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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 OCTOMBRIE 2011

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
A02BA02
A02BA02
A02BA02
A02BA02
A02BA03
A02BA03
A02BA03
A02BA03
A02BA03
A02BA03
A02BA03
A02BA04
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01

DCI

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

Denumire Comerciala

RANITIDIN ARENA 150mg


RANITIDINA 150 mg
RANITIDIN
ZANTAC 150 mg
RANITIDINA 150 mg
RANITIDIN 150 mg

forma farm.

COMPR.
COMPR.
COMPR.

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

ARNETIN

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

OMEPRAZOL BIOFARM 20 mg
OMEPRAZOL BIOFARM 20 mg

CAPS. GASTROREZ.

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

CAPS. GASTROREZ.

OMEPRAZOL TERAPIA 20 mg

CAPS. GASTROREZ.

OMEPRAZOL ARENA 20 mg
OMEPRAZOL FARMEX 20 mg
OMEPRAZOL RPH 20 mg
NOVOGAST 20 mg
OMEPRAZOL LPH 20 mg
OMEPRAZOL FARMAL 20 mg
OMEPRAZOL FARMAL 20 mg
OMEPRAZOL OZONE 20 mg

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

tara det.
APP
Ambalaj
ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. P-6L
MAGISTRA C&C S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
Detinator APP

GLAXO WELLCOME UK LTD.

Prescriptie

MAREA BRITANIE

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

FILDAS TRADING SRL ROMANIA


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

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

MEDOCHEMIE LTD. CIPRU

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

GLAXO WELLCOME UK LTD.

MAREA BRITANIE

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

P-6L

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


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

CUTIE X 2 BLIST. X 10 COMPR. FILM.

P-6L

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


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

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


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

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


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

S/P-RF

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


CUTIE X 1 FLAC. X 14 CAPS. ENTER.

P-6L
P-6L

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

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


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

KRKA D.D.

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

GEDEON RICHTER ROMANIA SA

ROMANIA

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

P-6L

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

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

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


ROMANIA CUTIE X 2 BLIST. AL/AL X 7 CAPS. GASTROREZ. P-6L
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. GASTROREZ. P-6L
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. GASTROREZ. P-6L
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. GASTROREZ. P-6L
FARMEX COMPANY SRL ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 CAPS. GASTROREZ. P-6L
ROMPHARM COMPANY SRL ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 CAPS. GASTROREZ. P-6L
ANTIBIOTICE S.A.
ROMANIA CUTIE X 2 FOLII AL/PE X 10 CAPS. GASTR. P-6L
LABORMED PHARMA SA ROMANIA CUTIE X 1 BLIST. PVC/AL X 10CAPS. GASTROREZ P-6L
FARMAL INTERNATIONAL S.R.L. ROMANIA CUTIE X 2 BLIST. PA-AL-PVC/AL X 7 CAPS. GASTROREZ. P-6L
FARMAL INTERNATIONAL S.R.L. ROMANIA CUTIE X 4 BLIST. PA-AL-PVC/AL X 7 CAPS. GASTROREZ. P-6L
OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 28 CAPS. GASTROREZ. P-6L

Pagina 1 din 34

Pret
amanunt
Pret
ul
cant/a maximal amanuntul
mbala /ambalaj maximal/UT
(RON)
(RON)
j

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

4.50
4.51
4.50
6.93
4.67
4.50
4.50
4.51
4.50
4.31
12.85
4.28
8.55
12.51
14.76
8.78
5.79
9.34
7.63
12.17
9.34
24.35
18.01
14.28
21.17
20.31
10.71
14.28
14.28
12.65
21.17
14.08
22.42
22.26
21.76
20.60
21.90
14.87
6.41
14.28
28.57
18.37

0.225000
0.225500
0.225000
0.346500
0.233500
0.225000
0.225000
0.225500
0.225000
0.431000
0.428333
0.428000
0.427500
2.502000
2.952000
0.292666
0.193000
0.333571
0.254333
0.405666
0.667142
4.870000
0.900500
1.020000
0.705666
0.725357
0.765000
1.020000
1.020000
0.632500
0.756071
1.005714
0.747333
0.742000
0.725333
0.686666
0.730000
0.743500
0.641000
1.020000
1.020357
0.656071

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

0.192712
0.192712
0.192712
0.192712
0.192712
0.192712
0.192712
0.192712
0.192712
0.385424
0.385424
0.385424
0.385424
1.856397
1.856397
0.192712
0.192712
0.192712
0.254333
0.385424
0.385424
4.870000
0.192712
0.682472
0.682472
0.682472
0.682472
0.682472
0.682472
0.632500
0.682472
0.682472
0.682472
0.682472
0.682472
0.682472
0.682472
0.682472
0.641000
0.682472
0.682472
0.656071

0.173441
0.173441
0.173441
0.173441
0.173441
0.173441
0.173441
0.173441
0.173441
0.346882
0.346882
0.346882
0.346882
1.670757
1.670757
0.173441
0.173441
0.173441
0.228899
0.346882
0.346882
4.383000
0.173441
0.614225
0.614225
0.614225
0.614225
0.614225
0.614225
0.569250
0.614225
0.614225
0.614225
0.614225
0.614225
0.614225
0.614225
0.614225
0.576900
0.614225
0.614225
0.590463

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

cod ATC
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC03
A02BC03
A02BC03
A02BC03
A02BC03

A03AA04
A03AA04
A03AA04
A03AA05
A03AA05
A03AA05
A03AA05
A03AA05
A03AA05
A03AD01
A03AD01

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

DCI

Denumire Comerciala

OMEPRAZOLUM
OMEPRAZOL ROMPHARM 20 mg
OMEPRAZOLUM
OMEZ
OMEPRAZOLUM
ORTANOL 20 mg
OMEPRAZOLUM
HELICID 20
OMEPRAZOLUM
HELICID 20
OMEPRAZOLUM
ORTANOL 40 mg
OMEPRAZOLUM
OMERAN 40
OMEPRAZOLUM
LOSEC MUPS 10 mg
OMEPRAZOLUM
LOSEC MUPS 20 mg
OMEPRAZOLUM
OMEDAR (R)
OMEPRAZOLUM
LOSEC 40 mg
OMEPRAZOLUM
OMEZ PULBERE PENTRU SOLUTIE PERFUZABILA
OMEPRAZOLUM
OMEZ PULBERE PENTRU SOLUTIE PERFUZABILA
OMEPRAZOLUM
HELICID 40 INF
LANSOPRAZOLUM
LEVANT 15 mg
LANSOPRAZOLUM
LANZUL
LANSOPRAZOLUM
LEVANT 30 mg
LANSOPRAZOLUM
LANZAP 30mg
LANSOPRAZOLUM
LANZAP 30mg
MEBEVERINUM
DUSPATALIN 200 mg
MEBEVERINUM
DUSPATALIN 200 mg
MEBEVERINUM
COLOSPASMIN
TRIMEBUTINUM
PROMEBUTIN (R) 100 mg
TRIMEBUTINUM
TRIMEBUTIN 100
TRIMEBUTINUM
COLPERIN 100 mg
TRIMEBUTINUM
DEBRIDAT 100 mg
TRIMEBUTINUM
IBUTIN (R) 300 mg
TRIMEBUTINUM
DEBRIDAT
PAPAVERINI HYDROCHLORIDUM PAPAVERINA ARENA 100 mg
PAPAVERINI HYDROCHLORIDUM PAPAVERINA
METOCLOPRAMIDUM
METOCLOPRAMID
METOCLOPRAMIDUM
N - METOCLOPRAMID
METOCLOPRAMIDUM
METOCLOPRAMID 10 mg
METOCLOPRAMIDUM
METOCLOPRAMID ARENA 10 mg
METOCLOPRAMIDUM
METOCLOPRAMID
METOCLOPRAMIDUM
METOCLOPRAMID BIOFARM 1mg/5ml
METOCLOPRAMIDUM
METOCLOPRAMID 10 mg
DOMPERIDONUM
MOTILIUM 10 mg
ACIDUM URSODEOXYCHOLICUM* URSOFALK (R)
ACIDUM URSODEOXYCHOLICUM* URSOFALK (R)
ACIDUM URSODEOXYCHOLICUM* URSOSAN
ACIDUM URSODEOXYCHOLICUM* URSOCHOL 150 mg
ACIDUM URSODEOXYCHOLICUM* URSOCHOL 300 mg
LACTULOSUM
DUPHALAC (R)
LACTULOSUM
LACTULOSE
LACTULOSUM
LACTULOSE
LACTULOSUM
LACTULOSE-MIP 650 mg/ml
LACTULOSUM
LACTULOSE-MIP 650 mg/ml
LACTULOSUM
LACTULAK 660 mg/ml

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

LIOF. PT. SOL. PERF.


PULB. PT. SOL. PERF.
PULB. PT. SOL. PERF.

concentratie

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

PULB. PT. SOL. PERF.

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

CAPS. ELIB. PREL.


CAPS. ELIB. PREL.

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

GRAN. PT. SUSP. ORALA

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
PIC. ORALE-SOL.

SIROP
SOL. INJ.
COMPR. FILM.

CAPS.
CAPS.
CAPS.
COMPR.
COMPR.
LICHID ORAL
SIROP
SIROP
SIROP
SIROP
SOL. ORALA

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

LEK PHARMACEUTICALS D.D.

tara det.
APP
ROMANIA
ROMANIA
SLOVENIA

ZENTIVA K.S.
ZENTIVA K.S.

CEHIA
CEHIA

LEK PHARMACEUTICALS D.D.

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

EUROPHARM SA
ASTRAZENECA AB
ASTRAZENECA AB

ROMANIA

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

SUEDIA
SUEDIA

CUTIE X 1 FLAC. X 14 COMPR. FILM. GASTROREZ.

Detinator APP
ROMPHARM COMPANY SRL
DR. REDDY'S LABORATORIES

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

Prescriptie

P-6L

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

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


CUTIE X 1 FLAC. DIN STICLA X 14 CAPS. GASTROREZ. P-6L
CUTIE X 1 FLAC. DIN STICLA X 28 CAPS. GASTROREZ. P-6L

P-6L

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

DAR AL DAWA PHARMA S.R.L.

ROMANIA

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

P-6L

ASTRAZENECA AB

SUEDIA

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

S/P-RF

DR. REDDY'S LABORATORIES

ROMANIA
ROMANIA

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

S/P-RF

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

S/P-RF

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

S/P-RF

DR. REDDY'S LABORATORIES

ZENTIVA K.S.
RANBAXY UK LTD.

CEHIA

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

KRKA D.D. NOVO MESTO SLOVENIA

RANBAXY UK LTD.
DR. REDDY'S LABORATORIES
DR. REDDY'S LABORATORIES
SOLVAY PHARMACEUTICALS BV
SOLVAY PHARMACEUTICALS BV

P-6L

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

P-6L

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

P-6L

ROMANIA
ROMANIA

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

P-6L

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

P-6L

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


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

P-6L
P-6L

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


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

P-6L

GEDEON RICHTER ROMANIA SA

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

P-6L

PFIZER EUROPE MA EEIG

MAREA BRITANIE

P-6L
P-6L

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

ZENTIVA SA

ROMANIA

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

P-6L

PFIZER EUROPE MA EEIG

MAREA BRITANIE

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

P-6L

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

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

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


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

CUTIE X 1 FLAC. PE X 40 COMPR.


CUTIE X 1 FLAC. X 40 COMPR.

P-6L

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

P-RF

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

P-RF

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

P-RF

CUTIE X 1 BLIST. X 10 COMPR. FILM.


DR. FALK PHARMA GMBH GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 CAPS.
DR. FALK PHARMA GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 25 CAPS.
PRO. MED. CS PRAHA AS CEHIA
CUTIE X 5 BLIST. AL/PVC X 10 CAPS.
ZAMBON S.P.A.
ITALIA
CUTIE X 6 BLIST. AL/PVC X 10 COMPR.
ZAMBON S.P.A.
ITALIA
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
SOLVAY PHARMACEUTICALS BV

OLANDA

P-6L

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

FLACON DIN PEID PREVAZUT CU MASURA DOZATOARE X 200 ML

P-6L
P-6L/S

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

ROMPHARM COMPANY SRL

Pagina 2 din 34

ROMANIA

P-6L

Pret
amanunt
Pret
ul
cant/a maximal amanuntul
mbala /ambalaj maximal/UT
(RON)
(RON)
j

30 21.90
30 21.17
14
7.98
14
9.94
28 20.54
7
7.94
14 25.86
14 32.80
7 24.67
14 14.28
5 113.38
1 16.04
1 16.04
1 22.51
14
6.49
14 12.97
14 11.22
20 16.46
20 16.46
30 27.44
30 27.44
20
8.92
20 13.73
30 11.00
30 11.00
30 16.93
20 35.59
1 11.91
20
4.38
20
5.33
40
1.14
40
1.34
40
4.24
40
1.37
1
2.82
1
8.58
5
9.91
10 12.17
100 122.82
50 71.91
50 67.96
60 53.55
20 35.46
1 10.83
1 10.29
1
3.42
1 17.03
1 32.95
1
7.01

0.730000
0.705666
0.570000
0.710000
0.733571
1.134285
1.847142
2.342857
3.524285
1.020000
22.676000
16.040000
16.040000
22.510000
0.463571
0.926428
0.801428
0.823000
0.823000
0.914666
0.914666
0.446000
0.686500
0.366666
0.366666
0.564333
1.779500
11.910000
0.219000
0.266500
0.028500
0.033500
0.106000
0.034250
2.820000
8.580000
1.982000
1.217000
1.228200
1.438200
1.359200
0.892500
1.773000
10.830000
10.290000
3.420000
17.030000
32.950000
7.010000

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

0.682472
0.682472
0.570000
0.682472
0.682472
1.134285
1.364945
0.341236
0.682472
0.682472
22.676000
16.040000
16.040000
1.364945
0.341236
0.682472
0.682472
0.682472
0.682472
0.903333
0.903333
0.446000
0.366666
0.366666
0.366666
0.366666
1.100002
11.910000
0.139218
0.266500
0.028500
0.030150
0.030150
0.030150
2.820000
2.202428
1.982000
0.030150
1.228200
1.359200
1.359200
0.815520
1.631041
7.004526
10.239000
3.412999
17.030000
32.950000
6.931015

0.614225
0.614225
0.513000
0.614225
0.614225
1.020856
1.228451
0.307112
0.614225
0.614225
20.408400
14.436000
14.436000
1.228451
0.307112
0.614225
0.614225
0.614225
0.614225
0.812999
0.812999
0.401400
0.329999
0.329999
0.329999
0.329999
0.990002
10.719000
0.125296
0.239850
0.025650
0.027135
0.027135
0.027135
2.538000
1.982185
1.783800
0.027135
1.105380
1.223280
1.223280
0.733968
1.467937
6.304073
9.215100
3.071699
15.327000
29.655000
6.237913

Nr crt.

92
93
94
95
96
97
98
99

cod ATC
A06AD11

A07AA02
A07EC01
A07EC01
A07EC02
A07EC02
A07EC02
A07EC02

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

DCI

LACTULOSUM
NYSTATINUM
SULFASALAZINUM
SULFASALAZINUM
MESALAZINUM**
MESALAZINUM**
MESALAZINUM**
MESALAZINUM**
MESALAZINUM**
MESALAZINUM**
MESALAZINUM**
MESALAZINUM**
ACENOCUMAROLUM
ACENOCUMAROLUM
TICLOPIDINUM
TICLOPIDINUM
TICLOPIDINUM
PHYTOMENADIONUM
FERROSI SULFAS
FERROSI SULFAS

112 B03AB05 COMPLEX DE HIDROXID DE FER (III) POLIMALTOZAT


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

COMBINATII (FERROSI SULFAS+ACIDUM ASCORBICUM)

120 B03BB01

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

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

Denumire Comerciala

LAEVOLAC 670mg/ml
NISTATINA
SULFASALAZIN EN
SALAZOPYRIN EN
PENTASA

forma farm.

concentratie

SOL. ORALA 670mg/ml


COMPR. FILM. 500.000ui
COMPR. FILM. GASTROREZ.
500mg
COMPR. FILM. GASTROREZ.
500mg
COMPR. ELIB. PREL. 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
PENTASA
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
TICLID (R) 250 mg
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
FERGLUROM FORTE 50 mg/ml PICATURI ORALE, SOL. 50mg/ml
PHARMA-FERRUM (R)
PICATURI ORALE-SOL. 5%
PHARMA-FERRUM (R)
PICATURI ORALE-SOL. 5%
FERRUM HAUSMANN (R)
PICATURI ORALE-SOL. 50mg/ml
FERRUM HAUSMANN (R)
SIROP
10mg/ml
FERGLUROM 50mg/5ml
SIROP
50mg/5ml
SORBIFER DURULES
COMPR. FILM.
ACIFOL 5 mg
COMPR. FILM. 5mg
DIGOXIN 0,25 mg
COMPR.
0,25mg
DIGOXIN 0,5 mg/2 ml
SOL. INJ.
0,5mg/ml
LANOXIN SOLUTIE ORALA SOL. ORALA 0,05mg/ml
CHINIDINA ARENA 200 mg COMPR.
200mg
PROPAFENONA 150 mg
COMPR.
150mg
PROPAFENONA 150 mg
COMPR.
150mg
PROPAFENONA 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
SEDACORON (R)
COMPR.
200mg
SEDACORON (R)
COMPR.
200mg
AMIODARONA LPH 200 mg COMPR.
200mg
DARITMIN (R) 200 mg
COMPR.
200mg
AMIODARONA ARENA 200 MG COMPR.
200mg
CORDARONE 200 mg
COMPR. DIVIZ. 200mg

Detinator APP

tara det.
APP

FRESENIUS KABI AUSTRIA GMBH

AUSTRIA

ANTIBIOTICE SA

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

KRKA D.D. NOVO MESTO SLOVENIA

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

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

Prescriptie

P-RF
P-RF

P-6L

PFIZER EUROPE MA EEIG

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

P-6L

FERRING GMBH

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

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 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

FERRING GMBH

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

P-6L

GERMANIA

CUTIE X 2 FOLII PVC/PE X 5 SUPOZ.


DR. FALK PHARMA GMBH GERMANIA CUTIE X 2 FOLII PVC/PE X 5 SUPOZ.
DR. FALK PHARMA GMBH GERMANIA
DR. FALK PHARMA GMBH GERMANIA

TERAPIA SA

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

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

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

NOVARTIS PHARMA GMBH GERMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. P-RF

AC HELCOR SRL
EGIS PHARMACEUTICALS P.L.C.
SANOFI-AVENTIS ROMANIA S.R.L.

TERAPIA SA
TEOFARMA SRL
LAB. PIERRE FABRE
VIFOR FRANCE S.A.
BIOFARM S.A.
TERAPIA SA
TERAPIA SA
VIFOR FRANCE S.A.
VIFOR FRANCE S.A.
BIOFARM S.A.
EGIS PHARMACEUTICALS P.L.C.

ZENTIVA S.A.
ZENTIVA S.A.
ZENTIVA S.A.

ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM.


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

ITALIA
FRANTA
FRANTA

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

ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 ML PICATURI ORALE, SOLUTIE


ROMANIA CUTIE X 1 FLACON PICURATOR X 50 ML
ROMANIA CUTIE X 1 FLACON PICURATOR X 30 ML

P-6L

FRANTA CUTIE X 1 FLACON CU PICURATOR X 30 ML


FRANTA CUTIE X 1 FLACON X 150 ML + O MASURA DOZATOARE

P-6L

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

ROMANIA
P-6L
UNGARIA CUTIE X 1 FLAC. X 50 COMPR. FILM. P-6L
ROMANIA CUTIE X 1 FLAC. DIN PEID X 30 COMPR. FILM. P-6L
ROMANIA CUTIE X 1 BLIST. AL/PVC X 25 COMPR. P-RF
ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 2 ML SOL. INJ. S/P-RF
CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 ML SIROP + MASURA DOZATOARE GRADATA DE LA 2,5 - 20 ML

THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 1 FLACON DIN STICLA BRUNA X 60 ML SOL. ORALA + PIPETA X 1 ML P-RF

ARENA GROUP SA
ARENA GROUP SA
ARENA GROUP SA
ARENA GROUP SA

ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE X 1 FLAC. PEID X 20 COMPR.

P-RF

CUTIE X 2 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-RF

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

P-RF
P-RF
P-RF

ALIUD PHARMA GMBH & CO.KG

GERMANIA CUTIE X 2 BLIST. X 25 COMPR. FILM.

P-RF

ALIUD PHARMA GMBH & CO.KG

GERMANIA CUTIE X 1 BLIST. X 20 COMPR. FILM.

P-RF

ALIUD PHARMA GMBH & CO.KG

GERMANIA CUTIE X 4 BLIST. X 25 COMPR. FILM.

P-RF

HEXAL AG

GERMANIA CUTIE X 5 BLIST. AL/PP X 10 COMPR. FILM. P-RF

PRO. MED. CS PRAHA CEHIA


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.
EBEWE PHARMA GMBH NFG. KG
EBEWE PHARMA GMBH NFG. KG

AUSTRIA CUTIE X 2 BLIST. X 10 COMPR.


AUSTRIA CUTIE X 5 BLIST. X 10 COMPR.

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

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

ARENA GROUP SA

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


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

SANOFI-AVENTIS FRANCE

FRANTA

GEDEON RICHTER ROMANIA SA

Pagina 3 din 34

P-RF
P-RF

CUTIE X 3 BLIST. AL/PVC X 10 COMPR. DIVIZ. P-RF

Pret
amanunt
Pret
ul
cant/a maximal amanuntul
mbala /ambalaj maximal/UT
(RON)
(RON)
j

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

3.53
6.73
27.90
30.88
153.54
66.45
119.52
72.99
171.75
21.48
35.58
167.62
6.46
6.69
35.12
32.98
12.67
11.63
8.47
11.94
21.25
8.71
13.53
11.65
13.37
15.21
9.94
14.68
7.30
2.76
6.56
10.96
12.23
7.94
35.82
49.40
31.65
18.49
7.40
34.53
17.87
39.83
36.35
13.70
28.29
10.86
10.86
11.16
16.70

3.530000
0.336500
0.558000
0.308800
1.535400
0.664500
1.195200
1.459800
6.133928
2.148000
3.558000
23.945714
0.215333
0.334500
1.756000
1.649000
0.633500
2.326000
0.282333
0.398000
0.708333
8.710000
13.530000
11.650000
13.370000
15.210000
9.940000
0.293600
0.243333
0.110400
1.312000
10.960000
0.611500
0.397000
0.358200
2.470000
0.633000
0.369800
0.370000
0.345300
0.357400
0.796600
7.270000
0.685000
0.565800
0.362000
0.362000
0.372000
0.556666

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

3.518015
0.336500
0.558000
0.308800
0.771119
0.385558
0.771119
0.771119
6.096976
1.524239
3.048488
23.945714
0.179270
0.334500
1.149147
1.149147
0.633500
2.326000
0.282333
0.229499
0.637499
8.500500
13.530000
8.500500
8.500500
8.500500
5.667000
0.293600
0.243333
0.110400
1.312000
10.960000
0.611500
0.358200
0.358200
0.358200
0.358200
0.358200
0.358200
0.345300
0.357400
0.716400
7.270000
0.364500
0.364500
0.362000
0.362000
0.364500
0.364500

3.166213
0.302850
0.502200
0.277920
0.694007
0.347002
0.694007
0.694007
5.487279
1.371815
2.743639
21.551142
0.161343
0.301050
1.034232
1.034232
0.570150
2.093400
0.254099
0.206549
0.573749
7.650450
12.177000
7.650450
7.650450
7.650450
5.100300
0.264240
0.218999
0.099360
1.180800
9.864000
0.550350
0.322380
0.322380
0.322380
0.322380
0.322380
0.322380
0.310770
0.321660
0.644760
6.543000
0.328050
0.328050
0.325800
0.325800
0.328050
0.328050

Nr crt.

cod ATC

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

DCI

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

Denumire Comerciala

NITROMINT 2,6 mg
NITROGLICERINA 0,5 mg
NITRODERM (R) TTS 5
NITROMINT
DINITER SR 20 mg
DINITER SR 40 mg

forma farm.
COMPR. ELIB. PREL.

COMPR. SUBLING.
SIST. TERAP. TRANSDERM.

SPRAY SUBLINGUAL

CAPS. ELIB. PREL.


CAPS. ELIB. PREL.

ISOSORBIDE DINITRATE 10 mg COMPR.

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

COMPR. ELIB. PREL.

CAPS. ELIB. PREL.


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

CONC. PT. SOL. PERF.

LIOF. PT. SOL. PERF.

TRIMETAZIDIN VIM SPECTRUM 20 mg

CAPS.

OXCARDIN MR 35 mg
APSTAR 35 mg
MODUXIN (R) 20 mg
DILATAN 20 mg

COMPR. ELIB. MODIF.

COMPR. ELIB. PREL.

COMPR. FILM.
COMPR. FILM.
TRIMETAZIDINA LPH (R) 20 mg COMPR. FILM.
PREDUCTAL 20 mg
COMPR. FILM.
OXCARDIN 20 mg
COMPR. FILM.

PREDUCTAL MR 35 mg

COMPR. FILM. ELIB. MODIF.

TRIMETAZIDINA LPH (R) 35 mg

COMPR. FILM. ELIB. MODIF.

MODUXIN MR 35 mg
DOPEGYT

COMPR. FILM. ELIB. PREL.

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

COMPR. CU ELIB. PRELUNGITA


COMPR. CU ELIB. PRELUNGITA

INDAPAMID MCC 1,5 mg


IDUREN SR 1,5 mg
DIUREMID SR 1,5 mg
INDAPAMIDA TEVA 1,5 mg
IZEPOX 1,5mg

COMPR. ELIB. PREL.

INDAPAMIDA SR TORRENT 1,5 mg

COMPR. ELIB. PREL.

INDAPAMID LPH (R) 2,5 mg


INDATER (R) 2,5 mg

COMPR. FILM.
COMPR. FILM.

INDAPAMID SR 1,5 mg LAROPHARM

COMPR. FILM. ELIB. PREL.

TERTENSIF (R) SR
INDAPAMID LPH (R) 1,5 mg
INDATER SR 1,5 mg
RAWEL SR 1,5 mg
IMPAMID SR 1,5 mg

COMPR. ELIB. PREL.


COMPR. ELIB. PREL.
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.

INDAPAMID SR OZONE 1,5mg

COMPR. FILM. ELIB. PREL.

REDITENS SR 1.5 mg

COMPR. FILM. ELIB. PREL.

INDAPAMIDA ACTAVIS 1,5 mg

COMPR. FILM. ELIB. PREL.

INDAPAMIDA MYLAN 1,5 mg

COMPR. FILM. ELIB. PREL.

concentratie

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

Detinator APP
EGIS PHARMACEUTICALS P.L.C.

ZENTIVA SA

tara det.
APP

Ambalaj

UNGARIA CUTIE X 1 FLAC. X 60 COMPR. ELIB. PREL.


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

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 10 PLICURI X 1 SIST. TERAPEUTIC TRANSDERMIC

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


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

EGIS PHARMACEUTICALS P.L.C.

PHARMAKI GENERICS LIMITED MAREA BRITANIE

Prescriptie

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

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

SOLVAY PHARMACEUTICALS BV

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

SOLVAY PHARMACEUTICALS BV

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

ZENTIVA S.A

ROMANIA

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

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

S/P-RF
S/P-RF

VIM SPECTRUM SRL ROMANIA


LABORMED PHARMA SA ROMANIA

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

GLENMARK PHARMACEUTICALS SRL

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

REPUBLICA SLOVACA

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

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


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

GEDEON RICHTER ROMANIA SA

LES LABORATOIRES SERVIER

FRANTA

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

P-6L

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

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

LES LAB. SERVIER IND. FRANTA


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

SINTOFARM SA
ARENA GROUP SA
ZENTIVA SA
GEDEON RICHTER ROMANIA SA

TERAPIA SA
TERAPIA SA
MAGISTRA C&C SRL
VIM SPECTRUM SRL
GLENMARK PHARMACEUTICALS SRL

TEVA PHARMACEUTICALS S.R.L.


OZONE LABORATORIES PHARMA S.A.

TORRENT PHARMA S.R.L.

LABORMED PHARMA SA

TERAPIA SA
LAROPHARM SRL

ROMANIA
UNGARIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

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

P-6L

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

P-6L

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

P-6L

CUTIE X 1 FLAC. X 50 COMPR.

P-6L

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

CUTIE X 1 FLAC. X 50 COMPR.

P-6L

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

CUTIE X 2 BLIST. X 15 COMPR.

P-6L

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


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

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


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

P-6L

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


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

P-6L

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


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

P6L

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


CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL.

P-6L

LES LAB. SERVIER IND. FRANTA CUTIE X 2 BLIST. X 15 COMPR. FILM. ELIB. PREL. P-6L
LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-6L

TERAPIA 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

OZONE LABORATORIES BV

OLANDA

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

P-6L

DR. REDDY'S LABORATORIES

ROMANIA

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

P-6L

ACTAVIS GROUP PTC EHF.

ISLANDA
FRANTA

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

P-6L

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

P-6L

MYLAN S.A.S.
Pagina 4 din 34

Pret
amanunt
Pret
ul
cant/a maximal amanuntul
mbala /ambalaj maximal/UT
(RON)
(RON)
j

60
9.75
20
3.82
10 18.26
1 15.12
20
5.39
20
8.92
60
2.11
60
3.90
20 11.88
20 18.94
40 35.98
5 325.08
10 515.82
30
7.52
60 33.00
60 33.02
30
7.52
30 14.44
60 15.05
60 23.16
60 15.05
60 49.16
60 33.00
30 16.52
50 12.51
50
9.92
50 12.20
25
3.44
30 14.99
30 13.14
30 14.73
30 13.53
30 10.54
30 13.53
30 13.16
30 13.53
30 13.53
30 14.90
30 14.73
20
9.00
30 20.80
30 13.53
30 13.14
30 11.57
30 13.00
20
7.75
30 13.53
30 13.53
30 12.45

0.162500
0.191000
1.826000
15.120000
0.269500
0.446000
0.035166
0.065000
0.594000
0.947000
0.899500
65.016000
51.582000
0.250666
0.550000
0.550333
0.250666
0.481333
0.250833
0.386000
0.250833
0.819333
0.550000
0.550666
0.250200
0.198400
0.244000
0.137600
0.499666
0.438000
0.491000
0.451000
0.351333
0.451000
0.438666
0.451000
0.451000
0.496666
0.491000
0.450000
0.693333
0.451000
0.438000
0.385666
0.433333
0.387500
0.451000
0.451000
0.415000

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

0.149304
0.113850
1.826000
15.120000
0.095707
0.191415
0.035166
0.065000
0.287124
0.430686
0.430686
54.940500
51.582000
0.250666
0.438957
0.438957
0.250666
0.250833
0.250833
0.250833
0.250833
0.438957
0.438957
0.438957
0.250200
0.198400
0.215453
0.137600
0.499666
0.331649
0.491000
0.331649
0.331649
0.331649
0.331649
0.331649
0.331649
0.496666
0.491000
0.331649
0.331649
0.331649
0.331649
0.331649
0.331649
0.331649
0.331649
0.331649
0.331649

0.134374
0.102465
1.643400
13.608000
0.086137
0.172274
0.031649
0.058500
0.258411
0.387617
0.387617
49.446450
46.423800
0.225599
0.395061
0.395061
0.225599
0.225749
0.225749
0.225749
0.225749
0.395061
0.395061
0.395061
0.225180
0.178560
0.193907
0.123840
0.449699
0.298484
0.441900
0.298484
0.298484
0.298484
0.298484
0.298484
0.298484
0.446999
0.441900
0.298484
0.298484
0.298484
0.298484
0.298484
0.298484
0.298484
0.298484
0.298484
0.298484

Nr crt.

cod ATC

190 C03BA11
191 C03BA11
192 C03CA01
193 C03CA01
194 C03CA01
195 C03CA01
196 C03CA01
197 C03CA01
198 C03CA01
199 C03DA01
200 C03DA01
201 C03DA01
202 C03DA01
203 C03DA01
204 C03DA01
205 C03DA01
206 C03DA01
207 C03DA01
208 C03DA01

DCI

INDAPAMIDUM
INDAPAMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM

209 C03EB01 COMBINATII (SPIRONOLACTONUM+FUROSEMIDUM)


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

PENTOXIFYLLINUM
PENTOXIFYLLINUM
PENTOXIFYLLINUM
PENTOXIFYLLINUM
PENTOXIFYLLINUM
PENTOXIFYLLINUM
PENTOXIFYLLINUM
PENTOXIFYLLINUM
PENTOXIFYLLINUM
PENTOXIFYLLINUM
PENTOXIFYLLINUM
PENTOXIFYLLINUM
PENTOXIFYLLINUM
PROPRANOLOLUM
PROPRANOLOLUM
PROPRANOLOLUM
PROPRANOLOLUM
PROPRANOLOLUM
PROPRANOLOLUM
PROPRANOLOLUM
PROPRANOLOLUM
PROPRANOLOLUM
PROPRANOLOLUM
SOTALOLUM
SOTALOLUM
SOTALOLUM
SOTALOLUM
SOTALOLUM
SOTALOLUM

Denumire Comerciala

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

forma farm.

concentratie

1,5mg
COMPR. FILM. ELIB. PREL.
1,5mg
COMPR.
40mg
COMPR.
40mg
COMPR.
40mg
COMPR.
40mg
COMPR.
40mg
COMPR.
40mg
SOL. INJ.
10mg/ml
CAPS.
100mg
SPIRONOLACTONA ARENA 25 mg CAPS.
25mg
VEROSPIRON
CAPS.
50mg
SPIRONOLACTONA ARENA 50 mg CAPS.
50mg
SPIRONOLACTONA EEL 25 mg COMPR.
25mg
SPIRONOLACTONA OZONE 25 mg COMPR.
25mg
SPIRONOLACTONA OZONE 25 mg COMPR.
25mg
SPIRONOLACTONA 25 mg COMPR. FILM. 25mg
ALSPIRON 25 mg
COMPR. FILM. 25mg
ALSPIRON 50 mg
COMPR. FILM. 50mg
DIUREX 50
CAPS.
50mg/20mg
PENTOXIFILINA SR ZENTIVA 400 mg COMPR. ELIB. PREL. 400mg
PENTOXIFILINA SR ZENTIVA 400 mg COMPR. ELIB. PREL. 400mg
PENTOXIFILINA SR ZENTIVA 400 mg COMPR. ELIB. PREL. 400mg
PENTOXIFILINA SR ZENTIVA 600 mg COMPR. ELIB. PREL. 600mg
PENTOXIFILINA SR ZENTIVA 600 mg COMPR. ELIB. PREL. 600mg
PENTOXIFILINA SR ZENTIVA 600 mg COMPR. ELIB. PREL. 600mg
VASONIT RETARD 600 mg COMPR. ELIB. PREL. 600mg
ANGIOPENT 400 mg
COMPR. FILM. ELIB. PREL.
400mg
PENTOXI RETARD 400 mg COMPR. FILM. ELIB. PREL. 400mg
PENTOXI RETARD 400 mg COMPR. FILM. ELIB. PREL. 400mg
OXIFLUX 400 mg
COMPR. FILM. ELIB. PREL.
400mg
OXIFLUX 400 mg
COMPR. FILM. ELIB. PREL.
400mg
ANGIOPENT 600 mg
COMPR. FILM. ELIB. PREL.
600mg
PROPRANOLOL
COMPR.
10mg
N - PROPRANOLOL 10 mg
COMPR.
10mg
PROPRANOLOL 10 mg
COMPR.
10mg
PROPRANOLOL FABIOL 10 mg COMPR.
10mg
PROPRANOLOL FABIOL 10 mg COMPR.
10mg
PROPRANOLOL EEL 40 mg COMPR.
40mg
PROPRANOLOL 40 mg
COMPR.
40mg
PROPRANOLOL FABIOL 40 mg COMPR.
40mg
PROPRANOLOL FABIOL 40 mg COMPR.
40mg
PROPRANOLOL ARENA 40 mg COMPR.
40mg
SOTAGAMMA 160
COMPR.
160mg
SOTAGAMMA 160
COMPR.
160mg
SOTALOL AL 160
COMPR.
160mg
SOTALOL AL 160
COMPR.
160mg
SOTALOL AL 160
COMPR.
160mg
DAROB (R) 80 mg
COMPR.
80mg
COMPR. FILM. ELIB. PREL.

DR. REDDY'S LABORATORIES

tara det.
APP
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

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
ZENTIVA SA
ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
ARENA GROUP S.A. ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
ARENA GROUP S.A. ROMANIA
BIO EEL SRL
ROMANIA
OZONE LABORATORIES LTD.
OZONE LABORATORIES PHARMA S.A.

TERAPIA SA
AC HELCOR PHARMA SRL
AC HELCOR PHARMA SRL

TERAPIA SA
ZENTIVA AS
ZENTIVA AS
ZENTIVA AS
ZENTIVA AS
ZENTIVA AS
ZENTIVA AS
LANNACHER HEILMITTEL GES.M.B.H.

Ambalaj

Prescriptie

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


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

CUTIE X 2 BLIST. X 10 COMPR.

P-6L

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


CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
CUTIE X 5 FIOLE DIN STICLA BRUNA CU INEL DE RUPERE X 2 ML SOL. INJ.

P-RF

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


CUTIE CU 5 BLIST. PVC/AL X 10 CAPS. P-6L
CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L
CUTIE CU 3 BLIST. PVC/AL X 10 CAPS. P-6L
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
MAREA BRITANIE CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L
ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L
ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-6L
SLOVACIA
SLOVACIA
SLOVACIA
SLOVACIA
SLOVACIA
SLOVACIA

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

P-6L

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

P-6L

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

P-6L

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

P-6L

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

P-6L

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

P-6L

AUSTRIA

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

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

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

TERAPIA SA
TERAPIA SA

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

P-6L

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


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

P-6L

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

P-6L

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

P-6L

CUTIE X 2 BLIST. X 25 COMPR.


CUTIE X 1 FLAC. X 50 COMPR.

P-6L

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


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

P-6L

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

WORWAG PHARMA GMBH & CO. KG

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

WORWAG PHARMA GMBH & CO. KG

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

ALIUD PHARMA GMBH


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

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

Pagina 5 din 34

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


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

Pret
amanunt
Pret
ul
cant/a maximal amanuntul
mbala /ambalaj maximal/UT
(RON)
(RON)
j

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

13.53
9.75
2.99
2.25
5.36
5.95
3.00
5.95
5.99
28.17
15.89
16.52
16.06
4.25
10.66
10.66
16.02
4.25
13.59
23.04
10.12
20.29
30.40
13.81
33.43
64.62
33.25
6.06
22.16
17.01
6.06
18.18
16.26
3.22
3.19
3.54
0.72
2.88
4.92
4.58
0.79
3.22
4.92
11.48
57.75
11.03
26.61
53.99
9.94

0.451000
0.325000
0.149500
0.112500
0.268000
0.297500
0.150000
0.297500
1.198000
0.939000
0.317800
0.550666
0.535333
0.212500
0.213200
0.213200
0.320400
0.212500
0.679500
1.152000
0.506000
0.405800
0.304000
0.690500
0.668600
0.646200
0.665000
0.303000
0.554000
0.850500
0.303000
0.303000
0.813000
0.064400
0.063800
0.070800
0.072000
0.057600
0.098400
0.091600
0.079000
0.064400
0.098400
0.574000
0.577500
0.551500
0.532200
0.539900
0.497000

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

0.331649
0.325000
0.149500
0.112500
0.149625
0.149625
0.149625
0.149625
1.198000
0.852800
0.213200
0.426400
0.426400
0.212500
0.213200
0.213200
0.213200
0.212500
0.426400
1.152000
0.304000
0.304000
0.304000
0.456000
0.456000
0.456000
0.456000
0.303000
0.304000
0.304000
0.303000
0.303000
0.456000
0.027987
0.027987
0.027987
0.027987
0.027987
0.098400
0.091600
0.079000
0.064400
0.098400
0.447795
0.447795
0.447795
0.447795
0.447795
0.223897

0.298484
0.292500
0.134550
0.101250
0.134662
0.134662
0.134662
0.134662
1.078200
0.767520
0.191880
0.383760
0.383760
0.191250
0.191880
0.191880
0.191880
0.191250
0.383760
1.036800
0.273600
0.273600
0.273600
0.410400
0.410400
0.410400
0.410400
0.272700
0.273600
0.273600
0.272700
0.272700
0.410400
0.025188
0.025188
0.025188
0.025188
0.025188
0.088560
0.082440
0.071100
0.057960
0.088560
0.403015
0.403015
0.403015
0.403015
0.403015
0.201507

cod ATC

DCI

239 C07AA07

SOTALOLUM
SOTALOLUM
SOTALOLUM
SOTALOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
ATENOLOLUM
ATENOLOLUM
ATENOLOLUM

Nr crt.

240 C07AA07
241 C07AA07
242 C07AA07
243 C07AB02
244 C07AB02
245 C07AB02
246 C07AB02
247 C07AB02
248 C07AB02
249 C07AB02
250 C07AB02
251 C07AB02
252 C07AB02
253 C07AB02
254 C07AB02
255 C07AB02
256 C07AB02
257 C07AB02
258 C07AB02
259 C07AB02
260 C07AB02
261 C07AB02
262 C07AB02
263 C07AB02
264 C07AB02
265 C07AB02
266 C07AB02
267 C07AB02
268 C07AB02
269 C07AB02
270 C07AB02
271 C07AB02
272 C07AB02
273 C07AB02
274 C07AB02
275 C07AB02
276 C07AB02
277 C07AB02
278 C07AB02
279 C07AB02
280 C07AB02
281 C07AB02
282 C07AB02
283 C07AB02
284 C07AB02
285 C07AB03
286 C07AB03
287 C07AB03

Denumire Comerciala

SOTAGAMMA 80
SOTAGAMMA 80
SOTALOL AL 80
SOTALOL AL 80
BLOXAN
BETAPROL 100 mg
EGILOK 100 mg
METOPROLOL LPH 100 mg
METOPROLOL AL 100
METOPROLOL AL 100
METOPROLOL AL 100
METOPROLOL 100 mg

forma farm.

METOPROLOL ARENA 50 MG
METOPROLOL 50 mg

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

METOPROLOL RETARD 100 mg

COMPR. ELIB. PREL.

METOPROLOL TERAPIA 100 mg


METOPROLOL MEDICO UNO 100 mg
METOPROLOL VIM SPECTRUM 100 mg

METOPROLOL ARENA 100 MG

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

METOPROLOL ARENA 25 MG
BETAPROL 50 mg
EGILOK 50 mg
METOPROLOL LPH 50 mg
METOPROLOL AL 50
METOPROLOL AL 50
METOPROLOL AL 50
METOPROLOL 50 mg
METOPROLOL TERAPIA 50 mg
METOPROLOL MEDICO UNO 50 mg
METOPROLOL VIM SPECTRUM 50 mg

BETALOC (R) ZOK 100 mg


EMZOK 100 mg

COMPR. FILM. ELIB. PREL.


COMPR. FILM. ELIB. PREL.

METOPROLOL SUCCINAT POLPHARMA 190 mg

COMPR. FILM. ELIB. PREL.

METOPROLOL SUCCINAT POLPHARMA 23,75 mg

COMPR. FILM. ELIB. PREL.

METOPROLOL SUCCINAT POLPHARMA 47,5 mg

COMPR. FILM. ELIB. PREL.

BETALOC (R) ZOK 50 mg


EMZOK 50 mg

COMPR. FILM. ELIB. PREL.


COMPR. FILM. ELIB. PREL.

METOPROLOL SUCCINAT POLPHARMA 95 mg COMPR. FILM. ELIB. PREL.

METOSUCCINAT SANDOZ 190 mg

COMPR.FILM.ELIB.MOD.

METOSUCCINAT SANDOZ 47,5 mg

COMPR.FILM.ELIB.MOD.

METOSUCCINAT SANDOZ 95 mg

COMPR.FILM.ELIB.MOD.

ATENOCOR 100 mg
ATENOLOL LPH 100 mg
ATENOLOL 100 mg

COMPR.
COMPR.
COMPR.

concentratie

80mg
80mg
80mg
80mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
25mg
25mg
25mg
25mg
25mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
100mg
100mg
100mg
190mg
23,75mg
47,5mg
50mg
50mg
95mg
190mg
47,5mg
95mg
100mg
100mg
100mg

Detinator APP

tara det.
APP

Ambalaj

Prescriptie

WORWAG PHARMA GMBH & CO. KG

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

WORWAG PHARMA GMBH & CO. KG

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

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


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

P-6L

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


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

P-6L

EGIS PHARMACEUTICALS P.L.C.

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

ALIUD PHARMA GMBH & CO.KG

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

ALIUD PHARMA GMBH & CO.KG

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

ALIUD PHARMA GMBH & CO.KG

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

MAGISTRA C & C SRL ROMANIA


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

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


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

P-6L

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

P-6L

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


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

P-6L

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

P-6L

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

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

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


CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L
CUTIE X 10 BLIST. DIN PVC-PVDC/ALX 10 COMPR P-6L
CUTIE X 5 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L

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


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

P-6L

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

P-6L

ASTRAZENECA AB

SUEDIA CUTIE X 1 FLAC. X 30 COMPR. FILM. ELIB. PREL.


IVAX PHARMCEUTICALS S.R.O. CEHIA
CUTIE X 3 BLIST. AL/PP X 10 COMPR. FILM. ELIB. PREL.
PHARMACEUTICAL WORKS POLPHARMA SA
POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. CU ELIB. PREL.
PHARMACEUTICAL WORKS POLPHARMA SA
POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. CU ELIB. PREL.
PHARMACEUTICAL WORKS POLPHARMA SA
POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. CU ELIB. PREL.
ASTRAZENECA AB SUEDIA CUTIE X 1 FLAC. X 30 COMPR. FILM. ELIB. PREL.
IVAX PHARMCEUTICALS S.R.O. CEHIA
CUTIE X 3 BLIST. AL/PP X 10 COMPR. FILM. ELIB. PREL.
PHARMACEUTICAL WORKS POLPHARMA SA
POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. CU ELIB. PREL.
HEXAL AG
GERMANIA CUTIE X 3 BLIST. ACLAR-PVC/AL X 10 COMPR. FILM. ELIB. MODIF.
HEXAL AG
GERMANIA CUTIE X 3 BLIST. ACLAR-PVC/AL X 10 COMPR. FILM. ELIB. MODIF.
HEXAL AG
GERMANIA CUTIE X 3 BLIST. ACLAR-PVC/AL X 10 COMPR. FILM. ELIB. MODIF.
AC HELCOR 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
P-6L
P-6L
P-6L
P-6L

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

SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR.


Pagina 6 din 34

P-6L

Pret
amanunt
Pret
ul
cant/a maximal amanuntul
mbala /ambalaj maximal/UT
(RON)
(RON)
j

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

38.86
8.51
36.10
17.32
13.88
10.82
6.49
7.04
9.01
19.52
12.85
9.38
14.93
6.93
7.29
6.93
8.00
1.88
1.88
2.82
2.82
2.82
5.21
3.47
4.68
5.21
8.31
7.01
5.21
6.98
5.21
3.41
5.21
3.47
11.00
25.39
16.50
20.96
2.73
9.40
15.50
10.09
15.41
22.45
8.04
13.44
10.71
6.96
6.18

0.388600
0.425500
0.361000
0.346400
0.462666
0.360666
0.324500
0.234666
0.300333
0.195200
0.257000
0.312666
0.497666
0.231000
0.364500
0.231000
0.400000
0.094000
0.094000
0.094000
0.094000
0.094000
0.173666
0.173500
0.156000
0.173666
0.083100
0.140200
0.173666
0.232666
0.173666
0.170500
0.173666
0.173500
0.550000
0.846333
0.550000
0.748571
0.097500
0.335714
0.516666
0.336333
0.550357
0.748333
0.268000
0.448000
0.357000
0.348000
0.309000

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

0.223897
0.223897
0.223897
0.223897
0.281249
0.281249
0.281249
0.234666
0.281249
0.195200
0.257000
0.281249
0.281249
0.231000
0.281249
0.231000
0.281249
0.070312
0.070312
0.070312
0.070312
0.070312
0.140624
0.140624
0.140624
0.140624
0.083100
0.140200
0.140624
0.140624
0.140624
0.140624
0.140624
0.140624
0.281249
0.281249
0.281249
0.534374
0.066796
0.133593
0.140624
0.140624
0.267187
0.534374
0.133593
0.267187
0.357000
0.348000
0.309000

0.201507
0.201507
0.201507
0.201507
0.253124
0.253124
0.253124
0.211199
0.253124
0.175680
0.231300
0.253124
0.253124
0.207900
0.253124
0.207900
0.253124
0.063280
0.063280
0.063280
0.063280
0.063280
0.126562
0.126562
0.126562
0.126562
0.074790
0.126180
0.126562
0.126562
0.126562
0.126562
0.126562
0.126562
0.253124
0.253124
0.253124
0.480936
0.060117
0.120234
0.126562
0.126562
0.240468
0.480936
0.120234
0.240468
0.321300
0.313200
0.278100

Nr crt.

cod ATC

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

DCI

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

Denumire Comerciala

ATENOLOL ARENA 100 MG


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

forma farm.

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

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

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

concentratie

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

tara det.
APP
ARENA GROUP SA ROMANIA
LABORMED PHARMA SA ROMANIA
MEDUMAN SA
ROMANIA
SLAVIA PHARM SRL ROMANIA
AC HELCOR SRL
ROMANIA
ARENA GROUP SA ROMANIA
TERAPIA SA
ROMANIA
TERAPIA SA
ROMANIA
MEDOCHEMIE ROMANIA SRL ROMANIA
TERAPIA SA
ROMANIA
TERAPIA SA
ROMANIA
Detinator APP

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

Prescriptie

CUTIE X 2 BLIST. X 10 COMPR.

P-6L

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


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

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

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

CUTIE X 5 BLIST. X 10 COMPR. FILM.


CUTIE X 3 BLIST. X 10 COMPR. FILM.

P-6L
P-6L

ACTAVIS HUNGARY KFT.

FRANTA
CIPRU
CIPRU
CIPRU
CIPRU
UNGARIA
UNGARIA

MERCK KGAA

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

WORWAG PHARMA GMBH & CO. KG

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

P-6L/S

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 5 BLIST. X 10 COMPR. FILM.

P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 3 BLIST. X 10 COMPR. FILM.

P-6L

MERCK KGAA
ANTIBIOTICE S.A.
MERCK KGAA
MERCK KGAA

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

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 2 BLIST. X 25 COMPR. FILM.

P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 3 BLIST. X 10 COMPR. FILM.

P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 4 BLIST. X 25 COMPR. FILM.

P-6L

MERCK KGAA
ANTIBIOTICE S.A.
HEXAL AG

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

ROCHE ROMANIA S.R.L.

ROMANIA

SANOFI-AVENTIS FRANCE

MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
ACTAVIS HUNGARY KFT.

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


CUTIE X 4 BLIST. AL/PVC X 7 COMPR. FILM. P-6L
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L

CUTIE X 2 BLIST. AL/PVC X 7 COMPR. FILM. P-6L

CUTIE X 3 BLIST. X 10 COMPR.


CUTIE X 3 BLIST. X 10 COMPR.

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

ZENTIVA AS
AC HELCOR PHARMA SRL

LABORMED PHARMA SA
TEVA PHARMACEUTICAL S.R.L.

VIM SPECTRUM SRL


ANTIBIOTICE S.A.
LABORMED PHARMA S.A.

ROCHE ROMANIA S.R.L.

P-6L

P-6L

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


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

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

P-6L

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


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.


EGIS PHARMACEUTICALS P.L.C.

P-6L

UNGARIA
CEHIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

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

P-6L
P-6L

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

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


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

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


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

ZENTIVA AS

UNGARIA
CEHIA

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

P-6L

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

AC HELCOR PHARMA SRL

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

HEXAL AG

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

P-6L

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

Pagina 7 din 34

Pret
amanunt
Pret
ul
cant/a maximal amanuntul
mbala /ambalaj maximal/UT
(RON)
(RON)
j

20
20
20
20
30
20
20
30
20
50
30
28
28
30
20
14
30
30
30
100
50
30
30
30
30
30
50
30
100
30
30
30
28
28
30
30
20
30
30
20
30
30
28
28
30
30
20
30
30

6.18
3.88
3.65
4.45
5.29
3.51
6.80
10.77
4.55
11.51
6.58
22.56
14.67
15.70
10.48
7.32
16.35
7.46
31.46
48.85
29.60
17.90
33.41
17.90
14.59
16.15
13.85
8.44
24.71
22.05
8.44
8.63
29.58
12.33
13.14
12.71
8.61
13.20
8.57
6.64
12.94
13.20
33.06
21.79
23.34
19.34
15.53
9.08
23.34

0.309000
0.194000
0.182500
0.222500
0.176333
0.175500
0.340000
0.359000
0.227500
0.230200
0.219333
0.805714
0.523928
0.523333
0.524000
0.522857
0.545000
0.248666
1.048666
0.488500
0.592000
0.596666
1.113666
0.596666
0.486333
0.538333
0.277000
0.281333
0.247100
0.735000
0.281333
0.287666
1.056428
0.440357
0.438000
0.423666
0.430500
0.440000
0.285666
0.332000
0.431333
0.440000
1.180714
0.778214
0.778000
0.644666
0.776500
0.302666
0.778000

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

0.309000
0.194000
0.182500
0.222500
0.176333
0.175500
0.340000
0.359000
0.227500
0.230200
0.219333
0.421874
0.421874
0.421874
0.421874
0.421874
0.421874
0.210937
0.421874
0.421874
0.421874
0.421874
0.421874
0.421874
0.105468
0.210937
0.210937
0.210937
0.210937
0.210937
0.210937
0.287666
0.350100
0.350100
0.350100
0.350100
0.350100
0.350100
0.285666
0.332000
0.350100
0.350100
0.700200
0.700200
0.700200
0.644666
0.700200
0.302666
0.700200

0.278100
0.174600
0.164250
0.200250
0.158699
0.157950
0.306000
0.323100
0.204750
0.207180
0.197399
0.379687
0.379687
0.379687
0.379687
0.379687
0.379687
0.189843
0.379687
0.379687
0.379687
0.379687
0.379687
0.379687
0.094921
0.189843
0.189843
0.189843
0.189843
0.189843
0.189843
0.258899
0.315090
0.315090
0.315090
0.315090
0.315090
0.315090
0.257099
0.298800
0.315090
0.315090
0.630180
0.630180
0.630180
0.580199
0.630180
0.272399
0.630180

Nr crt.

cod ATC

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

DCI

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

Denumire Comerciala

CARVEDILOL TEVA 25 mg
GLADYCOR 25 mg
MIOCARVIL 25 mg
DILATREND (R) 6,25 mg
CORYOL (R)
TALLITON 6,25 mg
ATRAM 6,25
CARVEDILOL SANDOZ
CARVEDILOL LPH 6,25 mg
CARVEDILOL TEVA 6,25 mg

forma farm.

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

concentratie

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

tara det.
APP
TEVA PHARMACEUTICAL S.R.L. ROMANIA
ANTIBIOTICE S.A.
ROMANIA
LABORMED PHARMA S.A. ROMANIA
ROCHE ROMANIA S.R.L. ROMANIA
KRKA D.D.
SLOVENIA
Detinator APP

EGIS PHARMACEUTICALS P.L.C.

ZENTIVA AS
HEXAL AG

Ambalaj

Prescriptie

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

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


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

CUTIE X 4 BLIST. OPA-AL-PVC/AL X 7 COMPR.

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


CEHIA
CUTIE X 2 BLIST. PVC-PVDC/AL X 15 COMPR.

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

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

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

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


VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
ANTIBIOTICE S.A.
ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR.
LABORMED PHARMA S.A. ROMANIA CUTIE X 2 BLIST. PVC/AL X 15 COMPR. FILM.

TEVA PHARMACEUTICAL S.R.L.

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

WORWAG PHARMA GMBH & CO. KG

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

WORWAG PHARMA GMBH & CO. KG

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

WORWAG PHARMA GMBH & CO. KG

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

PFIZER EUROPE MA EEIG

MAREA BRITANIE

HEXAL AG
KRKA D.D.

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

OZONE LABORATORIES BV

OLANDA

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

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


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

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


LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 3 BLIST. AL/PVC-PVDC X 10 COMPR.
LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR.
DR. REDDY'S LABORATORIES

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

GERMANIA CUTIE CU BLIST. PVC- PVDC/AL X 100 COMPR.

P-6L/S

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


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

P-6L

WORWAG PHARMA GMBH & CO. KG

ANTIBIOTICE S.A.

P-6L

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE CU BLIST. PVC-PVDC/AL X 20 COMPR. P-6L

VIM SPECTRUM SRL


TERAPIA SA
TERAPIA SA
ZENTIVA K.S.

ROMANIA
ROMANIA
ROMANIA

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

CEHIA

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

OZONE LABORATORIES PHARMA S.A.

ICN POLFA RZESZOW


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

P-6L

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


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

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


POLONIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L
POLONIA CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L
POLONIA CUTIE X 10 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L/S
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
ROMANIA CUTIE X 2 BLIST. AL/OPA-AL-PVC X 14 COMPR. P-6L

SUEDIA
ARENA GROUP S.A. ROMANIA

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

PFIZER EUROPE MA EEIG

MAREA BRITANIE

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

HEXAL AG
KRKA D.D.

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

OZONE LABORATORIES BV

OLANDA

BLUEFISH PHARMACEUTICALS AB

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

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


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

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


LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 3 BLIST. AL/PVC-PVDC X 10 COMPR.
LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR.
DR. REDDY'S LABORATORIES

WORWAG PHARMA GMBH & CO. KG

Pagina 8 din 34

GERMANIA CUTIE CU BLIST. PVC-PVDC/AL X 100COMPR.

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

Pret
amanunt
Pret
ul
cant/a maximal amanuntul
mbala /ambalaj maximal/UT
(RON)
(RON)
j

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

8.95
22.73
23.34
16.26
6.36
6.81
6.36
6.81
6.81
5.96
4.51
6.63
6.81
13.76
24.01
8.95
29.32
19.04
19.03
19.04
14.50
19.04
19.04
19.04
16.87
19.04
19.03
12.70
12.70
19.08
19.08
19.04
19.04
17.70
31.76
61.48
19.04
14.50
10.83
19.04
19.71
11.23
11.26
10.89
8.64
11.23
11.23
7.80
8.44

0.298333
0.757666
0.778000
0.580714
0.227142
0.227000
0.212000
0.227000
0.227000
0.198666
0.225500
0.221000
0.227000
0.458666
0.800333
0.298333
0.977333
0.634666
0.634333
0.634666
0.517857
0.634666
0.634666
0.634666
0.168700
0.634666
0.634333
0.635000
0.635000
0.636000
0.636000
0.634666
0.634666
0.590000
0.635200
0.614800
0.634666
0.517857
0.361000
0.634666
0.657000
0.374333
0.375333
0.363000
0.308571
0.374333
0.374333
0.260000
0.084400

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

0.298333
0.700200
0.700200
0.175049
0.175049
0.175049
0.175049
0.175049
0.175049
0.175049
0.175049
0.175049
0.175049
0.350100
0.700200
0.175049
0.571199
0.571199
0.571199
0.571199
0.517857
0.571199
0.571199
0.571199
0.168700
0.571199
0.571199
0.571199
0.571199
0.571199
0.571199
0.571199
0.571199
0.571199
0.571199
0.571199
0.571199
0.517857
0.361000
0.571199
0.285599
0.285599
0.285599
0.285599
0.285599
0.285599
0.285599
0.260000
0.084400

0.268499
0.630180
0.630180
0.157544
0.157544
0.157544
0.157544
0.157544
0.157544
0.157544
0.157544
0.157544
0.157544
0.315090
0.630180
0.157544
0.514079
0.514079
0.514079
0.514079
0.466071
0.514079
0.514079
0.514079
0.151830
0.514079
0.514079
0.514079
0.514079
0.514079
0.514079
0.514079
0.514079
0.514079
0.514079
0.514079
0.514079
0.466071
0.324900
0.514079
0.257039
0.257039
0.257039
0.257039
0.257039
0.257039
0.257039
0.234000
0.075960

Nr crt.

cod ATC

386 C08CA01
387 C08CA01
388 C08CA01
389 C08CA01
390 C08CA01
391 C08CA01
392 C08CA01
393 C08CA01
394 C08CA01
395 C08CA01
396 C08CA01
397 C08CA01
398 C08CA01
399 C08CA01
400 C08CA01
401 C08CA02
402 C08CA02
403 C08CA02
404 C08CA02
405 C08CA02
406 C08CA02
407 C08CA02
408 C08CA02
409 C08CA02
410 C08CA02
411 C08CA02
412 C08CA02
413 C08CA02
414 C08CA02
415 C08CA02
416 C08CA02
417 C08CA02
418 C08CA02
419 C08CA05
420 C08CA05
421 C08CA05
422 C08DA01
423 C08DA01
424 C08DA01
425 C08DA01
426 C08DA01
427 C08DA01
428 C08DA01
429 C08DA01
430 C08DA01
431 C08DB01
432 C08DB01
433 C08DB01
434 C08DB01

DCI

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

Denumire Comerciala

forma farm.

ALMACOR 5 mg
COMPR.
EPLODIN 5 mg
COMPR.
AMLODIPINA ACTAVIS 5 mg COMPR.
AMLODIPIN VIM SPECTRUM 5 mg COMPR.
TARDIP 5 mg
COMPR.
TARDIP 5 mg
COMPR.
AGEN 5
COMPR.
ALOZUR 5 mg
COMPR.
AMLODIPINE VALEANT 5 mg COMPR.
AMLODIPINE VALEANT 5 mg COMPR.
AMLODIPINE VALEANT 5 mg COMPR.
AMLODIPINA LPH 5 mg
COMPR.
STAMLO M 5 mg
COMPR.
AMLODIPINA BLUEFISH 5 mg COMPR.
AMLODIPINA BIOGALENICA 5 mg COMPR.
PLENDIL
COMPR. ELIB. PREL.
FELODIPIN AL 10 mg
COMPR. ELIB. PREL.
PLENDIL
COMPR. ELIB. PREL.
FELODIPIN AL 2,5 mg
COMPR. ELIB. PREL.
FELODIPIN AL 2,5 mg
COMPR. ELIB. PREL.
PLENDIL
COMPR. ELIB. PREL.
FELODIPIN AL 5 mg
COMPR. ELIB. PREL.
SISTAR 10 mg
COMPR. FILM. ELIB. MODIF.
SISTAR 2,5 mg
COMPR. FILM. ELIB. MODIF.
SISTAR 5 mg
COMPR. FILM. ELIB. MODIF.
AURONAL 10 mg
COMPR. FILM. ELIB. PREL.
PRESID (R) 10 mg
COMPR. FILM. ELIB. PREL.
FELODIPIN SANDOZ 10 mg COMPR. FILM. ELIB. PREL.
AURONAL 2,5 mg
COMPR. FILM. ELIB. PREL.
PRESID (R) 2,5 mg
COMPR. FILM. ELIB. PREL.
AURONAL 5 mg
COMPR. FILM. ELIB. PREL.
PRESID (R) 5 mg
COMPR. FILM. ELIB. PREL.
FELODIPIN SANDOZ 5 mg
COMPR. FILM. ELIB. PREL.
ADALAT CR 30
COMPR. ELIB. MODIF.
NIFEDIPIN RETARD TERAPIA 20 mg COMPR. FILM. ELIB. PREL.

EPILAT RETARD
ISOPTIN (R) 40 mg
VERAPAMIL AL 80
VERAPAMIL AL 80
ISOPTIN (R) 80 mg
VEROGALID (R) ER 240 mg
VEROGALID (R) ER 240 mg
ISOPTIN RR
VERAPAMIL 40 mg
VERAPAMIL 80 mg
DILZEM 60 mg
DILTIAZEM EIPICO 60 mg
DILTIAZEM LPH 60 mg
DILTIAZEM ARENA 60 mg

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

DRAJ.
DRAJ.
COMPR.
COMPR.
COMPR.
COMPR.

concentratie

5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
10mg
10mg
2,5mg
2,5mg
2,5mg
5mg
5mg
10mg
2,5mg
5mg
10mg
10mg
10mg
2,5mg
2,5mg
5mg
5mg
5mg
30mg
20mg
20mg
40mg
80mg
80mg
80mg
240mg
240mg
240mg
40mg
80mg
60mg
60mg
60mg
60mg

Detinator APP

ANTIBIOTICE S.A.

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

Prescriptie

EXTRACTUMPHARMA UNGARIA

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

P-6L

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE CU BLIST. PVC-PVDC/AL X 20 COMPR. P-6L

VIM SPECTRUM SRL


TERAPIA SA
TERAPIA SA
ZENTIVA K.S.

ROMANIA
ROMANIA
ROMANIA

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

CEHIA

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

OZONE LABORATORIES PHARMA S.A.

ICN POLFA RZESZOW


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

P-6L

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


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

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


POLONIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L
POLONIA CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L
POLONIA CUTIE X 10 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L/S
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
ROMANIA CUTIE X 2 BLIST. AL/OPA-AL-PVC X 14 COMPR. P-6L

SUEDIA
ARENA GROUP S.A. ROMANIA
ASTRAZENECA AB SUEDIA

BLUEFISH PHARMACEUTICALS AB

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


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

ALIUD PHARMA GMBH & CO. KG

GERMANIA

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

ASTRAZENECA AB

SUEDIA

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

ALIUD PHARMA GMBH & CO. KG

GERMANIA

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

P-6L

ALIUD PHARMA GMBH & CO. KG

GERMANIA

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

P-6L

ASTRAZENECA AB

SUEDIA

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

P-6L

ALIUD PHARMA GMBH & CO. KG

GERMANIA

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

P-6L

GEDEON RICHTER ROMANIA SA

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

EGIS PHARMACEUTICALS P.L.C.

ROMANIA
ROMANIA
ROMANIA
UNGARIA

IVAX - PHARMACEUTICALS S.R.O.

CEHIA

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

HEXAL AG

GERMANIA

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

P-6L

EGIS PHARMACEUTICALS P.L.C.

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

P-6L

IVAX - PHARMACEUTICALS S.R.O.

UNGARIA
CEHIA
UNGARIA
CEHIA

HEXAL AG

GERMANIA

GEDEON RICHTER ROMANIA SA


GEDEON RICHTER ROMANIA SA

IVAX - PHARMACEUTICALS S.R.O.

EGIS PHARMACEUTICALS P.L.C.

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

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

P-6L

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


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

P-6L

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


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

P-6L

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

TERAPIA SA

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


E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 2 FOLII X 10 DRAJ.

P-6L
P-6L

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


ALIUD PHARMA GMBH & CO.KG

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

ALIUD PHARMA GMBH & CO.KG

GERMANIA CUTIE X 5 BLIST. X 10 COMPR. FILM.

P-6L

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


IVAX - PHARMACEUTICALS S.R.O.
IVAX - PHARMACEUTICALS S.R.O.

CEHIA
CEHIA

ABBOTT GMBH&CO.KG GERMANIA

CUTIE X 1 BLIST. X 10 COMPR. FILM. ELIB. PREL. P-6L


CUTIE X 3 BLIST. X 10 COMPR. FILM. ELIB. PREL. P-6L
CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L

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


ROMANIA CUTIE X 2 BLIST. AL/PVC X 25 DRAJ.
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
ARENA GROUP SA ROMANIA CUTIE X 5 BLIST. DIN AL/ PVC X 10COMPR.

SANOFI-AVENTIS ROMANIA S.R.L.

P-6L

SANOFI-AVENTIS ROMANIA S.R.L.

P-6L

Pagina 9 din 34

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

Pret
amanunt
Pret
ul
cant/a maximal amanuntul
mbala /ambalaj maximal/UT
(RON)
(RON)
j

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

11.22
11.23
7.49
7.35
10.69
10.69
11.11
10.89
9.52
18.72
36.25
11.23
8.64
8.89
7.80
49.61
45.20
22.00
20.43
32.95
28.03
29.20
30.06
14.30
18.21
42.06
33.16
30.17
16.27
8.51
26.35
17.01
15.50
29.52
9.15
4.75
16.89
20.77
10.39
15.12
10.59
22.34
19.68
11.68
17.12
12.26
5.33
5.33
13.22

0.374000
0.374333
0.374500
0.367500
0.356333
0.356333
0.370333
0.363000
0.317333
0.374400
0.362500
0.374333
0.308571
0.296333
0.260000
1.653666
1.506666
0.733333
0.681000
0.659000
0.934333
0.973333
1.002000
0.476666
0.607000
1.402000
1.105333
1.005666
0.542333
0.283666
0.878333
0.567000
0.516666
1.054285
0.183000
0.237500
0.168900
0.207700
0.207800
0.302400
1.059000
0.744666
0.984000
0.233600
0.342400
0.408666
0.266500
0.266500
0.264400

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

0.285599
0.285599
0.285599
0.285599
0.285599
0.285599
0.285599
0.285599
0.285599
0.285599
0.285599
0.285599
0.285599
0.285599
0.260000
0.571199
0.571199
0.142799
0.142799
0.142799
0.285599
0.285599
0.571199
0.142799
0.285599
0.571199
0.571199
0.571199
0.142799
0.142799
0.285599
0.285599
0.285599
0.285599
0.183000
0.190399
0.111699
0.207700
0.207800
0.223399
0.670199
0.670199
0.670199
0.111699
0.223399
0.265975
0.265975
0.265975
0.264400

0.257039
0.257039
0.257039
0.257039
0.257039
0.257039
0.257039
0.257039
0.257039
0.257039
0.257039
0.257039
0.257039
0.257039
0.234000
0.514079
0.514079
0.128519
0.128519
0.128519
0.257039
0.257039
0.514079
0.128519
0.257039
0.514079
0.514079
0.514079
0.128519
0.128519
0.257039
0.257039
0.257039
0.257039
0.164700
0.171359
0.100529
0.186930
0.187020
0.201059
0.603179
0.603179
0.603179
0.100529
0.201059
0.239377
0.239377
0.239377
0.237960

Nr crt.

cod ATC

435 C08DB01
436 C08DB01
437 C08DB01
438 C08DB01
439 C09AA01
440 C09AA01
441 C09AA01
442 C09AA01
443 C09AA01
444 C09AA01
445 C09AA01
446 C09AA01
447 C09AA01
448 C09AA01
449 C09AA01
450 C09AA01
451 C09AA01
452 C09AA01
453 C09AA01
454 C09AA01
455 C09AA01
456 C09AA02
457 C09AA02
458 C09AA02
459 C09AA02
460 C09AA02
461 C09AA02
462 C09AA02
463 C09AA02
464 C09AA02
465 C09AA02
466 C09AA02
467 C09AA02
468 C09AA02
469 C09AA02
470 C09AA02
471 C09AA02
472 C09AA02
473 C09AA02
474 C09AA02
475 C09AA02
476 C09AA02
477 C09AA02
478 C09AA02
479 C09AA02
480 C09AA02
481 C09AA02
482 C09AA02
483 C09AA02

DCI

DILTIAZEMUM
DILTIAZEMUM
DILTIAZEMUM
DILTIAZEMUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM

Denumire Comerciala

DILTIAZEM BIOEEL 60 mg
DILTIAZEM BIOEEL 60 mg
CORZEM 120
DILZEM 90 mg RETARD
CAPTOPRIL 12,5 mg
CAPTOPRIL MCC 12,5 mg
CAPTOPRIL 25 mg
CAPTOPRIL 25 mg
CAPTOPRIL 25 EEL
CAPTOPRIL - AC 25 mg
CAPTOPRIL MCC 25 mg
CAPTOPRIL LPH 25 mg
CAPTOPRIL SINTOFARM 25 mg

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

EDNYT 10 mg
EDNYT 2,5 mg
ENALAPRIL 20 mg
ENALAPRIL SANDOZ 20 mg
ENALAPRIL LPH 20 mg
ENAP 20 mg
ENALAPRIL FABIOL 20 mg
ENALAPRIL AL 20
RENITEC 20 mg
ENALAPRIL TERAPIA 20 mg
ENALAPRIL ARENA 20 mg
ENALAPRIL ARENA 20 mg

forma farm.

COMPR.
COMPR.

concentratie

60mg
60mg
COMPR. FILM. 120mg
COMPR. FILM. ELIB. PREL.
90mg
COMPR.
12,5mg
COMPR.
12,5mg
COMPR.
25mg
COMPR.
25mg
COMPR.
25mg
COMPR.
25mg
COMPR.
25mg
COMPR.
25mg
COMPR.
25mg
COMPR.
25mg
COMPR.
50 mg
COMPR.
50mg
COMPR.
50mg
COMPR.
50mg
COMPR.
50mg
COMPR.
50mg
COMPR.
50mg
COMPR.
10mg
COMPR.
10mg
COMPR.
10mg
COMPR.
10mg
COMPR.
10mg
COMPR.
10mg
COMPR.
10mg
COMPR.
10mg
COMPR.
10mg
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.
20mg
COMPR.
20mg

BIO EEL SRL


BIO EEL SRL
AC HELCOR SRL

tara det.
APP
Ambalaj
ROMANIA CUTIE X 2 BLIST. DIN AL/ PVC X 10 COMPR. P-6L
ROMANIA CUTIE X 5 BLIST. DIN AL/ PVC X 10 COMPR. P-6L
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-6L

PFIZER EUROPE MA EEIG

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

Detinator APP

Prescriptie

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

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


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

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


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

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

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

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


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

CUTIE X 2 FOLII X 10 COMPR.


MAGISTRA C & C
ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
SANDOZ SRL
ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR.

OZONE LABORATORIES LTD.

P-6L

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

MAREA BRITANIE

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

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


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

FABIOL SA
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. PVC/ AL X 10 COMPR.
ALIUD PHARMA GMBH & CO.KG

P-6L
P-6L

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

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

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

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
MAGISTRA C & C
ROMANIA
SANDOZ SRL
ROMANIA
LABORMED PHARMA SA ROMANIA

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

P-6L

CUTIE X 1 FLAC. DIN PE X 20 COMPR.

P-6L

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


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

CUTIE X 2 BLIST. X 10 COMPR.


CUTIE X 2 BLIST. X 10 COMPR.

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

FABIOL SA

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

ALIUD PHARMA GMBH & CO.KG

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

P-6L

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

TERAPIA SA
ARENA GROUP SA
ARENA GROUP SA
Pagina 10 din 34

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


ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR.
ROMANIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR.

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

Pret
amanunt
Pret
ul
cant/a maximal amanuntul
mbala /ambalaj maximal/UT
(RON)
(RON)
j

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

5.33
13.22
12.68
15.19
2.91
2.91
3.37
4.05
2.99
2.25
3.37
3.37
4.58
2.25
2.63
4.39
6.59
3.82
2.63
4.45
3.88
4.35
4.35
3.91
4.35
4.35
4.35
4.35
4.35
6.52
10.40
7.21
6.80
11.11
21.76
11.14
4.05
10.08
8.15
7.84
10.06
8.64
7.84
7.04
11.48
16.92
10.99
11.00
16.22

0.266500
0.264400
1.268000
0.506333
0.097000
0.097000
0.112333
0.135000
0.149500
0.112500
0.112333
0.112333
0.152666
0.112500
0.131500
0.219500
0.219666
0.191000
0.131500
0.148333
0.129333
0.217500
0.217500
0.195500
0.217500
0.217500
0.217500
0.217500
0.217500
0.217333
0.371428
0.360500
0.226666
0.222200
0.217600
0.557000
0.202500
0.336000
0.271666
0.392000
0.503000
0.432000
0.392000
0.352000
0.382666
0.604285
0.549500
0.366666
0.324400

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

0.265975
0.264400
0.531950
0.398962
0.049173
0.049173
0.098347
0.098347
0.098347
0.098347
0.098347
0.098347
0.098347
0.098347
0.131500
0.196695
0.196695
0.191000
0.131500
0.148333
0.129333
0.196695
0.196695
0.195500
0.196695
0.196695
0.196695
0.196695
0.196695
0.196695
0.196695
0.196695
0.196695
0.196695
0.196695
0.196695
0.196695
0.196695
0.049173
0.392000
0.393390
0.393390
0.392000
0.352000
0.382666
0.393390
0.393390
0.366666
0.324400

0.239377
0.237960
0.478755
0.359066
0.044256
0.044256
0.088512
0.088512
0.088512
0.088512
0.088512
0.088512
0.088512
0.088512
0.118350
0.177025
0.177025
0.171900
0.118350
0.133499
0.116399
0.177025
0.177025
0.175950
0.177025
0.177025
0.177025
0.177025
0.177025
0.177025
0.177025
0.177025
0.177025
0.177025
0.177025
0.177025
0.177025
0.177025
0.044256
0.352800
0.354051
0.354051
0.352800
0.316800
0.344399
0.354051
0.354051
0.329999
0.291960

Nr crt.

DCI

cod ATC

484 C09AA02
485 C09AA02
486 C09AA02
487 C09AA02
488 C09AA02
489 C09AA02
490 C09AA02
491 C09AA02
492 C09AA02
493 C09AA02
494 C09AA02
495 C09AA02
496 C09AA02
497 C09AA02
498 C09AA02
499 C09AA03
500 C09AA03
501 C09AA03
502 C09AA03
503 C09AA03
504 C09AA03
505 C09AA03
506 C09AA03
507 C09AA03
508 C09AA03
509 C09AA03
510 C09AA03
511 C09AA03
512 C09AA03
513 C09AA03
514 C09AA03
515 C09AA03
516 C09AA03
517 C09AA03
518 C09AA03
519 C09AA03
520 C09AA03
521 C09AA03
522 C09AA03
523 C09AA03
524 C09AA03
525 C09AA03
526 C09AA05
527 C09AA05
528 C09AA05
529 C09AA05
530 C09AA05
531 C09AA05
532 C09AA05

ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM

Denumire Comerciala

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

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

forma farm.

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

concentratie

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

tara det.
APP
Detinator APP
Ambalaj
SLAVIA PHARM S.R.L. ROMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. P6L

Prescriptie

CUTIE X 2 FOLII X 10 COMPR.


MAGISTRA C & C
ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
SANDOZ SRL
ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
GEDEON RICHTER PLC. UNGARIA CUTIE X 3 BLIST.X 10 COMPR.

OZONE LABORATORIES LTD.

ALIUD PHARMA GMBH & CO.KG

MAREA BRITANIE

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

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

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. AL/OPA-AL-PVC X 10 COMPR. P-6L
MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. AL/AL X 14 COMPR. P-6L
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/AL X 10 COMPR. P-6L

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

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


ROMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. P-6L
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L
SLAVIA PHARM S.R.L. ROMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. P6L

KRKA D.D.

SLOVENIA CUTIE X 5 FIOLE X 1 ML

RANBAXY U.K. LIMITED

MAREA BRITANIE

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

MEDOCHEMIE ROMANIA SRL

ANTIBIOTICE SA
ANTIBIOTICE SA

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


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

RANBAXY U.K. LIMITED

MAREA BRITANIE

HEXAL AG

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

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.


ISLANDA CUTIE CU BLIST. PVC/AL X 30 COMPR.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR.
ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 CAPS.
ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS.
ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 CAPS.
ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS.
ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 CAPS.
ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS.
ISLANDA CUTIE X 4 BLIST. AL/AL X 7 COMPR.

ACTAVIS GROUP PTC EHF.

ANTIBIOTICE SA
ANTIBIOTICE SA
GEDEON RICHTER ROMANIA SA

ACTAVIS GROUP PTC EHF.

ANTIBIOTICE SA
ANTIBIOTICE SA
GEDEON RICHTER ROMANIA SA

ACTAVIS GROUP PTC EHF.


GEDEON RICHTER ROMANIA SA

LABORMED PHARMA S.A.


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

ACTAVIS GROUP HF
Pagina 11 din 34

CUTIE X 3 BLIST. X 10 COMPR.

CUTIE X 3 BLIST. X 10 COMPR.

CUTIE X 3 BLIST. X 10 COMPR.

S/P-RF

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

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

Pret
amanunt
Pret
ul
cant/a maximal amanuntul
mbala /ambalaj maximal/UT
(RON)
(RON)
j

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

7.83
3.62
3.62
3.62
8.15
5.19
3.62
7.78
3.79
3.88
5.45
5.52
3.61
3.62
15.27
14.81
10.62
10.18
15.96
14.27
12.71
6.19
9.61
15.28
8.64
22.84
15.47
14.88
28.21
14.27
23.10
7.33
23.20
22.63
13.64
38.84
7.55
7.07
10.00
8.57
7.27
9.17
24.65
22.99
9.91
9.24
10.74
10.03
23.00

0.391500
0.181000
0.181000
0.181000
0.271666
0.173000
0.181000
0.277857
0.189500
0.194000
0.181666
0.184000
0.180500
0.181000
3.054000
0.493666
0.531000
0.339333
0.532000
0.475666
0.423666
0.309500
0.320333
0.545714
0.308571
0.761333
0.773500
0.496000
0.940333
0.713500
0.770000
0.733000
0.773333
0.808214
1.364000
1.294666
0.251666
0.235666
0.333333
0.285666
0.242333
0.327500
0.821666
0.821071
0.330333
0.330000
0.358000
0.358214
0.821428

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

0.391500
0.098347
0.098347
0.098347
0.098347
0.098347
0.098347
0.098347
0.098347
0.098347
0.098347
0.098347
0.098347
0.098347
3.054000
0.196695
0.196695
0.196695
0.196695
0.196695
0.196695
0.196695
0.196695
0.196695
0.049173
0.393390
0.393390
0.393390
0.393390
0.393390
0.393390
0.393390
0.393390
0.393390
0.786780
0.786780
0.098347
0.098347
0.098347
0.098347
0.098347
0.098347
0.786780
0.786780
0.196695
0.196695
0.358000
0.358214
0.786780

0.352350
0.088512
0.088512
0.088512
0.088512
0.088512
0.088512
0.088512
0.088512
0.088512
0.088512
0.088512
0.088512
0.088512
2.748600
0.177025
0.177025
0.177025
0.177025
0.177025
0.177025
0.177025
0.177025
0.177025
0.044256
0.354051
0.354051
0.354051
0.354051
0.354051
0.354051
0.354051
0.354051
0.354051
0.708102
0.708102
0.088512
0.088512
0.088512
0.088512
0.088512
0.088512
0.708102
0.708102
0.177025
0.177025
0.322200
0.322392
0.708102

Nr crt.

cod ATC

DCI

577 C09AA09

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

578 C09BA02

COMBINATII (ENALAPRILUM+HYDROCHLOROTHIAZIDUM)

579 C09BA02

COMBINATII (ENALAPRILUM+HYDROCHLOROTHIAZIDUM)

580 C09BA02

COMBINATII (ENALAPRILUM+HYDROCHLOROTHIAZIDUM)

581 C09BA02

COMBINATII (ENALAPRILUM+HYDROCHLOROTHIAZIDUM)

533 C09AA05
534 C09AA05
535 C09AA05
536 C09AA05
537 C09AA05
538 C09AA05
539 C09AA05
540 C09AA05
541 C09AA05
542 C09AA05
543 C09AA05
544 C09AA05
545 C09AA05
546 C09AA05
547 C09AA05
548 C09AA05
549 C09AA05
550 C09AA05
551 C09AA05
552 C09AA05
553 C09AA05
554 C09AA05
555 C09AA05
556 C09AA05
557 C09AA05
558 C09AA05
559 C09AA05
560 C09AA05
561 C09AA06
562 C09AA06
563 C09AA06
564 C09AA06
565 C09AA06
566 C09AA06
567 C09AA06
568 C09AA06
569 C09AA09
570 C09AA09
571 C09AA09
572 C09AA09
573 C09AA09
574 C09AA09
575 C09AA09
576 C09AA09

Denumire Comerciala

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

forma farm.

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

concentratie

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

tara det.
APP
Ambalaj
SANDOZ SRL
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
Detinator APP

Prescriptie

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


ROMANIA CUTIE X 2 BLIST. X 14 COMPR.
P-6L
WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. AL/AL X 10 COMPR. P-6L/S
WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. AL/AL X 10 COMPR. P-6L
SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L
ACTAVIS GROUP HF ISLANDA CUTIE X 4 BLIST. AL/AL X 7COMPR. P-6L
SANDOZ SRL
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
EGIS PHARMACEUTICALS P.L.C.

ZENTIVA S.A.

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

UNGARIA
ROMANIA
SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA
ACTAVIS GROUP HF ISLANDA
SANDOZ SRL
ROMANIA
AC HELCOR PHARMA SRL ROMANIA
EGIS PHARMACEUTICALS P.L.C.

ZENTIVA S.A.

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


CUTIE X 2 BLIST. X 14 COMPR.
CUTIE X 2 BLIST. X 14 COMPR.
CUTIE X 4 BLIST. AL/AL X 7 COMPR.

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

CUTIE X 4 FOLII AL-LDPE/LDPE-AL X 7 COMPR. P-6L

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
EGIS PHARMACEUTICALS P.L.C.

ZENTIVA S.A.
WORWAG PHARMA GMBH & CO. KG
WORWAG PHARMA GMBH & CO. KG
SANOFI - AVENTIS ROMANIA S.R.L.

RANBAXY U.K. LIMITED


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

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


ROMANIA CUTIE X 2 BLIST. X 14 COMPR.
GERMANIA CUTIE X 10 BLIST. A/AL X 10 COMPR.
GERMANIA CUTIE X 2 BLIST. A/AL X 10 COMPR.
ROMANIA CUTIE X 2 BLIST. X 14 COMPR.

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

P-6L
P-6L

MAREA BRITANIE

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

MAREA BRITANIE

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

MAREA BRITANIE

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

MAREA BRITANIE

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

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


PFIZER EUROPE MA EEIG

MAREA BRITANIE

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

RANBAXY UK LIMITED

MAREA BRITANIE

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

PFIZER EUROPE MA EEIG

MAREA BRITANIE

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

MAREA BRITANIE

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

MAREA BRITANIE

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

PFIZER EUROPE MA EEIG

MAREA BRITANIE

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

RANBAXY UK LIMITED

MAREA BRITANIE

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

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

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

RANBAXY UK LIMITED
RANBAXY UK LIMITED

BRISTOL MYERS SQUIBB KFT

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


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

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


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

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


10mg+12,5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. AL/OPA-AL-PVC X 10 COMPR.
10mg+25mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. AL/OPA-AL-PVC X 10 COMPR.
20 mg/12,5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 10 COMPR.
VIM SPECTRUM SRL ROMANIA CUTIE X 3 BLIST. PVC/COC/PVDC-AL X 10 COMPR.

Pagina 12 din 34

P-6L

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


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

Pret
amanunt
Pret
ul
cant/a maximal amanuntul
mbala /ambalaj maximal/UT
(RON)
(RON)
j

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

23.00
24.65
24.64
23.00
23.00
37.67
10.39
34.24
7.37
9.26
9.92
9.89
9.26
9.26
14.24
10.03
10.05
10.71
10.72
10.05
10.05
25.56
7.01
15.44
6.81
33.70
11.09
20.26
7.50
11.56
7.50
16.55
14.88
43.57
8.10
7.52
20.59
14.59
14.59
15.30
28.24
18.67
25.30
25.30
20.48
8.78
9.71
7.86
8.77

0.821428
0.821666
0.821333
0.821428
0.821428
0.376700
0.519500
1.222857
0.263214
0.330714
0.330666
0.329666
0.330714
0.330714
0.508571
0.358214
0.358928
0.357000
0.357333
0.358928
0.358928
0.255600
0.350500
0.551428
0.227000
1.123333
0.369666
0.675333
0.250000
0.385333
0.250000
0.551666
0.496000
1.452333
0.270000
0.250666
0.735357
0.486333
0.486333
0.765000
1.008571
0.622333
0.843333
0.843333
1.024000
0.439000
0.485500
0.393000
0.292333

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

0.786780
0.786780
0.786780
0.786780
0.786780
0.376700
0.519500
0.786780
0.196695
0.196695
0.196695
0.196695
0.196695
0.196695
0.196695
0.358214
0.358928
0.357000
0.357333
0.358928
0.358928
0.255600
0.350500
0.393390
0.098347
0.786780
0.196695
0.393390
0.131129
0.131129
0.131129
0.262259
0.262259
0.524519
0.065564
0.065564
0.131129
0.131129
0.131129
0.131129
0.262259
0.262259
0.262259
0.262259
0.262259
0.439000
0.447637
0.393000
0.292333

0.708102
0.708102
0.708102
0.708102
0.708102
0.339030
0.467550
0.708102
0.177025
0.177025
0.177025
0.177025
0.177025
0.177025
0.177025
0.322392
0.323035
0.321300
0.321599
0.323035
0.323035
0.230040
0.315450
0.354051
0.088512
0.708102
0.177025
0.354051
0.118016
0.118016
0.118016
0.236033
0.236033
0.472067
0.059008
0.059008
0.118016
0.118016
0.118016
0.118016
0.236033
0.236033
0.236033
0.236033
0.236033
0.395100
0.402873
0.353700
0.263099

Nr crt.

cod ATC

DCI

582 C09BA02

COMBINATII (ENALAPRILUM+HYDROCHLOROTHIAZIDUM)

583 C09BA05

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM)

584 C09BA05

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM)

585 C09BA05

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM)

586 C09BA05

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM)

587 C09BA05

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM)

588 C09BA05

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM)

589 C09BA05

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM)

590 C09BA05

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM)

591 C09CA01

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

592 C09CA01
593 C09CA01
594 C09CA01
595 C09CA01
596 C09CA01
597 C09CA01
598 C09CA01
599 C09CA01
600 C09CA01
601 C09CA01
602 C09CA01
603 C09CA01
604 C09CA01
605 C09CA01
606 C10AA01
607 C10AA01
608 C10AA01
609 C10AA01
610 C10AA01
611 C10AA01
612 C10AA01
613 C10AA01
614 C10AA01
615 C10AA01
616 C10AA01
617 C10AA01
618 C10AA01
619 C10AA01
620 C10AA01
621 C10AA01
622 C10AA01
623 C10AA01
624 C10AA01
625 C10AA01
626 C10AA01
627 C10AA01
628 C10AA01
629 C10AA01
630 C10AA01

Denumire Comerciala

forma farm.

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

SIMVOR 10 mg
SIMVACARD (R) 10
SIMGAL (R) 10 mg
SIMVAHEXAL (R) 10 mg
ZEPLAN (R) 10 mg
ZEPLAN (R) 10 mg
ZOCOR 10 mg
ZOCOR 10 mg
SINTENAL 10 mg
SIMVAGAMMA 10 mg
SIMVAGAMMA 10 mg
VASILIP 10 mg
SIMVASTATIN LPH 10 mg
VABADIN 10 mg
ZAREDIL 10 mg
SIMVASTATINA ACTAVIS 10 mg
SIMVASTATINA ACTAVIS 10 mg
SIMVASTATIN ACCORD 10 mg
SIMVASTATIN AUROBINDO 10 mg

SIMVASTATIN BLUEFISH 10 mg

RANVOR 10 mg
RANVOR 10 mg
ZAREDIL 10 mg
RANVOR 10 mg

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

tara det.
APP
VIM SPECTRUM SRL ROMANIA
Detinator APP

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

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


CIPRU
CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR.
ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR.
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PCTFE/AL X 14 COMPR.
MEDOCHEMIE LTD. CIPRU
CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR.
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR.
SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR.
TERAPIA SA
ROMANIA CUTIE X 3 BLIST. PA-AL- PVC/AL X 10 COMPR. FILM.
TERAPIA SA
ROMANIA CUTIE X 3 FOLII AL/PE X 10 COMPR. FILM.

2,5mg/12,5mg EGIS PHARMACEUTICALS P.L.C.


2,5mg/12,5mg MEDOCHEMIE LTD.
2,5mg/12,5mg TEVA PHARMACEUTICALS S.R.L.
2,5mg/12,5mg SANOFI - AVENTIS ROMANIA S.R.L.

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

Prescriptie

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

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

SLOVACIA

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

P-6L

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


ROMANIA CUTIE X 3 FOLII AL/PE X 10 COMPR. FILM.
ROMANIA CUTIE X 3 BLIST. PA-AL- PVC/AL X 10 COMPR. FILM.
ROMANIA CUTIE X 3 FOLII AL/PE X 10 COMPR. FILM.
MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. OPACE AL/PVC-PE-PVDC X 14 COMPR. FILM.

P-6L

KRKA D.D. NOVO MESTO SLOVENIA

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

P-6L
P-6L

FARMAL INTERNATIONAL S.R.L.

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


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

ZENTIVA A.S.

SLOVACIA

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

P-6L

MERCK SHARP & DOHME ROMANIA

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

P-6L

ARENA GROUP S.A. ROMANIA

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

P-6L

RANBAXY U.K. LIMITED

MAREA BRITANIE

CUTIE X 4 BLIST. X 7 COMPR. FILM.

P-6L

ZENTIVA AS
IVAX - PHARMACEUTICALS S.R.O.

CEHIA
CEHIA

HEXAL AG

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

TERAPIA SA
TERAPIA SA

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

P-6L
P-6L

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

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

ROMANIA CUTIE X 1 BLIST. AL/PVC X 14 COMPR. FILM. P-6L


ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM P-6L
MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 14 COMPR. FILM. P-6L
MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 14 COMPR. FILM. P-6L
AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L

GEDEON RICHTER ROMANIA SA


GEDEON RICHTER ROMANIA SA

WORWAG PHARMA GMBH & CO. KG

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

WORWAG PHARMA GMBH & CO. KG

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

KRKA D.D.

SLOVENIA

CUTIE X 4 BLIST. DIN PVC/PE/PVDC/AL X 7 COMPR. FILM.

P-6L

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


P-6L

MENARINI INTERNATIONAL OPERATIONS S.A.

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

OZONE LABORATORIES LTD.

MAREA BRITANIE

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

ACTAVIS GROUP PTC EHF.

ISLANDA
ISLANDA

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

ACTAVIS GROUP PTC EHF.

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

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

P-6L

AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. P-6L
BLUEFISH PHARMACEUTICALS AB

SUEDIA

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

MAREA BRITANIE

CUTIE X 2 BLIST. X 7 COMPR. FILM.


CUTIE X 4 BLIST. X 7 COMPR. FILM.

OZONE LABORATORIES PHARMA S.A.

ROMANIA

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

RANBAXY U.K. LIMITED

MAREA BRITANIE

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

RANBAXY U.K. LIMITED


RANBAXY U.K. LIMITED

Pagina 13 din 34

MAREA BRITANIE

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

Pret
amanunt
Pret
ul
cant/a maximal amanuntul
mbala /ambalaj maximal/UT
(RON)
(RON)
j

30 11.68
0.389333
28 22.94
0.819285
30 13.11
0.437000
30
8.47
0.282333
28 24.30
0.867857
28 29.11
1.039642
30 22.45
0.748333
30 18.00
0.600000
28 28.61
1.021785
30 33.02
1.100666
30 33.02
1.100666
28 32.37
1.156071
30 37.16
1.238666
30
4.21
0.140333
30
4.21
0.140333
30
7.72
0.257333
30
7.72
0.257333
28 63.80
2.278571
28 17.78
0.635000
30 17.70
0.590000
30 17.70
0.590000
28 17.67
0.631071
30 19.40
0.646666
1 281.60 281.600000
28
8.64
0.308571
28
8.38
0.299285
28
8.63
0.308214
28
8.64
0.308571
30
9.26
0.308666
14
4.33
0.309285
28
8.64
0.308571
14
6.66
0.475714
28 13.30
0.475000
30
9.24
0.308000
30
9.26
0.308666
100 30.88
0.308800
28
8.63
0.308214
30
9.26
0.308666
28 22.71
0.811071
28
8.64
0.308571
28
8.64
0.308571
30
9.24
0.308000
30
9.15
0.305000
30
9.11
0.303666
28
3.13
0.111785
14
4.19
0.299285
28
8.38
0.299285
28
8.64
0.308571
30
9.26
0.308666

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

0.389333
0.447637
0.437000
0.282333
0.447637
0.447637
0.447637
0.447637
0.447637
1.100666
1.100666
1.156071
1.238666
0.140333
0.140333
0.257333
0.257333
0.721049
0.635000
0.590000
0.590000
0.631071
0.646666
7.210498
0.260349
0.260349
0.260349
0.260349
0.260349
0.260349
0.260349
0.260349
0.260349
0.260349
0.260349
0.260349
0.260349
0.260349
0.260349
0.260349
0.260349
0.260349
0.260349
0.260349
0.111785
0.260349
0.260349
0.260349
0.260349

0.350399
0.402873
0.393300
0.254099
0.402873
0.402873
0.402873
0.402873
0.402873
0.990599
0.990599
1.040463
1.114799
0.126299
0.126299
0.231599
0.231599
0.648944
0.571500
0.531000
0.531000
0.567963
0.581999
6.489448
0.234314
0.234314
0.234314
0.234314
0.234314
0.234314
0.234314
0.234314
0.234314
0.234314
0.234314
0.234314
0.234314
0.234314
0.234314
0.234314
0.234314
0.234314
0.234314
0.234314
0.100606
0.234314
0.234314
0.234314
0.234314

Nr crt.

cod ATC

631 C10AA01
632 C10AA01
633 C10AA01
634 C10AA01
635 C10AA01
636 C10AA01
637 C10AA01
638 C10AA01
639 C10AA01
640 C10AA01
641 C10AA01
642 C10AA01
643 C10AA01
644 C10AA01
645 C10AA01
646 C10AA01
647 C10AA01
648 C10AA01
649 C10AA01
650 C10AA01
651 C10AA01
652 C10AA01
653 C10AA01
654 C10AA01
655 C10AA01
656 C10AA01
657 C10AA01
658 C10AA01
659 C10AA01
660 C10AA01
661 C10AA01
662 C10AA01
663 C10AA01
664 C10AA01
665 C10AA01
666 C10AA01
667 C10AA01
668 C10AA01
669 C10AA01
670 C10AA01
671 C10AA01
672 C10AA01
673 C10AA01
674 C10AA01
675 C10AA01
676 C10AA01
677 C10AA01
678 C10AA01
679 C10AA01

DCI

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

Denumire Comerciala

SIMVASTATINA SUN 10 mg
SIMVASTATINA BIOGALENICA 20 mg

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

SIMVASTATIN BLUEFISH 20 mg
SIMVASTATIN BLUEFISH 20 mg

RANVOR 20 mg
RANVOR 20 mg
ZAREDIL 20 mg
RANVOR 20 mg
SIMVASTATINA SUN 20 mg
SIMVAHEXAL (R) 30 mg
SIMVASTATINA BIOGALENICA 40 mg

SIMVOR 40 mg
VASILIP (R) 40 mg
SIMVACARD (R) 40
ZOCOR FORTE
ZOCOR FORTE
ZEPLAN (R) 40 mg
ZEPLAN (R) 40 mg
SIMGAL (R) 40 mg
SINTENAL 40 mg
SIMVAHEXAL (R) 40 mg
SIMVAGAMMA 40 mg
SIMVAGAMMA 40 mg
SIMCOR 40 mg
SIMCOR 40 mg
VABADIN 40 mg
ZAREDIL 40 mg
SIMVASTATIN LPH 40 mg
SIMVASTATINA ACTAVIS 40 mg

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

concentratie

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

Detinator APP

tara det.
APP

CIPLA (UK) LIMITED MAREA BRITANIE


ARENA GROUP S.A. ROMANIA

Ambalaj

Prescriptie

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


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

P-6L

CUTIE X 4 BLIST. X 7 COMPR. FILM.

P-6L

RANBAXY U.K. LIMITED

MAREA BRITANIE

ZENTIVA AS
IVAX - PHARMACEUTICALS S.R.O.

CEHIA
CEHIA

HEXAL AG

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

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

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

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


ROMANIA CUTIE X 1 BLIST. AL/PVC X 14 COMPR. FILM. P-6L
MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 14 COMPR.FILM. P-6L
MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 14 COMPR.FILM. P-6L
AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L

GEDEON RICHTER ROMANIA SA


GEDEON RICHTER ROMANIA SA

WORWAG PHARMA GMBH & CO. KG

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

WORWAG PHARMA GMBH & CO. KG

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

KRKA D.D.
ANTIBIOTICE SA

SLOVENIA

MENARINI INTERNATIONAL OPERATIONS S.A.

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

OZONE LABORATORIES LTD.

MAREA BRITANIE

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

ACTAVIS GROUP PTC EHF.

ISLANDA
ISLANDA

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

CUTIE X 4 BLIST. DIN PVC/PE/PVDC/AL X 7 COMPR. FILM.

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


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

ACTAVIS GROUP PTC EHF.

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

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

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

P-6L

AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. P-6L
BLUEFISH PHARMACEUTICALS AB
BLUEFISH PHARMACEUTICALS AB

SUEDIA
SUEDIA

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


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

MAREA BRITANIE

CUTIE X 2 BLIST. X 7 COMPR. FILM.


CUTIE X 4 BLIST. X 7 COMPR. FILM.

OZONE LABORATORIES PHARMA S.A.

ROMANIA

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

RANBAXY U.K. LIMITED

MAREA BRITANIE

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

RANBAXY U.K. LIMITED


RANBAXY U.K. LIMITED

MAREA BRITANIE

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

CIPLA (UK) LIMITED MAREA BRITANIE


HEXAL AG
GERMANIA
ARENA GROUP S.A. ROMANIA

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

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

P-6L

RANBAXY U.K. LIMITED

MAREA BRITANIE

CUTIE X 2 BLIST. X 7 COMPR. FILM.

P-6L

KRKA D.D.
ZENTIVA AS

SLOVENIA

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

P-6L

CEHIA

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

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

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

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


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

IVAX - PHARMACEUTICALS S.R.O.

CEHIA

GEDEON RICHTER ROMANIA SA

P-6L
P-6L

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

AC HELCOR PHARMA SRL

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

HEXAL AG

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

WORWAG PHARMA GMBH & CO. KG

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

WORWAG PHARMA GMBH & CO. KG

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

ANTIBIOTICE S.A.
ANTIBIOTICE S.A.

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


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

P-6L

MENARINI INTERNATIONAL OPERATIONS S.A.

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

P-6L

OZONE LABORATORIES LTD.

MAREA BRITANIE

LABORMED PHARMA S.A.

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

ACTAVIS GROUP PTC EHF.

ISLANDA

Pagina 14 din 34

P-6L

P-6L

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

P-6L

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

Pret
amanunt
Pret
ul
cant/a maximal amanuntul
mbala /ambalaj maximal/UT
(RON)
(RON)
j

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

8.37
16.35
15.61
16.35
16.35
17.53
16.36
8.18
12.59
25.16
17.49
56.54
17.53
16.35
17.52
17.52
43.94
16.36
16.35
13.88
17.52
17.26
13.45
14.41
7.81
15.61
16.36
13.88
15.59
20.85
29.52
14.84
29.51
29.68
43.94
22.71
29.52
14.76
29.52
31.62
31.62
96.88
31.62
10.54
31.62
66.75
18.17
31.62
29.52

0.298928
0.583928
0.557500
0.583928
0.583928
0.584333
0.584285
0.584285
0.899285
0.898571
0.583000
0.565400
0.584333
0.583928
0.584000
0.584000
1.569285
0.584285
0.583928
0.462666
0.584000
0.575333
0.480357
0.480333
0.557857
0.557500
0.584285
0.462666
0.556785
0.695000
1.054285
1.060000
1.053928
1.060000
1.569285
1.622142
1.054285
1.054285
1.054285
1.054000
1.054000
0.968800
1.054000
1.054000
1.054000
2.383928
0.648928
1.054000
1.054285

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

0.260349
0.520699
0.520699
0.520699
0.520699
0.520699
0.520699
0.520699
0.520699
0.520699
0.520699
0.520699
0.520699
0.520699
0.520699
0.520699
0.520699
0.520699
0.520699
0.462666
0.520699
0.520699
0.480357
0.480333
0.520699
0.520699
0.520699
0.462666
0.520699
0.695000
1.041399
1.041399
1.041399
1.041399
1.041399
1.041399
1.041399
1.041399
1.041399
1.041399
1.041399
0.968800
1.041399
1.041399
1.041399
1.041399
0.648928
1.041399
1.041399

0.234314
0.468629
0.468629
0.468629
0.468629
0.468629
0.468629
0.468629
0.468629
0.468629
0.468629
0.468629
0.468629
0.468629
0.468629
0.468629
0.468629
0.468629
0.468629
0.416399
0.468629
0.468629
0.432321
0.432299
0.468629
0.468629
0.468629
0.416399
0.468629
0.625500
0.937259
0.937259
0.937259
0.937259
0.937259
0.937259
0.937259
0.937259
0.937259
0.937259
0.937259
0.871920
0.937259
0.937259
0.937259
0.937259
0.584035
0.937259
0.937259

cod ATC

DCI

680 C10AA01

SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
LOVASTATINUM
LOVASTATINUM
LOVASTATINUM
LOVASTATINUM
LOVASTATINUM
PRAVASTATINUM
PRAVASTATINUM
PRAVASTATINUM
FENOFIBRATUM
FENOFIBRATUM
FENOFIBRATUM
FENOFIBRATUM
FENOFIBRATUM
FENOFIBRATUM
FENOFIBRATUM
FENOFIBRATUM
FENOFIBRATUM
FENOFIBRATUM
FENOFIBRATUM
FENOFIBRATUM
FENOFIBRATUM
MICONAZOLUM
MICONAZOLUM
MICONAZOLUM
BIFONAZOLUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM

Nr crt.

681 C10AA01
682 C10AA01
683 C10AA01
684 C10AA01
685 C10AA01
686 C10AA01
687 C10AA01
688 C10AA01
689 C10AA01
690 C10AA01
691 C10AA01
692 C10AA01
693 C10AA02
694 C10AA02
695 C10AA02
696 C10AA02
697 C10AA02
698 C10AA03
699 C10AA03
700 C10AA03
701 C10AB05
702 C10AB05
703 C10AB05
704 C10AB05
705 C10AB05
706 C10AB05
707 C10AB05
708 C10AB05
709 C10AB05
710 C10AB05
711 C10AB05
712 C10AB05
713 C10AB05
714 D01AC02
715 D01AC02
716 D01AC02
717 D01AC10
718 D06BB03
719 D06BB03
720 D06BB03
721 D06BB03
722 D06BB03
723 D06BB03
724 D06BB03
725 D06BB03
726 D06BB03
727 D06BB03
728 D06BB03

forma farm.
Denumire Comerciala
SIMVASTATINA ACTAVIS 40 mg COMPR. FILM.
SIMVASTATIN ACCORD 40 mg COMPR. FILM.
SIMVASTATIN AUROBINDO 40 mg COMPR. FILM.
SIMVASTATIN BLUEFISH 40 mg COMPR. FILM.
SIMVASTATIN BLUEFISH 40 mg COMPR. FILM.
SIMVASTATIN BLUEFISH 40 mg COMPR. FILM.
RANVOR 40 mg
COMPR. FILM.
ZAREDIL 40 mg
COMPR. FILM.
RANVOR 40 mg
COMPR. FILM.
SIMVASTATINA SUN 40 mg COMPR. FILM.
RANVOR 5 mg
COMPR. FILM.
SIMVASTATIN LPH 80 mg
COMPR. FILM.
SIMVASTATIN ACCORD 80 mg COMPR. FILM.

concentratie

40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
5mg
80mg
80mg
MEDOSTATIN
COMPR.
20mg
MEDOSTATIN
COMPR.
20mg
MEDOSTATIN
COMPR.
20mg
LOVASTATINA BIOGALENICA 20 mg COMPR.
20mg
MEDOSTATIN 40 mg
COMPR.
40mg
PRAVATOR 10 mg
COMPR.
10mg
PRAVATOR 20 mg
COMPR.
20mg
PRAVATOR 40 mg
COMPR.
40mg
LIPANTHYL (R) 100
CAPS.
100mg
LIPOFIB 160 mg
CAPS.
160mg
LIPANTHYL 200 M
CAPS.
200mg
LIPOFIB 200 mg
CAPS.
200mg
LIPOFIB 267 mg
CAPS.
267mg
LIPOFIB 67 mg
CAPS.
67mg
FENOFIBRAT LPH 200 mg
CAPS. PULB. MICRONIZATA 200mg
LIPIVIM
CAPS. PULB. MICRONIZATA 200mg
TRIGLIPO 160 mg
COMPR.
160mg
LIPANTIL NANO 145 mg
COMPR. FILM. 145mg
FENOFIBRAT TEVA 160 mg COMPR. FILM. 160mg
LIPANTHYL SUPRA 160 mg COMPR. FILM. ELIB. MODIF. 160mg
LIPANTHYL SUPRA 160 mg COMPR. FILM. ELIB. MODIF. 160mg
MEDACTER
CREMA
2%
MICONAZOL NITRAT 2%
CREMA
2%
MICONAL ECOBI
CREMA
20mg/g
BIAZOL 10 mg/g
CREMA
10mg/g
ACICLOVIR MK
CREMA
5%
ZOVIRAX
CREMA
5%
ACICLOVIR 50mg/g
CREMA
5%
ACICLOVIR 50mg/g
CREMA
5%
CLOVIRAL (R) 5%
CREMA
5%
ACICLOVIR MK
CREMA
5%
ACIKLOVIR CREMA
CREMA
50mg/g
ACIKLOVIR CREMA
CREMA
50mg/g
ACICLOVIR HYPERION
CREMA
50mg/g
ACICLOVIR TIS 50mg/g
CREMA
50mg/g
ACICLOVIR SLAVIA 50 mg/g CREMA
50mg/g

Detinator APP

tara det.
APP

ACTAVIS GROUP PTC EHF.

ISLANDA

Ambalaj

Prescriptie

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

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

P-6L

AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. P-6L

BLUEFISH PHARMACEUTICALS AB

SUEDIA
SUEDIA
SUEDIA

RANBAXY U.K. LIMITED

MAREA BRITANIE

CUTIE X 2 BLIST. X 7 COMPR. FILM.

OZONE LABORATORIES PHARMA S.A.

ROMANIA

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

RANBAXY U.K. LIMITED

MAREA BRITANIE

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

CIPLA (UK) LIMITED

MAREA BRITANIE

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

RANBAXY U.K. LIMITED

MAREA BRITANIE

CUTIE X 2 BLIST. X 7 COMPR. FILM.

LABORMED PHARMA S.A.

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

BLUEFISH PHARMACEUTICALS AB
BLUEFISH PHARMACEUTICALS AB

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


CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-6L
CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. P-6L

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

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

P-6L

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

P-6L

CIPRU
CIPRU
CIPRU

CUTIE X 10 BLIST. X 10 COMPR.


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

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


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

MAREA BRITANIE

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

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

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

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

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


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

LAB. FOURNIER SA FRANTA CUTIE X 1 BLIST. PVC- PE-PVDC/AL X 10 COMPR. FILM. CU ELIB. MOD.
LAB. FOURNIER SA FRANTA CUTIE X 3 BLIST. PVC- PE-PVDC/AL X 10 COMPR. FILM. CU ELIB. MOD.
FARAN LABORATORIES S.A. GRECIA CUTIE X 1 TUB X 30G
SLAVIA PHARM SRL ROMANIA CUTIE X 1 TUB X 20 G
FARMACEUTICI ECOBI S.A.S ITALIA
CUTIE X 1 TUB DIN AL X 30 G CREMA
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 TUB X 15 G CREMA
FITERMAN PHARMA S.R.L. ROMANIA CUTIE X 1 TUB AL X 7,5 G
THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 1 TUB X 5G CREMA
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 TUB X 5 G CREMA
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 TUB X 15 G CREMA
ANTIBIOTICE SA
ROMANIA CUTIE X 1 TUB AL. X 12 G
FITERMAN PHARMA S.R.L. ROMANIA CUTIE X 1 TUB AL X 15 G
A & G MED TRADING S.R.L. ROMANIA CUTIE X 1 TUB X 10 G CREMA
A & G MED TRADING S.R.L. ROMANIA CUTIE X 1 TUB X 5 G CREMA
HYPERION S.A.
ROMANIA CUTIE X 1 TUB DIN AL X 15 G CREMA
TIS FARMACEUTIC SA ROMANIA CUTIE X 1 TUB DIN PEJD X 15 G CREMA
SLAVIA PHARM S.R.L. ROMANIA CUTIE CU 1 TUB AL X 15 G CREMA

Pagina 15 din 34

P-6L

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

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


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

LAB. FOURNIER S.A. FRANTA

P-6L

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

Pret
amanunt
Pret
ul
cant/a maximal amanuntul
mbala /ambalaj maximal/UT
(RON)
(RON)
j

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

22.84
31.62
31.14
14.84
29.68
18.32
14.84
18.17
22.87
29.48
2.42
53.68
55.51
66.80
14.27
20.54
25.56
47.09
17.01
22.19
35.10
20.49
26.58
13.41
27.50
33.15
12.08
17.40
26.12
26.56
34.34
26.58
13.64
39.56
8.46
6.75
9.40
9.35
4.14
20.82
4.92
7.50
6.32
6.66
8.77
5.84
7.24
4.64
6.64

0.761333
1.054000
1.038000
1.060000
1.060000
0.610666
1.060000
0.648928
0.762333
1.052857
0.172857
1.789333
1.850333
0.668000
1.427000
0.684666
0.852000
1.569666
0.607500
0.792500
1.253571
0.426875
0.886000
1.341000
0.916666
1.105000
0.402666
0.870000
0.870666
0.885333
1.144666
0.886000
1.364000
1.318666
8.460000
6.750000
9.400000
9.350000
4.140000
20.820000
4.920000
7.500000
6.320000
6.660000
8.770000
5.840000
7.240000
4.640000
6.640000

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

0.761333
1.041399
1.038000
1.041399
1.041399
0.610666
1.041399
0.648928
0.762333
1.041399
0.130174
1.789333
1.850333
0.347132
0.347132
0.347132
0.347132
0.694265
0.260349
0.520699
1.041399
0.391649
0.626639
0.783299
0.783299
1.045705
0.262405
0.783299
0.783299
0.626639
0.567892
0.626639
0.626639
0.626639
8.460000
6.152250
9.228375
4.614187
3.127500
2.085000
2.085000
6.255000
5.004000
6.255000
4.170000
2.085000
6.255000
4.640000
6.255000

0.685199
0.937259
0.934200
0.937259
0.937259
0.549599
0.937259
0.584035
0.686099
0.937259
0.117156
1.610399
1.665299
0.312419
0.312419
0.312419
0.312419
0.624839
0.234314
0.468629
0.937259
0.352484
0.563975
0.704969
0.704969
0.941134
0.236164
0.704969
0.704969
0.563975
0.511103
0.563975
0.563975
0.563975
7.614000
5.537025
8.305537
4.152768
2.814750
1.876500
1.876500
5.629500
4.503600
5.629500
3.753000
1.876500
5.629500
4.176000
5.629500

Nr crt.

cod ATC

729 D07AA02
730 D07AA02
731 D07AA02
732 D07AC01
733 D07AC01
734 D07AC01
735 D07AC01
736 D07AC01
737 D07AC01
738 G01AF04
739 G01AF04
740 G01AF04
741 G01AF04
742 G01AF04
743 G01AF04
744 G02AB03
745 G03BA03
746 G03BA03
747 G03BA03
748 G03CA03
749 G03CA03
750 G03CA03
751 G04CAN1
752 G04CAN1
753 G04CAN1
754 G04CAN1
755 G04CAN1
756 G04CAN1
757 G04CAN1
758 G04CAN1
759 G04CAN1
760 G04CAN1
761 H02AB04
762 H02AB04
763 H02AB04
764 H02AB07
765 H02AB07
766 H02AB07
767 H02AB07
768 H02AB07
769 H02AB09
770 H02AB09
771 H02AB09
772 H02AB09
773 H02AB09
774 J01AA02
775 J01AA02
776 J01AA02
777 J01AA02

DCI

HYDROCORTISONUM
HYDROCORTISONUM
HYDROCORTISONUM
BETAMETHASONUM
BETAMETHASONUM
BETAMETHASONUM
BETAMETHASONUM
BETAMETHASONUM
BETAMETHASONUM
MICONAZOLUM
MICONAZOLUM
MICONAZOLUM
MICONAZOLUM
MICONAZOLUM
MICONAZOLUM
ERGOMETRINUM
TESTOSTERONUM*
TESTOSTERONUM*
TESTOSTERONUM*
ESTRADIOLUM*
ESTRADIOLUM*
ESTRADIOLUM*
DOXAZOSINUM
DOXAZOSINUM
DOXAZOSINUM
DOXAZOSINUM
DOXAZOSINUM
DOXAZOSINUM
DOXAZOSINUM
DOXAZOSINUM
DOXAZOSINUM
DOXAZOSINUM
METHYLPREDNISOLONUM*
METHYLPREDNISOLONUM*
METHYLPREDNISOLONUM*
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
HYDROCORTISONUM*
HYDROCORTISONUM*
HYDROCORTISONUM*
HYDROCORTISONUM*
HYDROCORTISONUM*
DOXYCYCLINUM
DOXYCYCLINUM
DOXYCYCLINUM
DOXYCYCLINUM

Denumire Comerciala

HIDROCORTIZON 1%

forma farm.

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

concentratie

1%
HIDROCORTIZON FITERMAN 10 mg/g
10mg/g
HIDROCORTIZON FITERMAN 10 mg/g
10mg/g
BETADERM
0,1%
BETAMETAZONA FITERMAN 0,5 mg/g
0,5mg/g
BELODERM CREMA
0,5mg/g
EKARZIN 0,5MG/G
0,5mg/g
BETADERM
0,1%
BELODERM UNGUENT
0,5mg/g
GYNOZOL 200
200mg
GYNOZOL 400
400mg
MEDACTER
2%
MICONAL ECOBI
20mg/g
MICONAL ECOBI
50mg
MICONAL ECOBI
SOL. VAGINALA 2mg/ml
MALEAT DE ERGOMETRINA 0,2 mg/ml SOL. INJ.
0,2mg/ml
UNDESTOR TESTOCAPS 40 mg CAPS. MOI
40mg
ANDROGEL 50 mg
GEL
50mg
NEBIDO 1000 mg/4 ml
SOL. INJ.
1000mg/4ml
ESTREVA (R)
GEL
0,1%
OESTROGEL 0,6 mg/g
GEL
0,6mg/g
CLIMARA
PLASTURE TRANSDERM. 50mcg/24ore
KAMIREN (vezi G04CAN1)
COMPR.
1mg
KAMIREN (vezi G04CAN1)
COMPR.
1mg
KAMIREN (vezi G04CAN1)
COMPR.
2mg
KAMIREN (vezi G04CAN1)
COMPR.
2mg
KAMIREN (vezi G04CAN1)
COMPR.
4mg
KAMIREN (vezi G04CAN1)
COMPR.
4mg
CARDURA XL 4 mg (vezi G04CAN1) COMPR. ELIB. MODIF. 4mg
CARDURA XL 4 mg (vezi G04CAN1) COMPR. ELIB. MODIF. 4mg
KAMIREN XL 4 mg (vezi C02CA04) COMPR. FILM. ELIB. PREL. 4mg
KAMIREN XL 4 mg (vezi C02CA04) COMPR. FILM. ELIB. PREL. 4mg
LEMOD SOLU 125 mg
LIOF. PT. SOL. INJ. 125mg
LEMOD SOLU 500 mg
LIOF. PT. SOL. INJ. 500mg
SOLU - MEDROL ACT-O-VIAL LIOF. SI SOLV.PT.SOL.INJ 250mg/4ml
PREDNISON MCC 5 mg
COMPR.
5mg
PREDNISON ARENA 5 mg
COMPR.
5mg
N - PREDNISON
COMPR.
5mg
PREDNISON 5 mg
COMPR.
5mg
PREDNISON - RICHTER 5 mg COMPR.
5mg
HYDROCORTISONE ROUSSEL COMPR.
10mg
HYDROCORTISONE 100 mg LIOF. + SOLV. PT. SOL. INJ. 100mg
HYDROCORTISONE SUCCINAT SODIC LIOF. + SOLV. PT. SOL. INJ. 100mg
HYDROCORTISONE 500 mg LIOF. PT. SOL. INJ. + SOLV. 500mg
HIDROCORTIZON HEMISUCCINAT SOL. INJ. I.V. 25mg/5ml
DOXICICLINA
CAPS.
100mg
DOXICICLINA 100 mg
CAPS.
100mg
DOXICICLINA SANDOZ 100 mg CAPS.
100mg
UNIDOX SOLUTAB
COMPR. DISP. 100mg

tara det.
APP
ANTIBIOTICE SA
ROMANIA
FITERMAN PHARMA S.R.L. ROMANIA
FITERMAN PHARMA S.R.L. ROMANIA
E.I.P.I.CO. MED S.R.L. ROMANIA
FITERMAN PHARMA S.R.L. ROMANIA
A & G MED TRADING S.R.L. ROMANIA
ANTIBIOTICE S.A.
ROMANIA
E.I.P.I.CO. MED S.R.L. ROMANIA
A & G MED TRADING S.R.L. ROMANIA
PHARCO IMPEX 93 S.R.L. ROMANIA
PHARCO IMPEX 93 S.R.L. ROMANIA
Detinator APP

FARAN LABORATORIES S.A.


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

ZENTIVA S.A.
N.V. ORGANON

Ambalaj

Prescriptie

CUTIE X 1 TUB X 20 G

P-RF

CUTIE X 1 TUB DIN AL X 20 G UNGUENT


CUTIE X 1 TUB DIN AL X 35 G UNGUENT

P-RF

CUTIE X 1 TUB X 20 G
CUTIE X 1 TUB AL X 20 G CREMA
CUTIE X 1 TUB X 15 G CREMA

P-RF

CUTIE X 1 TUB DIN AL X 15 G CREMA

P-RF

CUTIE X 1 TUB X 20 G
CUTIE X 1 TUB X 15 G UNGUENT

P-RF

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


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

P-RF

GRECIA CUTIE X 1 TUB X 78 G


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

P-RF

ROMANIA

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

P-RF

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

P-RF

LAB. BESINS INTERNATIONAL

OLANDA
FRANTA

BAYER SCHERING PHARMA AG

LAB. THERAMEX

P-RF

P-RF
P-RF

P-RF

P-RF

P-RF
P-RF
P-RF

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

P-RF

GERMANIA

CUTIE X 1 FIOLA X 4 ML SOL. INJ.

S/P-RF

MONACO
FRANTA

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

P-6L

LABORATOIRES BESINS INTERNATIONAL

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

P-6L

BAYER SCHERING PHARMA AG

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

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.

P-6L

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

S/P-RF

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

S/P-RF

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

P-RF

ROMANIA
STADA HEMOFARM S.R.L. ROMANIA
STADA HEMOFARM S.R.L.

PFIZER EUROPE MA EEIG

MAREA BRITANIE

MAGISTRA C&C S.R.L. ROMANIA


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

Pagina 16 din 34

OLANDA

P-6L

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


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

P-RF

CUTIE X 1 FLAC. X 30 COMPR.

P-RF

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


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

P-RF

P-RF

P-RF

CUTIE X 1 FLAC. 25 COMPR.

PRF

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

P-RF

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

S/P-RF

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

P-RF

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

S/P-RF

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

P-RF

CUTIE X 1 BLIST. X 10 CAPS.

P-RF

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

P-RF

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

P-RF

Pret
amanunt
Pret
ul
cant/a maximal amanuntul
mbala /ambalaj maximal/UT
(RON)
(RON)
j

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

1
7.30
7.300000
5.610714
5.049642
1
5.61
5.610000
5.610000
5.049000
1
9.82
9.820000
9.818750
8.836875
1
5.89
5.890000
1.840200
1.656180
1
5.89
5.890000
5.890000
5.301000
1
8.77
8.770000
6.900750
6.210675
1
7.30
7.300000
6.900750
6.210675
1
5.89
5.890000
1.840200
1.656180
1
8.77
8.770000
6.900750
6.210675
6
5.89
0.981666
0.981666
0.883499
3
5.65
1.883333
1.883333
1.694999
1 19.14 19.140000 13.448515 12.103663
1 13.76 13.760000 13.448515 12.103663
15
8.89
0.592666
0.431042
0.387937
5 17.78
3.556000
2.586252
2.327627
5
5.87
1.174000
1.174000
1.056600
60 46.78
0.779666
0.779666
0.701699
30 220.73
7.357666
7.357666
6.621899
1 479.68 479.680000 479.680000 431.712000
1 29.06 29.060000 10.130180
9.117162
1 16.41 16.410000
9.724973
8.752476
4 32.94
8.235000
8.235000
7.411500
30 10.06
0.335333
0.214518
0.193066
30 10.06
0.335333
0.214518
0.193066
30 16.87
0.562333
0.429037
0.386133
30 16.87
0.562333
0.429037
0.386133
30 30.49
1.016333
0.858074
0.772267
30 30.49
1.016333
0.858074
0.772267
28 45.94
1.640714
0.858074
0.772267
28 45.94
1.640714
0.858074
0.772267
30 36.91
1.230333
0.858074
0.772267
30 36.91
1.230333
0.858074
0.772267
1
8.71
8.710000
8.186250
7.367625
1 30.65 30.650000 30.650000 27.585000
1 20.23 20.230000 16.372500 14.735250
20
2.62
0.131000
0.082333
0.074099
30
2.59
0.086333
0.082333
0.074099
30
2.43
0.081000
0.081000
0.072900
30
3.67
0.122333
0.082333
0.074099
20
2.54
0.127000
0.082333
0.074099
25 12.06
0.482400
0.482400
0.434160
1
3.87
3.870000
3.141899
2.827709
1
3.87
3.870000
3.141899
2.827709
1 11.77 11.770000 11.770000 10.593000
5 21.08
4.216000
0.785474
0.706927
20
6.92
0.346000
0.346000
0.311400
10
3.54
0.354000
0.354000
0.318600
10
3.56
0.356000
0.356000
0.320400
10
9.48
0.948000
0.395064
0.355557

Nr crt.

cod ATC

778 J01AA02
779 J01CA04
780 J01CA04
781 J01CA04
782 J01CA04
783 J01CA04
784 J01CA04
785 J01CA04
786 J01CA04
787 J01CA04
788 J01CA04
789 J01CA04
790 J01CA04
791 J01CA04
792 J01CA04
793 J01CA04
794 J01CA04
795 J01CA04
796 J01CA04
797 J01CA04
798 J01CA04
799 J01CA04
800 J01CA04
801 J01CA04
802 J01CA04
803 J01CA04
804 J01CA04
805 J01CA04
806 J01CA04
807 J01CA04
808 J01CA04
809 J01CA04
810 J01CA04
811 J01CA04
812 J01CA04
813 J01CA04
814 J01CE02
815 J01CE02
816 J01CE02
817 J01CE02
818 J01CE02
819 J01CE08
820 J01CF04
821 J01CF04
822 J01CF04
823 J01CF04
824 J01CF04
825 J01CF04
826 J01CF04

DCI

DOXYCYCLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
PHENOXYMETHYLPENICILLINUM
PHENOXYMETHYLPENICILLINUM
PHENOXYMETHYLPENICILLINUM
PHENOXYMETHYLPENICILLINUM
PHENOXYMETHYLPENICILLINUM

Denumire Comerciala

forma farm. concentratie


Detinator APP
COMPR. DISP. 100mg
PFIZER EUROPE MA EEIG

VIBRAMYCIN D
AMOXICILINA ARENA 250 mg CAPS.
AMOXICILINA ANTIBIOTICE 250 mg CAPS.
OSPAMOX 250 mg
CAPS.
AMOXICILINA SANDOZ 250 mg CAPSULE CAPS.
AMOXICILINA 250 mg
CAPS.
AMOXICILINA FARMEX 250 mg CAPS.
RANOXIL 250 mg
CAPS.
AMOXICILINA 250 mg
CAPS.
EPHAMOX 500 mg
CAPS.
AMOXICILINA ANTIBIOTICE 500 mg CAPS.
E - MOX
CAPS.
AMOXICILINA FORTE 500 mg CAPS.
AMOXICILINA FORTE 500 mg CAPS.
AMOXICILINA ARENA 500 mg CAPS.
MOXILEN
CAPS.
AMOXICILINA SANDOZ 500 mg CAPSULE CAPS.
AMOXICILINA FORTE 500 mg CAPS.
RANOXIL 500 mg
CAPS.
AMOXICILINA FORTE 500 mg CAPS.
OSPAMOX 1000 mg
COMPR. FILM.
OSPAMOX 500 mg
COMPR. FILM.
REBOXIL 1g
COMPR. PT. DISP. ORALA
DUOMOX 1000 mg
COMPR. PT. DISPERSIE ORALA
DUOMOX 250 mg
COMPR. PT. DISPERSIE ORALA
DUOMOX 500 mg
COMPR. PT. DISPERSIE ORALA
DUOMOX 750 mg
COMPR. PT. DISPERSIE ORALA
JULPHAMOX
PULB. PT. SUSP. ORALA
RANOXIL 125 mg/5 ml
PULB. PT. SUSP. ORALA

250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
1000mg
500mg
1g
1000mg
250mg
500mg
750mg
125mg/5ml
125mg/5ml
PULB. PT. SUSP. ORALA 125mg/5ml
OSPAMOX (R) 125 mg/5 ml PULB. PT. SUSP. ORALA 125mg/5ml
JULPHAMOX
PULB. PT. SUSP. ORALA 250mg/5ml
RANOXIL 250 mg/5 ml
PULB. PT. SUSP. ORALA 250mg/5ml
PULB. PT. SUSP. ORALA 250mg/5ml
E - MOX
PULB. PT. SUSP. ORALA 250mg/5ml
OSPAMOX 250 mg/5 ml
PULB. PT. SUSP. ORALA 250mg/5ml
PENICILINA V 1 000 000 U.I. COMPR.
1000000ui
OSPEN (R) 1000
COMPR. FILM. 1000000ui
OSPEN (R) 1500
COMPR. FILM. 1500000ui
OSPEN (R) 500
COMPR. FILM. 500000ui
OSPEN 400
SIROP
400000ui/5ml
BENZATHINI BENZYLPENICILLINUM MOLDAMIN 1200000 UI
PULB. PT. SUSP. INJ. 1200000UI
OXACILLINUM
OXACILINA ARENA 250 mg CAPS.
250mg
OXACILLINUM
OXACILINA 250 mg
CAPS.
250mg
OXACILLINUM
OXACILINA 250 mg
CAPS.
250mg
OXACILLINUM
OXACILINA SANDOZ 250 mg CAPS.
250mg
OXACILLINUM
OXACILINA
CAPS.
250mg
OXACILLINUM
OXACILINA 250 mg
CAPS.
250mg
OXACILLINUM
OXACILINA FARMEX 250 mg CAPS.
250mg
AMOXICILINA SANDOZ 125 mg/5 ml PULBERE PENTRU SUSPENSIE ORALA

AMOXICILINA SANDOZ 250 mg/ 5 ml PULBERE PENTRU SUSPENSIE ORALA

ARENA GROUP SA
ANTIBIOTICE SA
SANDOZ GMBH
SANDOZ SRL
OZONE LABORATORIES LTD.

FARMEX COMPANY SRL

TERAPIA SA
LABORMED PHARMA S.A.

EUROPHARM SA
ANTIBIOTICE SA
E.I.P.I.CO. MED S.R.L.
FARMEX COMPANY SRL
FARMEX COMPANY SRL

tara det.
APP
MAREA BRITANIE

Ambalaj

Prescriptie

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

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


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

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


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

MAREA BRITANIE

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

ARENA GROUP SA
MEDOCHEMIE LTD. CIPRU
CUTIE X 2 BLIST. X 8 CAPS.
SANDOZ SRL
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS.

P-RF

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

P-RF

OZONE LABORATORIES LTD.

MAREA BRITANIE

TERAPIA SA

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


LABORMED PHARMA S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS.

P-RF
P-RF

P-RF
P-RF

SANDOZ GMBH
SANDOZ GMBH
TERAPIA SA

AUSTRIA
AUSTRIA

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

ROMANIA

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

P-RF

ASTELLAS PHARMA EUROPE BV

OLANDA
OLANDA
OLANDA
OLANDA

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


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

P-RF

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


ROMANIA
ROMANIA

P-RF

AUSTRIA

ASTELLAS PHARMA EUROPE BV


ASTELLAS PHARMA EUROPE BV
ASTELLAS PHARMA EUROPE BV
GULF PHARMACEUTICAL IND. (JUPHAR)

TERAPIA SA
SANDOZ S.R.L.
SANDOZ GMBH

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

P-RF
P-RF
P-RF

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

P-RF

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

P-RF

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

P-RF

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


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

P-RF

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

P-RF

GULF PHARMACEUTICAL IND. (JUPHAR)

AUSTRIA

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

P-RF

CUTIE X 1 FLAC. 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

ROMANIA CUTIE X 2 BLIST. X 10 COMPR.

P-RF

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


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

P-RF

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

Pagina 17 din 34

MAREA BRITANIE

P-RF
P-RF
P-RF

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

P-RF

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


CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
CUTIE X 1 BLIST.AL/PVC X 12 CAPS.
CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P-RF

CUTIE X 2 BLIST. X 10 CAPS.

P-RF

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


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

OZONE LABORATORIES LTD.

P-RF

P-RF
P-RF
P-RF

P-RF
P-RF

Pret
amanunt
Pret
ul
cant/a maximal amanuntul
mbala /ambalaj maximal/UT
(RON)
(RON)
j

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

10.39
5.87
6.16
4.39
6.07
4.81
5.19
6.07
4.81
6.47
5.36
7.44
5.84
8.71
5.62
7.15
4.85
4.81
9.17
4.81
11.49
5.62
19.18
23.50
10.00
14.59
19.52
7.46
6.81
5.67
4.50
8.10
7.94
4.82
4.82
4.82
9.00
3.42
6.02
2.59
9.40
3.57
7.03
7.46
6.02
7.61
5.62
5.96
6.66

1.039000
0.293500
0.308000
0.365833
0.303500
0.240500
0.259500
0.303500
0.240500
0.539166
0.536000
0.930000
0.584000
0.435500
0.562000
0.446875
0.485000
0.481000
0.458500
0.481000
0.957500
0.468333
0.913333
1.175000
0.500000
0.729500
0.976000
7.460000
6.810000
5.670000
4.500000
8.100000
7.940000
4.820000
4.820000
4.820000
0.450000
0.285000
0.501666
0.215833
9.400000
3.570000
0.351500
0.373000
0.501666
0.380500
0.281000
0.298000
0.333000

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

0.395064
0.273150
0.273150
0.273150
0.273150
0.240500
0.259500
0.273150
0.240500
0.468333
0.468333
0.468333
0.468333
0.435500
0.468333
0.446875
0.468333
0.468333
0.458500
0.468333
0.936666
0.468333
0.913333
0.936666
0.273150
0.468333
0.702499
2.731500
2.731500
1.638900
1.638900
5.463000
5.463000
3.277800
3.277800
3.277800
0.300999
0.285000
0.451499
0.150499
0.200666
3.298054
0.293972
0.293972
0.293972
0.293972
0.281000
0.293972
0.293972

0.355557
0.245835
0.245835
0.245835
0.245835
0.216450
0.233550
0.245835
0.216450
0.421499
0.421499
0.421499
0.421499
0.391950
0.421499
0.402187
0.421499
0.421499
0.412650
0.421499
0.842999
0.421499
0.821999
0.842999
0.245835
0.421499
0.632249
2.458350
2.458350
1.475010
1.475010
4.916700
4.916700
2.950020
2.950020
2.950020
0.270899
0.256500
0.406349
0.135449
0.180599
2.968249
0.264575
0.264575
0.264575
0.264575
0.252900
0.264575
0.264575

Nr crt.

DCI

cod ATC

827 J01CF04
828 J01CF04
829 J01CF04
830 J01CF04
831 J01CF04
832 J01CF04
833 J01CF04
834 J01CF04
835 J01CF04

OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM

Denumire Comerciala

OXACILINA 250 mg
OXACILINA 500 mg
OXACILINA ARENA 500 mg
OXACILINA FORTE 500 mg
OXACILINA SANDOZ 500 mg
OXACILINA FORTE 500 mg

CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
OXACILINA FORTE LPH 500 mg CAPS.

838 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM


839 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
840 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
841 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
842 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
843 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
844 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
845 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
846 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
847 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
848 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
849 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
850 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

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

P-RF

CUTIE X 1 BLIST. X 10 CAPS.

P-RF

COMPR. ELIB. PREL.

1000mg/62,5mg BEECHAM GROUP PLC

MAREA BRITANIE

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

1000mg
1000mg

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

OXACILINA ANTIBIOTICE 1 g

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

COMPR. FILM. ELIB. PREL.

851 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV QUICKTAB 1000 mg

COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE

852 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV QUICKTAB 625 mg

COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE

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.
OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 10 CAPS.
LABORMED PHARMA S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS.
ANTIBIOTICE SA
ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. I.M./I.V.
ANTIBIOTICE SA
ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. I.M./I.V.
ANTIBIOTICE SA
ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. I.M./I.V.
LEK PHARMACEUTICALS D.D.

Prescriptie

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

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

P-RF

MEDOCHEMIE LTD. CIPRU


CUTIE X 2 BLIST. AL-PVC/AL X 7 COMPR. FILM.
250mg+125mg MEDOCHEMIE LTD. CIPRU
CUTIE X 4 BLIST. X 4 COMPR. FILM.
500/125mg ANTIBIOTICE S.A.
ROMANIA CUTIE X 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM.

P-RF

500mg+125mg BEECHAM GROUP PLC MAREA BRITANIE


500mg+125mg MEDOCHEMIE LTD. CIPRU
CUTIE X 4 BLIST. X 4 COMPR. FILM.
500mg/125mg BEECHAM GROUP PLC MAREA BRITANIE
625mg
LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 BLIST. AL/AL X 14 COMPR. FILM.
625mg
RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 4 FOLII AL-PEJD X 7 COMPR. FILM.
875mg+125mg BEECHAM GROUP PLC MAREA BRITANIE

P-RF

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

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

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

875mg/125mg ANTIBIOTICE S.A.


ROMANIA
875mg/125mg BEECHAM GROUP PLC MAREA BRITANIE
1062,5mg
BEECHAM GROUP PLC MAREA BRITANIE
1000mg
BIOMEDIAL PHARMA S.R.L. ROMANIA
625mg
BIOMEDIAL PHARMA S.R.L. ROMANIA

P-RF
P-RF

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

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


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

P-RF

CUTIE X 7 BLIST. AL/PVC-AL SAU AL/PP-AL X 4 COMPR. FILM. ELIB. PREL.

P-RF

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

P-RF

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

P-RF

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

P-RF

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

P-RF

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

P-RF

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

400mg+57mg/5ml SMITHKLINE BEECHAM PLC

MAREA BRITANIE

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

P-RF

PULB. PT. SUSP. ORALA

400mg+57mg/5ml SMITHKLINE BEECHAM PLC

MAREA BRITANIE

CUTIE X 1 FLAC. DIN STICLA CU PULB. PT. 35 ML SUSP. ORALA + 1 SERIGA PT. ADM. ORALA

P-RF

PULB. PT. SUSP. ORALA

400mg+57mg/5ml SMITHKLINE BEECHAM PLC

MAREA BRITANIE

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

P-RF

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

PULB. PT. SUSP. ORALA

400mg/57mg/5ml SMITHKLINE BEECHAM PLC

MAREA BRITANIE

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

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

PULB. PT. SUSP. ORALA

400mg/57mg/5ml SMITHKLINE BEECHAM PLC

MAREA BRITANIE

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

P-RF

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

PULB. PT. SUSP. ORALA

400mg/57mg/5ml SMITHKLINE BEECHAM PLC

MAREA BRITANIE

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

P-RF

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

642,90mg/5ml

SMITHKLINE BEECHAM PLC

MAREA BRITANIE

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

P-RF

312,5mg/5ml
312,5mg/5ml
250mg
250mg
250mg
250mg
250mg
250mg
500mg
500mg
500mg
500mg

LEK PHARMACEUTICALS D.D.

SLOVENIA

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

P-RF

RANBAXY UK LIMITED

MAREA BRITANIE

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

P-RF

853 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM


854 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

MEDOCLAV 156,25 mg/5 ml


AMOKSIKLAV 156,25mg/5ml

tara det.
APP
LABORMED PHARMA S.A. ROMANIA
ANTIBIOTICE SA
ROMANIA
ARENA GROUP SA ROMANIA
FARMEX COMPANY SRL ROMANIA
SANDOZ SRL
ROMANIA
Detinator APP

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

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

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

concentratie

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

OXACILINA ANTIBIOTICE 500 mg

OXACILINA ANTIBIOTICE 250 mg


837 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN SR 1000 mg/62,5 mg
836 J01CF04

forma farm.

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


856 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
857 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
858 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

862 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM


863 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
864 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
865 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
866 J01DB01
867 J01DB01
868 J01DB01
869 J01DB01
870 J01DB01
871 J01DB01
872 J01DB01
873 J01DB01
874 J01DB01
875 J01DB01

CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM

AUGMENTIN BIS
AUGMENTIN BIS
AUGMENTIN BIS

AUGMENTIN (R) ES
PULB. PT. SUSP. ORALA
AUGMENTIN (R) ES
PULB. PT. SUSP. ORALA
AMOKSIKLAV 312,5mg/5ml PULB. PT.SUSP. ORALA
ENHANCIN 312,5 mg/5 ml
PULB. PT.SUSP. ORALA
CEFALEXINA ARENA 250 mg CAPS.
CEFALEXINA 250 mg
CAPS.
OSPEXIN (R) 250 mg
CAPS.
CEFALEXIN 250 mg
CAPS.
CEFALEXIN SANDOZ 250 mg CAPSULE CAPS.
CEFALEXIN LPH 250 mg
CAPS.
CEFALEXINA 500 mg
CAPS.
CEFALEXINA ARENA 500 mg CAPS.
CEFALEXIN 500 mg
CAPS.
CEFALEXIN SANDOZ
CAPS.

SLOVENIA

P-RF

ARENA GROUP SA
ANTIBIOTICE SA
SANDOZ GMBH

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


ROMANIA CUTIE X 2 BLIST. X 10 CAPS.

P-RF

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

P-RF

OZONE LABORATORIES LTD.

MAREA BRITANIE

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

SANDOZ SRL

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

ANTIBIOTICE SA
ARENA GROUP SA

ROMANIA
ROMANIA
ROMANIA
ROMANIA

OZONE LABORATORIES LTD.

MAREA BRITANIE

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

SANDOZ S.R.L.

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

LABORMED PHARMA S.A.

Pagina 18 din 34

P-RF

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

CUTIE X 1 BLIST. X 10 CAPS.

P-RF

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

P-RF

P-RF

Pret
amanunt
Pret
ul
cant/a maximal amanuntul
mbala /ambalaj maximal/UT
(RON)
(RON)
j

20
10
10
20
10
10
10
1
1
1
28
14
14
16
14
14
16
14
14
28
14
14
14
28
14
14
1
1
1
1
1
1
1
1
1
1
1
1
1
20
20
12
10
10
10
10
10
10
10

5.96
6.81
6.12
11.03
6.96
6.12
6.12
3.28
5.27
1.73
44.32
38.66
40.23
22.37
10.71
15.13
29.40
15.13
27.73
32.68
26.04
18.75
26.04
66.88
24.78
16.33
14.73
11.56
21.85
9.83
9.83
19.66
9.83
9.83
19.66
33.89
33.89
23.74
22.45
11.77
11.68
7.07
4.81
5.90
4.81
9.74
8.89
8.23
9.89

0.298000
0.681000
0.612000
0.551500
0.696000
0.612000
0.612000
3.280000
5.270000
1.730000
1.582857
2.761428
2.873571
1.398125
0.765000
1.080714
1.837500
1.080714
1.980714
1.167142
1.860000
1.339285
1.860000
2.388571
1.770000
1.166428
14.730000
11.560000
21.850000
9.830000
9.830000
19.660000
9.830000
9.830000
19.660000
33.890000
33.890000
23.740000
22.450000
0.588500
0.584000
0.589166
0.481000
0.590000
0.481000
0.974000
0.889000
0.823000
0.989000

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

0.293972
0.587945
0.587945
0.551500
0.587945
0.587945
0.587945
2.661750
5.270000
1.330875
1.582857
1.653750
1.653750
0.472500
0.765000
0.945000
0.945000
0.945000
0.945000
0.945000
1.653750
1.339285
1.653750
1.890000
1.653750
0.945000
7.899107
7.899107
15.798214
8.847000
8.847000
17.694000
8.847000
8.847000
17.694000
33.890000
33.890000
15.798214
15.798214
0.425475
0.425475
0.425475
0.425475
0.425475
0.425475
0.850950
0.850950
0.823000
0.850950

0.264575
0.529150
0.529150
0.496350
0.529150
0.529150
0.529150
2.395575
4.743000
1.197787
1.424571
1.488375
1.488375
0.425250
0.688500
0.850500
0.850500
0.850500
0.850500
0.850500
1.488375
1.205356
1.488375
1.701000
1.488375
0.850500
7.109196
7.109196
14.218392
7.962300
7.962300
15.924600
7.962300
7.962300
15.924600
30.501000
30.501000
14.218392
14.218392
0.382927
0.382927
0.382927
0.382927
0.382927
0.382927
0.765855
0.765855
0.740700
0.765855

Nr crt.

cod ATC

876 J01DB01
877 J01DB01
878 J01DB01
879 J01DB01
880 J01DB01
881 J01DB01
882 J01DB01
883 J01DB01
884 J01DB01
885 J01DB05
886 J01DB05
887 J01DB05
888 J01DB05
889 J01DB05
890 J01DB05
891 J01DB05
892 J01DC02
893 J01DC02
894 J01DC02
895 J01DC02
896 J01DC02
897 J01DC02
898 J01DC02
899 J01DC02
900 J01DC02
901 J01DC02
902 J01DC02
903 J01DC02
904 J01DC02
905 J01DC02
906 J01DC02
907 J01DC02
908 J01DC04
909 J01DC04
910 J01DC04
911 J01DC04
912 J01DC04
913 J01DC04
914 J01DC04
915 J01DC04
916 J01DC04
917 J01DC04
918 J01DC04
919 J01DC04
920 J01DC04
921 J01DC04
922 J01DC04
923 J01DC04
924 J01DC04

DCI

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

Denumire Comerciala

CEFALEXIN LPH 500 mg


OSPEXIN 1000 mg
OSPEXIN 500 mg
KEFLEX (R) 125 mg/5 ml
OSPEXIN (R) 125 mg/5 ml

forma farm.

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

CEFALEXIN SANDOZ 125 mg/5 ml GRANULE PENTRU SUSPENSIE ORALA

GRAN. PT. SUSP. ORALA

KEFLEX (R) 250 mg/5 ml

GRAN. PT. SUSP. ORALA

CEFALEXIN SANDOZ 250 mg/5 ml GRANULE PENTRU SUSPENSIE ORALA

GRAN. PT. SUSP. ORALA

OSPEXIN (R) 250 mg/5 ml


CEXYL 250 mg
CEFORAN (R) 500 mg
CEXYL 500 mg
CEFADROXIL TERAPIA
CEXYL 1000 mg
CEXYL 125 mg/5 ml
CEXYL 250 mg/5 ml
CEROXIM 250 mg

GRAN. PT. SUSP. ORALA

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

GRAN. SUSP. ORALA

COMPR.
CEFUROXIMA ANTIBIOTICE 250 mg COMPR.
CEFUROXIMA ANTIBIOTICE 250 mg COMPR.
CEROXIM 500 mg
COMPR.
CEFUROXIMA ANTIBIOTICE 500 mg COMPR.
CEFUROXIMA ANTIBIOTICE 500 mg COMPR.
AXYCEF (R) 125
COMPR. ACOPERITE
AXYCEF (R) 250
COMPR. ACOPERITE
AXYCEF (R) 500
COMPR. ACOPERITE
ZINNAT (R) 125 mg
COMPR. FILM.
ZINNAT (R) 250 mg
COMPR. FILM.
ZINNAT (R) 500 mg
COMPR. FILM.
ZINNAT
GRAN. PT. SUSP. ORALA
CEROXIM 125mg/5ml
GRAN. PT. SUSP. ORALA
CEROXIM 250mg/5ml
GRAN. PT. SUSP. ORALA
AXYCEF (R) 125 mg/5 ml
PULB. PT. SUSP. ORALA
CEFACLOR OZONE 250 mg CAPS.
CECLODYNE 250 mg
CAPS.
CEFACLOR ARENA 250 mg CAPS.
MEDOCLOR 250
CAPS.
VERCEF 250 mg
CAPS.
CLORACEF (R) 250
CAPS.
CECLOZONE 250 mg
CAPS.
VERCEF 500 mg
CAPS.
CEFACLOR OZONE 500 mg CAPS.
MEDOCLOR 500
CAPS.
CECLODYNE FORTE 500 mg CAPS.
CLORACEF (R) FORTE 500 CAPS.
CEFACLOR ARENA 500 mg CAPS.
CECLOZONE 500 mg
CAPS.
CECLOZONE MR 375 mg
COMPR. ELIB. PREL.
CECLOZONE MR 750 mg
COMPR. ELIB. PREL.
CECLODYNE (R) MR 375 mg COMPR. FILM. ELIB. MODIF.

concentratie

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

tara det.
APP
Ambalaj
LABORMED PHARMA S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 CAPS.
Detinator APP

Prescriptie

P-RF

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

AUSTRIA
AUSTRIA
ISLANDA
AUSTRIA

RANBAXY U.K. LIMITED

MAREA BRITANIE

ANTIBIOTICE S.A.
ANTIBIOTICE S.A.

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


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

RANBAXY U.K. LIMITED

MAREA BRITANIE

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

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

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

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

GLAXOWELLCOME UK LTD.

MAREA BRITANIE
MAREA BRITANIE

CUTIE X 1 BLIST. X 10 COMPR. FILM.


CUTIE X 1 BLIST. X 10 COMPR.FILM

P-RF

GLAXOWELLCOME UK LTD.
GLAXOWELLCOME UK LTD.

MAREA BRITANIE

CUTIE X 1 BLIST. X 10 COMPR.FILM

P-RF

GLAXO WELLCOME UK LTD.

MAREA BRITANIE

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

P-RF

MAREA BRITANIE

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

P-RF

MAREA BRITANIE

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

P-RF

SANDOZ SRL

ROMANIA

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

P-RF

OZONE LABORATORIES LTD.

MAREA BRITANIE

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

SANDOZ SRL
ARENA GROUP SA
MEDOCHEMIE LTD.
TERAPIA SA

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


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

P-RF

CIPRU

P-RF

RANBAXY UK LIMITED
RANBAXY UK LIMITED

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

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

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

CUTIE X 1 BLIST. X 10 CAPS.

P-RF

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


CUTIE X 1 BLIST. PVC/PVDC-AL X 10 CAPS. P-RF
CUTIE X 1 BLIST. PVC/PVDC X 10. COMPR. FILM. P-RF
CUTIE X 1 FLAC. CU GRAN PENTRU 60 ML SUSP. ORALA + O LINGURITA DOZATOARE

P-RF

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

P-RF

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


P-RF
P-RF

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

CUTIE X 1 BLIST. X 10 COMPR. ACOPERITE P-RF


CUTIE X 1 BLIST. X 10 COMPR. ACOPERITE P-RF
CUTIE X 1 BLIST. X 10 COMPR. ACOPERITE P-RF

CUTIE X 2 BLIST. X 8 CAPS.

P-RF

P-RF

ROMANIA
DAR AL DAWA PHARMA S.R.L. ROMANIA
LABORMED PHARMA S.A. ROMANIA
TERAPIA SA
ROMANIA

CUTIE X 5 BLIST. PVC/PVDC-AL X 3 CAPS. P-RF

OZONE LABORATORIES LTD.

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

MAREA BRITANIE

CUTIE X 2 BLIST. X 8 CAPS.

P-RF

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

CUTIE X 5 BLIST. X 3 CAPS.

P-RF

MEDOCHEMIE LTD. CIPRU


CUTIE X 2 BLIST. X 8 CAPS.
P-RF
SANDOZ SRL
ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 CAPS. P-RF
DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 2 BLIST. X 8 CAPS.
P-RF
ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. AL/PVC X 10 CAPS. P-RF
LABORMED PHARMA S.A.

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

P-RF

OZONE LABORATORIES LTD.

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

P-RF

OZONE LABORATORIES LTD.

MAREA BRITANIE

CUTIE X 1 BLIST. X 10 COMPR. ELIB. PREL. P-RF

SANDOZ SRL

ROMANIA

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

Pagina 19 din 34

P-RF

Pret
amanunt
Pret
ul
cant/a maximal amanuntul
mbala /ambalaj maximal/UT
(RON)
(RON)
j

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

8.23
15.61
11.74
6.12
7.52
6.86
10.35
9.54
9.52
18.34
12.87
13.30
9.40
25.84
11.91
22.16
14.21
14.11
14.11
29.85
29.77
29.77
9.71
11.68
19.98
14.95
16.41
27.32
19.18
38.66
58.00
17.46
13.77
15.89
14.98
24.70
13.64
21.16
13.77
32.28
29.20
45.55
29.20
28.21
27.57
29.20
32.43
54.93
35.07

0.823000
1.300833
0.978333
6.120000
7.520000
6.860000
10.350000
9.540000
9.520000
1.834000
1.287000
1.330000
0.940000
2.584000
11.910000
22.160000
1.421000
1.411000
1.411000
2.985000
2.977000
2.977000
0.971000
1.168000
1.998000
1.495000
1.641000
2.732000
19.180000
38.660000
58.000000
17.460000
0.918000
1.589000
1.498000
1.543750
0.909333
1.322500
0.918000
2.152000
1.946666
2.846875
2.920000
1.763125
2.757000
1.946666
3.243000
5.493000
3.507000

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

0.823000
1.300833
0.850950
5.073750
5.073750
5.073750
10.147500
9.540000
9.520000
0.425475
0.850950
0.850950
0.850950
1.701900
5.073750
10.147500
1.339650
1.339650
1.339650
2.679300
2.679300
2.679300
0.971000
1.168000
1.998000
1.321800
1.339650
2.679300
13.218000
26.436000
52.872000
17.460000
0.669825
0.669825
0.669825
0.669825
0.669825
0.669825
0.669825
1.339650
1.339650
1.339650
1.339650
1.339650
1.339650
1.339650
1.004737
2.009475
1.004737

0.740700
1.170749
0.765855
4.566375
4.566375
4.566375
9.132750
8.586000
8.568000
0.382927
0.765855
0.765855
0.765855
1.531710
4.566375
9.132750
1.205685
1.205685
1.205685
2.411370
2.411370
2.411370
0.873900
1.051200
1.798200
1.189620
1.205685
2.411370
11.896200
23.792400
47.584800
15.714000
0.602842
0.602842
0.602842
0.602842
0.602842
0.602842
0.602842
1.205685
1.205685
1.205685
1.205685
1.205685
1.205685
1.205685
0.904263
1.808527
0.904263

Nr crt.

DCI

cod ATC

925 J01DC04
926 J01DC04
927 J01DC04
928 J01DC04
929 J01DC04
930 J01DC04
931 J01DC04
932 J01DC04
933 J01DC04
934 J01DC04
935 J01DC04
936 J01DC04
937 J01DC04
938 J01DC04
939 J01DC04
940 J01DC04
941 J01DC04
942 J01DD08
943 J01EE01
944 J01EE01
945 J01EE01
946 J01EE01
947 J01EE01
948 J01EE01
949 J01FA01
950 J01FA01
951 J01FA01
952 J01FA01
953 J01FA01
954 J01FA09
955 J01FA09
956 J01FA09
957 J01FA09
958 J01FA09
959 J01FA09
960 J01FA09
961 J01FA09
962 J01FA09
963 J01FA09
964 J01FA09
965 J01FA09
966 J01FA09
967 J01FA09
968 J01FA09
969 J01FA09
970 J01FA09
971 J01FA09
972 J01FA09
973 J01FA09

CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFIXIMUM

Denumire Comerciala

CECLODYNE (R) MR 500 mg


CECLODYNE (R) MR 750 mg
CECLOR (R) 125 mg/5 ml
CEFACLOR 125 mg/5ml
VERCEF 125 mg/5 ml
CECLODYNE 125 mg/5 ml
CECLOZONE 125 mg/5ml
VERCEF 250 mg/5 ml
VERCEF 250 mg/5 ml
CECLOR (R) 250 mg/5 ml
CEFACLOR 250 mg/5ml
CECLODYNE 250 mg/ 5 ml
CECLOZONE 250 mg/5ml
CLORACEF (R) 125
CEFAKLOR 125 mg/5 ml
CLORACEF (R) 250
CEFAKLOR 250 mg/5 ml
EFICEF (R) 200 mg
TAGREMIN
SUMETROLIM
CO - TRIM ELL
BITRIM 400mg/80mg
SUMETROLIM
EPITRIM
ERITROMAGIS 200 mg
ERITROMICINA 200 mg

forma farm.
COMPR. FILM. ELIB. MODIF.
COMPR. FILM. ELIB. MODIF.

GRAN. PT. SUSP. ORALA


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

concentratie

500mg
750mg
125mg/5ml
125mg/5ml
125mg/5ml
125mg/5ml
125mg/5ml
250 mg/5 ml
250 mg/5 ml
250mg/5ml
250mg/5ml
250mg/5ml
250mg/5ml
125mg/5ml
125mg/5ml
250mg/5ml
250mg/5ml
200mg
400mg/80mg
400mg/80mg
400mg/80mg
400mg/80mg

Detinator APP

tara det.
APP
ROMANIA
ROMANIA

SANDOZ SRL
SANDOZ SRL
ACTAVIS GROUP HF ISLANDA
OZONE LABORATORIES LTD.

CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM

LEKOKLAR XL 500 mg
LEKOKLAR XL 500 mg
KLABAX MR 500 mg
KLACID SR

COMPR. FILM. ELIB. MODIF.


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

500mg
500mg
500mg
500mg

Prescriptie

P-RF

CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ELIB. MODIF.

P-RF

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

P-RF

CUTIE X 1 FLAC. PEID X 37,5 G GRAN. PT. 75 ML SUSP. ORALA + 1 LINGURITA DOZATOARE

P-RF

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

P-RF

CUTIE X 1 FLAC. X 38,1 G GRANULE PT. 60 ML SUSP. ORALA

P-RF

CUTIE X 1 FLAC. PEID X 37,5 G GRAN. PT. 75 ML SUSP. ORALA + 1 LINGURITA DOZATOARE

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

ACTAVIS GROUP HF ISLANDA

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

P-RF

OZONE LABORATORIES LTD.

CUTIE X 1 FLAC. PEID X 37,5 G GRAN. PT. 75 ML SUSP. ORALA + 1 LINGURITA DOZATOARE

P-RF

CUTIE X 1 FLAC. X 38,1 G GRANULE PT. 60 ML SUSP. ORALA

P-RF

CUTIE X 1 FLAC. PEID X 37,5 G GRAN. 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

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

P-RF

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

P-RF

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


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

P-RF

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

P-RF

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

P-RF

CUTIE X 2 BLIST. X 10 COMPR.


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

P-RF

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

P-RF

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

P-RF

CUTIE X 1 BLIST. X 14 COMPR. FILM.

P-RF

CUTIE X 2 BLIST. X 7 COMPR. FILM.


CUTIE X 5 BLIST. X 4 COMPR. FILM.

P-RF

MAREA BRITANIE

TERAPIA SA
SANDOZ SRL

ROMANIA
ROMANIA
LABORMED PHARMA S.A. ROMANIA
TERAPIA SA
ROMANIA
TERAPIA SA
ROMANIA
MAREA BRITANIE

SANDOZ SRL

ROMANIA
GRAN. PT. SUSP. ORALA
LABORMED PHARMA S.A. ROMANIA
PULB. PT. SUSP. ORALA
DAR AL DAWA PHARMA S.R.L. ROMANIA
PULB. PT. SUSP. ORALA
STADA HEMOFARM S.R.L. ROMANIA
PULB. PT. SUSP. ORALA
DAR AL DAWA PHARMA S.R.L. ROMANIA
PULB. PT. SUSP. ORALA
STADA HEMOFARM S.R.L. ROMANIA
CAPS.
ANTIBIOTICE SA
ROMANIA
SULFAMETHOXAZOLUM + TRIMETHOPRIMUM
COMPR.
ZENTIVA S.A.
ROMANIA
SULFAMETHOXAZOLUM + TRIMETHOPRIMUM
COMPR.
EGIS PHARMACEUTICALS P.L.C. UNGARIA
SULFAMETHOXAZOLUM + TRIMETHOPRIMUM
COMPR.
BIO EEL SRL
ROMANIA
SULFAMETHOXAZOLUM + TRIMETHOPRIMUM
COMPR.
ARENA GROUP S.A. ROMANIA
SULFAMETHOXAZOLUM + TRIMETHOPRIMUM
SIROP
25mg/5mg/ml EGIS PHARMACEUTICALS P.L.C. UNGARIA
SULFAMETHOXAZOLUM + TRIMETHOPRIMUM
SUSP. ORALA 200mg/40mg /5ml E.I.P.I.CO. MED S.R.L. ROMANIA
ERYTHROMYCINUM
COMPR.
200mg
ARENA GROUP SA ROMANIA
ERYTHROMYCINUM
COMPR.
200mg
ANTIBIOTICE SA
ROMANIA
ERYTHROMYCINUM
ERITROMICINA SANDOZ 200 mg COMPRIMATE COMPR.
200mg
SANDOZ S.R.L.
ROMANIA
ERYTHROMYCINUM
ERITROMICINA EUROPHARM 200 mg COMPR.
200mg
EUROPHARM SA
ROMANIA
ERYTHROMYCINUM
ERITROMICINA SANDOZ 200mg/5ml PULB. PT. SUSP. ORALA 200mg/5ml
SANDOZ S.R.L.
ROMANIA
CLARITHROMYCINUM
KLACID (R)
COMPR. FILM. 250mg
ABBOTT SPA
ITALIA
CLARITHROMYCINUM
LEKOKLAR (R) 250 mg
COMPR. FILM. 250mg
LEK PHARMACEUTICALS D.D. SLOVENIA
CLARITHROMYCINUM
CLAR 250
COMPR. FILM. 250mg
MEDICAROM GROUP S.R.L. ROMANIA
CLARITHROMYCINUM
KLERIMED (R) 250
COMPR. FILM. 250mg
MEDOCHEMIE LTD. CIPRU
CLARITHROMYCINUM
KLABAX 250 mg
COMPR. FILM. 250mg
TERAPIA SA
ROMANIA
CLARITHROMYCINUM
CLARITROMICINA 250 mg
COMPR. FILM. 250mg
OZONE LABORATORIES LTD. MAREA BRITANIE
CLARITHROMYCINUM
FROMILID 250
COMPR. FILM. 250mg
KRKA D.D. NOVO MESTO SLOVENIA
CLARITHROMYCINUM
CLARITROMICINA LPH 250 mg COMPR. FILM. 250mg
LABORMED PHARMA S.A. ROMANIA
CLARITHROMYCINUM
LEKOKLAR (R) 500 mg
COMPR. FILM. 500mg
LEK PHARMACEUTICALS D.D. SLOVENIA
CLARITHROMYCINUM
KLERIMED (R) 500
COMPR. FILM. 500mg
MEDOCHEMIE LTD. CIPRU
CLARITHROMYCINUM
KLABAX 500 mg
COMPR. FILM. 500mg
TERAPIA SA
ROMANIA
CLARITHROMYCINUM
CLAR 500
COMPR. FILM. 500mg
MEDICAROM GROUP S.R.L. ROMANIA
CLARITHROMYCINUM
CLARITROMICINA 500 mg
COMPR. FILM. 500mg
OZONE LABORATORIES LTD. MAREA BRITANIE
CLARITHROMYCINUM
FROMILID 500
COMPR. FILM. 500mg
KRKA D.D. NOVO MESTO SLOVENIA
CLARITHROMYCINUM
ROCLARIN 500 mg
COMPR. FILM. 500mg
ANTIBIOTICE S.A.
ROMANIA
CLARITHROMYCINUM
CLARITROMICINA LPH 500 mg COMPR. FILM. 500mg
LABORMED PHARMA S.A. ROMANIA
GRAN. PT. SUSP. ORALA

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

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

P-RF
P-RF

P-RF

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


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

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


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

CUTIE X 2 BLIST. X 7 COMPR. FILM.

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

CUTIE X 5 BLIST. AL/PVC X 4 COMPR. FILM. P-RF


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

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

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


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

SLOVENIA
SLOVENIA

CUTIE X 1 FOLIE AL/AL X 5 COMPR. FILM. ELIB. MODIF.

P-RF

LEK PHARMACEUTICALS D.D.

CUTIE X 1 FOLIE AL/AL X 7 COMPR. FILM. ELIB. MODIF.

P-RF

TERAPIA SA

ROMANIA

CUTIE X 1 BLIST. PVC/PVDC-AL X 7 COMPR. FILM. ELIB. PREL.

P-RF

ABBOTT LABORATORIES LTD.

MAREA BRITANIE CUTIE X 1 BLIST. PVC-PVDC/AL X 5 COMPR. FILM. ELIB. PREL.

P-RF

LEK PHARMACEUTICALS D.D.

Pagina 20 din 34

Pret
amanunt
Pret
ul
cant/a maximal amanuntul
mbala /ambalaj maximal/UT
(RON)
(RON)
j

10
10
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
10
20
20
20
20
1
1
20
20
20
20
1
14
14
20
14
14
14
14
14
14
14
14
20
14
14
20
14
5
7
7
5

46.34
65.80
16.53
16.01
12.25
16.81
16.01
22.03
29.38
32.77
29.38
29.20
29.38
11.76
8.98
21.16
16.33
34.37
7.63
4.08
6.96
7.63
8.10
4.70
7.01
9.49
8.35
10.00
11.33
28.23
31.85
22.71
16.49
14.50
14.50
16.49
14.50
37.50
32.23
31.71
43.84
31.71
32.23
42.84
31.71
18.17
25.42
34.79
36.00

4.634000
6.580000
16.530000
16.010000
12.250000
16.810000
16.010000
22.030000
29.380000
32.770000
29.380000
29.200000
29.380000
11.760000
8.980000
21.160000
16.330000
3.437000
0.381500
0.204000
0.348000
0.381500
8.100000
4.700000
0.350500
0.474500
0.417500
0.500000
11.330000
2.016428
2.275000
1.135500
1.177857
1.035714
1.035714
1.177857
1.035714
2.678571
2.302142
2.265000
2.192000
2.265000
2.302142
2.142000
2.265000
3.634000
3.631428
4.970000
7.200000

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

1.339650
2.009475
9.913500
9.913500
9.913500
7.930800
9.913500
19.827000
26.436000
19.827000
19.827000
15.861600
19.827000
9.913500
7.930800
19.827000
15.861600
3.437000
0.280800
0.204000
0.280800
0.280800
3.805312
4.700000
0.350500
0.414385
0.414385
0.414385
11.330000
1.035963
1.035963
1.035963
1.035963
1.035714
1.035714
1.035963
1.035714
2.071927
2.071927
2.071927
2.071927
2.071927
2.071927
2.071927
2.071927
2.071927
2.071927
2.071927
2.071927

1.205685
1.808527
8.922150
8.922150
8.922150
7.137720
8.922150
17.844300
23.792400
17.844300
17.844300
14.275440
17.844300
8.922150
7.137720
17.844300
14.275440
3.093300
0.252720
0.183600
0.252720
0.252720
3.424781
4.230000
0.315450
0.372947
0.372947
0.372947
10.197000
0.932367
0.932367
0.932367
0.932367
0.932142
0.932142
0.932367
0.932142
1.864735
1.864735
1.864735
1.864735
1.864735
1.864735
1.864735
1.864735
1.864735
1.864735
1.864735
1.864735

Nr crt.

cod ATC

974 J01FA09
975 J01FA09
976 J01FA09
977 J01FA09
978 J01FA09
979 J01FA09
980 J01FA09
981 J01FA09
982 J01FA09
983 J01FA09
984 J01FA09
985 J01FA09
986 J01MA01
987 J01MA01
988 J01MA01
989 J01MA01
990 J01MA02
991 J01MA02
992 J01MA02
993 J01MA02
994 J01MA02
995 J01MA02
996 J01MA02
997 J01MA02
998 J01MA02
999 J01MA02
1,000

J01MA02

1,001

J01MA02

1,002

J01MA02

1,003

J01MA02

1,004

J01MA02

1,005

J01MA02

1,006

J01MA02

1,007

J01MA02

1,008

J01MA02

1,009

J01MA02

1,010

J01MA02

1,011

J01MA02

1,012

J01MA02

1,013

J01MA02

1,014

J01MA02

1,015

J01MA02

1,016

J01MA02

1,017

J01MA02

1,018

J01MA02

1,019

J01MA02

1,020

J01MA02

1,021

J01MA02

1,022

J01MA02

DCI

CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
OFLOXACINUM
OFLOXACINUM
OFLOXACINUM
OFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM

Denumire Comerciala

FROMILID (R) UNO


KLACID (R)
KLABAX 125 mg/5 ml
KLACID (R)
FROMILID (R) 125 mg/5 ml
LEKOKLAR 125 mg/5 ml
KLABAX 125 mg/5 ml
LEKOKLAR 250 mg/5 ml
KLABAX 250 mg/5 ml
LEKOKLAR 250 mg/5 ml
KLABAX 250 mg/5 ml
KLACID I.V.
OFLOXIN 200
ZANOCIN
ZANOCIN (R) OD 400
ZANOCIN (R) OD 400
EUCIPRIN

forma farm.
COMPR. FILM. ELIB. PREL.

GRAN. PT. SUSP. ORALA


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

LIOF. PT. SOL. PERF.

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

CAPS.
CIPROFLOXACINA ARENA 250 mg COMPR
CIPROFLOXACINA ARENA 250 mg COMPR
CIPROFLOXACINA ARENA 100 mg COMPR. FILM.
CIPROFLOXACINA ARENA 100 mg COMPR. FILM.

CIPROCIN 250 mg
CIPRINOL 250 mg
CIPROLEN (R) 250 mg
CUMINOL 250 mg
CUMINOL 250 mg
CIPROFLOXACINA ALKALOID 250 mg

CIFRAN
EUCIPRIN 250 mg
ALVEBAR 250 mg
CIPROFLOXACINA OZONE 250 mg

ALVEBAR 250 mg
CIPRINOL 500 mg
CIPROCIN 500 mg
CIPROLEN (R) 500 mg
CUMINOL 500 mg
CIPROZONE FORTE 500 mg
CIPROFLOXACINA ALKALOID 500 mg

CIFRAN
CIPRO QUIN (R)
CIPRODAR
EUCIPRIN 500 mg
ALVEBAR 500 mg
CIPROFLOXACINA ARENA 500 mg
CIPROFLOXACINA ARENA 500 mg

CIPROFLOXACINA LPH 500 mg

ALVEBAR 500 mg
CIPRINOL 750 mg
CIPROFLOXACINA ARENA 750 mg

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

concentratie

500mg
125mg/5ml
125mg/5ml
125mg/5ml
125mg/5ml
125mg/5ml
125mg/5ml
250mg/5ml
250mg/5ml
250mg/5ml
250mg/5ml
500mg
200mg
200mg
400mg
400mg
250mg
250mg
250mg
100mg
100mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
750mg
750mg

Detinator APP

KRKA D.D.
ABBOTT SPA
TERAPIA SA
ABBOTT SPA
KRKA D.D.
SANDOZ SRL
TERAPIA SA
SANDOZ SRL
TERAPIA SA
SANDOZ SRL
TERAPIA SA
ABBOTT LABORATORIES LTD.

ZENTIVA AS
RANBAXY UK LIMITED
RANBAXY U.K. LIMITED
RANBAXY U.K. LIMITED

tara det.
APP
SLOVENIA

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. ELIB. PREL.

ITALIA

CUTIE X 1 FLACON PEID CU GRANULE PT. 100 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML

Ambalaj

Prescriptie

P-RF
P-RF

ROMANIA

CUTIE X 1 FLAC. DIN PEID X 70 G GRAN. PT. 100 ML SUSP . ORALA

ITALIA

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

P-RF
P-RF

SLOVENIA CUTIE X 1 FLAC. PULB. PT. 60 ML SUSP.

P-RF

ROMANIA
ROMANIA
ROMANIA
ROMANIA
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

FRANTA CUTIE X 1 FLAC. LIOF. PT. SOL. PERF. S/P-RF


CEHIA
CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
MAREA BRITANIE

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

MAREA BRITANIE

CUTIE X 1 BLIST. X 5 COMPR. FILM. ELIB. PREL. P-RF

MAREA BRITANIE

CUTIE X 2 BLIST. X 5 COMPR. FILM. ELIB. PREL. P-RF

EUROPHARM SA
ARENA GROUP S.A.
ARENA GROUP S.A.
ARENA GROUP S.A.
ARENA GROUP S.A.

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

CUTIE X 2 BLIST. AL/PVC X 6 CAPS.

P-RF

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


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

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

AC HELCOR SRL
GEDEON RICHTER ROMANIA SA

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


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

ALKALOID D.O.O.

SLOVENIA

CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 COMPR. FILM. P-RF

RANBAXY UK LIMITED

MAREA BRITANIE

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

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

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

GEDEON RICHTER ROMANIA SA

EUROPHARM SA

P-RF
P-RF
P-RF

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


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

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

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


ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.
OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. X 10 COMPR. FILM.

P-RF

ALKALOID D.O.O.

SLOVENIA

CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 COMPR. FILM.

P-RF

RANBAXY UK LIMITED

MAREA BRITANIE

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

ANTIBIOTICE SA

ROMANIA
ROMANIA
EUROPHARM SA
ROMANIA
DR. REDDY'S LABORATORIES ROMANIA
ARENA GROUP S.A. ROMANIA
ARENA GROUP S.A. ROMANIA
LABORMED PHARMA S.A. ROMANIA
DR. REDDY'S LABORATORIES ROMANIA

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

DAR AL DAWA PHARMA S.R.L.

CUTIE X 1 BLIST. X 10 COMPR. FILM.


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

AC HELCOR SRL

P-RF
P-RF
P-RF

P-RF
P-RF

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


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

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

ARENA GROUP S.A. ROMANIA


Pagina 21 din 34

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

Pret
amanunt
Pret
ul
cant/a maximal amanuntul
mbala /ambalaj maximal/UT
(RON)
(RON)
j

7
1
1
1
1
1
1
1
1
1
1
1
10
10
5
10
12
10
20
10
20
10
10
10
10
20
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
20
10
10
10
10

27.77
38.68
31.23
24.19
23.02
25.90
18.72
60.81
50.49
44.33
31.31
53.16
19.78
11.22
27.12
49.91
7.94
6.49
12.16
36.88
64.85
6.75
6.75
6.75
6.75
12.16
7.78
6.86
6.02
4.70
5.24
4.70
13.07
13.07
13.07
13.07
8.37
14.93
8.67
13.07
13.07
9.12
6.41
9.12
16.22
8.37
6.41
38.05
36.88

3.967142
38.680000
31.230000
24.190000
23.020000
25.900000
18.720000
60.810000
50.490000
44.330000
31.310000
53.160000
1.978000
1.122000
5.424000
4.991000
0.661666
0.649000
0.608000
3.688000
3.242500
0.675000
0.675000
0.675000
0.675000
0.608000
0.778000
0.686000
0.602000
0.470000
0.524000
0.470000
1.307000
1.307000
1.307000
1.307000
0.837000
1.493000
0.867000
1.307000
1.307000
0.912000
0.641000
0.912000
0.811000
0.837000
0.641000
3.805000
3.688000

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

2.071927
28.080000
28.080000
16.848000
16.848000
16.848000
16.848000
56.160000
50.490000
33.696000
31.310000
25.279500
1.094400
1.094400
2.188800
2.188800
0.547200
0.547200
0.547200
0.218880
0.218880
0.547200
0.547200
0.547200
0.547200
0.547200
0.547200
0.547200
0.547200
0.470000
0.524000
0.470000
1.094400
1.094400
1.094400
1.094400
0.837000
1.094400
0.867000
1.094400
1.094400
0.912000
0.641000
0.912000
0.811000
0.837000
0.547200
1.641600
1.641600

1.864735
25.272000
25.272000
15.163200
15.163200
15.163200
15.163200
50.544000
45.441000
30.326400
28.179000
22.751550
0.984960
0.984960
1.969920
1.969920
0.492480
0.492480
0.492480
0.196992
0.196992
0.492480
0.492480
0.492480
0.492480
0.492480
0.492480
0.492480
0.492480
0.423000
0.471600
0.423000
0.984960
0.984960
0.984960
0.984960
0.753300
0.984960
0.780300
0.984960
0.984960
0.820800
0.576900
0.820800
0.729900
0.753300
0.492480
1.477440
1.477440

Nr crt.

cod ATC

1,023

J01MA02

1,024

J01MA02

1,025

J01MA03

1,026

J01MA06

1,027

J01MA06

1,028

J01MA06

1,029

J01MA06

1,030

J01MA06

1,031

J01MA06

1,032

J01MA06

1,033

J01MB02

1,034

J01XD01

1,035

J01XD01

1,036

J01XD01

1,037

J01XD01

1,038

J01XD01

1,039

J01XD01

1,040

J01XD01

1,041

J01XD01

1,042

J01XD01

1,043

J01XD01

1,044

J01XD01

1,045

J01XD01

1,046

J01XD01

1,047

J02AB02

1,048

J02AB02

1,049

J02AB02

1,050

J02AB02

1,051

J02AB02

1,052

J02AB02

1,053

J02AC01

1,054

J02AC01

1,055

J02AC01

1,056

J02AC01

1,057

J02AC01

1,058

J02AC01

1,059

J02AC01

1,060

J02AC01

1,061

J02AC01

1,062

J02AC01

1,063

J02AC01

1,064

J02AC01

1,065

J02AC01

1,066

J02AC01

1,067

J02AC01

1,068

J02AC01

1,069

J02AC01

1,070

J02AC01

1,071

J02AC01

DCI

CIPROFLOXACINUM
CIPROFLOXACINUM
PEFLOXACINUM
NORFLOXACINUM
NORFLOXACINUM
NORFLOXACINUM
NORFLOXACINUM
NORFLOXACINUM
NORFLOXACINUM
NORFLOXACINUM
ACIDUM NALIDIXICUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
KETOCONAZOLUM
KETOCONAZOLUM
KETOCONAZOLUM
KETOCONAZOLUM
KETOCONAZOLUM
KETOCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM

Denumire Comerciala

CIPROBAY XR 1000 mg
CIPROBAY XR 500 mg
PEFLOXACIN LAROPHARM
H - NORFLOXACIN 400 mg
NORFLOXACINA LPH 400 mg
NORFLOX - 400
NOLICIN 400 mg
EPINOR
NOR QUIN 400 mg

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

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
NORFLOXACIN OZONE 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

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

SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
METRONIDAZOL BRAUN 5mg/ml SOL. PERF.
METRONIDAZOL BRAUN 5mg/ml SOL. PERF.
METRONIDAZOL BRAUN 5mg/ml SOL. PERF.
FLAGYL 4 % (J01XD01)
SUSP. ORALA
FLAGYL 4 % (J01XD01)
SUSP. ORALA
NIZORAL 200 mg
COMPR.
KETOCONAZOL 200 mg
COMPR.
KETOCONAZOL 200 mg
COMPR.
KETOSTIN 200 mg
COMPR.
KEFUNGIN
COMPR.
KETOCONAZOL ARENA 200 mg COMPR.
DIFLAZON 100 mg
CAPS.
FLUCOVIM 100
CAPS.
FLUCORIC 100 mg
CAPS.
FUNGOLON 100 mg
CAPS.
FLUCONAZOLE TEVA 100 mg CAPS.
FLUCONAZOLE TEVA 100 mg CAPS.
DIFLAZON 150 mg
CAPS.
FLUCOVIM 150
CAPS.
DIFLUCAN 150 mg
CAPS.
FLUCORIC 150 mg
CAPS.
FLUCONAZOL SANDOZ (R) 150 CAPS.
FLUCONAZOLE TEVA 150 mg CAPS.
FLUCONAZOL 150 mg
CAPS.
FLUCONAZOL MEDOCHEMIE 150 mg CAPS.
FLUCONAZOL BIOGALENICA 150 mg CAPS.
FLUCONAZOL MEDICO UNO 150 mg CAPS.
FLUCONAZOL ARENA 150 MG CAPS.
FLUCONAZOL 150 mg
CAPS.
FLUCONAZOL OZONE 150 mg CAPS.

concentratie

1000 mg
500 mg
400mg
400mg
400mg
400mg
400mg
400mg
400mg
400mg
500mg
250mg
250mg
250mg
250mg
5g/l
5g/l
5g/l
5g/l
5mg/ml
5mg/ml
5mg/ml
4%
4%
200mg
200mg
200mg
200mg
200mg
200mg
100mg
100mg
100mg
100mg
100mg
100mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg

Detinator APP

tara det.
APP

Ambalaj

Prescriptie

BAYER HEALTHCARE AG GERMANIA

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

P-RF

BAYER HEALTHCARE AG GERMANIA

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

P-RF

LAROPHARM S.R.L. ROMANIA


AC HELCOR SRL
ROMANIA

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

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

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

CIPLA (UK) LIMITED

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

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


ROMANIA
OZONE LABORATORIES PHARMA S.A. ROMANIA
ZENTIVA SA
ROMANIA
ARENA GROUP SA ROMANIA
ARENA GROUP SA ROMANIA

ANTIBIOTICE S.A.

FRANTA
LABORATOIRE AVENTIS FRANTA
LABORATOIRE AVENTIS

INFOMED FLUIDS SRL


INFOMED FLUIDS SRL
INFOMED FLUIDS SRL
INFOMED FLUIDS SRL

ROMANIA
ROMANIA
ROMANIA
ROMANIA

B. BRAUN MELSUNGEN AG GERMANIA

CUTIE X 2 BLIST. X 7 COMPR. FILM.

P-RF

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

P-RF/S

CUTIE X 1 BLIST. AL/PVC 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
P-RF
P-RF

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


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

CUTIE X 12 FLACOANE X 200 ML


CUTIE X 1 FLACON X 200 ML
CUTIE X 12 FLACOANE X 200 ML
CUTIE X 1 FLACON X 200 ML

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

CUTIE X 10 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. S/P-RF

B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. DIN PEJD X 100 ML SOL. PERF.

S/P-RF

B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FLAC. DIN PEJD X 100 ML SOL. PERF.

S/P-RF

FRANTA
LABORATOIRE AVENTIS FRANTA
TERAPIA SA
ROMANIA
MAGISTRA C & C
ROMANIA
SLAVIA PHARM SRL ROMANIA
AC HELCOR SRL
ROMANIA
ANTIBIOTICE SA
ROMANIA
ARENA GROUP SA ROMANIA
KRKA D.D.
SLOVENIA
VIM SPECTRUM SRL ROMANIA
TERAPIA SA
ROMANIA
LABORATOIRE AVENTIS

BALKANPHARMA RAZGRAD AD
TEVA PHARMACEUTICALS S.R.L.
TEVA PHARMACEUTICALS S.R.L.

CUTIE X 1 FLACON X 120 ML SUSP. ORALA + LINGURITA DOZATOARE X 5 ML P-RF


CUTIE X 1 FLACON X 120 ML SUSP. ORALA + LINGURITA DOZATOARE X 5 ML P-RF

CUTIE X 1 BLIST. X 10 COMPR.


CUTIE X 1 BLIST. X 10 COMPR.

P-RF

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


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

P-RF

CUTIE X 4 BLIST. X 7 CAPS.


CUTIE X 1 BLIST. X 4 CAPS.

P-RF

BULGARIA CUTIE X 2 BLIST. PVC/AL X 8 CAPS.


ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 2 CAPS.
ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.
SLOVENIA CUTIE X 1 BLIST. X 1 CAPS.

ROMANIA
SLAVIA PHARM SRL ROMANIA
MEDOCHEMIE ROMANIA SRL ROMANIA
LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA
MEDICO UNO PHARMACEUTICAL SRL ROMANIA
ARENA GROUP SA ROMANIA
OZONE LABORATORIES PHARMA S.A. ROMANIA
OZONE LABORATORIES PHARMA S.A. ROMANIA

Pagina 22 din 34

P-RF
P-RF
P-RF

P-RF

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

KRKA D.D.
VIM SPECTRUM SRL ROMANIA CUTIE X 1 FLAC. X 1 CAPS.
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 1 CAPS.
TERAPIA SA
ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS.
SANDOZ SRL
GERMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS.
TEVA PHARMACEUTICALS S.R.L.

P-RF

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

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

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


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

P-RF
P-RF

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

CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA

P-RF

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

P-RF

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


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

Pret
amanunt
Pret
ul
cant/a maximal amanuntul
mbala /ambalaj maximal/UT
(RON)
(RON)
j

7 83.71
3 27.30
10 27.53
20 17.40
20 15.55
10
6.12
20 17.40
14
7.61
20 17.40
10
5.65
30 24.11
30
7.63
30
7.63
20
8.31
20
8.31
12 99.07
1
9.00
12 97.15
1
8.80
10 48.34
10 47.81
20 275.21
1
7.86
1
7.86
10 20.23
10
7.94
10
6.80
10 12.47
10
6.80
10
9.06
28 233.63
4 25.30
7 42.85
16 81.68
2
9.32
7 31.14
1 22.25
1
9.82
1 24.79
1 18.64
1 14.41
1
6.52
1
9.57
1
8.10
1
6.52
1
8.92
1
8.92
1
9.82
1
9.82

11.958571
9.100000
2.753000
0.870000
0.777500
0.612000
0.870000
0.543571
0.870000
0.565000
0.803666
0.254333
0.254333
0.415500
0.415500
8.255833
9.000000
8.095833
8.800000
4.834000
4.781000
13.760500
7.860000
7.860000
2.023000
0.794000
0.680000
1.247000
0.680000
0.906000
8.343928
6.325000
6.121428
5.105000
4.660000
4.448571
22.250000
9.820000
24.790000
18.640000
14.410000
6.520000
9.570000
8.100000
6.520000
8.920000
8.920000
9.820000
9.820000

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

2.188800
1.094400
1.094400
0.588500
0.588500
0.588500
0.588500
0.543571
0.588500
0.565000
0.803666
0.254333
0.254333
0.337687
0.337687
8.255833
8.527916
8.095833
8.527916
4.263958
4.263958
4.263958
7.860000
7.860000
0.708500
0.708500
0.680000
0.708500
0.680000
0.708500
4.104000
4.104000
4.104000
4.104000
4.104000
4.104000
6.156000
6.156000
6.156000
6.156000
6.156000
6.156000
6.156000
6.156000
6.156000
6.156000
6.156000
6.156000
6.156000

1.969920
0.984960
0.984960
0.529650
0.529650
0.529650
0.529650
0.489213
0.529650
0.508500
0.723299
0.228899
0.228899
0.303918
0.303918
7.430249
7.675124
7.286249
7.675124
3.837562
3.837562
3.837562
7.074000
7.074000
0.637650
0.637650
0.612000
0.637650
0.612000
0.637650
3.693600
3.693600
3.693600
3.693600
3.693600
3.693600
5.540400
5.540400
5.540400
5.540400
5.540400
5.540400
5.540400
5.540400
5.540400
5.540400
5.540400
5.540400
5.540400

Nr crt.

cod ATC

1,072

J02AC01

1,073

J02AC01

1,074

J02AC01

1,075

J02AC01

1,076

J02AC01

1,077

J02AC01

1,078

J02AC01

1,079

J02AC01

1,080

J02AC01

1,081

J02AC01

1,082

J02AC01

1,083

J02AC01

1,084

J02AC01

1,085

J02AC01

1,086

J02AC01

1,087

J02AC01

1,088

J02AC01

1,089

J02AC01

1,090

J02AC01

1,091

J02AC01

1,092

J02AC01

1,093

J02AC01

1,094

J05AB01

1,095

J05AB01

1,096

J05AB01

1,097

J05AB01

1,098

J05AB01

1,099

J05AB01

1,100

J05AB01

1,101

J05AB01

1,102

J05AB01

1,103

J05AB01

1,104

J05AB01

1,105

J05AB01

1,106

J05AB01

1,107

J05AB01

1,108

L02BG01

1,109

M01AB01

1,110

M01AB01

1,111

M01AB01

1,112

M01AB01

1,113

M01AB01

1,114

M01AB01

1,115

M01AB05

1,116

M01AB05

1,117

M01AB05

1,118

M01AB05

1,119

M01AB05

1,120

M01AB05

DCI

FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
AMINOGLUTETHIMIDUM
INDOMETACINUM
INDOMETACINUM
INDOMETACINUM
INDOMETACINUM
INDOMETACINUM
INDOMETACINUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM

Denumire Comerciala

forma farm.

MYCOSYST 150 mg
MYCOSYST 150 mg

CAPS.
CAPS.
FLUCONAZOL ACTAVIS 150 mg CAPS.
MYCOMAX 150
CAPS.
FLUCONAZOLE TEVA 200 mg CAPS.
DIFLAZON 50 mg
CAPS.
FLUCOVIM 50
CAPS.
DIFLUCAN 50 mg
CAPS.
FLUCORIC 50 mg
CAPS.
FLUCONAZOL SANDOZ (R) 50 CAPS.
FUNGOLON 50 mg
CAPS.
FLUCONAZOL 50 mg
CAPS.
FLUCONAZOLE TEVA 50 mg CAPS.
FLUCONAZOL 50 mg
CAPS.
FLUCONAZOL MEDOCHEMIE 50 mg CAPS.
FLUCONAZOL BIOGALENICA 50 mg CAPS.
FLUCONAZOL ARENA 50 MG CAPS.
FLUCONAZOL OZONE 50 mg CAPS.
DIFLUCAN (R) 50 mg/5 ml
PULB. PT. SUSP. ORALA
DIFLAZON 2mg/ml
SOL. PERF.
DIFLUCAN (R)
SOL. PERF.
DIFLUCAN (R)
SOL. PERF.
ACICLOVIR 200 mg
CAPS.
ACICLOVIR ARENA 200 mg CAPS.
ACICLOVIR ARENA 400 mg CAPS.
ACICLOVIR TERAPIA 200 mg COMPR.
ACICLOVIR 200 mg
COMPR.
CLOVIRAL 200 mg
COMPR.
ACICLOVIR 200 mg
COMPR.
ACICLOVIR 200 mg
COMPR.
ACICLOVIR 400 mg
COMPR.
ACICLOVIR OZONE 200 mg COMPR. DISP.
LOVIR 200 mg
COMPR. DISP.
ACICLOVIR OZONE 200 mg COMPR. DISP.
ACIKLOVIR
COMPR. FILM.
VIROLEX
PULB. PT. SOL. INJ./PERF.
ROGLUTEN (R) 250 mg
COMPR.
INDOMETACIN LAROPHARM 25 mg CAPS.
INDOMETACIN ARENA 25 MG CAPS.
INDOMETACIN ARENA 50 MG CAPS.
INDOMETACIN 50 mg
SUPOZ.
INDOMETACIN 50 mg
SUPOZ.
INDOMETACIN 50 mg
SUPOZ.
DICLOREUM 150 mg
CAPS. ELIB. PREL.
DICLOFENAC DUO PHARMASWISS 75 mg

CAPS. ELIB. PREL.

TRATUL 50
DICLAC (R) 75 ID
VOLTAREN (R) RETARD
REFEN (R) RETARD

CAPS. GASTROREZ.
COMPR. ELIB. MODIF.
COMPR. FILM. ELIB. PREL.
COMPR. FILM. ELIB. PREL.

concentratie

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

Detinator APP
GEDEON RICHTER ROMANIA SA
GEDEON RICHTER ROMANIA SA

tara det.
APP
Ambalaj
ROMANIA CUTIE X 2 BLIST. AL/PVC X 1 CAPS.
ROMANIA CUTIE X 4 BLIST. AL/PVC X 1 CAPS.

Prescriptie

P-RF
P-RF

ZENTIVA K.S.

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


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

P-RF

TEVA PHARMACEUTICALS S.R.L.

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

P-RF

KRKA D.D.
SLOVENIA CUTIE X 1 BLIST. X 7 CAPS.
VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS.
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 7 CAPS.
TERAPIA SA
ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS.
SANDOZ SRL
ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS.
BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 1 BLIST. PVC/AL X 8 CAPS.
ANTIBIOTICE S.A.
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS.

P-RF

ACTAVIS GROUP PTC EHF.

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

PFIZER EUROPE MA EEIG

MAREA BRITANIE

MAREA BRITANIE

PFIZER EUROPE MA EEIG

MAREA BRITANIE

SLAVIA PHARM SRL


ARENA GROUP SA
ARENA GROUP S.A.
TERAPIA SA

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

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

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


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

P-RF
P-RF

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

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

P-RF

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


CUTIE X 1 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
PFIZER EUROPE MA EEIG

PRF

CUTIE X 1 FLACON X 200 ML


CUTIE X 1 FLACON X 50 ML

P-RF
S/PR-F
S/P-RF
S/P-RF

ROMANIA
ROMANIA
ROMANIA
ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
ANTIBIOTICE SA
ROMANIA
EGIS PHARMACEUTICALS P.L.C. UNGARIA
LAROPHARM S.R.L. ROMANIA
EGIS PHARMACEUTICALS P.L.C. UNGARIA

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


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

OZONE LABORATORIES LTD.

MAREA BRITANIE

CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. DISP. P-RF

RANBAXY UK LIMITED

MAREA BRITANIE CUTIE X 1 BLIST. DIN PVC-PVDC/AL X 10 COMPR. DISP.

LABORMED PHARMA S.A.

ROMANIA CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. DISP. P-RF


ROMANIA CUTIE X 7 BLIST. AL/PVC X 5 COMPR. FILM. P-RF

A & G MED TRADING S.R.L.

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

CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF

CUTIE X 2 BLIST. X 10 COMPR.

P-RF

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

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

P-RF

S/P-RF

ACTAVIS S.R.L.
LAROPHARM SRL
ARENA GROUP SA
ARENA GROUP SA
ANTIBIOTICE SA
SINTOFARM SA
MAGISTRA C & C

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

ALFA WASSERMANN SPA


GEROT PHARMAZEUTIKA GMBH

ITALIA
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. X 10 CAPS. GASTROREZ.

HEXAL AG

GERMANIA CUTIE X 1 BLIST. AL/PP X 10 COMPR. ELIB. MODIF. P-6L

PHARMASWISS CESKA REPUBLIKA S.R.O.

CUTIE X 1 FLAC. X 40 COMPR.

P-RF

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


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

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

CUTIE X 2 FOLII TERMOSUDATE AL-PE X 3 SUPOZ. P-6L

CUTIE X 2 FOLII PVC/PE X 5 SUPOZ.

P-6L

CUTIE X 2 FOLII TERMOSUDATE PVC/PE X 5 SUPOZ.

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

NOVARTIS PHARMA GMBH GERMANIA

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

P-6L

ROMANIA

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

P-6L

STADA HEMOFARM S.R.L.

Pagina 23 din 34

Pret
amanunt
Pret
ul
cant/a maximal amanuntul
mbala /ambalaj maximal/UT
(RON)
(RON)
j

2 32.22 16.110000
4 62.36 15.590000
1
9.94
9.940000
1 12.37 12.370000
7 38.90
5.557142
7 60.99
8.712857
7 22.30
3.185714
7 55.87
7.981428
7 29.26
4.180000
7 41.44
5.920000
8 18.81
2.351250
10 25.22
2.522000
7 16.49
2.355714
7 19.35
2.764285
7 15.96
2.280000
7 15.58
2.225714
7 18.89
2.698571
7 22.30
3.185714
1 55.87 55.870000
1 45.29 45.290000
1 160.68 160.680000
1 40.05 40.050000
20 20.00
1.000000
20 21.17
1.058500
10 19.24
1.924000
20 16.95
0.847500
20 17.03
0.851500
20 16.24
0.812000
20 13.64
0.682000
20 12.85
0.642500
10 19.00
1.900000
20
7.16
0.358000
10
3.70
0.370000
20
7.16
0.358000
35 56.50
1.614285
5 279.65 55.930000
40 149.61
3.740250
20
1.60
0.080000
30
2.11
0.070333
20
3.48
0.174000
6
4.08
0.680000
10
6.80
0.680000
10
5.21
0.521000
20 47.13
2.356500
30 20.25
0.675000
30
6.32
0.210666
10
3.88
0.388000
10
6.49
0.649000
20
8.44
0.422000

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

6.156000
6.156000
6.156000
6.156000
5.557142
2.052000
2.052000
2.052000
2.052000
2.052000
2.052000
2.052000
2.052000
2.052000
2.052000
2.052000
2.052000
2.052000
14.364000
38.627325
77.254650
19.313662
0.596025
0.596025
1.192050
0.596025
0.596025
0.596025
0.596025
0.596025
1.192050
0.358000
0.370000
0.358000
1.192050
55.930000
3.740250
0.080000
0.070333
0.163350
0.304987
0.304987
0.304987
0.490050
0.245025
0.163350
0.245025
0.326700
0.326700

5.540400
5.540400
5.540400
5.540400
5.001427
1.846800
1.846800
1.846800
1.846800
1.846800
1.846800
1.846800
1.846800
1.846800
1.846800
1.846800
1.846800
1.846800
12.927600
34.764592
69.529185
17.382296
0.536422
0.536422
1.072845
0.536422
0.536422
0.536422
0.536422
0.536422
1.072845
0.322200
0.333000
0.322200
1.072845
50.337000
3.366225
0.072000
0.063299
0.147015
0.274488
0.274488
0.274488
0.441045
0.220522
0.147015
0.220522
0.294030
0.294030

Nr crt.

cod ATC

DCI

1,121

M01AB05

1,122

M01AB05

1,123

M01AB05

1,124

M01AB05

1,125

M01AB05

1,126

M01AB05

1,127

M01AB05

1,128

M01AB05

1,129

M01AB05

1,130

M01AB05

1,131

M01AB05

1,132

M01AB05

1,133

M01AB05

1,134

M01AB05

1,135

M01AB05

1,136

M01AB05

1,137

M01AB05

1,138

M01AB05

1,139

M01AB05

1,140

M01AB05

1,141

M01AB05

1,142

M01AB05

1,143

M01AB05

1,144

M01AB05

1,145

M01AB05

1,146

M01AB05

1,147

M01AB05

1,148

M01AB05

1,149

M01AB05

1,150

M01AB05

1,151

M01AB15

1,152

M01AB15

1,153

M01AB15

1,154

M01AB15

1,155

M01AB15

1,156

M01AB15

1,157

M01AB16

1,158

M01AC02

1,159

M01AC02

1,160

M01AC02

1,161

M01AC02

1,162

M01AC06

1,163

M01AC06

1,164

M01AC06

1,165

M01AC06

1,166

M01AC06

1,167

M01AC06

1,168

M01AC06

1,169

M01AC06

DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
KETOROLACUM TROMETHAMIN
KETOROLACUM TROMETHAMIN
KETOROLACUM TROMETHAMIN
KETOROLACUM TROMETHAMIN
KETOROLACUM TROMETHAMIN
KETOROLACUM TROMETHAMIN
ACECLOFENACUM
TENOXICAMUM
TENOXICAMUM
TENOXICAMUM
TENOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM

Denumire Comerciala

DICLOTARD (R) 100 mg


RHEUMAVEK
VOLTAREN (R) 50
DICLOFENAC 50 mg
CLAFEN 50 mg
DICLOFENAC 50 mg
DICLOGESIC 50 COMPRIMATE FILMATE GASTROREZISTENTE

EPIFENAC
VOLTAREN RAPID (R)
DICLOFENAC ARENA 25 mg
N - DICLOFENAC
DICLOFENAC ARENA 50 mg
VOLTAREN (R)
RHEUMAVEK
TRATUL (R)
DICLAC
ALMIRAL
DICLOFENAC 75 mg
DICLOFENAC AL I.M.
DICLOFENAC AL I.M.
REFEN 75 mg
CLAFEN 100 mg
VOLTAREN (R)
DICLOFENAC 100 mg
DICLOFENAC SODIC 100 mg
EPIFENAC

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

COMPR. GASTROREZ.

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

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

SUPOZ.
SUPOZ.
SUPOZ.
SUPOZ.
SUPOZ.
DICLOGESIC 12,5 SUPOZITOARE SUPOZ.
TRATUL 120
SUPOZ.
VOLTAREN (R)
SUPOZ.
TRATUL 60
SUPOZ.
KETOROL
COMPR. FILM.
KETANOV 10 mg
COMPR. FILM.
KETOROL
COMPR. FILM.
KETOROL
SOL. INJ.
KETANOV
SOL. INJ.
KETOROL
SOL. INJ.
AFLAMIL
COMPR. FILM.
TENOXICAM LPH 20 mg
CAPS.
TENOXICAM 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.
RECOXA 15
COMPR.

concentratie

100mg
25mg
50mg
50mg
50mg
50mg
50mg
25mg
50mg
25mg
50mg
50mg
25mg/ml
25mg/ml
30mg/ml
75mg
75mg/3ml
75mg/3ml
75mg/3ml
75mg/3ml
25mg/ml
100mg
100mg
100mg
100mg
100mg
12,5mg
120mg
50mg
60mg
10mg
10mg
10mg
30mg/ml
30mg/ml
30mg/ml
100mg
20mg
20mg
20mg
20mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg

TERAPIA SA

tara det.
APP
ROMANIA

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

P-6L

FARAN LABORATORIES S.A.

GRECIA

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

P-6L

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

P-6L

Detinator APP

NOVARTIS PHARMA GMBH GERMANIA

Ambalaj

TERAPIA SA
ANTIBIOTICE SA

Prescriptie

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


ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM. GASTROREZ.
AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ.
DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ.
E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 3 BLIST. X 10 COMPR. GASTROREZ.

P-6L

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

P-6L

ARENA GROUP SA
MEDUMAN SA
ARENA GROUP SA

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

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


ROMANIA CUTIE X 1 FLAC. PE X 20 DRAJ. GASTROREZ. P-6L
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 DRAJ GASTROREZ. P-6L

NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 FIOLE CU PUNCT DE RUPERE X 3 ML P-RF


FARAN LABORATORIES S.A.
GEROT PHARMAZEUTIKA GMBH

GRECIA
AUSTRIA

CUTIE X 5 FIOLE DE STICLA BRUNA PREVAZUTE CU INEL DE RUPERE X 3 ML

P-RF

CUTIE X 1 BLIST PVC X 5 FIOLE DIN STICLA BRUNA X 3 ML SOL. INJ. P-RF

HEXAL AG
GERMANIA CUTIE X 5 FIOLE X 3 ML SOL. INJ.
MEDOCHEMIE LTD. CIPRU
TERAPIA SA
ROMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 3 ML
CUTIE X 10 FIOLE DIN STICLA BRUNA CU INEL DE RUPERE, IN 2 SUPORTURI TERMOFORMATE DIN MATERIAL PLASTI

P-RF
P-RF
P-RF

ALIUD PHARMA GMBH GERMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 3ML SOL. INJ. P-RF
ALIUD PHARMA GMBH GERMANIA CUTIE X 10 FIOLE DIN STICLA INCOLORA X 3ML SOL. INJ. P-RF
STADA HEMOFARM S.R.L. ROMANIA CUTIE CU 5 FIOLE DIN STICLA INCOLORA X 3 ML SOL. INJ./PERF. P-RF
ANTIBIOTICE SA
ROMANIA CUTIE X 2 FOLII TERMOSUDANTE X 3 SUPOZ. P-6L
NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FOLIE PVC/PE-JD X 5 SUPOZ. P-6L
SINTOFARM SA
ROMANIA CUTIE X 2 FOLII PVC/PE X 5 SUPOZ. P-6L
MAGISTRA C & C
ROMANIA CUTIE X 2 FOLII TERMOSUDATE PVC/PE X 5 SUPOZ. P-6L
E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FOLIE AL/PEJD. X 5 SUPOZ. P-6L
DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 2 FOLII PVC/PE X 5 SUPOZ. P-6L
GEROT PHARMAZEUTIKA GMBH

AUSTRIA CUTIE X 6 SUPOZ.

NOVARTIS PHARMA GMBH GERMANIA


GEROT PHARMAZEUTIKA GMBH

AUSTRIA CUTIE X 6 SUPOZ.

ROMANIA
TERAPIA SA
ROMANIA
DR. REDDY'S LABORATORIES ROMANIA
DR. REDDY'S LABORATORIES ROMANIA
TERAPIA SA
ROMANIA
DR. REDDY'S LABORATORIES ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
LABORMED PHARMA SA ROMANIA
ARENA GROUP SA ROMANIA
DR. REDDY'S LABORATORIES

P-6L

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


P-6L

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


CUTIE X 2 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. P-6L
CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L
CUTIE X 1 BLIST. X 10 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ.

P-RF

CUTIE X 10 FIOLE X 1 ML

P-RF

CUTIE X 1 BLIST. X 10 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ.

P-RF

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

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


CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
CUTIE X 1 BLIST. X 10 COMPR. FILM. P-6L
CUTIE X 1 FLAC. PULB. + 1 FIOLA SOLV. P-RF

ANFARM HELLAS S.A. PHARMACEUTICALS

GRECIA
GRECIA

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

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

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

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

ANFARM HELLAS S.A. PHARMACEUTICALS

LABORMED PHARMA SA ROMANIA

HEXAL AG
MEDOCHEMIE LTD
MEDOCHEMIE LTD
ZENTIVA AS
ZENTIVA AS
Pagina 24 din 34

CUTIE X 2 BLIST. X 10 COMPR.

P-6L

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

CIPRU
CIPRU
CEHIA
CEHIA

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


CUTIE X 1 BLIST. AL-PVC/PVDC X 10 COMPR. P-6L
CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L
CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L

Pret
amanunt
Pret
ul
cant/a maximal amanuntul
mbala /ambalaj maximal/UT
(RON)
(RON)
j

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

8.12
5.65
6.49
4.21
3.00
2.23
3.78
4.45
2.31
5.65
2.51
2.62
9.29
6.02
14.07
6.02
9.80
6.02
6.02
12.08
4.01
3.90
5.41
6.87
5.04
3.51
4.98
4.21
9.34
3.65
6.67
6.67
6.67
19.38
24.45
19.38
22.45
11.31
13.94
6.27
5.38
15.25
7.61
9.91
9.86
30.03
10.48
13.94
8.64

0.406000
0.188333
0.324500
0.210500
0.150000
0.111500
0.189000
0.148333
0.231000
0.188333
0.125500
0.131000
1.858000
1.204000
2.814000
1.204000
0.980000
1.204000
1.204000
1.208000
0.802000
0.650000
1.082000
0.687000
0.504000
0.702000
0.498000
0.701666
0.934000
0.608333
0.333500
0.333500
0.333500
1.938000
2.445000
1.938000
1.122500
0.565500
0.697000
0.627000
5.380000
0.762500
0.761000
0.495500
0.493000
1.001000
1.048000
0.697000
0.864000

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

0.326700
0.081675
0.163350
0.163350
0.150000
0.111500
0.163350
0.081675
0.163350
0.081675
0.125500
0.131000
1.083600
1.083600
1.300320
1.083600
0.980000
1.083600
1.083600
1.083600
0.802000
0.609975
0.609975
0.609975
0.504000
0.609975
0.498000
0.701666
0.304987
0.365985
0.108899
0.108899
0.108899
1.444800
1.444800
1.444800
0.163350
0.446024
0.446024
0.446024
2.093400
0.446024
0.446024
0.446024
0.446024
0.446024
0.446024
0.446024
0.446024

0.294030
0.073507
0.147015
0.147015
0.135000
0.100350
0.147015
0.073507
0.147015
0.073507
0.112950
0.117900
0.975240
0.975240
1.170288
0.975240
0.882000
0.975240
0.975240
0.975240
0.721800
0.548977
0.548977
0.548977
0.453600
0.548977
0.448200
0.631499
0.274488
0.329386
0.098009
0.098009
0.098009
1.300320
1.300320
1.300320
0.147015
0.401422
0.401422
0.401422
1.884060
0.401422
0.401422
0.401422
0.401422
0.401422
0.401422
0.401422
0.401422

Nr crt.

cod ATC

1,170

M01AC06

1,171

M01AC06

1,172

M01AC06

1,173

M01AC06

1,174

M01AC06

1,175

M01AC06

1,176

M01AC06

1,177

M01AC06

1,178

M01AC06

1,179

M01AC06

1,180

M01AC06

1,181

M01AC06

1,182

M01AC06

1,183

M01AC06

1,184

M01AC06

1,185

M01AC06

1,186

M01AC06

1,187

M01AC06

1,188

M01AC06

1,189

M01AC06

1,190

M01AC06

1,191

M01AC06

1,192

M01AC06

1,193

M01AC06

1,194

M01AC06

1,195

M01AC06

1,196

M01AC06

1,197

M01AC06

1,198

M01AE03

1,199

M01AE03

1,200

M01AE03

1,201

M01AE03

1,202

M01AE03

1,203

M01AE03

1,204

M01AE03

1,205

M01AE03

1,206

M01AE03

1,207

M01AE03

1,208

M01AE03

1,209

M01AE03

1,210

M01AE03

1,211

M01AE03

1,212

M01AE03

1,213

M01AE03

1,214

M01AE03

1,215

M01AE03

1,216

M03BX07

1,217

M04AA01

1,218

M04AA01

DCI

MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
TETRAZEPAMUM
ALLOPURINOLUM*
ALLOPURINOLUM*

Denumire Comerciala

forma farm.

MELARTRIN 15 mg
MELOXICAM MCC 15 mg
CELOMIX
VALZER 15 mg
NOFLAMEN 15 mg
ANTREND 15 mg

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
MELOXICAM VIM SPECTRUM 15 mg COMPR.
ASPIFLEX 15 mg
COMPR.
ASPIFLEX 15 mg
COMPR.
ASPIFLEX 15 mg
COMPR.
ANTREND 15 mg
COMPR.
MELOX 7,5 mg
COMPR.
MELOX 7,5 mg
COMPR.
MOVALIS (R) 7,5 mg
COMPR.
MOVALIS (R) 7,5 mg
COMPR.
MELOXICAM LPH 7,5 mg
COMPR.
MELOXICAM SANDOZ 7,5 mg COMPR.
MELOXICAM MCC 7,5 mg
COMPR.
VALZER 7,5mg
COMPR.
NOFLAMEN 7,5 mg
COMPR.
MELOXICAM VIM SPECTRUM 7,5 mg COMPR.
ASPIFLEX 7,5 mg
COMPR.
ASPIFLEX 7,5 mg
COMPR.
ASPIFLEX 7,5 mg
COMPR.
MOVALIS 15mg/1,5ml
SOL. INJ.
MOVALIS (R) 15 mg
SUPOZ.
MELOXICAM 15 mg
SUPOZ.
MELOXICAM 7,5 mg
SUPOZ.
KETOPROFEN SR TERAPIA 100 MG CAPS. ELIB. PREL.

KETONAL (R) DUO 150 mg


KETONAL UNO
KETALGON 200 mg

CAPS. ELIB. PREL.


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

KETOPROFEN SR TERAPIA 200 MG CAPS. ELIB. PREL.

KETARD 200 mg
KETONAL RETARD
RUBIFEN 100 mg
PROFENID (R) 100 mg
KETONAL FORTE 100 mg
KETOPROXIN 100 mg
KETOPROXIN 50 mg
PROFENID (R) LP 200 mg
KETONAL 100 mg/ 2 ml
KETOPROFEN TERAPIA 100MG/2ML

KETONAL 100 mg
RUBIFEN (R) 100 mg
KETOMAG
MYOLASTAN 50 mg
MILURIT 100 mg
MILURIT 300 mg

CAPS. ELIB. PREL.


COMPR. ELIB. PREL.

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

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

SUPOZ.
SUPOZ.
SUPOZ.
COMPR. FILM.

COMPR.
COMPR.

concentratie

15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
7,5 mg
7,5 mg
7,5mg
7,5mg
7,5mg
7,5mg
7,5mg
7,5mg
7,5mg
7,5mg
7,5mg
7,5mg
7,5mg
15mg/1,5ml
15mg
15mg
7,5mg
100mg
150mg
200mg
200mg
200mg
200mg
150mg
100 mg
100mg
100mg
100mg
50mg
200mg
100mg/2ml
100mg/2ml
100mg
100mg
100mg
50mg
100mg
300mg

tara det.
APP
Ambalaj
TERAPIA SA
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
MAGISTRA C & C SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
ACTAVIS GROUP HF. ISLANDA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR.
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR.
Detinator APP

UNGARIA
OZONE LABORATORIES BV OLANDA
VIM SPECTRUM SRL ROMANIA
BMF PHARM S.R.L. ROMANIA
BMF PHARM S.R.L. ROMANIA
BMF PHARM S.R.L. ROMANIA
OZONE LABORATORIES PHARMA S.A. ROMANIA
MEDOCHEMIE LTD CIPRU
MEDOCHEMIE LTD CIPRU
EGIS PHARMACEUTICALS P.L.C.

Prescriptie

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

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

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

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


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

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

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


CUTIE X 1 BLIST. AL-PVC/PVDC X 10 COMPR. P-6L
CUTIE X 3 BLIST. AL-PVC/PVDC X 10 COMPR. P-6L

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

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

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

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

LABORMED PHARMA SA ROMANIA

HEXAL AG

CUTIE X 2 BLIST. X 10 COMPR.

P-6L

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

MAGISTRA C & C SRL ROMANIA


ROMANIA
EGIS PHARMACEUTICALS P.L.C. UNGARIA
VIM SPECTRUM SRL ROMANIA
BMF PHARM S.R.L. ROMANIA
BMF PHARM S.R.L. ROMANIA
BMF PHARM S.R.L. ROMANIA
GEDEON RICHTER ROMANIA SA

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


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

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


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

P-6L

CUTIE X 5 FIOLE DIN STICLA INCOLORA X 1,5 ML SIL. INJ.

P-RF

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

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA CUTIE X 1 FOLIE TERMOSUDATA AL/PE X 6 SUPOZ. P-6L

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

ROMANIA CUTII X 2 FOLII TERMOSUDATE PVC/PE X 3 SUPOZ. P-6L


ROMANIA CUTII X 2 FOLII TERMOSUDATE PVC/PE X 3 SUPOZ. P-6L
ROMANIA CUTIE X 1 BLIST. X 10 CAPS. CU ELIB. PREL. P-6L
ROMANIA CUTIE X 2 BLIST. AL/PVC-TE-PVDC X 10 CAPS. ELIB. PREL. P-6L
ROMANIA CUTIE X 2 BLIST. AL/PVC-TE-PVDC X 10 CAPS. ELIB. PREL. P-6L
LABORMED PHARMA S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. ELIB. PREL. P-6L
TERAPIA SA
ROMANIA CUTIE X 1 BLIST. X 10 CAPS. CU ELIB. PREL. P-6L
LABORMED PHARMA S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. ELIB. PREL. P-6L
LEK PHARMACEUTICALS D.D.

SLOVENIA CUTIE X 1 FLAC. X 20 COMPR. CU ELIB. PREL. P-6L

ANTIBIOTICE SA
LAB. AVENTIS

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

P-6L

FRANTA CUTIE X 2 BLIST X 15 COMPR. FILM.

P-6L

LEK PHARMACEUTICALS D.D.

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


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

AC HELCOR PHARMA SRL

LAB. AVENTIS

FRANTA

CUTIE X 1 BLIST X 14 COMPR. FILM. ELIB. PREL.

LEK PHARMACEUTICALS D.D.

SLOVENIA

CUTIE X 10 FIOLE X 2 ML SOL. INJ/CONC PT.SOL. PERF. P-RF

P-6L

TERAPIA SA

ROMANIA CUTIE X 5 FIOLE X 2 ML

P-RF

LEK PHARMACEUTICALS D.D.

SLOVENIA CUTIE X 2 FOLII AL/PE X 6 SUPOZ.

P-6L

ANTIBIOTICE SA
MAGISTRA C & C

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


ROMANIA CUTIE X 2 FOLII LAMINATE PVC/PE X 5 SUPOZ.
ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM.
UNGARIA CUTIE X 1 FLAC. X 50 COMPR.
UNGARIA CUTIE X 1 FLAC. X 30 COMPR.

P-6L

SANOFI - AVENTIS ROMANIA S.R.L.

EGIS PHARMACEUTICALS P.L.C.


EGIS PHARMACEUTICALS P.L.C.

Pagina 25 din 34

P-6L
P-RF

P-6L
P-6L

Pret
amanunt
Pret
ul
cant/a maximal amanuntul
mbala /ambalaj maximal/UT
(RON)
(RON)
j

20
20
30
20
10
30
20
10
20
30
30
10
30
10
20
20
20
20
20
10
20
10
20
30
5
6
6
6
10
20
20
10
10
10
20
20
30
20
20
20
14
10
5
12
6
10
20
50
30

31.83
9.91
14.87
9.91
4.95
14.73
9.91
4.96
9.91
14.87
14.73
9.51
25.35
7.32
14.67
9.54
9.54
9.54
9.54
4.76
9.54
4.76
9.54
14.30
14.93
13.24
8.44
8.06
11.79
16.29
26.01
7.46
14.95
7.47
14.85
8.92
18.04
11.48
7.80
7.07
16.09
11.22
9.52
8.10
4.05
6.46
9.41
5.96
10.31

1.591500
0.495500
0.495666
0.495500
0.495000
0.491000
0.495500
0.496000
0.495500
0.495666
0.491000
0.951000
0.845000
0.732000
0.733500
0.477000
0.477000
0.477000
0.477000
0.476000
0.477000
0.476000
0.477000
0.476666
2.986000
2.206666
1.406666
1.343333
1.179000
0.814500
1.300500
0.746000
1.495000
0.747000
0.742500
0.446000
0.601333
0.574000
0.390000
0.353500
1.149285
1.122000
1.904000
0.675000
0.675000
0.646000
0.470500
0.119200
0.343666

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

0.446024
0.446024
0.446024
0.446024
0.446024
0.446024
0.446024
0.446024
0.446024
0.446024
0.446024
0.223012
0.223012
0.223012
0.223012
0.223012
0.223012
0.223012
0.223012
0.223012
0.223012
0.223012
0.223012
0.223012
2.093400
0.658499
0.658499
0.329249
0.458548
0.687824
0.917098
0.746000
0.917098
0.747000
0.687824
0.446000
0.458548
0.458548
0.390000
0.229274
0.917098
1.037000
1.904000
0.660500
0.660500
0.646000
0.470500
0.115716
0.343666

0.401422
0.401422
0.401422
0.401422
0.401422
0.401422
0.401422
0.401422
0.401422
0.401422
0.401422
0.200711
0.200711
0.200711
0.200711
0.200711
0.200711
0.200711
0.200711
0.200711
0.200711
0.200711
0.200711
0.200711
1.884060
0.592649
0.592649
0.296324
0.412694
0.619041
0.825388
0.671400
0.825388
0.672300
0.619041
0.401400
0.412694
0.412694
0.351000
0.206347
0.825388
0.933300
1.713600
0.594450
0.594450
0.581400
0.423450
0.104144
0.309299

Nr crt.

cod ATC

1,219

M04AC01

1,220

M04AC01

1,221

N02AD01

1,222

N02AD01

1,223

N02AD01

1,224

N02AD01

1,225

N02AX02

1,226

N02AX02

1,227

N02AX02

1,228

N02AX02

1,229

N02AX02

1,230

N02AX02

1,231

N02AX02

1,232

N02AX02

1,233

N02AX02

1,234

N02AX02

1,235

N02AX02

1,236

N02AX02

1,237

N02AX02

1,238

N02AX02

1,239

N02AX02

1,240

N02AX02

1,241

N02AX02

1,242

N02AX02

1,243

N02AX02

1,244

N02AX02

1,245

N02AX02

1,246

N02AX02

1,247

N02AX02

1,248

N02AX02

1,249

N02AX02

1,250

N02AX02

1,251

N02AX02

1,252

N02AX02

1,253

N02AX02

1,254

N02AX02

1,255

N02AX02

1,256

N02AX02

1,257

N02AX02

1,258

N02AX02

1,259

N02AX02

1,260

N02AX02

1,261

N02AX02

1,262

N02AX02

1,263

N02AX02

1,264

N02AX02

1,265

N02AX02

1,266

N02AX02

1,267

N02AX02

DCI

COLCHICINUM
COLCHICINUM
PENTAZOCINUM
PENTAZOCINUM
PENTAZOCINUM
PENTAZOCINUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM

Denumire Comerciala

COLCHICINA
COLCHICINA FABIOL
FORTRAL 50 mg
FORTRAL 50 mg
FORTRAL
FORTRAL
TRAMAL (R)
TRALGIT 50
TRAMADOL
TRAMADOL AL 50
TRAMADOL AL 50
MABRON 50 mg
K-ALMA (R)
TRAMACALM
TRAMADOL LPH 50 mg
URGENDOL
TRAMADOL ARENA
TRAMAL UNO 100 mg
TRAMAL UNO 100 mg
TRAMAL UNO 100 mg
TRAMAL UNO 100 mg
TRAMAL UNO 150 mg
TRAMAL UNO 150 mg
TRAMAL UNO 150 mg
TRAMAL UNO 150 mg
TRAMAL UNO 200 mg
TRAMAL UNO 200 mg
TRAMAL UNO 200 mg
TRAMAL UNO 200 mg
TRAMAG 50
TRAMADOL EEL
TRAMADOL 50 mg
TRAMADOL 50 mg
TRAMADOLOR (R) 100 ID
TRAMADOL (R) RETARD
TRALGIT SR 100
TRALGIT SR 100
TRALGIT SR 100
NOAX UNO 100 mg
NOAX UNO 100 mg
TRALGIT SR 150
TRALGIT SR 150
TRALGIT SR 200
NOAX UNO 200 mg
NOAX UNO 200 mg
NOAX UNO 300 mg
NOAX UNO 300 mg
TRADOLAN 50 mg
TRAMAL RETARD 100 mg

forma farm.

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

concentratie

1mg
1mg
50mg
50mg
30mg/ml
30mg/ml
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
CAPS. ELIB. PREL. 100mg
CAPS. ELIB. PREL. 100mg
CAPS. ELIB. PREL. 100mg
CAPS. ELIB. PREL. 100mg
CAPS. ELIB. PREL. 150mg
CAPS. ELIB. PREL. 150mg
CAPS. ELIB. PREL. 150mg
CAPS. ELIB. PREL. 150mg
CAPS. ELIB. PREL. 200mg
CAPS. ELIB. PREL. 200mg
CAPS. ELIB. PREL. 200mg
CAPS. ELIB. PREL. 200mg
COMPR.
50mg
COMPR.
50mg
COMPR.
50mg
COMPR.
50mg
COMPR. ELIB. MODIF. 100mg
COMPR. ELIB. PREL. 100mg
COMPR. ELIB. PREL. 100mg
COMPR. ELIB. PREL. 100mg
COMPR. ELIB. PREL. 100mg
COMPR. ELIB. PREL. 100mg
COMPR. ELIB. PREL. 100mg
COMPR. ELIB. PREL. 150mg
COMPR. ELIB. PREL. 150mg
COMPR. ELIB. PREL. 200mg
COMPR. ELIB. PREL. 200mg
COMPR. ELIB. PREL. 200mg
COMPR. ELIB. PREL. 300mg
COMPR. ELIB. PREL. 300mg
COMPR. FILM. 50mg
COMPR. FILM. ELIB. PREL.
100mg

Detinator APP

BIOFARM SA
FABIOL SA
KRKA D.D. NOVO MESTO
KRKA D.D. NOVO MESTO
KRKA D.D. NOVO MESTO
KRKA D.D. NOVO MESTO

tara det.
APP
ROMANIA
ROMANIA
SLOVENIA
SLOVENIA
SLOVENIA
SLOVENIA

Ambalaj
CUTIE X 2 BLIST. AL/PVC X 20 COMPR.
CUTIE X 4 BLIST. AL/PVC X 10 COMPR.

CUTIE X 1 FLAC. X 100 COMPR.


CUTIE X 1 FLAC X 20 COMPR.
CUTIE X 10 FIOLE X 1 ML SOL. INJ.
CUTIE X 50 FIOLE X 1 ML SOL. INJ.

Prescriptie

P-RF
P-RF
P-RF/S

P-RF
P-RF
P-RF/S

GRUNENTHAL GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.


ZENTIVA A.S.
SLOVACIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
KRKA D.D.
SLOVENIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. X 10 CAPS.
ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 1 BLIST. X 10 CAPS.
MEDOCHEMIE LTD. CIPRU
CUTIE X 1 BLIST. AL/PVC X 10 CAPS.
ANTIBIOTICE SA
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
AC HELCOR SRL
ROMANIA CUTIE X 1 BLIST. PVC/AL X 10 CAPS.

P-RF

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

P-RF

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

ROMANIA CUTIE X 1 BLIST. X 10 CAPS.


P-RF
ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-RF
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 20 CAPS. CU ELIB. PREL. P-RF
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 30 CAPS. CU ELIB. PREL. P-RF
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 50 CAPS. CU ELIB. PREL. P-RF/S
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-RF
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 20 CAPS. CU ELIB. PREL. P-RF
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 30 CAPS. CU ELIB. PREL. P-RF
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 50 CAPS. CU ELIB. PREL. P-RF/S
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-RF
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 20 CAPS. CU ELIB. PREL. P-RF
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 30 CAPS. CU ELIB. PREL. P-RF
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 50 CAPS. CU ELIB. PREL. P-RF/S
MAGISTRA C & C
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
BIO EEL SRL
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
MEDICAROM GROUP SRL

HEXAL AG
KRKA D.D.
ZENTIVA AS
ZENTIVA AS
ZENTIVA AS

GERMANIA CUTIE X 1 BLIST. X 10 COMPR. ELIB. MODIF. P-RF

SLOVENIA CUTIE X 3 BLIST. X 10 COMPR. ELIB. PREL.


SLOVACIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. ELIB. PREL.
SLOVACIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. ELIB. PREL.
SLOVACIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL.

P-RF

CUTIE X 1 BLIST. DIN PVC-PVDC/AL X 5 COMPR.ELIM.PREL.

P-RF

CSC PHARMACEUTICALS HANDELS GMBH

AUSTRIA
AUSTRIA

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

P-RF

ZENTIVA AS
ZENTIVA AS
ZENTIVA AS

SLOVACIA
SLOVACIA
SLOVACIA

CSC PHARMACEUTICALS HANDELS GMBH

CSC PHARMACEUTICALS HANDELS GMBH


CSC PHARMACEUTICALS HANDELS GMBH
CSC PHARMACEUTICALS HANDELS GMBH
CSC PHARMACEUTICALS HANDELS GMBH

LANNACHER HEILMITTEL GES.M.B.H.

P-RF
P-RF

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


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

AUSTRIA CUTIE X 1 BLIST. DIN PVC-PVDC/AL X 10 COMPR.ELIB. PREL. P-RF


AUSTRIA CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR.ELIB. PREL. P-RF
AUSTRIA CUTIE X 1 BLIST. X PVC-PVDC/AL X 10 COMPR. ELIB. PREL. P-RF
AUSTRIA CUTIE X 3 BLIST. X PVC-PE-ACLAR/AL X 10 COMPR. ELIB. PREL. P-RF
AUSTRIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.FILM. P-RF

GRUNENTHAL GMBH GERMANIA

Pagina 26 din 34

P-RF

CUTIE X 1 BLIST. AL/PVDC X 10 COMPR. FILM. CU ELIB. PREL.

P-RF

Pret
amanunt
Pret
ul
cant/a maximal amanuntul
mbala /ambalaj maximal/UT
(RON)
(RON)
j

40
5.70
40
2.91
100 75.64
20 18.35
10 14.53
50 65.97
20 11.68
20
5.76
20
5.76
30 11.39
10
3.81
10
3.81
20
7.58
10
3.81
20
7.58
10
3.78
20
8.89
10 17.18
20 33.10
30 46.84
50 72.06
10 25.78
20 48.01
30 67.91
50 106.20
10 32.17
20 57.75
30 77.21
50 119.99
20
7.58
20
7.58
20
7.58
20
7.58
10
6.22
30 18.69
50 32.17
10
6.22
30 18.67
5
7.32
30 39.05
30 33.17
10 20.80
10 27.18
10 19.86
30 51.22
10 27.60
30 75.56
30 10.52
10
9.58

0.142500
0.072750
0.756400
0.917500
1.453000
1.319400
0.584000
0.288000
0.288000
0.379666
0.381000
0.381000
0.379000
0.381000
0.379000
0.378000
0.444500
1.718000
1.655000
1.561333
1.441200
2.578000
2.400500
2.263666
2.124000
3.217000
2.887500
2.573666
2.399800
0.379000
0.379000
0.379000
0.379000
0.622000
0.623000
0.643400
0.622000
0.622333
1.464000
1.301666
1.105666
2.080000
2.718000
1.986000
1.707333
2.760000
2.518666
0.350666
0.958000

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

0.081168
0.072750
0.756400
0.796675
1.352800
1.319400
0.341100
0.288000
0.288000
0.341100
0.341100
0.341100
0.341100
0.341100
0.341100
0.341100
0.341100
0.682202
0.682202
0.682202
0.682202
1.023304
1.023304
1.023304
1.023304
1.364404
1.364404
1.364404
1.364404
0.341100
0.341100
0.341100
0.341100
0.622000
0.623000
0.643400
0.622000
0.622333
0.682202
0.682202
1.023304
1.023304
1.364404
1.364404
1.364404
2.046608
2.046608
0.341100
0.682202

0.073051
0.065475
0.680760
0.717007
1.217520
1.187460
0.306990
0.259200
0.259200
0.306990
0.306990
0.306990
0.306990
0.306990
0.306990
0.306990
0.306990
0.613981
0.613981
0.613981
0.613981
0.920973
0.920973
0.920973
0.920973
1.227963
1.227963
1.227963
1.227963
0.306990
0.306990
0.306990
0.306990
0.559800
0.560700
0.579060
0.559800
0.560099
0.613981
0.613981
0.920973
0.920973
1.227963
1.227963
1.227963
1.841947
1.841947
0.306990
0.613981

Nr crt.

cod ATC

1,268

N02AX02

1,269

N02AX02

1,270

N02AX02

1,271

N02AX02

1,272

N02AX02

1,273

N02AX02

1,274

N02AX02

1,275

N02AX02

1,276

N02AX02

1,277

N02AX02

1,278

N02AX02

1,279

N02AX02

1,280

N02AX02

1,281

N02AX02

1,282

N02AX02

1,283

N02AX02

1,284

N02CC01

1,285

N02CC01

1,286

N02CC01

1,287

N02CC01

1,288

N02CC01

1,289

N02CC01

1,290

N02CC01

1,291

N02CC01

1,292

N02CC01

1,293

N02CC01

1,294

N02CC01

1,295

N02CC01

1,296

N02CC01

1,297

N02CC01

1,298

N02CC01

1,299

N02CC01

1,300

N02CC01

1,301

N02CC01

1,302

N02CC01

1,303

N03AF01

1,304

N03AF01

1,305

N03AF01

1,306

N03AF01

1,307

N03AF01

1,308

N03AF01

1,309

N03AF01

1,310

N03AF01

1,311

N03AF01

1,312

N03AF01

1,313

N03AF01

1,314

N03AF01

1,315

N03AF01

1,316

N03AF01

DCI

TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
SUMATRIPTANUM*
SUMATRIPTANUM*
SUMATRIPTANUM*
SUMATRIPTANUM*
SUMATRIPTANUM*
SUMATRIPTANUM*
SUMATRIPTANUM*
SUMATRIPTANUM*
SUMATRIPTANUM*
SUMATRIPTANUM*
SUMATRIPTANUM*
SUMATRIPTANUM*
SUMATRIPTANUM*
SUMATRIPTANUM*
SUMATRIPTANUM*
SUMATRIPTANUM*
SUMATRIPTANUM*
SUMATRIPTANUM*
SUMATRIPTANUM*
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM

Denumire Comerciala

forma farm.

