 30 mg

ZULIN 30 mg
ZULIN 30 mg
PHARMATAZ 30 mg

MIRTAZAPIN AUROBINDO 45 mg

IVRYX 150mg
EFECTIN EP 150 mg
EFECTIN ER 150 mg
VELAXIN 150 mg
ALVENTA 150mg
FOBILESS 150 mg
NOPEKAR 150 mg
ADOXA EP 150 mg
ELIFY EP 150 mg
VENLAGAMMA 150 mg
JARVIS 150 mg

VENLAFAXINA ACTAVIS 150 mg

forma farm.
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE

CAPS. ELIB. PREL.


CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.

VENLAFAXINA ARENA EP 150 mg CAPS. ELIB. PREL.

NOPEKAR 150 mg
FOBILESS 37,5 mg
NOPEKAR 37,5 mg
VENLAGAMMA 37,5 mg

CAPS. ELIB. PREL.


CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.

VENLAFAXINA ARENA EP 37,5 mg CAPS. ELIB. PREL.

NOPEKAR 37,5 mg
IVRYX 75mg
EFECTIN EP 75 mg
EFECTIN ER 75 mg
VELAXIN 75 mg
ALVENTA 75 mg
FOBILESS 75 mg
NOPEKAR 75 mg
ADOXA EP 75 mg
ELIFY EP 75 mg
VENLAGAMMA 75 mg
JARVIS 75 mg

CAPS. ELIB. PREL.

VENLAFAXINA ACTAVIS 75 mg

CAPS. ELIB. PREL.

CAPS. ELIB. PREL.


CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.

VENLAFAXINA ARENA EP 75 mg CAPS. ELIB. PREL.

NOPEKAR 75 mg
CAPS. ELIB. PREL.
VENLAFAXINA LPH 37,5 mg COMPR.
VELAXIN 37,5 mg
COMPR.
ADOXA 37,5 mg
COMPR.
VENLAFAXINA ARENA 37,5 mg COMPR.
ADOXA 50 mg
COMPR.
VENLAFAXINA ARENA 50 mg COMPR.
VENLAFAXINA LPH 75 mg
COMPR.
VELAXIN 75 mg
COMPR.
ADOXA 75 mg
COMPR.
ADOXA 75 mg
COMPR.
VENLAFAXINA ARENA 75 mg COMPR.
ARGOFAN 150 SR
COMPR. ELIB. PREL.

concentratie

30mg
30mg
30mg
30mg
45mg
150 mg
150 mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
37,5mg
37,5mg
37,5mg
37,5mg
37,5mg
75 mg
75 mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
37,5mg
37,5mg
37,5mg
37,5mg
50mg
50mg
75mg
75mg
75mg
75mg
75mg
150mg

Detinator APP

tara det.
APP

Ambalaj

Prescriptie

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

30 38.11
6
7.83
CUTIE X 5 BLIST. AL/AL X 6 COMPR. ORODISPERSABILE P-RF
30 37.90
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 5 FOLII TERMOSUDATE OPA-AL/AL-PVC X 6 COMPR. ORODISPERSABILE PRF
30 32.17
AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. PA-AL-PVC/AL-POLIESTER-HARTIE X 30 COMPR. ORODISPERSABILE P-RF
30 63.52
ROMASTRU TRADING S.R.L. ROMANIA CUTIE X 2 BLIST. PCV-ACLAR/AL X 14 CAPS. CU ELIB. PREL. P-RF
28 91.54
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU BLIST. DIN ACLAR-PE-PVC/AL X 28 CAPS. ELIB. PREL. PRF
28 58.69
WYETH LEDERLE PHARMA GMBH AUSTRIA CUTIE X 1 BLIST. ACLAR/PE/PVC/AL X 28 CAPS. ELIB. PREL. P-RF
28 58.69
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 CAPS. CU ELIB. PREL. P-RF
28 91.54
KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 30 CAPS. ELIB. PREL. P-RF
30 75.31
LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL.
P-RF
30 98.02
OZONE LABORATORIES BV OLANDA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. ELIB. PREL. P-RF
28 91.54
RANBAXY (UK) LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF
30 90.38
MEDOCHEMIE LTD. CIPRU
CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF
30 98.08
WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC- PCTF/AL X 100 CAPS. CU ELIB. PREL. P-RF/S
100 304.19
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 CAPS. CU ELIB. PREL. P-RF
30 98.08
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/AL X 28 CAPS. CU ELIB. PREL. P-RF
28 75.38
ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-RF
30 85.18
LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. ELIB. PREL. P-RF
28 91.54
LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL.
P-RF
30 35.58
OZONE LABORATORIES BV OLANDA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. CU ELIB. PREL. P-RF
28 46.57
WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC- PCTF/AL X 100 CAPS. CU ELIB. PREL. P-RF/S
100 65.80
ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-RF
30 32.88
LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. CU ELIB. PREL. P-RF
28 46.57
ROMASTRU TRADING S.R.L. ROMANIA CUTIE X 2 BLIST. PCV-ACLAR/AL X 14 CAPS. CU ELIB. PREL. P-RF
28 47.52
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU BLIST. DIN ACLAR-PE-PVC/AL X 28 CAPS. ELIB. PREL. PRF
28 35.58
WYETH LEDERLE PHARMA GMBH AUSTRIA CUTIE X 1 BLIST. ACLAR/PE/PVC/AL X 28 CAPS. ELIB. PREL. P-RF
28 35.58
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 CAPS. CU ELIB. PREL P-RF
28 47.52
KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 30 CAPS. ELIB. PREL. P-RF
30 32.91
LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL.
P-RF
30 50.89
OZONE LABORATORIES BV OLANDA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. ELIB. PREL. P-RF
28 47.52
RANBAXY (UK) LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF
30 39.50
MEDOCHEMIE LTD. CIPRU
CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF
30 50.94
WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC- PCTF/AL X 100 CAPS. CU ELIB. PREL. P-RF/S
100 111.93
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 CAPS. CU ELIB. PREL. P-RF
30 50.94
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/AL X 28 CAPS. CU ELIB. PREL. P-RF
28 31.74
ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-RF
30 47.73
LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. ELIB. PREL. P-RF
28 47.52
LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 20 COMPR. P-RF
60 62.25
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. PVC-PVDC/AL X 14 COMPR. P-RF
56 58.14
TERAPIA SA
ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-RF
30 32.20
ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE- PVDC/AL X 10 COMPR. P-RF
30 32.20
TERAPIA SA
ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-RF
30 38.50
ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE- PVDC/AL X 10 COMPR. P-RF
30 38.50
LABORMED PHARMA SA ROMANIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. P-RF
60 77.52
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. PVC-PVDC/AL X 14 COMPR. P-RF
56 72.46
TERAPIA SA
ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-RF
30 40.87
TERAPIA SA
ROMANIA CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. P-RF
30 40.87
ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE- PVDC/AL X 10 COMPR. P-RF
30 40.87
ZENTIVA A.S.
SLOVACIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. ELIB. PREL. P-RF
30 90.38
AUROBINDO PHARMA LIMITED

MAREA BRITANIE CUTIE CU BLIST. PA-AL-PVC/AL-POLIESTER-HARTIE X 30 COMPR. ORODISPERSABILE

ANTIBIOTICE S.A.
ANTIBIOTICE S.A.

ROMANIA
ROMANIA

Pagina 27 din 29

P-RF

CUTIE X 1 BLIST. AL/AL X 6 COMPR. ORODISPERSABILE P-RF

Pret
amanuntul
maximal/UT
(RON)

1.270333
1.305000
1.263333
1.072333
2.117333
3.269285
2.096071
2.096071
3.269285
2.510333
3.267333
3.269285
3.012666
3.269333
3.041900
3.269333
2.692142
2.839333
3.269285
1.186000
1.663214
0.658000
1.096000
1.663214
1.697142
1.270714
1.270714
1.697142
1.097000
1.696333
1.697142
1.316666
1.698000
1.119300
1.698000
1.133571
1.591000
1.697142
1.037500
1.038214
1.073333
1.073333
1.283333
1.283333
1.292000
1.293928
1.362333
1.362333
1.362333
3.012666

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

1.263333
1.263333
1.263333
1.072333
1.894999
2.368800
2.096071
2.096071
2.368800
2.368800
2.368800
2.368800
2.368800
2.368800
2.368800
2.368800
2.368800
2.368800
2.368800
0.592200
0.592200
0.592200
0.592200
0.592200
1.184400
1.184400
1.184400
1.184400
1.097000
1.184400
1.184400
1.184400
1.184400
1.119300
1.184400
1.133571
1.184400
1.184400
0.592200
0.592200
0.592200
0.592200
0.789600
0.789600
1.184400
1.184400
1.184400
1.184400
1.184400
2.368800

1.136999
1.136999
1.136999
0.965099
1.705499
2.131920
1.886463
1.886463
2.131920
2.131920
2.131920
2.131920
2.131920
2.131920
2.131920
2.131920
2.131920
2.131920
2.131920
0.532980
0.532980
0.532980
0.532980
0.532980
1.065960
1.065960
1.065960
1.065960
0.987300
1.065960
1.065960
1.065960
1.065960
1.007370
1.065960
1.020213
1.065960
1.065960
0.532980
0.532980
0.532980
0.532980
0.710640
0.710640
1.065960
1.065960
1.065960
1.065960
1.065960
2.131920

Nr crt.

cod ATC

1342

N06AX16

1343

N06AX16

1344

N06AX16

1345

N07AA01

1346

P01AB02

1347

P01AB02

1348

P01AB02

1349

P01AB02

1350

P02CA03

1351

P02CA03

1352

P02CA03

1353

P02CA03

1354

P02CA03

1355

P02CA03

1356

P02CA03

1357

P02CE01

1358

P02CE01

1359

P02CE01

1360

P02CE01

1361

R01AD01

1362

R03AC02

1363

R03AC02

1364

R03AC02

1365

R03BA01

1366

R03BA02

1367

R03BA02

1368

R03BA02

1369

R03BA02

1370

R03BA02

1371

R03BA02

1372

R03BA02

1373

R03BB01

1374

R03BB01

1375

R03CC02

1376

R03CC02

1377

R03CC02

1378

R03DA04

1379

R03DA04

1380

R03DA04

1381

R03DA04

1382

R03DA04

1383

R05DA04

1384

R05DA04

1385

R05DA04

1386

R05DA04

1387

R05DA04

1388

R05DA04

1389

R05DA04

1390

R06AB04

1391

R06AE07

DCI

VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
NEOSTIGMINI BROMIDUM
TINIDAZOLUM
TINIDAZOLUM
TINIDAZOLUM
TINIDAZOLUM
ALBENDAZOLUM
ALBENDAZOLUM
ALBENDAZOLUM
ALBENDAZOLUM
ALBENDAZOLUM
ALBENDAZOLUM
ALBENDAZOLUM
LEVAMISOLUM
LEVAMISOLUM
LEVAMISOLUM
LEVAMISOLUM
BECLOMETASONUM*
SALBUTAMOLUM
SALBUTAMOLUM
SALBUTAMOLUM
BECLOMETASONUM*
BUDESONIDUM*
BUDESONIDUM*
BUDESONIDUM*
BUDESONIDUM*
BUDESONIDUM*
BUDESONIDUM*
BUDESONIDUM*
IPRATROPII BROMIDUM*
IPRATROPII BROMIDUM*
SALBUTAMOLUM
SALBUTAMOLUM
SALBUTAMOLUM
THEOPHYLLINUM
THEOPHYLLINUM
THEOPHYLLINUM
THEOPHYLLINUM
THEOPHYLLINUM
CODEINUM
CODEINUM
CODEINUM
CODEINUM
CODEINUM
CODEINUM
CODEINUM
CHLORPHENAMINUM
CETIRIZINUM

Denumire Comerciala

ARGOFAN 75 SR

forma farm.
COMPR. ELIB. PREL.

VENLAFAXINA ACTAVIS 37,5 mg COMPR. FILM.


VENLAFAXINA ACTAVIS 75 mg COMPR. FILM.

NEOSTIGMINA LPH 15 mg

TINIZOL (R) 500 mg (J01XD02)


TIPROGYN 500 (vezi J01XD02)
TINIZOL (R) 500 mg (J01XD02)
TIPROGYN 500 (vezi J01XD02)

ALBENDAZOL VIM SPECTRUM 200 mg

ESKAZOLE
DUADOR 200 mg
ZENTEL 200 mg
ALBENDAZOL LPH 200 mg
ZENTEL 0,4 g/10 ml
VERMIGAL NOVO 400 mg
DECARIS 150 mg
LEVAMISOL ARENA 150 mg
DECARIS 50 mg
LEVAMISOL ARENA 50 mg
RINOCLENIL 100
VENTOLIN (R)
VENTOLIN 100 INHALER CFC-FREE

ASTHALIN INHALER
CLENIL (R) JET 250 mcg
FRENOLYN 200
FRENOLYN 200
PULMICORT TURBUHALER 200 mcg/doza

FRENOLYN 400
FRENOLYN 400
BUDIAIR 200 mcg
BUDIAIR 200 mcg JET
IPRAXA 500mcg/2ml
IPRAVENT INHALER 20mcg/doza

SALBUTAMOL EIPICO 2mg/5ml

VENTOLIN (R)
SALBUTAMOL T
THEO SR 100
TEOTARD (R) 200
THEO SR 200
THEO SR 300
TEOTARD (R) 350

FOSFAT DE CODEINA 15 mg

CODEINA FOSFORICA
FARMACOD
CODEINA FOSFAT

CODEINA FOSFAT LPH 15 mg


CODEINA FOSFAT MCC 15 mg

CODEINA FOSFAT 15 mg
CLORFENIRAMIN
CELERG

COMPR.

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

COMPR.
COMPR.

COMPR. FILM.
COMPR. FILM.

COMPR.FILM
SUSP. ORALA
SUSP. ORALA

COMPR.
COMPR.
COMPR.
COMPR.

SPRAY NAZ.,SUSP.

SOL. INHAL.
SUSP. INHAL. PRESURIZATA
SUSP. INHAL. PRESURIZATA
SOL. INHALAT PRESURIZATA

PULB. INHAL.
PULB. INHAL.
PULB. INHAL.
PULB. INHAL.
PULB. INHAL.
SOL. DE INHALAT PRESURIZATA

concentratie

75mg
37,5 mg
75mg
15mg
500mg
500mg
500mg
500mg
200mg
400mg
200mg
200mg
200 mg
0,4g/10ml
400mg/10ml
150mg
150mg
50mg
50mg
100mcg/doza
5mg/ml
100mcg/doza
100mcg/doza
250mcg/doza
200 mcg/doza
200 mcg/doza

tara det.
APP
ZENTIVA A.S.
SLOVACIA
ACTAVIS S.R.L.
ROMANIA
ACTAVIS S.R.L.
ROMANIA
LABORMED PHARMA SA ROMANIA
ZENTIVA S.A.
ROMANIA
AC HELCOR SRL
ROMANIA
ZENTIVA S.A.
ROMANIA
AC HELCOR SRL
ROMANIA
VIM SPECTRUM SRL ROMANIA
Detinator APP

GLAXO SMITHKLINE EXPORT LTD. MAREA BRITANIE

GEDEON RICHTER ROMANIA SA

200mcg/doza
500mcg/2ml
SUSP. INHAL. PRESURIZATA 20mcg/doza
SIROP
2mg/5ml
SOL. INJ.
0,5mg/ml
SOL. ORALA 0,04%
CAPS. ELIB. PREL. 100mg
CAPS. ELIB. PREL. 200mg
CAPS. ELIB. PREL. 200mg
CAPS. ELIB. PREL. 300mg
CAPS. ELIB. PREL. 350mg
COMPR.
15mg
COMPR.
15mg
COMPR.
15mg
COMPR.
15mg
COMPR.
15mg
COMPR.
15mg
COMPR.
15mg
COMPR.
4mg
COMPR. FILM. 10 mg

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


CUTIE X 1 BLIST. X 4 COMPR. FILM.
CUTIE X 1 BLIST. X 4 COMPR.FILM.
CUTIE X 1 BLIST. X 4 COMPR. FILM.
CUTIE X 1 BLIST. X 4 COMPR.FILM.
CUTIE X 1 BLIST. AL/PVC X 2 COMPR.

ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
ARENA GROUP S.A. ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
ARENA GROUP S.A. ROMANIA

P-RF
P-RF

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

CUTIE X 1 BLIST. AL/PVDC-PVC X 2 COMPR. FILM. P-RF

ROMANIA CUTIE X 1 BLIST. AL/PVC X 2 COMPR. FILM.

BIOFARM S.A.

Prescriptie

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

GLAXOSMITHKLINE EXPORT LTD. MAREA BRITANIE CUTIE X 1 FLACON UNIDOZA DIN PVC X 10 ML SUSP. ORALA

P-RF
P-RF

CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 ML SUSP. ORALA P-RF

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


CUTIE CU 1 BLIST. PVC/AL X 1 COMPR.
CUTIE X 1 BLIST. AL/PVC X 2 COMPR.
CUTIE CU 1 BLIST. PVC/AL X 2 COMPR.

P-RF
P-RF

P-RF
P-RF
P-RF

CHIESI FARMACEUTICI SPA

ITALIA

CUTIE X 1 FLACON DIN PET X 30 ML SPRAY NAZ.,SUSP., PREVAZUT CU POMPA DOZATOARE

GLAXOWELLCOME UK LTD.

MAREA BRITANIE

CUTIE X 1 FALC. DIN STICLA BRUNA X 10 ML SOL. DE INHAL. P-6L

GLAXOWELLCOME UK LTD.

MAREA BRITANIE

CUTIE X 1 FLACON PRESURIZAT DIN AL PREVAZUT CU VALVA DOZATOARE X 200 DOZE + DISPOZITIV DE ADMINISTRA

P-RF

CIPLA (UK) LIMITED

MAREA BRITANIE

CUTIE X 1 FLAC. AL + VALVA DOZATOARE + DISP. ADM. X 200 DOZE SUSP. INHAL. PRESURIZATA

P-6L

CUTIE X 1 FLACON PRESURIZAT DIN AL X 200 DOZE, PREVAZUT CU VALVA DOZATOARE + DISPOZITIV DE ADM., "SP

P-RF

CHIESI FARMACEUTICI SPA


MEDOCHEMIE ROMANIA SRL
MEDOCHEMIE ROMANIA SRL

200mcg/doza ASTRAZENECA AB

400 mcg/doza
400 mcg/doza
200 mcg/doza

CUTIE X 4 BLIST. AL/PVC X 14 COMPR. FILM.


CUTIE X 4 BLIST. AL/PVC X 14 COMPR. FILM.

ROMANIA CUTIE X 1 BLIST. X 2 COMPR. FILM.

GLAXOSMITHKLINE EXPORT LTD. MAREA BRITANIE

LABORMED PHARMA S.A.

Ambalaj

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

MEDOCHEMIE ROMANIA SRL


MEDOCHEMIE ROMANIA SRL

CHIESI FARMACEUTICI SPA

SOL. DE INHALAT PRESURIZATA

CHIESI FARMACEUTICI SPA

SOL. DE INHALAT PRIN NEBULIZ.

TEVA PHARMACEUTICALS S.R.L.

CIPLA (UK) LIMITED

ITALIA

ROMANIA CUTIE X 1 PUNGA X 1 INHALATOR X 100 DOZE


ROMANIA CUTIE X 1 PUNGA X 1 INHALATOR X 200 DOZE

P-RF

CUTIE X 1 FLACON MULTIDOZA DIN PEID X 100 DOZE PULB. INHAL.

P-RF

ROMANIA CUTIE X 1 PUNGA X 1 INHALATOR X 100 DOZE


ROMANIA CUTIE X 1 PUNGA X 1 INHALATOR X 200 DOZE

P-RF

SUEDIA

ITALIA
ITALIA

ROMANIA

P-RF

CUTIE X 1 FLACON X 200 DOZE SOL. DE INHALAT PRESURIZATA + VALVA DOZATOARE + DISPOZITIV DE ADMINISTRA

P-RF

CUTIE X 1 FLACON X 200 DOZE SOL. DE INHALAT PRESURIZATA = VALVA DOZATOARE + DISPOZITIV JET DE ACTION

P-RF

CUTIE X 20 FIOLE DIN PEJD X 2 ML SOL. DE INHALAT PRIN NEBULIZATOR

P-6L

MAREA BRITANIE CUTIE X 1 FLACON AL PRESURIZAT X 200 DOZE SUSP.DE INHALAT PRESURIZATA

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

P-RF

CUTIE X 1 FLAC. DIN STICLA BRUNA X 125 ML SIROP

CUTIE X 5 FIOLE DIN STICLA X 1 ML


TIS FARMACEUTIC SA ROMANIA CUTIE X 1 FLACON X 100 ML

P-6L
P-6L

GLAXO WELLCOME UK LTD.

MAREA BRITANIE

P-6L

GLAXOSMITHKLINE (GSK) SRL

ROMANIA

CUTIE X 2 BLIST. PVC/PVDC-AL X 10 CAPS. ELIB. PREL. P-RF

KRKA D.D.
GLAXOSMITHKLINE (GSK) SRL
GLAXOSMITHKLINE (GSK) SRL

KRKA D.D.
SINTOFARM SA
BIO EEL SRL
FARMACOM SA
SLAVIA PHARM SRL
LABORMED PHARMA SA

MAGISTRA C & C SRL


OZONE LABORATORIES PHARMA S.A.

LABORMED PHARMA SA
AC HELCOR PHARMA SRL

Pagina 28 din 29

SLOVENIA CUTIE X 4 BLIST. AL/PVC X 10 CAPS. ELIB. PREL.

ROMANIA
ROMANIA

P-6L
P-RF

CUTIE X 1 BLIST. PVC/PVDC-AL X 10 CAPS. ELIB. PREL. P-RF


CUTIE X 1 BLIST. PVC/PVDC - AL X 10 CAPS. ELIB. PREL. P-RF

SLOVENIA CUTIE X 4 BLIST. AL/PVC X 10 CAPS. ELIB. PREL.

P-RF

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

P-RF

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


CUTIE X 1 BLIST. AL/PVC X 25 COMPR.
CUTIE X 2 BLIST. X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 1 BLIST. AL/PVC X 20 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

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

P-6L

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

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

Pret
amanuntul
maximal/UT
(RON)

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

30 39.48
1.316000
1.184400
1.065960
56 38.11
0.680535
0.592200
0.532980
56 61.43
1.096964
1.096964
0.987267
20 13.73
0.686500
0.686500
0.617850
4
3.70
0.925000
0.682799
0.614519
4
3.68
0.920000
0.682799
0.614519
4
3.70
0.925000
0.682799
0.614519
4
3.68
0.920000
0.682799
0.614519
2
6.22
3.110000
3.110000
2.799000
12 71.68
5.973333
5.973333
5.375999
2
6.38
3.190000
3.110000
2.799000
2
9.82
4.910000
3.110000
2.799000
2
6.39
3.195000
3.110000
2.799000
1
5.73
5.730000
3.813750
3.432375
1
3.74
3.740000
3.740000
3.366000
1
3.42
3.420000
3.420000
3.078000
1
3.42
3.420000
3.420000
3.078000
2
3.02
1.510000
1.139988
1.025989
2
3.02
1.510000
1.139988
1.025989
1 48.52 48.520000 42.718000 38.446200
1
8.92
8.920000
1.558800
1.402920
1 10.51 10.510000
7.794000
7.014600
1
6.81
6.810000
6.810000
6.129000
1 101.96 101.960000 101.960000 91.764000
1 39.48 39.480000 39.480000 35.532000
1 75.00 75.000000 75.000000 67.500000
1 60.76 60.760000 40.790000 36.711000
1 84.20 84.200000 81.580000 73.422000
1 172.36 172.360000 163.160000 146.844000
1 74.98 74.980000 43.509332 39.158399
1 74.98 74.980000 43.509332 39.158399
20 31.83
1.591500
1.579124
1.421212
1 12.60 12.600000 12.600000 11.340000
1
3.05
3.050000
3.050000
2.745000
5
3.56
0.712000
0.712000
0.640800
1
2.67
2.670000
2.497500
2.247750
20
5.72
0.286000
0.178800
0.160920
40
9.38
0.234500
0.234500
0.211050
10
4.27
0.427000
0.357600
0.321840
10
5.96
0.596000
0.536400
0.482760
40 13.98
0.349500
0.349500
0.314550
30
6.01
0.200333
0.151000
0.135900
25
5.13
0.205200
0.151000
0.135900
20
3.02
0.151000
0.151000
0.135900
20
3.02
0.151000
0.151000
0.135900
20
3.19
0.159500
0.151000
0.135900
20
3.65
0.182500
0.151000
0.135900
20
2.96
0.148000
0.148000
0.133200
20
2.31
0.115500
0.115500
0.103950
20 21.16
1.058000
0.970650
0.873585

DCI

Nr crt.

cod ATC

1392

R06AE07

1393

R06AE07

1394

R06AX17

1395

R06AX17

1396

R06AX17

1397

R06AX17

1398

R06AX17

1399

R06AX17

1400

R06AX17

1401

S01AX13

1402

S01BC03

1403

S01BC03

1404

S01CA05

CETIRIZINUM
CETIRIZINUM
KETOTIFENUM
KETOTIFENUM
KETOTIFENUM
KETOTIFENUM
KETOTIFENUM
KETOTIFENUM
KETOTIFENUM
CIPROFLOXACINUM
DICLOFENACUM
DICLOFENACUM
COMBINATII

1405

S01CA05

COMBINATII (CLORAMPHENICOLUM+BETHAMETASONUM)

1406

S01CA05

COMBINATII (CLORAMPHENICOLUM+BETHAMETASONUM)

Denumire Comerciala

LETIZEN (R) 10 mg
ZYRTEC 10 mg/ml
KETOF 1 mg
KETOF 1 mg
KETOTIFEN LPH (R) 1 mg
H - KETOTIFEN
KETOTIFEN

forma farm. concentratie


Detinator APP
COMPR. FILM. 10mg
KRKA D.D.

tara det.
APP
Ambalaj
SLOVENIA CUTIE X 2 BLIST. X 10 COMPR. FILM.

P-6L

PICATURI ORALE-SOL.

GERMANIA

P-6L

10mg/ml
U.C.B. GMBH
CAPS.
1mg
HEXAL AG
CAPS.
1mg
HEXAL AG
COMPR.
1mg
LABORMED PHARMA SA
COMPR.
1mg
AC HELCOR SRL
COMPR.
1mg
MAGISTRA C&C S.R.L.
KETOTIFEN LAROPHARM 1 mg COMPR.
1mg
LAROPHARM SRL
KETOF 1 mg/5 ml
SIROP
1mg/5ml
HEXAL AG
CIPLOX (vezi S01AX13)
UNG. OFT. 0,3%
CIPLA (UK) LIMITED
DICLOFENAC ROMPHARM PIC. OFT.-SOL. 1mg/ml
ROMPHARM COMPANY SRL
UNICLOPHEN (R) 0,1%
PICATURI OFT.-SOL. 0,1%
UNIMED PHARMA LTD.
OPHTAMESONE - N
SOL. OFT.
FARA CONCENTRATIE DAR AL DAWA PHARMA S.R.L.
BETABIOPTAL
PICATURI OFT.SUSP. 0,2g+0,5g/100ml FARMILA FARMACEUTICI MILANO SPA
BETABIOPTAL
UNG. OFT. 0,2g+0,5g/100g FARMILA FARMACEUTICI

CUTIE X 1 FLAC. STICLA BRUNA X 20 ML PIC. ORAL. SOL + APLICATOR PT. PICURARE

Prescriptie

ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE X 5 BLIST. AL/PP X 10 CAPS.


CUTIE X 2 BLIST. AL/PP X 10 CAPS.
CUTIE X 2 BLIST. X 10 COMPR.
CUTIE X 2 BLIST. X 10 COMPR.
CUTIE X 2 BLIST. X 10 COMPR.
CUTIE X 1 BLIST. AL/PVC X 20 COMPR.

GERMANIA

CUTIE X 1 FLACON X 100 ML SIROP + MASURA DOZATOARE P-6L

GERMANIA
GERMANIA

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

MAREA BRITANIE CUTIE X 1 TUB DIN AL + VARF APLICATOR SI CAPAC DIN PEID X 5G UNG. OFT.

P-RF

ROMANIA

FLACON PICURATOR DIN PEJD X 5 ML PIC. OFT., SOL.

P-6L

SLOVACIA

CUTIE X 1 FLACON DIN PE X 10 ML PIC. OFTALMICE, SOL., PREVAZUT CU PICURATOR

P-6L

ROMANIA CUTIE X 1 FLACON X 10ML

ITALIA
ITALIA

P-RF

CUTIE X 1 FLACON DIN PEJD X 5 ML PIC. OFT.,SUSP. + APLICATOR PT. PICURARE

P-RF

CUTIE X 1 TUB AL X 5 G

P-RF

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

20
1
50
20
20
20
20
20
1
1
1
1
1
1
1

NOT:
- Tratamentul cu medicamentele corespunztoare DCI-urilor notate cu (*) se iniiaza de medicul de specialitate in limita competenei i poate fi prescris n continuare de medicul de familie pe baza scrisorii medicale
emise de medicul de specialitate;
- Tratamentul cu medicamentele corespunztoare DCI-urilor notate cu (**) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale Ministerului Sntii;
- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (***) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale Ministerului Sntii i cu aprobarea comisiilor
de la nivelul Caselor Judeene de Asigurri de Sntate;
- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (1) se efectueaza pentru pacienii cu intoleran la acidum acetylsalicylicum.

Pagina 29 din 29

13.53
22.99
13.81
5.25
3.31
3.65
3.45
3.45
11.43
4.27
10.69
11.23
4.50
13.45
15.45

Pret
amanuntul
maximal/UT
(RON)

0.676500
22.990000
0.276200
0.262500
0.165500
0.182500
0.172500
0.172500
11.430000
4.270000
10.690000
11.230000
4.500000
13.450000
15.450000

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

0.676500
19.413000
0.172500
0.172500
0.165500
0.172500
0.172500
0.172500
11.430000
4.270000
8.152500
11.230000
4.500000
7.065000
7.065000

0.608850
17.471700
0.155250
0.155250
0.148950
0.155250
0.155250
0.155250
10.287000
3.843000
7.337250
10.107000
4.050000
6.358500
6.358500

ANEXA 2

SUBLISTA B - LISTA MEDICAMENTELOR CU NIVEL DE COMPENSARE 50% DIN PRETUL DE REFERINTA CONFORM
DENUMIRILOR COMUNE INTERNATIONALE (DCI) ALE MEDICAMENTELOR DE CARE BENEFICIAZA ASIGURATII, IN TRATAMENTUL AMBULATORIU CU CONTRIBUTIE PERSONALA DIN HG NR. 720/2008 CU MODIFICARILE SI
COMPLETARILE ULTERIOARE VALABILA INCEPAND CU 01 IULIE 2012

Nr. crt

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45

cod ATC
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05

DCI

PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM

Denumire Comerciala

CONTROLOC 20 mg
SELTRAZ 20 mg
CONTROLOC 40mg
CONTROLOC 40mg
CONTROLOC 40mg
SELTRAZ 40 mg
ZENCOPAN 20 mg
PANTEXEL 20 mg
PACID 20 mg
PANTOPRAZOL NYCOMED 20 mg
PANTOPRAZOL NYCOMED 20 mg
DYSPEX 20 mg
PANTOSAL 20 mg
PANTOSAL 20 mg
NOLPAZA 20 mg
AZATOL 20 mg
PANTOPRAZOL TEVA 20 mg
ZENCOPAN 40 mg
PANTEXEL 40 mg
ZIPANTOLA 40 mg
PACID 40 mg
PANTOPRAZOL NYCOMED 40 mg
PANTOPRAZOL NYCOMED 40 mg
PANTOSAL 40 mg
PANTOSAL 40 mg
NOLPAZA 40mg
AZATOL 40 mg
PANTOPRAZOL TEVA 40 mg
PANTOPRAZOL TERAPIA 40 mg
PANTOPRAZOL TERAPIA 40 mg
GESOFLUX 20 mg
GESOFLUX 40 mg
CONTROLOC 40mg LIOFILIZAT PENTRU SOLUTIE INJECTABILA

PANTOPRAZOL NYCOMED I.V. 40 mg


PANTOPRAZOL NYCOMED I.V. 40 mg
NOLPAZA 40 mg
PANTOPRAZOL ACTAVIS 40 mg
EMANERA 20 mg
EMANERA 20 mg
HELIDES 20 mg
EMANERA 40 mg
EMANERA 40 mg
HELIDES 40 mg
NEXIUM 20 mg
ESOMEPRAZOL SANDOZ 20 mg

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

COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZISTENTE
COMPR. GASTROREZISTENTE

LIOF. PT. SOL. INJ.


PULB. PT. SOL. INJ.
PULB. PT. SOL. INJ.
PULB. PT. SOL. INJ.
PULB. PT. SOL. INJ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.

concentratie

20mg
20mg
40mg
40mg
40mg
40mg
20 mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
40 mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
20mg
40mg
40mg
40mg
40mg
40mg
40mg
20mg
20mg
20mg
40mg
40mg
40mg
20mg
20mg

Detinator APP

NYCOMED GMBH
DR. REDDY'S LABORATORIES

NYCOMED GMBH
NYCOMED GMBH
NYCOMED GMBH
DR. REDDY'S LABORATORIES

ZENTIVA K.S.
GEDEON RICHTER ROMANIA SA

TERAPIA S.A.
NYCOMED GMBH
NYCOMED GMBH
NYCOMED GMBH
NYCOMED GMBH
NYCOMED GMBH

tara det.
APP

Ambalaj

Prescriptie

GERMANIA

CUTIE X 6 BLIST. AL/AL IN SUPORT DE CARTON X 5 COMPR. FILM. GASTROREZ.

P-6L

ROMANIA

CUTIE X 2 BLIST. DIN OPA-AL-PVC/AL X 14 COMPR. FILM. GASTROREZISTENTE

P-6L

GERMANIA

CUTIE X 1 BLIST. DIN AL/AL X 14 COMPR. FILM. GASTROREZ.

P-6L

GERMANIA

CUTIE X 3 BLIST. AL/AL IN SUPORT DE CARTON X 5 COMPR. FILM. GASTROREZ.

P-6L

GERMANIA

CUTIE X 6 BLIST. AL/AL IN SUPORT DE CARTON X 5 COMPR. FILM. GASTROREZ.

P-6L

ROMANIA

CUTIE X 2 BLIST. DIN OPA-AL-PVC/AL X 14 COMPR. FILM. GASTROREZISTENTE

P-6L

REPUBLICA CEHA CUTIE CU BLIST. NYLON/AL/PVC/AL A CATE 28 COMPR. GASTROREZ.

ROMANIA
ROMANIA

P6L

CUTIE X 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. GASTROREZ

P-6L

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

P-6L

GERMANIA CUTIE CU BLIST. AL/AL X 14 COMPR. GASTROREZ. P-6L


GERMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. GASTROREZ. P-6L
GERMANIA CUTIE CU BLIST. AL/AL X 14 COMPR. GASTROREZ. P-6L
GERMANIA CUTIE CU BLIST. AL/AL X 14 COMPR. GASTROREZ. P-6L
GERMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. GASTROREZ. P-6L

KRKA D.D., NOVO MESTO SLOVENIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 15 COMPR. GASTR. P-6L
ROMASTRU TRADING S.R.L.
TEVA PHARMACEUTICALS S.R.L.

ZENTIVA K.S.

ROMANIA
ROMANIA

CUTIE CU BLIST. PVC-PCTFE-PVDC/AL X 28 COMPR. GASTROREZ.

P-6L

REPUBLICA CEHA CUTIE CU BLIST. NYLON/AL/PVC/AL A CATE 28 COMPR. GASTROREZ.

P6L
P6L

ROMANIA

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

CUTIE X 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. GASTROREZ

P-6L

PLIVA LJUBLJANA D.O.O. SLOVENIA

CUTIE X 1 BLIST. OPA-AL-PVC/AL X 28 COMPR. GASTROREZ.

P-6L

ROMANIA

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

P-6L

GEDEON RICHTER ROMANIA SA

TERAPIA S.A.
NYCOMED GMBH
NYCOMED GMBH
NYCOMED GMBH
NYCOMED GMBH

GERMANIA CUTIE CU BLIST. AL/AL X 14 COMPR. GASTROREZ. P-6L


GERMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. GASTROREZ. P-6L
GERMANIA CUTIE CU BLIST. AL/AL X 14 COMPR. GASTROREZ. P-6L
GERMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. GASTROREZ. P-6L

KRKA D.D., NOVO MESTO SLOVENIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 15 COMPR. GASTR. P-6L
ROMASTRU TRADING S.R.L.
TEVA PHARMACEUTICALS S.R.L.

TERAPIA S.A.
TERAPIA S.A.
G.L. PHARMA GMBH
G.L. PHARMA GMBH
NYCOMED GMBH
NYCOMED GMBH
NYCOMED GMBH

ROMANIA
ROMANIA
ROMANIA
ROMANIA

AUSTRIA
AUSTRIA

CUTIE CU BLIST. PVC-PCTFE-PVDC/AL X 28 COMPR. GASTROREZ.

P-6L

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

P6L

CUTIE X 1 BLIST. PA-AL-PVC/AL X 10 COMPR. GASTROREZ.

P-6L

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

P-6L

CUTIE CU BLIST. AL/AL X 30 COMPR. GASTROREZISTENTE


CUTIE CU BLIST. AL/AL X 30 COMPR. GASTROREZISTENTE

P6L
P6L

GERMANIA CUTIE X 1 FLAC. LIOF. PT. SOL. INJ.

S/P-RF

GERMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ.

S/P-RF
S/P-RF

GERMANIA

CUTIE X 20 ( 20 X 1) FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ., AMBALAJ SPITALICESC

KRKA D.D., NOVO MESTO SLOVENIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ.

P-RF

ACTAVIS GROUP PTC EHF.

CUTIE CU 1 FLAC. DIN STICLA CU CAPACITATEA DE 15 ML CONTINAND 40 MG PANTOPRAZOL

P-RF

KRKA, D.D., NOVO MESTO SLOVENIA

CUTIE CU BLIST. OPA-AL-PE+DESICANT/AL+ PE X 14 CAPS. GASTROREZ.

P-6L

KRKA, D.D., NOVO MESTO SLOVENIA

CUTIE CU BLIST. OPA-AL-PE+DESICANT/AL+ PE X 28 CAPS. GASTROREZ.

P-6L

REPUBLICA CEHA

CUTIE CU BLIST. PA-AL-PVC/AL X 28 CAPS. GASTROREZ.

P-6L

KRKA, D.D., NOVO MESTO SLOVENIA

CUTIE CU BLIST. OPA-AL-PE+DESICANT/AL+ PE X 14 CAPS. GASTROREZ.

P-6L

KRKA, D.D., NOVO MESTO SLOVENIA

CUTIE CU BLIST. OPA-AL-PE+DESICANT/AL+ PE X 28 CAPS. GASTROREZ.

P-6L

REPUBLICA CEHA

CUTIE CU BLIST. PA-AL-PVC/AL X 28 CAPS. GASTROREZ.

P-6L

SUEDIA

CUTIE X 2 BLIST. X 7 COMPR. FILM. GASTROREZ.

P-6L

ZENTIVA K.S.

ZENTIVA K.S.
ASTRAZENECA AB
SANDOZ SRL

Pagina 1 din 22

ISLANDA

ROMANIA

CUTIE CU BLIST. AL/AL X14 COMPR. GASTROREZ. P-6L

Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
(RON)
j

30 34.83
28 22.06
14 26.84
15 28.77
30 55.68
28 31.62
28 20.42
28 22.06
30 10.69
14 10.83
28 21.74
14 10.75
14 10.94
28 21.91
30 21.88
28 22.57
30 20.43
28 31.62
28 31.62
28 31.62
30 19.57
14 15.56
28 31.14
14 15.67
28 31.39
30 32.77
28 33.80
30 36.17
10
5.93
30 19.57
30 22.28
30 34.10
1 33.62
1 21.85
20 378.13
1 19.31
1 21.85
14 26.47
28 51.23
28 51.23
14 38.71
28 73.54
28 73.54
14 39.41
14 30.17

Pret
amanuntul
maximal/UT
(RON)

1.161000
0.787857
1.917142
1.918000
1.856000
1.129285
0.729285
0.787857
0.356333
0.773571
0.776428
0.767857
0.781428
0.782500
0.729333
0.806071
0.681000
1.129285
1.129285
1.129285
0.652333
1.111428
1.112142
1.119285
1.121071
1.092333
1.207142
1.205666
0.593000
0.652333
0.742666
1.136666
33.620000
21.850000
18.906500
19.310000
21.850000
1.890714
1.829642
1.829642
2.765000
2.626428
2.626428
2.815000
2.155000

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit. a)
(RON) pt.
si f)
Adulti

0.709392
0.709392
1.418785
1.418785
1.418785
1.129285
0.709392
0.709392
0.356333
0.709392
0.709392
0.709392
0.709392
0.709392
0.709392
0.709392
0.681000
1.129285
1.129285
1.129285
0.652333
1.111428
1.112142
1.119285
1.121071
1.092333
1.207142
1.205666
0.593000
0.652333
0.709392
1.136666
30.686175
21.850000
18.906500
19.310000
21.850000
0.945855
0.945855
0.945855
1.891713
1.891713
1.891713
0.945855
0.945855

0.354696
0.354696
0.709392
0.709392
0.709392
0.564642
0.354696
0.354696
0.178166
0.354696
0.354696
0.354696
0.354696
0.354696
0.354696
0.354696
0.340500
0.564642
0.564642
0.564642
0.326166
0.555714
0.556071
0.559642
0.560535
0.546166
0.603571
0.602833
0.296500
0.326166
0.354696
0.568333
15.343087
10.925000
9.453250
9.655000
10.925000
0.472927
0.472927
0.472927
0.945856
0.945856
0.945856
0.472927
0.472927

Nr. crt

46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97

cod ATC
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05

A02BX02
A02BX02
A02BX05
A03AB06
A07AA11
A07AA11
A07AA11
A07EA06
A07EA06
A07EA06
A07EA06
A07XA04
A07XA04
A07XA04
A08AB01
A08AB01
A11CC03
A11CC03
A11CC03
A11CC03

DCI

ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
SUCRALFATUM
SUCRALFATUM
BISMUTHI SUBCITRAS
OTILONIUM BROMIDUM
RIFAXIMINUM
RIFAXIMINUM
RIFAXIMINUM
BUDESONIDUM**
BUDESONIDUM**
BUDESONIDUM**
BUDESONIDUM**
RACECADOTRILUM
RACECADOTRILUM
RACECADOTRILUM
ORLISTATUM****
ORLISTATUM****
ALFACALCIDOLUM
ALFACALCIDOLUM
ALFACALCIDOLUM
ALFACALCIDOLUM

A16AX01 ACIDUM TIOCTICUM (ALFA-LIPOICUM)**#


A16AX01 ACIDUM TIOCTICUM (ALFA-LIPOICUM)**#
A16AX01 ACIDUM TIOCTICUM (ALFA-LIPOICUM)**#
A16AX01 ACIDUM TIOCTICUM (ALFA-LIPOICUM)**#

Denumire Comerciala

ESOMEPRAZOL TORRENT 20 mg
ESOMEPRAZOL TEVA 20 mg
NEXIUM 40 mg
ESOMEPRAZOL SANDOZ 40 mg
ESOMEPRAZOL TORRENT 40 mg
ESOMEPRAZOL TEVA 40 mg
ESOMEPRAZOL TERAPIA 20mg
ESOMEPRAZOL TERAPIA 40mg
NEXIUM 10 mg
NEXIUM 40 mg
GASTROFAIT
VENTER
DE - NOL
SPASMOMEN (R)
NORMIX 200 mg
NORMIX 200 mg
NORMIX 100mg/5ml
BUDENOFALK
BUDENOFALK UNO 9 mg
BUDENOFALK 2 mg/doza
BUDENOFALK 2 mg/doza
HIDRASEC 100 mg
HIDRASEC 10 mg
HIDRASEC 30 mg
XENICAL 120mg
XENICAL 120mg
ALPHA D3 0,25 mcg
ALFACALCIDOL SANDOZ 0,25 mcg
ALPHA D3 0,50 mcg
ALFACALCIDOL SANDOZ 0,5 mcg
THIOGAMMA (R) 600 oral (vezi A16AX01)
THIOGAMMA (R) 600 oral (vezi A16AX01)
THIOGAMMA (R) 600 oral (vezi A16AX01)
THIOCTACID (R) 600 HR (vezi N07XN03)

THIOGAMMA (R) 600 INJEKT (vezi N07XN03)


A16AX01 ACIDUM TIOCTICUM (ALFA-LIPOICUM)**# THIOGAMMA (R) 600 INJEKT (vezi N07XN03)

A16AX01 ACIDUM TIOCTICUM (ALFA-LIPOICUM)**#


A16AX01 ACIDUM TIOCTICUM (ALFA-LIPOICUM)**#
A16AX01 ACIDUM TIOCTICUM (ALFA-LIPOICUM)**#
B01AB04
B01AB04
B01AB04
B01AB04
B01AB04
B01AB04
B01AB04
B01AB04
B01AB05
B01AB05
B01AB05
B01AB05
B01AB06
B01AB06

DALTEPARINUM**#
DALTEPARINUM**#
DALTEPARINUM**#
DALTEPARINUM**#
DALTEPARINUM**#
DALTEPARINUM**#
DALTEPARINUM**#
DALTEPARINUM**#
ENOXAPARINUM**#
ENOXAPARINUM**#
ENOXAPARINUM**#
ENOXAPARINUM**#
NADROPARINUM**#
NADROPARINUM**#

THIOCTACID 600T (vezi N07XN03)

forma farm.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZISTENTE
COMPR. GASTROREZISTENTE
GRAN. GASTROREZ. PT. SUSP.ORALA

PULB. PT. SOL. INJ./PERF.

COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
GRAN. PT. SUSP. ORALA

CAPS. GASTROREZ.
GRANULE GASTROREZ.

SPUMA RECTALA
SPUMA RECTALA

CAPS.
PULB. PT. SOL. ORALA
PULB. PT. SOL. ORALA

CAPS.
CAPS.
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.

SOL. INJ.
THIOGAMMA (R) TURBO-SET (vezi N07XN03) SOL. PERF.
FRAGMIN 10000 UI/0,4 ml
SOL. INJ.
FRAGMIN 10000 UI/ml
SOL. INJ.
FRAGMIN 12500 UI/0,5 ml
SOL. INJ.
FRAGMIN15000 UI/0,6 ml
SOL. INJ.
FRAGMIN 18000 UI/0,72 ml
SOL. INJ.
FRAGMIN 2500 UI/0,2 ml
SOL. INJ.
FRAGMIN 5000 UI/0,2 ml
SOL. INJ.
FRAGMIN 7500 UI/0,3 ml
SOL. INJ.
CLEXANE 2000ui anti-Xa/0,2ml
SOL. INJ.
CLEXANE 4000ui anti-Xa/0,4ml
SOL. INJ.
CLEXANE 6000ui anti-Xa/0,6ml
SOL. INJ.
CLEXANE 8000ui anti-Xa/0,8ml
SOL. INJ.
FRAXIPARINE 2850 UI anti-factor Xa/0,3 ml SOL. INJ.
FRAXIPARINE 3800 UI anti-factor Xa/0,4 ml SOL. INJ.

concentratie

20mg
20mg
40mg
40mg
40mg
40mg
20mg
40mg
10mg
40mg
1g
1g
120mg
40mg
200mg
200mg
100mg/5ml
3mg
9mg
2mg/doza
2mg/doza
100mg
10mg
30mg
120mg
120mg
0,25mcg
0,25g
0,50mcg
0,5g
600mg
600mg
600mg
600mg
30mg/ml
30mg/ml
25mg/ml
12mg/ml

Detinator APP
TORRENT PHARMA S.R.L.
TEVA PHARMACEUTICALS S.R.L.

ASTRAZENECA AB
SANDOZ SRL

tara det.
APP

ROMANIA
ROMANIA

SUEDIA

ROMANIA
TORRENT PHARMA S.R.L. ROMANIA
TEVA PHARMACEUTICALS S.R.L. ROMANIA
TERAPIA S.A.
ROMANIA
TERAPIA S.A.
ROMANIA

Ambalaj

Prescriptie

CUTIE CU BLIST. AL/AL X 14 COMPR. GASTROREZ.

P6L
P6L

CUTIE X 2 BLIST. AL/PVC X 7 COMPR. FILM. GASTROREZ.

P-6L

CUTIE CU BLIST. AL/AL X 28 COMPR. GASTROREZ.

CUTIE CU BLIST. AL/AL X14 COMPR. GASTROREZ. P-6L


CUTIE CU BLIST. AL/AL X 14 COMPR. GASTROREZ.

P6L
P6L

CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/AL X 14 COMPR. GASTROREZISTENTE

P-6L

CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/AL X 14 COMPR. GASTROREZISTENTE

P-6L

CUTIE X 28 PLICURI DIN PET/AL/PEJD CONTINAND GRANULE GASTROREZ. PT. SUSP. ORALA

P-6L

CUTIE X 10 FLACOANE LIOF. PT. SOL. INJ./PERF.

S/P-RF

E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 5 BLIST. AL/PVC X 4 COMPR.

P-6L

CUTIE CU BLIST. AL/AL X 28 COMPR. GASTROREZ.

ASTRAZENECA AB
ASTRAZENECA AB

SUEDIA
SUEDIA

KRKA D.D.

SLOVENIA CUTIE X 5 BLIST. X 10 COMPR.


P-6L
OLANDA CUTIE X 5 BLIST. AL/AL X 8 COMPR. FILM. P-6L

ASTELLAS PHARMA EUROPE BV


A. MENARINI IND. FARM. RIUNITE SRL

ALFA WASSERMANN SPA


ALFA WASSERMANN SPA
ALFA WASSERMANN SPA

ITALIA
ITALIA
ITALIA
ITALIA

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

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


CUTIE X 3 BLIST. AL/PVC A CATE 12 COMPR. FILM. P-RF
CUTIE X 1 FLAC. GRAN. PT. 60 ML SUSP. ORALA + 1 MASURA DOZATOARE MARCATA LA 5, 10 SI 15 ML

P-RF

DR. FALK PHARMA GMBH GERMANIA

CUTIE X 10 BLIST. PVC-PVDC/AL X 10 CAPS. CU PELETE GASTROREZ.

P-RF

DR. FALK PHARMA GMBH GERMANIA

CUTIE CU 30 PLICURI PET/AL/PEJD CU GRANULE GASTROREZ.

PRF

CUTIE X 1 FLAC. DIN AL X 14 DOZE X 1,2G SPUMA RECTALA, 14 APLICATOARE LUBREFIANTE PVC SI 14 PUNGI PL

P-RF

CUTIE X 2 FLAC. DIN AL X 2X14 DOZE X 1,2G SPUMA RECTALA, 2X (14 APLICATOARE PVC LUBREFIANTE SI 14 PU

P-RF

DR. FALK PHARMA GMBH GERMANIA


DR. FALK PHARMA GMBH GERMANIA

LAB. FOURNIER SA FRANTA CUTIE X 2 BLIST. AL/PVC-PVDC X 10 CAPS.


LAB. FOURNIER SA FRANTA CUTIE X 16 PLICURI X 1 G
LAB. FOURNIER SA FRANTA CUTIE X 30 PLICURI X 3

P-RF
P-RF
P-RF

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 21 CAPS. TARI (BLISTER PVC/PE/PVDC) P-RF

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 84 CAPS. TARI (BLISTER PVC/PE/PVDC) P-RF

SANDOZ S.R.L.

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
ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 CAPS. MOI PRF

WORWAG PHARMA GMBH & CO. KG

GERMANIA

WORWAG PHARMA GMBH & CO. KG

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

WORWAG PHARMA GMBH & CO. KG

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

MEDA PHARMA GMBH & CO KG

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

TEVA PHARMACEUTICALS S.R.L.

SANDOZ S.R.L.
TEVA PHARMACEUTICALS S.R.L.

WORWAG PHARMA GMBH & CO. KG


WORWAG PHARMA GMBH & CO. KG

MEDA PHARMA GMBH & CO KG


WORWAG PHARMA GMBH & CO. KG

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

CUTIE X 5 FIOLE X 20 ML
CUTIE X 20 FIOLE X 20 ML
GERMANIA CUTIE X 5 FIOLE X 24 ML SOL.INJ.
GERMANIA CUTIE X 10 FLACOANE X 50 ML
GERMANIA

GERMANIA

P-6L

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

10000UI/0,4ml PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 5 BLIST. X 1 SERINGA X 0,4 ML SOL. INJ.

S/P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 2 SUPORTURI TERMOFORMATATE X 5 FIOLE X 1 ML

S/P-RF

12500 UI/0,5ml PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 5 BLIST. X 1 SERINGA X 0,5 ML SOL. INJ.

S/P-RF

15000ui/0,6ml PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 5 BLIST. INDIVIDUALE CONTINAND FIECARE 1 SERINGA PREUMPLUTA X 0,6 ML SOL. INJ.

S/P-RF

18000 UI/0,72ml PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 5 BLIST. X 1 SERINGA X 0,72 ML SOL. INJ.

S/P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 10 BLIST. INDIVIDUALE CONTINAND FIECARE 1 SERINGA PREUMPLUTA X 0,2 ML

S/P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 10 BLIST. INDIVIDUALE CONTINAND FIECARE 1 SERINGA PREUMPLUTA X 0,2 ML

S/P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 10 BLIST. INDIVIDUALE CONTINAND FIECARE 1 SERINGA PREUMPLUTA X 0,3 ML

S/P-RF

FRANTA
FRANTA
FRANTA
FRANTA

CUTIE X 10 SERINGI PREUMPLUTE X 0,2 ML SOL. INJ.

S/P-RF

CUTIE X 10 SERINGI PREUMPLUTE X 0.4 ML SOL. INJ.

S/P-RF

CUTIE X 10 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ.

S/P-RF

8000ui anti-Xa/0,8ml

LAB. AVENTIS
LAB. AVENTIS
LAB. AVENTIS
LAB. AVENTIS

CUTIE X 2 SERINGI PREUMPLUTE X 0,8 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

GLAXO GROUP LIMITED/GLAXO WELLCOME HOUSE

MAREA BRITANIE

CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,4 ML SOL. INJ.

S/P-RF

10000ui/ml

2500ui/0,2ml
5000ui/0,2ml
7500ui/0,3ml
2000ui anti-Xa/0,2ml
4000ui anti-Xa/0,4ml
6000ui anti-Xa/0,6ml

Pagina 2 din 22

Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)

28
14
14
14
28
14
14
14
28
10
20
50
40
30
12
36
1
100
30
1
2
20
16
30
21
84
50
30
30
30
100
30
60
30
5
20
5
10
5
10
5
5
5
10
10
10
10
10
10
2
10
10

Pret
amanuntul
maximal/UT
(RON)

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit. a)
(RON) pt.
si f)
Adulti

51.18
1.827857
0.945855
0.472927
18.94
1.352857
0.945855
0.472927
59.56
4.254285
1.891713
0.945856
44.12
3.151428
1.891713
0.945856
73.48
2.624285
1.891713
0.945856
26.58
1.898571
1.891713
0.945856
26.47
1.890714
0.945855
0.472927
38.71
2.765000
1.891713
0.945856
3.111607
174.25
6.223214
6.223214
297.47 29.747000 29.747000 14.873500
6.19
0.309500
0.309500
0.154750
15.95
0.319000
0.314250
0.157125
39.95
0.998750
0.314250
0.157125
33.57
1.119000
1.119000
0.559500
33.10
2.758333
2.646666
1.323333
91.26
2.535000
2.535000
1.267500
19.11 19.110000 15.880014
7.940007
4.048486
2.024243
444.55
4.445500
419.11 13.970333 12.145471
6.072735
419.11 419.110000 383.830000 191.915000
744.14 372.070000 372.070000 186.035000
43.59
2.179500
1.596375
0.798187
41.04
2.565000
1.596375
0.798187
41.04
1.368000
1.368000
0.684000
92.03
4.382380
3.789970
1.894985
301.77
3.592500
3.592500
1.796250
33.62
0.672400
0.523333
0.261666
37.26
1.242000
0.523333
0.261666
31.40
1.046666
1.046666
0.523333
55.07
1.835666
1.046666
0.523333
213.06
2.130600
2.130600
1.065300
68.60
2.286666
2.169500
1.084750
130.17
2.169500
2.169500
1.084750
96.76
3.225333
2.169500
1.084750
134.35 26.870000 25.536000 12.768000
491.09 24.554500 24.554500 12.277250
127.68 25.536000 25.536000 12.768000
258.17 25.817000 25.536000 12.768000
125.97 25.194000 25.194000 12.597000
266.83 26.683000 26.683000 13.341500
170.87 34.174000 33.473229 16.736614
206.87 41.374000 40.167875 20.083937
235.27 47.054000 47.054000 23.527000
77.59
7.759000
6.694645
3.347322
142.16 14.216000 13.389291
6.694645
202.99 20.299000 20.083937 10.041968
72.93
7.293000
6.694645
3.347322
144.56 14.456000 13.389291
6.694645
187.88 18.788000 18.788000
9.394000
52.19 26.095000 26.095000 13.047500
75.42
7.542000
6.694645
3.347322
103.46 10.346000
8.926192
4.463096

Nr. crt

98
99

cod ATC

DCI

140 B01AC18

NADROPARINUM**#
NADROPARINUM**#
REVIPARINUM**#
REVIPARINUM**#
TINZAPARINUM**#
TINZAPARINUM**#
TINZAPARINUM**#
TINZAPARINUM**#
TINZAPARINUM**#
TINZAPARINUM**#
TINZAPARINUM**#
SULODEXIDUM**
SULODEXIDUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
TRIFLUSALUM

141 B01AC30

COMBINATII (ACID ACETYLSALICYLICUM+DIPYRIDAMOLUM)**

142 B01AX05

FONDAPARINUX SODIUM**#
FONDAPARINUX SODIUM**#

B01AB06
B01AB06

100 B01AB08
101 B01AB08
102 B01AB10
103 B01AB10
104 B01AB10
105 B01AB10
106 B01AB10
107 B01AB10
108 B01AB10
109 B01AB11
110 B01AB11
111 B01AC04
112 B01AC04
113 B01AC04
114 B01AC04
115 B01AC04
116 B01AC04
117 B01AC04
118 B01AC04
119 B01AC04
120 B01AC04
121 B01AC04
122 B01AC04
123 B01AC04
124 B01AC04
125 B01AC04
126 B01AC04
127 B01AC04
128 B01AC04
129 B01AC04
130 B01AC04
131 B01AC04
132 B01AC04
133 B01AC04
134 B01AC04
135 B01AC04
136 B01AC04
137 B01AC04
138 B01AC04
139 B01AC04

143 B01AX05

144 B03AC02 COMPLEX DE HIDROXID DE FER (III) SUCROZA


145 C01EB17
146 C01EB17
147 C01EB17
148 C01EB17
149 C02AC05

IVABRADINUM**
IVABRADINUM**
IVABRADINUM**
IVABRADINUM**
MOXONIDINUM

Denumire Comerciala

forma farm.

FRAXIPARINE 5700 UI anti-factor Xa/0,6 ml SOL. INJ.


FRAXIPARINE 7600 UI anti-factor Xa/0,8 ml SOL. INJ.

CLIVARIN (R) 1432UI/0,25 ml


CLIVARIN (R) 3436 UI/0,6 ml
INNOHEP
INNOHEP
INNOHEP
INNOHEP
INNOHEP
INNOHEP
INNOHEP
VESSEL DUE F
VESSEL DUE F
PLAVIX 300mg
CLOPIDOGREL TEVA 75 mg
ZYLLT
PLAVIX 75mg
TROMBEX 75 mg
EGITROMB 75 mg
TROMBEX 75 mg
CLOPIDOGREL MYLAN 75mg
TROGRAN 75 mg
CLOPIGAMMA 75 mg
CLOPIGAMMA 75 mg
PLAVOCORIN 75 mg
TUXEDON 75 mg
CLOPIDOGREL ACTAVIS 75 mg
DEFROZYP 75 mg
TESSYRON 75 mg
CLORODEN 75 mg
CLORODEN 75 mg
VATOUD 75 mg
LOFRADYK 75 mg
CLOPIDOGREL DR. REDDY'S 75 mg
CLOPIDOGREL DR. REDDY'S 75 mg
MOYTOR 75 mg
PLATEL 75 mg
PLATEL 75 mg
CLOPIDOGREL TERAPIA 75 mg
PLATEL 75 mg
DEPLATT 75 mg
CLOPIDOGREL ACCORD 75 mg
AFLEN (R)
AGGRENOX
ARIXTRA 2,5mg/0,5ml
ARIXTRA 7,5mg/0,6ml
VENOFER (R)
CORLENTOR 5mg
CORLENTOR 5mg
CORLENTOR 7,5mg
CORLENTOR 7,5mg
MOXOGAMMA 0,2 mg

SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
CAPS. MOI
SOL. INJ.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

CAPS.

CAPS. ELIB. MODIF.


SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ./PERF.

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

concentratie

Detinator APP

tara det.
APP

Ambalaj

Prescriptie

5700 ui AFXa/0,6ml

GLAXO GROUP LIMITED/GLAXO WELLCOME HOUSE

MAREA BRITANIE

CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,6 ML SOL. INJ.

S/P-RF

7600 ui AFXa/0,8ml

GLAXO GROUP LIMITED/GLAXO WELLCOME HOUSE

MAREA BRITANIE

CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,8 ML SOL. INJ.

S/P-RF

CUTIE X 2 BLIST. X 5 SERINGI PREUMPLUTE UNIDOZA X 0,25ML

S/P-RF

CUTIE X 1 BLIST X 5 SERINGI PREUMPLUTE UNIDOZA X 0,60 ML

S/P-RF

CUTIE X 10 FLAC. DIN STICLA INCOLORA X 2 ML SOL. INJ. (10000 U-AXA)

S/P-RF

1432ui/0,25ml ABBOTT GMBH&CO.KG GERMANIA


3436ui/0,6ml ABBOTT GMBH&CO.KG GERMANIA
10000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA

10000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 2 SERINGI PREUMPLUTE X 0.35 ML SOL. INJ. (3500 U-AXA)

S/P-RF

10000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 2 SERINGI PREUMPLUTE X 0.45 ML SOL. INJ. (4500 U-AXA)

S/P-RF

20000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 2 SERINGI PREUMPLUTE X 0,50 ML SOL. IN. (10000 U-AXA)

S/P-RF

20000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA

CUTIE X 10 FLAC. DIN STICLA INCOLORA X 2ML SOL. INJ. (20000 U-AXA)

S/P-RF

20000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 2 SERINGI PREUMPLUTE X 0,70 ML SOL. IN. (14000 U-AXA)

S/P-RF

20000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 2 SERINGI PREUMPLUTE X 0,90 ML SOL. IN. (18000 U-AXA)

S/P-RF

250ULS
600ULS/2ml
300mg
75 mg
75 mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
300mg
25mg/200mg
2,5mg/0,5ml
7,5mg/0,6ml
20mg/ml
5mg
5mg
7,5mg
7,5mg
0,2mg

ALFA WASSERMANN SPA


ALFA WASSERMANN SPA
SANOFI PHARMA - BRISTOL MYERS SQUIBB

TEVA PHARMA BV

ITALIA
ITALIA
FRANTA
OLANDA

CUTIE X 2 BLIST. PVDC-PVC/AL-PVDC X 25 CAPS. MOI P-RF

CUTIE X 10 FIOLE DIN STICLA GALBENA X 2 ML P-RF


CUTIE X 30X1 COMPR. FILM. (BLIST. AL/AL PERFORATE UNIDOZA)

P-RF

CUTIE CU BLIST. AL/AL X 28 X 1 COMPR. FILM. P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA/AL/PVC-AL X 28 COMPR. FILM. P-RF
SANOFI PHARMA - BRISTOL MYERS SQUIBB

ZENTIVA K.S.
EGIS PHARMACEUTICALS P.L.C.

ZENTIVA K.S.
MYLAN S.A.S.

FRANTA
CEHIA
UNGARIA
CEHIA
FRANTA

CUTIE X 28 COMPR. FILM. (BLIST. PVC/PVDC/AL) P-RF


CUTIE X 1 FLAC. DIN STICLA INCOLORA X 30 COMPR. FILM.

P-RF

CUTIE CU BLIST. OPA-AL-PVDC/AL X 28 COMPR. FILM. P-RF


CUTIE X 1 FLAC. DIN STICLA INCOLORA X 90 COMPR. FILM.

P-RF

CUTIE CU BLIST. DIN OPA/AL/PVC-AL X 28 COMPR.FILM.

P-RF

GLENMARK PHARMACEUTICALS SRL REPUBLICA CEHA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.

P-RF

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-RF

WORWAG PHARMA GMBH & CO. KG

GERMANIA

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

ROMANIA

SANDOZ S.R.L.
ICN POLFA RZESZOW S.A.
ACTAVIS GROUP PTC EHF.

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

P-RF

POLONIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.


ISLANDA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM.

P-RF

ROMANIA

P-RF

P-RF

LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVDC/AL X 28 COMPR. FILM. P-RF
GEDEON RICHTER ROMANIA SA

IWA CONSULTING APS


IWA CONSULTING APS
ALVOGEN IPCO S.A.R.L
PHARMASWISS MEDICINES S.R.L.

DR. REDDY'S LABORATORIES


DR. REDDY'S LABORATORIES

ROMASTRU TRADING S.R.L.

MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
TERAPIA S.A.
MEDOCHEMIE LTD.
TORRENT PHARMA S.R.L.

DANEMARCA CUTIE CU BLIST. PA-AL-PVC/AL (AL-AL) X 28 COMPR. FILM.

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GLAXO GROUP LTD.


GLAXO GROUP LTD.
VIFOR FRANCE S.A.
LES LAB. SERVIER
LES LAB. SERVIER
LES LAB. SERVIER
LES LAB. SERVIER

P-RF

LUXEMBURG CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-RF

ROMANIA
ROMANIA
ROMANIA
ROMANIA

CIPRU
CIPRU

ROMANIA

CIPRU

ROMANIA

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

GALENICA S.A.

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

DANEMARCA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-RF

GRECIA

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

P-RF

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

P-RF

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

P-RF

CUTIE CU BLIST. PCTFE-PE-PVC/AL X 28 COMPR. FILM.

P-RF

CUTIE CU BLIST. AL/AL X 60 COMPR. FILM. P-RF


CUTIE CU BLIST. AL/AL X 90 COMPR. FILM. P-RF
CUTIE CU 3 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM.

PRF

CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-RF


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

PRF

CUTIE CU 3 BLIST. AL/AL X 10 COMPR. FILM. PRF

CUTIE X 5 BLIST. X 10 CAPS.

