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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 APRILIE 2014

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

cod ATC
A02BA02
A02BA02
A02BA02
A02BA02
A02BA02
A02BA02
A02BA02
A02BA02
A02BA02
A02BA02
A02BA02
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
A02BC01
A02BC01
A02BC01

DCI

RANITIDINUM
RANITIDINUM
RANITIDINUM
RANITIDINUM
RANITIDINUM
RANITIDINUM
RANITIDINUM
RANITIDINUM
RANITIDINUM
RANITIDINUM
RANITIDINUM
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
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.

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

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

NIZATIDIN VIM SPECTRUM 150 mg

CAPS.

OMEPRAZOL AUROBINDO 10 mg

CAPS. GASTROREZ.

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

CAPS. GASTROREZ.

OMEPRAZOL TERAPIA 20 mg

CAPS. GASTROREZ.

OMEPRAZOL ARENA 20 mg
OMEPRAZOL FARMEX 20 mg
NOVOGAST 20 mg
OMEPRAZOL LPH 20 mg

CAPS. GASTROREZ.

OMEPRAZOL ROMPHARM 20 mg

CAPS. GASTROREZ.

ORTANOL 20 mg
HELICID 20
HELICID 20
OMEZ 20mg

CAPS. GASTROREZ.

OMEPRAZOL AUROBINDO 20 mg

CAPS. GASTROREZ.

OMZATOL 20 mg
OMZATOL 20 mg
OMZATOL 20 mg
OMZATOL 20 mg
OMEPRAZOL ATB 20 mg

CAPS. GASTROREZ.

OMEPRAZOL ZENTIVA 20 mg

CAPS. GASTROREZ.

ORTANOL 40 mg

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.

concentratie

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

Detinator APP

tara det.
APP

Ambalaj

ARENA GROUP SA

Prescriptie

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 CUTIE X 2 BLIST. AL/AL X 10 COMPR. FILM.
MEDUMAN SA
ROMANIA CUTIE X 1 FLAC. PE X 20 COMPR. FILM.
LAROPHARM SRL
ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM.
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.
ANTIBIOTICE SA
ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM.
LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.
ANTIBIOTICE S.A.
ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM.

P-6L

MEDOCHEMIE LTD. CIPRU

CUTIE X 5 FIOLE X 2 ML

P-RF

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

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.

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

AC HELCOR PHARMA SRL

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

MACEDONIA

CUTIE CU BLIST. PVC/PA/AL/PVC/HARTIE/AL X 14 CAPS. GASTROREZ.

KRKA D.D.

P6L
SLOVENIA CUTIE X 1 FLAC. PE X 14 CAPS. GASTROREZ. P-6L

GEDEON RICHTER ROMANIA SA

ROMANIA

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

AUROBINDO PHARMA (MALTA) LIMITED

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

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
ROMPHARM COMPANY SRL ROMANIA

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

P-6L

LEK PHARMACEUTICALS D.D.

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

ZENTIVA K.S.
ZENTIVA K.S.

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

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

P-6L

AUROBINDO PHARMA (MALTA) LIMITED

MACEDONIA

CUTIE CU BLIST. PVC/PA/AL/PVC/HARTIE/AL X 28 CAPS. GASTROREZ.

P6L

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


ROMASTRU TRADING S.R.L. ROMANIA CUTIE X 4 BLIST. PA-AL-PVC/AL X 7 CAPS. GASTROREZ.
NEOLA PHARMA S.R.L. ROMANIA CUTIE X 4 BLIST. PA-AL-PVC/AL X 7 CAPS. GASTROREZ.
NEOLA PHARMA S.R.L. ROMANIA CUTIE X 2 BLIST. PA-AL-PVC/AL X 7 CAPS. GASTROREZ.
ANTIBIOTICE S.A.
ROMANIA CUTIE X 2 FOLII AL/PE X 10 CAPS. GASTR.

P-6L

ZENTIVA K.S.

CEHIA

P-6L

LEK PHARMACEUTICALS D.D.

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

ROMASTRU TRADING S.R.L.

Pagina 1 din 189

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

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

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

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

4.55
4.56
4.55
7.01
3.99
4.55
4.56
4.55
13.00
8.66
12.67
8.89
5.86
9.45
7.72
12.31
24.64
18.23
4.61
14.45
14.45
12.80
21.42
22.68
22.53
22.02
20.85
15.04
6.49
22.16
8.07
10.06
18.38
21.42
8.94
10.71
21.42
21.42
10.71
15.04
18.38
8.03

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
2.534000
0.296333
0.195333
0.337500
0.257333
0.410333
4.928000
0.911500
0.329285
1.032142
1.032142
0.640000
0.765000
0.756000
0.751000
0.734000
0.695000
0.752000
0.649000
0.738666
0.576428
0.718571
0.656428
0.714000
0.319285
0.765000
0.765000
0.765000
0.765000
0.752000
0.656428
1.147142

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

0.192299
0.192299
0.192299
0.192299
0.192299
0.192299
0.192299
0.192299
0.384599
0.384599
1.678945
0.192299
0.192299
0.192299
0.257333
0.384599
4.928000
0.192299
0.329285
0.673124
0.673124
0.640000
0.673124
0.673124
0.673124
0.673124
0.673124
0.673124
0.649000
0.673124
0.576428
0.673124
0.656428
0.673124
0.319285
0.673124
0.673124
0.667574
0.667574
0.673124
0.656428
1.147142

0.173069
0.173069
0.173069
0.173069
0.173069
0.173069
0.173069
0.173069
0.346139
0.346139
1.511050
0.173069
0.173069
0.173069
0.231599
0.346139
4.435200
0.173069
0.296356
0.605811
0.605811
0.576000
0.605811
0.605811
0.605811
0.605811
0.605811
0.605811
0.584100
0.605811
0.518785
0.605811
0.590785
0.605811
0.287356
0.605811
0.605811
0.600816
0.600816
0.605811
0.590785
1.032427

Nr crt.

43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93

cod ATC
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC03
A02BC03
A02BC03
A02BC03
A03AA04
A03AA04
A03AA04
A03AA05
A03AA05
A03AA05
A03AA05
A03AA05
A03AA05
A03AD01
A03AD01

A03FA01
A03FA01
A03FA01
A03FA01
A03FA01
A03FA01
A03FA03
A03FA03
A05AA02
A05AA02
A05AA02
A05AA02
A05AA02
A05AA02
A05AA02
A05AA02
A05AA02
A06AD11
A06AD11
A06AD11
A06AD11
A06AD11
A06AD11
A06AD11
A07AA02
A07EC01
A07EC01
A07EC02

DCI

OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
LANSOPRAZOLUM
LANSOPRAZOLUM
LANSOPRAZOLUM
LANSOPRAZOLUM
MEBEVERINUM
MEBEVERINUM
MEBEVERINUM
TRIMEBUTINUM
TRIMEBUTINUM
TRIMEBUTINUM
TRIMEBUTINUM
TRIMEBUTINUM
TRIMEBUTINUM

Denumire Comerciala

forma farm.

OMEPRAZOL AUROBINDO 40 mg

CAPS. GASTROREZ.

OMEDAR (R)
LOSEC MUPS 10 mg
OMEDAR 20 mg
LOSEC MUPS 20 mg
LOSEC 40 mg
OMEZ PULBERE PENTRU SOLUTIE PERFUZABILA

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

COMPR. FILM. GASTROREZ.

COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.

LIOF. PT. SOL. PERF.


PULB. PT. SOL. PERF.

PULB. PT. SOL. PERF. FARA CONCENTRATIE

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

CAPS. ELIB. PREL.


CAPS. ELIB. PREL.

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

GRAN. PT. SUSP. ORALA

PAPAVERINI HYDROCHLORIDUM PAPAVERINA ARENA 100 mg COMPR.


PAPAVERINI HYDROCHLORIDUM PAPAVERINA FARMACOM 200 mg COMPR.

METOCLOPRAMIDUM
METOCLOPRAMIDUM
METOCLOPRAMIDUM
METOCLOPRAMIDUM
METOCLOPRAMIDUM
METOCLOPRAMIDUM
DOMPERIDONUM
DOMPERIDONUM
ACIDUM URSODEOXYCHOLICUM*
ACIDUM URSODEOXYCHOLICUM*
ACIDUM URSODEOXYCHOLICUM*
ACIDUM URSODEOXYCHOLICUM*
ACIDUM URSODEOXYCHOLICUM*
ACIDUM URSODEOXYCHOLICUM*
ACIDUM URSODEOXYCHOLICUM*
ACIDUM URSODEOXYCHOLICUM*
ACIDUM URSODEOXYCHOLICUM*

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

METOCLOPRAMID
N - METOCLOPRAMID
METOCLOPRAMID 10 mg

concentratie

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

COMPR.
COMPR.
COMPR.
METOCLOPRAMID ARENA 10 mg COMPR.
METOCLOPRAMID BIOFARM 1mg/5ml SIROP
METOCLOPRAMID 10 mg
SOL. INJ.
MOTILIUM 10 mg
COMPR. FILM.
OROPERIDYS 10 mg
COMPR. ORODISPERSABILE
URSOFALK (R)
CAPS.
URSOFALK (R)
CAPS.
URSOSAN
CAPS.
URSOROM 250 mg
CAPS.
URSOCHOL 150 mg
COMPR.
URSOCHOL 300 mg
COMPR.
URSOFALK 500 mg
COMPR. FILM.
URSOFALK 500 mg
COMPR. FILM.
URSOFALK 250 mg/5 ml
SUSP. ORALA
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.
SALAZIDIN GR 500 mg
COMPR. GASTROREZ.
PENTASA 1 g
COMPR. CU ELIB. PREL.

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

Detinator APP

tara det.
APP

Ambalaj

Prescriptie

AUROBINDO PHARMA (MALTA) LIMITED

MACEDONIA

CUTIE CU BLIST. PVC/PA/AL/PVC/HARTIE/AL X 14 CAPS. GASTROREZ.

P6L

DAR AL DAWA PHARMA S.R.L.

ROMANIA

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

P-6L

ASTRAZENECA AB

SUEDIA

CUTIE CU 1 FLAC. PEID X 14 COMPR. GASTROREZ. P6L

DAR AL DAWA PHARMA S.R.L.

ROMANIA

CUTIE X 1 FLAC. DE STICLA BRUNA X 28 COMPR. FILM. GASTROREZ.

ASTRAZENECA AB
ASTRAZENECA AB

SUEDIA
SUEDIA

CUTIE CU 1 FLAC. PEID X 7 COMPR. GASTROREZ. P6L

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

S/P-RF

DR. REDDY'S LABORATORIES

ROMANIA

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

S/P-RF

ZENTIVA K.S.
RANBAXY UK LTD.

CEHIA

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

S/P-RF

MAREA BRITANIE

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

P-6L

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 7 CAPS. GASTROREZ. P-6L

RANBAXY UK LTD.

MAREA BRITANIE

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

DR. REDDY'S LABORATORIES

ROMANIA

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

P-6L

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


ABBOTT HEALTHCARE PRODUCTS B.V. OLANDA CUTIE X 2 BLIST. X 15 CAPS. ELIB. PREL.
E.I.P.I.CO. MED SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 DRAJ.
MAGISTRA C & C
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR.

P-6L

ABBOTT HEALTHCARE PRODUCTS B.V.

PFIZER EUROPE MA EEIG

MAREA BRITANIE

PFIZER EUROPE MA EEIG

MAREA BRITANIE

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

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


CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. FILM. P6L

ZENTIVA SA

ROMANIA

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

PFIZER EUROPE MA EEIG

MAREA BRITANIE

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

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

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

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


CUTIE CU 2 BLIST. PVC/AL X 10 COMPR. P6L
CUTIE X 4 BLIST. AL/PVC X 10 COMPR. P-6L
CUTIE X 1 FLAC. PE X 40 COMPR.
P-6L
CUTIE X 4 BLIST. AL/PVC X 10 COMPR. P-6L
CUTIE X 1 FLAC. X 40 COMPR.
P-6L

PIERRE FABRE MEDICAMENT PRODUCTION

FRANTA

P-6L

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

P-RF

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

P-RF

CUTIE X 1 BLIST. X 10 COMPR. FILM.

P-6L

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

P6L

CUTIE X 4 BLIST. AL/PVC X 25 CAPS.


P6L
GERMANIA CUTIE X 2 BLIST. AL/PVC X 25 CAPS.
P-6L
CEHIA
CUTIE X 5 BLIST. AL/PVC X 10 CAPS.
P-6L
ROMANIA CUTIE CU 4 BLIST. PVC/AL X 15 CAPS. P6L
ITALIA
CUTIE X 6 BLIST. AL/PVC X 10 COMPR. P-6L
ITALIA
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L

DR. FALK PHARMA GMBH GERMANIA


DR. FALK PHARMA GMBH
PRO. MED. CS PRAHA AS
ROMPHARM COMPANY S.R.L.

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

DR. FALK PHARMA GMBH GERMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 25 COMPR.FILM. P6L
DR. FALK PHARMA GMBH GERMANIA CUTIE CU 4 BLIST. PVC-PVDC/AL X 25 COMPR.FILM. P6L
DR. FALK PHARMA GMBH GERMANIA
ABBOTT HEALTHCARE PRODUCTS B.V.

OLANDA

CUTIE CU 1 FLAC. DIN STICLA BRUNA X 250 ML SUSP. ORALA+1LINGURITA DOZATOARE DIN PP

P6L

FLACON DIN PEID PREVAZUT CU MASURA DOZATOARE X 200 ML P-RF

E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON X 300 ML


E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON X 100 ML

P-6L

MIP PHARMA GMBH GERMANIA


MIP PHARMA GMBH GERMANIA

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

P-6L

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

P-6L

P-6L

ROMPHARM COMPANY SRL

ROMANIA

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

P-6L

FRESENIUS KABI AUSTRIA GMBH

AUSTRIA

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

P-RF

ANTIBIOTICE SA

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

P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ. P-6L
AC HELCOR PHARMA S.R.L.

ROMANIA

FERRING GMBH

GERMANIA CUTIE CU 6 BLIST. AL/AL X 10 COMPR. CU ELIB. PREL.

Pagina 2 din 189

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

P6L
P6L

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

14
14
14
28
7
5
1
1
14
14
14
20
30
30
20
30
30
30
30
20
1
20
20
40
40
40
40
1
5
10
30
100
50
50
60
60
20
50
100
1
1
1
1
1
1
1
1
20
50
50
60

12.76
14.45
33.19
14.45
24.96
114.72
16.22
19.43
6.56
13.13
11.36
16.66
25.07
25.07
9.03
11.12
11.12
17.13
33.61
36.01
12.05
4.42
8.54
4.01
1.36
5.39
1.39
8.69
12.02
12.31
25.07
124.28
71.49
68.77
55.47
54.19
35.88
136.52
268.17
97.49
10.37
10.42
3.47
17.23
33.34
7.09
3.57
8.47
28.24
28.20
197.11

Pret
amanuntul
maximal/UT
(RON)

0.911428
1.032142
2.370714
0.516071
3.565714
22.944000
16.220000
19.430000
0.468571
0.937857
0.811428
0.833000
0.835666
0.835666
0.451500
0.370666
0.370666
0.571000
1.120333
1.800500
12.050000
0.221000
0.427000
0.100250
0.034000
0.134750
0.034750
8.690000
2.404000
1.231000
0.835666
1.242800
1.429800
1.375400
0.924500
0.903166
1.794000
2.730400
2.681700
97.490000
10.370000
10.420000
3.470000
17.230000
33.340000
7.090000
3.570000
0.423500
0.564800
0.564000
3.285166

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

0.911428
0.673124
0.336562
0.516071
0.673124
20.649600
16.220000
19.430000
0.336562
0.673124
0.673124
0.673124
0.835666
0.835666
0.417833
0.370665
0.370665
0.370665
0.741334
1.112002
12.050000
0.193837
0.387675
0.046012
0.034000
0.046012
0.034750
8.690000
2.404000
0.046012
0.046012
1.242800
1.340850
1.340850
0.924500
0.804510
1.609021
2.681700
2.681700
67.042564
7.090140
10.364149
3.454716
17.230000
33.340000
7.015731
3.561015
0.423500
0.564800
0.564000
1.611998

0.820285
0.605811
0.302905
0.464463
0.605811
18.584640
14.598000
17.487000
0.302905
0.605811
0.605811
0.605811
0.752099
0.752099
0.376049
0.333598
0.333598
0.333598
0.667200
1.000801
10.845000
0.174453
0.348907
0.041410
0.030600
0.041410
0.031275
7.821000
2.163600
0.041410
0.041410
1.118520
1.206765
1.206765
0.832050
0.724059
1.448118
2.413530
2.413530
60.338307
6.381126
9.327734
3.109244
15.507000
30.006000
6.314157
3.204913
0.381150
0.508320
0.507600
1.450798

Nr crt.

94
95
96
97
98
99

cod ATC

DCI

115 B03AA07

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

116 B03AB05

COMPLEX DE HIDROXID DE FER (III) POLIMALTOZAT

117 B03AB05

COMPLEX DE HIDROXID DE FER (III) POLIMALTOZAT

118 B03AB05

COMPLEX DE HIDROXID DE FER (III) POLIMALTOZAT

119 B03AB05

COMPLEX DE HIDROXID DE FER (III) POLIMALTOZAT

120 B03AB05

COMPLEX DE HIDROXID DE FER (III) POLIMALTOZAT

121 B03AB05

COMPLEX DE HIDROXID DE FER (III) POLIMALTOZAT

122 B03AEN1

COMBINATII (FERROSI SULFAS+ACIDUM ASCORBICUM)

123 B03BB01

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

A07EC02
A07EC02
A07EC02
A07EC02
A07EC02
A07EC02

100 A07EC02
101 A07EC02
102 A07EC02
103 A07EC02
104 A07EC02
105 A07EC02
106 A07EC02
107 A07EC02
108 A07EC02
109 B01AA07
110 B01AA07
111 B01AC05
112 B01AC05
113 B02BA01
114 B03AA07

124 C01AA05
125 C01AA05
126 C01AA05
127 C01AA05
128 C01BA01
129 C01BA01
130 C01BA01
131 C01BA01
132 C01BC03
133 C01BC03
134 C01BC03
135 C01BC03
136 C01BC03
137 C01BC03
138 C01BC03
139 C01BC03
140 C01BC03
141 C01BD01
142 C01BD01
143 C01BD01
144 C01BD01

concentratie

Detinator APP

500mg
SALOFALK 250 mg COMPRIMATE GASTROREZISTENTE COMPR. GASTROREZ. 250mg
SALOFALK 500 mg COMPRIMATE GASTROREZISTENTE COMPR. GASTROREZ. 500mg
SALOFALK 500 mg COMPRIMATE GASTROREZISTENTE COMPR. GASTROREZ. 500mg
MESALAZINA DUO 400 mg
400mg
MESALAZINA SOFARFARM 400 mg
400mg
MESALAZINA DUO 800 mg
800mg
MESALAZINA DUO 800 mg
800mg
MESALAZINA SOFARFARM 800 mg
800mg
MESALAZINA SOFARFARM 800 mg
800mg
PENTASA 1000mg
SUPOZ.
1000mg
SALOFALK 1 g
SUPOZ.
1g
SALOFALK (R) 250 mg
SUPOZ.
250mg
SALOFALK (R) 500 mg
SUPOZ.
500mg
SALOFALK 4 g/ 60 ml
SUSP. RECTALA 4g/60ml
TROMBOSTOP 2 mg
COMPR.
2mg
SINTROM 4 mg
COMPR.
4mg
TICLODIN
COMPR. FILM. 250mg
IPATON
COMPR. FILM. 250mg
FITOMENADION 10 mg/ml
SOL. INJ.
10mg/ml
FERROGRADUMET (R)
COMPR. ELIB. PREL. 105mg
TARDYFERON 80 mg
DRAJ. ELIB. PREL. 80mg
MALTOFER
COMPR. MAST. 100mg
FER ROMPHARM 50 mg/ml PIC. ORALE, SOL. 50mg/ml
FERGLUROM FORTE 50 mg/ml PICATURI ORALE, SOL. 50mg/ml
FERRUM HAUSMANN (R)
PICATURI ORALE-SOL. 50mg/ml
FERRUM HAUSMANN (R)
SIROP
10mg/ml
FERGLUROM 50mg/5ml
SIROP
50mg/5ml
SORBIFER DURULES
COMPR. FILM. FARA CONCENTRATIE
ACIFOL 5 mg
COMPR. FILM. 5mg
DIGOXIN 0,25 mg
COMPR.
0,25mg
DIGOXIN ZENTIVA 0,25 mg COMPR.
0,25mg
DIGOXIN 0,5 mg/2 ml
SOL. INJ.
0,5mg/2ml
DIGOXIN ZENTIVA 0,5 mg/2ml SOL. INJ.
0,5mg/2ml
CHINIDINA ARENA 200 mg COMPR.
200mg
CHINIDINA ARENA 200 mg COMPR.
200mg
CHINIDINA ARENA 200 mg COMPR.
200mg
CHINIDINA ARENA 200 mg COMPR.
200mg
PROPAFENONA ARENA 150 mg COMPR.
150mg
PROPAFENONA ARENA 150 mg COMPR.
150mg
RYTMONORM (R)
COMPR. FILM. 150mg
PROPAFENON AL 150
COMPR. FILM. 150mg
PROPAFENON AL 150
COMPR. FILM. 150mg
PROPAFENON AL 150
COMPR. FILM. 150mg
PROPAFENON SANDOZ 150 mg COMPR. FILM. 150mg
PROPANORM 300 mg
COMPR. FILM. 300mg
RYTMONORM
SOL. INJ.
70mg/20ml
AMIODARONA LPH 200 mg COMPR.
200mg
AMIODARONA ARENA 200 MG COMPR.
200mg
CORDARONE 200 mg
COMPR. DIVIZ. 200mg
AMIOKORDIN
SOL INJ.
150mg/3ml

FERRING GMBH

Denumire Comerciala

PENTASA 500mg

forma farm.
COMPR. ELIB. PREL.

tara det.
APP

Ambalaj

DR. FALK PHARMA GMBH GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. GASTROREZ. P-6L
DR. FALK PHARMA GMBH GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. GASTROREZ. P-6L
DR. FALK PHARMA GMBH GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. GASTROREZ. P-6L

COMPR. GASTROREZISTENTE

DUO FARMACEUTICI S.R.L.

ROMANIA

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

COMPR. GASTROREZISTENTE

SOFARFARM S.R.L. ROMANIA

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

COMPR. GASTROREZISTENTE

DUO FARMACEUTICI S.R.L.

ROMANIA
ROMANIA
SOFARFARM S.R.L. ROMANIA
SOFARFARM S.R.L. ROMANIA

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

COMPR. GASTROREZISTENTE

DUO FARMACEUTICI S.R.L.

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

COMPR. GASTROREZISTENTE
COMPR. GASTROREZISTENTE

Prescriptie

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

FERRING GMBH

GERMANIA

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

P6L
P6L
P6L
P6L
P6L
P6L

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

P-6L

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

DR. FALK PHARMA GMBH GERMANIA CUTIE CU FOLII TERMOSUDATE PVC/PE X 30 SUPOZ. P6L
DR. FALK PHARMA GMBH GERMANIA

CUTIE X 2 FOLII PVC/PE X 5 SUPOZ.


CUTIE X 2 FOLII PVC/PE X 5 SUPOZ.

DR. FALK PHARMA GMBH GERMANIA

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

DR. FALK PHARMA GMBH GERMANIA

TERAPIA SA
NOVARTIS PHARMA GMBH

AC HELCOR SRL
EGIS PHARMACEUTICALS P.L.C.

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


GERMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR.
ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM.
UNGARIA CUTIE X 2 BLIST. AL/ PVC X 10 COMPR.FILM.
ROMANIA CUTIE X 5 FIOLE PREVAZUTE CU PUNCT DE RUPERE X 1 ML

TERAPIA SA
TEOFARMA SRL
ITALIA
LAB. PIERRE FABRE FRANTA
VIFOR FRANCE S.A. FRANTA
ROMPHARM COMPANY SRL

ROMANIA
ROMANIA

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

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

P-6L

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

P-6L

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

P-6L

CUTIE CU 1 FLAC. PEID + APLICATOR PT. PICURARE DIN PEJD X 30 ML PIC. ORALE, SOL.

BIOFARM S.A.
CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 ML PICATURI ORALE, SOLUTIE
VIFOR FRANCE S.A. FRANTA CUTIE X 1 FLACON CU PICURATOR X 30 ML
VIFOR FRANCE S.A. FRANTA CUTIE X 1 FLACON X 150 ML + O MASURA DOZATOARE
BIOFARM S.A.
ROMANIA
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 50 COMPR. FILM.
ZENTIVA S.A.
ROMANIA CUTIE X 1 FLAC. DIN PEID X 30 COMPR. FILM.
ZENTIVA S.A.
ROMANIA CUTIE X 1 BLIST. AL/PVC X 25 COMPR.
ZENTIVA S.A.
ROMANIA CUTIE X 1 BLIST. AL/PVC X 25 COMPR.
ZENTIVA S.A.
ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 2 ML SOL. INJ.
ZENTIVA S.A.
ROMANIA
ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. PEID X 20 COMPR.
ARENA GROUP S.A. ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 COMPR.
ARENA GROUP S.A. ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR.
ARENA GROUP S.A. ROMANIA CUTIE CU 5 BLIST. PVC/AL X 10 COMPR.
ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
ARENA GROUP SA ROMANIA CUTIE X 10 BLIST. AL/PVC X 10 COMPR.
CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 ML SIROP + MASURA DOZATOARE GRADATA DE LA 2,5 - 20 ML

CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE SAU CU PUNCT DE RUPERE SAU CU INEL DE RUPERE S

P6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-RF
P-RF
S/P-RF
S/P-RF

P-RF

PRF
PRF
PRF
P-RF
P-RF

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

P-RF

CUTIE X 2 BLIST. X 25 COMPR. FILM.


CUTIE X 1 BLIST. X 20 COMPR. FILM.
CUTIE X 4 BLIST. X 25 COMPR. FILM.

P-RF

P-RF

PRO. MED. CS PRAHA CEHIA

CUTIE X 5 BLIST. AL/PP X 10 COMPR. FILM.


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

ABBOTT GMBH&CO.KG GERMANIA

CUTIE X 5 FIOLE DIN STICLA INCOLORA X 20 ML SOL. INJ. P-RF

LABORMED PHARMA SA ROMANIA

ABBOTT GMBH&CO.KG GERMANIA


ALIUD PHARMA GMBH & CO.KG GERMANIA
ALIUD PHARMA GMBH & CO.KG GERMANIA
ALIUD PHARMA GMBH & CO.KG GERMANIA
HEXAL AG
GERMANIA

P-RF
P-RF

P-RF

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

P-RF

ARENA GROUP SA

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

P-RF

SANOFI-AVENTIS FRANCE

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

P-RF

CN UNIFARM S.A.

ROMANIA CUTIE X 5 FIOLE X 3ML SOLUTIE INJECTABILA

PRF

Pagina 3 din 189

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

100
100
100
50
60
60
60
90
60
90
28
30
10
10
7
30
20
20
20
5
30
30
30
1
1
1
1
1
50
30
25
25
5
5
20
20
30
50
20
100
50
50
20
100
50
50
5
30
30
30
5

143.02
67.24
120.94
73.85
46.88
46.88
89.05
128.96
89.05
128.96
173.80
223.62
21.74
36.00
169.61
6.53
6.76
35.53
33.37
14.64
8.58
12.08
21.49
8.78
8.81
13.53
15.39
10.06
14.85
7.40
3.34
3.34
7.97
7.97
12.37
13.25
19.26
30.82
8.03
36.25
32.02
18.71
7.49
34.95
18.09
40.30
36.79
9.01
7.33
13.87
18.49

Pret
amanuntul
maximal/UT
(RON)

1.430200
0.672400
1.209400
1.477000
0.781333
0.781333
1.484166
1.432888
1.484166
1.432888
6.207142
7.454000
2.174000
3.600000
24.230000
0.217666
0.338000
1.776500
1.668500
2.928000
0.286000
0.402666
0.716333
8.780000
8.810000
13.530000
15.390000
10.060000
0.297000
0.246666
0.133600
0.133600
1.594000
1.594000
0.618500
0.662500
0.642000
0.616400
0.401500
0.362500
0.640400
0.374200
0.374500
0.349500
0.361800
0.806000
7.358000
0.300333
0.244333
0.462333
3.698000

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

0.805999
0.402998
0.805999
0.805999
0.644798
0.644798
1.289599
1.289599
1.289599
1.289599
6.207142
6.207142
1.551780
3.103571
24.230000
0.181166
0.338000
0.603000
0.603000
2.928000
0.286000
0.232091
0.644699
8.780000
8.809999
8.809999
8.809999
5.873333
0.297000
0.246666
0.133600
0.133600
1.594000
1.594000
0.617975
0.617975
0.617975
0.616400
0.362325
0.362325
0.362325
0.362325
0.362325
0.349500
0.361800
0.724650
7.358000
0.272333
0.244333
0.272333
3.697999

0.725399
0.362698
0.725399
0.725399
0.580318
0.580318
1.160639
1.160639
1.160639
1.160639
5.586427
5.586427
1.396602
2.793213
21.807000
0.163049
0.304200
0.542700
0.542700
2.635200
0.257400
0.208881
0.580229
7.902000
7.928999
7.928999
7.928999
5.285999
0.267300
0.221999
0.120240
0.120240
1.434600
1.434600
0.556177
0.556177
0.556177
0.554760
0.326092
0.326092
0.326092
0.326092
0.326092
0.314550
0.325620
0.652185
6.622200
0.245099
0.219899
0.245099
3.328199

Nr crt.

cod ATC

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

DCI

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

Denumire Comerciala

NITROMINT 2,6 mg
NITROGLICERINA 0,5 mg
NITRODERM (R) TTS 5
NITROMINT

forma farm.
COMPR. ELIB. PREL.

COMPR. SUBLING.
SIST. TERAP. TRANSDERM.

SPRAY SUBLINGUAL

ISOSORBIDE DINITRATE 10 mg COMPR.

ISODINIT(R) RETARD
OLICARD 40 mg RETARD
MONO ROM SR 40 mg
MONO ROM SR 60 mg
MONONITRON (R) EP 60 mg
PRIDAX 20mcg
VASAPROSTAN 20

COMPR. ELIB. PREL.

CAPS. ELIB. PREL.


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

CONC. PT. SOL. PERF.

LIOF. PT. SOL. PERF.

CAPS.
TRIMETAZIDINA ATB 35 mg COMPR. CU ELIB. PREL.
APSTAR 35 mg
COMPR. ELIB. PREL.
TRIMELUZINE 35 mg
COMPR. ELIB. PREL.
MODUXIN MR 35 mg
COMPR. ELIB. PREL.
TRIMETAZIDINA TEVA 35 mg COMPR. ELIB. PREL.
MODUXIN (R) 20 mg
COMPR. FILM.
DILATAN 20 mg
COMPR. FILM.

TRIMETAZIDIN VIM SPECTRUM 20 mg

TRIMETAZIDINA LPH (R) 20 mg

COMPR. FILM.
COMPR. FILM.

PREDUCTAL 20 mg
PREDUCTAL MR 35 mg

COMPR. FILM. ELIB. MODIF.

TRIMETAZIDINA LPH (R) 35 mg

COMPR. FILM. ELIB. MODIF.

PREDUTRIM 20 mg/ml
DOPEGYT

PIC. ORALE, SOL.

COMPR.
CLONIDINA SINTOFARM 0,15 mg COMPR.
CLONIDINA ARENA 0,15 mg COMPR.
CLONIDINA ARENA 0,15 mg COMPR.
NEFRIX 25 mg
COMPR.
SERDIMID 1,5 mg
COMPR. CU ELIB. PREL.
SERDIMID 2,5 mg
COMPR. CU ELIB. PREL.
INDAPAMIDA TERAPIA 1,5 mg
INDAPAMIDA TERAPIA 2,5mg

COMPR. CU ELIB. PRELUNGITA


COMPR. CU ELIB. PRELUNGITA

INDAPAMIDA MYLAN 1,5 mg


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

COMPR. ELIB. PREL.

INDAPAMIDA SR TORRENT 1,5 mg

COMPR. ELIB. PREL.

INDAPAGAMMA 1,5 mg
INDAPAMID LPH (R) 2,5 mg

COMPR. ELIB. PREL.

INDAPAMID SR 1,5 mg LAROPHARM

INDAPAMID LPH (R) 1,5 mg


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

REDITENS SR 1.5 mg
INDAPEN SR 1,5 mg
FUROSEMID MCC 40 mg

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

COMPR.

concentratie

2,6mg
0,5mg
25mg
0,4mg/doza
10mg
20mg
40mg
40mg
60mg
60mg
20mcg
20g
20mg
35mg
35mg
35mg
35mg
35mg
20mg
20mg
20mg
20mg
35mg
35mg
20mg/ml
250mg
0,15mg
0,15mg
0,15mg
25mg
1,5mg
2,5mg
1,5mg
2,5mg
1,5 mg
1,5mg
1,5mg
1,5mg
1,5mg
1,5mg
1,5mg
1,5mg
2,5mg
1,5 mg
1,5mg
1,5mg
1,5mg
1,5mg
1,5mg
1,5mg
40mg

Detinator APP
EGIS PHARMACEUTICALS P.L.C.

ZENTIVA SA

tara det.
APP
Ambalaj
UNGARIA CUTIE X 1 FLAC. X 60 COMPR. ELIB. PREL. P-6L
ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. SUBLINGUALE P-6L

Prescriptie

NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 PLICURI X 1 SIST. TERAPEUTIC TRANSDERMIC P-6L

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


E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 3 BLIST. AL/PVC X 20 COMPR.
PHARMAKI GENERICS LIMITED MAREA BRITANIE CUTIE X 6 BLIST. X 10 COMPR. ELIB. PREL.

EGIS PHARMACEUTICALS P.L.C.

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

ABBOTT PRODUCTS GMBH GERMANIA CUTIE X 2 BLIST. PVC/AL X 10 CAPS. ELIB. PREL. P-6L
ROMPHARM COMPANY S.R.L.
ROMPHARM COMPANY S.R.L.

ZENTIVA S.A

ROMANIA CUTIE CU 2 BLIST. PVC/PVDC/AL X 10 CAPS. ELIB. PREL. P6L


ROMANIA CUTIE CU 2 BLIST. PVC/PVDC/AL X 10 CAPS. ELIB. PREL. P6L
ROMANIA CUTIE X 4 BLIST. X 10 COMPR. FILM. ELIB. PREL. P-6L

GEBRO PHARMA GMBH AUSTRIA CUTIE X 5 FLAC. X 1 ML CONC. PT. SOL. PERF S/P-RF
UCB PHARMA GMBH GERMANIA CUTIE X 10 FIOLE X 5 ML LIOF. PT. SOL. PERF. PRF
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. P6L
GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. PVC-ACLAR/AL X 60 COMPR. ELIB. PREL.
P6L
SANDOZ S.R.L.
ROMANIA CUTIE CU BLIST. PVC-ACLAR/AL X 60 COMPR. ELIB. PREL. P6L
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU BLIST. AL/PVC X 30 COMPR. CU ELIB. PRELUNG. P6L
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. ELIB. PREL. P6L
GEDEON RICHTER ROMANIA SA 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


LES LABORATOIRES SERVIER

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

LES LAB. SERVIER IND. FRANTA

P-6L

CUTIE X 2 BLIST. AL/PVC X 30 COMPR. FILM. ELIB. MODIF. P-6L

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

ROMANIA
UNGARIA
SINTOFARM SA
ROMANIA
ARENA GROUP SA ROMANIA
ARENA GROUP S.A. ROMANIA
ZENTIVA SA
ROMANIA
SLAVIA PHARM S.R.L. ROMANIA
SLAVIA PHARM S.R.L. ROMANIA
TERAPIA SA
ROMANIA
TERAPIA SA
ROMANIA

ROMPHARM COMPANY S.R.L.


EGIS PHARMACEUTICALS P.L.C.

MYLAN S.A.S.

FRANTA

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

P6L

CUTIE X 1 FLAC. X 50 COMPR.


P-6L
CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L
CUTIE X 1 FLAC. X 50 COMPR.
P-6L
CUTIE CU 5 BLIST. PVC/AL X 10 COMPR. P6L
CUTIE X 1 BLIST. AL/PVC X 25 COMPR. P-6L
CUTIE CU 2 BLIST. PVC/AL X 15 COMPR. CU ELIB. PREL.

P6L
P6L

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

P-6L

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

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


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

GLENMARK PHARMACEUTICALS SRL

ROMANIA
ROMANIA
TORRENT PHARMA S.R.L. ROMANIA

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

P-6L

TEVA PHARMACEUTICALS S.R.L.

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

P-6L

WORWAG PHARMA GMBH & CO. KG

P-6L

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

CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P6L

GERMANIA CUTIE CU BLIST. PVC/AL X 30 COMPR. ELIB. PREL.

P6L

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

LAROPHARM SRL

ROMANIA

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

LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-6L
KRKA D.D. NOVO MESTO SLOVENIA

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

GEDEON RICHTER ROMANIA SA

ROMANIA

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

ACTAVIS GROUP PTC EHF.

ISLANDA

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

DR. REDDY'S LABORATORIES

ROMANIA

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

J & P PHARMA UK. LTD.

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

P-6L
P-6L

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

Pagina 4 din 189

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

60
9.88
20
3.87
10 18.47
1 15.30
60
2.14
60
3.94
20 12.02
20 11.86
20 18.49
40 36.41
5 328.95
10 521.11
30
7.61
30 16.72
60 33.41
60 26.64
30 16.56
60 23.56
30
7.61
30 14.61
60 15.24
60 23.44
60 49.74
60 33.39
1 12.33
50 26.73
50 12.00
50 12.34
50 12.33
25
4.18
30 13.68
30 15.07
30 13.30
30 14.90
30 12.60
30 21.05
30 13.68
30 10.66
30 13.68
30 13.31
30 13.68
30 12.62
30 15.07
20
9.11
30 13.68
30 11.71
30 13.16
30 13.68
30 13.68
30
9.88
20
3.02

Pret
amanuntul
maximal/UT
(RON)

0.164666
0.193500
1.847000
15.300000
0.035666
0.065666
0.601000
0.593000
0.924500
0.910250
65.790000
52.111000
0.253666
0.557333
0.556833
0.444000
0.552000
0.392666
0.253666
0.487000
0.254000
0.390666
0.829000
0.556500
12.330000
0.534600
0.240000
0.246800
0.246600
0.167200
0.456000
0.502333
0.443333
0.496666
0.420000
0.701666
0.456000
0.355333
0.456000
0.443666
0.456000
0.420666
0.502333
0.455500
0.456000
0.390333
0.438666
0.456000
0.456000
0.329333
0.151000

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

0.137972
0.115256
1.847000
15.300000
0.035666
0.065666
0.265331
0.265331
0.397996
0.397996
55.530750
52.111000
0.253666
0.443915
0.443915
0.443915
0.443915
0.392666
0.253666
0.253666
0.253666
0.253666
0.443915
0.443915
12.330000
0.534600
0.216642
0.216642
0.216642
0.167200
0.343424
0.502333
0.343424
0.496666
0.343424
0.343424
0.343424
0.343424
0.343424
0.343424
0.343424
0.343424
0.502333
0.343424
0.343424
0.343424
0.343424
0.343424
0.343424
0.329333
0.151000

0.124174
0.103730
1.662300
13.770000
0.032099
0.059099
0.238797
0.238797
0.358196
0.358196
49.977675
46.899900
0.228299
0.399523
0.399523
0.399523
0.399523
0.353399
0.228299
0.228299
0.228299
0.228299
0.399523
0.399523
11.097000
0.481140
0.194977
0.194977
0.194977
0.150480
0.309081
0.452099
0.309081
0.446999
0.309081
0.309081
0.309081
0.309081
0.309081
0.309081
0.309081
0.309081
0.452099
0.309081
0.309081
0.309081
0.309081
0.309081
0.309081
0.296399
0.135900

Nr crt.

cod ATC

DCI

212 C03DA01

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

213 C03EB01

COMBINATII (SPIRONOLACTONUM+FUROSEMIDUM)

214 C03EB01

COMBINATII (SPIRONOLACTONUM+FUROSEMIDUM)

215 C04AD03

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

196 C03CA01
197 C03CA01
198 C03CA01
199 C03CA01
200 C03CA01
201 C03CA01
202 C03CA01
203 C03DA01
204 C03DA01
205 C03DA01
206 C03DA01
207 C03DA01
208 C03DA01
209 C03DA01
210 C03DA01
211 C03DA01

216 C04AD03
217 C04AD03
218 C04AD03
219 C04AD03
220 C04AD03
221 C04AD03
222 C04AD03
223 C04AD03
224 C04AD03
225 C07AA05
226 C07AA05
227 C07AA05
228 C07AA05
229 C07AA05
230 C07AA05
231 C07AA07
232 C07AA07
233 C07AA07
234 C07AA07
235 C07AA07
236 C07AA07
237 C07AA07
238 C07AA07
239 C07AB02
240 C07AB02
241 C07AB02
242 C07AB02
243 C07AB02
244 C07AB02
245 C07AB02
246 C07AB02

Denumire Comerciala

FUROSEMID SLAVIA
FUROSEMID EEL
FUROSEMID ZENTIVA
FUROSEMID LPH 40 mg
FUROSEMID ARENA 40 mg
FUROSEMID BIOEEL 40 mg
FUROSEMID 20 mg/2 ml
VEROSPIRON

forma farm.

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

concentratie

40mg
40mg
40mg
40mg
40mg
40mg
10mg/ml
100mg
SPIRONOLACTONA ARENA 25 mg
25mg
SPIRONOLACTONA LPH 25 mg
25mg
VEROSPIRON
50mg
SPIRONOLACTONA ARENA 50 mg
50mg
SPIRONOLACTONA EEL 25 mg
25mg
SPIRONOLACTONA BIOEEL 25 mg
25mg
SPIRONOLACTONA 25 mg COMPR. FILM. 25mg
ALSPIRON 25 mg
COMPR. FILM. 25mg
ALSPIRON 50 mg
COMPR. FILM. 50mg
DIUROCARD 50 mg/20 mg
CAPS.
50mg/20 mg
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
ANGIOPENT 600 mg
COMPR. FILM. ELIB. PREL. 600mg
PROPRANOLOL EEL 10 mg COMPR.
10 mg
N - PROPRANOLOL 10 mg COMPR.
10mg
PROPRANOLOL 10 mg
COMPR.
10mg
PROPRANOLOL EEL 40 mg COMPR.
40mg
PROPRANOLOL 40 mg
COMPR.
40mg
PROPRANOLOL ARENA 40 mg COMPR.
40mg
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
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 LAROPHARM 100 mg COMPR.
100mg
METOPROLOL AL 100
COMPR.
100mg
METOPROLOL AL 100
COMPR.
100mg
METOPROLOL AL 100
COMPR.
100mg

Detinator APP

SLAVIA PHARM SRL


BIO EEL SRL
ZENTIVA SA

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

Ambalaj

Prescriptie

20
20
P-6L
20
LABORMED PHARMA SA
P-6L
20
ARENA GROUP S.A.
P-6L
20
BIO EEL SRL
P-6L
20
ZENTIVA SA
CUTIE X 5 FIOLE DIN STICLA BRUNA CU INEL DE RUPERE X 2 ML SOL. INJ.
P-RF
5
GEDEON RICHTER ROMANIA SA
CUTIE X 3 BLIST. AL/PVC X 10 CAPS.
P-6L
30
ARENA GROUP S.A.
CUTIE CU 5 BLIST. PVC/AL X 10 CAPS. P-6L
50
LABORMED PHARMA S.A.
CUTIE CU 6 BLIST. PVC/AL X 10 CAPS. P6L
60
GEDEON RICHTER ROMANIA SA
CUTIE X 3 BLIST. AL/PVC X 10 CAPS.
P-6L
30
ARENA GROUP S.A.
CUTIE CU 3 BLIST. PVC/AL X 10 CAPS. P-6L
30
BIO EEL SRL
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
BIO EEL SRL
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
TERAPIA SA
CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
50
AC HELCOR PHARMA SRL
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
20
AC HELCOR PHARMA SRL
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
20
LABORMED PHARMA S.A.
CUTIE CU 3 BLIST. PVC/AL X 10 CAPS. P6L
30
TERAPIA SA
CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
P-6L
20
ZENTIVA AS
SLOVACIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L
20
ZENTIVA AS
SLOVACIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L
50
ZENTIVA AS
SLOVACIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L
50
ZENTIVA AS
SLOVACIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L 100
LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. ELIB. PREL.
P-6L
50
AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-6L
20
TERAPIA SA
ROMANIA CUTIE X 4 BLIST. X 10 COMPR. FILM. ELIB. PREL. P-6L
40
TERAPIA SA
ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM. ELIB. PREL. P-6L
20
LABORMED PHARMA S.A. ROMANIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL P-6L
60
AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-6L
20
BIO EEL S.R.L.
ROMANIA CUTIE CU 2 BLIST. PVC/AL X 25 COMPR. P6L
50
SC MEDUMAN SA
ROMANIA CUTIE X 1 FLAC. X 50 COMPR.
P-6L
50
SINTOFARM SA
ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L
50
BIO EEL SRL
ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L
50
SINTOFARM SA
ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L
50
ARENA GROUP SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L
50
WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. AL/PVC-PVDC X 10 COMPR. P-6L
100
ALIUD PHARMA GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
ALIUD PHARMA GMBH GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L
50
ALIUD PHARMA GMBH GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. P-6L 100
ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. PP/AL X 10 COMPR.
P-6L
20
WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. AL/PVC-PVDC X 10 COMPR. P-6L
100
ALIUD PHARMA GMBH GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. P-6L 100
ALIUD PHARMA GMBH GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L
50
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
LAROPHARM SRL
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
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

Pagina 5 din 189

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.
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.

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

P-6L
P-6L

3.02
5.42
6.02
3.04
6.02
5.42
6.07
28.51
16.07
19.46
16.72
16.24
4.30
4.30
16.21
4.30
13.74
31.48
23.31
10.25
20.54
33.83
65.38
33.65
6.13
22.42
17.21
18.40
16.46
3.25
3.22
4.10
4.98
4.98
4.98
58.44
11.17
26.93
54.63
10.06
39.32
36.53
17.52
14.05
10.94
6.56
7.12
5.86
9.12
19.75
13.00

Pret
amanuntul
maximal/UT
(RON)

0.151000
0.271000
0.301000
0.152000
0.301000
0.271000
1.214000
0.950333
0.321400
0.324333
0.557333
0.541333
0.215000
0.215000
0.324200
0.215000
0.687000
1.049333
1.165500
0.512500
0.410800
0.676600
0.653800
0.673000
0.306500
0.560500
0.860500
0.306666
0.823000
0.065000
0.064400
0.082000
0.099600
0.099600
0.099600
0.584400
0.558500
0.538600
0.546300
0.503000
0.393200
0.365300
0.350400
0.468333
0.364666
0.328000
0.237333
0.293000
0.304000
0.197500
0.260000

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

0.151000
0.151500
0.151500
0.151500
0.151500
0.151500
1.214000
0.882583
0.220645
0.220645
0.441291
0.441291
0.215000
0.215000
0.220645
0.215000
0.441291
1.049333
1.078374
0.417066
0.410800
0.625599
0.625599
0.625599
0.306500
0.417066
0.417066
0.306666
0.625599
0.030404
0.030404
0.030404
0.099600
0.099600
0.099600
0.486472
0.486472
0.486472
0.486472
0.243236
0.243236
0.243236
0.243236
0.284774
0.284774
0.284774
0.237333
0.284774
0.284774
0.197500
0.260000

0.135900
0.136350
0.136350
0.136350
0.136350
0.136350
1.092600
0.794324
0.198580
0.198580
0.397161
0.397161
0.193500
0.193500
0.198580
0.193500
0.397161
0.944399
0.970536
0.375359
0.369720
0.563039
0.563039
0.563039
0.275850
0.375359
0.375359
0.275999
0.563039
0.027363
0.027363
0.027363
0.089640
0.089640
0.089640
0.437824
0.437824
0.437824
0.437824
0.218912
0.218912
0.218912
0.218912
0.256296
0.256296
0.256296
0.213599
0.256296
0.256296
0.177750
0.234000

cod ATC

DCI

247 C07AB02

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

Nr crt.

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

Denumire Comerciala

METOPROLOL 100 mg

forma farm.

METOPROLOL 50 mg

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

METOPROLOL RETARD 100 mg

COMPR. ELIB. PREL.

METOPROLOL TERAPIA 100 mg


METOPROLOL VIM SPECTRUM 100 mg

METOPROLOL ARENA 100 MG

METOPROLOL 100 mg
EGILOK 25 mg
METOPROLOL LPH 25 mg
METOPROLOL 25 mg
METOPROLOL ARENA 25 MG
METOPROLOL LAROPHARM 50 mg

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

METOPROLOL ARENA 50 MG

BETALOC (R) ZOK 100 mg


BETALOC (R) ZOK 50 mg

COMPR. FILM. ELIB. PREL.


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 ARENA 100 MG
ATENOLOL LPH 50 mg
ATENOLOL MEDUMAN 50mg
ATENOCOR 50 mg
ATENOLOL ARENA 50 MG
ATENOLOL 100 mg MEDO
LOKREN 20 mg
BETAC
BETAC
BETAC
BETAC
BISOPROLOL LPH 10mg
BISOBLOCK 10 mg
BISOPROLOL LPH 5mg
BISOBLOCK 5 mg
BOREZ 10 mg
CONCOR 10 mg
BISOGAMMA (R) 10
BISOGAMMA (R) 10
CONCOR COR 10 mg
BISOTENS 10 mg

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

BISOPROLOL FUMARAT AUROBINDO 10 mg

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

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

concentratie

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

Detinator APP
MAGISTRA C & C SRL

TERAPIA SA
VIM SPECTRUM SRL
ARENA GROUP SA
SLAVIA PHARMA S.R.L.
EGIS PHARMACEUTICALS P.L.C.

LABORMED PHARMA SA

MAGISTRA C & C SRL

ARENA GROUP S.A.


LAROPHARM SRL
AC HELCOR PHARMA SRL
EGIS PHARMACEUTICALS P.L.C.

LABORMED PHARMA SA

ALIUD PHARMA GMBH


ALIUD PHARMA GMBH
ALIUD PHARMA GMBH
MAGISTRA C & C SRL

tara det.
APP
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
UNGARIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
UNGARIA
ROMANIA
GERMANIA
GERMANIA
GERMANIA

ROMANIA

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

TERAPIA SA
ASTRAZENECA AB
ASTRAZENECA AB
HEXAL AG
HEXAL AG
HEXAL AG
AC HELCOR SRL

ROMANIA

SUEDIA
SUEDIA
GERMANIA
GERMANIA
GERMANIA

ROMANIA

LABORMED PHARMA SA ROMANIA

ARENA GROUP SA

ROMANIA

LABORMED PHARMA SA ROMANIA

MEDUMAN SA
AC HELCOR SRL
ARENA GROUP SA
MEDOCHEMIE ROMANIA SRL

ROMANIA
ROMANIA
ROMANIA
ROMANIA

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

FRANTA
CIPRU
CIPRU
CIPRU
CIPRU

SANOFI-AVENTIS FRANCE

LABORMED PHARMA S.A.

ROMANIA

ACTAVIS GROUP PTC EHF.

ISLANDA

LABORMED PHARMA S.A.

ROMANIA

ACTAVIS GROUP PTC EHF.

ISLANDA

ALKALOID-INT D.O.O. SLOVENIA

MERCK KGAA
WORWAG PHARMA GMBH & CO. KG
WORWAG PHARMA GMBH & CO. KG

MERCK KGAA
ANTIBIOTICE S.A.
AUROBINDO PHARMA (MALTA) LIMITED

GERMANIA
GERMANIA
GERMANIA
GERMANIA

ROMANIA

MALTA

Pagina 6 din 189

Ambalaj

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.

Prescriptie

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

30
30
P-6L
20
P-6L
30
P-6L
20
CUTIE X 1 FLAC. DIN STICLA BRUNA X 20 COMPR. P-6L
20
CUTIE X 1 BLIST. AL/PVC X 20 COMPR. P-6L
20
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
CUTIE X 1 FLAC. DIN STICLA BRUNA X 20 COMPR. P-6L
20
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L
30
CUTIE X 10 BLIST. DIN PVC-PVDC/ALX 10 COMPR P-6L 100
CUTIE X 5 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L
50
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. CU ELIB. PREL. P-6L
20
CUTIE X 1 FLAC. X 30 COMPR. FILM. ELIB. PREL. P-6L
30
CUTIE X 1 FLAC. X 30 COMPR. FILM. ELIB. PREL. P-6L
30
CUTIE X 3 BLIST. ACLAR-PVC/AL X 10 COMPR. FILM. ELIB. MODIF. P-6L
30
CUTIE X 3 BLIST. ACLAR-PVC/AL X 10 COMPR. FILM. ELIB. MODIF. P-6L
30
CUTIE X 3 BLIST. ACLAR-PVC/AL X 10 COMPR. FILM. ELIB. MODIF. P-6L
30
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
CUTIE X 1 FLAC. DIN PE X 20 COMPR. P-6L
20
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
20
CUTIE X 2 BLIST. AL/PVC X 14 COMPR.FILM. P-6L
28
CUTIE X 4 BLIST. AL/PVC X 7 COMPR. FILM. P-6L
28
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
30
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
20
CUTIE X 2 BLIST. AL/PVC X 7 COMPR. FILM. P-6L
14
CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L
30
CUTIE X 3 BLIST. X 10 COMPR.
P-6L
30
CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L
30
CUTIE X 3 BLIST. X 10 COMPR.
P-6L
30
CUTIE CU 3 BLIST. PERFORATE PVC-TE-PVDC/AL X 10 COMPR. FILM.
P6L
30
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.FILM. P-6L
30
CUTIE X 10 BLIST. X 10 COMPR. FILM. P-6L/S 100
CUTIE X 3 BLIST. X 10 COMPR. FILM.
P-6L
30
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
30
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
30
CUTIE CU BLIST. PA-PVC-AL/HARTIE-PE-AL X 30 COMPR. FILM. P6L
30
P-6L
P-6L

9.49
15.12
7.38
7.01
8.09
1.90
1.90
2.85
2.85
3.51
5.27
3.51
4.75
5.27
8.40
7.09
5.27
7.06
3.45
5.27
3.51
11.12
25.70
15.69
22.71
8.14
13.59
10.83
7.04
6.26
3.93
3.70
5.35
3.56
4.61
9.61
14.84
15.89
10.60
7.41
18.12
16.18
8.55
7.32
10.51
31.83
49.43
18.12
32.72
18.12
13.67

Pret
amanuntul
maximal/UT
(RON)

0.316333
0.504000
0.369000
0.233666
0.404500
0.095000
0.095000
0.095000
0.095000
0.175500
0.175666
0.175500
0.158333
0.175666
0.084000
0.141800
0.175666
0.235333
0.172500
0.175666
0.175500
0.556000
0.856666
0.523000
0.757000
0.271333
0.453000
0.361000
0.352000
0.313000
0.196500
0.185000
0.178333
0.178000
0.230500
0.343214
0.530000
0.529666
0.530000
0.529285
0.604000
0.539333
0.285000
0.244000
0.350333
1.061000
0.494300
0.604000
1.090666
0.604000
0.455666

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

0.284774
0.284774
0.284774
0.233666
0.284774
0.071193
0.071193
0.071193
0.071193
0.142387
0.142387
0.142387
0.142387
0.142387
0.084000
0.141800
0.142387
0.142387
0.142387
0.142387
0.142387
0.284774
0.284774
0.142387
0.541072
0.135267
0.270536
0.361000
0.352000
0.313000
0.196500
0.185000
0.178333
0.178000
0.230500
0.343214
0.427162
0.427162
0.427162
0.427162
0.427162
0.427162
0.213581
0.213581
0.350333
0.427162
0.427162
0.427162
0.427162
0.427162
0.427162

0.256296
0.256296
0.256296
0.210299
0.256296
0.064073
0.064073
0.064073
0.064073
0.128148
0.128148
0.128148
0.128148
0.128148
0.075600
0.127620
0.128148
0.128148
0.128148
0.128148
0.128148
0.256296
0.256296
0.128148
0.486964
0.121740
0.243482
0.324900
0.316800
0.281700
0.176850
0.166500
0.160499
0.160200
0.207450
0.308892
0.384445
0.384445
0.384445
0.384445
0.384445
0.384445
0.192222
0.192222
0.315299
0.384445
0.384445
0.384445
0.384445
0.384445
0.384445

Nr crt.

cod ATC

298 C07AB07
299 C07AB07
300 C07AB07
301 C07AB07
302 C07AB07
303 C07AB07
304 C07AB07
305 C07AB07
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 C07AG02
333 C07AG02
334 C08CA01
335 C08CA01
336 C08CA01
337 C08CA01
338 C08CA01
339 C08CA01
340 C08CA01
341 C08CA01
342 C08CA01
343 C08CA01
344 C08CA01
345 C08CA01
346 C08CA01
347 C08CA01
348 C08CA01

DCI

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
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM

Denumire Comerciala

BOREZ 2,5 mg
CONCOR COR 2,5 mg
CONCOR 5 mg
BISOGAMMA (R) 5
BISOGAMMA (R) 5
CONCOR COR 5 mg
BISOTENS 5 mg

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

concentratie

2,5 mg
2,5mg
5mg
5mg
5mg
5mg
5mg
BISOPROLOL FUMARAT AUROBINDO 5 mg
5mg
CARVEDILOL SANDOZ
COMPR.
12,5 mg
DILATREND (R) 12,5 mg
COMPR.
12,5mg
CORYOL 12,5 mg
COMPR.
12,5mg
TALLITON (R) 12,5 mg
COMPR.
12,5mg
CARVEDILOL LPH 12,5 mg 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
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
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
CARVEDILOL AUROBINDO 12,5mg COMPR. FILM. 12,5mg
CARVEDILOL AUROBINDO 25mg COMPR. FILM. 25mg
CARVEDILOL AUROBINDO 6,25mg COMPR. FILM. 6,25mg
AMLODIPINA TEVA 10 mg
COMPR.
10 mg
NORVASC 10 mg
COMPR.
10mg
AMLOHEXAL 10 mg
COMPR.
10mg
TENOX (R) 10
COMPR.
10mg
AMLODIPINE MEDOCHEMIE 10 mg COMPR.
10mg
CARDILOPIN 10 mg
COMPR.
10mg
ALMACOR 10 mg
COMPR.
10mg
EPLODIN 10 mg
COMPR.
10mg
AMLODIPIN VIM SPECTRUM 10 mg COMPR.
10mg
AMLODIPINA LPH 10 mg
COMPR.
10mg
STAMLO M 10 mg
COMPR.
10mg
AMLODIPINA BIOGALENICA 10 mg COMPR.
10mg
AMLODIPINA TERAPIA 10 mg COMPR.
10mg
AMLODIPINA TERAPIA 10 mg COMPR.
10mg
AMLODIPINA AUROBINDO 10 mg COMPR.
10mg

tara det.
APP

Detinator APP
ALKALOID-INT D.O.O. SLOVENIA

MERCK KGAA
MERCK KGAA
WORWAG PHARMA GMBH & CO. KG
WORWAG PHARMA GMBH & CO. KG

MERCK KGAA
ANTIBIOTICE S.A.
AUROBINDO PHARMA (MALTA) LIMITED

Ambalaj
CUTIE CU 3 BLIST. PERFORATE PVC-TE-PVDC/AL X 10 COMPR. FILM.

Prescriptie

P6L

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
GERMANIA CUTIE X 3 BLIST. X 10 COMPR. FILM.
P-6L
GERMANIA CUTIE X 4 BLIST. X 25 COMPR. FILM.
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

MALTA

P6L

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

HEXAL AG

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.

P-6L

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


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

P-6L

LABORMED PHARMA SA ROMANIA

VIM SPECTRUM SRL ROMANIA


ANTIBIOTICE S.A.
ROMANIA
SLAVIA PHARM S.R.L. ROMANIA
AC HELCOR PHARMA SRL ROMANIA
ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. OPA-AL-PVDC/AL X 14 COMPR.

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

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

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

HEXAL AG

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

LABORMED PHARMA SA ROMANIA

ANTIBIOTICE S.A.

ROMANIA
SLAVIA PHARM S.R.L. ROMANIA
AC HELCOR PHARMA SRL ROMANIA
ROCHE ROMANIA S.R.L. ROMANIA

KRKA D.D.

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


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

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

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

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

EGIS PHARMACEUTICALS P.L.C.

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

HEXAL AG

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.
SLAVIA PHARM S.R.L. ROMANIA CUTIE X 2 BLIST. PVC/AL X 15 COMPR.
AUROBINDO PHARMA (MALTA) LIMITED MALTA
CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.
AUROBINDO PHARMA (MALTA) LIMITED MALTA
CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.
AUROBINDO PHARMA (MALTA) LIMITED MALTA
CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR.
LABORMED PHARMA SA ROMANIA

PFIZER EUROPE MA EEIG

MAREA BRITANIE

ARENA GROUP S.A.


TERAPIA SA
TERAPIA SA

UNGARIA
ROMANIA
UNGARIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

ANTIBIOTICE S.A.
EXTRACTUMPHARMA

VIM SPECTRUM SRL


LABORMED PHARMA S.A.
DR. REDDY'S LABORATORIES

Pagina 7 din 189

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

P6L
P6L
P6L
P6L

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

HEXAL AG
GERMANIA CUTIE X 3 BLIST. AL/PVC-COC-PVDC X 10 COMPR.
KRKA D.D.
SLOVENIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR.
MEDOCHEMIE LTD. CIPRU
CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR.
EGIS PHARMACEUTICALS P.L.C.

P-6L

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

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

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

P-6L

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


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

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

P-6L

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


CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR.
CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR.
CUTIE X 3 BLIST. ACLAR-PVC/AL X 10 COMPR.
CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR.

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

P6L

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

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

8.07
14.76
16.33
8.55
25.01
22.31
8.55
7.87
8.74
29.94
12.48
13.30
13.36
6.72
13.10
13.36
8.72
33.45
22.05
23.62
9.18
23.62
23.00
23.62
15.72
16.46
6.44
6.89
6.89
6.89
4.56
6.70
6.89
14.81
21.99
7.32
11.53
29.68
19.28
19.26
13.13
19.28
19.28
19.26
12.85
19.28
14.67
19.28
19.31
19.31
7.38

Pret
amanuntul
maximal/UT
(RON)

0.269000
0.492000
0.544333
0.285000
0.250100
0.743666
0.285000
0.262333
0.291333
1.069285
0.445714
0.443333
0.445333
0.336000
0.436666
0.445333
0.436000
1.194642
0.787500
0.787333
0.306000
0.787333
0.766666
0.787333
0.786000
0.587857
0.230000
0.229666
0.229666
0.229666
0.228000
0.223333
0.229666
0.528928
0.785357
0.261428
0.384333
0.989333
0.642666
0.642000
0.437666
0.642666
0.642666
0.642000
0.642500
0.642666
0.523928
0.642666
0.643666
0.643666
0.246000

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

0.106790
0.106790
0.213581
0.213581
0.213581
0.213581
0.213581
0.213581
0.291333
0.354299
0.354299
0.354299
0.354299
0.336000
0.354299
0.354299
0.354299
0.708599
0.708599
0.708599
0.306000
0.708599
0.708599
0.708599
0.708599
0.177149
0.177149
0.177149
0.177149
0.177149
0.177149
0.177149
0.177149
0.354299
0.708599
0.177149
0.384333
0.578249
0.578249
0.578249
0.437666
0.578249
0.578249
0.578249
0.578249
0.578249
0.523928
0.578249
0.578249
0.578249
0.246000

0.096111
0.096111
0.192222
0.192222
0.192222
0.192222
0.192222
0.192222
0.262199
0.318869
0.318869
0.318869
0.318869
0.302400
0.318869
0.318869
0.318869
0.637739
0.637739
0.637739
0.275400
0.637739
0.637739
0.637739
0.637739
0.159434
0.159434
0.159434
0.159434
0.159434
0.159434
0.159434
0.159434
0.318869
0.637739
0.159434
0.345899
0.520424
0.520424
0.520424
0.393899
0.520424
0.520424
0.520424
0.520424
0.520424
0.471535
0.520424
0.520424
0.520424
0.221400

Nr crt.

cod ATC

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 C08CA02
377 C08CA02
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 C08CA05
391 C08CA05
392 C08DA01
393 C08DA01
394 C08DA01
395 C08DA01
396 C08DA01
397 C08DA01
398 C08DA01
399 C08DA01

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
FELODIPINUM
FELODIPINUM
FELODIPINUM
FELODIPINUM
FELODIPINUM
FELODIPINUM
FELODIPINUM
FELODIPINUM
FELODIPINUM
FELODIPINUM
FELODIPINUM
FELODIPINUM
FELODIPINUM
FELODIPINUM
NIFEDIPINUM
NIFEDIPINUM
VERAPAMILUM
VERAPAMILUM
VERAPAMILUM
VERAPAMILUM
VERAPAMILUM
VERAPAMILUM
VERAPAMILUM
VERAPAMILUM

Denumire Comerciala

RECOTENS 10 mg
AGEN 10
AMLODIPINA ACTAVIS 10 mg
AMLODIPINA ZENTIVA 10 mg
AMLODIPINA HELCOR 10 mg
AMLODIPINA ARENA 10 mg
AMLODIPINA TEVA 5 mg
NORVASC 5 mg
AMLOHEXAL 5 mg
TENOX (R) 5
AMLODIPINE MEDOCHEMIE 5 mg

CARDILOPIN 5 mg
ALMACOR 5 mg
EPLODIN 5 mg
AMLODIPIN VIM SPECTRUM 5 mg

AMLODIPINA LPH 5 mg
STAMLO M 5 mg
AMLODIPINA BIOGALENICA 5 mg

AMLODIPINA TERAPIA 5 mg
AMLODIPINA TERAPIA 5 mg
AMLODIPINA AUROBINDO 5 mg

RECOTENS 5 mg
AGEN 5
AMLODIPINA ACTAVIS 5 mg
AMLODIPINA ZENTIVA 5 mg
AMLODIPINA HELCOR 5 mg
AMLODIPINA ARENA 5 mg
PLENDIL
FELODIPIN AL 10 mg
PLENDIL
FELODIPIN AL 2,5 mg
PLENDIL
FELODIPIN AL 5 mg
SISTAR 10 mg
SISTAR 2,5 mg
SISTAR 5 mg
AURONAL 10 mg
FELODIPIN SANDOZ 10 mg
AURONAL 2,5 mg
AURONAL 5 mg
FELODIPIN SANDOZ 5 mg
ADALAT CR 30

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. 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.
COMPR. FILM. ELIB. PREL.

COMPR. ELIB. MODIF.

NIFEDIPIN RETARD TERAPIA 20 mg

COMPR. FILM. ELIB. PREL.

VERAPAMIL ARENA 40 mg
VERAPAMIL ARENA 80 mg
CORDAMIL 40
VERAPAMIL AL 80
VERAPAMIL AL 80
CORDAMIL 80
ISOPTIN (R) 80 mg
ISOPTIN RR

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

concentratie

10mg
10mg
10mg
10mg
10mg
10mg
5 mg
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
5mg
5mg
10mg
2,5mg
5mg
10mg
10mg
2,5mg
5mg
5mg
30mg
20mg
40mg
80mg
40mg
80mg
80mg
80mg
80mg
240mg

Detinator APP

tara det.
APP

Ambalaj

Prescriptie

ICN POLFA RZESZOW S.A.

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

ZENTIVA K.S.

REPUBLICA CEHA

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


ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC-PVDC/AL X 20 COMPR. P6L
ZENTIVA K.S.
REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L
A.C. HELCOR PHARMA S.R.L. ROMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. P6L
ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L
MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
HEXAL AG
GERMANIA CUTIE X 3 BLIST. AL/PVC-COC-PVDC X 10 COMPR.
KRKA D.D.
SLOVENIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR.
MEDOCHEMIE LTD. CIPRU
CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR.

PFIZER EUROPE MA EEIG

EGIS PHARMACEUTICALS P.L.C.

ANTIBIOTICE S.A.
EXTRACTUMPHARMA

VIM SPECTRUM SRL


LABORMED PHARMA S.A.
DR. REDDY'S LABORATORIES

ARENA GROUP S.A.


TERAPIA SA
TERAPIA SA

UNGARIA
ROMANIA
UNGARIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

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

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

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

P-6L

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


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

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

P-6L

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


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

ICN POLFA RZESZOW S.A.

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


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

AUROBINDO PHARMA (MALTA) LIMITED

ZENTIVA K.S.

REPUBLICA CEHA

ACTAVIS GROUP PTC EHF.

ISLANDA CUTIE CU BLIST. PVC-PVDC/AL X 20 COMPR. P6L

ZENTIVA K.S.

REPUBLICA CEHA

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


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

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


ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L

A.C. HELCOR PHARMA S.R.L.

ASTRAZENECA AB

SUEDIA

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

ALIUD PHARMA GMBH & CO. KG

GERMANIA

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

ASTRAZENECA AB

SUEDIA

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

ALIUD PHARMA GMBH & CO. KG

GERMANIA

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

P-6L

ASTRAZENECA AB

SUEDIA

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

P-6L

ALIUD PHARMA GMBH & CO. KG

GERMANIA

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

P-6L

GEDEON RICHTER ROMANIA SA

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

P-6L

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

P-6L

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

P-6L

EGIS PHARMACEUTICALS P.L.C.

ROMANIA
ROMANIA
ROMANIA
UNGARIA

HEXAL AG

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

EGIS PHARMACEUTICALS P.L.C.

UNGARIA
UNGARIA

GEDEON RICHTER ROMANIA SA


GEDEON RICHTER ROMANIA SA

EGIS PHARMACEUTICALS P.L.C.

P-6L

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

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


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

HEXAL AG
BAYER PHARMA AG
TERAPIA SA
ARENA GROUP S.A.
ARENA GROUP S.A.
AC HELCOR SRL

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


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

ALIUD PHARMA GMBH & CO.KG

GERMANIA
GERMANIA

ALIUD PHARMA GMBH & CO.KG

AC HELCOR SRL

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


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

CUTIE X 10 BLIST. X 10 COMPR. FILM.


CUTIE X 5 BLIST. X 10 COMPR. FILM.
ROMANIA CUTIE X 3 BLIST. X 10 COMPR.FILM.

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

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


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

Pagina 8 din 189

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

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

14.05
8.49
12.85
8.49
12.87
19.28
5.76
19.94
11.37
11.40
7.81
11.37
11.36
11.37
7.44
11.37
8.75
7.89
10.82
10.82
5.25
7.63
4.10
7.58
4.10
8.63
7.89
50.21
33.73
22.26
14.47
28.37
18.44
30.42
14.47
18.43
42.57
30.52
16.47
26.66
15.69
29.88
10.80
3.33
5.96
3.33
21.02
10.51
5.96
15.30
19.91

Pret
amanuntul
maximal/UT
(RON)

0.468333
0.283000
0.642500
0.283000
0.643500
0.642666
0.192000
0.664666
0.379000
0.380000
0.260333
0.379000
0.378666
0.379000
0.372000
0.379000
0.312500
0.263000
0.360666
0.360666
0.175000
0.254333
0.136666
0.379000
0.136666
0.431500
0.263000
1.673666
1.124333
0.742000
0.482333
0.945666
0.614666
1.014000
0.482333
0.614333
1.419000
1.017333
0.549000
0.888666
0.523000
1.067142
0.216000
0.111000
0.198666
0.111000
0.210200
0.210200
0.198666
0.306000
0.995500

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

0.468333
0.283000
0.578249
0.283000
0.578249
0.578249
0.192000
0.289124
0.289124
0.289124
0.260333
0.289124
0.289124
0.289124
0.289124
0.289124
0.289124
0.263000
0.289124
0.289124
0.175000
0.254333
0.136666
0.289124
0.136666
0.289124
0.263000
0.578249
0.578249
0.144562
0.144562
0.289124
0.289124
0.578249
0.144562
0.289124
0.578249
0.578249
0.144562
0.289124
0.289124
0.289124
0.192749
0.094589
0.189180
0.094589
0.189180
0.189180
0.189180
0.189180
0.567540

0.421499
0.254700
0.520424
0.254700
0.520424
0.520424
0.172800
0.260211
0.260211
0.260211
0.234299
0.260211
0.260211
0.260211
0.260211
0.260211
0.260211
0.236700
0.260211
0.260211
0.157500
0.228899
0.122999
0.260211
0.122999
0.260211
0.236700
0.520424
0.520424
0.130105
0.130105
0.260211
0.260211
0.520424
0.130105
0.260211
0.520424
0.520424
0.130105
0.260211
0.260211
0.260211
0.173474
0.085130
0.170262
0.085130
0.170262
0.170262
0.170262
0.170262
0.510786

Nr crt.

cod ATC

400 C08DA01
401 C08DA01
402 C08DA01
403 C08DB01
404 C08DB01
405 C08DB01
406 C08DB01
407 C08DB01
408 C08DB01
409 C08DB01
410 C08DB01
411 C09AA01
412 C09AA01
413 C09AA01
414 C09AA01
415 C09AA01
416 C09AA01
417 C09AA01
418 C09AA01
419 C09AA01
420 C09AA01
421 C09AA01
422 C09AA01
423 C09AA01
424 C09AA01
425 C09AA02
426 C09AA02
427 C09AA02
428 C09AA02
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
442 C09AA02
443 C09AA02
444 C09AA02
445 C09AA02
446 C09AA02
447 C09AA02
448 C09AA02
449 C09AA02
450 C09AA02

DCI

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
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM

Denumire Comerciala

VERAPAMIL 40 mg
VERAPAMIL 80 mg
DILACORAN

forma farm.

DRAJ.
DRAJ.
SOL INJ.

DILTIAZEM SR ROMPHARM 180 mg CAPS. ELIB. PREL.

DILTIAZEM SR ROMPHARM 90 mg CAPS. ELIB. PREL.

DILTIAZEM EIPICO 60 mg
DILTIAZEM LPH 60 mg
DILTIAZEM ARENA 60 mg
DILTIAZEM BIOEEL 60 mg
DILTIAZEM BIOEEL 60 mg
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 SANDOZ 10 mg
ENALAPRIL LPH 10 mg
ENAP 10 mg
ENALAPRIL SLAVIA 10 mg
RENITEC 10 mg
ENALAPRIL TERAPIA 10 mg
ENALAPRIL ARENA 10mg
ENALAPRIL ARENA 10mg
ENALAPRIL ARENA 10mg
ENALAPRIL ARENA 10mg
ENALAPRIL VIM SPECTRUM 10 mg

ENALAPRIL LAROPHARM 10 mg

ENALAPRIL 20 mg
ENALAPRIL SANDOZ 20 mg
ENALAPRIL LPH 20 mg
ENAP 20 mg
RENITEC 20 mg
ENALAPRIL TERAPIA 20 mg
ENALAPRIL ARENA 20 mg
ENALAPRIL ARENA 20 mg
ENALAPRIL SLAVIA 20 mg
ENALAPRIL LAROPHARM 20 mg

ENALAPRIL 5 mg
ENALAPRIL SANDOZ 5 mg
ENAP 5 mg

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

tara det.
concentratie
APP
Detinator APP
40mg
SANOFI-AVENTIS ROMANIA S.R.L. ROMANIA
80mg
SANOFI-AVENTIS ROMANIA S.R.L. ROMANIA
5mg/2ml
ABBOTT PRODUCTS ROMANIA SRL ROMANIA
180mg
ROMPHARM COMPANY S.R.L. ROMANIA
90mg
ROMPHARM COMPANY S.R.L. ROMANIA
60mg
E.I.P.I.CO. MED S.R.L. ROMANIA
60mg
LABORMED PHARMA SA ROMANIA
60mg
ARENA GROUP SA ROMANIA
60mg
BIO EEL SRL
ROMANIA
60mg
BIO EEL SRL
ROMANIA

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
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
5mg
5mg
5mg

Ambalaj

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


CUTIE X 2 BLIST. AL/PVC X 25 DRAJ.
CUTIE CU 5 FIOLE X 5MG/2ML
CUTIE CU 3 BLIST. DIN FOLIE DE PVC/PVDC/AL X 10 CAPS. ELIB. PREL.
CUTIE CU 3 BLIST. DIN FOLIE DE PVC/PVDC/AL X 7 CAPS. ELIB. PREL.

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


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

Prescriptie

P-6L
P-6L
PR/PRF

P6L
P6L
P-6L
P-6L

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


CUTIE X 2 BLIST. DIN AL/ PVC X 10 COMPR. P-6L
CUTIE X 5 BLIST. DIN AL/ PVC X 10 COMPR. P-6L

PFIZER EUROPE MA EEIG

MAREA BRITANIE

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

MAGISTRA C & C
TERAPIA SA
BIO EEL SRL

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

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

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
LABORMED PHARMA SA

MAGISTRA C & C
SANDOZ SRL
LABORMED PHARMA SA

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

SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. 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. AL/PVC X 10 COMPR. P-6L
ARENA GROUP SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L
ARENA GROUP SA ROMANIA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. P-6L
ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. DIN PE X 20 COMPR. P-6L
VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L
LAROPHARM SRL
ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 COMPR. P6L
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
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/AL X 10 COMPR.
P-6L
MERCK SHARP & DOHME

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

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

TERAPIA SA
ARENA GROUP SA
ARENA GROUP SA

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

ROMANIA
ROMANIA
ROMANIA
ROMANIA
SLAVIA PHARM S.R.L. ROMANIA
LAROPHARM SRL
ROMANIA
MAGISTRA C & C
ROMANIA
SANDOZ SRL
ROMANIA

P-6L

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


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

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

Pagina 9 din 189

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

50
50
5
30
21
20
20
50
20
50
30
30
30
20
20
30
30
30
20
20
30
20
20
30
30
20
20
20
20
20
28
20
30
50
100
20
20
20
20
20
20
20
28
20
30
50
20
20
20
20
20

11.82
17.32
12.73
35.79
7.00
5.39
5.39
13.37
5.39
13.37
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
3.96
4.39
4.39
4.39
10.52
7.30
6.87
11.25
22.02
11.28
4.10
4.39
7.94
10.18
8.75
7.94
17.12
11.11
11.12
16.43
7.92
7.94
3.67
3.67
3.67

Pret
amanuntul
maximal/UT
(RON)

0.236400
0.346400
2.546000
1.193000
0.333333
0.269500
0.269500
0.267400
0.269500
0.267400
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
0.198000
0.219500
0.219500
0.219500
0.375714
0.365000
0.229000
0.225000
0.220200
0.564000
0.205000
0.219500
0.397000
0.509000
0.437500
0.397000
0.611428
0.555500
0.370666
0.328600
0.396000
0.397000
0.183500
0.183500
0.183500

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

0.094589
0.189180
2.546000
0.802200
0.333333
0.267400
0.267400
0.267400
0.267400
0.267400
0.401100
0.044578
0.089156
0.089156
0.089156
0.089156
0.089156
0.089156
0.089156
0.133500
0.178312
0.178312
0.133500
0.150000
0.131000
0.178312
0.178312
0.178312
0.178312
0.178312
0.178312
0.178312
0.178312
0.178312
0.178312
0.178312
0.178312
0.178312
0.356625
0.356625
0.356625
0.356625
0.356625
0.356625
0.356625
0.328600
0.356625
0.356625
0.089156
0.089156
0.089156

0.085130
0.170262
2.291400
0.721980
0.299999
0.240660
0.240660
0.240660
0.240660
0.240660
0.360990
0.040120
0.080240
0.080240
0.080240
0.080240
0.080240
0.080240
0.080240
0.120150
0.160480
0.160480
0.120150
0.135000
0.117900
0.160480
0.160480
0.160480
0.160480
0.160480
0.160480
0.160480
0.160480
0.160480
0.160480
0.160480
0.160480
0.160480
0.320962
0.320962
0.320962
0.320962
0.320962
0.320962
0.320962
0.295740
0.320962
0.320962
0.080240
0.080240
0.080240

Nr crt.

cod ATC

451 C09AA02
452 C09AA02
453 C09AA02
454 C09AA02
455 C09AA02
456 C09AA02
457 C09AA02
458 C09AA02
459 C09AA03
460 C09AA03
461 C09AA03
462 C09AA03
463 C09AA03
464 C09AA03
465 C09AA03
466 C09AA03
467 C09AA03
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 C09AA05
483 C09AA05
484 C09AA05
485 C09AA05
486 C09AA05
487 C09AA05
488 C09AA05
489 C09AA05
490 C09AA05
491 C09AA05
492 C09AA05
493 C09AA05
494 C09AA05
495 C09AA05
496 C09AA05
497 C09AA05
498 C09AA05
499 C09AA05
500 C09AA05
501 C09AA05

DCI

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
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM

Denumire Comerciala

RENITEC 5 mg
ENALAPRIL LPH (R) 5 mg
ENALAPRIL TERAPIA 5 mg
ENALAPRIL ARENA 5 mg

forma farm.

COMPR.
COMPR.
COMPR.
COMPR.
ENALAPRIL VIM SPECTRUM 5 mg COMPR.
ENALAPRIL SLAVIA 5 mg
COMPR.
ENALAPRIL LAROPHARM 5 mg COMPR.
ENAP 1,25 mg/ml
SOL. INJ./PERF.
RANOLIP
COMPR.
LISIREN 10 mg
COMPR.
LISINOPRIL SANDOZ 10 mg COMPR.
LISIGAMMA 10 mg
COMPR.
LISINOPRIL 10 MEDO
COMPR.
LISINOPRIL ACTAVIS 10 mg COMPR.
LISINOPRIL ATB 10 MG
COMPR.
TONOLYSIN 10 mg
COMPR.
TONOLYSIN 2,5 mg
COMPR.
RANOLIP
COMPR.
LISIREN 20 mg
COMPR.
LISINOPRIL SANDOZ 20 mg COMPR.
LISIGAMMA 20 mg
COMPR.
LISINOPRIL ACTAVIS 20 mg COMPR.
LISINOPRIL ATB 20 MG
COMPR.
TONOLYSIN 20 mg
COMPR.
LISINOPRIL 20 MEDO
COMPR.
LISINOPRIL ATB 40 MG
COMPR.
RANOLIP
COMPR.
LISIGAMMA 5 mg
COMPR.
LISINOPRIL 5 MEDO
COMPR.
LISINOPRIL ACTAVIS 5 mg COMPR.
TONOLYSIN 5 mg
COMPR.
VIVACE 10 mg
COMPR.
PIRAMIL 10 mg
COMPR.
RAMIPRIL-AC 10 mg
COMPR.
AMPRIL 10 mg
COMPR.
HARTIL 10 mg
COMPR.
ZENRA 10
COMPR.
TRITACE 10
COMPR.
RAMIPRIL AUROBINDO 10 mg COMPR.
AMPRIGEN 10 mg
COMPR.
RAMIPRIL TEVA 10 mg
COMPR.
RAMIRAN 10 mg
COMPR.
RAMIRAN 10 mg
COMPR.
VIVACE 2,5 mg
COMPR.
PIRAMIL 2,5 mg
COMPR.
RAMIPRIL-AC 2,5 mg
COMPR.
AMPRIL 2,5 mg
COMPR.
HARTIL 2,5 mg
COMPR.
ZENRA 2,5
COMPR.
TRITACE(R) 2,5
COMPR.
AMPRIGEN 2,5 mg
COMPR.

concentratie

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

Detinator APP
MERCK SHARP & DOHME

LABORMED PHARMA SA

TERAPIA SA
ARENA GROUP S.A.
VIM SPECTRUM SRL
SLAVIA PHARM S.R.L.

LAROPHARM SRL

tara det.
APP
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

Ambalaj

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


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

Prescriptie

P-6L
P-6L

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

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

P-6L

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

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


CUTIE CU 1 BLIST. PVC/AL X 20 COMPR. P6L

KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 5 FIOLE DIN STICLA INCOLORA X 1 ML SOL. INJ.

PR/PRF

AC HELCOR SRL
HEXAL AG

CUTIE X 3 BLIST. X 10 COMPR.


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

WORWAG PHARMA GMBH & CO. KG

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

MEDOCHEMIE ROMANIA SRL

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

P-6L

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

P-6L

RANBAXY U.K. LIMITED

MAREA BRITANIE

ACTAVIS GROUP PTC EHF.

WORWAG PHARMA GMBH & CO. KG

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

ISLANDA CUTIE CU BLIST. PVC/AL X 30 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.
MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 2 BLIST. PVDC/AL 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.
ACTAVIS GROUP PTC EHF.

P-6L

ANTIBIOTICE SA

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

WORWAG PHARMA GMBH & CO. KG

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

MEDOCHEMIE ROMANIA SRL

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

P-6L

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


GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC 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

ACTAVIS GROUP PTC EHF.

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

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. AL/PVC X 14 COMPR.

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

ALVOGEN IPCO S.A.R.L

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

TEVA PHARMACEUTICALS S.R.L.

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


ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L
ROMANIA CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/AL X 30 COMPR. P6L

EGIS PHARMACEUTICALS P.L.C.

ZENTIVA S.A.

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

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

TERAPIA SA
TERAPIA SA
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.

P6L

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
P-6L

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.

ALVOGEN IPCO S.A.R.L

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

P6L

EGIS PHARMACEUTICALS P.L.C.

ZENTIVA S.A.

Pagina 10 din 189

P-6L
P-6L

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

28
20
20
30
20
20
20
5
30
20
30
30
30
30
30
28
28
30
20
30
30
30
30
28
20
30
30
30
30
30
28
28
28
30
30
28
28
28
28
30
30
30
30
28
28
30
30
28
28
28
30

7.87
3.84
3.93
5.58
3.65
3.67
3.67
15.45
14.98
10.74
10.31
8.61
14.44
12.87
11.96
15.47
8.75
23.11
15.65
15.05
12.93
23.37
23.48
22.90
14.44
39.31
7.64
6.50
8.67
7.37
9.28
9.23
23.28
9.74
24.93
9.21
9.23
14.19
9.49
24.04
9.88
9.88
9.88
4.65
9.37
4.87
10.02
4.62
4.65
7.15
9.92

Pret
amanuntul
maximal/UT
(RON)

0.281071
0.192000
0.196500
0.186000
0.182500
0.183500
0.183500
3.090000
0.499333
0.537000
0.343666
0.287000
0.481333
0.429000
0.398666
0.552500
0.312500
0.770333
0.782500
0.501666
0.431000
0.779000
0.782666
0.817857
0.722000
1.310333
0.254666
0.216666
0.289000
0.245666
0.331428
0.329642
0.831428
0.324666
0.831000
0.328928
0.329642
0.506785
0.338928
0.801333
0.329333
0.329333
0.329333
0.166071
0.334642
0.162333
0.334000
0.165000
0.166071
0.255357
0.330666

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

0.089156
0.089156
0.089156
0.089156
0.089156
0.089156
0.089156
3.090000
0.178312
0.178312
0.178312
0.178312
0.178312
0.178312
0.178312
0.178312
0.044578
0.356625
0.356625
0.356625
0.356625
0.356625
0.356625
0.356625
0.356625
0.713250
0.089156
0.089156
0.089156
0.089156
0.089156
0.329642
0.713250
0.324666
0.713250
0.328928
0.329642
0.506785
0.338928
0.713250
0.329333
0.329333
0.329333
0.166071
0.178312
0.162333
0.178312
0.165000
0.166071
0.178312
0.178312

0.080240
0.080240
0.080240
0.080240
0.080240
0.080240
0.080240
2.781000
0.160480
0.160480
0.160480
0.160480
0.160480
0.160480
0.160480
0.160480
0.040120
0.320962
0.320962
0.320962
0.320962
0.320962
0.320962
0.320962
0.320962
0.641925
0.080240
0.080240
0.080240
0.080240
0.080240
0.296677
0.641925
0.292199
0.641925
0.296035
0.296677
0.456106
0.305035
0.641925
0.296399
0.296399
0.296399
0.149463
0.160480
0.146099
0.160480
0.148500
0.149463
0.160480
0.160480

Nr crt.

cod ATC

DCI

522 C09AA09

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

523 C09BA02

COMBINATII (ENALAPRILUM+HYDROCHLOROTHIAZIDUM)

524 C09BA02

COMBINATII (ENALAPRILUM+HYDROCHLOROTHIAZIDUM)

525 C09BA02

COMBINATII (ENALAPRILUM+HYDROCHLOROTHIAZIDUM)

526 C09BA02

COMBINATII (ENALAPRILUM+HYDROCHLOROTHIAZIDUM)

527 C09BA02

COMBINATII (ENALAPRILUM+HYDROCHLOROTHIAZIDUM)

528 C09BA05

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM)

529 C09BA05

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM)

530 C09BA05

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM)

531 C09BA05

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM)

532 C09BA05

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM)

533 C09BA05

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM)

534 C09CA01

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

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 C09AA06
517 C09AA06
518 C09AA06
519 C09AA09
520 C09AA09
521 C09AA09

535 C09CA01
536 C09CA01
537 C09CA01
538 C09CA01
539 C09CA01
540 C09CA01
541 C09CA01
542 C09CA01
543 C09CA01
544 C09CA01
545 C09CA01
546 C09CA01
547 C09CA01
548 C10AA01
549 C10AA01
550 C10AA01
551 C10AA01
552 C10AA01

Denumire Comerciala

RAMIRAN 2,5 mg
RAMIRAN 2,5 mg
VIVACE 5 mg
PIRAMIL 5 mg
RAMIPRIL-AC 5 mg
AMPRIL 5 mg
HARTIL 5 mg
ZENRA 5
TRITACE 5
RAMIPRIL AUROBINDO 5 mg
AMPRIGEN 5 mg
RAMIPRIL TEVA 5 mg
RAMIRAN 5 mg
RAMIRAN 5 mg
ACCUPRO 10 mg
ACCUPRO (R) 20
ACCUPRO (R) 5
MONOPRIL 10 mg

forma farm.