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.
TRAMADOL AL PICATURI
PIC. ORALE, SOL.
TRAMAL (R)
PICATURI ORALE-SOL.
MABRON
SOL. INJ.
MABRON
SOL. INJ.
TRALGIT 100
SOL. INJ.
TRAMAL (R) 50
SOL. INJ.
TRAMADOL
SOL. INJ.
TRALGIT 50
SOL. INJ.
URGENDOL
SOL. INJ.
TRAMADOL
SOL. INJ.
URGENDOL
SOL. INJ.
TRAMADOL
SUPOZ.
SUMATRIPTAN TERAPIA 100 mg COMPR.
SUMATRIPTAN TERAPIA 100 mg COMPR.
SUMATRIPTAN TERAPIA 50 mg COMPR.
SUMATRIPTAN TERAPIA 50 mg COMPR.
IMIGRAN DR 100 mg
COMPR. DISP.
IMIGRAN DR 50 mg
COMPR. DISP.
SUMACTA 100 mg
COMPR. FILM.
SUMACTA 100 mg
COMPR. FILM.
XIBIMER 100 mg
COMPR. FILM.
XIBIMER 100 mg
COMPR. FILM.
XIBIMER 100 mg
COMPR. FILM.
XIBIMER 100 mg
COMPR. FILM.
IMIGRAN (R) 50
COMPR. FILM.
SUMACTA 50 mg
COMPR. FILM.
SUMACTA 50 mg
COMPR. FILM.
XIBIMER 50 mg
COMPR. FILM.
XIBIMER 50 mg
COMPR. FILM.
XIBIMER 50 mg
COMPR. FILM.
XIBIMER 50 mg
COMPR. FILM.
TEGRETOL (R) 200
COMPR.
CARBAMAZEPINA LPH 200 mg COMPR.
CARBAVIM
COMPR.
CARBEPSIL 200
COMPR.
TAVER
COMPR.
CARBAMAZEPIN
COMPR.
CARBAMAZEPIN EEL
COMPR.
FINLEPSIN
COMPR.
CARBAMAZEPINA ARENA 200 mg COMPR.
TAVER
COMPR.
CARBAMAZEPINA
COMPR.
CARBEPSIL 400
COMPR.
CARBAMAZEPINA ARENA 400 mg COMPR.
NEUROTOP (R) RETARD 300 mg

COMPR. ELIB. PREL.

concentratie

150mg
150mg
200mg
200mg
100mg/ml
100mg
100mg
100mg/2ml
50mg/ml
50mg/ml
50mg/ml
50mg/ml
50mg/ml
50mg/ml
100mg
100mg
100mg
50mg
50mg
100mg
50mg
100mg
100mg
100mg
100mg
100mg
100mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
200mg
200mg
200mg
200mg
200mg
200mg
200mg
200mg
200mg
200mg
200mg
400mg
400mg
300mg

Detinator APP

tara det.
APP

Ambalaj

Prescriptie

GRUNENTHAL GMBH GERMANIA

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

KRKA D.D. NOVO MESTO SLOVENIA

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

P-RF

GRUNENTHAL GMBH GERMANIA

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

P-RF

KRKA D.D. NOVO MESTO SLOVENIA

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

P-RF

ALIUD PHARMA GMBH GERMANIA

CUTIE X 1 FLACON DIN STICLA BRUNA X 10 ML PIC. ORALE, SOL.

P-RF

GRUNENTHAL GMBH
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
ZENTIVA A.S.
GRUNENTHAL GMBH
KRKA D.D.
ZENTIVA A.S.

GERMANIA CUTIE X 1 FLACON PICURATOR X 10 ML P-RF

MEDICAROM GROUP SRL

ROMANIA

KRKA D.D.

SLOVENIA

MEDICAROM GROUP SRL

ROMANIA

KRKA D.D.
TERAPIA SA
TERAPIA SA
TERAPIA SA
TERAPIA SA

SLOVENIA

ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE X 1 BLIST. PVC-PVDC/AL X 6 COMPR. P-RF

GLAXO WELLCOME UK LTD.

MAREA BRITANIE

CUTIE CU 1 BLIST. (OPA)-AL-PVC/AL X 2 COMPR. DISP. P-RF

GLAXO WELLCOME UK LTD.

MAREA BRITANIE

CUTIE CU 1 BLIST. (OPA)-AL-PVC/AL X 2 COMPR. DISP. P-RF

ACTAVIS GROUP PTC EHF.

ISLANDA CUTIE X 1 BLIST. AL/PVC X 2 COMPR. FILM.


ISLANDA CUTIE X 2 BLIST. AL/PVC X 3 COMPR. FILM.

ACTAVIS GROUP PTC EHF.

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 CUTIE X 5 FIOLE X 2 ML SOL. INJ.


GERMANIA

SLOVENIA
SLOVACIA

CUTIE X 5 FIOLE X 1 ML
CUTIE X 5 FIOLE X 1 ML
CUTIE X 5 FIOLE X 1 ML SOL. INJ.
CUTIE X 5 FIOLE X 1 ML
CUTIE X 5 FIOLE X 2 ML
CUTIE X 5 FIOLE X 2 ML
CUTIE X 1 BLIST. X 5 SUPOZ.

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

P-RF

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


CUTIE X 1 BLIST. PVC-PVDC/AL X 3 COMPR. P-RF
CUTIE X 2 BLIST. PVC-PVDC/AL X 3 COMPR. P-RF

P-RF
P-RF

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

DR. REDDY'S LABORATORIES

ROMANIA
ROMANIA
ROMANIA
ROMANIA

GLAXO WELLCOME UK LTD.

MAREA BRITANIE

CUTIE X 1 BLIST. PVC-AL-OPA/AL X 2 COMPR. FILM. P-RF

ACTAVIS GROUP PTC EHF.

ISLANDA CUTIE X 2 BLIST. AL/PVC X 3 COMPR. FILM.


ISLANDA CUTIE X 1 BLIST. AL/PVC X 2 COMPR. FILM.

DR. REDDY'S LABORATORIES


DR. REDDY'S LABORATORIES
DR. REDDY'S LABORATORIES

ACTAVIS GROUP PTC EHF.


DR. REDDY'S LABORATORIES
DR. REDDY'S LABORATORIES
DR. REDDY'S LABORATORIES
DR. REDDY'S LABORATORIES

ROMANIA
ROMANIA
ROMANIA
ROMANIA

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


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

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

P-RF
P-RF

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

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


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

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

NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L

LABORMED PHARMA SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L

VIM SPECTRUM SRL


AC HELCOR SRL
MEDOCHEMIE LTD.
SLAVIA PHARM SRL
BIO EEL SRL

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


ROMANIA CUTIE X 5 BLIST. X 10 COMPR.

P-6L

CIPRU

P-6L

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


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

P-6L

AWD PHARMA GMBH & CO.KG

GERMANIA

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

P-6L

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


MEDOCHEMIE LTD. CIPRU
CUTIE X 2 BLIST. X 10 COMPR.

P-6L

CUTIE X 5 BLIST. X 10 COMPR.

P-6L

P-6L

P-6L

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


AC HELCOR SRL
ROMANIA CUTIE X 5 BLIST. X 10 COMPR.
P-6L
ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. P-6L

OZONE LABORATORIES PHARMA S.A.

GEROT PHARMAZEUTIKA GMBH

Pagina 27 din 34

AUSTRIA

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

P-6L

Pret
amanunt
Pret
ul
cant/a maximal amanuntul
mbala /ambalaj maximal/UT
(RON)
(RON)
j

10 21.77
30 41.08
10 27.86
30 52.58
1
4.98
1
7.66
5
9.72
100 135.39
5 12.14
5
7.47
5
4.87
5 11.36
5
4.84
5 12.94
5
7.58
5
5.52
6 54.29
12 103.16
3 21.08
6 39.93
2 44.29
2 25.07
2 19.78
6 57.44
10 98.62
6 57.44
10 98.62
6 57.44
2 23.82
6 40.98
2 14.11
10 65.99
6 40.96
10 65.99
6 40.96
50 17.18
50 11.17
50 11.17
50 11.17
50
7.15
20
4.38
20
4.45
50 11.17
20
4.90
20
4.45
20
4.47
50 25.95
20 10.39
50 20.43

2.177000
1.369333
2.786000
1.752666
4.980000
7.660000
1.944000
1.353900
2.428000
1.494000
0.974000
2.272000
0.968000
2.588000
1.516000
1.104000
9.048333
8.596666
7.026666
6.655000
22.145000
12.535000
9.890000
9.573333
9.862000
9.573333
9.862000
9.573333
11.910000
6.830000
7.055000
6.599000
6.826666
6.599000
6.826666
0.343600
0.223400
0.223400
0.223400
0.143000
0.219000
0.222500
0.223400
0.245000
0.222500
0.223500
0.519000
0.519500
0.408600

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

1.023304
1.023304
1.364404
1.364404
4.980000
6.822026
1.742405
1.353900
1.742405
0.871200
0.871200
0.871200
0.871200
1.742405
1.516000
1.104000
8.745899
8.596666
4.372949
4.372949
8.745899
4.372949
8.745899
8.745899
8.745899
8.745899
8.745899
8.745899
4.372949
4.372949
4.372949
4.372949
4.372949
4.372949
4.372949
0.201060
0.201060
0.201060
0.201060
0.143000
0.201060
0.201060
0.201060
0.201060
0.201060
0.201060
0.402120
0.402120
0.301590

0.920973
0.920973
1.227963
1.227963
4.482000
6.139823
1.568164
1.218510
1.568164
0.784080
0.784080
0.784080
0.784080
1.568164
1.364400
0.993600
7.871309
7.736999
3.935654
3.935654
7.871309
3.935654
7.871309
7.871309
7.871309
7.871309
7.871309
7.871309
3.935654
3.935654
3.935654
3.935654
3.935654
3.935654
3.935654
0.180954
0.180954
0.180954
0.180954
0.128700
0.180954
0.180954
0.180954
0.180954
0.180954
0.180954
0.361908
0.361908
0.271431

Nr crt.

cod ATC

1,317

N03AF01

1,318

N03AF01

1,319

N03AF01

1,320

N03AF01

1,321

N03AF01

1,322

N03AF01

1,323

N03AF01

1,324

N03AF01

1,325

N03AF01

1,326

N03AX12

1,327

N03AX12

1,328

N03AX12

1,329

N03AX12

1,330

N03AX12

1,331

N03AX12

1,332

N03AX12

1,333

N03AX12

1,334

N03AX12

1,335

N03AX12

1,336

N03AX12

1,337

N03AX12

1,338

N03AX12

1,339

N03AX12

1,340

N03AX12

1,341

N03AX12

1,342

N03AX12

1,343

N03AX12

1,344

N03AX12

1,345

N03AX12

1,346

N03AX12

1,347

N03AX12

1,348

N03AX12

1,349

N03AX12

1,350

N05AD01

1,351

N05AD01

1,352

N05AD01

1,353

N05AD01

1,354

N05AD01

1,355

N05AD01

1,356

N05AD01

1,357

N05AD01

1,358

N05BA01

1,359

N05BA01

1,360

N05BA01

1,361

N05BA01

1,362

N05BA01

1,363

N05BA01

1,364

N05BA03

1,365

N05BA03

DCI

CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
DIAZEPAMUM
DIAZEPAMUM
DIAZEPAMUM
DIAZEPAMUM
DIAZEPAMUM
DIAZEPAMUM
MEDAZEPAMUM*
MEDAZEPAMUM*

Denumire Comerciala
NEUROTOP (R) RETARD 600 mg

TEGRETOL CR 200
TEGRETOL CR 400
FINLEPSIN 400 RETARD
TIMONIL 150 RETARD
TIMONIL 300 RETARD
TIMONIL 600 RETARD
FINLEPSIN 200 RETARD
TIMONIL SIROP
GABAGAMMA 100 mg
GABAGAMMA 100 mg
GABALEPT 100 mg
GRIMODIN 100 mg
GABAGAMMA 300 mg
GABAGAMMA 300 mg
GABAGAMMA 300 mg
GABARAN 300 mg
GABALEPT 300 mg
GRIMODIN 300 mg
GABAGAMMA 400 mg
GABAGAMMA 400 mg
GABAGAMMA 400 mg
GABARAN 400 mg
GABALEPT 400 mg
GRIMODIN 400 mg
GABARAN 600 mg
GABAGAMMA 600 mg
GABAGAMMA 600 mg
GRIMODIN 600 mg
GABARAN 800 mg
GABAGAMMA 800 mg
GABAGAMMA 800 mg
GRIMODIN 800 mg
HALOPERIDOL LAROPHARM 0,5 mg

HALOPERIDOL 1 mg
HALOPERIDOL 2 mg
HALDOL

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

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

SUSP. ORALA

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

COMPR.
COMPR.
COMPR.
COMPR.

HALOPERIDOL ROMPHARM 2 mg/ml PIC. OFT., SOL.

HALOPERIDOL 2 mg/ml
PIC. ORALE-SOL.
HALOPERIDOL DECANOAT SOL. INJ.
HALOPERIDOL RICHTER 5 mg/ml SOL. INJ.
DIAZEPAM 10 mg
COMPR.
DIAZEPAM
COMPR.
DIAZEPAM LAROPHARM 10 mg COMPR.
DIAZEPAM 10 mg
SOL. INJ.
DIAZEPAM DESITIN (R) SOLUTIE RECTALA 5 mg

SOL. RECTALA
SOL. RECTALA

ANSILAN 10 mg
MEDAZEPAM

CAPS.
COMPR.

DIAZEPAM DESITIN (R) SOLUTIE RECTALA 10 mg

concentratie

600mg
200mg
400mg
400mg
150mg
300mg
600mg
200mg
100mg/5ml
100mg
100mg
100mg
100mg
300mg
300mg
300mg
300mg
300mg
300mg
400mg
400mg
400mg
400mg
400mg
400mg
600mg
600mg
600mg
600mg
800mg
800mg
800mg
800mg
0,5mg
1mg
2mg
5mg
2 mg/ml
2mg/ml
50mg/ml
5mg/ml
10mg
10mg
10mg
10mg/2ml
10mg/2,5ml
5mg/2,5ml
10mg
10 mg

Detinator APP

tara det.
APP

Ambalaj

Prescriptie

GEROT PHARMAZEUTIKA GMBH

AUSTRIA

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

P-6L

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

P-6L

NOVARTIS PHARMA GMBH GERMANIA


NOVARTIS PHARMA GMBH GERMANIA
AWD PHARMA GMBH & CO.KG

GERMANIA

DESITIN
DESITIN
DESITIN

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

AWD PHARMA GMBH & CO.KG

GERMANIA

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

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 1 FLACON X 250 ML SUSP.ORALA + MASURA DOZATOARE

WORWAG PHARMA GMBH & CO. KG

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

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 CAPS.

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


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

PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L


EGIS PHARMACEUTICALS P.L.C.

UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 60 CAPS.

P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 CAPS.

P-6L

WORWAG PHARMA GMBH & CO. KG

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

P-6L

WORWAG PHARMA GMBH & CO. KG

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

RANBAXY UK LTD.

MAREA BRITANIE

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

PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L


EGIS PHARMACEUTICALS P.L.C.

UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 60 CAPS.

P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 CAPS.

P-6L

WORWAG PHARMA GMBH & CO. KG

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

P-6L

WORWAG PHARMA GMBH & CO. KG

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

RANBAXY UK LTD.

MAREA BRITANIE

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

PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L


EGIS PHARMACEUTICALS P.L.C.

UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 60 CAPS.

RANBAXY UK LTD.

MAREA BRITANIE

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. PVC/AL X 20 COMPR. FILM. P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. PVC/AL X 100 COMPR. FILM. P-6L

P-6L

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

EGIS PHARMACEUTICALS P.L.C.

UNGARIA

CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. P-6L

RANBAXY UK LTD.

MAREA BRITANIE

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

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. PVC/AL X 20 COMPR. FILM. P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. PVC/AL X 100 COMPR. FILM. P-6L

UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM.


LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
JANSSEN PHARMACEUTICA N.V. BELGIA
CUTIE X 1 BLIST. AL/PVC X 25 COMPR.
EGIS PHARMACEUTICALS P.L.C.

ROMPHARM COMPANY S.R.L.


GEDEON RICHTER ROMANIA SA
GEDEON RICHTER ROMANIA SA
GEDEON RICHTER ROMANIA SA
GEDEON RICHTER ROMANIA SA

TERAPIA SA
LAROPHARM SRL
TERAPIA SA
DESITIN
DESITIN
LEK PHARMACEUTICALS D.D.

ARENA GROUP SA
Pagina 28 din 34

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

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

CUTIE CU 1 FLACON PEJD CU PICURATOR PEJD X 10 ML PIC. OFT., SOL.

PRF

CUTIE X 1 FLACON PICURATOR X 10ML PICATURI ORALE-SOLUTIE

P-RF

CUTIE X 5 FIOLE X 1 ML

P-RF

CUTIE X 5 FIOLE DIN STICLA INCOLORA X 1 ML SOL. INJ. P-RF

CUTIE X 2 BLIST. X 10 COMPR.

P-RF

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


CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-RF

CUTIE X 5 FIOLE X 2 ML

P-RF
S/P-RF

GERMANIA CUTIE X 5 PUNGI X 1 TUB X 2,5 ML + CANULA

S/P-RF

GERMANIA CUTIE X 5 PUNGI X 1 TUB X 2,5 ML + CANULA

S/P-RF

SLOVENIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 25 CAPS. P-RF


ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF

Pret
amanunt
Pret
ul
cant/a maximal amanuntul
mbala /ambalaj maximal/UT
(RON)
(RON)
j

50
50
30
50
50
50
50
50
1
100
50
100
60
50
20
100
50
100
60
50
20
100
50
100
60
30
20
100
60
30
20
100
60
20
30
30
25
1
1
5
5
20
30
20
5
5
5
25
20

36.16
18.94
25.05
26.78
14.98
20.37
36.10
12.30
22.25
59.90
30.68
56.50
32.95
71.31
32.82
131.99
65.18
131.53
65.04
93.42
42.50
173.12
71.87
167.18
84.95
64.45
42.96
193.44
122.23
103.02
69.91
325.65
195.05
3.20
7.63
10.68
17.72
4.27
6.58
44.00
12.33
1.96
3.11
1.03
8.24
32.23
25.69
3.78
2.42

0.723200
0.378800
0.835000
0.535600
0.299600
0.407400
0.722000
0.246000
22.250000
0.599000
0.613600
0.565000
0.549166
1.426200
1.641000
1.319900
1.303600
1.315300
1.084000
1.868400
2.125000
1.731200
1.437400
1.671800
1.415833
2.148333
2.148000
1.934400
2.037166
3.434000
3.495500
3.256500
3.250833
0.160000
0.254333
0.356000
0.708800
4.270000
6.580000
8.800000
2.466000
0.098000
0.103666
0.051500
1.648000
6.446000
5.138000
0.151200
0.121000

Val suportata
de CNAS/UT
(RON)Legea Val suportata
CNAS/UT
nr. 95/2006 art
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

0.603180
0.201060
0.402120
0.402120
0.150795
0.301590
0.603180
0.201060
22.250000
0.365715
0.613600
0.365715
0.365715
1.097152
1.097152
1.097152
1.097152
1.097152
1.084000
1.462874
1.462874
1.462874
1.437400
1.462874
1.415833
2.148333
2.148000
1.934400
2.037166
2.925749
2.925749
2.925749
2.925749
0.080100
0.160200
0.320400
0.708800
4.270000
3.204000
8.800000
1.148849
0.098000
0.103666
0.051500
1.648000
6.446000
5.138000
0.134550
0.121000

0.542862
0.180954
0.361908
0.361908
0.135715
0.271431
0.542862
0.180954
20.025000
0.329143
0.552240
0.329143
0.329143
0.987437
0.987437
0.987437
0.987437
0.987437
0.975600
1.316587
1.316587
1.316587
1.293660
1.316587
1.274249
1.933499
1.933200
1.740960
1.833449
2.633174
2.633174
2.633174
2.633174
0.072090
0.144180
0.288360
0.637920
3.843000
2.883600
7.920000
1.033964
0.088200
0.093299
0.046350
1.483200
5.801400
4.624200
0.121095
0.108900

Nr crt.

cod ATC

1,366

N05BA03

1,367

N05BA03

1,368

N05BA03

1,369

N05BA03

1,370

N05BA06

1,371

N05BA08

1,372

N05BA08

1,373

N05BA08

1,374

N05BA08

1,375

N05BA08

1,376

N05BA08

1,377

N05BA08

1,378

N05BA08

1,379

N05BA12

1,380

N05BA12

1,381

N05BA12

1,382

N05BA12

1,383

N05BA12

1,384

N05BA12

1,385

N05BA12

1,386

N05BA12

1,387

N05BA12

1,388

N05BA12

1,389

N05BA12

1,390

N05BA12

1,391

N05BA12

1,392

N05BA12

1,393

N05BA12

1,394

N05BA12

1,395

N05CD02

1,396

N05CD02

1,397

N05CD02

1,398

N05CF01

1,399

N05CF02

1,400

N05CF02

1,401

N05CF02

1,402

N05CF02

1,403

N05CF02

1,404

N05CF02

1,405

N05CF02

1,406

N05CF02

1,407

N05CF02

1,408

N05CF02

1,409

N06AA04

1,410

N06AA04

1,411

N06AA09

1,412

N06AA09

1,413

N06AA12

1,414

N06AB03

DCI

MEDAZEPAMUM*
MEDAZEPAMUM*
MEDAZEPAMUM*
MEDAZEPAMUM*
LORAZEPAMUM*
BROMAZEPAMUM
BROMAZEPAMUM
BROMAZEPAMUM*
BROMAZEPAMUM*
BROMAZEPAMUM*
BROMAZEPAMUM*
BROMAZEPAMUM*
BROMAZEPAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
NITRAZEPAMUM*
NITRAZEPAMUM*
NITRAZEPAMUM*
ZOPICLONUM*
ZOPICLONUM*
ZOPICLONUM*
ZOPICLONUM*
ZOPICLONUM*
ZOPICLONUM*
ZOPICLONUM*
ZOPICLONUM*
ZOPICLONUM*
ZOPICLONUM*
ZOPICLONUM*
CLOMIPRAMINUM*
CLOMIPRAMINUM*
AMITRIPTYLINUM*
AMITRIPTYLINUM*
DOXEPINUM*
FLUOXETINUM*

Denumire Comerciala

MEDAZEPAM
MEDAZEPAM 10 mg
RUDOTEL
MEDAZEPAM LPH 10 mg
ANXIAR (R) 1 mg
CALMEPAM (R)
BROMAZEPAM LPH 1,5 mg
CALMEPAM (R)
LEXOTAN
LEXOTANIL
BROMAZEPAM LPH 3 mg
BROMAZEPAM SLAVIA 3 mg
BROMAZEPAM ARENA 3 mg
XANAX 0,25 mg

forma farm.

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
ALPRAZOLAM LPH (R) 0,25 mg COMPR.
PRAZOLEX (R) 0,25 mg
COMPR.
FRONTIN 0,25 mg
COMPR.
XANAX 0,5 mg
COMPR.
ALPRAZOLAM LPH (R) 0,5 mg COMPR.
FRONTIN 0,5 mg
COMPR.
PRAZOLEX (R) 0,5 mg
COMPR.
XANAX 1 mg
COMPR.
ALPRAZOLAM LPH (R) 1 mg COMPR.
PRAZOLEX (R) 1 mg
COMPR.
FRONTIN 1mg
COMPR.
XANAX 2 mg
COMPR.
NEUROL SR 0,5
COMPR. ELIB. PREL.
NEUROL SR 1
COMPR. ELIB. PREL.
NEUROL SR 2
COMPR. ELIB. PREL.
NITRAZEPAM LPH (R) 2,5 mg COMPR.
NITRAZEPAM LPH (R) 5 mg COMPR.
NITRAZEPAM 5 mg
COMPR.
IMOVANE 7,5 mg
COMPR. FILM.
HYPNOGEN 10 mg
COMPR. FILM.
SANVAL (R) 10 mg
COMPR. FILM.
SANVAL (R) 10 mg
COMPR. FILM.
ZOLPIDEM 10 mg
COMPR. FILM.
BUNAPTE
COMPR. FILM.
BUNAPTE
COMPR. FILM.
ZOLPIDEM ATB 10 MG
COMPR. FILM.
STILNOX 10 mg
COMPR. FILM.
STILNOX 10 mg
COMPR. FILM.
ZOLSANA 5 mg
COMPR. FILM.
ANAFRANIL (R) 10 mg
DRAJ.
ANAFRANIL (R) 25 mg
DRAJ.
AMITRIPTILIN 25 R. DESITIN CAPS. RET.

concentratie

10 mg
10mg
10mg
10mg
1 mg
1,5mg
1,5mg
3mg
3mg
3mg
3mg
3mg
3mg
0,25mg
0,25mg
0,25mg
0,25mg
0,5mg
0,5mg
0,5mg
0,5mg
1mg
1mg
1mg
1mg
2mg
0,5mg
1mg
2mg
2,5mg
5mg
5mg
7,5mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
5mg
10mg
25mg
25mg
AMITRIPTILINA ARENA 25 mg COMPR. FILM. 25mg
DOXEPIN 25 mg
DRAJ.
25mg
FLUOXIN 20 mg
CAPS.
20mg

ARENA GROUP SA
LAROPHARM SRL

tara det.
APP
Ambalaj
ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR.
ROMANIA CUTIE X 1 BLIST. X 20 COMPR.

AWD PHARMA GMBH & CO.KG

GERMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 50 COMPR. P-RF

Detinator APP

Prescriptie

P-RF
P-RF

LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF

SLAVIA PHARM SRL


ARENA GROUP S.A.

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

PFIZER EUROPE MA EEIG

MAREA BRITANIE

GEDEON RICHTER ROMANIA SA

GLAXOSMITHKLINE (GSK) SRL

LABORMED PHARMA SA
GLAXOSMITHKLINE (GSK) SRL

ROCHE ROMANIA S.R.L.

TERAPIA SA
LABORMED PHARMA SA

LABORMED PHARMA SA ROMANIA

CUTIE X 2 BLIST. AL/PVC X 25 COMPR.

P-RF

CUTIE X 1 BLIST X 10 COMPR.

P-RF

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-RF

CUTIE X 1 BLIST. X 10 COMPR.

P-RF

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.


CUTIE X 1 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 1 BLIST. AL/PVC X 10 COMPR.
CUTIE CU 1 BLIST. PVC/AL X 10 COMPR.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P-RF

CUTIE X 2 BLIST. X 10 COMPR.

P-RF

EGIS PHARMACEUTICALS P.L.C.

ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR.


UNGARIA CUTIE X 1 FLAC. X 30 COMPR.
MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
UNGARIA CUTIE X 1 FLAC. X 30 COMPR.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR.
MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR.
UNGARIA CUTIE X 1 FLAC. X 30 COMPR.

PFIZER EUROPE MA EEIG

MAREA BRITANIE

ZENTIVA KS
ZENTIVA KS
ZENTIVA KS

CEHIA
CEHIA
CEHIA

GEDEON RICHTER ROMANIA SA


EGIS PHARMACEUTICALS P.L.C.

PFIZER EUROPE MA EEIG

LABORMED PHARMA SA
EGIS PHARMACEUTICALS P.L.C.
GEDEON RICHTER ROMANIA SA

PFIZER EUROPE MA EEIG

LABORMED PHARMA SA
GEDEON RICHTER ROMANIA SA

CUTIE X 1 FLAC. X 30 COMPR.

P-RF
P-RF
P-RF
P-RF
P-RF

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

CUTIE X 3 BLIST. AL/AL X 10 COMPR. ELIB. PREL. P-RF


CUTIE X 3 BLIST. AL/AL X 10 COMPR. ELIB. PREL. P-RF
CUTIE X 3 BLIST. AL/AL X 10 COMPR. ELIB. PREL. P-RF

LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF


LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
GEDEON RICHTER ROMANIA SA

ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

SANOFI AVENTIS
ZENTIVA AS

FRANTA
CEHIA

LEK PHARMACEUTICALS D.D.

SLOVENIA CUTIE X 1 BLIST. X 10 COMPR. FILM.


SLOVENIA CUTIE X 2 BLIST. X 10 COMPR. FILM.

LEK PHARMACEUTICALS D.D.

P-RF

CUTIE X 1 BLIST. AL/PVC X 20 COMPR. FILM. P-RF


CUTIE X 1 BLIST. AL/PVC X 15 COMPR. FILM. P-RF
P-RF
P-RF

LABORMED PHARMA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF

BMF PHARM SRL


BMF PHARM SRL
ANTIBIOTICE S.A.
SANOFI - AVENTIS ROMANIA S.R.L.
SANOFI - AVENTIS ROMANIA S.R.L.

ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM.


ROMANIA CUTIE X 2 BLIST. AL/PVC-PVDC X 10 COMPR. FILM.
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.
ROMANIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. FILM.
ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM.

P-RF
P-RF
P-RF
P-RF
P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF
NOVARTIS PHARMA GMBH GERMANIA
NOVARTIS PHARMA GMBH GERMANIA

DESITIN
ARENA GROUP S.A.
TERAPIA SA
VIM SPECTRUM SRL
Pagina 29 din 34

GERMANIA

CUTIE X 3 BLIST. AL/PVC X 10 DRAJ.


CUTIE X 3 BLIST. AL/PVC X 10 DRAJ.

P-RF

CUTIE X 5 BLIST. X 10 CAPS.RET.

P-RF

ROMANIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. FILM.


ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 DRAJ.
ROMANIA CUTIE X 2 BLIST. PVC/AL X 7 CAPS.

P-RF

P-RF
P-RF
P-RF

Pret
amanunt
Pret
ul
cant/a maximal amanuntul
mbala /ambalaj maximal/UT
(RON)
(RON)
j

50
20
50
20
50
10
20
10
30
10
20
10
10
30
20
30
30
30
20
30
30
30
20
30
30
30
30
30
30
20
20
20
20
15
10
20
10
10
20
10
10
20
20
30
30
50
50
30
14

5.55
2.22
8.52
2.43
6.63
3.05
2.11
1.54
7.09
1.54
3.07
2.17
1.53
5.59
2.65
4.30
4.87
8.83
4.19
7.37
5.73
12.54
5.98
8.15
12.45
30.75
7.15
11.22
28.34
1.36
1.56
2.37
15.32
6.86
4.08
8.18
4.21
4.21
8.27
4.21
6.49
14.05
13.41
7.15
14.14
22.30
14.84
18.09
11.14

0.111000
0.111000
0.170400
0.121500
0.132600
0.305000
0.105500
0.154000
0.236333
0.154000
0.153500
0.217000
0.153000
0.186333
0.132500
0.143333
0.162333
0.294333
0.209500
0.245666
0.191000
0.418000
0.299000
0.271666
0.415000
1.025000
0.238333
0.374000
0.944666
0.068000
0.078000
0.118500
0.766000
0.457333
0.408000
0.409000
0.421000
0.421000
0.413500
0.421000
0.649000
0.702500
0.670500
0.238333
0.471333
0.446000
0.296800
0.603000
0.795714

Val suportata
de CNAS/UT
(RON)Legea Val suportata
CNAS/UT
nr. 95/2006 art
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

0.111000
0.111000
0.134550
0.121500
0.107640
0.040365
0.040365
0.080730
0.080730
0.080730
0.080730
0.080730
0.080730
0.067275
0.067275
0.067275
0.067275
0.134550
0.134550
0.134550
0.134550
0.269100
0.269100
0.269100
0.269100
0.538200
0.134550
0.269100
0.538200
0.055293
0.078000
0.110587
0.766000
0.415375
0.408000
0.409000
0.415375
0.415375
0.413500
0.415375
0.415375
0.415375
0.207687
0.122130
0.305325
0.407099
0.296800
0.305325
0.560250

0.099900
0.099900
0.121095
0.109350
0.096876
0.036328
0.036328
0.072657
0.072657
0.072657
0.072657
0.072657
0.072657
0.060547
0.060547
0.060547
0.060547
0.121095
0.121095
0.121095
0.121095
0.242190
0.242190
0.242190
0.242190
0.484380
0.121095
0.242190
0.484380
0.049764
0.070200
0.099528
0.689400
0.373837
0.367200
0.368100
0.373837
0.373837
0.372150
0.373837
0.373837
0.373837
0.186918
0.109917
0.274792
0.366389
0.267120
0.274792
0.504225

Nr crt.

cod ATC

DCI

1,415

N06AB03

1,416

N06AB03

1,417

N06AB03

1,418

N06AB03

1,419

N06AB04

1,420

N06AB04

1,421

N06AB04

1,422

N06AB04

1,423

N06AB04

1,424

N06AB04

1,425

N06AB04

1,426

N06AB04

1,427

N06AB04

1,428

N06AB05

1,429

N06AB05

1,430

N06AB05

1,431

N06AB05

1,432

N06AB05

1,433

N06AB05

1,434

N06AB05

1,435

N06AB05

1,436

N06AB06

1,437

N06AB06

1,438

N06AB06

1,439

N06AB06

1,440

N06AB06

1,441

N06AB06

1,442

N06AB06

1,443

N06AB06

1,444

N06AB06

1,445

N06AB06

1,446

N06AB06

1,447

N06AB06

1,448

N06AB06

1,449

N06AB06

1,450

N06AB06

1,451

N06AB06

1,452

N06AB06

1,453

N06AB06

1,454

N06AB06

1,455

N06AB06

1,456

N06AB06

1,457

N06AB06

1,458

N06AB06

1,459

N06AB06

1,460

N06AB06

1,461

N06AB06

1,462

N06AB06

1,463

N06AB08

FLUOXETINUM*
FLUOXETINUM*
FLUOXETINUM*
FLUOXETINUM*
CITALOPRAMUM**
CITALOPRAMUM**
CITALOPRAMUM**
CITALOPRAMUM**
CITALOPRAMUM**
CITALOPRAMUM**
CITALOPRAMUM**
CITALOPRAMUM**
CITALOPRAMUM**
PAROXETINUM*
PAROXETINUM*
PAROXETINUM*
PAROXETINUM*
PAROXETINUM*
PAROXETINUM*
PAROXETINUM*
PAROXETINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
FLUVOXAMINUM*

Denumire Comerciala

FLUOXIN 20 mg
MAGRILAN 20 mg
ROFLUXIN 20 mg
PROZAC 20 mg
CITALORAN 10 mg
LINISAN 10 mg
DALSAN 10 mg
CITALORAN 20mg
LINISAN 20 mg
DALSAN 20 mg
CITALORAN 40 mg
LINISAN 40 mg
DALSAN 40 mg
ARKETIS
PAROXETIN ATB 20 mg
SEROXAT 20 mg
PALUXETIL 20 mg
PAXETIN 20 mg
PAROXETIN TEVA 20 mg
REXETIN
PALUXETIL 40 mg
SERLIFT 100 mg
ASENTRA (R)
STIMULOTON (R) 100 mg
SERTRALIN SANDOZ 100 mg
SERTRALINA 100 mg
SETALOFT 100 mg
ASERTIN 100 mg

forma farm.

CAPS.
CAPS.
CAPS.
COMPR. DISP.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

COMPR.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
SERTRALINA BIOGALENICA 100 mg COMPR. FILM.
XIMPROVE 100 mg
COMPR. FILM.
SERTRALINE TORRENT 100 mg COMPR. FILM.
SERTRALIN 100 mg
COMPR. FILM.
XIMPROVE 100 mg
COMPR. FILM.
ZOLOFT 100 mg
COMPR. FILM.
SERLIFT 50 mg
COMPR. FILM.
ASENTRA (R)
COMPR. FILM.
STIMULOTON (R) 50 mg
COMPR. FILM.
SERTRALIN SANDOZ 50 mg COMPR. FILM.
SERTRALINA 50 mg
COMPR. FILM.
SETALOFT 50 mg
COMPR. FILM.
ASERTIN 50 mg
COMPR. FILM.
SERTRALINA BIOGALENICA 50 mg COMPR. FILM.
XIMPROVE 50 mg
COMPR. FILM.
SERTRALINE TORRENT 50 mg COMPR. FILM.
SERTRALIN 50 mg
COMPR. FILM.
XIMPROVE 50 mg
COMPR. FILM.
ZOLOFT 50 mg
COMPR. FILM.

ZOLOFT 20 mg/ml
FEVARIN (R) 100

CONC. PT. SOL. ORALA

COMPR. FILM.

concentratie

20mg
20mg
20mg
20mg
10mg
10mg
10mg
20mg
20mg
20mg
40mg
40mg
40mg
20mg
20 mg
20mg
20mg
20mg
20mg
20mg
40mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
20mg/ml
100mg

tara det.
APP
Ambalaj
VIM SPECTRUM SRL ROMANIA CUTIE X 4 BLIST. PVC/AL X 7 CAPS.
MEDOCHEMIE LTD. CIPRU
CUTIE X 3 BLIST. AL/PVC X 10 CAPS.
ANTIBIOTICE S.A.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P-RF

ELI LILLY SA

SPANIA

CUTIE X 2 BLIST. PVC-PE-ACLAR/AL X 14 COMPR. DISP.

P-RF

RANBAXY UK LIMITED

MAREA BRITANIE

CUTIE X 2 BLIST. PVDC-PVC/AL X 14 COMPR. FILM. P-RF

Detinator APP

EGIS PHARMACEUTICALS P.L.C.

ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.


UNGARIA CUTIE X 2 BLIST. AL-PVC/PVDC X 14 COMPR. FILM.

RANBAXY UK LIMITED

MAREA BRITANIE

GEDEON RICHTER ROMANIA SA

P-RF
P-RF

P-RF
P-RF

CUTIE X 2 BLIST. PVDC-PVC/AL X 14 COMPR. FILM. P-RF

EGIS PHARMACEUTICALS P.L.C.

ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.


UNGARIA CUTIE X 2 BLIST. AL-PVC/PVDC X 14 COMPR. FILM.

RANBAXY UK LIMITED

MAREA BRITANIE

GEDEON RICHTER ROMANIA SA

Prescriptie

P-RF
P-RF

CUTIE X 2 BLIST. PVDC-PVC/AL X 14 COMPR. FILM. P-RF

ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF


UNGARIA CUTIE X 2 BLIST. AL-PVC/PVDC X 14 COMPR. FILM. P-RF
MEDOCHEMIE LTD. CIPRU
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF
ANTIBIOTICE SA
ROMANIA CUTIE CU 3 BLIST. DIN PVC-PE-PVDC/AL X 10 COMPR. FILM. PRF

GEDEON RICHTER ROMANIA SA

EGIS PHARMACEUTICALS P.L.C.

CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF

SMITHKLINE BEECHAM PLC

MAREA BRITANIE

HEXAL AG

GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF

ACTAVIS GROUP HF. ISLANDA CUTIE X 3 BLIST. AL/AL X 10 COMPR. FILM. P-RF
ROMANIA CUTIE CU BLIST. TRANSPARENTE DIN PVC-PVDC/AL X 30 COMPR. FILM.P-RF
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
TEVA PHARMACEUTICALS S.R.L.

HEXAL AG
TERAPIA SA
KRKA D.D.

GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF

EGIS PHARMACEUTICALS P.L.C.

UNGARIA

ROMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM.

P-RF

SLOVENIA CUTIE X 4 BLIST. X 7 COMPR. FILM.

P-RF

HEXAL AG
GERMANIA
ARENA GROUP S.A. ROMANIA
ACTAVIS GROUP PTC EHF. ISLANDA
BMF PHARM S.R.L. ROMANIA

CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-RF

CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF


CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF
CUTIE CU BLISTERE DIN PVC-PVDC/AL X 28 COMPR. FILM. P-RF

CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF


P-RF

DR. REDDY'S LABORATORIES

ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM.


ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM.

HENNIG ARZNEIMITTEL GMBH & CO.KG

GERMANIA CUTIE X 3 BLIST. PVC - PVDC/AL X 10 COMPR. FILM.

P-RF

LABORMED PHARMA S.A.

ROMANIA
ROMANIA

CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-RF

DR. REDDY'S LABORATORIES

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE CU 2 BLIST. PVC/AL X 14 COMPR. FILM.

P-RF

TERAPIA SA
KRKA D.D.

ROMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM.

P-RF

SLOVENIA CUTIE X 4 BLIST. X 7 COMPR. FILM.

P-RF

LABORATOARELE PROF.DR.MORAIT S.R.L.

P-RF

CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-RF

EGIS PHARMACEUTICALS P.L.C. MAREA BRITANIE

CUTIE X 3 BLIST. X 10 COMPR. FILM.

HEXAL AG
ARENA GROUP SA

GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF

ROMANIA

CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE CU BLISTERE DIN PVC-PVDC/AL X 28 COMPR. FILM. P-RF

BMF PHARM S.R.L.

P-RF

DR. REDDY'S LABORATORIES

ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.


ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM.
ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM.

HENNIG ARZNEIMITTEL GMBH & CO.KG

GERMANIA CUTIE X 3 BLIST. PVC - PVDC/AL X 10 COMPR. FILM.

P-RF

LABORMED PHARMA S.A.


DR. REDDY'S LABORATORIES

ROMANIA
ROMANIA

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE CU 2 BLIST. PVC/AL X 14 COMPR. FILM.

P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA BRUNA X 60 ML CONC. PT. SOL. ORALA + 1 PIPETA GRADATA

P-RF

SOLVAY PHARMACEUTICALS BV

OLANDA

CUTIE X 2 BLIST. PVC/PVDC X 15 COMPR. FILM. P-RF

LABORATOARELE PROF.DR.MORAIT S.R.L.

Pagina 30 din 34

P-RF

P-RF

P-RF

CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-RF


CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-RF

Pret
amanunt
Pret
ul
cant/a maximal amanuntul
mbala /ambalaj maximal/UT
(RON)
(RON)
j

28
30
20
28
28
30
28
28
30
28
28
30
28
30
30
30
30
30
30
30
30
28
28
28
30
30
28
30
28
28
30
28
28
28
28
28
30
30
30
28
30
28
28
30
28
28
28
1
30

21.80
17.43
14.93
36.38
7.30
7.04
7.30
10.60
39.08
10.60
33.19
31.99
33.19
22.77
22.76
33.89
22.77
22.77
22.77
45.63
60.97
34.86
40.36
34.86
37.35
37.19
33.68
37.19
34.86
34.86
35.79
42.84
34.86
67.70
19.31
22.60
20.69
20.57
20.68
18.52
20.92
19.31
19.31
19.46
22.90
19.31
36.55
64.85
48.27

0.778571
0.581000
0.746500
1.299285
0.260714
0.234666
0.260714
0.378571
1.302666
0.378571
1.185357
1.066333
1.185357
0.759000
0.758666
1.129666
0.759000
0.759000
0.759000
1.521000
2.032333
1.245000
1.441428
1.245000
1.245000
1.239666
1.202857
1.239666
1.245000
1.245000
1.193000
1.530000
1.245000
2.417857
0.689642
0.807142
0.689666
0.685666
0.689333
0.661428
0.697333
0.689642
0.689642
0.648666
0.817857
0.689642
1.305357
64.850000
1.609000

Val suportata
de CNAS/UT
(RON)Legea Val suportata
CNAS/UT
nr. 95/2006 art
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

0.560250
0.560250
0.560250
0.560250
0.260714
0.234666
0.260714
0.378571
0.560250
0.378571
1.120500
1.066333
1.120500
0.560250
0.560250
0.560250
0.560250
0.560250
0.560250
0.560250
1.120500
1.120500
1.120500
1.120500
1.120500
1.120500
1.120500
1.120500
1.120500
1.120500
1.120500
1.120500
1.120500
1.120500
0.560250
0.560250
0.560250
0.560250
0.560250
0.560250
0.560250
0.560250
0.560250
0.560250
0.560250
0.560250
0.560250
13.446000
0.560250

0.504225
0.504225
0.504225
0.504225
0.234642
0.211199
0.234642
0.340713
0.504225
0.340713
1.008450
0.959699
1.008450
0.504225
0.504225
0.504225
0.504225
0.504225
0.504225
0.504225
1.008450
1.008450
1.008450
1.008450
1.008450
1.008450
1.008450
1.008450
1.008450
1.008450
1.008450
1.008450
1.008450
1.008450
0.504225
0.504225
0.504225
0.504225
0.504225
0.504225
0.504225
0.504225
0.504225
0.504225
0.504225
0.504225
0.504225
12.101400
0.504225

Nr crt.

cod ATC

DCI

1,464

N06AB08

1,465

N06AB08

1,466

N06AB08

1,467

N06AX03

1,468

N06AX03

1,469

N06AX03

1,470

N06AX03

1,471

N06AX11

1,472

N06AX11

1,473

N06AX11

1,474

N06AX11

1,475

N06AX11

1,476

N06AX11

1,477

N06AX11

1,478

N06AX11

1,479

N06AX11

1,480

N06AX11

1,481

N06AX11

1,482

N06AX11

1,483

N06AX11

1,484

N06AX16

1,485

N06AX16

1,486

N06AX16

1,487

N06AX16

1,488

N06AX16

1,489

N06AX16

1,490

N06AX16

1,491

N06AX16

1,492

N06AX16

1,493

N06AX16

1,494

N06AX16

1,495

N06AX16

1,496

N06AX16

1,497

N06AX16

1,498

N06AX16

1,499

N06AX16

1,500

N06AX16

1,501

N06AX16

1,502

N06AX16

1,503

N06AX16

1,504

N06AX16

1,505

N06AX16

1,506

N06AX16

1,507

N06AX16

1,508

N06AX16

1,509

N06AX16

1,510

N06AX16

1,511

N06AX16

1,512

N06AX16

FLUVOXAMINUM*
FLUVOXAMINUM*
FLUVOXAMINUM*
MIANSERINUM*
MIANSERINUM*
MIANSERINUM*
MIANSERINUM*
MIRTAZAPINUM*
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**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**

forma farm.
FLUVOXAMINE TEVA 100 mg COMPR. FILM.
FEVARIN (R) 50
COMPR. FILM.
FLUVOXAMINE TEVA 50 mg COMPR. FILM.
MIANSERIN 10
COMPR. FILM.
MIANSERIN 30
COMPR. FILM.
Denumire Comerciala

MIANSERIN 10 mg
MIANSERIN 30 mg
REMERON SOLTAB 30 mg
MIRZATEN (R) 30 mg
ESPRITAL (R) 30
MIRTAZAPINE-TEVA 30 mg
PHARMATAZ 30 mg

COMPR. DISP.
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

COMPR. ORODISPERSABILE

MIRTAZAPIN AUROBINDO 30 mg

COMPR. ORODISPERSABILE

ZULIN 30 mg
ZULIN 30 mg
PHARMATAZ 30 mg
MIRTAZAPIN AUROBINDO 45 mg

IVRYX 150mg
EFECTIN ER 150 mg
VELAXIN 150 mg
ALVENTA 150mg
FOBILESS 150 mg
NOPEKAR 150 mg
ADOXA EP 150 mg
ELIFY EP 150 mg
VENLAGAMMA 150 mg
VENLAGAMMA 150 mg
JARVIS 150 mg

DRAJ.
DRAJ.

COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE

CAPS. ELIB. PREL.


CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.

VENLAFAXINA ACTAVIS 150 mg CAPS. ELIB. PREL.


VENLAFAXINA ARENA EP 150 mg CAPS. ELIB. PREL.

FOBILESS 37,5 mg
NOPEKAR 37,5 mg
ADOXA EP 37,5 mg
VENLAGAMMA 37,5 mg
VENLAGAMMA 37,5 mg

CAPS. ELIB. PREL.


CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.

VENLAFAXINA ARENA EP 37,5 mg CAPS. ELIB. PREL.

IVRYX 75mg
EFECTIN ER 75 mg
VELAXIN 75 mg
ALVENTA 75 mg
FOBILESS 75 mg
NOPEKAR 75 mg
ADOXA EP 75 mg
ELIFY EP 75 mg
VENLAGAMMA 75 mg
VENLAGAMMA 75 mg

CAPS. ELIB. PREL.


CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.

concentratie

100mg
50mg
50mg
10mg
30mg
10mg
30mg
30mg
30mg
30mg
30mg
30mg
15mg
30mg
30mg
30mg
30mg
30mg
30mg
45mg
150 mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
37,5mg
37,5mg
37,5mg
37,5mg
37,5mg
37,5mg
75 mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg

TEVA PHARMACEUTICALS S.R.L.

tara det.
APP
Ambalaj
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.

SOLVAY PHARMACEUTICALS BV

OLANDA

Detinator APP

CUTIE X 2 BLIST. PVC/PVDC X 15 COMPR. FILM. P-RF

TEVA PHARMACEUTICALS S.R.L.

ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.

REMEDICA LTD.
REMEDICA LTD.
TERAPIA SA
TERAPIA SA
NV ORGANON
KRKA D.D.
ZENTIVA AS

CIPRU
CIPRU

TEVA PHARMACEUTICALS S.R.L.

Prescriptie

P-RF

CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

P-RF
P-RF/S

CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF

ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 DRAJ.


ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 DRAJ.

P-RF

OLANDA

CUTIE X 5 BLIST. AL/PVC-PA-POLIESTER PERFORAT PT. ELIB. UNEI UNIT. DOZATE X 6 COMPR. DISP.

P-RF

SLOVENIA

CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF

CEHIA

CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF

ROMANIA

CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF

P-RF

ACTAVIS GROUP HF. ISLANDA

CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF

AUROBINDO PHARMA LIMITED 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

CUTIE CU BLIST. PA-AL-PVC/AL-POLIESTER-HARTIE X 30 COMPR. ORODISPERSABILE

P-RF

CUTIE CU BLIST. PA-AL-PVC/AL-POLIESTER-HARTIE X 30 COMPR. ORODISPERSABILE

P-RF

BLUEFISH PHARMACEUTICALS AB

SUEDIA

AUROBINDO PHARMA LIMITED MAREA BRITANIE

ANTIBIOTICE S.A.
ANTIBIOTICE S.A.

ROMANIA
ROMANIA

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE X 1 BLIST. AL/AL X 6 COMPR. ORODISPERSABILE P-RF


CUTIE X 5 BLIST. AL/AL X 6 COMPR. ORODISPERSABILE P-RF
CUTIE CU 5 FOLII TERMOSUDATE OPA-AL/AL-PVC X 6 COMPR. ORODISPERSABILE

PRF

CUTIE CU BLIST. PA-AL-PVC/AL-POLIESTER-HARTIE X 30 COMPR. ORODISPERSABILE

P-RF

CUTIE X 2 BLIST. PCV-ACLAR/AL X 14 CAPS. CU ELIB. PREL.

P-RF

CUTIE X 1 BLIST. ACLAR/PE/PVC/AL X 28 CAPS. ELIB. PREL.

P-RF

CUTIE X 2 BLIST. PVC-PVDC/AL X 14 CAPS. CU ELIB. PREL.

P-RF

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE CU BLIST. PVC-PVDC/AL X 30 CAPS. ELIB. PREL.

P-RF

CUTIE X BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL.

P-RF

OZONE LABORATORIES BV

AUSTRIA
OLANDA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. ELIB. PREL.

P-RF

RANBAXY (UK) LIMITED

MAREA BRITANIE

CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL.

P-RF

CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL.

P-RF

AUROBINDO PHARMA LIMITED MAREA BRITANIE

ROMASTRU TRADING S.R.L.

ROMANIA

WYETH LEDERLE PHARMA GMBH

AUSTRIA
UNGARIA

EGIS PHARMACEUTICALS P.L.C.

LANNACHER HEILMITTEL GES.M.B.H.

MEDOCHEMIE LTD. CIPRU


WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU BLIST. PVC- PCTF/AL X 30 CAPS. CU ELIB. PREL.

P-RF

WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU BLIST. PVC- PCTF/AL X 100 CAPS. CU ELIB. PREL.

P-RF/S

GEDEON RICHTER ROMANIA SA

ROMANIA

CUTIE X 3 BLIST. PVC/AL X 10 CAPS. CU ELIB. PREL.

P-RF

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE CU BLIST. PVC/AL X 28 CAPS. CU ELIB. PREL.

P-RF

CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 CAPS. CU ELIB. PREL.

P-RF

ARENA GROUP S.A. ROMANIA


LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA
OZONE LABORATORIES BV OLANDA

CUTIE X BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL.

P-RF

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. CU ELIB. PREL.

P-RF
P-RF

RANBAXY (UK) LIMITED

MAREA BRITANIE

CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL.

WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU BLIST. PVC- PCTF/AL X 30 CAPS. CU ELIB. PREL.

P-RF

WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU BLIST. PVC- PCTF/AL X 100 CAPS. CU ELIB. PREL.

P-RF/S

CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 CAPS. CU ELIB. PREL.

P-RF

CUTIE X 2 BLIST. PCV-ACLAR/AL X 14 CAPS. CU ELIB. PREL.

P-RF

CUTIE X 1 BLIST. ACLAR/PE/PVC/AL X 28 CAPS. ELIB. PREL.

P-RF

CUTIE X 2 BLIST. PVC-PVDC/AL X 14 CAPS. CU ELIB. PREL

P-RF

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE CU BLIST. PVC-PVDC/AL X 30 CAPS. ELIB. PREL.

P-RF

CUTIE X BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL.

P-RF

OZONE LABORATORIES BV

AUSTRIA
OLANDA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. ELIB. PREL.

P-RF

RANBAXY (UK) LIMITED

MAREA BRITANIE

CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL.

P-RF

CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL.

P-RF

ARENA GROUP S.A. ROMANIA


ROMASTRU TRADING S.R.L.

ROMANIA

WYETH LEDERLE PHARMA GMBH

AUSTRIA
UNGARIA

EGIS PHARMACEUTICALS P.L.C.

LANNACHER HEILMITTEL GES.M.B.H.

MEDOCHEMIE LTD. CIPRU


WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU BLIST. PVC- PCTF/AL X 30 CAPS. CU ELIB. PREL.

P-RF

WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU BLIST. PVC- PCTF/AL X 100 CAPS. CU ELIB. PREL.

P-RF/S

Pagina 31 din 34

Pret
amanunt
Pret
ul
cant/a maximal amanuntul
mbala /ambalaj maximal/UT
(RON)
(RON)
j

30 32.42
30 24.92
30 16.18
100 46.15
20 25.75
30
8.55
20 21.51
30 81.19
30 37.47
30 37.47
30 37.46
30 35.59
30 24.33
30 37.47
30 37.47
30 37.67
6
7.73
30 37.46
30 31.79
30 62.78
28 90.46
28 134.39
28 90.46
30 74.43
30 96.88
28 90.46
30 96.62
30 96.93
30 95.11
100 300.62
30 96.93
28 74.50
30 84.17
30 35.16
28 46.02
30 41.18
30 20.85
100 65.02
30 33.57
28 46.97
28 69.87
28 46.97
30 33.61
30 50.30
28 46.97
30 50.18
30 50.34
30 34.94
100 110.61

1.080666
0.830666
0.539333
0.461500
1.287500
0.285000
1.075500
2.706333
1.249000
1.249000
1.248666
1.186333
0.811000
1.249000
1.249000
1.255666
1.288333
1.248666
1.059666
2.092666
3.230714
4.799642
3.230714
2.481000
3.229333
3.230714
3.220666
3.231000
3.170333
3.006200
3.231000
2.660714
2.805666
1.172000
1.643571
1.372666
0.695000
0.650200
1.119000
1.677500
2.495357
1.677500
1.120333
1.676666
1.677500
1.672666
1.678000
1.164666
1.106100

Val suportata
de CNAS/UT
(RON)Legea Val suportata
CNAS/UT
nr. 95/2006 art
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

0.560250
0.280125
0.280125
0.306111
0.918338
0.285000
0.918338
1.248666
1.248666
1.248666
1.248666
1.186333
0.624333
1.248666
1.248666
1.248666
1.248666
1.248666
1.059666
1.872999
2.422520
2.422520
2.422520
2.422520
2.422520
2.422520
2.422520
2.422520
2.422520
2.422520
2.422520
2.422520
2.422520
0.605630
0.605630
0.605630
0.605630
0.605630
0.605630
1.211260
1.211260
1.211260
1.120333
1.211260
1.211260
1.211260
1.211260
1.164666
1.106100

0.504225
0.252112
0.252112
0.275500
0.826504
0.256500
0.826504
1.123799
1.123799
1.123799
1.123799
1.067699
0.561899
1.123799
1.123799
1.123799
1.123799
1.123799
0.953699
1.685699
2.180268
2.180268
2.180268
2.180268
2.180268
2.180268
2.180268
2.180268
2.180268
2.180268
2.180268
2.180268
2.180268
0.545067
0.545067
0.545067
0.545067
0.545067
0.545067
1.090134
1.090134
1.090134
1.008299
1.090134
1.090134
1.090134
1.090134
1.048199
0.995490

Nr crt.

cod ATC

1,513

N06AX16

1,514

N06AX16

1,515

N06AX16

1,516

N06AX16

1,517

N06AX16

1,518

N06AX16

1,519

N06AX16

1,520

N06AX16

1,521

N06AX16

1,522

N06AX16

1,523

N06AX16

1,524

N06AX16

1,525

N06AX16

1,526

N06AX16

1,527

N06AX16

1,528

N06AX16

1,529

N06AX16

1,530

N06AX16

1,531

N06AX16

1,532

N06AX16

1,533

N06AX16

1,534

N06AX16

1,535

N07AA01

1,536

P01AB02

1,537

P01AB02

1,538

P01AB02

1,539

P01AB02

1,540

P02CA03

1,541

P02CA03

1,542

P02CA03

1,543

P02CA03

1,544

P02CA03

1,545

P02CA03

1,546

P02CA03

1,547

P02CE01

1,548

P02CE01

1,549

P02CE01

1,550

P02CE01

1,551

R01AD01

1,552

R03AC02

1,553

R03AC02

1,554

R03AC02

1,555

R03AC02

1,556

R03BA01

1,557

R03BA02

1,558

R03BA02

1,559

R03BA02

1,560

R03BA02

1,561

R03BA02

DCI

VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
NEOSTIGMINI BROMIDUM
TINIDAZOLUM
TINIDAZOLUM
TINIDAZOLUM
TINIDAZOLUM
ALBENDAZOLUM
ALBENDAZOLUM
ALBENDAZOLUM
ALBENDAZOLUM
ALBENDAZOLUM
ALBENDAZOLUM
ALBENDAZOLUM
LEVAMISOLUM
LEVAMISOLUM
LEVAMISOLUM
LEVAMISOLUM
BECLOMETASONUM
SALBUTAMOLUM
SALBUTAMOLUM
SALBUTAMOLUM
SALBUTAMOLUM
BECLOMETASONUM*
BUDESONIDUM*
BUDESONIDUM*
BUDESONIDUM*
BUDESONIDUM*
BUDESONIDUM*

Denumire Comerciala

JARVIS 75 mg

ISLANDA

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

SOL. INHALAT PRESURIZATA

75mg
75mg
75mg
25mg
25mg
37,5mg
37,5mg
37,5mg
37,5mg
37,5mg
50mg
50mg
50mg
75mg
75mg
75mg
75mg
75mg
150mg
75mg
37,5 mg
75mg
15mg
500mg
500mg
500mg
500mg
200mg
200mg
200mg
200 mg
200mg
0,4g/10ml
400mg/10ml
150mg
150mg
50mg
50mg
100mcg/doza
5mg/ml
5mg/ml
100mcg/doza
100mcg/doza
250mcg/doza

PULB. INHAL.
PULB. INHAL.
PULB. INHAL.
PULB. INHAL.
PULB. INHAL.

200 mcg/doza MEDOCHEMIE ROMANIA SRL


200 mcg/doza MEDOCHEMIE ROMANIA SRL
200mcg/doza ASTRAZENECA AB
400 mcg/doza MEDOCHEMIE ROMANIA SRL
400 mcg/doza MEDOCHEMIE ROMANIA SRL

CAPS. ELIB. PREL.

COMPR. FILM.
VENLAFAXINA ACTAVIS 75 mg COMPR. FILM.

VENLAFAXINA ACTAVIS 37,5 mg

NEOSTIGMINA LPH 15 mg

COMPR.

TINIZOL (R) 500 mg (J01XD02)


TIPROGYN 500 (vezi J01XD02)
TINIZOL (R) 500 mg (J01XD02)
TIPROGYN 500 (vezi J01XD02)

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

ALBENDAZOL VIM SPECTRUM 200 mg

COMPR.

DUADOR 200 mg
ZENTEL 200 mg
ALBENDAZOL LPH 200 mg
ALBENDAZOL
ZENTEL 0,4 g/10 ml
VERMIGAL NOVO 400 mg
DECARIS 150 mg
LEVAMISOL ARENA 150 mg
DECARIS 50 mg
LEVAMISOL ARENA 50 mg
RINOCLENIL 100
VENTOLIN (R)
VENTOLIN (R)

COMPR. FILM.
COMPR. FILM.

COMPR.FILM
COMPR.FILM
SUSP. ORALA
SUSP. ORALA
COMPR.
COMPR.
COMPR.
COMPR.
SPRAY NAZ.,SUSP.

SOL. INHAL.
SOL. INHAL.

VENTOLIN 100 INHALER CFC-FREE SUSP. INHAL. PRESURIZATA

FRENOLYN 400
FRENOLYN 400

ACTAVIS GROUP PTC EHF.

CAPS. ELIB. PREL.

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
VENLAFAXINA ARENA 37,5 mg COMPR.
ADOXA 50 mg
COMPR.
ADOXA 50 mg
COMPR.
VENLAFAXINA ARENA 50 mg COMPR.
VENLAFAXINA LPH 75 mg
COMPR.
VELAXIN 75 mg
COMPR.
ADOXA 75 mg
COMPR.
ADOXA 75 mg
COMPR.
VENLAFAXINA ARENA 75 mg COMPR.
ARGOFAN 150 SR
COMPR. ELIB. PREL.
ARGOFAN 75 SR
COMPR. ELIB. PREL.

PULMICORT TURBUHALER 200 mcg/doza

P-RF

Detinator APP

ADOXA 25 mg
ADOXA 25 mg
VENLAFAXINA LPH 37,5 mg
VELAXIN 37,5 mg
ADOXA 37,5 mg
ADOXA 37,5 mg

ASTHALIN INHALER
CLENIL (R) JET 250 mcg
FRENOLYN 200
FRENOLYN 200

CUTIE X 3 BLIST. PVC/AL X 10 CAPS. CU ELIB. PREL.

concentratie

VENLAFAXINA ACTAVIS 75 mg CAPS. ELIB. PREL.


VENLAFAXINA ARENA EP 75 mg

GEDEON RICHTER ROMANIA SA

tara det.
APP
ROMANIA

forma farm.

SUSP. INHAL. PRESURIZATA

ARENA GROUP S.A. ROMANIA


TERAPIA SA
ROMANIA
TERAPIA SA
ROMANIA

Ambalaj

Prescriptie

CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-RF


CUTIE X 3 BLIST. OPA-ACLAR/AL X 10 COMPR. P-RF

LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 20 COMPR. P-RF

UNGARIA CUTIE X 4 BLIST. PVC-PVDC/AL X 14 COMPR. P-RF


ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-RF
ROMANIA CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. P-RF
ROMANIA CUTIE X 3 BLIST. PVC-PE- PVDC/AL X 10 COMPR. P-RF
ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-RF
ROMANIA CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. P-RF
ROMANIA CUTIE X 3 BLIST. PVC-PE- PVDC/AL X 10 COMPR. P-RF
LABORMED PHARMA SA ROMANIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. P-RF
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. PVC-PVDC/AL X 14 COMPR. P-RF
TERAPIA SA
ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-RF
TERAPIA SA
ROMANIA CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. P-RF
ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE- PVDC/AL X 10 COMPR. P-RF
ZENTIVA A.S.
SLOVACIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. ELIB. PREL. P-RF
ZENTIVA A.S.
SLOVACIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. ELIB. PREL. P-RF
ACTAVIS S.R.L.
ROMANIA CUTIE X 4 BLIST. AL/PVC X 14 COMPR. FILM. P-RF
ACTAVIS S.R.L.
ROMANIA CUTIE X 4 BLIST. AL/PVC X 14 COMPR. FILM. P-RF
LABORMED PHARMA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 20 COMPR. P-6L
ZENTIVA S.A.
ROMANIA CUTIE X 1 BLIST. X 4 COMPR. FILM. P-RF
AC HELCOR SRL
ROMANIA CUTIE X 1 BLIST. X 4 COMPR.FILM. P-RF
ZENTIVA S.A.
ROMANIA CUTIE X 1 BLIST. X 4 COMPR. FILM. P-RF
AC HELCOR SRL
ROMANIA CUTIE X 1 BLIST. X 4 COMPR.FILM. P-RF
VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 2 COMPR. P-RF
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. X 2 COMPR. FILM. P-RF
EGIS PHARMACEUTICALS P.L.C.

TERAPIA SA
TERAPIA SA
ARENA GROUP S.A.
TERAPIA SA
TERAPIA SA
ARENA GROUP S.A.

GLAXOSMITHKLINE EXPORT LTD. MAREA BRITANIE

CUTIE X 1 BLIST. AL/PVDC-PVC X 2 COMPR. FILM. P-RF

LABORMED PHARMA S.A.

ROMANIA CUTIE X 1 BLIST. AL/PVC X 2 COMPR. FILM.

OZONE LABORATORIES LTD.

MAREA BRITANIE

GLAXOSMITHKLINE EXPORT LTD. MAREA BRITANIE CUTIE X 1 FLACON UNIDOZA DIN PVC X 10 ML SUSP. ORALA

BIOFARM S.A.

ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
ARENA GROUP S.A. ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
ARENA GROUP S.A. ROMANIA

P-RF

CUTIE X 1 BLIST. AL/PVC X 2 COMPR. FILM. P-RF


P-RF

CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 ML SUSP. ORALA P-RF

CUTIE X 1 BLIST. AL/PVC X 1 COMPR.


CUTIE CU 1 BLIST. PVC/AL X 1 COMPR.
CUTIE X 1 BLIST. AL/PVC X 2 COMPR.
CUTIE CU 1 BLIST. PVC/AL X 2 COMPR.

P-RF
P-RF
P-RF
P-RF

CHIESI FARMACEUTICI SPA

ITALIA

GLAXOWELLCOME UK LTD.

MAREA BRITANIE CUTIE X 1 FALC. DIN STICLA BRUNA X 20 ML SOL. DE INHAL.

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

CHIESI FARMACEUTICI SPA

ITALIA

Pagina 32 din 34

ROMANIA
ROMANIA

SUEDIA
ROMANIA
ROMANIA

CUTIE X 1 FLACON DIN PET X 30 ML SPRAY NAZ.,SUSP., PREVAZUT CU POMPA DOZATOARE

P-RF

P-6L

P-6L

CUTIE X 1 FLACON PRESURIZAT DIN AL X 200 DOZE, PREVAZUT CU VALVA DOZATOARE + DISPOZITIV DE ADM., "SP

P-RF

CUTIE X 1 PUNGA X 1 INHALATOR X 100 DOZE P-RF


CUTIE X 1 PUNGA X 1 INHALATOR X 200 DOZE P-RF
CUTIE X 1 FLACON MULTIDOZA DIN PEID X 100 DOZE PULB. INHAL.

P-RF

CUTIE X 1 PUNGA X 1 INHALATOR X 100 DOZE P-RF


CUTIE X 1 PUNGA X 1 INHALATOR X 200 DOZE P-RF

Pret
amanunt
Pret
ul
cant/a maximal amanuntul
mbala /ambalaj maximal/UT
(RON)
(RON)
j

Val suportata
de CNAS/UT
(RON)Legea Val suportata
CNAS/UT
nr. 95/2006 art
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

30 50.34
1.678000
1.211260
1.090134
28 31.37
1.120357
1.120357
1.008321
30 47.16
1.572000
1.211260
1.090134
30 28.94
0.964666
0.964666
0.868199
30 28.94
0.964666
0.403753
0.363378
60 61.52
1.025333
0.605630
0.545067
56 57.45
1.025892
0.605630
0.545067
30 31.82
1.060666
0.605630
0.545067
30 31.82
1.060666
0.605630
0.545067
30 31.82
1.060666
0.605630
0.545067
30 38.05
1.268333
0.807506
0.726756
30 38.05
1.268333
0.807506
0.726756
30 38.05
1.268333
0.807506
0.726756
60 76.61
1.276833
1.211260
1.090134
56 71.61
1.278750
1.211260
1.090134
30 40.39
1.346333
1.211260
1.090134
30 40.39
1.346333
1.211260
1.090134
30 40.39
1.346333
1.211260
1.090134
30 89.32
2.977333
2.422520
2.180268
30 39.02
1.300666
1.211260
1.090134
56 37.67
0.672678
0.605630
0.545067
56 60.72
1.084285
1.084285
0.975856
20 13.57
0.678500
0.678500
0.610650
4
3.65
0.912500
0.675374
0.607837
4
3.64
0.910000
0.675374
0.607837
4
3.65
0.912500
0.675374
0.607837
4
3.64
0.910000
0.675374
0.607837
2
6.15
3.075000
3.075000
2.767500
2
6.30
3.150000
3.150000
2.835000
2
9.71
4.855000
3.150000
2.835000
2
6.32
3.160000
3.150000
2.835000
2
6.32
3.160000
3.150000
2.835000
1
5.67
5.670000
3.773250
3.395925
1
3.70
3.700000
3.700000
3.330000
1
3.37
3.370000
3.370000
3.033000
1
3.37
3.370000
3.370000
3.033000
2
2.99
1.495000
1.123322
1.010989
2
2.99
1.495000
1.123322
1.010989
1 47.95 47.950000 42.215500 37.993950
1 14.96 14.960000
3.411000
3.069900
1
8.81
8.810000
1.705500
1.534950
1 10.39 10.390000
8.527500
7.674750
1
6.73
6.730000
6.730000
6.057000
1 100.76 100.760000 100.760000 90.684000
1 39.02 39.020000 39.020000 35.118000
1 74.12 74.120000 74.120000 66.708000
1 60.05 60.050000 40.312500 36.281250
1 83.21 83.210000 80.625000 72.562500
1 170.33 170.330000 161.250000 145.125000

DCI

Nr crt.

cod ATC

1,562

R03BA02

1,563

R03BA02

1,564

R03BB01

1,565

R03BB01

1,566

R03CC02

1,567

R03CC02

1,568

R03CC02

1,569

R03CC02

1,570

R03CC02

1,571

R03DA04

1,572

R03DA04

1,573

R03DA04

1,574

R03DA04

1,575

R03DA04

1,576

R03DA04

1,577

R03DA04

1,578

R03DA04

1,579

R03DA04

1,580

R05DA04

1,581

R05DA04

1,582

R05DA04

1,583

R05DA04

1,584

R05DA04

1,585

R05DA04

1,586

R05DA04

1,587

R05DA04

1,588

R06AB04

1,589

R06AE07

1,590

R06AE07

1,591

R06AE07

1,592

R06AX17

1,593

R06AX17

1,594

R06AX17

1,595

R06AX17

1,596

R06AX17

1,597

R06AX17

1,598

R06AX17

1,599

S01AX13

1,600

S01BC03

1,601

S01BC03

1,602

S01BC03

1,603

S01BC03

1,604

S01CA05

BUDESONIDUM*
BUDESONIDUM*
IPRATROPII BROMIDUM*
IPRATROPII BROMIDUM*
SALBUTAMOLUM
SALBUTAMOLUM
SALBUTAMOLUM
SALBUTAMOLUM
SALBUTAMOLUM
THEOPHYLLINUM
THEOPHYLLINUM
THEOPHYLLINUM
THEOPHYLLINUM
THEOPHYLLINUM
THEOPHYLLINUM
THEOPHYLLINUM
THEOPHYLLINUM
THEOPHYLLINUM
CODEINUM
CODEINUM
CODEINUM
CODEINUM
CODEINUM
CODEINUM
CODEINUM
CODEINUM
CHLORPHENAMINUM
CETIRIZINUM
CETIRIZINUM
CETIRIZINUM
KETOTIFENUM
KETOTIFENUM
KETOTIFENUM
KETOTIFENUM
KETOTIFENUM
KETOTIFENUM
KETOTIFENUM
CIPROFLOXACINUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
COMBINATII

1,605

S01CA05

COMBINATII (CLORAMPHENICOLUM+BETHAMETASONUM)

1,606

S01CA05

COMBINATII (CLORAMPHENICOLUM+BETHAMETASONUM)

Denumire Comerciala

BUDIAIR 200 mcg


BUDIAIR 200 mcg JET
IPRAXA 500mcg/2ml

forma farm.
SOL. DE INHALAT PRESURIZATA

concentratie
200 mcg/doza

200mcg/doza
SOL. DE INHALAT PRIN NEBULIZ. 500mcg/2ml
IPRAVENT INHALER 20mcg/doza SUSP. INHAL. PRESURIZATA 20mcg/doza
SALBUTAMOL EIPICO 2mg/5ml SIROP
2mg/5ml
SALBUTAMOL
SIROP
2mg/5ml
VENTOLIN 2mg/5ml
SIROP
2mg/5ml
VENTOLIN (R)
SOL. INJ.
0,5mg/ml
SALBUTAMOL T
SOL. ORALA 0,04%
THEO SR 100
CAPS. ELIB. PREL. 100mg
TEOFILINA SR 100 mg
CAPS. ELIB. PREL. 100mg
TEOTARD (R) 200
CAPS. ELIB. PREL. 200mg
THEO SR 200
CAPS. ELIB. PREL. 200mg
TEOFILINA SR 200 mg
CAPS. ELIB. PREL. 200mg
THEO SR 300
CAPS. ELIB. PREL. 300mg
TEOFILINA SR 300 mg
CAPS. ELIB. PREL. 300mg
TEOTARD (R) 350
CAPS. ELIB. PREL. 350mg
TEOFILINA SR 50 mg
CAPS. ELIB. PREL. 50mg
FOSFAT DE CODEINA 15 mg COMPR.
15mg
CODEINA FOSFORICA
COMPR.
15mg
FARMACOD
COMPR.
15mg
CODEINA FOSFAT 15 mg
COMPR.
15mg
CODEINA FOSFAT
COMPR.
15mg
CODEINA FOSFAT LPH 15 mg COMPR.
15mg
CODEINA FOSFAT MCC 15 mg COMPR.
15mg
CODEINA FOSFAT 15 mg
COMPR.
15mg
CLORFENIRAMIN
COMPR.
4mg
CELERG
COMPR. FILM. 10 mg
LETIZEN (R) 10 mg
COMPR. FILM. 10mg
ZYRTEC 10 mg/ml
PICATURI ORALE-SOL. 10mg/ml
KETOF 1 mg
CAPS.
1mg
KETOF 1 mg
CAPS.
1mg
KETOTIFEN LPH (R) 1 mg
COMPR.
1mg
H - KETOTIFEN
COMPR.
1mg
KETOTIFEN
COMPR.
1mg
KETOTIFEN LAROPHARM 1 mg COMPR.
1mg
KETOF 1 mg/5 ml
SIROP
1mg/5ml
CIPLOX (vezi S01AX13)
UNG. OFT.
0,3%
DICLOFENAC RPH
PIC. OFT.-SOL. 1mg/ml
DICLOFENAC ROMPHARM PIC. OFT.-SOL. 1mg/ml
UNICLOPHEN (R) 0,1%
PICATURI OFT.-SOL. 0,1%
DICLOGESIC 0,1% PICATURI OFTALMICE, SOLUTIE PICATURI OFT.-SOL. 0,1%
OPHTAMESONE - N
SOL. OFT.
BETABIOPTAL
PICATURI OFT.SUSP. 0,2g+0,5g/100ml
BETABIOPTAL
UNG. OFT.
0,2g+0,5g/100g
SOL. DE INHALAT PRESURIZATA

Detinator APP
CHIESI FARMACEUTICI SPA
CHIESI FARMACEUTICI SPA

tara det.
APP

ITALIA
ITALIA

Ambalaj

Prescriptie

CUTIE X 1 FLACON X 200 DOZE SOL. DE INHALAT PRESURIZATA + VALVA DOZATOARE + DISPOZITIV DE ADMINISTRA

P-RF

CUTIE X 1 FLACON X 200 DOZE SOL. DE INHALAT PRESURIZATA = VALVA DOZATOARE + DISPOZITIV JET DE ACTION

P-RF

CUTIE X 20 FIOLE DIN PEJD X 2 ML SOL. DE INHALAT PRIN NEBULIZATOR

P-6L

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

CIPLA (UK) LIMITED

MAREA BRITANIE CUTIE X 1 FLACON AL PRESURIZAT X 200 DOZE SUSP.DE INHALAT PRESURIZATA

P-6L

E.I.P.I.CO. MED S.R.L. ROMANIA


TERAPIA SA
ROMANIA

CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SIROP + LINGURITA DOZATOARE DUBLA

GLAXOWELLCOME UK LTD.

CUTIE X 1 FLACON DIN STICLA INCOLORA X 150 ML SIROP + LINGURITA DOZATOARE DUBLA X 2,5 ML, RESPECTIV

MAREA BRITANIE

CUTIE X 1 FLAC. DIN STICLA BRUNA X 125 ML SIROP

P-6L

CUTIE X 5 FIOLE DIN STICLA X 1 ML


TIS FARMACEUTIC SA ROMANIA CUTIE X 1 FLACON X 100 ML
GLAXOSMITHKLINE (GSK) SRL ROMANIA CUTIE X 2 BLIST. PVC/PVDC-AL X 10 CAPS. ELIB. PREL.
TERAPIA SA
ROMANIA CUTIE X 1 BLIST. X 10 CAPS. ELIB. PREL.
KRKA D.D.
SLOVENIA CUTIE X 4 BLIST. AL/PVC X 10 CAPS. ELIB. PREL.
GLAXOSMITHKLINE (GSK) SRL ROMANIA CUTIE X 1 BLIST. PVC/PVDC-AL X 10 CAPS. ELIB. PREL.
TERAPIA SA
ROMANIA CUTIE X 1 BLIST. X 10 CAPS. ELIB. PREL.
GLAXOSMITHKLINE (GSK) SRL ROMANIA CUTIE X 1 BLIST. PVC/PVDC - AL X 10 CAPS. ELIB. PREL.
TERAPIA SA
ROMANIA CUTIE X 1 BLIST. X 10 CAPS. ELIB. PREL.
KRKA D.D.
SLOVENIA CUTIE X 4 BLIST. AL/PVC X 10 CAPS. ELIB. PREL.
TERAPIA SA
ROMANIA CUTIE X 1 BLIST. X 10 CAPS. ELIB. PREL.
SINTOFARM SA
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
BIO EEL SRL
ROMANIA CUTIE X 1 BLIST. AL/PVC X 25 COMPR.
FARMACOM SA
ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
GLAXO WELLCOME UK LTD.

OZONE LABORATORIES LTD.

MAREA BRITANIE

MAREA BRITANIE

SLAVIA PHARM SRL ROMANIA


LABORMED PHARMA SA ROMANIA

U.C.B. GMBH
HEXAL AG
HEXAL AG

GERMANIA
GERMANIA
GERMANIA

LABORMED PHARMA SA ROMANIA

AC HELCOR SRL

CUTIE X 1 FLAC. STICLA BRUNA X 20 ML PIC. ORAL. SOL + APLICATOR PT. PICURARE

CUTIE X 5 BLIST. AL/PP X 10 CAPS.


CUTIE X 2 BLIST. AL/PP X 10 CAPS.
CUTIE X 2 BLIST. X 10 COMPR.
CUTIE X 2 BLIST. X 10 COMPR.
CUTIE X 2 BLIST. X 10 COMPR.

ROMANIA
MAGISTRA C&C S.R.L. ROMANIA
LAROPHARM SRL
ROMANIA CUTIE X 1 BLIST. AL/PVC X 20 COMPR.

HEXAL AG
GERMANIA CUTIE X 1 FLACON X 100 ML SIROP + MASURA DOZATOARE
CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 1 TUB DIN AL + VARF APLICATOR SI CAPAC DIN PEID X 5G UNG. OFT.
ROMPHARM COMPANY SRL
ROMPHARM COMPANY SRL

ROMANIA
ROMANIA

P-6L
P-6L
P-6L
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

CUTIE X 2 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 20 COMPR. P-RF
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L

MAGISTRA C & C SRL ROMANIA


ROMANIA
LABORMED PHARMA SA ROMANIA
AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM.
KRKA D.D.
SLOVENIA CUTIE X 2 BLIST. X 10 COMPR. FILM.

OZONE LABORATORIES PHARMA S.A.

P-6L

P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-RF

FLACON PICURATOR DIN PEJD X 5 ML PIC. OFT., SOL. P-6L


FLACON PICURATOR DIN PEJD X 5 ML PIC. OFT., SOL. P-6L

UNIMED PHARMA LTD. SLOVACIA CUTIE X 1 FLACON DIN PE X 10 ML PIC. OFTALMICE, SOL., PREVAZUT CU PICURATOR P-6L
DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 1 FLACON CU PICURATOR PE X 5 ML P-6L
DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 1 FLACON X 10ML
P-RF
FARMILA FARMACEUTICI
FARMILA FARMACEUTICI

NOT:
Pagina 33 din 34

ITALIA
ITALIA

CUTIE X 1 FLACON DIN PEJD X 5 ML PIC. OFT.,SUSP. + APLICATOR PT. PICURARE

P-RF

CUTIE X 1 TUB AL X 5 G

P-RF

Pret
amanunt
Pret
ul
cant/a maximal amanuntul
mbala /ambalaj maximal/UT
(RON)
(RON)
j

1
1
20
1
1
1
1
5
1
20
10
40
10
10
10
10
40
10
30
25
20
20
20
20
20
20
20
20
20
1
50
20
20
20
20
20
1
1
1
1
1
1
1
1
1

74.11
74.11
31.46
12.45
3.02
3.96
5.56
3.51
2.63
5.65
2.82
9.28
4.22
2.33
5.89
5.89
13.81
3.57
5.93
5.07
2.99
2.93
2.99
3.16
3.61
2.93
2.28
20.91
13.37
22.71
13.64
5.19
3.27
3.61
3.41
3.41
11.29
4.22
4.98
10.57
11.09
10.57
4.45
13.30
15.27

74.110000
74.110000
1.573000
12.450000
3.020000
3.960000
5.560000
0.702000
2.630000
0.282500
0.282000
0.232000
0.422000
0.233000
0.589000
0.589000
0.345250
0.357000
0.197666
0.202800
0.149500
0.146500
0.149500
0.158000
0.180500
0.146500
0.114000
1.045500
0.668500
22.710000
0.272800
0.259500
0.163500
0.180500
0.170500
0.170500
11.290000
4.220000
4.980000
10.570000
11.090000
10.570000
4.450000
13.300000
15.270000

Val suportata
de CNAS/UT
(RON)Legea Val suportata
CNAS/UT
nr. 95/2006 art
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

42.999998
42.999998
1.560437
12.450000
3.020000
2.576500
3.864750
0.702000
2.576500
0.176700
0.176700
0.232000
0.353400
0.233000
0.530100
0.530100
0.345250
0.088350
0.148750
0.148750
0.148750
0.146500
0.148750
0.148750
0.148750
0.146500
0.114000
0.950062
0.668500
19.001250
0.170500
0.170500
0.163500
0.170500
0.170500
0.170500
11.290000
4.220000
4.980000
5.545000
11.090000
5.545000
4.450000
6.986250
6.986250

38.699999
38.699999
1.404393
11.205000
2.718000
2.318850
3.478275
0.631800
2.318850
0.159030
0.159030
0.208800
0.318060
0.209700
0.477090
0.477090
0.310725
0.079515
0.133875
0.133875
0.133875
0.131850
0.133875
0.133875
0.133875
0.131850
0.102600
0.855056
0.601650
17.101125
0.153450
0.153450
0.147150
0.153450
0.153450
0.153450
10.161000
3.798000
4.482000
4.990500
9.981000
4.990500
4.005000
6.287625
6.287625

Nr crt.

cod ATC

DCI

Denumire Comerciala

forma farm.

concentratie

Detinator APP

tara det.
APP

Ambalaj

Prescriptie

Pret
amanunt
Pret
ul
cant/a maximal amanuntul
mbala /ambalaj maximal/UT
(RON)
(RON)
j

- 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 Snt
ii;
- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (***) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale Ministerului Snt
ii 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 34 din 34

Val suportata
de CNAS/UT
(RON)Legea Val suportata
CNAS/UT
nr. 95/2006 art
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

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 OCTOMBRIE 2011

Nr. crt

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45

cod ATC
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02

DCI

PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM

Denumire Comerciala

ZENCOPAN 20 mg
ZENCOPAN 40 mg
SELTRAZ 20 mg
CONTROLOC 20 mg
CONTROLOC 20 mg
SELTRAZ 20 mg
SELTRAZ 40 mg
CONTROLOC 40mg
CONTROLOC 40mg
CONTROLOC 40mg
CONTROLOC 40mg
SELTRAZ 40 mg
PANTEXEL 20 mg
ZIPANTOLA 20 mg
PACID 20 mg
PACID 20 mg

forma farm.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
COMPR. FILM. GASTROREZ.
COMPR. FILM. GASTROREZ.
COMPR. FILM. GASTROREZ.
COMPR. FILM. GASTROREZ.
COMPR. FILM. GASTROREZ.
COMPR. FILM. GASTROREZ.
COMPR. FILM. GASTROREZ.
COMPR. FILM. GASTROREZ.
COMPR. FILM. GASTROREZ.
COMPR. FILM. GASTROREZ.

COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.

PANTOPRAZOL NYCOMED 20 mg

COMPR. GASTROREZ.

PANTOPRAZOL NYCOMED 20 mg

COMPR. GASTROREZ.

DYSPEX 20 mg
DYSPEX 20 mg
PANTOSAL 20 mg
PANTOSAL 20 mg
NOLPAZA 20 mg
AZATOL 20 mg
PANTEXEL 40 mg
ZIPANTOLA 40 mg
PACID 40 mg
PACID 40 mg

COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.

PANTOPRAZOL NYCOMED 40 mg

COMPR. GASTROREZ.

PANTOPRAZOL NYCOMED 40 mg

COMPR. GASTROREZ.

PANTOSAL 40 mg
PANTOSAL 40 mg
DYSPEX 40 mg
DYSPEX 40 mg
NOLPAZA 40mg
AZATOL 40 mg
GESOFLUX 20 mg
GESOFLUX 40 mg
CONTROLOC 40mg LIOFILIZAT PENTRU SOLUTIE INJECTABILA

COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZISTENTE
COMPR. GASTROREZISTENTE

LIOF. PT. SOL. INJ.

PANTOPRAZOL NYCOMED I.V. 40 mg PULB. PT. SOL. INJ.


PANTOPRAZOL NYCOMED I.V. 40 mg PULB. PT. SOL. INJ.
PANTOPRAZOL NYCOMED I.V. 40 mg PULB. PT. SOL. INJ.

DYSPEX I.V. 40 mg
DYSPEX I.V. 40 mg
DYSPEX I.V. 40 mg

PULB. PT. SOL. INJ.


PULB. PT. SOL. INJ.
PULB. PT. SOL. INJ.

concentratie

20 mg
40 mg
20mg
20mg
20mg
20mg
40mg
40mg
40mg
40mg
40mg
40mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
20mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg

Detinator APP

ZENTIVA K.S.
ZENTIVA K.S.

tara det.
APP

Ambalaj

Prescriptie

REPUBLICA SLOVACA

CUTIE CU BLIST. NYLON/AL/PVC/AL A CATE 28 COMPR. GASTROREZ.

REPUBLICA SLOVACA

CUTIE CU BLIST. NYLON/AL/PVC/AL A CATE 28 COMPR. GASTROREZ.

P6L
P6L

DR. REDDY'S LABORATORIES

ROMANIA

CUTIE X 2 BLIST. DIN OPA-AL-PVC/AL X 14 COMPR. FILM. GASTROREZISTENTE

P-6L

NYCOMED GMBH
NYCOMED GMBH

GERMANIA

CUTIE X 6 BLIST. AL/AL IN SUPORT DE CARTON X 5 COMPR. FILM. GASTROREZ.

P-6L

GERMANIA

CUTIE X 2 BLIST. DIN AL/AL X 14 COMPR. FILM. GASTROREZ.

P-6L

DR. REDDY'S LABORATORIES

ROMANIA
ROMANIA

CUTIE X 2 BLIST. DIN OPA-AL-PVC/AL X 14 COMPR. FILM. GASTROREZISTENTE

P-6L

CUTIE X 2 BLIST. DIN OPA-AL-PVC/AL X 14 COMPR. FILM. GASTROREZISTENTE

P-6L

DR. REDDY'S LABORATORIES

NYCOMED GMBH
NYCOMED GMBH
NYCOMED GMBH
NYCOMED GMBH

GERMANIA

CUTIE X 1 BLIST. DIN AL/AL X 14 COMPR. FILM. GASTROREZ.

P-6L

GERMANIA

CUTIE X 2 BLIST. DIN AL/AL X 14 COMPR. FILM. GASTROREZ.

P-6L

GERMANIA

CUTIE X 3 BLIST. AL/AL IN SUPORT DE CARTON X 5 COMPR. FILM. GASTROREZ.

P-6L

GERMANIA

CUTIE X 6 BLIST. AL/AL IN SUPORT DE CARTON X 5 COMPR. FILM. GASTROREZ.

P-6L

DR. REDDY'S LABORATORIES

ROMANIA
ROMANIA

CUTIE X 2 BLIST. DIN OPA-AL-PVC/AL X 14 COMPR. FILM. GASTROREZISTENTE

P-6L

CUTIE X 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. GASTROREZ

P-6L

CUTIE X 1 BLIST. OPA-AL-PVC/AL X 28 COMPR. GASTROREZ.

P-6L

CUTIE X 1 BLIST. PA-AL-PVC/AL X 10 COMPR. GASTROREZ.

P-6L

CUTIE X 3 BLIST. PA-AL-PVC/AL X 10 COMPR. GASTROREZ.

P-6L

GEDEON RICHTER ROMANIA SA

PLIVA LJUBLJANA D.O.O. SLOVENIA

TERAPIA S.A.
TERAPIA S.A.
NYCOMED GMBH
NYCOMED GMBH
NYCOMED GMBH
NYCOMED GMBH
NYCOMED GMBH
NYCOMED GMBH

ROMANIA
ROMANIA

KRKA D.D., NOVO MESTO

SLOVENIA

ROMASTRU TRADING S.R.L.

ROMANIA
ROMANIA

GEDEON RICHTER ROMANIA SA

GERMANIA CUTIE CU BLIST. AL/AL X 14 COMPR. GASTROREZ. P-6L


GERMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. GASTROREZ. P-6L
GERMANIA CUTIE CU BLIST. AL/AL X 14 COMPR. GASTROREZ. P-6L
GERMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. GASTROREZ. P-6L
GERMANIA CUTIE CU BLIST. AL/AL X 14 COMPR. GASTROREZ. P-6L
GERMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. GASTROREZ. P-6L

PLIVA LJUBLJANA D.O.O. SLOVENIA

CUTIE X 2 BLIST. OPA-AL-PVC/AL X 15 COMPR. GASTR.

P-6L

CUTIE CU BLIST. PVC-PCTFE-PVDC/AL X 28 COMPR. GASTROREZ.

P-6L

CUTIE X 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. GASTROREZ

P-6L

CUTIE X 1 BLIST. OPA-AL-PVC/AL X 28 COMPR. GASTROREZ.

P-6L

CUTIE X 1 BLIST. PA-AL-PVC/AL X 10 COMPR. GASTROREZ.

P-6L

CUTIE X 3 BLIST. PA-AL-PVC/AL X 10 COMPR. GASTROREZ.

P-6L

TERAPIA S.A.
TERAPIA S.A.
NYCOMED GMBH
NYCOMED GMBH
NYCOMED GMBH
NYCOMED GMBH
NYCOMED GMBH
NYCOMED GMBH

ROMANIA
ROMANIA

KRKA D.D., NOVO MESTO

SLOVENIA

CUTIE X 2 BLIST. OPA-AL-PVC/AL X 15 COMPR. GASTR.

P-6L

ROMASTRU TRADING S.R.L.

ROMANIA

CUTIE CU BLIST. PVC-PCTFE-PVDC/AL X 28 COMPR. GASTROREZ.

P-6L

G.L. PHARMA GMBH


G.L. PHARMA GMBH
NYCOMED GMBH
NYCOMED GMBH
NYCOMED GMBH
NYCOMED GMBH
NYCOMED GMBH
NYCOMED GMBH
NYCOMED GMBH

AUSTRIA
AUSTRIA

CUTIE CU BLIST. AL/AL X 30 COMPR. GASTROREZISTENTE

P6L
P6L

Pagina 1 din 21

GERMANIA CUTIE CU BLIST. AL/AL X 14 COMPR. GASTROREZ. P-6L


GERMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. GASTROREZ. P-6L
GERMANIA CUTIE CU BLIST. AL/AL X 14 COMPR. GASTROREZ. P-6L
GERMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. GASTROREZ. P-6L
GERMANIA CUTIE CU BLIST. AL/AL X 14 COMPR. GASTROREZ. P-6L
GERMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. GASTROREZ. P-6L

CUTIE CU BLIST. AL/AL X 30 COMPR. GASTROREZISTENTE

GERMANIA CUTIE X 1 FLAC. LIOF. PT. SOL. INJ.

S/P-RF

GERMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. S/P-RF

GERMANIA

CUTIE X 5 ( 5 X 1) FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ., AMBALAJ SPITALICESC

S/P-RF

GERMANIA

CUTIE X 20 ( 20 X 1) FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ., AMBALAJ SPITALICESC

S/P-RF

GERMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. S/P-RF

GERMANIA

CUTIE X 5 (5 X 1) FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ.

S/P-RF

GERMANIA

CUTIE X 20 ( 20 X 1) FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ., AMBALAJ SPITALICESC

S/P-RF

Val suportata
Pret
amanunt
de CNAS/UT
Pret
(RON)Legea Val suportata
ul
CNAS/UT
cant/ maximal amanuntul nr. 95/2006 art
(RON) pt.
ambal /ambalaj maximal/UT 213 alin.1 lit.
(RON)
(RON)
a) si f)
Adulti
aj

28 20.17
28 31.25
28 21.80
30 34.43
28 33.54
28 21.80
28 31.25
14 26.53
28 51.35
15 28.43
30 55.02
28 31.25
28 21.80
28 21.80
10
3.53
30 10.57
14 10.71
28 21.48
14 10.63
28 21.31
14 10.82
28 21.65
30 21.62
28 22.31
28 31.25
28 31.25
10
6.44
30 19.34
14 15.38
28 30.77
14 15.49
28 31.02
14 15.27
28 30.52
30 33.47
28 33.40
30 22.02
30 33.70
1 33.22
1 21.59
5 99.20
20 374.13
1 21.25
5 97.67
20 368.95

0.720357
1.116071
0.778571
1.147666
1.197857
0.778571
1.116071
1.895000
1.833928
1.895333
1.834000
1.116071
0.778571
0.778571
0.353000
0.352333
0.765000
0.767142
0.759285
0.761071
0.772857
0.773214
0.720666
0.796785
1.116071
1.116071
0.644000
0.644666
1.098571
1.098928
1.106428
1.107857
1.090714
1.090000
1.115666
1.192857
0.734000
1.123333
33.220000
21.590000
19.840000
18.706500
21.250000
19.534000
18.447500

0.682472
1.116071
0.682472
0.682472
0.682472
0.682472
1.116071
1.364945
1.364945
1.364945
1.364945
1.116071
0.682472
0.682472
0.353000
0.352333
0.682472
0.682472
0.682472
0.682472
0.682472
0.682472
0.682472
0.682472
1.116071
1.116071
0.644000
0.644666
1.098571
1.098928
1.106428
1.107857
1.090714
1.090000
1.115666
1.192857
0.682472
1.123333
33.220000
21.590000
19.840000
18.706500
21.250000
19.534000
18.447500

0.341236
0.558035
0.341236
0.341236
0.341236
0.341236
0.558035
0.682472
0.682472
0.682472
0.682472
0.558035
0.341236
0.341236
0.176500
0.176166
0.341236
0.341236
0.341236
0.341236
0.341236
0.341236
0.341236
0.341236
0.558035
0.558035
0.322000
0.322333
0.549285
0.549464
0.553214
0.553928
0.545357
0.545000
0.557833
0.596428
0.341236
0.561666
16.610000
10.795000
9.920000
9.353250
10.625000
9.767000
9.223750

Nr. crt

46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96

cod ATC
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BX02
A02BX02
A02BX05
A03AB06
A07AA11
A07AA11
A07AA11
A07EA06
A07EA06
A07EA06
A07XA04
A07XA04
A07XA04
A08AB01
A08AB01
A11CC03
A11CC03

DCI

PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
SUCRALFATUM
SUCRALFATUM
BISMUTHI SUBCITRAS
OTILONIUM BROMIDUM
RIFAXIMINUM
RIFAXIMINUM
RIFAXIMINUM
BUDESONIDUM**
BUDESONIDUM**
BUDESONIDUM**
RACECADOTRILUM
RACECADOTRILUM
RACECADOTRILUM
ORLISTATUM****
ORLISTATUM****
ALFACALCIDOLUM
ALFACALCIDOLUM

Denumire Comerciala

forma farm.

PANTOSAL I.V. 40 mg
PANTOSAL I.V. 40 mg
PANTOSAL I.V. 40 mg
NOLPAZA 40 mg

PULB. PT. SOL. INJ.

PANTOPRAZOL ACTAVIS 40 mg

PULB. PT. SOL. INJ.

EMANERA 20 mg
EMANERA 20 mg
HELIDES 20 mg
EMANERA 40 mg
EMANERA 40 mg
HELIDES 40 mg
NEXIUM 20 mg
NEXIUM 20 mg

CAPS. GASTROREZ.

PULB. PT. SOL. INJ.


PULB. PT. SOL. INJ.
PULB. PT. SOL. INJ.

CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.

ESOMEPRAZOL SANDOZ 20 mg

COMPR. GASTROREZ.

NEXIUM 40 mg

COMPR. GASTROREZ.

ESOMEPRAZOL SANDOZ 40 mg
ESOMEPRAZOL TERAPIA 20mg
ESOMEPRAZOL TERAPIA 40mg

NEXIUM 10 mg
NEXIUM 40 mg
GASTROFAIT
VENTER
DE - NOL
SPASMOMEN (R)
NORMIX 200 mg
NORMIX 200 mg
NORMIX 100mg/5ml
BUDENOFALK
BUDENOFALK 2 mg/doza
BUDENOFALK 2 mg/doza
HIDRASEC 100 mg
HIDRASEC 10 mg
HIDRASEC 30 mg
XENICAL 120mg
XENICAL 120mg
ALPHA D3 0,25 mcg
ALPHA D3 0,50 mcg

COMPR. GASTROREZ.
COMPR. GASTROREZISTENTE
COMPR. GASTROREZISTENTE
GRAN. GASTROREZ. PT. SUSP.ORALA

PULB. PT. SOL. INJ./PERF.

COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
GRAN. PT. SUSP. ORALA

CAPS. GASTROREZ.

SPUMA RECTALA
SPUMA RECTALA

CAPS.
PULB. PT. SOL. ORALA
PULB. PT. SOL. ORALA

CAPS.
CAPS.
CAPS. MOI
CAPS. MOI

A16AX01 ACIDUM TIOCTICUM (ALFA-LIPOICUM)**# THIOCTACID (R) 600 HR (vezi N07XN03)

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

A16AX01 ACIDUM TIOCTICUM (ALFA-LIPOICUM)**# THIOGAMMA (R) 600 INJEKT (vezi N07XN03)

CONC. PT. SOL. PERF.

A16AX01 ACIDUM TIOCTICUM (ALFA-LIPOICUM)**# THIOGAMMA (R) 600 INJEKT (vezi N07XN03)

CONC. PT. SOL. PERF.

A16AX01 ACIDUM TIOCTICUM (ALFA-LIPOICUM)**# THIOCTACID 600T (vezi N07XN03)

SOL. INJ.
SOL. PERF.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.

A16AX01 ACIDUM TIOCTICUM (ALFA-LIPOICUM)**# THIOGAMMA (R) 600 oral (vezi A16AX01)
A16AX01 ACIDUM TIOCTICUM (ALFA-LIPOICUM)**# THIOGAMMA (R) 600 oral (vezi A16AX01)
A16AX01 ACIDUM TIOCTICUM (ALFA-LIPOICUM)**# THIOGAMMA (R) 600 oral (vezi A16AX01)

A16AX01 ACIDUM TIOCTICUM (ALFA-LIPOICUM)**# THIOGAMMA (R) TURBO-SET (vezi N07XN03)


B01AB04
B01AB04
B01AB04
B01AB04
B01AB04
B01AB04

DALTEPARINUM**#
DALTEPARINUM**#
DALTEPARINUM**#
DALTEPARINUM**#
DALTEPARINUM**#
DALTEPARINUM**#

FRAGMIN 10000 UI/0,4 ml


FRAGMIN 10000 UI/ml
FRAGMIN 12500 UI/0,5 ml
FRAGMIN15000 UI/0,6 ml
FRAGMIN 18000 UI/0,72 ml
FRAGMIN 2500 UI/0,2 ml

concentratie

40mg
40mg
40mg
40mg
40mg
20mg
20mg
20mg
40mg
40mg
40mg
20mg
20mg
20mg
40mg
40mg
20mg
40mg
10mg
40mg
1g
1g
120mg
40mg
200mg
200mg
100mg/5ml
3mg
2mg/doza
2mg/doza
100mg
10mg
30mg
120mg
120mg
0,25mcg
0,50mcg
600mg
600mg
600mg
600mg
30mg/ml
30mg/ml
25mg/ml
12mg/ml

Detinator APP

tara det.
APP

Ambalaj

Prescriptie

NYCOMED GMBH
NYCOMED GMBH
NYCOMED GMBH

GERMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. S/P-RF

GERMANIA

CUTIE X 5 (5 X 1) FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ.

S/P-RF

GERMANIA

CUTIE X 20 ( 20 X 1) FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ., AMBALAJ SPITALICESC

S/P-RF

KRKA D.D., NOVO MESTO

SLOVENIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ.

P-RF

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE CU 1 FLAC. DIN STICLA CU CAPACITATEA DE 15 ML CONTINAND 40 MG PANTOPRAZOL

P-RF

KRKA, D.D., NOVO MESTO SLOVENIA

CUTIE CU BLIST. OPA-AL-PE+DESICANT/AL+ PE X 14 CAPS. GASTROREZ.

P-6L

KRKA, D.D., NOVO MESTO SLOVENIA

CUTIE CU BLIST. OPA-AL-PE+DESICANT/AL+ PE X 28 CAPS. GASTROREZ.

P-6L

ZENTIVA K.S.

CUTIE CU BLIST. PA-AL-PVC/AL X 28 CAPS. GASTROREZ.

P-6L

KRKA, D.D., NOVO MESTO SLOVENIA

CUTIE CU BLIST. OPA-AL-PE+DESICANT/AL+ PE X 14 CAPS. GASTROREZ.

P-6L

KRKA, D.D., NOVO MESTO SLOVENIA

CUTIE CU BLIST. OPA-AL-PE+DESICANT/AL+ PE X 28 CAPS. GASTROREZ.

P-6L

CUTIE CU BLIST. PA-AL-PVC/AL X 28 CAPS. GASTROREZ.

P-6L

SUEDIA
SUEDIA

CUTIE X 1 BLIST. X 7 COMPR. FILM. GASTROREZ.

P-6L

CUTIE X 2 BLIST. X 7 COMPR. FILM. GASTROREZ.

P-6L

ROMANIA

CUTIE CU BLIST. AL/AL X14 COMPR. GASTROREZ. P-6L

SUEDIA

CUTIE X 2 BLIST. AL/PVC X 7 COMPR. FILM. GASTROREZ.

ZENTIVA K.S.
ASTRAZENECA AB
ASTRAZENECA AB
SANDOZ SRL
ASTRAZENECA AB
SANDOZ SRL
TERAPIA S.A.
TERAPIA S.A.
ASTRAZENECA AB
ASTRAZENECA AB

REPUBLICA SLOVACA

REPUBLICA SLOVACA

ROMANIA
ROMANIA
ROMANIA

SUEDIA
SUEDIA

P-6L

CUTIE CU BLIST. AL/AL X14 COMPR. GASTROREZ. P-6L


CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/AL X 14 COMPR. GASTROREZISTENTE

P-6L

CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/AL X 14 COMPR. GASTROREZISTENTE

P-6L

CUTIE X 28 PLICURI DIN PET/AL/PEJD CONTINAND GRANULE GASTROREZ. PT. SUSP. ORALA

P-6L

CUTIE X 10 FLACOANE LIOF. PT. SOL. INJ./PERF.

S/P-RF

E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 5 BLIST. AL/PVC X 4 COMPR. P-6L

KRKA D.D.
ASTELLAS PHARMA EUROPE BV
A. MENARINI IND. FARM. RIUNITE SRL

ALFA WASSERMANN SPA


ALFA WASSERMANN SPA
ALFA WASSERMANN SPA

SLOVENIA CUTIE X 5 BLIST. X 10 COMPR.


OLANDA CUTIE X 5 BLIST. AL/AL X 8 COMPR. FILM.

ITALIA
ITALIA
ITALIA
ITALIA

P-6L
P-6L

CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L

CUTIE X 1 BLIST. AL/PVC X 12 COMPR. FILM. P-RF


CUTIE X 3 BLIST. AL/PVC A CATE 12 COMPR. FILM. P-RF
CUTIE X 1 FLAC. GRAN. PT. 60 ML SUSP. ORALA + 1 MASURA DOZATOARE MARCATA LA 5, 10 SI 15 ML

P-RF

DR. FALK PHARMA GMBH GERMANIA

CUTIE X 10 BLIST. PVC-PVDC/AL X 10 CAPS. CU PELETE GASTROREZ.

P-RF

DR. FALK PHARMA GMBH GERMANIA

CUTIE X 1 FLAC. DIN AL X 14 DOZE X 1,2G SPUMA RECTALA, 14 APLICATOARE LUBREFIANTE PVC SI 14 PUNGI PL

P-RF

DR. FALK PHARMA GMBH GERMANIA

CUTIE X 2 FLAC. DIN AL X 2X14 DOZE X 1,2G SPUMA RECTALA, 2X (14 APLICATOARE PVC LUBREFIANTE SI 14 PU

P-RF

LAB. FOURNIER SA FRANTA CUTIE X 2 BLIST. AL/PVC-PVDC X 10 CAPS.


LAB. FOURNIER SA FRANTA CUTIE X 16 PLICURI X 1 G
LAB. FOURNIER SA FRANTA CUTIE X 30 PLICURI X 3

P-RF

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 21 CAPS. TARI (BLISTER PVC/PE/PVDC)

P-RF

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 84 CAPS. TARI (BLISTER PVC/PE/PVDC)

P-RF

TEVA PHARMACEUTICALS S.R.L.

P-RF

TEVA PHARMACEUTICALS S.R.L.

ROMANIA CUTIE X 1 FLAC. DIN PPID X 50 CAPS. MOI


ROMANIA CUTIE X 1 FLAC. X 30 CAPS. MOI

WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE X 10 BLIST. PVC-PVDC/AL. X 10 COMPR. FILM.

P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE X 3 BLIST. PVC-PVDC/AL. X 10 COMPR. FILM.

P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE X 6 BLIST. PVC-PVDC/AL. X 10 COMPR. FILM.

P-6L

MEDA PHARMA GMBH & CO KG

GERMANIA CUTIE X 1 FLAC. X 30 COMPR. FILM. P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA

S/P-RF

WORWAG PHARMA GMBH & CO. KG

GERMANIA

S/P-RF

MEDA PHARMA GMBH & CO KG


WORWAG PHARMA GMBH & CO. KG

CUTIE X 5 FIOLE X 20 ML
CUTIE X 20 FIOLE X 20 ML
GERMANIA CUTIE X 5 FIOLE X 24 ML SOL.INJ.
GERMANIA CUTIE X 10 FLACOANE X 50 ML

P-RF
P-RF

P-RF

S/P-RF
S/P-RF

10000UI/0,4ml PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 5 BLIST. X 1 SERINGA X 0,4 ML SOL. INJ.

S/P-RF

10000ui/ml

MAREA BRITANIE

CUTIE X 2 SUPORTURI TERMOFORMATATE X 5 FIOLE X 1 ML

S/P-RF

MAREA BRITANIE

CUTIE X 5 BLIST. X 1 SERINGA X 0,5 ML SOL. INJ.

S/P-RF

MAREA BRITANIE

CUTIE X 5 BLIST. INDIVIDUALE CONTINAND FIECARE 1 SERINGA PREUMPLUTA X 0,6 ML SOL. INJ.

S/P-RF

18000 UI/0,72ml PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 5 BLIST. X 1 SERINGA X 0,72 ML SOL. INJ.

S/P-RF

2500ui/0,2ml

MAREA BRITANIE

CUTIE X 10 BLIST. INDIVIDUALE CONTINAND FIECARE 1 SERINGA PREUMPLUTA X 0,2 ML S/P-RF

PFIZER EUROPE MA EEIG

12500 UI/0,5ml PFIZER EUROPE MA EEIG


15000ui/0,6ml PFIZER EUROPE MA EEIG
PFIZER EUROPE MA EEIG

Pagina 2 din 21

Val suportata
Pret
de CNAS/UT
amanunt
Pret
(RON)Legea Val suportata
ul
CNAS/UT
cant/ maximal amanuntul nr. 95/2006 art
ambal /ambalaj maximal/UT 213 alin.1 lit.
(RON) pt.
(RON)
(RON)
a) si f)
Adulti
aj

1
5
20
1
1
14
28
28
14
28
28
7
14
14
14
14
14
14
28
10
20
50
40
30
12
36
1
100
1
2
20
16
30
21
84
50
30
100
30
60
30
5
20
5
10
5
10
5
5
5
10

21.42 21.420000 21.420000 10.710000


98.44 19.688000 19.688000
9.844000
371.54 18.577000 18.577000
9.288500
19.08 19.080000 19.080000
9.540000
21.59 21.590000 21.590000 10.795000
26.16
1.868571
0.909962
0.454981
50.64
1.808571
0.909962
0.454981
50.64
1.808571
0.909962
0.454981
38.26
2.732857
1.819927
0.909963
72.68
2.595714
1.819927
0.909963
72.68
2.595714
1.819927
0.909963
20.12
2.874285
0.909962
0.454981
38.95
2.782142
0.909962
0.454981
29.81
2.129285
0.909962
0.454981
58.85
4.203571
1.819927
0.909963
43.60
3.114285
1.819927
0.909963
26.16
1.868571
0.909962
0.454981
38.26
2.732857
1.819927
0.909963
172.21
6.150357
6.150357
3.075178
293.98 29.398000 29.398000 14.699000
6.12
0.306000
0.306000
0.153000
15.76
0.315200
0.310600
0.155300
39.48
0.987000
0.310600
0.155300
33.17
1.105666
1.105666
0.552833
32.71
2.725833
2.615416
1.307708
90.18
2.505000
2.505000
1.252500
18.88 18.880000
2.615416
1.307708
440.16
4.401600
4.401600
2.200800
415.02 415.020000 379.845000 189.922500
736.24 368.120000 368.120000 184.060000
43.08
2.154000
1.577700
0.788850
40.56
2.535000
1.577700
0.788850
40.56
1.352000
1.352000
0.676000
90.96
4.331428
3.745624
1.872812
298.23
3.550357
3.550357
1.775178
33.24
0.664800
0.403882
0.201941
31.03
1.034333
0.807764
0.403882
210.56
2.105600
2.105600
1.052800
67.79
2.259666
2.134400
1.067200
128.64
2.144000
2.134400
1.067200
102.49
3.416333
2.134400
1.067200
132.78 26.556000 25.211625 12.605812
486.15 24.307500 24.307500 12.153750
135.58 27.116000 25.211625 12.605812
255.13 25.513000 25.211625 12.605812
124.49 24.898000 24.898000 12.449000
263.70 26.370000 26.370000 13.185000
168.87 33.774000 33.080625 16.540312
204.44 40.888000 39.696750 19.848375
232.51 46.502000 46.502000 23.251000
76.68
7.668000
6.616125
3.308062

Nr. crt

97
98
99

cod ATC
B01AB04
B01AB04
B01AB05

100 B01AB05
101 B01AB05
102 B01AB05
103 B01AB06
104 B01AB06
105 B01AB06
106 B01AB06
107 B01AB08
108 B01AB08
109 B01AB10
110 B01AB10
111 B01AB10
112 B01AB10
113 B01AB10
114 B01AB10
115 B01AB10
116 B01AB11
117 B01AB11
118 B01AC04
119 B01AC04
120 B01AC04
121 B01AC04
122 B01AC04
123 B01AC04
124 B01AC04
125 B01AC04
126 B01AC04
127 B01AC04
128 B01AC04
129 B01AC04
130 B01AC04
131 B01AC04
132 B01AC04
133 B01AC04
134 B01AC04
135 B01AC04
136 B01AC04
137 B01AC04
138 B01AC04
139 B01AC04
140 B01AC04
141 B01AC04
142 B01AC04
143 B01AC04
144 B01AC04
145 B01AC04
146 B01AC04
147 B01AC04

DCI

DALTEPARINUM**#
DALTEPARINUM**#
ENOXAPARINUM**#
ENOXAPARINUM**#
ENOXAPARINUM**#
ENOXAPARINUM**#
NADROPARINUM**#
NADROPARINUM**#
NADROPARINUM**#
NADROPARINUM**#
REVIPARINUM**#
REVIPARINUM**#
TINZAPARINUM**#
TINZAPARINUM**#
TINZAPARINUM**#
TINZAPARINUM**#
TINZAPARINUM**#
TINZAPARINUM**#
TINZAPARINUM**#
SULODEXIDUM**
SULODEXIDUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**

Denumire Comerciala

FRAGMIN 5000 UI/0,2 ml


FRAGMIN 7500 UI/0,3 ml
CLEXANE 2000ui anti-Xa/0,2ml
CLEXANE 4000ui anti-Xa/0,4ml
CLEXANE 6000ui anti-Xa/0,6ml
CLEXANE 8000ui anti-Xa/0,8ml
FRAXIPARINE 2850 UI anti-factor Xa/0,3 ml
FRAXIPARINE 3800 UI anti-factor Xa/0,4 ml
FRAXIPARINE 5700 UI anti-factor Xa/0,6 ml
FRAXIPARINE 7600 UI anti-factor Xa/0,8 ml

CLIVARIN (R) 1432UI/0,25 ml


CLIVARIN (R) 3436 UI/0,6 ml
INNOHEP
INNOHEP
INNOHEP
INNOHEP
INNOHEP
INNOHEP
INNOHEP
VESSEL DUE F
VESSEL DUE F
PLAVIX 300mg
CLOPIDOGREL TEVA 75 mg
ZYLLT
PLAVIX 75mg
TROMBEX 75 mg
EGITROMB 75 mg
TROMBEX 75 mg
CLOPIDOGREL MYLAN 75mg
TROGRAN 75 mg
CLOPIDOGREL DR. REDDY'S 75 mg
CLOPIDOGREL DR. REDDY'S 75 mg

CLOPIGAMMA 75 mg
CLOPIGAMMA 75 mg
CLOPIGAMMA 75 mg
CLOPIGAMMA 75 mg
PLAVOCORIN 75 mg
TESSYRON 75 mg
TUXEDON 75 mg
TUXEDON 75 mg
CLOPIDOGREL ACTAVIS 75 mg

DEFROZYP 75 mg
TESSYRON 75 mg
CLORODEN 75 mg
CLORODEN 75 mg
VATOUD 75 mg
LOFRADYK 75 mg
CLOPIDOGREL DR. REDDY'S 75 mg
CLOPIDOGREL DR. REDDY'S 75 mg

MOYTOR 75 mg
PLATEL 75 mg

forma farm.

SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
CAPS. MOI
SOL. INJ.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

concentratie

Detinator APP

tara det.
APP

Ambalaj

Prescriptie

5000ui/0,2ml
7500ui/0,3ml

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 10 BLIST. INDIVIDUALE CONTINAND FIECARE 1 SERINGA PREUMPLUTA X 0,2 ML S/P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 10 BLIST. INDIVIDUALE CONTINAND FIECARE 1 SERINGA PREUMPLUTA X 0,3 ML S/P-RF

2000ui anti-Xa/0,2ml

8000ui anti-Xa/0,8ml

LAB. AVENTIS
LAB. AVENTIS
LAB. AVENTIS
LAB. AVENTIS

FRANTA
FRANTA
FRANTA
FRANTA

2850 ui AFXa/0,3ml

GLAXO GROUP LIMITED/GLAXO WELLCOME HOUSE

MAREA BRITANIE

CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,3 ML SOL. INJ. S/P-RF

3800 ui AFXa/0,4ml

GLAXO GROUP LIMITED/GLAXO WELLCOME HOUSE

MAREA BRITANIE

CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,4 ML SOL. INJ. S/P-RF

5700 ui AFXa/0,6ml

GLAXO GROUP LIMITED/GLAXO WELLCOME HOUSE

MAREA BRITANIE

CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,6 ML SOL. INJ. S/P-RF

7600 ui AFXa/0,8ml

GLAXO GROUP LIMITED/GLAXO WELLCOME HOUSE

MAREA BRITANIE

CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,8 ML SOL. INJ. S/P-RF

4000ui anti-Xa/0,4ml
6000ui anti-Xa/0,6ml

1432ui/0,25ml ABBOTT GMBH&CO.KG GERMANIA


3436ui/0,6ml ABBOTT GMBH&CO.KG GERMANIA
10000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA

CUTIE X 10 SERINGI PREUMPLUTE X 0,2 ML SOL. INJ.

S/P-RF

CUTIE X 10 SERINGI PREUMPLUTE X 0.4 ML SOL. INJ.

S/P-RF

CUTIE X 10 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ.

S/P-RF

CUTIE X 2 SERINGI PREUMPLUTE X 0,8 ML SOL. INJ.

S/P-RF

CUTIE X 2 BLIST. X 5 SERINGI PREUMPLUTE UNIDOZA X 0,25ML

S/P-RF

CUTIE X 1 BLIST X 5 SERINGI PREUMPLUTE UNIDOZA X 0,60 ML

S/P-RF

CUTIE X 10 FLAC. DIN STICLA INCOLORA X 2 ML SOL. INJ. (10000 U-AXA)

S/P-RF

10000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 2 SERINGI PREUMPLUTE X 0.35 ML SOL. INJ. (3500 U-AXA)

S/P-RF

10000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 2 SERINGI PREUMPLUTE X 0.45 ML SOL. INJ. (4500 U-AXA)

S/P-RF

20000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 2 SERINGI PREUMPLUTE X 0,50 ML SOL. IN. (10000 U-AXA)

S/P-RF

20000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA

CUTIE X 10 FLAC. DIN STICLA INCOLORA X 2ML SOL. INJ. (20000 U-AXA)

S/P-RF

20000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 2 SERINGI PREUMPLUTE X 0,70 ML SOL. IN. (14000 U-AXA)

S/P-RF

20000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 2 SERINGI PREUMPLUTE X 0,90 ML SOL. IN. (18000 U-AXA)

S/P-RF

250ULS
600ULS/2ml
300mg
75 mg
75 mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg

ALFA WASSERMANN SPA


ALFA WASSERMANN SPA
SANOFI PHARMA - BRISTOL MYERS SQUIBB

TEVA PHARMA BV

ITALIA
ITALIA
FRANTA
OLANDA

CUTIE X 2 BLIST. PVDC-PVC/AL-PVDC X 25 CAPS. MOI

P-RF

CUTIE X 10 FIOLE DIN STICLA GALBENA X 2 ML

P-RF

CUTIE X 30X1 COMPR. FILM. (BLIST. AL/AL PERFORATE UNIDOZA)

P-RF

CUTIE CU BLIST. AL/AL X 28 X 1 COMPR. FILM. P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA/AL/PVC-AL X 28 COMPR. FILM. P-RF

FRANTA
CEHIA

CUTIE X 28 COMPR. FILM. (BLIST. PVC/PVDC/AL) P-RF

ZENTIVA K.S.
EGIS PHARMACEUTICALS P.L.C.

UNGARIA

CUTIE CU BLIST. OPA-AL-PVDC/AL X 28 COMPR. FILM.

ZENTIVA K.S.
MYLAN S.A.S.

CEHIA
FRANTA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 90 COMPR. FILM. P-RF

GLENMARK PHARMACEUTICALS SRL

REPUBLICA CEHA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.

P-RF

DR. REDDY'S LABORATORIES

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.

P-RF

DR. REDDY'S LABORATORIES

ROMANIA
ROMANIA

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM.

P-RF

WORWAG PHARMA GMBH & CO. KG

GERMANIA

P-RF

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. AL/AL X 84 COMPR. FILM.

P-RF

WORWAG PHARMA GMBH & CO. KG

GERMANIA

P-RF

SANOFI PHARMA - BRISTOL MYERS SQUIBB

SANDOZ S.R.L.

ROMANIA
GEDEON RICHTER PLC. UNGARIA
ICN POLFA RZESZOW S.A.
ICN POLFA RZESZOW S.A.
ACTAVIS GROUP PTC EHF.

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 30 COMPR. FILM. P-RF

P-RF

CUTIE CU BLIST. DIN OPA/AL/PVC-AL X 28 COMPR.FILM. P-RF

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.

CUTIE CU BLIST. PVC-PE-PVDC/AL X 84 COMPR. FILM.

P-RF

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.

P-RF

CUTIE CU BLIST. PVC-PCTFE-PVC/AL X 30 COMPR. FILM.

P-RF

POLONIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.


POLONIA CUTIE CU BLIST. OPA-AL-PVC/AL X 84 COMPR. FILM.
ISLANDA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM.

P-RF
P-RF
P-RF

LABORMED PHARMA S.A. ROMANIA

CUTIE CU BLIST. OPA-AL-PVDC/AL X 28 COMPR. FILM.

P-RF

ROMANIA

CUTIE CU BLIST. PVC-PCTFE-PVC/AL X 30 COMPR. FILM.

P-RF

IWA CONSULTING APS DANEMARCA


IWA CONSULTING APS DANEMARCA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.

P-RF

ALVOGEN IPCO S.A.R.L LUXEMBURG

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.

P-RF

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.

P-RF

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.

P-RF

GEDEON RICHTER ROMANIA SA

PHARMASWISS MEDICINES S.R.L.

DR. REDDY'S LABORATORIES


DR. REDDY'S LABORATORIES

ROMASTRU TRADING S.R.L.

ROMANIA
ROMANIA
ROMANIA
ROMANIA

MEDOCHEMIE LTD. CIPRU


Pagina 3 din 21

CUTIE CU BLIST. PA-AL-PVC/AL (AL-AL) X 28 COMPR. FILM. P-RF

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.

P-RF

CUTIE CU BLIST. PCTFE-PE-PVC/AL X 28 COMPR. FILM.

P-RF

CUTIE CU BLIST. AL/AL X 10 COMPR. FILM.

P-RF

Val suportata
Pret
de CNAS/UT
amanunt
Pret
(RON)Legea Val suportata
ul
CNAS/UT
cant/ maximal amanuntul nr. 95/2006 art
ambal /ambalaj maximal/UT 213 alin.1 lit.
(RON) pt.
(RON)
(RON)
a) si f)
Adulti
aj

10
10
10
10
10
2
10
10
10
10
10
5
10
2
2
2
10
2
2
50
10
30
28
28
28
30
28
90
28
28
28
30
28
28
84
84
28
30
28
84
28
28
30
28
28
28
28
28
30
28
10

140.49
200.61
72.08
142.87
185.68
51.58
74.53
102.24
130.90
187.52
83.47
100.22
530.57
25.82
34.70
72.79
1,100.99

101.96
125.59
101.62
77.50
772.47
78.58
89.43
120.91
82.83
78.58
239.56
83.61
78.58
78.55
84.17
67.72
67.72
213.07
213.07
88.44
84.20
37.92
123.53
78.55
78.55
84.20
67.67
67.67
72.94
67.42
78.55
84.17
78.58
30.54

14.049000
20.061000
7.208000
14.287000
18.568000
25.790000
7.453000
10.224000
13.090000
18.752000
8.347000
20.044000
53.057000
12.910000
17.350000
36.395000
110.099000
50.980000
62.795000
2.032400
7.750000
25.749000
2.806428
3.193928
4.318214
2.761000
2.806428
2.661777
2.986071
2.806428
2.805357
2.805666
2.418571
2.418571
2.536547
2.536547
3.158571
2.806666
1.354285
1.470595
2.805357
2.805357
2.806666
2.416785
2.416785
2.605000
2.407857
2.805357
2.805666
2.806428
3.054000

13.232250
19.848375
6.616125
13.232250
18.568000
25.790000
6.616125
8.821497
13.090000
17.642995
6.625374
15.897211
37.806423
6.616125
8.506444
18.903208
75.612854
26.464500
34.025784
2.032400
7.750000
18.386353
2.806428
3.193928
4.318214
2.761000
2.806428
2.661777
2.986071
2.806428
2.805357
2.805666
2.418571
2.418571
2.536547
2.536547
3.158571
2.806666
1.354285
1.470595
2.805357
2.805357
2.806666
2.416785
2.416785
2.605000
2.407857
2.805357
2.805666
2.806428
3.054000

6.616125
9.924187
3.308062
6.616125
9.284000
12.895000
3.308062
4.410748
6.545000
8.821497
3.312687
7.948605
18.903211
3.308062
4.253222
9.451604
37.806427
13.232250
17.012892
1.016200
3.875000
9.193176
1.403214
1.596964
2.159107
1.380500
1.403214
1.330888
1.493035
1.403214
1.402678
1.402833
1.209285
1.209285
1.268273
1.268273
1.579285
1.403333
0.677142
0.735297
1.402678
1.402678
1.403333
1.208392
1.208392
1.302500
1.203928
1.402678
1.402833
1.403214
1.527000

Nr. crt

cod ATC

DCI

152 B01AC18

CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
TRIFLUSALUM

153 B01AC30

COMBINATII (ACID ACETYLSALICYLICUM+DIPYRIDAMOLUM)**

154 B01AX05

FONDAPARINUX SODIUM**#
FONDAPARINUX SODIUM**#

148 B01AC04
149 B01AC04
150 B01AC04
151 B01AC04

155 B01AX05

156 B03AC02 COMPLEX DE HIDROXID DE FER (III) SUCROZA


157 C01BB02
158 C01EB17
159 C01EB17
160 C01EB17
161 C01EB17
162 C02AC05
163 C02AC05
164 C02AC05
165 C02AC05
166 C02AC05
167 C02AC05
168 C02AC05
169 C02AC05
170 C02AC05
171 C02AC05
172 C02AC06
173 C02AC06
174 C02CA01
175 C02CA01
176 C03DA04
177 C03DA04
178 C03DA04
179 C03DA04
180 C04AE02
181 C04AE02
182 C04AE02
183 C04AE02
184 C04AE02
185 C04AE02
186 C04AE02
187 C04AE02
188 C04AE02
189 C04AE02
190 C04AE02
191 C04AE02
192 C04AE02
193 C04AX07
194 C04AX07
195 C04AXN1
196 C04AXN1
197 C04AXN1
198 C04AXN1

MEXILETINUM
IVABRADINUM**
IVABRADINUM**
IVABRADINUM**
IVABRADINUM**
MOXONIDINUM
MOXONIDINUM
MOXONIDINUM
MOXONIDINUM
MOXONIDINUM
MOXONIDINUM
MOXONIDINUM
MOXONIDINUM
MOXONIDINUM
MOXONIDINUM
RILMENIDINUM
RILMENIDINUM
PRAZOSINUM
PRAZOSINUM
EPLERENONUM*#
EPLERENONUM*#
EPLERENONUM*#
EPLERENONUM*#
NICERGOLINUM
NICERGOLINUM
NICERGOLINUM
NICERGOLINUM
NICERGOLINUM
NICERGOLINUM
NICERGOLINUM
NICERGOLINUM
NICERGOLINUM
NICERGOLINUM
NICERGOLINUM
NICERGOLINUM
NICERGOLINUM
VINCAMINUM
VINCAMINUM
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**

forma farm.
PLATEL 75 mg
COMPR. FILM.
PLATEL 75 mg
COMPR. FILM.
PLATEL 75 mg
COMPR. FILM.
CLOPIDOGREL TERAPIA 75 mg COMPR. FILM.
Denumire Comerciala

AFLEN (R)
AGGRENOX
ARIXTRA 2,5mg/0,5ml
ARIXTRA 7,5mg/0,6ml
VENOFER (R)
MEXITIL (R) 200 mg
CORLENTOR 5mg
CORLENTOR 5mg
CORLENTOR 7,5mg
CORLENTOR 7,5mg
MOXOGAMMA 0,2 mg
PHYSIOTENS 0,2
MOXONIDINA MYLAN 0,2 mg
PHYSIOTENS 0,2
MOXOGAMMA 0,3 mg
MOXONIDINA MYLAN 0,3 mg
MOXOGAMMA 0,4 mg
PHYSIOTENS 0,4
MOXONIDINA MYLAN 0,4 mg
PHYSIOTENS 0,4
TENAXUM
RILMENIDINA TEVA 1 mg
MINIPRESS (R) 1 mg
MINIPRESS (R) 2 mg
INSPRA 25 mg
INSPRA 25 mg
INSPRA 50 mg
INSPRA 50 mg
NICERIUM (R) 15
NICERIUM (R) 30 UNO
NICERGOLINA LPH 10 mg
GRALIN 10 mg
SERMION
NICERGOLINA LPH 30 mg
GRALIN 30 mg
NICERGOLINA LPH 5 mg
GRALIN 5 mg
NICERIUM (R) 10
SINERGOLIN 10
SINERGOLIN 30
SINERGOLIN 30
OXYBRAL SR 30 mg
VINCAMINA

concentratie

Detinator APP

CAPS.

75mg
75mg
75mg
75mg
300mg

MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
TERAPIA S.A.
GALENICA S.A.

CAPS. ELIB. MODIF.

25mg/200mg

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ./PERF.

CAPS.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

COMPR.
COMPR.
COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
CAPS. ELIB. MODIF.
CAPS. ELIB. MODIF.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

DRAJ.
DRAJ.
DRAJ.
DRAJ.
CAPS. ELIB. PREL.

DRAJ.
BILOBIL INTENS 120 mg (vezi N06DX02) CAPS.
BILOBIL 40 mg (C04AXN1) CAPS.
BILOBIL 40 mg (C04AXN1) CAPS.
BILOBIL FORTE (vezi C04AXN1) CAPS.

2,5mg/0,5ml
7,5mg/0,6ml
20mg/ml
200mg
5mg
5mg
7,5mg
7,5mg
0,2mg
0,2mg
0,2mg
0,2mg
0,3mg
0,3mg
0,4mg
0,4mg
0,4mg
0,4mg
1mg
1mg
1mg
2mg
25mg
25mg
50mg
50mg
15mg
30mg
10mg
10mg
30mg
30mg
30mg
5mg
5mg
10mg
10mg
30mg
30mg
30mg
10mg
120mg
40mg
40mg
80mg

GLAXO GROUP LTD.


GLAXO GROUP LTD.
VIFOR FRANCE S.A.
BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

LES LAB. SERVIER


LES LAB. SERVIER
LES LAB. SERVIER
LES LAB. SERVIER
WORWAG PHARMA GMBH
SOLVAY PHARMACEUTICALS BV

GENERICS (UK) LTD


ABBOTT PRODUCTS GMBH

WORWAG PHARMA GMBH

GENERICS (UK) LTD


WORWAG PHARMA GMBH
SOLVAY PHARMACEUTICALS BV

GENERICS (UK) LTD


ABBOTT PRODUCTS GMBH
LES LABORATOIRES SERVIER
TEVA PHARMACEUTICALS S.R.L.

PFIZER EUROPE MA EEIG


PFIZER EUROPE MA EEIG
PFIZER EUROPE MA EEIG
PFIZER EUROPE MA EEIG
PFIZER EUROPE MA EEIG
PFIZER EUROPE MA EEIG

HEXAL AG
HEXAL AG
LABORMED PHARMA SA
LABORMED PHARMA S.A.
PFIZER EUROPE MA EEIG

LABORMED PHARMA SA
LABORMED PHARMA S.A.

LABORMED PHARMA SA
LABORMED PHARMA S.A.

HEXAL AG
SINTOFARM SA
SINTOFARM SA
SINTOFARM SA
GLAXOSMITHKLINE (GSK) SRL

BIOFARM SA
KRKA D.D. NOVO MESTO
KRKA D.D. NOVO MESTO
KRKA D.D. NOVO MESTO
KRKA D.D. NOVO MESTO

Pagina 4 din 21

tara det.
APP

CIPRU
CIPRU
CIPRU

Ambalaj

Prescriptie

Val suportata
Pret
de CNAS/UT
amanunt
Pret
(RON)Legea Val suportata
ul
CNAS/UT
cant/ maximal amanuntul nr. 95/2006 art
ambal /ambalaj maximal/UT 213 alin.1 lit.
(RON) pt.
(RON)
(RON)
a) si f)
Adulti
aj

30
60
CUTIE CU BLIST. AL/AL X 90 COMPR. FILM. P-RF
90
ROMANIA CUTIE CU 3 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. PRF
30
GRECIA CUTIE X 5 BLIST. X 10 CAPS.
P-RF
50
GERMANIA CUTIE X 1 FLAC. DIN PP X 60 CAPS. CU ELIB.MODIF. P-6L
60
MAREA BRITANIE
P-RF
10
MAREA BRITANIE
P-RF
10
FRANTA CUTIE X 5 FIOLE X 5 ML
S/P-RF
5
GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-RF 100
FRANTA CUTIE X 28 COMPR. FILM. (BLIST. AL/PVC TIP CALENDAR) P-6L 28
FRANTA CUTIE X 56 COMPR. FILM. (BLIST. AL/PVC TIP CALENDAR) P-6L 56
FRANTA CUTIE X 56 COMPR. FILM. (BLIST. AL/PVC TIP CALENDAR) P-6L 56
FRANTA CUTIE X 28 COMPR. FILM. (BLIST. AL/PVC TIP CALENDAR) P-6L 28
GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L
30
GERMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 28 COMPR.FILM. P-6L
28
MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L
28
GERMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 28 COMPR.FILM. P-6L
28
GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L
30
MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L
28
GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L
30
GERMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 28 COMPR.FILM. P-6L
28
MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L
28
GERMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 28 COMPR.FILM. P-6L
28
FRANTA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-6L 30
ROMANIA
P6L
30
MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
P-6L
30
MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
P-6L
30
MAREA BRITANIE CUTIE X 3 BLIST. PERFORATE UNIDOZA PVC/AL X 10 COMPR. FILM.
P-RF
30
MAREA BRITANIE CUTIE X 1 BLIST. PERFORAT UNIDOZA PVC/AL X 10 COMPR. FILM. P-RF
10
MAREA BRITANIE CUTIE X 3 BLIST. PERFORATE UNIDOZA PVC/AL X 10 COMPR. FILM.
P-RF
30
MAREA BRITANIE CUTIE X 1 BLIST. PERFORAT UNIDOZA PVC/AL X 10 COMPR. FILM. P-RF
10
GERMANIA CUTIE X 3 BLIST. PP/AL X 10 CAPS. ELIB. MODIF. P-6L
30
GERMANIA CUTIE X 3 BLIST. PP/AL X 10 CAPS. ELIB. MODIF. P-6L
30
ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM. P-6L
30
ROMANIA CUTIE X 2 BLIST. PVC/AL X 15 COMPR. FILM. P-6L
30
MAREA BRITANIE CUTIE X 2 BLIST. PVC-PVDC/AL-PVC X 15 COMPR. FILM P-6L
30
ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM. P-6L
30
ROMANIA CUTIE X 2 BLIST. PVC/AL X 15 COMPR. FILM. P-6L
30
ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM. P-6L
30
ROMANIA CUTIE X 2 BLIST. PVC/AL X 15 COMPR. FILM. P-6L
30
GERMANIA CUTIE X 1 BLIST. AL/PVC X 25 DRAJ. P-6L
25
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 DRAJ. P-6L
20
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 DRAJ. P-6L
30
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 DRAJ. P-6L
20
ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 CAPS. CU ELIB. PREL. P-6L
10
ROMANIA CUTIE X 1 BLIST. AL/PVC X 20 DRAJ. P-6L
20
SLOVENIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 CAPS. P-6L
60
SLOVENIA CUTIE X 2 BLIST. AL/PVC-PVDC X 10 CAPS. P-6L
20
SLOVENIA CUTIE X 6 BLIST. AL/PVC-PVDC X 10 CAPS. P-6L
60
SLOVENIA CUTIE X 6 BLIST. AL/PVC X 10 CAPS. P-6L
60
CUTIE CU BLIST. AL/AL X 30 COMPR. FILM.

P-RF

CUTIE CU BLIST. AL/AL X 60 COMPR. FILM.

P-RF

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

CUTIE CU BLIST. AL/AL (FOLIE AL CFF (FORMATA LA RECE)/FOLIE AL ACOPERITA LA CALD CU UN STRAT DE LAC)

84.20
159.68
239.53
84.20
83.93
62.87
231.06
646.42
148.01
58.06
158.35
237.45
257.30
158.35
21.54
32.11
13.08
32.11
25.56
19.98
32.76
43.29
26.27
43.29
41.13
27.61
5.67
7.92
183.41
65.63
183.41
65.63
27.57
50.79
13.30
13.30
47.75
32.06
32.06
6.69
6.69
13.94
8.97
32.00
21.34
9.15
6.02
64.42
9.48
27.18
44.75

2.806666
2.661333
2.661444
2.806666
1.678600
1.047833
23.106000
64.642000
29.602000
0.580600
5.655357
4.240178
4.594642
5.655357
0.718000
1.146785
0.467142
1.146785
0.852000
0.713571
1.092000
1.546071
0.938214
1.546071
1.371000
0.920333
0.189000
0.264000
6.113666
6.563000
6.113666
6.563000
0.919000
1.693000
0.443333
0.443333
1.591666
1.068666
1.068666
0.223000
0.223000
0.557600
0.448500
1.066666
1.067000
0.915000
0.301000
1.073666
0.474000
0.453000
0.745833

2.806666
2.661333
2.661444
2.806666
1.678600
1.047833
21.937000
64.642000
29.602000
0.580600
3.234106
3.234106
4.594642
4.851160
0.718000
0.861813
0.467142
0.861813
0.852000
0.713571
1.092000
1.546071
0.938214
1.546071
1.292721
0.920333
0.146250
0.264000
3.225333
3.225333
6.113666
6.450666
0.569099
1.138199
0.379399
0.379399
1.138199
1.068666
1.068666
0.189699
0.189699
0.379399
0.379399
1.066666
1.067000
0.906000
0.301000
1.073666
0.387333
0.387333
0.745833

1.403333
1.330666
1.330722
1.403333
0.839300
0.523916
10.968500
32.321000
14.801000
0.290300
1.617053
1.617053
2.297321
2.425580
0.359000
0.430906
0.233571
0.430906
0.426000
0.356785
0.546000
0.773035
0.469107
0.773035
0.646360
0.460166
0.073125
0.132000
1.612666
1.612666
3.056833
3.225333
0.284549
0.569099
0.189699
0.189699
0.569099
0.534333
0.534333
0.094849
0.094849
0.189699
0.189699
0.533333
0.533500
0.453000
0.150500
0.536833
0.193666
0.193666
0.372916

Nr. crt

cod ATC

DCI

227 C07AB12

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
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM

228 C07BB07

COMBINATII (BISOPROLOLUM+HYDROCHLOROTHIAZIDUM)

229 C07BB07

COMBINATII (BISOPROLOLUM+HYDROCHLOROTHIAZIDUM)

230 C07BB07

COMBINATII (BISOPROLOLUM+HYDROCHLOROTHIAZIDUM)

199 C04AXN1
200 C04AXN1
201 C04AXN1
202 C04AXN1
203 C04AXN1
204 C04AXN1
205 C04AXN1
206 C04AXN1
207 C04AXN1
208 C04AXN1
209 C04AXN1
210 C04AXN1
211 C04AXN1
212 C04AXN1
213 C05CA53
214 C07AB12
215 C07AB12
216 C07AB12
217 C07AB12
218 C07AB12
219 C07AB12
220 C07AB12
221 C07AB12
222 C07AB12
223 C07AB12
224 C07AB12
225 C07AB12
226 C07AB12

231 C07EBN1 COMBINATII (METOPROLOLUL+FELODIPINUM)


232 C08CA09
233 C08CA13
234 C08CA13
235 C08CA13
236 C08CA13
237 C08CA13
238 C08CA13
239 C08CA13
240 C08CA13
241 C08CA13
242 C08CA13
243 C08CA13
244 C08CA13
245 C08CA13
246 C09AA04
247 C09AA04
248 C09AA04
249 C09AA04

LACIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM

Denumire Comerciala
GINGIUM 120mg (vezi N06DX02)
FLAVOTAN 40 mg (C04AXN1)
TANAKAN (EGB 761) (N06DX02)
GINGIUM 40mg (vezi N06DX02 )

TEBOKAN (vezi C04AXN1)


TEBOKAN (vezi C04AXN1)
GINKOFAR 40 mg (vezi N06DX02)
GINKOFAR 40 mg (vezi N06DX02)
GINKOFAR 40 mg (vezi N06DX02)
GINKO BILOBA BIOFARM 40 mg (vezi N06DX02)

GINGIUM 80mg (vezi N06DX02)


GINKGO BILOBA BIOFARM 80 mg (vezi N06DX02)
GINKGO BILOBA BIOFARM 80 mg (vezi N06DX02)

TANAKAN (EGB 761) (C04AXN1)

DETRALEX ( R )
EZOCEM 5 mg
EZOCEM 5 mg
NEBLOTENSOL 5 mg
NEBILET (R)
NEBIVOLOL ACTAVIS 5 mg
NEBACOP 5 mg
NEBACOP 5 mg
X-PRESSOL 5 mg
NOLET 5 mg
NEBIVOLOL TEVA 5 mg
NEBIVOLOL TEVA 5 mg
VOXNEBIN 5 mg
NEBINORM 5 mg
NEBICARD 5 mg
LODOZ 2,5 mg
LODOZ 10 mg
LODOZ 5 mg
LOGIMAX (R)
LACIPIL 4 mg
LERIDIP
LERCANIDIPIN ACTAVIS 10 mg
LERCANIDIPIN ACTAVIS 10 mg

PEGFEL 10 mg
LERIDIP
LERPIN 10 mg
KAPIDIN10 mg
LERIDIP 20
LERCANIDIPIN ACTAVIS 20 mg
LERCANIDIPIN ACTAVIS 20 mg

PEGFEL 20 mg
LERIDIP 20
LERPIN 20 mg
PRENESSA 2 mg
PERYL 2 mg
COVEREX (R) 4 mg
PERINDOPRIL TEVA 4 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.

concentratie

120mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
80mg
80mg
80mg
PICATURI ORALE-SOL. 40mg/ml
COMPR. FILM. 500mg
COMPR
5mg
COMPR
5mg
COMPR.
5 mg
COMPR.
5mg
COMPR.
5mg
COMPR.
5mg
COMPR.
5mg
COMPR.
5mg
COMPR.
5mg
COMPR.
5mg
COMPR.
5mg
COMPR.
5mg
COMPR.
5mg
COMPR.
5mg
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
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.
COMPR.
COMPR.
COMPR.

50mg+5mg
4mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
20mg
20mg
20mg
20mg
20mg
20mg
2mg
2mg
4mg
4mg

Detinator APP

HEXAL AG

tara det.
APP

Ambalaj

GERMANIA CUTIE X 3 BLIST. AL/PP X 10 COMPR. FILM.

Prescriptie

P-6L

LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. X 10 COMPR. FILM. P-6L

IPSEN BIOTECH
HEXAL AG

GERMANIA CUTIE X 3 BLIST. AL/PP X 10 COMPR. FILM.

P-6L

DR. WILLMAR SCHWABE GMBH & CO KG

GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR.

P-6L

DR. WILLMAR SCHWABE GMBH & CO KG

GERMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-6L

ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.


ROMANIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.
ROMANIA CUTIE X 9 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM.

P-6L

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

BMF PHARM S.R.L.


BMF PHARM S.R.L.
BMF PHARM S.R.L.
BIOFARM S.A.
HEXAL AG
BIOFARM S.A.
BIOFARM S.A.

FRANTA

FRANTA
LES LAB. SERVIER IND. FRANTA
OZONE LABORATORIES BV OLANDA
BEAUFOUR IPSEN PHARMA

CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM. P-6L

P-6L
P-6L
P-6L

CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM. P-6L


CUTIE X 28 COMPR. IN BLIST. PVC-PE-PVDC/AL

P-6L

CUTIE X 28 COMPR. IN BLIST. PVC-PE-PVDC/AL

P-6L

LANNACHER HEILMITTEL GES.M.B.H.

AUSTRIA CUTIE CU BLIST. PVC/AL X 30 COMPR.

P-6L

BERLIN CHEMIE AG MENARINI GROUP

GERMANIA CUTIE X 4 BLIST. AL/PVC X 7 COMPR. P-6L

OZONE LABORATORIES PHARMA S.A.

ROMANIA

ACTAVIS S.R.L.
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
JUST BUSINESS SRL ROMANIA CUTIE X 2 BLIST. PVC/AL X 14 COMPR.
JUST BUSINESS SRL ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR.
LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR.
ANTIBIOTICE S.A. ROMANIA CUTIE X 3 BLIST. PVC- PE- PVDC/AL X 10 COMPR.
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR.
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR.
SANDOZ S.R.L.
ROMANIA CUTIE CU BLIST. PVC/AL X 28 COMPR.
GLENMARK PHARMACEUTICALS SRL

BIOFARM SP.ZO.O
MERCK KGAA
MERCK KGAA
MERCK KGAA
ASTRAZENECA AB

CEHIA
POLONIA

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR.

P-6L
P-6L
P-6L
P-RF

P-6L
P-6L
P-6L
P-6L
P-6L

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. P-6L

GERMANIA CUTIE X 3 BLIST. PP/AL X 10 COMPR. FILM.

P-6L

GERMANIA CUTIE X 3 BLIST. PP/AL X 10 COMPR. FILM.

P-6L

GERMANIA CUTIE X 3 BLIST. PP/AL X 10 COMPR. FILM.

P-6L

SUEDIA

CUTIE X 1 FLAC. PVC X 30 COMPR. ELIB. PREL.

P-6L

GLAXO OPERATIONS UK LTD.

MAREA BRITANIE

CUTIE X 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM.

P-6L

BERLIN CHEMIE AG MENARINI GROUP

GERMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR.FILM. P-6L

ACTAVIS GROUP PTC EHF.

ISLANDA
ISLANDA

CUTIE CU BLIST. AL/PVC X 28 COMPR. FILM. P-6L

ACTAVIS GROUP PTC EHF.


DR. REDDY'S LABORATORIES

ROMANIA

CUTIE CU BLIST. PVC-PVCDC/AL X 28 COMPR. FILM.

BERLIN CHEMIE AG MENARINI GROUP

GERMANIA CUTIE X 4 BLIST. AL/PVC X 15 COMPR.FILM. P-6L

CUTIE CU BLIST. AL/PVC X 30 COMPR. FILM. P-6L


P -6L

TORRENT PHARMA S.R.L.

ROMANIA

CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L

ZENTIVA K.S.

REPUBLICA SLOVACA

CUTIE CU BLIST. AL/PVC X 30 COMPR. FILM. P-6L

BERLIN CHEMIE AG MENARINI GROUP

GERMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM. P-6L

ACTAVIS GROUP PTC EHF.

ISLANDA
ISLANDA

CUTIE CU BLIST. AL/PVC X 28 COMPR. FILM. P-6L

ACTAVIS GROUP PTC EHF.


DR. REDDY'S LABORATORIES

ROMANIA

CUTIE CU BLIST. PVC-PVCDC/AL X 28 COMPR. FILM.

BERLIN CHEMIE AG MENARINI GROUP

GERMANIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. FILM. P-6L

TORRENT PHARMA S.R.L.

ROMANIA

KRKA POLSKA SP. Z.O.O.

EGIS PHARMACEUTICALS P.L.C.

POLONIA CUTIE CU 1 BLIST. DIN PVC-PE-PVDC/AL X 30 COMPR. P-6L


POLONIA CUTIE CU BLIST. AL/AL X 30 COMPR. P6L
UNGARIA CUTIE X 1 BLIST. AL/PVC X 30 COMPR. P-6L

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

ICN POLFA RZESZOW S.A.

Pagina 5 din 21

CUTIE CU BLIST. AL/PVC X 30 COMPR. FILM. P-6L


P -6L

CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L

CUTIE X 1 PUNGA DIN AL X 1 BLIST. PVC/VMCH-AL X 30 COMPR.

P-6L

Val suportata
Pret
de CNAS/UT
amanunt
Pret
(RON)Legea Val suportata
ul
CNAS/UT
cant/ maximal amanuntul nr. 95/2006 art
ambal /ambalaj maximal/UT 213 alin.1 lit.
(RON) pt.
(RON)
(RON)
a) si f)
Adulti
aj

30
30
30
30
50
20
20
60
90
30
30
30
60
1
30
28
28
30
28
30
28
30
30
30
28
30
28
30
28
30
30
30
30
14
28
28
30
28
60
28
30
28
28
30
28
60
28
30
30
30
30

33.34
13.57
24.92
12.33
23.10
9.21
9.08
26.30
36.29
12.16
23.24
22.90
44.32
24.59
26.09
25.24
25.24
26.76
34.15
27.04
25.22
27.04
26.76
26.56
22.54
24.14
13.67
26.92
25.21
25.98
29.12
29.12
44.02
12.65
63.22
16.38
17.55
21.49
39.59
40.77
17.55
71.12
26.13
28.00
33.58
63.98
47.98
13.28
13.36
28.67
32.57

1.111333
0.452333
0.830666
0.411000
0.462000
0.460500
0.454000
0.438333
0.403222
0.405333
0.774666
0.763333
0.738666
24.590000
0.869666
0.901428
0.901428
0.892000
1.219642
0.901333
0.900714
0.901333
0.892000
0.885333
0.805000
0.804666
0.488214
0.897333
0.900357
0.866000
0.970666
0.970666
1.467333
0.903571
2.257857
0.585000
0.585000
0.767500
0.659833
1.456071
0.585000
2.540000
0.933214
0.933333
1.199285
1.066333
1.713571
0.442666
0.445333
0.955666
1.085666

1.111333
0.387333
0.387333
0.387333
0.387333
0.387333
0.387333
0.387333
0.387333
0.387333
0.774666
0.763333
0.738666
24.590000
0.869666
0.843749
0.843749
0.843749
0.843749
0.843749
0.843749
0.843749
0.843749
0.843749
0.805000
0.804666
0.488214
0.843749
0.843749
0.866000
0.918333
0.918333
1.467333
0.571199
0.571199
0.571199
0.571199
0.571199
0.571199
0.571199
0.571199
1.142398
0.933214
0.933333
1.142398
1.066333
1.142398
0.196695
0.196695
0.393390
0.393390

0.555666
0.193666
0.193666
0.193666
0.193666
0.193666
0.193666
0.193666
0.193666
0.193666
0.387333
0.381666
0.369333
12.295000
0.434833
0.421874
0.421874
0.421874
0.421874
0.421874
0.421874
0.421874
0.421874
0.421874
0.402500
0.402333
0.244107
0.421874
0.421874
0.433000
0.459166
0.459166
0.733666
0.285599
0.285599
0.285599
0.285599
0.285599
0.285599
0.285599
0.285599
0.571199
0.466607
0.466666
0.571199
0.533166
0.571199
0.098347
0.098347
0.196695
0.196695

Nr. crt

cod ATC

250 C09AA04
251 C09AA04
252 C09AA04
253 C09AA04
254 C09AA04
255 C09AA04
256 C09AA04
257 C09AA04
258 C09AA04
259 C09AA04
260 C09AA04
261 C09AA04
262 C09AA04
263 C09AA04
264 C09AA04
265 C09AA04
266 C09AA04
267 C09AA04
268 C09AA04
269 C09AA07
270 C09AA07
271 C09AA07
272 C09AA10
273 C09AA10
274 C09AA10
275 C09AA10
276 C09AA10
277 C09AA10
278 C09AA10
279 C09AA10
280 C09AA10
281 C09AA15
282 C09AA15

DCI

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
TRANDOLAPRILUM
TRANDOLAPRILUM
TRANDOLAPRILUM
TRANDOLAPRILUM
TRANDOLAPRILUM
TRANDOLAPRILUM
ZOFENOPRILUM
ZOFENOPRILUM

283 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)


284 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)
285 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)
287 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)
289 C09BA04
290 C09BA04
291 C09BA04
292 C09BA06
293 C09BA06
294 C09BA06
295 C09BA09
296 C09BB02
297 C09BB10
298 C09CA03
299 C09CA03
300 C09CA03

VIDOTIN 4 mg
PRINDEX 4 mg
STOPPRESS 4 mg
TREZEN 4 mg
TREZEN 4 mg
PRENESSA 4 mg
PRINDEX 4 mg
PERYL 4 mg
PERINDOPRIL TEVA 8 mg
VIDOTIN 8 mg
PRENESSA 8 mg
PRINDEX 8 mg
STOPPRESS 8 mg
TREZEN 8 mg
TREZEN 8 mg
PRINDEX 8 mg
PERYL 8 mg
PRESTARIUM 10 mg
PRESTARIUM 5 mg
CIBACEN (R) 10 mg
CIBACEN (R) 20 mg
CIBACEN (R) 5 mg
GOPTEN (R) 0,5 mg
FEZZOR 0,5 mg
FEZZOR 1 mg
GOPTEN (R) 2 mg

forma farm.

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

CAPS.
CAPS.
CAPS.
CAPS.
TRANDOLAPRIL GALEX 2 mg CAPS.
FEZZOR 2 mg
CAPS.
GOPTEN (R) 4 mg
CAPS.
TRANDOLAPRIL GALEX 4 mg CAPS.
FEZZOR 4 mg
CAPS.
ZOMEN (R) 30 mg
COMPR. FILM.
ZOMEN (R) 7,5 mg
COMPR. FILM.
PRINDEX PLUS 2 mg/0,625 mg COMPR.
CO-PRENESSA 2mg/0,625 mg COMPR.
PRINDEX PLUS 4 mg/1,25mg COMPR.
CO-PRENESSA 4mg/1,25 mg COMPR.
CO-PRENESSA 8 mg/2,5mg COMPR.
NOLITERAX 10 mg/2,5mg
COMPR. FILM.

concentratie

4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
10 mg
5mg
10mg
20mg
5mg
0,5mg
0,5mg
1mg
2mg
2mg
2mg
4mg
4mg
4mg
30mg
7,5mg

tara det.
APP
Ambalaj
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR.
P-6L
MEDICAMENTA A.S. CEHIA
CUTIE CU BLIST. AL/AL X 30 COMPR. P-6L
Detinator APP

Prescriptie

PHARMACEUTICAL WORKS POLPHARMA SA

POLONIA

TERAPIA S.A.
TERAPIA S.A.

ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L


ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L

KRKA POLSKA SP. Z.O.O.

POLONIA

GLENMARK PHARMACEUTICALS SRL

REPUBLICA SLOVACA

ICN POLFA RZESZOW S.A.


TEVA PHARMACEUTICALS S.R.L.

GEDEON RICHTER ROMANIA SA

CUTIE CU BLIST. ACLAR-PVC/AL X 30 COMPR. FILM.

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


POLONIA 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.


ROMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR.

P-6L
P-6L

POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. P-6L


MEDICAMENTA A.S. CEHIA
CUTIE CU BLIST. AL/AL X 30 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 SRL
CUTIE CU BLIST. AL/AL X 30 COMPR. P-6L
ICN POLFA RZESZOW S.A. POLONIA CUTIE CU BLIST. AL/AL X 30 COMPR. P6L
LES LAB. SERVIER IND. FRANTA CUTIE X 1 FLAC. DIN PP X 30 COMPR. FILM. P-6L
LES LAB. SERVIER IND. FRANTA CUTIE X 1 FLAC. DIN PP X 30 COMPR. FILM. P-6L
NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM. P-6L
NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM. P-6L
NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM. P-6L
ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. X 10 CAPS.
P-6L
KRKA POLSKA SP ZO.O.

REPUBLICA SLOVACA

LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. P-6L


LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. P-6L

ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. X 14 CAPS.


P-6L
GALEX D.D
SLOVENIA CUTIE CU BLIST. PVC-PE-PVCD/AL X 28 CAPS. P-6L
LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. P-6L

ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. X 14 CAPS.


P-6L
GALEX D.D
SLOVENIA CUTIE CU BLIST. PVC-PE-PVCD/AL X 28 CAPS. P-6L
LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. P-6L

BERLIN CHEMIE AG GERMANIA CUTIE X 4 BLIST. X 7 COMPR. FILM.


BERLIN CHEMIE AG GERMANIA CUTIE X 4 BLIST. X 7 COMPR. FILM.

P-6L
P-6L

2 mg/0,625mg GLENMARK PHARMACEUTICALS SRL REPUBLICA SLOVACA CUTIE CU 1 BLIST. PVC/PVDC-AL IN AMBALAJ DE AL X 30 (30X1) COMPR. P6L
2mg/0,625mg KRKA POLSKA SP ZO.O. POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. P-6L
4 mg/1,25mg GLENMARK PHARMACEUTICALS SRL REPUBLICA SLOVACA CUTIE CU 1 BLIST. PVC/PVDC-AL IN AMBALAJ DE AL X 30 (30X1) COMPR. P6L

4mg/1,25mg KRKA POLSKA SP ZO.O. POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR.


8mg/2,5mg PHARMA-REGIST
UNGARIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR.
COMBINATII (PERINDOPRILUM+INDAPAMIDUM)
10mg/2,5mg LES LAB. SERVIER FRANTA CUTIE X 1 FLAC. DIN PP CU CAPAC PEJD CU SILICAGEL X 30 COMPR. FILM.
COMBINATII (PERINDOPRILUM+INDAPAMIDUM) NOLIPREL ARG 2,5mg/0,625mg COMPR. FILM. 2,5mg/0,625mg LES LABORATOIRES SERVIER FRANTA CUTIE X 1 FLAC. DIN PROPILENA X 30 COMPR. FILM.
COMBINATII (PERINDOPRILUM+INDAPAMIDUM) NOLIPREL ARG FORTE 5mg/1,25mg COMPR. FILM. 5mg/1,25mg LES LABORATOIRES SERVIER FRANTA CUTIE X 1 FLAC. DIN PROPILENA X 30 COMPR. FILM.
COMBINATII (PERINDOPRILUM+INDAPAMIDUM) PRESTARIUM ARG PLUS 5mg/1,25mg COMPR. FILM. 5mg/1,25mg LES LABORATOIRES SERVIER FRANTA CUTIE X 1 FLAC. DIN PROPILENA X 30 COMPR. FILM.
COMBINATII (QUINAPRILUM+HYDROCHLOROTHIAZIDUM) ACCUZIDE
COMPR. FILM. 10mg/12,5mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC-AL-OPA X 10 COMPR. FILM.
COMBINATII (QUINAPRILUM+HYDROCHLOROTHIAZIDUM) ACCUZIDE FORTE
COMPR. FILM. 20mg/12,5mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC-AL-OPA X 10 COMPR. FILM.
COMBINATII (QUINAPRILUM+HYDROCHLOROTHIAZIDUM) EDOLFIX H 20mg/12,5mg
COMPR. FILM. 20mg/12,5mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.
COMBINATII (FOSINOPRILUM+HYDROCHLOROTHIAZIDUM) MONOTENS HCT 20mg/12,5mg COMPR.
20mg/12,5mg PHARMASWISS MEDICINES S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR.
COMBINATII (NITRENDIPINUM+ENALAPRILUM) ENEAS
COMPR.
20mg+10mg GALENICA S.A.
GRECIA CUTIE X 3 BLIST. PA-PVC-AL/AL X 10 COMPR.
COMBINATII (VERAPAMILUM+TRANDOLAPRILUM) TARKA
COMPR.FILM.ELIB.MODIF. 180mg/2mg
ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. AL/PVDC-PVC X 14 COMPR. FILM. CU ELIB. PREL.
VALSARTANUM
VALSARTAN TEVA 160 mg CAPS.
160mg
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS.
VALSARTANUM
VALSARTAN TEVA 80 mg
CAPS.
80mg
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS.
VALSARTANUM
CORETON 160 mg
COMPR. FILM. 160mg
ZENTIVA K.S.
CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.

286 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)


288 C09BA04

Denumire Comerciala

REPUBLICA SLOVACA

Pagina 6 din 21

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

Val suportata
Pret
de CNAS/UT
amanunt
Pret
(RON)Legea Val suportata
ul
CNAS/UT
cant/ maximal amanuntul nr. 95/2006 art
ambal /ambalaj maximal/UT 213 alin.1 lit.
(RON) pt.
(RON)
(RON)
a) si f)
Adulti
aj

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
28
28
28
28
28
28
30
30
30
30
30
30
30
30
30
30
30
30
28
30
28
28
28
28

33.07
26.59
16.41
25.56
25.56
26.56
26.59
14.73
52.80
52.82
48.86
53.37
30.51
48.54
48.54
53.37
30.49
65.03
40.63
43.15
56.63
21.54
9.60
7.84
11.26
27.77
18.04
18.04
46.24
31.05
31.05
43.94
19.46
15.99
15.99
29.08
29.08
60.45
74.87
56.50
60.90
60.90
21.42
31.20
31.14
20.28
95.39
52.22
32.20
20.03
32.47

1.102333
0.886333
0.547000
0.852000
0.852000
0.885333
0.886333
0.491000
1.760000
1.760666
1.628666
1.779000
1.017000
1.618000
1.618000
1.779000
1.016333
2.167666
1.354333
1.541071
2.022500
0.769285
0.480000
0.280000
0.402142
0.991785
0.644285
0.644285
1.651428
1.108928
1.108928
1.569285
0.695000
0.533000
0.533000
0.969333
0.969333
2.015000
2.495666
1.883333
2.030000
2.030000
0.714000
1.040000
1.038000
0.724285
3.179666
1.865000
1.150000
0.715357
1.159642

0.393390
0.393390
0.393390
0.393390
0.393390
0.393390
0.393390
0.393390
0.786780
0.786780
0.786780
0.786780
0.786780
0.786780
0.786780
0.786780
0.786780
0.983475
0.491737
0.524519
1.049039
0.262259
0.098347
0.098347
0.196695
0.393390
0.393390
0.393390
0.786780
0.786780
0.786780
0.393390
0.098347
0.533000
0.533000
0.895275
0.895275
0.895275
0.895275
0.895275
0.895275
0.895275
0.714000
0.895275
0.895275
0.724285
3.179666
1.865000
1.150000
0.715357
1.159642

0.196695
0.196695
0.196695
0.196695
0.196695
0.196695
0.196695
0.196695
0.393390
0.393390
0.393390
0.393390
0.393390
0.393390
0.393390
0.393390
0.393390
0.491737
0.245868
0.262259
0.524519
0.131129
0.049173
0.049173
0.098347
0.196695
0.196695
0.196695
0.393390
0.393390
0.393390
0.196695
0.049173
0.266500
0.266500
0.447637
0.447637
0.447637
0.447637
0.447637
0.447637
0.447637
0.357000
0.447637
0.447637
0.362142
1.589833
0.932500
0.575000
0.357678
0.579821

Nr. crt

cod ATC

301 C09CA03
302 C09CA03
303 C09CA03
304 C09CA03
305 C09CA03
306 C09CA03
307 C09CA03
308 C09CA03
309 C09CA03
310 C09CA03
311 C09CA03
312 C09CA03
313 C09CA03
314 C09CA03
315 C09CA03
316 C09CA03
317 C09CA04
318 C09CA04
319 C09CA04
320 C09CA04
321 C09CA04
322 C09CA04
323 C09CA04
324 C09CA04
325 C09CA04
326 C09CA04
327 C09CA04
328 C09CA04
329 C09CA04
330 C09CA04
331 C09CA04
332 C09CA04
333 C09CA04
334 C09CA04
335 C09CA04
336 C09CA04
337 C09CA06
338 C09CA06
339 C09CA06
340 C09CA07
341 C09CA07
342 C09CA07
343 C09CA07
344 C09CA07
345 C09CA07
346 C09CA07
347 C09CA07
348 C09CA07
349 C09CA07
350 C09CA07
351 C09CA07

DCI

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
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM

Denumire Comerciala

WENZELL 80 mg
WENZELL 80 mg
VALSARGAMMA 160 mg
VALSARGAMMA 160 mg
DIOVAN 160 mg
VALSARGAMMA 320 mg
VALSARGAMMA 320 mg
VALSARGAMMA 40 mg
VALSARGAMMA 40 mg
DIOVAN 40 mg
CORETON 80 mg
WENZELL 80 mg
WENZELL 80 mg
VALSARGAMMA 80 mg
VALSARGAMMA 80 mg
DIOVAN 80 mg
APROVEL 150mg
IRBESARTAN WINTHROP 150mg
IRBESARTAN TERAPIA 150 mg

IRBESARTAN SANDOZ 150 mg

IRBEGAMMA 150 mg
IRBEGAMMA 150 mg
IRPRESTAN 150 mg
IFIRMASTA 150 mg
IRBESARTAN TEVA 150 mg
IRBESARTAN TEVA 300 mg
APROVEL 300mg
IRBESARTAN WINTHROP 300mg
IRBESARTAN TERAPIA 300 mg

IRBESARTAN SANDOZ 300 mg

IRBEGAMMA 300 mg
IRBEGAMMA 300 mg
IRPRESTAN 300 mg
IFIRMASTA 300mg
IRBEGAMMA 75 mg
IRBEGAMMA 75 mg
ATACAND
ATACAND 32 mg
ATACAND
TELMISARTAN ACTAVIS 40mg

MICARDIS 40 mg
PRITOR 40 mg
TOLURA 40 mg
TEZEO 40 mg
TELMISARTAN ACTAVIS 80mg

MICARDIS 80 mg
PRITOR 80 mg
TOLURA 80 mg
TEZEO 80 mg
TELMARK 20 mg
TELMARK 20 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.

concentratie

160mg
160mg
160mg
160mg
160mg
320mg
320mg
40mg
40mg
40mg
80mg
80mg
80mg
80mg
80mg
80mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
300 mg
300mg
300mg
300mg
300mg
300mg
300mg
300mg
300mg
75mg
75mg
COMPR.
16mg
COMPR.
32mg
COMPR.
8mg
COMPR.
40 mg
COMPR.
40mg
COMPR.
40mg
COMPR.
40mg
COMPR.
40mg
COMPR.
80 mg
COMPR.
80mg
COMPR.
80mg
COMPR.
80mg
COMPR.
80mg
COMPR. FILM. 20mg
COMPR. FILM. 20mg

ROMASTRU TRADING S.R.L.

tara det.
APP
ROMANIA
ROMANIA

WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.

WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 100 COMPR. FILM.

P6L
P6L

NOVARTIS PHARMA GMBH GERMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.

P-6L

Detinator APP
ROMASTRU TRADING S.R.L.

Ambalaj

Prescriptie

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 28COMPR. FILM.

P6L
P6L
P6L
P6L
P6L

ZENTIVA K.S.

WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.

WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 100 COMPR. FILM.

WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.

WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 100 COMPR. FILM.

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.

P-6L

CUTIE CU BLIST. PVC-PE-PVDC/AL-PVDC X 28 COMPR. FILM.

P-6L

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.

WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 100 COMPR. FILM.

P6L
P6L
P6L

ROMASTRU TRADING S.R.L.

REPUBLICA SLOVACA

NOVARTIS PHARMA GMBH GERMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X28COMPR. FILM.

FRANTA
FRANTA

CUTIE X BLIST PVC/PVDC/AL X 28 COMPR. FILM. P-6L

SANOFI PHARMA - BRISTOL MYERS SQUIBB

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

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU BLIST. PVC-PVDC/AL X 100 COMPR. FILM.

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L

SANOFI PHARMA - BRISTOL MYERS SQUIBB

CUTIE X 28 COMPR. FILM. (BLIST. PVC/PVDC/AL) P-6L

P-6L

KRKA ,D.D., NOVO MESTO SLOVENIA CUTIE X BLIST. PVC/PE/PVDC/AL X 28 COMPR. FILM.

P-6L

TEVA PHARMA B.V. OLANDA


TEVA PHARMA B.V. OLANDA
SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA
SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA
TERAPIA S.A.
ROMANIA
SANDOZ S.R.L.
ROMANIA

CUTIE X BLIST. PVC/PVDC/AL X 28 COMPR. FILM.

P-6L

CUTIE X BLIST. PVC/PVDC/AL X 28 COMPR. FILM.

P-6L

CUTIE X BLIST PVC/PVDC/AL X 28 COMPR. FILM. P-6L


CUTIE X 28 COMPR. FILM. (BLIST. PVC/PVDC/AL) P-6L
CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.

P-6L

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.

P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU BLIST. PVC-PVDC/AL X 100 COMPR. FILM.

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L

KRKA ,D.D., NOVO MESTO SLOVENIA CUTIE X BLIST. PVC/PE/PVDC/AL X 28 COMPR. FILM.

P-6L
P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU BLIST. PVC-PVDC/AL X 100 COMPR. FILM.

P-6L

ASTRAZENECA AB SUEDIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-6L


ASTRAZENECA AB SUEDIA CUTIE X 2 BLIST. AL-PVC/PVDC X 14 COMPR. P-6L
ASTRAZENECA AB SUEDIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-6L
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. AL/AL X 28 COMPR. P6L
BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA CUTIE X 28 COMPR. ( BLIST. PA/AL/PVC) P-6L

BAYER SCHERING PHARMA AG

GERMANIA

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 SLOVACA

ACTAVIS GROUP PTC EHF.

ISLANDA CUTIE CU BLIST. AL/AL X 28 COMPR. P6L

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA CUTIE X 28COMPR. ( BLIST. PA/AL/PVC) P-6L

BAYER SCHERING PHARMA AG

GERMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-6L

CUTIE X 28COMPR.( BLIST. PERFORATE UNIDOZA PA/AL/PVC )

P-6L

KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST.OPA-AL-PVC/AL X 28 COMPR. P-6L

ZENTIVA, K.S.

REPUBLICA SLOVACA

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-6L

GLENMARK PHARMACEUTICALS SRL

REPUBLICA SLOVACA

CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P6L

GLENMARK PHARMACEUTICALS SRL

REPUBLICA SLOVACA

CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P6L

Pagina 7 din 21

Val suportata
Pret
de CNAS/UT
amanunt
Pret
(RON)Legea Val suportata
ul
CNAS/UT
cant/ maximal amanuntul nr. 95/2006 art
ambal /ambalaj maximal/UT 213 alin.1 lit.
(RON) pt.
(RON)
(RON)
a) si f)
Adulti
aj

28
30
30
100
28
30
100
30
100
28
28
28
30
30
100
28
28
28
28
28
30
100
30
28
28
28
28
28
28
28
30
100
30
28
30
100
28
28
28
28
28
28
28
30
28
28
28
28
30
28
30

65.22
69.91
44.06
131.41
115.23
160.73
483.99
45.14
131.01
71.06
33.59
46.82
50.19
40.93
123.47
90.80
65.97
44.36
53.93
33.10
47.54
142.67
33.10
36.92
33.10
56.83
87.05
59.57
70.44
64.09
63.82
191.60
48.07
59.57
42.75
130.73
65.96
116.02
55.44
38.99
59.99
63.35
38.99
41.77
52.37
76.51
76.51
52.37
56.10
29.85
31.97

2.329285
2.330333
1.468666
1.314100
4.115357
5.357666
4.839900
1.504666
1.310100
2.537857
1.199642
1.672142
1.673000
1.364333
1.234700
3.242857
2.356071
1.584285
1.926071
1.182142
1.584666
1.426700
1.103333
1.318571
1.182142
2.029642
3.108928
2.127500
2.515714
2.288928
2.127333
1.916000
1.602333
2.127500
1.425000
1.307300
2.355714
4.143571
1.980000
1.392500
2.142500
2.262500
1.392500
1.392333
1.870357
2.732500
2.732500
1.870357
1.870000
1.066071
1.065666

2.329285
2.330333
1.468666
1.314100
2.884199
5.357666
4.839900
0.721049
0.721049
0.721049
1.199642
1.442099
1.442099
1.364333
1.234700
1.442099
1.442099
1.442099
1.442099
1.182142
1.442099
1.426700
1.103333
1.318571
1.182142
2.029642
2.884199
2.127500
2.515714
2.288928
2.127333
1.916000
1.602333
2.127500
0.721049
0.721049
2.355714
4.143571
1.442099
1.392500
1.442099
1.442099
1.392500
1.392333
1.870357
2.732500
2.732500
1.870357
1.870000
0.721049
0.721049

1.164642
1.165166
0.734333
0.657050
1.442099
2.678833
2.419950
0.360524
0.360524
0.360524
0.599821
0.721049
0.721049
0.682166
0.617350
0.721049
0.721049
0.721049
0.721049
0.591071
0.721049
0.713350
0.551666
0.659285
0.591071
1.014821
1.442099
1.063750
1.257857
1.144464
1.063666
0.958000
0.801166
1.063750
0.360524
0.360524
1.177857
2.071785
0.721049
0.696250
0.721049
0.721049
0.696250
0.696166
0.935178
1.366250
1.366250
0.935178
0.935000
0.360524
0.360524

forma farm.
TELMARK 40 mg
COMPR. FILM.
TELMARK 40 mg
COMPR. FILM.
TELMARK 80 mg
COMPR. FILM.
TELMARK 80 mg
COMPR. FILM.
HYZAAR (R) 50 mg/12,5 mg COMPR. FILM.
LOSARTAN HCT FARMAL 50mg/12,5mg COMPR. FILM.
LORISTA HL 100 mg/12,5 mg COMPR.FILM
LORISTA H
COMPR.FILM

cod ATC

DCI

352 C09CA07

355 C09CA07

TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM

356 C09DA01

COMBINATII (LOSARTANUM+HYDROCHLOROTHIAZIDUM)

357 C09DA01

COMBINATII (LOSARTANUM+HYDROCHLOROTHIAZIDUM)

358 C09DA01

COMBINATII (LOSARTANUM+HYDROCHLOROTHIAZIDUM)

359 C09DA01

COMBINATII (LOSARTANUM+HYDROCHLOROTHIAZIDUM)

360 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

361 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

COAPROVEL 150mg/12,5mg
COAPROVEL 300mg/12,5mg

362 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

IRBESARTAN HYDROCHLOROTHIAZIDE WINTHROP 150mg/12,5mg

363 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

IRBESARTAN HYDROCHLOROTHIAZIDE WINTHROP 300mg/12,5mg

364 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

IRPREZIDE 150 mg/12,5 mg

365 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

IRBESARTAN/ HYDROCHLOROTHIAZIDE TEVA 150 mg/12,15 mg

366 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

IRPREZIDE 300 mg/12,5 mg

367 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

IRBESARTAN/ HYDROCHLOROTHIAZIDE TEVA 300 mg/12,15 mg

368 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

369 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

370 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM)

371 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM)

372 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM)

373 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM)

Nr. crt

353 C09CA07
354 C09CA07

374 C09DB01 COMBINATII ( VALSARTANUM+AMLODIPINUM)


375 C09DB01 COMBINATII ( VALSARTANUM+AMLODIPINUM)
376 C09DB01 COMBINATII ( VALSARTANUM+AMLODIPINUM)
377 C09DB01 COMBINATII ( VALSARTANUM+AMLODIPINUM)
378 C09DB01 COMBINATII ( VALSARTANUM+AMLODIPINUM)
379 C09DB01 COMBINATII ( VALSARTANUM+AMLODIPINUM)
380 C10AA04
381 C10AA04
382 C10AA04
383 C10AA05
384 C10AA05
385 C10AA05
386 C10AA05
387 C10AA05
388 C10AA05
389 C10AA05
390 C10AA05
391 C10AA05
392 C10AA05
393 C10AA05
394 C10AA05
395 C10AA05
396 C10AA05
397 C10AA05
398 C10AA05
399 C10AA05
400 C10AA05
401 C10AA05
402 C10AA05

FLUVASTATINUM
FLUVASTATINUM
FLUVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM

Denumire Comerciala

IRPREZIDE 300 mg/25 mg


COAPROVEL 300mg/25mg
MICARDISPLUS 80/12,5mg
MICARDISPLUS 80/25mg
PRITOR PLUS 80mg/12,5mg
PRITOR PLUS 80mg/25mg
EXFORGE 10mg/160mg
EXFORGE 10mg/160mg
EXFORGE 5mg/160mg
EXFORGE 5mg/160mg
EXFORGE 5mg/80mg
EXFORGE 5mg/80mg
LESCOL 20 mg
LESCOL 40 mg
LESCOL XL 80 mg
SORTIS 10 mg
TORVACARD 10 mg
ATORIS 10 mg
VOREDANIN 10 mg
GLETOR 10 mg
ASCORD 10 mg
ATORGAMMA 10 mg
ATORGAMMA 10 mg
TULIP 10 mg
TULIP 10 mg
ATILEN 10 mg
TORVAZIN 10 mg
XAMARA 10 mg
SORTIS 20 mg
TORVACARD 20 mg
ATORIS 20 mg
VOREDANIN 20 mg
GLETOR 20 mg
ASCORD 20 mg
ATORGAMMA 20 mg

concentratie

40mg
40mg
80mg
80mg

Detinator APP

tara det.
APP

Ambalaj

Prescriptie

GLENMARK PHARMACEUTICALS SRL

REPUBLICA SLOVACA

CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P6L

GLENMARK PHARMACEUTICALS SRL

REPUBLICA SLOVACA

CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P6L

GLENMARK PHARMACEUTICALS SRL

REPUBLICA SLOVACA

CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P6L

GLENMARK PHARMACEUTICALS SRL

REPUBLICA SLOVACA

CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P6L

50mg+12,5mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM.
50mg/12,5mg FARMAL INTERNATIONAL S.R.L. ROMANIA CUTIE X 2 BLIST. PVC-PE PCDC/AL X 14 COMPR. FILM.
100mg/12,5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM.
50mg+ 12,50mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. DIN PVC-PVDC/AL X 14 COMPR. FILM.
COMPR.
150mg/12,5mg SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR.
COMPR.
300mg/12,5mg SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR.
COMPR. FILM 150mg/12,5mg SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X 2 BLIST. PVC/PVDC/AL X 14 COMPR. FILM.
COMPR. FILM 300mg/12,5mg SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X 2 BLIST. PVC/PVDC/AL X 14 COMPR. FILM.
COMPR. FILM. 150 mg/12,5 mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. DIN PVC-PVDC/AL X 30 COMPR. FILM.
COMPR. FILM. 150mg/12,5mg TEVA PHARMA B.V. OLANDA CUTIE X BLIST. AL/AL X 28 COMPR. FILM.
COMPR. FILM. 300 mg/12,5 mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. DIN PVC-PVDC/AL X 30 COMPR. FILM.
COMPR. FILM. 300 mg/12,5mg TEVA PHARMA B.V. OLANDA CUTIE X BLIST. AL/AL X 28 COMPR. FILM.
COMPR. FILM. 300 mg/25 mg ACTAVIS GROUP PTC EHF. IRLANDA CUTIE CU BLIST. DIN PVC-PVDC/AL X 30 COMPR. FILM.
COMPR. FILM. 300mg/25mg SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM.
COMPR.
80/12,5mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 28COMPR. ( BLIST. PA/AL/PVC)

P-6L

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.

P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L

P6L
P-6L

P6L
P-6L

P6L
P-6L
P-6L

80/25mg

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA

CUTIE X 28 COMPR. (BLIST. PA/AL/PVC/AL SAU PA/PA/AL/PVC/AL)

P-6L

80mg/12,5mg

BAYER SCHERING PHARMA AG

GERMANIA

CUTIE X 28COMPR.( BLIST. PA/AL/PVC PERFORATE)

P-6L

80mg/25mg

BAYER SCHERING PHARMA AG

GERMANIA

CUTIE X 28COMPR.( BLIST. PA/AL/PVC SAU PA/PA/AL/PVC/AL PERFORATE UNIDOZA)

P-6L

10mg/160mg
10mg/160mg

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 56 COMPR. FILM. (BLIST. PVC/PVDC ) P-6L

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 28 COMPR. FILM.(BLIST.PVC/PVDC )

5mg/160mg
5mg/160mg
5mg/80mg
5mg/80mg
20mg
40mg
80mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 56 COMPR. FILM. (BLIST. PVC/PVDC ) P-6L

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 28 COMPR. FILM. (BLIST. PVC/PVDC ) P-6L

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 56 COMPR. FILM.(BLIST.PVC/PVDC )

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
P-6L
P-6L

NOVARTIS PHARMA GMBH GERMANIA CUTIE X 4 BLIST. AL/AL X 7 COMPR. ELIB. PREL. P-6L
PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 3 BLIST. X 10 COMPR. FILM.

ZENTIVA K.S.

CEHIA

CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-6L

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPR.FILM.

P-6L
P-6L

LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L
GLENMARK PHARMACEUTICALS SRL

REPUBLICA SLOVACA

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.

P-6L

TERAPIA SA

ROMANIA

CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM.

P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.

P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 100 COMPR. FILM.

P-6L

SANDOZ S.R.L.
SANDOZ S.R.L.

ROMANIA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM.


ROMANIA CUTIE CU BLIST. AL/AL X 90 COMPR. FILM.
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM.
EGIS PHARMACEUTICALS P.L.C.
UNGARIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.
DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. X 10 COMPR. FILM.

ZENTIVA K.S.

CEHIA

KRKA D.D. NOVO MESTO SLOVENIA

P-6L
P-6L
P-6L
P-6L
P-6L
P-6L

CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-6L


CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPR.FILM.

P-6L

LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L
GLENMARK PHARMACEUTICALS SRL

REPUBLICA SLOVACA

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.

P-6L

TERAPIA SA

ROMANIA

CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM.

P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.

P-6L

Pagina 8 din 21

Val suportata
Pret
de CNAS/UT
amanunt
Pret
(RON)Legea Val suportata
ul
CNAS/UT
cant/ maximal amanuntul nr. 95/2006 art
ambal /ambalaj maximal/UT 213 alin.1 lit.
(RON) pt.
(RON)
(RON)
a) si f)
Adulti
aj

28
30
28
30
28
28
28
28
28
28
28
28
30
28
30
28
30
28
28
28
28
28
56
28
56
28
56
28
28
28
28
30
30
30
30
30
30
30
100
30
90
28
30
30
30
30
30
30
30
30
30

38.99
41.78
52.37
56.11
78.52
29.71
28.97
17.84
82.21
111.00
56.26
72.15
37.96
56.26
45.75
72.15
56.26
111.04
76.51
103.62
78.64
103.62
249.78
127.16
249.78
127.16
212.28
111.93
15.79
28.75
45.70
78.27
19.20
19.20
25.30
20.89
32.60
20.69
71.85
20.99
54.80
19.60
18.55
32.60
125.33
29.12
29.11
37.58
31.14
42.32
30.29

1.392500
1.392666
1.870357
1.870333
2.804285
1.061071
1.034642
0.637142
2.936071
3.964285
2.009285
2.576785
1.265333
2.009285
1.525000
2.576785
1.875333
3.965714
2.732500
3.700714
2.808571
3.700714
4.460357
4.541428
4.460357
4.541428
3.790714
3.997500
0.563928
1.026785
1.632142
2.609000
0.640000
0.640000
0.843333
0.696333
1.086666
0.689666
0.718500
0.699666
0.608888
0.700000
0.618333
1.086666
4.177666
0.970666
0.970333
1.252666
1.038000
1.410666
1.009666

1.392500
1.392666
1.870357
1.870333
1.451324
1.061071
1.034642
0.637142
1.451324
1.451324
1.451324
1.451324
1.265333
1.451324
1.451324
1.451324
1.451324
1.451324
1.451324
1.451324
1.451324
1.451324
4.113214
4.113214
4.113214
4.113214
3.790714
3.997500
0.520699
1.026785
1.632142
0.781049
0.640000
0.640000
0.781049
0.696333
0.781049
0.689666
0.718500
0.699666
0.608888
0.700000
0.618333
0.781049
1.562099
0.970666
0.970333
1.252666
1.038000
1.410666
1.009666

0.696250
0.696333
0.935178
0.935166
0.725662
0.530535
0.517321
0.318571
0.725662
0.725662
0.725662
0.725662
0.632666
0.725662
0.725662
0.725662
0.725662
0.725662
0.725662
0.725662
0.725662
0.725662
2.056607
2.056607
2.056607
2.056607
1.895357
1.998750
0.260349
0.513392
0.816071
0.390524
0.320000
0.320000
0.390524
0.348166
0.390524
0.344833
0.359250
0.349833
0.304444
0.350000
0.309166
0.390524
0.781049
0.485333
0.485166
0.626333
0.519000
0.705333
0.504833

Nr. crt

cod ATC

403 C10AA05
404 C10AA05
405 C10AA05
406 C10AA05
407 C10AA05
408 C10AA05
409 C10AA05
410 C10AA05
411 C10AA05
412 C10AA05
413 C10AA05
414 C10AA05
415 C10AA05
416 C10AA05
417 C10AA05
418 C10AA05
419 C10AA05
420 C10AA05
421 C10AA05
422 C10AA05
423 C10AA05
424 C10AA05
425 C10AA05
426 C10AA05
427 C10AA05
428 C10AA05
429 C10AA07
430 C10AA07
431 C10AA07
432 C10AA07
433 C10AA07
434 C10AA07
435 C10AA07
436 C10AA07
437 C10AA07
438 C10AA07
439 C10AA07
440 C10AA07
441 C10AA07
442 C10AA07
443 C10AA07
444 C10AA07
445 C10AA07
446 C10AA07
447 C10AA07
448 C10AA07
449 C10AA07
450 C10AB02
451 C10AB08
452 C10AX06
453 C10AX09

DCI

ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
BEZAFIBRATUM
CIPROFIBRATUM

Denumire Comerciala

ATORGAMMA 20 mg
TULIP 20 mg
TULIP 20 mg
ATILEN 20 mg
TORVAZIN 20 mg
XAMARA 20 mg
SORTIS 40 mg
TORVACARD 40 mg
ATORIS 40 mg
ATORIS 40 mg
VOREDANIN 40 mg
GLETOR 40 mg
ASCORD 40 mg
ATORGAMMA 40 mg
ATORGAMMA 40 mg
TULIP 40 mg
XAMARA 40 mg
TULIP 40 mg
ATILEN 40 mg
TORVAZIN 40 mg
XAMARA 40 mg
SORTIS 80 mg
ASCORD 80 mg
XAMARA 80 mg
ATILEN 80 mg
XAMARA 80 mg
CRESTOR 10 mg
ROSUCARD 10 mg
ROSUVASTATINA TEVA 10 mg

ROXARDIO 10 mg
ROSTAT 10 mg
ROSWERA 10 mg
CRESTOR 20 mg
ROSUCARD 20 mg
ROSUVASTATINA TEVA 20 mg

ROXARDIO 20 mg
ROSTAT 20 mg
ROSWERA 20 mg
ROSUCARD 40 mg
ROSUVASTATINA TEVA 40 mg

ROSTAT 40 mg
ROSWERA 40 mg
CRESTOR 5 mg
ROSUVASTATINA TEVA 5 mg

ROXARDIO 5 mg
ROSTAT 5 mg
ROSWERA 5 mg
REGADRIN (R) B
LIPANOR (R) 100 mg
ACID OMEGA-3-ESTERI ETILICI 90** OMACOR (R)
EZETIMIBUM
EZETROL (R)

forma farm.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

DRAJ.
CAPS.
CAPS. MOI
COMPR.

concentratie

20mg
20mg
20mg
20mg
20mg
20mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
80mg
80mg
80mg
80mg
80mg
10mg
10mg
10mg
10mg
10mg
10mg
20mg
20mg
20mg
20mg
20mg
20mg
40mg
40mg
40mg
40mg
5mg
5mg
5mg
5mg
5mg
200mg
100mg
1000mg
10mg

Detinator APP

tara det.
APP

WORWAG PHARMA GMBH & CO. KG

GERMANIA

SANDOZ S.R.L.
SANDOZ S.R.L.

P-6L

DR. REDDY'S LABORATORIES

ROMANIA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM.


ROMANIA CUTIE CU BLIST. AL/AL X 90 COMPR. FILM.
ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM.
UNGARIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.
ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 2 BLIST. X 7 COMPR. FILM.

P-6L

ZENTIVA K.S.

CEHIA

CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-6L

TEVA PHARMACEUTICALS S.R.L.


EGIS PHARMACEUTICALS P.L.C.

Ambalaj
CUTIE CU BLIST. OPA-AL-PVC/AL X 100 COMPR. FILM.

Prescriptie

P-6L
P-6L
P-6L
P-6L
P-6L

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 14 COMPR.FILM.

P-6L

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPR.FILM.

P-6L

LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L
GLENMARK PHARMACEUTICALS SRL

REPUBLICA SLOVACA

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.

P-6L

TERAPIA SA

ROMANIA

CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM.

P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.

P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 100 COMPR. FILM.

P-6L

SANDOZ S.R.L.

P-6L

DR. REDDY'S LABORATORIES

ROMANIA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM.


ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.
ROMANIA CUTIE CU BLIST. AL/AL X 90 COMPR. FILM.
ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM.
UNGARIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.
ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 2 BLIST. X 7 COMPR. FILM.

P-6L

ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM.


DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM.
DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.
ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 2 BLIST. X 14 COMPR. FILM.

P-6L

ZENTIVA K.S.

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.

P-6L

CUTIE CU BLIST. PVC-PVAC-AL/OPA-AL-PVC X 30 COMPR. FILM.

P-6L

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.

P-6L

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.

P-6L

DR. REDDY'S LABORATORIES

SANDOZ S.R.L.
TEVA PHARMACEUTICALS S.R.L.
EGIS PHARMACEUTICALS P.L.C.

TERAPIA SA

REPUBLICA CEHA

ROMANIA
SANDOZ S.R.L.
ROMANIA
GEDEON RICHTER PLC. UNGARIA

TEVA PHARMACEUTICALS S.R.L.

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 CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L

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

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.

P-6L

ROMANIA
SANDOZ S.R.L.
ROMANIA
GEDEON RICHTER PLC. UNGARIA

TEVA PHARMACEUTICALS S.R.L.

KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L

ZENTIVA K.S.

REPUBLICA CEHA

ROMANIA
GEDEON RICHTER PLC. UNGARIA

TEVA PHARMACEUTICALS S.R.L.

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.

P-6L

CUTIE CU BLIST. PVC-PVAC-AL/OPA-AL-PVC X 30 COMPR. FILM.

P-6L

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.

P-6L

KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L

ASTRAZENECA UK LTD.

MAREA BRITANIE

ROMANIA
SANDOZ S.R.L.
ROMANIA
GEDEON RICHTER PLC. UNGARIA

TEVA PHARMACEUTICALS S.R.L.

CUTIE X 2 BLIST. AL/AL X 14 COMPR. FILM. P-6L


CUTIE CU BLIST. PVC-PVAC-AL/OPA-AL-PVC X 30 COMPR. FILM.

P-6L

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.

P-6L

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.

P-6L

KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L
BERLIN CHEMIE AG MENARINI GROUP

SANOFI-AVENTIS FRANCE
PRONOVA BIOPHARMA NORGE A.S.

CUTIE X 5 BLIST. X 10 DRAJ.


FRANTA CUTIE X 3 BLIST. X 10 CAPS.
NORVEGIA FALC. DIN PEID X 28 CAPS. MOI
GERMANIA

P-6L
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MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. PCTFE/PVC/AL X 14 COMPR. P-RF

Pagina 9 din 21

Val suportata
Pret
de CNAS/UT
amanunt
Pret
(RON)Legea Val suportata
ul
CNAS/UT
cant/ maximal amanuntul nr. 95/2006 art
ambal /ambalaj maximal/UT 213 alin.1 lit.
(RON) pt.
(RON)
(RON)
a) si f)
Adulti
aj

100
30
90
28
30
30
14
30
14
30
30
30
30
30
100
30
30
90
28
30
30
14
30
30
28
30
28
30
30
28
30
30
28
30
30
28
30
30
30
30
30
30
28
30
28
30
30
50
30
28
14

106.25
30.29
78.57
31.00
28.30
42.32
54.19
53.08
25.55
52.98
67.63
66.07
56.02
64.69
228.18
61.00
71.67
150.54
60.00
52.07
71.67
84.91
118.28
118.18
110.39
118.18
103.79
62.67
72.29
68.68
72.29
52.93
147.62
98.41
108.42
101.18
108.42
91.34
108.42
108.42
108.42
108.42
90.29
64.01
61.81
64.01
49.95
28.21
25.36
98.86
94.33

1.062500
1.009666
0.873000
1.107142
0.943333
1.410666
3.870714
1.769333
1.825000
1.766000
2.254333
2.202333
1.867333
2.156333
2.281800
2.033333
2.389000
1.672666
2.142857
1.735666
2.389000
6.065000
3.942666
3.939333
3.942500
3.939333
3.706785
2.089000
2.409666
2.452857
2.409666
1.764333
5.272142
3.280333
3.614000
3.613571
3.614000
3.044666
3.614000
3.614000
3.614000
3.614000
3.224642
2.133666
2.207500
2.133666
1.665000
0.564200
0.845333
3.530714
6.737857

1.062500
1.009666
0.873000
1.107142
0.943333
1.410666
3.124198
1.769333
1.825000
1.766000
2.254333
2.202333
1.867333
2.156333
2.281800
2.033333
2.389000
1.672666
2.142857
1.735666
2.389000
6.065000
3.942666
3.939333
3.942500
3.939333
1.562099
1.562099
1.562099
1.562099
1.562099
1.562099
3.124198
3.124198
3.124198
3.124198
3.124198
3.044666
3.614000
3.614000
3.614000
3.614000
0.781049
0.781049
0.781049
0.781049
0.781049
0.522199
0.845333
3.530714
6.475624

0.531250
0.504833
0.436500
0.553571
0.471666
0.705333
1.562099
0.884666
0.912500
0.883000
1.127166
1.101166
0.933666
1.078166
1.140900
1.016666
1.194500
0.836333
1.071428
0.867833
1.194500
3.032500
1.971333
1.969666
1.971250
1.969666
0.781049
0.781049
0.781049
0.781049
0.781049
0.781049
1.562099
1.562099
1.562099
1.562099
1.562099
1.522333
1.807000
1.807000
1.807000
1.807000
0.390524
0.390524
0.390524
0.390524
0.390524
0.261099
0.422666
1.765357
3.237812

Nr. crt

DCI

cod ATC

454 C10AX09

EZETIMIBUM

455 C10BX03 COMBINATII (ATORVASTATINUM+AMLODIPINUM)


456 C10BX03 COMBINATII (ATORVASTATINUM+AMLODIPINUM)
457 C10BX03 COMBINATII (ATORVASTATINUM+AMLODIPINUM)
458 C10BX03 COMBINATII (ATORVASTATINUM+AMLODIPINUM)
459 C10BX03 COMBINATII (ATORVASTATINUM+AMLODIPINUM)
460 C10BX03 COMBINATII (ATORVASTATINUM+AMLODIPINUM)
461 D01AA02
462 D01BA02
463 D01BA02
464 D01BA02
465 D01BA02
466 D01BA02
467 D01BA02
468 D01BA02
469 D01BA02
470 D01BA02
471 D01BA02
472 D01BA02
473 D01BA02
474 D01BA02
475 D01BA02
476 D01BA02
477 D05AX02
478 D05AX02
479 D05AX02
480 D05AX52
481 D05AX52
482 D05BB02
483 D06AX01
484 D06AX01
485 D06BA01
486 D06BB04
487 D06BB04
488 D06BB10
489 D07AB02
490 D07AB02
491 D07AB02
492 D07AB02
493 D07AC13
494 D07AC13
495 D07AC13
496 D07AC14
497 D07AC14
498 D07AC14
499 D07AC17
500 D07AC17
501 D07AD01
502 D07AD01
503 D07AD01
504 D07AD01

NATAMYCINUM
TERBINAFINUM
TERBINAFINUM
TERBINAFINUM
TERBINAFINUM
TERBINAFINUM
TERBINAFINUM
TERBINAFINUM
TERBINAFINUM
TERBINAFINUM
TERBINAFINUM
TERBINAFINUM
TERBINAFINUM
TERBINAFINUM
TERBINAFINUM
TERBINAFINUM
CALCIPOTRIOLUM*
CALCIPOTRIOLUM*
CALCIPOTRIOLUM*

Denumire Comerciala

EZETROL (R)
CADUET 10mg/10mg
DUPLECOR 10 mg/10 mg
DUPLECOR 10 mg/5 mg
DUPLECOR 20 mg/10 mg
DUPLECOR 20 mg/5 mg
CADUET 5mg/10mg
PIMAFUCIN
EXIFINE 125 mg
EXIFINE 125 mg
EXIFINE 125 mg
EXIFINE 125 mg
LAMISIL (R)
TERBINARAN
TERBINARAN
EXIFINE 250 mg
EXIFINE 250 mg
TERBINAFINE 250 mg

forma farm.

COMPR.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

CREMA
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
TERBINAFINA SLAVIA 250mg COMPR.
TERBISIL (R) 250 mg
COMPR.
TERBINAFINA BIOGALENICA 250 mg COMPR.
EXIFINE 250 mg
COMPR.
EXIFINE 250 mg
COMPR.
DAIVONEX
CREMA
DAIVONEX SOLUTIE CUTANATA PENTRU SCALP SOL. CUT.
DAIVONEX UNGUENT
UNGUENT
COMBINATII (CALCIPOTRIOLUM+BETAMETHASONUM) XAMIOL 50 micrograme/ 0,5 mg/g GEL
COMBINATII (CALCIPOTRIOLUM+BETAMETHASONUM) DAIVOBET (R) UNGUENT
UNGUENT
ACITRETINUM**
NEOTIGASON 10 mg
CAPS.
ACIDUM FUSIDICUM
FUCIDIN 20 mg/g
CREMA
ACIDUM FUSIDICUM
FUCIDIN 20 mg/g
UNGUENT
SULFADIAZINUM
FLAMMAZINE
CREMA
PODOPHYLLOTOXINUM*
WARTEC 1,5 mg/g
CREMA
PODOPHYLLOTOXINUM*
CONDYLINE
SOL. CUT.
IMIQUIMODUM*
ALDARA 5%
CREMA
HYDROCORTISONUM BUTYRATUM LOCOID (R) crema 0,1%
CREMA
HYDROCORTISONUM BUTYRATUM LOCOID (R) LIPOCREAM 0,1% CREMA
HYDROCORTISONUM BUTYRATUM LOCOID CRELO (R) 0,1%
EMULSIE CUT.
HYDROCORTISONUM BUTYRATUM LOCOID (R)
SOL. CUT.
MOMETASONUM
ELOCOM
CREMA
MOMETASONUM
ELOCOM
SOL. CUT.
MOMETASONUM
ELOCOM
UNGUENT
METHYLPREDNISOLONUM ACEPONAT ADVANTAN
CREMA
METHYLPREDNISOLONUM ACEPONAT ADVANTAN (R) MILK
EMULSIE CUT.
METHYLPREDNISOLONUM ACEPONAT ADVANTAN
UNGUENT
FLUTICASONUM PROPIONAT CUTIVATE
CREMA
FLUTICASONUM PROPIONAT CUTIVATE
UNGUENT
CLOBETASOLUM*
DERMOVATE 0,5 mg/g
CREMA
CLOBETASOLUM*
DERMOVATE (R)
SOL. CUT.
CLOBETASOLUM*
DERMOVATE
UNGUENT
CLOBETASOLUM*
DERMIONE
UNGUENT

concentratie

10mg
10mg/10mg
10mg/10mg
10mg/5mg
20mg/10mg
20mg/5mg
5mg/10mg
20mg/g
125mg
125mg
125mg
125mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
50mcg/g
50mcg/ml
50mcg/g
0,5 mg/g
10mg
20mg/g
20mg/g
1%
1,5 mg/g
5mg/ml
5%
0,1%
0,1%
0.1%
0,1%
1mg/g
1mg/g
1mg/g
1mg/g
0,1%
1mg/g
0,05%
0,005%
0,5mg/g
0,05%
0,05%
0,05%

tara det.
APP
Ambalaj
MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PCTFE/PVC/AL X 14 COMPR.

P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

P-6L

GEDEON RICHTER ROMANIA SA

GEDEON RICHTER ROMANIA SA

ROMANIA
ROMANIA
ROMANIA
ROMANIA

PFIZER EUROPE MA EEIG

MAREA BRITANIE

ASTELLAS EUROPE B.V.

OLANDA CUTIE X 1 TUB DIN AL X 30 G CREMA

P-RF

DR. REDDY'S LABORATORIES

ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR.

P-RF

CUTIE X 1 BLIST. PVC-PVDC/AL X 14 COMPR.

P-RF

CUTIE X 1 BLIST. PVC-PVDC/AL X 14 COMPR.

P-RF

CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR.

P-RF

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

Detinator APP

GEDEON RICHTER ROMANIA SA


GEDEON RICHTER ROMANIA SA

DR. REDDY'S LABORATORIES


DR. REDDY'S LABORATORIES
DR. REDDY'S LABORATORIES

CUTIE X 3 BLIST. PA-AL-PVC/PVC-AL X 10 COMPR. FILM.


CUTIE CU BLIST. ALBE, OPACE DIN PA/AL/PVC/AL X 30 COMPR. FILM.
CUTIE CU BLIST. ALBE, OPACE DIN PA/AL/PVC/AL X 30 COMPR. FILM.
CUTIE CU BLIST. ALBE, OPACE DIN PA/AL/PVC/AL X 30 COMPR. FILM.
CUTIE CU BLIST. ALBE, OPACE DIN PA/AL/PVC/AL X 30 COMPR. FILM.

CUTIE X 3 BLIST. PA-AL-PVC/PVC-AL X 10 COMPR. FILM.

Prescriptie

P6L
P6L
P6L
P6L
P-6L

ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR.


ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 14 COMPR.

P-RF

ACTAVIS GROUP HF ISLANDA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR.


SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. PVC/AL X 7 COMPR.
GEDEON RICHTER PLC UNGARIA CUTIE X 2 BLIST. X 14 COMPR.
ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR.

P-RF

DR. REDDY'S LABORATORIES


DR. REDDY'S LABORATORIES

P-RF

P-RF
P-RF
P-RF

LEO PHARMACEUTICAL PRODUCTS

ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 14 COMPR. P-RF


ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-RF
DANEMARCA CUTIE X 1 TUB DIN AL X 30 G CREMA P-6L

LEO PHARMACEUTICAL PRODUCTS

DANEMARCA

CUTIE X 1 FLACON DIN PEID X 30 ML SOL. CUTANATA PENTRU SCALP

LEO PHARMACEUTICAL PRODUCTS

DANEMARCA

CUTIE X 1 TUB DIN AL X 30 G UNGUENT

P-6L

LEO PHARMACEUTICAL PRODUCTS

DANEMARCA

P-RF

LEO PHARMACEUTICAL PRODUCTS

DANEMARCA

CUTIE CU 1 FLAC. PEID X 15 G GEL


CUTIE X 1 TUB X 15 G

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

DR. REDDY'S LABORATORIES


DR. REDDY'S LABORATORIES

GLAXOSMITHKLINE (GSK) SRL


ASTELLAS PHARMA EUROPE BV

MEDA AB
ASTELLAS PHARMA EUROPE BV
ASTELLAS PHARMA EUROPE BV
ASTELLAS PHARMA EUROPE BV
ASTELLAS PHARMA EUROPE BV

SCHERING PLOUGH EUROPE


SCHERING PLOUGH EUROPE
SCHERING PLOUGH EUROPE

OLANDA
SUEDIA
OLANDA
OLANDA
OLANDA
OLANDA
BELGIA
BELGIA
BELGIA

P-RF

PRF
P-RF

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

CUTIE X 1 FLACON PICURATOR DIN PP X 30 ML

P-RF

CUTIE X 1 TUB DIN AL X 15 G

P-RF

CUTIE X 1 FLACON DIN PEID X 20 ML SOL. CUTANATA

P-RF

CUTIE X 1 TUB DIN AL X 15 G

P-RF

INTENDIS GMBH
INTENDIS GMBH
INTENDIS GMBH

GERMANIA CUTIE X 1 TUB DIN AL X 15 G CREMA

GLAXO WELLCOME UK LIMITED

GERMANIA

P-6L

CUTIE X 1 TUB X 20 G

P-RF
P-RF

P-RF
P-RF

GERMANIA CUTIE X 1 TUB DIN AL X 15 G UNGUENT

P-RF

MAREA BRITANIE

CUTIE X 1 TUB DIN AL X 15 G CREMA

P-RF

GLAXO WELLCOME UK LIMITED

MAREA BRITANIE

CUTIE X 1 TUB DIN AL X 15 G UNGUENT

P-RF

GLAXO WELLCOME UK LTD.

MAREA BRITANIE

CUTIE CU 1 TUB AL X 25 G CREMA

P-RF

GLAXO WELLCOME UK LTD.

MAREA BRITANIE

CUTIE X 1 FLACON CU PICURATOR DIN PP X 25 ML P-RF

GLAXOWELLCOME UK LTD.

MAREA BRITANIE

OZONE LABORATORIES LTD.

MAREA BRITANIE

Pagina 10 din 21

CUTIE X 1 TUB X 25 G
CUTIE X 1 TUB DIN AL X 20 G

P-RF
P-RF

Val suportata
Pret
de CNAS/UT
amanunt
Pret
(RON)Legea Val suportata
ul
CNAS/UT
cant/ maximal amanuntul nr. 95/2006 art
ambal /ambalaj maximal/UT 213 alin.1 lit.
(RON) pt.
(RON)
(RON)
a) si f)
Adulti
aj

28
30
30
30
30
30
30
1
28
14
14
28
14
30
28
28
14
28
14
28
28
14
28
1
1
1
1
1
30
1
1
1
1
1
12
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

178.87
6.388214
6.388214
80.49
2.683000
1.905499
55.10
1.836666
1.836666
48.25
1.608333
1.608333
70.43
2.347666
1.905499
63.36
2.112000
1.905499
71.77
2.392333
1.905499
12.33 12.330000 12.330000
51.00
1.821428
0.529151
26.72
1.908571
0.529151
26.72
1.908571
0.529151
51.00
1.821428
0.529151
86.87
6.205000
1.058303
232.20
7.740000
1.058303
106.18
3.792142
1.058303
32.93
1.176071
1.058303
16.46
1.175714
1.058303
29.38
1.049285
1.049285
18.00
1.285714
1.058303
107.50
3.839285
1.058303
31.62
1.129285
1.058303
16.46
1.175714
1.058303
32.93
1.176071
1.058303
42.75 42.750000 39.485000
47.09 47.090000 39.485000
36.22 36.220000 36.220000
80.76 80.760000 66.330000
61.52 61.520000 61.520000
73.87
2.462333
2.462333
15.01 15.010000 15.010000
15.01 15.010000 15.010000
104.34 104.340000 104.340000
84.54 84.540000 45.264642
75.07 75.070000 75.070000
262.32 21.860000 21.860000
12.77 12.770000 12.260000
13.24 13.240000 12.260000
12.65 12.650000 12.260000
11.09 11.090000 11.090000
15.50 15.500000 14.713750
18.57 18.570000 18.570000
15.50 15.500000 14.713750
13.11 13.110000 13.110000
19.38 19.380000 17.480000
13.11 13.110000 13.110000
10.18 10.180000 10.180000
10.18 10.180000 10.180000
11.94 11.940000
6.412500
5.15
5.150000
5.150000
8.80
8.800000
6.412500
5.70
5.700000
5.130000

3.194107
0.952749
0.918333
0.804166
0.952749
0.952749
0.952749
6.165000
0.264575
0.264575
0.264575
0.264575
0.529151
0.529151
0.529151
0.529151
0.529151
0.524642
0.529151
0.529151
0.529151
0.529151
0.529151
19.742500
19.742500
18.110000
33.165000
30.760000
1.231166
7.505000
7.505000
52.170000
22.632321
37.535000
10.930000
6.130000
6.130000
6.130000
5.545000
7.356875
9.285000
7.356875
6.555000
8.740000
6.555000
5.090000
5.090000
3.206250
2.575000
3.206250
2.565000

cod ATC

DCI

505 D07AD01

CLOBETASOLUM*

506 D07CA01

COMBINATII (ACIDUM FUSIDICUM+HYDROCORTISONUM)

507 D07CC01

COMBINATII (ACIDUM FUSIDICUM+ BETAMETHASONUM)

Nr. crt

508 D07XC03 COMBINATII (MOMETASONUM + AC. SALICILICUM)


509 D07XC03 COMBINATII (MOMETASONUM + AC. SALICILICUM)
510 D10AD54 COMBINATII (ISOTRETINOINUM + ERITROMICINUM)
511 D10AX03
512 D10AX03
513 D10BA01
514 D10BA01
515 D10BA01
516 G01AA02
517 G01AA51
518 G01AA51
519 G01AA51
520 G01AF12
521 G01AF12
522 G01AF12
523 G01AF15
524 G01AF20
525 G01AF20
526 G01AF20
527 G01AF20
528 G01AF20
529 G01AX05
530 G02CB03
531 G02CB03
532 G03AC03
533 G03CA04
534 G03CA04
535 G03CA09
536 G03CA09
537 G03DA04
538 G03DA04
539 G03DA04
540 G03DA04
541 G03DA04
542 G03DA04
543 G03DA04
544 G03DB01
545 G03DC03
546 G03DC05
547 G03FA14
548 G03FA15
549 G03FA17
550 G03FB01
551 G03FB08
552 G03GA05
553 G03GA05
554 G03GA05
555 G03GA05

ACIDUM AZELAICUM
ACIDUM AZELAICUM
ISOTRETINOINUM**
ISOTRETINOINUM**
ISOTRETINOINUM**
NATAMYCINUM
COMBINATII
COMBINATII
COMBINATII
FENTICONAZOLUM
FENTICONAZOLUM
FENTICONAZOLUM
BUTOCONAZOLUM

Denumire Comerciala

forma farm.

CLOBETASOL MK
FUCIDIN H

UNGUENT
CREMA
FUCICORT 20 mg/1mg pe gram CREMA
ELOSALIC
UNGUENT
ELOSALIC
UNGUENT
ISOTREXIN GEL
GEL
SKINOREN
CREMA
SKINOREN (R) 15%
GEL
ROACCUTANE 10 mg
CAPS. MOI
SOTRET 10 mg
CAPS. MOI
SOTRET 20 mg
CAPS. MOI
PIMAFUCIN (R)
OVULE
MACMIROR COMPLEX
CAPS. MOI VAG.
POLYGYNAX
CAPS. MOI VAG.
MACMIROR COMPLEX
CREMA VAG.
LOMEXIN 1000 mg
CAPS. MOI VAG.
LOMEXIN 600 mg
CAPS. MOI VAG.

concentratie

0,05%
20mg/1mg pe gram

tara det.
APP
Ambalaj
FITERMAN PHARMA S.R.L. ROMANIA CUTIE X 1 TUB X 20 G
LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 1 TUB DIN AL X 15 G CREMA
LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 1 TUB DIN AL X 15 G CREMA
Detinator APP

P-RF
P-RF

STIEFEL LABORATORIES IRELAND LTD.

MAREA BRITANIE

INTENDIS GMBH
INTENDIS GMBH

GERMANIA CUTIE X 1 TUB DIN AL X 30 G CREMA

P-RF

1mg+5mg/gram SCHERING PLOUGH EUROPE

0,05%/0,2%
200mg/g
15%
10mg
10mg
20mg
100mg

P-RF

CUTIE X 1 TUB X 15 G
CUTIE X 1 TUB X 45 G
CUTIE X 1 TUB DIN AL X 30 G GEL

1mg+5mg/gram SCHERING PLOUGH EUROPE

BELGIA
BELGIA

Prescriptie

P-RF

GERMANIA

ROCHE ROMANIA SRL ROMANIA


RANBAXY U.K. LIMITED MAREA BRITANIE
RANBAXY U.K. LIMITED MAREA BRITANIE
ASTELLAS PHARMA EUROPE BV

POLICHEM SA
LAB. INNOTECH INT.
10g/400000UI POLICHEM SA
1000mg
RECORDATI SPA
600mg
RECORDATI SPA
LOMEXIN CREMA VAGINALA CREMA VAG. 2%
RECORDATI SPA
GYNOFORT 2%
CREMA VAG.
GEDEON RICHTER ROMANIA SA
COMBINATII (METRONIDAZOLUM+CLOTRIMAZOLUM)
MECLODIN
COMPR. VAG. 500mg/200mg ARENA GROUP S.A.
COMBINATII (METRONIDAZOLUM+CLOTRIMAZOLUM)
MECLON
CREMA
ALFA WASSERMANN SPA
COMBINATII (METRONIDAZOLUM+CLOTRIMAZOLUM)
MECLON
CREMA VAG.
ALFA WASSERMAN SPA
COMBINATII (METRONIDAZOLUM+CLOTRIMAZOLUM)
MECLON
OVULE
ALFA WASSERMAN SPA
COMBINATII (METRONIDAZOLUM+CLOTRIMAZOLUM)
MECLON
SOL. VAGINALA
ALFA WASSERMAN SPA
NIFURATELUM
MACMIROR
DRAJ.
200mg
POLICHEM SA
CABERGOLINUM*
DOSTINEX
COMPR.
0,5mg
PFIZER EUROPE MA EEG
CABERGOLINUM*
DOSTINEX
COMPR.
0,5mg
PFIZER EUROPE MA EEG
LEVONORGESTRELUM***#
MIRENA 20 mcg/24 h
DISPOZITIV INTRAUTERIN
52mg
BAYER SCHERING PHARMA AG
ESTRIOLUM*
OVESTIN
CREMA VAG. 0.1%
ORGANON NV
ESTRIOLUM*
OVESTIN
OVULE
0,5mg
ORGANON NV
PROMESTRIENUM*
COLPOTROPHINE (R)
CAPS. MOI VAG. 10mg
LAB. THERAMEX
PROMESTRIENUM*
COLPOTROPHINE (R)
CREMA VAG. 1%
LAB. THERAMEX
PROGESTERONUM*
UTROGESTAN (R) 100 mg CAPS. MOI 100mg
LAB. BESINS INTERNATIONAL
PROGESTERONUM*
AREFAM 100 mg
CAPS. MOI 100mg
LADEE PHARMA KFT.
PROGESTERONUM*
UTROGESTAN (R) 200 mg CAPS. MOI 200mg
LAB. BESINS INTERNATIONAL
PROGESTERONUM*
AREFAM 200 mg
CAPS. MOI 200mg
LADEE PHARMA KFT.
PROGESTERONUM*
LUTINUS 100 mg
COMPR. VAG. 100mg
FERRING GMBH
PROGESTERONUM*
PROGESTOGEL
GEL
1%
LAB. BESINS INTERNATIONAL
PROGESTERONUM*
MASTOPROFEN 1%
GEL
1%
ANTIBIOTICE SA
DYDROGESTERONUM*
DUPHASTON (R)
COMPR. FILM. 10mg
SOLVAY PHARMACEUTICALS BV
LYNESTRENOLUM*
ORGAMETRIL
COMPR.
5mg
ORGANON NV
TIBOLONUM**
LIVIAL (R) 2,5 mg
COMPR.
2,5mg
ORGANON NV
COMBINATII**
FEMOSTON (R) conti 1/5
COMPR. FILM.
SOLVAY PHARMACEUTICALS BV
ESTRADIOLUMVALERAT+DIENOGEST** KLIMODIEN
DRAJ.
BAYER SCHERING PHARMA AG
COMBINATII**
ANGELIQ
COMPR. FILM.
BAYER SCHERING PHARMA AG
COMBINATII**
CYCLO PROGINOVA (R)
DRAJ.
BAYER SCHERING PHARMA AG
COMBINATII**
FEMOSTON 2/10
COMPR. FILM.
SOLVAY PHARMACEUTICALS BV
FOLLITROPINUM ALFA****#
GONAL - f 75 UI (5,5 mcg)
PULB. + SOLV. PT. SOL. INJ. 75UI
SERONO EUROPE LTD.
FOLLITROPINUM ALFA****#
GONAL-f 300 UI/0,5 ml ( 22 mcg/0,5 ml)
300UI/0,5ml SERONO EUROPE LTD.
FOLLITROPINUM ALFA****#
GONAL-f 450 UI/0,75 ml (33 mcg/0,75 ml)
450UI/0,75ml SERONO EUROPE LTD.
FOLLITROPINUM ALFA****#
GONAL-f 900 UI/1,5ml (66 mcg/1,5 ml)
900UI/0,75ml SERONO EUROPE LTD.
500mg/200000UI

P-RF
P-RF

CUTIE X 1 TUB AL X 30 G GEL

P-RF

CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 CAPS. MOI

P-RF

CUTIE X 3 BLIST. PE-PVDC-PVC/HARTIE-AL X 10 CAPS. MOI P-RF


CUTIE X 3 BLIST. PE-PVDC-PVC/HARTIE-AL X 10 CAPS. MOI P-RF

OLANDA CUTIE X 1 FOLIE X 3 OVULE

P-RF

LUXEMBURG CUTIE X 1 BLIST. AL/PVDC-PVC X 12 CAPS. MOI. VAG.

P-RF

FRANTA

P-RF

CUTIE X 1 BLIST. AL/PVC X 6 CAPS. MOI VAG.

LUXEMBURG CUTIE X 1 TUB DIN AL CREMA VAG. X 30 G + APLICATOR

P-RF

ITALIA
ITALIA
ITALIA

CUTIE X 1 BLIST. PVC/PVDC-AL X 2 CAPS. VAG. MOI

P-RF

CUTIE X 1 BLIST. PVC/PVDC-AL X 1 CAPS. VAG. MOALE

P-RF

CUTIE X 1 TUB AL + APLICATOR X 78 G CREMA

P-RF

CUTIE X 1 APLICATOR PREUMPLUT UNIDOZA DIN PP CU 5 G CREMA VAG.

P-RF

ROMANIA
ROMANIA

ITALIA
ITALIA
ITALIA
ITALIA

CUTIE X 2 BLIST. TRANSPARENT DIN AL/PVC X 5 COMPR. VAG. P-RF

CUTIE X 1 TUB DIN AL X 30 G

P-RF

CUTIE X 1 TUB DIN AL X 30 G CREMA VAG. + 6 APLICATOARE DIN POLIPROPILENA

P-RF

CUTIE X 2 FOLII PVC-PE X 5 OVULE

P-RF

CUTIE X 5 FLACOANE PVC-PE X 10 ML + 5 FLACOANE PEJD X 130 ML + 5 CANULE

P-RF

CUTIE X 2 BLIST. AL/PVC X 10 DRAJ.

P-RF
P-RF

MAREA BRITANIE

CUTIE X 1 FLAC. X 2 COMPR.


CUTIE X 1 FLAC. X 8 COMPR.

FINLANDA

CUTIE X 1 BLIST. X 1 DISP. PT. ADM. INTRAUTERINA + 1 INSERTOR

P-RF

LUXEMBURG
MAREA BRITANIE

P-RF

OLANDA CUTIE X 1 FLACON X 15 G + APLICATOR


OLANDA CUTIE X 3 FOLII X 5 OVULE

P-RF

MONACO CUTIE X 1 BLIST. AL/PVC X 10 CAPS. MOI VAG.


MONACO CUTIE X 1 TUB X 15 G

P-RF

FRANTA CUTIE X 2 BLIST. X 15 CAPS. MOI

P-6L

UNGARIA

CUTIE X 2 BLIST. PVC-PVDC/AL X 15 COMPR. MOI

P-6L

FRANTA CUTIE X 2 BLIST. AL/PVC X 7 CAPS. MOI

P-6L

UNGARIA

CUTIE X 2 BLIST. PVC-PVDC/AL X 15 CAPS. MOI

P-6L

GERMANIA

CUTIE CU 7 BLIST. AL/AL X 3 COMPR. VAG. + 1 APLICATOR VAGINAL

P-6L

FRANTA

CUTIE X 1 TUB X 80 G + DISPOZITIV DE MASURA P-6L

P-RF

P-RF

ROMANIA CUTIE X 1 TUB DIN AL X 40 G


P-6L
OLANDA CUTIE X 1 BLIST. X 20 COMPR. FILM. P-6L

OLANDA CUTIE X 1 BLIST. X 30 COMPR.


OLANDA CUTIE X 1 BLIST. X 28 COMPR.
OLANDA CUTIE X 1 BLIST. X 28 COMPR. FILM.
GERMANIA CUTIE X 1 BLIST. X 28 DRAJ.
GERMANIA

CUTIE X 1 BLIST. CALENDARISTIC PVC/AL X 28 COMPR. FILM.

GERMANIA CUTIE X 1 BLIST. TIP CALENDAR X 21 DRAJEURI

OLANDA

P-6L
P-RF
P-RF
P-RF
P-RF
P-RF

CUTIE X 1 BLIST. TIP CALENDAR X 28 COMPR. FILM. (14 COMPR.FILM. ROSII-CARAMIZII + 14 COMPR.FILM. GAL

P-RF

MAREA BRITANIE

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. + 1 FLAC. X 1 ML SOLV.

P-RF/R

SOL. INJ. IN STILOU INJECTOR PREUMPLUT

MAREA BRITANIE

CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT X 0,5 ML SOL. INJ. + 5 ACE PT. ADM.

P-RF/R

SOL. INJ. IN STILOU INJECTOR PREUMPLUT

MAREA BRITANIE

CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT X 0,75 ML SOL. INJ. + 7 ACE PT. ADM. SUBCUTANATA

P-RF/R

SOL. INJ. IN STILOU INJECTOR PREUMPLUT

MAREA BRITANIE

CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT X 1,5 ML SOL. INJ. + 14 ACE PT. ADM. SUBCUTANATA

P-RF/R

Pagina 11 din 21

Val suportata
Pret
de CNAS/UT
amanunt
Pret
(RON)Legea Val suportata
ul
CNAS/UT
cant/ maximal amanuntul nr. 95/2006 art
ambal /ambalaj maximal/UT 213 alin.1 lit.
(RON) pt.
(RON)
(RON)
a) si f)
Adulti
aj

1
1
1
1
1
1
1
1
30
30
30
3
12
6
1
2
1
1
1
10
1
1
10
5
20
2
8
1
1
15
10
1
30
30
14
30
21
1
1
20
30
28
28
28
28
21
28
1
1
1
1

8.10
21.48
23.54
20.37
58.14
35.79
33.70
43.94
52.67
32.70
63.52
10.96
37.67
17.26
35.06
50.61
19.86
35.59
39.81
14.84
9.52
12.71
11.03
21.73
19.34
43.08
122.28
508.33
14.59
20.37
11.94
13.70
29.65
19.26
29.65
37.29
226.30
17.78
5.76
14.21
9.01
71.97
31.28
33.79
67.57
7.98
31.28
136.19
522.39
748.22

8.100000
21.480000
23.540000
20.370000
58.140000
35.790000
33.700000
43.940000
1.755666
1.090000
2.117333
3.653333
3.139166
2.876666
35.060000
25.305000
19.860000
35.590000
39.810000
1.484000
9.520000
12.710000
1.103000
4.346000
0.967000
21.540000
15.285000
508.330000
14.590000
1.358000
1.194000
13.700000
0.988333
0.642000
2.117857
1.243000
10.776190
17.780000
5.760000
0.710500
0.300333
2.570357
1.117142
1.206785
2.413214
0.380000
1.117142
136.190000
522.390000
748.220000

5.130000
2.565000
21.480000 10.740000
21.660000 10.830000
19.627500
9.813750
58.140000 29.070000
35.790000 17.895000
33.700000 16.850000
36.260000 18.130000
1.074333
0.537166
1.074333
0.537166
2.117333
1.058666
3.653333
1.826666
1.820399
0.910199
1.820399
0.910199
35.060000 17.530000
17.241686
8.620843
10.345011
5.172505
26.897030 13.448515
1.724168
0.862084
0.839850
0.419925
9.520000
4.760000
12.710000
6.355000
0.839850
0.419925
0.839850
0.419925
0.967000
0.483500
8.165250
4.082625
8.165250
4.082625
508.330000 254.165000
14.590000
7.295000
1.026075
0.513037
0.410430
0.205215
6.156450
3.078225
0.636875
0.318437
0.636875
0.318437
1.273750
0.636875
1.243000
0.621500
10.776190
5.388095
7.888500
3.944250
5.760000
2.880000
0.710500
0.355250
0.300333
0.150166
2.570357
1.285178
1.117142
0.558571
1.161963
0.580981
1.161963
0.580981
0.380000
0.190000
0.507856
0.253928
107.289165 53.644582
429.156662 214.578331
643.734994 321.867497
1,425.63 1,425.630000 1,287.469988 643.734994

Nr. crt

cod ATC

556 G03GA06
557 G03GA06
558 G03GA06
559 G03GA06
560 G03GA06
561 G03GA07
562 G03GA07
563 G03GA07
564 G03GB02
565 G03GB02
566 G03XC01
567 G04BD04
568 G04BD07
569 G04BD07
570 G04BD07
571 G04BD07
572 G04BD07
573 G04BD07
574 G04BD07
575 G04BD07
576 G04BD08
577 G04BD08
578 G04BD08
579 G04BD08
580 G04BD09
581 G04BD09
582 G04BD09
583 G04BD09
584 G04BD09
585 G04BD09
586 G04CA01
587 G04CA01
588 G04CA01
589 G04CA02
590 G04CA02
591 G04CA02
592 G04CA02
593 G04CA02
594 G04CA02
595 G04CA02
596 G04CB01
597 G04CB01
598 G04CB01
599 G04CB01
600 G04CB01
601 G04CB01
602 G04CB01
603 G04CB01
604 G04CB01
605 G04CB01
606 G04CB02

DCI

FOLLITROPINUM BETA****#
FOLLITROPINUM BETA****#
FOLLITROPINUM BETA****#
FOLLITROPINUM BETA****#
FOLLITROPINUM BETA****#
LUTROPINUM ALFA****#
LUTROPINUM ALFA****#
LUTROPINUM ALFA****#
CLOMIFENUM
CLOMIFENUM
RALOXIFENUM
OXYBUTYNINUM
TOLTERODINUM**#
TOLTERODINUM**#
TOLTERODINUM**#
TOLTERODINUM**#
TOLTERODINUM**#
TOLTERODINUM**#
TOLTERODINUM**#
TOLTERODINUM**#
SOLIFENACINUM SUCCINATE**#
SOLIFENACINUM SUCCINATE**#
SOLIFENACINUM SUCCINATE**#
SOLIFENACINUM SUCCINATE**#
TROSPIUM
TROSPIUM
TROSPIUM
TROSPIUM
TROSPIUM
TROSPIUM
ALFUZOSINUM
ALFUZOSINUM
ALFUZOSINUM
TAMSULOSINUM
TAMSULOSINUM
TAMSULOSINUM
TAMSULOSINUM
TAMSULOSINUM
TAMSULOSINUM
TAMSULOSINUM
FINASTERIDUM*
FINASTERIDUM*
FINASTERIDUM*
FINASTERIDUM*
FINASTERIDUM*
FINASTERIDUM*
FINASTERIDUM*
FINASTERIDUM*
FINASTERIDUM*
FINASTERIDUM*
DUTASTERIDUM*

Denumire Comerciala

PUREGON 100UI/0,5ml
PUREGON 300UI/0,36 ml
PUREGON 50UI/0,5ml
PUREGON 600UI/0,72 ml
PUREGON 900UI/1,08 ml
LUVERIS 75UI
LUVERIS 75UI
LUVERIS 75UI
CLOSTILBEGYT
OVA - MIT
EVISTA 60mg
DRIPTANE ( R ) 5 mg
DETRUSITOL SR 4 mg
DETRUSITOL SR 4 mg
UROFLOW 1
TOLTERODINA ACCORD 1 mg
TOLTERODINA ACCORD 1 mg

UROFLOW 2
TOLTERODINA ACCORD 2 mg
TOLTERODINA ACCORD 2 mg

ZEVESIN 10 mg
VESICARE 10 mg
ZEVESIN 5 mg
VESICARE 5 mg
INKONTAN 15 mg
INKONTAN 15 mg
INKONTAN 15 mg
INKONTAN 30 mg
INKONTAN 30 mg
INKONTAN 30 mg
ALFURAN MR 10 mg
XATRAL SR 10 mg
XATRAL LP 5 mg
TAMSOL 0,4 mg
FOKUSIN
CONTIFLO MR
TANYZ
TAMSUNORM 0,4 mg
TANYZ 0,4 mg
OMNIC TOCAS (R) 0,4
PROSCAR 5 mg
PROSCAR 5 mg
TAREDOX 5 mg

forma farm.

SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
PULB+SOLV.PT.SOL.INJ
PULB+SOLV.PT.SOL.INJ
PULB+SOLV.PT.SOL.INJ

COMPR.
COMPR.
COMPR. FILM.

COMPR.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. FILM. ELIB. PREL.

CAPS. ELIB. MODIF.


CAPS. ELIB. MODIF.

CAPS. ELIB. PREL.


CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. FILM. ELIB. PREL.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
FINASTERIDA BIOGALENICA 5 mg COMPR. FILM.
FINASTERIDE TEVA 5mg
COMPR. FILM.
FINANORM 5 mg
COMPR. FILM.
FINANORM 5 mg
COMPR. FILM.
TAREDOX 5 mg
COMPR. FILM.
FINASTERIDA ACCORD 5 mg COMPR. FILM.
FINASTERIDA BIOGALENICA 5 mg COMPR. FILM.

AVODART 0,5 mg

CAPS. MOI

concentratie

Detinator APP

100UI/0,5ml N. V. ORGANON
300UI/0,36ml N. V. ORGANON
50UI/0,5ml N. V. ORGANON
600UI/0,72ml N. V. ORGANON
900UI/1,08ml N. V. ORGANON
75UI
SERONO EUROPE LTD.
75UI
SERONO EUROPE LTD.
75UI
SERONO EUROPE LTD.
50mg
EGIS PHARMACEUTICALS P.L.C.
50mg
REMEDICA LTD.
60mg
DAIICHI SANKYO EUROPE GMBH
5mg
LAB. FOURNIER SA
4mg
PFIZER EUROPE MA EEIG
4mg
PFIZER EUROPE MA EEIG
1mg
ZENTIVA A.S.
1mg
ACCORD HEALTHCARE LIMITED
1mg
ACCORD HEALTHCARE LIMITED
2mg
ZENTIVA A.S.
2mg
ACCORD HEALTHCARE LIMITED
2mg
ACCORD HEALTHCARE LIMITED
10 mg
ZENTIVA K.S.
10mg
ASTELLAS PHARMA EUROPE BV
5 mg
ZENTIVA K.S.
5mg
ASTELLAS PHARMA EUROPE BV
15mg
15mg
15mg
30mg
30mg
30mg
10mg
TERAPIA SA
10mg
SANOFI-AVENTIS ROMANIA S.R.L.
5mg
SANOFI-AVENTIS ROMANIA S.R.L.
0,4mg
GEDEON RICHTER ROMANIA SA
0,4mg
ZENTIVA AS
0,4mg
RANBAXY UK LTD.
0,4mg
KRKA D.D. NOVO MESTO
0,4mg
ICN POLFA RZESZOW S.A.
0,4mg
KRKA D.D., NOVO MESTO
0,4mg
ASTELLAS PHARMA EUROPE BV
5mg
MERCK SHARP & DOHME
5mg
MERCK SHARP & DOHME
5mg
DR. REDDY'S LABORATORIES
5mg
LABORATOARELE PROF.DR.MORAIT S.R.L.
5mg
TEVA PHARMACEUTICAL S.R.L.
5mg
ICN POLFA RZESZOW S.A.
5mg
ICN POLFA RZESZOW S.A.
5mg
DR. REDDY'S LABORATORIES
5mg
ACCORD HEALTHCARE LIMITED
5mg
ARENA GROUP S.A.
0,5mg
GLAXOSMITHKLINE (GSK) SRL
PHARMAZEUTISCHE FABRIK MONTAVIT GES.M.B.H.

PHARMAZEUTISCHE FABRIK MONTAVIT GES.M.B.H.

PHARMAZEUTISCHE FABRIK MONTAVIT GES.M.B.H.

PHARMAZEUTISCHE FABRIK MONTAVIT GES.M.B.H.

PHARMAZEUTISCHE FABRIK MONTAVIT GES.M.B.H.

PHARMAZEUTISCHE FABRIK MONTAVIT GES.M.B.H.

Pagina 12 din 21

tara det.
APP

Ambalaj

OLANDA CUTIE X 1 FLACON DIN STICLA X 0,5 ML SOL. INJ.


OLANDA CUTIE X 1 CARTUS + 6 ACE
OLANDA CUTIE X 1 FLACON DIN STICLA INCOLORA X 0,5 ML SOL. INJ.
OLANDA CUTIE X 1 CARTUS SOL. INJ + 6 ACE
OLANDA CUTIE X 1 CARTUS SOL. INJ. + 9 ACE

Prescriptie

P-RF
P-RF
P-RF
P-RF/R

P-RF

MAREA BRITANIE

CUTIE X 10 FLAC. CU PULB. PT. SOL. INJ.+ 10 FLAC. A 2 ML SAU 3 ML X 1 ML SOLV. P-RF/R

MAREA BRITANIE

CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ.+ 1 FLAC. A 2 ML SAU 3 ML X 1 ML SOLV.

P-RF/R

MAREA BRITANIE

CUTIE X 3 FLAC. CU PULB. PT. SOL. INJ.+ 3 FLAC. A 2 ML SAU 3 ML X 1 ML SOLV.

P-RF/R

UNGARIA

CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 COMPR.