P-RF

GERMANIA CUTIE X 1 FLAC. DIN PP X 60 CAPS. CU ELIB.MODIF. P-6L


MAREA BRITANIE

CUTIE X 10 SERINGI PREUMPLUTE X 0,5 ML SOL. INJ., PREVAZUTE CU UN SISTEM AUTOMAT DE SIGURANTA, DE CU

P-RF

MAREA BRITANIE

CUTIE X 10 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ., PREVAZUTE CU UN SISTEM AUTOMAT DE SIGURANTA, DE CU

P-RF

FRANTA CUTIE X 5 FIOLE X 5 ML


FRANTA CUTIE X 28 COMPR. FILM. (BLIST. AL/PVC TIP CALENDAR)
FRANTA CUTIE X 56 COMPR. FILM. (BLIST. AL/PVC TIP CALENDAR)
FRANTA CUTIE X 56 COMPR. FILM. (BLIST. AL/PVC TIP CALENDAR)
FRANTA CUTIE X 28 COMPR. FILM. (BLIST. AL/PVC TIP CALENDAR)

S/P-RF

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

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

Pagina 3 din 22

Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)

10
10
10
5
10
2
2
2
10
2
2
50
10
30
28
28
28
30
28
90
28
28
28
28
28
28
28
28
30
28
28
28
28
28
30
28
60
90
30
28
30
30
50
60
10
10
5
28
56
56
28
30

132.46
189.75
84.46
101.41
536.03
26.13
35.12
73.65
1,113.22

103.18
127.08
102.83
78.43
780.80
79.52
90.49
122.34
83.81
79.52
242.40
79.52
79.52
68.52
68.52
89.49
38.37
79.49
79.49
85.21
68.48
68.48
73.81
68.22
79.49
85.18
79.52
161.58
242.38
85.21
67.70
85.19
85.21
84.93
63.61
233.80
653.26
149.77
160.23
240.27
260.36
160.23
21.80

Pret
amanuntul
maximal/UT
(RON)

13.246000
18.975000
8.446000
20.282000
53.603000
13.065000
17.560000
36.825000
111.322000
51.590000
63.540000
2.056600
7.843000
26.026666
2.840000
3.231785
4.369285
2.793666
2.840000
2.693333
2.840000
2.840000
2.447142
2.447142
3.196071
1.370357
2.838928
2.838928
2.840333
2.445714
2.445714
2.636071
2.436428
2.838928
2.839333
2.840000
2.693000
2.693111
2.840333
2.417857
2.839666
2.840333
1.698600
1.060166
23.380000
65.326000
29.954000
5.722500
4.290535
4.649285
5.722500
0.726666

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit. a)
(RON) pt.
si f)
Adulti

13.246000
17.852384
6.704004
16.085881
38.255114
6.694645
8.607399
19.127553
76.510235
26.778583
34.429606
2.056600
7.843000
18.979711
2.840000
3.231785
4.369285
2.793666
2.840000
2.693333
2.840000
2.840000
2.447142
2.447142
3.196071
1.370357
2.838928
2.838928
2.840333
2.445714
2.445714
2.636071
2.436428
2.838928
2.839333
2.840000
2.693000
2.693111
2.840333
2.417857
2.839666
2.840333
1.698600
1.060166
22.176500
65.326000
29.954000
3.272517
3.272517
4.649285
4.908776
0.726666

6.623000
8.926192
3.352002
8.042940
19.127557
3.347322
4.303699
9.563776
38.255117
13.389291
17.214803
1.028300
3.921500
9.489855
1.420000
1.615892
2.184642
1.396833
1.420000
1.346666
1.420000
1.420000
1.223571
1.223571
1.598035
0.685178
1.419464
1.419464
1.420166
1.222857
1.222857
1.318035
1.218214
1.419464
1.419666
1.420000
1.346500
1.346555
1.420166
1.208928
1.419833
1.420166
0.849300
0.530083
11.088250
32.663000
14.977000
1.636258
1.636258
2.324642
2.454388
0.363333

Nr. crt

cod ATC

150 C02AC05
151 C02AC05
152 C02AC05
153 C02AC05
154 C02AC05
155 C02AC05
156 C02AC06
157 C02AC06
158 C02CA01
159 C02CA01
160 C03DA04
161 C03DA04
162 C04AE02
163 C04AE02
164 C04AE02
165 C04AE02
166 C04AE02
167 C04AE02
168 C04AE02
169 C04AE02
170 C04AE02
171 C04AE02
172 C04AE02
173 C04AE02
174 C04AX07
175 C04AX07
176 C04AXN1
177 C04AXN1
178 C04AXN1
179 C04AXN1
180 C04AXN1
181 C04AXN1
182 C04AXN1
183 C04AXN1
184 C04AXN1
185 C04AXN1
186 C04AXN1
187 C04AXN1
188 C04AXN1
189 C04AXN1
190 C04AXN1
191 C04AXN1
192 C04AXN1
193 C04AXN1
194 C04AXN1
195 C04AXN1
196 C04AXN1
197 C04AXN1
198 C04AXN1
199 C04AXN1
200 C05CA53
201 C07AB12

DCI

MOXONIDINUM
MOXONIDINUM
MOXONIDINUM
MOXONIDINUM
MOXONIDINUM
MOXONIDINUM
RILMENIDINUM
RILMENIDINUM
PRAZOSINUM
PRAZOSINUM
EPLERENONUM*#
EPLERENONUM*#
NICERGOLINUM
NICERGOLINUM
NICERGOLINUM
NICERGOLINUM
NICERGOLINUM
NICERGOLINUM
NICERGOLINUM
NICERGOLINUM
NICERGOLINUM
NICERGOLINUM
NICERGOLINUM
NICERGOLINUM
VINCAMINUM
VINCAMINUM
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
DIOSMINUM (COMBINATII)**
NEBIVOLOLUM

Denumire Comerciala

MOXONIDINA MYLAN 0,2 mg


PHYSIOTENS 0,2
MOXOGAMMA 0,3 mg
MOXOGAMMA 0,4 mg
MOXONIDINA MYLAN 0,4 mg
PHYSIOTENS 0,4
TENAXUM
RILMENIDINA TEVA 1 mg
MINIPRESS (R) 1 mg
MINIPRESS (R) 2 mg
INSPRA 25 mg
INSPRA 50 mg
NICERIUM (R) 15
NICERIUM (R) 30 UNO
NICERGOLINA LPH 10 mg
GRALIN 10 mg
SERMION
NICERGOLINA LPH 30 mg
GRALIN 30 mg
NICERGOLINA LPH 5 mg
GRALIN 5 mg
NICERIUM (R) 10
SINERGOLIN 30
SINERGOLIN 30
OXYBRAL SR 30 mg
VINCAMINA
BILOBIL INTENS 120 mg (vezi N06DX02)
BILOBIL 40 mg (C04AXN1)
BILOBIL 40 mg (C04AXN1)
BILOBIL FORTE (vezi C04AXN1)
GINGIUM 120mg (vezi N06DX02)
FLAVOTAN 120 mg (vezi N06DX02)
FLAVOTAN 120 mg (vezi C04AXN1)
TANAKAN (EGB 761) (N06DX02)
GINGIUM 40mg (vezi N06DX02 )
TEBOKAN (vezi C04AXN1)
TEBOKAN (vezi C04AXN1)
GINKOFAR 40 mg (vezi N06DX02)
GINKOFAR 40 mg (vezi N06DX02)
GINKO BILOBA BIOFARM 40 mg (vezi N06DX02)
GINKGO BILOBA BIOFARM 40 mg (vezi N06DX02)
GINKGO BILOBA BIOFARM 40 mg (vezi N06DX02)

FLAVOTAN 40 mg (C04AXN1)
FLAVOTAN 40 mg (C04AXN1)
GINGIUM 80mg (vezi N06DX02)

GINKGO BILOBA BIOFARM 80 mg (vezi N06DX02)


GINKGO BILOBA BIOFARM 80 mg (vezi N06DX02)

FLAVOTAN 80 mg (vezi N06DX02)


FLAVOTAN 80 mg (vezi C04AXN1)
TANAKAN (EGB 761) (C04AXN1)
DETRALEX ( R )
EZOCEM 5 mg

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

COMPR.
COMPR.
COMPR.
COMPR.

COMPR. FILM.
COMPR. FILM.
CAPS. ELIB. MODIF.
CAPS. ELIB. MODIF.

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

DRAJ.
DRAJ.
DRAJ.

CAPS. ELIB. PREL.

DRAJ.
CAPS.
CAPS.
CAPS.
CAPS.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
PICATURI ORALE-SOL.

COMPR. FILM.

COMPR

concentratie

0,2mg
0,2mg
0,3mg
0,4mg
0,4mg
0,4mg
1mg
1mg
1mg
2mg
25mg
50mg
15mg
30mg
10mg
10mg
30mg
30mg
30mg
5mg
5mg
10mg
30mg
30mg
30mg
10mg
120mg
40mg
40mg
80mg
120mg
120mg
120mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
80mg
80mg
80mg
80mg
80mg
40mg/ml
500mg
5mg

Detinator APP

GENERICS (UK) LTD

tara det.
APP
MAREA BRITANIE

Ambalaj

Prescriptie

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

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

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

GENERICS (UK) LTD

MAREA BRITANIE

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

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


LES LABORATOIRES SERVIER

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

P-6L

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

PFIZER EUROPE MA EEIG

MAREA BRITANIE

PFIZER EUROPE MA EEIG

MAREA BRITANIE

P6L
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 3 BLIST. PERFORATE UNIDOZA PVC/AL X 10 COMPR. FILM.

P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 3 BLIST. PERFORATE UNIDOZA PVC/AL X 10 COMPR. FILM.

P-RF

HEXAL AG
HEXAL AG

CUTIE CU BLIST. AL/AL (FOLIE AL CFF (FORMATA LA RECE)/FOLIE AL ACOPERITA LA CALD CU UN STRAT DE LAC)

GERMANIA CUTIE X 3 BLIST. PP/AL X 10 CAPS. ELIB. MODIF. P-6L


GERMANIA CUTIE X 3 BLIST. PP/AL X 10 CAPS. ELIB. MODIF. P-6L

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


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

MAREA BRITANIE

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

P-6L

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


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

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


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

HEXAL AG
SINTOFARM SA
SINTOFARM SA

GLAXOSMITHKLINE (GSK) SRL

BIOFARM SA

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

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


ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 DRAJ.
ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 CAPS. CU ELIB. PREL.
ROMANIA CUTIE X 1 BLIST. AL/PVC X 20 DRAJ.

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

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 CAPS. P-6L
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. AL/PVC-PVDC X 10 CAPS. P-6L
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 6 BLIST. AL/PVC-PVDC X 10 CAPS. P-6L
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 6 BLIST. AL/PVC X 10 CAPS. P-6L

HEXAL AG

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

LABORMED PHARMA S.A. ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. FILM. P6L
LABORMED PHARMA S.A. ROMANIA CUTIE CU 6 BLIST. PVC/AL X 10 COMPR. FILM. P6L

IPSEN BIOTECH
HEXAL AG

FRANTA

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

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

DR. WILLMAR SCHWABE GMBH & CO KG

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

DR. WILLMAR SCHWABE GMBH & CO KG

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

BMF PHARM S.R.L.


BMF PHARM S.R.L.
BIOFARM S.A.
BIOFARM S.A.
BIOFARM S.A.

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


ROMANIA CUTIE X 9 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L
ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM. P-6L
ROMANIA CUTIE X 4 BLIST. AL/PVC X 15 COMPR. FILM. P-6L
ROMANIA CUTIE X 4 BLIST. PVC-PVDC/AL X 15 COMPR. FILM. P-6L
LABORMED PHARMA SA ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. FILM. P6L
LABORMED PHARMA SA ROMANIA CUTIE CU 6 BLIST. PVC/AL X 10 COMPR. FILM. P6L

HEXAL AG
BIOFARM S.A.
BIOFARM S.A.

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

ROMANIA
ROMANIA
LABORMED PHARMA S.A. ROMANIA
LABORMED PHARMA S.A. ROMANIA
BEAUFOUR IPSEN PHARMA

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


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

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

P6L

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

FRANTA

CUTIE X 1 FLACON DE STICLA BRUNA X 30 ML + 1 PIPETA DIN POLIETILENA

OLANDA

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

P-6L

LES LAB. SERVIER IND. FRANTA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM. P-6L
OZONE LABORATORIES BV

Pagina 4 din 22

Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)

28 13.24
28 32.50
30 25.87
30 33.14
28 26.58
28 43.79
30 41.62
30 27.94
30
5.73
30
8.01
30 185.59
30 185.59
30 27.89
30 51.38
30 13.45
30 13.45
30 48.31
30 32.45
30 32.45
30
6.76
30
6.76
25 14.11
30 32.39
20 21.59
10
9.26
20
6.72
60 65.18
20
9.58
60 27.50
60 45.29
30 33.74
30 33.71
60 65.31
30 23.17
30 12.48
50 23.37
20
9.32
60 26.61
90 36.73
30 12.30
60 23.51
60 23.51
30 13.73
60 27.47
30 23.51
30 23.17
60 44.84
30 23.39
60 45.27
1 24.88
30 26.39
28 25.53

Pret
amanuntul
maximal/UT
(RON)

0.472857
1.160714
0.862333
1.104666
0.949285
1.563928
1.387333
0.931333
0.191000
0.267000
6.186333
6.186333
0.929666
1.712666
0.448333
0.448333
1.610333
1.081666
1.081666
0.225333
0.225333
0.564400
1.079666
1.079500
0.926000
0.336000
1.086333
0.479000
0.458333
0.754833
1.124666
1.123666
1.088500
0.772333
0.416000
0.467400
0.466000
0.443500
0.408111
0.410000
0.391833
0.391833
0.457666
0.457833
0.783666
0.772333
0.747333
0.779666
0.754500
24.880000
0.879666
0.911785

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit. a)
(RON) pt.
si f)
Adulti

0.472857
0.871417
0.862333
1.104666
0.949285
1.563928
1.307128
0.931333
0.147875
0.267000
3.866458
6.186333
0.516374
1.032749
0.344249
0.344249
1.032749
1.032749
1.032749
0.172124
0.172124
0.344249
1.032749
1.032749
0.926000
0.315500
1.086333
0.381791
0.381791
0.754833
1.124666
1.123666
1.088500
0.381791
0.381791
0.381791
0.381791
0.381791
0.381791
0.381791
0.381791
0.381791
0.381791
0.381791
0.763583
0.763583
0.747333
0.763583
0.754500
24.880000
0.879666
0.889713

0.236428
0.435708
0.431166
0.552333
0.474642
0.781964
0.653564
0.465666
0.073937
0.133500
1.933229
3.093166
0.258187
0.516374
0.172124
0.172124
0.516374
0.516374
0.516374
0.086062
0.086062
0.172124
0.516374
0.516374
0.463000
0.157750
0.543166
0.190895
0.190895
0.377416
0.562333
0.561833
0.544250
0.190895
0.190895
0.190895
0.190895
0.190895
0.190895
0.190895
0.190895
0.190895
0.190895
0.190895
0.381791
0.381791
0.373666
0.381791
0.377250
12.440000
0.439833
0.444856

Nr. crt

cod ATC

DCI

213 C07AB12

NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM

214 C07BB07

COMBINATII (BISOPROLOLUM+HYDROCHLOROTHIAZIDUM)

215 C07BB07

COMBINATII (BISOPROLOLUM+HYDROCHLOROTHIAZIDUM)

216 C07BB07

COMBINATII (BISOPROLOLUM+HYDROCHLOROTHIAZIDUM)

217 C08CA09

LACIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM

202 C07AB12
203 C07AB12
204 C07AB12
205 C07AB12
206 C07AB12
207 C07AB12
208 C07AB12
209 C07AB12
210 C07AB12
211 C07AB12
212 C07AB12

218 C08CA13
219 C08CA13
220 C08CA13
221 C08CA13
222 C08CA13
223 C08CA13
224 C08CA13
225 C08CA13
226 C08CA13
227 C08CA13
228 C08CA13
229 C08CA13
230 C08CA13
231 C08CA13
232 C08CA13
233 C09AA04
234 C09AA04
235 C09AA04
236 C09AA04
237 C09AA04
238 C09AA04
239 C09AA04
240 C09AA04
241 C09AA04
242 C09AA04
243 C09AA04
244 C09AA04
245 C09AA04
246 C09AA04
247 C09AA04
248 C09AA04
249 C09AA04
250 C09AA04
251 C09AA04
252 C09AA04
253 C09AA04

Denumire Comerciala

NEBILET (R)
NEBIVOLOL ACTAVIS 5 mg
X-PRESSOL 5 mg
NOLET 5 mg
NEBIVOLOL TEVA 5 mg
NEBIVOLOL TEVA 5 mg
VOXNEBIN 5 mg
NEBINORM 5 mg
NEBICARD 5 mg
NEBIVOLOL SANDOZ 5 mg
NEBIVOLOL TERAPIA 5mg
NEBIVOLOL TORRENT 5 mg
LODOZ 10 mg/6,25mg
LODOZ 2,5mg/6,25mg
LODOZ 5mg/6,25mg
LACIPIL 4 mg
LERCANIDIPINA TEVA 10 mg
LERIDIP
LERCANIDIPIN ACTAVIS 10 mg
LERCANIDIPIN ACTAVIS 10 mg
LERIDIP
LERPIN 10 mg
KAPIDIN10 mg
PEGFEL 10 mg
LERCANIDIPINA TEVA 20 mg
LERIDIP 20
LERCANIDIPIN ACTAVIS 20 mg
LERCANIDIPIN ACTAVIS 20 mg
LERIDIP 20
LERPIN 20 mg
PEGFEL 20 mg
PRENESSA 2 mg
PRICORON 4 mg
COVEREX (R) 4 mg
PERINDOPRIL TEVA 4 mg
VIDOTIN 4 mg
TREZEN 4 mg
TREZEN 4 mg
PRENESSA 4 mg
PRINDEX 4 mg
PRESTPRIL 4 mg
PRICORON 8 mg
PERINDOPRIL TEVA 8 mg
VIDOTIN 8 mg
TREZEN 8 mg
TREZEN 8 mg
PRINDEX 8 mg
PERYL 8 mg
PRESTPRIL 8 mg
PRENESSA 8 mg
PRESTARIUM 10 mg
PRESTARIUM 5 mg

forma farm.

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

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

concentratie

5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg

Detinator APP
BERLIN CHEMIE AG MENARINI GROUP

ACTAVIS S.R.L.

tara det.
APP

ROMANIA
LABORMED PHARMA S.A. ROMANIA
ANTIBIOTICE S.A.
ROMANIA
TEVA PHARMACEUTICALS S.R.L. ROMANIA
TEVA PHARMACEUTICALS S.R.L. ROMANIA
SANDOZ S.R.L.
ROMANIA
GLENMARK PHARMACEUTICALS SRL

BIOFARM SP.ZO.O
SANDOZ S.R.L.
TERAPIA S.A.

Ambalaj

Prescriptie

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

CEHIA
POLONIA

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


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

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


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

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


CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L
CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. P-6L

ROMANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. P6L


ROMANIA CUTIE X 2 BLIST. PVC/AL X 14 COMPR. P-6L
TORRENT PHARMA SRL ROMANIA CUTIE CU 3 BLIST. AL/PVC X 10 COMPR. P6L

10 mg/6,25mg MERCK KGAA


2,5mg/6,25mg MERCK KGAA

5mg/6,25mg
4mg
10 mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
20 mg
20mg
20mg
20mg
20mg
20mg
20mg
COMPR.
2mg
COMPR.
4 mg
COMPR.
4mg
COMPR.
4mg
COMPR.
4mg
COMPR.
4mg
COMPR.
4mg
COMPR.
4mg
COMPR.
4mg
COMPR.
4mg
COMPR.
8 mg
COMPR.
8mg
COMPR.
8mg
COMPR.
8mg
COMPR.
8mg
COMPR.
8mg
COMPR.
8mg
COMPR.
8mg
COMPR.
8mg
COMPR. FILM. 10 mg
COMPR. FILM. 5mg

MERCK KGAA

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


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

GLAXO OPERATIONS UK LTD.

MAREA BRITANIE

CUTIE X 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-6L

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

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

BERLIN CHEMIE AG MENARINI GROUP

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

P-6L

ACTAVIS GROUP PTC EHF.

ISLANDA
ISLANDA

BERLIN CHEMIE AG MENARINI GROUP

GERMANIA CUTIE X 4 BLIST. AL/PVC X 15 COMPR.FILM. P-6L

ACTAVIS GROUP PTC EHF.

TORRENT PHARMA S.R.L.

ZENTIVA K.S.

ROMANIA
REPUBLICA CEHA

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


CUTIE CU BLIST. AL/PVC X 30 COMPR. FILM. P-6L
CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L

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

TEVA PHARMACEUTICALS S.R.L.

ROMANIA
ROMANIA

BERLIN CHEMIE AG MENARINI GROUP

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

DR. REDDY'S LABORATORIES

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


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

P-6L

ACTAVIS GROUP PTC EHF.

ISLANDA
ISLANDA

BERLIN CHEMIE AG MENARINI GROUP

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

ACTAVIS GROUP PTC EHF.

TORRENT PHARMA S.R.L.


DR. REDDY'S LABORATORIES

KRKA POLSKA SP. Z.O.O.

ZENTIVA K.S.

ROMANIA
ROMANIA

POLONIA

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


CUTIE CU BLIST. AL/PVC X 30 COMPR. FILM. P-6L
CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L
CUTIE CU BLIST. PVC-PVCDC/AL X 28 COMPR. FILM. P -6L
CUTIE CU 1 BLIST. DIN PVC-PE-PVDC/AL X 30 COMPR.

CUTIE CU BLIST. AL/AL X 30 COMPR.


UNGARIA CUTIE X 1 BLIST. AL/PVC X 30 COMPR.
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 PUNGA DIN AL X 1 BLIST. PVC/VMCH-AL X 30 COMPR.
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR.
TERAPIA S.A.
ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR.
TERAPIA S.A.
ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR.
KRKA POLSKA SP. Z.O.O. POLONIA CUTIE CU 1 BLIST. PVC-PE-PVDC/AL X 30 COMPR.
GLENMARK PHARMACEUTICALS SRL REPUBLICA SLOVACA CUTIE CU BLIST. AL/AL X 30 COMPR.
LABORMED PHARMA S.A. ROMANIA CUTIE CU 3 BLIST. AL/AL X 10 COMPR.
ZENTIVA K.S.
REPUBLICA SLOVACA CUTIE CU BLIST. AL/AL X 30 COMPR.
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 PUNGA DIN AL X 1 BLIST PVC/VMCH-AL X 30 COMPR.
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR.
TERAPIA S.A.
ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR.
TERAPIA S.A.
ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR.
GLENMARK PHARMACEUTICALS SRL REPUBLICA SLOVACA CUTIE CU BLIST. AL/AL X 30 COMPR.
ICN POLFA RZESZOW S.A. POLONIA CUTIE CU BLIST. AL/AL X 30 COMPR.
LABORMED PHARMA S.A. ROMANIA CUTIE CU 3 BLIST. AL/AL X 10 COMPR.
KRKA POLSKA SP Z O.O. POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR.
LES LAB. SERVIER IND. FRANTA CUTIE X 1 FLAC. DIN PP X 30 COMPR. FILM.
LES LAB. SERVIER IND. FRANTA CUTIE X 1 FLAC. DIN PP X 30 COMPR. FILM.
EGIS PHARMACEUTICALS P.L.C.

Pagina 5 din 22

REPUBLICA SLOVACA

P-6L

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

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

P6L
P6L
P6L
P-6L
P-6L

Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)

28
30
30
30
28
30
28
30
28
28
28
30
30
30
30
14
30
28
28
30
60
28
30
28
30
28
28
30
60
28
28
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30

34.55
23.20
27.09
24.87
22.80
24.44
13.84
24.87
22.93
13.84
22.65
24.59
29.46
26.29
29.46
12.80
21.09
63.97
16.58
17.77
40.07
22.99
17.77
21.76
32.91
71.97
26.44
28.34
64.75
34.95
33.98
13.44
24.95
29.01
25.32
33.45
25.87
25.87
26.87
26.90
25.87
45.52
49.00
53.44
49.12
49.12
54.01
30.86
49.12
49.45
63.61
41.11

Pret
amanuntul
maximal/UT
(RON)

1.233928
0.773333
0.903000
0.829000
0.814285
0.814666
0.494285
0.829000
0.818928
0.494285
0.808928
0.819666
0.982000
0.876333
0.982000
0.914285
0.703000
2.284642
0.592142
0.592333
0.667833
0.821071
0.592333
0.777142
1.097000
2.570357
0.944285
0.944666
1.079166
1.248214
1.213571
0.448000
0.831666
0.967000
0.844000
1.115000
0.862333
0.862333
0.895666
0.896666
0.862333
1.517333
1.633333
1.781333
1.637333
1.637333
1.800333
1.028666
1.637333
1.648333
2.120333
1.370333

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit. a)
(RON) pt.
si f)
Adulti

0.889713
0.773333
0.889713
0.829000
0.814285
0.814666
0.494285
0.829000
0.818928
0.494285
0.808928
0.819666
0.929166
0.876333
0.929166
0.578399
0.578399
0.578399
0.578399
0.578399
0.578399
0.578399
0.578399
0.578399
1.097000
1.156798
0.944285
0.944666
1.079166
1.156798
1.156798
0.199619
0.399239
0.399239
0.399239
0.399239
0.399239
0.399239
0.399239
0.399239
0.399239
0.798479
0.798479
0.798479
0.798479
0.798479
0.798479
0.798479
0.798479
0.798479
0.998098
0.499049

0.444856
0.386666
0.444856
0.414500
0.407142
0.407333
0.247142
0.414500
0.409464
0.247142
0.404464
0.409833
0.464583
0.438166
0.464583
0.289199
0.289199
0.289199
0.289199
0.289199
0.289199
0.289199
0.289199
0.289199
0.548500
0.578399
0.472142
0.472333
0.539583
0.578399
0.578399
0.099809
0.199619
0.199619
0.199619
0.199619
0.199619
0.199619
0.199619
0.199619
0.199619
0.399239
0.399239
0.399239
0.399239
0.399239
0.399239
0.399239
0.399239
0.399239
0.499049
0.249524

Nr. crt

cod ATC

254 C09AA07
255 C09AA07
256 C09AA07
257 C09AA10
258 C09AA10
259 C09AA10
260 C09AA10
261 C09AA10
262 C09AA10
263 C09AA10
264 C09AA10
265 C09AA15
266 C09AA15

DCI

BENAZEPRILUM
BENAZEPRILUM
BENAZEPRILUM
TRANDOLAPRILUM
TRANDOLAPRILUM
TRANDOLAPRILUM
TRANDOLAPRILUM
TRANDOLAPRILUM
TRANDOLAPRILUM
TRANDOLAPRILUM
TRANDOLAPRILUM
ZOFENOPRILUM
ZOFENOPRILUM

267 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)


268 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)
269 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)
270 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)
271 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)
272 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)
273 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)
274 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)
275 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)
276 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)
277 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)
278 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)
279 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)
280 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)
281 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)
282 C09BA06

COMBINATII (QUINAPRILUM+HYDROCHLOROTHIAZIDUM)

283 C09BA06

COMBINATII (QUINAPRILUM+HYDROCHLOROTHIAZIDUM)

284 C09BB02 COMBINATII (NITRENDIPINUM+ENALAPRILUM)


285 C09BB10 COMBINATII (VERAPAMILUM+TRANDOLAPRILUM)
286 C09BB10 COMBINATII (VERAPAMILUM+TRANDOLAPRILUM)
287 C09BB10 COMBINATII (VERAPAMILUM+TRANDOLAPRILUM)
288 C09CA03
289 C09CA03
290 C09CA03
291 C09CA03
292 C09CA03
293 C09CA03
294 C09CA03
295 C09CA03
296 C09CA03
297 C09CA03
298 C09CA03
299 C09CA03
300 C09CA03
301 C09CA03
302 C09CA03
303 C09CA03
304 C09CA03
305 C09CA03

VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM

Denumire Comerciala

CIBACEN (R) 10 mg
CIBACEN (R) 20 mg
CIBACEN (R) 5 mg
GOPTEN (R) 0,5 mg
FEZZOR 0,5 mg
GOPTEN (R) 2 mg
TRANDOLAPRIL GALEX 2 mg
FEZZOR 2 mg
GOPTEN (R) 4 mg
TRANDOLAPRIL GALEX 4 mg
FEZZOR 4 mg
ZOMEN (R) 30 mg
ZOMEN (R) 7,5 mg
PRINDEX PLUS 2 mg/0,625 mg
CO-PRENESSA 2mg/0,625 mg
INDAPRIL 2 mg/0,625 mg
PRICORON COMBI 2 mg/0,625 mg
DANURIT 2 mg/0,625 mg
PRINDEX PLUS 4 mg/1,25mg
INDAPRIL 4 mg/1,25 mg
PRICORON COMBI 4 mg/1,25 mg
CO-PRENESSA 4mg/1,25 mg
DANURIT 4 mg/1,25mg
CO-PRENESSA 8 mg/2,5mg
NOLITERAX 10 mg/2,5mg
NOLIPREL ARG 2,5mg/0,625mg
NOLIPREL ARG FORTE 5mg/1,25mg
PRESTARIUM ARG PLUS 5mg/1,25mg
ACCUZIDE
ACCUZIDE FORTE
ENEAS
TARKA 240 mg/2 mg
TARKA 240 mg/4 mg
TARKA
VALSARTAN TEVA 160 mg
VALSARTAN TEVA 80 mg
CORETON 160 mg
WENZELL 160 mg
WENZELL 160 mg
VALSARGAMMA 160 mg
DIOVAN 160 mg
VALSARTAN TORRENT 160 mg
VALSACOR 160 mg
AVASSAN 160 mg
DIOVAN 40 mg
AVASSAN 40 mg
CORETON 80 mg
WENZELL 80 mg
WENZELL 80 mg
VALSARGAMMA 80 mg
DIOVAN 80 mg
VALSARTAN TORRENT 80 mg

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

concentratie

10mg
20mg
5mg
CAPS.
0,5mg
CAPS.
0,5mg
CAPS.
2mg
CAPS.
2mg
CAPS.
2mg
CAPS.
4mg
CAPS.
4mg
CAPS.
4mg
COMPR. FILM. 30mg
COMPR. FILM. 7,5mg
COMPR.
2 mg/0,625mg
COMPR.
2mg/0,625mg
COMPR.
2mg/0,625mg
COMPR.
2mg/0,625mg
COMPR.
2mg/0,625mg
COMPR.
4 mg/1,25mg
COMPR.
4mg+1.25mg
COMPR.
4mg+1.25mg
COMPR.
4mg/1,25mg
COMPR.
4mg/1,25mg
COMPR.
8mg/2,5mg
COMPR. FILM. 10mg/2,5mg
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

COMPR.

COMPR. CU ELIB. MODIF.


COMPR. CU ELIB. MODIF.
COMPR.FILM.ELIB.MODIF.

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

Detinator APP

Prescriptie

P-6L

NOVARTIS PHARMA GMBH

P-6L

NOVARTIS PHARMA GMBH

ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. X 10 CAPS.

P-6L
P-6L

LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. P-6L

ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. X 14 CAPS.


P-6L
GALEX D.D
SLOVENIA CUTIE CU BLIST. PVC-PE-PVCD/AL X 28 CAPS. P-6L

LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. P-6L

ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. X 14 CAPS.


P-6L
GALEX D.D
SLOVENIA CUTIE CU BLIST. PVC-PE-PVCD/AL X 28 CAPS. P-6L

LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. P-6L


MENARINI INTERNATIONAL OPERATIONS LUXEMBURG S.A.

LUXEMBURG

MENARINI INTERNATIONAL OPERATIONS LUXEMBURG S.A.

LUXEMBURG

CUTIE X 4 BLIST. X 7 COMPR. FILM.


CUTIE X 4 BLIST. X 7 COMPR. FILM.

GLENMARK PHARMACEUTICALS SRL REPUBLICA CEHA CUTIE CU 1 BLIST. PVC/PVDC-AL IN AMBALAJ DE AL X 30 (30X1) COMPR.

P-6L
P-6L

P6L

KRKA POLSKA SP ZO.O. POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. P-6L

LABORMED PHARMA S.A. ROMANIA CUTIE CU 3 BLIST. AL/AL X 10 COMPR. P6L

ZENTIVA K.S.

CUTIE CU BLIST. AL/AL X 30 COMPR. P6L


ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 30 COMPR. P6L
GLENMARK PHARMACEUTICALS SRL REPUBLICA CEHA CUTIE CU 1 BLIST. PVC/PVDC-AL IN AMBALAJ DE AL X 30 (30X1) COMPR. P6L
LABORMED PHARMA S.A. ROMANIA CUTIE CU 3 BLIST. AL/AL X 10 COMPR. P6L
ZENTIVA K.S.
REPUBLICA SLOVACA CUTIE CU BLIST. AL/AL X 30 COMPR. P6L
REPUBLICA SLOVACA

GEDEON RICHTER ROMANIA SA

KRKA POLSKA SP ZO.O. POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. P-6L

GEDEON RICHTER ROMANIA SA

PHARMA-REGIST
LES LAB. SERVIER
LES LABORATOIRES SERVIER
LES LABORATOIRES SERVIER

10mg/12,5mg PFIZER EUROPE MA EEIG


20mg/12,5mg PFIZER EUROPE MA EEIG

20mg+10mg
240mg/2mg
240mg/4mg
180mg/2mg
160mg
80mg
160mg
160mg
160mg
160mg
160mg
160mg
160mg
160mg
40mg
40mg
80mg
80mg
80mg
80mg
80mg
80mg

Ambalaj

CUTIE X 2 BLIST. X 14 COMPR. FILM.


GERMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM.
GERMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM.

NOVARTIS PHARMA GMBH GERMANIA

2,5mg/0,625mg LES LABORATOIRES SERVIER

5mg/1,25mg
5mg/1,25mg

tara det.
APP

GALENICA S.A.

ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 30 COMPR. P6L


UNGARIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-6L

FRANTA
FRANTA
FRANTA
FRANTA

CUTIE X 1 FLAC. DIN PP CU CAPAC PEJD CU SILICAGEL X 30 COMPR. FILM.

P-6L

CUTIE X 1 FLAC. DIN PROPILENA X 30 COMPR. FILM. P-6L


CUTIE X 1 FLAC. DIN PROPILENA X 30 COMPR. FILM. P-6L
CUTIE X 1 FLAC. DIN PROPILENA X 30 COMPR. FILM. P-6L

MAREA BRITANIE

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

P-6L

MAREA BRITANIE

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

P-6L

GRECIA

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

ABBOTT GMBH & CO.KG GERMANIA

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

P6L
P6L

ABBOTT GMBH&CO.KG GERMANIA

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

P-6L

ABBOTT GMBH & CO.KG GERMANIA

TEVA PHARMACEUTICALS S.R.L.


TEVA PHARMACEUTICALS S.R.L.

ZENTIVA K.S.

ROMANIA
ROMANIA

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

REPUBLICA CEHA

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

ROMASTRU TRADING S.R.L.

ROMANIA
ROMANIA

WORWAG PHARMA GMBH & CO. KG

GERMANIA

ROMASTRU TRADING S.R.L.

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

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


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

P-6L

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

P-6L

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

P6L

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

TORRENT PHARMA S.R.L.

ROMANIA

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

P6L

KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P6L

TERAPIA S.A.

ROMANIA

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

NOVARTIS PHARMA GMBH GERMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28COMPR. FILM.

TERAPIA S.A.
ZENTIVA K.S.

ROMANIA
REPUBLICA CEHA

ROMASTRU TRADING S.R.L.

ROMANIA
ROMANIA

WORWAG PHARMA GMBH & CO. KG

GERMANIA

ROMASTRU TRADING S.R.L.

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

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


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

P-6L

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

P-6L

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

P6L
P6L
P6L

NOVARTIS PHARMA GMBH GERMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X28COMPR. FILM.

TORRENT PHARMA S.R.L.

Pagina 6 din 22

ROMANIA

P6L
P6L
P6L

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

Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)

28 43.66
28 57.30
28 21.80
20
9.71
28
7.94
28 28.09
28 18.26
28 18.26
28 46.79
28 31.42
28 31.42
28 44.47
28 19.69
30 16.18
30 16.18
30 18.71
30 16.18
30 16.18
30 29.41
30 31.19
30 29.41
30 29.41
30 29.41
30 61.17
30 75.76
30 57.17
30 61.63
30 61.63
30 21.68
30 31.57
30 96.52
28 55.45
28 72.69
28 52.85
28 32.59
28 20.26
28 32.85
28 66.00
30 70.74
30 33.91
28 116.60
28 65.71
28 32.85
28 66.00
28 71.91
28 42.63
28 34.00
28 47.37
30 50.79
30 23.25
28 91.88
28 47.00

Pret
amanuntul
maximal/UT
(RON)

1.559285
2.046428
0.778571
0.485500
0.283571
1.003214
0.652142
0.652142
1.671071
1.122142
1.122142
1.588214
0.703214
0.539333
0.539333
0.623666
0.539333
0.539333
0.980333
1.039666
0.980333
0.980333
0.980333
2.039000
2.525333
1.905666
2.054333
2.054333
0.722666
1.052333
3.217333
1.980357
2.596071
1.887500
1.163928
0.723571
1.173214
2.357142
2.358000
1.130333
4.164285
2.346785
1.173214
2.357142
2.568214
1.522500
1.214285
1.691785
1.693000
0.775000
3.281428
1.678571

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit. a)
(RON) pt.
si f)
Adulti

0.532319
1.064638
0.266159
0.099809
0.099809
0.399239
0.399239
0.399239
0.798479
0.798479
0.798479
0.399239
0.099809
0.539333
0.539333
0.623666
0.539333
0.539333
0.970799
0.970799
0.970799
0.970799
0.970799
0.970799
0.970799
0.970799
0.970799
0.970799
0.722666
0.970799
3.217333
1.887500
1.887500
1.887500
1.163928
0.723571
1.173214
2.357142
2.358000
1.130333
2.651141
2.346785
1.173214
2.357142
0.662785
0.662785
1.214285
1.325570
1.325570
0.775000
1.325570
1.325570

0.266159
0.532319
0.133079
0.049904
0.049904
0.199619
0.199619
0.199619
0.399239
0.399239
0.399239
0.199619
0.049904
0.269666
0.269666
0.311833
0.269666
0.269666
0.485399
0.485399
0.485399
0.485399
0.485399
0.485399
0.485399
0.485399
0.485399
0.485399
0.361333
0.485399
1.608666
0.943750
0.943750
0.943750
0.581964
0.361785
0.586607
1.178571
1.179000
0.565166
1.325570
1.173392
0.586607
1.178571
0.331392
0.331392
0.607142
0.662785
0.662785
0.387500
0.662785
0.662785

Nr. crt

cod ATC

306 C09CA03
307 C09CA03
308 C09CA03
309 C09CA04
310 C09CA04
311 C09CA04
312 C09CA04
313 C09CA04
314 C09CA04
315 C09CA04
316 C09CA04
317 C09CA04
318 C09CA04
319 C09CA04
320 C09CA04
321 C09CA04
322 C09CA04
323 C09CA04
324 C09CA04
325 C09CA04
326 C09CA04
327 C09CA04
328 C09CA04
329 C09CA04
330 C09CA04
331 C09CA04
332 C09CA04
333 C09CA04
334 C09CA04
335 C09CA06
336 C09CA06
337 C09CA06
338 C09CA06
339 C09CA06
340 C09CA06
341 C09CA06
342 C09CA06
343 C09CA06
344 C09CA06
345 C09CA06
346 C09CA06
347 C09CA06
348 C09CA06
349 C09CA06
350 C09CA06
351 C09CA06
352 C09CA06
353 C09CA06
354 C09CA06
355 C09CA06
356 C09CA06
357 C09CA06

DCI

VALSARTANUM
VALSARTANUM
VALSARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL

Denumire Comerciala

VALSACOR 80 mg
AVASSAN 80 mg
DIOVAN 3 mg/ml
APROVEL 150mg
IRBESARTAN WINTHROP 150mg
IRBESARTAN TERAPIA 150 mg
IRBESARTAN SANDOZ 150 mg
IRBEGAMMA 150 mg
IRBEGAMMA 150 mg
IRPRESTAN 150 mg
IFIRMASTA 150 mg
IRBESARTAN TEVA 150 mg
IRBESARTAN DR. REDDY'S 150 mg
DEPALONG 150 mg
ATOKKEN 150 mg
IRBESARTAN TEVA 300 mg
APROVEL 300mg
IRBESARTAN WINTHROP 300mg
IRBESARTAN TERAPIA 300 mg
IRBESARTAN SANDOZ 300 mg
IRBEGAMMA 300 mg
IRBEGAMMA 300 mg
IRPRESTAN 300 mg
IFIRMASTA 300mg
IRBESARTAN DR. REDDY'S 300 mg
DEPALONG 300 mg
ATOKKEN 300 mg
IRBEGAMMA 75 mg
ATOKKEN 75 mg
ATACAND
TANDESAR 16 mg

tara det.
forma farm.
concentratie
APP
Detinator APP
COMPR. FILM. 80mg
KRKA D.D. NOVO MESTO SLOVENIA
COMPR. FILM. 80mg
TERAPIA S.A.
ROMANIA

SOL. ORALA 3mg/ml


COMPR. FILM. 150mg
COMPR. FILM. 150mg
COMPR. FILM. 150mg
COMPR. FILM. 150mg
COMPR. FILM. 150mg
COMPR. FILM. 150mg
COMPR. FILM. 150mg
COMPR. FILM. 150mg
COMPR. FILM. 150mg
COMPR. FILM. 150mg
COMPR. FILM. 150mg
COMPR. FILM. 150mg
COMPR. FILM. 300 mg
COMPR. FILM. 300mg
COMPR. FILM. 300mg
COMPR. FILM. 300mg
COMPR. FILM. 300mg
COMPR. FILM. 300mg
COMPR. FILM. 300mg
COMPR. FILM. 300mg
COMPR. FILM. 300mg
COMPR. FILM. 300mg
COMPR. FILM. 300mg
COMPR. FILM. 300mg
COMPR. FILM. 75mg
COMPR. FILM. 75mg
COMPR.
16mg
COMPR.
16mg
CANDESARTAN CILEXETIL ZENTIVA 16 mg COMPR.
16mg
HIPOSTYN 16 mg
COMPR.
16mg
CANDESARTAN SANDOZ 16 mg
COMPR.
16mg
KARBIS 16 mg
COMPR.
16mg
CANDEPOL 16 mg
COMPR.
16mg
CANDESARTAN TORRENT 16 mg
COMPR.
16mg
CLASTINOL 16 mg
COMPR.
16mg
ATACAND 32 mg
COMPR.
32mg
CANDESARTAN CILEXETIL ZENTIVA 32 mg COMPR.
32mg
HIPOSTYN 32 mg
COMPR.
32mg
KARBIS 32 mg
COMPR.
32mg
CANDEPOL 32 mg
COMPR.
32mg
CANDESARTAN TORRENT 32 mg
COMPR.
32mg
CLASTINOL 32 mg
COMPR.
32mg
ATACAND
COMPR.
8mg
TANDESAR 8 mg
COMPR.
8mg
CANDESARTAN CILEXETIL ZENTIVA 8 mg COMPR.
8mg
HIPOSTYN 8 mg
COMPR.
8mg
CANDESARTAN SANDOZ 8 mg
COMPR.
8mg
KARBIS 8 mg
COMPR.
8mg
CANDEPOL 8 mg
COMPR.
8mg

NOVARTIS PHARMA GMBH GERMANIA


SANOFI PHARMA - BRISTOL MYERS SQUIBB
SANOFI PHARMA - BRISTOL MYERS SQUIBB

TERAPIA S.A.
SANDOZ S.R.L.

FRANTA
FRANTA

ROMANIA
ROMANIA

Ambalaj

Prescriptie

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

P6L
P6L

CUTIE CU 1 FLAC. DIN STICLA BRUNA X 160 ML SOL. ORALA + 1 TRUSA DE ADMINISTRARE (ADAPTOR PT. FLAC.+1

P-6L

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

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


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

P-6L

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

P-6L

WORWAG PHARMA GMBH & CO. KG

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

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. PVC-PVDC/AL X 100 COMPR. FILM. P-6L

ACTAVIS GROUP PTC EHF.

ISLANDA

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

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

TEVA PHARMA B.V. OLANDA

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

P-6L

ROMANIA CUTIE CU 2 BLIST. AL/AL X 14 COMPR. FILM. P6L


MEDANA PHARMA S.A. POLONIA CUTIE CU 2 BLIST. PVC-PCTFE/AL X 14 COMPR. FILM. P6L
ROMASTRU TRADING SRL ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P6L

DR. REDDY'S LABORATORIES

TEVA PHARMA B.V. OLANDA


FRANTA
SANOFI PHARMA - BRISTOL MYERS SQUIBB
FRANTA
TERAPIA S.A.
ROMANIA
SANDOZ S.R.L.
ROMANIA

SANOFI PHARMA - BRISTOL MYERS SQUIBB

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

P-6L

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


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

P-6L

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

P-6L

WORWAG PHARMA GMBH & CO. KG

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

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. PVC-PVDC/AL X 100 COMPR. FILM. P-6L

ACTAVIS GROUP PTC EHF.

ISLANDA

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

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

ROMANIA CUTIE CU 2 BLIST. AL/AL X 14 COMPR. FILM. P6L


CUTIE CU 2 BLIST. PVC-PCTFE/AL X 14 COMPR. FILM. P6L
ROMASTRU TRADING SRL ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P6L

DR. REDDY'S LABORATORIES

MEDANA PHARMA S.A. POLONIA

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. PVC-PVDC/AL X 100 COMPR. FILM. P-6L

ROMASTRU TRADING SRL

ROMANIA

SUEDIA

CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM.

P6L

ASTRAZENECA AB
TERAPIA SA
ZENTIVA K.S.

REPUBLICA SLOVACA

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

ASTRAZENECA AB
ZENTIVA K.S.

SUEDIA

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

REPUBLICA SLOVACA

ROMANIA

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


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

P6L
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR. P6L
SANDOZ SRL
ROMANIA CUTIE CU BLIST. AL/AL CU DESICANT X 28 COMPR. P-6L
KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L
PHARMACEUTICAL WORKS POLPHARMA SA POLONIA CUTIE CU BLIST. AL/PVC-PVDC X 28 COMPR.
P6L
TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. P6L

TEVA PHARMACEUTICALS S.R.L.

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L


ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR. P6L

KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L

POLONIA

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

SUEDIA

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

P6L
TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. P6L

PHARMACEUTICAL WORKS POLPHARMA SA

ASTRAZENECA AB
TERAPIA SA
ZENTIVA K.S.

TEVA PHARMACEUTICALS S.R.L.

SANDOZ SRL

ROMANIA

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

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L


ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR. P6L
ROMANIA CUTIE CU BLIST. AL/AL CU DESICANT X 28 COMPR. P-6L

REPUBLICA SLOVACA

KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L
PHARMACEUTICAL WORKS POLPHARMA SA

Pagina 7 din 22

POLONIA

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

P6L

Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)

28 28.84
28 47.40
1 41.42
28 66.75
28 44.88
28 54.57
28 33.50
30 38.29
100 121.22
30 33.50
28 37.35
28 33.50
28 44.94
28 44.88
28 44.88
28 57.50
28 88.08
28 60.27
28 71.28
28 64.85
30 64.58
100 193.87
30 48.64
28 60.27
28 60.27
28 60.27
28 60.29
100 91.26
28 40.39
28 66.74
28 44.87
30 48.06
30 42.50
28 39.65
30 43.24
28 44.88
30 48.03
28 44.85
28 117.40
30 81.77
30 71.36
30 81.75
28 76.32
30 81.75
28 69.33
28 56.10
28 36.46
30 39.02
30 24.13
28 33.45
30 33.01
28 36.46

Pret
amanuntul
maximal/UT
(RON)

1.030000
1.692857
41.420000
2.383928
1.602857
1.948928
1.196428
1.276333
1.212200
1.116666
1.333928
1.196428
1.605000
1.602857
1.602857
2.053571
3.145714
2.152500
2.545714
2.316071
2.152666
1.938700
1.621333
2.152500
2.152500
2.152500
2.153214
0.912600
1.442500
2.383571
1.602500
1.602000
1.416666
1.416071
1.441333
1.602857
1.601000
1.601785
4.192857
2.725666
2.378666
2.725000
2.725714
2.725000
2.476071
2.003571
1.302142
1.300666
0.804333
1.194642
1.100333
1.302142

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit. a)
(RON) pt.
si f)
Adulti

1.030000
1.325570
7.953425
1.325570
1.325570
1.325570
1.196428
1.276333
1.212200
1.116666
1.325570
1.196428
1.325570
1.325570
1.325570
2.053571
2.651141
2.152500
2.545714
2.316071
2.152666
1.938700
1.621333
2.152500
2.152500
2.152500
2.153214
0.662785
0.662785
2.383571
1.602500
1.602000
1.416666
1.416071
1.441333
1.602857
1.601000
1.601785
4.192857
2.725666
2.378666
2.725000
2.725714
2.725000
2.476071
1.325570
1.302142
1.300666
0.804333
1.194642
1.100333
1.302142

0.515000
0.662785
3.976712
0.662785
0.662785
0.662785
0.598214
0.638166
0.606100
0.558333
0.662785
0.598214
0.662785
0.662785
0.662785
1.026785
1.325570
1.076250
1.272857
1.158035
1.076333
0.969350
0.810666
1.076250
1.076250
1.076250
1.076607
0.331392
0.331392
1.191785
0.801250
0.801000
0.708333
0.708035
0.720666
0.801428
0.800500
0.800892
2.096428
1.362833
1.189333
1.362500
1.362857
1.362500
1.238035
0.662785
0.651071
0.650333
0.402166
0.597321
0.550166
0.651071

Nr. crt

cod ATC

DCI

Denumire Comerciala

376 C09CA07

CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM

377 C09DA01

COMBINATII (LOSARTANUM+HYDROCHLOROTHIAZIDUM)

378 C09DA01

COMBINATII (LOSARTANUM+HYDROCHLOROTHIAZIDUM)

379 C09DA01

COMBINATII (LOSARTANUM+HYDROCHLOROTHIAZIDUM)

380 C09DA01

COMBINATII (LOSARTANUM+HYDROCHLOROTHIAZIDUM)

381 C09DA03

COMBINATII (VALSARTANUM+HYDROCHLOROTHIAZIDUM) VALSARTAN HIDROCLOROTIAZIDA TORRENT 160 mg/12,5 mg

382 C09DA03

COMBINATII (VALSARTANUM+HYDROCHLOROTHIAZIDUM) VALSARTAN HIDROCLOROTIAZIDA TORRENT 160 mg/25 mg

383 C09DA03

COMBINATII (VALSARTANUM+HYDROCHLOROTHIAZIDUM) VALSARTAN HIDROCLOROTIAZIDA TORRENT 320 mg/12,5 mg

358 C09CA06
359 C09CA06
360 C09CA07
361 C09CA07
362 C09CA07
363 C09CA07
364 C09CA07
365 C09CA07
366 C09CA07
367 C09CA07
368 C09CA07
369 C09CA07
370 C09CA07
371 C09CA07
372 C09CA07
373 C09CA07
374 C09CA07
375 C09CA07

CANDESARTAN TORRENT 8 mg
CLASTINOL 8 mg
TELMISARTAN ACTAVIS 40mg
MICARDIS 40 mg
PRITOR 40 mg
TOLURA 40 mg
TEZEO 40 mg
TELMISARTAN ACTAVIS 80mg
MICARDIS 80 mg
PRITOR 80 mg
TOLURA 80 mg
TEZEO 80 mg
TELMARK 20 mg
TELMARK 40 mg
TELMARK 40 mg
TANYDON 40 mg
TELMARK 80 mg
TELMARK 80 mg
TANYDON 80 mg
HYZAAR (R) 50 mg/12,5 mg
LOSARTAN HCT FARMAL 50mg/12,5mg
LORISTA HL 100 mg/12,5 mg
LORISTA H

384 C09DA03

COMBINATII (VALSARTANUM+HYDROCHLOROTHIAZIDUM) VALSARTAN HIDROCLOROTIAZIDA TORRENT 320 mg/25 mg

385 C09DA03

COMBINATII (VALSARTANUM+HYDROCHLOROTHIAZIDUM) VALSARTAN HIDROCLOROTIAZIDA TORRENT 80 mg/12,5 mg

386 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

387 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

COAPROVEL 150mg/12,5mg
COAPROVEL 300mg/12,5mg

388 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

IRBESARTAN HYDROCHLOROTHIAZIDE WINTHROP 150mg/12,5mg

389 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

IRBESARTAN HYDROCHLOROTHIAZIDE WINTHROP 300mg/12,5mg

390 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

IRPREZIDE 150 mg/12,5 mg

391 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

IRBESARTAN/ HYDROCHLOROTHIAZIDE TEVA 150 mg/12,15 mg

392 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

393 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

394 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

IRBEZYD COMBI 150 mg/12,5 mg


IFIRMACOMBI 150mg/12,5mg
IRPREZIDE 300 mg/12,5 mg

395 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

IRBESARTAN/ HYDROCHLOROTHIAZIDE TEVA 300 mg/12,15 mg

396 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

397 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

398 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

399 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

400 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

401 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

402 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM)

403 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM)

404 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM)

405 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM)

406 C09DB01 COMBINATII ( VALSARTANUM+AMLODIPINUM)


407 C09DB01 COMBINATII ( VALSARTANUM+AMLODIPINUM)
408 C09DB01 COMBINATII ( VALSARTANUM+AMLODIPINUM)
409 C09DB01 COMBINATII ( VALSARTANUM+AMLODIPINUM)

IRPREZIDE 300 mg/25 mg


IRBEZYD COMBI 300 mg/12,5 mg
IFIRMACOMBI 300mg/12,5mg
COAPROVEL 300mg/25mg
IRBEZYD COMBI 300 mg/25 mg
IFIRMACOMBI 300mg/25mg
MICARDISPLUS 80/12,5mg
MICARDISPLUS 80/25mg
PRITOR PLUS 80mg/12,5mg
PRITOR PLUS 80mg/25mg
EXFORGE 10mg/160mg
EXFORGE 10mg/160mg
EXFORGE 5mg/160mg
EXFORGE 5mg/160mg

forma farm.

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

concentratie

8mg
8mg
40 mg
40mg
40mg
40mg
40mg
80 mg
80mg
80mg
80mg
80mg
20mg
40mg
40mg
40mg
80mg
80mg
80mg

Detinator APP

tara det.
APP

Ambalaj

ACTAVIS GROUP PTC EHF.


BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA CUTIE X 28 COMPR. ( BLIST. PA/AL/PVC) P-6L

BAYER SCHERING PHARMA AG

GERMANIA

EGIS PHARMACEUTICALS P.L.C.

CUTIE X 28COMPR.( BLIST. PERFORATE UNIDOZA PA/AL/PVC )

ZENTIVA, K.S.

REPUBLICA CEHA

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

ACTAVIS GROUP PTC EHF.

ISLANDA CUTIE CU BLIST. AL/AL X 28 COMPR. P6L

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA CUTIE X 28COMPR. ( BLIST. PA/AL/PVC) P-6L

BAYER SCHERING PHARMA AG

GERMANIA

CUTIE X 28COMPR.( BLIST. PERFORATE UNIDOZA PA/AL/PVC )

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

P-6L

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

ZENTIVA, K.S.

REPUBLICA CEHA

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

REPUBLICA CEHA

CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P6L

REPUBLICA CEHA

CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P6L

REPUBLICA CEHA

CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P6L

ROMANIA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P6L


CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P6L
REPUBLICA CEHA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM.
P6L
ROMANIA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P6L
ROMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM. P-6L
ROMANIA CUTIE X 2 BLIST. PVC-PE PCDC/AL X 14 COMPR. FILM. P-6L

REPUBLICA CEHA

COMPR.FILM 100mg/12,5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM.
COMPR.FILM 50mg+ 12,50mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. DIN PVC-PVDC/AL X 14 COMPR. FILM.
COMPR. FILM. 160mg/12,5mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.
COMPR. FILM. 160mg/25mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.
COMPR. FILM. 320mg/12,5mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.
COMPR. FILM. 320mg/25mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.
COMPR. FILM. 80mg/12,5mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.
COMPR.
150mg/12,5mg SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR.
COMPR.
300mg/12,5mg SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR.
COMPR. FILM 150mg/12,5mg SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X 2 BLIST. PVC/PVDC/AL X 14 COMPR. FILM.
COMPR. FILM 300mg/12,5mg SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X 2 BLIST. PVC/PVDC/AL X 14 COMPR. FILM.
COMPR. FILM. 150 mg/12,5 mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. DIN PVC-PVDC/AL X 30 COMPR. FILM.
COMPR. FILM. 150mg/12,5mg TEVA PHARMA B.V. OLANDA CUTIE X BLIST. AL/AL X 28 COMPR. FILM.
COMPR. FILM. 150mg/12,5mg PHARMACEUTICAL WORKS POLPHARMA SA POLONIA CUTIE CU BLIST. PVC-PCTFE/AL X 28 COMPR. FILM.

COMPR.
COMPR.
COMPR.
COMPR.

P-6L

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

COMPR. FILM.
GLENMARK PHARMACEUTICALS SRL
COMPR. FILM.
GLENMARK PHARMACEUTICALS SRL
COMPR. FILM.
GLENMARK PHARMACEUTICALS SRL
COMPR. FILM.
GEDEON RICHTER ROMANIA SA
COMPR. FILM.
GLENMARK PHARMACEUTICALS SRL
COMPR. FILM.
GLENMARK PHARMACEUTICALS SRL
COMPR. FILM.
GEDEON RICHTER ROMANIA SA
COMPR. FILM. 50mg+12,5mg MERCK SHARP & DOHME
COMPR. FILM. 50mg/12,5mg FARMAL INTERNATIONAL S.R.L.

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

Prescriptie

ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L


UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. P6L
ISLANDA CUTIE CU BLIST. AL/AL X 28 COMPR. P6L

TORRENT PHARMA S.R.L.

150mg/12,5mg KRKA D.D. NOVO MESTO SLOVENIA

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

P-6L
P-6L

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

P6L
P-6L

P6L
P6L
P6L

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


300 mg/12,5mg TEVA PHARMA B.V. OLANDA CUTIE X BLIST. AL/AL X 28 COMPR. FILM. P-6L
300 mg/25 mg ACTAVIS GROUP PTC EHF. IRLANDA CUTIE CU BLIST. DIN PVC-PVDC/AL X 30 COMPR. FILM. P6L
300mg/12,5mg PHARMACEUTICAL WORKS POLPHARMA SA POLONIA CUTIE CU BLIST. PVC-PCTFE/AL X 28 COMPR. FILM. P6L

300 mg/12,5 mg ACTAVIS GROUP PTC EHF.

300mg/12,5mg KRKA D.D. NOVO MESTO SLOVENIA

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

P6L

FRANTA
POLONIA

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

SLOVENIA

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

300mg/25mg SANOFI PHARMA - BRISTOL MYERS SQUIBB


300mg/25mg PHARMACEUTICAL WORKS POLPHARMA SA
300mg/25mg KRKA D.D. NOVO MESTO
80/12,5mg
80/25mg
BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA CUTIE X 28COMPR. ( BLIST. PA/AL/PVC) P-6L

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA

80mg/12,5mg

BAYER SCHERING PHARMA AG

GERMANIA CUTIE X 28COMPR.( BLIST. PA/AL/PVC PERFORATE) P-6L

80mg/25mg
10mg/160mg
10mg/160mg
5mg/160mg
5mg/160mg

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

CUTIE X 28 COMPR. (BLIST. PA/AL/PVC/AL SAU PA/PA/AL/PVC/AL)

P6L
P6L
P-6L

BAYER SCHERING PHARMA AG

GERMANIA

CUTIE X 28COMPR.( BLIST. PA/AL/PVC SAU PA/PA/AL/PVC/AL PERFORATE UNIDOZA)

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 56 COMPR. FILM. (BLIST. PVC/PVDC ) P-6L

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 28 COMPR. FILM.(BLIST.PVC/PVDC )

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 56 COMPR. FILM. (BLIST. PVC/PVDC ) P-6L

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

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

Pagina 8 din 22

P-6L
P-6L

Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)

30
28
28
28
28
28
30
28
28
28
28
30
30
28
30
30
28
30
30
28
28
28
28
28
28
28
28
28
28
28
28
28
30
28
28
30
30
28
30
28
30
28
28
30
28
28
28
28
56
28
56
28

39.07
36.46
39.46
60.70
64.10
39.46
42.26
52.99
77.42
77.42
52.99
56.77
32.36
39.46
42.27
42.27
52.99
56.78
56.78
79.46
30.06
29.31
18.06
122.45
136.15
132.23
150.44
105.59
83.18
112.31
56.93
73.02
38.41
56.93
56.93
39.59
46.28
73.02
56.93
73.02
73.91
112.36
73.04
73.91
77.42
104.85
79.57
104.85
252.74
128.66
252.74
128.66

Pret
amanuntul
maximal/UT
(RON)

1.302333
1.302142
1.409285
2.167857
2.289285
1.409285
1.408666
1.892500
2.765000
2.765000
1.892500
1.892333
1.078666
1.409285
1.409000
1.409000
1.892500
1.892666
1.892666
2.837857
1.073571
1.046785
0.645000
4.373214
4.862500
4.722500
5.372857
3.771071
2.970714
4.011071
2.033214
2.607857
1.280333
2.033214
2.033214
1.319666
1.542666
2.607857
1.897666
2.607857
2.463666
4.012857
2.608571
2.463666
2.765000
3.744642
2.841785
3.744642
4.513214
4.595000
4.513214
4.595000

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit. a)
(RON) pt.
si f)
Adulti

1.302333
1.302142
1.325570
1.325570
1.325570
1.325570
1.325570
1.892500
2.651141
2.651141
1.892500
1.892333
0.662785
1.325570
1.325570
1.325570
1.892500
1.892666
1.892666
1.829892
1.073571
1.046785
0.645000
1.829892
1.829892
1.829892
1.829892
1.829892
1.829892
1.829892
1.829892
1.829892
1.280333
1.829892
1.829892
1.319666
1.542666
1.829892
1.829892
1.829892
1.829892
1.829892
1.829892
1.829892
1.829892
1.829892
1.829892
1.829892
4.162053
4.162053
4.162053
4.162053

0.651166
0.651071
0.662785
0.662785
0.662785
0.662785
0.662785
0.946250
1.325570
1.325570
0.946250
0.946166
0.331392
0.662785
0.662785
0.662785
0.946250
0.946333
0.946333
0.914946
0.536785
0.523392
0.322500
0.914946
0.914946
0.914946
0.914946
0.914946
0.914946
0.914946
0.914946
0.914946
0.640166
0.914946
0.914946
0.659833
0.771333
0.914946
0.914946
0.914946
0.914946
0.914946
0.914946
0.914946
0.914946
0.914946
0.914946
0.914946
2.081026
2.081026
2.081026
2.081026

Nr. crt

cod ATC

DCI

410 C09DB01 COMBINATII ( VALSARTANUM+AMLODIPINUM)


411 C09DB01 COMBINATII ( VALSARTANUM+AMLODIPINUM)
412 C10AA04
413 C10AA04
414 C10AA04
415 C10AA05
416 C10AA05
417 C10AA05
418 C10AA05
419 C10AA05
420 C10AA05
421 C10AA05
422 C10AA05
423 C10AA05
424 C10AA05
425 C10AA05
426 C10AA05
427 C10AA05
428 C10AA05
429 C10AA05
430 C10AA05
431 C10AA05
432 C10AA05
433 C10AA05
434 C10AA05
435 C10AA05
436 C10AA05
437 C10AA05
438 C10AA05
439 C10AA05
440 C10AA05
441 C10AA05
442 C10AA05
443 C10AA05
444 C10AA05
445 C10AA05
446 C10AA05
447 C10AA05
448 C10AA05
449 C10AA05
450 C10AA05
451 C10AA05
452 C10AA05
453 C10AA05
454 C10AA05
455 C10AA05
456 C10AA05
457 C10AA05
458 C10AA05
459 C10AA05
460 C10AA05
461 C10AA05

FLUVASTATINUM
FLUVASTATINUM
FLUVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM

Denumire Comerciala

EXFORGE 5mg/80mg
EXFORGE 5mg/80mg
LESCOL 20 mg
LESCOL 40 mg
LESCOL XL 80 mg
AMICOR 10 mg
TORVALIPIN 10 mg
SORTIS 10 mg
TORVACARD 10 mg
ATORIS 10 mg
GLETOR 10 mg
ASCORD 10 mg
ATORGAMMA 10 mg
ATORGAMMA 10 mg
TULIP 10 mg
TULIP 10 mg
ATILEN 10 mg
TORVAZIN 10 mg
XAMARA 10 mg
VOREDANIN 10 mg
AMICOR 20 mg
TORVALIPIN 20 mg
SORTIS 20 mg
TORVACARD 20 mg
ATORIS 20 mg
GLETOR 20 mg
ASCORD 20 mg
ATORGAMMA 20 mg
ATORGAMMA 20 mg
TULIP 20 mg
TULIP 20 mg
ATILEN 20 mg
TORVAZIN 20 mg
XAMARA 20 mg
VOREDANIN 20 mg
AMICOR 40 mg
TORVALIPIN 40 mg
SORTIS 40 mg
TORVACARD 40 mg
ATORIS 40 mg
ATORIS 40 mg
GLETOR 40 mg
ASCORD 40 mg
ATORGAMMA 40 mg
ATORGAMMA 40 mg
TULIP 40 mg
TULIP 40 mg
ATILEN 40 mg
TORVAZIN 40 mg
XAMARA 40 mg
VOREDANIN 40 mg
SORTIS 80 mg

forma farm.
concentratie
COMPR. FILM. 5mg/80mg
COMPR. FILM. 5mg/80mg

CAPS.
CAPS.

COMPR. ELIB. PREL.

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

20mg
40mg
80mg
10 mg
10 mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
20 mg
20 mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
40 mg
40 mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
80mg

Detinator APP

tara det.
APP

Ambalaj

Prescriptie

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 56 COMPR. FILM.(BLIST.PVC/PVDC ) P-6L

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

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

NOVARTIS PHARMA GMBH GERMANIA


NOVARTIS PHARMA GMBH GERMANIA

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


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

NOVARTIS PHARMA GMBH GERMANIA CUTIE X 4 BLIST. AL/AL X 7 COMPR. ELIB. PREL.

MEDOCHEMIE LTD. CIPRU


ACTAVIS GROUP PTC EHF. ISLANDA
PFIZER EUROPE MA EEIG

MAREA BRITANIE

ZENTIVA K.S.

CEHIA

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

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

P6L

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

CUTIE X 3 BLIST. X 10 COMPR. FILM.

P-6L

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

KRKA D.D. NOVO MESTO SLOVENIA

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

P-6L

GLENMARK PHARMACEUTICALS SRL

REPUBLICA SLOVACA

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

P-6L

TERAPIA SA

ROMANIA

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

P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA

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

P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 100 COMPR. FILM. P-6L

SANDOZ S.R.L.
SANDOZ S.R.L.

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


ROMANIA CUTIE CU BLIST. AL/AL X 90 COMPR. FILM. P-6L
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-6L
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L
DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L
LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L
MEDOCHEMIE LTD. CIPRU
CUTIE CU BLIST. DIN AL/AL X 30 COMPR. FILM. P6L
ACTAVIS GROUP PTC EHF.

ISLANDA

PFIZER EUROPE MA EEIG

MAREA BRITANIE

ZENTIVA K.S.

CEHIA

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

CUTIE X 3 BLIST. X 10 COMPR. FILM.

P-6L

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

KRKA D.D. NOVO MESTO SLOVENIA

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

P-6L

GLENMARK PHARMACEUTICALS SRL

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

P-6L

REPUBLICA SLOVACA

TERAPIA SA

ROMANIA

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

P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA

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

P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 100 COMPR. FILM. P-6L

SANDOZ S.R.L.
SANDOZ S.R.L.

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


ROMANIA CUTIE CU BLIST. AL/AL X 90 COMPR. FILM. P-6L
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-6L
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L
DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L
LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L
MEDOCHEMIE LTD. CIPRU
CUTIE CU BLIST. DIN AL/AL X 14 COMPR. FILM. P6L
ACTAVIS GROUP PTC EHF.

ISLANDA

PFIZER EUROPE MA EEIG

MAREA BRITANIE

ZENTIVA K.S.

CEHIA

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

CUTIE X 2 BLIST. X 7 COMPR. FILM.

P-6L

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

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 14 COMPR.FILM.

P-6L

KRKA D.D. NOVO MESTO SLOVENIA

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

P-6L

GLENMARK PHARMACEUTICALS SRL

REPUBLICA SLOVACA

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

P-6L

TERAPIA SA

ROMANIA

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

P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA

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

P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 100 COMPR. FILM. P-6L

SANDOZ S.R.L.
SANDOZ S.R.L.

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


ROMANIA CUTIE CU BLIST. AL/AL X 90 COMPR. FILM. P-6L
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-6L
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L
DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L
LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L
PFIZER EUROPE MA EEIG

Pagina 9 din 22

MAREA BRITANIE

CUTIE X 2 BLIST. X 7 COMPR. FILM.