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

concentratie

2,5mg
2,5mg
5 mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
COMPR. FILM. 10mg
COMPR. FILM. 20mg
COMPR. FILM. 5mg
COMPR.
10mg
FOSINOPRIL AUROBINDO 10 mg COMPR.
10mg
MONOPRIL 20 mg
COMPR.
20mg
FOSINOPRIL AUROBINDO 20 mg COMPR.
20mg
ENAP HL
COMPR.
10mg+12,5mg
ENAP H
COMPR.
10mg+25mg
ENAP (R) HL 20 mg/12,5 mg COMPR.
20 mg/12,5mg
VIMAPRIL HL
COMPR.
FARA CONCENTRATIE
VIMAPRIL H
COMPR.
FARA CONCENTRATIE
HARTIL HCT 2,5 mg/12,5mg COMPR.
2,5mg/12,5mg
RAMIPRIL HCT-MEDOCHEMIE COMPR.
2,5mg/12,5mg
TRITACE 2,5 PLUS
COMPR.
2,5mg/12,5mg
HARTIL HCT 5 mg/25mg
COMPR.
5mg/25mg
RAMIPRIL HCT-MEDOCHEMIE COMPR.
5mg/25mg
TRITACE 5 PLUS
COMPR.
5mg/25mg
LODIAL 100mg
COMPR. FILM. 100 mg
TALOSAN 100 mg
COMPR. FILM. 100mg
TALOSAN 100 mg
COMPR. FILM. 100mg
LOZAP 100
COMPR. FILM. 100mg
LORISTA 100 mg
COMPR. FILM. 100mg
LOSARTAN ZENTIVA 100 mg COMPR. FILM. 100mg
LODIAL 50mg
COMPR. FILM. 50 mg
TALOSAN 50 mg
COMPR. FILM. 50mg
TALOSAN 50 mg
COMPR. FILM. 50mg
LOSARTAN FARMAL 50 mg COMPR. FILM. 50mg
LOZAP 50
COMPR. FILM. 50mg
COZAAR 50 mg
COMPR. FILM. 50mg
LORISTA 50 mg
COMPR. FILM. 50mg
LOSARTAN ZENTIVA 50 mg COMPR. FILM. 50mg
SIMVASTATINA BIOGALENICA 10 mg COMPR. FILM. 10 mg
SIMVAHEXAL (R) 10 mg
COMPR. FILM. 10mg
ZEPLAN (R) 10 mg
COMPR. FILM. 10mg
ZEPLAN (R) 10 mg
COMPR. FILM. 10mg
ZOCOR 10 mg
COMPR. FILM. 10mg

Detinator APP

tara det.
APP
Ambalaj
ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L
ROMANIA CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/AL X 30 COMPR. P6L

Prescriptie

TERAPIA SA
TERAPIA SA
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

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

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.

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

ALVOGEN IPCO S.A.R.L

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

TEVA PHARMACEUTICALS S.R.L.

TERAPIA SA
TERAPIA SA

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


ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L
ROMANIA CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/AL X 30 COMPR. P6L

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 3 BLIST. PVC/AL/PA 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


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

EGIS PHARMACEUTICALS P.L.C.

ZENTIVA S.A.

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

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

PFIZER EUROPE MA EEIG

MAREA BRITANIE

BRISTOL MYERS SQUIBB KFT

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

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

P6L

P-6L

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

BRISTOL-MYERS SQUIBB UNGARIA CUTIE X 2 BLIST. AL/PVC-PVDC X 14 COMPR. P-6L


AUROBINDO PHARMA (MALTA) LIMITED

MALTA

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

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

VIM SPECTRUM SRL ROMANIA


VIM SPECTRUM SRL ROMANIA
EGIS PHARMACEUTICALS P.L.C. UNGARIA
MEDOCHEMIE LTD. CIPRU
SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA
EGIS PHARMACEUTICALS P.L.C. UNGARIA
MEDOCHEMIE LTD. CIPRU
SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA
ALKALOID-INT D.O.O. SLOVENIA
TERAPIA SA
ROMANIA
TERAPIA SA
ROMANIA
ZENTIVA A.S.
SLOVACIA

CUTIE X 3 BLIST.OPA-AL-PVC/AL A CATE 10 CAPS.

P-6L

CUTIE X 3 BLIST.OPA-AL-PVC/AL A CATE 10 CAPS.

P-6L

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


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

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

P-6L

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


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

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

P-6L

CUTIE CU 2 BLIST. DIN PVC/AL X 15 COMPR. FILM. P6L


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

P6L
SLOVACIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L
ALKALOID-INT D.O.O. SLOVENIA CUTIE CU 3 BLIST. DIN PVC/AL X 10 COMPR. FILM. P6L

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

ZENTIVA A.S.
TERAPIA SA
TERAPIA SA

FARMAL INTERNATIONAL S.R.L.

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


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

ZENTIVA A.S.

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

MERCK SHARP & DOHME

ROMANIA

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

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

KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. DIN PVC-PVDC/AL X 28 COMPR. FILM. P6L

ZENTIVA A.S.
SLOVACIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.
ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. DIN PVC - PVD /AL X 14 COMPR. FILM.
HEXAL AG
GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.

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.

P-6L

GEDEON RICHTER ROMANIA SA

Pagina 11 din 189

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

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

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

4.98
4.98
6.70
10.17
7.18
10.85
6.69
6.70
10.31
7.10
10.75
7.18
7.18
7.18
11.69
16.75
8.20
20.83
13.54
28.58
18.58
8.89
9.82
7.95
8.88
11.82
5.64
13.27
8.67
12.82
20.15
19.72
39.38
33.41
33.41
14.38
32.76
14.38
19.23
17.92
17.92
17.89
7.75
64.56
18.00
7.75
8.75
9.37
4.38
8.75
13.45

Pret
amanuntul
maximal/UT
(RON)

0.166000
0.166000
0.239285
0.363214
0.239333
0.361666
0.238928
0.239285
0.368214
0.253571
0.358333
0.239333
0.239333
0.239333
0.389666
0.558333
0.273333
0.743928
0.451333
1.020714
0.619333
0.444500
0.491000
0.397500
0.296000
0.394000
0.201428
0.442333
0.309642
0.457857
0.671666
0.704285
1.312666
1.113666
1.113666
0.479333
1.170000
0.479333
0.641000
0.597333
0.597333
0.638928
0.258333
2.305714
0.642857
0.258333
0.312500
0.312333
0.312857
0.312500
0.480357

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

0.166000
0.166000
0.239285
0.356625
0.239333
0.356625
0.238928
0.239285
0.356625
0.253571
0.356625
0.239333
0.239333
0.239333
0.118874
0.237749
0.059437
0.118874
0.118874
0.237749
0.237749
0.412071
0.412071
0.397500
0.296000
0.394000
0.201428
0.412071
0.309642
0.412071
0.412071
0.412071
1.063146
1.063146
1.063146
0.479333
1.063146
0.479333
0.531573
0.531573
0.531573
0.531573
0.258333
0.531573
0.531573
0.258333
0.211399
0.211399
0.211399
0.211399
0.211399

0.149400
0.149400
0.215356
0.320962
0.215399
0.320962
0.215035
0.215356
0.320962
0.228213
0.320962
0.215399
0.215399
0.215399
0.106986
0.213974
0.053493
0.106986
0.106986
0.213974
0.213974
0.370863
0.370863
0.357750
0.266400
0.354600
0.181285
0.370863
0.278677
0.370863
0.370863
0.370863
0.956831
0.956831
0.956831
0.431399
0.956831
0.431399
0.478415
0.478415
0.478415
0.478415
0.232499
0.478415
0.478415
0.232499
0.190259
0.190259
0.190259
0.190259
0.190259

cod ATC

DCI

553 C10AA01

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

Nr crt.

554 C10AA01
555 C10AA01
556 C10AA01
557 C10AA01
558 C10AA01
559 C10AA01
560 C10AA01
561 C10AA01
562 C10AA01
563 C10AA01
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
592 C10AA01
593 C10AA01
594 C10AA01
595 C10AA01
596 C10AA01
597 C10AA01
598 C10AA01
599 C10AA01
600 C10AA01
601 C10AA01
602 C10AA01
603 C10AA01

Denumire Comerciala

SINTENAL 10 mg
VASILIP 10 mg
SIMVASTATIN LPH 10 mg
SIMVASTATINA ACTAVIS 10 mg
SIMVASTATIN ACCORD 10 mg
SIMVASTATIN BLUEFISH 10 mg

RANVOR 10 mg
RANVOR 10 mg
RANVOR 10 mg
SIMVASTATINA SUN 10 mg
SIMVACARD 10 mg
SIMVASTATINA ALVOGEN 10 mg

SIMGAL 10 mg
SIMVASTATINA TEVA 10 mg
SIMVASTATIN AUROBINDO 10 mg

SIMVASTATIN ACTAVIS 10 mg
SIMVASTATINA TERAPIA 10 mg
SIMVASTATINA BIOGALENICA 20 mg

SIMVAHEXAL (R) 20 mg
ZEPLAN (R) 20 mg
ZEPLAN (R) 20 mg
ZOCOR 20 mg
ZOCOR 20 mg
SINTENAL 20 mg
VASILIP 20 mg
SIMCOR 20 mg
SIMVASTATIN LPH 20 mg
SIMVASTATINA ACTAVIS 20 mg
SIMVASTATIN ACCORD 20 mg
SIMVASTATIN BLUEFISH 20 mg
SIMVASTATIN BLUEFISH 20 mg

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

SIMGAL 20 mg
SIMVASTATINA TEVA 20 mg
SIMVASTATIN AUROBINDO 20 mg

SIMVASTATIN ACTAVIS 20 mg
SIMVASTATINA TERAPIA 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
SINTENAL 40 mg
SIMVAHEXAL (R) 40 mg

tara det.
forma farm. concentratie
APP
Detinator APP
Ambalaj
COMPR. FILM. 10mg
AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
COMPR. FILM. 10mg
KRKA D.D.
SLOVENIA CUTIE X 4 BLIST. DIN PVC/PE/PVDC/AL X 7 COMPR. FILM. P-6L
COMPR. FILM. 10mg
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM. P-6L
COMPR. FILM. 10mg
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L
COMPR. FILM. 10mg
ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC- PE- PVDC /AL X 30 COMPR. FILM. P-6L
COMPR. FILM. 10mg
BLUEFISH PHARMACEUTICALS AB SUEDIA
CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. P-6L
COMPR. FILM. 10mg
RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 2 BLIST. X 7 COMPR. FILM.
P-6L
COMPR. FILM. 10mg
RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 4 BLIST. X 7 COMPR. FILM.
P-6L
COMPR. FILM. 10mg
RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L
COMPR. FILM. 10mg
CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 1 BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L
COMPR. FILM. 10mg
ZENTIVA K.S.
CEHIA
CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 14 COMPR. FILM. P-6L
COMPR. FILM. 10mg
ALVOGEN IPCO S.A.R.L LUXEMBOURG CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L
COMPR. FILM. 10mg
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L
COMPR. FILM. 10mg
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. P6L
COMPR. FILM. 10mg
AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/PE/PVDC/AL X 30 COMPR. FILM. P6L
COMPR. FILM. 10mg
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L
COMPR. FILM. 10mg
TERAPIA SA
ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L
COMPR. FILM. 20 mg
ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. DIN PVC - PVD /AL X 14 COMPR. FILM. P-6L
COMPR. FILM. 20mg
HEXAL AG
GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
COMPR. FILM. 20mg
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM P-6L
COMPR. FILM. 20mg
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 14 COMPR. FILM. P-6L
COMPR. FILM. 20mg
MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 14 COMPR.FILM. P-6L
COMPR. FILM. 20mg
MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 14 COMPR.FILM. P-6L
COMPR. FILM. 20mg
AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
COMPR. FILM. 20mg
KRKA D.D.
SLOVENIA CUTIE X 4 BLIST. DIN PVC/PE/PVDC/AL X 7 COMPR. FILM. P-6L
COMPR. FILM. 20mg
ANTIBIOTICE SA
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
COMPR. FILM. 20mg
LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
COMPR. FILM. 20mg
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L
COMPR. FILM. 20mg
ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC- PE- PVDC /AL X 30 COMPR. FILM. P-6L
COMPR. FILM. 20mg
BLUEFISH PHARMACEUTICALS AB SUEDIA
CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-6L
COMPR. FILM. 20mg
BLUEFISH PHARMACEUTICALS AB SUEDIA
CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. P-6L
COMPR. FILM. 20mg
RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 2 BLIST. X 7 COMPR. FILM.
P-6L
COMPR. FILM. 20mg
RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 4 BLIST. X 7 COMPR. FILM.
P-6L
COMPR. FILM. 20mg
RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L
COMPR. FILM. 20mg
CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 1 BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L
COMPR. FILM. 20mg
ZENTIVA K.S.
CEHIA
CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 14 COMPR. FILM. P-6L
COMPR. FILM. 20mg
ALVOGEN IPCO S.A.R.L LUXEMBOURG CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L
COMPR. FILM. 20mg
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L
COMPR. FILM. 20mg
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. P6L
COMPR. FILM. 20mg
AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/PE/PVDC/AL X 30 COMPR. FILM. P6L
COMPR. FILM. 20mg
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L
COMPR. FILM. 20mg
TERAPIA SA
ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L
COMPR. FILM. 30mg
HEXAL AG
GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
COMPR. FILM. 40 mg
ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. DIN PVC - PVD /AL X 14 COMPR. FILM. P-6L
COMPR. FILM. 40mg
KRKA D.D.
SLOVENIA CUTIE X 4 BLIST. PVC/PE/PVDC/AL X 7 COMPR. FILM P-6L
COMPR. FILM. 40mg
MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 14 COMPR.FILM. P-6L
COMPR. FILM. 40mg
MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 14 COMPR.FILM. P-6L
COMPR. FILM. 40mg
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM. P-6L
COMPR. FILM. 40mg
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 14 COMPR. FILM. P-6L
COMPR. FILM. 40mg
AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
COMPR. FILM. 40mg
HEXAL AG
GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L

Prescriptie

Pagina 12 din 189

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

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

9.35
8.74
9.37
9.35
9.26
5.56
4.24
8.47
9.37
3.98
4.01
9.37
4.01
4.28
4.93
9.35
8.81
16.55
17.75
16.56
8.27
12.74
25.45
17.69
16.55
17.73
17.73
14.05
17.73
13.61
14.58
7.90
15.79
14.05
6.58
6.63
16.84
6.63
7.10
11.16
14.05
14.87
21.09
29.88
29.86
44.47
22.99
29.88
14.93
31.99
31.99

Pret
amanuntul
maximal/UT
(RON)

0.311666
0.312142
0.312333
0.311666
0.308666
0.185333
0.302857
0.302500
0.312333
0.142142
0.143214
0.312333
0.143214
0.142666
0.164333
0.311666
0.293666
0.591071
0.591666
0.591428
0.590714
0.910000
0.908928
0.589666
0.591071
0.591000
0.591000
0.468333
0.591000
0.486071
0.486000
0.564285
0.563928
0.468333
0.235000
0.236785
0.561333
0.236785
0.236666
0.372000
0.468333
0.495666
0.703000
1.067142
1.066428
1.588214
1.642142
1.067142
1.066428
1.066333
1.066333

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

0.211399
0.211399
0.211399
0.211399
0.211399
0.185333
0.211399
0.211399
0.211399
0.142142
0.143214
0.211399
0.143214
0.142666
0.164333
0.211399
0.211399
0.422799
0.422799
0.422799
0.422799
0.422799
0.422799
0.422799
0.422799
0.422799
0.422799
0.422799
0.422799
0.422799
0.422799
0.422799
0.422799
0.422799
0.235000
0.236785
0.422799
0.236785
0.236666
0.372000
0.422799
0.422799
0.634199
0.845598
0.845598
0.845598
0.845598
0.845598
0.845598
0.845598
0.845598

0.190259
0.190259
0.190259
0.190259
0.190259
0.166799
0.190259
0.190259
0.190259
0.127927
0.128892
0.190259
0.128892
0.128399
0.147899
0.190259
0.190259
0.380519
0.380519
0.380519
0.380519
0.380519
0.380519
0.380519
0.380519
0.380519
0.380519
0.380519
0.380519
0.380519
0.380519
0.380519
0.380519
0.380519
0.211500
0.213106
0.380519
0.213106
0.212999
0.334800
0.380519
0.380519
0.570779
0.761038
0.761038
0.761038
0.761038
0.761038
0.761038
0.761038
0.761038

Nr crt.

cod ATC

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 C10AA02
623 C10AA02
624 C10AA02
625 C10AA02
626 C10AA02
627 C10AA03
628 C10AA03
629 C10AB05
630 C10AB05
631 C10AB05
632 C10AB05
633 C10AB05
634 C10AB05
635 C10AB05
636 D01AC02
637 D01AC02
638 D06BB03
639 D06BB03
640 D06BB03
641 D06BB03
642 D06BB03
643 D06BB03
644 D06BB03
645 D06BB03
646 D07AA02
647 D07AC01
648 D07AC01
649 D07AC01
650 G01AF04
651 G01AF04
652 G01AF04
653 G02AB03
654 G02AB03

DCI

SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
LOVASTATINUM
LOVASTATINUM
LOVASTATINUM
LOVASTATINUM
LOVASTATINUM
PRAVASTATINUM
PRAVASTATINUM
FENOFIBRATUM
FENOFIBRATUM
FENOFIBRATUM
FENOFIBRATUM
FENOFIBRATUM
FENOFIBRATUM
FENOFIBRATUM
MICONAZOLUM
MICONAZOLUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
HYDROCORTISONUM
BETAMETHASONUM
BETAMETHASONUM
BETAMETHASONUM
MICONAZOLUM
MICONAZOLUM
MICONAZOLUM
ERGOMETRINUM
ERGOMETRINUM

Denumire Comerciala

SIMCOR 40 mg
SIMVASTATIN LPH 40 mg
SIMVASTATINA ACTAVIS 40 mg
SIMVASTATIN ACCORD 40 mg
SIMVASTATIN BLUEFISH 40 mg
SIMVASTATIN BLUEFISH 40 mg
SIMVASTATIN BLUEFISH 40 mg

RANVOR 40 mg
RANVOR 40 mg
SIMVASTATINA SUN 40 mg
SIMVASTATINA ALVOGEN 40 mg

SIMVACARD 40 mg
SIMGAL 40 mg
SIMVASTATINA TEVA 40 mg
SIMVASTATIN AUROBINDO 40 mg

SIMVASTATIN ACTAVIS 40 mg
SIMVASTATINA TERAPIA 40 mg
SIMVASTATIN ACCORD 80 mg

MEDOSTATIN
MEDOSTATIN
MEDOSTATIN
LOVASTATINA ARENA 20 mg
MEDOSTATIN 40 mg
PRAVATOR 20 mg
PRAVATOR 40 mg
LIPOFIB 160 mg
FENOLIP 160 mg
LIPIVIM
LIPANTIL NANO 145 mg
FENOFIBRAT TEVA 160 mg
LIPANTHYL SUPRA 160 mg
LIPANTHYL SUPRA 160 mg
MEDACTER
MICONAZOL NITRAT 2%
ACICLOVIR 50mg/g
ZOVIRAX
ACICLOVIR 50mg/g
ACICLOVIR HYPERION
ACICLOVIR TIS 50mg/g
ACICLOVIR SLAVIA 50 mg/g
ACICLOVIR TERAPIA 50 mg/g
ACICLOVIR SLAVIA 50 mg/g
HIDROCORTIZON 1%
BETADERM
EKARZIN 0,5MG/G
BETADERM
GYNOZOL 200
GYNOZOL 400
MEDACTER
MALEAT DE ERGOMETRINA 0,2 mg/ml
MALEAT DE ERGOMETRINA ZENTIVA 0,2 mg/ml

tara det.
forma farm. concentratie
APP
Detinator APP
Ambalaj
COMPR. FILM. 40mg
ANTIBIOTICE S.A.
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
COMPR. FILM. 40mg
LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
COMPR. FILM. 40mg
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L
COMPR. FILM. 40mg
ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC- PE- PVDC /AL X 30 COMPR. FILM. P-6L
COMPR. FILM. 40mg
BLUEFISH PHARMACEUTICALS AB SUEDIA
CUTIE CU BLIST. PVC-PE-PVDC/AL X 14 COMPR. FILM. P-6L
COMPR. FILM. 40mg
BLUEFISH PHARMACEUTICALS AB SUEDIA
CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-6L
COMPR. FILM. 40mg
BLUEFISH PHARMACEUTICALS AB SUEDIA
CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. P-6L
COMPR. FILM. 40mg
RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 2 BLIST. X 7 COMPR. FILM.
P-6L
COMPR. FILM. 40mg
RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L
COMPR. FILM. 40mg
CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 1 BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L
COMPR. FILM. 40mg
ALVOGEN IPCO S.A.R.L LUXEMBOURG CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L
COMPR. FILM. 40mg
ZENTIVA K.S.
CEHIA
CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 14 COMPR. FILM. P-6L
COMPR. FILM. 40mg
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L
COMPR. FILM. 40mg
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. P6L
COMPR. FILM. 40mg
AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/PE/PVDC/AL X 30 COMPR. FILM. P6L
COMPR. FILM. 40mg
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L
COMPR. FILM. 40mg
TERAPIA SA
ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L
COMPR. FILM. 80mg
ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC- PE- PVDC /AL X 30 COMPR. FILM. P-6L

Prescriptie

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
CAPS.
CAPS.
CAPS. PULB. MICRONIZATA

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

CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
UNGUENT
CREMA
CREMA
UNGUENT
CAPS. VAG.
CAPS. VAG.
CREMA VAG.
SOL. INJ.
SOL. INJ.

20mg
20mg
20mg
20mg
40mg
20mg
40mg
160mg
160mg
200mg
145mg
160mg
160mg
160mg
2%
2%
5%
5%
5%
50mg/g
50mg/g
50mg/g
50mg/g
50mg/g
1%
0,1%
0,5mg/g
0,1%
200mg
400mg
2%
0,2mg/ml
0,2mg/ml

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

CIPRU
CIPRU
CIPRU

RANBAXY U.K. LIMITED


RANBAXY U.K. LIMITED

MAREA BRITANIE

ROMANIA

CIPRU
MAREA BRITANIE

TERAPIA SA

ROMANIA

PHARMASWISS CESKA REPUBLIKA S.R.O.

REPUBLICA CEHA

VIM SPECTRUM SRL ROMANIA


LAB. FOURNIER S.A. FRANTA
TEVA PHARMACEUTICALS S.R.L. ROMANIA
LAB. FOURNIER SA FRANTA
LAB. FOURNIER SA FRANTA
FARAN LABORATORIES S.A. GRECIA
SLAVIA PHARM SRL ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
THE WELLCOME FOUNDATION LTD. MAREA BRITANIE

PHARCO IMPEX 93 S.R.L.

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

FARAN LABORATORIES S.A.

GRECIA

ZENTIVA S.A.
ZENTIVA S.A.

ROMANIA
ROMANIA

GEDEON RICHTER ROMANIA SA

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

TERAPIA S.A.
SLAVIA PHARM S.R.L.

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

ANTIBIOTICE S.A.
E.I.P.I.CO. MED S.R.L.
PHARCO IMPEX 93 S.R.L.

Pagina 13 din 189

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

30
30
30
30
14
28
30
14
30
28
30
28
28
30
30
30
30
30
CUTIE X 10 BLIST. X 10 COMPR.
P-6L 100
CUTIE X 1 BLIST. X 10 COMPR.
P-6L
10
CUTIE X 3 BLIST. X 10 COMPR.
P-6L
30
CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L
30
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
CUTIE X 4 BLIST. AL/PVC X 7 COMPR. P-6L
28
CUTIE X 4 BLIST. PE-AL-PVC/AL X 7 COMPR. P-6L
28
CUTIE X 3 BLIST. AL/PVC X 10 CAPS.
P-6L
30
CUTIE CU BLIST. PVC/AL X 30 CAPS.
P6L
30
CUTIE X 3 BLIST. AL/PVC X 10 CAPS.
P-6L
30
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
30
CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L
30
CUTIE X 1 BLIST. PVC- PE-PVDC/AL X 10 COMPR. FILM. CU ELIB. MOD. P-6L
10
CUTIE X 3 BLIST. PVC- PE-PVDC/AL X 10 COMPR. FILM. CU ELIB. MOD. P-6L
30
CUTIE X 1 TUB X 30G
P-RF
1
CUTIE X 1 TUB X 20 G
P-RF
1
CUTIE X 1 TUB X 15 G CREMA
P-RF
1
CUTIE X 1 TUB X 5G CREMA
P-RF
1
CUTIE X 1 TUB X 5 G CREMA
P-RF
1
CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF
1
CUTIE X 1 TUB DIN PEJD X 15 G CREMA P-RF
1
CUTIE CU 1 TUB AL X 15 G CREMA
P-RF
1
CUTIE CU 1 TUB DIN AL X 15 G CREMA PRF
1
CUTIE CU 1 TUB AL X 5 G CREMA
P-RF
1
CUTIE X 1 TUB X 20 G
P-RF
1
CUTIE X 1 TUB X 20 G
P-RF
1
CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF
1
CUTIE X 1 TUB X 20 G
P-RF
1
CUTIE X 2 BLIST. X 3 CAPS. VAG. MOI P-RF
6
CUTIE X 1 BLIST. X 3 CAPS. VAG. MOI P-RF
3
CUTIE X 1 TUB X 78 G
P-RF
1
CUTIE X 5 FIOLE DIN STICLA INCOLORA X 1 ML SOL. INJ., CU INEL DE RUPERE
P-RF
5
CUTIE X 5 FIOLE DIN STICLA INCOLORA X 1 ML SOL. INJ., CU INEL DE RUPERE
P-RF
5

31.99
31.99
23.11
31.99
15.01
30.03
18.54
15.01
23.14
9.06
23.14
9.12
9.12
9.77
17.72
23.11
25.79
56.17
67.59
14.44
20.79
25.87
47.66
22.45
35.52
26.89
26.44
26.43
34.74
26.89
13.81
40.04
8.57
6.83
7.60
21.06
4.98
7.33
4.70
6.72
6.72
5.39
7.40
5.96
7.40
5.96
5.96
5.72
19.37
7.13
7.13

Pret
amanuntul
maximal/UT
(RON)

1.066333
1.066333
0.770333
1.066333
1.072142
1.072500
0.618000
1.072142
0.771333
0.323571
0.771333
0.325714
0.325714
0.325666
0.590666
0.770333
0.859666
1.872333
0.675900
1.444000
0.693000
0.862333
1.588666
0.801785
1.268571
0.896333
0.881333
0.881000
1.158000
0.896333
1.381000
1.334666
8.570000
6.830000
7.600000
21.060000
4.980000
7.330000
4.700000
6.720000
6.720000
5.390000
7.400000
5.960000
7.400000
5.960000
0.993333
1.906666
19.370000
1.426000
1.426000

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

0.845598
0.845598
0.770333
0.845598
0.845598
0.845598
0.618000
0.845598
0.771333
0.323571
0.771333
0.325714
0.325714
0.325666
0.590666
0.770333
0.845598
1.691197
0.281866
0.281866
0.281866
0.281866
0.563732
0.422799
0.845598
0.803324
0.803324
0.881000
0.728013
0.803324
0.803324
0.803324
8.570000
6.224250
6.048000
2.016000
2.016000
6.048000
4.700000
6.048000
6.048000
2.016000
7.400000
3.570000
7.400000
3.570000
0.993333
1.906666
12.203098
1.426000
1.426000

0.761038
0.761038
0.693299
0.761038
0.761038
0.761038
0.556200
0.761038
0.694199
0.291213
0.694199
0.293142
0.293142
0.293099
0.531599
0.693299
0.761038
1.522077
0.253679
0.253679
0.253679
0.253679
0.507358
0.380519
0.761038
0.722991
0.722991
0.792900
0.655211
0.722991
0.722991
0.722991
7.713000
5.601825
5.443200
1.814400
1.814400
5.443200
4.230000
5.443200
5.443200
1.814400
6.660000
3.213000
6.660000
3.213000
0.893999
1.715999
10.982788
1.283400
1.283400

Nr crt.

cod ATC

655 G03BA03
656 G03BA03
657 G03BA03
658 G03BA03
659 G03CA03
660 G03CA03
661 G03CA03
662 G04CAN1
663 G04CAN1
664 G04CAN1
665 G04CAN1
666 G04CAN1
667 G04CAN1
668 G04CAN1
669 G04CAN1
670 G04CAN1
671 G04CAN1
672 H02AB04
673 H02AB04
674 H02AB04
675 H02AB07
676 H02AB07
677 H02AB07
678 H02AB07
679 H02AB09
680 H02AB09
681 H02AB09
682 H02AB09
683 H02AB09
684 H02AB09
685 J01AA02
686 J01AA02
687 J01AA02
688 J01AA02
689 J01CA04
690 J01CA04
691 J01CA04
692 J01CA04
693 J01CA04
694 J01CA04
695 J01CA04
696 J01CA04
697 J01CA04
698 J01CA04
699 J01CA04
700 J01CA04
701 J01CA04
702 J01CA04
703 J01CA04
704 J01CA04
705 J01CA04

DCI

TESTOSTERONUM*
TESTOSTERONUM*
TESTOSTERONUM*
TESTOSTERONUM*
ESTRADIOLUM*
ESTRADIOLUM*
ESTRADIOLUM*
DOXAZOSINUM
DOXAZOSINUM
DOXAZOSINUM
DOXAZOSINUM
DOXAZOSINUM
DOXAZOSINUM
DOXAZOSINUM
DOXAZOSINUM
DOXAZOSINUM
DOXAZOSINUM
METHYLPREDNISOLONUM*
METHYLPREDNISOLONUM*
METHYLPREDNISOLONUM*
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
HYDROCORTISONUM*
HYDROCORTISONUM*
HYDROCORTISONUM*
HYDROCORTISONUM*
HYDROCORTISONUM*
HYDROCORTISONUM*
DOXYCYCLINUM
DOXYCYCLINUM
DOXYCYCLINUM
DOXYCYCLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM

forma farm.
Denumire Comerciala
UNDESTOR TESTOCAPS 40 mg CAPS. MOI

ANDROGEL 50 mg
TESTIM 50 mg
NEBIDO 1000 mg/4 ml
ESTREVA (R)
OESTROGEL 0,6 mg/g
CLIMARA
KAMIREN (vezi G04CAN1)
KAMIREN (vezi G04CAN1)
KAMIREN (vezi G04CAN1)
KAMIREN (vezi G04CAN1)
KAMIREN (vezi G04CAN1)
KAMIREN (vezi G04CAN1)

GEL
GEL TRANSDERMIC

SOL. INJ.
GEL
GEL
PLASTURE TRANSDERM.

COMPR.
COMPR.
COMPR.
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)


KAMIREN XL 4 mg (vezi C02CA04)

LEMOD SOLU 125 mg


LEMOD SOLU 500 mg
SOLU - MEDROL ACT-O-VIAL
PREDNISON MCC 5 mg
PREDNISON ARENA 5 mg
PREDNISON 5 mg
PREDNISON - RICHTER 5 mg

COMPR. FILM. ELIB. PREL.


COMPR. FILM. ELIB. PREL.

LIOF. PT. SOL. INJ.


LIOF. PT. SOL. INJ.
LIOF. SI SOLV.PT.SOL.INJ

COMPR.
COMPR.
COMPR.
COMPR.
HYDROCORTISONE ROUSSEL COMPR.
HYDROCORTISONE SUCCINAT SODIC

LIOF. + SOLV. PT. SOL. INJ.

HYDROCORTISONE 500 mg
HIDROCORTIZON HF 500 mg
HIDROCORTIZON HF 100 mg

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

LIOF. PT. SOL. INJ. + SOLV.

PULB. SI SOLV. PT. SOL. INJ./PERF.

SOL. INJ. I.V.


DOXICICLINA ATB 100 mg
CAPS.
DOXICICLINA
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 CAPS.
AMOXICILINA ANTIBIOTICE 500 mg CAPS.
AMOXICILINA FORTE 500 mg CAPS.
AMOXICILINA FORTE 500 mg CAPS.
AMOXICILINA ARENA 500 mg CAPS.
AMOXICILINA SANDOZ 500 mg 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
HIDROCORTIZON HEMISUCCINAT

COMPR. PT. DISPERSIE ORALA


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

AMOXICILINA SANDOZ 125 mg/5 ml

PULB. PT. SUSP. ORALA

concentratie

40mg
50mg
50mg
1000mg/4ml
0,1%
0,6mg/g
50g/24ore
1mg
1mg
2mg
2mg
4mg
4mg
4mg
4mg
4mg
4mg
125mg
500mg
250mg/4ml
5mg
5mg
5mg
5mg
10mg
100mg
500mg
500mg
100mg
25mg/5ml
100 mg
100mg
100mg
100mg
250mg
250mg
250mg
250mg
500mg
500mg
500mg
500mg
500mg
1000mg
500mg
1g
1000mg
250mg
500mg
750mg
125mg/5ml

Detinator APP

N.V. ORGANON
LAB. BESINS INTERNATIONAL

FERRING GMBH
BAYER SCHERING PHARMA AG

LAB. THERAMEX
LABORATOIRES BESINS INTERNATIONAL

tara det.
APP

OLANDA
FRANTA

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

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

GERMANIA CUTIE CU 30 TUBURI DIN AL X 5 G GEL TRANSDERMIC


GERMANIA CUTIE X 1 FIOLA X 4 ML SOL. INJ.

MONACO
FRANTA

Prescriptie

P-RF

PR/PRF

S/P-RF

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

BAYER PHARMA AG GERMANIA CUTIE X 4 PLICURI X 1 PLASTURE TRANSDERM.

P-6L

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

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

P-6L

PFIZER EUROPE MA EEIG

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

P-6L

KRKA D.D. NOVO MESTO SLOVENIA

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

KRKA D.D. NOVO MESTO SLOVENIA

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

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


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

MAREA BRITANIE

MAGISTRA C&C S.R.L. ROMANIA


ARENA GROUP SA ROMANIA
SINTOFARM SA
ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
CN UNIFARM
ROMANIA
E.I.P.I.CO. MED S.R.L. ROMANIA
STADA HEMOFARM S.R.L. ROMANIA
STADA HEMOFARM S.R.L. ROMANIA
STADA HEMOFARM S.R.L. ROMANIA
ZENTIVA S.A.
ROMANIA
ANTIBIOTICE S.A.
ROMANIA
ARENA GROUP SA ROMANIA
SANDOZ SRL
ROMANIA

CUTIE X 1 FLAC. BICOMPARTIMENTAT (COMPARTIMENT INFERIOR) LIOF. PT. SOL. INJ. + (COMPARTIMENT SUPERIOR) 4ML SOLV

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 BLIST. AL./PVC X 10 COMPR.
CUTIE X 1 FLAC. 25 COMPR.
CUTIE X 1 FLAC. DIN STICLA INCOLORA CU LIOF. PT. SOL. INJ. + 1 FIOLA SOLV. X 2 ML

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

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

PRF
S/P-RF

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

P-RF

CUTIE X 1 FLAC. DIN STICLA X 20 ML, INCCHIS CU DOP DIN CAUCIUC GRI, ETANSAT CU CAPSA DIN ALUMINIU, C

PR/PRF

CUTIE X 1 FLACON DIN STICLA X 5 ML, INCHIS CU DOP DIN CAUCIUC GRI, ETANSAT CU CAPSA DE ALUMINIU, CON

PR/PRF

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.


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

P-RF

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


ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
ANTIBIOTICE SA
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
SANDOZ GMBH
AUSTRIA CUTIE X 2 BLIST. AL-PVC/PVDC X 6 CAPS.
SANDOZ SRL
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
ANTIBIOTICE SA
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS.
FARMEX COMPANY SRL ROMANIA CUTIE X 1 BLIST. X 10 CAPS.
FARMEX COMPANY SRL ROMANIA CUTIE X 2 BLIST. X 10 CAPS.
ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 5 CAPS.
SANDOZ SRL
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS.
SANDOZ GMBH
AUSTRIA CUTIE 2 BLIST. PVC-PVDC/AL X 6 COMPR. FILM.
SANDOZ GMBH
AUSTRIA CUTIE X 2 BLIST. PVC-PVDC/AL X 6 COMPR.FILM.
TERAPIA SA
ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 7 COMPR. PT. DISP. ORALA
ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 4 BLIST. AL/PVC X 5 COMPR.
ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 4 BLIST. AL/PVC X 5 COMPR.
ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 4 BLIST. AL/PVC X 5 COMPR.
ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 4 BLIST. AL/PVC X 5 COMPR.
SANDOZ S.R.L.
ROMANIA
ASTELLAS PHARMA EUROPE BV

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

Pagina 14 din 189

P-6L

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

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

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

60 47.33
0.788833
0.788833
0.709949
30 223.35
7.445000
6.444749
5.800274
30 183.34
6.111333
6.111333
5.500199
1 484.53 484.530000 484.530000 436.077000
1 29.40 29.400000
9.998190
8.998371
1 16.61 16.610000
9.598263
8.638436
4 29.89
7.472500
7.472500
6.725250
30 10.18
0.339333
0.189482
0.170533
30 10.18
0.339333
0.189482
0.170533
30 17.07
0.569000
0.378964
0.341067
30 17.07
0.569000
0.378964
0.341067
30 30.86
1.028666
0.757928
0.682135
30 30.86
1.028666
0.757928
0.682135
28 46.49
1.660357
0.757928
0.682135
28 46.49
1.660357
0.757928
0.682135
30 37.34
1.244666
0.757928
0.682135
30 37.34
1.244666
0.757928
0.682135
1
8.81
8.810000
8.282500
7.454250
1 31.02 31.020000 31.020000 27.918000
1 20.48 20.480000 16.565000 14.908500
20
2.65
0.132500
0.087333
0.078599
30
2.62
0.087333
0.087333
0.078599
30
3.71
0.123666
0.087333
0.078599
20
2.57
0.128500
0.087333
0.078599
25 12.20
0.488000
0.488000
0.439200
1
3.91
3.910000
2.381999
2.143799
1 11.91 11.910000 11.910000 10.719000
1 11.91 11.910000 11.910000 10.719000
1
7.09
7.090000
2.381999
2.143799
5 21.33
4.266000
0.595499
0.535949
10
4.01
0.401000
0.342900
0.308610
20
7.00
0.350000
0.342900
0.308610
10
3.61
0.361000
0.342900
0.308610
10
6.83
0.683000
0.342900
0.308610
20
5.95
0.297500
0.280800
0.252720
20
6.24
0.312000
0.280800
0.252720
12
4.44
0.370000
0.280800
0.252720
20
6.15
0.307500
0.280800
0.252720
10
5.69
0.569000
0.479374
0.431436
10
5.92
0.592000
0.479374
0.431436
20
8.81
0.440500
0.440500
0.396450
10
5.69
0.569000
0.479374
0.431436
10
4.92
0.492000
0.479374
0.431436
12 11.63
0.969166
0.958749
0.862874
12
5.69
0.474166
0.474166
0.426749
21 19.41
0.924285
0.924285
0.831856
20 23.77
1.188500
0.958749
0.862874
20 10.12
0.506000
0.280800
0.252720
20 14.76
0.738000
0.479374
0.431436
20 19.75
0.987500
0.719061
0.647154
1
5.73
5.730000
1.684800
1.516320

Nr crt.

cod ATC

DCI

Denumire Comerciala

concentratie

Detinator APP

Prescriptie

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

P-RF

ROMANIA

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

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

P-RF

CUTIE CU 1 FLAC. DIN STICLA BRUNA X 60 ML SUSP. ORALA CU CAPAC SI LINGURITA DOZATOARE

P-RF

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

P-RF

730 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN SR 1000 mg/62,5 mg COMPR. ELIB. PREL. 1000mg/62,5mg BEECHAM GROUP PLC

MAREA BRITANIE

708 J01CA04
709 J01CE02
710 J01CE02
711 J01CE02
712 J01CE02
713 J01CE08
714 J01CE08
715 J01CF04
716 J01CF04
717 J01CF04
718 J01CF04
719 J01CF04
720 J01CF04
721 J01CF04
722 J01CF04
723 J01CF04
724 J01CF04
725 J01CF04
726 J01CF04
727 J01CF04
728 J01CF04
729 J01CF04

AMOXICILINA SANDOZ 250 mg/ 5 ml

OSPAMOX 250 mg/5 ml


OSPEN (R) 1000
OSPEN (R) 1500
OSPEN (R) 500
OSPEN 400.000 U.I./5 ml
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 500 mg
OXACILLINUM
OXACILINA ARENA 500 mg
OXACILLINUM
OXACILINA FORTE 500 mg
OXACILLINUM
OXACILINA SANDOZ 500 mg
OXACILLINUM
OXACILINA ATB 1000 mg
OXACILLINUM
OXACILINA ATB 1000 mg
OXACILLINUM
OXACILINA ATB 500 mg
OXACILLINUM
OXACILINA ATB 500 mg
OXACILLINUM
OXACILINA ANTIBIOTICE 500 mg
OXACILLINUM
OXACILINA ANTIBIOTICE 500 mg
OXACILLINUM
OXACILINA ANTIBIOTICE 1 g
OXACILLINUM
OXACILINA ANTIBIOTICE 1 g
PHENOXYMETHYLPENICILLINUM
PHENOXYMETHYLPENICILLINUM
PHENOXYMETHYLPENICILLINUM
PHENOXYMETHYLPENICILLINUM

731 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM


732 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
733 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
734 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
735 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
736 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
737 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
738 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
739 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

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. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
AMOXICILINA/ACID CLAVULANIC AUROBINDO 500 mg/125 mg
COMPR. FILM.
AMOKSIKLAV 2 x 625 mg
COMPR. FILM.
AMOXIPLUS 875 mg/125 mg COMPR. FILM.
AUGMENTIN 875 mg/125 mg COMPR. FILM.
AMOXICILINA/ACID CLAVULANIC AUROBINDO 875 mg/125 mg
COMPR. FILM.

741 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV QUICKTAB 625 mg


743 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

PULB. PT. SUSP. ORALA

AMOKSIKLAV 2 x 1000 mg
ENHANCIN 500 mg/125mg
AMOXIPLUS 500/125 mg
AUGMENTIN 500 mg/125 mg

740 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV QUICKTAB 1000 mg


742 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

125mg/5ml
PULB. PT. SUSP. ORALA 250mg/5ml
PULB. PT. SUSP. ORALA 250mg/5ml
COMPR. FILM. 1000000ui
COMPR. FILM. 1500000ui
COMPR. FILM. 500000ui

Ambalaj

AUSTRIA

707 J01CA04

OSPAMOX (R) 125 mg/5 ml

forma farm.

SANDOZ GMBH
SANDOZ S.R.L.
SANDOZ GMBH
SANDOZ GMBH
SANDOZ GMBH
SANDOZ GMBH
SUSP. ORALA 400.000U.I./5ml SANDOZ GMBH
PULB. PT. SUSP. INJ. 1200000UI
ANTIBIOTICE S.A.
PULB. PT. SUSP. INJ. 1200000UI
ANTIBIOTICE S.A.
CAPS.
250mg
ARENA GROUP SA
CAPS.
250mg
ANTIBIOTICE SA
CAPS.
250mg
SANDOZ SRL
CAPS.
500mg
ANTIBIOTICE SA
CAPS.
500mg
ARENA GROUP SA
CAPS.
500mg
FARMEX COMPANY SRL
CAPS.
500mg
SANDOZ SRL
PULB. PT. SOL. INJ./PERF. 1000mg
ANTIBIOTICE SA
PULB. PT. SOL. INJ./PERF. 1000mg
ANTIBIOTICE SA
PULB. PT. SOL. INJ./PERF. 500mg
ANTIBIOTICE S.A.
PULB. PT. SOL. INJ./PERF. 500mg
ANTIBIOTICE S.A.
500mg
ANTIBIOTICE SA
500mg
ANTIBIOTICE SA
1g
ANTIBIOTICE SA
1g
ANTIBIOTICE SA

706 J01CA04

AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM

tara det.
APP

MEDOCLAV 156,25 mg/5 ml


AMOKSIKLAV 156,25mg/5ml

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

COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE

COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE

PRF

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

P-RF

MAREA BRITANIE

CUTIE CU BLIST. OPA-AL-PVC/AL X 14 COMPR. FILM. P-RF

625mg

LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 BLIST. AL/AL X 14 COMPR. FILM.


875mg/125mg ANTIBIOTICE S.A.
ROMANIA CUTIE CU 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM.
875mg/125mg BEECHAM GROUP PLC MAREA BRITANIE
875mg/125mg AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. OPA-AL-PVC/AL X 14 COMPR. FILM.
1000mg
BIOMEDIAL PHARMA S.R.L. ROMANIA CUTIE X 7 BLIST. AL/AL X 2 COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE
625mg
BIOMEDIAL PHARMA S.R.L. ROMANIA CUTIE X 7 BLIST. AL/AL X 2 COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE
CUTIE CU 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM., FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA PROTECTO

PULB. PT. SUSP. ORALA

125mg+31,25/5ml

MEDOCHEMIE LTD. CIPRU

PULB. PT. SUSP. ORALA

156,25mg/5ml

LEK PHARMACEUTICALS D.D.

PULB. PT. SUSP. ORALA

250mg+62,5mg/5ml

MEDOCHEMIE LTD. CIPRU

PULB. PT. SUSP. ORALA

P-RF

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

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

P-RF

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

P-RF

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

P-RF

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

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

P-RF

PULB. PT. SUSP. ORALA

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

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

P-RF

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

756 J01DB01

PRF

CUTIE CU 100 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.

P-RF

MAREA BRITANIE

500mg/125mg BEECHAM GROUP PLC


500mg/125mg AUROBINDO PHARMA LIMITED

PULB. PT. SUSP. ORALA

755 J01DB01

PRF

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.

P-RF

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

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

CEFALEXINUM
CEFALEXINUM
CEFALEXINUM

PRF

CUTIE CU 100 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.

P-RF

ANTIBIOTICE S.A.

400mg/57mg/5ml

754 J01DB01

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.

P-RF

500/125mg

PULB. PT. SUSP. ORALA

753 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

P-RF

P-RF

AMOXICILINA/ACID CLAVULANIC AUROBINDO 400 mg/57 mg/5 ml

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

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.

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


500 mg/125 mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 4 FOLII AL-PEJD X 7 COMPR. FILM.

747 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

AUGMENTIN (R) ES

CUTIE CU 100 FLAC. DIN STICLA INCOLORA CU PULB. PT. SUSP. INJ. I.M. S/P-RF

LEK PHARMACEUTICALS D.D.

746 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

751 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

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

1000mg

AMOKSIKLAV 2x
AMOKSIKLAV 2x

745 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA

SLOVENIA

MALTA

CUTIE CU 1 FLAC. PEID CARE CONTINE PULB. PT. SUSP. ORALA PT. OBTINEREA A 35 ML SUSP. RECONSTITUITA +

PRF

400mg/57mg/5ml SMITHKLINE BEECHAM PLC

MAREA BRITANIE

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

P-RF

PULB. PT. SUSP. ORALA

400mg/57mg/5ml SMITHKLINE BEECHAM PLC

MAREA BRITANIE

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

P-RF

PULB. PT. SUSP. ORALA

400mg/57mg/5ml SMITHKLINE BEECHAM PLC

MAREA BRITANIE

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

P-RF

PULB. PT. SUSP. ORALA

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

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

P-RF

MAREA BRITANIE

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

P-RF

SLOVENIA

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

P-RF

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

AMOKSIKLAV 312,5mg/5ml PULB. PT.SUSP. ORALA


CEFALEXINA ARENA 250 mg CAPS.
CEFALEXINA 250 mg
CAPS.
OSPEXIN (R) 250 mg
CAPS.

AUROBINDO PHARMA (MALTA) LIMITED

RANBAXY UK LIMITED

312,5mg/5ml LEK PHARMACEUTICALS D.D.


250mg
ARENA GROUP SA
250mg
ANTIBIOTICE SA
250mg
SANDOZ GMBH

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.

Pagina 15 din 189

P-RF
P-RF
P-RF

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

1
1
1
12
12
12
1
1
100
20
20
20
10
10
20
10
1
100
1
100
100
1
100
1
28
14
28
14
14
14
14
14
14
14
14
14
1
1
1
1
1
1
1
1
1
1
1
1
20
20
12

4.55
4.88
4.88
3.47
6.10
2.62
8.63
5.39
451.96
7.10
7.55
7.70
7.50
6.19
11.17
7.04
5.33
448.06
4.92
418.89
418.89
4.92
448.06
5.33
44.84
39.13
33.07
10.83
15.32
9.95
28.06
18.97
26.35
17.12
25.07
16.53
14.90
11.69
22.11
6.46
12.93
6.47
9.95
9.95
19.89
34.30
22.71
24.02
11.91
11.82
7.15

Pret
amanuntul
maximal/UT
(RON)

4.550000
4.880000
4.880000
0.289166
0.508333
0.218333
8.630000
5.390000
4.519600
0.355000
0.377500
0.385000
0.750000
0.619000
0.558500
0.704000
5.330000
4.480600
4.920000
4.188900
4.188900
4.920000
4.480600
5.330000
1.601428
2.795000
1.181071
0.773571
1.094285
0.710714
2.004285
1.355000
1.882142
1.222857
1.790714
1.180714
14.900000
11.690000
22.110000
6.460000
12.930000
6.470000
9.950000
9.950000
19.890000
34.300000
22.710000
24.020000
0.595500
0.591000
0.595833

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

1.684800
3.369600
3.369600
0.289166
0.440718
0.146906
0.195874
4.338799
4.338799
0.296110
0.296110
0.296110
0.592220
0.592220
0.558500
0.592220
5.117650
4.480600
2.558825
2.558825
2.558825
2.558825
4.480600
5.117650
1.548214
1.354687
0.774107
0.773571
0.774107
0.710714
0.774107
1.354687
1.354687
1.222857
1.354687
0.774107
6.123214
6.123214
12.246428
6.460000
12.930000
6.470000
6.857999
6.857999
13.715999
29.391428
12.246428
12.246428
0.450900
0.450900
0.450900

1.516320
3.032640
3.032640
0.260249
0.396646
0.132215
0.176286
3.904919
3.904919
0.266499
0.266499
0.266499
0.532998
0.532998
0.502650
0.532998
4.605885
4.032540
2.302942
2.302942
2.302942
2.302942
4.032540
4.605885
1.393392
1.219218
0.696696
0.696213
0.696696
0.639642
0.696696
1.219218
1.219218
1.100571
1.219218
0.696696
5.510892
5.510892
11.021785
5.814000
11.637000
5.823000
6.172199
6.172199
12.344399
26.452285
11.021785
11.021785
0.405810
0.405810
0.405810

Nr crt.

cod ATC

757 J01DB01
758 J01DB01
759 J01DB01
760 J01DB01
761 J01DB01
762 J01DB01
763 J01DB01
764 J01DB01
765 J01DB01
766 J01DB01
767 J01DB01
768 J01DB01
769 J01DB05
770 J01DB05
771 J01DB05
772 J01DB05
773 J01DB05
774 J01DB05
775 J01DC02
776 J01DC02
777 J01DC02
778 J01DC02
779 J01DC02
780 J01DC02
781 J01DC02
782 J01DC02
783 J01DC02
784 J01DC02
785 J01DC02
786 J01DC04
787 J01DC04
788 J01DC04
789 J01DC04
790 J01DC04
791 J01DC04
792 J01DC04
793 J01DC04
794 J01DC04
795 J01DC04
796 J01DC04
797 J01DC04
798 J01DC04
799 J01DC04
800 J01DC04
801 J01DC04
802 J01DC04
803 J01DC04
804 J01DC04
805 J01DC04
806 J01DC04
807 J01DC04

DCI

CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFADROXILUM
CEFADROXILUM
CEFADROXILUM
CEFADROXILUM
CEFADROXILUM
CEFADROXILUM
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

Denumire Comerciala

forma farm.

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

CEFALEXIN SANDOZ 250 mg CAPSULE

CEFALEXIN SANDOZ 125 mg/5 ml GRANULE PENTRU SUSPENSIE ORALA

GRAN. PT. SUSP. ORALA

KEFLEX (R) 250 mg/5 ml

GRAN. PT. SUSP. ORALA

CEFALEXIN SANDOZ 250 mg/5 ml GRANULE PENTRU SUSPENSIE ORALA

GRAN. PT. SUSP. ORALA

OSPEXIN (R) 250 mg/5 ml


CEXYL 250 mg
CEXYL 500 mg
CEFORAN 500 mg
CEXYL 1000 mg
CEXYL 125 mg/5 ml
CEXYL 250 mg/5 ml
CEFUROXIMA ANTIBIOTICE 250 mg
CEFUROXIMA ANTIBIOTICE 250 mg
CEFUROXIMA AUROBINDO 250 mg
CEFUROXIMA ANTIBIOTICE 500 mg
CEFUROXIMA ANTIBIOTICE 500 mg
CEFUROXIMA AUROBINDO 500 mg

ZINNAT (R) 125 mg


ZINNAT (R) 250 mg
ZINNAT (R) 500 mg
ZINNAT
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
CEFACLOR TERAPIA 250mg/5ml
CEFACLOR TERAPIA 250mg/5ml

CECLOR (R) 250 mg/5 ml


CLORACEF (R) 125
CEFAKLOR 125 mg/5 ml

GRAN. PT. SUSP. ORALA

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

GRAN. SUSP. ORALA

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

PULB. PT. SUSP. ORALA


PULB. PT. SUSP. ORALA

concentratie

Detinator APP

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

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

tara det.
APP
ROMANIA
ROMANIA
ROMANIA
ROMANIA

AUSTRIA
AUSTRIA
ISLANDA
AUSTRIA

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

Prescriptie

P-RF

CUTIE X 1 BLIST. X 10 CAPS.


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

P-RF

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

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

ROMANIA

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

P-RF

ISLANDA

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

P-RF

ROMANIA

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

P-RF

AUSTRIA

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

P-RF

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

AUROBINDO PHARMA ROMANIA S.R.L.

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
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

CUTIE X 1 FLAC. PULB. PT. 70 ML SUSP. ORALA + 1 LINGURITA DOZATOARE

P-RF

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

P-RF

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


CUTIE X 2 BLIST. X 8 CAPS.

P-RF

CUTIE CU 1 BLIST. PVC/PVDC-AL X 15 CAPS.


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

P-RF

CUTIE X 2 BLIST. X 8 CAPS.


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

P-RF

CUTIE CU 1 BLIST. PVC/PVDC-AL X 15 CAPS.

P-RF

CUTIE CU 1 BLIST. PVC-ACLAR/AL X 10 COMPR. CU ELIB. PREL.

PRF

AUROBINDO PHARMA ROMANIA S.R.L.

ANTIBIOTICE S.A.
ANTIBIOTICE S.A.

SANDOZ SRL
SANDOZ SRL
ARENA GROUP SA

ROMANIA
ROMANIA
ROMANIA
DAR AL DAWA PHARMA S.R.L. ROMANIA
TERAPIA SA
ROMANIA
SANDOZ SRL
ROMANIA
DAR AL DAWA PHARMA S.R.L. ROMANIA
ARENA GROUP S.A. ROMANIA
TERAPIA SA
ROMANIA

ACTAVIS GROUP HF
ACTAVIS GROUP HF
TERAPIA SA
TERAPIA SA
SANDOZ SRL
SANDOZ SRL
SANDOZ SRL
ACTAVIS GROUP HF
TERAPIA SA
TERAPIA SA
TERAPIA SA
ACTAVIS GROUP HF

ISLANDA
ISLANDA

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-AL-PA/AL X 10 COMPR. P-RF


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

P-RF

P-RF

P-RF

CUTIE CU 1 BLIST. PVC-ACLAR/AL X 10 COMPR. CU ELIB. PREL.

PRF

ROMANIA CUTIE X 1 BLIST. PVC/PVDC/AL X 10 COMPR. ELIB. PREL.


ROMANIA CUTIE X 1 BLIST. X 10 COMPR. ELIB. PREL.
ROMANIA CUTIE X 1 BLIST. PVC-PE-ACLAR/AL X 10 COMPR. FILM. ELIB. MODIF.
ROMANIA CUTIE X 1 BLIST. PVC-PE-ACLAR/AL X 10 COMPR. FILM. ELIB. MODIF.
ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ELIB. MODIF.

P-RF

ISLANDA

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

P-RF

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

ROMANIA
ROMANIA
ROMANIA

CUTIE X 1 FLAC. DIN PEID CU GRAN.PT. 75 ML SUSP.ORALA

P-RF

CUTIE X 1 FLAC. DIN PEID CU GRAN. PT. 75 ML SUSP. ORALA

P-RF

CUTIE X 1 FLAC. DIN PEID CU GRAN. PT. 100 ML SUSP. ORALA

P-RF

ISLANDA

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

P-RF

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

ROMANIA
STADA HEMOFARM S.R.L. ROMANIA

DAR AL DAWA PHARMA S.R.L.

Pagina 16 din 189

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

10
10
10
10
12
12
1
1
1
1
1
1
10
10
10
10
1
1
10
10
10
10
10
10
10
10
10
1
1
10
10
16
15
10
16
10
15
10
10
10
10
10
10
10
1
1
1
1
1
1
1

5.98
10.51
9.00
10.02
15.79
11.88
6.19
7.61
6.93
10.48
9.65
9.63
18.55
13.45
13.02
26.15
12.05
22.42
14.28
14.28
10.80
30.12
30.12
17.97
15.13
16.61
27.64
19.41
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
22.30
29.74
33.16
11.90
9.09

Pret
amanuntul
maximal/UT
(RON)

0.598000
1.051000
0.900000
1.002000
1.315833
0.990000
6.190000
7.610000
6.930000
10.480000
9.650000
9.630000
1.855000
1.345000
1.302000
2.615000
12.050000
22.420000
1.428000
1.428000
1.080000
3.012000
3.012000
1.797000
1.513000
1.661000
2.764000
19.410000
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
22.300000
29.740000
33.160000
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

0.450900
0.901800
0.900000
0.901800
1.315833
0.901800
5.136250
5.136250
5.136250
10.272500
9.650000
9.630000
0.450900
0.901800
0.901800
1.803600
5.136250
10.272500
1.355400
1.355400
1.080000
2.710800
2.710800
1.797000
1.324500
1.355400
2.710800
13.245000
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
9.933750
9.933750
19.867500
26.490000
19.867500
9.933750
7.947000

0.405810
0.811620
0.810000
0.811620
1.184249
0.811620
4.622625
4.622625
4.622625
9.245250
8.685000
8.667000
0.405810
0.811620
0.811620
1.623240
4.622625
9.245250
1.219860
1.219860
0.972000
2.439720
2.439720
1.617300
1.192050
1.219860
2.439720
11.920500
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
8.940375
8.940375
17.880750
23.841000
17.880750
8.940375
7.152300

Nr crt.

cod ATC

808 J01DC04
809 J01DC04
810 J01DD08
811 J01DD08
812 J01DD08
813 J01DD08

DCI

CEFACLORUM
CEFACLORUM
CEFIXIMUM
CEFIXIMUM
CEFIXIMUM
CEFIXIMUM

814 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM


815 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM
816 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM
817 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM
818 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM
819 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM
820 J01FA01
821 J01FA01
822 J01FA01
823 J01FA01
824 J01FA09
825 J01FA09
826 J01FA09
827 J01FA09
828 J01FA09
829 J01FA09
830 J01FA09
831 J01FA09
832 J01FA09
833 J01FA09
834 J01FA09
835 J01FA09
836 J01FA09
837 J01FA09
838 J01FA09
839 J01FA09
840 J01FA09
841 J01FA09
842 J01FA09
843 J01FA09
844 J01FA09
845 J01FA09
846 J01FA09
847 J01FA09
848 J01FA09
849 J01FA09
850 J01FA09
851 J01FA09
852 J01MA01
853 J01MA01
854 J01MA02
855 J01MA02
856 J01MA02
857 J01MA02
858 J01MA02

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

Denumire Comerciala

CLORACEF (R) 250


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

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

CAPS.
CAPS.

Prescriptie

COMPR. FILM. 400mg


COMPR. FILM. 400mg

COMPR.
COMPR.
COMPR.
COMPR.

INN-FARM D.O.O.
INN-FARM D.O.O.
400mg/80mg ZENTIVA S.A.
400mg/80mg
400mg/80mg
400mg/80mg

SUSP. ORALA 200mg/40mg /5ml


SUSP. ORALA 25mg/5mg/ml

ERITROMICINA SANDOZ 200 mg COMPRIMATE

COMPR.
COMPR.
COMPR.

ERITROMICINA SANDOZ 200mg/5ml

PULB. PT. SUSP. ORALA

CLAXIRIT 500 mg

COMPR. CU ELIB. PREL.

CLARITROMICINA TEVA 500 mg

COMPR. ELIB. PREL.

KLACID (R)
LEKOKLAR (R) 250 mg
KLERIMED (R) 250
KLABAX 250 mg
FROMILID 250

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
CLARITROMICINA TEVA 250 mg COMPR. FILM.
LEKOKLAR (R) 500 mg
COMPR. FILM.
KLERIMED (R) 500
COMPR. FILM.
KLABAX 500 mg
COMPR. FILM.
FROMILID 500
COMPR. FILM.
ROCLARIN 500 mg
COMPR. FILM.
CLAR 500
COMPR. FILM.
CLARITROMICINA TEVA 500 mg COMPR. FILM.

KLABAX MR 500 mg
KLACID SR
FROMILID (R) UNO
KLACID (R)
KLACID (R)
FROMILID (R) 125 mg/5 ml
LEKOKLAR 125 mg/5 ml
KLABAX 125 mg/5 ml
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

tara det.
concentratie
APP
Detinator APP
Ambalaj
250mg/5ml DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 1 FLAC. CU PULB. PT. 75ML SUSP. + LINGURITA DOZATOARE P-RF
250mg/5ml STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. PULB. PT. 60 ML SUSP. ORALA + O MASURA DOZATOARE P-RF
100mg
ANTIBIOTICE S.A.
ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 CAPS. PRF
200mg
ANTIBIOTICE SA
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS.
P-RF

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

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.

200mg
200mg
200mg
200mg/5ml
500mg
500mg
250mg
250mg
250mg
250mg
250mg
250mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
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

SLOVENIA
SLOVENIA

CUTIE CU UN BLISTER PVC-PVDC/AL X 5 COMPRIMATE FILMATE


CUTIE CU 2 BLISTERE PVC-PVDC/AL A CATE 5 COMPRIMATE FILMATE

PRF

ROMANIA
EGIS PHARMACEUTICALS P.L.C. UNGARIA
BIO EEL SRL
ROMANIA
ARENA GROUP S.A. ROMANIA
E.I.P.I.CO. MED S.R.L. ROMANIA
EGIS PHARMACEUTICALS P.L.C. UNGARIA
ARENA GROUP SA ROMANIA
ANTIBIOTICE SA
ROMANIA
SANDOZ S.R.L.
ROMANIA
SANDOZ S.R.L.
ROMANIA

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


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

P-RF

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

P-RF

CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SUSP. ORALA + MASURA DOZATOARE

P-RF

CUTIE X 2 BLIST. X 10 COMPR.


CUTIE X 2 BLIST. X 10 COMPR.
CUTIE X 2 BLIST. X 10 COMPR.

PRF

P-RF
P-RF
P-RF

P-RF
P-RF
P-RF

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

P-RF

PRF

ACTAVIS GROUP PTC EHF.

ISLANDA

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

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE CU BLIST. PVC-PVDC/AL X 6 COMPR. ELIB. PREL. PRF

ABBOTT SPA

ITALIA

CUTIE X 1 BLIST. X 14 COMPR. FILM.

LEK PHARMACEUTICALS D.D.

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

MEDOCHEMIE LTD. CIPRU


TERAPIA SA
ROMANIA

P-RF
P-RF

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


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

P-RF

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

ROMANIA

LEK PHARMACEUTICALS D.D.

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

MEDOCHEMIE LTD. CIPRU


TERAPIA SA
ROMANIA

CUTIE CU BLIST. PVC-PVDC/AL X 14 COMPR. FILM. (AMBALAJ TIP CALENDAR)

PRF
P-RF

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


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

P-RF

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

ANTIBIOTICE S.A.

TERAPIA SA

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


CUTIE X 5 BLIST. AL/PVC X 4 COMPR. FILM. P-RF
ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 14 COMPR. FILM. (AMBALAJ TIP CALENDAR) PRF
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
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

CUTIE X 1 FLACON PEID CU GRANULE PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML

P-RF

ABBOTT LABORATORIES LTD.

FRANTA CUTIE X 1 FLAC. LIOF. PT. SOL. PERF.

RANBAXY UK LIMITED

MAREA BRITANIE

GLENMARK PHARMACEUTICALS S.R.O.

TEVA PHARMACEUTICALS S.R.L.

REPUBLICA CEHA

ITALIA
ITALIA

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
S/P-RF

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

P-RF

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.

P-RF

E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM.

P-RF

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

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

Pagina 17 din 189

P-RF

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

1 21.40
1 16.53
10 21.56
10 34.77
5 55.99
10 101.25
20
7.72
20
7.40
20
7.04
20
7.72
1
4.76
1 10.48
20
7.09
20
9.60
20
8.44
1 11.46
7 32.05
6 29.37
14 28.57
14 32.23
14 16.69
14 14.67
14 16.69
14 11.34
14 37.95
14 32.62
14 32.08
14 32.62
20 43.35
20 53.31
14 24.62
7 33.15
5 36.43
7 28.09
1 39.14
1 24.48
1 23.30
1 26.21
1 18.94
1 61.52
1 51.09
1 44.85
1 31.68
1 53.78
10 11.36
10 20.02
10 37.31
20 65.61
10
6.83
10
6.83
10
6.83

Pret
amanuntul
maximal/UT
(RON)

21.400000
16.530000
2.156000
3.477000
11.198000
10.125000
0.386000
0.370000
0.352000
0.386000
4.760000
10.480000
0.354500
0.480000
0.422000
11.460000
4.578571
4.895000
2.040714
2.302142
1.192142
1.047857
1.192142
0.810000
2.710714
2.330000
2.291428
2.330000
2.167500
2.665500
1.758571
4.735714
7.286000
4.012857
39.140000
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

19.867500
15.894000
1.846462
3.477000
7.385850
7.385850
0.328950
0.328950
0.328950
0.328950
4.760000
4.366125
0.354500
0.429171
0.422000
11.460000
2.145855
2.145855
1.072927
1.072927
1.072927
1.047857
1.072927
0.810000
2.145855
2.145855
2.145855
2.145855
2.145855
2.145855
1.758571
2.145855
2.145855
2.145855
28.228499
16.937100
16.937100
16.937100
16.937100
56.456999
51.090000
33.874200
31.680000
25.576250
1.136000
1.189800
0.237960
0.237960
0.594900
0.594900
0.594900

17.880750
14.304600
1.661815
3.129300
6.647265
6.647265
0.296055
0.296055
0.296055
0.296055
4.284000
3.929512
0.319050
0.386253
0.379800
10.314000
1.931269
1.931269
0.965634
0.965634
0.965634
0.943071
0.965634
0.729000
1.931269
1.931269
1.931269
1.931269
1.931269
1.931269
1.582713
1.931269
1.931269
1.931269
25.405649
15.243390
15.243390
15.243390
15.243390
50.811299
45.981000
30.486780
28.512000
23.018625
1.022400
1.070820
0.214164
0.214164
0.535410
0.535410
0.535410

Nr crt.

cod ATC

859 J01MA02
860 J01MA02
861 J01MA02
862 J01MA02
863 J01MA02
864 J01MA02
865 J01MA02
866 J01MA02
867 J01MA02
868 J01MA02
869 J01MA02
870 J01MA02
871 J01MA02
872 J01MA02
873 J01MA02
874 J01MA02
875 J01MA02
876 J01MA02
877 J01MA02
878 J01MA02
879 J01MA02
880 J01MA03
881 J01MA06
882 J01MA06
883 J01MA06
884 J01MA06
885 J01MA06
886 J01MB02
887 J01XD01
888 J01XD01
889 J01XD01
890 J01XD01
891 J01XD01
892 J01XD01
893 J01XD01
894 J01XD01
895 J01XD01
896 J01XD01
897 J01XD01
898 J02AC01
899 J02AC01
900 J02AC01
901 J02AC01
902 J02AC01
903 J02AC01
904 J02AC01
905 J02AC01
906 J02AC01
907 J02AC01
908 J02AC01
909 J02AC01

DCI

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
ACIDUM NALIDIXICUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
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)
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
NORFLOXACINA LPH 400 mg
NORFLOX - 400
NOLICIN 400 mg
NOR QUIN 400 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. ELIB. PREL.
COMPR. FILM. ELIB. PREL.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
NORFLOXACIN HELCOR 400 mg COMPR. FILM.

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
METRONIDAZOL BRAUN 5mg/ml
METRONIDAZOL BRAUN 5mg/ml
METRONIDAZOL BRAUN 5mg/ml

FLUCOVIM 100
FUNGOLON 100 mg
FLUCONAZOLE TEVA 100 mg
FLUCONAZOLE TEVA 100 mg
FLUCONAZOL AUROBINDO 100 mg

FLUCOVIM 150
DIFLUCAN 150 mg
FLUCORIC 150 mg
FLUCONAZOL SANDOZ (R) 150
FLUCONAZOLE TEVA 150 mg

FLUCONAZOL 150 mg
FLUCONAZOL MEDOCHEMIE 150 mg

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

SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.

concentratie

250mg
250mg
250mg
250mg
250mg
250mg
250mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
750mg
750mg
1000 mg
500 mg
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
100mg
100mg
100mg
100mg
100mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg

Detinator APP
GEDEON RICHTER ROMANIA SA
GEDEON RICHTER ROMANIA SA

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.

Prescriptie

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

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

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

P-RF

DR. REDDY'S LABORATORIES

P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF

E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM.


AC HELCOR SRL
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.

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

P-RF
P-RF

ANTIBIOTICE SA
ROMANIA 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.

P-RF

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

P-RF

DR. REDDY'S LABORATORIES

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.


BAYER PHARMA AG
BAYER PHARMA AG
LAROPHARM S.R.L.

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

P-RF

GERMANIA

CUTIE X 1 BLIST. DIN PP/AL X 7 COMPR. FILM. ELIB. PREL.

P-RF

GERMANIA

CUTIE X 1 BLIST. DIN PP/AL X 3 COMPR. FILM. ELIB. PREL.

P-RF

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


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

P-RF

CIPLA (UK) LIMITED

P-RF

MAREA BRITANIE

CUTIE X 1 BLIST. X 10 COMPR. FILM.

P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF

ANTIBIOTICE S.A.
A.C. HELCOR PHARMA S.R.L.

ZENTIVA SA
ARENA GROUP SA
ARENA GROUP SA

ROMANIA
ROMANIA
ROMANIA
ROMANIA
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. PVC/AL X 10 COMPR. FILM.

P-RF/S

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

P-RF

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

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

P-RF

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

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

P-RF
P-RF

P-RF
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

VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS.


P-RF
BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 2 BLIST. PVC/AL X 8 CAPS.
P-RF
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 2 CAPS. P-RF
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF
AUROBINDO PHARMA (MALTA) LIMITED MALTA
CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF
VIM SPECTRUM SRL ROMANIA CUTIE X 1 FLAC. X 1 CAPS.
P-RF
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 1 CAPS.
P-RF
TERAPIA SA
ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS. P-RF
SANDOZ SRL
GERMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS.
P-RF
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF
SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS.
P-RF
MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS.
P-RF

Pagina 18 din 189

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
9.23
20 16.43
10
6.49
10 38.50
10 37.31
7 84.70
3 27.63
10 27.86
20 15.73
10
6.19
20 17.60
20 17.60
20 17.60
30 29.29
30
7.72
30
7.72
20
7.09
20
7.09
12 100.25
1
9.11
12 98.29
1
8.91
10 48.92
10 48.37
20 278.47
4 25.61
16 82.66
2
9.43
7 31.51
7 43.36
1
9.94
1 25.08
1 18.86
1 14.58
1
6.59
1
9.68
1
8.20

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
0.923000
0.821500
0.649000
3.850000
3.731000
12.100000
9.210000
2.786000
0.786500
0.619000
0.880000
0.880000
0.880000
0.976333
0.257333
0.257333
0.354500
0.354500
8.354166
9.110000
8.190833
8.910000
4.892000
4.837000
13.923500
6.402500
5.166250
4.715000
4.501428
6.194285
9.940000
25.080000
18.860000
14.580000
6.590000
9.680000
8.200000

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
0.923000
0.821500
0.594900
1.784700
1.784700
2.379600
1.189800
1.189800
0.786500
0.619000
0.786500
0.786500
0.786500
0.976333
0.257333
0.257333
0.297187
0.297187
8.354166
8.632083
8.190833
8.632083
4.316041
4.316041
4.316041
4.175516
4.175516
4.175516
4.175516
4.175516
6.263275
6.263275
6.263275
6.263275
6.263275
6.263275
6.263275

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
0.830700
0.739350
0.535410
1.606230
1.606230
2.141640
1.070820
1.070820
0.707850
0.557100
0.707850
0.707850
0.707850
0.878699
0.231599
0.231599
0.267468
0.267468
7.518749
7.768874
7.371749
7.768874
3.884436
3.884436
3.884436
3.757964
3.757964
3.757964
3.757964
3.757964
5.636947
5.636947
5.636947
5.636947
5.636947
5.636947
5.636947

Nr crt.

cod ATC

910 J02AC01
911 J02AC01
912 J02AC01
913 J02AC01
914 J02AC01
915 J02AC01
916 J02AC01
917 J02AC01
918 J02AC01
919 J02AC01
920 J02AC01
921 J02AC01
922 J02AC01
923 J02AC01
924 J02AC01
925 J02AC01
926 J02AC01
927 J02AC01
928 J02AC01
929 J02AC01
930 J02AC01
931 J02AC01
932 J02AC01
933 J02AC01
934 J02AC01
935 J05AB01
936 J05AB01
937 J05AB01
938 J05AB01
939 J05AB01
940 J05AB01
941 J05AB01
942 J05AB01
943 J05AB01
944 J05AB01
945 M01AB01
946 M01AB01
947 M01AB01
948 M01AB01
949 M01AB01
950 M01AB01
951 M01AB05
952 M01AB05
953 M01AB05
954 M01AB05
955 M01AB05
956 M01AB05
957 M01AB05
958 M01AB05
959 M01AB05
960 M01AB05

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
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
INDOMETACINUM
INDOMETACINUM
INDOMETACINUM
INDOMETACINUM
INDOMETACINUM
INDOMETACINUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM

Denumire Comerciala
FLUCONAZOL BIOGALENICA 150 mg

FLUCONAZOL ARENA 150 MG

MYCOSYST 150 mg
FLUCONAZOL ACTAVIS 150 mg

MYCOMAX 150
FLUCONAZOL LPH 150 mg
FLUCONAZOL ROMPHARM 150 mg
FLUCONAZOL AUROBINDO 150 mg

FLUCONAZOL ZENTIVA 150 mg


FLUCONAZOLE TEVA 200 mg

FLUCOVIM 50
DIFLUCAN 50 mg
FLUCORIC 50 mg
FLUCONAZOL SANDOZ (R) 50

FUNGOLON 50 mg
FLUCONAZOLE TEVA 50 mg
FLUCONAZOL 50 mg
FLUCONAZOL MEDOCHEMIE 50 mg
FLUCONAZOL BIOGALENICA 50 mg

FLUCONAZOL ARENA 50 MG
FLUCONAZOL LPH 50 mg
FLUCONAZOL AUROBINDO 50 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.

DIFLUCAN 10 mg/ml
DIFLUCAN (R) 50 mg/5 ml
DIFLAZON 2mg/ml
ACICLOVIR 200 mg
ACICLOVIR ARENA 200 mg
ACICLOVIR FARMEX 200 mg
ACICLOVIR ARENA 400 mg
ACICLOVIR TERAPIA 200 mg
ACICLOVIR 200 mg
ACICLOVIR 200 mg
ACICLOVIR 200 mg
ACICLOVIR 400 mg
VIROLEX

PULB. PT. SOL. INJ./PERF.

INDOMETACIN LAROPHARM 25 mg

CAPS.

PULB. PT. SUSP. ORALA


PULB. PT. SUSP. ORALA

SOL. PERF.
CAPS.
CAPS.
CAPS.
CAPS.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.

INDOMETACIN ARENA 25 MG CAPS.


INDOMETACIN ARENA 50 MG CAPS.

INDOMETACIN 50 mg
INDOMETACIN 50 mg
INDOMETACIN 50 mg
DICLOREUM 150 mg

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

DICLOFENAC DUO PHARMASWISS 75 mg CAPS. ELIB. PREL.

TRATUL 50
DICLOTARD 100 mg
DICLAC (R) 75 ID
VOLTAREN (R) RETARD
REFEN (R) RETARD
RHEUMAVEK
VOLTAREN (R) 50
DICLOFENAC 50 mg

CAPS. MOI GASTROREZ.

COMPR. CU ELIB. PREL.

COMPR. ELIB. MODIF.


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

tara det.
concentratie
APP
Detinator APP
Ambalaj
150mg
LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF
150mg
ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS.
P-RF
150mg
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 4 BLIST. AL/PVC X 1 CAPS.
P-RF
150mg
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 BLIST. PVC-PVDC/AL X 1 CAPS. PRF

Prescriptie

150mg
150mg
150mg
150mg
150mg
200mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
10mg/ml
50mg/5ml
2mg/ml
200mg
200mg
200mg
400mg
200mg
200mg
200mg
200mg
400mg
250mg
25mg
25mg
50mg
50mg
50mg
50mg
150mg
75mg
50mg
100mg
75mg
100mg
100mg
25mg
50mg
50mg

ZENTIVA K.S.

CEHIA

LABORMED PHARMA S.A.


ROMPHARM COMPANY S.R.L.

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


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

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

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

CUTIE CU 1 BLIST. PVC TRANSPARENT/PVDC-AL X 1 CAPS. PRF

ZENTIVA K.S.

REPUBLICA CEHA

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

ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.


VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS.

TEVA PHARMACEUTICALS S.R.L.

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P-RF

PRF
PRF
P-RF
P-RF
P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

TERAPIA SA
SANDOZ SRL

ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS.


ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P-RF

BALKANPHARMA RAZGRAD AD

BULGARIA CUTIE X 1 BLIST. PVC/AL X 8 CAPS.

P-RF

ROMANIA
SLAVIA PHARM SRL ROMANIA
MEDOCHEMIE ROMANIA SRL ROMANIA
LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA
ARENA GROUP SA ROMANIA
LABORMED PHARMA S.A. ROMANIA
TEVA PHARMACEUTICALS S.R.L.

P-RF

P-RF

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

P-RF

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.


CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P-RF

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

P-RF

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.


CUTIE CU 1 BLIST. PVC/AL X 7 CAPS.

P-RF

P-RF

PRF

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE CU 1 FLAC. PEID, DE CAPACITATE 60 ML + 1 LINGURITA DOZATOARE A 5 ML, CU PULB. PT. 35 ML SUSP.O

PFIZER EUROPE MA EEIG

MAREA BRITANIE CUTIE X 1 FLAC. PEID PULB. PT. 35 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 5 ML

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML

PRF
P-RF
S/PR-F

SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.


ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
FARMEX COMPANY S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 CAPS.
ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS.
TERAPIA 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.

P-RF

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.

P-RF

EGIS PHARMACEUTICALS P.L.C.

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 5 FLAC. X 250 MG PULB. PT. SOL. INJ./PERF.

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

P-RF
P-RF
S/P-RF

LAROPHARM SRL
ARENA GROUP SA
ARENA GROUP SA
ANTIBIOTICE SA
SINTOFARM SA
MAGISTRA C & C

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

ALFA WASSERMANN SPA

ITALIA
CUTIE X 2 BLIST. AL/PVC X 10 CAPS. ELIB. PREL.
CEHIA
CUTIE X 3 BLIST. PVC/PVDC/AL X 10 CAPS. ELIB. PREL.
AUSTRIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS. MOI GASTROREZ.

P-6L

TERAPIA SA
HEXAL AG

ROMANIA

P-6L

STADA HEMOFARM S.R.L.

ROMANIA

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

FARAN LABORATORIES S.A.

GRECIA

PHARMASWISS CESKA REPUBLIKA S.R.O.

GEROT PHARMAZEUTIKA GMBH

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


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

P-6L

CUTIE X 2 FOLII TERMOSUDATE AL-PE X 3 SUPOZ.

P-6L

CUTIE X 2 FOLII PVC/PE X 5 SUPOZ.

P-6L

P-6L
P-6L

CUTIE X 2 FOLII TERMOSUDATE PVC/PE X 5 SUPOZ. P-6L

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

GERMANIA CUTIE X 1 BLIST. AL/PP X 10 COMPR. ELIB. MODIF.


NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL. X 10 COMPR. FILM. ELIB. PREL.

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

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

P-6L

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. GASTROREZ.

P-6L

TERAPIA SA

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

P-6L

ROMANIA

Pagina 19 din 189

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

1
6.59
1
9.03
4 63.10
1 10.06
1 12.03
1
9.94
1 12.94
1 13.54
1 12.03
7 39.37
7 22.56
7 56.54
7 29.61
7 41.93
8 19.04
7 16.69
7 19.58
7 16.15
7 15.76
7 19.12
7 22.56
7 29.61
1 31.71
1 31.71
1 45.82
20 20.23
20 21.42
20 21.42
10 19.48
20 17.15
20 17.23
20 13.81
20 13.00
10 27.18
5 282.97
20
1.62
30
2.14
20
3.53
6
4.13
10
6.87
10
6.59
20 47.70
30 20.49
30
6.39
20
8.21
10
3.93
10
6.56
20
8.55
30
5.72
20
6.56
20
4.25

Pret
amanuntul
maximal/UT
(RON)

6.590000
9.030000
15.775000
10.060000
12.030000
9.940000
12.940000
13.540000
12.030000
5.624285
3.222857
8.077142
4.230000
5.990000
2.380000
2.384285
2.797142
2.307142
2.251428
2.731428
3.222857
4.230000
31.710000
31.710000
45.820000
1.011500
1.071000
1.071000
1.948000
0.857500
0.861500
0.690500
0.650000
2.718000
56.594000
0.081000
0.071333
0.176500
0.688333
0.687000
0.659000
2.385000
0.683000
0.213000
0.410500
0.393000
0.656000
0.427500
0.190666
0.328000
0.212500

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

6.263275
6.263275
6.263275
6.263275
6.263275
6.263275
6.263275
6.263275
6.263275
5.624285
2.087758
2.087758
2.087758
2.087758
2.087758
2.087758
2.087758
2.087758
2.087758
2.087758
2.087758
2.087758
14.614308
14.614308
33.905812
0.760086
0.760086
0.760086
1.520172
0.760086
0.760086
0.690500
0.650000
1.520172
56.594000
0.071775
0.071333
0.143550
0.329249
0.329249
0.329249
0.430650
0.215325
0.143550
0.287100
0.215325
0.287100
0.287100
0.071775
0.143550
0.143550

5.636947
5.636947
5.636947
5.636947
5.636947
5.636947
5.636947
5.636947
5.636947
5.061856
1.878982
1.878982
1.878982
1.878982
1.878982
1.878982
1.878982
1.878982
1.878982
1.878982
1.878982
1.878982
13.152877
13.152877
30.515230
0.684077
0.684077
0.684077
1.368154
0.684077
0.684077
0.621450
0.585000
1.368154
50.934600
0.064597
0.064199
0.129195
0.296324
0.296324
0.296324
0.387585
0.193792
0.129195
0.258390
0.193792
0.258390
0.258390
0.064597
0.129195
0.129195

Nr crt.

cod ATC

961 M01AB05
962 M01AB05
963 M01AB05
964 M01AB05
965 M01AB05
966 M01AB05
967 M01AB05
968 M01AB05
969 M01AB05
970 M01AB05
971 M01AB05
972 M01AB05
973 M01AB05
974 M01AB05
975 M01AB05
976 M01AB05
977 M01AB05
978 M01AB05
979 M01AB05
980 M01AB05
981 M01AB05
982 M01AB15
983 M01AB15
984 M01AB15
985 M01AB15
986 M01AB16
987 M01AC02
988 M01AC02
989 M01AC02
990 M01AC02
991 M01AC06
992 M01AC06
993 M01AC06
994 M01AC06
995 M01AC06
996 M01AC06
997 M01AC06
998 M01AC06
999 M01AC06
1,000

M01AC06

1,001

M01AC06

1,002

M01AC06

1,003

M01AC06

1,004

M01AC06

1,005

M01AC06

1,006

M01AC06

1,007

M01AC06

1,008

M01AC06

1,009

M01AC06

1,010

M01AC06

1,011

M01AC06

DCI

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
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM

Denumire Comerciala

forma farm.

CLAFEN 50 mg

COMPR. FILM. GASTROREZ.

DICLOFENAC HELCOR 50 mg

COMPR. FILM. GASTROREZ.

VOLTAREN RAPID (R)


DICLOFENAC ARENA 25 mg
N - DICLOFENAC
DICLOFENAC ARENA 50 mg
DICLOFENAC ARENA 50 mg
VOLTAREN (R)
RHEUMAVEK
TRATUL (R)
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

DRAJ.
DRAJ. GASTROREZ.
DRAJ. GASTROREZ.
DRAJ. GASTROREZ.
DRAJ. GASTROREZ.

SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ./PERF.

SUPOZ.
SUPOZ.
SUPOZ.
SUPOZ.
DICLOFENAC SINTOFARM 12,5 mg SUPOZ.
DICLOFENAC SINTOFARM 12,5 mg SUPOZ.
VOLTAREN (R)
SUPOZ.
KETOROL
COMPR. FILM.
KETANOV 10 mg
COMPR. FILM.
KETANOV
SOL. INJ.
KETOROL
SOL. INJ.
AFLAMIL 100mg
COMPR. FILM.
TENOXICAM LPH 20 mg
CAPS.
TENOXICAM ARENA 20 mg COMPR.
NEO - ENDUSIX (R)
COMPR. FILM.
NEO - ENDUSIX (R)
LIOF. + SOLV. PT. SOL. INJ.
MOVALIS (R) 15 mg
COMPR.
MOVALIS (R) 15 mg
COMPR.
MELOXICAM LPH 15 mg
COMPR.
MELOXICAM SANDOZ 15 mg COMPR.
MELOX 15 mg
COMPR.
MELOX 15 mg
COMPR.
RECOXA 15
COMPR.
MELOXICAM MCC 15 mg
COMPR.
VALZER 15 mg
COMPR.
NOFLAMEN 15 mg
COMPR.
MELOXICAM VIM SPECTRUM 15 mg COMPR.
ASPIFLEX 15 mg
COMPR.
Meloxicam Zentiva 15 mg comprimate 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.

concentratie

50mg
50mg
50mg
25mg
50mg
50mg
50mg
25mg/ml
25mg/ml
30mg/ml
75mg/3ml
75mg/3ml
75mg/3ml
25mg/ml
100mg
100mg
100mg
100mg
12,5 mg
12,5 mg
50mg
10mg
10mg
30mg/ml
30mg/ml
100mg
20mg
20mg
20mg
20mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
7,5 mg
7,5 mg
7,5mg
7,5mg
7,5mg
7,5mg
7,5mg
7,5mg

Detinator APP

ANTIBIOTICE SA
A.C. HELCOR PHARMA S.R.L.

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

Prescriptie

NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 10 DRAJ. P-6L

ARENA GROUP SA
MEDUMAN SA
ARENA GROUP SA
ARENA GROUP SA

ROMANIA
ROMANIA
ROMANIA
ROMANIA

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

CUTIE X 1 FLAC. PE X 20 DRAJ. GASTROREZ. P-6L


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

GEROT PHARMAZEUTIKA GMBH

GRECIA
AUSTRIA

TERAPIA SA

ROMANIA

FARAN LABORATORIES S.A.

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 DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 3 ML

P-RF

ALIUD PHARMA GMBH GERMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 3ML SOL. INJ. P-RF
ALIUD PHARMA GMBH GERMANIA CUTIE X 10 FIOLE DIN STICLA INCOLORA X 3ML SOL. INJ. P-RF
STADA HEMOFARM S.R.L. ROMANIA CUTIE CU 5 FIOLE DIN STICLA INCOLORA X 3 ML SOL. INJ./PERF. P-RF
ANTIBIOTICE SA
ROMANIA CUTIE X 2 FOLII TERMOSUDANTE X 3 SUPOZ. P-6L

CUTIE X 1 FOLIE PVC/PE-JD X 5 SUPOZ. P-6L


ROMANIA CUTIE X 2 FOLII PVC/PE X 5 SUPOZ.
P-6L
ROMANIA CUTIE X 2 FOLII TERMOSUDATE PVC/PE X 5 SUPOZ. P-6L
ROMANIA CUTIE X 2 FOLII TERMOSUDATE DIN PVC-PE X 3 SUPOZITOARE P6L
ROMANIA CUTIE X 2 FOLII TERMOSUDATE DIN PVC-PE X 5 SUPOZITOARE P6L

NOVARTIS PHARMA GMBH GERMANIA

SINTOFARM SA
MAGISTRA C & C
SINTOFARM S.A.
SINTOFARM S.A.

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 2 FOLII PVC/PEJD X 5 SUPOZ.

P-6L

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

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

P-6L

DR. REDDY'S LABORATORIES

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.
GRECIA CUTIE X 1 BLIST. X 10 COMPR. FILM.
GRECIA CUTIE X 1 FLAC. PULB. + 1 FIOLA SOLV.

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

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

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

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

ANFARM HELLAS S.A. PHARMACEUTICALS

LABORMED PHARMA SA ROMANIA

HEXAL AG
MEDOCHEMIE LTD
MEDOCHEMIE LTD
ZENTIVA AS

BOEHRINGER INGELHEIM INTERNATIONAL GMBH


BOEHRINGER INGELHEIM INTERNATIONAL GMBH

P-6L
P-RF

P-6L
P-6L

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

P-6L

P-6L
P-6L
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.

P-6L

CUTIE X 2 BLIST. PVC-PVDC/AL 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.

P-6L

CEHIA
CIPRU
CIPRU

LABORMED PHARMA SA ROMANIA

HEXAL AG

P-6L

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


CIPRU
CUTIE X 3 BLIST. AL-PVC/PVDC X 10 COMPR.
CIPRU
CUTIE X 1 BLIST. AL-PVC/PVDC X 10 COMPR.
CEHIA
CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR.

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

ZENTIVA AS
MEDOCHEMIE LTD
MEDOCHEMIE LTD

CUTIE X 2 BLIST. X 10 COMPR.

P-6L

CUTIE X 2 BLIST. X 10 COMPR.

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

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

MAGISTRA C & C SRL ROMANIA CUTIE X 2 BLIAT. AL/PVC X 10 COMPR.