P-RF

CIPRU

CUTIE X 1 BLIST. X 10 COMPR.

P-RF

GERMANIA CUTIE X 28 COMPR. FILM. (BLIST. ACLAR)

P-RF

FRANTA CUTIE X 2 BLIST. AL/PVC X 30 COMPR.

P-6L
P-6L

MAREA BRITANIE

CUTIE X 4 BLIST. X 7 CAPS. ELIB. PREL.


CUTIE X 1 BLIST. X 7 CAPS. ELIB. PREL.

CEHIA

CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L

MAREA BRITANIE

CUTIE CU BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L

MAREA BRITANIE

CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L

CEHIA

CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L

MAREA BRITANIE

CUTIE CU BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L

MAREA BRITANIE

CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L

REPUBLICA SLOVACA

CUTIE CU BLIST. OPA/AL/PVC/AL X 30 COMPR. FILM.

OLANDA

CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L

REPUBLICA SLOVACA

CUTIE CU BLIST. OPA/AL/PVC/AL X 30 COMPR. FILM.

OLANDA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA

CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L

ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. ELIB. PREL.

MAREA BRITANIE

P-6L

P6L
P6L

CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L


CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
P-6L

CUTIE X 3 BLIST. AL/PVCX 10 COMPR. ELIB. PREL. P-6L


CUTIE X 2 BLIST. PVC/AL X 14 COMPR. FILM. ELIB. PREL.

P-6L

CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL.

P-6L

CEHIA

CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS. ELIB. MODIF.

P-6L

MAREA BRITANIE

CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS. ELIB. PREL.

P-6L

SLOVENIA

CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 CAPS. ELIB. PREL.

P-6L

POLONIA

CUTIE CU BLIST. PVC-PVDC/AL X 30 CAPS. ELIB. PREL.

P-6L

SLOVENIA

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. CU ELIB. PREL.

P6L

OLANDA

CUTIE X 3 FOLII AL/AL X 10 COMPR. FILM. ELIB. PREL.

P-6L

ROMANIA CUTIE X 1 BLIST. PVC/PE/PVD-AL X 14 COMPR.FILM.


ROMANIA CUTIE X 2 BLIST. PVC/PE/PVD-AL X 14 COMPR.FILM.
ROMANIA CUTIE X 2 BLIST. AL/AL X 14 COMPR. FILM.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM.
ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM.

POLONIA
POLONIA

P-6L
P-6L
P-6L
P-6L
P-6L

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L


CUTIE CU BLIST. PVC-PVDC/AL X 100 COMPR. FILM.

P-6L/S

ROMANIA CUTIE X 2 BLIST. AL/AL X 14 COMPR. FILM. P-6L


MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P6L
ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM. P-6L
ROMANIA CUTIE X 3 BLIST.PVC-PVDC/AL X 10 CAPS. MOI P-6L

Val suportata
Pret
de CNAS/UT
amanunt
Pret
(RON)Legea Val suportata
ul
CNAS/UT
cant/ maximal amanuntul nr. 95/2006 art
ambal /ambalaj maximal/UT 213 alin.1 lit.
(RON) pt.
(RON)
(RON)
a) si f)
Adulti
aj

1
1
1
1
1
10
1
3
10
10
28
60
28
7
28
14
28
28
14
28
30
30
30
30
20
50
30
50
30
20
30
30
28
30
30
30
30
30
30
30
14
28
28
28
30
30
100
28
28
28
30

198.53
512.07
105.09
953.30
1,395.10
2,067.05

145.00
736.25
14.14
13.11
123.50
26.32
172.55
47.89
26.98
12.37
24.75
52.23
24.75
47.89
145.89
224.45
105.40
181.19
28.61
58.00
37.67
91.81
62.78
46.39
35.62
58.18
33.36
35.91
34.46
26.61
20.96
22.70
31.53
63.23
32.88
63.60
33.61
33.61
34.76
34.85
110.30
33.61
33.61
33.61
94.50

198.530000 143.052185 71.526092


512.070000 428.985000 214.492500
105.090000 71.526038 35.763019
953.300000 857.970000 428.985000
1,395.100000 1,286.955000 643.477500
206.705000 158.267250 79.133625
145.000000 145.000000 72.500000
245.416666 158.267250 79.133625
1.414000
1.336750
0.668375
1.311000
1.311000
0.655500
4.410714
4.410714
2.205357
0.438666
0.438666
0.219333
6.162500
2.783700
1.391850
6.841428
2.783700
1.391850
0.963571
0.695925
0.347962
0.883571
0.695925
0.347962
0.883928
0.695925
0.347962
1.865357
1.391850
0.695925
1.767857
1.391850
0.695925
1.710357
1.391850
0.695925
4.863000
4.863000
2.431500
7.481666
5.567400
2.783700
3.513333
2.783700
1.391850
6.039666
2.783700
1.391850
1.430500
1.043887
0.521943
1.160000
1.043887
0.521943
1.255666
1.043887
0.521943
1.836200
1.836200
0.918100
2.092666
2.087775
1.043887
2.319500
2.087775
1.043887
1.187333
1.187333
0.593666
1.939333
1.939333
0.969666
1.191428
1.144098
0.572049
1.197000
1.197000
0.598500
1.148666
1.148666
0.574333
0.887000
0.887000
0.443500
0.698666
0.698666
0.349333
0.756666
0.756666
0.378333
1.051000
1.051000
0.525500
2.107666
1.716149
0.858074
2.348571
1.171338
0.585669
2.271428
1.171338
0.585669
1.200357
1.171338
0.585669
1.200357
1.171338
0.585669
1.158666
1.158666
0.579333
1.161666
1.161666
0.580833
1.103000
1.103000
0.551500
1.200357
1.171338
0.585669
1.200357
1.171338
0.585669
1.200357
1.171338
0.585669
3.150000
3.150000
1.575000

Nr. crt

cod ATC

607 H01AA02
608 H01AC01
609 H01AC01
610 H01AC01
611 H01AC01
612 H01AC01
613 H01AC01
614 H01AC01
615 H01AC01
616 H01CC01
617 H01CC02
618 H01CC02
619 H02AA02
620 H02AB01
621 H02AB06
622 H02AB06
623 H03BB01
624 H03BB02
625 H03BB02
626 H03BB02
627 H05BA01
628 H05BA01
629 H05BA01
630 H05BA01
631 H05BA01
632 J01CR01
633 J01CR01
634 J01CR04
635 J01CR04
636 J01DD14
637 J01DD14
638 J01FA02
639 J01FA02
640 J01FA10
641 J01FA10
642 J01FA10
643 J01FA10
644 J01FA10
645 J01FA10
646 J01FA10
647 J01FA10
648 J01FA10
649 J01FA10
650 J01FA10
651 J01FA10
652 J01FA10
653 J01FA10
654 J01FA10
655 J01FA10
656 J01FA10
657 J01FA10

DCI

TETRACOSACTIDUM
SOMATROPINUM***#
SOMATROPINUM***#
SOMATROPINUM***#
SOMATROPINUM***#
SOMATROPINUM***#
SOMATROPINUM***#
SOMATROPINUM***#
SOMATROPINUM***#
GANIRELIXUM***#
CETRORELIXUM***#
CETRORELIXUM***#
FLUDROCORTISONUM
BETAMETHASONUM
PREDNISOLONUM
PREDNISOLONUM
CARBIMAZOLUM
THIAMAZOLUM
THIAMAZOLUM
THIAMAZOLUM
CALCITONINUM (SOMON)
CALCITONINUM (SOMON)
CALCITONINUM (SOMON)
CALCITONINUM (SOMON)
CALCITONINUM (SOMON)
AMPICILLINUM + SULBACTAM
AMPICILLINUM + SULBACTAM
SULTAMICILLINUM
SULTAMICILLINUM
CEFTIBUTENUM
CEFTIBUTENUM
SPIRAMYCINUM
SPIRAMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM

Denumire Comerciala

forma farm.

Detinator APP

SYNACHTEN DEPOT
ZOMACTON

LIOF. + SOLV. PT. SOL. INJ.

1mg/ml
4mg (12ui)

GENOTROPIN (R) 16 ui (5,3 mg)

PULB. + SOLV. PT. SOL. INJ.

5,3mg/ml (16ui) PFIZER EUROPE MA EEIG

NUTROPINAq 10 mg/2 ml
OMNITROPE 3,3mg/ml
OMNITROPE 6,7mg/ml

SOL. INJ.
SOL. INJ.
SOL. INJ.

NORDITROPIN SIMPLEXx 10 mg/1,5ml

SOL. INJ. IN CARTUS

NORDITROPIN FLEXPRO 10 mg/1,5 ml

SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT

NORDITROPIN FLEXPRO 5 mg/1,5 ml

SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT

ORGALUTRAN 0.25mg/0,5ml
CETROTIDE 0,25 mg
CETROTIDE 3 mg
ASTONIN H
DIPROPHOS (R)
SOLU - DECORTIN H 250
SOLU - DECORTIN H 50
CARBIMAZOLE 5
THYROZOL 10 mg
THYROZOL 20mg
THYROZOL 5 mg
TONOCALCIN 100 UI
NYLEX (R)
MIACALCIC (R)
NYLEX 100 UI/doza
NYLEX (R)
AMPIPLUS (R) 1,5 g
AMPIPLUS (R) 1,5 g
UNASYN
UNASYN
CEDAX
CEDAX
ROVAMYCINE (R) 1,5 Mil. UI
ROVAMYCINE (R) 3 Mil. UI
AZATRIL 250 mg
SUMAMED 250 mg
SUMAMED 125 mg
AZITROMICINA SANDOZ 250 mg COMPRIMATE FILMATE

AZITROMICINA TERAPIA 250 mg


AZITROMICINA TERAPIA 250 mg

SUMAMED 500 mg
AZITROX (R) 500
AZITROMICINA SANDOZ 500 mg COMPRIMATE FILMATE

AZIBIOT 500 mg
ZITROCIN 500 mg
AZITROMICINA TERAPIA 500 mg
AZITROMICINA TERAPIA 500 mg

ZITROCIN 500 mg
AZITROMICINA TERAPIA 600 mg
AZITROMICINA TERAPIA 600 mg

ZMAX 2 g
AZITROX 200 mg/5 ml

SUSP. INJ.

concentratie

SOL. INJ.
PULB+SOLV. PT. SOL. INJ.

PULB+SOLV.PT.SOL.INJ.

COMPR.
SUSP. INJ. I.M.
LIOF. + SOLV. PT. SOL. INJ.
LIOF. + SOLV. PT. SOL. INJ.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

SOL. INJ.
SOL. INJ.
SOL. INJ.
SPRAY NAZ.,SOL.
SPRAY NAZAL - SOL.

PULB. PT. SOL. INJ.


PULB. PT. SOL. INJ.

COMPR. FILM.
PULB. PT. SUSP. ORALA

CAPS.
PULB. PT. SUSP. ORALA

COMPR. FILM.
COMPR. FILM.

CAPS.
CAPS.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
GRAN. ELIB. PREL. PT. SUSP. ORALA

PULB. + SOLV. SUSP. ORALA

tara det.
APP

Ambalaj

Prescriptie

NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FIOLA DIN STICLA X 1 ML SUSP. INJ.

S/P-RF

FERING GMBH

P-RF

10mg/2ml
3,3mg/ml
6,7mg/ml
10mg/1,5ml
10mg/1,5 ml
5mg/1,5 ml

GERMANIA

CUTIE X 1 FLAC. LIOF. PT. SOL. INJ. + 1 FIOLA X 3,5 ML SOLV.

MAREA BRITANIE

CUTIE X 1 CARTUS BICAMERAL MULTIDOZA CU PULB. SI SOLV. PT. SOL. INJ.

IPSEN PHARMA
FRANTA
SANDOZ GMBH
AUSTRIA
SANDOZ GMBH
AUSTRIA
NOVO NORDISK A/S DANEMARCA
NOVO NORDISK A/S DANEMARCA
NOVO NORDISK A/S DANEMARCA
0,25mg/0,5ml N. V. ORGANON
OLANDA
0,25mg
SERONO EUROPE LTD. MAREA BRITANIE
3mg
SERONO EUROPE LTD. MAREA BRITANIE
0,1mg
MERCK KGAA
GERMANIA
7mg/ml
SCHERING PLOUGH EUROPE BELGIA
250mg
MERCK KGAA
GERMANIA
50mg
MERCK KGAA
GERMANIA
5mg
REMEDICA LTD.
CIPRU
10mg
MERCK KGAA
GERMANIA
20mg
MERCK KGAA
GERMANIA
5mg
MERCK KGAA
GERMANIA
100UI
ALFA WASSERMANN SPA ITALIA
100UI/ml
PROEL E.P. CORONIS SA GRECIA
50ui/ml
NOVARTIS PHARMA GMBH GERMANIA
100UI/doza
GRECIA
200UI/doza PROEL E.P. CORONIS SA GRECIA
1g+500mg ANTIBIOTICE SA
ROMANIA
1g+500mg ANTIBIOTICE SA
ROMANIA
375mg
PFIZER EUROPE MA EEIG MAREA BRITANIE
250mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE
400mg
SCHERING PLOUGH EUROPE BELGIA
36mg/ml
SCHERING PLOUGH EUROPE BELGIA
1,5 M ui
LAB. AVENTIS
FRANTA
3M ui
LAB. AVENTIS
FRANTA
250mg
BALKANPHARMA RAZGRAD AD BULGARIA
250mg
PLIVA LJUBLIJANA D.O.O. SLOVENIA
125mg
PLIVA LJUBLJANA D.O.O. SLOVENIA
250mg
SANDOZ S.R.L.
ROMANIA
250mg
TERAPIA SA
ROMANIA
250mg
TERAPIA SA
ROMANIA
500mg
PLIVA LJUBLJANA D.O.O. SLOVENIA
500mg
ZENTIVA AS
CEHIA
500mg
SANDOZ S.R.L.
ROMANIA
500mg
KRKA D.D. NOVO MESTO SLOVENIA
500mg
OZONE LABORATORIES LTD. MAREA BRITANIE
500mg
TERAPIA SA
ROMANIA
500mg
TERAPIA SA
ROMANIA
500mg
LABORMED PHARMA S.A. ROMANIA
600mg
TERAPIA SA
ROMANIA
600mg
TERAPIA SA
ROMANIA
2g
PFIZER EUROPE MA EEIG MAREA BRITANIE
200mg/5ml ZENTIVA S.A.
ROMANIA
PHARMACEUTICAL IND. PROEL EPAM. G.CORONIS SA

Pagina 13 din 21

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
P-RF/R
P-RF/R
P-RF/R

CUTIE X 1 CARTUS DIN STICLA INCOLORA X 1,5 ML SOL. INJ.

P-RF

CUTIE CU 1 STILOU INJECTOR (PEN) PREUMPLUT MULTI-DOZA ( CARTUS DIN STICLA INCOLORA X 1,5 ML SOL. INJ

P-RF

CUTIE CU 1 STILOU INJECTOR (PEN) PREUMPLUT MULTI-DOZA ( CARTUS DIN STICLA INCOLORA X 1,5 ML SOL. INJ

P-RF

CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. + AC ATASAT P-RF/R


CUTIE CU UN SUPORT CONTINAND: 7 FLAC.PULB. + 7 SERINGI PRE-UMPLUTE X 1 ML SOLV. + 7 ACE PT. INJECTII

P-RF

CUTIE CU UN SUPORT CONTINAND: 1 FLAC.PULB. + 1 SERINGA PRE-UMPLUTA X 3 ML SOLV. + 1 AC PT. INJECTII

P-RF

CUTIE X 1 FLAC. DIN PP X 50 COMPR.

P-RF

CUTIE X 5 FIOLE X 1 ML

P-RF

CUTIE X 3 FLAC. DIN STICLA INCOLORA X 250 MG FIOF. PT. SOL. INJ. + 3 FIOLE X 5 ML SOLV.

P-RF

CUTIE X 3 FLAC. X 50 MG LIOF. PT. SOL. INJ. + 3 FIOLE X 1 ML SOLVENT

P-RF

CUTIE X 10 BLIST. AL/PVC X 10 COMPR. FILM. P-6L

CUTIE CU BLIST. PVC/AL X 50 COMPR. FILM. P-6L


CUTIE CU BLIST. PVC/AL X 50 COMPR. FILM. P-6L
CUTIE CU BLIST. PVC/AL X 100 COMPR. FILM.

CUTIE X 5 FIOLE X 1 ML SOL. INJ.


CUTIE X 5 FIOLE X 1ML
CUTIE X 5 FIOLE X 1 ML

P-6L/S

P-RF
P-RF
P-RF

CUTIE X 1 FLACON PREVAZUT CU POMPA DOZATOARE X 2 ML SPRAY NAZAL, SOL.

P-RF

CUTIE X 1 FLACON DIN STICLA PREVAZUT CU POMPA DOZATOARE CU APLICATOR NAZAL X 2 ML

P-RF

CUTIE X 1 FLAC. PULB. PT. SOL. INJ. X 1,5 G P-RF


CUTIE X 50 FLAC. PULB. PT. SOL. INJ. X 1,5 G

P-RF/S

CUTIE X 2 BLIST. AL/PVC/PVDC X 6 COMPR. P-RF


CUTIE X 1 FLAC. DIN PEID CU PULBERE PT. 60 ML SUSP. ORALA

P-RF

CUTIE X 5 BLIST. X 1 CAPS.

P-RF

CUTIE X 1 FLAC. PULB. PT. 30 ML SUSP. ORALA + 1 LINGURITA GRADATA PT. 45 MG, 90 MG, 135 MG + 1 CAPAC

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

CUTIE X 1 BLIST. AL/PVC X 6 CAPS.

P-RF

CUTIE X 1 BLIST. PVC-PVDC/AL X 6 CAPS.

P-RF

CUTIE X 1 BLIST. AL/PVC X 6 COMPR. FILM.

P-RF

CUTIE X 1 BLIST. X 6 COMPR. FILM.

P-RF

CUTIE X 1 BLIST. PVC-ACLAR/AL X 6 COMPR. FILM. P-RF


CUTIE X 1 BLIST. PA-AL-PVC/AL X 6 COMPR. FILM.

P-RF

CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM.

P-RF

CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM.

P-RF

CUTIE X 1 BLIST. X 3 COMPR. FILM.

P-RF

CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM.

P-RF

CUTIE X 1 BLIST. PVC/AL X 3 COMPR. FILM.

P-RF

CUTIE X 1 BLIST. PVC-ACLAR/AL X 3 COMPR. FILM. P-RF


CUTIE X 1 BLIST. PA-AL-PVC/AL X 3 COMPR. FILM.

P-RF

CUTIE X 1 BLIST. PVC/AL X 3 COMPR. FILM.

P-RF

CUTIE X 1 BLIST. PVC-ACLAR/AL X 3 COMPR. FILM. P-RF


CUTIE X 1 BLIST. PA-AL-PVC/AL X 3 COMPR. FILM.

P-RF

CUTIE X 1 FLACON DIN PEID CU GRAN. CU ELIB. PREL. P-RF


CUTIE X 1 FLAC. DIN PE CU PULB. PT. 15 ML SUSP. ORALA RECONSTITUITA + FLAC. CU SOLV. X 7,5 ML SOLV.

P-RF

Val suportata
Pret
de CNAS/UT
amanunt
Pret
(RON)Legea Val suportata
ul
CNAS/UT
cant/ maximal amanuntul nr. 95/2006 art
ambal /ambalaj maximal/UT 213 alin.1 lit.
(RON) pt.
(RON)
(RON)
a) si f)
Adulti
aj

1
1
1
1
1
1
1
1
1
1
7
1
50
5
3
3
100
50
50
100
5
5
5
1
1
1
50
12
1
5
1
16
10
6
6
6
6
6
6
3
3
3
3
3
3
3
3
3
3
1
1

5.69
441.04
549.94
980.41
479.27
757.57

5.690000
441.040000
549.940000
980.410000
479.270000
757.570000

1,306.05 1,306.050000
1,707.20 1,707.200000

889.03
174.80
836.06
836.06
47.21
34.13
94.50
35.29
16.67
20.75
25.22
30.49
63.78
31.97
34.06
47.79
71.71
24.96
721.23
32.79
24.11
69.66
43.18
9.74
27.55
25.21
37.55
25.07
48.24
43.94
43.94
37.73
25.33
48.24
25.35
25.35
36.73
36.73
25.35
44.09
44.09
62.78
16.18

889.030000
174.800000
119.437142
836.060000
0.944200
6.826000
31.500000
11.763333
0.166700
0.415000
0.504400
0.304900
12.756000
6.394000
6.812000
47.790000
71.710000
24.960000
14.424600
2.732500
24.110000
13.932000
43.180000
0.608750
2.755000
4.201666
6.258333
4.178333
8.040000
7.323333
7.323333
12.576666
8.443333
16.080000
8.450000
8.450000
12.243333
12.243333
8.450000
14.696666
14.696666
62.780000
16.180000

5.690000
389.977000
519.969333
974.942500
479.270000
757.570000
974.942500
974.942500
487.471250
85.098963
85.098963
836.060000
0.944200
6.826000
31.500000
6.899249
0.112289
0.336870
0.504400
0.168435
8.617500
6.394000
4.308750
38.838750
71.710000
15.352605
14.424600
2.732500
22.422500
13.932000
43.180000
0.608750
1.381283
3.453211
3.453211
1.726603
3.453211
3.453211
3.453211
6.906423
6.906423
6.906423
6.906423
6.906423
6.906423
6.906423
6.906423
8.287711
8.287711
27.625701
16.180000

2.845000
194.988500
259.984666
487.471250
239.635000
378.785000
487.471250
487.471250
243.735625
42.549481
42.549481
418.030000
0.472100
3.413000
15.750000
3.449624
0.056144
0.168435
0.252200
0.084217
4.308750
3.197000
2.154375
19.419375
35.855000
7.676302
7.212300
1.366250
11.211250
6.966000
21.590000
0.304375
0.690641
1.726605
1.726605
0.863301
1.726605
1.726605
1.726605
3.453211
3.453211
3.453211
3.453211
3.453211
3.453211
3.453211
3.453211
4.143855
4.143855
13.812850
8.090000

Nr. crt

cod ATC

658 J01FA10
659 J01FA10
660 J01FA10
661 J01FA10
662 J01FA10
663 J01FF01
664 J01FF01
665 J01FF01
666 J01FF01
667 J01FF01
668 J01FF01
669 J01MA12
670 J01MA12
671 J01MA12
672 J01MA12
673 J01MA12
674 J01MA12
675 J01MA12
676 J01MA12
677 J01MA12
678 J01MA14
679 J02AC02
680 J02AC02
681 J02AC02
682 J02AC02
683 J02AC02
684 J02AC02
685 J02AC02
686 J05AB11
687 J05AB15
688 L01AA01
689 L02AE02
690 L02AE02
691 L02AE03
692 L02AE04
693 L02AE04
694 L02AE04
695 L02AE04
696 L02AE04
697 L04AX01
698 M01AC01
699 M01AC01
700 M01AC01
701 M01AC01
702 M01AC01
703 M01AC01
704 M01AC01
705 M01AC01
706 M01AC01
707 M01AC01
708 M01AC01

DCI

AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
CLINDAMYCINUM
CLINDAMYCINUM
CLINDAMYCINUM
CLINDAMYCINUM
CLINDAMYCINUM
CLINDAMYCINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
MOXIFLOXACINUM
ITRACONAZOLUM*
ITRACONAZOLUM*
ITRACONAZOLUM*
ITRACONAZOLUM*
ITRACONAZOLUM*
ITRACONAZOLUM*
ITRACONAZOLUM*
VALACYCLOVIRUM*
BRIVUDINUM*#
CYCLOPHOSPHAMIDUM*
LEUPRORELINUM***#
LEUPRORELINUM***#
GOSERELINUM***#
TRIPTORELINUM***#
TRIPTORELINUM***#
TRIPTORELINUM***#
TRIPTORELINUM***#
TRIPTORELINUM***#
AZATHIOPRINUM*
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM

Denumire Comerciala

forma farm.

AZITROMICINA SANDOZ 100 mg/5 ml

PULB. PT. SUSP. ORALA

AZITROMICINA SANDOZ 200 mg/5 ml

PULB. PT. SUSP. ORALA

SUMAMED FORTE
SUMAMED FORTE
SUMAMED FORTE
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

PULB. PT. SUSP. ORALA


PULB. PT. SUSP. ORALA
PULB. PT. SUSP. ORALA

CAPS.
CAPS.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
LEVOFLOXACINA ACTAVIS 250 mg COMPR. FILM.
LEVOTOR 250 mg
COMPR. FILM.
TAVANIC 250 mg
COMPR. FILM.
FLERADAY 500 mg
COMPR. FILM.
LEVOFLOXACINA ACTAVIS 500 mg COMPR. FILM.
TAVANIC 500 mg
COMPR. FILM.
TAVANIC 500 mg
COMPR. FILM.
LEVOTOR 500 mg
COMPR. FILM.
AVELOX (R) 400 mg
COMPR. FILM.

ORUNGAL
ITRACONAZOL 100 mg
ITRACONAZOL 100 mg
OMICRAL 100 mg
SPORILIN 100 mg
ITRACONAZOL LPH 100 mg
MICOGAL 100 mg
VALTREX 500 mg
BRIVAL 125mg
ENDOXAN (R) 50 mg
LUCRIN DEPOT 11,25mg
LUCRIN DEPOT 3,75mg
ZOLADEX (R)
DIPHERELINE 0,1 mg
DIPHERELINE PR 11,25 mg
DIPHERELINE 3,75 mg

CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
COMPR. FILM.

COMPR.
DRAJ.
LIOF.+ SOLV. PT. SUSP. INJ. ELIB. PREL.

LIOF.+ SOLV. PT. SUSP. INJ. ELIB. PREL.

IMPLANT
LIOF. + SOLV. PT. SOL. INJ.
PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL.

PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL.

GONAPEPTYL ZILNIC 0,1 mg/ml SOL. INJ.


GONAPEPTYL ZILNIC 0,1 mg/ml SOL. INJ.
IMURAN (R)
COMPR. FILM.

PIROXSAL 20 mg
FLAMEXIN
FLAMEXIN
PIROXICAM LPH 20 mg
PIROXICAM 20 mg

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
N - PIROXICAM MEDUMAN 20 mg COMPR.
PIROXICAM ARENA 20 MG COMPR.
FLAMEXIN
COMPR. EFF.
FLAMEXIN
COMPR. EFF.
FLAMEXIN
COMPR. EFF.
FLAMEXIN (R)
PULB. PT. SOL. ORALA

concentratie

100mg/5ml
200 mg/5 ml
200mg/5ml
200mg/5ml
200mg/5ml
150mg
300mg
300mg
300mg
600mg
600mg
250 mg
250mg
250mg
250mg
500 mg
500mg
500mg
500mg
500mg
400mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
500mg
125mg
50mg
11,25mg
3,75mg
3,6mg
0,1mg
11,25mg
3,75mg
0,1mg/ml
0,1mg/ml
50mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg/plic

Detinator APP

SANDOZ SRL
SANDOZ SRL

tara det.
APP
ROMANIA
ROMANIA

Ambalaj

Prescriptie

CUTIE X 1 FLAC. DIN PEID CONTINAD PULBERE PT. 20 ML SUSP. ORALA + SERINGA DOZATOARE DIN PE/PP

P-RF

CCUTIE X 1 FLAC. DIN PEID CONTINAD PULBERE PT. 20 ML SUSP. ORALA + SERINGA DOZATOARE DIN PE/PP

P-RF

PLIVA LJUBLIJANA D.O.O.

CUTIE X 1 FLAC. DIN PEID CU PULB. PT.15 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE

P-RF

PLIVA LJUBLIJANA D.O.O.

CUTIE X 1 FLAC. DIN PEID CU PULB. PT. 30 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE

P-RF

CUTIE X 1 FLAC. DIN PEID CU PULB. PT. 37,5 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE

P-RF

SLOVENIA
SLOVENIA
PLIVA LJUBLIJANA D.O.O. SLOVENIA

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

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

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

TORRENT PHARMA GMBH GERMANIA CUTIE CU BLIST. PVC/AL X 7 COMPR. FILM.

P-RF

TERAPIA S.A.
DR. REDDY'S LABORATORIES

P-RF

ROMANIA CUTIE X1 BLIST. PVC/AL. X 7 COMPR. FILM. P-RF


ROMANIA CUTIE CU BLIST. PVC/PVDC - AL X 7 COMPR. FILM. PRF

ACTAVIS GROUP PTC EHF.

ISLANDA

SANOFI - AVENTIS ROMANIA S.R.L.

ROMANIA CUTIE X 1 BLIST. PVC/AL X 7COMPR. FILM.


ROMANIA CUTIE X 1 BLIST. PVC/AL X 7COMPR. FILM.

TERAPIA S.A.

P-RF

CUTIE X 1 BLIST. AL/PVC X 7 COMPR. FILM.

TORRENT PHARMA GMBH GERMANIA CUTIE CU BLIST. PVC/AL X 7 COMPR. FILM.

P-RF
P-RF
P-RF
P-RF

BAYER HEALTHCARE AG GERMANIA CUTIE X 1 BLIST. ALB OPAC PP/AL X 5 COMPR. FILM. P-RF

BELGIA CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 5 CAPS.


SLAVIA PHARM SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS.
ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS.
MEDICO UNO PHARMACEUTICAL SRL ROMANIA CUTIE X 3 BLIST. AL/AL X 5 CAPS.
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 5 CAPS.
LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. PVC/AL X 5 CAPS.
ROMPHARM COMPANY SRL ROMANIA CUTIE X 3 BLIST. PVC/AL X 5 CAPS.
JANSSEN PHARMACEUTICA N.V.

THE WELLCOME FOUNDATION LTD. MAREA BRITANIE


BERLIN CHEMIE AG MENARINI GROUP

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF

GERMANIA CUTIE X 1 BLIST. PVC/AL X 7 COMPR.

P-RF

BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ. P-RF

ABBOTT LABORATORIES LTD.

SPANIA
SPANIA

ASTRAZENECA UK LTD.

MAREA BRITANIE

IPSEN PHARMA
IPSEN PHARMA
IPSEN PHARMA

FRANTA
FRANTA
FRANTA
AUSTRIA
AUSTRIA

ABBOTT LABORATORIES LTD.

FERRING ARZEIMITTEL GES.MBH


FERRING ARZEIMITTEL GES.MBH

THE WELLCOME FOUNDATION LTD. MAREA BRITANIE

CUTIE X 1 KIT X 1 FLAC. CU LIOFILIZAT (MICROSFERE) + 1 FIOLA X 2 ML SOLV. + 1 SERINGA + 2 ACE SI TA

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 7 SERINGI PREUMPLUTE DIN STICLA INCOLORA X 1 ML SOL. INJ

S/P-RF

CUTIE X 28 SERINGI PREUMPLUTE DIN STICLA INCOLORA X 1 ML SOL. INJ

S/P-RF

CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM.

S/P-RF

SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST.PVC/ AL X 10 COMPR.


CHIESI FARMACEUTICI SPA ITALIA
CUTIE X 3 BLIST. PVC-PDVC/AL-LAC PVDC X 10 COMPR.
CHIESI FARMACEUTICI SPA ITALIA
CUTIE X 1 BLIST. PVC-PDVC/AL-LAC PVDC X 10 COMPR.

P-6L

LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-6L

AC HELCOR SRL
ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
MEDUMAN S.A.
ROMANIA CUTIE X 1 FLAC. DIN PEJD X 20 COMPR.
ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CHIESI FARMACEUTICI SPA ITALIA
CUTIE X 1 BLIST. AL-PE/AL X 10 COMPR. EFF.
CHIESI FARMACEUTICI SPA ITALIA
CUTIE X 2 BLIST. AL-PE/AL X 10 COMPR. EFF.
CHIESI FARMACEUTICI SPA ITALIA
CUTIE X 3 BLIST. AL-PE/AL X 10 COMPR. EFF.
CHIESI FARMACEUTICI SPA ITALIA
CUTIE X 20 PLICURI DUBLU COMPARTIMENTAT X 3 G PULB. PT. SOL. ORALA

P-6L

Pagina 14 din 21

P-6L
P-6L

P-6L
P-6L
P-6L
P-6L
P-6L
P-6L

Val suportata
Pret
de CNAS/UT
amanunt
Pret
(RON)Legea Val suportata
ul
CNAS/UT
cant/ maximal amanuntul nr. 95/2006 art
ambal /ambalaj maximal/UT 213 alin.1 lit.
(RON) pt.
(RON)
(RON)
a) si f)
Adulti
aj

1
1
1
1
1
16
16
16
30
16
30
7
7
7
7
7
7
7
7
7
5
15
15
15
15
15
15
15
10
7
50
1
1
1
7
1
1
7
28
100
20
30
10
20
20
20
20
10
20
30
20

22.19 22.190000 14.975996


7.487998
33.95 33.950000 29.951992 14.975996
24.88 24.880000 22.464000 11.232000
48.01 48.010000 44.928000 22.464000
59.64 59.640000 56.160000 28.080000
12.00
0.750000
0.727734
0.363867
23.05
1.440625
1.440625
0.720312
23.04
1.440000
1.440000
0.720000
53.37
1.779000
1.455468
0.727734
51.55
3.221875
2.910937
1.455468
94.72
3.157333
2.910937
1.455468
27.73
3.961428
2.188800
1.094400
31.14
4.448571
2.188800
1.094400
30.82
4.402857
2.188800
1.094400
26.47
3.781428
2.188800
1.094400
33.45
4.778571
4.377600
2.188800
33.46
4.780000
4.377600
2.188800
51.47
7.352857
4.377600
2.188800
51.47
7.352857
4.377600
2.188800
33.27
4.752857
4.377600
2.188800
82.43 16.486000
4.377600
2.188800
76.02
5.068000
5.068000
2.534000
51.95
3.463333
3.463333
1.731666
51.95
3.463333
3.463333
1.731666
51.95
3.463333
3.463333
1.731666
51.95
3.463333
3.463333
1.731666
51.95
3.463333
3.463333
1.731666
51.94
3.462666
3.462666
1.731333
99.45
9.945000
3.973484
1.986742
328.67 46.952857 46.952857 23.476428
25.82
0.516400
0.516400
0.258200
984.10 984.100000 984.100000 492.050000
425.50 425.500000 382.950000 191.475000
432.23 432.230000 397.967493 198.983746
133.04 19.005714 10.211991
5.105995
1,171.73 1,171.730000 1,148.850014 574.425006
436.24 436.240000 436.240000 218.120000
230.24 32.891428 10.211991
5.105995
818.33 29.226071 10.211991
5.105995
79.95
0.799500
0.519774
0.259887
2.60
0.130000
0.130000
0.065000
28.67
0.955666
0.892049
0.446024
17.38
1.738000
0.892049
0.446024
3.10
0.155000
0.155000
0.077500
4.39
0.219500
0.219500
0.109750
2.36
0.118000
0.118000
0.059000
2.43
0.121500
0.121500
0.060750
20.55
2.055000
0.892049
0.446024
38.90
1.945000
0.892049
0.446024
47.85
1.595000
0.892049
0.446024
27.04
1.352000
0.892049
0.446024

Nr. crt

cod ATC

709 M01AC01
710 M01AC01
711 M01AC01
712 M01AC01
713 M01AC01
714 M01AC05
715 M01AC05
716 M01AC05
717 M01AC05
718 M01AC05
719 M01AC05
720 M01AC05
721 M01AC05
722 M01AC05
723 M01AC05
724 M01AE17
725 M01AE17
726 M01AH01
727 M01AH01
728 M01AH01
729 M01AH05
730 M01AH05
731 M01AH05
732 M01AH05
733 M01AH05
734 M01AH05
735 M01AH05
736 M01AH05
737 M01AH05
738 M01AH05
739 M01AH05
740 M01AH05
741 M01AH05
742 M01AX05
743 M01AX05
744 M01AX17
745 M01AX17
746 M01AX17
747 M01AX17
748 M01AX17
749 M01AX17
750 M01AX17
751 M01AX17
752 M01AX17
753 M01AX17
754 M01AX17
755 M01AX17
756 M01AX17
757 M01AX17
758 M01AX17
759 M01AX17

DCI

PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
LORNOXICAMUM
LORNOXICAMUM
LORNOXICAMUM
LORNOXICAMUM
LORNOXICAMUM
LORNOXICAMUM
LORNOXICAMUM
LORNOXICAMUM
LORNOXICAMUM
LORNOXICAMUM
DEXKETOPROFENUM
DEXKETOPROFENUM
CELECOXIBUM
CELECOXIBUM
CELECOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
GLUCOSAMINUM
GLUCOSAMINUM
NIMESULIDUM
NIMESULIDUM
NIMESULIDUM
NIMESULIDUM
NIMESULIDUM
NIMESULIDUM
NIMESULIDUM
NIMESULIDUM
NIMESULIDUM
NIMESULIDUM
NIMESULIDUM
NIMESULIDUM
NIMESULIDUM
NIMESULIDUM
NIMESULIDUM
NIMESULIDUM

Denumire Comerciala

FELDENE (R) 20 mg/ml


HOTEMIN
PIROXICAM ATB 20 mg
PIROXICAM ATB 20 mg
PIROXICAM 20 mg
XEFO (R) 4 mg
XEFO (R) 4 mg
XEFO (R) 4 mg
XEFO (R) 8 mg
XEFO (R) 8 mg
XEFO (R) 8 mg
XEFO RAPID 8 mg
XEFO RAPID 8 mg
XEFO RAPID 8 mg
XEFO 8 mg/ 2 ml
TADOR 25 mg
TADOR INJECT
CELEBREX 100 mg
CELEBREX 200 mg
CELEBREX 200 mg
ARCOXIA 120 mg
ARCOXIA 120 mg
ARCOXIA 120 mg
ARCOXIA 120 mg
ARCOXIA 30 mg
ARCOXIA 60 mg
ARCOXIA 60 mg
ARCOXIA 60 mg
ARCOXIA 60 mg
ARCOXIA 90 mg
ARCOXIA 90 mg
ARCOXIA 90 mg
ARCOXIA 90 mg
FLEXODON FORTE
DONA (R)
LEMESIL
AULIN (R) 100 mg
NIMESULID 100 mg
NIMESULID SLAVIA
NIMESULID LPH 100 mg
APONIL
APONIL
NIMESULID ARENA 100 mg
NISE 100 mg
NIMESULID FARMEX 100 mg
NISE 100 mg
COXTRAL
COXTRAL
AULIN (R)
NIMESIL
SULIDAMOR

forma farm.

SOL. INJ.
SOL. INJ.
SUPOZ.
SUPOZ.
SUPOZ.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
PULB. + SOLV. PT. SOL. INJ.

COMPR. FILM.
SOL. INJ./CONC. PT. SOL. PERF.

CAPS.
CAPS.
CAPS.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
PULB. PT. SOL. ORALA
PULB. PT. SOL. ORALA

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
GRAN. PT. SUSP. ORALA
GRAN. PT. SUSP. ORALA
PULB. PT. SUSP. ORALA

concentratie

20mg/ml
20mg/ml
20 mg
20 mg
20mg
4mg
4mg
4mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg/2ml
25mg
50mg/2ml
100mg
200mg
200mg
120mg
120mg
120mg
120mg
30mg
60mg
60mg
60mg
60mg
90mg
90mg
90mg
90mg
1,5g/plic
1500mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg/plic
100mg/plic
100mg

Detinator APP
PFIZER EUROPE MA EEIG

tara det.
APP
MAREA BRITANIE

UNGARIA
ANTIBIOTICE S.A. ROMANIA
ANTIBIOTICE S.A. ROMANIA
SINTOFARM SA
ROMANIA
NYCOMED AUSTRIA GMBH AUSTRIA
NYCOMED AUSTRIA GMBH AUSTRIA
NYCOMED AUSTRIA GMBH AUSTRIA
NYCOMED AUSTRIA GMBH AUSTRIA
NYCOMED AUSTRIA GMBH AUSTRIA
NYCOMED AUSTRIA GMBH AUSTRIA
NYCOMED AUSTRIA AUSTRIA
NYCOMED AUSTRIA AUSTRIA
NYCOMED AUSTRIA AUSTRIA
NYCOMED AUSTRIA GMBH AUSTRIA

EGIS PHARMACEUTICALS P.L.C.

BERLIN CHEMIE AG (MENARINI GROUP)

Ambalaj

Prescriptie

CUTIE X 6 FIOLE DIN STICLA BRUNA X 1 ML P-RF


CUTIE X 1 BLIST. C-PET/PE X 5 FIOLE X 1 ML SOL. INJ.

P-RF

CUTIE CU 2 FOLII TERMOSUDATE PVC X 3 SUPOZ.

P6L
P6L

CUTIE CU 1 FOLIE TERMOSUDATA PVC X 6 SUPOZ.

CUTIE X 2 FOLII TERMOSUDATE X 5 SUPOZ. P-6L

CUTIE X 3 BLIST. X 10 COMPR. FILM.


CUTIE X 2 BLIST. X 10 COMPR. FILM.
CUTIE X 1 BLIST. X 10 COMPR. FILM.
CUTIE X 1 BLIST. X 10 COMPR. FILM.
CUTIE X 2 BLIST. X 10 COMPR. FILM.
CUTIE X 3 BLIST. X 10 COMPR. FILM.

P-6L
P-6L
P-6L
P-6L
P-6L
P-6L

CUTIE CU BLIST. AL/AL X 10 COMPR. FILM. P-6L


CUTIE CU BLIST. AL/AL X 20 COMPR. FILM. P-6L
CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-6L
CUTIE X 10 FLAC. CU PULB. PT. SOL. INJ. + 10 FLAC. X 2 ML SOLV

P-RF

GERMANIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. FILM. P-6L

MENARINI INTERNATIONAL OPERATIONS S.A.

LUXEMBOURG CUTIE X 5 FIOLE X 2 ML SOL. INJ./CONC. PT.SOL.PERF.

P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 3 BLIST. AL/PVC X 10 CAPS.


CUTIE X 1 BLIST. AL/PVC X 10 CAPS.
CUTIE X 3 BLIST. AL/PVC X 10 CAPS.

P-RF
P-RF

MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-RF
MERCK SHARP & DOHME ROMANIA CUTIE X2 BLIST. PA-AL-PVC/AL X 14 COMPR. FILM. P-RF
MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-RF
MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 14 COMPR. FILM.

P-RF

MERCK SHARP & DOHME ROMANIA CUTIE X 4 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-RF
MERCK SHARP & DOHME ROMANIA CUTIE X 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
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

AUSTRIA
ROTTAPHARM SPA ITALIA
ANFARM HELLAS S.A. PHARMACEUTICALS
GRECIA
CSC PHARMACEUTICALS HANDELS GMBH
AUSTRIA
MAGISTRA C & C
ROMANIA
SLAVIA PHARM SRL ROMANIA
CSC PHARMACEUTICALS HANDELS GMBH

CUTIE X 30 PLICURI DIN FOLIE HARTIE/AL/PEJD X 3950 MG PULBERE PT. SOL. ORALA

P-6L

CUTIE X 20 PLICURI UNIDOZA CU PULB.

P-6L

CUTIE X 2 BLIST. X 10 COMPR.

P-RF

CUTIE X 1 BLIST. AL/PVC X 10 COMPR.


CUTIE X 1 BLIST. AL/PVC X 10 COMPR.
CUTIE X 1 BLIST. AL/PVC X 10 COMPR.
CUTIE X 1 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 1 BLIST. AL/PVC X 10 COMPR.
CUTIE X 1 BLIST. AL/PVC X 10 COMPR.
CUTIE X 1 BLIST. AL/PVC X 10 COMPR.
CUTIE X 1 BLIST. PVC/AL X 10 COMPR.
CUTIE X 1 BLIST. AL/PVC X 10 COMPR.

P-RF

CEHIA
CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR.
CEHIA
CUTIE X 3 BLIST. AL/PVC-PVDC X 10 COMPR.
CSC PHARMACEUTICALS HANDELS GMBH
AUSTRIA CUTIE X 15 PLICURI HARTIE/AL/HDPE/FOLIE SURLYN X 2 G GRAN. SUSP. ORALA
LAB. GUIDOTTI SPA ITALIA
CUTIE X 9 PLICURI X 2 G GRAN. PT. SUSP. ORALA
FARMACEUTICI DAMOR SPA ITALIA
CUTIE X 30 PLICURI X 2 G

P-RF

LABORMED PHARMA SA ROMANIA

MEDOCHEMIE LTD CIPRU


MEDOCHEMIE LTD CIPRU
ARENA GROUP S.A. ROMANIA
ROMANIA
FARMEX COMPANY SRL ROMANIA
DR. REDDY'S LABORATORIES ROMANIA
DR. REDDY'S LABORATORIES

ZENTIVA KS
ZENTIVA KS

Pagina 15 din 21

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

Val suportata
Pret
de CNAS/UT
amanunt
Pret
(RON)Legea Val suportata
ul
CNAS/UT
cant/ maximal amanuntul nr. 95/2006 art
ambal /ambalaj maximal/UT 213 alin.1 lit.
(RON) pt.
(RON)
(RON)
a) si f)
Adulti
aj

6
5
6
6
10
30
20
10
10
20
30
10
20
30
10
10
5
30
10
30
7
28
14
14
28
7
14
28
14
14
7
14
28
30
20
20
10
10
10
10
20
10
10
10
10
10
10
30
15
9
30

9.43
11.63
4.39
4.39
2.82
18.23
12.30
6.13
11.56
23.37
28.03
16.41
32.83
47.66
135.70
13.88
30.15
64.98
33.73
93.00
34.67
127.19
67.04
67.04
85.14
28.43
55.02
104.51
55.02
58.45
30.18
58.45
111.04
37.67
42.69
9.61
7.40
4.81
7.15
4.81
8.10
4.47
4.71
3.54
7.12
3.54
4.75
12.67
11.11
7.57
10.29

1.571666
2.326000
0.731666
0.731666
0.282000
0.607666
0.615000
0.613000
1.156000
1.168500
0.934333
1.641000
1.641500
1.588666
13.570000
1.388000
6.030000
2.166000
3.373000
3.100000
4.952857
4.542500
4.788571
4.788571
3.040714
4.061428
3.930000
3.732500
3.930000
4.175000
4.311428
4.175000
3.965714
1.255666
2.134500
0.480500
0.740000
0.481000
0.715000
0.481000
0.405000
0.447000
0.471000
0.354000
0.712000
0.354000
0.475000
0.422333
0.740666
0.841111
0.343000

1.571666
2.326000
0.731666
0.731666
0.282000
0.297349
0.297349
0.297349
0.594699
0.594699
0.594699
0.594699
0.594699
0.594699
1.395598
0.458548
4.148000
1.170883
2.341767
2.341767
4.683535
4.542500
4.683535
4.683535
1.170883
2.341767
2.341767
2.341767
2.341767
3.512651
3.512651
3.512651
3.512651
1.255666
1.327837
0.480500
0.687824
0.481000
0.687824
0.481000
0.405000
0.447000
0.471000
0.354000
0.687824
0.354000
0.475000
0.422333
0.687824
0.687824
0.343000

0.785833
1.163000
0.365833
0.365833
0.141000
0.148674
0.148674
0.148674
0.297349
0.297349
0.297349
0.297349
0.297349
0.297349
0.697799
0.229274
2.074000
0.585441
1.170883
1.170883
2.341767
2.271250
2.341767
2.341767
0.585441
1.170883
1.170883
1.170883
1.170883
1.756325
1.756325
1.756325
1.756325
0.627833
0.663918
0.240250
0.343912
0.240500
0.343912
0.240500
0.202500
0.223500
0.235500
0.177000
0.343912
0.177000
0.237500
0.211166
0.343912
0.343912
0.171500

Nr. crt

cod ATC

DCI

791 M05BA07

BACLOFENUM
BACLOFENUM
ACIDUM ALENDRONICUM*
ACIDUM ALENDRONICUM*
ACIDUM ALENDRONICUM*
ACIDUM ALENDRONICUM*
ACIDUM ALENDRONICUM*
ACIDUM ALENDRONICUM*
ACIDUM ALENDRONICUM*
ACIDUM ALENDRONICUM*
ACIDUM ALENDRONICUM*
ACIDUM ALENDRONICUM*
ACIDUM ALENDRONICUM*
ACIDUM ALENDRONICUM*
ACIDUM ALENDRONICUM*
ACIDUM ALENDRONICUM*
ACIDUM ALENDRONICUM*
ACIDUM ALENDRONICUM*
ACIDUM IBANDRONICUM*
ACIDUM IBANDRONICUM*
ACIDUM IBANDRONICUM*
ACIDUM IBANDRONICUM*
ACIDUM RISEDRONICUM*
ACIDUM RISEDRONICUM*
ACIDUM RISEDRONICUM*
ACIDUM RISEDRONICUM*
ACIDUM RISEDRONICUM*
ACIDUM RISEDRONICUM*
ACIDUM RISEDRONICUM*
ACIDUM RISEDRONICUM*
ACIDUM RISEDRONICUM*
ACIDUM RISEDRONICUM*

792 M05BB03

COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)*

793 M05BB03

COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)*

794 M05BB03

COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)*

795 M05BB03

COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)*

796 M05BX03

STRONTIUM RANELATUM*
STRONTIUM RANELATUM*
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
DIHYDROCODEINUM*
DIHYDROCODEINUM*
DIHYDROCODEINUM*

760 M03BX01
761 M03BX01
762 M05BA04
763 M05BA04
764 M05BA04
765 M05BA04
766 M05BA04
767 M05BA04
768 M05BA04
769 M05BA04
770 M05BA04
771 M05BA04
772 M05BA04
773 M05BA04
774 M05BA04
775 M05BA04
776 M05BA04
777 M05BA04
778 M05BA06
779 M05BA06
780 M05BA06
781 M05BA06
782 M05BA07
783 M05BA07
784 M05BA07
785 M05BA07
786 M05BA07
787 M05BA07
788 M05BA07
789 M05BA07
790 M05BA07

797 M05BX03
798 N02AA05
799 N02AA05
800 N02AA05
801 N02AA05
802 N02AA05
803 N02AA08
804 N02AA08
805 N02AA08

806 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM


807 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM
808 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM
809 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM
810 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM

Denumire Comerciala

LIORESAL (R)
LIORESAL (R)
ACID ALENDRONIC ACCORD 10 mg

TEVANAT 70 mg
FOSAMAX 70 mg
ACID ALENDRONIC ACCORD 70 mg

RANOS 70 mg
ACID ALENDRONIC BLUEFISH 70 mg
ACID ALENDRONIC BLUEFISH 70 mg

INSTREL 70 mg
INSTREL 70 mg

forma farm.

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.

ALENDRONAT SANDOZ 70 mg COMPR. FILM.


ADRONIK 70 mg
COMPR. FILM.
ADRONIK 70 mg
COMPR. FILM.
ADRONIK 70 mg
COMPR. FILM.
ADRONIK 70 mg
COMPR. FILM.
ADRONIK 70 mg
COMPR. FILM.
ADRONIK 70 mg
COMPR. FILM.
ACID IBANDRONIC TEVA 150 mg COMPR. FILM.
BONVIVA 150mg
COMPR. FILM.
OSSICA 150 mg
COMPR. FILM.

BONVIVA 3mg/3ml
RISENDROS 35 mg
RISEDRONAT TEVA 35 mg
JUVERITAL 35 mg
LORINE 35mg
JUVERITAL 35 mg
OSTEORON 35 mg
OSODENS 35 mg

SOL. INJ. IN SERINGA PREUMPLUTA

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
ACTONEL SAPTAMANAL 35 mg COMPR. FILM.
JUVERITAL 5 mg
COMPR. FILM.
ACTONEL 75 mg
COMPR. FILM.

FOSAVANCE 70mg/2800UI
FOSAVANCE 70mg/2800UI
FOSAVANCE 70mg/5600UI
FOSAVANCE 70mg/5600UI
OSSEOR 2 g
OSSEOR 2 g
ALNAGON 20 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
ZALDIAR (R)
ZALDIAR (R)
ZALDIAR (R)
ZALDIAR (R)
ZALDIAR (R)

COMPR.
COMPR.
COMPR.
COMPR.
GRAN. PT. SUSP. ORALA
GRAN. PT. SUSP. ORALA

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.

concentratie

10mg
25mg
10mg
70 mg
70mg
70mg
70mg
70mg
70mg
70mg
70mg
70mg
70mg
70mg
70mg
70mg
70mg
70mg
150 mg
150mg
150mg
1mg/1ml
35mg
35mg
35mg
35mg
35mg
35mg
35mg
35mg
5mg
75mg

Detinator APP

tara det.
APP

Ambalaj

Prescriptie

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

CUTIE CU BLIST. PVC/AL X 28 COMPR. P-6L


ROMANIA CUTIE X 1 BLIST. PVC-AL-OPA/AL X 4 COMPR. P-6L
MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. AL/AL IN PORTOFEL X 2 COMPR. P-6L

ACCORD HEALTHCARE LIMITED

MAREA BRITANIE

TEVA PHARMACEUTICALS S.R.L.

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

SUEDIA CUTIE CU BLIST. AL/AL X 2 COMPR.


SUEDIA CUTIE CU BLIST. AL/AL X 4 COMPR.

P-6L

ROMANIA CUTIE CU BLIST. AL/AL X 4 COMPR. FILM.


DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. AL/AL X 4 COMPR. FILM.
SANDOZ S.R.L.
ROMANIA CUTIE X 1 BLIST. OPA-AL-PVC/AL X 2 COMPR. FILM
LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 12 COMPR. FILM.
LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 2 COMPR. FILM.
LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 4 COMPR. FILM.
ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 12 COMPR. FILM.
ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 2 COMPR. FILM.
ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 4 COMPR. FILM.

P-RF

TEVA PHARMA B.V. OLANDA

P-RF

BLUEFISH PHARMACEUTICALS AB
BLUEFISH PHARMACEUTICALS AB

DR. REDDY'S LABORATORIES

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE CU BLIST. DIN PVC/ACLAR/PVC-AL X 1 COMPRIMAT FILMAT

P-6L

P-RF

P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L

CUTIE X 1 COMPR. FILM.( BLIST. AL/AL) P-6L

GEDEON RICHTER PLC. UNGARIA

CUTIE CU 1 BLIST. PVC-PE-PVDC/AL X 1 COMPR. FILM.

P-6L

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 1 SERINGA PREUMPLUTA DIN STICLA X 3 ML SOL. INJ. + 1 AC

P-6L

ZENTIVA A.S.

CEHIA

CUTIE X 1 BLIST. OPA-AL-PVC/AL X 4 COMPR. FILM.

P-6L

TEVA PHARMACEUTICAL S.R.L.

MAREA BRITANIE

CUTIE X BLIST. PVC-PVDC/AL X 4 COMPR. FILM. P-6L

OZONE LABORATORIES BV

OLANDA

CUTIE X BLISTER PVC-PE-PVDC/AL X 4 COMPRIMATE FILMATE

P-6L

CUTIE X 1BLIST. PVC- PVDC/AL X 4 COMPR. FILM.

P-6L

ANTIBIOTICE S.A.

ROMANIA
LABORMED PHARMA S.A. ROMANIA
ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 4 COMPR. FILM. P-6L

CUTIE X 1 BLIST. PVC- PVDC/AL X 4 COMPR. FILM. P-6L

TERAPIA SA

ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 4 COMPR. FILM.


SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 4 COMPR. FILM.
LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.
SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 2 COMPR. FILM.

P-6L

70mg/2800UI
70mg/2800UI
70mg/5600UI
70mg/5600UI

MERCK SHARP & DOHME

MAREA BRITANIE

CUTIE X 4 COMPR. (1 PLIANT CU BLIST. AL/AL X 4 COMPR.)

P-6L

MERCK SHARP & DOHME

MAREA BRITANIE

CUTIE X 2 COMPR. (1 PLIANT CU BLIST. AL/AL X 2 COMPR.)

P-6L

MERCK SHARP & DOHME

MAREA BRITANIE

CUTIE X 2 COMPR. (1 PLIANT CU BLIST. AL/AL X 2 COMPR.)

P-6L

MERCK SHARP & DOHME

MAREA BRITANIE

CUTIE X 4 COMPR. (1 PLIANT CU BLIST. AL/AL X 4 COMPR.)

P-6L

2g
2g
20mg
10 mg
20 mg
40 mg
80mg
120mg
60mg
90mg

LES LAB. SERVIER FRANTA


LES LAB. SERVIER FRANTA
ZENTIVA, K.S.
MUNDIPHARMA GMBH AUSTRIA
MUNDIPHARMA GMBH AUSTRIA
MUNDIPHARMA GMBH AUSTRIA
MUNDIPHARMA GMBH AUSTRIA
MUNDIPHARMA GMBH AUSTRIA
MUNDIPHARMA GMBH AUSTRIA
MUNDIPHARMA GMBH AUSTRIA

CUTIE X 14 PLICURI HARTI-PE-AL/PE GRAN. PT. SUSP. ORALA

P-RF

CUTIE X 28 PLICURI HARTI-PE-AL/PE GRAN. PT. SUSP. ORALA

P-RF

CUTIE CU BLIST. PVC-PE-PVDC/AL X 56 COMPR. ELIB. PREL.

P-RF

CUTIE X 1 FLAC. X 56 COMPR. FILM. ELIB. MODIF.

P-TS

CUTIE X 1 FLAC. X 56 COMPR. FILM. ELIB. MODIF.

P-TS

CUTIE X 1 FLAC. X 56 COMPR. FILM. ELIB. MODIF.

P-TS

REPUBLICA SLOVACA

P-6L
P-6L
P-6L

CUTIE X 1 FLAC. X 56 COMPR. FILM. ELIB. MODIF.

P-TS

CUTIE X 1 FLAC. DIN PP X 56 COMPR. ELIB. PREL.

P-RF

CUTIE X 1 FLAC. DIN PP X 56 COMPR. ELIB. PREL.

P-RF

CUTIE X 1 FLAC. DIN PP X 56 COMPR. ELIB. PREL.

P-RF

37,5mg+325mg GRUNENTHAL GMBH GERMANIA CUTIE X 3 BLIST. PP OPAC/AL X 10 COMPR. FILM.

P-RF

37,5mg+325mg GRUNENTHAL GMBH GERMANIA CUTIE X 1 BLIST. PVC OPAC/AL X 10 COMPR. FILM.

P-RF

37,5mg+325mg GRUNENTHAL GMBH GERMANIA CUTIE X 2 BLIST. PVC OPAC/AL X 10 COMPR. FILM.

P-RF

37,5mg+325mg GRUNENTHAL GMBH GERMANIA CUTIE X 3 BLIST. PVC OPAC/AL X 10 COMPR. FILM.

P-RF

37,5mg+325mg GRUNENTHAL GMBH GERMANIA CUTIE X 1 BLIST. PP OPAC/AL X 10 COMPR. FILM.

P-RF

Pagina 16 din 21

Val suportata
Pret
de CNAS/UT
amanunt
Pret
(RON)Legea Val suportata
ul
CNAS/UT
cant/ maximal amanuntul nr. 95/2006 art
ambal /ambalaj maximal/UT 213 alin.1 lit.
(RON) pt.
(RON)
(RON)
a) si f)
Adulti
aj

50
50
28
4
2
4
4
2
4
4
4
2
12
2
4
12
2
4
1
1
1
1
4
4
4
4
4
4
4
4
28
2
4
2
2
4
14
28
56
56
56
56
56
56
56
56
30
10
20
30
10

20.12
0.402400
0.245199
0.122599
33.10
0.662000
0.612998
0.306499
47.70
1.703571
1.523571
0.761785
47.70 11.925000 10.665000
5.332500
36.70 18.350000 10.665000
5.332500
47.70 11.925000 10.665000
5.332500
47.09 11.772500 10.665000
5.332500
24.64 12.320000 10.665000
5.332500
24.42
6.105000
6.105000
3.052500
47.09 11.772500 10.665000
5.332500
47.09 11.772500 10.665000
5.332500
12.67
6.335000
6.335000
3.167500
130.37 10.864166 10.665000
5.332500
24.48 12.240000 10.665000
5.332500
47.40 11.850000 10.665000
5.332500
130.37 10.864166 10.665000
5.332500
24.48 12.240000 10.665000
5.332500
47.40 11.850000 10.665000
5.332500
82.22 82.220000 45.707142 22.853571
127.80 127.800000 45.707142 22.853571
71.46 71.460000 45.707142 22.853571
420.41 420.410000 235.163250 117.581625
56.02 14.005000 10.665000
5.332500
71.70 17.925000 10.665000
5.332500
71.70 17.925000 10.665000
5.332500
36.07
9.017500
9.017500
4.508750
71.70 17.925000 10.665000
5.332500
71.70 17.925000 10.665000
5.332500
71.70 17.925000 10.665000
5.332500
110.30 27.575000 10.665000
5.332500
71.70
2.560714
1.523571
0.761785
93.85 46.925000 22.853571 11.426785
88.79 22.197500 10.665000
5.332500
46.75 23.375000 10.665000
5.332500
46.75 23.375000 10.665000
5.332500
88.79 22.197500 10.665000
5.332500
103.50
7.392857
6.470089
3.235044
172.55
6.162500
6.162500
3.081250
137.87
2.461964
2.461964
1.230982
115.46
2.061785
1.297705
0.648852
212.12
3.787857
2.595410
1.297705
391.30
6.987500
5.190830
2.595415
645.97 11.535178 10.381660
5.190830
127.04
2.268571
1.486928
0.743464
29.00
0.517857
0.517857
0.258928
100.50
1.794642
1.115196
0.557598
34.36
1.145333
1.027980
0.513990
12.00
1.200000
1.027980
0.513990
23.68
1.184000
1.027980
0.513990
34.36
1.145333
1.027980
0.513990
12.00
1.200000
1.027980
0.513990

Nr. crt

cod ATC

DCI

811 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM


812 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM
813 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM
814 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM)
815 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM)
816 N03AE01
817 N03AE01
818 N03AX16
819 N03AX16
820 N03AX16
821 N03AX16
822 N03AX16
823 N03AX16
824 N04AA02
825 N04BC05
826 N04BC05
827 N04BC05
828 N04BC05
829 N04BC05
830 N04BC05
831 N04BC05
832 N04BC05
833 N04BC05
834 N04BC05
835 N04BC05
836 N04BC05
837 N04BC05
838 N04BC05
839 N04BC05
840 N04BC05
841 N04BC05
842 N04BC05
843 N04BC05
844 N04BC05
845 N04BC05
846 N04BC05
847 N04BC05
848 N04BC05
849 N04BC05
850 N04BC05
851 N04BC05
852 N04BC05
853 N04BC05
854 N04BC05
855 N04BC08
856 N05AL03
857 N05AL03
858 N05BE01
859 N05BE01
860 N06AA21
861 N06AA21

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*
PIRIBEDILUM**
TIAPRIDUM
TIAPRIDUM
BUSPIRONUM
BUSPIRONUM
MAPROTILINUM*
MAPROTILINUM*

forma farm.
ZALDIAR (R)
COMPR. FILM.
ZALDIAR (R)
COMPR. FILM.
ZALDIAR (R)
COMPR. FILM.
PADOLTEN 37,5 mg/325 mg COMPR. FILM.
PADOLTEN 37,5 mg/325 mg COMPR. FILM.
Denumire Comerciala

RIVOTRIL
RIVOTRIL 2 mg
LYRICA 150 mg
LYRICA 150 mg
LYRICA 300 mg
LYRICA 300 mg
LYRICA 75 mg
LYRICA 75 mg
AKINETON
OPRYMEA 0,088mg
PRAMIPEXOL TORRENT 0,088 mg

MIRAPEXIN 0,18 mg
OPRYMEA 0,18mg
GLEPARK 0,18 mg
PRAMIPEXOL TEVA 0,18mg
PRAMIPEXOL SANDOZ 0,18 mg

MEDOPEXOL 0,18 mg
GLEPARK 0,18 mg
PRAMIPEXOL RANBAXY 0,18 mg
PRAMIPEXOL TORRENT 0,18 mg
PRAMIPEXOL BLUEFISH 0,18 mg
PRAMIPEXOL TORRENT 0,35 mg
PRAMIPEXOL TORRENT 0,54 mg

MIRAPEXIN 0,7 mg
OPRYMEA 0,7mg
GLEPARK 0,7 mg
PRAMIPEXOL TEVA 0,7mg
PRAMIPEXOL SANDOZ 0,7 mg

MEDOPEXOL 0,7 mg
GLEPARK 0,7 mg
PRAMIPEXOL RANBAXY 0,7 mg
PRAMIPEXOL TORRENT 0,7 mg
PRAMIPEXOL BLUEFISH 0,7 mg
PRAMIPEXOL TORRENT 1,1 mg

MIRAPEXIN 0,26 mg
MIRAPEXIN 0,52 mg
MIRAPEXIN 1,05 mg
MIRAPEXIN 2,1 mg
MIRAPEXIN 3,15 mg
PRONORAN 50 mg
TIAPRIDAL (R) 100 mg
TIAPRIDAL 100 mg/2 ml
SPITOMIN 10 mg
SPITOMIN 5 mg
LUDIOMIL (R) 10 mg
LUDIOMIL (R) 25 mg

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.

tara det.
APP
Detinator APP
Ambalaj
37,5mg+325mg GRUNENTHAL GMBH GERMANIA CUTIE X 5 BLIST. PVC OPAC/AL X 10 COMPR. FILM.
37,5mg+325mg GRUNENTHAL GMBH GERMANIA CUTIE X 5 BLIST. PP OPAC/AL X 10 COMPR. FILM.
37,5mg+325mg GRUNENTHAL GMBH GERMANIA CUTIE X 2 BLIST. PP OPAC/AL X 10 COMPR. FILM.
37,5mg/325mg S.C.TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 10 COMPR. FILM.
37,5mg/325mg S.C.TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 20 COMPR. FILM.
0,5mg
ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 50 COMPR.
2mg
ROCHE ROMANIA S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 30 COMPR.
concentratie

150mg
150mg
300mg
300mg
75mg
75mg
2mg
0,088mg
0,088mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,35mg
0,54mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
1,1mg
COMPR. ELIB. PREL. 0,26mg
COMPR. ELIB. PREL. 0,52mg
COMPR. ELIB. PREL. 1,05mg
COMPR. ELIB. PREL. 2,1mg
COMPR. ELIB. PREL. 3,15mg
DRAJ. ELIB. PREL. 50mg
COMPR.
100mg
SOL. INJ.
100mg/2ml
COMPR.
10mg
COMPR.
5mg
COMPR. FILM. 10mg
COMPR. FILM. 25mg

PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
DESMA GMBH
KRKA D.D.

CUTIE X 14 CAPS. (BLIST. PVC/AL)


MAREA BRITANIE CUTIE X 56 CAPS. (BLIST. PVC/AL)
MAREA BRITANIE CUTIE X 56 CAPS. (BLIST. PVC/AL)
MAREA BRITANIE CUTIE X 14 CAPS. (BLIST. PVC/AL)
MAREA BRITANIE CUTIE X 14 CAPS. (BLIST. PVC/AL)
MAREA BRITANIE CUTIE X 56 CAPS. (BLIST. PVC/AL)
GERMANIA CUTIE X 5 BLIST. X 10 COMPR.
SLOVENIA CUTIE X 30 COMPR. (BLIST. AL/AL)
MAREA BRITANIE

Prescriptie

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

P-6L
P-RF

TORRENT PHARMA GMBH GERMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-RF


BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA

CUTIE X 3 BLIST. X 10 COMPR.

P-RF

KRKA D.D.
MEDICAMENTA A.S.
TEVA PHARMA BV
SANDOZ S.R.L.
MEDOCHEMIE LTD.

SLOVENIA CUTIE X 30 COMPR. (BLIST. AL/AL)

P-RF

CEHIA
CUTIE CU BLIST. AL/AL X 30 COMPR.
OLANDA CUTIE CU BLIST. AL/AL X 30 COMPR.

P-RF

CIPRU

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-6L

GLENMARK PHARMACEUTICALS SRL

REPUBLICA SLOVACA

CUTIE CU BLIST. AL/AL X 30 COMPR.

P-RF

RANBAXY (UK) LIMITED

MAREA BRITANIE

CUTIE CU BLIST. PA-AL-PVC X 30 COMPR.

P-RF

P-RF

ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-RF/R

TORRENT PHARMA GMBH GERMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-RF


BLUEFISH PHARMACEUTICALS AB

SUEDIA CUTIE CU BLIST. AL/AL X 30 COMPR.

P-6L

TORRENT PHARMA GMBH GERMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-RF


TORRENT PHARMA GMBH GERMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-RF
BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA

CUTIE X 3 BLIST. X 10 COMPR.

P-RF

KRKA D.D.
MEDICAMENTA A.S.
TEVA PHARMA BV
SANDOZ S.R.L.
MEDOCHEMIE LTD.

SLOVENIA CUTIE X 30 COMPR. (BLIST. AL/AL)

P-RF

CEHIA
CUTIE CU BLIST. AL/AL X 30 COMPR.
OLANDA CUTIE CU BLIST. AL/AL X 30 COMPR.

P-RF

CIPRU

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-6L

GLENMARK PHARMACEUTICALS SRL

REPUBLICA SLOVACA

CUTIE CU BLIST. AL/AL X 30 COMPR.

P-RF

RANBAXY (UK) LIMITED

MAREA BRITANIE

CUTIE CU BLIST. PA-AL-PVC X 30 COMPR.

P-RF

P-RF

ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-RF/R

TORRENT PHARMA GMBH GERMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-RF


BLUEFISH PHARMACEUTICALS AB

SUEDIA CUTIE CU BLIST. AL/AL X 30 COMPR.

P-6L

TORRENT PHARMA GMBH GERMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-RF


BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA CUTIE CU 1 BLIST.OPA-AL-PVC/AL X 10 COMPR.

P-RF

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA CUTIE CU 3 BLIST.OPA-AL-PVC/AL X 10 COMPR.

P-RF

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA CUTIE CU 3 BLIST.OPA-AL-PVC/AL X 10 COMPR.

P-RF

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA CUTIE CU 3 BLIST.OPA-AL-PVC/AL X 10 COMPR.

P-RF

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA CUTIE CU 3 BLIST.OPA-AL-PVC/AL X 10 COMPR.

P-RF

LES LAB. SERVIER IND. FRANTA


SANOFI-SYNTHELABO FRANCE

SANOFI-AVENTIS FRANCE
EGIS PHARMACEUTICALS P.L.C.
EGIS PHARMACEUTICALS P.L.C.

CUTIE X 2 BLIST. AL/PVC X 15 DRAJ. CU ELIB. PREL.

P-RF

FRANTA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


FRANTA CUTIE X 2 SUPORTURI PVC X 6 FIOLE X 2 ML

P-RF

UNGARIA
UNGARIA

P-RF

CUTIE X 6 BLIST. AL/OPA-AL-PVC X 10 COMPR. P-RF


CUTIE X 6 BLIST. AL/OPA-AL-PVC X 10 COMPR. P-RF

NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
NOVARTIS PHARMA GMBH GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF

Pagina 17 din 21

Val suportata
Pret
de CNAS/UT
amanunt
Pret
(RON)Legea Val suportata
ul
CNAS/UT
cant/ maximal amanuntul nr. 95/2006 art
ambal /ambalaj maximal/UT 213 alin.1 lit.
(RON) pt.
(RON)
(RON)
a) si f)
Adulti
aj

50
50
20
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
10
30
30
30
30
30
20
12
60
60
50
30

57.11
57.11
23.68
7.80
15.41
6.81
6.49
75.27
285.51
418.54
112.94
53.08
191.25
10.45
19.52
19.46
49.19
29.75
30.00
33.02
33.04
33.04
30.00
30.49
33.10
25.01
48.34
62.78
165.89
106.39
107.24
113.70
113.70
113.70
107.24
104.96
113.76
89.39
140.21
57.44
310.38
643.55
1,216.24
1,788.93

28.35
9.12
9.40
17.53
10.69
15.01
10.32

1.142200
1.142200
1.184000
0.780000
0.770500
0.136200
0.216333
5.376428
5.098392
7.473928
8.067142
3.791428
3.415178
0.209000
0.650666
0.648666
1.639666
0.991666
1.000000
1.100666
1.101333
1.101333
1.000000
1.016333
1.103333
0.833666
1.611333
2.092666
5.529666
3.546333
3.574666
3.790000
3.790000
3.790000
3.574666
3.498666
3.792000
2.979666
4.673666
5.744000
10.346000
21.451666
40.541333
59.631000
0.945000
0.456000
0.783333
0.292166
0.178166
0.300200
0.344000

1.027980
1.027980
1.027980
0.780000
0.770500
0.067151
0.216333
5.376428
5.098392
7.473928
8.067142
3.291471
3.291471
0.209000
0.160040
0.160040
0.327355
0.327355
0.327355
0.327355
0.327355
0.327355
0.327355
0.327355
0.327355
0.327355
0.636525
0.982067
1.273050
1.273050
1.273050
1.273050
1.273050
1.273050
1.273050
1.273050
1.273050
1.273050
2.000508
0.472847
0.945694
1.909576
3.819152
5.728728
0.945000
0.456000
0.783333
0.292166
0.154103
0.244260
0.344000

0.513990
0.513990
0.513990
0.390000
0.385250
0.033575
0.108166
2.688214
2.549196
3.736964
4.033571
1.645735
1.645735
0.104500
0.080020
0.080020
0.163677
0.163677
0.163677
0.163677
0.163677
0.163677
0.163677
0.163677
0.163677
0.163677
0.318262
0.491033
0.636525
0.636525
0.636525
0.636525
0.636525
0.636525
0.636525
0.636525
0.636525
0.636525
1.000254
0.236423
0.472847
0.954788
1.909576
2.864364
0.472500
0.228000
0.391666
0.146083
0.077051
0.122130
0.172000

Nr. crt

cod ATC

862 N06AB10
863 N06AX05
864 N06AX05
865 N06AX05
866 N06AX12
867 N06AX14
868 N06AX17
869 N06AX17
870 N06AX21
871 N06AX21
872 N06BX16
873 N06BX18
874 N06BX18
875 N06BX18
876 N06BX18
877 N06BX18
878 N06DX02
879 N06DX02
880 N06DX02
881 N06DX02
882 N07CA01
883 N07CA01
884 N07CA01
885 N07CA01
886 N07CA01
887 N07CA01
888 N07CA01
889 N07CA01
890 N07CA01
891 N07CA01
892 N07CA01
893 N07CA01
894 N07CA01
895 N07CA01

DCI

ESCITALOPRAMUM**
TRAZODONUM**
TRAZODONUM**
TRAZODONUM**
BUPROPIONUM**#
TIANEPTINUM**
MILNACIPRANUM**
MILNACIPRANUM**
DULOXETINUM**
DULOXETINUM**
PRAMIRACETAMUM**#
VINPOCETINUM
VINPOCETINUM
VINPOCETINUM
VINPOCETINUM
VINPOCETINUM
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM

896 N07CA52 COMBINATII (CINARIZINUM +DIMENHIDRINATUM)


897 N07CA52 COMBINATII (CINARIZINUM +DIMENHIDRINATUM)

Denumire Comerciala

CIPRALEX 10 mg
TRITTICO AC 150 mg
TRITTICO AC 75 mg
TRITTICO AC 75 mg
ELONTRIL 150 mg
COAXIL (R)
IXEL
IXEL
CYMBALTA 30mg
CYMBALTA 60mg
PRAMISTAR
VIMPOCETIN 5 mg
CAVINTON(R) FORTE
VICEBROL
VICEBROL
CAVINTON(R)

forma farm. concentratie


Detinator APP
COMPR. FILM. 10mg
H. LUNDBECK A/S
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. MODIF.

DRAJ.
CAPS.
CAPS.
CAPS. GASTROREZ.
CAPS. GASTROREZ.

COMPR. FILM.

CAPS.
COMPR.
COMPR.
COMPR.
COMPR.

GINKOFAR 40 mg (vezi C04AXN1) COMPR. FILM.


GINKOFAR 40 mg (vezi C04AXN1) COMPR. FILM.
GINKOFAR 40 mg (vezi C04AXN1) COMPR. FILM.
GINKO BILOBA BIOFARM 40 mg (vezi C04AXN1) COMPR. FILM.

EMPERIN 24 mg
BETAHISTIN MCC 24 mg
BETAHISTIN MCC 24 mg
BETASERC 24 mg
EMPERIN 8 mg
MICROSER
URUTAL 8 mg
VESTIBO 8 mg
VESTIBO 8 mg
BETAHISTIN MCC 8 mg
BETASERC 8 mg
BETASERC 8 mg
ACUVER 8 mg/doza
ACUVER 8 mg/doza
ARLEVERT
ARLEVERT

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
SOL. ORALA
SOL. ORALA
COMPR.
COMPR.

150mg
75mg
75mg
150mg
12,5mg
25mg
50mg
30mg
60mg
600mg
5mg
10mg
5mg
5mg
5mg
40mg
40mg
40mg
40mg
24 mg
24mg
24mg
24mg
8 mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg/doza
8mg/doza

tara det.
APP
DANEMARCA

ANGELINI FRANCESCO SPA

ITALIA
ITALIA
ITALIA

GLAXOSMITHKLINE (GSK) SRL

ROMANIA

ANGELINI FRANCESCO SPA


ANGELINI FRANCESCO SPA

LES LAB. SERVIER IND. FRANTA


PIERRE FABRE MEDICAMENT PRODUCTION
PIERRE FABRE MEDICAMENT PRODUCTION

ELI LILLY NEDERLAND BV


ELI LILLY NEDERLAND BV
F.I.R.M.A. S.P.A. (MENARINI GROUP)

FRANTA
FRANTA
OLANDA
OLANDA
ITALIA

VIM SPECTRUM SRL ROMANIA


ROMANIA
BMF PHARM S.R.L. ROMANIA
BMF PHARM S.R.L. ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
BMF PHARM S.R.L. ROMANIA
BMF PHARM S.R.L. ROMANIA
BMF PHARM S.R.L. ROMANIA
BIOFARM S.A.
ROMANIA
EGIS PHARMACEUTICALS P.L.C.
UNGARIA
MAGISTRA C&C SRL ROMANIA
MAGISTRA C&C SRL ROMANIA
GEDEON RICHTER ROMANIA SA

ABBOTT HEALTHCARE PRODUCTS B.V.

OLANDA

EGIS PHARMACEUTICALS P.L.C.

UNGARIA

PRODOTTI FORMENTI ITALIA


ROMANIA

A & G MED TRADING S.R.L.

ACTAVIS GROUP HF. ISLANDA


ACTAVIS GROUP HF. ISLANDA
MAGISTRA C&C SRL ROMANIA

CYATHUS EXQUIRERE PHARMAFORSCHUNGS GMBH

OLANDA
OLANDA
AUSTRIA
AUSTRIA

HENNIG ARZNEIMITTEL GMBH & CO.KG

GERMANIA

HENNIG ARZNEIMITTEL GMBH & CO.KG

GERMANIA

ABBOTT HEALTHCARE PRODUCTS B.V.


ABBOTT HEALTHCARE PRODUCTS B.V.
CYATHUS EXQUIRERE PHARMAFORSCHUNGS GMBH

600mg
MEDA PHARMA GMBH & CO KG
CONC. PT. SOL. PERF. 30mg/ml
WORWAG PHARMA GMBH & CO. KG
SOL. INJ./PERF. 215,2mg/ml EBEWE NEURO PHARMA GMBH
SOL. INJ./PERF. 215,2mg/ml EVER NEURO PHARMA GMBH
SOL. INJ./PERF. 215,2mg/ml EBEWE NEURO PHARMA GMBH
SOL. INJ./PERF. 215,2mg/ml EVER NEURO PHARMA GMBH
SOL. INJ./PERF. 215,2mg/ml EBEWE NEURO PHARMA GMBH
SOL. INJ./PERF. 215,2mg/ml EVER NEURO PHARMA GMBH
COMPR. FILM. 200mg
SANOFI - AVENTIS ROMANIA S.R.L.
SPRAY NAZAL SUSP. 32mcg/doza ASTRAZENECA AB
SPRAY NAZAL SUSP. 50mcg/doza GLAXOWELLCOME UK LTD.
SPRAY NAZAL SUSP. 50mcg/doza SCHERING PLOUGH EUROPE

898 N07XN03 ACIDUM TIOCTICUM (ALFA-LIPOICUM)**# THIOCTACID (R) 600 HR (vezi A16AX01) COMPR. FILM.

GERMANIA

899 N07XN03 ACIDUM TIOCTICUM (ALFA-LIPOICUM)**# THIOGAMMA (R) 600 INJEKT (vezi N07XN03)

GERMANIA

900 N07XXN3
901 N07XXN3
902 N07XXN3
903 N07XXN3
904 N07XXN3
905 N07XXN3
906 P01BA02
907 R01AD05
908 R01AD08
909 R01AD09
910 R03AC04
911 R03AK03
912 R03AK06

CEREBROLYSIN (R)
HIDROLIZAT DE PROTEINA DIN CREIER DE PORCINA** CEREBROLYSIN
HIDROLIZAT DE PROTEINA DIN CREIER DE PORCINA** CEREBROLYSIN (R)
HIDROLIZAT DE PROTEINA DIN CREIER DE PORCINA** CEREBROLYSIN
HIDROLIZAT DE PROTEINA DIN CREIER DE PORCINA** CEREBROLYSIN (R)
HIDROLIZAT DE PROTEINA DIN CREIER DE PORCINA** CEREBROLYSIN
HYDROXYCHLOROQUINUM
PLAQUENIL
BUDESONIDUM*
RHINOCORT (R) AQUA
FLUTICASONUM PROPIONAT* FLIXONASE (R)
MOMETASONUM*
NASONEX
FENOTEROLUM
BEROTEC N - 100 mcg
COMBINATII (FENOTEROLUM + IPRATROPIUM)*
BERODUAL (R) N
SALMETEROLUM+FLUTICASONUM* SERETIDE DISKUS 50/100
HIDROLIZAT DE PROTEINA DIN CREIER DE PORCINA**

AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
ROMANIA

SUEDIA
MAREA BRITANIE

BELGIA

SOL. DE INHALAT PRESURIZATA

100mcg/doza

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

AEROSOL SOL. INHAL.

0,020mg+0,050mg

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA

GLAXO WELLCOME UK LIMITED

MAREA BRITANIE

PULB. INHAL. 50mg/100mg

Pagina 18 din 21

GERMANIA

Ambalaj

Prescriptie

Val suportata
Pret
de CNAS/UT
amanunt
Pret
(RON)Legea Val suportata
ul
CNAS/UT
cant/ maximal amanuntul nr. 95/2006 art
ambal /ambalaj maximal/UT 213 alin.1 lit.
(RON) pt.
(RON)
(RON)
a) si f)
Adulti
aj

28
20
CUTIE X 2 BLIST. AL/PVC X 15 COMPR. ELIB. PREL. P-RF
30
CUTIE X 1 BLIST. AL/PVC X 30 COMPR. ELIB. PREL. P-RF
30
CUTIE CU 1 FLAC. PEID CU DESICANT X 30 COMPR. ELIB. MODIF. P-RF
30
CUTIE X 1 BLIST. AL/PVC X 30 DRAJ. P-RF
30
CUTIE X 4 BLIST. AL/PVC X 14 CAPS. P-RF
56
CUTIE X 4 BLIST. AL/PVC X 14 CAPS. P-RF
56
CUTIE X 28 CAPS. GASTROREZ.( BLIST. PVC/PE/PCTFE/AL) P-RF
28
CUTIE X 28 CAPS. GASTROREZ.( BLIST. PVC/PE/PCTFE/AL) P-RF
28
CUTIE X 2 BLIST. PA-AL-PVC/AL X 10 COMPR.FILM. P-6L
20
CUTIE X 5 BLIST. X 10 CAPS.
P-6L
50
CUTIE X 2 BLIST. X 15 COMPR.
P-6L
30
CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L
50
CUTIE X 10 BLIST. AL/PVC X 10 COMPR. P-6L 100
CUTIE X 2 BLIST. AL/PVC X 25 COMPR. P-6L
50
CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L
20
CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L
60
CUTIE X 9 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L
90
CUTIE X 2 BLIST. PVC-PVDC/AL X 15 COMPR. FILM. P-6L
30
CUTIE CU BLIST. DIN PVC-PVDC/AL X 60 COMPR.
P6L
60
CUTIE CU 2 BLIST. PVC-PVDC-TE TRANSPARENT/AL X 10 COMPR. P-6L
20
CUTIE CU 5 BLIST. PVC-PVDC-TE TRANSPARENT/AL X 10 COMPR. P-6L
50
CUTIE CU 1 BLIST. PVC-PVDC/AL X 20 COMPR. P-6L
20
CUTIE CU BLIST. DIN PVC-PVDC/AL X 100 COMPR. P6L 100
CUTIE X 5 BLIST. X 10 COMPR.
P-6L
50
CUTIE X 1 FLACON X 100 COMPR. P-6L 100
CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L
30
CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 100
CUTIE CU 3 BLIST. PVC-PVDC-TE TRANSPARENT/AL X 10 COMPR. P-6L
30
CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L
30
CUTIE CU 4 BLIST. PVC-PVDC/AL X 25 COMPR. P-6L 100
CUTIE X 1 FLAC. STICLA BRUNA X 60 ML SOL. ORALA P-6L
1
CUTIE X 1 FLAC. STICLA BRUNA X 120 ML SOL. ORALA
P-6L
1
CUTIE X 2 BLIST. PVC-PVDC/AL X 25 COMPR. P-RF
50
CUTIE X 2 BLIST. PVC-PVDC/AL X 24 COMPR. P-RF
48
CUTIE X 1 FLAC. X 30 COMPR. FILM. P-6L
30
CUTIE X 10 FIOLE X 20 ML
S/P-RF
10
CUTIE X 5 FIOLE DIN STICLA BRUNA CU PUNCT DE RUPERE X 10 ML
P-RF
5
CUTIE X 5 FIOLE DIN STICLA BRUNA CU PUNCT DE RUPERE X 10 ML
P-RF
5
CUTIE X 5 FIOLE DIN STICLA BRUNA CU PUNCT DE RUPERE X 5 ML
P-RF
5
CUTIE X 5 FIOLE DIN STICLA BRUNA CU PUNCT DE RUPERE X 5 ML
P-RF
5
CUTIE X 10 FIOLE DIN STICLA BRUNA CU PUNCT DE RUPERE X 1 ML
P-RF
10
CUTIE X 10 FIOLE DIN STICLA BRUNA CU PUNCT DE RUPERE X 1 ML
P-RF
10
CUTIE X 6 BLIST. X 10 COMPR. FILM. P-6L
60
CUTIE X 1 FLACON X 120 DOZE PREVAZUT CU POMPA DOZATOARE
P-RF
1
CUTIE X 1 FLACON X 120 DOZE, PREVAZUT CU POMPA DOZATOARE
P-RF
1
CUTIE X 1 FLACON PP X 140 DOZE P-RF
1
CUTIE X 1 FLACON PRESURIZAT X 200 DOZE SOL. DE INHALAT PRESURIZATA
P-6L
1
P-6L
1
CUTIE X 1DISPOZITIV DE INHALAT X 60 DOZE PULB. DE INHAL. P-6L
1
CUTIE X 2 BLIST. TRANSPARENTE PVC-PE-PVDC/AL X 14 COMPR. FILM.

P-RF

CUTIE X 1 BLIST. AL/PVC X 20 COMPR. ELIB. PREL. P-RF

CUTIE X 1 FLACON PRESURIZAT DIN OTEL X 200 DOZE SOLUTIE DE INHALAT PRESURIZATA

89.32
3.190000
24.65
1.232500
18.49
0.616333
18.49
0.616333
64.95
2.165000
33.34
1.111333
70.69
1.262321
115.88
2.069285
104.16
3.720000
176.79
6.313928
71.09
3.554500
10.17
0.203400
14.28
0.476000
10.17
0.203400
20.32
0.203200
15.64
0.312800
9.08
0.454000
26.30
0.438333
36.29
0.403222
12.16
0.405333
34.44
0.574000
18.14
0.907000
39.32
0.786400
27.90
1.395000
21.28
0.212800
26.35
0.527000
39.87
0.398700
8.14
0.271333
21.28
0.212800
9.48
0.316000
14.59
0.486333
32.74
0.327400
37.67 37.670000
69.17 69.170000
31.85
0.637000
25.82
0.537916
102.49
3.416333
260.79 26.079000
123.00 24.600000
123.00 24.600000
85.39 17.078000
85.39 17.078000
38.75
3.875000
38.75
3.875000
33.05
0.550833
25.13 25.130000
39.63 39.630000
58.42 58.420000
16.46 16.460000
39.81 39.810000
116.05 116.050000

1.120500
1.232500
0.616291
0.616291
2.165000
1.111333
1.091562
2.069285
3.297723
6.313928
3.554500
0.203400
0.203400
0.203400
0.203200
0.203400
0.387333
0.387333
0.387333
0.387333
0.574000
0.713969
0.713969
0.713969
0.212800
0.237989
0.237989
0.237989
0.212800
0.237989
0.237989
0.237989
17.849248
35.698497
0.562687
0.537916
3.416333
26.079000
24.600000
24.600000
13.494500
13.494500
2.698900
2.698900
0.550833
25.130000
39.630000
58.420000
16.460000
39.810000
45.166050

0.560250
0.616250
0.308145
0.308145
1.082500
0.555666
0.545781
1.034642
1.648861
3.156964
1.777250
0.101700
0.101700
0.101700
0.101600
0.101700
0.193666
0.193666
0.193666
0.193666
0.287000
0.356984
0.356984
0.356984
0.106400
0.118994
0.118994
0.118994
0.106400
0.118994
0.118994
0.118994
8.924624
17.849248
0.281343
0.268958
1.708166
13.039500
12.300000
12.300000
6.747250
6.747250
1.349450
1.349450
0.275416
12.565000
19.815000
29.210000
8.230000
19.905000
22.583025

Nr. crt

cod ATC

913 R03AK06
914 R03AK06
915 R03AK06
916 R03AK06
917 R03AK06

forma farm. concentratie


DCI
Denumire Comerciala
SALMETEROLUM+FLUTICASONUM* SERETIDE DISKUS 50/250 PULB. INHAL. 50mg/250mg
SALMETEROLUM+FLUTICASONUM* SERETIDE DISKUS 50/500 PULB. INHAL. 50mg/500mg
SALMETEROLUM+FLUTICASONUM* SERETIDE 25 mcg/125 mcg INHALER CFC FREE SUSP. INHAL. PRESURIZATA 25mcg/125mcg
SALMETEROLUM+FLUTICASONUM* SERETIDE 25 mcg/250 mcg INHALER CFC FREE SUSP. INHAL. PRESURIZATA 25mcg/250mcg
SALMETEROLUM+FLUTICASONUM* SERETIDE 25 mcg/50 mcg INHALER CFC FREE SUSP. INHAL. PRESURIZATA 25mcg/50mcg

918 R03AK07 COMBINATII (BUDESONIDUM + FORMOTEROLUM)*

SYMBICORT TURBUHALER 160 micrograme/4,5 micrograme/inhalatie

919 R03AK07 COMBINATII (BUDESONIDUM + FORMOTEROLUM)*

SYMBICORT TURBUHALER 320 micrograme/9 micrograme/inhalatie

920 R03AK07 COMBINATII (BUDESONIDUM + FORMOTEROLUM)*

SYMBICORT TURBUHALER 80 micrograme/4,5 micrograme/inhalatie

921 R03AK07 COMBINATII (BUDESONIDUM + FORMOTEROLUM)*

SYMBICORT TURBUHALER 80 micrograme/4,5 micrograme/inhalatie

922 R03AK07 COMBINATII (BUDESONIDUM + FORMOTEROLUM)*

SYMBICORT (R) TURBUHALER (R) 160/4,5 mcg

923 R03BA05
924 R03BA05
925 R03BA05
926 R03BA05
927 R03BA05
928 R03BA05
929 R03BA05
930 R03BA07
931 R03BA07
932 R03BA07
933 R03BA08
934 R03BA08
935 R03BA08
936 R03BA08
937 R03BB04
938 R03DA05
939 R03DA05
940 R03DA05
941 R03DA05
942 R03DA05
943 R03DC03
944 R03DC03
945 R03DC03
946 R03DC03
947 R03DC03
948 R03DC03
949 R03DC03
950 R03DX03
951 R03DX03
952 R05CB15
953 R05CB15
954 R05CB15
955 R05DA09
956 R05DA09
957 R05DA09
958 R05DA09
959 R05DA09
960 R05DA09
961 R05DA09
962 R05DA09
963 R05DA09

FLUTICASONUM PROPIONAT*
FLUTICASONUM PROPIONAT*
FLUTICASONUM PROPIONAT*
FLUTICASONUM PROPIONAT*
FLUTICASONUM PROPIONAT*
FLUTICASONUM PROPIONAT*
FLUTICASONUM PROPIONAT*
MOMETASONUM*
MOMETASONUM*
MOMETASONUM*
CICLESONIDUM*
CICLESONIDUM*
CICLESONIDUM*
CICLESONIDUM*
TIOTROPIUM*
AMINOPHYLLINUM
AMINOPHYLLINUM
AMINOPHYLLINUM
AMINOPHYLLINUM
AMINOPHYLLINUM
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
FENSPIRIDUM
FENSPIRIDUM
ERDOSTEINUM
ERDOSTEINUM
ERDOSTEINUM
DEXTROMETHORPHANUM
DEXTROMETHORPHANUM
DEXTROMETHORPHANUM
DEXTROMETHORPHANUM
DEXTROMETHORPHANUM
DEXTROMETHORPHANUM
DEXTROMETHORPHANUM
DEXTROMETHORPHANUM
DEXTROMETHORPHANUM

Detinator APP

Prescriptie

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

GLAXOWELLCOME UK LTD.

MAREA BRITANIE

CUTIE X 1 FLACON PRESURIZAT AL X 120 DOZE SUSP. DE INHALAT PRESURIZATA

P-6L

GLAXOWELLCOME UK LTD.

MAREA BRITANIE

CUTIE X 1 FLACON PRESURIZAT AL X 120 DOZE SUSP. DE INHALAT PRESURIZATA

P-6L

GLAXOWELLCOME UK LTD.

MAREA BRITANIE

CUTIE X 1 FLACON PRESURIZAT AL X 120 DOZE SUSP. DE INHALAT PRESURIZATA

P-6L

160micrograme/4,5micrograme/in

320micrograme/9micrograme/inha

80micrograme/4,5micrograme/inh

80micrograme/4,5micrograme/inh

FLIXOTIDE DISKUS 100 mcg PULB. INHAL. 100mcg/doza


FLIXOTIDE DISKUS 250 mcg PULB. INHAL. 250mcg/doza
FLIXOTIDE DISKUS 500 mcg PULB. INHAL. 500mcg/doza
FLIXOTIDE 125 INHALER CFC - Free SUSP. INHAL. PRESURIZATA 125mcg/doza
FLIXOTIDE (R) 50 INHALER CFC - Free SUSP. INHAL. PRESURIZATA 50mcg/doza
FLIXOTIDE NEBULES 0,5 mg/2 ml
0,5mg/2ml
FLIXOTIDE NEBULES 2 mg/2 ml
2mg/2ml
ASMANEX TWISTHALER 200 mcg PULB. INHAL. 200mcg/doza
ASMANEX TWISTHALER 200 mcg PULB. INHAL. 200mcg/doza
ASMANEX TWISTHALER 400 mcg PULB. INHAL. 400mcg/doza
ALVESCO 160 INHALER
160g/doza
ALVESCO 160 INHALER
160g/doza
ALVESCO 80 INHALER
80g/doza
ALVESCO 80 INHALER
80g/doza
SPIRIVA 18 mcg
CAPS. CU PULB.INHAL. 18mcg
MIOFILIN 100 mg
CAPS.
100mg
AMINOFILINA EEL
COMPR.
100mg
AMINOFILINA ARENA 100 MG COMPR.
100mg
AMINOFILINA ARENA 200 MG COMPR.
200mg
MIOFILIN
SOL. INJ.
24mg/ml
SINGULAIR (R)
COMPR. FILM. 10mg
SINGULAIR (R)
COMPR. FILM. 10mg
SINGULAIR
COMPR. MAST. 4mg
SINGULAIR
COMPR. MAST. 4mg
SINGULAIR (R)
COMPR. MAST. 5mg
SINGULAIR (R)
COMPR. MAST. 5mg
SINGULAIR (R)
GRANULE
4mg/plic
EURESPAL 80 mg
COMPR. FILM. 80mg
EURESPAL 2 mg/ml
SIROP
2mg/ml
ERDOMED 300 mg
CAPS.
300mg
ERDOMED 225 mg
GRAN. PT. SUSP. ORALA
225mg
ERDOMED 175 mg/5 ml
PULB. PT. SUSP. ORALA
175mg/5ml
TUSSIN
COMPR.
10mg
TUSSIN FORTE
COMPR.
20mg
TUSALIN 15 mg
COMPR. FILM. 15mg
HUMEX
SIROP
0,1%
HUMEX 0,133 g/100 ml
SIROP
0,13%
ROFEDEX
SIROP
15mg/5ml
TUSSIN 6,5mg/5ml
SIROP
6,5mg/5ml
ROBITUSSIN JUNIOR
SOL. ORALA 3,75mg/5ml
ROBITUSSIN ANTITUSSICUM SOL. ORALA 7,5mg/5ml

Ambalaj

GLAXOWELLCOME UK LTD.

ASTRAZENECA AB
PULB. DE INHAL.
ASTRAZENECA AB
PULB. DE INHAL.
ASTRAZENECA AB
PULB. DE INHAL.
ASTRAZENECA AB
PULB. INHAL. 160/4,5mcg ASTRAZENECA AB
PULB. DE INHAL.

tara det.
APP

SUEDIA
SUEDIA
SUEDIA
SUEDIA
SUEDIA

CUTIE CU 1 INHALATOR DIN MATERIAL PLASTIC CU 120 DOZE PULB. DE INHAL.


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.
CUTIE CU 1 INHALATOR DIN MATERIAL PLASTIC CU 120 DOZE PULB. DE INHAL.

P6L
P6L
P6L
P6L

CUTIE X 1 RECIPIENT MULTIDOZA X 60 DOZE, PREVAZUT CU DISPOZITIV DE ADM. + DISPOZITIV INDICATOR AL NU

P-6L

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

GLAXO WELLCOME UK LTD.

MAREA BRITANIE

CUTIE X 1 FLACON PRESURIZAT X 120 DOZE X 50 MCG, PREVAZUT CU VALVA DOZATOARE

P-RF

SUSP. INHAL. PRIN NEBULIZATOR

GLAXO WELLCOME UK LIMITED

MAREA BRITANIE

CUTIE X 5 BLIST. PA-AL-PVC/HARTIE-PTF-AL X 2 FIOLE PEJD X 2,5ML CONTINAND 2ML SUSP. INHAL. PRIN NEB

P-RF

SUSP. INHAL. PRIN NEBULIZATOR

GLAXO WELLCOME UK LIMITED

MAREA BRITANIE

CUTIE X 5 BLIST. PA-AL-PVC/HARTIE-PTF-AL X 2 FIOLE PEJD X 2,5ML CONTINAND 2ML SUSP. INHAL. PRIN NEB

P-RF

SOL. DE INHALAT PRESURIZATA

SOL. DE INHALAT PRESURIZATA

SOL. DE INHALAT PRESURIZATA

SOL. DE INHALAT PRESURIZATA

SCHERING PLOUGH EUROPE


SCHERING PLOUGH EUROPE
SCHERING PLOUGH EUROPE

NYCOMED GMBH
NYCOMED GMBH
NYCOMED GMBH
NYCOMED GMBH
BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

ZENTIVA SA
BIO EEL SRL
ARENA GROUP SA
ARENA GROUP SA
ZENTIVA S.A.
MERCK SHARP & DOHME
MERCK SHARP & DOHME
MERCK SHARP & DOHME
MERCK SHARP & DOHME
MERCK SHARP & DOHME
MERCK SHARP & DOHME
MERCK SHARP & DOHME

BELGIA
BELGIA
BELGIA

CUTIE X 1 DISPOZITIV DE ADM. X 30 DOZE P-6L


CUTIE X 1 DISPOZITIV DE ADM. X 60 DOZE P-6L
CUTIE X 1 DISPOZITIV DE ADM. X 60 DOZE P-6L

GERMANIA

CUTIE X 1 FLAC. DIN AL CU VALVA DOZATOARE X 120 DOZE SOL. DE INHALAT PRESURIZATA

P-RF

GERMANIA

CUTIE X 1 FLAC. DIN AL CU VALVA DOZATOARE X 60 DOZE SOL. DE INHALAT PRESURIZATA

P-RF

GERMANIA

CUTIE X 1 FLAC. DIN AL CU VALVA DOZATOARE X 120 DOZE SOL. DE INHALAT PRESURIZATA

P-RF

GERMANIA

CUTIE X 1 FLAC. DIN AL CU VALVA DOZATOARE X 60 DOZE SOL. DE INHALAT PRESURIZATA

P-RF

GERMANIA

CUTIE X 3 BLIST.AL/PVC-AL X 10 CAPS. CU PULB. DE INHALAT + DISPOZITIV HANDIHALER

P-RF

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P-RF

CUTIE X 2 BLIST. AL/PVC X 25 COMPR.


CUTIE X 4 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-RF

CUTIE X 5 FIOLE PREVAZUTE CU INEL DE RUPERE X 10 ML SOL.INJ.

S/P-RF

CUTIE X 1 BLIST. OPA-AL-PVC X 14 COMPR. FILM.

P-RF

CUTIE X 2 BLIST. OPA-AL-PVC X 14 COMPR. FILM.

P-RF

CUTIE X 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. MAST.

P-RF

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

P-RF
P-RF

CUTIE X 2 BLIST. OPA-AL-PVC/AL X 7 COMPR. MAST.

P-RF

CUTIE X 1 BLIST. OPA-AL-PVC/AL X 14 COMPR. MAST.

P-RF

CUTIE X 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. MAST.

P-RF

CUTIE X 28 PLICURI CU GRANULE

P-RF

LES LAB. SERVIER IND. FRANTA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM. P-6L
LES LAB. SERVIER IND. FRANTA CUTIE X 1 FLACON PVC DE CULOARE BRUNA X 150 ML P-6L
CSC PHARMACEUTICALS HANDELS GMBH
CSC PHARMACEUTICALS HANDELS GMBH
CSC PHARMACEUTICALS HANDELS GMBH

EUROPHARM SA
EUROPHARM SA
BMF PHARM SRL
LAB. URGO SA
LAB. URGO SA
BIOFARM SA
ROPHARMA S.A.
WYETH WHITEHALL EXPORT GMBH
WYETH WHITEHALL EXPORT GMBH

Pagina 19 din 21

CEHIA
AUSTRIA
AUSTRIA

CUTIE X 1 BLIST. PVC-PVDC/AL X 10 CAPS.

P-6L

CUTIE CU 20 PLICURI UNIDOZA DIN HARTIE AL/PE 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

ROMANIA CUTIE X 1 BLIST. AL/PVC X 20 COMPR.


ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

FRANTA
FRANTA

CUTIE X 1 FLACON X 125 ML SIROP + O MASURA DOZATOARE PENTRU MASURAREA VOLUMELOR 2,5ML; 5ML; 7,5ML; 1

P-RF

CUTIE X 1 FLACON X 200 ML + O MASURA DOZATOARE DIN POLIPROPILENA

P-RF

CUTIE X 1 FLACON DIN STILCA BRUNA X 100 ML + MASURA DOZATOARE

P-RF

CUTIE X 1 FLAC. X 115ML SIROP + O LINGURITA DOZATOARE GRADATA LA 1,25ML; 2,5ML SI 5 ML

P-RF

CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SOL. ORALA

P-RF

CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SOL. ORALA

P-RF

ROMANIA
ROMANIA

AUSTRIA
AUSTRIA

P-RF
P-RF

Val suportata
Pret
de CNAS/UT
amanunt
Pret
(RON)Legea Val suportata
ul
CNAS/UT
cant/ maximal amanuntul nr. 95/2006 art
ambal /ambalaj maximal/UT 213 alin.1 lit.
(RON) pt.
(RON)
(RON)
a) si f)
Adulti
aj

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
10
10
1
1
1
1
1
1
1
1
20
50
40
20
5
14
28
28
14
14
28
28
30
1
10
20
1
20
20
10
1
1
1
1
1
1

155.51
221.24
162.37
230.89
121.15
225.13
225.13
93.99
178.25
118.70
40.17
83.47
135.63
44.08
35.97
31.02
89.60
85.02
138.36
246.51
247.17
123.33
223.88
111.02
162.41
3.57
6.70
6.87
7.63
11.68
75.89
144.00
155.65
82.06
75.72
143.61
157.06
27.77
19.78
15.62
32.76
24.65
3.68
6.70
2.67
8.37
10.69
5.21
7.78
8.51
8.51

155.510000
221.240000
162.370000
230.890000
121.150000
225.130000
225.130000
93.990000
178.250000
118.700000
40.170000
83.470000
135.630000
44.080000
35.970000
3.102000
8.960000
85.020000
138.360000
246.510000
247.170000
123.330000
223.880000
111.020000
162.410000
0.178500
0.134000
0.171750
0.381500
2.336000
5.420714
5.142857
5.558928
5.861428
5.408571
5.128928
5.609285
0.925666
19.780000
1.562000
1.638000
24.650000
0.184000
0.335000
0.267000
8.370000
10.690000
5.210000
7.780000
8.510000
8.510000

112.915125
221.240000
112.915125
225.830250
45.166050
225.130000
225.130000
56.282500
112.565000
112.565000
30.893400
77.233500
135.630000
38.616750
30.893400
1.029778
4.119118
65.403750
130.807500
246.510000
247.042500
123.330000
123.521250
61.760625
162.410000
0.178500
0.134000
0.171750
0.381500
2.336000
5.212321
5.142857
4.326856
4.326856
5.408571
5.128928
4.326856
0.925666
19.780000
1.562000
1.288125
24.650000
0.175833
0.335000
0.263749
8.370000
4.571674
5.210000
2.628713
5.304600
2.637504

56.457562
110.620000
56.457562
112.915125
22.583025
112.565000
112.565000
28.141250
56.282500
56.282500
15.446700
38.616750
67.815000
19.308375
15.446700
0.514889
2.059559
32.701875
65.403750
123.255000
123.521250
61.665000
61.760625
30.880312
81.205000
0.089250
0.067000
0.085875
0.190750
1.168000
2.606160
2.571428
2.163428
2.163428
2.704285
2.564464
2.163428
0.462833
9.890000
0.781000
0.644062
12.325000
0.087916
0.167500
0.131874
4.185000
2.285837
2.605000
1.314356
2.652300
1.318752

Nr. crt

cod ATC

DCI

998 S01BA06

LEVOCETIRIZINUM
LEVOCETIRIZINUM
LEVOCETIRIZINUM
LEVOCETIRIZINUM
LEVOCETIRIZINUM
LEVOCETIRIZINUM
LEVOCETIRIZINUM
FEXOFENADINUM
FEXOFENADINUM
FEXOFENADINUM
FEXOFENADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
GENTAMICINUM
TOBRAMYCINUM
TOBRAMYCINUM
TOBRAMYCINUM
TOBRAMYCINUM
TOBRAMYCINUM
NETILMICINUM
NETILMICINUM
NETILMICINUM
OFLOXACINUM
OFLOXACINUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
BETAMETHASONUM

999 S01CA01

COMBINATII ( NETILMICINUM + DEXAMETHASONUM)

964 R06AE09
965 R06AE09
966 R06AE09
967 R06AE09
968 R06AE09
969 R06AE09
970 R06AE09
971 R06AX26
972 R06AX26
973 R06AX26
974 R06AX26
975 R06AX27
976 R06AX27
977 R06AX27
978 R06AX27
979 R06AX27
980 R06AX27
981 R06AX27
982 S01AA11
983 S01AA12
984 S01AA12
985 S01AA12
986 S01AA12
987 S01AA12
988 S01AA23
989 S01AA23
990 S01AA23
991 S01AX11
992 S01AX11
993 S01BA01
994 S01BA01
995 S01BA01
996 S01BA01
997 S01BA01

forma farm.
XYZAL (R)
COMPR. FILM.
XYZAL (R)
COMPR. FILM.
CEZERA 5 mg
COMPR. FILM.
LEVOCETIRIZINA SANDOZ 5 mg COMPR. FILM.
LEVOCETIRIZINA ACTAVIS 5 mg COMPR. FILM.
ZENARO 5 mg
COMPR. FILM.
Denumire Comerciala

XYZAL
EWOFEX 120 mg
TELFAST 120 mg
EWOFEX 180 mg
TELFAST 180 mg
AERIUS 5mg
AERIUS 5mg
AERIUS 5mg
AERIUS 2,5mg
AERIUS 5mg
AERIUS 0,5mg/ml
AERIUS 0,5mg/ml
GENTAMICIN SULPHATE
TOBROM 3 mg/ml
TOBISOL
TOBREX
TOBREX 2 X
TOBREX (R)
NETTACIN (R)
NETTACIN (R)
NETTAVISC 3mg/g
FLOXAL (R)
FLOXAL (R)
DEXAMETAZONA ROMPHARM 1mg/ml

DEXAMETAZONA ROMPHARM 1mg/ml

MAXIDEX (R)
OPHTAMESONE
NETILDEX
NETILDEX
SPERSADEX COMP

S01CA01 COMBINATII ( NETILMICINUM + DEXAMETHASONUM)


S01CA01

1,002

S01CA01 COMBINATII (TOBRAMYCINUM +DEXAMETAZONUM)

DEXATOBROM 3 mg+1 mg/ml

1,003

S01CA01 COMBINATII (TOBRAMYCINUM +DEXAMETAZONUM)

1,004

S01CA01 COMBINATII (TOBRAMYCINUM +DEXAMETAZONUM)

1,005

S01GX09

1,006

S01XA02

TOBRADEX ( R )
TOBRADEX (R)
OPATANOL 1mg/ml
OCULOTECT

A08AA10
G03AC02

G03FB05
G03FA01
A08AX01
C09DA03

COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE

SOL. ORALA
SOL. ORALA
PIC. OFT., SOL
PIC. OFT., SOL
PIC. OFT., SOL.
PIC. OFT.,SOL.
PICATURI OFT.-SOL.

UNG. OFT.
PIC. OFT., SOL
PICATURI OFT.-SOL.

UNG. OFT.
PICATURI OFT.-SOL.

UNG. OFT.
PIC. OFT. SUSP.

DEXAMETAZONA RPH 1mg/ml PIC. OFT. SUSP.

1,001

A06AD15

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

DEXAMETAZONA RPH 1mg/ml PIC. OFT. SUSP.

1,000

COMBINATII (CLORAMPHENICOLUM+DEXAMETHASONUM)

PIC. ORALE, SOL.

OLOPATADINUM
RETINOLUM
MACROGOLUM*2
SIBUTRAMINUM****
LYNESTRENOLUM*
COMBINATII**
COMBINATII**
RIMONABANTUM****
COMBINATII(VALSARTANUM+HYDROCHLOROTHIAZIDUM)

PIC. OFT. SUSP.


PICATURI OFT.-SUSP.

SOL. OFT.
PIC. OFT.,SOL.
PIC. OFT.SOL. UNIDOZA

PICATURI OFT.-SOL.

concentratie

5mg
5mg
5mg
5mg
5mg
5mg
5mg/ml
120mg
120mg
180mg
180mg
5mg
5mg
5mg
2,5mg
5mg
0,5mg/ml
0,5mg/ml
0,3%
3mg/ml
0,3%
3mg/ml
0,3%
0,3%
0,3%
0,3%
3mg/g
0,3%
0,3%
1mg/ml
1mg/ml
1mg/ml
1mg/ml
0,1%
0,1%

Detinator APP

U.C.B. GMBH
U.C.B. GMBH

tara det.
APP

Ambalaj

Prescriptie

GERMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-6L


GERMANIA CUTIE X 3 BLIST. X 10 COMPR. FILM. P-6L

KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL CU 30 COMPR. FILM. P-6L

SANDOZ S.R.L.

ROMANIA

CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L

ZENTIVA K.S.
U.C.B. GMBH

REPUBLICA SLOVACA

CUTIE CU BLIST. PVC-ACLAR/AL X 20 COMPR. FILM.

P-6L

GERMANIA

CUTIE X 1 FLACON DIN STICLA BRUNA X 20 ML PIC. ORALE, SOL., PREVAZUT CU PICURATOR

P-6L

EWOPHARMA INTERNATIONAL S.R.O.

SLOVACIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L

SANOFI-AVENTIS ROMANIA S.R.L.

ROMANIA

EWOPHARMA INTERNATIONAL S.R.O.

SLOVACIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L

SANOFI-AVENTIS ROMANIA S.R.L.

ROMANIA

CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM.

P-6L

SP EUROPE
SP EUROPE
SP EUROPE
SP EUROPE
SP EUROPE
SP EUROPE
SP EUROPE

BELGIA
BELGIA
BELGIA
BELGIA
BELGIA
BELGIA
BELGIA

CUTIE X 30COMPR. FILM. ( PCTFE/ PVC/AL)

P-RF

CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 10 COMPR.FILM.

P-6L

CUTIE X 10 COMPR. FILM. ( PCTFE/ PVC/AL) P-RF

CUTIE X 7 COMPR. FILM. ( PCTFE/ PVC/AL)

P-RF

CUTIE X 30 COMPR. ORODISPERSABILE (PVC/OPA/AL)

P-RF

CUTIE X 30 COMPR. ORODISPERSABILE (PVC/OPA/AL)

P-RF

CUTIE X 1 FLACON X 120 ML SOL. ORALA + LIGURITA DOZATOARE DE 2,5 ML SI 5 ML

P-RF

CUTIE X 1 FLACON X 150 ML SOL. ORALA + LIGURITA DOZATOARE DE 2,5 ML SI 5ML

P-RF

E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON X 10ML


ROMPHARM COMPANY SRL ROMANIA CUTIE C 1 FLAC. PEJD X 5 ML PIC. OFT. SOL
E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON X 5 ML PIC. OFT., SOL.

P-RF

ALCON COUVREUR NV BELGIA


ALCON COUVREUR NV BELGIA
ALCON COUVREUR NV BELGIA

CUTIE X 1 FLACON DIN PEJD CU PICURATOR X 5 ML PIC. OFTALMICE, SOL.

P-RF

CUTIE X 1 FLAC. PEID CU PICURATOR DIN PEID X 5 ML

P-RF

P-RF
P-RF

CUTIE X 1 TUB DIN AL X 3,5 G UNGUENT OFTALMIC

P-RF

S.I.F.I. SPA
S.I.F.I. SPA
S.I.F.I. SPA

ITALIA
ITALIA
ITALIA

CUTIE X 1 FLACON X 5ML

P-RF

CUTIE X 3 FOLII TERMOSUDATE X 5 FLACOANE UNIDOZA DIN POLIETILENA X 0,3 ML

P-RF

CUTIE X 1 TUB DIN AL X 5 G UNGUENT OFTALMIC, PREV. CU APLICATOR

P-RF

DR. GERHARD MANN CHEM.PHARM.FABRIK GMBH

GERMANIA

CUTIE X 1 FLACON DIN PEJD X 5 ML PICATURI OFT., SOL.

P-RF

DR. GERHARD MANN CHEM.PHARM.FABRIK GMBH

GERMANIA

CUTIE X 1 TUB DIN AL PREVAZUT CU APLICATOR X 3 G

P-RF

ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE X 1 FLAC. DIN PEID X 10 ML PIC. OFT., SUSPENSIE

P-RF

CUTIE X 1 FLAC. DIN PEID X 10 ML PIC. OFT., SUSPENSIE

P-RF

ROMPHARM COMPANY SRL


ROMPHARM COMPANY SRL
ROMPHARM COMPANY SRL
ROMPHARM COMPANY SRL

ALCON COUVREUR NV BELGIA

CUTIE X 1 FLAC. DIN PEID X 5 ML PIC. OFT., SUSPENSIE P-RF


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

DAR AL DAWA PHARMA S.R.L.

ROMANIA CUTIE X 1 FLACON X 10ML

P-RF

S.I.F.I. SPA
S.I.F.I. SPA

ITALIA
ITALIA

P-RF

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.

5mg/ml+1mg/ml NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FLACON X 5 ML SOL. OFT. + PICURATOR

3mg+1mg/ml ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 FLAC. PEJD A 5 ML + PICURATOR


PICATURI OFT.-SUSP. 1mg+3mg
ALCON COUVREUR NV BELGIA CUTIE X 1 FLACON PICURATOR PEJD X 5 ML
UNG. OFT. 1mg+3mg
ALCON COUVREUR NV BELGIA CUTIE X 1 TUB AL, PREVAZUT CU APLICATOR PEID X 3,5 G
PIC. OFT., SOL. 1mg/ml
ALCON LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 FLACON X 5 ML
GEL OFT.
10mg/g
NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 TUB X 10 G GEL. OFT.
PIC. OFT. SUSP.

C10BA02 COMBINATII (EZETIMIBUM + SIMVASTATINUM)

Pagina 20 din 21

P-RF
P-RF
P-RF
P-RF
P-RF

P-6L

Val suportata
Pret
de CNAS/UT
amanunt
Pret
(RON)Legea Val suportata
ul
CNAS/UT
cant/ maximal amanuntul nr. 95/2006 art
ambal /ambalaj maximal/UT 213 alin.1 lit.
(RON) pt.
(RON)
(RON)
a) si f)
Adulti
aj

10
30
30
10
10
20
1
10
10
10
10
30
10
7
30
30
1
1
1
1
1
1
1
1
1
15
1
1
1
1
1
1
1
1
1
1
20
1
1
1
1
1
1

16.72
41.68
28.00
10.86
10.86
21.74
35.80
11.82
13.16
17.70
19.15
53.90
21.51
17.26
49.09
42.32
20.25
25.62
4.65
4.04
4.05
11.17
20.55
8.54
14.01
28.60
32.11
14.28
15.19
10.00
10.00
5.49
5.49
8.44
4.45
31.02
50.71
12.37
9.88
15.21
12.91
30.14
16.22

1.672000
1.389333
0.933333
1.086000
1.086000
1.087000
35.800000
1.182000
1.316000
1.770000
1.915000
1.796666
2.151000
2.465714
1.636333
1.410666
20.250000
25.620000
4.650000
4.040000
4.050000
11.170000
20.550000
8.540000
14.010000
1.906666
32.110000
14.280000
15.190000
10.000000
10.000000
5.490000
5.490000
8.440000
4.450000
31.020000
2.535500
12.370000
9.880000
15.210000
12.910000
30.140000
16.220000

1.672000
1.389333
0.933333
1.086000
1.086000
1.087000
35.800000
1.182000
1.276666
1.770000
1.915000
1.276666
1.276666
1.276666
0.638333
1.276666
14.435000
18.043750
4.650000
4.040000
4.042500
4.042500
4.042500
3.031875
14.010000
1.236269
20.604495
11.165000
15.190000
9.000000
9.000000
4.500000
4.500000
4.500000
4.450000
11.772000
0.706320
11.772000
9.880000
11.772000
8.240400
30.140000
16.220000

0.836000
0.694666
0.466666
0.543000
0.543000
0.543500
17.900000
0.591000
0.638333
0.885000
0.957500
0.638333
0.638333
0.638333
0.319166
0.638333
7.217500
9.021875
2.325000
2.020000
2.021250
2.021250
2.021250
1.515937
7.005000
0.618134
10.302247
5.582500
7.595000
4.500000
4.500000
2.250000
2.250000
2.250000
2.225000
5.886000
0.353160
5.886000
4.940000
5.886000
4.120200
15.070000
8.110000

Nr. crt

cod ATC
J01DC10
D06AXN1

DCI

Denumire Comerciala

forma farm.

concentratie

Detinator APP

tara det.
APP

Ambalaj

CEFPROZILUM
COMBINATII

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 21 din 21

Prescriptie

Val suportata
Pret
de CNAS/UT
amanunt
Pret
(RON)Legea Val suportata
ul
CNAS/UT
cant/ maximal amanuntul nr. 95/2006 art
ambal /ambalaj maximal/UT 213 alin.1 lit.
(RON) pt.
(RON)
(RON)
a) si f)
Adulti
aj

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 OCTOMBRIE 2011

NR.CRT

COD ATC

DCI

Denumire Comerciala

forma farm.

concentratie

DETINATOR APP

TARA
DET. APP

AMBALAJ

Prescriptie

VAL.SUPORT
PRET
ATAT CNAS/
UT(RON)AMANU
LEGEA NR. VAL.SUPORT
NTUL
PRET
MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
CANT
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
ADULTI
ITATE (RON)
(RON)
a) si f)

1.INSUFICIENTA CARDIACA CRONICA(CLASA III SAU IV NYHA) - G 1


1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37

B01AA07
B01AA07
C01AA05
C01AA05
C01AA05
C03AA03
C03CA01
C03CA01
C03CA01
C03CA01
C03CA01
C03CA01
C03CA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02

ACENOCUMAROLUM
ACENOCUMAROLUM
DIGOXINUM
DIGOXINUM
DIGOXINUM
HYDROCHLOROTHIAZIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM

TROMBOSTOP 2 mg
SINTROM 4 mg
DIGOXIN 0,25 mg
DIGOXIN 0,5 mg/2 ml
LANOXIN SOLUTIE ORALA
NEFRIX 25 mg
FUROSEMID MCC 40 mg
FUROSEMID SLAVIA
FUROSEMID EEL
FUROSEMID ZENTIVA
FUROSEMID LPH 40 mg
FUROSEMID ARENA 40 mg
FUROSEMID 20 mg/2 ml
VEROSPIRON

COMPR.
COMPR.
COMPR.
SOL. INJ.
SOL. ORALA
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
SOL. INJ.
CAPS.
CAPS.
CAPS.
CAPS.
COMPR.
COMPR.
COMPR.

2mg
4mg
0,25mg
0,5mg/ml
0,05mg/ml
25mg
40mg
40mg
40mg
40mg
40mg
40mg
10mg/ml
100mg
SPIRONOLACTONA ARENA 25 mg
25mg
VEROSPIRON
50mg
SPIRONOLACTONA ARENA 50 mg
50mg
SPIRONOLACTONA EEL 25 mg
25mg
SPIRONOLACTONA OZONE 25 mg
25mg
SPIRONOLACTONA OZONE 25 mg
25mg
SPIRONOLACTONA 25 mg COMPR. FILM. 25mg
ALSPIRON 25 mg
COMPR. FILM. 25mg
ALSPIRON 50 mg
COMPR. FILM. 50mg
BLOXAN
COMPR.
100mg
BETAPROL 100 mg
COMPR.
100mg
EGILOK 100 mg
COMPR.
100mg
METOPROLOL LPH 100 mg COMPR.
100mg
METOPROLOL AL 100
COMPR.
100mg
METOPROLOL AL 100
COMPR.
100mg
METOPROLOL AL 100
COMPR.
100mg
METOPROLOL 100 mg
COMPR.
100mg
METOPROLOL TERAPIA 100 mg COMPR.
100mg
METOPROLOL MEDICO UNO 100 mg COMPR.
100mg
METOPROLOL VIM SPECTRUM 100 mg COMPR.
100mg
METOPROLOL ARENA 100 MG COMPR.
100mg
METOPROLOL 100 mg
COMPR.
100mg
EGILOK 25 mg
COMPR.
25mg

TERAPIA SA

ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P-RF

NOVARTIS PHARMA GMBH GERMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. P-RF

ZENTIVA S.A.
ZENTIVA S.A.

ROMANIA CUTIE X 1 BLIST. AL/PVC X 25 COMPR.


ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 2 ML SOL. INJ.

P-RF
S/P-RF

THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 1 FLACON DIN STICLA BRUNA X 60 ML SOL. ORALA + PIPETA X 1 ML P-RF

ZENTIVA SA
ROMANIA
MAGISTRA C&C S.R.L. ROMANIA
SLAVIA PHARM SRL ROMANIA
BIO EEL SRL
ROMANIA
ZENTIVA SA
ROMANIA
LABORMED PHARMA SA ROMANIA
ARENA GROUP S.A. ROMANIA
ZENTIVA SA
ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
ARENA GROUP S.A. ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
ARENA GROUP S.A. ROMANIA
BIO EEL SRL
ROMANIA
OZONE LABORATORIES LTD.
OZONE LABORATORIES PHARMA S.A.

TERAPIA SA
AC HELCOR PHARMA SRL
AC HELCOR PHARMA SRL

CUTIE X 1 BLIST. AL/PVC X 25 COMPR. P-6L


CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L

CUTIE X 2 BLIST. X 10 COMPR.

P-6L

CUTIE X 1 FLAC. DIN PEID X 20 COMPR. P-6L


CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
CUTIE X 5 FIOLE DIN STICLA BRUNA CU INEL DE RUPERE X 2 ML SOL. INJ.

P-RF

CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L


CUTIE CU 5 BLIST. PVC/AL X 10 CAPS. P-6L
CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L
CUTIE CU 3 BLIST. PVC/AL X 10 CAPS. P-6L
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
MAREA BRITANIE CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L
ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L
ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE X 3 BLIST. PVC/PVDC TRANSPARENT/AL X 10 COMPR.

ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.


EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 20 COMPR.
LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
AC HELCOR PHARMA SRL

P-6L
P-6L
P-6L
P-6L

ALIUD PHARMA GMBH & CO.KG

GERMANIA CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L

ALIUD PHARMA GMBH & CO.KG

GERMANIA CUTIE X 10 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L

ALIUD PHARMA GMBH & CO.KG

GERMANIA CUTIE X 5 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L

MAGISTRA C & C SRL ROMANIA


TERAPIA SA
ROMANIA
MEDICO UNO PHARMACEUTICAL SRL ROMANIA
VIM SPECTRUM SRL ROMANIA
ARENA GROUP SA ROMANIA
OZONE LABORATORIES PHARMA S.A. ROMANIA
EGIS PHARMACEUTICALS P.L.C. UNGARIA

Pagina 1 din 44

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.


CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-6L

CUTIE X 1 FLAC. DIN STICLA BRUNA X 20 COMPR.

P-6L

P-6L
P-6L
P-6L
P-6L
P-6L

30
20
25
5
1
25
20
20
20
20
20
20
5
30
50
30
30
20
50
50
50
20
20
30
30
20
30
30
100
50
30
30
30
20
30
20
20

6.46
6.69
2.76
6.56
10.96
3.44
2.99
2.25
5.36
5.95
3.00
5.95
5.99
28.17
15.89
16.52
16.06
4.25
10.66
10.66
16.02
4.25
13.59
13.88
10.82
6.49
7.04
9.01
19.52
12.85
9.38
14.93
6.93
7.29
6.93
8.00
1.88

0.215333
0.334500
0.110400
1.312000
10.960000
0.137600
0.149500
0.112500
0.268000
0.297500
0.150000
0.297500
1.198000
0.939000
0.317800
0.550666
0.535333
0.212500
0.213200
0.213200
0.320400
0.212500
0.679500
0.462666
0.360666
0.324500
0.234666
0.300333
0.195200
0.257000
0.312666
0.497666
0.231000
0.364500
0.231000
0.400000
0.094000

0.215333
0.334500
0.110400
1.312000
10.960000
0.137600
0.135000
0.112500
0.135000
0.135000
0.135000
0.135000
1.198000
0.939000
0.255000
0.550666
0.535333
0.212500
0.213200
0.213200
0.255000
0.212500
0.642399
0.234240
0.234240
0.234240
0.234240
0.234240
0.195200
0.234240
0.234240
0.234240
0.231000
0.234240
0.231000
0.234240
0.094000

0.215333
0.334500
0.110400
1.312000
10.960000
0.137600
0.135000
0.112500
0.135000
0.135000
0.135000
0.135000
1.198000
0.939000
0.255000
0.550666
0.535333
0.212500
0.213200
0.213200
0.255000
0.212500
0.642399
0.234240
0.234240
0.234240
0.234240
0.234240
0.195200
0.234240
0.234240
0.234240
0.231000
0.234240
0.231000
0.234240
0.094000

NR.CRT

38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86

COD ATC

DCI

C07AB02

METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM

C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB07
C07AB07
C07AB07
C07AB12
C07AB12
C07AB12
C07AB12
C07AB12
C07AB12
C07AB12
C07AB12
C07AB12
C07AB12
C07AB12
C07AB12
C07AB12
C07AB12
C07AG02
C07AG02
C07AG02

Denumire Comerciala

METOPROLOL LPH 25 mg
METOPROLOL 25 mg

forma farm.

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.

concentratie

25mg
25mg
METOPROLOL MEDICO UNO 25 mg
25mg
METOPROLOL ARENA 25 MG
25mg
BETAPROL 50 mg
50mg
EGILOK 50 mg
50mg
METOPROLOL LPH 50 mg
50mg
METOPROLOL AL 50
50mg
METOPROLOL AL 50
50mg
METOPROLOL AL 50
50mg
METOPROLOL 50 mg
50mg
METOPROLOL TERAPIA 50 mg
50mg
METOPROLOL MEDICO UNO 50 mg
50mg
METOPROLOL VIM SPECTRUM 50 mg
50mg
METOPROLOL ARENA 50 MG
50mg
METOPROLOL 50 mg
50mg
METOPROLOL RETARD 100 mg COMPR. ELIB. PREL. 100mg
BETALOC (R) ZOK 100 mg
COMPR. FILM. ELIB. PREL.
100mg
EMZOK 100 mg
COMPR. FILM. ELIB. PREL.
100mg
METOPROLOL SUCCINAT POLPHARMA 190 mg COMPR. FILM. ELIB. PREL. 190mg
METOPROLOL SUCCINAT POLPHARMA 23,75 mg COMPR. FILM. ELIB. PREL. 23,75mg
METOPROLOL SUCCINAT POLPHARMA 47,5 mg
COMPR. FILM. ELIB. PREL.
47,5mg
BETALOC (R) ZOK 50 mg
COMPR. FILM. ELIB. PREL.
50mg
EMZOK 50 mg
COMPR. FILM. ELIB. PREL.
50mg
METOPROLOL SUCCINAT POLPHARMA 95 mg COMPR. FILM. ELIB. PREL. 95mg
METOSUCCINAT SANDOZ 190 mg COMPR.FILM.ELIB.MOD. 190mg
METOSUCCINAT SANDOZ 47,5 mg COMPR.FILM.ELIB.MOD. 47,5mg
METOSUCCINAT SANDOZ 95 mg COMPR.FILM.ELIB.MOD. 95mg
BETALOC
SOL. INJ.
5mg/5ml
CONCOR COR 10 mg
COMPR. FILM. 10mg
CONCOR COR 2,5 mg
COMPR. FILM. 2,5mg
CONCOR COR 5 mg
COMPR. FILM. 5mg
EZOCEM 5 mg
COMPR
5mg
EZOCEM 5 mg
COMPR
5mg
NEBLOTENSOL 5 mg
COMPR.
5 mg
NEBILET (R)
COMPR.
5mg
NEBIVOLOL ACTAVIS 5 mg COMPR.
5mg
NEBACOP 5 mg
COMPR.
5mg
NEBACOP 5 mg
COMPR.
5mg
X-PRESSOL 5 mg
COMPR.
5mg
NOLET 5 mg
COMPR.
5mg
NEBIVOLOL TEVA 5 mg
COMPR.
5mg
NEBIVOLOL TEVA 5 mg
COMPR.
5mg
VOXNEBIN 5 mg
COMPR.
5mg
NEBINORM 5 mg
COMPR.
5mg
NEBICARD 5 mg
COMPR.
5mg
CARVEDILOL SANDOZ
COMPR.
12,5 mg
DILATREND (R) 12,5 mg
COMPR.
12,5mg
CORYOL 12,5 mg
COMPR.
12,5mg

DETINATOR APP

TARA
DET. APP
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

AMBALAJ

Prescriptie

CUTIE X 1 BLIST. AL/PVC X 20 COMPR.


CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P-6L

EGIS PHARMACEUTICALS P.L.C.

UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 20 COMPR.


LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P-6L

ALIUD PHARMA GMBH


ALIUD PHARMA GMBH
ALIUD PHARMA GMBH
MAGISTRA C & C SRL

GERMANIA CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L

LABORMED PHARMA SA

MAGISTRA C & C SRL


MEDICO UNO PHARMACEUTICAL SRL

ARENA GROUP S.A.


AC HELCOR PHARMA SRL

P-6L
P-6L
P-6L
P-6L
P-6L

GERMANIA CUTIE X 10 BLIST. DIN PVC-PVDC/ALX 10 COMPR P-6L


GERMANIA CUTIE X 5 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L

ROMANIA
ROMANIA
MEDICO UNO PHARMACEUTICAL SRL ROMANIA
VIM SPECTRUM SRL ROMANIA
ARENA GROUP S.A. ROMANIA
OZONE LABORATORIES PHARMA S.A. ROMANIA
TERAPIA SA
ROMANIA

TERAPIA SA

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.


CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-6L

CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. CU ELIB. PREL.

P-6L

P-6L
P-6L
P-6L
P-6L
P-6L

ASTRAZENECA AB

SUEDIA CUTIE X 1 FLAC. X 30 COMPR. FILM. ELIB. PREL. P-6L


IVAX PHARMCEUTICALS S.R.O. CEHIA
CUTIE X 3 BLIST. AL/PP X 10 COMPR. FILM. ELIB. PREL. P-6L
PHARMACEUTICAL WORKS POLPHARMA SA
POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. CU ELIB. PREL. P-6L
PHARMACEUTICAL WORKS POLPHARMA SA
POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. CU ELIB. PREL. P-6L
PHARMACEUTICAL WORKS POLPHARMA SA
POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. CU ELIB. PREL. P-6L
ASTRAZENECA AB SUEDIA CUTIE X 1 FLAC. X 30 COMPR. FILM. ELIB. PREL. P-6L
IVAX PHARMCEUTICALS S.R.O. CEHIA
CUTIE X 3 BLIST. AL/PP X 10 COMPR. FILM. ELIB. PREL. P-6L
PHARMACEUTICAL WORKS POLPHARMA SA
POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. CU ELIB. PREL. P-6L
HEXAL AG
GERMANIA CUTIE X 3 BLIST. ACLAR-PVC/AL X 10 COMPR. FILM. ELIB. MODIF. P-6L
HEXAL AG
GERMANIA CUTIE X 3 BLIST. ACLAR-PVC/AL X 10 COMPR. FILM. ELIB. MODIF. P-6L
HEXAL AG
GERMANIA CUTIE X 3 BLIST. ACLAR-PVC/AL X 10 COMPR. FILM. ELIB. MODIF. P-6L
ASTRAZENECA AB SUEDIA CUTIE X 5 FIOLE X 5 ML SOL.INJ. I.V./PERF. S
MERCK KGAA
GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
MERCK KGAA
GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
MERCK KGAA
GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
OZONE LABORATORIES BV OLANDA CUTIE X 28 COMPR. IN BLIST. PVC-PE-PVDC/AL P-6L
OZONE LABORATORIES PHARMA S.A.

ROMANIA

LANNACHER HEILMITTEL GES.M.B.H.

AUSTRIA CUTIE CU BLIST. PVC/AL X 30 COMPR.

BERLIN CHEMIE AG MENARINI GROUP

GERMANIA CUTIE X 4 BLIST. AL/PVC X 7 COMPR. P-6L

CUTIE X 28 COMPR. IN BLIST. PVC-PE-PVDC/AL P-6L

ACTAVIS S.R.L.
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
JUST BUSINESS SRL ROMANIA CUTIE X 2 BLIST. PVC/AL X 14 COMPR.
JUST BUSINESS SRL ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR.
LABORMED PHARMA S.A.

ANTIBIOTICE S.A.
TEVA PHARMACEUTICALS S.R.L.
TEVA PHARMACEUTICALS S.R.L.

SANDOZ S.R.L.
GLENMARK PHARMACEUTICALS SRL

P-6L
P-6L
P-6L
P-6L

ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-RF


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
ROMANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. P-6L

CEHIA
POLONIA

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L

BIOFARM SP.ZO.O
HEXAL AG

GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L

ROCHE ROMANIA S.R.L.

ROMANIA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. P-6L

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.

Pagina 2 din 44

P-6L

VAL.SUPORT
ATAT CNAS/
PRET
UT(RON)AMANU
PRET
LEGEA NR. VAL.SUPORT
NTUL
MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
CANT
a) si f)
ADULTI
(RON)
ITATE (RON)

20
30
30
30
30
20
30
30
100
50
30
30
30
20
30
20
20
30
30
28
28
28
30
30
28
30
30
30
5
30
30
30
28
28
30
28
30
28
30
30
30
28
30
28
30
28
30
28
28

1.88
2.82
2.82
2.82
5.21
3.47
4.68
5.21
8.31
7.01
5.21
6.98
5.21
3.41
5.21
3.47
11.00
25.39
16.50
20.96
2.73
9.40
15.50
10.09
15.41
22.45
8.04
13.44
21.90
33.41
14.59
22.05
25.24
25.24
26.76
34.15
27.04
25.22
27.04
26.76
26.56
22.54
24.14
13.67
26.92
25.21
8.63
29.58
12.33

0.094000
0.094000
0.094000
0.094000
0.173666
0.173500
0.156000
0.173666
0.083100
0.140200
0.173666
0.232666
0.173666
0.170500
0.173666
0.173500
0.550000
0.846333
0.550000
0.748571
0.097500
0.335714
0.516666
0.336333
0.550357
0.748333
0.268000
0.448000
4.380000
1.113666
0.486333
0.735000
0.901428
0.901428
0.892000
1.219642
0.901333
0.900714
0.901333
0.892000
0.885333
0.805000
0.804666
0.488214
0.897333
0.900357
0.287666
1.056428
0.440357

0.094000
0.094000
0.094000
0.094000
0.099720
0.099720
0.099720
0.099720
0.083100
0.099720
0.099720
0.099720
0.099720
0.099720
0.099720
0.099720
0.234240
0.234240
0.234240
0.748571
0.097500
0.321600
0.099720
0.099720
0.537600
0.748333
0.268000
0.448000
4.380000
0.586200
0.486333
0.296520
0.585856
0.585856
0.585856
0.585856
0.585856
0.585856
0.585856
0.585856
0.585856
0.585856
0.585856
0.488214
0.585856
0.585856
0.287666
0.342799
0.342799

0.094000
0.094000
0.094000
0.094000
0.099720
0.099720
0.099720
0.099720
0.083100
0.099720
0.099720
0.099720
0.099720
0.099720
0.099720
0.099720
0.234240
0.234240
0.234240
0.748571
0.097500
0.321600
0.099720
0.099720
0.537600
0.748333
0.268000
0.448000
4.380000
0.586200
0.486333
0.296520
0.585856
0.585856
0.585856
0.585856
0.585856
0.585856
0.585856
0.585856
0.585856
0.585856
0.585856
0.488214
0.585856
0.585856
0.287666
0.342799
0.342799

NR.CRT

87
88
89
90
91
92
93
94
95
96
97
98
99

COD ATC
C07AG02
C07AG02
C07AG02
C07AG02
C07AG02
C07AG02
C07AG02
C07AG02
C07AG02
C07AG02
C07AG02
C07AG02
C07AG02

100 C07AG02
101 C07AG02
102 C07AG02
103 C07AG02
104 C07AG02
105 C07AG02
106 C07AG02
107 C07AG02
108 C07AG02
109 C07AG02
110 C07AG02
111 C07AG02
112 C07AG02
113 C07AG02
114 C07AG02
115 C07AG02
116 C07AG02
117 C07AG02
118 C09AA01
119 C09AA01
120 C09AA01
121 C09AA01
122 C09AA01
123 C09AA01
124 C09AA01
125 C09AA01
126 C09AA01
127 C09AA01
128 C09AA01
129 C09AA01
130 C09AA01
131 C09AA01
132 C09AA01
133 C09AA01
134 C09AA01
135 C09AA02

DCI

CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
ENALAPRILUM

Denumire Comerciala

TALLITON (R) 12,5 mg


ATRAM 12,5

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.

concentratie

12,5mg
12,5mg
CARVEDILOL HELCOR 12,5 mg
12,5mg
CARVEDILOL LPH 12,5 mg
12,5mg
CARVEDILOL TEVA 12,5 mg
12,5mg
CARVEDILOL VIM SPECTRUM 12,5mg
12,5mg
GLADYCOR 12,5 mg
12,5mg
MIOCARVIL 12,5 mg
12,5mg
DILATREND (R) 25 mg
25mg
CORYOL 25 mg
25mg
TALLITON (R) 25 mg
25mg
ATRAM 25
25mg
CARVEDILOL HELCOR 25 mg
25mg
CARVEDILOL SANDOZ
25mg
CARVEDILOL LPH 25 mg
25mg
CARVEDILOL TEVA 25 mg
25mg
GLADYCOR 25 mg
25mg
MIOCARVIL 25 mg
25mg
DILATREND (R) 6,25 mg
6,25mg
CORYOL (R)
6,25mg
TALLITON 6,25 mg
6,25mg
ATRAM 6,25
6,25mg
CARVEDILOL SANDOZ
6,25mg
CARVEDILOL LPH 6,25 mg
6,25mg
CARVEDILOL TEVA 6,25 mg
6,25mg
CARVEDILOL VIM SPECTRUM 6,25 mg
6,25mg
GLADYCOR 6,25 mg
6,25mg
MIOCARVIL 6,25 mg
6,25mg
CARVEDIGAMMA 12,5 mg
COMPR. FILM. 12,5mg
CARVEDIGAMMA 25 mg
COMPR. FILM. 25mg
CARVEDIGAMMA 6,25 mg
COMPR. FILM. 6,25mg
CAPTOPRIL 12,5 mg
COMPR.
12,5mg
CAPTOPRIL MCC 12,5 mg
COMPR.
12,5mg
CAPTOPRIL 25 mg
COMPR.
25mg
CAPTOPRIL 25 mg
COMPR.
25mg
CAPTOPRIL 25 EEL
COMPR.
25mg
CAPTOPRIL - AC 25 mg
COMPR.
25mg
CAPTOPRIL MCC 25 mg
COMPR.
25mg
CAPTOPRIL LPH 25 mg
COMPR.
25mg
CAPTOPRIL SINTOFARM 25 mg COMPR.
25mg
CAPTOPRIL ARENA 25 mg COMPR.
25mg
CAPTOPRIL ARENA 50 mg COMPR.
50 mg
CAPTOPRIL 50 mg
COMPR.
50mg
CAPTOPRIL 50 mg
COMPR.
50mg
CAPTOPRIL 50 EEL
COMPR.
50mg
CAPTOPRIL - AC 50 mg
COMPR.
50mg
CAPTOPRIL MCC 50 mg
COMPR.
50mg
CAPTOPRIL LPH 50 mg
COMPR.
50mg
ENALAPRIL 10 mg
COMPR.
10mg

DETINATOR APP
EGIS PHARMACEUTICALS P.L.C.

ZENTIVA AS
AC HELCOR PHARMA SRL

LABORMED PHARMA SA
TEVA PHARMACEUTICAL S.R.L.

VIM SPECTRUM SRL


ANTIBIOTICE S.A.
LABORMED PHARMA S.A.

ROCHE ROMANIA S.R.L.

TARA
DET. APP

UNGARIA
CEHIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

AMBALAJ
CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR.

Prescriptie

P-6L

CUTIE X 2 BLIST. PVC-PVDC/AL X 15 COMPR. P-6L

CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L


CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L

CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L


CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L
CUTIE X 3 BLIST. PVC/AL X 10 COMPR. FILM. P-6L
CUTIE X 2 BLIST. OPA-AL-PVDC/AL X 14 COMPR. 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.

ZENTIVA AS

UNGARIA
CEHIA

CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR.

P-6L

CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L

AC HELCOR PHARMA SRL

ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

HEXAL AG

GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L

P-6L

LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L

ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR.


ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR.
LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. FILM.
ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. OPA-AL-PVDC/AL X 14 COMPR.

TEVA PHARMACEUTICAL S.R.L.

P-6L

ANTIBIOTICE S.A.

P-6L
P-6L
P-6L

KRKA D.D.

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.


CEHIA
CUTIE X 2 BLIST. PVC-PVDC/AL X 15 COMPR.

P-6L

ZENTIVA AS
HEXAL AG

P-6L

GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L

LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-6L

ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR.


VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
ANTIBIOTICE S.A.
ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR.
LABORMED PHARMA S.A. ROMANIA CUTIE X 2 BLIST. PVC/AL X 15 COMPR. FILM.

TEVA PHARMACEUTICAL S.R.L.

P-6L
P-6L
P-6L
P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L

EGIS PHARMACEUTICALS P.L.C.

UNGARIA
ROMANIA
EGIS PHARMACEUTICALS P.L.C. UNGARIA
TERAPIA SA
ROMANIA
BIO EEL SRL
ROMANIA
AC HELCOR PHARMA SRL ROMANIA
MAGISTRA C & C
ROMANIA
LABORMED PHARMA SA ROMANIA
SINTOFARM SA
ROMANIA
ARENA GROUP SA ROMANIA
ARENA GROUP SA ROMANIA
EGIS PHARMACEUTICALS P.L.C. UNGARIA
TERAPIA SA
ROMANIA
BIO EEL SRL
ROMANIA
AC HELCOR PHARMA SRL ROMANIA
MAGISTRA C & C
ROMANIA
LABORMED PHARMA SA ROMANIA

CUTIE X 3 BLIST. AL-PVC/PVDC X 10 COMPR. P-6L

MAGISTRA C & C

CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.


CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P-6L

OZONE LABORATORIES LTD.

CUTIE X 2 FOLII X 10 COMPR.

P-6L

Pagina 3 din 44

MAREA BRITANIE

CUTIE X 3 BLIST. AL-PVC/PVDC X 10 COMPR. P-6L

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.


CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L

CUTIE X 2 BLIST. AL-PVC/PVDC X 10 COMPR. P-6L


P-6L
P-6L
P-6L
P-6L

VAL.SUPORT
ATAT CNAS/
PRET
UT(RON)AMANU
PRET
LEGEA NR. VAL.SUPORT
NTUL
MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
CANT
a) si f)
ADULTI
(RON)
ITATE (RON)

30
30
20
30
30
20
30
30
28
28
30
30
20
30
30
30
30
30
28
28
30
30
30
30
30
20
30
30
30
30
30
30
30
30
30
20
20
30
30
30
20
20
20
30
20
20
30
30
20

13.14
12.71
8.61
13.20
8.57
6.64
12.94
13.20
33.06
21.79
23.34
19.34
15.53
9.08
23.34
8.95
22.73
23.34
16.26
6.36
6.81
6.36
6.81
6.81
5.96
4.51
6.63
6.81
13.76
24.01
8.95
2.91
2.91
3.37
4.05
2.99
2.25
3.37
3.37
4.58
2.25
2.63
4.39
6.59
3.82
2.63
4.45
3.88
4.35

0.438000
0.423666
0.430500
0.440000
0.285666
0.332000
0.431333
0.440000
1.180714
0.778214
0.778000
0.644666
0.776500
0.302666
0.778000
0.298333
0.757666
0.778000
0.580714
0.227142
0.227000
0.212000
0.227000
0.227000
0.198666
0.225500
0.221000
0.227000
0.458666
0.800333
0.298333
0.097000
0.097000
0.112333
0.135000
0.149500
0.112500
0.112333
0.112333
0.152666
0.112500
0.131500
0.219500
0.219666
0.191000
0.131500
0.148333
0.129333
0.217500

0.342799
0.342799
0.342799
0.342799
0.285666
0.332000
0.342799
0.342799
0.357999
0.357999
0.357999
0.357999
0.357999
0.302666
0.357999
0.298333
0.357999
0.357999
0.238399
0.227142
0.227000
0.212000
0.227000
0.227000
0.198666
0.225500
0.221000
0.227000
0.342799
0.357999
0.238399
0.097000
0.097000
0.112333
0.134799
0.134799
0.112500
0.112333
0.112333
0.134799
0.112500
0.131500
0.155199
0.155199
0.155199
0.131500
0.148333
0.129333
0.217500

0.342799
0.342799
0.342799
0.342799
0.285666
0.332000
0.342799
0.342799
0.357999
0.357999
0.357999
0.357999
0.357999
0.302666
0.357999
0.298333
0.357999
0.357999
0.238399
0.227142
0.227000
0.212000
0.227000
0.227000
0.198666
0.225500
0.221000
0.227000
0.342799
0.357999
0.238399
0.097000
0.097000
0.112333
0.134799
0.134799
0.112500
0.112333
0.112333
0.134799
0.112500
0.131500
0.155199
0.155199
0.155199
0.131500
0.148333
0.129333
0.217500

NR.CRT

DCI

COD ATC

136 C09AA02
137 C09AA02
138 C09AA02
139 C09AA02
140 C09AA02
141 C09AA02
142 C09AA02
143 C09AA02
144 C09AA02
145 C09AA02
146 C09AA02
147 C09AA02
148 C09AA02
149 C09AA02
150 C09AA02
151 C09AA02
152 C09AA02
153 C09AA02
154 C09AA02
155 C09AA02
156 C09AA02
157 C09AA02
158 C09AA02
159 C09AA02
160 C09AA02
161 C09AA02
162 C09AA02
163 C09AA02
164 C09AA02
165 C09AA02
166 C09AA02
167 C09AA02
168 C09AA02
169 C09AA02
170 C09AA02
171 C09AA02
172 C09AA02
173 C09AA02
174 C09AA02
175 C09AA02
176 C09AA02
177 C09AA02
178 C09AA03
179 C09AA03
180 C09AA03
181 C09AA03
182 C09AA03
183 C09AA03
184 C09AA03

ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM

Denumire Comerciala

ENALAPRIL 10 mg
ENALAPRIL SANDOZ 10 mg
ENALAP
ENALAPRIL LPH 10 mg
ENAP 10 mg
ENALAPRIL FABIOL 10 mg
ENALAPRIL SLAVIA 10 mg
ENALAPRIL AL 10
RENITEC 10 mg
ENALAPRIL TERAPIA 10 mg
ENALAPRIL ARENA 10mg
ENALAPRIL ARENA 10mg
ENALAPRIL ARENA 10mg
ENALAPRIL ARENA 10mg
ENALAPRIL VIM SPECTRUM 10 mg

EDNYT 10 mg
EDNYT 2,5 mg
ENALAPRIL 20 mg
ENALAPRIL SANDOZ 20 mg
ENALAPRIL LPH 20 mg
ENAP 20 mg
ENALAPRIL FABIOL 20 mg
ENALAPRIL AL 20
RENITEC 20 mg
ENALAPRIL TERAPIA 20 mg
ENALAPRIL ARENA 20 mg
ENALAPRIL ARENA 20 mg
ENALAPRIL SLAVIA 20 mg
ENALAPRIL 5 mg
ENALAPRIL 5 mg
ENALAPRIL SANDOZ 5 mg
EDNYT (R) 5 mg
ENALAPRIL AL 5
ENAP 5 mg
RENITEC 5 mg
ENALAPRIL LPH (R) 5 mg
ENALAPRIL TERAPIA 5 mg
INVORIL 5 mg
ENALAPRIL ARENA 5 mg
ENALAPRIL VIM SPECTRUM 5 mg

ENALAPRIL SLAVIA 5 mg
ENAP (R)
RANOLIP
LISIREN 10 mg
LISINOPRIL SANDOZ 10 mg
LISIGAMMA 10 mg
LISINOPRIL 10 MEDO
LISINOPRIL ACTAVIS 10 mg
LISINOPRIL ATB 10 MG

forma farm.

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
SOL. INJ.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.

concentratie

10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
2,5mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
1,25mg/ml
10mg
10mg
10mg
10mg
10mg
10mg
10mg

FABIOL SA
SLAVIA PHARM SRL

TARA
DET. APP
ROMANIA
ROMANIA
ROMANIA
ROMANIA
SLOVENIA
ROMANIA
ROMANIA

ALIUD PHARMA GMBH & CO.KG

GERMANIA

DETINATOR APP

MAGISTRA C & C
SANDOZ SRL
E.I.P.I.CO. MED S.R.L.
LABORMED PHARMA SA
KRKA D.D. NOVO MESTO

MERCK SHARP & DOHME ROMANIA

TERAPIA SA
ARENA GROUP SA
ARENA GROUP SA
ARENA GROUP SA
ARENA GROUP SA
VIM SPECTRUM SRL

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
MAGISTRA C & C
ROMANIA
SANDOZ SRL
ROMANIA
LABORMED PHARMA SA ROMANIA
KRKA D.D. NOVO MESTO SLOVENIA

FABIOL SA

ROMANIA

ALIUD PHARMA GMBH & CO.KG

GERMANIA

MERCK SHARP & DOHME ROMANIA

TERAPIA SA
ARENA GROUP SA
ARENA GROUP SA

ROMANIA
ROMANIA
ROMANIA
SLAVIA PHARM S.R.L. ROMANIA

OZONE LABORATORIES LTD.

MAREA BRITANIE

MAGISTRA C & C
SANDOZ SRL

ROMANIA
ROMANIA
GEDEON RICHTER PLC. UNGARIA
ALIUD PHARMA GMBH & CO.KG

GERMANIA

KRKA D.D. NOVO MESTO SLOVENIA


MERCK SHARP & DOHME ROMANIA
LABORMED PHARMA SA ROMANIA

TERAPIA SA
TERAPIA SA
ARENA GROUP S.A.
VIM SPECTRUM SRL

ROMANIA
ROMANIA
ROMANIA
ROMANIA
SLAVIA PHARM S.R.L. ROMANIA

KRKA D.D.

SLOVENIA

RANBAXY U.K. LIMITED

MAREA BRITANIE

AC HELCOR SRL
HEXAL AG

GERMANIA

WORWAG PHARMA GMBH & CO. KG

GERMANIA

MEDOCHEMIE ROMANIA SRL

ROMANIA

ACTAVIS GROUP PTC EHF.

ISLANDA

ANTIBIOTICE SA

ROMANIA

Pagina 4 din 44

ROMANIA

AMBALAJ

CUTIE X 2 BLIST. X 10 COMPR.


CUTIE X 2 BLIST. X 10 COMPR.
CUTIE X 2 BLIST. X 10 COMPR.

Prescriptie

VAL.SUPORT
ATAT CNAS/
PRET
UT(RON)AMANU
PRET
LEGEA NR. VAL.SUPORT
NTUL
MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
CANT
a) si f)
ADULTI
(RON)
ITATE (RON)

20
20
P-6L
20
CUTIE X 2 BLIST. AL/AL X 10 COMPR. P-6L
20
CUTIE X 2 BLIST. AL/OPA-AL-PVC X 10 COMPR. P-6L
20
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
CUTIE X 2 BLIST. PVC/ AL X 10 COMPR. P-6L
20
CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L
30
CUTIE X 2 BLIST. AL/AL X 14 COMPR. P-6L
28
CUTIE X 2 BLIST. AL/PVC-PE-PVDC X 10 COMPR. P-6L
20
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L
50
CUTIE X 10 BLIST. AL/PVC X 10 COMPR. P-6L 100
CUTIE X 1 FLAC. DIN PE X 20 COMPR. P-6L
20
CUTIE X 2 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L
20
CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L
30
CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L
30
CUTIE X 2 BLIST. X 10 COMPR.
P-6L
20
CUTIE X 2 BLIST. X 10 COMPR.
P-6L
20
CUTIE X 2 BLIST. AL/AL X 10 COMPR. P-6L
20
CUTIE X 2 BLIST. AL/OPA-AL-PVC X 10 COMPR. P-6L
20
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L
30
CUTIE X 2 BLIST. AL/AL X 14 COMPR. P-6L
28
CUTIE X 2 BLIST. AL/PVC-PE-PVDC X 10 COMPR. P-6L
20
CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L
30
CUTIE X 5 BLIST. PVC/AL X 10 COMPR. P-6L
50
CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. P6L
20
CUTIE X 2 FOLII X 10 COMPR.
P-6L
20
CUTIE X 2 BLIST. X 10 COMPR.
P-6L
20
CUTIE X 2 BLIST. X 10 COMPR.
P-6L
20
CUTIE X 3 BLIST.X 10 COMPR.
P-6L
30
CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L
30
CUTIE X 2 BLIST. AL/OPA-AL-PVC X 10 COMPR. P-6L
20
CUTIE X 2 BLIST. AL/AL X 14 COMPR. P-6L
28
CUTIE X 2 BLIST. AL/AL X 10 COMPR. P-6L
20
CUTIE X 2 BLIST. AL/PVC-PE-PVDC X 10 COMPR. P-6L
20
CUTIE X 3 BLIST. AL/AL X 10 COMPR. P-6L
30
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
CUTIE X 2 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L
20
CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. P6L
20
CUTIE X 5 FIOLE X 1 ML
S/P-RF
5
CUTIE X 3 BLIST. X 10 COMPR.
P-6L
30
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L
30
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
CUTIE CU BLIST. PVC/AL X 30 COMPR. P-6L
30
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
P-6L
P-6L

4.35
3.91
4.35
4.35
4.35
4.35
4.35
6.52
10.40
7.21
6.80
11.11
21.76
11.14
4.05
10.08
8.15
7.84
10.06
8.64
7.84
7.04
11.48
16.92
10.99
11.00
16.22
7.83
3.62
3.62
3.62
8.15
5.19
3.62
7.78
3.79
3.88
5.45
5.52
3.61
3.62
15.27
14.81
10.62
10.18
15.96
14.27
12.71
6.19

0.217500
0.195500
0.217500
0.217500
0.217500
0.217500
0.217500
0.217333
0.371428
0.360500
0.226666
0.222200
0.217600
0.557000
0.202500
0.336000
0.271666
0.392000
0.503000
0.432000
0.392000
0.352000
0.382666
0.604285
0.549500
0.366666
0.324400
0.391500
0.181000
0.181000
0.181000
0.271666
0.173000
0.181000
0.277857
0.189500
0.194000
0.181666
0.184000
0.180500
0.181000
3.054000
0.493666
0.531000
0.339333
0.532000
0.475666
0.423666
0.309500

0.217500
0.195500
0.217500
0.217500
0.217500
0.217500
0.217500
0.217333
0.234600
0.234600
0.226666
0.222200
0.217600
0.234600
0.202500
0.234600
0.271666
0.389280
0.389280
0.389280
0.389280
0.352000
0.382666
0.389280
0.389280
0.366666
0.324400
0.389280
0.181000
0.181000
0.181000
0.207600
0.173000
0.181000
0.207600
0.189500
0.194000
0.181666
0.184000
0.180500
0.181000
3.054000
0.371400
0.371400
0.339333
0.371400
0.371400
0.371400
0.309500

0.217500
0.195500
0.217500
0.217500
0.217500
0.217500
0.217500
0.217333
0.234600
0.234600
0.226666
0.222200
0.217600
0.234600
0.202500
0.234600
0.271666
0.389280
0.389280
0.389280
0.389280
0.352000
0.382666
0.389280
0.389280
0.366666
0.324400
0.389280
0.181000
0.181000
0.181000
0.207600
0.173000
0.181000
0.207600
0.189500
0.194000
0.181666
0.184000
0.180500
0.181000
3.054000
0.371400
0.371400
0.339333
0.371400
0.371400
0.371400
0.309500

NR.CRT

DCI

COD ATC

185 C09AA03
186 C09AA03
187 C09AA03
188 C09AA03
189 C09AA03
190 C09AA03
191 C09AA03
192 C09AA03
193 C09AA03
194 C09AA03
195 C09AA03
196 C09AA03
197 C09AA03
198 C09AA03
199 C09AA03
200 C09AA03
201 C09AA03
202 C09AA03
203 C09AA03
204 C09AA03
205 C09AA05
206 C09AA05
207 C09AA05
208 C09AA05
209 C09AA05
210 C09AA05
211 C09AA05
212 C09AA05
213 C09AA05
214 C09AA05
215 C09AA05
216 C09AA05
217 C09AA05
218 C09AA05
219 C09AA05
220 C09AA05
221 C09AA05
222 C09AA05
223 C09AA05
224 C09AA05
225 C09AA05
226 C09AA05
227 C09AA05
228 C09AA05
229 C09AA05
230 C09AA05
231 C09AA05
232 C09AA05
233 C09AA05

LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM

Denumire Comerciala

LISINOPRIL ATB 10 MG
TONOLYSIN 10 mg
TONOLYSIN 2,5 mg
RANOLIP
LISIREN 20 mg
LISINOPRIL SANDOZ 20 mg
LISIGAMMA 20 mg
LISINOPRIL 20 MEDO
LISINOPRIL ACTAVIS 20 mg
LISINOPRIL ATB 20 MG
LISINOPRIL ATB 20 MG
TONOLYSIN 20 mg
LISINOPRIL ATB 40 MG
LISINOPRIL ATB 40 MG
RANOLIP
LISINOPRIL SANDOZ 5 mg
LISIGAMMA 5 mg
LISINOPRIL 5 MEDO
LISINOPRIL ACTAVIS 5 mg
TONOLYSIN 5 mg
VIVOKAR 10 mg
VIVOKAR 10 mg
VIVOKAR 2,5 mg
VIVOKAR 2,5 mg
VIVOKAR 5 mg
VIVOKAR 5 mg
VIVACE 10 mg
PIRAMIL 10 mg
RAMIPRIL-AC 10 mg
AMPRIL 10 mg
HARTIL 10 mg
ZENRA 10
RAMIGAMMA 10 mg
RAMIGAMMA 10 mg
TRITACE 10
VIVACE 2,5 mg
PIRAMIL 2,5 mg
RAMIPRIL-AC 2,5 mg
AMPRIL 2,5 mg
HARTIL 2,5 mg
ZENRA 2,5
TRITACE(R) 2,5
VIVACE 5 mg
PIRAMIL 5 mg
RAMIPRIL-AC 5 mg
AMPRIL 5 mg
HARTIL 5 mg
ZENRA 5
RAMIGAMMA 5 mg

forma farm.

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.

concentratie

10mg
10mg
2,5mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
40mg
40mg
5mg
5mg
5mg
5mg
5mg
5mg
10mg
10mg
2,5mg
2,5mg
5mg
5mg
10 mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
2,5 mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
5 mg
5mg
5mg
5mg
5mg
5mg
5mg

GEDEON RICHTER ROMANIA SA

TARA
DET. APP
AMBALAJ
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L
ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L

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

MEDOCHEMIE ROMANIA SRL

ANTIBIOTICE SA
ANTIBIOTICE SA

ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


ISLANDA CUTIE CU BLIST. PVC/AL X 30 COMPR.
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR.
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR.
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR.
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

RANBAXY U.K. LIMITED

MAREA BRITANIE

HEXAL AG

GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L

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.


ISLANDA CUTIE CU BLIST. PVC/AL X 30 COMPR.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR.
ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 CAPS.
ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS.
ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 CAPS.
ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS.
ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 CAPS.
ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS.
ISLANDA CUTIE X 4 BLIST. AL/AL X 7 COMPR.
ROMANIA CUTIE X 4 FOLII AL-LDPE/LDPE-AL X 7 COMPR.
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

DETINATOR APP

ANTIBIOTICE SA
GEDEON RICHTER ROMANIA SA

ACTAVIS GROUP PTC EHF.

ANTIBIOTICE SA
ANTIBIOTICE SA
GEDEON RICHTER ROMANIA SA

ACTAVIS GROUP PTC EHF.


GEDEON RICHTER ROMANIA SA

LABORMED PHARMA S.A.


LABORMED PHARMA S.A.
LABORMED PHARMA S.A.
LABORMED PHARMA S.A.
LABORMED PHARMA S.A.
LABORMED PHARMA S.A.

ACTAVIS GROUP HF
SANDOZ SRL
AC HELCOR PHARMA SRL

Prescriptie

CUTIE X 3 BLIST. X 10 COMPR.

CUTIE X 3 BLIST. X 10 COMPR.

P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L

P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L

UNGARIA CUTIE X 4 BLIST. AL/AL X 7 COMPR. P-6L


ROMANIA CUTIE X 2 BLIST. X 14 COMPR.
P-6L
WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. AL/AL X 10 COMPR. P-6L/S
WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. AL/AL X 10 COMPR. P-6L
SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L
ACTAVIS GROUP HF ISLANDA CUTIE X 4 BLIST. AL/AL X 7COMPR. P-6L
SANDOZ SRL
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
EGIS PHARMACEUTICALS P.L.C.

ZENTIVA S.A.

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L

UNGARIA
ROMANIA
SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA
ACTAVIS GROUP HF ISLANDA
SANDOZ SRL
ROMANIA
AC HELCOR PHARMA SRL ROMANIA
EGIS PHARMACEUTICALS P.L.C.

ZENTIVA S.A.

CUTIE X 4 BLIST. AL/AL X 7 COMPR.


CUTIE X 2 BLIST. X 14 COMPR.
CUTIE X 2 BLIST. X 14 COMPR.
CUTIE X 4 BLIST. AL/AL X 7 COMPR.

P-6L
P-6L
P-6L
P-6L

CUTIE X 4 FOLII AL-LDPE/LDPE-AL X 7 COMPR. P-6L

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
EGIS PHARMACEUTICALS P.L.C.

ZENTIVA S.A.
WORWAG PHARMA GMBH & CO. KG

Pagina 5 din 44

UNGARIA CUTIE X 4 BLIST. AL/AL X 7 COMPR.


ROMANIA CUTIE X 2 BLIST. X 14 COMPR.
GERMANIA CUTIE X 10 BLIST. A/AL X 10 COMPR.

P-6L
P-6L
P-6L/S

VAL.SUPORT
ATAT CNAS/
PRET
UT(RON)AMANU
PRET
LEGEA NR. VAL.SUPORT
NTUL
MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
CANT
a) si f)
ADULTI
(RON)
ITATE (RON)

30
28
28
30
20
30
30
20
30
10
30
28
10
30
30
30
30
30
30
28
30
28
30
28
30
28
28
28
30
30
28
28
100
20
28
28
28
30
30
28
28
28
28
28
30
30
28
28
100

9.61
15.28
8.64
22.84
15.47
14.88
28.21
14.27
23.10
7.33
23.20
22.63
13.64
38.84
7.55
7.07
10.00
8.57
7.27
9.17
24.65
22.99
9.91
9.24
10.74
10.03
23.00
23.00
24.65
24.64
23.00
23.00
37.67
10.39
34.24
7.37
9.26
9.92
9.89
9.26
9.26
14.24
10.03
10.05
10.71
10.72
10.05
10.05
25.56

0.320333
0.545714
0.308571
0.761333
0.773500
0.496000
0.940333
0.713500
0.770000
0.733000
0.773333
0.808214
1.364000
1.294666
0.251666
0.235666
0.333333
0.285666
0.242333
0.327500
0.821666
0.821071
0.330333
0.330000
0.358000
0.358214
0.821428
0.821428
0.821666
0.821333
0.821428
0.821428
0.376700
0.519500
1.222857
0.263214
0.330714
0.330666
0.329666
0.330714
0.330714
0.508571
0.358214
0.358928
0.357000
0.357333
0.358928
0.358928
0.255600

0.320333
0.371400
0.308571
0.595200
0.595200
0.496000
0.595200
0.595200
0.595200
0.595200
0.595200
0.595200
1.364000
1.294666
0.251666
0.235666
0.282799
0.282799
0.242333
0.282799
0.452040
0.452040
0.315856
0.315856
0.306720
0.306720
0.452040
0.452040
0.452040
0.452040
0.452040
0.452040
0.376700
0.452040
0.452040
0.263214
0.315856
0.315856
0.315856
0.315856
0.315856
0.315856
0.306720
0.306720
0.306720
0.306720
0.306720
0.306720
0.255600

0.320333
0.371400
0.308571
0.595200
0.595200
0.496000
0.595200
0.595200
0.595200
0.595200
0.595200
0.595200
1.364000
1.294666
0.251666
0.235666
0.282799
0.282799
0.242333
0.282799
0.452040
0.452040
0.315856
0.315856
0.306720
0.306720
0.452040
0.452040
0.452040
0.452040
0.452040
0.452040
0.376700
0.452040
0.452040
0.263214
0.315856
0.315856
0.315856
0.315856
0.315856
0.315856
0.306720
0.306720
0.306720
0.306720
0.306720
0.306720
0.255600

NR.CRT

COD ATC

234 C09AA05
235 C09AA05
236 C09AA05
237 C09AA05
238 C09AA05
239 C09AA05
240 C09CA03
241 C09CA03
242 C09CA03
243 C09CA03
244 C09CA03
245 C09CA03
246 C09CA03
247 C09CA03
248 C09CA03
249 C09CA03
250 C09CA03
251 C09CA03
252 C09CA03
253 C09CA03
254 C09CA03
255 C09CA03
256 C09CA03
257 C09CA03
258 C09CA03
259 C09CA06
260 C09CA06
261 C09CA06

DCI

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**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**

Denumire Comerciala

RAMIGAMMA 5 mg
TRITACE 5
RAMIRAN 1,25 mg
RAMIRAN 10 mg
RAMIRAN 2,5 mg
RAMIRAN 5 mg
VALSARTAN TEVA 160 mg
VALSARTAN TEVA 80 mg
CORETON 160 mg
WENZELL 80 mg
WENZELL 80 mg
VALSARGAMMA 160 mg
VALSARGAMMA 160 mg
DIOVAN 160 mg
VALSARGAMMA 320 mg
VALSARGAMMA 320 mg
VALSARGAMMA 40 mg
VALSARGAMMA 40 mg
DIOVAN 40 mg
CORETON 80 mg
WENZELL 80 mg
WENZELL 80 mg
VALSARGAMMA 80 mg
VALSARGAMMA 80 mg
DIOVAN 80 mg
ATACAND
ATACAND 32 mg
ATACAND

forma farm.

COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

CAPS.
CAPS.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

COMPR.
COMPR.
COMPR.

concentratie

5mg
5mg
1,25mg
10mg
2,5mg
5mg
160mg
80mg
160mg
160mg
160mg
160mg
160mg
160mg
320mg
320mg
40mg
40mg
40mg
80mg
80mg
80mg
80mg
80mg
80mg
16mg
32mg
8mg

DETINATOR APP

TARA
DET. APP

AMBALAJ

Prescriptie

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 2 BLIST. A/AL X 10 COMPR. P-6L

SANOFI - AVENTIS ROMANIA S.R.L.

ROMANIA CUTIE X 2 BLIST. X 14 COMPR.

P-6L

RANBAXY U.K. LIMITED


RANBAXY U.K. LIMITED
RANBAXY U.K. LIMITED
RANBAXY U.K. LIMITED

MAREA BRITANIE

CUTIE X 3 FOLII AL/PEJD X 10 COMPR. FILM. P-6L

MAREA BRITANIE

CUTIE X 3 FOLII AL/PEJD X 10 COMPR. FILM. P-6L

MAREA BRITANIE

CUTIE X 3 FOLII AL/PEJD X 10 COMPR. FILM. P-6L

MAREA BRITANIE

CUTIE X 3 FOLII AL/PEJD X 10 COMPR. FILM. P-6L

TEVA PHARMACEUTICALS S.R.L.

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. P-6L

TEVA PHARMACEUTICALS S.R.L.

ROMANIA
ROMANIA

ZENTIVA K.S.

REPUBLICA SLOVACA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. P-6L


CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-6L

ROMASTRU TRADING S.R.L.

ROMANIA
ROMANIA

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 100 COMPR. FILM. P6L

ROMASTRU TRADING S.R.L.

CUTIE CU BLIST. PVC-PE-PVDC/AL-PVDC X 28 COMPR. FILM.

P-6L

CUTIE CU BLIST. PVC-PE-PVDC/AL-PVDC X 30 COMPR. FILM.

P-6L

P6L

NOVARTIS PHARMA GMBH GERMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-6L

P6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 100 COMPR. FILM. P6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 100 COMPR. FILM. P6L

NOVARTIS PHARMA GMBH GERMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28COMPR. FILM.

ZENTIVA K.S.

REPUBLICA SLOVACA

P6L
P6L

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-6L

ROMASTRU TRADING S.R.L.

ROMANIA
ROMANIA

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 100 COMPR. FILM. P6L

ROMASTRU TRADING S.R.L.

CUTIE CU BLIST. PVC-PE-PVDC/AL-PVDC X 28 COMPR. FILM.

P-6L

CUTIE CU BLIST. PVC-PE-PVDC/AL-PVDC X 30 COMPR. FILM.

P-6L

NOVARTIS PHARMA GMBH GERMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X28COMPR. FILM.

ASTRAZENECA AB
ASTRAZENECA AB
ASTRAZENECA AB

SUEDIA
SUEDIA
SUEDIA

TERAPIA SA

ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P6L
P6L

CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-6L


CUTIE X 2 BLIST. AL-PVC/PVDC X 14 COMPR. P-6L
CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-6L

VAL.SUPORT
ATAT CNAS/
PRET
UT(RON)AMANU
PRET
LEGEA NR. VAL.SUPORT
NTUL
MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
CANT
a) si f)
ADULTI
(RON)
ITATE (RON)

20
28
30
30
30
30
28
28
28
28
30
30
100
28
30
100
30
100
28
28
28
30
30
100
28
28
28
28

7.01
15.44
6.81
33.70
11.09
20.26
32.20
20.03
32.47
65.22
69.91
44.06
131.41
115.23
160.73
483.99
45.14
131.01
71.06
33.59
46.82
50.19
40.93
123.47
90.80
65.96
116.02
55.44

0.350500
0.551428
0.227000
1.123333
0.369666
0.675333
1.150000
0.715357
1.159642
2.329285
2.330333
1.468666
1.314100
4.115357
5.357666
4.839900
1.504666
1.310100
2.537857
1.199642
1.672142
1.673000
1.364333
1.234700
3.242857
2.355714
4.143571
1.980000

0.306720
0.306720
0.227000
0.452040
0.315856
0.306720
1.150000
0.715357
1.159642
1.380000
1.380000
1.380000
1.314100
1.380000
5.357666
4.839900
1.504666
1.310100
1.572120
0.858428
0.858428
0.858428
0.858428
0.858428
0.858428
2.355714
4.143571
1.980000

0.306720
0.306720
0.227000
0.452040
0.315856
0.306720
1.150000
0.715357
1.159642
1.380000
1.380000
1.380000
1.314100
1.380000
5.357666
4.839900
1.504666
1.310100
1.572120
0.858428
0.858428
0.858428
0.858428
0.858428
0.858428
2.355714
4.143571
1.980000

30
20

6.46
6.69

0.215333
0.334500

0.215333
0.334500

0.215333
0.334500

30 772.47
28 78.58
28 89.43
28 120.91
30 82.83
28 78.58
90 239.56
28 83.61
28 78.58

25.749000
2.806428
3.193928
4.318214
2.761000
2.806428
2.661777
2.986071
2.806428

25.749000
1.625142
1.625142
1.625142
1.625142
1.625142
1.625142
1.625142
1.625142

25.749000
1.625142
1.625142
1.625142
1.625142
1.625142
1.625142
1.625142
1.625142

2. BOLNAVI CU PROTEZE VALVULARE SI VASCULARE - G2


1 B01AA07 ACENOCUMAROLUM*
TROMBOSTOP 2 mg
COMPR.
2mg
SINTROM 4 mg
COMPR.
4mg
2 B01AA07 ACENOCUMAROLUM*
Tratamentul se initiaz de ctre medicul n specialitatea cardiologie si chirurgie cardiaca si a vaselor mari

P-RF

NOVARTIS PHARMA GMBH GERMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. P-RF

3. BOLNAVI CU PROCEDURI INTERVENTIONALE PERCUTANE, NUMAI DUPA IMPLANTAREA UNEI PROTEZE ENDOVASCULARE (STENT)- G3
1
2
3
4
5
6
7
8
9

B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04

CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***

PLAVIX 300mg
CLOPIDOGREL TEVA 75 mg
ZYLLT
PLAVIX 75mg
TROMBEX 75 mg
EGITROMB 75 mg
TROMBEX 75 mg

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
CLOPIDOGREL MYLAN 75mg COMPR. FILM.
TROGRAN 75 mg
COMPR. FILM.

300mg
75 mg
75 mg
75mg
75mg
75mg
75mg
75mg
75mg

SANOFI PHARMA - BRISTOL MYERS SQUIBB

TEVA PHARMA BV

FRANTA
OLANDA

CUTIE X 30X1 COMPR. FILM. (BLIST. AL/AL PERFORATE UNIDOZA)

KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA/AL/PVC-AL X 28 COMPR. FILM.

ZENTIVA K.S.
MYLAN S.A.S.

FRANTA
CEHIA
UNGARIA
CEHIA
FRANTA

GLENMARK PHARMACEUTICALS SRL

REPUBLICA CEHA

SANOFI PHARMA - BRISTOL MYERS SQUIBB

ZENTIVA K.S.
EGIS PHARMACEUTICALS P.L.C.

Pagina 6 din 44

P-RF

CUTIE CU BLIST. AL/AL X 28 X 1 COMPR. FILM. P-RF


P-RF

CUTIE X 28 COMPR. FILM. (BLIST. PVC/PVDC/AL) P-RF


CUTIE X 1 FLAC. DIN STICLA INCOLORA X 30 COMPR. FILM.

P-RF

CUTIE CU BLIST. OPA-AL-PVDC/AL X 28 COMPR. FILM. P-RF


CUTIE X 1 FLAC. DIN STICLA INCOLORA X 90 COMPR. FILM.

P-RF

CUTIE CU BLIST. DIN OPA/AL/PVC-AL X 28 COMPR.FILM. P-RF

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-RF

NR.CRT

10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34

COD ATC

B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04

DCI

CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***

Denumire Comerciala
CLOPIDOGREL DR. REDDY'S 75 mg
CLOPIDOGREL DR. REDDY'S 75 mg

CLOPIGAMMA 75 mg
CLOPIGAMMA 75 mg
CLOPIGAMMA 75 mg
CLOPIGAMMA 75 mg
PLAVOCORIN 75 mg
TESSYRON 75 mg
TUXEDON 75 mg
TUXEDON 75 mg
CLOPIDOGREL ACTAVIS 75 mg

DEFROZYP 75 mg
TESSYRON 75 mg
CLORODEN 75 mg
CLORODEN 75 mg
VATOUD 75 mg
LOFRADYK 75 mg
CLOPIDOGREL DR. REDDY'S 75 mg
CLOPIDOGREL DR. REDDY'S 75 mg

MOYTOR 75 mg
PLATEL 75 mg
PLATEL 75 mg
PLATEL 75 mg
PLATEL 75 mg
CLOPIDOGREL TERAPIA 75 mg

concentratie

DR. REDDY'S LABORATORIES

TARA
DET. APP
ROMANIA
ROMANIA

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

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. AL/AL X 84 COMPR. FILM. P-RF

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 84 COMPR. FILM. P-RF

SANDOZ S.R.L.

ROMANIA

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.

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

DR. REDDY'S LABORATORIES

SOL. INJ.
SOL. INJ.

3000ui/0,3ml
40 000UI

SOL. INJ. IN SERINGA PREUMPLUTA

10000UI/1,0ml SANDOZ GMBH

DETINATOR APP

GEDEON RICHTER PLC. UNGARIA

AMBALAJ

Prescriptie

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.

P-RF

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.

P-RF

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.

P-RF

CUTIE CU BLIST. PVC-PCTFE-PVC/AL X 30 COMPR. FILM. P-RF

POLONIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.


POLONIA CUTIE CU BLIST. OPA-AL-PVC/AL X 84 COMPR. FILM.
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.
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU BLIST. PVC-PCTFE-PVC/AL X 30 COMPR. FILM.
ICN POLFA RZESZOW S.A.

P-RF

ICN POLFA RZESZOW S.A.

P-RF
P-RF
P-RF
P-RF

IWA CONSULTING APS


IWA CONSULTING APS
ALVOGEN IPCO S.A.R.L

DANEMARCA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-RF

PHARMASWISS MEDICINES S.R.L.

ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.

P-RF

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.

P-RF

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.

P-RF

CUTIE CU BLIST. PCTFE-PE-PVC/AL X 28 COMPR. FILM.

P-RF

MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
TERAPIA S.A.

CIPRU
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.

JOHNSON & JOHNSON D.O.O.

SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,3 ML S/P-RF


SLOVENIA CUTIE X 1 FLACON DIN STICLA X 1 ML S/P-RF

DR. REDDY'S LABORATORIES


DR. REDDY'S LABORATORIES

ROMASTRU TRADING S.R.L.

DANEMARCA CUTIE CU BLIST. PA-AL-PVC/AL (AL-AL) X 28 COMPR. FILM. P-RF


LUXEMBURG CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-RF

CUTIE CU BLIST. AL/AL X 30 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

VAL.SUPORT
ATAT CNAS/
PRET
UT(RON)AMANU
PRET
LEGEA NR. VAL.SUPORT
NTUL
MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
CANT
a) si f)
ADULTI
(RON)
ITATE (RON)

28
30
28
28
84
84
28
30
28
84
28
28
30
28
28
28
28
28
30
28
10
30
60
90
30

78.55
84.17
67.72
67.72
213.07
213.07
88.44
84.20
37.92
123.53
78.55
78.55
84.20
67.67
67.67
72.94
67.42
78.55
84.17
78.58
30.54
84.20
159.68
239.53
84.20

2.805357
2.805666
2.418571
2.418571
2.536547
2.536547
3.158571
2.806666
1.354285
1.470595
2.805357
2.805357
2.806666
2.416785
2.416785
2.605000
2.407857
2.805357
2.805666
2.806428
3.054000
2.806666
2.661333
2.661444
2.806666

1.625142
1.625142
1.625142
1.625142
1.625142
1.625142
1.625142
1.625142
1.354285
1.470595
1.625142
1.625142
1.625142
1.625142
1.625142
1.625142
1.625142
1.625142
1.625142
1.625142
1.625142
1.625142
1.625142
1.625142
1.625142

1.625142
1.625142
1.625142
1.625142
1.625142
1.625142
1.625142
1.625142
1.354285
1.470595
1.625142
1.625142
1.625142
1.625142
1.625142
1.625142
1.625142
1.625142
1.625142
1.625142
1.625142
1.625142
1.625142
1.625142
1.625142

4. HEPATITELE CRONICE DE ETIOLOGIE VIRALA B, C i D - G4


1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19

B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
J05AB04

EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
RIBAVIRINUM****

EPREX (R) 3000 UI


EPREX (R) 40 000 UI
BINOCRIT 10000UI/1,0ml
BINOCRIT 1000UI/0,5ml
BINOCRIT 2000UI/1,0ml
BINOCRIT 30000UI/0,75ml
BINOCRIT 3000UI/0,3ml
EPREX 40000 UI
BINOCRIT 40000 UI/1 ml
BINOCRIT 4000UI/0,4ml
BINOCRIT 5000UI/0,5ml
NEORECORMON 10000UI/0,6ml
NEORECORMON 1000UI/0,3ml
NEORECORMON 2000UI/0,3ml
NEORECORMON 30000UI/0,6ml
NEORECORMON 4000UI/0,3ml
NEORECORMON 5000UI/0,3ml

JOHNSON & JOHNSON D.O.O.

AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA

CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ.

S/P-RF/R

CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ.

S/P-RF/R

CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ.

S/P-RF/R

CUTIE X 1 SERINGA PREUMPLUTA X 0,75ML SOL. INJ.

P-RF/R

CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ.

S/P-RF/R

SLOVENIA

CUTIE CU 1 SERINGA PREUMPLUTA X 1 ML SOL. INJ.

S/P-RF

AUSTRIA
AUSTRIA
AUSTRIA

CUTIE X 1 SERINGA PREUMPLUTA X 1ML SOL. INJ.

P-RF/R

CUTIE X 6 SERINGI PREUMPLUTE X 0,4ML SOL. INJ.

S/P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

1000UI/0,5ml SANDOZ GMBH


2000UI/1,0ml SANDOZ GMBH
30000UI/0,75ml SANDOZ GMBH
3000UI/0,3ml SANDOZ GMBH
40 000UI
JOHNSON & JOHNSON D.O.O.
40000 UI/1 ml SANDOZ GMBH
4000UI/0,4ml SANDOZ GMBH
5000UI/0,5ml SANDOZ GMBH

CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ.

S/P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

10000UI/0,6ml

ROCHE REGISTRATION LTD.

MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ. + 6 ACE

S/P-RF/R

ROCHE REGISTRATION LTD.

MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE

S/P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

1000UI/0,3ml
2000UI/0,3ml

ROCHE REGISTRATION LTD.

MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. X 6 ACE

S/P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

30000 UI/0,6ml ROCHE REGISTRATION LTD.

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

NEORECORMON 500UI/0,3ml
REBETOL 200 mg
CAPS.

SOL. INJ. IN SERINGA PREUMPLUTA

MAREA BRITANIE

CUTIE X 1 SERINGA PRE-UMPLUTA X 0,6 ML + 1 AC

4000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE
5000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE
500UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ. + 6 ACE
200mg
SP EUROPE
BELGIA CUTIE X 140CAPS. ( BLIST. PVC/PE/PVDC )

Pagina 7 din 44

S/P-RF/R
S/P-RF/R
S/P-RF/R
S/P-RF/R

P-RF/R

6
1
6
6
6
1
6
1
1
6
6
6
6
6
1
6
6
6
140

750.92 125.153333 119.493999 119.493999


1,338.42 1,338.420000 1,180.296000 1,180.296000
1,709.09 284.848333 284.848333 284.848333

215.85 35.975000 35.975000 35.975000


421.67 70.278333 70.278333 70.278333
779.82 779.820000 779.820000 779.820000
597.47 99.578333 99.578333 99.578333
1,338.42 1,338.420000 1,180.296000 1,180.296000

983.58 983.580000 983.580000 983.580000


773.24 128.873333 128.873333 128.873333
948.94 158.156666 158.156666 158.156666
2,319.88 386.646666 386.646666 386.646666
276.62 46.103333 46.103333 46.103333
520.93 86.821666 86.821666 86.821666
1,161.58 1,161.580000 1,161.580000 1,161.580000

970.37 161.728333 161.728333 161.728333


1,194.95 199.158333 199.158333 199.158333

142.24
604.92

23.706666
4.320857

23.706666
4.320857

23.706666
4.320857

NR.CRT

20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51

COD ATC

J05AB04

J05AF05
J05AF05
J05AF05
J05AF05
J05AF05
J05AF05
J05AF05
J05AF08
J05AF10
J05AF10
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AB04
L03AB04
L03AB04
L03AB05
L03AB05
L03AB10
L03AB10
L03AB10
L03AB10
L03AB11
L03AB11
N04BB01

DCI

RIBAVIRINUM****
LAMIVUDINUM****
LAMIVUDINUM****
LAMIVUDINUM****
LAMIVUDINUM****
LAMIVUDINUM****
LAMIVUDINUM****
LAMIVUDINUM****
ADEFOVIRUM DIPIVOXILUM****
ENTECAVIRUM****
ENTECAVIRUM****
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
INTERFERONUM ALFA 2A****
INTERFERONUM ALFA 2A****
INTERFERONUM ALFA 2A****
INTERFERONUM ALFA 2B****
INTERFERONUM ALFA 2B****
PEGINTERFERON ALFA-2B****
PEGINTERFERON ALFA-2B****
PEGINTERFERON ALFA-2B****
PEGINTERFERON ALFA-2B****
PEGINTERFERON ALFA-2A****
PEGINTERFERON ALFA-2A****
AMANTADINUM**

Denumire Comerciala

COPEGUS 200mg
LAMIVUDINE TEVA 100 mg
ZEFFIX 100 mg
LAMIVUDINE TEVA PHARMA B.V. 150 mg

EPIVIR 150mg
LAMIVUDINE TEVA PHARMA B.V. 300 mg

EPIVIR 10mg/ml
ZEFFIX 5 mg/ml
HEPSERA
BARACLUDE 0,5mg
BARACLUDE 1mg
NEUPOGEN (R)
NEUPOGEN (R)
ZARZIO 30MU/0,5ml
ZARZIO 48MU/0,5ml
NIVESTIM 12 MU/0,2ml
TEVAGRASTIM 30MUI/0,5ml
NIVESTIM 30 MU/0,5 ml
TEVAGRASTIM 48MUI/0,8ml
NIVESTIM 48 MU/0,5 ml
ROFERON A
ROFERON A
ROFERON A
INTRON A 18 milioane U.I.
INTRON A 30 milioane U.I.
PEGINTRON 100 mcg
PEGINTRON 120 mcg
PEGINTRON 150 mcg
PEGINTRON 50 mcg
PEGASYS 135 mcg/0,5ml
PEGASYS 180 mcg/0,5ml
VIREGYT (R)- K

forma farm.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

SOL. ORALA
SOL. ORALA
COMPR.
COMPR. FILM.
COMPR. FILM.

SOL. INJ.
SOL. INJ.
SOL. INJ. /PERF. IN SERINGA PREUMPLUTA

SOL. INJ. /PERF. IN SERINGA PREUMPLUTA

SOL. INJ./PERF.

concentratie

200mg
100 mg
100mg
150 mg
150mg
300 mg
10mg/ml
5mg/ml
10mg
0,5mg
1mg
30MU/0,5ml
48MU/0,5ml
60MU/ml
96MU/ml
120g/0,2ml

TARA
DET. APP
AMBALAJ
DETINATOR APP
ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. PEID X 168 COMPR. FILM.

TEVA PHARMA B.V. OLANDA CUTIE CU BLIST. PVC/PVDC/AL X 30 COMPR. FILM.


GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST. PVC-AL/PVC-AL)
TEVA PHARMA B.V. OLANDA CUTIE CU BLIST. PVC/PVDC/AL X 60 COMPR. FILM.
GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLAC. PEID X 60 COMPR. FILM.
TEVA PHARMA B.V. OLANDA CUTIE CU BLIST. PVC/PVDC/AL X 30 COMPR. FILM.
GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLACON PEID X 240ML SOL. ORALA + 1 SERINGA DOZATOARE + 1 ADAPTOR
GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLACON HDPE X 240 ML + 1 SERINGA DOZATOARE PP + 1 ADAPTOR PE

SOL. INJ.
SOL. INJ.
SOL. INJ.

MAREA BRITANIE

CUTIE X 30 X 1 COMPR. FILM.(BLIST. AL/AL UNIDOZA)

SANDOZ GMBH
SANDOZ GMBH

AUSTRIA
AUSTRIA

HOSPIRA UK LIMITED

MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,2ML SOL. INJ. SAU PERF.

HOSPIRA UK LIMITED

ROMANIA
ROCHE ROMANIA S.R.L. ROMANIA
ROCHE ROMANIA S.R.L. ROMANIA

CAPS.

100mg

SOL. INJ. IN SERINGA PREUMPLUTA

P-RF/R

18 milioane U.I. SP EUROPE


30 milioane U.I. SP EUROPE

CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R

CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF.

CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF.

MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF.

ROCHE ROMANIA S.R.L.

SOL. INJ. IN SERINGA PREUMPLUTA

PULB. + SOLV. PT. SOL. INJ.

P-RF/R

CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R

MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF.

ROCHE REGISTRATION LTD.

PULB. + SOLV. PT. SOL. INJ.

P-RF/R

AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML S/P-RF


AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML S/P-RF

135mcg/0,5ml
180mcg/0,5ml

PULB. + SOLV. PT. SOL. INJ.

P-RF/R

BRISTOL-MYERS SQUIBB

SP EUROPE
SP EUROPE
SP EUROPE
SP EUROPE

PULB. + SOLV. PT. SOL. INJ.

P-RF/R

CUTIE X 30 X 1 COMPR. FILM. (BLIST. AL/AL UNIDOZA) P-RF/R

100mcg
120mcg
150mcg
50mcg

SOL. INJ. PEN MULTIDOZA

P-RF/R

MAREA BRITANIE

BELGIA
BELGIA
BELGIA
BELGIA
BELGIA
BELGIA

SOL. INJ. PEN MULTIDOZA

P-RF/R

BRISTOL-MYERS SQUIBB

300g/0,5ml HOSPIRA UK LIMITED


480g/0,5ml
18Mui/0,6ml
3Mui/0,5ml
9Mui/0,5ml

P-RF/R

CUTIE X 1 FLAC. DIN PEID X 30 COMPR.

SOL. INJ./PERF. 480mcg/0,8ml TEVA GENERICS GMBH GERMANIA


SOL. INJ./PERF.

P-RF/R

GILEAD SCIENCE INTERNATIONAL LIMITED MAREA BRITANIE

SOL. INJ./PERF. 300mcg/0,5ml TEVA GENERICS GMBH GERMANIA


SOL. INJ./PERF.

Prescriptie

P-RF/R

P-RF
S/P-RF/R

P-RF
S/P-RF/R

P-RF

CUTIE X 1 CARTUS MULTIDOZA X 0,6 ML SOL. INJ.

S/P-RF

CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML + AC STERIL

S/P-RF

CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. + AC STERIL S/P-RF


CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML SOL. INJ. + 12 ACE + 12 TAMPOANE DEZINFECTANTE

P-RF/R

CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML + 12 ACE + 12 TAMPOANE DEZINFECTANTE P-RF/R

CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV.

P-RF/R

CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV.

P-RF/R

CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV.

P-RF/R

CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV.

P-RF/R

MAREA BRITANIE

CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML + 1 AC

P-RF/R

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML + 1 AC

P-RF/R

EGIS PHARMACEUTICALS P.L.C.

UNGARIA CUTIE X 1 FLAC. X 50 CAPS.

P-6L

VAL.SUPORT
ATAT CNAS/
PRET
UT(RON)AMANU
PRET
LEGEA NR. VAL.SUPORT
NTUL
MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
CANT
a) si f)
ADULTI
(RON)
ITATE (RON)

168
30
28
60
60
30
1
1
30
30
30
1
1
1
1
5
1
5
1
5
1
1
1
1
1
1
1
1
1
1
1
50

657.68
3.914761
3.914761
191.83
6.394333
6.394333
275.45
9.837500
7.673199
382.07
6.367833
6.367833
551.87
9.197833
7.641399
382.07 12.735666 12.735666
159.02 159.020000 159.020000
125.49 125.490000 125.490000
1,907.17 63.572333 63.572333
1,728.94 57.631333 57.631333
1,916.50 63.883333 63.883333
322.20 322.200000 234.672000
508.81 508.810000 377.736000
195.56 195.560000 195.560000
314.78 314.780000 314.780000
489.29 97.858000 97.858000
258.37 258.370000 234.672000
1,116.94 223.388000 223.388000
421.91 421.910000 377.736000
1,822.71 364.542000 364.542000
420.51 420.510000 420.510000
86.41 86.410000 86.410000
181.07 181.070000 181.070000
485.85 485.850000 485.850000
764.33 764.330000 764.330000
811.20 811.200000 811.200000
959.30 959.300000 959.300000

3.914761
6.394333
7.673199
6.367833
7.641399
12.735666
159.020000
125.490000
63.572333
57.631333
63.883333
234.672000
377.736000
195.560000
314.780000
97.858000
234.672000
223.388000
377.736000
364.542000
420.510000
86.410000
181.070000
485.850000
764.330000
811.200000
959.300000

1,180.48 1,180.480000 1,180.480000 1,180.480000

441.32 441.320000 441.320000 441.320000


768.36 768.360000 768.360000 768.360000
964.54 964.540000 964.540000 964.540000
16.87
0.337400
0.337400
0.337400

Tratamentul se initiaz de ctre medicul n specialitatea gastroenterologie / boli infectioase si nefrologie (doar pentru pacientii cu afectare renala consecutiva infectiei cu virusuri hepatitice)

5. HEPATITA AUTOIMUNA - G5
1
2
3
4
5
6
7
8
9
10

H02AB04
H02AB04
H02AB04
H02AB04
H02AB04
H02AB04
H02AB06
H02AB06

L04AX01
L04AX01

METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
PREDNISOLONUM
PREDNISOLONUM
AZATHIOPRINUM*
AZATHIOPRINUM*

MEDROL A 16
MEDROL 32
MEDROL 4 mg
LEMOD SOLU 125 mg
LEMOD SOLU 500 mg
SOLU - MEDROL ACT-O-VIAL
SOLU - DECORTIN H 250
SOLU - DECORTIN H 50
IMMUNOPRIN 100 mg
IMMUNOPRIN 100 mg

COMPR.
COMPR.
COMPR.

16mg
32mg
4mg
LIOF. PT. SOL. INJ. 125mg
LIOF. PT. SOL. INJ. 500mg
LIOF. SI SOLV.PT.SOL.INJ 250mg/4ml
LIOF. + SOLV. PT. SOL. INJ. 250mg
LIOF. + SOLV. PT. SOL. INJ. 50mg
COMPR. FILM. 100mg
COMPR. FILM. 100mg

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 5 BLIST. A-PVC/PVC X 10 COMPR.

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 2 BLIST. AL-PVC/PVC X 10 COMPR. P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 1 FLAC. DIN STICLA X 30 COMPR.

P-RF

CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 2 ML

S/P-RF

ROMANIA
STADA HEMOFARM S.R.L. ROMANIA
STADA HEMOFARM S.R.L.

P-RF

CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 7,8 ML

S/P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 1 FLAC. BICOMPARTIMENTAT (COMPARTIMENT INFERIOR) LIOF. PT. SOL. INJ. + (COMPARTIMENT SUPERIO

P-RF

MERCK KGAA
MERCK KGAA

GERMANIA

CUTIE X 3 FLAC. DIN STICLA INCOLORA X 250 MG FIOF. PT. SOL. INJ. + 3 FIOLE X 5 ML SOLV.

P-RF

GERMANIA

CUTIE X 3 FLAC. X 50 MG LIOF. PT. SOL. INJ. + 3 FIOLE X 1 ML SOLVENT

P-RF

EBEWE PHARMA GES.M.B.H. NFG KG


EBEWE PHARMA GES.M.B.H. NFG KG

Pagina 8 din 44

AUSTRIA CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM. PR


AUSTRIA CUTIE CU 1 FLAC. PEID X 50 COMPR. FILM. PR

50 32.23
20 29.29
30
6.46
1
8.71
1 30.65
1 20.23
3 94.50
3 35.29
100 103.94
50 54.72

0.644600
1.464500
0.215333
8.710000
30.650000
20.230000
31.500000
11.763333
1.039400
1.094400

0.644600
1.464500
0.215333
8.710000
30.650000
20.230000
31.500000
11.763333
1.039400
1.094400

0.644600
1.464500
0.215333
8.710000
30.650000
20.230000
31.500000
11.763333
1.039400
1.094400

NR.CRT

11
12

COD ATC

DCI

L04AX01

AZATHIOPRINUM*
AZATHIOPRINUM*

L04AX01

Denumire Comerciala

IMURAN (R)
IMMUNOPRIN 75 mg

forma farm. concentratie


COMPR. FILM. 50mg
COMPR. FILM. 75mg

DETINATOR APP

TARA
DET. APP

AMBALAJ

Prescriptie

THE WELLCOME FOUNDATION LTD. MAREA BRITANIE

CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM.

S/P-RF

AUSTRIA

CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM.

PR

EBEWE PHARMA GES.M.B.H. NFG KG

VAL.SUPORT
ATAT CNAS/
PRET
UT(RON)AMANU
PRET
LEGEA NR. VAL.SUPORT
NTUL
MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
CANT
a) si f)
ADULTI
(RON)
ITATE (RON)

100
100

79.95
77.97

0.799500
0.779700

0.799500
0.779700

0.799500
0.779700

100 122.82
50 71.91
50 67.96
60 53.55
20 35.46

1.228200
1.438200
1.359200
0.892500
1.773000

1.228200
1.438200
1.359200
0.892500
1.773000

1.228200
1.438200
1.359200
0.892500
1.773000

Tratamentul se initiaz de ctre medicul n specialitatea gastroenterologie

6. CIROZA BILIARA PRIMARA, COLANGITA SCLEROZANTA PRIMITIVA, HEPATITA CRONICA SI CIROZE DE ALTE ETIOLOGII CU COLESTAZA - G6
1
2
3
4
5

A05AA02
A05AA02
A05AA02
A05AA02
A05AA02

ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM

URSOFALK (R)
URSOFALK (R)
URSOSAN
URSOCHOL 150 mg
URSOCHOL 300 mg

CAPS.
CAPS.
CAPS.
COMPR.
COMPR.

250mg
250mg
250mg
150mg
300mg

ZAMBON S.P.A.
ZAMBON S.P.A.

CEHIA
ITALIA
ITALIA

CUTIE X 4 BLIST. AL/PVC X 25 CAPS.


CUTIE X 2 BLIST. AL/PVC X 25 CAPS.
CUTIE X 5 BLIST. AL/PVC X 10 CAPS.
CUTIE X 6 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

SOLVAY PHARMACEUTICALS BV

OLANDA

FLACON DIN PEID PREVAZUT CU MASURA DOZATOARE X 200 ML

DR. FALK PHARMA GMBH GERMANIA


DR. FALK PHARMA GMBH GERMANIA

PRO. MED. CS PRAHA AS

P-6L/S

P-6L
P-6L
P-6L
P-6L

Tratamentul se initiaz de ctre medicul n specialitatea gastroenterologie

7. CIROZA HEPATICA - G7
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29

A06AD11
A06AD11
A06AD11
A06AD11
A06AD11
A06AD11
A06AD11

A07AA11
A07AA11
A07AA11
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
C03CA01

LACTULOSUM*
LACTULOSUM*
LACTULOSUM*
LACTULOSUM*
LACTULOSUM*
LACTULOSUM*
LACTULOSUM*
RIFAXIMINUM*
RIFAXIMINUM*
RIFAXIMINUM*
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
FUROSEMIDUM

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
EPREX (R) 3000 UI
EPREX (R) 40 000 UI
BINOCRIT 10000UI/1,0ml
BINOCRIT 1000UI/0,5ml
BINOCRIT 2000UI/1,0ml
BINOCRIT 30000UI/0,75ml
BINOCRIT 3000UI/0,3ml
EPREX 40000 UI
BINOCRIT 40000 UI/1 ml
BINOCRIT 4000UI/0,4ml
BINOCRIT 5000UI/0,5ml
NEORECORMON 10000UI/0,6ml
NEORECORMON 1000UI/0,3ml
NEORECORMON 2000UI/0,3ml
NEORECORMON 30000UI/0,6ml
NEORECORMON 4000UI/0,3ml
NEORECORMON 5000UI/0,3ml

66,7%
65%
65%
650mg/ml
650mg/ml
660 mg/ml
670mg/ml
COMPR. FILM. 200mg
COMPR. FILM. 200mg
GRAN. PT. SUSP. ORALA 100mg/5ml
SOL. INJ.
3000ui/0,3ml
SOL. INJ.
40 000UI
LICHID ORAL
SIROP
SIROP
SIROP
SIROP
SOL. ORALA
SOL. ORALA

SOL. INJ. IN SERINGA PREUMPLUTA

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

ROMPHARM COMPANY SRL

ROMANIA

FRESENIUS KABI AUSTRIA GMBH

AUSTRIA
ITALIA
ITALIA
ITALIA

ALFA WASSERMANN SPA


ALFA WASSERMANN SPA
ALFA WASSERMANN SPA
JOHNSON & JOHNSON D.O.O.
JOHNSON & JOHNSON D.O.O.

10000UI/1,0ml SANDOZ GMBH

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

SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,3 ML S/P-RF


SLOVENIA CUTIE X 1 FLACON DIN STICLA X 1 ML S/P-RF

AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA

CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ.

S/P-RF/R

CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ.

S/P-RF/R

CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ.

S/P-RF/R

CUTIE X 1 SERINGA PREUMPLUTA X 0,75ML SOL. INJ.

P-RF/R

CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ.

S/P-RF/R

SLOVENIA

CUTIE CU 1 SERINGA PREUMPLUTA X 1 ML SOL. INJ.

S/P-RF

AUSTRIA
AUSTRIA
AUSTRIA

CUTIE X 1 SERINGA PREUMPLUTA X 1ML SOL. INJ.

P-RF/R

CUTIE X 6 SERINGI PREUMPLUTE X 0,4ML SOL. INJ.

S/P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

1000UI/0,5ml SANDOZ GMBH


2000UI/1,0ml SANDOZ GMBH
30000UI/0,75ml SANDOZ GMBH
3000UI/0,3ml SANDOZ GMBH
40 000UI
JOHNSON & JOHNSON D.O.O.
40000 UI/1 ml SANDOZ GMBH
4000UI/0,4ml SANDOZ GMBH
5000UI/0,5ml SANDOZ GMBH

CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ.

S/P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

10000UI/0,6ml

ROCHE REGISTRATION LTD.

MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ. + 6 ACE

S/P-RF/R

ROCHE REGISTRATION LTD.

MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE

S/P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

1000UI/0,3ml
2000UI/0,3ml

ROCHE REGISTRATION LTD.

MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. X 6 ACE

S/P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

30000 UI/0,6ml ROCHE REGISTRATION LTD.

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

NEORECORMON 500UI/0,3ml
FUROSEMID MCC 40 mg
COMPR.

SOL. INJ. IN SERINGA PREUMPLUTA

MAREA BRITANIE

CUTIE X 1 SERINGA PRE-UMPLUTA X 0,6 ML + 1 AC

4000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE
5000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE
500UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ. + 6 ACE
40mg
MAGISTRA C&C S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

Pagina 9 din 44

S/P-RF/R
S/P-RF/R
S/P-RF/R
S/P-RF/R

P-6L

1
1
1
1
1
1
1
12
36
1
6
1
6
6
6
1
6
1
1
6
6
6
6
6
1
6
6
6
20

10.83 10.830000 10.830000 10.830000


10.29 10.290000 10.290000 10.290000
3.42
3.420000
3.420000
3.420000
17.03 17.030000 17.030000 17.030000
32.95 32.950000 32.950000 32.950000
7.01
7.010000
7.010000
7.010000
3.53
3.530000
3.530000
3.530000
32.71
2.725833
2.725833
2.725833
90.18
2.505000
2.505000
2.505000
18.88 18.880000 18.880000 18.880000
750.92 125.153333 119.493999 119.493999
1,338.42 1,338.420000 1,180.296000 1,180.296000
1,709.09 284.848333 284.848333 284.848333

215.85 35.975000 35.975000 35.975000


421.67 70.278333 70.278333 70.278333
779.82 779.820000 779.820000 779.820000
597.47 99.578333 99.578333 99.578333
1,338.42 1,338.420000 1,180.296000 1,180.296000

983.58 983.580000 983.580000 983.580000


773.24 128.873333 128.873333 128.873333
948.94 158.156666 158.156666 158.156666
2,319.88 386.646666 386.646666 386.646666
276.62 46.103333 46.103333 46.103333
520.93 86.821666 86.821666 86.821666
1,161.58 1,161.580000 1,161.580000 1,161.580000

970.37 161.728333 161.728333 161.728333


1,194.95 199.158333 199.158333 199.158333

142.24
2.99

23.706666
0.149500

23.706666
0.135000

23.706666
0.135000

NR.CRT

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

COD ATC

C03CA01
C03CA01
C03CA01
C03CA01
C03CA01
C03CA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
H02AB06
H02AB06

J05AB04
J05AB04

J05AF05
J05AF05
J05AF05
J05AF05
J05AF05
J05AF05
J05AF05
J05AF08
J05AF10
J05AF10
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AB04
L03AB04
L03AB04
L03AB05
L03AB05
L03AB10
L03AB10
L03AB10
L03AB10
L03AB11

DCI

FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
PREDNISOLONUM
PREDNISOLONUM
RIBAVIRINUM****
RIBAVIRINUM****
LAMIVUDINUM****
LAMIVUDINUM****
LAMIVUDINUM****
LAMIVUDINUM****
LAMIVUDINUM****
LAMIVUDINUM****
LAMIVUDINUM****
ADEFOVIRUM DIPIVOXILUM****
ENTECAVIRUM****
ENTECAVIRUM****
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
INTERFERONUM ALFA 2A****
INTERFERONUM ALFA 2A****
INTERFERONUM ALFA 2A****
INTERFERONUM ALFA 2B****
INTERFERONUM ALFA 2B****
PEGINTERFERON ALFA-2B****
PEGINTERFERON ALFA-2B****
PEGINTERFERON ALFA-2B****
PEGINTERFERON ALFA-2B****
PEGINTERFERON ALFA-2A****

Denumire Comerciala

FUROSEMID SLAVIA
FUROSEMID EEL
FUROSEMID ZENTIVA
FUROSEMID LPH 40 mg
FUROSEMID ARENA 40 mg
FUROSEMID 20 mg/2 ml
VEROSPIRON
SPIRONOLACTONA ARENA 25 mg

VEROSPIRON
SPIRONOLACTONA ARENA 50 mg

SPIRONOLACTONA EEL 25 mg
SPIRONOLACTONA OZONE 25 mg
SPIRONOLACTONA OZONE 25 mg

SPIRONOLACTONA 25 mg
ALSPIRON 25 mg
ALSPIRON 50 mg
SOLU - DECORTIN H 250
SOLU - DECORTIN H 50
REBETOL 200 mg
COPEGUS 200mg
LAMIVUDINE TEVA 100 mg
ZEFFIX 100 mg
LAMIVUDINE TEVA PHARMA B.V. 150 mg

EPIVIR 150mg
LAMIVUDINE TEVA PHARMA B.V. 300 mg

EPIVIR 10mg/ml
ZEFFIX 5 mg/ml
HEPSERA
BARACLUDE 0,5mg
BARACLUDE 1mg
NEUPOGEN (R)
NEUPOGEN (R)
ZARZIO 30MU/0,5ml
ZARZIO 48MU/0,5ml
NIVESTIM 12 MU/0,2ml
TEVAGRASTIM 30MUI/0,5ml
NIVESTIM 30 MU/0,5 ml
TEVAGRASTIM 48MUI/0,8ml
NIVESTIM 48 MU/0,5 ml
ROFERON A
ROFERON A
ROFERON A
INTRON A 18 milioane U.I.
INTRON A 30 milioane U.I.
PEGINTRON 100 mcg
PEGINTRON 120 mcg
PEGINTRON 150 mcg
PEGINTRON 50 mcg
PEGASYS 135 mcg/0,5ml

forma farm.

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
SOL. INJ.
CAPS.
CAPS.
CAPS.
CAPS.
COMPR.
COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
LIOF. + SOLV. PT. SOL. INJ.
LIOF. + SOLV. PT. SOL. INJ.

CAPS.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

SOL. ORALA
SOL. ORALA
COMPR.
COMPR. FILM.
COMPR. FILM.

SOL. INJ.
SOL. INJ.
SOL. INJ. /PERF. IN SERINGA PREUMPLUTA

SOL. INJ. /PERF. IN SERINGA PREUMPLUTA

SOL. INJ./PERF.

concentratie

DETINATOR APP

40mg
40mg
40mg
40mg
40mg
10mg/ml
100mg
25mg
50mg
50mg
25mg
25mg
25mg
25mg
25mg
50mg
250mg
50mg
200mg
200mg
100 mg
100mg
150 mg
150mg
300 mg
10mg/ml
5mg/ml
10mg
0,5mg
1mg
30MU/0,5ml
48MU/0,5ml
60MU/ml
96MU/ml
120g/0,2ml

SLAVIA PHARM SRL


BIO EEL SRL
ZENTIVA SA
LABORMED PHARMA SA

ARENA GROUP S.A.


ZENTIVA SA

TARA
DET. APP
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

MERCK KGAA
MERCK KGAA
SP EUROPE

SOL. INJ.
SOL. INJ.
SOL. INJ.

CUTIE X 3 FLAC. X 50 MG LIOF. PT. SOL. INJ. + 3 FIOLE X 1 ML SOLVENT

P-RF

BELGIA

CUTIE X 140CAPS. ( BLIST. PVC/PE/PVDC )

P-RF/R

TEVA PHARMA B.V. OLANDA CUTIE CU BLIST. PVC/PVDC/AL X 30 COMPR. FILM.


GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST. PVC-AL/PVC-AL)
TEVA PHARMA B.V. OLANDA CUTIE CU BLIST. PVC/PVDC/AL X 60 COMPR. FILM.
GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLAC. PEID X 60 COMPR. FILM.
TEVA PHARMA B.V. OLANDA CUTIE CU BLIST. PVC/PVDC/AL X 30 COMPR. FILM.
GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLACON PEID X 240ML SOL. ORALA + 1 SERINGA DOZATOARE + 1 ADAPTOR
GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLACON HDPE X 240 ML + 1 SERINGA DOZATOARE PP + 1 ADAPTOR PE

P-RF/R
P-RF/R
P-RF/R
P-RF/R
P-RF/R
P-RF/R
P-RF/R

BRISTOL-MYERS SQUIBB

MAREA BRITANIE

CUTIE X 30 X 1 COMPR. FILM. (BLIST. AL/AL UNIDOZA) P-RF/R

BRISTOL-MYERS SQUIBB

MAREA BRITANIE

CUTIE X 30 X 1 COMPR. FILM.(BLIST. AL/AL UNIDOZA)

P-RF/R

P-RF/R

AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML S/P-RF


AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML S/P-RF

SANDOZ GMBH
SANDOZ GMBH

AUSTRIA
AUSTRIA

HOSPIRA UK LIMITED

MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,2ML SOL. INJ. SAU PERF.

HOSPIRA UK LIMITED

ROMANIA
ROCHE ROMANIA S.R.L. ROMANIA
ROCHE ROMANIA S.R.L. ROMANIA

135mcg/0,5ml

ROCHE REGISTRATION LTD.

MAREA BRITANIE

Pagina 10 din 44

CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R

CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF.

CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF.

MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF.

ROCHE ROMANIA S.R.L.

18 milioane U.I. SP EUROPE


30 milioane U.I. SP EUROPE

CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R

MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF.

SOL. INJ. IN SERINGA PREUMPLUTA

PULB. + SOLV. PT. SOL. INJ.

P-RF/R

CUTIE X 1 FLAC. DIN PEID X 30 COMPR.

PULB. + SOLV. PT. SOL. INJ.

PULB. + SOLV. PT. SOL. INJ.

P-RF

GILEAD SCIENCE INTERNATIONAL LIMITED MAREA BRITANIE

SP EUROPE
SP EUROPE
SP EUROPE
SP EUROPE

PULB. + SOLV. PT. SOL. INJ.

P-RF

CUTIE X 3 FLAC. DIN STICLA INCOLORA X 250 MG FIOF. PT. SOL. INJ. + 3 FIOLE X 5 ML SOLV.

100mcg
120mcg
150mcg
50mcg

SOL. INJ. PEN MULTIDOZA

CUTIE X 5 FIOLE DIN STICLA BRUNA CU INEL DE RUPERE X 2 ML SOL. INJ.

GERMANIA

BELGIA
BELGIA
BELGIA
BELGIA
BELGIA
BELGIA

SOL. INJ. PEN MULTIDOZA

P-6L

CUTIE X 1 FLAC. DIN PEID X 20 COMPR. P-6L


CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L

ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. PEID X 168 COMPR. FILM.

300g/0,5ml HOSPIRA UK LIMITED


480g/0,5ml
18Mui/0,6ml
3Mui/0,5ml
9Mui/0,5ml

CUTIE X 2 BLIST. X 10 COMPR.

GERMANIA

SOL. INJ./PERF. 480mcg/0,8ml TEVA GENERICS GMBH GERMANIA


SOL. INJ./PERF.

Prescriptie

CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L


ARENA GROUP S.A.
CUTIE CU 5 BLIST. PVC/AL X 10 CAPS. P-6L
GEDEON RICHTER ROMANIA SA
CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L
ARENA GROUP S.A.
CUTIE CU 3 BLIST. PVC/AL X 10 CAPS. P-6L
BIO EEL SRL
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L
OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L
TERAPIA SA
ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
GEDEON RICHTER ROMANIA SA

SOL. INJ./PERF. 300mcg/0,5ml TEVA GENERICS GMBH GERMANIA


SOL. INJ./PERF.

AMBALAJ

CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L

P-RF
S/P-RF/R

P-RF
S/P-RF/R

P-RF

CUTIE X 1 CARTUS MULTIDOZA X 0,6 ML SOL. INJ.

S/P-RF

CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML + AC STERIL

S/P-RF

CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. + AC STERIL S/P-RF


CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML SOL. INJ. + 12 ACE + 12 TAMPOANE DEZINFECTANTE

P-RF/R

CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML + 12 ACE + 12 TAMPOANE DEZINFECTANTE P-RF/R

CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV.

P-RF/R

CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV.

P-RF/R

CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV.

P-RF/R

CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV.

P-RF/R

CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML + 1 AC

P-RF/R

VAL.SUPORT
ATAT CNAS/
PRET
UT(RON)AMANU
PRET
LEGEA NR. VAL.SUPORT
NTUL
MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
CANT
a) si f)
ADULTI
(RON)
ITATE (RON)

20
20
20
20
20
5
30
50
30
30
20
50
50
50
20
20
3
3
140
168
30
28
60
60
30
1
1
30
30
30
1
1
1
1
5
1
5
1
5
1
1
1
1
1
1
1
1
1
1

2.25
0.112500
0.112500
5.36
0.268000
0.135000
5.95
0.297500
0.135000
3.00
0.150000
0.135000
5.95
0.297500
0.135000
5.99
1.198000
1.198000
28.17
0.939000
0.939000
15.89
0.317800
0.255000
16.52
0.550666
0.550666
16.06
0.535333
0.535333
4.25
0.212500
0.212500
10.66
0.213200
0.213200
10.66
0.213200
0.213200
16.02
0.320400
0.255000
4.25
0.212500
0.212500
13.59
0.679500
0.642399
94.50 31.500000 31.500000
35.29 11.763333 11.763333
604.92
4.320857
4.320857
657.68
3.914761
3.914761
191.83
6.394333
6.394333
275.45
9.837500
7.673199
382.07
6.367833
6.367833
551.87
9.197833
7.641399
382.07 12.735666 12.735666
159.02 159.020000 159.020000
125.49 125.490000 125.490000
1,907.17 63.572333 63.572333
1,728.94 57.631333 57.631333
1,916.50 63.883333 63.883333
322.20 322.200000 234.672000
508.81 508.810000 377.736000
195.56 195.560000 195.560000
314.78 314.780000 314.780000
489.29 97.858000 97.858000
258.37 258.370000 234.672000
1,116.94 223.388000 223.388000
421.91 421.910000 377.736000
1,822.71 364.542000 364.542000
420.51 420.510000 420.510000
86.41 86.410000 86.410000
181.07 181.070000 181.070000
485.85 485.850000 485.850000
764.33 764.330000 764.330000
811.20 811.200000 811.200000
959.30 959.300000 959.300000

0.112500
0.135000
0.135000
0.135000
0.135000
1.198000
0.939000
0.255000
0.550666
0.535333
0.212500
0.213200
0.213200
0.255000
0.212500
0.642399
31.500000
11.763333
4.320857
3.914761
6.394333
7.673199
6.367833
7.641399
12.735666
159.020000
125.490000
63.572333
57.631333
63.883333
234.672000
377.736000
195.560000
314.780000
97.858000
234.672000
223.388000
377.736000
364.542000
420.510000
86.410000
181.070000
485.850000
764.330000
811.200000
959.300000

1,180.48 1,180.480000 1,180.480000 1,180.480000

441.32 441.320000 441.320000 441.320000


768.36 768.360000 768.360000 768.360000

NR.CRT

79
80

COD ATC

L03AB11
N04BB01

DCI

PEGINTERFERON ALFA-2A****
AMANTADINUM**

Denumire Comerciala

PEGASYS 180 mcg/0,5ml


VIREGYT (R)- K

forma farm.
SOL. INJ. IN SERINGA PREUMPLUTA

concentratie
180mcg/0,5ml

CAPS.

100mg

TARA
DET. APP

AMBALAJ

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML + 1 AC

EGIS PHARMACEUTICALS P.L.C.

UNGARIA CUTIE X 1 FLAC. X 50 CAPS.

DETINATOR APP

Prescriptie

P-RF/R

P-6L

VAL.SUPORT
ATAT CNAS/
PRET
UT(RON)AMANU
PRET
LEGEA NR. VAL.SUPORT
NTUL
MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
CANT
a) si f)
ADULTI
(RON)
ITATE (RON)

1 964.54 964.540000 964.540000 964.540000


50 16.87
0.337400
0.337400
0.337400

Tratamentul se iniiaz de ctre medicul in specialitatea gastroenterologie sau boli infectioase

8. Leucemii, limfoame, aplazie medulara, gamapatii monoclonale maligne, mieloproliferari cronice si tumori maligne, sindroame mielodisplazice - G10
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40

A04AA01
A04AA01
A04AA01
A04AA01
A04AA01
A04AA01
A04AA01
A04AA01
A04AA01
A04AA01
A04AA01
A04AA01
A04AA01
A04AA01
A04AA02
A04AA02
A04AA02
A04AA02
A04AA02
A04AA02
A04AA02
A04AA02
A04AA02
A04AA02
A04AA05
A04AA05
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01

ONDANSETRONUM**
ONDANSETRONUM**
ONDANSETRONUM**
ONDANSETRONUM**
ONDANSETRONUM**
ONDANSETRONUM**
ONDANSETRONUM**
ONDANSETRONUM**
ONDANSETRONUM**
ONDANSETRONUM**
ONDANSETRONUM**
ONDANSETRONUM**
ONDANSETRONUM**
ONDANSETRONUM**
GRANISETRONUM**
GRANISETRONUM**
GRANISETRONUM**
GRANISETRONUM**
GRANISETRONUM**
GRANISETRONUM**
GRANISETRONUM**
GRANISETRONUM**
GRANISETRONUM**
GRANISETRONUM**
PALONOSETRONUM**
PALONOSETRONUM**
EPOETINUM ALFA***
EPOETINUM ALFA***
EPOETINUM ALFA***
EPOETINUM ALFA***
EPOETINUM ALFA***
EPOETINUM ALFA***
EPOETINUM ALFA***
EPOETINUM ALFA***
EPOETINUM ALFA***
EPOETINUM ALFA***
EPOETINUM ALFA***
EPOETINUM BETA***
EPOETINUM BETA***
EPOETINUM BETA***

OSETRON 4 mg
ZOFRAN 4 mg
OSETRON 4 mg
OSETRON 8 mg
OSETRON 8 mg
ONDARAN MD 4mg
OSETRON 8 mg
OSETRON 8 mg
OSETRON 4 mg
OSETRON 4 mg
ZOFRAN 4mg/2ml
ZOFRAN 8mg/4ml
EMESET 8 mg/4 ml
EMESET 4 mg/2 ml
KYTRIL (R) 1 mg

SOL. INJ.
CAPS. MOI
SOL. INJ.
SOL. INJ.
SOL. INJ.

4mg
4mg
4mg
8mg
8mg
4mg
2mg/ml
2mg/ml
2mg/ml
2mg/ml
4mg/2ml
8mg/4ml
2mg/ml
2mg/ml
1mg
1mg
1mg
1mg/ml
1mg/ml
1mg/ml
1mg/ml
1mg/1ml
3mg/3ml
3mg/3ml
500mcg
250 mcg/5ml
3000ui/0,3ml
40 000UI

SOL. INJ. IN SERINGA PREUMPLUTA

10000UI/1,0ml SANDOZ GMBH

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. ORODISPERSABILE

SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ./PERF.
SOL. INJ./PERF.

COMPR. FILM.
GRANISETRON ACTAVIS 1 mg COMPR. FILM.
GRANEGIS 1 mg
COMPR. FILM.
GRANISETRON KABI 1 mg/ml CONC. PT. SOL. INJ./PERF.
GRANISETRON KABI 1 mg/ml CONC. PT. SOL. INJ./PERF.
GRANISETRON KABI 1 mg/ml CONC. PT. SOL. INJ./PERF.
GRANISETRON KABI 1 mg/ml CONC. PT. SOL. INJ./PERF.
GRANISETRON TEVA 1mg/1ml CONC. PT. SOL. PERF./INJ.
GRANISETRON TEVA 3mg/3ml CONC. PT. SOL. PERF./INJ.

KYTRIL
ALOXI 500mcg
ALOXI
EPREX (R) 3000 UI
EPREX (R) 40 000 UI
BINOCRIT 10000UI/1,0ml
BINOCRIT 1000UI/0,5ml
BINOCRIT 2000UI/1,0ml
BINOCRIT 30000UI/0,75ml
BINOCRIT 3000UI/0,3ml
EPREX 40000 UI
BINOCRIT 40000 UI/1 ml
BINOCRIT 4000UI/0,4ml
BINOCRIT 5000UI/0,5ml
NEORECORMON 10000UI/0,6ml
NEORECORMON 1000UI/0,3ml
NEORECORMON 2000UI/0,3ml

DR. REDDY'S LABORATORIES

ROMANIA

CUTIE X 1 BLIST. HARTIE/AL, PVDC/PVC X 10 COMPR. FILM.

GLAXO WELLCOME UK LTD.

MAREA BRITANIE

CUTIE X 2 BLIST. AL/AL X 5 COMPR. FILM. P-RF

DR. REDDY'S LABORATORIES

DR. REDDY'S LABORATORIES

ROMANIA
ROMANIA
ROMANIA

RANBAXY UK LTD.

MAREA BRITANIE CUTIE X 1 FOLIE DIN AL/PE X 10 COMPR. ORODISPERSABILE

DR. REDDY'S LABORATORIES

P-RF

CUTIE X 1 BLIST. HARTIE/AL, PVDC/PVC X 10 COMPR. FILM.

P-RF

CUTIE X 1 BLIST. HARTIE/AL, PVDC/PVC X 10 COMPR. FILM.

P-RF

CUTIE X 1 BLIST. HARTIE/AL, PVDC/PVC X 10 COMPR. FILM.

P-RF
P-RF

DR. REDDY'S LABORATORIES

ROMANIA
ROMANIA
ROMANIA
ROMANIA

GLAXO WELLCOME UK LIMITED

MAREA BRITANIE

GLAXO WELLCOME UK LIMITED

MAREA BRITANIE CUTIE X 5 FIOLE DIN STICLA INCOLORA X 4 ML SOL. INJ.

PR
PR

MAREA BRITANIE CUTIE X 5 FIOLE STICLA + INEL RUPERE X 4ML SOL. INJ. / PERF.

S/P-RF

DR. REDDY'S LABORATORIES


DR. REDDY'S LABORATORIES
DR. REDDY'S LABORATORIES

CIPLA (UK) LIMITED


CIPLA (UK) LIMITED

CUTIE X 1 BLIST. AL/PVC X 5 FIOLE X 4 ML SOL. INJ.

S/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

CUTIE 1 BLIST. AL/PVC X 5 FIOLE X 2 ML SOL. INJ.

S/P-RF

CUTIE X 5 FIOLE X 2 ML SOL. INJ.

MAREA BRITANIE CUTIE X 5 FIOLE STICLA + INEL RUPERE X 2ML SOL. INJ/ PERF. S/P-RF

ROCHE ROMANIA S.R.L.

ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM.

ACTAVIS GROUP PTC EHF.

ISLANDA
UNGARIA

EGIS PHARMACEUTICALS P.L.C.

P-RF

CUTIE CU BLIST. PVC/AL X 10 COMPR. FILM. P-RF


CUTIE CU BLIST. PVC/AL X 10 COMPR. FILM. P-RF

ROMANIA CUTIE X 5 FIOLE STICLA INCOLORA X 1 ML CONC. PT. SOL. INJ./PERF. S/P-RF
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 10 FIOLE STICLA INCOLORA X 1 ML CONC. PT. SOL. INJ./PERF. S/P-RF
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 5 FIOLE STICLA INCOLORA X 3 ML CONC. PT. SOL. INJ./PERF. S/P-RF
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 10 FIOLE STICLA INCOLORA X 3 ML CONC. PT. SOL. INJ./PERF. S/P-RF
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 1 ML CONC. PT. SOL. PERF./INJ. S
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 3 ML CONC. PT. SOL. PERF./INJ. S
ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FIOLA X 3 ML SOL. INJ.
S
FRESENIUS KABI ROMANIA SRL

HELSINN BIREX PHARMACEUTICALS LTD.


HELSINN BIREX PHARMACEUTICALS LTD.

JOHNSON & JOHNSON D.O.O.


JOHNSON & JOHNSON D.O.O.

IRLANDA
IRLANDA

CUTIE X BLISTER DIN POLIAMIDA/AL/PVC X 1 CAPSULA MOALE

PR

CUTIE X 1 FLAC. DIN STICLA X 5 ML SOL. INJ. P-RF

SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,3 ML S/P-RF


SLOVENIA CUTIE X 1 FLACON DIN STICLA X 1 ML S/P-RF

AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA

CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ.

S/P-RF/R

CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ.

S/P-RF/R

CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ.

S/P-RF/R

CUTIE X 1 SERINGA PREUMPLUTA X 0,75ML SOL. INJ.

P-RF/R

CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ.

S/P-RF/R

SLOVENIA

CUTIE CU 1 SERINGA PREUMPLUTA X 1 ML SOL. INJ.

S/P-RF

AUSTRIA
AUSTRIA
AUSTRIA

CUTIE X 1 SERINGA PREUMPLUTA X 1ML SOL. INJ.

P-RF/R

CUTIE X 6 SERINGI PREUMPLUTE X 0,4ML SOL. INJ.

S/P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

1000UI/0,5ml SANDOZ GMBH


2000UI/1,0ml SANDOZ GMBH
30000UI/0,75ml SANDOZ GMBH
3000UI/0,3ml SANDOZ GMBH
40 000UI
JOHNSON & JOHNSON D.O.O.
40000 UI/1 ml SANDOZ GMBH
4000UI/0,4ml SANDOZ GMBH
5000UI/0,5ml SANDOZ GMBH

CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ.

S/P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

10000UI/0,6ml

ROCHE REGISTRATION LTD.

MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ. + 6 ACE

S/P-RF/R

1000UI/0,3ml
2000UI/0,3ml

ROCHE REGISTRATION LTD.

MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE

S/P-RF/R

ROCHE REGISTRATION LTD.

MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. X 6 ACE

S/P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

Pagina 11 din 44

10
10
10
10
10
10
5
5
5
5
5
5
5
5
10
10
10
5
10
5
10
5
5
1
1
1
6
1
6
6
6
1
6
1
1
6
6
6
6
6

18.81
1.881000
1.881000
1.881000
65.57
6.557000
2.257200
2.257200
18.81
1.881000
1.881000
1.881000
32.93
3.293000
3.293000
3.293000
32.93
3.293000
3.293000
3.293000
18.94
1.894000
1.894000
1.894000
43.24
8.648000
8.648000
8.648000
43.24
8.648000
8.648000
8.648000
23.51
4.702000
4.702000
4.702000
23.51
4.702000
4.702000
4.702000
135.10 27.020000
5.642400
5.642400
174.00 34.800000 10.375200 10.375200
43.23
8.646000
8.646000
8.646000
23.51
4.702000
4.702000
4.702000
284.22 28.422000 17.625600 17.625600
146.88 14.688000 14.688000 14.688000
146.88 14.688000 14.688000 14.688000
70.47 14.094000 14.094000 14.094000
133.69 13.369000 13.369000 13.369000
196.96 39.392000 39.392000 39.392000
389.85 38.985000 38.985000 38.985000
70.69 14.138000 14.138000 14.138000
197.51 39.502000 39.502000 39.502000
65.24 65.240000 46.782000 46.782000
399.53 399.530000 399.530000 399.530000
377.16 377.160000 377.160000 377.160000
750.92 125.153333 119.493999 119.493999
1,338.42 1,338.420000 1,180.296000 1,180.296000
1,709.09 284.848333 284.848333 284.848333

215.85 35.975000 35.975000 35.975000


421.67 70.278333 70.278333 70.278333
779.82 779.820000 779.820000 779.820000
597.47 99.578333 99.578333 99.578333
1,338.42 1,338.420000 1,180.296000 1,180.296000

983.58 983.580000 983.580000 983.580000


773.24 128.873333 128.873333 128.873333
948.94 158.156666 158.156666 158.156666
2,319.88 386.646666 386.646666 386.646666
276.62 46.103333 46.103333 46.103333
520.93 86.821666 86.821666 86.821666

NR.CRT

41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89

COD ATC

B03XA01
B03XA01
B03XA01
B03XA01
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
G03HA01

H02AB02
H02AB02
H02AB02
H02AB02

J02AC02
J02AC02
J02AC02
J02AC02
J02AC02
J02AC02
J02AC02
J02AC03
J02AC03
J02AC03
J02AC03
J02AC04
J02AX04
J02AX04
L01XX35
L01XX35
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
N02AA01
N02AA01
N02AA01
N02AA01

DCI

EPOETINUM BETA***
EPOETINUM BETA***
EPOETINUM BETA***
EPOETINUM BETA***
DARBEPOETINUM ALFA***
DARBEPOETINUM ALFA***
DARBEPOETINUM ALFA***
DARBEPOETINUM ALFA***
DARBEPOETINUM ALFA***
DARBEPOETINUM ALFA***
DARBEPOETINUM ALFA***
DARBEPOETINUM ALFA***
DARBEPOETINUM ALFA***
DARBEPOETINUM ALFA***
DARBEPOETINUM ALFA***
DARBEPOETINUM ALFA***
CYPROTERONUM**
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
POSACONAZOLUM**
CASPOFUNGINUM**
CASPOFUNGINUM**
ANAGRELIDUM***
ANAGRELIDUM***
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
MORPHYNUM
MORPHYNUM
MORPHYNUM
MORPHYNUM

Denumire Comerciala

NEORECORMON 30000UI/0,6ml
NEORECORMON 4000UI/0,3ml
NEORECORMON 5000UI/0,3ml

forma farm.
SOL. INJ. IN SERINGA PREUMPLUTA

concentratie

DETINATOR APP

30000 UI/0,6ml ROCHE REGISTRATION LTD.

TARA
DET. APP

AMBALAJ

MAREA BRITANIE

CUTIE X 1 SERINGA PRE-UMPLUTA X 0,6 ML + 1 AC

SOL. INJ. IN SERINGA PREUMPLUTA

4000UI/0,3ml
5000UI/0,3ml
500UI/0,3ml

SOL. INJ. IN SERINGA PREUMPLUTA

100mcg/0,5ml AMGEN EUROPE BV OLANDA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

NEORECORMON 500UI/0,3ml
ARANESP 100mcg/0,5ml
ARANESP 10mcg/0,4ml
ARANESP 150mcg/0,3ml
ARANESP 15mcg/0,375ml
ARANESP 20mcg/0,5ml
ARANESP 300mcg/0,6ml
ARANESP 30mcg/0,3ml
ARANESP 40mcg/0,4ml
ARANESP 500mcg/ml
ARANESP 50mcg/0,5ml
ARANESP 60mcg/0,3ml
ARANESP 80mcg/0,4ml
ANDROCUR
COMPR.
DEXAMETHASONE SODIUM PHOSPHATE
SOL. INJ.
DEXAMETHASONE SODIUM PHOSPHATE
SOL. INJ.
DEXAMED
SOL. INJ.
DEXAMED
SOL. INJ.
ORUNGAL
CAPS.
ITRACONAZOL 100 mg
CAPS.
ITRACONAZOL 100 mg
CAPS.
OMICRAL 100 mg
CAPS.
SPORILIN 100 mg
CAPS.
ITRACONAZOL LPH 100 mg CAPS.
MICOGAL 100 mg
CAPS.
VFEND 200mg
COMPR. FILM.
VFEND 50mg
COMPR. FILM.
VFEND 200mg
PULB. PT. SOL. PERF.
VFEND 40 mg/ml
PULB. PT. SUSP. ORALA
NOXAFIL SP 40mg/ml
SUSP. ORALA
CANCIDAS 50 mg
CANCIDAS 70 mg
THROMBOREDUCTIN
CAPS.
THROMBOREDUCTIN
CAPS.
EQUORAL (R) 100 mg
CAPS. MOI
SANDIMMUN NEORAL (R)
CAPS. MOI
EQUORAL (R) 25 mg
CAPS. MOI
CICLORAL 25 mg
CAPS. MOI
SANDIMMUN NEORAL (R)
CAPS. MOI
EQUORAL (R) 50 mg
CAPS. MOI
CICLORAL 50 mg
CAPS. MOI
EQUORAL (R)
SOL. ORALA
SEVREDOL 10 mg
COMPR. FILM.
SEVREDOL 20 mg
COMPR. FILM.
MST CONTINUS 100 mg
COMPR. FILM. ELIB. MODIF.
MST CONTINUS 10 mg
COMPR. FILM. ELIB. MODIF.