P-6L

Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)

56
28
28
28
28
30
30
30
30
30
30
30
30
100
30
90
28
30
30
30
30
30
30
30
30
30
30
30
100
30
90
28
30
30
30
14
30
14
30
14
30
30
30
30
100
30
90
28
30
30
30
14

214.81
113.26
15.98
29.09
46.24
18.38
16.75
41.50
19.43
19.43
21.14
21.05
16.75
54.07
21.23
55.45
19.83
18.77
27.86
25.61
26.90
24.56
53.41
29.46
29.45
31.51
34.71
24.14
73.89
30.65
79.50
31.37
28.64
34.71
38.02
28.58
50.55
45.27
53.71
25.86
53.61
63.06
56.69
52.86
159.32
61.73
152.32
58.84
52.68
63.04
68.44
72.66

Pret
amanuntul
maximal/UT
(RON)

3.835892
4.045000
0.570714
1.038928
1.651428
0.612666
0.558333
1.383333
0.647666
0.647666
0.704666
0.701666
0.558333
0.540700
0.707666
0.616111
0.708214
0.625666
0.928666
0.853666
0.896666
0.818666
1.780333
0.982000
0.981666
1.050333
1.157000
0.804666
0.738900
1.021666
0.883333
1.120357
0.954666
1.157000
1.267333
2.041428
1.685000
3.233571
1.790333
1.847142
1.787000
2.102000
1.889666
1.762000
1.593200
2.057666
1.692444
2.101428
1.756000
2.101333
2.281333
5.190000

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit. a)
(RON) pt.
si f)
Adulti

3.835892
4.045000
0.506631
1.013263
1.651428
0.612666
0.558333
0.759948
0.647666
0.647666
0.704666
0.701666
0.558333
0.540700
0.707666
0.616111
0.708214
0.625666
0.759948
0.759948
0.896666
0.818666
1.519896
0.982000
0.981666
1.050333
1.157000
0.804666
0.738900
1.021666
0.883333
1.120357
0.954666
1.157000
1.267333
2.041428
1.685000
3.039792
1.790333
1.847142
1.787000
2.102000
1.889666
1.762000
1.593200
2.057666
1.692444
2.101428
1.756000
2.101333
2.281333
5.190000

1.917946
2.022500
0.253315
0.506631
0.825714
0.306333
0.279166
0.379974
0.323833
0.323833
0.352333
0.350833
0.279166
0.270350
0.353833
0.308055
0.354107
0.312833
0.379974
0.379974
0.448333
0.409333
0.759948
0.491000
0.490833
0.525166
0.578500
0.402333
0.369450
0.510833
0.441666
0.560178
0.477333
0.578500
0.633666
1.020714
0.842500
1.519896
0.895166
0.923571
0.893500
1.051000
0.944833
0.881000
0.796600
1.028833
0.846222
1.050714
0.878000
1.050666
1.140666
2.595000

Nr. crt

cod ATC

462 C10AA05
463 C10AA05
464 C10AA05
465 C10AA05
466 C10AA07
467 C10AA07
468 C10AA07
469 C10AA07
470 C10AA07
471 C10AA07
472 C10AA07
473 C10AA07
474 C10AA07
475 C10AA07
476 C10AA07
477 C10AA07
478 C10AA07
479 C10AA07
480 C10AA07
481 C10AA07
482 C10AA07
483 C10AA07
484 C10AA07
485 C10AA07
486 C10AA07
487 C10AA07
488 C10AA07
489 C10AA07
490 C10AA07
491 C10AA07
492 C10AA07
493 C10AA07
494 C10AA07
495 C10AB02
496 C10AB08
497 C10AX06
498 C10AX09
499 C10AX09
500 C10BX03
501 C10BX03
502 C10BX03
503 C10BX03
504 C10BX03
505 C10BX03
506 D01AA02
507 D01BA02
508 D01BA02
509 D01BA02
510 D01BA02
511 D01BA02
512 D01BA02
513 D01BA02

DCI

ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
BEZAFIBRATUM
CIPROFIBRATUM

Denumire Comerciala

ASCORD 80 mg
ATILEN 80 mg
XAMARA 80 mg
TORVACARD 80 mg
CRESTOR 10 mg
ROSUCARD 10 mg
ROSUVASTATINA TEVA 10 mg
ROXARDIO 10 mg
ROSTAT 10 mg
ROSWERA 10 mg
TINTAROS 10 mg
SURVAL 10 mg
CRESTOR 20 mg
ROSUCARD 20 mg
ROSUVASTATINA TEVA 20 mg
ROXARDIO 20 mg
ROSTAT 20 mg
ROSWERA 20 mg
TINTAROS 20 mg
SURVAL 20 mg
ROSUCARD 40 mg
ROSUVASTATINA TEVA 40 mg
ROSTAT 40 mg
ROSWERA 40 mg
TINTAROS 40 mg
SURVAL 40 mg
CRESTOR 5 mg
ROSUVASTATINA TEVA 5 mg
ROXARDIO 5 mg
ROSTAT 5 mg
ROSWERA 5 mg
TINTAROS 5 mg
SURVAL 5 mg
REGADRIN (R) B
LIPANOR (R) 100 mg
ACID OMEGA-3-ESTERI ETILICI 90** OMACOR (R)
EZETIMIBUM
EZETROL (R)
EZETIMIBUM
EZETROL (R)
COMBINATII (ATORVASTATINUM+AMLODIPINUM) CADUET 10mg/10mg
COMBINATII (ATORVASTATINUM+AMLODIPINUM) DUPLECOR 10 mg/10 mg
COMBINATII (ATORVASTATINUM+AMLODIPINUM) DUPLECOR 10 mg/5 mg
COMBINATII (ATORVASTATINUM+AMLODIPINUM) DUPLECOR 20 mg/10 mg
COMBINATII (ATORVASTATINUM+AMLODIPINUM) DUPLECOR 20 mg/5 mg
COMBINATII (ATORVASTATINUM+AMLODIPINUM) CADUET 5mg/10mg
NATAMYCINUM
PIMAFUCIN
TERBINAFINUM
EXIFINE 125 mg
TERBINAFINUM
LAMISIL (R)
TERBINAFINUM
TERBINARAN
TERBINAFINUM
TERBINARAN
TERBINAFINUM
TERBINAFINE 250 mg
TERBINAFINUM
TERBINAFINA SLAVIA 250mg
TERBINAFINUM
TERBINAFINA BIOGALENICA 250 mg

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

DRAJ.
CAPS.
CAPS. MOI
COMPR.
COMPR.

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

CREMA
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.

concentratie

80mg
80mg
80mg
80mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
40mg
40mg
40mg
40mg
40mg
40mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
200mg
100mg
1000mg
10mg
10mg
10mg/10mg
10mg/10mg
10mg/5mg
20mg/10mg
20mg/5mg
5mg/10mg
20mg/g
125mg
250mg
250mg
250mg
250mg
250mg
250mg

Detinator APP

TERAPIA SA

TEVA PHARMACEUTICALS S.R.L.

DR. REDDY'S LABORATORIES

tara det.
APP

Ambalaj

Prescriptie

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


ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM.
ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.

P-6L

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

P6L

P-6L
P-6L

ZENTIVA, K.S.

REPUBLICA SLOVACA

ASTRAZENECA UK LTD.

MAREA BRITANIE

CUTIE X 2 BLIST. X 14 COMPR. FILM.

P-6L

REPUBLICA CEHA

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

P-6L

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

P-6L

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

P-6L

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

P-6L

KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.

ZENTIVA K.S.

ROMANIA
SANDOZ S.R.L.
ROMANIA
GEDEON RICHTER PLC. UNGARIA

TEVA PHARMACEUTICALS S.R.L.

ACTAVIS GROUP PTC EHF.

ISLANDA

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

GLENMARK PHARMACEUTICALS SRL

REPUBLICA SLOVACA

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

P6L
P6L
P6L

ASTRAZENECA UK LTD.

MAREA BRITANIE

CUTIE X 2 BLIST. X 14 COMPR. FILM.

P-6L

REPUBLICA CEHA

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

P-6L

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

P-6L

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

P-6L

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

P-6L

KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.

ZENTIVA K.S.

ROMANIA
SANDOZ S.R.L.
ROMANIA
GEDEON RICHTER PLC. UNGARIA

TEVA PHARMACEUTICALS S.R.L.

ACTAVIS GROUP PTC EHF.

ISLANDA

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

GLENMARK PHARMACEUTICALS SRL

REPUBLICA SLOVACA

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

ZENTIVA K.S.

P6L
P6L
P6L

REPUBLICA CEHA

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

P-6L

ROMANIA

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

P-6L

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

P-6L

KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.

P6L
P6L
P6L

TEVA PHARMACEUTICALS S.R.L.

GEDEON RICHTER PLC. UNGARIA


ACTAVIS GROUP PTC EHF.

ISLANDA

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

GLENMARK PHARMACEUTICALS SRL

REPUBLICA SLOVACA

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

ASTRAZENECA UK LTD.

MAREA BRITANIE

ROMANIA
SANDOZ S.R.L.
ROMANIA
GEDEON RICHTER PLC. UNGARIA

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


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

P-6L

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

P-6L

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

P-6L

KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.

P6L
P6L
P6L

TEVA PHARMACEUTICALS S.R.L.

ACTAVIS GROUP PTC EHF.

ISLANDA

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

GLENMARK PHARMACEUTICALS SRL

REPUBLICA SLOVACA

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

BERLIN CHEMIE AG MENARINI GROUP

GERMANIA

SANOFI-AVENTIS FRANCE
PRONOVA BIOPHARMA NORGE A.S.

CUTIE X 5 BLIST. X 10 DRAJ.


FRANTA CUTIE X 3 BLIST. X 10 CAPS.
NORVEGIA FALC. DIN PEID X 28 CAPS. MOI

P-6L
P-6L
P-RF

MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. PCTFE/PVC/AL X 14 COMPR. P-RF
MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PCTFE/PVC/AL X 14 COMPR. P-RF
PFIZER EUROPE MA EEIG

MAREA BRITANIE

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

GEDEON RICHTER ROMANIA SA

ROMANIA
ROMANIA
ROMANIA
ROMANIA

PFIZER EUROPE MA EEIG

MAREA BRITANIE

ASTELLAS EUROPE B.V.

OLANDA CUTIE X 1 TUB DIN AL X 30 G CREMA

GEDEON RICHTER ROMANIA SA


GEDEON RICHTER ROMANIA SA
GEDEON RICHTER ROMANIA SA

DR. REDDY'S LABORATORIES

P-6L

CUTIE CU BLIST. ALBE, OPACE DIN PA/AL/PVC/AL X 30 COMPR. FILM.

P6L
P6L
P6L
P6L

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

P-6L

CUTIE CU BLIST. ALBE, OPACE DIN PA/AL/PVC/AL X 30 COMPR. FILM.


CUTIE CU BLIST. ALBE, OPACE DIN PA/AL/PVC/AL X 30 COMPR. FILM.
CUTIE CU BLIST. ALBE, OPACE DIN PA/AL/PVC/AL X 30 COMPR. FILM.

ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 14 COMPR.

P-RF
P-RF

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 1 BLIST. X 14 COMPR.

RANBAXY UK LIMITED
RANBAXY UK LIMITED

MAREA BRITANIE

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

MAREA BRITANIE

CUTIE X 4 BLIST. AL/PVDC-PVC X 7 COMPR. P-RF

ACTAVIS GROUP HF ISLANDA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR.


SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. PVC/AL X 7 COMPR.
ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR.

Pagina 10 din 22

P-RF

P-RF
P-RF
P-RF

Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)

30
28
30
30
28
30
30
28
30
30
28
30
28
30
30
28
30
30
28
30
30
30
30
30
28
30
28
30
28
30
30
28
30
50
30
28
14
28
30
30
30
30
30
30
1
14
14
30
28
28
14
28

101.21
94.46
101.21
101.71
105.02
63.42
53.55
69.51
73.16
53.56
39.44
53.56
149.38
99.58
92.42
102.39
109.71
92.43
52.95
92.43
109.71
109.71
109.71
109.71
68.64
109.71
91.37
50.53
62.54
64.78
50.55
27.73
50.55
28.55
25.67
100.04
95.45
180.99
81.46
55.75
48.82
71.26
64.10
71.34
12.48
27.04
87.90
234.95
107.44
29.74
18.21
31.99

Pret
amanuntul
maximal/UT
(RON)

3.373666
3.373571
3.373666
3.390333
3.750714
2.114000
1.785000
2.482500
2.438666
1.785333
1.408571
1.785333
5.335000
3.319333
3.080666
3.656785
3.657000
3.081000
1.891071
3.081000
3.657000
3.657000
3.657000
3.657000
2.451428
3.657000
3.263214
1.684333
2.233571
2.159333
1.685000
0.990357
1.685000
0.571000
0.855666
3.572857
6.817857
6.463928
2.715333
1.858333
1.627333
2.375333
2.136666
2.378000
12.480000
1.931428
6.278571
7.831666
3.837142
1.062142
1.300714
1.142500

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit. a)
(RON) pt.
si f)
Adulti

3.373666
3.373571
3.373666
3.390333
1.519896
1.519896
1.519896
1.519896
1.519896
1.519896
1.408571
1.519896
3.039792
3.039792
3.039792
3.039792
3.039792
3.039792
1.891071
3.039792
3.657000
3.657000
3.657000
3.657000
2.451428
3.657000
0.759948
0.759948
0.759948
0.759948
0.759948
0.759948
0.759948
0.528299
0.855666
3.572857
6.552410
6.463928
1.927916
1.858333
1.627333
1.927916
1.927916
1.927916
12.480000
0.535500
1.071000
1.071000
1.071000
1.062142
1.071000
1.071000

1.686833
1.686785
1.686833
1.695166
0.759948
0.759948
0.759948
0.759948
0.759948
0.759948
0.704285
0.759948
1.519896
1.519896
1.519896
1.519896
1.519896
1.519896
0.945535
1.519896
1.828500
1.828500
1.828500
1.828500
1.225714
1.828500
0.379974
0.379974
0.379974
0.379974
0.379974
0.379974
0.379974
0.264149
0.427833
1.786428
3.276205
3.231964
0.963958
0.929166
0.813666
0.963958
0.963958
0.963958
6.240000
0.267750
0.535500
0.535500
0.535500
0.531071
0.535500
0.535500

Nr. crt

cod ATC

DCI

516 D05AX02

TERBINAFINUM
TERBINAFINUM
CALCIPOTRIOLUM*

517 D05AX52

COMBINATII (CALCIPOTRIOLUM+BETAMETHASONUM)*

518 D05AX52

COMBINATII (CALCIPOTRIOLUM+BETAMETHASONUM)*

519 D05AX52

COMBINATII (CALCIPOTRIOLUM+BETAMETHASONUM)*

520 D05BB02

ACITRETINUM**
ACIDUM FUSIDICUM
ACIDUM FUSIDICUM
SULFADIAZINUM
PODOPHYLLOTOXINUM*
PODOPHYLLOTOXINUM*
IMIQUIMODUM*

514 D01BA02
515 D01BA02

521 D06AX01
522 D06AX01
523 D06BA01
524 D06BB04
525 D06BB04
526 D06BB10
527 D07AB02
528 D07AB02
529 D07AB02
530 D07AB02
531 D07AC13
532 D07AC13
533 D07AC13
534 D07AC13
535 D07AC13

HYDROCORTISONUM BUTYRATUM
HYDROCORTISONUM BUTYRATUM
HYDROCORTISONUM BUTYRATUM
HYDROCORTISONUM BUTYRATUM

MOMETASONUM
MOMETASONUM
MOMETASONUM
MOMETASONUM
MOMETASONUM

536 D07AC14 METHYLPREDNISOLONUM ACEPONAT


537 D07AC14 METHYLPREDNISOLONUM ACEPONAT
538 D07AC14 METHYLPREDNISOLONUM ACEPONAT

544 D07AD01

FLUTICASONUM PROPIONAT
FLUTICASONUM PROPIONAT
CLOBETASOLUM*
CLOBETASOLUM*
CLOBETASOLUM*
CLOBETASOLUM*

545 D07CA01

COMBINATII (ACIDUM FUSIDICUM+HYDROCORTISONUM)

546 D07CC01

COMBINATII (ACIDUM FUSIDICUM+ BETAMETHASONUM)

539 D07AC17
540 D07AC17
541 D07AD01
542 D07AD01
543 D07AD01

547 D07XC03 COMBINATII (MOMETASONUM + AC. SALICILICUM)


548 D07XC03 COMBINATII (MOMETASONUM + AC. SALICILICUM)
549 D10AD54 COMBINATII (ISOTRETINOINUM + ERITROMICINUM)
550 D10AX03
551 D10AX03
552 D10BA01
553 D10BA01
554 D10BA01
555 D10BA01
556 D10BA01
557 G01AA02
558 G01AA51
559 G01AA51
560 G01AA51
561 G01AA51
562 G01AF12
563 G01AF12
564 G01AF12
565 G01AF15

ACIDUM AZELAICUM
ACIDUM AZELAICUM
ISOTRETINOINUM**
ISOTRETINOINUM**
ISOTRETINOINUM**
ISOTRETINOINUM**
ISOTRETINOINUM**
NATAMYCINUM
COMBINATII
COMBINATII
COMBINATII
COMBINATII
FENTICONAZOLUM
FENTICONAZOLUM
FENTICONAZOLUM
BUTOCONAZOLUM

Denumire Comerciala

EXIFINE 250 mg
TERBISIL 250 mg
DAIVONEX
XAMIOL 50 micrograme/ 0,5 mg/g
DAIVOBET 50 micrograme/0,5 mg/g
DAIVOBET (R) UNGUENT
NEOTIGASON 10 mg
FUCIDIN 20 mg/g
FUCIDIN 20 mg/g
FLAMMAZINE
WARTEC 1,5 mg/g
CONDYLINE
ALDARA 5%
LOCOID (R) crema 0,1%
LOCOID (R) LIPOCREAM 0,1%
LOCOID CRELO (R) 0,1%
LOCOID (R)
ELOCOM
ELOCOM
ELOCOM
MOMERID 1 mg/g
MOMERID 1 mg/g
ADVANTAN
ADVANTAN (R) MILK
ADVANTAN
CUTIVATE
CUTIVATE
DERMOVATE 0,5 mg/g
DERMOVATE (R)
DERMOVATE
DERMIONE
FUCIDIN H
FUCICORT 20 mg/1mg pe gram
ELOSALIC
ELOSALIC
ISOTREXIN GEL
SKINOREN
SKINOREN 150mg/g
ROACCUTANE 10 mg
SOTRET 10 mg
SOTRET 10 mg
SOTRET 20 mg
SOTRET 20 mg
PIMAFUCIN (R)
MACMIROR COMPLEX
POLYGYNAX
POLYGYNAX
MACMIROR COMPLEX
LOMEXIN 1000 mg
LOMEXIN 600 mg
LOMEXIN CREMA VAGINALA
GYNOFORT 2%

forma farm.

COMPR.
COMPR.
CREMA
GEL
GEL
UNGUENT
CAPS.
CREMA
UNGUENT
CREMA
CREMA
SOL. CUT.
CREMA
CREMA
CREMA

concentratie

250mg
250mg
50mcg/g
0,5 mg/g

Detinator APP

Prescriptie

P-RF

LEO PHARMACEUTICAL PRODUCTS


LEO PHARMACEUTICAL PRODUCTS

DANEMARCA

P-RF

LEO PHARMA A/S

CUTIE CU 1 FLAC. PEID X 15 G GEL

DANEMARCA

CUTIE CU 1 FLAC. PEID CU DUZA DIN PEJD SI CAPAC DIN PEID X 30 G GEL

DANEMARCA

CUTIE X 1 TUB X 15 G

GEDEON RICHTER ROMANIA SA

FARA CONCENTRATIE LEO PHARMACEUTICAL PRODUCTS

10mg
20mg/g
20mg/g
1%
1,5 mg/g
5mg/ml
5%
0,1%
0,1%
EMULSIE CUT. 0.1%
SOL. CUT.
0,1%
CREMA
1mg/g
SOL. CUT.
1mg/g
UNGUENT
1mg/g
UNGUENT
1mg/g
UNGUENT
1mg/g
CREMA
1mg/g
EMULSIE CUT. 0,1%
UNGUENT
1mg/g
CREMA
0,05%
UNGUENT
0,005%
CREMA
0,5mg/g
SOL. CUT.
0,05%
UNGUENT
0,05%
UNGUENT
0,05%
CREMA
FARA CONCENTRATIE
CREMA
20mg/1mg pe gram
UNGUENT
1mg+5mg/gram
UNGUENT
1mg+5mg/gram
GEL
0,05%/0,2%
CREMA
200mg/g
GEL
150mg/g
CAPS. MOI 10mg
CAPS. MOI 10mg
CAPS. MOI 10mg
CAPS. MOI 20mg
CAPS. MOI 20mg
OVULE
100mg

Ambalaj

ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 14 COMPR.


ROMANIA CUTIE CU 2 BLIST. PVC/AL X 14 COMPR.
DANEMARCA CUTIE X 1 TUB DIN AL X 30 G CREMA

DR. REDDY'S LABORATORIES

50micrograme/0,5mg/g

tara det.
APP

P-RF

P-6L

PRF
P-RF

ACTAVIS GROUP PTC EHF.

ISLANDA CUTIE X 3 BLIST. AL/PVC-PVDC X 10 CAPS.

LEO PHARMACEUTICAL PRODUCTS

DANEMARCA

CUTIE X 1 TUB DIN AL X 15 G CREMA

P-RF

LEO PHARMACEUTICAL PRODUCTS

DANEMARCA

P-RF

CN UNIFARM

CUTIE X 1 TUB DIN AL X 15 G UNGUENT

ROMANIA BORCAN X 500 G CREMA


ROMANIA CUTIE X 1 TUB X 5 G CREMA

GLAXOSMITHKLINE (GSK) SRL


ASTELLAS PHARMA EUROPE BV

MEDA AB
ASTELLAS PHARMA EUROPE BV
ASTELLAS PHARMA EUROPE BV
ASTELLAS PHARMA EUROPE BV
ASTELLAS PHARMA EUROPE BV

SCHERING PLOUGH EUROPE


SCHERING PLOUGH EUROPE
SCHERING PLOUGH EUROPE

NEPENTES S.A.
NEPENTES S.A.
INTENDIS GMBH
INTENDIS GMBH
INTENDIS GMBH

OLANDA
SUEDIA
OLANDA
OLANDA
OLANDA
OLANDA
BELGIA
BELGIA
BELGIA
POLONIA
POLONIA

CUTIE X 1 FLACON DIN STICLA BRUNA X 3,5 ML SOL. CUTANATA + 15 DISPOZITIVE DE APLICARE

P-RF

PRF
P-RF
P-RF

CUTIE X 12 PLICURI DIN POLIESTER/AL X 250 MG CREMA P-RF

CUTIE X 1 TUB DIN AL X 30 G


CUTIE X 1 TUB DIN AL X 30 G
CUTIE X 1 FLACON X 30 G

P-RF
P-RF
P-RF

CUTIE X 1 FLACON PICURATOR DIN PP X 30 ML P-RF

CUTIE X 1 TUB DIN AL X 15 G

P-RF

CUTIE X 1 FLACON DIN PEID X 20 ML SOL. CUTANATA P-RF

CUTIE X 1 TUB DIN AL X 15 G


CUTIE X 1 TUB AL X 15 G UNGUENT
CUTIE X 1 TUB AL X 30 G UNGUENT

P-RF

CUTIE X 1 TUB X 20 G

P-RF

P-RF
P-RF

GERMANIA CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF


GERMANIA

GERMANIA CUTIE X 1 TUB DIN AL X 15 G UNGUENT P-RF

GLAXO WELLCOME UK LIMITED MAREA BRITANIE

CUTIE X 1 TUB DIN AL X 15 G CREMA

GLAXO WELLCOME UK LIMITED MAREA BRITANIE

CUTIE X 1 TUB DIN AL X 15 G UNGUENT

P-RF
P-RF

GLAXO WELLCOME UK LTD.

MAREA BRITANIE

CUTIE CU 1 TUB AL X 25 G CREMA

GLAXO WELLCOME UK LTD.

MAREA BRITANIE

CUTIE X 1 FLACON CU PICURATOR DIN PP X 25 ML P-RF

GLAXOWELLCOME UK LTD.

MAREA BRITANIE

OZONE LABORATORIES LTD.

MAREA BRITANIE

LEO PHARMACEUTICAL PRODUCTS

DANEMARCA

LEO PHARMACEUTICAL PRODUCTS

DANEMARCA

SCHERING PLOUGH EUROPE


SCHERING PLOUGH EUROPE

BELGIA
BELGIA

STIEFEL LABORATORIES IRELAND LTD. MAREA BRITANIE

INTENDIS GMBH
INTENDIS GMBH

CUTIE X 1 TUB X 25 G
CUTIE X 1 TUB DIN AL X 20 G

CUTIE X 1 TUB DIN AL X 15 G CREMA


CUTIE X 1 TUB DIN AL X 15 G CREMA

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

CUTIE X 1 TUB X 15 G
CUTIE X 1 TUB X 45 G
CUTIE X 1 TUB DIN AL X 30 G GEL

P-RF

CUTIE X 1 TUB AL X 30 G GEL

P-RF

P-RF
P-RF

GERMANIA CUTIE X 1 TUB DIN AL X 30 G CREMA P-RF


GERMANIA

ROCHE ROMANIA SRL ROMANIA


RANBAXY U.K. LIMITED MAREA BRITANIE

CUTIE X 3 BLIST. PE-PVDC-PVC/HARTIE-AL X 10 CAPS. MOI

P-RF

TERAPIA S.A.

ROMANIA

CUTIE X 3 BLIST. PE-PVDC-PVC/HARTIE-AL X 10 CAPS. MOI

P-RF

RANBAXY U.K. LIMITED

MAREA BRITANIE

CUTIE X 3 BLIST. PE-PVDC-PVC/HARTIE-AL X 10 CAPS. MOI

P-RF

ROMANIA

CUTIE X 3 BLIST. PE-PVDC-PVC/HARTIE-AL X 10 CAPS. MOI

P-RF

TERAPIA S.A.

ASTELLAS PHARMA EUROPE BV

POLICHEM SA
CAPS. MOI VAG. FARA CONCENTRATIE LAB. INNOTECH INT.
CAPS. MOI VAG. FARA CONCENTRATIE LAB. INNOTECH INT.
CREMA VAG. 10g/400000UI POLICHEM SA
CAPS. MOI VAG. 1000mg
RECORDATI SPA
CAPS. MOI VAG. 600mg
RECORDATI SPA
CREMA VAG. 2%
RECORDATI SPA
CREMA VAG. FARA CONCENTRATIE GEDEON RICHTER ROMANIA SA
CAPS. MOI VAG. 500mg/200000UI

Pagina 11 din 22

CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 CAPS. MOI P-RF

OLANDA CUTIE X 1 FOLIE X 3 OVULE

P-RF

LUXEMBURG CUTIE X 1 BLIST. AL/PVDC-PVC X 12 CAPS. MOI. VAG. P-RF

FRANTA
FRANTA

CUTIE X 1 BLIST. AL/PVC X 6 CAPS. MOI VAG. P-RF


CUTIE X 2 BLIST. AL/PVC X 6 CAPS. MOI. VAG. P-RF

LUXEMBURG CUTIE X 1 TUB DIN AL CREMA VAG. X 30 G + APLICATOR

P-RF

ITALIA
ITALIA
ITALIA

CUTIE X 1 BLIST. PVC/PVDC-AL X 2 CAPS. VAG. MOI

P-RF

CUTIE X 1 BLIST. PVC/PVDC-AL X 1 CAPS. VAG. MOALE

P-RF

ROMANIA

CUTIE X 1 TUB AL + APLICATOR X 78 G CREMA P-RF


CUTIE X 1 APLICATOR PREUMPLUT UNIDOZA DIN PP CU 5 G CREMA VAG.

P-RF

Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)

14
28
1
1
1
1
30
1
1
1
1
1
12
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
30
30
30
30
30
3
12
6
12
1
2
1
1
1

Pret
amanuntul
maximal/UT
(RON)

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit. a)
(RON) pt.
si f)
Adulti

16.66
1.190000
1.071000
108.77
3.884642
1.071000
43.26 43.260000 43.260000
81.72 81.720000 71.985000
108.59 108.590000 71.985000
62.25 62.250000 62.250000
74.74
2.491333
2.491333
15.19 15.190000 15.190000
15.19 15.190000 15.190000
105.59 105.590000 105.590000
85.55 85.550000 45.803214
75.96 75.960000 75.960000
265.43 22.119166 22.119166
12.93 12.930000 12.407500
13.39 13.390000 12.407500
12.80 12.800000 12.407500
11.23 11.230000 11.230000
15.69 15.690000 10.200000
18.78 18.780000 13.600000
15.69 15.690000 10.200000
10.20 10.200000 10.200000
20.40 20.400000 20.400000
13.27 13.270000 13.270000
19.61 19.610000 17.693333
13.27 13.270000 13.270000
10.31 10.310000 10.310000
10.31 10.310000 10.310000
12.08 12.080000
6.032250
5.21
5.210000
5.210000
8.91
8.910000
6.032250
5.76
5.760000
4.825800
21.74 21.740000 21.740000
23.82 23.820000 23.820000
16.66 16.660000 15.915000
47.00 47.000000 47.000000
36.22 36.220000 36.220000
34.10 34.100000 34.100000
44.47 44.470000 36.692500
53.29
1.776333
1.071333
33.09
1.103000
1.071333
33.09
1.103000
1.071333
64.28
2.142666
2.142666
64.28
2.142666
2.142666
11.08
3.693333
3.693333
38.11
3.175833
2.404332
17.46
2.910000
2.404332
33.74
2.811666
2.404332
35.47 35.470000 35.470000
51.21 25.605000 17.454807
20.09 20.090000 10.472884
36.01 36.010000 27.229500
40.29 40.290000
1.745480

0.535500
0.535500
21.630000
35.992500
35.992500
31.125000
1.245666
7.595000
7.595000
52.795000
22.901607
37.980000
11.059583
6.203750
6.203750
6.203750
5.615000
5.100000
6.800000
5.100000
5.100000
10.200000
6.635000
8.846666
6.635000
5.155000
5.155000
3.016125
2.605000
3.016125
2.412900
10.870000
11.910000
7.957500
23.500000
18.110000
17.050000
18.346250
0.535666
0.535666
0.535666
1.071333
1.071333
1.846666
1.202166
1.202166
1.202166
17.735000
8.727403
5.236442
13.614750
0.872740

Nr. crt

cod ATC

DCI

566 G01AF20

COMBINATII (METRONIDAZOLUM+CLOTRIMAZOLUM)

567 G01AF20

COMBINATII (METRONIDAZOLUM+CLOTRIMAZOLUM)

568 G01AF20

COMBINATII (METRONIDAZOLUM+CLOTRIMAZOLUM)

569 G01AF20

COMBINATII (METRONIDAZOLUM+CLOTRIMAZOLUM)

570 G01AF20

COMBINATII (METRONIDAZOLUM+CLOTRIMAZOLUM)

571 G02CB03

CABERGOLINUM*
CABERGOLINUM*
LEVONORGESTRELUM***#
ESTRIOLUM*
ESTRIOLUM*
PROMESTRIENUM*
PROMESTRIENUM*
PROGESTERONUM*
PROGESTERONUM*
PROGESTERONUM*
PROGESTERONUM*
PROGESTERONUM*
PROGESTERONUM*
PROGESTERONUM*
DYDROGESTERONUM*
LYNESTRENOLUM*
TIBOLONUM**
COMBINATII**
COMBINATII**
COMBINATII**
COMBINATII**
COMBINATII**
COMBINATII**
FOLLITROPINUM ALFA****#
FOLLITROPINUM ALFA****#
FOLLITROPINUM ALFA****#
FOLLITROPINUM ALFA****#
FOLLITROPINUM BETA****#
FOLLITROPINUM BETA****#
LUTROPINUM ALFA****#
CLOMIFENUM
CLOMIFENUM
RALOXIFENUM
OXYBUTYNINUM
TOLTERODINUM**#
TOLTERODINUM**#
TOLTERODINUM**#
TOLTERODINUM**#
SOLIFENACINUM SUCCINATE**#
SOLIFENACINUM SUCCINATE**#
SOLIFENACINUM SUCCINATE**#
SOLIFENACINUM SUCCINATE**#
TROSPIUM
TROSPIUM
TROSPIUM
TROSPIUM
TROSPIUM

572 G02CB03
573 G03AC03
574 G03CA04
575 G03CA04
576 G03CA09
577 G03CA09
578 G03DA04
579 G03DA04
580 G03DA04
581 G03DA04
582 G03DA04
583 G03DA04
584 G03DA04
585 G03DB01
586 G03DC03
587 G03DC05
588 G03FA14
589 G03FA14
590 G03FA17
591 G03FB01
592 G03FB08
593 G03FB08
594 G03GA05
595 G03GA05
596 G03GA05
597 G03GA05
598 G03GA06
599 G03GA06
600 G03GA07
601 G03GB02
602 G03GB02
603 G03XC01
604 G04BD04
605 G04BD07
606 G04BD07
607 G04BD07
608 G04BD07
609 G04BD08
610 G04BD08
611 G04BD08
612 G04BD08
613 G04BD09
614 G04BD09
615 G04BD09
616 G04BD09
617 G04BD09

Denumire Comerciala

MECLODIN
MECLON
MECLON
MECLON
MECLON
DOSTINEX
DOSTINEX
MIRENA 20 mcg/24 h
OVESTIN
OVESTIN
COLPOTROPHINE (R)
COLPOTROPHINE (R)
UTROGESTAN (R) 100 mg
AREFAM 100 mg
AREFAM 100 mg
UTROGESTAN (R) 200 mg
AREFAM 200 mg
PROGESTOGEL
MASTOPROFEN 1%
DUPHASTON 10 mg
ORGAMETRIL
LIVIAL (R) 2,5 mg
FEMOSTON CONTI 1 mg/ 5mg
FEMOSTON (R) conti 1/5
ANGELIQ
CYCLO PROGINOVA (R)
FEMOSTON 2/10
FEMOSTON 2/10
GONAL - f 75 UI (5,5 mcg)
GONAL-f 300 UI/0,5 ml ( 22 mcg/0,5 ml)
GONAL-f 450 UI/0,75 ml (33 mcg/0,75 ml)
GONAL-f 900 UI/1,5ml (66 mcg/1,5 ml)
PUREGON 300UI/0,36 ml
PUREGON 900UI/1,08 ml
LUVERIS 75UI
CLOSTILBEGYT
OVA - MIT
EVISTA 60mg
DRIPTANE ( R ) 5 mg
DETRUSITOL SR 4 mg
UROFLOW 1
TOLTERODINA ACCORD 2 mg
UROFLOW 2
ZEVESIN 10 mg
VESICARE 10 mg
ZEVESIN 5 mg
VESICARE 5 mg
INKONTAN 15 mg
INKONTAN 15 mg
INKONTAN 15 mg
INKONTAN 30 mg
INKONTAN 30 mg

tara det.
forma farm.
concentratie
APP
Detinator APP
COMPR. VAG. 500mg/200mg ARENA GROUP S.A. ROMANIA

CREMA
CREMA VAG.
OVULE

SOL. VAGINALA

COMPR.
COMPR.

DISPOZITIV INTRAUTERIN

CREMA VAG.
OVULE
CAPS. MOI VAG.

CREMA VAG.
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
GEL
GEL
COMPR. FILM.

COMPR.
COMPR.

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

FARA CONCENTRATIE
FARA CONCENTRATIE
FARA CONCENTRATIE
FARA CONCENTRATIE

0,5mg
0,5mg
52mg
0.1%
0,5mg
10mg
1%
100mg
100mg
100mg
200mg
200mg
1%
1%
10mg
5mg
2,5mg
1mg/5mg

ITALIA
ALFA WASSERMAN SPA ITALIA
ALFA WASSERMAN SPA ITALIA
ALFA WASSERMAN SPA ITALIA

ALFA WASSERMANN SPA

Prescriptie

P-RF

CUTIE X 1 TUB DIN AL X 30 G

P-RF

CUTIE X 1 TUB DIN AL X 30 G CREMA VAG. + 6 APLICATOARE DIN POLIPROPILENA

P-RF

CUTIE X 2 FOLII PVC-PE X 5 OVULE

P-RF

CUTIE X 5 FLACOANE PVC-PE X 10 ML + 5 FLACOANE PEJD X 130 ML + 5 CANULE

P-RF

PFIZER EUROPE MA EEG

MAREA BRITANIE

PFIZER EUROPE MA EEG

MAREA BRITANIE

CUTIE X 1 FLAC. X 2 COMPR.


CUTIE X 1 FLAC. X 8 COMPR.

BAYER SCHERING PHARMA AG

FINLANDA

CUTIE X 1 BLIST. X 1 DISP. PT. ADM. INTRAUTERINA + 1 INSERTOR

P-RF

CUTIE X 1 FLACON X 15 G + APLICATOR

P-RF

ORGANON NV
ORGANON NV
LAB. THERAMEX
LAB. THERAMEX

FARA CONCENTRATIE

Ambalaj
CUTIE X 2 BLIST. TRANSPARENT DIN AL/PVC X 5 COMPR. VAG.

OLANDA
OLANDA
MONACO
MONACO
LAB. BESINS INTERNATIONAL FRANTA
LADEE PHARMA KFT. UNGARIA
MEDICO UNO PHARMA KFT. UNGARIA
LAB. BESINS INTERNATIONAL FRANTA
MEDICO UNO PHARMA KFT. UNGARIA
LAB. BESINS INTERNATIONAL FRANTA
ANTIBIOTICE SA
ROMANIA
ABBOTT HEALTHCARE PRODUCTS B.V. OLANDA
ORGANON NV
OLANDA
ORGANON NV
OLANDA
ABBOTT HEALTHCARE PRODUCTS B.V. OLANDA
SOLVAY PHARMACEUTICALS BV OLANDA

CUTIE X 3 FOLII X 5 OVULE

P-RF
P-RF

P-RF

CUTIE X 1 BLIST. AL/PVC X 10 CAPS. MOI VAG. P-RF

CUTIE X 1 TUB X 15 G
CUTIE X 2 BLIST. X 15 CAPS. MOI

P-RF

P-6L

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


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

CUTIE X 2 BLIST. AL/PVC X 7 CAPS. MOI P-6L


CUTIE X 2 BLIST. PVC-PVDC/AL X 15 CAPS. MOI P-6L
CUTIE X 1 TUB X 80 G + DISPOZITIV DE MASURA P-6L

CUTIE X 1 TUB DIN AL X 40 G

P-6L

CUTIE CU 1 BLIST. PVC/AL X 20 COMPR. FILM. P-RF

CUTIE X 1 BLIST. X 30 COMPR.


CUTIE X 1 BLIST. X 28 COMPR.

P-6L

CUTIE CU 1 BLIST. TIP CALENDAR AL/PVC X 28 COMPR. FILM.

P-6L

CUTIE X 1 BLIST. X 28 COMPR. FILM.

P-RF

CUTIE X 1 BLIST. CALENDARISTIC PVC/AL X 28 COMPR. FILM.

P-RF

P-RF

FARA CONCENTRATIE BAYER SCHERING PHARMA AG

DRAJ.

GERMANIA

FARA CONCENTRATIE BAYER SCHERING PHARMA AG

GERMANIA CUTIE X 1 BLIST. TIP CALENDAR X 21 DRAJEURI P-RF

COMPR. FILM.
COMPR. FILM.

FARA CONCENTRATIE ABBOTT HEALTHCARE PRODUCTS B.V.

PULB. + SOLV. PT. SOL. INJ.


SOL. INJ. IN STILOU INJECTOR PREUMPLUT

SOL. INJ. IN STILOU INJECTOR PREUMPLUT

SOL. INJ. IN STILOU INJECTOR PREUMPLUT

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

COMPR.
COMPR.
COMPR. FILM.

COMPR.

CAPS. ELIB. PREL.

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

FARA CONCENTRATIE SOLVAY PHARMACEUTICALS BV

75UI
300UI/0,5ml
450UI/0,75ml
900UI/0,75ml
300UI/0,36ml
900UI/1,08ml
75UI
50mg
50mg
60mg
5mg
4mg
1mg
2mg
2mg
10 mg
10mg
5 mg
5mg
15mg
15mg
15mg
30mg
30mg

SERONO EUROPE LTD.


SERONO EUROPE LTD.
SERONO EUROPE LTD.
SERONO EUROPE LTD.

OLANDA
OLANDA

CUTIE X 1 BLIST. TIP CALENDAR X 28 COMPR. FILM. (14 COMPR.FILM. ROSII-CARAMIZII + 14 COMPR.FILM. GAL

P-RF

CUTIE X 1 BLIST. TIP CALENDAR X 28 COMPR. FILM. (14 COMPR.FILM. ROSII-CARAMIZII + 14 COMPR.FILM. GAL

P-RF

MAREA BRITANIE

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. + 1 FLAC. X 1 ML SOLV.

P-RF/R

MAREA BRITANIE

CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT X 0,5 ML SOL. INJ. + 5 ACE PT. ADM.

P-RF/R

MAREA BRITANIE

CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT X 0,75 ML SOL. INJ. + 7 ACE PT. ADM. SUBCUTANATA

P-RF/R

MAREA BRITANIE

CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT X 1,5 ML SOL. INJ. + 14 ACE PT. ADM. SUBCUTANATA

P-RF/R

N. V. ORGANON
N. V. ORGANON

OLANDA CUTIE X 1 CARTUS + 6 ACE


OLANDA CUTIE X 1 CARTUS SOL. INJ. + 9 ACE

SERONO EUROPE LTD.

MAREA BRITANIE

CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ.+ 1 FLAC. A 2 ML SAU 3 ML X 1 ML SOLV.

P-RF
P-RF
P-RF/R

REMEDICA LTD.

UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 COMPR.


CIPRU
CUTIE X 1 BLIST. X 10 COMPR.

DAIICHI SANKYO EUROPE GMBH

GERMANIA CUTIE X 28 COMPR. FILM. (BLIST. ACLAR) P-RF

EGIS PHARMACEUTICALS P.L.C.

LAB. FOURNIER SA FRANTA CUTIE X 2 BLIST. AL/PVC X 30 COMPR.


PFIZER EUROPE MA EEIG

MAREA BRITANIE

ZENTIVA K.S.

REPUBLICA CEHA

P-RF
P-RF

P-6L

CUTIE X 4 BLIST. X 7 CAPS. ELIB. PREL. P-6L


CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P6L

ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L

ZENTIVA K.S.
ZENTIVA K.S.
ASTELLAS PHARMA EUROPE BV

ZENTIVA K.S.
ASTELLAS PHARMA EUROPE BV
PHARMAZEUTISCHE FABRIK MONTAVIT GES.M.B.H.
PHARMAZEUTISCHE FABRIK MONTAVIT GES.M.B.H.
PHARMAZEUTISCHE FABRIK MONTAVIT GES.M.B.H.
PHARMAZEUTISCHE FABRIK MONTAVIT GES.M.B.H.
PHARMAZEUTISCHE FABRIK MONTAVIT GES.M.B.H.

Pagina 12 din 22

REPUBLICA CEHA

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

REPUBLICA CEHA

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

P6L
P6L

OLANDA

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

REPUBLICA CEHA

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

OLANDA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA

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

P6L

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


CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L

Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)

10
1
1
10
5
2
8
1
1
15
10
1
30
30
30
14
30
1
1
20
30
28
28
28
28
21
28
28
1
1
1
1
1
1
1
10
10
28
60
28
28
28
28
30
30
30
30
20
50
30
30
20

15.01
9.63
12.87
11.17
21.99
43.59
123.74
513.53
14.76
20.62
12.08
13.87
30.00
19.49
19.49
30.00
37.74
18.00
5.82
14.38
9.12
72.82
28.91
28.91
68.38
8.07
30.99
30.99
137.81
527.76
756.26

Pret
amanuntul
maximal/UT
(RON)

1.501000
9.630000
12.870000
1.117000
4.398000
21.795000
15.467500
513.530000
14.760000
1.374666
1.208000
13.870000
1.000000
0.649666
0.649666
2.142857
1.258000
18.000000
5.820000
0.719000
0.304000
2.600714
1.032500
1.032500
2.442142
0.384285
1.106785
1.106785
137.810000
527.760000
756.260000

1,441.72 1,441.720000

517.31 517.310000

1,410.83 1,410.830000

146.72 146.720000
14.31
1.431000
13.27
1.327000
124.97
4.463214
26.63
0.443833
174.60
6.235714
27.30
0.975000
48.46
1.730714
52.86
1.887857
147.62
4.920666
227.12
7.570666
106.65
3.555000
183.34
6.111333
28.95
1.447500
58.69
1.173800
38.11
1.270333
63.52
2.117333
46.94
2.347000

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit. a)
(RON) pt.
si f)
Adulti

0.850500
0.425250
9.630000
4.815000
12.870000
6.435000
0.850500
0.425250
0.850500
0.425250
8.262750
4.131375
8.262750
4.131375
513.530000 256.765000
7.380000
14.760000
1.038599
0.519299
0.415439
0.207719
6.231597
3.115798
0.649666
0.324833
0.649666
0.324833
0.649666
0.324833
1.299332
0.649666
1.258000
0.629000
7.978500
3.989250
5.820000
2.910000
0.719000
0.359500
0.304000
0.152000
2.600714
1.300357
1.032500
0.516250
1.032500
0.516250
1.032500
0.516250
0.384285
0.192142
0.670981
0.335490
0.670981
0.335490
109.456500 54.728250
437.826000 218.913000
656.739000 328.369500
1,313.478000 656.739000
437.650869 218.825434
1,312.952609 656.476304
146.720000 73.360000
1.353000
0.676500
1.327000
0.663500
4.463214
2.231607
0.443833
0.221916
2.816580
1.408290
0.704145
0.352072
1.408290
0.704145
1.408290
0.704145
4.920666
2.460333
5.633160
2.816580
2.816580
1.408290
2.816580
1.408290
1.056217
0.528108
1.056217
0.528108
1.056217
0.528108
2.112435
1.056217
2.112435
1.056217

Nr. crt

cod ATC

618 G04CA01
619 G04CA01
620 G04CA01
621 G04CA02
622 G04CA02
623 G04CA02
624 G04CA02
625 G04CA02
626 G04CA02
627 G04CA02
628 G04CA02
629 G04CB01
630 G04CB01
631 G04CB01
632 G04CB01
633 G04CB01
634 G04CB01
635 G04CB02
636 H01AA02
637 H01AC01
638 H01AC01
639 H01AC01
640 H01AC01
641 H01AC01
642 H01AC01
643 H01AC01
644 H01AC01
645 H01CC01
646 H01CC02
647 H02AA02
648 H02AB01
649 H02AB06
650 H02AB06
651 H03BB01
652 H03BB02
653 H03BB02
654 H03BB02
655 H05BA01
656 H05BA01
657 H05BA01
658 H05BA01
659 H05BA01
660 J01CR01
661 J01CR01
662 J01CR04
663 J01CR04
664 J01DD14
665 J01DD14
666 J01FA02
667 J01FA02
668 J01FA10
669 J01FA10

DCI

ALFUZOSINUM
ALFUZOSINUM
ALFUZOSINUM
TAMSULOSINUM
TAMSULOSINUM
TAMSULOSINUM
TAMSULOSINUM
TAMSULOSINUM
TAMSULOSINUM
TAMSULOSINUM
TAMSULOSINUM
FINASTERIDUM*
FINASTERIDUM*
FINASTERIDUM*
FINASTERIDUM*
FINASTERIDUM*
FINASTERIDUM*
DUTASTERIDUM*
TETRACOSACTIDUM
SOMATROPINUM***#
SOMATROPINUM***#
SOMATROPINUM***#
SOMATROPINUM***#
SOMATROPINUM***#
SOMATROPINUM***#
SOMATROPINUM***#
SOMATROPINUM***#
GANIRELIXUM***#
CETRORELIXUM***#
FLUDROCORTISONUM
BETAMETHASONUM
PREDNISOLONUM
PREDNISOLONUM
CARBIMAZOLUM
THIAMAZOLUM
THIAMAZOLUM
THIAMAZOLUM
CALCITONINUM (SOMON)
CALCITONINUM (SOMON)
CALCITONINUM (SOMON)
CALCITONINUM (SOMON)
CALCITONINUM (SOMON)
AMPICILLINUM + SULBACTAM
AMPICILLINUM + SULBACTAM
SULTAMICILLINUM
SULTAMICILLINUM
CEFTIBUTENUM
CEFTIBUTENUM
SPIRAMYCINUM
SPIRAMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM

Denumire Comerciala

ALFURAN MR 10 mg
XATRAL SR 10 mg
XATRAL LP 5 mg
TAMSOL 0,4 mg
FOKUSIN
CONTIFLO MR
TANYZ
TAMSUNORM 0,4 mg
TAMSULOSIN TEVA 400 g
TANYZ 0,4 mg
OMNIC TOCAS (R) 0,4
PROSCAR 5 mg
PROSCAR 5 mg
FINASTERIDE TEVA 5mg
FINANORM 5 mg
TAREDOX 5 mg
FINASTERIDA BIOGALENICA 5 mg
AVODART 0,5 mg
SYNACHTEN DEPOT
ZOMACTON
GENOTROPIN (R) 16 ui (5,3 mg)
NUTROPINAq 10 mg/2 ml
OMNITROPE 3,3mg/ml
OMNITROPE 6,7mg/ml
NORDITROPIN SIMPLEXx 10 mg/1,5ml
NORDITROPIN FLEXPRO 10 mg/1,5 ml
NORDITROPIN FLEXPRO 5 mg/1,5 ml
ORGALUTRAN 0.25mg/0,5ml
CETROTIDE 0,25 mg
ASTONIN H
DIPROPHOS (R)
SOLU - DECORTIN H 250
SOLU - DECORTIN H 50
CARBIMAZOLE 5
THYROZOL 10 mg
THYROZOL 20mg
THYROZOL 5 mg
TONOCALCIN 100 UI
NYLEX (R)
MIACALCIC (R)
NYLEX 100 UI/doza
NYLEX (R)
AMPIPLUS (R) 1,5 g
AMPIPLUS (R) 1,5 g
UNASYN
UNASYN
CEDAX
CEDAX
ROVAMYCINE (R) 1,5 Mil. UI
ROVAMYCINE (R) 3 Mil. UI
AZATRIL 250 mg
SUMAMED 250 mg

forma farm.

concentratie

Detinator APP

LIOF. + SOLV. PT. SOL. INJ.

10mg
10mg
5mg
0,4mg
0,4mg
0,4mg
0,4mg
0,4mg
400 g
0,4mg
0,4mg
5mg
5mg
5mg
5mg
5mg
5mg
0,5mg
1mg/ml
4mg (12ui)

PULB. + SOLV. PT. SOL. INJ.

5,3mg/ml (16ui) PFIZER EUROPE MA EEIG

COMPR. ELIB. PREL.


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

CAPS. ELIB. MODIF.


CAPS. ELIB. MODIF.

CAPS. ELIB. PREL.


CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
COMPR. CU ELIB. PRELUNGITA

COMPR. ELIB. PREL.


COMPR. FILM. ELIB. PREL.

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

CAPS. MOI
SUSP. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.

SOL. INJ. IN CARTUS


SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT

SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT

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

COMPR.
SUSP. INJ. I.M.
LIOF. + SOLV. PT. SOL. INJ.
LIOF. + SOLV. PT. SOL. INJ.

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

SOL. INJ.
SOL. INJ.
SOL. INJ.

SPRAY NAZ.,SOL.
SPRAY NAZAL - SOL.

PULB. PT. SOL. INJ.


PULB. PT. SOL. INJ.

COMPR. FILM.
PULB. PT. SUSP. ORALA

CAPS.
PULB. PT. SUSP. ORALA

COMPR. FILM.
COMPR. FILM.

CAPS.
CAPS.

TERAPIA SA

SANOFI-AVENTIS ROMANIA S.R.L.


SANOFI-AVENTIS ROMANIA S.R.L.

GEDEON RICHTER ROMANIA SA

ZENTIVA KS
RANBAXY UK LTD.

tara det.
APP

ROMANIA
ROMANIA
ROMANIA
ROMANIA

CEHIA

MAREA BRITANIE

KRKA D.D. NOVO MESTO SLOVENIA


ICN POLFA RZESZOW S.A.
TEVA PHARMACEUTICALS S.R.L.

POLONIA

ROMANIA

KRKA D.D., NOVO MESTO SLOVENIA


ASTELLAS PHARMA EUROPE BV

OLANDA

MERCK SHARP & DOHME ROMANIA


MERCK SHARP & DOHME ROMANIA
TEVA PHARMACEUTICAL S.R.L.

ICN POLFA RZESZOW S.A.


DR. REDDY'S LABORATORIES

ROMANIA

POLONIA

ROMANIA

ARENA GROUP S.A. ROMANIA


GLAXOSMITHKLINE (GSK) SRL

ROMANIA

NOVARTIS PHARMA GMBH GERMANIA

FERING GMBH

10mg/2ml
3,3mg/ml
6,7mg/ml
10mg/1,5ml
10mg/1,5 ml
5mg/1,5 ml

GERMANIA
MAREA BRITANIE

IPSEN PHARMA
FRANTA
SANDOZ GMBH
AUSTRIA
SANDOZ GMBH
AUSTRIA
NOVO NORDISK A/S DANEMARCA
NOVO NORDISK A/S DANEMARCA
NOVO NORDISK A/S DANEMARCA
0,25mg/0,5ml N. V. ORGANON
OLANDA
0,25mg
SERONO EUROPE LTD. MAREA BRITANIE
0,1mg
MERCK KGAA
GERMANIA
7mg/ml
SCHERING PLOUGH EUROPE BELGIA
250mg
MERCK KGAA
GERMANIA
50mg
MERCK KGAA
GERMANIA
5mg
REMEDICA LTD.
CIPRU
10mg
MERCK KGAA
GERMANIA
20mg
MERCK KGAA
GERMANIA
5mg
MERCK KGAA
GERMANIA
100UI
ALFA WASSERMANN SPA ITALIA
100UI/ml
PROEL E.P. CORONIS SA GRECIA
50ui/ml
NOVARTIS PHARMA GMBH GERMANIA
100UI/doza
GRECIA
200UI/doza PROEL E.P. CORONIS SA GRECIA
1g+500mg ANTIBIOTICE SA
ROMANIA
1g+500mg ANTIBIOTICE SA
ROMANIA
375mg
PFIZER EUROPE MA EEIG MAREA BRITANIE
250mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE
400mg
SCHERING PLOUGH EUROPE BELGIA
36mg/ml
SCHERING PLOUGH EUROPE BELGIA
1,5 M ui
LAB. AVENTIS
FRANTA
3M ui
LAB. AVENTIS
FRANTA
250mg
BALKANPHARMA RAZGRAD AD BULGARIA
250mg
PLIVA LJUBLIJANA D.O.O. SLOVENIA
PHARMACEUTICAL IND. PROEL EPAM. G.CORONIS SA

Pagina 13 din 22

Ambalaj

Prescriptie

Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)

30
30
CUTIE X 2 BLIST. PVC/AL X 14 COMPR. FILM. ELIB. PREL. P-6L
28
CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL.
P-6L
30
CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS. ELIB. MODIF. P-6L
30
CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS. ELIB. PREL. P-6L
30
CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 CAPS. ELIB. PREL. P-6L
30
CUTIE CU BLIST. PVC-PVDC/AL X 30 CAPS. ELIB. PREL. P-6L
30
CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. CU ELIB. PRELUNG.
P6L
30
CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. CU ELIB. PREL. P6L
30
CUTIE X 3 FOLII AL/AL X 10 COMPR. FILM. ELIB. PREL. P-6L
30
CUTIE X 1 BLIST. PVC/PE/PVD-AL X 14 COMPR.FILM. P-6L
14
CUTIE X 2 BLIST. PVC/PE/PVD-AL X 14 COMPR.FILM. P-6L
28
CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L
30
CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L
30
CUTIE X 2 BLIST. AL/AL X 14 COMPR. FILM. P-6L
28
CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM. P-6L
28
CUTIE X 3 BLIST.PVC-PVDC/AL X 10 CAPS. MOI P-6L
30
CUTIE X 1 FIOLA DIN STICLA X 1 ML SUSP. INJ. S/P-RF
1
CUTIE X 1 FLAC. LIOF. PT. SOL. INJ. + 1 FIOLA X 3,5 ML SOLV. P-RF
1
CUTIE X 1 CARTUS BICAMERAL MULTIDOZA CU PULB. SI SOLV. PT. SOL. INJ.
P-RF
1
CUTIE X 1 CARTUS X 2 ML. SOL. INJ. P-RF/R
1
CUTIE X 1CARTUS X 1,5 ML SOL.INJ. P-RF/R
1
CUTIE X 1CARTUS X 1,5 ML SOL.INJ. P-RF/R
1
CUTIE X 1 CARTUS DIN STICLA INCOLORA X 1,5 ML SOL. INJ.
P-RF
1
P-RF
1
P-RF
1
CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. + AC ATASAT
P-RF/R
1
P-RF
7
CUTIE X 1 FLAC. DIN PP X 50 COMPR. P-RF
50
CUTIE X 5 FIOLE X 1 ML
P-RF
5
P-RF
3
CUTIE X 3 FLAC. X 50 MG LIOF. PT. SOL. INJ. + 3 FIOLE X 1 ML SOLVENT P-RF
3
CUTIE X 10 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 100
CUTIE CU BLIST. PVC/AL X 50 COMPR. FILM. P-6L
50
CUTIE CU BLIST. PVC/AL X 50 COMPR. FILM. P-6L
50
CUTIE CU BLIST. PVC/AL X 100 COMPR. FILM. P-6L/S 100
CUTIE X 5 FIOLE X 1 ML SOL. INJ. P-RF
5
CUTIE X 5 FIOLE X 1ML
P-RF
5
CUTIE X 5 FIOLE X 1 ML
P-RF
5
CUTIE X 1 FLACON PREVAZUT CU POMPA DOZATOARE X 2 ML SPRAY NAZAL, SOL.
P-RF
1
P-RF
1
CUTIE X 1 FLAC. PULB. PT. SOL. INJ. X 1,5 G P-RF
1
CUTIE X 50 FLAC. PULB. PT. SOL. INJ. X 1,5 G P-RF/S
50
CUTIE X 2 BLIST. AL/PVC/PVDC X 6 COMPR. P-RF
12
CUTIE X 1 FLAC. DIN PEID CU PULBERE PT. 60 ML SUSP. ORALA P-RF
1
CUTIE X 5 BLIST. X 1 CAPS.
P-RF
5
P-RF
1
CUTIE X 2 BLIST. AL/PVC X 8 COMPR. FILM. P-RF
16
CUTIE X 2 BLIST. AL/PVC X 5 COMPR. FILM. P-RF
10
CUTIE X 1 BLIST. AL/PVC X 6 CAPS. P-RF
6
CUTIE X 1 BLIST. PVC-PVDC/AL X 6 CAPS. P-RF
6
CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. ELIB. PREL.

P-6L

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

CUTIE CU 1 STILOU INJECTOR (PEN) PREUMPLUT MULTI-DOZA ( CARTUS DIN STICLA INCOLORA X 1,5 ML SOL. INJ

CUTIE CU 1 STILOU INJECTOR (PEN) PREUMPLUT MULTI-DOZA ( CARTUS DIN STICLA INCOLORA X 1,5 ML SOL. INJ

CUTIE CU UN SUPORT CONTINAND: 7 FLAC.PULB. + 7 SERINGI PRE-UMPLUTE X 1 ML SOLV. + 7 ACE PT. INJECTII

CUTIE X 3 FLAC. DIN STICLA INCOLORA X 250 MG FIOF. PT. SOL. INJ. + 3 FIOLE X 5 ML SOLV.

CUTIE X 1 FLACON DIN STICLA PREVAZUT CU POMPA DOZATOARE CU APLICATOR NAZAL X 2 ML

CUTIE X 1 FLAC. PULB. PT. 30 ML SUSP. ORALA + 1 LINGURITA GRADATA PT. 45 MG, 90 MG, 135 MG + 1 CAPAC

36.04
58.87
33.76
36.34
34.86
26.93
21.20
22.96
20.08
31.90
63.98
33.27
64.36
35.18
35.26
32.91
32.91
95.62
5.75
445.43
555.63
991.21
484.12
765.73

Pret
amanuntul
maximal/UT
(RON)

1.201333
1.962333
1.205714
1.211333
1.162000
0.897666
0.706666
0.765333
0.669333
1.063333
2.132666
2.376428
2.298571
1.172666
1.175333
1.175357
1.175357
3.187333
5.750000
445.430000
555.630000
991.210000
484.120000
765.730000

1,320.72 1,320.720000
1,726.64 1,726.640000

898.74 898.740000
176.88 176.880000
845.15 120.735714
47.78
0.955600
34.53
6.906000
95.62 31.873333
35.71 11.903333
16.87
0.168700
21.00
0.420000
25.52
0.510400
30.86
0.308600
64.55 12.910000
32.36
6.472000
34.46
6.892000
48.36 48.360000
71.29 71.290000
25.25 25.250000
728.96 14.579200
33.18
2.765000
24.41 24.410000
70.49 14.098000
43.69 43.690000
9.86
0.616250
27.87
2.787000
25.50
4.250000
37.99
6.331666

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit. a)
(RON) pt.
si f)
Adulti

1.201333
1.962333
1.080198
1.211333
1.162000
0.897666
0.706666
0.765333
0.669333
1.063333
1.620299
1.175339
1.175339
1.172666
1.175333
1.175339
1.175339
3.187333
5.750000
394.187000
525.582666
985.467500
484.120000
765.730000
985.467500
985.467500
492.733750
121.294607
120.735714
0.955600
6.906000
31.873333
6.981149
0.113639
0.340920
0.510400
0.170460
8.721900
6.472000
4.360950
38.823750
71.290000
15.522210
14.579200
2.765000
22.692500
14.020200
43.690000
0.616250
1.430568
3.576424
3.576424

0.600666
0.981166
0.540099
0.605666
0.581000
0.448833
0.353333
0.382666
0.334666
0.531666
0.810149
0.587669
0.587669
0.586333
0.587666
0.587669
0.587669
1.593666
2.875000
197.093500
262.791333
492.733750
242.060000
382.865000
492.733750
492.733750
246.366875
60.647303
60.367857
0.477800
3.453000
15.936666
3.490574
0.056819
0.170460
0.255200
0.085230
4.360950
3.236000
2.180475
19.411875
35.645000
7.761105
7.289600
1.382500
11.346250
7.010100
21.845000
0.308125
0.715284
1.788212
1.788212

Nr. crt

cod ATC

670 J01FA10
671 J01FA10
672 J01FA10
673 J01FA10
674 J01FA10
675 J01FA10
676 J01FA10
677 J01FA10
678 J01FA10
679 J01FA10
680 J01FA10
681 J01FA10
682 J01FA10
683 J01FA10
684 J01FA10
685 J01FA10
686 J01FA10
687 J01FA10
688 J01FA10
689 J01FA10
690 J01FF01
691 J01FF01
692 J01FF01
693 J01FF01
694 J01FF01
695 J01FF01
696 J01MA12
697 J01MA12
698 J01MA12
699 J01MA12
700 J01MA12
701 J01MA12
702 J01MA12
703 J01MA12
704 J01MA12
705 J01MA12
706 J01MA12
707 J01MA12
708 J01MA14
709 J02AC02
710 J02AC02
711 J02AC02
712 J02AC02
713 J02AC02
714 J02AC02
715 J02AC02
716 J05AB11
717 J05AB15
718 L01AA01
719 L02AE02
720 L02AE02
721 L02AE03

DCI

AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
CLINDAMYCINUM
CLINDAMYCINUM
CLINDAMYCINUM
CLINDAMYCINUM
CLINDAMYCINUM
CLINDAMYCINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
MOXIFLOXACINUM
ITRACONAZOLUM*
ITRACONAZOLUM*
ITRACONAZOLUM*
ITRACONAZOLUM*
ITRACONAZOLUM*
ITRACONAZOLUM*
ITRACONAZOLUM*
VALACYCLOVIRUM*
BRIVUDINUM*#
CYCLOPHOSPHAMIDUM*
LEUPRORELINUM***#
LEUPRORELINUM***#
GOSERELINUM***#

Denumire Comerciala

SUMAMED 125 mg

AZITROMICINA SANDOZ 250 mg COMPRIMATE FILMATE

AZITROMICINA TERAPIA 250 mg


AZITROMICINA TERAPIA 250 mg
SUMAMED 500 mg
AZITROMICINA SANDOZ 500 mg COMPRIMATE FILMATE

AZIBIOT 500 mg
AZITROMICINA TERAPIA 500 mg
AZITROMICINA TERAPIA 500 mg
ZITROCIN 500 mg
AZITROX (R) 500
AZITROMICINA TERAPIA 600 mg
AZITROMICINA TERAPIA 600 mg
ZMAX 2 g
AZITROX 200 mg/5 ml
AZITROMICINA SANDOZ 100 mg/5 ml
AZITROMICINA SANDOZ 200 mg/5 ml
SUMAMED FORTE
SUMAMED FORTE
SUMAMED FORTE
DALACIN C 150 mg
DALACIN C 300 mg
CLINDAMYCIN - MIP 300 mg
CLINDAMYCIN - MIP 300 mg
CLINDAMYCIN - MIP 600 mg
CLINDAMYCIN - MIP 600 mg
FLERADAY 250 mg
LEVOFLOXACINA ACTAVIS 250 mg
TAVANIC 250 mg
LEVOTOR 250 mg
LEVOFLOXACINA ACCORD 250 mg
FLERADAY 500 mg
LEVOFLOXACINA ACTAVIS 500 mg
TAVANIC 500 mg
LEVOTOR 500 mg
LEVOFLOXACINA BLUEFISH 500 mg
LEVOFLOXACINA BLUEFISH 500 mg
LEVOFLOXACINA ACCORD 500 mg
AVELOX (R) 400 mg
ORUNGAL
ITRACONAZOL 100 mg
ITRACONAZOL 100 mg
OMICRAL 100 mg
SPORILIN 100 mg
ITRACONAZOL LPH 100 mg
MICOGAL 100 mg
VALTREX 500 mg
BRIVAL 125mg
ENDOXAN (R) 50 mg
LUCRIN DEPOT 11,25mg
LUCRIN DEPOT 3,75mg
ZOLADEX (R)

forma farm.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
GRAN. ELIB. PREL. PT. SUSP. ORALA

PULB. + SOLV. SUSP. ORALA

PULB. PT. SUSP. ORALA


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

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

CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.

COMPR. FILM.

COMPR.
DRAJ.

LIOF.+ SOLV. PT. SUSP. INJ. ELIB. PREL.

LIOF.+ SOLV. PT. SUSP. INJ. ELIB. PREL.

IMPLANT

concentratie

125mg
250mg
250mg
250mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
600mg
600mg
2g
200mg/5ml
100mg/5ml
200 mg/5 ml
200mg/5ml
200mg/5ml
200mg/5ml
150mg
300mg
300mg
300mg
600mg
600mg
250 mg
250mg
250mg
250mg
250mg
500 mg
500mg
500mg
500mg
500mg
500mg
500mg
400mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
500mg
125mg
50mg
11,25mg
3,75mg
3,6mg

tara det.
APP
Ambalaj
PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. AL/PVC X 6 COMPR. FILM.
Detinator APP

SANDOZ S.R.L.
TERAPIA SA
TERAPIA SA

ROMANIA CUTIE X 1 BLIST. X 6 COMPR. FILM.


ROMANIA CUTIE X 1 BLIST. PVC-ACLAR/AL X 6 COMPR. FILM.
ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 6 COMPR. FILM.

Prescriptie

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

PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM. P-RF

SANDOZ S.R.L.

ROMANIA CUTIE X 1 BLIST. X 3 COMPR. FILM.

P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM. P-RF

TERAPIA SA
TERAPIA SA

ROMANIA CUTIE X 1 BLIST. PVC-ACLAR/AL X 3 COMPR. FILM.


ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 3 COMPR. FILM.
LABORMED PHARMA S.A. ROMANIA CUTIE X 1 BLIST. PVC/AL X 3 COMPR. FILM.

ZENTIVA K.S.
TERAPIA SA
TERAPIA SA

CEHIA

ROMANIA
ROMANIA

PFIZER EUROPE MA EEIG

MAREA BRITANIE

ZENTIVA S.A.
SANDOZ SRL
SANDOZ SRL

ROMANIA
ROMANIA
ROMANIA

P-RF
P-RF
P-RF

CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM. P-RF


CUTIE X 1 BLIST. PVC-ACLAR/AL X 3 COMPR. FILM. P-RF

CUTIE X 1 BLIST. PA-AL-PVC/AL X 3 COMPR. FILM. P-RF


CUTIE X 1 FLACON DIN PEID CU GRAN. CU ELIB. PREL. P-RF
CUTIE X 1 FLAC. DIN PE CU PULB. PT. 15 ML SUSP. ORALA RECONSTITUITA + FLAC. CU SOLV. X 7,5 ML SOLV.

P-RF

CUTIE X 1 FLAC. DIN PEID CONTINAD PULBERE PT. 20 ML SUSP. ORALA + SERINGA DOZATOARE DIN PE/PP

P-RF

CCUTIE X 1 FLAC. DIN PEID CONTINAD PULBERE PT. 20 ML SUSP. ORALA + SERINGA DOZATOARE DIN PE/PP

P-RF

PLIVA LJUBLIJANA D.O.O. SLOVENIA

CUTIE X 1 FLAC. DIN PEID CU PULB. PT.15 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE

P-RF

PLIVA LJUBLIJANA D.O.O. SLOVENIA

CUTIE X 1 FLAC. DIN PEID CU PULB. PT. 30 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE

P-RF

CUTIE X 1 FLAC. DIN PEID CU PULB. PT. 37,5 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE

P-RF

PLIVA LJUBLIJANA D.O.O. SLOVENIA


PFIZER EUROPE MA EEIG

MAREA BRITANIE

PFIZER EUROPE MA EEIG

MAREA BRITANIE

MIP PHARMA GMBH


MIP PHARMA GMBH
MIP PHARMA GMBH
MIP PHARMA GMBH
DR. REDDY'S LABORATORIES

ACTAVIS GROUP PTC EHF.

TERAPIA S.A.

CUTIE X 2 BLIST. AL/PVC X 8 CAPS.


CUTIE X 2 BLIST. AL/PVC X 8 CAPS.

GERMANIA CUTIE X 5 BLIST. PVC/AL X 6 COMPR. FILM. P-RF


GERMANIA CUTIE X 2 BLIST. PVC/AL X 8 COMPR. FILM. P-RF
GERMANIA CUTIE X 5 BLIST. PVC/AL X 6 COMPR. FILM. P-RF

ROMANIA

CUTIE CU BLIST. PVC/PVDC - AL X 7 COMPR. FILM. PRF

ISLANDA CUTIE X 1 BLIST. AL/PVC X 7 COMPR. FILM.

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

ACTAVIS GROUP PTC EHF.

TERAPIA S.A.

ROMANIA

BLUEFISH PHARMACEUTICALS AB

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

P-RF
P-RF

CUTIE CU BLIST. PVC/PVDC - AL X 7 COMPR. FILM. PRF

ISLANDA CUTIE X 1 BLIST. AL/PVC X 7 COMPR. FILM.

SUEDIA
SUEDIA

P-RF

CUTIE CU BLIST. PVC/AL X 7 COMPR. FILM. PRF

ROMANIA CUTIE X 1 BLIST. PVC/AL X 7COMPR. FILM.


TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 7 COMPR. FILM.
BLUEFISH PHARMACEUTICALS AB

P-RF

GERMANIA CUTIE X 2 BLIST. PVC/AL X 8 COMPR. FILM. P-RF

ROMANIA CUTIE X1 BLIST. PVC/AL. X 7 COMPR. FILM.


TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 7 COMPR. FILM.
DR. REDDY'S LABORATORIES

P-RF

P-RF
P-RF
P-RF

CUTIE CU BLIST. PVC/AL X 7 COMPR. FILM. PRF


CUTIE CU BLIST. PVC-PVDC/PVC X 7 COMPR. FILM. PRF

CUTIE CU BLIST. PVC/AL X 7 COMPR. FILM. PRF

BAYER HEALTHCARE AG GERMANIA CUTIE X 1 BLIST. ALB OPAC PP/AL X 5 COMPR. FILM. P-RF

BELGIA CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 5 CAPS.


SLAVIA PHARM SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS.
ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS.
MEDICO UNO PHARMACEUTICAL SRL ROMANIA CUTIE X 3 BLIST. AL/AL X 5 CAPS.
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 5 CAPS.
LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. PVC/AL X 5 CAPS.
ROMPHARM COMPANY SRL ROMANIA CUTIE X 3 BLIST. PVC/AL X 5 CAPS.