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

GEDEON RICHTER ROMANIA SA

Pagina 20 din 189

P-6L
P-6L

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

20
20
10
30
20
20
30
5
5
5
5
5
10
5
6
5
10
10
6
10
10
20
20
10
10
20
20
20
10
1
20
10
20
20
30
10
20
20
20
10
20
20
20
10
30
10
20
20
20
20
20

3.04
2.27
2.34
5.72
2.54
2.65
3.98
9.40
6.10
14.24
6.10
6.10
12.22
4.05
3.94
5.47
6.95
6.38
3.64
6.01
9.45
6.75
10.14
24.75
19.61
22.71
11.45
14.11
6.35
5.44
15.44
7.70
10.03
9.98
30.39
10.60
6.92
10.03
10.03
5.01
10.03
10.03
6.92
9.61
25.65
7.41
14.84
9.65
9.65
9.65
9.65

Pret
amanuntul
maximal/UT
(RON)

0.152000
0.113500
0.234000
0.190666
0.127000
0.132500
0.132666
1.880000
1.220000
2.848000
1.220000
1.220000
1.222000
0.810000
0.656666
1.094000
0.695000
0.638000
0.606666
0.601000
0.945000
0.337500
0.507000
2.475000
1.961000
1.135500
0.572500
0.705500
0.635000
5.440000
0.772000
0.770000
0.501500
0.499000
1.013000
1.060000
0.346000
0.501500
0.501500
0.501000
0.501500
0.501500
0.346000
0.961000
0.855000
0.741000
0.742000
0.482500
0.482500
0.482500
0.482500

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

0.143550
0.113500
0.143550
0.071775
0.127000
0.132500
0.132666
1.097999
1.097999
1.317600
1.097999
1.097999
1.097999
0.810000
0.656666
0.658499
0.658499
0.638000
0.082312
0.082312
0.329249
0.095699
0.095699
1.464000
1.464000
0.143550
0.451350
0.451350
0.451350
2.570850
0.451350
0.451350
0.451350
0.451350
0.451350
0.451350
0.346000
0.451350
0.451350
0.451350
0.451350
0.451350
0.346000
0.225675
0.225675
0.225675
0.225675
0.225675
0.225675
0.225675
0.225675

0.129195
0.102150
0.129195
0.064597
0.114300
0.119250
0.119399
0.988199
0.988199
1.185840
0.988199
0.988199
0.988199
0.729000
0.590999
0.592649
0.592649
0.574200
0.074080
0.074080
0.296324
0.086129
0.086129
1.317600
1.317600
0.129195
0.406215
0.406215
0.406215
2.313765
0.406215
0.406215
0.406215
0.406215
0.406215
0.406215
0.311400
0.406215
0.406215
0.406215
0.406215
0.406215
0.311400
0.203107
0.203107
0.203107
0.203107
0.203107
0.203107
0.203107
0.203107

Nr crt.

cod ATC

1,012

M01AC06

1,013

M01AC06

1,014

M01AC06

1,015

M01AC06

1,016

M01AE03

1,017

M01AE03

1,018

M01AE03

1,019

M01AE03

1,020

M01AE03

1,021

M01AE03

1,022

M01AE03

1,023

M01AE03

1,024

M01AE03

1,025

M01AE03

1,026

M01AE03

1,027

M01AE03

1,028

M01AE03

1,029

M01AE03

1,030

M01AE03

1,031

M01AE03

1,032

M01AE03

1,033

M04AA01

1,034

M04AA01

1,035

M04AC01

1,036

N02AD01

1,037

N02AD01

1,038

N02AX02

1,039

N02AX02

1,040

N02AX02

1,041

N02AX02

1,042

N02AX02

1,043

N02AX02

1,044

N02AX02

1,045

N02AX02

1,046

N02AX02

1,047

N02AX02

1,048

N02AX02

1,049

N02AX02

1,050

N02AX02

1,051

N02AX02

1,052

N02AX02

1,053

N02AX02

1,054

N02AX02

1,055

N02AX02

1,056

N02AX02

1,057

N02AX02

1,058

N02AX02

1,059

N02AX02

1,060

N02AX02

1,061

N02AX02

1,062

N02AX02

DCI

MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
ALLOPURINOLUM*
ALLOPURINOLUM*
COLCHICINUM
PENTAZOCINUM
PENTAZOCINUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM

Denumire Comerciala
MELOXICAM VIM SPECTRUM 7,5 mg

ASPIFLEX 7,5 mg
MOVALIS 15mg/1,5ml
MELOXICAM 15 mg

forma farm.

COMPR.
COMPR.
SOL. INJ.
SUPOZ.

KETOPROFEN SR TERAPIA 100 MG CAPS. ELIB. PREL.

KETONAL (R) DUO 150 mg


KETONAL UNO

CAPS. ELIB. PREL.


CAPS. ELIB. PREL.

KETOPROFEN SR TERAPIA 200 MG CAPS. ELIB. PREL.

KETONAL RETARD
RUBIFEN 100 mg
PROFENID (R) 100 mg
KETONAL FORTE 100 mg
KETOPROXIN 100 mg
KETOPROXIN 50 mg
PROFENID (R) LP 200 mg

COMPR. ELIB. PREL.

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

KETONAL 100 mg/ 2 ml

SOL. INJ.
SOL. INJ.
SOL. INJ.

KETOPROFEN TERAPIA 100MG/2ML

SOL. INJ./CONC. SOL. PERF.

RUBIFEN (R) 100 mg


KETOMAG
MILURIT 100 mg
MILURIT 300 mg
COLCHICINA
FORTRAL
FORTRAL
TRALGIT 50
TRAMADOL
MABRON 50 mg
K-ALMA (R)
TRAMADOL LPH 50 mg
TRAMADOL ARENA
TRAMACALM
TRAMADOL ZENTIVA 50 mg
TRAMAG 50
TRAMADOL EEL
TRAMADOLOR (R) 100 ID
TRALGIT SR 100
TRAMADOL RETARD 100 mg

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

KETOPROFEN ROMPHARM 100 mg/2ml


KETOPROFEN ROMPHARM 100 mg/2ml

COMPR. ELIB. MODIF.

COMPR. ELIB. PREL.


COMPR. ELIB. PREL.

TRAMADOL SR ZENTIVA 100 mg

COMPR. ELIB. PREL.

TRALGIT SR 150
TRADOLAN RETARD 150 mg

COMPR. ELIB. PREL.

TRAMADOL SR ZENTIVA 150 mg

COMPR. ELIB. PREL.

COMPR. ELIB. PREL.

TRADOLAN RETARD 200 mg COMPR. ELIB. PREL.


TRADOLAN 50 mg
COMPR. FILM.
TRAMAL RETARD 100 mg
COMPR. FILM. ELIB. PREL.
TRAMAL RETARD 150 mg
COMPR. FILM. ELIB. PREL.
TRAMADOL RETARD 150 mg COMPR. FILM. ELIB. PREL.
TRAMAL RETARD 200 mg
COMPR. FILM. ELIB. PREL.
TRAMADOL RETARD 200 mg COMPR. FILM. ELIB. PREL.
TRALGIT 50 mg
COMPR. ORODISPERSABILE

tara det.
concentratie
APP
Detinator APP
Ambalaj
7,5mg
VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
7,5mg
BMF PHARM S.R.L. ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. P-6L

Prescriptie

15mg/1,5ml
15mg
100mg
150mg
200mg
200mg
150mg
100 mg
100mg
100mg
100mg
50mg
200mg
100 mg/2ml
100 mg/2ml
100mg/2ml
100mg/2ml
100mg
100mg
100mg
300mg
1mg
30mg/ml
30mg/ml
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
100mg
100mg
100mg
100mg
150mg
150mg
150mg
200mg
50mg
100mg
150mg
150mg
200mg
200mg
50mg

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 1,5 ML SIL. INJ. P-RF

MAGISTRA C & C
TERAPIA SA
SANDOZ S.R.L.
SANDOZ S.R.L.
TERAPIA SA

ROMANIA CUTII X 2 FOLII TERMOSUDATE PVC/PE X 3 SUPOZ.


ROMANIA CUTIE X 1 BLIST. X 10 CAPS. CU ELIB. PREL.
ROMANIA CUTIE X 2 BLIST. AL/PVC-TE-PVDC X 10 CAPS. ELIB. PREL.
ROMANIA CUTIE X 2 BLIST. AL/PVC-TE-PVDC X 10 CAPS. ELIB. PREL.
ROMANIA CUTIE X 1 BLIST. X 10 CAPS. CU ELIB. PREL.

LEK PHARMACEUTICALS D.D.

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

ANTIBIOTICE SA
LAB. AVENTIS

FRANTA CUTIE X 2 BLIST X 15 COMPR. FILM.

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

P-6L

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.

LAB. AVENTIS

FRANTA CUTIE X 1 BLIST X 14 COMPR. FILM. ELIB. PREL.

P-6L

ROMPHARM COMPANY S.R.L.

CUTIE CU 5 FIOLE DIN STICLA BRUNA PREVAZUTE CU INEL DE RUPERE A CATE 2ML SOL. INJ

PRF

ROMPHARM COMPANY S.R.L.

ROMANIA
ROMANIA

CUTIE CU 10 FIOLE DIN STICLA BRUNA PREVAZUTE CU INEL DE RUPERE A CATE 2ML SOL. INJ

PRF

LEK PHARMACEUTICALS D.D.

SLOVENIA

TERAPIA SA
ANTIBIOTICE SA
MAGISTRA C & C

ROMANIA
ROMANIA
ROMANIA
UNGARIA
UNGARIA
ROMANIA

EGIS PHARMACEUTICALS P.L.C.


EGIS PHARMACEUTICALS P.L.C.

BIOFARM SA

KRKA D.D. NOVO MESTO SLOVENIA


KRKA D.D. NOVO MESTO SLOVENIA

ZENTIVA A.S.
KRKA D.D.
MEDOCHEMIE LTD.
ANTIBIOTICE SA

SLOVACIA
SLOVENIA

CIPRU

ROMANIA
LABORMED PHARMA SA ROMANIA
ARENA GROUP S.A. ROMANIA
A.C. HELCOR PHARMA S.R.L. ROMANIA

ZENTIVA A.S.
MAGISTRA C & C
BIO EEL SRL
HEXAL AG
ZENTIVA AS

SLOVACIA

ROMANIA
ROMANIA

CUTIE X 10 FIOLE X 2 ML SOL. INJ/CONC PT.SOL. PERF. P-RF

CUTIE X 5 FIOLE X 2 ML

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 1 FLAC. X 50 COMPR.


CUTIE X 1 FLAC. X 30 COMPR.
CUTIE X 2 BLIST. AL/PVC 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 1 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 CU 1 BLIST. PVC/AL X 10 CAPS.
CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

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

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

GERMANIA CUTIE X 1 BLIST. X 10 COMPR. ELIB. MODIF. P-RF


SLOVACIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF

KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 3 BLIST. AL/PVC X 10 COMPR. ELIB. PREL. PRF

ZENTIVA AS
ZENTIVA AS

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


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

LANNACHER HEILMITTEL GES.M.B.H.

AUSTRIA

ZENTIVA AS

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

P-RF

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


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

P-RF

LANNACHER HEILMITTEL GES.M.B.H.


LANNACHER HEILMITTEL GES.M.B.H.

GRUNENTHAL GMBH GERMANIA


GRUNENTHAL GMBH GERMANIA

P-RF
P-RF

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

CUTIE X 1 BLIST. AL/PVDC X 10 COMPR. FILM. CU ELIB. PREL.

PRF
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

ZENTIVA, A.S.

REPUBLICA SLOVACA

Pagina 21 din 189

CUTIE CU 1 BLIST. OPA-AL-PVC/AL X 10 COMPR. ORODISPERSABILE

PRF

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

20
20
5
6
10
20
20
10
20
20
30
20
20
20
14
5
10
10
5
6
10
50
30
40
10
50
20
20
10
20
20
20
10
20
20
20
10
30
30
30
30
30
30
30
30
10
10
30
10
30
10

9.65
9.65
15.12
9.46
11.93
16.49
26.32
15.13
15.02
9.03
13.20
11.62
7.89
7.15
13.36
5.70
11.36
11.36
9.63
4.10
6.53
8.23
12.87
5.76
14.70
66.75
5.61
5.82
3.85
7.67
7.67
9.00
3.85
5.61
7.67
7.67
6.30
18.89
18.91
18.89
27.55
33.41
27.55
34.30
10.65
9.69
22.03
41.57
28.18
53.20
3.84

Pret
amanuntul
maximal/UT
(RON)

0.482500
0.482500
3.024000
1.576666
1.193000
0.824500
1.316000
1.513000
0.751000
0.451500
0.440000
0.581000
0.394500
0.357500
0.954285
1.140000
1.136000
1.136000
1.926000
0.683333
0.653000
0.164600
0.429000
0.144000
1.470000
1.335000
0.280500
0.291000
0.385000
0.383500
0.383500
0.450000
0.385000
0.280500
0.383500
0.383500
0.630000
0.629666
0.630333
0.629666
0.918333
1.113666
0.918333
1.143333
0.355000
0.969000
2.203000
1.385666
2.818000
1.773333
0.384000

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

0.225675
0.225675
2.570850
0.664200
0.494699
0.742050
0.989399
0.989399
0.742050
0.451500
0.440000
0.494699
0.394500
0.247349
0.954285
1.140000
1.136000
0.570000
1.140000
0.660583
0.653000
0.148399
0.429000
0.144000
1.368750
1.335000
0.280500
0.283348
0.283348
0.283348
0.283348
0.283348
0.283348
0.280500
0.283348
0.283348
0.566699
0.566699
0.566699
0.566699
0.850049
0.850049
0.850049
1.133398
0.283348
0.566699
0.850049
0.850049
1.133398
1.133398
0.283348

0.203107
0.203107
2.313765
0.597780
0.445229
0.667845
0.890459
0.890459
0.667845
0.406350
0.396000
0.445229
0.355050
0.222614
0.858856
1.026000
1.022400
0.513000
1.026000
0.594524
0.587700
0.133559
0.386100
0.129600
1.231875
1.201500
0.252450
0.255013
0.255013
0.255013
0.255013
0.255013
0.255013
0.252450
0.255013
0.255013
0.510029
0.510029
0.510029
0.510029
0.765044
0.765044
0.765044
1.020058
0.255013
0.510029
0.765044
0.765044
1.020058
1.020058
0.255013

Nr crt.

cod ATC

1,063

N02AX02

1,064

N02AX02

1,065

N02AX02

1,066

N02AX02

1,067

N02AX02

1,068

N02AX02

1,069

N02AX02

1,070

N02CC01

1,071

N02CC01

1,072

N02CC01

1,073

N02CC01

1,074

N02CC01

1,075

N02CC01

1,076

N02CC01

1,077

N02CC01

1,078

N03AF01

1,079

N03AF01

1,080

N03AF01

1,081

N03AF01

1,082

N03AF01

1,083

N03AF01

1,084

N03AF01

1,085

N03AF01

1,086

N03AF01

1,087

N03AF01

1,088

N03AF01

1,089

N03AF01

1,090

N03AF01

1,091

N03AF01

1,092

N03AF01

1,093

N03AF01

1,094

N03AF01

1,095

N03AF01

1,096

N03AF01

1,097

N03AF01

1,098

N03AF01

1,099

N03AF01

1,100

N03AF01

1,101

N03AX12

1,102

N03AX12

1,103

N03AX12

1,104

N03AX12

1,105

N03AX12

1,106

N03AX12

1,107

N03AX12

1,108

N03AX12

1,109

N03AX12

1,110

N03AX12

1,111

N03AX12

1,112

N03AX12

1,113

N03AX12

DCI

TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
SUMATRIPTANUM*
SUMATRIPTANUM*
SUMATRIPTANUM*
SUMATRIPTANUM*
SUMATRIPTANUM*
SUMATRIPTANUM*
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

Denumire Comerciala

TRAMADOL ZENTIVA 50 mg
MABRON
MABRON
TRALGIT 100
TRAMADOL
TRAMADOL
TRAMADOL
IMIGRAN DR 100 mg
IMIGRAN DR 50 mg
XIBIMER 100 mg
SUMACTA 100 mg
SUMACTA 100 mg
XIBIMER 50 mg
SUMACTA 50 mg
SUMACTA 50 mg
TEGRETOL (R) 200

forma farm.
COMPR. ORODISPERSABILE

SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SUPOZ.
COMPR. DISP.
COMPR. DISP.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

COMPR.
CARBAMAZEPINA LPH 200 mg COMPR.
CARBAVIM
COMPR.
CARBEPSIL 200
COMPR.
CARBAMAZEPIN
COMPR.
CARBAMAZEPIN EEL
COMPR.
FINLEPSIN
COMPR.
CARBAMAZEPINA ARENA 200 mg COMPR.
FINLEPSIN
COMPR.
CARBEPSIL 400
COMPR.
CARBAMAZEPINA ARENA 400 mg COMPR.
TIMONIL RETARD 150 mg
TIMONIL RETARD 300 mg
TIMONIL RETARD 600 mg

COMPR. CU ELIB. PRELUNGITA

COMPR. CU ELIBERARE PRELUNGITA

COMPR. CU ELIBERARE PRELUNGITA

NEUROTOP (R) RETARD 300 mg


NEUROTOP (R) RETARD 600 mg

TEGRETOL CR 200
FINLEPSIN 200 RETARD
TEGRETOL CR 400
FINLEPSIN 400 RETARD
FINLEPSIN 400 RETARD
FINLEPSIN 200 RETARD
TIMONIL SIROP
GABAPENTIN AUROBINDO 100 mg

GABAGAMMA 100 mg
GRIMODIN 100 mg
GABAPENTINA PFIZER 100 mg
GABAPENTINA PFIZER 100 mg

GABAPENTIN ARENA 100 mg


GABAPENTIN AUROBINDO 300 mg

GABAGAMMA 300 mg
GABARAN 300 mg
GABALEPT 300 mg
GRIMODIN 300 mg
GABAPENTINA PFIZER 300 mg
GABAPENTINA PFIZER 300 mg

COMPR. ELIB. PREL.


COMPR. 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

SUSP. ORALA

CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.

concentratie

50mg
100mg
100mg
100mg/2ml
50mg/ml
50mg/ml
100mg
100mg
50mg
100mg
100mg
100mg
50mg
50mg
50mg
200mg
200mg
200mg
200mg
200mg
200mg
200mg
200mg
200mg
400mg
400mg
150mg
300mg
600mg
300mg
600mg
200mg
200mg
400mg
400mg
400mg
200mg
100mg/5ml
100 mg
100mg
100mg
100mg
100mg
100mg
300 mg
300mg
300mg
300mg
300mg
300mg
300mg

Detinator APP

ZENTIVA, A.S.
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
ZENTIVA A.S.
KRKA D.D.
KRKA D.D.
KRKA D.D.

tara det.
APP

Ambalaj

Prescriptie

REPUBLICA SLOVACA

CUTIE CU 1 BLIST. OPA-AL-PVC/AL X 10 COMPR. ORODISPERSABILE

PRF

CIPRU
CIPRU

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
SLOVENIA
SLOVENIA
SLOVENIA

CUTIE X 5 FIOLE X 2 ML SOL. INJ.


CUTIE X 5 FIOLE X 1 ML
CUTIE X 5 FIOLE X 2 ML
CUTIE X 1 BLIST. X 5 SUPOZ.

GLAXO WELLCOME UK LIMITED

MAREA BRITANIE

CUTIE CU 1 BLIST. (OPA)-AL-PVC/AL X 2 COMPR. DISP. P-RF

GLAXO WELLCOME UK LIMITED

MAREA BRITANIE

CUTIE CU 1 BLIST. (OPA)-AL-PVC/AL X 2 COMPR. DISP. P-RF

DR. REDDY'S LABORATORIES

ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 6 COMPR. FILM.

P-RF

ACTAVIS GROUP PTC EHF.

PRF

ACTAVIS GROUP PTC EHF.

ISLANDA CUTIE CU 1 BLIST. PVC/AL X 2 COMPR. FILM.


ISLANDA CUTIE CU 2 BLIST. PVC/AL X 3 COMPR. FILM.

DR. REDDY'S LABORATORIES

ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 6 COMPR. FILM.

P-RF

ACTAVIS GROUP PTC EHF.

ISLANDA CUTIE CU 1 BLIST. PVC/AL X 2 COMPR. FILM.


ISLANDA CUTIE CU 2 BLIST. PVC/AL X 3 COMPR. FILM.

PRF

ACTAVIS GROUP PTC EHF.

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

P-RF

PRF

PRF

NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L

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

P-6L

VIM SPECTRUM SRL ROMANIA


AC HELCOR PHARMA SRL ROMANIA
SLAVIA PHARM SRL ROMANIA
BIO EEL SRL
ROMANIA
GERMANIA

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

P-6L

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


S.C. TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 5 BLIST. AL-HARTIE CERATA/PVC-PVDC X 10 COMPR.
AC HELCOR PHARMA SRL ROMANIA CUTIE X 5 BLIST. X 10 COMPR.
ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR.

P-6L

LABORMED PHARMA SA ROMANIA

AWD PHARMA GMBH & CO.KG

ARENA GROUP SA

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

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

P6L
P6L
P6L

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 5 BLIST. PVC/AL X 10 COMPR. CU ELIB. PRELUNGITA

DESITIN ARZNEIMITTEL GMBH

GERMANIA
GERMANIA

CUTIE X 5 BLIST. PVC/AL X 10 COMPR. CU ELIBERARE PRELUNGITA

AUSTRIA
AUSTRIA

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

DESITIN ARZNEIMITTEL GMBH


GEROT PHARMAZEUTIKA GMBH

CUTIE X 5 BLIST. PVC/AL X 10 COMPR. CU ELIBERARE PRELUNGITA

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

P-6L

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

P-6L

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

P-6L

NOVARTIS PHARMA GMBH GERMANIA

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

P-6L

AWD PHARMA GMBH & CO.KG

GERMANIA

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

P-6L

S.C. TEVA PHARMACEUTICALS S.R.L.

ROMANIA

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

P-6L

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

P-6L

DESITIN ARZNEIMITTEL GMBH

GERMANIA
GERMANIA

CUTIE X 1 FLACON X 250 ML SUSP.ORALA + MASURA DOZATOARE

P-6L

AUROBINDO PHARMA LIMITED

MAREA BRITANIE

CUTIE CU BLIST. DIIN POLIAMIDA/AL/PVC-AL X 50 CAPS.

P6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA

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

P-6L

GEROT PHARMAZEUTIKA GMBH

NOVARTIS PHARMA GMBH GERMANIA


S.C. TEVA PHARMACEUTICALS S.R.L.

AWD PHARMA GMBH & CO.KG

EGIS PHARMACEUTICALS P.L.C.

ROMANIA

UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 60 CAPS. P-6L


CUTIE CU BLIST. PVC/PVDC/AL X 50 CAPS. P6L

PFIZER EUROPE MA EEIG

MAREA BRITANIE

PFIZER EUROPE MA EEIG

MAREA BRITANIE

MAREA BRITANIE

CUTIE CU BLIST. PVC/PVDC/AL X 100 CAPS. P6L


P6L
CUTIE CU BLIST. POLIAMIDA/AL/PVC-AL X 50 CAPS. P6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA

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

RANBAXY UK LTD.

MAREA BRITANIE

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

ARENA GROUP S.A. ROMANIA


AUROBINDO PHARMA LIMITED

PLIVA LJUBLJANA D.O.O. SLOVENIA

CUTIE CU 6 BLIST. TRANSPARENTE PVC-PVDC/AL X 10 CAPS.

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

P-6L
P-6L

UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 60 CAPS. P-6L


PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU BLIST. PVC/PVDC/AL X 50 CAPS. P6L

EGIS PHARMACEUTICALS P.L.C.

PFIZER EUROPE MA EEIG

MAREA BRITANIE

Pagina 22 din 189

CUTIE CU BLIST. PVC/PVDC/AL X 100 CAPS. P6L

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

10
3.84
5
9.83
100 134.56
5 12.28
5
4.93
5 13.10
5
5.58
2 44.81
2 25.36
6 58.12
2 20.02
6 58.12
6 41.45
2 14.28
6 41.47
50 17.38
50 11.31
50 11.31
50 11.31
20
4.96
20
4.50
50 11.31
20
4.96
50 11.31
50 26.26
20 10.51
50 15.16
50 20.62
50 36.53
50 20.68
50 36.59
50 19.17
50 12.43
30 25.35
50 25.27
50 25.27
50 12.43
1 22.51
50
7.20
100 60.61
60 33.34
50 22.54
100 43.63
60 23.56
50 21.80
100 133.56
50 65.96
100 133.09
60 63.62
50 47.92
100 91.03

Pret
amanuntul
maximal/UT
(RON)

0.384000
1.966000
1.345600
2.456000
0.986000
2.620000
1.116000
22.405000
12.680000
9.686666
10.010000
9.686666
6.908333
7.140000
6.911666
0.347600
0.226200
0.226200
0.226200
0.248000
0.225000
0.226200
0.248000
0.226200
0.525200
0.525500
0.303200
0.412400
0.730600
0.413600
0.731800
0.383400
0.248600
0.845000
0.505400
0.505400
0.248600
22.510000
0.144000
0.606100
0.555666
0.450800
0.436300
0.392666
0.436000
1.335600
1.319200
1.330900
1.060333
0.958400
0.910300

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

0.283348
1.769400
1.345600
1.769400
0.884697
1.769400
1.116000
9.929166
4.964583
9.686666
9.929166
9.686666
4.964583
4.964583
4.964583
0.230533
0.226200
0.226200
0.226200
0.230533
0.225000
0.226200
0.230533
0.226200
0.461066
0.461066
0.172900
0.345800
0.691600
0.345800
0.691600
0.230533
0.230533
0.461066
0.461066
0.461066
0.230533
22.510000
0.144000
0.288282
0.288282
0.288282
0.288282
0.288282
0.436000
0.864853
0.864853
0.864853
0.864853
0.864853
0.864853

0.255013
1.592460
1.211040
1.592460
0.796227
1.592460
1.004400
8.936249
4.468124
8.717999
8.936249
8.717999
4.468124
4.468124
4.468124
0.207479
0.203580
0.203580
0.203580
0.207479
0.202500
0.203580
0.207479
0.203580
0.414959
0.414959
0.155610
0.311220
0.622440
0.311220
0.622440
0.207479
0.207479
0.414959
0.414959
0.414959
0.207479
20.259000
0.129600
0.259453
0.259453
0.259453
0.259453
0.259453
0.392400
0.778367
0.778367
0.778367
0.778367
0.778367
0.778367

Nr crt.

cod ATC

1,114

N03AX12

1,115

N03AX12

1,116

N03AX12

1,117

N03AX12

1,118

N03AX12

1,119

N03AX12

1,120

N03AX12

1,121

N03AX12

1,122

N03AX12

1,123

N03AX12

1,124

N03AX12

1,125

N03AX12

1,126

N03AX12

1,127

N05AD01

1,128

N05AD01

1,129

N05AD01

1,130

N05AD01

1,131

N05AD01

1,132

N05AD01

1,133

N05AD01

1,134

N05AD01

1,135

N05BA01

1,136

N05BA01

1,137

N05BA01

1,138

N05BA01

1,139

N05BA01

1,140

N05BA01

1,141

N05BA01

1,142

N05BA03

1,143

N05BA03

1,144

N05BA03

1,145

N05BA03

1,146

N05BA06

1,147

N05BA08

1,148

N05BA08

1,149

N05BA08

1,150

N05BA08

1,151

N05BA08

1,152

N05BA12

1,153

N05BA12

1,154

N05BA12

1,155

N05BA12

1,156

N05BA12

1,157

N05BA12

1,158

N05BA12

1,159

N05BA12

1,160

N05BA12

1,161

N05BA12

1,162

N05BA12

1,163

N05BA12

1,164

N05BA12

DCI

GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
DIAZEPAMUM
DIAZEPAMUM
DIAZEPAMUM
DIAZEPAMUM
DIAZEPAMUM
DIAZEPAMUM
DIAZEPAMUM
MEDAZEPAMUM*
MEDAZEPAMUM*
MEDAZEPAMUM*
MEDAZEPAMUM*
LORAZEPAMUM*
BROMAZEPAMUM*
BROMAZEPAMUM*
BROMAZEPAMUM*
BROMAZEPAMUM*
BROMAZEPAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*

Denumire Comerciala

forma farm.

GABAPENTIN ARENA 300 mg CAPS.


GABAPENTIN AUROBINDO 400 mg CAPS.
GABAGAMMA 400 mg
CAPS.
GABARAN 400 mg
CAPS.
GABALEPT 400 mg
CAPS.
GRIMODIN 400 mg
CAPS.
GABAPENTINA PFIZER 400 mg CAPS.
GABAPENTINA PFIZER 400 mg CAPS.
GABAPENTIN ARENA 400 mg CAPS.
GABARAN 600 mg
COMPR. FILM.
GRIMODIN 600 mg
COMPR. FILM.
GABARAN 800 mg
COMPR. FILM.
GRIMODIN 800 mg
COMPR. FILM.
HALOPERIDOL LAROPHARM 0,5 mg COMPR.
HALOPERIDOL ARENA 1 mg COMPR.
HALOPERIDOL ARENA 2 mg COMPR.
HALDOL
COMPR.

tara det.
concentratie
APP
Detinator APP
300mg
ARENA GROUP S.A. ROMANIA

400 mg
400mg
400mg
400mg
400mg
400mg
400mg
400mg
600mg
600mg
800mg
800mg
0,5mg
1mg
2mg
5mg
HALOPERIDOL ROMPHARM 2 mg/ml PIC. OFT., SOL. 2 mg/ml
HALOPERIDOL 2 mg/ml
PIC. ORALE-SOL. 2mg/ml
HALOPERIDOL DECANOAT SOL. INJ.
50mg/ml
HALOPERIDOL RICHTER 5 mg/ml SOL. INJ.
5mg/ml
DIAZEPAM 10 mg
COMPR.
10mg
DIAZEPAM
COMPR.
10mg
DIAZEPAM LAROPHARM 10 mg COMPR.
10mg
DIAZEPAM 10 mg
SOL. INJ.
10mg/2ml
DIAZEPAM 5 mg/ml
SOL. INJ.
10mg/2ml
DIAZEPAM DESITIN (R) SOLUTIE RECTALA 10 mg SOL. RECTALA 10mg/2,5ml
DIAZEPAM DESITIN (R) SOLUTIE RECTALA 5 mg SOL. RECTALA 5mg/2,5ml
MEDAZEPAM
COMPR.
10 mg
MEDAZEPAM
COMPR.
10 mg
MEDAZEPAM 10 mg
COMPR.
10mg
MEDAZEPAM LPH 10 mg
COMPR.
10mg
ANXIAR (R) 1 mg
COMPR.
1 mg
BROMAZEPAM LPH 1,5 mg COMPR.
1,5mg
LEXOTAN
COMPR.
3mg
BROMAZEPAM LPH 3 mg
COMPR.
3mg
BROMAZEPAM SLAVIA 3 mg COMPR.
3mg
BROMAZEPAM ARENA 3 mg COMPR.
3mg
XANAX 0,25 mg
COMPR.
0,25mg
ALPRAZOLAM LPH (R) 0,25 mg COMPR.
0,25mg
PRAZOLEX (R) 0,25 mg
COMPR.
0,25mg
FRONTIN 0,25 mg
COMPR.
0,25mg
ALPRAZOLAM ATB 0,25 mg COMPR.
0,25mg
ALPRAZOLAM ATB 0,25 mg COMPR.
0,25mg
ALPRAZOLAM ATB 0,25 mg COMPR.
0,25mg
XANAX 0,5 mg
COMPR.
0,5mg
ALPRAZOLAM LPH (R) 0,5 mg COMPR.
0,5mg
FRONTIN 0,5 mg
COMPR.
0,5mg
PRAZOLEX (R) 0,5 mg
COMPR.
0,5mg
ALPRAZOLAM ATB 0,5 mg COMPR.
0,5mg
ALPRAZOLAM ATB 0,5 mg COMPR.
0,5mg

Ambalaj

Prescriptie

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

60
50
WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS.
P-6L 100
RANBAXY UK LTD. MAREA BRITANIE CUTIE X 5 BLIST. PVC-PVDC/AL X 10 CAPS. P-6L
50
PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L 100
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 60 CAPS. P-6L
60
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU BLIST. PVC/PVDC/AL X 50 CAPS. P6L
50
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU BLIST. PVC/PVDC/AL X 100 CAPS. P6L 100
ARENA GROUP S.A. ROMANIA CUTIE CU 6 BLIST. TRANSPARENTE PVC-PVDC/AL X 10 CAPS. P6L
60
RANBAXY UK LTD. MAREA BRITANIE CUTIE X 3 BLIST. AL-PVC-PA/AL X 10 COMPR. FILM. P-6L
30
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. P-6L
60
RANBAXY UK LTD. MAREA BRITANIE CUTIE X 3 BLIST. AL-PVC-PA/AL X 10 COMPR. FILM. P-6L
30
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. P-6L
60
LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
20
ARENA GROUP S.A. ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. PRF
30
ARENA GROUP S.A. ROMANIA CUTIE X 3 BLISTERE PVC/AL X 10 COMPRIMATE PRF
30
JANSSEN PHARMACEUTICA N.V. BELGIA
CUTIE X 1 BLIST. AL/PVC X 25 COMPR. P-RF
25
ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 FLACON PEJD CU PICURATOR PEJD X 10 ML PIC. OFT., SOL. PRF
1
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 FLACON PICURATOR X 10ML PICATURI ORALE-SOLUTIE P-RF
1
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 5 FIOLE X 1 ML
P-RF
5
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 1 ML SOL. INJ. P-RF
5
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
P-RF
20
TERAPIA SA
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF
30
LAROPHARM SRL
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
20
TERAPIA SA
ROMANIA CUTIE X 5 FIOLE X 2 ML
S/P-RF
5
TERAPIA SA
ROMANIA CUTIE X 5 FIOLE X 2 ML
S/P-RF
5
DESITIN
GERMANIA CUTIE X 5 PUNGI X 1 TUB X 2,5 ML + CANULA S/P-RF
5
DESITIN
GERMANIA CUTIE X 5 PUNGI X 1 TUB X 2,5 ML + CANULA S/P-RF
5
ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
20
ARENA GROUP SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-RF
50
LAROPHARM SRL
ROMANIA CUTIE X 1 BLIST. X 20 COMPR.
P-RF
20
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
20
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 25 COMPR. P-RF
50
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
20
ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF
30
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
20
SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF
10
ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. P-RF
10
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF
30
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
P-RF
20
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF
30
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 30 COMPR.
P-RF
30
ANTIBIOTICE S.A.
ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. PRF
10
ANTIBIOTICE S.A.
ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 COMPR. PRF
20
ANTIBIOTICE S.A.
ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. PRF
30
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF
30
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
P-RF
20
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 30 COMPR.
P-RF
30
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF
30
ANTIBIOTICE S.A.
ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. PRF
10
ANTIBIOTICE S.A.
ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 COMPR. PRF
20
AUROBINDO PHARMA LIMITED

MAREA BRITANIE

Pagina 23 din 189

P6L
CUTIE CU BLIST. POLIAMIDA/AL/PVC-AL X 50 CAPS. P6L

CUTIE CU 6 BLIST. TRANSPARENTE PVC-PVDC/AL X 10 CAPS.

51.89
28.81
175.18
72.72
169.16
85.96
64.12
121.79
64.86
65.21
123.68
104.24
197.38
3.24
7.72
10.80
17.94
4.31
6.66
44.52
12.48
1.99
4.01
2.08
10.48
10.48
32.62
25.99
2.45
5.61
3.05
2.47
6.70
2.14
7.16
3.10
2.20
1.54
5.65
2.68
4.35
4.93
1.22
2.45
3.67
8.94
4.24
7.46
5.79
1.93
3.87

Pret
amanuntul
maximal/UT
(RON)

0.864833
0.576200
1.751800
1.454400
1.691600
1.432666
1.282400
1.217900
1.081000
2.173666
2.061333
3.474666
3.289666
0.162000
0.257333
0.360000
0.717600
4.310000
6.660000
8.904000
2.496000
0.099500
0.133666
0.104000
2.096000
2.096000
6.524000
5.198000
0.122500
0.112200
0.152500
0.123500
0.134000
0.107000
0.238666
0.155000
0.220000
0.154000
0.188333
0.134000
0.145000
0.164333
0.122000
0.122500
0.122333
0.298000
0.212000
0.248666
0.193000
0.193000
0.193500

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

0.864833
0.576200
1.153140
1.153140
1.153140
1.153140
1.153140
1.153140
1.081000
1.729711
1.729711
2.306281
2.306281
0.081000
0.162000
0.324000
0.717600
4.310000
3.240000
8.904000
1.162619
0.099500
0.133666
0.104000
2.096000
2.096000
6.524000
5.198000
0.122500
0.112200
0.123637
0.123500
0.098909
0.037091
0.074182
0.074182
0.074182
0.074182
0.061818
0.061818
0.061818
0.061818
0.061818
0.061818
0.061818
0.123637
0.123637
0.123637
0.123637
0.123637
0.123637

0.778349
0.518580
1.037826
1.037826
1.037826
1.037826
1.037826
1.037826
0.972900
1.556739
1.556739
2.075652
2.075652
0.072900
0.145800
0.291600
0.645840
3.879000
2.916000
8.013600
1.046357
0.089550
0.120299
0.093600
1.886400
1.886400
5.871600
4.678200
0.110250
0.100980
0.111273
0.111150
0.089018
0.033381
0.066763
0.066763
0.066763
0.066763
0.055636
0.055636
0.055636
0.055636
0.055636
0.055636
0.055636
0.111273
0.111273
0.111273
0.111273
0.111273
0.111273

Nr crt.

cod ATC

1,165

N05BA12

1,166

N05BA12

1,167

N05BA12

1,168

N05BA12

1,169

N05BA12

1,170

N05BA12

1,171

N05BA12

1,172

N05BA12

1,173

N05CD02

1,174

N05CD02

1,175

N05CD02

1,176

N05CF01

1,177

N05CF01

1,178

N05CF02

1,179

N05CF02

1,180

N05CF02

1,181

N05CF02

1,182

N05CF02

1,183

N05CF02

1,184

N05CF02

1,185

N05CF02

1,186

N06AA04

1,187

N06AA04

1,188

N06AA09

1,189

N06AA12

1,190

N06AB03

1,191

N06AB03

1,192

N06AB03

1,193

N06AB03

1,194

N06AB03

1,195

N06AB04

1,196

N06AB04

1,197

N06AB04

1,198

N06AB04

1,199

N06AB04

1,200

N06AB05

1,201

N06AB05

1,202

N06AB05

1,203

N06AB05

1,204

N06AB05

1,205

N06AB05

1,206

N06AB06

1,207

N06AB06

1,208

N06AB06

1,209

N06AB06

1,210

N06AB06

1,211

N06AB06

1,212

N06AB06

1,213

N06AB06

1,214

N06AB06

1,215

N06AB06

DCI

ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
NITRAZEPAMUM
NITRAZEPAMUM
NITRAZEPAMUM
ZOPICLONUM*
ZOPICLONUM*
ZOLPIDEMUM*
ZOLPIDEMUM*
ZOLPIDEMUM*
ZOLPIDEMUM*
ZOLPIDEMUM*
ZOLPIDEMUM*
ZOLPIDEMUM*
ZOLPIDEMUM*
CLOMIPRAMINUM*
CLOMIPRAMINUM*
AMITRIPTYLINUM*
DOXEPINUM*
FLUOXETINUM*
FLUOXETINUM*
FLUOXETINUM*
FLUOXETINUM*
FLUOXETINUM*
CITALOPRAMUM**
CITALOPRAMUM**
CITALOPRAMUM**
CITALOPRAMUM**
CITALOPRAMUM**
PAROXETINUM*
PAROXETINUM*
PAROXETINUM*
PAROXETINUM*
PAROXETINUM*
PAROXETINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*

Denumire Comerciala

ALPRAZOLAM ATB 0,5 mg


XANAX 1 mg
ALPRAZOLAM LPH (R) 1 mg
PRAZOLEX (R) 1 mg
FRONTIN 1mg
ALPRAZOLAM ATB 1 mg
ALPRAZOLAM ATB 1 mg
ALPRAZOLAM ATB 1 mg
NITRAZEPAM LPH (R) 2,5 mg
NITRAZEPAM LPH (R) 5 mg
NITRAZEPAM 5 mg
SONLAX 7,5 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
ONIRIA 10 mg/ml
ANAFRANIL (R) 10 mg
ANAFRANIL (R) 25 mg

forma farm.

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.
PIC. ORALE, SOL.

DRAJ.
DRAJ.

AMITRIPTILINA ARENA 25 mg COMPR. FILM.

DOXEPIN 25 mg
FLUOXIN 20 mg
FLUOXIN 20 mg
MAGRILAN 20 mg
ROFLUXIN 20 mg
PROZAC 20 mg
LINISAN 10 mg
DALSAN 10 mg
LINISAN 20 mg
DALSAN 20 mg
DALSAN 40 mg
ARKETIS
PAROXETIN ATB 20 mg
SEROXAT 20 mg
PAXETIN 20 mg
PALUXETIL 20 mg
PALUXETIL 40 mg
SERLIFT 100 mg
ASENTRA (R)
SERTRALINA 100 mg
SETALOFT 100 mg
XIMPROVE 100 mg
ZOLOFT 100 mg
ADJUVIN 100 mg
STIMULOTON 100 mg
SERTRALINA ARENA 100 mg
SERLIFT 50 mg

DRAJ.
CAPS.
CAPS.
CAPS.
CAPS.
COMPR. DISP.
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.

concentratie

0,5mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
2,5mg
5mg
5mg
7,5 mg
7,5mg
10mg
10mg
10mg
10mg
10mg
10mg
5mg
10mg/ml
10mg
25mg
25mg
25mg
20mg
20mg
20mg
20mg
20mg
10mg
10mg
20mg
20mg
40mg
20mg
20 mg
20mg
20mg
20mg
40mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
50mg

ANTIBIOTICE S.A.

tara det.
APP
Ambalaj
ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. PRF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

Detinator APP

Prescriptie

LABORMED PHARMA SA ROMANIA

ROMANIA
EGIS PHARMACEUTICALS P.L.C. UNGARIA
ANTIBIOTICE S.A.
ROMANIA
ANTIBIOTICE S.A.
ROMANIA
ANTIBIOTICE S.A.
ROMANIA
LABORMED PHARMA SA ROMANIA
LABORMED PHARMA SA ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
GEDEON RICHTER ROMANIA SA

AS GRINDEKS
SANOFI AVENTIS
LEK PHARMACEUTICALS D.D.
LEK PHARMACEUTICALS D.D.

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


CUTIE X 2 BLIST. X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 15 COMPR.
CUTIE X 1 FLAC. X 30 COMPR.
CUTIE CU 1 BLIST. PVC/AL X 10 COMPR.
CUTIE CU 2 BLIST. PVC/AL X 10 COMPR.
CUTIE CU 3 BLIST. PVC/AL X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

LETONIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.


FRANTA CUTIE X 1 BLIST. AL/PVC X 20 COMPR. FILM.
SLOVENIA CUTIE X 1 BLIST. X 10 COMPR. FILM.
SLOVENIA CUTIE X 2 BLIST. X 10 COMPR. FILM.

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

PRF
PRF
PRF
P-RF
P-RF
P-RF

PRF
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.

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM.
ITF PHARMA KERESKEDELMI ES SZOLGALTATO KFT.

UNGARIA

CUTIE CU 1 FLACON DIN STICLA BRUNA CU CAPACITATEA DE 30 ML CU PIC. ORALE, SOL.+PIPETA

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

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


GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 DRAJ.

P-RF

ARENA GROUP S.A.


TERAPIA SA
VIM SPECTRUM SRL
VIM SPECTRUM SRL
MEDOCHEMIE LTD.
ANTIBIOTICE S.A.
ELI LILLY SA

ROMANIA
ROMANIA
ROMANIA
ROMANIA

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

P-RF

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


CUTIE X 2 BLIST. PVC/AL X 7 CAPS.
CUTIE X 4 BLIST. PVC/AL X 7 CAPS.
CIPRU
CUTIE X 3 BLIST. AL/PVC X 10 CAPS.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
SPANIA CUTIE X 2 BLIST. PVC-PE-ACLAR/AL X 14 COMPR. DISP.

P-RF

GEDEON RICHTER ROMANIA SA

ROMANIA
UNGARIA
ROMANIA
UNGARIA
UNGARIA

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

P-RF

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

P-RF

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

P-RF

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

P-RF

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

P-RF

NOVARTIS PHARMA GMBH GERMANIA


NOVARTIS PHARMA GMBH

EGIS PHARMACEUTICALS P.L.C.


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

P-RF

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

MEDOCHEMIE LTD. CIPRU


CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
ANTIBIOTICE SA
ROMANIA CUTIE CU 3 BLIST. DIN PVC-PE-PVDC/AL X 10 COMPR. FILM.

P-RF

PRF

SMITHKLINE BEECHAM

MAREA BRITANIE

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


ACTAVIS GROUP HF. ISLANDA CUTIE X 3 BLIST. AL/AL X 10 COMPR. FILM.

P-RF

SANDOZ S.R.L.
SANDOZ S.R.L.
TERAPIA SA
KRKA D.D.
ARENA GROUP S.A.

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


ROMANIA CUTIE CU BLIST. DIN AL/PVC X 30 COMPR.FILM.
ROMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM.

P-RF

SLOVENIA CUTIE X 4 BLIST. X 7 COMPR. FILM.

P-RF

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

P-RF

ACTAVIS GROUP PTC EHF.

ISLANDA

P-RF

P-RF
P-RF

CUTIE CU BLISTERE DIN PVC-PVDC/AL X 28 COMPR. FILM. P-RF

DR. REDDY'S LABORATORIES

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

PFIZER EUROPE MA EEIG

MAREA BRITANIE

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

LANNACHER HEILMITTEL GES.M.B.H.

AUSTRIA

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

EGIS PHARMACEUTICALS P.L.C.

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

P-RF

ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.


TERAPIA SA
ROMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM.

P-RF

Pagina 24 din 189

P-RF
P-RF

P-RF

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

30
30
20
30
30
10
20
30
20
20
20
20
20
10
20
10
10
10
20
20
1
30
30
50
30
14
28
30
20
28
30
28
30
28
28
30
30
30
30
30
30
28
28
30
28
28
28
30
28
30
28

5.81
12.70
6.06
8.24
12.60
2.74
5.50
8.24
1.37
1.57
2.40
10.06
15.50
4.13
8.27
4.25
4.25
3.90
7.80
13.56
60.41
7.24
14.31
15.01
19.95
11.28
22.06
17.63
15.12
36.82
7.12
7.40
39.54
10.72
33.59
23.05
23.04
34.30
23.05
20.48
36.77
35.28
40.84
37.64
34.09
35.28
68.51
49.28
35.28
37.64
19.54

Pret
amanuntul
maximal/UT
(RON)

0.193666
0.423333
0.303000
0.274666
0.420000
0.274000
0.275000
0.274666
0.068500
0.078500
0.120000
0.503000
0.775000
0.413000
0.413500
0.425000
0.425000
0.390000
0.390000
0.678000
60.410000
0.241333
0.477000
0.300200
0.665000
0.805714
0.787857
0.587666
0.756000
1.315000
0.237333
0.264285
1.318000
0.382857
1.199642
0.768333
0.768000
1.143333
0.768333
0.682666
1.225666
1.260000
1.458571
1.254666
1.217500
1.260000
2.446785
1.642666
1.260000
1.254666
0.697857

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

0.123637
0.247274
0.247274
0.247274
0.247274
0.247274
0.247274
0.247274
0.055912
0.078500
0.111825
0.503000
0.513900
0.407250
0.407250
0.407250
0.407250
0.390000
0.390000
0.203625
12.217500
0.122399
0.305999
0.300200
0.305999
0.567000
0.567000
0.567000
0.567000
0.567000
0.237333
0.264285
0.567000
0.382857
1.134000
0.567000
0.567000
0.567000
0.567000
0.567000
1.134000
1.134000
1.134000
1.134000
1.134000
1.134000
1.134000
1.134000
1.134000
1.134000
0.567000

0.111273
0.222546
0.222546
0.222546
0.222546
0.222546
0.222546
0.222546
0.050320
0.070650
0.100642
0.452700
0.462510
0.366525
0.366525
0.366525
0.366525
0.351000
0.351000
0.183262
10.995750
0.110159
0.275399
0.270180
0.275399
0.510300
0.510300
0.510300
0.510300
0.510300
0.213599
0.237856
0.510300
0.344571
1.020600
0.510300
0.510300
0.510300
0.510300
0.510300
1.020600
1.020600
1.020600
1.020600
1.020600
1.020600
1.020600
1.020600
1.020600
1.020600
0.510300

Nr crt.

cod ATC

DCI

1,216

N06AB06

1,217

N06AB06

1,218

N06AB06

1,219

N06AB06

1,220

N06AB06

1,221

N06AB06

1,222

N06AB06

1,223

N06AB06

1,224

N06AB06

1,225

N06AB08

1,226

N06AB08

1,227

N06AX03

1,228

N06AX03

1,229

N06AX11

1,230

N06AX11

1,231

N06AX11

1,232

N06AX11

1,233

N06AX11

1,234

N06AX11

1,235

N06AX11

1,236

N06AX11

1,237

N06AX11

1,238

N06AX11

1,239

N06AX11

1,240

N06AX11

1,241

N06AX16

1,242

N06AX16

1,243

N06AX16

1,244

N06AX16

1,245

N06AX16

1,246

N06AX16

1,247

N06AX16

1,248

N06AX16

1,249

N06AX16

1,250

N06AX16

1,251

N06AX16

1,252

N06AX16

1,253

N06AX16

1,254

N06AX16

1,255

N06AX16

1,256

N06AX16

1,257

N06AX16

1,258

N06AX16

1,259

N06AX16

1,260

N06AX16

1,261

N06AX16

1,262

N06AX16

1,263

N06AX16

1,264

N06AX16

1,265

N06AX16

1,266

N06AX16

SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
FLUVOXAMINUM*
FLUVOXAMINUM*
MIANSERINUM*
MIANSERINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**

Denumire Comerciala

ASENTRA (R)
SERTRALINA 50 mg
SETALOFT 50 mg
XIMPROVE 50 mg
ZOLOFT 50 mg
ADJUVIN 50 mg
STIMULOTON 50 mg
SERTRALINA ARENA 50 mg
ZOLOFT 20 mg/ml
FEVARIN (R) 100
FEVARIN (R) 50
MIANSERIN 10
MIANSERIN 30
REMERON SOLTAB 30 mg
MIRTAZAPIN ARENA 15 mg
MIRZATEN (R) 30 mg
PHARMATAZ 30 mg
ESPRITAL (R) 30
MIRTAZAPIN ARENA 45 mg

forma farm.
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. FILM.

MIRTAZAPIN AUROBINDO 15 mg

COMPR. ORODISPERSABILE

MIRZATEN Q-TAB 30 mg

COMPR. ORODISPERSABILE

MIRTAZAPINA BLUEFISH 30 mg
MIRTAZAPIN AUROBINDO 30 mg

COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE

ZULIN 30 mg

COMPR. ORODISPERSABILE

MIRTAZAPIN AUROBINDO 45 mg

COMPR. ORODISPERSABILE

IVRYX 150mg
EFECTIN EP 150 mg
ELIFY EP 150 mg
IVRYX 150mg
VELAXIN 150 mg
ALVENTA 150mg
FOBILESS 150 mg
ADOXA EP 150 mg

CAPS. ELIB. PREL.

VENLAFAXINA ACTAVIS 150 mg

CAPS. ELIB. PREL.

CAPS. ELIB. PREL.


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

VENLAFAXINA ARENA EP 150 mg CAPS. ELIB. PREL.

VENLAFAXINA TERAPIA 150 mg


VENLAFAXINA TERAPIA 150 mg

CAPS. ELIB. PREL.

FOBILESS 37,5 mg

CAPS. ELIB. PREL.

CAPS. ELIB. PREL.

VENLAFAXINA ARENA EP 37,5 mg CAPS. ELIB. PREL.

IVRYX 75mg
EFECTIN EP 75 mg
ELIFY EP 75 mg
IVRYX 75mg
VELAXIN 75 mg
ALVENTA 75 mg
FOBILESS 75 mg
ADOXA EP 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.

VENLAFAXINA ACTAVIS 75 mg

CAPS. ELIB. PREL.

VENLAFAXINA ARENA EP 75 mg

CAPS. ELIB. PREL.

VENLAFAXINA TERAPIA 75 mg
VENLAFAXINA TERAPIA 75 mg

CAPS. ELIB. PREL.


CAPS. ELIB. PREL.

concentratie

50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
20mg/ml
100mg
50mg
10mg
30mg
30mg
15mg
30mg
30mg
30mg
45mg
15mg
30mg
30mg
30mg
30mg
45mg
150 mg
150 mg
150 mg
150 mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
37,5mg
37,5mg
75 mg
75 mg
75 mg
75 mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg

Detinator APP

tara det.
APP

Ambalaj

Prescriptie

KRKA D.D.
ARENA GROUP SA

SLOVENIA CUTIE X 4 BLIST. X 7 COMPR. FILM.

P-RF

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

P-RF

ACTAVIS GROUP PTC EHF.

ISLANDA

DR. REDDY'S LABORATORIES

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

PFIZER EUROPE MA EEIG

MAREA BRITANIE

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

LANNACHER HEILMITTEL GES.M.B.H.

AUSTRIA

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

CUTIE CU BLISTERE DIN PVC-PVDC/AL X 28 COMPR. FILM. P-RF

P-RF
P-RF

UNGARIA CUTIE X 3 BLIST. X 10 COMPR. FILM.


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

P-RF

ARENA GROUP SA
PFIZER EUROPE MA EEIG

MAREA BRITANIE

P-RF

EGIS PHARMACEUTICALS P.L.C.

ABBOTT HEALTHCARE PRODUCTS B.V.


ABBOTT HEALTHCARE PRODUCTS B.V.

OLANDA CUTIE X 2 BLIST. PVC/PVDC X 15 COMPR. FILM.


OLANDA CUTIE X 2 BLIST. PVC/PVDC X 15 COMPR. FILM.
CIPRU
CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.
CIPRU
CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.
OLANDA

REMEDICA LTD.
REMEDICA LTD.
NV ORGANON
ARENA GROUP S.A. ROMANIA
KRKA D.D.
SLOVENIA
ACTAVIS GROUP HF. ISLANDA
ZENTIVA KS
CEHIA
ARENA GROUP S.A. ROMANIA
AUROBINDO PHARMA LIMITED

CUTIE CU 1 FLAC. DIN STICLA BRUNA X 60 ML CONC. PT. SOL. ORALA + 1 PIPETA GRADATA

CUTIE X 5 BLIST. AL/PVC-PA-POLIESTER PERFORAT PT. ELIB. UNEI UNIT. DOZATE X 6 COMPR. DISP.

P-RF

P-RF
P-RF
P-RF/S

P-RF
P-RF

CUTIE CU 3 BLIST. ALBE OPACE DIN PVC-PVDC/AL-PVDC X 10 COMPR. FILM.

PRF

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

P-RF

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


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

P-RF

CUTIE CU 3 BLIST. ALBE OPACE DIN PVC-PVDC/AL-PVDC X 10 COMPR. FILM.

PRF

MAREA BRITANIE CUTIE CU BLIST. PA-AL-PVC/AL-POLIESTER-HARTIE X 30 COMPR. ORODISPERSABILE

P-RF

KRKA D.D. NOVO MESTO SLOVENIA

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

P-RF

BLUEFISH PHARMACEUTICALS AB

SUEDIA

CUTIE CU BLIST. PA-AL-PVC/AL-POLIESTER-HARTIE X 30 COMPR. ORODISPERSABILE

P-RF

AUROBINDO PHARMA LIMITED

MAREA BRITANIE CUTIE CU BLIST. PA-AL-PVC/AL-POLIESTER-HARTIE X 30 COMPR. ORODISPERSABILE

P-RF

ANTIBIOTICE S.A.

ROMANIA

AUROBINDO PHARMA LIMITED

MAREA BRITANIE CUTIE CU BLIST. PA-AL-PVC/AL-POLIESTER-HARTIE X 30 COMPR. ORODISPERSABILE

ROMASTRU TRADING S.R.L.

ROMANIA

PFIZER EUROPE MA EEIG

MAREA BRITANIE CUTIE CU BLIST. DIN ACLAR-PE-PVC/AL X 28 CAPS. ELIB. PREL.

CUTIE X 5 BLIST. AL/AL X 6 COMPR. ORODISPERSABILE P-RF


P-RF

CUTIE X 2 BLIST. PCV-ACLAR/AL X 14 CAPS. CU ELIB. PREL. P-RF

PRF

MEDOCHEMIE LTD. CIPRU

CUTIE CU BLIST PVC/AL X 30 CAPS.CU ELIB. PREL.

NEOLA PHARMA S.R.L. ROMANIA

CUTIE X 2 BLIST. PCV-ACLAR/AL X 14 CAPS. CU ELIB. PREL. P-RF

EGIS PHARMACEUTICALS P.L.C.

UNGARIA

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

PRF
P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 30 CAPS. ELIB. PREL. P-RF
LANNACHER HEILMITTEL GES.M.B.H.

AUSTRIA

CUTIE X BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL.

RANBAXY (UK) LIMITED

MAREA BRITANIE

CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF

ISLANDA
ARENA GROUP S.A. ROMANIA
TERAPIA S.A.
ROMANIA
TERAPIA S.A.
ROMANIA
LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA
ARENA GROUP S.A. ROMANIA
ACTAVIS GROUP PTC EHF.

P-RF

CUTIE CU BLIST. PVC/AL X 28 CAPS. CU ELIB. PREL. P-RF


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

P-RF

CUTIE CU BLIST. PVC-ACLAR/AL X 30 CAPS. ELIB. PREL. PRF

CUTIE CU BLIST. PVC-PVDC/AL X 30 CAPS. ELIB. PREL. PRF

CUTIE X BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL.

P-RF

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

P-RF

ROMASTRU TRADING S.R.L.

ROMANIA

PFIZER EUROPE MA EEIG

MAREA BRITANIE CUTIE CU BLIST. DIN ACLAR-PE-PVC/AL X 28 CAPS. ELIB. PREL.

CUTIE X 2 BLIST. PCV-ACLAR/AL X 14 CAPS. CU ELIB. PREL. P-RF

PRF

MEDOCHEMIE LTD. CIPRU

CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. PRF

NEOLA PHARMA S.R.L. ROMANIA

CUTIE X 2 BLIST. PCV-ACLAR/AL X 14 CAPS. CU ELIB. PREL. P-RF

UNGARIA

CUTIE X 2 BLIST. PVC-PVDC/AL X 14 CAPS. CU ELIB. PREL P-RF

EGIS PHARMACEUTICALS P.L.C.

KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 30 CAPS. ELIB. PREL. P-RF
LANNACHER HEILMITTEL GES.M.B.H.

AUSTRIA

CUTIE X BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL.

RANBAXY (UK) LIMITED

MAREA BRITANIE

CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF

ISLANDA
ARENA GROUP S.A. ROMANIA
TERAPIA S.A.
ROMANIA
TERAPIA S.A.
ROMANIA

ACTAVIS GROUP PTC EHF.

Pagina 25 din 189

P-RF

CUTIE CU BLIST. PVC/AL X 28 CAPS. CU ELIB. PREL. P-RF


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

P-RF

CUTIE CU BLIST. PVC-ACLAR/AL X 30 CAPS. ELIB. PREL. PRF

CUTIE CU BLIST. PVC-PVDC/AL X 30 CAPS. ELIB. PREL. PRF

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

28
30
28
28
28
30
30
30
1
30
30
100
20
30
30
30
30
30
30
30
30
30
30
30
30
28
28
30
28
28
30
30
30
28
30
30
30
30
30
28
28
30
28
28
30
30
30
28
30
30
30

22.87
20.92
18.74
19.54
36.98
26.58
20.94
20.92
65.61
48.83
25.21
46.70
26.06
82.15
24.62
37.92
36.01
13.91
63.52
24.62
37.92
37.92
38.11
37.90
63.52
23.22
58.69
40.87
23.22
38.14
40.87
40.87
40.87
23.11
40.71
40.87
40.87
17.24
24.04
17.89
35.58
25.61
17.89
23.88
25.59
19.15
25.61
17.72
25.42
25.61
25.61

Pret
amanuntul
maximal/UT
(RON)

0.816785
0.697333
0.669285
0.697857
1.320714
0.886000
0.698000
0.697333
65.610000
1.627666
0.840333
0.467000
1.303000
2.738333
0.820666
1.264000
1.200333
0.463666
2.117333
0.820666
1.264000
1.264000
1.270333
1.263333
2.117333
0.829285
2.096071
1.362333
0.829285
1.362142
1.362333
1.362333
1.362333
0.825357
1.357000
1.362333
1.362333
0.574666
0.801333
0.638928
1.270714
0.853666
0.638928
0.852857
0.853000
0.638333
0.853666
0.632857
0.847333
0.853666
0.853666

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

0.567000
0.567000
0.567000
0.567000
0.567000
0.567000
0.567000
0.567000
13.608000
0.567000
0.283500
0.398248
1.194751
1.263833
0.631916
1.263833
1.200333
0.463666
1.895749
0.631916
1.263833
1.263833
1.263833
1.263333
1.895749
0.829285
1.277856
1.277856
0.829285
1.277856
1.277856
1.277856
1.277856
0.825357
1.277856
1.277856
1.277856
0.319464
0.319464
0.638928
0.638928
0.638928
0.638928
0.638928
0.638928
0.638333
0.638928
0.632857
0.638928
0.638928
0.638928

0.510300
0.510300
0.510300
0.510300
0.510300
0.510300
0.510300
0.510300
12.247200
0.510300
0.255150
0.358423
1.075275
1.137449
0.568724
1.137449
1.080299
0.417299
1.706174
0.568724
1.137449
1.137449
1.137449
1.136999
1.706174
0.746356
1.150070
1.150070
0.746356
1.150070
1.150070
1.150070
1.150070
0.742821
1.150070
1.150070
1.150070
0.287517
0.287517
0.575035
0.575035
0.575035
0.575035
0.575035
0.575035
0.574499
0.575035
0.569571
0.575035
0.575035
0.575035

Nr crt.

cod ATC

1,267

N06AX16

1,268

N06AX16

1,269

N06AX16

1,270

N06AX16

1,271

N06AX16

1,272

N06AX16

1,273

N07AA01

1,274

P01AB02

1,275

P01AB02

1,276

P01AB02

1,277

P01AB02

1,278

P02CA03

1,279

P02CA03

1,280

P02CA03

1,281

P02CA03

1,282

P02CA03

1,283

P02CA03

1,284

P02CE01

1,285

P02CE01

1,286

P02CE01

1,287

P02CE01

1,288

R01AD01

1,289

R03AC02

1,290

R03AC02

1,291

R03AC02

1,292

R03BA01

1,293

R03BA02

1,294

R03BA02

1,295

R03BA02

1,296

R03BA02

1,297

R03BA02

1,298

R03BA02

1,299

R03BA02

1,300

R03BB01

1,301

R03BB01

1,302

R03CC02

1,303

R03CC02

1,304

R03DA04

1,305

R03DA04

1,306

R03DA04

1,307

R03DA04

1,308

R03DA04

1,309

R05DA04

1,310

R05DA04

1,311

R05DA04

1,312

R05DA04

1,313

R05DA04

1,314

R05DA04

1,315

R06AB04

1,316

R06AE07

1,317

R06AE07

DCI

VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
NEOSTIGMINI BROMIDUM
TINIDAZOLUM
TINIDAZOLUM
TINIDAZOLUM
TINIDAZOLUM
ALBENDAZOLUM
ALBENDAZOLUM
ALBENDAZOLUM
ALBENDAZOLUM
ALBENDAZOLUM
ALBENDAZOLUM
LEVAMISOLUM
LEVAMISOLUM
LEVAMISOLUM
LEVAMISOLUM
BECLOMETASONUM*
SALBUTAMOLUM
SALBUTAMOLUM
SALBUTAMOLUM
BECLOMETASONUM*
BUDESONIDUM*
BUDESONIDUM*
BUDESONIDUM*
BUDESONIDUM*
BUDESONIDUM*
BUDESONIDUM*
BUDESONIDUM*
IPRATROPII BROMIDUM*
IPRATROPII BROMIDUM*
SALBUTAMOLUM
SALBUTAMOLUM
THEOPHYLLINUM
THEOPHYLLINUM
THEOPHYLLINUM
THEOPHYLLINUM
THEOPHYLLINUM
CODEINUM
CODEINUM
CODEINUM
CODEINUM
CODEINUM
CODEINUM
CHLORPHENAMINUM
CETIRIZINUM
CETIRIZINUM

forma farm.
Denumire Comerciala
VENLAFAXINA ARENA 37,5 mg COMPR.

tara det.
concentratie
APP
Detinator APP
Ambalaj
37,5mg
ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE- PVDC/AL X 10 COMPR.
50mg
ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE- PVDC/AL X 10 COMPR.
75mg
ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE- PVDC/AL X 10 COMPR.

VENLAFAXINA ARENA 50 mg COMPR.


VENLAFAXINA ARENA 75 mg COMPR.
ARGOFAN 150 SR
COMPR. ELIB. PREL. 150mg
ARGOFAN 75 SR
COMPR. ELIB. PREL. 75mg
VENLAFAXINA ACTAVIS 37,5 mg COMPR. FILM. 37,5 mg
NEOSTIGMINA LPH 15 mg COMPR.
15mg
TINIZOL (R) 500 mg (J01XD02) COMPR. FILM. 500mg
TIPROGYN 500 (vezi J01XD02) COMPR. FILM. 500mg
TINIZOL (R) 500 mg (J01XD02) COMPR. FILM. 500mg
TIPROGYN 500 (vezi J01XD02) COMPR. FILM. 500mg
ALBENDAZOL VIM SPECTRUM 200 mg COMPR.
200mg
ESKAZOLE
COMPR.
400mg
DUADOR 200 mg
COMPR. FILM. 200mg
ALBENDAZOL LPH 200 mg COMPR.FILM 200 mg
ZENTEL 0,4 g/10 ml
SUSP. ORALA 0,4g/10ml
VERMIGAL NOVO 400 mg
SUSP. ORALA 400mg/10ml
DECARIS 150 mg
COMPR.
150mg
LEVAMISOL ARENA 150 mg COMPR.
150mg
DECARIS 50 mg
COMPR.
50mg
LEVAMISOL ARENA 50 mg COMPR.
50mg
RINOCLENIL 100
SPRAY NAZ.,SUSP. 100mcg/doza
VENTOLIN (R)
SOL. INHAL. 5mg/ml
VENTOLIN 100 INHALER CFC-FREE SUSP. INHAL. PRESURIZATA 100mcg/doza
ASTHALIN INHALER
SUSP. INHAL. PRESURIZATA
100mcg/doza
CLENIL (R) JET 250 mcg
SOL. INHALAT PRESURIZATA 250mcg/doza
FRENOLYN 200
PULB. INHAL. 200 mcg/doza
FRENOLYN 200
PULB. INHAL. 200 mcg/doza
PULMICORT TURBUHALER 200 mcg/doza PULB. INHAL. 200mcg/doza
FRENOLYN 400
PULB. INHAL. 400 mcg/doza
FRENOLYN 400
PULB. INHAL. 400 mcg/doza
BUDIAIR 200 mcg
SOL. DE INHALAT PRESURIZATA 200 mcg/doza
BUDIAIR 200 mcg JET
SOL. DE INHALAT PRESURIZATA 200mcg/doza
IPRAXA 500mcg/2ml
500mcg/2ml
IPRAVENT INHALER 20mcg/doza SUSP. INHAL. PRESURIZATA 20mcg/doza
SALBUTAMOL EIPICO 2mg/5ml SIROP
2mg/5ml
VENTOLIN (R)
SOL. INJ.
0,5mg/ml
THEO SR 100
CAPS. ELIB. PREL. 100mg
TEOTARD (R) 200
CAPS. ELIB. PREL. 200mg
THEO SR 200
CAPS. ELIB. PREL. 200mg
THEO SR 300
CAPS. ELIB. PREL. 300mg
TEOTARD (R) 350
CAPS. ELIB. PREL. 350mg
FOSFAT DE CODEINA 15 mg COMPR.
15mg
CODEINA FOSFORICA
COMPR.
15mg
FARMACOD
COMPR.
15mg
CODEINA FOSFAT
COMPR.
15mg
CODEINA FOSFAT LPH 15 mg COMPR.
15mg
CODEINA FOSFAT MCC 15 mg COMPR.
15mg
CLORFENIRAMIN
COMPR.
4mg
CELERG
COMPR. FILM. 10 mg
LETIZEN (R) 10 mg
COMPR. FILM. 10mg
SOL. DE INHALAT PRIN NEBULIZ.

ZENTIVA A.S.
ZENTIVA A.S.
ACTAVIS S.R.L.

SLOVACIA
SLOVACIA

Prescriptie

P-RF
P-RF
P-RF

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

P-RF

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

P-RF

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

CUTIE X 4 BLIST. AL/PVC X 14 COMPR. FILM.

P-RF

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.

P-6L

GLAXO SMITHKLINE EXPORT LTD. MAREA BRITANIE

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

P-RF

ROMANIA CUTIE X 1 BLIST. X 2 COMPR. FILM.


LABORMED PHARMA S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 2 COMPR. FILM.

P-RF

GLAXOSMITHKLINE EXPORT LTD. MAREA BRITANIE CUTIE X 1 FLACON UNIDOZA DIN PVC X 10 ML SUSP. ORALA

P-RF

BIOFARM S.A.

CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 ML SUSP. ORALA

P-RF

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


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

GEDEON RICHTER ROMANIA SA

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-RF
P-RF
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

CHIESI FARMACEUTICI SPA

ITALIA

CUTIE X 1 FLACON PRESURIZAT DIN AL X 200 DOZE, PREVAZUT CU VALVA DOZATOARE + DISPOZITIV DE ADM., "SP

P-RF

MEDOCHEMIE ROMANIA SRL


MEDOCHEMIE ROMANIA SRL

ROMANIA CUTIE X 1 PUNGA X 1 INHALATOR X 100 DOZE


ROMANIA CUTIE X 1 PUNGA X 1 INHALATOR X 200 DOZE

ASTRAZENECA AB

SUEDIA

MEDOCHEMIE ROMANIA SRL

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 X 200 DOZE SOL. DE INHALAT PRESURIZATA + VALVA DOZATOARE + DISPOZITIV DE ADMINISTRA

P-RF

CHIESI FARMACEUTICI SPA

ITALIA
ITALIA

CUTIE X 1 FLACON X 200 DOZE SOL. DE INHALAT PRESURIZATA = VALVA DOZATOARE + DISPOZITIV JET DE ACTION

P-RF

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE X 20 FIOLE DIN PEJD X 2 ML SOL. DE INHALAT PRIN NEBULIZATOR

P-6L

CIPLA (UK) LIMITED

MAREA BRITANIE CUTIE X 1 FLACON AL PRESURIZAT X 200 DOZE SUSP.DE INHALAT PRESURIZATA

MEDOCHEMIE ROMANIA SRL

CHIESI FARMACEUTICI SPA

P-RF

P-RF
P-RF

CUTIE X 1 FLACON MULTIDOZA DIN PEID X 100 DOZE PULB. INHAL. P-RF

P-RF

P-6L

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

CUTIE X 1 FLAC. DIN STICLA BRUNA X 125 ML SIROP

P-6L

GLAXO WELLCOME UK LTD.

MAREA BRITANIE

CUTIE X 5 FIOLE DIN STICLA X 1 ML

P-6L

GLAXOSMITHKLINE (GSK) SRL

ROMANIA

CUTIE X 2 BLIST. PVC/PVDC-AL X 10 CAPS. ELIB. PREL. P-RF

KRKA D.D.

SLOVENIA CUTIE X 4 BLIST. AL/PVC X 10 CAPS. ELIB. PREL.

GLAXOSMITHKLINE (GSK) SRL

ROMANIA
ROMANIA

GLAXOSMITHKLINE (GSK) SRL

KRKA D.D.
SINTOFARM SA
BIO EEL SRL
FARMACOM SA
SLAVIA PHARM SRL

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.

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.

AC HELCOR PHARMA SRL

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

KRKA D.D.

SLOVENIA CUTIE X 2 BLIST. X 10 COMPR. FILM.

LABORMED PHARMA SA

MAGISTRA C & C SRL


LABORMED PHARMA SA

Pagina 26 din 189

P-RF

CUTIE X 1 BLIST. PVC/PVDC-AL X 10 CAPS. ELIB. PREL. P-RF

P-RF
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


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 24.04
0.801333
0.319464
0.287517
30 24.50
0.816666
0.425952
0.383356
30 25.42
0.847333
0.638928
0.575035
30 20.74
0.691333
0.691333
0.622199
30 15.98
0.532666
0.532666
0.479399
56 38.11
0.680535
0.319464
0.287517
20 13.73
0.686500
0.686500
0.617850
4
3.70
0.925000
0.594374
0.534936
4
3.68
0.920000
0.594374
0.534936
4
3.70
0.925000
0.594374
0.534936
4
3.68
0.920000
0.594374
0.534936
2
6.22
3.110000
3.079166
2.771249
12 71.68
5.973333
5.973333
5.375999
2
6.38
3.190000
3.079166
2.771249
2
6.39
3.195000
3.079166
2.771249
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 39.158398
1 74.98 74.980000 43.509332 39.158398
20 31.83
1.591500
1.579124
1.421211
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
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
0.162250
0.146025
25
5.13
0.205200
0.162250
0.146025
20
3.02
0.151000
0.151000
0.135900
20
3.41
0.170500
0.162250
0.146025
20
3.19
0.159500
0.159500
0.143550
20
3.65
0.182500
0.162250
0.146025
20
2.31
0.115500
0.115499
0.103949
20 21.16
1.058000
0.604687
0.544218
20 13.53
0.676500
0.604687
0.544218

DCI

Nr crt.

cod ATC

1,318

R06AE07

1,319

R06AX17

1,320

R06AX17

1,321

R06AX17

1,322

R06AX17

1,323

R06AX17

1,324

S01BC03

1,325

S01BC03

1,326

S01BC03

CETIRIZINUM
KETOTIFENUM
KETOTIFENUM
KETOTIFENUM
KETOTIFENUM
KETOTIFENUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM

1,327

S01CA05

COMBINATII (CLORAMPHENICOLUM+BETHAMETASONUM)

1,328

S01CA05

COMBINATII (CLORAMPHENICOLUM+BETHAMETASONUM)

Denumire Comerciala

ZYRTEC 10 mg/ml
H - KETOTIFEN
KETOTIFEN

forma farm.

concentratie

10mg/ml
COMPR.
1mg
COMPR.
1mg
KETOTIFEN LAROPHARM 1 mg COMPR.
1mg
KETOTIFEN LPH 1 mg
COMPR.
1mg
KETOF 1 mg/5 ml
SIROP
1mg/5ml
DICLOFENAC ROMPHARM PIC. OFT.-SOL. 1mg/ml
UNICLOPHEN (R) 0,1%
PICATURI OFT.-SOL. 0,1%
VOLTAREN OPHTHA CD
PICATURI OFT.-SOL. 0,1%
BETABIOPTAL
PICATURI OFT.SUSP. 0,2g+0,5g/100ml
BETABIOPTAL
UNG. OFT. 0,2g+0,5g/100g
PICATURI ORALE, SOL.

Detinator APP

tara det.
APP

Ambalaj

Prescriptie

UCB PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA BRUNA + PICURATOR DIN PEJD X 20 ML PIC. ORALE, SOL. P6L
AC HELCOR SRL
ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
P-6L
MAGISTRA C&C S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
P-6L
LAROPHARM SRL
ROMANIA CUTIE X 1 BLIST. AL/PVC X 20 COMPR. P-6L
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. PVC X 10 COMPR
P6L
HEXAL AG
GERMANIA CUTIE X 1 FLACON X 100 ML SIROP + MASURA DOZATOARE P-6L
ROMPHARM COMPANY SRL ROMANIA FLACON PICURATOR DIN PEJD X 5 ML PIC. OFT., SOL. P-6L
UNIMED PHARMA LTD. SLOVACIA
LABORATOIRES THEA FRANTA

CUTIE X 1 FLACON DIN PE X 10 ML PIC. OFTALMICE, SOL., PREVAZUT CU PICURATOR

P-6L

CUTIE X 1 FLAC. PEJD X 5 ML PICATURI OFT.-SOL. + PICURATOR PEJD + CAPAC CU INEL DE SIGURANTA

P-6L

THEA FARMASPA

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

ITALIA
THEA FARMACEUTICI S ITALIA

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

1
20
20
20
20
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 27 din 189

13.16
3.65
3.45
3.45
3.31
11.43
10.69
11.23
14.30
13.45
15.45

Pret
amanuntul
maximal/UT
(RON)

13.160000
0.182500
0.172500
0.172500
0.165500
11.430000
10.690000
11.230000
14.300000
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

12.093750
0.172500
0.172500
0.172500
0.165500
11.430000
9.421250
11.230000
9.421250
13.450000
13.950000

10.884375
0.155250
0.155250
0.155250
0.148950
10.287000
8.479125
10.107000
8.479125
12.105000
12.555000

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 APRILIE 2014

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

cod ATC

DCI

A02BC02

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
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM

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
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05

Denumire Comerciala

CONTROLOC 20 mg
SELTRAZ 20 mg
CONTROLOC 40mg
SELTRAZ 40 mg
ZENCOPAN 20 mg
PANTEXEL 20 mg
PANTOSAL 20 mg
NOLPAZA 20 mg
PANTOPRAZOL TEVA 20 mg
AZATOL 20 mg
PANTOPRAZOL TERAPIA 20 mg
ZENCOPAN 40 mg
PANTEXEL 40 mg
PANTOSAL 40 mg
NOLPAZA 40mg
PANTOPRAZOL TEVA 40 mg
PANTOPRAZOL TERAPIA 40 mg
PANTOPRAZOL TERAPIA 40 mg
PANTOPRAZOL MACLEODS 40 mg
PANTOPRAZOL ATB 40 mg
AZATOL 40 mg
GESOFLUX 20 mg
GESOFLUX 40 mg
NOLPAZA 40 mg
CONTROLOC 40mg
PANTOPRAZOL TEVA 40 mg
EMANERA 20 mg
EMANERA 20 mg
HELIDES 20 mg
MESOPRAL 20 mg
EMANERA 40 mg
EMANERA 40 mg
HELIDES 40 mg
MESOPRAL 40 mg
NEXIUM 20 mg
ESOMEPRAZOL SANDOZ 20 mg
ESOMEPRAZOL TORRENT 20 mg
ESOMEPRAZOL TEVA 20 mg
PRAGASTROL 20 mg
NEXIUM 40 mg
ESOMEPRAZOL SANDOZ 40 mg
ESOMEPRAZOL TORRENT 40 mg
ESOMEPRAZOL TEVA 40 mg
PRAGASTROL 40 mg
ESOMEPRAZOL TERAPIA 20mg
ESOMEPRAZOL TERAPIA 40mg

forma farm.
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. GASTROREZISTENTE
COMPR. GASTROREZISTENTE

PULB. PT. SOL. INJ.


PULB. PT. SOL. INJ.
PULB. PT. SOL. INJ. SAU PERF.

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

concentratie

20mg
20mg
40mg
40mg
20 mg
20mg
20mg
20mg
20mg
20mg
20mg
40 mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
20mg
40mg
40mg
40mg
40 mg
20mg
20mg
20mg
20mg
40mg
40mg
40mg
40mg
20mg
20mg
20mg
20mg
20mg
40mg
40mg
40mg
40mg
40mg
20mg
40mg

Detinator APP

tara det.
APP

Ambalaj

Prescriptie

NYCOMED GMBH

GERMANIA

CUTIE X 6 BLIST. AL/AL IN SUPORT DE CARTON X 5 COMPR. FILM. GASTROREZ.

P-6L

DR. REDDY'S LABORATORIES

ROMANIA

CUTIE X 2 BLIST. DIN OPA-AL-PVC/AL X 14 COMPR. FILM. GASTROREZISTENTE

P-6L

NYCOMED GMBH

GERMANIA

CUTIE X 6 BLIST. AL/AL IN SUPORT DE CARTON X 5 COMPR. FILM. GASTROREZ.

P-6L

DR. REDDY'S LABORATORIES

ROMANIA

CUTIE X 2 BLIST. DIN OPA-AL-PVC/AL X 14 COMPR. FILM. GASTROREZISTENTE

P-6L

ZENTIVA K.S.

REPUBLICA CEHA CUTIE CU BLIST. NYLON/AL/PVC/AL A CATE 28 COMPR. GASTROREZ.

P6L

GEDEON RICHTER ROMANIA SA

ROMANIA

P-6L

NYCOMED GMBH

GERMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. GASTROREZ. P-6L

CUTIE X 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. GASTROREZ

KRKA D.D., NOVO MESTO SLOVENIA

CUTIE X 2 BLIST. OPA-AL-PVC/AL X 15 COMPR. GASTR.

P-6L

ROMANIA
NEOLA PHARMA SRL ROMANIA
TERAPIA S.A.
ROMANIA

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

ZENTIVA K.S.

REPUBLICA CEHA CUTIE CU BLIST. NYLON/AL/PVC/AL A CATE 28 COMPR. GASTROREZ.

P6L
P6L
P6L
P6L

GEDEON RICHTER ROMANIA SA

ROMANIA

P-6L

NYCOMED GMBH

GERMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. GASTROREZ. P-6L

TEVA PHARMACEUTICALS S.R.L.

CUTIE CU BLIST. PVC-PCTFE-PVDC/AL X 28 COMPR. GASTROREZ.

CUTIE CU 3 BLIST. PA-AL-PVC/AL X 10 COMPR. GASTROREZ.

CUTIE X 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. GASTROREZ

KRKA D.D., NOVO MESTO SLOVENIA

CUTIE X 2 BLIST. OPA-AL-PVC/AL X 15 COMPR. GASTR.

ROMANIA
ROMANIA
ROMANIA

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

MACLEODS PHARMA UK LIMITED MAREA BRITANIE CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. GASTROREZ.

P6L
P6L
P6L
P6L
P6L

TEVA PHARMACEUTICALS S.R.L.

TERAPIA S.A.
TERAPIA S.A.
ANTIBIOTICE SA

ROMANIA
NEOLA PHARMA SRL ROMANIA

G.L. PHARMA GMBH AUSTRIA


G.L. PHARMA GMBH AUSTRIA
KRKA D.D., NOVO MESTO SLOVENIA

CUTIE CU 3 BLIST. AL/AL X 10 COMPR. GASTROREZ.


CUTIE CU BLIST. PVC-PCTFE-PVDC/AL X 28 COMPR. GASTROREZ.

CUTIE CU BLIST. AL/AL X 30 COMPR. GASTROREZISTENTE


CUTIE CU BLIST. AL/AL X 30 COMPR. GASTROREZISTENTE

P-6L

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ.

P-RF

NYCOMED GMBH

GERMANIA CUTIE X 1 FLAC. LIOF. PT. SOL. INJ.

S/P-RF

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. SAU PERF.

PR/PRF

KRKA, D.D., NOVO MESTO SLOVENIA

CUTIE CU BLIST. OPA-AL-PE+DESICANT/AL+ PE X 14 CAPS. GASTROREZ.

P-6L

KRKA, D.D., NOVO MESTO SLOVENIA

CUTIE CU BLIST. OPA-AL-PE+DESICANT/AL+ PE X 28 CAPS. GASTROREZ.

P-6L

ZENTIVA K.S.

REPUBLICA CEHA CUTIE CU BLIST. PA-AL-PVC/AL X 28 CAPS. GASTROREZ.

P-6L

PHARMACEUTICAL WORKS POLPHARMA SA

POLONIA

CUTIE CU BLIST. PA-AL-PVC/AL X 28 CAPS. GASTROREZ.

P6L

KRKA, D.D., NOVO MESTO SLOVENIA

CUTIE CU BLIST. OPA-AL-PE+DESICANT/AL+ PE X 14 CAPS. GASTROREZ.

P-6L

KRKA, D.D., NOVO MESTO SLOVENIA

CUTIE CU BLIST. OPA-AL-PE+DESICANT/AL+ PE X 28 CAPS. GASTROREZ.

P-6L

ZENTIVA K.S.

REPUBLICA CEHA CUTIE CU BLIST. PA-AL-PVC/AL X 28 CAPS. GASTROREZ.

P-6L

PHARMACEUTICAL WORKS POLPHARMA SA

POLONIA

CUTIE CU BLIST. PA-AL-PVC/AL X 28 CAPS. GASTROREZ.

P6L

SUEDIA

CUTIE X 2 BLIST. X 7 COMPR. FILM. GASTROREZ.

P-6L

ROMANIA

CUTIE CU BLIST. AL/AL X14 COMPR. GASTROREZ. P-6L

ASTRAZENECA AB
SANDOZ SRL

TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. GASTROREZ. P6L
TEVA PHARMACEUTICALS S.R.L.

ROMANIA

ALVOGEN IPCO S.A.R.L

LUXEMBOURG CUTIE CU BLIST. AL-PVC/AL X 30 (3X10) COMPR. GASTROREZ.

P6L
P6L

ASTRAZENECA AB
SANDOZ SRL

SUEDIA

P-6L

ROMANIA
TORRENT PHARMA S.R.L. ROMANIA
TEVA PHARMACEUTICALS S.R.L. ROMANIA

CUTIE CU BLIST. AL/AL X 14 COMPR. GASTROREZ.

CUTIE X 2 BLIST. AL/PVC X 7 COMPR. FILM. GASTROREZ.

CUTIE CU BLIST. AL/AL X14 COMPR. GASTROREZ. P-6L


CUTIE CU BLIST. AL/AL X 28 COMPR. GASTROREZ.
CUTIE CU BLIST. AL/AL X 14 COMPR. GASTROREZ.

ALVOGEN IPCO S.A.R.L

LUXEMBOURG CUTIE CU BLIST. AL-PVC/AL X 30 (3X10) COMPR. GASTROREZ.

TERAPIA S.A.
TERAPIA S.A.

ROMANIA
ROMANIA

Pagina 28 din 162

P6L
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

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

30 34.83
28 22.06
30 55.68
28 31.62
28
6.38
28 22.06
28 21.91
30 21.88
30 20.43
28 22.57
30 23.39
28 11.63
28 31.62
28 31.39
30 32.77
30 36.17
10
5.93
30 19.57
28 27.57
30 32.77
28 33.80
30 22.28
30 34.10
1 19.31
1 13.39
10 190.42
14 26.47
28 37.80
28 18.38
28 51.23
14 38.71
28 55.99
28 30.80
28 73.54
14 39.41
14 30.17
28 51.18
14 18.94
30 26.75
14 59.56
14 44.12
28 73.48
14 26.58
30 47.82
14 26.47
14 38.71

Pret
amanuntul
maximal/UT
(RON)

1.161000
0.787857
1.856000
1.129285
0.227857
0.787857
0.782500
0.729333
0.681000
0.806071
0.779666
0.415357
1.129285
1.121071
1.092333
1.205666
0.593000
0.652333
0.984642
1.092333
1.207142
0.742666
1.136666
19.310000
13.390000
19.042000
1.890714
1.350000
0.656428
1.829642
2.765000
1.999642
1.100000
2.626428
2.815000
2.155000
1.827857
1.352857
0.891666
4.254285
3.151428
2.624285
1.898571
1.594000
1.890714
2.765000

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

0.673124
0.673124
1.346249
1.129285
0.227857
0.673124
0.673124
0.673124
0.673124
0.667574
0.673124
0.415357
1.129285
1.121071
1.092333
1.205666
0.593000
0.652333
0.984642
1.092333
1.207142
0.673124
1.136666
19.310000
13.390000
19.042000
0.897498
0.897498
0.656428
0.897498
1.794999
1.794999
1.100000
1.794999
0.897498
0.897498
0.897498
0.897498
0.891666
1.794999
1.794999
1.794999
1.794999
1.594000
0.897498
1.794999

Nr. crt

47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99

cod ATC
A02BC05
A02BC05
A02BC05
A02BC05

A02BX02
A02BX02
A02BX05
A03AB06
A06AD15
A06AD15

A07AA11
A07AA11
A07AA11
A07EA06
A07EA06
A07EA06
A07EA06
A07XA04
A07XA04
A07XA04
A08AB01
A08AB01
A11CC03
A11CC03
A11CC03
A11CC03

A16AX01
A16AX01
A16AX01
B01AB04
B01AB04
B01AB04
B01AB04
B01AB04
B01AB04
B01AB04
B01AB05
B01AB05
B01AB05
B01AB05
B01AB05
B01AB06
B01AB06
B01AB06
B01AB06
B01AB10
B01AB10
B01AB10
B01AB10
B01AB10
B01AB10
B01AB10
B01AB10

DCI

ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
SUCRALFATUM
SUCRALFATUM
BISMUTHI SUBCITRAS
OTILONIUM BROMIDUM
MACROGOLUM*2)
MACROGOLUM*2)
RIFAXIMINUM
RIFAXIMINUM
RIFAXIMINUM
BUDESONIDUM**
BUDESONIDUM**
BUDESONIDUM**
BUDESONIDUM**
RACECADOTRILUM
RACECADOTRILUM
RACECADOTRILUM
ORLISTATUM****
ORLISTATUM****
ALFACALCIDOLUM
ALFACALCIDOLUM
ALFACALCIDOLUM
ALFACALCIDOLUM

Denumire Comerciala

NEXIUM 10 mg
NEXIUM 40 mg
ESOMEPRAZOL SANDOZ 40 mg
ESOMEPRAZOL POLPHARMA 40 mg
GASTROFAIT
VENTER
DE - NOL
SPASMOMEN (R)
OLOPEG
OLOPEG
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
ACIDUM TIOCTICUM (ALFA-LIPOICUM)**# THIOCTACID (R) 600 HR (vezi N07XN03)
ACIDUM TIOCTICUM (ALFA-LIPOICUM)**# THIOSSEN 600 (vezi N07XN03)
ACIDUM TIOCTICUM (ALFA-LIPOICUM)**# THIOCTACID 600T (vezi N07XN03)
DALTEPARINUM**#
FRAGMIN 10000 UI/0,4 ml
DALTEPARINUM**#
FRAGMIN 12500 UI/0,5 ml
DALTEPARINUM**#
FRAGMIN15000 UI/0,6 ml
DALTEPARINUM**#
FRAGMIN 18000 UI/0,72 ml
DALTEPARINUM**#
FRAGMIN 2500 UI/0,2 ml
DALTEPARINUM**#
FRAGMIN 5000 UI/0,2 ml
DALTEPARINUM**#
FRAGMIN 7500 UI/0,3 ml
ENOXAPARINUM**#
CLEXANE 2000ui anti-Xa/0,2ml
ENOXAPARINUM**#
CLEXANE 4000ui anti-Xa/0,4ml
ENOXAPARINUM**#
CLEXANE 6000ui anti-Xa/0,6ml
ENOXAPARINUM**#
CLEXANE 8000ui anti-Xa/0,8ml
ENOXAPARINUM**#
CLEXANE 8000ui anti-Xa/0,8ml
NADROPARINUM**#
FRAXIPARINE 2850 UI anti-factor Xa/0,3 ml
NADROPARINUM**#
FRAXIPARINE 3800 UI anti-factor Xa/0,4 ml
NADROPARINUM**#
FRAXIPARINE 5700 UI anti-factor Xa/0,6 ml
NADROPARINUM**#
FRAXIPARINE 7600 UI anti-factor Xa/0,8 ml
TINZAPARINUM**#
INNOHEP
TINZAPARINUM**#
INNOHEP
TINZAPARINUM**#
INNOHEP 10000 UI ANTI-XA/ml
TINZAPARINUM**#
INNOHEP 20000 UI ANTI-Xa/ml
TINZAPARINUM**#
INNOHEP 10000 UI ANTI-XA/ml
TINZAPARINUM**#
INNOHEP 20000 UI ANTI-Xa/ml
TINZAPARINUM**#
INNOHEP 20000 UI ANTI-Xa/ml
TINZAPARINUM**#
INNOHEP 20000 UI ANTI-Xa/ml

forma farm.

concentratie

10mg
PULB. PT. SOL. INJ./PERF. 40mg
PULB. PT. SOL. INJ./PERF. 40mg
PULB. PT. SOL. PERF./INJ. 40mg
COMPR.
1g
COMPR.
1g
COMPR. FILM. 120mg
COMPR. FILM. 40mg

GRAN. GASTROREZ. PT. SUSP.ORALA

CONC. PT. SOL. ORALA

FARA CONCENTRATIE

CONC. PT. SOL. ORALA

FARA CONCENTRATIE

Detinator APP

ASTRAZENECA AB
ASTRAZENECA AB
SANDOZ S.R.L.