Prescriptie

S/P-RF/R

ROCHE REGISTRATION LTD.

MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE

S/P-RF/R

ROCHE REGISTRATION LTD.

MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE

S/P-RF/R

ROCHE REGISTRATION LTD.

MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ. + 6 ACE

S/P-RF/R

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

10mcg/0,4ml AMGEN EUROPE BV OLANDA

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

150mcg/0,3ml AMGEN EUROPE BV OLANDA

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML

P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

15mcg/0,375ml AMGEN EUROPE BV OLANDA

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,375 ML

P-RF/R

20mcg/0,5ml AMGEN EUROPE BV OLANDA


300mcg/0,6ml AMGEN EUROPE BV OLANDA
30mcg/0,3ml AMGEN EUROPE BV OLANDA
40mcg/0,4ml AMGEN EUROPE BV OLANDA
500mcg/ml AMGEN EUROPE BV OLANDA
50mcg/0,5ml AMGEN EUROPE BV OLANDA
60mcg/0,3ml AMGEN EUROPE BV OLANDA
80mcg/0,4ml AMGEN EUROPE BV OLANDA
50mg
BAYER SCHERING PHARMA AG GERMANIA
8mg
E.I.P.I.CO. MED S.R.L. ROMANIA
8mg
E.I.P.I.CO. MED S.R.L. ROMANIA
8mg/2ml
MEDOCHEMIE LTD. CIPRU
8mg/2ml
MEDOCHEMIE LTD. CIPRU
100mg
JANSSEN PHARMACEUTICA N.V. BELGIA
100mg
SLAVIA PHARM SRL ROMANIA
100mg
ARENA GROUP S.A. ROMANIA
100mg
MEDICO UNO PHARMACEUTICAL SRL ROMANIA
100mg
GEDEON RICHTER ROMANIA SA ROMANIA
100mg
LABORMED PHARMA S.A. ROMANIA
100mg
ROMPHARM COMPANY SRL ROMANIA
200mg
PFIZER LIMITED
MAREA BRITANIE
50mg
PFIZER LIMITED
MAREA BRITANIE
200mg
PFIZER LIMITED
MAREA BRITANIE
40mg/ml
PFIZER LIMITED
MAREA BRITANIE
40mg/ml
SP EUROPE
BELGIA
50mg
MERCK SHARP & DOHME MAREA BRITANIE
70mg
MERCK SHARP & DOHME MAREA BRITANIE
0,5mg
ORPHA-DEVEL HANDELS UND VERTRIEBS GMBH
AUSTRIA
0,5mg
ORPHA-DEVEL HANDELS UND VERTRIEBS GMBH
AUSTRIA
100mg
IVAX - PHARMACEUTICALS S.R.O. CEHIA
25mg
NOVARTIS PHARMA GMBH GERMANIA
25mg
IVAX - PHARMACEUTICALS S.R.O. CEHIA
25mg
HEXAL AG
GERMANIA
50mg
NOVARTIS PHARMA GMBH GERMANIA
50mg
IVAX - PHARMACEUTICALS S.R.O. CEHIA
50mg
HEXAL AG
GERMANIA
100mg/ml
IVAX - PHARMACEUTICALS S.R.O. CEHIA
10mg
MUNDIPHARMA GMBH AUSTRIA
20mg
MUNDIPHARMA GMBH AUSTRIA
100mg
MUNDIPHARMA GES.M.B.H AUSTRIA
10mg
MUNDIPHARMA GES.M.B.H AUSTRIA

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 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

PULB. PT. CONC. PT. SOL. PERF.


PULB. PT. CONC. PT. SOL. PERF.

Pagina 12 din 44

CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 0,6 ML

P-RF/R

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML P-RF/R


CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML P-RF/R
CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 1 ML

P-RF/R

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML P-RF/R


CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML P-RF/R
CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML P-RF/R

CUTIE X 1 FLAC. X 50 COMPR.

P-RF

CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.

P-RF

CUTIE X 5 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.

P-RF

CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.

P-RF/S

CUTIE X 10 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. P-RF

CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 5 CAPS. P-RF

CUTIE X 3 BLIST. AL/PVC X 5 CAPS.


CUTIE X 3 BLIST. AL/PVC X 5 CAPS.
CUTIE X 3 BLIST. AL/AL X 5 CAPS.
CUTIE X 3 BLIST. AL/AL X 5 CAPS.
CUTIE X 3 BLIST. PVC/AL X 5 CAPS.
CUTIE X 3 BLIST. PVC/AL X 5 CAPS.

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF


CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL) P-RF

CUTIE X 1 FLAC. UNIDOZA X 30ML

P-RF

CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA

P-RF

CUTIE X 1 FLAC. X 105ML SUSP. ORALA

P-RF/R

CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF.


CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF.

CUTIE X 1 FLAC. DIN PE X 42 CAPS.


CUTIE X 1 FLAC. DIN PE X 100 CAPS.
CUTIE X 5 BLIST. X 10 CAPS. MOI
CUTIE X 10 BLIST. X 5 CAPS. MOI
CUTIE X 5 BLIST. X 10 CAPS. MOI

S
S
P-RF
P-RF/S
S/P-RF
S/P-RF
S/P-RF

CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI S/P-RF

CUTIE X 10 BLIST. X 5 CAPS. MOI


CUTIE X 5 BLIST. X 10 CAPS. MOI

S/P-RF
S/P-RF

CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI S/P-RF


CUTIE X 1 FLACON DIN STICLA BRUNA X 50 ML, UN DISPOZITIV DE MASURAT + UN CAPAC CU FILET

S/P-RF

CUTIE X 4 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-TS


CUTIE X 4 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-TS
CUTIE X 2 BLIST. PVC-PVDC/AL X 30 COMPR. FILM. CU ELIB. MOD.

P-TS

CUTIE X 2 BLIST. PVC-PVDC/AL X 30 COMPR. FILM. CU ELIB. MOD.

P-TS

VAL.SUPORT
ATAT CNAS/
PRET
UT(RON)AMANU
PRET
LEGEA NR. VAL.SUPORT
NTUL
MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
CANT
a) si f)
ADULTI
(RON)
ITATE (RON)

1
6
6
6
4
4
4
4
4
1
4
4
1
4
4
4
50
100
5
100
10
15
15
15
15
15
15
15
28
28
1
1
1
1
1
42
100
50
50
50
50
50
50
50
1
56
56
60
60

1,161.58 1,161.580000 1,161.580000 1,161.580000

970.37 161.728333 161.728333 161.728333


1,194.95 199.158333 199.158333 199.158333

142.24

23.706666

23.706666

23.706666

3,136.61 784.152500 784.152500 784.152500

387.41

96.852500

96.852500

96.852500

4,653.92 1,163.480000 1,163.480000 1,163.480000

541.85 135.462500 135.462500 135.462500


695.22 173.805000 173.805000 173.805000
2,183.52 2,183.520000 2,183.520000 2,183.520000

998.45 249.612500 249.612500 249.612500


326.075000 326.075000 326.075000

1,304.30
3,591.99
1,608.50
1,915.26
2,526.78

3,591.990000 3,591.990000 3,591.990000

531.97

402.125000
478.815000
631.695000
3.208400
1.222100
1.380000
0.911000
1.026000
5.068000
3.463333
3.463333
3.463333
3.463333
3.463333
3.462666
138.306071
36.466071
531.970000

402.125000
478.815000
631.695000
3.208400
1.093200
1.093200
0.911000
1.026000
4.155199
3.463333
3.463333
3.463333
3.463333
3.463333
3.462666
138.306071
36.466071
531.970000

402.125000
478.815000
631.695000
3.208400
1.093200
1.093200
0.911000
1.026000
4.155199
3.463333
3.463333
3.463333
3.463333
3.463333
3.462666
138.306071
36.466071
531.970000

2,412.18
2,947.50
1,333.76
1,719.13

2,412.180000
2,947.500000
1,333.760000
1,719.130000

2,412.180000
2,947.500000
1,333.760000
1,719.130000

2,412.180000
2,947.500000
1,333.760000
1,719.130000

866.47

20.630238 19.642680 19.642680


16.368900 16.368900 16.368900
9.332200
9.332200
9.332200
2.714200
2.232720
2.232720
1.860600
1.860600
1.860600
2.717400
2.232720
2.232720
5.774600
4.504080
4.504080
3.753400
3.753400
3.753400
6.032400
4.504080
4.504080
424.200000 424.200000 424.200000
0.828571
0.828571
0.828571
1.188392
1.188392
1.188392
4.087000
3.361999
3.361999
0.759666
0.759666
0.759666

160.42
122.21
6.90
91.10
10.26
76.02
51.95
51.95
51.95
51.95
51.95
51.94
3,872.57
1,021.05

1,636.89

466.61
135.71
93.03
135.87
288.73
187.67
301.62
424.20
46.40
66.55
245.22
45.58

NR.CRT

90
91
92
93
94
95
96
97
98
99

COD ATC

N02AA01
N02AA01
N02AA01
N02AA01
N02AA01
N02AA01
N02AA01
N02AA01
N02AA01
N02AA05

100 N02AA05
101 N02AA05
102 N02AA05
103 N02AA05
104 N02AA08
105 N02AA08
106 N02AA08
107 N02AB02
108 N02AB03
109 N02AB03
110 N02AB03
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 N02AB03
127 N02AX02
128 N02AX02
129 N02AX02
130 N02AX02
131 N02AX02
132 N02AX02
133 N02AX02
134 N02AX02
135 N02AX02
136 N02AX02
137 N02AX02
138 N02AX02

DCI

MORPHYNUM
MORPHYNUM
MORPHYNUM
MORPHYNUM
MORPHYNUM
MORPHYNUM
MORPHYNUM
MORPHYNUM
MORPHYNUM
OXYCODONUM
OXYCODONUM
OXYCODONUM
OXYCODONUM
OXYCODONUM
DIHYDROCODEINUM
DIHYDROCODEINUM
DIHYDROCODEINUM
PETHIDINUM
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM

Denumire Comerciala

MST CONTINUS 200 mg


MST CONTINUS 30 mg
MST CONTINUS 60 mg
VENDAL (R) RETARD 100 mg
VENDAL (R) RETARD 30 mg
VENDAL (R) RETARD 60 mg
MSI 10 mg MUNDIPHARMA
MSI 20 mg MUNDIPHARMA
MORFINA 20 mg/ml
ALNAGON 20 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
MIALGIN (R) 100 mg/2 ml

forma farm.

concentratie

SOL. INJ.

200mg
30mg
60mg
100mg
30mg
60mg
10 mg
20mg
20mg/ml
20mg
10 mg
20 mg
40 mg
80mg
120mg
60mg
90mg
50mg/ml

FENTANYL SANDOZ MATRIX 75mcg/h

PLASTURE TRANSDERM.

17,34mg/31,50cmp

FENTANYL SANDOZ MATRIX 100mcg/h

PLASTURE TRANSDERM.

23,12mg/42.00cmp

FENTANYL SANDOZ 100 mcg/h

PLASTURE TRANSDERMIC

DETINATOR APP

TARA
DET. APP

AMBALAJ

Prescriptie

FENTANYL TTS SANDOZ 100 mcg/h PLASTURE TRANSDERMIC

100mcg/h
100mcg/h

FENTANYL ACTAVIS 100micrograme/h

PLASTURE TRANSDERMIC

100micrograme/h

AUSTRIA CUTIE X 4 BLIST. PVC-PVDC/AL X 15 COMPR. FILM. CU ELIB. MOD. P-TS


MUNDIPHARMA GES.M.B.H AUSTRIA CUTIE X 2 BLIST. PVC-PVDC/AL X 30 COMPR. FILM. CU ELIB. MOD. P-TS
MUNDIPHARMA GES.M.B.H AUSTRIA CUTIE X 2 BLIST. PVC-PVDC/AL X 30 COMPR. FILM. CU ELIB. MOD. P-TS
LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-TS
LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-TS
LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-TS
MUNDIPHARMA GMBH AUSTRIA CUTIE X 10 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ. P-TS
MUNDIPHARMA GMBH AUSTRIA CUTIE X 10 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ. P-TS
ZENTIVA S.A.
ROMANIA CUTIE X 5 FIOLE X 1 ML
P-TS
ZENTIVA, K.S.
REPUBLICA SLOVACA CUTIE CU BLIST. PVC-PE-PVDC/AL X 56 COMPR. ELIB. PREL.
P-RF
MUNDIPHARMA GMBH AUSTRIA CUTIE X 1 FLAC. X 56 COMPR. FILM. ELIB. MODIF. P-TS
MUNDIPHARMA GMBH AUSTRIA CUTIE X 1 FLAC. X 56 COMPR. FILM. ELIB. MODIF. P-TS
MUNDIPHARMA GMBH AUSTRIA CUTIE X 1 FLAC. X 56 COMPR. FILM. ELIB. MODIF. P-TS
MUNDIPHARMA GMBH AUSTRIA CUTIE X 1 FLAC. X 56 COMPR. FILM. ELIB. MODIF. P-TS
MUNDIPHARMA GMBH AUSTRIA CUTIE X 1 FLAC. DIN PP X 56 COMPR. ELIB. PREL. P-RF
MUNDIPHARMA GMBH AUSTRIA CUTIE X 1 FLAC. DIN PP X 56 COMPR. ELIB. PREL. P-RF
MUNDIPHARMA GMBH AUSTRIA CUTIE X 1 FLAC. DIN PP X 56 COMPR. ELIB. PREL. P-RF
ZENTIVA SA
ROMANIA CUTIE X 5 FIOLE DIN STICLA X 2 ML P-TS
SANDOZ S.R.L.
ROMANIA CUTIE X 5 PLICURI MULTISTRAT X 1 PLASTURE TRANSDERMIC P-TS
SANDOZ S.R.L.
ROMANIA CUTIE X 5 PLICURI MULTISTRAT X 1 PLASTURE TRANSDERMIC P-TS
SANDOZ S.R.L.
ROMANIA CUTIE X 5 PLICURI DIN HARTIE/PE/AL/AL X 1 PLASTURE TRANSDERMIC CU REZERVOR P-TS
SANDOZ S.R.L.
ROMANIA CUTIE X 5 PLIC DIN HARTIE/PE/AL/PE X 1 PLASTURE TRANSDERMICP-TS
ACTAVIS GROUP PTC EHF. ISLANDA
P-TS

DOLFORIN 100 g/ORA

PLASTURE TRANSDERMIC

100g/ora

GEDEON RICHTER ROMANIA SA

FENTANYL SANDOZ MATRIX 50mcg/h

PLASTURE TRANSDERMIC

11,56mg/21,00cmp

FENTANYL SANDOZ 25 mcg/h

PLASTURE TRANSDERMIC

FENTANYL TTS SANDOZ 25 mcg/h

PLASTURE TRANSDERMIC

25mcg/h
25mcg/h

SANDOZ S.R.L.
SANDOZ S.R.L.
SANDOZ S.R.L.

FENTANYL ACTAVIS 25micrograme/h

PLASTURE TRANSDERMIC

25micrograme/h ACTAVIS GROUP PTC EHF.

ISLANDA

DOLFORIN 25 g/ORA

PLASTURE TRANSDERMIC

25g/ora

GEDEON RICHTER ROMANIA SA

FENTANYL SANDOZ MATRIX 25mcg/h

PLASTURE TRANSDERMIC

5,78mg/10,5cmp

FENTANYL SANDOZ 50 mcg/h

PLASTURE TRANSDERMIC

FENTANYL TTS SANDOZ 50 mcg/h

PLASTURE TRANSDERMIC

50mcg/h
50mcg/h

SANDOZ S.R.L.
SANDOZ S.R.L.
SANDOZ S.R.L.

ROMANIA
ROMANIA
ROMANIA
ROMANIA

FENTANYL ACTAVIS 50micrograme/h

PLASTURE TRANSDERMIC

50micrograme/h ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE X 5 PLICURI MULTISTRAT DIN HARTIE -PEJD- AL- SURLYN X 1 PLASTURE TRANSDERMIC

P-TS

DOLFORIN 50 g/ORA

PLASTURE TRANSDERMIC

GEDEON RICHTER ROMANIA SA

ROMANIA

CUTIE X 5 PLICURI DIN PES-AL-PP X 1 PLASTURE TRANSDERMIC

P-TS

FENTANYL SANDOZ 75 mcg/h

PLASTURE TRANSDERMIC

CUTIE X 5 PLICURI DIN HARTIE/PE/AL/AL X 1 PLASTURE TRANSDERMIC CU REZERVOR

P-TS

PLASTURE TRANSDERMIC

SANDOZ S.R.L.
SANDOZ S.R.L.

AUSTRIA

FENTANYL TTS SANDOZ 75 mcg/h

50g/ora
75mcg/h
75mcg/h
75g/ora
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
100mg

DOLFORIN 75 g/ORA
TRAMAL (R)
TRALGIT 50
TRAMADOL
TRAMADOL AL 50
TRAMADOL AL 50
MABRON 50 mg
K-ALMA (R)
TRAMACALM
TRAMADOL LPH 50 mg
URGENDOL
TRAMADOL ARENA
TRAMAL UNO 100 mg

COMPR. FILM. ELIB. MODIF.


COMPR. FILM. ELIB. MODIF.
COMPR. FILM. ELIB. MODIF.
COMPR. FILM. ELIB. PREL.
COMPR. FILM. ELIB. PREL.
COMPR. FILM. ELIB. PREL.

SOL. INJ.
SOL. INJ.
SOL. INJ.
COMPR. 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.

PLASTURE TRANSDERMIC

CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS. ELIB. PREL.

MUNDIPHARMA GES.M.B.H

CUTIE X 5 PLICURI MULTISTRAT DIN HARTIE -PEJD- AL- SURLYN X 1 PLASTURE TRANSDERMIC

GEDEON RICHTER ROMANIA SA

ROMANIA
ROMANIA
ROMANIA
ROMANIA

ROMANIA
ROMANIA

CUTIE X 5 PLICURI DIN PES-AL-PP X 1 PLASTURE TRANSDERMIC

P-TS

CUTIE X 5 PLICURI MULTISTRAT X 1 PLASTURE TRANSDERMIC

P-TS

CUTIE X 5 PLICURI DIN HARTIE/PE/AL/AL X 1 PLASTURE TRANSDERMIC CU REZERVOR

P-TS

CUTIE X 5 PLIC DIN HARTIE/PE/AL/PE X 1 PLASTURE TRANSDERMICP-TS


CUTIE X 5 PLICURI MULTISTRAT DIN HARTIE -PEJD- AL- SURLYN X 1 PLASTURE TRANSDERMIC

P-TS

CUTIE X 5 PLICURI DIN PES-AL-PP X 1 PLASTURE TRANSDERMIC

P-TS

CUTIE X 5 PLICURI MULTISTRAT X 1 PLASTURE TRANSDERMIC

P-TS

CUTIE X 5 PLICURI DIN HARTIE/PE/AL/AL X 1 PLASTURE TRANSDERMIC CU REZERVOR

P-TS

CUTIE X 5 PLIC DIN HARTIE/PE/AL/PE X 1 PLASTURE TRANSDERMICP-TS

CUTIE X 5 PLIC DIN HARTIE/PE/AL/PE X 1 PLASTURE TRANSDERMICP-TS


CUTIE X 5 PLICURI DIN PES-AL-PP X 1 PLASTURE TRANSDERMIC

P-TS

GRUNENTHAL GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF


ZENTIVA A.S.
SLOVACIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF
KRKA D.D.
SLOVENIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF
ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. X 10 CAPS.
P-RF
ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 1 BLIST. X 10 CAPS.
P-RF
MEDOCHEMIE LTD. CIPRU
CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF
ANTIBIOTICE SA
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF
AC HELCOR SRL
ROMANIA CUTIE X 1 BLIST. PVC/AL X 10 CAPS. P-RF
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF
MEDICAROM GROUP SRL ROMANIA CUTIE X 1 BLIST. X 10 CAPS.
P-RF
ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-RF

Pagina 13 din 44

VAL.SUPORT
ATAT CNAS/
PRET
UT(RON)AMANU
PRET
LEGEA NR. VAL.SUPORT
NTUL
MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
CANT
a) si f)
ADULTI
(RON)
ITATE (RON)

60
60
60
30
30
30
10
10
5
56
56
56
56
56
56
56
56
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
20
20
20
30
10
10
20
10
20
10
20
10

418.42
75.56
152.83
84.05
26.73
55.16
25.49
48.34
8.20
137.87
115.46
212.12
391.30
645.97
127.04
29.00
100.50
7.70
152.77
189.00
189.00
189.00
188.69
189.00
119.37
70.95
70.95
68.27
68.89
70.95
119.37
119.37
119.31
119.37
152.77
152.77
152.77
11.68
5.76
5.76
11.39
3.81
3.81
7.58
3.81
7.58
3.78
8.89
17.18

6.973666
1.259333
2.547166
2.801666
0.891000
1.838666
2.549000
4.834000
1.640000
2.461964
2.061785
3.787857
6.987500
11.535178
2.268571
0.517857
1.794642
1.540000
30.554000
37.800000
37.800000
37.800000
37.738000
37.800000
23.874000
14.190000
14.190000
13.654000
13.778000
14.190000
23.874000
23.874000
23.862000
23.874000
30.554000
30.554000
30.554000
0.584000
0.288000
0.288000
0.379666
0.381000
0.381000
0.379000
0.381000
0.379000
0.378000
0.444500
1.718000

6.973666
1.069200
2.206399
2.801666
0.891000
1.838666
2.549000
1.968000
1.640000
2.461964
2.061785
2.954356
6.987500
11.535178
2.268571
0.517857
1.794642
1.540000
30.554000
37.800000
37.800000
37.800000
37.738000
37.800000
23.874000
14.190000
14.190000
13.654000
13.778000
14.190000
23.874000
23.874000
23.862000
23.874000
30.554000
30.554000
30.554000
0.345600
0.288000
0.288000
0.345600
0.345600
0.345600
0.345600
0.345600
0.345600
0.345600
0.345600
0.746400

6.973666
1.069200
2.206399
2.801666
0.891000
1.838666
2.549000
1.968000
1.640000
2.461964
2.061785
2.954356
6.987500
11.535178
2.268571
0.517857
1.794642
1.540000
30.554000
37.800000
37.800000
37.800000
37.738000
37.800000
23.874000
14.190000
14.190000
13.654000
13.778000
14.190000
23.874000
23.874000
23.862000
23.874000
30.554000
30.554000
30.554000
0.345600
0.288000
0.288000
0.345600
0.345600
0.345600
0.345600
0.345600
0.345600
0.345600
0.345600
0.746400

NR.CRT

COD ATC

139 N02AX02
140 N02AX02
141 N02AX02
142 N02AX02
143 N02AX02
144 N02AX02
145 N02AX02
146 N02AX02
147 N02AX02
148 N02AX02
149 N02AX02
150 N02AX02
151 N02AX02
152 N02AX02
153 N02AX02
154 N02AX02
155 N02AX02
156 N02AX02
157 N02AX02
158 N02AX02
159 N02AX02
160 N02AX02
161 N02AX02
162 N02AX02
163 N02AX02
164 N02AX02
165 N02AX02
166 N02AX02
167 N02AX02
168 N02AX02
169 N02AX02
170 N02AX02
171 N02AX02
172 N02AX02
173 N02AX02
174 N02AX02
175 N02AX02
176 N02AX02
177 N02AX02
178 N02AX02
179 N02AX02
180 N02AX02
181 N02AX02
182 N02AX02
183 N02AX02
184 N02AX02
185 N02AX02
186 N07BC02
187 N07BC02

DCI

TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
METHADONUM
METHADONUM

Denumire Comerciala

forma farm.

TRAMAL UNO 100 mg


CAPS. ELIB. PREL.
TRAMAL UNO 100 mg
CAPS. ELIB. PREL.
TRAMAL UNO 100 mg
CAPS. ELIB. PREL.
TRAMAL UNO 150 mg
CAPS. ELIB. PREL.
TRAMAL UNO 150 mg
CAPS. ELIB. PREL.
TRAMAL UNO 150 mg
CAPS. ELIB. PREL.
TRAMAL UNO 150 mg
CAPS. ELIB. PREL.
TRAMAL UNO 200 mg
CAPS. ELIB. PREL.
TRAMAL UNO 200 mg
CAPS. ELIB. PREL.
TRAMAL UNO 200 mg
CAPS. ELIB. PREL.
TRAMAL UNO 200 mg
CAPS. ELIB. PREL.
TRAMAG 50
COMPR.
TRAMADOL EEL
COMPR.
TRAMADOL 50 mg
COMPR.
TRAMADOL 50 mg
COMPR.
TRAMADOLOR (R) 100 ID
COMPR. ELIB. MODIF.
TRAMADOL (R) RETARD
COMPR. ELIB. PREL.
TRALGIT SR 100
COMPR. ELIB. PREL.
TRALGIT SR 100
COMPR. ELIB. PREL.
TRALGIT SR 100
COMPR. ELIB. PREL.
NOAX UNO 100 mg
COMPR. ELIB. PREL.
NOAX UNO 100 mg
COMPR. ELIB. PREL.
TRALGIT SR 150
COMPR. ELIB. PREL.
TRALGIT SR 150
COMPR. ELIB. PREL.
TRALGIT SR 200
COMPR. ELIB. PREL.
NOAX UNO 200 mg
COMPR. ELIB. PREL.
NOAX UNO 200 mg
COMPR. ELIB. PREL.
NOAX UNO 300 mg
COMPR. ELIB. PREL.
NOAX UNO 300 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.
TRAMADOL AL PICATURI
PIC. ORALE, SOL.
TRAMAL (R)
PICATURI ORALE-SOL.
MABRON
SOL. INJ.
MABRON
SOL. INJ.
TRALGIT 100
SOL. INJ.
TRAMAL (R) 50
SOL. INJ.
TRAMADOL
SOL. INJ.
TRALGIT 50
SOL. INJ.
URGENDOL
SOL. INJ.
TRAMADOL
SOL. INJ.
URGENDOL
SOL. INJ.
TRAMADOL
SUPOZ.
SINTALGON 2,5 mg
COMPR.
METADON BIOEEL 20 mg COMPR.

concentratie

100mg
100mg
100mg
150mg
150mg
150mg
150mg
200mg
200mg
200mg
200mg
50mg
50mg
50mg
50mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
150mg
150mg
200mg
200mg
200mg
300mg
300mg
50mg
100mg
150mg
150mg
200mg
200mg
100mg/ml
100mg
100mg
100mg/2ml
50mg/ml
50mg/ml
50mg/ml
50mg/ml
50mg/ml
50mg/ml
100mg
2,5mg
20mg

DETINATOR APP

GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
MAGISTRA C & C
BIO EEL SRL
OZONE LABORATORIES LTD.
OZONE LABORATORIES PHARMA S.A.

HEXAL AG
KRKA D.D.
ZENTIVA AS
ZENTIVA AS
ZENTIVA AS

TARA
DET. APP

AMBALAJ

Prescriptie

GERMANIA

CUTIE X BLIST. PVC-PVDC/AL X 20 CAPS. CU ELIB. PREL. P-RF

GERMANIA

CUTIE X BLIST. PVC-PVDC/AL X 30 CAPS. CU ELIB. PREL. P-RF

GERMANIA

CUTIE X BLIST. PVC-PVDC/AL X 50 CAPS. CU ELIB. PREL.

GERMANIA

CUTIE X BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-RF

GERMANIA

CUTIE X BLIST. PVC-PVDC/AL X 20 CAPS. CU ELIB. PREL. P-RF

GERMANIA

CUTIE X BLIST. PVC-PVDC/AL X 30 CAPS. CU ELIB. PREL. P-RF

GERMANIA

CUTIE X BLIST. PVC-PVDC/AL X 50 CAPS. CU ELIB. PREL.

GERMANIA

CUTIE X BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-RF

GERMANIA

CUTIE X BLIST. PVC-PVDC/AL X 20 CAPS. CU ELIB. PREL. P-RF

GERMANIA

CUTIE X BLIST. PVC-PVDC/AL X 30 CAPS. CU ELIB. PREL. P-RF

GERMANIA

CUTIE X BLIST. PVC-PVDC/AL X 50 CAPS. CU ELIB. PREL.

ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-RF/S

P-RF/S

P-RF/S

P-RF
P-RF
P-RF
P-RF

GERMANIA CUTIE X 1 BLIST. X 10 COMPR. ELIB. MODIF. P-RF

SLOVENIA CUTIE X 3 BLIST. X 10 COMPR. ELIB. PREL.


SLOVACIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. ELIB. PREL.
SLOVACIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. ELIB. PREL.
SLOVACIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL.

P-RF

CUTIE X 1 BLIST. DIN PVC-PVDC/AL X 5 COMPR.ELIM.PREL.

P-RF

CSC PHARMACEUTICALS HANDELS GMBH

AUSTRIA
AUSTRIA

CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR.ELIM.PREL.

P-RF

ZENTIVA AS
ZENTIVA AS
ZENTIVA AS

SLOVACIA
SLOVACIA
SLOVACIA

CSC PHARMACEUTICALS HANDELS GMBH

CSC PHARMACEUTICALS HANDELS GMBH


CSC PHARMACEUTICALS HANDELS GMBH
CSC PHARMACEUTICALS HANDELS GMBH
CSC PHARMACEUTICALS HANDELS GMBH

LANNACHER HEILMITTEL GES.M.B.H.

P-RF
P-RF
P-RF

CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF


CUTIE X 1 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF
CUTIE X 1 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF

AUSTRIA CUTIE X 1 BLIST. DIN PVC-PVDC/AL X 10 COMPR.ELIB. PREL. P-RF


AUSTRIA CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR.ELIB. PREL. P-RF
AUSTRIA CUTIE X 1 BLIST. X PVC-PVDC/AL X 10 COMPR. ELIB. PREL. P-RF
AUSTRIA CUTIE X 3 BLIST. X PVC-PE-ACLAR/AL X 10 COMPR. ELIB. PREL. P-RF
AUSTRIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.FILM. P-RF

GRUNENTHAL GMBH GERMANIA


GRUNENTHAL GMBH GERMANIA

CUTIE X 1 BLIST. AL/PVDC X 10 COMPR. FILM. CU ELIB. PREL.

P-RF

CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR.FILM. CU ELIB. PREL.

P-RF

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-RF

GRUNENTHAL GMBH GERMANIA

CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR.FILM. ELIB. PREL.

P-RF

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL.

P-RF

ALIUD PHARMA GMBH GERMANIA

CUTIE X 1 FLACON DIN STICLA BRUNA X 10 ML PIC. ORALE, SOL.

P-RF

GRUNENTHAL GMBH
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
ZENTIVA A.S.
GRUNENTHAL GMBH
KRKA D.D.
ZENTIVA A.S.

GERMANIA CUTIE X 1 FLACON PICURATOR X 10 ML P-RF

MEDICAROM GROUP SRL

ROMANIA

KRKA D.D.

SLOVENIA

MEDICAROM GROUP SRL

ROMANIA

KRKA D.D.
ZENTIVA S.A.
BIO EEL SRL

SLOVENIA

Pagina 14 din 44

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 CUTIE X 5 FIOLE X 2 ML SOL. INJ.


GERMANIA

SLOVENIA
SLOVACIA

CUTIE X 5 FIOLE X 1 ML
CUTIE X 5 FIOLE X 1 ML
CUTIE X 5 FIOLE X 1 ML SOL. INJ.
CUTIE X 5 FIOLE X 1 ML
CUTIE X 5 FIOLE X 2 ML
CUTIE X 5 FIOLE X 2 ML
CUTIE X 1 BLIST. X 5 SUPOZ.

ROMANIA CUTIE X 2 BLIST. AL/PVC X 25 COMPR.


ROMANIA CUTIE X 2 BLIST. AL/PVC-PVDC X 10 COMPR.

S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF

P-RF
P-TS
P-TS

VAL.SUPORT
ATAT CNAS/
PRET
UT(RON)AMANU
PRET
LEGEA NR. VAL.SUPORT
NTUL
MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
CANT
a) si f)
ADULTI
(RON)
ITATE (RON)

20 33.10
30 46.84
50 72.06
10 25.78
20 48.01
30 67.91
50 106.20
10 32.17
20 57.75
30 77.21
50 119.99
20
7.58
20
7.58
20
7.58
20
7.58
10
6.22
30 18.69
50 32.17
10
6.22
30 18.67
5
7.32
30 39.05
30 33.17
10 20.80
10 27.18
10 19.86
30 51.22
10 27.60
30 75.56
30 10.52
10
9.58
10 21.77
30 41.08
10 27.86
30 52.58
1
4.98
1
7.66
5
9.72
100 135.39
5 12.14
5
7.47
5
4.87
5 11.36
5
4.84
5 12.94
5
7.58
5
5.52
50 24.11
20 24.87

1.655000
1.561333
1.441200
2.578000
2.400500
2.263666
2.124000
3.217000
2.887500
2.573666
2.399800
0.379000
0.379000
0.379000
0.379000
0.622000
0.623000
0.643400
0.622000
0.622333
1.464000
1.301666
1.105666
2.080000
2.718000
1.986000
1.707333
2.760000
2.518666
0.350666
0.958000
2.177000
1.369333
2.786000
1.752666
4.980000
7.660000
1.944000
1.353900
2.428000
1.494000
0.974000
2.272000
0.968000
2.588000
1.516000
1.104000
0.482200
1.243500

0.746400
0.746400
0.746400
1.326799
1.326799
1.326799
1.326799
2.048799
2.048799
2.048799
2.048799
0.345600
0.345600
0.345600
0.345600
0.622000
0.623000
0.643400
0.622000
0.622333
0.746400
0.746400
1.105666
1.326799
2.048799
1.986000
1.707333
2.760000
2.518666
0.345600
0.746400
1.326799
1.326799
2.048799
1.752666
4.980000
5.976000
1.624680
1.353900
1.624680
1.161600
0.974000
1.161600
0.968000
1.624680
1.516000
1.104000
0.482200
1.243500

0.746400
0.746400
0.746400
1.326799
1.326799
1.326799
1.326799
2.048799
2.048799
2.048799
2.048799
0.345600
0.345600
0.345600
0.345600
0.622000
0.623000
0.643400
0.622000
0.622333
0.746400
0.746400
1.105666
1.326799
2.048799
1.986000
1.707333
2.760000
2.518666
0.345600
0.746400
1.326799
1.326799
2.048799
1.752666
4.980000
5.976000
1.624680
1.353900
1.624680
1.161600
0.974000
1.161600
0.968000
1.624680
1.516000
1.104000
0.482200
1.243500

NR.CRT

DCI

COD ATC

188 N07BC02
189 N07BC02
190 N07BC02
191 N07BC02
192 R05DA04
193 R05DA04
194 R05DA04
195 R05DA04
196 R05DA04
197 R05DA04
198 R05DA04
199 R05DA04
200 V03AC01
201 V03AC03
202 V03AC03
203 V03AC03

METHADONUM
METHADONUM
METHADONUM
METHADONUM
CODEINUM
CODEINUM
CODEINUM
CODEINUM
CODEINUM
CODEINUM
CODEINUM
CODEINUM
DEFEROXAMINUM**3
DEFERASIROXUM***
DEFERASIROXUM***
DEFERASIROXUM***

Denumire Comerciala

forma farm.

METADON BIOEEL 20 mg
METADON BIOEEL 5 mg
METADON BIOEEL 5 mg
EPTADONE
FOSFAT DE CODEINA 15 mg
CODEINA FOSFORICA
FARMACOD
CODEINA FOSFAT 15 mg
CODEINA FOSFAT

COMPR.
COMPR.
COMPR.
SOL. ORALA
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
CODEINA FOSFAT LPH 15 mg COMPR.
CODEINA FOSFAT MCC 15 mg COMPR.
CODEINA FOSFAT 15 mg
COMPR.
DESFERAL
LIOF. PT. SOL. INJ./PERF.
EXJADE 125mg
COMPR. DISP.
EXJADE 250mg
COMPR. DISP.
EXJADE 500mg
COMPR. DISP.

concentratie

20mg
5mg
5mg
5mg/ml
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
500mg
125mg
250mg
500mg

SINTOFARM SA
BIO EEL SRL
FARMACOM SA

TARA
DET. APP
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

OZONE LABORATORIES LTD.

MAREA BRITANIE

DETINATOR APP

BIO EEL SRL


BIO EEL SRL
BIO EEL SRL

AMBALAJ

Prescriptie

CUTIE X 5 BLIST. AL/PVC-PVDC X 10 COMPR. P-TS


CUTIE X 2 BLIST. AL/PVC-PVDC X 10 COMPR. P-TS
CUTIE X 5 BLIST. AL/PVC-PVDC X 10 COMPR. P-TS

CUTIE CU 1 FL. X 1000ML

PS

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.


CUTIE X 1 BLIST. AL/PVC X 25 COMPR.

P-RF

CUTIE X 2 BLIST. X 10 COMPR.

P-RF
P-RF

MAGISTRA C & C SRL ROMANIA


OZONE LABORATORIES PHARMA S.A. ROMANIA

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 1 BLIST. AL/PVC X 20 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 10 FLAC. DIN STICLA X 500 MG LIOF. PT. SOL. INJ./PERF.

S/P-RF

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 28 COMPR. DISP.(BLIST. PVC/PE/PVDC/AL)

P-RF/R

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL)

P-RF/R

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL)

P-RF/R

ROMASTRU TRADING S.R.L.

SLAVIA PHARM SRL ROMANIA


LABORMED PHARMA SA ROMANIA

P-RF

P-RF
P-RF
P-RF
P-RF

VAL.SUPORT
ATAT CNAS/
PRET
UT(RON)AMANU
PRET
LEGEA NR. VAL.SUPORT
NTUL
MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
CANT
a) si f)
ADULTI
(RON)
ITATE (RON)

50
20
50
1
30
25
20
20
20
20
20
20
10
28
28
28

60.17
1.203400
1.203400
1.203400
6.21
0.310500
0.310500
0.310500
15.53
0.310600
0.310600
0.310600
529.74 529.740000 529.740000 529.740000
5.93
0.197666
0.175800
0.175800
5.07
0.202800
0.175800
0.175800
2.99
0.149500
0.149500
0.149500
2.93
0.146500
0.146500
0.146500
2.99
0.149500
0.149500
0.149500
3.16
0.158000
0.158000
0.158000
3.61
0.180500
0.175800
0.175800
2.93
0.146500
0.146500
0.146500
135.91 13.591000 13.591000 13.591000
779.15 27.826785 27.826785 27.826785
1,612.72 57.597142 57.597142 57.597142
2,904.03 103.715357 103.715357 103.715357

9. EPILEPSIE - G11
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29

N03AA02
N03AA02
N03AA02
N03AB02
N03AB02
N03AE01
N03AE01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01

PHENOBARBITALUM
PHENOBARBITALUM
PHENOBARBITALUM
PHENYTOINUM
PHENYTOINUM
CLONAZEPAMUM
CLONAZEPAMUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM

FENOBARBITAL 100 mg
FENOBARBITAL 100 mg
FENOBARBITAL 200 mg/ 2 ml
FENITOIN 100 mg
PHENHYDAN 250 mg/5 ml
RIVOTRIL
RIVOTRIL 2 mg
TEGRETOL (R) 200

COMPR.
COMPR.
SOL. INJ.
COMPR.
SOL. INJ.
COMPR.
COMPR.
COMPR.
CARBAMAZEPINA LPH 200 mg COMPR.
CARBAVIM
COMPR.
CARBEPSIL 200
COMPR.
TAVER
COMPR.
CARBAMAZEPIN
COMPR.
CARBAMAZEPIN EEL
COMPR.
FINLEPSIN
COMPR.
CARBAMAZEPINA ARENA 200 mg COMPR.
TAVER
COMPR.
CARBAMAZEPINA
COMPR.
CARBEPSIL 400
COMPR.
CARBAMAZEPINA ARENA 400 mg COMPR.

100 mg
100mg
10%
100mg
250mg/5ml
0,5mg
2mg
200mg
200mg
200mg
200mg
200mg
200mg
200mg
200mg
200mg
200mg
200mg
400mg
400mg
NEUROTOP (R) RETARD 300 mg COMPR. ELIB. PREL. 300mg
NEUROTOP (R) RETARD 600 mg COMPR. ELIB. PREL. 600mg
TEGRETOL CR 200
COMPR. FILM. ELIB. PREL.
200mg
TEGRETOL CR 400
COMPR. FILM. ELIB. PREL.
400mg
FINLEPSIN 400 RETARD
COMPR. FILM. ELIB. PREL.
400mg
TIMONIL 150 RETARD
COMPR. RET. 150mg
TIMONIL 300 RETARD
COMPR. RET. 300mg
TIMONIL 600 RETARD
COMPR. RET. 600mg
FINLEPSIN 200 RETARD
COMPR.FILM.ELIB.PREL 200mg

ZENTIVA SA
ROMANIA CUTIE X 1 BLIST. AL/PVC X 25 COMPR. P-RF
SC ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. X 10 COMPR.
P-RF
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

ROMANIA
ROCHE ROMANIA S.R.L. ROMANIA

CUTIE X 1 FLAC. DIN STICLA BRUNA X 50 COMPR.

P-RF

DESITIN ARZNEIMITTEL GMBH

ROCHE ROMANIA S.R.L.

CUTIE CU 1 FLAC. DIN STICLA BRUNA X 30 COMPR. P-RF

NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L

LABORMED PHARMA SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L

VIM SPECTRUM SRL


AC HELCOR SRL
MEDOCHEMIE LTD.
SLAVIA PHARM SRL
BIO EEL SRL

ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR.


ROMANIA CUTIE X 5 BLIST. X 10 COMPR.

P-6L

CIPRU

P-6L

ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-6L

AWD PHARMA GMBH & CO.KG

GERMANIA

CUTIE X 5 BLIST. AL-HARTIE CERATA/PVC-PVDC X 10 COMPR.

P-6L

ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


MEDOCHEMIE LTD. CIPRU
CUTIE X 2 BLIST. X 10 COMPR.

P-6L

CUTIE X 5 BLIST. X 10 COMPR.

P-6L

P-6L

P-6L

ROMANIA CUTIE X 2 BLIST. AL/PVCX 10 COMPR. P-6L


AC HELCOR SRL
ROMANIA CUTIE X 5 BLIST. X 10 COMPR.
P-6L
ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. P-6L

OZONE LABORATORIES PHARMA S.A.

AUSTRIA
AUSTRIA

CUTIE X 5 BLIST. AL/PVDC-PVC X 10 COMPR. ELIB. PREL

P-6L

CUTIE X 5 BLIST. AL/PVDC-PVC X 10 COMPR. ELIB. PREL.

P-6L

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 5 BLIST. AL-PVC/PVDC X 10 COMPR. FILM. CU ELIB. PREL.

P-6L

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 3 BLIST. AL-PVC/PVDC X 10 COMPR. FILM. CU ELIB. PREL.

P-6L

CUTIE X 5 BLIST. AL-HARTIE CERATA/PVC-PVDC X 10 COMPR. FILM. ELIB. PREL.

P-6L

GEROT PHARMAZEUTIKA GMBH


GEROT PHARMAZEUTIKA GMBH

AWD PHARMA GMBH & CO.KG

GERMANIA

DESITIN
DESITIN
DESITIN

GERMANIA CUTIE X 5 BLIST. X 10 COMPR. RET. P-6L

AWD PHARMA GMBH & CO.KG

GERMANIA

Pagina 15 din 44

GERMANIA CUTIE X 5 BLIST. X 10 COMPR. RET. P-6L


GERMANIA CUTIE X 5 BLIST. X 10 COMPR. RET. P-6L
CUTIE X 5 BLIST. AL-HARTIE/PVC-PVDC X 10 COMPR. FILM. ELIB. PREL. P-6L

25
10
5
20
5
50
30
50
50
50
50
50
20
20
50
20
20
20
50
20
50
50
50
30
50
50
50
50
50

4.35
1.12
10.83
2.74
66.94
6.81
6.49
17.18
11.17
11.17
11.17
7.15
4.38
4.45
11.17
4.90
4.45
4.47
25.95
10.39
20.43
36.16
18.94
25.05
26.78
14.98
20.37
36.10
12.30

0.174000
0.112000
2.166000
0.137000
13.388000
0.136200
0.216333
0.343600
0.223400
0.223400
0.223400
0.143000
0.219000
0.222500
0.223400
0.245000
0.222500
0.223500
0.519000
0.519500
0.408600
0.723200
0.378800
0.835000
0.535600
0.299600
0.407400
0.722000
0.246000

0.134400
0.112000
2.166000
0.137000
13.388000
0.136200
0.216333
0.171600
0.171600
0.171600
0.171600
0.143000
0.171600
0.171600
0.171600
0.171600
0.171600
0.171600
0.519000
0.519500
0.408600
0.723200
0.171600
0.622800
0.535600
0.299600
0.407400
0.722000
0.171600

0.134400
0.112000
2.166000
0.137000
13.388000
0.136200
0.216333
0.171600
0.171600
0.171600
0.171600
0.143000
0.171600
0.171600
0.171600
0.171600
0.171600
0.171600
0.519000
0.519500
0.408600
0.723200
0.171600
0.622800
0.535600
0.299600
0.407400
0.722000
0.171600

NR.CRT

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

forma farm.
SUSP. ORALA
COMPR. FILM.
COMPR. FILM.

COD ATC

DCI

Denumire Comerciala

N03AF01

CARBAMAZEPINUM
OXCARBAZEPINUM
OXCARBAZEPINUM
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**

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 CHRONO 300 mg

COMPR. FILM. ELIB. PREL. DIVIZ.

DEPAKINE (R) CHRONO 500 mg

COMPR. FILM. ELIB. PREL. DIVIZ.

N03AF02
N03AF02
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01

N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09

ORFIRIL 150
DEPAKINE 200 mg
ORFIRIL 300
ORFIRIL 600
DEPAKINE (R) 400 mg/4 ml LIOFILIZAT SI SOLVENT PENTRU SOLUTIE INJECTABILA i.v.

ORFIRIL LONG 1000 mg


ORFIRIL LONG 500 mg
ORFIRIL SIROP
DEPAKINE
LAMOTIRAN 100 mg
LAMOTRIX 100 mg
EPIMIL 100 mg
PLEXXO (R) 100 mg
XEBARIN 100 mg

CAPS. ELIB. PREL.


CAPS. ELIB. PREL.
CAPS. MOI GASTROREZ.
CAPS. MOI GASTROREZ.
CAPS. MOI GASTROREZ.

COMPR. FILM. GASTROREZ.


COMPR. FILM. GASTROREZ.
COMPR. FILM. GASTROREZ.
COMPR. FILM. GASTROREZ.

LIOF. + SOLV. PT. SOL.


MINICOMPR. ELIB. PREL.
MINICOMPR. ELIB. PREL.

SIROP
SIROP
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
LAMOTRIGINE FARMAL 100 mg COMPR.
LAMICTAL 100 mg
COMPR.
LAMICTAL 100 mg
COMPR.
XEBARIN 100 mg
COMPR.
LAMOTRIGINA SUN 100 mg COMPR.
LAMOTRIX 200 mg
COMPR.
XEBARIN 200 mg
COMPR.
XEBARIN 200 mg
COMPR.
LAMOTRIGINA SUN 200 mg COMPR.
LAMICTAL 25 mg
COMPR.
LAMOTIRAN 25 mg
COMPR.
LAMOTRIX 25 mg
COMPR.
EPIMIL 25mg
COMPR.
LAMOTRIGINE FARMAL 25 mg COMPR.
LAMICTAL 25 mg
COMPR.
LAMOTRIGINA SUN 25 mg
COMPR.
PLEXXO (R) 50 mg
COMPR.
LAMOTIRAN 50 mg
COMPR.
LAMOTRIX 50 mg
COMPR.
EPIMIL 50 mg
COMPR.
XEBARIN 50 mg
COMPR.
LAMOTRIGINE FARMAL 50 mg COMPR.
LAMICTAL 50 mg
COMPR.
LAMICTAL 50 mg
COMPR.
XEBARIN 50 mg
COMPR.

concentratie

100mg/5ml
300mg
600mg
150mg
300mg
150mg
300mg
500mg
300mg
500mg
150mg
200mg
300mg
600mg
400mg/4ml
1000mg
500mg
300mg/5ml
57,64mg/ml
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
200mg
200mg
200mg
200mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg

DETINATOR APP
DESITIN ARZNEIMITTEL GMBH

TARA
DET. APP

AMBALAJ

Prescriptie

GERMANIA

CUTIE X 1 FLACON X 250 ML SUSP.ORALA + MASURA DOZATOARE

P-6L

NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-6L
NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-6L
DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 1 FLAC. DIN PP X 50 CAPS. CU MINICOMPR. CU ELIB. PRELUNG.

P-6L

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 1 FLAC. DIN PP X 50 CAPS. CU MINICOMPR. CU ELIB. PREL.

P-6L

GEROT PHARMAZEUTIKA GMBH

CUTIE X 10 BLIST. AL/PVDC-PVC X 10 CAPS. MOI GASTROREZ.

P-6L

CUTIE X 10 BLIST. AL/PVDC-PVC X 10 CAPS. MOI GASTROREZ.

P-6L

CUTIE X 10 BLIST. AL/PVDC-PVCX 10 CAPS. MOI GASTROREZ.

P-6L

CUTIE X 2 FLAC. DIN PP X 50 COMPR. FILM. ELIB. PREL., DIVIZIBILE

P-6L

SANOFI-AVENTIS FRANCE

AUSTRIA
AUSTRIA
AUSTRIA
FRANTA
FRANTA

CUTIE X 1 FLAC. X 30 COMPR. FILM. ELIB. PREL. DIVIZIBILE

P-6L

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 COMPR.FILM. GASTROREZ.

P-6L

SANOFI-AVENTIS FRANCE

FRANTA

CUTIE X 1 FLAC. DIN PP X 40 COMPR. FILM. GASTROREZ.

P-6L

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 1 FLAC. DIN PP X 100 COMPR. FILM. GASTROREZ.

P-6L

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 1 FLAC. DIN PP X 50 COMPR. FILM. GASTROREZ.

P-6L

SANOFI-AVENTIS FRANCE

FRANTA

CUTIE X 4 FLAC. CU LIOF. PT. SOL. INJ. + 4 FIOLE SOLV. X 4ML S/P-RF

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 50 MINIPLICURI. DIN PET/AL/PE CU MINICOMPR. CU ELIB. PRELUNG.

P-6L

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 50 MINIPLICURI. DIN PET/AL/PE CU MINICOMPR. CU ELIB. PRELUNG.

P-6L

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 1 FLACON X 250 ML + LINGURITA DOZATOARE PP A 5 ML

P-6L

SANOFI - AVENTIS FRANCE

FRANTA

CUTIE X 1 FLACON X 150 ML + 1 SERINGA PT. ADMIN. ORALA

P-6L

GEROT PHARMAZEUTIKA GMBH


GEROT PHARMAZEUTIKA GMBH

SANOFI-AVENTIS FRANCE

RANBAXY UK LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVDC-PVC X 7 COMPR. P-6L


MEDOCHEMIE LTD. CIPRU
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
IVAX PHARMCEUTICALS S.R.O. CEHIA
CUTIE X 3 BLIST. PVC-PVDC/PVC-AL X 10 COMPR. P-6L
DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 3 BLIST. X 10 COMPR.
P-6L
ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR.
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 30 COMPR.
THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 COMPR.
DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR.
CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 4 BLIST. AL/PVC X 14 COMPR.
MEDOCHEMIE LTD. CIPRU
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR.
DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR.
CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 4 BLIST. AL/PVC X 14 COMPR.
THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
DR. REDDY'S LABORATORIES

P-6L

FARMAL INTERNATIONAL S.R.L.

P-RF

P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L

RANBAXY UK LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVDC-PVC X 7 COMPR. P-6L


MEDOCHEMIE LTD. CIPRU
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
IVAX PHARMCEUTICALS S.R.O. CEHIA
CUTIE X 3 BLIST. PVC--PVDC/PVC-AL X 10 COMPR. P-6L
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE CU BLIST. PVC/AL X 28 COMPR.
CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 4 BLIST. AL/PVC X 14 COMPR.

FARMAL INTERNATIONAL S.R.L.

P-RF

THE WELLCOME FOUNDATION LTD. MAREA BRITANIE

P-6L

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 3 BLIST. X 10 COMPR.

P-6L
P-6L

RANBAXY UK LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVDC-PVC X 7 COMPR. P-6L


MEDOCHEMIE LTD. CIPRU
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
IVAX PHARMCEUTICALS S.R.O. CEHIA
CUTIE X 3 BLIST. PVC-PVDC/PVC-AL X 10 COMPR. P-6L
DR. REDDY'S LABORATORIES
FARMAL INTERNATIONAL S.R.L.
THE WELLCOME FOUNDATION LTD.
THE WELLCOME FOUNDATION LTD.

DR. REDDY'S LABORATORIES

Pagina 16 din 44

ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR.


ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 30 COMPR.
MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 COMPR.
ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR.

P-6L
P-RF

P-6L
P-6L
P-6L

VAL.SUPORT
ATAT CNAS/
PRET
UT(RON)AMANU
PRET
LEGEA NR. VAL.SUPORT
NTUL
MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
CANT
a) si f)
ADULTI
(RON)
ITATE (RON)

1 22.25
50 63.97
50 116.92
50 21.69
50 36.32
100 20.03
100 32.90
100 50.52
100 34.36
30 15.87
100 28.80
40 10.60
100 37.13
50 39.53
4 125.57
50 93.80
50 58.78
1 35.83
1 22.85
28 26.35
30 28.52
30 28.52
30 28.52
28 26.61
30 28.51
30 42.47
28 39.65
28 26.61
56 51.50
30 98.35
28 50.53
28 50.53
56 98.35
30 11.00
28
6.58
30
7.16
30
7.16
30
7.16
28 10.28
56 13.50
30 14.24
28 13.17
30 14.24
30 14.24
28 13.28
30 14.25
30 21.90
28 20.45
28 13.28

22.250000
1.279400
2.338400
0.433800
0.726400
0.200300
0.329000
0.505200
0.343600
0.529000
0.288000
0.265000
0.371300
0.790600
31.392500
1.876000
1.175600
35.830000
22.850000
0.941071
0.950666
0.950666
0.950666
0.950357
0.950333
1.415666
1.416071
0.950357
0.919642
3.278333
1.804642
1.804642
1.756250
0.366666
0.235000
0.238666
0.238666
0.238666
0.367142
0.241071
0.474666
0.470357
0.474666
0.474666
0.474285
0.475000
0.730000
0.730357
0.474285

22.250000
1.279400
2.338400
0.240360
0.394800
0.200300
0.329000
0.505200
0.343600
0.529000
0.240360
0.265000
0.371300
0.790600
31.392500
1.876000
0.606240
35.830000
22.850000
0.941071
0.950666
0.950666
0.950666
0.950357
0.950333
1.103570
1.103570
0.950357
0.919642
2.107500
1.804642
1.804642
1.756250
0.151200
0.151200
0.151200
0.151200
0.151200
0.151200
0.151200
0.474666
0.470357
0.474666
0.474666
0.474285
0.475000
0.564428
0.564428
0.474285

22.250000
1.279400
2.338400
0.240360
0.394800
0.200300
0.329000
0.505200
0.343600
0.529000
0.240360
0.265000
0.371300
0.790600
31.392500
1.876000
0.606240
35.830000
22.850000
0.941071
0.950666
0.950666
0.950666
0.950357
0.950333
1.103570
1.103570
0.950357
0.919642
2.107500
1.804642
1.804642
1.756250
0.151200
0.151200
0.151200
0.151200
0.151200
0.151200
0.151200
0.474666
0.470357
0.474666
0.474666
0.474285
0.475000
0.564428
0.564428
0.474285

NR.CRT

79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99

COD ATC

DCI

N03AX09

LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**

N03AX09
N03AX09
N03AX09
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11

100 N03AX11
101 N03AX11
102 N03AX11
103 N03AX11
104 N03AX11
105 N03AX11
106 N03AX11
107 N03AX11
108 N03AX11
109 N03AX11
110 N03AX11
111 N03AX11
112 N03AX11
113 N03AX11
114 N03AX11
115 N03AX11
116 N03AX11
117 N03AX11
118 N03AX11
119 N03AX11
120 N03AX11
121 N03AX11
122 N03AX11
123 N03AX11
124 N03AX11
125 N03AX11
126 N03AX11
127 N03AX11

Denumire Comerciala

LAMOTRIGINA SUN 50 mg
LAMOTRIN 100 mg
LAMOTRIN 25 mg
LAMOTRIN 50 mg
TOPAMAX 100 mg
TOPRAN 100 mg
TOPIRAMAT TEVA 100 mg
TOPIRAMAT ACTAVIS 100 mg

ZIDOXER 100 mg
TORLEPTA 100 mg
TOPILEX 100 mg
LUSITRAX 100mg
ZIDOXER 100 mg
ZIDOXER 100 mg
TORLEPTA 100 mg
NEXTOP 100 mg
TOPIRAMAT BLUEFISH 100 mg
TOPIRAMAT BLUEFISH 100 mg

ETOPRO 100 mg
ETOPRO 100 mg
TOPRAN 200 mg
TOPIRAMAT TEVA 200 mg
ZIDOXER 200 mg
LUSITRAX 200mg
ZIDOXER 200 mg
ZIDOXER 200 mg
NEXTOP 200 mg
TOPIRAMAT BLUEFISH 200 mg
TOPIRAMAT BLUEFISH 200 mg

ETOPRO 200 mg
ETOPRO 200 mg
TOPAMAX 25 mg
TOPRAN 25 mg
TOPIRAMAT TEVA 25 mg
TOPIRAMAT ACTAVIS 25 mg
ZIDOXER 25 mg
TORLEPTA 25 mg
TOPILEX 25 mg
LUSITRAX 25 mg
ZIDOXER 25 mg
ZIDOXER 25 mg
TORLEPTA 25 mg
NEXTOP 25 mg
TOPIRAMAT BLUEFISH 25 mg
TOPIRAMAT BLUEFISH 25 mg

ETOPRO 25 mg
ETOPRO 25 mg
TOPAMAX 50 mg
TOPRAN 50 mg

forma farm.

COMPR.
COMPR. DISP.
COMPR. DISP.
COMPR. DISP.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

concentratie

50mg
100mg
25mg
50mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
200mg
200mg
200mg
200mg
200mg
200mg
200mg
200mg
200mg
200mg
200mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
50mg
50mg

DETINATOR APP

CIPLA (UK) LIMITED

TARA
DET. APP
MAREA BRITANIE

ACTAVIS GROUP HF. ISLANDA


ACTAVIS GROUP HF. ISLANDA
ACTAVIS GROUP HF. ISLANDA

AMBALAJ

Prescriptie

CUTIE X 4 BLIST. AL/PVC X 14 COMPR. P-6L


CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. DISPERSABILE

P-6L

CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. DISPERSABILE

P-6L

CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. DISPERSABILE

P-6L

JOHNSON & JOHNSON D.O.O.

SLOVENIA

TERAPIA SA

ROMANIA CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. P-6L


ROMANIA CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPR. FILM. P-RF
ROMANIA CUTIE X 6 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. P-RF

TEVA PHARMACEUTICALS S.R.L.

ACTAVIS S.R.L.

CUTIE X 4 BLIST. OPA-AL-PVC/AL X 7 COMPR. FILM. P-6L

OLANDA CUTIE X BLIST. PVC-PVDC/AL X 28 COMPR. FILM.


MEDICAMENTA A.S. CEHIA
CUTIE CU BLIST. AL/AL X 30 COMPR. FILM.
LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE CU BLIST. PVC-PE - PVDC/AL X 30 COMPR. FILM.
OZONE LABORATORIES BV

ROMANIA
LABORMED PHARMA S.A. ROMANIA
LABORMED PHARMA S.A. ROMANIA
ROMASTRU TRADING S.R.L.

GLENMARK PHARMACEUTICALS SRL

REPUBLICA SLOVACA

CUTIE CU BLIST. PVC-PCTFE-PVC/AL-PVDC X 30 COMPR. FILM.

BLUEFISH PHARMACEUTICALS AB

ICN POLFA RZESZOW S.A.


ICN POLFA RZESZOW S.A.

TERAPIA SA

P-6L
P-RF

CUTIE X BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L


CUTIE X BLIST. PVC-PVDC/AL X 60 COMPR. FILM. P-6L

CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-RF

TORRENT PHARMA GMBH GERMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.


BLUEFISH PHARMACEUTICALS AB

P-6L
P-RF

P-6L

SUEDIA CUTIE CU BLIST. AL/AL X 60 COMPR. FILM. P-RF


SUEDIA CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM. P-RF
POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-6L
POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 60 COMPR. FILM. P-6L

TEVA PHARMACEUTICALS S.R.L.

ROMANIA CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. P-6L


ROMANIA CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPR. FILM. P-RF

OZONE LABORATORIES BV

OLANDA

ROMANIA
LABORMED PHARMA S.A. ROMANIA
LABORMED PHARMA S.A. ROMANIA
ROMASTRU TRADING S.R.L.

CUTIE X BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L


CUTIE CU BLIST. PVC-PCTFE-PVC/AL-PVDC X 30 COMPR. FILM.

P-RF

CUTIE X BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L


CUTIE X BLIST. PVC-PVDC/AL X 60 COMPR. FILM. P-6L

TORRENT PHARMA GMBH GERMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.

P-6L

ICN POLFA RZESZOW S.A.

SUEDIA CUTIE CU BLIST. AL/AL X 60 COMPR. FILM. P-RF


SUEDIA CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM. P-RF
POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-6L
POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 60 COMPR. FILM. P-6L

JOHNSON & JOHNSON D.O.O.

SLOVENIA

TERAPIA SA

ROMANIA CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. P-6L


ROMANIA CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPR. FILM. P-RF
ROMANIA CUTIE X 6 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. P-RF

BLUEFISH PHARMACEUTICALS AB
BLUEFISH PHARMACEUTICALS AB

ICN POLFA RZESZOW S.A.

TEVA PHARMACEUTICALS S.R.L.

ACTAVIS S.R.L.

CUTIE X 4 BLIST. OPA-AL-PVC/AL X 7 COMPR. FILM. P-6L

OLANDA CUTIE X BLIST. PVC-PVDC/AL X 28 COMPR. FILM.


MEDICAMENTA A.S. CEHIA
CUTIE CU BLIST. AL/AL X 30 COMPR. FILM.
LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE CU BLIST. PVC-PE - PVDC/AL X 30 COMPR. FILM.
OZONE LABORATORIES BV

ROMANIA
LABORMED PHARMA S.A. ROMANIA
LABORMED PHARMA S.A. ROMANIA
ROMASTRU TRADING S.R.L.

GLENMARK PHARMACEUTICALS SRL

REPUBLICA SLOVACA

CUTIE CU BLIST. PVC-PCTFE-PVC/AL-PVDC X 30 COMPR. FILM.

P-6L
P-RF

P-6L
P-RF

CUTIE X BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L


CUTIE X BLIST. PVC-PVDC/AL X 60 COMPR. FILM. P-6L

CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-RF

TORRENT PHARMA GMBH GERMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.

P-6L

ICN POLFA RZESZOW S.A.

SUEDIA CUTIE CU BLIST. AL/AL X 60 COMPR. FILM. P-RF


SUEDIA CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM. P-RF
POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-6L
POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 60 COMPR. FILM. P-6L

JOHNSON & JOHNSON D.O.O.

SLOVENIA

TERAPIA SA

ROMANIA CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM.

BLUEFISH PHARMACEUTICALS AB
BLUEFISH PHARMACEUTICALS AB

ICN POLFA RZESZOW S.A.

Pagina 17 din 44

CUTIE X 4 BLIST. OPA-AL-PVC/AL X 7 COMPR. FILM. P-6L

P-6L

VAL.SUPORT
ATAT CNAS/
PRET
UT(RON)AMANU
PRET
LEGEA NR. VAL.SUPORT
NTUL
MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
CANT
a) si f)
ADULTI
(RON)
ITATE (RON)

56
30
30
30
28
60
30
60
28
30
30
30
28
60
30
30
60
60
28
60
60
30
28
30
28
60
30
60
60
28
60
28
60
30
60
28
30
30
30
28
60
30
30
60
60
28
60
28
60

26.58
28.51
3.78
19.80
123.64
163.95
89.19
166.79
83.24
79.27
86.45
86.43
83.24
169.14
79.27
86.14
141.00
141.00
65.15
132.44
307.16
157.21
146.72
153.57
146.72
314.41
153.22
251.41
251.41
118.67
241.14
40.14
53.34
28.88
54.93
26.96
26.36
27.49
27.55
26.96
55.92
26.36
27.24
50.70
50.70
21.20
43.97
72.34
96.13

0.474642
0.950333
0.126000
0.660000
4.415714
2.732500
2.973000
2.779833
2.972857
2.642333
2.881666
2.881000
2.972857
2.819000
2.642333
2.871333
2.350000
2.350000
2.326785
2.207333
5.119333
5.240333
5.240000
5.119000
5.240000
5.240166
5.107333
4.190166
4.190166
4.238214
4.019000
1.433571
0.889000
0.962666
0.915500
0.962857
0.878666
0.916333
0.918333
0.962857
0.932000
0.878666
0.908000
0.845000
0.845000
0.757142
0.732833
2.583571
1.602166

0.474642
0.950333
0.126000
0.564428
2.648799
2.648799
2.648799
2.648799
2.648799
2.642333
2.648799
2.648799
2.648799
2.648799
2.642333
2.648799
2.350000
2.350000
2.326785
2.207333
4.822800
4.822800
4.822800
4.822800
4.822800
4.822800
4.822800
4.190166
4.190166
4.238214
4.019000
0.879399
0.879399
0.879399
0.879399
0.879399
0.878666
0.879399
0.879399
0.879399
0.879399
0.878666
0.879399
0.845000
0.845000
0.757142
0.732833
1.577142
1.577142

0.474642
0.950333
0.126000
0.564428
2.648799
2.648799
2.648799
2.648799
2.648799
2.642333
2.648799
2.648799
2.648799
2.648799
2.642333
2.648799
2.350000
2.350000
2.326785
2.207333
4.822800
4.822800
4.822800
4.822800
4.822800
4.822800
4.822800
4.190166
4.190166
4.238214
4.019000
0.879399
0.879399
0.879399
0.879399
0.879399
0.878666
0.879399
0.879399
0.879399
0.879399
0.878666
0.879399
0.845000
0.845000
0.757142
0.732833
1.577142
1.577142

NR.CRT

COD ATC

128 N03AX11
129 N03AX11
130 N03AX11
131 N03AX11
132 N03AX11
133 N03AX11
134 N03AX11
135 N03AX11
136 N03AX11
137 N03AX11
138 N03AX11
139 N03AX11
140 N03AX11
141 N03AX11
142 N03AX12
143 N03AX12
144 N03AX12
145 N03AX12
146 N03AX12
147 N03AX12
148 N03AX12
149 N03AX12
150 N03AX12
151 N03AX12
152 N03AX12
153 N03AX12
154 N03AX12
155 N03AX12
156 N03AX12
157 N03AX12
158 N03AX12
159 N03AX12
160 N03AX12
161 N03AX12
162 N03AX12
163 N03AX12
164 N03AX12
165 N03AX12
166 N03AX14
167 N03AX14
168 N03AX14
169 N03AX14
170 N03AX14
171 N03AX14
172 N03AX14
173 N03AX16
174 N03AX16
175 N03AX16
176 N03AX16

DCI

TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
PREGABALINUM***
PREGABALINUM***
PREGABALINUM***
PREGABALINUM***

forma farm.
TOPIRAMAT TEVA 50 mg
COMPR. FILM.
TOPIRAMAT ACTAVIS 50 mg COMPR. FILM.
ZIDOXER 50 mg
COMPR. FILM.
TORLEPTA 50 mg
COMPR. FILM.
TOPILEX 50 mg
COMPR. FILM.
LUSITRAX 50 mg
COMPR. FILM.
ZIDOXER 50 mg
COMPR. FILM.
ZIDOXER 50 mg
COMPR. FILM.
TORLEPTA 50 mg
COMPR. FILM.
NEXTOP 50 mg
COMPR. FILM.
TOPIRAMAT BLUEFISH 50 mg COMPR. FILM.
TOPIRAMAT BLUEFISH 50 mg COMPR. FILM.
ETOPRO 50 mg
COMPR. FILM.
ETOPRO 50 mg
COMPR. FILM.
Denumire Comerciala

GABAGAMMA 100 mg
GABAGAMMA 100 mg
GABALEPT 100 mg
GRIMODIN 100 mg
GABAGAMMA 300 mg
GABAGAMMA 300 mg
GABAGAMMA 300 mg
GABARAN 300 mg
GABALEPT 300 mg
GRIMODIN 300 mg
GABAGAMMA 400 mg
GABAGAMMA 400 mg
GABAGAMMA 400 mg
GABARAN 400 mg
GABALEPT 400 mg
GRIMODIN 400 mg
GABARAN 600 mg
GABAGAMMA 600 mg
GABAGAMMA 600 mg
GRIMODIN 600 mg
GABARAN 800 mg
GABAGAMMA 800 mg
GABAGAMMA 800 mg
GRIMODIN 800 mg
KEPPRA 1000 mg
KEPPRA 250 mg
KEPPRA 500 mg

CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

LEVETIRACETAM DESITIN 1000 mg

GRANULE ACOPERITE, IN PLIC UNIDOZA

LEVETIRACETAM DESITIN 250 mg

GRANULE ACOPERITE, IN PLIC UNIDOZA

LEVETIRACETAM DESITIN 500 mg

GRANULE ACOPERITE, IN PLIC UNIDOZA

KEPPRA 100 mg/ml


LYRICA 150 mg
LYRICA 150 mg
LYRICA 300 mg
LYRICA 300 mg

SOL. ORALA
CAPS.
CAPS.
CAPS.
CAPS.

concentratie

50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
100mg
100mg
100mg
100mg
300mg
300mg
300mg
300mg
300mg
300mg
400mg
400mg
400mg
400mg
400mg
400mg
600mg
600mg
600mg
600mg
800mg
800mg
800mg
800mg
1000mg
250mg
500mg
1000mg
250mg
500mg
100mg/ml
150mg
150mg
300mg
300mg

DETINATOR APP
TEVA PHARMACEUTICALS S.R.L.

ACTAVIS S.R.L.

TARA
DET. APP
ROMANIA
ROMANIA

AMBALAJ
CUTIE X 6 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM.

OLANDA CUTIE X BLIST. PVC-PVDC/AL X 28 COMPR. FILM.


MEDICAMENTA A.S. CEHIA
CUTIE CU BLIST. AL/AL X 30 COMPR. FILM.
LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE CU BLIST. PVC-PE - PVDC/AL X 30 COMPR. FILM.
OZONE LABORATORIES BV

ROMANIA
LABORMED PHARMA S.A. ROMANIA
LABORMED PHARMA S.A. ROMANIA
ROMASTRU TRADING S.R.L.

GLENMARK PHARMACEUTICALS SRL

REPUBLICA SLOVACA

Prescriptie

CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPR. FILM. P-RF

CUTIE CU BLIST. PVC-PCTFE-PVC/AL-PVDC X 30 COMPR. FILM.

P-RF

P-6L
P-RF

P-6L
P-RF

CUTIE X BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L


CUTIE X BLIST. PVC-PVDC/AL X 60 COMPR. FILM. P-6L

CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-RF

TORRENT PHARMA GMBH GERMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.

P-6L

ICN POLFA RZESZOW S.A.

SUEDIA CUTIE CU BLIST. AL/AL X 60 COMPR. FILM. P-RF


SUEDIA CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM. P-RF
POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-6L
POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 60 COMPR. FILM. P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 CAPS.

BLUEFISH PHARMACEUTICALS AB
BLUEFISH PHARMACEUTICALS AB

ICN POLFA RZESZOW S.A.

P-6L

PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L


EGIS PHARMACEUTICALS P.L.C.

UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 60 CAPS.

P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 CAPS.

P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L

RANBAXY UK LTD.

MAREA BRITANIE

CUTIE X 5 BLIST. PVC-PVDC/AL X 10 CAPS. P-6L

PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L


EGIS PHARMACEUTICALS P.L.C.

UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 60 CAPS.

P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 CAPS.

P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L

RANBAXY UK LTD.

MAREA BRITANIE

CUTIE X 5 BLIST. PVC-PVDC/AL X 10 CAPS. P-6L

PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L


EGIS PHARMACEUTICALS P.L.C.

UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 60 CAPS.

RANBAXY UK LTD.

MAREA BRITANIE

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. PVC/AL X 20 COMPR. FILM. P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. PVC/AL X 100 COMPR. FILM. P-6L

P-6L

CUTIE X 3 BLIST. AL-PVC-PA/AL X 10 COMPR. FILM. P-6L

EGIS PHARMACEUTICALS P.L.C.

UNGARIA

CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. P-6L

RANBAXY UK LTD.

MAREA BRITANIE

CUTIE X 3 BLIST. AL-PVC-PA/AL X 10 COMPR. FILM. P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. PVC/AL X 20 COMPR. FILM. P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. PVC/AL X 100 COMPR. FILM. P-6L

EGIS PHARMACEUTICALS P.L.C.

UCB PHARMA SA
UCB PHARMA SA
UCB PHARMA LTD

UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM.


BELGIA CUTIE X 30 COMPR. FILM.1 (BLIST. AL/PVC)
BELGIA CUTIE X 30 COMPR. FILM. (BLIST. AL/PVC)
BELGIA CUTIE X 30 COMPR. FILM. (BLIST. AL/PVC)

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE CU 30 PLICURI UNIDOZA DIN HARTIE/AL/PE CONTINAND GRANULE ACOPERITE

PRF

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE CU 30 PLICURI UNIDOZA DIN HARTIE/AL/PE CONTINAND GRANULE ACOPERITE

PRF

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE CU 30 PLICURI UNIDOZA DIN HARTIE/AL/PE CONTINAND GRANULE ACOPERITE

PRF

UCB PHARMA SA
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED

BELGIA

CUTIE X 1 FLACON X 300 ML SOL. ORALA + SERINGA PT. ADMIN. ORALA

P-RF

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)

P-RF

Pagina 18 din 44

MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE

P-6L
P-RF
P-RF
P-RF

P-RF
P-RF
P-RF

VAL.SUPORT
ATAT CNAS/
PRET
UT(RON)AMANU
PRET
LEGEA NR. VAL.SUPORT
NTUL
MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
CANT
a) si f)
ADULTI
(RON)
ITATE (RON)

30
60
28
30
30
30
28
60
30
30
60
60
28
60
100
50
100
60
50
20
100
50
100
60
50
20
100
50
100
60
30
20
100
60
30
20
100
60
30
30
30
30
30
30
1
14
56
56
14

53.04
1.768000
1.577142
1.577142
96.88
1.614666
1.577142
1.577142
49.51
1.768214
1.577142
1.577142
47.28
1.576000
1.576000
1.576000
50.61
1.687000
1.577142
1.577142
50.61
1.687000
1.577142
1.577142
49.51
1.768214
1.577142
1.577142
100.77
1.679500
1.577142
1.577142
47.28
1.576000
1.576000
1.576000
50.22
1.674000
1.577142
1.577142
83.55
1.392500
1.392500
1.392500
83.55
1.392500
1.392500
1.392500
36.80
1.314285
1.314285
1.314285
79.15
1.319166
1.319166
1.319166
59.90
0.599000
0.599000
0.599000
30.68
0.613600
0.613600
0.613600
56.50
0.565000
0.565000
0.565000
32.95
0.549166
0.549166
0.549166
71.31
1.426200
1.300800
1.300800
32.82
1.641000
1.300800
1.300800
131.99
1.319900
1.300800
1.300800
65.18
1.303600
1.300800
1.300800
131.53
1.315300
1.300800
1.300800
65.04
1.084000
1.084000
1.084000
93.42
1.868400
1.698999
1.698999
42.50
2.125000
1.698999
1.698999
173.12
1.731200
1.698999
1.698999
71.87
1.437400
1.437400
1.437400
167.18
1.671800
1.671800
1.671800
84.95
1.415833
1.415833
1.415833
64.45
2.148333
2.148333
2.148333
42.96
2.148000
2.148000
2.148000
193.44
1.934400
1.934400
1.934400
122.23
2.037166
2.037166
2.037166
103.02
3.434000
3.434000
3.434000
69.91
3.495500
3.495500
3.495500
325.65
3.256500
3.256500
3.256500
195.05
3.250833
3.250833
3.250833
341.15 11.371666
8.869999
8.869999
90.05
3.001666
2.465199
2.465199
169.51
5.650333
4.647600
4.647600
221.75
7.391666
7.391666
7.391666
61.63
2.054333
2.054333
2.054333
116.19
3.873000
3.873000
3.873000
335.29 335.290000 335.290000 335.290000
75.27
5.376428
5.376428
5.376428
285.51
5.098392
5.098392
5.098392
418.54
7.473928
7.473928
7.473928
112.94
8.067142
8.067142
8.067142

NR.CRT

COD ATC

177 N03AX16
178 N03AX16

DCI

PREGABALINUM***
PREGABALINUM***

Denumire Comerciala

LYRICA 75 mg
LYRICA 75 mg

forma farm.

concentratie

DETINATOR APP

TARA
DET. APP

CAPS.
CAPS.

75mg
75mg

PFIZER LIMITED
PFIZER LIMITED

COMPR.
COMPR.

2mg
2mg

TERAPIA SA
DESMA GMBH

CAPS. ELIB. MODIF.

100mg+25mg ROCHE ROMANIA S.R.L. ROMANIA


100mg/25mg TEVA PHARMACEUTICALS S.R.L. ROMANIA
200mg+50mg TERAPIA SA
ROMANIA
200mg+50mg ROCHE ROMANIA SRL ROMANIA
200mg/50mg TEVA PHARMACEUTICALS S.R.L. ROMANIA
250mg+25mg FARAN LABORATORIES S.A. GRECIA
250mg+25mg REMEDICA LTD.
CIPRU
250mg+25mg LEK PHARMACEUTICALS D.D. SLOVENIA

AMBALAJ

Prescriptie

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

MAREA BRITANIE
MAREA BRITANIE

P-RF

VAL.SUPORT
ATAT CNAS/
PRET
UT(RON)AMANU
PRET
LEGEA NR. VAL.SUPORT
NTUL
MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
CANT
a) si f)
ADULTI
(RON)
ITATE (RON)

14 53.08
56 191.25

3.791428
3.415178

3.791428
3.415178

3.791428
3.415178

Tratamentul se initiaz de ctre medicul n specialitatea neurologie

10. BOALA PARKINSON - G12


1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40

N04AA01
N04AA02

TRIHEXYPHENIDYLUM
BIPERIDENUM

N04BA02 COMBINATII (LEVODOPUM+BENSERAZIDUM)**

ROMPARKIN (R) 2 mg
AKINETON
MADOPAR HBS

N04BA02

COMPR.
COMBINATII (LEVODOPUM+BENSERAZIDUM)** MADOPAR (R) 250
COMPR.
COMBINATII (LEVODOPUM+BENSERAZIDUM)** MADOPAR 250
COMPR.
COMBINATII (LEVODOPUM+BENSERAZIDUM)** LEVODOPA/BENSERASIDE TEVA 200mg/50mg COMPR.
COMBINATII (LEVODOPUM+CARBIDOPUM)** ZIMOX
COMPR.
COMBINATII (LEVODOPUM+CARBIDOPUM)** CREDANIL 25/250
COMPR.
COMBINATII (LEVODOPUM+CARBIDOPUM)** NAKOM
COMPR.
COMBINATII (LEVODOPUM+CARBIDOPUM)** ISICOM 250 mg/25 mg
COMPR.
COMBINATII (LEVODOPUM+CARBIDOPUM)** DUODOPA
GEL INT.

N04BA03

COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)***

N04BA02 COMBINATII (LEVODOPUM+BENSERAZIDUM)** LEVODOPA/BENSERASIDE TEVA 100mg/25mg


N04BA02
N04BA02
N04BA02
N04BA02
N04BA02
N04BA02
N04BA02

N04BA03
N04BA03
N04BA03
N04BA03
N04BA03
N04BB01
N04BC01
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04

250mg/25mg

STALEVO 100 mg/25 mg/200 mg COMPR. FILM.


COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)*** STALEVO 125 mg/31,25 mg/200 mg COMPR. FILM.
COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)*** STALEVO 150 mg/37,5 mg/200 mg COMPR. FILM.
COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)*** STALEVO 200 mg/50 mg/200 mg COMPR. FILM.
COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)*** STALEVO 50 mg/12,5 mg/200 mg
COMPR. FILM.
COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)*** STALEVO 75 mg/18,75 mg/200 mg COMPR. FILM.

100mg/25mg/200mg

AMANTADINUM**
BROMOCRIPTINUM
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**

100mg
2,5mg
2 mg
4 mg
8 mg
0,25mg
0,25mg
0,25mg
0,25mg
0,5mg
0,5mg
0,5mg
0,5mg
1mg
1mg
1mg
1mg
2mg
2mg
2mg
2mg
2mg

VIREGYT (R)- K
BROCRIPTIN (N04BC01)
ROLPRYNA EP 2 mg
ROLPRYNA EP 4 mg
ROLPRYNA EP 8 mg

CAPS.
DRAJ.
COMPR. CU ELIBERARE PRELUNGITA

COMPR. CU ELIBERARE PRELUNGITA

COMPR. CU ELIBERARE PRELUNGITA

ROPINIROL ACTAVIS 0,25 mg COMPR. FILM.


ALETA 0,25mg
COMPR. FILM.
ALETA 0,25mg
COMPR. FILM.
ROPINIROL TEVA 0,25 mg
COMPR. FILM.
ALETA 0,5mg
COMPR. FILM.
ALETA 0,5mg
COMPR. FILM.
ROPINIROL TEVA 0,5 mg
COMPR. FILM.
ROPINIROL TEVA 0,5 mg
COMPR. FILM.
ROPINIROL ACTAVIS 1 mg COMPR. FILM.
ALETA 1mg
COMPR. FILM.
ALETA 1mg
COMPR. FILM.
ROPINIROL TEVA 1 mg
COMPR. FILM.
ROPINIROL ACTAVIS 2 mg COMPR. FILM.
ALETA 2mg
COMPR. FILM.
ALETA 2mg
COMPR. FILM.
ROPINIROL TEVA 2 mg
COMPR. FILM.
ROPINIROL TEVA 2 mg
COMPR. FILM.

125mg/31,25mg/200mg
150mg/37,5mg/200mg

200mg/50mg/200mg
50mg/12,5mg/200mg
75mg/18,5mg/200mg

GERMANIA

CUTIE X 5 BLIST. X 10 COMPR.

P-6L

CUTIE X 1 FLAC. X 100 CAPS. CU ELIB. MODIF. P-6L

CUTIE X 1 FLACON PEID X 100 COMPR. P-6L

CUTIE X 1 FLAC. X 30 COMPR.

P-6L

CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR.

P-6L

CUTIE X 1 FLACON PEID X 30 COMPR. P-6L

CUTIE X 3 BLIST. X 10 COMPR.

P-6L

DESITIN ARZNEIMITTEL GMBH

CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L


CUTIE X 10 BLIST. AL/PVC X 10 COMPR. P-6L
GERMANIA CUTIE X 10 BLIST. PP/AL X 10 COMPR. P-6L

SOLVAY PHARMACEUTICALS BV

GERMANIA

ORION CORPORATION
ORION CORPORATION
ORION CORPORATION
ORION CORPORATION
ORION CORPORATION
ORION CORPORATION

FINLANDA
FINLANDA
FINLANDA
FINLANDA
FINLANDA
FINLANDA

EGIS PHARMACEUTICALS P.L.C.

UNGARIA CUTIE X 1 FLAC. X 50 CAPS.


ROMANIA CUTIE X 2 BLIST. AL/PVC X 20 DRAJ.

BIOFARM SA

CUTIE X 7 CASETE BRUNE TRANSPARENTE X 100 GEL INT. IN PUNGA PVC

S/P-RF

CUTIE X 1 FLAC. PEID X 100 COMPR. FILM. P-RF


CUTIE X 1 FLAC. HDPE X 100 COMPR. FILM. P-6L
CUTIE X 1 FLAC. PEID X 100 COMPR. FILM. P-RF
CUTIE X 1 FLAC. PEID X 100 COMPR. FILM. P-RF
CUTIE X 1 FLAC. PEID X 100 COMPR. FILM. P-RF
CUTIE X 1 FLAC. HDPE X 100 COMPR. FILM. P-6L
P-6L
P-RF

KRKA ,D.D., NOVO MESTO SLOVENIA

CUTIE CU BLIST. OPA - AL - PVC/AL X 28 COMPR. ELIB. PREL.

PRF

KRKA ,D.D., NOVO MESTO SLOVENIA

CUTIE CU BLIST. OPA - AL - PVC/AL X 28 COMPR. ELIB. PREL.

PRF

KRKA ,D.D., NOVO MESTO SLOVENIA

CUTIE CU BLIST. OPA - AL - PVC/AL X 28 COMPR. ELIB. PREL.

PRF

ACTAVIS GROUP PTC EHF.

ISLANDA CUTIE CU BLIST. AL/AL X 21 COMPR. FILM.

P-RF

TERAPIA SA
TERAPIA SA

CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM.

P-RF

CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. FILM.

P-RF

CUTIE CU BLIST. OPA-AL-PVC/AL X 21 COMPR. FILM.

P-RF

CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM.

P-RF

CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. FILM.

P-RF

CUTIE CU BLIST. OPA-AL-PVC/AL X 21 COMPR. FILM.

P-RF

TEVA PHARMACEUTICALS S.R.L.

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
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 21 COMPR. FILM.

P-RF

TERAPIA SA
TERAPIA SA

P-RF

TEVA PHARMACEUTICALS S.R.L.

ROMANIA
ROMANIA
ROMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 21 COMPR. FILM.

P-RF

ACTAVIS GROUP PTC EHF.

ISLANDA CUTIE CU BLIST. AL/AL X 21 COMPR. FILM.

P-RF

TERAPIA SA
TERAPIA SA

ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM.

P-RF

CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. FILM.

P-RF

CUTIE CU BLIST. OPA-AL-PVC/AL X 21 COMPR. FILM.

P-RF

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.

P-RF

TEVA PHARMACEUTICALS S.R.L.

TERAPIA SA
TERAPIA SA
TEVA PHARMACEUTICALS S.R.L.

TEVA PHARMACEUTICALS S.R.L.


TEVA PHARMACEUTICALS S.R.L.

Pagina 19 din 44

CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM.

CUTIE X 3 BLIST.PVC-ACLAR/AL X 10 COMPR. FILM. P-RF

50
50
100
100
30
30
30
30
20
100
100
7
100
100
100
100
100
100
50
40
28
28
28
21
30
30
21
30
30
21
28
21
30
30
21
21
30
30
21
28

19.26
10.45
58.18
37.83
47.79
23.93
15.55
18.98
19.08
61.31
73.70
3,385.40

410.43
410.43
410.43
539.33
410.43
410.43
16.87
20.91
39.43
74.81
141.94
6.24
8.95
8.95
6.26
17.06
17.06
11.94
15.92
22.73
32.48
32.48
22.74
30.55
42.23
42.23
35.35
47.15

0.385200
0.385200
0.385200
0.209000
0.209000
0.209000
0.581800
0.453960
0.453960
0.378300
0.378300
0.378300
1.593000
0.621999
0.621999
0.797666
0.621999
0.621999
0.518333
0.518333
0.518333
0.632666
0.632666
0.632666
0.954000
0.735720
0.735720
0.613100
0.613100
0.613100
0.737000
0.735720
0.735720
483.628571 483.628571 483.628571
4.104300
4.104300
4.104300
4.104300
4.104300
4.104300
4.104300
4.104300
4.104300
5.393300
5.393300
5.393300
4.104300
4.104300
4.104300
4.104300
4.104300
4.104300
0.337400
0.337400
0.337400
0.522750
0.522750
0.522750
1.408214
1.408214
1.408214
2.671785
2.671785
2.671785
5.069285
5.069285
5.069285
0.297142
0.297142
0.297142
0.298333
0.298333
0.298333
0.298333
0.298333
0.298333
0.298095
0.298095
0.298095
0.568666
0.568666
0.568666
0.568666
0.568666
0.568666
0.568571
0.568571
0.568571
0.568571
0.568571
0.568571
1.082380
1.082380
1.082380
1.082666
1.082666
1.082666
1.082666
1.082666
1.082666
1.082857
1.082857
1.082857
1.454761
1.454761
1.454761
1.407666
1.407666
1.407666
1.407666
1.407666
1.407666
1.683333
1.683333
1.683333
1.683928
1.683928
1.683928

NR.CRT

41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89

COD ATC

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
N04BC09
N04BC09
N04BC09
N04BC09
N04BC09
N04BC09
N04BC09
N04BC09
N04BD01

DCI

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**
ROTIGOTINUM***
ROTIGOTINUM***
ROTIGOTINUM***
ROTIGOTINUM***
ROTIGOTINUM***
ROTIGOTINUM***
ROTIGOTINUM***
ROTIGOTINUM***
SELEGILINUM

Denumire Comerciala

ROPISON 2 mg
ROPISON 2 mg
ROPISON 2 mg
ROPINIROL ACTAVIS 5 mg
ALETA 5mg
ALETA 5mg
ROPINIROL TEVA 5 mg
REQUIP-MODUTAB 2 mg
REQUIP-MODUTAB 4 mg
REQUIP-MODUTAB 8 mg
OPRYMEA 0,088mg
PRAMIPEXOL TORRENT 0,088 mg

MIRAPEXIN 0,18 mg
OPRYMEA 0,18mg
GLEPARK 0,18 mg
PRAMIPEXOL TEVA 0,18mg
PRAMIPEXOL SANDOZ 0,18 mg

MEDOPEXOL 0,18 mg
GLEPARK 0,18 mg
PRAMIPEXOL RANBAXY 0,18 mg
PRAMIPEXOL TORRENT 0,18 mg
PRAMIPEXOL BLUEFISH 0,18 mg
PRAMIPEXOL TORRENT 0,35 mg
PRAMIPEXOL TORRENT 0,54 mg

MIRAPEXIN 0,7 mg
OPRYMEA 0,7mg
GLEPARK 0,7 mg
PRAMIPEXOL TEVA 0,7mg
PRAMIPEXOL SANDOZ 0,7 mg

MEDOPEXOL 0,7 mg
GLEPARK 0,7 mg
PRAMIPEXOL RANBAXY 0,7 mg
PRAMIPEXOL TORRENT 0,7 mg
PRAMIPEXOL BLUEFISH 0,7 mg
PRAMIPEXOL TORRENT 1,1 mg

MIRAPEXIN 0,26 mg
MIRAPEXIN 0,52 mg
MIRAPEXIN 1,05 mg
MIRAPEXIN 2,1 mg
MIRAPEXIN 3,15 mg
NEUPRO 2mg/24h
NEUPRO 2mg/24h
NEUPRO 4mg/24h
NEUPRO 4mg/24h
NEUPRO 6mg/24h
NEUPRO 6mg/24h
NEUPRO 8mg/24h
NEUPRO 8mg/24h
SELEGOS

forma farm.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM. ELIB. PREL.
COMPR. FILM. ELIB. PREL.
COMPR. FILM. ELIB. PREL.

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
PLASTURE TRANSDERMIC
PLASTURE TRANSDERMIC
PLASTURE TRANSDERMIC
PLASTURE TRANSDERMIC
PLASTURE TRANSDERMIC
PLASTURE TRANSDERMIC
PLASTURE TRANSDERMIC
PLASTURE TRANSDERMIC

COMPR.

concentratie

2mg
2mg
2mg
5mg
5mg
5mg
5mg
2mg
4mg
8mg
0,088mg
0,088mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,35mg
0,54mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
1,1mg
0,26mg
0,52mg
1,05mg
2,1mg
3,15mg
2mg/24h
2mg/24h
4mg/24h
4mg/24h
6mg/24h
6mg/24h
8mg/24h
8mg/24h
5mg

DETINATOR APP

TARA
DET. APP

AMBALAJ

Prescriptie

P-RF

GLENMARK PHARMACEUTICALS SRL

REPUBLICA SLOVACA

CUTIE CU BLIST. PVC-PE-ACLAR/AL X 28 COMPR. FILM.

GLENMARK PHARMACEUTICALS SRL

REPUBLICA SLOVACA

CUTIE CU BLIST. AL/AL X 21 COMPR. FILM. P-RF

GLENMARK PHARMACEUTICALS SRL

REPUBLICA SLOVACA

CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-RF

ACTAVIS GROUP PTC EHF.

ISLANDA CUTIE CU BLIST. AL/AL X 21 COMPR. FILM.

P-RF

TERAPIA SA
TERAPIA SA

CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM.

P-RF

CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. FILM.

P-RF

TEVA PHARMACEUTICALS S.R.L.

ROMANIA
ROMANIA
ROMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 21 COMPR. FILM.

P-RF

SMITHKLINE BEECHAM PLC

MAREA BRITANIE CUTIE X BLIST. PVC-ACLAR/AL X 28 COMPR. FILM. ELIB. PREL.

P-RF

SMITHKLINE BEECHAM PLC

MAREA BRITANIE CUTIE X BLIST. PVC-ACLAR/AL X 28 COMPR. FILM. ELIB. PREL,

P-RF

SMITHKLINE BEECHAM PLC

MAREA BRITANIE CUTIE X BLIST. PVC-ACLAR/AL X 28 COMPR. FILM. ELIB. PREL.

P-RF

KRKA D.D.

SLOVENIA CUTIE X 30 COMPR. (BLIST. AL/AL)

P-RF

TORRENT PHARMA GMBH GERMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-RF


BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA

CUTIE X 3 BLIST. X 10 COMPR.

P-RF

KRKA D.D.
MEDICAMENTA A.S.
TEVA PHARMA BV
SANDOZ S.R.L.
MEDOCHEMIE LTD.

SLOVENIA CUTIE X 30 COMPR. (BLIST. AL/AL)

P-RF

CEHIA
CUTIE CU BLIST. AL/AL X 30 COMPR.
OLANDA CUTIE CU BLIST. AL/AL X 30 COMPR.

P-RF

GLENMARK PHARMACEUTICALS SRL

REPUBLICA SLOVACA

CUTIE CU BLIST. AL/AL X 30 COMPR.

RANBAXY (UK) LIMITED

MAREA BRITANIE

CUTIE CU BLIST. PA-AL-PVC X 30 COMPR. P-RF

P-RF

ROMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR.

CIPRU

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-6L

P-RF/R

P-RF

TORRENT PHARMA GMBH GERMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-RF


BLUEFISH PHARMACEUTICALS AB

SUEDIA

CUTIE CU BLIST. AL/AL X 30 COMPR.

P-6L

TORRENT PHARMA GMBH GERMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-RF


TORRENT PHARMA GMBH GERMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-RF
BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA

CUTIE X 3 BLIST. X 10 COMPR.

P-RF

KRKA D.D.
MEDICAMENTA A.S.
TEVA PHARMA BV
SANDOZ S.R.L.
MEDOCHEMIE LTD.

SLOVENIA CUTIE X 30 COMPR. (BLIST. AL/AL)

P-RF

CEHIA
CUTIE CU BLIST. AL/AL X 30 COMPR.
OLANDA CUTIE CU BLIST. AL/AL X 30 COMPR.

P-RF

GLENMARK PHARMACEUTICALS SRL

REPUBLICA SLOVACA

CUTIE CU BLIST. AL/AL X 30 COMPR.

RANBAXY (UK) LIMITED

MAREA BRITANIE

CUTIE CU BLIST. PA-AL-PVC X 30 COMPR. P-RF

P-RF

ROMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR.

CIPRU

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-6L

P-RF/R

P-RF

TORRENT PHARMA GMBH GERMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-RF


BLUEFISH PHARMACEUTICALS AB

SUEDIA

CUTIE CU BLIST. AL/AL X 30 COMPR.

P-6L

TORRENT PHARMA GMBH GERMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-RF


BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA CUTIE CU 1 BLIST.OPA-AL-PVC/AL X 10 COMPR. P-RF

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA CUTIE CU 3 BLIST.OPA-AL-PVC/AL X 10 COMPR. P-RF

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA CUTIE CU 3 BLIST.OPA-AL-PVC/AL X 10 COMPR. P-RF

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA CUTIE CU 3 BLIST.OPA-AL-PVC/AL X 10 COMPR. P-RF

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA CUTIE CU 3 BLIST.OPA-AL-PVC/AL X 10 COMPR. P-RF

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.
Pagina 20 din 44

IRLANDA
IRLANDA
IRLANDA
IRLANDA
IRLANDA
IRLANDA
IRLANDA
IRLANDA
CIPRU

CUTIE X 28 PLASTURI TRANSDERMICI


CUTIE X 7 PLASTURI TRANSDERMICI
CUTIE X 7 PLASTURI TRANSDERMICI
CUTIE X 28 PLASTURI TRANSDERMICI
CUTIE X 28 PLASTURI TRANSDERMICI
CUTIE X 7 PLASTURI TRANSDERMICI
CUTIE X 28 PLASTURI TRANSDERMICI
CUTIE X 7 PLASTURI TRANSDERMICI

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

CUTIE X 5 BLIST. DIN AL/PVC X 10 COMPR. P-6L

VAL.SUPORT
ATAT CNAS/
PRET
UT(RON)AMANU
PRET
LEGEA NR. VAL.SUPORT
NTUL
MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
CANT
a) si f)
ADULTI
(RON)
ITATE (RON)

28
21
30
21
30
30
21
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
10
30
30
30
30
28
7
7
28
28
7
28
7
50

39.43
30.55
42.23
75.89
108.45
108.45
75.90
60.64
115.10
218.37
19.52
19.46
49.19
29.75
30.00
33.02
33.04
33.04
30.00
30.49
33.10
25.01
48.34
62.78
165.89
106.39
107.24
113.70
113.70
113.70
107.24
104.96
113.76
89.39
140.21
57.44
310.38
643.55
1,216.24
1,788.93

364.54
97.00
100.46
378.27
472.80
126.06
565.54
152.36
35.88

1.408214
1.454761
1.407666
3.613809
3.615000
3.615000
3.614285
2.165714
4.110714
7.798928
0.650666
0.648666
1.639666
0.991666
1.000000
1.100666
1.101333
1.101333
1.000000
1.016333
1.103333
0.833666
1.611333
2.092666
5.529666
3.546333
3.574666
3.790000
3.790000
3.790000
3.574666
3.498666
3.792000
2.979666
4.673666
5.744000
10.346000
21.451666
40.541333
59.631000
13.019285
13.857142
14.351428
13.509642
16.885714
18.008571
20.197857
21.765714
0.717600

1.408214
1.454761
1.407666
3.613809
3.615000
3.615000
3.614285
1.689199
3.206142
6.083142
0.650666
0.648666
1.000399
0.991666
1.000000
1.000399
1.000399
1.000399
1.000000
1.000399
1.000399
0.833666
1.611333
2.092666
3.575599
3.546333
3.574666
3.575599
3.575599
3.575599
3.574666
3.498666
3.575599
2.979666
4.673666
5.744000
10.346000
21.451666
40.541333
59.631000
13.019285
13.857142
14.351428
13.509642
16.885714
18.008571
20.197857
21.765714
0.717600

1.408214
1.454761
1.407666
3.613809
3.615000
3.615000
3.614285
1.689199
3.206142
6.083142
0.650666
0.648666
1.000399
0.991666
1.000000
1.000399
1.000399
1.000399
1.000000
1.000399
1.000399
0.833666
1.611333
2.092666
3.575599
3.546333
3.574666
3.575599
3.575599
3.575599
3.574666
3.498666
3.575599
2.979666
4.673666
5.744000
10.346000
21.451666
40.541333
59.631000
13.019285
13.857142
14.351428
13.509642
16.885714
18.008571
20.197857
21.765714
0.717600

NR.CRT

90
91
92
93
94
95
96

COD ATC

N04BD01
N04BD01
N04BD02
N04BX02
N04BX02
N05AH02
N05AH02

DCI

SELEGILINUM
SELEGILINUM
RASAGILINUM***
ENTACAPONUM***
ENTACAPONUM***
CLOZAPINUM**
CLOZAPINUM**

Denumire Comerciala

SELEGOS
JUMEX 5 mg
AZILECT 1mg
COMTAN 200mg
COMTAN 200mg
LEPONEX (R) 100 mg
LEPONEX (R) 25 mg

forma farm.

concentratie

COMPR.
COMPR.
COMPR.

5mg
5mg
1mg
COMPR. FILM. 200mg
COMPR. FILM. 200mg
COMPR.
100mg
COMPR.
25mg

DETINATOR APP

TARA
DET. APP

AMBALAJ

Prescriptie

MEDOCHEMIE LTD. CIPRU


CUTIE X 10 BLIST. DIN AL/PVC X 10 COMPR. P-6L
CHINOIN PRIVATE CO. LTD. UNGARIA CUTIE X 5 BLIST. AL/AL X 10 COMPR. P-6L
TEVA PHARMA GMBH GERMANIA CUTIE X 30 COMPR.(BLIST. AL/AL) P-RF
P-RF

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 1 FLAC. DIN STICLA BRUNA CU SISTEM DE INCHIDERE SECURIZAT X 100 COMPR. FILM.

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 1 FLAC. DIN STICLA BRUNA CU SISTEM DE INCHIDERE SECURIZAT X 30 COMPR. FILM.

CUTIE X 5 BLIST. X 10 COMPR.


GERMANIA CUTIE X 5 BLIST. X 10 COMPR.

P-RF

NOVARTIS PHARMA GMBH GERMANIA

P-RF

NOVARTIS PHARMA GMBH

P-RF

VAL.SUPORT
ATAT CNAS/
PRET
UT(RON)AMANU
PRET
LEGEA NR. VAL.SUPORT
NTUL
MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
CANT
a) si f)
ADULTI
(RON)
ITATE (RON)

100
50
30
100
30
50
50

69.55
41.24
518.27
387.50
123.78
105.53
33.25

0.695500
0.824800
17.275666
3.875000
4.126000
2.110600
0.665000

0.695500
0.824800
17.275666
3.875000
4.126000
2.110600
0.665000

0.695500
0.824800
17.275666
3.875000
4.126000
2.110600
0.665000

20
30
30
30
20
20
1
5
1
10
1
1
1
1
1
1
1
100
50
100
100
20
20

2.62
2.59
2.43
3.67
2.54
22.57
396.85
238.24
88.61
23.54
77.75
58.94
125.38
108.80
122.74
108.25
13.17
103.94
54.72
79.95
77.97
13.57
16.36

0.131000
0.086333
0.081000
0.122333
0.127000
1.128500
396.850000
47.648000
88.610000
2.354000
77.750000
58.940000
125.380000
108.800000
122.740000
108.250000
13.170000
1.039400
1.094400
0.799500
0.779700
0.678500
0.818000

0.097200
0.086333
0.081000
0.097200
0.097200
1.128500
396.850000
47.648000
88.610000
2.354000
77.750000
58.940000
125.380000
108.800000
122.740000
108.250000
13.170000
1.039400
1.094400
0.799500
0.779700
0.678500
0.818000

0.097200
0.086333
0.081000
0.097200
0.097200
1.128500
396.850000
47.648000
88.610000
2.354000
77.750000
58.940000
125.380000
108.800000
122.740000
108.250000
13.170000
1.039400
1.094400
0.799500
0.779700
0.678500
0.818000

50
20
30
1
1
1

32.23
29.29
6.46
8.71
30.65
20.23

0.644600
1.464500
0.215333
8.710000
30.650000
20.230000

0.644600
1.464500
0.215333
8.710000
30.650000
20.230000

0.644600
1.464500
0.215333
8.710000
30.650000
20.230000

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
23

H02AB07
H02AB07
H02AB07
H02AB07
H02AB07

L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L04AX01
L04AX01
L04AX01
L04AX01
N07AA01
N07AA02

PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
METHOTREXATUM4
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
AZATHIOPRINUM
AZATHIOPRINUM
AZATHIOPRINUM
AZATHIOPRINUM
NEOSTIGMINI BROMIDUM
PYRIDOSTIGMINI BROMIDUM

PREDNISON MCC 5 mg
PREDNISON ARENA 5 mg
N - PREDNISON
PREDNISON 5 mg
PREDNISON - RICHTER 5 mg

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
METOTREXATE BELLON 2,5 mg COMPR.
METHOTREXAT "EBEWE" 5000 mg

METHOTREXAT "EBEWE" 500 mg


METHOTREXAT "EBEWE" 1000 mg

CONC. PT. SOL. INJ./PERF.


CONC. PT. SOL. INJ./PERF.
CONC. PT. SOL. INJ./PERF.

METHOTREXAT "EBEWE" 5 mg SOL. INJ.


METOTREXAT EBEWE 10 mg/ml
METOTREXAT EBEWE 10 mg/ml
METOTREXAT EBEWE 10 mg/ml
METOTREXAT EBEWE 10 mg/ml

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

METOJECT 50mg/ml
METOJECT 50mg/ml

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

METHOTREXAT "EBEWE" 50 mg SOL. INJ./PERF.


IMMUNOPRIN 100 mg
COMPR. FILM.
IMMUNOPRIN 100 mg
COMPR. FILM.
IMURAN (R)
COMPR. FILM.
IMMUNOPRIN 75 mg
COMPR. FILM.

NEOSTIGMINA LPH 15 mg
MESTINON 60 mg

COMPR.
DRAJ.

5mg
5mg
5mg
5mg
5mg
2,5mg
100mg/ml
100mg/ml
100mg/ml
5mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
50mg/ml
50mg/ml
10mg/ml
100mg
100mg
50mg
75mg
15mg
60mg

MAGISTRA C&C S.R.L. ROMANIA


ARENA GROUP SA ROMANIA
MEDUMAN SA
ROMANIA
SINTOFARM SA
ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
FARMEXINM S.R.L. ROMANIA

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P-RF

CUTIE X 1 FLAC. X 30 COMPR.

P-RF

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.


CUTIE X 2 BLIST. AL./PVC X 10 COMPR.

P-RF

P-RF

P-RF

EBEWE PHARMA GES.M.B.H. NFG KG

CUTIE X 20 COMPR.
P-RF/R
AUSTRIA CUTIE X 1 FLACON X 50 ML
S
AUSTRIA CUTIE X 5 FIOLE X 5 ML
S
AUSTRIA CUTIE X 1 TUB DIN MATERIAL PLASTIC X 1 FIOLA X 10 ML S
AUSTRIA CUTIE X 10 FIOLE X 1 ML
S
AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA CU AC X 1 ML SOL INJ.P-RF/R
AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA CU AC X 0,75 ML SOL INJ. P-RF/R
AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA CU AC X 2 ML SOL INJ.P-RF/R
AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA CU AC X 1,5 ML SOL INJ. P-RF/R

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,50ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL

P-RF

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,40ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL

P-RF

EBEWE PHARMA GMBH NFG. KG


EBEWE PHARMA GMBH NFG. KG
EBEWE PHARMA GMBH NFG. KG
EBEWE PHARMA GMBH NFG. KG
EBEWE PHARMA GES.M.B.H. NFG KG
EBEWE PHARMA GES.M.B.H. NFG KG
EBEWE PHARMA GES.M.B.H. NFG KG

EBEWE PHARMA GMBH NFG. KG


EBEWE PHARMA GES.M.B.H. NFG KG
EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRIA CUTIE X 1 FLACON X 5 ML


S
AUSTRIA CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM. PR
AUSTRIA CUTIE CU 1 FLAC. PEID X 50 COMPR. FILM. PR

THE WELLCOME FOUNDATION LTD. MAREA BRITANIE

CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM.

S/P-RF

AUSTRIA

CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM.

PR

EBEWE PHARMA GES.M.B.H. NFG KG

LABORMED PHARMA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 20 COMPR. P-6L


ICN POLFA RZESZOW S.A.

POLONIA CUTIE X 1 FLAC. X 20 DRAJ.

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 5 BLIST. A-PVC/PVC X 10 COMPR.

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 2 BLIST. AL-PVC/PVC X 10 COMPR. P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 1 FLAC. DIN STICLA X 30 COMPR.

P-RF

CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 2 ML

S/P-RF

CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 7,8 ML

S/P-RF

CUTIE X 1 FLAC. BICOMPARTIMENTAT (COMPARTIMENT INFERIOR) LIOF. PT. SOL. INJ. + (COMPARTIMENT SUPERIO

P-RF

S/P-RF

Tratamentul se initiaza de catre medicul in specialitatea neurologie

12. SCLEROZA MULTIPLA - G14


1
2
3
4
5
6

H02AB04
H02AB04
H02AB04
H02AB04
H02AB04
H02AB04

METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM

MEDROL A 16
COMPR.
MEDROL 32
COMPR.
MEDROL 4 mg
COMPR.
LEMOD SOLU 125 mg
LIOF. PT. SOL. INJ.
LEMOD SOLU 500 mg
LIOF. PT. SOL. INJ.
SOLU - MEDROL ACT-O-VIAL LIOF. SI SOLV.PT.SOL.INJ

16mg
32mg
4mg
125mg
500mg
250mg/4ml

ROMANIA
STADA HEMOFARM S.R.L. ROMANIA
STADA HEMOFARM S.R.L.

PFIZER EUROPE MA EEIG

Pagina 21 din 44

MAREA BRITANIE

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

H02AB07
H02AB07
H02AB07
H02AB07
H02AB07

L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01DB07
L04AX01
L04AX01
L04AX01
L04AX01

DCI

PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
METHOTREXATUM4
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
MITOXANTRONUM***
AZATHIOPRINUM
AZATHIOPRINUM
AZATHIOPRINUM
AZATHIOPRINUM

Denumire Comerciala

forma farm.

PREDNISON MCC 5 mg
PREDNISON ARENA 5 mg
N - PREDNISON
PREDNISON 5 mg
PREDNISON - RICHTER 5 mg

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
METOTREXATE BELLON 2,5 mg COMPR.
METHOTREXAT "EBEWE" 5000 mg

METHOTREXAT "EBEWE" 500 mg


METHOTREXAT "EBEWE" 1000 mg

CONC. PT. SOL. INJ./PERF.


CONC. PT. SOL. INJ./PERF.
CONC. PT. SOL. INJ./PERF.

METHOTREXAT "EBEWE" 5 mg SOL. INJ.


METOTREXAT EBEWE 10 mg/ml
METOTREXAT EBEWE 10 mg/ml
METOTREXAT EBEWE 10 mg/ml
METOTREXAT EBEWE 10 mg/ml

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

METOJECT 50mg/ml
METOJECT 50mg/ml

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

METHOTREXAT "EBEWE" 50 mg SOL. INJ./PERF.

ONKOTRONE
IMMUNOPRIN 100 mg
IMMUNOPRIN 100 mg
IMURAN (R)
IMMUNOPRIN 75 mg

CONC. PT. SOL. INJ.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

concentratie

5mg
5mg
5mg
5mg
5mg
2,5mg
100mg/ml
100mg/ml
100mg/ml
5mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
50mg/ml
50mg/ml
10mg/ml
2mg/ml
100mg
100mg
50mg
75mg

TARA
DET. APP
DETINATOR APP
MAGISTRA C&C S.R.L. ROMANIA
ARENA GROUP SA ROMANIA
MEDUMAN SA
ROMANIA
SINTOFARM SA
ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
FARMEXINM S.R.L. ROMANIA

AMBALAJ

Prescriptie

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P-RF

CUTIE X 1 FLAC. X 30 COMPR.

P-RF

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.


CUTIE X 2 BLIST. AL./PVC X 10 COMPR.

P-RF

P-RF

P-RF

EBEWE PHARMA GES.M.B.H. NFG KG

CUTIE X 20 COMPR.
P-RF/R
AUSTRIA CUTIE X 1 FLACON X 50 ML
S
AUSTRIA CUTIE X 5 FIOLE X 5 ML
S
AUSTRIA CUTIE X 1 TUB DIN MATERIAL PLASTIC X 1 FIOLA X 10 ML S
AUSTRIA CUTIE X 10 FIOLE X 1 ML
S
AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA CU AC X 1 ML SOL INJ.P-RF/R
AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA CU AC X 0,75 ML SOL INJ. P-RF/R
AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA CU AC X 2 ML SOL INJ.P-RF/R
AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA CU AC X 1,5 ML SOL INJ. P-RF/R

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,50ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL

P-RF

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,40ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL

P-RF

EBEWE PHARMA GMBH NFG. KG

AUSTRIA CUTIE X 1 FLACON X 5 ML

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

S
S
AUSTRIA CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM. PR
AUSTRIA CUTIE CU 1 FLAC. PEID X 50 COMPR. FILM. PR

BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 1 FLACON X 10 ML CONC. PT. SOL. INJ.
EBEWE PHARMA GES.M.B.H. NFG KG
EBEWE PHARMA GES.M.B.H. NFG KG

THE WELLCOME FOUNDATION LTD. MAREA BRITANIE

CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM.

S/P-RF

AUSTRIA

CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM.

PR

EBEWE PHARMA GES.M.B.H. NFG KG

VAL.SUPORT
ATAT CNAS/
PRET
UT(RON)AMANU
PRET
LEGEA NR. VAL.SUPORT
NTUL
MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
CANT
a) si f)
ADULTI
(RON)
ITATE (RON)

20
30
30
30
20
20
1
5
1
10
1
1
1
1
1
1
1
1
100
50
100
100

2.62
2.59
2.43
3.67
2.54
22.57
396.85
238.24
88.61
23.54
77.75
58.94
125.38
108.80
122.74
108.25
13.17
636.90
103.94
54.72
79.95
77.97

0.131000
0.086333
0.081000
0.122333
0.127000
1.128500
396.850000
47.648000
88.610000
2.354000
77.750000
58.940000
125.380000
108.800000
122.740000
108.250000
13.170000
636.900000
1.039400
1.094400
0.799500
0.779700

0.097200
0.086333
0.081000
0.097200
0.097200
1.128500
396.850000
47.648000
88.610000
2.354000
77.750000
58.940000
125.380000
108.800000
122.740000
108.250000
13.170000
636.900000
1.039400
1.094400
0.799500
0.779700

0.097200
0.086333
0.081000
0.097200
0.097200
1.128500
396.850000
47.648000
88.610000
2.354000
77.750000
58.940000
125.380000
108.800000
122.740000
108.250000
13.170000
636.900000
1.039400
1.094400
0.799500
0.779700

0.433800
0.726400
0.200300
0.329000
0.505200
0.343600
0.529000
0.288000
0.265000
0.371300
0.790600
31.392500
1.876000
1.175600
35.830000
22.850000
0.941071
0.950666
0.950666

0.240360
0.394800
0.200300
0.329000
0.505200
0.343600
0.529000
0.240360
0.265000
0.371300
0.790600
31.392500
1.876000
0.606240
35.830000
22.850000
0.941071
0.950666
0.950666

0.240360
0.394800
0.200300
0.329000
0.505200
0.343600
0.529000
0.240360
0.265000
0.371300
0.790600
31.392500
1.876000
0.606240
35.830000
22.850000
0.941071
0.950666
0.950666

Tratamentul se initiaza de catre medicul in specialitatea neurologie


Medicamentele specifice se prescriu numai pentru pacientii inclusi in Programul National de boli neurologice (Subprogramul de tratament al screlozei multiple)

13. BOLI PSIHICE (SCHIZOFRENIE, TULBURARI SCHIZOTIPALE SI DELIRANTE, TULBURARI AFECTIVE MAJORE, TULBURARI PSIHOTICE ACUTE SI BOLI PSIHICE COPII, AUTISM) - G15
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19

N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01

N03AX09
N03AX09
N03AX09

ACIDUM VALPROICUM + SARURI


ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**

ORFIRIL LONG 150 mg


ORFIRIL LONG 300 mg
CONVULEX (R) 150 mg
CONVULEX (R) 300 mg
CONVULEX (R) 500 mg
DEPAKINE CHRONO 300 mg

COMPR. FILM. ELIB. PREL. DIVIZ.

DEPAKINE (R) CHRONO 500 mg

COMPR. FILM. ELIB. PREL. DIVIZ.

ORFIRIL 150
DEPAKINE 200 mg
ORFIRIL 300
ORFIRIL 600
DEPAKINE (R) 400 mg/4 ml LIOFILIZAT SI SOLVENT PENTRU SOLUTIE INJECTABILA i.v.

ORFIRIL LONG 1000 mg


ORFIRIL LONG 500 mg
ORFIRIL SIROP
DEPAKINE
LAMOTIRAN 100 mg
LAMOTRIX 100 mg
EPIMIL 100 mg

CAPS. ELIB. PREL.


CAPS. ELIB. PREL.
CAPS. MOI GASTROREZ.
CAPS. MOI GASTROREZ.
CAPS. MOI GASTROREZ.

COMPR. FILM. GASTROREZ.


COMPR. FILM. GASTROREZ.
COMPR. FILM. GASTROREZ.
COMPR. FILM. GASTROREZ.

LIOF. + SOLV. PT. SOL.


MINICOMPR. ELIB. PREL.
MINICOMPR. ELIB. PREL.

SIROP
SIROP
COMPR.
COMPR.
COMPR.

150mg
300mg
150mg
300mg
500mg
300mg
500mg
150mg
200mg
300mg
600mg
400mg/4ml
1000mg
500mg
300mg/5ml
57,64mg/ml
100mg
100mg
100mg

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 1 FLAC. DIN PP X 50 CAPS. CU MINICOMPR. CU ELIB. PRELUNG.

P-6L

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 1 FLAC. DIN PP X 50 CAPS. CU MINICOMPR. CU ELIB. PREL.

P-6L

GEROT PHARMAZEUTIKA GMBH

CUTIE X 10 BLIST. AL/PVDC-PVC X 10 CAPS. MOI GASTROREZ.

P-6L

CUTIE X 10 BLIST. AL/PVDC-PVC X 10 CAPS. MOI GASTROREZ.

P-6L

CUTIE X 10 BLIST. AL/PVDC-PVCX 10 CAPS. MOI GASTROREZ.

P-6L

CUTIE X 2 FLAC. DIN PP X 50 COMPR. FILM. ELIB. PREL., DIVIZIBILE

P-6L

SANOFI-AVENTIS FRANCE

AUSTRIA
AUSTRIA
AUSTRIA
FRANTA
FRANTA

CUTIE X 1 FLAC. X 30 COMPR. FILM. ELIB. PREL. DIVIZIBILE

P-6L

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 COMPR.FILM. GASTROREZ.

P-6L

SANOFI-AVENTIS FRANCE

FRANTA

CUTIE X 1 FLAC. DIN PP X 40 COMPR. FILM. GASTROREZ.

P-6L

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 1 FLAC. DIN PP X 100 COMPR. FILM. GASTROREZ.

P-6L

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 1 FLAC. DIN PP X 50 COMPR. FILM. GASTROREZ.

P-6L

SANOFI-AVENTIS FRANCE

FRANTA

CUTIE X 4 FLAC. CU LIOF. PT. SOL. INJ. + 4 FIOLE SOLV. X 4ML S/P-RF

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 50 MINIPLICURI. DIN PET/AL/PE CU MINICOMPR. CU ELIB. PRELUNG.

P-6L

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 50 MINIPLICURI. DIN PET/AL/PE CU MINICOMPR. CU ELIB. PRELUNG.

P-6L

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 1 FLACON X 250 ML + LINGURITA DOZATOARE PP A 5 ML

P-6L

SANOFI - AVENTIS FRANCE

FRANTA

CUTIE X 1 FLACON X 150 ML + 1 SERINGA PT. ADMIN. ORALA

P-6L

GEROT PHARMAZEUTIKA GMBH


GEROT PHARMAZEUTIKA GMBH

SANOFI-AVENTIS FRANCE

RANBAXY UK LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVDC-PVC X 7 COMPR. P-6L


MEDOCHEMIE LTD. CIPRU
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
IVAX PHARMCEUTICALS S.R.O. CEHIA
CUTIE X 3 BLIST. PVC-PVDC/PVC-AL X 10 COMPR. P-6L
Pagina 22 din 44

50 21.69
50 36.32
100 20.03
100 32.90
100 50.52
100 34.36
30 15.87
100 28.80
40 10.60
100 37.13
50 39.53
4 125.57
50 93.80
50 58.78
1 35.83
1 22.85
28 26.35
30 28.52
30 28.52

NR.CRT

20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68

COD ATC

N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N04AA01
N05AD01
N05AD01
N05AD01
N05AD01
N05AD01
N05AD01
N05AD01
N05AD01
N05AE03
N05AE03
N05AE04
N05AE04
N05AE04
N05AE04
N05AE04
N05AF01
N05AF05

DCI

LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
TRIHEXYPHENIDYLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
SERTINDOL**
SERTINDOL**
ZIPRASIDONUM**
ZIPRASIDONUM**
ZIPRASIDONUM**
ZIPRASIDONUM**
ZIPRASIDONUM**
FLUPENTIXOLUM**
ZUCLOPENTHIXOLUM**

Denumire Comerciala

forma farm.

PLEXXO (R) 100 mg


XEBARIN 100 mg

COMPR.
COMPR.
LAMOTRIGINE FARMAL 100 mg COMPR.
LAMICTAL 100 mg
COMPR.
LAMICTAL 100 mg
COMPR.
XEBARIN 100 mg
COMPR.
LAMOTRIGINA SUN 100 mg COMPR.
LAMOTRIX 200 mg
COMPR.
XEBARIN 200 mg
COMPR.
XEBARIN 200 mg
COMPR.
LAMOTRIGINA SUN 200 mg COMPR.
LAMICTAL 25 mg
COMPR.
LAMOTIRAN 25 mg
COMPR.
LAMOTRIX 25 mg
COMPR.
EPIMIL 25mg
COMPR.
LAMOTRIGINE FARMAL 25 mg COMPR.
LAMICTAL 25 mg
COMPR.
LAMOTRIGINA SUN 25 mg
COMPR.
PLEXXO (R) 50 mg
COMPR.
LAMOTIRAN 50 mg
COMPR.
LAMOTRIX 50 mg
COMPR.
EPIMIL 50 mg
COMPR.
XEBARIN 50 mg
COMPR.
LAMOTRIGINE FARMAL 50 mg COMPR.
LAMICTAL 50 mg
COMPR.
LAMICTAL 50 mg
COMPR.
XEBARIN 50 mg
COMPR.
LAMOTRIGINA SUN 50 mg
COMPR.
LAMOTRIN 100 mg
COMPR. DISP.
LAMOTRIN 25 mg
COMPR. DISP.
LAMOTRIN 50 mg
COMPR. DISP.
ROMPARKIN (R) 2 mg
COMPR.
HALOPERIDOL LAROPHARM 0,5 mg COMPR.
HALOPERIDOL 1 mg
COMPR.
HALOPERIDOL 2 mg
COMPR.
HALDOL
COMPR.
HALOPERIDOL ROMPHARM 2 mg/ml PIC. OFT., SOL.

HALOPERIDOL 2 mg/ml
PIC. ORALE-SOL.
HALOPERIDOL DECANOAT SOL. INJ.
HALOPERIDOL RICHTER 5 mg/ml SOL. INJ.
SERDOLECT 16 mg
COMPR. FILM.
SERDOLECT 4 mg
COMPR. FILM.
ZELDOX (R) 40 mg
CAPS.
ZELDOX (R) 60 mg
CAPS.
ZELDOX (R) 80 mg
CAPS.
ZELDOX (R) 20 mg/ml
LIOF. PT. SOL. INJ. + SOLV.
ZELDOX (R) 10 mg/ml
SUSP. ORALA
FLUANXOL DEPOT
SOL. INJ.
CLOPIXOL (R) 10 mg
COMPR. FILM.

concentratie

100mg
100mg
100mg
100mg
100mg
100mg
100mg
200mg
200mg
200mg
200mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
100mg
25mg
50mg
2mg
0,5mg
1mg
2mg
5mg
2 mg/ml
2mg/ml
50mg/ml
5mg/ml
16mg
4mg
40mg
60mg
80mg
20mg/ml
10mg/ml
20mg/ml
10mg

DETINATOR APP
DESITIN ARZNEIMITTEL GMBH

TARA
DET. APP
GERMANIA

AMBALAJ

CUTIE X 3 BLIST. X 10 COMPR.

ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR.


FARMAL INTERNATIONAL S.R.L. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 30 COMPR.
THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 COMPR.
DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR.
CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 4 BLIST. AL/PVC X 14 COMPR.
MEDOCHEMIE LTD. CIPRU
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR.
DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR.
CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 4 BLIST. AL/PVC X 14 COMPR.
THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
DR. REDDY'S LABORATORIES

Prescriptie

P-6L
P-6L
P-RF

P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L

RANBAXY UK LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVDC-PVC X 7 COMPR. P-6L


MEDOCHEMIE LTD. CIPRU
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
IVAX PHARMCEUTICALS S.R.O. CEHIA
CUTIE X 3 BLIST. PVC--PVDC/PVC-AL X 10 COMPR. P-6L
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE CU BLIST. PVC/AL X 28 COMPR.
CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 4 BLIST. AL/PVC X 14 COMPR.

FARMAL INTERNATIONAL S.R.L.

P-RF

THE WELLCOME FOUNDATION LTD. MAREA BRITANIE

P-6L

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 3 BLIST. X 10 COMPR.

P-6L
P-6L

RANBAXY UK LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVDC-PVC X 7 COMPR. P-6L


MEDOCHEMIE LTD. CIPRU
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
IVAX PHARMCEUTICALS S.R.O. CEHIA
CUTIE X 3 BLIST. PVC-PVDC/PVC-AL X 10 COMPR. P-6L
ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-6L
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF
THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 30 COMPR. P-6L
THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 COMPR. P-6L
DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-6L
CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 4 BLIST. AL/PVC X 14 COMPR. P-6L
ACTAVIS GROUP HF. ISLANDA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. DISPERSABILE P-6L
ACTAVIS GROUP HF. ISLANDA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. DISPERSABILE P-6L
ACTAVIS GROUP HF. ISLANDA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. DISPERSABILE P-6L
TERAPIA SA
ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L
LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
ARENA GROUP SA ROMANIA 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
JANSSEN PHARMACEUTICA N.V. BELGIA
CUTIE X 1 BLIST. AL/PVC X 25 COMPR. P-RF
ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 FLACON PEJD CU PICURATOR PEJD X 10 ML PIC. OFT., SOL.
PRF
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 FLACON PICURATOR X 10ML PICATURI ORALE-SOLUTIE P-RF
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 5 FIOLE X 1 ML
P-RF
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 1 ML SOL. INJ. P-RF
DR. REDDY'S LABORATORIES

FARMAL INTERNATIONAL S.R.L.

H. LUNDBECK A/S
H. LUNDBECK A/S

DANEMARCA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

PFIZER EUROPE MA EEIG

MAREA BRITANIE

PFIZER EUROPE MA EEIG

DANEMARCA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF


P-RF

MAREA BRITANIE

CUTIE X 4 BLIST. X 14 CAPS.


CUTIE X 4 BLIST. X 14 CAPS.
CUTIE X 4 BLIST. X 14 CAPS.

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 1 FLAC. LIOF. + 1 FIOLA X 1,2 ML SOLV.

S/P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 1 FLAC. PEID OPACA, ALBA X 60 ML + SERINGA PT. ADM. ORALA PP, GRADATA, DE 2 ML

H. LUNDBECK A/S
H. LUNDBECK A/S

DANEMARCA CUTIE X 10 FIOLE DIN STICLA INCOLORA X 1 ML SOL. INJ.

Pagina 23 din 44

DANEMARCA

P-RF
P-RF

P-RF

FLAC. X 50 COMPR. FILM.

P-RF
P-RF

VAL.SUPORT
ATAT CNAS/
PRET
UT(RON)AMANU
PRET
LEGEA NR. VAL.SUPORT
NTUL
MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
CANT
a) si f)
ADULTI
(RON)
ITATE (RON)

30
28
30
30
28
28
56
30
28
28
56
30
28
30
30
30
28
56
30
28
30
30
28
30
30
28
28
56
30
30
30
50
20
30
30
25
1
1
5
5
28
30
56
56
56
1
1
10
50

28.52
0.950666
0.950666
0.950666
26.61
0.950357
0.950357
0.950357
28.51
0.950333
0.950333
0.950333
42.47
1.415666
1.103570
1.103570
39.65
1.416071
1.103570
1.103570
26.61
0.950357
0.950357
0.950357
51.50
0.919642
0.919642
0.919642
98.35
3.278333
2.107500
2.107500
50.53
1.804642
1.804642
1.804642
50.53
1.804642
1.804642
1.804642
98.35
1.756250
1.756250
1.756250
11.00
0.366666
0.151200
0.151200
6.58
0.235000
0.151200
0.151200
7.16
0.238666
0.151200
0.151200
7.16
0.238666
0.151200
0.151200
7.16
0.238666
0.151200
0.151200
10.28
0.367142
0.151200
0.151200
13.50
0.241071
0.151200
0.151200
14.24
0.474666
0.474666
0.474666
13.17
0.470357
0.470357
0.470357
14.24
0.474666
0.474666
0.474666
14.24
0.474666
0.474666
0.474666
13.28
0.474285
0.474285
0.474285
14.25
0.475000
0.475000
0.475000
21.90
0.730000
0.564428
0.564428
20.45
0.730357
0.564428
0.564428
13.28
0.474285
0.474285
0.474285
26.58
0.474642
0.474642
0.474642
28.51
0.950333
0.950333
0.950333
3.78
0.126000
0.126000
0.126000
19.80
0.660000
0.564428
0.564428
19.26
0.385200
0.385200
0.385200
3.20
0.160000
0.160000
0.160000
7.63
0.254333
0.254333
0.254333
10.68
0.356000
0.356000
0.356000
17.72
0.708800
0.708800
0.708800
4.27
4.270000
4.270000
4.270000
6.58
6.580000
6.580000
6.580000
44.00
8.800000
8.800000
8.800000
12.33
2.466000
2.466000
2.466000
479.91 17.139642 17.139642 17.139642
126.35
4.211666
4.211666
4.211666
412.84
7.372142
7.372142
7.372142
536.64
9.582857
9.582857
9.582857
577.08 10.305000 10.305000 10.305000
63.44 63.440000 63.440000 63.440000
177.25 177.250000 177.250000 177.250000
70.96
7.096000
7.096000
7.096000
22.85
0.457000
0.457000
0.457000

NR.CRT

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

N05AF05
N05AF05
N05AF05
N05AF05
N05AH02
N05AH02
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03

100 N05AH03
101 N05AH03
102 N05AH03
103 N05AH03
104 N05AH03
105 N05AH03
106 N05AH03
107 N05AH03
108 N05AH03
109 N05AH03
110 N05AH03
111 N05AH03
112 N05AH03
113 N05AH03
114 N05AH03
115 N05AH03
116 N05AH03
117 N05AH03

DCI

ZUCLOPENTHIXOLUM**
ZUCLOPENTHIXOLUM**
ZUCLOPENTHIXOLUM**
ZUCLOPENTHIXOLUM**
CLOZAPINUM**
CLOZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**

Denumire Comerciala

CLOPIXOL (R) 25 mg
CLOPIXOL 20 mg/ml
CLOPIXOL (R) DEPOT
CLOPIXOL ACUPHASE (R)
LEPONEX (R) 100 mg
LEPONEX (R) 25 mg
ZALASTA 10mg
OLAZAX 10 mg
ZALASTA 5mg
OLAZAX 5 mg
ZYPREXA 10 mg
OLANZAPINA ACCORD 10 mg

LAPOZAN 10 mg
LAPOZAN 10 mg
OLANZAPINA ACTAVIS 10 mg

BLOONIS 10 mg
OLANZAPINA DR. REDDY'S 10 mg

OLANZAPINA ACTAVIS 10 mg
OLANZAPINA MEDANA 10 mg

EGOLANZA 10 mg
NYKOB 10 mg
OLANZAPINA ACCORD 15 mg

LAPOZAN 15 mg
ZAPILUX 15 mg
OLANZAPINA DR. REDDY'S 15 mg

OLANZAPINA ACTAVIS 15 mg
OLANZAPINA MEDANA 15 mg

EGOLANZA 15 mg
NYKOB 15 mg
OLANZAPINA ACCORD 2,5 mg
OLANZAPINA DR. REDDY'S 2,5 mg

OLANZAPINA ACCORD 20 mg

ZAPILUX 20 mg
OLANZAPINA DR. REDDY'S 20 mg

OLANZAPINA ACTAVIS 20 mg
OLANZAPINA MEDANA 20 mg

EGOLANZA 20 mg
NYKOB 20 mg
ZYPREXA 5 mg
OLANZAPINA ACCORD 5 mg
LAPOZAN 5 mg
LAPOZAN 5 mg
OLANZAPINA ACTAVIS 5 mg
BLOONIS 5 mg
OLANZAPINA DR. REDDY'S 5 mg

OLANZAPINA ACTAVIS 5 mg
OLANZAPINA MEDANA 5 mg
EGOLANZA 5 mg
NYKOB 5 mg

forma farm. concentratie


DETINATOR APP
COMPR. FILM. 25mg
H. LUNDBECK A/S
PIC. ORALE-SOL.

SOL. INJ.
SOL. INJ.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

20mg/ml
200mg/ml
50mg/ml
100mg
25mg
10mg
10mg
5mg
5mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
2,5mg
2,5mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg

H. LUNDBECK A/S
H. LUNDBECK A/S
H. LUNDBECK A/S
NOVARTIS PHARMA GMBH
NOVARTIS PHARMA GMBH

TARA
DET. APP
DANEMARCA

AMBALAJ

FLAC. X 50 COMPR. FILM.

Prescriptie

P-RF

DANEMARCA CUTIE X 1 FLAC. + CAPAC SECURIZAT PT. COPII X 20 ML P-RF

CUTIE X 10 FIOLE X 1 ML
CUTIE X 5 FIOLE X 1 ML
GERMANIA CUTIE X 5 BLIST. X 10 COMPR.
GERMANIA CUTIE X 5 BLIST. X 10 COMPR.

DANEMARCA

P-RF

DANEMARCA

P-RF
P-RF
P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 28 COMPR. (BLISTER OPA/AL/PVC/AL) P-RF
GLENMARK PHARMACEUTICALS SRL

REPUBLICA CEHA

CUTIE CU BLIST. AL/AL X 28 COMPR.

P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 28 COMPR. (BLISTER OPA/AL/PVC/AL) P-RF
GLENMARK PHARMACEUTICALS SRL

REPUBLICA CEHA

CUTIE CU BLIST. AL/AL X 28 COMPR.

P-RF

ELI LILLY NEDERLAND BV

OLANDA

CUTIE X 28 COMPR. FILM. ( BLIST.AL ABUTISATE LA RECE)

P-RF

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-RF

MEDOCHEMIE LTD. CIPRU


CUTIE CU BLIST. AL/AL X 28 COMPR. FILM.
MEDOCHEMIE LTD. CIPRU
CUTIE CU BLIST. AL/AL X 30 COMPR. FILM.
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM.

P-RF

ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.


ROMANIA CUTIE CU BLIST. AL/AL X 35 COMPR. FILM.

P-RF

SANOFI - AVENTIS ROMANIA S.R.L.

DR. REDDY'S LABORATORIES

ISLANDA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM.


MEDANA PHARMA SA POLONIA CUTIE CU BLIST. OPA-AL/PVC X 30 COMPR. FILM.
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.
ACTAVIS GROUP PTC EHF.

P-RF
P-RF

P-RF
P-RF
P-RF
P-RF

ROMANIA

CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. FILM. P-RF

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-RF

PHARMASWISS MEDICINES S.R.L.

MEDOCHEMIE LTD. CIPRU


CUTIE CU BLIST. AL/AL X 28 COMPR. FILM.
SANDOZ S.R.L.
ROMANIA CUTIE CU 1 BLIST. AL/AL X 28 COMPR. FILM.

P-RF

ROMANIA CUTIE CU BLIST. AL/AL X 35 COMPR. FILM.

P-RF

DR. REDDY'S LABORATORIES

ISLANDA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM.


MEDANA PHARMA SA POLONIA CUTIE CU BLIST. OPA-AL/PVC X 30 COMPR. FILM.
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.
ACTAVIS GROUP PTC EHF.

P-RF

P-RF
P-RF
P-RF

ROMANIA

CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. FILM. P-RF

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-RF

PHARMASWISS MEDICINES S.R.L.

DR. REDDY'S LABORATORIES

ROMANIA CUTIE CU BLIST. AL/AL X 35 COMPR. FILM.

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

SANDOZ S.R.L.
DR. REDDY'S LABORATORIES

P-RF

CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-RF

ROMANIA CUTIE CU 1 BLIST. AL/AL X 28 COMPR. FILM.


ROMANIA CUTIE CU BLIST. AL/AL X 35 COMPR. FILM.

ISLANDA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM.


MEDANA PHARMA SA POLONIA CUTIE CU BLIST. OPA-AL/PVC X 30 COMPR. FILM.
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.
ACTAVIS GROUP PTC EHF.

P-RF
P-RF
P-RF
P-RF
P-RF

PHARMASWISS MEDICINES S.R.L.

ROMANIA

CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. FILM. P-RF

ELI LILLY NEDERLAND BV

OLANDA

CUTIE X 28 COMPR. FILM. ( BLIST.AL ABUTISATE LA RECE)

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

P-RF

CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-RF

MEDOCHEMIE LTD. CIPRU


CUTIE CU BLIST. AL/AL X 28 COMPR. FILM.
MEDOCHEMIE LTD. CIPRU
CUTIE CU BLIST. AL/AL X 30 COMPR. FILM.
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM.

P-RF

ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.


ROMANIA CUTIE CU BLIST. AL/AL X 35 COMPR. FILM.

P-RF

SANOFI - AVENTIS ROMANIA S.R.L.

DR. REDDY'S LABORATORIES

ISLANDA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM.


MEDANA PHARMA SA POLONIA CUTIE CU BLIST. OPA-AL/PVC X 30 COMPR. FILM.
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.
ACTAVIS GROUP PTC EHF.

PHARMASWISS MEDICINES S.R.L.

Pagina 24 din 44

ROMANIA

P-RF
P-RF

P-RF
P-RF
P-RF
P-RF

CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. FILM. P-RF

VAL.SUPORT
ATAT CNAS/
PRET
UT(RON)AMANU
PRET
LEGEA NR. VAL.SUPORT
NTUL
MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
CANT
a) si f)
ADULTI
(RON)
ITATE (RON)

50
1
10
5
50
50
28
28
28
28
28
28
28
30
30
28
35
28
30
28
28
28
28
28
35
28
30
28
28
28
35
28
28
35
28
30
28
28
28
28
28
30
30
28
35
28
30
28
28

33.18
32.31
155.96
45.94
105.53
33.25
135.36
138.05
70.63
72.35
205.78
136.18
136.20
143.31
123.43
135.94
167.20
119.31
123.36
136.18
113.28
200.63
451.91
420.15
637.72
169.70
181.71
316.14
169.61
37.13
102.40
267.50
536.65
826.67
226.28
243.10
416.76
226.14
108.50
71.78
71.78
75.56
65.07
71.57
88.15
62.82
64.99
71.78
59.64

0.663600
32.310000
15.596000
9.188000
2.110600
0.665000
4.834285
4.930357
2.522500
2.583928
7.349285
4.863571
4.864285
4.777000
4.114333
4.855000
4.777142
4.261071
4.112000
4.863571
4.045714
7.165357
16.139642
15.005357
18.220571
6.060714
6.057000
11.290714
6.057500
1.326071
2.925714
9.553571
19.166071
23.619142
8.081428
8.103333
14.884285
8.076428
3.875000
2.563571
2.563571
2.518666
2.169000
2.556071
2.518571
2.243571
2.166333
2.563571
2.130000

0.663600
32.310000
15.596000
9.188000
2.110600
0.665000
4.834285
4.854856
2.522500
2.556000
4.854856
4.854856
4.854856
4.777000
4.114333
4.854856
4.777142
4.261071
4.112000
4.854856
4.045714
7.165357
7.268400
7.268400
7.268400
6.060714
6.057000
7.268400
6.057500
1.326071
1.591285
9.553571
9.691713
9.691713
8.081428
8.103333
9.691713
8.076428
2.556000
2.556000
2.556000
2.518666
2.169000
2.556000
2.518571
2.243571
2.166333
2.556000
2.130000

0.663600
32.310000
15.596000
9.188000
2.110600
0.665000
4.834285
4.854856
2.522500
2.556000
4.854856
4.854856
4.854856
4.777000
4.114333
4.854856
4.777142
4.261071
4.112000
4.854856
4.045714
7.165357
7.268400
7.268400
7.268400
6.060714
6.057000
7.268400
6.057500
1.326071
1.591285
9.553571
9.691713
9.691713
8.081428
8.103333
9.691713
8.076428
2.556000
2.556000
2.556000
2.518666
2.169000
2.556000
2.518571
2.243571
2.166333
2.556000
2.130000

NR.CRT

COD ATC

118 N05AH03
119 N05AH03
120 N05AH03
121 N05AH03
122 N05AH03
123 N05AH03
124 N05AH03
125 N05AH03
126 N05AH03
127 N05AH03
128 N05AH03
129 N05AH03
130 N05AH03
131 N05AH03
132 N05AH03
133 N05AH03
134 N05AH03
135 N05AH03
136 N05AH03
137 N05AH03
138 N05AH03
139 N05AH03
140 N05AH03
141 N05AH03
142 N05AH03
143 N05AH03
144 N05AH03
145 N05AH03
146 N05AH03
147 N05AH03
148 N05AH03
149 N05AH03
150 N05AH03
151 N05AH03
152 N05AH03
153 N05AH03
154 N05AH03
155 N05AH03
156 N05AH03
157 N05AH03
158 N05AH03
159 N05AH03
160 N05AH03
161 N05AH03
162 N05AH03
163 N05AH03
164 N05AH03
165 N05AH03
166 N05AH03

DCI

OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**

forma farm. concentratie


OLANZAPINA ACCORD 7,5 mg COMPR. FILM. 7,5mg
OLANZAPINA DR. REDDY'S 7,5 mg COMPR. FILM. 7,5mg
Denumire Comerciala

ZYPREXA VELOTAB 10 mg
ZALASTA 10mg
OLANZAPINE TEVA 10mg
OLANZAPINA TERAPIA 10 mg

OLAZAX DISPERZI 10 mg
LAPOZAN 10 mg
LAPOZAN 10 mg
BLOONIS 10 mg

COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE

OLANZAPINA DR. REDDY'S 10 mg

COMPR. ORODISPERSABILE

OLANZAPINA TORRENT 10 mg

COMPR. ORODISPERSABILE

NYKOB 10 mg
ZYPREXA VELOTAB 15 mg
ZALASTA 15mg
OLANZAPINE TEVA 15mg
OLANZAPINA TERAPIA 15 mg

LAPOZAN 15 mg
BLOONIS 15 mg

COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE

OLANZAPINA DR. REDDY'S 15 mg

COMPR. ORODISPERSABILE

OLANZAPINA TORRENT 15 mg

COMPR. ORODISPERSABILE

NYKOB 15 mg

COMPR. ORODISPERSABILE

OLANZAPINA TORRENT 2,5 mg

COMPR. ORODISPERSABILE

ZYPREXA VELOTAB 20 mg
ZALASTA 20mg
OLANZAPINE TEVA 20mg

COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE

OLANZAPINA TERAPIA 20 mg

COMPR. ORODISPERSABILE

BLOONIS 20 mg

COMPR. ORODISPERSABILE

OLANZAPINA DR. REDDY'S 20 mg

COMPR. ORODISPERSABILE

OLANZAPINA TORRENT 20 mg

COMPR. ORODISPERSABILE

NYKOB 20 mg
ZYPREXA VELOTAB 5 mg
ZALASTA 5mg
OLANZAPINE TEVA 5mg
OLANZAPINA TERAPIA 5 mg
OLAZAX DISPERZI 5 mg
LAPOZAN 5 mg
LAPOZAN 5 mg

COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE

OLANZAPINA DR. REDDY'S 5 mg

COMPR. ORODISPERSABILE

OLANZAPINA TORRENT 5 mg

COMPR. ORODISPERSABILE

NYKOB 5 mg

COMPR. ORODISPERSABILE

OLANZAPINA TORRENT 7,5 mg

COMPR. ORODISPERSABILE

ZAPILUX 10 mg
ZAPILUX 15 mg
ZAPILUX 20 mg
ZAPILUX 5 mg
ZYPADHERA 210mg
ZYPADHERA 300mg
ZYPADHERA 405mg

FILM ORODISPERSABIL
FILM ORODISPERSABIL
FILM ORODISPERSABIL
FILM ORODISPERSABIL
PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL.

PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL.

PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL.

10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
2,5mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
7,5mg
10mg
15mg
20mg
5mg
210mg
300mg
405mg

DETINATOR APP

TARA
DET. APP

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

AMBALAJ

Prescriptie

CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-RF

DR. REDDY'S LABORATORIES

ROMANIA CUTIE CU BLIST. AL/AL X 35 COMPR. FILM.

P-RF

ELI LILLY NEDERLAND BV

OLANDA

CUTIE X 28COMPR. ORODISPERSABILE (BLIST. AL/AL )

P-RF

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE X 28 COMPR.ORODISPERSABILE. (BLISTER OPA/AL/PVC/AL)

P-RF

TEVA PHARMA BV
TERAPIA S.A.

OLANDA

CUTIE X 30 COMPR. FILM. (BLIST. OPA-AL-PVC/AL)

GLENMARK PHARMACEUTICALS SRL

REPUBLICA CEHA

ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR.

MEDOCHEMIE LTD. CIPRU


MEDOCHEMIE LTD. CIPRU
SANOFI - AVENTIS ROMANIA S.R.L.

DR. REDDY'S LABORATORIES

ROMANIA
ROMANIA

TORRENT PHARMA GMBH GERMANIA

P-RF
P-RF

CUTIE CU BLIST. AL/AL X 28 COMPR. ORODISPERSABILE P-RF


CUTIE CU BLIST. AL/AL X 30 COMPR. ORODISPERSABILE P-RF
CUTIE CU BLIST. AL/AL X 50 COMPR. ORODISPERSABILE P-RF
CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE

P-RF

CUTIE CU BLIST. OPA-AL-PVC/AL X 35 COMPR. ORODISPERSABILE

P-RF

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE

P-RF

PHARMASWISS MEDICINES S.R.L.

ROMANIA

CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE

P-RF

ELI LILLY NEDERLAND BV

OLANDA

CUTIE X 28COMPR. ORODISPERSABILE (BLIST. AL/AL )

P-RF

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE X 28 COMPR.ORODISPERSABILE. (BLISTER OPA/AL/PVC/AL)

P-RF

TEVA PHARMA BV OLANDA


TERAPIA S.A.
ROMANIA
MEDOCHEMIE LTD. CIPRU

CUTIE X 30 COMPR. FILM. (BLIST. OPA-AL-PVC/AL)

P-RF

ROMANIA
ROMANIA

CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. P-RF


CUTIE CU BLIST. AL/AL X 30 COMPR. ORODISPERSABILE P-RF
CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE

P-RF

CUTIE CU BLIST. OPA-AL-PVC/AL X 35 COMPR. ORODISPERSABILE

P-RF

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE

P-RF

CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE

P-RF

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE

P-RF

CUTIE X 28COMPR. ORODISPERSABILE (BLIST. AL/AL )

P-RF

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE X 28 COMPR.ORODISPERSABILE. (BLISTER OPA/AL/PVC/AL)

P-RF

TEVA PHARMA BV
TERAPIA S.A.

CUTIE X 30 COMPR. FILM. (BLIST. OPA-AL-PVC/AL)

P-RF

SANOFI - AVENTIS ROMANIA S.R.L.

DR. REDDY'S LABORATORIES

TORRENT PHARMA GMBH GERMANIA


PHARMASWISS MEDICINES S.R.L.

ROMANIA

TORRENT PHARMA GMBH GERMANIA


ELI LILLY NEDERLAND BV

SANOFI - AVENTIS ROMANIA S.R.L.

DR. REDDY'S LABORATORIES

OLANDA
OLANDA

ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR.


ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE
ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 35 COMPR. ORODISPERSABILE

TORRENT PHARMA GMBH GERMANIA

P-RF
P-RF
P-RF

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE

P-RF

PHARMASWISS MEDICINES S.R.L.

ROMANIA

CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE

P-RF

ELI LILLY NEDERLAND BV

OLANDA

CUTIE X 28COMPR. ORODISPERSABILE (BLIST. AL/AL )

P-RF

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE X 28 COMPR.ORODISPERSABILE. (BLISTER OPA/AL/PVC/AL)

P-RF

TEVA PHARMA BV
TERAPIA S.A.

OLANDA

CUTIE X 30 COMPR. FILM. (BLIST. OPA-AL-PVC/AL)

GLENMARK PHARMACEUTICALS SRL

REPUBLICA CEHA

ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR.

MEDOCHEMIE LTD. CIPRU


MEDOCHEMIE LTD. CIPRU

P-RF
P-RF

CUTIE CU BLIST. AL/AL X 28 COMPR. ORODISPERSABILE P-RF


CUTIE CU BLIST. AL/AL X 30 COMPR. ORODISPERSABILE P-RF
CUTIE CU BLIST. AL/AL X 50 COMPR. ORODISPERSABILE P-RF

ROMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 35 COMPR. ORODISPERSABILE

P-RF

TORRENT PHARMA GMBH GERMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE

P-RF

CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE

P-RF

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE

P-RF

CUTIE CU PLICULETE PET/AL/PE X 28 FILME ORODISPERSABILE

P-RF

CUTIE CU PLICULETE PET/AL/PE X 28 FILME ORODISPERSABILE

P-RF

CUTIE CU PLICULETE PET/AL/PE X 28 FILME ORODISPERSABILE

P-RF

DR. REDDY'S LABORATORIES

PHARMASWISS MEDICINES S.R.L.

ROMANIA

TORRENT PHARMA GMBH GERMANIA

SANDOZ S.R.L.
SANDOZ S.R.L.
SANDOZ S.R.L.
SANDOZ S.R.L.

ROMANIA
ROMANIA
ROMANIA
ROMANIA

ELI LILLY NEDERLAND BV

OLANDA
OLANDA
OLANDA

ELI LILLY NEDERLAND BV


ELI LILLY NEDERLAND BV

Pagina 25 din 44

CUTIE CU PLICULETE PET/AL/PE X 28 FILME ORODISPERSABILE

P-RF

CUTIE X 1 FLAC X 210MG PULB. + 1 FLAC. X 3ML SOLVENT

P-RF/R

CUTIE X 1 FLAC X 300MG PULB. + 1 FLAC. X 3ML SOLVENT

P-RF/R

CUTIE X 1 FLAC X 405MG PULB. + 1 FLAC. X 3ML SOLVENT

P-RF/R

VAL.SUPORT
ATAT CNAS/
PRET
UT(RON)AMANU
PRET
LEGEA NR. VAL.SUPORT
NTUL
MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
CANT
a) si f)
ADULTI
(RON)
ITATE (RON)

28
35
28
28
30
28
28
30
50
28
35
28
28
28
28
30
28
30
28
35
28
28
28
28
28
30
28
28
35
28
28
28
28
30
28
28
30
50
35
28
28
28
28
28
28
28
1
1
1

105.78
292.65
461.59
135.36
216.41
135.36
138.05
146.87
244.79
135.94
387.33
295.39
113.28
610.51
201.43
339.32
201.43
446.64
203.51
509.32
421.62
169.61
93.61
1,002.51

268.58
422.40
268.58
271.37
826.67
572.18
226.14
240.67
70.63
124.08
72.70
72.35
77.38
124.52
195.55
145.02
59.64
214.83
312.90
421.63
676.42
156.43
883.96

3.777857
3.777857
3.777857
8.361428
4.533428
4.533428
16.485357
4.854856
4.854856
4.834285
4.834285
4.834285
7.213666
4.854856
4.854856
4.834285
4.834285
4.834285
4.930357
4.854856
4.854856
4.895666
4.854856
4.854856
4.895800
4.854856
4.854856
4.855000
4.854856
4.854856
11.066571
4.854856
4.854856
10.549642
4.854856
4.854856
4.045714
4.045714
4.045714
21.803928
7.268400
7.268400
7.193928
7.193928
7.193928
11.310666
7.268400
7.268400
7.193928
7.193928
7.193928
14.888000
7.268400
7.268400
7.268214
7.268214
7.268214
14.552000
7.268400
7.268400
15.057857
7.268400
7.268400
6.057500
6.057500
6.057500
3.343214
1.591285
1.591285
35.803928
9.691713
9.691713
9.592142
9.592142
9.592142
14.080000
9.691713
9.691713
9.592142
9.592142
9.592142
9.691785
9.691713
9.691713
23.619142
9.691713
9.691713
20.435000
9.691713
9.691713
8.076428
8.076428
8.076428
8.595357
2.556000
2.556000
2.522500
2.522500
2.522500
4.136000
2.556000
2.556000
2.596428
2.556000
2.556000
2.583928
2.556000
2.556000
2.579333
2.556000
2.556000
2.490400
2.490400
2.490400
5.587142
2.556000
2.556000
5.179285
2.556000
2.556000
2.130000
2.130000
2.130000
7.672500
4.533428
4.533428
11.175000
4.854856
4.854856
15.058214
7.268400
7.268400
24.157857
9.691713
9.691713
5.586785
2.556000
2.556000
883.960000 883.960000 883.960000

1,364.46 1,364.460000 1,364.460000 1,364.460000


1,697.06 1,697.060000 1,697.060000 1,697.060000

COD ATC

DCI

167 N05AH03

OLANZAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
SULPIRIDUM
SULPIRIDUM
AMISULPRIDUM**
AMISULPRIDUM**
AMISULPRIDUM**
AMISULPRIDUM**
AMISULPRIDUM**
AMISULPRIDUM**
AMISULPRIDUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**

NR.CRT

168 N05AH04
169 N05AH04
170 N05AH04
171 N05AH04
172 N05AH04
173 N05AL01
174 N05AL01
175 N05AL05
176 N05AL05
177 N05AL05
178 N05AL05
179 N05AL05
180 N05AL05
181 N05AL05
182 N05AX08
183 N05AX08
184 N05AX08
185 N05AX08
186 N05AX08
187 N05AX08
188 N05AX08
189 N05AX08
190 N05AX08
191 N05AX08
192 N05AX08
193 N05AX08
194 N05AX08
195 N05AX08
196 N05AX08
197 N05AX08
198 N05AX08
199 N05AX08
200 N05AX08
201 N05AX08
202 N05AX08
203 N05AX08
204 N05AX08
205 N05AX08
206 N05AX08
207 N05AX08
208 N05AX08
209 N05AX08
210 N05AX08
211 N05AX08
212 N05AX08
213 N05AX08
214 N05AX08
215 N05AX08

Denumire Comerciala

forma farm.

ZYPREXA 10 mg
SEROQUEL XR 150 mg
SEROQUEL XR 200 mg
SEROQUEL XR 300 mg
SEROQUEL XR 400 mg
SEROQUEL XR 50 mg
EGLONYL (R) 50 mg
EGLONYL (R) 200 mg
AMISULPRIDA LPH 100 mg
AMISAN 200 mg
AMISULPRIDA LPH 200 mg
MIDORA 200 mg
AMISULPRIDE TEVA 400 mg
SOLIAN 200 mg
SOLIAN 400 mg
RISSET 1 mg
RISSET 1 mg
RILEPTID 1 mg
RISPERIDONE TEVA 1 mg
RISPERIDONE TEVA 1 mg
RISPERIDONA 1 mg

PULB. PT. SOL. INJ.

RISPERIDONA ACCORD 1 mg

XENOMA 1 mg
XENOMA 1 mg
SPRING 1 mg
SPRING 1 mg
SPRING 1 mg
RISPERIDONA FARMAL 1 mg
RISPERIDONE TORRENT 1 mg

RONYDAL 1 mg
XENOMA 1 mg
XENOMA 1 mg
RISPEN 1
RISSET 2 mg
RISSET 2 mg
RISPEN 2
RILEPTID 2 mg
RISPERIDONE TEVA 2 mg
RISPERIDONE TEVA 2 mg
RISON 2 mg
RISPERIDONA 2 mg
RISPERIDONA MEDOCHEMIE 2 mg

RISPERIDONA ACCORD 2 mg

XENOMA 2 mg
SPRING 2 mg
SPRING 2 mg
SPRING 2 mg
ESSENS 2 mg
RISPERIDONA FARMAL 2 mg

COMPR. ELIB. PREL.


COMPR. FILM. ELIB. PREL.
COMPR. FILM. ELIB. PREL.
COMPR. FILM. ELIB. PREL.
COMPR. FILM. ELIB. PREL.

CAPS.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. DIVIZ.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

concentratie

10mg
150mg
200mg
300mg
400mg
50mg
50mg
200mg
100mg
200mg
200mg
200mg
400mg
200mg
400mg
1 mg
1 mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
2 mg
2 mg
2 mg
2mg
2mg
2mg
2mg
2mg
2mg
2mg
2mg
2mg
2mg
2mg
2mg
2mg

DETINATOR APP

TARA
DET. APP

AMBALAJ

Prescriptie

ELI LILLY NEDERLAND BV

OLANDA CUTIE X 1 FLAC. X 10 MG PULB.PT.SOL.INJ.

P-RF

ASTRAZENECA UK LIMITED

MAREA BRITANIE CUTIE CU 6 BLIST. PVC-PCTFE/AL X 10 COMPR. ELIB. PREL.

P-RF

ASTRAZENECA UK LTD.

MAREA BRITANIE CUTIE X 6 BLIST. OPACE AL/PVC-PCTFE X 10 COMPR. FILM. ELIB. PREL. P-RF

ASTRAZENECA UK LTD.

MAREA BRITANIE CUTIE X 6 BLIST. OPACE AL/PVC-PCTFE X 10 COMPR. FILM. ELIB. PREL. P-RF

ASTRAZENECA UK LIMITED

MAREA BRITANIE CUTIE X 6 BLIST. PVC-PCTFE/AL X 10 COMPR. CU ELIB. PREL.

P-RF

ASTRAZENECA UK LTD.

MAREA BRITANIE CUTIE X 6 BLIST. OPACE DIN AL/PVC-PCTFE X 10 COMPR. FILM. ELIB. PREL.

P-RF

SANOFI-SYNTHELABO FRANCE

P-RF

SANOFI-SYNTHELABO FRANCE

FRANTA CUTIE X 2 BLIST. X 15 CAPS.


FRANTA CUTIE X 1 BLIST. X 12 COMPR.

LABORMED PHARMA S.A.

ROMANIA

PRO. MED. CS PRAHA AS

REPUBLICA CEHA

LABORMED PHARMA S.A.

TERAPIA S.A.
TEVA PHARMACEUTICALS S.R.L.

SANOFI-AVENTIS FRANCE
SANOFI-AVENTIS FRANCE

CUTIE CU BLIST. PVC/AL X 30 COMPR.


ROMANIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR.
ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR.
ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR.

FRANTA
FRANTA

P-RF

CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-RF


P-RF
P-RF
P-RF
P-RF

CUTIE X 3 BLIST. AL/PVC X 10 COMPR. DIVIZ. P-RF


CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF

PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 2 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. P-RF
PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 6 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. P-RF
EGIS PHARMACEUTICALS P.L.C.

UNGARIA
ROMANIA
TEVA PHARMACEUTICAL S.R.L. ROMANIA
ARENA GROUP S.A. ROMANIA

CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF

TEVA PHARMACEUTICAL S.R.L.

CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. P-RF

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF

TORRENT PHARMA GMBH GERMANIA

CUTIE X 2 BLIST. PVC-PEJD-PVDC/AL X 10 COMPR. FILM. P-RF


CUTIE CU 6 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF

DR. REDDY'S LABORATORIES

ROMANIA
ROMANIA
ROMANIA

ZENTIVA KS

CEHIA

CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF

DR. REDDY'S LABORATORIES


DR. REDDY'S LABORATORIES

ANTIBIOTICE S.A.
ANTIBIOTICE S.A.
ANTIBIOTICE S.A.
FARMAL INTERNATIONAL S.R.L.

ROMASTRU TRADING SRL


DR. REDDY'S LABORATORIES

CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF


CUTIE X 2 BLIST. PVC-PE-PVDC/AL-PVDC X 10 COMPR. FILM.

P-RF

CUTIE X 6 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF


CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF
CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF
CUTIE X 6 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF
CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF

CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF


CUTIE X 6 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF

PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 6 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. P-RF
PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 2 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. P-RF

ZENTIVA KS

CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF

EGIS PHARMACEUTICALS P.L.C.

CEHIA
UNGARIA
TEVA PHARMACEUTICALS S.R.L. ROMANIA
TEVA PHARMACEUTICALS S.R.L. ROMANIA
ACTAVIS GROUP HF. ISLANDA
ARENA GROUP S.A. ROMANIA
MEDOCHEMIE LTD. CIPRU

CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF


CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF
CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF
CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF
CUTIE X 2 BLIST. PVC-PE-PVDC/AL-PVDC X 10 COMPR. FILM.

P-RF

CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF

ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF

DR. REDDY'S LABORATORIES

ANTIBIOTICE S.A.
ANTIBIOTICE S.A.
ANTIBIOTICE S.A.
TERAPIA SA
FARMAL INTERNATIONAL S.R.L.

Pagina 26 din 44

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE X 6 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF


CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF
CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF
CUTIE X 6 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF

CUTIE X 3 BLIST. PVDC-PVC/AL X 10 COMPR. FILM. P-RF


CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF

VAL.SUPORT
ATAT CNAS/
PRET
UT(RON)AMANU
PRET
LEGEA NR. VAL.SUPORT
NTUL
MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
CANT
a) si f)
ADULTI
(RON)
ITATE (RON)

1
60
60
60
60
60
30
12
30
30
30
30
30
30
30
20
60
60
20
60
20
60
20
60
20
30
60
50
20
60
20
60
50
60
20
50
60
20
60
20
20
20
60
60
20
30
60
30
50

19.72
440.12
440.12
570.17
735.28
229.31
10.65
10.40
55.89
84.93
84.93
84.59
85.45
126.15
126.94
7.72
24.45
50.76
8.24
24.33
8.67
23.27
8.00
23.98
10.18
15.27
30.00
23.67
6.89
23.74
8.00
23.98
23.36
46.70
16.09
45.20
100.15
15.89
46.15
17.72
17.29
20.43
44.26
45.51
21.46
32.17
62.05
24.13
43.94

19.720000
7.335333
7.335333
9.502833
12.254666
3.821833
0.355000
0.866666
1.863000
2.831000
2.831000
2.819666
2.848333
4.205000
4.231333
0.386000
0.407500
0.846000
0.412000
0.405500
0.433500
0.387833
0.400000
0.399666
0.509000
0.509000
0.500000
0.473400
0.344500
0.395666
0.400000
0.399666
0.467200
0.778333
0.804500
0.904000
1.669166
0.794500
0.769166
0.886000
0.864500
1.021500
0.737666
0.758500
1.073000
1.072333
1.034166
0.804333
0.878800

19.720000
7.335333
7.335333
9.502833
12.254666
3.821833
0.355000
0.866666
1.863000
2.831000
2.831000
2.819666
2.848333
3.383599
3.417999
0.386000
0.407500
0.413400
0.412000
0.405500
0.413400
0.387833
0.400000
0.399666
0.413400
0.413400
0.413400
0.413400
0.344500
0.395666
0.400000
0.399666
0.413400
0.778333
0.804500
0.885199
0.885199
0.794500
0.769166
0.885199
0.864500
0.885199
0.737666
0.758500
0.885199
0.885199
0.885199
0.804333
0.878800

19.720000
7.335333
7.335333
9.502833
12.254666
3.821833
0.355000
0.866666
1.863000
2.831000
2.831000
2.819666
2.848333
3.383599
3.417999
0.386000
0.407500
0.413400
0.412000
0.405500
0.413400
0.387833
0.400000
0.399666
0.413400
0.413400
0.413400
0.413400
0.344500
0.395666
0.400000
0.399666
0.413400
0.778333
0.804500
0.885199
0.885199
0.794500
0.769166
0.885199
0.864500
0.885199
0.737666
0.758500
0.885199
0.885199
0.885199
0.804333
0.878800

COD ATC

DCI

216 N05AX08

RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**

NR.CRT

217 N05AX08
218 N05AX08
219 N05AX08
220 N05AX08
221 N05AX08
222 N05AX08
223 N05AX08
224 N05AX08
225 N05AX08
226 N05AX08
227 N05AX08
228 N05AX08
229 N05AX08
230 N05AX08
231 N05AX08
232 N05AX08
233 N05AX08
234 N05AX08
235 N05AX08
236 N05AX08
237 N05AX08
238 N05AX08
239 N05AX08
240 N05AX08
241 N05AX08
242 N05AX08
243 N05AX08
244 N05AX08
245 N05AX08
246 N05AX08
247 N05AX08
248 N05AX08
249 N05AX08
250 N05AX08
251 N05AX08
252 N05AX08
253 N05AX08
254 N05AX08
255 N05AX08
256 N05AX08
257 N05AX08
258 N05AX08
259 N05AX08
260 N05AX08
261 N05AX08
262 N05AX08
263 N05AX08
264 N05AX08

Denumire Comerciala

RISPERIDONE TORRENT 2 mg

RISPEMAR 2 mg
RISPEMAR 2 mg
RONYDAL 2 mg
XENOMA 2 mg
RISSET 3 mg
RISSET 3 mg
RILEPTID 3 mg
TORENDO 3 mg
RISPERIDONE TEVA 3 mg
RISPERIDONE TEVA 3 mg
RISON 3 mg
RISPERIDONA 3 mg
RISPERIDONA ACCORD 3 mg

XENOMA 3 mg
SPRING 3 mg
SPRING 3 mg
SPRING 3 mg
ESSENS 3 mg
RISPERIDONA FARMAL 3 mg
RISPERIDONE TORRENT 3 mg

RISPEMAR 3 mg
RISPEMAR 3 mg
RONYDAL 3 mg
XENOMA 3 mg
RISPEN 3
RISPEN 4
RISSET 4 mg
RISSET 4 mg
RILEPTID 4 mg
TORENDO 4 mg
RISPERIDONE TEVA 4 mg
RISPERIDONE TEVA 4 mg
RISON 4 mg
RISPERIDONA 4 mg
RISPERIDONA MEDOCHEMIE 4 mg

ESSENS 4 mg
XENOMA 4 mg
SPRING 4 mg
SPRING 4 mg
SPRING 4 mg
RISPERIDONA FARMAL 4 mg
RISPERIDONE TORRENT 4 mg

RISPEMAR 4 mg
RISPEMAR 4 mg
RONYDAL 4 mg
XENOMA 4 mg
ESSENS 6 mg
TORENDO Q-TAB 1 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. ORODISPERSABILE

concentratie

2mg
2mg
2mg
2mg
2mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
4 mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
6mg
1mg

DETINATOR APP

TARA
DET. APP

AMBALAJ

Prescriptie

TORRENT PHARMA GMBH GERMANIA

CUTIE X 2 BLIST. PVC-PEJD-PVDC/AL X 10 COMPR. FILM. P-RF

ICN POLFA RZESZOW POLONIA


ICN POLFA RZESZOW POLONIA
ROMASTRU TRADING SRL ROMANIA
DR. REDDY'S LABORATORIES ROMANIA
PLIVA LJUBLJANA D.O.O. SLOVENIA
PLIVA LJUBLJANA D.O.O. SLOVENIA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 20 COMPR. FILM. P-RF

UNGARIA

CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF

EGIS PHARMACEUTICALS P.L.C.

CUTIE CU BLIST. PVC-PE-PVDC/AL X 60 COMPR. FILM. P-RF


CUTIE CU 6 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF

CUTIE X 6 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF

CUTIE X 6 BLIST. PVC/PVDC-AL X 10 COMP. FILM. P-RF


CUTIE X 2 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF

ROMANIA
ROMANIA

CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF

ACTAVIS GROUP HF. ISLANDA


ARENA GROUP S.A. ROMANIA

CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF

TEVA PHARMACEUTICALS S.R.L.


TEVA PHARMACEUTICALS S.R.L.

CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF

CUTIE X 2 BLIST. PVC-PE-PVDC/AL-PVDC X 10 COMPR. FILM.

P-RF

ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE X 6 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF

TORRENT PHARMA GMBH GERMANIA

CUTIE X 2 BLIST. PVC-PEJD-PVDC/AL X 10 COMPR. FILM. P-RF

ICN POLFA RZESZOW POLONIA


ICN POLFA RZESZOW POLONIA
ROMASTRU TRADING SRL ROMANIA
DR. REDDY'S LABORATORIES ROMANIA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 20 COMPR. FILM. P-RF

ZENTIVA KS
ZENTIVA KS

CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF

DR. REDDY'S LABORATORIES

ANTIBIOTICE S.A.
ANTIBIOTICE S.A.
ANTIBIOTICE S.A.
TERAPIA SA
FARMAL INTERNATIONAL S.R.L.

CEHIA
CEHIA

CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF


CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF
CUTIE X 6 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF

CUTIE X 3 BLIST. PVDC-PVC/AL X 10 COMPR. FILM. P-RF


CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF

CUTIE CU BLIST. PVC-PE-PVDC/AL X 60 COMPR. FILM. P-RF


CUTIE CU 6 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF

CUTIE X 6 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF

CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF

PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 2 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. P-RF
PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 6 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. P-RF
EGIS PHARMACEUTICALS P.L.C.

UNGARIA

CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF

ROMANIA
ROMANIA

CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF

ACTAVIS GROUP HF. ISLANDA


ARENA GROUP S.A. ROMANIA

CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF

MEDOCHEMIE LTD. CIPRU


TERAPIA SA
ROMANIA

CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE X 6 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF

TORRENT PHARMA GMBH GERMANIA

CUTIE X 2 BLIST. PVC-PEJD-PVDC/AL X 10 COMPR. FILM. P-RF

ICN POLFA RZESZOW POLONIA


ICN POLFA RZESZOW POLONIA
ROMASTRU TRADING SRL ROMANIA
DR. REDDY'S LABORATORIES ROMANIA
TERAPIA SA
ROMANIA
KRKA D.D. NOVO MESTO SLOVENIA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 20 COMPR. FILM. P-RF

TEVA PHARMACEUTICALS S.R.L.


TEVA PHARMACEUTICALS S.R.L.

DR. REDDY'S LABORATORIES

ANTIBIOTICE S.A.
ANTIBIOTICE S.A.
ANTIBIOTICE S.A.
FARMAL INTERNATIONAL S.R.L.

Pagina 27 din 44

CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF

CUTIE X 2 BLIST. PVC-PE-PVDC/AL-PVDC X 10 COMPR. FILM.

P-RF

CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF

CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF


CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF
CUTIE X 6 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF
CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF

CUTIE CU BLIST. PVC-PE-PVDC/AL X 60 COMPR. FILM. P-RF


CUTIE CU 6 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF

CUTIE X 6 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF

CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF


CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. ORODISPERSABILE

P-RF

VAL.SUPORT
ATAT CNAS/
PRET
UT(RON)AMANU
PRET
LEGEA NR. VAL.SUPORT
NTUL
MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
CANT
a) si f)
ADULTI
(RON)
ITATE (RON)

20
20
60
60
60
60
20
60
30
20
60
20
20
60
60
20
30
60
30
50
20
20
60
60
60
50
50
20
60
60
30
60
20
20
20
20
30
60
20
30
60
50
20
20
60
60
60
30
30

16.02
17.38
52.04
52.77
45.51
75.14
27.26
143.55
34.22
26.86
74.59
27.12
29.26
68.91
73.91
34.04
51.01
95.39
39.56
66.75
27.18
26.47
74.40
81.57
73.91
65.54
85.85
35.16
100.16
192.05
47.06
99.62
34.97
36.98
36.16
71.17
49.52
98.55
46.42
67.26
126.84
92.42
32.95
34.40
99.44
109.61
98.55
67.18
12.20

0.801000
0.869000
0.867333
0.879500
0.758500
1.252333
1.363000
2.392500
1.140666
1.343000
1.243166
1.356000
1.463000
1.148500
1.231833
1.702000
1.700333
1.589833
1.318666
1.335000
1.359000
1.323500
1.240000
1.359500
1.231833
1.310800
1.717000
1.758000
1.669333
3.200833
1.568666
1.660333
1.748500
1.849000
1.808000
3.558500
1.650666
1.642500
2.321000
2.242000
2.114000
1.848400
1.647500
1.720000
1.657333
1.826833
1.642500
2.239333
0.406666

0.801000
0.869000
0.867333
0.879500
0.758500
1.252333
1.363000
1.368799
1.140666
1.343000
1.243166
1.356000
1.368799
1.148500
1.231833
1.368799
1.368799
1.368799
1.318666
1.335000
1.359000
1.323500
1.240000
1.359500
1.231833
1.310800
1.717000
1.758000
1.669333
1.882399
1.568666
1.660333
1.748500
1.849000
1.808000
1.882399
1.650666
1.642500
1.882399
1.882399
1.882399
1.848400
1.647500
1.720000
1.657333
1.826833
1.642500
2.239333
0.406666

0.801000
0.869000
0.867333
0.879500
0.758500
1.252333
1.363000
1.368799
1.140666
1.343000
1.243166
1.356000
1.368799
1.148500
1.231833
1.368799
1.368799
1.368799
1.318666
1.335000
1.359000
1.323500
1.240000
1.359500
1.231833
1.310800
1.717000
1.758000
1.669333
1.882399
1.568666
1.660333
1.748500
1.849000
1.808000
1.882399
1.650666
1.642500
1.882399
1.882399
1.882399
1.848400
1.647500
1.720000
1.657333
1.826833
1.642500
2.239333
0.406666

NR.CRT

COD ATC

265 N05AX08
266 N05AX08
267 N05AX08
268 N05AX08
269 N05AX08
270 N05AX08
271 N05AX08
272 N05AX08
273 N05AX08
274 N05AX08
275 N05AX08
276 N05AX08
277 N05AX12
278 N05AX12
279 N05AX12
280 N06AB04
281 N06AB04
282 N06AB04
283 N06AB04
284 N06AB04
285 N06AB04
286 N06AB04
287 N06AB04
288 N06AB04
289 N06AB10
290 N06AX05
291 N06AX05
292 N06AX05
293 N06AX14
294 N06AX16
295 N06AX16
296 N06AX16
297 N06AX16
298 N06AX16
299 N06AX16
300 N06AX16
301 N06AX16
302 N06AX16
303 N06AX16
304 N06AX16
305 N06AX16
306 N06AX16
307 N06AX16
308 N06AX16
309 N06AX16
310 N06AX16
311 N06AX16
312 N06AX16
313 N06AX16

DCI

RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
ARIPIPRAZOLUM**
ARIPIPRAZOLUM**
ARIPIPRAZOLUM**
CITALOPRAMUM**
CITALOPRAMUM**
CITALOPRAMUM**
CITALOPRAMUM**
CITALOPRAMUM**
CITALOPRAMUM**
CITALOPRAMUM**
CITALOPRAMUM**
CITALOPRAMUM**
ESCITALOPRAMUM**
TRAZODONUM**
TRAZODONUM**
TRAZODONUM**
TIANEPTINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**

Denumire Comerciala

ESSENS OD 1 mg
TORENDO Q-TAB 2 mg
ESSENS OD 2 mg
ESSENS OD 3 mg
RISPOLEPT CONSTA (R) 25 mg

RISPOLEPT CONSTA 25 mg
RISPOLEPT CONSTA (R) 37,5 mg

RISPOLEPT CONSTA 37,5 mg


RISPOLEPT CONSTA (R) 50 mg

RISPOLEPT CONSTA 50 mg
RISPOLEPT
RISPOLEPT
ABILIFY 10mg
ABILIFY 15mg
ABILIFY 7,5mg/ml
CITALORAN 10 mg
LINISAN 10 mg
DALSAN 10 mg
CITALORAN 20mg
LINISAN 20 mg
DALSAN 20 mg
CITALORAN 40 mg
LINISAN 40 mg
DALSAN 40 mg
CIPRALEX 10 mg
TRITTICO AC 150 mg
TRITTICO AC 75 mg
TRITTICO AC 75 mg
COAXIL (R)
IVRYX 150mg
EFECTIN ER 150 mg
VELAXIN 150 mg
ALVENTA 150mg
FOBILESS 150 mg
NOPEKAR 150 mg
ADOXA EP 150 mg
ELIFY EP 150 mg
VENLAGAMMA 150 mg
VENLAGAMMA 150 mg
JARVIS 150 mg

forma farm.
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL.

PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL.

PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL.

PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL.

PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL.

PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL.

SOL. ORALA
SOL. ORALA
COMPR.
COMPR.
SOL. INJ.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.

DRAJ.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.

VENLAFAXINA ACTAVIS 150 mg CAPS. ELIB. PREL.


VENLAFAXINA ARENA EP 150 mg CAPS. ELIB. PREL.

FOBILESS 37,5 mg
NOPEKAR 37,5 mg
ADOXA EP 37,5 mg
VENLAGAMMA 37,5 mg
VENLAGAMMA 37,5 mg

CAPS. ELIB. PREL.


CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.

VENLAFAXINA ARENA EP 37,5 mg CAPS. ELIB. PREL.

IVRYX 75mg

CAPS. ELIB. PREL.

concentratie

1mg
2mg
2mg
3mg
25mg
25mg
37,5mg
37,5mg
50mg
50mg
1mg/ml
1mg/ml
10mg
15mg
7,5mg/ml
10mg
10mg
10mg
20mg
20mg
20mg
40mg
40mg
40mg
10mg
150mg
75mg
75mg
12,5mg
150 mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
37,5mg
37,5mg
37,5mg
37,5mg
37,5mg
37,5mg
75 mg

TARA
DET. APP
TERAPIA SA
ROMANIA
KRKA D.D. NOVO MESTO SLOVENIA
TERAPIA SA
ROMANIA
TERAPIA SA
ROMANIA
DETINATOR APP

AMBALAJ

Prescriptie

CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. ORODISPERSABILE

P-RF

CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. ORODISPERSABILE

P-RF

CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. ORODISPERSABILE

P-RF

CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. ORODISPERSABILE

P-RF

JANSSEN PHARMACEUTICA N.V.

BELGIA
BELGIA
BELGIA
BELGIA
BELGIA
BELGIA
BELGIA
BELGIA

OTSUKA PHARMACEUTICAL EUROPE LTD.

MAREA BRITANIE CUTIE X 1BLIST. AL/AL PERFORAT UNIDOZA X 28 (X1) COMPR.

P-RF

OTSUKA PHARMACEUTICAL EUROPE LTD.

MAREA BRITANIE CUTIE X 1BLIST. AL/AL PERFORAT UNIDOZA X 28 (X1) COMPR.

P-RF

OTSUKA PHARMACEUTICAL EUROPE LTD.

MAREA BRITANIE

CUTIE X 1FLAC. X 1,3ML SOL.INJ

RANBAXY UK LIMITED

MAREA BRITANIE

CUTIE X 2 BLIST. PVDC-PVC/AL X 14 COMPR. FILM. P-RF

JANSSEN PHARMACEUTICA N.V.


JANSSEN PHARMACEUTICA N.V.
JANSSEN PHARMACEUTICA N.V.
JANSSEN PHARMACEUTICA N.V.
JANSSEN PHARMACEUTICA N.V.
JANSSEN PHARMACEUTICA N.V.
JANSSEN PHARMACEUTICA N.V.

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SUSP. INJ. CU ELIB. PREL. + 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 2 ML SOLV.+2 ACE STERILE PT. RECONSTITUIRE+ 1 AC PT.INJECTARE INTRAMUSCULARA

CUTIE CU UN FLAC.DIN STICLA INCOLORA CU PULB. PENTRU SUSP. INJ. CU ELIB. PREL., O SERINGA PRE-UMPLUTA DIN STICLA INCOLORA CU 2 ML SOLVENT, UN DISPOZITIV ALARIS SMARTSITE +2 ACE PENTRU INJECTARE I.M. N MUSCHIUL DELTOID SI IN MUSCHIUL GLUTEAL

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SUSP. INJ. CU ELIB. PREL. + 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 2 ML SOLV.+2 ACE STERILE PT. RECONSTITUIRE+ 1 AC PT.INJECTARE INTRAMUSCULARA

CUTIE CU UN FLAC.DIN STICLA INCOLORA CU PULB. PENTRU SUSP. INJ. CU ELIB. PREL., O SERINGA PRE-UMPLUTA DIN STICLA INCOLORA CU 2 ML SOLVENT, UN DISPOZITIV ALARIS SMARTSITE +2 ACE PENTRU INJECTARE I.M. N MUSCHIUL DELTOID SI IN MUSCHIUL GLUTEAL

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SUSP. INJ. CU ELIB. PREL. + 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 2 ML SOLV.+2 ACE STERILE PT. RECONSTITUIRE+ 1 AC PT.INJECTARE INTRAMUSCULARA

CUTIE CU UN FLAC.DIN STICLA INCOLORA CU PULB. PENTRU SUSP. INJ. CU ELIB. PREL., O SERINGA PRE-UMPLUTA DIN STICLA INCOLORA CU 2 ML SOLVENT, UN DISPOZITIV ALARIS SMARTSITE +2 ACE PENTRU INJECTARE I.M. N MUSCHIUL DELTOID SI IN MUSCHIUL GLUTEAL

CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SOL. ORALA + 1 PIPETA

ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.


UNGARIA CUTIE X 2 BLIST. AL-PVC/PVDC X 14 COMPR. FILM.

RANBAXY UK LIMITED

MAREA BRITANIE

S/P-RF
S/P-RF
S/P-RF
S/P-RF

P-RF

P-RF

P-RF
P-RF

CUTIE X 2 BLIST. PVDC-PVC/AL X 14 COMPR. FILM. P-RF

EGIS PHARMACEUTICALS P.L.C.

ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.


UNGARIA CUTIE X 2 BLIST. AL-PVC/PVDC X 14 COMPR. FILM.

RANBAXY UK LIMITED

MAREA BRITANIE

GEDEON RICHTER ROMANIA SA

S/P-RF

CUTIE X 1 FLACON DIN STICLA BRUNA X 30 ML SOL. ORALA + 1 PIPETA P-RF

EGIS PHARMACEUTICALS P.L.C.

GEDEON RICHTER ROMANIA SA

S/P-RF

P-RF
P-RF

CUTIE X 2 BLIST. PVDC-PVC/AL X 14 COMPR. FILM. P-RF

ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.


UNGARIA CUTIE X 2 BLIST. AL-PVC/PVDC X 14 COMPR. FILM.

P-RF

EGIS PHARMACEUTICALS P.L.C.

H. LUNDBECK A/S

DANEMARCA

P-RF

GEDEON RICHTER ROMANIA SA

CUTIE X 2 BLIST. TRANSPARENTE PVC-PE-PVDC/AL X 14 COMPR. FILM.

ITALIA
CUTIE X 1 BLIST. AL/PVC X 20 COMPR. ELIB. PREL.
ITALIA
CUTIE X 2 BLIST. AL/PVC X 15 COMPR. ELIB. PREL.
ANGELINI FRANCESCO SPA ITALIA
CUTIE X 1 BLIST. AL/PVC X 30 COMPR. ELIB. PREL.
LES LAB. SERVIER IND. FRANTA CUTIE X 1 BLIST. AL/PVC X 30 DRAJ.

P-RF

ANGELINI FRANCESCO SPA

P-RF

ANGELINI FRANCESCO SPA

P-RF

ROMASTRU TRADING S.R.L.

ROMANIA

WYETH LEDERLE PHARMA GMBH

AUSTRIA
UNGARIA

P-RF
P-RF

CUTIE X 2 BLIST. PCV-ACLAR/AL X 14 CAPS. CU ELIB. PREL.

P-RF

CUTIE X 1 BLIST. ACLAR/PE/PVC/AL X 28 CAPS. ELIB. PREL.

P-RF

CUTIE X 2 BLIST. PVC-PVDC/AL X 14 CAPS. CU ELIB. PREL.

P-RF

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE CU BLIST. PVC-PVDC/AL X 30 CAPS. ELIB. PREL.

P-RF

CUTIE X BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL.

P-RF

OZONE LABORATORIES BV

AUSTRIA
OLANDA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. ELIB. PREL.

P-RF

RANBAXY (UK) LIMITED

MAREA BRITANIE

CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL.

P-RF

CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL.

P-RF

EGIS PHARMACEUTICALS P.L.C.

LANNACHER HEILMITTEL GES.M.B.H.

MEDOCHEMIE LTD. CIPRU


WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU BLIST. PVC- PCTF/AL X 30 CAPS. CU ELIB. PREL.

P-RF

WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU BLIST. PVC- PCTF/AL X 100 CAPS. CU ELIB. PREL.

P-RF/S

GEDEON RICHTER ROMANIA SA

ROMANIA

CUTIE X 3 BLIST. PVC/AL X 10 CAPS. CU ELIB. PREL.

P-RF

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE CU BLIST. PVC/AL X 28 CAPS. CU ELIB. PREL.

P-RF

CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 CAPS. CU ELIB. PREL.

P-RF

ARENA GROUP S.A. ROMANIA


LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA
OZONE LABORATORIES BV OLANDA

CUTIE X BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL.

P-RF

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. CU ELIB. PREL.

P-RF
P-RF

RANBAXY (UK) LIMITED

MAREA BRITANIE

CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL.

WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU BLIST. PVC- PCTF/AL X 30 CAPS. CU ELIB. PREL.

P-RF

WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU BLIST. PVC- PCTF/AL X 100 CAPS. CU ELIB. PREL.

P-RF/S

CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 CAPS. CU ELIB. PREL.

P-RF

CUTIE X 2 BLIST. PCV-ACLAR/AL X 14 CAPS. CU ELIB. PREL.

P-RF

ARENA GROUP S.A. ROMANIA


ROMASTRU TRADING S.R.L.

Pagina 28 din 44

ROMANIA

VAL.SUPORT
ATAT CNAS/
PRET
UT(RON)AMANU
PRET
LEGEA NR. VAL.SUPORT
NTUL
MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
CANT
a) si f)
ADULTI
(RON)
ITATE (RON)

30
30
30
30
1
1
1
1
1
1
1
1
28
28
1
28
30
28
28
30
28
28
30
28
28
20
30
30
30
28
28
28
30
30
28
30
30
30
100
30
28
30
30
28
30
30
100
30
28

20.63
26.55
43.94
69.48
420.10
420.10
591.25
591.25
711.42
711.42
51.53
154.79
478.38
478.38
20.75
7.30
7.04
7.30
10.60
39.08
10.60
33.19
31.99
33.19
89.32
24.65
18.49
18.49
33.34
90.46
134.39
90.46
74.43
96.88
90.46
96.62
96.93
95.11
300.62
96.93
74.50
84.17
35.16
46.02
41.18
20.85
65.02
33.57
46.97

0.687666
0.885000
1.464666
2.316000
420.100000
420.100000
591.250000
591.250000
711.420000
711.420000
51.530000
154.790000
17.085000
17.085000
20.750000
0.260714
0.234666
0.260714
0.378571
1.302666
0.378571
1.185357
1.066333
1.185357
3.190000
1.232500
0.616333
0.616333
1.111333
3.230714
4.799642
3.230714
2.481000
3.229333
3.230714
3.220666
3.231000
3.170333
3.006200
3.231000
2.660714
2.805666
1.172000
1.643571
1.372666
0.695000
0.650200
1.119000
1.677500

0.413400
0.885000
0.885199
1.368799
420.100000
420.100000
591.250000
591.250000
711.420000
711.420000
51.530000
154.790000
17.085000
17.085000
20.750000
0.260714
0.234666
0.260714
0.378571
0.454285
0.378571
1.185357
1.066333
1.185357
3.190000
1.232500
0.616333
0.616333
1.111333
2.977200
2.977200
2.977200
2.481000
2.977200
2.977200
2.977200
2.977200
2.977200
2.977200
2.977200
2.660714
2.805666
0.780240
0.780240
0.780240
0.695000
0.650200
0.780240
1.301142

0.413400
0.885000
0.885199
1.368799
420.100000
420.100000
591.250000
591.250000
711.420000
711.420000
51.530000
154.790000
17.085000
17.085000
20.750000
0.260714
0.234666
0.260714
0.378571
0.454285
0.378571
1.185357
1.066333
1.185357
3.190000
1.232500
0.616333
0.616333
1.111333
2.977200
2.977200
2.977200
2.481000
2.977200
2.977200
2.977200
2.977200
2.977200
2.977200
2.977200
2.660714
2.805666
0.780240
0.780240
0.780240
0.695000
0.650200
0.780240
1.301142

NR.CRT

COD ATC

314 N06AX16
315 N06AX16
316 N06AX16
317 N06AX16
318 N06AX16
319 N06AX16
320 N06AX16
321 N06AX16
322 N06AX16
323 N06AX16
324 N06AX16
325 N06AX16
326 N06AX16
327 N06AX16
328 N06AX16
329 N06AX16
330 N06AX16
331 N06AX16
332 N06AX16
333 N06AX16
334 N06AX16
335 N06AX16
336 N06AX16
337 N06AX16
338 N06AX16
339 N06AX16
340 N06AX16
341 N06AX16
342 N06AX16
343 N06AX16
344 N06AX16
345 N06AX17
346 N06AX17
347 N06AX21
348 N06AX21

DCI

VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
MILNACIPRANUM**
MILNACIPRANUM**
DULOXETINUM**
DULOXETINUM**

Denumire Comerciala

EFECTIN ER 75 mg
VELAXIN 75 mg
ALVENTA 75 mg
FOBILESS 75 mg
NOPEKAR 75 mg
ADOXA EP 75 mg
ELIFY EP 75 mg
VENLAGAMMA 75 mg
VENLAGAMMA 75 mg
JARVIS 75 mg

forma farm.

concentratie

75mg
CAPS. ELIB. PREL. 75mg
CAPS. ELIB. PREL. 75mg
CAPS. ELIB. PREL. 75mg
CAPS. ELIB. PREL. 75mg
CAPS. ELIB. PREL. 75mg
CAPS. ELIB. PREL. 75mg
CAPS. ELIB. PREL. 75mg
CAPS. ELIB. PREL. 75mg
CAPS. ELIB. PREL. 75mg
VENLAFAXINA ACTAVIS 75 mg CAPS. ELIB. PREL. 75mg
VENLAFAXINA ARENA EP 75 mg CAPS. ELIB. PREL. 75mg
ADOXA 25 mg
COMPR.
25mg
ADOXA 25 mg
COMPR.
25mg
VENLAFAXINA LPH 37,5 mg COMPR.
37,5mg
VELAXIN 37,5 mg
COMPR.
37,5mg
ADOXA 37,5 mg
COMPR.
37,5mg
ADOXA 37,5 mg
COMPR.
37,5mg
VENLAFAXINA ARENA 37,5 mg COMPR.
37,5mg
ADOXA 50 mg
COMPR.
50mg
ADOXA 50 mg
COMPR.
50mg
VENLAFAXINA ARENA 50 mg COMPR.
50mg
VENLAFAXINA LPH 75 mg
COMPR.
75mg
VELAXIN 75 mg
COMPR.
75mg
ADOXA 75 mg
COMPR.
75mg
ADOXA 75 mg
COMPR.
75mg
VENLAFAXINA ARENA 75 mg COMPR.
75mg
ARGOFAN 150 SR
COMPR. ELIB. PREL. 150mg
ARGOFAN 75 SR
COMPR. ELIB. PREL. 75mg
VENLAFAXINA ACTAVIS 37,5 mg COMPR. FILM. 37,5 mg
VENLAFAXINA ACTAVIS 75 mg COMPR. FILM. 75mg
IXEL
CAPS.
25mg
IXEL
CAPS.
50mg
CYMBALTA 30mg
CAPS. GASTROREZ. 30mg
CYMBALTA 60mg
CAPS. GASTROREZ. 60mg
CAPS. ELIB. PREL.

DETINATOR APP

TARA
DET. APP

AUSTRIA
UNGARIA

AMBALAJ

Prescriptie

CUTIE X 1 BLIST. ACLAR/PE/PVC/AL X 28 CAPS. ELIB. PREL.

P-RF

CUTIE X 2 BLIST. PVC-PVDC/AL X 14 CAPS. CU ELIB. PREL

P-RF

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE CU BLIST. PVC-PVDC/AL X 30 CAPS. ELIB. PREL.

P-RF

CUTIE X BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL.

P-RF

OZONE LABORATORIES BV

AUSTRIA
OLANDA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. ELIB. PREL.

P-RF

RANBAXY (UK) LIMITED

MAREA BRITANIE

CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL.

P-RF

CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL.

P-RF

WYETH LEDERLE PHARMA GMBH

EGIS PHARMACEUTICALS P.L.C.

LANNACHER HEILMITTEL GES.M.B.H.

MEDOCHEMIE LTD. CIPRU


WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU BLIST. PVC- PCTF/AL X 30 CAPS. CU ELIB. PREL.

P-RF

WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU BLIST. PVC- PCTF/AL X 100 CAPS. CU ELIB. PREL.

P-RF/S

GEDEON RICHTER ROMANIA SA

ROMANIA

CUTIE X 3 BLIST. PVC/AL X 10 CAPS. CU ELIB. PREL.

P-RF

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE CU BLIST. PVC/AL X 28 CAPS. CU ELIB. PREL.

P-RF

CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 CAPS. CU ELIB. PREL.

P-RF

ARENA GROUP S.A. ROMANIA


TERAPIA SA
ROMANIA
TERAPIA SA
ROMANIA

CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-RF


CUTIE X 3 BLIST. OPA-ACLAR/AL X 10 COMPR. P-RF

LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 20 COMPR. P-RF

UNGARIA CUTIE X 4 BLIST. PVC-PVDC/AL X 14 COMPR. P-RF


ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-RF
ROMANIA CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. P-RF
ROMANIA CUTIE X 3 BLIST. PVC-PE- PVDC/AL X 10 COMPR. P-RF
ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-RF
ROMANIA CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. P-RF
ROMANIA CUTIE X 3 BLIST. PVC-PE- PVDC/AL X 10 COMPR. P-RF
LABORMED PHARMA SA ROMANIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. P-RF
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. PVC-PVDC/AL X 14 COMPR. P-RF
TERAPIA SA
ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-RF
TERAPIA SA
ROMANIA CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. P-RF
ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE- PVDC/AL X 10 COMPR. P-RF
ZENTIVA A.S.
SLOVACIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. ELIB. PREL. P-RF
ZENTIVA A.S.
SLOVACIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. ELIB. PREL. P-RF
ACTAVIS S.R.L.
ROMANIA CUTIE X 4 BLIST. AL/PVC X 14 COMPR. FILM. P-RF
ACTAVIS S.R.L.
ROMANIA CUTIE X 4 BLIST. AL/PVC X 14 COMPR. FILM. P-RF
PIERRE FABRE MEDICAMENT PRODUCTION FRANTA
CUTIE X 4 BLIST. AL/PVC X 14 CAPS. P-RF
PIERRE FABRE MEDICAMENT PRODUCTION FRANTA
CUTIE X 4 BLIST. AL/PVC X 14 CAPS. P-RF
ELI LILLY NEDERLAND BV OLANDA CUTIE X 28 CAPS. GASTROREZ.( BLIST. PVC/PE/PCTFE/AL) P-RF
ELI LILLY NEDERLAND BV OLANDA CUTIE X 28 CAPS. GASTROREZ.( BLIST. PVC/PE/PCTFE/AL)
P-RF
EGIS PHARMACEUTICALS P.L.C.

TERAPIA SA
TERAPIA SA
ARENA GROUP S.A.
TERAPIA SA
TERAPIA SA
ARENA GROUP S.A.

VAL.SUPORT
ATAT CNAS/
PRET
UT(RON)AMANU
PRET
LEGEA NR. VAL.SUPORT
NTUL
MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
CANT
a) si f)
ADULTI
(RON)
ITATE (RON)

28
28
30
30
28
30
30
30
100
30
28
30
30
30
60
56
30
30
30
30
30
30
60
56
30
30
30
30
30
56
56
56
56
28
28

69.87
46.97
33.61
50.30
46.97
50.18
50.34
34.94
110.61
50.34
31.37
47.16
28.94
28.94
61.52
57.45
31.82
31.82
31.82
38.05
38.05
38.05
76.61
71.61
40.39
40.39
40.39
89.32
39.02
37.67
60.72
70.69
115.88
104.16
176.79

2.495357
1.677500
1.120333
1.676666
1.677500
1.672666
1.678000
1.164666
1.106100
1.678000
1.120357
1.572000
0.964666
0.964666
1.025333
1.025892
1.060666
1.060666
1.060666
1.268333
1.268333
1.268333
1.276833
1.278750
1.346333
1.346333
1.346333
2.977333
1.300666
0.672678
1.084285
1.262321
2.069285
3.720000
6.313928

1.301142
1.301142
1.120333
1.301142
1.301142
1.301142
1.301142
1.164666
1.106100
1.301142
1.120357
1.301142
0.964666
0.964666
0.780240
0.780240
0.780240
0.780240
0.780240
1.268333
1.268333
1.268333
1.276833
1.278750
1.301142
1.301142
1.301142
2.977200
1.300666
0.672678
1.084285
1.262321
2.069285
3.720000
6.313928

1.301142
1.301142
1.120333
1.301142
1.301142
1.301142
1.301142
1.164666
1.106100
1.301142
1.120357
1.301142
0.964666
0.964666
0.780240
0.780240
0.780240
0.780240
0.780240
1.268333
1.268333
1.268333
1.276833
1.278750
1.301142
1.301142
1.301142
2.977200
1.300666
0.672678
1.084285
1.262321
2.069285
3.720000
6.313928

28
28
28
30
30
30
60

354.59
127.79
169.81
246.94
246.94
208.64
409.56

12.663928
4.563928
6.064642
8.231333
8.231333
6.954666
6.826000

5.074800
4.563928
5.074800
5.074800
5.074800
5.074800
5.074800

5.074800
4.563928
5.074800
5.074800
5.074800
5.074800
5.074800

Tratamentul se initiaza de catre medicul in specialitatea psihiatrie

14. DEMENTE(DEGENERATIVE, VASCULARE, MIXTE) - G 16


1
2
3
4
5
6
7

N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02

DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***

ARICEPT (R) 10 mg
YASNAL 10 mg
ZILDON 10mg
DAVIA 10 mg
DAVIA 10 mg
TUADIN 10 mg
TUADIN 10 mg

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

10mg
10mg
10mg
10mg
10mg
10mg
10mg

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 2 BLIST. PVC/AL X 14 COMPR. FILM. P-RF

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE CU BLIST. DIN OPA-AL-PVC/AL CU 28 COMPR. FILM. P-RF

SANDOZ S.R.L.
TERAPIA SA
TERAPIA SA
ANTIBIOTICE S.A.
ANTIBIOTICE S.A.
Pagina 29 din 44

ROMANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. P-RF


ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF
ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. FILM. P-RF
ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF
ROMANIA CUTIE X 6 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF

NR.CRT

8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56

COD ATC

DCI

N06DA02

DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***

N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02

forma farm.
TUADIN 10 mg
COMPR. FILM.
PRIDIA 10 mg
COMPR. FILM.
ALZEPIL 10 mg
COMPR. FILM.
ALZEPIL 10 mg
COMPR. FILM.
ALZEPIL 10 mg
COMPR. FILM.
ALZEPIL 10 mg
COMPR. FILM.
DONECEPT 10 MG
COMPR. FILM.
ALDEMIZ 10 mg
COMPR. FILM.
ALDEMIZ 10 mg
COMPR. FILM.
COGNEZIL 10 mg
COMPR. FILM.
DONEPEZIL TEVA 10 mg
COMPR. FILM.
DONEPEZIL ACCORD 10 mg COMPR. FILM.
DOSPELIN 10 mg
COMPR. FILM.
ALDEMIZ 10 mg
COMPR. FILM.
ALDEMIZ 10 mg
COMPR. FILM.
DONEPEZIL BLUEFISH 10 mg COMPR. FILM.
ARICEPT (R) 5 mg
COMPR. FILM.
YASNAL 5 mg
COMPR. FILM.
ZILDON 5 mg
COMPR. FILM.
DAVIA 5 mg
COMPR. FILM.
DAVIA 5 mg
COMPR. FILM.
TUADIN 5 mg
COMPR. FILM.
TUADIN 5 mg
COMPR. FILM.
TUADIN 5 mg
COMPR. FILM.
PRIDIA 5 mg
COMPR. FILM.
ALZEPIL 5 mg
COMPR. FILM.
ALZEPIL 5 mg
COMPR. FILM.
ALZEPIL 5 mg
COMPR. FILM.
ALZEPIL 5 mg
COMPR. FILM.
DONECEPT 5 MG
COMPR. FILM.
ALDEMIZ 5 mg
COMPR. FILM.
ALDEMIZ 5 mg
COMPR. FILM.
COGNEZIL 5 mg
COMPR. FILM.
DONEPEZIL TEVA 5 mg
COMPR. FILM.
DOSPELIN 5 mg
COMPR. FILM.
ALDEMIZ 5 mg
COMPR. FILM.
ALDEMIZ 5 mg
COMPR. FILM.
DONEPEZIL ACCORD 5 mg COMPR. FILM.
Denumire Comerciala

YASNAL 10 mg
ARICEPT EVESS
DONEPEZIL TEVA 10 mg
COGNEZIL 10 mg
DONECTIL 10 mg
DARIZOL 10 mg
DARIZOL 10 mg
YASNAL 5 mg
ARICEPT EVESS
DONEPEZIL TEVA 5 mg
COGNEZIL 5 mg

COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE

concentratie

10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
10 mg
10mg
10mg
10mg
10mg
10mg
10mg
5 mg
5mg
5mg
5mg

TARA
DET. APP
ANTIBIOTICE S.A.
ROMANIA
LABORMED PHARMA S.A. ROMANIA
DETINATOR APP

AMBALAJ

Prescriptie

CUTIE X 9 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF


CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-RF

DR. REDDY'S LABORATORIES

UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM.


UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 56 COMPR. FILM.
UNGARIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.
UNGARIA CUTIE CU BLIST. OPA-AL-PVC/AL X 56 COMPR. FILM.
ISLANDA CUTIE X BLIST. PVC/AL X 28 COMPR. FILM.
ROMANIA CUTIE CU BLIST. PVC-ACLAR/AL X 28 COMPR. FILM.
ROMANIA CUTIE CU BLIST. PVC-ACLAR/AL X 30 COMPR. FILM.

GLENMARK PHARMACEUTICALS SRL

REPUBLICA CEHA

CUTIE X 4 BLIST. AL/PVC X 7 COMPR. FILM. P-RF

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.

EGIS PHARMACEUTICALS P.L.C.


EGIS PHARMACEUTICALS P.L.C.
EGIS PHARMACEUTICALS P.L.C.
EGIS PHARMACEUTICALS P.L.C.

ACTAVIS GROUP PTC EHF.


DR. REDDY'S LABORATORIES

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

MEDOCHEMIE LTD. CIPRU

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

P-RF

CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. P-RF


CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. P-RF
CUTIE CU BLIST. PVC-ACLAR/AL X 28 COMPR. FILM.

P-RF

DR. REDDY'S LABORATORIES

ROMANIA
ROMANIA

CUTIE CU BLIST. PVC-ACLAR/AL X 30 COMPR. FILM.

P-RF

BLUEFISH PHARMACEUTICALS AB

SUEDIA

CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

DR. REDDY'S LABORATORIES

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM. P-RF


CUTIE CU BLIST. DIN OPA-AL-PVC/AL CU 28 COMPR. FILM.

P-RF

SANDOZ S.R.L.
TERAPIA SA
TERAPIA SA
ANTIBIOTICE S.A.
ANTIBIOTICE S.A.
ANTIBIOTICE S.A.

ROMANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. P-RF


ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF
ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. FILM. P-RF
ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF
ROMANIA CUTIE X 6 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF
ROMANIA CUTIE X 9 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF
LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-RF
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-RF
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 56 COMPR. FILM. P-RF
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-RF
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. OPA-AL-PVC/AL X 56 COMPR. FILM. P-RF
ACTAVIS GROUP PTC EHF.

ISLANDA CUTIE X BLIST. PVC/AL X 28 COMPR. FILM.

P-RF

DR. REDDY'S LABORATORIES

CUTIE CU BLIST. PVC-ACLAR/AL X 28 COMPR. FILM.

P-RF

DR. REDDY'S LABORATORIES

ROMANIA
ROMANIA

CUTIE CU BLIST. PVC-ACLAR/AL X 30 COMPR. FILM.

P-RF

GLENMARK PHARMACEUTICALS SRL

REPUBLICA CEHA

CUTIE X 4 BLIST. AL/PVC X 7 COMPR. FILM. P-RF

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.

MEDOCHEMIE LTD. CIPRU


DR. REDDY'S LABORATORIES
DR. REDDY'S LABORATORIES

ROMANIA
ROMANIA

P-RF

CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. P-RF


CUTIE CU BLIST. PVC-ACLAR/AL X 28 COMPR. FILM.

P-RF

CUTIE CU BLIST. PVC-ACLAR/AL X 30 COMPR. FILM.

P-RF

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. P-RF

KRKA D.D.

SLOVENIA

CUTIE CU BLIST. OPA/AL/PVC SI FOLIE PET-AL TIP "PEEL-OPEN" A CATE 28 COMPR. ORODISP.

PFIZER EUROPE MA EEIG

MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC-PVDC-PE-PVDC-PVC X 14 COMPR. ORODISPERSABILE

P-RF

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE CU BLIST. TIP CALENDAR OPA-AL-PVC/AL X 28 COMPR. ORODISP.

P-RF

GLENMARK PHARMACEUTICALS SRL

REPUBLICA SLOVACA

CUTIE CU BLIST. PVC-ACLAR/AL X 28 COMPR. ORODISPERSABILE

P-RF

ICN POLFA RZESZOW S.A.

CUTIE CU BLIST. AL/AL X 30 COMPR. ORODISPERSABILE P-RF


CUTIE CU 2 BLIST. PVC-PCTFE(ACLAR)/AL /FOLIE DE AL DETASABILA X 14 COMPR. ORODISPERSABILE

PRF

ROMASTRU TRADING S.R.L.

POLONIA
ROMANIA
ROMANIA

CUTIE CU 3 BLIST. PVC-PCTFE(ACLAR)/AL /FOLIE DE AL DETASABILA X 10 COMPR. ORODISPERSABILE

PRF

KRKA D.D.

SLOVENIA

CUTIE CU BLIST. OPA/AL/PVC SI FOLIE PET-AL "PEEL-OPEN" A CATE 28 COMPR. ORODISP.

PFIZER EUROPE MA EEIG

MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC-PVDC-PE-PVDC-PVC X 14 COMPR. ORODISPERSABILE

P-RF

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE CU BLIST. TIP CALENDAR OPA-AL-PVC/AL X 28 COMPR. ORODISP.

P-RF

GLENMARK PHARMACEUTICALS SRL

REPUBLICA SLOVACA

CUTIE CU BLIST. PVC-ACLAR/AL X 28 COMPR. ORODISPERSABILE

P-RF

ROMASTRU TRADING S.R.L.

Pagina 30 din 44

PRF

PRF

VAL.SUPORT
ATAT CNAS/
PRET
UT(RON)AMANU
PRET
LEGEA NR. VAL.SUPORT
NTUL
MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
CANT
a) si f)
ADULTI
(RON)
ITATE (RON)

90
28
28
56
28
56
28
28
30
28
30
28
28
28
30
28
28
28
28
30
30
30
60
90
28
28
56
28
56
28
28
30
28
30
28
28
30
28
28
28
28
28
30
28
30
28
28
28
28

578.91
127.79
140.21
280.42
140.21
280.42
127.79
230.38
245.94
141.94
229.26
168.93
141.34
230.38
245.94
148.59
301.89
117.52
144.17
210.25
210.25
181.26
362.50
512.20
117.52
126.06
247.63
126.06
247.63
117.52
195.05
207.77
128.47
173.14
128.36
195.05
207.77
141.34
127.79
375.16
245.34
168.93
126.87
162.06
173.63
117.52
301.89
196.24
143.66

6.432333
4.563928
5.007500
5.007500
5.007500
5.007500
4.563928
8.227857
8.198000
5.069285
7.642000
6.033214
5.047857
8.227857
8.198000
5.306785
10.781785
4.197142
5.148928
7.008333
7.008333
6.042000
6.041666
5.691111
4.197142
4.502142
4.421964
4.502142
4.421964
4.197142
6.966071
6.925666
4.588214
5.771333
4.584285
6.966071
6.925666
5.047857
4.563928
13.398571
8.762142
6.033214
4.229000
5.787857
5.787666
4.197142
10.781785
7.008571
5.130714

5.074800
4.563928
5.007500
5.007500
5.007500
5.007500
4.563928
5.074800
5.074800
5.069285
5.074800
5.074800
5.047857
5.074800
5.074800
5.074800
4.588399
4.197142
4.588399
4.588399
4.588399
4.588399
4.588399
4.588399
4.197142
4.502142
4.421964
4.502142
4.421964
4.197142
4.588399
4.588399
4.588214
4.588399
4.584285
4.588399
4.588399
4.588399
4.563928
5.074800
5.074800
5.074800
4.229000
5.074800
5.074800
4.197142
4.588399
4.588399
4.588399

5.074800
4.563928
5.007500
5.007500
5.007500
5.007500
4.563928
5.074800
5.074800
5.069285
5.074800
5.074800
5.047857
5.074800
5.074800
5.074800
4.588399
4.197142
4.588399
4.588399
4.588399
4.588399
4.588399
4.588399
4.197142
4.502142
4.421964
4.502142
4.421964
4.197142
4.588399
4.588399
4.588214
4.588399
4.584285
4.588399
4.588399
4.588399
4.563928
5.074800
5.074800
5.074800
4.229000
5.074800
5.074800
4.197142
4.588399
4.588399
4.588399

NR.CRT

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

N06DA02
N06DA02
N06DA02
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA04
N06DA04
N06DA04
N06DA04
N06DX01
N06DX01
N06DX01

DCI

DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
GALANTAMINUM***
GALANTAMINUM***
GALANTAMINUM***
GALANTAMINUM***
MEMANTINUM***
MEMANTINUM***
MEMANTINUM***

Denumire Comerciala

forma farm.

DONECTIL 5 mg
COMPR. ORODISPERSABILE
DARIZOL 5 mg
COMPR. ORODISPERSABILE
DARIZOL 5 mg
COMPR. ORODISPERSABILE
EXELON 1,5mg
CAPS.
RIVASTIGMINA TEVA 1,5mg CAPS.
EVERTAS 1,5 mg
CAPS.
RIVASTIGMINE SANDOZ1,5mg CAPS.
RIDAXIN 1,5 mg
CAPS.
RISTIDIC 1,5 mg
CAPS.
RISTIDIC 1,5 mg
CAPS.
NIMVASTID 1.5mg
CAPS.
EXELON 3mg
CAPS.
RIVASTIGMINA TEVA 3mg
CAPS.
NIMVASTID 3mg
CAPS.
RIVASTIGMINE SANDOZ 3mg CAPS.
RIDAXIN 3 mg
CAPS.
RISTIDIC 3 mg
CAPS.
RISTIDIC 3 mg
CAPS.
EVERTAS 3 mg
CAPS.
RIVASTIGMINA TEVA 4,5mg CAPS.
EVERTAS 4,5 mg
CAPS.
RIDAXIN 4,5 mg
CAPS.
RISTIDIC 4,5 mg
CAPS.
RISTIDIC 4,5 mg
CAPS.
RIVASTIGMINA TEVA 6mg
CAPS.
EVERTAS 6 mg
CAPS.
RIDAXIN 6 mg
CAPS.
RISTIDIC 6 mg
CAPS.
RISTIDIC 6 mg
CAPS.
NIMVASTID 1.5 mg
COMPR. ORODISPERSABILE
NIMVASTID 3mg
COMPR. ORODISPERSABILE
NIMVASTID 4.5 mg
COMPR. ORODISPERSABILE
NIMVASTID 6mg
COMPR. ORODISPERSABILE
EXELON 4,6mg/24h
PLASTURE TRANSDERMIC
EXELON 9,5mg/24h
PLASTURE TRANSDERMIC
RIVASTIGMINA TEVA 2 mg/ml SOL. ORALA
REMINYL 16 mg
CAPS. ELIB. PREL.
REMINYL 24 mg
CAPS. ELIB. PREL.
REMINYL 8 mg
CAPS. ELIB. PREL.
REMINYL (R) 4 mg/ml
SOL. ORALA
EBIXA 10 mg
COMPR. FILM.
EBIXA (R) 10 mg/g
PIC. ORALE, SOL.
EBIXA 5mg/doza
PICATURI ORALE - SOL.

concentratie

5mg
5mg
5mg
1,5mg
1,5mg
1,5mg
1,5mg
1,5mg
1,5mg
1,5mg
1.5mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
4,5mg
4,5mg
4,5mg
4,5mg
4,5mg
6mg
6mg
6mg
6mg
6mg
1.5mg
3mg
4.5mg
6mg
4,6mg/24h
9,5mg/24h
2mg/ml
16mg
24mg
8mg
4mg/ml
10mg
10mg/g
5mg/doza

DETINATOR APP

TARA
DET. APP

AMBALAJ

Prescriptie

CUTIE CU 2 BLIST. PVC-PCTFE(ACLAR)/AL /FOLIE DE AL DETASABILA X 14 COMPR. ORODISPERSABILE

ROMASTRU TRADING S.R.L.

POLONIA
ROMANIA
ROMANIA

CUTIE CU 3 BLIST. PVC-PCTFE(ACLAR)/AL /FOLIE DE AL DETASABILA X 10 COMPR. ORODISPERSABILE

PRF

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 4 BLIST. PVC/AL X 14 CAPS.

P-RF/R

TEVA PHARMA BV
ZENTIVA K.S.
SANDOZ S.R.L.

OLANDA CUTIE CU BLIST.PVC/ACLAR X 56 CAPS.


CEHIA
CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS.
ROMANIA CUTIE CU BLIST.PVC/AL X 56 CAPS.

ROMASTRU TRADING SRL

ROMANIA CUTIE CU 4 BLIST. PVC/AL X 14 CAPS. P-RF/R


POLONIA CUTIE CU BLIST. PVC/AL X 28 CAPS. P-RF/R
POLONIA CUTIE CU BLIST. PVC/AL X 56 CAPS. P-RF/R

ICN POLFA RZESZOW S.A.


ROMASTRU TRADING S.R.L.

ICN POLFA RZESZOW S.A.


ICN POLFA RZESZOW S.A.

CUTIE CU BLIST. AL/AL X 30 COMPR. ORODISPERSABILE P-RF

PRF

P-RF/R
P-RF/R
P-RF/R

KRKA ,D.D., NOVO MESTO SLOVENIA CUTIE X BLIST. PVC/PVDC/AL X 28 CAPSULE

P-RF/R

CUTIE X 4 BLIST. PVC/AL X 14 CAPS.

P-RF/R

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

TEVA PHARMA BV

OLANDA CUTIE CU BLIST.PVC/ACLAR X 56 CAPS.

KRKA ,D.D., NOVO MESTO SLOVENIA CUTIE X BLIST. PVC/PVDC/AL X 28 CAPSULE

SANDOZ S.R.L.

ROMANIA
ROMASTRU TRADING SRL ROMANIA
ICN POLFA RZESZOW S.A. POLONIA
ICN POLFA RZESZOW S.A. POLONIA

P-RF/R
P-RF/R

CUTIE CU BLIST.PVC/AL X 56 CAPS. P-RF/R


CUTIE CU 4 BLIST. PVC/AL X 14 CAPS. P-RF/R
CUTIE CU BLIST. PVC/AL X 28 CAPS. P-RF/R
CUTIE CU BLIST. PVC/AL X 56 CAPS. P-RF/R

ZENTIVA K.S.
TEVA PHARMA BV
ZENTIVA K.S.

CEHIA
CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS.
OLANDA CUTIE CU BLIST.PVC/ACLAR X 56 CAPS.
CEHIA
CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS.

ROMASTRU TRADING SRL


ICN POLFA RZESZOW S.A.

ROMANIA CUTIE CU 4 BLIST. PVC/AL X 14 CAPS. P-RF/R


POLONIA CUTIE CU BLIST. PVC/AL X 28 CAPS. P-RF/R
POLONIA CUTIE CU BLIST. PVC/AL X 56 CAPS. P-RF/R

TEVA PHARMA BV
ZENTIVA K.S.

OLANDA CUTIE CU BLIST.PVC/ACLAR X 56 CAPS.


CEHIA
CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS.

ROMASTRU TRADING SRL

ROMANIA CUTIE CU 4 BLIST. PVC/AL X 14 CAPS. P-RF/R


POLONIA CUTIE CU BLIST. PVC/AL X 28 CAPS. P-RF/R
POLONIA CUTIE CU BLIST. PVC/AL X 56 CAPS. P-RF/R

ICN POLFA RZESZOW S.A.

ICN POLFA RZESZOW S.A.


ICN POLFA RZESZOW S.A.

P-RF/R
P-RF/R
P-RF/R

P-RF/R
P-RF/R

KRKA ,D.D., NOVO MESTO SLOVENIA

CUTIE X BLIST.UNIDOZA OPA/AL/PVC/PET/AL X (28 X 1) COMPR. ORODISPESABILE

P-RF/R

KRKA ,D.D., NOVO MESTO SLOVENIA

CUTIE X BLIST.UNIDOZA OPA/AL/PVC/PET/AL X (28 X 1) COMPR. ORODISPESABILE

P-RF/R

KRKA ,D.D., NOVO MESTO SLOVENIA

CUTIE X BLIST.UNIDOZA OPA/AL/PVC/PET/AL X (28 X 1) COMPR. ORODISPESABILE

P-RF/R

KRKA ,D.D., NOVO MESTO SLOVENIA

CUTIE X BLIST.UNIDOZA OPA/AL/PVC/PET/AL X (28 X 1) COMPR. ORODISPESABILE

P-RF/R

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 30 PLICURI X 1 PLASTURE TRANSDERMIC

P-RF/R

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 30 PLICURI X 1 PLASTURE TRANSDERMIC

P-RF/R

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA BRUNA X 125 ML SOL. ORALA + 1 SERINGA DOZATOARE P-RF/R

BELGIA CUTIE X 4 BLIST. PVC-PE-PVDC X 7 CAPS. CU ELIB. PREL. P-RF


BELGIA CUTIE X 4 BLIST. PVC-PE-PVDC X 7 CAPS. CU ELIB. PREL. P-RF
JANSSEN PHARMACEUTICA N.V. BELGIA
CUTIE X 4 BLIST. PVC-PE-PVDC X 7 CAPS. CU ELIB. PREL. P-RF
JANSSEN-PHARMACEUTICA NV BELGIA
CUTIE X 1 FLACON X 100 ML + 1 PIPETA DOZATOARE P-RF
H. LUNDBECK A/S
DANEMARCA CUTIE X 56 COMPR. FILM. (BLIST. AL/PP) P-RF/R
H. LUNDBECK A/S
DANEMARCA CUTIE X 1 FLACON, DIN STICLA BRUNA, PICURATOR X 50 G SOLUTIE P-RF/R
H LUNDBECK A/S
DANEMARCA CUTIE X 1 FLACON DIN STICLA BRUNA CU POMPA DOZATOARE X 50 ML SOLUTIE P-RF/R
JANSSEN PHARMACEUTICA N.V.
JANSSEN PHARMACEUTICA N.V.

Tratamentul se initiaza de catre medicul in specialitatea psihiatrie, neurologie sau geriatrie

15. COLAGENOZE MAJORE (LUPUS ERITEMATOS SISTEMIC, SCLERODERMIE, POLI/DERMATOMICOZA, VASCULITE SISTEMICE) - G 17
Pagina 31 din 44

VAL.SUPORT
ATAT CNAS/
PRET
UT(RON)AMANU
PRET
LEGEA NR. VAL.SUPORT
NTUL
MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
CANT
a) si f)
ADULTI
(RON)
ITATE (RON)

30
28
30
56
56
30
56
56
28
56
28
56
56
28
56
56
28
56
30
56
30
56
28
56
56
30
56
28
56
28
28
28
28
30
30
1
28
28
28
1
56
1
1

114.71
140.89
150.95
328.36
192.22
40.60
69.91
65.34
36.16
69.91
37.44
344.58
213.42
77.09
132.41
128.79
69.79
132.41
82.77
320.13
95.52
148.60
81.24
154.10
403.55
108.25
168.40
91.58
173.67
37.44
77.09
88.75
99.85
386.45
386.45
416.16
370.44
413.50
198.72
251.24
413.32
348.09
348.09

3.823666
5.031785
5.031666
5.863571
3.432500
1.353333
1.248392
1.166785
1.291428
1.248392
1.337142
6.153214
3.811071
2.753214
2.364464
2.299821
2.492500
2.364464
2.759000
5.716607
3.184000
2.653571
2.901428
2.751785
7.206250
3.608333
3.007142
3.270714
3.101250
1.337142
2.753214
3.169642
3.566071
12.881666
12.881666
416.160000
13.230000
14.767857
7.097142
251.240000
7.380714
348.090000
348.090000

3.823666
4.588399
4.588399
1.400142
1.400142
1.353333
1.248392
1.166785
1.291428
1.248392
1.337142
2.759785
2.759785
2.753214
2.364464
2.299821
2.492500
2.364464
2.759000
3.184285
3.184000
2.653571
2.901428
2.751785
3.608570
3.608333
3.007142
3.270714
3.101250
1.337142
2.753214
3.169642
3.566071
12.881666
12.881666
416.160000
13.230000
14.767857
7.097142
251.240000
7.380714
348.090000
348.090000

3.823666
4.588399
4.588399
1.400142
1.400142
1.353333
1.248392
1.166785
1.291428
1.248392
1.337142
2.759785
2.759785
2.753214
2.364464
2.299821
2.492500
2.364464
2.759000
3.184285
3.184000
2.653571
2.901428
2.751785
3.608570
3.608333
3.007142
3.270714
3.101250
1.337142
2.753214
3.169642
3.566071
12.881666
12.881666
416.160000
13.230000
14.767857
7.097142
251.240000
7.380714
348.090000
348.090000

NR.CRT

1
2
3
4
5
6
7
8
9
10

COD ATC

H02AB04
H02AB04
H02AB04

L01AA01
L01AA01
L04AX01
L04AX01
L04AX01
L04AX01
P01BA02

DCI

METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
CYCLOPHOSPHAMIDUM*
CYCLOPHOSPHAMIDUM*
AZATHIOPRINUM*
AZATHIOPRINUM*
AZATHIOPRINUM*
AZATHIOPRINUM*
HYDROXYCHLOROQUINUM

Denumire Comerciala

MEDROL A 16
MEDROL 32
MEDROL 4 mg
ENDOXAN (R) 50 mg
ENDOXAN 200 mg
IMMUNOPRIN 100 mg
IMMUNOPRIN 100 mg
IMURAN (R)
IMMUNOPRIN 75 mg
PLAQUENIL

forma farm.

COMPR.
COMPR.
COMPR.
DRAJ.
PULB. PT. SOL. PERF./INJ. I.V.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

concentratie

16mg
32mg
4mg
50mg
200mg
100mg
100mg
50mg
75mg
200mg

DETINATOR APP

TARA
DET. APP

AMBALAJ

Prescriptie

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 5 BLIST. A-PVC/PVC X 10 COMPR.

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 2 BLIST. AL-PVC/PVC X 10 COMPR. P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 1 FLAC. DIN STICLA X 30 COMPR.

P-RF

P-RF

BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ. P-RF

ACTAVIS S.R.L.
EBEWE PHARMA GES.M.B.H. NFG KG
EBEWE PHARMA GES.M.B.H. NFG KG

ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. PERF./INJ S

AUSTRIA CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM. PR


AUSTRIA CUTIE CU 1 FLAC. PEID X 50 COMPR. FILM. PR

THE WELLCOME FOUNDATION LTD. MAREA BRITANIE

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.

PR

SANOFI - AVENTIS ROMANIA S.R.L.

ROMANIA CUTIE X 6 BLIST. X 10 COMPR. FILM.

P-6L

S/P-RF

VAL.SUPORT
ATAT CNAS/
PRET
UT(RON)AMANU
PRET
LEGEA NR. VAL.SUPORT
NTUL
MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
CANT
a) si f)
ADULTI
(RON)
ITATE (RON)

50 32.23
20 29.29
30
6.46
50 25.82
1 15.70
100 103.94
50 54.72
100 79.95
100 77.97
60 33.05

0.644600
1.464500
0.215333
0.516400
15.700000
1.039400
1.094400
0.799500
0.779700
0.550833

0.644600
1.464500
0.215333
0.516400
15.700000
1.039400
1.094400
0.799500
0.779700
0.550833

0.644600
1.464500
0.215333
0.516400
15.700000
1.039400
1.094400
0.799500
0.779700
0.550833

0.558000
0.308800
6.826000
0.644600
1.464500
0.215333
1.128500
396.850000
47.648000
88.610000
2.354000
77.750000
58.940000
125.380000
108.800000
122.740000
108.250000
13.170000
5.996333
9.224666
5.996333
5.286333
4.405333
6.266333
9.640666
6.266333
6.266333
6.266333
9.332200
2.714200
1.860600

0.370560
0.308800
6.826000
0.644600
1.464500
0.215333
1.128500
396.850000
47.648000
88.610000
2.354000
77.750000
58.940000
125.380000
108.800000
122.740000
108.250000
13.170000
5.286399
5.286399
5.286399
5.286333
4.405333
6.266333
7.519599
6.266333
6.266333
6.266333
9.332200
2.232720
1.860600

0.370560
0.308800
6.826000
0.644600
1.464500
0.215333
1.128500
396.850000
47.648000
88.610000
2.354000
77.750000
58.940000
125.380000
108.800000
122.740000
108.250000
13.170000
5.286399
5.286399
5.286399
5.286333
4.405333
6.266333
7.519599
6.266333
6.266333
6.266333
9.332200
2.232720
1.860600

Tratamentul se initiaza si se monitorizeaza de catre medicul in specialitatea reumatologie, nefrologie si boli infectioase.

16. POLIARTRITA REUMATOIDA , ARTROPATIA PSORIAZICA SI ARTRITA JUVENILA - G 18


1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31

A07EC01
A07EC01
H02AB01
H02AB04
H02AB04
H02AB04

L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L04AA13
L04AA13
L04AA13
L04AA13
L04AA13
L04AA13
L04AA13
L04AA13
L04AA13
L04AA13
L04AD01
L04AD01
L04AD01

SULFASALAZINUM
SULFASALAZINUM
BETAMETHASONUM
METHYLPREDNISOLONUM5
METHYLPREDNISOLONUM5
METHYLPREDNISOLONUM5
METHOTREXATUM4
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
LEFLUNOMIDUM**
LEFLUNOMIDUM**
LEFLUNOMIDUM**
LEFLUNOMIDUM**
LEFLUNOMIDUM**
LEFLUNOMIDUM**
LEFLUNOMIDUM**
LEFLUNOMIDUM**
LEFLUNOMIDUM**
LEFLUNOMIDUM**
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*

SULFASALAZIN EN
SALAZOPYRIN EN
DIPROPHOS (R)
MEDROL A 16
MEDROL 32
MEDROL 4 mg

COMPR. FILM. GASTROREZ.


COMPR. FILM. GASTROREZ.

SUSP. INJ. I.M.

COMPR.
COMPR.
COMPR.
METOTREXATE BELLON 2,5 mg COMPR.
METHOTREXAT "EBEWE" 5000 mg

METHOTREXAT "EBEWE" 500 mg


METHOTREXAT "EBEWE" 1000 mg

CONC. PT. SOL. INJ./PERF.


CONC. PT. SOL. INJ./PERF.
CONC. PT. SOL. INJ./PERF.

METHOTREXAT "EBEWE" 5 mg SOL. INJ.


METOTREXAT EBEWE 10 mg/ml
METOTREXAT EBEWE 10 mg/ml
METOTREXAT EBEWE 10 mg/ml
METOTREXAT EBEWE 10 mg/ml

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

METOJECT 50mg/ml
METOJECT 50mg/ml

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

METHOTREXAT "EBEWE" 50 mg SOL. INJ./PERF.


LEFLUNOMIDA SANDOZ 10 mg COMPR. FILM.
ARAVA 10mg
COMPR. FILM.
LEFLUNOMIDA RATIOPHARM 10 MG COMPR. FILM.
LEFLUNOMIDE WINTHROP 10mg COMPR. FILM.
LEFLUNOMIDA MEDAC 10 mg COMPR. FILM.
LEFLUNOMIDA SANDOZ 20 mg COMPR. FILM.
ARAVA 20mg
COMPR. FILM.
LEFLUNOMIDA RATIOPHARM 20 MG COMPR. FILM.
LEFLUNOMIDE WINTHROP 20mg COMPR. FILM.
LEFLUNOMIDA MEDAC 20 mg COMPR. FILM.

EQUORAL (R) 100 mg


SANDIMMUN NEORAL (R)
EQUORAL (R) 25 mg

CAPS. MOI
CAPS. MOI
CAPS. MOI

500mg
500mg
7mg/ml
16mg
32mg
4mg
2,5mg
100mg/ml
100mg/ml
100mg/ml
5mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
50mg/ml
50mg/ml
10mg/ml
10 mg
10mg
10mg
10mg
10mg
20 mg
20mg
20mg
20mg
20mg
100mg
25mg
25mg

KRKA D.D. NOVO MESTO SLOVENIA


PFIZER EUROPE MA EEIG

CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ.

P-6L

MAREA BRITANIE CUTIE X 1 FLAC. PEID X 100 COMPR. FILM. GASTROREZ.