JANSSEN PHARMACEUTICA N.V.

THE WELLCOME FOUNDATION LTD. MAREA BRITANIE


BERLIN CHEMIE AG MENARINI GROUP

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

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

GERMANIA CUTIE X 1 BLIST. PVC/AL X 7 COMPR. P-RF

BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ. P-RF


ABBOTT LABORATORIES LTD.

SPANIA
SPANIA

ASTRAZENECA UK LTD.

MAREA BRITANIE

ABBOTT LABORATORIES LTD.

Pagina 14 din 22

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 PLIC X 1 SERINGA PRE-UMPLUTA X 3,6 MG

S/P-RF

Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)

6
6
6
6
3
3
3
3
3
3
3
3
3
1
1
1
1
1
1
1
16
16
16
30
16
30
7
7
7
7
7
7
7
7
7
7
7
7
5
15
15
15
15
15
15
15
10
7
50
1
1
1

Pret
amanuntul
maximal/UT
(RON)

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit. a)
(RON) pt.
si f)
Adulti

25.36
4.226666
1.788210
0.894105
48.80
8.133333
3.576424
1.788212
44.47
7.411666
3.576424
1.788212
44.47
7.411666
3.576424
1.788212
38.17 12.723333
7.152849
3.576424
48.80 16.266666
7.152849
3.576424
25.65
8.550000
7.152849
3.576424
37.16 12.386666
7.152849
3.576424
3.576424
37.16 12.386666
7.152849
25.65
8.550000
7.152849
3.576424
25.64
8.546666
7.152849
3.576424
44.61 14.870000
8.583422
4.291711
44.61 14.870000
8.583422
4.291711
63.52 63.520000 28.611405 14.305702
16.36 16.360000 16.360000
8.180000
22.45 22.450000 15.151996
7.575998
34.36 34.360000 30.303992 15.151996
25.18 25.180000 22.728000 11.364000
48.58 48.580000 45.456000 22.728000
60.36 60.360000 56.820000 28.410000
12.14
0.758750
0.736484
0.368242
23.33
1.458125
1.458125
0.729062
23.31
1.456875
1.456875
0.728437
54.01
1.800333
1.472968
0.736484
52.16
3.260000
2.945937
1.472968
95.84
3.194666
2.945937
1.472968
28.06
4.008571
2.379600
1.189800
17.41
2.487142
2.379600
1.189800
26.78
3.825714
2.379600
1.189800
17.40
2.485714
2.379600
1.189800
17.40
2.485714
2.379600
1.189800
33.85
4.835714
4.759200
2.379600
33.86
4.837142
4.759200
2.379600
52.08
7.440000
4.759200
2.379600
33.65
4.807142
4.759200
2.379600
31.96
4.565714
4.565714
2.282857
31.96
4.565714
4.565714
2.282857
33.40
4.771428
4.759200
2.379600
83.41 16.682000
4.759200
2.379600
76.92
5.128000
5.128000
2.564000
52.56
3.504000
3.504000
1.752000
52.56
3.504000
3.504000
1.752000
52.56
3.504000
3.504000
1.752000
52.56
3.504000
3.504000
1.752000
52.56
3.504000
3.504000
1.752000
52.55
3.503333
3.503333
1.751666
56.95
5.695000
4.907470
2.453735
332.58 47.511428 47.511428 23.755714
26.13
0.522600
0.522600
0.261300
994.94 994.940000 994.940000 497.470000
429.71 429.710000 378.914998 189.457499
436.52 436.520000 402.272493 201.136246

Nr. crt

cod ATC

722 L02AE04
723 L02AE04
724 L02AE04
725 L02AE04
726 L04AX01
727 M01AC01
728 M01AC01
729 M01AC01
730 M01AC01
731 M01AC01
732 M01AC01
733 M01AC01
734 M01AC01
735 M01AC01
736 M01AC01
737 M01AC01
738 M01AC01
739 M01AC01
740 M01AC01
741 M01AC05
742 M01AC05
743 M01AC05
744 M01AC05
745 M01AC05
746 M01AC05
747 M01AC05
748 M01AC05
749 M01AC05
750 M01AC05
751 M01AE17
752 M01AE17
753 M01AH01
754 M01AH01
755 M01AH01
756 M01AH05
757 M01AH05
758 M01AH05
759 M01AH05
760 M01AH05
761 M01AH05
762 M01AH05
763 M01AH05
764 M01AH05
765 M01AH05
766 M01AH05
767 M01AH05
768 M01AX05
769 M01AX05
770 M01AX17
771 M01AX17
772 M01AX17
773 M01AX17

DCI

TRIPTORELINUM***#
TRIPTORELINUM***#
TRIPTORELINUM***#
TRIPTORELINUM***#
AZATHIOPRINUM*
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
LORNOXICAMUM
LORNOXICAMUM
LORNOXICAMUM
LORNOXICAMUM
LORNOXICAMUM
LORNOXICAMUM
LORNOXICAMUM
LORNOXICAMUM
LORNOXICAMUM
LORNOXICAMUM
DEXKETOPROFENUM
DEXKETOPROFENUM
CELECOXIBUM
CELECOXIBUM
CELECOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
GLUCOSAMINUM
GLUCOSAMINUM
NIMESULIDUM
NIMESULIDUM
NIMESULIDUM
NIMESULIDUM

Denumire Comerciala

DIPHERELINE 0,1 mg
DIPHERELINE PR 11,25 mg
DIPHERELINE 3,75 mg
GONAPEPTYL ZILNIC 0,1 mg/ml
IMURAN (R)
PIROXSAL 20 mg
FLAMEXIN
FLAMEXIN
PIROXICAM LPH 20 mg
PIROXICAM ARENA 20 MG
FLAMEXIN
FLAMEXIN
FLAMEXIN
FLAMEXIN (R)
FELDENE (R) 20 mg/ml
HOTEMIN
PIROXICAM ATB 20 mg
PIROXICAM ATB 20 mg
PIROXICAM 20 mg
XEFO 4 mg
XEFO 4 mg
XEFO 4 mg
XEFO RAPID 8 mg
XEFO RAPID 8 mg
XEFO RAPID 8 mg
XEFO 8 mg
XEFO 8 mg
XEFO 8 mg
XEFO 8 mg/ 2 ml
TADOR 25 mg
TADOR INJECT
CELEBREX 100 mg
CELEBREX 200 mg
CELEBREX 200 mg
ARCOXIA 120 mg
ARCOXIA 120 mg
ARCOXIA 120 mg
ARCOXIA 120 mg
ARCOXIA 30 mg
ARCOXIA 60 mg
ARCOXIA 60 mg
ARCOXIA 60 mg
ARCOXIA 90 mg
ARCOXIA 90 mg
ARCOXIA 90 mg
ARCOXIA 90 mg
SLIDEFLEX 1178mg
DONA (R)
LEMESIL
AULIN (R) 100 mg
NIMESULID 100 mg
NIMESULID SLAVIA

forma farm.
LIOF. + SOLV. PT. SOL. INJ.
PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL.

PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL.

SOL. INJ.
COMPR. FILM.

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.

COMPR. EFF.
COMPR. EFF.
COMPR. EFF.

PULB. PT. SOL. ORALA

SOL. INJ.
SOL. INJ.
SUPOZ.
SUPOZ.
SUPOZ.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
PULB. + SOLV. PT. SOL. INJ.

COMPR. FILM.
SOL. INJ./CONC. PT. SOL. PERF.

CAPS.
CAPS.
CAPS.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
PULB. PT. SOL. ORALA

COMPR.
COMPR.
COMPR.
COMPR.

concentratie

0,1mg
11,25mg
3,75mg
0,1mg/ml
50mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg/plic
20mg/ml
20mg/ml
20 mg
20 mg
20mg
4mg
4mg
4mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg/2ml
25mg
50mg/2ml
100mg
200mg
200mg
120mg
120mg
120mg
120mg
30mg
60mg
60mg
60mg
90mg
90mg
90mg
90mg
1178mg
1500mg
100mg
100mg
100mg
100mg

Detinator APP

IPSEN PHARMA
IPSEN PHARMA
IPSEN PHARMA

FERRING ARZEIMITTEL GES.MBH

tara det.
APP

FRANTA
FRANTA
FRANTA
AUSTRIA

THE WELLCOME FOUNDATION LTD. MAREA BRITANIE

Ambalaj

Prescriptie

CUTIE X 7 FLAC. CU LIOF. PT. SOL. INJ. + 7 FIOLE X 1 ML SOLV.

S/P-RF

CUTIE CU 1 FLAC. DIN STICLA CU PULB. PT. SUSP. INJ. + 1 FIOLA DIN STICLA INCOLORA X 2 ML SOLV. + 1 B

S/P-RF

CUTIE CU 1 FLAC. DIN STICLA CU PULB. PT. SUSP. INJ. + 1 FIOLA DIN STICLA INCOLORA X 2 ML SOLV. + 1 B

S/P-RF

CUTIE X 28 SERINGI PREUMPLUTE DIN STICLA INCOLORA X 1 ML SOL. INJ S/P-RF

CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM.

S/P-RF

SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST.PVC/ AL X 10 COMPR.


CHIESI FARMACEUTICI SPA ITALIA
CUTIE X 3 BLIST. PVC-PDVC/AL-LAC PVDC X 10 COMPR.
CHIESI FARMACEUTICI SPA ITALIA
CUTIE X 1 BLIST. PVC-PDVC/AL-LAC PVDC X 10 COMPR.

P-6L

ARENA GROUP SA

P-6L

P-6L
P-6L

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

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

CHIESI FARMACEUTICI SPA

ITALIA
ITALIA
ITALIA
ITALIA

CUTIE X 20 PLICURI DUBLU COMPARTIMENTAT X 3 G PULB. PT. SOL. ORALA

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 6 FIOLE DIN STICLA BRUNA X 1 ML P-RF

CHIESI FARMACEUTICI SPA


CHIESI FARMACEUTICI SPA
CHIESI FARMACEUTICI SPA

UNGARIA
ROMANIA
ROMANIA
ROMANIA
NYCOMED AUSTRIA GMBH AUSTRIA
NYCOMED AUSTRIA GMBH AUSTRIA
NYCOMED AUSTRIA GMBH AUSTRIA
NYCOMED AUSTRIA AUSTRIA
NYCOMED AUSTRIA AUSTRIA
NYCOMED AUSTRIA AUSTRIA
NYCOMED AUSTRIA GMBH AUSTRIA
NYCOMED AUSTRIA GMBH AUSTRIA
NYCOMED AUSTRIA GMBH AUSTRIA
NYCOMED AUSTRIA GMBH AUSTRIA

EGIS PHARMACEUTICALS P.L.C.

ANTIBIOTICE S.A.
ANTIBIOTICE S.A.
SINTOFARM SA

BERLIN CHEMIE AG (MENARINI GROUP)

CUTIE X 1 BLIST. AL-PE/AL X 10 COMPR. EFF. P-6L


CUTIE X 2 BLIST. AL-PE/AL X 10 COMPR. EFF. P-6L
CUTIE X 3 BLIST. AL-PE/AL X 10 COMPR. EFF. P-6L
P-6L

CUTIE X 1 BLIST. C-PET/PE X 5 FIOLE X 1 ML SOL. INJ. P-RF

CUTIE CU 2 FOLII TERMOSUDATE PVC X 3 SUPOZ.


CUTIE CU 1 FOLIE TERMOSUDATA PVC X 6 SUPOZ.

P6L
P6L

CUTIE X 2 FOLII TERMOSUDATE X 5 SUPOZ. P-6L

P6L
P6L
CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. FILM. P6L

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

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

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


CUTIE CU BLIST. AL/AL X 20 COMPR. FILM. P-6L
CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-6L

P6L
CUTIE CU 2 BLIST. PVC/AL X 10 COMPR. FILM. P6L
CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. FILM. P6L
CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM.

CUTIE CU 10 FLAC. DIN STICLA BRUNA CU PULB. PT. SOL. INJ. + 10 FIOLE DIN STICLA INCOLORA X 2 ML SOLV

PRF

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

MENARINI INTERNATIONAL OPERATIONS S.A.

LUXEMBOURG CUTIE X 5 FIOLE X 2 ML SOL. INJ./CONC. PT.SOL.PERF.

P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

PFIZER EUROPE MA EEIG

MAREA BRITANIE

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


CUTIE X 1 BLIST. AL/PVC X 10 CAPS.
CUTIE X 3 BLIST. AL/PVC X 10 CAPS.

P-RF
P-RF

MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-RF
MERCK SHARP & DOHME ROMANIA CUTIE X2 BLIST. PA-AL-PVC/AL X 14 COMPR. FILM. P-RF
MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-RF
MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 14 COMPR. FILM. P-RF
MERCK SHARP & DOHME ROMANIA CUTIE X 4 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-RF
MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-RF
MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PA-AL-PVC/AL X 14 COMPR. FILM. P-RF
MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 14 COMPR. FILM. P-RF
MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 14 COMPR. FILM. P-RF
MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-RF
MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-RF
MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PA-AL-PVC/AL X 14 COMPR. FILM. P-RF

IRLANDA
ROTTAPHARM SPA ITALIA
ANFARM HELLAS S.A. PHARMACEUTICALS GRECIA
CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA
MAGISTRA C & C
ROMANIA
SLAVIA PHARM SRL ROMANIA

BLUE BIO PHARMACEUTICALS LIMITED

Pagina 15 din 22

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

P-6L

CUTIE X 20 PLICURI UNIDOZA CU PULB. P-6L

CUTIE X 2 BLIST. X 10 COMPR.

P-RF

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


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

P-RF
P-RF
P-RF

Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)

7
1
1
28
100
20
30
10
20
20
10
20
30
20
6
5
6
6
10
10
20
30
10
20
30
10
20
30
10
10
5
30
10
30
7
28
14
14
28
14
28
14
14
7
14
28
30
20
20
10
10
10

134.62

Pret
amanuntul
maximal/UT
(RON)

19.231428

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit. a)
(RON) pt.
si f)
Adulti

10.104391

5.052195

1,184.81 1,184.810000 1,136.745010 568.372505

440.58 440.580000 440.580000 220.290000


827.20 29.542857 10.104391
5.052195
80.90
0.809000
0.539866
0.269933
2.63
0.131500
0.131500
0.065750
29.01
0.967000
0.967000
0.483500
17.58
1.758000
1.114875
0.557437
0.078250
3.13
0.156500
0.156500
2.47
0.123500
0.123500
0.061750
20.80
2.080000
1.114875
0.557437
39.37
1.968500
1.114875
0.557437
48.42
1.614000
1.114875
0.557437
27.37
1.368500
1.114875
0.557437
9.54
1.590000
1.590000
0.795000
11.77
2.354000
2.354000
1.177000
4.44
0.740000
0.740000
0.370000
0.740000
0.370000
4.44
0.740000
2.85
0.285000
0.285000
0.142500
6.21
0.621000
0.371624
0.185812
12.43
0.621500
0.371624
0.185812
18.44
0.614666
0.371624
0.185812
16.61
1.661000
0.743249
0.371624
33.22
1.661000
0.743249
0.371624
48.22
1.607333
0.743249
0.371624
11.69
1.169000
0.743249
0.371624
23.65
1.182500
0.743249
0.371624
28.37
0.945666
0.743249
0.371624
137.31 13.731000
1.412398
0.706199
14.05
1.405000
0.496874
0.248437
30.51
6.102000
4.198000
2.099000
63.57
2.119000
1.165874
0.582937
33.03
3.303000
2.331749
1.165874
94.10
3.136666
2.331749
1.165874
35.09
5.012857
4.663499
2.331749
128.69
4.596071
4.596071
2.298035
67.83
4.845000
4.663499
2.331749
67.83
4.845000
4.663499
2.331749
86.14
3.076428
1.165874
0.582937
55.68
3.977142
2.331749
1.165874
105.76
3.777142
2.331749
1.165874
55.68
3.977142
2.331749
1.165874
59.15
4.225000
3.497624
1.748812
30.54
4.362857
3.497624
1.748812
59.15
4.225000
3.497624
1.748812
112.36
4.012857
3.497624
1.748812
41.65
1.388333
1.388333
0.694166
43.20
2.160000
1.865870
0.932935
9.72
0.486000
0.486000
0.243000
7.49
0.749000
0.745312
0.372656
4.87
0.487000
0.487000
0.243500
7.24
0.724000
0.724000
0.362000

Nr. crt

cod ATC

DCI

810 M05BA07

NIMESULIDUM
NIMESULIDUM
NIMESULIDUM
NIMESULIDUM
NIMESULIDUM
NIMESULIDUM
BACLOFENUM
BACLOFENUM
ACIDUM ALENDRONICUM*
ACIDUM ALENDRONICUM*
ACIDUM ALENDRONICUM*
ACIDUM ALENDRONICUM*
ACIDUM ALENDRONICUM*
ACIDUM ALENDRONICUM*
ACIDUM ALENDRONICUM*
ACIDUM ALENDRONICUM*
ACIDUM ALENDRONICUM*
ACIDUM ALENDRONICUM*
ACIDUM ALENDRONICUM*
ACIDUM ALENDRONICUM*
ACIDUM IBANDRONICUM*
ACIDUM IBANDRONICUM*
ACIDUM IBANDRONICUM*
ACIDUM IBANDRONICUM*
ACIDUM IBANDRONICUM*
ACIDUM IBANDRONICUM*
ACIDUM RISEDRONICUM*
ACIDUM RISEDRONICUM*
ACIDUM RISEDRONICUM*
ACIDUM RISEDRONICUM*
ACIDUM RISEDRONICUM*
ACIDUM RISEDRONICUM*
ACIDUM RISEDRONICUM*
ACIDUM RISEDRONICUM*
ACIDUM RISEDRONICUM*
ACIDUM RISEDRONICUM*
ACIDUM RISEDRONICUM*

811 M05BB03

COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)*

812 M05BB03

COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)*

813 M05BB03

COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)*

814 M05BB03

COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)*

774 M01AX17
775 M01AX17
776 M01AX17
777 M01AX17
778 M01AX17
779 M01AX17
780 M03BX01
781 M03BX01
782 M05BA04
783 M05BA04
784 M05BA04
785 M05BA04
786 M05BA04
787 M05BA04
788 M05BA04
789 M05BA04
790 M05BA04
791 M05BA04
792 M05BA04
793 M05BA04
794 M05BA06
795 M05BA06
796 M05BA06
797 M05BA06
798 M05BA06
799 M05BA06
800 M05BA07
801 M05BA07
802 M05BA07
803 M05BA07
804 M05BA07
805 M05BA07
806 M05BA07
807 M05BA07
808 M05BA07
809 M05BA07

815 M05BX03
816 M05BX03
817 N02AA05
818 N02AA05
819 N02AA05
820 N02AA05
821 N02AA08
822 N02AA08
823 N02AA08
824 N02AX52
825 N02AX52

STRONTIUM RANELATUM*
STRONTIUM RANELATUM*
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
DIHYDROCODEINUM*
DIHYDROCODEINUM*
DIHYDROCODEINUM*
COMBINATII
COMBINATII

Denumire Comerciala

APONIL
NIMESULID ARENA 100 mg
NIMESULID FARMEX 100 mg
NISE 100 mg
AULIN (R)
NIMESIL
LIORESAL (R)
LIORESAL (R)
ACID ALENDRONIC ACCORD 10 mg
TEVANAT 70 mg
FOSAMAX 70 mg
ACID ALENDRONIC ACCORD 70 mg
RANOS 70 mg
ACID ALENDRONIC BLUEFISH 70 mg
ACID ALENDRONIC BLUEFISH 70 mg
INSTREL 70 mg
ALENDRONAT SANDOZ 70 mg
ADRONIK 70 mg
ADRONIK 70 mg
ADRONIK 70 mg
ACID IBANDRONIC TEVA 150 mg
BONVIVA 150mg
OSSICA 150 mg
ACID IBANDRONIC SANDOZ 150 mg
OSAGRAND 3 mg/3 ml
BONVIVA 3mg/3ml
RISEDRONAT BLUEFISH 35 mg
RISENDROS 35 mg
RISEDRONAT TEVA 35 mg
JUVERITAL 35 mg
LORINE 35mg
JUVERITAL 35 mg
OSTEORON 35 mg
OSODENS 35 mg
ACTONEL SAPTAMANAL 35 mg
PEXALIT 35 mg
ACTONEL 75 mg
FOSAVANCE 70mg/2800UI
FOSAVANCE 70mg/2800UI
FOSAVANCE 70mg/5600UI
FOSAVANCE 70mg/5600UI
OSSEOR 2 g
OSSEOR 2 g
OXYCONTIN (R) 10 mg
OXYCONTIN (R) 20 mg
OXYCONTIN (R) 40 mg
OXYCONTIN (R) 80 mg
DHC CONTINUS 120 mg
DHC CONTINUS 60 mg
DHC CONTINUS 90 mg
DORETA 37,5mg/325mg
DORETA 37,5mg/325mg

forma farm.

COMPR.
COMPR.
COMPR.
COMPR.

GRAN. PT. SUSP. ORALA


GRAN. PT. SUSP. ORALA

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

SOL. INJ.

SOL. INJ. IN SERINGA PREUMPLUTA

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

COMPR.
COMPR.
COMPR.
COMPR.

GRAN. PT. SUSP. ORALA


GRAN. PT. SUSP. ORALA
COMPR. FILM. ELIB. MODIF.
COMPR. FILM. ELIB. MODIF.
COMPR. FILM. ELIB. MODIF.
COMPR. FILM. ELIB. MODIF.

COMPR. ELIB. PREL.


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

concentratie

100mg
100mg
100mg
100mg
100mg/plic
100mg/plic
10mg
25mg
10mg
70 mg
70mg
70mg
70mg
70mg
70mg
70mg
70mg
70mg
70mg
70mg
150 mg
150mg
150mg
150mg
3mg/3ml
1mg/1ml
35 mg
35mg
35mg
35mg
35mg
35mg
35mg
35mg
35mg
35mg
75mg
70mg/2800UI
70mg/2800UI
70mg/5600UI
70mg/5600UI
2g
2g
10 mg
20 mg
40 mg
80mg
120mg
60mg
90mg

Detinator APP

tara det.
APP

Ambalaj

Prescriptie

MEDOCHEMIE LTD CIPRU


CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR.

P-RF

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

P-RF

P-RF

FARMEX COMPANY SRL ROMANIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. P-RF


DR. REDDY'S LABORATORIES

AUSTRIA
LAB. GUIDOTTI SPA ITALIA

CSC PHARMACEUTICALS HANDELS GMBH

NOVARTIS PHARMA GMBH GERMANIA


NOVARTIS PHARMA GMBH GERMANIA
ACCORD HEALTHCARE LIMITED MAREA BRITANIE
TEVA PHARMACEUTICALS S.R.L.

CUTIE X 15 PLICURI HARTIE/AL/HDPE/FOLIE SURLYN X 2 G GRAN. SUSP. ORALA

P-RF

CUTIE X 9 PLICURI X 2 G GRAN. PT. SUSP. ORALA P-RF

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


CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L
CUTIE CU BLIST. PVC/AL X 28 COMPR. P-6L

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

P-6L

MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. AL/AL IN PORTOFEL X 2 COMPR. P-6L
ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. OPA -AL-PVC/AL X 4 COMPR. P-6L

TERAPIA SA

ROMANIA

BLUEFISH PHARMACEUTICALS AB
BLUEFISH PHARMACEUTICALS AB

DR. REDDY'S LABORATORIES

SANDOZ S.R.L.
ARENA GROUP S.A.
ARENA GROUP S.A.
ARENA GROUP S.A.
TEVA PHARMA B.V.
ROCHE REGISTRATION LTD.

SUEDIA
SUEDIA

CUTIE X 1 BLIST. DIN PAO-PVC-AL/AL X 4 COMPR. P-6L

CUTIE CU BLIST. AL/AL X 2 COMPR.


CUTIE CU BLIST. AL/AL X 4 COMPR.

ROMANIA CUTIE CU BLIST. AL/AL X 4 COMPR. FILM.


ROMANIA CUTIE X 1 BLIST. OPA-AL-PVC/AL X 2 COMPR. FILM
ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 12 COMPR. FILM.
ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 2 COMPR. FILM.
ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 4 COMPR. FILM.

OLANDA

MAREA BRITANIE

GEDEON RICHTER PLC. UNGARIA

CUTIE CU BLIST. DIN PVC/ACLAR/PVC-AL X 1 COMPRIMAT FILMAT

P-6L
P-6L
P-RF

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

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 1 BLIST. PA-AL-PVC/AL X 1 COMPR. FILM.

SANDOZ S.R.L.
ZENTIVA K.S.

REPUBLICA CEHA CUTIE CU 1 FIOLA DIN STICLA INCOLORA X 3 ML SOL. INJ.

P6L
P6L

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 1 SERINGA PREUMPLUTA DIN STICLA X 3 ML SOL. INJ. + 1 AC

P-6L

CUTIE CU BLIST. DIN PVC/PE/PVDC-AL X 4 COMPR. FILM.

P6L

ROMANIA

ZENTIVA A.S.

SUEDIA
CEHIA

TEVA PHARMACEUTICAL S.R.L.

MAREA BRITANIE

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

P-6L

OZONE LABORATORIES BV

OLANDA

CUTIE X BLISTER PVC-PE-PVDC/AL X 4 COMPRIMATE FILMATE

P-6L

BLUEFISH PHARMACEUTICALS AB

ANTIBIOTICE S.A.

CUTIE X 1 BLIST. OPA-AL-PVC/AL X 4 COMPR. FILM. P-6L

ROMANIA
LABORMED PHARMA S.A. ROMANIA

CUTIE X 1BLIST. PVC- PVDC/AL X 4 COMPR. FILM. P-6L

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE X 1 BLIST. PVC- PVDC/AL X 4 COMPR. FILM. P-6L

SANOFI - AVENTIS ROMANIA S.R.L.

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


ROMANIA CUTIE CU 1 BLIST. PVC/AL X 4 COMPR. FILM. P-6L
ROMANIA CUTIE CU BLIST. PVC/HT-AL X 4 COMPR. FILM. P6L
ROMANIA CUTIE CU 1 BLIST. PVC/AL X 2 COMPR. FILM. P-6L

MERCK SHARP & DOHME

MAREA BRITANIE

CUTIE X 4 COMPR. (1 PLIANT CU BLIST. AL/AL X 4 COMPR.)

P-6L

MERCK SHARP & DOHME

MAREA BRITANIE

CUTIE X 2 COMPR. (1 PLIANT CU BLIST. AL/AL X 2 COMPR.)

P-6L

MERCK SHARP & DOHME

MAREA BRITANIE

CUTIE X 2 COMPR. (1 PLIANT CU BLIST. AL/AL X 2 COMPR.)

P-6L

MERCK SHARP & DOHME

MAREA BRITANIE

CUTIE X 4 COMPR. (1 PLIANT CU BLIST. AL/AL X 4 COMPR.)

P-6L

CUTIE X 14 PLICURI HARTI-PE-AL/PE GRAN. PT. SUSP. ORALA

P-RF

CUTIE X 28 PLICURI HARTI-PE-AL/PE GRAN. PT. SUSP. ORALA

P-RF

CUTIE X 1 FLAC. X 56 COMPR. FILM. ELIB. MODIF.

P-TS

TERAPIA SA
SANOFI - AVENTIS ROMANIA S.R.L.

DR. REDDY'S LABORATORIES

LES LAB. SERVIER


LES LAB. SERVIER
MUNDIPHARMA
MUNDIPHARMA
MUNDIPHARMA
MUNDIPHARMA
MUNDIPHARMA
MUNDIPHARMA
MUNDIPHARMA

GMBH
GMBH
GMBH
GMBH
GMBH
GMBH
GMBH

FRANTA
FRANTA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA

COMPR. FILM. 37,5mg/325mg KRKA D.D. NOVO MESTO SLOVENIA


COMPR. FILM. 37,5mg/325mg KRKA D.D. NOVO MESTO SLOVENIA

Pagina 16 din 22

CUTIE CU BLIST. PVC-PE-PVDC/AL X 4 COMPR. FILM.

P-6L

CUTIE X 1 FLAC. X 56 COMPR. FILM. ELIB. MODIF.

P-TS

CUTIE X 1 FLAC. X 56 COMPR. FILM. ELIB. MODIF.

P-TS

CUTIE X 1 FLAC. X 56 COMPR. FILM. ELIB. MODIF.

P-TS

CUTIE X 1 FLAC. DIN PP X 56 COMPR. ELIB. PREL. P-RF


CUTIE X 1 FLAC. DIN PP X 56 COMPR. ELIB. PREL. P-RF
CUTIE X 1 FLAC. DIN PP X 56 COMPR. ELIB. PREL. P-RF
CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF
CUTIE CU BLIST. PVC-PVDC/AL X 20 COMPR. FILM. P-RF

Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)

20
10
10
10
15
9
50
50
28
4
2
4
4
2
4
4
2
12
2
4
1
1
1
1
1
1
4
4
4
4
4
4
4
4
4
4
2
4
2
2
4
14
28
56
56
56
56
56
56
56
10
20

Pret
amanuntul
maximal/UT
(RON)

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit. a)
(RON) pt.
si f)
Adulti

8.20
0.410000
0.410000
0.205000
4.78
0.478000
0.478000
0.239000
7.20
0.720000
0.720000
0.360000
3.59
0.359000
0.359000
0.179500
11.25
0.750000
0.745312
0.372656
7.66
0.851111
0.745312
0.372656
20.37
0.407400
0.291839
0.145919
33.50
0.670000
0.670000
0.335000
0.774562
48.27
1.723928
1.549124
48.27 12.067500 10.843872
5.421936
37.13 18.565000 10.843872
5.421936
48.27 12.067500 10.843872
5.421936
47.66 11.915000 10.843872
5.421936
24.93 12.465000 10.843872
5.421936
24.71
6.177500
6.177500
3.088750
47.66 11.915000 10.843872
5.421936
12.82
6.410000
6.410000
3.205000
5.421936
131.92 10.993333 10.843872
24.78 12.390000 10.843872
5.421936
47.97 11.992500 10.843872
5.421936
83.20 83.200000 46.473738 23.236869
129.32 129.320000 46.473738 23.236869
72.31 72.310000 46.473738 23.236869
52.90 52.900000 46.473738 23.236869
283.25 283.250000 254.181375 127.090687
424.57 424.570000 254.181375 127.090687
35.79
8.947500
8.947500
4.473750
56.69 14.172500 10.843872
5.421936
72.55 18.137500 10.843872
5.421936
72.55 18.137500 10.843872
5.421936
36.50
9.125000
9.125000
4.562500
72.55 18.137500 10.843872
5.421936
56.66 14.165000 10.843872
5.421936
72.55 18.137500 10.843872
5.421936
111.62 27.905000 10.843872
5.421936
36.50
9.125000
9.125000
4.562500
94.97 47.485000 23.236869 11.618434
89.84 22.460000 10.843872
5.421936
47.30 23.650000 10.843872
5.421936
47.30 23.650000 10.843872
5.421936
89.84 22.460000 10.843872
5.421936
104.74
7.481428
6.547142
3.273571
174.60
6.235714
6.235714
3.117857
116.83
2.086250
1.519651
0.759825
214.65
3.833035
3.039302
1.519651
395.50
7.062500
6.078615
3.039307
652.80 11.657142 11.657142
5.828571
128.54
2.295357
1.504445
0.752222
29.34
0.523928
0.523928
0.261964
101.69
1.815892
1.128334
0.564167
7.89
0.789000
0.705825
0.352912
15.58
0.779000
0.705825
0.352912

Nr. crt

cod ATC

DCI

826 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM


827 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM
828 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM
829 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM
830 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM
831 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM
832 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM
833 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM
834 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM)
835 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM)
836 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM)
837 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM)
838 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM)
839 N03AE01
840 N03AE01
841 N03AX16
842 N03AX16
843 N03AX16
844 N03AX16
845 N03AX16
846 N03AX16
847 N04AA02
848 N04BC05
849 N04BC05
850 N04BC05
851 N04BC05
852 N04BC05
853 N04BC05
854 N04BC05
855 N04BC05
856 N04BC05
857 N04BC05
858 N04BC05
859 N04BC05
860 N04BC05
861 N04BC05
862 N04BC05
863 N04BC05
864 N04BC05
865 N04BC05
866 N04BC05
867 N04BC05
868 N04BC05
869 N04BC05
870 N04BC05
871 N04BC05
872 N04BC05
873 N04BC05
874 N04BC05
875 N04BC05
876 N04BC05
877 N04BC08

CLONAZEPAMUM
CLONAZEPAMUM
PREGABALINUM**#
PREGABALINUM**#
PREGABALINUM**#
PREGABALINUM**#
PREGABALINUM**#
PREGABALINUM**#
BIPERIDENUM
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PIRIBEDILUM**

Denumire Comerciala

ZALDIAR (R)
ZALDIAR (R)
ZALDIAR (R)
ZALDIAR (R)
ZALDIAR (R)
ZALDIAR (R)
ZALDIAR (R)
ZALDIAR (R)
PADOLTEN 37,5 mg/325 mg
PADOLTEN 37,5 mg/325 mg
LINEROL 37,5 mg/325 mg
LINEROL 37,5 mg/325 mg
LINEROL 37,5 mg/325 mg
RIVOTRIL
RIVOTRIL 2 mg
LYRICA 150 mg
LYRICA 150 mg
LYRICA 300 mg
LYRICA 300 mg
LYRICA 75 mg
LYRICA 75 mg
AKINETON 2 mg
OPRYMEA 0,088mg
MIPARKAN 0,18 mg
MIRAPEXIN 0,18 mg
OPRYMEA 0,18mg
PRAMIPEXOL TEVA 0,18mg
PRAMIPEXOL SANDOZ 0,18 mg
MEDOPEXOL 0,18 mg
GLEPARK 0,18 mg
PRAMIPEXOL RANBAXY 0,18 mg
PRAMIPEXOL BLUEFISH 0,18 mg
MIGLASEN 0,18 mg
PRAMIPEXOL TORRENT 0,18 mg
PRAMIPEXOLE ACCORD 0,35mg
MIPARKAN 0,7 mg
MIRAPEXIN 0,7 mg
OPRYMEA 0,7mg
PRAMIPEXOL TEVA 0,7mg
PRAMIPEXOL SANDOZ 0,7 mg
MEDOPEXOL 0,7 mg
GLEPARK 0,7 mg
PRAMIPEXOL RANBAXY 0,7 mg
PRAMIPEXOL BLUEFISH 0,7 mg
MIGLASEN 0,7 mg
PRAMIPEXOL TORRENT 0,7 mg
MIRAPEXIN 0,26 mg
MIRAPEXIN 0,52 mg
MIRAPEXIN 1,05 mg
MIRAPEXIN 2,1 mg
MIRAPEXIN 3,15 mg
PRONORAN 50 mg

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

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

COMPR. ELIB. PREL.


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

DRAJ. ELIB. PREL.

concentratie

Detinator APP

tara det.
APP

Ambalaj

Prescriptie

37,5mg+325mg GRUNENTHAL GMBH GERMANIA CUTIE X 3 BLIST. PP OPAC/AL X 10 COMPR. FILM. P-RF
37,5mg+325mg GRUNENTHAL GMBH GERMANIA CUTIE X 1 BLIST. PVC OPAC/AL X 10 COMPR. FILM. P-RF
37,5mg+325mg GRUNENTHAL GMBH GERMANIA CUTIE X 2 BLIST. PVC OPAC/AL X 10 COMPR. FILM. P-RF
37,5mg+325mg GRUNENTHAL GMBH GERMANIA CUTIE X 3 BLIST. PVC OPAC/AL X 10 COMPR. FILM. P-RF
37,5mg+325mg GRUNENTHAL GMBH GERMANIA CUTIE X 1 BLIST. PP OPAC/AL X 10 COMPR. FILM. P-RF
37,5mg+325mg GRUNENTHAL GMBH GERMANIA CUTIE X 5 BLIST. PVC OPAC/AL X 10 COMPR. FILM. P-RF
37,5mg+325mg GRUNENTHAL GMBH GERMANIA CUTIE X 5 BLIST. PP OPAC/AL X 10 COMPR. FILM. P-RF
37,5mg+325mg GRUNENTHAL GMBH GERMANIA CUTIE X 2 BLIST. PP OPAC/AL X 10 COMPR. FILM. P-RF

37,5mg/325mg
37,5mg/325mg
37,5mg/325mg
37,5mg/325mg
37,5mg/325mg

0,5mg
2mg
150mg
150mg
300mg
300mg
75mg
75mg
2mg
0,088mg
0,18 mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,35mg
0,7 mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,26mg
0,52mg
1,05mg
2,1mg
3,15mg
50mg

S.C.TEVA PHARMACEUTICALS S.R.L.


S.C.TEVA PHARMACEUTICALS S.R.L.
PHARMACEUTICAL WORKS POLPHARMA SA
PHARMACEUTICAL WORKS POLPHARMA SA
PHARMACEUTICAL WORKS POLPHARMA SA

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


ROMANIA CUTIE CU BLIST. PVC/AL X 20 COMPR. FILM.

POLONIA
POLONIA
POLONIA

P-RF
P-RF

CUTIE CU BLIST. PVC/AL X 10 COMPR. FILM. P-RF


CUTIE CU BLIST. PVC/AL X 20 COMPR. FILM. P-RF
CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. P-RF

ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 50 COMPR. P-RF
ROCHE ROMANIA S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 30 COMPR. P-RF

PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
DESMA GMBH
KRKA D.D.
ZENTIVA, K.S.

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

KRKA D.D.
TEVA PHARMA BV
SANDOZ S.R.L.
MEDOCHEMIE LTD.

MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE

CUTIE X 14 CAPS. (BLIST. PVC/AL)


CUTIE X 56 CAPS. (BLIST. PVC/AL)
CUTIE X 56 CAPS. (BLIST. PVC/AL)
CUTIE X 14 CAPS. (BLIST. PVC/AL)
CUTIE X 14 CAPS. (BLIST. PVC/AL)
CUTIE X 56 CAPS. (BLIST. PVC/AL)

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

GERMANIA CUTIE CU 5 BLIST. PVC/AL X 10 COMPR. P6L

SLOVENIA CUTIE X 30 COMPR. (BLIST. AL/AL)

REPUBLICA CEHA

GERMANIA

P-RF

CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. PRF

CUTIE X 3 BLIST. X 10 COMPR.

P-RF

SLOVENIA CUTIE X 30 COMPR. (BLIST. AL/AL)

P-RF

ROMANIA

P-RF/R

OLANDA CUTIE CU BLIST. AL/AL X 30 COMPR.

CIPRU

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

P-RF

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

GLENMARK PHARMACEUTICALS SRL

REPUBLICA SLOVACA

CUTIE CU BLIST. AL/AL X 30 COMPR.

RANBAXY (UK) LIMITED

MAREA BRITANIE

CUTIE CU BLIST. PA-AL-PVC X 30 COMPR. P-RF

BLUEFISH PHARMACEUTICALS AB

ROMASTRU TRADING S.R.L.

TORRENT PHARMA S.R.L.

SUEDIA

ROMANIA
ROMANIA

CUTIE CU BLIST. AL/AL X 30 COMPR.

P-6L

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

P6L

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

ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 3 BLIST. AL-PVC/AL A CATE 10 COMPR.

ZENTIVA, K.S.

REPUBLICA CEHA

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA

PRF

CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. PRF

CUTIE X 3 BLIST. X 10 COMPR.


SLOVENIA CUTIE X 30 COMPR. (BLIST. AL/AL)
OLANDA CUTIE CU BLIST. AL/AL X 30 COMPR.

KRKA D.D.
TEVA PHARMA BV
SANDOZ S.R.L.
ROMANIA
MEDOCHEMIE LTD. CIPRU

P-RF

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

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

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

GLENMARK PHARMACEUTICALS SRL

REPUBLICA SLOVACA

CUTIE CU BLIST. AL/AL X 30 COMPR.

RANBAXY (UK) LIMITED

MAREA BRITANIE

CUTIE CU BLIST. PA-AL-PVC X 30 COMPR. P-RF

BLUEFISH PHARMACEUTICALS AB

SUEDIA

ROMANIA
TORRENT PHARMA S.R.L. ROMANIA
ROMASTRU TRADING S.R.L.

P-RF

CUTIE CU BLIST. AL/AL X 30 COMPR.

P-6L

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

P6L

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-RF

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA CUTIE CU 1 BLIST.OPA-AL-PVC/AL X 10 COMPR. P-RF

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA CUTIE CU 3 BLIST.OPA-AL-PVC/AL X 10 COMPR. P-RF

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA CUTIE CU 3 BLIST.OPA-AL-PVC/AL X 10 COMPR. P-RF

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA CUTIE CU 3 BLIST.OPA-AL-PVC/AL X 10 COMPR. P-RF

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA CUTIE CU 3 BLIST.OPA-AL-PVC/AL X 10 COMPR. P-RF

LES LAB. SERVIER IND. FRANTA

Pagina 17 din 22

CUTIE X 2 BLIST. AL/PVC X 15 DRAJ. CU ELIB. PREL. P-RF

Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)

30
10
20
30
10
50
50
20
10
20
10
20
30
50
30
14
56
56
14
14
56
50
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
10
30
30
30
30
30

34.76
12.14
23.96
34.76
12.14
57.78
57.78
23.96
7.89
15.59
7.90
15.59
23.36
6.89
6.56
76.16
288.91
422.67
114.28
53.71
193.52
10.57
19.75
30.00
49.77
30.11
33.41
33.42
33.42
30.35
30.86
25.30
30.35
33.50
48.92
107.26
167.86
107.65
115.05
115.05
115.05
108.52
106.21
90.45
107.65
115.10
58.12
314.07
650.35
1,229.85
1,809.33

28.69

Pret
amanuntul
maximal/UT
(RON)

1.158666
1.214000
1.198000
1.158666
1.214000
1.155600
1.155600
1.198000
0.789000
0.779500
0.790000
0.779500
0.778666
0.137800
0.218666
5.440000
5.159107
7.547678
8.162857
3.836428
3.455714
0.211400
0.658333
1.000000
1.659000
1.003666
1.113666
1.114000
1.114000
1.011666
1.028666
0.843333
1.011666
1.116666
1.630666
3.575333
5.595333
3.588333
3.835000
3.835000
3.835000
3.617333
3.540333
3.015000
3.588333
3.836666
5.812000
10.469000
21.678333
40.995000
60.311000
0.956333

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit. a)
(RON) pt.
si f)
Adulti

0.705825
0.705825
0.705825
0.705825
0.705825
0.705825
0.705825
0.705825
0.705825
0.705825
0.705825
0.705825
0.705825
0.067904
0.218666
5.440000
5.159107
7.547678
8.162857
3.234383
3.234383
0.211400
0.181096
0.370424
0.370424
0.370424
0.370424
0.370424
0.370424
0.370424
0.370424
0.370424
0.370424
0.370424
0.720270
1.440540
1.440540
1.440540
1.440540
1.440540
1.440540
1.440540
1.440540
1.440540
1.440540
1.440540
0.535057
1.070115
2.160810
4.321621
6.482432
0.956333

0.352912
0.352912
0.352912
0.352912
0.352912
0.352912
0.352912
0.352912
0.352912
0.352912
0.352912
0.352912
0.352912
0.033952
0.109333
2.720000
2.579553
3.773839
4.081428
1.617191
1.617191
0.105700
0.090548
0.185212
0.185212
0.185212
0.185212
0.185212
0.185212
0.185212
0.185212
0.185212
0.185212
0.185212
0.360135
0.720270
0.720270
0.720270
0.720270
0.720270
0.720270
0.720270
0.720270
0.720270
0.720270
0.720270
0.267528
0.535057
1.080405
2.160810
3.241216
0.478166

Nr. crt

cod ATC

878 N05AL03
879 N05AL03
880 N05BE01
881 N05BE01
882 N06AA21
883 N06AA21
884 N06AB10
885 N06AX05
886 N06AX05
887 N06AX05
888 N06AX12
889 N06AX14
890 N06AX14
891 N06AX14
892 N06AX17
893 N06AX17
894 N06AX21
895 N06AX21
896 N06BX16
897 N06BX18
898 N06BX18
899 N06BX18
900 N06BX18
901 N06DX02
902 N06DX02
903 N06DX02
904 N06DX02
905 N07CA01
906 N07CA01
907 N07CA01
908 N07CA01
909 N07CA01
910 N07CA01
911 N07CA01
912 N07CA01
913 N07CA01
914 N07CA01
915 N07CA01
916 N07CA01
917 N07CA01
918 N07CA01
919 N07CA01
920 N07CA01
921 N07CA01
922 N07CA01
923 N07CA01
924 N07CA01
925 N07CA01
926 N07CA01
927 N07CA01

DCI

TIAPRIDUM
TIAPRIDUM
BUSPIRONUM
BUSPIRONUM
MAPROTILINUM*
MAPROTILINUM*
ESCITALOPRAMUM**
TRAZODONUM**
TRAZODONUM**
TRAZODONUM**
BUPROPIONUM**#
TIANEPTINUM**
TIANEPTINUM**
TIANEPTINUM**
MILNACIPRANUM**
MILNACIPRANUM**
DULOXETINUM**
DULOXETINUM**
PRAMIRACETAMUM**#
VINPOCETINUM
VINPOCETINUM
VINPOCETINUM
VINPOCETINUM
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM

928 N07CA52 COMBINATII (CINARIZINUM +DIMENHIDRINATUM)


929 N07CA52 COMBINATII (CINARIZINUM +DIMENHIDRINATUM)

Denumire Comerciala

TIAPRIDAL (R) 100 mg


TIAPRIDAL 100 mg/2 ml
SPITOMIN 10 mg
SPITOMIN 5 mg
LUDIOMIL (R) 10 mg
LUDIOMIL (R) 25 mg
CIPRALEX 10 mg
TRITTICO AC 150 mg
TRITTICO AC 75 mg
TRITTICO AC 75 mg
ELONTRIL 150 mg
LYXIT 12,5 mg
LYXIT 12,5 mg
COAXIL (R)
IXEL
IXEL
CYMBALTA 30mg
CYMBALTA 60mg
PRAMISTAR
VIMPOCETIN 5 mg
CAVINTON(R) FORTE
VICEBROL
CAVINTON(R)
GINKOFAR 40 mg (vezi C04AXN1)
GINKOFAR 40 mg (vezi C04AXN1)
GINKOFAR 40 mg (vezi C04AXN1)

forma farm.

COMPR.
SOL. INJ.
COMPR.
COMPR.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. MODIF.

COMPR. FILM.
COMPR. FILM.

DRAJ.
CAPS.
CAPS.

CAPS. GASTROREZ.
CAPS. GASTROREZ.

COMPR. FILM.

CAPS.
COMPR.
COMPR.
COMPR.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
GINKO BILOBA BIOFARM 40 mg (vezi C04AXN1) COMPR. FILM.

BETAHISTINA DICLORHIDRAT ACCORD 16 mg COMPR.

VERTIMED 16 mg
BETAHISTINA LPH 16 mg
EMPERIN 24 mg
BETAHISTINA LPH 24 mg
BETAHISTIN MCC 24 mg
BETAHISTIN MCC 24 mg
BETASERC 24 mg
VERTIMED 24 mg
VERTIMED 24 mg
MARBETA 24 mg
EMPERIN 8 mg
MICROSER
VESTIBO 8 mg
VESTIBO 8 mg
BETAHISTIN MCC 8 mg
BETASERC 8 mg
BETASERC 8 mg
BETAHISTINA LPH 8 mg

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
BETAHISTINA DICLORHIDRAT ACCORD 8 mg COMPR.
VERTIMED 8 mg
COMPR.
ACUVER 8 mg/doza
SOL. ORALA
ACUVER 8 mg/doza
SOL. ORALA
ARLEVERT
COMPR.
ARLEVERT
COMPR.

concentratie

100mg
100mg/2ml
10mg
5mg
10mg
25mg
10mg
150mg
75mg
75mg
150mg
12,5 mg
12,5 mg
12,5mg
25mg
50mg
30mg
60mg
600mg
5mg
10mg
5mg
5mg
40mg
40mg
40mg
40mg
16mg
16mg
16mg
24 mg
24 mg
24mg
24mg
24mg
24mg
24mg
24mg
8 mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg/doza
8mg/doza

Detinator APP
SANOFI-SYNTHELABO FRANCE

SANOFI-AVENTIS FRANCE
EGIS PHARMACEUTICALS P.L.C.
EGIS PHARMACEUTICALS P.L.C.

tara det.
APP

Ambalaj

FRANTA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


FRANTA CUTIE X 2 SUPORTURI PVC X 6 FIOLE X 2 ML
UNGARIA CUTIE X 6 BLIST. AL/OPA-AL-PVC X 10 COMPR.
UNGARIA CUTIE X 6 BLIST. AL/OPA-AL-PVC X 10 COMPR.

Prescriptie

P-RF
P-RF
P-RF
P-RF

NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
NOVARTIS PHARMA GMBH GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF

H. LUNDBECK A/S

ANGELINI FRANCESCO SPA


ANGELINI FRANCESCO SPA
ANGELINI FRANCESCO SPA

DANEMARCA

ITALIA
ITALIA
ITALIA

ROMANIA
ARENA GROUP S.A. ROMANIA
ARENA GROUP S.A. ROMANIA

GLAXOSMITHKLINE (GSK) SRL

CUTIE X 2 BLIST. TRANSPARENTE PVC-PE-PVDC/AL X 14 COMPR. FILM.

P-RF

CUTIE X 1 BLIST. AL/PVC X 20 COMPR. ELIB. PREL. P-RF


CUTIE X 2 BLIST. AL/PVC X 15 COMPR. ELIB. PREL. P-RF
CUTIE X 1 BLIST. AL/PVC X 30 COMPR. ELIB. PREL. P-RF
CUTIE CU 1 FLAC. PEID CU DESICANT X 30 COMPR. ELIB. MODIF.

P-RF

CUTIE CU BLIST. DIN PVC-PVDC/AL X 30 COMPR. FILM.

PRF

CUTIE CU BLIST. DIN PVC-PVDC/AL X 90 COMPR. FILM.

PRF

LES LAB. SERVIER IND. FRANTA CUTIE X 1 BLIST. AL/PVC X 30 DRAJ.

P-RF

PIERRE FABRE MEDICAMENT PRODUCTION

P-RF

FRANTA CUTIE X 4 BLIST. AL/PVC X 14 CAPS.


PIERRE FABRE MEDICAMENT PRODUCTION FRANTA
CUTIE X 4 BLIST. AL/PVC X 14 CAPS.
ELI LILLY NEDERLAND BV OLANDA CUTIE X 28 CAPS. GASTROREZ.( BLIST. PVC/PE/PCTFE/AL)
ELI LILLY NEDERLAND BV OLANDA CUTIE X 28 CAPS. GASTROREZ.( BLIST. PVC/PE/PCTFE/AL)
F.I.R.M.A. S.P.A. (MENARINI GROUP) ITALIA
CUTIE X 2 BLIST. PA-AL-PVC/AL X 10 COMPR.FILM.
VIM SPECTRUM SRL ROMANIA CUTIE X 5 BLIST. X 10 CAPS.
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. X 15 COMPR.
BMF PHARM S.R.L. ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR.

P-RF
P-RF
P-RF

P-6L
P-6L
P-6L
P-6L

ROMANIA CUTIE X 2 BLIST. AL/PVC X 25 COMPR.


ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.
ROMANIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.
ROMANIA CUTIE X 9 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.
ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 15 COMPR. FILM.

P-6L

ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 3 BLIST. PVC/PVDC-AL X 10 COMPR.

P6L
P6L

GEDEON RICHTER ROMANIA SA

BMF PHARM S.R.L.


BMF PHARM S.R.L.
BMF PHARM S.R.L.
BIOFARM S.A.

MEDOCHEMIE LTD. CIPRU

CUTIE CU BLIST. PVC/PE/PVDC-AL X 30 COMPR.

P-6L
P-6L
P-6L
P-6L

LABORMED PHARMA S.A. ROMANIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L


EGIS PHARMACEUTICALS P.L.C.

UNGARIA

CUTIE CU BLIST. DIN PVC-PVDC/AL X 60 COMPR.

P6L

LABORMED PHARMA SA ROMANIA CUTIE CU 6 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L

MAGISTRA C&C SRL ROMANIA CUTIE CU 2 BLIST. PVC-PVDC-TE TRANSPARENT/AL X 10 COMPR.


MAGISTRA C&C SRL ROMANIA CUTIE CU 5 BLIST. PVC-PVDC-TE TRANSPARENT/AL X 10 COMPR.
ABBOTT HEALTHCARE PRODUCTS B.V. OLANDA CUTIE CU 1 BLIST. PVC-PVDC/AL X 20 COMPR.
MEDOCHEMIE LTD. CIPRU
CUTIE CU BLIST. PVC/PE/PVDC-AL X 30 COMPR.
MEDOCHEMIE LTD. CIPRU
CUTIE CU BLIST. PVC/PE/PVDC-AL X 60 COMPR.
MEDREG S.R.O.
REPUBLICA SLOVACA CUTIE CU 6 BLIST. PVC-PVDC/AL X 10 COMPR.
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. DIN PVC-PVDC/AL X 100 COMPR.
PRODOTTI FORMENTI ITALIA
CUTIE X 5 BLIST. X 10 COMPR.
ACTAVIS GROUP HF. ISLANDA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR.
ACTAVIS GROUP HF. ISLANDA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR.
MAGISTRA C&C SRL ROMANIA CUTIE CU 3 BLIST. PVC-PVDC-TE TRANSPARENT/AL X 10 COMPR.
ABBOTT HEALTHCARE PRODUCTS B.V. OLANDA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR.
ABBOTT HEALTHCARE PRODUCTS B.V. OLANDA CUTIE CU 4 BLIST. PVC-PVDC/AL X 25 COMPR.

P-6L
P-6L
P-6L

P6L
P6L
P6L
P6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L

LABORMED PHARMA S.A. ROMANIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L

ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 3 BLIST. PVC/PVDC-AL X 10 COMPR.

MEDOCHEMIE LTD. CIPRU


AUSTRIA
AUSTRIA

CYATHUS EXQUIRERE PHARMAFORSCHUNGS GMBH


CYATHUS EXQUIRERE PHARMAFORSCHUNGS GMBH

CUTIE CU BLIST. PVC/PE/PVDC-AL X 30 COMPR.

P6L
P6L

CUTIE X 1 FLAC. STICLA BRUNA X 60 ML SOL. ORALA P-6L


CUTIE X 1 FLAC. STICLA BRUNA X 120 ML SOL. ORALA

P-6L

FARA CONCENTRATIE HENNIG ARZNEIMITTEL GMBH & CO.KG

GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 25 COMPR. P-RF

FARA CONCENTRATIE HENNIG ARZNEIMITTEL GMBH & CO.KG

GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 24 COMPR. P-RF

Pagina 18 din 22

Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)

20
9.23
12
9.51
60 17.75
60 10.82
50 15.19
30 10.45
28 90.38
20 24.95
30 18.71
30 18.71
30 63.54
30 22.65
90 63.54
30 33.74
56 71.52
56 117.26
28 105.39
28 178.89
20 71.94
50 10.29
30 14.45
50 10.29
50 15.82
20
9.18
60 26.61
90 36.73
30 12.30
30 19.18
30 19.17
30 16.84
60 34.85
60 53.26
20 18.35
50 39.78
20 27.97
30 19.81
60 38.37
60 34.85
100 21.53
50 26.66
30
8.23
100 21.53
30
9.58
30 14.76
100 29.63
30
9.58
30
9.58
30
7.15
1 38.11
1 70.00
50 32.23
48 26.13

Pret
amanuntul
maximal/UT
(RON)

0.461500
0.792500
0.295833
0.180333
0.303800
0.348333
3.227857
1.247500
0.623666
0.623666
2.118000
0.755000
0.706000
1.124666
1.277142
2.093928
3.763928
6.388928
3.597000
0.205800
0.481666
0.205800
0.316400
0.459000
0.443500
0.408111
0.410000
0.639333
0.639000
0.561333
0.580833
0.887666
0.917500
0.795600
1.398500
0.660333
0.639500
0.580833
0.215300
0.533200
0.274333
0.215300
0.319333
0.492000
0.296300
0.319333
0.319333
0.238333
38.110000
70.000000
0.644600
0.544375

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit. a)
(RON) pt.
si f)
Adulti

0.461500
0.792500
0.295833
0.156020
0.273959
0.348333
1.130399
1.247332
0.623666
0.623666
2.118000
0.730500
0.706000
0.730500
1.104508
2.093928
3.336830
6.388928
3.597000
0.205800
0.411600
0.205800
0.205800
0.381791
0.381791
0.381791
0.381791
0.412599
0.412599
0.412599
0.580833
0.618899
0.618899
0.618899
0.618899
0.618899
0.618899
0.580833
0.206299
0.206299
0.206299
0.206299
0.206299
0.206299
0.206299
0.206299
0.206299
0.206299
15.472493
30.944986
0.569431
0.544375

0.230750
0.396250
0.147916
0.078010
0.136979
0.174166
0.565199
0.623666
0.311833
0.311833
1.059000
0.365250
0.353000
0.365250
0.552254
1.046964
1.668415
3.194464
1.798500
0.102900
0.205800
0.102900
0.102900
0.190895
0.190895
0.190895
0.190895
0.206299
0.206299
0.206299
0.290416
0.309449
0.309449
0.309449
0.309449
0.309449
0.309449
0.290416
0.103149
0.103149
0.103149
0.103149
0.103149
0.103149
0.103149
0.103149
0.103149
0.103149
7.736246
15.472493
0.284715
0.272187

forma farm.
concentratie
930 N07XN03 ACIDUM TIOCTICUM (ALFA-LIPOICUM)** THIOCTACID (R) 600 HR (vezi A16AX01) COMPR. FILM. 600mg
931 N07XN03 ACIDUM TIOCTICUM (ALFA-LIPOICUM)** THIOGAMMA (R) 600 INJEKT (vezi N07XN03) CONC. PT. SOL. PERF. 30mg/ml

Nr. crt

cod ATC

DCI

CEREBROLYSIN
CEREBROLYSIN
HIDROLIZAT DE PROTEINA DIN CREIER DE PORCINA** CEREBROLYSIN
HYDROXYCHLOROQUINUM
PLAQUENIL
BUDESONIDUM*
RHINOCORT (R) AQUA
FLUTICASONUM PROPIONAT* FLIXONASE (R)
MOMETASONUM*
NASONEX 50mcg/doza
MOMETASONUM*
NASONEX
FENOTEROLUM
BEROTEC N - 100 mcg
COMBINATII (FENOTEROLUM + IPRATROPIUM)* BERODUAL (R) N
SALMETEROLUM+FLUTICASONUM* SERETIDE DISKUS 50/100
SALMETEROLUM+FLUTICASONUM* SERETIDE DISKUS 50/250
SALMETEROLUM+FLUTICASONUM* SERETIDE DISKUS 50/500

932 N07XXN3

HIDROLIZAT DE PROTEINA DIN CREIER DE PORCINA**

933 N07XXN3

HIDROLIZAT DE PROTEINA DIN CREIER DE PORCINA**

934 N07XXN3
935 P01BA02
936 R01AD05
937 R01AD08
938 R01AD09
939 R01AD09
940 R03AC04
941 R03AK03
942 R03AK06
943 R03AK06
944 R03AK06

Denumire Comerciala

Detinator APP
WORWAG PHARMA GMBH & CO. KG

GERMANIA

215,2mg/ml EVER NEURO PHARMA GMBH AUSTRIA CUTIE X 5 FIOLE DIN STICLA BRUNA CU PUNCT DE RUPERE X 10 ML
215,2mg/ml EVER NEURO PHARMA GMBH AUSTRIA CUTIE X 5 FIOLE DIN STICLA BRUNA CU PUNCT DE RUPERE X 5 ML
SOL. INJ./PERF. 215,2mg/ml EVER NEURO PHARMA GMBH AUSTRIA CUTIE X 10 FIOLE DIN STICLA BRUNA CU PUNCT DE RUPERE X 1 ML
COMPR. FILM. 200mg
SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 6 BLIST. X 10 COMPR. FILM.
SPRAY NAZAL SUSP. 32mcg/doza ASTRAZENECA AB
SUEDIA CUTIE X 1 FLACON X 120 DOZE PREVAZUT CU POMPA DOZATOARE
SPRAY NAZAL SUSP. 50mcg/doza GLAXOWELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 FLACON X 120 DOZE, PREVAZUT CU POMPA DOZATOARE
SPRAY NAZAL SUSP. 50mcg/doza MERCK SHARP & DOHME ROMANIA CUTIE X 1 FLACON PP X 140 DOZE
SPRAY NAZAL SUSP. 50mcg/doza SCHERING PLOUGH EUROPE BELGIA
CUTIE X 1 FLACON PP X 140 DOZE
100mcg/doza
GERMANIA CUTIE X 1 FLACON PRESURIZAT X 200 DOZE SOL. DE INHALAT PRESURIZATA

P-RF
P-RF

SOL. DE INHALAT PRESURIZATA

AEROSOL SOL. INHAL.

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

0,020mg+0,050mg

PULB. INHAL. 50mg/100mg


PULB. INHAL. 50mg/250mg
PULB. INHAL. 50mg/500mg

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

P-6L

MAREA BRITANIE

CUTIE X 1 FLACON PRESURIZAT AL X 120 DOZE SUSP. DE INHALAT PRESURIZATA

P-6L

MAREA BRITANIE

CUTIE X 1 FLACON PRESURIZAT AL X 120 DOZE SUSP. DE INHALAT PRESURIZATA

P-6L

GLAXOWELLCOME UK LTD.

MAREA BRITANIE

CUTIE X 1 FLACON PRESURIZAT AL X 120 DOZE SUSP. DE INHALAT PRESURIZATA

P-6L

ASTRAZENECA AB
ASTRAZENECA AB
ASTRAZENECA AB

SUEDIA
SUEDIA
SUEDIA

GLAXO WELLCOME UK LTD.


GLAXO WELLCOME UK LTD.

949 R03AK07 COMBINATII (BUDESONIDUM + FORMOTEROLUM)*

SYMBICORT TURBUHALER 320 micrograme/9 micrograme/inhalatie

PULB. DE INHAL.

320micrograme/9micrograme/inha

950 R03AK07 COMBINATII (BUDESONIDUM + FORMOTEROLUM)*

SYMBICORT TURBUHALER 80 micrograme/4,5 micrograme/inhalatie

PULB. DE INHAL.

80micrograme/4,5micrograme/inh

FLIXOTIDE DISKUS 100 mcg


FLIXOTIDE DISKUS 250 mcg
FLIXOTIDE DISKUS 500 mcg
FLIXOTIDE 125 INHALER CFC - Free
FLIXOTIDE (R) 50 INHALER CFC - Free
FLIXOTIDE NEBULES 0,5 mg/2 ml
FLIXOTIDE NEBULES 2 mg/2 ml
ASMANEX TWISTHALER 200 mcg
ASMANEX TWISTHALER 200 mcg
ASMANEX TWISTHALER 400 mcg
ASMANEX TWISTHALER 400 mcg
ALVESCO 160 INHALER
ALVESCO 160 INHALER
ALVESCO 80 INHALER
ALVESCO 80 INHALER
SPIRIVA 18 micrograme
MIOFILIN 100 mg
AMINOFILINA EEL
AMINOFILINA ARENA 100 MG
AMINOFILINA ARENA 200 MG
MIOFILIN
ASTHATOR 10 mg
SINGULAIR (R)
SINGULAIR (R)
MONTELUKAST TEVA 10 mg
MONTELUKAST TEVA 10 mg
SPIROKAST 10 mg
MONTELUKAST ACTAVIS 10 mg
MONTEXAL 10 mg
MONKASTA 10 mg
ASTMASAN 10 mg

PULB. INHAL. 100mcg/doza


PULB. INHAL. 250mcg/doza
PULB. INHAL. 500mcg/doza
SUSP. INHAL. PRESURIZATA 125mcg/doza
SUSP. INHAL. PRESURIZATA 50mcg/doza
0,5mg/2ml
2mg/2ml
PULB. INHAL. 200mcg/doza
PULB. INHAL. 200mcg/doza
PULB. INHAL. 400mcg/doza
PULB. INHAL. 400mcg/doza
160g/doza
160g/doza
80g/doza
80g/doza

962 R03BA08
963 R03BA08
964 R03BA08
965 R03BA08
966 R03BB04
967 R03DA05
968 R03DA05
969 R03DA05
970 R03DA05
971 R03DA05
972 R03DC03
973 R03DC03
974 R03DC03
975 R03DC03
976 R03DC03
977 R03DC03
978 R03DC03
979 R03DC03
980 R03DC03
981 R03DC03

P-6L
P-6L

160micrograme/4,5micrograme/in

961 R03BA07

P-6L

CUTIE X 1 DISPOZITIV DE INHALAT X 60 DOZE PULB. DE INHAL.

PULB. DE INHAL.

960 R03BA07

P-RF

CUTIE X 1 DISPOZITIV DE INHALAT X 60 DOZE PULB. DE INHAL.

SYMBICORT TURBUHALER 160 micrograme/4,5 micrograme/inhalatie

959 R03BA07

P-RF

MAREA BRITANIE

948 R03AK07 COMBINATII (BUDESONIDUM + FORMOTEROLUM)*

958 R03BA07

P-RF

MAREA BRITANIE

25mcg/50mcg

956 R03BA05

P-RF

GLAXOWELLCOME UK LTD.

SUSP. INHAL. PRESURIZATA

957 R03BA05

CUTIE X 1 FLACON PRESURIZAT DIN OTEL X 200 DOZE SOLUTIE DE INHALAT PRESURIZATA

P-6L

GLAXOWELLCOME UK LTD.

947 R03AK06 SALMETEROLUM+FLUTICASONUM* SERETIDE 25 mcg/50 mcg INHALER CFC FREE

955 R03BA05

GERMANIA

P-RF

GLAXO WELLCOME UK LIMITED MAREA BRITANIE CUTIE X 1DISPOZITIV DE INHALAT X 60 DOZE PULB. DE INHAL. P-6L

25mcg/125mcg GLAXOWELLCOME UK LTD.


25mcg/250mcg GLAXOWELLCOME UK LTD.

954 R03BA05

S/P-RF

SOL. INJ./PERF.

SUSP. INHAL. PRESURIZATA

953 R03BA05

CUTIE X 10 FIOLE X 20 ML

SOL. INJ./PERF.

SUSP. INHAL. PRESURIZATA

FLUTICASONUM PROPIONAT*
FLUTICASONUM PROPIONAT*
FLUTICASONUM PROPIONAT*
FLUTICASONUM PROPIONAT*
FLUTICASONUM PROPIONAT*
FLUTICASONUM PROPIONAT*
FLUTICASONUM PROPIONAT*
MOMETASONUM*
MOMETASONUM*
MOMETASONUM*
MOMETASONUM*
CICLESONIDUM*
CICLESONIDUM*
CICLESONIDUM*
CICLESONIDUM*
TIOTROPIUM*
AMINOPHYLLINUM
AMINOPHYLLINUM
AMINOPHYLLINUM
AMINOPHYLLINUM
AMINOPHYLLINUM
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*

Prescriptie

GERMANIA CUTIE X 1 FLAC. X 30 COMPR. FILM. P-6L

946 R03AK06 SALMETEROLUM+FLUTICASONUM* SERETIDE 25 mcg/250 mcg INHALER CFC FREE

952 R03BA05

Ambalaj

MEDA PHARMA GMBH & CO KG

945 R03AK06 SALMETEROLUM+FLUTICASONUM* SERETIDE 25 mcg/125 mcg INHALER CFC FREE

951 R03BA05

tara det.
APP

CUTIE CU 1 INHALATOR DIN MATERIAL PLASTIC CU 60 DOZE PULB. DE INHAL.

P6L
P6L
P6L

MAREA BRITANIE

CUTIE X 1 DISPOZITIV INHALATOR DIN PLASTIC SUB FORMA DE DISC X 1 BLIST. PVC/AL X 60 DOZE

P-RF

MAREA BRITANIE

CUTIE X 1 DISPOZITIV INHALATOR DIN PLASTIC SUB FORMA DE DISC X 1 BLIST. PVC/AL X 60 DOZE

P-RF

GLAXO WELLCOME UK LTD.

MAREA BRITANIE

CUTIE X 1 DISPOZITIV INHALATOR DIN PLASTIC SUB FORMA DE DISC X 1 BLIST. PVC/AL X 60 DOZE

P-RF

GLAXO WELLCOME UK LTD.

MAREA BRITANIE

CUTIE X 1 FLACON PRESURIZAT DIN AL X 60 DOZE SUSP. DE INHALAT PRESURIZATA

P-RF

GLAXO WELLCOME UK LTD.

MAREA BRITANIE

CUTIE X 1 FLACON PRESURIZAT X 120 DOZE X 50 MCG, PREVAZUT CU VALVA DOZATOARE

P-RF

CUTIE CU 1 INHALATOR DIN MATERIAL PLASTIC CU 60 DOZE PULB. DE INHAL.


CUTIE CU 1 INHALATOR DIN MATERIAL PLASTIC CU 60 DOZE PULB. DE INHAL.