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

KRKA D.D.
ASTELLAS PHARMA EUROPE BV
A. MENARINI IND. FARM. RIUNITE SRL

100mg/5ml
CAPS. GASTROREZ. 3mg
GRANULE GASTROREZ. 9mg
SPUMA RECTALA 2mg/doza
SPUMA RECTALA 2mg/doza
CAPS.
100mg
PULB. PT. SOL. ORALA 10mg
PULB. PT. SOL. ORALA 30mg
CAPS.
120mg
CAPS.
120mg
CAPS. MOI 0,25mcg
CAPS. MOI 0,25g
CAPS. MOI 0,50mcg
CAPS. MOI 0,5g
COMPR. FILM. 600mg
COMPR. FILM. 600mg
SOL. INJ.
25mg/ml
SOL. INJ.
10000UI/0,4ml
SOL. INJ.
12500 UI/0,5ml
SOL. INJ.
15000ui/0,6ml
SOL. INJ.
18000 UI/0,72ml
SOL. INJ.
2500ui/0,2ml
SOL. INJ.
5000ui/0,2ml
SOL. INJ.
7500ui/0,3ml
SOL. INJ.
2000ui anti-Xa/0,2ml
SOL. INJ.
4000ui anti-Xa/0,4ml
SOL. INJ.
6000ui anti-Xa/0,6ml
SOL. INJ.
8000ui anti-Xa/0,8ml
SOL. INJ.
8000UI anti-Xa/0,8ml
SOL. INJ.
2850 ui AFXa/0,3ml
SOL. INJ.
3800 ui AFXa/0,4ml
SOL. INJ.
5700 ui AFXa/0,6ml
SOL. INJ.
7600 ui AFXa/0,8ml
SOL. INJ.
10000 U-AXa/ml
SOL. INJ.
20000 U-AXa/ml

ALFA WASSERMANN SPA

10000UI anti-XA/ml

SOL. INJ. IN FLACOANE

20000 UI anti-Xa/ml

SOL. INJ. IN SERINGI PREUMPLUTE

10000UI anti-XA/ml

SOL. INJ. IN SERINGI PREUMPLUTE

20000UI anti-Xa/ml

SOL. INJ. IN SERINGI PREUMPLUTE

20000UI anti-Xa/ml

SOL. INJ. IN SERINGI PREUMPLUTE

20000UI anti-Xa/ml

SLOVENIA

OLANDA
ITALIA

CNP PHARMA GMBH GERMANIA


CNP PHARMA GMBH GERMANIA
ALFA WASSERMANN SPA

SOL. INJ. IN FLACOANE

SUEDIA
SUEDIA

PHARMACEUTICAL WORKS POLPHARMA SA

COMPR. FILM. 200mg


COMPR. FILM. 200mg
GRAN. PT. SUSP. ORALA

tara det.
APP

ALFA WASSERMANN SPA

ITALIA
ITALIA
ITALIA

DR. FALK PHARMA GMBH GERMANIA


DR. FALK PHARMA GMBH GERMANIA

Ambalaj

28
10
PRF
10
P6L
10
CUTIE X 5 BLIST. AL/PVC X 4 COMPR. P-6L
20
CUTIE X 5 BLIST. X 10 COMPR.
P-6L
50
CUTIE X 5 BLIST. AL/AL X 8 COMPR. FILM. P-6L
40
CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L
30
PRF
1
PRF
1
CUTIE X 1 BLIST. AL/PVC X 12 COMPR. FILM. P-RF
12
CUTIE X 3 BLIST. AL/PVC A CATE 12 COMPR. FILM. P-RF
36
P-RF
1
CUTIE X 10 BLIST. PVC-PVDC/AL X 10 CAPS. CU PELETE GASTROREZ. P-RF
100
CUTIE CU 30 PLICURI PET/AL/PEJD CU GRANULE GASTROREZ. PRF
30
P-RF
1
P-RF
2
CUTIE X 2 BLIST. AL/PVC-PVDC X 10 CAPS. P-RF
20
CUTIE X 16 PLICURI X 1 G
P-RF
16
CUTIE X 16 PLICURI X 3 G
P-RF
16
CUTIE X 21 CAPS. TARI (BLISTER PVC/PE/PVDC) P-RF
21
CUTIE X 84 CAPS. TARI (BLISTER PVC/PE/PVDC) P-RF
84
CUTIE X 1 FLAC. DIN PPID X 50 CAPS. MOI P-RF
50
CUTIE CU BLIST. PVC/PVDC-AL X 30 CAPS. MOI PRF
30
CUTIE X 1 FLAC. X 30 CAPS. MOI P-RF
30
CUTIE CU BLIST. PVC/PVDC-AL X 30 CAPS. MOI PRF
30
CUTIE X 1 FLAC. X 30 COMPR. FILM. P-6L
30
CUTIE X 3 BLIST. PVC-PVDC/AL. X 10 COMPR. FILM. P-6L
30
CUTIE X 5 FIOLE X 24 ML SOL.INJ. S/P-RF
5
CUTIE X 5 BLIST. X 1 SERINGA X 0,4 ML SOL. INJ. S/P-RF
5
CUTIE X 5 BLIST. X 1 SERINGA X 0,5 ML SOL. INJ. S/P-RF
5
S/P-RF
5
CUTIE X 5 BLIST. X 1 SERINGA X 0,72 ML SOL. INJ. S/P-RF
5
S/P-RF
10
S/P-RF
10
S/P-RF
10
CUTIE X 10 SERINGI PREUMPLUTE X 0,2 ML SOL. INJ. PR/PRF
10
CUTIE X 10 SERINGI PREUMPLUTE X 0.4 ML SOL. INJ. PR/PRF
10
CUTIE X 10 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ. PR/PRF
10
CUTIE X 2 SERINGI PREUMPLUTE X 0,8 ML SOL. INJ.
PR/PRF
2
PR/PRF
6
CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,3 ML SOL. INJ.
S/P-RF
10
CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,4 ML SOL. INJ.
S/P-RF
10
CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,6 ML SOL. INJ.
S/P-RF
10
CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,8 ML SOL. INJ.
S/P-RF
10
CUTIE X 10 SERINGI PREUMPLUTE X 0.35 ML SOL. INJ. (3500 U-AXA) S/P-RF
10
CUTIE X 2 SERINGI PREUMPLUTE X 0,50 ML SOL. IN. (10000 U-AXA) S/P-RF
2
PR/PRF
10
PR/PRF
10
PR/PRF
10
PR/PRF
2
PR/PRF
2
PR/PRF
2

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

CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 5 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 15 ML CONTINAND PULB. PT. SOL. INJ./PERF.

CUTIE CU 1 FLAC. DIN PET X 500 ML CONC. PT. SOL. ORALA, INSOTIT DE UN RECIPIENT DOZATOR GRADAT

CUTIE CU 1 FLAC. DIN PET X 200 ML CONC. PT. SOL. ORALA, INSOTIT DE UN RECIPIENT DOZATOR GRADAT

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

DR. FALK PHARMA GMBH GERMANIA

CUTIE X 1 FLAC. DIN AL X 14 DOZE X 1,2G SPUMA RECTALA, 14 APLICATOARE LUBREFIANTE PVC SI 14 PUNGI PL

DR. FALK PHARMA GMBH GERMANIA

CUTIE X 2 FLAC. DIN AL X 2X14 DOZE X 1,2G SPUMA RECTALA, 2X (14 APLICATOARE PVC LUBREFIANTE SI 14 PU

LAB. FOURNIER SA FRANTA


LAB. FOURNIER SA FRANTA
LAB. FOURNIER SA FRANTA
ROCHE REGISTRATION LTD.

MAREA BRITANIE

ROCHE REGISTRATION LTD.

MAREA BRITANIE

TEVA PHARMACEUTICALS S.R.L.

SANDOZ S.R.L.

ROMANIA
ROMANIA
ROMANIA
ROMANIA

MEDA PHARMA GMBH & CO KG

GERMANIA

SANDOZ S.R.L.
TEVA PHARMACEUTICALS S.R.L.

AAA - PHARMA GMBH GERMANIA


MEDA PHARMA GMBH & CO KG

GERMANIA

PFIZER EUROPE MA EEIG

MAREA BRITANIE

PFIZER EUROPE MA EEIG

MAREA BRITANIE

PFIZER EUROPE MA EEIG

MAREA BRITANIE

PFIZER EUROPE MA EEIG

MAREA BRITANIE

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 10 BLIST. INDIVIDUALE CONTINAND FIECARE 1 SERINGA PREUMPLUTA X 0,2 ML

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 10 BLIST. INDIVIDUALE CONTINAND FIECARE 1 SERINGA PREUMPLUTA X 0,2 ML

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 10 BLIST. INDIVIDUALE CONTINAND FIECARE 1 SERINGA PREUMPLUTA X 0,3 ML

LAB. AVENTIS
LAB. AVENTIS
LAB. AVENTIS
LAB. AVENTIS

FRANTA
FRANTA
FRANTA
FRANTA
LABORATOIRE AVENTIS FRANTA
GLAXO GROUP LIMITED/GLAXO WELLCOME HOUSE

MAREA BRITANIE

GLAXO GROUP LIMITED/GLAXO WELLCOME HOUSE

MAREA BRITANIE

GLAXO GROUP LIMITED/GLAXO WELLCOME HOUSE

MAREA BRITANIE

GLAXO GROUP LIMITED/GLAXO WELLCOME HOUSE

MAREA BRITANIE

LEO PHARMA A/S


LEO PHARMA A/S
LEO PHARMA A/S
LEO PHARMA A/S
LEO PHARMA A/S
LEO PHARMA A/S
LEO PHARMA A/S
LEO PHARMA A/S

Pagina 29 din 162

DANEMARCA
DANEMARCA

Prescriptie

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

CUTIE X 5 BLIST. INDIVIDUALE CONTINAND FIECARE 1 SERINGA PREUMPLUTA X 0,6 ML SOL. INJ.

CUTIE CU 6 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 1 ML, PREVAZUTA CU A

DANEMARCA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 2 ML (20000 UI ANTI-XA) SOL. INJ., CU DOP DE CAUCIUC DE CULO

DANEMARCA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 2 ML (40000 UI ANTI-XA) SOL. INJ., CU DOP DE CAUCIUC DE CULO

DANEMARCA

CUTIE CU 10 SERINGI PREUMPLUTE X 0.45 ML (4500 UI ANTI-XA) SOL. INJ., CU DISPOZITIV DE SIGURANTA PT.

DANEMARCA

CUTIE CU 2 SERINGI PREUMPLUTE X 0,50 ML (10000 UI ANTI-XA) SOL. INJ., CU DISPOZITIV DE SIGURANTA PT.

DANEMARCA

CUTIE CU 2 SERINGI PREUMPLUTE X 0,70 ML (14000 UI ANTI-XA) SOL. INJ., CU DISPOZITIV DE SIGURANTA PT.

DANEMARCA

CUTIE CU 2 SERINGI PREUMPLUTE X 0,90 ML (18000 UI ANTI-XA) SOL. INJ., CU DISPOZITIV DE SIGURANTA PT.

Pret
amanuntul
maximal/UT
(RON)

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

174.25
6.223214
6.223214
297.47 29.747000 27.532793
193.35 19.335000 19.335000
193.35 19.335000 19.335000
6.19
0.309500
0.309500
15.95
0.319000
0.314250
39.95
0.998750
0.314250
33.57
1.119000
1.119000
44.15 44.150000 44.150000
19.03 19.030000 18.002500
33.10
2.758333
2.646666
91.26
2.535000
2.535000
19.11 19.110000 15.880014
444.55
4.445500
4.048486
419.11 13.970333 12.145471
419.11 419.110000 383.830000
744.14 372.070000 372.070000
43.59
2.179500
2.081306
41.04
2.565000
2.081306
39.13
2.445625
2.081306
92.03
4.382380
3.789970
301.77
3.592500
3.592500
33.62
0.672400
0.523333
22.97
0.765666
0.523333
31.40
1.046666
1.046666
34.01
1.133666
1.046666
68.47
2.282333
1.978474
46.05
1.535000
1.535000
120.12 24.024000 24.024000
125.97 25.194000 25.194000
170.87 34.174000 32.045000
206.87 41.374000 38.454000
235.27 47.054000 46.144800
77.59
7.759000
6.409000
142.16 14.216000 12.818000
202.99 20.299000 19.227000
64.09
6.409000
6.409000
118.84 11.884000 11.884000
144.45 14.445000 14.445000
40.14 20.070000 20.070000
127.39 21.231666 21.231666
75.42
7.542000
6.409000
103.46 10.346000
8.545331
132.46 13.246000 12.818000
189.75 18.975000 17.090662
129.10 12.910000
6.409000
73.65 36.825000 18.311423
517.40 51.740000 36.622852
1,090.55 109.055000 73.245711
155.09 15.509000
8.240141
73.65 36.825000
9.155711
98.32 49.160000 25.636000
120.16 60.080000 32.960570

Nr. crt

cod ATC

DCI

131 B01AC18

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**
TRIFLUSALUM
TRIFLUSALUM

132 B01AC30

COMBINATII (ACID ACETYLSALICYLICUM+DIPYRIDAMOLUM)**

133 B01AX05

FONDAPARINUX SODIUM**#
FONDAPARINUX SODIUM**#

100 B01AB11
101 B01AB11
102 B01AC04
103 B01AC04
104 B01AC04
105 B01AC04
106 B01AC04
107 B01AC04
108 B01AC04
109 B01AC04
110 B01AC04
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 B01AC18

134 B01AX05

135 B03AC02 COMPLEX DE HIDROXID DE FER (III) SUCROZA


136 C01EB17
137 C01EB17
138 C01EB17
139 C01EB17
140 C02AC05
141 C02AC05
142 C02AC05
143 C02AC05
144 C02AC05
145 C02AC05
146 C02AC05
147 C02AC05
148 C02AC06
149 C02AC06
150 C03DA04
151 C03DA04
152 C04AE02

IVABRADINUM**
IVABRADINUM**
IVABRADINUM**
IVABRADINUM**
MOXONIDINUM
MOXONIDINUM
MOXONIDINUM
MOXONIDINUM
MOXONIDINUM
MOXONIDINUM
MOXONIDINUM
MOXONIDINUM
RILMENIDINUM
RILMENIDINUM
EPLERENONUM*#
EPLERENONUM*#
NICERGOLINUM

Denumire Comerciala

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
CLOPIDOGREL ACTAVIS 75 mg
DEFROZYP 75 mg
TESSYRON 75 mg
CLORODEN 75 mg
CLORODEN 75 mg
CLOPIDOGREL DR. REDDY'S 75 mg
MOYTOR 75 mg
PLATEL 75 mg
PLATEL 75 mg
PLATEL 75 mg
CLOPIDOGREL TERAPIA 75 mg
PLATEL 75 mg
DEPLATT 75 mg
TROMBEX 75 mg
TROMBEX 75 mg
CLOPIDOGREL POLIPHARMA 75 mg
PLATROX 300 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
PHYSIOTENS 0,2
MOXONIDINA MYLAN 0,2 mg
MOXOGAMMA 0,3 mg
MOXONIDINA MYLAN 0,3 mg
MOXOGAMMA 0,4 mg
PHYSIOTENS 0,4
MOXONIDINA MYLAN 0,4 mg
TENAXUM
RILMENIDINA TEVA 1 mg
INSPRA 25 mg
INSPRA 50 mg
NICERIUM (R) 15

forma farm.

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.

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

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

concentratie

Detinator APP

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
300 mg
300mg
25mg/200mg
2,5mg/0,5ml
7,5mg/0,6ml
20mg/ml
5mg
5mg
7,5mg
7,5mg
0,2mg
0,2mg
0,2mg
0,3mg
0,3mg
0,4mg
0,4mg
0,4mg
1mg
1mg
25mg
50mg
15mg

ALFA WASSERMANN SPA

tara det.
APP

ITALIA
ITALIA
FRANTA
OLANDA

Ambalaj

Prescriptie

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

ALFA WASSERMANN SPA


SANOFI PHARMA - BRISTOL MYERS SQUIBB

TEVA PHARMA BV

CUTIE X 28 COMPR. FILM. (BLIST. PVC/PVDC/AL)

P-RF

ZENTIVA K.S.

FRANTA
CEHIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 30 COMPR. FILM.

P-RF

EGIS PHARMACEUTICALS P.L.C.

UNGARIA

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

P-RF

ZENTIVA K.S.
MYLAN S.A.S.

CEHIA
FRANTA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 90 COMPR. FILM.

P-RF

SANOFI PHARMA - BRISTOL MYERS SQUIBB

GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA

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

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

SANDOZ S.R.L.

ROMANIA

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

P-RF

ACTAVIS GROUP PTC EHF.

ISLANDA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM.

LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVDC/AL X 28 COMPR. FILM.

P-RF
P-RF

GEDEON RICHTER ROMANIA SA

ROMANIA

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

P-RF

IWA CONSULTING APS


IWA CONSULTING APS

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

P-RF

DR. REDDY'S LABORATORIES

ROMANIA
ROMANIA

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

CIPRU
CIPRU
CIPRU

CUTIE CU BLIST. AL/AL X 10 COMPR. FILM. P-RF

ROMANIA

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

CIPRU

CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-RF

ROMASTRU TRADING S.R.L.

MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
TERAPIA S.A.
MEDOCHEMIE LTD.

DANEMARCA CUTIE CU BLIST. PA-AL-PVC/AL (AL-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
PRF

TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.

PRF

ZENTIVA K.S.
ZENTIVA K.S.

CEHIA
CEHIA

CUTIE CU BLISTERE DIN PVC-PVDC/AL CONTINND 30 COMPRIMATE FILMATE

P-RF

CUTIE CU BLISTERE DIN PVC-PVDC/AL CONTINND 90 COMPRIMATE FILMATE

P-RF

POLIPHARMA INDUSTRIES S.R.L.

ROMANIA

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

P6L

GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA

CUTIE CU 5 BLIST. AL-PVC/PVDC X 10 CAPS. PRF

GALENICA S.A.

GRECIA CUTIE X 5 BLIST. X 10 CAPS.

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMANIA CUTIE X 1 FLAC. DIN PP X 60 CAPS. CU ELIB.MODIF. P-6L

GLAXO GROUP LTD. MAREA BRITANIE


GLAXO GROUP LTD. MAREA BRITANIE
VIFOR FRANCE S.A. FRANTA CUTIE X 5 FIOLE X 5 ML

CUTIE X 10 SERINGI PREUMPLUTE X 0,5 ML SOL. INJ., PREVAZUTE CU UN SISTEM AUTOMAT DE SIGURANTA, DE CU

CUTIE X 10 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ., PREVAZUTE CU UN SISTEM AUTOMAT DE SIGURANTA, DE CU

LES LAB. SERVIER


LES LAB. SERVIER
LES LAB. SERVIER
LES LAB. SERVIER

FRANTA
FRANTA
FRANTA
FRANTA

P-RF

P-RF
P-RF
S/P-RF

CUTIE X 28 COMPR. FILM. (BLIST. AL/PVC TIP CALENDAR)

P-6L

CUTIE X 56 COMPR. FILM. (BLIST. AL/PVC TIP CALENDAR)

P-6L

CUTIE X 56 COMPR. FILM. (BLIST. AL/PVC TIP CALENDAR)

P-6L

CUTIE X 28 COMPR. FILM. (BLIST. AL/PVC TIP CALENDAR)

P-6L

WORWAG PHARMA GMBH GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L
ABBOTT PRODUCTS GMBH GERMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 28 COMPR.FILM. P-6L

GENERICS (UK) LTD

MAREA BRITANIE

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

P6L

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.

P6L

WORWAG PHARMA GMBH GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L
ABBOTT PRODUCTS GMBH GERMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 28 COMPR.FILM. P-6L

GENERICS (UK) LTD

MAREA BRITANIE

LES LABORATOIRES SERVIER

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

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

P6L
P-6L

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

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

GERMANIA CUTIE X 3 BLIST. PP/AL X 10 CAPS. ELIB. MODIF. P-6L

Pagina 30 din 162

CUTIE X BLISTERE AL/AL (FOLIE AL CFF FORMATA LA RECE/FOLIE AL ACOPERITA LA CALD CU UN STRAT DE LAC) X 30 COMPRIMATE

P6L

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

50
10
30
28
28
28
30
28
90
28
28
28
28
28
28
28
30
28
28
30
28
10
60
90
30
28
30
30
90
30
50
50
60
10
10
5
28
56
56
28
30
28
28
30
28
30
28
28
30
30
30
30
30

102.83
78.43
359.66
37.53
37.53
57.74
17.86
37.52
52.86
79.52
79.52
37.53
37.53
37.53
37.53
37.53
40.26
68.48
68.48
40.22
37.52
13.82
76.22
114.32
51.97
37.46
40.20
17.18
49.88
40.22
58.12
84.93
63.61
233.80
653.26
149.77
160.23
240.27
260.36
160.23
21.80
32.50
13.24
25.87
20.22
33.14
43.79
26.58
41.62
27.94
185.59
185.59
27.89

Pret
amanuntul
maximal/UT
(RON)

2.056600
7.843000
11.988666
1.340357
1.340357
2.062142
0.595333
1.340000
0.587333
2.840000
2.840000
1.340357
1.340357
1.340357
1.340357
1.340357
1.342000
2.445714
2.445714
1.340666
1.340000
1.382000
1.270333
1.270222
1.732333
1.337857
1.340000
0.572666
0.554222
1.340666
1.162400
1.698600
1.060166
23.380000
65.326000
29.954000
5.722500
4.290535
4.649285
5.722500
0.726666
1.160714
0.472857
0.862333
0.722142
1.104666
1.563928
0.949285
1.387333
0.931333
6.186333
6.186333
0.929666

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

2.056600
7.843000
9.648000
1.340357
1.340357
2.062142
0.595333
1.340000
0.587333
2.412000
2.412000
1.340357
1.340357
1.340357
1.340357
1.340357
1.342000
2.412000
2.412000
1.340666
1.340000
1.382000
1.270333
1.270222
1.732333
1.337857
1.340000
0.572666
0.554222
1.340666
1.162400
1.206000
1.060166
22.176499
65.326000
29.954000
3.272517
3.272517
4.649285
4.908776
0.726666
0.866569
0.472857
0.862333
0.722142
1.104666
1.563928
0.949285
1.299855
0.931333
3.866458
6.186333
0.486749

Nr. crt

cod ATC

DCI

191 C07AB12

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**
DIOSMINUM (COMBINATII)**
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM

192 C07BB07

COMBINATII (BISOPROLOLUM+HYDROCHLOROTHIAZIDUM)

193 C07BB07

COMBINATII (BISOPROLOLUM+HYDROCHLOROTHIAZIDUM)

194 C07BB07

COMBINATII (BISOPROLOLUM+HYDROCHLOROTHIAZIDUM)

195 C07BB07

COMBINATII (BISOPROLOLUM+HYDROCHLOROTHIAZIDUM)

196 C07BB07

COMBINATII (BISOPROLOLUM+HYDROCHLOROTHIAZIDUM)

197 C07BB07

COMBINATII (BISOPROLOLUM+HYDROCHLOROTHIAZIDUM)

198 C08CA09

LACIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM

153 C04AE02
154 C04AE02
155 C04AE02
156 C04AE02
157 C04AE02
158 C04AE02
159 C04AE02
160 C04AE02
161 C04AE02
162 C04AE02
163 C04AX07
164 C04AX07
165 C04AXN1
166 C04AXN1
167 C04AXN1
168 C04AXN1
169 C04AXN1
170 C04AXN1
171 C04AXN1
172 C04AXN1
173 C04AXN1
174 C04AXN1
175 C04AXN1
176 C04AXN1
177 C04AXN1
178 C04AXN1
179 C04AXN1
180 C05CA53
181 C07AB12
182 C07AB12
183 C07AB12
184 C07AB12
185 C07AB12
186 C07AB12
187 C07AB12
188 C07AB12
189 C07AB12
190 C07AB12

199 C08CA13
200 C08CA13
201 C08CA13
202 C08CA13
203 C08CA13
204 C08CA13
205 C08CA13

Denumire Comerciala

forma farm.

NICERIUM (R) 30 UNO


NICERGOLINA LPH 10 mg
GRALIN 10 mg
SERMION
NICERGOLINA LPH 30 mg
GRALIN 30 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)
GINGIUM 40mg (vezi N06DX02 )

CAPS. ELIB. MODIF.

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.
GINKO BILOBA BIOFARM 40 mg (vezi N06DX02) COMPR. FILM.
GINKGO BILOBA BIOFARM 40 mg (vezi N06DX02) COMPR. FILM.
GINKGO BILOBA BIOFARM 40 mg (vezi N06DX02) COMPR. FILM.
TANAKAN (EGB 761) (N06DX02)
COMPR. FILM.
GINGIUM 80mg (vezi N06DX02)
COMPR. FILM.
GINKGO BILOBA BIOFARM 80 mg (vezi N06DX02) COMPR. FILM.
GINKGO BILOBA BIOFARM 80 mg (vezi N06DX02) COMPR. FILM.

TANAKAN (EGB 761) (C04AXN1)


TANAKAN (EGB 761) (C04AXN1)
DETRALEX ( R )
NEBILET (R)
NEBIVOLOL ACTAVIS 5 mg
X-PRESSOL 5 mg
NOLET 5 mg
NEBIVOLOL TEVA 5 mg
NEBIVOLOL TEVA 5 mg
NEBINORM 5 mg
NEBIVOLOL SANDOZ 5 mg
NEBIVOLOL TERAPIA 5mg
NEBIVOLOL TORRENT 5 mg
NEBICARD 5 mg
LODOZ 10 mg/6,25mg
LODOZ 10 mg/6,25mg
LODOZ 2,5mg/6,25mg
LODOZ 2,5mg/6,25mg
LODOZ 5mg/6,25mg
LODOZ 5mg/6,25mg
LACIPIL 4 mg
LERCANIDIPINA TEVA 10 mg
LERCANIDIPINA TEVA 10 mg
LERCANIDIPIN ACTAVIS 10 mg
LERIDIP
LERPIN 10 mg
KAPIDIN10 mg
PEGFEL 10 mg

PICATURI ORALE-SOL.
PICATURI ORALE-SOL.

COMPR. FILM.

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.

concentratie

30mg
10mg
10mg
30mg
30mg
30mg
5mg
10mg
30mg
30mg
30mg
10mg
120mg
40mg
40mg
80mg
120mg
40mg
40mg
40mg
40mg
40mg
80mg
80mg
80mg
40mg/ml
40mg/ml
500mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg

Detinator APP

HEXAL AG

tara det.
APP

Ambalaj

Prescriptie

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

SLAVIA PHARM S.R.L. ROMANIA CUTIE X 2 BLIST. PVC/AL X 15 COMPR. FILM.

P-6L

PFIZER EUROPE MA EEIG

P-6L

MAREA BRITANIE

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

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

SLAVIA PHARM S.R.L. ROMANIA CUTIE X 2 BLIST. PVC/AL X 15 COMPR. FILM.


SLAVIA PHARM S.R.L. ROMANIA CUTIE X 2 BLIST. PVC/AL X 15 COMPR. FILM.
HEXAL AG
GERMANIA CUTIE X 1 BLIST. AL/PVC X 25 DRAJ.
SINTOFARM SA
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 DRAJ.
SINTOFARM SA
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 DRAJ.
GLAXOSMITHKLINE (GSK) SRL ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 CAPS. CU ELIB. PREL.
BIOFARM SA
ROMANIA CUTIE X 1 BLIST. AL/PVC X 20 DRAJ.

P-6L

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

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

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

HEXAL AG
HEXAL AG
BIOFARM S.A.
BIOFARM S.A.
BIOFARM S.A.
IPSEN PHARMA
HEXAL AG
BIOFARM S.A.
BIOFARM S.A.

GERMANIA CUTIE X 3 BLIST. AL/PP X 10 COMPR. FILM.

P-6L

GERMANIA CUTIE X 3 BLIST. AL/PP X 10 COMPR. FILM.

P-6L

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


ROMANIA CUTIE X 4 BLIST. AL/PVC X 15 COMPR. FILM.
ROMANIA CUTIE X 4 BLIST. PVC-PVDC/AL X 15 COMPR. FILM.

P-6L

FRANTA

P-6L
P-6L

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

ROMANIA
ROMANIA

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 X 1 FLACON DE STICLA BRUNA X 30 ML + 1 PIPETA DIN POLIETILENA

P-6L

CUTIE X 1 FLACON DE STICLA BRUNA X 30 ML + 1 PIPETA DIN POLIETILENA

P-6L

FRANTA
IPSEN PHARMA
FRANTA
LES LAB. SERVIER IND. FRANTA

BEAUFOUR IPSEN PHARMA

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

BERLIN CHEMIE AG MENARINI GROUP

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

ACTAVIS S.R.L.

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

P-6L

LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR.

P6L

ANTIBIOTICE S.A.

P-6L

TEVA PHARMACEUTICALS S.R.L.


TEVA PHARMACEUTICALS S.R.L.

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


ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR.
ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR.

GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA

P-6L
P-6L

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

SANDOZ S.R.L.
TERAPIA S.A.

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
BIOFARM SP. ZO.O POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. P6L

MERCK KGAA
MERCK KGAA
MERCK KGAA
MERCK KGAA
5mg/6,25mg MERCK KGAA
5mg/6,25mg MERCK KGAA
4mg
GLAXO OPERATIONS UK LTD.
10 mg
TEVA PHARMACEUTICALS S.R.L.
10 mg
TEVA PHARMACEUTICALS S.R.L.
10mg
ACTAVIS GROUP PTC EHF.
10mg
BERLIN CHEMIE AG MENARINI GROUP
10mg
TORRENT PHARMA S.R.L.
10mg
ZENTIVA K.S.
10mg
DR. REDDY'S LABORATORIES

10 mg/6,25mg
10 mg/6,25mg
2,5mg/6,25mg
2,5mg/6,25mg

Pagina 31 din 162

GERMANIA CUTIE X 3 BLIST. PP/AL X 10 COMPR. FILM.

P-6L

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


MAREA BRITANIE

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

P-6L

ROMANIA
ROMANIA

CUTIE CU BLIST. DIN PVC-PVDC/AL X 60 COMPR. FILM.

P-6L

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

P-6L

ISLANDA

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

GERMANIA CUTIE X 4 BLIST. AL/PVC X 15 COMPR.FILM. P-6L

ROMANIA

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

REPUBLICA CEHA

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

ROMANIA

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

P -6L

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

30
30
30
30
30
30
30
25
30
20
10
20
60
20
60
60
30
30
30
60
60
30
30
30
60
1
1
30
28
30
30
30
28
30
30
28
28
30
28
30
30
30
30
30
30
14
60
30
30
60
28
30
28

51.38
13.45
13.45
48.31
32.45
32.45
6.76
14.11
32.39
21.59
9.26
6.72
65.18
9.58
27.50
45.29
33.74
12.48
12.30
23.51
23.51
23.17
23.51
23.17
44.84
24.88
24.88
26.39
34.55
23.20
27.09
24.87
22.80
24.44
24.87
13.84
22.65
24.59
22.93
29.46
29.46
26.29
26.29
29.46
29.46
12.80
26.92
21.09
16.18
40.07
22.99
17.77
21.76

Pret
amanuntul
maximal/UT
(RON)

1.712666
0.448333
0.448333
1.610333
1.081666
1.081666
0.225333
0.564400
1.079666
1.079500
0.926000
0.336000
1.086333
0.479000
0.458333
0.754833
1.124666
0.416000
0.410000
0.391833
0.391833
0.772333
0.783666
0.772333
0.747333
24.880000
24.880000
0.879666
1.233928
0.773333
0.903000
0.829000
0.814285
0.814666
0.829000
0.494285
0.808928
0.819666
0.818928
0.982000
0.982000
0.876333
0.876333
0.982000
0.982000
0.914285
0.448666
0.703000
0.539333
0.667833
0.821071
0.592333
0.777142

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

0.973499
0.324499
0.324499
0.973499
0.973499
0.973499
0.162249
0.324499
0.973499
0.973499
0.926000
0.315500
1.086333
0.379604
0.379604
0.754833
1.124666
0.379604
0.379604
0.379604
0.379604
0.379604
0.759208
0.759208
0.747333
24.880000
24.880000
0.879666
0.854324
0.773333
0.854324
0.829000
0.814285
0.814666
0.829000
0.494285
0.808928
0.819666
0.818928
0.902749
0.902749
0.876333
0.876333
0.902749
0.902749
0.578249
0.448666
0.578249
0.539333
0.578249
0.578249
0.578249
0.578249

cod ATC

DCI

206 C08CA13

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
PERINDOPRILUM
PERINDOPRILUM
BENAZEPRILUM
BENAZEPRILUM
BENAZEPRILUM
TRANDOLAPRILUM
TRANDOLAPRILUM
TRANDOLAPRILUM
ZOFENOPRILUM
ZOFENOPRILUM

Nr. crt

Denumire Comerciala

256 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)

LERCANIDIPIN ACTAVIS 10 mg
LERCANIDIPINA TEVA 20 mg
LERCANIDIPINA TEVA 20 mg
LERCANIDIPIN ACTAVIS 20 mg
LERIDIP 20
LERPIN 20 mg
PEGFEL 20 mg
LERCANIDIPIN ACTAVIS 20 mg
PRENESSA 2 mg
PRICORON 4 mg
COVEREX (R) 4 mg
PERINDOPRIL TEVA 4 mg
VIDOTIN 4 mg
STOPRESS 4 mg
TREZEN 4 mg
TREZEN 4 mg
PRENESSA 4 mg
PRINDEX 4 mg
PRICORON 8 mg
PERINDOPRIL TEVA 8 mg
VIDOTIN 8 mg
STOPRESS 8 mg
TREZEN 8 mg
TREZEN 8 mg
PRINDEX 8 mg
PRENESSA 8 mg
PRESTARIUM 10 mg
PERINDOPRIL TOSILAT TEVA 10 mg
PERINDOPRIL TOSILAT TEVA 2,5 mg
PRESTARIUM 5 mg
PERINDOPRIL TOSILAT TEVA 5 mg
CIBACEN (R) 10 mg
CIBACEN (R) 20 mg
CIBACEN (R) 5 mg
GOPTEN (R) 0,5 mg
GOPTEN (R) 2 mg
GOPTEN (R) 4 mg
ZOMEN (R) 30 mg
ZOMEN (R) 7,5 mg
COTREZEN 2 mg/0,625 mg
PRINDEX PLUS 2 mg/0,625 mg
CO-PRENESSA 2mg/0,625 mg
DANURIT 2 mg/0,625 mg
COTREZEN 4 mg/1,25 mg
PRINDEX PLUS 4 mg/1,25mg
PANINDORIL 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

257 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)

PERINDOPRIL TOSILAT/INDAPAMIDA TEVA 2,5 mg/0,625 mg

258 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)

NOLIPREL ARG FORTE 5mg/1,25mg

207 C08CA13
208 C08CA13
209 C08CA13
210 C08CA13
211 C08CA13
212 C08CA13
213 C08CA13
214 C09AA04
215 C09AA04
216 C09AA04
217 C09AA04
218 C09AA04
219 C09AA04
220 C09AA04
221 C09AA04
222 C09AA04
223 C09AA04
224 C09AA04
225 C09AA04
226 C09AA04
227 C09AA04
228 C09AA04
229 C09AA04
230 C09AA04
231 C09AA04
232 C09AA04
233 C09AA04
234 C09AA04
235 C09AA04
236 C09AA04
237 C09AA07
238 C09AA07
239 C09AA07
240 C09AA10
241 C09AA10
242 C09AA10
243 C09AA15
244 C09AA15

245 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)


246 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)
247 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)
248 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)
249 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)
250 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)
251 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)
252 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)
253 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)
254 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)
255 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)

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

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

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

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

concentratie

10mg
20 mg
20 mg
20mg
20mg
20mg
20mg
20mg
2mg
4 mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
8 mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
10 mg
10mg
2,5mg
5mg
5mg
10mg
20mg
5mg
0,5mg
2mg
4mg
30mg
7,5mg

Detinator APP

tara det.
APP

ACTAVIS GROUP PTC EHF.

ISLANDA

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

TEVA PHARMACEUTICALS S.R.L.

CUTIE CU BLIST. DIN PVC-PVDC/AL X 60 COMPR. FILM.

P-6L

TEVA PHARMACEUTICALS S.R.L.

ROMANIA
ROMANIA

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

P-6L

ACTAVIS GROUP PTC EHF.

ISLANDA

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

BERLIN CHEMIE AG MENARINI GROUP

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

Ambalaj

Prescriptie

TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L
DR. REDDY'S LABORATORIES

ROMANIA

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

ACTAVIS GROUP PTC EHF.

ISLANDA

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

KRKA POLSKA SP. Z.O.O.

POLONIA

CUTIE CU 1 BLIST. DIN PVC-PE-PVDC/AL X 30 COMPR.

ZENTIVA K.S.

REPUBLICA CEHA

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

UNGARIA
ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
PHARMACEUTICAL WORKS POLPHARMA SA
POLONIA
TERAPIA S.A.
ROMANIA
TERAPIA S.A.
ROMANIA
KRKA POLSKA SP. Z.O.O. POLONIA

P -6L

P-6L

EGIS PHARMACEUTICALS P.L.C.

CUTIE X 1 BLIST. AL/PVC X 30 COMPR. P-6L

TEVA PHARMACEUTICALS S.R.L.

CUTIE X 1 PUNGA DIN AL X 1 BLIST. PVC/VMCH-AL X 30 COMPR.

P-6L

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

P-6L

GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA

ZENTIVA K.S.

REPUBLICA CEHA

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

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

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


CUTIE CU 1 BLIST. PVC-PE-PVDC/AL X 30 COMPR. P-6L

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


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

ROMANIA CUTIE X 1 PUNGA DIN AL X 1 BLIST PVC/VMCH-AL X 30 COMPR. P-6L


ROMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. P-6L
PHARMACEUTICAL WORKS POLPHARMA SA
POLONIA CUTIE CU BLIST. ACLAR-PVC/AL X 30 COMPR. FILM. P-6L
TERAPIA S.A.
ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L
TERAPIA S.A.
ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L
GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. AL/AL X 30 COMPR. P-6L
KRKA POLSKA SP Z O.O. POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. P6L
TEVA PHARMACEUTICALS S.R.L.

GEDEON RICHTER ROMANIA SA

LES LAB. SERVIER IND. FRANTA CUTIE X 1 FLAC. DIN PP X 30 COMPR. FILM.
ROMANIA CUTIE CU 1 FLAC. PP X 30 COMPR. FILM.
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. PP X 30 COMPR. FILM.
LES LAB. SERVIER IND. FRANTA CUTIE X 1 FLAC. DIN PP X 30 COMPR. FILM.
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. PP X 30 COMPR. FILM.
NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM.
NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM.
NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM.
ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. X 10 CAPS.
ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. X 14 CAPS.
ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. X 14 CAPS.
TEVA PHARMACEUTICALS S.R.L.

P-6L

P6L
P6L
P-6L

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

MENARINI INTERNATIONAL OPERATIONS LUXEMBURG S.A.

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

MENARINI INTERNATIONAL OPERATIONS LUXEMBURG S.A.

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

2 mg/0,625 mg TERAPIA S.A.


ROMANIA CUTIE CU BLIST. AL/AL A CATE 30 COMPR.
2 mg/0,625mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU 1 BLIST. PVC/PVDC-AL IN AMBALAJ DE AL X 30 (30X1) COMPR.

2mg/0,625mg KRKA POLSKA SP ZO.O.


2mg/0,625mg GEDEON RICHTER ROMANIA SA
4 mg/1,25 mg TERAPIA S.A.
4 mg/1,25mg GLENMARK PHARMACEUTICALS S.R.O.
4mg/1, 25mg SANDOZ S.R.L.

P6L
P6L

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


ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 30 COMPR. P6L
ROMANIA CUTIE CU BLIST. AL/AL A CATE 30 COMPR. P6L
REPUBLICA CEHA CUTIE CU 1 BLIST. PVC/PVDC-AL IN AMBALAJ DE AL X 30 (30X1) COMPR.

P6L

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


4mg/1,25mg KRKA POLSKA SP ZO.O. POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. P-6L
4mg/1,25mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 30 COMPR. P6L
8mg/2,5mg KRKA-POLSKA SP. Z O.O. POLONIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-6L
2,5mg/0,625mg

10mg/2,5mg LES LAB. SERVIER


LES LABORATOIRES SERVIER

FRANTA
FRANTA

2,5mg/0,625mg

TEVA PHARMACEUTICALS S.R.L.

ROMANIA CUTIE CU 1 FLAC. DIN PP X 30 COMPR. FILM. P6L

5mg/1,25mg

LES LABORATOIRES SERVIER

FRANTA

Pagina 32 din 162

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

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

30
60
30
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
30
30
30
28
28
28
20
28
28
28
28
30
30
30
30
30
30
30
30
30
30
30
30
30
30

16.18
43.54
32.91
26.96
64.75
34.95
33.98
26.96
13.44
23.14
29.01
25.32
33.45
16.61
25.87
25.87
26.87
26.90
44.36
49.00
53.44
30.88
49.12
49.12
54.01
49.45
63.61
42.77
13.81
41.11
27.61
43.66
57.30
21.80
9.71
28.09
46.79
44.47
19.69
15.72
16.18
16.18
16.18
24.21
29.41
21.09
29.41
29.41
29.54
75.76
57.17
37.16
61.63

Pret
amanuntul
maximal/UT
(RON)

0.539333
0.725666
1.097000
0.898666
1.079166
1.248214
1.213571
0.898666
0.448000
0.771333
0.967000
0.844000
1.115000
0.553666
0.862333
0.862333
0.895666
0.896666
1.478666
1.633333
1.781333
1.029333
1.637333
1.637333
1.800333
1.648333
2.120333
1.425666
0.460333
1.370333
0.920333
1.559285
2.046428
0.778571
0.485500
1.003214
1.671071
1.588214
0.703214
0.524000
0.539333
0.539333
0.539333
0.807000
0.980333
0.703000
0.980333
0.980333
0.984666
2.525333
1.905666
1.238666
2.054333

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

0.539333
0.725666
1.097000
0.898666
1.079166
1.156499
1.156499
0.898666
0.178312
0.356625
0.356625
0.356625
0.356625
0.356625
0.356625
0.356625
0.356625
0.356625
0.713250
0.713250
0.713250
0.713250
0.713250
0.713250
0.713250
0.713250
0.891562
0.891562
0.222890
0.445781
0.445781
0.475499
0.950999
0.237749
0.089156
0.356625
0.713250
0.356625
0.089156
0.524000
0.539333
0.539333
0.539333
0.807000
0.824142
0.703000
0.824142
0.824142
0.824142
0.824142
0.824142
0.824142
0.824142

Nr. crt

cod ATC

DCI

Denumire Comerciala

259 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)

PRESTARIUM ARG PLUS 5mg/1,25mg

260 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)

PERINDOPRIL TOSILAT/INDAPAMIDA TEVA 5 mg/1,25 mg

261 C09BA06 COMBINATII (QUINAPRILUM+HYDROCHLOROTHIAZIDUM)

ACCUZIDE
ACCUZIDE FORTE
ENEAS
TARKA 240 mg/2 mg
TARKA 240 mg/4 mg
TARKA
VALSARTAN TEVA 160 mg
VALSARTAN TEVA 80 mg
WENZELL 160 mg
WENZELL 160 mg
VALSARGAMMA 160 mg
DIOVAN 160 mg
VALSARTAN TORRENT 160 mg
VALSACOR 160 mg
AVASSAN 160 mg
VALSARTAN ZENTIVA 160 mg
VAPRESS 160 mg
VAPRESS 160 mg
WAROTA 160 mg
DIOVAN 40 mg
AVASSAN 40 mg
VAPRESS 40 mg
VAPRESS 40 mg
WENZELL 80 mg
WENZELL 80 mg
VALSARGAMMA 80 mg
DIOVAN 80 mg
VALSARTAN TORRENT 80 mg
VALSACOR 80 mg
AVASSAN 80 mg
VALSARTAN ZENTIVA 80 mg
WAROTA 80 mg
VAPRESS 80 mg
VAPRESS 80 mg
DIOVAN 3 mg/ml
IRBESARTAN AUROBINDO 150 mg
IRBESARTAN AUROBINDO 300 mg
IRBESARTAN GALENICA 150 mg
APROVEL 150mg
IRBESARTAN WINTHROP 150mg
IRBESARTAN TERAPIA 150 mg
IRBESARTAN SANDOZ 150 mg
IRPRESTAN 150 mg
IFIRMASTA 150 mg
IRBESARTAN TEVA 150 mg
IRBESARTAN TORRENT 150 mg
ATOKKEN 150 mg
IRBESARTAN ZENTIVA 150mg
IRBESARTAN TEVA 300 mg
IRBESARTAN GALENICA 300 mg
APROVEL 300mg

262 C09BA06 COMBINATII (QUINAPRILUM+HYDROCHLOROTHIAZIDUM)


263 C09BB02 COMBINATII (NITRENDIPINUM+ENALAPRILUM)
264 C09BB10 COMBINATII (VERAPAMILUM+TRANDOLAPRILUM)
265 C09BB10 COMBINATII (VERAPAMILUM+TRANDOLAPRILUM)
266 C09BB10 COMBINATII (VERAPAMILUM+TRANDOLAPRILUM)
267 C09CA03
268 C09CA03
269 C09CA03
270 C09CA03
271 C09CA03
272 C09CA03
273 C09CA03
274 C09CA03
275 C09CA03
276 C09CA03
277 C09CA03
278 C09CA03
279 C09CA03
280 C09CA03
281 C09CA03
282 C09CA03
283 C09CA03
284 C09CA03
285 C09CA03
286 C09CA03
287 C09CA03
288 C09CA03
289 C09CA03
290 C09CA03
291 C09CA03
292 C09CA03
293 C09CA03
294 C09CA03
295 C09CA03
296 C09CA04
297 C09CA04
298 C09CA04
299 C09CA04
300 C09CA04
301 C09CA04
302 C09CA04
303 C09CA04
304 C09CA04
305 C09CA04
306 C09CA04
307 C09CA04
308 C09CA04
309 C09CA04
310 C09CA04
311 C09CA04

VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM

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

SOL. ORALA
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.

concentratie

5mg/1,25mg
5mg/1,25mg

Detinator APP

Ambalaj

Prescriptie

LES LABORATOIRES SERVIER

FRANTA

TEVA PHARMACEUTICALS S.R.L.

ROMANIA CUTIE CU 1 FLAC. DIN PP X 30 COMPR. FILM. P6L

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
160mg
160mg
160mg
40mg
40mg
40mg
40mg
80mg
80mg
80mg
80mg
80mg
80mg
80mg
80mg
80mg
80mg
80mg
3mg/ml
150mg
300mg
150 mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
300 mg
300 mg
300mg

tara det.
APP

GALENICA S.A.

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.

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

ROMASTRU TRADING S.R.L.

ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS.


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

WORWAG PHARMA GMBH & CO. KG

GERMANIA

TEVA PHARMACEUTICALS S.R.L.


TEVA PHARMACEUTICALS S.R.L.

ROMASTRU TRADING S.R.L.

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

KRKA D.D. NOVO MESTO SLOVENIA

TERAPIA S.A.
ROMANIA
ZENTIVA, K.S.
REPUBLICA CEHA
MEDOCHEMIE LTD. CIPRU
MEDOCHEMIE LTD. CIPRU

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

P6L
P6L
P6L

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

P-6L

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

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

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

P6L
P6L
P6L
P6L
P6L
P6L
P6L

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

P-6L

ROMASTRU TRADING S.R.L.

ROMANIA
ROMANIA

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

P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA

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

ALKALOID - INT D.O.O. SLOVENIA

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


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

NOVARTIS PHARMA GMBH GERMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28COMPR. FILM.

TERAPIA S.A.
ROMANIA
MEDOCHEMIE LTD. CIPRU
MEDOCHEMIE LTD. CIPRU
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.

KRKA D.D. NOVO MESTO SLOVENIA

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

TERAPIA S.A.
ZENTIVA, K.S.

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

P6L
P6L
P6L
P6L
P6L

REPUBLICA CEHA CUTIE CU BLIST. PVC-PE-PVDC (TRIPLEX)/AL X 28 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.

ROMANIA

ALKALOID - INT D.O.O. SLOVENIA

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

MEDOCHEMIE LTD. CIPRU


MEDOCHEMIE LTD. CIPRU

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

NOVARTIS PHARMA GMBH GERMANIA

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

P6L
P6L
P6L

CUTIE CU 1 FLAC. DIN STICLA BRUNA X 160 ML SOL. ORALA + 1 TRUSA DE ADMINISTRARE (ADAPTOR PT. FLAC.+1

P-6L

SANOFI PHARMA - BRISTOL MYERS SQUIBB

MALTA
MALTA
GRECIA
FRANTA
FRANTA

CUTIE X 28 COMPR. FILM. (BLIST. PVC/PVDC/AL)

P-6L

TERAPIA S.A.
SANDOZ S.R.L.

ROMANIA
ROMANIA

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

P-6L

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

P-6L

ACTAVIS GROUP PTC EHF.

ISLANDA

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

AUROBINDO PHARMA (MALTA) LIMITED


AUROBINDO PHARMA (MALTA) LIMITED

GALENICA S.A.
SANOFI PHARMA - BRISTOL MYERS SQUIBB

CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. P6L


CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. P6L
CUTIE CU BLIST. PVC/PVDC/AL A CATE 28 COMPR. FILM.

P6L

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

P-6L

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

TEVA PHARMA B.V. OLANDA

P-6L

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

TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P6L

ROMANIA

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

P6L

FRANTA
TEVA PHARMA B.V. OLANDA
GALENICA S.A.
GRECIA
SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA

CUTIE X 28 COMPR. FILM. (BLIST. PVC/PVDC/AL)

P-6L

ROMASTRU TRADING SRL


SANOFI-AVENTIS GROUPE

Pagina 33 din 162

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


CUTIE CU BLIST. PVC/PVDC/AL A CATE 28 COMPR. FILM.

P6L

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

P-6L

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

30 61.63
30 40.04
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 66.00
30 70.74
30 33.91
28 116.60
28 65.71
28 32.85
28 66.00
28 22.79
28 32.82
28 32.82
30 33.16
28 71.91
28 42.63
28 11.16
28 11.16
28 47.37
30 50.79
30 23.25
28 91.88
28 47.00
28 28.84
28 47.40
28 14.95
30 32.48
28 18.18
28 18.18
1 41.42
28 27.21
28 35.53
28 18.10
28 33.14
28 18.12
28 29.83
28 33.50
30 23.08
28 37.35
28 21.54
28 21.54
28 24.01
28 18.12
28 29.01
28 29.43
28 43.20

Pret
amanuntul
maximal/UT
(RON)

2.054333
1.334666
0.722666
1.052333
3.217333
1.980357
2.596071
1.887500
1.163928
0.723571
2.357142
2.358000
1.130333
4.164285
2.346785
1.173214
2.357142
0.813928
1.172142
1.172142
1.105333
2.568214
1.522500
0.398571
0.398571
1.691785
1.693000
0.775000
3.281428
1.678571
1.030000
1.692857
0.533928
1.082666
0.649285
0.649285
41.420000
0.971785
1.268928
0.646428
1.183571
0.647142
1.065357
1.196428
0.769333
1.333928
0.769285
0.769285
0.857500
0.647142
1.036071
1.051071
1.542857

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

0.824142
0.824142
0.722666
0.824142
3.217333
1.887500
1.887500
1.887500
1.163928
0.723571
2.126292
2.126292
1.130333
2.126292
2.126292
1.173214
2.126292
0.813928
1.172142
1.172142
1.105333
0.531573
0.531573
0.398571
0.398571
1.063146
1.063146
0.775000
1.063146
1.063146
1.030000
1.063146
0.533928
1.063146
0.649285
0.649285
6.378876
0.971785
1.268928
0.646428
1.063146
0.647142
1.063146
1.063146
0.769333
1.063146
0.769285
0.769285
0.857500
0.647142
1.036071
1.051071
1.542857

Nr. crt

cod ATC

312 C09CA04
313 C09CA04
314 C09CA04
315 C09CA04
316 C09CA04
317 C09CA04
318 C09CA04
319 C09CA04
320 C09CA04
321 C09CA06
322 C09CA06
323 C09CA06
324 C09CA06
325 C09CA06
326 C09CA06
327 C09CA06
328 C09CA06
329 C09CA06
330 C09CA06
331 C09CA06
332 C09CA06
333 C09CA06
334 C09CA06
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
358 C09CA07
359 C09CA07
360 C09CA07
361 C09CA07
362 C09CA07
363 C09CA07
364 C09CA07

DCI

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
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
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM

Denumire Comerciala

IRBESARTAN WINTHROP 300mg


IRBESARTAN TERAPIA 300 mg
IRBESARTAN SANDOZ 300 mg
IFIRMASTA 300mg
IRBESARTAN TORRENT 300 mg
ATOKKEN 300 mg
IRBESARTAN ZENTIVA 300mg
IRBESARTAN TORRENT 75 mg
ATOKKEN 75 mg
ATACAND
TANDESAR 16 mg
CANDESARTAN CILEXETIL ZENTIVA 16 mg

HIPOSTYN 16 mg
CANDESARTAN SANDOZ 16 mg
KARBIS 16 mg
CANDESARTAN TORRENT 16 mg
CLASTINOL 16 mg
CANDEPOL 16 mg
CANZENO 16mg
CANDEGAMMA 16 mg
CANDESARTAN CILEXETIL TEVA 16 mg
CANDESARTAN LABORMED 16 mg
ATACAND 32 mg
CANDESARTAN CILEXETIL ZENTIVA 32 mg

HIPOSTYN 32 mg
KARBIS 32 mg
CANDESARTAN TORRENT 32 mg
CLASTINOL 32 mg
CANDEPOL 32 mg
CANZENO 32mg
CANDEGAMMA 32 mg
CANDESARTAN CILEXETIL TEVA 32 mg
CANDESARTAN LABORMED 32 mg
ATACAND
TANDESAR 8 mg
CANDESARTAN CILEXETIL ZENTIVA 8 mg

HIPOSTYN 8 mg
CANDESARTAN SANDOZ 8 mg
KARBIS 8 mg
CANDESARTAN TORRENT 8 mg
CLASTINOL 8 mg
CANDEPOL 8 mg
CANZENO 8mg
CANDEGAMMA 8 mg
CANDESARTAN CILEXETIL TEVA 8 mg
CANDESARTAN LABORMED 8 mg
TELMISARTAN ACTAVIS 40mg
MICARDIS 40 mg
PRITOR 40 mg
TOLURA 40 mg
TEZEO 40 mg
TELMISARTAN TEVA 40 mg
TELMISARTAN LABORMED 40 mg

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

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

concentratie

300mg
300mg
300mg
300mg
300mg
300mg
300mg
75mg
75mg
16mg
16mg
16mg
16mg
16mg
16mg
16mg
16mg
16mg
16mg
16mg
16mg
16mg
32mg
32mg
32mg
32mg
32mg
32mg
32mg
32mg
32mg
32mg
32mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
40 mg
40mg
40mg
40mg
40mg
40mg
40mg

Detinator APP

tara det.
APP

Ambalaj

Prescriptie

SANOFI PHARMA - BRISTOL MYERS SQUIBB

FRANTA

CUTIE X 28 COMPR. FILM. (BLIST. PVC/PVDC/AL)

P-6L

TERAPIA S.A.
SANDOZ S.R.L.

ROMANIA
ROMANIA

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

P-6L

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

P-6L

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

P-6L

TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P6L
ROMASTRU TRADING SRL

ROMANIA

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

P6L

SANOFI-AVENTIS GROUPE

FRANTA

CUTIE X 28 COMPR. FILM. (BLIST. PVC/PVDC/AL)

P-6L

TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P6L
ROMASTRU TRADING SRL

ROMANIA

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

P6L

ASTRAZENECA AB
TERAPIA SA
ZENTIVA K.S.

SUEDIA

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

P-6L

ROMANIA

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

P-6L

REPUBLICA CEHA

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

TEVA PHARMACEUTICALS S.R.L.

SANDOZ SRL

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


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
TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L

PHARMACEUTICAL WORKS POLPHARMA SA

UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. P6L


POLONIA CUTIE CU BLIST. AL/PVC-PVDC X 28 COMPR. P6L

ZENTIVA K.S.

REPUBLICA CEHA

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

WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 30 (3X10) COMPR.

EGIS PHARMACEUTICALS P.L.C.

P6L

ROMANIA CUTIE CU BLIST. OPA-AL-PVC/PVC-PVAC-AL-OPA X 30 COMPR. P6L


LABORMED PHARMA S.A. ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14COMPR. P6L

TEVA PHARMACEUTICALS S.R.L.

ASTRAZENECA AB
ZENTIVA K.S.

SUEDIA

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

REPUBLICA CEHA

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

TEVA PHARMACEUTICALS S.R.L.

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

P-6L

KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L
TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L

PHARMACEUTICAL WORKS POLPHARMA SA

UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. P6L


POLONIA CUTIE CU BLIST. AL/PVC-PVDC X 28 COMPR. P6L

ZENTIVA K.S.

REPUBLICA CEHA

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

WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 30 (3X10) COMPR.

EGIS PHARMACEUTICALS P.L.C.

P6L

ROMANIA CUTIE CU BLIST. OPA-AL-PVC/PVC-PVAC-AL-OPA X 30 COMPR. P6L


LABORMED PHARMA S.A. ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. P6L

TEVA PHARMACEUTICALS S.R.L.

ASTRAZENECA AB
TERAPIA SA
ZENTIVA K.S.
TEVA PHARMACEUTICALS S.R.L.

SANDOZ SRL

SUEDIA

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

P-6L

ROMANIA

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

P-6L

REPUBLICA CEHA

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

KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L
TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L

PHARMACEUTICAL WORKS POLPHARMA SA

UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. P6L


POLONIA CUTIE CU BLIST. AL/PVC-PVDC X 28 COMPR. P6L

ZENTIVA K.S.

REPUBLICA CEHA

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

WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 30 (3X10) COMPR.

EGIS PHARMACEUTICALS P.L.C.

P6L

ROMANIA CUTIE CU BLIST. OPA-AL-PVC/PVC-PVAC-AL-OPA X 30 COMPR. P6L


LABORMED PHARMA S.A. ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. P6L
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. AL/AL X 28 COMPR. P6L

TEVA PHARMACEUTICALS S.R.L.

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMANIA CUTIE X 28 COMPR. ( BLIST. PA/AL/PVC) P-6L

BAYER SCHERING PHARMA AG

GERMANIA

CUTIE X 28COMPR.( BLIST. PERFORATE UNIDOZA PA/AL/PVC )

P-6L

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

P-6L

ZENTIVA, K.S.
REPUBLICA CEHA
TEVA PHARMA B.V. OLANDA

CUTIE CU BLIST. AL/AL PERFORATE PENTRU ELIBERAREA UNEI UNITATI DOZATE 30X1

P6L

LABORMED PHARMA S.A. ROMANIA

CUTIE CU BLIST. AL/AL X 28 COMPR. P6L

Pagina 34 din 162

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

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

28 29.32
28 38.87
28 64.85
28 60.27
28 29.01
28 31.00
28 29.32
28 16.18
28 23.11
28 66.74
28 44.87
30 29.85
30 42.50
28 39.65
30 43.24
30 48.03
28 44.85
28 44.88
30 29.85
30 39.63
30 29.85
28 41.42
28 117.40
30 36.65
30 71.36
30 81.75
30 81.75
28 69.33
28 76.32
30 36.65
30 72.06
30 36.65
28 56.66
28 56.10
28 36.46
30 16.22
30 24.13
28 33.45
30 33.01
30 39.07
28 36.46
28 36.46
30 16.22
30 33.77
30 23.07
28 33.65
28 39.46
28 60.70
28 64.10
28 39.46
30 17.20
30 42.27
28 36.43

Pret
amanuntul
maximal/UT
(RON)

1.047142
1.388214
2.316071
2.152500
1.036071
1.107142
1.047142
0.577857
0.825357
2.383571
1.602500
0.995000
1.416666
1.416071
1.441333
1.601000
1.601785
1.602857
0.995000
1.321000
0.995000
1.479285
4.192857
1.221666
2.378666
2.725000
2.725000
2.476071
2.725714
1.221666
2.402000
1.221666
2.023571
2.003571
1.302142
0.540666
0.804333
1.194642
1.100333
1.302333
1.302142
1.302142
0.540666
1.125666
0.769000
1.201785
1.409285
2.167857
2.289285
1.409285
0.573333
1.409000
1.301071

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

1.047142
1.388214
2.126292
2.126292
1.036071
1.107142
1.047142
0.531573
0.531573
2.126292
1.602500
0.995000
1.416666
1.416071
1.441333
1.601000
1.601785
1.602857
0.995000
1.321000
0.995000
1.479285
4.192857
1.221666
2.378666
2.725000
2.725000
2.476071
2.725714
1.221666
2.402000
1.221666
2.023571
1.063146
1.063146
0.540666
0.804333
1.063146
1.063146
1.063146
1.063146
1.063146
0.540666
1.063146
0.769000
1.063146
1.063146
1.063146
1.063146
1.063146
0.573333
1.063146
1.063146

Nr. crt

cod ATC

DCI

forma farm.

391 C09DA01 COMBINATII (LOSARTANUM+HYDROCHLOROTHIAZIDUM)

TELMISARTAN RANBAXY 40 mg
TELMA 40 mg
TELMISARTAN TORRENT 40 mg
TELMISARTAN DR. REDDY'S 40 mg
TELMISARTAN ACTAVIS 80mg
MICARDIS 80 mg
PRITOR 80 mg
TOLURA 80 mg
TEZEO 80 mg
TELMISARTAN TEVA 80 mg
TELMISARTAN LABORMED 80 mg
TELMISARTAN RANBAXY 80 mg
TELMA 80 mg
TELMISARTAN TORRENT 80 mg
TELMISARTAN DR. REDDY'S 80 mg
TELMARK 40 mg
TANYDON 40 mg
TELMISARTAN EGIS 40 mg
TELMOTENS 40mg
TELMARK 80 mg
TANYDON 80 mg
TELMISARTAN EGIS 80 mg
TELMOTENS 80mg
HYZAAR (R) 50 mg/12,5 mg
LOSARTAN HCT FARMAL 50mg/12,5mg
LORISTA HL 100 mg/12,5 mg
LORISTA H

392 C09DA03

COMBINATII (VALSARTANUM+HYDROCHLOROTHIAZIDUM)

VALSARTAN HIDROCLOROTIAZIDA TORRENT 160 mg/12,5 mg

393 C09DA03

COMBINATII (VALSARTANUM+HYDROCHLOROTHIAZIDUM)

VALSARTAN HIDROCLOROTIAZIDA TORRENT 160 mg/25 mg

394 C09DA03

COMBINATII (VALSARTANUM+HYDROCHLOROTHIAZIDUM)

VALSARTAN HIDROCLOROTIAZIDA TORRENT 320 mg/12,5 mg

395 C09DA03

COMBINATII (VALSARTANUM+HYDROCHLOROTHIAZIDUM)

VALSARTAN HIDROCLOROTIAZIDA TORRENT 320 mg/25 mg

396 C09DA03

COMBINATII (VALSARTANUM+HYDROCHLOROTHIAZIDUM)

VALSARTAN HIDROCLOROTIAZIDA TORRENT 80 mg/12,5 mg

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

397 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

398 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

COAPROVEL 150mg/12,5mg
COAPROVEL 300mg/12,5mg

COMPR.
COMPR.

399 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

IRBESARTAN HYDROCHLOROTHIAZIDE WINTHROP 150mg/12,5mg

400 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

IRBESARTAN HYDROCHLOROTHIAZIDE ZENTIVA 150mg/12,5mg

401 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

IRBESARTAN HYDROCHLOROTHIAZIDE WINTHROP 300mg/12,5mg

402 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

IRBESARTAN HYDROCHLOROTHIAZIDE ZENTIVA 300mg/12,5mg

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

403 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

IRPREZIDE 150 mg/12,5 mg

404 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

IRBESARTAN/ HYDROCHLOROTHIAZIDE TEVA 150 mg/12,5 mg

405 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

IFIRMACOMBI 150mg/12,5mg

406 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

IRBESARTAN HIDROCLOROTIAZIDA RANBAXY 150 mg/12,5 mg

407 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

IRBESARTAN HIDROCLOROTIAZIDA RANBAXY 150 mg/12,5 mg

408 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

IRPREZIDE 300 mg/12,5 mg

409 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

IRBESARTAN/ HYDROCHLOROTHIAZIDE TEVA 300 mg/12,5 mg

410 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

411 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

IRPREZIDE 300 mg/25 mg


IFIRMACOMBI 300mg/12,5mg

412 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

IRBESARTAN HIDROCLOROTIAZIDA RANBAXY 300 mg/12,5 mg

413 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

IRBESARTAN HIDROCLOROTIAZIDA RANBAXY 300 mg/12,5 mg

414 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

415 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

COAPROVEL 300mg/25mg
IFIRMACOMBI 300mg/25mg

416 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

IRBESARTAN HIDROCLOROTIAZIDA RANBAXY 300 mg/25 mg

417 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

IRBESARTAN HIDROCLOROTIAZIDA RANBAXY 300 mg/25 mg

365 C09CA07
366 C09CA07
367 C09CA07
368 C09CA07
369 C09CA07
370 C09CA07
371 C09CA07
372 C09CA07
373 C09CA07
374 C09CA07
375 C09CA07
376 C09CA07
377 C09CA07
378 C09CA07
379 C09CA07
380 C09CA07
381 C09CA07
382 C09CA07
383 C09CA07
384 C09CA07
385 C09CA07
386 C09CA07
387 C09CA07

TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM

Denumire Comerciala

388 C09DA01 COMBINATII (LOSARTANUM+HYDROCHLOROTHIAZIDUM)


389 C09DA01 COMBINATII (LOSARTANUM+HYDROCHLOROTHIAZIDUM)
390 C09DA01 COMBINATII (LOSARTANUM+HYDROCHLOROTHIAZIDUM)

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

concentratie

40mg
40mg
40mg
40mg
80 mg
80mg
80mg
80mg
80mg
80mg
80mg
80mg
80mg
80mg
80mg
40mg
40mg
40mg
40mg
80mg
80mg
80mg
80mg

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM. 50mg+12,5mg
COMPR. FILM. 50mg/12,5mg
COMPR.FILM 100mg/12,5mg

Detinator APP
RANBAXY (U.K.) LIMITED

tara det.
APP
MAREA BRITANIE

SANDOZ S.R.L.

ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR.


TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. AL/AL (OPA-AL-PVC/AL) X 28 COMPR.
DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR.
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. AL/AL X 28 COMPR.

Prescriptie

P6L
P6L
P6L
P6L

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMANIA CUTIE X 28COMPR. ( BLIST. PA/AL/PVC) P-6L

BAYER SCHERING PHARMA AG

GERMANIA

CUTIE X 28COMPR.( BLIST. PERFORATE UNIDOZA PA/AL/PVC )

P-6L

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

P-6L

ZENTIVA, K.S.
REPUBLICA CEHA
TEVA PHARMA B.V. OLANDA

CUTIE CU BLIST. AL/AL PERFORATE PENTRU ELIBERAREA UNEI UNITATI DOZATE 30X1

P6L

LABORMED PHARMA S.A. ROMANIA

CUTIE CU BLIST. AL/AL X 28 COMPR. P6L

RANBAXY (U.K.) LIMITED

CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. P6L

MAREA BRITANIE

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

SANDOZ S.R.L.

ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. P6L


TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. AL/AL (OPA-AL-PVC/AL) X 28 COMPR. P6L
DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. P6L
GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA

GEDEON RICHTER ROMANIA SA


EGIS PHARMACEUTICALS P.L.C.

CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P6L

ROMANIA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P6L


UNGARIA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P6L
P6L

ALVOGEN IPCO S.AR.L. LUXEMBURG

CUTIE CU 3 BLIST. NYLON-AL-PVC/AL X 10 COMPR. FILM.

GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA

CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P6L

GEDEON RICHTER ROMANIA SA


EGIS PHARMACEUTICALS P.L.C.

ROMANIA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P6L


UNGARIA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P6L

ALVOGEN IPCO S.AR.L. LUXEMBURG

CUTIE CU 3 BLIST. NYLON-AL-PVC/AL X 10 COMPR. FILM.

P6L

MERCK SHARP & DOHME ROMANIA

CUTIE X 2 BLIST. X 14 COMPR. FILM.

P-6L

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

P-6L

FARMAL INTERNATIONAL S.R.L.

ROMANIA

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

COMPR.FILM 50mg+ 12,50mg KRKA D.D. NOVO MESTO SLOVENIA


160mg/12,5mg TORRENT PHARMA S.R.L. ROMANIA
160mg/25mg TORRENT PHARMA S.R.L. ROMANIA
320mg/12,5mg TORRENT PHARMA S.R.L. ROMANIA
320mg/25mg TORRENT PHARMA S.R.L. ROMANIA
80mg/12,5mg TORRENT PHARMA S.R.L. ROMANIA

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

Ambalaj

CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. P6L

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

P-6L

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

P6L
P6L
P6L
P6L
P6L

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


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

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


FRANTA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-6L
FRANTA CUTIE X 2 BLIST. PVC/PVDC/AL X 14 COMPR. FILM. P-6L
FRANTA CUTIE CU BLIST. PVC/PVDC/AL X 28 COMPR. FILM. P-6L
FRANTA CUTIE X 2 BLIST. PVC/PVDC/AL X 14 COMPR. FILM. P-6L
FRANTA CUTIE X 2 BLIST. PVC/PVDC/AL X 14 COMPR. FILM. P-6L
150 mg/12,5 mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. DIN PVC-PVDC/AL X 30 COMPR. FILM. P6L
150mg/12,5mg TEVA PHARMA B.V. OLANDA CUTIE X BLIST. AL/AL X 28 COMPR. FILM. P-6L
150mg/12,5mg SANOFI PHARMA - BRISTOL MYERS SQUIBB
300mg/12,5mg SANOFI PHARMA - BRISTOL MYERS SQUIBB
150mg/12,5mg SANOFI PHARMA - BRISTOL MYERS SQUIBB
150mg/12,5mg SANOFI-AVENTIS GROUPE
300mg/12,5mg SANOFI PHARMA - BRISTOL MYERS SQUIBB
300mg/12,5mg SANOFI-AVENTIS GROUPE

150mg/12,5mg KRKA D.D. NOVO MESTO SLOVENIA


150mg/12,5mg RANBAXY (U.K.) LIMITED MAREA BRITANIE
150mg/12,5mg RANBAXY (U.K.) LIMITED MAREA BRITANIE

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

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

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

P6L
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

300 mg/12,5 mg ACTAVIS GROUP PTC EHF.

300mg/12,5mg KRKA D.D. NOVO MESTO SLOVENIA


300mg/12,5mg RANBAXY (U.K.) LIMITED MAREA BRITANIE
300mg/12,5mg RANBAXY (U.K.) LIMITED MAREA BRITANIE

300mg/25mg SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA


300mg/25mg KRKA D.D. NOVO MESTO SLOVENIA
300mg/25mg RANBAXY (U.K.) LIMITED MAREA BRITANIE
300mg/25mg RANBAXY (U.K.) LIMITED MAREA BRITANIE

Pagina 35 din 162

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

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

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

P6L
P6L
P6L

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


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

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

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

P6L
P6L
P6L

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

28 39.46
28 17.20
28 42.24
28 17.20
28 52.99
28 77.42
28 77.42
28 52.99
30 28.09
30 56.77
28 48.91
28 52.99
28 22.68
28 56.53
28 28.09
28 39.46
30 42.27
28 39.63
30 42.27
28 52.99
30 56.78
28 52.98
30 56.77
28 79.46
28 30.06
28 29.31
28 18.06
28 85.68
28 136.15
28 132.23
28 150.44
28 73.85
28 39.44
28 75.22
28 20.39
28 20.39
28 33.70
28 33.70
30 28.38
28 26.49
30 39.59
28 35.50
28 35.50
30 46.28
28 51.49
30 55.16
30 73.91
28 68.91
28 68.91
28 75.22
30 73.91
28 68.91
28 68.91

Pret
amanuntul
maximal/UT
(RON)

1.409285
0.614285
1.508571
0.614285
1.892500
2.765000
2.765000
1.892500
0.936333
1.892333
1.746785
1.892500
0.810000
2.018928
1.003214
1.409285
1.409000
1.415357
1.409000
1.892500
1.892666
1.892142
1.892333
2.837857
1.073571
1.046785
0.645000
3.060000
4.862500
4.722500
5.372857
2.637500
1.408571
2.686428
0.728214
0.728214
1.203571
1.203571
0.946000
0.946071
1.319666
1.267857
1.267857
1.542666
1.838928
1.838666
2.463666
2.461071
2.461071
2.686428
2.463666
2.461071
2.461071

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

1.063146
0.614285
1.063146
0.614285
1.892500
2.126292
2.126292
1.892500
0.936333
1.892333
1.746785
1.892500
0.810000
2.018928
1.003214
1.063146
1.063146
1.063146
1.063146
1.892500
1.892666
1.892142
1.892333
1.141071
1.073571
1.046785
0.645000
1.141071
1.141071
1.141071
1.141071
1.141071
1.141071
1.141071
0.728214
0.728214
1.141071
1.141071
0.946000
0.946071
1.141071
1.141071
1.141071
1.141071
1.141071
1.141071
1.141071
1.141071
1.141071
1.141071
1.141071
1.141071
1.141071

Nr. crt

cod ATC

DCI

Denumire Comerciala

ACTELSAR HCT 80 mg/12,5 mg


TOLUCOMBI 80 mg/12,5mg
TOLUCOMBI 80 mg/25mg
ACTELSAR HCT 80 mg/25mg
MICARDISPLUS 80/12,5mg
MICARDISPLUS 80/25mg
PRITOR PLUS 80mg/12,5mg
TANYDON HCT 80 mg/12,5 mg

418 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM)

419 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM)

420 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM)

421 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM)

422 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM)

423 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM)

424 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM)

425 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM)

426 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM)

TELMISARTAN/HIDROCLOROTIAZIDA EGIS 80 mg/12,5 mg

427 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM)

TELMISARTAN/HIDROCLOROTIAZIDA DR. REDDY'S 80 mg/12,5 mg

428 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM)

TELMARK PLUS 80mg/12,5mg

429 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM)

TELMISARTAN/HIDROCLOROTIAZIDA TERAPIA 80 mg/12,5 mg

430 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM)

TELMISARTAN/HIDROCLOROTIAZIDA TERAPIA 80 mg/12,5 mg

431 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM)

432 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM)

433 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM)

434 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM)

PRITOR PLUS 80mg/25mg


TANYDON HCT 80 mg/25 mg
TEZEO HCT 80 mg/25 mg
TELMARK PLUS 80mg/25mg

435 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM)

TELMISARTAN/HIDROCLOROTIAZIDA TERAPIA 80 mg/25 mg

436 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM)

TELMISARTAN/HIDROCLOROTIAZIDA TERAPIA 80 mg/25 mg

437 C09DB01 COMBINATII ( VALSARTANUM+AMLODIPINUM)

EXFORGE 10mg/160mg
EXFORGE 10mg/160mg
EXFORGE 5mg/160mg
EXFORGE 5mg/160mg
EXFORGE 5mg/80mg
EXFORGE 5mg/80mg
LESCOL 20 mg
LESCOL 40 mg
LESCOL XL 80 mg
AMICOR 10 mg
TORVALIPIN 10 mg
SORTIS 10 mg
TORVACARD 10 mg
ATORIS 10 mg
GLETOR 10 mg
ASCORD 10 mg
ATORGAMMA 10 mg
TULIP 10 mg
TULIP 10 mg
ATILEN 10 mg
TORVAZIN 10 mg
XAMARA 10 mg
MODLIP 10 mg
VOREDANIN 10 mg
ATORVASTATIN RANBAXY 10 mg
ATORVASTATINA POLIPHARMA 10 mg
ATORVASTATINA TEVA 10 mg
STAVRA 10 mg
AMICOR 20 mg
TORVALIPIN 20 mg
SORTIS 20 mg
TORVACARD 20 mg
ATORIS 20 mg
GLETOR 20 mg

438 C09DB01 COMBINATII ( VALSARTANUM+AMLODIPINUM)


439 C09DB01 COMBINATII ( VALSARTANUM+AMLODIPINUM)
440 C09DB01 COMBINATII ( VALSARTANUM+AMLODIPINUM)
441 C09DB01 COMBINATII ( VALSARTANUM+AMLODIPINUM)
442 C09DB01 COMBINATII ( VALSARTANUM+AMLODIPINUM)
443 C10AA04
444 C10AA04
445 C10AA04
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
462 C10AA05
463 C10AA05
464 C10AA05
465 C10AA05
466 C10AA05
467 C10AA05
468 C10AA05
469 C10AA05
470 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

forma farm.

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.

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.

tara det.
concentratie
APP
Detinator APP
80 mg/12,5 mg ACTAVIS GROUP PTC EHF. ISLANDA
80 mg/12,5mg KRKA D.D.
SLOVENIA
80 mg/25mg KRKA D.D.
SLOVENIA

80 mg/25mg
80/12,5mg
80/25mg

Prescriptie

CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPRIMATE

PRF

CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPRIMATE

PRF

ACTAVIS GROUP PTC EHF.

ISLANDA

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMANIA CUTIE X 28COMPR. ( BLIST. PA/AL/PVC) P-6L

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMANIA

CUTIE X 28 COMPR. (BLIST. PA/AL/PVC/AL SAU PA/PA/AL/PVC/AL)

P-6L

GERMANIA

CUTIE X 28COMPR.( BLIST. PA/AL/PVC PERFORATE)

P-6L

80mg/12,5mg BAYER SCHERING PHARMA AG


80mg/12,5mg GEDEON RICHTER ROMANIA SA
80mg/12,5mg EGIS PHARMACEUTICALS P.L.C.
80mg/12,5mg DR. REDDY'S LABORATORIES
80mg/12,5mg GLENMARK PHARMACEUTICALS S.R.O.
80mg/12,5mg TERAPIA S.A.
80mg/12,5mg TERAPIA S.A.

80mg/25mg
80mg/25mg
80mg/25mg
80mg/25mg
80mg/25mg
80mg/25mg
10mg/160mg
10mg/160mg
5mg/160mg
5mg/160mg
5mg/80mg
5mg/80mg
20mg
40mg
80mg
10 mg
10 mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
20 mg
20 mg
20mg
20mg
20mg
20mg

Ambalaj

CUTIE CU BLISTERE DIN AL/AL X 28 COMPRIMATE PRF

CUTIE CU BLISTERE DIN AL/AL X 28 COMPRIMATE PRF

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


UNGARIA CUTIE CU BLIST. AL/AL X 28 COMPR. P6L
ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. P6L
REPUBLICA CEHA

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

P-6L

ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. P6L


ROMANIA CUTIE CU BLIST. AL/AL X 28X1 COMPR. P6L

BAYER SCHERING PHARMA AG

GERMANIA

GEDEON RICHTER ROMANIA SA

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

ZENTIVA, K.S.

REPUBLICA CEHA

GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA

CUTIE X 28COMPR.( BLIST. PA/AL/PVC SAU PA/PA/AL/PVC/AL PERFORATE UNIDOZA)

P-6L

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


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

P-6L

TERAPIA S.A.
TERAPIA S.A.

ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. P6L


ROMANIA CUTIE CU BLIST. AL/AL X 28X1 COMPR. P6L

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 56 COMPR. FILM. (BLIST. PVC/PVDC ) P-6L

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

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

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 56 COMPR. FILM. (BLIST. PVC/PVDC ) P-6L

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

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

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.

P-6L
P-6L

NOVARTIS PHARMA GMBH GERMANIA CUTIE X 4 BLIST. AL/AL X 7 COMPR. ELIB. PREL. P-6L

MEDOCHEMIE LTD. CIPRU


ISLANDA

ACTAVIS GROUP PTC EHF.

CUTIE CU BLIST. DIN AL/AL X 30 COMPR. FILM. P6L


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

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 3 BLIST. X 10 COMPR. FILM.

ZENTIVA K.S.

CEHIA

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

P-6L

KRKA D.D. NOVO MESTO SLOVENIA

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

GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA

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

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

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


ROMANIA CUTIE CU BLIST. AL/AL X 90 COMPR. FILM. P-6L
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-6L
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.
P-6L
DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L
TORRENT PHARMA S.R.L. ROMANIA
P6L
LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L
CUTIE CU BLIST. OPA-AL-PVC/AL CU CAPSULA DIN POLISTIREN ROSU CE CONTINE GRANULE ABSORBANTE X 30 COMP

P6L

RANBAXY (U.K.) LIMITED

MAREA BRITANIE

POLIPHARMA INDUSTRIES S.R.L.

ROMANIA CUTIE CU 3 BLIST. X 10 COMPR. FILM. P6L


ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-6L

TEVA PHARMACEUTICALS S.R.L.

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

ALKALOID-INT D.O.O. SLOVENIA

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

MEDOCHEMIE LTD. CIPRU


ACTAVIS GROUP PTC EHF. ISLANDA

CUTIE CU BLIST. DIN AL/AL X 30 COMPR. FILM. P6L

P6L

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

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 3 BLIST. X 10 COMPR. FILM.

ZENTIVA K.S.

CEHIA

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

P-6L

KRKA D.D. NOVO MESTO SLOVENIA

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

GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA

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

Pagina 36 din 162

P-6L

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

28
30
30
28
28
28
28
30
28
28
30
28
28
28
30
30
30
28
28
56
28
56
28
56
28
28
28
28
30
30
30
30
30
30
30
30
30
90
28
30
30
30
30
30
30
28
30
30
30
30
30
30
30

43.24
56.77
73.02
53.68
77.42
104.85
79.57
29.81
35.00
52.99
56.77
52.99
52.99
104.85
29.81
41.71
73.02
69.38
69.38
252.74
128.66
252.74
128.66
214.81
113.26
15.98
29.09
46.24
18.38
16.75
41.50
10.57
19.43
21.14
21.05
16.75
21.23
55.45
19.83
18.77
27.86
27.86
19.43
10.57
10.57
6.36
21.69
26.90
24.56
53.41
15.82
29.45
31.51

Pret
amanuntul
maximal/UT
(RON)

1.544285
1.892333
2.434000
1.917142
2.765000
3.744642
2.841785
0.993666
1.250000
1.892500
1.892333
1.892500
1.892500
3.744642
0.993666
1.390333
2.434000
2.477857
2.477857
4.513214
4.595000
4.513214
4.595000
3.835892
4.045000
0.570714
1.038928
1.651428
0.612666
0.558333
1.383333
0.352333
0.647666
0.704666
0.701666
0.558333
0.707666
0.616111
0.708214
0.625666
0.928666
0.928666
0.647666
0.352333
0.352333
0.227142
0.723000
0.896666
0.818666
1.780333
0.527333
0.981666
1.050333

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

1.141071
1.141071
1.141071
1.141071
1.141071
1.141071
1.141071
0.993666
1.141071
1.141071
1.141071
1.141071
1.141071
1.141071
0.993666
1.141071
1.141071
1.141071
1.141071
4.162053
4.162053
4.162053
4.162053
3.835892
4.045000
0.422799
0.845598
1.651428
0.612666
0.558333
0.634199
0.352333
0.634199
0.634199
0.634199
0.558333
0.634199
0.616111
0.634199
0.625666
0.634199
0.634199
0.634199
0.352333
0.352333
0.227142
0.634199
0.896666
0.818666
1.268398
0.527333
0.981666
1.050333

cod ATC

DCI

471 C10AA05

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
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM

Nr. crt

472 C10AA05
473 C10AA05
474 C10AA05
475 C10AA05
476 C10AA05
477 C10AA05
478 C10AA05
479 C10AA05
480 C10AA05
481 C10AA05
482 C10AA05
483 C10AA05
484 C10AA05
485 C10AA05
486 C10AA05
487 C10AA05
488 C10AA05
489 C10AA05
490 C10AA05
491 C10AA05
492 C10AA05
493 C10AA05
494 C10AA05
495 C10AA05
496 C10AA05
497 C10AA05
498 C10AA05
499 C10AA05
500 C10AA05
501 C10AA05
502 C10AA05
503 C10AA05
504 C10AA05
505 C10AA05
506 C10AA05
507 C10AA05
508 C10AA05
509 C10AA05
510 C10AA05
511 C10AA05
512 C10AA05
513 C10AA05
514 C10AA05
515 C10AA07
516 C10AA07
517 C10AA07
518 C10AA07
519 C10AA07
520 C10AA07
521 C10AA07
522 C10AA07
523 C10AA07

Denumire Comerciala

ASCORD 20 mg
ATORGAMMA 20 mg
TULIP 20 mg
TULIP 20 mg
ATILEN 20 mg
TORVAZIN 20 mg
XAMARA 20 mg
MODLIP 20 mg
VOREDANIN 20 mg
ATORVASTATIN RANBAXY 20 mg
ATORVASTATINA POLIPHARMA 20 mg
ATORVASTATINA TEVA 20 mg
STAVRA 20 mg
AMICOR 40 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
TULIP 40 mg
TULIP 40 mg
ATILEN 40 mg
TORVAZIN 40 mg
XAMARA 40 mg
MODLIP 40 mg
VOREDANIN 40 mg
ATORVASTATIN RANBAXY 40 mg
ATORVASTATINA POLIPHARMA 40 mg
ATORVASTATINA TEVA 40 mg
STAVRA 40 mg
SORTIS 80 mg
ASCORD 80 mg
ATILEN 80 mg
XAMARA 80 mg
MODLIP 80 mg
TORVACARD 80 mg
ATORVASTATIN RANBAXY 80 mg
ATORVASTATINA POLIPHARMA 80 mg
ATORVASTATINA TEVA 80 mg
STAVRA 80 mg
ROSUVASTATINA RATIOPHARM 10 mg
CRESTOR 10 mg
ROSUCARD 10 mg
ROSUVASTATINA TEVA 10 mg
ROXARDIO 10 mg
ROSWERA 10 mg
ROSTAT 10 mg
STARCREST 10 mg
TINTAROS 10 mg

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

concentratie

20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
40 mg
40 mg
40 mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
80mg
80mg
80mg
80mg
80mg
80mg
80mg
80mg
80mg
80mg
10 mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg

TERAPIA SA

tara det.
APP
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

Detinator APP

Ambalaj

Prescriptie

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

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


ROMANIA CUTIE CU BLIST. AL/AL X 90 COMPR. FILM. P-6L
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-6L
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.
P-6L
DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L
TORRENT PHARMA S.R.L. ROMANIA
P6L
LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L
CUTIE CU BLIST. OPA-AL-PVC/AL CU CAPSULA DIN POLISTIREN ROSU CE CONTINE GRANULE ABSORBANTE X 30 COMP

P6L

RANBAXY (U.K.) LIMITED

MAREA BRITANIE

POLIPHARMA INDUSTRIES S.R.L.

ROMANIA CUTIE CU 3 BLIST. X 10 COMPR. FILM. P6L


ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-6L

TEVA PHARMACEUTICALS S.R.L.

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

ALKALOID-INT D.O.O. SLOVENIA

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

MEDOCHEMIE LTD. CIPRU


MEDOCHEMIE LTD. CIPRU
ACTAVIS GROUP PTC EHF. ISLANDA

CUTIE CU BLIST. DIN AL/AL X 14 COMPR. FILM. P6L

P6L

CUTIE CU BLIST. DIN AL/AL X 30 COMPR. FILM. P6L


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

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 2 BLIST. X 7 COMPR. FILM.

ZENTIVA K.S.

CEHIA

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

P-6L

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 14 COMPR.FILM. P-6L

KRKA D.D. NOVO MESTO SLOVENIA

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

GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA

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

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

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


ROMANIA CUTIE CU BLIST. AL/AL X 90 COMPR. FILM. P-6L
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-6L
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.
P-6L
DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L
TORRENT PHARMA S.R.L. ROMANIA
P6L
LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L
CUTIE CU BLIST. OPA-AL-PVC/AL CU CAPSULA DIN POLISTIREN ROSU CE CONTINE GRANULE ABSORBANTE X 30 COMP

P6L

RANBAXY (U.K.) LIMITED

MAREA BRITANIE

POLIPHARMA INDUSTRIES S.R.L.

ROMANIA CUTIE CU 3 BLIST. X 10 COMPR. FILM. P6L


ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-6L

TEVA PHARMACEUTICALS S.R.L.

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

ALKALOID-INT D.O.O. SLOVENIA

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

P6L

PFIZER EUROPE MA EEIG

CUTIE X 2 BLIST. X 7 COMPR. FILM.

P-6L

MAREA BRITANIE

TERAPIA SA

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


ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-6L
DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L
TORRENT PHARMA S.R.L. ROMANIA
P6L

TEVA PHARMACEUTICALS S.R.L.

CUTIE CU BLIST. OPA-AL-PVC/AL CU CAPSULA DIN POLISTIREN ROSU CE CONTINE GRANULE ABSORBANTE X 30 COMP

ZENTIVA, K.S.

REPUBLICA CEHA

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

RANBAXY (U.K.) LIMITED

MAREA BRITANIE

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

POLIPHARMA INDUSTRIES S.R.L.

P6L
P6L
ROMANIA CUTIE CU 3 BLIST. X 10 COMPR. FILM. P6L

ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-6L


ALKALOID-INT D.O.O. SLOVENIA CUTIE CU BLIST. PVC-TE-PVDC/AL X 30 COMPR. FILM. P6L
RATIOPHARM GMBH GERMANIA CUTIE CU BLIST. DIN PVC-PVDC/AL X 30 COMPR. FILM. P-6L
ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 2 BLIST. X 14 COMPR. FILM. P-6L

TEVA PHARMACEUTICALS S.R.L.