P-6L

SCHERING PLOUGH EUROPE

BELGIA

CUTIE X 5 FIOLE X 1 ML

P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 5 BLIST. A-PVC/PVC X 10 COMPR.

P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 2 BLIST. AL-PVC/PVC X 10 COMPR. P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 1 FLAC. DIN STICLA X 30 COMPR.

FARMEXINM S.R.L.

ROMANIA CUTIE X 20 COMPR.

EBEWE PHARMA GMBH NFG. KG

P-RF
P-RF/R

EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRIA CUTIE X 1 FLACON X 50 ML


S
AUSTRIA CUTIE X 5 FIOLE X 5 ML
S
AUSTRIA CUTIE X 1 TUB DIN MATERIAL PLASTIC X 1 FIOLA X 10 ML S
AUSTRIA CUTIE X 10 FIOLE X 1 ML
S
AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA CU AC X 1 ML SOL INJ.P-RF/R
AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA CU AC X 0,75 ML SOL INJ. P-RF/R
AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA CU AC X 2 ML SOL INJ.P-RF/R
AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA CU AC X 1,5 ML SOL INJ. P-RF/R

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,50ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL

P-RF

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,40ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL

P-RF

EBEWE PHARMA GMBH NFG. KG

AUSTRIA CUTIE X 1 FLACON X 5 ML

SANDOZ S.R.L.

ROMANIA

CUTIE CU 1 FLACON PEID CU CAPAC PP CU DESICANT X 30 COMPR. FILM.

S
PR

SANOFI- AVENTIS DEUTSCHLAND GMBH

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

GERMANIA CUTIE X 1 FLAC. PEID X 30 COMPR. FILM.

P-RF/R

RATIOPHARM GMBH GERMANIA CUTIE X 1 FLAC. PEID X 30 COMPR. FILM.

P-RF/R

SANOFI- AVENTIS DEUTSCHLAND GMBH

GERMANIA CUTIE X 1 FLAC. PEID X 30 COMPR. FILM.

P-RF/R

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANIA CUTIE CU 1 FLACON DIN PEID X 30 COMPR. FILM.

SANDOZ S.R.L.

ROMANIA

SANOFI- AVENTIS DEUTSCHLAND GMBH

GERMANIA CUTIE X 1 FLAC. PEID X 30 COMPR. FILM.

CUTIE CU 1 FLACON PEID CU CAPAC PP DESICANT X 30 COMPR. FILM.

PR
PR
P-RF/R

RATIOPHARM GMBH GERMANIA CUTIE X 1 FLAC. PEID X 30 COMPR. FILM.

P-RF

SANOFI- AVENTIS DEUTSCHLAND GMBH

GERMANIA CUTIE X 1 FLAC. PEID X 30 COMPR. FILM.

P-RF/R

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANIA CUTIE CU 1 FLACON DIN PEID X 30 COMPR.FILM

PR

IVAX - PHARMACEUTICALS S.R.O.

CEHIA

S/P-RF

NOVARTIS PHARMA GMBH


IVAX - PHARMACEUTICALS S.R.O.

Pagina 32 din 44

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

S/P-RF
S/P-RF

50
100
5
50
20
30
20
1
5
1
10
1
1
1
1
1
1
1
30
30
30
30
30
30
30
30
30
30
50
50
50

27.90
30.88
34.13
32.23
29.29
6.46
22.57
396.85
238.24
88.61
23.54
77.75
58.94
125.38
108.80
122.74
108.25
13.17
179.89
276.74
179.89
158.59
132.16
187.99
289.22
187.99
187.99
187.99
466.61
135.71
93.03

NR.CRT

32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77

COD ATC

L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AX01
L04AX01
L04AX01
L04AX01
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05

P01BA02

DCI

CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
AZATHIOPRINUM*
AZATHIOPRINUM*
AZATHIOPRINUM*
AZATHIOPRINUM*
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
HYDROXYCHLOROQUINUM

Denumire Comerciala

forma farm.

CICLORAL 25 mg
SANDIMMUN NEORAL (R)
EQUORAL (R) 50 mg
CICLORAL 50 mg
EQUORAL (R)
IMMUNOPRIN 100 mg
IMMUNOPRIN 100 mg
IMURAN (R)
IMMUNOPRIN 75 mg
DICLOREUM 150 mg

CAPS. ELIB. PREL.

DICLOFENAC DUO PHARMASWISS 75 mg

CAPS. ELIB. PREL.

TRATUL 50
DICLAC (R) 75 ID
VOLTAREN (R) RETARD
REFEN (R) RETARD
DICLOTARD (R) 100 mg
RHEUMAVEK
VOLTAREN (R) 50
DICLOFENAC 50 mg
CLAFEN 50 mg
DICLOFENAC 50 mg

CAPS. GASTROREZ.

DICLOGESIC 50 COMPRIMATE FILMATE GASTROREZISTENTE

EPIFENAC
VOLTAREN RAPID (R)
DICLOFENAC ARENA 25 mg
N - DICLOFENAC
DICLOFENAC ARENA 50 mg
VOLTAREN (R)
RHEUMAVEK
TRATUL (R)
DICLAC
ALMIRAL
DICLOFENAC 75 mg
DICLOFENAC AL I.M.
DICLOFENAC AL I.M.
REFEN 75 mg
CLAFEN 100 mg
VOLTAREN (R)
DICLOFENAC 100 mg
DICLOFENAC SODIC 100 mg
EPIFENAC

CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
SOL. ORALA
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

COMPR. ELIB. MODIF.


COMPR. FILM. ELIB. PREL.
COMPR. FILM. ELIB. PREL.
COMPR. FILM. ELIB. PREL.
COMPR. FILM. GASTROREZ.
COMPR. FILM. GASTROREZ.
COMPR. FILM. GASTROREZ.
COMPR. FILM. GASTROREZ.
COMPR. FILM. GASTROREZ.
COMPR. FILM. GASTROREZ.

COMPR. GASTROREZ.

DRAJ.
DRAJ. GASTROREZ.
DRAJ. GASTROREZ.
DRAJ. GASTROREZ.

SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ./PERF.

SUPOZ.
SUPOZ.
SUPOZ.
SUPOZ.
SUPOZ.
DICLOGESIC 12,5 SUPOZITOARE SUPOZ.
TRATUL 120
SUPOZ.
VOLTAREN (R)
SUPOZ.
TRATUL 60
SUPOZ.
PLAQUENIL
COMPR. FILM.

concentratie

25mg
50mg
50mg
50mg
100mg/ml
100mg
100mg
50mg
75mg
150mg
75mg
50mg
75mg
100mg
100mg
100mg
25mg
50mg
50mg
50mg
50mg
50mg
25mg
50mg
25mg
50mg
50mg
25mg/ml
25mg/ml
30mg/ml
75mg
75mg/3ml
75mg/3ml
75mg/3ml
75mg/3ml
25mg/ml
100mg
100mg
100mg
100mg
100mg
12,5mg
120mg
50mg
60mg
200mg

DETINATOR APP

HEXAL AG

TARA
DET. APP

AMBALAJ

GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 10 BLIST. X 5 CAPS. MOI


CUTIE X 5 BLIST. X 10 CAPS. MOI

Prescriptie

S/P-RF
S/P-RF

IVAX - PHARMACEUTICALS S.R.O.

CEHIA

HEXAL AG

GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI

IVAX - PHARMACEUTICALS S.R.O.

CEHIA
S/P-RF
AUSTRIA CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM. PR
AUSTRIA CUTIE CU 1 FLAC. PEID X 50 COMPR. FILM. PR

EBEWE PHARMA GES.M.B.H. NFG KG


EBEWE PHARMA GES.M.B.H. NFG KG

S/P-RF
S/P-RF

CUTIE X 1 FLACON DIN STICLA BRUNA X 50 ML, UN DISPOZITIV DE MASURAT + UN CAPAC CU FILET

THE WELLCOME FOUNDATION LTD. MAREA BRITANIE

CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM.

S/P-RF

GEROT PHARMAZEUTIKA GMBH

AUSTRIA CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM. PR


ITALIA
CUTIE X 2 BLIST. AL/PVC X 10 CAPS. ELIB. PREL. P-6L
CEHIA
CUTIE X 3 BLIST. PVC/PVDC/AL X 10 CAPS. ELIB. PREL. P-6L
AUSTRIA CUTIE X 3 BLIST. X 10 CAPS. GASTROREZ. P-6L

HEXAL AG

GERMANIA CUTIE X 1 BLIST. AL/PP X 10 COMPR. ELIB. MODIF. P-6L

EBEWE PHARMA GES.M.B.H. NFG KG

ALFA WASSERMANN SPA


PHARMASWISS CESKA REPUBLIKA S.R.O.

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 1 BLIST. PVC-PE-PVDC/AL. X 10 COMPR. FILM. ELIB. PREL.

P-6L

CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM. ELIB. PREL.

P-6L

TERAPIA SA

ROMANIA
ROMANIA

CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL

P-6L

FARAN LABORATORIES S.A.

GRECIA

CUTIE X 3 BLIST. PVC-AL/PVDC X 10 COMPR. FILM. GASTROREZ.

P-6L

CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. GASTROREZ.

P-6L

STADA HEMOFARM S.R.L.

NOVARTIS PHARMA GMBH GERMANIA

TERAPIA SA
ANTIBIOTICE SA

ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ.


ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM. GASTROREZ.
AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ.
DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ.
E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 3 BLIST. X 10 COMPR. GASTROREZ.

P-6L

NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 10 DRAJ.

P-6L

ARENA GROUP SA
MEDUMAN SA
ARENA GROUP SA

P-6L
P-6L
P-6L
P-6L

ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 DRAJ. GASTROREZ. P-6L


ROMANIA CUTIE X 1 FLAC. PE X 20 DRAJ. GASTROREZ. P-6L
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 DRAJ GASTROREZ. P-6L

NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 FIOLE CU PUNCT DE RUPERE X 3 ML P-RF


FARAN LABORATORIES S.A.
GEROT PHARMAZEUTIKA GMBH

GRECIA
AUSTRIA

CUTIE X 5 FIOLE DE STICLA BRUNA PREVAZUTE CU INEL DE RUPERE X 3 ML

P-RF

CUTIE X 1 BLIST PVC X 5 FIOLE DIN STICLA BRUNA X 3 ML SOL. INJ. P-RF

HEXAL AG
GERMANIA CUTIE X 5 FIOLE X 3 ML SOL. INJ.
MEDOCHEMIE LTD. CIPRU
TERAPIA SA
ROMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 3 ML
CUTIE X 10 FIOLE DIN STICLA BRUNA CU INEL DE RUPERE, IN 2 SUPORTURI TERMOFORMATE DIN MATERIAL PLASTI

P-RF
P-RF
P-RF

ALIUD PHARMA GMBH GERMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 3ML SOL. INJ. P-RF
ALIUD PHARMA GMBH GERMANIA CUTIE X 10 FIOLE DIN STICLA INCOLORA X 3ML SOL. INJ. P-RF
STADA HEMOFARM S.R.L. ROMANIA CUTIE CU 5 FIOLE DIN STICLA INCOLORA X 3 ML SOL. INJ./PERF. P-RF
ANTIBIOTICE SA
ROMANIA CUTIE X 2 FOLII TERMOSUDANTE X 3 SUPOZ. P-6L
NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FOLIE PVC/PE-JD X 5 SUPOZ. P-6L
SINTOFARM SA
ROMANIA CUTIE X 2 FOLII PVC/PE X 5 SUPOZ. P-6L
MAGISTRA C & C
ROMANIA CUTIE X 2 FOLII TERMOSUDATE PVC/PE X 5 SUPOZ. P-6L
E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FOLIE AL/PEJD. X 5 SUPOZ. P-6L
DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 2 FOLII PVC/PE X 5 SUPOZ. P-6L
GEROT PHARMAZEUTIKA GMBH

AUSTRIA CUTIE X 6 SUPOZ.

NOVARTIS PHARMA GMBH GERMANIA

P-6L

CUTIE X 2 FOLII PVC/PEJD X 5 SUPOZ. P-6L

GEROT PHARMAZEUTIKA GMBH

AUSTRIA CUTIE X 6 SUPOZ.

P-6L

SANOFI - AVENTIS ROMANIA S.R.L.

ROMANIA CUTIE X 6 BLIST. X 10 COMPR. FILM.

P-6L

VAL.SUPORT
ATAT CNAS/
PRET
UT(RON)AMANU
PRET
LEGEA NR. VAL.SUPORT
NTUL
MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
CANT
a) si f)
ADULTI
(RON)
ITATE (RON)

50
50
50
50
1
100
50
100
100
20
30
30
10
10
20
20
30
20
20
20
20
20
30
10
30
20
20
5
5
5
5
10
5
5
10
5
6
5
10
10
5
10
6
10
6
60

135.87
2.717400
2.232720
2.232720
288.73
5.774600
4.504080
4.504080
187.67
3.753400
3.753400
3.753400
301.62
6.032400
4.504080
4.504080
424.20 424.200000 424.200000 424.200000
103.94
1.039400
1.039400
1.039400
54.72
1.094400
1.094400
1.094400
79.95
0.799500
0.799500
0.799500
77.97
0.779700
0.779700
0.779700
47.13
2.356500
2.356500
2.356500
20.25
0.675000
0.465600
0.465600
6.32
0.210666
0.133800
0.133800
3.88
0.388000
0.388000
0.388000
6.49
0.649000
0.487200
0.487200
8.44
0.422000
0.422000
0.422000
8.12
0.406000
0.406000
0.406000
5.65
0.188333
0.177999
0.177999
6.49
0.324500
0.133800
0.133800
4.21
0.210500
0.133800
0.133800
3.00
0.150000
0.133800
0.133800
2.23
0.111500
0.111500
0.111500
3.78
0.189000
0.133800
0.133800
4.45
0.148333
0.148333
0.148333
2.31
0.231000
0.133800
0.133800
5.65
0.188333
0.177999
0.177999
2.51
0.125500
0.125500
0.125500
2.62
0.131000
0.131000
0.131000
9.29
1.858000
0.962400
0.962400
6.02
1.204000
0.962400
0.962400
14.07
2.814000
0.962400
0.962400
6.02
1.204000
0.962400
0.962400
9.80
0.980000
0.962400
0.962400
6.02
1.204000
0.962400
0.962400
6.02
1.204000
0.962400
0.962400
12.08
1.208000
0.962400
0.962400
4.01
0.802000
0.802000
0.802000
3.90
0.650000
0.604800
0.604800
5.41
1.082000
0.604800
0.604800
6.87
0.687000
0.604800
0.604800
5.04
0.504000
0.504000
0.504000
3.51
0.702000
0.604800
0.604800
4.98
0.498000
0.498000
0.498000
4.21
0.701666
0.701666
0.701666
9.34
0.934000
0.934000
0.934000
3.65
0.608333
0.608333
0.608333
33.05
0.550833
0.550833
0.550833

Tratamentul se initiaza si se monitorizeaza de catre medicul in specialitatea reumatologie, nefrologie, medicina interna sau recuperare medicina fizica balneofizioterapie (unitati sanitare nominalizate de catre Ministerul Sanatatii pt
Pagina 33 din 44

NR.CRT

COD ATC

DCI

Denumire Comerciala

specialitatea recuperare, medicina fizica balneofizioterapie )

forma farm.

concentratie

DETINATOR APP

TARA
DET. APP

AMBALAJ

Prescriptie

VAL.SUPORT
ATAT CNAS/
PRET
UT(RON)AMANU
PRET
LEGEA NR. VAL.SUPORT
NTUL
MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
CANT
a) si f)
ADULTI
(RON)
ITATE (RON)

17. SPONDILITA ANKILOZANTA - G 19


1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39

A07EC01
A07EC01
H02AB01
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05

SULFASALAZINUM
SULFASALAZINUM
BETAMETHASONUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM

SULFASALAZIN EN
SALAZOPYRIN EN
DIPROPHOS (R)
DICLOREUM 150 mg

500mg
500mg
SUSP. INJ. I.M. 7mg/ml
CAPS. ELIB. PREL. 150mg
DICLOFENAC DUO PHARMASWISS 75 mg CAPS. ELIB. PREL. 75mg
TRATUL 50
CAPS. GASTROREZ. 50mg
DICLAC (R) 75 ID
COMPR. ELIB. MODIF. 75mg
VOLTAREN (R) RETARD
COMPR. FILM. ELIB. PREL.
100mg
REFEN (R) RETARD
COMPR. FILM. ELIB. PREL.
100mg
DICLOTARD (R) 100 mg
COMPR. FILM. ELIB. PREL.
100mg
RHEUMAVEK
COMPR. FILM. GASTROREZ.
25mg
VOLTAREN (R) 50
COMPR. FILM. GASTROREZ.
50mg
DICLOFENAC 50 mg
COMPR. FILM. GASTROREZ.
50mg
CLAFEN 50 mg
COMPR. FILM. GASTROREZ.
50mg
DICLOFENAC 50 mg
COMPR. FILM. GASTROREZ.
50mg
DICLOGESIC 50 COMPRIMATE FILMATE GASTROREZISTENTE
COMPR. FILM. GASTROREZ.
50mg
EPIFENAC
COMPR. GASTROREZ. 25mg
VOLTAREN RAPID (R)
DRAJ.
50mg
DICLOFENAC ARENA 25 mg DRAJ. GASTROREZ. 25mg
N - DICLOFENAC
DRAJ. GASTROREZ. 50mg
DICLOFENAC ARENA 50 mg DRAJ. GASTROREZ. 50mg
VOLTAREN (R)
SOL. INJ.
25mg/ml
RHEUMAVEK
SOL. INJ.
25mg/ml
TRATUL (R)
SOL. INJ.
30mg/ml
DICLAC
SOL. INJ.
75mg
ALMIRAL
SOL. INJ.
75mg/3ml
DICLOFENAC 75 mg
SOL. INJ.
75mg/3ml
DICLOFENAC AL I.M.
SOL. INJ.
75mg/3ml
DICLOFENAC AL I.M.
SOL. INJ.
75mg/3ml
REFEN 75 mg
SOL. INJ./PERF. 25mg/ml
CLAFEN 100 mg
SUPOZ.
100mg
VOLTAREN (R)
SUPOZ.
100mg
DICLOFENAC 100 mg
SUPOZ.
100mg
DICLOFENAC SODIC 100 mg SUPOZ.
100mg
EPIFENAC
SUPOZ.
100mg
DICLOGESIC 12,5 SUPOZITOARE SUPOZ.
12,5mg
TRATUL 120
SUPOZ.
120mg
VOLTAREN (R)
SUPOZ.
50mg
TRATUL 60
SUPOZ.
60mg
COMPR. FILM. GASTROREZ.

KRKA D.D. NOVO MESTO SLOVENIA

COMPR. FILM. GASTROREZ.

PFIZER EUROPE MA EEIG

MAREA BRITANIE CUTIE X 1 FLAC. PEID X 100 COMPR. FILM. GASTROREZ.

P-6L

SCHERING PLOUGH EUROPE

P-RF

GEROT PHARMAZEUTIKA GMBH

BELGIA CUTIE X 5 FIOLE X 1 ML


ITALIA
CUTIE X 2 BLIST. AL/PVC X 10 CAPS. ELIB. PREL.
CEHIA
CUTIE X 3 BLIST. PVC/PVDC/AL X 10 CAPS. ELIB. PREL.
AUSTRIA CUTIE X 3 BLIST. X 10 CAPS. GASTROREZ.

HEXAL AG

GERMANIA CUTIE X 1 BLIST. AL/PP X 10 COMPR. ELIB. MODIF. P-6L

ALFA WASSERMANN SPA


PHARMASWISS CESKA REPUBLIKA S.R.O.

CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ.

P-6L

P-6L
P-6L
P-6L

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 1 BLIST. PVC-PE-PVDC/AL. X 10 COMPR. FILM. ELIB. PREL.

P-6L

CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM. ELIB. PREL.

P-6L

TERAPIA SA

ROMANIA
ROMANIA

CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL

P-6L

FARAN LABORATORIES S.A.

GRECIA

CUTIE X 3 BLIST. PVC-AL/PVDC X 10 COMPR. FILM. GASTROREZ.

P-6L

CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. GASTROREZ.

P-6L

STADA HEMOFARM S.R.L.

NOVARTIS PHARMA GMBH GERMANIA

TERAPIA SA
ANTIBIOTICE SA

ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ.


ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM. GASTROREZ.
AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ.
DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ.
E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 3 BLIST. X 10 COMPR. GASTROREZ.

P-6L

NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 10 DRAJ.

P-6L

ARENA GROUP SA
MEDUMAN SA
ARENA GROUP SA

P-6L
P-6L
P-6L
P-6L

ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 DRAJ. GASTROREZ. P-6L


ROMANIA CUTIE X 1 FLAC. PE X 20 DRAJ. GASTROREZ. P-6L
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 DRAJ GASTROREZ. P-6L

NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 FIOLE CU PUNCT DE RUPERE X 3 ML P-RF


FARAN LABORATORIES S.A.
GEROT PHARMAZEUTIKA GMBH

GRECIA
AUSTRIA

CUTIE X 5 FIOLE DE STICLA BRUNA PREVAZUTE CU INEL DE RUPERE X 3 ML

P-RF

CUTIE X 1 BLIST PVC X 5 FIOLE DIN STICLA BRUNA X 3 ML SOL. INJ. P-RF

HEXAL AG
GERMANIA CUTIE X 5 FIOLE X 3 ML SOL. INJ.
MEDOCHEMIE LTD. CIPRU
TERAPIA SA
ROMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 3 ML
CUTIE X 10 FIOLE DIN STICLA BRUNA CU INEL DE RUPERE, IN 2 SUPORTURI TERMOFORMATE DIN MATERIAL PLASTI

P-RF
P-RF
P-RF

ALIUD PHARMA GMBH GERMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 3ML SOL. INJ. P-RF
ALIUD PHARMA GMBH GERMANIA CUTIE X 10 FIOLE DIN STICLA INCOLORA X 3ML SOL. INJ. P-RF
STADA HEMOFARM S.R.L. ROMANIA CUTIE CU 5 FIOLE DIN STICLA INCOLORA X 3 ML SOL. INJ./PERF. P-RF
ANTIBIOTICE SA
ROMANIA CUTIE X 2 FOLII TERMOSUDANTE X 3 SUPOZ. P-6L
NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FOLIE PVC/PE-JD X 5 SUPOZ. P-6L
SINTOFARM SA
ROMANIA CUTIE X 2 FOLII PVC/PE X 5 SUPOZ. P-6L
MAGISTRA C & C
ROMANIA CUTIE X 2 FOLII TERMOSUDATE PVC/PE X 5 SUPOZ. P-6L
E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FOLIE AL/PEJD. X 5 SUPOZ. P-6L
DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 2 FOLII PVC/PE X 5 SUPOZ. P-6L
GEROT PHARMAZEUTIKA GMBH

AUSTRIA CUTIE X 6 SUPOZ.

NOVARTIS PHARMA GMBH GERMANIA


GEROT PHARMAZEUTIKA GMBH

P-6L

CUTIE X 2 FOLII PVC/PEJD X 5 SUPOZ. P-6L

AUSTRIA CUTIE X 6 SUPOZ.

P-6L

50
100
5
20
30
30
10
10
20
20
30
20
20
20
20
20
30
10
30
20
20
5
5
5
5
10
5
5
10
5
6
5
10
10
5
10
6
10
6

27.90
30.88
34.13
47.13
20.25
6.32
3.88
6.49
8.44
8.12
5.65
6.49
4.21
3.00
2.23
3.78
4.45
2.31
5.65
2.51
2.62
9.29
6.02
14.07
6.02
9.80
6.02
6.02
12.08
4.01
3.90
5.41
6.87
5.04
3.51
4.98
4.21
9.34
3.65

Tratamentul se initiaza si se monitorizeaza de catre medicul in specialitatea reumatologie sau recuperare medicina fizica balneofizioterapie (unitati sanitare nominalizate de catre Ministerul Sanatatii pt specialitatea
recuperare, medicina fizica balneofizioterapie )
Pagina 34 din 44

0.558000
0.308800
6.826000
2.356500
0.675000
0.210666
0.388000
0.649000
0.422000
0.406000
0.188333
0.324500
0.210500
0.150000
0.111500
0.189000
0.148333
0.231000
0.188333
0.125500
0.131000
1.858000
1.204000
2.814000
1.204000
0.980000
1.204000
1.204000
1.208000
0.802000
0.650000
1.082000
0.687000
0.504000
0.702000
0.498000
0.701666
0.934000
0.608333

0.370560
0.308800
6.826000
2.356500
0.465600
0.133800
0.388000
0.487200
0.422000
0.406000
0.177999
0.133800
0.133800
0.133800
0.111500
0.133800
0.148333
0.133800
0.177999
0.125500
0.131000
0.962400
0.962400
0.962400
0.962400
0.962400
0.962400
0.962400
0.962400
0.802000
0.604800
0.604800
0.604800
0.504000
0.604800
0.498000
0.701666
0.934000
0.608333

0.370560
0.308800
6.826000
2.356500
0.465600
0.133800
0.388000
0.487200
0.422000
0.406000
0.177999
0.133800
0.133800
0.133800
0.111500
0.133800
0.148333
0.133800
0.177999
0.125500
0.131000
0.962400
0.962400
0.962400
0.962400
0.962400
0.962400
0.962400
0.962400
0.802000
0.604800
0.604800
0.604800
0.504000
0.604800
0.498000
0.701666
0.934000
0.608333

NR.CRT

DCI

COD ATC

forma farm.

Denumire Comerciala

concentratie

DETINATOR APP

TARA
DET. APP

AMBALAJ

Prescriptie

VAL.SUPORT
ATAT CNAS/
PRET
UT(RON)AMANU
PRET
LEGEA NR. VAL.SUPORT
NTUL
MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
CANT
a) si f)
ADULTI
(RON)
ITATE (RON)

18. BOLI ENDOCRINE (GUSA ENDEMICA, INSUFICIENTA SUPRARENALA CRONICA, DIABETUL INSIPID, MIXEDEMUL ADULTULUI, TUMORI HIPOFIZARE CU EXPANSIUNE SUPRASELARA SI TUMORI NEUROENDOCRINE) - G 22
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39

G02CB03
G02CB03

H01AX01
H01AX01
H01AX01
H01BA02
H01BA02
H01BA02
H01BA02
H01CB02
H01CB02
H01CB02
H01CB02
H01CB03
H01CB03
H02AA02
H02AB06
H02AB06
H02AB07
H02AB07
H02AB07
H02AB07
H02AB07
H02AB09
H02AB09
H02AB09
H02AB09
H02AB09
H03AA01
H03AA01
H03AA01
H03AA01
H03AA01
H03AA01
H03CA01
H03CA01
H03CA01
H03CA01
N04BC01

CABERGOLINUM**
CABERGOLINUM**
PEGVISOMANTUM****
PEGVISOMANTUM****
PEGVISOMANTUM****
DESMOPRESSINUM
DESMOPRESSINUM
DESMOPRESSINUM
DESMOPRESSINUM
OCTREOTIDUM****
OCTREOTIDUM****
OCTREOTIDUM****
OCTREOTIDUM****
LANREOTIDUM****
LANREOTIDUM****
FLUDROCORTISONUM
PREDNISOLONUM
PREDNISOLONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
HYDROCORTISONUM
HYDROCORTISONUM
HYDROCORTISONUM
HYDROCORTISONUM
HYDROCORTISONUM
LEVOTHYROXINUM
LEVOTHYROXINUM
LEVOTHYROXINUM
LEVOTHYROXINUM
LEVOTHYROXINUM
LEVOTHYROXINUM
KALII IODIDUM
KALII IODIDUM
KALII IODIDUM
KALII IODIDUM
BROMOCRIPTINUM

DOSTINEX
DOSTINEX
SOMAVERT 10 mg
SOMAVERT 15 mg
SOMAVERT 20 mg

COMPR.
COMPR.

0,5mg
0,5mg
LIOF. + SOLV. PT. SOL. INJ. 10mg
LIOF. + SOLV. PT. SOL. INJ. 15mg
LIOF. + SOLV. PT. SOL. INJ. 20mg
DESMOPRESINA TEVA 0,2mg COMPR.
0,2mg
MINIRIN 0,2 mg
COMPR.
0,2mg
MINIRIN MELT 120 mcg
LIOF. ORAL 120mcg
MINIRIN MELT 60 mcg
LIOF. ORAL 60mcg
SANDOSTATIN LAR 20 mg
20mg
SANDOSTATIN LAR 10 mg
10mg
SANDOSTATIN LAR 30 mg
30mg
SANDOSTATIN (R)
SOL. INJ.
0,1mg/ml
SOMATULINE (R) PR 30 mg LIOF. PT. SOL. INJ. + SOLV. 30mg
SOMATULINE AUTOGEL 120 mg SOL. INJ. CU ELIB. PREL. 120mg
ASTONIN H
COMPR.
0,1mg
SOLU - DECORTIN H 250
LIOF. + SOLV. PT. SOL. INJ. 250mg
SOLU - DECORTIN H 50
LIOF. + SOLV. PT. SOL. INJ. 50mg
PREDNISON MCC 5 mg
COMPR.
5mg
PREDNISON ARENA 5 mg
COMPR.
5mg
N - PREDNISON
COMPR.
5mg
PREDNISON 5 mg
COMPR.
5mg
PREDNISON - RICHTER 5 mg COMPR.
5mg
HYDROCORTISONE ROUSSEL COMPR.
10mg
HYDROCORTISONE 100 mg LIOF. + SOLV. PT. SOL. INJ. 100mg
HYDROCORTISONE SUCCINAT SODIC LIOF. + SOLV. PT. SOL. INJ. 100mg
HYDROCORTISONE 500 mg LIOF. PT. SOL. INJ. + SOLV. 500mg
HIDROCORTIZON HEMISUCCINAT SOL. INJ. I.V. 25mg/5ml
EUTHYROX (R) 100
COMPR.
100mcg
L-THYROXIN 100 BERLIN - CHEMIE COMPR.
100mcg
EUTHYROX (R) 200
COMPR.
200mcg
EUTHYROX (R) 25
COMPR.
25mcg
EUTHYROX (R) 50
COMPR.
50mcg
L-THYROXIN 50
COMPR.
50mcg
JODID 100
COMPR.
100mcg
JODID 100
COMPR.
100mcg
JODID 200
COMPR.
200mcg
JODID 200
COMPR.
200mcg
BROCRIPTIN (N04BC01)
DRAJ.
2,5mg

PFIZER EUROPE MA EEG

MAREA BRITANIE

PFIZER EUROPE MA EEG

MAREA BRITANIE

CUTIE X 1 FLAC. X 2 COMPR.


CUTIE X 1 FLAC. X 8 COMPR.

MAREA BRITANIE

CUTIE X 30 FLAC. CU PULB., INSOTITE DE 30 FLAC. X 8 ML SOLV. PT. RECONSTITUIRE

P-RF/R

MAREA BRITANIE

CUTIE X 30 FLAC. CU PULB., INSOTITE DE 30 FLAC. X 8 ML SOLV. PT. RECONSTITUIRE

P-RF/R

MAREA BRITANIE

CUTIE X 30 FLAC. CU LIOF., INSOTITE DE 30 FLAC. A 8 ML SOLV. PT. RECONSTITUIRE

P-RF/R

TEVA PHARMACEUTICAL S.R.L.

UNGARIA

CUTIE CU BLIST. OPA-AL- PVC/AL X 30 COMPR. P-RF

FERRING GMBH
FERRING GMBH
FERRING GMBH

GERMANIA CUTIE X 1 FLAC. DIN PEID X 30 COMPR. P-RF

PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED

P-RF
P-RF

GERMANIA

CUTIE X 3 BLIST. AL/AL X 10 UNITATI DOZATE LIOF. ORAL

GERMANIA

CUTIE X 3 BLIST AL/AL X 10 UNITATI DOZATE LIOF. ORAL P-RF

PULB. + SOLV. PT. SUSP. INJ. (I.M.) CU ELIB. PRELU

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 1 FLAC. PULBERE + 1 SERINGA PREUMPLUTA X 2,5 ML SOLVENT + 2 ACE S/P-RF

PULB.+SOLV.PT.SUSP. INJ. (I.M.) CU ELIB. PRELUNG.

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 1 FLAC. PULBERE + 1 SERINGA PREUMPLUTA X 2,5 ML SOLVENT + 2 ACE S/P-RF

PULB.+SOLV.PT.SUSP. INJ. (I.M.) CU ELIB. PRELUNG.

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 1 FLAC. PULB. + 1 SERINGA PREUMPLUTA X 2,5 ML SOLVENT + 2 ACE

S/P-RF

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 5 FIOLE X 1 ML

S/P-RF

CUTIE X 1 FLACON LIOF. + 1 FIOLA X 2 ML SOLV. + 1 SERINGA X 3 ML + 2 ACE

CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. CU ELIB. PREL., IN PUNGA AL/NYLON/PE + AC

S/P-RF

BEAUFOUR IPSEN PHARMA

IPSEN PHARMA
MERCK KGAA
MERCK KGAA
MERCK KGAA

FRANTA
FRANTA

P-RF

GERMANIA CUTIE X 1 FLAC. DIN PP X 50 COMPR. P-RF


GERMANIA

CUTIE X 3 FLAC. DIN STICLA INCOLORA X 250 MG FIOF. PT. SOL. INJ. + 3 FIOLE X 5 ML SOLV.

P-RF

GERMANIA

CUTIE X 3 FLAC. X 50 MG LIOF. PT. SOL. INJ. + 3 FIOLE X 1 ML SOLVENT

P-RF

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P-RF

CUTIE X 1 FLAC. X 30 COMPR.

P-RF

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.


CUTIE X 2 BLIST. AL./PVC X 10 COMPR.

P-RF

MAGISTRA C&C S.R.L. ROMANIA


ARENA GROUP SA ROMANIA
MEDUMAN SA
ROMANIA
SINTOFARM SA
ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
CN UNIFARM
ROMANIA
STADA HEMOFARM S.R.L. ROMANIA
E.I.P.I.CO. MED S.R.L. ROMANIA
STADA HEMOFARM S.R.L. ROMANIA
ZENTIVA S.A.
ROMANIA

P-RF

P-RF

CUTIE X 1 FLAC. 25 COMPR.

PRF

CUTIE X 1 FLAC. LIOF. + 1 FIOLA X 2 ML SOLV.

P-RF

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU LIOF. PT. SOL. INJ. + 1 FIOLA SOLV. X 2 ML

S/P-RF

CUTIE X 1 FLAC. LIOF. + 1 FIOLA X 4 ML SOLV.

P-RF

CUTIE X 5 FIOLE X 1 ML SOL. A + 5 FIOLE X 4 ML SOL. B

S/P-RF

MERCK KGAA

GERMANIA CUTIE X 4 BLIST. PP/AL X 25 COMPR. P-6L

BERLIN CHEMIE AG MENARINI GROUP

GERMANIA CUTIE X 4 BLIST. PVC-PVDC/AL X 25 COMPR. P-6L

MERCK KGAA
MERCK KGAA
MERCK KGAA

GERMANIA CUTIE X 4 BLIST. AL/PP X 25 COMPR. P-6L

BERLIN CHEMIE AG MENARINI GROUP

GERMANIA CUTIE X 4 BLIST. PVC-PVDC/AL X 25 COMPR.

MERCK KGAA
MERCK KGAA
MERCK KGAA
MERCK KGAA
BIOFARM SA

GERMANIA CUTIE X 4 BLIST. AL/PP X 25 COMPR. P-RF

Tratamentul se initiaza de catre medicul in specialitatea endocrinologie sau oncologie

19. BOALA WILSON - G23


Pagina 35 din 44

GERMANIA CUTIE X 4 BLIST. PP/AL X 25 COMPR. P-6L


GERMANIA CUTIE X 4 BLIST. PP/AL X 25 COMPR. P-6L
P-6L/S

GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 COMPR. P-RF


GERMANIA CUTIE X 4 BLIST. PP/AL X 25 COMPR. P-RF
GERMANIA CUTIE X 4 BLIST. PVC/AL X 25 COMPR. P-RF

ROMANIA CUTIE X 2 BLIST. AL/PVC X 20 DRAJ.

P-RF

2
8
30
30
30
30
30
30
30
1
1
1
5
1
1
50
3
3
20
30
30
30
20
25
1
1
1
5
100
100
100
100
100
100
100
100
100
100
40

43.08
122.28
8,502.87
12,506.35
16,934.88

126.99
193.01
192.99
102.02

21.540000 18.342000 18.342000


15.285000 15.285000 15.285000
283.429000 283.429000 283.429000
416.878333 416.878333 416.878333
564.496000 564.496000 564.496000
4.233000
4.233000
4.233000
6.433666
5.079600
5.079600
6.433000
6.433000
6.433000
3.400666
3.400666
3.400666

3,785.50 3,785.500000 3,785.500000 3,785.500000


2,373.19 2,373.190000 2,373.190000 2,373.190000
5,227.67 5,227.670000 5,227.670000 5,227.670000

150.83

30.166000

30.166000

30.166000

1,555.55 1,555.550000 1,555.550000 1,555.550000


5,030.22 5,030.220000 5,030.220000 5,030.220000

47.21
94.50
35.29
2.62
2.59
2.43
3.67
2.54
12.06
3.87
3.87
11.77
21.08
11.56
12.33
23.87
9.40
8.18
8.31
12.19
12.19
19.00
19.00
20.91

0.944200
31.500000
11.763333
0.131000
0.086333
0.081000
0.122333
0.127000
0.482400
3.870000
3.870000
11.770000
4.216000
0.115600
0.123300
0.238700
0.094000
0.081800
0.083100
0.121900
0.121900
0.190000
0.190000
0.522750

0.944200
31.500000
11.763333
0.097200
0.086333
0.081000
0.097200
0.097200
0.482400
3.870000
3.870000
11.770000
4.216000
0.115600
0.123300
0.238700
0.094000
0.081800
0.083100
0.121900
0.121900
0.190000
0.190000
0.522750

0.944200
31.500000
11.763333
0.097200
0.086333
0.081000
0.097200
0.097200
0.482400
3.870000
3.870000
11.770000
4.216000
0.115600
0.123300
0.238700
0.094000
0.081800
0.083100
0.121900
0.121900
0.190000
0.190000
0.522750

NR.CRT

1
2

COD ATC

M01CC01
M01CC01

DCI

PENICILLAMINUM**4
PENICILLAMINUM**4

forma farm.

Denumire Comerciala

CUPRENIL
CUPRENIL

concentratie

COMPR. FILM. 250mg


COMPR. FILM. 250mg

DETINATOR APP

CN UNIFARM
CN UNIFARM

TARA
DET. APP

AMBALAJ

ROMANIA CUTIE X 1FLAC. X 100 COMPR. FILM.


ROMANIA CUTIE X 30 CPR.FILM.

Prescriptie

P-RF
P-RF

VAL.SUPORT
ATAT CNAS/
PRET
UT(RON)AMANU
PRET
LEGEA NR. VAL.SUPORT
NTUL
MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
CANT
a) si f)
ADULTI
(RON)
ITATE (RON)

100 112.38
30 37.01

1.123800
1.233666

1.123800
1.233666

1.123800
1.233666

Tratamentul se initiaza de catre medicul in specialitatea endocrinologie sau neurologie

20. BOALA CRONICA DE RINICHI - faza predializa - G 25


1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39

A11CC07
A11CC07
A11CC07
A11CC07
A11CC07

PARICALCITOLUM**
PARICALCITOLUM**
PARICALCITOLUM**
PARICALCITOLUM**
PARICALCITOLUM**

B03AC02 COMPLEX DE HIDROXID DE FER (III) SUCROZA**

B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
C09CA04
C09CA04
C09CA04

EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**

ZEMPLAR 1mcg
ZEMPLAR 2mcg
ZEMPLAR 4mcg
ZEMPLAR
ZEMPLAR
VENOFER (R)
EPREX (R) 3000 UI
EPREX (R) 40 000 UI
BINOCRIT 10000UI/1,0ml
BINOCRIT 1000UI/0,5ml
BINOCRIT 2000UI/1,0ml
BINOCRIT 30000UI/0,75ml
BINOCRIT 3000UI/0,3ml
EPREX 40000 UI
BINOCRIT 40000 UI/1 ml
BINOCRIT 4000UI/0,4ml
BINOCRIT 5000UI/0,5ml
NEORECORMON 10000UI/0,6ml
NEORECORMON 1000UI/0,3ml
NEORECORMON 2000UI/0,3ml
NEORECORMON 30000UI/0,6ml
NEORECORMON 4000UI/0,3ml
NEORECORMON 5000UI/0,3ml

CAPS. MOI
CAPS. MOI
CAPS. MOI
SOL. INJ.
SOL. INJ.

1mcg
ABBOTT LABORATORIES LTD.
2mcg
ABBOTT LABORATORIES LTD.
4mcg
ABBOTT LABORATORIES LTD.
5 mcg/ml
ABBOTT LABORATORIES LTD.
5 mcg/ml
ABBOTT LABORATORIES LTD.
SOL. INJ./PERF. 20mg/ml
VIFOR FRANCE S.A.
SOL. INJ.
3000ui/0,3ml JOHNSON & JOHNSON D.O.O.
SOL. INJ.
40 000UI
JOHNSON & JOHNSON D.O.O.
10000UI/1,0ml SANDOZ GMBH
1000UI/0,5ml SANDOZ GMBH
2000UI/1,0ml SANDOZ GMBH
30000UI/0,75ml SANDOZ GMBH
3000UI/0,3ml SANDOZ GMBH
40 000UI
JOHNSON & JOHNSON D.O.O.
40000 UI/1 ml SANDOZ GMBH
4000UI/0,4ml SANDOZ GMBH
5000UI/0,5ml SANDOZ GMBH

SPANIA CUTIE X 4 BLIST. PVC/FLUOROPOLIMER/AL X 7 CAPS. MOI P-RF


SPANIA CUTIE X 4 BLIST. PVC/FLUOROPOLIMER/AL X 7 CAPS. P-RF
SPANIA CUTIE X 4 BLIST. PVC/FLUOROPOLIMER/AL X 7 CAPS. MOI P-RF
SPANIA CUTIE X 5 FIOLE X 2 ML SOL. INJ. S
SPANIA CUTIE X 5 FIOLE X 1 ML SOL. INJ. S
FRANTA CUTIE X 5 FIOLE X 5 ML
S/P-RF
SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,3 ML S/P-RF
SLOVENIA CUTIE X 1 FLACON DIN STICLA X 1 ML S/P-RF
CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ.

S/P-RF/R

CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ.

S/P-RF/R

CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ.

S/P-RF/R

CUTIE X 1 SERINGA PREUMPLUTA X 0,75ML SOL. INJ.

P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA

CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ.

S/P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

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

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

CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ.

S/P-RF/R

10000UI/0,6ml

ROCHE REGISTRATION LTD.

MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ. + 6 ACE

S/P-RF/R

ROCHE REGISTRATION LTD.

MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE

S/P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

1000UI/0,3ml
2000UI/0,3ml

ROCHE REGISTRATION LTD.

MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. X 6 ACE

S/P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

30000 UI/0,6ml ROCHE REGISTRATION LTD.

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

MAREA BRITANIE

SOL. INJ. IN SERINGA PREUMPLUTA

4000UI/0,3ml
5000UI/0,3ml
500UI/0,3ml

SOL. INJ. IN SERINGA PREUMPLUTA

100mcg/0,5ml AMGEN EUROPE BV OLANDA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

NEORECORMON 500UI/0,3ml
ARANESP 100mcg/0,5ml
ARANESP 10mcg/0,4ml
ARANESP 150mcg/0,3ml
ARANESP 15mcg/0,375ml
ARANESP 20mcg/0,5ml
ARANESP 300mcg/0,6ml
ARANESP 30mcg/0,3ml
ARANESP 40mcg/0,4ml
ARANESP 500mcg/ml
ARANESP 50mcg/0,5ml
ARANESP 60mcg/0,3ml
ARANESP 80mcg/0,4ml
APROVEL 150mg
COMPR. FILM.

CUTIE X 1 SERINGA PRE-UMPLUTA X 0,6 ML + 1 AC

S/P-RF/R

ROCHE REGISTRATION LTD.

MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE

S/P-RF/R

ROCHE REGISTRATION LTD.

MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE

S/P-RF/R

ROCHE REGISTRATION LTD.

MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ. + 6 ACE

S/P-RF/R

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

10mcg/0,4ml AMGEN EUROPE BV OLANDA

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

150mcg/0,3ml AMGEN EUROPE BV OLANDA

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML

P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

15mcg/0,375ml AMGEN EUROPE BV OLANDA

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,375 ML

P-RF/R

20mcg/0,5ml AMGEN EUROPE BV


300mcg/0,6ml AMGEN EUROPE BV
30mcg/0,3ml AMGEN EUROPE BV
40mcg/0,4ml AMGEN EUROPE BV
500mcg/ml AMGEN EUROPE BV
50mcg/0,5ml AMGEN EUROPE BV
60mcg/0,3ml AMGEN EUROPE BV
80mcg/0,4ml AMGEN EUROPE BV
150mg
SANOFI PHARMA - BRISTOL MYERS SQUIBB
IRBESARTAN WINTHROP 150mg COMPR. FILM. 150mg
SANOFI PHARMA - BRISTOL MYERS SQUIBB
IRBESARTAN TERAPIA 150 mg COMPR. FILM. 150mg
TERAPIA S.A.
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

Pagina 36 din 44

OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
FRANTA
FRANTA
ROMANIA

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML P-RF/R


CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 0,6 ML

P-RF/R

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML P-RF/R


CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML P-RF/R
CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 1 ML

P-RF/R

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML P-RF/R


CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML P-RF/R
CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML P-RF/R
CUTIE X BLIST PVC/PVDC/AL X 28 COMPR. FILM. P-6L
CUTIE X 28 COMPR. FILM. (BLIST. PVC/PVDC/AL) P-6L
CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-6L

28
28
28
5
5
5
6
1
6
6
6
1
6
1
1
6
6
6
6
6
1
6
6
6
4
4
4
4
4
1
4
4
1
4
4
4
28
28
28

463.34
921.08
1,721.20

892.26
470.08
148.01
750.92

16.547857 16.547857 16.547857


32.895714 32.895714 32.895714
61.471428 61.471428 61.471428
178.452000 178.452000 178.452000
94.016000 94.016000 94.016000
29.602000 29.602000 29.602000
125.153333 119.493999 119.493999

1,338.42 1,338.420000 1,180.296000 1,180.296000


1,709.09 284.848333 284.848333 284.848333

215.85 35.975000 35.975000 35.975000


421.67 70.278333 70.278333 70.278333
779.82 779.820000 779.820000 779.820000
597.47 99.578333 99.578333 99.578333
1,338.42 1,338.420000 1,180.296000 1,180.296000

983.58 983.580000 983.580000 983.580000


773.24 128.873333 128.873333 128.873333
948.94 158.156666 158.156666 158.156666
2,319.88 386.646666 386.646666 386.646666
276.62 46.103333 46.103333 46.103333
520.93 86.821666 86.821666 86.821666
1,161.58 1,161.580000 1,161.580000 1,161.580000

970.37 161.728333 161.728333 161.728333


1,194.95 199.158333 199.158333 199.158333

142.24

23.706666

23.706666

23.706666

3,136.61 784.152500 784.152500 784.152500

387.41

96.852500

96.852500

96.852500

4,653.92 1,163.480000 1,163.480000 1,163.480000

541.85 135.462500 135.462500 135.462500


695.22 173.805000 173.805000 173.805000
2,183.52 2,183.520000 2,183.520000 2,183.520000

998.45 249.612500 249.612500 249.612500


326.075000 326.075000 326.075000

1,304.30
3,591.99
1,608.50
1,915.26
2,526.78

3,591.990000 3,591.990000 3,591.990000

402.125000 402.125000 402.125000


478.815000 478.815000 478.815000
631.695000 631.695000 631.695000
65.97
2.356071
1.323999
1.323999
44.36
1.584285
1.323999
1.323999
53.93
1.926071
1.323999
1.323999

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

DCI

COD ATC

C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
H02AB07
H02AB07
H02AB07
H02AB07
H02AB07

L01AA01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AX01
L04AX01
L04AX01
L04AX01
V06DDN1

IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
CYCLOPHOSPHAMIDUM
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
AZATHIOPRINUM*
AZATHIOPRINUM*
AZATHIOPRINUM*
AZATHIOPRINUM*
COMBINATII (AMINOACIZI)**

Denumire Comerciala

IRBESARTAN SANDOZ 150 mg

IRBEGAMMA 150 mg
IRBEGAMMA 150 mg
IRPRESTAN 150 mg
IFIRMASTA 150 mg
IRBESARTAN TEVA 150 mg
IRBESARTAN TEVA 300 mg
APROVEL 300mg
IRBESARTAN WINTHROP 300mg

IRBESARTAN TERAPIA 300 mg


IRBESARTAN SANDOZ 300 mg

IRBEGAMMA 300 mg
IRBEGAMMA 300 mg
IRPRESTAN 300 mg
IFIRMASTA 300mg
IRBEGAMMA 75 mg
IRBEGAMMA 75 mg
PREDNISON MCC 5 mg
PREDNISON ARENA 5 mg
N - PREDNISON
PREDNISON 5 mg
PREDNISON - RICHTER 5 mg
ENDOXAN (R) 50 mg
EQUORAL (R) 100 mg
SANDIMMUN NEORAL (R)
EQUORAL (R) 25 mg
CICLORAL 25 mg
SANDIMMUN NEORAL (R)
EQUORAL (R) 50 mg
CICLORAL 50 mg
EQUORAL (R)
IMMUNOPRIN 100 mg
IMMUNOPRIN 100 mg
IMURAN (R)
IMMUNOPRIN 75 mg
KETOSTERIL

forma farm.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
DRAJ.
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
SOL. ORALA
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

concentratie

150mg
150mg
150mg
150mg
150mg
150mg
300 mg
300mg
300mg
300mg
300mg
300mg
300mg
300mg
300mg
75mg
75mg
5mg
5mg
5mg
5mg
5mg
50mg
100mg
25mg
25mg
25mg
50mg
50mg
50mg
100mg/ml
100mg
100mg
50mg
75mg

SANDOZ S.R.L.

TARA
DET. APP
ROMANIA

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. PVC-PVDC/AL X 100 COMPR. FILM.

ACTAVIS GROUP PTC EHF.

ISLANDA

DETINATOR APP

AMBALAJ
CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.

Prescriptie

P-6L
P-6L

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L

KRKA ,D.D., NOVO MESTO SLOVENIA CUTIE X BLIST. PVC/PE/PVDC/AL X 28 COMPR. FILM.

P-6L

TEVA PHARMA B.V. OLANDA


TEVA PHARMA B.V. OLANDA
SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA
SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA
TERAPIA S.A.
ROMANIA
SANDOZ S.R.L.
ROMANIA

P-6L

CUTIE X BLIST. PVC/PVDC/AL X 28 COMPR. FILM. P-6L


CUTIE X BLIST. PVC/PVDC/AL X 28 COMPR. FILM. P-6L
CUTIE X BLIST PVC/PVDC/AL X 28 COMPR. FILM. P-6L
CUTIE X 28 COMPR. FILM. (BLIST. PVC/PVDC/AL) P-6L
CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-6L
CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. PVC-PVDC/AL X 100 COMPR. FILM.

ACTAVIS GROUP PTC EHF.

ISLANDA

P-6L

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L

KRKA ,D.D., NOVO MESTO SLOVENIA CUTIE X BLIST. PVC/PE/PVDC/AL X 28 COMPR. FILM.

P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. PVC-PVDC/AL X 100 COMPR. FILM.

MAGISTRA C&C S.R.L. ROMANIA


ARENA GROUP SA ROMANIA
MEDUMAN SA
ROMANIA
SINTOFARM SA
ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA

P-6L

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P-RF

CUTIE X 1 FLAC. X 30 COMPR.

P-RF

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.


CUTIE X 2 BLIST. AL./PVC X 10 COMPR.

P-RF

P-RF

P-RF

BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ. P-RF


IVAX - PHARMACEUTICALS S.R.O.

CEHIA

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 5 BLIST. X 10 CAPS. MOI


CUTIE X 10 BLIST. X 5 CAPS. MOI
CUTIE X 5 BLIST. X 10 CAPS. MOI

IVAX - PHARMACEUTICALS S.R.O.

CEHIA

HEXAL AG

GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 10 BLIST. X 5 CAPS. MOI


CUTIE X 5 BLIST. X 10 CAPS. MOI

S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF

IVAX - PHARMACEUTICALS S.R.O.

CEHIA

HEXAL AG

GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI

IVAX - PHARMACEUTICALS S.R.O.

CEHIA
S/P-RF
AUSTRIA CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM. PR
AUSTRIA CUTIE CU 1 FLAC. PEID X 50 COMPR. FILM. PR

EBEWE PHARMA GES.M.B.H. NFG KG


EBEWE PHARMA GES.M.B.H. NFG KG

S/P-RF
S/P-RF

CUTIE X 1 FLACON DIN STICLA BRUNA X 50 ML, UN DISPOZITIV DE MASURAT + UN CAPAC CU FILET

THE WELLCOME FOUNDATION LTD. MAREA BRITANIE

CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM.

S/P-RF

EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRIA

CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM.

PR

FRESENIUS KABI DEUTSCHLAND GMBH

GERMANIA CUTIE X 5 BLIST. DIN PVC/AL X 20 COMPR. FILM. P-RF

VAL.SUPORT
ATAT CNAS/
PRET
UT(RON)AMANU
PRET
LEGEA NR. VAL.SUPORT
NTUL
MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
CANT
a) si f)
ADULTI
(RON)
ITATE (RON)

28
30
100
30
28
28
28
28
28
28
28
30
100
30
28
30
100
20
30
30
30
20
50
50
50
50
50
50
50
50
1
100
50
100
100
100

33.10
1.182142
1.182142
1.182142
47.54
1.584666
1.323999
1.323999
142.67
1.426700
1.323999
1.323999
33.10
1.103333
1.103333
1.103333
36.92
1.318571
1.318571
1.318571
33.10
1.182142
1.182142
1.182142
56.83
2.029642
1.922799
1.922799
87.05
3.108928
1.922799
1.922799
59.57
2.127500
1.922799
1.922799
70.44
2.515714
1.922799
1.922799
64.09
2.288928
1.922799
1.922799
63.82
2.127333
1.922799
1.922799
191.60
1.916000
1.916000
1.916000
48.07
1.602333
1.602333
1.602333
59.57
2.127500
1.922799
1.922799
42.75
1.425000
1.425000
1.425000
130.73
1.307300
1.307300
1.307300
2.62
0.131000
0.097200
0.097200
2.59
0.086333
0.086333
0.086333
2.43
0.081000
0.081000
0.081000
3.67
0.122333
0.097200
0.097200
2.54
0.127000
0.097200
0.097200
25.82
0.516400
0.516400
0.516400
466.61
9.332200
9.332200
9.332200
135.71
2.714200
2.232720
2.232720
93.03
1.860600
1.860600
1.860600
135.87
2.717400
2.232720
2.232720
288.73
5.774600
4.504080
4.504080
187.67
3.753400
3.753400
3.753400
301.62
6.032400
4.504080
4.504080
424.20 424.200000 424.200000 424.200000
103.94
1.039400
1.039400
1.039400
54.72
1.094400
1.094400
1.094400
79.95
0.799500
0.799500
0.799500
77.97
0.779700
0.779700
0.779700
231.23
2.312300
2.312300
2.312300

Tratamentul se initiaza de catre medicul in specialitatea nefrologie. Medicamentele specifice se prescriu numai pentru pacientii inclusi in Programul National de supleere a functiei renale la bolnavii cu insuficienta
renala cronica.

21. GLAUCOM - G 26
1
2
3
4

S01EC03
S01EC03
S01EC03
S01EC04

DORZOLAMIDUM
DORZOLAMIDUM
DORZOLAMIDUM
BRINZOLAMIDUM

DORZOPT 20 mg/ml
DORZOSTILL 20 mg/ml
TRUSOPT
AZOPT 10mg/ml

PIC. OFT., SOL 20mg/ml


PIC. OFT., SOL.

SOL. OFT.
PICATURI OFT.-SUSP.

20mg/ml
20mg/ml
10mg/ml

ROMPHARM COMPANY SRL

ROMANIA CUTIE X 1 FLAC. PEJD X 5 ML PIC. OFT., SOL

P-RF

BRUSCHETTINI SRL ITALIA

CUTIE CU 1 FLAC. PEJD + PICURATOR PEJD X 5 ML PIC. OFT., SOL.

P-6L

MERCK SHARP & DOHME ROMANIA

CUTIE X 1 FLACON TIP OCULOMETER PLUS X 5 ML SOL. OFT.

P-6L

ALCON LABORATORIES LTD.

CUTIE X 1 FLACON PEJD X 5 ML

P-6L

Pagina 37 din 44

MAREA BRITANIE

1
1
1
1

27.04
26.78
40.28
50.36

27.040000
26.780000
40.280000
50.360000

27.040000
26.780000
32.136000
50.360000

27.040000
26.780000
32.136000
50.360000

NR.CRT

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

DCI

COD ATC

S01ED01
S01ED01
S01ED01
S01ED01
S01ED01
S01ED01
S01ED01
S01ED01
S01ED01
S01ED01
S01ED01
S01ED01
S01ED02
S01ED02
S01ED02
S01ED02
S01ED05
S01ED05
S01ED05

TIMOLOLUM
TIMOLOLUM
TIMOLOLUM
TIMOLOLUM
TIMOLOLUM
TIMOLOLUM
TIMOLOLUM
TIMOLOLUM
TIMOLOLUM
TIMOLOLUM
TIMOLOLUM
TIMOLOLUM
BETAXOLOLUM
BETAXOLOLUM
BETAXOLOLUM
BETAXOLOLUM
CARTEOLOLUM
CARTEOLOLUM
CARTEOLOLUM

S01ED51 COMBINATII (BIMATOPROSTUM + TIMOLOLUM)


S01ED51 COMBINATII (DORZOLAMIDUM+TIMOLOLUM)
S01ED51 COMBINATII (LATANOPROSTUM+TIMOLOLUM)
S01ED51 COMBINATII (TAVOPROSTUM+TIMOLOLUM)

S01EE01
S01EE01
S01EE01
S01EE01
S01EE03
S01EE03
S01EE04

LATANOPROSTUM
LATANOPROSTUM
LATANOPROSTUM
LATANOPROSTUM
BIMATOPROSTUM
BIMATOPROSTUM
TRAVOPROSTUM

Denumire Comerciala

NYOLOL GEL
TIMOLOL RPH 0,25%
TIMOLOL ROMPHARM 0,25%
TIMABAK 5 mg/ml
TIMOLOL RPH 0,5%
TIMOLOL ROMPHARM 0,5%
TIMOPTIC
TIMOPTIC
TIMOLOL 0,25%
TIMOLOL 0,5%
UNITIMOLOL (R)
TIMO-GAL (R)
BETAXOLOL
BETAX
BETOPTIC
BETOPTIC - S
FORTINOL EP 2%
CARTEOL 2%
CARTEOL 2%
GANFORT
COSOPT
XALCOM (R)

forma farm.

GEL OFT.
PIC. OFT., SOL.
PIC. OFT., SOL.

PIC. OFT.,SOL.
PIC. OFT.,SOL.
PIC. OFT.,SOL.
PIC. OFT.-SOL.
PIC. OFT.-SOL.
PICATURI OFT.-SOL.
PICATURI OFT.-SOL.
PICATURI OFT.-SOL.
PICATURI OFT.-SOL.

PIC. OFT., SOL.

PIC. OFT.-SOL.
PIC.OFTALMICE,SOL.
PICATURI OFT.-SUSP.
PIC. OFTALMICE CU ELIB. PREL.

PICATURI OFT.-SOL.
PICATURI OFT.-SOL.

PIC. OFT.,SOL.
PIC. OFT.-SOL.

1mg/g
2,5mg/ml
2,5mg/ml
5mg/ml
5mg/ml
5mg/ml
2,5mg/ml
5mg/ml
0,25%
0,5%
0,5%
0,5%
5mg/ml
5mg/ml
5mg/ml
0,25%
20mg/ml
2%
20mg/ml
300mcg/ml+5mg/ml

SOL. OFT.

DUOTRAV 40mcg/ml + 5mg/ml PIC. OFT.-SOL.


XALAPROST 50 micrograme/ml PIC. OFT., SOL

UNILAT 50 micrograme/ml
XALATAN (R)
XALOPTIC
LUMIGAN 0,1mg/ml
LUMIGAN 0,3mg/ml
TRAVATAN 40mcg/ml

concentratie

DETINATOR APP

TARA
DET. APP

NOVARTIS PHARMA GMBH GERMANIA


ROMPHARM COMPANY SRL
ROMPHARM COMPANY SRL

ROMANIA
ROMANIA

AMBALAJ

Prescriptie

CUTIE X 1 FLACON DIN PEID X 5 G GEL OFTALMIC , PREVAZUT CU PICURATOR

P-6L

CUTIE X 1 FLAC. PICURATOR DIN PEID X 5 ML PIC. OFTALMICE, SOL.

P-6L

CUTIE X 1 FLAC. PICURATOR DIN PEID X 5 ML PIC. OFTALMICE, SOL.

P-6L

LABORATORIES THEA FRANTA CUTIE X 1 FLACON DIN PEJD X 5 ML PIC. OFT. SOL.
ROMPHARM COMPANY SRL ROMANIA CUTIE X 1 FLAC. PICURATOR DIN PEID X 5 ML PIC. OFTALMICE, SOL.
ROMPHARM COMPANY SRL ROMANIA CUTIE X 1 FLAC. PICURATOR DIN PEID X 5 ML PIC. OFTALMICE, SOL.
MERCK SHARP & DOHME ROMANIA CUTIE X 1 FLACON TIP OCUMETER PLUS X 5 ML PIC. OFTALMICE, SOL.
MERCK SHARP & DOHME ROMANIA CUTIE X 1 FLACON TIP OCUMETER PLUS X 5 ML PIC. OFTALMICE SOL.
E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON PEID, PREVAZUT CU PICURATOR X 5 ML
E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON CU PICURATOR X 5 ML
UNIMED PHARMA LTD. SLOVACIA CUTIE X 1 FLACON PICURATOR PEJD X 10 ML PIC. OFT. SOL.
TERAPIA SA
ROMANIA CUTIE X 1 FLACON X 10 ML
TERAPIA SA
ROMANIA CUTIE X 1 FLACON DIN PEJD X 10 ML PIC. OFTALMICE, SOL.
ROMPHARM SRL
ROMANIA CUTIE X 1 FLACON DIN PEJD X 5 ML PIC. OFTALMICE, SOL.
ALCON COUVREUR NV BELGIA CUTIE X 1 FLACON DIN PEJD PREV. CU PICURATOR X 5 ML PIC.OFTALMICE, SOL.
ALCON COUVREUR NV BELGIA CUTIE X 1 FLACON DIN PEJD X 5ML PIC. OFT.SUSP.

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

GERMANIA

CUTIE X 1 FLAC. DIN PEJD X 3 ML PIC. OFTALMICE CU ELIB. PREL.

P-6L

ITALIA
ITALIA
ALLERGAN PHARMACEUTICALS IRELAND IRLANDA

CUTIE X 30 FLACOANE UNIDOZA DIN PEJD X 0,3 ML

P-6L/S

CUTIE X 1 FLACON DIN PEJD X 5 ML PIC. OFTALMICE, SOL.

P-6L

DR. GERHARD MANN CHEM.PHARM.FABRIK GMBH

S.I.F.I. SPA
S.I.F.I. SPA

CUTIE X 1 FLAC. DIN PEJD X 3 ML PIC.OFT.SOL. P-RF

MERCK SHARP & DOHME ROMANIA

CUTIE X 1 FLACON DE TIP OCUMETER PLUS X 5ML PIC. OFT., SOL.

P-6L

PFIZER EUROPE MA EEIG

CUTIE X 1 FLACON X 2,5 ML

P-6L

MAREA BRITANIE

40mcg/ml + 5mg/ml ALCON LABORATORIES (UK) LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN PP X 2,5 ML PIC. OFTALMICE,SOLUTIE P-RF

50micrograme/ml ICN POLFA RZESZOW S.A.

PIC. OFT., SOL. 50micrograme/ml UNIMED PHARMA SPOL. S.R.O.

0,005%
PICATURI OFT.-SOL. 0,005%
PIC. OFT.,SOL. 0,1mg/ml
PIC. OFT.,SOL. 0,3mg/ml
PICATURI OFT.SOL. 40mcg/ml
PICATURI OFT.-SOL.

PFIZER EUROPE MA EEIG

POLONIA

CUTIE CU 1 FLAC. PEJD CU PICURATOR PEJD X 2,5 ML PIC. OFT., SOL.

P-6L

REPUBLICA SLOVACA

CUTIE CU 1 FLAC. PICURATOR PE X 2,5 ML PIC. OFT., SOL.

P-6L

MAREA BRITANIE

CUTIE X 1 FLACON PICURATOR PE X 2,5 ML P-6L

POLONIA
IRLANDA
ALLERGAN PHARMACEUTICALS IRELAND IRLANDA

P-6L

PHARMACEUTICAL WORKS POLPHARMA SA

CUTIE X 1 FLACON PICURATOR PEJD X 2,5 ML PIC. OFT. SOL.

ALLERGAN PHARMACEUTICALS IRELAND

CUTIE X 1 FLAC. DIN PEJD X 3 ML PIC. OFT. SOL. P-RF


CUTIE X 1 FLAC. DIN PEJD X 3 ML PIC. OFT. SOL. P-RF

CUTIE X 1 FLACON X 2,5 ML

P-6L

E.I.P.I.CO. MED S.R.L. ROMANIA


E.I.P.I.CO. MED S.R.L. ROMANIA

CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.

P-RF

CUTIE X 5 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.

P-RF

MEDOCHEMIE LTD. CIPRU


MEDOCHEMIE LTD. CIPRU

CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.

P-RF/S

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 5 BLIST. A-PVC/PVC X 10 COMPR.

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 2 BLIST. AL-PVC/PVC X 10 COMPR. P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 1 FLAC. DIN STICLA X 30 COMPR.

P-RF

CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 2 ML

S/P-RF

CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 7,8 ML

S/P-RF

CUTIE X 1 FLAC. BICOMPARTIMENTAT (COMPARTIMENT INFERIOR) LIOF. PT. SOL. INJ. + (COMPARTIMENT SUPERIO

P-RF

ALCON LABORATORIES LTD.

MAREA BRITANIE

VAL.SUPORT
ATAT CNAS/
PRET
UT(RON)AMANU
PRET
LEGEA NR. VAL.SUPORT
NTUL
MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
CANT
a) si f)
ADULTI
(RON)
ITATE (RON)

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

15.21
3.08
3.08
27.24
4.62
4.92
9.32
10.00
3.10
5.35
10.39
4.96
5.81
5.25
15.13
15.13
13.44
33.34
15.76
80.89
68.93
81.87
87.46
50.13
50.92
74.38
45.64
75.18
67.46
71.18

15.210000
3.080000
3.080000
27.240000
4.620000
4.920000
9.320000
10.000000
3.100000
5.350000
10.390000
4.960000
5.810000
5.250000
15.130000
15.130000
13.440000
33.340000
15.760000
80.890000
68.930000
81.870000
87.460000
50.130000
50.920000
74.380000
45.640000
75.180000
67.460000
71.180000

15.210000
3.080000
3.080000
5.544000
4.620000
4.920000
3.696000
5.544000
3.100000
5.350000
5.544000
4.960000
5.810000
5.250000
6.300000
15.130000
13.440000
33.340000
15.760000
80.890000
68.930000
81.870000
87.460000
50.130000
50.920000
54.768000
45.640000
75.180000
67.460000
71.180000

15.210000
3.080000
3.080000
5.544000
4.620000
4.920000
3.696000
5.544000
3.100000
5.350000
5.544000
4.960000
5.810000
5.250000
6.300000
15.130000
13.440000
33.340000
15.760000
80.890000
68.930000
81.870000
87.460000
50.130000
50.920000
54.768000
45.640000
75.180000
67.460000
71.180000

100 122.21
5
6.90
100 91.10
10 10.26
50 32.23
20 29.29
30
6.46
1
8.71
1 30.65
1 20.23
20
2.62
30
2.59
30
2.43
30
3.67
20
2.54

1.222100
1.380000
0.911000
1.026000
0.644600
1.464500
0.215333
8.710000
30.650000
20.230000
0.131000
0.086333
0.081000
0.122333
0.127000

1.093200
1.093200
0.911000
1.026000
0.644600
1.464500
0.215333
8.710000
30.650000
20.230000
0.097200
0.086333
0.081000
0.097200
0.097200

1.093200
1.093200
0.911000
1.026000
0.644600
1.464500
0.215333
8.710000
30.650000
20.230000
0.097200
0.086333
0.081000
0.097200
0.097200

22. PEMFIGUS - G 27
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15

H02AB02
H02AB02
H02AB02
H02AB02
H02AB04
H02AB04
H02AB04
H02AB04
H02AB04
H02AB04
H02AB07
H02AB07
H02AB07
H02AB07
H02AB07

DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM

DEXAMETHASONE SODIUM PHOSPHATE


DEXAMETHASONE SODIUM PHOSPHATE

DEXAMED
DEXAMED
MEDROL A 16
MEDROL 32
MEDROL 4 mg
LEMOD SOLU 125 mg
LEMOD SOLU 500 mg
SOLU - MEDROL ACT-O-VIAL
PREDNISON MCC 5 mg
PREDNISON ARENA 5 mg
N - PREDNISON
PREDNISON 5 mg
PREDNISON - RICHTER 5 mg

SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
COMPR.
COMPR.
COMPR.
LIOF. PT. SOL. INJ.
LIOF. PT. SOL. INJ.
LIOF. SI SOLV.PT.SOL.INJ

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.

8mg
8mg
8mg/2ml
8mg/2ml
16mg
32mg
4mg
125mg
500mg
250mg/4ml
5mg
5mg
5mg
5mg
5mg

ROMANIA
STADA HEMOFARM S.R.L. ROMANIA
STADA HEMOFARM S.R.L.

PFIZER EUROPE MA EEIG

MAREA BRITANIE

MAGISTRA C&C S.R.L. ROMANIA


ARENA GROUP SA ROMANIA
MEDUMAN SA
ROMANIA
SINTOFARM SA
ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA

Pagina 38 din 44

CUTIE X 10 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. P-RF

P-RF

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P-RF

CUTIE X 1 FLAC. X 30 COMPR.

P-RF

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.


CUTIE X 2 BLIST. AL./PVC X 10 COMPR.

P-RF

P-RF

P-RF

NR.CRT

16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42

COD ATC

J04BA02
L01AA01
L01AA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AX01
L04AX01
L04AX01
L04AX01

DCI

DAPSONUM4
CYCLOPHOSPHAMIDUM
CYCLOPHOSPHAMIDUM
METHOTREXATUM4
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
AZATHIOPRINUM*
AZATHIOPRINUM*
AZATHIOPRINUM*
AZATHIOPRINUM*

Denumire Comerciala

DISULONE
ENDOXAN (R) 50 mg
ENDOXAN 200 mg

forma farm.

COMPR.
DRAJ.
PULB. PT. SOL. PERF./INJ. I.V.

METOTREXATE BELLON 2,5 mg COMPR.


METHOTREXAT "EBEWE" 5000 mg

METHOTREXAT "EBEWE" 500 mg


METHOTREXAT "EBEWE" 1000 mg

CONC. PT. SOL. INJ./PERF.


CONC. PT. SOL. INJ./PERF.
CONC. PT. SOL. INJ./PERF.

METHOTREXAT "EBEWE" 5 mg SOL. INJ.


METOTREXAT EBEWE 10 mg/ml
METOTREXAT EBEWE 10 mg/ml
METOTREXAT EBEWE 10 mg/ml
METOTREXAT EBEWE 10 mg/ml

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

METOJECT 50mg/ml
METOJECT 50mg/ml

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

METHOTREXAT "EBEWE" 50 mg SOL. INJ./PERF.

EQUORAL (R) 100 mg


SANDIMMUN NEORAL (R)
EQUORAL (R) 25 mg
CICLORAL 25 mg
SANDIMMUN NEORAL (R)
EQUORAL (R) 50 mg
CICLORAL 50 mg
EQUORAL (R)
IMMUNOPRIN 100 mg
IMMUNOPRIN 100 mg
IMURAN (R)
IMMUNOPRIN 75 mg

CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
SOL. ORALA
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

concentratie

100mg
50mg
200mg
2,5mg
100mg/ml
100mg/ml
100mg/ml
5mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
50mg/ml
50mg/ml
10mg/ml
100mg
25mg
25mg
25mg
50mg
50mg
50mg
100mg/ml
100mg
100mg
50mg
75mg

DETINATOR APP

CN UNIFARM

TARA
DET. APP
AMBALAJ
ROMANIA CUTIE X 100 COMPR.

Prescriptie

P-RF

BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ. P-RF

ACTAVIS S.R.L.
FARMEXINM S.R.L.

ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. PERF./INJ S


ROMANIA CUTIE X 20 COMPR.
P-RF/R

EBEWE PHARMA GMBH NFG. KG

EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRIA CUTIE X 1 FLACON X 50 ML


S
AUSTRIA CUTIE X 5 FIOLE X 5 ML
S
AUSTRIA CUTIE X 1 TUB DIN MATERIAL PLASTIC X 1 FIOLA X 10 ML S
AUSTRIA CUTIE X 10 FIOLE X 1 ML
S
AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA CU AC X 1 ML SOL INJ.P-RF/R
AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA CU AC X 0,75 ML SOL INJ. P-RF/R
AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA CU AC X 2 ML SOL INJ.P-RF/R
AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA CU AC X 1,5 ML SOL INJ. P-RF/R

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,50ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL

P-RF

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,40ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL

P-RF

EBEWE PHARMA GMBH NFG. KG


EBEWE PHARMA GMBH NFG. KG
EBEWE PHARMA GMBH NFG. KG
EBEWE PHARMA GES.M.B.H. NFG KG
EBEWE PHARMA GES.M.B.H. NFG KG
EBEWE PHARMA GES.M.B.H. NFG KG

IVAX - PHARMACEUTICALS S.R.O.

AUSTRIA CUTIE X 1 FLACON X 5 ML


CEHIA
CUTIE X 5 BLIST. X 10 CAPS. MOI
GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI
CEHIA
CUTIE X 5 BLIST. X 10 CAPS. MOI

HEXAL AG

GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI

EBEWE PHARMA GMBH NFG. KG


IVAX - PHARMACEUTICALS S.R.O.

NOVARTIS PHARMA GMBH

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 10 BLIST. X 5 CAPS. MOI


CUTIE X 5 BLIST. X 10 CAPS. MOI

S
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF

IVAX - PHARMACEUTICALS S.R.O.

CEHIA

HEXAL AG

GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI

IVAX - PHARMACEUTICALS S.R.O.

CEHIA
S/P-RF
AUSTRIA CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM. PR
AUSTRIA CUTIE CU 1 FLAC. PEID X 50 COMPR. FILM. PR

EBEWE PHARMA GES.M.B.H. NFG KG


EBEWE PHARMA GES.M.B.H. NFG KG

S/P-RF
S/P-RF

CUTIE X 1 FLACON DIN STICLA BRUNA X 50 ML, UN DISPOZITIV DE MASURAT + UN CAPAC CU FILET

THE WELLCOME FOUNDATION LTD. MAREA BRITANIE

CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM.

S/P-RF

AUSTRIA

CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM.

PR

EBEWE PHARMA GES.M.B.H. NFG KG

VAL.SUPORT
ATAT CNAS/
PRET
UT(RON)AMANU
PRET
LEGEA NR. VAL.SUPORT
NTUL
MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
CANT
a) si f)
ADULTI
(RON)
ITATE (RON)

100
50
1
20
1
5
1
10
1
1
1
1
1
1
1
50
50
50
50
50
50
50
1
100
50
100
100

33.67
25.82
15.70
22.57
396.85
238.24
88.61
23.54
77.75
58.94
125.38
108.80
122.74
108.25
13.17
466.61
135.71
93.03
135.87
288.73
187.67
301.62
424.20
103.94
54.72
79.95
77.97

0.336700
0.516400
15.700000
1.128500
396.850000
47.648000
88.610000
2.354000
77.750000
58.940000
125.380000
108.800000
122.740000
108.250000
13.170000
9.332200
2.714200
1.860600
2.717400
5.774600
3.753400
6.032400
424.200000
1.039400
1.094400
0.799500
0.779700

0.336700
0.516400
15.700000
1.128500
396.850000
47.648000
88.610000
2.354000
77.750000
58.940000
125.380000
108.800000
122.740000
108.250000
13.170000
9.332200
2.232720
1.860600
2.232720
4.504080
3.753400
4.504080
424.200000
1.039400
1.094400
0.799500
0.779700

0.336700
0.516400
15.700000
1.128500
396.850000
47.648000
88.610000
2.354000
77.750000
58.940000
125.380000
108.800000
122.740000
108.250000
13.170000
9.332200
2.232720
1.860600
2.232720
4.504080
3.753400
4.504080
424.200000
1.039400
1.094400
0.799500
0.779700

23. BOALA GAUCHER - G 29


1
2

A16AB02
A16AB02

IMIGLUCERASUM****
IMIGLUCERASUM****

CEREZYME 200U
CEREZYME 400U

PULB. PT.CONC. PT.SOL. PERF.


PULB. PT.CONC. PT.SOL. PERF.

200U
400U

GENZYME EUROPE BV OLANDA CUTIE X 1 FLAC. PULB. PT. CONC. PT. SOL. PERF. S
GENZYME EUROPE BV OLANDA CUTIE X 1 FLAC. PULB. PT. CONC. PT. SOL. PERF. S

1 3,452.05 3,452.050000 3,452.050000 3,452.050000


1 6,827.18 6,827.180000 6,827.180000 6,827.180000

Dup precizarea diagnosticului de catre laboratoarele de specialitate, va putea fi prescris de ctre medicul in specialitatea gastroenterologie, hematologie, neurologie si pediatrie.

24. BOLI VENERICE (SIFILIS, GONOREE, INFECTIA CU CHLAMIDIA) - G 30


1
2
3
4
5
6
7
8

J01AA02
J01AA02
J01AA02
J01AA02
J01AA02
J01AA07
J01AA07
J01AA07

DOXYCYCLINUM
DOXYCYCLINUM
DOXYCYCLINUM
DOXYCYCLINUM
DOXYCYCLINUM
TETRACYCLINUM
TETRACYCLINUM
TETRACYCLINUM

DOXICICLINA
DOXICICLINA 100 mg

CAPS.
CAPS.
DOXICICLINA SANDOZ 100 mg CAPS.
UNIDOX SOLUTAB
COMPR. DISP.
VIBRAMYCIN D
COMPR. DISP.
TETRACICLINA 250 mg
CAPS.
TETRACICLINA SANDOZ 250 mg CAPS.
TETRACICLINA 250 mg
CAPS.

100mg
100mg
100mg
100mg
100mg
250mg
250mg
250mg

ARENA GROUP SA
ANTIBIOTICE SA
SANDOZ SRL

ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.


ROMANIA CUTIE X 1 BLIST. X 10 CAPS.
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS.

P-RF

ASTELLAS PHARMA EUROPE BV

OLANDA

CUTIE X 1 BLIST. DIN AL/PVC X 10 COMPR.DISP.

P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 1 BLIST. PVC/AL X 10 COMPR. DISP. P-RF

ANTIBIOTICE SA
SANDOZ SRL
EUROPHARM SA

ROMANIA CUTIE X 2 BLIST. X 10 CAPS.


ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
ROMANIA CUTIE X 2 BLIST. X 10 CAPS.

Pagina 39 din 44

P-RF
P-RF

P-RF
P-RF
P-RF

20
10
10
10
10
20
20
20

6.92
3.54
3.56
9.48
10.39
3.14
2.70
2.99

0.346000
0.354000
0.356000
0.948000
1.039000
0.157000
0.135000
0.149500

0.346000
0.354000
0.356000
0.415200
0.415200
0.157000
0.135000
0.149500

0.346000
0.354000
0.356000
0.415200
0.415200
0.157000
0.135000
0.149500

NR.CRT

9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57

COD ATC

DCI

J01AA07

TETRACYCLINUM
BENZYLPENICILLINUM
BENZYLPENICILLINUM
BENZYLPENICILLINUM
PHENOXYMETHYLPENICILLINUM
PHENOXYMETHYLPENICILLINUM
PHENOXYMETHYLPENICILLINUM
PHENOXYMETHYLPENICILLINUM
PHENOXYMETHYLPENICILLINUM

J01CE01
J01CE01
J01CE01
J01CE02
J01CE02
J01CE02
J01CE02
J01CE02
J01CE08
J01DD08

J01FA01
J01FA01
J01FA01
J01FA01
J01FA01
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02

Denumire Comerciala

forma farm.

TETRACICLINA ARENA 250 mg CAPS.

PENICILINA G SODICA
PULB. PT. SOL. INJ.
PENICILINA G POTASICA
PULB. PT. SOL. INJ.
PENICILINA G SODICA
PULB. PT. SOL. INJ.
PENICILINA V 1 000 000 U.I. COMPR.
OSPEN (R) 1000
COMPR. FILM.
OSPEN (R) 1500
COMPR. FILM.
OSPEN (R) 500
COMPR. FILM.
OSPEN 400
SIROP
BENZATHINI BENZYLPENICILLINUM MOLDAMIN 1200000 UI
PULB. PT. SUSP. INJ.
CEFIXIMUM
EFICEF (R) 200 mg
CAPS.
ERYTHROMYCINUM
ERITROMAGIS 200 mg
COMPR.
ERYTHROMYCINUM
ERITROMICINA 200 mg
COMPR.
ERYTHROMYCINUM
ERITROMICINA SANDOZ 200 mg COMPRIMATE COMPR.
ERYTHROMYCINUM
ERITROMICINA EUROPHARM 200 mg COMPR.
ERYTHROMYCINUM
ERITROMICINA SANDOZ 200mg/5ml PULB. PT. SUSP. ORALA
AZITHROMYCINUM
AZATRIL 250 mg
CAPS.
AZITHROMYCINUM
SUMAMED 250 mg
CAPS.
AZITHROMYCINUM
SUMAMED 125 mg
COMPR. FILM.
AZITHROMYCINUM
AZITROMICINA SANDOZ 250 mg COMPRIMATE FILMATE COMPR. FILM.
AZITHROMYCINUM
AZITROMICINA TERAPIA 250 mg COMPR. FILM.
AZITHROMYCINUM
AZITROMICINA TERAPIA 250 mg COMPR. FILM.
AZITHROMYCINUM
SUMAMED 500 mg
COMPR. FILM.
AZITHROMYCINUM
AZITROX (R) 500
COMPR. FILM.
AZITHROMYCINUM
AZITROMICINA SANDOZ 500 mg COMPRIMATE FILMATE COMPR. FILM.
AZITHROMYCINUM
AZIBIOT 500 mg
COMPR. FILM.
AZITHROMYCINUM
ZITROCIN 500 mg
COMPR. FILM.
AZITHROMYCINUM
AZITROMICINA TERAPIA 500 mg COMPR. FILM.
AZITHROMYCINUM
AZITROMICINA TERAPIA 500 mg COMPR. FILM.
AZITHROMYCINUM
ZITROCIN 500 mg
COMPR. FILM.
AZITHROMYCINUM
AZITROMICINA TERAPIA 600 mg COMPR. FILM.
AZITHROMYCINUM
AZITROMICINA TERAPIA 600 mg COMPR. FILM.
AZITHROMYCINUM
ZMAX 2 g
AZITHROMYCINUM
SUMAMED (R)
LIOF. PT. SOL. PERF.
AZITHROMYCINUM
AZITROX 200 mg/5 ml
PULB. + SOLV. SUSP. ORALA
AZITHROMYCINUM
AZITROMICINA SANDOZ 100 mg/5 ml PULB. PT. SUSP. ORALA
AZITHROMYCINUM
AZITROMICINA SANDOZ 200 mg/5 ml PULB. PT. SUSP. ORALA
AZITHROMYCINUM
SUMAMED FORTE
PULB. PT. SUSP. ORALA
AZITHROMYCINUM
SUMAMED FORTE
PULB. PT. SUSP. ORALA
AZITHROMYCINUM
SUMAMED FORTE
PULB. PT. SUSP. ORALA
CIPROFLOXACINUM
EUCIPRIN
CAPS.
CIPROFLOXACINUM
CIPROFLOXACINA ARENA 250 mg COMPR
CIPROFLOXACINUM
CIPROFLOXACINA ARENA 250 mg COMPR
CIPROFLOXACINUM
CIPROFLOXACINA ARENA 100 mg COMPR. FILM.
CIPROFLOXACINUM
CIPROFLOXACINA ARENA 100 mg COMPR. FILM.
CIPROFLOXACINUM
CIPROCIN 250 mg
COMPR. FILM.
CIPROFLOXACINUM
CIPRINOL 250 mg
COMPR. FILM.
CIPROFLOXACINUM
CIPROLEN (R) 250 mg
COMPR. FILM.
CIPROFLOXACINUM
CUMINOL 250 mg
COMPR. FILM.
GRAN. ELIB. PREL. PT. SUSP. ORALA

concentratie

250mg
1 000 000ui
1000000ui
400 000ui
1000000ui
1000000ui
1500000ui
500000ui
400000ui/5ml
1200000UI
200mg
200mg
200mg
200mg
200mg
200mg/5ml
250mg
250mg
125mg
250mg
250mg
250mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
600mg
600mg
2g
500mg
200mg/5ml
100mg/5ml
200 mg/5 ml
200mg/5ml
200mg/5ml
200mg/5ml
250mg
250mg
250mg
100mg
100mg
250mg
250mg
250mg
250mg

DETINATOR APP

ARENA GROUP SA
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA
EUROPHARM SA
SANDOZ GMBH
SANDOZ GMBH
SANDOZ GMBH
SANDOZ GMBH
ANTIBIOTICE S.A.
ANTIBIOTICE SA
ARENA GROUP SA
ANTIBIOTICE SA
SANDOZ S.R.L.
EUROPHARM SA
SANDOZ S.R.L.

TARA
DET. APP
AMBALAJ
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
ROMANIA CUTIE X 1 FLAC. DIN STICLA CU PULB. PT. SOL. INJ.
ROMANIA CUTIE X 1 FLAC. DIN STICLA CU PULB. PT. SOL. INJ.
ROMANIA CUTIE X 1 FLAC. DIN STICLA CU PULB. PT. SOL. INJ.
ROMANIA CUTIE X 2 BLIST. X 10 COMPR.

AUSTRIA CUTIE X 1 BLIST. AL/PVC-PVDC X 12 COMPR. FILM.


AUSTRIA CUTIE X 1 BLIST. AL/PVC-PVDC X 12 COMPR. FILM.
AUSTRIA CUTIE X 1 BLIST. AL/PVC-PVDC X 12 COMPR. FILM.
AUSTRIA CUTIE X 1 FLACON X 60ML
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

Prescriptie

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SUSP. INJ. I.M.

P-RF

CUTIE X 1 BLIST. AL/PVC X 10 CAPS.

P-RF

CUTIE X 2 BLIST. X 10 COMPR.


CUTIE X 2 BLIST. X 10 COMPR.
CUTIE X 2 BLIST. X 10 COMPR.

P-RF

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-RF

CUTIE X 1 FLAC. X 30G + PULB. PT. 60 ML SUSP. ORALA + O LIGURITA DOZATOARE

P-RF

P-RF
P-RF

BULGARIA CUTIE X 1 BLIST. AL/PVC X 6 CAPS.


PLIVA LJUBLIJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. PVC-PVDC/AL X 6 CAPS.
PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. AL/PVC X 6 COMPR. FILM.

P-RF

SANDOZ S.R.L.
TERAPIA SA
TERAPIA SA

P-RF

BALKANPHARMA RAZGRAD AD

ROMANIA CUTIE X 1 BLIST. X 6 COMPR. FILM.


ROMANIA CUTIE X 1 BLIST. PVC-ACLAR/AL X 6 COMPR. FILM.
ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 6 COMPR. FILM.

P-RF
P-RF

P-RF
P-RF

PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM. P-RF

ZENTIVA AS
SANDOZ S.R.L.

CEHIA

CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM. P-RF

ROMANIA CUTIE X 1 BLIST. X 3 COMPR. FILM.

P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM. P-RF
OZONE LABORATORIES LTD.

MAREA BRITANIE

CUTIE X 1 BLIST. PVC/AL X 3 COMPR. FILM. P-RF

TERAPIA SA
TERAPIA SA

ROMANIA CUTIE X 1 BLIST. PVC-ACLAR/AL X 3 COMPR. FILM.


ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 3 COMPR. FILM.
LABORMED PHARMA S.A. ROMANIA CUTIE X 1 BLIST. PVC/AL X 3 COMPR. FILM.
TERAPIA SA
ROMANIA CUTIE X 1 BLIST. PVC-ACLAR/AL X 3 COMPR. FILM.
TERAPIA SA
ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 3 COMPR. FILM.

P-RF

PFIZER EUROPE MA EEIG

P-RF

MAREA BRITANIE CUTIE X 1 FLACON DIN PEID CU GRAN. CU ELIB. PREL.

P-RF
P-RF

P-RF
P-RF

PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 5 FLAC. LIOF. PT. SOL. PERF. S/P-RF

ZENTIVA S.A.
SANDOZ SRL
SANDOZ SRL

ROMANIA
ROMANIA
ROMANIA

CUTIE X 1 FLAC. DIN PE CU PULB. PT. 15 ML SUSP. ORALA RECONSTITUITA + FLAC. CU SOLV. X 7,5 ML SOLV.

P-RF

CUTIE X 1 FLAC. DIN PEID CONTINAD PULBERE PT. 20 ML SUSP. ORALA + SERINGA DOZATOARE DIN PE/PP

P-RF

CCUTIE X 1 FLAC. DIN PEID CONTINAD PULBERE PT. 20 ML SUSP. ORALA + SERINGA DOZATOARE DIN PE/PP

P-RF

PLIVA LJUBLIJANA D.O.O. SLOVENIA

CUTIE X 1 FLAC. DIN PEID CU PULB. PT.15 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE

P-RF

PLIVA LJUBLIJANA D.O.O. SLOVENIA

CUTIE X 1 FLAC. DIN PEID CU PULB. PT. 30 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE

P-RF

PLIVA LJUBLIJANA D.O.O. SLOVENIA

CUTIE X 1 FLAC. DIN PEID CU PULB. PT. 37,5 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE

P-RF

CUTIE X 2 BLIST. AL/PVC X 6 CAPS.

P-RF

EUROPHARM SA
ARENA GROUP S.A.
ARENA GROUP S.A.
ARENA GROUP S.A.
ARENA GROUP S.A.

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
E.I.P.I.CO. MED S.R.L. ROMANIA

CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF


CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF

AC HELCOR SRL
GEDEON RICHTER ROMANIA SA

Pagina 40 din 44

ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.


ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF
P-RF

VAL.SUPORT
ATAT CNAS/
PRET
UT(RON)AMANU
PRET
LEGEA NR. VAL.SUPORT
NTUL
MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
CANT
a) si f)
ADULTI
(RON)
ITATE (RON)

20
2.96
1
3.08
1
3.08
1
2.08
20
9.00
12
3.42
12
6.02
12
2.59
1
9.40
1
3.57
10 34.37
20
7.01
20
9.49
20
8.35
20 10.00
1 11.33
6 25.21
6 37.55
6 25.07
6 48.24
6 43.94
6 43.94
3 37.73
3 25.33
3 48.24
3 25.35
3 25.35
3 36.73
3 36.73
3 25.35
3 44.09
3 44.09
1 62.78
5 159.86
1 16.18
1 22.19
1 33.95
1 24.88
1 48.01
1 59.64
12
7.94
10
6.49
20 12.16
10 36.88
20 64.85
10
6.75
10
6.75
10
6.75
10
6.75

0.148000
3.080000
3.080000
2.080000
0.450000
0.285000
0.501666
0.215833
9.400000
3.570000
3.437000
0.350500
0.474500
0.417500
0.500000
11.330000
4.201666
6.258333
4.178333
8.040000
7.323333
7.323333
12.576666
8.443333
16.080000
8.450000
8.450000
12.243333
12.243333
8.450000
14.696666
14.696666
62.780000
31.972000
16.180000
22.190000
33.950000
24.880000
48.010000
59.640000
0.661666
0.649000
0.608000
3.688000
3.242500
0.675000
0.675000
0.675000
0.675000

0.148000
3.080000
3.080000
2.080000
0.342000
0.285000
0.501666
0.215833
9.400000
3.570000
3.437000
0.350500
0.420600
0.417500
0.420600
11.330000
4.201666
5.041999
4.178333
5.041999
5.041999
5.041999
10.131999
8.443333
10.131999
8.450000
8.450000
10.131999
10.131999
8.450000
14.696666
14.696666
62.780000
31.972000
16.180000
22.190000
33.950000
17.635999
48.010000
59.640000
0.564000
0.564000
0.564000
3.688000
3.242500
0.564000
0.564000
0.564000
0.564000

0.148000
3.080000
3.080000
2.080000
0.342000
0.285000
0.501666
0.215833
9.400000
3.570000
3.437000
0.350500
0.420600
0.417500
0.420600
11.330000
4.201666
5.041999
4.178333
5.041999
5.041999
5.041999
10.131999
8.443333
10.131999
8.450000
8.450000
10.131999
10.131999
8.450000
14.696666
14.696666
62.780000
31.972000
16.180000
22.190000
33.950000
17.635999
48.010000
59.640000
0.564000
0.564000
0.564000
3.688000
3.242500
0.564000
0.564000
0.564000
0.564000

NR.CRT

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

J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02

DCI

CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM

Denumire Comerciala

CUMINOL 250 mg
CIPROFLOXACINA ALKALOID 250 mg

CIFRAN
EUCIPRIN 250 mg
ALVEBAR 250 mg
CIPROFLOXACINA OZONE 250 mg

ALVEBAR 250 mg
CIPRINOL 500 mg
CIPROCIN 500 mg
CIPROLEN (R) 500 mg
CUMINOL 500 mg
CIPROZONE FORTE 500 mg
CIPROFLOXACINA ALKALOID 500 mg

CIFRAN
CIPRO QUIN (R)
CIPRODAR
EUCIPRIN 500 mg
ALVEBAR 500 mg
CIPROFLOXACINA ARENA 500 mg
CIPROFLOXACINA ARENA 500 mg

CIPROFLOXACINA LPH 500 mg

ALVEBAR 500 mg
CIPRINOL 750 mg
CIPROFLOXACINA ARENA 750 mg

CIPROBAY XR 1000 mg
CIPROBAY XR 500 mg
CIPRINOL (R)
CIPRINOL (R)

forma farm.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
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.

CONC. PT. SOL. PERF.


CONC. PT. SOL. PERF.

CIPROFLOXACINA 100 mg/10 ml

CONC. PT. SOL. PERF.

CIPRINOL
CIPRINOL
UFEXIL 2 mg/ ml

SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.

CIPROFLOXACINA INFOMED 2 mg/ml

CIPROBAY (R) 400


CIPROFLOXACINA INFOMED 2 mg/ml

CIPRINOL (R)

concentratie

250mg
250mg
250mg
250mg
250mg
250mg
250mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
750mg
750mg
1000 mg
500 mg
100mg/10ml
100mg/10ml
100mg/10ml
100mg/50ml

ALKALOID D.O.O.

TARA
DET. APP
AMBALAJ
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM.
SLOVENIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 COMPR. FILM.

RANBAXY UK LIMITED

MAREA BRITANIE

CUTIE X 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. P-RF

ROMANIA
DR. REDDY'S LABORATORIES ROMANIA
LABORMED PHARMA S.A. ROMANIA
DR. REDDY'S LABORATORIES ROMANIA

CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF

DETINATOR APP
GEDEON RICHTER ROMANIA SA

EUROPHARM SA

Prescriptie

P-RF
P-RF

CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF


CUTIE X 1 BLIST. PVC/AL X 10 COMPR. FILM. P-RF
CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF

E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM.


ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.
OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. X 10 COMPR. FILM.

P-RF

ALKALOID D.O.O.

SLOVENIA

CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 COMPR. FILM.

P-RF

RANBAXY UK LIMITED

MAREA BRITANIE

CUTIE X 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. P-RF

ANTIBIOTICE SA

ROMANIA
ROMANIA
EUROPHARM SA
ROMANIA
DR. REDDY'S LABORATORIES ROMANIA
ARENA GROUP S.A. ROMANIA
ARENA GROUP S.A. ROMANIA
LABORMED PHARMA S.A. ROMANIA
DR. REDDY'S LABORATORIES ROMANIA

CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF

DAR AL DAWA PHARMA S.R.L.

CUTIE X 1 BLIST. X 10 COMPR. FILM.


CUTIE X 1 BLIST. AL/PVC X 10 COMPR.

AC HELCOR SRL

P-RF
P-RF
P-RF

P-RF
P-RF

CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF


CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
CUTIE X 1 BLIST. PVC/AL X 10 COMPR. FILM. P-RF
CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF

ARENA GROUP S.A. ROMANIA

CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF

BAYER HEALTHCARE AG GERMANIA

CUTIE X 1 BLIST. DIN PP/AL X 7 COMPR. FILM. ELIB. PREL.

P-RF

BAYER HEALTHCARE AG GERMANIA

CUTIE X 1 BLIST. DIN PP/AL X 3 COMPR. FILM. ELIB. PREL.

P-RF

KRKA D.D.
KRKA D.D.
ZENTIVA S.A.

SLOVENIA CUTIE X 50 FIOLE X 10 ML


SLOVENIA CUTIE X 5 FIOLE X 10 ML

S/P-RF

ROMANIA

S/P-RF

KRKA D.D. NOVO MESTO SLOVENIA

200mg/100ml KRKA D.D. NOVO MESTO SLOVENIA

CUTIE X 5 FIOLE DIN STICLA INCOLORA PREVAZUTE CU INEL DE RUPERE X 10 ML

CUTIE X 1 FLACON DIN STICLA INCOLORA X 50 ML SOL. PERF. S/P-RF


CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML SOL. PERF.

S/P-RF

2mg/ml
2mg/ml
2mg/ml
2mg/ml

DEMO SA

GRECIA CUTIE X 10 PUNGI PP X 100 ML SOL. PERF. S


INFOMED FLUIDS SRL ROMANIA CUTIE X 10 PUNGI PVC PLASTIFIAT X 100ML S
BAYER HEALTHCARE AG GERMANIA CUTIE X 5 FLACOANE X 200 ML
S/P-RF
INFOMED FLUIDS SRL ROMANIA CUTIE X 10 PUNGI PVC PLASTIFIAT X 200ML S
400mg/200ml KRKA D.D.
SLOVENIA CUTIE X 1 FLACON DIN STICLA X 200 ML S/P-RF

100mg
100mg
40mg
40mg

CENTOCOR B.V.
CENTOCOR B.V.

OLANDA
OLANDA

ABBOTT LABORATORIES LTD.

MAREA BRITANIE CUTIE X 2 BLIST. X 1 PEN PREUMPLUTA X 0,8 ML + 1 TAMPON CU ALCOOL

P-RF/R

ABBOTT LABORATORIES LTD.

MAREA BRITANIE CUTIE X 2 BLIST. X 1 SERINGA PREUMPLUTA X 0,8 ML + 1 TAMPON CU ALCOOL

P-RF/R

VAL.SUPORT
ATAT CNAS/
PRET
UT(RON)AMANU
PRET
LEGEA NR. VAL.SUPORT
NTUL
MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
CANT
a) si f)
ADULTI
(RON)
ITATE (RON)

20
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
20
10
10
10
10
7
3
50
5
5
1
1
10
10
5
10
1

12.16
0.608000
7.78
0.778000
6.86
0.686000
6.02
0.602000
4.70
0.470000
5.24
0.524000
4.70
0.470000
13.07
1.307000
13.07
1.307000
13.07
1.307000
13.07
1.307000
8.37
0.837000
14.93
1.493000
8.67
0.867000
13.07
1.307000
13.07
1.307000
9.12
0.912000
6.41
0.641000
9.12
0.912000
16.22
0.811000
8.37
0.837000
6.41
0.641000
38.05
3.805000
36.88
3.688000
83.71 11.958571
27.30
9.100000
134.96
2.699200
16.59
3.318000
16.59
3.318000
4.73
4.730000
9.48
9.480000
160.68 16.068000
86.45
8.645000
696.32 139.264000
155.48 15.548000
19.08 19.080000

0.564000
0.564000
0.564000
0.564000
0.470000
0.524000
0.470000
0.769200
0.769200
0.769200
0.769200
0.769200
0.769200
0.769200
0.769200
0.769200
0.769200
0.641000
0.769200
0.769200
0.769200
0.641000
3.805000
3.688000
11.958571
0.769200
2.699200
3.239040
3.239040
3.239040
9.480000
10.374000
8.645000
18.657600
15.548000
18.657600

0.564000
0.564000
0.564000
0.564000
0.470000
0.524000
0.470000
0.769200
0.769200
0.769200
0.769200
0.769200
0.769200
0.769200
0.769200
0.769200
0.769200
0.641000
0.769200
0.769200
0.769200
0.641000
3.805000
3.688000
11.958571
0.769200
2.699200
3.239040
3.239040
3.239040
9.480000
10.374000
8.645000
18.657600
15.548000
18.657600

2,471.083333
2,536.430000
2,364.585000
2,347.110000

2,471.083333
2,536.430000
2,364.585000
2,347.110000

2,471.083333
2,536.430000
2,364.585000
2,347.110000

IMUNOSUPRESOARE SELECTIVE - G31


25. BOALA CRONICA INFLAMATORIE INTESTINALA - G31a
1
2
3
4

L04AB02
L04AB02
L04AB04
L04AB04

INFLIXIMABUM****
INFLIXIMABUM****
ADALIMUMABUM****
ADALIMUMABUM****

REMICADE 100 mg
REMICADE 100 mg
HUMIRA 40 mg
HUMIRA 40 mg

PULB. PT. CONC. PT. SOL. PERF.


PULB. PT. CONC. PT. SOL. PERF.

SOL. INJ. IN PEN PRE-UMPLUTA


SOL. INJ. IN SERINGA PREUMPLUTA

Pagina 41 din 44

CUTIE X 3 FLAC. DIN STICLA CU LIOF. PT. CONC. PT. SOL. PERF.
CUTIE X 2 FLAC. DIN STICLA CU LIOF. PT. CONC. PT. SOL. PERF.

S
S

3
2
2
2

7,413.25
5,072.86
4,729.17
4,694.22

NR.CRT

COD ATC

DCI

Denumire Comerciala

forma farm.

concentratie

DETINATOR APP

TARA
DET. APP

AMBALAJ

Prescriptie

VAL.SUPORT
ATAT CNAS/
PRET
UT(RON)AMANU
PRET
LEGEA NR. VAL.SUPORT
NTUL
MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
CANT
a) si f)
ADULTI
(RON)
ITATE (RON)

Tratamentul se prescrie i se monitorizeaz de ctre medicul n specialitatea gastro-enterologie i medicin intern (uniti sanitare nominalizate de ctre Ministerul Sntii Publice)

26. POLIARTITRITA REUMATOIDA - G31b


1
2
3
4
5
6
7
8
9
10
11
12

L01XC02
L01XC02
L04AB01
L04AB01
L04AB01
L04AB01
L04AB01
L04AB01
L04AB02
L04AB02
L04AB04
L04AB04

RITUXIMABUM****
RITUXIMABUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
INFLIXIMABUM****
INFLIXIMABUM****
ADALIMUMABUM****
ADALIMUMABUM****

MABTHERA 100 mg
MABTHERA 500 mg
ENBREL 50 mg
ENBREL 25mg
ENBREL DE UZ PEDIATRIC
ENBREL 25mg
ENBREL 50mg
ENBREL 50mg
REMICADE 100 mg
REMICADE 100 mg
HUMIRA 40 mg
HUMIRA 40 mg

CONC. PT. SOL. PERF.


CONC. PT. SOL. PERF.
PULB+SOLV.PT.SOL.INJ
PULB. + SOLV. PT. SOL. INJ.
PULB. + SOLV. PT. SOL. INJ.
SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN STILOU INJECTOR PREUMPLUT

PULB. PT. CONC. PT. SOL. PERF.


PULB. PT. CONC. PT. SOL. PERF.

SOL. INJ. IN PEN PRE-UMPLUTA


SOL. INJ. IN SERINGA PREUMPLUTA

10mg/ml
10mg/ml
50mg
25mg
25mg
25mg
50mg
50mg
100mg
100mg
40mg
40mg

ROCHE REGISTRATION LTD.

MAREA BRITANIE

ROCHE REGISTRATION LTD.

MAREA BRITANIE CUTIE X 1 FLACON X 50 ML(500MG RITUXIMAB IN 50ML- 10MG/ML)

CUTIE X 2 FLACOANE X 10 ML

S
S

WYETH EUROPA LIMITED

MAREA BRITANIE

P-RF/R

WYETH EUROPA LIMITED

MAREA BRITANIE CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 TAMPOANE CU ALCOOL P-RF/R

WYETH EUROPA LIMITED

MAREA BRITANIE

WYETH EUROPA LIMITED

MAREA BRITANIE CUTIE X 4 SERINGI PREUMPLUTE X 8 TAMPOANE CU ALCOOL P-RF/R

WYETH EUROPA LIMITED

MAREA BRITANIE CUTIE X 4 SERINGI PREUMPLUTE X 8 TAMPOANE CU ALCOOL P-RF/R

WYETH EUROPA LIMITED

MAREA BRITANIE

CENTOCOR B.V.
CENTOCOR B.V.

OLANDA
OLANDA

ABBOTT LABORATORIES LTD.

MAREA BRITANIE CUTIE X 2 BLIST. X 1 PEN PREUMPLUTA X 0,8 ML + 1 TAMPON CU ALCOOL

P-RF/R

ABBOTT LABORATORIES LTD.

MAREA BRITANIE CUTIE X 2 BLIST. X 1 SERINGA PREUMPLUTA X 0,8 ML + 1 TAMPON CU ALCOOL

P-RF/R

CUTIE X 4 FLAC. PULB. PT. SOL. INJ. + 4 SERINGI PREUMPLUTE CU SOLVENT + 4 ADAPTOARE PT. FLAC. + 8 TA

CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 SERINGI DIN PLASTIC GOALE + 20 ACE + 24 TAMPOANE

CUTIE X 4 STILOURI INJECTOARE PREUMPLUTE (PEN) X 8 TAMPOANE CU ALCOOL

CUTIE X 3 FLAC. DIN STICLA CU LIOF. PT. CONC. PT. SOL. PERF.
CUTIE X 2 FLAC. DIN STICLA CU LIOF. PT. CONC. PT. SOL. PERF.

P-RF/R

P-RF/R

S
S

2
1
4
4
4
4
4
4
3
2
2
2

2,431.60
5,972.91
4,512.91
2,249.32
2,244.20
2,244.20
4,417.55
4,417.55
7,413.25
5,072.86
4,729.17
4,694.22

1,215.800000 1,215.800000 1,215.800000


5,972.910000 5,972.910000 5,972.910000
1,128.227500 1,128.227500 1,128.227500

562.330000 562.330000 562.330000


561.050000 561.050000 561.050000
561.050000 561.050000 561.050000
1,104.387500
1,104.387500
2,471.083333
2,536.430000
2,364.585000
2,347.110000

1,104.387500
1,104.387500
2,471.083333
2,536.430000
2,364.585000
2,347.110000

1,104.387500
1,104.387500
2,471.083333
2,536.430000
2,364.585000
2,347.110000

Tratamentul se prescrie si se monitorizeaza de catre medicul in specialitatea reumatologie, medicina interna, nefrologie (pentru pacienii cu afectare renal), medicina interna sau recuperare medicina fizica i
balneofizioieterapie (unitati sanitare nominalizate de catre Ministerul Sanatatii)

27. ARTROPATIA PSORIAZICA - G31c


1
2
3
4
5
6
7
8
9
10

L04AB01
L04AB01
L04AB01
L04AB01
L04AB01
L04AB01
L04AB02
L04AB02
L04AB04
L04AB04

ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
INFLIXIMABUM****
INFLIXIMABUM****
ADALIMUMABUM****
ADALIMUMABUM****

ENBREL 50 mg
ENBREL 25mg
ENBREL DE UZ PEDIATRIC
ENBREL 25mg
ENBREL 50mg
ENBREL 50mg
REMICADE 100 mg
REMICADE 100 mg
HUMIRA 40 mg
HUMIRA 40 mg

PULB+SOLV.PT.SOL.INJ
PULB. + SOLV. PT. SOL. INJ.
PULB. + SOLV. PT. SOL. INJ.
SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN STILOU INJECTOR PREUMPLUT

PULB. PT. CONC. PT. SOL. PERF.


PULB. PT. CONC. PT. SOL. PERF.

SOL. INJ. IN PEN PRE-UMPLUTA


SOL. INJ. IN SERINGA PREUMPLUTA

50mg
25mg
25mg
25mg
50mg
50mg
100mg
100mg
40mg
40mg

WYETH EUROPA LIMITED

MAREA BRITANIE

WYETH EUROPA LIMITED

MAREA BRITANIE CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 TAMPOANE CU ALCOOL P-RF/R

WYETH EUROPA LIMITED

MAREA BRITANIE

WYETH EUROPA LIMITED

MAREA BRITANIE CUTIE X 4 SERINGI PREUMPLUTE X 8 TAMPOANE CU ALCOOL P-RF/R

WYETH EUROPA LIMITED

MAREA BRITANIE CUTIE X 4 SERINGI PREUMPLUTE X 8 TAMPOANE CU ALCOOL P-RF/R

WYETH EUROPA LIMITED

MAREA BRITANIE

CENTOCOR B.V.
CENTOCOR B.V.

OLANDA
OLANDA

ABBOTT LABORATORIES LTD.

MAREA BRITANIE CUTIE X 2 BLIST. X 1 PEN PREUMPLUTA X 0,8 ML + 1 TAMPON CU ALCOOL

P-RF/R

ABBOTT LABORATORIES LTD.

MAREA BRITANIE CUTIE X 2 BLIST. X 1 SERINGA PREUMPLUTA X 0,8 ML + 1 TAMPON CU ALCOOL

P-RF/R

CUTIE X 4 FLAC. PULB. PT. SOL. INJ. + 4 SERINGI PREUMPLUTE CU SOLVENT + 4 ADAPTOARE PT. FLAC. + 8 TA

CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 SERINGI DIN PLASTIC GOALE + 20 ACE + 24 TAMPOANE

CUTIE X 4 STILOURI INJECTOARE PREUMPLUTE (PEN) X 8 TAMPOANE CU ALCOOL

CUTIE X 3 FLAC. DIN STICLA CU LIOF. PT. CONC. PT. SOL. PERF.
CUTIE X 2 FLAC. DIN STICLA CU LIOF. PT. CONC. PT. SOL. PERF.

P-RF/R

P-RF/R

P-RF/R

S
S

4
4
4
4
4
4
3
2
2
2

4,512.91
2,249.32
2,244.20
2,244.20
4,417.55
4,417.55
7,413.25
5,072.86
4,729.17
4,694.22

1,128.227500 1,128.227500 1,128.227500

4
4
4
4
4
4

4,512.91
2,249.32
2,244.20
2,244.20
4,417.55
4,417.55

1,128.227500 1,128.227500 1,128.227500

562.330000 562.330000 562.330000


561.050000 561.050000 561.050000
561.050000 561.050000 561.050000
1,104.387500
1,104.387500
2,471.083333
2,536.430000
2,364.585000
2,347.110000

1,104.387500
1,104.387500
2,471.083333
2,536.430000
2,364.585000
2,347.110000

1,104.387500
1,104.387500
2,471.083333
2,536.430000
2,364.585000
2,347.110000

Tratamentul se prescrie si se monitorizeaza de catre medicul in specialitatea reumatologie si recuperare medicina fizica i balneofizioieterapie (unitati sanitare nominalizate de catre Ministerul Sanatatii)

28. SPONDILITA ANKILOZANTA - G 31d


1
2
3
4
5
6

L04AB01
L04AB01
L04AB01
L04AB01
L04AB01
L04AB01

ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****

ENBREL 50 mg
ENBREL 25mg
ENBREL DE UZ PEDIATRIC
ENBREL 25mg
ENBREL 50mg
ENBREL 50mg

PULB+SOLV.PT.SOL.INJ
PULB. + SOLV. PT. SOL. INJ.
PULB. + SOLV. PT. SOL. INJ.
SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN STILOU INJECTOR PREUMPLUT

50mg
25mg
25mg
25mg
50mg
50mg

WYETH EUROPA LIMITED

MAREA BRITANIE

WYETH EUROPA LIMITED

MAREA BRITANIE CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 TAMPOANE CU ALCOOL P-RF/R

WYETH EUROPA LIMITED

MAREA BRITANIE

WYETH EUROPA LIMITED

MAREA BRITANIE CUTIE X 4 SERINGI PREUMPLUTE X 8 TAMPOANE CU ALCOOL P-RF/R

WYETH EUROPA LIMITED

MAREA BRITANIE CUTIE X 4 SERINGI PREUMPLUTE X 8 TAMPOANE CU ALCOOL P-RF/R

WYETH EUROPA LIMITED

MAREA BRITANIE

Pagina 42 din 44

CUTIE X 4 FLAC. PULB. PT. SOL. INJ. + 4 SERINGI PREUMPLUTE CU SOLVENT + 4 ADAPTOARE PT. FLAC. + 8 TA

CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 SERINGI DIN PLASTIC GOALE + 20 ACE + 24 TAMPOANE

CUTIE X 4 STILOURI INJECTOARE PREUMPLUTE (PEN) X 8 TAMPOANE CU ALCOOL

P-RF/R

P-RF/R

P-RF/R

562.330000 562.330000 562.330000


561.050000 561.050000 561.050000
561.050000 561.050000 561.050000
1,104.387500 1,104.387500 1,104.387500
1,104.387500 1,104.387500 1,104.387500

NR.CRT

7
8
9
10

COD ATC

L04AB02
L04AB02
L04AB04
L04AB04

DCI

INFLIXIMABUM****
INFLIXIMABUM****
ADALIMUMABUM****
ADALIMUMABUM****

Denumire Comerciala

REMICADE 100 mg
REMICADE 100 mg
HUMIRA 40 mg
HUMIRA 40 mg

forma farm.
PULB. PT. CONC. PT. SOL. PERF.
PULB. PT. CONC. PT. SOL. PERF.

SOL. INJ. IN PEN PRE-UMPLUTA


SOL. INJ. IN SERINGA PREUMPLUTA

concentratie

100mg
100mg
40mg
40mg

DETINATOR APP

TARA
DET. APP

AMBALAJ

Prescriptie

CENTOCOR B.V.
CENTOCOR B.V.

OLANDA
OLANDA

ABBOTT LABORATORIES LTD.

MAREA BRITANIE CUTIE X 2 BLIST. X 1 PEN PREUMPLUTA X 0,8 ML + 1 TAMPON CU ALCOOL

P-RF/R

ABBOTT LABORATORIES LTD.

MAREA BRITANIE CUTIE X 2 BLIST. X 1 SERINGA PREUMPLUTA X 0,8 ML + 1 TAMPON CU ALCOOL

P-RF/R

CUTIE X 3 FLAC. DIN STICLA CU LIOF. PT. CONC. PT. SOL. PERF.
CUTIE X 2 FLAC. DIN STICLA CU LIOF. PT. CONC. PT. SOL. PERF.

VAL.SUPORT
ATAT CNAS/
PRET
UT(RON)AMANU
PRET
LEGEA NR. VAL.SUPORT
NTUL
MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
CANT
a) si f)
ADULTI
(RON)
ITATE (RON)

S
S

3
2
2
2

7,413.25
5,072.86
4,729.17
4,694.22

2,471.083333
2,536.430000
2,364.585000
2,347.110000

2,471.083333
2,536.430000
2,364.585000
2,347.110000

2,471.083333
2,536.430000
2,364.585000
2,347.110000

Tratamentul se prescrie si se monitorizeaza de catre medicul in specialitatea reumatologie, medicina interna sau recuperare medicina fizica i balneofizioieterapie (unitati sanitare nominalizate de catre Ministerul
Sanatatii)

29. ARTRITA JUVENILA - G 31e


1
2
3
4
5
6

L04AB01
L04AB01
L04AB01
L04AB01
L04AB01
L04AB01

ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****

ENBREL 50 mg
ENBREL 25mg
ENBREL DE UZ PEDIATRIC
ENBREL 25mg
ENBREL 50mg
ENBREL 50mg

PULB+SOLV.PT.SOL.INJ
PULB. + SOLV. PT. SOL. INJ.
PULB. + SOLV. PT. SOL. INJ.
SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN STILOU INJECTOR PREUMPLUT

50mg
25mg
25mg
25mg
50mg
50mg

WYETH EUROPA LIMITED

MAREA BRITANIE

WYETH EUROPA LIMITED

MAREA BRITANIE CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 TAMPOANE CU ALCOOL P-RF/R

WYETH EUROPA LIMITED

MAREA BRITANIE

WYETH EUROPA LIMITED

MAREA BRITANIE CUTIE X 4 SERINGI PREUMPLUTE X 8 TAMPOANE CU ALCOOL P-RF/R

WYETH EUROPA LIMITED

MAREA BRITANIE CUTIE X 4 SERINGI PREUMPLUTE X 8 TAMPOANE CU ALCOOL P-RF/R

WYETH EUROPA LIMITED

MAREA BRITANIE

CUTIE X 4 FLAC. PULB. PT. SOL. INJ. + 4 SERINGI PREUMPLUTE CU SOLVENT + 4 ADAPTOARE PT. FLAC. + 8 TA

CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 SERINGI DIN PLASTIC GOALE + 20 ACE + 24 TAMPOANE

CUTIE X 4 STILOURI INJECTOARE PREUMPLUTE (PEN) X 8 TAMPOANE CU ALCOOL

P-RF/R

P-RF/R

P-RF/R

4
4
4
4
4
4

4,512.91
2,249.32
2,244.20
2,244.20
4,417.55
4,417.55

1,128.227500 1,128.227500 1,128.227500

4
4
4
4
4
4
3
2
2
2

4,512.91
2,249.32
2,244.20
2,244.20
4,417.55
4,417.55
7,413.25
5,072.86
4,729.17
4,694.22

1,128.227500 1,128.227500 1,128.227500

562.330000 562.330000 562.330000


561.050000 561.050000 561.050000
561.050000 561.050000 561.050000
1,104.387500 1,104.387500 1,104.387500
1,104.387500 1,104.387500 1,104.387500

Tratamentul se prescrie si se monitorizeaza de catre medicul in specialitatea reumatologie si recuperare medicina fizica i balneofizioieterapie (unitati sanitare nominalizate de catre Ministerul Sanatatii)

30. PSORIAZIS CRONIC SEVER - G 31f


1
2
3
4
5
6
7
8
9
10

L04AB01
L04AB01
L04AB01
L04AB01
L04AB01
L04AB01
L04AB02
L04AB02
L04AB04
L04AB04

ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
INFLIXIMABUM****
INFLIXIMABUM****
ADALIMUMABUM****
ADALIMUMABUM****

ENBREL 50 mg
ENBREL 25mg
ENBREL DE UZ PEDIATRIC
ENBREL 25mg
ENBREL 50mg
ENBREL 50mg
REMICADE 100 mg
REMICADE 100 mg
HUMIRA 40 mg
HUMIRA 40 mg

PULB+SOLV.PT.SOL.INJ
PULB. + SOLV. PT. SOL. INJ.
PULB. + SOLV. PT. SOL. INJ.
SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN STILOU INJECTOR PREUMPLUT

PULB. PT. CONC. PT. SOL. PERF.


PULB. PT. CONC. PT. SOL. PERF.

SOL. INJ. IN PEN PRE-UMPLUTA


SOL. INJ. IN SERINGA PREUMPLUTA

50mg
25mg
25mg
25mg
50mg
50mg
100mg
100mg
40mg
40mg

WYETH EUROPA LIMITED

MAREA BRITANIE

WYETH EUROPA LIMITED

MAREA BRITANIE CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 TAMPOANE CU ALCOOL P-RF/R

WYETH EUROPA LIMITED

MAREA BRITANIE

WYETH EUROPA LIMITED

MAREA BRITANIE CUTIE X 4 SERINGI PREUMPLUTE X 8 TAMPOANE CU ALCOOL P-RF/R

WYETH EUROPA LIMITED

MAREA BRITANIE CUTIE X 4 SERINGI PREUMPLUTE X 8 TAMPOANE CU ALCOOL P-RF/R

WYETH EUROPA LIMITED

MAREA BRITANIE

CENTOCOR B.V.
CENTOCOR B.V.

OLANDA
OLANDA

ABBOTT LABORATORIES LTD.

MAREA BRITANIE CUTIE X 2 BLIST. X 1 PEN PREUMPLUTA X 0,8 ML + 1 TAMPON CU ALCOOL

P-RF/R

ABBOTT LABORATORIES LTD.

MAREA BRITANIE CUTIE X 2 BLIST. X 1 SERINGA PREUMPLUTA X 0,8 ML + 1 TAMPON CU ALCOOL

P-RF/R

CUTIE X 4 FLAC. PULB. PT. SOL. INJ. + 4 SERINGI PREUMPLUTE CU SOLVENT + 4 ADAPTOARE PT. FLAC. + 8 TA

CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 SERINGI DIN PLASTIC GOALE + 20 ACE + 24 TAMPOANE

CUTIE X 4 STILOURI INJECTOARE PREUMPLUTE (PEN) X 8 TAMPOANE CU ALCOOL

CUTIE X 3 FLAC. DIN STICLA CU LIOF. PT. CONC. PT. SOL. PERF.
CUTIE X 2 FLAC. DIN STICLA CU LIOF. PT. CONC. PT. SOL. PERF.

P-RF/R

P-RF/R

P-RF/R

S
S

Tratamentul se prescrie si monitorizeaza de catre medicul in specialitatea dermatologie (unitati sanitare nominalizate de catre Ministerul Sanatatii)
NOTA:
- Pentru medicamentele corespunzatoare acestei sectiuni initierea tratamentului se face de catre medicul de specialitate altul decat medicul de familie, exceptie facand medicamentele din G1-INSUFICIENTA
CARDIACA CRONICA (CLASA III SAU IV NYHA) pozitiile 2, 3, 4, 5, 6, 7, 9 pentru care initierea tratamentului poate fi efectuata si de medicul de familie;
- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (**) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MS;
- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (***) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MS si cu aprobarea comisiilor de la
nivelul Caselor Judetene de Asigurari de Sanatate;
- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (****) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MS si cu aprobarea comisiilor de
nivelul Casei Nationale de Asigurari de Sanatate;
Medicamentul corespunzator DCI-ului notat cu 3() se livreaza impreuna cu solvent;
Pagina 43 din 44

562.330000 562.330000 562.330000


561.050000 561.050000 561.050000
561.050000 561.050000 561.050000
1,104.387500
1,104.387500
2,471.083333
2,536.430000
2,364.585000
2,347.110000

1,104.387500
1,104.387500
2,471.083333
2,536.430000
2,364.585000
2,347.110000

1,104.387500
1,104.387500
2,471.083333
2,536.430000
2,364.585000
2,347.110000

NR.CRT

COD ATC

DCI

Denumire Comerciala

forma farm.

concentratie

DETINATOR APP

TARA
DET. APP

- Medicamentele corespunzatoare DCI-urilor notate cu () se importa cu avizul MS;


- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu5() se utilizeaza numai pentru cazurile fara raspuns terapeutic la prednisonum.

NOT: Medicamentele din aceast sublist se elibereaz prin farmacii cu circuit deschis pe baz de prescrip
ie medical cu reinere n farmacie (P-RF).

Pagina 44 din 44

AMBALAJ

Prescriptie

VAL.SUPORT
ATAT CNAS/
PRET
UT(RON)AMANU
PRET
LEGEA NR. VAL.SUPORT
NTUL
MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
CANT
a) si f)
ADULTI
(RON)
ITATE (RON)

ANEXA 4

SECIUNEA C2 - LISTA MEDICAMENTELOR CU PROCENT DE COMPENSARE 100% din pret de decontare - conform denumirilor comune internaionale
corespunztoare medicamentelor de care beneficiaza asiguratii inclusi in programele nationale de sntate cu scop curativ in tratamentul ambulatoriu si spitalicesc
DIN HG NR. 720/2008 CU MODIFICARILE SI COMPLETARILE ULTERIOARE SI ORDINUL MS NR. 426/2009
VALABIL NCEPND CU 01 OCTOMBRIE 2011
Grupa
Nr.
terape
crt
utica

Denumire generica

Denumire comerciala

Forma
Concentrati
farmaceutica
e / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a
mbala
j

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

Pret cu ridicata
maximal de
decontare / U.T.

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

P1: PROGRAMUL NATIONAL DE BOLI TRANSMISIBILE


A) SUBPROGRAMUL DE TRATAMENT SI MONITORIZARE A PERSOANELOR CU INFECTIE HIV/SIDA si TRATAMENTUL POSTEXPUNERE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54

A07AA11
A07AA11
A07AA11
D01AC02
D01AC02
D01AC02
D06BB03
D06BB03
D06BB03
D06BB03
D06BB03
D06BB03
D06BB03
D06BB03
D06BB03
D06BB03
D06BB03
G01AF04
G01AF04
G01AF04
G01AF04
G01AF04
G01AF04

J01CF04
J01CF04
J01CF04
J01CF04
J01CF04
J01CF04
J01CF04
J01CF04
J01CF04
J01CF04
J01CF04
J01CF04
J01CF04
J01CF04
J01CF04
J01CF04
J01CF04
J01CF04
J01CF04
J01CF04
J01CF04
J01CR01
J01CR01

RIFAXIMINUM
RIFAXIMINUM
RIFAXIMINUM
MICONAZOLUM
MICONAZOLUM
MICONAZOLUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
MICONAZOLUM
MICONAZOLUM
MICONAZOLUM
MICONAZOLUM
MICONAZOLUM
MICONAZOLUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
AMPICILLINUM + SULBACTAM
AMPICILLINUM + SULBACTAM

NORMIX 200 mg
NORMIX 200 mg
NORMIX 100mg/5ml
MEDACTER
MICONAZOL NITRAT 2%
MICONAL ECOBI
ACICLOVIR 50mg/g
ACICLOVIR 50mg/g
ACICLOVIR MK
ACICLOVIR MK
CLOVIRAL (R) 5%
ZOVIRAX
ACICLOVIR SLAVIA 50 mg/g
ACICLOVIR TIS 50mg/g
ACICLOVIR HYPERION
ACIKLOVIR CREMA
ACIKLOVIR CREMA
GYNOZOL 200
GYNOZOL 400
MEDACTER
MICONAL ECOBI
MICONAL ECOBI
MICONAL ECOBI
OXACILINA SANDOZ 250 mg
OXACILINA
OXACILINA 250 mg
OXACILINA 250 mg
OXACILINA ARENA 250 mg
OXACILINA ARENA 250 mg
OXACILINA 250 mg
OXACILINA 250 mg
OXACILINA FARMEX 250 mg
OXACILINA 250 mg
OXACILINA SANDOZ 500 mg
OXACILINA FORTE 500 mg

COMPR. FILM. 200mg


COMPR. FILM. 200mg

100mg/5ml
2%
2%
20mg/g
5%
5%
5%
5%
5%
5%
50mg/g
50mg/g
50mg/g
50mg/g
50mg/g
200mg
400mg
2%
20mg/g
50mg
SOL. VAGINALA 2mg/ml
CAPS.
250mg
CAPS.
250mg
CAPS.
250mg
CAPS.
250mg
CAPS.
250mg
CAPS.
250mg
CAPS.
250mg
CAPS.
250mg
CAPS.
250mg
CAPS.
250mg
CAPS.
500mg
CAPS.
500mg
OXACILINA FORTE LPH 500 mg CAPS.
500mg
OXACILINA 500 mg
CAPS.
500mg
OXACILINA 500 mg
CAPS.
500mg
OXACILINA ARENA 500 mg CAPS.
500mg
OXACILINA FORTE 500 mg CAPS.
500mg
OXACILINA FORTE 500 mg CAPS.
500mg
OXACILINA ANTIBIOTICE 500 mg
500mg
OXACILINA ANTIBIOTICE 1 g
1g
OXACILINA ANTIBIOTICE 250 mg
250mg
AMPIPLUS (R) 1,5 g
PULB. PT. SOL. INJ. 1g+500mg
AMPIPLUS (R) 1,5 g
PULB. PT. SOL. INJ. 1g+500mg
GRAN. PT. SUSP. ORALA

CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
CAPS. VAG.
CAPS. VAG.
CREMA VAG.
CREMA VAG.
OVULE

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.

J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

AUGMENTIN SR 1000 mg/62,5 mg

COMPR. ELIB. PREL.

1000mg/62,5mg

J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

MEDOCLAV 1000 mg
AMOKSIKLAV 2 x 1000 mg
MEDOCLAV 375 mg
AMOXIPLUS 500/125 mg
MEDOCLAV 625 mg
AUGMENTIN 625 mg
AUGMENTIN 500 mg/125 mg

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

1000mg
1000mg

J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM


J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

250mg+125mg

500/125mg
500mg+125mg
500mg+125mg
500mg/125mg

ITALIA
CUTIE X 1 BLIST. AL/PVC X 12 COMPR. FILM. P-RF
12
ITALIA
CUTIE X 3 BLIST. AL/PVC A CATE 12 COMPR. FILM. P-RF
36
ALFA WASSERMANN SPA ITALIA
P-RF
1
FARAN LABORATORIES S.A. GRECIA CUTIE X 1 TUB X 30G
P-RF
1
SLAVIA PHARM SRL ROMANIA CUTIE X 1 TUB X 20 G
P-RF
1
FARMACEUTICI ECOBI S.A.S ITALIA
CUTIE X 1 TUB DIN AL X 30 G CREMA P-RF
1
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 TUB X 5 G CREMA
P-RF
1
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 TUB X 15 G CREMA
P-RF
1
FITERMAN PHARMA S.R.L. ROMANIA CUTIE X 1 TUB AL X 7,5 G
P-RF
1
FITERMAN PHARMA S.R.L. ROMANIA CUTIE X 1 TUB AL X 15 G
P-RF
1
ANTIBIOTICE SA
ROMANIA CUTIE X 1 TUB AL. X 12 G
P-RF
1
THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 1 TUB X 5G CREMA
P-RF
1
SLAVIA PHARM S.R.L. ROMANIA CUTIE CU 1 TUB AL X 15 G CREMA P-RF
1
TIS FARMACEUTIC SA ROMANIA CUTIE X 1 TUB DIN PEJD X 15 G CREMA P-RF
1
HYPERION S.A.
ROMANIA CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF
1
A & G MED TRADING S.R.L. ROMANIA CUTIE X 1 TUB X 10 G CREMA
P-RF
1
A & G MED TRADING S.R.L. ROMANIA CUTIE X 1 TUB X 5 G CREMA
P-RF
1
PHARCO IMPEX 93 S.R.L. ROMANIA CUTIE X 2 BLIST. X 3 CAPS. VAG. MOI P-RF
6
PHARCO IMPEX 93 S.R.L. ROMANIA CUTIE X 1 BLIST. X 3 CAPS. VAG. MOI P-RF
3
FARAN LABORATORIES S.A. GRECIA CUTIE X 1 TUB X 78 G
P-RF
1
FARMACEUTICI ECOBI S.A.S ITALIA
CUTIE X 1 TUB DIN AL X 78 G CREMA VAGINALA + CANULA P-RF
1
FARMACEUTICI ECOBI S.A.S ITALIA
CUTIE X 3 FOLII PREFORMATE PVC/PE X 5 OVULE P-RF
15
FARMACEUTICI ECOBI S.A.S ITALIA
CUTIE X 5 FLACOANE DIN PEJD X 150 ML SOL. VAG. + 5 CANULE
P-RF
5
SANDOZ SRL
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF
20
FARMACOM SA
ROMANIA CUTIE X 2 BLIST. X 10 CAPS.
P-RF
20
OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF
20
EUROPHARM SA
ROMANIA CUTIE X 1 BLIST.AL/PVC X 12 CAPS. P-RF
12
ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF
20
ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. P-RF/S 1000
ANTIBIOTICE SA
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF
20
ANTIBIOTICE SA
ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. P-RF/S 1000
FARMEX COMPANY SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF
20
LABORMED PHARMA S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF
20
SANDOZ SRL
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF
10
OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF
10
LABORMED PHARMA S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF
10
ANTIBIOTICE SA
ROMANIA CUTIE X 100 BLIST. X 10 CAPS.
P-RF/S 1000
ANTIBIOTICE SA
ROMANIA CUTIE X 1 BLIST. X 10 CAPS.
P-RF
10
ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF
10
FARMEX COMPANY SRL ROMANIA CUTIE X 50 BLIST. AL/PVC X 10 CAPS. P-RF/S 500
FARMEX COMPANY SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF
20
ANTIBIOTICE SA
ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. I.M./I.V. P-RF
1
ANTIBIOTICE SA
ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. I.M./I.V. P-RF
1
ANTIBIOTICE SA
ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. I.M./I.V. P-RF
1
ANTIBIOTICE SA
ROMANIA CUTIE X 50 FLAC. PULB. PT. SOL. INJ. X 1,5 G P-RF/S
50
ANTIBIOTICE SA
ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. INJ. X 1,5 G P-RF
1
BEECHAM GROUP PLC MAREA BRITANIE CUTIE CU 7 BLIST. AL/PVC-AL X 4 COMPR. ELIB. PREL. P-RF
28
MEDOCHEMIE LTD. CIPRU
CUTIE X 2 BLIST. AL-PVC/AL X 7 COMPR. FILM.
P-RF
14
LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 2 BLIST. AL/AL X 7 COMPR.FILM. P-RF
14
MEDOCHEMIE LTD. CIPRU
CUTIE X 4 BLIST. X 4 COMPR. FILM. P-RF
16
ANTIBIOTICE S.A.
ROMANIA CUTIE X 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-RF
14
MEDOCHEMIE LTD. CIPRU
CUTIE X 4 BLIST. X 4 COMPR. FILM. P-RF
16
BEECHAM GROUP PLC MAREA BRITANIE
P-RF
14
BEECHAM GROUP PLC MAREA BRITANIE
P-RF
14
ALFA WASSERMANN SPA
ALFA WASSERMANN SPA

CUTIE X 1 FLAC. GRAN. PT. 60 ML SUSP. ORALA + 1 MASURA DOZATOARE MARCATA LA 5, 10 SI 15 ML

CUTIE X 2 BLIST. AL/PVDC-PVC X 7 COMPR. FILM., FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA PROTECTOA

CUTIE CU 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM., FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA PROTECTO

Pagina 1 din 48

24.20
71.32
13.97
6.26
4.99
6.95
3.64
5.55
3.06
4.93
4.68
15.40
4.91
3.43
5.36
6.49
4.32
4.36
4.18
14.16
10.18
6.58
13.15
5.63
4.16
4.41
4.45
5.20
239.70
5.52
254.69
4.93
4.41
5.15
4.53
4.53
292.78
5.04
4.53
192.81
8.16
2.43
3.90
1.28
626.68
18.47
33.88
30.76
29.56
16.55
7.92
21.75
11.19
11.19

2.016666
1.981111
13.970000
6.260000
4.990000
6.950000
3.640000
5.550000
3.060000
4.930000
4.680000
15.400000
4.910000
3.430000
5.360000
6.490000
4.320000
0.726666
1.393333
14.160000
10.180000
0.438666
2.630000
0.281500
0.208000
0.220500
0.370833
0.260000
0.239700
0.276000
0.254690
0.246500
0.220500
0.515000
0.453000
0.453000
0.292780
0.504000
0.453000
0.385620
0.408000
2.430000
3.900000
1.280000
12.533600
18.470000
1.210000
2.197142
2.111428
1.034375
0.565714
1.359375
0.799285
0.799285

2.016666
1.981111
13.970000
6.260000
4.990000
6.950000
3.640000
4.368000
3.060000
4.116000
4.680000
4.368000
4.116000
3.430000
4.116000
6.490000
4.320000
0.726666
1.393333
12.216000
10.180000
0.438666
2.630000
0.249600
0.208000
0.220500
0.249600
0.249600
0.239700
0.249600
0.249600
0.246500
0.220500
0.351336
0.351336
0.351336
0.292780
0.351336
0.351336
0.351336
0.351336
2.430000
3.900000
1.280000
12.533600
15.040320
1.210000
1.188857
1.188857
1.034375
0.565714
0.678857
0.678857
0.678857

32.71
90.18
18.88
8.46
6.75
9.40
4.92
7.50
4.14
6.66
6.32
20.82
6.64
4.64
7.24
8.77
5.84
5.89
5.65
19.14
13.76
8.89
17.78
7.61
5.62
5.96
6.02
7.03
292.63
7.46
310.92
6.66
5.96
6.96
6.12
6.12
357.43
6.81
6.12
235.38
11.03
3.28
5.27
1.73
721.23
24.96
44.32
40.23
38.66
22.37
10.71
29.40
15.13
15.13

2.725833
2.505000
18.880000
8.460000
6.750000
9.400000
4.920000
7.500000
4.140000
6.660000
6.320000
20.820000
6.640000
4.640000
7.240000
8.770000
5.840000
0.981666
1.883333
19.140000
13.760000
0.592666
3.556000
0.380500
0.281000
0.298000
0.501666
0.351500
0.292630
0.373000
0.310920
0.333000
0.298000
0.696000
0.612000
0.612000
0.357430
0.681000
0.612000
0.470760
0.551500
3.280000
5.270000
1.730000
14.424600
24.960000
1.582857
2.873571
2.761428
1.398125
0.765000
1.837500
1.080714
1.080714

2.725833
2.505000
18.880000
8.460000
6.750000
9.400000
4.920000
5.904000
4.140000
5.568000
6.320000
5.904000
5.568000
4.640000
5.568000
8.770000
5.840000
0.981666
1.883333
16.512000
13.760000
0.592666
3.556000
0.337200
0.281000
0.298000
0.337200
0.337200
0.292630
0.337200
0.310920
0.333000
0.298000
0.428916
0.428916
0.428916
0.357430
0.428916
0.428916
0.428916
0.428916
3.280000
5.270000
1.730000
14.424600
17.309520
1.582857
1.607142
1.607142
1.398125
0.765000
0.918000
0.918000
0.918000

Grupa
Nr.
terape
crt
utica
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121

Denumire generica

J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM


J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

Denumire comerciala

ENHANCIN 625 mg
AMOKSIKLAV 2 x 625 mg
AUGMENTIN 1 g
AUGMENTIN 875 mg/125 mg
AMOXIPLUS 875 mg/125 mg
AUGMENTIN SR
AMOKSIKLAV QUICKTAB 1000 mg
AMOKSIKLAV QUICKTAB 625 mg

AMOXIPLUS 1,2 g
AMOXIPLUS 1,2 g
AMOXIPLUS 1,2 g
AUGMENTIN INTRAVENOS 1,2g
AUGMENTIN INTRAVENOS 2,2g

J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

MEDOCLAV 156,25 mg/5 ml


AMOKSIKLAV 156,25mg/5ml

J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

MEDOCLAV FORTE 312,5mg/5ml

J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM


J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

AUGMENTIN BIS
AUGMENTIN BIS
AUGMENTIN BIS

J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

Forma
Concentrati
farmaceutica
e / U.T.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM. ELIB. PREL.

625mg
625mg

Firma

Tara

Ambalaj

RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 4 FOLII AL-PEJD X 7 COMPR. FILM.


SLOVENIA CUTIE X 1 BLIST. AL/AL X 14 COMPR. FILM.

LEK PHARMACEUTICALS D.D.

875mg+125mg BEECHAM GROUP PLC


875mg/125mg BEECHAM GROUP PLC
875mg/125mg ANTIBIOTICE S.A.
1062,5mg
BEECHAM GROUP PLC

Prescriptie

P-RF
P-RF

MAREA BRITANIE

CUTIE X 2 BLIST. AL/PVDC-PVC X 7 COMPR. FILM., FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA PROTECTOA

P-RF

MAREA BRITANIE

CUTIE CU 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM., FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA PROTECTO

P-RF

ROMANIA CUTIE CU 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM.

P-RF

MAREA BRITANIE CUTIE X 7 BLIST. AL/PVC-AL SAU AL/PP-AL X 4 COMPR. FILM. ELIB. PREL.

P-RF

PULB. PT. SOL. INJ./PERF.

1000mg
625mg
1,2g
1.2g
1.2g

PULB. PT. SOL. INJ./PERF.

1000mg+200mg BEECHAM GROUP PLC

MAREA BRITANIE CUTIE X 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.

S/P-RF

PULB. PT. SOL. PERF.

2000mg+200mg BEECHAM GROUP PLC

MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF.

S/P-RF

PULB. PT. SUSP. ORALA

COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE

COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE

PULB. PT. SOL. INJ./PERF.


PULB. PT. SOL. INJ./PERF.

BIOMEDIAL PHARMA S.R.L.


BIOMEDIAL PHARMA S.R.L.

ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA

ROMANIA CUTIE X 7 BLIST. AL/AL X 2 COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE P-RF


ROMANIA CUTIE X 7 BLIST. AL/AL X 2 COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE P-RF
ROMANIA CUTIE X 1 FLACON CU PULB. PT. SOL. INJ. / PERF. P-RF
ROMANIA CUTIE X 100 FLACOANE CU PULB. PT. SOL. INJ. / PERF. P-RF/S
ROMANIA CUTIE X 50 FLACOANE CU PULB. PT. SOL. INJ. / PERF. P-RF/S

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

400mg+57mg/5ml SMITHKLINE BEECHAM PLC

MAREA BRITANIE

CUTIE X 1 FLAC. DIN STICLA CU PULB. PT. 35 ML SUSP. ORALA + MASURA DOZATOARE

P-RF

PULB. PT. SUSP. ORALA

400mg+57mg/5ml SMITHKLINE BEECHAM PLC

MAREA BRITANIE

CUTIE X 1 FLAC. DIN STICLA CU PULB. PT. 70 ML SUSP. ORALA + MASURA DOZATOARE

P-RF

PULB. PT. SUSP. ORALA

400mg+57mg/5ml SMITHKLINE BEECHAM PLC

MAREA BRITANIE

CUTIE X 1 FLAC. DIN STICLA CU PULB. PT. 35 ML SUSP. ORALA + 1 SERIGA PT. ADM. ORALA

P-RF

AUGMENTIN BIS 400 mg/57 mg/5 ml

PULB. PT. SUSP. ORALA

400mg/57mg/5ml SMITHKLINE BEECHAM PLC

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. 70 ML SUSP. ORALA + MASURA DOZATOARE

P-RF

J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

AUGMENTIN BIS 400 mg/57 mg/5 ml

PULB. PT. SUSP. ORALA

400mg/57mg/5ml SMITHKLINE BEECHAM PLC

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. 35 ML SUSP. ORALA + MASURA DOZATOARE

P-RF

J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

AUGMENTIN BIS 400 mg/57 mg/5 ml

PULB. PT. SUSP. ORALA

400mg/57mg/5ml SMITHKLINE BEECHAM PLC

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. 35 ML SUSP. ORALA + 1 SERINGA PT. ADM. ORALA

P-RF

J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

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

CUTIE X 1 FLACON DIN STICLA CU PULB. PT. 100 ML SUSP. ORALA + 1 MASURA DOZATOARE

P-RF

CUTIE X 1 FLAC. DIN STICLA BRUNA CU 25 G PULB. PT. 100 ML SUSP. ORALA + LINGURITA DOZATOARE

P-RF

CUTIE X 1 FLAC. DIN PEID CU PULB. PT. SUSP. ORALA MARCAT PT. 100ML+ MASURA DOZATOARE

P-RF

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

AUGMENTIN (R) ES
AUGMENTIN (R) ES
AMOKSIKLAV 312,5mg/5ml
ENHANCIN 312,5 mg/5 ml
TAZOCIN 2,25
TAZOCIN 4,5

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

TEBRANIC 2g/0,25 g
ZOPECILIN 2 g/0,25 g
ZOPECILIN 2 g/0,25 g
PERASIN 2g/0,25 g

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILINA/TAZOBACTAN ACTAVIS 2 g/0,25 gPULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILINA/TAZOBACTAM MYLAN 2g/0,25 g

PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

BACTACIN 2 g/0,25 g

PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5gPULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5gPULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5gPULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM


J01CR05 PIPERACILLINUM + TAZOBACTAMUM

TEBRANIC 4 g/0,5 g
ZOPECILIN 4 g/0,5 g
ZOPECILIN 4 g/0,5 g

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILINA/TAZOBACTAN ACTAVIS 4 g/0,5 g

PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

BACTACIN 4 g/0,5 g

PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 gPULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PERASIN 4g/0,5 g
SULPERAZON (R) 2 g
NOVOSEF 500 mg i.m.
CEFTRIAXONA ACTAVIS 1 g
NOVOSEF 500mg i.v.
OFRAMAX 1000 mg
SEFTRION 1 g
CEFORT 1 g
CEFTRIAXONA ACTAVIS 2 g
CEFORT 250 mg
CEFORT 250 mg
CEFORT 250 mg
CEFORT 250 mg
OFRAMAX 250 mg
MEDAXONE 2 g
CEFORT 2 g
CEFORT 500 mg

J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM


J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM

J01CR05 PIPERACILLINUM + TAZOBACTAMUM


J01CR05 PIPERACILLINUM + TAZOBACTAMUM

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

J01CR50 COMBINATII (CEFOPERAZONUM+SULBACTAMUM)


J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04

CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM

PULB. PT. SUSP. ORALA


PULB. PT.SUSP. ORALA
PULB. PT.SUSP. ORALA

642,90mg/5ml SMITHKLINE BEECHAM PLC MAREA BRITANIE


312,5mg/5ml LEK PHARMACEUTICALS D.D. SLOVENIA
312,5mg/5ml RANBAXY UK LIMITED MAREA BRITANIE

LIOF. PT. SOL. INJ.


LIOF. PT. SOL. INJ.

PULB. PT. SOL. INJ./PERF.


PULB. PT. SOL. INJ./PERF.
PULB. PT. SOL. INJ./PERF.
PULB. PT. SOL. INJ./PERF.

PULB. PT. SOL. INJ./PERF.


PULB. PT. SOL. INJ./PERF.
PULB. PT. SOL. INJ./PERF.

PULB. PT. SOL. INJ./PERF.

2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g

PULB. PT. SOL. INJ.


PULB. PT. SOL. INJ. I.V./PERF.

PULB. PT. SOL. INJ./PERF.


PULB. PT. SOL. INJ./PERF.
PULB. PT. SOL. INJ./PERF.
PULB. PT. SOL. INJ./PERF.
PULB. PT. SOL. INJ./PERF.
PULB. PT. SOL. INJ./PERF.
PULB. PT. SOL. INJ./PERF.
PULB. PT. SOL. INJ./PERF.
PULB. PT. SOL. INJ./PERF.
PULB. PT. SOL. INJ./PERF.
PULB. PT. SOL. INJ./PERF.
PULB. PT. SOL. INJ./PERF.

500mg
1g
500mg
1000mg
1g
1g
2g
250mg
250mg
250mg
250mg
250mg
2g
2g
500mg

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

WYETH LEDERLE PHARMA GMBH

AUSTRIA CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ. S/P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

S.C. FRESENIUS KABI S.R.L.

ROMANIA
S
ROMANIA
S
ROMANIA
S
ROMANIA
S
ROMANIA
S
ROMANIA
S
SUEDIA CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. S
ROMANIA
S
ROMANIA
S
ROMANIA
S
ISLANDA CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. S
FRANTA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CU PULB. PT. SOL. INJ./PERF. S
ROMANIA
S
ROMANIA
S
ROMANIA
S
ROMANIA
S
SUEDIA CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. S
ROMANIA
S
ROMANIA
S
ISLANDA CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. S
ROMANIA
S
FRANTA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. INJ./PERF. S
ROMANIA
S
MAREA BRITANIE CUTIE X 1 FLAC X 2 G
S/P-RF
ROMANIA
P-RF
ISLANDA
PR
ROMANIA
S/P-RF
ROMANIA
S
ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERFZ. S/P-RF
ROMANIA CUTIE X 10 FLAC. CU PULB. PT. SOL. INJ./PERF. S/P-RF
ISLANDA
PR
ROMANIA CUTIE X 50 FLAC. CU PULB. PT. SOL. INJ.PERF. S/P-RF
ROMANIA CUTIE X 100 FLAC. CU PULB. PT. SOL. INJ.PERF. S
ROMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ.PERF. S/P-RF
ROMANIA CUTIE X 10 FLAC. CU PULB. PT. SOL.INJ./PERF. S/P-RF
ROMANIA
S
CIPRU
CUTIE X 10 FLACOANE X 2 G PULB. PT. SOL. INJ./PERF. S/P-RF
ROMANIA CUTIE X 10 FLAC. CU PULB. PT. SOL. INJ./PERF. S/P-RF
ROMANIA CUTIE X 50 FLAC. CU PULB. PT. SOL. INJ./PERF. S/P-RF

S.C. FRESENIUS KABI S.R.L.


S.C. FRESENIUS KABI S.R.L.
S.C. FRESENIUS KABI S.R.L.
S.C. FRESENIUS KABI S.R.L.
S.C. FRESENIUS KABI S.R.L.

ASTRA ZENECA AB
ROMASTRU TRADING SRL
ROMASTRU TRADING SRL

ANTIBIOTICE S.A.
ACTAVIS GROUP PTC EHF.

MYLAN S.A.S.
TERAPIA SA
S.C. FRESENIUS KABI S.R.L.
S.C. FRESENIUS KABI S.R.L.
S.C. FRESENIUS KABI S.R.L.

ASTRA ZENECA AB
ROMASTRU TRADING SRL
ROMASTRU TRADING SRL
ACTAVIS GROUP PTC EHF.

TERAPIA SA
MYLAN S.A.S.
ANTIBIOTICE S.A.
PFIZER EUROPE MA EEIG

PULB. PT. SOL. INJ.


PULB. + SOLV. PT. SOL. INJ.

SLOVENIA

ZENTIVA S.A.
ACTAVIS GROUP PTC EHF.

ZENTIVA S.A.
TERAPIA SA
E.I.P.I.CO. MED S.R.L.

ANTIBIOTICE SA
ACTAVIS GROUP PTC EHF.

ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA
TERAPIA SA
MEDOCHEMIE LTD.
ANTIBIOTICE SA
ANTIBIOTICE SA

CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ. S/P-RF


CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE X 1 FLAC DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 50 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 15 ML CONTINAND PULB. PT. SOL. INJ. I.M.+ 1 FIOLA DIN STICLA

CUTIE CU 5 FLACOANE DIN STICLA INCOLORA X 20 ML, CU SIST. SIG. "FLIP - OFF" CU PULB. PT. SOL. INJ.

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 15ML CONTINAND PULB. PT. SOL INJ./PERF. + 1 FIOLA DIN STICLA I

CUTIE CU 50 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 15 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 5 FLACOANE DIN STICLA INCOLORA X 20 ML, CU SIST. SIG. "FLIP - OFF" CU PULB. PT. SOL. INJ./P

CUTIE CU 50 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 5 ML CU PULB. PT. SOL. INJ./PERF.

Pagina 2 din 48

cant/a
mbala
j

28
14
14
14
14
28
14
14
1
100
50
10
1
1
1
1
1
1
1
1
1
1
1
1
1
1
12
12
1
5
10
1
5
10
12
1
12
1
12
1
1
10
1
5
12
1
12
12
1
1
1
1
1
5
1
50
1
10
5
50
100
1
10
50
10
10
50

Pret cu
ridicata
maximal /
ambalaj

24.18
20.52
19.27
19.27
13.87
52.89
18.33
12.08
5.04
472.05
243.14
52.89
14.36
10.90
8.55
16.17
7.27
14.55
7.27
14.55
7.27
7.27
25.91
25.91
17.56
16.61
396.78
685.12
20.09
98.66
193.81
40.18
193.81
382.38
232.62
22.65
262.29
22.65
262.17
22.65
22.65
384.80
40.44
195.13
455.79
40.44
455.75
455.75
40.44
40.46
40.44
28.39
4.41
45.62
4.41
451.00
10.19
132.27
89.60
259.34
499.42
5.42
53.99
243.14
272.71
225.76
407.85

Pret cu ridicata
maximal / U.T.

0.863571
1.465714
1.376428
1.376428
0.990714
1.888928
1.309285
0.862857
5.040000
4.720500
4.862800
5.289000
14.360000
10.900000
8.550000
16.170000
7.270000
14.550000
7.270000
14.550000
7.270000
7.270000
25.910000
25.910000
17.560000
16.610000
33.065000
57.093333
20.090000
19.732000
19.381000
40.180000
38.762000
38.238000
19.385000
22.650000
21.857500
22.650000
21.847500
22.650000
22.650000
38.480000
40.440000
39.026000
37.982500
40.440000
37.979166
37.979166
40.440000
40.460000
40.440000
28.390000
4.410000
9.124000
4.410000
9.020000
10.190000
13.227000
17.920000
5.186800
4.994200
5.420000
5.399000
4.862800
27.271000
22.576000
8.157000

Pret cu ridicata
maximal de
decontare / U.T.

0.678857
0.678857
1.188857
1.188857
0.990714
1.452000
1.188857
0.678857
5.040000
4.720500
4.862800
5.289000
14.360000
10.260000
8.550000
16.170000
7.270000
14.550000
7.270000
14.550000
7.270000
7.270000
25.910000
25.910000
17.560000
16.610000
23.257200
45.574999
20.090000
19.732000
19.381000
23.257200
23.257200
23.257200
19.385000
22.650000
21.857500
22.650000
21.847500
22.650000
22.650000
38.480000
40.440000
39.026000
37.982500
40.440000
37.979166
37.979166
40.440000
40.460000
40.440000
19.783680
4.410000
7.140000
4.410000
7.140000
7.140000
7.140000
15.348000
5.186800
4.994200
5.420000
5.399000
4.862800
15.348000
15.348000
5.292000

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

32.68
27.73
26.04
26.04
18.75
66.88
24.78
16.33
6.81
552.68
296.82
66.88
19.41
14.73
11.56
21.85
9.83
19.66
9.83
19.66
9.83
9.83
33.89
33.89
23.74
22.45
470.64
784.93
27.15
124.75
236.60
52.55
236.60
454.94
283.98
30.62
320.21
30.62
320.06
30.62
30.62
457.58
52.90
238.21
534.96
52.90
534.92
534.92
52.90
52.92
52.90
37.13
5.96
59.67
5.96
529.74
13.77
161.47
113.29
316.60
582.52
7.32
68.27
296.82
332.93
275.61
482.71

1.167142
1.980714
1.860000
1.860000
1.339285
2.388571
1.770000
1.166428
6.810000
5.526800
5.936400
6.688000
19.410000
14.730000
11.560000
21.850000
9.830000
19.660000
9.830000
19.660000
9.830000
9.830000
33.890000
33.890000
23.740000
22.450000
39.220000
65.410833
27.150000
24.950000
23.660000
52.550000
47.320000
45.494000
23.665000
30.620000
26.684166
30.620000
26.671666
30.620000
30.620000
45.758000
52.900000
47.642000
44.580000
52.900000
44.576666
44.576666
52.900000
52.920000
52.900000
37.130000
5.960000
11.934000
5.960000
10.594800
13.770000
16.147000
22.658000
6.332000
5.825200
7.320000
6.827000
5.936400
33.293000
27.561000
9.654200

0.918000
0.918000
1.607142
1.607142
1.339285
1.899428
1.607142
0.918000
6.632160
5.526800
5.936400
6.632160
19.410000
13.872000
11.560000
21.850000
9.830000
19.660000
9.830000
19.660000
9.830000
9.830000
33.890000
33.890000
23.740000
22.450000
28.392000
53.491999
27.150000
24.950000
23.660000
28.392000
28.392000
28.392000
23.665000
28.392000
26.684166
28.392000
26.671666
28.392000
28.392000
45.758000
52.900000
47.642000
44.580000
52.900000
44.576666
44.576666
52.900000
52.920000
52.900000
22.022040
5.960000
9.648000
5.960000
9.648000
9.648000
9.648000
20.748000
6.332000
5.825200
6.990240
6.827000
5.936400
20.748000
20.748000
7.152000

Grupa
Nr.
terape
crt
utica
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188

J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD08
J01DD12
J01DD12
J01DD12
J01DD12
J01DD12
J01DD12

Denumire generica

CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFIXIMUM
CEFOPERAZONUM
CEFOPERAZONUM
CEFOPERAZONUM
CEFOPERAZONUM
CEFOPERAZONUM
CEFOPERAZONUM

J01DD62 COMBINATII (CEFOPERAZONUM+SULBACTAMUM)


J01DD62 COMBINATII (CEFOPERAZONUM+SULBACTAMUM)
J01DD62 COMBINATII (CEFOPERAZONUM+SULBACTAMUM)
J01DD62 COMBINATII (CEFOPERAZONUM+SULBACTAMUM)
J01DE02
J01DE02
J01DH02
J01DH02
J01DH02
J01DH02
J01DH02
J01DH02
J01DH02
J01DH02
J01DH51
J01DH51
J01DH51
J01DH51
J01DH51
J01DH51
J01DH51
J01DH51
J01DH51
J01DH51

CEFPIROMUM
CEFPIROMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM

J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM


J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM
J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM
J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM
J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM
J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM

J01FA02
J01FA02
J01FA06
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09

SPIRAMYCINUM
SPIRAMYCINUM
ROXITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM

Denumire comerciala

Forma
Concentrati
farmaceutica
e / U.T.

SEFTRION 500 mg
PULB. PT. SOL. INJ./PERF. 500mg
CEFORT 500 mg
PULB. PT. SOL. INJ./PERF. 500mg
CEFORT 500 mg
PULB. PT. SOL. INJ./PERF. 500mg
ROCEPHIN (R)
PULB. PT. SOL. PERF. 2g
SEFTRION 2 g
PULB. PT. SOL. PERF. 2g
NOVOSEF 1 g i.m.
PULB.+SOLV. PT. SOL. INJ. 1g
NOVOSEF 1 g i.v.
1g
EFICEF (R) 200 mg
CAPS.
200mg
MEDOCEF 1 g
PULB. PT. SOL. INJ. 1g
MEDOCEF 2 g
PULB. PT. SOL. INJ. 2g
LYZONE 2 g
PULB. PT. SOL. INJ. 2g
CEFOZON 500 mg
PULB. PT. SOL. INJ. 500mg
CEFOZON 2 g
2g
CEFOZON 1 g
1g
SULCEF 1000 mg/1000 mg PULB. PT. SOL. INJ./PERF. 1000mg/1000mg
SULCEF 1000 mg/1000 mg PULB. PT. SOL. INJ./PERF. 1000mg/1000mg
SULCEF 1000 mg/1000 mg PULB. PT. SOL. INJ./PERF. 1000mg/1000mg
SULCEF 1000 mg/1000 mg PULB. PT. SOL. INJ./PERF. 1000mg/1000mg
CEFROM (R) 1 g
PULB. PT. SOL. INJ./PERF. 1g
CEFROM (R) 2 g
PULB. PT. SOL. INJ./PERF. 2g
MERONEM IV 1 g
PULB. PT. SOL. INJ. I.V./PERF. 1g
MERONEM IV 500 mg
PULB. PT. SOL. INJ. I.V./PERF. 500mg
MEROPENEM KABI 1 g
PULB. PT. SOL. INJ./PERF. 1g
MEROPENEM KABI 1 g
PULB. PT. SOL. INJ./PERF. 1g
MEROPENEM HOSPIRA 1 g PULB. PT. SOL. INJ./PERF. 1g
MEROPENEM KABI 500 mg PULB. PT. SOL. INJ./PERF. 500mg
MEROPENEM KABI 500 mg PULB. PT. SOL. INJ./PERF. 500mg
MEROPENEM HOSPIRA 500 mg PULB. PT. SOL. INJ./PERF. 500mg
CILOPEN 500mg/500mg
PULB. PT. SOL. INJ. 500mg/500mg
CILOPEN 500mg/500mg
PULB. PT. SOL. INJ. 500mg/500mg
CILOPEN 500mg/500mg
PULB. PT. SOL. INJ. 500mg/500mg
CILOPEN 500mg/500mg
PULB. PT. SOL. INJ. 500mg/500mg
PULB.+SOLV. PT. SOL. INJ./PERF.

PULB. PT. SOL. INJ./PERF. I.M./I.V.


PULB. PT. SOL. INJ./PERF.I.M./I.V.

IMIPENEM/CILASTATIN KABI 500mg/500mg PULB. PT. SOL. PERF.

TIENAM I.V.
TIENAM I.V.

PULB. PT. SOL. PERF.


PULB. PT. SOL. PERF.

IMIPENEM/CILASTATIN HOSPIRA 500 mg/500 mgPULB. PT. SOL. PERF.

IMIPENEM/CILASTAN TEVA 250 mg/250mg PULB. PT. SUSP. PERF.


IMIPENEM/CILASTAN TEVA 500 mg/500mg PULB. PT. SUSP. PERF.

BITRIM 400mg/80mg
TAGREMIN
SUMETROLIM
CO - TRIM ELL
SUMETROLIM
EPITRIM
ROVAMYCINE (R) 1,5 Mil. UI
ROVAMYCINE (R) 3 Mil. UI
ROXAMED (R) 150
KLACID (R)
LEKOKLAR (R) 250 mg
CLAR 250

COMPR.
COMPR.
COMPR.
COMPR.
SIROP

SUSP. ORALA
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
CLARITROMICINA LPH 250 mg COMPR. FILM.
CLARITROMICINA 250 mg
COMPR. FILM.
FROMILID 250
COMPR. FILM.
KLERIMED (R) 250
COMPR. FILM.
KLABAX 250 mg
COMPR. FILM.
LEKOKLAR (R) 500 mg
COMPR. FILM.
CLARITROMICINA LPH 500 mg COMPR. FILM.
ROCLARIN 500 mg
COMPR. FILM.
CLAR 500
COMPR. FILM.
CLARITROMICINA 500 mg
COMPR. FILM.
FROMILID 500
COMPR. FILM.
KLERIMED (R) 500
COMPR. FILM.
KLABAX 500 mg
COMPR. FILM.

KLABAX MR 500 mg
LEKOKLAR XL 500 mg
LEKOKLAR XL 500 mg
KLACID SR

500mg/500mg
500mg/500mg
500mg/500mg
500mg/500mg
250mg/250mg
500mg/500mg

400mg/80mg
400mg/80mg
400mg/80mg
400mg/80mg
25mg/5mg/ml
200mg/40mg /5ml

1,5 M ui
3M ui
150mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
COMPR. FILM. ELIB. MODIF. 500mg
COMPR. FILM. ELIB. MODIF. 500mg
COMPR. FILM. ELIB. MODIF. 500mg
COMPR. FILM. ELIB. PREL. 500mg

Firma

Tara

Ambalaj

Prescriptie

E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERFZ. S/P-RF
ROMANIA CUTIE X 100 FLAC. CU PULB. PT. SOL. INJ./PERF. S/P-RF
ROMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ./PERF. S/P-RF
ROCHE ROMANIA S.R.L. ROMANIA
S/P-RF
EIPICO MED SRL
ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. P-RF
ZENTIVA S.A.
ROMANIA
P-RF
ZENTIVA S.A.
ROMANIA
S/P-RF
ANTIBIOTICE SA
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF
MEDOCHEMIE LTD. CIPRU
CUTIE X 10 FLAC. PULB. PT. SOL. INJ. S/P-RF
MEDOCHEMIE LTD. CIPRU
CUTIE X 10 FLAC. PULB. PT. SOL. INJ. S/P-RF
MEDICAROM GROUP S.R.L. ROMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. S/P-RF
E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. INJ. S/P-RF
E.I.P.I.CO. MED S.R.L. ROMANIA
S/P-RF
E.I.P.I.CO. MED S.R.L. ROMANIA
S/P-RF
MEDOCHEMIE S.R.L. ROMANIA CUTIE CU 100 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF.S
MEDOCHEMIE S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF. S/P-RF
MEDOCHEMIE S.R.L. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF.S/P-RF
MEDOCHEMIE S.R.L. ROMANIA CUTIE CU 50 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF.S/P-RF

ANTIBIOTICE SA
ANTIBIOTICE SA

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPCITATEA DE 50ML CONTINAND PULB. PT. SOL. PERFUZ.

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 15 ML CONTINAND PULB. PT. SOL. INJ.+ 1 FIOLA DIN STICLA INCOLO

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 15 ML CONTINAND PULB. PT. SOL. INJ./PERF.+ 1 FIOLA DIN STICLA

CUTIE X 1 FLAC. DIN STICLA INCOLORA A 20 ML CU PULB. PT. SOL. INJ./PERF. I.M./I.V.

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 15 ML CU PULB. PT. SOL. INJ. I.M./PERF. I.V.

LAB. AVENTIS
LAB. AVENTIS

FRANTA
FRANTA

ASTRAZENECA UK LIMITED

MAREA BRITANIE

CUTIE CU 10 FLAC. DIN STICLA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ. I.V./PERF.

ASTRAZENECA UK LIMITED

MAREA BRITANIE

CUTIE CU 10 FLAC. DIN STICLA CU CAPACITATEA DE 20 ML PULB. PT. SOL. INJ. I.V./PERF.

FRESENIUS KABI ROMANIA SRL


FRESENIUS KABI ROMANIA SRL

ROMANIA
ROMANIA

CUTIE X 1 FLAC. PULB. PT. SOL. INJ./PERF.

S/P-RF

CUTIE X 1 FLAC. PULB. PT. SOL. INJ./PERF.

S/P-RF

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF.

S
S
S
S
PR
S
S
PR

HOSPIRA UK LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.
FRESENIUS KABI ROMANIA SRL ROMANIA
FRESENIUS KABI ROMANIA SRL ROMANIA
HOSPIRA UK LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.
TERAPIA SA
ROMANIA
S/P-RF
TERAPIA SA
ROMANIA
S/P-RF
TERAPIA SA
ROMANIA
S/P-RF
TERAPIA SA
ROMANIA
S/P-RF
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. S/P-RF
MERCK SHARP & DOHME ROMANIA TAVA DIN PLASTIC X 10 FLAC. DIN STICLA INCOLORA CU PULB.PT. SOL. PERF. S/P-RF
MERCK SHARP & DOHME ROMANIA TAVA DIN PLASTIC X 25 FLAC. DIN STICLA INCOLORA CU PULB.PT. SOL. PERF. S/P-RF
HOSPIRA UK LIMITED MAREA BRITANIE
PR
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 10 FLAC. STICLA INCOLORA CU PULB. PT. SOL. PERF. S/P-RF
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 10 FLAC. STICLA INCOLORA CU PULB. PT. SOL. PERF. S/P-RF
ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
ZENTIVA S.A.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
BIO EEL SRL
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
EGIS PHARMACEUTICALS P.L.C. UNGARIA
P-RF
E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON DIN STICLA BRUNA CU MASURA DOZATOARE X 100 ML P-RF
LAB. AVENTIS
FRANTA CUTIE X 2 BLIST. AL/PVC X 8 COMPR. FILM. P-RF
LAB. AVENTIS
FRANTA CUTIE X 2 BLIST. AL/PVC X 5 COMPR. FILM. P-RF
DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF
ABBOTT SPA
ITALIA
CUTIE X 1 BLIST. X 14 COMPR. FILM. P-RF
LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 2 BLIST. X 7 COMPR. FILM. P-RF
MEDICAROM GROUP S.R.L. ROMANIA CUTIE X 5 BLIST. X 4 COMPR. FILM. P-RF
LABORMED PHARMA S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF.

CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF.
CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 22 ML PULB. PT. SOL. PERF.

CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 22 ML PULB. PT. SOL. PERF.

CUTIE CU 5 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. PERF.

CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SUSP. ORALA + MASURA DOZATOARE

OZONE LABORATORIES LTD.

MAREA BRITANIE

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

MEDOCHEMIE LTD. CIPRU


CUTIE X 2 BLIST. AL/PVC-PVDC X 7 COMPR. FILM. P-RF
TERAPIA SA
ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF
LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 2 BLIST. X 7 COMPR. FILM. P-RF
LABORMED PHARMA S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF
ANTIBIOTICE S.A.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
MEDICAROM GROUP S.R.L. ROMANIA CUTIE X 5 BLIST. AL/PVC X 4 COMPR. FILM. P-RF
OZONE LABORATORIES LTD.

MAREA BRITANIE

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

MEDOCHEMIE LTD. CIPRU


CUTIE X 2 BLIST. AL/PVC-PVDC X 7 COMPR. FILM. P-RF
TERAPIA SA
ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF
TERAPIA SA
ROMANIA CUTIE X 1 BLIST. PVC/PVDC-AL X 7 COMPR. FILM. ELIB. PREL. P-RF
LEK PHARMACEUTICALS D.D.

SLOVENIA
SLOVENIA

ABBOTT LABORATORIES LTD.

MAREA BRITANIE CUTIE X 1 BLIST. PVC-PVDC/AL X 5 COMPR. FILM. ELIB. PREL.

LEK PHARMACEUTICALS D.D.

CUTIE X 1 FOLIE AL/AL X 5 COMPR. FILM. ELIB. MODIF. P-RF


CUTIE X 1 FOLIE AL/AL X 7 COMPR. FILM. ELIB. MODIF. P-RF

Pagina 3 din 48

P-RF

cant/a
mbala
j

1
100
1
1
1
1
1
10
10
10
1
1
1
1
100
1
10
50
1
1
10
10
1
10
1
1
10
1
5
10
5
10
10
10
25
5
10
10
20
20
20
20
1
1
16
10
10
14
14
20
14
14
14
14
14
14
14
20
20
14
14
14
14
7
5
7
5

Pret cu
ridicata
maximal /
ambalaj

7.65
783.59
8.64
43.49
12.79
5.95
5.95
26.28
152.68
254.47
19.82
3.83
11.47
6.95
1,648.64
18.46
178.05
839.32
59.22
103.03
1,018.93
533.62
71.99
672.80
56.55
37.32
357.36
31.10
144.54
289.09
144.54
289.09
293.49
440.58
1,056.45
144.54
144.54
289.09
5.65
5.65
3.02
5.15
5.99
3.48
7.21
20.38
11.13
20.89
23.56
16.80
10.73
10.73
12.20
12.20
10.73
28.67
23.46
32.75
33.52
23.46
23.85
23.85
23.46
26.60
13.44
18.81
27.52

Pret cu ridicata
maximal / U.T.

7.650000
7.835900
8.640000
43.490000
12.790000
5.950000
5.950000
2.628000
15.268000
25.447000
19.820000
3.830000
11.470000
6.950000
16.486400
18.460000
17.805000
16.786400
59.220000
103.030000
101.893000
53.362000
71.990000
67.280000
56.550000
37.320000
35.736000
31.100000
28.908000
28.909000
28.908000
28.909000
29.349000
44.058000
42.258000
28.908000
14.454000
28.909000
0.282500
0.282500
0.151000
0.257500
5.990000
3.480000
0.450625
2.038000
1.113000
1.492142
1.682857
0.840000
0.766428
0.766428
0.871428
0.871428
0.766428
2.047857
1.675714
1.637500
1.676000
1.675714
1.703571
1.703571
1.675714
3.800000
2.688000
2.687142
5.504000

Pret cu ridicata
maximal de
decontare / U.T.

5.292000
5.292000
5.292000
15.348000
12.790000
5.950000
5.950000
2.628000
8.340000
13.764000
13.764000
3.830000
11.470000
6.950000
16.486400
18.460000
17.805000
16.786400
59.220000
103.030000
67.860000
37.320000
67.860000
67.280000
56.550000
37.320000
35.736000
31.100000
28.908000
28.909000
28.908000
28.909000
29.349000
34.689600
34.689600
28.908000
14.454000
28.909000
0.181200
0.181200
0.151000
0.181200
5.990000
3.480000
0.450625
2.038000
1.113000
0.919714
0.919714
0.840000
0.766428
0.766428
0.871428
0.871428
0.766428
1.965000
1.675714
1.637500
1.676000
1.675714
1.703571
1.703571
1.675714
1.965000
1.965000
1.965000
1.965000

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

10.34
892.26
11.68
56.89
17.29
8.04
8.04
34.37
186.39
310.66
26.79
5.18
15.50
9.40
1,835.17
24.95
217.36
953.01
74.88
125.78
1,148.78
619.80
91.03
771.50
71.50
48.82
427.67
40.68
176.45
352.92
176.45
352.92
358.29
518.38
1,189.68
176.45
176.45
352.92
7.63
7.63
4.08
6.96
8.10
4.70
9.74
27.55
15.05
28.23
31.85
22.71
14.50
14.50
16.49
16.49
14.50
37.50
31.71
42.84
43.84
31.71
32.23
32.23
31.71
34.79
18.17
25.42
36.00

10.340000
8.922600
11.680000
56.890000
17.290000
8.040000
8.040000
3.437000
18.639000
31.066000
26.790000
5.180000
15.500000
9.400000
18.351700
24.950000
21.736000
19.060200
74.880000
125.780000
114.878000
61.980000
91.030000
77.150000
71.500000
48.820000
42.767000
40.680000
35.290000
35.292000
35.290000
35.292000
35.829000
51.838000
47.587200
35.290000
17.645000
35.292000
0.381500
0.381500
0.204000
0.348000
8.100000
4.700000
0.608750
2.755000
1.505000
2.016428
2.275000
1.135500
1.035714
1.035714
1.177857
1.177857
1.035714
2.678571
2.265000
2.142000
2.192000
2.265000
2.302142
2.302142
2.265000
4.970000
3.634000
3.631428
7.200000

7.152000
7.152000
7.152000
20.748000
17.290000
8.040000
8.040000
3.437000
11.280000
18.600000
18.600000
5.180000
15.500000
9.400000
18.351700
22.022040
21.736000
19.060200
74.880000
125.780000
85.800000
48.816000
85.800000
77.150000
71.500000
48.816000
42.767000
40.680000
35.290000
35.292000
35.290000
35.292000
35.829000
42.348000
42.348000
35.290000
17.645000
35.292000
0.244800
0.244800
0.204000
0.244800
8.100000
4.700000
0.608750
2.755000
1.505000
1.242857
1.242857
1.135500
1.035714
1.035714
1.177857
1.177857
1.035714
2.570400
2.265000
2.142000
2.192000
2.265000
2.302142
2.302142
2.265000
2.570400
2.570400
2.570400
2.570400

Grupa
Nr.
terape
crt
utica
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255

J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01GB03
J01GB03
J01GB03
J01GB03
J01GB06
J01GB06
J01GB06
J01GB07
J01GB07
J01GB07
J01MA01
J01MA01
J01MA01
J01MA01
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02

Denumire generica

CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
GENTAMICINUM
GENTAMICINUM
GENTAMICINUM
GENTAMICINUM
AMIKACINUM
AMIKACINUM
AMIKACINUM
NETILMICINUM
NETILMICINUM
NETILMICINUM
OFLOXACINUM
OFLOXACINUM
OFLOXACINUM
OFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM

Denumire comerciala

FROMILID (R) UNO


KLABAX 125 mg/5 ml
KLACID (R)
KLACID (R)
FROMILID (R) 125 mg/5 ml
KLABAX 125 mg/5 ml
LEKOKLAR 125 mg/5 ml
KLABAX 250 mg/5 ml
KLABAX 250 mg/5 ml
LEKOKLAR 250 mg/5 ml
LEKOKLAR 250 mg/5 ml
KLACID I.V.
AZATRIL 250 mg
SUMAMED 250 mg
SUMAMED 125 mg
AZITROMICINA TERAPIA 250 mg
AZITROMICINA TERAPIA 250 mg
AZITROMICINA SANDOZ 250 mg COMPRIMATE FILMATE

AZITROMICINA TERAPIA 500 mg


AZITROMICINA TERAPIA 500 mg

ZITROCIN 500 mg
ZITROCIN 500 mg
AZITROMICINA SANDOZ 500 mg COMPRIMATE FILMATE

SUMAMED 500 mg
AZIBIOT 500 mg
AZITROX (R) 500
AZITROMICINA TERAPIA 600 mg
AZITROMICINA TERAPIA 600 mg

ZMAX 2 g
SUMAMED (R)
AZITROX 200 mg/5 ml

Forma
Concentrati
farmaceutica
e / U.T.
COMPR. FILM. ELIB. PREL.

GRAN. PT. SUSP. ORALA


GRAN. PT. SUSP. ORALA
GRAN. PT. SUSP. ORALA
GRAN. PT. SUSP. ORALA
GRAN. PT. SUSP. ORALA
GRAN. PT. SUSP. ORALA
GRAN. PT. SUSP. ORALA
GRAN. PT. SUSP. ORALA
GRAN. PT. SUSP. ORALA
GRAN. PT. SUSP. ORALA

LIOF. PT. SOL. PERF.

CAPS.
CAPS.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
GRAN. ELIB. PREL. PT. SUSP. ORALA

LIOF. PT. SOL. PERF.


PULB. + SOLV. SUSP. ORALA

AZITROMICINA SANDOZ 100 mg/5 ml

PULB. PT. SUSP. ORALA

AZITROMICINA SANDOZ 200 mg/5 ml

PULB. PT. SUSP. ORALA

SUMAMED FORTE
SUMAMED FORTE
SUMAMED FORTE
GENTAMICIN KRKA
GENTAMICIN KRKA
GENTAMICIN KRKA
PAN - GENTAMICINE
AMIKOZIT (R) 100 mg/2 ml
BIODACYNA
AMIKOZIT (R) 500 mg/2 ml
NETROMYCINE (R)
NETROMYCINE (R)
NETROMYCINE (R)
OFLOXIN 200
ZANOCIN
ZANOCIN (R) OD 400
ZANOCIN (R) OD 400
EUCIPRIN

PULB. PT. SUSP. ORALA


PULB. PT. SUSP. ORALA
PULB. PT. SUSP. ORALA

SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL.INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM. ELIB. PREL.
COMPR. FILM. ELIB. PREL.

CAPS.
CIPROFLOXACINA ARENA 250 mg COMPR
CIPROFLOXACINA ARENA 250 mg COMPR
CIPROFLOXACINA ARENA 100 mg COMPR. FILM.
CIPROFLOXACINA ARENA 100 mg COMPR. FILM.
CIPROLEN (R) 250 mg
COMPR. FILM.
CUMINOL 250 mg
COMPR. FILM.
CIPRINOL 250 mg
COMPR. FILM.
CIPROCIN 250 mg
COMPR. FILM.
ALVEBAR 250 mg
COMPR. FILM.
EUCIPRIN 250 mg
COMPR. FILM.
CIFRAN
COMPR. FILM.
CIPROFLOXACINA OZONE 250 mg COMPR. FILM.
CIPROFLOXACINA ALKALOID 250 mg
COMPR. FILM.
CUMINOL 250 mg
COMPR. FILM.
ALVEBAR 250 mg
COMPR. FILM.
CIPROCIN 500 mg
COMPR. FILM.

500mg
125mg/5ml
125mg/5ml
125mg/5ml
125mg/5ml
125mg/5ml
125mg/5ml
250mg/5ml
250mg/5ml
250mg/5ml
250mg/5ml
500mg
250mg
250mg
125mg
250mg
250mg
250mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
600mg
600mg
2g
500mg
200mg/5ml
100mg/5ml
200 mg/5 ml
200mg/5ml
200mg/5ml
200mg/5ml
40mg/ml
80mg/2ml
80mg/2ml
80mg/2ml
100mg/2ml
1g/4ml
500mg/2ml
150mg/1,5ml
200mg/2ml
50mg/2ml
200mg
200mg
400mg
400mg
250mg
250mg
250mg
100mg
100mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
500mg

Firma

KRKA D.D.
TERAPIA SA
ABBOTT SPA
ABBOTT SPA
KRKA D.D.
TERAPIA SA
SANDOZ SRL
TERAPIA SA
TERAPIA SA
SANDOZ SRL
SANDOZ SRL
ABBOTT LABORATORIES LTD.
BALKANPHARMA RAZGRAD AD

Tara

SLOVENIA

Ambalaj

Prescriptie

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. ELIB. PREL.

P-RF

ROMANIA CUTIE X 1 FLAC. DIN PEID X 70 G GRAN. PT. 100 ML SUSP . ORALA
ITALIA
ITALIA

P-RF

SLOVENIA CUTIE X 1 FLAC. PULB. PT. 60 ML SUSP.

P-RF

ROMANIA CUTIE X 1 FLAC. DIN PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA


ROMANIA
ROMANIA CUTIE X 1 FLAC. PEID X 70 G GRAN. PT. 100 ML SUSP . ORALA
ROMANIA CUTIE X 1 FLAC. PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA
ROMANIA
ROMANIA
FRANTA CUTIE X 1 FLAC. LIOF. PT. SOL. PERF.
BULGARIA CUTIE X 1 BLIST. AL/PVC X 6 CAPS.

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

CUTIE X 1 FLAC. PEID CU 41 G GRANULE PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE PP

CUTIE X 1 FLAC. DIN PEID CU 68,3 G GRANULE PT. 100 ML SUSP. ORALA + LINGURITA DOZATOARE PP

CUTIE X 1 FLAC. DIN PEID CU 41 G GRANULE PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE PP

P-RF
P-RF
P-RF
P-RF
P-RF
S/P-RF

P-RF

PLIVA LJUBLIJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. PVC-PVDC/AL X 6 CAPS. P-RF


PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. AL/PVC X 6 COMPR. FILM. P-RF

TERAPIA SA
TERAPIA SA
SANDOZ S.R.L.
TERAPIA SA
TERAPIA SA

ROMANIA CUTIE X 1 BLIST. PVC-ACLAR/AL X 6 COMPR. FILM. P-RF


ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 6 COMPR. FILM. P-RF
ROMANIA CUTIE X 1 BLIST. X 6 COMPR. FILM. P-RF
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

OZONE LABORATORIES LTD.

MAREA BRITANIE

LABORMED PHARMA S.A.

ROMANIA CUTIE X 1 BLIST. PVC/AL X 3 COMPR. FILM.


ROMANIA CUTIE X 1 BLIST. X 3 COMPR. FILM.

SANDOZ S.R.L.

CUTIE X 1 BLIST. PVC/AL X 3 COMPR. FILM. P-RF


P-RF
P-RF

PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM. P-RF
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM. P-RF

ZENTIVA AS
TERAPIA SA
TERAPIA SA

CEHIA
CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM. P-RF
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

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 1 FLACON DIN PEID CU GRAN. CU ELIB. PREL. P-RF

PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 5 FLAC. LIOF. PT. SOL. PERF.

ZENTIVA S.A.
SANDOZ SRL
SANDOZ SRL

ROMANIA
ROMANIA
ROMANIA

S/P-RF

CUTIE X 1 FLAC. DIN PE CU PULB. PT. 15 ML SUSP. ORALA RECONSTITUITA + FLAC. CU SOLV. X 7,5 ML SOLV.

P-RF

CUTIE X 1 FLAC. DIN PEID CONTINAD PULBERE PT. 20 ML SUSP. ORALA + SERINGA DOZATOARE DIN PE/PP

P-RF

CCUTIE X 1 FLAC. DIN PEID CONTINAD PULBERE PT. 20 ML SUSP. ORALA + SERINGA DOZATOARE DIN PE/PP

P-RF

PLIVA LJUBLIJANA D.O.O. SLOVENIA

CUTIE X 1 FLAC. DIN PEID CU PULB. PT.15 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE

P-RF

PLIVA LJUBLIJANA D.O.O. SLOVENIA

CUTIE X 1 FLAC. DIN PEID CU PULB. PT. 30 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE

P-RF

PLIVA LJUBLIJANA D.O.O. SLOVENIA

CUTIE X 1 FLAC. DIN PEID CU PULB. PT. 37,5 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE

P-RF

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE X 10 FIOLE DIN STICLA INCOLORA X 1 ML SOL. INJ.

P-RF

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE X 50 FIOLE DIN STICLA INCOLORA X 2 ML SOL. INJ.

P-RF/S

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE X 10 FIOLE DIN STICLA INCOLORA X 2 ML SOL. INJ.

P-RF

LAB. PANPHARMA
ZENTIVA S.A.
CN UNIFARM S.A.
ZENTIVA S.A.
SCHERING PLOUGH EUROPE
SCHERING PLOUGH EUROPE
SCHERING PLOUGH EUROPE

ZENTIVA AS

FRANTA CUTIE X 10 FIOLE DIN STICLA INCOLORA X 2 ML SOL. INJ.


ROMANIA CUTIE X 1 FLACON DIN STICLA X 2 ML
ROMANIA CUTIE CU 1 FL.X 1G SOL.INJ.
ROMANIA CUTIE X 1 FLACON DIN STICLA X 2 ML
BELGIA CUTIE X 1 FLACON X 1,5 ML
BELGIA CUTIE X 1 FLACON X 2 ML
BELGIA CUTIE X 1 FLACON X 2 ML
CEHIA
CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF
P-RF
P-RF
P-RF
S/P-RF
S/P-RF
S/P-RF

P-RF

RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

RANBAXY U.K. LIMITED


RANBAXY U.K. LIMITED

MAREA BRITANIE

CUTIE X 1 BLIST. X 5 COMPR. FILM. ELIB. PREL.

P-RF

MAREA BRITANIE

CUTIE X 2 BLIST. X 5 COMPR. FILM. ELIB. PREL.

P-RF

ROMANIA CUTIE X 2 BLIST. AL/PVC X 6 CAPS.


ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM.
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

EUROPHARM SA
ARENA GROUP S.A.
ARENA GROUP S.A.
ARENA GROUP S.A.
ARENA GROUP S.A.
AC HELCOR SRL

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF

E.I.P.I.CO. MED S.R.L. ROMANIA


DR. REDDY'S LABORATORIES ROMANIA
EUROPHARM SA
ROMANIA
RANBAXY UK LIMITED MAREA BRITANIE
LABORMED PHARMA S.A. ROMANIA
ALKALOID D.O.O.
SLOVENIA
GEDEON RICHTER ROMANIA SA ROMANIA
DR. REDDY'S LABORATORIES ROMANIA
E.I.P.I.CO. MED S.R.L. ROMANIA

CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM.

P-RF

CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

CUTIE X 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM.

P-RF

CUTIE X 1 BLIST. PVC/AL X 10 COMPR. FILM.

P-RF

CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 COMPR. FILM.P-RF

CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

CUTIE X 1 BLIST. X 10 COMPR. FILM.

P-RF

Pagina 4 din 48

cant/a
mbala
j

7
1
1
1
1
1
1
1
1
1
1
1
6
6
6
6
6
6
3
3
3
3
3
3
3
3
3
3
1
5
1
1
1
1
1
1
10
50
10
10
1
1
1
1
1
1
10
10
5
10
12
10
20
20
10
10
10
10
10
10
10
10
10
10
20
10
10

Pret cu
ridicata
maximal /
ambalaj

20.55
23.11
29.57
17.90
17.03
13.85
19.16
38.60
23.17
46.49
33.89
40.64
18.65
28.71
18.55
33.59
33.59
36.88
28.08
28.08
18.76
18.76
36.88
28.85
18.76
18.74
33.71
33.71
48.00
130.95
11.97
16.42
25.96
18.41
36.70
45.60
5.22
31.34
7.01
4.95
2.60
9.36
5.10
14.00
17.74
5.55
14.63
8.30
20.07
38.16
5.87
4.80
9.00
51.29
28.20
4.99
4.99
4.99
4.99
3.48
4.45
5.08
3.88
5.76
9.00
3.48
9.67

Pret cu ridicata
maximal / U.T.

2.935714
23.110000
29.570000
17.900000
17.030000
13.850000
19.160000
38.600000
23.170000
46.490000
33.890000
40.640000
3.108333
4.785000
3.091666
5.598333
5.598333
6.146666
9.360000
9.360000
6.253333
6.253333
12.293333
9.616666
6.253333
6.246666
11.236666
11.236666
48.000000
26.190000
11.970000
16.420000
25.960000
18.410000
36.700000
45.600000
0.522000
0.626800
0.701000
0.495000
2.600000
9.360000
5.100000
14.000000
17.740000
5.550000
1.463000
0.830000
4.014000
3.816000
0.489166
0.480000
0.450000
2.564500
2.820000
0.499000
0.499000
0.499000
0.499000
0.348000
0.445000
0.508000
0.388000
0.576000
0.450000
0.348000
0.967000

Pret cu ridicata
maximal de
decontare / U.T.

1.965000
23.110000
27.732000
16.620000
16.620000
13.850000
16.620000
38.600000
23.170000
46.320000
27.804000
40.640000
3.108333
3.730000
3.091666
3.730000
3.730000
3.730000
7.495999
7.495999
6.253333
6.253333
7.495999
7.495999
6.253333
6.246666
11.236666
11.236666
48.000000
26.190000
11.970000
16.420000
25.960000
13.483999
36.700000
45.600000
0.522000
0.594000
0.594000
0.495000
2.600000
9.360000
5.100000
14.000000
17.740000
5.550000
0.996000
0.830000
4.014000
3.816000
0.417600
0.417600
0.417600
2.564500
2.820000
0.417600
0.417600
0.417600
0.417600
0.348000
0.417600
0.417600
0.388000
0.417600
0.417600
0.348000
0.568800

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

27.77
31.23
38.68
24.19
23.02
18.72
25.90
50.49
31.31
60.81
44.33
53.16
25.21
37.55
25.07
43.94
43.94
48.24
36.73
36.73
25.35
25.35
48.24
37.73
25.35
25.33
44.09
44.09
62.78
159.86
16.18
22.19
33.95
24.88
48.01
59.64
7.06
40.99
9.48
6.69
3.51
12.65
6.89
18.92
23.98
7.50
19.78
11.22
27.12
49.91
7.94
6.49
12.16
64.85
36.88
6.75
6.75
6.75
6.75
4.70
6.02
6.86
5.24
7.78
12.16
4.70
13.07

3.967142
31.230000
38.680000
24.190000
23.020000
18.720000
25.900000
50.490000
31.310000
60.810000
44.330000
53.160000
4.201666
6.258333
4.178333
7.323333
7.323333
8.040000
12.243333
12.243333
8.450000
8.450000
16.080000
12.576666
8.450000
8.443333
14.696666
14.696666
62.780000
31.972000
16.180000
22.190000
33.950000
24.880000
48.010000
59.640000
0.706000
0.819800
0.948000
0.669000
3.510000
12.650000
6.890000
18.920000
23.980000
7.500000
1.978000
1.122000
5.424000
4.991000
0.661666
0.649000
0.608000
3.242500
3.688000
0.675000
0.675000
0.675000
0.675000
0.470000
0.602000
0.686000
0.524000
0.778000
0.608000
0.470000
1.307000

2.570400
31.230000
37.476000
22.464000
22.464000
18.720000
22.464000
50.490000
31.310000
60.588000
37.572000
53.160000
4.201666
5.041999
4.178333
5.041999
5.041999
5.041999
10.132000
10.132000
8.450000
8.450000
10.132000
10.132000
8.450000
8.443333
14.696666
14.696666
62.780000
31.972000
16.180000
22.190000
33.950000
17.635999
48.010000
59.640000
0.706000
0.802800
0.802800
0.669000
3.510000
12.650000
6.890000
18.920000
23.980000
7.500000
1.346400
1.122000
5.424000
4.991000
0.564000
0.564000
0.564000
3.242500
3.688000
0.564000
0.564000
0.564000
0.564000
0.470000
0.564000
0.564000
0.524000
0.564000
0.564000
0.470000
0.769200

Grupa
Nr.
terape
crt
utica
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322

J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA03
J01MA06
J01MA06
J01MA06
J01MA06
J01MA06
J01MA06
J01MA06
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA14
J01MA14
J01XA01
J01XA01
J01XA01
J01XA01
J01XA01
J01XA02
J01XB01
J01XB01
J01XB01
J01XB01

Denumire generica

CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
PEFLOXACINUM
NORFLOXACINUM
NORFLOXACINUM
NORFLOXACINUM
NORFLOXACINUM
NORFLOXACINUM
NORFLOXACINUM
NORFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
MOXIFLOXACINUM
MOXIFLOXACINUM
VANCOMYCINUM
VANCOMYCINUM
VANCOMYCINUM
VANCOMYCINUM
VANCOMYCINUM
TEICOPLANINUM
COLISTINUM
COLISTINUM
COLISTINUM
COLISTINUM

Denumire comerciala

Forma
Concentrati
farmaceutica
e / U.T.

CIPROLEN (R) 500 mg


CIPRO QUIN (R)
CIPRINOL 500 mg

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
CIPROFLOXACINA LPH 500 mg COMPR. FILM.
EUCIPRIN 500 mg
COMPR. FILM.
CIPROZONE FORTE 500 mg COMPR. FILM.
CIPROFLOXACINA ARENA 500 mg COMPR. FILM.
ALVEBAR 500 mg
COMPR. FILM.
CIFRAN
COMPR. FILM.
CIPROFLOXACINA ALKALOID 500 mg
COMPR. FILM.
CIPROFLOXACINA ARENA 500 mg COMPR. FILM.
CIPRODAR
COMPR. FILM.
CUMINOL 500 mg
COMPR. FILM.
ALVEBAR 500 mg
COMPR. FILM.
CIPRINOL 750 mg
COMPR. FILM.
CIPROFLOXACINA ARENA 750 mg COMPR. FILM.

CIPROBAY XR 1000 mg
CIPROBAY XR 500 mg
CIPRINOL (R)
CIPRINOL (R)
CIPROFLOXACINA 100 mg/10 ml

CIPRINOL
CIPRINOL
CIPROFLOXACINA INFOMED 2 mg/ml
CIPROFLOXACINA INFOMED 2 mg/ml

UFEXIL 2 mg/ ml
CIPROBAY (R) 400
CIPRINOL (R)
PEFLOXACIN LAROPHARM
H - NORFLOXACIN 400 mg
NORFLOX - 400
NOLICIN 400 mg
EPINOR
NORFLOXACIN OZONE 400 mg

NOR QUIN 400 mg


NORFLOXACINA LPH 400 mg
FLERADAY 250 mg
LEVOFLOXACINA ACTAVIS 250 mg

LEVOTOR 250 mg
TAVANIC 250 mg
FLERADAY 500 mg
TAVANIC 500 mg
LEVOFLOXACINA ACTAVIS 500 mg

LEVOTOR 500 mg
TAVANIC 500 mg
TAVANIC I.V. 500 mg
LEVOFLOXACIN KABI 5 mg/ml
LEVOFLOXACIN KABI 5 mg/ml
LEVOFLOXACIN KABI 5 mg/ml
TAVANIC I.V. 500 mg
LEVOFLOXACIN KABI 5 mg/ml
LEVOFLOXACINA ACTAVIS 5 mg/ml
LEVOFLOXACINA ACTAVIS 5 mg/ml

EVOLOX 5 mg/ml
EVOLOX 5 mg/ml
AVELOX (R) 400 mg
AVELOX (R) 400 mg/250 ml
VANCOMYCIN TEVA
VANCOMYCIN TEVA

COMPR. FILM. ELIB. PREL.


COMPR. FILM. ELIB. PREL.

CONC. PT. SOL. PERF.


CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.

SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
COMPR. FILM.

SOL. PERF.
LIOF. PT. SOL. PERF.
LIOF. PT. SOL. PERF.

VANCOMICINA PHARMASWISS 1000 mg PULB. PT. SOL. PERF.


VANCOMICINA PHARMASWISS 500 mg PULB. PT. SOL. PERF.

EDICIN
TARGOCID (R) 400 mg

PULB.LIOF.PT.SOL.PERF./INJ

LIOF. + SOLV. PT. SOL. INJ.

COLISTINA ANTIBIOTICE 1000000 UI

PULB. PT. SOL. INJ./PERF.

COLISTINA ANTIBIOTICE 1000000 UI

PULB. PT. SOL. INJ./PERF.

COLISTINA ANTIBIOTICE 1000000 UI

PULB. PT. SOL. INJ./PERF.

COLISTINA ANTIBIOTICE 1000000 UI

PULB. PT. SOL. INJ./PERF.

500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
750mg
750mg
1000 mg
500 mg
100mg/10ml
100mg/10ml
100mg/10ml
100mg/50ml
200mg/100ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
400mg/200ml
400mg
400mg
400mg
400mg
400mg
400mg
400mg
400mg
250 mg
250mg
250mg
250mg
500 mg
500mg
500mg
500mg
500mg
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
400mg
400mg/250ml
1g
500mg
1000mg
500mg
1g
400mg
1000000ui
1000000ui
1000000ui
1000000ui

Firma

Tara

AC HELCOR SRL
ANTIBIOTICE SA

Ambalaj

ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.


ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.

Prescriptie

P-RF
P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF

ROMANIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. FILM. P-RF


ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF
OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF
ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.
P-RF
RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. P-RF
ALKALOID D.O.O.
SLOVENIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 COMPR. FILM. P-RF
ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.
P-RF
DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.
P-RF
LABORMED PHARMA S.A.

EUROPHARM SA

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF

ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

BAYER HEALTHCARE AG GERMANIA

CUTIE X 1 BLIST. DIN PP/AL X 7 COMPR. FILM. ELIB. PREL. P-RF

BAYER HEALTHCARE AG GERMANIA

CUTIE X 1 BLIST. DIN PP/AL X 3 COMPR. FILM. ELIB. PREL. P-RF

KRKA D.D.
KRKA D.D.
ZENTIVA S.A.

SLOVENIA CUTIE X 50 FIOLE X 10 ML


SLOVENIA CUTIE X 5 FIOLE X 10 ML

S
S/P-RF

ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA PREVAZUTE CU INEL DE RUPERE X 10 MLS/P-RF

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE X 1 FLACON DIN STICLA INCOLORA X 50 ML SOL. PERF. S/P-RF

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML SOL. PERF.S/P-RF

INFOMED FLUIDS SRL ROMANIA CUTIE X 10 PUNGI PVC PLASTIFIAT X 200ML S


INFOMED FLUIDS SRL ROMANIA CUTIE X 10 PUNGI PVC PLASTIFIAT X 100ML S

DEMO SA

GRECIA

BAYER HEALTHCARE AG GERMANIA

CUTIE X 10 PUNGI PP X 100 ML SOL. PERF.

CUTIE X 5 FLACOANE X 200 ML

S/P-RF

KRKA D.D.
SLOVENIA CUTIE X 1 FLACON DIN STICLA X 200 ML
LAROPHARM S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.
AC HELCOR SRL
ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.
CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 1 BLIST. X 10 COMPR. FILM.

S/P-RF

P-RF
P-RF
P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF

E.I.P.I.CO. MED S.R.L. ROMANIA


ROMANIA
ANTIBIOTICE S.A.
ROMANIA
LABORMED PHARMA SA ROMANIA
DR. REDDY'S LABORATORIES ROMANIA

OZONE LABORATORIES PHARMA S.A.

ISLANDA

ACTAVIS GROUP PTC EHF.

CUTIE X 2 BLIST. X 7 COMPR. FILM.

P-RF

CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM.

P-RF/S

CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

CUTIE CU BLIST. PVC/PVDC - AL X 7 COMPR. FILM.

PRF

CUTIE X 1 BLIST. AL/PVC X 7 COMPR. FILM. P-RF

TORRENT PHARMA GMBH GERMANIA CUTIE CU BLIST. PVC/AL X 7 COMPR. FILM. P-RF

TERAPIA S.A.

ROMANIA CUTIE X1 BLIST. PVC/AL. X 7 COMPR. FILM. P-RF


ROMANIA CUTIE CU BLIST. PVC/PVDC - AL X 7 COMPR. FILM. PRF
ROMANIA CUTIE X 1 BLIST. PVC/AL X 7COMPR. FILM. P-RF
ISLANDA CUTIE X 1 BLIST. AL/PVC X 7 COMPR. FILM. P-RF

DR. REDDY'S LABORATORIES

TERAPIA S.A.
ACTAVIS GROUP PTC EHF.

TORRENT PHARMA GMBH GERMANIA CUTIE CU BLIST. PVC/AL X 7 COMPR. FILM. P-RF
SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA

GERMANIA

SANOFI- AVENTIS DEUTSCHLAND GMBH

CUTIE X 1 BLIST. PVC/AL X 7COMPR. FILM.

P-RF

CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML SOL. PERF.P-RF/S

ROMANIA
S
ROMANIA
S
ROMANIA
S
ROMANIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML SOL. PERF. P-RF/S
ROMANIA
S
ISLANDA CUTIE CU 1 FLAC. DIN STICLA X 50 ML SOL. PERF. S
ISLANDA CUTIE CU 1 FLAC. DIN STICLA X 100 ML SOL. PERF. S
ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL. PERF. S
ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. S

FRESENIUS KABI ROMANIA SRL

CUTIE X 25 FLAC. PEJD KABIPAC X 100 ML CONTINAD 50 ML SOL. PERF. (250MG LEVOFLOXACINA)

FRESENIUS KABI ROMANIA SRL

CUTIE X 1 FLAC. PEJD KABIPAC X 100 ML CONTINAD 100 ML SOL. PERF. (500MG LEVOFLOXACINA)

FRESENIUS KABI ROMANIA SRL

CUTIE X 25 FLAC. PEJD KABIPAC X 100 ML CONTINAD 100 ML SOL. PERF. (500MG LEVOFLOXACINA)

TERAPIA S.A.
FRESENIUS KABI ROMANIA SRL

CUTIE X 1 FLAC. PEJD KABIPAC X 100 ML CONTINAD 50 ML SOL. PERF. (250MG LEVOFLOXACINA)

ACTAVIS GROUP PTC EHF.


ACTAVIS GROUP PTC EHF.
TEVA PHARMACEUTICALS S.R.L.
TEVA PHARMACEUTICALS S.R.L.

BAYER HEALTHCARE AG GERMANIA CUTIE X 1 BLIST. ALB OPAC PP/AL X 5 COMPR. FILM. P-RF
BAYER HEALTHCARE AG GERMANIA CUTIE X 5 FLACOANE DIN STICLA X 250 ML
TEVA PHARM. WORKS PRIVATE LTD. COMPANY
TEVA PHARM. WORKS PRIVATE LTD. COMPANY

UNGARIA
UNGARIA

CUTIE X 1 FLAC. DIN STICLA CU LIOF. PT. SOL. PERF.S/P-RF


CUTIE X 1 FLAC. DIN STICLA CU LIOF. PT. SOL. PERF.S/P-RF

PHARMASWISS CESKA REPUBLIKA S.R.O. REPUBLICA SLOVACA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF.

PHARMASWISS CESKA REPUBLIKA S.R.O. REPUBLICA SLOVACA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF.

PR
PR

LEK PHARMACEUTICALS D.D.

SLOVENIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. LIOF. PT. SOL. PERF./INJ.

S/P-RF

AVENTIS PHARMA LTD.

MAREA BRITANIE

CUTIE X 1 FLAC. LIOF. + O FIOLA SOLV.

P-RF

ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA

ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.
ROMANIA CUTIE X 150 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.
ROMANIA CUTIE X 100 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.
ROMANIA CUTIE X 50 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.

Pagina 5 din 48

S
S
S
S

cant/a
mbala
j

10
10
10
10
10
10
20
10
10
10
10
10
10
10
10
10
7
3
50
5
5
1
1
10
10
10
5
1
10
20
10
20
14
10
20
20
7
7
7
7
7
7
7
7
7
1
25
1
25
1
1
1
1
1
1
5
5
1
1
10
10
1
1
10
150
100
50

Pret cu
ridicata
maximal /
ambalaj

9.67
9.67
9.67
6.19
6.75
6.19
12.00
4.74
6.41
11.05
6.75
9.67
9.67
4.74
29.09
28.20
66.21
20.20
110.55
12.27
12.27
3.50
7.01
127.36
68.37
131.62
603.82
14.12
20.37
12.87
4.53
12.87
5.63
4.18
12.87
11.50
20.52
23.04
22.80
19.58
25.57
39.35
25.58
25.44
39.35
110.87
848.85
73.37
1,667.69
110.87
37.35
37.26
73.23
37.35
73.37
65.19
612.82
48.00
23.99
451.00
231.55
56.22
116.78
171.44
2,366.78
1,587.87
808.93

Pret cu ridicata
maximal / U.T.

0.967000
0.967000
0.967000
0.619000
0.675000
0.619000
0.600000
0.474000
0.641000
1.105000
0.675000
0.967000
0.967000
0.474000
2.909000
2.820000
9.458571
6.733333
2.211000
2.454000
2.454000
3.500000
7.010000
12.736000
6.837000
13.162000
120.764000
14.120000
2.037000
0.643500
0.453000
0.643500
0.402142
0.418000
0.643500
0.575000
2.931428
3.291428
3.257142
2.797142
3.652857
5.621428
3.654285
3.634285
5.621428
110.870000
33.954000
73.370000
66.707600
110.870000
37.350000
37.260000
73.230000
37.350000
73.370000
13.038000
122.564000
48.000000
23.990000
45.100000
23.155000
56.220000
116.780000
17.144000
15.778533
15.878700
16.178600

Pret cu ridicata
maximal de
decontare / U.T.

0.568800
0.568800
0.568800
0.568800
0.568800
0.568800
0.568800
0.474000
0.568800
0.568800
0.568800
0.568800
0.568800
0.474000
2.909000
2.820000
9.458571
0.568800
2.211000
2.454000
2.454000
2.653200
7.010000
12.736000
6.837000
8.204400
15.283200
14.120000
2.037000
0.482570
0.453000
0.482570
0.402142
0.418000
0.482570
0.482570
2.931428
3.291428
3.257142
2.797142
3.652857
4.361142
3.654285
3.634285
4.361142
80.049120
33.954000
73.370000
66.707600
80.049120
37.350000
37.260000
73.230000
37.350000
73.370000
13.038000
122.564000
48.000000
23.990000
45.100000
23.155000
54.120000
116.780000
17.144000
15.778533
15.878700
16.178600

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

13.07
13.07
13.07
8.37
9.12
8.37
16.22
6.41
8.67
14.93
9.12
13.07
13.07
6.41
38.05
36.88
83.71
27.30
134.96
16.59
16.59
4.73
9.48
155.48
86.45
160.68
696.32
19.08
27.53
17.40
6.12
17.40
7.61
5.65
17.40
15.55
27.73
31.14
30.82
26.47
33.45
51.47
33.46
33.27
51.47
135.35
963.40
92.77
1,855.93
135.35
48.85
48.74
92.59
48.85
92.77
82.43
706.12
62.78
32.43
529.74
282.68
71.09
142.56
209.30
2,617.94
1,768.93
919.89

1.307000
1.307000
1.307000
0.837000
0.912000
0.837000
0.811000
0.641000
0.867000
1.493000
0.912000
1.307000
1.307000
0.641000
3.805000
3.688000
11.958571
9.100000
2.699200
3.318000
3.318000
4.730000
9.480000
15.548000
8.645000
16.068000
139.264000
19.080000
2.753000
0.870000
0.612000
0.870000
0.543571
0.565000
0.870000
0.777500
3.961428
4.448571
4.402857
3.781428
4.778571
7.352857
4.780000
4.752857
7.352857
135.350000
38.536000
92.770000
74.237200
135.350000
48.850000
48.740000
92.590000
48.850000
92.770000
16.486000
141.224000
62.780000
32.430000
52.974000
28.268000
71.090000
142.560000
20.930000
17.452933
17.689300
18.397800

0.769200
0.769200
0.769200
0.769200
0.769200
0.769200
0.769200
0.641000
0.769200
0.769200
0.769200
0.769200
0.769200
0.641000
3.805000
3.688000
11.958571
0.769200
2.699200
3.239040
3.239040
3.239040
9.480000
15.548000
8.645000
10.374000
18.657600
18.657600
2.753000
0.652285
0.612000
0.652285
0.543571
0.565000
0.652285
0.652285
3.961428
4.448571
4.402857
3.781428
4.778571
5.703428
4.780000
4.752857
5.703428
89.084640
38.536000
89.084640
74.237200
89.084640
46.243200
46.243200
89.084640
46.243200
89.084640
16.486000
141.224000
62.780000
32.430000
52.974000
28.268000
63.568800
142.560000
20.930000
17.452933
17.689300
18.397800

Grupa
Nr.
terape
crt
utica
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
378
379
380
381
382
383
384
385
386
387
388
389

J01XD01
J01XD01
J01XD01
J01XD01
J01XD01
J01XD01
J01XD01
J01XD01
J01XD01
J01XD01
J01XX08
J01XX08
J01XX08
J02AB02
J02AB02
J02AB02
J02AB02
J02AB02
J02AB02
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01

Denumire generica

METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM
KETOCONAZOLUM
KETOCONAZOLUM
KETOCONAZOLUM
KETOCONAZOLUM
KETOCONAZOLUM
KETOCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM

Denumire comerciala

METRONIDAZOL ARENA 250 mg (J01XD01)

FLAGYL ( vezi J01XD01)


METRONIDAZOL A 5 g/l
METRONIDAZOL A 5 g/l
METRONIDAZOL B 5 g/l
METRONIDAZOL B 5 g/l

Forma
Concentrati
farmaceutica
e / U.T.
COMPR.

250mg

COMPR. FILM. 250mg

SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
METRONIDAZOL BRAUN 5mg/ml SOL. PERF.
METRONIDAZOL BRAUN 5mg/ml SOL. PERF.
METRONIDAZOL BRAUN 5mg/ml SOL. PERF.
FLAGYL 4 % (J01XD01)
SUSP. ORALA
ZYVOXID (R)
COMPR. FILM.
ZYVOXID (R)
GRAN. PT. SUSP. ORALA
ZYVOXID (R)
SOL. PERF.
KETOSTIN 200 mg
COMPR.
KETOCONAZOL ARENA 200 mg COMPR.
KEFUNGIN
COMPR.
NIZORAL 200 mg
COMPR.
KETOCONAZOL 200 mg
COMPR.
KETOCONAZOL 200 mg
COMPR.
FLUCONAZOLE TEVA 100 mg CAPS.
FLUCONAZOLE TEVA 100 mg CAPS.
FUNGOLON 100 mg
CAPS.
DIFLAZON 100 mg
CAPS.
FLUCOVIM 100
CAPS.
FLUCORIC 100 mg
CAPS.
FLUCONAZOL 150 mg
CAPS.
FLUCONAZOLE TEVA 150 mg CAPS.
FLUCONAZOL MEDICO UNO 150 mg CAPS.
FLUCONAZOL BIOGALENICA 150 mg CAPS.
FLUCONAZOL ARENA 150 MG CAPS.
FLUCONAZOL MEDOCHEMIE 150 mg CAPS.
FLUCONAZOL OZONE 150 mg CAPS.
FLUCONAZOL 150 mg
CAPS.
FLUCONAZOL SANDOZ (R) 150 CAPS.
MYCOSYST 150 mg
CAPS.
MYCOSYST 150 mg
CAPS.
DIFLAZON 150 mg
CAPS.
FLUCOVIM 150
CAPS.
DIFLUCAN 150 mg
CAPS.
FLUCORIC 150 mg
CAPS.
FLUCONAZOL ACTAVIS 150 mg CAPS.
MYCOMAX 150
CAPS.
FLUCONAZOLE TEVA 200 mg CAPS.
FLUCONAZOL 50 mg
CAPS.
FLUCONAZOLE TEVA 50 mg CAPS.
FLUCONAZOL MEDOCHEMIE 50 mg CAPS.
FLUCONAZOL ARENA 50 MG CAPS.
FLUCONAZOL BIOGALENICA 50 mg CAPS.
FLUCOVIM 50
CAPS.
FUNGOLON 50 mg
CAPS.
DIFLAZON 50 mg
CAPS.
FLUCONAZOL OZONE 50 mg CAPS.
FLUCONAZOL 50 mg
CAPS.
DIFLUCAN 50 mg
CAPS.
FLUCORIC 50 mg
CAPS.
FLUCONAZOL SANDOZ (R) 50 CAPS.
DIFLUCAN (R) 50 mg/5 ml
PULB. PT. SUSP. ORALA
DIFLAZON 2mg/ml
SOL. PERF.
FLUCONAZOL BIOGALENICA 2mg/ml SOL. PERF.
FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF.
FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF.
FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF.
FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF.
FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.

5g/l
5g/l
5g/l
5g/l
5mg/ml
5mg/ml
5mg/ml
4%
600mg
100mg/5ml
2mg/ml
200mg
200mg
200mg
200mg
200mg
200mg
100mg
100mg
100mg
100mg
100mg
100mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
200mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg/5ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml

Firma

ARENA GROUP SA

Tara

Ambalaj

Prescriptie

ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF

LABORATOIRE AVENTIS FRANTA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF


INFOMED FLUIDS SRL ROMANIA CUTIE X 12 FLACOANE X 200 ML
S/P-RF
INFOMED FLUIDS SRL ROMANIA CUTIE X 1 FLACON X 200 ML
S/P-RF
INFOMED FLUIDS SRL ROMANIA CUTIE X 12 FLACOANE X 200 ML
S/P-RF
INFOMED FLUIDS SRL ROMANIA CUTIE X 1 FLACON X 200 ML
S/P-RF
B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. DIN PEJD X 100 ML SOL. PERF. S/P-RF
B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. S/P-RF
B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FLAC. DIN PEJD X 100 ML SOL. PERF. S/P-RF
LABORATOIRE AVENTIS FRANTA CUTIE X 1 FLACON X 120 ML SUSP. ORALA + LINGURITA DOZATOARE X 5 ML P-RF
PFIZER EUROPE MA EEIG

MAREA BRITANIE

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 1 FLAC. X 10 COMPR. FILM.


CUTIE X 1 FLACON X 66 G GRAN. PTR. 150 ML SUSP. + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML

CUTIE X 10 PUNGI X 300 ML

MAREA BRITANIE

CUTIE X 1 FLAC. PEID PULB. PT. 35 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 5 ML

P-RF

S
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF
ROMANIA CUTIE X 1 BLIST. X 10 COMPR.
P-RF
ROMANIA CUTIE X 1 BLIST. X 10 COMPR.
P-RF
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. 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
BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 2 BLIST. PVC/AL X 8 CAPS.
P-RF
KRKA D.D.
SLOVENIA CUTIE X 4 BLIST. X 7 CAPS.
P-RF
VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS.
P-RF
TERAPIA SA
ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF
SLAVIA PHARM SRL ROMANIA 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
MEDICO UNO PHARMACEUTICAL SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA P-RF
LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF
ARENA GROUP SA 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
OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF
OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF
SANDOZ SRL
GERMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 1 CAPS.
P-RF
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 4 BLIST. AL/PVC X 1 CAPS.
P-RF
KRKA D.D.
SLOVENIA CUTIE X 1 BLIST. X 1 CAPS.
P-RF
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
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 BLIST. PVC-PVDC/AL X 1 CAPS. PRF
ZENTIVA K.S.
CEHIA
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 7 CAPS. P-RF
SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF
MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF
ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF
LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF
VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS.
P-RF
BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 1 BLIST. PVC/AL X 8 CAPS.
P-RF
KRKA D.D.
SLOVENIA CUTIE X 1 BLIST. X 7 CAPS.
P-RF
OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF
ANTIBIOTICE S.A.
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF
TERAPIA SA
ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS. P-RF
SANDOZ SRL
ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF
PFIZER EUROPE MA EEIG

MAREA BRITANIE

P-RF

AC HELCOR SRL
ARENA GROUP SA
ANTIBIOTICE SA
TERAPIA SA
MAGISTRA C & C
SLAVIA PHARM SRL

PFIZER EUROPE MA EEIG

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML

P-RF
S/PR-F

ARENA GROUP S.A. ROMANIA CUTIE X 1 FLAC. X 100 ML SOL. PERF. S


B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. PEJD X 50 ML SOL. PERF. S
B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FLAC. PEJD X 50 ML SOL. PERF. S
B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. PEJD X 100 ML SOL. PERF. S
B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FLAC. PEJD X 100 ML SOL. PERF. S
B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. PEJD X 200 ML SOL. PERF. S
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. S
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 25 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. S
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF.
S
Pagina 6 din 48

cant/a
mbala
j

30
20
12
1
12
1
10
10
20
1
10
1
10
10
10
10
10
10
10
2
7
16
28
4
7
1
1
1
1
1
1
1
1
1
2
4
1
1
1
1
1
1
7
7
7
7
7
7
7
8
7
7
10
7
7
7
1
1
1
10
20
10
20
10
20
25
1

Pret cu
ridicata
maximal /
ambalaj

5.65
6.15
78.35
6.66
76.83
6.51
36.55
36.96
225.43
5.82
1,584.80
869.39
1,584.80
9.23
6.70
5.03
14.97
5.87
5.03
6.90
23.04
64.60
191.37
18.72
32.76
7.08
4.82
6.60
4.82
6.60
5.99
7.27
7.27
10.66
23.84
47.68
16.46
7.27
18.34
13.79
7.35
9.15
29.74
14.32
12.20
11.81
13.98
11.53
16.50
13.92
46.63
16.50
18.66
42.71
21.65
31.68
42.71
34.63
40.15
180.75
358.65
449.60
787.39
761.97
624.35
772.93
80.99

Pret cu ridicata
maximal / U.T.

0.188333
0.307500
6.529166
6.660000
6.402500
6.510000
3.655000
3.696000
11.271500
5.820000
158.480000
869.390000
158.480000
0.923000
0.670000
0.503000
1.497000
0.587000
0.503000
3.450000
3.291428
4.037500
6.834642
4.680000
4.680000
7.080000
4.820000
6.600000
4.820000
6.600000
5.990000
7.270000
7.270000
10.660000
11.920000
11.920000
16.460000
7.270000
18.340000
13.790000
7.350000
9.150000
4.248571
2.045714
1.742857
1.687142
1.997142
1.647142
2.357142
1.740000
6.661428
2.357142
1.866000
6.101428
3.092857
4.525714
42.710000
34.630000
40.150000
18.075000
17.932500
44.960000
39.369500
76.197000
31.217500
30.917200
80.990000

Pret cu ridicata
maximal de
decontare / U.T.

0.188333
0.226000
6.529166
6.660000
6.402500
6.510000
3.655000
3.696000
4.386000
5.820000
158.480000
869.390000
158.480000
0.603600
0.603600
0.503000
0.603600
0.587000
0.503000
3.450000
3.291428
3.949714
3.949714
3.949714
3.949714
5.784000
4.820000
5.784000
4.820000
5.784000
5.784000
5.784000
5.784000
5.784000
5.784000
5.784000
5.784000
5.784000
5.784000
5.784000
5.784000
5.784000
4.248571
1.976570
1.742857
1.687142
1.976570
1.647142
1.976570
1.740000
1.976570
1.976570
1.866000
1.976570
1.976570
1.976570
42.710000
34.630000
37.100640
18.075000
17.932500
37.100640
37.100640
76.197000
31.217500
30.917200
80.990000

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

7.63
8.31
99.07
9.00
97.15
8.80
47.81
48.34
275.21
7.86
1,765.58
985.79
1,765.58
12.47
9.06
6.80
20.23
7.94
6.80
9.32
31.14
81.68
233.63
25.30
42.85
9.57
6.52
8.92
6.52
8.92
8.10
9.82
9.82
14.41
32.22
62.36
22.25
9.82
24.79
18.64
9.94
12.37
38.90
19.35
16.49
15.96
18.89
15.58
22.30
18.81
60.99
22.30
25.22
55.87
29.26
41.44
55.87
45.29
52.52
220.66
429.08
528.22
896.41
868.70
718.69
880.65
102.40

0.254333
0.415500
8.255833
9.000000
8.095833
8.800000
4.781000
4.834000
13.760500
7.860000
176.558000
985.790000
176.558000
1.247000
0.906000
0.680000
2.023000
0.794000
0.680000
4.660000
4.448571
5.105000
8.343928
6.325000
6.121428
9.570000
6.520000
8.920000
6.520000
8.920000
8.100000
9.820000
9.820000
14.410000
16.110000
15.590000
22.250000
9.820000
24.790000
18.640000
9.940000
12.370000
5.557142
2.764285
2.355714
2.280000
2.698571
2.225714
3.185714
2.351250
8.712857
3.185714
2.522000
7.981428
4.180000
5.920000
55.870000
45.290000
52.520000
22.066000
21.454000
52.822000
44.820500
86.870000
35.934500
35.226000
102.400000

0.254333
0.305200
8.255833
9.000000
8.095833
8.800000
4.781000
4.834000
5.737200
7.860000
176.558000
985.790000
176.558000
0.816000
0.816000
0.680000
0.816000
0.794000
0.680000
4.660000
4.448571
5.105000
5.338285
5.338285
5.338285
7.824000
6.520000
7.824000
6.520000
7.824000
7.824000
7.824000
7.824000
7.824000
7.824000
7.824000
7.824000
7.824000
7.824000
7.824000
7.824000
7.824000
5.557142
2.670857
2.355714
2.280000
2.670857
2.225714
2.670857
2.351250
2.670857
2.670857
2.522000
2.670857
2.670857
2.670857
55.870000
42.271200
42.271200
22.066000
21.454000
42.271200
42.271200
86.870000
35.934500
35.226000
102.400000

Grupa
Nr.
terape
crt
utica
390
391
392
393
394
395
396
397
398
399
400
401
402
403
404
405
406
407
408
409
410
411
412
413
414
415
416
417
418
419
420
421
422
423
424
425
426
427
428
429
430
431
432
433
434
435
436
437
438
439
440
441
442
443
444
445
446
447
448
449
450
451
452
453
454
455
456

J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC02
J02AC02
J02AC02
J02AC02
J02AC02
J02AC02
J02AC02
J02AC03
J02AC03
J02AC03
J02AC03
J02AC04
J02AX04
J02AX04
J02AX06
J02AX06
J04AB04
J04AC01
J04AC01
J04AC01
J04AK01
J04AK01
J04AK02
J04AK02

Denumire generica

FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
POSACONAZOLUM**
CASPOFUNGINUM**
CASPOFUNGINUM**
ANIDULAFUNGINUM
ANIDULAFUNGINUM
RIFABUTINUM
ISONIAZIDUM
ISONIAZIDUM
ISONIAZIDUM
PYRAZINAMIDUM
PYRAZINAMIDUM
ETHAMBUTOLUM
ETHAMBUTOLUM

J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB04
J05AB04
J05AB06
J05AB11
J05AB14
J05AB15
J05AE01
J05AE01
J05AE02
J05AE02
J05AE03
J05AE03
J05AE03
J05AE04
J05AE06

FLUCONAZOL KABI 2 mg/ml


FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL KABI 2 mg/ml
DIFLUCAN (R)
DIFLUCAN (R)
FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL KABI 2 mg/ml
MYCOMAX INF 2mg/ml
MYCOMAX INF 2mg/ml
MYCOMAX INF 2mg/ml
ORUNGAL
ITRACONAZOL 100 mg
SPORILIN 100 mg
ITRACONAZOL 100 mg
ITRACONAZOL LPH 100 mg
MICOGAL 100 mg
OMICRAL 100 mg
VFEND 200mg
VFEND 50mg
VFEND 200mg
VFEND 40 mg/ml
NOXAFIL SP 40mg/ml
CANCIDAS 50 mg
CANCIDAS 70 mg
ECALTA 100mg
ECALTA 100mg
MYCOBUTIN 150 mg
ISONIAZIDA 100 mg
IZONIAZIDA ANTIBIOTICE 300 mg

IZONIAZIDA 500 mg
PIRAZINAMIDA ANTIBIOTICE 500 mg
PIRAZINAMIDA ANTIBIOTICE 500 mg

ETAMBUTOL 250 mg
ETAMBUTOL 400 mg
SINERDOL ISO
ACICLOVIRUM
ACICLOVIR ARENA 200 mg
ACICLOVIRUM
ACICLOVIR 200 mg
ACICLOVIRUM
ACICLOVIR ARENA 200 mg
ACICLOVIRUM
ACICLOVIR ARENA 400 mg
ACICLOVIRUM
ACICLOVIR 200 mg
ACICLOVIRUM
ACICLOVIR 200 mg
ACICLOVIRUM
ACICLOVIR TERAPIA 200 mg
ACICLOVIRUM
CLOVIRAL 200 mg
ACICLOVIRUM
ACICLOVIR 200 mg
ACICLOVIRUM
ACICLOVIR 400 mg
ACICLOVIRUM
LOVIR 200 mg
ACICLOVIRUM
ACICLOVIR OZONE 200 mg
ACICLOVIRUM
ACICLOVIR OZONE 200 mg
ACICLOVIRUM
ACIKLOVIR
ACICLOVIRUM
VIROLEX
RIBAVIRINUM
REBETOL 200 mg
RIBAVIRINUM
COPEGUS 200mg
GANCICLOVIRUM
CYMEVENE
VALACYCLOVIRUM
VALTREX 500 mg
VALGANCICLOVIRUM**
VALCYTE (R) 450 mg
BRIVUDINUM
BRIVAL 125mg
SAQUINAVIRUM
INVIRASE 200mg
SAQUINAVIRUM
INVIRASE 500 mg
INDINAVIRUM
CRIXIVAN 200mg
INDINAVIRUM
CRIXIVAN 400mg
RITONAVIRUM**
NORVIR 100 mg
RITONAVIRUM**
NORVIR 100 mg
RITONAVIRUM**
NORVIR 100 mg
NELFINAVIRUM
VIRACEPT 250 mg
LOPINAVIRUM+RITONAVIRUM** KALETRA 200mg/50mg

J04AM02 COMBINATII (RIFAMPICINUM+IZONIAZIDUM)


J05AB01

Denumire comerciala

Prescriptie

cant/a
mbala
j

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF. S


ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF. S
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.
S
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.
S
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 200 ML
S/P-RF
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 50 ML
S/P-RF
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 25 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.
S
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF.
S
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. S
ZENTIVA K.S.
REPUBLICA SLOVACA
S
ZENTIVA K.S.
REPUBLICA SLOVACA
S
ZENTIVA K.S.
REPUBLICA SLOVACA
S
JANSSEN PHARMACEUTICA N.V. BELGIA
CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 5 CAPS. P-RF
SLAVIA PHARM SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. P-RF
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 5 CAPS.
P-RF
ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. P-RF
LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. PVC/AL X 5 CAPS. P-RF
ROMPHARM COMPANY SRL ROMANIA CUTIE X 3 BLIST. PVC/AL X 5 CAPS. P-RF
MEDICO UNO PHARMACEUTICAL SRL ROMANIA CUTIE X 3 BLIST. AL/AL X 5 CAPS.
P-RF
COMPR. FILM.
PFIZER LIMITED
MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF
COMPR. FILM.
PFIZER LIMITED
MAREA BRITANIE CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL) P-RF
PULB. PT. SOL. PERF.
PFIZER LIMITED
MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML
P-RF
PULB. PT. SUSP. ORALA
PFIZER LIMITED
MAREA BRITANIE
P-RF
SUSP. ORALA
SP EUROPE
BELGIA CUTIE X 1 FLAC. X 105ML SUSP. ORALA P-RF/R
MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF. S
MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF. S
PFIZER LIMITED
MAREA BRITANIE CUTIE X 1FLAC.X 100MG PULB. + 1 FLAC. X 30 ML SOLVENT S
PFIZER LIMITED
MAREA BRITANIE CUTIE X 1FLAC.DIN STICLA A 30ML X 100MG PULB. S
CAPS.
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 15 CAPS. S/P-RF
COMPR.
ANTIBIOTICE SA
ROMANIA CUTIE X 150 BLIST. X 10 COMPR.
S
COMPR.
ANTIBIOTICE SA
ROMANIA CUTIE X 150 BLIST. PVC/AL X 10 COMPR. S/P-RF
SOL. INJ.
TERAPIA SA
ROMANIA CUTIE X 100 FIOLE DIN STICLA BRUNA X 10 ML S
COMPR.
ANTIBIOTICE S.A.
ROMANIA CUTIE X 150 BLIST. AL/PVC X 10 COMPR. S
COMPR.
ANTIBIOTICE S.A.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. S/P-RF
COMPR. FILM.
ANTIBIOTICE SA
ROMANIA CUTIE X 150 BLIST. AL/PVC X 10 COMPR. FILM. S
COMPR. FILM.
ANTIBIOTICE SA
ROMANIA CUTIE X 150 BLIST. AL/PVC X 10 COMPR. FILM. S
CAPS.
300mg+150mg ANTIBIOTICE SA
ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. S
CAPS.
200mg
ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. P-RF/S
CAPS.
200mg
SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF
CAPS.
200mg
ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF
CAPS.
400mg
ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF
COMPR.
200mg
LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
P-RF
COMPR.
200mg
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. P-RF
COMPR.
200mg
TERAPIA SA
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
COMPR.
200mg
ANTIBIOTICE SA
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
COMPR.
200mg
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF
COMPR.
400mg
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF
COMPR. DISP. 200mg
RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 BLIST. DIN PVC-PVDC/AL X 10 COMPR. DISP. P-RF
COMPR. DISP. 200mg
OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. DISP. P-RF
COMPR. DISP. 200mg
LABORMED PHARMA S.A. ROMANIA CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. DISP. P-RF
COMPR. FILM. 400mg
A & G MED TRADING S.R.L. ROMANIA CUTIE X 7 BLIST. AL/PVC X 5 COMPR. FILM. P-RF
PULB. PT. SOL. INJ./PERF. 250mg
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 5 FLAC. X 250 MG PULB. PT. SOL. INJ./PERF. S/P-RF
CAPS.
200mg
SP EUROPE
BELGIA CUTIE X 140CAPS. ( BLIST. PVC/PE/PVDC ) P-RF/R
COMPR. FILM. 200mg
ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. PEID X 168 COMPR. FILM. P-RF/R
LIOF. PT. SOL. INJ. 500mg
ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU LIOF. PT. SOL. INJ. S
COMPR. FILM. 500mg
THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.
P-RF
COMPR. FILM. 450mg
ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. X 60 COMPR. FILM. P-RF
COMPR.
125mg
BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 1 BLIST. PVC/AL X 7 COMPR. P-RF
CAPS.
200mg
ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLAC. X 270 CAPS.
P-RF/R
COMPR. FILM. 500mg
ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLAC. PEID X 120 COMPR. FILM. P-RF/R
CAPS.
200mg
MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. PEID X 360 CAPS. P-RF/R
CAPS.
400mg
MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC DIN PEID. X 180 CAPS. P-RF/R
COMPR. FILM. 100mg
ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 FLAC. PEID X 30 COMPR.FILM. P-RF/R
COMPR. FILM. 100mg
ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 FLAC. PEID X 60 COMPR.FILM. P-RF/R
COMPR. FILM. 100mg
ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 3 FLAC. PEID X 30 COMPR.FILM. P-RF/R
COMPR. FILM. 250mg
ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLAC. PEID X 270 COMPR. FILM. P-RF/R
COMPR. FILM. 200mg/50mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID X 120 COMPR. FILM. P-RF/R

10
1
10
20
1
1
25
1
10
1
1
1
15
15
15
15
15
15
15
28
28
1
1
1
1
1
1
1
30
1500
1500
100
1500
20
1500
1500
1000
1000
20
20
10
20
20
20
20
20
10
10
20
20
35
5
140
168
1
10
60
7
270
120
360
180
30
60
90
270
120

753.13
18.63
179.79
356.89
131.62
30.62
438.62
33.88
326.90
30.18
42.16
135.83
60.12
39.72
39.72
39.72
39.72
39.71
39.72
3,517.81
901.74
453.05
2,178.01
2,669.12
1,188.63
1,542.18
1,503.53
1,441.92
302.17
106.85
267.19
65.00
429.83
6.67
249.93
390.86
433.64
696.23
14.80
15.66
14.23
9.51
12.60
12.54
12.02
10.09
14.06
2.74
5.30
5.30
43.20
229.07
2,184.90
2,378.48
91.70
78.65
4,806.36
269.22
1,009.03
1,002.35
165.60
165.60
194.07
382.87
559.30
1,009.03
1,546.57

75.313000
18.630000
17.979000
17.844500
131.620000
30.620000
17.544800
33.880000
32.690000
30.180000
42.160000
135.830000
4.008000
2.648000
2.648000
2.648000
2.648000
2.647333
2.648000
125.636071
32.205000
453.050000
2,178.010000
2,669.120000
1,188.630000
1,542.180000
1,503.530000
1,441.920000
10.072333
0.071233
0.178126
0.650000
0.286553
0.333500
0.166620
0.260573
0.433640
0.696230
0.740000
0.783000
1.423000
0.475500
0.630000
0.627000
0.601000
0.504500
1.406000
0.274000
0.265000
0.265000
1.234285
45.814000
15.606428
14.157619
91.700000
7.865000
80.106000
38.460000
3.737148
8.352916
0.460000
0.920000
6.469000
6.381166
6.214444
3.737148
12.888083

Forma
Concentrati
farmaceutica
e / U.T.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.

PULB. PT. CONC. PT. SOL. PERF.


PULB. PT. CONC. PT. SOL. PERF.

PULB. + SOLV. PT. CONC. PT. SOL. PERF.