SUSP. INHAL. PRIN NEBULIZATOR

GLAXO WELLCOME UK LIMITED MAREA BRITANIE

CUTIE X 5 BLIST. PA-AL-PVC/HARTIE-PTF-AL X 2 FIOLE PEJD X 2,5ML CONTINAND 2ML SUSP. INHAL. PRIN NEB

P-RF

SUSP. INHAL. PRIN NEBULIZATOR

GLAXO WELLCOME UK LIMITED MAREA BRITANIE

CUTIE X 5 BLIST. PA-AL-PVC/HARTIE-PTF-AL X 2 FIOLE PEJD X 2,5ML CONTINAND 2ML SUSP. INHAL. PRIN NEB

P-RF

SOL. DE INHALAT PRESURIZATA

SOL. DE INHALAT PRESURIZATA

SOL. DE INHALAT PRESURIZATA

SOL. DE INHALAT PRESURIZATA

CAPS. CU PULB. INHAL.

CAPS.
COMPR.
COMPR.
COMPR.
SOL. INJ.
COMPR.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

18micrograme

100mg
100mg
100mg
200mg
24mg/ml
10 mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg

SCHERING PLOUGH EUROPE


SCHERING PLOUGH EUROPE
SCHERING PLOUGH EUROPE
SCHERING PLOUGH EUROPE

NYCOMED GMBH
NYCOMED GMBH
NYCOMED GMBH
NYCOMED GMBH
BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

ZENTIVA SA
BIO EEL SRL
ARENA GROUP SA
ARENA GROUP SA
ZENTIVA S.A.

BELGIA
BELGIA
BELGIA
BELGIA

ACTAVIS GROUP PTC EHF.

ICN POLFA RZESZOW S.A.

CUTIE X 1 DISPOZITIV DE ADM. X 60 DOZE P-6L


CUTIE X 1 DISPOZITIV DE ADM. X 60 DOZE P-6L
CUTIE X 1 DISPOZITIV DE ADM. X 30 DOZE P-6L

GERMANIA

CUTIE X 1 FLAC. DIN AL CU VALVA DOZATOARE X 120 DOZE SOL. DE INHALAT PRESURIZATA

P-RF

GERMANIA

CUTIE X 1 FLAC. DIN AL CU VALVA DOZATOARE X 60 DOZE SOL. DE INHALAT PRESURIZATA

P-RF

GERMANIA

CUTIE X 1 FLAC. DIN AL CU VALVA DOZATOARE X 120 DOZE SOL. DE INHALAT PRESURIZATA

P-RF

GERMANIA

CUTIE X 1 FLAC. DIN AL CU VALVA DOZATOARE X 60 DOZE SOL. DE INHALAT PRESURIZATA

P-RF

GERMANIA

CUTIE CU 3 BLIST. AL/PVC/AL X 10 CAPS. CU PULB. DE INHALAT

PRF

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.


CUTIE X 2 BLIST. AL/PVC X 25 COMPR.
CUTIE X 4 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-RF

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
TORRENT PHARMA S.R.L. ROMANIA
MERCK SHARP & DOHME ROMANIA
MERCK SHARP & DOHME ROMANIA
TEVA PHARMACEUTICALS S.R.L. ROMANIA
TEVA PHARMACEUTICALS S.R.L. ROMANIA

ZENTIVA, K.S.

CUTIE X 1 DISPOZITIV DE ADM. X 30 DOZE P-6L

REPUBLICA CEHA

ISLANDA
POLONIA

CUTIE X 5 FIOLE PREVAZUTE CU INEL DE RUPERE X 10 ML SOL.INJ.

Pagina 19 din 22

ROMANIA

P-RF
P-RF
S/P-RF

CUTIE CU BLIST. AL/AL X 28 COMPR. P6L


CUTIE X 1 BLIST. OPA-AL-PVC X 14 COMPR. FILM. P-RF
CUTIE X 2 BLIST. OPA-AL-PVC X 14 COMPR. FILM. P-RF

CUTIE CU BLIST. DIN AL/AL X 28 COMPR. FILM. P-RF


CUTIE CU BLIST. DIN AL/AL X 30 COMPR. FILM. P-RF
CUTIE CU BLIST. NY/AL/PVC-AL (FARA INDICAREA ZILELOR SAPTAMANII) X 28 COMPR. FILM.

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.


CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.

KRKA D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC//AL X 28 COMPR. FILM.

SANDOZ S.R.L.

P-RF

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.

P6L
P6L
P6L
P6L
P6L

Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)

30
10
5
5
10
60
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
10
10
1
1
1
1
1
1
1
1
30
20
50
40
20
5
28
14
28
28
30
28
30
28
28
28

96.76
263.89
124.46
86.41
39.22
33.44
25.42
40.11
47.31
47.31
16.66
40.29
117.43
157.36
223.87
164.30
233.63
122.59
120.12
227.81
95.11
40.65
84.46
137.24
44.60
36.40
31.39
90.66
57.33
140.00
249.44
98.82
250.11
124.79
226.54
112.34
164.34
3.62
6.78
6.95
7.72
11.82
99.55
76.80
145.70
82.04
87.90
63.22
65.41
74.05
63.22
77.66

Pret
amanuntul
maximal/UT
(RON)

3.225333
26.389000
24.892000
17.282000
3.922000
0.557333
25.420000
40.110000
47.310000
47.310000
16.660000
40.290000
117.430000
157.360000
223.870000
164.300000
233.630000
122.590000
120.120000
227.810000
95.110000
40.650000
84.460000
137.240000
44.600000
36.400000
3.139000
9.066000
57.330000
140.000000
249.440000
98.820000
250.110000
124.790000
226.540000
112.340000
5.478000
0.181000
0.135600
0.173750
0.386000
2.364000
3.555357
5.485714
5.203571
2.930000
2.930000
2.257857
2.180333
2.644642
2.257857
2.773571

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit. a)
(RON) pt.
si f)
Adulti

2.169500
22.982400
24.892000
14.864000
2.972800
0.557333
25.420000
40.110000
47.310000
47.310000
16.660000
40.290000
45.702450
114.256125
223.870000
114.256125
228.512250
45.702450
117.012500
227.810000
58.506250
31.258800
78.147000
137.240000
39.073500
31.258800
1.041958
4.167838
49.410000
98.820000
197.640000
98.820000
249.977500
124.790000
124.988750
62.494375
5.478000
0.181000
0.135600
0.173750
0.386000
2.364000
2.255714
2.255714
2.255714
2.255714
2.255714
2.255714
2.180333
2.255714
2.255714
2.255714

1.084750
11.491200
12.446000
7.432000
1.486400
0.278666
12.710000
20.055000
23.655000
23.655000
8.330000
20.145000
22.851225
57.128062
111.935000
57.128062
114.256125
22.851225
58.506250
113.905000
29.253125
15.629400
39.073500
68.620000
19.536750
15.629400
0.520979
2.083919
24.705000
49.410000
98.820000
49.410000
124.988750
62.395000
62.494375
31.247187
2.739000
0.090500
0.067800
0.086875
0.193000
1.182000
1.127857
1.127857
1.127857
1.127857
1.127857
1.127857
1.090166
1.127857
1.127857
1.127857

Nr. crt

cod ATC

982 R03DC03
983 R03DC03
984 R03DC03
985 R03DC03
986 R03DC03
987 R03DC03
988 R03DC03
989 R03DC03
990 R03DC03
991 R03DC03
992 R03DC03
993 R03DC03
994 R03DC03
995 R03DC03
996 R03DC03
997 R03DC03
998 R03DC03
999 R03DC03
1000

R03DC03

1001

R03DC03

1002

R03DC03

1003

R03DC03

1004

R03DC03

1005

R03DC03

1006

R03DC03

1007

R03DC03

1008

R03DC03

1009

R03DC03

1010

R03DC03

1011

R03DC03

1012

R03DX03

1013

R03DX03

1014

R05CB15

1015

R05CB15

1016

R05CB15

1017

R05DA09

1018

R05DA09

1019

R05DA09

1020

R05DA09

1021

R05DA09

1022

R05DA09

1023

R05DA09

1024

R05DA09

1025

R06AE09

1026

R06AE09

1027

R06AE09

1028

R06AE09

1029

R06AE09

1030

R06AE09

1031

R06AE09

1032

R06AE09

1033

R06AX26

DCI

MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
FENSPIRIDUM
FENSPIRIDUM
ERDOSTEINUM**
ERDOSTEINUM**
ERDOSTEINUM**
DEXTROMETHORPHANUM
DEXTROMETHORPHANUM
DEXTROMETHORPHANUM
DEXTROMETHORPHANUM
DEXTROMETHORPHANUM
DEXTROMETHORPHANUM
DEXTROMETHORPHANUM
DEXTROMETHORPHANUM
LEVOCETIRIZINUM
LEVOCETIRIZINUM
LEVOCETIRIZINUM
LEVOCETIRIZINUM
LEVOCETIRIZINUM
LEVOCETIRIZINUM
LEVOCETIRIZINUM
LEVOCETIRIZINUM
FEXOFENADINUM

Denumire Comerciala

MONTELUKAST ALVOGEN 10 mg
STANGEN 10 mg
MONTELUKAST ACCORD 10 mg
MONTELUKAST ACCORD 10 mg
SOLOK 10 mg
ASTHATOR 4 mg
SINGULAIR
SINGULAIR
MONTELUKAST TEVA 4 mg
MONTELUKAST TEVA 4 mg
SPIROKAST 4 mg
MONTELUKAST ACTAVIS 4 mg
MONKASTA 4 mg
MONTELUKAST ALVOGEN 4 mg
STANGEN 4 mg
SOLOK 4 mg
ASTHATOR 5 mg
SINGULAIR (R)
SINGULAIR (R)
MONTELUKAST TEVA 5 mg
MONTELUKAST TEVA 5 mg
SPIROKAST 5 mg
MONTEXAL 5 mg
MONTELUKAST ACTAVIS 5 mg
MONKASTA 5 mg
MONTELUKAST ALVOGEN 5 mg
STANGEN 5 mg
SOLOK 5 mg
ASTMASAN 4 mg
SINGULAIR 4 mg
EURESPAL 80 mg
EURESPAL 2 mg/ml
ERDOMED 300 mg
ERDOMED 225 mg
ERDOMED 175 mg/5 ml
TUSSIN FORTE
TUSALIN 15 mg
HUMEX
HUMEX 0,133 g/100 ml
ROFEDEX
TUSSIN 6,5mg/5ml
ROBITUSSIN JUNIOR
ROBITUSSIN ANTITUSSICUM
XYZAL (R)
XYZAL (R)
CEZERA 5 mg
LEVOCETIRIZINA SANDOZ 5 mg
LEVOCETIRIZINA ACTAVIS 5 mg
ZENARO 5 mg
XYZAL
ZENARO 0,5 mg/ml
EWOFEX 120 mg

forma farm.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.

GRANULE
GRANULE

COMPR. FILM.

SIROP
CAPS.

GRAN. PT. SUSP. ORALA

PULB. PT. SUSP. ORALA

COMPR.
COMPR. FILM.

SIROP
SIROP
SIROP
SIROP
SOL. ORALA
SOL. ORALA

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
PIC. ORALE, SOL.

SIROP
COMPR. FILM.

concentratie

10mg
10mg
10mg
10mg
10mg
4 mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
5 mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
4mg
4mg
80mg
2mg/ml
300mg
225mg
175mg/5ml
20mg
15mg
0,1%
0,13%
15mg/5ml
6,5mg/5ml
3,75mg/5ml
7,5mg/5ml
5mg
5mg
5mg
5mg
5mg
5mg
5mg/ml
0,5mg/ml
120mg

Detinator APP
ALVOGEN IPCO S.A.R.L

tara det.
APP

Ambalaj

Prescriptie

P6L
DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. AL/PE-PEID/PE SI DESICANT/AL/OPA X 28 COMPR. FILM. P6L
ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P6L
ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L
TERAPIA S.A.
ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. MAST. P6L
TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. MAST. P6L
MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. MAST. P-RF
MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 7 COMPR. MAST. P-RF
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. DIN AL/AL X 28 COMPR. FILM. P-RF
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. DIN AL/AL X 30 COMPR. FILM. P-RF
ZENTIVA, K.S.
REPUBLICA CEHA CUTIE CU BLIST. NY/AL/PVC-AL (FARA INDICAREA ZILELOR SAPTAMANII) X 28 COMPR. MAST.
P6L
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. MAST. P6L
KRKA D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC//AL X 28 COMPR. MAST. P6L
ALVOGEN IPCO S.A.R.L LUXEMBURG CUTIE CU BLIST. PA-ALL-PVC/AL X 28 COMPR. MASTICABILE P6L
DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. AL/PE-PEID/PE SI DESICANT/AL/OPA X 28 COMPR. MAST. P6L
TERAPIA S.A.
ROMANIA CUTIE CU BLIST. PAPVC/AL X 28 COMPR. MAST. P6L
TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. MAST. P6L
MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. OPA-AL-PVC/AL X 14 COMPR. MAST. P-RF
MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. MAST. P-RF
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. DIN AL/AL X 28 COMPR. FILM. P-RF
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. DIN AL/AL X 30 COMPR. FILM. P-RF
ZENTIVA, K.S.
REPUBLICA CEHA CUTIE CU BLIST. NY/AL/PVC-AL (FARA INDICAREA ZILELOR SAPTAMANII) X 28 COMPR. MAST.
P6L
ICN POLFA RZESZOW S.A. POLONIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. MAST. P6L
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. MAST. P6L
KRKA D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC//AL X 28 COMPR. MAST. P6L
ALVOGEN IPCO S.A.R.L LUXEMBURG CUTIE CU BLIST. PA-ALL-PVC/AL X 28 COMPR. MASTICABILE P6L
DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. AL/PE-PEID/PE SI DESICANT/AL/OPA X 28 COMPR. MAST. P6L
TERAPIA S.A.
ROMANIA CUTIE CU BLIST. PA/PVC/AL X 28 COMPR. MAST. P6L
SANDOZ S.R.L.
ROMANIA CUTIE CU 28 PLICURI PET/AL/PE CONTINAND GRANULE P6L
MERCK SHARP & DOHME ROMANIA CUTIE CU 28 PLICURI DIN PE/AL/POLIESTER CU GRANULE P6L
LUXEMBURG CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. FILM.

LES LAB. SERVIER IND. FRANTA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM. P-6L
LES LAB. SERVIER IND. FRANTA CUTIE X 1 FLACON PVC DE CULOARE BRUNA X 150 ML P-6L

CSC PHARMACEUTICALS HANDELS GMBH


CSC PHARMACEUTICALS HANDELS GMBH
CSC PHARMACEUTICALS HANDELS GMBH

EUROPHARM SA
BMF PHARM SRL
LAB. URGO SA
LAB. URGO SA
BIOFARM SA
ROPHARMA S.A.
WYETH WHITEHALL EXPORT GMBH
WYETH WHITEHALL EXPORT GMBH

U.C.B. GMBH
U.C.B. GMBH

AUSTRIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 CAPS.


AUSTRIA CUTIE CU 20 PLICURI UNIDOZA DIN HARTIE AL/PE
AUSTRIA
CUTIE CU 1 FLAC. DIN STICLA BRUNA A 50 G PULB. PT. OBTINEREA A 100 ML SUSP. ORALA + 1 MASURA DOZATOA

ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.

FRANTA
FRANTA

ROMANIA
ROMANIA

AUSTRIA
AUSTRIA

CUTIE X 1 FLACON X 125 ML SIROP + O MASURA DOZATOARE PENTRU MASURAREA VOLUMELOR 2,5ML; 5ML; 7,5ML; 1

P-6L
P-6L
P-6L
P-RF
P-RF
P-RF

CUTIE X 1 FLACON X 200 ML + O MASURA DOZATOARE DIN POLIPROPILENA

P-RF

CUTIE X 1 FLACON DIN STILCA BRUNA X 100 ML + MASURA DOZATOARE

P-RF

CUTIE X 1 FLAC. X 115ML SIROP + O LINGURITA DOZATOARE GRADATA LA 1,25ML; 2,5ML SI 5 ML

P-RF

CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SOL. ORALA

P-RF

CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SOL. ORALA

P-RF

GERMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-6L


GERMANIA CUTIE X 3 BLIST. X 10 COMPR. FILM. P-6L

KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL CU 30 COMPR. FILM. P-6L

SANDOZ S.R.L.

ACTAVIS GROUP PTC EHF.

ROMANIA

ISLANDA

ZENTIVA K.S.
REPUBLICA CEHA
UCB PHARMA GMBH GERMANIA
ZENTIVA, K.S.
REPUBLICA SLOVACA
EWOPHARMA INTERNATIONAL S.R.O.

Pagina 20 din 22

SLOVACIA

CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L


CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L
CUTIE CU BLIST. PVC-ACLAR/AL X 20 COMPR. FILM.

P-6L

CUTIE X 1 FLACON DIN STICLA BRUNA X 20 ML PIC. ORALE, SOL., PREVAZUT CU PICURATOR

P-6L

CUTIE CU 1 FLAC. DIN STICLA BRUNA X 200 ML SIROP + 1 LINGURITA DOZATOARE DE 5 ML GRADATA LA 2,5 ML S

P6L

CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L

Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)

28
28
28
30
28
28
28
14
28
30
28
30
28
28
28
28
28
14
28
28
30
28
28
30
28
28
28
28
28
28
30
1
10
20
1
20
10
1
1
1
1
1
1
10
30
30
10
10
20
1
1
10

82.04
63.22
52.55
56.29
63.10
107.38
157.51
83.04
42.84
45.90
42.84
45.87
42.84
57.78
42.84
42.32
99.55
76.63
145.31
53.46
57.27
53.46
73.75
57.26
53.46
57.78
53.46
53.25
77.86
158.93
28.09
20.02
15.81
33.14
24.95
6.78
2.70
8.46
10.82
5.27
7.87
8.61
8.61
16.92
42.17
28.34
10.99
10.99
22.00
36.23
24.35
11.96

Pret
amanuntul
maximal/UT
(RON)

2.930000
2.257857
1.876785
1.876333
2.253571
3.835000
5.625357
5.931428
1.530000
1.530000
1.530000
1.529000
1.530000
2.063571
1.530000
1.511428
3.555357
5.473571
5.189642
1.909285
1.909000
1.909285
2.633928
1.908666
1.909285
2.063571
1.909285
1.901785
2.780714
5.676071
0.936333
20.020000
1.581000
1.657000
24.950000
0.339000
0.270000
8.460000
10.820000
5.270000
7.870000
8.610000
8.610000
1.692000
1.405666
0.944666
1.099000
1.099000
1.100000
36.230000
24.350000
1.196000

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit. a)
(RON) pt.
si f)
Adulti

2.255714
2.255714
1.876785
1.876333
2.253571
1.527428
1.527428
1.527428
1.527428
1.527428
1.527428
1.527428
1.527428
1.527428
1.527428
1.511428
1.909285
1.909285
1.909285
1.909285
1.909000
1.909285
1.909285
1.908666
1.909285
1.909285
1.909285
1.901785
1.527428
1.527428
0.936333
20.020000
1.581000
1.303562
24.950000
0.339000
0.265124
8.460000
4.595503
5.270000
2.642415
5.363550
2.651251
1.692000
1.405666
0.944666
1.099000
1.099000
1.100000
36.230000
24.350000
1.119833

1.127857
1.127857
0.938392
0.938166
1.126785
0.763714
0.763714
0.763714
0.763714
0.763714
0.763714
0.763714
0.763714
0.763714
0.763714
0.755714
0.954642
0.954642
0.954642
0.954642
0.954500
0.954642
0.954642
0.954333
0.954642
0.954642
0.954642
0.950892
0.763714
0.763714
0.468166
10.010000
0.790500
0.651781
12.475000
0.169500
0.132562
4.230000
2.297751
2.635000
1.321207
2.681775
1.325625
0.846000
0.702833
0.472333
0.549500
0.549500
0.550000
18.115000
12.175000
0.559916

Nr. crt

cod ATC

1034

R06AX26

1035

R06AX26

1036

R06AX26

1037

R06AX27

1038

R06AX27

1039

R06AX27

1040

R06AX27

1041

R06AX27

1042

R06AX27

1043

R06AX27

1044

R06AX27

1045

R06AX27

1046

R06AX27

1047

R06AX27

1048

R06AX27

1049

R06AX27

1050

R06AX27

1051

R06AX27

1052

S01AA11

1053

S01AA12

1054

S01AA12

1055

S01AA12

1056

S01AA12

1057

S01AA23

1058

S01AA23

1059

S01AA23

1060

S01AX11

1061

S01AX11

1062

S01BA01

1063

S01BA01

1064

S01BA01

1065

S01BA06

DCI

FEXOFENADINUM
FEXOFENADINUM
FEXOFENADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
GENTAMICINUM
TOBRAMYCINUM
TOBRAMYCINUM
TOBRAMYCINUM
TOBRAMYCINUM
NETILMICINUM
NETILMICINUM
NETILMICINUM
OFLOXACINUM
OFLOXACINUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
BETAMETHASONUM

1066

S01CA01 COMBINATII ( NETILMICINUM + DEXAMETHASONUM)

1067

S01CA01 COMBINATII ( NETILMICINUM + DEXAMETHASONUM)

1068

S01CA01

COMBINATII (CLORAMPHENICOLUM+DEXAMETHASONUM)

1069

S01CA01 COMBINATII (TOBRAMYCINUM +DEXAMETAZONUM)

1070

S01CA01 COMBINATII (TOBRAMYCINUM +DEXAMETAZONUM)

1071

S01CA01 COMBINATII (TOBRAMYCINUM +DEXAMETAZONUM)

1072

S01GX09

1073

S01XA02

OLOPATADINUM
RETINOLUM

Denumire Comerciala

TELFAST 120 mg
EWOFEX 180 mg
TELFAST 180 mg
DESLORATADINE ACTAVIS
DESLORATADINE ACTAVIS
AERIUS 5mg
AERIUS 5mg
AERIUS 5mg
DASSELTA
DESLORATADINAE RATIOPHARM
DESLORATADINA ALVOGEN 5 mg
DESLORATADINA TERAPIA 5 mg
LORDESTIN 5 mg
AERIUS 2,5mg
AERIUS 5mg
AERIUS 0,5mg/ml
DESLORATADINA ALVOGEN 0,5 mg/ml
AERIUS 0,5mg/ml
GENTAMICIN SULPHATE
TOBROM 3 mg/ml
TOBREX
TOBREX 2 X
TOBREX (R)
NETTACIN (R)
NETTACIN (R)
NETTAVISC 3mg/g
FLOXAL (R)
FLOXAL (R)
DEXAMETAZONA ROMPHARM 1mg/ml
DEXAMETAZONA ROMPHARM 1mg/ml
MAXIDEX (R)
OPHTAMESONE
NETILDEX
NETILDEX
SPERSADEX COMP
DEXATOBROM 3 mg+1 mg/ml
TOBRADEX ( R )
TOBRADEX (R)
OPATANOL 1mg/ml
OCULOTECT

forma farm.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE

SOL. ORALA
SOL. ORALA
SOL. ORALA
PIC. OFT., SOL
PIC. OFT., SOL
PIC. OFT.,SOL.
PICATURI OFT.-SOL.

UNG. OFT.
PIC. OFT., SOL
PICATURI OFT.-SOL.

UNG. OFT.
PICATURI OFT.-SOL.

UNG. OFT.
PIC. OFT. SUSP.
PIC. OFT. SUSP.
PICATURI OFT.-SUSP.

SOL. OFT.

concentratie

120mg
180mg
180mg
5 mg
5 mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
2,5mg
5mg
0,5mg/ml
0,5mg/ml
0,5mg/ml
0,3%
3mg/ml
3mg/ml
0,3%
0,3%
0,3%
0,3%
3mg/g
0,3%
0,3%
1mg/ml
1mg/ml
0,1%
0,1%

Detinator APP

tara det.
APP

Ambalaj

Prescriptie

SANOFI-AVENTIS ROMANIA S.R.L.

ROMANIA

CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 10 COMPR.FILM. P-6L

EWOPHARMA INTERNATIONAL S.R.O.

SLOVACIA

CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L

SANOFI-AVENTIS ROMANIA S.R.L.

ROMANIA

CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM.

ACTAVIS GROUP PTC EHF.


ACTAVIS GROUP PTC EHF.

SP EUROPE
SP EUROPE
SP EUROPE

ISLANDA
ISLANDA
BELGIA
BELGIA
BELGIA

KRKA D.D. NOVO MESTO SLOVENIA

RATIOPHARM GMBH GERMANIA


ALVOGEN IPCO S.A.R.L LUXEMBURG

TERAPIA SA

GEDEON RICHTER ROMANIA SA

SP EUROPE
SP EUROPE
SP EUROPE

ROMANIA
ROMANIA

BELGIA
BELGIA
BELGIA

ALVOGEN IPCO S.A.R.L LUXEMBURG

SP EUROPE

BELGIA

CUTIE X 30COMPR. FILM. ( PCTFE/ PVC/AL) P-RF


CUTIE X 10 COMPR. FILM. ( PCTFE/ PVC/AL) P-RF

CUTIE X 7 COMPR. FILM. ( PCTFE/ PVC/AL) P-RF


CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPRIMATE FILMATE

PRF

CUTIE CU BLIST. DIN PVC/PVDC/AL X 30 COMPRIMATE FILMATE

PRF

CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM.

CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM.

P6L
P6L
P6L

CUTIE X 30 COMPR. ORODISPERSABILE (PVC/OPA/AL)

P-RF

CUTIE X 30 COMPR. ORODISPERSABILE (PVC/OPA/AL)

P-RF

CUTIE X 1 FLACON X 120 ML SOL. ORALA + LIGURITA DOZATOARE DE 2,5 ML SI 5 ML

P-RF

CUTIE CU BLIST. PCTFE-PVC/AL X 30 COMPR. FILM.

CUTIE CU 1 FLAC. DIN STICLA BRUNA A 120 ML SOL. ORALA + 1 LINGURITA DOZATOARE SAU O SERINGA DOZATOAR

CUTIE X 1 FLACON X 150 ML SOL. ORALA + LIGURITA DOZATOARE DE 2,5 ML SI 5ML

E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON X 10ML


ROMANIA CUTIE C 1 FLAC. PEJD X 5 ML PIC. OFT. SOL

ROMPHARM COMPANY SRL

ALCON COUVREUR NV BELGIA


ALCON COUVREUR NV BELGIA
ALCON COUVREUR NV BELGIA

S.I.F.I. SPA
S.I.F.I. SPA
S.I.F.I. SPA

ITALIA
ITALIA
ITALIA

P-6L

CUTIE CU BLIST. DIN OPA/AL/PVC-AL X 10 PRF


CUTIE CU BLIST. DIN OPA/AL/PVC-AL X30 PRF

P6L
P-RF
P-RF
P-RF

CUTIE X 1 FLACON DIN PEJD CU PICURATOR X 5 ML PIC. OFTALMICE, SOL.

P-RF

CUTIE X 1 FLAC. PEID CU PICURATOR DIN PEID X 5 ML

P-RF

CUTIE X 1 TUB DIN AL X 3,5 G UNGUENT OFTALMIC P-RF

CUTIE X 1 FLACON X 5ML

P-RF

CUTIE X 3 FOLII TERMOSUDATE X 5 FLACOANE UNIDOZA DIN POLIETILENA X 0,3 ML

P-RF

CUTIE X 1 TUB DIN AL X 5 G UNGUENT OFTALMIC, PREV. CU APLICATOR

P-RF

DR. GERHARD MANN CHEM.PHARM.FABRIK GMBH

GERMANIA

CUTIE X 1 FLACON DIN PEJD X 5 ML PICATURI OFT., SOL. P-RF

DR. GERHARD MANN CHEM.PHARM.FABRIK GMBH

GERMANIA

CUTIE X 1 TUB DIN AL PREVAZUT CU APLICATOR X 3 G

ROMANIA
ROMANIA

CUTIE X 1 FLAC. DIN PEID X 10 ML PIC. OFT., SUSPENSIE P-RF

ROMPHARM COMPANY SRL


ROMPHARM COMPANY SRL

ALCON COUVREUR NV BELGIA


DAR AL DAWA PHARMA S.R.L.

S.I.F.I. SPA
S.I.F.I. SPA

CUTIE X 1 FLAC. DIN PEID X 5 ML PIC. OFT., SUSPENSIE

P-RF

CUTIE X 1 FLACON PICURATOR DIN PE X 5 ML P-RF

ROMANIA CUTIE X 1 FLACON X 10ML

ITALIA
ITALIA

P-RF

P-RF

PIC. OFT.,SOL.

FARA CONCENTRATIE

PIC. OFT.SOL. UNIDOZA

FARA CONCENTRATIE

PICATURI OFT.-SOL.

5mg/ml+1mg/ml NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FLACON X 5 ML SOL. OFT. + PICURATOR P-RF

3mg+1mg/ml ROMPHARM COMPANY S.R.L.


1mg+3mg
ALCON COUVREUR NV
UNG. OFT.
1mg+3mg
ALCON COUVREUR NV
PIC. OFT., SOL. 1mg/ml
ALCON LABORATORIES LTD.
GEL OFT.
10mg/g
NOVARTIS PHARMA GMBH
PIC. OFT. SUSP.

PICATURI OFT.-SUSP.

CUTIE X 1 FLACON DIN PEJD X 5 ML PIC. OFT.SOL. P-RF


CUTIE X 20 FLAC. UNIDOZA DIN PEJD X 0,3 ML PIC.OFT. SOL.

ROMANIA CUTIE CU 1 FLAC. PEJD A 5 ML + PICURATOR

BELGIA
BELGIA

CUTIE X 1 FLACON PICURATOR PEJD X 5 ML


CUTIE X 1 TUB AL, PREVAZUT CU APLICATOR PEID X 3,5 G

CUTIE X 1 FLACON X 5 ML
GERMANIA CUTIE X 1 TUB X 10 G GEL. OFT.

MAREA BRITANIE

NOT:
- Tratamentul cu medicamentele corespunztoare DCI-urilor notate cu (*) se iniiaza de medicul de specialitate in limita competenei i poate fi prescris n continuare de medicul de familie pe baza scrisorii medicale
emise de medicul de specialitate;
- Tratamentul cu medicamentele corespunztoare DCI-urilor notate cu (**) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale Ministerului Sntii;
- Tratamentul cu medicamentele corespunztoare DCI-urilor notate cu (***) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale Ministerului Sntii i cu aprobarea comisiilor
de la nivelul Caselor Judeene de Asigurri de Sntate;
- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (****) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MS si cu aprobarea comisiilor de la nivelul
Casei Nationale de Asigurari de Sanatate;
- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (2) se prescrie numai in etapa pregtitoare pentru colonoscopie;

Pagina 21 din 22

P-RF
P-RF
P-RF
P-RF
P-RF

P-6L

Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)

10
10
10
10
30
30
10
7
30
30
30
30
30
30
30
1
1
1
1
1
1
1
1
1
15
1
1
1
1
1
1
1
1
20
1
1
1
1
1
1

13.31
17.92
19.38
9.35
28.06
54.55
21.77
17.46
25.45
35.44
35.44
25.45
35.46
49.67
42.82
20.49
13.31
25.93
4.71
4.08
11.31
20.80
8.64
14.18
28.94
32.50
14.45
15.38
10.12
5.55
8.55
4.50
31.39
51.31
12.53
10.00
15.39
13.07
30.49
16.43

Pret
amanuntul
maximal/UT
(RON)

1.331000
1.792000
1.938000
0.935000
0.935333
1.818333
2.177000
2.494285
0.848333
1.181333
1.181333
0.848333
1.182000
1.655666
1.427333
20.490000
13.310000
25.930000
4.710000
4.080000
11.310000
20.800000
8.640000
14.180000
1.929333
32.500000
14.450000
15.380000
10.120000
5.550000
8.550000
4.500000
31.390000
2.565500
12.530000
10.000000
15.390000
13.070000
30.490000
16.430000

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit. a)
(RON) pt.
si f)
Adulti

1.119833
1.679749
1.679749
0.935000
0.935333
1.119833
1.119833
1.119833
0.848333
1.119833
1.119833
0.848333
1.119833
0.559916
1.119833
12.982500
12.982500
16.228125
4.710000
4.080000
4.080000
4.080000
3.060000
14.180000
1.251059
20.850997
11.302500
15.380000
9.108000
4.554000
4.554000
4.500000
11.920500
0.715230
11.920500
10.000000
11.920500
8.344350
30.490000
16.430000

0.559916
0.839874
0.839874
0.467500
0.467666
0.559916
0.559916
0.559916
0.424166
0.559916
0.559916
0.424166
0.559916
0.279958
0.559916
6.491250
6.491250
8.114062
2.355000
2.040000
2.040000
2.040000
1.530000
7.090000
0.625529
10.425498
5.651250
7.690000
4.554000
2.277000
2.277000
2.250000
5.960250
0.357615
5.960250
5.000000
5.960250
4.172175
15.245000
8.215000

Nr. crt

cod ATC

DCI

Denumire Comerciala

forma farm.

concentratie

- Pentru medicamentele corespunztoare DCI-urilor notate cu (#) regulile de prescriere sunt stabilite prin Contractul Cadru.

Detinator APP

Pagina 22 din 22

tara det.
APP

Ambalaj

Prescriptie

Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)

Pret
amanuntul
maximal/UT
(RON)

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit. a)
(RON) pt.
si f)
Adulti

ANEXA 3
SECIUNEA C1 - LISTA MEDICAMENTELOR CU PROCENT DE COMPENSARE 100% DIN PREUL DE REFERIN CONFORM
DCI-urilor UTILIZATE N TRATAMENTUL AMBULATORIU AL UNOR GRUPE DE BOLI PENTRU CARE DECONTAREA SE FACE PE BAZA PROTOCOALELOR TERAPEUTICE CU MONITORIZAREA PRESCRIERII I CONSUMULUI PRIN COMISIILE PARITARE;
MEDICAMENTELE DIN ACEAST SUBLIST SE ELIBEREAZ PRIN FARMACII CU CIRCUIT DESCHIS PE BAZ DE PRESCRIPIE MEDICAL CU REINERE N FARMACIE ( P-RF)
DIN HG NR. 720/2008 CU MODIFICARILE SI COMPLETARILE ULTERIOARE
VALABIL NCEPND CU 01 IULIE 2012

NR.CRT

COD ATC

DCI

Denumire Comerciala

forma farm.

concentratie

DETINATOR APP

TARA
DET. APP

AMBALAJ

Prescriptie

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ambal
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
aj
(RON)
(RON)
a) si f)
ADULTI

1.INSUFICIENTA CARDIACA CRONICA(CLASA III SAU IV NYHA) - G 1


1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37

B01AA07
B01AA07
C01AA05
C01AA05
C03AA03
C03CA01
C03CA01
C03CA01
C03CA01
C03CA01
C03CA01
C03CA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02

ACENOCUMAROLUM
ACENOCUMAROLUM
DIGOXINUM
DIGOXINUM
HYDROCHLOROTHIAZIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM

TROMBOSTOP 2 mg
SINTROM 4 mg
DIGOXIN 0,25 mg
DIGOXIN 0,5 mg/2 ml
NEFRIX 25 mg
FUROSEMID MCC 40 mg
FUROSEMID SLAVIA
FUROSEMID EEL
FUROSEMID ZENTIVA
FUROSEMID LPH 40 mg
FUROSEMID ARENA 40 mg
FUROSEMID 20 mg/2 ml
VEROSPIRON
SPIRONOLACTONA ARENA 25 mg

SPIRONOLACTONA LPH 25 mg

VEROSPIRON

SPIRONOLACTONA ARENA 50 mg

SPIRONOLACTONA EEL 25 mg
SPIRONOLACTONA OZONE 25 mg
SPIRONOLACTONA OZONE 25 mg

SPIRONOLACTONA 25 mg
ALSPIRON 25 mg
ALSPIRON 50 mg
BLOXAN
BETAPROL 100 mg
EGILOK 100 mg
METOPROLOL LPH 100 mg
METOPROLOL AL 100
METOPROLOL AL 100
METOPROLOL AL 100
METOPROLOL 100 mg

METOPROLOL TERAPIA 100 mg


METOPROLOL VIM SPECTRUM 100 mg

METOPROLOL ARENA 100 MG

METOPROLOL 100 mg
METOPROLOL 100 mg

METOPROLOL TARTRAT INTAS 100 mg

COMPR.
COMPR.
COMPR.
SOL. INJ.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
SOL. INJ.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
COMPR.
COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.

2mg
4mg
0,25mg
0,5mg/2ml
25mg
40mg
40mg
40mg
40mg
40mg
40mg
10mg/ml
100mg
25mg
25mg
50mg
50mg
25mg
25mg
25mg
25mg
25mg
50mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg

TERAPIA SA

30
20
ZENTIVA S.A.
ROMANIA CUTIE X 1 BLIST. AL/PVC X 25 COMPR. P-RF
25
ZENTIVA S.A.
ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 2 ML SOL. INJ. S/P-RF
5
ZENTIVA SA
ROMANIA CUTIE X 1 BLIST. AL/PVC X 25 COMPR. P-6L
25
MAGISTRA C&C S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
BIO EEL SRL
ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
P-6L
20
ZENTIVA SA
ROMANIA CUTIE X 1 FLAC. DIN PEID X 20 COMPR. P-6L
20
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
ZENTIVA SA
ROMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA CU INEL DE RUPERE X 2 ML SOL. INJ. P-RF
5
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L
30
ARENA GROUP S.A. ROMANIA CUTIE CU 5 BLIST. PVC/AL X 10 CAPS. P-6L
50
LABORMED PHARMA S.A. ROMANIA CUTIE CU 6 BLIST. PVC/AL X 10 CAPS. P6L
60
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L
30
ARENA GROUP S.A. ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 CAPS. P-6L
30
BIO EEL SRL
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L
50
OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L
50
TERAPIA SA
ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
50
AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
20
AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
20
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC/PVDC TRANSPARENT/AL X 10 COMPR. P-6L
30
AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 20 COMPR. P-6L
20
LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L
30
ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L
100
ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L
50
MAGISTRA C & C SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
TERAPIA SA
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
SLAVIA PHARMA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
INTAS PHARMACEUTICALS LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 30 COMPR. P6L
30
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P-RF

NOVARTIS PHARMA GMBH GERMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR.

P-RF

Pagina 1 din 42

6.53
6.76
2.79
6.64
3.48
3.02
2.28
5.42
6.02
3.04
6.02
6.07
28.51
16.07
19.46
16.72
16.24
4.30
10.79
10.79
16.21
4.30
13.74
14.05
10.94
6.56
7.12
9.12
19.75
13.00
9.49
15.12
7.38
7.01
8.09
8.09
8.09

0.217666
0.338000
0.111600
1.328000
0.139200
0.151000
0.114000
0.271000
0.301000
0.152000
0.301000
1.214000
0.950333
0.321400
0.324333
0.557333
0.541333
0.215000
0.215800
0.215800
0.324200
0.215000
0.687000
0.468333
0.364666
0.328000
0.237333
0.304000
0.197500
0.260000
0.316333
0.504000
0.369000
0.233666
0.404500
0.404500
0.269666

0.217666
0.338000
0.111600
1.328000
0.139200
0.136800
0.114000
0.136800
0.136800
0.136800
0.136800
1.214000
0.950333
0.258000
0.258000
0.557333
0.541333
0.215000
0.215800
0.215800
0.258000
0.215000
0.649599
0.237000
0.237000
0.237000
0.237000
0.237000
0.197500
0.237000
0.237000
0.237000
0.237000
0.233666
0.237000
0.237000
0.237000

0.217666
0.338000
0.111600
1.328000
0.139200
0.136800
0.114000
0.136800
0.136800
0.136800
0.136800
1.214000
0.950333
0.258000
0.258000
0.557333
0.541333
0.215000
0.215800
0.215800
0.258000
0.215000
0.649599
0.237000
0.237000
0.237000
0.237000
0.237000
0.197500
0.237000
0.237000
0.237000
0.237000
0.233666
0.237000
0.237000
0.237000

NR.CRT

38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86

COD ATC

C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB07
C07AB07
C07AB07
C07AB12
C07AB12
C07AB12
C07AB12
C07AB12
C07AB12
C07AB12
C07AB12
C07AB12
C07AB12
C07AB12
C07AB12
C07AB12
C07AG02
C07AG02
C07AG02
C07AG02

DCI

METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM

Denumire Comerciala

EGILOK 25 mg
METOPROLOL LPH 25 mg
METOPROLOL 25 mg

forma farm.

COMPR.
COMPR.
COMPR.
METOPROLOL ARENA 25 MG COMPR.
BETAPROL 50 mg
COMPR.
EGILOK 50 mg
COMPR.
METOPROLOL LPH 50 mg COMPR.
METOPROLOL AL 50
COMPR.
METOPROLOL AL 50
COMPR.
METOPROLOL AL 50
COMPR.
METOPROLOL 50 mg
COMPR.
METOPROLOL TERAPIA 50 mg COMPR.
METOPROLOL VIM SPECTRUM 50 mg COMPR.
METOPROLOL ARENA 50 MG COMPR.
METOPROLOL 50 mg
COMPR.
METOPROLOL 50 mg
COMPR.
METOPROLOL TARTRAT INTAS 50 mg COMPR.

METOPROLOL RETARD 100 mg COMPR. ELIB. PREL.

BETALOC (R) ZOK 100 mg


EMZOK 100 mg

COMPR. FILM. ELIB. PREL.


COMPR. FILM. ELIB. PREL.

METOPROLOL SUCCINAT POLPHARMA 190 mg COMPR. FILM. ELIB. PREL.


METOPROLOL SUCCINAT POLPHARMA 47,5 mg

BETALOC (R) ZOK 50 mg


EMZOK 50 mg

COMPR. FILM. ELIB. PREL.


COMPR. FILM. ELIB. PREL.
COMPR. FILM. ELIB. PREL.

METOPROLOL SUCCINAT POLPHARMA 95 mg COMPR. FILM. ELIB. PREL.

METOSUCCINAT SANDOZ 190 mg COMPR.FILM.ELIB.MOD.


METOSUCCINAT SANDOZ 47,5 mg
METOSUCCINAT SANDOZ 95 mg

BETALOC
CONCOR COR 10 mg
CONCOR COR 2,5 mg
CONCOR COR 5 mg
EZOCEM 5 mg
NEBILET (R)
NEBIVOLOL ACTAVIS 5 mg
X-PRESSOL 5 mg
NOLET 5 mg
NEBIVOLOL TEVA 5 mg
NEBIVOLOL TEVA 5 mg
VOXNEBIN 5 mg
NEBINORM 5 mg
NEBICARD 5 mg
NEBIVOLOL SANDOZ 5 mg
NEBIVOLOL TERAPIA 5mg
NEBIVOLOL TORRENT 5 mg
CARVEDILOL SANDOZ
DILATREND (R) 12,5 mg
CORYOL 12,5 mg
TALLITON (R) 12,5 mg

COMPR.FILM.ELIB.MOD.
COMPR.FILM.ELIB.MOD.

SOL. INJ.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.

concentratie

25mg
25mg
25mg
25mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
100mg
100mg
100mg
190mg
47,5mg
50mg
50mg
95mg
190mg
47,5mg
95mg
5mg/5ml
10mg
2,5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
12,5 mg
12,5mg
12,5mg
12,5mg

DETINATOR APP

TARA
DET. APP

AMBALAJ

Prescriptie

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ambal
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
aj
(RON)
(RON)
ADULTI
a) si f)

20
20
MAGISTRA C & C SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 20 COMPR. P-6L
20
LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
ALIUD PHARMA GMBH GERMANIA CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L
30
ALIUD PHARMA GMBH GERMANIA CUTIE X 10 BLIST. DIN PVC-PVDC/ALX 10 COMPR P-6L 100
ALIUD PHARMA GMBH GERMANIA CUTIE X 5 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L
50
MAGISTRA C & C SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
TERAPIA SA
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
SLAVIA PHARMA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
INTAS PHARMACEUTICALS LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 30 COMPR. P6L
30
TERAPIA SA
ROMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. CU ELIB. PREL. P-6L
20
ASTRAZENECA AB SUEDIA CUTIE X 1 FLAC. X 30 COMPR. FILM. ELIB. PREL. P-6L
30
IVAX PHARMCEUTICALS S.R.O. CEHIA
CUTIE X 3 BLIST. AL/PP X 10 COMPR. FILM. ELIB. PREL. P-6L
30
PHARMACEUTICAL WORKS POLPHARMA SA
POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. CU ELIB. PREL. P-6L
28
PHARMACEUTICAL WORKS POLPHARMA SA
POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. CU ELIB. PREL. P-6L
28
ASTRAZENECA AB SUEDIA CUTIE X 1 FLAC. X 30 COMPR. FILM. ELIB. PREL. P-6L
30
IVAX PHARMCEUTICALS S.R.O. CEHIA
CUTIE X 3 BLIST. AL/PP X 10 COMPR. FILM. ELIB. PREL. P-6L
30
PHARMACEUTICAL WORKS POLPHARMA SA
POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. CU ELIB. PREL. P-6L
28
HEXAL AG
GERMANIA CUTIE X 3 BLIST. ACLAR-PVC/AL X 10 COMPR. FILM. ELIB. MODIF. P-6L
30
HEXAL AG
GERMANIA CUTIE X 3 BLIST. ACLAR-PVC/AL X 10 COMPR. FILM. ELIB. MODIF. P-6L
30
HEXAL AG
GERMANIA CUTIE X 3 BLIST. ACLAR-PVC/AL X 10 COMPR. FILM. ELIB. MODIF. P-6L
30
ASTRAZENECA AB SUEDIA CUTIE X 5 FIOLE X 5 ML SOL.INJ. I.V./PERF. S
5
MERCK KGAA
GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
30
MERCK KGAA
GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
30
MERCK KGAA
GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
30
OZONE LABORATORIES BV OLANDA CUTIE X 28 COMPR. IN BLIST. PVC-PE-PVDC/AL P-6L
28
BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 4 BLIST. AL/PVC X 7 COMPR. P-6L
28
ACTAVIS S.R.L.
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-RF
30
ANTIBIOTICE S.A.
ROMANIA CUTIE X 3 BLIST. PVC- PE- PVDC/AL X 10 COMPR. P-6L
30
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. P-6L
28
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L
30
SANDOZ S.R.L.
ROMANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. P-6L
28
GLENMARK PHARMACEUTICALS SRL
CEHIA
CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L
30
BIOFARM SP.ZO.O POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. P-6L
28
SANDOZ S.R.L.
ROMANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. P6L
28
TERAPIA S.A.
ROMANIA CUTIE X 2 BLIST. PVC/AL X 14 COMPR. P-6L
28
TORRENT PHARMA SRL ROMANIA CUTIE CU 3 BLIST. AL/PVC X 10 COMPR. P6L
30
HEXAL AG
GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L
30
ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. OPA-AL-PVDC/AL X 14 COMPR. P-6L
28
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 4 BLIST. OPA-AL-PVC/AL X 7 COMPR. P-6L
28
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR. P-6L
30
EGIS PHARMACEUTICALS P.L.C.

UNGARIA

CUTIE X 1 FLAC. DIN STICLA BRUNA X 20 COMPR. P-6L

LABORMED PHARMA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 20 COMPR. P-6L

Pagina 2 din 42

1.90
1.90
2.85
2.85
5.27
3.51
4.75
5.27
8.40
7.09
5.27
7.06
3.45
5.27
3.51
3.51
5.27
11.12
25.70
16.70
21.20
9.51
15.69
10.22
15.59
22.71
8.14
13.59
22.16
32.72
14.76
22.31
25.53
34.55
23.20
27.09
24.87
22.80
24.44
13.84
24.87
22.93
13.84
22.65
24.59
8.74
29.94
12.48
13.30

0.095000
0.095000
0.095000
0.095000
0.175666
0.175500
0.158333
0.175666
0.084000
0.141800
0.175666
0.235333
0.172500
0.175666
0.175500
0.175500
0.175666
0.556000
0.856666
0.556666
0.757142
0.339642
0.523000
0.340666
0.556785
0.757000
0.271333
0.453000
4.432000
1.090666
0.492000
0.743666
0.911785
1.233928
0.773333
0.903000
0.829000
0.814285
0.814666
0.494285
0.829000
0.818928
0.494285
0.808928
0.819666
0.291333
1.069285
0.445714
0.443333

0.095000
0.095000
0.095000
0.095000
0.100800
0.100800
0.100800
0.100800
0.084000
0.100800
0.100800
0.100800
0.100800
0.100800
0.100800
0.100800
0.100800
0.237000
0.237000
0.237000
0.757142
0.325599
0.100800
0.100800
0.543600
0.757000
0.271333
0.453000
4.432000
0.593160
0.492000
0.300120
0.593142
0.593142
0.593142
0.593142
0.593142
0.593142
0.593142
0.494285
0.593142
0.593142
0.494285
0.593142
0.593142
0.291333
0.349599
0.349599
0.349599

0.095000
0.095000
0.095000
0.095000
0.100800
0.100800
0.100800
0.100800
0.084000
0.100800
0.100800
0.100800
0.100800
0.100800
0.100800
0.100800
0.100800
0.237000
0.237000
0.237000
0.757142
0.325599
0.100800
0.100800
0.543600
0.757000
0.271333
0.453000
4.432000
0.593160
0.492000
0.300120
0.593142
0.593142
0.593142
0.593142
0.593142
0.593142
0.593142
0.494285
0.593142
0.593142
0.494285
0.593142
0.593142
0.291333
0.349599
0.349599
0.349599

NR.CRT

87
88
89
90
91
92
93
94
95
96
97
98
99

COD ATC
C07AG02
C07AG02
C07AG02
C07AG02
C07AG02
C07AG02
C07AG02
C07AG02
C07AG02
C07AG02
C07AG02
C07AG02
C07AG02

100 C07AG02
101 C07AG02
102 C07AG02
103 C07AG02
104 C07AG02
105 C07AG02
106 C07AG02
107 C07AG02
108 C07AG02
109 C07AG02
110 C07AG02
111 C07AG02
112 C07AG02
113 C07AG02
114 C09AA01
115 C09AA01
116 C09AA01
117 C09AA01
118 C09AA01
119 C09AA01
120 C09AA01
121 C09AA01
122 C09AA01
123 C09AA01
124 C09AA01
125 C09AA01
126 C09AA01
127 C09AA01
128 C09AA02
129 C09AA02
130 C09AA02
131 C09AA02
132 C09AA02
133 C09AA02
134 C09AA02
135 C09AA02

DCI

CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM

Denumire Comerciala

CARVEDILOL LPH 12,5 mg


CARVEDILOL VIM SPECTRUM 12,5mg

GLADYCOR 12,5 mg
MIOCARVIL 12,5 mg
ATRAM 12,5
CARVEDILOL HELCOR 12,2 mg

DILATREND (R) 25 mg
CORYOL 25 mg
TALLITON (R) 25 mg
CARVEDILOL SANDOZ
CARVEDILOL LPH 25 mg
GLADYCOR 25 mg
MIOCARVIL 25 mg
ATRAM 25

CARVEDILOL HELCOR 25 mg

DILATREND (R) 6,25 mg


CORYOL (R)
TALLITON 6,25 mg
CARVEDILOL SANDOZ
CARVEDILOL LPH 6,25 mg

CARVEDILOL VIM SPECTRUM 6,25 mg

GLADYCOR 6,25 mg
MIOCARVIL 6,25 mg
ATRAM 6,25
CARVEDIGAMMA 12,5 mg
CARVEDIGAMMA 25 mg
CARVEDIGAMMA 6,25 mg
CAPTOPRIL MCC 12,5 mg
CAPTOPRIL 25 mg
CAPTOPRIL 25 EEL
CAPTOPRIL - AC 25 mg
CAPTOPRIL MCC 25 mg
CAPTOPRIL LPH 25 mg
CAPTOPRIL SINTOFARM 25 mg

CAPTOPRIL ARENA 25 mg
CAPTOPRIL ARENA 50 mg
CAPTOPRIL 50 mg
CAPTOPRIL 50 EEL
CAPTOPRIL - AC 50 mg
CAPTOPRIL MCC 50 mg
CAPTOPRIL LPH 50 mg
ENALAPRIL 10 mg
ENALAPRIL 10 mg
ENALAPRIL SANDOZ 10 mg
ENALAPRIL LPH 10 mg
ENAP 10 mg
ENALAPRIL FABIOL 10 mg
ENALAPRIL SLAVIA 10 mg
ENALAPRIL AL 10

forma farm.

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.

concentratie

12,5mg
12,5mg
12,5mg
12,5mg
12,5mg
12,5mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
6,25mg
6,25mg
6,25mg
6,25mg
6,25mg
6,25mg
6,25mg
6,25mg
6,25mg
12,5mg
25mg
6,25mg
12,5mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
50 mg
50mg
50mg
50mg
50mg
50mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg

TARA
DET. APP
LABORMED PHARMA SA ROMANIA
VIM SPECTRUM SRL ROMANIA
ANTIBIOTICE S.A.
ROMANIA
LABORMED PHARMA S.A. ROMANIA
DETINATOR APP

ZENTIVA K.S.

CEHIA

AMBALAJ

Prescriptie

CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L


CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L
CUTIE X 3 BLIST. PVC/AL X 10 COMPR. FILM. P-6L
CUTIE X 2 BLIST. PVC-PVDC/AL X 15 COMPR.

P-6L

ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L


ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. OPA-AL-PVDC/AL X 14 COMPR. P-6L

AC HELCOR PHARMA SRL

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. P-6L
EGIS PHARMACEUTICALS P.L.C.

HEXAL AG

UNGARIA

CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR. P-6L

GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR.

P-6L

LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L

ANTIBIOTICE S.A.

ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L


LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. FILM. P-6L

ZENTIVA K.S.

CEHIA

CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR.

P-6L

ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L


ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. OPA-AL-PVDC/AL X 14 COMPR. P-6L

AC HELCOR PHARMA SRL

KRKA D.D.

EGIS PHARMACEUTICALS P.L.C.

HEXAL AG

SLOVENIA CUTIE X 4 BLIST. OPA-AL-PVC/AL X 7 COMPR. P-6L

UNGARIA

CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR. P-6L

GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR.

P-6L

LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-6L

VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


ANTIBIOTICE S.A.
ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR.

P-6L
P-6L

P-6L

LABORMED PHARMA S.A. ROMANIA CUTIE X 2 BLIST. PVC/AL X 15 COMPR. FILM. P-6L

ZENTIVA K.S.

CEHIA

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L

MAGISTRA C & C
TERAPIA SA
BIO EEL SRL

LABORMED PHARMA SA

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

OZONE LABORATORIES LTD.

MAREA BRITANIE

AC HELCOR PHARMA SRL

MAGISTRA C & C
LABORMED PHARMA SA

SINTOFARM SA
ARENA GROUP SA
ARENA GROUP SA
TERAPIA SA
BIO EEL SRL

AC HELCOR PHARMA SRL

MAGISTRA C & C
MAGISTRA C & C
SANDOZ SRL

CUTIE X 2 BLIST. PVC-PVDC/AL X 15 COMPR.

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.


CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

CUTIE X 2 FOLII X 10 COMPR.

P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L

ROMANIA CUTIE X 2 BLIST. X 10 COMPR.


P-6L
ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
P-6L
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/AL X 10 COMPR. P-6L
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. AL/OPA-AL-PVC X 10 COMPR. P-6L

FABIOL SA
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. PVC/ AL X 10 COMPR.

ALIUD PHARMA GMBH & CO.KG

Pagina 3 din 42

P-6L
P-6L

GERMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ambal
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
aj
(RON)
(RON)
ADULTI
a) si f)

30
20
30
30
30
20
28
28
30
30
30
30
30
30
20
28
28
30
30
30
20
30
30
30
30
30
30
30
30
20
20
30
30
30
20
20
30
20
20
30
30
20
20
20
20
20
20
20
30

13.36
6.72
13.10
13.36
12.87
8.72
33.45
22.05
23.62
9.18
23.62
23.00
23.62
19.57
15.72
16.46
6.44
6.89
6.89
6.89
4.56
6.70
6.89
6.44
13.93
24.30
9.06
3.41
4.10
3.02
2.28
3.42
3.42
4.64
2.28
2.67
6.67
3.87
2.67
4.50
3.93
4.39
4.39
3.96
4.39
4.39
4.39
4.39
6.59

0.445333
0.336000
0.436666
0.445333
0.429000
0.436000
1.194642
0.787500
0.787333
0.306000
0.787333
0.766666
0.787333
0.652333
0.786000
0.587857
0.230000
0.229666
0.229666
0.229666
0.228000
0.223333
0.229666
0.214666
0.464333
0.810000
0.302000
0.113666
0.136666
0.151000
0.114000
0.114000
0.114000
0.154666
0.114000
0.133500
0.222333
0.193500
0.133500
0.150000
0.131000
0.219500
0.219500
0.198000
0.219500
0.219500
0.219500
0.219500
0.219666

0.349599
0.336000
0.349599
0.349599
0.349599
0.349599
0.367200
0.367200
0.367200
0.306000
0.367200
0.367200
0.367200
0.367200
0.367200
0.257599
0.230000
0.229666
0.229666
0.229666
0.228000
0.223333
0.229666
0.214666
0.349599
0.367200
0.257599
0.113666
0.136666
0.136800
0.114000
0.114000
0.114000
0.136800
0.114000
0.133500
0.157200
0.157200
0.133500
0.150000
0.131000
0.219500
0.219500
0.198000
0.219500
0.219500
0.219500
0.219500
0.219666

0.349599
0.336000
0.349599
0.349599
0.349599
0.349599
0.367200
0.367200
0.367200
0.306000
0.367200
0.367200
0.367200
0.367200
0.367200
0.257599
0.230000
0.229666
0.229666
0.229666
0.228000
0.223333
0.229666
0.214666
0.349599
0.367200
0.257599
0.113666
0.136666
0.136800
0.114000
0.114000
0.114000
0.136800
0.114000
0.133500
0.157200
0.157200
0.133500
0.150000
0.131000
0.219500
0.219500
0.198000
0.219500
0.219500
0.219500
0.219500
0.219666

NR.CRT

COD ATC

136 C09AA02
137 C09AA02
138 C09AA02
139 C09AA02
140 C09AA02
141 C09AA02
142 C09AA02
143 C09AA02
144 C09AA02
145 C09AA02
146 C09AA02
147 C09AA02
148 C09AA02
149 C09AA02
150 C09AA02
151 C09AA02
152 C09AA02
153 C09AA02
154 C09AA02
155 C09AA02
156 C09AA02
157 C09AA02
158 C09AA02
159 C09AA02
160 C09AA02
161 C09AA02
162 C09AA02
163 C09AA02
164 C09AA02
165 C09AA02
166 C09AA02
167 C09AA03
168 C09AA03
169 C09AA03
170 C09AA03
171 C09AA03
172 C09AA03
173 C09AA03
174 C09AA03
175 C09AA03
176 C09AA03
177 C09AA03
178 C09AA03
179 C09AA03
180 C09AA03
181 C09AA03
182 C09AA03
183 C09AA03
184 C09AA03

ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM

DCI

Denumire Comerciala

RENITEC 10 mg
ENALAPRIL TERAPIA 10 mg
ENALAPRIL ARENA 10mg
ENALAPRIL ARENA 10mg
ENALAPRIL ARENA 10mg
ENALAPRIL ARENA 10mg
ENALAPRIL VIM SPECTRUM 10 mg

EDNYT 10 mg
ENALAPRIL 20 mg
ENALAPRIL SANDOZ 20 mg
ENALAPRIL LPH 20 mg
ENAP 20 mg
ENALAPRIL FABIOL 20 mg
ENALAPRIL AL 20
RENITEC 20 mg
ENALAPRIL TERAPIA 20 mg
ENALAPRIL ARENA 20 mg
ENALAPRIL ARENA 20 mg
ENALAPRIL SLAVIA 20 mg
ENALAPRIL 5 mg
ENALAPRIL 5 mg
ENALAPRIL SANDOZ 5 mg
ENALAPRIL AL 5
ENAP 5 mg
RENITEC 5 mg
ENALAPRIL LPH (R) 5 mg
ENALAPRIL TERAPIA 5 mg
ENALAPRIL ARENA 5 mg

ENALAPRIL VIM SPECTRUM 5 mg

ENALAPRIL SLAVIA 5 mg
ENAP (R)
RANOLIP
LISIREN 10 mg
LISINOPRIL SANDOZ 10 mg
LISIGAMMA 10 mg
LISINOPRIL 10 MEDO
LISINOPRIL ACTAVIS 10 mg
LISINOPRIL ATB 10 MG
LISINOPRIL ATB 10 MG
TONOLYSIN 10 mg
TONOLYSIN 2,5 mg
RANOLIP
LISIREN 20 mg
LISINOPRIL SANDOZ 20 mg
LISIGAMMA 20 mg
LISINOPRIL 20 MEDO
LISINOPRIL ACTAVIS 20 mg
LISINOPRIL ATB 20 MG
LISINOPRIL ATB 20 MG

forma farm.

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
SOL. INJ.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.

concentratie

10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
1,25mg/ml
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
2,5mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg

DETINATOR APP

TARA
DET. APP
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
SLOVENIA
ROMANIA

AMBALAJ

Prescriptie

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ambal
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
aj
(RON)
(RON)
ADULTI
a) si f)

28
20
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L
50
CUTIE X 10 BLIST. AL/PVC X 10 COMPR. P-6L 100
CUTIE X 1 FLAC. DIN PE X 20 COMPR. P-6L
20
CUTIE X 2 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L
20
GEDEON RICHTER ROMANIA SA
CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L
30
MAGISTRA C & C
CUTIE X 2 BLIST. X 10 COMPR.
P-6L
20
SANDOZ SRL
CUTIE X 2 BLIST. X 10 COMPR.
P-6L
20
LABORMED PHARMA SA
CUTIE X 2 BLIST. AL/AL X 10 COMPR. P-6L
20
KRKA D.D. NOVO MESTO
CUTIE X 2 BLIST. AL/OPA-AL-PVC X 10 COMPR. P-6L
20
FABIOL SA
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L
30
MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. AL/AL X 14 COMPR. P-6L
28
TERAPIA SA
ROMANIA CUTIE X 2 BLIST. AL/PVC-PE-PVDC X 10 COMPR. P-6L
20
ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L
30
ARENA GROUP SA ROMANIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. P-6L
50
SLAVIA PHARM S.R.L. ROMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. P6L
20
OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 FOLII X 10 COMPR.
P-6L
20
MAGISTRA C & C
ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
P-6L
20
SANDOZ SRL
ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
P-6L
20
ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L
30
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. AL/OPA-AL-PVC X 10 COMPR. P-6L
20
MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. AL/AL X 14 COMPR. P-6L
28
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/AL X 10 COMPR. P-6L
20
TERAPIA SA
ROMANIA CUTIE X 2 BLIST. AL/PVC-PE-PVDC X 10 COMPR. P-6L
20
ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L
20
SLAVIA PHARM S.R.L. ROMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. P6L
20
KRKA D.D.
SLOVENIA CUTIE X 5 FIOLE X 1 ML
S/P-RF
5
RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 BLIST. X 10 COMPR.
P-6L
30
AC HELCOR SRL
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
HEXAL AG
GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L
30
MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/AL X 30 COMPR. P-6L
30
ANTIBIOTICE SA
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
ANTIBIOTICE SA
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L
28
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L
28
RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 BLIST. X 10 COMPR.
P-6L
30
AC HELCOR SRL
ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. P-6L
20
HEXAL AG
GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L
30
MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/AL X 30 COMPR. P-6L
30
ANTIBIOTICE SA
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-6L
10
ANTIBIOTICE SA
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
MERCK SHARP & DOHME

TERAPIA SA
ARENA GROUP SA
ARENA GROUP SA
ARENA GROUP SA
ARENA GROUP SA
VIM SPECTRUM SRL

Pagina 4 din 42

CUTIE X 2 BLIST. AL/AL X 14 COMPR. P-6L

CUTIE X 2 BLIST. AL/PVC-PE-PVDC X 10 COMPR.

P-6L

10.52
7.30
6.87
11.25
22.02
11.28
4.10
10.20
7.94
10.18
8.75
7.94
7.12
11.62
17.12
11.11
11.12
16.43
7.92
3.67
3.67
3.67
5.25
3.67
7.87
3.84
3.93
5.58
3.65
3.67
15.45
14.98
10.74
10.31
8.61
14.44
12.87
6.27
9.72
15.47
8.75
23.11
15.65
15.05
12.93
14.44
23.37
7.43
23.48

0.375714
0.365000
0.229000
0.225000
0.220200
0.564000
0.205000
0.340000
0.397000
0.509000
0.437500
0.397000
0.356000
0.387333
0.611428
0.555500
0.370666
0.328600
0.396000
0.183500
0.183500
0.183500
0.175000
0.183500
0.281071
0.192000
0.196500
0.186000
0.182500
0.183500
3.090000
0.499333
0.537000
0.343666
0.287000
0.481333
0.429000
0.313500
0.324000
0.552500
0.312500
0.770333
0.782500
0.501666
0.431000
0.722000
0.779000
0.743000
0.782666

0.237600
0.237600
0.229000
0.225000
0.220200
0.237600
0.205000
0.237600
0.394320
0.394320
0.394320
0.394320
0.356000
0.387333
0.394320
0.394320
0.370666
0.328600
0.394320
0.183500
0.183500
0.183500
0.175000
0.183500
0.210000
0.192000
0.196500
0.186000
0.182500
0.183500
3.090000
0.344400
0.344400
0.343666
0.287000
0.344400
0.344400
0.313500
0.324000
0.344400
0.312500
0.517200
0.517200
0.501666
0.431000
0.517200
0.517200
0.517200
0.517200

0.237600
0.237600
0.229000
0.225000
0.220200
0.237600
0.205000
0.237600
0.394320
0.394320
0.394320
0.394320
0.356000
0.387333
0.394320
0.394320
0.370666
0.328600
0.394320
0.183500
0.183500
0.183500
0.175000
0.183500
0.210000
0.192000
0.196500
0.186000
0.182500
0.183500
3.090000
0.344400
0.344400
0.343666
0.287000
0.344400
0.344400
0.313500
0.324000
0.344400
0.312500
0.517200
0.517200
0.501666
0.431000
0.517200
0.517200
0.517200
0.517200

NR.CRT

COD ATC

185 C09AA03
186 C09AA03
187 C09AA03
188 C09AA03
189 C09AA03
190 C09AA03
191 C09AA03
192 C09AA03
193 C09AA03
194 C09AA05
195 C09AA05
196 C09AA05
197 C09AA05
198 C09AA05
199 C09AA05
200 C09AA05
201 C09AA05
202 C09AA05
203 C09AA05
204 C09AA05
205 C09AA05
206 C09AA05
207 C09AA05
208 C09AA05
209 C09AA05
210 C09AA05
211 C09AA05
212 C09AA05
213 C09AA05
214 C09AA05
215 C09AA05
216 C09AA05
217 C09AA05
218 C09AA05
219 C09AA05
220 C09AA05
221 C09AA05
222 C09CA03
223 C09CA03
224 C09CA03
225 C09CA03
226 C09CA03
227 C09CA03
228 C09CA03
229 C09CA03
230 C09CA03
231 C09CA03
232 C09CA03
233 C09CA03

DCI

LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**

Denumire Comerciala

TONOLYSIN 20 mg
LISINOPRIL ATB 40 MG
LISINOPRIL ATB 40 MG
RANOLIP
LISINOPRIL SANDOZ 5 mg
LISIGAMMA 5 mg
LISINOPRIL 5 MEDO
LISINOPRIL ACTAVIS 5 mg
TONOLYSIN 5 mg
VIVOKAR 10 mg
VIVACE 10 mg
PIRAMIL 10 mg
RAMIPRIL-AC 10 mg
AMPRIL 10 mg
HARTIL 10 mg
ZENRA 10
RAMIGAMMA 10 mg
TRITACE 10
VIVACE 2,5 mg
PIRAMIL 2,5 mg
RAMIPRIL-AC 2,5 mg
AMPRIL 2,5 mg
HARTIL 2,5 mg
ZENRA 2,5
TRITACE(R) 2,5
VIVACE 5 mg
PIRAMIL 5 mg
RAMIPRIL-AC 5 mg
AMPRIL 5 mg
HARTIL 5 mg
ZENRA 5
RAMIGAMMA 5 mg
TRITACE 5
RAMIRAN 1,25 mg
RAMIRAN 10 mg
RAMIRAN 2,5 mg
RAMIRAN 5 mg
VALSARTAN TEVA 160 mg
VALSARTAN TEVA 80 mg
CORETON 160 mg
WENZELL 160 mg
WENZELL 160 mg
VALSARGAMMA 160 mg
DIOVAN 160 mg

forma farm.

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
CAPS.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
CAPS.
CAPS.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
VALSARTAN TORRENT 160 mg COMPR. FILM.
VALSACOR 160 mg
COMPR. FILM.
AVASSAN 160 mg
COMPR. FILM.
DIOVAN 40 mg
COMPR. FILM.
AVASSAN 40 mg
COMPR. FILM.

concentratie

20mg
40mg
40mg
5mg
5mg
5mg
5mg
5mg
5mg
10mg
10 mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
2,5 mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
5 mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
1,25mg
10mg
2,5mg
5mg
160mg
80mg
160mg
160mg
160mg
160mg
160mg
160mg
160mg
160mg
40mg
40mg

ANTIBIOTICE SA
ANTIBIOTICE SA

TARA
DET. APP
AMBALAJ
ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-6L
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L

RANBAXY U.K. LIMITED

MAREA BRITANIE

DETINATOR APP
GEDEON RICHTER ROMANIA SA

Prescriptie

CUTIE X 3 BLIST. X 10 COMPR.

P-6L

HEXAL AG

GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR.

MEDOCHEMIE ROMANIA SRL

ACTAVIS GROUP PTC EHF.

P-6L

ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L

ISLANDA CUTIE CU BLIST. PVC/AL X 30 COMPR.

ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR.


LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 CAPS.
ACTAVIS GROUP HF ISLANDA CUTIE X 4 BLIST. AL/AL X 7 COMPR.
SANDOZ SRL
ROMANIA CUTIE X 4 FOLII AL-LDPE/LDPE-AL X 7 COMPR.
AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

GEDEON RICHTER ROMANIA SA

P-6L
P-6L
P-6L
P-6L
P-6L
P-6L

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L

UNGARIA CUTIE X 4 BLIST. AL/AL X 7 COMPR.


ROMANIA CUTIE X 2 BLIST. X 14 COMPR.
WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. AL/AL X 10 COMPR.
SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR.
ACTAVIS GROUP HF ISLANDA CUTIE X 4 BLIST. AL/AL X 7COMPR.
SANDOZ SRL
ROMANIA CUTIE X 4 FOLII AL-LDPE/LDPE-AL X 7 COMPR.
AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

EGIS PHARMACEUTICALS P.L.C.

P-6L

ZENTIVA S.A.

P-6L
P-6L
P-6L
P-6L
P-6L
P-6L

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L

UNGARIA CUTIE X 4 BLIST. AL/AL X 7 COMPR.


ZENTIVA S.A.
ROMANIA CUTIE X 2 BLIST. X 14 COMPR.
SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. X 14 COMPR.
ACTAVIS GROUP HF ISLANDA CUTIE X 4 BLIST. AL/AL X 7 COMPR.
SANDOZ SRL
ROMANIA CUTIE X 4 FOLII AL-LDPE/LDPE-AL X 7 COMPR.
AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
EGIS PHARMACEUTICALS P.L.C.

P-6L
P-6L
P-6L
P-6L
P-6L
P-6L

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L
EGIS PHARMACEUTICALS P.L.C.

ZENTIVA S.A.
WORWAG PHARMA GMBH & CO. KG

SANOFI - AVENTIS ROMANIA S.R.L.

RANBAXY U.K. LIMITED


RANBAXY U.K. LIMITED
RANBAXY U.K. LIMITED
RANBAXY U.K. LIMITED
TEVA PHARMACEUTICALS S.R.L.
TEVA PHARMACEUTICALS S.R.L.

ZENTIVA K.S.

UNGARIA CUTIE X 4 BLIST. AL/AL X 7 COMPR.


ROMANIA CUTIE X 2 BLIST. X 14 COMPR.
GERMANIA CUTIE X 2 BLIST. A/AL X 10 COMPR.
ROMANIA CUTIE X 2 BLIST. X 14 COMPR.

P-6L
P-6L
P-6L
P-6L

MAREA BRITANIE

CUTIE X 3 FOLII AL/PEJD X 10 COMPR. FILM. P-6L

MAREA BRITANIE

CUTIE X 3 FOLII AL/PEJD X 10 COMPR. FILM. P-6L

MAREA BRITANIE

CUTIE X 3 FOLII AL/PEJD X 10 COMPR. FILM. P-6L

MAREA BRITANIE

CUTIE X 3 FOLII AL/PEJD X 10 COMPR. FILM. P-6L

ROMANIA
ROMANIA
REPUBLICA CEHA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. P-6L


CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. P-6L
CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-6L

ROMASTRU TRADING S.R.L.

ROMANIA
ROMANIA

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L

ROMASTRU TRADING S.R.L.

CUTIE CU BLIST. PVC-PE-PVDC/AL-PVDC X 28 COMPR. FILM.

P-6L

CUTIE CU BLIST. PVC-PE-PVDC/AL-PVDC X 30 COMPR. FILM.

P-6L

NOVARTIS PHARMA GMBH GERMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-6L

TORRENT PHARMA S.R.L.

ROMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.

P6L

KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P6L

TERAPIA S.A.

ROMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.

NOVARTIS PHARMA GMBH GERMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28COMPR. FILM.

TERAPIA S.A.

Pagina 5 din 42

ROMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.

P6L
P6L
P6L

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ambal
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
aj
(RON)
(RON)
ADULTI
a) si f)

28 22.90
10 13.81
30 39.31
30
7.64
30
7.15
30
6.50
30
8.67
30
7.37
28
9.28
30 24.95
28 23.28
28 23.28
30 24.95
30 24.93
28 23.28
28 23.28
20 10.51
28 34.64
28
7.46
28
9.37
30 10.05
30 10.02
28
9.37
28
9.37
28 14.41
28 10.15
28 10.17
30 10.83
30 10.85
28 10.17
28 10.17
20
7.09
28 15.62
30
6.89
30 33.00
30 11.23
30 20.51
28 32.59
28 20.26
28 32.85
28 66.00
30 70.74
30 33.91
28 116.60
28 65.71
28 32.85
28 66.00
28 71.91
28 42.63

0.817857
1.381000
1.310333
0.254666
0.238333
0.216666
0.289000
0.245666
0.331428
0.831666
0.831428
0.831428
0.831666
0.831000
0.831428
0.831428
0.525500
1.237142
0.266428
0.334642
0.335000
0.334000
0.334642
0.334642
0.514642
0.362500
0.363214
0.361000
0.361666
0.363214
0.363214
0.354500
0.557857
0.229666
1.100000
0.374333
0.683666
1.163928
0.723571
1.173214
2.357142
2.358000
1.130333
4.164285
2.346785
1.173214
2.357142
2.568214
1.522500

0.517200
1.381000
1.310333
0.254666
0.238333
0.216666
0.259999
0.245666
0.259999
0.630600
0.630600
0.630600
0.630600
0.630600
0.630600
0.630600
0.525500
0.630600
0.266428
0.319713
0.319713
0.319713
0.319713
0.319713
0.319713
0.362500
0.363214
0.361000
0.361666
0.363214
0.363214
0.354500
0.425400
0.229666
0.630600
0.319713
0.425400
1.163928
0.723571
1.173214
1.356399
1.356399
1.130333
1.356399
1.356399
1.173214
1.356399
1.827000
1.522500

0.517200
1.381000
1.310333
0.254666
0.238333
0.216666
0.259999
0.245666
0.259999
0.630600
0.630600
0.630600
0.630600
0.630600
0.630600
0.630600
0.525500
0.630600
0.266428
0.319713
0.319713
0.319713
0.319713
0.319713
0.319713
0.362500
0.363214
0.361000
0.361666
0.363214
0.363214
0.354500
0.425400
0.229666
0.630600
0.319713
0.425400
1.163928
0.723571
1.173214
1.356399
1.356399
1.130333
1.356399
1.356399
1.173214
1.356399
1.827000
1.522500

NR.CRT

COD ATC

234 C09CA03
235 C09CA03
236 C09CA03
237 C09CA03
238 C09CA03
239 C09CA03
240 C09CA03
241 C09CA03
242 C09CA03
243 C09CA06
244 C09CA06
245 C09CA06
246 C09CA06
247 C09CA06
248 C09CA06
249 C09CA06
250 C09CA06
251 C09CA06
252 C09CA06
253 C09CA06
254 C09CA06
255 C09CA06
256 C09CA06
257 C09CA06
258 C09CA06
259 C09CA06
260 C09CA06
261 C09CA06
262 C09CA06
263 C09CA06
264 C09CA06
265 C09CA06
266 C09CA06
267 C09CA06

DCI

VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**

Denumire Comerciala

CORETON 80 mg
WENZELL 80 mg
WENZELL 80 mg
VALSARGAMMA 80 mg
DIOVAN 80 mg
VALSARTAN TORRENT 80 mg

VALSACOR 80 mg
AVASSAN 80 mg
DIOVAN 3 mg/ml
ATACAND
TANDESAR 16 mg

CANDESARTAN CILEXETIL ZENTIVA 16 mg

HIPOSTYN 16 mg
CANDESARTAN SANDOZ 16 mg

KARBIS 16 mg
CANDEPOL 16 mg

CANDESARTAN TORRENT 16 mg

CLASTINOL 16 mg
ATACAND 32 mg

CANDESARTAN CILEXETIL ZENTIVA 32 mg

HIPOSTYN 32 mg
KARBIS 32 mg
CANDEPOL 32 mg
CANDESARTAN TORRENT 32 mg

CLASTINOL 32 mg
ATACAND
TANDESAR 8 mg

CANDESARTAN CILEXETIL ZENTIVA 8 mg

HIPOSTYN 8 mg
CANDESARTAN SANDOZ 8 mg

KARBIS 8 mg
CANDEPOL 8 mg

CANDESARTAN TORRENT 8 mg

CLASTINOL 8 mg

forma farm.

concentratie

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
SOL. ORALA
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.

80mg
80mg
80mg
80mg
80mg
80mg
80mg
80mg
3mg/ml
16mg
16mg
16mg
16mg
16mg
16mg
16mg
16mg
16mg
32mg
32mg
32mg
32mg
32mg
32mg
32mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg

COMPR.
COMPR.

2mg
4mg

DETINATOR APP

ZENTIVA K.S.

TARA
DET. APP
REPUBLICA CEHA

AMBALAJ

Prescriptie

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-6L

ROMASTRU TRADING S.R.L.

ROMANIA
ROMANIA

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L

ROMASTRU TRADING S.R.L.

CUTIE CU BLIST. PVC-PE-PVDC/AL-PVDC X 28 COMPR. FILM.

P-6L

CUTIE CU BLIST. PVC-PE-PVDC/AL-PVDC X 30 COMPR. FILM.

P-6L

NOVARTIS PHARMA GMBH GERMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X28COMPR. FILM.

TORRENT PHARMA S.R.L.

ROMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.

KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.

TERAPIA S.A.

ROMANIA

NOVARTIS PHARMA GMBH GERMANIA

ASTRAZENECA AB SUEDIA
TERAPIA SA
ROMANIA
ZENTIVA K.S.

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.


CUTIE CU 1 FLAC. DIN STICLA BRUNA X 160 ML SOL. ORALA + 1 TRUSA DE ADMINISTRARE (ADAPTOR PT. FLAC.+1

P6L
P6L
P6L
P6L
P-6L

CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR.

P-6L

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR.

P-6L

P6L
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR. P6L
SANDOZ SRL
ROMANIA CUTIE CU BLIST. AL/AL CU DESICANT X 28 COMPR. P-6L
KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L
PHARMACEUTICAL WORKS POLPHARMA SA
POLONIA CUTIE CU BLIST. AL/PVC-PVDC X 28 COMPR. P6L
TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. P6L
REPUBLICA SLOVACA

ASTRAZENECA AB SUEDIA
ZENTIVA K.S.

CUTIE X 2 BLIST. AL-PVC/PVDC X 14 COMPR.


CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR.

KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR.


PHARMACEUTICAL WORKS POLPHARMA SA

TORRENT PHARMA S.R.L.


EGIS PHARMACEUTICALS P.L.C.

ASTRAZENECA AB
TERAPIA SA
ZENTIVA K.S.
TEVA PHARMACEUTICALS S.R.L.

SANDOZ SRL

P-6L

P6L
ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR. P6L

REPUBLICA SLOVACA

TEVA PHARMACEUTICALS S.R.L.

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR.

POLONIA
ROMANIA
UNGARIA
SUEDIA
ROMANIA

P-6L

P6L
CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L
CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. P6L
CUTIE CU BLIST. AL/PVC-PVDC X 28 COMPR.

CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR.

P-6L

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR.

P-6L

P6L
ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR. P6L
ROMANIA CUTIE CU BLIST. AL/AL CU DESICANT X 28 COMPR. P-6L

REPUBLICA SLOVACA

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR.

KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR.

P-6L

EGIS PHARMACEUTICALS P.L.C.

POLONIA
ROMANIA
UNGARIA

TERAPIA SA

ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P-RF

NOVARTIS PHARMA GMBH GERMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR.

P-RF

PHARMACEUTICAL WORKS POLPHARMA SA

TORRENT PHARMA S.R.L.

P6L
P6L
CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. P6L

CUTIE CU BLIST. AL/PVC-PVDC X 28 COMPR.

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR.

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ambal
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
aj
(RON)
(RON)
ADULTI
a) si f)

28 34.00
28 47.37
30 50.79
30 23.25
28 91.88
28 47.00
28 28.84
28 47.40
1 41.42
28 66.74
28 44.87
30 48.06
30 42.50
28 39.65
30 43.24
28 44.88
30 48.03
28 44.85
28 117.40
30 81.77
30 71.36
30 81.75
28 76.32
30 81.75
28 69.33
28 56.10
28 36.46
30 39.02
30 24.13
28 33.45
30 33.01
28 36.46
30 39.07
28 36.46

1.214285
1.691785
1.693000
0.775000
3.281428
1.678571
1.030000
1.692857
41.420000
2.383571
1.602500
1.602000
1.416666
1.416071
1.441333
1.602857
1.601000
1.601785
4.192857
2.725666
2.378666
2.725000
2.725714
2.725000
2.476071
2.003571
1.302142
1.300666
0.804333
1.194642
1.100333
1.302142
1.302333
1.302142

0.868285
0.868285
0.868285
0.775000
0.868285
0.868285
0.868285
0.868285
41.420000
1.699285
1.602500
1.602000
1.416666
1.416071
1.441333
1.602857
1.601000
1.601785
2.854399
2.725666
2.378666
2.725000
2.725714
2.725000
2.476071
0.965199
0.965199
0.965199
0.804333
0.965199
0.965199
0.965199
0.965199
0.965199

0.868285
0.868285
0.868285
0.775000
0.868285
0.868285
0.868285
0.868285
41.420000
1.699285
1.602500
1.602000
1.416666
1.416071
1.441333
1.602857
1.601000
1.601785
2.854399
2.725666
2.378666
2.725000
2.725714
2.725000
2.476071
0.965199
0.965199
0.965199
0.804333
0.965199
0.965199
0.965199
0.965199
0.965199

6.53
6.76

0.217666
0.338000

0.217666
0.338000

0.217666
0.338000

30 780.80
28 79.52
28 90.49

26.026666
2.840000
3.231785

26.026666
1.644428
1.644428

26.026666
1.644428
1.644428

2. BOLNAVI CU PROTEZE VALVULARE SI VASCULARE - G2


1
2

B01AA07
B01AA07

ACENOCUMAROLUM*
ACENOCUMAROLUM*

TROMBOSTOP 2 mg
SINTROM 4 mg

30
20

Tratamentul se initiaz de ctre medicul n specialitatea cardiologie si chirurgie cardiaca si a vaselor mari

3. BOLNAVI CU PROCEDURI INTERVENTIONALE PERCUTANE, NUMAI DUPA IMPLANTAREA UNEI PROTEZE ENDOVASCULARE (STENT)- G3
1
2
3

B01AC04
B01AC04
B01AC04

CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***

PLAVIX 300mg
COMPR. FILM.
CLOPIDOGREL TEVA 75 mg COMPR. FILM.
ZYLLT
COMPR. FILM.

300mg
75 mg
75 mg

SANOFI PHARMA - BRISTOL MYERS SQUIBB

TEVA PHARMA BV

FRANTA
OLANDA

CUTIE X 30X1 COMPR. FILM. (BLIST. AL/AL PERFORATE UNIDOZA)

P-RF

CUTIE CU BLIST. AL/AL X 28 X 1 COMPR. FILM. P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA/AL/PVC-AL X 28 COMPR. FILM. P-RF

Pagina 6 din 42

NR.CRT

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

COD ATC

B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04

DCI

CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***

Denumire Comerciala

PLAVIX 75mg
TROMBEX 75 mg
EGITROMB 75 mg
TROMBEX 75 mg

CLOPIDOGREL MYLAN 75mg

TROGRAN 75 mg
CLOPIGAMMA 75 mg
CLOPIGAMMA 75 mg
PLAVOCORIN 75 mg
TUXEDON 75 mg

CLOPIDOGREL ACTAVIS 75 mg

DEFROZYP 75 mg
TESSYRON 75 mg
CLORODEN 75 mg
CLORODEN 75 mg
VATOUD 75 mg
LOFRADYK 75 mg

CLOPIDOGREL DR. REDDY'S 75 mg


CLOPIDOGREL DR. REDDY'S 75 mg

MOYTOR 75 mg
PLATEL 75 mg
PLATEL 75 mg
CLOPIDOGREL TERAPIA 75 mg

PLATEL 75 mg
DEPLATT 75 mg

CLOPIDOGREL ACCORD 75 mg

forma farm.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

concentratie

75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg

DETINATOR APP
SANOFI PHARMA - BRISTOL MYERS SQUIBB

ZENTIVA K.S.
EGIS PHARMACEUTICALS P.L.C.

ZENTIVA K.S.
MYLAN S.A.S.

TARA
DET. APP

FRANTA
CEHIA

UNGARIA

CEHIA
FRANTA

AMBALAJ

Prescriptie

CUTIE X 28 COMPR. FILM. (BLIST. PVC/PVDC/AL)

P-RF

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 30 COMPR. FILM.

P-RF

CUTIE CU BLIST. OPA-AL-PVDC/AL X 28 COMPR. FILM. P-RF


CUTIE X 1 FLAC. DIN STICLA INCOLORA X 90 COMPR. FILM.

P-RF

CUTIE CU BLIST. DIN OPA/AL/PVC-AL X 28 COMPR.FILM. P-RF

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-RF

GLENMARK PHARMACEUTICALS SRL

REPUBLICA CEHA

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-RF

WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-RF

ROMANIA
POLONIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-RF

SANDOZ S.R.L.
ICN POLFA RZESZOW S.A.
ACTAVIS GROUP PTC EHF.

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-RF

ISLANDA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM.

P-RF

ROMANIA

P-RF

LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVDC/AL X 28 COMPR. FILM. P-RF
GEDEON RICHTER ROMANIA SA

IWA CONSULTING APS


IWA CONSULTING APS
ALVOGEN IPCO S.A.R.L
PHARMASWISS MEDICINES S.R.L.

DR. REDDY'S LABORATORIES


DR. REDDY'S LABORATORIES

ROMASTRU TRADING S.R.L.

MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
TERAPIA S.A.
MEDOCHEMIE LTD.
TORRENT PHARMA S.R.L.

CUTIE CU BLIST. PVC-PCTFE-PVC/AL X 30 COMPR. FILM.

DANEMARCA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-RF


DANEMARCA CUTIE CU BLIST. PA-AL-PVC/AL (AL-AL) X 28 COMPR. FILM. P-RF

LUXEMBURG CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-RF

ROMANIA
ROMANIA
ROMANIA
ROMANIA

CIPRU
CIPRU

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-RF


CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-RF
CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-RF
CUTIE CU BLIST. PCTFE-PE-PVC/AL X 28 COMPR. FILM.

CUTIE CU BLIST. AL/AL X 90 COMPR. FILM. P-RF

ROMANIA

CUTIE CU 3 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM.

ROMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.

CIPRU

P-RF

CUTIE CU BLIST. AL/AL X 60 COMPR. FILM. P-RF


PRF

CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-RF


PRF

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

CUTIE CU 3 BLIST. AL/AL X 10 COMPR. FILM. PRF

SP EUROPE

CUTIE X 140CAPS. ( BLIST. PVC/PE/PVDC )

P-RF/R

ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. PEID X 168 COMPR. FILM.

P-RF/R

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ambal
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
aj
(RON)
(RON)
ADULTI
a) si f)

28
30
28
90
28
28
28
28
28
28
28
28
30
28
28
28
28
28
30
28
60
90
30
28
30
30

122.34
83.81
79.52
242.40
79.52
79.52
68.52
68.52
89.49
38.37
79.49
79.49
85.21
68.48
68.48
73.81
68.22
79.49
85.18
79.52
161.58
242.38
85.21
67.70
85.19
85.21

4.369285
2.793666
2.840000
2.693333
2.840000
2.840000
2.447142
2.447142
3.196071
1.370357
2.838928
2.838928
2.840333
2.445714
2.445714
2.636071
2.436428
2.838928
2.839333
2.840000
2.693000
2.693111
2.840333
2.417857
2.839666
2.840333

1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.370357
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428

1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.370357
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428

611.90
4.370714
665.28
3.960000
194.11
6.470333
278.73
9.954642
386.16
6.436000
557.58
9.293000
386.16 12.872000
160.92 160.920000
1,928.98 64.299333
1,748.63 58.287666
1,938.42 64.614000
326.02 326.020000
514.01 514.010000
197.89 197.890000
318.52 318.520000
494.26 98.852000
261.45 261.450000

4.370714
3.960000
6.470333
7.764399
6.436000
7.723200
12.872000
160.920000
64.299333
58.287666
64.614000
237.468000
382.224000
197.890000
318.520000
98.852000
237.468000

4.370714
3.960000
6.470333
7.764399
6.436000
7.723200
12.872000
160.920000
64.299333
58.287666
64.614000
237.468000
382.224000
197.890000
318.520000
98.852000
237.468000

Tratamentul se iniiaz de ctre medicul n specialitatea cardiologie.

4. HEPATITELE CRONICE DE ETIOLOGIE VIRALA B, C i D - G4


1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17

J05AB04
J05AB04
J05AF05
J05AF05
J05AF05
J05AF05
J05AF05
J05AF05
J05AF08
J05AF10
J05AF10
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02

RIBAVIRINUM****
RIBAVIRINUM****
LAMIVUDINUM****
LAMIVUDINUM****
LAMIVUDINUM****
LAMIVUDINUM****
LAMIVUDINUM****
LAMIVUDINUM****
ADEFOVIRUM DIPIVOXILUM****
ENTECAVIRUM****
ENTECAVIRUM****
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**

REBETOL 200 mg
COPEGUS 200mg
LAMIVUDINE TEVA 100 mg
ZEFFIX 100 mg

CAPS.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
SOL. ORALA
COMPR.
COMPR. FILM.
COMPR. FILM.
SOL. INJ.
SOL. INJ.

200mg
200mg
100 mg
100mg
LAMIVUDINE TEVA PHARMA B.V. 150 mg
150 mg
EPIVIR 150mg
150mg
LAMIVUDINE TEVA PHARMA B.V. 300 mg
300 mg
EPIVIR 10mg/ml
10mg/ml
HEPSERA
10mg
BARACLUDE 0,5mg
0,5mg
BARACLUDE 1mg
1mg
NEUPOGEN (R)
30MU/0,5ml
NEUPOGEN (R)
48MU/0,5ml
ZARZIO 30MU/0,5ml
60MU/ml
ZARZIO 48MU/0,5ml
96MU/ml
NIVESTIM 12 MU/0,2ml
SOL. INJ./PERF. 120g/0,2ml
TEVAGRASTIM 30MUI/0,5ml SOL. INJ./PERF. 300mcg/0,5ml
SOL. INJ. /PERF. IN SERINGA PREUMPLUTA

SOL. INJ. /PERF. IN SERINGA PREUMPLUTA

BELGIA

TEVA PHARMA B.V. OLANDA CUTIE CU BLIST. PVC/PVDC/AL X 30 COMPR. FILM.


GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST. PVC-AL/PVC-AL)
TEVA PHARMA B.V. OLANDA CUTIE CU BLIST. PVC/PVDC/AL X 60 COMPR. FILM.
GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLAC. PEID X 60 COMPR. FILM.
TEVA PHARMA B.V. OLANDA CUTIE CU BLIST. PVC/PVDC/AL X 30 COMPR. FILM.
GLAXO GROUP LTD. MAREA BRITANIE
CUTIE X 1 FLACON PEID X 240ML SOL. ORALA + 1 SERINGA DOZATOARE + 1 ADAPTOR

P-RF/R
P-RF/R
P-RF/R
P-RF/R
P-RF/R
P-RF/R

GILEAD SCIENCE INTERNATIONAL LIMITED

MAREA BRITANIE

CUTIE X 1 FLAC. DIN PEID X 30 COMPR.

P-RF/R

BRISTOL-MYERS SQUIBB

MAREA BRITANIE

CUTIE X 30 X 1 COMPR. FILM. (BLIST. AL/AL UNIDOZA)

P-RF/R

BRISTOL-MYERS SQUIBB

MAREA BRITANIE

CUTIE X 30 X 1 COMPR. FILM.(BLIST. AL/AL UNIDOZA)

P-RF/R

AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML


AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML

S/P-RF

S/P-RF

SANDOZ GMBH
SANDOZ GMBH

AUSTRIA
AUSTRIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL

P-RF/R

CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL

P-RF/R

HOSPIRA UK LIMITED

MAREA BRITANIE

CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,2ML SOL. INJ. SAU PERF.

P-RF

CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF.

S/P-RF/R

TEVA GENERICS GMBH GERMANIA

Pagina 7 din 42

140
168
30
28
60
60
30
1
30
30
30
1
1
1
1
5
1

NR.CRT

18
19
20
21
22
23
24
25
26
27
28
29
30

COD ATC

L03AA02
L03AA02
L03AA02
L03AB04
L03AB04
L03AB05
L03AB05
L03AB10
L03AB10
L03AB10
L03AB10
L03AB11
N04BB01

DCI

FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
INTERFERONUM ALFA 2A****
INTERFERONUM ALFA 2A****
INTERFERONUM ALFA 2B****
INTERFERONUM ALFA 2B****
PEGINTERFERON ALFA-2B****
PEGINTERFERON ALFA-2B****
PEGINTERFERON ALFA-2B****
PEGINTERFERON ALFA-2B****
PEGINTERFERON ALFA-2A****
AMANTADINUM**

TARA
DET. APP
DETINATOR APP
NIVESTIM 30 MU/0,5 ml
SOL. INJ./PERF. 300g/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE
TEVAGRASTIM 48MUI/0,8ml SOL. INJ./PERF. 480mcg/0,8ml TEVA GENERICS GMBH GERMANIA
NIVESTIM 48 MU/0,5 ml
SOL. INJ./PERF. 480g/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE
ROFERON A
SOL. INJ.
3Mui/0,5ml ROCHE ROMANIA S.R.L. ROMANIA
ROFERON A
SOL. INJ.
9Mui/0,5ml ROCHE ROMANIA S.R.L. ROMANIA
Denumire Comerciala

INTRON A 18 milioane U.I.


INTRON A 30 milioane U.I.
PEGINTRON 100 mcg
PEGINTRON 120 mcg
PEGINTRON 150 mcg
PEGINTRON 50 mcg
PEGASYS 180 mcg/0,5ml
VIREGYT (R)- K

forma farm.

concentratie

AMBALAJ
CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF.

P-RF

CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF.

S/P-RF/R

CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF.

P-RF

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

PULB. + SOLV. PT. SOL. INJ.

SP EUROPE
30 milioane U.I. SP EUROPE
100mcg
SP EUROPE
120mcg
SP EUROPE
150mcg
SP EUROPE
50mcg
SP EUROPE

BELGIA
BELGIA
BELGIA
BELGIA
BELGIA
BELGIA

SOL. INJ. IN SERINGA PREUMPLUTA

180mcg/0,5ml

ROCHE REGISTRATION LTD.

MAREA BRITANIE

EGIS PHARMACEUTICALS P.L.C.

UNGARIA CUTIE X 1 FLAC. X 50 CAPS.

SOL. INJ. PEN MULTIDOZA


SOL. INJ. PEN MULTIDOZA
PULB. + SOLV. PT. SOL. INJ.
PULB. + SOLV. PT. SOL. INJ.
PULB. + SOLV. PT. SOL. INJ.

CAPS.

18 milioane U.I.

100mg

Prescriptie

CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML + 12 ACE + 12 TAMPOANE DEZINFECTANTE

P-RF/R

CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV.

P-RF/R

CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV.

P-RF/R

CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV. P-RF/R


CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV.

P-RF/R

CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML + 1 AC

P-RF/R

P-6L

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ambal
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
aj
(RON)
(RON)
ADULTI
a) si f)

5
1
5
1
1
1
1
1
1
1
1
1
50

225.874000
426.08 426.080000
1,843.52 368.704000
87.43 87.430000
183.22 183.220000
490.77 490.770000
772.57 772.570000
820.00 820.000000
969.85 969.850000

1,129.37

225.874000
382.224000
368.704000
87.430000
183.220000
490.770000
772.570000
820.000000
969.850000

225.874000
382.224000
368.704000
87.430000
183.220000
490.770000
772.570000
820.000000
969.850000

1,193.66 1,193.660000 1,193.660000 1,193.660000

445.72 445.720000 445.720000 445.720000


975.16 975.160000 975.160000 975.160000
17.07
0.341400
0.341400
0.341400

Tratamentul se initiaz de ctre medicul n specialitatea gastroenterologie / boli infectioase si nefrologie (doar pentru pacientii cu afectare renala consecutiva infectiei cu virusuri hepatitice)
5. HEPATITA AUTOIMUNA - G5
1
2
3
4
5
6
7
8
9
10

H02AB04
H02AB04
H02AB04
H02AB04
H02AB04
H02AB06
H02AB06

L04AX01
L04AX01
L04AX01

METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
PREDNISOLONUM
PREDNISOLONUM
AZATHIOPRINUM*
AZATHIOPRINUM*
AZATHIOPRINUM*

MEDROL A 16
MEDROL 32
MEDROL 4 mg
LEMOD SOLU 125 mg
LEMOD SOLU 500 mg
SOLU - DECORTIN H 250
SOLU - DECORTIN H 50
IMMUNOPRIN 100 mg
IMURAN (R)
IMMUNOPRIN 75 mg

COMPR.
COMPR.
COMPR.

16mg
32mg
4mg
LIOF. PT. SOL. INJ. 125mg
LIOF. PT. SOL. INJ. 500mg
LIOF. + SOLV. PT. SOL. INJ. 250mg
LIOF. + SOLV. PT. SOL. INJ. 50mg
COMPR. FILM. 100mg
COMPR. FILM. 50mg
COMPR. FILM. 75mg

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 5 BLIST. A-PVC/PVC X 10 COMPR. P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 2 BLIST. AL-PVC/PVC X 10 COMPR. P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 1 FLAC. DIN STICLA X 30 COMPR. P-RF

ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 2 ML


STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 7,8 ML
STADA HEMOFARM S.R.L.

MERCK KGAA
MERCK KGAA

EBEWE PHARMA GES.M.B.H. NFG KG

GERMANIA

CUTIE X 3 FLAC. DIN STICLA INCOLORA X 250 MG FIOF. PT. SOL. INJ. + 3 FIOLE X 5 ML SOLV.

P-RF

GERMANIA

CUTIE X 3 FLAC. X 50 MG LIOF. PT. SOL. INJ. + 3 FIOLE X 1 ML SOLVENT

P-RF

AUSTRIA CUTIE CU 1 FLAC. PEID X 50 COMPR. FILM. PR

THE WELLCOME FOUNDATION LTD. MAREA BRITANIE


EBEWE PHARMA GES.M.B.H. NFG KG

S/P-RF
S/P-RF

AUSTRIA

CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM.

S/P-RF

CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM.

PR

50
20
30
1
1
3
3
50
100
100

32.62
29.65
6.53
8.81
31.02
95.62
35.71
55.38
80.90
78.89

0.652400
1.482500
0.217666
8.810000
31.020000
31.873333
11.903333
1.107600
0.809000
0.788900

0.652400
1.482500
0.217666
8.810000
31.020000
31.873333
11.903333
1.107600
0.809000
0.788900

0.652400
1.482500
0.217666
8.810000
31.020000
31.873333
11.903333
1.107600
0.809000
0.788900

100 124.28
50 71.49
50 68.77
60 54.19
20 35.88

1.242800
1.429800
1.375400
0.903166
1.794000

1.242800
1.429800
1.375400
0.903166
1.794000

1.242800
1.429800
1.375400
0.903166
1.794000

Tratamentul se initiaz de ctre medicul n specialitatea gastroenterologie

6. CIROZA BILIARA PRIMARA, COLANGITA SCLEROZANTA PRIMITIVA, HEPATITA CRONICA SI CIROZE DE ALTE ETIOLOGII CU COLESTAZA - G6
1
2
3
4
5

A05AA02
A05AA02
A05AA02
A05AA02
A05AA02

ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM

URSOFALK (R)
URSOFALK (R)
URSOSAN
URSOCHOL 150 mg
URSOCHOL 300 mg

CAPS.
CAPS.
CAPS.
COMPR.
COMPR.

250mg
250mg
250mg
150mg
300mg

DR. FALK PHARMA GMBH GERMANIA


DR. FALK PHARMA GMBH GERMANIA
PRO. MED. CS PRAHA AS

ZAMBON S.P.A.
ZAMBON S.P.A.

Tratamentul se initiaz de ctre medicul n specialitatea gastroenterologie

7. CIROZA HEPATICA - G7

Pagina 8 din 42

CEHIA
ITALIA
ITALIA

CUTIE X 4 BLIST. AL/PVC X 25 CAPS.


CUTIE X 2 BLIST. AL/PVC X 25 CAPS.
CUTIE X 5 BLIST. AL/PVC X 10 CAPS.

P-6L/S

P-6L
P-6L

CUTIE X 6 BLIST. AL/PVC X 10 COMPR. P-6L


CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L

NR.CRT

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49

COD ATC

A06AD11
A06AD11
A06AD11
A06AD11
A06AD11
A06AD11
A06AD11
A06AD11

A07AA11
A07AA11
A07AA11
C03CA01
C03CA01
C03CA01
C03CA01
C03CA01
C03CA01
C03CA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
H02AB06
H02AB06

J05AB04
J05AB04
J05AF05
J05AF05
J05AF05
J05AF05
J05AF05
J05AF05
J05AF08
J05AF10
J05AF10
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02

DCI

LACTULOSUM*
LACTULOSUM*
LACTULOSUM*
LACTULOSUM*
LACTULOSUM*
LACTULOSUM*
LACTULOSUM*
LACTULOSUM*
RIFAXIMINUM*
RIFAXIMINUM*
RIFAXIMINUM*
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
PREDNISOLONUM
PREDNISOLONUM
RIBAVIRINUM****
RIBAVIRINUM****
LAMIVUDINUM****
LAMIVUDINUM****
LAMIVUDINUM****
LAMIVUDINUM****
LAMIVUDINUM****
LAMIVUDINUM****
ADEFOVIRUM DIPIVOXILUM****
ENTECAVIRUM****
ENTECAVIRUM****
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**

Denumire Comerciala

DUPHALAC (R)
DUPHALAC (R)
LACTULOSE
LACTULOSE
LACTULOSE-MIP 650 mg/ml
LACTULOSE-MIP 650 mg/ml
LACTULAK 660 mg/ml
LAEVOLAC 670mg/ml
NORMIX 200 mg
NORMIX 200 mg
NORMIX 100mg/5ml
FUROSEMID MCC 40 mg
FUROSEMID SLAVIA
FUROSEMID EEL
FUROSEMID ZENTIVA
FUROSEMID LPH 40 mg
FUROSEMID ARENA 40 mg
FUROSEMID 20 mg/2 ml
VEROSPIRON
SPIRONOLACTONA ARENA 25 mg

SPIRONOLACTONA LPH 25 mg

VEROSPIRON

SPIRONOLACTONA ARENA 50 mg

SPIRONOLACTONA EEL 25 mg
SPIRONOLACTONA OZONE 25 mg
SPIRONOLACTONA OZONE 25 mg

SPIRONOLACTONA 25 mg
ALSPIRON 25 mg
ALSPIRON 50 mg
SOLU - DECORTIN H 250
SOLU - DECORTIN H 50
REBETOL 200 mg
COPEGUS 200mg
LAMIVUDINE TEVA 100 mg
ZEFFIX 100 mg

LAMIVUDINE TEVA PHARMA B.V. 150 mg

EPIVIR 150mg
LAMIVUDINE TEVA PHARMA B.V. 300 mg

EPIVIR 10mg/ml
HEPSERA
BARACLUDE 0,5mg
BARACLUDE 1mg
NEUPOGEN (R)
NEUPOGEN (R)
ZARZIO 30MU/0,5ml
ZARZIO 48MU/0,5ml
NIVESTIM 12 MU/0,2ml
TEVAGRASTIM 30MUI/0,5ml
NIVESTIM 30 MU/0,5 ml

forma farm.

LICHID ORAL
LICHID ORAL
SIROP
SIROP
SIROP
SIROP
SOL. ORALA
SOL. ORALA
COMPR. FILM.
COMPR. FILM.

concentratie

66,7%
66,7%
65%
65%
650mg/ml
650mg/ml
660 mg/ml
670mg/ml
200mg
200mg
GRAN. PT. SUSP. ORALA 100mg/5ml
COMPR.
40mg
COMPR.
40mg
COMPR.
40mg
COMPR.
40mg
COMPR.
40mg
COMPR.
40mg
SOL. INJ.
10mg/ml
CAPS.
100mg
CAPS.
25mg
CAPS.
25mg
CAPS.
50mg
CAPS.
50mg
COMPR.
25mg
COMPR.
25mg
COMPR.
25mg
COMPR. FILM. 25mg
COMPR. FILM. 25mg
COMPR. FILM. 50mg
LIOF. + SOLV. PT. SOL. INJ. 250mg
LIOF. + SOLV. PT. SOL. INJ. 50mg
CAPS.
200mg
COMPR. FILM. 200mg
COMPR. FILM. 100 mg
COMPR. FILM. 100mg
COMPR. FILM. 150 mg
COMPR. FILM. 150mg
COMPR. FILM. 300 mg
SOL. ORALA
10mg/ml
COMPR.
10mg
COMPR. FILM. 0,5mg
COMPR. FILM. 1mg
SOL. INJ.
30MU/0,5ml
SOL. INJ.
48MU/0,5ml
60MU/ml
96MU/ml
SOL. INJ./PERF. 120g/0,2ml
SOL. INJ./PERF. 300mcg/0,5ml
SOL. INJ./PERF. 300g/0,5ml

SOL. INJ. /PERF. IN SERINGA PREUMPLUTA

SOL. INJ. /PERF. IN SERINGA PREUMPLUTA

DETINATOR APP

TARA
DET. APP

Prescriptie

1
1
E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON X 300 ML
P-6L
1
E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON X 100 ML
P-6L
1
MIP PHARMA GMBH GERMANIA
P-6L
1
MIP PHARMA GMBH GERMANIA
P-6L
1
ROMPHARM COMPANY SRL ROMANIA CUTIE X 1 FLAC. PEID X 200 ML SOL. ORALA SI O LINGURITA DOZATOARE P-6L
1
FRESENIUS KABI AUSTRIA GMBH AUSTRIA
P-RF
1
ALFA WASSERMANN SPA ITALIA
CUTIE X 1 BLIST. AL/PVC X 12 COMPR. FILM. P-RF
12
ALFA WASSERMANN SPA ITALIA
CUTIE X 3 BLIST. AL/PVC A CATE 12 COMPR. FILM. P-RF
36
ALFA WASSERMANN SPA ITALIA
P-RF
1
MAGISTRA C&C S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
BIO EEL SRL
ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
P-6L
20
ZENTIVA SA
ROMANIA CUTIE X 1 FLAC. DIN PEID X 20 COMPR. P-6L
20
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
ZENTIVA SA
ROMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA CU INEL DE RUPERE X 2 ML SOL. INJ. P-RF
5
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L
30
ARENA GROUP S.A. ROMANIA CUTIE CU 5 BLIST. PVC/AL X 10 CAPS. P-6L
50
LABORMED PHARMA S.A. ROMANIA CUTIE CU 6 BLIST. PVC/AL X 10 CAPS. P6L
60
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L
30
ARENA GROUP S.A. ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 CAPS. P-6L
30
BIO EEL SRL
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L
50
OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L
50
TERAPIA SA
ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
50
AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
20
AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
20
MERCK KGAA
GERMANIA
P-RF
3
MERCK KGAA
GERMANIA CUTIE X 3 FLAC. X 50 MG LIOF. PT. SOL. INJ. + 3 FIOLE X 1 ML SOLVENT P-RF
3
SP EUROPE
BELGIA CUTIE X 140CAPS. ( BLIST. PVC/PE/PVDC ) P-RF/R 140
ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. PEID X 168 COMPR. FILM. P-RF/R 168
TEVA PHARMA B.V. OLANDA CUTIE CU BLIST. PVC/PVDC/AL X 30 COMPR. FILM. P-RF/R
30
GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST. PVC-AL/PVC-AL) P-RF/R
28
TEVA PHARMA B.V. OLANDA CUTIE CU BLIST. PVC/PVDC/AL X 60 COMPR. FILM. P-RF/R
60
GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLAC. PEID X 60 COMPR. FILM. P-RF/R
60
TEVA PHARMA B.V. OLANDA CUTIE CU BLIST. PVC/PVDC/AL X 30 COMPR. FILM. P-RF/R
30
GLAXO GROUP LTD. MAREA BRITANIE
P-RF/R
1
GILEAD SCIENCE INTERNATIONAL LIMITED
MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID X 30 COMPR. P-RF/R
30
BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE X 30 X 1 COMPR. FILM. (BLIST. AL/AL UNIDOZA) P-RF/R
30
BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE X 30 X 1 COMPR. FILM.(BLIST. AL/AL UNIDOZA) P-RF/R
30
AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML S/P-RF
1
AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML S/P-RF
1
SANDOZ GMBH
AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R
1
SANDOZ GMBH
AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R
1
HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,2ML SOL. INJ. SAU PERF. P-RF
5
TEVA GENERICS GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF.
1
HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. P-RF
5
SOLVAY PHARMACEUTICALS BV

ABBOTT HEALTHCARE PRODUCTS B.V.

OLANDA
OLANDA

AMBALAJ

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ambal
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
aj
(RON)
(RON)
ADULTI
a) si f)

FLACON DIN PEID PREVAZUT CU MASURA DOZATOARE X 200 ML

P-RF

FLACON DIN PEID PREVAZUT CU MASURA DOZATOARE X 200 ML

P-RF

CUTIE X 1 FLAC. PET DE CULOARE BRUNA X 500 ML SIROP + 1 MASURA DOZATOARE DIN PP

CUTIE X 1 FLAC. PET DE CULOARE BRUNA X 1000 ML SIROP + 1 MASURA DOZATOARE DIN PP

CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SOL. ORALA + DISPOZITIV DE CURGERE + MASURA CU GRADATII D

CUTIE X 1 FLAC. GRAN. PT. 60 ML SUSP. ORALA + 1 MASURA DOZATOARE MARCATA LA 5, 10 SI 15 ML

CUTIE X 3 FLAC. DIN STICLA INCOLORA X 250 MG FIOF. PT. SOL. INJ. + 3 FIOLE X 5 ML SOLV.

CUTIE X 1 FLACON PEID X 240ML SOL. ORALA + 1 SERINGA DOZATOARE + 1 ADAPTOR

S/P-RF/R

Pagina 9 din 42

10.37 10.370000
10.37 10.370000
10.42 10.420000
3.47
3.470000
17.23 17.230000
33.34 33.340000
7.09
7.090000
3.57
3.570000
33.10
2.758333
91.26
2.535000
19.11 19.110000
3.02
0.151000
2.28
0.114000
5.42
0.271000
6.02
0.301000
3.04
0.152000
6.02
0.301000
6.07
1.214000
28.51
0.950333
16.07
0.321400
19.46
0.324333
16.72
0.557333
16.24
0.541333
4.30
0.215000
10.79
0.215800
10.79
0.215800
16.21
0.324200
4.30
0.215000
13.74
0.687000
95.62 31.873333
35.71 11.903333
611.90
4.370714
665.28
3.960000
194.11
6.470333
278.73
9.954642
386.16
6.436000
557.58
9.293000
386.16 12.872000
160.92 160.920000
1,928.98 64.299333
1,748.63 58.287666
1,938.42 64.614000
326.02 326.020000
514.01 514.010000
197.89 197.890000
318.52 318.520000
494.26 98.852000
261.45 261.450000
1,129.37 225.874000

10.370000
10.370000
10.420000
3.470000
17.230000
33.340000
7.090000
3.570000
2.758333
2.535000
19.110000
0.136800
0.114000
0.136800
0.136800
0.136800
0.136800
1.214000
0.950333
0.258000
0.258000
0.557333
0.541333
0.215000
0.215800
0.215800
0.258000
0.215000
0.649599
31.873333
11.903333
4.370714
3.960000
6.470333
7.764399
6.436000
7.723200
12.872000
160.920000
64.299333
58.287666
64.614000
237.468000
382.224000
197.890000
318.520000
98.852000
237.468000
225.874000

10.370000
10.370000
10.420000
3.470000
17.230000
33.340000
7.090000
3.570000
2.758333
2.535000
19.110000
0.136800
0.114000
0.136800
0.136800
0.136800
0.136800
1.214000
0.950333
0.258000
0.258000
0.557333
0.541333
0.215000
0.215800
0.215800
0.258000
0.215000
0.649599
31.873333
11.903333
4.370714
3.960000
6.470333
7.764399
6.436000
7.723200
12.872000
160.920000
64.299333
58.287666
64.614000
237.468000
382.224000
197.890000
318.520000
98.852000
237.468000
225.874000

NR.CRT

50
51
52
53
54
55
56
57
58
59
60
61

COD ATC

L03AA02
L03AA02
L03AB04
L03AB04
L03AB05
L03AB05
L03AB10
L03AB10
L03AB10
L03AB10
L03AB11
N04BB01

DCI

FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
INTERFERONUM ALFA 2A****
INTERFERONUM ALFA 2A****
INTERFERONUM ALFA 2B****
INTERFERONUM ALFA 2B****
PEGINTERFERON ALFA-2B****
PEGINTERFERON ALFA-2B****
PEGINTERFERON ALFA-2B****
PEGINTERFERON ALFA-2B****
PEGINTERFERON ALFA-2A****
AMANTADINUM**

TARA
concentratie
DET. APP
DETINATOR APP
TEVAGRASTIM 48MUI/0,8ml SOL. INJ./PERF. 480mcg/0,8ml TEVA GENERICS GMBH GERMANIA
NIVESTIM 48 MU/0,5 ml
SOL. INJ./PERF. 480g/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE
ROFERON A
SOL. INJ.
3Mui/0,5ml ROCHE ROMANIA S.R.L. ROMANIA
ROFERON A
SOL. INJ.
9Mui/0,5ml ROCHE ROMANIA S.R.L. ROMANIA
Denumire Comerciala

INTRON A 18 milioane U.I.


INTRON A 30 milioane U.I.
PEGINTRON 100 mcg
PEGINTRON 120 mcg
PEGINTRON 150 mcg
PEGINTRON 50 mcg
PEGASYS 180 mcg/0,5ml
VIREGYT (R)- K

forma farm.

AMBALAJ
CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF.

S/P-RF/R

CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF.

P-RF

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

PULB. + SOLV. PT. SOL. INJ.

100mcg
120mcg
150mcg
50mcg

SP EUROPE
SP EUROPE
SP EUROPE
SP EUROPE
SP EUROPE
SP EUROPE

BELGIA
BELGIA
BELGIA
BELGIA
BELGIA
BELGIA

SOL. INJ. IN SERINGA PREUMPLUTA

180mcg/0,5ml

ROCHE REGISTRATION LTD.

MAREA BRITANIE

EGIS PHARMACEUTICALS P.L.C.

UNGARIA CUTIE X 1 FLAC. X 50 CAPS.

SOL. INJ. PEN MULTIDOZA

18 milioane U.I.

SOL. INJ. PEN MULTIDOZA

30 milioane U.I.

PULB. + SOLV. PT. SOL. INJ.


PULB. + SOLV. PT. SOL. INJ.
PULB. + SOLV. PT. SOL. INJ.

CAPS.

100mg

Prescriptie

CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML SOL. INJ. + 12 ACE + 12 TAMPOANE DEZINFECTANTE

P-RF/R

CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML + 12 ACE + 12 TAMPOANE DEZINFECTANTE

P-RF/R

CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV.

P-RF/R

CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV.

P-RF/R

CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV. P-RF/R


CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV.

P-RF/R

CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML + 1 AC

P-RF/R

P-6L

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ambal
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
aj
(RON)
(RON)
ADULTI
a) si f)

1
5
1
1
1
1
1
1
1
1
1
50

426.08 426.080000
368.704000
87.43 87.430000
183.22 183.220000
490.77 490.770000
772.57 772.570000
820.00 820.000000
969.85 969.850000

1,843.52

382.224000
368.704000
87.430000
183.220000
490.770000
772.570000
820.000000
969.850000

382.224000
368.704000
87.430000
183.220000
490.770000
772.570000
820.000000
969.850000

1,193.66 1,193.660000 1,193.660000 1,193.660000

445.72 445.720000 445.720000 445.720000


975.16 975.160000 975.160000 975.160000
17.07
0.341400
0.341400
0.341400

Tratamentul se iniiaz de ctre medicul in specialitatea gastroenterologie sau boli infectioase

8. Leucemii, limfoame, aplazie medulara, gamapatii monoclonale maligne, mieloproliferari cronice si tumori maligne, sindroame mielodisplazice - G10
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30

A04AA01
A04AA01
A04AA01
A04AA01
A04AA01
A04AA01
A04AA02
A04AA02
A04AA02
A04AA02
A04AA02
A04AA02
A04AA02
A04AA02
A04AA02
A04AA02
A04AA02
A04AA05
A04AA05

B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01

ONDANSETRONUM**
ONDANSETRONUM**
ONDANSETRONUM**
ONDANSETRONUM**
ONDANSETRONUM**
ONDANSETRONUM**
GRANISETRONUM**
GRANISETRONUM**
GRANISETRONUM**
GRANISETRONUM**
GRANISETRONUM**
GRANISETRONUM**
GRANISETRONUM**
GRANISETRONUM**
GRANISETRONUM**
GRANISETRONUM**
GRANISETRONUM**
PALONOSETRONUM**
PALONOSETRONUM**
EPOETINUM ALFA***
EPOETINUM ALFA***
EPOETINUM ALFA***
EPOETINUM ALFA***
EPOETINUM ALFA***
EPOETINUM ALFA***
EPOETINUM ALFA***
EPOETINUM ALFA***
EPOETINUM ALFA***
EPOETINUM BETA***
EPOETINUM BETA***

OSETRON 4 mg
OSETRON 8 mg

COMPR. FILM.
COMPR. FILM.
OSETRON 8 mg SOLUTIE INJECTABILA SOL. INJ.
OSETRON 4 mg SOLUTIE INJECTABILA SOL. INJ.
EMESET 8 mg/4 ml
SOL. INJ./PERF.
EMESET 4 mg/2 ml
SOL. INJ./PERF.
KYTRIL (R) 1 mg
COMPR. FILM.
GRANISETRON ACTAVIS 1 mg COMPR. FILM.
GRANEGIS 1 mg
COMPR. FILM.
GRANORED 1 mg
COMPR. FILM.
GRANORED 2 mg
COMPR. FILM.
GRANISETRON KABI 1 mg/ml
GRANISETRON KABI 1 mg/ml
GRANISETRON KABI 1 mg/ml
GRANISETRON TEVA 1mg/1ml
GRANISETRON TEVA 3mg/3ml

KYTRIL
ALOXI 500mcg
ALOXI
BINOCRIT 10000UI/1,0ml
BINOCRIT 1000UI/0,5ml
BINOCRIT 2000UI/1,0ml
BINOCRIT 30000UI/0,75ml
BINOCRIT 3000UI/0,3ml
EPREX 40000 UI/ml
BINOCRIT 40000 UI/1 ml
BINOCRIT 4000UI/0,4ml
BINOCRIT 5000UI/0,5ml

NEORECORMON 10000UI/0,6ml
NEORECORMON 2000UI/0,3ml

CONC. PT. SOL. INJ./PERF.


CONC. PT. SOL. INJ./PERF.
CONC. PT. SOL. INJ./PERF.
CONC. PT. SOL. PERF./INJ.
CONC. PT. SOL. PERF./INJ.

SOL. INJ.
CAPS. MOI
SOL. INJ.
SOL. INJ. IN SERINGA PREUMPLUTA

4mg
8mg
2mg/ml
2mg/ml
2mg/ml
2mg/ml
1mg
1mg
1mg
1mg
2mg
1mg/ml
1mg/ml
1mg/ml
1mg/1ml
3mg/3ml
3mg/3ml
500mcg
250 mcg/5ml

DR. REDDY'S LABORATORIES


DR. REDDY'S LABORATORIES
DR. REDDY'S LABORATORIES
DR. REDDY'S LABORATORIES

CIPLA (UK) LIMITED


CIPLA (UK) LIMITED

ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE X 1 BLIST. HARTIE/AL, PVDC/PVC X 10 COMPR. FILM.

P-RF

CUTIE X 1 BLIST. HARTIE/AL, PVDC/PVC X 10 COMPR. FILM.

P-RF

CUTIE X 1 BLIST. AL/PVC X 5 FIOLE X 4 ML SOL. INJ.

S/P-RF

CUTIE 1 BLIST. AL/PVC X 5 FIOLE X 2 ML SOL. INJ.

S/P-RF

MAREA BRITANIE

CUTIE X 5 FIOLE STICLA + INEL RUPERE X 4ML SOL. INJ. / PERF. S/P-RF

MAREA BRITANIE

CUTIE X 5 FIOLE STICLA + INEL RUPERE X 2ML SOL. INJ/ PERF. S/P-RF

ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF


ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE CU BLIST. PVC/AL X 10 COMPR. FILM. P-RF

UNGARIA CUTIE CU BLIST. PVC/AL X 10 COMPR. FILM.


DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM.
DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM.
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 10 FIOLE STICLA INCOLORA X 1 ML CONC. PT. SOL. INJ./PERF.
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 5 FIOLE STICLA INCOLORA X 3 ML CONC. PT. SOL. INJ./PERF.
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 10 FIOLE STICLA INCOLORA X 3 ML CONC. PT. SOL. INJ./PERF.
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 1 ML CONC. PT. SOL. PERF./INJ.
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 3 ML CONC. PT. SOL. PERF./INJ.
ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FIOLA X 3 ML SOL. INJ.
EGIS PHARMACEUTICALS P.L.C.

HELSINN BIREX PHARMACEUTICALS LTD.


HELSINN BIREX PHARMACEUTICALS LTD.

10000UI/1,0ml SANDOZ GMBH

IRLANDA
IRLANDA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA

P-RF

PRF
PRF
S/P-RF
S/P-RF
S/P-RF

S
S
S

CUTIE X BLISTER DIN POLIAMIDA/AL/PVC X 1 CAPSULA MOALE

PRF

CUTIE X 1 FLAC. DIN STICLA X 5 ML SOL. INJ.

P-RF

CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ.

S/P-RF/R

CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ.

S/P-RF/R

CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ.

S/P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

1000UI/0,5ml SANDOZ GMBH


2000UI/1,0ml SANDOZ GMBH
30000UI/0,75ml SANDOZ GMBH
3000UI/0,3ml SANDOZ GMBH
40 000UI/ml JOHNSON & JOHNSON D.O.O.
40000 UI/1 ml SANDOZ GMBH
4000UI/0,4ml SANDOZ GMBH
5000UI/0,5ml SANDOZ GMBH

SOL. INJ. IN SERINGA PREUMPLUTA

10000UI/0,6ml

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 6 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ. + 6 ACE

S/P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

2000UI/0,3ml

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. X 6 ACE

S/P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA


SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA

Pagina 10 din 42

SLOVENIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,75ML SOL. INJ.

P-RF/R

CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ.

S/P-RF/R

CUTIE CU 1 SERINGA PREUMPLUTA X 1 ML SOL. INJ.

S/P-RF

CUTIE X 1 SERINGA PREUMPLUTA X 1ML SOL. INJ.

P-RF/R

AUSTRIA
AUSTRIA
AUSTRIA

CUTIE X 6 SERINGI PREUMPLUTE X 0,4ML SOL. INJ.

S/P-RF/R

CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ.

S/P-RF/R

10
10
5
5
5
5
10
10
10
10
10
10
5
10
5
5
1
1
1
6
6
6
1
6
1
1
6
6
6
6

19.04
1.904000
1.904000
33.31
3.331000
3.331000
43.75
8.750000
8.750000
23.79
4.758000
4.758000
43.73
8.746000
8.746000
4.758000
4.758000
23.79
287.59 28.759000 17.835600
148.63 14.863000 14.863000
148.63 14.863000 14.863000
178.35 17.835000 17.835000
271.77 27.177000 27.177000
135.28 13.528000 13.528000
199.30 39.860000 39.860000
394.03 39.403000 39.403000
71.52 14.304000 14.304000
199.86 39.972000 39.972000
66.02 66.020000 47.283600
403.43 403.430000 403.430000
381.18 381.180000 381.180000
1,728.54 288.090000 288.090000
218.42 36.403333 36.403333
425.83 70.971666 70.971666
788.23 788.230000 788.230000
603.73 100.621666 100.621666

1.904000
3.331000
8.750000
4.758000
8.746000
4.758000
17.835600
14.863000
14.863000
17.835000
27.177000
13.528000
39.860000
39.403000
14.304000
39.972000
47.283600
403.430000
381.180000
288.090000
36.403333
70.971666
788.230000
100.621666

1,353.47 1,353.470000 1,193.316000 1,193.316000

994.43 994.430000 994.430000 994.430000


781.57 130.261666 130.261666 130.261666
959.37 159.895000 159.895000 159.895000
2,346.60 391.100000 391.100000 391.100000
526.27 87.711666 87.711666 87.711666

NR.CRT

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

COD ATC

B03XA01
B03XA01
B03XA01
B03XA01
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
G03HA01

H02AB02
H02AB02
H02AB02
H02AB02
H02AB02

J02AC02
J02AC02
J02AC02
J02AC02
J02AC02
J02AC02
J02AC02
J02AC03
J02AC03
J02AC03
J02AC03
J02AC04
J02AC04

J02AX04
J02AX04
L01XX35
L01XX35
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
N02AA01
N02AA01
N02AA01
N02AA01
N02AA01

DCI

EPOETINUM BETA***
EPOETINUM BETA***
EPOETINUM BETA***
EPOETINUM BETA***
DARBEPOETINUM ALFA***
DARBEPOETINUM ALFA***
DARBEPOETINUM ALFA***
DARBEPOETINUM ALFA***
DARBEPOETINUM ALFA***
DARBEPOETINUM ALFA***
DARBEPOETINUM ALFA***
DARBEPOETINUM ALFA***
DARBEPOETINUM ALFA***
DARBEPOETINUM ALFA***
DARBEPOETINUM ALFA***
CYPROTERONUM**
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
POSACONAZOLUM**
POSACONAZOLUM**
CASPOFUNGINUM**
CASPOFUNGINUM**
ANAGRELIDUM***
ANAGRELIDUM***
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
MORPHYNUM
MORPHYNUM
MORPHYNUM
MORPHYNUM
MORPHYNUM

Denumire Comerciala

forma farm.

NEORECORMON 30000UI/0,6ml
NEORECORMON 4000UI/0,3ml
NEORECORMON 5000UI/0,3ml

SOL. INJ. IN SERINGA PREUMPLUTA

NEORECORMON 500UI/0,3ml

SOL. INJ. IN SERINGA PREUMPLUTA

ARANESP 100mcg/0,5ml
ARANESP 10mcg/0,4ml
ARANESP 150mcg/0,3ml
ARANESP 20mcg/0,5ml
ARANESP 300mcg/0,6ml
ARANESP 30mcg/0,3ml
ARANESP 40mcg/0,4ml
ARANESP 500mcg/ml
ARANESP 50mcg/0,5ml
ARANESP 60mcg/0,3ml
ARANESP 80mcg/0,4ml
ANDROCUR
DEXAMED

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA


SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA

COMPR.
COMPR.
DEXAMETHASONE SODIUM PHOSPHATE SOL. INJ.
DEXAMETHASONE SODIUM PHOSPHATE SOL. INJ.
DEXAMED
SOL. INJ.
DEXAMED
SOL. INJ.
ORUNGAL
CAPS.
ITRACONAZOL 100 mg
CAPS.
ITRACONAZOL 100 mg
CAPS.
OMICRAL 100 mg
CAPS.
SPORILIN 100 mg
CAPS.
ITRACONAZOL LPH 100 mg CAPS.
MICOGAL 100 mg
CAPS.
VFEND 200mg
COMPR. FILM.
VFEND 50mg
COMPR. FILM.
VFEND 200mg
PULB. PT. SOL. PERF.
VFEND 40 mg/ml
PULB. PT. SUSP. ORALA
NOXAFIL SP 40mg/ml
SUSP. ORALA
NOXAFIL SP 40mg/ml
SUSP. ORALA
CANCIDAS 50 mg
PULB. PT. CONC. PT. SOL. PERF.
CANCIDAS 70 mg
PULB. PT. CONC. PT. SOL. PERF.
THROMBOREDUCTIN
CAPS.
THROMBOREDUCTIN
CAPS.
EQUORAL (R) 100 mg
CAPS. MOI
SANDIMMUN NEORAL (R) CAPS. MOI
EQUORAL (R) 25 mg
CAPS. MOI
SANDIMMUN NEORAL (R) CAPS. MOI
EQUORAL (R) 50 mg
CAPS. MOI
CICLORAL 50 mg
CAPS. MOI
SEVREDOL 10 mg
COMPR. FILM.
SEVREDOL 20 mg
COMPR. FILM.
MST CONTINUS 100 mg
COMPR. FILM. ELIB. MODIF.
MST CONTINUS 10 mg
COMPR. FILM. ELIB. MODIF.
MST CONTINUS 200 mg
COMPR. FILM. ELIB. MODIF.

concentratie

DETINATOR APP

30000 UI/0,6ml ROCHE REGISTRATION LTD.

TARA
DET. APP

AMBALAJ

Prescriptie

MAREA BRITANIE

CUTIE X 1 SERINGA PRE-UMPLUTA X 0,6 ML + 1 AC

S/P-RF/R

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE

S/P-RF/R

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE

S/P-RF/R

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ. + 6 ACE

S/P-RF/R

100mcg/0,5ml AMGEN EUROPE BV OLANDA

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML

P-RF/R

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML

P-RF/R

4000UI/0,3ml
5000UI/0,3ml
500UI/0,3ml

10mcg/0,4ml AMGEN EUROPE BV


150mcg/0,3ml AMGEN EUROPE BV
20mcg/0,5ml AMGEN EUROPE BV
300mcg/0,6ml AMGEN EUROPE BV
30mcg/0,3ml AMGEN EUROPE BV
40mcg/0,4ml AMGEN EUROPE BV
500mcg/ml AMGEN EUROPE BV
50mcg/0,5ml AMGEN EUROPE BV
60mcg/0,3ml AMGEN EUROPE BV
80mcg/0,4ml AMGEN EUROPE BV
50mg
BAYER SCHERING PHARMA AG
0,5mg
CN UNIFARM S.A.
8mg
E.I.P.I.CO. MED S.R.L.
8mg
E.I.P.I.CO. MED S.R.L.
8mg/2ml
MEDOCHEMIE LTD.
8mg/2ml
MEDOCHEMIE LTD.
100mg
JANSSEN PHARMACEUTICA N.V.
100mg
SLAVIA PHARM SRL
100mg
ARENA GROUP S.A.
100mg
MEDICO UNO PHARMACEUTICAL SRL
100mg
GEDEON RICHTER ROMANIA SA
100mg
LABORMED PHARMA S.A.
100mg
ROMPHARM COMPANY SRL
200mg
PFIZER LIMITED
50mg
PFIZER LIMITED
200mg
PFIZER LIMITED
40mg/ml
PFIZER LIMITED
40mg/ml
SP EUROPE
40mg/ml
MERCK SHARP & DOHME
50mg
MERCK SHARP & DOHME
70mg
MERCK SHARP & DOHME
0,5mg
0,5mg
100mg
IVAX - PHARMACEUTICALS S.R.O.
25mg
NOVARTIS PHARMA GMBH
25mg
IVAX - PHARMACEUTICALS S.R.O.
50mg
NOVARTIS PHARMA GMBH
50mg
IVAX - PHARMACEUTICALS S.R.O.
50mg
HEXAL AG
10mg
MUNDIPHARMA GMBH
20mg
MUNDIPHARMA GMBH
100mg
MUNDIPHARMA GES.M.B.H
10mg
MUNDIPHARMA GES.M.B.H
200mg
MUNDIPHARMA GES.M.B.H
ORPHA-DEVEL HANDELS UND VERTRIEBS GMBH

ORPHA-DEVEL HANDELS UND VERTRIEBS GMBH

Pagina 11 din 42

OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA

GERMANIA

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML

P-RF/R

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML

P-RF/R

CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 0,6 ML

P-RF/R

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML

P-RF/R

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML

P-RF/R

CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 1 ML

P-RF/R

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML

P-RF/R

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML

P-RF/R

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML

P-RF/R

CUTIE X 1 FLAC. X 50 COMPR.

P-RF

CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.

P-RF/S

ROMANIA CUTIE CU 10 BLISTERE X 10 COMPRIMATE PRF


ROMANIA CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. P-RF
ROMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. P-RF

CIPRU
CIPRU
BELGIA

CUTIE X 10 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. P-RF

CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 5 CAPS. P-RF

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE X 3 BLIST. AL/PVC X 5 CAPS.


CUTIE X 3 BLIST. AL/PVC X 5 CAPS.
CUTIE X 3 BLIST. AL/AL X 5 CAPS.
CUTIE X 3 BLIST. AL/AL X 5 CAPS.
CUTIE X 3 BLIST. PVC/AL X 5 CAPS.
CUTIE X 3 BLIST. PVC/AL X 5 CAPS.

MAREA BRITANIE

CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF

MAREA BRITANIE

CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL) P-RF

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

CUTIE X 1 FLAC. UNIDOZA X 30ML

P-RF

CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA

P-RF

MAREA BRITANIE

CUTIE X 1 FLAC. X 105ML SUSP. ORALA


CUTIE X 1 FLAC. X 105ML SUSP. ORALA

P-RF/R

MAREA BRITANIE

CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF.

MAREA BRITANIE

CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF.

MAREA BRITANIE
MAREA BRITANIE

BELGIA

AUSTRIA CUTIE X 1 FLAC. DIN PE X 42 CAPS.


AUSTRIA CUTIE X 1 FLAC. DIN PE X 100 CAPS.
CEHIA
CUTIE X 5 BLIST. X 10 CAPS. MOI
GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI
CEHIA
CUTIE X 5 BLIST. X 10 CAPS. MOI
GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI
CEHIA
CUTIE X 5 BLIST. X 10 CAPS. MOI
GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI

AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA

P-RF/R

S
S
P-RF
P-RF/S
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF

CUTIE X 4 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-TS


CUTIE X 4 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-TS
CUTIE X 2 BLIST. PVC-PVDC/AL X 30 COMPR. FILM. CU ELIB. MOD.

P-TS

CUTIE X 2 BLIST. PVC-PVDC/AL X 30 COMPR. FILM. CU ELIB. MOD.

P-TS

CUTIE X 4 BLIST. PVC-PVDC/AL X 15 COMPR. FILM. CU ELIB. MOD.

P-TS

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ambal
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
aj
(RON)
(RON)
ADULTI
a) si f)

1
6
6
6
4
4
4
4
1
4
4
1
4
4
4
50
100
100
5
100
10
15
15
15
15
15
15
15
28
28
1
1
1
1
1
1
42
100
50
50
50
50
50
50
56
56
60
60
60

1,174.53 1,174.530000 1,174.530000 1,174.530000

981.05 163.508333 163.508333 163.508333


201.383333 201.383333 201.383333
143.93 23.988333 23.988333 23.988333
3,173.01 793.252500 793.252500 793.252500
391.56 97.890000 97.890000 97.890000

1,208.30

4,708.35 1,177.087500 1,177.087500 1,177.087500

702.64 175.660000 175.660000 175.660000

2,208.61 2,208.610000 2,208.610000 2,208.610000


1,009.47
1,318.95

252.367500 252.367500 252.367500


329.737500 329.737500 329.737500

3,633.81 3,633.810000 3,633.810000 3,633.810000


1,626.76
1,937.17
2,555.95

162.33
18.38
123.66
6.98
92.18
10.39
76.92
52.56
52.56
52.56
52.56
52.56
52.55

3,917.72
1,032.33

537.45

406.690000
484.292500
638.987500
3.246600
0.183800
1.236600
1.396000
0.921800
1.039000
5.128000
3.504000
3.504000
3.504000
3.504000
3.504000
3.503333
139.918571
36.868928
537.450000

406.690000
484.292500
638.987500
3.246600
0.183800
1.106160
1.106160
0.921800
1.039000
4.203999
3.504000
3.504000
3.504000
3.504000
3.504000
3.503333
139.918571
36.868928
537.450000

406.690000
484.292500
638.987500
3.246600
0.183800
1.106160
1.106160
0.921800
1.039000
4.203999
3.504000
3.504000
3.504000
3.504000
3.504000
3.503333
139.918571
36.868928
537.450000

2,439.99 2,439.990000 2,439.990000 2,439.990000


2,750.28 2,750.280000 2,750.280000 2,750.280000
2,750.28 2,750.280000 2,750.280000 2,750.280000
1,348.76 1,348.760000 1,348.760000 1,348.760000
1,738.70 1,738.700000 1,738.700000 1,738.700000

875.92

1,655.48

471.31
137.32
94.13
292.16
189.90
305.21
46.96
67.34
248.14
46.12
422.55

20.855238
16.554800
9.426200
2.746400
1.882600
5.843200
3.798000
6.104200
0.838571
1.202500
4.135666
0.768666
7.042500

19.865760
16.554800
9.426200
2.259120
1.882600
4.557600
3.798000
4.557600
0.838571
1.202500
3.401599
0.768666
7.042500

19.865760
16.554800
9.426200
2.259120
1.882600
4.557600
3.798000
4.557600
0.838571
1.202500
3.401599
0.768666
7.042500

NR.CRT

80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99

COD ATC

N02AA01
N02AA01
N02AA01
N02AA01
N02AA01
N02AA01
N02AA05
N02AA05
N02AA05
N02AA05
N02AA08
N02AA08
N02AA08
N02AB02
N02AB03
N02AB03
N02AB03
N02AB03
N02AB03
N02AB03

100 N02AB03
101 N02AB03
102 N02AB03
103 N02AB03
104 N02AB03
105 N02AB03
106 N02AB03
107 N02AB03
108 N02AB03
109 N02AX02
110 N02AX02
111 N02AX02
112 N02AX02
113 N02AX02
114 N02AX02
115 N02AX02
116 N02AX02
117 N02AX02
118 N02AX02
119 N02AX02
120 N02AX02
121 N02AX02
122 N02AX02
123 N02AX02
124 N02AX02
125 N02AX02
126 N02AX02
127 N02AX02
128 N02AX02

DCI

MORPHYNUM
MORPHYNUM
MORPHYNUM
MORPHYNUM
MORPHYNUM
MORPHYNUM
OXYCODONUM
OXYCODONUM
OXYCODONUM
OXYCODONUM
DIHYDROCODEINUM
DIHYDROCODEINUM
DIHYDROCODEINUM
PETHIDINUM
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM

Denumire Comerciala

MST CONTINUS 30 mg
MST CONTINUS 60 mg

VENDAL (R) RETARD 100 mg

forma farm.
COMPR. FILM. ELIB. MODIF.
COMPR. FILM. ELIB. MODIF.