ZENTIVA K.S.
TEVA PHARMACEUTICALS S.R.L.

SANDOZ S.R.L.

REPUBLICA CEHA

ROMANIA
ROMANIA

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

KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.

P6L

ROMANIA

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

P-6L

ALVOGEN IPCO S.A.R.L LUXEMBURG

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

P6L
P6L

GEDEON RICHTER ROMANIA SA

ACTAVIS GROUP PTC EHF.

Pagina 37 din 162

ISLANDA

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

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

30
30
30
90
28
30
30
30
30
30
30
28
30
14
30
30
14
30
14
30
30
30
30
30
90
28
30
30
30
30
30
30
28
30
14
30
28
30
30
30
30
30
28
30
30
28
30
30
28
30
30
30
28

34.71
24.14
30.65
79.50
31.37
28.64
34.71
34.71
29.45
15.82
15.82
7.50
32.60
28.58
59.26
50.55
45.27
32.68
25.86
53.61
63.06
56.69
52.86
61.73
152.32
58.84
52.68
63.04
63.04
53.61
32.10
32.68
26.78
38.11
72.66
101.21
94.46
101.21
101.21
44.03
50.04
44.03
38.25
42.62
73.14
105.02
24.08
53.55
45.03
53.56
24.08
59.03
39.44

Pret
amanuntul
maximal/UT
(RON)

1.157000
0.804666
1.021666
0.883333
1.120357
0.954666
1.157000
1.157000
0.981666
0.527333
0.527333
0.267857
1.086666
2.041428
1.975333
1.685000
3.233571
1.089333
1.847142
1.787000
2.102000
1.889666
1.762000
2.057666
1.692444
2.101428
1.756000
2.101333
2.101333
1.787000
1.070000
1.089333
0.956428
1.270333
5.190000
3.373666
3.373571
3.373666
3.373666
1.467666
1.668000
1.467666
1.366071
1.420666
2.438000
3.750714
0.802666
1.785000
1.608214
1.785333
0.802666
1.967666
1.408571

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

1.157000
0.804666
1.021666
0.883333
1.120357
0.954666
1.157000
1.157000
0.981666
0.527333
0.527333
0.267857
1.086666
2.041428
1.975333
1.685000
2.536797
1.089333
1.847142
1.787000
2.102000
1.889666
1.762000
2.057666
1.692444
2.101428
1.756000
2.101333
2.101333
1.787000
1.070000
1.089333
0.956428
1.270333
5.073595
3.373666
3.373571
3.373666
3.373666
1.467666
1.668000
1.467666
1.366071
1.420666
1.268398
1.268398
0.802666
1.268398
1.268398
1.268398
0.802666
1.268398
1.268398

cod ATC

DCI

524 C10AA07

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
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
BEZAFIBRATUM

Nr. crt

525 C10AA07
526 C10AA07
527 C10AA07
528 C10AA07
529 C10AA07
530 C10AA07
531 C10AA07
532 C10AA07
533 C10AA07
534 C10AA07
535 C10AA07
536 C10AA07
537 C10AA07
538 C10AA07
539 C10AA07
540 C10AA07
541 C10AA07
542 C10AA07
543 C10AA07
544 C10AA07
545 C10AA07
546 C10AA07
547 C10AA07
548 C10AA07
549 C10AA07
550 C10AA07
551 C10AA07
552 C10AA07
553 C10AA07
554 C10AA07
555 C10AA07
556 C10AA07
557 C10AA07
558 C10AA07
559 C10AA07
560 C10AA07
561 C10AA07
562 C10AA07
563 C10AA07
564 C10AA07
565 C10AB02
566 C10AX06
567 C10AX06
568 C10AX09
569 C10AX09
570 C10BX03
571 C10BX03
572 C10BX03
573 C10BX03
574 C10BX03
575 C10BX03
576 C10BX03

forma farm.
ROSUVASTATINA LABORMED 10 mg
COMPR. FILM.
ROSUVASTATINA TERAPIA 10 mg
COMPR. FILM.
ROSUVASTATINA TERAPIA 10 mg
COMPR. FILM.
ROSUVASTATINA AUROBINDO 10 mg COMPR. FILM.
ROVASTAMED 10mg
COMPR. FILM.
ROSUVASTATINA RATIOPHARM 20 mg COMPR. FILM.
CRESTOR 20 mg
COMPR. FILM.
ROSUCARD 20 mg
COMPR. FILM.
ROSUVASTATINA TEVA 20 mg
COMPR. FILM.
ROXARDIO 20 mg
COMPR. FILM.
ROSWERA 20 mg
COMPR. FILM.
ROSTAT 20 mg
COMPR. FILM.
STARCREST 20 mg
COMPR. FILM.
TINTAROS 20 mg
COMPR. FILM.
ROSUVASTATINA LABORMED 20 mg
COMPR. FILM.
ROSUVASTATINA TERAPIA 20 mg
COMPR. FILM.
ROSUVASTATINA TERAPIA 20 mg
COMPR. FILM.
ROSUVASTATINA AUROBINDO 20 mg COMPR. FILM.
ROVASTAMED 20mg
COMPR. FILM.
ROSUCARD 40 mg
COMPR. FILM.
ROSUVASTATINA TEVA 40 mg
COMPR. FILM.
ROSWERA 40 mg
COMPR. FILM.
ROSTAT 40 mg
COMPR. FILM.
TINTAROS 40 mg
COMPR. FILM.
ROSUVASTATINA LABORMED 40 mg
COMPR. FILM.
ROSUVASTATINA TERAPIA 40 mg
COMPR. FILM.
ROSUVASTATINA TERAPIA 40 mg
COMPR. FILM.
ROSUVASTATINA AUROBINDO 40 mg COMPR. FILM.
ROVASTAMED 40mg
COMPR. FILM.
CRESTOR 5 mg
COMPR. FILM.
ROSUVASTATINA TEVA 5 mg
COMPR. FILM.
ROXARDIO 5 mg
COMPR. FILM.
ROSWERA 5 mg
COMPR. FILM.
ROSTAT 5 mg
COMPR. FILM.
STARCREST 5 mg
COMPR. FILM.
TINTAROS 5 mg
COMPR. FILM.
ROSUVASTATINA LABORMED 5 mg
COMPR. FILM.
ROSUVASTATINA TERAPIA 5 mg
COMPR. FILM.
ROSUVASTATINA TERAPIA 5 mg
COMPR. FILM.
ROSUVASTATINA AUROBINDO 5 mg
COMPR. FILM.
ROVASTAMED 5mg
COMPR. FILM.
Denumire Comerciala

REGADRIN (R) B
ACID OMEGA-3-ESTERI ETILICI 90** TEVOCOR 1000 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) ATORDAPIN 10 mg/10 mg
COMBINATII (ATORVASTATINUM+AMLODIPINUM) TORVALIPIN PLUS 10 mg/10 mg
COMBINATII (ATORVASTATINUM+AMLODIPINUM) CADUET 10mg/5mg
COMBINATII (ATORVASTATINUM+AMLODIPINUM) DUPLECOR 10 mg/5 mg
COMBINATII (ATORVASTATINUM+AMLODIPINUM) TORVALIPIN PLUS 5 mg/10 mg

DRAJ.
CAPS. MOI
CAPS. MOI
COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

concentratie

10mg
10mg
10mg
10mg
10mg
20 mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
200mg
1000 mg
1000mg
10mg
10mg
10mg/10mg
10mg/10mg
10mg/10mg
10mg/10mg
10mg/5mg
10mg/5mg
10mg/5mg

tara det.
APP
LABORMED PHARMA SA ROMANIA
TERAPIA SA
ROMANIA
TERAPIA SA
ROMANIA

CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/AL X 28 COMPR. FILM.

MALTA
MEDOCHEMIE LTD. CIPRU

CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 28 COMPR. FILM.

P6L

RATIOPHARM GMBH GERMANIA

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

P-6L

Detinator APP

AUROBINDO PHARMA (MALTA) LIMITED

Ambalaj

Prescriptie

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


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

P6L
P6L

CUTIE CU BLIST. PA-AL-PVC/AL X 30 COMPR. FILM. PRF

ASTRAZENECA UK LTD.

MAREA BRITANIE

CUTIE X 2 BLIST. X 14 COMPR. FILM.

P-6L

ZENTIVA K.S.

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

TEVA PHARMACEUTICALS S.R.L.

SANDOZ S.R.L.

ROMANIA
ROMANIA

KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.

P6L

ROMANIA

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

P-6L

ALVOGEN IPCO S.A.R.L LUXEMBURG

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

P6L
P6L

GEDEON RICHTER ROMANIA SA

ACTAVIS GROUP PTC EHF.

ISLANDA

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

LABORMED PHARMA SA ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. FILM. P-6L

TERAPIA SA
TERAPIA SA

ROMANIA
ROMANIA

MALTA
MEDOCHEMIE LTD. CIPRU
ZENTIVA K.S.
REPUBLICA CEHA

AUROBINDO PHARMA (MALTA) LIMITED

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

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


CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/AL X 28 COMPR. FILM.

P6L
P6L

CUTIE CU BLIST. PA-AL-PVC/AL X 30 COMPR. FILM. PRF


CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 28 COMPR. FILM.

P6L

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

KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.

P6L

GEDEON RICHTER ROMANIA SA

ROMANIA

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

P-6L

ACTAVIS GROUP PTC EHF.

ISLANDA

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

P6L

LABORMED PHARMA SA ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. FILM. P-6L

TERAPIA SA
TERAPIA SA

ROMANIA
ROMANIA

CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/AL X 28 COMPR. FILM.

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

P6L
P6L

MALTA
MEDOCHEMIE LTD. CIPRU

CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 28 COMPR. FILM.

P6L

ASTRAZENECA UK LTD.

MAREA BRITANIE

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

P-6L

TEVA PHARMACEUTICALS S.R.L.

ROMANIA
ROMANIA

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

AUROBINDO PHARMA (MALTA) LIMITED

SANDOZ S.R.L.

CUTIE CU BLIST. PA-AL-PVC/AL X 30 COMPR. FILM. PRF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.

P6L

ROMANIA

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

P-6L

ALVOGEN IPCO S.A.R.L LUXEMBURG

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

P6L
P6L

GEDEON RICHTER ROMANIA SA

ACTAVIS GROUP PTC EHF.

ISLANDA

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

LABORMED PHARMA SA ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. FILM. P-6L

TERAPIA SA
TERAPIA SA

ROMANIA
ROMANIA

MALTA
MEDOCHEMIE LTD. CIPRU

AUROBINDO PHARMA (MALTA) LIMITED

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


CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/AL X 28 COMPR. FILM.

P6L
P6L

CUTIE CU BLIST. PA-AL-PVC/AL X 30 COMPR. FILM. PRF


CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 28 COMPR. FILM.

P6L

CUTIE X 5 BLIST. X 10 DRAJ.

P-6L

BERLIN CHEMIE AG MENARINI GROUP

GERMANIA

TEVA PHARMACEUTICALS S.R.L.

ROMANIA CUTIE CU BLIST. PVC-ACLAR/AL X 30 CAPS. PRF

PRONOVA BIOPHARMA NORGE A.S.

NORVEGIA

FALC. DIN PEID X 28 CAPS. MOI

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. P-6L

GEDEON RICHTER ROMANIA SA

ROMANIA

CUTIE CU BLIST. ALBE, OPACE DIN PA/AL/PVC/AL X 30 COMPR. FILM.

KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.

P6L
P6L
P6L

ACTAVIS GROUP PTC EHF.

ISLANDA

PFIZER EUROPE MA EEIG

MAREA BRITANIE

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

GEDEON RICHTER ROMANIA SA

ROMANIA

CUTIE CU BLIST. ALBE, OPACE DIN PA/AL/PVC/AL X 30 COMPR. FILM.

ACTAVIS GROUP PTC EHF.

ISLANDA

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

Pagina 38 din 162

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

P6L
P6L

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

28
28
28
30
28
30
28
30
30
28
30
30
30
28
28
28
28
30
28
30
30
30
30
28
28
28
28
30
28
28
30
28
30
30
30
28
28
28
28
30
28
50
30
28
14
28
30
30
30
30
30
30
30

39.13
33.52
33.52
73.14
69.48
109.71
149.38
26.72
92.42
80.72
92.43
34.30
95.09
52.95
69.09
48.16
48.16
109.71
102.40
50.56
109.71
109.71
58.69
68.64
90.19
75.14
75.14
109.71
155.32
91.37
50.53
32.48
50.55
22.34
50.53
27.73
38.78
62.54
62.54
64.78
62.54
28.55
70.92
100.04
95.45
180.99
81.46
55.75
55.75
55.17
71.34
48.82
48.46

Pret
amanuntul
maximal/UT
(RON)

1.397500
1.197142
1.197142
2.438000
2.481428
3.657000
5.335000
0.890666
3.080666
2.882857
3.081000
1.143333
3.169666
1.891071
2.467500
1.720000
1.720000
3.657000
3.657142
1.685333
3.657000
3.657000
1.956333
2.451428
3.221071
2.683571
2.683571
3.657000
5.547142
3.263214
1.684333
1.160000
1.685000
0.744666
1.684333
0.990357
1.385000
2.233571
2.233571
2.159333
2.233571
0.571000
2.364000
3.572857
6.817857
6.463928
2.715333
1.858333
1.858333
1.839000
2.378000
1.627333
1.615333

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

1.268398
1.197142
1.197142
1.268398
1.268398
2.536797
2.536797
0.890666
2.536797
2.536797
2.536797
1.143333
2.536797
1.891071
2.467500
1.720000
1.720000
2.536797
2.536797
1.685333
3.657000
3.657000
1.956333
2.451428
3.221071
2.683571
2.683571
3.657000
5.073595
0.634199
0.634199
0.634199
0.634199
0.634199
0.634199
0.634199
0.634199
0.634199
0.634199
0.634199
0.634199
0.571000
2.364000
2.399592
6.552410
6.463928
1.839000
1.839000
1.839000
1.839000
1.927916
1.627333
1.615333

Nr. crt

DCI

cod ATC

577 C10BX03 COMBINATII (ATORVASTATINUM+AMLODIPINUM)


578 C10BX03 COMBINATII (ATORVASTATINUM+AMLODIPINUM)
579 D01BA02
580 D01BA02
581 D01BA02
582 D01BA02
583 D01BA02
584 D01BA02
585 D01BA02
586 D01BA02

TERBINAFINUM
TERBINAFINUM
TERBINAFINUM
TERBINAFINUM
TERBINAFINUM
TERBINAFINUM
TERBINAFINUM
TERBINAFINUM

587 D05AX52 COMBINATII (CALCIPOTRIOLUM+BETAMETHASONUM)*


588 D05AX52 COMBINATII (CALCIPOTRIOLUM+BETAMETHASONUM)*
589 D05AX52 COMBINATII (CALCIPOTRIOLUM+BETAMETHASONUM)*
590 D05AX52 COMBINATII (CALCIPOTRIOLUM+BETAMETHASONUM)*
591 D05BB02
592 D06AX01
593 D06AX01
594 D06BA01
595 D06BB04
596 D06BB04
597 D06BB10
598 D07AB02
599 D07AB02
600 D07AB02
601 D07AB02
602 D07AC13
603 D07AC13
604 D07AC13
605 D07AC13
606 D07AC13
607 D07AC14
608 D07AC14
609 D07AC14
610 D07AC14
611 D07AC14
612 D07AC14
613 D07AC17
614 D07AC17
615 D07AD01
616 D07AD01
617 D07AD01

ACITRETINUM**
ACIDUM FUSIDICUM
ACIDUM FUSIDICUM
SULFADIAZINUM
PODOPHYLLOTOXINUM*
PODOPHYLLOTOXINUM*
IMIQUIMODUM*
HYDROCORTISONUM BUTYRATUM
HYDROCORTISONUM BUTYRATUM
HYDROCORTISONUM BUTYRATUM
HYDROCORTISONUM BUTYRATUM
MOMETASONUM
MOMETASONUM
MOMETASONUM
MOMETASONUM
MOMETASONUM
METHYLPREDNISOLONUM ACEPONAT
METHYLPREDNISOLONUM ACEPONAT
METHYLPREDNISOLONUM ACEPONAT
METHYLPREDNISOLONUM ACEPONAT
METHYLPREDNISOLONUM ACEPONAT
METHYLPREDNISOLONUM ACEPONAT

FLUTICASONUM PROPIONAT
FLUTICASONUM PROPIONAT
CLOBETASOLUM*
CLOBETASOLUM*
CLOBETASOLUM*

618 D07CA01 COMBINATII (ACIDUM FUSIDICUM+HYDROCORTISONUM)


619 D07CC01 COMBINATII (ACIDUM FUSIDICUM+ BETAMETHASONUM)
620 D07XC03 COMBINATII (MOMETASONUM + AC. SALICILICUM)
621 D07XC03 COMBINATII (MOMETASONUM + AC. SALICILICUM)
622 D10AD54 COMBINATII (ISOTRETINOINUM + ERITROMICINUM)
623 D10AX03
624 D10AX03
625 D10AX03
626 D10BA01
627 D10BA01
628 D10BA01
629 G01AA51

ACIDUM AZELAICUM
ACIDUM AZELAICUM
ACIDUM AZELAICUM
ISOTRETINOINUM**
ISOTRETINOINUM**
ISOTRETINOINUM**
COMBINATII

Denumire Comerciala

DUPLECOR 20 mg/10 mg
DUPLECOR 20 mg/5 mg
LAMISIL (R)
TERBINARAN
TERBINARAN
TERBINAFINE 250 mg
TERBINAFINA SLAVIA 250mg
TERBINAFINA BIOGALENICA 250 mg
EXIFINE 250 mg
TERBISIL 250 mg
XAMIOL 50 micrograme/ 0,5 mg/g
DAIVOBET 50 micrograme/0,5 mg/g
DAIVOBET 50 micrograme/0,5 mg/g
DAIVOBET 50 micrograme/0,5mg/g
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
MOMETAZONA ATB 1 mg/g
ELOCOM
ELOCOM
MOMETAZONA ATB 1 mg/g
ADVANTAN 1mg/g crema
ADVANTAN 1mg/g crema
ADVANTAN MILK 1mg/g
ADVANTAN MILK 1mg/g
ADVANTAN 1mg/g unguent
ADVANTAN 1mg/g unguent
CUTIVATE
CUTIVATE
DERMOVATE 0,5 mg/g
DERMOVATE (R)
DERMOVATE 0,5 mg/g
FUCIDIN H
FUCICORT 20 mg/1mg pe gram
ELOSALIC 1mg+5mg/gram
ELOSALIC 1mg+5mg/gram
ISOTREXIN GEL
SKINOREN
SKINOREN 150mg/g
SKINOREN 150mg/g
ROACCUTANE 10 mg
SOTRET 10 mg
SOTRET 20 mg
MACMIROR COMPLEX

forma farm. concentratie


COMPR. FILM. 20mg/10mg
COMPR. FILM. 20mg/5mg

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
GEL
GEL
GEL
UNGUENT
CAPS.
CREMA
UNGUENT
CREMA
CREMA
SOL. CUT.
CREMA
CREMA
CREMA

250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
0,5 mg/g
50micrograme/0,5mg/g
50micrograme/0,5mg/g

Detinator APP

CAPS. MOI VAG. 500mg/200000UI

Ambalaj

Prescriptie

CUTIE CU BLIST. ALBE, OPACE DIN PA/AL/PVC/AL X 30 COMPR. FILM.

P6L
P6L

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 1 BLIST. X 14 COMPR.

P-RF

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

GEDEON RICHTER ROMANIA SA


GEDEON RICHTER ROMANIA SA

CUTIE CU BLIST. ALBE, OPACE DIN PA/AL/PVC/AL X 30 COMPR. FILM.

ACTAVIS GROUP HF ISLANDA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR.


SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. PVC/AL X 7 COMPR.
ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR.

P-RF

P-RF

GEDEON RICHTER ROMANIA SA

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


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

LEO PHARMACEUTICAL PRODUCTS

DANEMARCA

CUTIE CU 1 FLAC. PEID X 15 G GEL

P-RF

LEO PHARMA A/S


LEO PHARMA A/S

DANEMARCA

CUTIE CU 1 FLAC. PEID CU DUZA DIN PEJD SI CAPAC DIN PEID X 30 G GEL

PRF

DANEMARCA

CUTIE CU 1 FLAC. PEID CU DUZA DIN PEJD SI CAPAC DIN PEID X 15 G GEL

PRF

DR. REDDY'S LABORATORIES

P-RF
P-RF

P-RF

DANEMARCA CUTIE CU 1 TUB DIN AL/EPOXIFENOL X 15 G UNGUENT

P-RF

ACTAVIS GROUP PTC EHF.

ISLANDA

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

P-RF

LEO PHARMACEUTICAL PRODUCTS

DANEMARCA

CUTIE X 1 TUB DIN AL X 15 G CREMA

P-RF

LEO PHARMACEUTICAL PRODUCTS

DANEMARCA

CUTIE X 1 TUB DIN AL X 15 G UNGUENT

P-RF

CN UNIFARM

ROMANIA BORCAN X 500 G CREMA


ROMANIA CUTIE X 1 TUB X 5 G CREMA

PRF

CUTIE X 1 FLACON DIN STICLA BRUNA X 3,5 ML SOL. CUTANATA + 15 DISPOZITIVE DE APLICARE

P-RF

CUTIE X 12 PLICURI DIN POLIESTER/AL X 250 MG CREMA

P-RF

CUTIE X 1 TUB DIN AL X 30 G


CUTIE X 1 TUB DIN AL X 30 G
CUTIE X 1 FLACON X 30 G

P-RF

SCHERING PLOUGH EUROPE

OLANDA
SUEDIA
OLANDA
OLANDA
OLANDA
OLANDA
BELGIA

ANTIBIOTICE SA

ROMANIA CUTIE CU 1 TUB DIN AL X 15 G UNG. P6L

SCHERING PLOUGH EUROPE

BELGIA
BELGIA

50micrograme/0,5mg/g 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
CREMA
1mg/g
SOL. CUT.
1mg/g
UNGUENT
1mg/g
UNGUENT
1mg/g
CREMA
1mg/g
CREMA
1mg/g
EMULSIE CUT. 1mg/g
EMULSIE CUT. 1mg/g
UNGUENT
1mg/g
UNGUENT
1mg/g
CREMA
0,05%
UNGUENT
0,005%
CREMA
0,5mg/g
SOL. CUT.
0,05%
UNGUENT
0,5mg/g
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
GEL
150mg/g
CAPS. MOI 10mg
CAPS. MOI 10mg
CAPS. MOI 20mg

tara det.
APP
ROMANIA
ROMANIA

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

P-RF

P-RF
P-RF

CUTIE X 1 FLACON PICURATOR DIN PP X 30 ML P-RF

CUTIE X 1 TUB DIN AL X 15 G

P-RF

CUTIE X 1 FLACON DIN PEID X 20 ML SOL. CUTANATA

P-RF

CUTIE X 1 TUB DIN AL X 15 G

P-RF

ANTIBIOTICE SA
INTENDIS GMBH
INTENDIS GMBH
INTENDIS GMBH
INTENDIS GMBH
INTENDIS GMBH
INTENDIS GMBH

ROMANIA CUTIE CU 1 TUB DIN AL X 15 G UNG. P6L


GERMANIA CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF
GERMANIA CUTIE X 1 TUB DIN AL X 30 G CREMA P-RF

GLAXO WELLCOME UK LIMITED

MAREA BRITANIE

CUTIE X 1 TUB DIN AL X 15 G CREMA

P-RF

GLAXO WELLCOME UK LIMITED

MAREA BRITANIE

CUTIE X 1 TUB DIN AL X 15 G UNGUENT

P-RF

GLAXO WELLCOME UK LTD.

MAREA BRITANIE

CUTIE CU 1 TUB AL X 25 G CREMA

P-RF

GLAXO WELLCOME UK LTD.

MAREA BRITANIE

CUTIE X 1 FLACON CU PICURATOR DIN PP X 25 ML

P-RF

GLAXO WELLCOME UK LTD.

MAREA BRITANIE

P-RF

LEO PHARMACEUTICAL PRODUCTS

DANEMARCA

LEO PHARMACEUTICAL PRODUCTS

DANEMARCA

CUTIE CU 1 TUB AL X 25 G UNGUENT


CUTIE X 1 TUB DIN AL X 15 G CREMA
CUTIE X 1 TUB DIN AL X 15 G CREMA

MERCK SHARP & DOHME ROMANIA

P-RF

MERCK SHARP & DOHME

CUTIE X 1 TUB DIN AL X 45 G


ROMANIA CUTIE X 1 TUB DIN AL X 15 G
MAREA BRITANIE CUTIE X 1 TUB DIN AL X 30 G GEL

P-RF

STIEFEL LABORATORIES IRELAND LTD.

INTENDIS GMBH
INTENDIS GMBH
INTENDIS GMBH

GERMANIA
GERMANIA

Pagina 39 din 162

P-RF
P-RF

GERMANIA CUTIE X 1 TUB DIN AL X 15 G UNGUENT P-RF


GERMANIA CUTIE X 1 TUB DIN AL X 30 G UNGUENT P-RF

P-RF
P-RF

P-RF

GERMANIA CUTIE X 1 TUB DIN AL X 30 G CREMA P-RF


GERMANIA
GERMANIA

ROCHE ROMANIA SRL ROMANIA


TERAPIA S.A.
ROMANIA
TERAPIA S.A.
ROMANIA

POLICHEM SA

CUTIE X 1 TUB X 20 G
CUTIE X 1 TUB X 50 G

CUTIE X 1 TUB AL X 50 G GEL


CUTIE X 1 TUB AL X 30 G GEL

P-RF
P-RF

CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 CAPS. MOI P-RF


CUTIE X 3 BLIST. PE-PVDC-PVC/HARTIE-AL X 10 CAPS. MOI

P-RF

CUTIE X 3 BLIST. PE-PVDC-PVC/HARTIE-AL X 10 CAPS. MOI

P-RF

LUXEMBURG CUTIE X 1 BLIST. AL/PVDC-PVC X 12 CAPS. MOI. VAG. P-RF

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

30
30
14
30
28
28
14
28
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
1
1
1
30
30
30
12

Pret
amanuntul
maximal/UT
(RON)

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

71.26
2.375333
1.927916
64.10
2.136666
1.839000
87.90
6.278571
1.178125
234.95
7.831666
1.178125
107.44
3.837142
1.178125
29.74
1.062142
1.062142
18.21
1.300714
1.178125
31.99
1.142500
1.142500
16.66
1.190000
1.178125
108.77
3.884642
1.178125
81.72 81.720000 56.234999
108.59 108.590000 56.234999
57.17 57.170000 56.234999
53.43 53.430000 53.430000
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 10.180000
10.18 10.180000 10.180000
18.78 18.780000 13.573333
15.69 15.690000 10.180000
10.18 10.180000 10.180000
12.70 12.700000 11.879375
24.16 24.160000 23.758750
15.75 15.750000 15.750000
34.03 34.030000 34.030000
12.99 12.990000 11.879375
24.16 24.160000 23.758750
10.31 10.310000 10.310000
10.31 10.310000 10.310000
12.08 12.080000
6.354000
5.21
5.210000
5.210000
8.91
8.910000
6.354000
21.74 21.740000 21.740000
23.82 23.820000 23.820000
47.00 47.000000 47.000000
16.66 16.660000 15.915000
36.22 36.220000 36.220000
34.10 34.100000 28.492000
46.69 46.690000 46.690000
28.97 28.970000 28.492000
53.29
1.776333
1.087166
33.09
1.103000
1.087166
64.28
2.142666
2.142666
38.11
3.175833
2.404332

cod ATC

DCI

630 G01AA51

COMBINATII
COMBINATII
COMBINATII
FENTICONAZOLUM
FENTICONAZOLUM
FENTICONAZOLUM
BUTOCONAZOLUM

Nr. crt

631 G01AA51
632 G01AA51
633 G01AF12
634 G01AF12
635 G01AF12
636 G01AF15

637 G01AF20 COMBINATII (METRONIDAZOLUM+CLOTRIMAZOLUM)


638 G01AF20 COMBINATII (METRONIDAZOLUM+CLOTRIMAZOLUM)
639 G01AF20 COMBINATII (METRONIDAZOLUM+CLOTRIMAZOLUM)
640 G01AF20 COMBINATII (METRONIDAZOLUM+CLOTRIMAZOLUM)
641 G01AF20 COMBINATII (METRONIDAZOLUM+CLOTRIMAZOLUM)
642 G02CB03
643 G02CB03
644 G03AC03
645 G03CA04
646 G03CA09
647 G03CA09
648 G03CX01
649 G03DA04
650 G03DA04
651 G03DA04
652 G03DA04
653 G03DA04
654 G03DA04
655 G03DB01
656 G03DC03
657 G03FA17
658 G03FB01
659 G03FB08
660 G03GA05
661 G03GA05
662 G03GA05
663 G03GA05
664 G03GA06
665 G03GA06
666 G03GA06
667 G03GA07
668 G03GB02
669 G03XC01
670 G04BD04
671 G04BD07
672 G04BD07
673 G04BD07
674 G04BD08
675 G04BD08
676 G04BD08
677 G04BD08
678 G04BD09
679 G04BD09
680 G04CA01
681 G04CA01
682 G04CA01

CABERGOLINUM*
CABERGOLINUM*
LEVONORGESTRELUM***#
ESTRIOLUM*
PROMESTRIENUM*
PROMESTRIENUM*
TIBOLONUM**
PROGESTERONUM*
PROGESTERONUM*
PROGESTERONUM*
PROGESTERONUM*
PROGESTERONUM*
PROGESTERONUM*
DYDROGESTERONUM*
LYNESTRENOLUM*
COMBINATII**
COMBINATII**
COMBINATII**
FOLLITROPINUM ALFA****#
FOLLITROPINUM ALFA****#
FOLLITROPINUM ALFA****#
FOLLITROPINUM ALFA****#
FOLLITROPINUM BETA****#
FOLLITROPINUM BETA****#
FOLLITROPINUM BETA****#
LUTROPINUM ALFA****#
CLOMIFENUM
RALOXIFENUM
OXYBUTYNINUM
TOLTERODINUM**#
TOLTERODINUM**#
TOLTERODINUM**#
SOLIFENACINUM SUCCINATE**#
SOLIFENACINUM SUCCINATE**#
SOLIFENACINUM SUCCINATE**#
SOLIFENACINUM SUCCINATE**#
TROSPIUM
TROSPIUM
ALFUZOSINUM
ALFUZOSINUM
ALFUZOSINUM

Denumire Comerciala

forma farm.

POLYGYNAX
POLYGYNAX
MACMIROR COMPLEX
LOMEXIN 1000 mg
LOMEXIN 600 mg
LOMEXIN CREMA VAGINALA
GYNOFORT 2%
MECLODIN
MECLON
MECLON
MECLON
MECLON
DOSTINEX
DOSTINEX
MIRENA 20 mcg/24 h
OVESTIN
COLPOTROPHINE (R)
COLPOTROPHINE (R)
LIVIAL (R) 2,5 mg
UTROGESTAN (R) 100 mg
AREFAM 100 mg
UTROGESTAN (R) 200 mg
AREFAM 200 mg
PROGESTOGEL 10 mg/g
MASTOPROFEN 10 mg/g
DUPHASTON 10 mg
ORGAMETRIL
ANGELIQ
CYCLO-PROGYNOVA
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 100UI/0,5ml
PUREGON 300UI/0,36 ml
PUREGON 900UI/1,08 ml
LUVERIS 75UI
CLOSTILBEGYT
EVISTA 60mg
DRIPTANE ( R ) 5 mg
DETRUSITOL SR 4 mg
UROFLOW 1
UROFLOW 2
ZEVESIN 10 mg
VESICARE 10 mg
ZEVESIN 5 mg
VESICARE 5 mg
INKONTAN 15 mg
INKONTAN 30 mg
ALFURAN MR 10 mg
XATRAL SR 10 mg
XATRAL LP 5 mg

CAPS. MOI VAG.

concentratie

Detinator APP

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
COMPR. VAG. 500mg/200mg ARENA GROUP S.A.
CREMA
FARA CONCENTRATIE ALFA WASSERMANN SPA
CREMA VAG. FARA CONCENTRATIE ALFA WASSERMAN SPA
OVULE
FARA CONCENTRATIE ALFA WASSERMAN SPA
SOL. VAGINALA

FARA CONCENTRATIE

FARA CONCENTRATIE

COMPR.
COMPR.

0,5mg
0,5mg
DISPOZITIV INTRAUTERIN 52mg
OVULE
0,5mg
CAPS. MOI VAG. 10mg
CREMA VAG. 1%
COMPR.
2,5mg
CAPS. MOI 100mg
CAPS. MOI 100mg
CAPS. MOI 200mg
CAPS. MOI 200mg
GEL
10mg/g
GEL
10mg/g
COMPR. FILM. 10mg
COMPR.
5mg
COMPR. FILM.

FARA CONCENTRATIE

DRAJ.

FARA CONCENTRATIE

COMPR. FILM.

FARA CONCENTRATIE

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

COMPR.
COMPR. FILM.

COMPR.
CAPS. ELIB. PREL.

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

tara det.
APP

FRANTA
FRANTA

Ambalaj

Prescriptie

CUTIE X 1 BLIST. AL/PVC X 6 CAPS. MOI VAG. P-RF


CUTIE X 2 BLIST. AL/PVC X 6 CAPS. MOI. VAG. P-RF

LUXEMBURG CUTIE X 1 TUB DIN AL CREMA VAG. X 30 G + APLICATOR

P-RF

ITALIA
ITALIA
ITALIA

CUTIE X 1 BLIST. PVC/PVDC-AL X 1 CAPS. VAG. MOALE

P-RF

CUTIE X 1 TUB AL + APLICATOR X 78 G CREMA

P-RF

CUTIE X 1 APLICATOR PREUMPLUT UNIDOZA DIN PP CU 5 G CREMA VAG.

P-RF

CUTIE X 2 BLIST. TRANSPARENT DIN AL/PVC X 5 COMPR. VAG.

P-RF

CUTIE X 1 TUB DIN AL X 30 G

P-RF

CUTIE X 1 TUB DIN AL X 30 G CREMA VAG. + 6 APLICATOARE DIN POLIPROPILENA

P-RF

CUTIE X 2 FOLII PVC-PE X 5 OVULE

P-RF

CUTIE X 5 FLACOANE PVC-PE X 10 ML + 5 FLACOANE PEJD X 130 ML + 5 CANULE

P-RF

ROMANIA
ROMANIA

ITALIA
ITALIA
ITALIA
ALFA WASSERMAN SPA ITALIA

CUTIE X 1 BLIST. PVC/PVDC-AL X 2 CAPS. VAG. MOI P-RF

P-RF

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

ORGANON NV
LAB. THERAMEX
LAB. THERAMEX
ORGANON NV

OLANDA CUTIE X 3 FOLII X 5 OVULE

P-RF

MONACO CUTIE X 1 BLIST. AL/PVC X 10 CAPS. MOI VAG.


MONACO CUTIE X 1 TUB X 15 G

P-RF

P-RF

LAB. BESINS INTERNATIONAL

OLANDA CUTIE X 1 BLIST. X 28 COMPR.


FRANTA CUTIE X 2 BLIST. X 15 CAPS. MOI

MEDICO UNO PHARMA KFT.

UNGARIA

CUTIE X 2 BLIST. PVC-PVDC/AL X 15 COMPR. MOI

P-6L

LAB. BESINS INTERNATIONAL

FRANTA CUTIE X 2 BLIST. AL/PVC X 7 CAPS. MOI

P-6L

MEDICO UNO PHARMA KFT.

UNGARIA

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

LABORATOIRES BESINS INTERNATIONAL

FRANTA

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

ANTIBIOTICE SA

ROMANIA CUTIE CU 1 TUB DIN AL X 40 G GEL P6L

PFIZER EUROPE MA EEG

MAREA BRITANIE

PFIZER EUROPE MA EEG

P-RF

P-RF

P-6L

PRF

OLANDA CUTIE CU 1 BLIST. PVC/AL X 20 COMPR. FILM. P-RF


ORGANON NV
OLANDA CUTIE X 1 BLIST. X 30 COMPR.
P-6L
BAYER PHARMA AG GERMANIA CUTIE X 1 BLIST. CALENDARISTIC PVC/AL X 28 COMPR. FILM. P6L
BAYER PHARMA AG GERMANIA CUTIE CU 1 BLIST. PVC/AL TIP CALENDAR X 21 DRAJ. P-6L
ABBOTT HEALTHCARE PRODUCTS B.V. OLANDA
P-RF
ABBOTT HEALTHCARE PRODUCTS B.V.

CUTIE X 1 BLIST. TIP CALENDAR X 28 COMPR. FILM. (14 COMPR.FILM. ROSII-CARAMIZII + 14 COMPR.FILM. GAL

75UI
SERONO EUROPE LTD.
300UI/0,5ml SERONO EUROPE LTD.
450UI/0,75ml SERONO EUROPE LTD.
900UI/0,75ml SERONO EUROPE LTD.

100UI/0,5ml N. V. ORGANON
300UI/0,36ml N. V. ORGANON
900UI/1,08ml N. V. ORGANON
75UI
SERONO EUROPE LTD.
50mg
EGIS PHARMACEUTICALS P.L.C.
60mg
DAIICHI SANKYO EUROPE GMBH
5mg
LAB. FOURNIER SA
4mg
PFIZER EUROPE MA EEIG
1mg
ZENTIVA K.S.
2mg
ZENTIVA K.S.
10 mg
ZENTIVA K.S.
10mg
ASTELLAS PHARMA EUROPE BV
5 mg
ZENTIVA K.S.
5mg
ASTELLAS PHARMA EUROPE BV
15mg
30mg
10mg
TERAPIA SA
10mg
SANOFI-AVENTIS ROMANIA S.R.L.
5mg
SANOFI-AVENTIS ROMANIA S.R.L.
PHARMAZEUTISCHE FABRIK MONTAVIT GES.M.B.H.
PHARMAZEUTISCHE FABRIK MONTAVIT GES.M.B.H.

Pagina 40 din 162

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

OLANDA CUTIE X 1 FLACON DIN STICLA X 0,5 ML SOL. INJ.


OLANDA CUTIE X 1 CARTUS + 6 ACE
OLANDA CUTIE X 1 CARTUS SOL. INJ. + 9 ACE

PR/PRF
PR/PRF
PR/PRF

MAREA BRITANIE CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ.+ 1 FLAC. A 2 ML SAU 3 ML X 1 ML SOLV.

P-RF/R

UNGARIA

P-RF

CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 COMPR.

GERMANIA CUTIE X 28 COMPR. FILM. (BLIST. ACLAR) P-RF

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


MAREA BRITANIE
REPUBLICA CEHA
REPUBLICA CEHA
REPUBLICA CEHA

P-6L

CUTIE X 4 BLIST. X 7 CAPS. ELIB. PREL. P-6L


CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P6L
CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P6L
CUTIE CU BLIST. OPA/AL/PVC/AL X 30 COMPR. FILM.
P6L

OLANDA

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

REPUBLICA CEHA

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

OLANDA
AUSTRIA
AUSTRIA

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

ROMANIA
ROMANIA
ROMANIA

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

P6L

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


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

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


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

P-6L

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

6
12
1
2
1
1
1
10
1
1
10
5
2
8
1
15
10
1
28
30
30
14
30
1
1
20
30
28
21
28
1
1
1
1
1
1
1
1
10
28
60
28
28
28
30
30
30
30
30
30
30
30
28

17.46
33.74
35.47
51.21
20.09
36.01
40.29
15.01
9.63
12.87
36.96
21.99
43.59
123.74
513.53
20.62
12.08
13.87
72.82
30.00
19.49
30.00
37.74
21.14
9.01
21.57
9.12
57.86
7.77
30.99
132.63
527.76
756.26

Pret
amanuntul
maximal/UT
(RON)

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

2.910000
2.811666
35.470000
25.605000
20.090000
36.010000
40.290000
1.501000
9.630000
12.870000
3.696000
4.398000
21.795000
15.467500
513.530000
1.374666
1.208000
13.870000
2.600714
1.000000
0.649666
2.142857
1.258000
21.140000
9.010000
1.078500
0.304000
2.066428
0.370000
1.106785
132.630000
527.760000
756.260000

2.404332
2.404332
35.470000
15.644998
9.386999
24.406197
1.564499
1.109700
9.630000
12.870000
1.109700
1.109700
8.262750
8.262750
513.530000
1.374666
0.663539
9.953098
2.600714
0.644499
0.644499
1.288999
1.258000
18.800000
9.010000
1.078500
0.304000
2.066428
0.370000
0.554196
123.093333
492.373333
738.560000

1,441.72 1,441.720000 1,441.720000

200.89 200.890000 164.124403


517.31 517.310000 492.176384
1,410.83 1,410.830000 1,410.830000

146.72 146.720000 146.720000


17.07
1.707000
1.707000
124.97
4.463214
4.463214
26.63
0.443833
0.443833
174.60
6.235714
2.287799
22.20
0.792857
0.571949
26.66
0.952142
0.952142
147.62
4.920666
4.575599
227.12
7.570666
4.575599
83.61
2.787000
2.287799
183.34
6.111333
2.287799
38.11
1.270333
0.857924
63.52
2.117333
1.715849
36.04
1.201333
1.201333
40.59
1.353000
1.353000
15.72
0.561428
0.561428

Nr. crt

cod ATC

683 G04CA02
684 G04CA02
685 G04CA02
686 G04CA02
687 G04CA02
688 G04CA02
689 G04CA02
690 G04CA02
691 G04CA02
692 G04CB01
693 G04CB01
694 G04CB01
695 G04CB01
696 G04CB01
697 G04CB01
698 G04CB02
699 H01AA02
700 H01AC01
701 H01AC01
702 H01AC01
703 H01AC01
704 H01AC01
705 H01AC01
706 H01AC01
707 H01AC01
708 H01AC01
709 H01CC01
710 H01CC02
711 H02AA02
712 H02AB01
713 H02AB06
714 H02AB06
715 H03BB02
716 H03BB02
717 H03BB02
718 H05BA01
719 H05BA01
720 J01CR01
721 J01CR01
722 J01CR04
723 J01CR04
724 J01FA02
725 J01FA02
726 J01FA10
727 J01FA10
728 J01FA10
729 J01FA10
730 J01FA10
731 J01FA10
732 J01FA10
733 J01FA10
734 J01FA10
735 J01FA10

DCI

TAMSULOSINUM
TAMSULOSINUM
TAMSULOSINUM
TAMSULOSINUM
TAMSULOSINUM
TAMSULOSINUM
TAMSULOSINUM
TAMSULOSINUM
TAMSULOSINUM
FINASTERIDUM*
FINASTERIDUM*
FINASTERIDUM*
FINASTERIDUM*
FINASTERIDUM*
FINASTERIDUM*
DUTASTERIDUM*
TETRACOSACTIDUM
SOMATROPINUM***#
SOMATROPINUM***#
SOMATROPINUM***#
SOMATROPINUM***#
SOMATROPINUM***#
SOMATROPINUM***#
SOMATROPINUM***#
SOMATROPINUM***#
SOMATROPINUM***#
GANIRELIXUM***#
CETRORELIXUM***#
FLUDROCORTISONUM
BETAMETHASONUM
PREDNISOLONUM
PREDNISOLONUM
THIAMAZOLUM
THIAMAZOLUM
THIAMAZOLUM
CALCITONINUM (SOMON)
CALCITONINUM (SOMON)
AMPICILLINUM + SULBACTAM
AMPICILLINUM + SULBACTAM
SULTAMICILLINUM
SULTAMICILLINUM
SPIRAMYCINUM
SPIRAMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM

Denumire Comerciala

forma farm.

concentratie

TAMSOL 0,4 mg
FOKUSIN
CONTIFLO MR
TANYZ
TAMSUNORM 0,4 mg

CAPS. ELIB. MODIF.

TAMSULOSIN AUROBINDO 400 micrograme

CAPS. ELIB. PREL. 400micrograme

TAMSULOSIN TEVA 400 g


TANYZ 0,4 mg
OMNIC TOCAS (R) 0,4
PROSCAR 5 mg
PROSCAR 5 mg
FINASTERIDE TEVA 5mg
TAREDOX 5 mg
FINASTERIDA BIOGALENICA 5 mg
FINASTERIDA ARENA 5 mg
AVODART 0,5 mg
SYNACHTEN DEPOT
ZOMACTON
GENOTROPIN (R) 16 ui (5,3 mg)
OMNITROPE 15mg/1,5ml
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
SOLU - DECORTIN H 250
SOLU - DECORTIN H 50
THYROZOL 10 mg
THYROZOL 20mg
THYROZOL 5 mg
NYLEX (R)
MIACALCIC (R)
AMPIPLUS (R) 1,5 g
AMPIPLUS 1000 mg/500 mg
UNASYN
UNASYN
ROVAMYCINE (R) 1,5 Mil. UI
ROVAMYCINE (R) 3 Mil. UI
AZATRIL 250 mg
SUMAMED 250 mg
SUMAMED 125 mg
AZITROMICINA SANDOZ 250 mg COMPRIMATE FILMATE

AZITROMICINA TERAPIA 250 mg


AZITROMICINA TERAPIA 250 mg
SUMAMED 500 mg
AZITROMICINA SANDOZ 500 mg COMPRIMATE FILMATE

AZIBIOT 500 mg
AZITROMICINA TERAPIA 500 mg

CAPS. ELIB. MODIF.

CAPS. ELIB. PREL.


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

0,4mg
0,4mg
0,4mg
0,4mg
0,4mg

Detinator APP
GEDEON RICHTER ROMANIA SA

ZENTIVA KS
RANBAXY UK LTD.

tara det.
APP
ROMANIA

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

P-6L

CEHIA

CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS. ELIB. MODIF.

P-6L

MAREA BRITANIE

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

P-6L

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

P-6L

KRKA D.D. NOVO MESTO SLOVENIA

Ambalaj

ICN POLFA RZESZOW S.A.

POLONIA

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

P-6L

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

CUTIE CU BLIST. PVC/PE/PVDC-AL X 30 CAPS. ELIB. PREL.

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

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

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

P6L
P6L
P6L

PULB. + SOLV. PT. SOL. INJ.

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

MAREA BRITANIE CUTIE X 1 CARTUS BICAMERAL MULTIDOZA CU PULB. SI SOLV. PT. SOL. INJ.

15mg/1,5ml
10mg/2ml
3,3mg/ml
6,7mg/ml
10mg/1,5ml
10mg/1,5 ml
5mg/1,5 ml

AUSTRIA
FRANTA
AUSTRIA
AUSTRIA

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.
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.

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

COMPR. FILM.
PULB. PT. SUSP. ORALA

COMPR. FILM.
COMPR. FILM.

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

Prescriptie

KRKA D.D., NOVO MESTO SLOVENIA

OLANDA

CUTIE X 3 FOLII AL/AL X 10 COMPR. FILM. ELIB. PREL.

P-6L

MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. PVC/PE/PVD-AL X 14 COMPR.FILM.

P-6L

MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PVC/PE/PVD-AL X 14 COMPR.FILM.

P-6L

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


DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. AL/AL X 14 COMPR. FILM.
ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM.
ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM.
GLAXOSMITHKLINE (GSK) SRL ROMANIA CUTIE X 3 BLIST.PVC-PVDC/AL X 10 CAPS. MOI

P-6L

ASTELLAS PHARMA EUROPE BV

TEVA PHARMACEUTICAL S.R.L.

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

NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FIOLA DIN STICLA X 1 ML SUSP. INJ.

S/P-RF

FERING GMBH

P-RF

SANDOZ GMBH
IPSEN PHARMA
SANDOZ GMBH
SANDOZ GMBH
NOVO NORDISK A/S
NOVO NORDISK A/S
NOVO NORDISK A/S
0,25mg/0,5ml N. V. ORGANON
0,25mg
SERONO EUROPE LTD.
0,1mg
MERCK KGAA
7mg/ml
MERCK SHARP & DOHME
250mg
MERCK KGAA
50mg
MERCK KGAA
10mg
MERCK KGAA
20mg
MERCK KGAA
5mg
MERCK KGAA
100UI/ml
PROEL E.P. CORONIS SA
50ui/ml
NOVARTIS PHARMA GMBH
1g+500mg ANTIBIOTICE SA
1000mg/500mg ANTIBIOTICE S.A.
375mg
PFIZER EUROPE MA EEIG
250mg/5ml PFIZER EUROPE MA EEIG
1,5 M ui
LAB. AVENTIS
3M ui
LAB. AVENTIS
250mg
BALKANPHARMA RAZGRAD AD
250mg
PLIVA LJUBLIJANA D.O.O.
125mg
PLIVA LJUBLJANA D.O.O.
250mg
SANDOZ S.R.L.
250mg
TERAPIA SA
250mg
TERAPIA SA
500mg
PLIVA LJUBLJANA D.O.O.
500mg
SANDOZ S.R.L.
500mg
KRKA D.D. NOVO MESTO
500mg
TERAPIA SA

Pagina 41 din 162

GERMANIA

CUTIE X 1 FLAC. LIOF. PT. SOL. INJ. + 1 FIOLA X 3,5 ML SOLV.

CUTIE X 1 CARTUS X 1,5 ML SOL.INJ.


CUTIE X 1 CARTUS X 2 ML. SOL. INJ.
CUTIE X 1CARTUS X 1,5 ML SOL.INJ.
CUTIE X 1CARTUS X 1,5 ML SOL.INJ.

P-RF
PR/PRF

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

DANEMARCA CUTIE X 1 CARTUS DIN STICLA INCOLORA X 1,5 ML SOL. INJ.

P-RF

DANEMARCA

CUTIE CU 1 STILOU INJECTOR (PEN) PREUMPLUT MULTI-DOZA ( CARTUS DIN STICLA INCOLORA X 1,5 ML SOL. INJ

P-RF

DANEMARCA

CUTIE CU 1 STILOU INJECTOR (PEN) PREUMPLUT MULTI-DOZA ( CARTUS DIN STICLA INCOLORA X 1,5 ML SOL. INJ

P-RF

OLANDA

CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. + AC ATASAT

P-RF/R

MAREA BRITANIE

CUTIE CU UN SUPORT CONTINAND: 7 FLAC.PULB. + 7 SERINGI PRE-UMPLUTE X 1 ML SOLV. + 7 ACE PT. INJECTII

P-RF

GERMANIA CUTIE X 1 FLAC. DIN PP X 50 COMPR. P-RF

BELGIA

CUTIE X 5 FIOLE X 1 ML

P-RF

GERMANIA

CUTIE X 3 FLAC. DIN STICLA INCOLORA X 250 MG FIOF. PT. SOL. INJ. + 3 FIOLE X 5 ML SOLV.

P-RF

GERMANIA

CUTIE X 3 FLAC. X 50 MG LIOF. PT. SOL. INJ. + 3 FIOLE X 1 ML SOLVENT

P-RF

GERMANIA CUTIE CU BLIST. PVC/AL X 50 COMPR. FILM. P-6L


GERMANIA CUTIE CU BLIST. PVC/AL X 50 COMPR. FILM. P-6L
GERMANIA CUTIE CU BLIST. PVC/AL X 100 COMPR. FILM. P6L

GRECIA CUTIE X 5 FIOLE X 1ML


CUTIE X 5 FIOLE X 1 ML

GERMANIA

P-RF
P-RF

ROMANIA CUTIE X 50 FLAC. PULB. PT. SOL. INJ. X 1,5 G


ROMANIA CUTIE CU 50 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF.

PR, PRF

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

P-RF

MAREA BRITANIE

MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID CU PULBERE PT. 60 ML SUSP. ORALA

FRANTA
FRANTA

P-RF/S

P-RF

CUTIE X 2 BLIST. AL/PVC X 8 COMPR. FILM. P-RF


CUTIE X 2 BLIST. AL/PVC X 5 COMPR. FILM. P-RF

BULGARIA CUTIE X 1 BLIST. AL/PVC X 6 CAPS.


SLOVENIA CUTIE X 1 BLIST. PVC-PVDC/AL X 6 CAPS.
SLOVENIA CUTIE X 1 BLIST. AL/PVC X 6 COMPR. FILM.

P-RF

ROMANIA CUTIE X 1 BLIST. X 6 COMPR. FILM.


ROMANIA CUTIE X 1 BLIST. PVC-ACLAR/AL X 6 COMPR. FILM.
ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 6 COMPR. FILM.

P-RF

SLOVENIA CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM.

P-RF

ROMANIA CUTIE X 1 BLIST. X 3 COMPR. FILM.

P-RF

SLOVENIA CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM.

P-RF

ROMANIA

P-RF
P-RF

P-RF
P-RF

CUTIE X 1 BLIST. PVC-ACLAR/AL X 3 COMPR. FILM. P-RF

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

30
30
30
30
30
30
30
30
30
14
28
30
28
28
28
30
1
1
1
1
1
1
1
1
1
1
1
7
50
5
3
3
50
50
100
5
5
50
50
12
1
16
10
6
6
6
6
6
6
3
3
3
3

Pret
amanuntul
maximal/UT
(RON)

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

36.34
1.211333
1.211333
21.00
0.700000
0.700000
26.93
0.897666
0.897666
21.20
0.706666
0.706666
22.96
0.765333
0.765333
26.93
0.897666
0.897666
20.08
0.669333
0.669333
31.90
1.063333
1.063333
63.98
2.132666
1.515857
33.27
2.376428
1.175357
64.36
2.298571
1.175357
35.18
1.172666
1.172666
32.91
1.175357
1.175357
32.91
1.175357
1.175357
32.91
1.175357
1.175357
95.62
3.187333
3.187333
5.75
5.750000
5.750000
434.84 434.840000 396.484000
555.63 555.630000 528.645333
1,653.92 1,653.920000 1,486.815000

991.21 991.210000 991.210000


484.12 484.120000 484.120000
765.73 765.730000 765.730000
1,320.72 1,320.720000 991.210000
1,726.64 1,726.640000 991.210000
898.74 898.740000 495.605000
176.88 176.880000 121.294606
845.15 120.735714 120.735714
47.78
0.955600
0.955600
34.53
6.906000
6.906000
95.62 31.873333 31.873333
35.71 11.903333
6.981149
21.00
0.420000
0.303840
25.52
0.510400
0.510400
30.86
0.308600
0.151920
32.36
6.472000
6.472000
34.46
6.892000
3.735000
728.96 14.579200 14.579200
728.96 14.579200 14.579200
33.18
2.765000
2.765000
24.41 24.410000 22.692500
9.85
0.615625
0.615625
25.56
2.556000
1.430568
25.50
4.250000
3.576424
37.99
6.331666
3.576424
25.36
4.226666
1.788210
48.80
8.133333
3.576424
25.52
4.253333
3.576424
25.52
4.253333
3.576424
38.17 12.723333
7.152849
48.80 16.266666
7.152849
25.65
8.550000
7.152849
25.64
8.546666
7.152849

Nr. crt

cod ATC

736 J01FA10
737 J01FA10
738 J01FA10
739 J01FA10
740 J01FA10
741 J01FA10
742 J01FA10
743 J01FA10
744 J01FA10
745 J01FA10
746 J01FA10
747 J01FA10
748 J01FA10
749 J01FF01
750 J01FF01
751 J01FF01
752 J01FF01
753 J01FF01
754 J01FF01
755 J01MA12
756 J01MA12
757 J01MA12
758 J01MA12
759 J01MA12
760 J01MA12
761 J01MA12
762 J01MA12
763 J01MA12
764 J01MA12
765 J01MA12
766 J01MA12
767 J01MA12
768 J01MA14
769 J02AC02
770 J02AC02
771 J02AC02
772 J02AC02
773 J02AC02
774 J02AC02
775 J05AB11
776 J05AB11
777 J05AB15
778 L01AA01
779 L02AE02
780 L02AE02
781 L02AE03
782 L02AE04
783 L02AE04
784 L02AE04
785 L02AE04
786 L04AX01
787 M01AC01
788 M01AC01

DCI

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
LEVOFLOXACINUM
MOXIFLOXACINUM
ITRACONAZOLUM*
ITRACONAZOLUM*
ITRACONAZOLUM*
ITRACONAZOLUM*
ITRACONAZOLUM*
ITRACONAZOLUM*
VALACYCLOVIRUM*
VALACYCLOVIRUM*
BRIVUDINUM*#
CYCLOPHOSPHAMIDUM*
LEUPRORELINUM***#
LEUPRORELINUM***#
GOSERELINUM***#
TRIPTORELINUM***#
TRIPTORELINUM***#
TRIPTORELINUM***#
TRIPTORELINUM***#
AZATHIOPRINUM*
PIROXICAMUM
PIROXICAMUM

Denumire Comerciala

AZITROMICINA TERAPIA 500 mg


ZITROCIN 500 mg
AZITROX (R) 500
AZATRIL 500 mg
AZITROMICINA ARENA 500 mg
AZITROMICINA TERAPIA 600 mg
AZITROMICINA TERAPIA 600 mg
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 MACLEODS 250 mg
FLERADAY 500 mg
LEVOFLOXACINA ACTAVIS 500 mg
TAVANIC 500 mg
LEVOTOR 500 mg
LEVOFLOXACINA BLUEFISH 500 mg
LEVOFLOXACINA BLUEFISH 500 mg
LEVOFLOXACINA MACLEODS 500 mg
LEVOFLOXACINA MACLEODS 500 mg
AVELOX 400 mg
ORUNGAL
ITRACONAZOL 100 mg
ITRACONAZOL 100 mg
OMICRAL 100 mg
MICOGAL 100 mg
ITRACONAZOL ARENA 100 mg
VALTREX 500 mg
VALACICLOVIR ARENA 500 mg
BRIVAL 125mg
ENDOXAN (R) 50 mg
LUCRIN DEPOT 11,25mg
LUCRIN DEPOT 3,75mg
ZOLADEX (R)
DIPHERELINE 0,1 mg
DIPHERELINE PR 11,25 mg
DIPHERELINE 3,75 mg
GONAPEPTYL ZILNIC 0,1 mg/ml
IMURAN
PIROXSAL 20 mg
FLAMEXIN

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

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

COMPR.
DRAJ.
LIOF.+ SOLV. PT. SUSP. INJ. ELIB. PREL.

LIOF.+ SOLV. PT. SUSP. INJ. ELIB. PREL.

IMPLANT
LIOF. + SOLV. PT. SOL. INJ.
PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL.

PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL.

SOL. INJ.
COMPR. FILM.

COMPR.
COMPR.

concentratie

500mg
500mg
500mg
500mg
500mg
600mg
600mg
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
500mg
400mg
100mg
100mg
100mg
100mg
100mg
100mg
500 mg
500mg
125mg
50mg
11,25mg
3,75mg
3,6mg
0,1mg
11,25mg
3,75mg
0,1mg/ml
50mg
20mg
20mg

tara det.
APP
Ambalaj
TERAPIA SA
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.
Detinator APP

ZENTIVA K.S.

Prescriptie

P-RF
P-RF

ACTAVIS GROUP PTC EHF.

CEHIA
ISLANDA

ARENA GROUP S.A.


TERAPIA SA
TERAPIA SA
ZENTIVA S.A.
SANDOZ SRL
SANDOZ SRL

ROMANIA CUTIE CU 1 BLIST. AL/PVC X 3 COMPR. FILM. PRF


ROMANIA CUTIE X 1 BLIST. PVC-ACLAR/AL X 3 COMPR. FILM. P-RF
ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 3 COMPR. FILM. P-RF
ROMANIA
P-RF
ROMANIA
P-RF
ROMANIA
P-RF

CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM. P-RF


CUTIE CU BLIST. OPA-PVC-AL/AL X 3 COMPR. FILM. PRF

CUTIE X 1 FLAC. DIN PE CU PULB. PT. 15 ML SUSP. ORALA RECONSTITUITA + FLAC. CU SOLV. X 7,5 ML SOLV.

CUTIE X 1 FLAC. DIN PEID CONTINAD PULBERE PT. 20 ML SUSP. ORALA + SERINGA DOZATOARE DIN PE/PP

CCUTIE X 1 FLAC. DIN PEID CONTINAD PULBERE PT. 20 ML SUSP. ORALA + SERINGA DOZATOARE DIN PE/PP

PLIVA LJUBLIJANA D.O.O. SLOVENIA

CUTIE X 1 FLAC. DIN PEID CU PULB. PT.15 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE

P-RF

PLIVA LJUBLIJANA D.O.O. SLOVENIA

CUTIE X 1 FLAC. DIN PEID CU PULB. PT. 30 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE

P-RF

PLIVA LJUBLIJANA D.O.O. SLOVENIA

CUTIE X 1 FLAC. DIN PEID CU PULB. PT. 37,5 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE

P-RF

CUTIE X 2 BLIST. AL/PVC X 8 CAPS.


CUTIE X 2 BLIST. AL/PVC X 8 CAPS.

PFIZER EUROPE MA EEIG

MAREA BRITANIE

PFIZER EUROPE MA EEIG

MAREA BRITANIE

MIP PHARMA GMBH


MIP PHARMA GMBH
MIP PHARMA GMBH
MIP PHARMA GMBH

GERMANIA CUTIE X 2 BLIST. PVC/AL X 8 COMPR. FILM. P-RF

DR. REDDY'S LABORATORIES

ROMANIA

CUTIE CU BLIST. PVC/PVDC - AL X 7 COMPR. FILM. PRF

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE X 1 BLIST. AL/PVC X 7 COMPR. FILM. P-RF

P-RF
P-RF

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

TERAPIA S.A.

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.

P-RF

MACLEODS PHARMA UK LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

PRF

P-RF

DR. REDDY'S LABORATORIES

ROMANIA

CUTIE CU BLIST. PVC/PVDC - AL X 7 COMPR. FILM. PRF

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE X 1 BLIST. AL/PVC X 7 COMPR. FILM. P-RF

TERAPIA S.A.

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
BLUEFISH PHARMACEUTICALS AB

SUEDIA
SUEDIA

CUTIE CU BLIST. PVC/AL X 7 COMPR. FILM.

P-RF
P-RF

PRF

CUTIE CU BLIST. PVC-PVDC/PVC X 7 COMPR. FILM. PRF

MACLEODS PHARMA UK LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 5 COMPR. FILM.

PRF

MACLEODS PHARMA UK LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

PRF

BAYER PHARMA AG GERMANIA CUTIE X 1 BLIST. ALB OPAC PP/AL X 5 COMPR. FILM.
JANSSEN PHARMACEUTICA N.V. 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.
ROMPHARM COMPANY SRL ROMANIA CUTIE X 3 BLIST. PVC/AL X 5 CAPS.
ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS.

P-RF

THE WELLCOME FOUNDATION LTD.

PRF

MAREA BRITANIE CUTIE CU BLIST. DIN CLORURA DE POLIVINIL/AL X 10 COMPR.FILM.

ARENA GROUP S.A. ROMANIA

CUTIE CU 1 BLIST. PVC/PE/PVDC ALB OPAC/AL X 10 COMPR. FILM.

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

PRF

BERLIN CHEMIE AG MENARINI GROUP

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.


ABBOTT LABORATORIES LTD.

SPANIA
SPANIA

ASTRAZENECA UK LTD.

MAREA BRITANIE

IPSEN PHARMA
IPSEN PHARMA
IPSEN PHARMA
FERRING GMBH

FRANTA
FRANTA
FRANTA
GERMANIA

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

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

ASPEN EUROPE GMBH GERMANIA 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. P-6L
CHIESI FARMACEUTICI SPA

Pagina 42 din 162

ITALIA

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

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

3
3
3
3
3
3
3
1
1
1
1
1
1
16
16
16
30
16
30
7
7
7
7
10
7
7
7
7
7
7
5
10
5
15
15
15
15
15
15
10
10
7
50
1
1
1
7
1
1
28
100
20
30

Pret
amanuntul
maximal/UT
(RON)

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

25.64
8.546666
7.152849
25.65
8.550000
7.152849
22.13
7.376666
7.152849
21.26
7.086666
7.086666
25.64
8.546666
7.152849
44.61 14.870000
8.583422
44.61 14.870000
8.583422
16.36 16.360000 16.360000
22.45 22.450000 15.055196
34.36 34.360000 30.110392
25.18 25.180000 22.582800
48.58 48.580000 45.165600
60.36 60.360000 56.456999
12.14
0.758750
0.736484
23.33
1.458125
1.458125
23.31
1.456875
1.456875
54.01
1.800333
1.472968
52.16
3.260000
2.945937
95.84
3.194666
2.945937
28.06
4.008571
2.379600
17.41
2.487142
2.379600
26.78
3.825714
2.379600
17.40
2.485714
2.379600
23.64
2.364000
2.364000
33.85
4.835714
4.759200
33.86
4.837142
4.759200
52.08
7.440000
4.759200
33.65
4.807142
4.759200
31.96
4.565714
4.565714
31.96
4.565714
4.565714
23.64
4.728000
4.728000
41.93
4.193000
4.193000
80.90 16.180000
4.759200
76.92
5.128000
5.128000
52.56
3.504000
3.504000
52.56
3.504000
3.504000
52.56
3.504000
3.504000
52.55
3.503333
3.503333
52.56
3.504000
3.504000
56.95
5.695000
5.067219
37.01
3.701000
3.701000
332.58 47.511428 47.511428
26.13
0.522600
0.522600
994.94 994.940000 994.940000
429.71 429.710000 378.914998
436.52 436.520000 402.272492
134.62 19.231428 10.104391
1,184.81 1,184.810000 1,136.745010

440.58 440.580000 440.580000


630.48 22.517142
1.353989
70.21
0.702100
0.569974
2.63
0.131500
0.131500
29.01
0.967000
0.902700

Nr. crt

cod ATC

789 M01AC01
790 M01AC01
791 M01AC01
792 M01AC01
793 M01AC01
794 M01AC01
795 M01AC01
796 M01AC01
797 M01AC01
798 M01AC01
799 M01AC01
800 M01AC01
801 M01AC05
802 M01AC05
803 M01AE17
804 M01AE17
805 M01AE17
806 M01AH01
807 M01AH01
808 M01AH01
809 M01AH05
810 M01AH05
811 M01AH05
812 M01AH05
813 M01AH05
814 M01AH05
815 M01AH05
816 M01AH05
817 M01AH05
818 M01AH05
819 M01AH05
820 M01AH05
821 M01AX05
822 M01AX05
823 M01AX05
824 M01AX17
825 M01AX17
826 M01AX17
827 M01AX17
828 M01AX17
829 M01AX17
830 M01AX17
831 M03BX01
832 M03BX01
833 M05BA04
834 M05BA04
835 M05BA04
836 M05BA04
837 M05BA04
838 M05BA04
839 M05BA04
840 M05BA04
841 M05BA04

DCI

PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
LORNOXICAMUM
LORNOXICAMUM
DEXKETOPROFENUM
DEXKETOPROFENUM
DEXKETOPROFENUM
CELECOXIBUM
CELECOXIBUM
CELECOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
GLUCOSAMINUM
GLUCOSAMINUM
GLUCOSAMINUM
NIMESULIDUM
NIMESULIDUM
NIMESULIDUM
NIMESULIDUM
NIMESULIDUM
NIMESULIDUM
NIMESULIDUM
BACLOFENUM
BACLOFENUM
ACIDUM ALENDRONICUM*
ACIDUM ALENDRONICUM*
ACIDUM ALENDRONICUM*
ACIDUM ALENDRONICUM*
ACIDUM ALENDRONICUM*
ACIDUM ALENDRONICUM*
ACIDUM ALENDRONICUM*
ACIDUM ALENDRONICUM*
ACIDUM ALENDRONICUM*

Denumire Comerciala

FLAMEXIN
PIROXICAM LPH 20 mg
PIROXICAM ARENA 20 MG
PIROXICAM HELCOR 20 mg
FLAMEXIN
FLAMEXIN
FLAMEXIN
FLAMEXIN (R)
HOTEMIN
PIROXICAM ATB 20 mg
PIROXICAM ATB 20 mg
PIROXICAM 20 mg
XEFO RAPID 8 mg
XEFO 8 mg/ 2 ml
TADOR 25 mg
DEXKETOPROFEN TROMETAMOL SANDOZ 25mg

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
GLUCOZAMINA PHARMATAXIS 1250 mg
SLIDEFLEX 1178mg
DONA (R)
LEMESIL
NIMESULID 100 mg
NIMESULID SLAVIA
APONIL
APONIL
NIMESULID ARENA 100 mg
NIMESULID FARMEX 100 mg
LIORESAL (R)
LIORESAL (R)
ACID ALENDRONIC ACCORD 10 mg
TEVANAT 70 mg
ACID ALENDRONIC ACCORD 70 mg
RANOS 70 mg
ACID ALENDRONIC AUROBINDO 70 mg
FOSAMAX 70 mg
ALENDRONAT SANDOZ 70 mg
ADRONIK 70 mg
ADRONIK 70 mg

forma farm.

COMPR.
COMPR.
COMPR.
COMPR.
COMPR. EFF.
COMPR. EFF.
COMPR. EFF.
PULB. PT. SOL. ORALA

SOL. INJ.
SUPOZ.
SUPOZ.
SUPOZ.
COMPR. FILM.
PULB. + SOLV. PT. SOL. INJ.

COMPR. FILM.
COMPR. FILM.
SOL. INJ./CONC. PT. SOL. PERF.

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

COMPR. EFF.
COMPR. FILM.
PULB. PT. SOL. ORALA

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

concentratie

20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg/plic
20mg/ml
20 mg
20 mg
20mg
8mg
8mg/2ml
25mg
25mg
50mg/2ml
100mg
200mg
200mg
120mg
120mg
120mg
120mg
30mg
60mg
60mg
60mg
90mg
90mg
90mg
90mg
1250mg
1178mg
1500mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
10mg
25mg
10mg
70 mg
70mg
70mg
70mg
70mg
70mg
70mg
70mg

Detinator APP
CHIESI FARMACEUTICI SPA

tara det.
APP

ITALIA

Ambalaj

Prescriptie

CUTIE X 1 BLIST. PVC-PDVC/AL-LAC PVDC X 10 COMPR. P-6L

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

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

P-6L

AC HELCOR PHARMA S.R.L.

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

CHIESI FARMACEUTICI SPA

ITALIA
ITALIA
ITALIA
ITALIA

CHIESI FARMACEUTICI SPA


CHIESI FARMACEUTICI SPA
CHIESI FARMACEUTICI SPA

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
CUTIE X 20 PLICURI DUBLU COMPARTIMENTAT X 3 G PULB. PT. SOL. ORALA

P-6L

UNGARIA CUTIE X 1 BLIST. C-PET/PE X 5 FIOLE X 1 ML SOL. INJ. P-RF


ANTIBIOTICE S.A.
ROMANIA CUTIE CU 2 FOLII TERMOSUDATE PVC X 3 SUPOZ. P6L
ANTIBIOTICE S.A.
ROMANIA CUTIE CU 1 FOLIE TERMOSUDATA PVC X 6 SUPOZ. P6L
SINTOFARM SA
ROMANIA CUTIE X 2 FOLII TERMOSUDATE X 5 SUPOZ. P-6L
NYCOMED AUSTRIA AUSTRIA CUTIE CU BLIST. AL/AL X 10 COMPR. FILM. P-6L
NYCOMED AUSTRIA GMBH AUSTRIA
PRF

EGIS PHARMACEUTICALS P.L.C.

CUTIE CU 10 FLAC. DIN STICLA BRUNA CU PULB. PT. SOL. INJ. + 10 FIOLE DIN STICLA INCOLORA X 2 ML SOLV

BERLIN CHEMIE AG (MENARINI GROUP)

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

SANDOZ S.R.L.

ROMANIA

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
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

PFIZER EUROPE MA EEIG

CUTIE BLIST. DIN PVC-PVDC/AL X 20 COMPRIMATE FILMATE

P6L

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

PHARMATAXIS LTD CIPRU


IRLANDA
ROTTAPHARM SPA ITALIA
ANFARM HELLAS S.A. PHARMACEUTICALS GRECIA
MAGISTRA C & C
ROMANIA
SLAVIA PHARM SRL ROMANIA
MEDOCHEMIE LTD CIPRU
MEDOCHEMIE LTD CIPRU
ARENA GROUP S.A. ROMANIA
BLUE BIO PHARMACEUTICALS LIMITED

CUTIE CU 3 TUBURI DIN PP CU DOP PP X 10 COMPR. EFF.

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

P6L
P6L

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. P-RF


CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF
CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF
FARMEX COMPANY SRL ROMANIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. P-RF
NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L
NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L
ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 COMPR. P-6L
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-AL-OPA/AL X 4 COMPR. P-6L
ACCORD HEALTHCARE LIMITED MAREA BRITANIE

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

P-6L

TERAPIA SA

ROMANIA

CUTIE X 1 BLIST. DIN PAO-PVC-AL/AL X 4 COMPR.

P-6L

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

CUTIE CU BLIST. TRANSPARENTE PVC-ACLAR/AL X 4 COMPR.

P6L

MERCK SHARP & DOHME ROMANIA CUTIE CU 1 BLIST. AL/AL X 2 COMPR. P6L

SANDOZ S.R.L.
ROMANIA
ARENA GROUP S.A. ROMANIA
ARENA GROUP S.A. ROMANIA

Pagina 43 din 162

CUTIE X 1 BLIST. OPA-AL-PVC/AL X 2 COMPR. FILM

P-6L

CUTIE X 1 BLIST. PVC-PVDC/AL X 12 COMPR. FILM. P-6L


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

P-6L

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

10
20
20
20
10
20
30
20
5
6
6
10
10
10
10
20
5
30
10
30
7
28
14
14
28
14
28
14
14
7
14
28
30
30
20
20
10
10
20
10
10
10
50
50
28
4
4
4
4
2
2
12
2

17.58
3.13
2.47
4.44
20.80
39.37
48.42
27.37
11.77
4.44
4.44
7.32
16.61
137.31
14.05
16.81
30.51
63.57
33.03
94.10
35.09
128.69
67.83
67.83
86.14
55.68
105.76
55.68
59.15
30.54
59.15
112.36
42.05
41.65
43.20
9.72
4.87
7.24
8.20
4.51
4.78
7.20
20.37
33.50
48.27
48.27
48.27
47.66
48.27
37.13
12.82
131.92
24.78

Pret
amanuntul
maximal/UT
(RON)

1.758000
0.156500
0.123500
0.222000
2.080000
1.968500
1.614000
1.368500
2.354000
0.740000
0.740000
0.732000
1.661000
13.731000
1.405000
0.840500
6.102000
2.119000
3.303000
3.136666
5.012857
4.596071
4.845000
4.845000
3.076428
3.977142
3.777142
3.977142
4.225000
4.362857
4.225000
4.012857
1.401666
1.388333
2.160000
0.486000
0.487000
0.724000
0.410000
0.451000
0.478000
0.720000
0.407400
0.670000
1.723928
12.067500
12.067500
11.915000
12.067500
18.565000
6.410000
10.993333
12.390000

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

0.902700
0.156500
0.123500
0.222000
0.902700
0.902700
0.902700
0.902700
2.354000
0.740000
0.740000
0.732000
0.601799
1.713898
0.494699
0.494699
2.280000
1.165874
2.331749
2.331749
4.663499
4.596071
4.663499
4.663499
1.165874
2.331749
2.331749
2.331749
3.497624
3.497624
3.497624
3.497624
1.394999
1.388333
1.394999
0.486000
0.487000
0.724000
0.410000
0.451000
0.478000
0.720000
0.321719
0.670000
1.455107
10.185750
10.185750
10.185750
10.185750
10.185750
6.410000
10.185750
10.185750

Nr. crt

cod ATC

DCI

862 M05BA07

ACIDUM ALENDRONICUM*
ACIDUM IBANDRONICUM*
ACIDUM IBANDRONICUM*
ACIDUM IBANDRONICUM*
ACIDUM IBANDRONICUM*
ACIDUM IBANDRONICUM*
ACIDUM IBANDRONICUM*
ACIDUM IBANDRONICUM*
ACIDUM IBANDRONICUM*
ACIDUM IBANDRONICUM*
ACIDUM IBANDRONICUM*
ACIDUM IBANDRONICUM*
ACIDUM RISEDRONICUM*
ACIDUM RISEDRONICUM*
ACIDUM RISEDRONICUM*
ACIDUM RISEDRONICUM*
ACIDUM RISEDRONICUM*
ACIDUM RISEDRONICUM*
ACIDUM RISEDRONICUM*
ACIDUM RISEDRONICUM*
ACIDUM RISEDRONICUM*

863 M05BB03

COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)*

864 M05BB03

COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)*

865 M05BB03

COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)*

866 M05BB03

COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)*

867 M05BX03

STRONTIUM RANELATUM*
STRONTIUM RANELATUM*
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
DIHYDROCODEINUM*
DIHYDROCODEINUM*
DIHYDROCODEINUM*
COMBINATII
COMBINATII

842 M05BA04
843 M05BA06
844 M05BA06
845 M05BA06
846 M05BA06
847 M05BA06
848 M05BA06
849 M05BA06
850 M05BA06
851 M05BA06
852 M05BA06
853 M05BA06
854 M05BA07
855 M05BA07
856 M05BA07
857 M05BA07
858 M05BA07
859 M05BA07
860 M05BA07
861 M05BA07

868 M05BX03
869 N02AA05
870 N02AA05
871 N02AA05
872 N02AA05
873 N02AA05
874 N02AA05
875 N02AA05
876 N02AA05
877 N02AA05
878 N02AA05
879 N02AA05
880 N02AA05
881 N02AA05
882 N02AA05
883 N02AA05
884 N02AA05
885 N02AA05
886 N02AA05
887 N02AA08
888 N02AA08
889 N02AA08
890 N02AX52
891 N02AX52

892 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM


893 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM
894 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM

Denumire Comerciala

ADRONIK 70 mg
ACID IBANDRONIC TEVA 150 mg
BONVIVA 150mg
OSSICA 150 mg
QUODIXOR 150 mg
OSAGRAND 150 mg
ACID IBANDRONIC SANDOZ 150 mg
OSSICA 3 mg
ACID IBANDRONIC TEVA 3 mg
OSAGRAND 3 mg/3 ml
BONVIVA 3mg/3ml
ACID IBANDRONIC ALVOGEN 3 mg
RISEDRONAT BLUEFISH 35 mg
RISENDROS 35 mg
RISEDRONAT TEVA 35 mg
LORINE 35mg
OSODENS 35 mg
ACTONEL SAPTAMANAL 35 mg
RISEDRONAT SODIC SANDOZ 35 mg
RISEDRONAT SODIC ZENTIVA 35mg
ACTONEL 75 mg
FOSAVANCE 70mg/2800UI
FOSAVANCE 70mg/2800UI
FOSAVANCE 70mg/5600UI
FOSAVANCE 70mg/5600UI
OSSEOR 2 g
OSSEOR 2 g
OXYCONTIN 10 mg
OXYCONTIN 20 mg
OXYCONTIN 40 mg
OXYCONTIN 80 mg
OXIDOLOR 10 mg
ALNAGON 10 mg
OXIDOLOR 20 mg
ALNAGON 20 mg
OXIDOLOR 40 mg
ALNAGON 40 mg
OXICODONA SANDOZ 40 mg
OXICODONA SANDOZ 60 mg
OXIDOLOR 80 mg
OXICODONA SANDOZ 80 mg
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
ZALDIAR (R)
ZALDIAR (R)
ZALDIAR (R)

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

concentratie

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

70mg
150 mg
150mg
150mg
150mg
150mg
150mg
3mg
3mg
3mg/3ml
1mg/1ml
3 mg
35 mg
35mg
35mg
35mg
35mg
35mg
35mg
35mg
75mg

COMPR.
COMPR.
COMPR.
COMPR.

SOL INJ. IN SERINGA PREUMPLUTA

SOL INJ. IN SERINGA PREUMPLUTA

SOL. INJ.
SOL. INJ. IN SERINGA PREUMPLUTA

SOL.INJ. IN SERINGA PREUMPLUTA

GRAN. PT. SUSP. ORALA


GRAN. PT. SUSP. ORALA
COMPR. CU ELIB. MODIF.
COMPR. CU ELIB. MODIF.
COMPR. CU ELIB. MODIF.
COMPR. CU ELIB. MODIF.

COMPR. ELIB. PREL.


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

COMPR. ELIB. PREL.


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

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

tara det.
APP
ARENA GROUP S.A. ROMANIA

CUTIE X 1 BLIST. PVC-PVDC/AL X 4 COMPR. FILM.

P-6L

TEVA PHARMA B.V. OLANDA

CUTIE CU BLIST. DIN PVC/ACLAR/PVC-AL X 1 COMPRIMAT FILMAT

P6L

Detinator APP

Ambalaj

Prescriptie

CUTIE X 1 COMPR. FILM.( BLIST. AL/AL)

P-6L

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

P-6L

LUXEMBURG CUTIE CU BLIST. PA-AL-PVC/AL X 1 COMPR. FILM.

P-6L

REPUBLICA CEHA

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


CUTIE CU 1 BLIST. PA-AL-PVC/AL X 1 COMPR. FILM.

TEVA PHARMACEUTICALS S.R.L.

ROMANIA
ROMANIA
ROMANIA

ZENTIVA K.S.

REPUBLICA CEHA CUTIE CU 1 FIOLA DIN STICLA INCOLORA X 3 ML SOL. INJ.

P6L
P6L
P6L
P6L
P6L

ROCHE REGISTRATION LTD.

MAREA BRITANIE CUTIE X 1 SERINGA PREUMPLUTA DIN STICLA X 3 ML SOL. INJ. + 1 AC

P-6L

ALVOGEN IPCO S.AR.L

LUXEMBURG

CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA SI 1 AC PT. INJECTARE X 3 ML SOL.INJ.

PR/PRF

BLUEFISH PHARMACEUTICALS AB

SUEDIA

CUTIE CU BLIST. DIN PVC/PE/PVDC-AL X 4 COMPR. FILM.

P6L

ZENTIVA K.S.

REPUBLICA CEHA

CUTIE X 1 BLIST. OPA-AL-PVC/AL X 4 COMPR. FILM. P-6L

ROCHE REGISTRATION LTD.

MAREA BRITANIE

GEDEON RICHTER PLC. UNGARIA

ALVOGEN IPCO S.AR.L

ZENTIVA K.S.
SANDOZ S.R.L.
GEDEON RICHTER ROMANIA SA

TEVA PHARMACEUTICALS SRL

ANTIBIOTICE S.A.
TERAPIA SA
SANOFI - AVENTIS ROMANIA S.R.L.

CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA A 3 ML SOL. INJ. + 1 AC PT. INJECTIE

CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA A 3 ML SOL. INJ. SI UN AC DE INJECTARE

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


ROMANIA CUTIE X 1BLIST. PVC- PVDC/AL X 4 COMPR. FILM. P-6L
ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 4 COMPR. FILM. P-6L
ROMANIA CUTIE CU 1 BLIST. PVC/AL X 4 COMPR. FILM. P-6L
ROMANIA CUTIE CU BLIST. PVC/AL X 4 COMPR. FILM. P6L

SANDOZ S.R.L.
ZENTIVA KS

REPUBLICA SLOVACA

SANOFI - AVENTIS ROMANIA S.R.L.

ROMANIA CUTIE CU 1 BLIST. PVC/AL X 2 COMPR. FILM.

70mg/2800UI
70mg/2800UI
70mg/5600UI
70mg/5600UI

MERCK SHARP & DOHME

MAREA BRITANIE

CUTIE X 4 COMPR. (1 PLIANT CU BLIST. AL/AL X 4 COMPR.)

P-6L

MERCK SHARP & DOHME

MAREA BRITANIE

CUTIE X 2 COMPR. (1 PLIANT CU BLIST. AL/AL X 2 COMPR.)

P-6L

MERCK SHARP & DOHME

MAREA BRITANIE

CUTIE X 2 COMPR. (1 PLIANT CU BLIST. AL/AL X 2 COMPR.)

P-6L

MERCK SHARP & DOHME

MAREA BRITANIE

CUTIE X 4 COMPR. (1 PLIANT CU BLIST. AL/AL X 4 COMPR.)

P-6L

2g
2g
10 mg
20 mg
40 mg
80mg
10mg
10mg
20mg
20mg
40mg
40mg
40mg
60mg
80mg
80mg
10 mg
20 mg
40 mg
80mg
120mg
60mg
90mg

LES LAB. SERVIER


LES LAB. SERVIER

CUTIE X 14 PLICURI HARTI-PE-AL/PE GRAN. PT. SUSP. ORALA P-RF

LANNACHER HEILMITTEL GES.M.B.H.

FRANTA
FRANTA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA

ZENTIVA, K.S.

REPUBLICA CEHA CUTIE CU BLIST. PVC-PE-PVDC/AL X 56 COMPR. ELIB. PREL.

P-RF

LANNACHER HEILMITTEL GES.M.B.H.

AUSTRIA

P-TS

ZENTIVA, K.S.

REPUBLICA CEHA CUTIE CU BLIST. PVC-PE-PVDC/AL X 56 COMPR. ELIB. PREL.

P-RF

LANNACHER HEILMITTEL GES.M.B.H.

AUSTRIA

P-TS

MUNDIPHARMA GES.M.B.H
MUNDIPHARMA GES.M.B.H
MUNDIPHARMA GES.M.B.H
MUNDIPHARMA GES.M.B.H

ZENTIVA, K.S.
SANDOZ S.R.L.
SANDOZ S.R.L.

CUTIE X 1 BLISTER OPA-AL-PVC/AL X 4 COMPRIMATE FILMATE

P-6L
P-6L

CUTIE X 28 PLICURI HARTI-PE-AL/PE GRAN. PT. SUSP. ORALA P-RF

CUTIE CU BLIST. PVC/AL X 60 COMPR. CU ELIB. MODIF.

PS
PS
PS
PS

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

P-TS

CUTIE CU BLIST. PVC/AL X 60 COMPR. CU ELIB. MODIF.


CUTIE CU BLIST. PVC/AL X 60 COMPR. CU ELIB. MODIF.
CUTIE CU BLIST. PVC/AL X 60 COMPR. CU ELIB. MODIF.

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

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

REPUBLICA CEHA CUTIE CU BLIST. PVC-PE-PVDC/AL X 56 COMPR. ELIB. PREL.

P-RF

ROMANIA
ROMANIA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 20 COMPR. ELIB. PREL.


CUTIE CU BLIST. PVC-PE-PVDC/AL X 20 COMPR. ELIB. PREL.

PS
PS

LANNACHER HEILMITTEL GES.M.B.H.

AUSTRIA

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

P-TS

SANDOZ S.R.L.

ROMANIA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 20 COMPR. ELIB. PREL.

PS

MUNDIPHARMA
MUNDIPHARMA
MUNDIPHARMA
MUNDIPHARMA

AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA

CUTIE X 4 BLIST. X 14 COMPR. FILM. ELIB. MODIF. P-TS

37,5mg/325mg KRKA D.D. NOVO MESTO SLOVENIA


37,5mg/325mg KRKA D.D. NOVO MESTO SLOVENIA

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

GMBH
GMBH
GMBH
GMBH

MUNDIPHARMA GES.M.B.H
MUNDIPHARMA GES.M.B.H
MUNDIPHARMA GES.M.B.H

CUTIE X 4 BLIST. X 14 COMPR. FILM. ELIB. MODIF. P-TS


CUTIE X 4 BLIST. X 14 COMPR. FILM. ELIB. MODIF. P-TS
CUTIE X 4 BLIST. X 14 COMPR. FILM. ELIB. MODIF. P-TS
CUTIE X 1 FLAC. DIN PP X 56 COMPR. ELIB. PREL.
CUTIE X 1 FLAC. DIN PP X 56 COMPR. ELIB. PREL.
CUTIE X 1 FLAC. DIN PP X 56 COMPR. ELIB. PREL.

PS
PS
PS

CUTIE CU BLIST. PVC-PVDC/AL X 20 COMPR. FILM. P-RF

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

Pagina 44 din 162

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

4
1
1
1
1
1
1
1
1
1
1
1
4
4
4
4
4
4
4
4
2
4
2
2
4
14
28
60
60
60
60
60
56
60
56
60
56
20
20
60
20
56
56
56
56
56
56
56
10
20
30
10
20

47.97
61.42
89.74
72.31
71.46
38.80
52.90
239.77
283.25
271.45
424.57
182.83
35.79
14.31
45.27
36.50
45.27
67.31
28.38
14.31
66.39
89.84
47.30
47.30
89.84
104.74
174.60
64.10
121.02
172.88
309.83
43.09
48.27
78.65
88.08
118.50
132.72
47.40
139.36
201.38
80.55
116.83
214.65
395.50
652.80
128.54
29.34
101.69
7.89
15.58
34.76
12.14
23.96

Pret
amanuntul
maximal/UT
(RON)

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

11.992500
61.420000
89.740000
72.310000
71.460000
38.800000
52.900000
239.770000
283.250000
271.450000
424.570000
182.830000
8.947500
3.577500
11.317500
9.125000
11.317500
16.827500
7.095000
3.577500
33.195000
22.460000
23.650000
23.650000
22.460000
7.481428
6.235714
1.068333
2.017000
2.881333
5.163833
0.718166
0.861964
1.310833
1.572857
1.975000
2.370000
2.370000
6.968000
3.356333
4.027500
2.086250
3.833035
7.062500
11.657142
2.295357
0.523928
1.815892
0.789000
0.779000
1.158666
1.214000
1.198000

10.185750
43.653214
43.653214
43.653214
43.653214
38.800000
43.653214
239.770000
267.364125
267.364125
267.364125
182.830000
8.947500
3.577500
10.185750
9.125000
10.185750
10.185750
7.095000
3.577500
21.826607
10.185750
10.185750
10.185750
10.185750
6.547142
6.235714
0.545169
1.090338
2.180681
4.361362
0.545169
0.545169
1.090338
1.090338
1.975000
2.180681
2.180681
3.271023
3.356333
4.027500
0.545169
1.090338
2.180681
4.361362
1.504445
0.523928
1.128334
0.702074
0.702074
0.702074
0.702074
0.702074

Nr. crt

cod ATC

DCI

895 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM


896 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM
897 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM
898 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM
899 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM
900 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM)
901 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM)
902 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM)
903 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM)
904 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM)
905 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM)
906 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM)
907 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM)
908 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM)
909 N03AE01
910 N03AE01
911 N03AX16
912 N03AX16
913 N03AX16
914 N03AX16
915 N03AX16
916 N03AX16
917 N04AA02
918 N04BC05
919 N04BC05
920 N04BC05
921 N04BC05
922 N04BC05
923 N04BC05
924 N04BC05
925 N04BC05
926 N04BC05
927 N04BC05
928 N04BC05
929 N04BC05
930 N04BC05
931 N04BC05
932 N04BC05
933 N04BC05
934 N04BC05
935 N04BC05
936 N04BC05
937 N04BC05
938 N04BC05
939 N04BC05
940 N04BC05
941 N04BC05
942 N04BC05
943 N04BC05
944 N04BC05
945 N04BC05
946 N04BC05
947 N04BC05

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*
PRAMIPEXOLUM*

Denumire Comerciala

ZALDIAR (R)
ZALDIAR (R)
ZALDIAR (R)
ZALDIAR (R)
ZALDIAR (R)
TRAUMOBOL 37,5mg/325mg
TRAUMOBOL 37,5mg/325mg
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
DORETA 75 mg/650 mg
DORETA 75 mg/650 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
PRAMIPEXOL ZENTIVA 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
MIGLASEN 0,18 mg
PRAMIPEXOL TORRENT 0,18 mg
PRAXITAB 0,18mg
PRAMIPEXOL AUROBINDO 0,18 mg
MIGLASEN 0,18 mg
PRAMIPEXOLE ACCORD 0,35mg
MIPARKAN 0,7 mg
PRAMIPEXOL AUROBINDO 0,7 mg
PRAMIPEXOL ZENTIVA 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
MIGLASEN 0,7 mg
PRAMIPEXOL TORRENT 0,7 mg
PRAXITAB 0,7 mg
MIGLASEN 0,7 mg

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

CAPS.
CAPS.

concentratie

Detinator APP

tara det.
APP

Ambalaj

Prescriptie

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

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

37,5mg/325mg
37,5mg/325mg
37,5mg/325mg
37,5mg/325mg
37,5mg/325mg
37,5mg/325mg
37,5mg/325mg
75 mg/650 mg
75 mg/650 mg

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.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.