PULB. PT. CONC. PT. SOL. PERF.

2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
100mg
100mg
100mg
100mg
100mg
100mg
100mg
200mg
50mg
200mg
40mg/ml
40mg/ml
50mg
70mg
100mg
100mg
150mg
100mg
300mg
500mg/10ml
500mg
500mg
250mg
400mg

Firma

Tara

Ambalaj

FRESENIUS KABI ROMANIA SRL


FRESENIUS KABI ROMANIA SRL

CUTIE CU 1 FLACON DIN STICLA INCOLORA A 50 ML SOL. PERF. X 100 MG FLUCONAZOL

CUTIE CU 1 FLACON DIN STICLA INCOLORA A 100 ML SOL. PERF. X 200 MG FLUCONAZOL
CUTIE CU 1 FLACON DIN STICLA INCOLORA A 200 ML SOL. PERF. X 400 MG FLUCONAZOL

CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA

Pagina 7 din 48

Pret cu ridicata
maximal de
decontare / U.T.

75.313000
18.630000
17.979000
17.844500
90.375600
21.053760
17.544800
33.880000
32.690000
21.053760
37.100640
90.375600
3.176800
2.648000
2.648000
2.648000
2.648000
2.647333
2.648000
125.636071
32.205000
453.050000
2,178.010000
2,669.120000
1,188.630000
1,542.180000
1,503.530000
1,441.920000
10.072333
0.071233
0.178126
0.650000
0.286553
0.333500
0.166620
0.260573
0.433640
0.318000
0.318000
0.318000
1.423000
0.318000
0.318000
0.318000
0.318000
0.318000
1.406000
0.274000
0.265000
0.265000
1.234285
45.814000
15.606428
14.157619
91.700000
7.865000
80.106000
38.460000
3.737148
8.352916
0.460000
0.920000
6.469000
6.381166
6.214444
3.737148
12.888083

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

859.06
25.18
219.49
427.16
160.68
40.05
516.25
44.32
394.47
39.48
55.14
165.82
76.02
51.95
51.95
51.95
51.95
51.94
51.95
3,872.57
1,021.05
531.97
2,412.18
2,947.50
1,333.76
1,719.13
1,677.00
1,609.85
367.52
130.44
326.19
82.18
506.66
9.01
305.12
464.19
510.82
797.04
20.00
21.17
19.24
12.85
17.03
16.95
16.24
13.64
19.00
3.70
7.16
7.16
56.50
279.65
2,419.69
2,630.70
115.95
99.45
5,277.09
328.67
1,137.99
1,130.71
202.16
202.16
236.92
455.48
647.79
1,137.99
1,723.91

85.906000
25.180000
21.949000
21.358000
160.680000
40.050000
20.650000
44.320000
39.447000
39.480000
55.140000
165.820000
5.068000
3.463333
3.463333
3.463333
3.463333
3.462666
3.463333
138.306071
36.466071
531.970000
2,412.180000
2,947.500000
1,333.760000
1,719.130000
1,677.000000
1,609.850000
12.250666
0.086960
0.217460
0.821800
0.337773
0.450500
0.203413
0.309460
0.510820
0.797040
1.000000
1.058500
1.924000
0.642500
0.851500
0.847500
0.812000
0.682000
1.900000
0.370000
0.358000
0.358000
1.614285
55.930000
17.283500
15.658928
115.950000
9.945000
87.951500
46.952857
4.214777
9.422583
0.561555
1.123111
7.897333
7.591333
7.197666
4.214777
14.365916

85.906000
24.780000
21.949000
21.358000
103.087200
24.780000
20.650000
42.271200
39.447000
24.780000
42.271200
103.087200
4.155199
3.463333
3.463333
3.463333
3.463333
3.462666
3.463333
138.306071
36.466071
531.970000
2,412.180000
2,947.500000
1,333.760000
1,719.130000
1,677.000000
1,609.850000
12.250666
0.086960
0.217460
0.821800
0.337773
0.405328
0.203413
0.309460
0.510820
0.429600
0.429600
0.429600
1.924000
0.429600
0.429600
0.429600
0.429600
0.429600
1.900000
0.370000
0.358000
0.358000
1.614285
55.930000
17.283500
15.658928
115.950000
9.945000
87.951500
46.952857
4.214777
9.422583
0.561555
1.123111
7.897333
7.591333
7.197666
4.214777
14.365916

Grupa
Nr.
terape
crt
utica
457
458
459
460
461
462
463
464
465
466
467
468
469
470
471
472
473
474
475
476
477
478
479
480
481
482
483
484
485
486
487
488
489
490
491
492
493
494
495
496
497
498
499
500
501
502
503
504
505
506
507
508
509
510
511
512
513
514
515
516
517
518
519
520
521
522
523

J05AE06
J05AE07
J05AE07
J05AE08
J05AE08
J05AE09
J05AE10
J05AE10
J05AE10

J05AF01
J05AF02
J05AF02
J05AF04
J05AF04
J05AF04
J05AF04
J05AF05
J05AF05
J05AF05
J05AF05
J05AF05
J05AF05
J05AF05
J05AF06
J05AF06

Denumire generica

Denumire comerciala

LOPINAVIRUM+RITONAVIRUM**
FOSAMPRENAVIRUM**
FOSAMPRENAVIRUM**
ATAZANAVIRUM
ATAZANAVIRUM
TIPRANAVIRUM**
DARUNAVIRUM**
DARUNAVIRUM**
DARUNAVIRUM**
ZIDOVUDINUM
DIDANOSINUM
DIDANOSINUM
STAVUDINUM
STAVUDINUM
STAVUDINUM
STAVUDINUM
LAMIVUDINUM
LAMIVUDINUM
LAMIVUDINUM
LAMIVUDINUM
LAMIVUDINUM
LAMIVUDINUM
LAMIVUDINUM
ABACAVIRUM
ABACAVIRUM

KALETRA 80mg/ml+20mg/ml
TELZIR 700mg
TELZIR 50mg/ml
REYATAZ 150 mg
REYATAZ 300 mg
APTIVUS 250mg
PREZISTA 300mg
PREZISTA 400mg
PREZISTA 600mg
RETROVIR (R)
VIDEX EC 250 mg
VIDEX EC 400 mg
ZERIT 15 mg
ZERIT 20 mg
ZERIT 30 mg
ZERIT 40 mg
LAMIVUDINE TEVA 100 mg
ZEFFIX 100 mg

J05AF07 TENOFOVIRUM DISOPROXIL FUMARATE


J05AF09
J05AG01
J05AG01
J05AG01
J05AG03
J05AG03
J05AG03
J05AG04

EMTRICITABINUM
NEVIRAPINUM
NEVIRAPINUM
NEVIRAPINUM
EFAVIRENZUM
EFAVIRENZUM
EFAVIRENZUM
ETRAVIRINUM

LAMIVUDINE TEVA PHARMA B.V. 150 mg

EPIVIR 150mg
LAMIVUDINE TEVA PHARMA B.V. 300 mg

EPIVIR 10mg/ml
ZEFFIX 5 mg/ml
ZIAGEN 300 mg
ZIAGEN 20 mg/ml
VIREAD 245mg
EMTRIVA 200mg
VIRAMUNE 200mg
NEVIRAPINA 200mg
VIRAMUNE 50mg/ml
STOCRIN 50 mg
STOCRIN 600 mg
STOCRIN 600 mg
INTELENCE

J05AR01 COMBINATII (LAMIVUDINUM+ZIDOVUDINUM)** LAMIVUDINA/ZIDOVUDINA TEVA


J05AR01
J05AR02
J05AR04
J05AX07
J05AX08
J05AX09
J05AX09
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02

Forma
Concentrati
farmaceutica
e / U.T.
SOL. ORALA

Firma

80mg/ml+20mg/ml ABBOTT LABORATORIES LTD.

Tara

Ambalaj

MAREA BRITANIE CUTIE X 5 FLAC. MULTIDOZA DIN TPE X 60 ML + 5 SERINGI GRADATE A 5 ML


P-RF/R

COMPR. FILM. 700mg


SUSP. ORALA 50mg/ml

GLAXO GROUP LTD. MAREA BRITANIE


GLAXO GROUP LTD. MAREA BRITANIE

CAPS.
CAPS.
CAPS. MOI

BRISTOL-MYERS SQUIBB

MAREA BRITANIE

BRISTOL-MYERS SQUIBB

MAREA BRITANIE

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA CUTIE X 1 FLAC. DIN PEID X 120 CAPS. MOI

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

CAPS.
CAPS. GASTROREZ.
CAPS. GASTROREZ.

CAPS.
CAPS.
CAPS.
CAPS.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

SOL. ORALA
SOL. ORALA
COMPR. FILM.

SOL. ORALA
COMPR. FILM.

CAPS.
COMPR.
COMPR.
SUSP. ORALA
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

COMPR.
COMPR. FILM.

ZIDOVUDINUM+LAMIVUDINUM** COMBIVIR 150mg/300mg


COMPR. FILM.
ABACAVIRUM+LAMIVUDINUM** KIVEXA 600mg/300mg
COMPR. FILM.
ABACAVIRUM+LAMIVUDINUM+ZIDOVUDINUM** TRIZIVIR 300mg/150mg/300mg COMPR. FILM.
ENFUVIRTIDUM**
FUZEON 90mg/ml
PULB. + SOLV. PT. SOL. INJ.
RALTEGRAVIRUM
ISENTRESS 400mg
COMPR. FILM.
MARAVIROCUM
CELSENTRI 150mg
COMPR. FILM.
MARAVIROCUM
CELSENTRI 300mg
COMPR. FILM.
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**HUMAGLOBIN
PULB.+SOLV. PT. SOL. PERF.
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**HUMAGLOBIN
PULB.+SOLV. PT. SOL. PERF.
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**PRIVIGEN 100mg/ml
SOL. PERF.
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**PRIVIGEN 100mg/ml
SOL. PERF.
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**PRIVIGEN 100mg/ml
SOL. PERF.
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**KIOVIG 100mg/ml
SOL. PERF.
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**KIOVIG 100mg/ml
SOL. PERF.
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**KIOVIG 100mg/ml
SOL. PERF.
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**PRIVIGEN 100mg/ml
SOL. PERF.
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**KIOVIG 100mg/ml
SOL. PERF.
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**KIOVIG 100mg/ml
SOL. PERF.
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**KIOVIG 100mg/ml
SOL. PERF.
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**IG VENA 10g/200ml
SOL. PERF.
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**IG VENA 1g/20ml
SOL. PERF.
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**IG VENA 2,5g/50ml
SOL. PERF.
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**FLEBOGAMMA 5%
SOL. PERF.
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**FLEBOGAMMA 5%
SOL. PERF.
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**FLEBOGAMMA 5%
SOL. PERF.
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**FLEBOGAMMA 5%
SOL. PERF.
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**OCTAGAM
SOL. PERF.
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**OCTAGAM
SOL. PERF.
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**OCTAGAM
SOL. PERF.
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**IG VENA 5g/100ml
SOL. PERF.
IMUNOGLOBULINA UMANA NORMALA G** OCTAGAM 10%
SOL. PERF.
IMUNOGLOBULINA UMANA NORMALA G** OCTAGAM 10%
SOL. PERF.

150mg
300mg
250mg
300mg
400mg
600mg
100mg
250mg
400mg
15mg
20mg
30mg
40mg
100 mg
100mg
150 mg
150mg
300 mg
10mg/ml
5mg/ml
300mg
20mg/ml
245mg
200mg
200mg
200mg
50mg/5ml
50mg
600mg
600mg
100mg

Prescriptie

BELGIA
BELGIA
JANSSEN-CILAG INTERNATIONAL NV BELGIA

CUTIE X 1 FLAC. DIN HDPE X 60 COMPR. FILM. PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII

P-RF/R

CUTIE X 1 FLAC. DIN HDPE X 225 ML SUSP. ORALA PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII P-RF/R
+

CUTIE X 60 CAPS. (BLIST. AL/AL 6X1)


CUTIE X 1 FLAC. PEID X 30 CAPS.

P-RF/R
P-RF/R
P-RF/R

JANSSEN-CILAG INTERNATIONAL NV

CUTIE X 1 FLAC. DIN PEID X 120 COMPR. FILM.

P-RF/R

JANSSEN-CILAG INTERNATIONAL NV

CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM.

P-RF/R

CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM.

P-RF/R

CUTIE X 10 BLIST. AL/PVC X 10 CAPS.

S/P-RF

THE WELLCOME FOUNDATION LTD. MAREA BRITANIE

UNGARIA CUTIE X 3 BLIST. X 10 CAPS. GASTROREZ.


BRISTOL MYERS SQUIBB KFT UNGARIA CUTIE X 3 BLIST. X 10 CAPS. GASTROREZ.
BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE X 4 BLIST. ACLA/AL X 14 CAPS.
BRISTOL MYERS SQUIBB KFT

BRISTOL-MYERS SQUIBB

MAREA BRITANIE

BRISTOL-MYERS SQUIBB

MAREA BRITANIE

BRISTOL-MYERS SQUIBB

MAREA BRITANIE

CUTIE X 4 BLIST. ACLAR/AL X 14 CAPS.


CUTIE X 4 BLIST. ACLAR/AL X 14 CAPS.
CUTIE X 4 BLIST. ACLAR/AL X 14 CAPS.

S/P-RF
S/P-RF
P-RF/R
P-RF/R
P-RF/R
P-RF/R

TEVA PHARMA B.V. OLANDA CUTIE CU BLIST. PVC/PVDC/AL X 30 COMPR. FILM. P-RF/R
GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST. PVC-AL/PVC-AL) P-RF/R
TEVA PHARMA B.V. OLANDA CUTIE CU BLIST. PVC/PVDC/AL X 60 COMPR. FILM. P-RF/R
GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLAC. PEID X 60 COMPR. FILM. P-RF/R
TEVA PHARMA B.V. OLANDA CUTIE CU BLIST. PVC/PVDC/AL X 30 COMPR. FILM. P-RF/R
GLAXO GROUP LTD. MAREA BRITANIE
P-RF/R
GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLACON HDPE X 240 ML + 1 SERINGA DOZATOARE PP + 1 ADAPTOR PEP-RF/R
GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 60 COMPR. FILM.
P-RF/R
GLAXO GROUP LTD. MAREA BRITANIE
P-RF/R
CUTIE X 1 FLACON PEID X 240ML SOL. ORALA + 1 SERINGA DOZATOARE + 1 ADAPTOR

CUTIE X 1 FLACON PEID X 240 ML SOL. ORALA + SERINGA DOZATOARE PP X 10 ML + ADAPTOR PE

GILEAD SCIENCE INTERNATIONAL LIMITED MAREA BRITANIE

CUTIE X 1 FLAC. DIN PEID X 30 COMPR. FILM

P-RF/R

GILEAD SCIENCE INTERNATIONAL LIMITED MAREA BRITANIE

CUTIE X 1 FLAC. DIN PEID X 30 CAPS.

P-RF/R

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA CUTIE X 6 BLIST. X 10 COMPR.

TEVA PHARMA B.V. OLANDA

P-RF/R

BLISTERE DIN PVC/PE/PVDC - AL X 60 COMP.

P-RF/R

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA

CUTIE X 1 FLACON PEID X 240 ML + O SERINGA X 5 ML + UN DISPOZITIV DE ADAPTARE A SERINGII LA FLACON

P-RF/R

MERCK SHARP & DOHME

MAREA BRITANIE

CUTIE X 1 FLAC. PEID X 30COMPR. FILM. PREVAZUT CU UN SIST. DE INCHIDERE SECURIZAT PT. COPII

P-RF/R

MERCK SHARP & DOHME

MAREA BRITANIE

CUTIE X 1 FLAC. PEID X 30 COMPR. FILM. PREVAZUT CU UN SIST. DE INCHIDERE SECURIZAT PT. COPII

P-RF/R

MERCK SHARP & DOHME

MAREA BRITANIE

CUTIE X 1 BLIST. AL PERFORAT X 30 COMPR. FILM.

P-RF/R

BELGIA CUTIE X 1 FLAC. PEID X 120 COMPR. P-RF/R


150 mg/300 mg TEVA PHARMA B.V. OLANDA CUTIE CU BLIST. DIN OPA/AL/PVC X 60 COMPRIMATE FILMATE P-RF
150mg/300mg GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 6 BLIST. X 10 COMPR. FILM. P-RF/R
600mg/300mg GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 30 COMPR. FILM.( BLIST.ALB-OPAC PVC-PVDC/AL )P-RF/R
300mg/150mg/300mg GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. P-RF/R
90mg/ml
ROCHE REGISTRATION LTD. MAREA BRITANIE
P-RF/R
400 mg
MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. PEID X 60 COMPR. FILMATE P-RF/R
150mg
PFIZER LIMITED
MAREA BRITANIE CUTIE X 60 COMPR. FILM.( BLIST. PVC/AL)
P-RF/R
300mg
PFIZER LIMITED
MAREA BRITANIE CUTIE X 60 COMPR. FILM.( BLIST. PVC/AL)
P-RF/R
5%
UNGARIA CUTIE X 1 CUTIE X 1 FLAC. CU PULB. + 1 CUTIE X 1 FLAC. SOLV. X 50 ML S
5%
UNGARIA CUTIE X 1 CUTIE X 1 FLAC. CU PULB. + 1 CUTIE X 1 FLAC. SOLV. X 100 ML S
100mg/ml
CSL BEHRING GMBH GERMANIA CUTIE X 1 FLAC.X 50 ML SOL. PERF. S
100mg/ml
CSL BEHRING GMBH GERMANIA CUTIE X 1 FLAC.X 100 ML SOL. PERF. S
100mg/ml
CSL BEHRING GMBH GERMANIA CUTIE X 1 FLAC.X 200 ML SOL. PERF. S
100mg/ml
BAXTER AG
AUSTRIA CUTIE X 1 FLAC X 200ML SOL. PERF.(20G/200ML) S
100mg/ml
BAXTER AG
AUSTRIA CUTIE X 1 FLAC X 50ML SOL. PERF.(5G/50ML) S
100mg/ml
BAXTER AG
AUSTRIA CUTIE X 1 FLAC X 100ML SOL. PERF.(10G/100ML) S
100mg/ml
CSL BEHRING GMBH GERMANIA CUTIE X 1 FLAC.X 25 ML SOL. PERF. S
100mg/ml
BAXTER AG
AUSTRIA CUTIE X 1 FLAC X 300ML SOL. PERF.(30G/300ML) S
100mg/ml
BAXTER AG
AUSTRIA CUTIE X 1 FLAC X 25ML SOL. PERF.(2,5G/25ML) S
100mg/ml
BAXTER AG
AUSTRIA CUTIE X 1 FLAC X 10ML SOL. PERF.(1G/10ML) S
10g/200ml
KEDRION SPA
ITALIA
S
1g/20ml
KEDRION SPA
ITALIA
S
2,5g/50ml
KEDRION SPA
ITALIA
S
5%
INSTITUTO GRIFOLS S.A. SPANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10 ML SOL.PERF. S
5%
INSTITUTO GRIFOLS S.A. SPANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL.PERF.S
5%
INSTITUTO GRIFOLS S.A. SPANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL.PERF.S
5%
INSTITUTO GRIFOLS S.A. SPANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL.PERF. S
50mg/ml
OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE X 1 FLACON X 50 ML
S
50mg/ml
OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE X 1 FLACON X 200 ML
S
50mg/ml
OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE X 1 FLACON X 100 ML
S
5g/100ml
KEDRION SPA
ITALIA
S
100 mg/ml
OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 20 ML SOL. PERF. S
100 mg/ml
OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL. PERF. S
JANSSEN-CILAG INTERNATIONAL NV

CUTIE X 60 FLAC. PULB. PT. SOL. INJ. + 60 FLAC. SOLV. + 60 SERINGI X 3 ML + 60 SERINGI X 1 ML, 180 T

HUMAN BIOPLAZMA MANUFACTURING AND TRADING LTD.

HUMAN BIOPLAZMA MANUFACTURING AND TRADING LTD.

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL. PERF. + 1 SET ADMINISTRARE

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 20 ML SOL. PERF. + 1 SET ADMINISTRARE


CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL. PERF. + 1 SET ADMINISTRARE

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. + 1 SET ADMINISTRARE

Pagina 8 din 48

cant/a
mbala
j

5
60
1
60
30
120
120
60
60
100
30
30
56
56
56
56
30
28
60
60
30
1
1
60
1
30
30
60
60
1
30
30
30
120
60
60
30
60
60
60
60
60
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

1,470.75
1,205.62
380.40
1,561.69
1,671.90
2,934.90
2,736.23
1,991.86
2,808.59
350.39
417.33
649.71
446.57
462.10
482.05
497.14
157.13
225.63
315.52
471.30
315.52
130.26
102.79
778.64
207.45
1,084.48
648.87
618.15
412.30
184.66
11.90
66.65
66.65
1,924.50
670.34
1,015.14
1,313.53
1,656.35
6,019.64
3,440.17
3,313.86
3,313.86
394.04
758.08
890.95
1,751.89
3,473.78
3,469.04
889.76
1,749.51
460.47
7,459.41
459.88
188.56
2,050.80
222.29
535.20
99.02
914.10
1,798.20
472.05
640.45
2,261.30
1,166.70
1,040.40
663.61
1,550.55

294.150000
20.093666
380.400000
26.028166
55.730000
24.457500
22.801916
33.197666
46.809833
3.503900
13.911000
21.657000
7.974464
8.251785
8.608035
8.877500
5.237666
8.058214
5.258666
7.855000
10.517333
130.260000
102.790000
12.977333
207.450000
36.149333
21.629000
10.302500
6.871666
184.660000
0.396666
2.221666
2.221666
16.037500
11.172333
16.919000
43.784333
27.605833
100.327333
57.336166
55.231000
55.231000
394.040000
758.080000
890.950000
1,751.890000
3,473.780000
3,469.040000
889.760000
1,749.510000
460.470000
7,459.410000
459.880000
188.560000
2,050.800000
222.290000
535.200000
99.020000
914.100000
1,798.200000
472.050000
640.450000
2,261.300000
1,166.700000
1,040.400000
663.610000
1,550.550000

Pret cu ridicata
maximal de
decontare / U.T.

294.150000
20.093666
380.400000
26.028166
55.730000
24.457500
22.801916
33.197666
46.809833
3.503900
13.911000
21.657000
7.974464
8.251785
8.608035
8.877500
5.237666
6.285199
5.258666
6.310399
10.517333
130.260000
102.790000
12.977333
207.450000
36.149333
21.629000
8.245999
6.871666
184.660000
0.396666
2.221666
2.221666
16.037500
11.172333
13.406800
43.784333
27.605833
100.327333
57.336166
55.231000
55.231000
394.040000
758.080000
890.950000
1,751.890000
3,473.780000
3,469.040000
889.760000
1,749.510000
460.470000
7,459.410000
459.880000
188.560000
2,050.800000
222.290000
535.200000
99.020000
914.100000
1,798.200000
472.050000
640.450000
2,261.300000
1,166.700000
1,040.400000
663.610000
1,550.550000

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

1,641.27
1,352.28
452.79
1,740.39
1,860.52
3,237.19
3,020.65
2,209.28
3,099.52
420.08
493.04
746.34
524.91
541.84
563.58
580.03
191.83
275.45
382.07
551.87
382.07
159.02
125.49
886.87
253.25
1,220.24
745.42
711.93
487.56
225.43
16.09
84.27
84.27
2,135.86
768.82
1,144.65
1,469.90
1,843.57
6,599.57
3,787.94
3,650.26
3,650.26
467.65
864.46
1,009.28
1,947.71
3,824.57
3,819.40
1,007.99
1,945.12
540.07
8,168.91
539.42
230.20
2,273.52
271.37
621.52
125.20
1,034.52
1,998.19
552.68
736.24
2,502.97
1,309.85
1,172.19
761.48
1,728.25

328.254000
22.538000
452.790000
29.006500
62.017333
26.976583
25.172083
36.821333
51.658666
4.200800
16.434666
24.878000
9.373392
9.675714
10.063928
10.357678
6.394333
9.837500
6.367833
9.197833
12.735666
159.020000
125.490000
14.781166
253.250000
40.674666
24.847333
11.865500
8.126000
225.430000
0.536333
2.809000
2.809000
17.798833
12.813666
19.077500
48.996666
30.726166
109.992833
63.132333
60.837666
60.837666
467.650000
864.460000
1,009.280000
1,947.710000
3,824.570000
3,819.400000
1,007.990000
1,945.120000
540.070000
8,168.910000
539.420000
230.200000
2,273.520000
271.370000
621.520000
125.200000
1,034.520000
1,998.190000
552.680000
736.240000
2,502.970000
1,309.850000
1,172.190000
761.480000
1,728.250000

328.254000
22.538000
452.790000
29.006500
62.017333
26.976583
25.172083
36.821333
51.658666
4.200800
16.434666
24.878000
9.373392
9.675714
10.063928
10.357678
6.394333
7.673200
6.367833
7.641400
12.735666
159.020000
125.490000
14.781166
253.250000
40.674666
24.847333
9.751200
8.126000
225.430000
0.536333
2.809000
2.809000
17.798833
12.813666
15.376399
48.996666
30.726166
109.992833
63.132333
60.837666
60.837666
467.650000
864.460000
1,009.280000
1,947.710000
3,824.570000
3,819.400000
1,007.990000
1,945.120000
540.070000
8,168.910000
539.420000
230.200000
2,273.520000
271.370000
621.520000
125.200000
1,034.520000
1,998.190000
552.680000
736.240000
2,502.970000
1,309.850000
1,172.190000
761.480000
1,728.250000

Grupa
Nr.
terape
crt
utica
524
525
526
527
528
529
530
531
532
533
534
535
536
537
538
539
540
541
542
543
544
545
546
547
548
549

Denumire generica

Denumire comerciala

J06BA02 IMUNOGLOBULINA UMANA NORMALA G** OCTAGAM

10%
10%
SYNAGIS 100 mg
SYNAGIS 50 mg
NEUPOGEN (R)
NEUPOGEN (R)
ZARZIO 30MU/0,5ml
ZARZIO 48MU/0,5ml
NIVESTIM 12 MU/0,2ml
TEVAGRASTIM 30MUI/0,5ml
NIVESTIM 30 MU/0,5 ml
TEVAGRASTIM 48MUI/0,8ml
NIVESTIM 48 MU/0,5 ml
MALIRID
ELOQUINE 250 mg
NETTACIN (R)
NETTACIN (R)
NETTAVISC 3mg/g
OKACIN
OZURDEX

J06BA02 IMUNOGLOBULINA UMANA NORMALA G** OCTAGAM


J06BB16
J06BB16
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
P01BA03
P01BC02
S01AA23
S01AA23
S01AA23
S01AX17
S01BA01
S01BA01
S01BA01
S01BA01
S01BA01
S01BA01
S03AAN2

PALIVIZUMABUM**
PALIVIZUMABUM**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
PRIMAQUINE4
MEFLOQUINUM4
NETILMICINUM
NETILMICINUM
NETILMICINUM
LOMEFLOXACINUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
NORFLOXACINUM

Forma
Concentrati
farmaceutica
e / U.T.
SOL. PERF.
SOL. PERF.
PULB. + SOLV. PT. SOL. INJ.
PULB. + SOLV. PT. SOL. INJ.

SOL. INJ.
SOL. INJ.
SOL. INJ. /PERF. IN SERINGA PREUMPLUTA

SOL. INJ. /PERF. IN SERINGA PREUMPLUTA

SOL. INJ./PERF.

100 mg/ml
100 mg/ml
100mg
50mg
30MU/0,5ml
48MU/0,5ml
60MU/ml
96MU/ml
120g/0,2ml

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

1
1
1
1
1
1
1
1
5
1
5
1
5
100
100
1
15
1
1
1
1
1
1
1
1
1

3,072.10
6,114.44
3,458.42
2,094.50
263.92
431.80
160.19
257.85
413.89
211.64
989.71
352.07
1,637.21
14.63
138.93
10.37
21.16
23.76
10.75
4,639.95
4.06
7.40
4.06
7.40
6.24
3.48

3,072.100000
6,114.440000
3,458.420000
2,094.500000
263.920000
431.800000
160.190000
257.850000
82.778000
211.640000
197.942000
352.070000
327.442000
0.146300
1.389300
10.370000
1.410666
23.760000
10.750000
4,639.950000
4.060000
7.400000
4.060000
7.400000
6.240000
3.480000

3,072.100000
6,114.440000
3,458.420000
2,094.500000
192.228000
309.420000
160.190000
257.850000
82.778000
192.228000
192.228000
309.420000
309.420000
0.146300
1.389300
10.370000
1.410666
12.444000
10.750000
4,639.950000
4.060000
7.400000
4.060000
7.400000
4.872000
3.480000

3,386.74
6,702.89
3,807.83
2,321.16
322.20
508.81
195.56
314.78
489.29
258.37
1,116.94
421.91
1,822.71
19.78
169.61
14.01
28.60
32.11
14.53
5,095.70
5.49
10.00
5.49
10.00
8.44
4.70

3,386.740000
6,702.890000
3,807.830000
2,321.160000
322.200000
508.810000
195.560000
314.780000
97.858000
258.370000
223.388000
421.910000
364.542000
0.197800
1.696100
14.010000
1.906666
32.110000
14.530000
5,095.700000
5.490000
10.000000
5.490000
10.000000
8.440000
4.700000

3,386.740000
6,702.890000
3,807.830000
2,321.160000
234.672000
377.736000
195.560000
314.780000
97.858000
234.672000
223.388000
377.736000
364.542000
0.197800
1.696100
14.010000
1.906666
16.812000
14.530000
5,095.700000
5.490000
10.000000
5.490000
10.000000
6.588000
4.700000

ROMANIA CUTIE X 1 FLACON DIN PE X 20 COMPR. P-6L


20
ROMANIA CUTIE X 1 FLAC. DIN PE X 20 COMPR. P-6L
20
ROMANIA CUTIE X 1 FLAC. DIN PE X 20 COMPR. P-6L
20
ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 5 ML SOL. INJ. P-RF
5
ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 5 ML SOL. INJ. P-RF
5
ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 2 ML SOL. INJ. P-RF
5
ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 2 ML SOL. INJ. P-RF
5
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF
30
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. P-RF
20
MAGISTRA C&C S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
20
ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 COMPR. P-RF/S 1000
ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF
30
MEDUMAN SA
ROMANIA CUTIE X 1 FLAC. X 30 COMPR.
P-RF
30
ABBOTT SPA
ITALIA
CUTIE X 1 BLIST. X 14 COMPR. FILM. P-RF
14
LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 2 BLIST. X 7 COMPR. FILM. P-RF
14
MEDICAROM GROUP S.R.L. ROMANIA CUTIE X 5 BLIST. X 4 COMPR. FILM. P-RF
20
LABORMED PHARMA S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF
14
OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF
14
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. P-RF
14
MEDOCHEMIE LTD. CIPRU
CUTIE X 2 BLIST. AL/PVC-PVDC X 7 COMPR. FILM. P-RF
14
TERAPIA SA
ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF
14
LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 2 BLIST. X 7 COMPR. FILM. P-RF
14
LABORMED PHARMA S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF
14
ANTIBIOTICE S.A.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
20

6.66
6.66
6.66
7.56
7.56
5.11
5.11
2.72
1.88
1.94
43.91
1.92
1.80
20.89
23.56
16.80
10.73
10.73
12.20
12.20
10.73
28.67
23.46
32.75

0.333000
0.333000
0.333000
1.512000
1.512000
1.022000
1.022000
0.090666
0.094000
0.097000
0.043910
0.064000
0.060000
1.492142
1.682857
0.840000
0.766428
0.766428
0.871428
0.871428
0.766428
2.047857
1.675714
1.637500

0.333000
0.333000
0.333000
1.512000
1.512000
1.022000
1.022000
0.052692
0.052692
0.052692
0.043910
0.052692
0.052692
0.919714
0.919714
0.840000
0.766428
0.766428
0.871428
0.871428
0.766428
1.965000
1.675714
1.637500

9.00
9.00
9.00
10.22
10.22
6.90
6.90
3.67
2.54
2.62
57.44
2.59
2.43
28.23
31.85
22.71
14.50
14.50
16.49
16.49
14.50
37.50
31.71
42.84

0.450000
0.450000
0.450000
2.044000
2.044000
1.380000
1.380000
0.122333
0.127000
0.131000
0.057440
0.086333
0.081000
2.016428
2.275000
1.135500
1.035714
1.035714
1.177857
1.177857
1.035714
2.678571
2.265000
2.142000

0.450000
0.450000
0.450000
2.044000
2.044000
1.380000
1.380000
0.068928
0.068928
0.068928
0.057440
0.068928
0.068928
1.242857
1.242857
1.135500
1.035714
1.035714
1.177857
1.177857
1.035714
2.570400
2.265000
2.142000

Firma

Tara

MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF.

OCTAPHARMA (IP) LIMITED

MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL. PERF.

S
S

ABBOTT LABORATORIES LTD.

MAREA BRITANIE CUTIE X 1 FLAC. PULB. PT. SOL. INJ. + FIOLA X 1 ML SOLV.

P-RF

ABBOTT LABORATORIES LTD.

MAREA BRITANIE CUTIE X 1 FLAC. PULB. PT. SOL. INJ. + FIOLA X 1 ML SOLV. P-RF

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

SANDOZ GMBH
AUSTRIA
SANDOZ GMBH
AUSTRIA
HOSPIRA UK LIMITED MAREA BRITANIE

300g/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE

SOL. INJ./PERF. 480mcg/0,8ml TEVA GENERICS GMBH GERMANIA

480g/0,5ml
7,5 mg
250mg
PIC. OFT., SOL 0,3%
PICATURI OFT.-SOL. 0,3%
UNG. OFT.
3mg/g
PICATURI OFT.-SOL. 3mg/ml
IMPLANT
700 micrograme
DEXAMETAZONA RPH 1mg/ml PIC. OFT. SUSP. 1mg/ml
DEXAMETAZONA RPH 1mg/ml PIC. OFT. SUSP. 1mg/ml
DEXAMETAZONA ROMPHARM 1mg/ml PIC. OFT. SUSP. 1mg/ml
DEXAMETAZONA ROMPHARM 1mg/ml PIC. OFT. SUSP. 1mg/ml
MAXIDEX (R)
PICATURI OFT.-SUSP. 0,1%
NORFLOX
PICATURI OFT./AURIC.-SOL. 0,3%
SOL. INJ./PERF.

COMPR.
COMPR.

Prescriptie

OCTAPHARMA (IP) LIMITED

SOL. INJ./PERF. 300mcg/0,5ml TEVA GENERICS GMBH GERMANIA


SOL. INJ./PERF.

Ambalaj

S/P-RF
S/P-RF

CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL

P-RF/R

CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL

P-RF/R

CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,2ML SOL. INJ. SAU PERF.

P-RF

CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF.S/P-RF/R


CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF.

P-RF

CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF.S/P-RF/R

HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. P-RF
CN UNIFARM S.A.
ROMANIA CUTIE CU 10 BLIST.X 10 COMPR.
P-RF
CN UNIFARM
ROMANIA CUTIE X 10 BLIST. X 10 COMPR.
X
S.I.F.I. SPA
ITALIA
CUTIE X 1 FLACON X 5ML
P-RF
S.I.F.I. SPA
ITALIA
P-RF
S.I.F.I. SPA
ITALIA
CUTIE X 1 TUB DIN AL X 5 G UNGUENT OFTALMIC, PREV. CU APLICATOR P-RF
CUTIE X 3 FOLII TERMOSUDATE X 5 FLACOANE UNIDOZA DIN POLIETILENA X 0,3 ML

NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FLACON PICURATOR PEJD X 5 ML P-RF

IRLANDA
P-RF
ROMANIA CUTIE X 1 FLAC. DIN PEID X 5 ML PIC. OFT., SUSPENSIE P-RF
ROMANIA CUTIE X 1 FLAC. DIN PEID X 10 ML PIC. OFT., SUSPENSIE P-RF
ROMPHARM COMPANY SRL ROMANIA CUTIE X 1 FLAC. DIN PEID X 5 ML PIC. OFT., SUSPENSIE P-RF
ROMPHARM COMPANY SRL ROMANIA CUTIE X 1 FLAC. DIN PEID X 10 ML PIC. OFT., SUSPENSIE P-RF
ALCON COUVREUR NV BELGIA CUTIE X 1 FLACON PICURATOR DIN PE X 5 ML P-RF
CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 1 FLACON PEJD X 5 ML
P-RF

ALLERGAN PHARMACEUTICALS IRELAND

CUTIE CU1 IMPLANT STERIL DE TIP FILAMENT CU ELIBERARE PRELUNGIT CONINND DEXAMETAZON 700 MICR

ROMPHARM COMPANY SRL


ROMPHARM COMPANY SRL

cant/a
mbala
j

Pret cu ridicata
maximal de
decontare / U.T.

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

Atovaquona4
Flucytosinum 4
Mupirocinum 4
Paromomycinum 4
Pentamidinum 4
Primaquinum 4
Pyrimerthaminum 4
Pyrimethaminum+sulfadiazinum

Trimethoprim 4

P1: PROGRAMUL NATIONAL DE BOLI TRANSMISIBILE


B) SUBPROGRAMUL DE TRATAMENT AL BOLNAVILOR CU TUBERCULOZA
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24

A11HA02
A11HA02
A11HA02
A11HA02
A11HA02
A11HA02
A11HA02
H02AB07
H02AB07
H02AB07
H02AB07
H02AB07
H02AB07

J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09

PYRIDOXINUM
PYRIDOXINUM
PYRIDOXINUM
PYRIDOXINUM
PYRIDOXINUM
PYRIDOXINUM
PYRIDOXINUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM

VITAMINA B6 250 mg
COMPR.
VITAMINA B6 ZENTIVA 250 mg COMPR.
SICOVIT B6 250 mg
COMPR.
VITAMINA B6 ZENTIVA 250 mg/5 ml SOL. INJ.
SICOVIT B6 250 mg/5 ml
SOL. INJ.
VITAMINA B6 ZENTIVA 50 mg/2ml SOL. INJ.
SICOVIT B6 50 mg/2ml
SOL. INJ.
PREDNISON 5 mg
COMPR.
PREDNISON - RICHTER 5 mg COMPR.
PREDNISON MCC 5 mg
COMPR.
PREDNISON ARENA 5 mg
COMPR.
PREDNISON ARENA 5 mg
COMPR.
N - PREDNISON
COMPR.
KLACID (R)
COMPR. FILM.
LEKOKLAR (R) 250 mg
COMPR. FILM.
CLAR 250
COMPR. FILM.
CLARITROMICINA LPH 250 mg COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
CLARITROMICINA LPH 500 mg COMPR. FILM.
ROCLARIN 500 mg
COMPR. FILM.

CLARITROMICINA 250 mg
FROMILID 250
KLERIMED (R) 250
KLABAX 250 mg
LEKOKLAR (R) 500 mg

250 mg
250mg
250mg
250mg/5ml
250mg/5ml
50mg/2ml
50mg/2ml
5mg
5mg
5mg
5mg
5mg
5mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
500mg
500mg
500mg

ARENA GROUP SA
ZENTIVA SA
ZENTIVA SA
ZENTIVA SA
ZENTIVA SA
ZENTIVA SA
ZENTIVA SA
SINTOFARM SA

Pagina 9 din 48

Grupa
Nr.
terape
crt
utica
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91

J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01GA01
J01GA01
J01GA01
J01GB04
J01GB06
J01GB06
J01GB06
J01MA01
J01MA01
J01MA01
J01MA01
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02

Denumire generica

CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
STREPTOMYCINUM
STREPTOMYCINUM
STREPTOMYCINUM
KANAMYCINUM
AMIKACINUM
AMIKACINUM
AMIKACINUM
OFLOXACINUM
OFLOXACINUM
OFLOXACINUM
OFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM

Denumire comerciala

CLAR 500
CLARITROMICINA 500 mg
FROMILID 500
KLERIMED (R) 500
KLABAX 500 mg
KLABAX MR 500 mg
LEKOKLAR XL 500 mg
LEKOKLAR XL 500 mg
KLACID SR
FROMILID (R) UNO
KLABAX 125 mg/5 ml
KLACID (R)
KLACID (R)
FROMILID (R) 125 mg/5 ml
KLABAX 125 mg/5 ml
LEKOKLAR 125 mg/5 ml
KLABAX 250 mg/5 ml
KLABAX 250 mg/5 ml
LEKOKLAR 250 mg/5 ml
LEKOKLAR 250 mg/5 ml
KLACID I.V.
STREVITAL 1 g
STREVITAL 1 g
STREVITAL 1 g
PAN - KANAMYCINE
AMIKOZIT (R) 100 mg/2 ml
BIODACYNA
AMIKOZIT (R) 500 mg/2 ml
OFLOXIN 200
ZANOCIN
ZANOCIN (R) OD 400
ZANOCIN (R) OD 400
EUCIPRIN

Forma
Concentrati
farmaceutica
e / U.T.

500mg
500mg
500mg
500mg
500mg
COMPR. FILM. ELIB. MODIF. 500mg
COMPR. FILM. ELIB. MODIF. 500mg
COMPR. FILM. ELIB. MODIF. 500mg
COMPR. FILM. ELIB. PREL. 500mg
COMPR. FILM. ELIB. PREL. 500mg
GRAN. PT. SUSP. ORALA 125mg/5ml
GRAN. PT. SUSP. ORALA 125mg/5ml
GRAN. PT. SUSP. ORALA 125mg/5ml
GRAN. PT. SUSP. ORALA 125mg/5ml
GRAN. PT. SUSP. ORALA 125mg/5ml
GRAN. PT. SUSP. ORALA 125mg/5ml
GRAN. PT. SUSP. ORALA 250mg/5ml
GRAN. PT. SUSP. ORALA 250mg/5ml
GRAN. PT. SUSP. ORALA 250mg/5ml
GRAN. PT. SUSP. ORALA 250mg/5ml
LIOF. PT. SOL. PERF. 500mg
PULB. PT. SOL. INJ. 1g
PULB. PT. SOL. INJ. 1g
PULB. PT. SOL. INJ. 1g
PULB. PT. SOL. INJ. 1g
SOL. INJ.
100mg/2ml
SOL. INJ.
1g/4ml
SOL. INJ.
500mg/2ml
COMPR. FILM. 200mg
COMPR. FILM. 200mg
COMPR. FILM. ELIB. PREL. 400mg
COMPR. FILM. ELIB. PREL. 400mg
CAPS.
250mg
CIPROFLOXACINA ARENA 250 mg COMPR
250mg
CIPROFLOXACINA ARENA 250 mg COMPR
250mg
CIPROFLOXACINA ARENA 100 mg COMPR. FILM. 100mg
CIPROFLOXACINA ARENA 100 mg COMPR. FILM. 100mg
CIPROLEN (R) 250 mg
COMPR. FILM. 250mg
CUMINOL 250 mg
COMPR. FILM. 250mg
CIPRINOL 250 mg
COMPR. FILM. 250mg
CIPROCIN 250 mg
COMPR. FILM. 250mg
ALVEBAR 250 mg
COMPR. FILM. 250mg
EUCIPRIN 250 mg
COMPR. FILM. 250mg
CIFRAN
COMPR. FILM. 250mg
CIPROFLOXACINA OZONE 250 mg COMPR. FILM. 250mg
CIPROFLOXACINA ALKALOID 250 mg
COMPR. FILM. 250mg
CUMINOL 250 mg
COMPR. FILM. 250mg
ALVEBAR 250 mg
COMPR. FILM. 250mg
CIPROCIN 500 mg
COMPR. FILM. 500mg
CIPROLEN (R) 500 mg
COMPR. FILM. 500mg
CIPRO QUIN (R)
COMPR. FILM. 500mg
CIPRINOL 500 mg
COMPR. FILM. 500mg
CIPROFLOXACINA LPH 500 mg COMPR. FILM. 500mg
EUCIPRIN 500 mg
COMPR. FILM. 500mg
CIPROZONE FORTE 500 mg COMPR. FILM. 500mg
CIPROFLOXACINA ARENA 500 mg COMPR. FILM. 500mg
ALVEBAR 500 mg
COMPR. FILM. 500mg
CIFRAN
COMPR. FILM. 500mg
CIPROFLOXACINA ALKALOID 500 mg
COMPR. FILM. 500mg
CIPROFLOXACINA ARENA 500 mg COMPR. FILM. 500mg
CIPRODAR
COMPR. FILM. 500mg
CUMINOL 500 mg
COMPR. FILM. 500mg
ALVEBAR 500 mg
COMPR. FILM. 500mg
CIPRINOL 750 mg
COMPR. FILM. 750mg
CIPROFLOXACINA ARENA 750 mg COMPR. FILM. 750mg
CIPROBAY XR 1000 mg
COMPR. FILM. ELIB. PREL. 1000 mg
CIPROBAY XR 500 mg
COMPR. FILM. ELIB. PREL. 500 mg
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

Firma

Tara

Ambalaj

Prescriptie

MEDICAROM GROUP S.R.L.

ROMANIA CUTIE X 5 BLIST. AL/PVC X 4 COMPR. FILM.

P-RF

OZONE LABORATORIES LTD.

MAREA BRITANIE

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

MEDOCHEMIE LTD. CIPRU


CUTIE X 2 BLIST. AL/PVC-PVDC X 7 COMPR. FILM. P-RF
TERAPIA SA
ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF
TERAPIA SA
ROMANIA CUTIE X 1 BLIST. PVC/PVDC-AL X 7 COMPR. FILM. ELIB. PREL. P-RF
LEK PHARMACEUTICALS D.D.

SLOVENIA
SLOVENIA

ABBOTT LABORATORIES LTD.

MAREA BRITANIE CUTIE X 1 BLIST. PVC-PVDC/AL X 5 COMPR. FILM. ELIB. PREL.

P-RF

KRKA D.D.
TERAPIA SA
ABBOTT SPA
ABBOTT SPA
KRKA D.D.
TERAPIA SA
SANDOZ SRL
TERAPIA SA
TERAPIA SA
SANDOZ SRL
SANDOZ SRL

SLOVENIA

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. ELIB. PREL.

P-RF

ROMANIA CUTIE X 1 FLAC. DIN PEID X 70 G GRAN. PT. 100 ML SUSP . ORALA
ITALIA
ITALIA

P-RF

SLOVENIA CUTIE X 1 FLAC. PULB. PT. 60 ML SUSP.

P-RF

LEK PHARMACEUTICALS D.D.

ABBOTT LABORATORIES LTD.

ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA
LAB. PANPHARMA
ZENTIVA S.A.
CN UNIFARM S.A.
ZENTIVA S.A.
ZENTIVA AS

CUTIE X 1 FOLIE AL/AL X 5 COMPR. FILM. ELIB. MODIF. P-RF


CUTIE X 1 FOLIE AL/AL X 7 COMPR. FILM. ELIB. MODIF. 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

ROMANIA CUTIE X 1 FLAC. DIN PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA P-RF
ROMANIA
P-RF
ROMANIA CUTIE X 1 FLAC. PEID X 70 G GRAN. PT. 100 ML SUSP . ORALA P-RF
ROMANIA CUTIE X 1 FLAC. PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA P-RF
ROMANIA
P-RF
ROMANIA
P-RF
FRANTA CUTIE X 1 FLAC. LIOF. PT. SOL. PERF. S/P-RF
ROMANIA CUTIE X 50 FLAC. DIN STICLA CONTINAND PULB. PT. SOL. INJ. S
ROMANIA CUTIE X 100 FLAC. DIN STICLA CONTINAND PULB. PT. SOL. INJ. S
ROMANIA CUTIE X 10 FLAC. DIN STICLA CONTINAND PULB. PT. SOL. INJ. S
FRANTA CUTIE X 50 FLAC. X 1 G
P-RF/S
ROMANIA CUTIE X 1 FLACON DIN STICLA X 2 ML P-RF
ROMANIA CUTIE CU 1 FL.X 1G SOL.INJ.
P-RF
ROMANIA CUTIE X 1 FLACON DIN STICLA X 2 ML P-RF
CEHIA
CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
CUTIE X 1 FLAC. PEID CU 41 G GRANULE PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE PP

CUTIE X 1 FLAC. DIN PEID CU 68,3 G GRANULE PT. 100 ML SUSP. ORALA + LINGURITA DOZATOARE PP

CUTIE X 1 FLAC. DIN PEID CU 41 G GRANULE PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE PP

RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

RANBAXY U.K. LIMITED


RANBAXY U.K. LIMITED

MAREA BRITANIE

CUTIE X 1 BLIST. X 5 COMPR. FILM. ELIB. PREL.

P-RF

MAREA BRITANIE

CUTIE X 2 BLIST. X 5 COMPR. FILM. ELIB. PREL.

P-RF

ROMANIA CUTIE X 2 BLIST. AL/PVC X 6 CAPS.


ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM.
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

EUROPHARM SA
ARENA GROUP S.A.
ARENA GROUP S.A.
ARENA GROUP S.A.
ARENA GROUP S.A.
AC HELCOR SRL

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF

E.I.P.I.CO. MED S.R.L. ROMANIA


ROMANIA
EUROPHARM SA
ROMANIA
RANBAXY UK LIMITED MAREA BRITANIE
LABORMED PHARMA S.A. ROMANIA
ALKALOID D.O.O.
SLOVENIA
GEDEON RICHTER ROMANIA SA ROMANIA
DR. REDDY'S LABORATORIES ROMANIA
E.I.P.I.CO. MED S.R.L. ROMANIA
AC HELCOR SRL
ROMANIA
ANTIBIOTICE SA
ROMANIA
KRKA D.D. NOVO MESTO SLOVENIA
LABORMED PHARMA S.A. ROMANIA
EUROPHARM SA
ROMANIA
DR. REDDY'S LABORATORIES

OZONE LABORATORIES LTD.

MAREA BRITANIE

CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM.

P-RF

CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

CUTIE X 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM.

P-RF

CUTIE X 1 BLIST. PVC/AL X 10 COMPR. FILM.

P-RF

CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 COMPR. FILM.P-RF

CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

CUTIE X 1 BLIST. X 10 COMPR. FILM.

P-RF

CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM.

P-RF

CUTIE X 1 BLIST. PVC/AL X 10 COMPR. FILM.

P-RF

CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF


CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF

ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM.


ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

RANBAXY UK LIMITED MAREA BRITANIE


ALKALOID D.O.O.
SLOVENIA
ARENA GROUP S.A. ROMANIA
DAR AL DAWA PHARMA S.R.L. ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
DR. REDDY'S LABORATORIES ROMANIA
KRKA D.D. NOVO MESTO SLOVENIA
ARENA GROUP S.A. ROMANIA

CUTIE X 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM.

P-RF

BAYER HEALTHCARE AG GERMANIA

CUTIE X 1 BLIST. DIN PP/AL X 7 COMPR. FILM. ELIB. PREL. P-RF

BAYER HEALTHCARE AG GERMANIA

CUTIE X 1 BLIST. DIN PP/AL X 3 COMPR. FILM. ELIB. PREL. P-RF

DR. REDDY'S LABORATORIES

P-RF

CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 COMPR. FILM. P-RF

CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

CUTIE X 1 BLIST. X 10 COMPR. FILM.

P-RF

CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM.

P-RF

CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

Pagina 10 din 48

cant/a
mbala
j

20
14
14
14
14
7
5
7
5
7
1
1
1
1
1
1
1
1
1
1
1
50
100
10
50
1
1
1
10
10
5
10
12
10
20
20
10
10
10
10
10
10
10
10
10
10
20
10
10
10
10
10
10
10
10
20
10
10
10
10
10
10
10
10
10
7
3

Pret cu
ridicata
maximal /
ambalaj

33.52
23.46
23.85
23.85
23.46
26.60
13.44
18.81
27.52
20.55
23.11
29.57
17.90
17.03
13.85
19.16
38.60
23.17
46.49
33.89
40.64
138.08
274.64
28.80
80.16
2.60
9.36
5.10
14.63
8.30
20.07
38.16
5.87
4.80
9.00
51.29
28.20
4.99
4.99
4.99
4.99
3.48
4.45
5.08
3.88
5.76
9.00
3.48
9.67
9.67
9.67
9.67
6.19
6.75
6.19
12.00
4.74
6.41
11.05
6.75
9.67
9.67
4.74
29.09
28.20
66.21
20.20

Pret cu ridicata
maximal / U.T.

1.676000
1.675714
1.703571
1.703571
1.675714
3.800000
2.688000
2.687142
5.504000
2.935714
23.110000
29.570000
17.900000
17.030000
13.850000
19.160000
38.600000
23.170000
46.490000
33.890000
40.640000
2.761600
2.746400
2.880000
1.603200
2.600000
9.360000
5.100000
1.463000
0.830000
4.014000
3.816000
0.489166
0.480000
0.450000
2.564500
2.820000
0.499000
0.499000
0.499000
0.499000
0.348000
0.445000
0.508000
0.388000
0.576000
0.450000
0.348000
0.967000
0.967000
0.967000
0.967000
0.619000
0.675000
0.619000
0.600000
0.474000
0.641000
1.105000
0.675000
0.967000
0.967000
0.474000
2.909000
2.820000
9.458571
6.733333

Pret cu ridicata
maximal de
decontare / U.T.

1.676000
1.675714
1.703571
1.703571
1.675714
1.965000
1.965000
1.965000
1.965000
1.965000
23.110000
27.732000
16.620000
16.620000
13.850000
16.620000
38.600000
23.170000
46.320000
27.804000
40.640000
2.761600
2.746400
2.880000
1.603200
2.600000
9.360000
5.100000
0.996000
0.830000
4.014000
3.816000
0.417600
0.417600
0.417600
2.564500
2.820000
0.417600
0.417600
0.417600
0.417600
0.348000
0.417600
0.417600
0.388000
0.417600
0.417600
0.348000
0.568800
0.568800
0.568800
0.568800
0.568800
0.568800
0.568800
0.568800
0.474000
0.568800
0.568800
0.568800
0.568800
0.568800
0.474000
2.909000
2.820000
9.458571
0.568800

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

43.84
31.71
32.23
32.23
31.71
34.79
18.17
25.42
36.00
27.77
31.23
38.68
24.19
23.02
18.72
25.90
50.49
31.31
60.81
44.33
53.16
168.57
335.28
37.67
101.35
3.51
12.65
6.89
19.78
11.22
27.12
49.91
7.94
6.49
12.16
64.85
36.88
6.75
6.75
6.75
6.75
4.70
6.02
6.86
5.24
7.78
12.16
4.70
13.07
13.07
13.07
13.07
8.37
9.12
8.37
16.22
6.41
8.67
14.93
9.12
13.07
13.07
6.41
38.05
36.88
83.71
27.30

2.192000
2.265000
2.302142
2.302142
2.265000
4.970000
3.634000
3.631428
7.200000
3.967142
31.230000
38.680000
24.190000
23.020000
18.720000
25.900000
50.490000
31.310000
60.810000
44.330000
53.160000
3.371400
3.352800
3.767000
2.027000
3.510000
12.650000
6.890000
1.978000
1.122000
5.424000
4.991000
0.661666
0.649000
0.608000
3.242500
3.688000
0.675000
0.675000
0.675000
0.675000
0.470000
0.602000
0.686000
0.524000
0.778000
0.608000
0.470000
1.307000
1.307000
1.307000
1.307000
0.837000
0.912000
0.837000
0.811000
0.641000
0.867000
1.493000
0.912000
1.307000
1.307000
0.641000
3.805000
3.688000
11.958571
9.100000

2.192000
2.265000
2.302142
2.302142
2.265000
2.570400
2.570400
2.570400
2.570400
2.570400
31.230000
37.476000
22.464000
22.464000
18.720000
22.464000
50.490000
31.310000
60.588000
37.572000
53.160000
3.371400
3.352800
3.767000
2.027000
3.510000
12.650000
6.890000
1.346400
1.122000
5.424000
4.991000
0.564000
0.564000
0.564000
3.242500
3.688000
0.564000
0.564000
0.564000
0.564000
0.470000
0.564000
0.564000
0.524000
0.564000
0.564000
0.470000
0.769200
0.769200
0.769200
0.769200
0.769200
0.769200
0.769200
0.769200
0.641000
0.769200
0.769200
0.769200
0.769200
0.769200
0.641000
3.805000
3.688000
11.958571
0.769200

Grupa
Nr.
terape
crt
utica
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120

J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA14
J01MA14
J04AB01
J04AB01
J04AB01
J04AB02
J04AB02
J04AB02
J04AB02
J04AB04
J04AC01
J04AC01
J04AC01
J04AD01
J04AK01
J04AK01
J04AK02
J04AK02

Denumire generica

CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
MOXIFLOXACINUM
MOXIFLOXACINUM
CICLOSERINUM
CICLOSERINUM
CICLOSERINUM
RIFAMPICINUM
RIFAMPICINUM
RIFAMPICINUM
RIFAMPICINUM
RIFABUTINUM
ISONIAZIDUM
ISONIAZIDUM
ISONIAZIDUM
PROTIONAMIDUM
PYRAZINAMIDUM
PYRAZINAMIDUM
ETHAMBUTOLUM
ETHAMBUTOLUM

J04AM02 COMBINATII (RIFAMPICINUM+IZONIAZIDUM)


J04AB30

Denumire comerciala

CIPRINOL (R)
CIPRINOL (R)

Forma
Concentrati
farmaceutica
e / U.T.

100mg/10ml
100mg/10ml
CIPROFLOXACINA 100 mg/10 ml CONC. PT. SOL. PERF. 100mg/10ml
CIPRINOL
SOL. PERF. 100mg/50ml
CIPRINOL
SOL. PERF. 200mg/100ml
CIPROFLOXACINA INFOMED 2 mg/ml SOL. PERF. 2mg/ml
CIPROFLOXACINA INFOMED 2 mg/ml SOL. PERF. 2mg/ml
UFEXIL 2 mg/ ml
SOL. PERF. 2mg/ml
CIPROBAY (R) 400
SOL. PERF. 2mg/ml
CIPRINOL (R)
SOL. PERF. 400mg/200ml
AVELOX (R) 400 mg
COMPR. FILM. 400mg
AVELOX (R) 400 mg/250 ml SOL. PERF. 400mg/250ml
CICLOSERINA ANTIBIOTICE 250 mg CAPS.
250mg
CICLOSERINA ANTIBIOTICE 250 mg CAPS.
250mg
HELPOCERIN
CAPS.
250mg
SINERDOL 150 mg
CAPS.
150mg
SINERDOL 150 mg
CAPS.
150mg
SINERDOL 300 mg
CAPS.
300mg
SINERDOL 300 mg
CAPS.
300mg
MYCOBUTIN 150 mg
CAPS.
150mg
ISONIAZIDA 100 mg
COMPR.
100mg
IZONIAZIDA ANTIBIOTICE 300 mg COMPR.
300mg
IZONIAZIDA 500 mg
SOL. INJ.
500mg/10ml
PETEHA
COMPR.
250 mg
PIRAZINAMIDA ANTIBIOTICE 500 mg COMPR.
500mg
PIRAZINAMIDA ANTIBIOTICE 500 mg COMPR.
500mg
ETAMBUTOL 250 mg
COMPR. FILM. 250mg
ETAMBUTOL 400 mg
COMPR. FILM. 400mg
SINERDOL ISO
CAPS.
300mg+150mg
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.

Firma

KRKA D.D.
KRKA D.D.
ZENTIVA S.A.

Tara

Ambalaj

SLOVENIA CUTIE X 50 FIOLE X 10 ML


SLOVENIA CUTIE X 5 FIOLE X 10 ML

Prescriptie

S
S/P-RF

ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA PREVAZUTE CU INEL DE RUPERE X 10 MLS/P-RF

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE X 1 FLACON DIN STICLA INCOLORA X 50 ML SOL. PERF. S/P-RF

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML SOL. PERF.S/P-RF

INFOMED FLUIDS SRL ROMANIA CUTIE X 10 PUNGI PVC PLASTIFIAT X 200ML S


INFOMED FLUIDS SRL ROMANIA CUTIE X 10 PUNGI PVC PLASTIFIAT X 100ML S

DEMO SA

GRECIA

BAYER HEALTHCARE AG GERMANIA

KRKA D.D.

CUTIE X 10 PUNGI PP X 100 ML SOL. PERF.

CUTIE X 5 FLACOANE X 200 ML

S/P-RF

SLOVENIA CUTIE X 1 FLACON DIN STICLA X 200 ML

S/P-RF

BAYER HEALTHCARE AG GERMANIA CUTIE X 1 BLIST. ALB OPAC PP/AL X 5 COMPR. FILM. P-RF

S
ROMANIA CUTIE X 5 FOLII TERMOSUDATE DIN AL/AL X 10 CAPS. P-RF
ROMANIA CUTIE X 10 FOLII TERMOSUDATE DIN AL/AL X 10 CAPS. P-RF
GRECIA CUTIE X 5 BLIST. X 10 CAPS.
S/P-RF
ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. S
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. S/P-RF
ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 COMPR. S
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. S/P-RF
MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 15 CAPS. S/P-RF
ROMANIA CUTIE X 150 BLIST. X 10 COMPR.
S
ROMANIA CUTIE X 150 BLIST. PVC/AL X 10 COMPR. S/P-RF
ROMANIA CUTIE X 100 FIOLE DIN STICLA BRUNA X 10 ML S
ROMANIA CUTIE X 100 COMPR.
S/P-RF
ROMANIA CUTIE X 150 BLIST. AL/PVC X 10 COMPR. S
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. S/P-RF
ROMANIA CUTIE X 150 BLIST. AL/PVC X 10 COMPR. FILM. S
ROMANIA CUTIE X 150 BLIST. AL/PVC X 10 COMPR. FILM. S
ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. S

BAYER HEALTHCARE AG GERMANIA CUTIE X 5 FLACOANE DIN STICLA X 250 ML

ANTIBIOTICE S.A.
ANTIBIOTICE S.A.
HELP PHARMACEUTICALS LTD.

ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA
PFIZER EUROPE MA EEIG

ANTIBIOTICE SA
ANTIBIOTICE SA
TERAPIA SA
S.C. PHARMA S.A.
ANTIBIOTICE S.A.
ANTIBIOTICE S.A.
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA

cant/a
mbala
j

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

Pret cu ridicata
maximal de
decontare / U.T.

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

50
5
5
1
1
10
10
10
5
1
5
5
50
100
50
1000
20
1000
10
30
1500
1500
100
100
1500
20
1500
1500
1000

110.55
12.27
12.27
3.50
7.01
127.36
68.37
131.62
603.82
14.12
65.19
612.82
216.92
420.42
188.13
161.60
4.11
431.95
4.74
302.17
106.85
267.19
65.00
83.78
429.83
6.67
249.93
390.86
433.64

2.211000
2.454000
2.454000
3.500000
7.010000
12.736000
6.837000
13.162000
120.764000
14.120000
13.038000
122.564000
4.338400
4.204200
3.762600
0.161600
0.205500
0.431950
0.474000
10.072333
0.071233
0.178126
0.650000
0.837800
0.286553
0.333500
0.166620
0.260573
0.433640

2.211000
2.454000
2.454000
2.653200
7.010000
12.736000
6.837000
8.204400
15.283200
14.120000
13.038000
122.564000
4.338400
4.204200
3.762600
0.161600
0.193920
0.431950
0.474000
10.072333
0.071233
0.178126
0.650000
0.837800
0.286553
0.333500
0.166620
0.260573
0.433640

134.96
16.59
16.59
4.73
9.48
155.48
86.45
160.68
696.32
19.08
82.43
706.12
264.82
496.41
229.67
197.28
5.56
508.98
6.41
367.52
130.44
326.19
82.18
105.93
506.66
9.01
305.12
464.19
510.82

2.699200
3.318000
3.318000
4.730000
9.480000
15.548000
8.645000
16.068000
139.264000
19.080000
16.486000
141.224000
5.296400
4.964100
4.593400
0.197280
0.278000
0.508980
0.641000
12.250666
0.086960
0.217460
0.821800
1.059300
0.337773
0.450500
0.203413
0.309460
0.510820

2.699200
3.239040
3.239040
3.239040
9.480000
15.548000
8.645000
10.374000
18.657600
18.657600
16.486000
141.224000
5.296400
4.964100
4.593400
0.197280
0.236736
0.508980
0.610776
12.250666
0.086960
0.217460
0.821800
1.059300
0.337773
0.405328
0.203413
0.309460
0.510820

5
10
10
10
1

58.89
37.49
66.55
59.45
59.45

11.778000
3.749000
6.655000
5.945000
59.450000

11.778000
3.749000
6.655000
5.945000
59.450000

74.46
49.04
84.15
75.17
75.17

14.892000
4.904000
8.415000
7.517000
75.170000

14.892000
4.904000
8.415000
7.517000
75.170000

50
50
1
25
25
1
25
20
5
5
5
5
5
5
5
5
5
5
5
5
5

131.41
19.10
11.62
5.19
6.81
91.57
11.47
393.22
1,041.85
1,041.85
1,586.68
1,526.81
1,041.85
2,490.31
3,174.58
226.97
347.44
335.22
226.97
226.97
2,510.02

2.628200
0.382000
11.620000
0.207600
0.272400
91.570000
0.458800
19.661000
208.370000
208.370000
317.336000
305.362000
208.370000
498.062000
634.916000
45.394000
69.488000
67.044000
45.394000
45.394000
502.004000

2.628200
0.382000
11.620000
0.207600
0.272400
91.570000
0.458800
19.661000
208.370000
208.370000
250.044000
250.044000
208.370000
498.062000
634.916000
45.394000
54.472800
54.472800
45.394000
45.394000
502.004000

160.42
25.82
15.70
7.01
9.21
115.78
15.50
466.76
1,173.77
1,173.77
1,767.63
1,702.38
1,173.77
2,752.59
3,498.45
277.09
416.86
403.54
277.09
277.09
2,774.07

3.208400
0.516400
15.700000
0.280400
0.368400
115.780000
0.620000
23.338000
234.754000
234.754000
353.526000
340.476000
234.754000
550.518000
699.690000
55.418000
83.372000
80.708000
55.418000
55.418000
554.814000

3.208400
0.516400
15.700000
0.280400
0.368400
115.780000
0.620000
23.338000
234.754000
234.754000
281.704800
281.704800
234.754000
550.518000
699.690000
55.418000
66.501600
66.501600
55.418000
55.418000
554.814000

CAPREOMYCINUM4

Acidum paraaminosalicilic (TBC


4
J04AA01 multirezistent)

P1: PROGRAMUL NATIONAL DE BOLI TRANSMISIBILE


C) SUBPROGRAMUL DE SUPRAVEGHERE SI CONTROL AL BOLILOR TRANSMISIBILE PRIORITATRE PREV-TRAT GRIPEI
1
2
3
4
5

J05AH01
J05AH02
J05AH02
J05AH02
J05AH02

ZANAMIVIRUM
OSELTAMIVIRUM
OSELTAMIVIRUM
OSELTAMIVIRUM
OSELTAMIVIRUM

RELENZA 5 mg
TAMIFLU 30mg
TAMIFLU 45mg
TAMIFLU 75 mg
TAMIFLU 12 mg/ml

PULB. UNIDOZA DE INHALAT

CAPS.
CAPS.
CAPS.
PULB. PT. SUSP. ORALA

5mg
30mg
45mg
75mg
12mg/ml

GLAXO GROUP LTD. MAREA BRITANIE

CUTIE X 1 FLAC. X 5 BLIST. TIP ROTADISK X 4 DOZE + DISPOZITIV DE ADMINISTRARE DISKHALER

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 1BLISTER PVC/PE/PVDC/ALX 10 CAPSULE P-RF

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 1 BLISTER PVC/PE/PVDC/ALX 10 CAPSULE P-RF

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 1BLISTER PVC/PE/PVDC/AL X 10 CAPSULE P-RF

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 1 FLAC. A 100ML X 30 G PULB. PT. SUSP. ORALA + ADAPTOR, SERINGA SI CUPA PT. MASURARE

BAYER SCHERING PHARMA AG

GERMANIA CUTIE X 1 FLAC. X 50 COMPR.

P-RF

P-RF

P3: PROGRAMUL NATIONAL DE ONCOLOGIE


1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21

G03HA01

L01AA01
L01AA01
L01AA02
L01AA03
L01AA06
L01AB01
L01AD02
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03

CYPROTERONUM
CYCLOPHOSPHAMIDUM
CYCLOPHOSPHAMIDUM
CHLORAMBUCILUM
MELPHALANUM
IFOSFAMIDUM
BUSULFANUM
LOMUSTINUM4
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**

ANDROCUR
ENDOXAN (R) 50 mg
ENDOXAN 200 mg
LEUKERAN
ALKERAN 2 mg
HOLOXAN 1 g
MYLERAN
CEENU

COMPR.
DRAJ.

50mg
50mg
200mg
COMPR. FILM. 2mg
COMPR. FILM. 2mg
PULB. PT. SOL. PERF. 1g
COMPR. FILM. 2mg
CAPS. MOI 40mg
TEMOZOLOMIDE SANDOZ 100 mg CAPS.
100 mg
TEMOMEDAC 100 mg
CAPS.
100 mg
TEMODAL 100 mg
CAPS.
100mg
TEMODAL 100 mg
CAPS.
100mg
TEMOZOLOMIDE TEVA 100 mg CAPS.
100mg
TEMODAL 140mg
CAPS.
140mg
TEMODAL 180 mg
CAPS.
180mg
TEMOZOLOMIDE SANDOZ 20 mg CAPS.
20 mg
TEMODAL 20 mg
CAPS.
20mg
TEMODAL 20 mg
CAPS.
20mg
TEMOMEDAC 20 mg
CAPS.
20mg
TEMOZOLOMIDE TEVA 20 mg CAPS.
20mg
TEMOZOLOMIDE SANDOZ 250 mg CAPS.
250 mg
PULB. PT. SOL. PERF./INJ. I.V.

P-RF

BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ.

ACTAVIS S.R.L.
THE WELLCOME FOUNDATION LTD.

P-RF

ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. PERF./INJ S


MAREA BRITANIE CUTIE X 1 FLAC. X 25 COMPR. FILM. P-RF

THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA BRUNA X 25 COMPR. FILM. P-RF

BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. PERF.

THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA BRUNA X 25 COMPR. FILM. P-RF

CN UNIFARM

ROMANIA CUTIE X 1 BLIST. 20 CAPS. MOI

SANDOZ PHARMACEUTICALS GMBH

GERMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS.


GERMANIA

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

SP EUROPE
SP EUROPE
TEVA PHARMA B.V.
SP EUROPE
SP EUROPE

BELGIA
BELGIA
OLANDA
BELGIA
BELGIA

SANDOZ PHARMACEUTICALS GMBH

GERMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS.

SP EUROPE
SP EUROPE

BELGIA
BELGIA

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANIA

TEVA PHARMA B.V. OLANDA


SANDOZ PHARMACEUTICALS GMBH

X
P-RF/R

FLACON DIN STICL BRUN, CU CAPAC ALB CU FILET DIN POLIPROPILEN, SECURIZAT PENTRU COPII, CU SIGI

P-RF

CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS.

P-RF/R

CUTIE X 5 CAPS. AMBALATE INDIVIDUAL IN PLICURI

P-RF/R

CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS.

P-RF/R

CUTIE X 5 CAPS. AMBALATE INDIVIDUAL IN PLICURI

P-RF/R

CUTIE X 5 CAPS. AMBALATE INDIVIDUAL IN PLICURI

P-RF/R
P-RF/R

CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS.

P-RF/R

CUTIE X 5 CAPS. AMBALATE INDIVIDUAL IN PLICURI

P-RF/R

FLACON DIN STICL BRUN, CU CAPAC ALB CU FILET DIN POLIPROPILEN, SECURIZAT PENTRU COPII, CU SIGI

P-RF

CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS.

P-RF/R

GERMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS.

P-RF/R

Pagina 11 din 48

Grupa
Nr.
terape
crt
utica
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88

L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX04
L01AX04
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA04
L01BB02
L01BB03
L01BB04
L01BB05
L01BB05
L01BB05
L01BC01
L01BC01
L01BC01
L01BC01
L01BC01
L01BC01
L01BC02
L01BC02
L01BC02
L01BC02
L01BC02
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05

Denumire generica

TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
DACARBAZINUM
DACARBAZINUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
PEMETREXEDUM****
MERCAPTOPURINUM
TIOGUANINUM
CLADRIBINUM
FLUDARABINUM****
FLUDARABINUM
FLUDARABINUM
CYTARABINUM
CYTARABINUM
CYTARABINUM
CYTARABINUM
CYTARABINUM
CYTARABINUM
FLUOROURACILUM
FLUOROURACILUM
FLUOROURACILUM
FLUOROURACILUM
FLUOROURACILUM
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**

Denumire comerciala

TEMOMEDAC 250 mg

Forma
Concentrati
farmaceutica
e / U.T.
CAPS.

250 mg
250mg
TEMODAL 250 mg
CAPS.
250mg
TEMODAL 5 mg
CAPS.
5mg
TEMODAL 2,5mg/ml
PULB. PT. SOL. PERF. 2,5mg/ml
DACARBAZINE 200 mg
PULB. PT. SOL. INJ. 200mg
DACARBAZINE 500 mg
PULB. PT. SOL. INJ. 500mg
METOTREXATE BELLON 2,5 mg COMPR.
2,5mg
METHOTREXAT "EBEWE" 500 mg CONC. PT. SOL. INJ./PERF. 100mg/ml
METHOTREXAT "EBEWE" 1000 mg CONC. PT. SOL. INJ./PERF. 100mg/ml
METHOTREXAT "EBEWE" 5000 mg CONC. PT. SOL. INJ./PERF. 100mg/ml
METHOTREXAT "EBEWE" 5 mg SOL. INJ.
5mg/ml
METOTREXAT EBEWE 10 mg/ml
10mg/ml
METOTREXAT EBEWE 10 mg/ml
10mg/ml
METOTREXAT EBEWE 10 mg/ml
10mg/ml
METOTREXAT EBEWE 10 mg/ml
10mg/ml
METOJECT 50mg/ml
50mg/ml
METOJECT 50mg/ml
50mg/ml
METHOTREXAT "EBEWE" 50 mg SOL. INJ./PERF. 10mg/ml
ALIMTA 500mg
500mg
PURI - NETHOL
COMPR.
50mg
LANVIS
COMPR.
40mg
LITAK 2 mg/ml
SOL. INJ.
2mg/ml
FLUDARA ORAL 10 mg
COMPR. FILM. 10mg
FLUDARA
LIOF. PT. SOL. INJ./PERF.
50mg
FLUDARABINA ACTAVIS 25 mg/ml PULB. PT. SOL. INJ./PERF. 25mg/ml
CYTOSAR 100 mg
PULB. + SOLV. PT. SOL. INJ.
100mg
ALEXAN 20mg/ml
SOL. INJ.
20mg/ml
ALEXAN 20mg/ml
SOL. INJ.
20mg/ml
ALEXAN 50mg/ml
SOL. INJ.
50mg/ml
ALEXAN 50mg/ml
SOL. INJ.
50mg/ml
DEPOCYTE 50mg
SUSP. INJ.
50mg
5 - FLUOROURACIL EBEWE 50mg/ml CONC. PT. SOL. INJ./PERF. 50mg/ml
5 - FLUOROURACIL EBEWE 50mg/ml CONC. PT. SOL. INJ./PERF. 50mg/ml
5 - FLUOROURACIL EBEWE 50mg/ml CONC. PT. SOL. INJ./PERF. 50mg/ml
5 - FLUOROURACIL EBEWE 50mg/ml CONC. PT. SOL. INJ./PERF. 50mg/ml
EFUDIX
UNGUENT
50 mg/g
GEMCITABINA EBEWE PHARMA 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml
GEMCITABINA EBEWE PHARMA 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml
GEMSOL 40 mg/ml
CONC. PT. SOL. PERF. 40 mg/ml
GEMSOL 40 mg/ml
CONC. PT. SOL. PERF. 40 mg/ml
GEMSOL 40 mg/ml
CONC. PT. SOL. PERF. 40 mg/ml
GITRABIN 40 mg/ml
CONC. PT. SOL. PERF. 40mg/ml
GITRABIN 40 mg/ml
CONC. PT. SOL. PERF. 40mg/ml
GITRABIN 40 mg/ml
CONC. PT. SOL. PERF. 40mg/ml
NALLIAN1000 mg
PULB. PT. SOL. PERF. 1000 mg
DERCIN 1000 mg
PULB. PT. SOL. PERF. 1000 mg
GEMZAR 1000 mg
PULB. PT. SOL. PERF. 1000 mg
GEMCITABINA TEVA 1000 mg PULB. PT. SOL. PERF. 1000mg
GITRABIN 1 g
PULB. PT. SOL. PERF. 1g
DAPLAX 1 g
PULB. PT. SOL. PERF. 1g
GEMCITABINA SINDAN 1 g PULB. PT. SOL. PERF. 1g
GEMCITABINE POLPHARMA 1 g PULB. PT. SOL. PERF. 1g
GEMCITIN 1 g
PULB. PT. SOL. PERF. 1g
GEMCITABINA TEVA 2000 mg PULB. PT. SOL. PERF. 2000mg
DERCIN 200 mg
PULB. PT. SOL. PERF. 200mg
GITRABIN 200 mg
PULB. PT. SOL. PERF. 200mg
GEMZAR (R) 200 mg
PULB. PT. SOL. PERF. 200mg
DAPLAX 200 mg
PULB. PT. SOL. PERF. 200mg
GEMCITABINE POLPHARMA 200 mg PULB. PT. SOL. PERF. 200mg
GEMCITABINA TEVA 200 mg PULB. PT. SOL. PERF. 200mg
DAPLAX 200 mg
PULB. PT. SOL. PERF. 200mg
GEMCITABINA SINDAN 200 mg PULB. PT. SOL. PERF. 200mg
NALLIAN 200 mg
PULB. PT. SOL. PERF. 200mg
GEMCITIN 200 mg
PULB. PT. SOL. PERF. 200mg
GITRABIN 38 mg/ml
PULB. PT. SOL. PERF. 38mg/ml
GITRABIN 38 mg/ml
PULB. PT. SOL. PERF. 38mg/ml
TEMOZOLOMIDE TEVA 250 mg CAPS.

Firma

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

TEVA PHARMA B.V.


SP EUROPE
SP EUROPE
SP EUROPE
CN UNIFARM S.A.
CN UNIFARM S.A.
FARMEXINM S.R.L.
EBEWE PHARMA GMBH NFG. KG
EBEWE PHARMA GMBH NFG. KG
EBEWE PHARMA GMBH NFG. KG
EBEWE PHARMA GMBH NFG. KG

SOL. INJ. IN SERINGA PREUMPLUTA

EBEWE PHARMA GES.M.B.H. NFG KG

SOL. INJ. IN SERINGA PREUMPLUTA

EBEWE PHARMA GES.M.B.H. NFG KG

SOL. INJ. IN SERINGA PREUMPLUTA

EBEWE PHARMA GES.M.B.H. NFG KG

SOL. INJ. IN SERINGA PREUMPLUTA

EBEWE PHARMA GES.M.B.H. NFG KG

SOL. INJ. IN SERINGA PREUMPLUTA

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

SOL. INJ. IN SERINGA PREUMPLUTA

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

PULB. PT. CONC. PT. SOL. PERF.

EBEWE PHARMA GMBH NFG. KG

ELI LILLY NEDERLAND BV

Tara

Ambalaj

GERMANIA

FLACON DIN STICL BRUN, CU CAPAC ALB CU FILET DIN POLIPROPILEN, SECURIZAT PENTRU COPII, CU SIGI

Prescriptie

P-RF

OLANDA CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS. P-RF/R


BELGIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS. P-RF/R
BELGIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS. P-RF/R
BELGIA CUTIE X 1 FLAC. PULB. PT. SOL. PERF. P-RF/R
ROMANIA CUTIE CU 10 FLAC. PULB. PT. SOL. INJ. P-RF
ROMANIA CUTIE CU 1 FLAC.X 500MG PULB. PT. SOL. INJ. P-RF
ROMANIA CUTIE X 20 COMPR.
P-RF/R
AUSTRIA CUTIE X 5 FIOLE X 5 ML
S
AUSTRIA CUTIE X 1 TUB DIN MATERIAL PLASTIC X 1 FIOLA X 10 ML S
AUSTRIA CUTIE X 1 FLACON X 50 ML
S
AUSTRIA CUTIE X 10 FIOLE X 1 ML
S
AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA CU AC X 0,75 ML SOL INJ.P-RF/R
AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA CU AC X 1 ML SOL INJ. P-RF/R
AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA CU AC X 1,5 ML SOL INJ. P-RF/R
AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA CU AC X 2 ML SOL INJ. P-RF/R
GERMANIA
GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,50ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL

P-RF

CUTIE X 1 SERINGA PREUMPLUTA X 0,40ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL

P-RF

AUSTRIA CUTIE X 1 FLACON X 5 ML


OLANDA CUTIE X 1 FLAC. PULB. PT. CONC. PT. SOL. PERF.

S
S

THE WELLCOME FOUNDATION LTD. MAREA BRITANIE

CUTIE X 1 FLAC. DIN STICLA BRUNA X 25 COMPR.

P-RF

THE WELLCOME FOUNDATION LTD. MAREA BRITANIE

CUTIE X 1 FLAC. X 25 COMPR.

P-RF

LIPOMED GMBH
BAYER SCHERING PHARMA AG
BAYER SCHERING PHARMA AG

GERMANIA CUTIE X 1 FLACON X 5 ML


S
GERMANIA CUTIE X 1 FLAC. DIN PE X 4 BLIST. AL/AL X 5 COMPR. FILM. P-RF/S
GERMANIA CUTIE X 5 FLAC. CU LIOF. PT. SOL. INJ./PERF. S

ACTAVIS S.R.L.

ROMANIA

PFIZER EUROPE MA EEIG

MAREA BRITANIE

S
S
EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 10 FLACOANE DIN STICLA X 5 ML SOL. INJ. S
EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON DIN STICLA X 2 ML SOL. INJ. S
EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 20 ML. SOL. INJ. S
EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 10 ML. SOL. INJ. S
PACIRA LIMITED
MAREA BRITANIE CUTIE X 1 FLAC. X 50MG SUSP.INJ. (MONODOZA 5ML) S
EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON DIN STICLA BRUNA X 5 ML CONCENTRAT PT. SOL. INJ./PERF. S
EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON DIN STICLA BRUNA X 20 ML CONCENTRAT PT. SOL. INJ./PERF. S
EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML CONCENTRAT PT. SOL. INJ./PERF.S
EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON DIN STICLA BRUNA X 10 ML CONCENTRAT PT. SOL. INJ./PERF. S
ICN HUNGARY CO. LTD. UNGARIA CUTIE X 1 TUB X 20 G UNGUENT
S/P-RF
EBEWE PHARMA GES.M.B.H. NFG KG
AUSTRIA
S
EBEWE PHARMA GES.M.B.H. NFG KG
AUSTRIA
S
EBEWE PHARMA GES.M.B.H. NFG KG
AUSTRIA
PR
EBEWE PHARMA GES.M.B.H. NFG KG
AUSTRIA
PR
EBEWE PHARMA GES.M.B.H. NFG KG
AUSTRIA
PR
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 5 ML X 200 MG GEMCITABINA PR
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 25 ML X 1 G GEMCITABINA
PR
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML X 2 G GEMCITABINA
PR
GEDEON RICHTER ROMANIA SA ROMANIA
S
EGIS PHARMACEUTICALS P.L.C. UNGARIA
S
LILLY FRANCE SAS FRANTA CUTIE X 1FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. S
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 1000 MG PULB. PT. SOL. PERF. S
ACTAVIS GROUP PTC EHF. ISLANDA
S
DR. REDDY'S LABORATORIES ROMANIA
S
ACTAVIS S.R.L.
ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. PERF. S
PHARMACEUTICAL WORKS POLPHARMA SA
POLONIA
S
ICN POLFA RZESZOW S.A. POLONIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. S
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 200 MG PULB. PT. SOL. PERF. S
EGIS PHARMACEUTICALS P.L.C. UNGARIA
S
ACTAVIS GROUP PTC EHF. ISLANDA
S
LILLY FRANCE SAS FRANTA CUTIE X 1 FLAC. PULB. PT. SOL. PERF. S
DR. REDDY'S LABORATORIES ROMANIA
S
PHARMACEUTICAL WORKS POLPHARMA SA
POLONIA
S
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 200 MG PULB. PT. SOL. PERF. S
DR. REDDY'S LABORATORIES ROMANIA
S
ACTAVIS S.R.L.
ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. PERF. S
GEDEON RICHTER ROMANIA SA ROMANIA
S
ICN POLFA RZESZOW S.A. POLONIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. S
ACTAVIS GROUP PTC EHF. ISLANDA
S
ACTAVIS GROUP PTC EHF. ISLANDA
S
CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 5ML) CU PULB. PT. SOL. INJ/PERF CONTINAND 50MG FLUDA

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. + 1 FIOLA DIN STICLA INCOLORA X 5 ML SOLV.

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 20 ML CONC. PT. SOL. PERF. X 200 MG GEMCITABINA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 100 ML CONC. PT. SOL. PERF. X 1000 MG GEMCITABINA

CUTIE CU 1 FLACON STICLA INCOLORA FARA SIST. ,,ONCO-SAFE" A 5 ML CONC .SOL. PERF. X 200 MG

CUTIE CU 1 FLACOANE STICLA INCOLORA SIST. ,,ONCO-SAFE" A 25 ML CONC .SOL. PERF. X 1000 MG

CUTIE CU 1 FLACON STICLA INCOLORA SIST. ,,ONCO-SAFE" A 50 ML CONC .SOL. PERF. X 2000 MG

CUTIE X 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. PERF. CONTINAND 1000 MG GEMCITABINA

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 50 ML CONTINAND PULB. PT. SOL. PERF.

CUTIE X 1 FLAC. STICLA INCOLORA (CAPACITATE 10ML )CONTINAND PULB. PT SOL. PERF.

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. CONTINAND 1000MG GEMCITABINA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50ML CONTINAND 1 G GEMCITABINA PULB.PT. SOL. PERF.

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 10 ML CU PULB. PT. SOL. PERF.
CUTIE X 1 FLAC. STICLA INCOLORA (CAPACITATE 10ML )CONTINAND PULB. PT SOL. PERF.

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. CONTINAND 200MG GEMCITABINA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10ML CONTINAND 200MG GEMCITABINA PULB.PT. SOL. PERF.

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. CONTINAND 200MG GEMCITABINA

CUTIE X 1 FLAC. DIN STICLA INCOLORA A 10 ML CU PULB. PT. SOL. PERF. CONTINAND 200MG GEMCITABINA

CUTIE X 1 FLAC. STICLA INCOLORA CU PULB. PT SOL. PERF. CARE CONTINE 200MG GEMCITABINA

CUTIE X 1 FLAC. STICLA INCOLORA CU PULB. PT SOL. PERF. CARE CONTINE 1000MG GEMCITABINA

Pagina 12 din 48

cant/a
mbala
j

5
5
5
5
1
10
1
20
5
1
1
10
1
1
1
1
1
1
1
1
25
25
1
20
5
1
1
10
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

2,510.02
2,510.02
3,845.41
90.59
1,205.59
169.45
67.44
16.70
195.15
70.08
329.08
17.42
45.06
61.49
86.05
99.16
100.54
85.61
9.74
4,986.20
35.14
75.36
1,419.30
1,660.81
2,387.59
336.49
10.43
96.42
4.56
75.44
44.69
6,889.13
3.46
13.97
89.06
7.01
90.95
41.05
183.59
41.05
183.59
363.80
41.05
183.59
512.71
183.59
183.58
282.45
183.59
183.59
183.58
282.45
183.59
273.36
363.81
41.05
41.05
62.05
41.05
41.05
41.05
41.05
62.05
41.05
55.56
41.05
183.59

502.004000
502.004000
769.082000
18.118000
1,205.590000
16.945000
67.440000
0.835000
39.030000
70.080000
329.080000
1.742000
45.060000
61.490000
86.050000
99.160000
100.540000
85.610000
9.740000
4,986.200000
1.405600
3.014400
1,419.300000
83.040500
477.518000
336.490000
10.430000
9.642000
4.560000
75.440000
44.690000
6,889.130000
3.460000
13.970000
89.060000
7.010000
90.950000
41.050000
183.590000
41.050000
183.590000
363.800000
41.050000
183.590000
512.710000
183.590000
183.580000
282.450000
183.590000
183.590000
183.580000
282.450000
183.590000
273.360000
363.810000
41.050000
41.050000
62.050000
41.050000
41.050000
41.050000
41.050000
62.050000
41.050000
55.560000
41.050000
183.590000

Pret cu ridicata
maximal de
decontare / U.T.

502.004000
502.004000
602.404800
18.118000
1,205.590000
16.945000
67.440000
0.835000
39.030000
70.080000
329.080000
1.742000
45.060000
61.490000
86.050000
99.160000
100.540000
85.610000
9.740000
4,986.200000
1.405600
3.014400
1,419.300000
83.040500
403.788000
336.490000
10.430000
9.642000
4.560000
75.440000
44.690000
6,889.130000
3.460000
13.970000
89.060000
7.010000
90.950000
41.050000
183.590000
41.050000
183.590000
363.800000
41.050000
183.590000
436.560000
183.590000
183.580000
215.076000
183.590000
183.590000
183.580000
215.076000
183.590000
215.076000
363.810000
41.050000
41.050000
49.260000
41.050000
41.050000
41.050000
41.050000
49.260000
41.050000
49.260000
41.050000
183.590000

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

2,774.07
2,774.07
4,229.65
114.54
1,352.25
206.87
85.27
22.57
238.24
88.61
396.85
23.54
58.94
77.75
108.80
125.38
122.74
108.25
13.17
5,473.12
45.96
95.28
1,585.19
1,848.44
2,640.63
404.92
14.10
121.91
6.16
95.39
58.45
7,547.31
4.67
18.88
112.61
9.48
115.00
53.70
224.13
53.70
224.13
434.69
53.70
224.13
597.01
224.13
224.11
344.81
224.13
224.13
224.11
344.81
224.13
333.72
434.70
53.70
53.70
78.45
53.70
53.70
53.70
53.70
78.45
53.70
70.25
53.70
224.13

554.814000
554.814000
845.930000
22.908000
1,352.250000
20.687000
85.270000
1.128500
47.648000
88.610000
396.850000
2.354000
58.940000
77.750000
108.800000
125.380000
122.740000
108.250000
13.170000
5,473.120000
1.838400
3.811200
1,585.190000
92.422000
528.126000
404.920000
14.100000
12.191000
6.160000
95.390000
58.450000
7,547.310000
4.670000
18.880000
112.610000
9.480000
115.000000
53.700000
224.130000
53.700000
224.130000
434.690000
53.700000
224.130000
597.010000
224.130000
224.110000
344.810000
224.130000
224.130000
224.110000
344.810000
224.130000
333.720000
434.700000
53.700000
53.700000
78.450000
53.700000
53.700000
53.700000
53.700000
78.450000
53.700000
70.250000
53.700000
224.130000

554.814000
554.814000
665.776800
22.908000
1,352.250000
20.687000
85.270000
1.128500
47.648000
88.610000
396.850000
2.354000
58.940000
77.750000
108.800000
125.380000
122.740000
108.250000
13.170000
5,473.120000
1.838400
3.811200
1,585.190000
92.422000
485.904000
404.920000
14.100000
12.191000
6.160000
95.390000
58.450000
7,547.310000
4.670000
18.880000
112.610000
9.480000
115.000000
53.700000
224.130000
53.700000
224.130000
434.690000
53.700000
224.130000
521.628000
224.130000
224.110000
262.560000
224.130000
224.130000
224.110000
262.560000
224.130000
262.560000
434.700000
53.700000
53.700000
64.440000
53.700000
53.700000
53.700000
53.700000
64.440000
53.700000
64.440000
53.700000
224.130000

Grupa
Nr.
terape
crt
utica
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155

L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC06
L01BC06
L01BC53
L01BC53
L01CA02
L01CA04
L01CA04
L01CA04
L01CA04
L01CA04
L01CA04
L01CA04
L01CA04
L01CA04
L01CA04
L01CA04
L01CA04
L01CA04
L01CA04
L01CA04
L01CB01
L01CB01
L01CB01
L01CB01
L01CB01
L01CB01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02

Denumire generica

Denumire comerciala

GEMCITABINUM**
GITRABIN 38 mg/ml
GEMCITABINUM**
GEMCIRENA 38 mg/ml
GEMCITABINUM**
GEMCITABINE MYLAN 38 mg/ml
GEMCITABINUM**
GEMCITABINE MYLAN 38 mg/ml
GEMCITABINUM**
GEMCITABINE MEDAC 38 mg/ml
GEMCITABINUM**
GEMCITABINE MEDAC 38 mg/ml
GEMCITABINUM**
GEMCITABINE MEDAC 38 mg/ml
GEMCITABINUM**
GEMCIRENA 38 mg/ml
GEMCITABINUM**
GEMCIRENA 38 mg/ml
GEMCITABINUM**
GEMCIRENA 38 mg/ml
CAPECITABINUM
XELODA 150 mg
CAPECITABINUM
XELODA 500 mg
COMBINATII (TAGAFUR+URACIL) UFT
COMBINATII (TAGAFUR+URACIL) UFT
VINCRISTINUM
SINDOVIN 1 mg
VINORELBINUM
NAVELBINE 20 mg
VINORELBINUM
NAVELBINE 30 mg
VINORELBINUM
VINORELBIN EBEWE 10 mg/ ml
VINORELBINUM
VINORELBIN EBEWE 10 mg/ ml
VINORELBINUM
TELBINE 10 mg/ml
VINORELBINUM
VINORELBIN TEVA 10 mg/ml
VINORELBINUM
VINORELBIN TEVA 10 mg/ml
VINORELBINUM
VINORELBINE POLPHARMA 10mg/ml
VINORELBINUM
VINORELBINE POLPHARMA 10mg/ml
VINORELBINUM
TELBINE 10 mg/ml
VINORELBINUM
VINORELBIN ACTAVIS 10 mg/ml
VINORELBINUM
VINORELBIN ACTAVIS 10 mg/ml
VINORELBINUM
VINORELBINE POLPHARMA 50mg/5ml
VINORELBINUM
VINORELBINE POLPHARMA 50mg/5ml
VINORELBINUM
NAVELBINE (R)
ETOPOSIDUM
VEPESID
ETOPOSIDUM
VEPESID
ETOPOSIDUM
SINTOPOZID 100 mg/5 ml
ETOPOSIDUM
ETOPOSID "EBEWE" 100 mg/5 ml
ETOPOSIDUM
ETOPOSIDE - TEVA
ETOPOSIDUM
ETOPOSIDE - TEVA
PACLITAXELUM**
SINDAXEL
PACLITAXELUM**
SINDAXEL
PACLITAXELUM**
PACLITAXEL 6 mg/ml
PACLITAXELUM**
PACLITAXEL 6 mg/ml
PACLITAXELUM**
PACLITAXEL 6 mg/ml
PACLITAXELUM**
PACLITAXEL KABI 6mg/ml
PACLITAXELUM**
PACLITAXEL KABI 6mg/ml
PACLITAXELUM**
PACLITAXEL EBEWE 6mg/ml
PACLITAXELUM**
PACLITAXEL EBEWE 6mg/ml
PACLITAXELUM**
PACLITAXEL EBEWE 6mg/ml
PACLITAXELUM**
PACLITAXEL EBEWE 6mg/ml
PACLITAXELUM**
PACLITAXEL ARCHIE SAMUEL 6 mg/ml
PACLITAXELUM**
SINDAXEL
PACLITAXELUM**
SINDAXEL
PACLITAXELUM**
PACLITAXEL ARCHIE SAMUEL 6 mg/ml
PACLITAXELUM**
PACLITAXEL ARCHIE SAMUEL 6 mg/ml
PACLITAXELUM**
PACLITAXEL KABI 6mg/ml
PACLITAXELUM**
PACLITAXEL KABI 6mg/ml
PACLITAXELUM**
PACLITAXEL KABI 6mg/ml
PACLITAXELUM**
PACLITAXEL ARCHIE SAMUEL 6 mg/ml
PACLITAXELUM**
PACLITAXEL KABI 6mg/ml
PACLITAXELUM**
SINDAXEL
PACLITAXELUM**
PACLITAXEL ACCORD 6 mg/ml
PACLITAXELUM**
PACLITAXEL ACCORD 6 mg/ml
PACLITAXELUM**
PACLITAXEL ACCORD 6 mg/ml
DOCETAXELUM**
TAXOTERE 20 mg
DOCETAXELUM**
DOCETAXEL TEVA 20mg/0,5ml
DOCETAXELUM**
DOCETAXEL ACTAVIS 20 mg/0,5 ml
DOCETAXELUM**
TAXOTERE 80 mg
DOCETAXELUM**
DOCETAXEL ACTAVIS 80 mg/2 ml
DOCETAXELUM**
DOCETAXEL TEVA 80mg/2ml

Forma
Concentrati
farmaceutica
e / U.T.
38mg/ml
38mg/ml
PULB. PT. SOL. PERF. 38mg/ml
PULB. PT. SOL. PERF. 38mg/ml
PULB. PT. SOL. PERF. 38mg/ml
PULB. PT. SOL. PERF. 38mg/ml
PULB. PT. SOL. PERF. 38mg/ml
PULB. PT. SOL. PERF. 38mg/ml
PULB. PT. SOL. PERF. 38mg/ml
PULB. PT. SOL. PERF. 38mg/ml
COMPR. FILM. 150mg
COMPR. FILM. 500mg
CAPS.
100mg+224mg
CAPS.
100mg+224mg
LIOF. PT. SOL. INJ./PERF. I.V. 1mg
CAPS. MOI 20mg
CAPS. MOI 30mg
CONC. PT. SOL. INJ./PERF. 10mg/ml
CONC. PT. SOL. INJ./PERF. 10mg/ml
CONC. PT. SOL. PERF. 10mg/ml
CONC. PT. SOL. PERF. 10mg/ml
CONC. PT. SOL. PERF. 10mg/ml
CONC. PT. SOL. PERF. 10mg/ml
CONC. PT. SOL. PERF. 10mg/ml
CONC. PT. SOL. PERF. 10mg/ml
CONC. PT. SOL. PERF. 10mg/ml
CONC. PT. SOL. PERF. 10mg/ml
CONC. PT. SOL. PERF. 50mg/5ml
CONC. PT. SOL. PERF. 50mg/5ml
SOL. INJ.
10mg/ml
CAPS. MOI 100mg
CAPS. MOI 50mg
CONC. PT. SOL. PERF. 100mg/5ml
CONC. PT. SOL. PERF. 100mg/5ml
CONC. PT. SOL. PERF. 20mg/ml
CONC. PT. SOL. PERF. 20mg/ml
CONC. PT. SOL. PERF. 6mg/ml
CONC. PT. SOL. PERF. 6mg/ml
CONC. PT. SOL. PERF. 6mg/ml
CONC. PT. SOL. PERF. 6mg/ml
CONC. PT. SOL. PERF. 6mg/ml
CONC. PT. SOL. PERF. 6mg/ml
CONC. PT. SOL. PERF. 6mg/ml
CONC. PT. SOL. PERF. 6mg/ml
CONC. PT. SOL. PERF. 6mg/ml
CONC. PT. SOL. PERF. 6mg/ml
CONC. PT. SOL. PERF. 6mg/ml
CONC. PT. SOL. PERF. 6mg/ml
CONC. PT. SOL. PERF. 6mg/ml
CONC. PT. SOL. PERF. 6mg/ml
CONC. PT. SOL. PERF. 6mg/ml
CONC. PT. SOL. PERF. 6mg/ml
CONC. PT. SOL. PERF. 6mg/ml
CONC. PT. SOL. PERF. 6mg/ml
CONC. PT. SOL. PERF. 6mg/ml
CONC. PT. SOL. PERF. 6mg/ml
CONC. PT. SOL. PERF. 6mg/ml
CONC. PT. SOL. PERF. 6mg/ml
CONC. PT. SOL. PERF. 6mg/ml
CONC. PT. SOL. PERF. 6mg/ml
CONC. PT. SOL. PERF. 6mg/ml
20mg
20mg/0,5ml
20mg/0,5ml
80mg
80mg/2ml
80mg/2ml

Firma

PULB. PT. SOL. PERF.

ACTAVIS GROUP PTC EHF.

PULB. PT. SOL. PERF.

FRESENIUS KABI ROMANIA SRL

CONC. + SOLV. PT. SOL. PERF.


CONC. + SOLV. PT. SOL. PERF.
CONC. + SOLV. PT. SOL. PERF.
CONC. + SOLV. PT. SOL. PERF.
CONC. + SOLV. PT. SOL. PERF.
CONC. + SOLV. PT. SOL. PERF.

MYLAN S.A.S.
MYLAN S.A.S.
MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

Tara

ISLANDA
ROMANIA
FRANTA
FRANTA
GERMANIA
GERMANIA
GERMANIA

Ambalaj

Prescriptie

CUTIE X 1 FLAC. STICLA INCOLORA CU PULB. PT SOL. PERF. CARE CONTINE 2000MG GEMCITABINA

S
S
S
S
S
S
S
S
S
S

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML CU PULB. PT. SOL. PERF. CARE CONTINE 2000MG GEMCITABINA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10 ML PULB. PT SOL. PERF. CARE CONTINE 200 MG GEMCITABINA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML PULB. PT SOL. PERF. CARE CONTINE 1000 MG GEMCITABINA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10 ML CU PULB. PT. SOL. PERF. CONTINAND 200 MG GEMCITABINA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF. CONTINAND 1000 MG GEMCITABINA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML CU PULB. PT. SOL. PERF. CONTINAND 1500 MG GEMCITABINA

FRESENIUS KABI ROMANIA SRL

ROMANIA
ROMANIA
ROMANIA

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 6 BLIST. DIN PVC/PE/PVDC X 10 COMPR. FILM. P-RF/R

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 12 BLIST. DIN PVC/PE/PVDC X 10 COMPR. FILM.P-RF/R

MERCK KGAA
MERCK KGAA
ACTAVIS S.R.L.

GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL X 12 CAPS. P-RF


GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 12 CAPS. P-RF

FRESENIUS KABI ROMANIA SRL


FRESENIUS KABI ROMANIA SRL

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML CU PULB. PT. SOL. PERF. CARE CONTINE 1500MG GEMCITABINA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10 ML CU PULB. PT. SOL. PERF. CARE CONTINE 200MG GEMCITABINA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF. CARE CONTINE 1000MG GEMCITABINA

ROMANIA CUTIE X 1 FLAC. DIN STICLA CU LIOF. PT. SOL. INJ./PERF. I.V. S
FRANTA CUTIE X 1 BLIST. PVC-PVDC/AL-PETP X 1 CAPS. MOALE P-RF
PIERRE FABRE MEDICAMENT PRODUCTION
FRANTA CUTIE X 1 BLIST. PVC-PVDC/AL-PETP X 1 CAPS. MOALE P-RF
EBEWE PHARMA GES.M.B.H. NFG KG
AUSTRIA CUTIE X 1 FLAC. X 5 ML CONC. PT. SOL. INJ/PERF. S
EBEWE PHARMA GES.M.B.H. NFG KG
AUSTRIA CUTIE X 1 FLAC. X 1 ML CONC. PT. SOL. INJ/PERF. S
TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF.
S
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF.
S
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 1 ML CONC. PT. SOL. PERF.
S
PHARMACEUTICALS WORKS POLPHARMA SA POLONIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 1 ML CONC. PT. SOL. PERF.
S
PHARMACEUTICALS WORKS POLPHARMA SA POLONIA CUTIE X 10 FLAC. DIN STICLA INCOLORA X 1 ML CONC. PT. SOL. PERF.
S
TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 1 ML CONC. PT. SOL. PERF.
S
ACTAVIS S.R.L.
ROMANIA CUTIE X 1 FLAC. X 5 ML CONC. PT. SOL. PERF. S
ACTAVIS S.R.L.
ROMANIA CUTIE X 1 FLAC. X 1 ML CONC. PT. SOL. PERF. S
PHARMACEUTICALS WORKS POLPHARMA SA POLONIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF.
S
PHARMACEUTICALS WORKS POLPHARMA SA POLONIA CUTIE X 10 FLAC. DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF.
S
LAB. PIERRE FABRE FRANTA CUTIE X 10 FIOLE X 1 ML
S
BRISTOL MYERS SQUIBB KFT UNGARIA CUTIE X 1 BLIST. PVC/A0-PVC-PVDC X 10 CAPS. P-RF
BRISTOL MYERS SQUIBB KFT UNGARIA CUTIE X 2 BLIST. PVC/AL-PVC-PVDC X 10 CAPS. P-RF
ACTAVIS S.R.L.
ROMANIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. S
EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 5 ML
S
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 5 ML CONC. PT. SOL. PERF.
S
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 10 ML CONC. PT. SOL. PERF. S
ACTAVIS S.R.L.
ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 16,67 ML CONC. PT. SOL. PERF. S
ACTAVIS S.R.L.
ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML CONC. PT. SOL. PERF. S
PHARMEXPRESS S.R.L. ROMANIA CUTIE X 1 FLAC. X 50 ML
S
PHARMEXPRESS S.R.L. ROMANIA CUTIE X 10 FLAC. X 5 ML
S
PHARMEXPRESS S.R.L. ROMANIA CUTIE X 4 FLAC. X 16,7 ML
S
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML CONC. PT. SOL. PERF.
S
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA X 50 ML CONC. PT. SOL. PERF.
S
EBEWE PHARMA GES.M.B.H. NFG KG
AUSTRIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 25 ML CONC. PT. SOL. PERF. S
EBEWE PHARMA GES.M.B.H. NFG KG
AUSTRIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 50 ML CONC. PT. SOL. PERF. S
EBEWE PHARMA GES.M.B.H. NFG KG
AUSTRIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 16,6 ML CONC. PT. SOL. PERF.S
EBEWE PHARMA GES.M.B.H. NFG KG
AUSTRIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. S
ARCHIE SAMUEL S.R.O. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 30 MG CONC. PT. SOL. PERF. S
ACTAVIS S.R.L.
ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 43,33 ML CONC. PT. SOL. PERF. S
ACTAVIS S.R.L.
ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 25 ML CONC. PT. SOL. PERF. S
ARCHIE SAMUEL S.R.O. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 100 MG CONC. PT. SOL. PERF. S
ARCHIE SAMUEL S.R.O. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 150 MG CONC. PT. SOL. PERF. S
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF.
S
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF.
S
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 16,7 ML CONC. PT. SOL. PERF. S
ARCHIE SAMUEL S.R.O. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 300 MG CONC. PT. SOL. PERF. S
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA X 16,7 ML CONC. PT. SOL. PERF. S
ACTAVIS S.R.L.
ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. S
ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA A 5 ML CARE CONTINE 30 MG PACLITAXEL S
ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA A 16,7 ML CARE CONTINE 100 MG PACLITAXEL
S
ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA A 50 ML CARE CONTINE 300 MG PACLITAXELS
AVENTIS PHARMA SA FRANTA CUTIE X 1 FLACON X 0,5 ML CONC. SOL. PERF. + 1 FLACON X 1,5 ML SOLV.S
TEVA PHARMA B.V. OLANDA
S
ACTAVIS GROUP PTC EHF. ISLANDA
S
AVENTIS PHARMA SA FRANTA CUTIE X 1 FLACON X 2 ML CONC. SOL. PERF. + 1 FLACON X 6 ML SOLV. S
ACTAVIS GROUP PTC EHF. ISLANDA
S
TEVA PHARMA B.V. OLANDA
S
PIERRE FABRE MEDICAMENT PRODUCTION

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 0,5 ML CONCENTRAT PT. SOL.PERF.+1 FLAC.X1,5ML SOLV.

CUTIE CU 1 BLIST. DIN POLISTIREN TERMOFORMAT CU 1 FLAC. DIN STICLA INCOLORA X 0,5 ML CONC. PT. SOL.

CUTIE CU 1 BLIST. DIN POLISTIREN TERMOFORMAT CU 1 FLAC. DIN STICLA INCOLORA X 2 ML CONC. PT. SOL. PE

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 2 ML CONCENTRAT PT. SOL.PERF.+1 FLAC.X 6ML SOLV.

Pagina 13 din 48

cant/a
mbala
j

1
1
1
1
1
1
1
1
1
1
60
120
120
36
1
1
1
1
1
1
1
1
1
10
1
1
1
1
10
10
10
20
1
1
1
1
1
1
1
10
4
1
5
1
1
1
1
1
1
1
1
1
1
5
1
1
5
1
1
1
1
1
1
1
1
1
1

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

363.80
364.82
62.05
282.45
93.61
426.47
624.90
276.22
41.05
179.23
237.29
1,461.14
1,947.87
605.34
20.42
192.78
289.15
348.23
71.29
348.23
348.23
71.29
71.30
470.57
71.29
443.97
71.30
348.20
1,902.36
1,009.29
307.71
304.95
32.45
38.59
31.59
60.36
353.15
1,088.11
999.40
968.71
1,251.02
999.35
4,876.76
822.67
1,088.11
353.15
113.60
113.57
899.09
553.20
353.12
553.09
104.91
498.36
335.23
1,088.08
1,556.13
113.60
113.32
352.93
1,087.95
539.16
360.91
360.86
2,066.67
1,353.73
1,353.82

363.800000
364.820000
62.050000
282.450000
93.610000
426.470000
624.900000
276.220000
41.050000
179.230000
3.954833
12.176166
16.232250
16.815000
20.420000
192.780000
289.150000
348.230000
71.290000
348.230000
348.230000
71.290000
71.300000
47.057000
71.290000
443.970000
71.300000
348.200000
190.236000
100.929000
30.771000
15.247500
32.450000
38.590000
31.590000
60.360000
353.150000
1,088.110000
999.400000
96.871000
312.755000
999.350000
975.352000
822.670000
1,088.110000
353.150000
113.600000
113.570000
899.090000
553.200000
353.120000
553.090000
104.910000
99.672000
335.230000
1,088.080000
311.226000
113.600000
113.320000
352.930000
1,087.950000
539.160000
360.910000
360.860000
2,066.670000
1,353.730000
1,353.820000

Pret cu ridicata
maximal de
decontare / U.T.

363.800000
364.820000
49.260000
215.076000
49.260000
215.076000
331.464000
276.220000
41.050000
179.230000
3.954833
12.176166
16.232250
16.815000
20.420000
192.780000
289.150000
228.283200
56.468400
228.283200
228.283200
56.468400
56.468400
47.057000
56.468400
228.283200
56.468400
228.283200
190.236000
56.468400
30.771000
15.247500
32.450000
37.908000
31.590000
60.360000
353.150000
1,088.110000
999.400000
96.871000
312.755000
999.350000
975.352000
663.708000
1,088.110000
353.150000
113.600000
113.570000
899.090000
553.200000
353.120000
553.090000
104.910000
99.672000
335.230000
1,088.080000
311.226000
113.600000
113.320000
352.930000
1,087.950000
310.632000
310.632000
310.632000
1,096.656000
1,096.656000
1,096.656000

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

434.69
435.80
78.45
344.81
118.36
503.00
719.29
337.21
53.70
218.80
289.69
1,630.80
2,161.33
697.97
27.60
235.35
353.00
417.72
90.14
417.72
417.72
90.14
90.15
551.07
90.14
522.08
90.15
417.69
2,111.72
1,138.28
373.55
370.55
42.44
50.47
41.32
76.32
423.08
1,224.19
1,127.50
1,094.04
1,401.76
1,127.44
5,353.82
934.86
1,224.19
423.08
138.68
138.65
1,018.16
641.14
423.05
641.02
128.07
581.36
403.55
1,224.16
1,734.33
138.68
138.34
422.84
1,224.02
625.83
431.54
431.49
2,290.82
1,513.72
1,513.82

434.690000
435.800000
78.450000
344.810000
118.360000
503.000000
719.290000
337.210000
53.700000
218.800000
4.828166
13.590000
18.011083
19.388055
27.600000
235.350000
353.000000
417.720000
90.140000
417.720000
417.720000
90.140000
90.150000
55.107000
90.140000
522.080000
90.150000
417.690000
211.172000
113.828000
37.355000
18.527500
42.440000
50.470000
41.320000
76.320000
423.080000
1,224.190000
1,127.500000
109.404000
350.440000
1,127.440000
1,070.764000
934.860000
1,224.190000
423.080000
138.680000
138.650000
1,018.160000
641.140000
423.050000
641.020000
128.070000
116.272000
403.550000
1,224.160000
346.866000
138.680000
138.340000
422.840000
1,224.020000
625.830000
431.540000
431.490000
2,290.820000
1,513.720000
1,513.820000

434.690000
435.800000
64.440000
262.560000
64.440000
262.560000
404.652000
337.210000
53.700000
218.800000
4.828166
13.590000
18.011083
19.388055
27.600000
235.350000
353.000000
253.406400
66.128400
253.406400
253.406400
66.128400
66.128400
55.107000
66.128400
253.406400
66.128400
253.406400
211.172000
66.128400
37.355000
18.527500
42.440000
49.584000
41.320000
76.320000
423.080000
1,224.190000
1,127.500000
109.404000
350.440000
1,127.440000
1,070.764000
769.224000
1,224.190000
423.080000
131.284800
131.284800
1,018.160000
641.140000
423.050000
641.020000
128.070000
116.272000
403.550000
1,224.160000
346.866000
131.284800
131.284800
422.840000
1,224.020000
379.224000
379.224000
379.224000
1,241.136000
1,241.136000
1,241.136000

Grupa
Nr.
terape
crt
utica
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222

L01CD02
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02

L01DB01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB06
L01DB06
L01DB07
L01DC01

L01XA01
L01XA01
L01XA01
L01XA01
L01XA01
L01XA01
L01XA01
L01XA01
L01XA01
L01XA02
L01XA02
L01XA02
L01XA02

Denumire generica

DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
IDARUBICINUM
IDARUBICINUM
MITOXANTRONUM**
BLEOMYCINUM SULFAS
CISPLATINUM
CISPLATINUM
CISPLATINUM
CISPLATINUM
CISPLATINUM
CISPLATINUM
CISPLATINUM
CISPLATINUM
CISPLATINUM
CARBOPLATINUM
CARBOPLATINUM
CARBOPLATINUM
CARBOPLATINUM

Denumire comerciala

DOCETAXEL HOSPIRA 10 mg/ml


DOCETAXEL HOSPIRA 10 mg/ml
DOCETAXEL EBEWE 10 mg/ml
DOCETAXEL EBEWE 10 mg/ml
DOCETAXEL HOSPIRA 10 mg/ml

TAXOTERE 20 mg/1ml
DOCETAXEL ACTAVIS 20 mg/ml
DOCETAXEL ACTAVIS 20 mg/ml
DOCETAXEL ACTAVIS 20 mg/ml

TAXOTERE 80 mg/4ml

Forma
Concentrati
farmaceutica
e / U.T.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.

DOXORUBICINA ACCORD 2 mg/ml CONC. PT. SOL. PERF.


DOXORUBICINA ACCORD 2 mg/ml CONC. PT. SOL. PERF.
DOXORUBICINA ACCORD 2 mg/ml CONC. PT. SOL. PERF.

CAELYX 2 mg/ml
DHARUXO 2 mg/ml
DHARUXO 2 mg/ml
DHARUXO 2 mg/ml
CAELYX 2 mg/ml
CAELYX 2 mg/ml
CAELYX 2 mg/ml
DOXORUBICIN "EBEWE" 2mg/ml
DOXORUBICIN "EBEWE" 2mg/ml

CONC. PT. SOL. PERF.


CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.

SINDROXOCIN 2mg/ml
PULB. PT. SOL. PERF.
SINDROXOCIN 2mg/ml
PULB. PT. SOL. PERF.
DOXORUBICIN TEVA 2 mg/ml SOL. INJ.
DOXORUBICIN TEVA 2 mg/ml SOL. INJ.
EPIRUBICIN "EBEWE" 2 mg/ml
EPIRUBICIN "EBEWE" 2 mg/ml
EPIRUBICIN "EBEWE" 2 mg/ml

CONC. PT. SOL. INJ.


CONC. PT. SOL. INJ.
CONC. PT. SOL. INJ.

FARMORUBICIN RD 10 mg LIOF. PT. SOL. INJ.


EPISINDAN 10 mg
LIOF. PT. SOL. INJ.
EPISINDAN 50 mg
LIOF. PT. SOL. INJ.
FARMORUBICIN (R) RD 50 mg LIOF. PT. SOL. INJ.
EPIRUBICINA KABI 2 mg/ml SOL. INJ./PERF.
EPIRUBICINA KABI 2 mg/ml SOL. INJ./PERF.
EPIRUBICINA ACTAVIS 2mg/ml
EPIRUBICINA ACTAVIS 2mg/ml
EPIRUBICINA ACTAVIS 2mg/ml
EPIRUBICINA ACTAVIS 2mg/ml
EPIRUBICINA ACTAVIS 2mg/ml

SOL. INJ./PERF.
SOL. INJ./PERF.
SOL. INJ./PERF.
SOL. INJ./PERF.
SOL. INJ./PERF.

EPIRUBICINA TEVA 2 mg/ml SOL. INJ./PERF.


EPIRUBICINA TEVA 2 mg/ml SOL. INJ./PERF.
EPIRUBICINA TEVA 2 mg/ml SOL. INJ./PERF.
EPIRUBICINA TEVA 2 mg/ml SOL. INJ./PERF.
EPIRUBICINA TEVA 2 mg/ml SOL. INJ./PERF.
ECCLEPIA 2 mg/ml
SOL. INJ./PERF.
ECCLEPIA 2 mg/ml
SOL. INJ./PERF.
ECCLEPIA 2 mg/ml
SOL. INJ./PERF.
ECCLEPIA 2 mg/ml
SOL. INJ./PERF.
ECCLEPIA 2 mg/ml
SOL. INJ./PERF.
ZAVEDOS
CAPS.
ZAVEDOS 5 mg
LIOF. PT. SOL. INJ.
ONKOTRONE
CONC. PT. SOL. INJ.
BLEOCIN
LIOF. PT. SOL. INJ.
CISPLATIN TEVA 10 mg/20 ml CONC. PT. SOL. PERF.
CISPLATIN "EBEWE" 10 mg/20 ml

SINPLATIN 1 mg/1 ml
SINPLATIN 1 mg/1 ml
CISPLATINA ACCORD 1 mg/ml
CISPLATINA ACCORD 1 mg/ml
CISPLATINA ACCORD 1 mg/ml
CISPLATIN "EBEWE" 25 mg/50 ml
CISPLATIN "EBEWE" 50 mg/100 ml
CARBOPLATIN "EBEWE" 10 mg/ml
CARBOPLATIN "EBEWE" 10 mg/ml
CARBOPLATIN "EBEWE" 10 mg/ml

CONC. PT. SOL. PERF.


CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.

CARBOPLATIN TEVA 10mg/ml CONC. PT. SOL. PERF.

10mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
20mg/1ml
20mg/ml
20mg/ml
20mg/ml
80mg/4ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
10mg
10mg
50mg
50mg
2 mg/ml
2 mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
10mg
5mg
2mg/ml
15mg
10mg/20ml
10mg/20ml
1mg/1ml
1mg/1ml
1mg/ml
1mg/ml
1mg/ml
25mg/50ml
50mg/100ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml

Firma

HOSPIRA UK LTD
HOSPIRA UK LTD

Tara

Ambalaj

MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 2 ML CONC. PT. SOL. PERF.

S/P-RF

MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 8 ML CONC. PT. SOL. PERF.

S/P-RF

EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRIA
AUSTRIA

HOSPIRA UK LTD

MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 16 ML CONC. PT. SOL. PERF.

EBEWE PHARMA GES.M.B.H. NFG KG

Prescriptie

AVENTIS PHARMA SA FRANTA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 2 ML CONC. PT. SOL. PERF.


CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 8 ML CONC. PT. SOL. PERF.

P-RF/R
P-RF/R
S/P-RF

S
PR
PR
PR
CUTIE X 1 FLACON DIN STICLA X 4 ML CONC. PT. SOL. PERF.
S
ACCORD HEALTHCARE LIMITED MAREA BRITANIE
PR
ACCORD HEALTHCARE LIMITED MAREA BRITANIE
PR
ACCORD HEALTHCARE LIMITED MAREA BRITANIE
PR
JANSSEN CILAG INTERNATIONALL NV BELGIA
CUTIE X 1 FLACON DIN STICLA X 25 ML S
ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. PR
ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 10 ML CONC. PT. SOL. PERF. PR
ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 25 ML CONC. PT. SOL. PERF. PR
JANSSEN CILAG INTERNATIONALL NV BELGIA
CUTIE X 1 FLACON DIN STICLA X 10 ML S
SP EUROPE
BELGIA CUTIE X 1 FLACON DIN STICLA X 10 ML S
SP EUROPE
BELGIA CUTIE X 1 FLACON DIN STICLA X 25 ML S
EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 25 ML CONC. PT. SOL. PERF. (50 MG DOXORUBICINA) S
EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 5 ML CONC. PT. SOL. PERF. (10 MG DOXORUBICINA) S
ACTAVIS S.R.L
ROMANIA
S
ACTAVIS S.R.L
ROMANIA
S
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10 ML SOL. INJ. S
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 25 ML SOL. INJ. S
EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 5 ML
S
EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 50 ML
S
EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 25 ML
S
ACTAVIS S.R.L.
ROMANIA CUTIE X 1 FLAC. X 10 MG LIOF. PT. SOL. INJ. S
ACTAVIS S.R.L.
ROMANIA CUTIE X 1 FLAC. CU LIOF. PT. SOL. INJ. S
ACTAVIS S.R.L.
ROMANIA CUTIE X 1 FLAC. CU LIOF. PT. SOL. INJ. S
ACTAVIS S.R.L.
ROMANIA CUTIE X 1 FLAC. X 50 MG LIOF. PT. SOL. INJ. S
FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 25 ML SOL. INJ./PERF. X 50 MG PR
FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 100 ML SOL. INJ./PERF. X 200 MG
PR
ACTAVIS S.R.L.
ROMANIA CUTIE X 1 FLAC. A 5 ML SOL. INJ. X 10MG (10MG/5ML) S
ACTAVIS S.R.L.
ROMANIA CUTIE X 1 FLAC. A 10 ML SOL. INJ. X 20MG (20MG/10ML) S
ACTAVIS S.R.L.
ROMANIA CUTIE X 1 FLAC. A 25 ML SOL. INJ. X 50MG (50MG/25ML) S
ACTAVIS S.R.L.
ROMANIA CUTIE X 1 FLAC. A 50 ML SOL. INJ. X 100MG (100MG/50ML) S
ACTAVIS S.R.L.
ROMANIA CUTIE X 1 FLAC. A 100ML SOL. INJ. X 200MG (200MG/100ML)S
TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 1 FLAC. STICLA INCOLORA X 75 ML SOL. INJ. /PERFZ. S
TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 1 FLAC. STICLA INCOLORA X 100 ML SOL. INJ. /PERFZ. S
TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 1 FLAC. STICLA INCOLORA X 5 ML SOL. INJ. /PERFZ.S
TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 1 FLAC. STICLA INCOLORA X 10 ML SOL. INJ. /PERFZ. S
TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 1 FLAC. STICLA INCOLORA X 25 ML SOL. INJ. /PERFZ. S
ROMASTRU TRADING SRL ROMANIA
S
ROMASTRU TRADING SRL ROMANIA
S
ROMASTRU TRADING SRL ROMANIA
S
ROMASTRU TRADING SRL ROMANIA
S
ROMASTRU TRADING SRL ROMANIA
S
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. X 1 CAPS.
P-RF
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA INCOLORA CU LIOF. PT. SOL. INJ. S
BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 1 FLACON X 10 ML CONC. PT. SOL. INJ. S
EURO NIPPON KAYAKU GMBH GERMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU LIOF. PT. SOL. INJ. S
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 20 ML
S
EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 20 ML CONC. PT. SOL. PERF.
S
ACTAVIS S.R.L.
ROMANIA CUTIE X 1 FLAC. X 50 ML X 50 MG CONC. SOL. PERF. S
ACTAVIS S.R.L.
ROMANIA CUTIE X 1 FLAC. X 10 ML X 10 MG CONC. SOL. PERF. S
ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DE 10 ML DIN STICLA BRUNA CU CONC. PT. SOL. PERF. S
ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DE 30 ML DIN STICLA BRUNA CU CONC. PT. SOL. PERF. S
ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DE 50 ML DIN STICLA BRUNA CU CONC. PT. SOL. PERF. S
EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 50 ML COND. PT. SOL. PERF.
S
EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 100 ML CONC. PT. SOL. PERF. S
EBEWE PHARMA GES.M.B.H. NFG KG
AUSTRIA CUTIE X 1 FLACON DIN STICLA X 45 ML CONC. PT. SOL. PERF. S
EBEWE PHARMA GES.M.B.H. NFG KG
AUSTRIA CUTIE X 1 FLACON DIN STICLA X 5 ML CONC. PT. SOL. PERF. S
EBEWE PHARMA GES.M.B.H. NFG KG
AUSTRIA CUTIE X 1 FLACON DIN STICLA X 15 ML CONC. PT. SOL. PERF. S
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 15 ML CONC. PT. SOL. PERF. S
ISLANDA
ISLANDA
ACTAVIS GROUP PTC EHF. ISLANDA
AVENTIS PHARMA SA FRANTA

CUTIE X 1 FLACON X 1 ML CONC. PT. SOL. PERF.

ACTAVIS GROUP PTC EHF.

CUTIE CU 1 FLAC. UNIDOZA DIN STICLA INCOLORA CU 1 ML CONC. PT. SOL. PERF. CARE CONTINE 20 MG DOCETAX

ACTAVIS GROUP PTC EHF.

CUTIE CU 1 FLAC. UNIDOZA DIN STICLA INCOLORA CU 4 ML CONC. PT. SOL. PERF. CARE CONTINE 80 MG DOCETAX

CUTIE CU 1 FLAC. UNIDOZA DIN STICLA INCOLORA CU 7 ML CONC. PT. SOL. PERF. CARE CONTINE 140 MG DOCETA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 5 ML CONC. PT. SOL. PERF. CONTINAND 10 MG DOXORUBICINA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 25 ML CONC. PT. SOL. PERF. CONTINAND 50 MG DOXORUBICINA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 100 ML CONC. PT. SOL. PERF. CONTINAND 200 MG DOXORUBICINA

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 50 ML X 50 MG CLORHIDRAT DE DOXORUBICINA

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 8 ML CONTINAND 10 MG CLORHIDRAT DE DOXORUBICIN

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 5 ML SOL. INJ./PERF. X 10 MG EPIRUBICINA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 10 ML SOL. INJ./PERF. X 20 MG EPIRUBICINA


CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 25 ML SOL. INJ./PERF. X 50 MG EPIRUBICINA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 50 ML SOL. INJ./PERF. X 100 MG EPIRUBICINA


CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 10 ML SOL. INJ./PERF. X 200 MG EPIRUBICINA

Pagina 14 din 48

cant/a
mbala
j

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1
1
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Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

258.86
913.88
258.87
913.89
1,686.41
392.06
258.87
913.89
2,346.00
1,389.82
27.88
88.18
223.03
3,526.19
27.09
65.45
99.85
1,428.47
1,428.47
3,526.19
108.87
27.88
104.42
26.86
65.68
88.18
48.10
449.48
229.05
59.02
42.24
230.91
258.76
136.40
392.00
37.58
80.99
195.06
214.44
393.00
581.51
764.65
42.00
82.39
202.26
39.53
79.88
196.14
446.05
763.04
200.93
141.67
549.31
59.83
8.79
9.06
24.12
7.66
7.66
18.95
24.12
21.80
31.20
175.97
21.60
61.78
46.89

258.860000
913.880000
258.870000
913.890000
1,686.410000
392.060000
258.870000
913.890000
2,346.000000
1,389.820000
27.880000
88.180000
223.030000
3,526.190000
27.090000
65.450000
99.850000
1,428.470000
1,428.470000
3,526.190000
108.870000
27.880000
104.420000
26.860000
65.680000
88.180000
48.100000
449.480000
229.050000
59.020000
42.240000
230.910000
258.760000
136.400000
392.000000
37.580000
80.990000
195.060000
214.440000
393.000000
581.510000
764.650000
42.000000
82.390000
202.260000
39.530000
79.880000
196.140000
446.050000
763.040000
200.930000
141.670000
549.310000
59.830000
8.790000
9.060000
24.120000
7.660000
7.660000
18.950000
24.120000
21.800000
31.200000
175.970000
21.600000
61.780000
46.890000

Pret cu ridicata
maximal de
decontare / U.T.

258.860000
913.880000
258.870000
913.890000
1,686.410000
310.632000
258.870000
913.890000
2,346.000000
1,096.656000
27.880000
88.180000
223.030000
105.816000
27.090000
65.450000
99.850000
78.540000
78.540000
105.816000
105.816000
27.880000
104.420000
26.860000
65.680000
88.180000
45.096000
257.328000
163.680000
45.096000
42.240000
163.680000
163.680000
136.400000
392.000000
37.580000
80.990000
163.680000
214.440000
393.000000
581.510000
470.400000
42.000000
82.390000
163.680000
39.530000
79.880000
163.680000
257.328000
470.400000
200.930000
141.670000
549.310000
59.830000
8.790000
9.060000
24.120000
7.660000
7.660000
18.950000
24.120000
21.800000
28.944000
157.500000
21.396000
56.268000
46.890000

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

316.02
1,034.28
316.03
1,034.29
1,876.34
465.50
316.03
1,034.29
2,595.29
1,553.06
36.47
111.49
272.27
3,881.70
35.44
82.76
126.25
1,595.18
1,595.18
3,881.70
132.91
36.47
127.47
35.13
83.04
111.49
62.91
528.08
279.63
74.62
55.25
281.90
315.89
166.52
465.43
49.16
102.40
238.13
261.79
466.52
672.00
871.62
54.93
104.18
246.92
51.70
101.00
239.45
524.34
869.86
245.30
172.95
636.90
75.65
11.88
12.25
32.60
10.35
10.35
25.61
32.60
29.46
40.81
214.83
29.20
78.11
61.33

316.020000
1,034.280000
316.030000
1,034.290000
1,876.340000
465.500000
316.030000
1,034.290000
2,595.290000
1,553.060000
36.470000
111.490000
272.270000
3,881.700000
35.440000
82.760000
126.250000
1,595.180000
1,595.180000
3,881.700000
132.910000
36.470000
127.470000
35.130000
83.040000
111.490000
62.910000
528.080000
279.630000
74.620000
55.250000
281.900000
315.890000
166.520000
465.430000
49.160000
102.400000
238.130000
261.790000
466.520000
672.000000
871.620000
54.930000
104.180000
246.920000
51.700000
101.000000
239.450000
524.340000
869.860000
245.300000
172.950000
636.900000
75.650000
11.880000
12.250000
32.600000
10.350000
10.350000
25.610000
32.600000
29.460000
40.810000
214.830000
29.200000
78.110000
61.330000

316.020000
1,034.280000
316.030000
1,034.290000
1,876.340000
379.224000
316.030000
1,034.290000
2,595.290000
1,241.136000
36.470000
111.490000
272.270000
133.788000
35.440000
82.760000
126.250000
99.312000
99.312000
133.788000
132.910000
36.470000
127.470000
35.130000
83.040000
111.490000
58.992000
314.148000
199.824000
58.992000
55.250000
199.824000
199.824000
166.520000
465.430000
49.160000
102.400000
199.824000
261.790000
466.520000
672.000000
558.516000
54.930000
104.180000
199.824000
51.700000
101.000000
199.824000
314.148000
558.516000
245.300000
172.950000
636.900000
75.650000
11.880000
12.250000
32.600000
10.350000
10.350000
25.610000
32.600000
29.460000
39.120000
192.276000
28.920000
73.596000
61.330000

Grupa
Nr.
terape
crt
utica
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289

L01XA02
L01XA02
L01XA02
L01XA02
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XC02
L01XC02
L01XC03
L01XC04
L01XC04
L01XC06
L01XC07
L01XC07
L01XE01
L01XE03
L01XE03
L01XE03
L01XE04
L01XE04
L01XE04
L01XE05
L01XE06
L01XE06
L01XE06
L01XE06
L01XE09
L01XX02
L01XX02
L01XX02
L01XX02
L01XX02
L01XX05
L01XX11
L01XX14
L01XX17
L01XX17
L01XX17
L01XX17
L01XX17
L01XX17
L01XX17

Denumire generica

CARBOPLATINUM
CARBOPLATINUM
CARBOPLATINUM
CARBOPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
RITUXIMABUM****
RITUXIMABUM****
TRASTUZUMABUM****
ALEMTUZUMABUM****
ALEMTUZUMABUM****
CETUXIMABUM****
BEVACIZUMABUM****
BEVACIZUMABUM****
IMATINIBUM****
ERLOTINIBUM****
ERLOTINIBUM****
ERLOTINIBUM****
SUNITINIBUM****
SUNITINIBUM****
SUNITINIBUM****
SORAFENIBUM****
DASATINIBUM****
DASATINIBUM****
DASATINIBUM****
DASATINIBUM****
TEMSIROLIMUSUM
ASPARAGINAZUM
ASPARAGINAZUM
ASPARAGINAZUM
ASPARAGINAZUM
ASPARAGINAZUM
HYDROXYCARBAMIDUM
ESTRAMUSTINUM
TRETINOINUM4
TOPOTECAMUM
TOPOTECAMUM
TOPOTECAMUM
TOPOTECAMUM
TOPOTECAMUM
TOPOTECAMUM
TOPOTECAMUM

Denumire comerciala

Forma
Concentrati
farmaceutica
e / U.T.

CARBOPLATIN TEVA 10mg/ml CONC. PT. SOL. PERF. 10mg/ml


CONC. PT. SOL. PERF. 10mg/ml
CONC. PT. SOL. PERF. 10mg/ml
CONC. PT. SOL. PERF. 10mg/ml
ELOXATIN 5mg/ml
CONC. PT. SOL. PERF. 5mg/ml
ELOXATIN 5mg/ml
CONC. PT. SOL. PERF. 5mg/ml
OXALIPLATIN ACCORD 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml
OXALIPLATIN ACCORD 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml
ELOXATIN 5mg/ml
CONC. PT. SOL. PERF. 5mg/ml
OXALIPLATIN KABI 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml
OXALIPLATIN KABI 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml
OXALIPLATINA TEVA 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml
OXALIPLATINA TEVA 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml
OXALIPLATIN ACTAVIS 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml
OXALIPLATIN ACTAVIS 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml
OXALIPLATIN ACTAVIS 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml
OXALIPLATIN ACTAVIS 5 mg/ml LIOF. PT. SOL. PERF. 5mg/ml
OXALIPLATIN ACTAVIS 5 mg/ml LIOF. PT. SOL. PERF. 5mg/ml
OXALIPLATIN KABI 5 mg/ml PULB. PT. SOL. INJ. 5mg/ml
OXALIPLATIN KABI 5 mg/ml PULB. PT. SOL. INJ. 5mg/ml
OXALIPLATIN EBEWE 5mg/ml PULB. PT. SOL. PERF. 5mg/ml
OXALIPLATIN EBEWE 5mg/ml PULB. PT. SOL. PERF. 5mg/ml
OXALIPLATIN EBEWE 5mg/ml PULB. PT. SOL. PERF. 5mg/ml
REZIDOL 5 mg/ml
PULB. PT. SOL. PERF. 5mg/ml
OXALIPLATIN MEDICO UNO 5 mg/ml PULB. PT. SOL. PERF. 5mg/ml
REZIDOL 5 mg/ml
PULB. PT. SOL. PERF. 5mg/ml
OXALIPLATIN MEDICO UNO 5 mg/ml PULB. PT. SOL. PERF. 5mg/ml
OXALIPLATIN PHARMASWISS 5 mg/ml PULB. PT. SOL. PERF. 5mg/ml
OXALIPLATIN PHARMASWISS 5 mg/ml PULB. PT. SOL. PERF. 5mg/ml
OXALIPLATIN ACCORD 5 mg/ml PULB. PT. SOL. PERF. 5mg/ml
OXALIPLATIN ACCORD 5 mg/ml PULB. PT. SOL. PERF. 5mg/ml
MABTHERA 100 mg
CONC. PT. SOL. PERF. 10mg/ml
MABTHERA 500 mg
CONC. PT. SOL. PERF. 10mg/ml
HERCEPTIN 150mg
150mg
MABCAMPATH 10 mg/ml
CONC. PT. SOL. PERF. 10mg/ml
MABCAMPATH 30 mg/ml
CONC. PT. SOL. PERF. 30mg/ml
ERBITUX 5mg/ml
SOL. PERF. 5mg/ml
AVASTIN 25mg/ml
CONC. PT. SOL. PERF. 25mg/ml
AVASTIN 25mg/ml
CONC. PT. SOL. PERF. 25mg/ml
GLIVEC 100 mg
CAPS.
100mg
TARCEVA 100 mg
COMPR. FILM. 100mg
TARCEVA 150 mg
COMPR. FILM. 150mg
TARCEVA 25 mg
COMPR. FILM. 25mg
SUTENT 12,5 mg
CAPS.
12,5mg
SUTENT 25mg
CAPS.
25mg
SUTENT 50 mg
CAPS.
50mg
NEXAVAR 200 mg
COMPR. FILM. 200mg
SPRYCEL 100mg
COMPR. FILM. 100 mg
SPRYCEL 20mg
COMPR. FILM. 20 mg
SPRYCEL 50mg
COMPR. FILM. 50 mg
SPRYCEL 70mg
COMPR. FILM. 70 mg
TORISEL 25mg/ml
CONC. + SOLV. PT. SOL. PERF.
25mg/ml
ASPARAGINASE 10000 MEDAC LIOF. PT. SOL. INJ./PERF. 10000ui
ASPARAGINASE 10000 MEDAC LIOF. PT. SOL. INJ./PERF. 10000ui
ASPARAGINASE 5000 MEDAC LIOF. PT. SOL. INJ./PERF. 5000ui
ASPARAGINASE 5000 MEDAC LIOF. PT. SOL. INJ./PERF. 5000ui
ONCASPAR
PULB. PT. SOL. INJ. 3750U.I.
HYDREA
CAPS.
500mg
ESTRACYT
CAPS.
140mg
VESANOID 10 mg
CAPS. MOI 10mg
HYCAMTIN 1 mg
CAPS.
1mg
TOPOTECAN TEVA 1 mg/1ml CONC. PT. SOL. PERF. 1mg/1ml
TOPOTECAN ACTAVIS
CONC. PT. SOL. PERF. 4 mg
TOPOTECAN TEVA 4 mg/4ml CONC. PT. SOL. PERF. 4mg/4ml
POTACTASOL 4mg
1 mg/ml
TOPOTECAN ACCORD 4 mg
4mg
HYCAMTIN 4 mg
PULB.CONC.SOL.PERF. 4mg
CARBOPLATIN ACTAVIS 10mg/ml
CARBOPLATIN ACTAVIS 10mg/ml
CARBOPLATIN ACTAVIS 10mg/ml

PULB. PT. CONC. PT. SOL. PERF.

PULB. PT. CONC. PT. SOL. PERF.


PULB. PT. CONC. PT. SOL. PERF.

Firma

Tara

Ambalaj

Prescriptie

S
S
S
S
SANOFI-AVENTIS FRANCE
S
SANOFI-AVENTIS FRANCE
S
ACCORD HEALTHCARE LIMITED MAREA BRITANIE
S
ACCORD HEALTHCARE LIMITED MAREA BRITANIE
S
SANOFI-AVENTIS FRANCE FRANTA CUTIE X 1 FLACON X 200 MG/40 ML CONC. PT. SOL. PERF. S
FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE
PR
FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE
PR
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10 ML CONC. PT. SOL. PERF.
S
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 20 ML CONC. PT. SOL. PERF.
S
ACTAVIS GROUP PTC EHF. ISLANDA
PR
ACTAVIS GROUP PTC EHF. ISLANDA
PR
ACTAVIS GROUP PTC EHF. ISLANDA
PR
ACTAVIS S.R.L.
ROMANIA CUTIE X 1 FLAC. X 100 MG LIOF. PT. SOL. PERF. S
ACTAVIS S.R.L.
ROMANIA CUTIE 1 FLAC. X 50 MG LIOF. PT. SOL. PERF. S
FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE
S
FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE
S
EBEWE PHARMA GES.M.B.H. NFG KG
AUSTRIA
S
EBEWE PHARMA GES.M.B.H. NFG KG
AUSTRIA
S
EBEWE PHARMA GES.M.B.H. NFG KG
AUSTRIA
S
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 50 MG OXALIPLATINA
S
MEDICO UNO PHARMA LTD. UNGARIA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 50 MG OXALIPLATINA S
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 100 MG OXALIPLATINA S
MEDICO UNO PHARMA LTD. UNGARIA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 100 MG OXALIPLATINA S
PHARMASWISS CESKA REPUBLIKA S.R.O. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 50 MG OXALIPLATINA
S
PHARMASWISS CESKA REPUBLIKA S.R.O. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 100 MG OXALIPLATINA
S
ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 50 MG OXALIPLATINA
S
ACCORD HEALTHCARE LIMITED MAREA BRITANIE
S
ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 2 FLACOANE X 10 ML
S
ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLACON X 50 ML(500MG RITUXIMAB IN 50ML- 10MG/ML) S
ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLAC. PULB. PT. CONC. PT. SOL. PERF.
S
GENZYME EUROPE BV OLANDA CUTIE X 3 FIOLE X 3 ML CONCENTRAT INTR-O FIOLA DE 5MLS
GENZYME EUROPE BV OLANDA CUTIE X 3 FLACOANE X 1 ML CONCENTRAT INTR-UN FLACON DE 2ML S
MERCK KGAA
GERMANIA CUTIE X 1 FLAC. DIN STICLA X 20 ML SOL. PERF. S
ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA X 4 ML CONC. PT. SOL. PERF. S
ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA X 16 ML CONC. PT. SOL. PERF. S
NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 120 CAPS.
P-RF/R
TEVA PHARMACEUTICALS S.R.L.

ACTAVIS S.R.L.
ACTAVIS S.R.L.
ACTAVIS S.R.L.

ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 45 ML CONC. PT. SOL. PERF.
ROMANIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 45 ML CONC. PT. SOL. PERF.
ROMANIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF.
ROMANIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 15 ML CONC. PT. SOL. PERF.
FRANTA CUTIE X 1 FLACON X 100 MG/20 ML CONC. PT. SOL. PERF.
FRANTA CUTIE X 1 FLACON X 50 MG/10 ML CONC. PT. SOL. PERF.
CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CONC. PT. SOL. PERF. X 50 MG OXALIPLATINA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 20 ML CONC. PT. SOL. PERF. X 100 MG OXALIPLATINA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU FOLIE PROTECTOARE DIN PLASTIC A 10 ML CONC. PT. SOL. PERF. C

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU FOLIE PROTECTOARE DIN PLASTIC A 20 ML CONC. PT. SOL. PERF. C

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CONC. PT. SOL. PERF. CARE CONTINE 50 MG OXALIPLATINA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 20 ML CONC. PT. SOL. PERF. CARE CONTINE 100 MG OXALIPLATINA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 40 ML CONC. PT. SOL. PERF. CARE CONTINE 200 MG OXALIPLATINA

CUTIE CU 1 FLAC. DIN STICLA INCLORA CU CAPACITATEA DE 30 ML X 50 MG OXALIPLATINA

CUTIE CU 1 FLAC. DIN STICLA INCLORA CU CAPACITATEA DE 50 ML X 100 MG OXALIPLATINA

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU SUPORT TRANSPARENT DIN PLASTIC (ONKO-SAFE) X 50 MG OXALIPLATI

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU SUPORT TRANSPARENT DIN PLASTIC (ONKO-SAFE) X 150 MG OXALIPLAT

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU SUPORT TRANSPARENT DIN PLASTIC (ONKO-SAFE) X 100 MG OXALIPLAT

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. CONTINAND 100 MG GEMCITABINA

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 30 COMPR. FILM. (BLIST. AL/PVC)

CUTIE X 30 COMPR. FILM. (BLIST. AL/PVC)


ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 30 COMPR. FILM. (BLIST. AL/PVC)
PFIZER LIMITED
MAREA BRITANIE CUTIE X 1 FLACON DIN PEID X 30 CAPS.
PFIZER LIMITED
MAREA BRITANIE CUTIE X 1 FLACON DIN PEID X 30 CAPS.
PFIZER LIMITED
MAREA BRITANIE CUTIE X 1 FLACON DIN PEID X 30 CAPS.
BAYER SCHERING PHARMA AG GERMANIA CUTIE X 4 BLIST. AL/PP X 28 COMPR.FILM.
BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID X 30 COMPR. FILM.
BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM.
BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM.
BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM.
ROCHE REGISTRATION LTD.

WYETH EUROPA LIMITED


MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

MAREA BRITANIE

P-RF/R
P-RF/R
P-RF/R
P-RF/R
P-RF/R
P-RF/R
P-RF/R
P-RF/R
P-RF/R
P-RF/R
P-RF/R

S
S
CUTIE X 5 FLAC. DIN STICLA X 10 000 UI LIOF. PT. SOL. INJ./PERF.
S
CUTIE X 5 FLAC. DIN STICLA X 5000 UI LIOF. PT. SOL. INJ./PERF. S
CUTIE X 1 FLAC. DIN STICLA X 5000 UI LIOF. PT. SOL. INJ./PERF. S

MAREA BRITANIE CUTIE X 1 FLAC. X 1,2ML CONCENTRAT + 1 FLAC. X 1,8 SOLVENT

GERMANIA
GERMANIA
GERMANIA
GERMANIA

CUTIE X 1 FLAC. DIN STICLA X 10 000 UI LIOF. PT. SOL. INJ./PERF.

CN UNIFARM S.A.

ROMANIA CUTIE CU 1 FLAC. PULB. PT. SOL. INJ. P-RF


UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 CAPS. P-RF
CUTIE X 1 FLAC. X 100 CAPS.
P-RF
ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 100 CAPS. MOI
X
BRISTOL MYERS SQUIBB KFT

PFIZER EUROPE MA EEIG

MAREA BRITANIE

SMITHKLINE BEECHAM PLC

MAREA BRITANIE

CUTIE X BLIST. PVC/PCTFE/AL X 10 CAPS. P-RF

TEVA PHARMA B.V. OLANDA CUTIE X 1 FLACON DIN STICLA TRANSPARENTA A 1ML P-RF/R
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X FLACON STICLA X 4MG
P-RF/R
TEVA PHARMA B.V. OLANDA CUTIE X 1 FLACON DIN STICLA TRANSPARENTA A 4ML P-RF/R
ACTAVIS GROUP PTC EHF. ISLANDA
PR
ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. CONC. PT. SOL. PERF. S
SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X 1 FLAC. PULB. PT. CONC. PT. SOL. PERF. S
CUTIE CU 1FL DIN STICLA X 4 MG PULBERE PENTRU CONCENTRAT PENTRU SOLU_IE PERFUZABILA

Pagina 15 din 48

cant/a
mbala
j

1
1
1
1
1
1
1
1
1
1
1
1
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1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
2
1
1
3
3
1
1
1
120
30
30
30
30
30
30
112
30
60
60
60
1
1
5
5
1
1
100
100
100
10
1
1
1
1
1
1

Pret cu
ridicata
maximal /
ambalaj

131.25
131.47
17.83
49.42
920.62
475.41
318.46
608.90
2,107.64
290.40
558.00
318.46
608.90
318.47
608.90
1,380.47
608.90
318.47
294.21
565.91
452.27
1,590.52
861.69
318.43
512.05
608.88
994.09
318.46
608.90
318.46
608.90
2,195.82
5,444.73
2,591.32
4,865.80
4,866.20
861.32
1,317.25
5,185.35
8,927.16
6,231.07
8,292.96
1,889.25
4,983.58
9,937.18
19,844.37
14,417.13
16,120.83
7,607.81
15,185.65
15,185.65
3,693.66
311.20
1,444.56
1,208.80
259.34
4,435.86
64.95
341.81
737.79
1,564.63
168.26
641.82
641.82
641.82
640.45
971.28

Pret cu ridicata
maximal / U.T.

131.250000
131.470000
17.830000
49.420000
920.620000
475.410000
318.460000
608.900000
2,107.640000
290.400000
558.000000
318.460000
608.900000
318.470000
608.900000
1,380.470000
608.900000
318.470000
294.210000
565.910000
452.270000
1,590.520000
861.690000
318.430000
512.050000
608.880000
994.090000
318.460000
608.900000
318.460000
608.900000
1,097.910000
5,444.730000
2,591.320000
1,621.933333
1,622.066666
861.320000
1,317.250000
5,185.350000
74.393000
207.702333
276.432000
62.975000
166.119333
331.239333
661.479000
128.724375
537.361000
126.796833
253.094166
253.094166
3,693.660000
311.200000
288.912000
241.760000
259.340000
4,435.860000
0.649500
3.418100
7.377900
156.463000
168.260000
641.820000
641.820000
641.820000
640.450000
971.280000

Pret cu ridicata
maximal de
decontare / U.T.

131.250000
131.470000
17.830000
49.420000
669.600000
348.480000
318.460000
608.900000
1,656.564000
290.400000
558.000000
318.460000
608.900000
318.470000
608.900000
1,380.470000
608.900000
318.470000
294.210000
565.910000
348.480000
1,590.520000
669.600000
318.430000
348.480000
608.880000
669.600000
318.460000
608.900000
318.460000
608.900000
1,097.910000
5,444.730000
2,591.320000
1,621.933333
1,622.066666
861.320000
1,317.250000
5,185.350000
74.393000
207.702333
276.432000
62.975000
166.119333
331.239333
661.479000
128.724375
537.361000
126.796833
253.094166
253.094166
3,693.660000
311.200000
288.912000
241.760000
259.340000
4,435.860000
0.649500
3.418100
7.377900
156.463000
168.260000
641.820000
641.820000
641.820000
640.450000
768.540000

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

160.23
160.50
24.10
64.64
1,041.63
556.35
385.27
701.85
2,335.48
354.52
646.37
385.27
701.85
385.28
701.85
1,542.86
701.85
385.28
359.17
654.99
531.12
1,771.82
977.39
385.24
596.28
701.83
1,121.71
385.27
701.85
385.27
701.85
2,431.60
5,972.91
2,862.69
5,341.88
5,342.31
976.99
1,473.95
5,690.19
9,768.77
6,830.03
9,077.49
2,097.44
5,470.26
10,869.69
21,668.54
15,752.84
17,609.88
8,330.67
16,590.53
16,590.53
4,064.24
377.36
1,612.72
1,355.74
316.60
4,873.24
82.12
410.72
842.34
1,743.60
205.41
737.74
737.73
737.74
736.24
1,096.85

160.230000
160.500000
24.100000
64.640000
1,041.630000
556.350000
385.270000
701.850000
2,335.480000
354.520000
646.370000
385.270000
701.850000
385.280000
701.850000
1,542.860000
701.850000
385.280000
359.170000
654.990000
531.120000
1,771.820000
977.390000
385.240000
596.280000
701.830000
1,121.710000
385.270000
701.850000
385.270000
701.850000
1,215.800000
5,972.910000
2,862.690000
1,780.626666
1,780.770000
976.990000
1,473.950000
5,690.190000
81.406416
227.667666
302.583000
69.914666
182.342000
362.323000
722.284666
140.650357
586.996000
138.844500
276.508833
276.508833
4,064.240000
377.360000
322.544000
271.148000
316.600000
4,873.240000
0.821200
4.107200
8.423400
174.360000
205.410000
737.740000
737.730000
737.740000
736.240000
1,096.850000

160.230000
160.500000
24.100000
64.640000
775.644000
425.424000
385.270000
701.850000
1,851.432000
354.520000
646.370000
385.270000
701.850000
385.280000
701.850000
1,542.860000
701.850000
385.280000
359.170000
654.990000
425.424000
1,771.820000
775.644000
385.240000
425.424000
701.830000
775.644000
385.270000
701.850000
385.270000
701.850000
1,215.800000
5,972.910000
2,862.690000
1,780.626666
1,780.770000
976.990000
1,473.950000
5,690.190000
81.406416
227.667666
302.583000
69.914666
182.342000
362.323000
722.284666
140.650357
586.996000
138.844500
276.508833
276.508833
4,064.240000
377.360000
322.544000
271.148000
316.600000
4,873.240000
0.821200
4.107200
8.423400
174.360000
205.410000
737.740000
737.730000
737.740000
736.240000
883.488000

Grupa
Nr.
terape
crt
utica
290
291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356

L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX23
L01XX32
L02AB01
L02AE02
L02AE02
L02AE02
L02AE02
L02AE02
L02AE03
L02AE03
L02AE04
L02AE04
L02AE04
L02AE04
L02AE04
L02BA01
L02BA01
L02BA01
L02BA03
L02BB01
L02BB01
L02BB01
L02BB03
L02BB03
L02BB03
L02BB03
L02BB03
L02BB03
L02BB03
L02BB03
L02BB03
L02BB03
L02BB03
L02BG01
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03

Denumire generica

IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
MITOTANUM
BORTEZOMIBUM****
MEGESTROLUM
LEUPRORELINUM**
LEUPRORELINUM**
LEUPRORELINUM**
LEUPRORELINUM**
LEUPRORELINUM**
GOSERELINUM**
GOSERELINUM**
TRIPTORELINUM**
TRIPTORELINUM**
TRIPTORELINUM**
TRIPTORELINUM**
TRIPTORELINUM**
TAMOXIFENUM
TAMOXIFENUM
TAMOXIFENUM
FULVESTRANTUM**
FLUTAMIDUM
FLUTAMIDUM
FLUTAMIDUM
BICALUTAMIDUM
BICALUTAMIDUM
BICALUTAMIDUM
BICALUTAMIDUM
BICALUTAMIDUM
BICALUTAMIDUM
BICALUTAMIDUM
BICALUTAMIDUM
BICALUTAMIDUM
BICALUTAMIDUM
BICALUTAMIDUM
AMINOGLUTETHIMIDUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM

Denumire comerciala

IRINOTECAN KABI 20 mg/ml


IRINOTECAN KABI 20 mg/ml
IRINOTECAN KABI 20 mg/ml
IRINOTECAN KABI 20 mg/ml

Forma
Concentrati
farmaceutica
e / U.T.

20 mg/ml
20 mg/ml
CONC. PT. SOL. PERF. 20 mg/ml
CONC. PT. SOL. PERF. 20 mg/ml
IRINOTECAN HOSPIRA 20mg/ml CONC. PT. SOL. PERF. 20mg/ml
IRINOTECAN HOSPIRA 20mg/ml CONC. PT. SOL. PERF. 20mg/ml
IRINOTECAN HOSPIRA 20mg/ml CONC. PT. SOL. PERF. 20mg/ml
IRINOTESIN 20mg/ml
CONC. PT. SOL. PERF. 20mg/ml
IRINOTESIN 20mg/ml
CONC. PT. SOL. PERF. 20mg/ml
CAMPTO
CONC. PT. SOL. PERF. 20mg/ml
CAMPTO
CONC. PT. SOL. PERF. 20mg/ml
CAMPTO
CONC. PT. SOL. PERF. 20mg/ml
IRINOTECAN ALVOGEN 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml
TEKAZOL 20 mg/ml
CONC. PT. SOL. PERF. 20mg/ml
IRINOTRCAN MEDAC 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml
IRINOTRCAN MEDAC 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml
IRINOTECAN POLPHARMA 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml
IRINOTECAN PHARMASWISS 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml
IRINOTECAN PHARMASWISS 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml
IRINOTECAN EBEWE 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml
IRINOTECAN EBEWE 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml
IRINOTRCAN MEDAC 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml
IRINOTECAN POLPHARMA 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml
IRINOTESIN 20mg/ml
CONC. PT. SOL. PERF. 20mg/ml
TEKAZOL 20 mg/ml
CONC. PT. SOL. PERF. 20mg/ml
LYSODREN 500mg
COMPR.
500mg
VELCADE 3,5 mg
PULB. PT. SOL. INJ. 3,5mg
MEGESIN 160 mg
COMPR.
160mg
ELIGARD 22,5 mg
LIOF. SI SOLV. PT. SOL. INJ. 22,5mg
ELIGARD 7,5 mg
LIOF. SI SOLV. PT. SOL. INJ. 7,5mg
LUCRIN DEPOT 11,25mg
11,25mg
LUCRIN DEPOT 3,75mg
3,75mg
ELIGARD 45 mg
PULB+SOLV.PT.SOL.INJ 45mg
ZOLADEX LA 10,8 mg
IMPLANT
10,8 mg
ZOLADEX (R)
IMPLANT
3,6mg
DIPHERELINE 0,1 mg
LIOF. + SOLV. PT. SOL. INJ. 0,1mg
DIPHERELINE PR 11,25 mg
11,25mg
DIPHERELINE 3,75 mg
3,75mg
GONAPEPTYL ZILNIC 0,1 mg/ml SOL. INJ.
0,1mg/ml
GONAPEPTYL ZILNIC 0,1 mg/ml SOL. INJ.
0,1mg/ml
TAMOXIFEN 10 TEVA
COMPR.
10mg
TAMONEPRIN (R) 10 mg
COMPR.
10mg
TAMOXIFEN SANDOZ 10
COMPR. FILM. 10mg
FASLODEX 250mg/5ml
SOL. INJ.
250mg/5ml
FLUTAN
COMPR.
250mg
FLUTASIN 250 mg
COMPR.
250mg
FLUTAMIDE CSC 250 mg
COMPR. FILM. 250mg
CASODEX 150 mg
COMPR. FILM. 150mg
YONISTIB 150 mg
COMPR. FILM. 150mg
BICALUTAMIDA SANDOZ 50 mg COMPR. FILM. 50mg
BICALUTAMIDA ATB 50 mg COMPR. FILM. 50mg
BICALUTAMIDA RANBAXY 50 mg COMPR. FILM. 50mg
BICALUTAMIDA RANBAXY 50 mg COMPR. FILM. 50mg
CASODEX 50 mg
COMPR. FILM. 50mg
YONISTIB 50 mg
COMPR. FILM. 50mg
CALUMID
COMPR. FILM. 50mg
BICALTON 50 mg
COMPR. FILM. 50mg
BICALUTAMIDA ACCORD 50 mg COMPR. FILM. 50mg
ROGLUTEN (R) 250 mg
COMPR.
250mg
ANASTROZOL TERAPIA 1 mg COMPR. FILM. 1mg
ANASTROZOL TERAPIA 1 mg COMPR. FILM. 1mg
ANASTROZOL TERAPIA 1 mg COMPR. FILM. 1mg
ANASTROZOLE MEDICO UNO 1 mg COMPR. FILM. 1mg
ANASTROZOL TERAPIA 1 mg COMPR. FILM. 1mg
ANASTROZOL TERAPIA 1 mg COMPR. FILM. 1mg
ANASTROZOL TERAPIA 1 mg COMPR. FILM. 1mg
ANASTROZOL TERAPIA 1 mg COMPR. FILM. 1mg

Firma

Tara

Ambalaj

Prescriptie

PR
PR
FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FLACON STICLA BRUNA DE 20 ML X 15 ML CONC. PT. SOL. PERF.
PR
FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FLACON STICLA BRUNA DE 30 ML X 25 ML CONC. PT. SOL. PERF.
PR
HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 1 FLAC. STICLA BRUNA X 2 ML CONC. PT. SOL. PERF. S
HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 1 FLAC. STICLA BRUNA X 5 ML CONC. PT. SOL. PERF. S
HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 1 FLAC. STICLA BRUNA X 25 ML CONC. PT. SOL. PERF. S
ACTAVIS S.R.L.
ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 ML CONC. PT. SOL. INJ. S
ACTAVIS S.R.L.
ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 2 ML CONC. PT. SOL. INJ. S
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN PP X 5 ML CONC. PT. SOL. PERF. S
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN PP X 15 ML CONC. PT. SOL. PERF. S
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 ML CONC. PT. SOL. PERF. S
ALVOGEN ROMANIA S.R.L. ROMANIA
S
ICN POLFA RZESZOW S.A. POLONIA
S
GERMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA BRUNA X 2 ML CONC. PR. SOL. PERF. S
GERMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA BRUNA X 5 ML CONC. PR. SOL. PERF. S
PHARMACEUTICAL WORKS POLPHARMA SA
POLONIA CUTIE CU 1 FLAC. DIN STICLA BRUNA A 2 ML CONC. PT. SOL. PERF. S
PHARMASWISS CESKA REPUBLIKA S.R.O. REPUBLICA CEHA
S
PHARMASWISS CESKA REPUBLIKA S.R.O. REPUBLICA CEHA
S
EBEWE PHARMA GES.M.B.H. NFG KG
AUSTRIA
S
EBEWE PHARMA GES.M.B.H. NFG KG
AUSTRIA
S
GERMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA BRUNA X 15 ML CONC. PR. SOL. PERF. S
PHARMACEUTICAL WORKS POLPHARMA SA
POLONIA CUTIE CU 1 FLAC. DIN STICLA BRUNA A 5 ML CONC. PT. SOL. PERF. S
ACTAVIS S.R.L.
ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 25 ML CONC. PT. SOL. INJ.S
ICN POLFA RZESZOW S.A. POLONIA
S
LABORATOIRE HRA PHARMA FRANTA CUTIE X 1 FLAC. DIN PEID X 100 COMPR. P-RF/R
JANSSEN-CILAG INTERNATIONAL NV BELGIA
P-RF/R
ACTAVIS S.R.L.
ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR. P-RF
ASTELLAS PHARMA EUROPE BV OLANDA
S
ASTELLAS PHARMA EUROPE BV OLANDA
S
ABBOTT LABORATORIES LTD. SPANIA
S/P-RF
ABBOTT LABORATORIES LTD. SPANIA
S/P-RF
ASTELLAS PHARMA EUROPE BV OLANDA
S
ASTRAZENECA UK LTD. MAREA BRITANIE
S

CONC. PT. SOL. PERF.

FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE

CUTIE CU 1 FLACON STICLA BRUNA DE 6 ML X 2 ML CONC. PT. SOL. PERF.

CONC. PT. SOL. PERF.

FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE

CUTIE CU 1 FLACON STICLA BRUNA DE 6 ML X 5 ML CONC. PT. SOL. PERF.

LIOF.+ SOLV. PT. SUSP. INJ. ELIB. PREL.

LIOF.+ SOLV. PT. SUSP. INJ. ELIB. PREL.

PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL.

PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL.

CUTIE CU 1 FLAC. DIN STICLA BRUNA CU CAPACITATEA DE 5 ML CARE CONTINE 100 MG IRINOTECAN

CUTIE X 1 FLAC. DIN STICLA BRUNA X 2 ML CONC. PT. SOL. PERF. CONTANAD 40MG IRINOTECAN

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

CUTIE CU 1 FLAC. DIN STICLA BRUNA X 40 MG CLORHIDRAT DE IRINOTECAN TRIHIDRAT

CUTIE CU 1 FLAC. DIN STICLA BRUNA X 100 MG CLORHIDRAT DE IRINOTECAN TRIHIDRAT

CUTIE CU 1 FLAC. DIN STICLA BRUNA + DOP CAUCIUC FARA PLASTIC DE PROTECTIE TIP ONCO-SAFE A 5 ML CONC.

CUTIE CU 1 FLAC. DIN STICLA BRUNA + DOP CAUCIUC FARA PLASTIC DE PROTECTIE TIP ONCO-SAFE A 15 ML CONC

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 ML CONC. PT. SOL. PERF. CONTANAD 100MG IRINOTECAN

CUTIE X 1 FLAC. X 10ML X 3,5 MG PULB. PT. SOL. INJ., INTRODUS INTR-UN BLISTER TRANSPARENT

CUTIE X 1 SET X 2 SERINGI DIN PP PREUMPLUTE (O SERINGA A SI O SERINGA B), IN PUNGI LAMINATE

CUTIE X 1 SET X 2 SERINGI DIN PP PREUMPLUTE (O SERINGA A SI O SERINGA B), IN PUNGI LAMINATE

CUTIE X 1 KIT X 1 FLAC. CU LIOFILIZAT (MICROSFERE) + 1 FIOLA X 2 ML SOLV. + 1 SERINGA + 2 ACE SI TA

CUTIE X 1 KIT X 1 FLAC. CU LIOFILIZAT (MICROSFERE) + 1 FIOLA X 2 ML SOLV. + 1 SERINGA SI TAMPON IMB

O CUTIE X 1 SET X 2 TAVITE TERMOFORMATE CE CONTIN 2 SERINGI PREUMPLUTE (O SERINGA A SI O SERINGA B)

CUTIE X 1 PLIC DIN PET-AL-PE X 1 SERINGA PREUMPLUTA CU 10,8 MG IMPLANT+AC DIN INOX CU SIST. DE PROT

ASTRAZENECA UK LTD. MAREA BRITANIE

IPSEN PHARMA
IPSEN PHARMA
IPSEN PHARMA

CUTIE X 1 PLIC X 1 SERINGA PRE-UMPLUTA X 3,6 MG

S/P-RF

FRANTA CUTIE X 7 FLAC. CU LIOF. PT. SOL. INJ. + 7 FIOLE X 1 ML SOLV. S/P-RF
FRANTA
S/P-RF
FRANTA
S/P-RF
FERRING ARZEIMITTEL GES.MBH AUSTRIA CUTIE X 7 SERINGI PREUMPLUTE DIN STICLA INCOLORA X 1 ML SOL. INJ S/P-RF
FERRING ARZEIMITTEL GES.MBH AUSTRIA CUTIE X 28 SERINGI PREUMPLUTE DIN STICLA INCOLORA X 1 ML SOL. INJ S/P-RF
PHARMACHEMIE BV OLANDA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. P-RF/S
ACTAVIS S.R.L.
ROMANIA CUTIE X 1 FLAC. X 60 COMPR.
P-RF
HEXAL AG
GERMANIA CUTIE X 10 BLIST. X 10 COMPR. FILM. P-RF/S
CUTIE CU 1 FLAC. DIN STICLA CU PULB. PT. SUSP. INJ. + 1 FIOLA DIN STICLA INCOLORA X 2 ML SOLV. + 1 B

CUTIE CU 1 FLAC. DIN STICLA CU PULB. PT. SUSP. INJ. + 1 FIOLA DIN STICLA INCOLORA X 2 ML SOLV. + 1 B

ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 1 SERINGA PREUMPLUTA X 5 ML + 1 AC P-RF


MEDOCHEMIE LTD. CIPRU
CUTIE X 10 BLIST. AL/PVC X 10 COMPR. P-RF

ACTAVIS S.R.L.

ROMANIA CUTIE X 1 FLAC. STICLA BRUNA X 30 COMPR. P-RF


AUSTRIA CUTIE X 3 BLIST AL/PVC-PVDC X 10 COMPR. FILM. P-RF
ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 2 BLIST. X 14 COMPR. FILM. P-6L
ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L
SANDOZ S.R.L.
ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L
ANTIBIOTICE S.A.
ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. FILM. PR

CSC PHARMACEUTICALS HANDELS GMBH

RANBAXY (UK) LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L
RANBAXY (UK) LIMITED MAREA BRITANIE CUTIE X 1 FLAC. PEID X 28 COMPR. FILM. P-6L
ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 2 BLIST. TIP CALENDAR AL/PVC X 14 COMPR. FILM. P-6L
ROMASTRU TRADING S.R.L.
GEDEON RICHTER ROMANIA SA

MEDICO UNO PHARMA KFT.

ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L


ROMANIA CUTIE X 2 BLIST. AL/PVDC-PVC X 15 COMPR. FILM. P-6L
UNGARIA CUTIE CU BLIST. AL/PVC X 28 COMPR. FILM. P-6L

ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.

P-6L

ACTAVIS S.R.L.
TERAPIA SA
TERAPIA SA
TERAPIA SA

P-RF

MEDICO UNO PHARMA KFT.

TERAPIA SA
TERAPIA SA
TERAPIA SA
TERAPIA SA

ROMANIA CUTIE X 1 FLAC. X 40 COMPR.


ROMANIA CUTIE X BLIST. PVC/AL X 28 COMPR. FILM.
ROMANIA CUTIE X BLIST. PVC/AL X 30 COMPR. FILM.
ROMANIA CUTIE X BLIST. PVC/AL X 20 COMPR. FILM.
UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM.
ROMANIA CUTIE X BLIST. PVC/AL X 300 COMPR. FILM.
ROMANIA CUTIE X BLIST. PVC/AL X 50 COMPR. FILM.
ROMANIA CUTIE X BLIST. PVC/AL X 84 COMPR. FILM.
ROMANIA CUTIE X BLIST. PVC/AL X 98 COMPR. FILM.

Pagina 16 din 48

P-6L
P-6L
P-6L
P-6L
P-6L/S

P-6L
P-6L
P-6L

cant/a
mbala
j

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
100
1
30
1
1
1
1
1
1
1
7
1
1
7
28
100
60
100
1
100
30
30
28
28
30
30
28
28
28
28
30
28
28
40
28
30
20
28
300
50
84
98

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

117.62
309.16
502.03
925.37
150.69
370.59
1,732.95
421.53
165.15
632.24
2,104.69
632.35
323.02
124.29
165.15
421.53
118.07
165.15
421.53
412.31
1,330.31
1,378.55
295.20
1,987.65
310.74
2,537.68
4,533.67
96.60
1,008.66
365.24
867.84
355.37
2,007.33
1,028.89
361.54
108.98
1,039.98
365.22
188.60
715.76
15.93
21.12
39.30
1,534.03
217.79
30.46
33.12
584.09
390.13
198.29
197.21
166.62
166.62
284.71
185.10
198.33
184.08
139.53
122.55
159.87
171.35
113.96
251.00
1,892.42
286.13
504.02
594.01

117.620000
309.160000
502.030000
925.370000
150.690000
370.590000
1,732.950000
421.530000
165.150000
632.240000
2,104.690000
632.350000
323.020000
124.290000
165.150000
421.530000
118.070000
165.150000
421.530000
412.310000
1,330.310000
1,378.550000
295.200000
1,987.650000
310.740000
25.376800
4,533.670000
3.220000
1,008.660000
365.240000
867.840000
355.370000
2,007.330000
1,028.890000
361.540000
15.568571
1,039.980000
365.220000
26.942857
25.562857
0.159300
0.352000
0.393000
1,534.030000
2.177900
1.015333
1.104000
20.860357
13.933214
6.609666
6.573666
5.950714
5.950714
10.168214
6.610714
6.611000
6.574285
4.983214
3.063750
5.709642
5.711666
5.698000
8.964285
6.308066
5.722600
6.000238
6.061326

Pret cu ridicata
maximal de
decontare / U.T.

117.620000
309.160000
502.030000
925.370000
141.144000
354.240000
1,110.444000
354.240000
141.144000
354.240000
602.436000
354.240000
323.020000
124.290000
141.144000
354.240000
118.070000
141.144000
354.240000
354.240000
602.436000
602.436000
295.200000
1,110.444000
310.740000
25.376800
4,533.670000
3.220000
1,008.660000
365.240000
867.840000
355.370000
2,007.330000
1,028.890000
361.540000
15.568571
1,039.980000
365.220000
18.682285
18.682285
0.159300
0.191160
0.191160
1,534.030000
1.218400
1.015333
1.104000
16.719857
13.933214
5.979857
5.979857
5.950714
5.950714
5.979857
5.979857
5.979857
5.979857
4.983214
3.063750
5.709642
5.711666
5.698000
5.739000
5.739000
5.722600
5.739000
5.739000

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

143.59
375.14
585.36
1,046.81
183.96
442.09
1,927.07
497.62
201.62
727.29
2,332.26
727.41
390.24
151.73
201.62
497.62
144.14
201.62
497.62
487.57
1,488.19
1,540.77
360.38
2,204.69
376.86
2,804.22
4,979.86
122.14
1,137.59
436.26
984.10
425.50
2,226.14
1,159.64
432.23
133.04
1,171.73
436.24
230.24
818.33
21.53
28.54
51.41
1,710.24
265.88
39.84
43.32
674.81
463.39
242.07
240.76
203.41
203.41
347.58
225.97
242.12
224.73
170.34
149.61
195.17
209.19
139.12
306.42
2,100.89
349.31
587.53
685.62

143.590000
375.140000
585.360000
1,046.810000
183.960000
442.090000
1,927.070000
497.620000
201.620000
727.290000
2,332.260000
727.410000
390.240000
151.730000
201.620000
497.620000
144.140000
201.620000
497.620000
487.570000
1,488.190000
1,540.770000
360.380000
2,204.690000
376.860000
28.042200
4,979.860000
4.071333
1,137.590000
436.260000
984.100000
425.500000
2,226.140000
1,159.640000
432.230000
19.005714
1,171.730000
436.240000
32.891428
29.226071
0.215300
0.475666
0.514100
1,710.240000
2.658800
1.328000
1.444000
24.100357
16.549642
8.069000
8.025333
7.264642
7.264642
12.413571
8.070357
8.070666
8.026071
6.083571
3.740250
6.970357
6.973000
6.956000
10.943571
7.002966
6.986200
6.994404
6.996122

143.590000
375.140000
585.360000
1,046.810000
172.308000
432.456000
1,256.172000
432.456000
172.308000
432.456000
702.432000
432.456000
390.240000
151.730000
172.308000
432.456000
144.140000
172.308000
432.456000
432.456000
702.432000
702.432000
360.380000
1,256.172000
376.860000
28.042200
4,979.860000
4.071333
1,137.590000
436.260000
984.100000
425.500000
2,226.140000
1,159.640000
432.230000
19.005714
1,171.730000
436.240000
22.806857
22.806857
0.215300
0.258360
0.258360
1,710.240000
1.593600
1.328000
1.444000
19.859570
16.549642
7.300285
7.300285
7.264642
7.264642
7.300285
7.300285
7.300285
7.300285
6.083571
3.740250
6.970357
6.973000
6.956000
7.006285
7.002966
6.986200
6.994404
6.996122

Grupa
Nr.
terape
crt
utica
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
378
379
380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
398
399
400
401
402
403
404
405
406
407
408
409
410
411
412
413
414
415
416
417
418
419
420
421
422
423

L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG04
L02BG04
L02BG04
L02BG04
L02BG04
L02BG04
L02BG04
L02BG04
L02BG04
L02BG04
L02BG04
L02BG04
L02BG04
L02BG06
L02BG06
L02BG06
L02BG06
L02BG06
L02BG06
L02BG06

L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA13
L03AB04
L03AB04
L03AB04
L03AB05
L03AB05
M05BA02
M05BA02
M05BA02
M05BA02
M05BA03
M05BA03
M05BA03
M05BA03
M05BA03
M05BA03
M05BA03
M05BA03
M05BA03
M05BA06
M05BA06
M05BA06
M05BA06
M05BA06

Denumire generica

ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
LETROZOLUM
LETROZOLUM
LETROZOLUM
LETROZOLUM
LETROZOLUM
LETROZOLUM
LETROZOLUM
LETROZOLUM
LETROZOLUM
LETROZOLUM
LETROZOLUM
LETROZOLUM
LETROZOLUM
EXEMESTANUM
EXEMESTANUM
EXEMESTANUM
EXEMESTANUM
EXEMESTANUM
EXEMESTANUM
EXEMESTANUM
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
PEGFILGRASTIMUM***
INTERFERONUM ALFA 2A***
INTERFERONUM ALFA 2A***
INTERFERONUM ALFA 2A***
INTERFERONUM ALFA 2B***
INTERFERONUM ALFA 2B***
ACIDUM CLODRONICUM**
ACIDUM CLODRONICUM**
ACIDUM CLODRONICUM**
ACIDUM CLODRONICUM**
ACIDUM PAMIDRONICUM**
ACIDUM PAMIDRONICUM**
ACIDUM PAMIDRONICUM**
ACIDUM PAMIDRONICUM**
ACIDUM PAMIDRONICUM**
ACIDUM PAMIDRONICUM**
ACIDUM PAMIDRONICUM**
ACIDUM PAMIDRONICUM**
ACIDUM PAMIDRONICUM**
ACIDUM IBANDRONICUM**
ACIDUM IBANDRONICUM**
ACIDUM IBANDRONICUM**
ACIDUM IBANDRONICUM**
ACIDUM IBANDRONICUM**

Denumire comerciala

ANASTROZOL TERAPIA 1 mg
EGISTROZOL 1 mg
ARIMIDEX
ENZAMIDEX 1mg
AXASTROL 1 mg
OZOLAN 1 mg
ANASTROZOL BLUEFISH 1 mg

OZOLAN 1 mg
ANASTRAZE 1 mg
KYARESTA 1 mg
ANASTROZOL ATB 1 mg
ANASTROZOL TEVA 1 mg
ANASTROZOL TEVA 1 mg
EGISTROZOL 1 mg
LETROZOL TERAPIA 2,5 mg
LETRALAN 2,5 mg
TROZEL 2,5 mg
ETRUZIL 2,5 mg
LETROZOL TEVA 2,5 mg
LETROZOL SANOFI-AVENTIS 2,5 mg

LEZRA 2,5 mg
ZOTROL 2,5 mg
LETROZOL ALVOGEN 2,5 mg
FEMARA 2,5 mg
LETROZOL POLPHARMA 2,5 mg

ZEQUIPRA 2,5 mg
LETROZOL ATB 2,5 mg
EXEMESTAN ACCORD 25 mg
EXEMESTAN ACTAVIS 25 mg
EXEMESTAN TEVA 25 mg
EXEMESTAN ALVOGEN 25 mg

EXESTRALAN 25 mg
EXEMESTAN GLENMARK 2 5mg

AROMASIN 25 mg
NEUPOGEN (R)
NEUPOGEN (R)
ZARZIO 30MU/0,5ml
ZARZIO 48MU/0,5ml
NIVESTIM 12 MU/0,2ml
TEVAGRASTIM 30MUI/0,5ml
NIVESTIM 30 MU/0,5 ml
TEVAGRASTIM 48MUI/0,8ml
NIVESTIM 48 MU/0,5 ml
NEULASTA 6mg
ROFERON A
ROFERON A
ROFERON A
INTRON A 18 milioane U.I.
INTRON A 30 milioane U.I.
BONEFOS (R) 400 mg
BONEFOS (R) 800 mg
SINDRONAT (R) 300 mg/5 ml
BONEFOS (R) 60 mg/ml
PAMIDRONAT TORREX
PAMIDRONAT TORREX
PAMIDRONAT TORREX
PAMIDRONAT TORREX
PAMIRED 30
PAMIRED 30
PAMIRED 60
PAMIRED 60
AREDIA (R) 15 mg
ACID IBANDRONIC TEVA 150 mg

OSSICA 150 mg
BONVIVA 150mg
BONDRONAT 50mg
IASIBON 50 mg

Forma
Concentrati
farmaceutica
e / U.T.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

DRAJ.
SOL. INJ.
SOL. INJ.
SOL. INJ. /PERF. IN SERINGA PREUMPLUTA

SOL. INJ. /PERF. IN SERINGA PREUMPLUTA

SOL. INJ./PERF.

1mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
2,5 mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
30MU/0,5ml
48MU/0,5ml
60MU/ml
96MU/ml
120g/0,2ml

Firma

Tara

TERAPIA SA

ROMANIA CUTIE X BLIST. PVC/AL X 100 COMPR. FILM.


UNGARIA CUTIE CU BLIST. PVC-PE- PVDC/AL X 30 COMPR.FILM.
ACTAVIS S.R.L.
ROMANIA CUTIE X 2 BLIST. PVC/AL X 14 COMPR. FILM.
LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM.
AS GRINDEKS
LETONIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM.

P-6L
P-6L

ALVOGEN IPCO S.A.R.L LUXEMBURG CUTIE X BLIST. PVC/AL X 28 COMPR. FILM.


BLUEFISH PHARMACEUTICALS AB SUEDIA
CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM.
S.C. CORIS PHARMA S.R.L. ROMANIA CUTIE X BLIST. PVC/AL X 28 COMPR. FILM.
SANDOZ SRL
ROMANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM.

P-6L

SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.

P-6L
P-6L
P-6L
P-6L

ROMANIA CUTIE CU 2 BLIST. PVC/AL X 14 COMPR. FILM. P-6L


ANTIBIOTICE S.A.
ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. FILM. P -6L
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC-PE- PVDC/AL X 90 COMPR.FILM. P-6L
TERAPIA S.A.
ROMANIA CUTIE CU BLIST. PVC/PE/PVDC - AL X 30 COMPR. FILM. P6L
ICN POLFA RZESZOW S.A. POLONIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-RF
MEDICAMENTA A.S. CEHIA
CUTIE CU BLIST. DIN PVC-PVDC/AL X 30 COMPR. FILM. P-6L
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. DIN PVC/AL X 30 COMPR. FILM. P-6L
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L
SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. P-6L
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. P-6L
SANDOZ S.R.L.
ROMANIA CUTIE CU BLIST. DIN PVC/AL X 30 COMPR. FILM. P-6L
ALVOGEN IPCO S.A.R.L LUXEMBURG CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. P-6L
NOVARTIS PHARMA GMBH GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L
PHARMACEUTICALS WORKS POLPHARMA SA

ROMASTRU TRADING S.R.L.

ANTIBIOTICE S.A.

POLONIA CUTIE CU BLIST. DIN PVC/AL X 30 COMPR. FILM. P-6L


ROMANIA CUTIE CU BLIST. AL-PVC/PVC-PE-PVDC X 30 COMPR. FILM. P-6L
ROMANIA CUTIE CU 3 BLIST. PVDC-PE-PVC/AL X 10 COMPR. FILM. P6L

ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM.

ACTAVIS GROUP PTC EHF.


TEVA PHARMACEUTICALS S.R.L.

P-RF

ISLANDA CUTIE CU BLIST. AL/PVC X 30 COMPR. FILM. PRF


ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM P-RF

ALVOGEN IPCO S.A.R.L LUXEMBURG CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF
ICN POLFA RZESZOW S.A.

POLONIA

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM.

P-RF

GLENMARK PHARMACEUTICALS SRL REPUBLICA SLOVACA

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM.

P-RF

PFIZER EUROPE MA EEIG

CUTIE X 2 BLIST. PVC-PVDC/PVC-AL X 15 DRAJ.

P-RF

CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML

S/P-RF

CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML

S/P-RF

CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL

P-RF/R

CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL

P-RF/R

CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,2ML SOL. INJ. SAU PERF.

P-RF

MAREA BRITANIE

AMGEN EUROPE B.V. OLANDA


AMGEN EUROPE B.V. OLANDA
SANDOZ GMBH
AUSTRIA
SANDOZ GMBH
AUSTRIA
HOSPIRA UK LIMITED MAREA BRITANIE

300g/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE


480g/0,5ml
6mg
18Mui/0,6ml
3Mui/0,5ml
9Mui/0,5ml

P-6L
P-6L

ROMASTRU TRADING SRL

SOL. INJ./PERF. 480mcg/0,8ml TEVA GENERICS GMBH GERMANIA


SOL. INJ./PERF.

Prescriptie

EGIS PHARMACEUTICALS P.L.C.

SOL. INJ./PERF. 300mcg/0,5ml TEVA GENERICS GMBH GERMANIA


SOL. INJ./PERF.

Ambalaj

HOSPIRA UK LIMITED MAREA BRITANIE


AMGEN EUROPE B.V. OLANDA

CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF.S/P-RF/R


CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF.

P-RF

CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF.S/P-RF/R


CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF.

P-RF

CUTIE X BLISTER X 1 SERINGA PREUMPLUTA X 0,6ML SOL. INJ. P-RF/R

ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 CARTUS MULTIDOZA X 0,6 ML SOL. INJ. S/P-RF
ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML + AC STERILS/P-RF
ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. + AC STERIL S/P-RF

SOL. INJ. PEN MULTIDOZA

18 milioane U.I. SP EUROPE


30 milioane U.I. SP EUROPE

BELGIA
BELGIA

CAPS.

400mg

BAYER SCHERING PHARMA AG

COMPR. FILM. 800mg

BAYER SCHERING PHARMA AG

FINLANDA CUTIE X 1 FLAC. PEID X 100 CAPS. P-6L


FINLANDA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. FILM. P-6L

SOL. INJ. PEN MULTIDOZA

CONC. PT. SOL. PERF.


CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
LIOF. PT. SOL. PERF. I.V.
LIOF. PT. SOL. PERF. I.V.
LIOF. PT. SOL. PERF. I.V.
LIOF. PT. SOL. PERF. I.V.
LIOF.+ SOLV. PT. SOL. PERF.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

300mg/5ml
60mg/ml
15mg/ml
15mg/ml
15mg/ml
15mg/ml
30mg
30mg
60mg
60mg
15mg
150 mg
150mg
150mg
50mg
50mg

CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML SOL. INJ. + 12 ACE + 12 TAMPOANE DEZINFECTANTE

P-RF/R

CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML + 12 ACE + 12 TAMPOANE DEZINFECTANTE

P-RF/R

ACTAVIS S.R.L.

ROMANIA CUTIE X 1 FLAC. DIN STICLA X 5 ML S

BAYER SCHERING PHARMA AG

FINLANDA CUTIE X 5 FIOLE X 5 ML

S/P-RF

AUSTRIA CUTIE X 1 FIOLA PE X 2 ML


S/P-RF
TORREX CHIESI PHARMA GMBH AUSTRIA CUTIE X 1 FIOLA PE X 1 ML
S/P-RF
TORREX CHIESI PHARMA GMBH AUSTRIA CUTIE X 1 FIOLA PE X 6 ML
S/P-RF
TORREX CHIESI PHARMA GMBH AUSTRIA CUTIE X 1 FIOLA PE X 4 ML
S/P-RF
DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 30 MG LIOF. PT. SOL. PERF. I.V. S/P-RF
DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 30 MG LIOF. PT. SOL. PERF. I.V. S/P-RF
DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 60 MG LIOF. PT. SOL. PERF. I.V. S/P-RF
DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 60 MG LIOF. PT. SOL. PERF. I.V. S/P-RF
TORREX CHIESI PHARMA GMBH

NOVARTIS PHARMA GMBH GERMANIA

TEVA PHARMA B.V. OLANDA


GEDEON RICHTER PLC. UNGARIA

CUTIE X 4 FLAC. DIN STICLA X 15 MG LIOF. PT. SOL. PERF. + 4 FIOLE DIN STICLA X 5 ML SOLV.

S/P-RF

CUTIE CU BLIST. DIN PVC/ACLAR/PVC-AL X 1 COMPRIMAT FILMAT

P-RF

CUTIE CU 1 BLIST. PVC-PE-PVDC/AL X 1 COMPR. FILM. P-6L

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 1 COMPR. FILM.( BLIST. AL/AL) P-6L

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X BLIST. AL/PVC X 28 COMPR. FILM.

PHARMATHEN S.A. GRECIA

CUTIE CU BLIST. PA/ALL/PVC/ALU X 28 COMPR. FILM PR

Pagina 17 din 48

cant/a
mbala
j

100
30
28
30
28
28
28
28
28
28
30
28
30
90
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
1
1
1
1
5
1
5
1
5
1
1
1
1
1
1
100
60
1
5
1
1
1
1
1
1
1
1
4
1
1
1
28
28

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

606.86
170.42
160.60
241.28
133.91
160.56
159.07
160.56
146.35
158.40
219.02
205.39
220.05
494.81
254.30
212.60
286.00
225.95
225.95
271.14
252.38
225.95
252.81
468.37
252.63
312.40
313.43
199.02
199.00
199.25
199.02
198.00
199.25
306.55
263.92
431.80
160.19
257.85
413.89
211.64
989.71
352.07
1,637.21
3,830.44
350.79
68.34
148.32
410.73
666.22
506.79
629.63
20.51
152.26
183.61
109.44
524.05
357.96
151.08
151.08
235.03
235.03
589.21
65.03
56.52
104.69
953.12
630.03

6.068600
5.680666
5.735714
8.042666
4.782500
5.734285
5.681071
5.734285
5.226785
5.657142
7.300666
7.335357
7.335000
5.497888
8.476666
7.086666
9.533333
7.531666
7.531666
9.038000
8.412666
7.531666
8.427000
15.612333
8.421000
10.413333
10.447666
6.634000
6.633333
6.641666
6.634000
6.600000
6.641666
10.218333
263.920000
431.800000
160.190000
257.850000
82.778000
211.640000
197.942000
352.070000
327.442000
3,830.440000
350.790000
68.340000
148.320000
410.730000
666.220000
5.067900
10.493833
20.510000
30.452000
183.610000
109.440000
524.050000
357.960000
151.080000
151.080000
235.030000
235.030000
147.302500
65.030000
56.520000
104.690000
34.040000
22.501071

Pret cu ridicata
maximal de
decontare / U.T.

5.739000
5.680666
5.735714
5.739000
4.782500
5.734285
5.681071
5.734285
5.226785
5.657142
5.739000
5.739000
5.739000
5.497888
8.476666
7.086666
8.503999
7.531666
7.531666
8.503999
8.412666
7.531666
8.427000
8.503999
8.421000
8.503999
8.503999
6.634000
6.633333
6.641666
6.634000
6.600000
6.641666
7.920000
192.228000
309.420000
160.190000
257.850000
82.778000
192.228000
192.228000
309.420000
309.420000
3,830.440000
350.790000
68.340000
148.320000
410.730000
666.220000
5.067900
10.493833
20.510000
24.612000
181.296000
109.440000
524.050000
282.036000
151.080000
151.080000
235.030000
235.030000
131.328000
65.030000
56.520000
67.824000
27.001285
22.501071

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

699.63
208.05
196.06
294.56
163.48
196.01
194.19
196.01
178.66
193.37
267.38
250.74
268.64
577.49
310.45
259.54
349.15
275.84
275.84
331.01
308.10
275.84
308.63
548.67
308.41
378.67
379.79
242.97
242.94
243.25
242.97
241.72
243.25
372.29
322.20
508.81
195.56
314.78
489.29
258.37
1,116.94
421.91
1,822.71
4,213.34
420.51
86.41
181.07
485.85
764.33
590.55
724.45
27.72
185.88
224.15
133.60
609.36
428.33
184.44
184.44
286.92
286.92
680.39
82.22
71.46
127.80
1,077.05
724.88

6.996300
6.935000
7.002142
9.818666
5.838571
7.000357
6.935357
7.000357
6.380714
6.906071
8.912666
8.955000
8.954666
6.416555
10.348333
8.651333
11.638333
9.194666
9.194666
11.033666
10.270000
9.194666
10.287666
18.289000
10.280333
12.622333
12.659666
8.099000
8.098000
8.108333
8.099000
8.057333
8.108333
12.409666
322.200000
508.810000
195.560000
314.780000
97.858000
258.370000
223.388000
421.910000
364.542000
4,213.340000
420.510000
86.410000
181.070000
485.850000
764.330000
5.905500
12.074166
27.720000
37.176000
224.150000
133.600000
609.360000
428.330000
184.440000
184.440000
286.920000
286.920000
170.097500
82.220000
71.460000
127.800000
38.466071
25.888571

6.996300
6.935000
7.002142
7.006285
5.838571
7.000357
6.935357
7.000357
6.380714
6.906071
7.006285
7.006285
7.006285
6.416555
10.348333
8.651333
10.381600
9.194666
9.194666
10.381600
10.270000
9.194666
10.287666
10.381600
10.280333
10.381600
10.381600
8.099000
8.098000
8.108333
8.099000
8.057333
8.108333
9.668800
234.672000
377.736000
195.560000
314.780000
97.858000
234.672000
223.388000
377.736000
364.542000
4,213.340000
420.510000
86.410000
181.070000
485.850000
764.330000
5.905500
12.074166
27.720000
33.264000
221.328000
133.600000
609.360000
344.304000
184.440000
184.440000
286.920000
286.920000
160.320000
82.220000
71.460000
85.752000
31.066285
25.888571

Grupa
Nr.
terape
crt
utica
424
425
426
427
428
429
430
431
432
433
434
435
436
437

M05BA06
M05BA06
M05BA06
M05BA08
M05BA08

V03AF01
V03AF03
V03AF03
V03AF03
V03AF03
V03AF03
V03AF03
V03AF05
V03AF05
L01CA01

Denumire generica

ACIDUM IBANDRONICUM**
ACIDUM IBANDRONICUM**
ACIDUM IBANDRONICUM**
ACIDUM ZOLEDRONICUM**
ACIDUM ZOLEDRONICUM**
MESNUM
CALCII FOLINAS
CALCII FOLINAS
CALCII FOLINAS
CALCII FOLINAS
CALCII FOLINAS
CALCII FOLINAS
AMIFOSTINUM**
AMIFOSTINUM**
Vinblastinum 4

Denumire comerciala

BONDRONAT 6mg/6ml
IASIBON 6mg/6ml
BONVIVA 3mg/3ml
ZOMETA 4 mg
ACLASTA 5mg/100ml
UROMITEXAN (R) 400 mg

Forma
Concentrati
farmaceutica
e / U.T.

LIOF. PT. SOL. PERF.

6mg/6ml
6mg/6ml
1mg/1ml
4mg
5mg/100ml
400mg/4ml
15mg
10mg/ml
10mg/ml
3mg/ml
10mg/ml
10mg/ml
375mg
500mg

PULB. + SOLV. PT. SOL. INJ.

30mcg (6 mil. UI) BIOGEN IDEC LIMITED

CONC. PT. SOL. PERF.


CONC. PT. SOL. PERF.
SOL. INJ. IN SERINGA PREUMPLUTA

PULB. + SOLV. SOL. PERF.

SOL. PERF.
SOL. INJ.
CALCIUM FOLINAT "EBEWE" 15 mg CAPS.
FOLCASIN (R) 100 mg/10 ml SOL. INJ.
FOLINAT DE CALCIU TEVA 10 mg/ml SOL. INJ.
FOLCASIN (R) 30 mg/10 ml SOL. INJ.
CALCIUMFOLINAT "EBEWE" 10 mg/ml
CALCIUMFOLINAT "EBEWE" 10 mg/ml

ETHYOL
ETHYOL (R)

Firma

SOL. INJ./PERF.
SOL. INJ./PERF.
LIOF. PT. SOL. PERF.

ROCHE REGISTRATION LTD.

Tara

MAREA BRITANIE

PHARMATHEN S.A. GRECIA

Ambalaj

CUTIE X 1 FLACON X 6 ML CONC. PT. SOL. PERF.


CUTIE CU 1 FLAC. DIN STICLA X 6ML CONC. PT. SOL. PERF.

ROCHE REGISTRATION LTD.

MAREA BRITANIE CUTIE X 1 SERINGA PREUMPLUTA DIN STICLA X 3 ML SOL. INJ. + 1 AC

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE CUTIE X 1 FLAC. 4MG PULB. PT. SOL. PERF. + 1 FIOLA X 5 ML SOLV.

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE CUTIE X 1 FLAC. X 100 ML + 1 CAPAC AL/PP CU COMPONENTA FLIP.

BAXTER ONCOLOGY GMBH GERMANIA


EBEWE PHARMA GES.M.B.H. NFG KG

ACTAVIS S.R.L.
TEVA PHARMACEUTICALS S.R.L.

ACTAVIS S.R.L.
EBEWE PHARMA GMBH NFG. KG
EBEWE PHARMA GMBH NFG. KG

SCHERING PLOUGH EUROPE


SCHERING PLOUGH EUROPE

CUTIE X 3 SUPORTURI TERMOFORMATE DIN PLASTIC X 5 FIOLE DE STICLA INCOLORA X 4 ML

Prescriptie

S
PR
P-6L

S
S
S

AUSTRIA CUTIE X1 FLAC. X 20 CAPS.


P-6L
ROMANIA CUTIE X 1 FLACON X 10 ML
S/P-RF
ROMANIA CUTIE CU 1 FLAC. X 10 ML SOL. INJ. P-RF/S
ROMANIA CUTIE X 1 FLACON X 10 ML
S/P-RF
AUSTRIA CUTIE X 5 FIOLE X 10 ML
P-RF
AUSTRIA CUTIE X 5 FIOLE X 3 ML
P-RF
BELGIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU LIOF. PT. SOL. PERF. S
BELGIA CUTIE X 3 FLAC. DIN STICLA INCOLORA CONTINAND 500 MG LIOF. PT. SOL. PERF.S

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

1
1
1
1
1
15
20
1
1
1
5
5
5
3

891.14
589.74
350.70
1,085.91
1,383.63
44.34
28.78
29.13
29.16
13.37
140.49
49.63
1,979.50
1,861.39

891.140000
589.740000
350.700000
1,085.910000
1,383.630000
2.956000
1.439000
29.130000
29.160000
13.370000
28.098000
9.926000
395.900000
620.463333

707.688000
589.740000
350.700000
1,085.910000
1,383.630000
2.956000
1.439000
29.130000
29.160000
11.911200
28.098000
9.926000
395.900000
620.463333

1,009.49
680.97
420.41
1,221.79
1,546.31
58.00
37.64
38.10
38.14
18.07
171.51
64.92
2,195.81
2,067.07

1,009.490000
680.970000
420.410000
1,221.790000
1,546.310000
3.866666
1.882000
38.100000
38.140000
18.070000
34.302000
12.984000
439.162000
689.023333

817.164000
680.970000
420.410000
1,221.790000
1,546.310000
3.866666
1.882000
38.100000
38.140000
15.580800
34.302000
12.984000
439.162000
689.023333

4
12
15
15
28
1
100
50
100
100

3,049.36
4,134.75
3,465.34
3,262.76
3,047.24
6,870.70
82.20
41.83
63.23
61.67

762.340000
344.562500
231.022666
217.517333
108.830000
6,870.700000
0.822000
0.836600
0.632300
0.616700

762.340000
344.562500
231.022666
217.517333
108.830000
6,870.700000
0.822000
0.836600
0.632300
0.616700

3,361.96
4,545.03
3,815.38
3,594.56
3,359.65
7,527.22
103.94
54.72
79.95
77.97

840.490000
378.752500
254.358666
239.637333
119.987500
7,527.220000
1.039400
1.094400
0.799500
0.779700

840.490000
378.752500
254.358666
239.637333
119.987500
7,527.220000
1.039400
1.094400
0.799500
0.779700

1
5
5
5
5
5
5
5
5
5
5
1
5
1
5
5
5
5
5
5
1
5
5
5
5
5
5
5
5

42.81
89.92
94.85
97.88
135.93
111.75
94.85
154.67
127.45
129.03
129.03
78.35
129.03
42.81
89.92
97.84
135.93
132.67
111.75
154.67
42.81
89.92
97.84
97.84
103.83
135.93
111.75
94.85
132.67

42.810000
17.984000
18.970000
19.576000
27.186000
22.350000
18.970000
30.934000
25.490000
25.806000
25.806000
78.350000
25.806000
42.810000
17.984000
19.568000
27.186000
26.534000
22.350000
30.934000
42.810000
17.984000
19.568000
19.568000
20.766000
27.186000
22.350000
18.970000
26.534000

42.810000
17.984000
18.970000
19.576000
27.186000
21.580800
18.970000
30.588000
25.490000
25.806000
25.806000
78.350000
25.806000
42.810000
17.984000
19.568000
27.186000
21.580800
21.580800
30.934000
42.810000
17.984000
19.568000
19.568000
20.766000
27.186000
21.580800
18.970000
21.580800

55.99
113.69
119.93
123.76
165.94
136.42
119.93
188.82
155.59
157.52
157.52
99.06
157.52
55.99
113.69
123.71
165.94
161.96
136.42
188.82
55.99
113.69
123.71
123.71
126.76
165.94
136.42
119.93
161.96

55.990000
22.738000
23.986000
24.752000
33.188000
27.284000
23.986000
37.764000
31.118000
31.504000
31.504000
99.060000
31.504000
55.990000
22.738000
24.742000
33.188000
32.392000
27.284000
37.764000
55.990000
22.738000
24.742000
24.742000
25.352000
33.188000
27.284000
23.986000
32.392000

55.990000
22.738000
23.986000
24.752000
33.188000
27.284000
23.986000
37.341600
31.118000
31.504000
31.504000
99.060000
31.504000
55.990000
22.738000
24.742000
33.188000
27.285600
27.284000
37.764000
55.990000
22.738000
24.742000
24.742000
25.352000
33.188000
27.284000
23.986000
27.285600

cant/a
mbala
j

Pret cu ridicata
maximal de
decontare / U.T.

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

L01DC03

Mitomicinum

L01XB01

Procarbazinum 4

P4: PROGRAMUL NATIONAL DE BOLI NEUROLOGICE


Subprogramul de tratament al sclerozei multiple
1
2
3
4
5
6
7
8
9
10

L03AB07
L03AB07
L03AB08
L03AB08
L03AX13
L04AA23
L04AX01
L04AX01
L04AX01
L04AX01

INTERFERONUM BETA 1A****


INTERFERONUM BETA 1A****
INTERFERONUM BETA 1-B****
INTERFERONUM BETA 1-B****
GLATIRAMER ACETAT****
NATALIZUMABUM****
AZATHIOPRINUM*
AZATHIOPRINUM*
AZATHIOPRINUM*
AZATHIOPRINUM*

AVONEX 30 mcg BIO-SET


REBIF 44 micrograme
EXTAVIA 250 mcg/ ml
BETAFERON 250mcg/ml
COPAXONE
TYSABRI 300mg
IMMUNOPRIN 100 mg
IMMUNOPRIN 100 mg
IMURAN (R)
IMMUNOPRIN 75 mg

SOL. INJ.
PULB+SOLV.PT.SOL.INJ
PULB. + SOLV. PT. SOL. INJ.

SOL. INJ.
CONC. PT. SOL. PERF.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

44mcg
250mcg/ml
250mcg/ml
20mg/ml
20mg/ml
100mg
100mg
50mg
75mg

MAREA BRITANIE

CUTIE X (1 FLAC. DIN STICLA X 30 MCG PULBERE + 1 SERINGA PRE-UMPLUTA + 1 ML SOLV. + 4 FIOLE PREVAZUT
P-RF/R

SERONO EUROPE LTD.

MAREA BRITANIE

CUTIE X 12 SERINGI PREUMPLUTE X 0,5ML SOL. INJ.P-RF/R

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE CUTIE X 15 FLAC. CU PULBERE + 15 SERINGI PREUMPLUTE CU SOLVENT P-RF/R

BAYER SCHERING AG GERMANIA


P-RF/P
ROMANIA CUTIE X 28 BLIST. PVC X 1 SERINGA PREUMPLUTA X 1 ML PREVAZUTA CU AC FIXS/P-RF
CUTIE X 15 AMBALAJE MULTIPLE CE CONTIN FIECARE CATE 1 FLAC. CU PULB., O SERINGA PREUMPLUTA CU SOLV.

TEVA PHARMACEUTICALS S.R.L.

IRLANDA
AUSTRIA
AUSTRIA

CUTIE X 1 FLAC. X 15ML CONC. PT. SOL. PERF

CUTIE CU 1 FLAC. PEID X 50 COMPR. FILM.

S
PR
PR

THE WELLCOME FOUNDATION LTD. MAREA BRITANIE

CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM.

S/P-RF

CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM.

PR

ELAN PHARMA INTERNATIONAL LTD


EBEWE PHARMA GES.M.B.H. NFG KG
EBEWE PHARMA GES.M.B.H. NFG KG

EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRIA

CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM.

P5: PROGRAMUL NATIONAL DE DIABET ZAHARAT


Tratamentul medicamentos al bolnavilor cu diabet zaharat
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

A10AB01
A10AB01
A10AB01
A10AB01
A10AB01
A10AB01
A10AB01
A10AB04
A10AB04
A10AB05
A10AB06
A10AB06
A10AB06
A10AC01
A10AC01
A10AC01
A10AC01
A10AC01
A10AC01
A10AC04
A10AD01
A10AD01
A10AD01
A10AD01
A10AD01
A10AD01
A10AD01
A10AD01
A10AD01

INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINUM LISPRO**
INSULINUM LISPRO**
INSULINUM ASPART**
INSULINUM GLULIZINA**
INSULINUM GLULIZINA**
INSULINUM GLULIZINA**
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINUM LISPRO**
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE

HUMULIN R
SOL. INJ.
100UI/ml
HUMULIN R
SOL. INJ.
100UI/ml
INSUMAN RAPID 100UI/ml
SOL. INJ. IN CARTUS 100UI/ml
ACTRAPID PENFILL 100 UI/ml SOL. INJ. IN CARTUS 100UI/ml
INSUMAN RAPID 100UI/ml
SOL. INJ. IN FLACON 100UI/ml
INSUMAN RAPID 100 UI/ml SoloStar
100UI/ml
INSUMAN RAPID 100 UI/ml OPTISET
100UI/ml
HUMALOG KWIKPEN100U/ml SOL. INJ.
100U/ml
HUMALOG 100 U/ml
SOL. INJ.
100U/ml
NOVORAPID PENFILL 100 U/ml SOL. INJ. IN CARTUS 100Uml
APIDRA 100U/ml
SOL. INJ. IN CARTUS 100U/ml
APIDRA 100U/ml
SOL. INJ. IN FLACON 100U/ml
APIDRA 100U/ml
100U/ml
HUMULIN N
SUSP. INJ.
100UI/ml
HUMULIN N
SUSP. INJ.
100UI/ml
INSUMAN BASAL 100UI/ml SUSP. INJ. IN CARTUS 100UI/ml
INSUMAN BASAL 100UI/ml SUSP. INJ. IN FLACON 100UI/ml
INSUMAN BASAL 100UI/ml OPTISET
100UI/ml
INSUMAN BASAL 100UI/ml SoloStar
100UI/ml
HUMALOG BASAL KWIKPEN 100U/ml SUSP. INJ.
100U/ml
HUMULIN M3
SUSP. INJ.
100ui/ml
HUMULIN M3
SUSP. INJ.
100ui/ml
INSUMAN COMB 25 100UI/ml SUSP. INJ. IN CARTUS 100UI/ml
INSUMAN COMB 50 100UI/ml SUSP. INJ. IN CARTUS 100UI/ml
MIXTARD 30 PENFILL 100 UI/ml SUSP. INJ. IN CARTUS 100UI/ml
INSUMAN COMB 25 100UI/ml SUSP. INJ. IN FLACON 100UI/ml
INSUMAN COMB 25 100UI/ml SoloStar
100UI/ml
INSUMAN COMB 25 100UI/ml OPTISET
100UI/ml
INSUMAN COMB 50 100UI/ml OPTISET
100UI/ml

LILLY FRANCE SAS FRANTA CUTIE X 1 FLAC. X 10 ML SOL. INJ. P-RF


LILLY FRANCE SAS FRANTA CUTIE X 5 CARTUSE X 3 ML SOL. INJ. P-RF
SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMANIA

NOVO NORDISK A/S

DANEMARCA

CUTIE X 5 CARTUSE X 3 ML SOL. INJ. P-RF

GERMANIA
GERMANIA
GERMANIA

CUTIE X 5 FLACOANE DIN STICLA INCOLORA X 5 ML SOL. INJ.

P-RF

CUTIE X 5 STILOURI INJECTOARE X 1 CARTUS DIN STICLA INCOLORA X 3 ML SOL. INJ.

P-RF

CUTIE X 5 STILOURI INJECTOARE X 1 CARTUS DIN STICLA INCOLORA X 3 ML SOL. INJ.

P-RF

SANOFI - AVENTIS DEUTSCHLAND GMBH

SOL. INJ. IN STILOU INJECTOR PREUMPLUT

SANOFI - AVENTIS DEUTSCHLAND GMBH

SOL. INJ. IN STILOU INJECTOR PREUMPLUT

SANOFI - AVENTIS DEUTSCHLAND GMBH

SOL. INJ. IN STILOU INJECTOR PREUMPLUT

CUTIE X 5 CARTUSE DIN STICLA INCOLORA X 3 ML SOL. INJ.P-RF

OLANDA CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PRE-UMPLUTE X 3 ML SOL. INJ. P-RF


ELI LILLY NEDERLAND BV OLANDA CUTIE X 5 CARTUSE X 3 ML SOL.INJ. P-RF
NOVO NORDISK A/S DANEMARCA CUTIE X 5 CARTUSE X 3 ML SOL. INJ. P-RF
SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 CARTUSE X 3 ML SOL. INJ. P-RF
SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 1 FLACON X 10 ML SOL. INJ. P-RF
ELI LILLY NEDERLAND BV

SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMANIA

LILLY FRANCE SAS FRANTA


LILLY FRANCE SAS FRANTA

CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE (SOLOSTAR) X 3 ML SOL. INJ.

P-RF

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10 ML SUSP. INJ. P-RF


CUTIE X 5 CARTUSE DIN STICLA INCOLORA X 3 ML SUSP. INJ.

P-RF

CUTIE X 5 CARTUSE DIN STICLA INCOLORA X 3 ML SUSP. INJ.

P-RF

CUTIE X 5 FLACOANE DIN STICLA INCOLORA X 5 ML SUSP. INJ.

P-RF

CUTIE X 5 STILOURI INJECTOARE X 1 CARTUS DIN STICLA INCOLORA X 3 ML SUSP. INJ.

P-RF

CUTIE X 5 STILOURI INJECTOARE X 1 CARTUS DIN STICLA INCOLORA X 3 ML SUSP. INJ.

P-RF

CUTIE X 5 STILOURI INJECTOARE (PEN-URI) X 3 ML SUSP. INJ.

P-RF

CUTIE X 1 FLACON DIN STICLA INCOLORA X 10 ML SUSP. INJ.

P-RF

CUTIE X 5 CARTUSE DIN STICLA INCOLORA X 3 ML SUSP. INJ.

P-RF

CUTIE X 5 CARTUSE DIN STICLA INCOLORA X 3 ML SUSP. INJ.

P-RF

SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMANIA
GERMANIA

CUTIE X 5 CARTUSE DIN STICLA INCOLORA X 3 ML SUSP. INJ.

P-RF

NOVO NORDISK A/S

DANEMARCA

CUTIE X 5 CARTUSE X 3 ML SUSP. INJ. P-RF

GERMANIA
GERMANIA
GERMANIA
GERMANIA

CUTIE X 5 FLACOANE DIN STICLA INCOLORA X 5 ML SUSP. INJ.

P-RF

CUTIE X 5 STILOURI INJECTOARE X 1 CARTUS DIN STICLA INCOLORA X 3 ML SUSP. INJ.

P-RF

CUTIE X 5 STILOURI INJECTOARE X 1 CARTUS DIN STICLA INCOLORA X 3 ML SUSP. INJ.

P-RF

CUTIE X 5 STILOURI INJECTOARE X 1 CARTUS DIN STICLA INCOLORA X 3 ML SUSP. INJ.

P-RF

SANOFI - AVENTIS DEUTSCHLAND GMBH


SANOFI - AVENTIS DEUTSCHLAND GMBH

SUSP. INJ. IN STILOU INJECTOR PREUMPLUT

SANOFI - AVENTIS DEUTSCHLAND GMBH

SUSP. INJ. IN STILOU INJECTOR PREUMPLUT

SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMANIA
GERMANIA
GERMANIA
GERMANIA

OLANDA
LILLY FRANCE S.A.S FRANTA
LILLY FRANCE S.A.S FRANTA

ELI LILLY NEDERLAND BV

SANOFI - AVENTIS DEUTSCHLAND GMBH

SANOFI - AVENTIS DEUTSCHLAND GMBH

SUSP. INJ. IN STILOU INJECTOR PREUMPLUT

SANOFI - AVENTIS DEUTSCHLAND GMBH

SUSP. INJ. IN STILOU INJECTOR PREUMPLUT

SANOFI - AVENTIS DEUTSCHLAND GMBH

SUSP. INJ. IN STILOU INJECTOR PREUMPLUT

SANOFI - AVENTIS DEUTSCHLAND GMBH

Pagina 18 din 48

Grupa
Nr.
terape
crt
utica
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96

A10AD04
A10AD04
A10AD04
A10AD04
A10AD05
A10AE04
A10AE04
A10AE04
A10AE04
A10AE05
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA03
A10BB01
A10BB01
A10BB01
A10BB01
A10BB01
A10BB01
A10BB01
A10BB01
A10BB01
A10BB01
A10BB01
A10BB01
A10BB01
A10BB01

Denumire generica

INSULINUM LISPRO**
INSULINUM LISPRO**
INSULINUM LISPRO**
INSULINUM LISPRO**
INSULINUM ASPART**
INSULINUM GLARGINE**
INSULINUM GLARGINE**
INSULINUM GLARGINE**
INSULINUM GLARGINE**
INSULINUM DETEMIR**
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
BUFORMINUM
GLIBENCLAMIDUM
GLIBENCLAMIDUM
GLIBENCLAMIDUM
GLIBENCLAMIDUM
GLIBENCLAMIDUM
GLIBENCLAMIDUM
GLIBENCLAMIDUM
GLIBENCLAMIDUM
GLIBENCLAMIDUM
GLIBENCLAMIDUM
GLIBENCLAMIDUM
GLIBENCLAMIDUM
GLIBENCLAMIDUM
GLIBENCLAMIDUM

Denumire comerciala

Forma
Concentrati
farmaceutica
e / U.T.

100U/ml
100U/ml
100U/ml
HUMALOG MIX25 KWIKPEN 100U/ml
100U/ml
NOVOMIX 30 PENFILL 100 U/ml SUSP. INJ. IN CARTUS 100U/ml
LANTUS 100UI/ml
SOL. INJ. IN CARTUS 100UI/ml
LANTUS 100UI/ml
SOL. INJ. IN FLACON 100UI/ml
LANTUS SoloStar
100UI/ml
LANTUS OptiSet
100UI/ml
LEVEMIR PENFILL 100 U/ml SOL. INJ. IN CARTUS 100U/ml
METFORMIN ARENA 1000 MG COMPR.
1000mg
METFORMIN ARENA 1000 MG COMPR.
1000mg
METFORMIN ARENA 500 MG COMPR.
500mg
METFORMIN ARENA 850 MG COMPR.
850mg
METFORMIN ARENA 850 MG COMPR.
850mg
GLUCOPHAGE XR
COMPR. ELIB. PREL. 500mg
GLUCOPHAGE XR
COMPR. ELIB. PREL. 500mg
METFOGAMMA 1000mg
COMPR. FILM. 1000mg
METFORMIN TEVA 1000 mg COMPR. FILM. 1000mg
SIOFOR 1000
COMPR. FILM. 1000mg
METFORMIN AUROBINDO 1000 mg COMPR. FILM. 1000mg
METFORMIN AUROBINDO 1000 mg COMPR. FILM. 1000mg
SERDENIS 1000 mg
COMPR. FILM. 1000mg
SERDENIS 1000 mg
COMPR. FILM. 1000mg
SERDENIS 1000 mg
COMPR. FILM. 1000mg
GLUCOPHAGE 1000 mg
COMPR. FILM. 1000mg
METFORMIN BLUEFISH 1000 mg COMPR. FILM. 1000mg
METFORMIN-TEVA 500 mg COMPR. FILM. 500mg
METFORMIN BLUEFISH 500 mg COMPR. FILM. 500mg
METFORMIN BLUEFISH 500 mg COMPR. FILM. 500mg
MEGUAN (R) 500 mg
COMPR. FILM. 500mg
DIPIMET 500 mg
COMPR. FILM. 500mg
METFORMIN AUROBINDO 500 mg COMPR. FILM. 500mg
METFORMIN LPH (R) 500 mg COMPR. FILM. 500mg
METFORMIN AUROBINDO 500 mg COMPR. FILM. 500mg
METFOGAMMA (R) 500
COMPR. FILM. 500mg
METFORMIN BLUEFISH 850 mg COMPR. FILM. 850mg
METFORMIN BLUEFISH 850 mg COMPR. FILM. 850mg
METFORMIN BLUEFISH 850 mg COMPR. FILM. 850mg
METFORMIN-TEVA 850 mg COMPR. FILM. 850mg
METFORMIN BLUEFISH 850 mg COMPR. FILM. 850mg
METFORMIN LPH (R) 850 mg COMPR. FILM. 850mg
METFOGAMMA 850
COMPR. FILM. 850mg
SERDENIS 850 mg
COMPR. FILM. 850mg
SERDENIS 850 mg
COMPR. FILM. 850mg
SERDENIS 850 mg
COMPR. FILM. 850mg
MEDIFOR 850
COMPR. FILM. 850mg
SIOFOR (R) 850
COMPR. FILM. 850mg
GLUCOPHAGE 850 mg
COMPR. FILM. 850mg
MEGUAN (R) 850 mg
COMPR. FILM. 850mg
METFORMIN AUROBINDO 850 mg COMPR. FILM. 850mg
METFORMIN AUROBINDO 850 mg COMPR. FILM. 850mg
SILUBIN RETARD
DRAJ. RET. 100mg
GLIBENCLAMID ATB 1,75 MG COMPR.
1,75 mg
GLIBENCLAMID LPH 1,75 mg COMPR.
1,75mg
GLIBENCLAMID ARENA 1,75 mg COMPR.
1,75mg
GLIBENCLAMID ARENA 1,75 mg COMPR.
1,75mg
GLIBENCLAMID ARENA 1,75 mg COMPR.
1,75mg
MANINIL 1,75 mg
COMPR.
1,75mg
GLIBENCLAMID LPH 3,5 mg COMPR.
3,5mg
GLIBENCLAMID ARENA 3,5 mg COMPR.
3,5mg
GLIBENCLAMID ATB 3,5 MG COMPR.
3,5mg
GLIBENCLAMID ARENA 3,5 mg COMPR.
3,5mg
GLIBENCLAMID ARENA 3,5 mg COMPR.
3,5mg
MANINIL 3,5 mg
COMPR.
3,5mg
GLIBENCLAMID ARENA 5 mg COMPR.
5mg
GLIBENCLAMID ARENA 5 mg COMPR.
5mg
HUMALOG MIX50 KWIKPEN 100U/ml

HUMALOG MIX25
HUMALOG MIX50

SUSP. INJ.
SUSP. INJ.
SUSP. INJ.
SUSP. INJ.

Firma

Tara

Ambalaj

Prescriptie

ELI LILLY NEDERLAND BV

OLANDA CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE X 3 ML SUSP. INJ. P-RF


OLANDA CUTIE X 5 CARTUSE X 3 ML SUSP.INJ. P-RF
OLANDA CUTIE X 5 CARTUSE X 3 ML SUSP. INJ. P-RF
OLANDA CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE X 3 ML SUSP. INJ. P-RF

NOVO NORDISK A/S

DANEMARCA

ELI LILLY NEDERLAND BV


ELI LILLY NEDERLAND BV
ELI LILLY NEDERLAND BV

SANOFI - AVENTIS DEUTSCHLAND GMBH


SANOFI - AVENTIS DEUTSCHLAND GMBH

SOL. INJ. IN STILOU INJECTOR PREUMPLUT

SANOFI - AVENTIS DEUTSCHLAND GMBH

SOL. INJ. IN STILOU INJECTOR PREUMPLUT

SANOFI - AVENTIS DEUTSCHLAND GMBH

NOVO NORDISK A/S


ARENA GROUP S.A.
ARENA GROUP S.A.
ARENA GROUP SA
ARENA GROUP SA
ARENA GROUP SA

CUTIE X 5 CARTUSE X 3 ML SUSP. INJ. P-RF

GERMANIA CUTIE X 5 CARTUSE DIN STICLA X 3 ML SOL. INJ.


GERMANIA CUTIE X 1 FLACON DIN STICLA X 10 ML SOL. INJ.
GERMANIA CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE X 3 ML
GERMANIA CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE X 3 ML
DANEMARCA

CUTIE X 5 CARTUSE X 3 ML

P-RF
P-RF
P-RF
P-RF
P-RF

ROMANIA CUTIE X 10 BLIST. AL/PVC X 5 COMPR. P-RF


ROMANIA FLACON DIN PE X 200 COMPR.
P-RF/S
ROMANIA CUTIE X 1 FLAC. DIN PE X 60 COMPR. P-RF
ROMANIA CUTIE X 200 BLIST. AL/PVC X 5 COMPR. P-RF/S
ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 COMPR. P-RF
MERCK SANTE S.A.S. FRANTA CUTIE X 2 BLIST. AL/PVC-PVDC X 15 COMPR. ELIB. PREL. P-RF
MERCK SANTE S.A.S. FRANTA CUTIE X 3 BLIST. AL/PVC-PVDC X 10 COMPR. ELIB. PREL. P-RF

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 8 BLIST. AL/PVC X 15 COMPR. FILM

TEVA PHARMACEUTICAL S.R.L.

ROMANIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

P-RF

BERLIN CHEMIE AG MENARINI GROUP

GERMANIA CUTIE X 4 BLIST. PVC/AL X 15 COMPR. FILM.

P-RF

P-RF/S

AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM.

P-6L

AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM.

P-6L

ROMANIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P6L


ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P6L
ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 9 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P6L
MERCK SANTE
FRANTA CUTIE CU BLIST. PVC/AL X 60 COMPR. FILM. P-6L
BLUEFISH PHARMACEUTICALS AB SUEDIA
CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. P-6L
TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF
BLUEFISH PHARMACEUTICALS AB SUEDIA
CUTIE CU BLIST. PVC-PVDC/AL X 20 COMPR. FILM. P-6L
BLUEFISH PHARMACEUTICALS AB SUEDIA
CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF
ANTIBIOTICE SA
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
ROMASTRU TRADING S.R.L.

AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM.

LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.


AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM.
WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 12 BLIST. AL/PVDC-PVC X 10 COMPR. FILM.

SUEDIA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM.


BLUEFISH PHARMACEUTICALS AB SUEDIA
CUTIE CU BLIST. PVC-PVDC/AL X 20 COMPR. FILM.
BLUEFISH PHARMACEUTICALS AB SUEDIA
CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM.
TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.
BLUEFISH PHARMACEUTICALS AB SUEDIA
CUTIE CU BLIST. PVC-PVDC/AL X 100 COMPR. FILM.
LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.
BLUEFISH PHARMACEUTICALS AB

P-6L
P-RF

P-6L
P-RF/S

P-6L
P-6L
P-6L
P-RF

P-6L
P-RF

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 12 BLIST. AL/PVC X 10 COMPR. FILM.

ROMASTRU TRADING S.R.L.


ROMASTRU TRADING S.R.L.

ROMANIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P6L


ROMANIA CUTIE CU 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P6L
ROMANIA CUTIE CU 9 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P6L

STD CHEMICALS LTD.

MAREA BRITANIE

BERLIN CHEMIE AG MENARINI GROUP

GERMANIA CUTIE X 4 BLIST. X 15 COMPR. FILM. P-RF

ROMASTRU TRADING S.R.L.

MERCK SANTE
GEDEON RICHTER ROMANIA SA

CUTIE X 4 BLIST. PVC-PVDC/AL X 14 COMPR. FILM.

FRANTA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. FILM.


ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

P-RF/S

P-RF

P-RF/S

P-RF

AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM.

P-6L

AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM.

P-6L

PHARMAFARM S.A. ROMANIA CUTIE X 4 BLLIST. X 15 DRAJ.RET. P-RF


ANTIBIOTICE S.A.
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF
LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 20 COMPR. P-RF
ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. PEID X 100 COMPR. P-RF/S
ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 COMPR. P-RF/S
ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF
BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 1 FLAC. X 120 COMPR.
P-RF/S
LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 20 COMPR. P-RF
ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. PEID X 100 COMPR. P-RF/S
ANTIBIOTICE S.A.
ROMANIA 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
ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 COMPR. P-RF/S
BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 1 FLAC. X 120 COMPR.
P-RF/S
ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. DIN PE X 100 COMPR. P-RF/S
ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF
Pagina 19 din 48

cant/a
mbala
j

5
5
5
5
5
5
1
5
5
5
50
200
60
1000
15
30
30
120
60
60
30
60
30
60
90
60
60
60
20
30
20
30
30
30
60
120
60
20
30
60
100
30
120
30
60
90
56
60
100
20
30
60
60
30
60
100
1000
30
120
60
100
30
30
1000
120
100
30

Pret cu
ridicata
maximal /
ambalaj

154.67
134.44
133.14
154.67
138.93
222.29
152.19
222.29
222.29
242.66
18.44
70.47
3.54
243.14
3.80
11.21
11.21
15.74
6.24
13.26
6.57
13.12
6.67
13.34
20.01
20.49
12.10
4.03
1.37
2.05
3.20
2.82
2.52
2.92
5.04
7.86
6.51
2.17
3.25
5.76
10.84
3.60
13.38
3.59
7.18
10.77
6.66
13.30
18.48
5.59
3.56
7.10
13.97
1.41
3.08
8.49
54.91
1.49
8.64
2.23
10.51
1.01
4.11
75.55
6.26
2.72
4.20

Pret cu ridicata
maximal / U.T.

30.934000
26.888000
26.628000
30.934000
27.786000
44.458000
152.190000
44.458000
44.458000
48.532000
0.368800
0.352350
0.059000
0.243140
0.253333
0.373666
0.373666
0.131166
0.104000
0.221000
0.219000
0.218666
0.222333
0.222333
0.222333
0.341500
0.201666
0.067166
0.068500
0.068333
0.160000
0.094000
0.084000
0.097333
0.084000
0.065500
0.108500
0.108500
0.108333
0.096000
0.108400
0.120000
0.111500
0.119666
0.119666
0.119666
0.118928
0.221666
0.184800
0.279500
0.118666
0.118333
0.232833
0.047000
0.051333
0.084900
0.054910
0.049666
0.072000
0.037166
0.105100
0.033666
0.137000
0.075550
0.052166
0.027200
0.140000

Pret cu ridicata
maximal de
decontare / U.T.

30.934000
26.888000
26.628000
30.934000
27.786000
44.458000
152.190000
44.458000
44.458000
48.532000
0.124800
0.124800
0.059000
0.115200
0.115200
0.070800
0.070800
0.124800
0.104000
0.124800
0.124800
0.124800
0.124800
0.124800
0.124800
0.124800
0.124800
0.067166
0.068500
0.068333
0.070800
0.070800
0.070800
0.070800
0.070800
0.065500
0.108500
0.108500
0.108333
0.096000
0.108400
0.115200
0.111500
0.115200
0.115200
0.115200
0.115200
0.115200
0.115200
0.115200
0.115200
0.115200
0.232833
0.047000
0.051333
0.059599
0.054910
0.049666
0.059599
0.037166
0.040399
0.033666
0.040399
0.040399
0.040399
0.027200
0.032640

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

188.82
164.13
162.54
188.82
169.61
271.37
185.79
271.37
271.37
296.24
24.92
89.10
4.78
296.82
5.13
15.15
15.15
21.28
8.44
17.92
8.88
17.73
9.01
18.03
27.04
27.70
16.35
5.45
1.85
2.77
4.33
3.81
3.41
3.94
6.81
10.63
8.80
2.93
4.39
7.78
14.65
4.87
18.09
4.85
9.71
14.56
9.00
17.97
24.98
7.55
4.81
9.60
18.88
1.90
4.16
11.48
69.43
2.02
11.68
3.02
14.21
1.36
5.55
95.52
8.46
3.68
5.67

37.764000
32.826000
32.508000
37.764000
33.922000
54.274000
185.790000
54.274000
54.274000
59.248000
0.498400
0.445500
0.079666
0.296820
0.342000
0.505000
0.505000
0.177333
0.140666
0.298666
0.296000
0.295500
0.300333
0.300500
0.300444
0.461666
0.272500
0.090833
0.092500
0.092333
0.216500
0.127000
0.113666
0.131333
0.113500
0.088583
0.146666
0.146500
0.146333
0.129666
0.146500
0.162333
0.150750
0.161666
0.161833
0.161777
0.160714
0.299500
0.249800
0.377500
0.160333
0.160000
0.314666
0.063333
0.069333
0.114800
0.069430
0.067333
0.097333
0.050333
0.142100
0.045333
0.185000
0.095520
0.070500
0.036800
0.189000

37.764000
32.826000
32.508000
37.764000
33.922000
54.274000
185.790000
54.274000
54.274000
59.248000
0.168799
0.168799
0.079666
0.155599
0.155599
0.095599
0.095599
0.168799
0.140666
0.168799
0.168799
0.168799
0.168799
0.168799
0.168799
0.168799
0.168799
0.090833
0.092500
0.092333
0.095599
0.095599
0.095599
0.095599
0.095599
0.088583
0.146666
0.146500
0.146333
0.129666
0.146500
0.155599
0.150750
0.155599
0.155599
0.155599
0.155599
0.155599
0.155599
0.155599
0.155599
0.155599
0.314666
0.063333
0.069333
0.080800
0.069430
0.067333
0.080800
0.050333
0.054400
0.045333
0.054400
0.054400
0.054400
0.036800
0.044160

Grupa
Nr.
terape
crt
utica
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163

A10BB07
A10BB07
A10BB07
A10BB07
A10BB08
A10BB09
A10BB09
A10BB09
A10BB09
A10BB09
A10BB09
A10BB09
A10BB09
A10BB09
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BD02
A10BD02
A10BD02
A10BD02
A10BD02
A10BD02
A10BD03
A10BD03
A10BD04
A10BD04
A10BD05

A10BF01
A10BF01
A10BG02
A10BG03
A10BG03

Denumire generica

GLIPIZIDUM
GLIPIZIDUM
GLIPIZIDUM
GLIPIZIDUM
GLIQUIDONUM
GLICLAZIDUM
GLICLAZIDUM
GLICLAZIDUM
GLICLAZIDUM
GLICLAZIDUM
GLICLAZIDUM
GLICLAZIDUM
GLICLAZIDUM
GLICLAZIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM

Denumire comerciala

GLIPIZID LPH 5 mg
GLIPIZIDA ATB 5mg
GLUCOTROL XL 10 mg
GLUCOTROL XL 5mg
GLURENORM
GLICLAZID LPH
DIABREZIDE
ESQUEL (R) 80 mg
ADOZID MR 30 mg
DIAPREL MR
DIAPREL MR 60 mg
GLICLAZIDA EP ANTIBIOTICE 30 mg

Forma
Concentrati
farmaceutica
e / U.T.
COMPR.
COMPR.

5mg
5mg
COMPR. FILM. ELIB. MODIF. 10mg
COMPR. FILM. ELIB. MODIF. 5mg
COMPR.
30mg
COMPR.
80mg
COMPR.
80mg
COMPR.
80mg
30mg
COMPR. ELIB. MODIF. 30mg
COMPR. ELIB. MODIF. 60mg
COMPR. ELIB. PREL. 30mg
COMPR. ELIB. PREL. 30mg
COMPR. ELIB. PREL. 30mg
COMPR
4mg
COMPR.
1 mg
COMPR.
1mg
COMPR.
1mg
COMPR.
1mg
COMPR.
1mg
COMPR.
1mg
COMPR.
1mg
COMPR.
1mg
COMPR.
1mg
COMPR.
2mg
COMPR.
2mg
COMPR.
2mg
COMPR.
2mg
COMPR.
2mg
COMPR.
2mg
COMPR.
2mg
COMPR.
2mg
COMPR.
2mg
COMPR.
2mg
COMPR.
3mg
COMPR.
3mg
COMPR.
3mg
COMPR.
3mg
COMPR.
3mg
COMPR.
3mg
COMPR.
3mg
COMPR.
3mg
COMPR.
3mg
COMPR.
3mg
COMPR.
4mg
COMPR.
4mg
COMPR.
4mg
COMPR.
4mg
COMPR.
4mg
COMPR.
4mg
COMPR.
6mg
CAPS.
400mg+2,5mg
CAPS.
400mg+2,5mg

COMPR. CU ELIBERARE PRELUNGITA

Firma

Tara

Ambalaj

Prescriptie

LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF


ANTIBIOTICE S.A.
ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. P-6L
PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 1 FLAC. DIN PEID, PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII X 30 COMPR. FILM. CU E

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 1 FLAC. DIN PEID PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII X 30 COMPR. FILM. CU EL

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. P-RF

P-RF
P-RF

LABORMED PHARMA SA ROMANIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. P-RF

L. MOLTENI

ITALIA
CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 20 COMPR. P-RF
ROMANIA CUTIE X 2 BLIST. X 15 COMPR.
P-RF
ROMANIA CUTIE CU 3 BLIST. PVC/AL X 20 COMPR. CU ELIB. PRELUNGITA P-6L
LES LABORATOIRES SERVIER FRANTA CUTIE X 2 BLIST. X 30 COMPR. ELIB. MODIF. P-RF
LES LABORATOIRES SERVIER FRANTA CUTIE CU BLIST. PVC/AL X 60 COMPR. CU ELIB. MODIF. P-RF
ANTIBIOTICE S.A.
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. ELIB. PREL. P-RF
LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 20 COMPR. ELIB. PREL. P-RF
KRKA
SLOVENIA CUTIE X 6 BLIST. PVC/AL X 10 COMPR. CU ELIB. PREL. P-6L
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF
ZENTIVA A.S.
SLOVACIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-RF
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF
GEDEON RICHTER ROMANIA SA

LABORMED PHARMA S.A.