COMPR. FILM. ELIB. PREL.

VENDAL (R) RETARD 30 mg COMPR. FILM. ELIB. PREL.


VENDAL (R) RETARD 60 mg COMPR. FILM. ELIB. PREL.
MORFINA 20 mg/ml
SOL. INJ.
OXYCONTIN (R) 10 mg
COMPR. FILM. ELIB. MODIF.
OXYCONTIN (R) 20 mg
COMPR. FILM. ELIB. MODIF.
OXYCONTIN (R) 40 mg
COMPR. FILM. ELIB. MODIF.
OXYCONTIN (R) 80 mg
COMPR. FILM. ELIB. MODIF.
DHC CONTINUS 120 mg
COMPR. ELIB. PREL.
DHC CONTINUS 60 mg
COMPR. ELIB. PREL.
DHC CONTINUS 90 mg
COMPR. ELIB. PREL.
MIALGIN (R) 100 mg/2 ml
SOL. INJ.

concentratie

30mg
60mg
100mg
30mg
60mg
20mg/ml
10 mg
20 mg
40 mg
80mg
120mg
60mg
90mg
50mg/ml

FENTANYL SANDOZ MATRIX 75mcg/h PLASTURE TRANSDERM. 17,34mg/31,50cmp


FENTANYL SANDOZ MATRIX 100mcg/h PLASTURE TRANSDERM. 23,12mg/42.00cmp

FENTANYL TTS SANDOZ 100 mcg/h

PLASTURE TRANSDERMIC

100mcg/h

DETINATOR APP
MUNDIPHARMA GES.M.B.H
MUNDIPHARMA GES.M.B.H
LANNACHER HEILMITTEL GES.M.B.H.
LANNACHER HEILMITTEL GES.M.B.H.
LANNACHER HEILMITTEL GES.M.B.H.

ZENTIVA S.A.
MUNDIPHARMA
MUNDIPHARMA
MUNDIPHARMA
MUNDIPHARMA
MUNDIPHARMA
MUNDIPHARMA
MUNDIPHARMA

DOLFORIN 100 g/ORA

PLASTURE TRANSDERMIC

100g/ora

GMBH
GMBH
GMBH
GMBH
GMBH
GMBH
GMBH

ZENTIVA SA
SANDOZ S.R.L.
SANDOZ S.R.L.
SANDOZ S.R.L.

GEDEON RICHTER ROMANIA SA

SANDOZ S.R.L.
SANDOZ S.R.L.

FENTANYL TTS SANDOZ 25 mcg/h

PLASTURE TRANSDERMIC

25mcg/h

FENTANYL ACTAVIS 25micrograme/h

PLASTURE TRANSDERMIC

DOLFORIN 25 g/ORA

25micrograme/h ACTAVIS GROUP PTC EHF.

PLASTURE TRANSDERMIC

25g/ora

FENTANYL SANDOZ MATRIX 25mcg/h PLASTURE TRANSDERMIC 5,78mg/10,5cmp

GEDEON RICHTER ROMANIA SA

SANDOZ S.R.L.
SANDOZ S.R.L.

FENTANYL TTS SANDOZ 50 mcg/h

PLASTURE TRANSDERMIC

50mcg/h

FENTANYL ACTAVIS 50micrograme/h

PLASTURE TRANSDERMIC

50micrograme/h ACTAVIS GROUP PTC EHF.

DOLFORIN 50 g/ORA

PLASTURE TRANSDERMIC

FENTANYL TTS SANDOZ 75 mcg/h

PLASTURE TRANSDERMIC

DOLFORIN 75 g/ORA
TRALGIT 50
TRAMADOL
TRAMADOL AL 50
TRAMADOL AL 50
MABRON 50 mg
K-ALMA (R)
TRAMACALM
TRAMADOL LPH 50 mg
URGENDOL
TRAMADOL ARENA
TRAMAL UNO 100 mg
TRAMAL UNO 100 mg
TRAMAL UNO 150 mg
TRAMAL UNO 150 mg
TRAMAL UNO 150 mg
TRAMAL UNO 200 mg
TRAMAG 50
TRAMADOL EEL
TRAMADOL 50 mg
TRAMADOLOR (R) 100 ID

PLASTURE TRANSDERMIC

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.

COMPR.
COMPR.
COMPR.

COMPR. ELIB. MODIF.

50g/ora
75mcg/h
75g/ora
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
100mg
100mg
150mg
150mg
150mg
200mg
50mg
50mg
50mg
100mg

AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA

AMBALAJ

GEDEON RICHTER ROMANIA SA

SANDOZ S.R.L.
GEDEON RICHTER ROMANIA SA

AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA

P-TS

CUTIE X 2 BLIST. PVC-PVDC/AL X 30 COMPR. FILM. CU ELIB. MOD.

P-TS

CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL.

P-TS

CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL.

P-TS

CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL.

P-TS

ROMANIA
ROMANIA
ROMANIA

ISLANDA

ROMANIA
ROMANIA
ROMANIA

ISLANDA

ROMANIA
ROMANIA
ROMANIA

P-TS

CUTIE X 1 FLAC. X 56 COMPR. FILM. ELIB. MODIF.

P-TS

CUTIE X 1 FLAC. X 56 COMPR. FILM. ELIB. MODIF.

P-TS

CUTIE X 1 FLAC. X 56 COMPR. FILM. ELIB. MODIF.

P-TS

CUTIE X 1 FLAC. X 56 COMPR. FILM. ELIB. MODIF.

P-TS

CUTIE X 1 FLAC. DIN PP X 56 COMPR. ELIB. PREL. P-RF


CUTIE X 1 FLAC. DIN PP X 56 COMPR. ELIB. PREL. P-RF
CUTIE X 1 FLAC. DIN PP X 56 COMPR. ELIB. PREL. P-RF

ROMANIA CUTIE X 5 FIOLE DIN STICLA X 2 ML


ROMANIA CUTIE X 5 PLICURI MULTISTRAT X 1 PLASTURE TRANSDERMIC
ROMANIA CUTIE X 5 PLICURI MULTISTRAT X 1 PLASTURE TRANSDERMIC
ROMANIA CUTIE X 5 PLIC DIN HARTIE/PE/AL/PE X 1 PLASTURE TRANSDERMIC

ISLANDA

Prescriptie

CUTIE X 2 BLIST. PVC-PVDC/AL X 30 COMPR. FILM. CU ELIB. MOD.

ROMANIA CUTIE X 5 FIOLE X 1 ML

FENTANYL ACTAVIS 100micrograme/h PLASTURE TRANSDERMIC 100micrograme/h ACTAVIS GROUP PTC EHF.
FENTANYL SANDOZ MATRIX 50mcg/h PLASTURE TRANSDERMIC 11,56mg/21,00cmp

TARA
DET. APP

P-TS
P-TS
P-TS
P-TS

CUTIE X 5 PLICURI MULTISTRAT DIN HARTIE -PEJD- AL- SURLYN X 1 PLASTURE TRANSDERMIC

P-TS

CUTIE X 5 PLICURI DIN PES-AL-PP X 1 PLASTURE TRANSDERMIC

P-TS

CUTIE X 5 PLICURI MULTISTRAT X 1 PLASTURE TRANSDERMIC

P-TS

CUTIE X 5 PLIC DIN HARTIE/PE/AL/PE X 1 PLASTURE TRANSDERMIC

P-TS

CUTIE X 5 PLICURI MULTISTRAT DIN HARTIE -PEJD- AL- SURLYN X 1 PLASTURE TRANSDERMIC

P-TS

CUTIE X 5 PLICURI DIN PES-AL-PP X 1 PLASTURE TRANSDERMIC

P-TS

CUTIE X 5 PLICURI MULTISTRAT X 1 PLASTURE TRANSDERMIC

P-TS

CUTIE X 5 PLIC DIN HARTIE/PE/AL/PE X 1 PLASTURE TRANSDERMIC

P-TS

CUTIE X 5 PLICURI MULTISTRAT DIN HARTIE -PEJD- AL- SURLYN X 1 PLASTURE TRANSDERMIC

P-TS

CUTIE X 5 PLICURI DIN PES-AL-PP X 1 PLASTURE TRANSDERMIC

P-TS

CUTIE X 5 PLIC DIN HARTIE/PE/AL/PE X 1 PLASTURE TRANSDERMIC

P-TS

CUTIE X 5 PLICURI DIN PES-AL-PP X 1 PLASTURE TRANSDERMIC

P-TS

ZENTIVA A.S.
KRKA D.D.

SLOVACIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.


SLOVENIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P-RF

ALIUD PHARMA GMBH & CO.KG

GERMANIA

P-RF

P-RF

CUTIE X 3 BLIST. X 10 CAPS.


ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 1 BLIST. X 10 CAPS.
MEDOCHEMIE LTD. CIPRU
CUTIE X 1 BLIST. AL/PVC X 10 CAPS.
ANTIBIOTICE SA
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
AC HELCOR SRL
ROMANIA CUTIE X 1 BLIST. PVC/AL X 10 CAPS.

P-RF

CUTIE X 1 BLIST. X 10 CAPS.


ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P-RF

P-RF
P-RF
P-RF

LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF

MEDICAROM GROUP SRL ROMANIA

GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH

MAGISTRA C & C
BIO EEL SRL

OZONE LABORATORIES PHARMA S.A.

HEXAL AG

Pagina 12 din 42

P-RF

GERMANIA

CUTIE X BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL.

P-RF

GERMANIA

CUTIE X BLIST. PVC-PVDC/AL X 30 CAPS. CU ELIB. PREL.

P-RF

GERMANIA

CUTIE X BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL.

P-RF

GERMANIA

CUTIE X BLIST. PVC-PVDC/AL X 20 CAPS. CU ELIB. PREL.

P-RF

GERMANIA

CUTIE X BLIST. PVC-PVDC/AL X 30 CAPS. CU ELIB. PREL.

P-RF

GERMANIA

CUTIE X BLIST. PVC-PVDC/AL X 30 CAPS. CU ELIB. PREL.

P-RF

ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-RF
P-RF
P-RF

GERMANIA CUTIE X 1 BLIST. X 10 COMPR. ELIB. MODIF. P-RF

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ambal
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
aj
(RON)
(RON)
ADULTI
a) si f)

60
60
30
30
30
5
56
56
56
56
56
56
56
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
20
20
30
10
10
20
10
20
10
20
10
30
10
20
30
30
20
20
20
10

76.46
154.65
85.04
27.06
55.81
8.29
116.83
214.65
395.50
652.80
128.54
29.34
101.69
7.80
154.58
191.24
191.24
190.93
191.24
120.78
71.80
69.07
69.71
71.80
120.78
120.72
120.78
154.58
154.58
5.82
5.82
11.53
3.85
3.85
7.67
3.85
7.67
3.82
9.00
17.38
47.39
26.09
48.58
68.71
78.13
7.67
7.67
7.67
6.30

1.274333
2.577500
2.834666
0.902000
1.860333
1.658000
2.086250
3.833035
7.062500
11.657142
2.295357
0.523928
1.815892
1.560000
30.916000
38.248000
38.248000
38.186000
38.248000
24.156000
14.360000
13.814000
13.942000
14.360000
24.156000
24.144000
24.156000
30.916000
30.916000
0.291000
0.291000
0.384333
0.385000
0.385000
0.383500
0.385000
0.383500
0.382000
0.450000
1.738000
1.579666
2.609000
2.429000
2.290333
2.604333
0.383500
0.383500
0.383500
0.630000

1.082400
2.232399
2.834666
0.902000
1.860333
1.658000
2.086250
3.833035
7.062500
11.657142
2.295357
0.523928
1.815892
1.560000
30.916000
38.248000
38.248000
38.186000
38.248000
24.156000
14.360000
13.814000
13.942000
14.360000
24.156000
24.144000
24.156000
30.916000
30.916000
0.291000
0.291000
0.349200
0.349200
0.349200
0.349200
0.349200
0.349200
0.349200
0.349200
0.755599
0.755599
1.342800
1.342800
1.342800
2.127999
0.349200
0.349200
0.349200
0.630000

1.082400
2.232399
2.834666
0.902000
1.860333
1.658000
2.086250
3.833035
7.062500
11.657142
2.295357
0.523928
1.815892
1.560000
30.916000
38.248000
38.248000
38.186000
38.248000
24.156000
14.360000
13.814000
13.942000
14.360000
24.156000
24.144000
24.156000
30.916000
30.916000
0.291000
0.291000
0.349200
0.349200
0.349200
0.349200
0.349200
0.349200
0.349200
0.349200
0.755599
0.755599
1.342800
1.342800
1.342800
2.127999
0.349200
0.349200
0.349200
0.630000

NR.CRT

COD ATC

129 N02AX02
130 N02AX02
131 N02AX02
132 N02AX02
133 N02AX02
134 N02AX02
135 N02AX02
136 N02AX02
137 N02AX02
138 N02AX02
139 N02AX02
140 N02AX02
141 N02AX02
142 N02AX02
143 N02AX02
144 N02AX02
145 N02AX02
146 N02AX02
147 N02AX02
148 N02AX02
149 N02AX02
150 N02AX02
151 N07BC02
152 N07BC02
153 R05DA04
154 R05DA04
155 R05DA04
156 R05DA04
157 R05DA04
158 R05DA04
159 R05DA04
160 V03AC01
161 V03AC03
162 V03AC03
163 V03AC03

DCI

TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
METHADONUM
METHADONUM
CODEINUM
CODEINUM
CODEINUM
CODEINUM
CODEINUM
CODEINUM
CODEINUM
DEFEROXAMINUM**3)
DEFERASIROXUM***
DEFERASIROXUM***
DEFERASIROXUM***

forma farm.

Denumire Comerciala

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
TRAMAL RETARD 150 mg
TRAMADOL RETARD 150 mg
TRAMAL RETARD 200 mg
TRAMADOL RETARD 200 mg
TRAMADOL AL PICATURI
MABRON
MABRON
TRALGIT 100
TRAMADOL
URGENDOL
TRAMADOL
URGENDOL
TRAMADOL
SINTALGON 2,5 mg
METADON BIOEEL 5 mg
FOSFAT DE CODEINA 15 mg
CODEINA FOSFORICA
FARMACOD
CODEINA FOSFAT

concentratie

COMPR. FILM. ELIB. PREL.

100mg
100mg
100mg
100mg
150mg
150mg
200mg
50mg
100mg
150mg
150mg
200mg
200mg

PIC. ORALE, SOL.

FARA CONCENTRATIE

COMPR. ELIB. PREL.


COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.

COMPR. FILM.

COMPR. FILM. ELIB. PREL.


COMPR. FILM. ELIB. PREL.
COMPR. FILM. ELIB. PREL.
COMPR. FILM. ELIB. PREL.

SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SUPOZ.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
CODEINA FOSFAT LPH 15 mg COMPR.
CODEINA FOSFAT MCC 15 mg COMPR.
CODEINA FOSFAT 15 mg
COMPR.
DESFERAL
LIOF. PT. SOL. INJ./PERF.
EXJADE 125mg
COMPR. DISP.
EXJADE 250mg
COMPR. DISP.
EXJADE 500mg
COMPR. DISP.

100mg
100mg
100mg/2ml
50mg/ml
50mg/ml
50mg/ml
50mg/ml
100mg
2,5mg
5mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
500mg
125mg
250mg
500mg

DETINATOR APP

KRKA D.D.
ZENTIVA AS
ZENTIVA AS
ZENTIVA AS
ZENTIVA AS
ZENTIVA AS
ZENTIVA AS

LANNACHER HEILMITTEL GES.M.B.H.

TARA
DET. APP
AMBALAJ
SLOVENIA CUTIE X 3 BLIST. X 10 COMPR. ELIB. PREL.
SLOVACIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. ELIB. PREL.
SLOVACIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. ELIB. PREL.
SLOVACIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL.
SLOVACIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL.
SLOVACIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. ELIB. PREL.
SLOVACIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. ELIB. PREL.

AUSTRIA

Prescriptie

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.FILM. P-RF

GRUNENTHAL GMBH GERMANIA


GRUNENTHAL GMBH GERMANIA

CUTIE X 1 BLIST. AL/PVDC X 10 COMPR. FILM. CU ELIB. PREL.

P-RF

CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR.FILM. CU ELIB. PREL.

P-RF

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL.

P-RF

GRUNENTHAL GMBH GERMANIA

CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR.FILM. ELIB. PREL.

P-RF

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL.

P-RF

ALIUD PHARMA GMBH GERMANIA

CUTIE X 1 FLACON DIN STICLA BRUNA X 10 ML PIC. ORALE, SOL.

P-RF

CUTIE X 5 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.

S/P-RF

CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.

S/P-RF

MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
ZENTIVA A.S.
KRKA D.D.

CIPRU
CIPRU

SLOVACIA CUTIE X 5 FIOLE X 2 ML SOL. INJ.


SLOVENIA CUTIE X 5 FIOLE X 1 ML

KRKA D.D.

SLOVENIA CUTIE X 5 FIOLE X 2 ML

MEDICAROM GROUP SRL ROMANIA

CUTIE X 5 FIOLE X 1 ML

CUTIE X 5 FIOLE X 2 ML
SLOVENIA CUTIE X 1 BLIST. X 5 SUPOZ.

MEDICAROM GROUP SRL ROMANIA

KRKA D.D.
ZENTIVA S.A.
BIO EEL SRL
SINTOFARM SA
BIO EEL SRL
FARMACOM SA
SLAVIA PHARM SRL

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
LABORMED PHARMA SA ROMANIA
MAGISTRA C & C SRL ROMANIA
OZONE LABORATORIES PHARMA S.A. ROMANIA

S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF

P-RF

CUTIE X 2 BLIST. AL/PVC X 25 COMPR.

P-TS

CUTIE X 5 BLIST. AL/PVC-PVDC X 10 COMPR.

P-TS

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.


CUTIE X 1 BLIST. AL/PVC X 25 COMPR.

P-RF

CUTIE X 2 BLIST. X 10 COMPR.

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


CUTIE X 1 BLIST. AL/PVC X 20 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 10 FLAC. DIN STICLA X 500 MG LIOF. PT. SOL. INJ./PERF.

S/P-RF

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 28 COMPR. DISP.(BLIST. PVC/PE/PVDC/AL)

P-RF/R

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL)

P-RF/R

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL)

P-RF/R

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ambal
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
aj
(RON)
(RON)
ADULTI
a) si f)

30
50
10
30
30
10
10
30
10
10
30
10
30
1
5
100
5
5
5
5
5
5
50
50
30
25
20
20
20
20
20
10
28
28
28

18.91
32.56
6.30
18.89
33.57
21.05
27.50
10.65
9.69
22.03
41.57
28.18
53.20
5.04
9.83
134.56
12.28
4.93
4.90
13.10
7.67
5.58
24.41
15.72
6.01
5.13
3.02
3.02
3.19
3.65
2.96
135.07
787.57

0.630333
0.630333
0.630333
0.651200
0.651200
0.651200
0.630000
0.630000
0.630000
0.629666
0.629666
0.629666
1.119000
1.119000
1.119000
2.105000
1.342800
1.342800
2.750000
2.127999
2.127999
0.355000
0.349200
0.349200
0.755599
0.969000
0.755599
2.203000
1.342800
1.342800
1.385666
1.342800
1.342800
2.818000
2.127999
2.127999
1.773333
1.773333
1.773333
5.040000
5.040000
5.040000
1.966000
1.614720
1.614720
1.345600
1.345600
1.345600
2.456000
1.614720
1.614720
0.986000
0.986000
0.986000
0.980000
0.980000
0.980000
2.620000
1.614720
1.614720
1.534000
1.534000
1.534000
1.116000
1.116000
1.116000
0.488200
0.488200
0.488200
0.314400
0.314400
0.314400
0.200333
0.177600
0.177600
0.205200
0.177600
0.177600
0.151000
0.151000
0.151000
0.151000
0.151000
0.151000
0.159500
0.159500
0.159500
0.182500
0.177600
0.177600
0.148000
0.148000
0.148000
13.507000 13.507000 13.507000
28.127500 28.127500 28.127500
1,631.03 58.251071 58.251071 58.251071
2,937.68 104.917142 104.917142 104.917142

Tratamentul se iniiaz de ctre medicul n specialitatea oncologie sau hematologie.


9. EPILEPSIE - G11
1
2
3
4
5
6
7
8
9

N03AA02
N03AA02
N03AA02
N03AA02
N03AB02
N03AB02
N03AE01
N03AE01

N03AF01

PHENOBARBITALUM
PHENOBARBITALUM
PHENOBARBITALUM
PHENOBARBITALUM
PHENYTOINUM
PHENYTOINUM
CLONAZEPAMUM
CLONAZEPAMUM
CARBAMAZEPINUM

FENOBARBITAL 100 mg
FENOBARBITAL 100 mg

COMPR.
COMPR.
FENOBARBITAL ARENA 100mg COMPR.
FENOBARBITAL 200 mg/ 2 ml SOL. INJ.
FENITOINA RICHTER 100 mg COMPR.
PHENHYDAN 250 mg/5 ml
SOL. INJ.
RIVOTRIL
COMPR.
RIVOTRIL 2 mg
COMPR.
TEGRETOL (R) 200
COMPR.

100 mg
100mg
100mg
10%
100mg
250mg/5ml
0,5mg
2mg
200mg

ZENTIVA SA

ROMANIA CUTIE X 1 BLIST. AL/PVC X 25 COMPR. P-RF


SC ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. X 10 COMPR.
P-RF
SC ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. X 10 COMPR.
P-RF
ZENTIVA S.A
ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 2 ML SOL. INJ. P-RF
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
P-6L
DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE CU 5 FIOLE DIN STICLA INCOLORA X 5 ML SOL. INJ. P-RF

ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 50 COMPR. P-RF
ROCHE ROMANIA S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 30 COMPR. P-RF
NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L

Pagina 13 din 42

25
10
10
5
20
5
50
30
50

4.39
1.14
1.14
10.96
2.77
67.73
6.89
6.56
17.38

0.175600
0.114000
0.114000
2.192000
0.138500
13.546000
0.137800
0.218666
0.347600

0.136800
0.114000
0.114000
2.192000
0.138500
13.546000
0.137800
0.218666
0.173760

0.136800
0.114000
0.114000
2.192000
0.138500
13.546000
0.137800
0.218666
0.173760

NR.CRT

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

COD ATC

N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF02
N03AF02
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01

N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09

DCI

CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
OXCARBAZEPINUM
OXCARBAZEPINUM
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**

Denumire Comerciala

forma farm.

CARBAMAZEPINA LPH 200 mg COMPR.

CARBAVIM
CARBEPSIL 200
TAVER
CARBAMAZEPIN
CARBAMAZEPIN EEL
FINLEPSIN

200mg
200mg
200mg
200mg
200mg
200mg
200mg
200mg
200mg
200mg
400mg
400mg
COMPR. ELIB. PREL. 300mg
COMPR. ELIB. PREL. 600mg
COMPR. FILM. ELIB. PREL. 200mg
COMPR. FILM. ELIB. PREL. 400mg
COMPR. FILM. ELIB. PREL. 400mg
COMPR. RET.
150mg
COMPR. RET.
300mg
COMPR. RET.
600mg
COMPR.FILM.ELIB.PREL 200mg
SUSP. ORALA
100mg/5ml
COMPR. FILM. 300mg
COMPR. FILM. 600mg
CAPS. ELIB. PREL. 150mg
CAPS. ELIB. PREL. 300mg
CAPS. MOI GASTROREZ. 150mg
CAPS. MOI GASTROREZ. 300mg
CAPS. MOI GASTROREZ. 500mg
COMPR. ELIB. PREL. 500mg
COMPR. FILM. ELIB. PREL. DIVIZ. 300mg
COMPR. FILM. GASTROREZ. 150mg
COMPR. FILM. GASTROREZ. 200mg
COMPR. FILM. GASTROREZ. 300mg
COMPR. FILM. GASTROREZ. 600mg
LIOF. + SOLV. PT. SOL. 400mg/4ml
MINICOMPR. ELIB. PREL. 1000mg
MINICOMPR. ELIB. PREL. 500mg
SIROP
300mg/5ml
SIROP
57,64mg/ml
COMPR.
100mg
COMPR.
100mg
COMPR.
100mg
COMPR.
100mg
COMPR.
100mg
COMPR.
100mg
COMPR.
100mg
COMPR.
100mg
COMPR.
200mg

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
CARBAMAZEPINA ARENA 200 mg COMPR.
TAVER
COMPR.
CARBAMAZEPINA
COMPR.
CARBEPSIL 400
COMPR.
CARBAMAZEPINA ARENA 400 mg COMPR.
NEUROTOP (R) RETARD 300 mg
NEUROTOP (R) RETARD 600 mg

TEGRETOL CR 200
TEGRETOL CR 400
FINLEPSIN 400 RETARD
TIMONIL 150 RETARD
TIMONIL 300 RETARD
TIMONIL 600 RETARD
FINLEPSIN 200 RETARD
TIMONIL SIROP
TRILEPTAL (R) 300 mg
TRILEPTAL (R) 600 mg
ORFIRIL LONG 150 mg
ORFIRIL LONG 300 mg
CONVULEX (R) 150 mg
CONVULEX (R) 300 mg
CONVULEX (R) 500 mg

DEPAKINE (R) CHRONO 500 mg

DEPAKINE CHRONO 300 mg


ORFIRIL 150
DEPAKINE 200 mg
ORFIRIL 300
ORFIRIL 600

DEPAKINE (R) 400 mg/4 ml LIOFILIZAT SI SOLVENT PENTRU SOLUTIE INJECTABILA i.v.

ORFIRIL LONG 1000 mg


ORFIRIL LONG 500 mg
ORFIRIL SIROP
DEPAKINE
LAMOTIRAN 100 mg
LAMOTRIX 100 mg
EPIMIL 100 mg
PLEXXO (R) 100 mg
LAMOTRIGINE FARMAL 100 mg

LAMICTAL 100 mg
LAMOTRIGINA SUN 100 mg

LAMOTRIGINE TORRENT 100 mg

LAMOTRIX 200 mg

concentratie

TARA
DET. APP
AMBALAJ
LABORMED PHARMA SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L
VIM SPECTRUM SRL ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L
AC HELCOR SRL
ROMANIA CUTIE X 5 BLIST. X 10 COMPR.
P-6L
DETINATOR APP

Prescriptie

MEDOCHEMIE LTD. CIPRU


CUTIE X 5 BLIST. X 10 COMPR.
SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
BIO EEL SRL
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
GERMANIA

P-6L
P-6L
P-6L

CUTIE X 5 BLIST. AL-HARTIE CERATA/PVC-PVDC X 10 COMPR.

P-6L

ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


MEDOCHEMIE LTD. CIPRU
CUTIE X 2 BLIST. X 10 COMPR.

P-6L

AWD PHARMA GMBH & CO.KG

P-6L

ROMANIA CUTIE X 2 BLIST. AL/PVCX 10 COMPR. P-6L


AC HELCOR SRL
ROMANIA CUTIE X 5 BLIST. X 10 COMPR.
P-6L
ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. P-6L

OZONE LABORATORIES PHARMA S.A.

AUSTRIA
AUSTRIA

CUTIE X 5 BLIST. AL/PVDC-PVC X 10 COMPR. ELIB. PREL

P-6L

CUTIE X 5 BLIST. AL/PVDC-PVC X 10 COMPR. ELIB. PREL.

P-6L

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 5 BLIST. AL-PVC/PVDC X 10 COMPR. FILM. CU ELIB. PREL.

P-6L

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 3 BLIST. AL-PVC/PVDC X 10 COMPR. FILM. CU ELIB. PREL.

P-6L

CUTIE X 5 BLIST. AL-HARTIE CERATA/PVC-PVDC X 10 COMPR. FILM. ELIB. PREL.

P-6L

GEROT PHARMAZEUTIKA GMBH


GEROT PHARMAZEUTIKA GMBH

AWD PHARMA GMBH & CO.KG

GERMANIA

DESITIN
DESITIN
DESITIN

GERMANIA CUTIE X 5 BLIST. X 10 COMPR. RET. P-6L

AWD PHARMA GMBH & CO.KG

GERMANIA

CUTIE X 5 BLIST. AL-HARTIE/PVC-PVDC X 10 COMPR. FILM. ELIB. PREL.

P-6L

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 1 FLACON X 250 ML SUSP.ORALA + MASURA DOZATOARE

P-6L

GERMANIA CUTIE X 5 BLIST. X 10 COMPR. RET. P-6L

GERMANIA CUTIE X 5 BLIST. X 10 COMPR. RET. P-6L

NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-6L
NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-6L
DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 1 FLAC. DIN PP X 50 CAPS. CU MINICOMPR. CU ELIB. PRELUNG.

P-6L

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 1 FLAC. DIN PP X 50 CAPS. CU MINICOMPR. CU ELIB. PREL.

P-6L

SANOFI-AVENTIS FRANCE

AUSTRIA
AUSTRIA
AUSTRIA
FRANTA
FRANTA

DESITIN ARZNEIMITTEL GMBH

GERMANIA

GEROT PHARMAZEUTIKA GMBH


GEROT PHARMAZEUTIKA GMBH
GEROT PHARMAZEUTIKA GMBH

SANOFI-AVENTIS FRANCE

CUTIE X 10 BLIST. AL/PVDC-PVC X 10 CAPS. MOI GASTROREZ.

P-6L

CUTIE X 10 BLIST. AL/PVDC-PVC X 10 CAPS. MOI GASTROREZ.

P-6L

CUTIE X 10 BLIST. AL/PVDC-PVCX 10 CAPS. MOI GASTROREZ.

P-6L

CUTIE X 1 FLAC. PP X 30 COMPR. FILM. ELIB. PREL. P-6L


CUTIE X 2 FLAC. DIN PP X 50 COMPR. FILM. ELIB. PREL., DIVIZIBILE

P-6L

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 COMPR.FILM. GASTROREZ.

P-6L

SANOFI-AVENTIS FRANCE

FRANTA

CUTIE X 1 FLAC. DIN PP X 40 COMPR. FILM. GASTROREZ.

P-6L

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 1 FLAC. DIN PP X 100 COMPR. FILM. GASTROREZ.

P-6L

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 1 FLAC. DIN PP X 50 COMPR. FILM. GASTROREZ.

P-6L

SANOFI-AVENTIS FRANCE

FRANTA

CUTIE X 4 FLAC. CU LIOF. PT. SOL. INJ. + 4 FIOLE SOLV. X 4ML S/P-RF

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 50 MINIPLICURI. DIN PET/AL/PE CU MINICOMPR. CU ELIB. PRELUNG.

P-6L

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 50 MINIPLICURI. DIN PET/AL/PE CU MINICOMPR. CU ELIB. PRELUNG.

P-6L

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 1 FLACON X 250 ML + LINGURITA DOZATOARE PP A 5 ML

P-6L

CUTIE X 1 FLACON X 150 ML + 1 SERINGA PT. ADMIN. ORALA

P-6L

RANBAXY UK LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVDC-PVC X 7 COMPR.


MEDOCHEMIE LTD. CIPRU
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
IVAX PHARMCEUTICALS S.R.O. CEHIA
CUTIE X 3 BLIST. PVC-PVDC/PVC-AL X 10 COMPR.
DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 3 BLIST. X 10 COMPR.

P-6L

SANOFI - AVENTIS FRANCE

FRANTA

ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.


THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 COMPR.
CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 4 BLIST. AL/PVC X 14 COMPR.
TORRENT PHARMA S.R.L. ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR.
MEDOCHEMIE LTD. CIPRU
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
FARMAL INTERNATIONAL S.R.L.

Pagina 14 din 42

P-6L
P-6L
P-6L
P-RF

P-6L
P-6L
P-6L
P-6L

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ambal
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
aj
(RON)
(RON)
ADULTI
a) si f)

50 11.31
50 11.31
50 11.31
50
7.24
20
4.42
20
4.50
50 11.31
20
4.96
20
4.50
20
4.51
50 26.26
20 10.51
50 20.68
50 36.59
50 19.17
30 25.35
50 27.10
50 15.16
50 20.62
50 36.53
50 12.43
1 22.51
50 64.73
50 118.30
50 21.96
50 36.76
100 20.26
100 33.28
100 51.12
30 16.06
100 34.76
100 29.14
40 10.72
100 37.58
50 39.99
4 127.06
50 94.92
50 59.48
1 36.26
1 23.13
28 26.66
30 28.86
30 28.86
30 28.86
30 28.84
28 40.13
56 52.11
30 28.24
30 60.33

0.226200
0.226200
0.226200
0.144800
0.221000
0.225000
0.226200
0.248000
0.225000
0.225500
0.525200
0.525500
0.413600
0.731800
0.383400
0.845000
0.542000
0.303200
0.412400
0.730600
0.248600
22.510000
1.294600
2.366000
0.439200
0.735200
0.202600
0.332800
0.511200
0.535333
0.347600
0.291400
0.268000
0.375800
0.799800
31.765000
1.898400
1.189600
36.260000
23.130000
0.952142
0.962000
0.962000
0.962000
0.961333
1.433214
0.930535
0.941333
2.011000

0.173760
0.173760
0.173760
0.144800
0.173760
0.173760
0.173760
0.173760
0.173760
0.173760
0.525200
0.525500
0.413600
0.731800
0.173760
0.630240
0.542000
0.303200
0.412400
0.730600
0.173760
22.510000
1.294600
2.366000
0.243120
0.399360
0.202600
0.332800
0.511200
0.535333
0.347600
0.243120
0.268000
0.375800
0.799800
31.765000
1.898400
0.613440
36.260000
23.130000
0.952142
0.962000
0.962000
0.962000
0.961333
1.116642
0.930535
0.941333
2.011000

0.173760
0.173760
0.173760
0.144800
0.173760
0.173760
0.173760
0.173760
0.173760
0.173760
0.525200
0.525500
0.413600
0.731800
0.173760
0.630240
0.542000
0.303200
0.412400
0.730600
0.173760
22.510000
1.294600
2.366000
0.243120
0.399360
0.202600
0.332800
0.511200
0.535333
0.347600
0.243120
0.268000
0.375800
0.799800
31.765000
1.898400
0.613440
36.260000
23.130000
0.952142
0.962000
0.962000
0.962000
0.961333
1.116642
0.930535
0.941333
2.011000

NR.CRT

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

COD ATC

N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11

100 N03AX11
101 N03AX11
102 N03AX11
103 N03AX11
104 N03AX11
105 N03AX11
106 N03AX11
107 N03AX11

DCI

LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**

Denumire Comerciala

LAMOTRIGINA SUN 200 mg


LAMOTIRAN 25 mg
LAMOTRIX 25 mg
LAMICTAL 25 mg
PLEXXO (R) 50 mg
LAMOTIRAN 50 mg
LAMOTRIX 50 mg
EPIMIL 50 mg
LAMOTRIGINE FARMAL 50 mg

LAMICTAL 50 mg
LAMOTRIGINA SUN 50 mg
LAMOTRIN 100 mg
LAMOTRIN 25 mg
LAMOTRIN 50 mg
TOPAMAX 100 mg
TOPRAN 100 mg
TOPIRAMAT TEVA 100 mg

TOPIRAMAT ACTAVIS 100 mg

ZIDOXER 100 mg
TOPILEX 100 mg
LUSITRAX 100mg
ZIDOXER 100 mg
TORLEPTA 100 mg

TOPIRAMAT BLUEFISH 100 mg


TOPIRAMAT BLUEFISH 100 mg

ETOPRO 100 mg
TOPIRAMAT EGIS 100 mg
NEXTOP 100 mg
TOPRAN 200 mg
TOPIRAMAT TEVA 200 mg
ZIDOXER 200 mg
NEXTOP 200 mg
TOPAMAX 25 mg
TOPRAN 25 mg
TOPIRAMAT TEVA 25 mg
TOPIRAMAT ACTAVIS 25 mg
ZIDOXER 25 mg
TOPILEX 25 mg
LUSITRAX 25 mg
ZIDOXER 25 mg
TORLEPTA 25 mg

TOPIRAMAT BLUEFISH 25 mg

TOPIRAMAT EGIS 25 mg
NEXTOP 25 mg
TOPAMAX 50 mg
TOPRAN 50 mg
TOPIRAMAT TEVA 50 mg
TOPIRAMAT ACTAVIS 50 mg
ZIDOXER 50 mg

forma farm.

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. DISP.
COMPR. DISP.
COMPR. DISP.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

concentratie

200mg
25mg
25mg
25mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
100mg
25mg
50mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
200mg
200mg
200mg
200mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
50mg
50mg
50mg
50mg
50mg

DETINATOR APP

TARA
DET. APP

AMBALAJ

CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 4 BLIST. AL/PVC X 14 COMPR.


RANBAXY UK LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVDC-PVC X 7 COMPR.
MEDOCHEMIE LTD. CIPRU
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
THE WELLCOME FOUNDATION LTD. MAREA BRITANIE

Prescriptie

P-6L
P-6L
P-6L

CUTIE CU BLIST. PVC/AL X 28 COMPR. P-6L

GERMANIA CUTIE X 3 BLIST. X 10 COMPR.


RANBAXY UK LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVDC-PVC X 7 COMPR.
MEDOCHEMIE LTD. CIPRU
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
IVAX PHARMCEUTICALS S.R.O. CEHIA
CUTIE X 3 BLIST. PVC-PVDC/PVC-AL X 10 COMPR.

P-6L

FARMAL INTERNATIONAL S.R.L.

P-RF

DESITIN ARZNEIMITTEL GMBH

ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

THE WELLCOME FOUNDATION LTD. MAREA BRITANIE

CIPLA (UK) LIMITED

MAREA BRITANIE

ACTAVIS GROUP HF. ISLANDA


ACTAVIS GROUP HF. ISLANDA
ACTAVIS GROUP HF. ISLANDA

JOHNSON & JOHNSON D.O.O.

TERAPIA SA
TEVA PHARMACEUTICALS S.R.L.

ACTAVIS S.R.L.
OZONE LABORATORIES BV
LANNACHER HEILMITTEL GES.M.B.H.

SLOVENIA

OLANDA
AUSTRIA

ROMANIA
LABORMED PHARMA S.A. ROMANIA

BLUEFISH PHARMACEUTICALS AB
BLUEFISH PHARMACEUTICALS AB

ICN POLFA RZESZOW S.A.


EGIS PHARMACEUTICALS P.L.C.

CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. DISPERSABILE

P-6L

CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. DISPERSABILE

P-6L

CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. DISPERSABILE

P-6L

CUTIE X 4 BLIST. OPA-AL-PVC/AL X 7 COMPR. FILM. P-6L

REPUBLICA SLOVACA

CUTIE X BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L


CUTIE CU BLIST. PVC-PE - PVDC/AL X 30 COMPR. FILM.

P-6L

CUTIE CU BLIST. PVC-PCTFE-PVC/AL-PVDC X 30 COMPR. FILM.

P-RF

CUTIE X BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L

CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-RF

SUEDIA CUTIE CU BLIST. AL/AL X 60 COMPR. FILM.


SUEDIA CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM.
POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 60 COMPR. FILM.
UK
CUTIE CU BLIST. PVC/PVDC/AL X 60 COMPR. FILM.

ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.


TERAPIA SA
ROMANIA CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM.
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPR. FILM.
LABORMED PHARMA S.A. ROMANIA CUTIE X BLIST. PVC-PVDC/AL X 28 COMPR. FILM.
TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.

TERAPIA SA
TEVA PHARMACEUTICALS S.R.L.

ACTAVIS S.R.L.
OZONE LABORATORIES BV
LANNACHER HEILMITTEL GES.M.B.H.

SLOVENIA

OLANDA
AUSTRIA

ROMANIA
LABORMED PHARMA S.A. ROMANIA

BLUEFISH PHARMACEUTICALS AB

EGIS PHARMACEUTICALS P.L.C.

P-RF
P-RF

P-6L

PRF
P-6L
P-6L
P-RF

P-6L
P-6L

CUTIE X 4 BLIST. OPA-AL-PVC/AL X 7 COMPR. FILM. P-6L

ROMANIA CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. P-6L


ROMANIA CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPR. FILM. P-RF
ROMANIA CUTIE X 6 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. P-RF

ROMASTRU TRADING S.R.L.


GLENMARK PHARMACEUTICALS SRL

P-6L

CUTIE CU BLIST. PVC/AL X 28 COMPR. P-6L


CUTIE X 4 BLIST. AL/PVC X 14 COMPR. P-6L

TORRENT PHARMA S.R.L.

JOHNSON & JOHNSON D.O.O.

P-6L

ROMANIA CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. P-6L


ROMANIA CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPR. FILM. P-RF
ROMANIA CUTIE X 6 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. P-RF

ROMASTRU TRADING S.R.L.

GLENMARK PHARMACEUTICALS SRL

P-6L

REPUBLICA SLOVACA

CUTIE X BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L


CUTIE CU BLIST. PVC-PE - PVDC/AL X 30 COMPR. FILM.

P-6L

CUTIE CU BLIST. PVC-PCTFE-PVC/AL-PVDC X 30 COMPR. FILM.

P-RF

CUTIE X BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L

CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-RF

SUEDIA CUTIE CU BLIST. AL/AL X 60 COMPR. FILM.


UK
CUTIE CU BLIST. PVC/PVDC/AL X 60 COMPR. FILM.

P-RF

PRF

TORRENT PHARMA S.R.L.

ROMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L

JOHNSON & JOHNSON D.O.O.

SLOVENIA

CUTIE X 4 BLIST. OPA-AL-PVC/AL X 7 COMPR. FILM. P-6L

TERAPIA SA
TEVA PHARMACEUTICALS S.R.L.

ACTAVIS S.R.L.
OZONE LABORATORIES BV

Pagina 15 din 42

ROMANIA CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. P-6L


ROMANIA CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPR. FILM. P-RF
ROMANIA CUTIE X 6 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. P-RF

OLANDA

CUTIE X BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ambal
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
aj
(RON)
(RON)
ADULTI
a) si f)

56
28
30
28
30
28
30
30
30
28
56
30
30
30
28
60
30
60
28
30
30
28
30
60
60
60
60
30
60
30
28
30
28
60
30
60
28
30
30
28
30
60
60
30
28
60
30
60
28

99.51
6.66
7.26
10.40
14.41
13.33
14.41
14.41
14.42
20.69
26.89
28.84
3.82
16.95
125.11
165.90
90.25
159.80
84.23
87.49
87.45
84.23
80.21
142.68
142.68
134.01
133.79
87.16
310.81
159.08
148.47
155.05
40.62
53.96
29.21
55.59
27.29
27.81
27.87
27.29
26.67
51.29
48.19
27.57
73.20
97.27
53.67
89.22
50.09

1.776964
0.237857
0.242000
0.371428
0.480333
0.476071
0.480333
0.480333
0.480666
0.738928
0.480178
0.961333
0.127333
0.565000
4.468214
2.765000
3.008333
2.663333
3.008214
2.916333
2.915000
3.008214
2.673666
2.378000
2.378000
2.233500
2.229833
2.905333
5.180166
5.302666
5.302500
5.168333
1.450714
0.899333
0.973666
0.926500
0.974642
0.927000
0.929000
0.974642
0.889000
0.854833
0.803166
0.919000
2.614285
1.621166
1.789000
1.487000
1.788928

1.776964
0.152799
0.152799
0.152799
0.480333
0.476071
0.480333
0.480333
0.480666
0.571285
0.480178
0.961333
0.127333
0.565000
2.675799
2.675799
2.675799
2.663333
2.675799
2.675799
2.675799
2.675799
2.673666
2.378000
2.378000
2.233500
2.229833
2.675799
5.180166
5.302666
5.302500
5.168333
0.963799
0.899333
0.963799
0.926500
0.963799
0.927000
0.929000
0.963799
0.889000
0.854833
0.803166
0.919000
1.495999
1.495999
1.495999
1.487000
1.495999

1.776964
0.152799
0.152799
0.152799
0.480333
0.476071
0.480333
0.480333
0.480666
0.571285
0.480178
0.961333
0.127333
0.565000
2.675799
2.675799
2.675799
2.663333
2.675799
2.675799
2.675799
2.675799
2.673666
2.378000
2.378000
2.233500
2.229833
2.675799
5.180166
5.302666
5.302500
5.168333
0.963799
0.899333
0.963799
0.926500
0.963799
0.927000
0.929000
0.963799
0.889000
0.854833
0.803166
0.919000
1.495999
1.495999
1.495999
1.487000
1.495999

NR.CRT

COD ATC

108 N03AX11
109 N03AX11
110 N03AX11
111 N03AX11
112 N03AX11
113 N03AX11
114 N03AX11
115 N03AX11
116 N03AX12
117 N03AX12
118 N03AX12
119 N03AX12
120 N03AX12
121 N03AX12
122 N03AX12
123 N03AX12
124 N03AX12
125 N03AX12
126 N03AX12
127 N03AX12
128 N03AX12
129 N03AX12
130 N03AX12
131 N03AX12
132 N03AX12
133 N03AX12
134 N03AX12
135 N03AX14
136 N03AX14
137 N03AX14
138 N03AX14
139 N03AX14
140 N03AX14
141 N03AX14
142 N03AX14
143 N03AX14
144 N03AX14
145 N03AX14
146 N03AX14
147 N03AX14
148 N03AX14
149 N03AX14
150 N03AX14
151 N03AX14
152 N03AX14
153 N03AX14
154 N03AX14
155 N03AX14
156 N03AX14

DCI

TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**

Denumire Comerciala

TOPILEX 50 mg
LUSITRAX 50 mg
ZIDOXER 50 mg
TORLEPTA 50 mg

TOPIRAMAT BLUEFISH 50 mg
TOPIRAMAT BLUEFISH 50 mg

TOPIRAMAT EGIS 50 mg
NEXTOP 50 mg
GABAGAMMA 100 mg
GABAGAMMA 100 mg
GRIMODIN 100 mg
GABAGAMMA 300 mg
GABAGAMMA 300 mg
GABARAN 300 mg
GABALEPT 300 mg
GRIMODIN 300 mg
GABAGAMMA 400 mg
GABAGAMMA 400 mg
GABARAN 400 mg
GABALEPT 400 mg
GRIMODIN 400 mg
GABARAN 600 mg
GABAGAMMA 600 mg
GRIMODIN 600 mg
GABARAN 800 mg
GABAGAMMA 800 mg
GRIMODIN 800 mg

LEVETIRACETAM TORRENT 1000 mg

KEPPRA 1000 mg
LEVETIRACETAM ACCORD 1000mg
LEVETIRACETAM ACTAVIS 1000mg
LEVETIRACETAM PHARMASWISS 1000 mg

LEVETIRACETAM TEVA 1000mg

TRUND 1000 mg
EPILETAM 1000 mg

LEVETIRACETAM DR. REDDY'S 1000 mg

LERETAN 1000 mg
MYAKELL 1000 mg
LEVETIRACETAM TEVA 250 mg
LEVETIRACETAM TORRENT 250 mg

KEPPRA 250 mg
LEVETIRACETAM ACTAVIS 250mg
LEVETIRACETAM ACCORD 250mg
LEVETIRACETAM PHARMASWISS 250 mg

TRUND 250 mg
EPILETAM 250 mg
MYAKELL 250 mg
LEVETIRACETAM TORRENT 500 mg

KEPPRA 500 mg

forma farm.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

concentratie

50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
100mg
100mg
100mg
300mg
300mg
300mg
300mg
300mg
400mg
400mg
400mg
400mg
400mg
600mg
600mg
600mg
800mg
800mg
800mg
1000 mg
1000mg
1000mg
1000mg
1000mg
1000mg
1000mg
1000mg
1000mg
1000mg
1000mg
250 mg
250 mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
500 mg
500mg

DETINATOR APP
LANNACHER HEILMITTEL GES.M.B.H.

TARA
DET. APP

AUSTRIA

ROMANIA
LABORMED PHARMA S.A. ROMANIA

ROMASTRU TRADING S.R.L.


GLENMARK PHARMACEUTICALS SRL

BLUEFISH PHARMACEUTICALS AB
BLUEFISH PHARMACEUTICALS AB

EGIS PHARMACEUTICALS P.L.C.

TORRENT PHARMA S.R.L.

REPUBLICA SLOVACA

AMBALAJ
CUTIE CU BLIST. PVC-PE - PVDC/AL X 30 COMPR. FILM.

P-6L

CUTIE CU BLIST. PVC-PCTFE-PVC/AL-PVDC X 30 COMPR. FILM.

P-RF

CUTIE X BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L

CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-RF

SUEDIA CUTIE CU BLIST. AL/AL X 60 COMPR. FILM.


SUEDIA CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM.
UK
CUTIE CU BLIST. PVC/PVDC/AL X 60 COMPR. FILM.
ROMANIA

Prescriptie

P-RF
P-RF

PRF

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 CAPS. P-6L

EGIS PHARMACEUTICALS P.L.C.


WORWAG PHARMA GMBH & CO. KG
WORWAG PHARMA GMBH & CO. KG

RANBAXY UK LTD.

UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 60 CAPS.

P-6L

GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 CAPS. P-6L


GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L
MAREA BRITANIE

CUTIE X 5 BLIST. PVC-PVDC/AL X 10 CAPS. P-6L

PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L


EGIS PHARMACEUTICALS P.L.C.

UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 60 CAPS.

P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 CAPS. P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L

RANBAXY UK LTD.

MAREA BRITANIE

CUTIE X 5 BLIST. PVC-PVDC/AL X 10 CAPS. P-6L

PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L


EGIS PHARMACEUTICALS P.L.C.

UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 60 CAPS.

P-6L

RANBAXY UK LTD.

MAREA BRITANIE

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. PVC/AL X 100 COMPR. FILM. P-6L

CUTIE X 3 BLIST. AL-PVC-PA/AL X 10 COMPR. FILM. P-6L

UNGARIA

CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM.

RANBAXY UK LTD.

MAREA BRITANIE

CUTIE X 3 BLIST. AL-PVC-PA/AL X 10 COMPR. FILM. P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. PVC/AL X 100 COMPR. FILM. P-6L

EGIS PHARMACEUTICALS P.L.C.

EGIS PHARMACEUTICALS P.L.C.

TORRENT PHARMA S.R.L.

UCB PHARMA SA

UNGARIA
ROMANIA

BELGIA

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

ACTAVIS GROUP PTC EHF.

ISLANDA

PHARMASWISS CESKA REPUBLIKA S.R.O. REPUBLICA CEHA

TEVA PHARMA

OLANDA

GLENMARK PHARMACEUTICALS SRL

REPUBLICA SLOVACA

UNGARIA
DR. REDDY'S LABORATORIES ROMANIA
LABORMED PHARMA S.A. ROMANIA
ROMASTRU TRADING SRL ROMANIA

EGIS PHARMACEUTICALS P.L.C.

TEVA PHARMA

TORRENT PHARMA S.R.L.

UCB PHARMA SA
ACTAVIS GROUP PTC EHF.

OLANDA

ROMANIA

CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM.

P-6L

CUTIE CU BLIST. DIN PVC-PVDC/AL X 30 COMPR. FILM.

P-RF

CUTIE X 30 COMPR. FILM.1 (BLIST. AL/PVC) P-RF


CUTIE CU BLIST. AL/PVC X 30 COMPR. FILM. PRF
CUTIE CU BLIST. DIN AL/PVC X 30 COMPR. FILM.

PRF

CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. FILM. PRF


CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR.FILM. PRF
CUTIE CU 6 BLIST. AL/PVC-PE-PVDC X 10 COMPR. FILM.

PRF

CUTIE CU 3 BLIST. AL/PVC-PE-PVDC X 10 COMPR. FILM.

PRF

CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

PRF

CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM.

PRF

CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM.

PRF

CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR.FILM. PRF


CUTIE CU BLIST. DIN PVC-PVDC/AL X 30 COMPR. FILM.

BELGIA CUTIE X 30 COMPR. FILM. (BLIST. AL/PVC)


ISLANDA CUTIE CU BLIST. DIN AL/PVC X 30 COMPR. FILM.

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

P-6L

PRF
P-RF

PRF

CUTIE CU BLIST. AL/PVC X 30 COMPR. FILM. PRF

PHARMASWISS CESKA REPUBLIKA S.R.O. REPUBLICA CEHA

CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. FILM. PRF

GLENMARK PHARMACEUTICALS SRL

CUTIE CU 6 BLIST. AL/PVC-PE-PVDC X 10 COMPR. FILM.

PRF

CUTIE CU 3 BLIST. AL/PVC-PE-PVDC X 10 COMPR. FILM.

PRF

CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM.

PRF

CUTIE CU BLIST. DIN PVC-PVDC/AL X 30 COMPR. FILM.

PRF

EGIS PHARMACEUTICALS P.L.C.

ROMASTRU TRADING SRL

TORRENT PHARMA S.R.L.

UCB PHARMA LTD

Pagina 16 din 42

REPUBLICA SLOVACA

UNGARIA
ROMANIA
ROMANIA

BELGIA

CUTIE X 30 COMPR. FILM. (BLIST. AL/PVC) P-RF

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ambal
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
aj
(RON)
(RON)
ADULTI
a) si f)

30
30
28
30
60
60
60
30
100
50
60
50
100
50
100
60
50
100
50
100
60
30
100
60
30
100
60
30
30
30
30
30
30
60
30
30
30
30
30
30
30
30
30
30
60
30
30
30
30

51.21
51.21
50.09
47.85
84.54
84.54
74.80
50.82
60.61
31.05
33.34
70.89
133.56
65.96
133.09
63.62
94.53
175.18
72.72
169.16
85.96
65.21
195.74
123.68
104.24
329.52
197.38
222.17
345.20
222.85
183.44
183.44
222.99
435.10
202.47
100.56
224.38
220.10
62.36
61.87
91.13
62.31
61.87
60.36
118.46
52.05
62.36
116.79
171.53

1.707000
1.707000
1.788928
1.595000
1.409000
1.409000
1.246666
1.694000
0.606100
0.621000
0.555666
1.417800
1.335600
1.319200
1.330900
1.060333
1.890600
1.751800
1.454400
1.691600
1.432666
2.173666
1.957400
2.061333
3.474666
3.295200
3.289666
7.405666
11.506666
7.428333
6.114666
6.114666
7.433000
7.251666
6.749000
3.352000
7.479333
7.336666
2.078666
2.062333
3.037666
2.077000
2.062333
2.012000
1.974333
1.735000
2.078666
3.893000
5.717666

1.495999
1.495999
1.495999
1.495999
1.409000
1.409000
1.246666
1.495999
0.606100
0.621000
0.555666
1.272399
1.272399
1.272399
1.272399
1.060333
1.719199
1.719199
1.454400
1.691600
1.432666
2.173666
1.957400
2.061333
3.474666
3.295200
3.289666
4.022400
4.022400
4.022400
4.022400
4.022400
4.022400
4.022400
4.022400
3.352000
4.022400
4.022400
2.078666
2.062333
2.082000
2.077000
2.062333
2.012000
1.974333
1.735000
2.078666
2.002399
2.002399

1.495999
1.495999
1.495999
1.495999
1.409000
1.409000
1.246666
1.495999
0.606100
0.621000
0.555666
1.272399
1.272399
1.272399
1.272399
1.060333
1.719199
1.719199
1.454400
1.691600
1.432666
2.173666
1.957400
2.061333
3.474666
3.295200
3.289666
4.022400
4.022400
4.022400
4.022400
4.022400
4.022400
4.022400
4.022400
3.352000
4.022400
4.022400
2.078666
2.062333
2.082000
2.077000
2.062333
2.012000
1.974333
1.735000
2.078666
2.002399
2.002399

NR.CRT

COD ATC

157 N03AX14
158 N03AX14
159 N03AX14
160 N03AX14
161 N03AX14
162 N03AX14
163 N03AX14
164 N03AX14
165 N03AX14
166 N03AX14
167 N03AX14
168 N03AX14
169 N03AX14
170 N03AX14
171 N03AX14
172 N03AX14
173 N03AX14
174 N03AX14
175 N03AX16
176 N03AX16
177 N03AX16
178 N03AX16
179 N03AX16
180 N03AX16

DCI

LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
PREGABALINUM***
PREGABALINUM***
PREGABALINUM***
PREGABALINUM***
PREGABALINUM***
PREGABALINUM***

Denumire Comerciala

forma farm.

COMPR. FILM.
COMPR. FILM.
LEVETIRACETAM PHARMASWISS 500 mg COMPR. FILM.
LEVETIRACETAM TEVA 500 mg COMPR. FILM.
TRUND 500 mg
COMPR. FILM.
EPILETAM 500 mg
COMPR. FILM.
LEVETIRACETAM DR. REDDY'S 500 mg COMPR. FILM.
LERETAN 500 mg
COMPR. FILM.
MYAKELL 500 mg
COMPR. FILM.
LEVETIRACETAM TORRENT 750 mg COMPR. FILM.
MYAKELL 750 mg
COMPR. FILM.

SOL. ORALA
SOL. ORALA
SOL. ORALA
SOL. ORALA
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.

COMPR.
COMPR.

2mg
2mg

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
GEL INT.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

100mg/25mg TEVA PHARMACEUTICALS S.R.L.


200mg+50mg TERAPIA SA
200mg+50mg ROCHE ROMANIA SRL
200mg/50mg TEVA PHARMACEUTICALS S.R.L.
250mg+25mg FARAN LABORATORIES S.A.
250mg+25mg REMEDICA LTD.
250mg+25mg LEK PHARMACEUTICALS D.D.
250mg/25mg DESITIN ARZNEIMITTEL GMBH

LEVETIRACETAM DESITIN 1000 mg

GRANULE ACOPERITE, IN PLIC UNIDOZA

LEVETIRACETAM DESITIN 250 mg

GRANULE ACOPERITE, IN PLIC UNIDOZA

LEVETIRACETAM DESITIN 500 mg

GRANULE ACOPERITE, IN PLIC UNIDOZA

KEPPRA 100 mg/ml


TRUND 100 mg/ml
LEVETIRACETAM RATIOPHARM 100mg/ml

LYRICA 150 mg
LYRICA 150 mg
LYRICA 300 mg
LYRICA 300 mg
LYRICA 75 mg
LYRICA 75 mg

DETINATOR APP

500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
750 mg
750mg
1000mg
250mg
500mg
100 mg/ml
100mg/ml
100mg/ml
100mg/ml
150mg
150mg
300mg
300mg
75mg
75mg

LEVETIRACETAM ACCORD 500mg

LEVETIRACETAM ACTAVIS 500mg

LEVETIRACETAM ACTAVIS GROUP 100mg/ml

concentratie

TARA
DET. APP

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

ACTAVIS GROUP PTC EHF.

ISLANDA

PHARMASWISS CESKA REPUBLIKA S.R.O. REPUBLICA CEHA

TEVA PHARMA

OLANDA

GLENMARK PHARMACEUTICALS SRL

REPUBLICA SLOVACA

UNGARIA
DR. REDDY'S LABORATORIES ROMANIA
LABORMED PHARMA S.A. ROMANIA
ROMASTRU TRADING SRL ROMANIA
TORRENT PHARMA S.R.L. ROMANIA
ROMASTRU TRADING SRL ROMANIA

EGIS PHARMACEUTICALS P.L.C.

AMBALAJ

Prescriptie

CUTIE CU BLIST. AL/PVC X 30 COMPR. FILM. PRF


CUTIE CU BLIST. DIN AL/PVC X 30 COMPR. FILM.

PRF

CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. FILM. PRF


CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR.FILM. PRF
CUTIE CU 6 BLIST. AL/PVC-PE-PVDC X 10 COMPR. FILM.

PRF

CUTIE CU 3 BLIST. AL/PVC-PE-PVDC X 10 COMPR. FILM.

PRF

CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

PRF

CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM.

PRF

CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM.

PRF

CUTIE CU BLIST. DIN PVC-PVDC/AL X 30 COMPR. FILM.

PRF

CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM.

PRF

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE CU 30 PLICURI UNIDOZA DIN HARTIE/AL/PE CONTINAND GRANULE ACOPERITE

PRF

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE CU 30 PLICURI UNIDOZA DIN HARTIE/AL/PE CONTINAND GRANULE ACOPERITE

PRF

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE CU 30 PLICURI UNIDOZA DIN HARTIE/AL/PE CONTINAND GRANULE ACOPERITE

PRF

UCB PHARMA SA

ISLANDA
BELGIA

GLENMARK PHARMACEUTICALS SRL

REPUBLICA SLOVACA

ACTAVIS GROUP PTC EHF.

CUTIE CU UN FLACON DIN STICLA BRUNA A 300ML, PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII, CU

CUTIE X 1 FLACON X 300 ML SOL. ORALA + SERINGA PT. ADMIN. ORALA


CUTIE CU 1 FLAC DIN STICLA BRUNA X 300 ML SOL. ORALA + 1 SERINGA DOZATOARE (PP,PE) DE 10 ML SI UN AD

PRF
P-RF

PRF

RATIOPHARM GMBH GERMANIA


PRF
PFIZER LIMITED
MAREA BRITANIE CUTIE X 14 CAPS. (BLIST. PVC/AL) P-RF
PFIZER LIMITED
MAREA BRITANIE CUTIE X 56 CAPS. (BLIST. PVC/AL) P-RF
PFIZER LIMITED
MAREA BRITANIE CUTIE X 56 CAPS. (BLIST. PVC/AL) P-RF
PFIZER LIMITED
MAREA BRITANIE CUTIE X 14 CAPS. (BLIST. PVC/AL) P-RF
PFIZER LIMITED
MAREA BRITANIE CUTIE X 14 CAPS. (BLIST. PVC/AL) P-RF
PFIZER LIMITED
MAREA BRITANIE CUTIE X 56 CAPS. (BLIST. PVC/AL) P-RF
CUTIE CU UN FLACON DIN STICLA BRUNA A 300 ML, PREVAZUT CU SISTEM DE NCHIDERE SECURIZAT PENTRU COPI

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ambal
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
aj
(RON)
(RON)
ADULTI
a) si f)

30
30
30
30
60
30
30
30
30
30
30
30
30
30
1
1
1
1
14
56
56
14
14
56

117.50
117.50
100.30
117.57
222.99
105.46
50.06
117.57
117.57
163.07
167.66
224.38
62.36
117.57
147.72
339.28
147.72
123.49
76.16
288.91
422.67
114.28
53.71
193.52

50
50
100
100
30
30
30
30
20
100
100
7
100
100
100
100
100
100

19.49
10.57
58.87
38.28
48.36
24.21
15.73
19.21
19.31
62.05
74.57

3.916666
3.916666
3.343333
3.919000
3.716500
3.515333
1.668666
3.919000
3.919000
5.435666
5.588666
7.479333
2.078666
3.919000
147.720000
339.280000
147.720000
123.490000
5.440000
5.159107
7.547678
8.162857
3.836428
3.455714

2.002399
2.002399
2.002399
2.002399
2.002399
2.002399
1.668666
2.002399
2.002399
5.435666
5.588666
4.022400
2.078666
2.002399
147.720000
148.188000
147.720000
123.490000
5.440000
5.159107
7.547678
8.162857
3.836428
3.455714

2.002399
2.002399
2.002399
2.002399
2.002399
2.002399
1.668666
2.002399
2.002399
5.435666
5.588666
4.022400
2.078666
2.002399
147.720000
148.188000
147.720000
123.490000
5.440000
5.159107
7.547678
8.162857
3.836428
3.455714

Tratamentul se initiaz de ctre medicul n specialitatea neurologie

10. BOALA PARKINSON - G12


1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18

N04AA01
N04AA02

TRIHEXYPHENIDYLUM
BIPERIDENUM

N04BA02 COMBINATII (LEVODOPUM+BENSERAZIDUM)**

ROMPARKIN (R) 2 mg
AKINETON 2 mg
MADOPAR HBS

N04BA02 COMBINATII (LEVODOPUM+BENSERAZIDUM)** LEVODOPA/BENSERASIDE TEVA 100mg/25mg


N04BA02 COMBINATII (LEVODOPUM+BENSERAZIDUM)**
N04BA02 COMBINATII (LEVODOPUM+BENSERAZIDUM)**

MADOPAR (R) 250


MADOPAR 250

N04BA02 COMBINATII (LEVODOPUM+BENSERAZIDUM)** LEVODOPA/BENSERASIDE TEVA 200mg/50mg

N04BA02 COMBINATII (LEVODOPUM+CARBIDOPUM)**

ZIMOX
CREDANIL 25/250
NAKOM
ISICOM 250 mg/25 mg
DUODOPA

N04BA03

COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)***

STALEVO 100 mg/25 mg/200 mg

N04BA03

COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)***

STALEVO 125 mg/31,25 mg/200 mg

N04BA03

COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)***

STALEVO 150 mg/37,5 mg/200 mg

N04BA03

COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)***

N04BA03

COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)***

STALEVO 200 mg/50 mg/200 mg


STALEVO 50 mg/12,5 mg/200 mg

N04BA03

COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)***

STALEVO 75 mg/18,75 mg/200 mg

N04BA02 COMBINATII (LEVODOPUM+CARBIDOPUM)**


N04BA02 COMBINATII (LEVODOPUM+CARBIDOPUM)**
N04BA02 COMBINATII (LEVODOPUM+CARBIDOPUM)**
N04BA02 COMBINATII (LEVODOPUM+CARBIDOPUM)**

TERAPIA SA
DESMA GMBH

ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L


GERMANIA CUTIE CU 5 BLIST. PVC/AL X 10 COMPR. P6L

CAPS. ELIB. MODIF. 100mg+25mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 FLAC. X 100 CAPS. CU ELIB. MODIF. P-6L

ROMANIA CUTIE X 1 FLACON PEID X 100 COMPR.


ROMANIA CUTIE X 1 FLAC. X 30 COMPR.
ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR.
ROMANIA CUTIE X 1 FLACON PEID X 30 COMPR.

GRECIA CUTIE X 3 BLIST. X 10 COMPR.


CIPRU
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

FARA CONCENTRATIE

SOLVAY PHARMACEUTICALS BV

GERMANIA

ORION CORPORATION
ORION CORPORATION
ORION CORPORATION
ORION CORPORATION
ORION CORPORATION
ORION CORPORATION

FINLANDA
FINLANDA
FINLANDA
FINLANDA
FINLANDA
FINLANDA

150mg/37,5mg/200mg

200mg/50mg/200mg
50mg/12,5mg/200mg
75mg/18,5mg/200mg

Pagina 17 din 42

P-6L
P-6L
P-6L
P-6L
P-6L

SLOVENIA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. P-6L


GERMANIA CUTIE X 10 BLIST. PP/AL X 10 COMPR. P-6L

100mg/25mg/200mg
125mg/31,25mg/200mg

P-6L

CUTIE X 7 CASETE BRUNE TRANSPARENTE X 100 GEL INT. IN PUNGA PVC

S/P-RF

CUTIE X 1 FLAC. PEID X 100 COMPR. FILM. P-RF


CUTIE X 1 FLAC. HDPE X 100 COMPR. FILM. P-6L

CUTIE X 1 FLAC. PEID X 100 COMPR. FILM. P-RF


CUTIE X 1 FLAC. PEID X 100 COMPR. FILM. P-RF
CUTIE X 1 FLAC. PEID X 100 COMPR. FILM. P-RF
CUTIE X 1 FLAC. HDPE X 100 COMPR. FILM. P-6L

3,424.76

414.46
414.46
414.46
544.89
414.46
414.46

0.389800
0.389800
0.389800
0.211400
0.211400
0.211400
0.588700
0.459360
0.459360
0.382800
0.382800
0.382800
1.612000
0.629199
0.629199
0.807000
0.629199
0.629199
0.524333
0.524333
0.524333
0.640333
0.640333
0.640333
0.965500
0.744600
0.744600
0.620500
0.620500
0.620500
0.745700
0.744600
0.744600
489.251428 489.251428 489.251428
4.144600
4.144600
4.144600
4.144600
4.144600
4.144600
4.144600
4.144600
4.144600
5.448900
5.448900
5.448900
4.144600
4.144600
4.144600
4.144600
4.144600
4.144600

NR.CRT

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

COD ATC

N04BB01
N04BC01
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05

DCI

AMANTADINUM**
BROMOCRIPTINUM
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**

Denumire Comerciala

VIREGYT (R)- K
BROCRIPTIN (N04BC01)
ROPINIROL TEVA 2 mg
ROPINIROL TEVA 4 mg
ROPINIROL TEVA 8 mg
ROLPRYNA EP 2 mg
ROLPRYNA EP 4 mg
ROLPRYNA EP 8 mg

forma farm.

CAPS.
DRAJ.

COMPR. CU ELIB. PREL.


COMPR. CU ELIB. PREL.
COMPR. CU ELIB. PREL.
COMPR. CU ELIBERARE PRELUNGITA
COMPR. CU ELIBERARE PRELUNGITA
COMPR. CU ELIBERARE PRELUNGITA

ROPINIROL ACTAVIS 0,25 mg COMPR. FILM.