0,5mg
2mg
150mg
150mg
300mg
300mg
75mg
75mg
2mg
0,088mg
0,18 mg
0,18 mg
0,18mg
0,18mg
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
0,7 mg
0,7 mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg

ROMPHARM COMPANY SRL


ROMPHARM COMPANY SRL
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
ROMANIA
ROMANIA
ROMANIA
POLONIA
POLONIA
POLONIA

CUTIE X 2 BLISTERE PVC/PE/PVDC/AL X 15 CAPSULE

PRF

CUTIE CU 1 BLIST. DIN PVC/PE/PVDC/AL A 15 CAPS. PRF

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 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

KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 1 BLIST. PVC-PVDC/AL X 10 COMP.FILM. PRF
KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 10 COMP.FILM. PRF

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.
ZENTIVA, K.S.

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)

P-RF

REPUBLICA CEHA

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

PRF

REPUBLICA CEHA

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

PRF

GERMANIA

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

KRKA D.D.
TEVA PHARMA BV
SANDOZ S.R.L.
ROMANIA
MEDOCHEMIE LTD. CIPRU

P-RF

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

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

P-RF
P-RF/R

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

GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA

CUTIE CU BLIST. AL/AL X 30 COMPR.

RANBAXY (UK) LIMITED

MAREA BRITANIE

CUTIE CU BLIST. PA-AL-PVC X 30 COMPR. P-RF

ROMASTRU TRADING S.R.L.

ROMANIA

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

P-RF

P6L

TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-RF


POLIPHARMA INDUSTRIES S.R.L.

ROMANIA

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

P6L

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

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

PRF

NEOLA PHARMA S.R.L. ROMANIA CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P6L


ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 3 BLIST. AL-PVC/AL A CATE 10 COMPR.

PRF

ZENTIVA, K.S.

REPUBLICA CEHA

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

PRF

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

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

PRF

ZENTIVA, K.S.

REPUBLICA CEHA

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

PRF

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMANIA

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

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/R

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

GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA

CUTIE CU BLIST. AL/AL X 30 COMPR.

RANBAXY (UK) LIMITED

MAREA BRITANIE

CUTIE CU BLIST. PA-AL-PVC X 30 COMPR. P-RF

ROMASTRU TRADING S.R.L.

ROMANIA

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

P-RF

P6L

TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-RF

ROMANIA CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P6L


NEOLA PHARMA S.R.L. ROMANIA CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P6L

POLIPHARMA INDUSTRIES S.R.L.

Pagina 45 din 162

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

30
10
50
50
20
30
15
10
20
10
20
30
10
20
50
30
14
56
56
14
14
56
50
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30

34.76
12.14
57.78
57.78
23.96
23.34
11.71
7.89
15.59
7.90
15.59
23.36
15.78
31.14
6.89
6.56
76.16
288.91
422.67
114.28
53.71
193.52
10.57
19.75
17.43
17.43
49.77
17.70
33.41
33.42
27.83
14.88
30.86
14.87
17.72
25.30
23.56
14.87
48.92
60.97
83.51
60.97
167.86
73.16
115.05
115.05
99.54
72.02
106.21
72.03
73.14
90.45
72.03

Pret
amanuntul
maximal/UT
(RON)

1.158666
1.214000
1.155600
1.155600
1.198000
0.778000
0.780666
0.789000
0.779500
0.790000
0.779500
0.778666
1.578000
1.557000
0.137800
0.218666
5.440000
5.159107
7.547678
8.162857
3.836428
3.455714
0.211400
0.658333
0.581000
0.581000
1.659000
0.590000
1.113666
1.114000
0.927666
0.496000
1.028666
0.495666
0.590666
0.843333
0.785333
0.495666
1.630666
2.032333
2.783666
2.032333
5.595333
2.438666
3.835000
3.835000
3.318000
2.400666
3.540333
2.401000
2.438000
3.015000
2.401000

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

0.702074
0.702074
0.702074
0.702074
0.702074
0.702074
0.702074
0.702074
0.702074
0.702074
0.702074
0.702074
0.702074
0.702074
0.067904
0.218666
5.189139
5.159107
7.547678
8.162857
2.594569
2.594569
0.211400
0.135398
0.276950
0.276950
0.276950
0.276950
0.276950
0.276950
0.276950
0.276950
0.276950
0.276950
0.276950
0.276950
0.276950
0.276950
0.538515
1.077030
1.077030
1.077030
1.077030
1.077030
1.077030
1.077030
1.077030
1.077030
1.077030
1.077030
1.077030
1.077030
1.077030

Nr. crt

cod ATC

948 N04BC05
949 N04BC05
950 N04BC05
951 N04BC05
952 N04BC05
953 N04BC05
954 N04BC05
955 N04BC05
956 N04BC05
957 N04BC05
958 N04BC08
959 N05AL03
960 N05BE01
961 N05BE01
962 N06AA21
963 N06AA21
964 N06AB10
965 N06AX05
966 N06AX05
967 N06AX05
968 N06AX05
969 N06AX12
970 N06AX14
971 N06AX14
972 N06AX14
973 N06AX17
974 N06AX17
975 N06AX21
976 N06AX21
977 N06BX16
978 N06BX18
979 N06BX18
980 N06BX18
981 N06BX18
982 N06BX18
983 N06DX02
984 N07CA01
985 N07CA01
986 N07CA01
987 N07CA01
988 N07CA01
989 N07CA01
990 N07CA01
991 N07CA01
992 N07CA01
993 N07CA01
994 N07CA01
995 N07CA01
996 N07CA01
997 N07CA01
998 N07CA01
999 N07CA01
1,000

N07CA01

DCI

PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PIRIBEDILUM**
TIAPRIDUM
BUSPIRONUM
BUSPIRONUM
MAPROTILINUM*
MAPROTILINUM*
ESCITALOPRAMUM**
TRAZODONUM**
TRAZODONUM**
TRAZODONUM**
TRAZODONUM**
BUPROPIONUM**#
TIANEPTINUM**
TIANEPTINUM**
TIANEPTINUM**
MILNACIPRANUM**
MILNACIPRANUM**
DULOXETINUM**
DULOXETINUM**
PRAMIRACETAMUM**#
VINPOCETINUM
VINPOCETINUM
VINPOCETINUM
VINPOCETINUM
VINPOCETINUM
GINKGO BILOBA**
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM

Denumire Comerciala

MIRAPEXIN 0,26 mg
OPRYMEA 0,26mg
MIRAPEXIN 0,52 mg
OPRYMEA 0,52mg
MIRAPEXIN 1,05 mg
OPRYMEA 1,05mg
OPRYMEA 1,57mg
OPRYMEA 2,10mg
MIRAPEXIN 2,1 mg
MIRAPEXIN 3,15 mg
PRONORAN 50 mg
TIAPRIDAL (R) 100 mg
SPITOMIN 10 mg
SPITOMIN 5 mg
LUDIOMIL 10 mg
LUDIOMIL 25 mg
CIPRALEX 10 mg
TRITTICO AC 150 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
VINPOCETINA VIM SPECTRUM 5 mg
CAVINTON(R) FORTE
VICEBROL
CAVINTON(R)

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

DRAJ. ELIB. PREL.

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

GINKO BILOBA BIOFARM 40 mg (vezi C04AXN1) COMPR. FILM.

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
BETAHISTIN MCC 24 mg
EMPERIN 8 mg
MICROSER
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.

concentratie

0,26mg
0,26mg
0,52mg
0,52mg
1,05mg
1,05mg
1,57mg
2,10mg
2,1mg
3,15mg
50mg
100mg
10mg
5mg
10mg
25mg
10mg
150mg
150mg
75mg
75mg
150mg
12,5 mg
12,5 mg
12,5mg
25mg
50mg
30mg
60mg
600mg
5mg
5mg
10mg
5mg
5mg
40mg
16mg
16mg
24 mg
24 mg
24mg
24mg
24mg
24mg
24mg
24mg
24mg
8 mg
8mg
8mg
8mg
8mg
8mg

Detinator APP

tara det.
APP

Ambalaj

Prescriptie

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMANIA CUTIE CU 1 BLIST.OPA-AL-PVC/AL X 10 COMPR. P-RF

KRKA D.D.

SLOVENIA

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMANIA CUTIE CU 3 BLIST.OPA-AL-PVC/AL X 10 COMPR. P-RF

KRKA D.D.

SLOVENIA

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMANIA CUTIE CU 3 BLIST.OPA-AL-PVC/AL X 10 COMPR. P-RF

KRKA D.D.
KRKA D.D.
KRKA D.D.

SLOVENIA
SLOVENIA
SLOVENIA

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMANIA CUTIE CU 3 BLIST.OPA-AL-PVC/AL X 10 COMPR. P-RF

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMANIA CUTIE CU 3 BLIST.OPA-AL-PVC/AL X 10 COMPR. P-RF

LES LAB. SERVIER IND. FRANTA

CUTIE CU BLISTERE (OPA/AL/DES/PE-AL) X 30 COMPRIMATE CU ELIBERARE PRELUNGITA

CUTIE CU BLISTERE (OPA/AL/DES/PE-AL) X 30 COMPRIMATE CU ELIBERARE PRELUNGITA

P-RF

CUTIE CU BLISTERE (OPA/AL/DES/PE-AL) X 30 COMPRIMATE CU ELIBERARE PRELUNGITA

P-RF

CUTIE CU BLISTERE (OPA/AL/DES/PE-AL) X 30 COMPRIMATE CU ELIBERARE PRELUNGITA

P-RF

CUTIE CU BLISTERE (OPA/AL/DES/PE-AL) X 30 COMPRIMATE CU ELIBERARE PRELUNGITA

P-RF

CUTIE X 2 BLIST. AL/PVC X 15 DRAJ. CU ELIB. PREL. P-RF

SANOFI-SYNTHELABO FRANCE

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

EGIS PHARMACEUTICALS P.L.C.

UNGARIA
UNGARIA

EGIS PHARMACEUTICALS P.L.C.

P-RF

P-RF

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


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

AMDIPHARM LIMITED IRLANDA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM.


AMDIPHARM LIMITED IRLANDA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

H. LUNDBECK A/S

DANEMARCA

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

P-RF

ANGELINI FRANCESCO SPA

ITALIA
ITALIA
ITALIA
ITALIA

CUTIE X 1 BLIST. AL/PVC X 20 COMPR. ELIB. PREL. P-RF

ANGELINI FRANCESCO SPA


ANGELINI FRANCESCO SPA
ANGELINI FRANCESCO SPA

ROMANIA
ARENA GROUP S.A. ROMANIA
ARENA GROUP S.A. ROMANIA

P-RF

CUTIE X 6 BLIST. AL/PVC X 10 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

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.

P-RF

GLAXOSMITHKLINE (GSK) SRL

PIERRE FABRE MEDICAMENT PRODUCTION

P-RF
P-RF
P-RF

P-6L
P-6L

VIM SPECTRUM SRL ROMANIA


GEDEON RICHTER ROMANIA SA ROMANIA
BMF PHARM S.R.L. ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
BIOFARM S.A.
ROMANIA

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

MEDOCHEMIE LTD. CIPRU

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

CUTIE X 5 BLIST. X PVC/AL X10 CAPS. P6L

CUTIE X 2 BLIST. X 15 COMPR.

P-6L

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


CUTIE X 2 BLIST. AL/PVC X 25 COMPR. P-6L
P6L

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 CEHA CUTIE CU 6 BLIST. PVC-PVDC/AL X 10 COMPR.
MAGISTRA C&C SRL ROMANIA CUTIE CU 6 BLIST. PVC-PVDC-TE TRANSPARENT/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.
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
P-6L

P6L
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

Pagina 46 din 162

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

10
30
30
30
30
30
30
30
30
30
30
20
60
60
50
30
28
20
60
30
30
30
30
90
30
56
56
28
28
20
50
50
30
50
50
30
30
30
60
60
20
50
20
30
60
60
60
100
50
30
30
100
30

58.12
96.88
314.07
183.73
650.35
409.85
579.36
748.86
1,229.85
1,809.33

28.69
9.23
17.75
10.82
12.47
8.83
90.38
24.95
63.31
18.71
18.71
63.54
22.65
63.54
33.74
71.52
117.26
105.39
178.89
71.94
10.29
10.29
14.45
10.29
15.82
12.30
19.17
16.84
34.85
35.79
18.35
39.78
27.97
19.81
38.37
34.85
35.76
19.24
26.66
9.58
14.76
29.63
9.58

Pret
amanuntul
maximal/UT
(RON)

5.812000
3.229333
10.469000
6.124333
21.678333
13.661666
19.312000
24.962000
40.995000
60.311000
0.956333
0.461500
0.295833
0.180333
0.249400
0.294333
3.227857
1.247500
1.055166
0.623666
0.623666
2.118000
0.755000
0.706000
1.124666
1.277142
2.093928
3.763928
6.388928
3.597000
0.205800
0.205800
0.481666
0.205800
0.316400
0.410000
0.639000
0.561333
0.580833
0.596500
0.917500
0.795600
1.398500
0.660333
0.639500
0.580833
0.596000
0.192400
0.533200
0.319333
0.492000
0.296300
0.319333

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

0.400039
0.400039
0.800079
0.800079
1.615545
1.615545
2.415625
3.231091
3.231091
4.846636
0.956333
0.461500
0.295833
0.156020
0.244799
0.294333
1.134000
1.199290
1.055166
0.599645
0.599645
2.118000
0.730500
0.706000
0.730500
1.104508
2.093928
3.336830
6.388928
3.597000
0.205800
0.205800
0.411600
0.205800
0.205800
0.379604
0.397499
0.397499
0.580833
0.596250
0.596250
0.596250
0.596250
0.596250
0.596250
0.580833
0.596000
0.192400
0.198749
0.198749
0.198749
0.198749
0.198749

DCI

Denumire Comerciala

forma farm.

concentratie

Nr. crt

cod ATC

1,001

N07CA01

1,002

N07CA01

1,003

N07CA01

1,004

N07CA01

1,005

N07CA01

1,006

N07CA01

1,007

N07CA52

1,008

N07XN03

1,009

N07XN03

1,010

N07XXN3

1,011

N07XXN3

1,012

N07XXN3

1,013

P01BA02

1,014

R01AD05

1,015

R01AD08

1,016

R01AD09

1,017

R01AD09

1,018

R01AD09

1,019

R03AC04

1,020

R03AK03

1,021

R03AK06

1,022

R03AK06

1,023

R03AK06

1,024

R03AK06

1,025

R03AK06

1,026

R03AK06

1,027

R03AK07 COMBINATII (BUDESONIDUM + FORMOTEROLUM)* SYMBICORT TURBUHALER 160 micrograme/4,5 micrograme/inhalatie PULB. DE INHAL.

160micrograme/4,5micrograme/in

1,028

R03AK07 COMBINATII (BUDESONIDUM + FORMOTEROLUM)* SYMBICORT TURBUHALER 320 micrograme/9 micrograme/inhalatie

PULB. DE INHAL.

320micrograme/9micrograme/inha

1,029

R03AK07 COMBINATII (BUDESONIDUM + FORMOTEROLUM)* SYMBICORT TURBUHALER 80 micrograme/4,5 micrograme/inhalatie

PULB. DE INHAL.

80micrograme/4,5micrograme/inh

1,030

R03BA05

1,031

R03BA05

1,032

R03BA05

1,033

R03BA05

1,034

R03BA05

1,035

R03BA05

1,036

R03BA05

1,037

R03BA07

1,038

R03BA07

1,039

R03BA08

1,040

R03BA08

1,041

R03BB04

1,042

R03BB04

1,043

R03DA05

1,044

R03DA05

1,045

R03DA05

1,046

R03DA05

1,047

R03DA05

1,048

R03DA05

1,049

R03DC03

1,050

R03DC03

1,051

R03DC03

1,052

R03DC03

1,053

R03DC03

BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM

BETAHISTIN MCC 8 mg
VERTIMED 8 mg
MARBETA 8 mg
BETAHISTINA LPH 8 mg
ACUVER 8 mg/doza
ACUVER 8 mg/doza
COMBINATII (CINARIZINUM +DIMENHIDRINATUM) ARLEVERT
ACIDUM TIOCTICUM (ALFA-LIPOICUM)**# THIOCTACID (R) 600 HR (vezi A16AX01)
ACIDUM TIOCTICUM (ALFA-LIPOICUM)**# THIOCTACID (R) 600 HR (vezi A16AX01)
HIDROLIZAT DE PROTEINA DIN CREIER DE PORCINA** CEREBROLYSIN
HIDROLIZAT DE PROTEINA DIN CREIER DE PORCINA** CEREBROLYSIN
HIDROLIZAT DE PROTEINA DIN CREIER DE PORCINA** CEREBROLYSIN
HYDROXYCHLOROQUINUM
PLAQUENIL
BUDESONIDUM*
RHINOCORT AQUA 32 micrograme/doza
FLUTICASONUM*
FLIXONASE 0,05g/100g
MOMETASONUM*
MOMETAZONA FUROAT SANDOZ 50 micrograme/doza
MOMETASONUM*
MOMETAZONA TEVA 50 micrograme/doza
MOMETASONUM*
NASONEX 50mcg/doza
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
SALMETEROLUM+FLUTICASONUM* SERETIDE 25 mcg/125 mcg INHALER CFC FREE
SALMETEROLUM+FLUTICASONUM* SERETIDE 25 mcg/250 mcg INHALER CFC FREE
SALMETEROLUM+FLUTICASONUM* SERETIDE 25 mcg/50 mcg INHALER CFC FREE

FLUTICASONUM PROPIONAT*
FLUTICASONUM PROPIONAT*
FLUTICASONUM PROPIONAT*
FLUTICASONUM PROPIONAT*
FLUTICASONUM PROPIONAT*
FLUTICASONUM PROPIONAT*
FLUTICASONUM PROPIONAT*
MOMETASONUM*
MOMETASONUM*
CICLESONIDUM*
CICLESONIDUM*
TIOTROPIUM*
TIOTROPIUM
AMINOPHYLLINUM
AMINOPHYLLINUM
AMINOPHYLLINUM
AMINOPHYLLINUM
AMINOPHYLLINUM
AMINOPHYLLINUM
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*

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 g
ASMANEX TWISTHALER 400 g
ALVESCO 160 INHALER
ALVESCO 80 INHALER
SPIRIVA 18 micrograme
SPIRIVA RESPIMAT 2,5 micrograme
MIOFILIN 100 mg
AMINOFILINA EEL
AMINOFILINA ARENA 100 MG
AMINOFILINA ARENA 200 MG
MIOFILIN
MIOFILIN 24mg/ml
ASTHATOR 10 mg
SINGULAIR (R)
SINGULAIR (R)
MONTELUKAST TEVA 10 mg
MONTELUKAST TEVA 10 mg

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

8mg
8mg
8mg
8mg
8mg/doza
8mg/doza

tara det.
APP
MAGISTRA C&C SRL ROMANIA
Detinator APP

MEDOCHEMIE LTD. CIPRU


MEDREG S.R.O.
REPUBLICA CEHA

Ambalaj
CUTIE CU 10 BLIST. PVC-PVDC-TE TRANSPARENT/AL X 10 COMPR.

Prescriptie

P-6L

P6L
CUTIE CU 10 BLIST. PVC-PVDC/AL X 10 COMPR. P6L
CUTIE CU BLIST. PVC/PE/PVDC-AL X 30 COMPR.

LABORMED PHARMA S.A. ROMANIA CUTIE CU 9 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L


CYATHUS EXQUIRERE PHARMAFORSCHUNGS GMBH

CYATHUS EXQUIRERE PHARMAFORSCHUNGS GMBH

FARA CONCENTRATIE HENNIG ARZNEIMITTEL GMBH & CO.KG

AUSTRIA
AUSTRIA

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

GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 24 COMPR. P-RF

COMPR. FILM. 600mg


COMPR. FILM. 600mg

MEDA PHARMA GMBH & CO KG

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

MEDA PHARMA GMBH & CO KG

GERMANIA CUTIE X 1 FLAC. X 100 COMPR. FILM. P-6L

215,2mg/ml
SOL. INJ./PERF. 215,2mg/ml
SOL. INJ./PERF. 215,2mg/ml
COMPR. FILM. 200mg

EVER NEURO PHARMA GMBH

EVER NEURO PHARMA GMBH

AUSTRIA
AUSTRIA
AUSTRIA

SANOFI - AVENTIS ROMANIA S.R.L.

ROMANIA CUTIE X 6 BLIST. X 10 COMPR. FILM.

P-6L

SPRAY NAZAL SUSP. 32micrograme/doza

ASTRAZENECA AB

SUEDIA

PRF

GLAXOWELLCOME UK LTD.

MAREA BRITANIE CUTIE X 1 FLACON X 120 DOZE, PREVAZUT CU POMPA DOZATOARE

SOL. INJ./PERF.

SPRAY NAZAL SUSP.

0,05g/100g

EVER NEURO PHARMA GMBH

SANDOZ S.R.L.

CUTIE X 5 FIOLE DIN STICLA BRUNA CU PUNCT DE RUPERE X 10 ML PR/PRF


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

PR/PRF

CUTIE X 10 FIOLE DIN STICLA BRUNA CU PUNCT DE RUPERE X 1 ML PR/PRF

CUTIE CU 1 FLAC. DIN STICLA BRUNA X 10 ML SPRAY NAZAL, SUSP. ECHIVALENT CU 120 DOZE, PREVAZUT CU POM

P-RF

SOL. DE INHALAT PRESURIZATA

ROMANIA
PRF
50g/doza TEVA PHARMACEUTICALS S.R.L. ROMANIA
PRF
50mcg/doza MERCK SHARP & DOHME ROMANIA CUTIE X 1 FLACON PP X 140 DOZE P-RF
100mcg/doza BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE X 1 FLACON PRESURIZAT X 200 DOZE SOL. DE INHALAT PRESURIZATA P-6L

AEROSOL SOL. INHAL.

0,020mg+0,050mg

SPRAY NAZ.,SUSP. 50micrograme/doza


SPRAY NAZ.,SUSP.
SPRAY NAZAL SUSP.

CUTIE CU 1 FLAC. PEID PREVAZUT CU O POMPA PULVERIZATOARE NAZALA DIN PE/PP CARE CONTINE 18 G SUSP. NA

CUTIE CU 1 FLACON DIN PEID, CU POMPA DOZATOARE DIN PP SI SISTEM DE ACTIONARE X 140 DOZE SPRAY NAZAL,

PULB. INHAL. 50mg/100mg


PULB. INHAL. 50mg/250mg
PULB. INHAL. 50mg/500mg

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMANIA

CUTIE X 1 FLACON PRESURIZAT DIN OTEL X 200 DOZE SOLUTIE DE INHALAT PRESURIZATA

P-6L

GLAXO WELLCOME UK LIMITED

MAREA BRITANIE

CUTIE X 1DISPOZITIV DE INHALAT X 60 DOZE PULB. DE INHAL.

P-6L

GLAXOWELLCOME UK LTD.

MAREA BRITANIE

CUTIE X 1 DISPOZITIV DE INHALAT X 60 DOZE PULB. DE INHAL.

P-6L

GLAXOWELLCOME UK LTD.

MAREA BRITANIE

CUTIE X 1 DISPOZITIV DE INHALAT X 60 DOZE PULB. DE INHAL.

P-6L

SUSP. INHAL. PRESURIZATA

25mcg/125mcg GLAXOWELLCOME UK LTD.

MAREA BRITANIE CUTIE X 1 FLACON PRESURIZAT AL X 120 DOZE SUSP. DE INHALAT PRESURIZATA

P-6L

SUSP. INHAL. PRESURIZATA

25mcg/250mcg GLAXOWELLCOME UK LTD.

MAREA BRITANIE CUTIE X 1 FLACON PRESURIZAT AL X 120 DOZE SUSP. DE INHALAT PRESURIZATA

P-6L

SUSP. INHAL. PRESURIZATA

25mcg/50mcg

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

CUTIE CU 1 INHALATOR DIN MATERIAL PLASTIC CU 60 DOZE PULB. DE INHAL.

P6L
P6L
P6L

GLAXO WELLCOME UK LTD.

MAREA BRITANIE

CUTIE X 1 DISPOZITIV INHALATOR DIN PLASTIC SUB FORMA DE DISC X 1 BLIST. PVC/AL X 60 DOZE

P-RF

GLAXO WELLCOME UK LTD.

MAREA BRITANIE

CUTIE X 1 DISPOZITIV INHALATOR DIN PLASTIC SUB FORMA DE DISC X 1 BLIST. PVC/AL X 60 DOZE

P-RF

GLAXO WELLCOME UK LTD.

MAREA BRITANIE

CUTIE X 1 DISPOZITIV INHALATOR DIN PLASTIC SUB FORMA DE DISC X 1 BLIST. PVC/AL X 60 DOZE

P-RF

GLAXO WELLCOME UK LTD.

MAREA BRITANIE

CUTIE X 1 FLACON PRESURIZAT DIN AL X 60 DOZE SUSP. DE INHALAT PRESURIZATA

P-RF

SUSP. INHAL. PRESURIZATA

MAREA BRITANIE

CUTIE X 1 FLACON PRESURIZAT X 120 DOZE X 50 MCG, PREVAZUT CU VALVA DOZATOARE

P-RF

SUSP. INHAL. PRIN NEBULIZATOR

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

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

PULB. INHAL. 100mcg/doza


PULB. INHAL. 250mcg/doza
PULB. INHAL. 500mcg/doza
SUSP. INHAL. PRESURIZATA
125mcg/doza

50mcg/doza GLAXO WELLCOME UK LTD.


0,5mg/2ml GLAXO WELLCOME UK LIMITED
2mg/2ml
GLAXO WELLCOME UK LIMITED
PULB. INHAL. 200g/doza MERCK SHARP & DOHME
PULB. INHAL. 400g/doza MERCK SHARP & DOHME
160g/doza NYCOMED GMBH
80g/doza NYCOMED GMBH

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.

ROMANIA CUTIE X 1 DISPOZITIV DE ADM. X 30 DOZE


ROMANIA CUTIE X 1 DISPOZITIV DE ADM. X 30 DOZE

P-6L

SOL. DE INHALAT PRESURIZATA

GERMANIA

CUTIE X 1 FLAC. DIN AL CU VALVA DOZATOARE X 60 DOZE SOL. DE INHALAT PRESURIZATA

P-RF

SOL. DE INHALAT PRESURIZATA

GERMANIA

CUTIE X 1 FLAC. DIN AL CU VALVA DOZATOARE X 60 DOZE SOL. DE INHALAT PRESURIZATA

P-RF

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMANIA

CUTIE CU 3 BLIST. AL/PVC/AL X 10 CAPS. CU PULB. DE INHALAT + 1 DISPOZITIV HANDIHALER

PRF

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMANIA

CUTIE CU 1 AMBALAJ UNIC CU UN INHALATOR RESPIMAT SI UN CARTUS CARE FURNIZEAZA 60 PUFURI (30 DOZE MED

PRF

CAPS. CU PULB. INHAL.

SOL. DE INHALAT

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

18micrograme
2,5micrograme

100mg
100mg
100mg
200mg
24mg/ml
24mg/ml
10 mg
10mg
10mg
10mg
10mg

ZENTIVA SA
BIO EEL SRL
ARENA GROUP SA
ARENA GROUP SA
ZENTIVA S.A.
ZENTIVA S.A.

ROMANIA
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

Pagina 47 din 162

P-6L

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

P-RF

CUTIE X 2 BLIST. AL/PVC X 25 COMPR.


CUTIE X 4 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-RF
P-RF
P-RF

CUTIE X 5 FIOLE PREVAZUTE CU INEL DE RUPERE X 10 ML SOL.INJ. S/P-RF


CUTIE X 5 FIOLE PREVAZUTE CU INEL DE RUPERE X 10 ML SOL.INJ. S/P-RF

CUTIE CU BLIST. AL/AL X 28 COMPR. P6L


P6L
P6L
CUTIE CU BLIST. DIN AL/AL X 28 COMPR. FILM. P6L
CUTIE CU BLIST. DIN AL/AL X 30 COMPR. FILM. P6L
CUTIE X 1 BLIST. OPA-AL-PVC X 14 COMPR. FILM.
CUTIE X 2 BLIST. OPA-AL-PVC X 14 COMPR. FILM.

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

100
30
100
90
1
1
48
30
100
5
5
10
60
1
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
30
1
20
50
40
20
5
5
28
14
28
28
30

19.26
7.15
19.26
28.74
38.11
70.00
76.16
68.47
212.63
124.46
86.41
39.22
31.39
25.27
30.65
25.39
31.77
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
81.74
124.79
112.34
164.34
171.62
3.62
6.78
6.95
7.72
11.82
11.82
61.93
76.80
145.70
82.04
87.90

Pret
amanuntul
maximal/UT
(RON)

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

0.192600
0.238333
0.192600
0.319333
38.110000
70.000000
1.586666
2.282333
2.126300
24.892000
17.282000
3.922000
0.523166
25.270000
30.650000
25.390000
31.770000
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
81.740000
124.790000
112.340000
5.478000
171.620000
0.181000
0.135600
0.173750
0.386000
2.364000
2.364000
2.211785
5.485714
5.203571
2.930000
2.930000

0.192600
0.198749
0.192600
0.198749
14.906249
29.812499
1.586666
1.978474
1.978474
24.892000
14.863999
2.972800
0.523166
25.270000
30.650000
25.390000
28.580000
28.580000
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
44.984999
81.740000
124.790000
74.881250
5.478000
166.160000
0.181000
0.135600
0.173750
0.386000
2.364000
2.364000
2.128034
2.128034
2.128034
2.128034
2.128034

Nr. crt

cod ATC

1,054

R03DC03

1,055

R03DC03

1,056

R03DC03

1,057

R03DC03

1,058

R03DC03

1,059

R03DC03

1,060

R03DC03

1,061

R03DC03

1,062

R03DC03

1,063

R03DC03

1,064

R03DC03

1,065

R03DC03

1,066

R03DC03

1,067

R03DC03

1,068

R03DC03

1,069

R03DC03

1,070

R03DC03

1,071

R03DC03

1,072

R03DC03

1,073

R03DC03

1,074

R03DC03

1,075

R03DC03

1,076

R03DC03

1,077

R03DC03

1,078

R03DC03

1,079

R03DC03

1,080

R03DC03

1,081

R03DC03

1,082

R03DC03

1,083

R03DC03

1,084

R03DC03

1,085

R03DC03

1,086

R03DC03

1,087

R03DC03

1,088

R03DC03

1,089

R03DC03

1,090

R03DC03

1,091

R03DC03

1,092

R03DC03

1,093

R03DC03

1,094

R03DC03

1,095

R03DC03

1,096

R03DC03

1,097

R03DC03

1,098

R03DC03

1,099

R03DX03

1,100

R03DX03

1,101

R05CB15

1,102

R05CB15

1,103

R05CB15

1,104

R05DA09

1,105

R05DA09

1,106

R05DA09

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*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
FENSPIRIDUM
FENSPIRIDUM
ERDOSTEINUM**
ERDOSTEINUM**
ERDOSTEINUM**
DEXTROMETHORPHANUM
DEXTROMETHORPHANUM
DEXTROMETHORPHANUM

Denumire Comerciala

SPIROKAST 10 mg
MONTELUKAST ACTAVIS 10 mg
MONKASTA 10 mg
ASTMASAN 10 mg
MONTELUKAST ALVOGEN 10 mg
STANGEN 10 mg
SOLOK 10 mg
MONART 10 mg
MONTELUKAST AUROBINDO 10 mg
MONTELUKAST CHIESI 10 mg
MONTELUKAST ABBOTT 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
MONART 4 mg
MONTELUKAST AUROBINDO 4 mg
MONTELUKAST CHIESI 4 mg
MONTELUKAST ABBOTT 4 mg
ASTMASAN 4 mg
ASTHATOR 5 mg
SINGULAIR (R)
SINGULAIR (R)
MONTELUKAST TEVA 5 mg
MONTELUKAST TEVA 5 mg
SPIROKAST 5 mg
MONTELUKAST ACTAVIS 5 mg
MONKASTA 5 mg
MONTELUKAST ALVOGEN 5 mg
STANGEN 5 mg
SOLOK 5 mg
MONART 5 mg
MONTELUKAST CHIESI 5 mg
MONTELUKAST AUROBINDO 5 mg
MONTELUKAST ABBOTT 5 mg
ASTMASAN 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
TUSSIN FORTE 20 mg
HUMISEC 5mg/5ml

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. 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.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.

GRANULE
GRANULE
COMPR. CU ELIBERARE PRELUNGITA

SIROP
CAPS.
GRAN. PT. SUSP. ORALA
PULB. PT. SUSP. ORALA

COMPR.
COMPR.
SIROP

concentratie

10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
4 mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
5 mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
4mg
4mg
80mg
2mg/ml
300mg
225mg
175mg/5ml
20mg
20mg
0,1%

Detinator APP

tara det.
APP

ZENTIVA, K.S.

REPUBLICA CEHA

ACTAVIS GROUP PTC EHF.

ISLANDA

KRKA D.D., NOVO MESTO SLOVENIA

SANDOZ S.R.L.

ROMANIA

ALVOGEN IPCO S.A.R.L LUXEMBURG


DR. REDDY'S LABORATORIES

TERAPIA S.A.

ROMANIA
ROMANIA

GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA

CHIESI PHARMACEUTICALS GMBH

MALTA
AUSTRIA

ABBOTT LABORATORIES LTD.

MAREA BRITANIE

AUROBINDO PHARMA (MALTA) LIMITED

Ambalaj

Prescriptie

P6L
CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L
CUTIE CU BLIST. OPA-AL-PVC//AL X 28 COMPR. FILM. P6L
CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P6L
CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. FILM. P6L
CUTIE CU BLIST. AL/PE-PEID/PE SI DESICANT/AL/OPA X 28 COMPR. FILM.
P6L
CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. MAST.
P6L
CUTIE CU 1 FLAC. PEID X 28 COMPR. FILM. P6L
CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. FILM. P6L

CUTIE CU BLIST. NY/AL/PVC-AL (FARA INDICAREA ZILELOR SAPTAMANII) X 28 COMPR. FILM.

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

TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. MAST.

P6L
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
ROMANIA

ZENTIVA, K.S.

REPUBLICA CEHA

ACTAVIS GROUP PTC EHF.

ISLANDA

TEVA PHARMACEUTICALS S.R.L.

KRKA D.D., NOVO MESTO SLOVENIA

ALVOGEN IPCO S.A.R.L LUXEMBURG


DR. REDDY'S LABORATORIES

TERAPIA S.A.

ROMANIA
ROMANIA

GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA

CHIESI PHARMACEUTICALS GMBH

MALTA
AUSTRIA

ABBOTT LABORATORIES LTD.

MAREA BRITANIE

AUROBINDO PHARMA (MALTA) LIMITED

SANDOZ SRL

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

P6L
P6L
CUTIE CU BLIST. NY/AL/PVC-AL (FARA INDICAREA ZILELOR SAPTAMANII) X 28 COMPR. MAST.
P6L
CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. MAST.
P6L
CUTIE CU BLIST. OPA-AL-PVC//AL X 28 COMPR. MAST. P6L
CUTIE CU BLIST. PA-ALL-PVC/AL X 28 COMPR. MASTICABILE P6L
CUTIE CU BLIST. AL/PE-PEID/PE SI DESICANT/AL/OPA X 28 COMPR. MAST.
P6L
CUTIE CU BLIST. PAPVC/AL X 28 COMPR. MAST. P6L
CUTIE CU 1 FLAC. PEID X 28 COMPR. MAST. P6L
CUTIE CU BLIST. PVC-PA-AL-PVC/AL X 28 COMPR. MAST. P6L
CUTIE CU BLIST. DIN AL/AL X 28 COMPR. MAST.
CUTIE CU BLIST. DIN AL/AL X 30 COMPR. MAST.

CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. MAST. P-6L

P6L
P6L
P6L
P6L
P6L
P6L
P6L
CUTIE CU BLIST. NY/AL/PVC-AL (FARA INDICAREA ZILELOR SAPTAMANII) X 28 COMPR. MAST.
P6L
CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. MAST.
P6L
CUTIE CU BLIST. OPA-AL-PVC//AL X 28 COMPR. MAST. P6L
CUTIE CU BLIST. PA-ALL-PVC/AL X 28 COMPR. MASTICABILE P6L
CUTIE CU BLIST. AL/PE-PEID/PE SI DESICANT/AL/OPA X 28 COMPR. MAST.
P6L
CUTIE CU BLIST. PA/PVC/AL X 28 COMPR. MAST. P6L
CUTIE CU 1 FLAC. PEID X 28 COMPR. MAST. P6L
CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. MAST.

ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. MAST.


TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. MAST.
MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. OPA-AL-PVC/AL X 14 COMPR. MAST.
MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. MAST.
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. DIN AL/AL X 28 COMPR. MAST.
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. DIN AL/AL X 30 COMPR. MAST.

ZENTIVA, K.S.

REPUBLICA CEHA

ACTAVIS GROUP PTC EHF.

ISLANDA

KRKA D.D., NOVO MESTO SLOVENIA

ALVOGEN IPCO S.A.R.L LUXEMBURG


DR. REDDY'S LABORATORIES

TERAPIA S.A.

ROMANIA
ROMANIA

GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA

AUROBINDO PHARMA (MALTA) LIMITED

AUSTRIA
MALTA

CUTIE CU BLIST. PVC-PA-AL-PVC/AL X 28 COMPR. MAST.

ABBOTT LABORATORIES LTD.

MAREA BRITANIE

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. MAST.

CHIESI PHARMACEUTICALS GMBH

CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. MAST. P-6L

SANDOZ SRL
SANDOZ S.R.L.

ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. MAST.


ROMANIA CUTIE CU 28 PLICURI PET/AL/PE CONTINAND GRANULE
MERCK SHARP & DOHME ROMANIA CUTIE CU 28 PLICURI DIN PE/AL/POLIESTER CU GRANULE
LES LAB. SERVIER IND. FRANTA
LES LAB. SERVIER IND. FRANTA
CSC PHARMACEUTICALS HANDELS GMBH
CSC PHARMACEUTICALS HANDELS GMBH
CSC PHARMACEUTICALS HANDELS GMBH

EUROPHARM SA

P6L
P6L
P6L
P6L
P6L

CUTIE X 2 BLIST. AL/PVC X 15 COMPR.CU ELIBERARE PRELUGITA

P-6L

CUTIE X 1 FLACON PVC DE CULOARE BRUNA X 150 ML

P-6L

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


AUSTRIA CUTIE CU 20 PLICURI UNIDOZA DIN HARTIE AL/PE
AUSTRIA

P-6L

CUTIE CU 1 FLAC. DIN STICLA BRUNA A 50 G PULB. PT. OBTINEREA A 100 ML SUSP. ORALA + 1 MASURA DOZATOA

P-6L
P-6L

GLAXOSMITHKLINE (GSK) SRL

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


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

LAB. URGO SA

FRANTA

Pagina 48 din 162

CUTIE X 1 FLACON X 125 ML SIROP + O MASURA DOZATOARE PENTRU MASURAREA VOLUMELOR 2,5ML; 5ML; 7,5ML; 1

P-RF

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

28 42.11
30 52.34
28 63.22
28 77.66
28 63.22
28 63.22
28 63.10
28 52.55
28 64.30
28 44.73
28 67.75
28 44.47
28 157.51
14 83.04
28 42.84
30 45.90
28 29.97
30 41.75
28 42.84
28 42.84
28 42.84
28 42.32
28 42.32
28 48.83
28 27.73
28 42.84
28 17.20
28 55.28
14 76.63
28 145.31
28 53.46
30 57.27
28 36.31
30 47.72
28 53.46
28 53.46
28 53.46
28 53.25
28 53.46
28 34.30
28 60.94
28 53.46
28 21.20
28 77.86
28 158.93
30 28.09
1 20.02
10 15.81
20 33.14
1 24.95
20
6.78
20
6.78
1
8.46

Pret
amanuntul
maximal/UT
(RON)

1.503928
1.744666
2.257857
2.773571
2.257857
2.257857
2.253571
1.876785
2.296428
1.597500
2.419642
1.588214
5.625357
5.931428
1.530000
1.530000
1.070357
1.391666
1.530000
1.530000
1.530000
1.511428
1.511428
1.743928
0.990357
1.530000
0.614285
1.974285
5.473571
5.189642
1.909285
1.909000
1.296785
1.590666
1.909285
1.909285
1.909285
1.901785
1.909285
1.225000
2.176428
1.909285
0.757142
2.780714
5.676071
0.936333
20.020000
1.581000
1.657000
24.950000
0.339000
0.339000
8.460000

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

1.503928
1.744666
2.128034
2.128034
2.128034
2.128034
2.128034
1.876785
2.128034
1.597500
2.128034
1.511428
1.511428
1.511428
1.511428
1.511428
1.070357
1.391666
1.511428
1.511428
1.511428
1.511428
1.511428
1.511428
0.990357
1.511428
0.614285
1.889284
1.889284
1.889284
1.889284
1.889284
1.296785
1.590666
1.889284
1.889284
1.889284
1.889284
1.889284
1.225000
1.889284
1.889284
0.757142
1.511428
1.511428
0.936333
20.019999
1.581000
1.303562
24.950000
0.339000
0.339000
2.195832

Nr. crt

cod ATC

1,107

R05DA09

1,108

R05DA09

1,109

R05DA09

1,110

R05DA09

1,111

R05DA09

1,112

R05DA09

1,113

R05DA09

1,114

R06AE09

1,115

R06AE09

1,116

R06AE09

1,117

R06AE09

1,118

R06AE09

1,119

R06AE09

1,120

R06AE09

1,121

R06AE09

1,122

R06AE09

1,123

R06AX26

1,124

R06AX27

1,125

R06AX27

1,126

R06AX27

1,127

R06AX27

1,128

R06AX27

1,129

R06AX27

1,130

R06AX27

1,131

R06AX27

1,132

R06AX27

1,133

R06AX27

1,134

R06AX27

1,135

R06AX27

1,136

R06AX27

1,137

R06AX27

1,138

R06AX27

1,139

R06AX27

1,140

R06AX27

1,141

R06AX27

1,142

R06AX27

1,143

R06AX27

1,144

R06AX27

1,145

R06AX27

1,146

R06AX27

1,147

R06AX27

1,148

R06AX27

1,149

R06AX27

1,150

S01AA11

1,151

S01AA12

1,152

S01AA12

1,153

S01AA12

1,154

S01AA12

1,155

S01AA23

1,156

S01AA23

1,157

S01AA23

1,158

S01AX11

1,159

S01AX11

DCI

DEXTROMETHORPHANUM
DEXTROMETHORPHANUM
DEXTROMETHORPHANUM
DEXTROMETHORPHANUM
DEXTROMETHORPHANUM
DEXTROMETHORPHANUM
DEXTROMETHORPHANUM
LEVOCETIRIZINUM
LEVOCETIRIZINUM
LEVOCETIRIZINUM
LEVOCETIRIZINUM
LEVOCETIRIZINUM
LEVOCETIRIZINUM
LEVOCETIRIZINUM
LEVOCETIRIZINUM
LEVOCETIRIZINUM
FEXOFENADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
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

Denumire Comerciala

forma farm.

concentratie

HUMEX
HUMEX 0,133 g/100 ml
ROFEDEX
HUMISEC pentru adulti 20mg/15 ml
TUSSIN 6,5mg/5ml
ROBITUSSIN JUNIOR
ROBITUSSIN ANTITUSSICUM
XYZAL (R)
XYZAL (R)
CEZERA 5 mg
LEVOCETIRIZINA SANDOZ 5 mg
CETIZAL 5 mg
LEVOCETIRIZINA ACTAVIS 5 mg
ZENARO 5 mg
XYZAL
ZENARO 0,5 mg/ml
TELFAST 120 mg
DYNID 5 mg
DESLORATADINA ACTAVIS
DESLORATADINA ACTAVIS
DESLORATADINA SANDOZ 5 mg
AERIUS 5mg
AERIUS 5mg
DASSELTA
DESLORATADINAE RATIOPHARM
DESLORATADINA ALVOGEN 5 mg
DESLORATADINA TERAPIA 5 mg
LORDESTIN 5 mg
DESLORATADINA TEVA
AERIUS 5mg
AERIUS 5mg
AERIUS 2,5mg
AERIUS 2,5mg
AERIUS 5mg
DESLORATADINA TEVA 5 mg
AERIUS 5mg
DESLORATADINA SANDOZ 0.5 mg/ml
AERIUS 0,5mg/ml
DESLORATADINA ALVOGEN 0,5 mg/ml
DYNID 0,5 mg/ml
DESLORATADINA TEVA 0,5 mg/ml
AERIUS 0,5mg/ml
DYNID 0,5 mg/ml
GENTAMICIN SULPHATE
TOBROM 3 mg/ml
TOBREX
TOBREX 2 X
TOBREX (R)
NETTACIN (R)
NETTACIN (R)
NETTAVISC 3mg/g
FLOXAL (R)
FLOXAL (R)

SIROP
SIROP
SIROP
SIROP
SIROP
SOL. ORALA
SOL. ORALA

0,1%
0,13%
15mg/5ml
20mg/15 ml
6,5mg/5ml
3,75mg/5ml
7,5mg/5ml
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg/ml
0,5mg/ml
120mg
5mg
5 mg
5 mg
5 mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
2,5mg
2,5mg
5mg
5mg
5mg
0,5 mg/ml
0,5mg/ml
0,5mg/ml
0,5mg/ml
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%

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
PIC. ORALE, SOL.

SIROP
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. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE

SOL. ORALA
SOL. ORALA
SOL. ORALA
SOL. ORALA
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.

Detinator APP

LAB. URGO SA
LAB. URGO SA
BIOFARM SA
LAB. URGO SA
ROPHARMA S.A.
PFIZER CORPORATION AUSTRIA GMBH
PFIZER CORPORATION AUSTRIA GMBH

U.C.B. GMBH
U.C.B. GMBH

tara det.
APP

FRANTA
FRANTA

Ambalaj

P-RF

CUTIE X 1 FLACON X 200 ML + O MASURA DOZATOARE DIN POLIPROPILENA

P-RF

ROMANIA

CUTIE X 1 FLACON DIN STILCA BRUNA X 100 ML + MASURA DOZATOARE

P-RF

FRANTA

CUTIE X 1 FLACON X 200 ML + O MASURA DOZATOARE DIN POLIPROPILENA

P-RF

ROMANIA

CUTIE X 1 FLAC. X 115ML SIROP + O LINGURITA DOZATOARE GRADATA LA 1,25ML; 2,5ML SI 5 ML

P-RF

CUTIE X 1 FL. DIN STICLA BRUNA CU CAPAC SECURIZAT X 100 ML SOL. ORALA + MASURA DOZATOARE PT.2,5ML;5M

P-RF

CUTIE X 1 FL. DIN STICLA BRUNA CU CAPAC SECURIZAT X 100 ML SOL. ORALA + MASURA DOZATOARE PT.2,5ML;5M

P-RF

AUSTRIA
AUSTRIA

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.

SANDOZ S.R.L.

Prescriptie

CUTIE X 1 FLACON X 125 ML SIROP + O MASURA DOZATOARE PENTRU MASURAREA VOLUMELOR 2,5ML; 5ML; 7,5ML; 1

P-6L

ROMANIA

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

GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA

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

ACTAVIS GROUP PTC EHF.

ISLANDA

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

ZENTIVA, K.S.

REPUBLICA SLOVACA

CUTIE CU BLIST. PVC-ACLAR/AL X 20 COMPR. FILM.

P6L
P6L

UCB PHARMA GMBH GERMANIA

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

P-6L

ZENTIVA, K.S.

REPUBLICA CEHA

CUTIE CU 1 FLAC. DIN STICLA BRUNA X 200 ML SIROP + 1 LINGURITA DOZATOARE DE 5 ML GRADATA LA 2,5 ML S

P6L

SANOFI-AVENTIS ROMANIA S.R.L.

ROMANIA

CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 10 COMPR.FILM.

P-6L

GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA

ACTAVIS GROUP PTC EHF.


ACTAVIS GROUP PTC EHF.

SANDOZ S.R.L.
SP EUROPE
SP EUROPE

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

ISLANDA CUTIE CU BLIST. DIN OPA/AL/PVC-AL X 10


ISLANDA CUTIE CU BLIST. DIN OPA/AL/PVC-AL X30

PRF

ROMANIA

P6L

BELGIA
BELGIA

CUTIE CU BLISTER NON UNIDOZA PVC-ACLAR/AL X 30 COMPR.FILM.

PRF

CUTIE X 30COMPR. FILM. ( PCTFE/ PVC/AL) P-RF


CUTIE X 10 COMPR. FILM. ( PCTFE/ PVC/AL)

P-RF

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPRIMATE FILMATE

PRF

RATIOPHARM GMBH GERMANIA

CUTIE CU BLIST. DIN PVC/PVDC/AL X 30 COMPRIMATE FILMATE

PRF

ALVOGEN IPCO S.A.R.L LUXEMBURG

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

TERAPIA SA

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


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

P6L
P6L
P6L

TEVA PHARMA B.V. OLANDA

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

PRF

MERCK SHARP&DOHME LTD.

MAREA BRITANIE

CUTIE X 10 COMPR. FILM. ( PCTFE/ PVC/AL)

P-RF

MERCK SHARP&DOHME LTD.

MAREA BRITANIE

CUTIE X 30COMPR. FILM. ( PCTFE/ PVC/AL) P-RF

GEDEON RICHTER ROMANIA SA

ROMANIA
ROMANIA

SP EUROPE

BELGIA

CUTIE X 30 COMPR. ORODISPERSABILE (PVC/OPA/AL)

P-RF

MERCK SHARP&DOHME LTD.

MAREA BRITANIE

CUTIE X 30 COMPR. ORODISPERSABILE (PVC/OPA/AL)

P-RF

SP EUROPE

BELGIA

CUTIE X 30 COMPR. ORODISPERSABILE (PVC/OPA/AL)

P-RF

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

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

P6L

MERCK SHARP&DOHME LTD.

MAREA BRITANIE

CUTIE X 30 COMPR. ORODISPERSABILE (PVC/OPA/AL)

P-RF

SANDOZ S.R.L.
SP EUROPE

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA BRUNA CU CAPACITATEA DE 125 ML X 120 ML, SOL. ORALA + LINGURITA DOZATOAR

P6L

BELGIA

CUTIE X 1 FLACON X 120 ML SOL. ORALA + LIGURITA DOZATOARE DE 2,5 ML SI 5 ML

P-RF

ALVOGEN IPCO S.A.R.L LUXEMBURG

CUTIE CU 1 FLAC. DIN STICLA BRUNA A 120 ML SOL. ORALA + 1 LINGURITA DOZATOARE SAU O SERINGA DOZATOAR

GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA

CUTIE CU 1 FLAC. DIN STICLA BRUNA X 120 ML SOL. ORALA + 1 LINGURITA DOZATOARE SAU O SERINGA DOZATOAR

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA + 1 LINGURA DOZATOARE DIN PEID GRADATA LA DOZE DE 2,5 ML SI 5 ML X 120 M

MERCK SHARP&DOHME LTD.

MAREA BRITANIE CUTIE X 1 FLACON X 120 ML SOL. ORALA + LIGURITA DOZATOARE DE 2,5 ML SI 5 ML

GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA

CUTIE CU 1 FLAC. DIN STICLA BRUNA X 150 ML SOL. ORALA + 1 LINGURITA DOZATOARE SAU O SERINGA DOZATOAR

P6L
P6L
P6L
P-RF

P6L

E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON X 10ML


ROMPHARM COMPANY SRL ROMANIA CUTIE C 1 FLAC. PEJD X 5 ML PIC. OFT. SOL

P-RF

ALCON COUVREUR NV BELGIA


ALCON COUVREUR NV BELGIA
ALCON COUVREUR NV BELGIA

CUTIE X 1 FLACON DIN PEJD CU PICURATOR X 5 ML PIC. OFTALMICE, SOL.

P-RF

CUTIE X 1 FLAC. PEID CU PICURATOR DIN PEID X 5 ML

P-RF

P-RF

CUTIE X 1 TUB DIN AL X 3,5 G UNGUENT OFTALMIC P-RF

S.I.F.I. SPA
S.I.F.I. SPA
S.I.F.I. SPA

ITALIA
ITALIA
ITALIA

CUTIE X 1 FLACON X 5ML

P-RF

CUTIE X 3 FOLII TERMOSUDATE X 5 FLACOANE UNIDOZA DIN POLIETILENA X 0,3 ML

P-RF

CUTIE X 1 TUB DIN AL X 5 G UNGUENT OFTALMIC, PREV. CU APLICATOR

P-RF

DR. GERHARD MANN CHEM.PHARM.FABRIK GMBH

GERMANIA

CUTIE X 1 FLACON DIN PEJD X 5 ML PICATURI OFT., SOL.

P-RF

DR. GERHARD MANN CHEM.PHARM.FABRIK GMBH

GERMANIA

CUTIE X 1 TUB DIN AL PREVAZUT CU APLICATOR X 3 G

P-RF

Pagina 49 din 162

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

1
1
1
1
1
1
1
10
30
30
10
10
10
20
1
1
10
30
10
30
30
30
10
30
30
30
30
30
30
10
30
30
30
30
30
30
1
1
1
1
1
1
1
1
1
1
1
1
1
15
1
1
1

8.46
10.82
5.27
10.82
7.87
8.61
8.61
16.92
42.17
28.34
10.99
7.27
6.41
12.80
36.23
23.91
10.80
25.42
9.35
28.06
33.14
24.62
8.21
25.45
35.44
35.44
25.45
35.46
28.46
8.21
24.62
28.55
28.55
28.55
19.94
28.55
13.31
16.73
13.31
13.31
13.31
16.73
16.86
4.71
4.08
11.31
20.80
8.64
14.18
28.94
32.50
14.45
15.38

Pret
amanuntul
maximal/UT
(RON)

8.460000
10.820000
5.270000
10.820000
7.870000
8.610000
8.610000
1.692000
1.405666
0.944666
1.099000
0.727000
0.641000
0.640000
36.230000
23.910000
1.080000
0.847333
0.935000
0.935333
1.104666
0.820666
0.821000
0.848333
1.181333
1.181333
0.848333
1.182000
0.948666
0.821000
0.820666
0.951666
0.951666
0.951666
0.664666
0.951666
13.310000
16.730000
13.310000
13.310000
13.310000
16.730000
16.860000
4.710000
4.080000
11.310000
20.800000
8.640000
14.180000
1.929333
32.500000
14.450000
15.380000

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

8.460000
4.672732
5.270000
4.672732
2.626216
1.317499
2.634999
1.209375
1.209375
0.944666
1.099000
0.727000
0.641000
0.640000
24.187500
23.910000
0.840749
0.840749
0.840749
0.840749
0.840749
0.820666
0.821000
0.840749
0.840749
0.840749
0.840749
0.840749
0.840749
0.821000
0.820666
0.420374
0.420374
0.840749
0.664666
0.840749
12.655000
12.655000
12.655000
12.655000
12.655000
12.655000
15.818750
4.710000
4.080000
4.080000
4.080000
3.060000
14.180000
1.251059
20.850997
11.302500
15.380000

DCI

Nr. crt

cod ATC

1,160

S01BA01

1,161

S01BA01

1,162

S01BA01

1,163

S01BA06

1,164

S01CA01 COMBINATII ( NETILMICINUM + DEXAMETHASONUM)

1,165

S01CA01 COMBINATII ( NETILMICINUM + DEXAMETHASONUM)

1,166

S01CA01 COMBINATII (CLORAMPHENICOLUM+DEXAMETHASONUM)

1,167

S01CA01 COMBINATII (TOBRAMYCINUM +DEXAMETAZONUM)

1,168

S01CA01 COMBINATII (TOBRAMYCINUM +DEXAMETAZONUM)

1,169

S01CA01 COMBINATII (TOBRAMYCINUM +DEXAMETAZONUM)

1,170

S01GX09

1,171

S01XA02

DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
BETAMETHASONUM

OLOPATADINUM
RETINOLUM

Denumire Comerciala

forma farm.

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

PIC. OFT. SUSP.

concentratie

SOL. OFT.

1mg/ml
1mg/ml
0,1%
0,1%

PIC. OFT.,SOL.

FARA CONCENTRATIE

PIC. OFT.SOL. UNIDOZA

FARA CONCENTRATIE

PICATURI OFT.-SOL.

5mg/ml+1mg/ml

PIC. OFT. SUSP.


PICATURI OFT.-SUSP.

Detinator APP
ROMPHARM COMPANY SRL
ROMPHARM COMPANY SRL

tara det.
APP
ROMANIA
ROMANIA

ALCON COUVREUR NV BELGIA


DAR AL DAWA PHARMA S.R.L.

ITALIA
ITALIA
LABORATOIRES THEA FRANTA

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.

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


P-RF

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.

P-RF

CUTIE X 1 FLACON X 5 ML SOL. OFT. + PICURATOR P-RF

ROMANIA CUTIE CU 1 FLAC. PEJD A 5 ML + PICURATOR

P-RF

BELGIA
BELGIA

P-RF

CUTIE X 1 FLACON PICURATOR PEJD X 5 ML P-RF


CUTIE X 1 TUB AL, PREVAZUT CU APLICATOR PEID X 3,5 G

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;
- Pentru medicamentele corespunztoare DCI-urilor notate cu (#) regulile de prescriere sunt stabilite prin Contractul Cadru.

Pagina 50 din 162

Prescriptie

P-RF

ROMANIA CUTIE X 1 FLACON X 10ML

S.I.F.I. SPA
S.I.F.I. SPA

PICATURI OFT.-SUSP.

Ambalaj
CUTIE X 1 FLAC. DIN PEID X 10 ML PIC. OFT., SUSPENSIE

P-RF

P-6L

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

1
1
1
1
1
20
1
1
1
1
1
1

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)

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
nr. 95/2006 art
213 alin.1 lit.
a) si f)

9.107999
4.553999
4.553999
4.500000
11.920500
0.715230
11.920500
10.000000
11.920500
8.344350
30.490000
16.430000

Val suportata
CNAS/UT
(RON) pt.
Adulti

0.336562
0.336562
0.673124
0.564642
0.113928
0.336562
0.336562
0.336562
0.336562
0.333787
0.336562
0.207678
0.564642
0.560535
0.546166
0.602833
0.296500
0.326166
0.492321
0.546166
0.603571
0.336562
0.568333
9.655000
6.695000
9.521000
0.448749
0.448749
0.328214
0.448749
0.897499
0.897499
0.550000
0.897499
0.448749
0.448749
0.448749
0.448749
0.445833
0.897499
0.897499
0.897499
0.897499
0.797000
0.448749
0.897499

Pagina 51 din 162

Val suportata
CNAS/UT
(RON) pt.
Adulti

3.111607
13.766396
9.667500
9.667500
0.154750
0.157125
0.157125
0.559500
22.075000
9.001250
1.323333
1.267500
7.940007
2.024243
6.072735
191.915000
186.035000
1.040653
1.040653
1.040653
1.894985
1.796250
0.261666
0.261666
0.523333
0.523333
0.989237
0.767500
12.012000
12.597000
16.022500
19.227000
23.072400
3.204500
6.409000
9.613500
3.204500
5.942000
7.222500
10.035000
10.615833
3.204500
4.272665
6.409000
8.545331
3.204500
9.155711
18.311426
36.622855
4.120070
4.577855
12.818000
16.480285

Pagina 52 din 162

Val suportata
CNAS/UT
(RON) pt.
Adulti

1.028300
3.921500
4.824000
0.670178
0.670178
1.031071
0.297666
0.670000
0.293666
1.206000
1.206000
0.670178
0.670178
0.670178
0.670178
0.670178
0.671000
1.206000
1.206000
0.670333
0.670000
0.691000
0.635166
0.635111
0.866166
0.668928
0.670000
0.286333
0.277111
0.670333
0.581200
0.603000
0.530083
11.088249
32.663000
14.977000
1.636258
1.636258
2.324642
2.454388
0.363333
0.433284
0.236428
0.431166
0.361071
0.552333
0.781964
0.474642
0.649927
0.465666
1.933229
3.093166
0.243374

Pagina 53 din 162

Val suportata
CNAS/UT
(RON) pt.
Adulti

0.486749
0.162249
0.162249
0.486749
0.486749
0.486749
0.081124
0.162249
0.486749
0.486749
0.463000
0.157750
0.543166
0.189802
0.189802
0.377416
0.562333
0.189802
0.189802
0.189802
0.189802
0.189802
0.379604
0.379604
0.373666
12.440000
12.440000
0.439833
0.427162
0.386666
0.427162
0.414500
0.407142
0.407333
0.414500
0.247142
0.404464
0.409833
0.409464
0.451374
0.451374
0.438166
0.438166
0.451374
0.451374
0.289124
0.224333
0.289124
0.269666
0.289124
0.289124
0.289124
0.289124

Pagina 54 din 162

Val suportata
CNAS/UT
(RON) pt.
Adulti

0.269666
0.362833
0.548500
0.449333
0.539583
0.578249
0.578249
0.449333
0.089156
0.178312
0.178312
0.178312
0.178312
0.178312
0.178312
0.178312
0.178312
0.178312
0.356625
0.356625
0.356625
0.356625
0.356625
0.356625
0.356625
0.356625
0.445781
0.445781
0.111445
0.222890
0.222890
0.237749
0.475499
0.118874
0.044578
0.178312
0.356625
0.178312
0.044578
0.262000
0.269666
0.269666
0.269666
0.403500
0.412071
0.351500
0.412071
0.412071
0.412071
0.412071
0.412071
0.412071
0.412071

Pagina 55 din 162

Val suportata
CNAS/UT
(RON) pt.
Adulti

0.412071
0.412071
0.361333
0.412071
1.608666
0.943750
0.943750
0.943750
0.581964
0.361785
1.063146
1.063146
0.565166
1.063146
1.063146
0.586607
1.063146
0.406964
0.586071
0.586071
0.552666
0.265786
0.265786
0.199285
0.199285
0.531573
0.531573
0.387500
0.531573
0.531573
0.515000
0.531573
0.266964
0.531573
0.324642
0.324642
3.189438
0.485892
0.634464
0.323214
0.531573
0.323571
0.531573
0.531573
0.384666
0.531573
0.384642
0.384642
0.428750
0.323571
0.518035
0.525535
0.771428

Pagina 56 din 162

Val suportata
CNAS/UT
(RON) pt.
Adulti

0.523571
0.694107
1.063146
1.063146
0.518035
0.553571
0.523571
0.265786
0.265786
1.063146
0.801250
0.497500
0.708333
0.708035
0.720666
0.800500
0.800892
0.801428
0.497500
0.660500
0.497500
0.739642
2.096428
0.610833
1.189333
1.362500
1.362500
1.238035
1.362857
0.610833
1.201000
0.610833
1.011785
0.531573
0.531573
0.270333
0.402166
0.531573
0.531573
0.531573
0.531573
0.531573
0.270333
0.531573
0.384500
0.531573
0.531573
0.531573
0.531573
0.531573
0.286666
0.531573
0.531573

Pagina 57 din 162

Val suportata
CNAS/UT
(RON) pt.
Adulti

0.531573
0.307142
0.531573
0.307142
0.946250
1.063146
1.063146
0.946250
0.468166
0.946166
0.873392
0.946250
0.405000
1.009464
0.501607
0.531573
0.531573
0.531573
0.531573
0.946250
0.946333
0.946071
0.946166
0.570535
0.536785
0.523392
0.322500
0.570535
0.570535
0.570535
0.570535
0.570535
0.570535
0.570535
0.364107
0.364107
0.570535
0.570535
0.473000
0.473035
0.570535
0.570535
0.570535
0.570535
0.570535
0.570535
0.570535
0.570535
0.570535
0.570535
0.570535
0.570535
0.570535

Pagina 58 din 162

Val suportata
CNAS/UT
(RON) pt.
Adulti

0.570535
0.570535
0.570535
0.570535
0.570535
0.570535
0.570535
0.496833
0.570535
0.570535
0.570535
0.570535
0.570535
0.570535
0.496833
0.570535
0.570535
0.570535
0.570535
2.081026
2.081026
2.081026
2.081026
1.917946
2.022500
0.211399
0.422799
0.825714
0.306333
0.279166
0.317099
0.176166
0.317099
0.317099
0.317099
0.279166
0.317099
0.308055
0.317099
0.312833
0.317099
0.317099
0.317099
0.176166
0.176166
0.113571
0.317099
0.448333
0.409333
0.634199
0.263666
0.490833
0.525166

Pagina 59 din 162

Val suportata
CNAS/UT
(RON) pt.
Adulti

0.578500
0.402333
0.510833
0.441666
0.560178
0.477333
0.578500
0.578500
0.490833
0.263666
0.263666
0.133928
0.543333
1.020714
0.987666
0.842500
1.268398
0.544666
0.923571
0.893500
1.051000
0.944833
0.881000
1.028833
0.846222
1.050714
0.878000
1.050666
1.050666
0.893500
0.535000
0.544666
0.478214
0.635166
2.536797
1.686833
1.686785
1.686833
1.686833
0.733833
0.834000
0.733833
0.683035
0.710333
0.634199
0.634199
0.401333
0.634199
0.634199
0.634199
0.401333
0.634199
0.634199

Pagina 60 din 162

Val suportata
CNAS/UT
(RON) pt.
Adulti

0.634199
0.598571
0.598571
0.634199
0.634199
1.268398
1.268398
0.445333
1.268398
1.268398
1.268398
0.571666
1.268398
0.945535
1.233750
0.860000
0.860000
1.268398
1.268398
0.842666
1.828500
1.828500
0.978166
1.225714
1.610535
1.341785
1.341785
1.828500
2.536797
0.317099
0.317099
0.317099
0.317099
0.317099
0.317099
0.317099
0.317099
0.317099
0.317099
0.317099
0.317099
0.285500
1.182000
1.199796
3.276205
3.231964
0.919500
0.919500
0.919500
0.919500
0.963958
0.813666
0.807666

Pagina 61 din 162

Val suportata
CNAS/UT
(RON) pt.
Adulti

0.963958
0.919500
0.589062
0.589062
0.589062
0.531071
0.589062
0.571250
0.589062
0.589062
28.117499
28.117499
28.117499
26.715000
1.245666
7.595000
7.595000
52.795000
22.901607
37.980000
11.059583
6.203750
6.203750
6.203750
5.615000
5.090000
5.090000
6.786666
5.090000
5.090000
5.939687
11.879375
7.875000
17.015000
5.939687
11.879375
5.155000
5.155000
3.177000
2.605000
3.177000
10.870000
11.910000
23.500000
7.957500
18.110000
14.246000
23.345000
14.246000
0.543583
0.543583
1.071333
1.202166

Pagina 62 din 162

Val suportata
CNAS/UT
(RON) pt.
Adulti

1.202166
1.202166
17.735000
7.822499
4.693499
12.203098
0.782249
0.554850
4.815000
6.435000
0.554850
0.554850
4.131375
4.131375
256.765000
0.687333
0.331769
4.976549
1.300357
0.322249
0.322249
0.644499
0.629000
9.400000
4.505000
0.539250
0.152000
1.033214
0.185000
0.277098
61.546666
246.186666
369.280000
720.860000
82.062201
246.088192
705.415000
73.360000
0.853500
2.231607
0.221916
1.143899
0.285974
0.476071
2.287799
2.287799
1.143899
1.143899
0.428962
0.857924
0.600666
0.676500
0.280714

Pagina 63 din 162

Val suportata
CNAS/UT
(RON) pt.
Adulti

0.605666
0.350000
0.448833
0.353333
0.382666
0.448833
0.334666
0.531666
0.757928
0.587678
0.587678
0.586333
0.587678
0.587678
0.587678
1.593666
2.875000
198.242000
264.322666
743.407500
495.605000
242.060000
382.865000
495.605000
495.605000
247.802500
60.647303
60.367857
0.477800
3.453000
15.936666
3.490574
0.151920
0.255200
0.075960
3.236000
1.867500
7.289600
7.289600
1.382500
11.346250
0.307812
0.715284
1.788212
1.788212
0.894105
1.788212
1.788212
1.788212
3.576424
3.576424
3.576424
3.576424

Pagina 64 din 162

Val suportata
CNAS/UT
(RON) pt.
Adulti

3.576424
3.576424
3.576424
3.543333
3.576424
4.291711
4.291711
8.180000
7.527598
15.055196
11.291400
22.582800
28.228499
0.368242
0.729062
0.728437
0.736484
1.472968
1.472968
1.189800
1.189800
1.189800
1.189800
1.182000
2.379600
2.379600
2.379600
2.379600
2.282857
2.282857
2.364000
2.096500
2.379600
2.564000
1.752000
1.752000
1.752000
1.751666
1.752000
2.533609
1.850500
23.755714
0.261300
497.470000
189.457499
201.136246
5.052195
568.372505
220.290000
0.676994
0.284987
0.065750
0.451350

Pagina 65 din 162

Val suportata
CNAS/UT
(RON) pt.
Adulti

0.451350
0.078250
0.061750
0.111000
0.451350
0.451350
0.451350
0.451350
1.177000
0.370000
0.370000
0.366000
0.300899
0.856949
0.247349
0.247349
1.140000
0.582937
1.165874
1.165874
2.331749
2.298035
2.331749
2.331749
0.582937
1.165874
1.165874
1.165874
1.748812
1.748812
1.748812
1.748812
0.697499
0.694166
0.697499
0.243000
0.243500
0.362000
0.205000
0.225500
0.239000
0.360000
0.160859
0.335000
0.727553
5.092875
5.092875
5.092875
5.092875
5.092875
3.205000
5.092875
5.092875

Pagina 66 din 162

Val suportata
CNAS/UT
(RON) pt.
Adulti

5.092875
21.826607
21.826607
21.826607
21.826607
19.400000
21.826607
119.885000
133.682062
133.682062
133.682062
91.415000
4.473750
1.788750
5.092875
4.562500
5.092875
5.092875
3.547500
1.788750
10.913303
5.092875
5.092875
5.092875
5.092875
3.273571
3.117857
0.272584
0.545169
1.090340
2.180681
0.272584
0.272584
0.545169
0.545169
0.987500
1.090340
1.090340
1.635511
1.678166
2.013750
0.272584
0.545169
1.090340
2.180681
0.752222
0.261964
0.564167
0.351037
0.351037
0.351037
0.351037
0.351037

Pagina 67 din 162

Val suportata
CNAS/UT
(RON) pt.
Adulti

0.351037
0.351037
0.351037
0.351037
0.351037
0.351037
0.351037
0.351037
0.351037
0.351037
0.351037
0.351037
0.351037
0.351037
0.033952
0.109333
2.594569
2.579553
3.773839
4.081428
1.297284
1.297284
0.105700
0.067699
0.138475
0.138475
0.138475
0.138475
0.138475
0.138475
0.138475
0.138475
0.138475
0.138475
0.138475
0.138475
0.138475
0.138475
0.269257
0.538515
0.538515
0.538515
0.538515
0.538515
0.538515
0.538515
0.538515
0.538515
0.538515
0.538515
0.538515
0.538515
0.538515

Pagina 68 din 162

Val suportata
CNAS/UT
(RON) pt.
Adulti

0.200019
0.200019
0.400039
0.400039
0.807772
0.807772
1.207812
1.615545
1.615545
2.423318
0.478166
0.230750
0.147916
0.078010
0.122399
0.147166
0.567000
0.599645
0.527583
0.299822
0.299822
1.059000
0.365250
0.353000
0.365250
0.552254
1.046964
1.668415
3.194464
1.798500
0.102900
0.102900
0.205800
0.102900
0.102900
0.189802
0.198749
0.198749
0.290416
0.298125
0.298125
0.298125
0.298125
0.298125
0.298125
0.290416
0.298000
0.096200
0.099374
0.099374
0.099374
0.099374
0.099374

Pagina 69 din 162

Val suportata
CNAS/UT
(RON) pt.
Adulti

0.096300
0.099374
0.096300
0.099374
7.453124
14.906249
0.793333
0.989237
0.989237
12.446000
7.431999
1.486400
0.261583
12.635000
15.325000
12.695000
14.290000
14.290000
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
22.492499
40.870000
62.395000
37.440625
2.739000
83.080000
0.090500
0.067800
0.086875
0.193000
1.182000
1.182000
1.064017
1.064017
1.064017
1.064017
1.064017

Pagina 70 din 162

Val suportata
CNAS/UT
(RON) pt.
Adulti

0.751964
0.872333
1.064017
1.064017
1.064017
1.064017
1.064017
0.938392
1.064017
0.798750
1.064017
0.755714
0.755714
0.755714
0.755714
0.755714
0.535178
0.695833
0.755714
0.755714
0.755714
0.755714
0.755714
0.755714
0.495178
0.755714
0.307142
0.944642
0.944642
0.944642
0.944642
0.944642
0.648392
0.795333
0.944642
0.944642
0.944642
0.944642
0.944642
0.612500
0.944642
0.944642
0.378571
0.755714
0.755714
0.468166
10.009999
0.790500
0.651781
12.475000
0.169500
0.169500
1.097916

Pagina 71 din 162

Val suportata
CNAS/UT
(RON) pt.
Adulti

4.230000
2.336366
2.635000
2.336366
1.313108
0.658749
1.317499
0.604687
0.604687
0.472333
0.549500
0.363500
0.320500
0.320000
12.093750
11.955000
0.420374
0.420374
0.420374
0.420374
0.420374
0.410333
0.410500
0.420374
0.420374
0.420374
0.420374
0.420374
0.420374
0.410500
0.410333
0.210187
0.210187
0.420374
0.332333
0.420374
6.327500
6.327500
6.327500
6.327500
6.327500
6.327500
7.909375
2.355000
2.040000
2.040000
2.040000
1.530000
7.090000
0.625529
10.425498
5.651250
7.690000

Pagina 72 din 162

Val suportata
CNAS/UT
(RON) pt.
Adulti

4.553999
2.276999
2.276999
2.250000
5.960250
0.357615
5.960250
5.000000
5.960250
4.172175
15.245000
8.215000

Pagina 73 din 162

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 APRILIE 2014

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/
amba
L
MAXIMAL/UT 213 alin.(1) lit.
UT (RON)
laj
(RON)
(RON)
a) si f)
PT. ADULTI

1.INSUFICIENTA CARDIACA CRONICA(CLASA III SAU IV NYHA) - G 1


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

B01AA07
B01AA07
C01AA05
C01AA05
C01AA05
C01AA05
C03AA03
C03CA01
C03CA01
C03CA01
C03CA01
C03CA01
C03CA01
C03CA01
C03CA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01

C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02

ACENOCUMAROLUM
ACENOCUMAROLUM
DIGOXINUM
DIGOXINUM
DIGOXINUM
DIGOXINUM
HYDROCHLOROTHIAZIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM

TROMBOSTOP 2 mg
SINTROM 4 mg
DIGOXIN 0,25 mg
DIGOXIN ZENTIVA 0,25 mg
DIGOXIN 0,5 mg/2 ml
DIGOXIN ZENTIVA 0,5 mg/2ml

NEFRIX 25 mg
FUROSEMID MCC 40 mg
FUROSEMID SLAVIA
FUROSEMID EEL
FUROSEMID ZENTIVA
FUROSEMID LPH 40 mg
FUROSEMID ARENA 40 mg
FUROSEMID BIOEEL 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 BIOEEL 25 mg

SPIRONOLACTONA 25 mg
ALSPIRON 25 mg
ALSPIRON 50 mg
BLOXAN
BETAPROL 100 mg
EGILOK 100 mg
METOPROLOL LPH 100 mg
METOPROLOL LAROPHARM 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
EGILOK 25 mg

COMPR.
COMPR.
COMPR.
COMPR.
SOL. INJ.
SOL. INJ.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
SOL. INJ.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
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
0,25mg
0,5mg/2ml
0,5mg/2ml
25mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
10mg/ml
100mg
25mg
25mg
50mg
50mg
25mg
25mg
25mg
25mg
50mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
25mg

TERAPIA SA

30
20
CUTIE X 1 BLIST. AL/PVC X 25 COMPR. P-RF
25
CUTIE X 1 BLIST. AL/PVC X 25 COMPR. P-RF
25
CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 2 ML SOL. INJ. S/P-RF
5
S/P-RF
5
CUTIE X 1 BLIST. AL/PVC X 25 COMPR. P-6L
25
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
CUTIE X 2 BLIST. X 10 COMPR.
P-6L
20
CUTIE X 1 FLAC. DIN PEID X 20 COMPR. P-6L
20
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
CUTIE X 2 BLIST. X 10 COMPR.
P-6L
20
CUTIE X 5 FIOLE DIN STICLA BRUNA CU INEL DE RUPERE X 2 ML SOL. INJ.
P-RF
5
CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L
30
CUTIE CU 5 BLIST. PVC/AL X 10 CAPS. P-6L
50
CUTIE CU 6 BLIST. PVC/AL X 10 CAPS. P6L
60
CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L
30
CUTIE CU 3 BLIST. PVC/AL X 10 CAPS. P-6L
30
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
50
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
20
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
20
CUTIE X 3 BLIST. PVC/PVDC TRANSPARENT/AL X 10 COMPR. P-6L
30
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
CUTIE X 1 FLAC. DIN STICLA BRUNA X 20 COMPR. P-6L
20
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L
30
CUTIE X 10 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L 100
CUTIE X 5 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L
50
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
CUTIE X 1 FLAC. DIN STICLA BRUNA X 20 COMPR. P-6L
20

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

P-RF

NOVARTIS PHARMA GMBH GERMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR.

P-RF

ZENTIVA S.A.
ZENTIVA S.A.
ZENTIVA S.A.
ZENTIVA S.A.
ZENTIVA SA
MAGISTRA C&C S.R.L.

SLAVIA PHARM SRL


BIO EEL SRL
ZENTIVA SA
LABORMED PHARMA SA

ARENA GROUP S.A.


BIO EEL SRL
ZENTIVA SA
GEDEON RICHTER ROMANIA SA

ARENA GROUP S.A.


LABORMED PHARMA S.A.
GEDEON RICHTER ROMANIA SA

ARENA GROUP S.A.


BIO EEL SRL
BIO EEL SRL
TERAPIA SA
AC HELCOR PHARMA SRL
AC HELCOR PHARMA SRL

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

KRKA D.D. NOVO MESTO SLOVENIA

ROMANIA
UNGARIA
LABORMED PHARMA SA ROMANIA
LAROPHARM SRL ROMANIA

AC HELCOR PHARMA SRL


EGIS PHARMACEUTICALS P.L.C.

ALIUD PHARMA GMBH & CO.KG

GERMANIA

ALIUD PHARMA GMBH & CO.KG

GERMANIA

ALIUD PHARMA GMBH & CO.KG

GERMANIA

MAGISTRA C & C SRL ROMANIA


TERAPIA SA
ROMANIA
VIM SPECTRUM SRL ROMANIA
ARENA GROUP SA ROMANIA
SLAVIA PHARMA S.R.L. ROMANIA
EGIS PHARMACEUTICALS P.L.C. UNGARIA

Pagina 74 din 204

CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE SAU CU PUNCT DE RUPERE SAU CU INEL DE RUPERE S

6.53
6.76
3.34
3.34
7.97
7.97
4.18
3.02
3.02
5.42
6.02
3.04
6.02
5.42
6.07
28.51
16.07
19.46
16.72
16.24
4.30
4.30
16.21
4.30
13.74
14.05
10.94
6.56
7.12
5.86
9.12
19.75
13.00
9.49
15.12
7.38
7.01
8.09
1.90

0.217666
0.338000
0.133600
0.133600
1.594000
1.594000
0.167200
0.151000
0.151000
0.271000
0.301000
0.152000
0.301000
0.271000
1.214000
0.950333
0.321400
0.324333
0.557333
0.541333
0.215000
0.215000
0.324200
0.215000
0.687000
0.468333
0.364666
0.328000
0.237333
0.293000
0.304000
0.197500
0.260000
0.316333
0.504000
0.369000
0.233666
0.404500
0.095000

0.217666
0.338000
0.133600
0.133600
1.594000
1.594000
0.167200
0.151000
0.151000
0.181200
0.181200
0.152000
0.181200
0.181200
1.214000
0.950333
0.258000
0.258000
0.557333
0.541333
0.215000
0.215000
0.258000
0.215000
0.649599
0.237000
0.237000
0.237000
0.237000
0.237000
0.237000
0.197500
0.237000
0.237000
0.237000
0.237000
0.233666
0.237000
0.095000

0.217666
0.338000
0.133600
0.133600
1.594000
1.594000
0.167200
0.151000
0.151000
0.181200
0.181200
0.152000
0.181200
0.181200
1.214000
0.950333
0.258000
0.258000
0.557333
0.541333
0.215000
0.215000
0.258000
0.215000
0.649599
0.237000
0.237000
0.237000
0.237000
0.237000
0.237000
0.197500
0.237000
0.237000
0.237000
0.237000
0.233666
0.237000
0.095000

NR.CRT

40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90

COD ATC

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
C07AB07
C07AB07
C07AB12
C07AB12
C07AB12
C07AB12
C07AB12
C07AB12
C07AB12
C07AB12
C07AB12
C07AB12
C07AB12
C07AG02
C07AG02
C07AG02
C07AG02
C07AG02
C07AG02
C07AG02
C07AG02
C07AG02
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
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM

Denumire Comerciala

forma farm.

METOPROLOL LPH 25 mg
METOPROLOL 25 mg

COMPR.
COMPR.
METOPROLOL ARENA 25 MG COMPR.
METOPROLOL LAROPHARM 50 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 RETARD 100 mg COMPR. ELIB. PREL.

BETALOC (R) ZOK 100 mg


BETALOC (R) ZOK 50 mg

COMPR. FILM. ELIB. PREL.


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

BETALOC
BOREZ 10 mg
CONCOR COR 10 mg
BOREZ 2,5 mg
CONCOR COR 2,5 mg
CONCOR COR 5 mg
NEBILET (R)
NEBIVOLOL ACTAVIS 5 mg
X-PRESSOL 5 mg
NOLET 5 mg
NEBIVOLOL TEVA 5 mg
NEBIVOLOL TEVA 5 mg
NEBINORM 5 mg
NEBIVOLOL SANDOZ 5 mg
NEBIVOLOL TERAPIA 5mg
NEBIVOLOL TORRENT 5 mg
NEBICARD 5 mg
CARVEDILOL SANDOZ
DILATREND (R) 12,5 mg
CORYOL 12,5 mg
TALLITON (R) 12,5 mg
CARVEDILOL LPH 12,5 mg

COMPR.FILM.ELIB.MOD.

SOL. INJ.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
CARVEDILOL VIM SPECTRUM 12,5mg COMPR.
GLADYCOR 12,5 mg
COMPR.
MIOCARVIL 12,5 mg
COMPR.
CARVEDILOL HELCOR 12,2 mg COMPR.
DILATREND (R) 25 mg
COMPR.
CORYOL 25 mg
COMPR.
TALLITON (R) 25 mg
COMPR.
CARVEDILOL SANDOZ
COMPR.

concentratie

25mg
25mg
25mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
100mg
100mg
50mg
190mg
47,5mg
95mg
5mg/5ml
10 mg
10mg
2,5 mg
2,5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
12,5 mg
12,5mg
12,5mg
12,5mg
12,5mg
12,5mg
12,5mg
12,5mg
12,5mg
25mg
25mg
25mg
25mg

DETINATOR APP
LABORMED PHARMA SA

MAGISTRA C & C SRL

ARENA GROUP S.A.


LAROPHARM SRL
AC HELCOR PHARMA SRL
EGIS PHARMACEUTICALS P.L.C.

LABORMED PHARMA SA

ALIUD PHARMA GMBH


ALIUD PHARMA GMBH
ALIUD PHARMA GMBH
MAGISTRA C & C SRL

TARA
DET. APP
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
UNGARIA
ROMANIA

P-6L
P-6L

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

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


P-6L

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

P-6L

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


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

P-6L

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

P-6L

CUTIE X 1 FLAC. X 30 COMPR. FILM. ELIB. PREL.

P-6L

CUTIE X 1 FLAC. X 30 COMPR. FILM. ELIB. PREL.

P-6L

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

P-6L

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

P-6L

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

P-6L

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

CUTIE X 5 FIOLE X 5 ML SOL.INJ. I.V./PERF.

CUTIE CU 3 BLIST. PERFORATE PVC-TE-PVDC/AL X 10 COMPR. FILM.

P6L

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

ALKALOID-INT D.O.O. SLOVENIA

ACTAVIS S.R.L.

P-6L

P-6L

ALKALOID-INT D.O.O. SLOVENIA

BERLIN CHEMIE AG MENARINI GROUP

P-6L

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

ASTRAZENECA AB SUEDIA
ASTRAZENECA AB SUEDIA
HEXAL AG
GERMANIA
HEXAL AG
GERMANIA
HEXAL AG
GERMANIA
ASTRAZENECA AB SUEDIA

MERCK KGAA
MERCK KGAA

Prescriptie

P-6L

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

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

MERCK KGAA

AMBALAJ

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


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

CUTIE CU 3 BLIST. PERFORATE PVC-TE-PVDC/AL X 10 COMPR. FILM.

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

P-6L

P6L
P-6L

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


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

TEVA PHARMACEUTICALS S.R.L.

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


ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P6L
ROMANIA CUTIE X 3 BLIST. PVC- PE- PVDC/AL X 10 COMPR. P-6L
ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. P-6L
ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L

GLENMARK PHARMACEUTICALS S.R.O.

REPUBLICA CEHA

LABORMED PHARMA S.A.

ANTIBIOTICE S.A.
TEVA PHARMACEUTICALS S.R.L.

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

SANDOZ S.R.L.
TERAPIA S.A.

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
BIOFARM SP. ZO.O POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. P6L

HEXAL AG
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. P-6L

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

VIM SPECTRUM SRL ROMANIA


ANTIBIOTICE S.A.
ROMANIA
SLAVIA PHARM S.R.L. ROMANIA
AC HELCOR PHARMA SRL ROMANIA
ROCHE ROMANIA S.R.L. ROMANIA

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


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

P-6L

CUTIE X 2 BLIST. OPA-AL-PVDC/AL X 14 COMPR.

P-6L

P-6L
P-6L
P-6L

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. P-6L
EGIS PHARMACEUTICALS P.L.C.

UNGARIA

HEXAL AG

GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L

Pagina 75 din 204

CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 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/
amba
L
MAXIMAL/UT 213 alin.(1) lit.
UT (RON)
laj
(RON)
(RON)
a) si f)
PT. ADULTI

20
30
30
20
30
20
30
30
100
50
30
30
20
30
20
20
30
30
30
30
30
5
30
30
30
30
30
28
30
30
30
28
30
30
28
28
30
28
30
28
28
30
30
20
30
30
20
28
28
30
30

1.90
2.85
2.85
3.51
5.27
3.51
4.75
5.27
8.40
7.09
5.27
7.06
3.45
5.27
3.51
11.12
25.70
15.69
22.71
8.14
13.59
22.16
10.51
32.72
8.07
14.76
22.31
34.55
23.20
27.09
24.87
22.80
24.44
24.87
13.84
22.65
24.59
22.93
8.74
29.94
12.48
13.30
13.36
6.72
13.10
13.36
8.72
33.45
22.05
23.62
9.18

0.095000
0.095000
0.095000
0.175500
0.175666
0.175500
0.158333
0.175666
0.084000
0.141800
0.175666
0.235333
0.172500
0.175666
0.175500
0.556000
0.856666
0.523000
0.757000
0.271333
0.453000
4.432000
0.350333
1.090666
0.269000
0.492000
0.743666
1.233928
0.773333
0.903000
0.829000
0.814285
0.814666
0.829000
0.494285
0.808928
0.819666
0.818928
0.291333
1.069285
0.445714
0.443333
0.445333
0.336000
0.436666
0.445333
0.436000
1.194642
0.787500
0.787333
0.306000

0.095000
0.095000
0.095000
0.100800
0.100800
0.100800
0.100800
0.100800
0.084000
0.100800
0.100800
0.100800
0.100800
0.100800
0.100800
0.237000
0.237000
0.100800
0.757000
0.271333
0.453000
4.432000
0.350333
0.420399
0.269000
0.322800
0.292800
0.593142
0.593142
0.593142
0.593142
0.593142
0.593142
0.593142
0.494285
0.593142
0.593142
0.593142
0.291333
0.349599
0.349599
0.349599
0.349599
0.336000
0.349599
0.349599
0.349599
0.367200
0.367200
0.367200
0.306000

0.095000
0.095000
0.095000
0.100800
0.100800
0.100800
0.100800
0.100800
0.084000
0.100800
0.100800
0.100800
0.100800
0.100800
0.100800
0.237000
0.237000
0.100800
0.757000
0.271333
0.453000
4.432000
0.350333
0.420399
0.269000
0.322800
0.292800
0.593142
0.593142
0.593142
0.593142
0.593142
0.593142
0.593142
0.494285
0.593142
0.593142
0.593142
0.291333
0.349599
0.349599
0.349599
0.349599
0.336000
0.349599
0.349599
0.349599
0.367200
0.367200
0.367200
0.306000

NR.CRT

91
92
93
94
95
96
97
98
99

DCI

COD ATC
C07AG02
C07AG02
C07AG02
C07AG02
C07AG02
C07AG02
C07AG02
C07AG02
C07AG02

100 C07AG02
101 C07AG02
102 C07AG02
103 C07AG02
104 C07AG02
105 C07AG02
106 C09AA01
107 C09AA01
108 C09AA01
109 C09AA01
110 C09AA01
111 C09AA01
112 C09AA01
113 C09AA01
114 C09AA01
115 C09AA01
116 C09AA01
117 C09AA01
118 C09AA01
119 C09AA01
120 C09AA02
121 C09AA02
122 C09AA02
123 C09AA02
124 C09AA02
125 C09AA02
126 C09AA02
127 C09AA02
128 C09AA02
129 C09AA02
130 C09AA02
131 C09AA02
132 C09AA02
133 C09AA02
134 C09AA02
135 C09AA02
136 C09AA02
137 C09AA02
138 C09AA02
139 C09AA02
140 C09AA02
141 C09AA02

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
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM

Denumire Comerciala

CARVEDILOL LPH 25 mg
GLADYCOR 25 mg
MIOCARVIL 25 mg
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
CARVEDILOL AUROBINDO 12,5mg

CARVEDILOL AUROBINDO 25mg


CARVEDILOL AUROBINDO 6,25mg

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 SANDOZ 10 mg
ENALAPRIL LPH 10 mg
ENAP 10 mg
ENALAPRIL SLAVIA 10 mg
RENITEC 10 mg
ENALAPRIL TERAPIA 10 mg
ENALAPRIL ARENA 10mg
ENALAPRIL ARENA 10mg
ENALAPRIL ARENA 10mg
ENALAPRIL ARENA 10mg
ENALAPRIL VIM SPECTRUM 10 mg

ENALAPRIL LAROPHARM 10 mg

ENALAPRIL 20 mg
ENALAPRIL SANDOZ 20 mg
ENALAPRIL LPH 20 mg
ENAP 20 mg
RENITEC 20 mg
ENALAPRIL TERAPIA 20 mg
ENALAPRIL ARENA 20 mg
ENALAPRIL ARENA 20 mg
ENALAPRIL SLAVIA 20 mg

forma farm.