GLICLAZID MR LPH 30 mg
GLYCLADA 30 mg
TINERIL 4 mg
AMYX 1
TINERIL 1 mg
GLIMERAN 1 mg
RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 FLACON DIN PEID X 30 COMPR. P-RF
MEGLIMID 1 mg
KRKA D.D.
SLOVENIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF
GLIMEPIRIDA ACCORD 1 mg
ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L
GLIMERAN 1 mg
RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF
GLIMEPIRID LPH 1 mg
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF
AMARYL 1mg
SANOFI-AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF
GLIMEPIRIDA ATB 1 mg
ANTIBIOTICE S.A.
ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. P-RF
TINERIL 2 mg
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF
GLIMEPIRIDA ATB 2 mg
ANTIBIOTICE S.A.
ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. P-RF
GLIMERAN 2 mg
RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF
GLIMERAN 2 mg
RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 FLACON DIN PEID X 30 COMPR. P-RF
AMYX 2
ZENTIVA A.S.
SLOVACIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-RF
MEGLIMID 2 mg
KRKA D.D.
SLOVENIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF
GLIMEPIRIDE 2 mg
ACTAVIS GROUP HF. ISLANDA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF
AMARYL 2 mg
SANOFI-AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF
GLIMEPIRIDA ACCORD 2 mg
ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L
GLIMEPIRID LPH 2 mg
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF
MEGLIMID 3 mg
KRKA D.D.
SLOVENIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF
TINERIL 3 mg
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF
GLIMEPIRIDA ATB 3 mg
ANTIBIOTICE S.A.
ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. P-RF
GLIMERAN 3 mg
RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 FLACON DIN PEID X 30 COMPR. P-RF
GLIMERAN 3 mg
RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF
GLIMEPIRIDE 3 mg
ACTAVIS GROUP HF. ISLANDA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF
AMARYL 3 mg
SANOFI-AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF
AMYX 3
ZENTIVA A.S.
SLOVACIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-RF
GLIMEPIRID LPH 3 mg
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF
GLIMEPIRIDA ACCORD 3 mg
ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L
GLIMEPIRIDA ATB 4 mg
ANTIBIOTICE S.A.
ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. P-RF
GLIMEPIRIDA ACCORD 4mg
ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L
GLIMERAN 4 mg
RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 FLACON DIN PEID X 30 COMPR. P-RF
AMARYL 4 mg
SANOFI-AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF
GLIMERAN 4 mg
RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 3 BLIST AL/PVC X 10 COMPR. P-RF
AMYX 4
ZENTIVA A.S.
SLOVACIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-RF
AMARYL 6 mg
SANOFI-AVENTIS ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 30 COMPR. P-RF
COMBINATII (METFORMINUM+GLIBENCLAMIDUM)BIDIAB 400 mg/2,5 mg
ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 5 CAPS. P-RF/S
COMBINATII (METFORMINUM+GLIBENCLAMIDUM)BIDIAB 400 mg/2,5 mg
ARENA GROUP SA ROMANIA CUTIE X 4 BLIST. AL/PVC X 5 CAPS. P-RF
COMBINATII(GLIBENCLAMIDUM+METFORMINUM)GLIBOMET (R)
COMPR. FILM. 2,5mg/400mg LAB. GUIDOTTI SPA ITALIA
CUTIE X 3 BLIST. X 20 COMPR. FILM. P-RF
COMBINATII(GLIBENCLAMIDUM+METFORMINUM)GLIFORMIN
COMPR. FILM. 400mg + 2,5mg LABORMED PHARMA SA ROMANIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
COMBINATII(GLIBENCLAMIDUM+METFORMINUM)GLUCOVANCE (R) 500 mg/2,5 mg COMPR. FILM. 500mg/2,5mg MERCK SANTE
FRANTA CUTIE X 4 BLIST. X 15 COMPR. FILM. P-RF
COMBINATII(GLIBENCLAMIDUM+METFORMINUM)GLUCOVANCE (R) 500 mg/5 mg COMPR. FILM. 500mg/5mg MERCK SANTE
FRANTA CUTIE X 4 BLIST. X 15 COMPR. FILM. P-RF
COMBINATII (ROSIGLITAZONUM+METFORMINUM)*** AVANDAMET 2mg/1000mg
COMPR. FILM. 2mg/1000mg SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X 56 COMPR. FILM.( BLIST. PVC OPAC/PVDC/AL) P-RF
COMBINATII (ROSIGLITAZONUM+METFORMINUM)*** AVANDAMET 4mg/1000mg
COMPR. FILM. 4mg/1000mg SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X 56 COMPR. FILM.( BLIST. PVC OPAC/PVDC/AL) P-RF
COMBINATII (ROSIGLITAZONUM + GLIMEPIRIDUM)***AVAGLIM 4mg/4mg
COMPR. FILM. 4mg/4mg
SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X 28 COMPR. FILM. ( BLIST. PVC/PVDC/AL) P-RF
COMBINATII (ROSIGLITAZONUM + GLIMEPIRIDUM)***AVAGLIM 8mg/4mg
COMPR. FILM. 8mg/4mg
SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X 28 COMPR. FILM. ( BLIST. PVC/PVDC/AL) P-RF
COMBINATII ( PIOGLITAZONUM + METFORMINUM)***COMPETACT
COMPR. FILM. 15mg/850mg
MAREA BRITANIE CUTIE X 56 COMPR. FILM. ( BLIST. AL/AL ) P-RF
ACARBOSUM
GLUCOBAY (R) 100
COMPR.
100mg
BAYER HEALTHCARE AG GERMANIA CUTIE X 8 BLIST. AL/PP X 15 COMPR. P-RF
ACARBOSUM
GLUCOBAY (R) 50
COMPR.
50mg
BAYER HEALTHCARE AG GERMANIA CUTIE X 8 BLIST. AL/PP X 15 COMPR. P-RF
ROSIGLITAZONUM***
AVANDIA 4mg
COMPR. FILM. 4mg
SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X 28 COMPR.FILM. (BLIST.OPAC AL/PVC) P-RF
PIOGLITAZONUM***
ACTOS 15mg
COMPR.
15mg
MAREA BRITANIE CUTIE X 28 COMPR. (BLIST. AL/AL) P-RF
PIOGLITAZONUM***
ACTOS 30mg
COMPR.
30mg
MAREA BRITANIE CUTIE X 28 COMPR.(BLIST. AL/AL)
P-RF
TAKEDA GLOBAL RESEARCH AND DEVELOPMENT CENTRE LTD

TAKEDA GLOBAL RESEARCH AND DEVELOPMENT CENTRE LTD

TAKEDA GLOBAL RESEARCH AND DEVELOPMENT CENTRE LTD

Pagina 20 din 48

cant/a
mbala
j

30
30
30
30
60
60
40
30
60
60
60
30
60
60
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
500
20
60
60
60
60
56
56
28
28
56
120
120
28
28
28

Pret cu
ridicata
maximal /
ambalaj

11.36
11.36
34.94
17.47
20.15
12.96
9.60
9.60
11.99
18.46
34.49
5.95
12.00
11.97
10.51
3.06
3.06
3.00
6.64
3.03
3.00
3.06
3.59
3.04
5.30
5.03
5.05
5.05
5.30
13.19
3.92
6.03
5.29
5.30
18.27
9.89
9.31
9.44
9.44
7.27
11.17
9.89
9.89
9.83
10.50
10.51
9.87
11.83
9.87
10.51
18.86
176.07
7.81
18.83
18.83
20.19
20.19
97.17
159.96
92.61
167.23
157.85
66.70
48.10
78.65
104.32
157.00

Pret cu ridicata
maximal / U.T.

0.378666
0.378666
1.164666
0.582333
0.335833
0.216000
0.240000
0.320000
0.199833
0.307666
0.574833
0.198333
0.200000
0.199500
0.350333
0.102000
0.102000
0.100000
0.221333
0.101000
0.100000
0.102000
0.119666
0.101333
0.176666
0.167666
0.168333
0.168333
0.176666
0.439666
0.130666
0.201000
0.176333
0.176666
0.609000
0.329666
0.310333
0.314666
0.314666
0.242333
0.372333
0.329666
0.329666
0.327666
0.350000
0.350333
0.329000
0.394333
0.329000
0.350333
0.628666
0.352140
0.390500
0.313833
0.313833
0.336500
0.336500
1.735178
2.856428
3.307500
5.972500
2.818750
0.555833
0.400833
2.808928
3.725714
5.607142

Pret cu ridicata
maximal de
decontare / U.T.

0.378666
0.378666
1.164666
0.454399
0.335833
0.216000
0.240000
0.259200
0.199833
0.238000
0.574833
0.198333
0.200000
0.199500
0.350333
0.102000
0.102000
0.100000
0.120000
0.101000
0.100000
0.102000
0.119666
0.101333
0.156799
0.156799
0.156799
0.156799
0.156799
0.156799
0.130666
0.156799
0.156799
0.156799
0.290800
0.290800
0.290800
0.290800
0.290800
0.242333
0.290800
0.290800
0.290800
0.290800
0.350000
0.350333
0.329000
0.394333
0.329000
0.350333
0.628666
0.352140
0.376600
0.313833
0.313833
0.336500
0.336500
1.735178
2.856428
3.307500
5.972500
2.818750
0.555833
0.400833
2.808928
3.725714
5.607142

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

15.35
15.35
45.70
23.61
27.23
17.52
12.97
12.97
16.21
24.95
45.11
8.04
16.22
16.18
14.21
4.14
4.14
4.05
8.98
4.10
4.05
4.14
4.85
4.11
7.16
6.80
6.83
6.83
7.16
17.83
5.30
8.15
7.15
7.16
24.70
13.37
12.59
12.76
12.76
9.82
15.10
13.37
13.37
13.28
14.19
14.21
13.34
15.99
13.34
14.21
25.49
214.95
10.55
25.45
25.45
27.29
27.29
122.86
195.28
117.10
204.16
192.70
84.34
62.91
99.44
127.36
191.67

0.511666
0.511666
1.523333
0.787000
0.453833
0.292000
0.324250
0.432333
0.270166
0.415833
0.751833
0.268000
0.270333
0.269666
0.473666
0.138000
0.138000
0.135000
0.299333
0.136666
0.135000
0.138000
0.161666
0.137000
0.238666
0.226666
0.227666
0.227666
0.238666
0.594333
0.176666
0.271666
0.238333
0.238666
0.823333
0.445666
0.419666
0.425333
0.425333
0.327333
0.503333
0.445666
0.445666
0.442666
0.473000
0.473666
0.444666
0.533000
0.444666
0.473666
0.849666
0.429900
0.527500
0.424166
0.424166
0.454833
0.454833
2.193928
3.487142
4.182142
7.291428
3.441071
0.702833
0.524250
3.551428
4.548571
6.845357

0.511666
0.511666
1.523333
0.613999
0.453833
0.292000
0.324250
0.350400
0.270166
0.321600
0.751833
0.268000
0.270333
0.269666
0.473666
0.138000
0.138000
0.135000
0.162000
0.136666
0.135000
0.138000
0.161666
0.137000
0.211999
0.211999
0.211999
0.211999
0.211999
0.211999
0.176666
0.211999
0.211999
0.211999
0.392800
0.392800
0.392800
0.392800
0.392800
0.327333
0.392800
0.392800
0.392800
0.392800
0.473000
0.473666
0.444666
0.533000
0.444666
0.473666
0.849666
0.429900
0.508999
0.424166
0.424166
0.454833
0.454833
2.193928
3.487142
4.182142
7.291428
3.441071
0.702833
0.524250
3.551428
4.548571
6.845357

Grupa
Nr.
terape
crt
utica
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194

A10BG03
A10BH01
A10BX02
A10BX02
A10BX02
A10BX02
A10BX02
A10BX02
A10BX02
A10BX02
A10BX02
A10BX02
A10BX02
A10BX02
A10BX04
A10BX04
A10BX04
A11DA03
A11DA03
A11DBN1
A11DBN1
A11DBN1
A11DBN1
A11DBN1
A11DBN1
A11DBN1
A11DBN1
A11DBN1
B03BA51
B03BA51
B03BA51
A10BB03
H04AA01

Denumire generica

PIOGLITAZONUM***
SITAGLIPTINUM***
REPAGLINIDUM
REPAGLINIDUM
REPAGLINIDUM
REPAGLINIDUM
REPAGLINIDUM
REPAGLINIDUM
REPAGLINIDUM
REPAGLINIDUM
REPAGLINIDUM
REPAGLINIDUM
REPAGLINIDUM
REPAGLINIDUM
EXENATIDUM***
EXENATIDUM***
EXENATIDUM***
BENFOTIAMINUM
BENFOTIAMINUM
COMBINATII**
COMBINATII**
COMBINATII**
COMBINATII**
COMBINATII**
COMBINATII**
COMBINATII**
COMBINATII**
COMBINATII**
COMBINATII**
COMBINATII**
COMBINATII**
TOLBUTAMIDUM
GLUCAGONUM

Denumire comerciala

Forma
Concentrati
farmaceutica
e / U.T.

ACTOS 45mg
JANUVIA 100mg

COMPR. FILM. 100mg

COMPR.

REPAGLINIDA FARMAL 0,5 mg


REPAGLINIDA FARMAL 0,5 mg
REPAGLINIDA FARMAL 0,5 mg
REPAGLINIDA FARMAL 0,5 mg
REPAGLINIDA FARMAL 1 mg
REPAGLINIDA FARMAL 1 mg
REPAGLINIDA FARMAL 1 mg
REPAGLINIDA FARMAL 1 mg
REPAGLINIDA FARMAL 2 mg
REPAGLINIDA FARMAL 2 mg
REPAGLINIDA FARMAL 2 mg
REPAGLINIDA FARMAL 2 mg

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.

BYDUREON 2 mg
BYETTA 10mcg/doza
BYETTA 5mcg/doza
BENFOGAMMA
DRAJ.
BENFOGAMMA
DRAJ.
MILGAMMA (R) N
CAPS. MOI
MILGAMMA (R) N
CAPS. MOI
MILGAMMA (R) N
CAPS. MOI
MILGAMMA (R) 100
DRAJ.
MILGAMMA (R) 100
DRAJ.
MILGAMMA (R) 100
DRAJ.
MILGAMMA (R) N
SOL. INJ.
MILGAMMA (R) NA
SOL. INJ.
MILGAMMA (R) N
SOL. INJ.
MILGAMMA (R) (vezi B03BA51) DRAJ.
MILGAMMA (R) (vezi B03BA51) DRAJ.
MILGAMMA (R) (vezi B03BA51) DRAJ.

PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL.

SOL. INJ. IN STILOU INJECTOR PREUMPLUT

SOL. INJ. IN STILOU INJECTOR PREUMPLUT

45mg
0,5mg
0,5mg
0,5mg
0,5mg
1mg
1mg
1mg
1mg
2mg
2mg
2mg
2mg
2 mg
10mcg/doza
5mcg/doza
50mg
50mg

Firma

Tara

Ambalaj

Prescriptie

TAKEDA GLOBAL RESEARCH AND DEVELOPMENT CENTRE LTD

MAREA BRITANIE

CUTIE X 28 COMPR.(BLIST. AL/AL)

MERCK SHARP & DOHME

MAREA BRITANIE

CUTIE X 28 COMPR. FILM. (BLIST. PVC/PE/PVDC/AL) P-RF

P-RF

ROMANIA CUTIE CU BLIST. AL/AL X 270 COMPR. FILM. P-RF


ROMANIA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-RF
FARMAL INTERNATIONAL S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 90 COMPR. FILM. P-RF
FARMAL INTERNATIONAL S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 120 COMPR. FILM. P-RF
FARMAL INTERNATIONAL S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-RF
FARMAL INTERNATIONAL S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 90 COMPR. FILM. P-RF
FARMAL INTERNATIONAL S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 120 COMPR. FILM. P-RF
FARMAL INTERNATIONAL S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 270 COMPR. FILM. P-RF
FARMAL INTERNATIONAL S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-RF
FARMAL INTERNATIONAL S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 90 COMPR. FILM. P-RF
FARMAL INTERNATIONAL S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 120 COMPR. FILM. P-RF
FARMAL INTERNATIONAL S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 270 COMPR. FILM. P-RF
ELI LILLY NEDERLAND BV OLANDA
PRF
ELI LILLY NEDERLAND BV OLANDA CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT (60 DOZE) P-RF
ELI LILLY NEDERLAND BV OLANDA CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT (60 DOZE) P-RF
FARMAL INTERNATIONAL S.R.L.
FARMAL INTERNATIONAL S.R.L.

AMBALAJ CU 4 X 1 DISPOZITIV DE ADMINISTRAREA UNICA (1FL X2MG PULB.+1SERINGA PREUMPLUTAX0,65ML SOLVEN

WORWAG PHARMA GMBH & CO. KG


WORWAG PHARMA GMBH & CO. KG
WORWAG PHARMA GMBH & CO. KG
WORWAG PHARMA GMBH & CO. KG
WORWAG PHARMA GMBH & CO. KG
WORWAG PHARMA GMBH & CO. KG
WORWAG PHARMA GMBH & CO. KG
WORWAG PHARMA GMBH & CO. KG
WORWAG PHARMA GMBH & CO. KG
WORWAG PHARMA GMBH & CO. KG
WORWAG PHARMA GMBH & CO. KG
WORWAG PHARMA GMBH & CO. KG
WORWAG PHARMA GMBH & CO. KG
WORWAG PHARMA GMBH & CO. KG

GERMANIA
GERMANIA
GERMANIA
GERMANIA
GERMANIA
GERMANIA
GERMANIA
GERMANIA
GERMANIA
GERMANIA
GERMANIA
GERMANIA
GERMANIA
GERMANIA

CUTIE X 5 BLIST. PVC-PVDC/AL X 20 DRAJ.

P-6L

CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ.

P-6L

CUTIE X 2 BLIST. PVC/PVDC X 10 CAPS. MOI

P-6L

CUTIE X 10 BLIST. PVC/PVDC X 10 CAPS. MOI P-6L


CUTIE X 5 BLIST. PVC/PVDC X 10 CAPS. MOI

P-6L

CUTIE X 2 BLIST. PVC-PVDC/AL X 15 DRAJ.

P-6L

CUTIE X 4 BLIST. PVC-PVDC/AL X 25 DRAJ.

P-6L

CUTIE X 4 BLIST. PVC-PVDC/AL X 15 DRAJ.

P-6L

CUTIE X 25 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 2 ML P-RF


CUTIE X 5 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 1 ML

P-RF

CUTIE X 5 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 2 ML

P-RF

CUTIE X 10 BLIST. PVC/PVDC X 10 DRAJ. P-6L


CUTIE X 2 BLIST. PVC/PVDC X 10 DRAJ. P-6L
CUTIE X 5 BLIST. PVC/PVDC X 10 DRAJ. P-6L

cant/a
mbala
j

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

28
28
270
30
90
120
30
90
120
270
30
90
120
270
4
1
1
100
50
20
100
50
30
100
60
25
5
5
100
20
50

204.00
158.85
130.43
15.01
45.05
59.02
19.92
58.71
78.29
172.99
24.35
71.76
95.68
211.39
463.80
389.37
333.12
39.40
21.00
14.83
65.92
35.42
37.68
112.58
70.30
65.30
13.54
13.54
65.92
14.83
35.42

7.285714
5.673214
0.483074
0.500333
0.500555
0.491833
0.664000
0.652333
0.652416
0.640703
0.811666
0.797333
0.797333
0.782925
115.950000
389.370000
333.120000
0.394000
0.420000
0.741500
0.659200
0.708400
1.256000
1.125800
1.171666
2.612000
2.708000
2.708000
0.659200
0.741500
0.708400

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

1,475.99
375.37
753.00
1,765.78
463.88
897.84
1,419.30
377.32
724.65
2,441.69
4,853.37
632.91
1,235.86
2,301.15
597.46
1,165.59
3,035.05
2,630.24
4,766.25
5,541.15
718.85
1,608.75
1,396.36
6,345.00
781.26
9,502.50
2,766.50
1,407.44
492.34

1,475.990000
375.370000
753.000000
1,765.780000
463.880000
897.840000
1,419.300000
377.320000
724.650000
2,441.690000
4,853.370000
632.910000
1,235.860000
2,301.150000
597.460000
1,165.590000
3,035.050000
2,630.240000
4,766.250000
5,541.150000
718.850000
1,608.750000
1,396.360000
6,345.000000
781.260000
9,502.500000
2,766.500000
1,407.440000
492.340000

Pret cu ridicata
maximal de
decontare / U.T.

7.285714
5.673214
0.483074
0.500333
0.500555
0.491833
0.664000
0.652333
0.652416
0.640703
0.811666
0.797333
0.797333
0.782925
115.950000
389.370000
333.120000
0.394000
0.420000
0.741500
0.659200
0.708400
1.256000
1.125800
1.171666
2.612000
2.708000
2.708000
0.659200
0.741500
0.708400

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

249.04
193.93
159.23
20.29
58.93
74.63
26.92
74.23
98.99
211.19
32.91
90.73
120.98
258.06
543.69
462.56
401.25
51.53
28.38
20.05
83.35
46.33
49.28
137.44
88.89
82.57
18.30
18.30
83.35
20.05
46.33

8.894285
6.926071
0.589740
0.676333
0.654777
0.621916
0.897333
0.824777
0.824916
0.782185
1.097000
1.008111
1.008166
0.955777
135.922500
462.560000
401.250000
0.515300
0.567600
1.002500
0.833500
0.926600
1.642666
1.374400
1.481500
3.302800
3.660000
3.660000
0.833500
1.002500
0.926600

8.894285
6.926071
0.589740
0.676333
0.654777
0.621916
0.897333
0.824777
0.824916
0.782185
1.097000
1.008111
1.008166
0.955777
135.922500
462.560000
401.250000
0.515300
0.567600
1.000200
0.833500
0.926600
1.642666
1.374400
1.481500
3.302800
3.660000
3.660000
0.833500
1.000200
0.926600

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.1: HEMOFILIE SI TALASEMIE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29

B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02

FACTOR VIII DE COAGULARE**


FACTOR VIII DE COAGULARE**
FACTOR VIII DE COAGULARE**
FACTOR VIII DE COAGULARE**
FACTOR VIII DE COAGULARE**
FACTOR VIII DE COAGULARE**
FACTOR VIII DE COAGULARE**
FACTOR VIII DE COAGULARE**
FACTOR VIII DE COAGULARE**
MOROCTOCOG ALFA**
MOROCTOCOG ALFA**
MOROCTOCOG ALFA**
MOROCTOCOG ALFA**
OCTOCOG ALFA**
OCTOCOG ALFA**
OCTOCOG ALFA**
OCTOCOG ALFA**
OCTOCOG ALFA**
OCTOCOG ALFA**
OCTOCOG ALFA**
OCTOCOG ALFA**
OCTOCOG ALFA**
OCTOCOG ALFA**
OCTOCOG ALFA**
OCTOCOG ALFA**
OCTOCOG ALFA**

B02BD03 COMPLEX DE ANTIINHIBITORI AI COAGULARII**


B02BD03 COMPLEX DE ANTIINHIBITORI AI COAGULARII**
B02BD04

FACTOR IX DE COAGULARE**

HAEMOCTIN (R) SDH 1000


HAEMOCTIN (R) SDH 250
HAEMOCTIN (R) SDH 500
FANHDI 100ui/ml
FANHDI 25 ui/ml
FANHDI 50 ui/ml
OCTANATE 100 UI/ml
OCTANATE 50 UI/ml
OCTANATE 50 UI/ml
REFACTO 1000UI
REFACTO 2000UI
REFACTO 250UI
REFACTO 500UI
RECOMBINATE 1000 UI
RECOMBINATE 250 UI
RECOMBINATE 500 UI
ADVATE 1000UI
KOGENATE BAYER 1000UI
ADVATE 1500UI
KOGENATE BAYER 2000UI
KOGENATE BAYER 250UI
ADVATE 500UI
KOGENATE BAYER 500UI
ADVATE 2000UI
ADVATE 250UI
ADVATE 3000UI
FEIBA NF 1000 U FEIBA
FEIBA NF 500 U FEIBA
OCTANINE F 250

LIOF. + SOLV. PT. SOL. INJ.


LIOF. + SOLV. PT. SOL. INJ.
LIOF. + SOLV. PT. SOL. INJ.

PULB+SOLV.PT.SOL.INJ
PULB+SOLV.PT.SOL.INJ
PULB+SOLV.PT.SOL.INJ
PULB. + SOLV. PT. SOL. INJ.
PULB. + SOLV. PT. SOL. INJ.
PULB. + SOLV. PT. SOL. INJ.

PULB. + SOL. PT. SOL. INJ.


PULB. + SOL. PT. SOL. INJ.
PULB. + SOL. PT. SOL. INJ.
PULB. + SOL. PT. SOL. INJ.
PULB+SOLV. PT. SOL. INJ.
PULB+SOLV. PT. SOL. INJ.
PULB+SOLV. PT. SOL. INJ.

PULB+SOLV.PT.SOL.INJ
PULB+SOLV.PT.SOL.INJ
PULB+SOLV.PT.SOL.INJ
PULB+SOLV.PT.SOL.INJ
PULB+SOLV.PT.SOL.INJ
PULB+SOLV.PT.SOL.INJ
PULB+SOLV.PT.SOL.INJ
PULB+SOLV.PT.SOL.INJ.
PULB+SOLV.PT.SOL.INJ.
PULB+SOLV.PT.SOL.INJ.
LIOF. + SOLV. PT. SOL. INJ./PERF.
LIOF. + SOLV. PT. SOL. INJ./PERF.

LIOF. + SOLV. PT. SOL. PERF.

1000UI
250UI
500UI
1000ui
250ui
500ui
100 UI/ml
50 UI/ml
50 UI/ml
1000 UI
2000 UI
250 UI
500 UI
1000UI
250UI
500UI
1000UI
1000UI
1500UI
2000UI
250UI
500 UI
500UI
2000 UI
250 UI
3000 UI
1000 U/20 ml
500 U/20ml
250 UI

BIOTEST PHARMA GMBH GERMANIA

CUTIE X 1 FLAC. LIOF. + 1 FLAC. X 10 ML SOLV. + 1 SERINGA + 1 CANULA DE TRANSFER + 1 AC CU FILTRU +

BIOTEST PHARMA GMBH GERMANIA

CUTIE X 1 FLAC. LIOF. + 1 FLAC. X 5 ML SOLV. + 1 SERINGA + 1 CANULA DE TRANSFER + 1 AC CU FILTRU + 1

BIOTEST PHARMA GMBH GERMANIA

CUTIE X 1 FLAC. LIOF. + 1 FLAC. X 10 ML SOLV. + 1 SERINGA + 1 CANULA DE TRANSFER + 1 AC CU FILTRU +

INSTITUTO GRIFOLS S.A.


INSTITUTO GRIFOLS S.A.
INSTITUTO GRIFOLS S.A.

OCTAPHARMA (IP) LTD.


OCTAPHARMA (IP) LTD.
OCTAPHARMA (IP) LTD.

WYETH
WYETH
WYETH
WYETH

EUROPA LTD
EUROPA LTD
EUROPA LTD
EUROPA LTD

BAXTER AG
BAXTER AG
BAXTER AG
BAXTER AG

SPANIA
SPANIA
SPANIA

CUTIE X 1 FLAC. CU PULB. X 1 SERINGA PREUMPLUTA X 10 ML SOLVENT + 1 CANULA + 2 TAMPOANE ALCOOL

CUTIE X 1 FLAC. CU PULB. X 1 SERINGA PREUMPLUTA X 10 ML SOLV. + 1 CANULA + 2 TAMPOANE CU ALCOOL

MAREA BRITANIE

CUTIE X 1 FLAC. X 1000 UI PULB. PT.SOL. INJ. + 1 FL. SOLVENT X 10ML + CUTIE CU SET DE RECONSTITUIRE

MAREA BRITANIE

CUTIE X 1 FLAC. CU 250 U.I. PULB. + 1 FL.SOLVENT X 5ML+ CUTIE CU SET DE RECONSTITUIRE SI ADM.

MAREA BRITANIE

CUTIE X 1 FLAC. CU 500 U.I. PULB. + 1 FL. SOLVENT X 10ML + CUTIE CU SET DE RECONSTITUIRE SI ADM.

MAREA BRITANIE

CUTIE X 1 FLAC.CU PULB. + 1 SERINGA PREUMPL. X 4 ML SOLV + 1 ADAPTOR + 2 TAMP.CU ALCOOL + 1 SET STER
P-RF/R

MAREA BRITANIE

CUTIE X 1 FLAC.CU PULB. + 1 SERINGA PREUMPL. X 4 ML SOLV + 1 ADAPTOR + 2 TAMP.CU ALCOOL + 1 SET STER
P-RF/R

MAREA BRITANIE

CUTIE X 1 FLAC.CU PULB. + 1 SERINGA PREUMPL. X 4 ML SOLV + 1 ADAPTOR + 2 TAMP.CU ALCOOL + 1 SET STER
P-RF/R

MAREA BRITANIE

CUTIE X 1 FLAC.CU PULB. + 1 SERINGA PREUMPL. X 4 ML SOLV + 1 ADAPTOR + 2 TAMP.CU ALCOOL + 1 SET STER
P-RF/R

AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA

BAYER HEALTHCARE AG GERMANIA

BAXTER AG

CUTIE X 1 FLAC. CU PULB. X 1 SERINGA PREUMPLUTA X 10 ML SOLV. + 1 CANULA + 2 TAMPOANE CU ALCOOL

S
S
S
S
S
S
PR
PR
PR

AUSTRIA

CUTIE CU 1 FLAC. PULB.+1 FLAC. SOLV.+DISPOZITIV PT. RECONST. CU AC STERIL DUBLU SI 1 AC FILTRU STERI S/P-RF
CUTIE CU 1 FLAC. PULB.+1 FLAC. SOLV.+DISPOZITIV PT. RECONST. CU AC STERIL DUBLU SI 1 AC FILTRU STERI S/P-RF
CUTIE CU 1 FLAC. PULB.+1 FLAC. SOLV.+DISPOZITIV PT. RECONST. CU AC STERIL DUBLU SI 1 AC FILTRU STERI S/P-RF

CUTIE X 1 FLAC. CU PULB. + 1 FLAC. X 5 ML APA PT. SOL. INJ. + 1 DISPOZITIV BAXJECT II

P-RF/R

CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA PREUMPLUTA X 2,5ML SOL. + AMBALAJ SUPL. CE CONTIN

P-RF/R

CUTIE X 1 FLAC. CU PULB. + 1 FLAC. X 5 ML APA PT. SOL. INJ. + 1 DISPOZITIV BAXJECT II

P-RF/R

BAYER HEALTHCARE AG GERMANIA

CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA PREUMPLUTA X 5,0ML SOL. + AMBALAJ SUPL. CE CONTIN

P-RF/R

BAYER HEALTHCARE AG GERMANIA

CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA PREUMPLUTA X 2,5ML SOL. + AMBALAJ SUPL. CE CONTIN

P-RF/R

BAXTER AG

CUTIE X 1 FLAC. CU PULB. + 1 FLAC. X 5 ML APA PT. SOL. INJ. + 1 DISPOZITIV BAXJECT II

P-RF/R

CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA PREUMPLUTA X 2,5ML SOL. + AMBALAJ SUPL. CE CONTIN

P-RF/R

AUSTRIA

BAYER HEALTHCARE AG GERMANIA

BAXTER AG
BAXTER AG
BAXTER AG
BAXTER AG
BAXTER AG

AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA

OCTAPHARMA (IP) LIMITED

MAREA BRITANIE

CUTIE X 1 FLAC CU PULB. + 1 FLAC. X 5 ML SOLVENT + 1 DISPOZITIV BAXJECT II P-RF/R


CUTIE X 1 FLAC CU PULB. + 1 FLAC. X 5 ML APA PT. SOL. INJ. + 1 DISPOZITIV BAXJECT II

P-RF/R

CUTIE X 1 FLAC CU PULB. + 1 FLAC. X 5 ML SOLVENT + 1 DISPOZITIV BAXJECT II P-RF/R


CUTIE X 1 FLAC. LIOF. + 1 FLAC. SOLV. + 1 TRUSA DE RECONSTITUIRE SI ADM.
CUTIE X 1 FLAC. LIOF. + 1 FLAC. SOLV. + 1 TRUSA MEDICALA PT. RECONSTITUIRE SI ADM.
CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA A 30 ML CU LIOF. + 1 FLAC. X 5 ML SOLV. + 1 SERIN

Pagina 21 din 48

S
S
S

1,475.990000 1,646.98 1,646.979100 1,646.979100


375.370000
447.30
447.300000
447.300000
753.000000
858.92
858.920000
858.920000
1,765.780000 1,962.85 1,962.850000 1,962.850000
463.880000
543.78
543.780000
543.780000
897.840000 1,016.80 1,016.800000 1,016.800000
1,419.300000 1,585.19 1,585.187000 1,585.187000
377.320000
449.43
449.430000
449.430000
724.650000
828.02
828.020000
828.020000
2,441.690000 2,699.59 2,699.590000 2,699.590000
4,853.370000 5,328.32 5,328.320000 5,328.320000
632.910000
728.02
728.020000
728.020000
1,235.860000 1,385.24 1,385.240000 1,385.240000
2,301.150000 2,546.40 2,546.400000 2,546.400000
597.460000
689.38
689.380000
689.380000
1,165.590000 1,308.64 1,308.640000 1,308.640000
3,035.050000 3,346.35 3,346.350000 3,346.350000
2,630.240000 2,905.11 2,905.110000 2,905.110000
4,766.250000 5,233.36 5,233.360000 5,233.360000
5,541.150000 6,078.00 6,078.000000 6,078.000000
718.850000
821.70
821.700000
821.700000
1,608.750000 1,791.69 1,791.690000 1,791.690000
1,396.360000 1,560.18 1,560.180000 1,560.180000
6,345.000000 6,954.20 6,954.200000 6,954.200000
781.260000
889.72
889.720000
889.720000
9,502.500000 10,395.88 10,395.880000 10,395.880000
2,766.500000 3,053.64 3,053.640000 3,053.640000
1,407.440000 1,572.26 1,572.260000 1,572.260000
492.340000
574.80
574.800000
574.800000

Grupa
Nr.
terape
crt
utica
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50

Denumire generica

B02BD04

FACTOR IX DE COAGULARE**
FACTOR IX DE COAGULARE**
FACTOR IX DE COAGULARE**
FACTOR IX DE COAGULARE**
NONACOG ALPHA**
NONACOG ALPHA**
NONACOG ALPHA**
NONACOG ALPHA**

B02BD06

FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND**

B02BD06

FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND**

B02BD06

FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND**

B02BD06

FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND**

B02BD06

FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND**

B02BD06

FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND**

B02BD08

EPTACOG ALFA ACTIVATUM**


EPTACOG ALFA ACTIVATUM**
EPTACOG ALFA ACTIVATUM**
DEFEROXAMINUM**3
DEFERASIROXUM****
DEFERASIROXUM****
DEFERASIROXUM****

B02BD04
B02BD04
B02BD04
B02BD04
B02BD04
B02BD04
B02BD04

B02BD08
B02BD08
V03AC01
V03AC03
V03AC03
V03AC03

Denumire comerciala

Forma
Concentrati
farmaceutica
e / U.T.

OCTANINE F 1000 UI
PULB. + SOLV. PT. SOL. PERF. 1000UI
OCTANINE F 500 UI
PULB. + SOLV. SOL. PERF. 500 UI
IMMUNINE 1200 UI
1200UI
IMMUNINE 600 UI
600UI
BENEFIX 1000UI
PULB+SOLV.PT.SOL.INJ 1000UI
BENEFIX 2000UI
PULB+SOLV.PT.SOL.INJ 2000UI
BENEFIX 250UI
PULB+SOLV.PT.SOL.INJ 250UI
BENEFIX 500UI
PULB+SOLV.PT.SOL.INJ 500UI
IMMUNATE 1000 UI
1000UI
IMMUNATE 250 UI
250UI
IMMUNATE 500 UI
500UI
HAEMATE P 500 UI
WILATE 450 U.I./400 U.I.
PULB+SOLV. PT. SOL. INJ. 450U.I./400U.I.
WILATE 900 U.I./800 U.I.
PULB+SOLV. PT. SOL. INJ. 900U.I./800U.I.
NOVOSEVEN 2mg (100 KUI) PULB. + SOLV. PT. SOL. INJ. 100 KIU
NOVOSEVEN 5mg (250 KUI) PULB. + SOLV. PT. SOL. INJ. 250 KIU
NOVOSEVEN 1mg (50 KUI) PULB. + SOLV. PT. SOL. INJ. 50 KIU
DESFERAL
LIOF. PT. SOL. INJ./PERF.
500mg
EXJADE 125mg
COMPR. DISP. 125mg
EXJADE 250mg
COMPR. DISP. 250mg
EXJADE 500mg
COMPR. DISP. 500mg
PULB.+SOLV. PT. SOL. INJ./PERF.
PULB.+SOLV. PT. SOL. INJ./PERF.

LIOF. + SOLV. PT. SOL. INJ./PERF.


LIOF. + SOLV. PT. SOL. INJ./PERF.
LIOF. + SOLV. PT. SOL. INJ./PERF.

LIOF. SI SOLV. PT. SOL. INJ./PERF.

Firma

OCTAPHARMA (IP) LTD.


OCTAPHARMA (IP) LTD.

BAXTER AG
BAXTER AG
WYETH
WYETH
WYETH
WYETH

EUROPA LTD
EUROPA LTD
EUROPA LTD
EUROPA LTD

BAXTER AG
BAXTER AG
BAXTER AG
CSL BEHRING GMBH
OCTAPHARMA (IP) LTD.
OCTAPHARMA (IP) LTD.

NOVO NORDISK A/S


NOVO NORDISK A/S
NOVO NORDISK A/S

Tara

Ambalaj

Prescriptie

CUTIE X 1 FLAC. PULB. PT. SOL. INJ./ PERF. + 1 FLAC. X 5 ML SOLV. + 1 SET DE RECONSTITUIRE SI ADMIN

S
S
S
S

MAREA BRITANIE

CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA UMPLUTA. X 5ML SOL. INJ. + 1 SET STERIL DE PERF.

P-RF

MAREA BRITANIE

CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA UMPLUTA. X 5ML SOL. INJ. + 1 SET STERIL DE PERF.

MAREA BRITANIE

CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA UMPLUTA. X 5ML SOL. INJ. + 1 SET STERIL DE PERF.

P-RF

MAREA BRITANIE

CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA UMPLUTA. X 5ML SOL. INJ. + 1 SET STERIL DE PERF.

P-RF

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA CU PULB. PT. SOL. PERF. + 1 FLAC. DIN STICLA CU 10 ML SOLV. PT. SOL. PER

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA CU PULB. PT. SOL. PERF. + 1 FLAC. DIN STICLA CU 5 ML SOLV. PT. SOL. PERF

AUSTRIA
AUSTRIA

AUSTRIA
AUSTRIA
AUSTRIA

CUTIE X 1 FLAC. PULB. PT. SOL. INJ./ PERF. + 1 FLAC. X 10 ML SOLV. + 1 SET DE RECONSTITUIRE SI ADMI

CUTIE X 1 FLAC. LIOF. + 1 FLAC. X 5 ML SOLV. + 1 TRUSA MEDICALA PT. RECONSTITUIRE SI ADMINISTRARE

S
S
S

GERMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA A 30 ML CU LIOF. + 1 FLAC. X 10 ML SOLV. + 1 SET DE RECONSTIT.

P-RF

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. + SOLV. + DISPOZITIV PT. RECONSTITUIRE S

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. + SOLV. + DISPOZITIV PT. RECONSTITUIRE S

DANEMARCA

CUTIE X 1 FLAC. PULB. PT. SOL. INJ. + 1 FLAC. SOLV. PT. RECONSTITUIRE P-RF/R

DANEMARCA

CUTIE X 1 FLAC. PULB. PT. SOL. INJ. + 1 FLAC. SOLV. PT. RECONSTITUIREP-RF/R

DANEMARCA

CUTIE X 1 FLAC. PULB. PT. SOL. INJ. + 1 FLAC. SOLV. PT. RECONSTITUIRE P-RF/R

CUTIE X 1 FLAC. LIOF. + 1 FLAC. X 10 ML SOLV. + 1 TRUSA MEDICALA PT. RECONSTITUIRE SI ADMINISTRARE

CUTIE X 1 FLAC. LIOF. + 1 FLAC. X 5 ML SOLV. + 1 TRUSA MEDICALA PT. RECONSTITUIRE SI ADMINISTRARE

S
S

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 10 FLAC. DIN STICLA X 500 MG LIOF. PT. SOL. INJ./PERF.

S/P-RF

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 28 COMPR. DISP.(BLIST. PVC/PE/PVDC/AL)

P-RF/R

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL)

P-RF/R

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL)

P-RF/R

cant/a
mbala
j

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

Pret cu ridicata
maximal de
decontare / U.T.

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

1 1,629.80 1,629.800000 1,629.800000 1,814.63 1,814.630000 1,814.630000


1
829.90
829.900000
829.900000
942.74
942.740000
942.740000
1 1,586.83 1,586.830000 1,586.830000 1,767.79 1,767.790000 1,767.790000
1
891.90
891.900000
891.900000 1,010.32 1,010.320000 1,010.320000
1 2,519.23 2,519.230000 2,519.230000 2,784.11 2,784.110000 2,784.110000
1 5,008.46 5,008.460000 5,008.460000 5,497.37 5,497.370000 5,497.370000
1
712.99
712.990000
712.990000
815.31
815.310000
815.310000
1 1,274.61 1,274.610000 1,274.610000 1,427.47 1,427.470000 1,427.470000
1 1,107.58 1,107.580000 1,107.580000 1,245.41 1,245.410000 1,245.410000
1
296.35
296.350000
296.350000
361.79
361.790000
361.790000
1
568.81
568.810000
568.810000
658.15
658.150000
658.150000
1 1,337.63 1,337.630000 1,337.630000 1,496.17 1,496.170000 1,496.170000
1
996.20
996.200000
996.200000 1,124.01 1,124.010000 1,124.010000
1 1,962.39 1,962.390000 1,962.390000 2,177.16 2,177.160000 2,177.160000
1 5,431.43 5,431.430000 5,431.430000 5,958.41 5,958.410000 5,958.410000
1 13,793.54 13,793.540000 13,793.540000 15,073.11 15,073.110000 15,073.110000
1 2,730.72 2,730.720000 2,730.720000 3,014.63 3,014.630000 3,014.630000
10
111.33
11.133000
11.133000
135.91
13.591000
13.591000
28
679.82
24.279285
24.279285
779.15
27.826785
27.826785
28 1,444.56
51.591428
51.591428 1,612.72
57.597142
57.597142
28 2,629.24
93.901428
93.901428 2,904.03
103.715357
103.715357

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.2: EPIDERMOLIZA BULOASA
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23

D06BA01

ACITRETINUM
TETRACYCLINUM
ACIDUM FUSIDICUM
ACIDUM FUSIDICUM
SULFADIAZINUM

D07CA01

COMBINATII (ACIDUM FUSIDICUM+HYDROCORTISONUM)

D07CC01

COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII

D05BB02
D06AA04
D06AX01
D06AX01

D07CC01
D07CC01
D07CC01
D07CC01
D07CC01
D07CC01
D07CC01

NEOTIGASON 10 mg
TETRACICLINA CLORHIDRAT
FUCIDIN 20 mg/g
FUCIDIN 20 mg/g
FLAMMAZINE
FUCIDIN H
DIPROGENTA (R)
TRIDERM (R)
BELOGENT
BELOGENT
DIPROGENTA (R)
BELOGENT
BELOGENT
TRIDERM

D07CC01 COMBINATII (ACIDUM FUSIDICUM+ BETAMETHASONUM)FUCICORT

J01AA07
J01AA07
J01AA07
J01AA07
J01AA07
J01AA07
N03AB02
N03AB02

TETRACYCLINUM
TETRACYCLINUM
TETRACYCLINUM
TETRACYCLINUM
TETRACYCLINUM
TETRACYCLINUM
PHENYTOINUM
PHENYTOINUM

20 mg/1mg pe gram
TETRACICLINA ARENA 250 mg

TETRACICLINA 250 mg
TETRACICLINA 250 mg
TETRACICLINA SANDOZ 250 mg

TETRACICLINA 250 mg
TETRACICLINA ARENA 250 mg

FENITOIN 100 mg
PHENHYDAN 250 mg/5 ml

CAPS.
UNGUENT
CREMA
UNGUENT
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
UNGUENT
UNGUENT
UNGUENT
UNGUENT
CREMA
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
COMPR.
SOL. INJ.

10mg
3%
20mg/g
20mg/g
1%

ISLANDA CUTIE X 3 BLIST. AL/PVC-PVDC X 10 CAPS.


ROMANIA CUTIE X 1 TUB X 12 G

P-RF

ANTIBIOTICE SA
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

ACTAVIS GROUP PTC EHF.

CN UNIFARM

ROMANIA BORCAN X 500 G CREMA


PRF
CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF
SCHERING PLOUGH EUROPE BELGIA
CUTIE X 1 TUB X 15 G
P-RF
SCHERING PLOUGH EUROPE BELGIA
CUTIE X 1 TUB AL X 15 G
P-RF
A & G MED TRADING S.R.L. ROMANIA CUTIE X 1 TUB. DIN AL X 30 G CREMA P-RF
A & G MED TRADING S.R.L. ROMANIA CUTIE X 1 TUB. DIN AL X 15 G CREMA P-RF
SCHERING PLOUGH EUROPE BELGIA
CUTIE X 1 TUB X 15 G
P-RF
A & G MED TRADING S.R.L. ROMANIA CUTIE X 1 TUB DIN AL X 30 G UNGUENT P-RF
A & G MED TRADING S.R.L. ROMANIA CUTIE X 1 TUB DIN AL X 15 G UNGUENT P-RF
SCHERING PLOUGH EUROPE BELGIA
CUTIE X 1 TUB DIN AL X 15 G UNGUENT P-RF
LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF
ARENA GROUP SA ROMANIA CUTIE X 50 BLIST. AL/PVC X 10 CAPS. P-RF/S
ANTIBIOTICE SA
ROMANIA CUTIE X 2 BLIST. X 10 CAPS.
P-RF
ANTIBIOTICE SA
ROMANIA CUTIE X 100 BLIST. X 10 CAPS.
P-RF/S
SANDOZ SRL
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF
EUROPHARM SA
ROMANIA CUTIE X 2 BLIST. X 10 CAPS.
P-RF
ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
P-6L
LEO PHARMACEUTICAL PRODUCTS

0,5mg/1mg pe gram

0,5mg/1mg pe gram

20mg/1mg pe gram

250mg
250mg
250mg
250mg
250mg
250mg
100mg
250mg/5ml

P-RF

DANEMARCA

DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE CU 5 FIOLE DIN STICLA INCOLORA X 5 ML SOL. INJ. P-RF

30
1
1
1
1
1
1
1
1
1
1
1
1
1
1
500
20
1000
20
20
20
20
5

58.42
4.80
11.11
11.11
82.52
15.89
9.14
11.13
9.17
8.01
9.14
9.17
8.01
11.13
17.42
51.60
2.32
111.63
2.00
2.21
2.19
2.03
52.94

1.947333
4.800000
11.110000
11.110000
82.520000
15.890000
9.140000
11.130000
9.170000
8.010000
9.140000
9.170000
8.010000
11.130000
17.420000
0.103200
0.116000
0.111630
0.100000
0.110500
0.109500
0.101500
10.588000

56
56
90

9,418.29
9,093.02
1,851.89

168.183750
162.375357
20.576555

20
20
20
50

42.40
21.60
33.00
109.87

2.120000
1.080000
1.650000
2.197400

1.947333
4.800000
11.110000
11.110000
82.520000
15.890000
9.140000
11.130000
9.170000
8.010000
9.140000
9.170000
8.010000
11.130000
17.420000
0.103200
0.116000
0.111630
0.100000
0.110500
0.109500
0.101500
10.588000

73.87
6.49
15.01
15.01
104.34
21.48
12.36
15.05
12.39
10.83
12.36
12.39
10.83
15.05
23.54
65.24
3.14
136.28
2.70
2.99
2.96
2.74
66.94

2.462333
6.490000
15.010000
15.010000
104.340000
21.480000
12.360000
15.050000
12.390000
10.830000
12.360000
12.390000
10.830000
15.050000
23.540000
0.130480
0.157000
0.136280
0.135000
0.149500
0.148000
0.137000
13.388000

2.462333
6.490000
15.010000
15.010000
104.340000
21.480000
12.360000
15.050000
12.390000
10.830000
12.360000
12.390000
10.830000
15.050000
23.540000
0.130480
0.156576
0.136280
0.135000
0.149500
0.148000
0.137000
13.388000

168.183750 10,304.10
162.375357 9,949.56
20.576555 2,056.71

184.001785
177.670714
22.852333

184.001785
177.670714
22.852333

2.120000
1.080000
1.650000
2.682600

2.120000
1.080000
1.650000
2.682600

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.3: HIPERTENSIUNE PULMONARA
1
2
3

C02KX01
C02KX01
G04BE03

BOSENTANUM**
BOSENTANUM**
SILDENAFILUM**

TRACLEER 125 mg
TRACLEER 62,5 mg
REVATIO 20 mg

COMPR. FILM. 125mg


COMPR. FILM. 62,5mg
COMPR. FILM. 20mg

ACTELION REGISTRATION LTD. MAREA BRITANIE CUTIE X 4 BLIST. PVC/PE/PVDC/AL X 14 COMPR. FILM.

P-RF/R

ACTELION REGISTRATION LTD. MAREA BRITANIE CUTIE X 4 BLIST. PVC/PE/PVDC/AL X 14 COMPR. FILM.

P-RF/R

PFIZER LIMITED

P-RF/R

MAREA BRITANIE

CUTIE X 6 BLIST. AL/PVC X 15 COMPR. FILM.

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.4: MUCOVISCIDOZA
1
2
3
4

A09AA02
A09AA02
A09AA02
A09AA02

PANCREATINUM**
PANCREATINUM**
PANCREATINUM**
PANCREATINUM**

MEZYM FORTE 25000


KREON 10000
KREON 25000
KREON 40000

CAPS. CU MINI-COMPR. GASTROREZ.

CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.

356,100mg
150mg
300mg
400mg

BERLIN CHEMIE AG (MENARINI GROUP)

SOLVAY PHARMACEUTICALS BV
SOLVAY PHARMACEUTICALS BV
SOLVAY PHARMACEUTICALS BV

GERMANIA CUTIE X 1 FLACON DIN PP X 20 CAPS. CU MINI-COMPR. GASTROREZ.


GERMANIA FLACON DIN PEID CU 20 CAPS. GASTROREZ.
GERMANIA FLACON DIN PEID CU 20 CAPS. GASTROREZ.
GERMANIA FLACON DIN PEID CU 50 CAPS. GASTROREZ.

Pagina 22 din 48

OTC
OTC
OTC
P-6L

2.120000
1.080000
1.650000
2.197400

42.40
21.60
33.00
134.13

Grupa
Nr.
terape
crt
utica
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38

J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01GB01
R05CB13

Denumire generica

CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
TOBRAMYCINUM**
DORNAZA ALFA**

Denumire comerciala

KLACID (R)
LEKOKLAR (R) 250 mg
CLAR 250

Forma
Concentrati
farmaceutica
e / U.T.
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
COMPR. FILM. ELIB. MODIF. 500mg
COMPR. FILM. ELIB. MODIF. 500mg
COMPR. FILM. ELIB. MODIF. 500mg
COMPR. FILM. ELIB. PREL. 500mg
COMPR. FILM. ELIB. PREL. 500mg
GRAN. PT. SUSP. ORALA 125mg/5ml
GRAN. PT. SUSP. ORALA 125mg/5ml
GRAN. PT. SUSP. ORALA 125mg/5ml
GRAN. PT. SUSP. ORALA 125mg/5ml
GRAN. PT. SUSP. ORALA 125mg/5ml
GRAN. PT. SUSP. ORALA 125mg/5ml
GRAN. PT. SUSP. ORALA 250mg/5ml
GRAN. PT. SUSP. ORALA 250mg/5ml
GRAN. PT. SUSP. ORALA 250mg/5ml
GRAN. PT. SUSP. ORALA 250mg/5ml
LIOF. PT. SOL. PERF. 500mg
SOL. INHAL. 300mg/5ml
SOL. INHAL. 1mg/ml

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
CLARITROMICINA LPH 250 mg COMPR. FILM.
CLARITROMICINA 250 mg
COMPR. FILM.
FROMILID 250
COMPR. FILM.
KLERIMED (R) 250
COMPR. FILM.
KLABAX 250 mg
COMPR. FILM.
LEKOKLAR (R) 500 mg
COMPR. FILM.
CLARITROMICINA LPH 500 mg COMPR. FILM.
ROCLARIN 500 mg
COMPR. FILM.
CLAR 500
COMPR. FILM.
CLARITROMICINA 500 mg
COMPR. FILM.
FROMILID 500
COMPR. FILM.
KLERIMED (R) 500
COMPR. FILM.
KLABAX 500 mg
COMPR. FILM.

KLABAX MR 500 mg
LEKOKLAR XL 500 mg
LEKOKLAR XL 500 mg
KLACID SR
FROMILID (R) UNO
KLABAX 125 mg/5 ml
KLACID (R)
KLACID (R)
FROMILID (R) 125 mg/5 ml
KLABAX 125 mg/5 ml
LEKOKLAR 125 mg/5 ml
KLABAX 250 mg/5 ml
KLABAX 250 mg/5 ml
LEKOKLAR 250 mg/5 ml
LEKOKLAR 250 mg/5 ml
KLACID I.V.
TOBI (R)
PULMOZYME

Firma

Tara

Ambalaj

Prescriptie

ABBOTT SPA

ITALIA

CUTIE X 1 BLIST. X 14 COMPR. FILM.

P-RF

LEK PHARMACEUTICALS D.D.

SLOVENIA CUTIE X 2 BLIST. X 7 COMPR. FILM.

P-RF

MEDICAROM GROUP S.R.L.

ROMANIA CUTIE X 5 BLIST. X 4 COMPR. FILM.


ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM.

P-RF

LABORMED PHARMA S.A.


OZONE LABORATORIES LTD.

MAREA BRITANIE

cant/a
mbala
j

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 4 PLICURI DIN AL; FIECARE PLIC CONTINE 7 FIOLE GEMENE DIN PEJD X 5 ML SOL. DE INHALAT PRIN N

P-RF

ROCHE ROMANIA S.R.L. ROMANIA

CUTIE X 6 FIOLE UNIDOZA PE X 2,5 ML SOL. INHAL. PRIN NEBULIZATOR, INTRODUSE IN PUNGA AL

S/P-RF

14
14
20
14
14
14
14
14
14
14
20
20
14
14
14
14
7
5
7
5
7
1
1
1
1
1
1
1
1
1
1
1
28
6

S
S
GERMANIA CUTIE X 1 FLAC.X 50 ML SOL. PERF. S
GERMANIA CUTIE X 1 FLAC.X 100 ML SOL. PERF. S
GERMANIA CUTIE X 1 FLAC.X 200 ML SOL. PERF. S
AUSTRIA CUTIE X 1 FLAC X 200ML SOL. PERF.(20G/200ML) S
AUSTRIA CUTIE X 1 FLAC X 50ML SOL. PERF.(5G/50ML) S
AUSTRIA CUTIE X 1 FLAC X 100ML SOL. PERF.(10G/100ML) S
GERMANIA CUTIE X 1 FLAC.X 25 ML SOL. PERF. S
AUSTRIA CUTIE X 1 FLAC X 300ML SOL. PERF.(30G/300ML) S
AUSTRIA CUTIE X 1 FLAC X 25ML SOL. PERF.(2,5G/25ML) S
AUSTRIA CUTIE X 1 FLAC X 10ML SOL. PERF.(1G/10ML) S
ITALIA
S
ITALIA
S
ITALIA
S
SPANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10 ML SOL.PERF. S
SPANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL.PERF.S
SPANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL.PERF.S
SPANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL.PERF. S
MAREA BRITANIE CUTIE X 1 FLACON X 50 ML
S
MAREA BRITANIE CUTIE X 1 FLACON X 200 ML
S
MAREA BRITANIE CUTIE X 1 FLACON X 100 ML
S
ITALIA
S
MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 20 ML SOL. PERF.
S
MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL. PERF.
S
MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. S
MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL. PERF. S
FRANTA CUTIE X 4 BLIST. X 14 COMPR.
P-RF/R

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
56

CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM.

P-RF
P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. P-RF

MEDOCHEMIE LTD. CIPRU


CUTIE X 2 BLIST. AL/PVC-PVDC X 7 COMPR. FILM. P-RF
TERAPIA SA
ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF
SLOVENIA CUTIE X 2 BLIST. X 7 COMPR. FILM. P-RF
LABORMED PHARMA S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF
ANTIBIOTICE S.A.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
MEDICAROM GROUP S.R.L. ROMANIA CUTIE X 5 BLIST. AL/PVC X 4 COMPR. FILM. P-RF
LEK PHARMACEUTICALS D.D.

OZONE LABORATORIES LTD.

MAREA BRITANIE

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

MEDOCHEMIE LTD. CIPRU


CUTIE X 2 BLIST. AL/PVC-PVDC X 7 COMPR. FILM. P-RF
TERAPIA SA
ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF
TERAPIA SA
ROMANIA CUTIE X 1 BLIST. PVC/PVDC-AL X 7 COMPR. FILM. ELIB. PREL. P-RF
LEK PHARMACEUTICALS D.D.

SLOVENIA
SLOVENIA

ABBOTT LABORATORIES LTD.

MAREA BRITANIE CUTIE X 1 BLIST. PVC-PVDC/AL X 5 COMPR. FILM. ELIB. PREL.

P-RF

KRKA D.D.
TERAPIA SA
ABBOTT SPA
ABBOTT SPA
KRKA D.D.
TERAPIA SA
SANDOZ SRL
TERAPIA SA
TERAPIA SA
SANDOZ SRL
SANDOZ SRL

SLOVENIA

LEK PHARMACEUTICALS D.D.

ABBOTT LABORATORIES LTD.

CUTIE X 1 FOLIE AL/AL X 5 COMPR. FILM. ELIB. MODIF. P-RF


CUTIE X 1 FOLIE AL/AL X 7 COMPR. FILM. ELIB. MODIF. P-RF

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. ELIB. PREL.

P-RF

ROMANIA CUTIE X 1 FLAC. DIN PEID X 70 G GRAN. PT. 100 ML SUSP . ORALA
ITALIA
ITALIA

P-RF

SLOVENIA CUTIE X 1 FLAC. PULB. PT. 60 ML SUSP.

P-RF

ROMANIA CUTIE X 1 FLAC. DIN PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA


ROMANIA
ROMANIA CUTIE X 1 FLAC. PEID X 70 G GRAN. PT. 100 ML SUSP . ORALA
ROMANIA CUTIE X 1 FLAC. PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA
ROMANIA
ROMANIA
FRANTA CUTIE X 1 FLAC. LIOF. PT. SOL. PERF.

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

CUTIE X 1 FLAC. PEID CU 41 G GRANULE PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE PP

CUTIE X 1 FLAC. DIN PEID CU 68,3 G GRANULE PT. 100 ML SUSP. ORALA + LINGURITA DOZATOARE PP

CUTIE X 1 FLAC. DIN PEID CU 41 G GRANULE PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE PP

P-RF
P-RF
P-RF
P-RF
P-RF
S/P-RF

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

Pret cu ridicata
maximal de
decontare / U.T.

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

20.89
23.56
16.80
10.73
10.73
12.20
12.20
10.73
28.67
23.46
32.75
33.52
23.46
23.85
23.85
23.46
26.60
13.44
18.81
27.52
20.55
23.11
29.57
17.90
17.03
13.85
19.16
38.60
23.17
46.49
33.89
40.64
8,017.20
545.47

1.492142
1.682857
0.840000
0.766428
0.766428
0.871428
0.871428
0.766428
2.047857
1.675714
1.637500
1.676000
1.675714
1.703571
1.703571
1.675714
3.800000
2.688000
2.687142
5.504000
2.935714
23.110000
29.570000
17.900000
17.030000
13.850000
19.160000
38.600000
23.170000
46.490000
33.890000
40.640000
286.328571
90.911666

0.919714
0.919714
0.840000
0.766428
0.766428
0.871428
0.871428
0.766428
1.965000
1.675714
1.637500
1.676000
1.675714
1.703571
1.703571
1.675714
1.965000
1.965000
1.965000
1.965000
1.965000
23.110000
27.732000
16.620000
16.620000
13.850000
16.620000
38.600000
23.170000
46.320000
27.804000
40.640000
286.328571
90.911666

28.23
31.85
22.71
14.50
14.50
16.49
16.49
14.50
37.50
31.71
42.84
43.84
31.71
32.23
32.23
31.71
34.79
18.17
25.42
36.00
27.77
31.23
38.68
24.19
23.02
18.72
25.90
50.49
31.31
60.81
44.33
53.16
8,776.91
632.71

2.016428
2.275000
1.135500
1.035714
1.035714
1.177857
1.177857
1.035714
2.678571
2.265000
2.142000
2.192000
2.265000
2.302142
2.302142
2.265000
4.970000
3.634000
3.631428
7.200000
3.967142
31.230000
38.680000
24.190000
23.020000
18.720000
25.900000
50.490000
31.310000
60.810000
44.330000
53.160000
313.461071
105.451666

1.242857
1.242857
1.135500
1.035714
1.035714
1.177857
1.177857
1.035714
2.570400
2.265000
2.142000
2.192000
2.265000
2.302142
2.302142
2.265000
2.570400
2.570400
2.570400
2.570400
2.570400
31.230000
37.476000
22.464000
22.464000
18.720000
22.464000
50.490000
31.310000
60.588000
37.572000
53.160000
313.461071
105.451666

394.04
758.08
890.95
1,751.89
3,473.78
3,469.04
889.76
1,749.51
460.47
7,459.41
459.88
188.56
2,050.80
222.29
535.20
99.02
914.10
1,798.20
472.05
640.45
2,261.30
1,166.70
1,040.40
663.61
1,550.55
3,072.10
6,114.44
874.73

394.040000
758.080000
890.950000
1,751.890000
3,473.780000
3,469.040000
889.760000
1,749.510000
460.470000
7,459.410000
459.880000
188.560000
2,050.800000
222.290000
535.200000
99.020000
914.100000
1,798.200000
472.050000
640.450000
2,261.300000
1,166.700000
1,040.400000
663.610000
1,550.550000
3,072.100000
6,114.440000
15.620178

394.040000
758.080000
890.950000
1,751.890000
3,473.780000
3,469.040000
889.760000
1,749.510000
460.470000
7,459.410000
459.880000
188.560000
2,050.800000
222.290000
535.200000
99.020000
914.100000
1,798.200000
472.050000
640.450000
2,261.300000
1,166.700000
1,040.400000
663.610000
1,550.550000
3,072.100000
6,114.440000
15.620178

467.65
864.46
1,009.28
1,947.71
3,824.57
3,819.40
1,007.99
1,945.12
540.07
8,168.91
539.42
230.20
2,273.52
271.37
621.52
125.20
1,034.52
1,998.19
552.68
736.24
2,502.97
1,309.85
1,172.19
761.48
1,728.25
3,386.74
6,702.89
991.61

467.650000
864.460000
1,009.280000
1,947.710000
3,824.570000
3,819.400000
1,007.990000
1,945.120000
540.070000
8,168.910000
539.420000
230.200000
2,273.520000
271.370000
621.520000
125.200000
1,034.520000
1,998.190000
552.680000
736.240000
2,502.970000
1,309.850000
1,172.190000
761.480000
1,728.250000
3,386.740000
6,702.890000
17.707321

467.650000
864.460000
1,009.280000
1,947.710000
3,824.570000
3,819.400000
1,007.990000
1,945.120000
540.070000
8,168.910000
539.420000
230.200000
2,273.520000
271.370000
621.520000
125.200000
1,034.520000
1,998.190000
552.680000
736.240000
2,502.970000
1,309.850000
1,172.190000
761.480000
1,728.250000
3,386.740000
6,702.890000
17.707321

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.5: BOLI NEUROLOGICE DEGENERATIVE/INFLAMATORII SI MIASTENIA GRAVIS
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28

HUMAGLOBIN
HUMAGLOBIN
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**PRIVIGEN 100mg/ml
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**PRIVIGEN 100mg/ml
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**PRIVIGEN 100mg/ml
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**KIOVIG 100mg/ml
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**KIOVIG 100mg/ml
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**KIOVIG 100mg/ml
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**PRIVIGEN 100mg/ml
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**KIOVIG 100mg/ml
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**KIOVIG 100mg/ml
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**KIOVIG 100mg/ml
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**IG VENA 10g/200ml
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**IG VENA 1g/20ml
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**IG VENA 2,5g/50ml
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**FLEBOGAMMA 5%
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**FLEBOGAMMA 5%
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**FLEBOGAMMA 5%
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**FLEBOGAMMA 5%
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**OCTAGAM
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**OCTAGAM
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**OCTAGAM
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**IG VENA 5g/100ml
IMUNOGLOBULINA UMANA NORMALA G** OCTAGAM 10%
IMUNOGLOBULINA UMANA NORMALA G** OCTAGAM 10%
IMUNOGLOBULINA UMANA NORMALA G** OCTAGAM 10%
IMUNOGLOBULINA UMANA NORMALA G** OCTAGAM 10%
RILUZOLUM**
RILUTEK 50 mg

5%
5%
SOL. PERF. 100mg/ml
SOL. PERF. 100mg/ml
SOL. PERF. 100mg/ml
SOL. PERF. 100mg/ml
SOL. PERF. 100mg/ml
SOL. PERF. 100mg/ml
SOL. PERF. 100mg/ml
SOL. PERF. 100mg/ml
SOL. PERF. 100mg/ml
SOL. PERF. 100mg/ml
SOL. PERF. 10g/200ml
SOL. PERF. 1g/20ml
SOL. PERF. 2,5g/50ml
SOL. PERF. 5%
SOL. PERF. 5%
SOL. PERF. 5%
SOL. PERF. 5%
SOL. PERF. 50mg/ml
SOL. PERF. 50mg/ml
SOL. PERF. 50mg/ml
SOL. PERF. 5g/100ml
SOL. PERF. 100 mg/ml
SOL. PERF. 100 mg/ml
SOL. PERF. 100 mg/ml
SOL. PERF. 100 mg/ml
COMPR. FILM. 50mg

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

PULB.+SOLV. PT. SOL. PERF.

HUMAN BIOPLAZMA MANUFACTURING AND TRADING LTD.

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

PULB.+SOLV. PT. SOL. PERF.

HUMAN BIOPLAZMA MANUFACTURING AND TRADING LTD.

J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
N07XX02

CSL BEHRING GMBH


CSL BEHRING GMBH
CSL BEHRING GMBH
BAXTER AG
BAXTER AG
BAXTER AG
CSL BEHRING GMBH
BAXTER AG
BAXTER AG
BAXTER AG
KEDRION SPA
KEDRION SPA
KEDRION SPA
INSTITUTO GRIFOLS S.A.
INSTITUTO GRIFOLS S.A.
INSTITUTO GRIFOLS S.A.
INSTITUTO GRIFOLS S.A.

OCTAPHARMA (IP) LTD.


OCTAPHARMA (IP) LTD.
OCTAPHARMA (IP) LTD.

KEDRION SPA
OCTAPHARMA (IP) LIMITED
OCTAPHARMA (IP) LIMITED
OCTAPHARMA (IP) LIMITED
OCTAPHARMA (IP) LIMITED

AVENTIS PHARMA SA

UNGARIA
UNGARIA

CUTIE X 1 CUTIE X 1 FLAC. CU PULB. + 1 CUTIE X 1 FLAC. SOLV. X 50 ML

CUTIE X 1 CUTIE X 1 FLAC. CU PULB. + 1 CUTIE X 1 FLAC. SOLV. X 100 ML

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL. PERF. + 1 SET ADMINISTRARE

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 20 ML SOL. PERF. + 1 SET ADMINISTRARE


CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL. PERF. + 1 SET ADMINISTRARE

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. + 1 SET ADMINISTRARE

Pagina 23 din 48

Grupa
Nr.
terape
crt
utica

Denumire generica

Denumire comerciala

Forma
Concentrati
farmaceutica
e / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a
mbala
j

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

Pret cu ridicata
maximal de
decontare / U.T.

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.6: OSTEOGENEZA IMPERFECTA
1
2
3
4
5
6
7
8
9

M05BA03
M05BA03
M05BA03
M05BA03
M05BA03
M05BA03
M05BA03
M05BA03
M05BA03

ACIDUM PAMIDRONICUM
ACIDUM PAMIDRONICUM
ACIDUM PAMIDRONICUM
ACIDUM PAMIDRONICUM
ACIDUM PAMIDRONICUM
ACIDUM PAMIDRONICUM
ACIDUM PAMIDRONICUM
ACIDUM PAMIDRONICUM
ACIDUM PAMIDRONICUM

PAMIDRONAT TORREX
PAMIDRONAT TORREX
PAMIDRONAT TORREX
PAMIDRONAT TORREX
PAMIRED 30
PAMIRED 30
PAMIRED 60
PAMIRED 60
AREDIA (R) 15 mg

CONC. PT. SOL. PERF.


CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
LIOF. PT. SOL. PERF. I.V.
LIOF. PT. SOL. PERF. I.V.
LIOF. PT. SOL. PERF. I.V.
LIOF. PT. SOL. PERF. I.V.
LIOF.+ SOLV. PT. SOL. PERF.

15mg/ml
15mg/ml
15mg/ml
15mg/ml
30mg
30mg
60mg
60mg
15mg

AUSTRIA CUTIE X 1 FIOLA PE X 2 ML


S/P-RF
AUSTRIA CUTIE X 1 FIOLA PE X 1 ML
S/P-RF
TORREX CHIESI PHARMA GMBH AUSTRIA CUTIE X 1 FIOLA PE X 6 ML
S/P-RF
TORREX CHIESI PHARMA GMBH AUSTRIA CUTIE X 1 FIOLA PE X 4 ML
S/P-RF
DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 30 MG LIOF. PT. SOL. PERF. I.V. S/P-RF
DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 30 MG LIOF. PT. SOL. PERF. I.V. S/P-RF
DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 60 MG LIOF. PT. SOL. PERF. I.V. S/P-RF
DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 60 MG LIOF. PT. SOL. PERF. I.V. S/P-RF
TORREX CHIESI PHARMA GMBH
TORREX CHIESI PHARMA GMBH

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 4 FLAC. DIN STICLA X 15 MG LIOF. PT. SOL. PERF. + 4 FIOLE DIN STICLA X 5 ML SOLV.

S/P-RF

CUTIE X 1 FLAC. LIOF. PT. SOL. INJ. + 1 FIOLA X 3,5 ML SOLV.

P-RF

1
1
1
1
1
1
1
1
4

183.61
109.44
524.05
357.96
151.08
151.08
235.03
235.03
589.21

183.610000
109.440000
524.050000
357.960000
151.080000
151.080000
235.030000
235.030000
147.302500

181.296000
109.440000
524.050000
282.036000
151.080000
151.080000
235.030000
235.030000
131.328000

224.15
133.60
609.36
428.33
184.44
184.44
286.92
286.92
680.39

224.150000
133.600000
609.360000
428.330000
184.440000
184.440000
286.920000
286.920000
170.097500

221.328000
133.600000
609.360000
344.304000
184.440000
184.440000
286.920000
286.920000
160.320000

1
1
1
1
1
1
1

369.62
469.53
404.70
660.02
1,163.21
1,531.24
780.62

369.620000
469.530000
404.700000
660.020000
1,163.210000
1,531.240000
780.620000

369.620000
469.530000
404.700000
660.020000
792.024000
792.024000
485.640000

441.04
549.94
479.27
757.57
1,306.05
1,707.20
889.03

441.040000
549.940000
479.270000
757.570000
1,306.050000
1,707.200000
889.030000

441.040000
549.940000
479.270000
757.570000
909.084000
909.084000
575.124000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.7: SINDROM PRADER WILLI
1
2
3
4
5
6
7

H01AC01
H01AC01
H01AC01
H01AC01
H01AC01
H01AC01
H01AC01

SOMATROPINUM**
SOMATROPINUM**
SOMATROPINUM**
SOMATROPINUM**
SOMATROPINUM**
SOMATROPINUM**
SOMATROPINUM**

ZOMACTON

LIOF. + SOLV. PT. SOL. INJ.

4mg (12ui)

GENOTROPIN (R) 16 ui (5,3 mg)

PULB. + SOLV. PT. SOL. INJ.

5,3mg/ml (16ui) PFIZER EUROPE MA EEIG

OMNITROPE 3,3mg/ml
OMNITROPE 6,7mg/ml

SOL. INJ.
SOL. INJ.

NORDITROPIN SIMPLEXx 10 mg/1,5ml

3,3mg/ml
6,7mg/ml
SOL. INJ. IN CARTUS 10mg/1,5ml
10mg/1,5 ml
5mg/1,5 ml

NORDITROPIN FLEXPRO 10 mg/1,5 ml

SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT

NORDITROPIN FLEXPRO 5 mg/1,5 ml

SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT

FERING GMBH

GERMANIA

MAREA BRITANIE CUTIE X 1 CARTUS BICAMERAL MULTIDOZA CU PULB. SI SOLV. PT. SOL. INJ.

P-RF

SANDOZ GMBH
AUSTRIA CUTIE X 1CARTUS X 1,5 ML SOL.INJ. P-RF/R
SANDOZ GMBH
AUSTRIA CUTIE X 1CARTUS X 1,5 ML SOL.INJ. P-RF/R
NOVO NORDISK A/S DANEMARCA CUTIE X 1 CARTUS DIN STICLA INCOLORA X 1,5 ML SOL. INJ.P-RF
NOVO NORDISK A/S DANEMARCA
P-RF
NOVO NORDISK A/S DANEMARCA
P-RF
CUTIE CU 1 STILOU INJECTOR (PEN) PREUMPLUT MULTI-DOZA ( CARTUS DIN STICLA INCOLORA X 1,5 ML SOL. INJ

CUTIE CU 1 STILOU INJECTOR (PEN) PREUMPLUT MULTI-DOZA ( CARTUS DIN STICLA INCOLORA X 1,5 ML SOL. INJ

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.8: BOALA FABRY
1

A16AB04

AGALSIDASUM BETA**

FABRAZYME 35 mg

PULB. PT. CONC. PT. SOL. PERF.

35mg

GENZYME EUROPE BV OLANDA

CUTIE X 1 FLAC. CU PULB. PT. CONC. PT. SOL. PERF.S

1 13,635.68 13,635.680000 13,635.680000 14,901.06 14,901.060000 14,901.060000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.9: BOALA POMPE
1

A16AB07

ALGLUCOSIDASUM ALPHA**

MYOZYME 50mg

PULB. PT. CONC. PT. SOL. PERF.

50mg

GENZYME EUROPE B.V. OLANDA

CUTIE X 1 FLAC. CU 50MG PULB. PT. CONC. PT. SOL. PERF.

2,238.48

2,238.480000

60 12,653.00
60 3,481.07
60 6,932.14

2,238.480000

2,478.10

2,478.100000

2,478.100000

210.883333
58.017833
115.535666

210.883333 13,829.94
58.017833 3,832.52
115.535666 7,594.19

230.499000
63.875333
126.569833

230.499000
63.875333
126.569833

670.990000

670.990000

769.530000

769.530000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.10: TIROZINEMIE
1
2
3

A16AX04
A16AX04
A16AX04

NITISINONUM
NITISINONUM
NITISINONUM

ORFADIN 10mg
ORFADIN 2mg
ORFADIN 5mg

CAPS.
CAPS.
CAPS.

10mg
2mg
5mg

SWEDISH ORPHAN INTERNATIONAL AB


SWEDISH ORPHAN INTERNATIONAL AB
SWEDISH ORPHAN INTERNATIONAL AB

SUEDIA
SUEDIA
SUEDIA

CUTIE X 1 FLAC. DIN PEID X 60 CAPS.


CUTIE X 1 FLAC. DIN PEID X 60 CAPS.
CUTIE X 1 FLAC. DIN PEID X 60 CAPS.

OLANDA

CUTIE X 1 FLAC. X 5 MG PULB. PT. SOL. PERF.

SUEDIA

CUTIE X 4 FLAC. X 3 ML CONC. PT. SOL. PERF.

4 49,286.94 12,321.735000 12,321.735000 53,760.98 13,440.245000 13,440.245000

P-RF/R
P-RF/R
P-RF/R

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.11: SEPSIS SEVER
1

B01AD10

DROTRECOGINUM ALFA**

XIGRIS 5mg

PULB. PT. SOL. PERF.

5mg

ELI LILLY NEDERLAND BV

670.99

769.53

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.12: MUCOPOLIZAHARIDOZ TIP II (SINDROM HUNTER)
1

A16AB09

IDURSULFASUM**

ELAPRASE 2mg/ml

CONC. PT. SOL. PERF.

2mg/ml

SHIRE HUMAN GENETIC THERAPIES AB

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.13: MUCOPOLIZAHARIDOZ TIP I (SINDROM HURLER)
1

A16AB05

LARONIDAZUM**

ALDURAZYME 100UI/ml

CONC. PT. SOL. PERF.

100U/ml

GENZYME EUROPE BV OLANDA CUTIE X 1 FLAC. X 5 ML

Pagina 24 din 48

2,770.33

2,770.330000

2,770.330000

3,057.81

3,057.810000

3,057.810000

Grupa
Nr.
terape
crt
utica

Denumire generica

Denumire comerciala

Forma
Concentrati
farmaceutica
e / U.T.

Firma

Tara

Ambalaj

Prescriptie

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

394.04
758.08
890.95
1,751.89
3,473.78
3,469.04
889.76
1,749.51
460.47
7,459.41
459.88
188.56
2,050.80
222.29
535.20
99.02
914.10
1,798.20
472.05
640.45
2,261.30
1,166.70
1,040.40
663.61
1,550.55
3,072.10
6,114.44

394.040000
758.080000
890.950000
1,751.890000
3,473.780000
3,469.040000
889.760000
1,749.510000
460.470000
7,459.410000
459.880000
188.560000
2,050.800000
222.290000
535.200000
99.020000
914.100000
1,798.200000
472.050000
640.450000
2,261.300000
1,166.700000
1,040.400000
663.610000
1,550.550000
3,072.100000
6,114.440000

394.040000
758.080000
890.950000
1,751.890000
3,473.780000
3,469.040000
889.760000
1,749.510000
460.470000
7,459.410000
459.880000
188.560000
2,050.800000
222.290000
535.200000
99.020000
914.100000
1,798.200000
472.050000
640.450000
2,261.300000
1,166.700000
1,040.400000
663.610000
1,550.550000
3,072.100000
6,114.440000

467.65
864.46
1,009.28
1,947.71
3,824.57
3,819.40
1,007.99
1,945.12
540.07
8,168.91
539.42
230.20
2,273.52
271.37
621.52
125.20
1,034.52
1,998.19
552.68
736.24
2,502.97
1,309.85
1,172.19
761.48
1,728.25
3,386.74
6,702.89

467.650000
864.460000
1,009.280000
1,947.710000
3,824.570000
3,819.400000
1,007.990000
1,945.120000
540.070000
8,168.910000
539.420000
230.200000
2,273.520000
271.370000
621.520000
125.200000
1,034.520000
1,998.190000
552.680000
736.240000
2,502.970000
1,309.850000
1,172.190000
761.480000
1,728.250000
3,386.740000
6,702.890000

467.650000
864.460000
1,009.280000
1,947.710000
3,824.570000
3,819.400000
1,007.990000
1,945.120000
540.070000
8,168.910000
539.420000
230.200000
2,273.520000
271.370000
621.520000
125.200000
1,034.520000
1,998.190000
552.680000
736.240000
2,502.970000
1,309.850000
1,172.190000
761.480000
1,728.250000
3,386.740000
6,702.890000

1
50
30
10
10
100
1
1
4
28
28
28
2
50
20
30
1
1
1
100
100
100
100
100
100

19.01
25.41
22.96
107.51
201.40
60.16
21.50
12.14
25.18
56.92
25.83
97.67
3,029.34
23.85
21.67
4.78
6.44
22.68
14.97
8.55
9.12
17.66
6.95
6.05
6.15

19.010000
0.508200
0.765333
10.751000
20.140000
0.601600
21.500000
12.140000
6.295000
2.032857
0.922500
3.488214
1,514.670000
0.477000
1.083500
0.159333
6.440000
22.680000
14.970000
0.085500
0.091200
0.176600
0.069500
0.060500
0.061500

19.010000
0.508200
0.765333
10.751000
20.140000
0.601600
21.500000
12.140000
6.295000
2.032857
0.922500
3.488214
1,514.670000
0.477000
1.083500
0.159333
6.440000
22.680000
14.970000
0.085500
0.091200
0.176600
0.069500
0.060500
0.061500

25.69
33.24
31.03
131.25
245.87
76.07
29.06
16.41
32.94
71.97
33.79
123.50
3,340.14
32.23
29.29
6.46
8.71
30.65
20.23
11.56
12.33
23.87
9.40
8.18
8.31

25.690000
0.664800
1.034333
13.125000
24.587000
0.760700
29.060000
16.410000
8.235000
2.570357
1.206785
4.410714
1,670.070000
0.644600
1.464500
0.215333
8.710000
30.650000
20.230000
0.115600
0.123300
0.238700
0.094000
0.081800
0.083100

25.690000
0.664800
1.034333
13.125000
24.587000
0.760700
29.060000
16.410000
8.235000
2.570357
1.206785
4.410714
1,670.070000
0.644600
1.464500
0.215333
8.710000
30.650000
20.230000
0.115600
0.123300
0.238700
0.094000
0.081800
0.083100

cant/a
mbala
j

Pret cu ridicata
maximal de
decontare / U.T.

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.14: AFIBRINOGENEMIE CONGENITAL
B02BB01

FIBRINOGEN UMAN **

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.15: SINDROM DE IMUNODEFICIEN PRIMAR
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27

HUMAGLOBIN
HUMAGLOBIN
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**PRIVIGEN 100mg/ml
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**PRIVIGEN 100mg/ml
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**PRIVIGEN 100mg/ml
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**KIOVIG 100mg/ml
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**KIOVIG 100mg/ml
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**KIOVIG 100mg/ml
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**PRIVIGEN 100mg/ml
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**KIOVIG 100mg/ml
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**KIOVIG 100mg/ml
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**KIOVIG 100mg/ml
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**IG VENA 10g/200ml
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**IG VENA 1g/20ml
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**IG VENA 2,5g/50ml
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**FLEBOGAMMA 5%
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**FLEBOGAMMA 5%
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**FLEBOGAMMA 5%
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**FLEBOGAMMA 5%
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**OCTAGAM
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**OCTAGAM
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**OCTAGAM
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**IG VENA 5g/100ml
IMUNOGLOBULINA UMANA NORMALA G** OCTAGAM 10%
IMUNOGLOBULINA UMANA NORMALA G** OCTAGAM 10%
IMUNOGLOBULINA UMANA NORMALA G** OCTAGAM 10%
IMUNOGLOBULINA UMANA NORMALA G** OCTAGAM 10%

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

PULB.+SOLV. PT. SOL. PERF.

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

PULB.+SOLV. PT. SOL. PERF.

J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02

SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.

5%
5%
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
10g/200ml
1g/20ml
2,5g/50ml
5%
5%
5%
5%
50mg/ml
50mg/ml
50mg/ml
5g/100ml
100 mg/ml
100 mg/ml
100 mg/ml
100 mg/ml

HUMAN BIOPLAZMA MANUFACTURING AND TRADING LTD.

HUMAN BIOPLAZMA MANUFACTURING AND TRADING LTD.

CSL BEHRING GMBH


CSL BEHRING GMBH
CSL BEHRING GMBH
BAXTER AG
BAXTER AG
BAXTER AG
CSL BEHRING GMBH
BAXTER AG
BAXTER AG
BAXTER AG
KEDRION SPA
KEDRION SPA
KEDRION SPA
INSTITUTO GRIFOLS S.A.
INSTITUTO GRIFOLS S.A.
INSTITUTO GRIFOLS S.A.
INSTITUTO GRIFOLS S.A.

OCTAPHARMA (IP) LTD.


OCTAPHARMA (IP) LTD.
OCTAPHARMA (IP) LTD.

KEDRION SPA
OCTAPHARMA (IP) LIMITED
OCTAPHARMA (IP) LIMITED
OCTAPHARMA (IP) LIMITED
OCTAPHARMA (IP) LIMITED

S
S
GERMANIA CUTIE X 1 FLAC.X 50 ML SOL. PERF. S
GERMANIA CUTIE X 1 FLAC.X 100 ML SOL. PERF. S
GERMANIA CUTIE X 1 FLAC.X 200 ML SOL. PERF. S
AUSTRIA CUTIE X 1 FLAC X 200ML SOL. PERF.(20G/200ML) S
AUSTRIA CUTIE X 1 FLAC X 50ML SOL. PERF.(5G/50ML) S
AUSTRIA CUTIE X 1 FLAC X 100ML SOL. PERF.(10G/100ML) S
GERMANIA CUTIE X 1 FLAC.X 25 ML SOL. PERF. S
AUSTRIA CUTIE X 1 FLAC X 300ML SOL. PERF.(30G/300ML) S
AUSTRIA CUTIE X 1 FLAC X 25ML SOL. PERF.(2,5G/25ML) S
AUSTRIA CUTIE X 1 FLAC X 10ML SOL. PERF.(1G/10ML) S
ITALIA
S
ITALIA
S
ITALIA
S
SPANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10 ML SOL.PERF. S
SPANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL.PERF.S
SPANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL.PERF.S
SPANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL.PERF. S
MAREA BRITANIE CUTIE X 1 FLACON X 50 ML
S
MAREA BRITANIE CUTIE X 1 FLACON X 200 ML
S
MAREA BRITANIE CUTIE X 1 FLACON X 100 ML
S
ITALIA
S
MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 20 ML SOL. PERF.
S
MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL. PERF.
S
MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. S
MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL. PERF. S
UNGARIA
UNGARIA

CUTIE X 1 CUTIE X 1 FLAC. CU PULB. + 1 CUTIE X 1 FLAC. SOLV. X 50 ML

CUTIE X 1 CUTIE X 1 FLAC. CU PULB. + 1 CUTIE X 1 FLAC. SOLV. X 100 ML

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL. PERF. + 1 SET ADMINISTRARE

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 20 ML SOL. PERF. + 1 SET ADMINISTRARE


CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL. PERF. + 1 SET ADMINISTRARE

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. + 1 SET ADMINISTRARE

P7: PROGRAM NATIONAL DE BOLI ENDOCRINE


Tratamentul medicamentos al bolnavilor cu osteoporoza, gusa datorata carentei de iod si proliferarii maligne
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25

A11CC02
A11CC03
A11CC03
A11CC03
A11CC03
A11CC04
G03CA03
G03CA03
G03CA03
G03DC05
G03FA15
G03XC01
H01AB01
H02AB04
H02AB04
H02AB04
H02AB04
H02AB04
H02AB04
H03AA01
H03AA01
H03AA01
H03AA01
H03AA01
H03AA01

DIHYDROTACHYSTEROLUM
ALFACALCIDOLUM
ALFACALCIDOLUM
ALFACALCIDOLUM
ALFACALCIDOLUM
CALCITRIOLUM
ESTRADIOLUM
ESTRADIOLUM
ESTRADIOLUM
TIBOLONUM

A.T. 10 (R)
ALPHA D3 0,25 mcg
ALPHA D3 0,50 mcg
ONE-ALPHA 2 micrograme/ml
ONE-ALPHA 2 micrograme/ml
ROCALTROL
ESTREVA (R)
OESTROGEL 0,6 mg/g
CLIMARA
LIVIAL (R) 2,5 mg
ESTRADIOLUMVALERAT+DIENOGEST KLIMODIEN
RALOXIFENUM
EVISTA 60mg
TIREOTROPINUM ALFA
THYROGEN 0,9 mg
METHYLPREDNISOLONUM
MEDROL A 16
METHYLPREDNISOLONUM
MEDROL 32
METHYLPREDNISOLONUM
MEDROL 4 mg
METHYLPREDNISOLONUM
LEMOD SOLU 125 mg
METHYLPREDNISOLONUM
LEMOD SOLU 500 mg
METHYLPREDNISOLONUM
SOLU - MEDROL ACT-O-VIAL
LEVOTHYROXINUM
EUTHYROX (R) 100
LEVOTHYROXINUM
L-THYROXIN 100 BERLIN - CHEMIE
LEVOTHYROXINUM
EUTHYROX (R) 200
LEVOTHYROXINUM
EUTHYROX (R) 25
LEVOTHYROXINUM
EUTHYROX (R) 50
LEVOTHYROXINUM
L-THYROXIN 50

PICATURI ORALE-SOL.

CAPS. MOI
CAPS. MOI
SOL. INJ.
SOL. INJ.
CAPS. MOI
GEL
GEL
PLASTURE TRANSDERM.

COMPR.
DRAJ.

1mg/ml
0,25mcg
0,50mcg
2micrograme/ml
2micrograme/ml

COMPR.
COMPR.
COMPR.
LIOF. PT. SOL. INJ.
LIOF. PT. SOL. INJ.
LIOF. SI SOLV.PT.SOL.INJ

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.

TEVA PHARMACEUTICALS S.R.L.

LEO PHARMA A/S


LEO PHARMA A/S

0,25mcg
ROCHE ROMANIA S.R.L.
0,1%
LAB. THERAMEX
0,6mg/g
LABORATOIRES BESINS INTERNATIONAL
50mcg/24ore BAYER SCHERING PHARMA AG
2,5mg
ORGANON NV
BAYER SCHERING PHARMA AG

COMPR. FILM. 60mg


PULB. PT. SOL. INJ.

MERCK KGAA
TEVA PHARMACEUTICALS S.R.L.

0,9mg
16mg
32mg
4mg
125mg
500mg
250mg/4ml
100mcg
100mcg
200mcg
25mcg
50mcg
50mcg

DAIICHI SANKYO EUROPE GMBH

GERMANIA

CUTIE X 1 FLACON DIN STICLA BRUNA PREVAZUT CU PICURATOR X 15 ML P-6L

ROMANIA CUTIE X 1 FLAC. DIN PPID X 50 CAPS. MOI


ROMANIA CUTIE X 1 FLAC. X 30 CAPS. MOI

P-RF

DANEMARCA CUTIE CU 10 FIOLE DIN STICLA BRUNA X 0,5 ML SOL. INJ.

P-RF

DANEMARCA CUTIE CU 10 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ. S

ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 CAPS. MOIP-RF


MONACO CUTIE X 1 FLACON PE, INCHIS CU POMPA DOZATOARE X 50 G P-6L
FRANTA CUTIE CU 1 TUB AL X 80 G GEL + DISPOZITIV DE DOZARE DIN POLISTIREN P-6L
GERMANIA CUTIE X 4 PLICURI X 1 PLASTURE TRANSDERM. P-6L

OLANDA CUTIE X 1 BLIST. X 28 COMPR.

P-RF

GERMANIA CUTIE X 1 BLIST. X 28 DRAJ.


P-RF
GERMANIA CUTIE X 28 COMPR. FILM. (BLIST. ACLAR) P-RF

GENZYME EUROPE BV OLANDA CUTIE X 2 FLACOANE


S
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 5 BLIST. A-PVC/PVC X 10 COMPR. P-RF
PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 2 BLIST. AL-PVC/PVC X 10 COMPR. P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 1 FLAC. DIN STICLA X 30 COMPR. P-RF

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

MERCK KGAA

GERMANIA
GERMANIA
GERMANIA
GERMANIA
GERMANIA
GERMANIA

BERLIN CHEMIE AG MENARINI GROUP

MERCK KGAA
MERCK KGAA
MERCK KGAA
BERLIN CHEMIE AG MENARINI GROUP

CUTIE X 1 FLAC. BICOMPARTIMENTAT (COMPARTIMENT INFERIOR) LIOF. PT. SOL. INJ. + (COMPARTIMENT SUPERIO

S/P-RF
S/P-RF

P-RF

CUTIE X 4 BLIST. PP/AL X 25 COMPR. P-6L


CUTIE X 4 BLIST. PVC-PVDC/AL X 25 COMPR.

P-6L

CUTIE X 4 BLIST. AL/PP X 25 COMPR. P-6L


CUTIE X 4 BLIST. PP/AL X 25 COMPR. P-6L
CUTIE X 4 BLIST. PP/AL X 25 COMPR. P-6L
CUTIE X 4 BLIST. PVC-PVDC/AL X 25 COMPR.

Pagina 25 din 48

P-6L/S

Grupa
Nr.
terape
crt
utica
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82

H03AAN1
H03BB01
H03BB02
H03BB02
H03BB02
H03CA01
H03CA01
H03CA01
H03CA01
H05AA02
H05BA01
H05BA01
H05BA01
H05BA01
H05BA01
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA06
M05BA06
M05BA06
M05BA06
M05BA06
M05BA06
M05BA06
M05BA06
M05BA07
M05BA07
M05BA07
M05BA07
M05BA07
M05BA07
M05BA07
M05BA07
M05BA07
M05BA07
M05BA08
M05BA08
M05BB03
M05BB03
M05BB03
M05BB03
M05BX03
M05BX03

V09FX03
V10XA01

Denumire generica

Denumire comerciala

Forma
Concentrati
farmaceutica
e / U.T.

LEVOTIROXINUM+KALII IODIDUM JODTHYROX (R) 100/130,8 COMPR.


CARBIMAZOLUM
CARBIMAZOLE 5
COMPR. FILM.
THIAMAZOLUM
THYROZOL 10 mg
COMPR. FILM.
THIAMAZOLUM
THYROZOL 20mg
COMPR. FILM.
THIAMAZOLUM
THYROZOL 5 mg
COMPR. FILM.
KALII IODIDUM
JODID 100
COMPR.
KALII IODIDUM
JODID 100
COMPR.
KALII IODIDUM
JODID 200
COMPR.
KALII IODIDUM
JODID 200
COMPR.
TERIPARATIDUM**
FORSTEO 20g/80g
SOL. INJ.
CALCITONINUM (SOMON)
TONOCALCIN 100 UI
SOL. INJ.
CALCITONINUM (SOMON)
NYLEX (R)
SOL. INJ.
CALCITONINUM (SOMON)
MIACALCIC (R)
SOL. INJ.
CALCITONINUM (SOMON)
NYLEX 100 UI/doza
SPRAY NAZ.,SOL.
CALCITONINUM (SOMON)
NYLEX (R)
SPRAY NAZAL - SOL.
ACIDUM ALENDRONICUM**
ACID ALENDRONIC ACCORD 10 mg COMPR.
ACIDUM ALENDRONICUM**
TEVANAT 70 mg
COMPR.
ACIDUM ALENDRONICUM**
ACID ALENDRONIC ACCORD 70 mg COMPR.
ACIDUM ALENDRONICUM**
INSTREL 70 mg
COMPR.
ACIDUM ALENDRONICUM**
ACID ALENDRONIC BLUEFISH 70 mg COMPR.
ACIDUM ALENDRONICUM**
ACID ALENDRONIC BLUEFISH 70 mg COMPR.
ACIDUM ALENDRONICUM**
RANOS 70 mg
COMPR.
ACIDUM ALENDRONICUM**
FOSAMAX 70 mg
COMPR.
ACIDUM ALENDRONICUM**
INSTREL 70 mg
COMPR.
ACIDUM ALENDRONICUM**
ALENDRONAT SANDOZ 70 mg COMPR. FILM.
ACIDUM ALENDRONICUM**
ADRONIK 70 mg
COMPR. FILM.
ACIDUM ALENDRONICUM**
ADRONIK 70 mg
COMPR. FILM.
ACIDUM ALENDRONICUM**
ADRONIK 70 mg
COMPR. FILM.
ACIDUM ALENDRONICUM**
ADRONIK 70 mg
COMPR. FILM.
ACIDUM ALENDRONICUM**
ADRONIK 70 mg
COMPR. FILM.
ACIDUM ALENDRONICUM**
ADRONIK 70 mg
COMPR. FILM.
ACIDUM IBANDRONICUM**
ACID IBANDRONIC TEVA 150 mg COMPR. FILM.
ACIDUM IBANDRONICUM**
OSSICA 150 mg
COMPR. FILM.
ACIDUM IBANDRONICUM**
BONVIVA 150mg
COMPR. FILM.
ACIDUM IBANDRONICUM**
BONDRONAT 50mg
COMPR. FILM.
ACIDUM IBANDRONICUM**
IASIBON 50 mg
COMPR. FILM.
ACIDUM IBANDRONICUM**
BONDRONAT 6mg/6ml
CONC. PT. SOL. PERF.
ACIDUM IBANDRONICUM**
IASIBON 6mg/6ml
CONC. PT. SOL. PERF.
ACIDUM IBANDRONICUM**
BONVIVA 3mg/3ml
ACIDUM RISEDRONICUM**
JUVERITAL 35 mg
COMPR. FILM.
ACIDUM RISEDRONICUM**
LORINE 35mg
COMPR. FILM.
ACIDUM RISEDRONICUM**
ACTONEL SAPTAMANAL 35 mg COMPR. FILM.
ACIDUM RISEDRONICUM**
RISENDROS 35 mg
COMPR. FILM.
ACIDUM RISEDRONICUM**
JUVERITAL 35 mg
COMPR. FILM.
ACIDUM RISEDRONICUM**
OSTEORON 35 mg
COMPR. FILM.
ACIDUM RISEDRONICUM**
RISEDRONAT TEVA 35 mg COMPR. FILM.
ACIDUM RISEDRONICUM**
OSODENS 35 mg
COMPR. FILM.
ACIDUM RISEDRONICUM**
JUVERITAL 5 mg
COMPR. FILM.
ACIDUM RISEDRONICUM**
ACTONEL 75 mg
COMPR. FILM.
ACIDUM ZOLEDRONICUM**
ZOMETA 4 mg
PULB. + SOLV. SOL. PERF.
ACIDUM ZOLEDRONICUM**
ACLASTA 5mg/100ml
SOL. PERF.
COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)** FOSAVANCE 70mg/2800UI
COMPR.
COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)** FOSAVANCE 70mg/2800UI
COMPR.
COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)** FOSAVANCE 70mg/5600UI
COMPR.
COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)** FOSAVANCE 70mg/5600UI
COMPR.
STRONTIUM RANELATUM
OSSEOR 2 g
GRAN. PT. SUSP. ORALA
STRONTIUM RANELATUM
OSSEOR 2 g
GRAN. PT. SUSP. ORALA
NATRIIIODIUM (131I)
NATRIIIODIUM (131I)
SOL. INJ. IN SERINGA PREUMPLUTA

5mg
10mg
20mg
5mg
100mcg
100mcg
200mcg
200mcg
20g/80l
100UI
100UI/ml
50ui/ml
100UI/doza
200UI/doza
10mg
70 mg
70mg
70mg
70mg
70mg
70mg
70mg
70mg
70mg
70mg
70mg
70mg
70mg
70mg
70mg
150 mg
150mg
150mg
50mg
50mg
6mg/6ml
6mg/6ml
1mg/1ml
35mg
35mg
35mg
35mg
35mg
35mg
35mg
35mg
5mg
75mg
4mg
5mg/100ml
70mg/2800UI
70mg/2800UI
70mg/5600UI
70mg/5600UI
2g
2g

Firma

Tara

Ambalaj

Prescriptie

MERCK KGAA
REMEDICA LTD.
MERCK KGAA
MERCK KGAA
MERCK KGAA
MERCK KGAA
MERCK KGAA
MERCK KGAA
MERCK KGAA

GERMANIA CUTIE X 2 BLIST. PP/AL X 25 COMPR. P-6L

ELI LILLY NEDERLAND BV

OLANDA CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT X 2,4 ML (28 DOZE X 20 G/80L)P-RF
ITALIA
CUTIE X 5 FIOLE X 1 ML SOL. INJ. P-RF
GRECIA CUTIE X 5 FIOLE X 1ML
P-RF
GERMANIA CUTIE X 5 FIOLE X 1 ML
P-RF
GRECIA CUTIE X 1 FLACON PREVAZUT CU POMPA DOZATOARE X 2 ML SPRAY NAZAL, SOL.P-RF
GRECIA
P-RF

ALFA WASSERMANN SPA

PROEL E.P. CORONIS SA


NOVARTIS PHARMA GMBH
PHARMACEUTICAL IND. PROEL EPAM. G.CORONIS SA

PROEL E.P. CORONIS SA

CIPRU

CUTIE X 10 BLIST. AL/PVC X 10 COMPR. FILM. P-6L

GERMANIA
GERMANIA
GERMANIA
GERMANIA
GERMANIA
GERMANIA
GERMANIA

CUTIE CU BLIST. PVC/AL X 50 COMPR. FILM. P-6L


CUTIE CU BLIST. PVC/AL X 50 COMPR. FILM. P-6L
CUTIE CU BLIST. PVC/AL X 100 COMPR. FILM.

P-6L/S

CUTIE X 4 BLIST. AL/PP X 25 COMPR. P-RF


CUTIE X 4 BLIST. AL/PVC X 25 COMPR. P-RF
CUTIE X 4 BLIST. PP/AL X 25 COMPR. P-RF
CUTIE X 4 BLIST. PVC/AL X 25 COMPR. P-RF

CUTIE X 1 FLACON DIN STICLA PREVAZUT CU POMPA DOZATOARE CU APLICATOR NAZAL X 2 ML

CUTIE CU BLIST. PVC/AL X 28 COMPR.


ROMANIA CUTIE X 1 BLIST. PVC-AL-OPA/AL X 4 COMPR.

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

P-6L

TEVA PHARMACEUTICALS S.R.L.

P-6L

ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. OPA -AL-PVC/AL X 4 COMPR. P-6L

ROMANIA CUTIE CU BLIST. AL/AL X 4 COMPR. FILM. P-RF


SUEDIA CUTIE CU BLIST. AL/AL X 2 COMPR. P-6L
BLUEFISH PHARMACEUTICALS AB SUEDIA
CUTIE CU BLIST. AL/AL X 4 COMPR. P-6L
TERAPIA SA
ROMANIA CUTIE X 1 BLIST. DIN PAO-PVC-AL/AL X 4 COMPR. P-6L
MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. AL/AL IN PORTOFEL X 2 COMPR. P-6L
DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. AL/AL X 4 COMPR. FILM. P-RF
SANDOZ S.R.L.
ROMANIA CUTIE X 1 BLIST. OPA-AL-PVC/AL X 2 COMPR. FILM P-6L
ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 12 COMPR. FILM. P-6L
ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 2 COMPR. FILM. P-6L
ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 4 COMPR. FILM. P-6L
LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 12 COMPR. FILM. P-6L
LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 2 COMPR. FILM. P-6L
LABORATOARELE PROF.DR.MORAIT S.R.L. 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 P-RF
GEDEON RICHTER PLC. UNGARIA CUTIE CU 1 BLIST. PVC-PE-PVDC/AL X 1 COMPR. FILM. P-6L
DR. REDDY'S LABORATORIES

BLUEFISH PHARMACEUTICALS AB

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 1 COMPR. FILM.( BLIST. AL/AL) P-6L

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X BLIST. AL/PVC X 28 COMPR. FILM.

PHARMATHEN S.A. GRECIA

CUTIE CU BLIST. PA/ALL/PVC/ALU X 28 COMPR. FILM PR

ROCHE REGISTRATION LTD.

CUTIE X 1 FLACON X 6 ML CONC. PT. SOL. PERF.

MAREA BRITANIE

PHARMATHEN S.A. GRECIA


ROCHE REGISTRATION LTD.

CUTIE CU 1 FLAC. DIN STICLA X 6ML CONC. PT. SOL. PERF.

MAREA BRITANIE CUTIE X 1 SERINGA PREUMPLUTA DIN STICLA X 3 ML SOL. INJ. + 1 AC

S
PR
P-6L

OLANDA CUTIE X BLISTER PVC-PE-PVDC/AL X 4 COMPRIMATE FILMATE P-6L


ANTIBIOTICE S.A.
ROMANIA CUTIE X 1BLIST. PVC- PVDC/AL X 4 COMPR. FILM. P-6L
SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 4 COMPR. FILM.
P-6L
ZENTIVA A.S.
CEHIA
CUTIE X 1 BLIST. OPA-AL-PVC/AL X 4 COMPR. FILM. P-6L
LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 4 COMPR. FILM.P-6L
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 1 BLIST. PVC- PVDC/AL X 4 COMPR. FILM. P-6L
OZONE LABORATORIES BV

TEVA PHARMACEUTICAL S.R.L. MAREA BRITANIE CUTIE X BLIST. PVC-PVDC/AL X 4 COMPR. FILM.

P-6L

TERAPIA SA

P-6L

ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 4 COMPR. FILM.


LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.
SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 2 COMPR. FILM.

P-6L
P-6L

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE CUTIE X 1 FLAC. 4MG PULB. PT. SOL. PERF. + 1 FIOLA X 5 ML SOLV.

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE CUTIE X 1 FLAC. X 100 ML + 1 CAPAC AL/PP CU COMPONENTA FLIP.

S
S

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

LES LAB. SERVIER


LES LAB. SERVIER

FRANTA
FRANTA

CUTIE X 14 PLICURI HARTI-PE-AL/PE GRAN. PT. SUSP. ORALA

P-RF

CUTIE X 28 PLICURI HARTI-PE-AL/PE GRAN. PT. SUSP. ORALA

P-RF

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

50
100
50
50
100
100
100
100
100
1
5
5
5
1
1
28
4
4
4
2
4
4
2
4
2
12
2
4
12
2
4
1
1
1
28
28
1
1
1
4
4
4
4
4
4
4
4
28
2
1
1
4
2
2
4
14
28

10.79
12.33
15.35
18.66
22.56
9.02
9.02
14.06
14.06
1,456.67
50.44
23.65
26.04
36.54
56.71
36.47
36.47
36.47
36.00
18.23
18.07
36.00
28.06
36.00
9.37
106.79
18.11
36.24
106.79
18.11
36.24
65.03
56.52
104.69
953.12
630.03
891.14
589.74
350.70
56.71
27.58
87.23
42.83
56.71
56.71
56.71
56.71
56.71
74.22
1,085.91
1,383.63
70.22
35.74
35.74
70.22
81.86
141.34

0.215800
0.123300
0.307000
0.373200
0.225600
0.090200
0.090200
0.140600
0.140600
1,456.670000
10.088000
4.730000
5.208000
36.540000
56.710000
1.302500
9.117500
9.117500
9.000000
9.115000
4.517500
9.000000
14.030000
9.000000
4.685000
8.899166
9.055000
9.060000
8.899166
9.055000
9.060000
65.030000
56.520000
104.690000
34.040000
22.501071
891.140000
589.740000
350.700000
14.177500
6.895000
21.807500
10.707500
14.177500
14.177500
14.177500
14.177500
2.025357
37.110000
1,085.910000
1,383.630000
17.555000
17.870000
17.870000
17.555000
5.847142
5.047857

0.215800
0.123300
0.307000
0.373200
0.225600
0.090200
0.090200
0.140600
0.140600
1,456.670000
5.676000
4.730000
5.208000
36.540000
56.710000
1.302500
5.421000
5.421000
5.421000
5.421000
4.517500
5.421000
5.421000
5.421000
4.685000
5.421000
5.421000
5.421000
5.421000
5.421000
5.421000
65.030000
56.520000
67.824000
27.001285
22.501071
707.688000
589.740000
350.700000
8.274000
6.895000
8.274000
8.274000
8.274000
8.274000
8.274000
8.274000
2.025357
37.110000
1,085.910000
1,383.630000
17.555000
17.870000
17.870000
17.555000
5.847142
5.047857

14.59
16.67
20.75
25.22
30.49
12.19
12.19
19.00
19.00
1,625.92
63.78
31.97
34.06
47.79
71.71
47.70
47.70
47.70
47.09
24.64
24.42
47.09
36.70
47.09
12.67
130.37
24.48
47.40
130.37
24.48
47.40
82.22
71.46
127.80
1,077.05
724.88
1,009.49
680.97
420.41
71.70
36.07
110.30
56.02
71.70
71.70
71.70
71.70
71.70
93.85
1,221.79
1,546.31
88.79
46.75
46.75
88.79
103.50
172.55

0.291800
0.166700
0.415000
0.504400
0.304900
0.121900
0.121900
0.190000
0.190000
1,625.920000
12.756000
6.394000
6.812000
47.790000
71.710000
1.703571
11.925000
11.925000
11.772500
12.320000
6.105000
11.772500
18.350000
11.772500
6.335000
10.864166
12.240000
11.850000
10.864166
12.240000
11.850000
82.220000
71.460000
127.800000
38.466071
25.888571
1,009.490000
680.970000
420.410000
17.925000
9.017500
27.575000
14.005000
17.925000
17.925000
17.925000
17.925000
2.560714
46.925000
1,221.790000
1,546.310000
22.197500
23.375000
23.375000
22.197500
7.392857
6.162500

0.291800
0.166700
0.415000
0.504400
0.304900
0.121900
0.121900
0.190000
0.190000
1,625.920000
7.672800
6.394000
6.812000
47.790000
71.710000
1.703571
7.326000
7.326000
7.326000
7.326000
6.105000
7.326000
7.326000
7.326000
6.335000
7.326000
7.326000
7.326000
7.326000
7.326000
7.326000
82.220000
71.460000
85.752000
31.066285
25.888571
817.164000
680.970000
420.410000
10.821000
9.017500
10.821000
10.821000
10.821000
10.821000
10.821000
10.821000
2.560714
46.925000
1,221.790000
1,546.310000
22.197500
23.375000
23.375000
22.197500
7.392857
6.162500

10
10
10

13.92
51.86
13.92

1.392000
5.186000
1.392000

1.392000
1.670400
1.392000

18.81
65.57
18.81

1.881000
6.557000
1.881000

1.881000
2.257200
1.881000

cant/a
mbala
j

Pret cu ridicata
maximal de
decontare / U.T.

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA


P9.1: TRANSPLANT MEDULAR
1
2
3

A04AA01
A04AA01
A04AA01

ONDANSETRONUM**
ONDANSETRONUM**
ONDANSETRONUM**

OSETRON 4 mg
ZOFRAN 4 mg
OSETRON 4 mg

COMPR. FILM. 4mg


COMPR. FILM. 4mg
COMPR. FILM. 4mg

DR. REDDY'S LABORATORIES

ROMANIA CUTIE X 1 BLIST. HARTIE/AL, PVDC/PVC X 10 COMPR. FILM. P-RF

GLAXO WELLCOME UK LTD.

MAREA BRITANIE

DR. REDDY'S LABORATORIES

ROMANIA CUTIE X

CUTIE X 2 BLIST. AL/AL X 5 COMPR. FILM. P-RF


1 BLIST. HARTIE/AL, PVDC/PVC X 10 COMPR. FILM. P-RF

Pagina 26 din 48

Grupa
Nr.
terape
crt
utica
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70

A04AA01
A04AA01
A04AA01
A04AA01
A04AA01
A04AA01
A04AA01
A04AA01
A04AA01
A04AA01
A04AA01
A05AA02
A05AA02
A05AA02
A05AA02
A05AA02
B01AB08
B01AB08
B02AA02
B02BD08
B02BD08
B02BD08
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01

Denumire generica

Denumire comerciala

ONDANSETRONUM**
ONDANSETRONUM**
ONDANSETRONUM**
ONDANSETRONUM**
ONDANSETRONUM**
ONDANSETRONUM**
ONDANSETRONUM**
ONDANSETRONUM**
ONDANSETRONUM**
ONDANSETRONUM**
ONDANSETRONUM**
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
REVIPARINUM
REVIPARINUM
ACIDUM TRANEXAMICUM4
EPTACOG ALFA ACTIVATUM**
EPTACOG ALFA ACTIVATUM**
EPTACOG ALFA ACTIVATUM**
EPOETINUM ALFA
EPOETINUM ALFA
EPOETINUM ALFA
EPOETINUM ALFA
EPOETINUM ALFA
EPOETINUM ALFA
EPOETINUM ALFA
EPOETINUM ALFA
EPOETINUM ALFA
EPOETINUM ALFA
EPOETINUM ALFA
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**

OSETRON 8 mg
OSETRON 8 mg
ONDARAN MD 4mg
OSETRON 4 mg
OSETRON 8 mg
OSETRON 4 mg
OSETRON 8 mg
ZOFRAN 4mg/2ml
ZOFRAN 8mg/4ml
EMESET 8 mg/4 ml
EMESET 4 mg/2 ml
URSOFALK (R)
URSOFALK (R)
URSOSAN
URSOCHOL 150 mg
URSOCHOL 300 mg
CLIVARIN (R) 1432UI/0,25 ml
CLIVARIN (R) 3436 UI/0,6 ml
EXACYL
NOVOSEVEN 2mg (100 KUI)
NOVOSEVEN 5mg (250 KUI)
NOVOSEVEN 1mg (50 KUI)
EPREX (R) 3000 UI
EPREX (R) 40 000 UI
BINOCRIT 10000UI/1,0ml
BINOCRIT 1000UI/0,5ml
BINOCRIT 2000UI/1,0ml
BINOCRIT 30000UI/0,75ml
BINOCRIT 3000UI/0,3ml
EPREX 40000 UI
BINOCRIT 40000 UI/1 ml
BINOCRIT 4000UI/0,4ml
BINOCRIT 5000UI/0,5ml
NEORECORMON 10000UI/0,6ml
NEORECORMON 1000UI/0,3ml
NEORECORMON 2000UI/0,3ml
NEORECORMON 30000UI/0,6ml
NEORECORMON 4000UI/0,3ml
NEORECORMON 5000UI/0,3ml

Forma
Concentrati
farmaceutica
e / U.T.
COMPR. FILM. 8mg
COMPR. FILM. 8mg
COMPR. ORODISPERSABILE

SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ./PERF.
SOL. INJ./PERF.

CAPS.
CAPS.
CAPS.
COMPR.
COMPR.
SOL. INJ.
SOL. INJ.
SOL. INJ.
PULB. + SOLV. PT. SOL. INJ.
PULB. + SOLV. PT. SOL. INJ.
PULB. + SOLV. PT. SOL. INJ.

SOL. INJ.
SOL. INJ.
SOL. INJ. IN SERINGA PREUMPLUTA

DR. REDDY'S LABORATORIES


GLAXO WELLCOME UK LIMITED
GLAXO WELLCOME UK LIMITED

CIPLA (UK) LIMITED


CIPLA (UK) LIMITED

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

DR. FALK PHARMA GMBH GERMANIA


DR. FALK PHARMA GMBH GERMANIA
PRO. MED. CS PRAHA AS

ZAMBON S.P.A.
ZAMBON S.P.A.

CEHIA
ITALIA
ITALIA

ABBOTT GMBH&CO.KG GERMANIA

CUTIE X 4 BLIST. AL/PVC X 25 CAPS. P-6L/S


CUTIE X 2 BLIST. AL/PVC X 25 CAPS. P-6L
CUTIE X 5 BLIST. AL/PVC X 10 CAPS. P-6L
CUTIE X 6 BLIST. AL/PVC X 10 COMPR. P-6L
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
CUTIE X 2 BLIST. X 5 SERINGI PREUMPLUTE UNIDOZA X 0,25ML S/P-RF
CUTIE X 1 BLIST X 5 SERINGI PREUMPLUTE UNIDOZA X 0,60 ML S/P-RF

CN UNIFARM
ROMANIA CUTIE X 5 FIOLE X 5ML SOL. INJ.
X
NOVO NORDISK A/S DANEMARCA CUTIE X 1 FLAC. PULB. PT. SOL. INJ. + 1 FLAC. SOLV. PT. RECONSTITUIRE P-RF/R
NOVO NORDISK A/S DANEMARCA CUTIE X 1 FLAC. PULB. PT. SOL. INJ. + 1 FLAC. SOLV. PT. RECONSTITUIREP-RF/R
NOVO NORDISK A/S DANEMARCA CUTIE X 1 FLAC. PULB. PT. SOL. INJ. + 1 FLAC. SOLV. PT. RECONSTITUIRE P-RF/R
JOHNSON & JOHNSON D.O.O.
JOHNSON & JOHNSON D.O.O.

10000UI/1,0ml SANDOZ GMBH

SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,3 MLS/P-RF


SLOVENIA CUTIE X 1 FLACON DIN STICLA X 1 ML S/P-RF

AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA

CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ.

S/P-RF/R

CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ.

S/P-RF/R

CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ.

S/P-RF/R

CUTIE X 1 SERINGA PREUMPLUTA X 0,75ML SOL. INJ.

P-RF/R

CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ.

S/P-RF/R

SLOVENIA

CUTIE CU 1 SERINGA PREUMPLUTA X 1 ML SOL. INJ.S/P-RF

AUSTRIA
AUSTRIA
AUSTRIA

CUTIE X 1 SERINGA PREUMPLUTA X 1ML SOL. INJ.

P-RF/R

CUTIE X 6 SERINGI PREUMPLUTE X 0,4ML SOL. INJ.

S/P-RF/R

CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ.

S/P-RF/R

1000UI/0,3ml
2000UI/0,3ml

ROCHE REGISTRATION LTD.

MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACES/P-RF/R

ROCHE REGISTRATION LTD.

MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. X 6 ACES/P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

30000 UI/0,6ml ROCHE REGISTRATION LTD.

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

TEBRANIC 2g/0,25 g
ZOPECILIN 2 g/0,25 g
ZOPECILIN 2 g/0,25 g
PERASIN 2g/0,25 g

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILINA/TAZOBACTAN ACTAVIS 2 g/0,25 gPULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILINA/TAZOBACTAM MYLAN 2g/0,25 g

PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

BACTACIN 2 g/0,25 g

PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5gPULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5gPULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5gPULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM


J01CR05 PIPERACILLINUM + TAZOBACTAMUM

TEBRANIC 4 g/0,5 g
ZOPECILIN 4 g/0,5 g
ZOPECILIN 4 g/0,5 g

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILINA/TAZOBACTAN ACTAVIS 4 g/0,5 g

PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

BACTACIN 4 g/0,5 g

PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 gPULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PERASIN 4g/0,5 g
MERONEM IV 1 g

MEROPENEMUM

DR. REDDY'S LABORATORIES

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

J01DH02

DR. REDDY'S LABORATORIES

P-RF

ROMANIA CUTIE 1 BLIST. AL/PVC X 5 FIOLE X 2 ML SOL. INJ. S/P-RF


ROMANIA CUTIE X 1 BLIST. AL/PVC X 5 FIOLE X 4 ML SOL. INJ. S/P-RF
ROMANIA CUTIE 1 BLIST. AL/PVC X 5 FIOLE X 2 ML SOL. INJ. S/P-RF
ROMANIA CUTIE X 1 BLIST. AL/PVC X 5 FIOLE X 4 ML SOL. INJ. S/P-RF
MAREA BRITANIE CUTIE X 5 FIOLE X 2 ML SOL. INJ.
PR
MAREA BRITANIE CUTIE X 5 FIOLE DIN STICLA INCOLORA X 4 ML SOL. INJ.PR

MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ. + 6 ACES/P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

MAREA BRITANIE CUTIE X 1 FOLIE DIN AL/PE X 10 COMPR. ORODISPERSABILE

ROCHE REGISTRATION LTD.

SOL. INJ. IN SERINGA PREUMPLUTA

PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

RANBAXY UK LTD.
DR. REDDY'S LABORATORIES

10000UI/0,6ml

SOL. INJ. IN SERINGA PREUMPLUTA

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

ROMANIA CUTIE X 1 BLIST. HARTIE/AL, PVDC/PVC X 10 COMPR. FILM. P-RF


ROMANIA CUTIE X 1 BLIST. HARTIE/AL, PVDC/PVC X 10 COMPR. FILM.P-RF

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

Prescriptie

DR. REDDY'S LABORATORIES

DR. REDDY'S LABORATORIES

1432ui/0,25ml ABBOTT GMBH&CO.KG GERMANIA

3436ui/0,6ml
500mg/5ml
100 KIU
250 KIU
50 KIU
3000ui/0,3ml
40 000UI

Ambalaj

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

J01CR03 TICARCILLINUM + ACIDUM CLAVULANICUM

Tara

1000UI/0,5ml SANDOZ GMBH


2000UI/1,0ml SANDOZ GMBH
30000UI/0,75ml SANDOZ GMBH
3000UI/0,3ml SANDOZ GMBH
40 000UI
JOHNSON & JOHNSON D.O.O.
40000 UI/1 ml SANDOZ GMBH
4000UI/0,4ml SANDOZ GMBH
5000UI/0,5ml SANDOZ GMBH

SOL. INJ. IN SERINGA PREUMPLUTA

NEORECORMON 500UI/0,3ml
TIMENTIN 3,2 g
TAZOCIN 2,25
TAZOCIN 4,5

B03XA01

4mg
2mg/ml
2mg/ml
2mg/ml
2mg/ml
4mg/2ml
8mg/4ml
2mg/ml
2mg/ml
250mg
250mg
250mg
150mg
300mg

Firma

SOL. INJ. IN SERINGA PREUMPLUTA

PULB. PT. SOL. INJ./PERF.

4000UI/0,3ml ROCHE REGISTRATION LTD.


5000UI/0,3ml ROCHE REGISTRATION LTD.
500UI/0,3ml ROCHE REGISTRATION LTD.
3,2g
BEECHAM GROUP PLC

LIOF. PT. SOL. INJ.


LIOF. PT. SOL. INJ.

PULB. PT. SOL. INJ./PERF.


PULB. PT. SOL. INJ./PERF.
PULB. PT. SOL. INJ./PERF.
PULB. PT. SOL. INJ./PERF.

PULB. PT. SOL. INJ./PERF.


PULB. PT. SOL. INJ./PERF.
PULB. PT. SOL. INJ./PERF.

PULB. PT. SOL. INJ./PERF.


PULB. PT. SOL. INJ. I.V./PERF.

2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
1g

MAREA BRITANIE

CUTIE X 1 SERINGA PRE-UMPLUTA X 0,6 ML + 1 AC

S/P-RF/R

MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACES/P-RF/R


MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACES/P-RF/R
MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ. + 6 ACES/P-RF/R
MAREA BRITANIE CUTIE X 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.

S/P-RF

WYETH LEDERLE PHARMA GMBH

AUSTRIA CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ. S/P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ. S/P-RF

ROMANIA
ROMANIA
S.C. FRESENIUS KABI S.R.L. ROMANIA
S.C. FRESENIUS KABI S.R.L. ROMANIA
S.C. FRESENIUS KABI S.R.L. ROMANIA
S.C. FRESENIUS KABI S.R.L. ROMANIA
ASTRA ZENECA AB SUEDIA CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.
ROMASTRU TRADING SRL ROMANIA
ROMASTRU TRADING SRL ROMANIA
ANTIBIOTICE S.A.
ROMANIA
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.
MYLAN S.A.S.
FRANTA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CU PULB. PT. SOL. INJ./PERF.
TERAPIA SA
ROMANIA
S.C. FRESENIUS KABI S.R.L. ROMANIA
S.C. FRESENIUS KABI S.R.L. ROMANIA
S.C. FRESENIUS KABI S.R.L. ROMANIA
ASTRA ZENECA AB SUEDIA CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.
ROMASTRU TRADING SRL ROMANIA
ROMASTRU TRADING SRL ROMANIA
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.
TERAPIA SA
ROMANIA
MYLAN S.A.S.
FRANTA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. INJ./PERF.
ANTIBIOTICE S.A.
ROMANIA
S.C. FRESENIUS KABI S.R.L.

CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF

S.C. FRESENIUS KABI S.R.L.

CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE X 1 FLAC DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 50 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

ASTRAZENECA UK LIMITED

MAREA BRITANIE

CUTIE CU 10 FLAC. DIN STICLA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ. I.V./PERF.

Pagina 27 din 48

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cant/a
mbala
j

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

Pret cu ridicata
maximal de
decontare / U.T.

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

10
24.36
2.436000
2.436000
32.93
3.293000
3.293000
10
24.36
2.436000
2.436000
32.93
3.293000
3.293000
10
14.01
1.401000
1.401000
18.94
1.894000
1.894000
5
17.39
3.478000
3.478000
23.51
4.702000
4.702000
5
33.06
6.612000
6.612000
43.24
8.648000
8.648000
5
17.39
3.478000
3.478000
23.51
4.702000
4.702000
5
33.06
6.612000
6.612000
43.24
8.648000
8.648000
5
110.66
22.132000
4.173600
135.10
27.020000
5.642400
5
142.53
28.506000
7.932000
174.00
34.800000
10.375200
5
33.05
6.610000
6.610000
43.23
8.646000
8.646000
5
17.39
3.478000
3.478000
23.51
4.702000
4.702000
100
97.14
0.971400
0.971400
122.82
1.228200
1.228200
50
56.87
1.137400
1.137400
71.91
1.438200
1.438200
50
53.75
1.075000
1.075000
67.96
1.359200
1.359200
60
40.94
0.682333
0.682333
53.55
0.892500
0.892500
20
27.11
1.355500
1.355500
35.46
1.773000
1.773000
10
66.02
6.602000
6.602000
83.47
8.347000
8.347000
5
79.26
15.852000
15.852000
100.22
20.044000
20.044000
5
9.36
1.872000
1.872000
12.65
2.530000
2.530000
1 5,431.43 5,431.430000 5,431.430000 5,958.41 5,958.410000 5,958.410000
1 13,793.54 13,793.540000 13,793.540000 15,073.11 15,073.110000 15,073.110000
1 2,730.72 2,730.720000 2,730.720000 3,014.63 3,014.630000 3,014.630000
6
653.92
108.986666
102.628000
750.92
125.153333
119.494000
1 1,192.91 1,192.910000 1,040.844000 1,338.42 1,338.420000 1,180.296000
6 1,532.97
255.495000
255.495000 1,709.09
284.848333
284.848333
6
176.81
29.468333
29.468333
215.85
35.975000
35.975000
6
351.85
58.641666
58.641666
421.67
70.278333
70.278333
1
680.43
680.430000
680.430000
779.82
779.820000
779.820000
6
513.14
85.523333
85.523333
597.47
99.578333
99.578333
1 1,192.91 1,192.910000 1,040.844000 1,338.42 1,338.420000 1,180.296000
1
867.37
867.370000
867.370000
983.58
983.580000
983.580000
6
674.39
112.398333
112.398333
773.24
128.873333
128.873333
6
835.59
139.265000
139.265000
948.94
158.156666
158.156666
6 2,093.33
348.888333
348.888333 2,319.88
386.646666
386.646666
6
226.59
37.765000
37.765000
276.62
46.103333
46.103333
6
442.92
73.820000
73.820000
520.93
86.821666
86.821666
1 1,030.67 1,030.670000 1,030.670000 1,161.58 1,161.580000 1,161.580000
6
855.25
142.541666
142.541666
970.37
161.728333
161.728333
6 1,061.28
176.880000
176.880000 1,194.95
199.158333
199.158333
6
116.51
19.418333
19.418333
142.24
23.706666
23.706666
10
210.12
21.012000
21.012000
256.52
25.652000
25.652000
12
396.78
33.065000
23.257200
470.64
39.220000
28.392000
12
685.12
57.093333
45.574999
784.93
65.410833
53.491999
1
20.09
20.090000
20.090000
27.15
27.150000
27.150000
5
98.66
19.732000
19.732000
124.75
24.950000
24.950000
10
193.81
19.381000
19.381000
236.60
23.660000
23.660000
1
40.18
40.180000
23.257200
52.55
52.550000
28.392000
5
193.81
38.762000
23.257200
236.60
47.320000
28.392000
10
382.38
38.238000
23.257200
454.94
45.494000
28.392000
12
232.62
19.385000
19.385000
283.98
23.665000
23.665000
1
22.65
22.650000
22.650000
30.62
30.620000
28.392000
12
262.29
21.857500
21.857500
320.21
26.684166
26.684166
1
22.65
22.650000
22.650000
30.62
30.620000
28.392000
12
262.17
21.847500
21.847500
320.06
26.671666
26.671666
1
22.65
22.650000
22.650000
30.62
30.620000
28.392000
1
22.65
22.650000
22.650000
30.62
30.620000
28.392000
10
384.80
38.480000
38.480000
457.58
45.758000
45.758000
1
40.44
40.440000
40.440000
52.90
52.900000
52.900000
5
195.13
39.026000
39.026000
238.21
47.642000
47.642000
12
455.79
37.982500
37.982500
534.96
44.580000
44.580000
1
40.44
40.440000
40.440000
52.90
52.900000
52.900000
12
455.75
37.979166
37.979166
534.92
44.576666
44.576666
12
455.75
37.979166
37.979166
534.92
44.576666
44.576666
1
40.44
40.440000
40.440000
52.90
52.900000
52.900000
1
40.46
40.460000
40.460000
52.92
52.920000
52.920000
1
40.44
40.440000
40.440000
52.90
52.900000
52.900000
10 1,018.93
101.893000
67.860000 1,148.78
114.878000
85.800000

Grupa
Nr.
terape
crt
utica
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137

J01DH02
J01DH02
J01DH02
J01DH02
J01DH02
J01DH02
J01DH02
J01DH51
J01DH51
J01DH51
J01DH51
J01DH51
J01DH51
J01DH51
J01DH51
J01DH51
J01DH51
J01XA01
J01XA01
J01XA01
J01XA01
J01XA01
J01XA02
J01XX08
J01XX08
J01XX08
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01

Denumire generica

MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
VANCOMYCINUM
VANCOMYCINUM
VANCOMYCINUM
VANCOMYCINUM
VANCOMYCINUM
TEICOPLANINUM
LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM

Denumire comerciala

MERONEM IV 500 mg
MEROPENEM KABI 1 g
MEROPENEM KABI 1 g
MEROPENEM HOSPIRA 1 g
MEROPENEM KABI 500 mg
MEROPENEM KABI 500 mg
MEROPENEM HOSPIRA 500 mg

CILOPEN 500mg/500mg
CILOPEN 500mg/500mg
CILOPEN 500mg/500mg
CILOPEN 500mg/500mg

Forma
Concentrati
farmaceutica
e / U.T.
PULB. PT. SOL. INJ. I.V./PERF.

PULB. PT. SOL. INJ./PERF.


PULB. PT. SOL. INJ./PERF.
PULB. PT. SOL. INJ./PERF.
PULB. PT. SOL. INJ./PERF.
PULB. PT. SOL. INJ./PERF.
PULB. PT. SOL. INJ./PERF.

500mg
1g
1g
1g
500mg
500mg
500mg

500mg/500mg
PULB. PT. SOL. INJ. 500mg/500mg
PULB. PT. SOL. INJ. 500mg/500mg
PULB. PT. SOL. INJ. 500mg/500mg
IMIPENEM/CILASTATIN KABI 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg
TIENAM I.V.
PULB. PT. SOL. PERF. 500mg/500mg
TIENAM I.V.
PULB. PT. SOL. PERF. 500mg/500mg
IMIPENEM/CILASTATIN HOSPIRA 500 mg/500 mgPULB. PT. SOL. PERF. 500mg/500mg
IMIPENEM/CILASTAN TEVA 250 mg/250mg PULB. PT. SUSP. PERF. 250mg/250mg
IMIPENEM/CILASTAN TEVA 500 mg/500mg PULB. PT. SUSP. PERF. 500mg/500mg

VANCOMYCIN TEVA
VANCOMYCIN TEVA

PULB. PT. SOL. INJ.

1g
500mg
VANCOMICINA PHARMASWISS 1000 mg PULB. PT. SOL. PERF. 1000mg
VANCOMICINA PHARMASWISS 500 mg PULB. PT. SOL. PERF. 500mg
EDICIN
PULB.LIOF.PT.SOL.PERF./INJ 1g
TARGOCID (R) 400 mg
LIOF. + SOLV. PT. SOL. INJ. 400mg
ZYVOXID (R)
COMPR. FILM. 600mg
ZYVOXID (R)
GRAN. PT. SUSP. ORALA 100mg/5ml
ZYVOXID (R)
SOL. PERF. 2mg/ml
FLUCONAZOLE TEVA 100 mg CAPS.
100mg
FLUCONAZOLE TEVA 100 mg CAPS.
100mg
FUNGOLON 100 mg
CAPS.
100mg
DIFLAZON 100 mg
CAPS.
100mg
FLUCOVIM 100
CAPS.
100mg
FLUCORIC 100 mg
CAPS.
100mg
FLUCONAZOL 150 mg
CAPS.
150mg
FLUCONAZOLE TEVA 150 mg CAPS.
150mg
FLUCONAZOL MEDICO UNO 150 mg CAPS.
150mg
FLUCONAZOL BIOGALENICA 150 mg CAPS.
150mg
FLUCONAZOL ARENA 150 MG CAPS.
150mg
FLUCONAZOL MEDOCHEMIE 150 mg CAPS.
150mg
FLUCONAZOL OZONE 150 mg CAPS.
150mg
FLUCONAZOL 150 mg
CAPS.
150mg
FLUCONAZOL SANDOZ (R) 150 CAPS.
150mg
MYCOSYST 150 mg
CAPS.
150mg
MYCOSYST 150 mg
CAPS.
150mg
DIFLAZON 150 mg
CAPS.
150mg
FLUCOVIM 150
CAPS.
150mg
DIFLUCAN 150 mg
CAPS.
150mg
FLUCORIC 150 mg
CAPS.
150mg
FLUCONAZOL ACTAVIS 150 mg CAPS.
150mg
MYCOMAX 150
CAPS.
150mg
FLUCONAZOLE TEVA 200 mg CAPS.
200mg
FLUCONAZOL 50 mg
CAPS.
50mg
FLUCONAZOLE TEVA 50 mg CAPS.
50mg
FLUCONAZOL MEDOCHEMIE 50 mg CAPS.
50mg
FLUCONAZOL ARENA 50 MG CAPS.
50mg
FLUCONAZOL BIOGALENICA 50 mg CAPS.
50mg
FLUCOVIM 50
CAPS.
50mg
FUNGOLON 50 mg
CAPS.
50mg
DIFLAZON 50 mg
CAPS.
50mg
FLUCONAZOL OZONE 50 mg CAPS.
50mg
FLUCONAZOL 50 mg
CAPS.
50mg
DIFLUCAN 50 mg
CAPS.
50mg
FLUCORIC 50 mg
CAPS.
50mg
FLUCONAZOL SANDOZ (R) 50 CAPS.
50mg
DIFLUCAN (R) 50 mg/5 ml
PULB. PT. SUSP. ORALA 50mg/5ml
DIFLAZON 2mg/ml
SOL. PERF. 2mg/ml
FLUCONAZOL BIOGALENICA 2mg/ml SOL. PERF. 2mg/ml
FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF. 2mg/ml
LIOF. PT. SOL. PERF.
LIOF. PT. SOL. PERF.

Firma

ASTRAZENECA UK LIMITED
FRESENIUS KABI ROMANIA SRL
FRESENIUS KABI ROMANIA SRL

Tara

MAREA BRITANIE

ROMANIA
ROMANIA

Ambalaj

CUTIE CU 10 FLAC. DIN STICLA CU CAPACITATEA DE 20 ML PULB. PT. SOL. INJ. I.V./PERF.
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF.

Prescriptie

S
S
S
PR
S
S
PR

HOSPIRA UK LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.
FRESENIUS KABI ROMANIA SRL ROMANIA
FRESENIUS KABI ROMANIA SRL ROMANIA
HOSPIRA UK LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.
TERAPIA SA
ROMANIA
S/P-RF
TERAPIA SA
ROMANIA
S/P-RF
TERAPIA SA
ROMANIA
S/P-RF
TERAPIA SA
ROMANIA
S/P-RF
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. S/P-RF
MERCK SHARP & DOHME ROMANIA TAVA DIN PLASTIC X 10 FLAC. DIN STICLA INCOLORA CU PULB.PT. SOL. PERF. S/P-RF
MERCK SHARP & DOHME ROMANIA TAVA DIN PLASTIC X 25 FLAC. DIN STICLA INCOLORA CU PULB.PT. SOL. PERF. S/P-RF
HOSPIRA UK LIMITED MAREA BRITANIE
PR
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 10 FLAC. STICLA INCOLORA CU PULB. PT. SOL. PERF. S/P-RF
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 10 FLAC. STICLA INCOLORA CU PULB. PT. SOL. PERF. S/P-RF
TEVA PHARM. WORKS PRIVATE LTD. COMPANY UNGARIA CUTIE X 1 FLAC. DIN STICLA CU LIOF. PT. SOL. PERF.S/P-RF
TEVA PHARM. WORKS PRIVATE LTD. COMPANY UNGARIA CUTIE X 1 FLAC. DIN STICLA CU LIOF. PT. SOL. PERF.S/P-RF
PHARMASWISS CESKA REPUBLIKA S.R.O. REPUBLICA SLOVACA CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. PR
PHARMASWISS CESKA REPUBLIKA S.R.O. REPUBLICA SLOVACA CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. PR
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF.

CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF.
CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 22 ML PULB. PT. SOL. PERF.

CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 22 ML PULB. PT. SOL. PERF.

CUTIE CU 5 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. PERF.

LEK PHARMACEUTICALS D.D.

SLOVENIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. LIOF. PT. SOL. PERF./INJ.

S/P-RF

AVENTIS PHARMA LTD.

MAREA BRITANIE

CUTIE X 1 FLAC. LIOF. + O FIOLA SOLV.

P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 1 FLAC. X 10 COMPR. FILM.

P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 1 FLACON X 66 G GRAN. PTR. 150 ML SUSP. + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML

MAREA BRITANIE

CUTIE X 10 PUNGI X 300 ML

MAREA BRITANIE

CUTIE X 1 FLAC. PEID PULB. PT. 35 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 5 ML

P-RF

S
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
BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 2 BLIST. PVC/AL X 8 CAPS.
P-RF
KRKA D.D.
SLOVENIA CUTIE X 4 BLIST. X 7 CAPS.
P-RF
VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS.
P-RF
TERAPIA SA
ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF
SLAVIA PHARM SRL ROMANIA 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
MEDICO UNO PHARMACEUTICAL SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA P-RF
LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF
ARENA GROUP SA 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
OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF
OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF
SANDOZ SRL
GERMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 1 CAPS.
P-RF
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 4 BLIST. AL/PVC X 1 CAPS.
P-RF
KRKA D.D.
SLOVENIA CUTIE X 1 BLIST. X 1 CAPS.
P-RF
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
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 BLIST. PVC-PVDC/AL X 1 CAPS. PRF
ZENTIVA K.S.
CEHIA
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 7 CAPS. P-RF
SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF
MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF
ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF
LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF
VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS.
P-RF
BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 1 BLIST. PVC/AL X 8 CAPS.
P-RF
KRKA D.D.
SLOVENIA CUTIE X 1 BLIST. X 7 CAPS.
P-RF
OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF
ANTIBIOTICE S.A.
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF
TERAPIA SA
ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS. P-RF
SANDOZ SRL
ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF
PFIZER EUROPE MA EEIG

TEVA PHARMACEUTICALS S.R.L.

PFIZER EUROPE MA EEIG

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML

P-RF
S/PR-F

ARENA GROUP S.A. ROMANIA CUTIE X 1 FLAC. X 100 ML SOL. PERF. S


B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. PEJD X 50 ML SOL. PERF. S
Pagina 28 din 48

cant/a
mbala
j

10
1
10
1
1
10
1
5
10
5
10
10
10
25
5
10
10
1
1
10
10
1
1
10
1
10
2
7
16
28
4
7
1
1
1
1
1
1
1
1
1
2
4
1
1
1
1
1
1
7
7
7
7
7
7
7
8
7
7
10
7
7
7
1
1
1
10

Pret cu
ridicata
maximal /
ambalaj

533.62
71.99
672.80
56.55
37.32
357.36
31.10
144.54
289.09
144.54
289.09
293.49
440.58
1,056.45
144.54
144.54
289.09
48.00
23.99
451.00
231.55
56.22
116.78
1,584.80
869.39
1,584.80
6.90
23.04
64.60
191.37
18.72
32.76
7.08
4.82
6.60
4.82
6.60
5.99
7.27
7.27
10.66
23.84
47.68
16.46
7.27
18.34
13.79
7.35
9.15
29.74
14.32
12.20
11.81
13.98
11.53
16.50
13.92
46.63
16.50
18.66
42.71
21.65
31.68
42.71
34.63
40.15
180.75

Pret cu ridicata
maximal / U.T.

53.362000
71.990000
67.280000
56.550000
37.320000
35.736000
31.100000
28.908000
28.909000
28.908000
28.909000
29.349000
44.058000
42.258000
28.908000
14.454000
28.909000
48.000000
23.990000
45.100000
23.155000
56.220000
116.780000
158.480000
869.390000
158.480000
3.450000
3.291428
4.037500
6.834642
4.680000
4.680000
7.080000
4.820000
6.600000
4.820000
6.600000
5.990000
7.270000
7.270000
10.660000
11.920000
11.920000
16.460000
7.270000
18.340000
13.790000
7.350000
9.150000
4.248571
2.045714
1.742857
1.687142
1.997142
1.647142
2.357142
1.740000
6.661428
2.357142
1.866000
6.101428
3.092857
4.525714
42.710000
34.630000
40.150000
18.075000

Pret cu ridicata
maximal de
decontare / U.T.

37.320000
67.860000
67.280000
56.550000
37.320000
35.736000
31.100000
28.908000
28.909000
28.908000
28.909000
29.349000
34.689600
34.689600
28.908000
14.454000
28.909000
48.000000
23.990000
45.100000
23.155000
54.120000
116.780000
158.480000
869.390000
158.480000
3.450000
3.291428
3.949714
3.949714
3.949714
3.949714
5.784000
4.820000
5.784000
4.820000
5.784000
5.784000
5.784000
5.784000
5.784000
5.784000
5.784000
5.784000
5.784000
5.784000
5.784000
5.784000
5.784000
4.248571
1.976570
1.742857
1.687142
1.976570
1.647142
1.976570
1.740000
1.976570
1.976570
1.866000
1.976570
1.976570
1.976570
42.710000
34.630000
37.100640
18.075000

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

619.80
91.03
771.50
71.50
48.82
427.67
40.68
176.45
352.92
176.45
352.92
358.29
518.38
1,189.68
176.45
176.45
352.92
62.78
32.43
529.74
282.68
71.09
142.56
1,765.58
985.79
1,765.58
9.32
31.14
81.68
233.63
25.30
42.85
9.57
6.52
8.92
6.52
8.92
8.10
9.82
9.82
14.41
32.22
62.36
22.25
9.82
24.79
18.64
9.94
12.37
38.90
19.35
16.49
15.96
18.89
15.58
22.30
18.81
60.99
22.30
25.22
55.87
29.26
41.44
55.87
45.29
52.52
220.66

61.980000
91.030000
77.150000
71.500000
48.820000
42.767000
40.680000
35.290000
35.292000
35.290000
35.292000
35.829000
51.838000
47.587200
35.290000
17.645000
35.292000
62.780000
32.430000
52.974000
28.268000
71.090000
142.560000
176.558000
985.790000
176.558000
4.660000
4.448571
5.105000
8.343928
6.325000
6.121428
9.570000
6.520000
8.920000
6.520000
8.920000
8.100000
9.820000
9.820000
14.410000
16.110000
15.590000
22.250000
9.820000
24.790000
18.640000
9.940000
12.370000
5.557142
2.764285
2.355714
2.280000
2.698571
2.225714
3.185714
2.351250
8.712857
3.185714
2.522000
7.981428
4.180000
5.920000
55.870000
45.290000
52.520000
22.066000

48.816000
85.800000
77.150000
71.500000
48.816000
42.767000
40.680000
35.290000
35.292000
35.290000
35.292000
35.829000
42.348000
42.348000
35.290000
17.645000
35.292000
62.780000
32.430000
52.974000
28.268000
63.568800
142.560000
176.558000
985.790000
176.558000
4.660000
4.448571
5.105000
5.338285
5.338285
5.338285
7.824000
6.520000
7.824000
6.520000
7.824000
7.824000
7.824000
7.824000
7.824000
7.824000
7.824000
7.824000
7.824000
7.824000
7.824000
7.824000
7.824000
5.557142
2.670857
2.355714
2.280000
2.670857
2.225714
2.670857
2.351250
2.670857
2.670857
2.522000
2.670857
2.670857
2.670857
55.870000
42.271200
42.271200
22.066000

Grupa
Nr.
terape
crt
utica
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204

J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC03
J02AC03
J02AC03
J02AC03
J02AC04
J02AX04
J02AX04
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB11
J05AB14
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02

Denumire generica

FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
POSACONAZOLUM**
CASPOFUNGINUM**
CASPOFUNGINUM**
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
VALACYCLOVIRUM
VALGANCICLOVIRUM**

Denumire comerciala

FLUCONAZOL B. BRAUN 2mg/ml


FLUCONAZOL B. BRAUN 2mg/ml
FLUCONAZOL B. BRAUN 2mg/ml
FLUCONAZOL B. BRAUN 2mg/ml

FLUCONAZOL KABI 2 mg/ml


FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL KABI 2 mg/ml
DIFLUCAN (R)
DIFLUCAN (R)
FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL KABI 2 mg/ml
MYCOMAX INF 2mg/ml
MYCOMAX INF 2mg/ml
MYCOMAX INF 2mg/ml
VFEND 200mg
VFEND 50mg
VFEND 200mg
VFEND 40 mg/ml
NOXAFIL SP 40mg/ml
CANCIDAS 50 mg
CANCIDAS 70 mg
ACICLOVIR ARENA 200 mg
ACICLOVIR 200 mg
ACICLOVIR ARENA 200 mg
ACICLOVIR ARENA 400 mg
ACICLOVIR 200 mg
ACICLOVIR 200 mg
ACICLOVIR TERAPIA 200 mg
CLOVIRAL 200 mg
ACICLOVIR 200 mg
ACICLOVIR 400 mg
LOVIR 200 mg
ACICLOVIR OZONE 200 mg
ACICLOVIR OZONE 200 mg
ACIKLOVIR
VIROLEX
VALTREX 500 mg
VALCYTE (R) 450 mg
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**HUMAGLOBIN
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**HUMAGLOBIN
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**PRIVIGEN 100mg/ml
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**PRIVIGEN 100mg/ml
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**PRIVIGEN 100mg/ml
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**KIOVIG 100mg/ml
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**KIOVIG 100mg/ml
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**KIOVIG 100mg/ml
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**PRIVIGEN 100mg/ml
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**KIOVIG 100mg/ml
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**KIOVIG 100mg/ml
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**KIOVIG 100mg/ml
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**IG VENA 10g/200ml
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**IG VENA 1g/20ml
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**IG VENA 2,5g/50ml
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**FLEBOGAMMA 5%
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**FLEBOGAMMA 5%
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**FLEBOGAMMA 5%
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**FLEBOGAMMA 5%
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**OCTAGAM
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**OCTAGAM
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**OCTAGAM
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**IG VENA 5g/100ml
IMUNOGLOBULINA UMANA NORMALA G** OCTAGAM 10%

Forma
Concentrati
farmaceutica
e / U.T.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
COMPR. FILM.
COMPR. FILM.
PULB. PT. SOL. PERF.
PULB. PT. SUSP. ORALA

SUSP. ORALA
PULB. PT. CONC. PT. SOL. PERF.
PULB. PT. CONC. PT. SOL. PERF.

CAPS.
CAPS.
CAPS.
CAPS.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. DISP.
COMPR. DISP.
COMPR. DISP.
COMPR. FILM.
PULB. PT. SOL. INJ./PERF.

COMPR. FILM.
COMPR. FILM.
PULB.+SOLV. PT. SOL. PERF.
PULB.+SOLV. PT. SOL. PERF.

SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.

2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
200mg
50mg
200mg
40mg/ml
40mg/ml
50mg
70mg
200mg
200mg
200mg
400mg
200mg
200mg
200mg
200mg
200mg
400mg
200mg
200mg
200mg
400mg
250mg
500mg
450mg
5%
5%
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
10g/200ml
1g/20ml
2,5g/50ml
5%
5%
5%
5%
50mg/ml
50mg/ml
50mg/ml
5g/100ml
100 mg/ml

Firma

Tara

Ambalaj

B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FLAC. PEJD X 50 ML SOL. PERF.


B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. PEJD X 100 ML SOL. PERF.
B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FLAC. PEJD X 100 ML SOL. PERF.
B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. PEJD X 200 ML SOL. PERF.

Prescriptie

S
S
S
S
S
S
S
S
S
S
S

ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF.


ROMANIA CUTIE CU 25 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF.
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF.
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF.
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 200 ML
S/P-RF
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 50 ML
S/P-RF
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 25 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.
S
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF.
S
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. S
ZENTIVA K.S.
REPUBLICA SLOVACA
S
ZENTIVA K.S.
REPUBLICA SLOVACA
S
ZENTIVA K.S.
REPUBLICA SLOVACA
S
PFIZER LIMITED
MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF
PFIZER LIMITED
MAREA BRITANIE CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL) P-RF
PFIZER LIMITED
MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML
P-RF
PFIZER LIMITED
MAREA BRITANIE
P-RF
SP EUROPE
BELGIA CUTIE X 1 FLAC. X 105ML SUSP. ORALA P-RF/R
MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF. S
MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF. S
ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. P-RF/S
SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF
ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF
ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF
LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
P-RF
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. P-RF
TERAPIA SA
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
ANTIBIOTICE SA
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF
RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 BLIST. DIN PVC-PVDC/AL X 10 COMPR. DISP. P-RF
FRESENIUS KABI ROMANIA SRL
FRESENIUS KABI ROMANIA SRL

CUTIE CU 1 FLACON DIN STICLA INCOLORA A 50 ML SOL. PERF. X 100 MG FLUCONAZOL

CUTIE CU 1 FLACON DIN STICLA INCOLORA A 100 ML SOL. PERF. X 200 MG FLUCONAZOL
CUTIE CU 1 FLACON DIN STICLA INCOLORA A 200 ML SOL. PERF. X 400 MG FLUCONAZOL

CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA

CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. DISP. P-RF

OZONE LABORATORIES LTD.

MAREA BRITANIE

LABORMED PHARMA S.A.

ROMANIA CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. DISP. P-RF


ROMANIA CUTIE X 7 BLIST. AL/PVC X 5 COMPR. FILM. P-RF

A & G MED TRADING S.R.L.

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE X 5 FLAC. X 250 MG PULB. PT. SOL. INJ./PERF.

S/P-RF

THE WELLCOME FOUNDATION LTD. MAREA BRITANIE

CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. X 60 COMPR. FILM.


HUMAN BIOPLAZMA MANUFACTURING AND TRADING LTD.

HUMAN BIOPLAZMA MANUFACTURING AND TRADING LTD.

CSL BEHRING GMBH


CSL BEHRING GMBH
CSL BEHRING GMBH
BAXTER AG
BAXTER AG
BAXTER AG
CSL BEHRING GMBH
BAXTER AG
BAXTER AG
BAXTER AG
KEDRION SPA
KEDRION SPA
KEDRION SPA
INSTITUTO GRIFOLS S.A.
INSTITUTO GRIFOLS S.A.
INSTITUTO GRIFOLS S.A.
INSTITUTO GRIFOLS S.A.

OCTAPHARMA (IP) LTD.


OCTAPHARMA (IP) LTD.
OCTAPHARMA (IP) LTD.

KEDRION SPA
OCTAPHARMA (IP) LIMITED

P-RF

S
S
GERMANIA CUTIE X 1 FLAC.X 50 ML SOL. PERF. S
GERMANIA CUTIE X 1 FLAC.X 100 ML SOL. PERF. S
GERMANIA CUTIE X 1 FLAC.X 200 ML SOL. PERF. S
AUSTRIA CUTIE X 1 FLAC X 200ML SOL. PERF.(20G/200ML) S
AUSTRIA CUTIE X 1 FLAC X 50ML SOL. PERF.(5G/50ML) S
AUSTRIA CUTIE X 1 FLAC X 100ML SOL. PERF.(10G/100ML) S
GERMANIA CUTIE X 1 FLAC.X 25 ML SOL. PERF. S
AUSTRIA CUTIE X 1 FLAC X 300ML SOL. PERF.(30G/300ML) S
AUSTRIA CUTIE X 1 FLAC X 25ML SOL. PERF.(2,5G/25ML) S
AUSTRIA CUTIE X 1 FLAC X 10ML SOL. PERF.(1G/10ML) S
ITALIA
S
ITALIA
S
ITALIA
S
SPANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10 ML SOL.PERF. S
SPANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL.PERF.S
SPANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL.PERF.S
SPANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL.PERF. S
MAREA BRITANIE CUTIE X 1 FLACON X 50 ML
S
MAREA BRITANIE CUTIE X 1 FLACON X 200 ML
S
MAREA BRITANIE CUTIE X 1 FLACON X 100 ML
S
ITALIA
S
MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 20 ML SOL. PERF.
S
UNGARIA
UNGARIA

CUTIE X 1 CUTIE X 1 FLAC. CU PULB. + 1 CUTIE X 1 FLAC. SOLV. X 50 ML

CUTIE X 1 CUTIE X 1 FLAC. CU PULB. + 1 CUTIE X 1 FLAC. SOLV. X 100 ML

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL. PERF. + 1 SET ADMINISTRARE

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 20 ML SOL. PERF. + 1 SET ADMINISTRARE


CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL. PERF. + 1 SET ADMINISTRARE

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. + 1 SET ADMINISTRARE

Pagina 29 din 48

cant/a
mbala
j

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

20
10
20
10
20
25
1
10
1
10
20
1
1
25
1
10
1
1
1
28
28
1
1
1
1
1
1000
20
20
10
20
20
20
20
20
10
10
20
20
35
5
10
60
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

358.65
449.60
787.39
761.97
624.35
772.93
80.99
753.13
18.63
179.79
356.89
131.62
30.62
438.62
33.88
326.90
30.18
42.16
135.83
3,517.81
901.74
453.05
2,178.01
2,669.12
1,188.63
1,542.18
696.23
14.80
15.66
14.23
9.51
12.60
12.54
12.02
10.09
14.06
2.74
5.30
5.30
43.20
229.07
78.65
4,806.36
394.04
758.08
890.95
1,751.89
3,473.78
3,469.04
889.76
1,749.51
460.47
7,459.41
459.88
188.56
2,050.80
222.29
535.20
99.02
914.10
1,798.20
472.05
640.45
2,261.30
1,166.70
1,040.40
663.61

17.932500
44.960000
39.369500
76.197000
31.217500
30.917200
80.990000
75.313000
18.630000
17.979000
17.844500
131.620000
30.620000
17.544800
33.880000
32.690000
30.180000
42.160000
135.830000
125.636071
32.205000
453.050000
2,178.010000
2,669.120000
1,188.630000
1,542.180000
0.696230
0.740000
0.783000
1.423000
0.475500
0.630000
0.627000
0.601000
0.504500
1.406000
0.274000
0.265000
0.265000
1.234285
45.814000
7.865000
80.106000
394.040000
758.080000
890.950000
1,751.890000
3,473.780000
3,469.040000
889.760000
1,749.510000
460.470000
7,459.410000
459.880000
188.560000
2,050.800000
222.290000
535.200000
99.020000
914.100000
1,798.200000
472.050000
640.450000
2,261.300000
1,166.700000
1,040.400000
663.610000

Pret cu ridicata
maximal de
decontare / U.T.

17.932500
37.100640
37.100640
76.197000
31.217500
30.917200
80.990000
75.313000
18.630000
17.979000
17.844500
90.375600
21.053760
17.544800
33.880000
32.690000
21.053760
37.100640
90.375600
125.636071
32.205000
453.050000
2,178.010000
2,669.120000
1,188.630000
1,542.180000
0.318000
0.318000
0.318000
1.423000
0.318000
0.318000
0.318000
0.318000
0.318000
1.406000
0.274000
0.265000
0.265000
1.234285
45.814000
7.865000
80.106000
394.040000
758.080000
890.950000
1,751.890000
3,473.780000
3,469.040000
889.760000
1,749.510000
460.470000
7,459.410000
459.880000
188.560000
2,050.800000
222.290000
535.200000
99.020000
914.100000
1,798.200000
472.050000
640.450000
2,261.300000
1,166.700000
1,040.400000
663.610000

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

429.08
528.22
896.41
868.70
718.69
880.65
102.40
859.06
25.18
219.49
427.16
160.68
40.05
516.25
44.32
394.47
39.48
55.14
165.82
3,872.57
1,021.05
531.97
2,412.18
2,947.50
1,333.76
1,719.13
797.04
20.00
21.17
19.24
12.85
17.03
16.95
16.24
13.64
19.00
3.70
7.16
7.16
56.50
279.65
99.45
5,277.09
467.65
864.46
1,009.28
1,947.71
3,824.57
3,819.40
1,007.99
1,945.12
540.07
8,168.91
539.42
230.20
2,273.52
271.37
621.52
125.20
1,034.52
1,998.19
552.68
736.24
2,502.97
1,309.85
1,172.19
761.48

21.454000
52.822000
44.820500
86.870000
35.934500
35.226000
102.400000
85.906000
25.180000
21.949000
21.358000
160.680000
40.050000
20.650000
44.320000
39.447000
39.480000
55.140000
165.820000
138.306071
36.466071
531.970000
2,412.180000
2,947.500000
1,333.760000
1,719.130000
0.797040
1.000000
1.058500
1.924000
0.642500
0.851500
0.847500
0.812000
0.682000
1.900000
0.370000
0.358000
0.358000
1.614285
55.930000
9.945000
87.951500
467.650000
864.460000
1,009.280000
1,947.710000
3,824.570000
3,819.400000
1,007.990000
1,945.120000
540.070000
8,168.910000
539.420000
230.200000
2,273.520000
271.370000
621.520000
125.200000
1,034.520000
1,998.190000
552.680000
736.240000
2,502.970000
1,309.850000
1,172.190000
761.480000

21.454000
42.271200
42.271200
86.870000
35.934500
35.226000
102.400000
85.906000
24.780000
21.949000
21.358000
103.087200
24.780000
20.650000
42.271200
39.447000
24.780000
42.271200
103.087200
138.306071
36.466071
531.970000
2,412.180000
2,947.500000
1,333.760000
1,719.130000
0.429600
0.429600
0.429600
1.924000
0.429600
0.429600
0.429600
0.429600
0.429600
1.900000
0.370000
0.358000
0.358000
1.614285
55.930000
9.945000
87.951500
467.650000
864.460000
1,009.280000
1,947.710000
3,824.570000
3,819.400000
1,007.990000
1,945.120000
540.070000
8,168.910000
539.420000
230.200000
2,273.520000
271.370000
621.520000
125.200000
1,034.520000
1,998.190000
552.680000
736.240000
2,502.970000
1,309.850000
1,172.190000
761.480000

Grupa
Nr.
terape
crt
utica
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271

Denumire generica

Denumire comerciala

Forma
Concentrati
farmaceutica
e / U.T.

J06BA02 IMUNOGLOBULINA UMANA NORMALA G** OCTAGAM

10%
SOL. PERF.
10%
SOL. PERF.
IMUNOGLOBULINA UMANA NORMALA G** OCTAGAM 10%
SOL. PERF.
CYCLOPHOSPHAMIDUM
ENDOXAN (R) 50 mg
DRAJ.
CYCLOPHOSPHAMIDUM
ENDOXAN 200 mg
PULB. PT. SOL. PERF./INJ. I.V.
MELPHALANUM
ALKERAN 2 mg
COMPR. FILM.
IFOSFAMIDUM
HOLOXAN 1 g
PULB. PT. SOL. PERF.
BUSULFANUM
MYLERAN
COMPR. FILM.
METHOTREXATUM
METOTREXATE BELLON 2,5 mg COMPR.
METHOTREXATUM
METHOTREXAT "EBEWE" 500 mg CONC. PT. SOL. INJ./PERF.
METHOTREXATUM
METHOTREXAT "EBEWE" 1000 mg CONC. PT. SOL. INJ./PERF.
METHOTREXATUM
METHOTREXAT "EBEWE" 5000 mg CONC. PT. SOL. INJ./PERF.
METHOTREXATUM
METHOTREXAT "EBEWE" 5 mg SOL. INJ.
METHOTREXATUM
METOTREXAT EBEWE 10 mg/ml
METHOTREXATUM
METOTREXAT EBEWE 10 mg/ml
METHOTREXATUM
METOTREXAT EBEWE 10 mg/ml
METHOTREXATUM
METOTREXAT EBEWE 10 mg/ml
METHOTREXATUM
METOJECT 50mg/ml
METHOTREXATUM
METOJECT 50mg/ml
METHOTREXATUM
METHOTREXAT "EBEWE" 50 mg SOL. INJ./PERF.
FLUDARABINUM
FLUDARA ORAL 10 mg
COMPR. FILM.
FLUDARABINUM
FLUDARA
LIOF. PT. SOL. INJ./PERF.
FLUDARABINUM
FLUDARABINA ACTAVIS 25 mg/ml PULB. PT. SOL. INJ./PERF.
ETOPOSIDUM
VEPESID
CAPS. MOI
ETOPOSIDUM
VEPESID
CAPS. MOI
ETOPOSIDUM
SINTOPOZID 100 mg/5 ml
CONC. PT. SOL. PERF.
ETOPOSIDUM
ETOPOSID "EBEWE" 100 mg/5 ml CONC. PT. SOL. PERF.
ETOPOSIDUM
ETOPOSIDE - TEVA
CONC. PT. SOL. PERF.
ETOPOSIDUM
ETOPOSIDE - TEVA
CONC. PT. SOL. PERF.
IDARUBICINUM
ZAVEDOS
CAPS.
IDARUBICINUM
ZAVEDOS 5 mg
LIOF. PT. SOL. INJ.
MITOXANTRONUM**
ONKOTRONE
CONC. PT. SOL. INJ.
CISPLATINUM
CISPLATIN TEVA 10 mg/20 ml CONC. PT. SOL. PERF.
CISPLATINUM
CISPLATIN "EBEWE" 10 mg/20 ml CONC. PT. SOL. PERF.
CISPLATINUM
SINPLATIN 1 mg/1 ml
CONC. PT. SOL. PERF.
CISPLATINUM
SINPLATIN 1 mg/1 ml
CONC. PT. SOL. PERF.
CISPLATINUM
CISPLATINA ACCORD 1 mg/ml CONC. PT. SOL. PERF.
CISPLATINUM
CISPLATINA ACCORD 1 mg/ml CONC. PT. SOL. PERF.
CISPLATINUM
CISPLATINA ACCORD 1 mg/ml CONC. PT. SOL. PERF.
CISPLATINUM
CISPLATIN "EBEWE" 25 mg/50 ml CONC. PT. SOL. PERF.
CISPLATINUM
CISPLATIN "EBEWE" 50 mg/100 ml CONC. PT. SOL. PERF.
CARBOPLATINUM
CARBOPLATIN "EBEWE" 10 mg/ml CONC. PT. SOL. PERF.
CARBOPLATINUM
CARBOPLATIN "EBEWE" 10 mg/ml CONC. PT. SOL. PERF.
CARBOPLATINUM
CARBOPLATIN "EBEWE" 10 mg/ml CONC. PT. SOL. PERF.
CARBOPLATINUM
CARBOPLATIN TEVA 10mg/ml CONC. PT. SOL. PERF.
CARBOPLATINUM
CARBOPLATIN TEVA 10mg/ml CONC. PT. SOL. PERF.
CARBOPLATINUM
CARBOPLATIN ACTAVIS 10mg/ml CONC. PT. SOL. PERF.
CARBOPLATINUM
CARBOPLATIN ACTAVIS 10mg/ml CONC. PT. SOL. PERF.
CARBOPLATINUM
CARBOPLATIN ACTAVIS 10mg/ml CONC. PT. SOL. PERF.
RITUXIMABUM**
MABTHERA 100 mg
CONC. PT. SOL. PERF.
RITUXIMABUM**
MABTHERA 500 mg
CONC. PT. SOL. PERF.
ALEMTUZUMABUM**
MABCAMPATH 10 mg/ml
CONC. PT. SOL. PERF.
ALEMTUZUMABUM**
MABCAMPATH 30 mg/ml
CONC. PT. SOL. PERF.
FILGRASTIMUM (G-CSF)**
NEUPOGEN (R)
SOL. INJ.
FILGRASTIMUM (G-CSF)**
NEUPOGEN (R)
SOL. INJ.
FILGRASTIMUM (G-CSF)**
ZARZIO 30MU/0,5ml
FILGRASTIMUM (G-CSF)**
ZARZIO 48MU/0,5ml
FILGRASTIMUM (G-CSF)**
NIVESTIM 12 MU/0,2ml
SOL. INJ./PERF.
FILGRASTIMUM (G-CSF)**
TEVAGRASTIM 30MUI/0,5ml SOL. INJ./PERF.
FILGRASTIMUM (G-CSF)**
NIVESTIM 30 MU/0,5 ml
SOL. INJ./PERF.
FILGRASTIMUM (G-CSF)**
TEVAGRASTIM 48MUI/0,8ml SOL. INJ./PERF.
FILGRASTIMUM (G-CSF)**
NIVESTIM 48 MU/0,5 ml
SOL. INJ./PERF.
MYCOPHENOLATUM**
CELLCEPT 250mg
CAPS.
MYCOPHENOLATUM**
MYCOPHENOLATE MOFETIL MEDICO UNO 500 MG COMPR. FILM.
MYCOPHENOLATUM**
CELLCEPT 500mg
COMPR. FILM.
MYCOPHENOLATUM**
MYFORTIC 180 mg
COMPR. FILM. GASTROREZ.
MYCOPHENOLATUM**
MYFORTIC 360 mg
COMPR. FILM. GASTROREZ.

J06BA02 IMUNOGLOBULINA UMANA NORMALA G** OCTAGAM


J06BA02
L01AA01
L01AA01
L01AA03
L01AA06
L01AB01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BB05
L01BB05
L01BB05
L01CB01
L01CB01
L01CB01
L01CB01
L01CB01
L01CB01
L01DB06
L01DB06
L01DB07
L01XA01
L01XA01
L01XA01
L01XA01
L01XA01
L01XA01
L01XA01
L01XA01
L01XA01
L01XA02
L01XA02
L01XA02
L01XA02
L01XA02
L01XA02
L01XA02
L01XA02
L01XC02
L01XC02
L01XC04
L01XC04
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06

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. /PERF. IN SERINGA PREUMPLUTA

SOL. INJ. /PERF. IN SERINGA PREUMPLUTA

100 mg/ml
100 mg/ml
100 mg/ml
50mg
200mg
2mg
1g
2mg
2,5mg
100mg/ml
100mg/ml
100mg/ml
5mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
50mg/ml
50mg/ml
10mg/ml
10mg
50mg
25mg/ml
100mg
50mg
100mg/5ml
100mg/5ml
20mg/ml
20mg/ml
10mg
5mg
2mg/ml
10mg/20ml
10mg/20ml
1mg/1ml
1mg/1ml
1mg/ml
1mg/ml
1mg/ml
25mg/50ml
50mg/100ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
30mg/ml
30MU/0,5ml
48MU/0,5ml
60MU/ml
96MU/ml
120g/0,2ml

Firma

Tara

OCTAPHARMA (IP) LIMITED

MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL. PERF.

OCTAPHARMA (IP) LIMITED

MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF.

OCTAPHARMA (IP) LIMITED

MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL. PERF.

Prescriptie

S
S
S

BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ.

P-RF

ACTAVIS S.R.L.

ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. PERF./INJ

THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA BRUNA X 25 COMPR. FILM. P-RF

BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. PERF.

THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA BRUNA X 25 COMPR. FILM. P-RF

FARMEXINM S.R.L.
EBEWE PHARMA GMBH NFG. KG
EBEWE PHARMA GMBH NFG. KG
EBEWE PHARMA GMBH NFG. KG
EBEWE PHARMA GMBH NFG. KG
EBEWE PHARMA GES.M.B.H. NFG KG
EBEWE PHARMA GES.M.B.H. NFG KG
EBEWE PHARMA GES.M.B.H. NFG KG
EBEWE PHARMA GES.M.B.H. NFG KG

ROMANIA CUTIE X 20 COMPR.


P-RF/R
AUSTRIA CUTIE X 5 FIOLE X 5 ML
S
AUSTRIA CUTIE X 1 TUB DIN MATERIAL PLASTIC X 1 FIOLA X 10 ML S
AUSTRIA CUTIE X 1 FLACON X 50 ML
S
AUSTRIA CUTIE X 10 FIOLE X 1 ML
S
AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA CU AC X 0,75 ML SOL INJ.P-RF/R
AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA CU AC X 1 ML SOL INJ. P-RF/R
AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA CU AC X 1,5 ML SOL INJ. P-RF/R
AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA CU AC X 2 ML SOL INJ. P-RF/R

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANIA
GERMANIA

EBEWE PHARMA GMBH NFG. KG

AUSTRIA CUTIE X 1 FLACON X 5 ML

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

BAYER SCHERING PHARMA AG


BAYER SCHERING PHARMA AG

ACTAVIS S.R.L.
BRISTOL MYERS SQUIBB KFT
BRISTOL MYERS SQUIBB KFT

ACTAVIS S.R.L.
EBEWE PHARMA GMBH NFG. KG
TEVA PHARMACEUTICALS S.R.L.
TEVA PHARMACEUTICALS S.R.L.

PFIZER EUROPE MA EEIG

CUTIE X 1 SERINGA PREUMPLUTA X 0,50ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL

P-RF

CUTIE X 1 SERINGA PREUMPLUTA X 0,40ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL

P-RF

GERMANIA CUTIE X 1 FLAC. DIN PE X 4 BLIST. AL/AL X 5 COMPR. FILM. P-RF/S


GERMANIA CUTIE X 5 FLAC. CU LIOF. PT. SOL. INJ./PERF. S

ROMANIA
UNGARIA CUTIE X 1 BLIST. PVC/A0-PVC-PVDC X 10 CAPS.
UNGARIA CUTIE X 2 BLIST. PVC/AL-PVC-PVDC X 10 CAPS.
ROMANIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF.
AUSTRIA CUTIE X 1 FLACON X 5 ML
ROMANIA CUTIE X 1 FLAC. X 5 ML CONC. PT. SOL. PERF.
ROMANIA CUTIE X 1 FLAC. X 10 ML CONC. PT. SOL. PERF.
MAREA BRITANIE CUTIE X 1 FLAC. X 1 CAPS.
CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 5ML) CU PULB. PT. SOL. INJ/PERF CONTINAND 50MG FLUDA

S
P-RF
P-RF

S
S
S
S
P-RF

S
S
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 20 ML
S
EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 20 ML CONC. PT. SOL. PERF.
S
ACTAVIS S.R.L.
ROMANIA CUTIE X 1 FLAC. X 50 ML X 50 MG CONC. SOL. PERF. S
ACTAVIS S.R.L.
ROMANIA CUTIE X 1 FLAC. X 10 ML X 10 MG CONC. SOL. PERF. S
ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DE 10 ML DIN STICLA BRUNA CU CONC. PT. SOL. PERF. S
ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DE 30 ML DIN STICLA BRUNA CU CONC. PT. SOL. PERF. S
ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DE 50 ML DIN STICLA BRUNA CU CONC. PT. SOL. PERF. S
EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 50 ML COND. PT. SOL. PERF.
S
EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 100 ML CONC. PT. SOL. PERF. S
EBEWE PHARMA GES.M.B.H. NFG KG
AUSTRIA CUTIE X 1 FLACON DIN STICLA X 45 ML CONC. PT. SOL. PERF. S
EBEWE PHARMA GES.M.B.H. NFG KG
AUSTRIA CUTIE X 1 FLACON DIN STICLA X 5 ML CONC. PT. SOL. PERF. S
EBEWE PHARMA GES.M.B.H. NFG KG
AUSTRIA CUTIE X 1 FLACON DIN STICLA X 15 ML CONC. PT. SOL. PERF. S
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 15 ML CONC. PT. SOL. PERF. S
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 45 ML CONC. PT. SOL. PERF. S
ACTAVIS S.R.L.
ROMANIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 45 ML CONC. PT. SOL. PERF. S
ACTAVIS S.R.L.
ROMANIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. S
ACTAVIS S.R.L.
ROMANIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 15 ML CONC. PT. SOL. PERF. S
ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 2 FLACOANE X 10 ML
S
ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLACON X 50 ML(500MG RITUXIMAB IN 50ML- 10MG/ML) S
GENZYME EUROPE BV OLANDA CUTIE X 3 FIOLE X 3 ML CONCENTRAT INTR-O FIOLA DE 5MLS
GENZYME EUROPE BV OLANDA CUTIE X 3 FLACOANE X 1 ML CONCENTRAT INTR-UN FLACON DE 2ML S
AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML S/P-RF
AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML S/P-RF
SANDOZ GMBH
AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R
SANDOZ GMBH
AUSTRIA 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
PFIZER EUROPE MA EEIG

MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA INCOLORA CU LIOF. PT. SOL. INJ.

BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 1 FLACON X 10 ML CONC. PT. SOL. INJ.

300mcg/0,5ml TEVA GENERICS GMBH GERMANIA


300g/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE
480mcg/0,8ml TEVA GENERICS GMBH GERMANIA
480g/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE

250mg
500mg
500mg
180mg
360mg

Ambalaj

ROCHE REGISTRATION LTD.

MAREA BRITANIE

MEDICO UNO PHARMA KFT.

UNGARIA

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF.S/P-RF/R


CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF.

P-RF

CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF.S/P-RF/R


CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF.

P-RF

CUTIE X 10 BLIST. X 10 CAPS.

P-RF/R

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

P-RF/R

CUTIE X 5 BLIST. X 10 COMPR. FILM.

P-RF/R

NOVARTIS PHARMA GMBH GERMANIA

CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ.S/P-RF

NOVARTIS PHARMA GMBH GERMANIA

CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ.S/P-RF

Pagina 30 din 48

cant/a
mbala
j

1
1
1
50
1
25
1
25
20
5
1
1
10
1
1
1
1
1
1
1
20
5
1
10
20
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
2
1
3
3
1
1
1
1
5
1
5
1
5
100
50
50
120
120

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

1,550.55
3,072.10
6,114.44
19.10
11.62
6.81
91.57
11.47
16.70
195.15
70.08
329.08
17.42
45.06
61.49
86.05
99.16
100.54
85.61
9.74
1,660.81
2,387.59
336.49
307.71
304.95
32.45
38.59
31.59
60.36
200.93
141.67
549.31
8.79
9.06
24.12
7.66
7.66
18.95
24.12
21.80
31.20
175.97
21.60
61.78
46.89
131.25
131.47
17.83
49.42
2,195.82
5,444.73
4,865.80
4,866.20
263.92
431.80
160.19
257.85
413.89
211.64
989.71
352.07
1,637.21
447.90
289.44
447.90
551.46
1,030.04

1,550.550000
3,072.100000
6,114.440000
0.382000
11.620000
0.272400
91.570000
0.458800
0.835000
39.030000
70.080000
329.080000
1.742000
45.060000
61.490000
86.050000
99.160000
100.540000
85.610000
9.740000
83.040500
477.518000
336.490000
30.771000
15.247500
32.450000
38.590000
31.590000
60.360000
200.930000
141.670000
549.310000
8.790000
9.060000
24.120000
7.660000
7.660000
18.950000
24.120000
21.800000
31.200000
175.970000
21.600000
61.780000
46.890000
131.250000
131.470000
17.830000
49.420000
1,097.910000
5,444.730000
1,621.933333
1,622.066666
263.920000
431.800000
160.190000
257.850000
82.778000
211.640000
197.942000
352.070000
327.442000
4.479000
5.788800
8.958000
4.595500
8.583666

Pret cu ridicata
maximal de
decontare / U.T.

1,550.550000
3,072.100000
6,114.440000
0.382000
11.620000
0.272400
91.570000
0.458800
0.835000
39.030000
70.080000
329.080000
1.742000
45.060000
61.490000
86.050000
99.160000
100.540000
85.610000
9.740000
83.040500
403.788000
336.490000
30.771000
15.247500
32.450000
37.908000
31.590000
60.360000
200.930000
141.670000
549.310000
8.790000
9.060000
24.120000
7.660000
7.660000
18.950000
24.120000
21.800000
28.944000
157.500000
21.396000
56.268000
46.890000
131.250000
131.470000
17.830000
49.420000
1,097.910000
5,444.730000
1,621.933333
1,622.066666
192.228000
309.420000
160.190000
257.850000
82.778000
192.228000
192.228000
309.420000
309.420000
3.458400
5.388240
5.388240
4.595500
8.583666

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

1,728.25
3,386.74
6,702.89
25.82
15.70
9.21
115.78
15.50
22.57
238.24
88.61
396.85
23.54
58.94
77.75
108.80
125.38
122.74
108.25
13.17
1,848.44
2,640.63
404.92
373.55
370.55
42.44
50.47
41.32
76.32
245.30
172.95
636.90
11.88
12.25
32.60
10.35
10.35
25.61
32.60
29.46
40.81
214.83
29.20
78.11
61.33
160.23
160.50
24.10
64.64
2,431.60
5,972.91
5,341.88
5,342.31
322.20
508.81
195.56
314.78
489.29
258.37
1,116.94
421.91
1,822.71
526.36
353.35
526.36
639.24
1,160.90

1,728.250000
3,386.740000
6,702.890000
0.516400
15.700000
0.368400
115.780000
0.620000
1.128500
47.648000
88.610000
396.850000
2.354000
58.940000
77.750000
108.800000
125.380000
122.740000
108.250000
13.170000
92.422000
528.126000
404.920000
37.355000
18.527500
42.440000
50.470000
41.320000
76.320000
245.300000
172.950000
636.900000
11.880000
12.250000
32.600000
10.350000
10.350000
25.610000
32.600000
29.460000
40.810000
214.830000
29.200000
78.110000
61.330000
160.230000
160.500000
24.100000
64.640000
1,215.800000
5,972.910000
1,780.626666
1,780.770000
322.200000
508.810000
195.560000
314.780000
97.858000
258.370000
223.388000
421.910000
364.542000
5.263600
7.067000
10.527200
5.327000
9.674166

1,728.250000
3,386.740000
6,702.890000
0.516400
15.700000
0.368400
115.780000
0.620000
1.128500
47.648000
88.610000
396.850000
2.354000
58.940000
77.750000
108.800000
125.380000
122.740000
108.250000
13.170000
92.422000
485.904000
404.920000
37.355000
18.527500
42.440000
49.584000
41.320000
76.320000
245.300000
172.950000
636.900000
11.880000
12.250000
32.600000
10.350000
10.350000
25.610000
32.600000
29.460000
39.120000
192.276000
28.920000
73.596000
61.330000
160.230000
160.500000
24.100000
64.640000
1,215.800000
5,972.910000
1,780.626666
1,780.770000
234.672000
377.736000
195.560000
314.780000
97.858000
234.672000
223.388000
377.736000
364.542000
4.221960
6.577920
6.577920
5.327000
9.674166

Grupa
Nr.
terape
crt
utica
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338

L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA10
L04AB01
L04AB01
L04AB01
L04AB01
L04AB01
L04AB01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02

Denumire generica

Denumire comerciala

Forma
Concentrati
farmaceutica
e / U.T.

Tara

Ambalaj

Prescriptie

MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL DR. REDDY'S 250 mg CAPS.


MYCOPHENOLATUM MOFETILUM** MYCOPHENOLATE MOFETIL ACCORD 250 mg CAPS.
MYCOPHENOLATUM MOFETILUM** MYFENAX 250mg
CAPS.
MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL SANDOZ 500 mg COMPR.
MYCOPHENOLATUM MOFETILUM** MYFENAX 500mg
COMPR. FILM.
MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL DR. REDDY'S 500 mg COMPR. FILM.
MYCOPHENOLATUM MOFETILUM** MYCOFENOLAT MOFETIL ACTAVIS 500 mgCOMPR. FILM.
MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL DR. REDDY'S 500 mg COMPR. FILM.

DR. REDDY'S LABORATORIES

DR. REDDY'S LABORATORIES

OLANDA CUTIE X BLIST. PVC/PVDC/AL X 100 CAPS. P-RF/R


ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 50 COMPR. FILM. P-RF
OLANDA CUTIE X BLIST. PVC/PVDC/AL X 50 COMPR. FILM. P-RF/R
ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. P-RF
ISLANDA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. P-RF/R
ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. P-RF

SIROLIMUS**
ETANERCEPTUM**
ETANERCEPTUM**
ETANERCEPTUM**
ETANERCEPTUM**
ETANERCEPTUM**
ETANERCEPTUM**
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM

WYETH EUROPA LTD.

MAREA BRITANIE

CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR)

P-RF/R

WYETH EUROPA LIMITED

MAREA BRITANIE

CUTIE X 4 FLAC. PULB. PT. SOL. INJ. + 4 SERINGI PREUMPLUTE CU SOLVENT + 4 ADAPTOARE PT. FLAC. + 8 TA

P-RF/R

WYETH EUROPA LIMITED

MAREA BRITANIE CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 TAMPOANE CU ALCOOLP-RF/R

RAPAMUNE 1mg
ENBREL 50 mg
ENBREL 25mg
ENBREL DE UZ PEDIATRIC
ENBREL 25mg
ENBREL 50mg
ENBREL 50mg
EQUORAL (R) 100 mg
CICLORAL 25 mg
EQUORAL (R) 25 mg
SANDIMMUN NEORAL (R)
CICLORAL 50 mg
EQUORAL (R) 50 mg
SANDIMMUN NEORAL (R)
EQUORAL (R)
TACNI 0,5 mg
PROGRAF (R) 0,5 mg
TACROLIMUSUM ACCORD 0,5 mg

TACROLIMUS SANDOZ 0,5 mg

TACNI 1 mg
PROGRAF (R) 1 mg
TACROLIMUSUM ACCORD 1 mg

TACROLIMUS SANDOZ 1 mg
TACNI 5 mg
PROGRAF (R) 5 mg
ADVAGRAF 0,5mg
ADVAGRAF 1mg
ADVAGRAF 5mg
PROGRAF (R) 5 mg/ml
URGENDOL
TRAMAL (R)
TRAMADOL ARENA
TRAMADOL AL 50
TRAMADOL AL 50
MABRON 50 mg
TRALGIT 50
TRAMACALM
TRAMADOL LPH 50 mg
TRAMADOL
K-ALMA (R)
TRAMAL UNO 100 mg
TRAMAL UNO 100 mg
TRAMAL UNO 100 mg
TRAMAL UNO 100 mg
TRAMAL UNO 150 mg
TRAMAL UNO 150 mg
TRAMAL UNO 150 mg
TRAMAL UNO 150 mg
TRAMAL UNO 200 mg
TRAMAL UNO 200 mg
TRAMAL UNO 200 mg
TRAMAL UNO 200 mg
TRAMADOL EEL
TRAMADOL 50 mg
TRAMAG 50
TRAMADOL 50 mg
TRAMADOLOR (R) 100 ID
TRAMADOL (R) RETARD
NOAX UNO 100 mg

250 mg
250mg
250mg
500mg
500mg
500mg
500mg
500mg
DRAJ.
1mg
PULB+SOLV.PT.SOL.INJ 50mg
PULB. + SOLV. PT. SOL. INJ.
25mg
PULB. + SOLV. PT. SOL. INJ.
25mg
25mg
50mg
50mg
CAPS. MOI 100mg
CAPS. MOI 25mg
CAPS. MOI 25mg
CAPS. MOI 25mg
CAPS. MOI 50mg
CAPS. MOI 50mg
CAPS. MOI 50mg
SOL. ORALA 100mg/ml
CAPS.
0,5 mg
CAPS.
0,5mg
CAPS.
0,5mg
CAPS.
0,5mg
CAPS.
1 mg
CAPS.
1mg
CAPS.
1mg
CAPS.
1mg
CAPS.
5 mg
CAPS.
5mg
CAPS. ELIB. PREL. 0,5mg
CAPS. ELIB. PREL. 1mg
CAPS. ELIB. PREL. 5mg
CONC. PT. SOL. PERF. 5mg/ml
CAPS.
50mg
CAPS.
50mg
CAPS.
50mg
CAPS.
50mg
CAPS.
50mg
CAPS.
50mg
CAPS.
50mg
CAPS.
50mg
CAPS.
50mg
CAPS.
50mg
CAPS.
50mg
CAPS. ELIB. PREL. 100mg
CAPS. ELIB. PREL. 100mg
CAPS. ELIB. PREL. 100mg
CAPS. ELIB. PREL. 100mg
CAPS. ELIB. PREL. 150mg
CAPS. ELIB. PREL. 150mg
CAPS. ELIB. PREL. 150mg
CAPS. ELIB. PREL. 150mg
CAPS. ELIB. PREL. 200mg
CAPS. ELIB. PREL. 200mg
CAPS. ELIB. PREL. 200mg
CAPS. ELIB. PREL. 200mg
COMPR.
50mg
COMPR.
50mg
COMPR.
50mg
COMPR.
50mg
COMPR. ELIB. MODIF. 100mg
COMPR. ELIB. PREL. 100mg
COMPR. ELIB. PREL. 100mg

Firma

ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 100 CAPS. PR

ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL CU 100 CAPS.

TEVA PHARMA BV
SANDOZ S.R.L.
TEVA PHARMA BV
DR. REDDY'S LABORATORIES

ACTAVIS GROUP PTC EHF.

P-RF/R

WYETH EUROPA LIMITED

MAREA BRITANIE

SOL. INJ. IN SERINGA PREUMPLUTA

WYETH EUROPA LIMITED

MAREA BRITANIE CUTIE X 4 SERINGI PREUMPLUTE X 8 TAMPOANE CU ALCOOL

P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

WYETH EUROPA LIMITED

MAREA BRITANIE CUTIE X 4 SERINGI PREUMPLUTE X 8 TAMPOANE CU ALCOOL

P-RF/R

SOL. INJ. IN STILOU INJECTOR PREUMPLUT

WYETH EUROPA LIMITED

MAREA BRITANIE CUTIE X 4 STILOURI INJECTOARE PREUMPLUTE (PEN) X 8 TAMPOANE CU ALCOOL


P-RF/R

IVAX - PHARMACEUTICALS S.R.O.

CEHIA

HEXAL AG

GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI

S/P-RF

IVAX - PHARMACEUTICALS S.R.O.

CEHIA

S/P-RF

CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 SERINGI DIN PLASTIC GOALE + 20 ACE + 24 TAMPOANE
P-RF/R

CUTIE X 5 BLIST. X 10 CAPS. MOI

S/P-RF

NOVARTIS PHARMA GMBH

CUTIE X 5 BLIST. X 10 CAPS. MOI


GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI

HEXAL AG

GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI

S/P-RF

IVAX - PHARMACEUTICALS S.R.O.

CEHIA

S/P-RF

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 5 BLIST. X 10 CAPS. MOI


CUTIE X 10 BLIST. X 5 CAPS. MOI

S/P-RF

S/P-RF

CEHIA
S/P-RF
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI DE AL A CATE 10 CAPSULE
PRF
ASTELLAS PHARMA EUROPE BV OLANDA
S/P-RF
ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. AL/AL X 50 CAPS. PR
SANDOZ S.R.L.
ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS. S/P-RF
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI AL A CATE 10 CAPSULE PRF
ASTELLAS PHARMA EUROPE BV OLANDA
S/P-RF
ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. AL/AL X 50 CAPS. PR
SANDOZ S.R.L.
ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS. S/P-RF
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI AL A CATE 10 CAPS. PRF
ASTELLAS PHARMA EUROPE BV OLANDA
S/P-RF
IVAX - PHARMACEUTICALS S.R.O.

CUTIE X 1 FLACON DIN STICLA BRUNA X 50 ML, UN DISPOZITIV DE MASURAT + UN CAPAC CU FILET

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT

ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)

P-RF/R

ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)

P-RF/R

ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)

P-RF/R

OLANDA
MEDICAROM GROUP SRL ROMANIA
GRUNENTHAL GMBH GERMANIA
ARENA GROUP S.A. ROMANIA

ASTELLAS PHARMA EUROPE BV

ALIUD PHARMA GMBH & CO.KG


ALIUD PHARMA GMBH & CO.KG

GERMANIA
GERMANIA

CUTIE X 10 FIOLE X 1 ML
S
CUTIE X 1 BLIST. X 10 CAPS.
P-RF
CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF
CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF
CUTIE X 3 BLIST. X 10 CAPS.
P-RF
CUTIE X 1 BLIST. X 10 CAPS.
P-RF
CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF
CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF
CUTIE X 1 BLIST. PVC/AL X 10 CAPS. P-RF
CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF
CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF
CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF

MEDOCHEMIE LTD. CIPRU


ZENTIVA A.S.
SLOVACIA
AC HELCOR SRL
ROMANIA
LABORMED PHARMA SA ROMANIA
KRKA D.D.
SLOVENIA
ANTIBIOTICE SA
ROMANIA
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-RF
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 20 CAPS. CU ELIB. PREL. P-RF
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 30 CAPS. CU ELIB. PREL. P-RF
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 50 CAPS. CU ELIB. PREL. P-RF/S
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-RF
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 20 CAPS. CU ELIB. PREL. P-RF
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 30 CAPS. CU ELIB. PREL. P-RF
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 50 CAPS. CU ELIB. PREL. P-RF/S
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 30 CAPS. CU ELIB. PREL. P-RF
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 50 CAPS. CU ELIB. PREL. P-RF/S
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-RF
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 20 CAPS. CU ELIB. PREL. P-RF
BIO EEL SRL
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF

OZONE LABORATORIES PHARMA S.A.

CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF


ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF

HEXAL AG
KRKA D.D.

GERMANIA CUTIE X 1 BLIST. X 10 COMPR. ELIB. MODIF. P-RF


SLOVENIA CUTIE X 3 BLIST. X 10 COMPR. ELIB. PREL. P-RF

CSC PHARMACEUTICALS HANDELS GMBH

AUSTRIA

OZONE LABORATORIES LTD.

MAGISTRA C & C

MAREA BRITANIE

CUTIE X 1 BLIST. DIN PVC-PVDC/AL X 5 COMPR.ELIM.PREL. P-RF

Pagina 31 din 48

cant/a
mbala
j

100
100
100
50
50
50
50
50
30
4
4
4
4
4
4
50
50
50
50
50
50
50
1
50
50
50
50
50
50
50
50
50
50
50
50
50
10
10
20
20
30
10
10
20
10
20
20
20
10
20
30
50
10
20
30
50
30
50
10
20
20
20
20
20
10
30
5

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

288.20
289.44
298.76
224.51
298.76
298.76
269.39
298.76
483.90
4,105.28
2,028.59
2,023.90
2,023.90
4,017.79
4,017.79
393.08
111.30
73.58
111.16
247.07
153.73
236.51
354.17
131.94
202.98
131.94
131.94
235.82
359.82
235.82
235.82
1,101.92
1,695.40
202.51
398.16
1,844.03
1,527.41
2.80
8.64
6.58
8.43
2.82
2.82
4.26
2.82
5.61
4.26
5.61
12.71
24.49
35.81
56.99
19.07
36.70
53.71
83.99
61.06
94.90
23.80
44.15
5.61
5.61
5.61
5.61
4.60
13.83
5.42

2.882000
2.894400
2.987600
4.490200
5.975200
5.975200
5.387800
5.975200
16.130000
1,026.320000
507.147500
505.975000
505.975000
1,004.447500
1,004.447500
7.861600
2.226000
1.471600
2.223200
4.941400
3.074600
4.730200
354.170000
2.638800
4.059600
2.638800
2.638800
4.716400
7.196400
4.716400
4.716400
22.038400
33.908000
4.050200
7.963200
36.880600
152.741000
0.280000
0.432000
0.329000
0.281000
0.282000
0.282000
0.213000
0.282000
0.280500
0.213000
0.280500
1.271000
1.224500
1.193666
1.139800
1.907000
1.835000
1.790333
1.679800
2.035333
1.898000
2.380000
2.207500
0.280500
0.280500
0.280500
0.280500
0.460000
0.461000
1.084000

Pret cu ridicata
maximal de
decontare / U.T.

2.882000
2.894400
2.987600
4.490200
5.388240
5.388240
5.387800
5.388240
16.130000
1,026.320000
507.147500
505.975000
505.975000
1,004.447500
1,004.447500
7.861600
1.765920
1.471600
1.765920
3.689520
3.074600
3.689520
354.170000
2.638800
3.166560
2.638800
2.638800
4.716400
5.659680
4.716400
4.716400
22.038400
26.446080
3.166560
5.659680
26.446080
152.741000
0.255600
0.255600
0.255600
0.255600
0.255600
0.255600
0.213000
0.255600
0.255600
0.213000
0.255600
0.552000
0.552000
0.552000
0.552000
0.981600
0.981600
0.981600
0.981600
1.566400
1.566400
1.566400
1.566400
0.255600
0.255600
0.255600
0.255600
0.460000
0.461000
0.552000

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

351.83
353.35
364.73
274.08
364.73
364.73
328.87
364.73
565.60
4,512.91
2,249.32
2,244.20
2,244.20
4,417.55
4,417.55
466.61
135.87
93.03
135.71
301.62
187.67
288.73
424.20
161.07
247.80
161.07
161.07
287.89
430.35
287.89
287.89
1,239.24
1,886.14
247.22
472.14
2,048.15
1,703.03
3.78
11.68
8.89
11.39
3.81
3.81
5.76
3.81
7.58
5.76
7.58
17.18
33.10
46.84
72.06
25.78
48.01
67.91
106.20
77.21
119.99
32.17
57.75
7.58
7.58
7.58
7.58
6.22
18.69
7.32

3.518300
3.533500
3.647300
5.481600
7.294600
7.294600
6.577400
7.294600
18.853333
1,128.227500
562.330000
561.050000
561.050000
1,104.387500
1,104.387500
9.332200
2.717400
1.860600
2.714200
6.032400
3.753400
5.774600
424.200000
3.221400
4.956000
3.221400
3.221400
5.757800
8.607000
5.757800
5.757800
24.784800
37.722800
4.944400
9.442800
40.963000
170.303000
0.378000
0.584000
0.444500
0.379666
0.381000
0.381000
0.288000
0.381000
0.379000
0.288000
0.379000
1.718000
1.655000
1.561333
1.441200
2.578000
2.400500
2.263666
2.124000
2.573666
2.399800
3.217000
2.887500
0.379000
0.379000
0.379000
0.379000
0.622000
0.623000
1.464000

3.518300
3.533500
3.647300
5.481600
6.577920
6.577920
6.577400
6.577920
18.853333
1,128.227500
562.330000
561.050000
561.050000
1,104.387500
1,104.387500
9.332200
2.232720
1.860600
2.232720
4.504080
3.753400
4.504080
424.200000
3.221400
3.865680
3.221400
3.221400
5.757800
6.909360
5.757800
5.757800
24.784800
29.741760
3.865680
6.909360
29.741760
170.303000
0.345600
0.345600
0.345600
0.345600
0.345600
0.345600
0.288000
0.345600
0.345600
0.288000
0.345600
0.746400
0.746400
0.746400
0.746400
1.326799
1.326799
1.326799
1.326799
2.048800
2.048800
2.048800
2.048800
0.345600
0.345600
0.345600
0.345600
0.622000
0.623000
0.746400

Grupa
Nr.
terape
crt
utica
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372

N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
R05CB13
V03AC03
V03AC03
V03AC03

V03AF01
L04AA04
L04AA08

Denumire generica

Denumire comerciala

TRAMADOLUM
NOAX UNO 100 mg
TRAMADOLUM
TRALGIT SR 100
TRAMADOLUM
TRALGIT SR 100
TRAMADOLUM
TRALGIT SR 100
TRAMADOLUM
TRALGIT SR 150
TRAMADOLUM
TRALGIT SR 150
TRAMADOLUM
NOAX UNO 200 mg
TRAMADOLUM
NOAX UNO 200 mg
TRAMADOLUM
TRALGIT SR 200
TRAMADOLUM
NOAX UNO 300 mg
TRAMADOLUM
NOAX UNO 300 mg
TRAMADOLUM
TRADOLAN 50 mg
TRAMADOLUM
TRAMAL RETARD 100 mg
TRAMADOLUM
TRAMADOL RETARD 150 mg
TRAMADOLUM
TRAMAL RETARD 150 mg
TRAMADOLUM
TRAMADOL RETARD 200 mg
TRAMADOLUM
TRAMAL RETARD 200 mg
TRAMADOLUM
TRAMADOL AL PICATURI
TRAMADOLUM
TRAMAL (R)
TRAMADOLUM
MABRON
TRAMADOLUM
MABRON
TRAMADOLUM
TRALGIT 100
TRAMADOLUM
TRALGIT 50
TRAMADOLUM
URGENDOL
TRAMADOLUM
URGENDOL
TRAMADOLUM
TRAMADOL
TRAMADOLUM
TRAMADOL
TRAMADOLUM
TRAMAL (R) 50
TRAMADOLUM
TRAMADOL
DORNAZA ALFA**
PULMOZYME
DEFERASIROXUM**
EXJADE 125mg
DEFERASIROXUM**
EXJADE 250mg
DEFERASIROXUM**
EXJADE 500mg
MESNUM
UROMITEXAN (R) 400 mg
IMUNOGLOBULINA ANTILIMFOCITE UMANE**
DACLIZUMABUM

Forma
Concentrati
farmaceutica
e / U.T.
100mg
100mg
COMPR. ELIB. PREL. 100mg
COMPR. ELIB. PREL. 100mg
COMPR. ELIB. PREL. 150mg
COMPR. ELIB. PREL. 150mg
COMPR. ELIB. PREL. 200mg
COMPR. ELIB. PREL. 200mg
COMPR. ELIB. PREL. 200mg
COMPR. ELIB. PREL. 300mg
COMPR. ELIB. PREL. 300mg
COMPR. FILM. 50mg
COMPR. FILM. ELIB. PREL. 100mg
COMPR. FILM. ELIB. PREL. 150mg
COMPR. FILM. ELIB. PREL. 150mg
COMPR. FILM. ELIB. PREL. 200mg
COMPR. FILM. ELIB. PREL. 200mg
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.

PIC. ORALE, SOL.

100mg/ml
100mg
100mg
100mg/2ml
50mg/ml
50mg/ml
50mg/ml
50mg/ml
50mg/ml
50mg/ml
100mg
1mg/ml
COMPR. DISP. 125mg
COMPR. DISP. 250mg
COMPR. DISP. 500mg
SOL. INJ.
400mg/4ml

PICATURI ORALE-SOL.

SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SUPOZ.
SOL. INHAL.

Firma

Tara

Ambalaj

Prescriptie

CSC PHARMACEUTICALS HANDELS GMBH

AUSTRIA

CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR.ELIM.PREL.P-RF

ZENTIVA AS
ZENTIVA AS
ZENTIVA AS
ZENTIVA AS
ZENTIVA AS

SLOVACIA
SLOVACIA
SLOVACIA
SLOVACIA
SLOVACIA

CUTIE X 5 BLIST. PVC/AL X 10 COMPR. ELIB. PREL.

P-RF

CUTIE X 1 BLIST. PVC/AL X 10 COMPR. ELIB. PREL.

P-RF

CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL.

P-RF

CUTIE X 1 BLIST. PVC/AL X 10 COMPR. ELIB. PREL.

P-RF

CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL.

P-RF

AUSTRIA
AUSTRIA

CUTIE X 1 BLIST. DIN PVC-PVDC/AL X 10 COMPR.ELIB. PREL.P-RF

CSC PHARMACEUTICALS HANDELS GMBH

ZENTIVA AS

SLOVACIA

CUTIE X 1 BLIST. PVC/AL X 10 COMPR. ELIB. PREL.

CSC PHARMACEUTICALS HANDELS GMBH

CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR.ELIB. PREL.P-RF

P-RF

AUSTRIA CUTIE X 3 BLIST. X PVC-PE-ACLAR/AL X 10 COMPR. ELIB. PREL. P-RF


CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 1 BLIST. X PVC-PVDC/AL X 10 COMPR. ELIB. PREL. P-RF
LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.FILM. P-RF
GRUNENTHAL GMBH GERMANIA CUTIE X 1 BLIST. AL/PVDC X 10 COMPR. FILM. CU ELIB. PREL. P-RF
CSC PHARMACEUTICALS HANDELS GMBH

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. CU ELIB. PREL.

P-RF

KRKA D.D. NOVO MESTO SLOVENIA

P-RF

CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL.

GRUNENTHAL GMBH GERMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR.FILM. ELIB. PREL.

P-RF

ALIUD PHARMA GMBH GERMANIA CUTIE X 1 FLACON DIN STICLA BRUNA X 10 ML PIC. ORALE, SOL.P-RF
GRUNENTHAL GMBH GERMANIA CUTIE X 1 FLACON PICURATOR X 10 ML P-RF

MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
ZENTIVA A.S.
ZENTIVA A.S.

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.

SLOVACIA CUTIE X 5 FIOLE X 2 ML SOL. INJ.


SLOVACIA CUTIE X 5 FIOLE X 1 ML SOL. INJ.

ROMANIA CUTIE X 5 FIOLE X 1 ML


MEDICAROM GROUP SRL ROMANIA CUTIE X 5 FIOLE X 2 ML
KRKA D.D.
SLOVENIA CUTIE X 5 FIOLE X 1 ML
KRKA D.D.
SLOVENIA CUTIE X 5 FIOLE X 2 ML
GRUNENTHAL GMBH GERMANIA CUTIE X 5 FIOLE X 1 ML
KRKA D.D.
SLOVENIA CUTIE X 1 BLIST. X 5 SUPOZ.
ROCHE ROMANIA S.R.L. ROMANIA
MEDICAROM GROUP SRL

S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF

P-RF

CUTIE X 6 FIOLE UNIDOZA PE X 2,5 ML SOL. INHAL. PRIN NEBULIZATOR, INTRODUSE IN PUNGA AL

S/P-RF

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 28 COMPR. DISP.(BLIST. PVC/PE/PVDC/AL)

P-RF/R

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL)

P-RF/R

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL)

P-RF/R

CUTIE X 3 SUPORTURI TERMOFORMATE DIN PLASTIC X 5 FIOLE DE STICLA INCOLORA X 4 ML

BAXTER ONCOLOGY GMBH GERMANIA

cant/a
mbala
j

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

Pret cu ridicata
maximal de
decontare / U.T.

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

30
50
10
30
10
30
10
30
10
30
10
30
10
30
10
30
10
1
1
5
100
5
5
5
5
5
5
5
5
6
28
28
28
15

29.85
23.80
4.60
13.81
15.39
24.54
14.69
39.16
20.11
59.76
20.42
7.78
7.09
31.41
16.11
40.20
20.61
3.68
5.67
7.19
110.90
8.98
8.40
3.58
5.61
3.60
9.57
5.53
4.08
545.47
679.82
1,444.56
2,629.24
44.34

0.995000
0.476000
0.460000
0.460333
1.539000
0.818000
1.469000
1.305333
2.011000
1.992000
2.042000
0.259333
0.709000
1.047000
1.611000
1.340000
2.061000
3.680000
5.670000
1.438000
1.109000
1.796000
1.680000
0.716000
1.122000
0.720000
1.914000
1.106000
0.816000
90.911666
24.279285
51.591428
93.901428
2.956000

0.552000
0.476000
0.460000
0.460333
0.981600
0.818000
1.469000
1.305333
1.566400
1.992000
2.042000
0.255600
0.552000
0.981600
0.981600
1.340000
1.566400
3.680000
4.416000
1.330800
1.109000
1.330800
0.859200
0.716000
1.122000
0.720000
1.330800
0.859200
0.816000
90.911666
24.279285
51.591428
93.901428
2.956000

39.05
32.17
6.22
18.67
20.80
33.17
19.86
51.22
27.18
75.56
27.60
10.52
9.58
41.08
21.77
52.58
27.86
4.98
7.66
9.72
135.39
12.14
11.36
4.84
7.58
4.87
12.94
7.47
5.52
632.71
779.15
1,612.72
2,904.03
58.00

1.301666
0.643400
0.622000
0.622333
2.080000
1.105666
1.986000
1.707333
2.718000
2.518666
2.760000
0.350666
0.958000
1.369333
2.177000
1.752666
2.786000
4.980000
7.660000
1.944000
1.353900
2.428000
2.272000
0.968000
1.516000
0.974000
2.588000
1.494000
1.104000
105.451666
27.826785
57.597142
103.715357
3.866666

0.746400
0.643400
0.622000
0.622333
1.326799
1.105666
1.986000
1.707333
2.048800
2.518666
2.760000
0.345600
0.746400
1.326799
1.326799
1.752666
2.048800
4.980000
5.976000
1.624680
1.353900
1.624680
1.161600
0.968000
1.516000
0.974000
1.624680
1.161600
1.104000
105.451666
27.826785
57.597142
103.715357
3.866666

10
5
100
12
12
1
5
10
1
5
10
12
1
12
1
12
1
1
10
1
5
12
1
12
12
1
1

66.02
79.26
112.23
396.78
685.12
20.09
98.66
193.81
40.18
193.81
382.38
232.62
22.65
262.29
22.65
262.17
22.65
22.65
384.80
40.44
195.13
455.79
40.44
455.75
455.75
40.44
40.46

6.602000
15.852000
1.122300
33.065000
57.093333
20.090000
19.732000
19.381000
40.180000
38.762000
38.238000
19.385000
22.650000
21.857500
22.650000
21.847500
22.650000
22.650000
38.480000
40.440000
39.026000
37.982500
40.440000
37.979166
37.979166
40.440000
40.460000

6.602000
15.852000
1.122300
23.257200
45.574999
20.090000
19.732000
19.381000
23.257200
23.257200
23.257200
19.385000
22.650000
21.857500
22.650000
21.847500
22.650000
22.650000
38.480000
40.440000
39.026000
37.982500
40.440000
37.979166
37.979166
40.440000
40.460000

83.47
100.22
137.01
470.64
784.93
27.15
124.75
236.60
52.55
236.60
454.94
283.98
30.62
320.21
30.62
320.06
30.62
30.62
457.58
52.90
238.21
534.96
52.90
534.92
534.92
52.90
52.92

8.347000
20.044000
1.370100
39.220000
65.410833
27.150000
24.950000
23.660000
52.550000
47.320000
45.494000
23.665000
30.620000
26.684166
30.620000
26.671666
30.620000
30.620000
45.758000
52.900000
47.642000
44.580000
52.900000
44.576666
44.576666
52.900000
52.920000

8.347000
20.044000
1.370100
28.392000
53.491999
27.150000
24.950000
23.660000
28.392000
28.392000
28.392000
23.665000
28.392000
26.684166
28.392000
26.671666
28.392000
28.392000
45.758000
52.900000
47.642000
44.580000
52.900000
44.576666
44.576666
52.900000
52.920000

P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA


P9.2: TRANSPLANT DE CORD
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27

B01AB08
B01AB08
C01CA24

REVIPARINUM
REVIPARINUM
EPINEPHRINUM

J01CR05 PIPERACILLINUM + TAZOBACTAMUM


J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM

CLIVARIN (R) 1432UI/0,25 ml SOL. INJ.


1432ui/0,25ml ABBOTT GMBH&CO.KG
CLIVARIN (R) 3436 UI/0,6 ml SOL. INJ.
3436ui/0,6ml ABBOTT GMBH&CO.KG
ADRENALINA 1 mg
SOL. INJ.
1mg/ml
TERAPIA SA
TAZOCIN 2,25
LIOF. PT. SOL. INJ.
WYETH LEDERLE PHARMA GMBH
TAZOCIN 4,5
LIOF. PT. SOL. INJ.
PFIZER EUROPE MA EEIG
PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g
S.C. FRESENIUS KABI S.R.L.
PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g
S.C. FRESENIUS KABI S.R.L.
PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g
S.C. FRESENIUS KABI S.R.L.
PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g
S.C. FRESENIUS KABI S.R.L.
PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g
S.C. FRESENIUS KABI S.R.L.
PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g
S.C. FRESENIUS KABI S.R.L.
TEBRANIC 2g/0,25 g
PULB. PT. SOL. INJ./PERF. 2g/0,25g
ASTRA ZENECA AB
ZOPECILIN 2 g/0,25 g
PULB. PT. SOL. INJ./PERF. 2g/0,25g
ROMASTRU TRADING SRL
ZOPECILIN 2 g/0,25 g
PULB. PT. SOL. INJ./PERF. 2g/0,25g
ROMASTRU TRADING SRL
PERASIN 2g/0,25 g
PULB. PT. SOL. INJ./PERF. 2g/0,25g
ANTIBIOTICE S.A.
PIPERACILINA/TAZOBACTAN ACTAVIS 2 g/0,25 gPULB. PT. SOL. INJ./PERF. 2g/0,25g
ACTAVIS GROUP PTC EHF.
PIPERACILINA/TAZOBACTAM MYLAN 2g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g
MYLAN S.A.S.
BACTACIN 2 g/0,25 g
PULB. PT. SOL. INJ./PERF. 2g/0,25g
TERAPIA SA
PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5gPULB. PT. SOL. INJ./PERF. 4g/0,5g
S.C. FRESENIUS KABI S.R.L.
PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5gPULB. PT. SOL. INJ./PERF. 4g/0,5g
S.C. FRESENIUS KABI S.R.L.
PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5gPULB. PT. SOL. INJ./PERF. 4g/0,5g
S.C. FRESENIUS KABI S.R.L.
TEBRANIC 4 g/0,5 g
PULB. PT. SOL. INJ./PERF. 4g/0,5g
ASTRA ZENECA AB
ZOPECILIN 4 g/0,5 g
PULB. PT. SOL. INJ./PERF. 4g/0,5g
ROMASTRU TRADING SRL
ZOPECILIN 4 g/0,5 g
PULB. PT. SOL. INJ./PERF. 4g/0,5g
ROMASTRU TRADING SRL
PIPERACILINA/TAZOBACTAN ACTAVIS 4 g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g
ACTAVIS GROUP PTC EHF.
BACTACIN 4 g/0,5 g
PULB. PT. SOL. INJ./PERF. 4g/0,5g
TERAPIA SA
PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 gPULB. PT. SOL. INJ./PERF. 4g/0,5g
MYLAN S.A.S.

GERMANIA
GERMANIA

CUTIE X 2 BLIST. X 5 SERINGI PREUMPLUTE UNIDOZA X 0,25ML S/P-RF


CUTIE X 1 BLIST X 5 SERINGI PREUMPLUTE UNIDOZA X 0,60 ML S/P-RF

ROMANIA CUTIE X 100 FIOLE X 1 ML


S
AUSTRIA CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ. S/P-RF
MAREA BRITANIE

CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ. S/P-RF

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
SUEDIA CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.
ROMANIA
ROMANIA
ROMANIA
ISLANDA CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.
FRANTA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CU PULB. PT. SOL. INJ./PERF.
ROMANIA
ROMANIA
ROMANIA
ROMANIA
SUEDIA CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.
ROMANIA
ROMANIA
ISLANDA CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.
ROMANIA
FRANTA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. INJ./PERF.
CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE X 1 FLAC DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 50 ML CU PULB. PT. SOL. INJ./PERF.

Pagina 32 din 48

S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S

Grupa
Nr.
terape
crt
utica
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94

Denumire generica

J01CR05 PIPERACILLINUM + TAZOBACTAMUM


J01DD12
J01DD12
J01DD12
J01DD12
J01DD12
J01DD12
J01DH51
J01DH51
J01DH51
J01DH51
J01DH51
J01DH51
J01DH51
J01DH51
J01DH51
J01DH51
J01XX08
J01XX08
J01XX08
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01

CEFOPERAZONUM
CEFOPERAZONUM
CEFOPERAZONUM
CEFOPERAZONUM
CEFOPERAZONUM
CEFOPERAZONUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM

Denumire comerciala

PERASIN 4g/0,5 g
MEDOCEF 1 g
MEDOCEF 2 g
LYZONE 2 g
CEFOZON 500 mg
CEFOZON 2 g
CEFOZON 1 g
CILOPEN 500mg/500mg
CILOPEN 500mg/500mg
CILOPEN 500mg/500mg
CILOPEN 500mg/500mg

Forma
Concentrati
farmaceutica
e / U.T.
4g/0,5g
1g
PULB. PT. SOL. INJ. 2g
PULB. PT. SOL. INJ. 2g
PULB. PT. SOL. INJ. 500mg
2g
1g

PULB. PT. SOL. INJ./PERF.

PULB. PT. SOL. INJ.

PULB. PT. SOL. INJ./PERF. I.M./I.V.


PULB. PT. SOL. INJ./PERF.I.M./I.V.

500mg/500mg
PULB. PT. SOL. INJ. 500mg/500mg
PULB. PT. SOL. INJ. 500mg/500mg
PULB. PT. SOL. INJ. 500mg/500mg
IMIPENEM/CILASTATIN KABI 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg
TIENAM I.V.
PULB. PT. SOL. PERF. 500mg/500mg
TIENAM I.V.
PULB. PT. SOL. PERF. 500mg/500mg
IMIPENEM/CILASTATIN HOSPIRA 500 mg/500 mgPULB. PT. SOL. PERF. 500mg/500mg
IMIPENEM/CILASTAN TEVA 250 mg/250mg PULB. PT. SUSP. PERF. 250mg/250mg
IMIPENEM/CILASTAN TEVA 500 mg/500mg PULB. PT. SUSP. PERF. 500mg/500mg
ZYVOXID (R)
COMPR. FILM. 600mg

ZYVOXID (R)
ZYVOXID (R)

PULB. PT. SOL. INJ.

GRAN. PT. SUSP. ORALA

SOL. PERF.
FLUCONAZOLE TEVA 100 mg CAPS.
FLUCONAZOLE TEVA 100 mg CAPS.
FUNGOLON 100 mg
CAPS.
DIFLAZON 100 mg
CAPS.
FLUCOVIM 100
CAPS.
FLUCORIC 100 mg
CAPS.
FLUCONAZOL 150 mg
CAPS.
FLUCONAZOLE TEVA 150 mg CAPS.
FLUCONAZOL MEDICO UNO 150 mg CAPS.
FLUCONAZOL BIOGALENICA 150 mg CAPS.
FLUCONAZOL ARENA 150 MG CAPS.
FLUCONAZOL MEDOCHEMIE 150 mg CAPS.
FLUCONAZOL OZONE 150 mg CAPS.
FLUCONAZOL 150 mg
CAPS.
FLUCONAZOL SANDOZ (R) 150 CAPS.
MYCOSYST 150 mg
CAPS.
MYCOSYST 150 mg
CAPS.
DIFLAZON 150 mg
CAPS.
FLUCOVIM 150
CAPS.
DIFLUCAN 150 mg
CAPS.
FLUCORIC 150 mg
CAPS.
FLUCONAZOL ACTAVIS 150 mg CAPS.
MYCOMAX 150
CAPS.
FLUCONAZOLE TEVA 200 mg CAPS.
FLUCONAZOL 50 mg
CAPS.
FLUCONAZOLE TEVA 50 mg CAPS.
FLUCONAZOL MEDOCHEMIE 50 mg CAPS.
FLUCONAZOL ARENA 50 MG CAPS.
FLUCONAZOL BIOGALENICA 50 mg CAPS.
FLUCOVIM 50
CAPS.
FUNGOLON 50 mg
CAPS.
DIFLAZON 50 mg
CAPS.
FLUCONAZOL OZONE 50 mg CAPS.
FLUCONAZOL 50 mg
CAPS.
DIFLUCAN 50 mg
CAPS.
FLUCORIC 50 mg
CAPS.
FLUCONAZOL SANDOZ (R) 50 CAPS.
DIFLUCAN (R) 50 mg/5 ml
PULB. PT. SUSP. ORALA
DIFLAZON 2mg/ml
SOL. PERF.
FLUCONAZOL BIOGALENICA 2mg/ml SOL. PERF.
FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF.
FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF.
FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF.
FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF.
FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.

100mg/5ml
2mg/ml
100mg
100mg
100mg
100mg
100mg
100mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
200mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg/5ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml

Firma

Tara

Ambalaj

Prescriptie

ANTIBIOTICE S.A.
ROMANIA
S
MEDOCHEMIE LTD. CIPRU
CUTIE X 10 FLAC. PULB. PT. SOL. INJ. S/P-RF
MEDOCHEMIE LTD. CIPRU
CUTIE X 10 FLAC. PULB. PT. SOL. INJ. S/P-RF
MEDICAROM GROUP S.R.L. ROMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. S/P-RF
E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. INJ. S/P-RF
E.I.P.I.CO. MED S.R.L. ROMANIA
S/P-RF
E.I.P.I.CO. MED S.R.L. ROMANIA
S/P-RF
TERAPIA SA
ROMANIA
S/P-RF
TERAPIA SA
ROMANIA
S/P-RF
TERAPIA SA
ROMANIA
S/P-RF
TERAPIA SA
ROMANIA
S/P-RF
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. S/P-RF
MERCK SHARP & DOHME ROMANIA TAVA DIN PLASTIC X 10 FLAC. DIN STICLA INCOLORA CU PULB.PT. SOL. PERF. S/P-RF
MERCK SHARP & DOHME ROMANIA TAVA DIN PLASTIC X 25 FLAC. DIN STICLA INCOLORA CU PULB.PT. SOL. PERF. S/P-RF
HOSPIRA UK LIMITED MAREA BRITANIE
PR
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 10 FLAC. STICLA INCOLORA CU PULB. PT. SOL. PERF. S/P-RF
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 10 FLAC. STICLA INCOLORA CU PULB. PT. SOL. PERF. S/P-RF
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. X 10 COMPR. FILM. P-RF
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE X 1 FLAC. DIN STICLA INCOLORA A 20 ML CU PULB. PT. SOL. INJ./PERF. I.M./I.V.

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 15 ML CU PULB. PT. SOL. INJ. I.M./PERF. I.V.

CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF.

CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF.
CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 22 ML PULB. PT. SOL. PERF.

CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 22 ML PULB. PT. SOL. PERF.

CUTIE CU 5 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. PERF.

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 1 FLACON X 66 G GRAN. PTR. 150 ML SUSP. + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML

MAREA BRITANIE

CUTIE X 10 PUNGI X 300 ML

MAREA BRITANIE

CUTIE X 1 FLAC. PEID PULB. PT. 35 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 5 ML

P-RF

S
ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 2 CAPS. P-RF
ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF
BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 2 BLIST. PVC/AL X 8 CAPS.
P-RF
KRKA D.D.
SLOVENIA CUTIE X 4 BLIST. X 7 CAPS.
P-RF
VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS.
P-RF
TERAPIA SA
ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF
SLAVIA PHARM SRL ROMANIA 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
MEDICO UNO PHARMACEUTICAL SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA P-RF
LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF
ARENA GROUP SA 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
OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF
OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF
SANDOZ SRL
GERMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 1 CAPS.
P-RF
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 4 BLIST. AL/PVC X 1 CAPS.
P-RF
KRKA D.D.
SLOVENIA CUTIE X 1 BLIST. X 1 CAPS.
P-RF
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
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 BLIST. PVC-PVDC/AL X 1 CAPS. PRF
ZENTIVA K.S.
CEHIA
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 7 CAPS. P-RF
SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF
MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF
ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF
LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF
VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS.
P-RF
BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 1 BLIST. PVC/AL X 8 CAPS.
P-RF
KRKA D.D.
SLOVENIA CUTIE X 1 BLIST. X 7 CAPS.
P-RF
OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF
ANTIBIOTICE S.A.
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF
TERAPIA SA
ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS. P-RF
SANDOZ SRL
ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF
PFIZER EUROPE MA EEIG

TEVA PHARMACEUTICALS S.R.L.


TEVA PHARMACEUTICALS S.R.L.

PFIZER EUROPE MA EEIG

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML

P-RF
S/PR-F

ARENA GROUP S.A. ROMANIA CUTIE X 1 FLAC. X 100 ML SOL. PERF. S


S
B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FLAC. PEJD X 50 ML SOL. PERF. S
B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. PEJD X 100 ML SOL. PERF. S
B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FLAC. PEJD X 100 ML SOL. PERF. S
B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. PEJD X 200 ML SOL. PERF. S
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. S
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 25 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. S
B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. PEJD X 50 ML SOL. PERF.

Pagina 33 din 48

cant/a
mbala
j

1
10
10
1
1
1
1
5
10
5
10
10
10
25
5
10
10
10
1
10
2
7
16
28
4
7
1
1
1
1
1
1
1
1
1
2
4
1
1
1
1
1
1
7
7
7
7
7
7
7
8
7
7
10
7
7
7
1
1
1
10
20
10
20
10
20
25

Pret cu
ridicata
maximal /
ambalaj

40.44
152.68
254.47
19.82
3.83
11.47
6.95
144.54
289.09
144.54
289.09
293.49
440.58
1,056.45
144.54
144.54
289.09
1,584.80
869.39
1,584.80
6.90
23.04
64.60
191.37
18.72
32.76
7.08
4.82
6.60
4.82
6.60
5.99
7.27
7.27
10.66
23.84
47.68
16.46
7.27
18.34
13.79
7.35
9.15
29.74
14.32
12.20
11.81
13.98
11.53
16.50
13.92
46.63
16.50
18.66
42.71
21.65
31.68
42.71
34.63
40.15
180.75
358.65
449.60
787.39
761.97
624.35
772.93

Pret cu ridicata
maximal / U.T.

40.440000
15.268000
25.447000
19.820000
3.830000
11.470000
6.950000
28.908000
28.909000
28.908000
28.909000
29.349000
44.058000
42.258000
28.908000
14.454000
28.909000
158.480000
869.390000
158.480000
3.450000
3.291428
4.037500
6.834642
4.680000
4.680000
7.080000
4.820000
6.600000
4.820000
6.600000
5.990000
7.270000
7.270000
10.660000
11.920000
11.920000
16.460000
7.270000
18.340000
13.790000
7.350000
9.150000
4.248571
2.045714
1.742857
1.687142
1.997142
1.647142
2.357142
1.740000
6.661428
2.357142
1.866000
6.101428
3.092857
4.525714
42.710000
34.630000
40.150000
18.075000
17.932500
44.960000
39.369500
76.197000
31.217500
30.917200

Pret cu ridicata
maximal de
decontare / U.T.

40.440000
8.340000
13.764000
13.764000
3.830000
11.470000
6.950000
28.908000
28.909000
28.908000
28.909000
29.349000
34.689600
34.689600
28.908000
14.454000
28.909000
158.480000
869.390000
158.480000
3.450000
3.291428
3.949714
3.949714
3.949714
3.949714
5.784000
4.820000
5.784000
4.820000
5.784000
5.784000
5.784000
5.784000
5.784000
5.784000
5.784000
5.784000
5.784000
5.784000
5.784000
5.784000
5.784000
4.248571
1.976570
1.742857
1.687142
1.976570
1.647142
1.976570
1.740000
1.976570
1.976570
1.866000
1.976570
1.976570
1.976570
42.710000
34.630000
37.100640
18.075000
17.932500
37.100640
37.100640
76.197000
31.217500
30.917200

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

52.90
186.39
310.66
26.79
5.18
15.50
9.40
176.45
352.92
176.45
352.92
358.29
518.38
1,189.68
176.45
176.45
352.92
1,765.58
985.79
1,765.58
9.32
31.14
81.68
233.63
25.30
42.85
9.57
6.52
8.92
6.52
8.92
8.10
9.82
9.82
14.41
32.22
62.36
22.25
9.82
24.79
18.64
9.94
12.37
38.90
19.35
16.49
15.96
18.89
15.58
22.30
18.81
60.99
22.30
25.22
55.87
29.26
41.44
55.87
45.29
52.52
220.66
429.08
528.22
896.41
868.70
718.69
880.65

52.900000
18.639000
31.066000
26.790000
5.180000
15.500000
9.400000
35.290000
35.292000
35.290000
35.292000
35.829000
51.838000
47.587200
35.290000
17.645000
35.292000
176.558000
985.790000
176.558000
4.660000
4.448571
5.105000
8.343928
6.325000
6.121428
9.570000
6.520000
8.920000
6.520000
8.920000
8.100000
9.820000
9.820000
14.410000
16.110000
15.590000
22.250000
9.820000
24.790000
18.640000
9.940000
12.370000
5.557142
2.764285
2.355714
2.280000
2.698571
2.225714
3.185714
2.351250
8.712857
3.185714
2.522000
7.981428
4.180000
5.920000
55.870000
45.290000
52.520000
22.066000
21.454000
52.822000
44.820500
86.870000
35.934500
35.226000

52.900000
11.280000
18.600000
18.600000
5.180000
15.500000
9.400000
35.290000
35.292000
35.290000
35.292000
35.829000
42.348000
42.348000
35.290000
17.645000
35.292000
176.558000
985.790000
176.558000
4.660000
4.448571
5.105000
5.338285
5.338285
5.338285
7.824000
6.520000
7.824000
6.520000
7.824000
7.824000
7.824000
7.824000
7.824000
7.824000
7.824000
7.824000
7.824000
7.824000
7.824000
7.824000
7.824000
5.557142
2.670857
2.355714
2.280000
2.670857
2.225714
2.670857
2.351250
2.670857
2.670857
2.522000
2.670857
2.670857
2.670857
55.870000
42.271200
42.271200
22.066000
21.454000
42.271200
42.271200
86.870000
35.934500
35.226000

Grupa
Nr.
terape
crt
utica
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147

J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC03
J02AC03
J02AC03
J02AC03
J05AB14
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
B05AA06

L04AA04

Denumire generica

FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
VALGANCICLOVIRUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**

Denumire comerciala

FLUCONAZOL KABI 2 mg/ml


FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL KABI 2 mg/ml
DIFLUCAN (R)
DIFLUCAN (R)
FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL KABI 2 mg/ml
MYCOMAX INF 2mg/ml
MYCOMAX INF 2mg/ml
MYCOMAX INF 2mg/ml
VFEND 200mg
VFEND 50mg
VFEND 200mg
VFEND 40 mg/ml
VALCYTE (R) 450 mg
CELLCEPT 250mg
MYCOPHENOLATE MOFETIL MEDICO UNO 500 MG

CELLCEPT 500mg
MYFORTIC 180 mg
MYFORTIC 360 mg

Forma
Concentrati
farmaceutica
e / U.T.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
COMPR. FILM.
COMPR. FILM.
PULB. PT. SOL. PERF.
PULB. PT. SUSP. ORALA

COMPR. FILM.

CAPS.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM. GASTROREZ.
COMPR. FILM. GASTROREZ.

MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL DR. REDDY'S 250 mg CAPS.


MYCOPHENOLATUM MOFETILUM** MYCOPHENOLATE MOFETIL ACCORD 250 mg CAPS.
MYCOPHENOLATUM MOFETILUM** MYFENAX 250mg
CAPS.
MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL SANDOZ 500 mg COMPR.
MYCOPHENOLATUM MOFETILUM** MYFENAX 500mg
COMPR. FILM.
MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL DR. REDDY'S 500 mg COMPR. FILM.
MYCOPHENOLATUM MOFETILUM** MYCOFENOLAT MOFETIL ACTAVIS 500 mgCOMPR. FILM.
MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL DR. REDDY'S 500 mg COMPR. FILM.

CICLOSPORINUM
EQUORAL (R) 100 mg
CICLOSPORINUM
CICLORAL 25 mg
CICLOSPORINUM
EQUORAL (R) 25 mg
CICLOSPORINUM
SANDIMMUN NEORAL (R)
CICLOSPORINUM
CICLORAL 50 mg
CICLOSPORINUM
EQUORAL (R) 50 mg
CICLOSPORINUM
SANDIMMUN NEORAL (R)
CICLOSPORINUM
EQUORAL (R)
TACROLIMUSUM**
TACNI 0,5 mg
TACROLIMUSUM**
PROGRAF (R) 0,5 mg
TACROLIMUSUM**
TACROLIMUSUM ACCORD 0,5 mg
TACROLIMUSUM**
TACROLIMUS SANDOZ 0,5 mg
TACROLIMUSUM**
TACNI 1 mg
TACROLIMUSUM**
PROGRAF (R) 1 mg
TACROLIMUSUM**
TACROLIMUSUM ACCORD 1 mg
TACROLIMUSUM**
TACROLIMUS SANDOZ 1 mg
TACROLIMUSUM**
TACNI 5 mg
TACROLIMUSUM**
PROGRAF (R) 5 mg
TACROLIMUSUM**
ADVAGRAF 0,5mg
TACROLIMUSUM**
ADVAGRAF 1mg
TACROLIMUSUM**
ADVAGRAF 5mg
TACROLIMUSUM**
PROGRAF (R) 5 mg/ml
POLYGELINUM
IMUNOGLOBULINA ANTILIMFOCITE UMANE**

CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
SOL. ORALA
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CONC. PT. SOL. PERF.

2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
200mg
50mg
200mg
40mg/ml
450mg
250mg
500mg
500mg
180mg
360mg
250 mg
250mg
250mg
500mg
500mg
500mg
500mg
500mg
100mg
25mg
25mg
25mg
50mg
50mg
50mg
100mg/ml
0,5 mg
0,5mg
0,5mg
0,5mg
1 mg
1mg
1mg
1mg
5 mg
5mg
0,5mg
1mg
5mg
5mg/ml

Firma

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

1
10
1
10
20
1
1
25
1
10
1
1
1
28
28
1
1
60
100
50
50
120
120
100
100
100
50
50
50
50
50
50
50
50
50
50
50
50
1
50
50
50
50
50
50
50
50
50
50
50
50
50
10

80.99
753.13
18.63
179.79
356.89
131.62
30.62
438.62
33.88
326.90
30.18
42.16
135.83
3,517.81
901.74
453.05
2,178.01
4,806.36
447.90
289.44
447.90
551.46
1,030.04
288.20
289.44
298.76
224.51
298.76
298.76
269.39
298.76
393.08
111.30
73.58
111.16
247.07
153.73
236.51
354.17
131.94
202.98
131.94
131.94
235.82
359.82
235.82
235.82
1,101.92
1,695.40
202.51
398.16
1,844.03
1,527.41

80.990000
75.313000
18.630000
17.979000
17.844500
131.620000
30.620000
17.544800
33.880000
32.690000
30.180000
42.160000
135.830000
125.636071
32.205000
453.050000
2,178.010000
80.106000
4.479000
5.788800
8.958000
4.595500
8.583666
2.882000
2.894400
2.987600
4.490200
5.975200
5.975200
5.387800
5.975200
7.861600
2.226000
1.471600
2.223200
4.941400
3.074600
4.730200
354.170000
2.638800
4.059600
2.638800
2.638800
4.716400
7.196400
4.716400
4.716400
22.038400
33.908000
4.050200
7.963200
36.880600
152.741000

80.990000
75.313000
18.630000
17.979000
17.844500
90.375600
21.053760
17.544800
33.880000
32.690000
21.053760
37.100640
90.375600
125.636071
32.205000
453.050000
2,178.010000
80.106000
3.458400
5.388240
5.388240
4.595500
8.583666
2.882000
2.894400
2.987600
4.490200
5.388240
5.388240
5.387800
5.388240
7.861600
1.765920
1.471600
1.765920
3.689520
3.074600
3.689520
354.170000
2.638800
3.166560
2.638800
2.638800
4.716400
5.659680
4.716400
4.716400
22.038400
26.446080
3.166560
5.659680
26.446080
152.741000

102.40
859.06
25.18
219.49
427.16
160.68
40.05
516.25
44.32
394.47
39.48
55.14
165.82
3,872.57
1,021.05
531.97
2,412.18
5,277.09
526.36
353.35
526.36
639.24
1,160.90
351.83
353.35
364.73
274.08
364.73
364.73
328.87
364.73
466.61
135.87
93.03
135.71
301.62
187.67
288.73
424.20
161.07
247.80
161.07
161.07
287.89
430.35
287.89
287.89
1,239.24
1,886.14
247.22
472.14
2,048.15
1,703.03

102.400000
85.906000
25.180000
21.949000
21.358000
160.680000
40.050000
20.650000
44.320000
39.447000
39.480000
55.140000
165.820000
138.306071
36.466071
531.970000
2,412.180000
87.951500
5.263600
7.067000
10.527200
5.327000
9.674166
3.518300
3.533500
3.647300
5.481600
7.294600
7.294600
6.577400
7.294600
9.332200
2.717400
1.860600
2.714200
6.032400
3.753400
5.774600
424.200000
3.221400
4.956000
3.221400
3.221400
5.757800
8.607000
5.757800
5.757800
24.784800
37.722800
4.944400
9.442800
40.963000
170.303000

102.400000
85.906000
24.780000
21.949000
21.358000
103.087200
24.780000
20.650000
42.271200
39.447000
24.780000
42.271200
103.087200
138.306071
36.466071
531.970000
2,412.180000
87.951500
4.221960
6.577920
6.577920
5.327000
9.674166
3.518300
3.533500
3.647300
5.481600
6.577920
6.577920
6.577400
6.577920
9.332200
2.232720
1.860600
2.232720
4.504080
3.753400
4.504080
424.200000
3.221400
3.865680
3.221400
3.221400
5.757800
6.909360
5.757800
5.757800
24.784800
29.741760
3.865680
6.909360
29.741760
170.303000

CUTIE X 4 BLIST. AL/PVC X 25 CAPS. P-6L/S 100


CUTIE X 2 BLIST. AL/PVC X 25 CAPS. P-6L
50
CEHIA
CUTIE X 5 BLIST. AL/PVC X 10 CAPS. P-6L
50
ITALIA
CUTIE X 6 BLIST. AL/PVC X 10 COMPR. P-6L
60
ITALIA
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
FRANTA CUTIE X 10 SERINGI PREUMPLUTE X 0,2 ML SOL. INJ.S/P-RF
10
FRANTA CUTIE X 10 SERINGI PREUMPLUTE X 0.4 ML SOL. INJ.S/P-RF
10
FRANTA CUTIE X 10 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ.S/P-RF
10

97.14
56.87
53.75
40.94
27.11
57.01
117.03
152.10

0.971400
1.137400
1.075000
0.682333
1.355500
5.701000
11.703000
15.210000

0.971400
1.137400
1.075000
0.682333
1.355500
5.701000
11.703000
15.210000

122.82
71.91
67.96
53.55
35.46
72.08
142.87
185.68

1.228200
1.438200
1.359200
0.892500
1.773000
7.208000
14.287000
18.568000

1.228200
1.438200
1.359200
0.892500
1.773000
7.208000
14.287000
18.568000

Tara

Ambalaj

Prescriptie

ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF. S


ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF. S
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF. S
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.
S
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.
S
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 200 ML
S/P-RF
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 50 ML
S/P-RF
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 25 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.
S
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF.
S
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. S
ZENTIVA K.S.
REPUBLICA SLOVACA
S
ZENTIVA K.S.
REPUBLICA SLOVACA
S
ZENTIVA K.S.
REPUBLICA SLOVACA
S
PFIZER LIMITED
MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF
PFIZER LIMITED
MAREA BRITANIE CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL) P-RF
PFIZER LIMITED
MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML
P-RF
PFIZER LIMITED
MAREA BRITANIE
P-RF
ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. X 60 COMPR. FILM. P-RF
ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 10 BLIST. X 10 CAPS.
P-RF/R
MEDICO UNO PHARMA KFT. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. P-RF/R
ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 5 BLIST. X 10 COMPR. FILM. P-RF/R
FRESENIUS KABI ROMANIA SRL
FRESENIUS KABI ROMANIA SRL

CUTIE CU 1 FLACON DIN STICLA INCOLORA A 50 ML SOL. PERF. X 100 MG FLUCONAZOL

CUTIE CU 1 FLACON DIN STICLA INCOLORA A 100 ML SOL. PERF. X 200 MG FLUCONAZOL
CUTIE CU 1 FLACON DIN STICLA INCOLORA A 200 ML SOL. PERF. X 400 MG FLUCONAZOL

CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA

NOVARTIS PHARMA GMBH GERMANIA

CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ.S/P-RF

NOVARTIS PHARMA GMBH GERMANIA

CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ.S/P-RF

DR. REDDY'S LABORATORIES

ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 100 CAPS. PR

ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL CU 100 CAPS.