ALETA 0,25mg
ALETA 0,25mg
ROPINIROL ACTAVIS 1 mg
ALETA 1mg
ALETA 1mg
ROPINIROL TEVA 1 mg
ROPINIROL ACTAVIS 2 mg
ALETA 2mg
ROPINIROL TEVA 2 mg
ROPINIROL ACTAVIS 5 mg
ALETA 5mg
ALETA 5mg
REQUIP-MODUTAB 2 mg
REQUIP-MODUTAB 4 mg
REQUIP-MODUTAB 8 mg
OPRYMEA 0,088mg
MIPARKAN 0,18 mg
MIRAPEXIN 0,18 mg
OPRYMEA 0,18mg
PRAMIPEXOL TEVA 0,18mg

PRAMIPEXOL SANDOZ 0,18 mg

MEDOPEXOL 0,18 mg
GLEPARK 0,18 mg

PRAMIPEXOL RANBAXY 0,18 mg


PRAMIPEXOL BLUEFISH 0,18 mg

MIGLASEN 0,18 mg

PRAMIPEXOL TORRENT 0,18 mg


PRAMIPEXOLE ACCORD 0,35mg

MIPARKAN 0,7 mg
MIRAPEXIN 0,7 mg
OPRYMEA 0,7mg
PRAMIPEXOL TEVA 0,7mg

PRAMIPEXOL SANDOZ 0,7 mg

MEDOPEXOL 0,7 mg
GLEPARK 0,7 mg

PRAMIPEXOL RANBAXY 0,7 mg


PRAMIPEXOL BLUEFISH 0,7 mg

MIGLASEN 0,7 mg

PRAMIPEXOL TORRENT 0,7 mg

MIRAPEXIN 0,26 mg

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

COMPR. FILM. ELIB. PREL.


COMPR. FILM. ELIB. PREL.
COMPR. FILM. ELIB. PREL.

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. ELIB. PREL.

concentratie

100mg
2,5mg
2mg
4mg
8mg
2 mg
4 mg
8 mg
0,25mg
0,25mg
0,25mg
1mg
1mg
1mg
1mg
2mg
2mg
2mg
5mg
5mg
5mg
2mg
4mg
8mg
0,088mg
0,18 mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,35mg
0,7 mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,26mg

DETINATOR APP
EGIS PHARMACEUTICALS P.L.C.

BIOFARM SA
TEVA PHARMACEUTICALS S.R.L.
TEVA PHARMACEUTICALS S.R.L.
TEVA PHARMACEUTICALS S.R.L.

TARA
DET. APP

AMBALAJ

Prescriptie

UNGARIA CUTIE X 1 FLAC. X 50 CAPS.


P-6L
ROMANIA CUTIE X 2 BLIST. AL/PVC X 20 DRAJ. P-RF
ROMANIA CUTIE CU BLIST. OPA/AL/PVC-AL X 30 COMPR. ELIB. PRELUNG. PRF
ROMANIA CUTIE CU BLIST. OPA/AL/PVC-AL X 30 COMPR. ELIB. PRELUNG. PRF
ROMANIA CUTIE CU BLIST. OPA/AL/PVC-AL X 30 COMPR. ELIB. PRELUNG. PRF

KRKA ,D.D., NOVO MESTO SLOVENIA

CUTIE CU BLIST. OPA - AL - PVC/AL X 28 COMPR. ELIB. PREL.

PRF

KRKA ,D.D., NOVO MESTO SLOVENIA

CUTIE CU BLIST. OPA - AL - PVC/AL X 28 COMPR. ELIB. PREL.

PRF

KRKA ,D.D., NOVO MESTO SLOVENIA

CUTIE CU BLIST. OPA - AL - PVC/AL X 28 COMPR. ELIB. PREL.

ACTAVIS GROUP PTC EHF.

TERAPIA SA
TERAPIA SA
ACTAVIS GROUP PTC EHF.

TERAPIA SA
TERAPIA SA

ISLANDA CUTIE CU BLIST. AL/AL X 21 COMPR. FILM.

ROMANIA
ROMANIA

PRF
P-RF

CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. P-RF


CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. FILM.

P-RF

ISLANDA CUTIE CU BLIST. AL/AL X 21 COMPR. FILM.

P-RF

ROMANIA
ROMANIA
ROMANIA

CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. P-RF

ROMANIA
ROMANIA

CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. P-RF

TERAPIA SA
TERAPIA SA

ROMANIA
ROMANIA

CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. P-RF


CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. FILM.

P-RF

SMITHKLINE BEECHAM PLC

MAREA BRITANIE

CUTIE X BLIST. PVC-ACLAR/AL X 28 COMPR. FILM. ELIB. PREL.

P-RF

SMITHKLINE BEECHAM PLC

MAREA BRITANIE

CUTIE X BLIST. PVC-ACLAR/AL X 28 COMPR. FILM. ELIB. PREL,

P-RF

SMITHKLINE BEECHAM PLC

MAREA BRITANIE

CUTIE X BLIST. PVC-ACLAR/AL X 28 COMPR. FILM. ELIB. PREL.

P-RF

KRKA D.D.
ZENTIVA, K.S.

SLOVENIA CUTIE X 30 COMPR. (BLIST. AL/AL)

P-RF

REPUBLICA CEHA

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA

TEVA PHARMACEUTICALS S.R.L.

ACTAVIS GROUP PTC EHF.

TERAPIA SA
TEVA PHARMACEUTICALS S.R.L.

ACTAVIS GROUP PTC EHF.

CUTIE X 3 BLIST.PVC-ACLAR/AL X 10 COMPR. FILM. P-RF


CUTIE CU BLIST. OPA-AL-PVC/AL X 21 COMPR. FILM. P-RF

ISLANDA CUTIE CU BLIST. AL/AL X 21 COMPR. FILM.

P-RF

CUTIE CU BLIST. OPA-AL-PVC/AL X 21 COMPR. FILM. P-RF

ISLANDA CUTIE CU BLIST. AL/AL X 21 COMPR. FILM.

CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR.

P-RF

PRF

CUTIE X 3 BLIST. X 10 COMPR.


SLOVENIA CUTIE X 30 COMPR. (BLIST. AL/AL)
OLANDA CUTIE CU BLIST. AL/AL X 30 COMPR.

P-RF

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR.

P-RF/R

KRKA D.D.
TEVA PHARMA BV
SANDOZ S.R.L.
ROMANIA
MEDOCHEMIE LTD. CIPRU

P-RF
P-RF

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-6L

GLENMARK PHARMACEUTICALS SRL

REPUBLICA SLOVACA

CUTIE CU BLIST. AL/AL X 30 COMPR.

P-RF

RANBAXY (UK) LIMITED

MAREA BRITANIE

CUTIE CU BLIST. PA-AL-PVC X 30 COMPR.

P-RF

CUTIE CU BLIST. AL/AL X 30 COMPR.

P-6L

CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR.

P6L

BLUEFISH PHARMACEUTICALS AB

SUEDIA

ROMANIA
TORRENT PHARMA S.R.L. ROMANIA
ROMASTRU TRADING S.R.L.

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-RF

ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 3 BLIST. AL-PVC/AL A CATE 10 COMPR.

ZENTIVA, K.S.

REPUBLICA CEHA

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR.

PRF
PRF

CUTIE X 3 BLIST. X 10 COMPR.


SLOVENIA CUTIE X 30 COMPR. (BLIST. AL/AL)
OLANDA CUTIE CU BLIST. AL/AL X 30 COMPR.

P-RF

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR.

P-RF/R

KRKA D.D.
TEVA PHARMA BV
SANDOZ S.R.L.
ROMANIA
MEDOCHEMIE LTD. CIPRU

P-RF
P-RF

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-6L

GLENMARK PHARMACEUTICALS SRL

REPUBLICA SLOVACA

CUTIE CU BLIST. AL/AL X 30 COMPR.

P-RF

RANBAXY (UK) LIMITED

MAREA BRITANIE

CUTIE CU BLIST. PA-AL-PVC X 30 COMPR.

P-RF

CUTIE CU BLIST. AL/AL X 30 COMPR.

P-6L

CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR.

P6L

BLUEFISH PHARMACEUTICALS AB

SUEDIA

TORRENT PHARMA S.R.L.

ROMANIA
ROMANIA

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA CUTIE CU 1 BLIST.OPA-AL-PVC/AL X 10 COMPR.

ROMASTRU TRADING S.R.L.

Pagina 18 din 42

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-RF


P-RF

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ambal
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
aj
(RON)
(RON)
ADULTI
a) si f)

50
40
30
30
30
28
28
28
21
30
30
21
30
30
21
21
30
21
21
30
30
28
28
28
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
10

17.07
21.16
42.74
81.12
153.89
39.89
75.71
143.63
6.32
9.06
9.06
23.00
32.87
32.87
23.02
30.92
42.74
35.77
76.80
109.74
109.74
61.36
116.48
220.96
19.75
30.00
49.77
30.11
33.41
33.42
33.42
30.35
30.86
25.30
30.35
33.50
48.92
107.26
167.86
107.65
115.05
115.05
115.05
108.52
106.21
90.45
107.65
115.10
58.12

0.341400
0.529000
1.424666
2.704000
5.129666
1.424642
2.703928
5.129642
0.300952
0.302000
0.302000
1.095238
1.095666
1.095666
1.096190
1.472380
1.424666
1.703333
3.657142
3.658000
3.658000
2.191428
4.160000
7.891428
0.658333
1.000000
1.659000
1.003666
1.113666
1.114000
1.114000
1.011666
1.028666
0.843333
1.011666
1.116666
1.630666
3.575333
5.595333
3.588333
3.835000
3.835000
3.835000
3.617333
3.540333
3.015000
3.588333
3.836666
5.812000

0.341400
0.529000
1.424666
2.704000
5.129666
1.424642
2.703928
5.129642
0.300952
0.302000
0.302000
1.095238
1.095666
1.095666
1.096190
1.472380
1.424666
1.703333
3.657142
3.658000
3.658000
1.709570
3.244713
6.155570
0.658333
1.000000
1.011999
1.003666
1.011999
1.011999
1.011999
1.011666
1.011999
0.843333
1.011666
1.011999
1.630666
3.575333
3.618000
3.588333
3.618000
3.618000
3.618000
3.617333
3.540333
3.015000
3.588333
3.618000
5.812000

0.341400
0.529000
1.424666
2.704000
5.129666
1.424642
2.703928
5.129642
0.300952
0.302000
0.302000
1.095238
1.095666
1.095666
1.096190
1.472380
1.424666
1.703333
3.657142
3.658000
3.658000
1.709570
3.244713
6.155570
0.658333
1.000000
1.011999
1.003666
1.011999
1.011999
1.011999
1.011666
1.011999
0.843333
1.011666
1.011999
1.630666
3.575333
3.618000
3.588333
3.618000
3.618000
3.618000
3.617333
3.540333
3.015000
3.588333
3.618000
5.812000

NR.CRT

68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87

COD ATC

N04BC05
N04BC05
N04BC05
N04BC05
N04BC09
N04BC09
N04BC09
N04BC09
N04BC09
N04BC09
N04BC09
N04BC09
N04BD01
N04BD01
N04BD01
N04BD02

N04BX02
N04BX02
N05AH02
N05AH02

DCI

PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
ROTIGOTINUM***
ROTIGOTINUM***
ROTIGOTINUM***
ROTIGOTINUM***
ROTIGOTINUM***
ROTIGOTINUM***
ROTIGOTINUM***
ROTIGOTINUM***
SELEGILINUM
SELEGILINUM
SELEGILINUM
RASAGILINUM***
ENTACAPONUM***
ENTACAPONUM***
CLOZAPINUM**
CLOZAPINUM**

Denumire Comerciala

MIRAPEXIN 0,52 mg
MIRAPEXIN 1,05 mg
MIRAPEXIN 2,1 mg
MIRAPEXIN 3,15 mg
NEUPRO 2mg/24h
NEUPRO 2mg/24h
NEUPRO 4mg/24h
NEUPRO 4mg/24h
NEUPRO 6mg/24h
NEUPRO 6mg/24h
NEUPRO 8mg/24h
NEUPRO 8mg/24h
SELEGOS
SELEGOS
JUMEX 5 mg
AZILECT 1mg
COMTAN 200mg
COMTAN 200mg
LEPONEX (R) 100 mg
LEPONEX (R) 25 mg

forma farm.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
PLASTURE TRANSDERMIC
PLASTURE TRANSDERMIC
PLASTURE TRANSDERMIC
PLASTURE TRANSDERMIC
PLASTURE TRANSDERMIC
PLASTURE TRANSDERMIC
PLASTURE TRANSDERMIC
PLASTURE TRANSDERMIC

COMPR.
COMPR.
COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.
COMPR.
COMPR.

concentratie

0,52mg
1,05mg
2,1mg
3,15mg
2mg/24h
2mg/24h
4mg/24h
4mg/24h
6mg/24h
6mg/24h
8mg/24h
8mg/24h
5mg
5mg
5mg
1mg
200mg
200mg
100mg
25mg

DETINATOR APP

TARA
DET. APP

AMBALAJ

Prescriptie

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA CUTIE CU 3 BLIST.OPA-AL-PVC/AL X 10 COMPR.

P-RF

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA CUTIE CU 3 BLIST.OPA-AL-PVC/AL X 10 COMPR.

P-RF

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA CUTIE CU 3 BLIST.OPA-AL-PVC/AL X 10 COMPR.

P-RF

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA CUTIE CU 3 BLIST.OPA-AL-PVC/AL X 10 COMPR.

P-RF

SCHWARZ PHARMA LTD


SCHWARZ PHARMA LTD
SCHWARZ PHARMA LTD
SCHWARZ PHARMA LTD
SCHWARZ PHARMA LTD
SCHWARZ PHARMA LTD
SCHWARZ PHARMA LTD
SCHWARZ PHARMA LTD

MEDOCHEMIE LTD.
MEDOCHEMIE LTD.

IRLANDA
IRLANDA
IRLANDA
IRLANDA
IRLANDA
IRLANDA
IRLANDA
IRLANDA
CIPRU
CIPRU

CUTIE X 28 PLASTURI TRANSDERMICI


CUTIE X 7 PLASTURI TRANSDERMICI
CUTIE X 7 PLASTURI TRANSDERMICI
CUTIE X 28 PLASTURI TRANSDERMICI
CUTIE X 28 PLASTURI TRANSDERMICI
CUTIE X 7 PLASTURI TRANSDERMICI
CUTIE X 28 PLASTURI TRANSDERMICI
CUTIE X 7 PLASTURI TRANSDERMICI

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

CUTIE X 5 BLIST. DIN AL/PVC X 10 COMPR. P-6L


CUTIE X 10 BLIST. DIN AL/PVC X 10 COMPR. P-6L

UNGARIA CUTIE X 5 BLIST. AL/AL X 10 COMPR.

P-6L

TEVA PHARMA GMBH GERMANIA CUTIE X 30 COMPR.(BLIST. AL/AL)

P-RF

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 1 FLAC. DIN STICLA BRUNA CU SISTEM DE INCHIDERE SECURIZAT X 100 COMPR. FILM.

P-RF

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 1 FLAC. DIN STICLA BRUNA CU SISTEM DE INCHIDERE SECURIZAT X 30 COMPR. FILM.

P-RF

CHINOIN PRIVATE CO. LTD.

NOVARTIS PHARMA GMBH GERMANIA


NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 5 BLIST. X 10 COMPR.


CUTIE X 5 BLIST. X 10 COMPR.

P-RF

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P-RF

P-RF

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ambal
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
aj
(RON)
(RON)
ADULTI
a) si f)

30
30
30
30
28
7
7
28
28
7
28
7
50
100
50
30
100
30
50
50

314.07
650.35
367.49
98.15
101.65
382.31
477.57
127.57
571.41
154.18
36.31
70.37
41.74
523.59
391.65
125.26
106.79
33.65

10.469000
21.678333
40.995000
60.311000
13.124642
14.021428
14.521428
13.653928
17.056071
18.224285
20.407500
22.025714
0.726200
0.703700
0.834800
17.453000
3.916500
4.175333
2.135800
0.673000

10.469000
21.678333
40.995000
60.311000
13.124642
14.021428
14.521428
13.653928
17.056071
18.224285
20.407500
22.025714
0.726200
0.703700
0.834800
17.453000
3.916500
4.175333
2.135800
0.673000

10.469000
21.678333
40.995000
60.311000
13.124642
14.021428
14.521428
13.653928
17.056071
18.224285
20.407500
22.025714
0.726200
0.703700
0.834800
17.453000
3.916500
4.175333
2.135800
0.673000

2.65
2.62
2.47
3.71
2.57
400.81
241.07
89.66
23.82
78.67
59.64
122.50
110.09
124.21
78.67
74.80
109.54
13.33
55.38
80.90
78.89
13.73

0.132500
0.087333
0.082333
0.123666
0.128500
400.810000
48.214000
89.660000
2.382000
78.670000
59.640000
122.500000
110.090000
124.210000
78.670000
74.800000
109.540000
13.330000
1.107600
0.809000
0.788900
0.686500

0.098799
0.087333
0.082333
0.098799
0.098799
400.810000
48.214000
89.660000
2.382000
78.670000
59.640000
122.500000
110.090000
124.210000
78.670000
71.568000
109.540000
13.330000
1.107600
0.809000
0.788900
0.686500

0.098799
0.087333
0.082333
0.098799
0.098799
400.810000
48.214000
89.660000
2.382000
78.670000
59.640000
122.500000
110.090000
124.210000
78.670000
71.568000
109.540000
13.330000
1.107600
0.809000
0.788900
0.686500

1,229.85
1,809.33

Tratamentul se initiaza de catre medicul in specialitatea neurologie

11. MIASTENIA GRAVIS - G13


1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22

H02AB07
H02AB07
H02AB07
H02AB07
H02AB07

L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01

L04AX01
L04AX01
L04AX01
N07AA01

PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
AZATHIOPRINUM
AZATHIOPRINUM
AZATHIOPRINUM
NEOSTIGMINI BROMIDUM

PREDNISON MCC 5 mg
PREDNISON ARENA 5 mg
N - PREDNISON
PREDNISON 5 mg

COMPR.
COMPR.
COMPR.
COMPR.
PREDNISON - RICHTER 5 mg COMPR.

MAGISTRA C&C S.R.L. ROMANIA


ARENA GROUP SA ROMANIA
MEDUMAN SA
ROMANIA
SINTOFARM SA
ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA

METHOTREXAT "EBEWE" 5000 mg

EBEWE PHARMA GMBH NFG. KG

METHOTREXAT "EBEWE" 500 mg


METHOTREXAT "EBEWE" 1000 mg

METHOTREXAT "EBEWE" 5 mg
METOTREXAT EBEWE 10 mg/ml
METOTREXAT EBEWE 10 mg/ml
METOTREXAT EBEWE 10 mg/ml
METOTREXAT EBEWE 10 mg/ml

METOJECT 50mg/ml
METOJECT 50mg/ml
METOJECT 50mg/ml
METOJECT 50mg/ml

METHOTREXAT "EBEWE" 50 mg

IMMUNOPRIN 100 mg
IMURAN (R)
IMMUNOPRIN 75 mg
NEOSTIGMINA LPH 15 mg

5mg
5mg
5mg
5mg
5mg
CONC. PT. SOL. INJ./PERF. 100mg/ml
CONC. PT. SOL. INJ./PERF. 100mg/ml
CONC. PT. SOL. INJ./PERF. 100mg/ml
SOL. INJ.
5mg/ml
SOL. INJ. IN SERINGA PREUMPLUTA
10mg/ml
SOL. INJ. IN SERINGA PREUMPLUTA
10mg/ml
SOL. INJ. IN SERINGA PREUMPLUTA
10mg/ml
SOL. INJ. IN SERINGA PREUMPLUTA
10mg/ml
SOL. INJ. IN SERINGA PREUMPLUTA
50mg/ml
SOL. INJ. IN SERINGA PREUMPLUTA
50mg/ml
SOL. INJ. IN SERINGA PREUMPLUTA
50mg/ml
SOL. INJ. IN SERINGA PREUMPLUTA
50mg/ml
SOL. INJ./PERF. 10mg/ml
COMPR. FILM. 100mg
COMPR. FILM. 50mg
COMPR. FILM. 75mg
COMPR.
15mg

EBEWE PHARMA GMBH NFG. KG


EBEWE PHARMA GMBH NFG. KG
EBEWE PHARMA GMBH NFG. KG
EBEWE PHARMA GES.M.B.H. NFG KG
EBEWE PHARMA GES.M.B.H. NFG KG
EBEWE PHARMA GES.M.B.H. NFG KG
EBEWE PHARMA GES.M.B.H. NFG KG
MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

EBEWE PHARMA GMBH NFG. KG


EBEWE PHARMA GES.M.B.H. NFG KG

P-RF

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.


CUTIE X 2 BLIST. AL./PVC X 10 COMPR.

P-RF

P-RF

AUSTRIA CUTIE X 1 FLACON X 50 ML


AUSTRIA CUTIE X 5 FIOLE X 5 ML
AUSTRIA CUTIE X 1 TUB DIN MATERIAL PLASTIC X 1 FIOLA X 10 ML
AUSTRIA CUTIE X 10 FIOLE X 1 ML
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA

S
S
S
S
PR
PR
PR
PR

GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,50ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL

P-RF

GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,20ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL

P-RF

GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,15ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL

P-RF

GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,40ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL

P-RF

CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 1,0 ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJE

CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 0,75 ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJ

CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 2,0 ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJE

CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 1,5 ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJE

AUSTRIA CUTIE X 1 FLACON X 5 ML


S
AUSTRIA CUTIE CU 1 FLAC. PEID X 50 COMPR. FILM. PR

THE WELLCOME FOUNDATION LTD. MAREA BRITANIE


EBEWE PHARMA GES.M.B.H. NFG KG

P-RF

CUTIE X 1 FLAC. X 30 COMPR.

AUSTRIA

CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM.


CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM.

S/P-RF

PR

LABORMED PHARMA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 20 COMPR. P-6L

Pagina 19 din 42

20
30
30
30
20
1
5
1
10
1
1
1
1
1
1
1
1
1
50
100
100
20

NR.CRT

23

COD ATC

N07AA02

DCI

PYRIDOSTIGMINI BROMIDUM

Denumire Comerciala

MESTINON 60 mg

forma farm.

concentratie

DETINATOR APP

TARA
DET. APP

AMBALAJ

Prescriptie

DRAJ.

60mg

ICN POLFA RZESZOW S.A.

POLONIA CUTIE X 1 FLAC. X 20 DRAJ.

COMPR.
COMPR.
COMPR.

16mg
32mg
4mg
125mg
500mg
5mg
5mg
5mg
5mg
5mg
100mg/ml
100mg/ml
100mg/ml
5mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
50mg/ml
50mg/ml
50mg/ml
50mg/ml
10mg/ml
2mg/ml
100mg
50mg
75mg

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 5 BLIST. A-PVC/PVC X 10 COMPR. P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 2 BLIST. AL-PVC/PVC X 10 COMPR. P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

S/P-RF

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ambal
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
aj
(RON)
(RON)
ADULTI
a) si f)

20

16.56

0.828000

0.828000

0.828000

50
20
30
1
1
20
30
30
30
20
1
5
1
10
1
1
1
1
1
1
1
1
1
1
50
100
100

32.62
29.65
6.53
8.81
31.02
2.65
2.62
2.47
3.71
2.57
400.81
241.07
89.66
23.82
78.67
59.64
122.50
110.09
124.21
78.67
74.80
109.54
13.33
643.62
55.38
80.90
78.89

0.652400
1.482500
0.217666
8.810000
31.020000
0.132500
0.087333
0.082333
0.123666
0.128500
400.810000
48.214000
89.660000
2.382000
78.670000
59.640000
122.500000
110.090000
124.210000
78.670000
74.800000
109.540000
13.330000
643.620000
1.107600
0.809000
0.788900

0.652400
1.482500
0.217666
8.810000
31.020000
0.098799
0.087333
0.082333
0.098799
0.098799
400.810000
48.214000
89.660000
2.382000
78.670000
59.640000
122.500000
110.090000
124.210000
78.670000
71.568000
109.540000
13.330000
643.620000
1.107600
0.809000
0.788900

0.652400
1.482500
0.217666
8.810000
31.020000
0.098799
0.087333
0.082333
0.098799
0.098799
400.810000
48.214000
89.660000
2.382000
78.670000
59.640000
122.500000
110.090000
124.210000
78.670000
71.568000
109.540000
13.330000
643.620000
1.107600
0.809000
0.788900

0.439200
0.735200
0.202600
0.332800
0.511200
0.535333

0.243120
0.399360
0.202600
0.332800
0.511200
0.535333

0.243120
0.399360
0.202600
0.332800
0.511200
0.535333

Tratamentul se initiaza de catre medicul in specialitatea neurologie

12. SCLEROZA MULTIPLA - G14


1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27

H02AB04
H02AB04
H02AB04
H02AB04
H02AB04
H02AB07
H02AB07
H02AB07
H02AB07
H02AB07

L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01DB07

L04AX01
L04AX01
L04AX01

METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
MITOXANTRONUM***
AZATHIOPRINUM
AZATHIOPRINUM
AZATHIOPRINUM

MEDROL A 16
MEDROL 32
MEDROL 4 mg
LEMOD SOLU 125 mg
LEMOD SOLU 500 mg
PREDNISON MCC 5 mg
PREDNISON ARENA 5 mg
N - PREDNISON
PREDNISON 5 mg

LIOF. PT. SOL. INJ.


LIOF. PT. SOL. INJ.

COMPR.
COMPR.
COMPR.
COMPR.
PREDNISON - RICHTER 5 mg COMPR.

METHOTREXAT "EBEWE" 5000 mg

CONC. PT. SOL. INJ./PERF.

METHOTREXAT "EBEWE" 500 mg

CONC. PT. SOL. INJ./PERF.

METHOTREXAT "EBEWE" 1000 mg

CONC. PT. SOL. INJ./PERF.

METHOTREXAT "EBEWE" 5 mg SOL. INJ.


METOTREXAT EBEWE 10 mg/ml SOL. INJ. IN SERINGA PREUMPLUTA
METOTREXAT EBEWE 10 mg/ml SOL. INJ. IN SERINGA PREUMPLUTA
METOTREXAT EBEWE 10 mg/ml SOL. INJ. IN SERINGA PREUMPLUTA
METOTREXAT EBEWE 10 mg/ml SOL. INJ. IN SERINGA PREUMPLUTA

METOJECT 50mg/ml
METOJECT 50mg/ml
METOJECT 50mg/ml
METOJECT 50mg/ml

SOL. INJ. IN SERINGA PREUMPLUTA


SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA

METHOTREXAT "EBEWE" 50 mg SOL. INJ./PERF.


ONKOTRONE
CONC. PT. SOL. INJ.

IMMUNOPRIN 100 mg
IMURAN (R)
IMMUNOPRIN 75 mg

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

ROMANIA
STADA HEMOFARM S.R.L. ROMANIA
MAGISTRA C&C S.R.L. ROMANIA
ARENA GROUP SA ROMANIA
MEDUMAN SA
ROMANIA
SINTOFARM SA
ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
STADA HEMOFARM S.R.L.

EBEWE PHARMA GMBH NFG. KG


EBEWE PHARMA GMBH NFG. KG
EBEWE PHARMA GMBH NFG. KG
EBEWE PHARMA GMBH NFG. KG
EBEWE PHARMA GES.M.B.H. NFG KG
EBEWE PHARMA GES.M.B.H. NFG KG
EBEWE PHARMA GES.M.B.H. NFG KG
EBEWE PHARMA GES.M.B.H. NFG KG
MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

EBEWE PHARMA GMBH NFG. KG

CUTIE X 1 FLAC. DIN STICLA X 30 COMPR. P-RF


CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 2 ML

S/P-RF

CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 7,8 ML

S/P-RF

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P-RF

P-RF

CUTIE X 1 FLAC. X 30 COMPR.

P-RF

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.


CUTIE X 2 BLIST. AL./PVC X 10 COMPR.

P-RF
P-RF

AUSTRIA CUTIE X 1 FLACON X 50 ML


AUSTRIA CUTIE X 5 FIOLE X 5 ML
AUSTRIA CUTIE X 1 TUB DIN MATERIAL PLASTIC X 1 FIOLA X 10 ML
AUSTRIA CUTIE X 10 FIOLE X 1 ML
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA

S
S
S
S
PR
PR
PR
PR

GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,50ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL

P-RF

GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,20ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL

P-RF

GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,15ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL

P-RF

GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,40ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL

P-RF

CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 1,0 ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJE

CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 0,75 ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJ

CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 2,0 ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJE

CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 1,5 ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJE

AUSTRIA CUTIE X 1 FLACON X 5 ML

S
S
AUSTRIA CUTIE CU 1 FLAC. PEID X 50 COMPR. FILM. PR

BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 1 FLACON X 10 ML CONC. PT. SOL. INJ.
EBEWE PHARMA GES.M.B.H. NFG KG

THE WELLCOME FOUNDATION LTD. MAREA BRITANIE


EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRIA

CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM.

S/P-RF

CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM.

PR

Tratamentul se initiaza de catre medicul in specialitatea neurologie


Medicamentele specifice se prescriu numai pentru pacientii inclusi in Programul National de boli neurologice (Subprogramul de tratament al screlozei multiple)
13. BOLI PSIHICE (SCHIZOFRENIE, TULBURARI SCHIZOTIPALE SI DELIRANTE, TULBURARI AFECTIVE MAJORE, TULBURARI PSIHOTICE ACUTE SI BOLI PSIHICE COPII, AUTISM) - G15
1
2
3
4
5
6

N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01

ACIDUM VALPROICUM + SARURI


ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI

ORFIRIL LONG 150 mg


ORFIRIL LONG 300 mg
CONVULEX (R) 150 mg
CONVULEX (R) 300 mg
CONVULEX (R) 500 mg

CAPS. ELIB. PREL. 150mg


CAPS. ELIB. PREL. 300mg

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 1 FLAC. DIN PP X 50 CAPS. CU MINICOMPR. CU ELIB. PRELUNG.

P-6L

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 1 FLAC. DIN PP X 50 CAPS. CU MINICOMPR. CU ELIB. PREL.

P-6L

CAPS. MOI GASTROREZ.

GEROT PHARMAZEUTIKA GMBH

CUTIE X 10 BLIST. AL/PVDC-PVC X 10 CAPS. MOI GASTROREZ.

P-6L

CUTIE X 10 BLIST. AL/PVDC-PVC X 10 CAPS. MOI GASTROREZ.

P-6L

CUTIE X 10 BLIST. AL/PVDC-PVCX 10 CAPS. MOI GASTROREZ.

P-6L

CAPS. MOI GASTROREZ.


CAPS. MOI GASTROREZ.

DEPAKINE (R) CHRONO 500 mg COMPR. ELIB. PREL.

150mg
300mg
500mg
500mg

GEROT PHARMAZEUTIKA GMBH


GEROT PHARMAZEUTIKA GMBH

SANOFI-AVENTIS FRANCE

Pagina 20 din 42

AUSTRIA
AUSTRIA
AUSTRIA
FRANTA

CUTIE X 1 FLAC. PP X 30 COMPR. FILM. ELIB. PREL. P-6L

50
50
100
100
100
30

21.96
36.76
20.26
33.28
51.12
16.06

NR.CRT

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

COD ATC
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01

N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N04AA01
N05AD01
N05AD01
N05AD01
N05AD01
N05AD01
N05AD01
N05AD01
N05AD01
N05AE03
N05AE03
N05AE04
N05AE04
N05AE04
N05AE04
N05AE04

DCI

ACIDUM VALPROICUM + SARURI


ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
TRIHEXYPHENIDYLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
SERTINDOL**
SERTINDOL**
ZIPRASIDONUM**
ZIPRASIDONUM**
ZIPRASIDONUM**
ZIPRASIDONUM**
ZIPRASIDONUM**

Denumire Comerciala

DEPAKINE CHRONO 300 mg


ORFIRIL 150
DEPAKINE 200 mg
ORFIRIL 300
ORFIRIL 600
DEPAKINE (R) 400 mg/4 ml LIOFILIZAT SI SOLVENT PENTRU SOLUTIE INJECTABILA i.v.

ORFIRIL LONG 1000 mg


ORFIRIL LONG 500 mg
ORFIRIL SIROP
DEPAKINE
LAMOTIRAN 100 mg
LAMOTRIX 100 mg
EPIMIL 100 mg
PLEXXO (R) 100 mg
LAMOTRIGINE FARMAL 100 mg

LAMICTAL 100 mg
LAMOTRIGINA SUN 100 mg

LAMOTRIGINE TORRENT 100 mg

LAMOTRIX 200 mg
LAMOTRIGINA SUN 200 mg
LAMOTIRAN 25 mg
LAMOTRIX 25 mg
LAMICTAL 25 mg
PLEXXO (R) 50 mg
LAMOTIRAN 50 mg
LAMOTRIX 50 mg
EPIMIL 50 mg

LAMOTRIGINE FARMAL 50 mg

LAMICTAL 50 mg
LAMOTRIGINA SUN 50 mg
LAMOTRIN 100 mg
LAMOTRIN 25 mg
LAMOTRIN 50 mg
ROMPARKIN (R) 2 mg

HALOPERIDOL LAROPHARM 0,5 mg

HALOPERIDOL 1 mg
HALOPERIDOL 2 mg
HALDOL
HALOPERIDOL ROMPHARM 2 mg/ml

HALOPERIDOL 2 mg/ml
HALOPERIDOL DECANOAT
HALOPERIDOL RICHTER 5 mg/ml

SERDOLECT 16 mg
SERDOLECT 4 mg
ZELDOX (R) 40 mg
ZYPSILA 40 mg
ZIXADOX 40 mg
ZELDOX (R) 60 mg
ZYPSILA 60 mg

forma farm.

concentratie

300mg
150mg
COMPR. FILM. GASTROREZ. 200mg
COMPR. FILM. GASTROREZ. 300mg
COMPR. FILM. GASTROREZ. 600mg
LIOF. + SOLV. PT. SOL. 400mg/4ml
MINICOMPR. ELIB. PREL. 1000mg
MINICOMPR. ELIB. PREL. 500mg
SIROP
300mg/5ml
SIROP
57,64mg/ml
COMPR.
100mg
COMPR.
100mg
COMPR.
100mg
COMPR.
100mg
COMPR.
100mg
COMPR.
100mg
COMPR.
100mg
COMPR.
100mg
COMPR.
200mg
COMPR.
200mg
COMPR.
25mg
COMPR.
25mg
COMPR.
25mg
COMPR.
50mg
COMPR.
50mg
COMPR.
50mg
COMPR.
50mg
COMPR.
50mg
COMPR.
50mg
COMPR.
50mg
COMPR. DISP. 100mg
COMPR. DISP. 25mg
COMPR. DISP. 50mg
COMPR.
2mg
COMPR.
0,5mg
COMPR.
1mg
COMPR.
2mg
COMPR.
5mg
PIC. OFT., SOL. 2 mg/ml
PIC. ORALE-SOL. 2mg/ml
SOL. INJ.
50mg/ml
SOL. INJ.
5mg/ml
COMPR. FILM. 16mg
COMPR. FILM. 4mg
CAPS.
40mg
CAPS.
40mg
CAPS.
40mg
CAPS.
60mg
CAPS.
60mg

DETINATOR APP

TARA
DET. APP

AMBALAJ

Prescriptie

COMPR. FILM. ELIB. PREL. DIVIZ.

SANOFI-AVENTIS FRANCE

FRANTA

CUTIE X 2 FLAC. DIN PP X 50 COMPR. FILM. ELIB. PREL., DIVIZIBILE

P-6L

COMPR. FILM. GASTROREZ.

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 COMPR.FILM. GASTROREZ.

P-6L

SANOFI-AVENTIS FRANCE

FRANTA

CUTIE X 1 FLAC. DIN PP X 40 COMPR. FILM. GASTROREZ.

P-6L

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 1 FLAC. DIN PP X 100 COMPR. FILM. GASTROREZ.

P-6L

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 1 FLAC. DIN PP X 50 COMPR. FILM. GASTROREZ.

P-6L

SANOFI-AVENTIS FRANCE

FRANTA

CUTIE X 4 FLAC. CU LIOF. PT. SOL. INJ. + 4 FIOLE SOLV. X 4ML S/P-RF

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 50 MINIPLICURI. DIN PET/AL/PE CU MINICOMPR. CU ELIB. PRELUNG.

P-6L

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 50 MINIPLICURI. DIN PET/AL/PE CU MINICOMPR. CU ELIB. PRELUNG.

P-6L

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 1 FLACON X 250 ML + LINGURITA DOZATOARE PP A 5 ML

P-6L

CUTIE X 1 FLACON X 150 ML + 1 SERINGA PT. ADMIN. ORALA

P-6L

RANBAXY UK LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVDC-PVC X 7 COMPR.


MEDOCHEMIE LTD. CIPRU
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
IVAX PHARMCEUTICALS S.R.O. CEHIA
CUTIE X 3 BLIST. PVC-PVDC/PVC-AL X 10 COMPR.
DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 3 BLIST. X 10 COMPR.

P-6L

FARMAL INTERNATIONAL S.R.L.

P-RF

SANOFI - AVENTIS FRANCE

THE WELLCOME FOUNDATION LTD.

CIPLA (UK) LIMITED


TORRENT PHARMA S.R.L.

FRANTA

ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.


MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 COMPR.
MAREA BRITANIE CUTIE X 4 BLIST. AL/PVC X 14 COMPR.
ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR.
CIPRU
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
MAREA BRITANIE CUTIE X 4 BLIST. AL/PVC X 14 COMPR.

MEDOCHEMIE LTD.
CIPLA (UK) LIMITED
RANBAXY UK LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVDC-PVC X 7 COMPR.
MEDOCHEMIE LTD. CIPRU
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
THE WELLCOME FOUNDATION LTD. MAREA BRITANIE

P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L

CUTIE CU BLIST. PVC/AL X 28 COMPR. P-6L

GERMANIA CUTIE X 3 BLIST. X 10 COMPR.


RANBAXY UK LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVDC-PVC X 7 COMPR.
MEDOCHEMIE LTD. CIPRU
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
IVAX PHARMCEUTICALS S.R.O. CEHIA
CUTIE X 3 BLIST. PVC-PVDC/PVC-AL X 10 COMPR.

P-6L

FARMAL INTERNATIONAL S.R.L.

P-RF

DESITIN ARZNEIMITTEL GMBH

ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

THE WELLCOME FOUNDATION LTD. MAREA BRITANIE

CIPLA (UK) LIMITED

MAREA BRITANIE

ACTAVIS GROUP HF. ISLANDA


ACTAVIS GROUP HF. ISLANDA
ACTAVIS GROUP HF. ISLANDA
TERAPIA SA
ROMANIA
LAROPHARM S.R.L. ROMANIA
ARENA GROUP SA ROMANIA
ARENA GROUP SA ROMANIA
JANSSEN PHARMACEUTICA N.V.

ROMPHARM COMPANY S.R.L.


GEDEON RICHTER ROMANIA SA
GEDEON RICHTER ROMANIA SA
GEDEON RICHTER ROMANIA SA

BELGIA

P-6L
P-6L
P-6L

CUTIE CU BLIST. PVC/AL X 28 COMPR. P-6L


CUTIE X 4 BLIST. AL/PVC X 14 COMPR. P-6L
CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. DISPERSABILE

P-6L

CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. DISPERSABILE

P-6L

CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. DISPERSABILE

P-6L

CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L


CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF
CUTIE X 1 BLIST. AL/PVC X 25 COMPR. P-RF

ROMANIA CUTIE CU 1 FLACON PEJD CU PICURATOR PEJD X 10 ML PIC. OFT., SOL. PRF
ROMANIA CUTIE X 1 FLACON PICURATOR X 10ML PICATURI ORALE-SOLUTIE P-RF
ROMANIA CUTIE X 5 FIOLE X 1 ML
P-RF
ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 1 ML SOL. INJ. P-RF

H. LUNDBECK A/S
H. LUNDBECK A/S

DANEMARCA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

DANEMARCA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-RF

CUTIE X 4 BLIST. X 14 CAPS.

P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 CAPS. P-RF

ZENTIVA K.S.

REPUBLICA CEHA

CUTIE CU BLIST. OPA-AL-PVC/AL X 56 CAPS.

P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 4 BLIST. X 14 CAPS.

P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 CAPS. P-RF

Pagina 21 din 42

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ambal
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
aj
(RON)
(RON)
ADULTI
a) si f)

100
100
40
100
50
4
50
50
1
1
28
30
30
30
30
28
56
30
30
56
28
30
28
30
28
30
30
30
28
56
30
30
30
50
20
30
30
25
1
1
5
5
28
30
56
60
56
56
60

34.76
29.14
10.72
37.58
39.99
127.06
94.92
59.48
36.26
23.13
26.66
28.86
28.86
28.86
28.84
40.13
52.11
28.24
60.33
99.51
6.66
7.26
10.40
14.41
13.33
14.41
14.41
14.42
20.69
26.89
28.84
3.82
16.95
19.49
3.24
7.72
10.80
17.94
4.31
6.66
44.52
12.48
484.77
127.86
416.90
291.19
277.12
542.18
358.39

0.347600
0.291400
0.268000
0.375800
0.799800
31.765000
1.898400
1.189600
36.260000
23.130000
0.952142
0.962000
0.962000
0.962000
0.961333
1.433214
0.930535
0.941333
2.011000
1.776964
0.237857
0.242000
0.371428
0.480333
0.476071
0.480333
0.480333
0.480666
0.738928
0.480178
0.961333
0.127333
0.565000
0.389800
0.162000
0.257333
0.360000
0.717600
4.310000
6.660000
8.904000
2.496000
17.313214
4.262000
7.444642
4.853166
4.948571
9.681785
5.973166

0.347600
0.243120
0.268000
0.375800
0.799800
31.765000
1.898400
0.613440
36.260000
23.130000
0.952142
0.962000
0.962000
0.962000
0.961333
1.116642
0.930535
0.941333
2.011000
1.776964
0.152799
0.152799
0.152799
0.480333
0.476071
0.480333
0.480333
0.480666
0.571285
0.480178
0.961333
0.127333
0.565000
0.389800
0.162000
0.257333
0.360000
0.717600
4.310000
6.660000
8.904000
2.496000
17.313214
4.262000
5.823799
4.853166
4.948571
7.167799
5.973166

0.347600
0.243120
0.268000
0.375800
0.799800
31.765000
1.898400
0.613440
36.260000
23.130000
0.952142
0.962000
0.962000
0.962000
0.961333
1.116642
0.930535
0.941333
2.011000
1.776964
0.152799
0.152799
0.152799
0.480333
0.476071
0.480333
0.480333
0.480666
0.571285
0.480178
0.961333
0.127333
0.565000
0.389800
0.162000
0.257333
0.360000
0.717600
4.310000
6.660000
8.904000
2.496000
17.313214
4.262000
5.823799
4.853166
4.948571
7.167799
5.973166

NR.CRT

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

COD ATC

N05AE04
N05AE04
N05AE04

N05AF01
N05AF05
N05AF05
N05AF05
N05AF05
N05AF05
N05AH02
N05AH02
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03

100 N05AH03
101 N05AH03
102 N05AH03
103 N05AH03
104 N05AH03

DCI

ZIPRASIDONUM**
ZIPRASIDONUM**
ZIPRASIDONUM**
FLUPENTIXOLUM**
ZUCLOPENTHIXOLUM**
ZUCLOPENTHIXOLUM**
ZUCLOPENTHIXOLUM**
ZUCLOPENTHIXOLUM**
ZUCLOPENTHIXOLUM**
CLOZAPINUM**
CLOZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**

Denumire Comerciala

ZELDOX (R) 80 mg
ZYPSILA 80 mg
ZELDOX (R) 20 mg/ml
FLUANXOL DEPOT
CLOPIXOL (R) 10 mg
CLOPIXOL (R) 25 mg
CLOPIXOL 20 mg/ml
CLOPIXOL (R) DEPOT
CLOPIXOL ACUPHASE (R)
LEPONEX (R) 100 mg
LEPONEX (R) 25 mg
ZALASTA 10mg
OLAZAX 10 mg
ZALASTA 5mg
OLAZAX 5 mg
ZYPREXA 10 mg
OLIPAZIX 10 MG

OLANZAPINA ACCORD 10 mg

LAPOZAN 10 mg
LAPOZAN 10 mg

OLANZAPINA ACTAVIS 10 mg

BLOONIS 10 mg

OLANZAPINA DR. REDDY'S 10 mg

EGOLANZA 10 mg
NYKOB 10 mg
OLANZAPINA LPH 10 mg
OLANZAPINA LILLY 10 mg
OLANZAPINE GSK 10 mg

OLANZAPINA ACCORD 15 mg

LAPOZAN 15 mg
EGOLANZA 15 mg
NYKOB 15 mg
OLANZAPINA LPH 15 mg

OLANZAPINA ACCORD 2,5 mg


OLANZAPINA ACCORD 20 mg
OLANZAPINA DR. REDDY'S 20 mg

EGOLANZA 20 mg
NYKOB 20 mg
OLANZAPINA LPH 20 mg
ZYPREXA 5 mg
OLIPAZIX 5 MG
OLANZAPINA ACCORD 5 mg
LAPOZAN 5 mg
LAPOZAN 5 mg
OLANZAPINA ACTAVIS 5 mg
BLOONIS 5 mg

OLANZAPINA DR. REDDY'S 5 mg

EGOLANZA 5 mg
NYKOB 5 mg

forma farm.

CAPS.
CAPS.

concentratie

80mg
80mg
LIOF. PT. SOL. INJ. + SOLV. 20mg/ml
SOL. INJ.
20mg/ml
COMPR. FILM. 10mg
COMPR. FILM. 25mg
PIC. ORALE-SOL. 20mg/ml
SOL. INJ.
200mg/ml
SOL. INJ.
50mg/ml
COMPR.
100mg
COMPR.
25mg
COMPR.
10mg
COMPR.
10mg
COMPR.
5mg
COMPR.
5mg
COMPR. FILM. 10mg
COMPR. FILM. 10mg
COMPR. FILM. 10mg
COMPR. FILM. 10mg
COMPR. FILM. 10mg
COMPR. FILM. 10mg
COMPR. FILM. 10mg
COMPR. FILM. 10mg
COMPR. FILM. 10mg
COMPR. FILM. 10mg
COMPR. FILM. 10mg
COMPR. FILM. 10mg
COMPR. FILM. 10mg
COMPR. FILM. 15mg
COMPR. FILM. 15mg
COMPR. FILM. 15mg
COMPR. FILM. 15mg
COMPR. FILM. 15mg
COMPR. FILM. 2,5mg
COMPR. FILM. 20mg
COMPR. FILM. 20mg
COMPR. FILM. 20mg
COMPR. FILM. 20mg
COMPR. FILM. 20mg
COMPR. FILM. 5mg
COMPR. FILM. 5mg
COMPR. FILM. 5mg
COMPR. FILM. 5mg
COMPR. FILM. 5mg
COMPR. FILM. 5mg
COMPR. FILM. 5mg
COMPR. FILM. 5mg
COMPR. FILM. 5mg
COMPR. FILM. 5mg

DETINATOR APP
PFIZER EUROPE MA EEIG

TARA
DET. APP
MAREA BRITANIE

AMBALAJ

CUTIE X 4 BLIST. X 14 CAPS.

Prescriptie

P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 CAPS. P-RF
PFIZER EUROPE MA EEIG

H. LUNDBECK A/S
H. LUNDBECK A/S
H. LUNDBECK A/S
H. LUNDBECK A/S
H. LUNDBECK A/S
H. LUNDBECK A/S
NOVARTIS PHARMA GMBH
NOVARTIS PHARMA GMBH

MAREA BRITANIE

CUTIE X 1 FLAC. LIOF. + 1 FIOLA X 1,2 ML SOLV.

S/P-RF

DANEMARCA CUTIE X 10 FIOLE DIN STICLA INCOLORA X 1 ML SOL. INJ. P-RF


DANEMARCA
DANEMARCA

FLAC. X 50 COMPR. FILM.


FLAC. X 50 COMPR. FILM.

P-RF
P-RF

DANEMARCA CUTIE X 1 FLAC. + CAPAC SECURIZAT PT. COPII X 20 ML

P-RF

CUTIE X 10 FIOLE X 1 ML
DANEMARCA CUTIE X 5 FIOLE X 1 ML
GERMANIA CUTIE X 5 BLIST. X 10 COMPR.
GERMANIA CUTIE X 5 BLIST. X 10 COMPR.

P-RF

DANEMARCA

P-RF
P-RF
P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 28 COMPR. (BLISTER OPA/AL/PVC/AL) P-RF
GLENMARK PHARMACEUTICALS SRL

REPUBLICA CEHA

CUTIE CU BLIST. AL/AL X 28 COMPR.

P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 28 COMPR. (BLISTER OPA/AL/PVC/AL) P-RF
GLENMARK PHARMACEUTICALS SRL

ELI LILLY NEDERLAND BV


LABORATORIOS LESVI, SL

REPUBLICA CEHA

OLANDA
SPANIA

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

CUTIE CU BLIST. AL/AL X 28 COMPR.

P-RF

CUTIE X 28 COMPR. FILM. ( BLIST.AL ABUTISATE LA RECE) P-RF

CUTIE CU BLIST. DIN PA-AL-PVC/AL X 28 COMPR. FILM.

P-RF

CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-RF

MEDOCHEMIE LTD. CIPRU


CUTIE CU BLIST. AL/AL X 28 COMPR. FILM.
MEDOCHEMIE LTD. CIPRU
CUTIE CU BLIST. AL/AL X 30 COMPR. FILM.
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM.

P-RF
P-RF
P-RF

ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-RF


DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. AL/AL X 35 COMPR. FILM. P-RF
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-RF
PHARMASWISS MEDICINES S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. FILM. P-RF
LABORMED PHARMA S.A. ROMANIA CUTIE CU 4 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. PRF
ELI LILLY ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. DIN AL X 28 COMPR. FILM. PRF
GLAXOSMITHKLINE S.R.L. ROMANIA CUTIE CU BLIST. DIN PA-AL-PVC/AL X 28 COMPR. FILM. P-RF
SANOFI - AVENTIS ROMANIA S.R.L.

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

MEDOCHEMIE LTD. CIPRU

CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-RF


CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-RF

UNGARIA
PHARMASWISS MEDICINES S.R.L. ROMANIA
LABORMED PHARMA S.A. ROMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-RF

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-RF

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-RF

EGIS PHARMACEUTICALS P.L.C.

CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. FILM. P-RF


CUTIE CU 4 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. PRF

ROMANIA CUTIE CU BLIST. AL/AL X 35 COMPR. FILM. P-RF


UNGARIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-RF
PHARMASWISS MEDICINES S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. FILM. P-RF
LABORMED PHARMA S.A. ROMANIA CUTIE CU 4 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. PRF
DR. REDDY'S LABORATORIES

EGIS PHARMACEUTICALS P.L.C.

ELI LILLY NEDERLAND BV


LABORATORIOS LESVI, SL

OLANDA
SPANIA

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

CUTIE X 28 COMPR. FILM. ( BLIST.AL ABUTISATE LA RECE) P-RF

CUTIE CU BLIST. DIN PA-AL-PVC/AL X 28 COMPR. FILM.

CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-RF

MEDOCHEMIE LTD. CIPRU


CUTIE CU BLIST. AL/AL X 28 COMPR. FILM.
MEDOCHEMIE LTD. CIPRU
CUTIE CU BLIST. AL/AL X 30 COMPR. FILM.
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM.
SANOFI - AVENTIS ROMANIA S.R.L.

DR. REDDY'S LABORATORIES


EGIS PHARMACEUTICALS P.L.C.
PHARMASWISS MEDICINES S.R.L.

Pagina 22 din 42

P-RF

ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.


ROMANIA CUTIE CU BLIST. AL/AL X 35 COMPR. FILM.
UNGARIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.
ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. FILM.

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ambal
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
aj
(RON)
(RON)
ADULTI
a) si f)

56
60
1
10
50
50
1
10
5
50
50
28
28
28
28
28
28
28
28
30
30
28
35
28
28
28
28
28
28
28
28
28
28
28
28
35
28
28
28
28
28
28
28
30
30
28
35
28
28

583.10
386.47
64.19
71.81
23.13
33.57
32.70
157.82
46.49
106.79
33.65
134.53
139.69
71.47
73.21
208.23
130.06
135.34
135.35
145.02
124.89
135.09
169.19
135.34
114.62
133.72
134.56
135.35
203.00
197.35
205.18
171.62
196.62
37.58
270.68
835.65
274.48
228.83
262.17
109.79
68.55
71.36
71.36
76.46
65.84
71.15
89.20
71.36
60.36

10.412500
6.441166
64.190000
7.181000
0.462600
0.671400
32.700000
15.782000
9.298000
2.135800
0.673000
4.804642
4.988928
2.552500
2.614642
7.436785
4.645000
4.833571
4.833928
4.834000
4.163000
4.824642
4.834000
4.833571
4.093571
4.775714
4.805714
4.833928
7.250000
7.048214
7.327857
6.129285
7.022142
1.342142
9.667142
23.875714
9.802857
8.172500
9.363214
3.921071
2.448214
2.548571
2.548571
2.548666
2.194666
2.541071
2.548571
2.548571
2.155714

7.729399
6.441166
64.190000
7.181000
0.462600
0.671400
32.700000
15.782000
9.298000
2.135800
0.673000
4.804642
4.912285
2.552500
2.586856
4.912285
4.645000
4.833571
4.833928
4.834000
4.163000
4.824642
4.834000
4.833571
4.093571
4.775714
4.805714
4.833928
7.250000
7.048214
7.327857
6.129285
7.022142
1.342142
9.667142
9.807000
9.802857
8.172500
9.363214
2.586856
2.448214
2.548571
2.548571
2.548666
2.194666
2.541071
2.548571
2.548571
2.155714

7.729399
6.441166
64.190000
7.181000
0.462600
0.671400
32.700000
15.782000
9.298000
2.135800
0.673000
4.804642
4.912285
2.552500
2.586856
4.912285
4.645000
4.833571
4.833928
4.834000
4.163000
4.824642
4.834000
4.833571
4.093571
4.775714
4.805714
4.833928
7.250000
7.048214
7.327857
6.129285
7.022142
1.342142
9.667142
9.807000
9.802857
8.172500
9.363214
2.586856
2.448214
2.548571
2.548571
2.548666
2.194666
2.541071
2.548571
2.548571
2.155714

NR.CRT

COD ATC

105 N05AH03
106 N05AH03
107 N05AH03
108 N05AH03
109 N05AH03
110 N05AH03
111 N05AH03
112 N05AH03
113 N05AH03
114 N05AH03
115 N05AH03
116 N05AH03
117 N05AH03
118 N05AH03
119 N05AH03
120 N05AH03
121 N05AH03
122 N05AH03
123 N05AH03
124 N05AH03
125 N05AH03
126 N05AH03
127 N05AH03
128 N05AH03
129 N05AH03
130 N05AH03
131 N05AH03
132 N05AH03
133 N05AH03
134 N05AH03
135 N05AH03
136 N05AH03
137 N05AH03
138 N05AH03
139 N05AH03
140 N05AH03
141 N05AH03
142 N05AH03
143 N05AH03
144 N05AH03
145 N05AH03
146 N05AH03
147 N05AH03
148 N05AH03
149 N05AH03
150 N05AH03
151 N05AH03
152 N05AH03
153 N05AH03

DCI

OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**

Denumire Comerciala

OLANZAPINA LPH 5 mg
OLANZAPINA LILLY 5 mg
OLANZAPINE GSK 5 mg

forma farm.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
OLANZAPINA DR. REDDY'S 7,5 mg COMPR. FILM.
ZYPREXA VELOTAB 10 mg COMPR. ORODISPERSABILE
ZALASTA 10mg
COMPR. ORODISPERSABILE
OLANZAPINE TEVA 10mg
COMPR. ORODISPERSABILE
OLANZAPINA TERAPIA 10 mg

OLAZAX DISPERZI 10 mg
LAPOZAN 10 mg
LAPOZAN 10 mg
BLOONIS 10 mg

OLANZAPINA DR. REDDY'S 10 mg

NYKOB 10 mg

OLANZAPINA ACTAVIS 10 mg

IRROPIA 10 mg
OLANZAPINA LILLY 10 mg

OLANZAPINA TORRENT 10 mg

OLANZAPINE GSK 10 mg
ZYPREXA VELOTAB 15 mg
ZALASTA 15mg
OLANZAPINE TEVA 15mg

OLANZAPINA TERAPIA 15 mg

OLAZAX DISPERZI 15 mg
BLOONIS 15 mg

OLANZAPINA DR. REDDY'S 15 mg

NYKOB 15 mg

OLANZAPINA ACTAVIS 15 mg

IRROPIA 15 mg
OLANZAPINA LILLY 15 mg

OLANZAPINA TORRENT 15 mg

ZYPREXA VELOTAB 20 mg
ZALASTA 20mg
OLANZAPINE TEVA 20mg

OLANZAPINA TERAPIA 20 mg

OLAZAX DISPERZI 20 mg
BLOONIS 20 mg

OLANZAPINA DR. REDDY'S 20 mg

NYKOB 20 mg

OLANZAPINA ACTAVIS 20 mg

IRROPIA 20 mg
OLANZAPINA LILLY 20 mg

OLANZAPINA TORRENT 20 mg

ZYPREXA VELOTAB 5 mg
ZALASTA 5mg
OLANZAPINE TEVA 5mg
OLANZAPINA TERAPIA 5 mg
OLAZAX DISPERZI 5 mg
LAPOZAN 5 mg

COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE

concentratie

5mg
5mg
5mg
7,5mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
5mg
5mg
5mg
5mg
5mg
5mg

TARA
DET. APP
AMBALAJ
LABORMED PHARMA S.A. ROMANIA CUTIE CU 4 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. PRF
ELI LILLY ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. DIN AL X 28 COMPR. FILM. PRF
GLAXOSMITHKLINE S.R.L. ROMANIA CUTIE CU BLIST. DIN PA-AL-PVC/AL X 28 COMPR. FILM. P-RF
DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. AL/AL X 35 COMPR. FILM. P-RF
DETINATOR APP

ELI LILLY NEDERLAND BV

Prescriptie

OLANDA

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE X 28COMPR. ORODISPERSABILE (BLIST. AL/AL )

P-RF

CUTIE X 28 COMPR.ORODISPERSABILE. (BLISTER OPA/AL/PVC/AL)

P-RF

TEVA PHARMA BV
TERAPIA S.A.

OLANDA

CUTIE X 30 COMPR. FILM. (BLIST. OPA-AL-PVC/AL) P-RF

ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR.

P-RF

GLENMARK PHARMACEUTICALS SRL

REPUBLICA CEHA

CUTIE CU BLIST. AL/AL X 28 COMPR. ORODISPERSABILE

P-RF

CUTIE CU BLIST. AL/AL X 30 COMPR. ORODISPERSABILE

P-RF

CUTIE CU BLIST. AL/AL X 50 COMPR. ORODISPERSABILE

P-RF

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE

P-RF

CUTIE CU BLIST. OPA-AL-PVC/AL X 35 COMPR. ORODISPERSABILE

P-RF

MEDOCHEMIE LTD. CIPRU


MEDOCHEMIE LTD. CIPRU
SANOFI - AVENTIS ROMANIA S.R.L.

DR. REDDY'S LABORATORIES


PHARMASWISS MEDICINES S.R.L.

ACTAVIS GROUP PTC EHF.


ROMASTRU TRADING S.R.L.

ROMANIA
ROMANIA
ROMANIA

ISLANDA

ROMANIA

CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE

P-RF

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE

P-RF

CUTIE CU 4 BLIST. AL/AL X 7 COMPR. ORODISPERSABILE

PRF

ELI LILLY ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. AL X 28 COMPR. ORODIPSERSABILE PRF

ROMANIA
GLAXOSMITHKLINE S.R.L. ROMANIA
TORRENT PHARMA S.R.L.

ELI LILLY NEDERLAND BV

OLANDA

KRKA D.D. NOVO MESTO SLOVENIA

P-RF

CUTIE CU BLIST. PA-AL-PVC/AL-PETF X 28 COMPR. ORODISPERSABILE

P-RF

CUTIE X 28COMPR. ORODISPERSABILE (BLIST. AL/AL )

P-RF

CUTIE X 28 COMPR.ORODISPERSABILE. (BLISTER OPA/AL/PVC/AL)

P-RF

TEVA PHARMA BV
TERAPIA S.A.

ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR.

P-RF

GLENMARK PHARMACEUTICALS SRL

REPUBLICA CEHA

CUTIE CU BLIST. AL/AL X 28 COMPR. ORODISPERSABILE

P-RF

SANOFI - AVENTIS ROMANIA S.R.L.

DR. REDDY'S LABORATORIES


PHARMASWISS MEDICINES S.R.L.

ACTAVIS GROUP PTC EHF.

OLANDA

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE

ROMANIA
ROMANIA
ROMANIA

ISLANDA

ROMANIA
ELI LILLY ROMANIA S.R.L. ROMANIA
TORRENT PHARMA S.R.L. ROMANIA
ROMASTRU TRADING S.R.L.

ELI LILLY NEDERLAND BV

OLANDA

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE

P-RF

CUTIE CU BLIST. OPA-AL-PVC/AL X 35 COMPR. ORODISPERSABILE

P-RF

CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE

P-RF

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE

P-RF

CUTIE CU 4 BLIST. AL/AL X 7 COMPR. ORODISPERSABILE

PRF

CUTIE CU BLIST. AL X 28 COMPR. ORODIPSERSABILE

PRF

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE

P-RF

CUTIE X 28COMPR. ORODISPERSABILE (BLIST. AL/AL )

P-RF

CUTIE X 28 COMPR.ORODISPERSABILE. (BLISTER OPA/AL/PVC/AL)

P-RF

TEVA PHARMA BV
TERAPIA S.A.

ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR.

P-RF

GLENMARK PHARMACEUTICALS SRL

REPUBLICA CEHA

CUTIE CU BLIST. AL/AL X 28 COMPR. ORODISPERSABILE

P-RF

SANOFI - AVENTIS ROMANIA S.R.L.

DR. REDDY'S LABORATORIES


PHARMASWISS MEDICINES S.R.L.

ACTAVIS GROUP PTC EHF.

OLANDA

CUTIE X 30 COMPR. FILM. (BLIST. OPA-AL-PVC/AL) P-RF

ROMANIA
ROMANIA
ROMANIA

ISLANDA

ROMANIA
ELI LILLY ROMANIA S.R.L. ROMANIA
TORRENT PHARMA S.R.L. ROMANIA
ROMASTRU TRADING S.R.L.

ELI LILLY NEDERLAND BV

OLANDA

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE X 30 COMPR. FILM. (BLIST. OPA-AL-PVC/AL) P-RF

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE

P-RF

CUTIE CU BLIST. OPA-AL-PVC/AL X 35 COMPR. ORODISPERSABILE

P-RF

CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE

P-RF

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE

P-RF

CUTIE CU 4 BLIST. AL/AL X 7 COMPR. ORODISPERSABILE

PRF

CUTIE CU BLIST. AL X 28 COMPR. ORODIPSERSABILE

PRF

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE

P-RF

CUTIE X 28COMPR. ORODISPERSABILE (BLIST. AL/AL )

P-RF

CUTIE X 28 COMPR.ORODISPERSABILE. (BLISTER OPA/AL/PVC/AL)

P-RF

TEVA PHARMA BV
TERAPIA S.A.

OLANDA

CUTIE X 30 COMPR. FILM. (BLIST. OPA-AL-PVC/AL) P-RF

ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR.

P-RF

GLENMARK PHARMACEUTICALS SRL

REPUBLICA CEHA

CUTIE CU BLIST. AL/AL X 28 COMPR. ORODISPERSABILE

P-RF

CUTIE CU BLIST. AL/AL X 30 COMPR. ORODISPERSABILE

P-RF

MEDOCHEMIE LTD. CIPRU

Pagina 23 din 42

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ambal
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
aj
(RON)
(RON)
ADULTI
a) si f)

28
28
28
35
28
28
30
28
28
30
50
28
35
28
28
28
28
28
28
28
28
30
28
28
28
35
28
28
28
28
28
28
28
30
28
28
28
35
28
28
28
28
28
28
28
30
28
28
30

68.89
70.95
71.36
296.13
466.24
134.53
142.72
134.53
139.69
148.62
247.69
135.09
171.82
114.62
120.72
134.25
136.15
245.20
316.62
616.92
203.82
214.08
203.82
205.88
205.93
257.36
171.62
171.71
201.86
205.86
359.46
1,013.57

271.77
285.43
271.77
274.46
274.59
342.90
228.83
228.96
269.05
274.48
472.92
243.53
71.47
75.25
73.57
73.21
78.30

2.460357
2.533928
2.548571
8.460857
16.651428
4.804642
4.757333
4.804642
4.988928
4.954000
4.953800
4.824642
4.909142
4.093571
4.311428
4.794642
4.862500
8.757142
11.307857
22.032857
7.279285
7.136000
7.279285
7.352857
7.354642
7.353142
6.129285
6.132500
7.209285
7.352142
12.837857
36.198928
9.706071
9.514333
9.706071
9.802142
9.806785
9.797142
8.172500
8.177142
9.608928
9.802857
16.890000
8.697500
2.552500
2.508333
2.627500
2.614642
2.610000

2.460357
2.533928
2.548571
8.460857
4.912285
4.804642
4.757333
4.804642
4.912285
4.912285
4.912285
4.824642
4.909142
4.093571
4.311428
4.794642
4.862500
4.912285
4.912285
7.355142
7.279285
7.136000
7.279285
7.352857
7.354642
7.353142
6.129285
6.132500
7.209285
7.352142
7.355142
9.807000
9.706071
9.514333
9.706071
9.802142
9.806785
9.797142
8.172500
8.177142
9.608928
9.802857
9.807000
2.586856
2.552500
2.508333
2.586856
2.586856
2.586856

2.460357
2.533928
2.548571
8.460857
4.912285
4.804642
4.757333
4.804642
4.912285
4.912285
4.912285
4.824642
4.909142
4.093571
4.311428
4.794642
4.862500
4.912285
4.912285
7.355142
7.279285
7.136000
7.279285
7.352857
7.354642
7.353142
6.129285
6.132500
7.209285
7.352142
7.355142
9.807000
9.706071
9.514333
9.706071
9.802142
9.806785
9.797142
8.172500
8.177142
9.608928
9.802857
9.807000
2.586856
2.552500
2.508333
2.586856
2.586856
2.586856

NR.CRT

COD ATC

154 N05AH03
155 N05AH03
156 N05AH03
157 N05AH03
158 N05AH03
159 N05AH03
160 N05AH03
161 N05AH03
162 N05AH03
163 N05AH03
164 N05AH03
165 N05AH03
166 N05AH03
167 N05AH03
168 N05AH03
169 N05AH04
170 N05AH04
171 N05AH04
172 N05AH04
173 N05AH04
174 N05AH04
175 N05AH04
176 N05AH04
177 N05AH04
178 N05AH04
179 N05AH04
180 N05AH04
181 N05AH04
182 N05AH04
183 N05AH04
184 N05AH04
185 N05AH04
186 N05AH04
187 N05AH04
188 N05AH04
189 N05AH04
190 N05AH04
191 N05AH04
192 N05AH04
193 N05AH04
194 N05AH04
195 N05AH04
196 N05AH04
197 N05AH04
198 N05AH04
199 N05AH04
200 N05AL01
201 N05AL01
202 N05AL05

DCI

OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
SULPIRIDUM
SULPIRIDUM
AMISULPRIDUM**

Denumire Comerciala

OLANZAPINA DR. REDDY'S 5 mg

NYKOB 5 mg
OLANZAPINA ACTAVIS 5 mg
IRROPIA 5 mg
OLANZAPINA LILLY 5 mg
OLANZAPINA TORRENT 5 mg

OLANZAPINE GSK 5 mg
ZAPILUX 10 mg
ZAPILUX 15 mg
ZAPILUX 20 mg
ZAPILUX 5 mg
ZYPADHERA 210mg
ZYPADHERA 300mg
ZYPADHERA 405mg
ZYPREXA 10 mg
SEROQUEL XR 150 mg
KETILEPT 100 mg
QUETIAPINE TEVA 100 mg
SETININ 100 mg
HEDONIN 100 mg
KVENTIAX 100 mg
QUETROP 100 mg

QUETIAPINE ACCORD 100 mg


QUETIAPINA POLPHARMA 100 mg

SETININ 150 mg

QUETIAPINE ACCORD 150 mg

KETILEPT 200 mg
SETININ 200 mg
HEDONIN 200 mg
KVENTIAX 200 mg
QUETROP 200 mg

QUETIAPINE ACCORD 200 mg


QUETIAPINA POLPHARMA 200 mg

HEDONIN 25 mg

QUETIAPINE ACCORD 25 mg

QUETIAPINA POLPHARMA 25 mg

KETILEPT 300 mg
SETININ 300 mg
KVENTIAX 300 mg
QUETROP 300 mg

QUETIAPINE ACCORD 300 mg


QUETIAPINA POLPHARMA 300 mg

SEROQUEL XR 200 mg
SEROQUEL XR 300 mg
SEROQUEL XR 400 mg
SEROQUEL XR 50 mg
EGLONYL (R) 50 mg
EGLONYL (R) 200 mg
AMISULPRIDA LPH 100 mg

forma farm.

concentratie

5mg
5mg
COMPR. ORODISPERSABILE 5mg
COMPR. ORODISPERSABILE 5mg
COMPR. ORODISPERSABILE 5mg
COMPR. OR