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.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.

concentratie

25mg
25mg
25mg
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
10mg
10mg
10mg
10mg
10mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg

ROCHE ROMANIA S.R.L.

TARA
DET. APP
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

KRKA D.D.

SLOVENIA CUTIE X 4 BLIST. OPA-AL-PVC/AL X 7 COMPR. P-6L

DETINATOR APP
LABORMED PHARMA SA

ANTIBIOTICE S.A.
SLAVIA PHARM S.R.L.
AC HELCOR PHARMA SRL

AMBALAJ

Prescriptie

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.


CUTIE X 3 BLIST. PVC/AL X 10 COMPR.
CUTIE X 3 BLIST. PVC/AL X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-6L

CUTIE X 2 BLIST. OPA-AL-PVDC/AL X 14 COMPR.

P-6L

P-6L
P-6L
P-6L

EGIS PHARMACEUTICALS P.L.C.

UNGARIA

HEXAL AG

GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L

CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR. P-6L

LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-6L

VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


ANTIBIOTICE S.A.
ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR.
SLAVIA PHARM S.R.L. ROMANIA CUTIE X 2 BLIST. PVC/AL X 15 COMPR.
AUROBINDO PHARMA (MALTA) LIMITED
AUROBINDO PHARMA (MALTA) LIMITED
AUROBINDO PHARMA (MALTA) LIMITED

MAGISTRA C & C
TERAPIA SA
BIO EEL SRL
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
LABORMED PHARMA SA

MAGISTRA C & C
SANDOZ SRL
LABORMED PHARMA SA

P-6L
P-6L
P-6L

MALTA
MALTA
MALTA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

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.

P-6L

CUTIE X 2 BLIST. X 10 COMPR.


CUTIE X 2 BLIST. X 10 COMPR.

P-6L

CUTIE X 2 BLIST. AL/AL X 10 COMPR.

P-6L

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.


CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.

P6L
P6L
P6L
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

SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. PVC/ AL X 10 COMPR.

P-6L

CUTIE X 2 BLIST. AL/AL X 14 COMPR.

P-6L

ROMANIA
TERAPIA SA
ROMANIA
ARENA GROUP SA ROMANIA
ARENA GROUP SA ROMANIA
ARENA GROUP SA ROMANIA
ARENA GROUP SA ROMANIA
VIM SPECTRUM SRL ROMANIA
LAROPHARM SRL ROMANIA
MAGISTRA C & C
ROMANIA
SANDOZ SRL
ROMANIA
LABORMED PHARMA SA ROMANIA

MERCK SHARP & DOHME

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.
CUTIE X 1 FLAC. DIN PE X 20 COMPR.

P-6L
P-6L
P-6L
P-6L

CUTIE X 2 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L

CUTIE CU 2 BLIST. PVC/AL X 10 COMPR.

P6L

CUTIE X 2 BLIST. X 10 COMPR.


CUTIE X 2 BLIST. X 10 COMPR.

P-6L

CUTIE X 2 BLIST. AL/AL X 10 COMPR.

P-6L

P-6L

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. AL/OPA-AL-PVC 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.
ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR.
ARENA GROUP SA ROMANIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR.

P-6L

MERCK SHARP & DOHME

P-6L
P-6L

SLAVIA PHARM S.R.L. ROMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. P6L

Pagina 76 din 204

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
amba
L
MAXIMAL/UT 213 alin.(1) lit.
UT (RON)
laj
(RON)
(RON)
a) si f)
PT. ADULTI

30
30
30
20
28
28
30
30
30
20
30
30
28
28
28
30
30
20
20
30
30
30
20
20
30
20
20
30
30
20
20
20
20
20
28
20
30
50
100
20
20
20
20
20
20
20
28
20
30
50
20

23.62
23.00
23.62
15.72
16.46
6.44
6.89
6.89
6.89
4.56
6.70
6.89
14.81
21.99
7.32
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
3.96
4.39
4.39
4.39
10.52
7.30
6.87
11.25
22.02
11.28
4.10
4.39
7.94
10.18
8.75
7.94
17.12
11.11
11.12
16.43
7.92

0.787333
0.766666
0.787333
0.786000
0.587857
0.230000
0.229666
0.229666
0.229666
0.228000
0.223333
0.229666
0.528928
0.785357
0.261428
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
0.198000
0.219500
0.219500
0.219500
0.375714
0.365000
0.229000
0.225000
0.220200
0.564000
0.205000
0.219500
0.397000
0.509000
0.437500
0.397000
0.611428
0.555500
0.370666
0.328600
0.396000

0.367200
0.367200
0.367200
0.367200
0.267999
0.230000
0.229666
0.229666
0.229666
0.228000
0.223333
0.229666
0.349599
0.367200
0.261428
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
0.198000
0.219500
0.219500
0.219500
0.237600
0.237600
0.229000
0.225000
0.220200
0.237600
0.205000
0.219500
0.394320
0.394320
0.394320
0.394320
0.394320
0.394320
0.370666
0.328600
0.394320

0.367200
0.367200
0.367200
0.367200
0.267999
0.230000
0.229666
0.229666
0.229666
0.228000
0.223333
0.229666
0.349599
0.367200
0.261428
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
0.198000
0.219500
0.219500
0.219500
0.237600
0.237600
0.229000
0.225000
0.220200
0.237600
0.205000
0.219500
0.394320
0.394320
0.394320
0.394320
0.394320
0.394320
0.370666
0.328600
0.394320

NR.CRT

DCI

COD ATC

142 C09AA02
143 C09AA02
144 C09AA02
145 C09AA02
146 C09AA02
147 C09AA02
148 C09AA02
149 C09AA02
150 C09AA02
151 C09AA02
152 C09AA02
153 C09AA02
154 C09AA03
155 C09AA03
156 C09AA03
157 C09AA03
158 C09AA03
159 C09AA03
160 C09AA03
161 C09AA03
162 C09AA03
163 C09AA03
164 C09AA03
165 C09AA03
166 C09AA03
167 C09AA03
168 C09AA03
169 C09AA03
170 C09AA03
171 C09AA03
172 C09AA03
173 C09AA03
174 C09AA03
175 C09AA03
176 C09AA03
177 C09AA05
178 C09AA05
179 C09AA05
180 C09AA05
181 C09AA05
182 C09AA05
183 C09AA05
184 C09AA05
185 C09AA05
186 C09AA05
187 C09AA05
188 C09AA05
189 C09AA05
190 C09AA05
191 C09AA05
192 C09AA05

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
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM

Denumire Comerciala

forma farm.

ENALAPRIL LAROPHARM 20 mg COMPR.

ENALAPRIL 5 mg
ENALAPRIL SANDOZ 5 mg
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
ENALAPRIL LAROPHARM 5 mg

ENAP 1,25 mg/ml


RANOLIP
LISIREN 10 mg
LISINOPRIL SANDOZ 10 mg
LISIGAMMA 10 mg
LISINOPRIL 10 MEDO
LISINOPRIL ACTAVIS 10 mg
LISINOPRIL ATB 10 MG
TONOLYSIN 10 mg
TONOLYSIN 2,5 mg
RANOLIP
LISIREN 20 mg
LISINOPRIL SANDOZ 20 mg
LISIGAMMA 20 mg
LISINOPRIL ACTAVIS 20 mg
LISINOPRIL ATB 20 MG
TONOLYSIN 20 mg
LISINOPRIL 20 MEDO
LISINOPRIL ATB 40 MG
RANOLIP
LISIGAMMA 5 mg
LISINOPRIL 5 MEDO
LISINOPRIL ACTAVIS 5 mg
TONOLYSIN 5 mg
VIVACE 10 mg
PIRAMIL 10 mg
RAMIPRIL-AC 10 mg
AMPRIL 10 mg
HARTIL 10 mg
ZENRA 10
TRITACE 10
RAMIPRIL AUROBINDO 10 mg

AMPRIGEN 10 mg
RAMIPRIL TEVA 10 mg
RAMIRAN 10 mg
RAMIRAN 10 mg
VIVACE 2,5 mg
PIRAMIL 2,5 mg
RAMIPRIL-AC 2,5 mg
AMPRIL 2,5 mg

concentratie

20mg
COMPR.
5mg
COMPR.
5mg
COMPR.
5mg
COMPR.
5mg
COMPR.
5mg
COMPR.
5mg
COMPR.
5mg
COMPR.
5mg
COMPR.
5mg
COMPR.
5mg
SOL. INJ./PERF. 1,25mg/ml
COMPR.
10mg
COMPR.
10mg
COMPR.
10mg
COMPR.
10mg
COMPR.
10mg
COMPR.
10mg
COMPR.
10mg
COMPR.
10mg
COMPR.
2,5mg
COMPR.
20mg
COMPR.
20mg
COMPR.
20mg
COMPR.
20mg
COMPR.
20mg
COMPR.
20mg
COMPR.
20mg
COMPR.
20mg
COMPR.
40mg
COMPR.
5mg
COMPR.
5mg
COMPR.
5mg
COMPR.
5mg
COMPR.
5mg
COMPR.
10 mg
COMPR.
10mg
COMPR.
10mg
COMPR.
10mg
COMPR.
10mg
COMPR.
10mg
COMPR.
10mg
COMPR.
10mg
COMPR.
10mg
COMPR.
10mg
COMPR.
10mg
COMPR.
10mg
COMPR.
2,5 mg
COMPR.
2,5mg
COMPR.
2,5mg
COMPR.
2,5mg

DETINATOR APP

LAROPHARM SRL
MAGISTRA C & C
SANDOZ SRL

TARA
DET. APP
AMBALAJ
ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 COMPR. P6L
ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
P-6L
ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
P-6L

Prescriptie

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.

P-6L

LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/AL X 10 COMPR. P-6L

TERAPIA SA
ROMANIA CUTIE X 2 BLIST. AL/PVC-PE-PVDC X 10 COMPR.
ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P-6L
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
LAROPHARM SRL ROMANIA CUTIE CU 1 BLIST. PVC/AL X 20 COMPR. P6L
KRKA, D.D., NOVO MESTO SLOVENIA

CUTIE CU 5 FIOLE DIN STICLA INCOLORA X 1 ML SOL. INJ.

PR/PRF

RANBAXY U.K. LIMITED

MAREA BRITANIE

CUTIE X 3 BLIST. X 10 COMPR.

P-6L

AC HELCOR SRL
HEXAL AG

ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L

MEDOCHEMIE ROMANIA SRL

GEDEON RICHTER ROMANIA SA

ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.


ISLANDA CUTIE CU BLIST. PVC/AL X 30 COMPR.
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR.

RANBAXY U.K. LIMITED

MAREA BRITANIE

AC HELCOR SRL
HEXAL AG

ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR.


GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L

ACTAVIS GROUP PTC EHF.

ISLANDA CUTIE CU BLIST. PVC/AL X 30 COMPR.

P-6L

ANTIBIOTICE SA

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.


CUTIE X 2 BLIST. AL/PVC X 14 COMPR.
CUTIE X 2 BLIST. PVDC/AL X 10 COMPR.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P-6L

ANTIBIOTICE SA

ROMANIA
ROMANIA
ROMANIA
ROMANIA

RANBAXY U.K. LIMITED

MAREA BRITANIE

CUTIE X 3 BLIST. X 10 COMPR.

P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L

ACTAVIS GROUP PTC EHF.

ANTIBIOTICE SA
GEDEON RICHTER ROMANIA SA

GEDEON RICHTER ROMANIA SA

MEDOCHEMIE ROMANIA SRL

CUTIE X 3 BLIST. X 10 COMPR.

ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.


ISLANDA CUTIE CU BLIST. PVC/AL X 30 COMPR.
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC 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
P-6L
P-6L
P-6L
P-6L

P-6L
P-6L
P-6L

MEDOCHEMIE ROMANIA SRL

P-6L

ACTAVIS GROUP PTC EHF.

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

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. AL/PVC X 14 COMPR.

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

ALVOGEN IPCO S.A.R.L

LUXEMBURG CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR.

TEVA PHARMACEUTICALS S.R.L.

ROMANIA CUTIE CU BLIST. OPA/AL/PVC-AL X 30 COMPR. P6L


ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L
ROMANIA CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/AL X 30 COMPR. P6L

EGIS PHARMACEUTICALS P.L.C.

ZENTIVA S.A.

P-6L
P-6L

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. P-6L

TERAPIA SA
TERAPIA SA
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

P-6L

ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P6L

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

Pagina 77 din 204

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
amba
L
MAXIMAL/UT 213 alin.(1) lit.
UT (RON)
laj
(RON)
(RON)
a) si f)
PT. ADULTI

20
20
20
20
28
20
20
30
20
20
20
5
30
20
30
30
30
30
30
28
28
30
20
30
30
30
30
28
20
30
30
30
30
30
28
28
28
30
30
28
28
28
28
30
30
30
30
28
28
30
30

7.94
3.67
3.67
3.67
7.87
3.84
3.93
5.58
3.65
3.67
3.67
15.45
14.98
10.74
10.31
8.61
14.44
12.87
11.96
15.47
8.75
23.11
15.65
15.05
12.93
23.37
23.48
22.90
14.44
39.31
7.64
6.50
8.67
7.37
9.28
9.23
23.28
9.74
24.93
9.21
9.23
14.19
9.49
24.04
9.88
9.88
9.88
4.65
9.37
4.87
10.02

0.397000
0.183500
0.183500
0.183500
0.281071
0.192000
0.196500
0.186000
0.182500
0.183500
0.183500
3.090000
0.499333
0.537000
0.343666
0.287000
0.481333
0.429000
0.398666
0.552500
0.312500
0.770333
0.782500
0.501666
0.431000
0.779000
0.782666
0.817857
0.722000
1.310333
0.254666
0.216666
0.289000
0.245666
0.331428
0.329642
0.831428
0.324666
0.831000
0.328928
0.329642
0.506785
0.338928
0.801333
0.329333
0.329333
0.329333
0.166071
0.334642
0.162333
0.334000

0.394320
0.183500
0.183500
0.183500
0.219000
0.192000
0.196500
0.186000
0.182500
0.183500
0.183500
3.090000
0.344400
0.344400
0.343666
0.287000
0.344400
0.344400
0.344400
0.344400
0.312500
0.517200
0.517200
0.501666
0.431000
0.517200
0.517200
0.517200
0.517200
1.310333
0.254666
0.216666
0.259999
0.245666
0.259999
0.329642
0.389599
0.324666
0.389599
0.328928
0.329642
0.389599
0.338928
0.389599
0.329333
0.329333
0.329333
0.166071
0.194799
0.162333
0.194799

0.394320
0.183500
0.183500
0.183500
0.219000
0.192000
0.196500
0.186000
0.182500
0.183500
0.183500
3.090000
0.344400
0.344400
0.343666
0.287000
0.344400
0.344400
0.344400
0.344400
0.312500
0.517200
0.517200
0.501666
0.431000
0.517200
0.517200
0.517200
0.517200
1.310333
0.254666
0.216666
0.259999
0.245666
0.259999
0.329642
0.389599
0.324666
0.389599
0.328928
0.329642
0.389599
0.338928
0.389599
0.329333
0.329333
0.329333
0.166071
0.194799
0.162333
0.194799

NR.CRT

COD ATC

193 C09AA05
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 C09CA03
212 C09CA03
213 C09CA03
214 C09CA03
215 C09CA03
216 C09CA03
217 C09CA03
218 C09CA03
219 C09CA03
220 C09CA03
221 C09CA03
222 C09CA03
223 C09CA03
224 C09CA03
225 C09CA03
226 C09CA03
227 C09CA03
228 C09CA03
229 C09CA03
230 C09CA03
231 C09CA03
232 C09CA03
233 C09CA03
234 C09CA03
235 C09CA03
236 C09CA03
237 C09CA03
238 C09CA03
239 C09CA03
240 C09CA06
241 C09CA06
242 C09CA06
243 C09CA06

DCI

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**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**

Denumire Comerciala

HARTIL 2,5 mg
ZENRA 2,5
TRITACE(R) 2,5
AMPRIGEN 2,5 mg
RAMIRAN 2,5 mg
RAMIRAN 2,5 mg
VIVACE 5 mg
PIRAMIL 5 mg
RAMIPRIL-AC 5 mg
AMPRIL 5 mg
HARTIL 5 mg
ZENRA 5
TRITACE 5
RAMIPRIL AUROBINDO 5 mg
AMPRIGEN 5 mg
RAMIPRIL TEVA 5 mg
RAMIRAN 5 mg
RAMIRAN 5 mg
VALSARTAN TEVA 160 mg
VALSARTAN TEVA 80 mg
WENZELL 160 mg
WENZELL 160 mg
VALSARGAMMA 160 mg
DIOVAN 160 mg
VALSARTAN TORRENT 160 mg

VALSACOR 160 mg
AVASSAN 160 mg
VALSARTAN ZENTIVA 160 mg

VAPRESS 160 mg
VAPRESS 160 mg
WAROTA 160 mg
DIOVAN 40 mg
AVASSAN 40 mg
VAPRESS 40 mg
VAPRESS 40 mg
WENZELL 80 mg
WENZELL 80 mg
VALSARGAMMA 80 mg
DIOVAN 80 mg
VALSARTAN TORRENT 80 mg

VALSACOR 80 mg
AVASSAN 80 mg
VALSARTAN ZENTIVA 80 mg

WAROTA 80 mg
VAPRESS 80 mg
VAPRESS 80 mg
DIOVAN 3 mg/ml
ATACAND
TANDESAR 16 mg
CANDESARTAN CILEXETIL ZENTIVA 16 mg

HIPOSTYN 16 mg

forma farm.

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
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.
SOL. ORALA
COMPR.
COMPR.
COMPR.
COMPR.

concentratie

2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
5 mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
160mg
80mg
160mg
160mg
160mg
160mg
160mg
160mg
160mg
160mg
160mg
160mg
160mg
40mg
40mg
40mg
40mg
80mg
80mg
80mg
80mg
80mg
80mg
80mg
80mg
80mg
80mg
80mg
3mg/ml
16mg
16mg
16mg
16mg

SANOFI - AVENTIS ROMANIA S.R.L.

TARA
DET. APP
AMBALAJ
UNGARIA CUTIE X 4 BLIST. AL/AL X 7 COMPR. P-6L
ROMANIA CUTIE X 2 BLIST. X 14 COMPR.
P-6L
ROMANIA CUTIE X 2 BLIST. X 14 COMPR.
P-6L

ALVOGEN IPCO S.A.R.L

LUXEMBURG CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR.

DETINATOR APP
EGIS PHARMACEUTICALS P.L.C.

ZENTIVA S.A.

Prescriptie

P6L

TERAPIA SA
TERAPIA SA
ACTAVIS GROUP HF
SANDOZ SRL

ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L


ROMANIA CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/AL X 30 COMPR. P6L
ISLANDA CUTIE X 4 BLIST. AL/AL X 7 COMPR. P-6L
ROMANIA CUTIE X 4 FOLII AL-LDPE/LDPE-AL X 7 COMPR. P-6L
AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L

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.

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

ALVOGEN IPCO S.A.R.L

LUXEMBURG CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR.

TEVA PHARMACEUTICALS S.R.L.

ROMASTRU TRADING S.R.L.

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L

EGIS PHARMACEUTICALS P.L.C.

ZENTIVA S.A.

TERAPIA SA
TERAPIA SA
TEVA PHARMACEUTICALS S.R.L.
TEVA PHARMACEUTICALS S.R.L.

ROMASTRU TRADING S.R.L.

P-6L
P-6L
P-6L

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. P-6L

P6L

CUTIE CU BLIST. OPA/AL/PVC-AL X 30 COMPR. P6L


CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L
CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/AL X 30 COMPR.

P6L

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-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
ZENTIVA, K.S.
REPUBLICA CEHA
MEDOCHEMIE LTD. CIPRU
MEDOCHEMIE LTD. CIPRU
ALKALOID - INT D.O.O. SLOVENIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.

P6L

CUTIE CU BLIST. PVC-PE-PVDC (TRIPLEX)/AL X 28 COMPR. FILM.

P-6L

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.

CUTIE CU BLIST. PVC-PCTFE/AL X 28 COMPR. FILM.

P6L
P6L
P6L
P6L
P6L
P6L
P6L

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. PVC-PCTFE/AL X 28 COMPR. FILM.


CUTIE CU BLIST. PVC/ACLAR-AL X 30 COMPR. FILM.

NOVARTIS PHARMA GMBH GERMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28COMPR. FILM.

TERAPIA S.A.
ROMANIA
MEDOCHEMIE LTD. CIPRU
MEDOCHEMIE LTD. CIPRU

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.


CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.

ROMASTRU TRADING S.R.L.

ROMANIA
ROMANIA

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L

ROMASTRU TRADING S.R.L.

NOVARTIS PHARMA GMBH GERMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X28COMPR. FILM. P6L

TORRENT PHARMA S.R.L.

ROMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.

P6L

KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P6L

TERAPIA S.A.
ZENTIVA, K.S.

ROMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.

REPUBLICA CEHA CUTIE CU BLIST. PVC-PE-PVDC (TRIPLEX)/AL X 28 COMPR. FILM.

ALKALOID - INT D.O.O. SLOVENIA

CUTIE CU BLIST. PVC/ACLAR-AL X 30 COMPR. FILM.

MEDOCHEMIE LTD. CIPRU


MEDOCHEMIE LTD. CIPRU

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.

NOVARTIS PHARMA GMBH GERMANIA

ASTRAZENECA AB SUEDIA
TERAPIA SA
ROMANIA
ZENTIVA K.S.
REPUBLICA CEHA
TEVA PHARMACEUTICALS S.R.L.

Pagina 78 din 204

P6L
P-6L

CUTIE CU BLIST. PVC-PCTFE/AL X 28 COMPR. FILM.

P6L
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 X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-6L


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

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
amba
L
MAXIMAL/UT 213 alin.(1) lit.
UT (RON)
laj
(RON)
(RON)
a) si f)
PT. ADULTI

28
4.62
28
4.65
28
7.15
30
9.92
30
4.98
30
4.98
28
6.70
28 10.17
30
7.18
30 10.85
28
6.69
28
6.70
28 10.31
28
7.10
30 10.75
30
7.18
30
7.18
30
7.18
28 32.59
28 20.26
28 66.00
30 70.74
30 33.91
28 116.60
28 65.71
28 32.85
28 66.00
28 22.79
28 32.82
28 32.82
30 33.16
28 71.91
28 42.63
28 11.16
28 11.16
28 47.37
30 50.79
30 23.25
28 91.88
28 47.00
28 28.84
28 47.40
28 14.95
30 32.48
28 18.18
28 18.18
1 41.42
28 66.74
28 44.87
30 29.85
30 42.50

0.165000
0.166071
0.255357
0.330666
0.166000
0.166000
0.239285
0.363214
0.239333
0.361666
0.238928
0.239285
0.368214
0.253571
0.358333
0.239333
0.239333
0.239333
1.163928
0.723571
2.357142
2.358000
1.130333
4.164285
2.346785
1.173214
2.357142
0.813928
1.172142
1.172142
1.105333
2.568214
1.522500
0.398571
0.398571
1.691785
1.693000
0.775000
3.281428
1.678571
1.030000
1.692857
0.533928
1.082666
0.649285
0.649285
41.420000
2.383571
1.602500
0.995000
1.416666

0.165000
0.166071
0.194799
0.194799
0.166000
0.166000
0.239285
0.286713
0.239333
0.286713
0.238928
0.239285
0.286713
0.253571
0.286713
0.239333
0.239333
0.239333
0.976713
0.640713
0.976713
0.976713
0.976713
0.976713
0.976713
0.976713
0.976713
0.813928
0.976713
0.976713
0.976713
0.478285
0.478285
0.398571
0.398571
0.640713
0.640713
0.640713
0.640713
0.640713
0.640713
0.640713
0.533928
0.640713
0.640713
0.640713
41.420000
1.194000
1.194000
0.995000
1.194000

0.165000
0.166071
0.194799
0.194799
0.166000
0.166000
0.239285
0.286713
0.239333
0.286713
0.238928
0.239285
0.286713
0.253571
0.286713
0.239333
0.239333
0.239333
0.976713
0.640713
0.976713
0.976713
0.976713
0.976713
0.976713
0.976713
0.976713
0.813928
0.976713
0.976713
0.976713
0.478285
0.478285
0.398571
0.398571
0.640713
0.640713
0.640713
0.640713
0.640713
0.640713
0.640713
0.533928
0.640713
0.640713
0.640713
41.420000
1.194000
1.194000
0.995000
1.194000

NR.CRT

COD ATC

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
268 C09CA06
269 C09CA06
270 C09CA06
271 C09CA06
272 C09CA06
273 C09CA06
274 C09CA06
275 C09CA06
276 C09CA06

DCI

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**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**

Denumire Comerciala

forma farm.

CANDESARTAN SANDOZ 16 mg COMPR.

KARBIS 16 mg
CANDESARTAN TORRENT 16 mg

CLASTINOL 16 mg
CANDEPOL 16 mg
CANZENO 16mg
CANDEGAMMA 16 mg
CANDESARTAN CILEXETIL TEVA 16 mg

CANDESARTAN LABORMED 16 mg

ATACAND 32 mg
CANDESARTAN CILEXETIL ZENTIVA 32 mg

HIPOSTYN 32 mg
KARBIS 32 mg
CANDESARTAN TORRENT 32 mg

CLASTINOL 32 mg
CANDEPOL 32 mg
CANZENO 32mg
CANDEGAMMA 32 mg
CANDESARTAN CILEXETIL TEVA 32 mg

CANDESARTAN LABORMED 32 mg

ATACAND
TANDESAR 8 mg
CANDESARTAN CILEXETIL ZENTIVA 8 mg

HIPOSTYN 8 mg
CANDESARTAN SANDOZ 8 mg

KARBIS 8 mg
CANDESARTAN TORRENT 8 mg

CLASTINOL 8 mg
CANDEPOL 8 mg
CANZENO 8mg
CANDEGAMMA 8 mg
CANDESARTAN CILEXETIL TEVA 8 mg

CANDESARTAN LABORMED 8 mg

concentratie

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.

16mg
16mg
16mg
16mg
16mg
16mg
16mg
16mg
16mg
32mg
32mg
32mg
32mg
32mg
32mg
32mg
32mg
32mg
32mg
32mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg

COMPR.
COMPR.

2mg
4mg

DETINATOR APP

SANDOZ SRL

TARA
DET. APP
ROMANIA

AMBALAJ

Prescriptie

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

ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L


UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. P6L
POLONIA CUTIE CU BLIST. AL/PVC-PVDC X 28 COMPR. P6L

ZENTIVA K.S.

REPUBLICA CEHA

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 30 (3X10) COMPR.

TORRENT PHARMA S.R.L.


EGIS PHARMACEUTICALS P.L.C.

P6L

ROMANIA CUTIE CU BLIST. OPA-AL-PVC/PVC-PVAC-AL-OPA X 30 COMPR. P6L


LABORMED PHARMA S.A. ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14COMPR. P6L

TEVA PHARMACEUTICALS S.R.L.

ASTRAZENECA AB SUEDIA
ZENTIVA K.S.
REPUBLICA CEHA
TEVA PHARMACEUTICALS S.R.L.

CUTIE X 2 BLIST. AL-PVC/PVDC X 14 COMPR. P-6L


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

PHARMACEUTICAL WORKS POLPHARMA SA

ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L


UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. P6L
POLONIA CUTIE CU BLIST. AL/PVC-PVDC X 28 COMPR. P6L

ZENTIVA K.S.

REPUBLICA CEHA

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 30 (3X10) COMPR.

TORRENT PHARMA S.R.L.


EGIS PHARMACEUTICALS P.L.C.

P6L

ROMANIA CUTIE CU BLIST. OPA-AL-PVC/PVC-PVAC-AL-OPA X 30 COMPR. P6L


LABORMED PHARMA S.A. ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. P6L

TEVA PHARMACEUTICALS S.R.L.

ASTRAZENECA AB SUEDIA
TERAPIA SA
ROMANIA
ZENTIVA K.S.
REPUBLICA CEHA
TEVA PHARMACEUTICALS S.R.L.

SANDOZ SRL

CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-6L


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

KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L

PHARMACEUTICAL WORKS POLPHARMA SA

ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L


UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. P6L
POLONIA CUTIE CU BLIST. AL/PVC-PVDC X 28 COMPR. P6L

ZENTIVA K.S.

REPUBLICA CEHA

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 30 (3X10) COMPR.

TORRENT PHARMA S.R.L.


EGIS PHARMACEUTICALS P.L.C.

P6L

ROMANIA CUTIE CU BLIST. OPA-AL-PVC/PVC-PVAC-AL-OPA X 30 COMPR. P6L


LABORMED PHARMA S.A. ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. P6L

TEVA PHARMACEUTICALS S.R.L.

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
amba
L
MAXIMAL/UT 213 alin.(1) lit.
UT (RON)
laj
(RON)
(RON)
a) si f)
PT. ADULTI

28 39.65
30 43.24
30 48.03
28 44.85
28 44.88
30 29.85
30 39.63
30 29.85
28 41.42
28 117.40
30 36.65
30 71.36
30 81.75
30 81.75
28 69.33
28 76.32
30 36.65
30 72.06
30 36.65
28 56.66
28 56.10
28 36.46
30 16.22
30 24.13
28 33.45
30 33.01
30 39.07
28 36.46
28 36.46
30 16.22
30 33.77
30 23.07
28 33.65

1.416071
1.441333
1.601000
1.601785
1.602857
0.995000
1.321000
0.995000
1.479285
4.192857
1.221666
2.378666
2.725000
2.725000
2.476071
2.725714
1.221666
2.402000
1.221666
2.023571
2.003571
1.302142
0.540666
0.804333
1.194642
1.100333
1.302333
1.302142
1.302142
0.540666
1.125666
0.769000
1.201785

1.194000
1.194000
1.194000
1.194000
1.194000
0.995000
1.194000
0.995000
1.194000
1.465999
1.221666
1.465999
1.465999
1.465999
1.465999
1.465999
1.221666
1.465999
1.221666
1.465999
0.648799
0.648799
0.540666
0.648799
0.648799
0.648799
0.648799
0.648799
0.648799
0.540666
0.648799
0.648799
0.648799

1.194000
1.194000
1.194000
1.194000
1.194000
0.995000
1.194000
0.995000
1.194000
1.465999
1.221666
1.465999
1.465999
1.465999
1.465999
1.465999
1.221666
1.465999
1.221666
1.465999
0.648799
0.648799
0.540666
0.648799
0.648799
0.648799
0.648799
0.648799
0.648799
0.540666
0.648799
0.648799
0.648799

30
20

6.53
6.76

0.217666
0.338000

0.217666
0.338000

0.217666
0.338000

30 359.66
28 37.53
28 37.53
28 57.74
30 17.86
28 37.52

11.988666
1.340357
1.340357
2.062142
0.595333
1.340000

11.988666
0.665066
0.665066
0.665066
0.595333
0.665066

11.988666
0.665066
0.665066
0.665066
0.595333
0.665066

2. BOLNAVI CU PROTEZE VALVULARE SI VASCULARE - G2


1
2

B01AA07
B01AA07

ACENOCUMAROLUM*
ACENOCUMAROLUM*

TROMBOSTOP 2 mg
SINTROM 4 mg

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

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
4
5
6

B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04

CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***

PLAVIX 300mg
CLOPIDOGREL TEVA 75 mg
ZYLLT
PLAVIX 75mg
TROMBEX 75 mg
EGITROMB 75 mg

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

300mg
75 mg
75 mg
75mg
75mg
75mg

SANOFI PHARMA - BRISTOL MYERS SQUIBB

TEVA PHARMA BV

FRANTA
OLANDA

CUTIE X 30X1 COMPR. FILM. (BLIST. AL/AL PERFORATE UNIDOZA)

P-RF

CUTIE CU BLIST. AL/AL X 28 X 1 COMPR. FILM. P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA/AL/PVC-AL X 28 COMPR. FILM. P-RF

ZENTIVA K.S.

FRANTA
CEHIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 30 COMPR. FILM. P-RF

EGIS PHARMACEUTICALS P.L.C.

UNGARIA

CUTIE CU BLIST. OPA-AL-PVDC/AL X 28 COMPR. FILM.

SANOFI PHARMA - BRISTOL MYERS SQUIBB

Pagina 79 din 204

CUTIE X 28 COMPR. FILM. (BLIST. PVC/PVDC/AL)

P-RF

P-RF

NR.CRT

7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28

COD ATC

DCI

B01AC04

CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***

B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04

Denumire Comerciala

forma farm.

TROMBEX 75 mg

COMPR. FILM.
CLOPIDOGREL MYLAN 75mg COMPR. FILM.
TROGRAN 75 mg
COMPR. FILM.
CLOPIGAMMA 75 mg
COMPR. FILM.
CLOPIGAMMA 75 mg
COMPR. FILM.
PLAVOCORIN 75 mg
COMPR. FILM.
CLOPIDOGREL ACTAVIS 75 mg COMPR. FILM.
DEFROZYP 75 mg
COMPR. FILM.
TESSYRON 75 mg
COMPR. FILM.
CLORODEN 75 mg
COMPR. FILM.
CLORODEN 75 mg
COMPR. FILM.
CLOPIDOGREL DR. REDDY'S 75 mg COMPR. FILM.
MOYTOR 75 mg
COMPR. FILM.
PLATEL 75 mg
COMPR. FILM.
PLATEL 75 mg
COMPR. FILM.
PLATEL 75 mg
COMPR. FILM.
CLOPIDOGREL TERAPIA 75 mg COMPR. FILM.
PLATEL 75 mg
COMPR. FILM.
DEPLATT 75 mg
COMPR. FILM.
TROMBEX 75 mg
COMPR. FILM.
TROMBEX 75 mg
COMPR. FILM.
CLOPIDOGREL POLIPHARMA 75 mg 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

DETINATOR APP

TARA
DET. APP

AMBALAJ

Prescriptie

ZENTIVA K.S.
MYLAN S.A.S.

CEHIA
FRANTA

GLENMARK PHARMACEUTICALS S.R.O.

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.

SANDOZ S.R.L.

ROMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-RF

ACTAVIS GROUP PTC EHF.

ISLANDA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM.

P-RF

LABORMED PHARMA S.A.

ROMANIA
ROMANIA

CUTIE CU BLIST. OPA-AL-PVDC/AL X 28 COMPR. FILM.

P-RF

CUTIE CU BLIST. PVC-PCTFE-PVC/AL X 30 COMPR. FILM.

P-RF

IWA CONSULTING APS


IWA CONSULTING APS

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

DR. REDDY'S LABORATORIES

ROMANIA
ROMANIA

P-RF

GEDEON RICHTER ROMANIA SA

ROMASTRU TRADING S.R.L.

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

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.

MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
TERAPIA S.A.
MEDOCHEMIE LTD.

CIPRU
CIPRU
CIPRU

CUTIE CU BLIST. AL/AL X 10 COMPR. FILM. P-RF

ROMANIA

CUTIE CU 3 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. PRF

CIPRU

CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-RF

TORRENT PHARMA S.R.L.

ROMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PRF

ZENTIVA K.S.
ZENTIVA K.S.

CEHIA
CEHIA

POLIPHARMA INDUSTRIES S.R.L.

MERCK SHARP & DOHME

CUTIE CU BLIST. AL/AL X 60 COMPR. FILM. P-RF


CUTIE CU BLIST. AL/AL X 90 COMPR. FILM. P-RF

CUTIE CU BLISTERE DIN PVC-PVDC/AL CONTINND 30 COMPRIMATE FILMATE

P-RF

CUTIE CU BLISTERE DIN PVC-PVDC/AL CONTINND 90 COMPRIMATE FILMATE

P-RF

ROMANIA

CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM.

P6L

MAREA BRITANIE

CUTIE X 140 CAPS. ( BLIST. PVC/PE/PVDC )

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/
amba
L
MAXIMAL/UT 213 alin.(1) lit.
UT (RON)
laj
(RON)
(RON)
a) si f)
PT. ADULTI

90 52.86
28 79.52
28 79.52
28 37.53
28 37.53
28 37.53
28 37.53
28 37.53
30 40.26
28 68.48
28 68.48
30 40.22
28 37.52
10 13.82
60 76.22
90 114.32
30 51.97
28 37.46
30 40.20
30 17.18
90 49.88
30 40.22

0.587333
2.840000
2.840000
1.340357
1.340357
1.340357
1.340357
1.340357
1.342000
2.445714
2.445714
1.340666
1.340000
1.382000
1.270333
1.270222
1.732333
1.337857
1.340000
0.572666
0.554222
1.340666

0.587333
0.665066
0.665066
0.665066
0.665066
0.665066
0.665066
0.665066
0.665066
0.665066
0.665066
0.665066
0.665066
0.665066
0.665066
0.665066
0.665066
0.665066
0.665066
0.572666
0.554222
0.665066

0.587333
0.665066
0.665066
0.665066
0.665066
0.665066
0.665066
0.665066
0.665066
0.665066
0.665066
0.665066
0.665066
0.665066
0.665066
0.665066
0.665066
0.665066
0.665066
0.572666
0.554222
0.665066

4.350000
3.960000
6.470333
9.954642
64.299333
58.287666
64.614000
326.020000
514.010000
197.890000
318.520000
98.852000
261.450000
225.874000
426.080000
368.704000
87.430000
183.220000
434.340000
715.890000
820.000000
969.850000

4.350000
3.960000
6.470333
7.764399
64.299333
58.287666
64.614000
237.468000
382.224000
197.890000
318.520000
98.852000
237.468000
225.874000
382.224000
368.704000
87.430000
183.220000
434.340000
715.890000
820.000000
969.850000

4.350000
3.960000
6.470333
7.764399
64.299333
58.287666
64.614000
237.468000
382.224000
197.890000
318.520000
98.852000
237.468000
225.874000
382.224000
368.704000
87.430000
183.220000
434.340000
715.890000
820.000000
969.850000

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
18
19
20
21
22
23

J05AB04
J05AB04

J05AF05
J05AF05
J05AF08
J05AF10
J05AF10
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AB04
L03AB04
L03AB05
L03AB05
L03AB10
L03AB10
L03AB10

RIBAVIRINUM****
RIBAVIRINUM****
LAMIVUDINUM****
LAMIVUDINUM****
ADEFOVIRUM DIPIVOXILUM****
ENTECAVIRUM****
ENTECAVIRUM****
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
INTERFERONUM ALFA 2A****
INTERFERONUM ALFA 2A****
INTERFERONUM ALFA 2B****
INTERFERONUM ALFA 2B****
PEGINTERFERON ALFA-2B****
PEGINTERFERON ALFA-2B****
PEGINTERFERON ALFA-2B****

REBETOL 200 mg
COPEGUS 200mg
LAMIVUDINE TEVA 100 mg
ZEFFIX 100 mg
HEPSERA
BARACLUDE 0,5mg
BARACLUDE 1mg
NEUPOGEN (R)
NEUPOGEN (R)
ZARZIO 30MU/0,5ml
ZARZIO 48MU/0,5ml
NIVESTIM 12 MU/0,2ml
TEVAGRASTIM 30MUI/0,5ml
NIVESTIM 30 MU/0,5 ml
TEVAGRASTIM 48MUI/0,8ml
NIVESTIM 48 MU/0,5 ml
ROFERON A
ROFERON A
INTRON A 18 milioane U.I.
INTRON A 30 milioane U.I.
PEGINTRON 100 mcg
PEGINTRON 120 mcg
PEGINTRON 150 mcg

CAPS.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR.
COMPR. FILM.
COMPR. FILM.
SOL. INJ.
SOL. INJ.

200mg
200mg
100 mg
100mg
10mg
0,5mg
1mg
30MU/0,5ml
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. 480mcg/0,8ml
SOL. INJ./PERF. 480g/0,5ml
SOL. INJ.
3Mui/0,5ml
SOL. INJ.
9Mui/0,5ml

SOL. INJ. /PERF. IN SERINGA PREUMPLUTA


SOL. INJ. /PERF. IN SERINGA PREUMPLUTA

ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. PEID X 168 COMPR. FILM.

TEVA PHARMA B.V. OLANDA


GLAXO GROUP LTD. MAREA BRITANIE

P-RF/R

CUTIE CU BLIST. PVC/PVDC/AL X 30 COMPR. FILM.

P-RF/R

CUTIE X 28 COMPR. FILM. (BLIST. PVC-AL/PVC-AL)

P-RF/R

MAREA BRITANIE

CUTIE X 1 FLAC. DIN PEID X 30 COMPR.

P-RF/R

BRISTOL-MYERS SQUIBB PHARMA EEIG MAREA BRITANIE

CUTIE X 30 X 1 COMPR. FILM. (BLIST. AL/AL UNIDOZA)

P-RF/R

BRISTOL-MYERS SQUIBB PHARMA EEIG MAREA BRITANIE

CUTIE X 30 X 1 COMPR. FILM.(BLIST. AL/AL UNIDOZA)

P-RF/R

GILEAD SCIENCE INTERNATIONAL LIMITED

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

TEVA GENERICS GMBH GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF.

S/P-RF/R

HOSPIRA UK LIMITED

CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF.

P-RF

TEVA GENERICS GMBH GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF.

S/P-RF/R

HOSPIRA UK LIMITED

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

MAREA BRITANIE

MAREA BRITANIE

ROCHE ROMANIA S.R.L. ROMANIA


ROCHE ROMANIA S.R.L. ROMANIA

SOL. INJ. PEN MULTIDOZA

18 milioane U.I. MERCK SHARP & DOHME

MAREA BRITANIE

CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML SOL. INJ. + 12 ACE + 12 TAMPOANE DEZINFECTANTE

P-RF/R

SOL. INJ. PEN MULTIDOZA

30 milioane U.I. MERCK SHARP & DOHME

MAREA BRITANIE

CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML + 12 ACE + 12 TAMPOANE DEZINFECTANTE

P-RF/R

100mcg
120mcg
150mcg

BELGIA
BELGIA
BELGIA

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

PULB. + SOLV. PT. SOL. INJ.


PULB. + SOLV. PT. SOL. INJ.
PULB. + SOLV. PT. SOL. INJ.

SP EUROPE
SP EUROPE
SP EUROPE

Pagina 80 din 204

140
168
30
28
30
30
30
1
1
1
1
5
1
5
1
5
1
1
1
1
1
1
1

609.00
665.28
194.11
278.73
1,928.98
1,748.63
1,938.42

326.02
514.01
197.89
318.52
494.26
261.45
1,129.37

426.08
1,843.52

87.43
183.22
434.34
715.89
820.00
969.85

1,193.66 1,193.660000 1,193.660000 1,193.660000

NR.CRT

24
25
26

DCI

COD ATC

L03AB10
L03AB11
N04BB01

PEGINTERFERON ALFA-2B****
PEGINTERFERON ALFA-2A****
AMANTADINUM**

Denumire Comerciala

PEGINTRON 50 mcg
PEGASYS 180 mcg/0,5ml
VIREGYT (R)- K

forma farm.

concentratie

DETINATOR APP

TARA
DET. APP

AMBALAJ

Prescriptie

PULB. + SOLV. PT. SOL. INJ.

50mcg

SP EUROPE

BELGIA

CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV.

P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

180mcg/0,5ml

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML + 1 AC

P-RF/R

CAPS.

100mg

EGIS PHARMACEUTICALS P.L.C.

UNGARIA CUTIE X 1 FLAC. X 50 CAPS.

P-6L

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
amba
L
MAXIMAL/UT 213 alin.(1) lit.
UT (RON)
laj
(RON)
(RON)
a) si f)
PT. ADULTI

1 445.72 445.720000 445.720000 445.720000


1 975.16 975.160000 975.160000 975.160000
50 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

H02AB04
H02AB04
H02AB04
H02AB04
H02AB04
H02AB06
H02AB06

L04AX01
L04AX01

METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
PREDNISOLONUM
PREDNISOLONUM
AZATHIOPRINUM*
AZATHIOPRINUM*

MEDROL A 16
MEDROL 32
LEMOD SOLU 125 mg
LEMOD SOLU 500 mg

COMPR.
COMPR.

16mg
32mg
LIOF. PT. SOL. INJ. 125mg
LIOF. PT. SOL. INJ. 500mg
SOLU - MEDROL ACT-O-VIAL LIOF. SI SOLV.PT.SOL.INJ 250mg/4ml
SOLU - DECORTIN H 250
LIOF. + SOLV. PT. SOL. INJ. 250mg
SOLU - DECORTIN H 50
LIOF. + SOLV. PT. SOL. INJ. 50mg
IMURAN
COMPR. FILM. 50mg
IMMUNOPRIN 75 mg
COMPR. FILM. 75mg

32.62
29.65
8.81
31.02
20.48
95.62
35.71
70.21
78.89

0.652400
1.482500
8.810000
31.020000
20.480000
31.873333
11.903333
0.702100
0.788900

0.652400
1.482500
8.810000
31.020000
20.480000
31.873333
11.903333
0.702100
0.788900

0.652400
1.482500
8.810000
31.020000
20.480000
31.873333
11.903333
0.702100
0.788900

100 124.28
50 71.49
50 68.77
60 55.47
CUTIE X 6 BLIST. AL/PVC X 10 COMPR. P-6L
60 54.19
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20 35.88
CUTIE CU 2 BLIST. PVC-PVDC/AL X 25 COMPR.FILM. P6L
50 136.52
CUTIE CU 4 BLIST. PVC-PVDC/AL X 25 COMPR.FILM. P6L 100 268.17
P6L
1 97.49

1.242800
1.429800
1.375400
0.924500
0.903166
1.794000
2.730400
2.681700
97.490000

1.109400
1.109400
1.109400
0.924500
0.903166
1.794000
2.730400
2.681700
97.490000

1.109400
1.109400
1.109400
0.924500
0.903166
1.794000
2.730400
2.681700
97.490000

10.370000
10.420000
3.470000
17.230000
33.340000
7.090000
3.570000
2.758333
2.535000
19.110000

10.370000
10.420000
3.470000
17.230000
33.340000
7.090000
3.570000
2.758333
2.535000
19.110000

10.370000
10.420000
3.470000
17.230000
33.340000
7.090000
3.570000
2.758333
2.535000
19.110000

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.

STADA HEMOFARM S.R.L.


STADA HEMOFARM S.R.L.

ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 2 ML


ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 7,8 ML

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 1 FLAC. BICOMPARTIMENTAT (COMPARTIMENT INFERIOR) LIOF. PT. SOL. INJ. + (COMPARTIMENT SUPERIOR) 4ML SOLV

P-RF

MERCK KGAA
MERCK KGAA

GERMANIA

CUTIE X 3 FLAC. DIN STICLA INCOLORA X 250 MG FIOF. PT. SOL. INJ. + 3 FIOLE X 5 ML SOLV.

P-RF

GERMANIA

CUTIE X 3 FLAC. X 50 MG LIOF. PT. SOL. INJ. + 3 FIOLE X 1 ML SOLVENT

ASPEN EUROPE GMBH GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM.


EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRIA

CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM.

P-RF
S/P-RF
S/P-RF

P-RF
S/P-RF

PR

50
20
1
1
1
3
3
100
100

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
6
7
8
9

A05AA02
A05AA02
A05AA02
A05AA02
A05AA02
A05AA02
A05AA02
A05AA02
A05AA02

ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM

URSOFALK (R)
URSOFALK (R)
URSOSAN
URSOROM 250 mg
URSOCHOL 150 mg
URSOCHOL 300 mg
URSOFALK 500 mg
URSOFALK 500 mg
URSOFALK 250 mg/5 ml

CAPS.
CAPS.
CAPS.
CAPS.
COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.
SUSP. ORALA

250mg
250mg
250mg
250mg
150mg
300mg
500mg
500mg
250mg/5ml

LICHID ORAL
SIROP
SIROP
SIROP
SIROP
SOL. ORALA
SOL. ORALA
COMPR. FILM.
COMPR. FILM.

66,7%
65%
65%
650mg/ml
650mg/ml
660 mg/ml
670mg/ml
200mg
200mg
100mg/5ml

CUTIE X 4 BLIST. AL/PVC X 25 CAPS. P6L


CUTIE X 2 BLIST. AL/PVC X 25 CAPS. P-6L
PRO. MED. CS PRAHA AS CEHIA
CUTIE X 5 BLIST. AL/PVC X 10 CAPS. P-6L
ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 4 BLIST. PVC/AL X 15 CAPS. P6L
DR. FALK PHARMA GMBH GERMANIA
DR. FALK PHARMA GMBH GERMANIA

ZAMBON S.P.A.
ZAMBON S.P.A.

ITALIA
ITALIA

DR. FALK PHARMA GMBH GERMANIA


DR. FALK PHARMA GMBH GERMANIA
DR. FALK PHARMA GMBH GERMANIA

CUTIE CU 1 FLAC. DIN STICLA BRUNA X 250 ML SUSP. ORALA+1LINGURITA DOZATOARE DIN PP

OLANDA

FLACON DIN PEID PREVAZUT CU MASURA DOZATOARE X 200 ML

Tratamentul se initiaz de ctre medicul n specialitatea gastroenterologie

7. CIROZA HEPATICA - G7
1
2
3
4
5
6
7
8
9
10

A06AD11
A06AD11
A06AD11
A06AD11
A06AD11
A06AD11
A06AD11
A07AA11
A07AA11
A07AA11

LACTULOSUM*
LACTULOSUM*
LACTULOSUM*
LACTULOSUM*
LACTULOSUM*
LACTULOSUM*
LACTULOSUM*
RIFAXIMINUM*
RIFAXIMINUM*
RIFAXIMINUM*

DUPHALAC (R)
LACTULOSE
LACTULOSE
LACTULOSE-MIP 650 mg/ml
LACTULOSE-MIP 650 mg/ml
LACTULAK 660 mg/ml
LAEVOLAC 670mg/ml
NORMIX 200 mg
NORMIX 200 mg
NORMIX 100mg/5ml

GRAN. PT. SUSP. ORALA

ABBOTT HEALTHCARE PRODUCTS B.V.

P-RF

E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON X 300 ML


E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON X 100 ML

P-6L

MIP PHARMA GMBH GERMANIA


MIP PHARMA GMBH GERMANIA

CUTIE X 1 FLAC. PET DE CULOARE BRUNA X 500 ML SIROP + 1 MASURA DOZATOARE DIN PP

P-6L

CUTIE X 1 FLAC. PET DE CULOARE BRUNA X 1000 ML SIROP + 1 MASURA DOZATOARE DIN PP

P-6L

CUTIE X 1 FLAC. PEID X 200 ML SOL. ORALA SI O LINGURITA DOZATOARE

P-6L

CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SOL. ORALA + DISPOZITIV DE CURGERE + MASURA CU GRADATII D

P-RF

CUTIE X 1 BLIST. AL/PVC X 12 COMPR. FILM.

P-RF

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

ROMPHARM COMPANY SRL


FRESENIUS KABI AUSTRIA GMBH

ALFA WASSERMANN SPA


ALFA WASSERMANN SPA
ALFA WASSERMANN SPA

Pagina 81 din 204

ROMANIA

AUSTRIA
ITALIA
ITALIA
ITALIA

P-6L

1
1
1
1
1
1
1
12
36
1

10.37
10.42
3.47
17.23
33.34
7.09
3.57
33.10
91.26
19.11

NR.CRT

11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56

COD ATC
C03CA01
C03CA01
C03CA01
C03CA01
C03CA01
C03CA01
C03CA01
C03CA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01

H02AB06
H02AB06

J05AB04
J05AB04

J05AF05
J05AF05
J05AF08
J05AF10
J05AF10
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AB04
L03AB04
L03AB05
L03AB05
L03AB10
L03AB10
L03AB10
L03AB10
L03AB11
N04BB01

DCI

FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
PREDNISOLONUM
PREDNISOLONUM
RIBAVIRINUM****
RIBAVIRINUM****
LAMIVUDINUM****
LAMIVUDINUM****
ADEFOVIRUM DIPIVOXILUM****
ENTECAVIRUM****
ENTECAVIRUM****
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
INTERFERONUM ALFA 2A****
INTERFERONUM ALFA 2A****
INTERFERONUM ALFA 2B****
INTERFERONUM ALFA 2B****
PEGINTERFERON ALFA-2B****
PEGINTERFERON ALFA-2B****
PEGINTERFERON ALFA-2B****
PEGINTERFERON ALFA-2B****
PEGINTERFERON ALFA-2A****
AMANTADINUM**

Denumire Comerciala

FUROSEMID MCC 40 mg
FUROSEMID SLAVIA
FUROSEMID EEL
FUROSEMID ZENTIVA
FUROSEMID LPH 40 mg
FUROSEMID ARENA 40 mg
FUROSEMID BIOEEL 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 BIOEEL 25 mg

forma farm.

concentratie

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
SOL. INJ.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

40mg
40mg
40mg
40mg
40mg
40mg
40mg
10mg/ml
100mg
25mg
25mg
50mg
50mg
25mg
25mg
25mg
25mg
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.
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. 480mcg/0,8ml
SOL. INJ./PERF. 480g/0,5ml
SOL. INJ.
3Mui/0,5ml
SOL. INJ.
9Mui/0,5ml

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
HEPSERA
BARACLUDE 0,5mg
BARACLUDE 1mg
NEUPOGEN (R)
NEUPOGEN (R)
ZARZIO 30MU/0,5ml
ZARZIO 48MU/0,5ml
NIVESTIM 12 MU/0,2ml
TEVAGRASTIM 30MUI/0,5ml
NIVESTIM 30 MU/0,5 ml
TEVAGRASTIM 48MUI/0,8ml
NIVESTIM 48 MU/0,5 ml
ROFERON A
ROFERON A
INTRON A 18 milioane U.I. SOL. INJ. PEN MULTIDOZA
INTRON A 30 milioane U.I. SOL. INJ. PEN MULTIDOZA
PEGINTRON 100 mcg
PULB. + SOLV. PT. SOL. INJ.
PEGINTRON 120 mcg
PULB. + SOLV. PT. SOL. INJ.
PEGINTRON 150 mcg
PULB. + SOLV. PT. SOL. INJ.
PEGINTRON 50 mcg
PULB. + SOLV. PT. SOL. INJ.
PEGASYS 180 mcg/0,5ml
SOL. INJ. IN SERINGA PREUMPLUTA
VIREGYT (R)- K
CAPS.
SOL. INJ. /PERF. IN SERINGA PREUMPLUTA
SOL. INJ. /PERF. IN SERINGA PREUMPLUTA

TARA
DET. APP
DETINATOR APP
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
BIO EEL SRL
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
BIO EEL SRL
ROMANIA
TERAPIA SA
ROMANIA
AC HELCOR PHARMA SRL ROMANIA
AC HELCOR PHARMA SRL ROMANIA

MERCK KGAA
MERCK KGAA

GERMANIA

MERCK SHARP & DOHME

MAREA BRITANIE

GERMANIA

ROCHE ROMANIA SRL ROMANIA

TEVA PHARMA B.V. OLANDA


GLAXO GROUP LTD. MAREA BRITANIE
GILEAD SCIENCE INTERNATIONAL LIMITED

MAREA BRITANIE

BRISTOL-MYERS SQUIBB PHARMA EEIG MAREA BRITANIE


BRISTOL-MYERS SQUIBB PHARMA EEIG MAREA BRITANIE

AMGEN EUROPE B.V. OLANDA


AMGEN EUROPE B.V. OLANDA

SANDOZ GMBH
SANDOZ GMBH

AUSTRIA
AUSTRIA

HOSPIRA UK LIMITED

MAREA BRITANIE

TEVA GENERICS GMBH GERMANIA

HOSPIRA UK LIMITED

MAREA BRITANIE

TEVA GENERICS GMBH GERMANIA

HOSPIRA UK LIMITED

MAREA BRITANIE

ROCHE ROMANIA S.R.L. ROMANIA


ROCHE ROMANIA S.R.L. ROMANIA

AMBALAJ

20
20
CUTIE X 2 BLIST. X 10 COMPR.
P-6L
20
CUTIE X 1 FLAC. DIN PEID X 20 COMPR. P-6L
20
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
CUTIE X 2 BLIST. X 10 COMPR.
P-6L
20
CUTIE X 5 FIOLE DIN STICLA BRUNA CU INEL DE RUPERE X 2 ML SOL. INJ.
P-RF
5
CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L
30
CUTIE CU 5 BLIST. PVC/AL X 10 CAPS. P-6L
50
CUTIE CU 6 BLIST. PVC/AL X 10 CAPS. P6L
60
CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L
30
CUTIE CU 3 BLIST. PVC/AL X 10 CAPS. P-6L
30
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
50
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
20
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
20
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 140 CAPS. ( BLIST. PVC/PE/PVDC ) P-RF/R 140
CUTIE X 1 FLAC. PEID X 168 COMPR. FILM. P-RF/R 168
CUTIE CU BLIST. PVC/PVDC/AL X 30 COMPR. FILM. P-RF/R
30
CUTIE X 28 COMPR. FILM. (BLIST. PVC-AL/PVC-AL) P-RF/R
28
CUTIE X 1 FLAC. DIN PEID X 30 COMPR. P-RF/R
30
CUTIE X 30 X 1 COMPR. FILM. (BLIST. AL/AL UNIDOZA) P-RF/R
30
CUTIE X 30 X 1 COMPR. FILM.(BLIST. AL/AL UNIDOZA) P-RF/R
30
CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML S/P-RF
1
CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML S/P-RF
1
CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R
1
CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R
1
CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,2ML SOL. INJ. SAU PERF. P-RF
5
CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF.
1
CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. P-RF
5
CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF.
1
CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. P-RF
5
CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML + AC STERIL S/P-RF
1
CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. + AC STERIL
S/P-RF
1
P-RF/R
1
P-RF/R
1
CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV. P-RF/R
1
CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV. P-RF/R
1
CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV.
P-RF/R
1
CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV. P-RF/R
1
CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML + 1 AC P-RF/R
1
CUTIE X 1 FLAC. X 50 CAPS.
P-6L
50
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L

CUTIE X 3 FLAC. DIN STICLA INCOLORA X 250 MG FIOF. PT. SOL. INJ. + 3 FIOLE X 5 ML SOLV.

18 milioane U.I. MERCK SHARP & DOHME

MAREA BRITANIE

CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML SOL. INJ. + 12 ACE + 12 TAMPOANE DEZINFECTANTE

30 milioane U.I. MERCK SHARP & DOHME

MAREA BRITANIE

CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML + 12 ACE + 12 TAMPOANE DEZINFECTANTE

100mcg
120mcg
150mcg
50mcg

SP EUROPE
SP EUROPE
SP EUROPE
SP EUROPE

BELGIA
BELGIA
BELGIA
BELGIA

180mcg/0,5ml

ROCHE REGISTRATION LTD.

MAREA BRITANIE

100mg

EGIS PHARMACEUTICALS P.L.C.

UNGARIA

Tratamentul se iniiaz de ctre medicul in specialitatea gastroenterologie sau boli infectioase

Pagina 82 din 204

Prescriptie

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
amba
L
MAXIMAL/UT 213 alin.(1) lit.
UT (RON)
laj
(RON)
(RON)
a) si f)
PT. ADULTI

3.02
3.02
5.42
6.02
3.04
6.02
5.42
6.07
28.51
16.07
19.46
16.72
16.24
4.30
4.30
16.21
4.30
13.74
95.62
35.71
609.00
665.28
194.11
278.73
1,928.98
1,748.63
1,938.42

S/P-RF/R

326.02
514.01
197.89
318.52
494.26
261.45

S/P-RF/R

426.08

1,129.37
1,843.52

87.43
183.22
434.34
715.89
820.00
969.85

0.151000
0.151000
0.271000
0.301000
0.152000
0.301000
0.271000
1.214000
0.950333
0.321400
0.324333
0.557333
0.541333
0.215000
0.215000
0.324200
0.215000
0.687000
31.873333
11.903333
4.350000
3.960000
6.470333
9.954642
64.299333
58.287666
64.614000
326.020000
514.010000
197.890000
318.520000
98.852000
261.450000
225.874000
426.080000
368.704000
87.430000
183.220000
434.340000
715.890000
820.000000
969.850000

0.151000
0.151000
0.181200
0.181200
0.152000
0.181200
0.181200
1.214000
0.950333
0.258000
0.258000
0.557333
0.541333
0.215000
0.215000
0.258000
0.215000
0.649599
31.873333
11.903333
4.350000
3.960000
6.470333
7.764399
64.299333
58.287666
64.614000
237.468000
382.224000
197.890000
318.520000
98.852000
237.468000
225.874000
382.224000
368.704000
87.430000
183.220000
434.340000
715.890000
820.000000
969.850000

0.151000
0.151000
0.181200
0.181200
0.152000
0.181200
0.181200
1.214000
0.950333
0.258000
0.258000
0.557333
0.541333
0.215000
0.215000
0.258000
0.215000
0.649599
31.873333
11.903333
4.350000
3.960000
6.470333
7.764399
64.299333
58.287666
64.614000
237.468000
382.224000
197.890000
318.520000
98.852000
237.468000
225.874000
382.224000
368.704000
87.430000
183.220000
434.340000
715.890000
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

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/
amba
L
MAXIMAL/UT 213 alin.(1) lit.
UT (RON)
laj
(RON)
(RON)
a) si f)
PT. ADULTI

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
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49

A04AA01
A04AA01
A04AA01
A04AA01
A04AA01
A04AA01
A04AA02
A04AA02
A04AA02
A04AA02
A04AA02
A04AA02
A04AA02
A04AA02
A04AA02
A04AA05
A04AA05
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
G03HA01

H02AB02
H02AB02
H02AB02
H02AB02
H02AB02
H02AB02

ONDANSETRONUM**
ONDANSETRONUM**
ONDANSETRONUM**
ONDANSETRONUM**
ONDANSETRONUM**
ONDANSETRONUM**
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***
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
DEXAMETHASONUM

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.
GRANISETRON ACTAVIS 1 mg COMPR. FILM.
GRANEGIS 1 mg
COMPR. FILM.
GRANORED 1 mg
COMPR. FILM.
SETROGEN 1 mg
COMPR. FILM.
GRANISETRON ACTAVIS 2 mg COMPR. FILM.
GRANORED 2 mg
COMPR. FILM.

SOL. INJ. IN SERINGA PREUMPLUTA

4mg
DR. REDDY'S LABORATORIES
8mg
DR. REDDY'S LABORATORIES
2mg/ml
DR. REDDY'S LABORATORIES
2mg/ml
DR. REDDY'S LABORATORIES
2mg/ml
CIPLA (UK) LIMITED
2mg/ml
CIPLA (UK) LIMITED
1mg
ACTAVIS GROUP PTC EHF.
1mg
EGIS PHARMACEUTICALS P.L.C.
1mg
DR. REDDY'S LABORATORIES
1mg
ALVOGEN IPCO S.A.R.L
2mg
ACTAVIS GROUP PTC EHF.
2mg
DR. REDDY'S LABORATORIES
1mg/ml
FRESENIUS KABI ROMANIA SRL
1mg/1ml
TEVA PHARMACEUTICALS S.R.L.
3mg/3ml
TEVA PHARMACEUTICALS S.R.L.
500mcg
HELSINN BIREX PHARMACEUTICALS LTD.
250 mcg/5ml HELSINN BIREX PHARMACEUTICALS LTD.
10000UI/1,0ml SANDOZ GMBH
1000UI/0,5ml SANDOZ GMBH
2000UI/1,0ml SANDOZ GMBH
30000UI/0,75ml SANDOZ GMBH
3000UI/0,3ml SANDOZ GMBH
40 000UI/ml JOHNSON & JOHNSON D.O.O.
40000 UI/1 ml SANDOZ GMBH
4000UI/0,4ml SANDOZ GMBH
5000UI/0,5ml SANDOZ GMBH

NEORECORMON 10000UI/0,6ml

SOL. INJ. IN SERINGA PREUMPLUTA

10000UI/0,6ml

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 6 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ. + 6 ACE

S/P-RF/R

NEORECORMON 2000UI/0,3ml

SOL. INJ. IN SERINGA PREUMPLUTA

2000UI/0,3ml

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. X 6 ACE

S/P-RF/R

NEORECORMON 30000UI/0,6ml

SOL. INJ. IN SERINGA PREUMPLUTA

30000 UI/0,6ml ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 1 SERINGA PRE-UMPLUTA X 0,6 ML + 1 AC

S/P-RF/R

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.

GRANISETRON KABI 1 mg/ml


GRANISETRON TEVA 1mg/1ml
GRANISETRON TEVA 3mg/3ml

CONC. PT. SOL. INJ./PERF.

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

CAPS. MOI
SOL. INJ.

NEORECORMON 4000UI/0,3ml
NEORECORMON 5000UI/0,3ml

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
DEXAMETAZONA ROMPHARM 4 mg/ml
DEXAMETAZONA ROMPHARM 4 mg/ml
DEXAMETAZONA ROMPHARM 4 mg/ml
DEXAMETAZONA ROMPHARM 4 mg/ml
DEXAMETAZONA ROMPHARM 4 mg/ml

CONC. PT. SOL. PERF./INJ.


CONC. PT. SOL. PERF./INJ.

SOL. INJ. IN SERINGA PREUMPLUTA


SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA

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

ISLANDA

CUTIE CU BLIST. PVC/AL X 10 COMPR. FILM.

P-RF

UNGARIA CUTIE CU BLIST. PVC/AL X 10 COMPR. FILM. P-RF


ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF
LUXEMBURG CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM.

PRF

ISLANDA

CUTIE CU BLIST. PVC/AL X 10 COMPR. FILM.

P-RF

ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

PRF

IRLANDA
IRLANDA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA

CUTIE X 5 FIOLE DIN STICLA INCOLORA X 3 ML CONC. PT. SOL. PERF./INJ.

PR
S
S

CUTIE X BLISTER DIN POLIAMIDA/AL/PVC X 1 CAPSULA MOALE

PRF

CUTIE X 5 FIOLE STICLA INCOLORA X 3 ML CONC. PT. SOL. INJ./PERF.


CUTIE X 5 FIOLE DIN STICLA INCOLORA X 1 ML CONC. PT. SOL. PERF./INJ.

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

CUTIE X 1 SERINGA PREUMPLUTA X 0,75ML SOL. INJ.

P-RF/R

CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ.

S/P-RF/R

SLOVENIA

CUTIE CU 1 SERINGA PREUMPLUTA X 1 ML SOL. INJ.

S/P-RF

AUSTRIA
AUSTRIA
AUSTRIA

CUTIE X 1 SERINGA PREUMPLUTA X 1ML SOL. INJ.

P-RF/R

CUTIE X 6 SERINGI PREUMPLUTE X 0,4ML SOL. INJ.

S/P-RF/R

CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ.

S/P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

4000UI/0,3ml
5000UI/0,3ml

MAREA BRITANIE

CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE

S/P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

100mcg/0,5ml AMGEN EUROPE BV OLANDA

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML

P-RF/R

OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML

P-RF/R

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML

P-RF/R

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 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

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.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.

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 PHARMA AG
0,5mg
CN UNIFARM S.A.
4mg/ml
ROMPHARM COMPANY S.R.L.
4mg/ml
ROMPHARM COMPANY S.R.L.
4mg/ml
ROMPHARM COMPANY S.R.L.
4mg/ml
ROMPHARM COMPANY S.R.L.
4mg/ml
ROMPHARM COMPANY S.R.L.

Pagina 83 din 204

GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-RF

ROMANIA CUTIE CU 10 BLISTERE X 10 COMPRIMATE


ROMANIA CUTIE CU UN SUPORT CU 10 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ.
ROMANIA CUTIE CU UN SUPORT CU 25 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ.
ROMANIA CUTIE CU 100 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ.
ROMANIA CUTIE CU UN SUPORT CU 10 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.
ROMANIA CUTIE CU 25 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.

PRF
PRF
PRF
PRF
PRF
PRF

10
10
5
5
5
5
10
10
10
10
10
10
5
5
5
1
1
6
6
6
1
6
1
1
6
6
6
6
1
6
6
4
4
4
4
1
4
4
1
4
4
4
50
100
10
25
100
10
25

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
23.79
4.758000
4.758000
148.63 14.863000 14.863000
148.63 14.863000 14.863000
178.35 17.835000 17.835000
171.89 17.189000 17.189000
236.15 23.615000 23.615000
271.77 27.177000 27.177000
199.30 39.860000 39.860000
71.52 14.304000 14.304000
199.86 39.972000 39.972000
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
14.863000
14.863000
17.835000
17.189000
23.615000
27.177000
39.860000
14.304000
39.972000
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
1,174.53 1,174.530000 1,174.530000 1,174.530000

981.05 163.508333 163.508333 163.508333


1,208.30 201.383333 201.383333 201.383333
3,173.01 793.252500 793.252500 793.252500
391.56 97.890000 97.890000 97.890000
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

108.46
18.38
8.32
20.42
73.64
13.87
33.18

406.690000 406.690000 406.690000


484.292500 484.292500 484.292500
638.987500 638.987500 638.987500
2.169200
2.169200
2.169200
0.183800
0.183800
0.183800
0.832000
0.832000
0.832000
0.816800
0.816800
0.816800
0.736400
0.736400
0.736400
1.387000
1.387000
1.387000
1.327200
1.327200
1.327200

NR.CRT

50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99

COD ATC

DCI

H02AB02

DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
POSACONAZOLUM**
CASPOFUNGINUM**
CASPOFUNGINUM**
ANAGRELIDUM***
ANAGRELIDUM***
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
MORPHYNUM
MORPHYNUM
MORPHYNUM
MORPHYNUM
MORPHYNUM
MORPHYNUM
MORPHYNUM
MORPHYNUM
MORPHYNUM
MORPHYNUM
MORPHYNUM
MORPHYNUM
MORPHYNUM
MORPHYNUM
OXYCODONUM
OXYCODONUM
OXYCODONUM
OXYCODONUM
OXYCODONUM
OXYCODONUM
OXYCODONUM
OXYCODONUM
OXYCODONUM
OXYCODONUM
OXYCODONUM
OXYCODONUM

H02AB02
H02AB02
H02AB02
H02AB02

J02AC02
J02AC02
J02AC02
J02AC02
J02AC02
J02AC02
J02AC03
J02AC03
J02AC03
J02AC03
J02AC04

J02AX04
J02AX04
L01XX35
L01XX35
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
N02AA01
N02AA01
N02AA01
N02AA01
N02AA01
N02AA01
N02AA01
N02AA01
N02AA01
N02AA01
N02AA01
N02AA01
N02AA01
N02AA01
N02AA05
N02AA05
N02AA05
N02AA05
N02AA05
N02AA05
N02AA05
N02AA05
N02AA05
N02AA05
N02AA05

100 N02AA05

Denumire Comerciala

forma farm.

SOL. INJ.
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.
MICOGAL 100 mg
CAPS.
ITRACONAZOL ARENA 100 mg CAPS.
VFEND 200mg
COMPR. FILM.
VFEND 50mg
COMPR. FILM.
VFEND 200mg
PULB. PT. SOL. PERF.
VFEND 40 mg/ml
PULB. PT. SUSP. ORALA
NOXAFIL SP 40mg/ml
SUSP. ORALA
CANCIDAS 50 mg
PULB. PT. CONC. PT. SOL. PERF.
CANCIDAS 70 mg
PULB. PT. CONC. PT. SOL. PERF.
THROMBOREDUCTIN
CAPS.
THROMBOREDUCTIN
CAPS.
EQUORAL 100 mg
CAPS. MOI
SANDIMMUN NEORAL (R) CAPS. MOI
EQUORAL 25 mg
CAPS. MOI
SANDIMMUN NEORAL (R) CAPS. MOI
EQUORAL 50 mg
CAPS. MOI
MST CONTINUS 100 mg
COMPR. ELIB. MODIF.
MST CONTINUS 10 mg
COMPR. ELIB. MODIF.
MST CONTINUS 200 mg
COMPR. ELIB. MODIF.
MST CONTINUS 30 mg
COMPR. ELIB. MODIF.
MST CONTINUS 60 mg
COMPR. ELIB. MODIF.
SEVREDOL 10 mg
COMPR. FILM.
SEVREDOL 10 mg
COMPR. FILM.
SEVREDOL 20 mg
COMPR. FILM.
SEVREDOL 20 mg
COMPR. FILM.
DEXAMETAZONA ROMPHARM 4 mg/ml

VENDAL (R) RETARD 100 mg


VENDAL (R) RETARD 30 mg
VENDAL (R) RETARD 60 mg

COMPR. FILM. ELIB. PREL.


COMPR. FILM. ELIB. PREL.
COMPR. FILM. ELIB. PREL.

MORFINA 20 mg/ml

SOL. INJ.
MORFINA ZENTIVA 20 mg/ml SOL. INJ.
OXYCONTIN 10 mg
COMPR. CU ELIB. MODIF.
OXYCONTIN 20 mg
COMPR. CU ELIB. MODIF.
OXYCONTIN 40 mg
COMPR. CU ELIB. MODIF.
OXYCONTIN 80 mg
COMPR. CU ELIB. MODIF.
OXIDOLOR 10 mg
COMPR. ELIB. PREL.
ALNAGON 10 mg
COMPR. ELIB. PREL.
OXIDOLOR 20 mg
COMPR. ELIB. PREL.
ALNAGON 20 mg
COMPR. ELIB. PREL.
OXIDOLOR 40 mg
COMPR. ELIB. PREL.
ALNAGON 40 mg
COMPR. ELIB. PREL.
OXICODONA SANDOZ 40 mg COMPR. ELIB. PREL.
OXICODONA SANDOZ 60 mg COMPR. ELIB. PREL.

concentratie

4mg/ml
8mg
8mg
8mg/2ml
8mg/2ml
100mg
100mg
100mg
100mg
100mg
100mg
200mg
50mg
200mg
40mg/ml
40mg/ml
50mg
70mg
0,5mg
0,5mg
100mg
25mg
25mg
50mg
50mg
100mg
10mg
200mg
30mg
60mg
10mg
10mg
20mg
20mg
100mg
30mg
60mg
20mg/ml
20mg/ml
10 mg
20 mg
40 mg
80mg
10mg
10mg
20mg
20mg
40mg
40mg
40mg
60mg

TARA
DET. APP
ROMPHARM COMPANY S.R.L. ROMANIA
E.I.P.I.CO. MED S.R.L. ROMANIA
E.I.P.I.CO. MED S.R.L. ROMANIA
DETINATOR APP

AMBALAJ

PRF

CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.

P-RF

CUTIE X 5 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. P-RF

MEDOCHEMIE LTD. CIPRU


CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.
MEDOCHEMIE LTD. CIPRU
CUTIE X 10 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.
JANSSEN PHARMACEUTICA N.V. 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.
ROMPHARM COMPANY SRL ROMANIA CUTIE X 3 BLIST. PVC/AL X 5 CAPS.
ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS.
PFIZER LIMITED
MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL)
PFIZER LIMITED
MAREA BRITANIE CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL)
PFIZER LIMITED
MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML
PFIZER LIMITED
MAREA BRITANIE
MERCK SHARP & DOHME

MAREA BRITANIE

CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF.

MERCK SHARP & DOHME

MAREA BRITANIE

CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF.

LANNACHER HEILMITTEL GES.M.B.H.

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
AUSTRIA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. CU ELIB. MOD.
AUSTRIA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. CU ELIB. MOD.
AUSTRIA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. CU ELIB. MOD.
AUSTRIA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. CU ELIB. MOD.
AUSTRIA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. CU ELIB. MOD.
AUSTRIA CUTIE CU BLIST. AL/PVC-PVDC X 56 COMPR. FILM.
AUSTRIA CUTIE CU BLIST. AL/PVC-PVDC X 60 COMPR. FILM.
AUSTRIA CUTIE CU BLIST. AL/PVC-PVDC X 56 COMPR. FILM.
AUSTRIA CUTIE CU BLIST. AL/PVC-PVDC X 60 COMPR. FILM.
AUSTRIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL.
AUSTRIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL.
AUSTRIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL.
ROMANIA CUTIE X 5 FIOLE X 1 ML
ROMANIA CUTIE X 5 FIOLE X 1 ML
AUSTRIA CUTIE CU BLIST. PVC/AL X 60 COMPR. CU ELIB. MODIF.
AUSTRIA CUTIE CU BLIST. PVC/AL X 60 COMPR. CU ELIB. MODIF.
AUSTRIA CUTIE CU BLIST. PVC/AL X 60 COMPR. CU ELIB. MODIF.
AUSTRIA CUTIE CU BLIST. PVC/AL X 60 COMPR. CU ELIB. MODIF.
AUSTRIA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. ELIB. PREL.

ZENTIVA, K.S.

REPUBLICA CEHA CUTIE CU BLIST. PVC-PE-PVDC/AL X 56 COMPR. ELIB. PREL.

LANNACHER HEILMITTEL GES.M.B.H.

AUSTRIA

ZENTIVA, K.S.

REPUBLICA CEHA CUTIE CU BLIST. PVC-PE-PVDC/AL X 56 COMPR. ELIB. PREL.

LANNACHER HEILMITTEL GES.M.B.H.

AUSTRIA

NOVARTIS PHARMA GMBH


TEVA CZECH INDUSTRIES S.R.O.

NOVARTIS PHARMA GMBH


TEVA CZECH INDUSTRIES S.R.O.

MUNDIPHARMA GES.M.B.H
MUNDIPHARMA GES.M.B.H
MUNDIPHARMA GES.M.B.H
MUNDIPHARMA GES.M.B.H
MUNDIPHARMA GES.M.B.H

MUNDIPHARMA GMBH
MUNDIPHARMA GMBH
MUNDIPHARMA GMBH
MUNDIPHARMA GMBH
LANNACHER HEILMITTEL GES.M.B.H.
LANNACHER HEILMITTEL GES.M.B.H.
LANNACHER HEILMITTEL GES.M.B.H.

ZENTIVA S.A.
ZENTIVA S.A.
MUNDIPHARMA GES.M.B.H
MUNDIPHARMA GES.M.B.H
MUNDIPHARMA GES.M.B.H
MUNDIPHARMA GES.M.B.H

ZENTIVA, K.S.
SANDOZ S.R.L.
SANDOZ S.R.L.

Pagina 84 din 204

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

CUTIE X 1 FLAC. X 105ML SUSP. ORALA

TEVA CZECH INDUSTRIES S.R.O.

P-RF

P-RF/R

MAREA BRITANIE

ORPHA-DEVEL HANDELS UND VERTRIEBS GMBH

P-RF/S

CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA

MERCK SHARP & DOHME

ORPHA-DEVEL HANDELS UND VERTRIEBS GMBH

Prescriptie

CUTIE CU 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.

S
S
P-RF
P-RF/S
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF

P-TS
P-TS
P-TS
P-TS
P-TS
P-TS
P-TS
P-TS
P-TS
P-TS
P-TS
P-TS
P-TS
P-TS

PS
PS
PS
PS
P-TS
P-RF

CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. ELIB. PREL. P-TS

P-RF

CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. ELIB. PREL. P-TS

REPUBLICA CEHA CUTIE CU BLIST. PVC-PE-PVDC/AL X 56 COMPR. ELIB. PREL.

P-RF

ROMANIA
ROMANIA

PS
PS

CUTIE CU BLIST. PVC-PE-PVDC/AL X 20 COMPR. ELIB. PREL.


CUTIE CU BLIST. PVC-PE-PVDC/AL X 20 COMPR. ELIB. PREL.

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
amba
L
MAXIMAL/UT 213 alin.(1) lit.
UT (RON)
laj
(RON)
(RON)
a) si f)
PT. ADULTI

100
100
5
100
10
15
15
15
15
15
15
28
28
1
1
1
1
1
42
100
50
50
50
50
50
60
60
60
60
60
56
60
56
60
30
30
30
5
5
60
60
60
60
60
56
60
56
60
56
20
20

124.62
123.66
6.98
118.60
14.38
76.92
52.56
52.56
52.56
52.55
52.56

1.246200
1.246200
1.246200
1.236600
1.236600
1.236600
1.396000
1.396000
1.396000
1.186000
1.186000
1.186000
1.438000
1.423200
1.423200
5.128000
4.203999
4.203999
3.504000
3.504000
3.504000
3.504000
3.504000
3.504000
3.504000
3.504000
3.504000
3.503333
3.503333
3.503333
3.504000
3.504000
3.504000
3,917.72 139.918571 139.918571 139.918571
1,032.33 36.868928 36.868928 36.868928
537.45 537.450000 537.450000 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
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

307.60
137.32
75.17
292.16
147.58
205.94
37.61
393.65
65.71
132.81
46.96
50.10
67.34
71.78
71.84
23.04
47.06
8.29
8.29
64.10
121.02
172.88
309.83
43.09
48.27
78.65
88.08
118.50
132.72
47.40
139.36

20.855238
16.554800
6.152000
2.746400
1.503400
5.843200
2.951600
3.432333
0.626833
6.560833
1.095166
2.213500
0.838571
0.835000
1.202500
1.196333
2.394666
0.768000
1.568666
1.658000
1.658000
1.068333
2.017000
2.881333
5.163833
0.718166
0.861964
1.310833
1.572857
1.975000
2.370000
2.370000
6.968000

19.865760
16.554800
6.152000
1.804080
1.503400
3.541920
2.951600
2.873599
0.626833
6.560833
0.921600
1.882399
0.752199
0.752199
1.202500
1.196333
2.394666
0.768000
1.568666
1.658000
1.658000
0.861799
1.572999
2.370000
4.027599
0.718166
0.861799
1.310833
1.572857
1.975000
2.370000
2.370000
6.968000

19.865760
16.554800
6.152000
1.804080
1.503400
3.541920
2.951600
2.873599
0.626833
6.560833
0.921600
1.882399
0.752199
0.752199
1.202500
1.196333
2.394666
0.768000
1.568666
1.658000
1.658000
0.861799
1.572999
2.370000
4.027599
0.718166
0.861799
1.310833
1.572857
1.975000
2.370000
2.370000
6.968000

NR.CRT

COD ATC

101 N02AA05
102 N02AA05
103 N02AA05
104 N02AA05
105 N02AA05
106 N02AA05
107 N02AA08
108 N02AA08
109 N02AA08
110 N02AB02
111 N02AB03
112 N02AB03
113 N02AB03
114 N02AB03
115 N02AB03
116 N02AB03
117 N02AB03
118 N02AB03
119 N02AB03
120 N02AB03
121 N02AB03
122 N02AB03
123 N02AB03
124 N02AB03
125 N02AB03
126 N02AX02
127 N02AX02
128 N02AX02
129 N02AX02
130 N02AX02
131 N02AX02
132 N02AX02
133 N02AX02
134 N02AX02
135 N02AX02
136 N02AX02
137 N02AX02
138 N02AX02
139 N02AX02
140 N02AX02
141 N02AX02
142 N02AX02
143 N02AX02
144 N02AX02
145 N02AX02
146 N02AX02
147 N02AX02
148 N02AX02
149 N02AX02
150 N02AX02
151 N02AX02

DCI

OXYCODONUM
OXYCODONUM
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
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM

Denumire Comerciala

OXIDOLOR 80 mg

forma farm.
COMPR. ELIB. PREL.

OXICODONA SANDOZ 80 mg COMPR. ELIB. PREL.

OXYCONTIN (R) 10 mg
OXYCONTIN (R) 20 mg
OXYCONTIN (R) 40 mg
OXYCONTIN (R) 80 mg
DHC CONTINUS 120 mg
DHC CONTINUS 60 mg
DHC CONTINUS 90 mg
MIALGIN (R) 100 mg/2 ml
FENTANYL TTS SANDOZ 100 mcg/h

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.

SOL. INJ.
PLASTURE TRANSDERMIC

concentratie

80mg
80mg
10 mg
20 mg
40 mg
80mg
120mg
60mg
90mg
50mg/ml
100mcg/h

DETINATOR APP

PLASTURE TRANSDERMIC

CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. ELIB. PREL. P-TS

SANDOZ S.R.L.

ROMANIA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 20 COMPR. ELIB. PREL.

MUNDIPHARMA
MUNDIPHARMA
MUNDIPHARMA
MUNDIPHARMA

CUTIE X 4 BLIST. X 14 COMPR. FILM. ELIB. MODIF. P-TS

MUNDIPHARMA GES.M.B.H

AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA

ZENTIVA SA
SANDOZ S.R.L.

ROMANIA CUTIE X 5 FIOLE DIN STICLA X 2 ML


ROMANIA CUTIE X 5 PLIC DIN HARTIE/PE/AL/PE X 1 PLASTURE TRANSDERMIC

P-TS

ISLANDA

CUTIE X 5 PLICURI MULTISTRAT DIN HARTIE -PEJD- AL- SURLYN X 1 PLASTURE TRANSDERMIC

REPUBLICA CEHA

CUTIE CU 5 PLICURI COMPOZITE ALCATUITE DIN PET-ADEZIV-AL-SURLYN X 1 PLASTURE TRANSDERMIC

PS
PS

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

GMBH
GMBH
GMBH
GMBH

MUNDIPHARMA GES.M.B.H
MUNDIPHARMA GES.M.B.H

ZENTIVA K.S.
GEDEON RICHTER ROMANIA SA

DOLFORIN 100 g/ORA

PLASTURE TRANSDERMIC

FENTANYL TTS SANDOZ 25 mcg/h

PLASTURE TRANSDERMIC

100g/ora
25mcg/h

FENTANYL ACTAVIS 25micrograme/h

PLASTURE TRANSDERMIC

25micrograme/h ACTAVIS GROUP PTC EHF.

ALGOGESIC 25 micrograme/ora

PLASTURE TRANSDERMIC

25micrograme/ora

ZENTIVA K.S.
GEDEON RICHTER ROMANIA SA

SANDOZ S.R.L.

DOLFORIN 25 g/ORA

PLASTURE TRANSDERMIC

FENTANYL TTS SANDOZ 50 mcg/h

PLASTURE TRANSDERMIC

25g/ora
50mcg/h

FENTANYL ACTAVIS 50micrograme/h

PLASTURE TRANSDERMIC

50micrograme/h ACTAVIS GROUP PTC EHF.

ALGOGESIC 50 micrograme/ora

PLASTURE TRANSDERMIC

50micrograme/ora

ZENTIVA K.S.
GEDEON RICHTER ROMANIA SA

DOLFORIN 50 g/ORA

PLASTURE TRANSDERMIC
PLASTURE TRANSDERMIC

50g/ora
75mcg/h

ALGOGESIC 75 micrograme/ora

PLASTURE TRANSDERMIC

75micrograme/ora

DOLFORIN 75 g/ORA
TRALGIT 50
TRAMADOL
MABRON 50 mg
K-ALMA (R)
TRAMADOL LPH 50 mg
TRAMADOL ARENA
TRAMACALM
TRAMADOL ZENTIVA 50 mg
TRAMAG 50
TRAMADOL EEL
TRAMADOLOR (R) 100 ID
TRALGIT SR 100

PLASTURE TRANSDERMIC

CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
COMPR.
COMPR.
COMPR. ELIB. MODIF.

COMPR. ELIB. PREL.

TRAMADOL RETARD 100 mg COMPR. ELIB. PREL.


TRAMADOL SR ZENTIVA 100 mg COMPR. ELIB. PREL.

TRALGIT SR 150
TRADOLAN RETARD 150 mg

COMPR. ELIB. PREL.


COMPR. ELIB. PREL.

TRAMADOL SR ZENTIVA 150 mg COMPR. ELIB. PREL.

TRADOLAN RETARD 200 mg COMPR. ELIB. PREL.


TRADOLAN 50 mg
COMPR. FILM.
TRAMAL RETARD 100 mg COMPR. FILM. ELIB. PREL.
TRAMAL RETARD 150 mg COMPR. FILM. ELIB. PREL.
TRAMADOL RETARD 150 mg COMPR. FILM. ELIB. PREL.
TRAMAL RETARD 200 mg COMPR. FILM. ELIB. PREL.
TRAMADOL RETARD 200 mg COMPR. FILM. ELIB. PREL.
TRALGIT 50 mg
COMPR. ORODISPERSABILE
TRAMADOL ZENTIVA 50 mg COMPR. ORODISPERSABILE

75g/ora
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
100mg
100mg
100mg
100mg
150mg
150mg
150mg
200mg
50mg
100mg
150mg
150mg
200mg
200mg
50mg
50mg

Prescriptie

AUSTRIA

100micrograme/ora

FENTANYL TTS SANDOZ 75 mcg/h

AMBALAJ

LANNACHER HEILMITTEL GES.M.B.H.

FENTANYL ACTAVIS 100micrograme/h PLASTURE TRANSDERMIC 100micrograme/h ACTAVIS GROUP PTC EHF.

ALGOGESIC 100 micrograme/ora

TARA
DET. APP

SANDOZ S.R.L.

ROMANIA
ROMANIA

PS

CUTIE X 4 BLIST. X 14 COMPR. FILM. ELIB. MODIF. P-TS


CUTIE X 4 BLIST. X 14 COMPR. FILM. ELIB. MODIF. P-TS
CUTIE X 4 BLIST. X 14 COMPR. FILM. ELIB. MODIF. P-TS
CUTIE X 1 FLAC. DIN PP X 56 COMPR. ELIB. PREL.
CUTIE X 1 FLAC. DIN PP X 56 COMPR. ELIB. PREL.
CUTIE X 1 FLAC. DIN PP X 56 COMPR. ELIB. PREL.

PS
PS
PS
P-TS

ISLANDA

CUTIE X 5 PLICURI MULTISTRAT DIN HARTIE -PEJD- AL- SURLYN X 1 PLASTURE TRANSDERMIC

REPUBLICA CEHA

CUTIE CU 5 PLICURI COMPOZITE ALCATUITE DIN PET-ADEZIV-AL-SURLYN X 1 PLASTURE TRANSDERMIC

PS
PS

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

ROMANIA
ROMANIA

ISLANDA

CUTIE X 5 PLICURI MULTISTRAT DIN HARTIE -PEJD- AL- SURLYN X 1 PLASTURE TRANSDERMIC

REPUBLICA CEHA

CUTIE CU 5 PLICURI COMPOZITE ALCATUITE DIN PET-ADEZIV-AL-SURLYN X 1 PLASTURE TRANSDERMIC

PS
PS

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

ROMANIA
ROMANIA

SANDOZ S.R.L.
ZENTIVA K.S.

REPUBLICA CEHA

CUTIE CU 5 PLICURI COMPOZITE ALCATUITE DIN PET-ADEZIV-AL-SURLYN X 1 PLASTURE TRANSDERMIC

PS

GEDEON RICHTER ROMANIA SA

ROMANIA

CUTIE X 5 PLICURI DIN PES-AL-PP X 1 PLASTURE TRANSDERMIC

P-TS

ZENTIVA A.S.
KRKA D.D.
MEDOCHEMIE LTD.
ANTIBIOTICE SA

SLOVACIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.


SLOVENIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P-RF

CIPRU

CUTIE X 1 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 CU 1 BLIST. PVC/AL X 10 CAPS.
CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P-RF

ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-RF

GERMANIA CUTIE X 1 BLIST. X 10 COMPR. ELIB. MODIF.

P-RF

ROMANIA
LABORMED PHARMA SA ROMANIA
ARENA GROUP S.A. ROMANIA
A.C. HELCOR PHARMA S.R.L. ROMANIA

ZENTIVA A.S.
MAGISTRA C & C
BIO EEL SRL
HEXAL AG
ZENTIVA AS

SLOVACIA

SLOVACIA
KRKA, D.D., NOVO MESTO SLOVENIA
ZENTIVA AS
SLOVACIA
ZENTIVA AS
SLOVACIA

CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL.

P-RF

P-RF
P-RF
P-RF
P-RF
P-RF

P-RF

P-RF

CUTIE CU 3 BLIST. AL/PVC X 10 COMPR. ELIB. PREL. PRF

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

LANNACHER HEILMITTEL GES.M.B.H.

AUSTRIA

CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. CU ELIB. PREL.

PRF

ZENTIVA AS

SLOVACIA

CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL.

P-RF

AUSTRIA
AUSTRIA

CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. CU ELIB. PREL.

PRF

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.FILM.

P-RF

LANNACHER HEILMITTEL GES.M.B.H.


LANNACHER HEILMITTEL GES.M.B.H.

GRUNENTHAL GMBH GERMANIA


GRUNENTHAL GMBH GERMANIA

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

REPUBLICA SLOVACA

CUTIE CU 1 BLIST. OPA-AL-PVC/AL X 10 COMPR. ORODISPERSABILE

PRF

REPUBLICA SLOVACA

CUTIE CU 1 BLIST. OPA-AL-PVC/AL X 10 COMPR. ORODISPERSABILE

PRF

ZENTIVA, A.S.
ZENTIVA, A.S.

Pagina 85 din 204

CUTIE X 1 BLIST. AL/PVDC X 10 COMPR. FILM. CU ELIB. PREL. P-RF

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
amba
L
MAXIMAL/UT 213 alin.(1) lit.
UT (RON)
laj
(RON)
(RON)
a) si f)
PT. ADULTI

60
20
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
10
20
20
20
10
20
20
20
10
30
30
30
30
30
30
30
30
10
10
30
10
30
10
10

201.38
80.55
116.83
214.65
395.50
652.80
128.54
29.34
101.69
9.35
191.24
190.93
191.24
191.24
71.80
69.07
59.53
69.71
120.78
120.72
113.05
120.78
154.58
154.58
154.58
5.61
5.82
3.85
7.67
7.67
9.00
3.85
5.61
7.67
7.67
6.30
18.89
18.91
18.89
27.55
33.41
27.55
34.30
10.65
9.69
22.03
41.57
28.18
53.20
3.84
3.84

3.356333
4.027500
2.086250
3.833035
7.062500
11.657142
2.295357
0.523928
1.815892
1.870000
38.248000
38.186000
38.248000
38.248000
14.360000
13.814000
11.906000
13.942000
24.156000
24.144000
22.610000
24.156000
30.916000
30.916000
30.916000
0.280500
0.291000
0.385000
0.383500
0.383500
0.450000
0.385000
0.280500
0.383500
0.383500
0.630000
0.629666
0.630333
0.629666
0.918333
1.113666
0.918333
1.143333
0.355000
0.969000
2.203000
1.385666
2.818000
1.773333
0.384000
0.384000

3.356333
4.027500
0.861799
1.572999
2.370000
4.027599
2.295357
0.523928
1.815892
1.870000
38.248000
38.186000
38.248000
38.248000
14.287200
13.814000
11.906000
13.942000
24.156000
24.144000
22.610000
24.156000
30.916000
30.916000
30.916000
0.280500
0.291000
0.336600
0.336600
0.336600
0.336600
0.336600
0.280500
0.336600
0.336600
0.630000
0.629666
0.630333
0.629666
0.918333
1.101999
0.918333
1.143333
0.336600
0.755599
1.101999
1.101999
1.371999
1.371999
0.336600
0.336600

3.356333
4.027500
0.861799
1.572999
2.370000
4.027599
2.295357
0.523928
1.815892
1.870000
38.248000
38.186000
38.248000
38.248000
14.287200
13.814000
11.906000
13.942000
24.156000
24.144000
22.610000
24.156000
30.916000
30.916000
30.916000
0.280500
0.291000
0.336600
0.336600
0.336600
0.336600
0.336600
0.280500
0.336600
0.336600
0.630000
0.629666
0.630333
0.629666
0.918333
1.101999
0.918333
1.143333
0.336600
0.755599
1.101999
1.101999
1.371999
1.371999
0.336600
0.336600

NR.CRT

DCI

COD ATC

152 N02AX02
153 N02AX02
154 N02AX02
155 N02AX02
156 N02AX02
157 N02AX02
158 N07BC02
159 N07BC02
160 R05DA04
161 R05DA04
162 R05DA04
163 R05DA04
164 R05DA04
165 R05DA04
166 V03AC01
167 V03AC03
168 V03AC03
169 V03AC03

TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
METHADONUM
METHADONUM
CODEINUM
CODEINUM
CODEINUM
CODEINUM
CODEINUM
CODEINUM
DEFEROXAMINUM**3)
DEFERASIROXUM***
DEFERASIROXUM***
DEFERASIROXUM***

Denumire Comerciala

forma farm.

MABRON
MABRON
TRALGIT 100
TRAMADOL
TRAMADOL
TRAMADOL
SINTALGON 2,5 mg
METADON BIOEEL 5 mg
FOSFAT DE CODEINA 15 mg
CODEINA FOSFORICA
FARMACOD
CODEINA FOSFAT

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.
DESFERAL
LIOF. PT. SOL. INJ./PERF.
EXJADE 125mg
COMPR. DISP.
EXJADE 250mg
COMPR. DISP.
EXJADE 500mg
COMPR. DISP.

concentratie

100mg
100mg
100mg/2ml
50mg/ml
50mg/ml
100mg
2,5mg
5mg
15mg
15mg
15mg
15mg
15mg
15mg
500mg
125mg
250mg
500mg

DETINATOR APP

MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
ZENTIVA A.S.
KRKA D.D.
KRKA D.D.
KRKA D.D.
ZENTIVA S.A.
BIO EEL SRL
SINTOFARM SA
BIO EEL SRL
FARMACOM SA
SLAVIA PHARM SRL

TARA
DET. APP

AMBALAJ

Prescriptie

CIPRU
CIPRU

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
SLOVENIA
SLOVENIA
SLOVENIA

CUTIE X 5 FIOLE X 2 ML SOL. INJ.


CUTIE X 5 FIOLE X 1 ML
CUTIE X 5 FIOLE X 2 ML
CUTIE X 1 BLIST. X 5 SUPOZ.

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
LABORMED PHARMA SA ROMANIA
MAGISTRA C & C SRL ROMANIA

CUTIE X 2 BLIST. AL/PVC X 25 COMPR.

S/P-RF
S/P-RF
S/P-RF

P-RF

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.

P-RF

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.

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)

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL)

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL)

P-RF

P-RF
P-RF

PR
PR
PR

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
amba
L
MAXIMAL/UT 213 alin.(1) lit.
UT (RON)
laj
(RON)
(RON)
a) si f)
PT. ADULTI

5
9.83
1.966000
1.614720
1.614720
100 134.56
1.345600
1.345600
1.345600
5 12.28
2.456000
1.614720
1.614720
5
4.93
0.986000
0.986000
0.986000
5 13.10
2.620000
1.614720
1.614720
5
5.58
1.116000
1.116000
1.116000
50 24.41
0.488200
0.488200
0.488200
50 15.72
0.314400
0.314400
0.314400
30
6.01
0.200333
0.181200
0.181200
25
5.13
0.205200
0.181200
0.181200
20
3.02
0.151000
0.151000
0.151000
20
3.41
0.170500
0.170500
0.170500
20
3.19
0.159500
0.159500
0.159500
20
3.65
0.182500
0.181200
0.181200
10 135.07 13.507000 13.507000 13.507000
28 787.57 28.127500 28.127500 28.127500
28 1,631.03 58.251071 58.251071 58.251071
28 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
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28

N03AA02
N03AA02
N03AA02
N03AB02
N03AB02
N03AE01
N03AE01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01

PHENOBARBITALUM
PHENOBARBITALUM
PHENOBARBITALUM
PHENYTOINUM
PHENYTOINUM
CLONAZEPAMUM
CLONAZEPAMUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM

FENOBARBITAL 100 mg

COMPR.

FENOBARBITAL ARENA 100mg COMPR.

FENOBARBITAL 200 mg/ 2 ml SOL. INJ.


FENITOINA RICHTER 100 mg COMPR.

PHENHYDAN 250 mg/5 ml


RIVOTRIL
RIVOTRIL 2 mg
TEGRETOL (R) 200

SOL. INJ.
COMPR.
COMPR.
COMPR.
CARBAMAZEPINA LPH 200 mg COMPR.
CARBAVIM
COMPR.
CARBEPSIL 200
COMPR.
CARBAMAZEPIN
COMPR.
CARBAMAZEPIN EEL
COMPR.
FINLEPSIN
COMPR.
CARBAMAZEPINA ARENA 200 mg COMPR.
FINLEPSIN
COMPR.
CARBEPSIL 400
COMPR.
CARBAMAZEPINA ARENA 400 mg COMPR.
TIMONIL RETARD 150 mg COMPR. CU ELIB. PRELUNGITA
TIMONIL RETARD 300 mg COMPR. CU ELIBERARE PRELUNGITA
TIMONIL RETARD 600 mg COMPR. CU ELIBERARE PRELUNGITA
NEUROTOP (R) RETARD 300 mg COMPR. ELIB. PREL.
NEUROTOP (R) RETARD 600 mg COMPR. ELIB. PREL.

TEGRETOL CR 200
FINLEPSIN 200 RETARD
TEGRETOL CR 400
FINLEPSIN 400 RETARD
FINLEPSIN 400 RETARD

COMPR. FILM. ELIB. PREL.


COMPR. FILM. ELIB. PREL.
COMPR. FILM. ELIB. PREL.
COMPR. FILM. ELIB. PREL.
COMPR. FILM. ELIB. PREL.

100 mg
100mg
10%
100mg
250mg/5ml
0,5mg
2mg
200mg
200mg
200mg
200mg
200mg
200mg
200mg
200mg
200mg
400mg
400mg
150mg
300mg
600mg
300mg
600mg
200mg
200mg
400mg
400mg
400mg

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
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
GERMANIA CUTIE CU 5 FIOLE DIN STICLA INCOLORA X 5 ML SOL. INJ. P-RF
ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 50 COMPR. P-RF
ROCHE ROMANIA S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 30 COMPR. P-RF
NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L
LABORMED PHARMA SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L
DESITIN ARZNEIMITTEL GMBH

VIM SPECTRUM SRL ROMANIA


ROMANIA
SLAVIA PHARM SRL ROMANIA
BIO EEL SRL
ROMANIA

AC HELCOR PHARMA SRL

GERMANIA

CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L

CUTIE X 5 BLIST. X 10 COMPR.

P-6L

CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L


CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
CUTIE X 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.

P-6L

ROMANIA CUTIE X 5 BLIST. AL-HARTIE CERATA/PVC-PVDC X 10 COMPR.


AC HELCOR PHARMA SRL ROMANIA CUTIE X 5 BLIST. X 10 COMPR.
ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR.

P-6L

AWD PHARMA GMBH & CO.KG

S.C. TEVA PHARMACEUTICALS S.R.L.

P-6L
P-6L

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 5 BLIST. PVC/AL X 10 COMPR. CU ELIB. PRELUNGITA

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 5 BLIST. PVC/AL X 10 COMPR. CU ELIBERARE PRELUNGITA

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 5 BLIST. PVC/AL X 10 COMPR. CU ELIBERARE PRELUNGITA

P6L
P6L
P6L

GEROT PHARMAZEUTIKA GMBH

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

CUTIE X 5 BLIST. AL-PVC/PVDC X 10 COMPR. FILM. CU ELIB. PREL.

P-6L

CUTIE X 5 BLIST. AL-HARTIE/PVC-PVDC X 10 COMPR. FILM. ELIB. PREL.

P-6L

CUTIE X 3 BLIST. AL-PVC/PVDC X 10 COMPR. FILM. CU ELIB. PREL.

P-6L

GEROT PHARMAZEUTIKA GMBH

NOVARTIS PHARMA GMBH GERMANIA


S.C. TEVA PHARMACEUTICALS S.R.L.

ROMANIA

NOVARTIS PHARMA GMBH GERMANIA


AWD PHARMA GMBH & CO.KG

GERMANIA

CUTIE X 5 BLIST. AL-HARTIE CERATA/PVC-PVDC X 10 COMPR. FILM. ELIB. PREL.

P-6L

S.C. TEVA PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE X 5 BLIST. AL-HARTIE CERATA/PVC-PVDC X 10 COMPR. FILM. ELIB. PREL.

P-6L

Pagina 86 din 204

25
10
5
20
5
50
30
50
50
50
50
20
20
50
20
50
50
20
50
50
50
50
50
50
50
30
50
50

4.39
1.14
10.96
2.77
67.73
6.89
6.56
17.38
11.31
11.31
11.31
4.96
4.50
11.31
4.96
11.31
26.26
10.51
15.16
20.62
36.53
20.68
36.59
19.17
12.43
25.35
25.27
25.27

0.175600
0.114000
2.192000
0.138500
13.546000
0.137800
0.218666
0.347600
0.226200
0.226200
0.226200
0.248000
0.225000
0.226200
0.248000
0.226200
0.525200
0.525500
0.303200
0.412400
0.730600
0.413600
0.731800
0.383400
0.248600
0.845000
0.505400
0.505400

0.136800
0.114000
2.192000
0.138500
13.546000
0.137800
0.218666
0.270000
0.226200
0.226200
0.226200
0.248000
0.225000
0.226200
0.248000
0.226200
0.525200
0.525500
0.303200
0.412400
0.730600
0.413600
0.731800
0.270000
0.248600
0.606480
0.505400
0.505400

0.136800
0.114000
2.192000
0.138500
13.546000
0.137800
0.218666
0.270000
0.226200
0.226200
0.226200
0.248000
0.225000
0.226200
0.248000
0.226200
0.525200
0.525500
0.303200
0.412400
0.730600
0.413600
0.731800
0.270000
0.248600
0.606480
0.505400
0.505400

NR.CRT

29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79

COD ATC

N03AF01
N03AF01
N03AF02
N03AF02
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01

N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11

DCI

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
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**

Denumire Comerciala

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
ORFIRIL LONG 1000 mg
ORFIRIL LONG 500 mg
ORFIRIL SIROP
DEPAKINE
LAMOTRIX 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
LAMOTRIX 25 mg
LAMICTAL 25 mg
LAMOTRIX 50 mg
LAMOTRIGINE FARMAL 50 mg

LAMICTAL 50 mg
LAMOTRIGINA SUN 50 mg
LAMOTRIN 100 mg
LAMOTRIN 25 mg
LAMOTRIN 50 mg
LAMICTAL 2 mg
LAMICTAL 5 mg
TOPRAN 100 mg
TOPIRAMAT TEVA 100 mg
TOPIRAMAT ACTAVIS 100 mg

LUSITRAX 100mg
TORLEPTA 100 mg
TOPIRAMAT BLUEFISH 100 mg
TOPIRAMAT BLUEFISH 100 mg

TOPIRAMAT EGIS 100 mg


NEXTOP 100 mg
TOPAMAX 100 mg
TOPILEX 100 mg
TOPRAN 200 mg
TOPIRAMAT TEVA 200 mg

forma farm.

concentratie

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
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.
200mg
COMPR.
200mg
COMPR.
25mg
COMPR.
25mg
COMPR.
50mg
COMPR.
50mg
COMPR.
50mg
COMPR.
50mg
COMPR. DISP. 100mg
COMPR. DISP. 25mg
COMPR. DISP. 50mg
COMPR. DISP./MAST. 2mg
COMPR. DISP./MAST. 5mg
COMPR. FILM. 100mg
COMPR. FILM. 100mg
COMPR. FILM. 100mg
COMPR. FILM. 100mg
COMPR. FILM. 100mg
COMPR. FILM. 100mg
COMPR. FILM. 100mg
COMPR. FILM. 100mg
COMPR. FILM. 100mg
COMPR. FILM. 100mg
COMPR. FILM. 100mg
COMPR. FILM. 200mg
COMPR. FILM. 200mg
COMPR.FILM.ELIB.PREL

DETINATOR APP

TARA
DET. APP

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

AMBALAJ

NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM.


NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM.
DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 1 FLAC. DIN PP X 50 CAPS. CU MINICOMPR. CU ELIB. PRELUNG.

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 1 FLAC. DIN PP X 50 CAPS. CU MINICOMPR. CU ELIB. PREL.

GEROT PHARMAZEUTIKA GMBH

SANOFI-AVENTIS FRANCE

AUSTRIA
AUSTRIA
AUSTRIA
FRANTA
FRANTA

CUTIE X 2 FLAC. DIN PP X 50 COMPR. FILM. ELIB. PREL., DIVIZIBILE

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 COMPR.FILM. GASTROREZ.

SANOFI-AVENTIS FRANCE

FRANTA

CUTIE X 1 FLAC. DIN PP X 40 COMPR. FILM. GASTROREZ.

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 1 FLAC. DIN PP X 100 COMPR. FILM. GASTROREZ.

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 1 FLAC. DIN PP X 50 COMPR. FILM. GASTROREZ.

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 50 MINIPLICURI. DIN PET/AL/PE CU MINICOMPR. CU ELIB. PRELUNG.

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 50 MINIPLICURI. DIN PET/AL/PE CU MINICOMPR. CU ELIB. PRELUNG.

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 1 FLACON X 250 ML + LINGURITA DOZATOARE PP A 5 ML

GEROT PHARMAZEUTIKA GMBH


GEROT PHARMAZEUTIKA GMBH

SANOFI-AVENTIS FRANCE

CUTIE X 10 BLIST. AL/PVDC-PVC X 10 CAPS. MOI GASTROREZ.


CUTIE X 10 BLIST. AL/PVDC-PVC X 10 CAPS. MOI GASTROREZ.
CUTIE X 10 BLIST. AL/PVDC-PVCX 10 CAPS. MOI GASTROREZ.

CUTIE X 1 FLAC. PP X 30 COMPR. FILM. ELIB. PREL.

FRANTA CUTIE X 1 FLACON X 150 ML + 1 SERINGA PT. ADMIN. ORALA


MEDOCHEMIE LTD. CIPRU
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 3 BLIST. X 10 COMPR.
SANOFI - AVENTIS FRANCE

FARMAL INTERNATIONAL S.R.L.

ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.


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.
CIPRU
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 COMPR.
CIPRU
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
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.

THE WELLCOME FOUNDATION LTD. MAREA BRITANIE

CIPLA (UK) LIMITED


TORRENT PHARMA S.R.L.

MEDOCHEMIE LTD.
CIPLA (UK) LIMITED
MEDOCHEMIE LTD.
THE WELLCOME FOUNDATION LTD.

MEDOCHEMIE LTD.
FARMAL INTERNATIONAL S.R.L.
THE WELLCOME FOUNDATION LTD.

CIPLA (UK) LIMITED

ACTAVIS GROUP HF. ISLANDA


ACTAVIS GROUP HF. ISLANDA
ACTAVIS GROUP HF. ISLANDA

CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. DISPERSABILE


CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. DISPERSABILE
CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. DISPERSABILE

THE WELLCOME FOUNDATION LTD. MAREA BRITANIE

CUTIE X 1 FLAC. DIN PEID X 30 COMPR. DISP./MAST.

THE WELLCOME FOUNDATION LTD. MAREA BRITANIE

CUTIE X BLIST. PVC-PVDC/AL X 30 COMPR. DISP./MAST.

TERAPIA SA

ROMASTRU TRADING S.R.L.

ROMANIA CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM.


ROMANIA CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPR. FILM.
ROMANIA CUTIE X 6 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM.
ROMANIA CUTIE CU BLIST. PVC-PCTFE-PVC/AL-PVDC X 30 COMPR. FILM.

GLENMARK PHARMACEUTICALS S.R.O.

REPUBLICA CEHA

TEVA PHARMACEUTICALS S.R.L.

ACTAVIS S.R.L.

BLUEFISH PHARMACEUTICALS AB
BLUEFISH PHARMACEUTICALS AB

CUTIE CU BLIST. AL/AL X 30 COMPR. FILM.

SUEDIA CUTIE CU BLIST. AL/AL X 60 COMPR. FILM.


SUEDIA CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM.

TORRENT PHARMA S.R.L.

UNGARIA
ROMANIA

JOHNSON & JOHNSON D.O.O.

SLOVENIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.

LANNACHER HEILMITTEL GES.M.B.H.

AUSTRIA

CUTIE CU BLIST. PVC/PE/PVDC/AL X 30 COMPR. FILM.

EGIS PHARMACEUTICALS P.L.C.

TERAPIA SA
TEVA PHARMACEUTICALS S.R.L.

Pagina 87 din 204

CUTIE CU BLIST. PVC/PVDC/AL X 60 COMPR. FILM.


CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.

ROMANIA CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM.


ROMANIA CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPR. FILM.

Prescriptie

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
amba
L
MAXIMAL/UT 213 alin.(1) lit.
UT (RON)
laj
(RON)
(RON)
a) si f)
PT. ADULTI

50
1
P-6L
50
P-6L
50
P-6L
50
P-6L
50
P-6L 100
P-6L 100
P-6L 100
P-RF
30
P-6L 100
P-6L 100
P-6L
40
P-6L 100
P-6L
50
P-6L
50
P-6L
50
P-6L
1
P-6L
1
P-6L
30
P-6L
30
P-RF
30
P-6L
28
P-6L
56
P-6L
30
P-6L
30
P-6L
56
P-6L
30
P-6L
28
P-6L
30
P-RF
30
P-6L
28
P-6L
56
P-6L
30
P-6L
30
P-6L
30
P-6L
30
P-6L
30
P-6L
60
P-RF
30
P-RF
60
P-RF
30
P-RF
30
P-RF
60
P-RF
60
PRF
60
P-6L
30
P6L
28
P6L
30
P-6L
60
P-RF
30

12.43
22.51
64.73
118.30
17.52
26.76
20.26
23.10
33.65
16.06
34.40
15.41
10.72
22.39
21.57
94.92
35.24
19.24
17.77
28.86
28.86
28.84
40.13
52.11
28.24
60.33
99.51
7.26
10.40
14.41
14.42
20.69
26.89
28.84
3.82
16.95
0.28
0.76
165.90
90.25
159.80
87.45
80.21
142.68
142.68
133.79
87.16
40.80
83.27
310.81
159.08

0.248600
22.510000
1.294600
2.366000
0.350400
0.535200
0.202600
0.231000
0.336500
0.535333
0.344000
0.154100
0.268000
0.223900
0.431400
1.898400
0.704800
19.240000
17.770000
0.962000
0.962000
0.961333
1.433214
0.930535
0.941333
2.011000
1.776964
0.242000
0.371428
0.480333
0.480666
0.738928
0.480178
0.961333
0.127333
0.565000
0.009333
0.025333
2.765000
3.008333
2.663333
2.915000
2.673666
2.378000
2.378000
2.229833
2.905333
1.457142
2.775666
5.180166
5.302666

0.248600
22.510000
1.294600
2.366000
0.184920
0.268680
0.184920
0.231000
0.336500
0.403800
0.268680
0.154100
0.268000
0.223900
0.431400
1.898400
0.403800
19.240000
17.770000
0.962000
0.962000
0.961333
1.116642
0.930535
0.941333
2.011000
1.776964
0.152799
0.152799
0.480333
0.480666
0.576213
0.480178
0.961333
0.127333
0.565000
0.009333
0.025333
1.748570
1.748570
1.748570
1.748570
1.748570
1.748570
1.748570
1.748570
1.748570
1.457142
1.748570
5.180166
5.302666

0.248600
22.510000
1.294600
2.366000
0.184920
0.268680
0.184920
0.231000
0.336500
0.403800
0.268680
0.154100
0.268000
0.223900
0.431400
1.898400
0.403800
19.240000
17.770000
0.962000
0.962000
0.961333
1.116642
0.930535
0.941333
2.011000
1.776964
0.152799
0.152799
0.480333
0.480666
0.576213
0.480178
0.961333
0.127333
0.565000
0.009333
0.025333
1.748570
1.748570
1.748570
1.748570
1.748570
1.748570
1.748570
1.748570
1.748570
1.457142
1.748570
5.180166
5.302666

NR.CRT

80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99

COD ATC

N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11

100 N03AX11
101 N03AX11
102 N03AX12
103 N03AX12
104 N03AX12
105 N03AX12
106 N03AX12
107 N03AX12
108 N03AX12
109 N03AX12
110 N03AX12
111 N03AX12
112 N03AX12
113 N03AX12
114 N03AX12
115 N03AX12
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 N03AX14
129 N03AX14
130 N03AX14

DCI

TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**

Denumire Comerciala

NEXTOP 200 mg
TOPRAN 25 mg
TOPIRAMAT TEVA 25 mg
TOPIRAMAT ACTAVIS 25 mg
LUSITRAX 25 mg
TORLEPTA 25 mg
TOPIRAMAT BLUEFISH 25 mg

TOPIRAMAT EGIS 25 mg
NEXTOP 25 mg
TOPAMAX 25 mg
TOPILEX 25 mg
TOPRAN 50 mg
TOPIRAMAT TEVA 50 mg
TOPIRAMAT ACTAVIS 50 mg
LUSITRAX 50 mg
TORLEPTA 50 mg
TOPIRAMAT BLUEFISH 50 mg
TOPIRAMAT BLUEFISH 50 mg

TOPIRAMAT EGIS 50 mg
NEXTOP 50 mg
TOPAMAX 50 mg
TOPILEX 50 mg
GABAPENTIN AUROBINDO 100 mg

GABAGAMMA 100 mg
GRIMODIN 100 mg
GABAPENTINA PFIZER 100 mg
GABAPENTINA PFIZER 100 mg
GABAPENTIN ARENA 100 mg
GABAPENTIN AUROBINDO 300 mg

GABAGAMMA 300 mg
GABARAN 300 mg
GABALEPT 300 mg
GRIMODIN 300 mg
GABAPENTINA PFIZER 300 mg
GABAPENTINA PFIZER 300 mg
GABAPENTIN ARENA 300 mg
GABAPENTIN AUROBINDO 400 mg

GABAGAMMA 400 mg
GABARAN 400 mg
GABALEPT 400 mg
GRIMODIN 400 mg
GABAPENTINA PFIZER 400 mg
GABAPENTINA PFIZER 400 mg
GABAPENTIN ARENA 400 mg

GABARAN 600 mg
GRIMODIN 600 mg
GABARAN 800 mg
GRIMODIN 800 mg
LEVETIRACETAM TORRENT 1000 mg
LEVETIRACETAM G.L. PHARMA 1000 mg

LEVETIRACETAM TERAPIA 1000 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.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

concentratie

200mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
100 mg
100mg
100mg
100mg
100mg
100mg
300 mg
300mg
300mg
300mg
300mg
300mg
300mg
300mg
400 mg
400mg
400mg
400mg
400mg
400mg
400mg
400mg
600mg
600mg
800mg
800mg
1000 mg
1000 mg
1000 mg

TARA
DET. APP
AMBALAJ
TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L
TERAPIA SA
ROMANIA CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. P-6L
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPR. FILM. P-RF
ACTAVIS S.R.L.
ROMANIA CUTIE X 6 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. P-RF
ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU BLIST. PVC-PCTFE-PVC/AL-PVDC X 30 COMPR. FILM. P-RF
DETINATOR APP

Prescriptie

CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-RF

GLENMARK PHARMACEUTICALS S.R.O.

REPUBLICA CEHA

BLUEFISH PHARMACEUTICALS AB

SUEDIA CUTIE CU BLIST. AL/AL X 60 COMPR. FILM.

UNGARIA
TORRENT PHARMA S.R.L. ROMANIA

EGIS PHARMACEUTICALS P.L.C.

CUTIE CU BLIST. PVC/PVDC/AL X 60 COMPR. FILM.

JOHNSON & JOHNSON D.O.O.

SLOVENIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.

AUSTRIA

CUTIE CU BLIST. PVC/PE/PVDC/AL X 30 COMPR. FILM.

TERAPIA SA

ROMASTRU TRADING S.R.L.

ROMANIA CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM.


ROMANIA CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPR. FILM.
ROMANIA CUTIE X 6 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM.
ROMANIA CUTIE CU BLIST. PVC-PCTFE-PVC/AL-PVDC X 30 COMPR. FILM.

GLENMARK PHARMACEUTICALS S.R.O.

REPUBLICA CEHA

ACTAVIS S.R.L.

BLUEFISH PHARMACEUTICALS AB
BLUEFISH PHARMACEUTICALS AB

UNGARIA
TORRENT PHARMA S.R.L. ROMANIA

P6L
P6L
P-6L
P-RF
P-RF
P-RF

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.

EGIS PHARMACEUTICALS P.L.C.

PRF

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L

LANNACHER HEILMITTEL GES.M.B.H.

TEVA PHARMACEUTICALS S.R.L.

P-RF

CUTIE CU BLIST. PVC/PVDC/AL X 60 COMPR. FILM.

P-RF
P-RF

PRF

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L

JOHNSON & JOHNSON D.O.O.

SLOVENIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.

LANNACHER HEILMITTEL GES.M.B.H.

AUSTRIA

CUTIE CU BLIST. PVC/PE/PVDC/AL X 30 COMPR. FILM.

P6L
P6L
P6L

AUROBINDO PHARMA LIMITED

MAREA BRITANIE

CUTIE CU BLIST. DIIN POLIAMIDA/AL/PVC-AL X 50 CAPS.

WORWAG PHARMA GMBH & CO. KG

GERMANIA 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

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE CU BLIST. PVC/PVDC/AL X 50 CAPS.

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE CU BLIST. PVC/PVDC/AL X 100 CAPS.

P6L
P6L
P6L
P6L

ARENA GROUP S.A. ROMANIA

CUTIE CU 6 BLIST. TRANSPARENTE PVC-PVDC/AL X 10 CAPS.

AUROBINDO PHARMA LIMITED

MAREA BRITANIE

CUTIE CU BLIST. POLIAMIDA/AL/PVC-AL X 50 CAPS.

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

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE CU BLIST. PVC/PVDC/AL X 50 CAPS.

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE CU BLIST. PVC/PVDC/AL X 100 CAPS.

P6L
P6L
P6L
P6L

ARENA GROUP S.A. ROMANIA

CUTIE CU 6 BLIST. TRANSPARENTE PVC-PVDC/AL X 10 CAPS.

AUROBINDO PHARMA LIMITED

MAREA BRITANIE

CUTIE CU BLIST. POLIAMIDA/AL/PVC-AL X 50 CAPS.

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

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE CU BLIST. PVC/PVDC/AL X 50 CAPS.

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE CU BLIST. PVC/PVDC/AL X 100 CAPS.

P6L
P6L
P6L

ARENA GROUP S.A. ROMANIA


RANBAXY UK LTD. MAREA BRITANIE

CUTIE CU 6 BLIST. TRANSPARENTE PVC-PVDC/AL X 10 CAPS.

CUTIE X 3 BLIST. AL-PVC-PA/AL X 10 COMPR. FILM. P-6L

EGIS PHARMACEUTICALS P.L.C.

UNGARIA

CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM.

RANBAXY UK LTD.

MAREA BRITANIE

CUTIE X 3 BLIST. AL-PVC-PA/AL X 10 COMPR. FILM. P-6L

UNGARIA
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 CU BLIST. PVC/AL X 30 COMPR. FILM.

PRF

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMP.FILM.

PRF

EGIS PHARMACEUTICALS P.L.C.

TORRENT PHARMA S.R.L.

G.L. PHARMA GMBH AUSTRIA


TERAPIA S.A.
ROMANIA

Pagina 88 din 204

P-6L

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
amba
L
MAXIMAL/UT 213 alin.(1) lit.
UT (RON)
laj
(RON)
(RON)
a) si f)
PT. ADULTI

30
60
30
60
30
30
60
60
30
28
30
60
30
60
30
30
60
60
60
30
28
30
50
100
60
50
100
60
50
100
50
100
60
50
100
60
50
100
50
100
60
50
100
60
30
60
30
60
30
30
30

155.05
53.96
29.21
55.59
27.87
26.67
51.29
48.19
27.57
16.21
27.57
97.27
53.67
89.22
51.21
44.81
84.54
84.54
74.80
50.82
27.58
47.86
7.20
60.61
33.34
22.54
43.63
23.56
21.80
133.56
65.96
133.09
63.62
47.92
91.03
51.89
28.81
175.18
72.72
169.16
85.96
64.12
121.79
64.86
65.21
123.68
104.24
197.38
114.07
104.85
114.11

5.168333
0.899333
0.973666
0.926500
0.929000
0.889000
0.854833
0.803166
0.919000
0.578928
0.919000
1.621166
1.789000
1.487000
1.707000
1.493666
1.409000
1.409000
1.246666
1.694000
0.985000
1.595333
0.144000
0.606100
0.555666
0.450800
0.436300
0.392666
0.436000
1.335600
1.319200
1.330900
1.060333
0.958400
0.910300
0.864833
0.576200
1.751800
1.454400
1.691600
1.432666
1.282400
1.217900
1.081000
2.173666
2.061333
3.474666
3.289666
3.802333
3.495000
3.803666

5.168333
0.694713
0.694713
0.694713
0.694713
0.694713
0.694713
0.694713
0.694713
0.578928
0.694713
1.182000
1.182000
1.182000
1.182000
1.182000
1.182000
1.182000
1.182000
1.182000
0.985000
1.182000
0.144000
0.172800
0.172800
0.172800
0.172800
0.172800
0.436000
0.523200
0.523200
0.523200
0.523200
0.523200
0.523200
0.523200
0.576200
0.691440
0.691440
0.691440
0.691440
0.691440
0.691440
0.691440
2.173666
2.061333
3.474666
3.289666
3.802333
3.495000
3.803666

5.168333
0.694713
0.694713
0.694713
0.694713
0.694713
0.694713
0.694713
0.694713
0.578928
0.694713
1.182000
1.182000
1.182000
1.182000
1.182000
1.182000
1.182000
1.182000
1.182000
0.985000
1.182000
0.144000
0.172800
0.172800
0.172800
0.172800
0.172800
0.436000
0.523200
0.523200
0.523200
0.523200
0.523200
0.523200
0.523200
0.576200
0.691440
0.691440
0.691440
0.691440
0.691440
0.691440
0.691440
2.173666
2.061333
3.474666
3.289666
3.802333
3.495000
3.803666

NR.CRT

COD ATC

131 N03AX14
132 N03AX14
133 N03AX14
134 N03AX14
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
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 N03AX14
176 N03AX14
177 N03AX14
178 N03AX14
179 N03AX14
180 N03AX14
181 N03AX14

DCI

LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**

Denumire Comerciala

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
LEVETIRACETAM AUROBINDO 1000 mg

MYAKELL 1000 mg
NORMEG 1000 mg
VETIRA 1000 mg
LEVELANZ 1000 mg
LEVELANZ 1000 mg
LEVETIRACETAM POLIPHARMA 1000mg

LEVETIRACETAM TEVA 250 mg


LEVETIRACETAM TORRENT 250 mg
LEVETIRACETAM G.L. PHARMA 250 mg

LEVETIRACETAM TERAPIA 250 mg

KEPPRA 250 mg
LEVETIRACETAM ACTAVIS 250mg
LEVETIRACETAM ACCORD 250mg
LEVETIRACETAM PHARMASWISS 250 mg

TRUND 250 mg
EPILETAM 250 mg
LEVETIRACETAM AUROBINDO 250 mg

MYAKELL 250 mg
NORMEG 250 mg
VETIRA 250 mg
LEVELANZ 250 mg
LEVELANZ 250 mg
LEVETIRACETAM POLIPHARMA 250mg

LEVETIRACETAM TORRENT 500 mg


LEVETIRACETAM G.L. PHARMA 500 mg

LEVETIRACETAM TERAPIA 500 mg

KEPPRA 500 mg
LEVETIRACETAM ACCORD 500mg

LEVETIRACETAM ACTAVIS 500mg


LEVETIRACETAM PHARMASWISS 500 mg

LEVETIRACETAM TEVA 500 mg

TRUND 500 mg
EPILETAM 500 mg
LEVETIRACETAM DR. REDDY'S 500 mg

LERETAN 500 mg
LEVETIRACETAM AUROBINDO 500 mg

MYAKELL 500 mg
NORMEG 500 mg
VETIRA 500 mg
LEVELANZ 500 mg
LEVELANZ 500 mg

forma farm.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

concentratie

1000mg
1000mg
1000mg
1000mg
1000mg
1000mg
1000mg
1000mg
1000mg
1000mg
1000mg
1000mg
1000mg
1000mg
1000mg
1000mg
250 mg
250 mg
250 mg
250 mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
500 mg
500 mg
500 mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg

DETINATOR APP

TARA
DET. APP

AMBALAJ

Prescriptie

UCB PHARMA SA

BELGIA

CUTIE X 30 COMPR. FILM.1 (BLIST. AL/PVC) P-RF

ACCORD HEALTHCARE LIMITED

MAREA BRITANIE

CUTIE CU BLIST. AL/PVC X 30 COMPR. FILM.

PRF

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE CU BLIST. DIN 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

TEVA PHARMA

OLANDA

CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR.FILM.

PRF

GLENMARK PHARMACEUTICALS S.R.O.

REPUBLICA CEHA

CUTIE CU 6 BLIST. AL/PVC-PE-PVDC X 10 COMPR. FILM.

PRF

UNGARIA
DR. REDDY'S LABORATORIES ROMANIA
LABORMED PHARMA S.A. ROMANIA

CUTIE CU 3 BLIST. AL/PVC-PE-PVDC X 10 COMPR. FILM.

PRF

EGIS PHARMACEUTICALS P.L.C.

CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF


CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM.

PRF

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

CUTIE CU BLIST. PVC/PE/PVDC/AL X 30 COMPR. FILM.

PRF

ROMASTRU TRADING SRL

ROMANIA

CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM.

PRF

ZENTIVA, K.S.

REPUBLICA CEHA

CUTIE CU 3 BLIST. PVC/AL X 10 COMPR.FILM. PRF

CHIESI PHARMACEUTICALS GMBH

AUSTRIA

CUTIE CU BLIST. AL/PVC-PE-PVDC X 30 COMPR.

ABBOTT LABORATORIES LTD.

MAREA BRITANIE

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. PRF

PRF

ABBOTT LABORATORIES LTD.

MAREA BRITANIE

CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM.

PRF

POLIPHARMA INDUSTRIES S.R.L.

ROMANIA

CUTIE CU 3 BLIST. DIN PVC/AL A CATE 10 COMPR.FILM

PRF

TEVA PHARMA

OLANDA

CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR.FILM.

PRF

TORRENT PHARMA S.R.L.

ROMANIA

CUTIE CU BLIST. DIN PVC-PVDC/AL X 30 COMPR. FILM.

PRF

G.L. PHARMA GMBH AUSTRIA CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM.


TERAPIA S.A.
ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR.FILM.
UCB PHARMA SA
BELGIA CUTIE X 30 COMPR. FILM. (BLIST. AL/PVC)
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. DIN AL/PVC X 30 COMPR. FILM.

PRF
PRF
P-RF

PRF

ACCORD HEALTHCARE LIMITED

MAREA BRITANIE

CUTIE CU BLIST. AL/PVC X 30 COMPR. FILM.

PHARMASWISS CESKA REPUBLIKA S.R.O.

REPUBLICA CEHA

CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. FILM. PRF

GLENMARK PHARMACEUTICALS S.R.O.

REPUBLICA CEHA

CUTIE CU 6 BLIST. AL/PVC-PE-PVDC X 10 COMPR. FILM.

PRF

EGIS PHARMACEUTICALS P.L.C.

UNGARIA

CUTIE CU 3 BLIST. AL/PVC-PE-PVDC X 10 COMPR. FILM.

PRF

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM.

PRF

ROMASTRU TRADING SRL

ROMANIA

CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM.

PRF

ZENTIVA, K.S.

REPUBLICA CEHA

CUTIE CU 3 BLIST. PVC/AL X 10 COMPR.FILM. PRF

CHIESI PHARMACEUTICALS GMBH

AUSTRIA

CUTIE CU BLIST. AL/PVC-PE-PVDC X 30 COMPR.

ABBOTT LABORATORIES LTD.

MAREA BRITANIE

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. PRF

ABBOTT LABORATORIES LTD.

MAREA BRITANIE

ROMANIA
TORRENT PHARMA S.R.L. ROMANIA

POLIPHARMA INDUSTRIES S.R.L.

PRF

PRF

CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM.

PRF

CUTIE CU 3 BLIST. DIN PVC/AL A CATE 10 COMPR.FILM

PRF

CUTIE CU BLIST. DIN PVC-PVDC/AL X 30 COMPR. FILM.

PRF

G.L. PHARMA GMBH AUSTRIA CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM.


TERAPIA S.A.
ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR.FILM.
UCB PHARMA LTD BELGIA CUTIE X 30 COMPR. FILM. (BLIST. AL/PVC)

PRF
PRF
P-RF

ACCORD HEALTHCARE LIMITED

MAREA BRITANIE

CUTIE CU BLIST. AL/PVC X 30 COMPR. FILM.

PRF

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE CU BLIST. DIN 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

TEVA PHARMA

OLANDA

CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR.FILM.

PRF

GLENMARK PHARMACEUTICALS S.R.O.

REPUBLICA CEHA

CUTIE CU 6 BLIST. AL/PVC-PE-PVDC X 10 COMPR. FILM.

PRF

UNGARIA
DR. REDDY'S LABORATORIES ROMANIA
LABORMED PHARMA S.A. ROMANIA

CUTIE CU 3 BLIST. AL/PVC-PE-PVDC X 10 COMPR. FILM.

PRF

EGIS PHARMACEUTICALS P.L.C.

CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF


CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM.

PRF

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM.

PRF

ROMASTRU TRADING SRL

ROMANIA

CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM.

PRF

ZENTIVA, K.S.

REPUBLICA CEHA

CUTIE CU 3 BLIST. PVC/AL X 10 COMPR.FILM. PRF

CHIESI PHARMACEUTICALS GMBH

AUSTRIA

CUTIE CU BLIST. AL/PVC-PE-PVDC X 30 COMPR.

ABBOTT LABORATORIES LTD.

MAREA BRITANIE

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. PRF

ABBOTT LABORATORIES LTD.

MAREA BRITANIE

CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM.

Pagina 89 din 204

PRF
PRF

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
amba
L
MAXIMAL/UT 213 alin.(1) lit.
UT (RON)
laj
(RON)
(RON)
a) si f)
PT. ADULTI

30
30
30
30
30
60
30
30
30
30
30
30
30
28
28
30
30
30
30
30
30
30
30
30
60
30
30
30
30
30
28
28
30
30
30
30
30
30
30
30
30
60
30
30
30
30
30
30
30
28
28

166.48
222.85
101.18
114.11
114.11
216.42
108.21
100.56
120.67
97.77
114.11
114.11
114.11
106.51
106.51
97.77
31.08
26.50
29.23
30.82
46.27
31.08
61.87
31.06
53.20
30.09
22.17
31.08
31.08
31.08
29.00
29.00
30.09
56.89
56.63
58.90
87.23
117.50
49.73
59.70
59.67
113.40
56.71
50.06
60.08
47.42
60.06
59.67
59.64
55.72
55.72

5.549333
7.428333
3.372666
3.803666
3.803666
3.607000
3.607000
3.352000
4.022333
3.259000
3.803666
3.803666
3.803666
3.803928
3.803928
3.259000
1.036000
0.883333
0.974333
1.027333
1.542333
1.036000
2.062333
1.035333
0.886666
1.003000
0.739000
1.036000
1.036000
1.036000
1.035714
1.035714
1.003000
1.896333
1.887666
1.963333
2.907666
3.916666
1.657666
1.990000
1.989000
1.890000
1.890333
1.668666
2.002666
1.580666
2.002000
1.989000
1.988000
1.990000
1.990000

3.910800
3.910800
3.372666
3.803666
3.803666
3.607000
3.607000
3.352000
3.910800
3.259000
3.803666
3.803666
3.803666
3.803928
3.803928
3.259000
0.886800
0.883333
0.886800
0.886800
0.886800
0.886800
0.886800
0.886800
0.886666
0.886800
0.739000
0.886800
0.886800
0.886800
0.886800
0.886800
0.886800
1.896333
1.887666
1.896799
1.896799
1.896799
1.657666
1.896799
1.896799
1.890000
1.890333
1.668666
1.896799
1.580666
1.896799
1.896799
1.896799
1.896799
1.896799

3.910800
3.910800
3.372666
3.803666
3.803666
3.607000
3.607000
3.352000
3.910800
3.259000
3.803666
3.803666
3.803666
3.803928
3.803928
3.259000
0.886800
0.883333
0.886800
0.886800
0.886800
0.886800
0.886800
0.886800
0.886666
0.886800
0.739000
0.886800
0.886800
0.886800
0.886800
0.886800
0.886800
1.896333
1.887666
1.896799
1.896799
1.896799
1.657666
1.896799
1.896799
1.890000
1.890333
1.668666
1.896799
1.580666
1.896799
1.896799
1.896799
1.896799
1.896799

NR.CRT

COD ATC

182 N03AX14
183 N03AX14
184 N03AX14
185 N03AX14
186 N03AX14
187 N03AX14
188 N03AX14
189 N03AX14
190 N03AX14
191 N03AX14
192 N03AX14
193 N03AX14
194 N03AX14
195 N03AX14
196 N03AX16
197 N03AX16
198 N03AX16
199 N03AX16
200 N03AX16
201 N03AX16

DCI

LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
PREGABALINUM***
PREGABALINUM***
PREGABALINUM***
PREGABALINUM***
PREGABALINUM***
PREGABALINUM***

Denumire Comerciala

forma farm.

LEVETIRACETAM POLIPHARMA 750mg

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

LEVETIRACETAM DESITIN 1000 mg

GRANULE ACOPERITE, IN PLIC UNIDOZA

LEVETIRACETAM DESITIN 250 mg

GRANULE ACOPERITE, IN PLIC UNIDOZA

LEVETIRACETAM DESITIN 500 mg

GRANULE ACOPERITE, IN PLIC UNIDOZA

LEVETIRACETAM DESITIN 750 mg

GRANULE ACOPERITE, IN PLIC UNIDOZA

LEVETIRACETAM POLIPHARMA 500mg

LEVETIRACETAM TORRENT 750 mg

VETIRA 750 mg
MYAKELL 750 mg

LEVETIRACETAM ACTAVIS GROUP 100mg/ml

KEPPRA 100 mg/ml


TRUND 100 mg/ml
LEVETIRACETAM RATIOPHARM 100mg/ml

VETIRA 100 mg/ml


LYRICA 150 mg
LYRICA 150 mg
LYRICA 300 mg
LYRICA 300 mg
LYRICA 75 mg
LYRICA 75 mg

concentratie

SOL. ORALA
SOL. ORALA
SOL. ORALA
SOL. ORALA
SOL. ORALA
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.

500mg
750 mg
750mg
750mg
750mg
1000mg
250mg
500mg
750mg
100 mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
150mg
150mg
300mg
300mg
75mg
75mg

COMPR.
COMPR.

2mg
2mg

TARA
DET. APP
POLIPHARMA INDUSTRIES S.R.L. ROMANIA
TORRENT PHARMA S.R.L. ROMANIA
DETINATOR APP

AMBALAJ

Prescriptie

CUTIE CU 3 BLIST. DIN PVC/AL A CATE 10 COMPR.FILM

PRF

CUTIE CU BLIST. DIN PVC-PVDC/AL X 30 COMPR. FILM.

PRF

AUSTRIA

CUTIE CU BLIST. AL/PVC-PE-PVDC X 30 COMPR.

PRF

CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM.

PRF

POLIPHARMA INDUSTRIES S.R.L.

ROMANIA
ROMANIA

CUTIE CU 3 BLIST. DIN PVC/AL A CATE 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

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE CU 60 PLICURI UNIDOZA DIN HARTIE/AL/PE CONTINAND GRANULE ACOPERITE

PRF

ACTAVIS GROUP PTC EHF.

CUTIE CU UN FLACON DIN STICLA BRUNA A 300ML, PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII, CU

PRF

UCB PHARMA SA

ISLANDA
BELGIA

CUTIE X 1 FLACON X 300 ML SOL. ORALA + SERINGA PT. ADMIN. ORALA

P-RF

GLENMARK PHARMACEUTICALS S.R.O.

REPUBLICA CEHA

CUTIE CU 1 FLAC DIN STICLA BRUNA X 300 ML SOL. ORALA + 1 SERINGA DOZATOARE (PP,PE) DE 10 ML SI UN AD

PRF

CUTIE CU UN FLACON DIN STICLA BRUNA A 300 ML, PREVAZUT CU SISTEM DE NCHIDERE SECURIZAT PENTRU COPI

PRF

CUTIE CU 1 FLAC. DIN STICLA BRUNA X 300 ML SOL. ORALA, + 1 SERINGA GRADATA (PP, PE) X 10 ML SI UN AD

PRF

CHIESI PHARMACEUTICALS GMBH

ROMASTRU TRADING SRL

RATIOPHARM GMBH GERMANIA


CHIESI PHARMACEUTICALS GMBH AUSTRIA

PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED

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

ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR.

P-6L

GERMANIA CUTIE CU 5 BLIST. PVC/AL X 10 COMPR.

P6L

MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE

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/
amba
L
MAXIMAL/UT 213 alin.(1) lit.
UT (RON)
laj
(RON)
(RON)
a) si f)
PT. ADULTI

30
30
30
30
30
30
30
30
60
1
1
1
1
1
14
56
56
14
14
56

47.42
78.51
85.68
94.20
78.51
120.67
34.74
59.67
188.00
114.11
166.48
114.03
114.11
114.11
76.16
288.91
422.67
114.28
53.71
193.52

50
50
100
30
30
100
100
7
100
100
100
100
100
100
50
40
30
28
30
28
30
28
28
28

25.33
10.57
58.87
23.59
15.73
62.05
74.57

1.580666
2.617000
2.856000
3.140000
2.617000
4.022333
1.158000
1.989000
3.133333
114.110000
166.480000
114.030000
114.110000
114.110000
5.440000
5.159107
7.547678
8.162857
3.836428
3.455714

1.580666
2.617000
2.856000
3.140000
2.617000
3.910800
0.886800
1.896799
3.133333
114.110000
136.836000
114.030000
114.110000
114.110000
5.440000
5.159107
7.547678
8.162857
3.836428
3.455714

1.580666
2.617000
2.856000
3.140000
2.617000
3.910800
0.886800
1.896799
3.133333
114.110000
136.836000
114.030000
114.110000
114.110000
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
19
20
21
22
23
24

N04AA01
N04AA02

TRIHEXYPHENIDYLUM
BIPERIDENUM

N04BA02 COMBINATII (LEVODOPUM+BENSERAZIDUM)**


N04BA02 COMBINATII (LEVODOPUM+BENSERAZIDUM)**

ROMPARKIN (R) 2 mg
AKINETON 2 mg
MADOPAR HBS
MADOPAR 200mg/50mg

N04BA02 COMBINATII (LEVODOPUM+BENSERAZIDUM)** LEVODOPA/BENSERAZIDE TEVA 200mg/50mg

COMBINATII (LEVODOPUM+CARBIDOPUM)** NAKOM


N04BA02 COMBINATII (LEVODOPUM+CARBIDOPUM)** ISICOM 250 mg/25 mg
N04BA02 COMBINATII (LEVODOPUM+CARBIDOPUM)** DUODOPA
N04BA03 COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)*** STALEVO 100 mg/25 mg/200 mg
N04BA02

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


STALEVO 200 mg/50 mg/200 mg
STALEVO 50 mg/12,5 mg/200 mg
STALEVO 75 mg/18,75 mg/200 mg

N04BA03 COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)***


N04BA03 COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)***
N04BA03 COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)***
N04BB01
N04BC01
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04

AMANTADINUM**
BROMOCRIPTINUM
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**

VIREGYT (R)- K
BROCRIPTIN (N04BC01)
ROPINIROL TEVA 2 mg
ROPINIROL LPH 2 mg
ROPINIROL TEVA 4 mg
ROPINIROL LPH 4 mg
ROPINIROL TEVA 8 mg
ROPINIROL LPH 8 mg
ROLPRYNA EP 2 mg
ROLPRYNA EP 4 mg

TERAPIA SA
DESMA GMBH

CAPS. ELIB. MODIF. 100mg+25mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 FLAC. X 100 CAPS. CU ELIB. MODIF. P-6L

COMPR.
COMPR.
COMPR.
COMPR.
GEL INT.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
CAPS.
DRAJ.
COMPR. CU ELIB. PREL.
COMPR. CU ELIB. PREL.
COMPR. CU ELIB. PREL.
COMPR. CU ELIB. PREL.
COMPR. CU ELIB. PREL.
COMPR. CU ELIB. PREL.
COMPR. CU ELIBERARE PRELUNGITA
COMPR. CU ELIBERARE PRELUNGITA

200mg+50mg ROCHE ROMANIA SRL


200mg/50mg TEVA PHARMACEUTICALS S.R.L.
250mg+25mg LEK PHARMACEUTICALS D.D.
250mg/25mg DESITIN ARZNEIMITTEL GMBH

ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR.


ROMANIA CUTIE X 1 FLACON PEID X 30 COMPR.

GERMANIA CUTIE X 10 BLIST. PP/AL X 10 COMPR. P-6L

SOLVAY PHARMACEUTICALS BV

GERMANIA

100mg/25mg/200mg

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

100mg
2,5mg
2mg
2mg
4mg
4mg
8mg
8mg
2 mg
4 mg

P-6L

SLOVENIA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. P-6L

FARA CONCENTRATIE

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.

PRF

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.

PRF

UNGARIA CUTIE X 1 FLAC. X 50 CAPS.


BIOFARM SA
ROMANIA CUTIE X 2 BLIST. AL/PVC X 20 DRAJ.
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA/AL/PVC-AL X 30 COMPR. ELIB. PRELUNG.
LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PCTFE/AL X 28 (4X7) COMPR. CU ELIB. PREL.
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA/AL/PVC-AL X 30 COMPR. ELIB. PRELUNG.
LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PCTFE/AL X 28 (4X7) COMPR. CU ELIB. PREL.
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA/AL/PVC-AL X 30 COMPR. ELIB. PRELUNG.
LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PCTFE/AL X 28 (4X7) COMPR. CU ELIB. PREL.

P-6L

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

EGIS PHARMACEUTICALS P.L.C.

Pagina 90 din 204

P-RF

PRF
PRF
PRF
PRF
PRF
PRF

3,424.76

414.46
414.46
414.46
544.89
414.46
414.46
17.07
21.16
42.74
39.89
81.12
75.71
153.89
143.63
39.89
75.71

0.506600
0.506600
0.506600
0.211400
0.211400
0.211400
0.588700
0.588700
0.588700
0.786333
0.629199
0.629199
0.524333
0.524333
0.524333
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
0.341400
0.341400
0.341400
0.529000
0.529000
0.529000
1.424666
1.424666
1.424666
1.424642
1.424642
1.424642
2.704000
2.704000
2.704000
2.703928
2.703928
2.703928
5.129666
5.129666
5.129666
5.129642
5.129642
5.129642
1.424642
1.424642
1.424642
2.703928
2.703928
2.703928

NR.CRT

25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75

COD ATC
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
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05

DCI

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**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**

Denumire Comerciala

ROLPRYNA EP 8 mg

forma farm.
COMPR. CU ELIBERARE PRELUNGITA

ROPINIROL AUROBINDO 2 mg COMPR. ELIB. PREL.

ROPINIROL ACTAVIS 2 mg
NERVAMAT 2 mg

COMPR. ELIB. PREL.


COMPR. ELIB. PREL.

ROPINIROL AUROBINDO 4 mg COMPR. ELIB. PREL.

NERVAMAT 4 mg
ROPINIROL ACTAVIS 4 mg

COMPR. ELIB. PREL.


COMPR. ELIB. PREL.

ROPINIROL AUROBINDO 8 mg COMPR. ELIB. PREL.

NERVAMAT 8 mg
ROPINIROL ACTAVIS 8 mg
REQUIP-MODUTAB 2 mg
REQUIP-MODUTAB 4 mg
REQUIP-MODUTAB 8 mg
OPRYMEA 0,088mg
MIPARKAN 0,18 mg
PRAMIPEXOL ZENTIVA 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

MIGLASEN 0,18 mg
PRAMIPEXOL TORRENT 0,18 mg

PRAXITAB 0,18mg
PRAMIPEXOL AUROBINDO 0,18 mg

MIGLASEN 0,18 mg
PRAMIPEXOLE ACCORD 0,35mg

MIPARKAN 0,7 mg
PRAMIPEXOL AUROBINDO 0,7 mg

PRAMIPEXOL ZENTIVA 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

MIGLASEN 0,7 mg
PRAMIPEXOL TORRENT 0,7 mg

PRAXITAB 0,7 mg
MIGLASEN 0,7 mg
MIRAPEXIN 0,26 mg
OPRYMEA 0,26mg
MIRAPEXIN 0,52 mg
OPRYMEA 0,52mg
MIRAPEXIN 1,05 mg
OPRYMEA 1,05mg
OPRYMEA 1,57mg
OPRYMEA 2,10mg

COMPR. ELIB. PREL.


COMPR. ELIB. PREL.
COMPR. FILM. ELIB. PREL.
COMPR. FILM. ELIB. PREL.
COMPR. FILM. ELIB. PREL.

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
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. ELIB. PREL.

concentratie

8 mg
2 mg
2mg
2mg
4 mg
4mg
4mg
8 mg
8mg
8mg
2mg
4mg
8mg
0,088mg
0,18 mg
0,18 mg
0,18mg
0,18mg
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
0,7 mg
0,7 mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,26mg
0,26mg
0,52mg
0,52mg
1,05mg
1,05mg
1,57mg
2,10mg

DETINATOR APP

TARA
DET. APP

KRKA ,D.D., NOVO MESTO SLOVENIA

AMBALAJ

Prescriptie

CUTIE CU BLIST. OPA - AL - PVC/AL X 28 COMPR. ELIB. PREL.

PRF

CUTIE CU BLIST. PVC-PCTFE/AL X 28 COMPR. ELIB. PREL.

PRF

ACTAVIS GROUP PTC EHF.

MALTA
ISLANDA

CUTIE CU BLIST. AL/AL X 28 COMPR. ELIB. PREL.

PRF

EGIS PHARMACEUTICALS P.L.C.

UNGARIA

CUTIE CU 4 BLIST. PVC-PCTFE/AL X 7 COMPR. ELIB. PREL.

PRF

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

CUTIE CU BLIST. PVC-PCTFE/AL X 28 COMPR. ELIB. PREL.

PRF

EGIS PHARMACEUTICALS P.L.C.

UNGARIA

CUTIE CU 4 BLIST. PVC-PCTFE/AL X 7 COMPR. ELIB. PREL.

PRF

ACTAVIS GROUP PTC EHF.

CUTIE CU BLIST. AL/AL X 28 COMPR. ELIB. PREL.

PRF

AUROBINDO PHARMA (MALTA) LIMITED

ISLANDA
MALTA

CUTIE CU BLIST. PVC-PCTFE/AL X 28 COMPR. ELIB. PREL.

PRF

EGIS PHARMACEUTICALS P.L.C.

UNGARIA

CUTIE CU 4 BLIST. PVC-PCTFE/AL X 7 COMPR. ELIB. PREL.

PRF

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE CU BLIST. AL/AL X 28 COMPR. ELIB. PREL.

PRF

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.
ZENTIVA, K.S.

SLOVENIA CUTIE X 30 COMPR. (BLIST. AL/AL)


REPUBLICA CEHA

CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. PRF

REPUBLICA CEHA

CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. PRF

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMANIA

CUTIE X 3 BLIST. X 10 COMPR.

AUROBINDO PHARMA (MALTA) LIMITED

P-RF

P-RF

KRKA D.D.
TEVA PHARMA BV
SANDOZ S.R.L.
MEDOCHEMIE LTD.

SLOVENIA CUTIE X 30 COMPR. (BLIST. AL/AL)

GLENMARK PHARMACEUTICALS S.R.O.

REPUBLICA CEHA

CUTIE CU BLIST. AL/AL X 30 COMPR.

RANBAXY (UK) LIMITED

MAREA BRITANIE

CUTIE CU BLIST. PA-AL-PVC X 30 COMPR. P-RF

P-RF

OLANDA CUTIE CU BLIST. AL/AL X 30 COMPR.

P-RF

ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR.

P-RF/R

CIPRU

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. PRF


P-RF

POLIPHARMA INDUSTRIES S.R.L.

ROMANIA CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P6L


ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-RF
ROMANIA CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P6L

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

ROMASTRU TRADING S.R.L.

TORRENT PHARMA S.R.L.

CUTIE CU BLIST. PA/AL/PVC-AL X 30 COMPR. PRF

NEOLA PHARMA S.R.L. ROMANIA CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P6L


PRF

ACCORD HEALTHCARE LIMITED

MAREA BRITANIE

CUTIE CU 3 BLIST. AL-PVC/AL A CATE 10 COMPR.

ZENTIVA, K.S.

REPUBLICA CEHA

CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. PRF

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

CUTIE CU BLIST. PA/AL/PVC-AL X 30 COMPR. PRF

ZENTIVA, K.S.

REPUBLICA CEHA

CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. PRF

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMANIA

CUTIE X 3 BLIST. X 10 COMPR.

P-RF

KRKA D.D.
TEVA PHARMA BV
SANDOZ S.R.L.
MEDOCHEMIE LTD.

SLOVENIA CUTIE X 30 COMPR. (BLIST. AL/AL)

GLENMARK PHARMACEUTICALS S.R.O.

REPUBLICA CEHA

CUTIE CU BLIST. AL/AL X 30 COMPR.

RANBAXY (UK) LIMITED

MAREA BRITANIE

CUTIE CU BLIST. PA-AL-PVC X 30 COMPR. P-RF

P-RF

OLANDA CUTIE CU BLIST. AL/AL X 30 COMPR.

P-RF

ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR.

P-RF/R

CIPRU

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. PRF


P-RF

ROMANIA CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P6L


ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-RF
POLIPHARMA INDUSTRIES S.R.L. ROMANIA CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P6L
NEOLA PHARMA S.R.L. ROMANIA CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P6L
ROMASTRU TRADING S.R.L.

TORRENT PHARMA S.R.L.

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMANIA CUTIE CU 1 BLIST.OPA-AL-PVC/AL X 10 COMPR.

P-RF

KRKA D.D.

SLOVENIA

P-RF

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMANIA CUTIE CU 3 BLIST.OPA-AL-PVC/AL X 10 COMPR.

P-RF

KRKA D.D.

SLOVENIA

P-RF

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMANIA CUTIE CU 3 BLIST.OPA-AL-PVC/AL X 10 COMPR.

P-RF

KRKA D.D.
KRKA D.D.
KRKA D.D.

SLOVENIA
SLOVENIA
SLOVENIA

CUTIE CU BLISTERE (OPA/AL/DES/PE-AL) X 30 COMPRIMATE CU ELIBERARE PRELUNGITA

P-RF

CUTIE CU BLISTERE (OPA/AL/DES/PE-AL) X 30 COMPRIMATE CU ELIBERARE PRELUNGITA

P-RF

CUTIE CU BLISTERE (OPA/AL/DES/PE-AL) X 30 COMPRIMATE CU ELIBERARE PRELUNGITA

P-RF

Pagina 91 din 204

CUTIE CU BLISTERE (OPA/AL/DES/PE-AL) X 30 COMPRIMATE CU ELIBERARE PRELUNGITA

CUTIE CU BLISTERE (OPA/AL/DES/PE-AL) X 30 COMPRIMATE CU ELIBERARE PRELUNGITA

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
amba
L
MAXIMAL/UT 213 alin.(1) lit.
UT (RON)
laj
(RON)
(RON)
a) si f)
PT. ADULTI

28
28
28
28
28
28
28
28
28
28
28
28
28
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
10
30
30
30
30
30
30
30

143.63
36.96
39.81
39.89
67.67
75.71
75.62
121.86
143.62
143.55
61.36
116.48
220.96
19.75
17.43
17.43
49.77
17.70
33.41
33.42
27.83
14.88
30.86
14.87
17.72
25.30
23.56
14.87
48.92
60.97
83.51
60.97
167.86
73.16
115.05
115.05
99.54
72.02
106.21
72.03
73.14
90.45
72.03
58.12
96.88
314.07
183.73
650.35
409.85
579.36
748.86

5.129642
1.320000
1.421785
1.424642
2.416785
2.703928
2.700714
4.352142
5.129285
5.126785
2.191428
4.160000
7.891428
0.658333
0.581000
0.581000
1.659000
0.590000
1.113666
1.114000
0.927666
0.496000
1.028666
0.495666
0.590666
0.843333
0.785333
0.495666
1.630666
2.032333
2.783666
2.032333
5.595333
2.438666
3.835000
3.835000
3.318000
2.400666
3.540333
2.401000
2.438000
3.015000
2.401000
5.812000
3.229333
10.469000
6.124333
21.678333
13.661666
19.312000
24.962000

5.129642
1.320000
1.421785
1.424642
2.416785
2.703928
2.700714
4.352142
5.129285
5.126785
1.584000
2.900142
5.222570
0.658333
0.581000
0.581000
0.594799
0.590000
0.594799
0.594799
0.594799
0.496000
0.594799
0.495666
0.590666
0.594799
0.594799
0.495666
1.630666
2.032333
2.438799
2.032333
2.438799
2.438666
2.438799
2.438799
2.438799
2.400666
2.438799
2.401000
2.438000
2.438799
2.401000
3.875199
3.229333
7.349199
6.124333
16.393999
13.661666
19.312000
24.962000

5.129642
1.320000
1.421785
1.424642
2.416785
2.703928
2.700714
4.352142
5.129285
5.126785
1.584000
2.900142
5.222570
0.658333
0.581000
0.581000
0.594799
0.590000
0.594799
0.594799
0.594799
0.496000
0.594799
0.495666
0.590666
0.594799
0.594799
0.495666
1.630666
2.032333
2.438799
2.032333
2.438799
2.438666
2.438799
2.438799
2.438799
2.400666
2.438799
2.401000
2.438000
2.438799
2.401000
3.875199
3.229333
7.349199
6.124333
16.393999
13.661666
19.312000
24.962000

NR.CRT

76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96

COD ATC
N04BC05
N04BC05
N04BC09
N04BC09
N04BC09
N04BC09
N04BC09
N04BC09
N04BC09
N04BC09
N04BD01
N04BD01
N04BD02

N04BX02
N04BX02
N04BX02
N04BX02
N04BX02
N04BX02
N05AH02
N05AH02

DCI

PRAMIPEXOLUM**
PRAMIPEXOLUM**
ROTIGOTINUM***
ROTIGOTINUM***
ROTIGOTINUM***
ROTIGOTINUM***
ROTIGOTINUM***
ROTIGOTINUM***
ROTIGOTINUM***
ROTIGOTINUM***
SELEGILINUM
SELEGILINUM
RASAGILINUM***
ENTACAPONUM***
ENTACAPONUM***
ENTACAPONUM***
ENTACAPONUM***
ENTACAPONUM***
ENTACAPONUM***
CLOZAPINUM**
CLOZAPINUM**

Denumire Comerciala

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
AZILECT 1mg
COMTAN 200mg
COMTAN 200mg
ENTACAPONE TEVA
ENCAPIA 200 mg
ENCAPIA 200 mg
ENCAPIA 200 mg
LEPONEX (R) 100 mg
LEPONEX (R) 25 mg

forma farm.
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. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR.
COMPR.

concentratie

2,1mg
3,15mg
2mg/24h
2mg/24h
4mg/24h
4mg/24h
6mg/24h
6mg/24h
8mg/24h
8mg/24h
5mg
5mg
1mg
200mg
200mg
200mg
200mg
200mg
200mg
100mg
25mg

DETINATOR APP

TARA
DET. APP

AMBALAJ

Prescriptie

30
30
28
7
7
28
28
7
28
7
50
100
30
100
30
100
30
60
100
50
50

20
30
P-RF
30
P-RF
20
CUTIE X 10COMPR.
P6L
10
CUTIE X30 COMPRIMATE
P6L
30
CUTIE X 1 FLACON X 50 ML
S
1
CUTIE X 5 FIOLE X 5 ML
S
5
CUTIE X 1 TUB DIN MATERIAL PLASTIC X 1 FIOLA X 10 ML
S
1
CUTIE X 10 FIOLE X 1 ML
S
10
PR
1
PR
1
PR
1
PR
1
P-RF
1
P-RF
1
P-RF
1
P-RF
1
CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. S/P-RF 100
CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM. PR 100
CUTIE X 1 BLIST. AL/PVC X 20 COMPR. P-6L
20
CUTIE X 1 FLAC. X 20 DRAJ.
S/P-RF
20

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMANIA CUTIE CU 3 BLIST.OPA-AL-PVC/AL X 10 COMPR.

P-RF

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMANIA CUTIE CU 3 BLIST.OPA-AL-PVC/AL X 10 COMPR.

P-RF

IRLANDA
IRLANDA
IRLANDA
IRLANDA
IRLANDA
IRLANDA
IRLANDA
IRLANDA
CIPRU
CIPRU

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.

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

CUTIE X 5 BLIST. DIN AL/PVC X 10 COMPR. P-6L


CUTIE X 10 BLIST. DIN AL/PVC 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

TEVA PHARMA B.V.


MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.

OLANDA
CIPRU
CIPRU
CIPRU

NOVARTIS PHARMA GMBH GERMANIA


NOVARTIS PHARMA GMBH GERMANIA

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
amba
L
MAXIMAL/UT 213 alin.(1) lit.
UT (RON)
laj
(RON)
(RON)
a) si f)
PT. ADULTI

CUTIE X 1 FLAC. DIN PEID X 100 COMPR. FILM PRF


CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM.

PRF

CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM.

PRF

CUTIE CU BLIST. PVC-PVDC/AL X 100 COMPR. FILM. PRF

CUTIE X 5 BLIST. X 10 COMPR.


CUTIE X 5 BLIST. X 10 COMPR.

P-RF
P-RF

367.49
98.15
101.65
382.31
477.57
127.57
571.41
154.18
36.31
70.37
523.59
391.65
125.26
257.35
81.41
154.40
257.35
106.79
33.65

40.995000
60.311000
13.124642
14.021428
14.521428
13.653928
17.056071
18.224285
20.407500
22.025714
0.726200
0.703700
17.453000
3.916500
4.175333
2.573500
2.713666
2.573333
2.573500
2.135800
0.673000

29.954400
60.311000
13.124642
14.021428
14.521428
13.653928
17.056071
18.224285
20.407500
22.025714
0.726200
0.703700
17.453000
3.087999
3.087999
2.573500
2.713666
2.573333
2.573500
2.135800
0.673000

29.954400
60.311000
13.124642
14.021428
14.521428
13.653928
17.056071
18.224285
20.407500
22.025714
0.726200
0.703700
17.453000
3.087999
3.087999
2.573500
2.713666
2.573333
2.573500
2.135800
0.673000

2.65
2.62
3.71
2.57
28.81
21.62
400.81
241.07
89.66
23.82
78.67
59.64
122.50
110.09
124.21
78.67
74.80
109.54
70.21
78.89
13.73
12.33

0.132500
0.087333
0.123666
0.128500
2.881000
0.720666
400.810000
48.214000
89.660000
2.382000
78.670000
59.640000
122.500000
110.090000
124.210000
78.670000
74.800000
109.540000
0.702100
0.788900
0.686500
0.616500

0.104799
0.087333
0.104799
0.104799
2.881000
0.720666
400.810000
48.214000
89.660000
2.382000
78.670000
59.640000
122.500000
110.090000
124.210000
78.670000
71.568000
109.540000
0.702100
0.788900
0.686500
0.616500

0.104799
0.087333
0.104799
0.104799
2.881000
0.720666
400.810000
48.214000
89.660000
2.382000
78.670000
59.640000
122.500000
110.090000
124.210000
78.670000
71.568000
109.540000
0.702100
0.788900
0.686500
0.616500

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

L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01

L04AX01
L04AX01
N07AA01
N07AA02

PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
METHOTREXATUM4)
METHOTREXATUM4)
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
AZATHIOPRINUM
AZATHIOPRINUM
NEOSTIGMINI BROMIDUM
PYRIDOSTIGMINI BROMIDUM

PREDNISON MCC 5 mg
PREDNISON ARENA 5 mg
PREDNISON 5 mg

COMPR.
COMPR.
COMPR.
PREDNISON - RICHTER 5 mg COMPR.
METHOTREXATE PCH 10mg COMPR.
METHOTREXATE PCH 2,5mg COMPR.
METHOTREXAT "EBEWE" 5000 mg

CONC. PT. SOL. INJ./PERF.

METHOTREXAT "EBEWE" 500 mg


METHOTREXAT "EBEWE" 1000 mg

CONC. PT. SOL. INJ./PERF.


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
IMURAN
IMMUNOPRIN 75 mg
NEOSTIGMINA LPH 15 mg
MESTINON 60 mg

SOL. INJ. IN SERINGA PREUMPLUTA


SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA

COMPR. FILM.
COMPR. FILM.
COMPR.
DRAJ.

5mg
5mg
5mg
5mg
10mg
2,5mg
100mg/ml
100mg/ml
100mg/ml
5mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
50mg/ml
50mg/ml
50mg/ml
50mg/ml
50mg
75mg
15mg
60mg

MAGISTRA C&C S.R.L. ROMANIA


ARENA GROUP SA ROMANIA
SINTOFARM SA
ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
TEVA PHARMACEUTICALS S.R.L. ROMANIA
TEVA PHARMACEUTICALS S.R.L. ROMANIA

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 BLIST. AL./PVC X 10 COMPR.

EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,50ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,20ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,15ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,40ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL

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

ASPEN EUROPE GMBH GERMANIA


EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRIA

LABORMED PHARMA SA ROMANIA

MEDA AB

Pagina 92 din 204

SUEDIA

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

P-RF
P-RF

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/
amba
L
MAXIMAL/UT 213 alin.(1) lit.
UT (RON)
laj
(RON)
(RON)
a) si f)
PT. ADULTI

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

H02AB04
H02AB04
H02AB04
H02AB04
H02AB04
H02AB07
H02AB07
H02AB07
H02AB07

L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01DB07

L04AX01
L04AX01

METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
METHOTREXATUM4)
METHOTREXATUM4)
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
MITOXANTRONUM***
AZATHIOPRINUM
AZATHIOPRINUM

MEDROL A 16
MEDROL 32
LEMOD SOLU 125 mg
LEMOD SOLU 500 mg
SOLU - MEDROL ACT-O-VIAL

PREDNISON MCC 5 mg
PREDNISON ARENA 5 mg
PREDNISON 5 mg
PREDNISON - RICHTER 5 mg
METHOTREXATE PCH 10mg
METHOTREXATE PCH 2,5mg
METHOTREXAT "EBEWE" 5000 mg

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
ONKOTRONE
IMURAN
IMMUNOPRIN 75 mg

COMPR.
COMPR.

16mg
32mg
LIOF. PT. SOL. INJ. 125mg
LIOF. PT. SOL. INJ. 500mg
LIOF. SI SOLV.PT.SOL.INJ 250mg/4ml
COMPR.
5mg
COMPR.
5mg
COMPR.
5mg
COMPR.
5mg
COMPR.
10mg
COMPR.
2,5mg
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
CONC. PT. SOL. INJ. 2mg/ml
COMPR. FILM. 50mg
COMPR. FILM. 75mg

50
20
S/P-RF
1
S/P-RF
1
P-RF
1
P-RF
20
P-RF
30
P-RF
30
P-RF
20
P6L
10
P6L
30
S
1
S
5
S
1
S
10
PR
1
PR
1
PR
1
PR
1
P-RF
1
P-RF
1
P-RF
1
P-RF
1
S
1
S/P-RF
100
PR 100

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.

STADA HEMOFARM S.R.L.


STADA HEMOFARM S.R.L.

ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 2 ML


ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 7,8 ML

PFIZER EUROPE MA EEIG

MAREA BRITANIE

MAGISTRA C&C S.R.L. ROMANIA


ARENA GROUP SA ROMANIA
SINTOFARM SA
ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
TEVA PHARMACEUTICALS S.R.L. ROMANIA
TEVA PHARMACEUTICALS S.R.L. ROMANIA

CUTIE X 1 FLAC. BICOMPARTIMENTAT (COMPARTIMENT INFERIOR) LIOF. PT. SOL. INJ. + (COMPARTIMENT SUPERIOR) 4ML SOLV

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 BLIST. AL./PVC X 10 COMPR.

EBEWE PHARMA GES.M.B.H. NFG KG

CUTIE X 10COMPR.
CUTIE X30 COMPRIMATE
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

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,50ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,20ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,15ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,40ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL

EBEWE PHARMA GMBH NFG. KG


EBEWE PHARMA GMBH NFG. KG
EBEWE PHARMA GMBH NFG. KG
EBEWE PHARMA GMBH NFG. KG
EBEWE PHARMA GES.M.B.H. NFG KG
EBEWE PHARMA GES.M.B.H. NFG KG
EBEWE PHARMA GES.M.B.H. NFG KG

CUTIE 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

BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 1 FLACON X 10 ML CONC. PT. SOL. INJ.

ASPEN EUROPE GMBH GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM.


EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRIA

CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM.

P-RF

32.62
29.65
8.81
31.02
20.48
2.65
2.62
3.71
2.57
28.81
21.62
400.81
241.07
89.66
23.82
78.67
59.64
122.50
110.09
124.21
78.67
74.80
109.54
643.62
70.21
78.89

0.652400
1.482500
8.810000
31.020000
20.480000
0.132500
0.087333
0.123666
0.128500
2.881000
0.720666
400.810000
48.214000
89.660000
2.382000
78.670000
59.640000
122.500000
110.090000
124.210000
78.670000
74.800000
109.540000
643.620000
0.702100
0.788900

0.652400
1.482500
8.810000
31.020000
20.480000
0.104799
0.087333
0.104799
0.104799
2.881000
0.720666
400.810000
48.214000
89.660000
2.382000
78.670000
59.640000
122.500000
110.090000
124.210000
78.670000
71.568000
109.540000
643.620000
0.702100
0.788900

0.652400
1.482500
8.810000
31.020000
20.480000
0.104799
0.087333
0.104799
0.104799
2.881000
0.720666
400.810000
48.214000
89.660000
2.382000
78.670000
59.640000
122.500000
110.090000
124.210000
78.670000
71.568000
109.540000
643.620000
0.702100
0.788900

0.350400
0.535200
0.202600
0.231000
0.336500
0.535333
0.344000
0.154100
0.268000
0.223900
0.431400

0.184920
0.268680
0.184920
0.231000
0.336500
0.403800
0.268680
0.154100
0.268000
0.223900
0.431400

0.184920
0.268680
0.184920
0.231000
0.336500
0.403800
0.268680
0.154100
0.268000
0.223900
0.431400

Tratamentul se initiaza de catre medicul in specialitatea neurologie


Medicamentele specifice se prescriu numai pentru pacientii inclusi in Programul National de boli neurologice (Subprogramul de tratament al screlozei multiple)

13. BOLI PSIHICE (SCHIZOFRENIE, TULBURARI SCHIZOTIPALE SI DELIRANTE, TULBURARI AFECTIVE MAJORE, TULBURARI PSIHOTICE ACUTE SI BOLI PSIHICE COPII, AUTISM) - G15
1
2
3
4
5
6
7
8
9
10
11

N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01

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

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
CAPS. MOI GASTROREZ.
CAPS. MOI GASTROREZ.
CAPS. MOI GASTROREZ.

DEPAKINE (R) CHRONO 500 mg COMPR. ELIB. PREL.

DEPAKINE CHRONO 300 mg


ORFIRIL 150
DEPAKINE 200 mg
ORFIRIL 300
ORFIRIL 600

COMPR. FILM. ELIB. PREL. DIVIZ.

COMPR. FILM. GASTROREZ.


COMPR. FILM. GASTROREZ.
COMPR. FILM. GASTROREZ.
COMPR. FILM. GASTROREZ.

150mg
300mg
500mg
500mg
300mg
150mg
200mg
300mg
600mg

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 1 FLAC. DIN PP X 50 CAPS. CU MINICOMPR. CU ELIB. PRELUNG.

P-6L

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 1 FLAC. DIN PP X 50 CAPS. CU MINICOMPR. CU ELIB. PREL.

P-6L

GEROT PHARMAZEUTIKA GMBH

CUTIE X 10 BLIST. AL/PVDC-PVC X 10 CAPS. MOI GASTROREZ.

P-6L

CUTIE X 10 BLIST. AL/PVDC-PVC X 10 CAPS. MOI GASTROREZ.

P-6L

CUTIE X 10 BLIST. AL/PVDC-PVCX 10 CAPS. MOI GASTROREZ.

P-6L

SANOFI-AVENTIS FRANCE

AUSTRIA
AUSTRIA
AUSTRIA
FRANTA
FRANTA

CUTIE X 2 FLAC. DIN PP X 50 COMPR. FILM. ELIB. PREL., DIVIZIBILE

P-6L

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 COMPR.FILM. GASTROREZ.

P-6L

SANOFI-AVENTIS FRANCE

FRANTA

CUTIE X 1 FLAC. DIN PP X 40 COMPR. FILM. GASTROREZ.

P-6L

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 1 FLAC. DIN PP X 100 COMPR. FILM. GASTROREZ.

P-6L

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 1 FLAC. DIN PP X 50 COMPR. FILM. GASTROREZ.

P-6L

GEROT PHARMAZEUTIKA GMBH


GEROT PHARMAZEUTIKA GMBH

SANOFI-AVENTIS FRANCE

Pagina 93 din 204

CUTIE X 1 FLAC. PP X 30 COMPR. FILM. ELIB. PREL. P-RF

50
50
100
100
100
30
100
100
40
100
50

17.52
26.76
20.26
23.10
33.65
16.06
34.40
15.41
10.72
22.39
21.57

NR.CRT

12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62

COD ATC
N03AG01
N03AG01
N03AG01
N03AG01

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
N05AE04
N05AE04
N05AE04
N05AE04
N05AE04
N05AF01
N05AF05
N05AF05
N05AF05
N05AF05
N05AF05
N05AH02

DCI

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**
TRIHEXYPHENIDYLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
SERTINDOL**
SERTINDOL**
ZIPRASIDONUM**
ZIPRASIDONUM**
ZIPRASIDONUM**
ZIPRASIDONUM**
ZIPRASIDONUM**
ZIPRASIDONUM**
ZIPRASIDONUM**
ZIPRASIDONUM**
ZIPRASIDONUM**
ZIPRASIDONUM**
FLUPENTIXOLUM**
ZUCLOPENTHIXOLUM**
ZUCLOPENTHIXOLUM**
ZUCLOPENTHIXOLUM**
ZUCLOPENTHIXOLUM**
ZUCLOPENTHIXOLUM**
CLOZAPINUM**

Denumire Comerciala

ORFIRIL LONG 1000 mg


ORFIRIL LONG 500 mg
ORFIRIL SIROP
DEPAKINE
LAMOTRIX 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
LAMOTRIX 25 mg
LAMICTAL 25 mg
LAMOTRIX 50 mg
LAMOTRIGINE FARMAL 50 mg

LAMICTAL 50 mg
LAMOTRIGINA SUN 50 mg
LAMOTRIN 100 mg
LAMOTRIN 25 mg
LAMOTRIN 50 mg
LAMICTAL 2 mg
LAMICTAL 5 mg
ROMPARKIN (R) 2 mg
HALOPERIDOL LAROPHARM 0,5 mg

HALOPERIDOL ARENA 1 mg
HALOPERIDOL ARENA 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
ZIXADOX 40 mg
ZYPSILA 40 mg
ZELDOX (R) 60 mg
ZIXADOX 60 mg
ZYPSILA 60 mg
ZELDOX (R) 80 mg
ZIXADOX 80 mg
ZYPSILA 80 mg
ZELDOX (R) 20 mg/ml
FLUANXOL DEPOT
CLOPIXOL 10 mg
CLOPIXOL 25 mg
CLOPIXOL 20 mg/ml
CLOPIXOL (R) DEPOT
CLOPIXOL ACUPHASE (R)
LEPONEX (R) 100 mg

forma farm.

concentratie

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.
200mg
COMPR.
200mg
COMPR.
25mg
COMPR.
25mg
COMPR.
50mg
COMPR.
50mg
COMPR.
50mg
COMPR.
50mg
COMPR. DISP. 100mg
COMPR. DISP. 25mg
COMPR. DISP. 50mg
COMPR. DISP./MAST. 2mg
COMPR. DISP./MAST. 5mg
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
CAPS.
60mg
CAPS.
80mg
CAPS.
80mg
CAPS.
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
MINICOMPR. ELIB. PREL.

DETINATOR APP

TARA
DET. APP

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

AMBALAJ

Prescriptie

FRANTA CUTIE X 1 FLACON X 150 ML + 1 SERINGA PT. ADMIN. ORALA


MEDOCHEMIE LTD. CIPRU
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 3 BLIST. X 10 COMPR.

P-6L

ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.


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.
CIPRU
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 COMPR.
CIPRU
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
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.

P-RF

SANOFI - AVENTIS FRANCE

FARMAL INTERNATIONAL S.R.L.


THE WELLCOME FOUNDATION LTD.

CIPLA (UK) LIMITED


TORRENT PHARMA S.R.L.

MEDOCHEMIE LTD.
CIPLA (UK) LIMITED
MEDOCHEMIE LTD.
THE WELLCOME FOUNDATION LTD.

MEDOCHEMIE LTD.
FARMAL INTERNATIONAL S.R.L.
THE WELLCOME FOUNDATION LTD.

CIPLA (UK) LIMITED

ACTAVIS GROUP HF. ISLANDA


ACTAVIS GROUP HF. ISLANDA
ACTAVIS GROUP HF. ISLANDA

P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-RF

P-6L
P-6L

CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. DISPERSABILE

P-6L

CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. DISPERSABILE

P-6L

CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. DISPERSABILE

P-6L

THE WELLCOME FOUNDATION LTD. MAREA BRITANIE

CUTIE X 1 FLAC. DIN PEID X 30 COMPR. DISP./MAST. P-6L

THE WELLCOME FOUNDATION LTD. MAREA BRITANIE

CUTIE X BLIST. PVC-PVDC/AL X 30 COMPR. DISP./MAST.

TERAPIA SA
LAROPHARM S.R.L.
ARENA GROUP S.A.
ARENA GROUP S.A.
JANSSEN PHARMACEUTICA N.V.

ROMPHARM COMPANY S.R.L.


GEDEON RICHTER ROMANIA SA
GEDEON RICHTER ROMANIA SA
GEDEON RICHTER ROMANIA SA

P-6L

ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L


ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. PRF
ROMANIA CUTIE X 3 BLISTERE PVC/AL X 10 COMPRIMATE PRF
BELGIA 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 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM.

P-RF

DANEMARCA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 4 BLIST. X 14 CAPS.

P-RF

ZENTIVA K.S.

REPUBLICA CEHA

CUTIE CU BLIST. OPA-AL-PVC/AL X 56 CAPS.

P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 CAPS. P-RF
PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 4 BLIST. X 14 CAPS.

P-RF

ZENTIVA K.S.

REPUBLICA CEHA

CUTIE CU BLIST. OPA-AL-PVC/AL X 56 CAPS.

P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 CAPS. P-RF
PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 4 BLIST. X 14 CAPS.

P-RF

ZENTIVA K.S.

REPUBLICA CEHA

CUTIE CU BLIST. OPA-AL-PVC/AL X 56 CAPS.

P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 CAPS. P-RF
PFIZER EUROPE MA EEIG

MAREA BRITANIE

H. LUNDBECK A/S
H. LUNDBECK A/S
H. LUNDBECK A/S
H. LUNDBECK A/S
H. LUNDBECK A/S
H. LUNDBECK A/S

DANEMARCA CUTIE X 10 FIOLE DIN STICLA INCOLORA X 1 ML SOL. INJ.

P-RF

DANEMARCA

CUTIE X 1 FLAC. DIN PEJD X 50 COMPR. FILM., INCHIS CU CAPAC CU FILET, PREVAZUT CU SISTEM DE INCHIDER

P-RF

DANEMARCA

CUTIE X 1 FLAC. DIN PEJD X 50 COMPR. FILM., INCHIS CU CAPAC CU FILET, PREVAZUT CU SISTEM DE INCHIDER

P-RF

DANEMARCA CUTIE X 1 FLAC. + CAPAC SECURIZAT PT. COPII X 20 ML


DANEMARCA
DANEMARCA

NOVARTIS PHARMA GMBH GERMANIA

Pagina 94 din 204

CUTIE X 1 FLAC. LIOF. + 1 FIOLA X 1,2 ML SOLV.

CUTIE X 10 FIOLE X 1 ML
CUTIE X 5 FIOLE X 1 ML
CUTIE X 5 BLIST. X 10 COM