TEVA PHARMA BV
SANDOZ S.R.L.
TEVA PHARMA BV

P-RF/R

IVAX - PHARMACEUTICALS S.R.O.

OLANDA CUTIE X BLIST. PVC/PVDC/AL X 100 CAPS. P-RF/R


ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 50 COMPR. FILM. P-RF
OLANDA CUTIE X BLIST. PVC/PVDC/AL X 50 COMPR. FILM. P-RF/R
ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. P-RF
ISLANDA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. P-RF/R
ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. P-RF
CEHIA
CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF

HEXAL AG

GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI

S/P-RF

IVAX - PHARMACEUTICALS S.R.O.

CEHIA

S/P-RF

DR. REDDY'S LABORATORIES

ACTAVIS GROUP PTC EHF.


DR. REDDY'S LABORATORIES

NOVARTIS PHARMA GMBH

CUTIE X 5 BLIST. X 10 CAPS. MOI


GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI

HEXAL AG

GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI

S/P-RF
S/P-RF

CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF


NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI
S/P-RF
IVAX - PHARMACEUTICALS S.R.O. CEHIA
S/P-RF
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI DE AL A CATE 10 CAPSULE
PRF
ASTELLAS PHARMA EUROPE BV OLANDA
S/P-RF
ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. AL/AL X 50 CAPS. PR
SANDOZ S.R.L.
ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS. S/P-RF
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI AL A CATE 10 CAPSULE PRF
ASTELLAS PHARMA EUROPE BV OLANDA
S/P-RF
ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. AL/AL X 50 CAPS. PR
SANDOZ S.R.L.
ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS. S/P-RF
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI AL A CATE 10 CAPS. PRF
ASTELLAS PHARMA EUROPE BV OLANDA
S/P-RF
IVAX - PHARMACEUTICALS S.R.O.

CEHIA

CUTIE X 1 FLACON DIN STICLA BRUNA X 50 ML, UN DISPOZITIV DE MASURAT + UN CAPAC CU FILET

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT

ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)

P-RF/R

ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)

P-RF/R

ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)

P-RF/R

ASTELLAS PHARMA EUROPE BV

OLANDA CUTIE X 10 FIOLE X 1 ML

cant/a
mbala
j

Pret cu ridicata
maximal de
decontare / U.T.

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA


P9.3: TRANSPLANT HEPATIC
1
2
3
4
5
6
7
8

A05AA02
A05AA02
A05AA02
A05AA02
A05AA02
B01AB05
B01AB05
B01AB05

ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ENOXAPARINUM
ENOXAPARINUM
ENOXAPARINUM

URSOFALK (R)
URSOFALK (R)
URSOSAN
URSOCHOL 150 mg
URSOCHOL 300 mg

CAPS.
CAPS.
CAPS.
COMPR.
COMPR.
CLEXANE 2000ui anti-Xa/0,2ml SOL. INJ.
CLEXANE 4000ui anti-Xa/0,4ml SOL. INJ.
CLEXANE 6000ui anti-Xa/0,6ml SOL. INJ.

250mg
250mg
250mg
150mg
300mg
2000ui anti-Xa/0,2ml
4000ui anti-Xa/0,4ml
6000ui anti-Xa/0,6ml

DR. FALK PHARMA GMBH GERMANIA


DR. FALK PHARMA GMBH GERMANIA
PRO. MED. CS PRAHA AS

ZAMBON S.P.A.
ZAMBON S.P.A.
LAB. AVENTIS
LAB. AVENTIS
LAB. AVENTIS

Pagina 34 din 48

Grupa
Nr.
terape
crt
utica
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75

B01AB05
B01AB08
B01AB08
B01AC11
B01AC11
B01AD02
B02AA02
B02BD08
B02BD08
B02BD08
C03EB01
H01BA02
H01BA02
H01BA02
H01BA02

J01CR05
J01CR05

Denumire generica

ENOXAPARINUM
REVIPARINUM
REVIPARINUM
ILOPROSTUM**
ILOPROSTUM**
ALTEPLASUM**
ACIDUM TRANEXAMICUM4
EPTACOG ALFA ACTIVATUM**
EPTACOG ALFA ACTIVATUM**
EPTACOG ALFA ACTIVATUM**

Denumire comerciala

Forma
Concentrati
farmaceutica
e / U.T.

CLEXANE 8000ui anti-Xa/0,8ml SOL. INJ.

CLIVARIN (R) 1432UI/0,25 ml


CLIVARIN (R) 3436 UI/0,6 ml
ILOMEDIN 20
VENTAVIS 10mcg/ml
ACTILYSE
EXACYL
NOVOSEVEN 2mg (100 KUI)
NOVOSEVEN 5mg (250 KUI)
NOVOSEVEN 1mg (50 KUI)
COMBINATII (SPIRONOLACTONUM+FUROSEMIDUM) DIUREX 50
DESMOPRESSINUM
MINIRIN 0,2 mg
DESMOPRESSINUM
DESMOPRESINA TEVA 0,2mg
DESMOPRESSINUM
MINIRIN MELT 120 mcg
DESMOPRESSINUM
MINIRIN MELT 60 mcg
PIPERACILLINUM + TAZOBACTAMUM TAZOCIN 2,25
PIPERACILLINUM + TAZOBACTAMUM TAZOCIN 4,5

SOL. INJ.
SOL. INJ.
CONC. PT. SOL. PERF.
SOL. DE INHALAT PRIN NEBULIZ.

PULB+SOLV. PT. SOL. INJ

SOL. INJ.
PULB. + SOLV. PT. SOL. INJ.
PULB. + SOLV. PT. SOL. INJ.
PULB. + SOLV. PT. SOL. INJ.

CAPS.
COMPR.
COMPR.
LIOF. ORAL
LIOF. ORAL

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

TEBRANIC 2g/0,25 g
ZOPECILIN 2 g/0,25 g
ZOPECILIN 2 g/0,25 g
PERASIN 2g/0,25 g

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILINA/TAZOBACTAN ACTAVIS 2 g/0,25 gPULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILINA/TAZOBACTAM MYLAN 2g/0,25 g

PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

BACTACIN 2 g/0,25 g

PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5gPULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5gPULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5gPULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM


J01CR05 PIPERACILLINUM + TAZOBACTAMUM

TEBRANIC 4 g/0,5 g
ZOPECILIN 4 g/0,5 g
ZOPECILIN 4 g/0,5 g

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILINA/TAZOBACTAN ACTAVIS 4 g/0,5 g

PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

BACTACIN 4 g/0,5 g

PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 gPULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PERASIN 4g/0,5 g
ZYVOXID (R)
ZYVOXID (R)
ZYVOXID (R)
VFEND 200mg
VFEND 50mg
VFEND 200mg
VFEND 40 mg/ml
CANCIDAS 50 mg
CANCIDAS 70 mg
VALCYTE (R) 450 mg
ZUTECTRA
HEPATECT CP 50 UI/ml
NEUPOGEN (R)
NEUPOGEN (R)
ZARZIO 30MU/0,5ml
ZARZIO 48MU/0,5ml
NIVESTIM 12 MU/0,2ml
TEVAGRASTIM 30MUI/0,5ml
NIVESTIM 30 MU/0,5 ml
TEVAGRASTIM 48MUI/0,8ml
NIVESTIM 48 MU/0,5 ml
CELLCEPT 250mg

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

J01XX08
J01XX08
J01XX08
J02AC03
J02AC03
J02AC03
J02AC03
J02AX04
J02AX04
J05AB14

LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
CASPOFUNGINUM**
CASPOFUNGINUM**
VALGANCICLOVIRUM**

J06BB04 IMUNOGLOBULINA ANTI-HEPATITICA B**


J06BB04 IMUNOGLOBULINA ANTI-HEPATITICA B**
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06

FILGRASTIMUM (G-CSF)
FILGRASTIMUM (G-CSF)
FILGRASTIMUM (G-CSF)
FILGRASTIMUM (G-CSF)
FILGRASTIMUM (G-CSF)
FILGRASTIMUM (G-CSF)
FILGRASTIMUM (G-CSF)
FILGRASTIMUM (G-CSF)
FILGRASTIMUM (G-CSF)
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**

3436ui/0,6ml
20mcg/ml
10mcg/ml
50mg
500mg/5ml
100 KIU
250 KIU
50 KIU
50mg/20mg
0,2mg
0,2mg
120mcg
60mcg

PULB. PT. SOL. INJ./PERF.


PULB. PT. SOL. INJ./PERF.
PULB. PT. SOL. INJ./PERF.
PULB. PT. SOL. INJ./PERF.

PULB. PT. SOL. INJ./PERF.


PULB. PT. SOL. INJ./PERF.
PULB. PT. SOL. INJ./PERF.

PULB. PT. SOL. INJ./PERF.

COMPR. FILM.
GRAN. PT. SUSP. ORALA

SOL. PERF.
COMPR. FILM.
COMPR. FILM.
PULB. PT. SOL. PERF.
PULB. PT. SUSP. ORALA
PULB. PT. CONC. PT. SOL. PERF.
PULB. PT. CONC. PT. SOL. PERF.

COMPR. FILM.
SOL INJ. IN SERINGA PRE-UMPLUTA

SOL. PERF.
SOL. INJ.
SOL. INJ.
SOL. INJ. /PERF. IN SERINGA PREUMPLUTA

SOL. INJ. /PERF. IN SERINGA PREUMPLUTA

SOL. INJ./PERF.

FRANTA

ABBOTT GMBH&CO.KG GERMANIA


BAYER SCHERING PHARMA AG GERMANIA
BAYER SCHERING PHARMA AG GERMANIA
BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG
GERMANIA

2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
600mg
100mg/5ml
2mg/ml
200mg
50mg
200mg
40mg/ml
50mg
70mg
450mg
500 UI
50 UI/ ml
30MU/0,5ml
48MU/0,5ml
60MU/ml
96MU/ml
120g/0,2ml

MAREA BRITANIE

Prescriptie

CUTIE X 2 SERINGI PREUMPLUTE X 0,8 ML SOL. INJ. S/P-RF


CUTIE X 2 BLIST. X 5 SERINGI PREUMPLUTE UNIDOZA X 0,25ML S/P-RF
CUTIE X 1 BLIST X 5 SERINGI PREUMPLUTE UNIDOZA X 0,60 ML S/P-RF
CUTIE X 5 FIOLE STICLA INCOLORA X 1 ML CONC. PT. SOL. PERFZ. S/P-RF

CUTIE X 30 FIOLE X 1 ML SOL. DE INHALAT PRIN NEBULIZ.


CUTIE X 1 FLAC. LIOF. PT. SOL. INJ. + 1 FLACON SOLV. + CANULA DE TRANSFER

S
S
X

CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ. S/P-RF

S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S

ROMANIA
S.C. FRESENIUS KABI S.R.L. ROMANIA
S.C. FRESENIUS KABI S.R.L. ROMANIA
S.C. FRESENIUS KABI S.R.L. ROMANIA
S.C. FRESENIUS KABI S.R.L. ROMANIA
S.C. FRESENIUS KABI S.R.L. ROMANIA
ASTRA ZENECA AB SUEDIA CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.
ROMASTRU TRADING SRL ROMANIA
ROMASTRU TRADING SRL ROMANIA
ANTIBIOTICE S.A.
ROMANIA
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.
MYLAN S.A.S.
FRANTA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CU PULB. PT. SOL. INJ./PERF.
TERAPIA SA
ROMANIA
S.C. FRESENIUS KABI S.R.L. ROMANIA
S.C. FRESENIUS KABI S.R.L. ROMANIA
S.C. FRESENIUS KABI S.R.L. ROMANIA
ASTRA ZENECA AB SUEDIA CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.
ROMASTRU TRADING SRL ROMANIA
ROMASTRU TRADING SRL ROMANIA
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.
TERAPIA SA
ROMANIA
MYLAN S.A.S.
FRANTA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. INJ./PERF.
ANTIBIOTICE S.A.
ROMANIA
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. X 10 COMPR. FILM.

P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

S.C. FRESENIUS KABI S.R.L.

CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE X 1 FLAC DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 50 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED

MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE

CUTIE X 1 FLACON X 66 G GRAN. PTR. 150 ML SUSP. + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML

CUTIE X 10 PUNGI X 300 ML

CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF


CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL) P-RF

CUTIE X 1 FLAC. UNIDOZA X 30ML

P-RF
P-RF

MAREA BRITANIE

CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA

MERCK SHARP & DOHME

MAREA BRITANIE

CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF. S

MERCK SHARP & DOHME

MAREA BRITANIE

CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF. S

ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. X 60 COMPR. FILM. P-RF


BIOTEST PHARMA GMBH GERMANIA CUTIE CU 5 SERINGI PREUMPLUTE DIN STICLA A CATE 500 UI AMBALATE N BLISTERE
PRF
BIOTEST PHARMA GMBH GERMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 40 ML SOL. PERF. (2000UI) PR
AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML S/P-RF
AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML S/P-RF

SANDOZ GMBH
AUSTRIA
SANDOZ GMBH
AUSTRIA
HOSPIRA UK LIMITED MAREA BRITANIE

SOL. INJ./PERF. 300mcg/0,5ml TEVA GENERICS GMBH GERMANIA


SOL. INJ./PERF.

Ambalaj

CN UNIFARM
ROMANIA CUTIE X 5 FIOLE X 5ML SOL. INJ.
NOVO NORDISK A/S DANEMARCA CUTIE X 1 FLAC. PULB. PT. SOL. INJ. + 1 FLAC. SOLV. PT. RECONSTITUIRE P-RF/R
NOVO NORDISK A/S DANEMARCA CUTIE X 1 FLAC. PULB. PT. SOL. INJ. + 1 FLAC. SOLV. PT. RECONSTITUIREP-RF/R
NOVO NORDISK A/S DANEMARCA CUTIE X 1 FLAC. PULB. PT. SOL. INJ. + 1 FLAC. SOLV. PT. RECONSTITUIRE P-RF/R
TERAPIA SA
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-6L
FERRING GMBH
GERMANIA CUTIE X 1 FLAC. DIN PEID X 30 COMPR. P-RF
TEVA PHARMACEUTICAL S.R.L. UNGARIA CUTIE CU BLIST. OPA-AL- PVC/AL X 30 COMPR. P-RF
FERRING GMBH
GERMANIA CUTIE X 3 BLIST. AL/AL X 10 UNITATI DOZATE LIOF. ORAL P-RF
FERRING GMBH
GERMANIA CUTIE X 3 BLIST AL/AL X 10 UNITATI DOZATE LIOF. ORALP-RF
WYETH LEDERLE PHARMA GMBH AUSTRIA CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ. S/P-RF
PFIZER EUROPE MA EEIG

LIOF. PT. SOL. INJ.

PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF.

LAB. AVENTIS

Tara

1432ui/0,25ml ABBOTT GMBH&CO.KG GERMANIA

LIOF. PT. SOL. INJ.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

8000ui anti-Xa/0,8ml

Firma

300g/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE

SOL. INJ./PERF. 480mcg/0,8ml TEVA GENERICS GMBH GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL

P-RF/R

CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL

P-RF/R

CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,2ML SOL. INJ. SAU PERF.

P-RF

CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF.S/P-RF/R


CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF.

P-RF

CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF.S/P-RF/R

480g/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. P-RF
250mg
ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 10 BLIST. X 10 CAPS.
P-RF/R
MYCOPHENOLATE MOFETIL MEDICO UNO 500 MG COMPR. FILM. 500mg
MEDICO UNO PHARMA KFT. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. P-RF/R
CELLCEPT 500mg
COMPR. FILM. 500mg
ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 5 BLIST. X 10 COMPR. FILM. P-RF/R
MYFORTIC 180 mg
COMPR. FILM. GASTROREZ. 180mg
NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ.S/P-RF
MYFORTIC 360 mg
COMPR. FILM. GASTROREZ. 360mg
NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ.S/P-RF
MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL DR. REDDY'S 250 mg CAPS.
250 mg
DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 100 CAPS. PR
SOL. INJ./PERF.

CAPS.

Pagina 35 din 48

cant/a
mbala
j

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

Pret cu ridicata
maximal de
decontare / U.T.

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

2
39.43
19.715000
19.715000
51.58
25.790000
25.790000
10
66.02
6.602000
6.602000
83.47
8.347000
8.347000
5
79.26
15.852000
15.852000
100.22
20.044000
20.044000
5
756.04
151.208000
151.208000
862.23
172.446000
172.446000
30 1,924.50
64.150000
64.150000 2,135.86
71.195333
71.195333
1 1,473.74 1,473.740000 1,473.740000 1,644.53 1,644.530000 1,644.530000
5
9.36
1.872000
1.872000
12.65
2.530000
2.530000
1 5,431.43 5,431.430000 5,431.430000 5,958.41 5,958.410000 5,958.410000
1 13,793.54 13,793.540000 13,793.540000 15,073.11 15,073.110000 15,073.110000
1 2,730.72 2,730.720000 2,730.720000 3,014.63 3,014.630000 3,014.630000
20
17.05
0.852500
0.852500
23.04
1.152000
1.152000
30
158.10
5.270000
4.160800
193.01
6.433666
5.079600
30
104.02
3.467333
3.467333
126.99
4.233000
4.233000
30
158.08
5.269333
5.269333
192.99
6.433000
6.433000
30
80.69
2.689666
2.689666
102.02
3.400666
3.400666
12
396.78
33.065000
23.257200
470.64
39.220000
28.392000
12
685.12
57.093333
45.574999
784.93
65.410833
53.491999
1
20.09
20.090000
20.090000
27.15
27.150000
27.150000
5
98.66
19.732000
19.732000
124.75
24.950000
24.950000
10
193.81
19.381000
19.381000
236.60
23.660000
23.660000
1
40.18
40.180000
23.257200
52.55
52.550000
28.392000
5
193.81
38.762000
23.257200
236.60
47.320000
28.392000
10
382.38
38.238000
23.257200
454.94
45.494000
28.392000
12
232.62
19.385000
19.385000
283.98
23.665000
23.665000
1
22.65
22.650000
22.650000
30.62
30.620000
28.392000
12
262.29
21.857500
21.857500
320.21
26.684166
26.684166
1
22.65
22.650000
22.650000
30.62
30.620000
28.392000
12
262.17
21.847500
21.847500
320.06
26.671666
26.671666
1
22.65
22.650000
22.650000
30.62
30.620000
28.392000
1
22.65
22.650000
22.650000
30.62
30.620000
28.392000
10
384.80
38.480000
38.480000
457.58
45.758000
45.758000
1
40.44
40.440000
40.440000
52.90
52.900000
52.900000
5
195.13
39.026000
39.026000
238.21
47.642000
47.642000
12
455.79
37.982500
37.982500
534.96
44.580000
44.580000
1
40.44
40.440000
40.440000
52.90
52.900000
52.900000
12
455.75
37.979166
37.979166
534.92
44.576666
44.576666
12
455.75
37.979166
37.979166
534.92
44.576666
44.576666
1
40.44
40.440000
40.440000
52.90
52.900000
52.900000
1
40.46
40.460000
40.460000
52.92
52.920000
52.920000
1
40.44
40.440000
40.440000
52.90
52.900000
52.900000
10 1,584.80
158.480000
158.480000 1,765.58
176.558000
176.558000
1
869.39
869.390000
869.390000
985.79
985.790000
985.790000
10 1,584.80
158.480000
158.480000 1,765.58
176.558000
176.558000
28 3,517.81
125.636071
125.636071 3,872.57
138.306071
138.306071
28
901.74
32.205000
32.205000 1,021.05
36.466071
36.466071
1
453.05
453.050000
453.050000
531.97
531.970000
531.970000
1 2,178.01 2,178.010000 2,178.010000 2,412.18 2,412.180000 2,412.180000
1 1,188.63 1,188.630000 1,188.630000 1,333.76 1,333.760000 1,333.760000
1 1,542.18 1,542.180000 1,542.180000 1,719.13 1,719.130000 1,719.130000
60 4,806.36
80.106000
80.106000 5,277.09
87.951500
87.951500
5 9,205.00 1,841.000000 1,841.000000 10,071.60 2,014.320000 2,014.320000
1 4,477.57 4,477.570000 4,477.570000 4,918.70 4,918.700000 4,918.700000
1
263.92
263.920000
192.228000
322.20
322.200000
234.672000
1
431.80
431.800000
309.420000
508.81
508.810000
377.736000
1
160.19
160.190000
160.190000
195.56
195.560000
195.560000
1
257.85
257.850000
257.850000
314.78
314.780000
314.780000
5
413.89
82.778000
82.778000
489.29
97.858000
97.858000
1
211.64
211.640000
192.228000
258.37
258.370000
234.672000
5
989.71
197.942000
192.228000 1,116.94
223.388000
223.388000
1
352.07
352.070000
309.420000
421.91
421.910000
377.736000
5 1,637.21
327.442000
309.420000 1,822.71
364.542000
364.542000
100
447.90
4.479000
3.458400
526.36
5.263600
4.221960
50
289.44
5.788800
5.388240
353.35
7.067000
6.577920
50
447.90
8.958000
5.388240
526.36
10.527200
6.577920
120
551.46
4.595500
4.595500
639.24
5.327000
5.327000
120 1,030.04
8.583666
8.583666 1,160.90
9.674166
9.674166
100
288.20
2.882000
2.882000
351.83
3.518300
3.518300

Grupa
Nr.
terape
crt
utica
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105

L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA10
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
J06BB04

Denumire generica

Denumire comerciala

Forma
Concentrati
farmaceutica
e / U.T.

MYCOPHENOLATUM MOFETILUM** MYCOPHENOLATE MOFETIL ACCORD 250 mg CAPS.


MYCOPHENOLATUM MOFETILUM** MYFENAX 250mg
CAPS.
MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL SANDOZ 500 mg COMPR.
MYCOPHENOLATUM MOFETILUM** MYFENAX 500mg
COMPR. FILM.
MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL DR. REDDY'S 500 mg COMPR. FILM.
MYCOPHENOLATUM MOFETILUM** MYCOFENOLAT MOFETIL ACTAVIS 500 mgCOMPR. FILM.
MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL DR. REDDY'S 500 mg COMPR. FILM.

SIROLIMUS**
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
PROTEINA PLASMATICA UMANA**

RAPAMUNE 1mg
EQUORAL (R) 100 mg
CICLORAL 25 mg
EQUORAL (R) 25 mg
SANDIMMUN NEORAL (R)
CICLORAL 50 mg
EQUORAL (R) 50 mg
SANDIMMUN NEORAL (R)
EQUORAL (R)
TACNI 0,5 mg
PROGRAF (R) 0,5 mg
TACROLIMUSUM ACCORD 0,5 mg

TACROLIMUS SANDOZ 0,5 mg

TACNI 1 mg
PROGRAF (R) 1 mg
TACROLIMUSUM ACCORD 1 mg

TACROLIMUS SANDOZ 1 mg
TACNI 5 mg
PROGRAF (R) 5 mg
ADVAGRAF 0,5mg
ADVAGRAF 1mg
ADVAGRAF 5mg
PROGRAF (R) 5 mg/ml

250mg
250mg
500mg
500mg
500mg
500mg
500mg
DRAJ.
1mg
CAPS. MOI 100mg
CAPS. MOI 25mg
CAPS. MOI 25mg
CAPS. MOI 25mg
CAPS. MOI 50mg
CAPS. MOI 50mg
CAPS. MOI 50mg
SOL. ORALA 100mg/ml
CAPS.
0,5 mg
CAPS.
0,5mg
CAPS.
0,5mg
CAPS.
0,5mg
CAPS.
1 mg
CAPS.
1mg
CAPS.
1mg
CAPS.
1mg
CAPS.
5 mg
CAPS.
5mg
CAPS. ELIB. PREL. 0,5mg
CAPS. ELIB. PREL. 1mg
CAPS. ELIB. PREL. 5mg
CONC. PT. SOL. PERF. 5mg/ml

Firma

Tara

Ambalaj

Prescriptie

cant/a
mbala
j

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

Pret cu ridicata
maximal de
decontare / U.T.

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

100
100
50
50
50
50
50
30
50
50
50
50
50
50
50
1
50
50
50
50
50
50
50
50
50
50
50
50
50
10

289.44
298.76
224.51
298.76
298.76
269.39
298.76
483.90
393.08
111.30
73.58
111.16
247.07
153.73
236.51
354.17
131.94
202.98
131.94
131.94
235.82
359.82
235.82
235.82
1,101.92
1,695.40
202.51
398.16
1,844.03
1,527.41

2.894400
2.987600
4.490200
5.975200
5.975200
5.387800
5.975200
16.130000
7.861600
2.226000
1.471600
2.223200
4.941400
3.074600
4.730200
354.170000
2.638800
4.059600
2.638800
2.638800
4.716400
7.196400
4.716400
4.716400
22.038400
33.908000
4.050200
7.963200
36.880600
152.741000

2.894400
2.987600
4.490200
5.388240
5.388240
5.387800
5.388240
16.130000
7.861600
1.765920
1.471600
1.765920
3.689520
3.074600
3.689520
354.170000
2.638800
3.166560
2.638800
2.638800
4.716400
5.659680
4.716400
4.716400
22.038400
26.446080
3.166560
5.659680
26.446080
152.741000

353.35
364.73
274.08
364.73
364.73
328.87
364.73
565.60
466.61
135.87
93.03
135.71
301.62
187.67
288.73
424.20
161.07
247.80
161.07
161.07
287.89
430.35
287.89
287.89
1,239.24
1,886.14
247.22
472.14
2,048.15
1,703.03

3.533500
3.647300
5.481600
7.294600
7.294600
6.577400
7.294600
18.853333
9.332200
2.717400
1.860600
2.714200
6.032400
3.753400
5.774600
424.200000
3.221400
4.956000
3.221400
3.221400
5.757800
8.607000
5.757800
5.757800
24.784800
37.722800
4.944400
9.442800
40.963000
170.303000

3.533500
3.647300
5.481600
6.577920
6.577920
6.577400
6.577920
18.853333
9.332200
2.232720
1.860600
2.232720
4.504080
3.753400
4.504080
424.200000
3.221400
3.865680
3.221400
3.221400
5.757800
6.909360
5.757800
5.757800
24.784800
29.741760
3.865680
6.909360
29.741760
170.303000

CUTIE X 4 BLIST. AL/PVC X 25 CAPS. P-6L/S 100


CUTIE X 2 BLIST. AL/PVC X 25 CAPS. P-6L
50
CEHIA
CUTIE X 5 BLIST. AL/PVC X 10 CAPS. P-6L
50
ZAMBON S.P.A.
ITALIA
CUTIE X 6 BLIST. AL/PVC X 10 COMPR. P-6L
60
ZAMBON S.P.A.
ITALIA
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN PPID X 50 CAPS. MOI P-RF
50
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 30 CAPS. MOI
P-RF
30
2micrograme/ml LEO PHARMA A/S
DANEMARCA CUTIE CU 10 FIOLE DIN STICLA BRUNA X 0,5 ML SOL. INJ. S
10
2micrograme/ml LEO PHARMA A/S
DANEMARCA CUTIE CU 10 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ. S
10
10000UI/0,4ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 5 BLIST. X 1 SERINGA X 0,4 ML SOL. INJ. S/P-RF
5
10000ui/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 SUPORTURI TERMOFORMATATE X 5 FIOLE X 1 MLS/P-RF
10
12500 UI/0,5ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 5 BLIST. X 1 SERINGA X 0,5 ML SOL. INJ. S/P-RF
5
15000ui/0,6ml PFIZER EUROPE MA EEIG MAREA BRITANIE
S/P-RF
5
18000 UI/0,72ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 5 BLIST. X 1 SERINGA X 0,72 ML SOL. INJ. S/P-RF
5
2500ui/0,2ml PFIZER EUROPE MA EEIG MAREA BRITANIE
S/P-RF
10
5000ui/0,2ml PFIZER EUROPE MA EEIG MAREA BRITANIE
S/P-RF
10
7500ui/0,3ml PFIZER EUROPE MA EEIG MAREA BRITANIE
S/P-RF
10
2000ui anti-Xa/0,2ml LAB. AVENTIS
FRANTA CUTIE X 10 SERINGI PREUMPLUTE X 0,2 ML SOL. INJ.S/P-RF
10
4000ui anti-Xa/0,4ml LAB. AVENTIS
FRANTA CUTIE X 10 SERINGI PREUMPLUTE X 0.4 ML SOL. INJ.S/P-RF
10
6000ui anti-Xa/0,6ml LAB. AVENTIS
FRANTA CUTIE X 10 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ.S/P-RF
10
8000ui anti-Xa/0,8ml LAB. AVENTIS
FRANTA CUTIE X 2 SERINGI PREUMPLUTE X 0,8 ML SOL. INJ. S/P-RF
2
1432ui/0,25ml ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. X 5 SERINGI PREUMPLUTE UNIDOZA X 0,25ML S/P-RF
10
3436ui/0,6ml ABBOTT GMBH&CO.KG GERMANIA CUTIE X 1 BLIST X 5 SERINGI PREUMPLUTE UNIDOZA X 0,60 ML S/P-RF
5
3000ui/0,3ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,3 MLS/P-RF
6
40 000UI
JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 1 FLACON DIN STICLA X 1 ML S/P-RF
1
10000UI/1,0ml SANDOZ GMBH
AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ.
6
1000UI/0,5ml SANDOZ GMBH
AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ.
6
2000UI/1,0ml SANDOZ GMBH
AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ.
6
30000UI/0,75ml SANDOZ GMBH
AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,75ML SOL. INJ. P-RF/R
1
3000UI/0,3ml SANDOZ GMBH
AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ.
6
40 000UI
JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE CU 1 SERINGA PREUMPLUTA X 1 ML SOL. INJ.S/P-RF
1

97.14
56.87
53.75
40.94
27.11
25.41
22.96
107.51
201.40
101.97
216.01
138.33
167.46
190.46
60.65
115.08
164.33
57.01
117.03
152.10
39.43
66.02
79.26
653.92
1,192.91
1,532.97
176.81
351.85
680.43
513.14
1,192.91

0.971400
1.137400
1.075000
0.682333
1.355500
0.508200
0.765333
10.751000
20.140000
20.394000
21.601000
27.666000
33.492000
38.092000
6.065000
11.508000
16.433000
5.701000
11.703000
15.210000
19.715000
6.602000
15.852000
108.986666
1,192.910000
255.495000
29.468333
58.641666
680.430000
85.523333
1,192.910000

0.971400
1.137400
1.075000
0.682333
1.355500
0.508200
0.765333
10.751000
20.140000
20.394000
21.601000
27.666000
33.492000
38.092000
6.065000
11.508000
16.433000
5.701000
11.703000
15.210000
19.715000
6.602000
15.852000
102.628000
1,040.844000
255.495000
29.468333
58.641666
680.430000
85.523333
1,040.844000

122.82
71.91
67.96
53.55
35.46
33.24
31.03
131.25
245.87
124.49
263.70
168.87
204.44
232.51
76.68
140.49
200.61
72.08
142.87
185.68
51.58
83.47
100.22
750.92
1,338.42
1,709.09
215.85
421.67
779.82
597.47
1,338.42

1.228200
1.438200
1.359200
0.892500
1.773000
0.664800
1.034333
13.125000
24.587000
24.898000
26.370000
33.774000
40.888000
46.502000
7.668000
14.049000
20.061000
7.208000
14.287000
18.568000
25.790000
8.347000
20.044000
125.153333
1,338.420000
284.848333
35.975000
70.278333
779.820000
99.578333
1,338.420000

1.228200
1.438200
1.359200
0.892500
1.773000
0.664800
1.034333
13.125000
24.587000
24.898000
26.370000
33.774000
40.888000
46.502000
7.668000
14.049000
20.061000
7.208000
14.287000
18.568000
25.790000
8.347000
20.044000
119.494000
1,180.296000
284.848333
35.975000
70.278333
779.820000
99.578333
1,180.296000

ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL CU 100 CAPS.

TEVA PHARMA BV
SANDOZ S.R.L.
TEVA PHARMA BV

P-RF/R

DR. REDDY'S LABORATORIES

OLANDA CUTIE X BLIST. PVC/PVDC/AL X 100 CAPS. P-RF/R


ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 50 COMPR. FILM. P-RF
OLANDA CUTIE X BLIST. PVC/PVDC/AL X 50 COMPR. FILM. P-RF/R
ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. P-RF
ISLANDA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. P-RF/R
ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. P-RF

WYETH EUROPA LTD.

MAREA BRITANIE

CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR)

P-RF/R

IVAX - PHARMACEUTICALS S.R.O.

CEHIA

CUTIE X 5 BLIST. X 10 CAPS. MOI

S/P-RF

DR. REDDY'S LABORATORIES

ACTAVIS GROUP PTC EHF.

HEXAL AG

GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI

S/P-RF

IVAX - PHARMACEUTICALS S.R.O.

CEHIA

S/P-RF

NOVARTIS PHARMA GMBH

CUTIE X 5 BLIST. X 10 CAPS. MOI


GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI

HEXAL AG

GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI

S/P-RF

IVAX - PHARMACEUTICALS S.R.O.

CEHIA

S/P-RF

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 5 BLIST. X 10 CAPS. MOI


CUTIE X 10 BLIST. X 5 CAPS. MOI

S/P-RF

S/P-RF

CEHIA
S/P-RF
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI DE AL A CATE 10 CAPSULE
PRF
ASTELLAS PHARMA EUROPE BV OLANDA
S/P-RF
ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. AL/AL X 50 CAPS. PR
SANDOZ S.R.L.
ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS. S/P-RF
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI AL A CATE 10 CAPSULE PRF
ASTELLAS PHARMA EUROPE BV OLANDA
S/P-RF
ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. AL/AL X 50 CAPS. PR
SANDOZ S.R.L.
ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS. S/P-RF
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI AL A CATE 10 CAPS. PRF
ASTELLAS PHARMA EUROPE BV OLANDA
S/P-RF
IVAX - PHARMACEUTICALS S.R.O.

CUTIE X 1 FLACON DIN STICLA BRUNA X 50 ML, UN DISPOZITIV DE MASURAT + UN CAPAC CU FILET

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT

ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)

P-RF/R

ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)

P-RF/R

ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)

P-RF/R

ASTELLAS PHARMA EUROPE BV

OLANDA CUTIE X 10 FIOLE X 1 ML

P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA


P9.4: TRANSPLANT RENAL combinat RINICHI si PANCREAS
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31

A05AA02
A05AA02
A05AA02
A05AA02
A05AA02
A11CC03
A11CC03
A11CC03
A11CC03
B01AB04
B01AB04
B01AB04
B01AB04
B01AB04
B01AB04
B01AB04
B01AB04
B01AB05
B01AB05
B01AB05
B01AB05
B01AB08
B01AB08
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01

ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ALFACALCIDOLUM
ALFACALCIDOLUM
ALFACALCIDOLUM
ALFACALCIDOLUM
DALTEPARINUM
DALTEPARINUM
DALTEPARINUM
DALTEPARINUM
DALTEPARINUM
DALTEPARINUM
DALTEPARINUM
DALTEPARINUM
ENOXAPARINUM
ENOXAPARINUM
ENOXAPARINUM
ENOXAPARINUM
REVIPARINUM
REVIPARINUM
EPOETINUM ALFA
EPOETINUM ALFA
EPOETINUM ALFA
EPOETINUM ALFA
EPOETINUM ALFA
EPOETINUM ALFA
EPOETINUM ALFA
EPOETINUM ALFA

URSOFALK (R)
URSOFALK (R)
URSOSAN
URSOCHOL 150 mg
URSOCHOL 300 mg
ALPHA D3 0,25 mcg
ALPHA D3 0,50 mcg
ONE-ALPHA 2 micrograme/ml
ONE-ALPHA 2 micrograme/ml
FRAGMIN 10000 UI/0,4 ml
FRAGMIN 10000 UI/ml
FRAGMIN 12500 UI/0,5 ml
FRAGMIN15000 UI/0,6 ml
FRAGMIN 18000 UI/0,72 ml
FRAGMIN 2500 UI/0,2 ml
FRAGMIN 5000 UI/0,2 ml
FRAGMIN 7500 UI/0,3 ml
CLEXANE 2000ui anti-Xa/0,2ml
CLEXANE 4000ui anti-Xa/0,4ml
CLEXANE 6000ui anti-Xa/0,6ml
CLEXANE 8000ui anti-Xa/0,8ml

CLIVARIN (R) 1432UI/0,25 ml


CLIVARIN (R) 3436 UI/0,6 ml
EPREX (R) 3000 UI
EPREX (R) 40 000 UI
BINOCRIT 10000UI/1,0ml
BINOCRIT 1000UI/0,5ml
BINOCRIT 2000UI/1,0ml
BINOCRIT 30000UI/0,75ml
BINOCRIT 3000UI/0,3ml
EPREX 40000 UI

CAPS.
CAPS.
CAPS.
COMPR.
COMPR.
CAPS. MOI
CAPS. MOI
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ. IN SERINGA PREUMPLUTA

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

250mg
250mg
250mg
150mg
300mg
0,25mcg
0,50mcg

DR. FALK PHARMA GMBH GERMANIA


DR. FALK PHARMA GMBH GERMANIA
PRO. MED. CS PRAHA AS

CUTIE X 5 BLIST. INDIVIDUALE CONTINAND FIECARE 1 SERINGA PREUMPLUTA X 0,6 ML SOL. INJ.

CUTIE X 10 BLIST. INDIVIDUALE CONTINAND FIECARE 1 SERINGA PREUMPLUTA X 0,2 ML


CUTIE X 10 BLIST. INDIVIDUALE CONTINAND FIECARE 1 SERINGA PREUMPLUTA X 0,2 ML
CUTIE X 10 BLIST. INDIVIDUALE CONTINAND FIECARE 1 SERINGA PREUMPLUTA X 0,3 ML

S/P-RF/R
S/P-RF/R
S/P-RF/R

S/P-RF/R

Pagina 36 din 48

Grupa
Nr.
terape
crt
utica
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
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

B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01

Denumire generica

EPOETINUM ALFA
EPOETINUM ALFA
EPOETINUM ALFA
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
OCTREOTIDUM**
OCTREOTIDUM**
OCTREOTIDUM**
OCTREOTIDUM**

Denumire comerciala

BINOCRIT 40000 UI/1 ml


BINOCRIT 4000UI/0,4ml
BINOCRIT 5000UI/0,5ml
NEORECORMON 10000UI/0,6ml
NEORECORMON 1000UI/0,3ml
NEORECORMON 2000UI/0,3ml
NEORECORMON 30000UI/0,6ml
NEORECORMON 4000UI/0,3ml
NEORECORMON 5000UI/0,3ml

Forma
Concentrati
farmaceutica
e / U.T.

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

30000 UI/0,6ml ROCHE REGISTRATION LTD.

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

J01CR05 PIPERACILLINUM + TAZOBACTAMUM


J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF.

H01CB02
H01CB02
H01CB02
H01CB02

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

J01CR05 PIPERACILLINUM + TAZOBACTAMUM


J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01XA02
J01XX08
J01XX08
J01XX08
J02AB02
J02AB02
J02AB02
J02AB02
J02AB02
J02AB02
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01

TEICOPLANINUM
LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM
KETOCONAZOLUM
KETOCONAZOLUM
KETOCONAZOLUM
KETOCONAZOLUM
KETOCONAZOLUM
KETOCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM

Tara

40000 UI/1 ml SANDOZ GMBH


AUSTRIA
4000UI/0,4ml SANDOZ GMBH
AUSTRIA
5000UI/0,5ml SANDOZ GMBH
AUSTRIA
10000UI/0,6ml ROCHE REGISTRATION LTD. MAREA BRITANIE
1000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE
2000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE

SOL. INJ. IN SERINGA PREUMPLUTA

NEORECORMON 500UI/0,3ml
SANDOSTATIN LAR 20 mg
SANDOSTATIN LAR 10 mg
SANDOSTATIN LAR 30 mg
SANDOSTATIN (R)
SOL. INJ.
TAZOCIN 2,25
LIOF. PT. SOL. INJ.
TAZOCIN 4,5
LIOF. PT. SOL. INJ.

B03XA01

Firma

SOL. INJ. IN SERINGA PREUMPLUTA

PULB. + SOLV. PT. SUSP. INJ. (I.M.) CU ELIB. PRELU

PULB.+SOLV.PT.SUSP. INJ. (I.M.) CU ELIB. PRELUNG.

PULB.+SOLV.PT.SUSP. INJ. (I.M.) CU ELIB. PRELUNG.

4000UI/0,3ml
5000UI/0,3ml
500UI/0,3ml
20mg
10mg
30mg
0,1mg/ml

2g/0,25g
PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g
PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g
PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g
PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g
PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g
TEBRANIC 2g/0,25 g
PULB. PT. SOL. INJ./PERF. 2g/0,25g
ZOPECILIN 2 g/0,25 g
PULB. PT. SOL. INJ./PERF. 2g/0,25g
ZOPECILIN 2 g/0,25 g
PULB. PT. SOL. INJ./PERF. 2g/0,25g
PERASIN 2g/0,25 g
PULB. PT. SOL. INJ./PERF. 2g/0,25g
PIPERACILINA/TAZOBACTAN ACTAVIS 2 g/0,25 gPULB. PT. SOL. INJ./PERF. 2g/0,25g
PIPERACILINA/TAZOBACTAM MYLAN 2g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g
BACTACIN 2 g/0,25 g
PULB. PT. SOL. INJ./PERF. 2g/0,25g
PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5gPULB. PT. SOL. INJ./PERF. 4g/0,5g
PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5gPULB. PT. SOL. INJ./PERF. 4g/0,5g
PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5gPULB. PT. SOL. INJ./PERF. 4g/0,5g
TEBRANIC 4 g/0,5 g
PULB. PT. SOL. INJ./PERF. 4g/0,5g
ZOPECILIN 4 g/0,5 g
PULB. PT. SOL. INJ./PERF. 4g/0,5g
ZOPECILIN 4 g/0,5 g
PULB. PT. SOL. INJ./PERF. 4g/0,5g
PIPERACILINA/TAZOBACTAN ACTAVIS 4 g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g
BACTACIN 4 g/0,5 g
PULB. PT. SOL. INJ./PERF. 4g/0,5g
PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 gPULB. PT. SOL. INJ./PERF. 4g/0,5g
PERASIN 4g/0,5 g
PULB. PT. SOL. INJ./PERF. 4g/0,5g
TARGOCID (R) 400 mg
LIOF. + SOLV. PT. SOL. INJ. 400mg
ZYVOXID (R)
COMPR. FILM. 600mg
ZYVOXID (R)
GRAN. PT. SUSP. ORALA 100mg/5ml
ZYVOXID (R)
SOL. PERF. 2mg/ml
KETOSTIN 200 mg
COMPR.
200mg
KETOCONAZOL ARENA 200 mg COMPR.
200mg
KEFUNGIN
COMPR.
200mg
NIZORAL 200 mg
COMPR.
200mg
KETOCONAZOL 200 mg
COMPR.
200mg
KETOCONAZOL 200 mg
COMPR.
200mg
FLUCONAZOLE TEVA 100 mg CAPS.
100mg
FLUCONAZOLE TEVA 100 mg CAPS.
100mg
FUNGOLON 100 mg
CAPS.
100mg
DIFLAZON 100 mg
CAPS.
100mg
FLUCOVIM 100
CAPS.
100mg
FLUCORIC 100 mg
CAPS.
100mg
FLUCONAZOL 150 mg
CAPS.
150mg
FLUCONAZOLE TEVA 150 mg CAPS.
150mg
FLUCONAZOL MEDICO UNO 150 mg CAPS.
150mg
FLUCONAZOL BIOGALENICA 150 mg CAPS.
150mg
FLUCONAZOL ARENA 150 MG CAPS.
150mg
FLUCONAZOL MEDOCHEMIE 150 mg CAPS.
150mg
FLUCONAZOL OZONE 150 mg CAPS.
150mg
FLUCONAZOL 150 mg
CAPS.
150mg
FLUCONAZOL SANDOZ (R) 150 CAPS.
150mg
MYCOSYST 150 mg
CAPS.
150mg
MYCOSYST 150 mg
CAPS.
150mg
DIFLAZON 150 mg
CAPS.
150mg

MAREA BRITANIE

Ambalaj

Prescriptie

CUTIE X 1 SERINGA PREUMPLUTA X 1ML SOL. INJ.

P-RF/R

CUTIE X 6 SERINGI PREUMPLUTE X 0,4ML SOL. INJ.

S/P-RF/R

CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ.

S/P-RF/R

CUTIE X 6 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ. + 6 ACES/P-RF/R


CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACES/P-RF/R
CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. X 6 ACES/P-RF/R

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 ACES/P-RF/R

ROCHE REGISTRATION LTD.

MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACES/P-RF/R

ROCHE REGISTRATION LTD.

MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ. + 6 ACES/P-RF/R

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 1 FLAC. PULBERE + 1 SERINGA PREUMPLUTA X 2,5 ML SOLVENT + 2 ACES/P-RF

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 1 FLAC. PULBERE + 1 SERINGA PREUMPLUTA X 2,5 ML SOLVENT + 2 ACES/P-RF

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 1 FLAC. PULB. + 1 SERINGA PREUMPLUTA X 2,5 ML SOLVENT + 2 ACE

S/P-RF

WYETH LEDERLE PHARMA GMBH

CUTIE X 5 FIOLE X 1 ML
S/P-RF
AUSTRIA CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ. S/P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ. S/P-RF

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S

AVENTIS PHARMA LTD.

MAREA BRITANIE

CUTIE X 1 FLAC. LIOF. + O FIOLA SOLV.

P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 1 FLAC. X 10 COMPR. FILM.

P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

ROMANIA
S.C. FRESENIUS KABI S.R.L. ROMANIA
S.C. FRESENIUS KABI S.R.L. ROMANIA
S.C. FRESENIUS KABI S.R.L. ROMANIA
S.C. FRESENIUS KABI S.R.L. ROMANIA
S.C. FRESENIUS KABI S.R.L. ROMANIA
ASTRA ZENECA AB SUEDIA CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.
ROMASTRU TRADING SRL ROMANIA
ROMASTRU TRADING SRL ROMANIA
ANTIBIOTICE S.A.
ROMANIA
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.
MYLAN S.A.S.
FRANTA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CU PULB. PT. SOL. INJ./PERF.
TERAPIA SA
ROMANIA
S.C. FRESENIUS KABI S.R.L. ROMANIA
S.C. FRESENIUS KABI S.R.L. ROMANIA
S.C. FRESENIUS KABI S.R.L. ROMANIA
ASTRA ZENECA AB SUEDIA CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.
ROMASTRU TRADING SRL ROMANIA
ROMASTRU TRADING SRL ROMANIA
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.
TERAPIA SA
ROMANIA
MYLAN S.A.S.
FRANTA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. INJ./PERF.
ANTIBIOTICE S.A.
ROMANIA
S.C. FRESENIUS KABI S.R.L.

CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE X 1 FLAC DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 50 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE X 1 FLACON X 66 G GRAN. PTR. 150 ML SUSP. + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML

P-RF

CUTIE X 10 PUNGI X 300 ML


S
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF
ROMANIA CUTIE X 1 BLIST. X 10 COMPR.
P-RF
ROMANIA CUTIE X 1 BLIST. X 10 COMPR.
P-RF
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. 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
BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 2 BLIST. PVC/AL X 8 CAPS.
P-RF
KRKA D.D.
SLOVENIA CUTIE X 4 BLIST. X 7 CAPS.
P-RF
VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS.
P-RF
TERAPIA SA
ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF
SLAVIA PHARM SRL ROMANIA 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
MEDICO UNO PHARMACEUTICAL SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA P-RF
LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF
ARENA GROUP SA 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
OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF
OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF
SANDOZ SRL
GERMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 1 CAPS.
P-RF
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 4 BLIST. AL/PVC X 1 CAPS.
P-RF
KRKA D.D.
SLOVENIA CUTIE X 1 BLIST. X 1 CAPS.
P-RF
PFIZER EUROPE MA EEIG

MAREA BRITANIE

AC HELCOR SRL
ARENA GROUP SA
ANTIBIOTICE SA
TERAPIA SA
MAGISTRA C & C
SLAVIA PHARM SRL

Pagina 37 din 48

cant/a
mbala
j

1
6
6
6
6
6
1
6
6
6
1
1
1
5
12
12
1
5
10
1
5
10
12
1
12
1
12
1
1
10
1
5
12
1
12
12
1
1
1
1
10
1
10
10
10
10
10
10
10
2
7
16
28
4
7
1
1
1
1
1
1
1
1
1
2
4
1

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

867.37
674.39
835.59
2,093.33
226.59
442.92
1,030.67
855.25
1,061.28
116.51
3,437.93
2,142.24
4,761.02
123.55
396.78
685.12
20.09
98.66
193.81
40.18
193.81
382.38
232.62
22.65
262.29
22.65
262.17
22.65
22.65
384.80
40.44
195.13
455.79
40.44
455.75
455.75
40.44
40.46
40.44
116.78
1,584.80
869.39
1,584.80
9.23
6.70
5.03
14.97
5.87
5.03
6.90
23.04
64.60
191.37
18.72
32.76
7.08
4.82
6.60
4.82
6.60
5.99
7.27
7.27
10.66
23.84
47.68
16.46

867.370000
112.398333
139.265000
348.888333
37.765000
73.820000
1,030.670000
142.541666
176.880000
19.418333
3,437.930000
2,142.240000
4,761.020000
24.710000
33.065000
57.093333
20.090000
19.732000
19.381000
40.180000
38.762000
38.238000
19.385000
22.650000
21.857500
22.650000
21.847500
22.650000
22.650000
38.480000
40.440000
39.026000
37.982500
40.440000
37.979166
37.979166
40.440000
40.460000
40.440000
116.780000
158.480000
869.390000
158.480000
0.923000
0.670000
0.503000
1.497000
0.587000
0.503000
3.450000
3.291428
4.037500
6.834642
4.680000
4.680000
7.080000
4.820000
6.600000
4.820000
6.600000
5.990000
7.270000
7.270000
10.660000
11.920000
11.920000
16.460000

Pret cu ridicata
maximal de
decontare / U.T.

867.370000
112.398333
139.265000
348.888333
37.765000
73.820000
1,030.670000
142.541666
176.880000
19.418333
3,437.930000
2,142.240000
4,761.020000
24.710000
23.257200
45.574999
20.090000
19.732000
19.381000
23.257200
23.257200
23.257200
19.385000
22.650000
21.857500
22.650000
21.847500
22.650000
22.650000
38.480000
40.440000
39.026000
37.982500
40.440000
37.979166
37.979166
40.440000
40.460000
40.440000
116.780000
158.480000
869.390000
158.480000
0.603600
0.603600
0.503000
0.603600
0.587000
0.503000
3.450000
3.291428
3.949714
3.949714
3.949714
3.949714
5.784000
4.820000
5.784000
4.820000
5.784000
5.784000
5.784000
5.784000
5.784000
5.784000
5.784000
5.784000

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

983.58
773.24
948.94
2,319.88
276.62
520.93
1,161.58
970.37
1,194.95
142.24
3,785.50
2,373.19
5,227.67
150.83
470.64
784.93
27.15
124.75
236.60
52.55
236.60
454.94
283.98
30.62
320.21
30.62
320.06
30.62
30.62
457.58
52.90
238.21
534.96
52.90
534.92
534.92
52.90
52.92
52.90
142.56
1,765.58
985.79
1,765.58
12.47
9.06
6.80
20.23
7.94
6.80
9.32
31.14
81.68
233.63
25.30
42.85
9.57
6.52
8.92
6.52
8.92
8.10
9.82
9.82
14.41
32.22
62.36
22.25

983.580000
128.873333
158.156666
386.646666
46.103333
86.821666
1,161.580000
161.728333
199.158333
23.706666
3,785.500000
2,373.190000
5,227.670000
30.166000
39.220000
65.410833
27.150000
24.950000
23.660000
52.550000
47.320000
45.494000
23.665000
30.620000
26.684166
30.620000
26.671666
30.620000
30.620000
45.758000
52.900000
47.642000
44.580000
52.900000
44.576666
44.576666
52.900000
52.920000
52.900000
142.560000
176.558000
985.790000
176.558000
1.247000
0.906000
0.680000
2.023000
0.794000
0.680000
4.660000
4.448571
5.105000
8.343928
6.325000
6.121428
9.570000
6.520000
8.920000
6.520000
8.920000
8.100000
9.820000
9.820000
14.410000
16.110000
15.590000
22.250000

983.580000
128.873333
158.156666
386.646666
46.103333
86.821666
1,161.580000
161.728333
199.158333
23.706666
3,785.500000
2,373.190000
5,227.670000
30.166000
28.392000
53.491999
27.150000
24.950000
23.660000
28.392000
28.392000
28.392000
23.665000
28.392000
26.684166
28.392000
26.671666
28.392000
28.392000
45.758000
52.900000
47.642000
44.580000
52.900000
44.576666
44.576666
52.900000
52.920000
52.900000
142.560000
176.558000
985.790000
176.558000
0.816000
0.816000
0.680000
0.816000
0.794000
0.680000
4.660000
4.448571
5.105000
5.338285
5.338285
5.338285
7.824000
6.520000
7.824000
6.520000
7.824000
7.824000
7.824000
7.824000
7.824000
7.824000
7.824000
7.824000

Grupa
Nr.
terape
crt
utica
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165

J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC02
J02AC02
J02AC02
J02AC02
J02AC02
J02AC02
J02AC02
J02AC03
J02AC03
J02AC03
J02AC03
J02AX04
J02AX04
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01

Denumire generica

FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
CASPOFUNGINUM**
CASPOFUNGINUM**
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM

Denumire comerciala

FLUCOVIM 150
DIFLUCAN 150 mg
FLUCORIC 150 mg
FLUCONAZOL ACTAVIS 150 mg

MYCOMAX 150
FLUCONAZOLE TEVA 200 mg

FLUCONAZOL 50 mg
FLUCONAZOLE TEVA 50 mg
FLUCONAZOL MEDOCHEMIE 50 mg

FLUCONAZOL ARENA 50 MG
FLUCONAZOL BIOGALENICA 50 mg

FLUCOVIM 50
FUNGOLON 50 mg
DIFLAZON 50 mg
FLUCONAZOL OZONE 50 mg
FLUCONAZOL 50 mg
DIFLUCAN 50 mg
FLUCORIC 50 mg
FLUCONAZOL SANDOZ (R) 50

DIFLUCAN (R) 50 mg/5 ml


DIFLAZON 2mg/ml
FLUCONAZOL BIOGALENICA 2mg/ml

FLUCONAZOL B. BRAUN 2mg/ml


FLUCONAZOL B. BRAUN 2mg/ml
FLUCONAZOL B. BRAUN 2mg/ml
FLUCONAZOL B. BRAUN 2mg/ml
FLUCONAZOL B. BRAUN 2mg/ml

FLUCONAZOL KABI 2 mg/ml


FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL KABI 2 mg/ml
DIFLUCAN (R)
DIFLUCAN (R)
FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL KABI 2 mg/ml
MYCOMAX INF 2mg/ml
MYCOMAX INF 2mg/ml
MYCOMAX INF 2mg/ml
ORUNGAL
ITRACONAZOL 100 mg
SPORILIN 100 mg
ITRACONAZOL 100 mg
ITRACONAZOL LPH 100 mg
MICOGAL 100 mg
OMICRAL 100 mg
VFEND 200mg
VFEND 50mg
VFEND 200mg
VFEND 40 mg/ml
CANCIDAS 50 mg
CANCIDAS 70 mg
ACICLOVIR ARENA 200 mg
ACICLOVIR 200 mg
ACICLOVIR ARENA 200 mg
ACICLOVIR ARENA 400 mg
ACICLOVIR 200 mg
ACICLOVIR 200 mg
ACICLOVIR TERAPIA 200 mg
CLOVIRAL 200 mg
ACICLOVIR 200 mg
ACICLOVIR 400 mg
LOVIR 200 mg
ACICLOVIR OZONE 200 mg

Forma
Concentrati
farmaceutica
e / U.T.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
PULB. PT. SUSP. ORALA

SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
COMPR. FILM.
COMPR. FILM.
PULB. PT. SOL. PERF.
PULB. PT. SUSP. ORALA
PULB. PT. CONC. PT. SOL. PERF.
PULB. PT. CONC. PT. SOL. PERF.

CAPS.
CAPS.
CAPS.
CAPS.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. DISP.
COMPR. DISP.

150mg
150mg
150mg
150mg
150mg
200mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg/5ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
100mg
100mg
100mg
100mg
100mg
100mg
100mg
200mg
50mg
200mg
40mg/ml
50mg
70mg
200mg
200mg
200mg
400mg
200mg
200mg
200mg
200mg
200mg
400mg
200mg
200mg

Firma

Tara

Ambalaj

Prescriptie

VIM SPECTRUM SRL ROMANIA CUTIE X 1 FLAC. X 1 CAPS.


P-RF
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
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 BLIST. PVC-PVDC/AL X 1 CAPS. PRF
ZENTIVA K.S.
CEHIA
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 7 CAPS. P-RF
SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF
MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF
ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF
LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF
VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS.
P-RF
BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 1 BLIST. PVC/AL X 8 CAPS.
P-RF
KRKA D.D.
SLOVENIA CUTIE X 1 BLIST. X 7 CAPS.
P-RF
OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF
ANTIBIOTICE S.A.
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF
TERAPIA SA
ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS. P-RF
SANDOZ SRL
ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF
PFIZER EUROPE MA EEIG

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

P-RF
S/PR-F

ARENA GROUP S.A. ROMANIA CUTIE X 1 FLAC. X 100 ML SOL. PERF. S


B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. PEJD X 50 ML SOL. PERF. S
B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FLAC. PEJD X 50 ML SOL. PERF. S
B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. PEJD X 100 ML SOL. PERF. S
B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FLAC. PEJD X 100 ML SOL. PERF. S
B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. PEJD X 200 ML SOL. PERF. S
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. S
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 25 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. S
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF.
S
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF. S
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF. S
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.
S
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.
S
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 200 ML
S/P-RF
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 50 ML
S/P-RF
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 25 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.
S
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF.
S
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. S
ZENTIVA K.S.
S
ZENTIVA K.S.
S
ZENTIVA K.S.
S
JANSSEN PHARMACEUTICA N.V. BELGIA
CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 5 CAPS. P-RF
SLAVIA PHARM SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. P-RF
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 5 CAPS.
P-RF
ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. P-RF
LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. PVC/AL X 5 CAPS. P-RF
ROMPHARM COMPANY SRL ROMANIA CUTIE X 3 BLIST. PVC/AL X 5 CAPS. P-RF
MEDICO UNO PHARMACEUTICAL SRL ROMANIA CUTIE X 3 BLIST. AL/AL X 5 CAPS.
P-RF
PFIZER LIMITED
MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF
PFIZER LIMITED
MAREA BRITANIE CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL) P-RF
PFIZER LIMITED
MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML
P-RF
PFIZER LIMITED
MAREA BRITANIE
P-RF
MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF. S
MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF. S
ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. P-RF/S
SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF
ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF
ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF
LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
P-RF
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. P-RF
TERAPIA SA
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
ANTIBIOTICE SA
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF
REPUBLICA SLOVACA

CUTIE CU 1 FLACON DIN STICLA INCOLORA A 50 ML SOL. PERF. X 100 MG FLUCONAZOL

REPUBLICA SLOVACA

CUTIE CU 1 FLACON DIN STICLA INCOLORA A 100 ML SOL. PERF. X 200 MG FLUCONAZOL

REPUBLICA SLOVACA

CUTIE CU 1 FLACON DIN STICLA INCOLORA A 200 ML SOL. PERF. X 400 MG FLUCONAZOL

CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA

RANBAXY UK LIMITED MAREA BRITANIE

CUTIE X 1 BLIST. DIN PVC-PVDC/AL X 10 COMPR. DISP. P-RF

OZONE LABORATORIES LTD.

CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. DISP. P-RF

MAREA BRITANIE

Pagina 38 din 48

cant/a
mbala
j

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

1
1
1
1
1
7
7
7
7
7
7
7
8
7
7
10
7
7
7
1
1
1
10
20
10
20
10
20
25
1
10
1
10
20
1
1
25
1
10
1
1
1
15
15
15
15
15
15
15
28
28
1
1
1
1
1000
20
20
10
20
20
20
20
20
10
10
20

7.27
18.34
13.79
7.35
9.15
29.74
14.32
12.20
11.81
13.98
11.53
16.50
13.92
46.63
16.50
18.66
42.71
21.65
31.68
42.71
34.63
40.15
180.75
358.65
449.60
787.39
761.97
624.35
772.93
80.99
753.13
18.63
179.79
356.89
131.62
30.62
438.62
33.88
326.90
30.18
42.16
135.83
60.12
39.72
39.72
39.72
39.72
39.71
39.72
3,517.81
901.74
453.05
2,178.01
1,188.63
1,542.18
696.23
14.80
15.66
14.23
9.51
12.60
12.54
12.02
10.09
14.06
2.74
5.30

7.270000
18.340000
13.790000
7.350000
9.150000
4.248571
2.045714
1.742857
1.687142
1.997142
1.647142
2.357142
1.740000
6.661428
2.357142
1.866000
6.101428
3.092857
4.525714
42.710000
34.630000
40.150000
18.075000
17.932500
44.960000
39.369500
76.197000
31.217500
30.917200
80.990000
75.313000
18.630000
17.979000
17.844500
131.620000
30.620000
17.544800
33.880000
32.690000
30.180000
42.160000
135.830000
4.008000
2.648000
2.648000
2.648000
2.648000
2.647333
2.648000
125.636071
32.205000
453.050000
2,178.010000
1,188.630000
1,542.180000
0.696230
0.740000
0.783000
1.423000
0.475500
0.630000
0.627000
0.601000
0.504500
1.406000
0.274000
0.265000

Pret cu ridicata
maximal de
decontare / U.T.

5.784000
5.784000
5.784000
5.784000
5.784000
4.248571
1.976570
1.742857
1.687142
1.976570
1.647142
1.976570
1.740000
1.976570
1.976570
1.866000
1.976570
1.976570
1.976570
42.710000
34.630000
37.100640
18.075000
17.932500
37.100640
37.100640
76.197000
31.217500
30.917200
80.990000
75.313000
18.630000
17.979000
17.844500
90.375600
21.053760
17.544800
33.880000
32.690000
21.053760
37.100640
90.375600
3.176800
2.648000
2.648000
2.648000
2.648000
2.647333
2.648000
125.636071
32.205000
453.050000
2,178.010000
1,188.630000
1,542.180000
0.318000
0.318000
0.318000
1.423000
0.318000
0.318000
0.318000
0.318000
0.318000
1.406000
0.274000
0.265000

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

9.82
24.79
18.64
9.94
12.37
38.90
19.35
16.49
15.96
18.89
15.58
22.30
18.81
60.99
22.30
25.22
55.87
29.26
41.44
55.87
45.29
52.52
220.66
429.08
528.22
896.41
868.70
718.69
880.65
102.40
859.06
25.18
219.49
427.16
160.68
40.05
516.25
44.32
394.47
39.48
55.14
165.82
76.02
51.95
51.95
51.95
51.95
51.94
51.95
3,872.57
1,021.05
531.97
2,412.18
1,333.76
1,719.13
797.04
20.00
21.17
19.24
12.85
17.03
16.95
16.24
13.64
19.00
3.70
7.16

9.820000
24.790000
18.640000
9.940000
12.370000
5.557142
2.764285
2.355714
2.280000
2.698571
2.225714
3.185714
2.351250
8.712857
3.185714
2.522000
7.981428
4.180000
5.920000
55.870000
45.290000
52.520000
22.066000
21.454000
52.822000
44.820500
86.870000
35.934500
35.226000
102.400000
85.906000
25.180000
21.949000
21.358000
160.680000
40.050000
20.650000
44.320000
39.447000
39.480000
55.140000
165.820000
5.068000
3.463333
3.463333
3.463333
3.463333
3.462666
3.463333
138.306071
36.466071
531.970000
2,412.180000
1,333.760000
1,719.130000
0.797040
1.000000
1.058500
1.924000
0.642500
0.851500
0.847500
0.812000
0.682000
1.900000
0.370000
0.358000

7.824000
7.824000
7.824000
7.824000
7.824000
5.557142
2.670857
2.355714
2.280000
2.670857
2.225714
2.670857
2.351250
2.670857
2.670857
2.522000
2.670857
2.670857
2.670857
55.870000
42.271200
42.271200
22.066000
21.454000
42.271200
42.271200
86.870000
35.934500
35.226000
102.400000
85.906000
24.780000
21.949000
21.358000
103.087200
24.780000
20.650000
42.271200
39.447000
24.780000
42.271200
103.087200
4.155199
3.463333
3.463333
3.463333
3.463333
3.462666
3.463333
138.306071
36.466071
531.970000
2,412.180000
1,333.760000
1,719.130000
0.429600
0.429600
0.429600
1.924000
0.429600
0.429600
0.429600
0.429600
0.429600
1.900000
0.370000
0.358000

Grupa
Nr.
terape
crt
utica
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232

J05AB01
J05AB01
J05AB01
J05AB11
J05AB14
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
L01AA01
L01AA01
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06

Denumire generica

Denumire comerciala

Forma
Concentrati
farmaceutica
e / U.T.

ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
VALACYCLOVIRUM
VALGANCICLOVIRUM**

ACICLOVIR OZONE 200 mg COMPR. DISP.


ACIKLOVIR
COMPR. FILM.
VIROLEX
PULB. PT. SOL. INJ./PERF.
VALTREX 500 mg
COMPR. FILM.
VALCYTE (R) 450 mg
COMPR. FILM.
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**HUMAGLOBIN
PULB.+SOLV. PT. SOL. PERF.
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**HUMAGLOBIN
PULB.+SOLV. PT. SOL. PERF.
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**PRIVIGEN 100mg/ml
SOL. PERF.
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**PRIVIGEN 100mg/ml
SOL. PERF.
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**PRIVIGEN 100mg/ml
SOL. PERF.
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**KIOVIG 100mg/ml
SOL. PERF.
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**KIOVIG 100mg/ml
SOL. PERF.
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**KIOVIG 100mg/ml
SOL. PERF.
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**PRIVIGEN 100mg/ml
SOL. PERF.
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**KIOVIG 100mg/ml
SOL. PERF.
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**KIOVIG 100mg/ml
SOL. PERF.
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**KIOVIG 100mg/ml
SOL. PERF.
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**IG VENA 10g/200ml
SOL. PERF.
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**IG VENA 1g/20ml
SOL. PERF.
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**IG VENA 2,5g/50ml
SOL. PERF.
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**FLEBOGAMMA 5%
SOL. PERF.
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**FLEBOGAMMA 5%
SOL. PERF.
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**FLEBOGAMMA 5%
SOL. PERF.
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**FLEBOGAMMA 5%
SOL. PERF.
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**OCTAGAM
SOL. PERF.
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**OCTAGAM
SOL. PERF.
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**OCTAGAM
SOL. PERF.
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**IG VENA 5g/100ml
SOL. PERF.
IMUNOGLOBULINA UMANA NORMALA G** OCTAGAM 10%
SOL. PERF.
IMUNOGLOBULINA UMANA NORMALA G** OCTAGAM 10%
SOL. PERF.
IMUNOGLOBULINA UMANA NORMALA G** OCTAGAM 10%
SOL. PERF.
IMUNOGLOBULINA UMANA NORMALA G** OCTAGAM 10%
SOL. PERF.
CYCLOPHOSPHAMIDUM
ENDOXAN (R) 50 mg
DRAJ.
CYCLOPHOSPHAMIDUM
ENDOXAN 200 mg
PULB. PT. SOL. PERF./INJ. I.V.
FILGRASTIMUM (G-CSF)
NEUPOGEN (R)
SOL. INJ.
FILGRASTIMUM (G-CSF)
NEUPOGEN (R)
SOL. INJ.
FILGRASTIMUM (G-CSF)
ZARZIO 30MU/0,5ml
FILGRASTIMUM (G-CSF)
ZARZIO 48MU/0,5ml
FILGRASTIMUM (G-CSF)
NIVESTIM 12 MU/0,2ml
SOL. INJ./PERF.
FILGRASTIMUM (G-CSF)
TEVAGRASTIM 30MUI/0,5ml SOL. INJ./PERF.
FILGRASTIMUM (G-CSF)
NIVESTIM 30 MU/0,5 ml
SOL. INJ./PERF.
FILGRASTIMUM (G-CSF)
TEVAGRASTIM 48MUI/0,8ml SOL. INJ./PERF.
FILGRASTIMUM (G-CSF)
NIVESTIM 48 MU/0,5 ml
SOL. INJ./PERF.
MYCOPHENOLATUM**
CELLCEPT 250mg
CAPS.
MYCOPHENOLATUM**
MYCOPHENOLATE MOFETIL MEDICO UNO 500 MG COMPR. FILM.
MYCOPHENOLATUM**
CELLCEPT 500mg
COMPR. FILM.
MYCOPHENOLATUM**
MYFORTIC 180 mg
COMPR. FILM. GASTROREZ.
MYCOPHENOLATUM**
MYFORTIC 360 mg
COMPR. FILM. GASTROREZ.
MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL DR. REDDY'S 250 mg CAPS.
MYCOPHENOLATUM MOFETILUM** MYCOPHENOLATE MOFETIL ACCORD 250 mg CAPS.
MYCOPHENOLATUM MOFETILUM** MYFENAX 250mg
CAPS.
MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL SANDOZ 500 mg COMPR.
MYCOPHENOLATUM MOFETILUM** MYFENAX 500mg
COMPR. FILM.
SOL. INJ. /PERF. IN SERINGA PREUMPLUTA

SOL. INJ. /PERF. IN SERINGA PREUMPLUTA

MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
L04AA06 MYCOPHENOLATUM MOFETILUM**

COMPR. FILM.
FILM.
COMPR. FILM.

L04AA06

MICOFENOLAT MOFETIL DR. REDDY'S 500 mg

L04AA06

MYCOFENOLAT MOFETIL ACTAVIS 500 mgCOMPR.

L04AA10
L04AC02
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD02

SIROLIMUS**
BASILIXIMABUM**
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
TACROLIMUSUM**

MICOFENOLAT MOFETIL DR. REDDY'S 500 mg

RAPAMUNE 1mg
SIMULECT 20 mg
EQUORAL (R) 100 mg
CICLORAL 25 mg
EQUORAL (R) 25 mg
SANDIMMUN NEORAL (R)
CICLORAL 50 mg
EQUORAL (R) 50 mg
SANDIMMUN NEORAL (R)
EQUORAL (R)
TACNI 0,5 mg

DRAJ.
LIOF. + SOLV. PT. SOL. INJ./PERF.

CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
SOL. ORALA
CAPS.

200mg
400mg
250mg
500mg
450mg
5%
5%
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
10g/200ml
1g/20ml
2,5g/50ml
5%
5%
5%
5%
50mg/ml
50mg/ml
50mg/ml
5g/100ml
100 mg/ml
100 mg/ml
100 mg/ml
100 mg/ml
50mg
200mg
30MU/0,5ml
48MU/0,5ml
60MU/ml
96MU/ml
120g/0,2ml

Firma

LABORMED PHARMA S.A.


A & G MED TRADING S.R.L.

Tara

Prescriptie

ROMANIA CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. DISP. P-RF


ROMANIA CUTIE X 7 BLIST. AL/PVC X 5 COMPR. FILM. P-RF

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE X 5 FLAC. X 250 MG PULB. PT. SOL. INJ./PERF.

S/P-RF

THE WELLCOME FOUNDATION LTD. MAREA BRITANIE

CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. X 60 COMPR. FILM.


HUMAN BIOPLAZMA MANUFACTURING AND TRADING LTD.

HUMAN BIOPLAZMA MANUFACTURING AND TRADING LTD.

CSL BEHRING GMBH


CSL BEHRING GMBH
CSL BEHRING GMBH
BAXTER AG
BAXTER AG
BAXTER AG
CSL BEHRING GMBH
BAXTER AG
BAXTER AG
BAXTER AG
KEDRION SPA
KEDRION SPA
KEDRION SPA

UNGARIA
UNGARIA

CUTIE X 1 CUTIE X 1 FLAC. CU PULB. + 1 CUTIE X 1 FLAC. SOLV. X 50 ML


CUTIE X 1 CUTIE X 1 FLAC. CU PULB. + 1 CUTIE X 1 FLAC. SOLV. X 100 ML

P-RF

S
S

GERMANIA CUTIE X 1 FLAC.X 50 ML SOL. PERF. S


GERMANIA CUTIE X 1 FLAC.X 100 ML SOL. PERF. S
GERMANIA CUTIE X 1 FLAC.X 200 ML SOL. PERF. S

AUSTRIA
AUSTRIA
AUSTRIA

S
S
CUTIE X 1 FLAC X 100ML SOL. PERF.(10G/100ML) S
GERMANIA CUTIE X 1 FLAC.X 25 ML SOL. PERF. S
AUSTRIA CUTIE X 1 FLAC X 300ML SOL. PERF.(30G/300ML) S
AUSTRIA CUTIE X 1 FLAC X 25ML SOL. PERF.(2,5G/25ML) S
AUSTRIA CUTIE X 1 FLAC X 10ML SOL. PERF.(1G/10ML) S
ITALIA
S
ITALIA
S
ITALIA
S
INSTITUTO GRIFOLS S.A. SPANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10 ML SOL.PERF. S
INSTITUTO GRIFOLS S.A. SPANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL.PERF.S
INSTITUTO GRIFOLS S.A. SPANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL.PERF.S
INSTITUTO GRIFOLS S.A. SPANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL.PERF. S
OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE X 1 FLACON X 50 ML
S
OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE X 1 FLACON X 200 ML
S
OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE X 1 FLACON X 100 ML
S
KEDRION SPA
ITALIA
S
OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 20 ML SOL. PERF. S
OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL. PERF. S
OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. S
OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL. PERF. S
CUTIE X 1 FLAC X 200ML SOL. PERF.(20G/200ML)

CUTIE X 1 FLAC X 50ML SOL. PERF.(5G/50ML)

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL. PERF. + 1 SET ADMINISTRARE

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 20 ML SOL. PERF. + 1 SET ADMINISTRARE


CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL. PERF. + 1 SET ADMINISTRARE

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. + 1 SET ADMINISTRARE

BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ.

P-RF

ACTAVIS S.R.L.

ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. PERF./INJ S


AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML S/P-RF
AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML S/P-RF
SANDOZ GMBH
AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R
SANDOZ GMBH
AUSTRIA 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

300mcg/0,5ml TEVA GENERICS GMBH GERMANIA


300g/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE
480mcg/0,8ml TEVA GENERICS GMBH GERMANIA
480g/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE

250mg
500mg
500mg
180mg
360mg
250 mg
250mg
250mg
500mg
500mg
500mg
500mg
500mg
1mg
20mg
100mg
25mg
25mg
25mg
50mg
50mg
50mg
100mg/ml
0,5 mg

Ambalaj

CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF.S/P-RF/R


CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF.

P-RF

CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF.S/P-RF/R


CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF.

P-RF

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 10 BLIST. X 10 CAPS.

P-RF/R

MEDICO UNO PHARMA KFT.

UNGARIA

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

P-RF/R

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 5 BLIST. X 10 COMPR. FILM.

P-RF/R

NOVARTIS PHARMA GMBH GERMANIA

CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ.S/P-RF

NOVARTIS PHARMA GMBH GERMANIA

CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ.S/P-RF

DR. REDDY'S LABORATORIES

ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 100 CAPS. PR

ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL CU 100 CAPS.

TEVA PHARMA BV
SANDOZ S.R.L.
TEVA PHARMA BV

P-RF/R

DR. REDDY'S LABORATORIES

OLANDA CUTIE X BLIST. PVC/PVDC/AL X 100 CAPS. P-RF/R


ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 50 COMPR. FILM. P-RF
OLANDA CUTIE X BLIST. PVC/PVDC/AL X 50 COMPR. FILM. P-RF/R
ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. P-RF
ISLANDA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. P-RF/R
ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. P-RF

WYETH EUROPA LTD.

MAREA BRITANIE

DR. REDDY'S LABORATORIES

ACTAVIS GROUP PTC EHF.

CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR)

P-RF/R

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE CUTIE X 1 FLAC. CU LIOF.+ 1 FIOLA SOLV. APA PT. PREP. INJ.

IVAX - PHARMACEUTICALS S.R.O.

CEHIA

S/P-RF

HEXAL AG

GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI

S/P-RF

IVAX - PHARMACEUTICALS S.R.O.

CEHIA

S/P-RF

CUTIE X 5 BLIST. X 10 CAPS. MOI

NOVARTIS PHARMA GMBH

CUTIE X 5 BLIST. X 10 CAPS. MOI


GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI

HEXAL AG

GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI

S/P-RF

IVAX - PHARMACEUTICALS S.R.O.

CEHIA

S/P-RF

NOVARTIS PHARMA GMBH GERMANIA


IVAX - PHARMACEUTICALS S.R.O.
TEVA PHARMACEUTICALS S.R.L.

CUTIE X 5 BLIST. X 10 CAPS. MOI


CUTIE X 10 BLIST. X 5 CAPS. MOI

CEHIA
ROMANIA CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI DE AL A CATE 10 CAPSULE
CUTIE X 1 FLACON DIN STICLA BRUNA X 50 ML, UN DISPOZITIV DE MASURAT + UN CAPAC CU FILET

Pagina 39 din 48

S/P-RF

S/P-RF
S/P-RF

PRF

cant/a
mbala
j

20
35
5
10
60
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
50
1
1
1
1
1
5
1
5
1
5
100
50
50
120
120
100
100
100
50
50
50
50
50
30
1
50
50
50
50
50
50
50
1
50

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

5.30
43.20
229.07
78.65
4,806.36
394.04
758.08
890.95
1,751.89
3,473.78
3,469.04
889.76
1,749.51
460.47
7,459.41
459.88
188.56
2,050.80
222.29
535.20
99.02
914.10
1,798.20
472.05
640.45
2,261.30
1,166.70
1,040.40
663.61
1,550.55
3,072.10
6,114.44
19.10
11.62
263.92
431.80
160.19
257.85
413.89
211.64
989.71
352.07
1,637.21
447.90
289.44
447.90
551.46
1,030.04
288.20
289.44
298.76
224.51
298.76
298.76
269.39
298.76
483.90
4,217.73
393.08
111.30
73.58
111.16
247.07
153.73
236.51
354.17
131.94

0.265000
1.234285
45.814000
7.865000
80.106000
394.040000
758.080000
890.950000
1,751.890000
3,473.780000
3,469.040000
889.760000
1,749.510000
460.470000
7,459.410000
459.880000
188.560000
2,050.800000
222.290000
535.200000
99.020000
914.100000
1,798.200000
472.050000
640.450000
2,261.300000
1,166.700000
1,040.400000
663.610000
1,550.550000
3,072.100000
6,114.440000
0.382000
11.620000
263.920000
431.800000
160.190000
257.850000
82.778000
211.640000
197.942000
352.070000
327.442000
4.479000
5.788800
8.958000
4.595500
8.583666
2.882000
2.894400
2.987600
4.490200
5.975200
5.975200
5.387800
5.975200
16.130000
4,217.730000
7.861600
2.226000
1.471600
2.223200
4.941400
3.074600
4.730200
354.170000
2.638800

Pret cu ridicata
maximal de
decontare / U.T.

0.265000
1.234285
45.814000
7.865000
80.106000
394.040000
758.080000
890.950000
1,751.890000
3,473.780000
3,469.040000
889.760000
1,749.510000
460.470000
7,459.410000
459.880000
188.560000
2,050.800000
222.290000
535.200000
99.020000
914.100000
1,798.200000
472.050000
640.450000
2,261.300000
1,166.700000
1,040.400000
663.610000
1,550.550000
3,072.100000
6,114.440000
0.382000
11.620000
192.228000
309.420000
160.190000
257.850000
82.778000
192.228000
192.228000
309.420000
309.420000
3.458400
5.388240
5.388240
4.595500
8.583666
2.882000
2.894400
2.987600
4.490200
5.388240
5.388240
5.387800
5.388240
16.130000
4,217.730000
7.861600
1.765920
1.471600
1.765920
3.689520
3.074600
3.689520
354.170000
2.638800

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

7.16
56.50
279.65
99.45
5,277.09
467.65
864.46
1,009.28
1,947.71
3,824.57
3,819.40
1,007.99
1,945.12
540.07
8,168.91
539.42
230.20
2,273.52
271.37
621.52
125.20
1,034.52
1,998.19
552.68
736.24
2,502.97
1,309.85
1,172.19
761.48
1,728.25
3,386.74
6,702.89
25.82
15.70
322.20
508.81
195.56
314.78
489.29
258.37
1,116.94
421.91
1,822.71
526.36
353.35
526.36
639.24
1,160.90
351.83
353.35
364.73
274.08
364.73
364.73
328.87
364.73
565.60
4,635.48
466.61
135.87
93.03
135.71
301.62
187.67
288.73
424.20
161.07

0.358000
1.614285
55.930000
9.945000
87.951500
467.650000
864.460000
1,009.280000
1,947.710000
3,824.570000
3,819.400000
1,007.990000
1,945.120000
540.070000
8,168.910000
539.420000
230.200000
2,273.520000
271.370000
621.520000
125.200000
1,034.520000
1,998.190000
552.680000
736.240000
2,502.970000
1,309.850000
1,172.190000
761.480000
1,728.250000
3,386.740000
6,702.890000
0.516400
15.700000
322.200000
508.810000
195.560000
314.780000
97.858000
258.370000
223.388000
421.910000
364.542000
5.263600
7.067000
10.527200
5.327000
9.674166
3.518300
3.533500
3.647300
5.481600
7.294600
7.294600
6.577400
7.294600
18.853333
4,635.480000
9.332200
2.717400
1.860600
2.714200
6.032400
3.753400
5.774600
424.200000
3.221400

0.358000
1.614285
55.930000
9.945000
87.951500
467.650000
864.460000
1,009.280000
1,947.710000
3,824.570000
3,819.400000
1,007.990000
1,945.120000
540.070000
8,168.910000
539.420000
230.200000
2,273.520000
271.370000
621.520000
125.200000
1,034.520000
1,998.190000
552.680000
736.240000
2,502.970000
1,309.850000
1,172.190000
761.480000
1,728.250000
3,386.740000
6,702.890000
0.516400
15.700000
234.672000
377.736000
195.560000
314.780000
97.858000
234.672000
223.388000
377.736000
364.542000
4.221960
6.577920
6.577920
5.327000
9.674166
3.518300
3.533500
3.647300
5.481600
6.577920
6.577920
6.577400
6.577920
18.853333
4,635.480000
9.332200
2.232720
1.860600
2.232720
4.504080
3.753400
4.504080
424.200000
3.221400

Grupa
Nr.
terape
crt
utica
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266

L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AX01
L04AX01
L04AX01
L04AX01
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
N02AB02
B05AA06

Denumire generica

TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
AZATHIOPRINUM
AZATHIOPRINUM
AZATHIOPRINUM
AZATHIOPRINUM
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
PETHIDINUM
POLYGELINUM

Denumire comerciala

PROGRAF (R) 0,5 mg

Forma
Concentrati
farmaceutica
e / U.T.
CAPS.

TACROLIMUSUM ACCORD 0,5 mg CAPS.

TACROLIMUS SANDOZ 0,5 mg CAPS.

TACNI 1 mg
PROGRAF (R) 1 mg

CAPS.
CAPS.
TACROLIMUSUM ACCORD 1 mg CAPS.
TACROLIMUS SANDOZ 1 mg CAPS.
TACNI 5 mg
CAPS.
PROGRAF (R) 5 mg
CAPS.
ADVAGRAF 0,5mg
CAPS. ELIB. PREL.
ADVAGRAF 1mg
CAPS. ELIB. PREL.
ADVAGRAF 5mg
CAPS. ELIB. PREL.
PROGRAF (R) 5 mg/ml
CONC. PT. SOL. PERF.
IMMUNOPRIN 100 mg
COMPR. FILM.
IMMUNOPRIN 100 mg
COMPR. FILM.
IMURAN (R)
COMPR. FILM.
IMMUNOPRIN 75 mg
COMPR. FILM.
ACID ALENDRONIC ACCORD 10 mg COMPR.
TEVANAT 70 mg
COMPR.
ACID ALENDRONIC ACCORD 70 mg COMPR.
INSTREL 70 mg
COMPR.
ACID ALENDRONIC BLUEFISH 70 mg COMPR.
ACID ALENDRONIC BLUEFISH 70 mg COMPR.
RANOS 70 mg
COMPR.
FOSAMAX 70 mg
COMPR.
INSTREL 70 mg
COMPR.
ALENDRONAT SANDOZ 70 mg COMPR. FILM.
ADRONIK 70 mg
COMPR. FILM.
ADRONIK 70 mg
COMPR. FILM.
ADRONIK 70 mg
COMPR. FILM.
ADRONIK 70 mg
COMPR. FILM.
ADRONIK 70 mg
COMPR. FILM.
ADRONIK 70 mg
COMPR. FILM.

MIALGIN (R) 100 mg/2 ml

SOL. INJ.

0,5mg
0,5mg
0,5mg
1 mg
1mg
1mg
1mg
5 mg
5mg
0,5mg
1mg
5mg
5mg/ml
100mg
100mg
50mg
75mg
10mg
70 mg
70mg
70mg
70mg
70mg
70mg
70mg
70mg
70mg
70mg
70mg
70mg
70mg
70mg
70mg
50mg/ml

Firma

Tara

OLANDA

ASTELLAS PHARMA EUROPE BV

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

Ambalaj

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT

Prescriptie

S/P-RF

CUTIE CU BLIST. AL/AL X 50 CAPS. PR

SANDOZ S.R.L.

ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS. S/P-RF


ROMANIA CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI AL A CATE 10 CAPSULE PRF
ASTELLAS PHARMA EUROPE BV OLANDA
S/P-RF
ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. AL/AL X 50 CAPS. PR
SANDOZ S.R.L.
ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS. S/P-RF
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI AL A CATE 10 CAPS. PRF
ASTELLAS PHARMA EUROPE BV OLANDA
S/P-RF
TEVA PHARMACEUTICALS S.R.L.

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT

ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)

P-RF/R

ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)

P-RF/R

ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)

P-RF/R

OLANDA CUTIE X 10 FIOLE X 1 ML


S
AUSTRIA CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM. PR
AUSTRIA CUTIE CU 1 FLAC. PEID X 50 COMPR. FILM. PR

ASTELLAS PHARMA EUROPE BV


EBEWE PHARMA GES.M.B.H. NFG KG
EBEWE PHARMA GES.M.B.H. NFG KG

THE WELLCOME FOUNDATION LTD. MAREA BRITANIE

AUSTRIA

EBEWE PHARMA GES.M.B.H. NFG KG

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM.

S/P-RF

CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM.

PR

CUTIE CU BLIST. PVC/AL X 28 COMPR. P-6L

ROMANIA CUTIE X 1 BLIST. PVC-AL-OPA/AL X 4 COMPR.

TEVA PHARMACEUTICALS S.R.L.

P-6L

ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. OPA -AL-PVC/AL X 4 COMPR. P-6L

ROMANIA CUTIE CU BLIST. AL/AL X 4 COMPR. FILM. P-RF


SUEDIA CUTIE CU BLIST. AL/AL X 2 COMPR. P-6L
SUEDIA CUTIE CU BLIST. AL/AL X 4 COMPR. P-6L
ROMANIA CUTIE X 1 BLIST. DIN PAO-PVC-AL/AL X 4 COMPR. P-6L
ROMANIA CUTIE X 1 BLIST. AL/AL IN PORTOFEL X 2 COMPR. P-6L
ROMANIA CUTIE CU BLIST. AL/AL X 4 COMPR. FILM. P-RF
ROMANIA CUTIE X 1 BLIST. OPA-AL-PVC/AL X 2 COMPR. FILM P-6L
ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 12 COMPR. FILM. P-6L
ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 2 COMPR. FILM. P-6L
ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 4 COMPR. FILM. P-6L
ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 12 COMPR. FILM. P-6L
ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 2 COMPR. FILM. P-6L
ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 4 COMPR. FILM. P-6L
ROMANIA CUTIE X 5 FIOLE DIN STICLA X 2 ML P-TS

DR. REDDY'S LABORATORIES


BLUEFISH PHARMACEUTICALS AB
BLUEFISH PHARMACEUTICALS AB

TERAPIA SA
MERCK SHARP & DOHME
DR. REDDY'S LABORATORIES

SANDOZ S.R.L.
ARENA GROUP S.A.
ARENA GROUP S.A.
ARENA GROUP S.A.
LABORATOARELE PROF.DR.MORAIT S.R.L.
LABORATOARELE PROF.DR.MORAIT S.R.L.
LABORATOARELE PROF.DR.MORAIT S.R.L.

ZENTIVA SA

cant/a
mbala
j

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

Pret cu ridicata
maximal de
decontare / U.T.

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

50
50
50
50
50
50
50
50
50
50
50
50
10
100
50
100
100
28
4
4
4
2
4
4
2
4
2
12
2
4
12
2
4
5

202.98
131.94
131.94
235.82
359.82
235.82
235.82
1,101.92
1,695.40
202.51
398.16
1,844.03
1,527.41
82.20
41.83
63.23
61.67
36.47
36.47
36.47
36.00
18.23
18.07
36.00
28.06
36.00
9.37
106.79
18.11
36.24
106.79
18.11
36.24
5.70

4.059600
2.638800
2.638800
4.716400
7.196400
4.716400
4.716400
22.038400
33.908000
4.050200
7.963200
36.880600
152.741000
0.822000
0.836600
0.632300
0.616700
1.302500
9.117500
9.117500
9.000000
9.115000
4.517500
9.000000
14.030000
9.000000
4.685000
8.899166
9.055000
9.060000
8.899166
9.055000
9.060000
1.140000

3.166560
2.638800
2.638800
4.716400
5.659680
4.716400
4.716400
22.038400
26.446080
3.166560
5.659680
26.446080
152.741000
0.822000
0.836600
0.632300
0.616700
1.302500
5.421000
5.421000
5.421000
5.421000
4.517500
5.421000
5.421000
5.421000
4.685000
5.421000
5.421000
5.421000
5.421000
5.421000
5.421000
1.140000

247.80
161.07
161.07
287.89
430.35
287.89
287.89
1,239.24
1,886.14
247.22
472.14
2,048.15
1,703.03
103.94
54.72
79.95
77.97
47.70
47.70
47.70
47.09
24.64
24.42
47.09
36.70
47.09
12.67
130.37
24.48
47.40
130.37
24.48
47.40
7.70

4.956000
3.221400
3.221400
5.757800
8.607000
5.757800
5.757800
24.784800
37.722800
4.944400
9.442800
40.963000
170.303000
1.039400
1.094400
0.799500
0.779700
1.703571
11.925000
11.925000
11.772500
12.320000
6.105000
11.772500
18.350000
11.772500
6.335000
10.864166
12.240000
11.850000
10.864166
12.240000
11.850000
1.540000

3.865680
3.221400
3.221400
5.757800
6.909360
5.757800
5.757800
24.784800
29.741760
3.865680
6.909360
29.741760
170.303000
1.039400
1.094400
0.799500
0.779700
1.703571
7.326000
7.326000
7.326000
7.326000
6.105000
7.326000
7.326000
7.326000
6.335000
7.326000
7.326000
7.326000
7.326000
7.326000
7.326000
1.540000

10
5
10
1
10
28
28
1
1
60

66.02
79.26
1,584.80
869.39
1,584.80
3,517.81
901.74
453.05
2,178.01
4,806.36

6.602000
15.852000
158.480000
869.390000
158.480000
125.636071
32.205000
453.050000
2,178.010000
80.106000

6.602000
15.852000
158.480000
869.390000
158.480000
125.636071
32.205000
453.050000
2,178.010000
80.106000

83.47
100.22
1,765.58
985.79
1,765.58
3,872.57
1,021.05
531.97
2,412.18
5,277.09

8.347000
20.044000
176.558000
985.790000
176.558000
138.306071
36.466071
531.970000
2,412.180000
87.951500

8.347000
20.044000
176.558000
985.790000
176.558000
138.306071
36.466071
531.970000
2,412.180000
87.951500

10
10
10
2
10
5
5
100

57.01
117.03
152.10
39.43
66.02
79.26
9.36
112.23

5.701000
11.703000
15.210000
19.715000
6.602000
15.852000
1.872000
1.122300

5.701000
11.703000
15.210000
19.715000
6.602000
15.852000
1.872000
1.122300

72.08
142.87
185.68
51.58
83.47
100.22
12.65
137.01

7.208000
14.287000
18.568000
25.790000
8.347000
20.044000
2.530000
1.370100

7.208000
14.287000
18.568000
25.790000
8.347000
20.044000
2.530000
1.370100

L04AA04 IMUNOGLOBULINA ANTILIMFOCITE UMANE**


L04AA08

DACLIZUMABUM

P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA


P9.5: TRANSPLANT CELULE PANCREATICE
1
2
3
4
5
6
7
8
9
10

B01AB08
B01AB08

J01XX08
J01XX08
J01XX08
J02AC03
J02AC03
J02AC03
J02AC03
J05AB14
B05AA06

REVIPARINUM
REVIPARINUM
LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
VALGANCICLOVIRUM**
POLYGELINUM

CLIVARIN (R) 1432UI/0,25 ml


CLIVARIN (R) 3436 UI/0,6 ml
ZYVOXID (R)
ZYVOXID (R)
ZYVOXID (R)
VFEND 200mg
VFEND 50mg
VFEND 200mg
VFEND 40 mg/ml
VALCYTE (R) 450 mg

SOL. INJ.
SOL. INJ.
COMPR. FILM.
GRAN. PT. SUSP. ORALA

SOL. PERF.
COMPR. FILM.
COMPR. FILM.
PULB. PT. SOL. PERF.
PULB. PT. SUSP. ORALA

COMPR. FILM.

1432ui/0,25ml ABBOTT GMBH&CO.KG GERMANIA

3436ui/0,6ml
600mg
100mg/5ml
2mg/ml
200mg
50mg
200mg
40mg/ml
450mg

ABBOTT GMBH&CO.KG GERMANIA


PFIZER EUROPE MA EEIG

MAREA BRITANIE

PFIZER EUROPE MA EEIG

MAREA BRITANIE

PFIZER EUROPE MA EEIG

MAREA BRITANIE

PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED

MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE

CUTIE X 2 BLIST. X 5 SERINGI PREUMPLUTE UNIDOZA X 0,25ML S/P-RF


CUTIE X 1 BLIST X 5 SERINGI PREUMPLUTE UNIDOZA X 0,60 ML S/P-RF

CUTIE X 1 FLAC. X 10 COMPR. FILM.


CUTIE X 1 FLACON X 66 G GRAN. PTR. 150 ML SUSP. + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML

CUTIE X 10 PUNGI X 300 ML

P-RF
P-RF

CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF


CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL) P-RF

CUTIE X 1 FLAC. UNIDOZA X 30ML


CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA

ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. X 60 COMPR. FILM.

P-RF
P-RF
P-RF

P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA


P9.6: TRANSPLANT PULMONAR
1
2
3
4
5
6
7
8

B01AB05
B01AB05
B01AB05
B01AB05
B01AB08
B01AB08
B02AA02
C01CA24

ENOXAPARINUM
ENOXAPARINUM
ENOXAPARINUM
ENOXAPARINUM
REVIPARINUM
REVIPARINUM
ACIDUM TRANEXAMICUM4
EPINEPHRINUM

SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
CLIVARIN (R) 1432UI/0,25 ml SOL. INJ.
CLIVARIN (R) 3436 UI/0,6 ml SOL. INJ.
EXACYL
SOL. INJ.
ADRENALINA 1 mg
SOL. INJ.
CLEXANE 2000ui anti-Xa/0,2ml
CLEXANE 4000ui anti-Xa/0,4ml
CLEXANE 6000ui anti-Xa/0,6ml
CLEXANE 8000ui anti-Xa/0,8ml

2000ui anti-Xa/0,2ml
4000ui anti-Xa/0,4ml
6000ui anti-Xa/0,6ml
8000ui anti-Xa/0,8ml

LAB. AVENTIS
LAB. AVENTIS
LAB. AVENTIS
LAB. AVENTIS

FRANTA
FRANTA
FRANTA
FRANTA

1432ui/0,25ml ABBOTT GMBH&CO.KG GERMANIA

CUTIE X 10 SERINGI PREUMPLUTE X 0,2 ML SOL. INJ.S/P-RF


CUTIE X 10 SERINGI PREUMPLUTE X 0.4 ML SOL. INJ.S/P-RF
CUTIE X 10 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ.S/P-RF
CUTIE X 2 SERINGI PREUMPLUTE X 0,8 ML SOL. INJ. S/P-RF
CUTIE X 2 BLIST. X 5 SERINGI PREUMPLUTE UNIDOZA X 0,25ML S/P-RF

3436ui/0,6ml ABBOTT GMBH&CO.KG GERMANIA CUTIE X 1 BLIST X 5 SERINGI PREUMPLUTE UNIDOZA X 0,60 ML S/P-RF
500mg/5ml CN UNIFARM
ROMANIA CUTIE X 5 FIOLE X 5ML SOL. INJ.
X
1mg/ml
TERAPIA SA
ROMANIA CUTIE X 100 FIOLE X 1 ML
S
Pagina 40 din 48

Grupa
Nr.
terape
crt
utica
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75

Denumire generica

Denumire comerciala

Forma
Concentrati
farmaceutica
e / U.T.

Firma

Tara

Ambalaj

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

TAZOCIN 2,25
TAZOCIN 4,5

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF.

S.C. FRESENIUS KABI S.R.L.

CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF.

S.C. FRESENIUS KABI S.R.L.

CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

J01CR05 PIPERACILLINUM + TAZOBACTAMUM


J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01XX08
J01XX08
J01XX08
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01

LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM

Prescriptie

LIOF. PT. SOL. INJ.

WYETH LEDERLE PHARMA GMBH

AUSTRIA CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ. S/P-RF

LIOF. PT. SOL. INJ.

PFIZER EUROPE MA EEIG

MAREA BRITANIE

2g/0,25g
2g/0,25g
PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g
PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g
PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g
PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g
TEBRANIC 2g/0,25 g
PULB. PT. SOL. INJ./PERF. 2g/0,25g
ZOPECILIN 2 g/0,25 g
PULB. PT. SOL. INJ./PERF. 2g/0,25g
ZOPECILIN 2 g/0,25 g
PULB. PT. SOL. INJ./PERF. 2g/0,25g
PERASIN 2g/0,25 g
PULB. PT. SOL. INJ./PERF. 2g/0,25g
PIPERACILINA/TAZOBACTAN ACTAVIS 2 g/0,25 gPULB. PT. SOL. INJ./PERF. 2g/0,25g
PIPERACILINA/TAZOBACTAM MYLAN 2g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g
BACTACIN 2 g/0,25 g
PULB. PT. SOL. INJ./PERF. 2g/0,25g
PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5gPULB. PT. SOL. INJ./PERF. 4g/0,5g
PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5gPULB. PT. SOL. INJ./PERF. 4g/0,5g
PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5gPULB. PT. SOL. INJ./PERF. 4g/0,5g
TEBRANIC 4 g/0,5 g
PULB. PT. SOL. INJ./PERF. 4g/0,5g
ZOPECILIN 4 g/0,5 g
PULB. PT. SOL. INJ./PERF. 4g/0,5g
ZOPECILIN 4 g/0,5 g
PULB. PT. SOL. INJ./PERF. 4g/0,5g
PIPERACILINA/TAZOBACTAN ACTAVIS 4 g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g
BACTACIN 4 g/0,5 g
PULB. PT. SOL. INJ./PERF. 4g/0,5g
PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 gPULB. PT. SOL. INJ./PERF. 4g/0,5g
PERASIN 4g/0,5 g
PULB. PT. SOL. INJ./PERF. 4g/0,5g
ZYVOXID (R)
COMPR. FILM. 600mg
ZYVOXID (R)
GRAN. PT. SUSP. ORALA 100mg/5ml
ZYVOXID (R)
SOL. PERF. 2mg/ml
FLUCONAZOLE TEVA 100 mg CAPS.
100mg
FLUCONAZOLE TEVA 100 mg CAPS.
100mg
FUNGOLON 100 mg
CAPS.
100mg
DIFLAZON 100 mg
CAPS.
100mg
FLUCOVIM 100
CAPS.
100mg
FLUCORIC 100 mg
CAPS.
100mg
FLUCONAZOL 150 mg
CAPS.
150mg
FLUCONAZOLE TEVA 150 mg CAPS.
150mg
FLUCONAZOL MEDICO UNO 150 mg CAPS.
150mg
FLUCONAZOL BIOGALENICA 150 mg CAPS.
150mg
FLUCONAZOL ARENA 150 MG CAPS.
150mg
FLUCONAZOL MEDOCHEMIE 150 mg CAPS.
150mg
FLUCONAZOL OZONE 150 mg CAPS.
150mg
FLUCONAZOL 150 mg
CAPS.
150mg
FLUCONAZOL SANDOZ (R) 150 CAPS.
150mg
MYCOSYST 150 mg
CAPS.
150mg
MYCOSYST 150 mg
CAPS.
150mg
DIFLAZON 150 mg
CAPS.
150mg
FLUCOVIM 150
CAPS.
150mg
DIFLUCAN 150 mg
CAPS.
150mg
FLUCORIC 150 mg
CAPS.
150mg
FLUCONAZOL ACTAVIS 150 mg CAPS.
150mg
MYCOMAX 150
CAPS.
150mg
FLUCONAZOLE TEVA 200 mg CAPS.
200mg
FLUCONAZOL 50 mg
CAPS.
50mg
FLUCONAZOLE TEVA 50 mg CAPS.
50mg
FLUCONAZOL MEDOCHEMIE 50 mg CAPS.
50mg
FLUCONAZOL ARENA 50 MG CAPS.
50mg
FLUCONAZOL BIOGALENICA 50 mg CAPS.
50mg
FLUCOVIM 50
CAPS.
50mg
FUNGOLON 50 mg
CAPS.
50mg
DIFLAZON 50 mg
CAPS.
50mg
FLUCONAZOL OZONE 50 mg CAPS.
50mg
FLUCONAZOL 50 mg
CAPS.
50mg
DIFLUCAN 50 mg
CAPS.
50mg
FLUCORIC 50 mg
CAPS.
50mg
FLUCONAZOL SANDOZ (R) 50 CAPS.
50mg
DIFLUCAN (R) 50 mg/5 ml
PULB. PT. SUSP. ORALA 50mg/5ml
DIFLAZON 2mg/ml
SOL. PERF. 2mg/ml

CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ. S/P-RF

S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S

ROMANIA
ROMANIA
S.C. FRESENIUS KABI S.R.L. ROMANIA
S.C. FRESENIUS KABI S.R.L. ROMANIA
S.C. FRESENIUS KABI S.R.L. ROMANIA
S.C. FRESENIUS KABI S.R.L. ROMANIA
ASTRA ZENECA AB SUEDIA CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.
ROMASTRU TRADING SRL ROMANIA
ROMASTRU TRADING SRL ROMANIA
ANTIBIOTICE S.A.
ROMANIA
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.
MYLAN S.A.S.
FRANTA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CU PULB. PT. SOL. INJ./PERF.
TERAPIA SA
ROMANIA
S.C. FRESENIUS KABI S.R.L. ROMANIA
S.C. FRESENIUS KABI S.R.L. ROMANIA
S.C. FRESENIUS KABI S.R.L. ROMANIA
ASTRA ZENECA AB SUEDIA CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.
ROMASTRU TRADING SRL ROMANIA
ROMASTRU TRADING SRL ROMANIA
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.
TERAPIA SA
ROMANIA
MYLAN S.A.S.
FRANTA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. INJ./PERF.
ANTIBIOTICE S.A.
ROMANIA
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. X 10 COMPR. FILM.

P-RF

PFIZER EUROPE MA EEIG

P-RF

CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE X 1 FLAC DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 50 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

MAREA BRITANIE

CUTIE X 1 FLACON X 66 G GRAN. PTR. 150 ML SUSP. + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML

CUTIE X 10 PUNGI X 300 ML


S
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
BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 2 BLIST. PVC/AL X 8 CAPS.
P-RF
KRKA D.D.
SLOVENIA CUTIE X 4 BLIST. X 7 CAPS.
P-RF
VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS.
P-RF
TERAPIA SA
ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF
SLAVIA PHARM SRL ROMANIA 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
MEDICO UNO PHARMACEUTICAL SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA P-RF
LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF
ARENA GROUP SA 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
OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF
OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF
SANDOZ SRL
GERMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 1 CAPS.
P-RF
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 4 BLIST. AL/PVC X 1 CAPS.
P-RF
KRKA D.D.
SLOVENIA CUTIE X 1 BLIST. X 1 CAPS.
P-RF
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
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 BLIST. PVC-PVDC/AL X 1 CAPS. PRF
ZENTIVA K.S.
CEHIA
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 7 CAPS. P-RF
SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF
MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF
ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF
LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF
VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS.
P-RF
BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 1 BLIST. PVC/AL X 8 CAPS.
P-RF
KRKA D.D.
SLOVENIA CUTIE X 1 BLIST. X 7 CAPS.
P-RF
OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF
ANTIBIOTICE S.A.
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF
TERAPIA SA
ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS. P-RF
SANDOZ SRL
ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF
PFIZER EUROPE MA EEIG

MAREA BRITANIE

TEVA PHARMACEUTICALS S.R.L.

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

Pagina 41 din 48

P-RF
S/PR-F

cant/a
mbala
j

12
12
1
5
10
1
5
10
12
1
12
1
12
1
1
10
1
5
12
1
12
12
1
1
1
10
1
10
2
7
16
28
4
7
1
1
1
1
1
1
1
1
1
2
4
1
1
1
1
1
1
7
7
7
7
7
7
7
8
7
7
10
7
7
7
1
1

Pret cu
ridicata
maximal /
ambalaj

396.78
685.12
20.09
98.66
193.81
40.18
193.81
382.38
232.62
22.65
262.29
22.65
262.17
22.65
22.65
384.80
40.44
195.13
455.79
40.44
455.75
455.75
40.44
40.46
40.44
1,584.80
869.39
1,584.80
6.90
23.04
64.60
191.37
18.72
32.76
7.08
4.82
6.60
4.82
6.60
5.99
7.27
7.27
10.66
23.84
47.68
16.46
7.27
18.34
13.79
7.35
9.15
29.74
14.32
12.20
11.81
13.98
11.53
16.50
13.92
46.63
16.50
18.66
42.71
21.65
31.68
42.71
34.63

Pret cu ridicata
maximal / U.T.

33.065000
57.093333
20.090000
19.732000
19.381000
40.180000
38.762000
38.238000
19.385000
22.650000
21.857500
22.650000
21.847500
22.650000
22.650000
38.480000
40.440000
39.026000
37.982500
40.440000
37.979166
37.979166
40.440000
40.460000
40.440000
158.480000
869.390000
158.480000
3.450000
3.291428
4.037500
6.834642
4.680000
4.680000
7.080000
4.820000
6.600000
4.820000
6.600000
5.990000
7.270000
7.270000
10.660000
11.920000
11.920000
16.460000
7.270000
18.340000
13.790000
7.350000
9.150000
4.248571
2.045714
1.742857
1.687142
1.997142
1.647142
2.357142
1.740000
6.661428
2.357142
1.866000
6.101428
3.092857
4.525714
42.710000
34.630000

Pret cu ridicata
maximal de
decontare / U.T.

23.257200
45.574999
20.090000
19.732000
19.381000
23.257200
23.257200
23.257200
19.385000
22.650000
21.857500
22.650000
21.847500
22.650000
22.650000
38.480000
40.440000
39.026000
37.982500
40.440000
37.979166
37.979166
40.440000
40.460000
40.440000
158.480000
869.390000
158.480000
3.450000
3.291428
3.949714
3.949714
3.949714
3.949714
5.784000
4.820000
5.784000
4.820000
5.784000
5.784000
5.784000
5.784000
5.784000
5.784000
5.784000
5.784000
5.784000
5.784000
5.784000
5.784000
5.784000
4.248571
1.976570
1.742857
1.687142
1.976570
1.647142
1.976570
1.740000
1.976570
1.976570
1.866000
1.976570
1.976570
1.976570
42.710000
34.630000

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

470.64
784.93
27.15
124.75
236.60
52.55
236.60
454.94
283.98
30.62
320.21
30.62
320.06
30.62
30.62
457.58
52.90
238.21
534.96
52.90
534.92
534.92
52.90
52.92
52.90
1,765.58
985.79
1,765.58
9.32
31.14
81.68
233.63
25.30
42.85
9.57
6.52
8.92
6.52
8.92
8.10
9.82
9.82
14.41
32.22
62.36
22.25
9.82
24.79
18.64
9.94
12.37
38.90
19.35
16.49
15.96
18.89
15.58
22.30
18.81
60.99
22.30
25.22
55.87
29.26
41.44
55.87
45.29

39.220000
65.410833
27.150000
24.950000
23.660000
52.550000
47.320000
45.494000
23.665000
30.620000
26.684166
30.620000
26.671666
30.620000
30.620000
45.758000
52.900000
47.642000
44.580000
52.900000
44.576666
44.576666
52.900000
52.920000
52.900000
176.558000
985.790000
176.558000
4.660000
4.448571
5.105000
8.343928
6.325000
6.121428
9.570000
6.520000
8.920000
6.520000
8.920000
8.100000
9.820000
9.820000
14.410000
16.110000
15.590000
22.250000
9.820000
24.790000
18.640000
9.940000
12.370000
5.557142
2.764285
2.355714
2.280000
2.698571
2.225714
3.185714
2.351250
8.712857
3.185714
2.522000
7.981428
4.180000
5.920000
55.870000
45.290000

28.392000
53.491999
27.150000
24.950000
23.660000
28.392000
28.392000
28.392000
23.665000
28.392000
26.684166
28.392000
26.671666
28.392000
28.392000
45.758000
52.900000
47.642000
44.580000
52.900000
44.576666
44.576666
52.900000
52.920000
52.900000
176.558000
985.790000
176.558000
4.660000
4.448571
5.105000
5.338285
5.338285
5.338285
7.824000
6.520000
7.824000
6.520000
7.824000
7.824000
7.824000
7.824000
7.824000
7.824000
7.824000
7.824000
7.824000
7.824000
7.824000
7.824000
7.824000
5.557142
2.670857
2.355714
2.280000
2.670857
2.225714
2.670857
2.351250
2.670857
2.670857
2.522000
2.670857
2.670857
2.670857
55.870000
42.271200

Grupa
Nr.
terape
crt
utica
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142

J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC03
J02AC03
J02AC03
J02AC03
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB14
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AC02
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AX01
L04AX01
L04AX01
L04AX01

Denumire generica

FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
VALGANCICLOVIRUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**

Denumire comerciala

FLUCONAZOL BIOGALENICA 2mg/ml

FLUCONAZOL B. BRAUN 2mg/ml


FLUCONAZOL B. BRAUN 2mg/ml
FLUCONAZOL B. BRAUN 2mg/ml
FLUCONAZOL B. BRAUN 2mg/ml
FLUCONAZOL B. BRAUN 2mg/ml

FLUCONAZOL KABI 2 mg/ml


FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL KABI 2 mg/ml
DIFLUCAN (R)
DIFLUCAN (R)
FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL KABI 2 mg/ml
MYCOMAX INF 2mg/ml
MYCOMAX INF 2mg/ml
MYCOMAX INF 2mg/ml
VFEND 200mg
VFEND 50mg
VFEND 200mg
VFEND 40 mg/ml
ACICLOVIR ARENA 200 mg
ACICLOVIR 200 mg
ACICLOVIR ARENA 200 mg
ACICLOVIR ARENA 400 mg
ACICLOVIR 200 mg
ACICLOVIR 200 mg
ACICLOVIR TERAPIA 200 mg
CLOVIRAL 200 mg
ACICLOVIR 200 mg
ACICLOVIR 400 mg
LOVIR 200 mg
ACICLOVIR OZONE 200 mg
ACICLOVIR OZONE 200 mg
ACIKLOVIR
VIROLEX
VALCYTE (R) 450 mg
CELLCEPT 250mg
MYCOPHENOLATE MOFETIL MEDICO UNO 500 MG

CELLCEPT 500mg
MYFORTIC 180 mg
MYFORTIC 360 mg

Forma
Concentrati
farmaceutica
e / U.T.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
COMPR. FILM.
COMPR. FILM.
PULB. PT. SOL. PERF.
PULB. PT. SUSP. ORALA

CAPS.
CAPS.
CAPS.
CAPS.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. DISP.
COMPR. DISP.
COMPR. DISP.
COMPR. FILM.
PULB. PT. SOL. INJ./PERF.

COMPR. FILM.

CAPS.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM. GASTROREZ.
COMPR. FILM. GASTROREZ.

MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL DR. REDDY'S 250 mg CAPS.


MYCOPHENOLATUM MOFETILUM** MYCOPHENOLATE MOFETIL ACCORD 250 mg CAPS.
MYCOPHENOLATUM MOFETILUM** MYFENAX 250mg
CAPS.
MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL SANDOZ 500 mg COMPR.
MYCOPHENOLATUM MOFETILUM** MYFENAX 500mg
COMPR. FILM.
MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL DR. REDDY'S 500 mg COMPR. FILM.
MYCOPHENOLATUM MOFETILUM** MYCOFENOLAT MOFETIL ACTAVIS 500 mgCOMPR. FILM.
MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL DR. REDDY'S 500 mg COMPR. FILM.

BASILIXIMABUM**
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
AZATHIOPRINUM
AZATHIOPRINUM
AZATHIOPRINUM
AZATHIOPRINUM

SIMULECT 20 mg
EQUORAL (R) 100 mg
CICLORAL 25 mg
EQUORAL (R) 25 mg
SANDIMMUN NEORAL (R)
CICLORAL 50 mg
EQUORAL (R) 50 mg
SANDIMMUN NEORAL (R)
EQUORAL (R)
IMMUNOPRIN 100 mg
IMMUNOPRIN 100 mg
IMURAN (R)
IMMUNOPRIN 75 mg

LIOF. + SOLV. PT. SOL. INJ./PERF.

CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
SOL. ORALA
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
200mg
50mg
200mg
40mg/ml
200mg
200mg
200mg
400mg
200mg
200mg
200mg
200mg
200mg
400mg
200mg
200mg
200mg
400mg
250mg
450mg
250mg
500mg
500mg
180mg
360mg
250 mg
250mg
250mg
500mg
500mg
500mg
500mg
500mg
20mg
100mg
25mg
25mg
25mg
50mg
50mg
50mg
100mg/ml
100mg
100mg
50mg
75mg

Firma

Tara

Ambalaj

Prescriptie

cant/a
mbala
j

ARENA GROUP S.A. ROMANIA CUTIE X 1 FLAC. X 100 ML SOL. PERF. S


1
S
10
B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FLAC. PEJD X 50 ML SOL. PERF. S
20
B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. PEJD X 100 ML SOL. PERF. S
10
B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FLAC. PEJD X 100 ML SOL. PERF. S
20
B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. PEJD X 200 ML SOL. PERF. S
10
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. S
20
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 25 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. S
25
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF.
S
1
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF. S
10
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF. S
1
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.
S
10
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.
S
20
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 200 ML
S/P-RF
1
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 50 ML
S/P-RF
1
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 25 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.
S
25
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF.
S
1
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. S
10
ZENTIVA K.S.
S
1
ZENTIVA K.S.
S
1
ZENTIVA K.S.
S
1
PFIZER LIMITED
MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF
28
PFIZER LIMITED
MAREA BRITANIE CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL) P-RF
28
PFIZER LIMITED
MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML
P-RF
1
PFIZER LIMITED
MAREA BRITANIE
P-RF
1
ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. P-RF/S 1000
SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF
20
ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF
20
ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF
10
LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
P-RF
20
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. P-RF
20
TERAPIA SA
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
20
ANTIBIOTICE SA
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
20
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF
20
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF
10
RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 BLIST. DIN PVC-PVDC/AL X 10 COMPR. DISP. P-RF
10
OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. DISP. P-RF
20
LABORMED PHARMA S.A. ROMANIA CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. DISP. P-RF
20
A & G MED TRADING S.R.L. ROMANIA CUTIE X 7 BLIST. AL/PVC X 5 COMPR. FILM. P-RF
35
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 5 FLAC. X 250 MG PULB. PT. SOL. INJ./PERF. S/P-RF
5
ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. X 60 COMPR. FILM. P-RF
60
ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 10 BLIST. X 10 CAPS.
P-RF/R
100
MEDICO UNO PHARMA KFT. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. P-RF/R
50
ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 5 BLIST. X 10 COMPR. FILM. P-RF/R
50
NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ.S/P-RF 120
NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ.S/P-RF 120
DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 100 CAPS. PR
100
ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL CU 100 CAPS. P-RF/R
100
TEVA PHARMA BV OLANDA CUTIE X BLIST. PVC/PVDC/AL X 100 CAPS. P-RF/R 100
SANDOZ S.R.L.
ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 50 COMPR. FILM. P-RF
50
TEVA PHARMA BV OLANDA CUTIE X BLIST. PVC/PVDC/AL X 50 COMPR. FILM. P-RF/R
50
DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. P-RF
50
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. P-RF/R
50
DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. P-RF
50
NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 1 FLAC. CU LIOF.+ 1 FIOLA SOLV. APA PT. PREP. INJ. S
1
IVAX - PHARMACEUTICALS S.R.O. CEHIA
CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF
50
HEXAL AG
GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI S/P-RF
50
IVAX - PHARMACEUTICALS S.R.O. CEHIA
CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF
50
NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI
S/P-RF
50
HEXAL AG
GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI S/P-RF
50
IVAX - PHARMACEUTICALS S.R.O. CEHIA
CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF
50
NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI
S/P-RF
50
IVAX - PHARMACEUTICALS S.R.O. CEHIA
S/P-RF
1
EBEWE PHARMA GES.M.B.H. NFG KG
AUSTRIA CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM. PR 100
EBEWE PHARMA GES.M.B.H. NFG KG
AUSTRIA CUTIE CU 1 FLAC. PEID X 50 COMPR. FILM. PR
50
THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM.
S/P-RF
100
EBEWE PHARMA GES.M.B.H. NFG KG
AUSTRIA CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM. PR 100
B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. PEJD X 50 ML SOL. PERF.

REPUBLICA SLOVACA

CUTIE CU 1 FLACON DIN STICLA INCOLORA A 50 ML SOL. PERF. X 100 MG FLUCONAZOL

REPUBLICA SLOVACA

CUTIE CU 1 FLACON DIN STICLA INCOLORA A 100 ML SOL. PERF. X 200 MG FLUCONAZOL

REPUBLICA SLOVACA

CUTIE CU 1 FLACON DIN STICLA INCOLORA A 200 ML SOL. PERF. X 400 MG FLUCONAZOL

CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA

CUTIE X 1 FLACON DIN STICLA BRUNA X 50 ML, UN DISPOZITIV DE MASURAT + UN CAPAC CU FILET

Pagina 42 din 48

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

40.15
180.75
358.65
449.60
787.39
761.97
624.35
772.93
80.99
753.13
18.63
179.79
356.89
131.62
30.62
438.62
33.88
326.90
30.18
42.16
135.83
3,517.81
901.74
453.05
2,178.01
696.23
14.80
15.66
14.23
9.51
12.60
12.54
12.02
10.09
14.06
2.74
5.30
5.30
43.20
229.07
4,806.36
447.90
289.44
447.90
551.46
1,030.04
288.20
289.44
298.76
224.51
298.76
298.76
269.39
298.76
4,217.73
393.08
111.30
73.58
111.16
247.07
153.73
236.51
354.17
82.20
41.83
63.23
61.67

40.150000
18.075000
17.932500
44.960000
39.369500
76.197000
31.217500
30.917200
80.990000
75.313000
18.630000
17.979000
17.844500
131.620000
30.620000
17.544800
33.880000
32.690000
30.180000
42.160000
135.830000
125.636071
32.205000
453.050000
2,178.010000
0.696230
0.740000
0.783000
1.423000
0.475500
0.630000
0.627000
0.601000
0.504500
1.406000
0.274000
0.265000
0.265000
1.234285
45.814000
80.106000
4.479000
5.788800
8.958000
4.595500
8.583666
2.882000
2.894400
2.987600
4.490200
5.975200
5.975200
5.387800
5.975200
4,217.730000
7.861600
2.226000
1.471600
2.223200
4.941400
3.074600
4.730200
354.170000
0.822000
0.836600
0.632300
0.616700

Pret cu ridicata
maximal de
decontare / U.T.

37.100640
18.075000
17.932500
37.100640
37.100640
76.197000
31.217500
30.917200
80.990000
75.313000
18.630000
17.979000
17.844500
90.375600
21.053760
17.544800
33.880000
32.690000
21.053760
37.100640
90.375600
125.636071
32.205000
453.050000
2,178.010000
0.318000
0.318000
0.318000
1.423000
0.318000
0.318000
0.318000
0.318000
0.318000
1.406000
0.274000
0.265000
0.265000
1.234285
45.814000
80.106000
3.458400
5.388240
5.388240
4.595500
8.583666
2.882000
2.894400
2.987600
4.490200
5.388240
5.388240
5.387800
5.388240
4,217.730000
7.861600
1.765920
1.471600
1.765920
3.689520
3.074600
3.689520
354.170000
0.822000
0.836600
0.632300
0.616700

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

52.52
220.66
429.08
528.22
896.41
868.70
718.69
880.65
102.40
859.06
25.18
219.49
427.16
160.68
40.05
516.25
44.32
394.47
39.48
55.14
165.82
3,872.57
1,021.05
531.97
2,412.18
797.04
20.00
21.17
19.24
12.85
17.03
16.95
16.24
13.64
19.00
3.70
7.16
7.16
56.50
279.65
5,277.09
526.36
353.35
526.36
639.24
1,160.90
351.83
353.35
364.73
274.08
364.73
364.73
328.87
364.73
4,635.48
466.61
135.87
93.03
135.71
301.62
187.67
288.73
424.20
103.94
54.72
79.95
77.97

52.520000
22.066000
21.454000
52.822000
44.820500
86.870000
35.934500
35.226000
102.400000
85.906000
25.180000
21.949000
21.358000
160.680000
40.050000
20.650000
44.320000
39.447000
39.480000
55.140000
165.820000
138.306071
36.466071
531.970000
2,412.180000
0.797040
1.000000
1.058500
1.924000
0.642500
0.851500
0.847500
0.812000
0.682000
1.900000
0.370000
0.358000
0.358000
1.614285
55.930000
87.951500
5.263600
7.067000
10.527200
5.327000
9.674166
3.518300
3.533500
3.647300
5.481600
7.294600
7.294600
6.577400
7.294600
4,635.480000
9.332200
2.717400
1.860600
2.714200
6.032400
3.753400
5.774600
424.200000
1.039400
1.094400
0.799500
0.779700

42.271200
22.066000
21.454000
42.271200
42.271200
86.870000
35.934500
35.226000
102.400000
85.906000
24.780000
21.949000
21.358000
103.087200
24.780000
20.650000
42.271200
39.447000
24.780000
42.271200
103.087200
138.306071
36.466071
531.970000
2,412.180000
0.429600
0.429600
0.429600
1.924000
0.429600
0.429600
0.429600
0.429600
0.429600
1.900000
0.370000
0.358000
0.358000
1.614285
55.930000
87.951500
4.221960
6.577920
6.577920
5.327000
9.674166
3.518300
3.533500
3.647300
5.481600
6.577920
6.577920
6.577400
6.577920
4,635.480000
9.332200
2.232720
1.860600
2.232720
4.504080
3.753400
4.504080
424.200000
1.039400
1.094400
0.799500
0.779700

Grupa
Nr.
terape
crt
utica
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201

N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02

Denumire generica

TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM

Denumire comerciala

URGENDOL
TRAMAL (R)
TRAMADOL ARENA
TRAMADOL AL 50
TRAMADOL AL 50
MABRON 50 mg
TRALGIT 50
TRAMACALM
TRAMADOL LPH 50 mg
TRAMADOL
K-ALMA (R)
TRAMAL UNO 100 mg
TRAMAL UNO 100 mg
TRAMAL UNO 100 mg
TRAMAL UNO 100 mg
TRAMAL UNO 150 mg
TRAMAL UNO 150 mg
TRAMAL UNO 150 mg
TRAMAL UNO 150 mg
TRAMAL UNO 200 mg
TRAMAL UNO 200 mg
TRAMAL UNO 200 mg
TRAMAL UNO 200 mg
TRAMADOL EEL
TRAMADOL 50 mg
TRAMAG 50
TRAMADOL 50 mg
TRAMADOLOR (R) 100 ID
TRAMADOL (R) RETARD
NOAX UNO 100 mg
NOAX UNO 100 mg
TRALGIT SR 100
TRALGIT SR 100
TRALGIT SR 100
TRALGIT SR 150
TRALGIT SR 150
NOAX UNO 200 mg
NOAX UNO 200 mg
TRALGIT SR 200
NOAX UNO 300 mg
NOAX UNO 300 mg
TRADOLAN 50 mg
TRAMAL RETARD 100 mg
TRAMADOL RETARD 150 mg
TRAMAL RETARD 150 mg
TRAMADOL RETARD 200 mg
TRAMAL RETARD 200 mg
TRAMADOL AL PICATURI
TRAMAL (R)
MABRON
MABRON
TRALGIT 100
TRALGIT 50
URGENDOL
URGENDOL
TRAMADOL
TRAMADOL
TRAMAL (R) 50
TRAMADOL

Forma
Concentrati
farmaceutica
e / U.T.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.

Firma

Tara

Ambalaj

Prescriptie

50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
CAPS. ELIB. PREL. 100mg
CAPS. ELIB. PREL. 100mg
CAPS. ELIB. PREL. 100mg
CAPS. ELIB. PREL. 100mg
CAPS. ELIB. PREL. 150mg
CAPS. ELIB. PREL. 150mg
CAPS. ELIB. PREL. 150mg
CAPS. ELIB. PREL. 150mg
CAPS. ELIB. PREL. 200mg
CAPS. ELIB. PREL. 200mg
CAPS. ELIB. PREL. 200mg
CAPS. ELIB. PREL. 200mg
COMPR.
50mg
COMPR.
50mg
COMPR.
50mg
COMPR.
50mg
COMPR. ELIB. MODIF. 100mg
COMPR. ELIB. PREL. 100mg
COMPR. ELIB. PREL. 100mg
COMPR. ELIB. PREL. 100mg
COMPR. ELIB. PREL. 100mg
COMPR. ELIB. PREL. 100mg
COMPR. ELIB. PREL. 100mg
COMPR. ELIB. PREL. 150mg
COMPR. ELIB. PREL. 150mg
COMPR. ELIB. PREL. 200mg
COMPR. ELIB. PREL. 200mg
COMPR. ELIB. PREL. 200mg
COMPR. ELIB. PREL. 300mg
COMPR. ELIB. PREL. 300mg
COMPR. FILM. 50mg
COMPR. FILM. ELIB. PREL. 100mg
COMPR. FILM. ELIB. PREL. 150mg
COMPR. FILM. ELIB. PREL. 150mg
COMPR. FILM. ELIB. PREL. 200mg
COMPR. FILM. ELIB. PREL. 200mg

ROMANIA CUTIE X 1 BLIST. X 10 CAPS.


P-RF
GRUNENTHAL GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF
ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF
ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. X 10 CAPS.
P-RF
ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 1 BLIST. X 10 CAPS.
P-RF
MEDOCHEMIE LTD. CIPRU
CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF
ZENTIVA A.S.
SLOVACIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF
AC HELCOR SRL
ROMANIA CUTIE X 1 BLIST. PVC/AL X 10 CAPS. P-RF
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF
KRKA D.D.
SLOVENIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF
ANTIBIOTICE SA
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-RF
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 20 CAPS. CU ELIB. PREL. P-RF
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 30 CAPS. CU ELIB. PREL. P-RF
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 50 CAPS. CU ELIB. PREL. P-RF/S
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-RF
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 20 CAPS. CU ELIB. PREL. P-RF
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 30 CAPS. CU ELIB. PREL. P-RF
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 50 CAPS. CU ELIB. PREL. P-RF/S
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 30 CAPS. CU ELIB. PREL. P-RF
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 50 CAPS. CU ELIB. PREL. P-RF/S
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-RF
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 20 CAPS. CU ELIB. PREL. P-RF
BIO EEL SRL
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
MAGISTRA C & C
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
HEXAL AG
GERMANIA CUTIE X 1 BLIST. X 10 COMPR. ELIB. MODIF. P-RF
KRKA D.D.
SLOVENIA CUTIE X 3 BLIST. X 10 COMPR. ELIB. PREL. P-RF
CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 1 BLIST. DIN PVC-PVDC/AL X 5 COMPR.ELIM.PREL. P-RF
CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR.ELIM.PREL.P-RF
ZENTIVA AS
SLOVACIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF
ZENTIVA AS
SLOVACIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF
ZENTIVA AS
SLOVACIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF
ZENTIVA AS
SLOVACIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF
ZENTIVA AS
SLOVACIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF
CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 1 BLIST. DIN PVC-PVDC/AL X 10 COMPR.ELIB. PREL.P-RF
CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR.ELIB. PREL.P-RF
ZENTIVA AS
SLOVACIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF
CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 3 BLIST. X PVC-PE-ACLAR/AL X 10 COMPR. ELIB. PREL. P-RF
CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 1 BLIST. X PVC-PVDC/AL X 10 COMPR. ELIB. PREL. P-RF
LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.FILM. P-RF
GRUNENTHAL GMBH GERMANIA CUTIE X 1 BLIST. AL/PVDC X 10 COMPR. FILM. CU ELIB. PREL. P-RF

PIC. ORALE, SOL.

ALIUD PHARMA GMBH GERMANIA CUTIE X 1 FLACON DIN STICLA BRUNA X 10 ML PIC. ORALE, SOL.P-RF
GRUNENTHAL GMBH GERMANIA CUTIE X 1 FLACON PICURATOR X 10 ML P-RF

PICATURI ORALE-SOL.

SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SUPOZ.

100mg/ml
100mg
100mg
100mg/2ml
50mg/ml
50mg/ml
50mg/ml
50mg/ml
50mg/ml
50mg/ml
100mg

MEDICAROM GROUP SRL

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. CU ELIB. PREL.

P-RF

KRKA D.D. NOVO MESTO SLOVENIA

P-RF

CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL.

GRUNENTHAL GMBH GERMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR.FILM. ELIB. PREL.

MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
ZENTIVA A.S.
ZENTIVA A.S.

CIPRU
CIPRU

P-RF

CUTIE X 5 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.S/P-RF


CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.

SLOVACIA CUTIE X 5 FIOLE X 2 ML SOL. INJ.


SLOVACIA CUTIE X 5 FIOLE X 1 ML SOL. INJ.

ROMANIA CUTIE X 5 FIOLE X 1 ML


MEDICAROM GROUP SRL ROMANIA CUTIE X 5 FIOLE X 2 ML
KRKA D.D.
SLOVENIA CUTIE X 5 FIOLE X 1 ML
KRKA D.D.
SLOVENIA CUTIE X 5 FIOLE X 2 ML
GRUNENTHAL GMBH GERMANIA CUTIE X 5 FIOLE X 1 ML
KRKA D.D.
SLOVENIA CUTIE X 1 BLIST. X 5 SUPOZ.
MEDICAROM GROUP SRL

S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF

P-RF

cant/a
mbala
j

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

Pret cu ridicata
maximal de
decontare / U.T.

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

10
20
20
30
10
10
20
10
20
20
20
10
20
30
50
10
20
30
50
30
50
10
20
20
20
20
20
10
30
5
30
50
10
30
10
30
10
30
10
30
10
30
10
30
10
30
10
1
1
5
100
5
5
5
5
5
5
5
5

2.80
8.64
6.58
8.43
2.82
2.82
4.26
2.82
5.61
4.26
5.61
12.71
24.49
35.81
56.99
19.07
36.70
53.71
83.99
61.06
94.90
23.80
44.15
5.61
5.61
5.61
5.61
4.60
13.83
5.42
29.85
23.80
4.60
13.81
15.39
24.54
14.69
39.16
20.11
59.76
20.42
7.78
7.09
31.41
16.11
40.20
20.61
3.68
5.67
7.19
110.90
8.98
8.40
3.58
5.61
3.60
9.57
5.53
4.08

0.280000
0.432000
0.329000
0.281000
0.282000
0.282000
0.213000
0.282000
0.280500
0.213000
0.280500
1.271000
1.224500
1.193666
1.139800
1.907000
1.835000
1.790333
1.679800
2.035333
1.898000
2.380000
2.207500
0.280500
0.280500
0.280500
0.280500
0.460000
0.461000
1.084000
0.995000
0.476000
0.460000
0.460333
1.539000
0.818000
1.469000
1.305333
2.011000
1.992000
2.042000
0.259333
0.709000
1.047000
1.611000
1.340000
2.061000
3.680000
5.670000
1.438000
1.109000
1.796000
1.680000
0.716000
1.122000
0.720000
1.914000
1.106000
0.816000

0.255600
0.255600
0.255600
0.255600
0.255600
0.255600
0.213000
0.255600
0.255600
0.213000
0.255600
0.552000
0.552000
0.552000
0.552000
0.981600
0.981600
0.981600
0.981600
1.566400
1.566400
1.566400
1.566400
0.255600
0.255600
0.255600
0.255600
0.460000
0.461000
0.552000
0.552000
0.476000
0.460000
0.460333
0.981600
0.818000
1.469000
1.305333
1.566400
1.992000
2.042000
0.255600
0.552000
0.981600
0.981600
1.340000
1.566400
3.680000
4.416000
1.330800
1.109000
1.330800
0.859200
0.716000
1.122000
0.720000
1.330800
0.859200
0.816000

3.78
11.68
8.89
11.39
3.81
3.81
5.76
3.81
7.58
5.76
7.58
17.18
33.10
46.84
72.06
25.78
48.01
67.91
106.20
77.21
119.99
32.17
57.75
7.58
7.58
7.58
7.58
6.22
18.69
7.32
39.05
32.17
6.22
18.67
20.80
33.17
19.86
51.22
27.18
75.56
27.60
10.52
9.58
41.08
21.77
52.58
27.86
4.98
7.66
9.72
135.39
12.14
11.36
4.84
7.58
4.87
12.94
7.47
5.52

0.378000
0.584000
0.444500
0.379666
0.381000
0.381000
0.288000
0.381000
0.379000
0.288000
0.379000
1.718000
1.655000
1.561333
1.441200
2.578000
2.400500
2.263666
2.124000
2.573666
2.399800
3.217000
2.887500
0.379000
0.379000
0.379000
0.379000
0.622000
0.623000
1.464000
1.301666
0.643400
0.622000
0.622333
2.080000
1.105666
1.986000
1.707333
2.718000
2.518666
2.760000
0.350666
0.958000
1.369333
2.177000
1.752666
2.786000
4.980000
7.660000
1.944000
1.353900
2.428000
2.272000
0.968000
1.516000
0.974000
2.588000
1.494000
1.104000

0.345600
0.345600
0.345600
0.345600
0.345600
0.345600
0.288000
0.345600
0.345600
0.288000
0.345600
0.746400
0.746400
0.746400
0.746400
1.326799
1.326799
1.326799
1.326799
2.048800
2.048800
2.048800
2.048800
0.345600
0.345600
0.345600
0.345600
0.622000
0.623000
0.746400
0.746400
0.643400
0.622000
0.622333
1.326799
1.105666
1.986000
1.707333
2.048800
2.518666
2.760000
0.345600
0.746400
1.326799
1.326799
1.752666
2.048800
4.980000
5.976000
1.624680
1.353900
1.624680
1.161600
0.968000
1.516000
0.974000
1.624680
1.161600
1.104000

100
50

97.14
56.87

0.971400
1.137400

0.971400
1.137400

122.82
71.91

1.228200
1.438200

1.228200
1.438200

L04AA04 IMUNOGLOBULINA ANTILIMFOCITE UMANE**

P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA


P9.7: TRATAMENTUL STARII POSTTRANSPLANT IN AMBULATORIU A PACIENTILOR TRANSPLANTATI
1
2

A05AA02
A05AA02

ACIDUM URSODEOXYCHOLICUM URSOFALK (R)


ACIDUM URSODEOXYCHOLICUM URSOFALK (R)

CAPS.
CAPS.

250mg
250mg

DR. FALK PHARMA GMBH GERMANIA


DR. FALK PHARMA GMBH GERMANIA

CUTIE X 4 BLIST. AL/PVC X 25 CAPS.


CUTIE X 2 BLIST. AL/PVC X 25 CAPS.

Pagina 43 din 48

P-6L/S

P-6L

Grupa
Nr.
terape
crt
utica
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69

A05AA02
A05AA02
A05AA02
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
H02AB04
H02AB04
H02AB04
H02AB04
H02AB04
H02AB04
H02AB07
H02AB07
H02AB07
H02AB07
H02AB07
H02AB07

Denumire generica

ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM

J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM


J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM
J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM
J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM
J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM
J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01

FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM

Denumire comerciala

URSOSAN
URSOCHOL 150 mg
URSOCHOL 300 mg
EPREX (R) 3000 UI
EPREX (R) 40 000 UI
BINOCRIT 10000UI/1,0ml
BINOCRIT 1000UI/0,5ml
BINOCRIT 2000UI/1,0ml
BINOCRIT 30000UI/0,75ml
BINOCRIT 3000UI/0,3ml
EPREX 40000 UI
BINOCRIT 40000 UI/1 ml
BINOCRIT 4000UI/0,4ml
BINOCRIT 5000UI/0,5ml
NEORECORMON 10000UI/0,6ml
NEORECORMON 1000UI/0,3ml
NEORECORMON 2000UI/0,3ml
NEORECORMON 30000UI/0,6ml
NEORECORMON 4000UI/0,3ml
NEORECORMON 5000UI/0,3ml

Forma
Concentrati
farmaceutica
e / U.T.
CAPS.
COMPR.
COMPR.
SOL. INJ.
SOL. INJ.

Firma

Tara

Prescriptie

SOL. INJ. IN SERINGA PREUMPLUTA

250mg
PRO. MED. CS PRAHA AS
150mg
ZAMBON S.P.A.
300mg
ZAMBON S.P.A.
3000ui/0,3ml JOHNSON & JOHNSON D.O.O.
40 000UI
JOHNSON & JOHNSON D.O.O.
10000UI/1,0ml SANDOZ GMBH
1000UI/0,5ml SANDOZ GMBH
2000UI/1,0ml SANDOZ GMBH
30000UI/0,75ml SANDOZ GMBH
3000UI/0,3ml SANDOZ GMBH
40 000UI
JOHNSON & JOHNSON D.O.O.
40000 UI/1 ml SANDOZ GMBH
4000UI/0,4ml SANDOZ GMBH
5000UI/0,5ml SANDOZ GMBH

SOL. INJ. IN SERINGA PREUMPLUTA

10000UI/0,6ml

ROCHE REGISTRATION LTD.

MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ. + 6 ACES/P-RF/R

ROCHE REGISTRATION LTD.

MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACES/P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

1000UI/0,3ml
2000UI/0,3ml

ROCHE REGISTRATION LTD.

MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. X 6 ACES/P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

30000 UI/0,6ml ROCHE REGISTRATION LTD.

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

CEHIA
ITALIA
ITALIA

Ambalaj

CUTIE X 5 BLIST. AL/PVC X 10 CAPS. P-6L


CUTIE X 6 BLIST. AL/PVC X 10 COMPR. P-6L
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L

SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,3 MLS/P-RF


SLOVENIA CUTIE X 1 FLACON DIN STICLA X 1 ML S/P-RF

AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA

CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ.

S/P-RF/R

CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ.

S/P-RF/R

CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ.

S/P-RF/R

CUTIE X 1 SERINGA PREUMPLUTA X 0,75ML SOL. INJ.

P-RF/R

CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ.

S/P-RF/R

SLOVENIA

CUTIE CU 1 SERINGA PREUMPLUTA X 1 ML SOL. INJ.S/P-RF

AUSTRIA
AUSTRIA
AUSTRIA

CUTIE X 1 SERINGA PREUMPLUTA X 1ML SOL. INJ.

P-RF/R

CUTIE X 6 SERINGI PREUMPLUTE X 0,4ML SOL. INJ.

S/P-RF/R

CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ.

S/P-RF/R

MAREA BRITANIE

CUTIE X 1 SERINGA PRE-UMPLUTA X 0,6 ML + 1 AC

S/P-RF/R

4000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE
5000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE
NEORECORMON 500UI/0,3ml
500UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ. + 6 ACE
ARANESP 100mcg/0,5ml
100mcg/0,5ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML P-RF/R
ARANESP 10mcg/0,4ml
10mcg/0,4ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML P-RF/R
ARANESP 150mcg/0,3ml
150mcg/0,3ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML P-RF/R
ARANESP 15mcg/0,375ml
15mcg/0,375ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,375 ML P-RF/R
ARANESP 20mcg/0,5ml
20mcg/0,5ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML P-RF/R
ARANESP 300mcg/0,6ml
300mcg/0,6ml AMGEN EUROPE BV OLANDA CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 0,6 ML P-RF/R
ARANESP 30mcg/0,3ml
30mcg/0,3ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML P-RF/R
ARANESP 40mcg/0,4ml
40mcg/0,4ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML P-RF/R
ARANESP 500mcg/ml
500mcg/ml AMGEN EUROPE BV OLANDA CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 1 ML P-RF/R
ARANESP 50mcg/0,5ml
50mcg/0,5ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML P-RF/R
ARANESP 60mcg/0,3ml
60mcg/0,3ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML P-RF/R
ARANESP 80mcg/0,4ml
80mcg/0,4ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML P-RF/R
MEDROL A 16
COMPR.
16mg
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 5 BLIST. A-PVC/PVC X 10 COMPR. P-RF
MEDROL 32
COMPR.
32mg
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL-PVC/PVC X 10 COMPR. P-RF
MEDROL 4 mg
COMPR.
4mg
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA X 30 COMPR. P-RF
LEMOD SOLU 125 mg
LIOF. PT. SOL. INJ. 125mg
STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 2 ML
S/P-RF
LEMOD SOLU 500 mg
LIOF. PT. SOL. INJ. 500mg
STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 7,8 ML S/P-RF
SOLU - MEDROL ACT-O-VIAL LIOF. SI SOLV.PT.SOL.INJ 250mg/4ml PFIZER EUROPE MA EEIG MAREA BRITANIE
P-RF
PREDNISON 5 mg
COMPR.
5mg
SINTOFARM SA
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF
PREDNISON - RICHTER 5 mg COMPR.
5mg
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. P-RF
PREDNISON MCC 5 mg
COMPR.
5mg
MAGISTRA C&C S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
PREDNISON ARENA 5 mg
COMPR.
5mg
ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 COMPR. P-RF/S
PREDNISON ARENA 5 mg
COMPR.
5mg
ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF
N - PREDNISON
COMPR.
5mg
MEDUMAN SA
ROMANIA CUTIE X 1 FLAC. X 30 COMPR.
P-RF
BITRIM 400mg/80mg
COMPR.
400mg/80mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
TAGREMIN
COMPR.
400mg/80mg ZENTIVA S.A.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
SUMETROLIM
COMPR.
400mg/80mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
CO - TRIM ELL
COMPR.
400mg/80mg BIO EEL SRL
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
SUMETROLIM
SIROP
25mg/5mg/ml EGIS PHARMACEUTICALS P.L.C. UNGARIA
P-RF
EPITRIM
SUSP. ORALA 200mg/40mg /5ml E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON DIN STICLA BRUNA CU MASURA DOZATOARE X 100 ML P-RF
FLUCONAZOLE TEVA 100 mg CAPS.
100mg
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 2 CAPS. P-RF
FLUCONAZOLE TEVA 100 mg CAPS.
100mg
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF
FUNGOLON 100 mg
CAPS.
100mg
BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 2 BLIST. PVC/AL X 8 CAPS.
P-RF
DIFLAZON 100 mg
CAPS.
100mg
KRKA D.D.
SLOVENIA CUTIE X 4 BLIST. X 7 CAPS.
P-RF
FLUCOVIM 100
CAPS.
100mg
VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS.
P-RF
FLUCORIC 100 mg
CAPS.
100mg
TERAPIA SA
ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF
FLUCONAZOL 150 mg
CAPS.
150mg
SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF
FLUCONAZOLE TEVA 150 mg CAPS.
150mg
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF
FLUCONAZOL MEDICO UNO 150 mg CAPS.
150mg
MEDICO UNO PHARMACEUTICAL SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA P-RF
FLUCONAZOL BIOGALENICA 150 mg CAPS.
150mg
LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF
FLUCONAZOL ARENA 150 MG CAPS.
150mg
ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF
FLUCONAZOL MEDOCHEMIE 150 mg CAPS.
150mg
MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF
FLUCONAZOL OZONE 150 mg CAPS.
150mg
OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF
FLUCONAZOL 150 mg
CAPS.
150mg
OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF
FLUCONAZOL SANDOZ (R) 150 CAPS.
150mg
SANDOZ SRL
GERMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF
MYCOSYST 150 mg
CAPS.
150mg
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 1 CAPS.
P-RF
SOL. INJ. IN SERINGA PREUMPLUTA

S/P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

S/P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

S/P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

CUTIE X 1 FLAC. BICOMPARTIMENTAT (COMPARTIMENT INFERIOR) LIOF. PT. SOL. INJ. + (COMPARTIMENT SUPERIO

CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SUSP. ORALA + MASURA DOZATOARE

Pagina 44 din 48

cant/a
mbala
j

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

50
60
20
6
1
6
6
6
1
6
1
1
6
6
6
6
6
1
6
6
6
4
4
4
4
4
1
4
4
1
4
4
4
50
20
30
1
1
1
30
20
20
1000
30
30
20
20
20
20
1
1
2
7
16
28
4
7
1
1
1
1
1
1
1
1
1
2

53.75
40.94
27.11
653.92
1,192.91
1,532.97
176.81
351.85
680.43
513.14
1,192.91
867.37
674.39
835.59
2,093.33
226.59
442.92
1,030.67
855.25
1,061.28
116.51
2,842.62
320.42
4,234.65
462.11
602.82
1,968.23
881.01
1,161.60
3,260.40
1,440.69
1,722.12
2,283.14
23.85
21.67
4.78
6.44
22.68
14.97
2.72
1.88
1.94
43.91
1.92
1.80
5.65
5.65
3.02
5.15
5.99
3.48
6.90
23.04
64.60
191.37
18.72
32.76
7.08
4.82
6.60
4.82
6.60
5.99
7.27
7.27
10.66
23.84

1.075000
0.682333
1.355500
108.986666
1,192.910000
255.495000
29.468333
58.641666
680.430000
85.523333
1,192.910000
867.370000
112.398333
139.265000
348.888333
37.765000
73.820000
1,030.670000
142.541666
176.880000
19.418333
710.655000
80.105000
1,058.662500
115.527500
150.705000
1,968.230000
220.252500
290.400000
3,260.400000
360.172500
430.530000
570.785000
0.477000
1.083500
0.159333
6.440000
22.680000
14.970000
0.090666
0.094000
0.097000
0.043910
0.064000
0.060000
0.282500
0.282500
0.151000
0.257500
5.990000
3.480000
3.450000
3.291428
4.037500
6.834642
4.680000
4.680000
7.080000
4.820000
6.600000
4.820000
6.600000
5.990000
7.270000
7.270000
10.660000
11.920000

Pret cu ridicata
maximal de
decontare / U.T.

1.075000
0.682333
1.355500
102.628000
1,040.844000
255.495000
29.468333
58.641666
680.430000
85.523333
1,040.844000
867.370000
112.398333
139.265000
348.888333
37.765000
73.820000
1,030.670000
142.541666
176.880000
19.418333
710.655000
80.105000
1,058.662500
115.527500
150.705000
1,968.230000
220.252500
290.400000
3,260.400000
360.172500
430.530000
570.785000
0.477000
1.083500
0.159333
6.440000
22.680000
14.970000
0.052692
0.052692
0.052692
0.043910
0.052692
0.052692
0.181200
0.181200
0.151000
0.181200
5.990000
3.480000
3.450000
3.291428
3.949714
3.949714
3.949714
3.949714
5.784000
4.820000
5.784000
4.820000
5.784000
5.784000
5.784000
5.784000
5.784000
5.784000

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

67.96
53.55
35.46
750.92
1,338.42
1,709.09
215.85
421.67
779.82
597.47
1,338.42
983.58
773.24
948.94
2,319.88
276.62
520.93
1,161.58
970.37
1,194.95
142.24
3,136.61
387.41
4,653.92
541.85
695.22
2,183.52
998.45
1,304.30
3,591.99
1,608.50
1,915.26
2,526.78
32.23
29.29
6.46
8.71
30.65
20.23
3.67
2.54
2.62
57.44
2.59
2.43
7.63
7.63
4.08
6.96
8.10
4.70
9.32
31.14
81.68
233.63
25.30
42.85
9.57
6.52
8.92
6.52
8.92
8.10
9.82
9.82
14.41
32.22

1.359200
0.892500
1.773000
125.153333
1,338.420000
284.848333
35.975000
70.278333
779.820000
99.578333
1,338.420000
983.580000
128.873333
158.156666
386.646666
46.103333
86.821666
1,161.580000
161.728333
199.158333
23.706666
784.152500
96.852500
1,163.480000
135.462500
173.805000
2,183.520000
249.612500
326.075000
3,591.990000
402.125000
478.815000
631.695000
0.644600
1.464500
0.215333
8.710000
30.650000
20.230000
0.122333
0.127000
0.131000
0.057440
0.086333
0.081000
0.381500
0.381500
0.204000
0.348000
8.100000
4.700000
4.660000
4.448571
5.105000
8.343928
6.325000
6.121428
9.570000
6.520000
8.920000
6.520000
8.920000
8.100000
9.820000
9.820000
14.410000
16.110000

1.359200
0.892500
1.773000
119.494000
1,180.296000
284.848333
35.975000
70.278333
779.820000
99.578333
1,180.296000
983.580000
128.873333
158.156666
386.646666
46.103333
86.821666
1,161.580000
161.728333
199.158333
23.706666
784.152500
96.852500
1,163.480000
135.462500
173.805000
2,183.520000
249.612500
326.075000
3,591.990000
402.125000
478.815000
631.695000
0.644600
1.464500
0.215333
8.710000
30.650000
20.230000
0.068928
0.068928
0.068928
0.057440
0.068928
0.068928
0.244800
0.244800
0.204000
0.244800
8.100000
4.700000
4.660000
4.448571
5.105000
5.338285
5.338285
5.338285
7.824000
6.520000
7.824000
6.520000
7.824000
7.824000
7.824000
7.824000
7.824000
7.824000

Grupa
Nr.
terape
crt
utica
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136

J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC03
J02AC03
J02AC03
J02AC03
J02AC04
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB14

J05AF05
J05AF05

Denumire generica

FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
POSACONAZOLUM**
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
VALGANCICLOVIRUM**
LAMIVUDINUM
LAMIVUDINUM

Denumire comerciala

MYCOSYST 150 mg
DIFLAZON 150 mg
FLUCOVIM 150
DIFLUCAN 150 mg
FLUCORIC 150 mg
FLUCONAZOL ACTAVIS 150 mg

MYCOMAX 150
FLUCONAZOLE TEVA 200 mg

FLUCONAZOL 50 mg
FLUCONAZOLE TEVA 50 mg
FLUCONAZOL MEDOCHEMIE 50 mg

FLUCONAZOL ARENA 50 MG
FLUCONAZOL BIOGALENICA 50 mg

FLUCOVIM 50
FUNGOLON 50 mg
DIFLAZON 50 mg
FLUCONAZOL OZONE 50 mg
FLUCONAZOL 50 mg
DIFLUCAN 50 mg
FLUCORIC 50 mg
FLUCONAZOL SANDOZ (R) 50

DIFLUCAN (R) 50 mg/5 ml


DIFLAZON 2mg/ml
FLUCONAZOL BIOGALENICA 2mg/ml

FLUCONAZOL B. BRAUN 2mg/ml


FLUCONAZOL B. BRAUN 2mg/ml
FLUCONAZOL B. BRAUN 2mg/ml
FLUCONAZOL B. BRAUN 2mg/ml
FLUCONAZOL B. BRAUN 2mg/ml

FLUCONAZOL KABI 2 mg/ml


FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL KABI 2 mg/ml
DIFLUCAN (R)
DIFLUCAN (R)
FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL KABI 2 mg/ml
MYCOMAX INF 2mg/ml
MYCOMAX INF 2mg/ml
MYCOMAX INF 2mg/ml
VFEND 200mg
VFEND 50mg
VFEND 200mg
VFEND 40 mg/ml
NOXAFIL SP 40mg/ml
ACICLOVIR ARENA 200 mg
ACICLOVIR 200 mg
ACICLOVIR ARENA 200 mg
ACICLOVIR ARENA 400 mg
ACICLOVIR 200 mg
ACICLOVIR 200 mg
ACICLOVIR TERAPIA 200 mg
CLOVIRAL 200 mg
ACICLOVIR 200 mg
ACICLOVIR 400 mg
LOVIR 200 mg
ACICLOVIR OZONE 200 mg
ACICLOVIR OZONE 200 mg
ACIKLOVIR
VIROLEX
VALCYTE (R) 450 mg
LAMIVUDINE TEVA 100 mg
ZEFFIX 100 mg

Forma
Concentrati
farmaceutica
e / U.T.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
PULB. PT. SUSP. ORALA

SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
COMPR. FILM.
COMPR. FILM.
PULB. PT. SOL. PERF.
PULB. PT. SUSP. ORALA

SUSP. ORALA

CAPS.
CAPS.
CAPS.
CAPS.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. DISP.
COMPR. DISP.
COMPR. DISP.
COMPR. FILM.
PULB. PT. SOL. INJ./PERF.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

150mg
150mg
150mg
150mg
150mg
150mg
150mg
200mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg/5ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
200mg
50mg
200mg
40mg/ml
40mg/ml
200mg
200mg
200mg
400mg
200mg
200mg
200mg
200mg
200mg
400mg
200mg
200mg
200mg
400mg
250mg
450mg
100 mg
100mg

Firma

Tara

Ambalaj

ROMANIA CUTIE X 4 BLIST. AL/PVC X 1 CAPS.


KRKA D.D.
SLOVENIA CUTIE X 1 BLIST. X 1 CAPS.
VIM SPECTRUM SRL ROMANIA CUTIE X 1 FLAC. X 1 CAPS.
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 1 CAPS.
TERAPIA SA
ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS.
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 BLIST. PVC-PVDC/AL X 1 CAPS.
ZENTIVA K.S.
CEHIA
CUTIE X 1 BLIST. AL/PVC X 1 CAPS.
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.
SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS.
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.
MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS.
ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS.
LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.
VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS.
BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 1 BLIST. PVC/AL X 8 CAPS.
KRKA D.D.
SLOVENIA CUTIE X 1 BLIST. X 7 CAPS.
OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.
ANTIBIOTICE S.A.
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS.
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 7 CAPS.
TERAPIA SA
ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS.
SANDOZ SRL
ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS.
GEDEON RICHTER ROMANIA SA

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

Prescriptie

P-RF
P-RF
P-RF
P-RF
P-RF

PRF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
S/PR-F

ARENA GROUP S.A. ROMANIA CUTIE X 1 FLAC. X 100 ML SOL. PERF. S


S
B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FLAC. PEJD X 50 ML SOL. PERF. S
B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. PEJD X 100 ML SOL. PERF. S
B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FLAC. PEJD X 100 ML SOL. PERF. S
B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. PEJD X 200 ML SOL. PERF. S
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. S
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 25 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. S
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF.
S
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF. S
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF. S
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.
S
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.
S
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 200 ML
S/P-RF
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 50 ML
S/P-RF
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 25 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.
S
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF.
S
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. S
ZENTIVA K.S.
S
ZENTIVA K.S.
S
ZENTIVA K.S.
S
PFIZER LIMITED
MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF
PFIZER LIMITED
MAREA BRITANIE CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL) P-RF
PFIZER LIMITED
MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML
P-RF
PFIZER LIMITED
MAREA BRITANIE
P-RF
SP EUROPE
BELGIA CUTIE X 1 FLAC. X 105ML SUSP. ORALA P-RF/R
ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. P-RF/S
SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF
ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF
ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF
LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
P-RF
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. P-RF
TERAPIA SA
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
ANTIBIOTICE SA
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF
B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. PEJD X 50 ML SOL. PERF.

REPUBLICA SLOVACA

CUTIE CU 1 FLACON DIN STICLA INCOLORA A 50 ML SOL. PERF. X 100 MG FLUCONAZOL

REPUBLICA SLOVACA

CUTIE CU 1 FLACON DIN STICLA INCOLORA A 100 ML SOL. PERF. X 200 MG FLUCONAZOL

REPUBLICA SLOVACA

CUTIE CU 1 FLACON DIN STICLA INCOLORA A 200 ML SOL. PERF. X 400 MG FLUCONAZOL

CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA

RANBAXY UK LIMITED MAREA BRITANIE

CUTIE X 1 BLIST. DIN PVC-PVDC/AL X 10 COMPR. DISP. P-RF

OZONE LABORATORIES LTD.

MAREA BRITANIE

CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. DISP. P-RF

LABORMED PHARMA S.A.

ROMANIA CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. DISP. P-RF


ROMANIA CUTIE X 7 BLIST. AL/PVC X 5 COMPR. FILM. P-RF

A & G MED TRADING S.R.L.

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE X 5 FLAC. X 250 MG PULB. PT. SOL. INJ./PERF.

ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. X 60 COMPR. FILM.

TEVA PHARMA B.V. OLANDA


GLAXO GROUP LTD. MAREA BRITANIE

S/P-RF

P-RF

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

Pagina 45 din 48

cant/a
mbala
j

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

4
1
1
1
1
1
1
7
7
7
7
7
7
7
8
7
7
10
7
7
7
1
1
1
10
20
10
20
10
20
25
1
10
1
10
20
1
1
25
1
10
1
1
1
28
28
1
1
1
1000
20
20
10
20
20
20
20
20
10
10
20
20
35
5
60
30
28

47.68
16.46
7.27
18.34
13.79
7.35
9.15
29.74
14.32
12.20
11.81
13.98
11.53
16.50
13.92
46.63
16.50
18.66
42.71
21.65
31.68
42.71
34.63
40.15
180.75
358.65
449.60
787.39
761.97
624.35
772.93
80.99
753.13
18.63
179.79
356.89
131.62
30.62
438.62
33.88
326.90
30.18
42.16
135.83
3,517.81
901.74
453.05
2,178.01
2,669.12
696.23
14.80
15.66
14.23
9.51
12.60
12.54
12.02
10.09
14.06
2.74
5.30
5.30
43.20
229.07
4,806.36
157.13
225.63

11.920000
16.460000
7.270000
18.340000
13.790000
7.350000
9.150000
4.248571
2.045714
1.742857
1.687142
1.997142
1.647142
2.357142
1.740000
6.661428
2.357142
1.866000
6.101428
3.092857
4.525714
42.710000
34.630000
40.150000
18.075000
17.932500
44.960000
39.369500
76.197000
31.217500
30.917200
80.990000
75.313000
18.630000
17.979000
17.844500
131.620000
30.620000
17.544800
33.880000
32.690000
30.180000
42.160000
135.830000
125.636071
32.205000
453.050000
2,178.010000
2,669.120000
0.696230
0.740000
0.783000
1.423000
0.475500
0.630000
0.627000
0.601000
0.504500
1.406000
0.274000
0.265000
0.265000
1.234285
45.814000
80.106000
5.237666
8.058214

Pret cu ridicata
maximal de
decontare / U.T.

5.784000
5.784000
5.784000
5.784000
5.784000
5.784000
5.784000
4.248571
1.976570
1.742857
1.687142
1.976570
1.647142
1.976570
1.740000
1.976570
1.976570
1.866000
1.976570
1.976570
1.976570
42.710000
34.630000
37.100640
18.075000
17.932500
37.100640
37.100640
76.197000
31.217500
30.917200
80.990000
75.313000
18.630000
17.979000
17.844500
90.375600
21.053760
17.544800
33.880000
32.690000
21.053760
37.100640
90.375600
125.636071
32.205000
453.050000
2,178.010000
2,669.120000
0.318000
0.318000
0.318000
1.423000
0.318000
0.318000
0.318000
0.318000
0.318000
1.406000
0.274000
0.265000
0.265000
1.234285
45.814000
80.106000
5.237666
6.285199

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

62.36
22.25
9.82
24.79
18.64
9.94
12.37
38.90
19.35
16.49
15.96
18.89
15.58
22.30
18.81
60.99
22.30
25.22
55.87
29.26
41.44
55.87
45.29
52.52
220.66
429.08
528.22
896.41
868.70
718.69
880.65
102.40
859.06
25.18
219.49
427.16
160.68
40.05
516.25
44.32
394.47
39.48
55.14
165.82
3,872.57
1,021.05
531.97
2,412.18
2,947.50
797.04
20.00
21.17
19.24
12.85
17.03
16.95
16.24
13.64
19.00
3.70
7.16
7.16
56.50
279.65
5,277.09
191.83
275.45

15.590000
22.250000
9.820000
24.790000
18.640000
9.940000
12.370000
5.557142
2.764285
2.355714
2.280000
2.698571
2.225714
3.185714
2.351250
8.712857
3.185714
2.522000
7.981428
4.180000
5.920000
55.870000
45.290000
52.520000
22.066000
21.454000
52.822000
44.820500
86.870000
35.934500
35.226000
102.400000
85.906000
25.180000
21.949000
21.358000
160.680000
40.050000
20.650000
44.320000
39.447000
39.480000
55.140000
165.820000
138.306071
36.466071
531.970000
2,412.180000
2,947.500000
0.797040
1.000000
1.058500
1.924000
0.642500
0.851500
0.847500
0.812000
0.682000
1.900000
0.370000
0.358000
0.358000
1.614285
55.930000
87.951500
6.394333
9.837500

7.824000
7.824000
7.824000
7.824000
7.824000
7.824000
7.824000
5.557142
2.670857
2.355714
2.280000
2.670857
2.225714
2.670857
2.351250
2.670857
2.670857
2.522000
2.670857
2.670857
2.670857
55.870000
42.271200
42.271200
22.066000
21.454000
42.271200
42.271200
86.870000
35.934500
35.226000
102.400000
85.906000
24.780000
21.949000
21.358000
103.087200
24.780000
20.650000
42.271200
39.447000
24.780000
42.271200
103.087200
138.306071
36.466071
531.970000
2,412.180000
2,947.500000
0.429600
0.429600
0.429600
1.924000
0.429600
0.429600
0.429600
0.429600
0.429600
1.900000
0.370000
0.358000
0.358000
1.614285
55.930000
87.951500
6.394333
7.673200

Grupa
Nr.
terape
crt
utica
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181

J05AF05
J05AF05
J05AF05
J05AF05
J05AF05
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA10
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AX01
L04AX01
L04AX01
L04AX01

Denumire generica

LAMIVUDINUM
LAMIVUDINUM
LAMIVUDINUM
LAMIVUDINUM
LAMIVUDINUM
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**

SIROLIMUS**
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
AZATHIOPRINUM*
AZATHIOPRINUM*
AZATHIOPRINUM*
AZATHIOPRINUM*

Denumire comerciala

LAMIVUDINE TEVA PHARMA B.V. 150 mg

EPIVIR 150mg
LAMIVUDINE TEVA PHARMA B.V. 300 mg

Forma
Concentrati
farmaceutica
e / U.T.
COMPR. FILM. 150 mg
COMPR. FILM. 150mg
COMPR. FILM. 300 mg

EPIVIR 10mg/ml
ZEFFIX 5 mg/ml
CELLCEPT 250mg

SOL. ORALA 10mg/ml


SOL. ORALA 5mg/ml
CAPS.
250mg
MYCOPHENOLATE MOFETIL MEDICO UNO 500 MG COMPR. FILM. 500mg
CELLCEPT 500mg
COMPR. FILM. 500mg
MYFORTIC 180 mg
COMPR. FILM. GASTROREZ. 180mg
MYFORTIC 360 mg
COMPR. FILM. GASTROREZ. 360mg
MICOFENOLAT MOFETIL DR. REDDY'S 250 mg CAPS.
250 mg
MYCOPHENOLATE MOFETIL ACCORD 250 mg CAPS.
250mg
MYFENAX 250mg
CAPS.
250mg
MICOFENOLAT MOFETIL SANDOZ 500 mg COMPR.
500mg
MYFENAX 500mg
COMPR. FILM. 500mg
MICOFENOLAT MOFETIL DR. REDDY'S 500 mg COMPR. FILM. 500mg
MYCOFENOLAT MOFETIL ACTAVIS 500 mgCOMPR. FILM. 500mg
MICOFENOLAT MOFETIL DR. REDDY'S 500 mg COMPR. FILM. 500mg
RAPAMUNE 1mg
DRAJ.
1mg
EQUORAL (R) 100 mg
CAPS. MOI 100mg
CICLORAL 25 mg
CAPS. MOI 25mg
EQUORAL (R) 25 mg
CAPS. MOI 25mg
SANDIMMUN NEORAL (R)
CAPS. MOI 25mg
CICLORAL 50 mg
CAPS. MOI 50mg
EQUORAL (R) 50 mg
CAPS. MOI 50mg
SANDIMMUN NEORAL (R)
CAPS. MOI 50mg
EQUORAL (R)
SOL. ORALA 100mg/ml
TACNI 0,5 mg
CAPS.
0,5 mg
PROGRAF (R) 0,5 mg
CAPS.
0,5mg
TACROLIMUSUM ACCORD 0,5 mg CAPS.
0,5mg
TACROLIMUS SANDOZ 0,5 mg CAPS.
0,5mg
TACNI 1 mg
CAPS.
1 mg
PROGRAF (R) 1 mg
CAPS.
1mg
TACROLIMUSUM ACCORD 1 mg CAPS.
1mg
TACROLIMUS SANDOZ 1 mg CAPS.
1mg
TACNI 5 mg
CAPS.
5 mg
PROGRAF (R) 5 mg
CAPS.
5mg
ADVAGRAF 0,5mg
CAPS. ELIB. PREL. 0,5mg
ADVAGRAF 1mg
CAPS. ELIB. PREL. 1mg
ADVAGRAF 5mg
CAPS. ELIB. PREL. 5mg
PROGRAF (R) 5 mg/ml
CONC. PT. SOL. PERF. 5mg/ml
IMMUNOPRIN 100 mg
COMPR. FILM. 100mg
IMMUNOPRIN 100 mg
COMPR. FILM. 100mg
IMURAN (R)
COMPR. FILM. 50mg
IMMUNOPRIN 75 mg
COMPR. FILM. 75mg

Firma

Tara

Ambalaj

Prescriptie

TEVA PHARMA B.V. OLANDA CUTIE CU BLIST. PVC/PVDC/AL X 60 COMPR. FILM. P-RF/R
GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLAC. PEID X 60 COMPR. FILM. P-RF/R
TEVA PHARMA B.V. OLANDA CUTIE CU BLIST. PVC/PVDC/AL X 30 COMPR. FILM. P-RF/R
GLAXO GROUP LTD. MAREA BRITANIE
P-RF/R
GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLACON HDPE X 240 ML + 1 SERINGA DOZATOARE PP + 1 ADAPTOR PEP-RF/R
ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 10 BLIST. X 10 CAPS.
P-RF/R
MEDICO UNO PHARMA KFT. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. P-RF/R
ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 5 BLIST. X 10 COMPR. FILM. P-RF/R
CUTIE X 1 FLACON PEID X 240ML SOL. ORALA + 1 SERINGA DOZATOARE + 1 ADAPTOR

NOVARTIS PHARMA GMBH GERMANIA

CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ.S/P-RF

NOVARTIS PHARMA GMBH GERMANIA

CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ.S/P-RF

DR. REDDY'S LABORATORIES

ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 100 CAPS. PR

ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL CU 100 CAPS.

TEVA PHARMA BV
SANDOZ S.R.L.
TEVA PHARMA BV

P-RF/R

DR. REDDY'S LABORATORIES

OLANDA CUTIE X BLIST. PVC/PVDC/AL X 100 CAPS. P-RF/R


ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 50 COMPR. FILM. P-RF
OLANDA CUTIE X BLIST. PVC/PVDC/AL X 50 COMPR. FILM. P-RF/R
ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. P-RF
ISLANDA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. P-RF/R
ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. P-RF

DR. REDDY'S LABORATORIES

ACTAVIS GROUP PTC EHF.

WYETH EUROPA LTD.

MAREA BRITANIE

CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR)

P-RF/R

IVAX - PHARMACEUTICALS S.R.O.

CEHIA

CUTIE X 5 BLIST. X 10 CAPS. MOI

S/P-RF

HEXAL AG

GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI

S/P-RF

IVAX - PHARMACEUTICALS S.R.O.

CEHIA

S/P-RF

NOVARTIS PHARMA GMBH

CUTIE X 5 BLIST. X 10 CAPS. MOI


GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI

HEXAL AG

GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI

S/P-RF
S/P-RF

CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF


NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI
S/P-RF
IVAX - PHARMACEUTICALS S.R.O. CEHIA
S/P-RF
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI DE AL A CATE 10 CAPSULE
PRF
ASTELLAS PHARMA EUROPE BV OLANDA
S/P-RF
ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. AL/AL X 50 CAPS. PR
SANDOZ S.R.L.
ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS. S/P-RF
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI AL A CATE 10 CAPSULE PRF
ASTELLAS PHARMA EUROPE BV OLANDA
S/P-RF
ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. AL/AL X 50 CAPS. PR
SANDOZ S.R.L.
ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS. S/P-RF
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI AL A CATE 10 CAPS. PRF
ASTELLAS PHARMA EUROPE BV OLANDA
S/P-RF
IVAX - PHARMACEUTICALS S.R.O.

CEHIA

CUTIE X 1 FLACON DIN STICLA BRUNA X 50 ML, UN DISPOZITIV DE MASURAT + UN CAPAC CU FILET

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT

ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)

P-RF/R

ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)

P-RF/R

ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)

P-RF/R

ASTELLAS PHARMA EUROPE BV


EBEWE PHARMA GES.M.B.H. NFG KG
EBEWE PHARMA GES.M.B.H. NFG KG

OLANDA CUTIE X 10 FIOLE X 1 ML


S
AUSTRIA CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM. PR
AUSTRIA CUTIE CU 1 FLAC. PEID X 50 COMPR. FILM. PR

THE WELLCOME FOUNDATION LTD. MAREA BRITANIE


EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRIA

CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM.

S/P-RF

CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM.

PR

cant/a
mbala
j

60
60
30
1
1
100
50
50
120
120
100
100
100
50
50
50
50
50
30
50
50
50
50
50
50
50
1
50
50
50
50
50
50
50
50
50
50
50
50
50
10
100
50
100
100

Pret cu
ridicata
maximal /
ambalaj

315.52
471.30
315.52
130.26
102.79
447.90
289.44
447.90
551.46
1,030.04
288.20
289.44
298.76
224.51
298.76
298.76
269.39
298.76
483.90
393.08
111.30
73.58
111.16
247.07
153.73
236.51
354.17
131.94
202.98
131.94
131.94
235.82
359.82
235.82
235.82
1,101.92
1,695.40
202.51
398.16
1,844.03
1,527.41
82.20
41.83
63.23
61.67

Pret cu ridicata
maximal / U.T.

5.258666
7.855000
10.517333
130.260000
102.790000
4.479000
5.788800
8.958000
4.595500
8.583666
2.882000
2.894400
2.987600
4.490200
5.975200
5.975200
5.387800
5.975200
16.130000
7.861600
2.226000
1.471600
2.223200
4.941400
3.074600
4.730200
354.170000
2.638800
4.059600
2.638800
2.638800
4.716400
7.196400
4.716400
4.716400
22.038400
33.908000
4.050200
7.963200
36.880600
152.741000
0.822000
0.836600
0.632300
0.616700

Pret cu ridicata
maximal de
decontare / U.T.

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

5.258666
6.310399
10.517333
130.260000
102.790000
3.458400
5.388240
5.388240
4.595500
8.583666
2.882000
2.894400
2.987600
4.490200
5.388240
5.388240
5.387800
5.388240
16.130000
7.861600
1.765920
1.471600
1.765920
3.689520
3.074600
3.689520
354.170000
2.638800
3.166560
2.638800
2.638800
4.716400
5.659680
4.716400
4.716400
22.038400
26.446080
3.166560
5.659680
26.446080
152.741000
0.822000
0.836600
0.632300
0.616700

382.07
551.87
382.07
159.02
125.49
526.36
353.35
526.36
639.24
1,160.90
351.83
353.35
364.73
274.08
364.73
364.73
328.87
364.73
565.60
466.61
135.87
93.03
135.71
301.62
187.67
288.73
424.20
161.07
247.80
161.07
161.07
287.89
430.35
287.89
287.89
1,239.24
1,886.14
247.22
472.14
2,048.15
1,703.03
103.94
54.72
79.95
77.97

6.367833
9.197833
12.735666
159.020000
125.490000
5.263600
7.067000
10.527200
5.327000
9.674166
3.518300
3.533500
3.647300
5.481600
7.294600
7.294600
6.577400
7.294600
18.853333
9.332200
2.717400
1.860600
2.714200
6.032400
3.753400
5.774600
424.200000
3.221400
4.956000
3.221400
3.221400
5.757800
8.607000
5.757800
5.757800
24.784800
37.722800
4.944400
9.442800
40.963000
170.303000
1.039400
1.094400
0.799500
0.779700

6.367833
7.641400
12.735666
159.020000
125.490000
4.221960
6.577920
6.577920
5.327000
9.674166
3.518300
3.533500
3.647300
5.481600
6.577920
6.577920
6.577400
6.577920
18.853333
9.332200
2.232720
1.860600
2.232720
4.504080
3.753400
4.504080
424.200000
3.221400
3.865680
3.221400
3.221400
5.757800
6.909360
5.757800
5.757800
24.784800
29.741760
3.865680
6.909360
29.741760
170.303000
1.039400
1.094400
0.799500
0.779700

0.508200
0.765333
10.751000
20.140000
0.601600
13.931428
28.929642
55.145714
79.254000
156.718000
12.596000
12.204000
10.374000
3.070000
12.182000

33.24
31.03
131.25
245.87
76.07
463.34
921.08
1,721.20
470.08
892.26
153.77
77.15
126.64
20.75
148.72

0.664800
1.034333
13.125000
24.587000
0.760700
16.547857
32.895714
61.471428
94.016000
178.452000
15.377000
15.430000
12.664000
4.150000
14.872000

0.664800
1.034333
13.125000
24.587000
0.760700
16.547857
32.895714
61.471428
94.016000
178.452000
15.377000
15.430000
12.664000
4.150000
14.872000

Pentru urmtoarele DCI-uri: VORICONAZOLUM, VALGANCICLOVIRUM, EPOETINUM BETA i DARBOPOETINUM, prescrierea i eliberarea medicamentelor se fac numai cu aprobarea Ageniei Naionale de
Transplant

P10: PROGRAM NATIONAL DE SUPLEERE A FUNCTIEI RENALE LA BOLNAVII CU INSUFICIENTA RENALA CRONICA
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15

A11CC03
A11CC03
A11CC03
A11CC03
A11CC04
A11CC07
A11CC07
A11CC07
A11CC07
A11CC07
B01AB01
B01AB01
B01AB01
B01AB01
B01AB01

ALFACALCIDOLUM
ALFACALCIDOLUM
ALFACALCIDOLUM
ALFACALCIDOLUM
CALCITRIOLUM**
PARICALCITOLUM**
PARICALCITOLUM**
PARICALCITOLUM**
PARICALCITOLUM**
PARICALCITOLUM**
HEPARINUM**
HEPARINUM**
HEPARINUM**
HEPARINUM**
HEPARINUM**

ALPHA D3 0,25 mcg


ALPHA D3 0,50 mcg
ONE-ALPHA 2 micrograme/ml
ONE-ALPHA 2 micrograme/ml
ROCALTROL
ZEMPLAR 1mcg
ZEMPLAR 2mcg
ZEMPLAR 4mcg
ZEMPLAR
ZEMPLAR

CAPS. MOI
CAPS. MOI
SOL. INJ.
SOL. INJ.
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
SOL. INJ.
SOL. INJ.
HEPARIN SODIUM 25.000 U.I./5ml SOL. INJ.
HEPARIBENE Na 25000
SOL. INJ.
HEPARINE SODIQUE PANPHARMA SOL. INJ.
HEPARIN
SOL. INJ.
HEPARIN
SOL. INJ.

0,25mcg
0,50mcg
2micrograme/ml
2micrograme/ml

0,25mcg
1mcg
2mcg
4mcg
5 mcg/ml
5 mcg/ml

TEVA PHARMACEUTICALS S.R.L.


TEVA PHARMACEUTICALS S.R.L.

LEO PHARMA A/S


LEO PHARMA A/S

ROMANIA CUTIE X 1 FLAC. DIN PPID X 50 CAPS. MOI


ROMANIA CUTIE X 1 FLAC. X 30 CAPS. MOI

P-RF
P-RF

S
CUTIE CU 10 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ. S

DANEMARCA CUTIE CU 10 FIOLE DIN STICLA BRUNA X 0,5 ML SOL. INJ.


DANEMARCA

ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 CAPS. MOIP-RF

SPANIA CUTIE X 4 BLIST. PVC/FLUOROPOLIMER/AL X 7 CAPS. MOI


SPANIA CUTIE X 4 BLIST. PVC/FLUOROPOLIMER/AL X 7 CAPS.
ABBOTT LABORATORIES LTD. SPANIA
CUTIE X 4 BLIST. PVC/FLUOROPOLIMER/AL X 7 CAPS. MOI
ABBOTT LABORATORIES LTD. SPANIA
CUTIE X 5 FIOLE X 1 ML SOL. INJ.
ABBOTT LABORATORIES LTD. SPANIA
CUTIE X 5 FIOLE X 2 ML SOL. INJ.
25.000U.I./5ml CN UNIFARM S.A.
ROMANIA CUTIE CU 10 FLAC. INJ.
5000 UI/ml HK&ZY BEST PHARMA DISTRIBUTION ROMANIA CUTIE CU 5 FLACOANE X 25000 UI
5000ui/ml
LAB. PANPHARMA FRANTA CUTIE X 10 FLACOANE DIN STICLA INCOLORA X 5 ML SOL. INJ.
5000ui/ml
POLIPHARMA INDUSTRIES S.R.L. ROMANIA CUTIE X 5 FIOLE X 1ML
5000ui/ml
POLIPHARMA INDUSTRIES S.R.L. ROMANIA CUTIE X 10 FIOLE X 5ML
ABBOTT LABORATORIES LTD.

P-RF

ABBOTT LABORATORIES LTD.

P-RF

Pagina 46 din 48

P-RF

S
S
P-RF
P-RF

S
S
S

50
30
10
10
100
28
28
28
5
5
10
5
10
5
10

25.41
22.96
107.51
201.40
60.16
390.08
810.03
1,544.08
396.27
783.59
125.96
61.02
103.74
15.35
121.82

0.508200
0.765333
10.751000
20.140000
0.601600
13.931428
28.929642
55.145714
79.254000
156.718000
12.596000
12.204000
10.374000
3.070000
12.182000

Grupa
Nr.
terape
crt
utica
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68

B01AB05
B01AB05
B01AB05
B01AB05
B01AB06
B01AB06
B01AB06
B01AB06
B01AB06
B01AB08
B01AB08
B01AB10
B01AB10
B01AB10
B01AB10
B01AB10
B01AB10
B01AB10

Denumire generica

ENOXAPARINUM**
ENOXAPARINUM**
ENOXAPARINUM**
ENOXAPARINUM**
NADROPARINUM**
NADROPARINUM**
NADROPARINUM**
NADROPARINUM**
NADROPARINUM**
REVIPARINUM**
REVIPARINUM**
TINZAPARINUM**
TINZAPARINUM**
TINZAPARINUM**
TINZAPARINUM**
TINZAPARINUM**
TINZAPARINUM**
TINZAPARINUM**

B03AC02 COMPLEX DE HIDROXID DE FER (III) SUCROZA


B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
H05BX01
H05BX01
H05BX01
V03AE02

EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
CINACALCETUM****
CINACALCETUM****
CINACALCETUM****
SEVELAMER**

Denumire comerciala

Forma
Concentrati
farmaceutica
e / U.T.

SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
FRAXIPARINE 2850 UI anti-factor Xa/0,3 ml SOL. INJ.
FRAXIPARINE 3800 UI anti-factor Xa/0,4 ml SOL. INJ.
FRAXIPARINE 5700 UI anti-factor Xa/0,6 ml SOL. INJ.
FRAXIPARINE 7600 UI anti-factor Xa/0,8 ml SOL. INJ.
FRAXIPARINE 9500 UI anti-factor Xa/1 ml multidoza SOL. INJ.
CLIVARIN (R) 1432UI/0,25 ml SOL. INJ.
CLIVARIN (R) 3436 UI/0,6 ml SOL. INJ.
INNOHEP
SOL. INJ.
INNOHEP
SOL. INJ.
INNOHEP
SOL. INJ.
INNOHEP
SOL. INJ.
INNOHEP
SOL. INJ.
INNOHEP
SOL. INJ.
INNOHEP
SOL. INJ.
VENOFER (R)
SOL. INJ./PERF.
EPREX (R) 3000 UI
SOL. INJ.
EPREX (R) 40 000 UI
SOL. INJ.
BINOCRIT 10000UI/1,0ml
BINOCRIT 1000UI/0,5ml
BINOCRIT 2000UI/1,0ml
BINOCRIT 30000UI/0,75ml
BINOCRIT 3000UI/0,3ml
EPREX 40000 UI
BINOCRIT 40000 UI/1 ml
BINOCRIT 4000UI/0,4ml
BINOCRIT 5000UI/0,5ml
CLEXANE 2000ui anti-Xa/0,2ml
CLEXANE 4000ui anti-Xa/0,4ml
CLEXANE 6000ui anti-Xa/0,6ml
CLEXANE 8000ui anti-Xa/0,8ml

Pret cu ridicata
maximal / U.T.

P-RF

10
10
10
2
10
10
10
10
10
10
5
2
2
10
2
2
2
10
5
6
1
6
6
6
1
6
1
1
6
6
6
6
6
1
6
6
6
4
4
4
4
4
1
4
4
1
4
4
4
28
28
28
180

57.01
117.03
152.10
39.43
58.94
80.86
107.22
153.60
751.00
66.02
79.26
26.53
19.10
451.76
102.88
57.57
80.64
975.08
121.24
653.92
1,192.91
1,532.97
176.81
351.85
680.43
513.14
1,192.91
867.37
674.39
835.59
2,093.33
226.59
442.92
1,030.67
855.25
1,061.28
116.51
2,842.62
320.42
4,234.65
462.11
602.82
1,968.23
881.01
1,161.60
3,260.40
1,440.69
1,722.12
2,283.14
745.62
1,367.29
1,945.08
691.10

5.701000
11.703000
15.210000
19.715000
5.894000
8.086000
10.722000
15.360000
75.100000
6.602000
15.852000
13.265000
9.550000
45.176000
51.440000
28.785000
40.320000
97.508000
24.248000
108.986666
1,192.910000
255.495000
29.468333
58.641666
680.430000
85.523333
1,192.910000
867.370000
112.398333
139.265000
348.888333
37.765000
73.820000
1,030.670000
142.541666
176.880000
19.418333
710.655000
80.105000
1,058.662500
115.527500
150.705000
1,968.230000
220.252500
290.400000
3,260.400000
360.172500
430.530000
570.785000
26.629285
48.831785
69.467142
3.839444

5.701000
11.703000
15.210000
19.715000
5.894000
8.086000
10.722000
15.360000
75.100000
6.602000
15.852000
13.265000
9.550000
45.176000
51.440000
28.785000
40.320000
97.508000
24.248000
102.628000
1,040.844000
255.495000
29.468333
58.641666
680.430000
85.523333
1,040.844000
867.370000
112.398333
139.265000
348.888333
37.765000
73.820000
1,030.670000
142.541666
176.880000
19.418333
710.655000
80.105000
1,058.662500
115.527500
150.705000
1,968.230000
220.252500
290.400000
3,260.400000
360.172500
430.530000
570.785000
26.629285
48.831785
69.467142
3.839444

72.08
142.87
185.68
51.58
74.53
102.24
130.90
187.52
856.74
83.47
100.22
34.70
25.82
530.57
125.59
72.79
101.96
1,100.99
148.01
750.92
1,338.42
1,709.09
215.85
421.67
779.82
597.47
1,338.42
983.58
773.24
948.94
2,319.88
276.62
520.93
1,161.58
970.37
1,194.95
142.24
3,136.61
387.41
4,653.92
541.85
695.22
2,183.52
998.45
1,304.30
3,591.99
1,608.50
1,915.26
2,526.78
850.88
1,528.50
2,158.29
791.45

7.208000
14.287000
18.568000
25.790000
7.453000
10.224000
13.090000
18.752000
85.674000
8.347000
20.044000
17.350000
12.910000
53.057000
62.795000
36.395000
50.980000
110.099000
29.602000
125.153333
1,338.420000
284.848333
35.975000
70.278333
779.820000
99.578333
1,338.420000
983.580000
128.873333
158.156666
386.646666
46.103333
86.821666
1,161.580000
161.728333
199.158333
23.706666
784.152500
96.852500
1,163.480000
135.462500
173.805000
2,183.520000
249.612500
326.075000
3,591.990000
402.125000
478.815000
631.695000
30.388571
54.589285
77.081785
4.396944

7.208000
14.287000
18.568000
25.790000
7.453000
10.224000
13.090000
18.752000
85.674000
8.347000
20.044000
17.350000
12.910000
53.057000
62.795000
36.395000
50.980000
110.099000
29.602000
119.494000
1,180.296000
284.848333
35.975000
70.278333
779.820000
99.578333
1,180.296000
983.580000
128.873333
158.156666
386.646666
46.103333
86.821666
1,161.580000
161.728333
199.158333
23.706666
784.152500
96.852500
1,163.480000
135.462500
173.805000
2,183.520000
249.612500
326.075000
3,591.990000
402.125000
478.815000
631.695000
30.388571
54.589285
77.081785
4.396944

AUSTRIA CUTIE X 4 BLIST. PVC-PE-ACLAR/AL X 7 COMPR. FILM. P-RF


AUSTRIA CUTIE X 2 BLIST. PVC-PE-ACLAR/AL X 7 COMPR. FILM. P-RF
ROMANIA CUTIE X 2 BLIST. AL/PVC X 25 COMPR. P-TS
ROMANIA CUTIE X 5 BLIST. AL/PVC-PVDC X 10 COMPR. P-TS
ROMANIA CUTIE X 2 BLIST. AL/PVC-PVDC X 10 COMPR. P-TS
ROMANIA CUTIE X 2 BLIST. AL/PVC-PVDC X 10 COMPR. P-TS
ROMANIA CUTIE X 5 BLIST. AL/PVC-PVDC X 10 COMPR. P-TS
ROMANIA CUTIE CU 1 FL. X 1000ML
PS
BELGIA CUTIE X 7 COMPR. SUBLING. ( BLIST.NYLON/AL/PVC)P-TS; S

28
14
50
50
20
20
50
1
7

246.61
165.42
17.84
46.00
18.40
4.59
11.49
451.00
21.80

8.807500
11.815714
0.356800
0.920000
0.920000
0.229500
0.229800
451.000000
3.114285

8.807500
10.569000
0.356800
0.920000
0.920000
0.229500
0.229800
451.000000
3.114285

301.06
201.94
24.11
60.17
24.87
6.21
15.53
529.74
29.46

10.752142
14.424285
0.482200
1.203400
1.243500
0.310500
0.310600
529.740000
4.208571

10.752142
12.902570
0.482200
1.203400
1.243500
0.310500
0.310600
529.740000
4.208571

Ambalaj

Prescriptie

8000ui anti-Xa/0,8ml

LAB. AVENTIS
LAB. AVENTIS
LAB. AVENTIS
LAB. AVENTIS

FRANTA
FRANTA
FRANTA
FRANTA

2850 ui AFXa/0,3ml

GLAXO GROUP LIMITED/GLAXO WELLCOME HOUSE

MAREA BRITANIE CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,3 ML SOL. INJ.

S/P-RF

3800 ui AFXa/0,4ml

GLAXO GROUP LIMITED/GLAXO WELLCOME HOUSE

MAREA BRITANIE CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,4 ML SOL. INJ.

S/P-RF

5700 ui AFXa/0,6ml

GLAXO GROUP LIMITED/GLAXO WELLCOME HOUSE

MAREA BRITANIE CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,6 ML SOL. INJ.

S/P-RF

7600 ui AFXa/0,8ml

GLAXO GROUP LIMITED/GLAXO WELLCOME HOUSE

MAREA BRITANIE CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,8 ML SOL. INJ.

S/P-RF

2000ui anti-Xa/0,2ml
4000ui anti-Xa/0,4ml
6000ui anti-Xa/0,6ml

GLAXO GROUP LIMITED MAREA BRITANIE


1432ui/0,25ml ABBOTT GMBH&CO.KG GERMANIA
3436ui/0,6ml ABBOTT GMBH&CO.KG GERMANIA

9500 UI AFXa/1 ml

CUTIE X 10 SERINGI PREUMPLUTE X 0,2 ML SOL. INJ.S/P-RF


CUTIE X 10 SERINGI PREUMPLUTE X 0.4 ML SOL. INJ.S/P-RF
CUTIE X 10 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ.S/P-RF
CUTIE X 2 SERINGI PREUMPLUTE X 0,8 ML SOL. INJ. S/P-RF

CUTIE CU 10 FLAC. DIN STICLA INCOLORA, MULTIDOZA X 5 ML SOL. INJ.

CUTIE X 2 BLIST. X 5 SERINGI PREUMPLUTE UNIDOZA X 0,25ML S/P-RF


CUTIE X 1 BLIST X 5 SERINGI PREUMPLUTE UNIDOZA X 0,60 ML S/P-RF

10000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 2 SERINGI PREUMPLUTE X 0.45 ML SOL. INJ. (4500 U-AXA)

S/P-RF

10000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 2 SERINGI PREUMPLUTE X 0.35 ML SOL. INJ. (3500 U-AXA)

S/P-RF

10000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA

CUTIE X 10 FLAC. DIN STICLA INCOLORA X 2 ML SOL. INJ. (10000 U-AXA)

S/P-RF

20000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 2 SERINGI PREUMPLUTE X 0,90 ML SOL. IN. (18000 U-AXA)

S/P-RF

20000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 2 SERINGI PREUMPLUTE X 0,50 ML SOL. IN. (10000 U-AXA)

S/P-RF

20000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 2 SERINGI PREUMPLUTE X 0,70 ML SOL. IN. (14000 U-AXA)

S/P-RF

20000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA

CUTIE X 10 FLAC. DIN STICLA INCOLORA X 2ML SOL. INJ. (20000 U-AXA)

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 ACES/P-RF/R

1000UI/0,3ml
2000UI/0,3ml

ROCHE REGISTRATION LTD.

MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACES/P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

ROCHE REGISTRATION LTD.

MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. X 6 ACES/P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

30000 UI/0,6ml ROCHE REGISTRATION LTD.

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

4000UI/0,3ml ROCHE REGISTRATION LTD.


5000UI/0,3ml ROCHE REGISTRATION LTD.
500UI/0,3ml ROCHE REGISTRATION LTD.
100mcg/0,5ml AMGEN EUROPE BV
10mcg/0,4ml AMGEN EUROPE BV
150mcg/0,3ml AMGEN EUROPE BV
15mcg/0,375ml AMGEN EUROPE BV
20mcg/0,5ml AMGEN EUROPE BV
300mcg/0,6ml AMGEN EUROPE BV
30mcg/0,3ml AMGEN EUROPE BV
40mcg/0,4ml AMGEN EUROPE BV
500mcg/ml AMGEN EUROPE BV
50mcg/0,5ml AMGEN EUROPE BV
60mcg/0,3ml AMGEN EUROPE BV
80mcg/0,4ml AMGEN EUROPE BV
30mg
AMGEN EUROPE B.V.
60mg
AMGEN EUROPE B.V.
90mg
AMGEN EUROPE B.V.
800mg
GENZYME EUROPE BV

FRANTA CUTIE X 5 FIOLE X 5 ML

S/P-RF

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

NEORECORMON 500UI/0,3ml
ARANESP 100mcg/0,5ml
ARANESP 10mcg/0,4ml
ARANESP 150mcg/0,3ml
ARANESP 15mcg/0,375ml
ARANESP 20mcg/0,5ml
ARANESP 300mcg/0,6ml
ARANESP 30mcg/0,3ml
ARANESP 40mcg/0,4ml
ARANESP 500mcg/ml
ARANESP 50mcg/0,5ml
ARANESP 60mcg/0,3ml
ARANESP 80mcg/0,4ml
MIMPARA 30 mg
MIMPARA 60 mg
MIMPARA 90 mg
RENAGEL 800mg

Pret cu
ridicata
maximal /
ambalaj

Tara

20mg/ml
VIFOR FRANCE S.A.
3000ui/0,3ml JOHNSON & JOHNSON D.O.O.
40 000UI
JOHNSON & JOHNSON D.O.O.
10000UI/1,0ml SANDOZ GMBH
1000UI/0,5ml SANDOZ GMBH
2000UI/1,0ml SANDOZ GMBH
30000UI/0,75ml SANDOZ GMBH
3000UI/0,3ml SANDOZ GMBH
40 000UI
JOHNSON & JOHNSON D.O.O.
40000 UI/1 ml SANDOZ GMBH
4000UI/0,4ml SANDOZ GMBH
5000UI/0,5ml SANDOZ GMBH

SOL. INJ. IN SERINGA PREUMPLUTA

NEORECORMON 10000UI/0,6ml
NEORECORMON 1000UI/0,3ml
NEORECORMON 2000UI/0,3ml
NEORECORMON 30000UI/0,6ml
NEORECORMON 4000UI/0,3ml
NEORECORMON 5000UI/0,3ml

Firma

S/P-RF

SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,3 MLS/P-RF


SLOVENIA CUTIE X 1 FLACON DIN STICLA X 1 ML S/P-RF

AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA

CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ.

S/P-RF/R

CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ.

S/P-RF/R

CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ.

S/P-RF/R

CUTIE X 1 SERINGA PREUMPLUTA X 0,75ML SOL. INJ.

P-RF/R

CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ.

S/P-RF/R

SLOVENIA

CUTIE CU 1 SERINGA PREUMPLUTA X 1 ML SOL. INJ.S/P-RF

AUSTRIA
AUSTRIA
AUSTRIA

CUTIE X 1 SERINGA PREUMPLUTA X 1ML SOL. INJ.

P-RF/R

CUTIE X 6 SERINGI PREUMPLUTE X 0,4ML SOL. INJ.

S/P-RF/R

CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ.

S/P-RF/R

MAREA BRITANIE

CUTIE X 1 SERINGA PRE-UMPLUTA X 0,6 ML + 1 AC

S/P-RF/R

MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACES/P-RF/R


MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACES/P-RF/R
MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ. + 6 ACES/P-RF/R

OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML

P-RF/R

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML

P-RF/R

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML

P-RF/R

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,375 ML P-RF/R


CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML

P-RF/R

CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 0,6 ML

P-RF/R

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML

P-RF/R

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML

P-RF/R

CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 1 ML

P-RF/R

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML

P-RF/R

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML

P-RF/R

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML

P-RF/R

CUTIE X 2 BLIST. ACLAR-PVC-PVAC/AL X 14 COMPR. FILM. P-RF


CUTIE X 2 BLIST. ACLAR-PVC-PVAC/AL X 14 COMPR. FILM. P-RF
CUTIE X 2 BLIST. ACLAR-PVC-PVAC/AL X 14 COMPR. FILM. P-RF

CUTIE X 1 FLAC.PEID. X 180 COMPR. FILM.

cant/a
mbala
j

Pret cu ridicata
maximal de
decontare / U.T.

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

P11: PROGRAM NATIONAL DE SANATATE MINTALA


SUBPROGRAMUL TRATAMENTUL TOXICODEPENDENTELOR
1
2
3
4
5
6
7
8
9

N07BB04
N07BB04
N07BC02
N07BC02
N07BC02
N07BC02
N07BC02
N07BC02

NALTREXONUM
NALTREXONUM
METHADONUM
METHADONUM
METHADONUM
METHADONUM
METHADONUM
METHADONUM

N07BC51 COMBINATII ( BUPRENORPHINUM + NALAXONE)

REVIA
REVIA
SINTALGON 2,5 mg
METADON BIOEEL 20 mg
METADON BIOEEL 20 mg
METADON BIOEEL 5 mg
METADON BIOEEL 5 mg
EPTADONE
SUBOXONE 2mg/0,5mg

COMPR. FILM. 50mg


COMPR. FILM. 50mg

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
SOL. ORALA
COMPR. SUBLING.

2,5mg
20mg
20mg
5mg
5mg
5mg/ml
2mg/0,5mg

TORREX CHIESI PHARMA GMBH


TORREX CHIESI PHARMA GMBH

ZENTIVA S.A.
BIO EEL SRL
BIO EEL SRL
BIO EEL SRL
BIO EEL SRL
ROMASTRU TRADING S.R.L.

SP EUROPE

Pagina 47 din 48

Grupa
Nr.
terape
crt
utica
10

Denumire generica

N07BC51 COMBINATII ( BUPRENORPHINUM + NALAXONE)

Denumire comerciala

SUBOXONE 8mg/2mg

Forma
Concentrati
farmaceutica
e / U.T.
COMPR. SUBLING.

8mg/2mg

Firma

SP EUROPE

Prescriptie

cant/a
mbala
j

CUTIE X 7 COMPR. SUBLING. ( BLIST.NYLON/AL/PVC)P-TS; S

Tara

BELGIA

Ambalaj

NOTA:
- Tratamentul cu medicamentele corespunztoare DCI-urilor notate cu (*) se iniiaza de medicul de specialitate in limita competenei i poate fi prescris n continuare de medicul de familie pe baza
scrisorii medicale emise de medicul de specialitate;
- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (**) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MS;
- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (***) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MS si cu aprobarea comisiilor
de la nivelul Caselor Judetene de Asigurari de Sanatate;
- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (****) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MS si cu aprobarea
comisiilor de la nivelul Casei Nationale de Asigurari de Sanatate;
Medicamentul corespunzator DCI-ului notat cu (3) se livreaza impreuna cu solvent;
Medicamentele corespunzatoare DCI-urilor notate cu (4) se importa cu avizul Ministerului Sanatatii;
Medicamentele din aceast sublist se elibereaz att prin farmacii cu circuit nchis cti prin farmacii cu circuit deschis pe baz de prescripie medical cu reinere n farmacie (P-RF).

Pagina 48 din 48

Pret cu
ridicata
maximal /
ambalaj

84.13

Pret cu ridicata
maximal / U.T.

12.018571

Pret cu ridicata
maximal de
decontare / U.T.

12.018571

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

106.37

15.195714

15.195714

ANEXA 5

SECIUNEA C3 - LISTA DE MEDICAMENTE CU PROCENT DE COMPENSARE 100% - CONFORM DCI-URILOR DIN CANAMED, ALTELE DECT CELE DIN SUBLISTELE A, B, C1, C2, INDICATE PENTRU COPII P
LA 18 ANI, TINERI DE LA 18 LA 26 DE ANI DACA SUNT ELEVI, STUDENI SAU UCENICI DAC NU REALIZEAZ VENITURI, PRECUM I GRAVIDE I LUZE
DIN HG NR. 720/2008 CU MODIFICARILE SI COMPLETARILE ULTERIOARE
VALABIL NCEPND CU 01 OCTOMBRIE 2011

Nr. crt

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40

cod
ATC
A03AD02

A03BA01
A03BB01
A03DA02
A03DA02
A03DA02
A05BAN3
A06AD65
A06AD65

A07AX03
A11CA01
A11CA01
A11CA01
A11CC02
A11CC04
A11CC05
A11CC05
A11CC05
A11CC05
A11CC20
A11CC20
A11DA01
A11DA01
A11DA03
A11DA03
A11DBN1
A11DBN1
A11DBN1
A11DBN1
A11DBN1
A11DBN1
A11DBN1
A11DBN1
A11DBN1
A11DBN2
A11DBN2

A11GA01
A11HA02
A11HA02
A11HA02

DCI
DROTAVERINUM
ATROPINUM

Denumire Comerciala
NO - SPA 40 mg/2 ml

forma farm.

SOL. INJ.
SULFAT DE ATROPINA ZENTIVA 1 mg/ml SOL. INJ.
BUTYLSCOPOLAMMONII BROMIDUM SCOBUTIL 10 mg/ml
SOL. INJ.
COMBINATII
PIAFEN
COMPR.
COMBINATII
ALGIFEN COMPRIMATE
COMPR.
COMBINATII
ALGIFEN SOLUTIE INJECTABILA SOL. INJ.
COMBINATII
ASPATOFORT (R)
SOL. INJ.
COMBINATII
FORTRANS (R)
PULB. PT. SOL. ORALA
COMBINATII
ENDOFALK
PULB. PT. SOL. ORALA
NIFUROXAZIDUM
ERCEFURYL (R) 200 mg
CAPS.
RETINOLUM
VITAMINA A FORTE
CAPS. MOI
RETINOLUM
VITAMIN A 50000 ui
CAPS. MOI
RETINOLUM
VITAMINA A BIOFARM 20mg/ml PIC. ORALE, SOL.
DIHYDROTACHYSTEROLUM
A.T. 10 (R)
PICATURI ORALE-SOL.
CALCITRIOLUM
ROCALTROL
CAPS. MOI
COLECALCIFEROLUM
VIGANTOLETTEN 1000
COMPR.
COLECALCIFEROLUM
VIGANTOLETTEN 500
COMPR.
COLECALCIFEROLUM
VITAMINA D3 BIOFARM 18000UI/ml PIC. ORALE, SOL.
COLECALCIFEROLUM
VIGANTOL OIL
PIC. ORALE, SOL.
COMBINATII
FLUOR VIGANTOLETTEN 1000 COMPR.
COMBINATII
FLUOR VIGANTOLETTEN 500 COMPR.
THIAMINUM
SICOVIT (R) B1 100 mg/2 ml SOL. INJ.
THIAMINUM
VITAMINA B1 ZENTIVA 100 mg/2 ml SOL. INJ.
BENFOTIAMINUM
BENFOGAMMA
DRAJ.
BENFOTIAMINUM
BENFOGAMMA
DRAJ.
COMBINATII
MILGAMMA (R) N
CAPS. MOI
COMBINATII
MILGAMMA (R) N
CAPS. MOI
COMBINATII
MILGAMMA (R) N
CAPS. MOI
COMBINATII
MILGAMMA (R) 100
DRAJ.
COMBINATII
MILGAMMA (R) 100
DRAJ.
COMBINATII
MILGAMMA (R) 100
DRAJ.
COMBINATII
MILGAMMA (R) N
SOL. INJ.
COMBINATII
MILGAMMA (R) N
SOL. INJ.
COMBINATII
MILGAMMA (R) NA
SOL. INJ.
COMBINATII
NEUROMULTIVIT
COMPR. FILM.
COMBINATII
NEUROMULTIVIT
COMPR. FILM.
ACIDUM ASCORBICUM
VITAMINA C ARENA 750 mg SOL. INJ.
PYRIDOXINUM
VITAMINA B6 250 mg
COMPR.
PYRIDOXINUM
SICOVIT B6 250 mg
COMPR.
PYRIDOXINUM
VITAMINA B6 ZENTIVA 250 mg COMPR.

concentratie

40mg/2ml
1mg/ml
10mg/ml

200mg
50000ui
50000ui
20mg/ml
1mg/ml
0,25mcg
1000UI
500UI
0,45mg/ml
0,5mg/ml

100mg/2ml
100mg/2ml
50mg
50mg

Detinator APP
CHINOIN PRIVATE CO. LTD.

NYCOMED GMBH
NYCOMED GMBH
ANTIBIOTICE SA
ZENTIVA SA
ZENTIVA SA
TERAPIA SA

Ambalaj
UNGARIA CUTIE X 25 FIOLE X 2ML SOL. INJ.

P-RF

GERMANIA

CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 1 ML SOL. INJ.

GERMANIA

CUTIE X 5 FIOLE DIN STICLA BRUNA CU INEL DE RUPERE X 1 ML SOL. INJ.

P-RF

ROMANIA CUTIE X 2 BLIST. X 10 COMPR.


ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
ROMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA CU INEL DE RUPERE X 5 ML SOL. INJ.
ROMANIA CUTIE X 10 FIOLE X 10 ML

P-RF

Prescriptie

P-RF
P-RF
P-RF

BEAUFOUR IPSEN INT. FRANTA

CUTIE X 4 PLICURI DIN HARTIE/AL/PE A CATE 74 G PULB. PT. SOL. ORALA

P-RF

DR. FALK PHARMA GMBH GERMANIA

CUTIE X 6 PLICURI DE HARTIE/AL/PEJD X 55,318 G PULB. PT. SOL. ORALA

P-RF

SANOFI-SYNTHELABO OTC

FRANTA CUTIE X 2 BLIST. X 14 CAPS.

BIOFARM SA

P-RF

ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 CAPS. MOI


PHARCO IMPEX 93 S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 12 CAPS. MOI
BIOFARM SA
ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 ML PIC. ORALE, SOL.

P-6L

MERCK KGAA

GERMANIA

CUTIE X 1 FLACON DIN STICLA BRUNA PREVAZUT CU PICURATOR X 15 ML

P-6L

ROCHE ROMANIA S.R.L.

ROMANIA

CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 CAPS. MOI P-RF

MERCK KGAA
MERCK KGAA
BIOFARM S.A.
MERCK KGAA
MERCK KGAA
MERCK KGAA
ZENTIVA SA
ZENTIVA SA

GERMANIA CUTIE X 1 BLIST. AL/PVC X 30 COMPR. P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ. P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 20 DRAJ. P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 2 BLIST. PVC/PVDC X 10 CAPS. MOI P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 10 BLIST. PVC/PVDC X 10 CAPS. MOI

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 5 BLIST. PVC/PVDC X 10 CAPS. MOI P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 15 DRAJ. P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 4 BLIST. PVC-PVDC/AL X 25 DRAJ. P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 4 BLIST. PVC-PVDC/AL X 15 DRAJ. P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE X 25 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 2 ML

P-RF

WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE X 5 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 2 ML

P-RF

WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE X 5 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 1 ML

P-RF

CUTIE CU 1 BLIST. PVC/AL X 20 COMPR. FILM.

P-6L

P-6L

ROMANIA CUTIE X 1 FLACON X 10 ML PIC. ORALE, SOL.

P-6L

GERMANIA

P-6L

CUTIE X 1 FLACON DIN STICLA X 10 ML PIC. ORALE SOLUTIE, PREVAZUT CU PICURATOR

GERMANIA CUTIE X 1 BLIST. AL/PVC X 30 COMPR. P-6L


GERMANIA CUTIE X 1 BLIST. AL/PVC X 30 COMPR. P-6L

ROMANIA
ROMANIA

CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 2 ML SOL. INJ.

P-RF

CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 2 ML SOL. INJ.

P-RF

LANNACHER HEILMITTEL GES.M.B.H.

ARENA GROUP S.A.


ARENA GROUP SA
ZENTIVA SA
ZENTIVA SA

ROMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA X 5 ML SOL. INJ.


ROMANIA CUTIE X 1 FLACON DIN PE X 20 COMPR.
ROMANIA CUTIE X 1 FLAC. DIN PE X 20 COMPR.
ROMANIA CUTIE X 1 FLAC. DIN PE X 20 COMPR.

Pagina 1 din 8

P-6L

GERMANIA CUTIE X 1 BLIST. AL/PVC X 30 COMPR. P-6L

AUSTRIA
AUSTRIA

LANNACHER HEILMITTEL GES.M.B.H.

750mg
250 mg
250mg
250mg

tara det.
APP

CUTIE CU 5 BLIST. PVC/AL X 20 COMPR. FILM.

P-6L

P-6L
P-RF

P-6L
P-6L
P-6L

VAL.SUPORT
ATAT CNAS/
PRET
AMANU
UT(RON)LEGEA NR. VAL.SUPORT
NTUL
PRET
MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
a) si f)
ADULTI
cant (RON)
(RON)

25 24.21
5
2.96
5
3.31
20
5.22
20
5.95
5 10.08
10 23.08
4 38.31
6 45.39
28 11.26
30
5.45
24
1.66
1
2.43
1 25.69
100 76.07
30
8.18
30
6.63
1
4.99
1
6.29
30
7.92
30
6.36
5
6.90
5
6.90
50 28.38
100 51.53
20 20.05
100 83.35
50 46.33
30 49.28
100 137.44
60 88.89
25 82.57
5 18.30
5 18.30
20 11.03
100 43.94
5 25.01
20
9.00
20
9.00
20
9.00

0.968400
0.592000
0.662000
0.261000
0.297500
2.016000
2.308000
9.577500
7.565000
0.402142
0.181666
0.069166
2.430000
25.690000
0.760700
0.272666
0.221000
4.990000
6.290000
0.264000
0.212000
1.380000
1.380000
0.567600
0.515300
1.002500
0.833500
0.926600
1.642666
1.374400
1.481500
3.302800
3.660000
3.660000
0.551500
0.439400
5.002000
0.450000
0.450000
0.450000

0.968400
0.592000
0.662000
0.261000
0.297500
2.016000
2.308000
9.078000
7.565000
0.402142
0.082999
0.069166
2.430000
25.690000
0.760700
0.272666
0.221000
4.990000
6.290000
0.264000
0.212000
1.380000
1.380000
0.567600
0.515300
1.000200
0.833500
0.926600
1.642666
1.374400
1.481500
3.302800
3.660000
3.660000
0.527280
0.439400
5.002000
0.450000
0.450000
0.450000

0.968400
0.592000
0.662000
0.261000
0.297500
2.016000
2.308000
9.078000
7.565000
0.402142
0.082999
0.069166
2.430000
25.690000
0.760700
0.272666
0.221000
4.990000
6.290000
0.264000
0.212000
1.380000
1.380000
0.567600
0.515300
1.000200
0.833500
0.926600
1.642666
1.374400
1.481500
3.302800
3.660000
3.660000
0.527280
0.439400
5.002000
0.450000
0.450000
0.450000

Nr. crt

41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89

cod
ATC
A11HA02
A11HA02
A11HA02
A11HA02
A11HA03

A12AA03
A12AA03
A14AA03
A16AA01
A16AA01
A16AXN1
A16AXN1

B02BX01
B02BX02
B03AA03
B03AA03
B03ABN1
B03AD02
B03AD02
B03AD03
B03AD04

B03AE01
B03AE01
B03AE01
B03AE10
B03BA01
B03BA01
B03BA01
B03BA51
B03BA51
B03BA51
B03BA51
B03BA51
B03BA51
C01EA01
C04AE01
C04AE01
C04AE01
C05AA01
C05AA08
C05AA08
C05AA09
C05AD01
C05BX01
C05CA54
C07AB08
C07AB08
C07NAN1
C07NAN1

DCI
PYRIDOXINUM
PYRIDOXINUM
PYRIDOXINUM
PYRIDOXINUM
TOCOFEROLUM
CALCII GLUCONAS
CALCII GLUCONAS
METANDIENONUM
LEVOCARNITINUM
LEVOCARNITINUM
DIVERSE
DIVERSE
ETAMSYLATUM
CARBAZOCHROMI SALICYLAS
FERROSI GLUCONAS
FERROSI GLUCONAS
FERROCHOLINATUM
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
CYANOCOBALAMINUM
CYANOCOBALAMINUM
CYANOCOBALAMINUM
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
ALPROSTADILUM**
CODERGOCRINUM
CODERGOCRINUM
CODERGOCRINUM
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
CALCII DOBESILAS
TROXERUTINUM (COMBINATII)
CELIPROLOLUM
CELIPROLOLUM
COMBINATII
COMBINATII

Denumire Comerciala
SICOVIT B6 250 mg/5 ml

forma farm.

SOL. INJ.
VITAMINA B6 ZENTIVA 250 mg/5 ml SOL. INJ.
SICOVIT B6 50 mg/2ml
SOL. INJ.
VITAMINA B6 ZENTIVA 50 mg/2ml SOL. INJ.
VITAMINA E 400 mg
CAPS. MOI
GLUCONAT DE CALCIU 10% SOL. INJ.
GLUCONAT DE CALCIU
SOL. INJ.
NAPOSIM 5 mg
COMPR.
MIOCOR
SOL. ORALA
CARNIL (R)
SOL. ORALA
ACTOVEGIN (R)
DRAJ.
ACTOVEGIN (R)
SOL. INJ.
ETAMSILAT 250mg/2ml
SOL. INJ.
ADRENOSTAZIN
SOL. INJ.
ASCOFER
COMPR.
ALOFER 80,5 mg
COMPR. EFF.
FER-SOL
SOL. ORALA IN PICATURI
FERRETAB (R)
CAPS. ELIB. PREL.
FERRETAB (R)
CAPS. ELIB. PREL.
TARDYFERON FOL (R)
DRAJ. ELIB. PREL.
MALTOFER FOL
COMPR. MAST.
FERRO - FOLGAMMA (R)
CAPS. MOI
FERRO - FOLGAMMA (R)
CAPS. MOI
FERRO - FOLGAMMA (R)
CAPS. MOI
TOT'HEMA
SOL. ORALA
VITAMIN B12
SOL. INJ.
SICOVIT B12 50mcg/ml
SOL. INJ.
VITAMINA B12 ZENTIVA 50g/ml SOL. INJ.
MILGAMMA (R) (vezi B03BA51) DRAJ.
MILGAMMA (R) (vezi B03BA51) DRAJ.
MILGAMMA (R) (vezi B03BA51) DRAJ.
MILGAMMA (R) (vezi B03BA51) DRAJ.
MILGAMMA (R) (vezi B03BA51) DRAJ.
MILGAMMA (R) (vezi B03BA51) DRAJ.
ALPROSTADIL "PINT" 500 mcg

REDERGIN 1 mg/ml
CO-DERGOCRIN
SECATOXIN
HEMORZON
ULTRAPROCT (R)
ULTRAPROCT (R)
DOXIPROCT PLUS
DOXIPROCT
DOXILEK
GINKOR FORT
CELIPRES (R)
CELIPRES (R)
DISTONOVAL
DISTONOCALM (R)

CONC. PT. SOL. PERF.


PICATURI ORALE-SOL.

concentratie

250mg/5ml
250mg/5ml
50mg/2ml
50mg/2ml
400mg
10%
5mg
10%
100mg/ml
200mg
200mg/5ml
250mg/2ml
0,3mg/ml
80,5mg
24mg Fe/ml

tara det.
APP
Ambalaj
ZENTIVA SA
ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 5 ML SOL. INJ. P-RF
ZENTIVA SA
ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 5 ML SOL. INJ. P-RF
ZENTIVA SA
ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 2 ML SOL. INJ. P-RF
ZENTIVA SA
ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 2 ML SOL. INJ. P-RF
PHARCO IMPEX 93 S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 12 CAPS. MOI P-6L
Detinator APP

Prescriptie

B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FIOLE DIN PEJD X 10 ML SOL. INJ. P-RF

ZENTIVA SA
TERAPIA SA

ROMANIA CUTIE X 5 FIOLE X 10 ML SOL. INJ.


ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

ECOBI PHARMACEUTICI

ITALIA
CUTIE X 10 FLACOANE X 10ML
P-6L
GRECIA CUTIE X 10 FLACOANE DIN STICLA BRUNA, ACOPERITE CU UN CAPAC DIN AL. X 10 ML P-6L
AUSTRIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 50 DRAJ. P-6L
AUSTRIA CUTIE X 5 FIOLE PUNCT DE RUPERE X 5 ML P-RF
ROMANIA CUTIE X 5 FIOLE X 2 ML SOL. INJ. P-RF
ROMANIA CUTIE X 5 FIOLE X 5 ML
P-RF
ROMANIA CUTIE X 1 FLAC. X 20 COMPR.
P-6L

ANFARM HELLAS S.A. PHARMACEUTICALS

NYCOMED AUSTRIA GMBH


NYCOMED AUSTRIA GMBH

ZENTIVA S.A
TERAPIA SA
ARENA GROUP SA

ROMANIA CUTIE X 1 TUB DIN PP X 20 COMPR. EFF.


E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON X 15 ML + DISPOZITIV PT. PICURARE

ART MED INTERNATIONAL SRL

AUSTRIA
LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA
LAB. PIERRE FABRE FRANTA
VIFOR FRANCE S.A. FRANTA
LANNACHER HEILMITTEL GES.M.B.H.

WORWAG PHARMA GMBH & CO. KG

GERMANIA

WORWAG PHARMA GMBH & CO. KG

GERMANIA

WORWAG PHARMA GMBH & CO. KG

GERMANIA

LAB. INNOTHERA
1000mcg/ml FARMEXIM SA
50mcg/ml
ZENTIVA SA
50g/ml
ZENTIVA SA

500mcg
0,1%
0,1%
1mg/ml

FRANTA
ROMANIA
ROMANIA
ROMANIA

P-RF
P-RF

P-6L
P-6L

CUTIE X 5 BLIST. AL/PVC X 20 CAPS. ELIB. PREL. P-6L


CUTIE X 3 BLIST. AL/PVC X 10 CAPS. 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. MAST.

P-6L

CUTIE X 10 BLIST. X 10 CAPS. MOI


CUTIE X 5 BLIST. X 10 CAPS. MOI
CUTIE X 2 BLIST. X 10 CAPS. MOI
CUTIE X 20 FIOLE X 10 ML
CUTIE X 10 FIOLE X 1ML

P-RF
P-RF
P-RF

P-6L
P-RF

CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 1 ML SOL. INJ.

P-RF

CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 1 ML SOL. INJ.

P-RF

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 10 BLIST. PVC/PVDC X 10 DRAJ. P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 2 BLIST. PVC/PVDC X 10 DRAJ. P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 5 BLIST. PVC/PVDC X 10 DRAJ. P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 10 BLIST. PVC/PVDC X 10 DRAJ. P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 2 BLIST. PVC/PVDC X 10 DRAJ. P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 5 BLIST. PVC/PVDC X 10 DRAJ. P-6L

TARUS MEDIA S.R.L. ROMANIA

CUTIE X 5 FLAC. X 1 ML CONC. PT. SOL. PERF.

LEK PHARMACEUTICALS D.D.

SLOVENIA CUTIE X 1 FLACON X 50 ML

P-6L
P-6L

TERAPIA SA

ROMANIA

CUTIE X 1 FLACON CU DOP PICATOR X 50 ML PIC.ORALE, SOL.

IVAX - PHARMACEUTICALS S.R.O.

CEHIA

CUTIE X 1 FLACON X 10 ML + PICATOR P-6L

GERMANIA

UNGUENT RECTAL

ANTIBIOTICE SA
INTENDIS GMBH
INTENDIS GMBH

UNGUENT RECTAL

OM PORTUGUESA S.A.

PORTUGALIA

CUTIE X 1 TUB DIN AL X 20 G UNGUENT RECTAL + CANULA APLICATOARE

P-6L

UNGUENT RECTAL

OM PHARMA S.A.

PORTUGALIA

CUTIE X 1 TUB DIN AL X 30 G UNGUENT RECTAL + CANULA APLICATOARE

P-6L

LEK PHARMACEUTICALS D.D.

SLOVENIA CUTIE X 3 BLIST. AL/PVC. X 10 CAPS. P-6L

SOL. ORALA IN PICATURI


SOL. ORALA IN PICATURI

UNGUENT
SUPOZ.

CAPS.
CAPS.

500mg

ROMANIA CUTIE X 1 TUB X 18 G

CUTIE X 2 FOLII X 5 SUPOZ.

GERMANIA CUTIE X 1 TUB X 15 G + 1 CANULA RECTALA P-RF

BEAUFOUR IPSEN PHARMA

FRANTA CUTIE X 3 BLIST. AL/PVC X 10 CAPS.

COMPR. FILM. 100mg


COMPR. FILM. 200mg

RANBAXY U.K. LIMITED


RANBAXY U.K. LIMITED

MAREA BRITANIE

COMPR.

FABIOL S.A.
ZENTIVA S.A.

ROMANIA CUTIE X 1 FLAC. DIN PEID X 20 COMPR.


ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.

COMPR. FILM.

Pagina 2 din 8

P-6L
P-RF

MAREA BRITANIE

CUTIE X 1 BLIST. X 10 COMPR. FILM.


CUTIE X 1 BLIST. X 10 COMPR. FILM.

P-6L
P-6L
P-6L
P-6L
P-6L

VAL.SUPORT
ATAT CNAS/
PRET
UT(RON)AMANU
LEGEA NR. VAL.SUPORT
NTUL
PRET
MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
L
ADULTI
a) si f)
(RON)
cant (RON)

5 10.22
2.044000
2.044000
2.044000
5 10.22
2.044000
2.044000
2.044000
5
6.90
1.380000
1.380000
1.380000
5
6.90
1.380000
1.380000
1.380000
24
9.24
0.385000
0.385000
0.385000
20 16.67
0.833500
0.833500
0.833500
5 15.73
3.146000
1.000200
1.000200
20
5.04
0.252000
0.252000
0.252000
10 18.10
1.810000
1.810000
1.810000
10 29.54
2.954000
2.172000
2.172000
50 143.38
2.867600
2.867600
2.867600
5 107.44 21.488000 21.488000 21.488000
5
6.66
1.332000
1.332000
1.332000
5
8.27
1.654000
1.654000
1.654000
20
7.63
0.381500
0.381500
0.381500
1 20.75 20.750000 20.750000 20.750000
1
3.30
3.300000
3.300000
3.300000
100 27.24
0.272400
0.272400
0.272400
30 10.57
0.352333
0.326880
0.326880
30 14.85
0.495000
0.495000
0.495000
30 17.66
0.588666
0.588666
0.588666
100 42.69
0.426900
0.426900
0.426900
50 24.01
0.480200
0.480200
0.480200
20 10.39
0.519500
0.512280
0.512280
20 17.52
0.876000
0.876000
0.876000
10 37.41
3.741000
3.741000
3.741000
5
6.90
1.380000
1.380000
1.380000
5
6.90
1.380000
1.380000
1.380000
100 83.35
0.833500
0.833500
0.833500
20 20.05
1.002500
1.000200
1.000200
50 46.33
0.926600
0.926600
0.926600
100 83.35
0.833500
0.833500
0.833500
20 20.05
1.002500
1.000200
1.000200
50 46.33
0.926600
0.926600
0.926600
5 1,585.21 317.042000 317.042000 317.042000
1 11.68 11.680000
6.468000
6.468000
1
5.39
5.390000
5.390000
5.390000
1
2.17
2.170000
2.170000
2.170000
1
8.10
8.100000
8.100000
8.100000
10 12.77
1.277000
1.277000
1.277000
1 14.41 14.410000 14.410000 14.410000
1 22.20 22.200000 22.200000 22.200000
1 22.05 22.050000 22.050000 22.050000
30 21.22
0.707333
0.707333
0.707333
30 25.42
0.847333
0.847333
0.847333
10
7.78
0.778000
0.778000
0.778000
10 10.96
1.096000
1.096000
1.096000
20
3.81
0.190500
0.190500
0.190500
30
5.84
0.194666
0.194666
0.194666

Nr. crt

90
91
92
93
94
95
96
97
98
99

cod
ATC
C08CA06
C08CA06
C10AD02
C10AD02
C10AD02
C10AD02
C10AD02
C10AD02
C10AD02
C10AD02

100 C10AD02
101 C10AD02
102 C10AD02
103 C10AD02
104 C10AD02
105 C10AD02
106 C10AD02
107 C10AD02
108 D01AC05
109 D01AC08
110 D01AC08
111 D01AC08
112 D01AC08
113 D01AC08
114 D01AC52
115 D05AXN1
116 D07AB10
117 D07AB10
118 D07AB10
119 D07AB10
120 D07AC04
121 D07AC05
122 D07AC05
123 D07CB01
124 D07CB01
125 D07CC02
126 D07CC02
127 D07CC02
128 D07XB02
129 D07XC01
130 D07XC01
131 D07XC01
132 D07XC01
133 D07XDN1
134 D10AD01
135 D10AF02
136 D10AF02
137 D10AF52
138 D11AX15

DCI
NIMODIPINUM
NIMODIPINUM
ACIDUM NICOTINICUM
ACIDUM NICOTINICUM
ACIDUM NICOTINICUM
ACIDUM NICOTINICUM
ACIDUM NICOTINICUM
ACIDUM NICOTINICUM
ACIDUM NICOTINICUM
ACIDUM NICOTINICUM
ACIDUM NICOTINICUM
ACIDUM NICOTINICUM
ACIDUM NICOTINICUM
ACIDUM NICOTINICUM
ACIDUM NICOTINICUM
ACIDUM NICOTINICUM
ACIDUM NICOTINICUM
ACIDUM NICOTINICUM
ISOCONAZOLUM
KETOCONAZOLUM
KETOCONAZOLUM
KETOCONAZOLUM
KETOCONAZOLUM
KETOCONAZOLUM
COMBINATII
COMBINATII
ALCLOMETAZONUM
ALCLOMETAZONUM
ALCLOMETAZONUM
ALCLOMETAZONUM
FLUOCINOLONI ACETONIDUM
FLUOCORTOLONUM
FLUOCORTOLONUM
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
TRETINOINUM
ERYTHROMYCINUM
ERYTHROMYCINUM
COMBINATII
PIMECROLIMUS

Denumire Comerciala
NIMOTOP (R)
NIMOTOP (R)
NIASPAN 1000 mg
NIASPAN 1000 mg
NIASPAN 1000 mg
NIASPAN 1000 mg
NIASPAN 375 mg
NIASPAN 375 mg
NIASPAN 375 mg
NIASPAN 375 mg
NIASPAN 500 mg
NIASPAN 500 mg
NIASPAN 500 mg
NIASPAN 500 mg
NIASPAN 750 mg
NIASPAN 750 mg
NIASPAN 750 mg
NIASPAN 750 mg
TRAVOGEN
KETOCONAZOL MK
NIZORAL
KETOCONAZOL
KETOCONAZOL CREMA
KEFUNGIN 2mg/100mg
MYCOHEAL (R) HC
ASORIAN
AFLODERM
AFLODERM
AFLODERM
AFLODERM

tara det.
forma farm. concentratie
APP
Ambalaj
Detinator APP
COMPR. FILM. 30mg
BAYER HEALTHCARE AG GERMANIA CUTIE X 10 BLIST. X 10 COMPR. FILM.

P-6L/S

SOL. PERF.

COMPR. ELIB. PREL.


COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.

CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
SOL. CUT.
CREMA
CREMA
UNGUENT
UNGUENT
FLUOCINOLON ACETONID 0,025% UNGUENT
ULTRALAN CREMA
CREMA
ULTRALAN UNGUENT
UNGUENT
NIDOFLOR
CREMA
PANDERM
UNGUENT
FLUOCINOLON G MK
CREMA
FLUOCINOLON G MK
CREMA
FLUOCINOLON N
UNGUENT
TRIAMCINOLON S
CREMA
DIPROSALIC
SOL. CUT.
BELOSALIC
SOL. CUT.
DIPROSALIC
UNGUENT
BELOSALIC
UNGUENT
FLUOCINOLON D MK
CREMA
RETIN - A (R)
CREMA
ERYFLUID
SOL. CUT.
ERYFLUID
SOL. CUT.
ZINERYT
PULB. + SOLV. SOL. CUT.
ELIDEL 1%
CREMA

10mg/50ml BAYER HEALTHCARE AG


1000mg
ABBOTT LABORATORIES LTD.
1000mg
ABBOTT LABORATORIES LTD.
1000mg
ABBOTT LABORATORIES LTD.
1000mg
ABBOTT LABORATORIES LTD.
375mg
ABBOTT LABORATORIES LTD.
375mg
ABBOTT LABORATORIES LTD.
375mg
ABBOTT LABORATORIES LTD.
375mg
ABBOTT LABORATORIES LTD.
500mg
ABBOTT LABORATORIES LTD.
500mg
ABBOTT LABORATORIES LTD.
500mg
ABBOTT LABORATORIES LTD.
500mg
ABBOTT LABORATORIES LTD.
750mg
ABBOTT LABORATORIES LTD.
750mg
ABBOTT LABORATORIES LTD.
750mg
ABBOTT LABORATORIES LTD.
750mg
ABBOTT LABORATORIES LTD.
10mg/1g
INTENDIS GMBH
2%
FITERMAN PHARMA S.R.L.
2%
JANSSEN PHARMACEUTICA N.V.
2%
TIS FARMACEUTIC SA
20mg/g
SC HYPERION SA
2mg/100mg ANTIBIOTICE S.A.

CUTIE X 5 CUTII X 1 FLACON DIN STICLA DE CULOARE BRUNA X 50 ML + 1 PERFUZOR DIN POLIETILENA

MAREA BRITANIE CUTIE X 1 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB.PREL.

P-6L

MAREA BRITANIE CUTIE X 2 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB. PREL.

P-6L

MAREA BRITANIE CUTIE X 4 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB. PREL.

P-6L

MAREA BRITANIE CUTIE X 7 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB. PREL.

P-6L

MAREA BRITANIE CUTIE X 1 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB. PREL.

P-6L

MAREA BRITANIE CUTIE X 2 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB. PREL.

P-6L

MAREA BRITANIE CUTIE X 4 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB. PREL.

P-6L

MAREA BRITANIE CUTIE X 7 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB. PREL.

P-6L

MAREA BRITANIE CUTIE X 1 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB. PREL.

P-6L

MAREA BRITANIE CUTIE X 2 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB. PREL.

P-6L

MAREA BRITANIE CUTIE X 4 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB. PREL.

P-6L

MAREA BRITANIE CUTIE X 7 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB. PREL.

P-6L

MAREA BRITANIE CUTIE X 1 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB.PREL.

P-6L

MAREA BRITANIE CUTIE X 2 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB.PREL.

P-6L

MAREA BRITANIE CUTIE X 4 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB.PREL.

P-6L

MAREA BRITANIE CUTIE X 7 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB.PREL.

P-6L

GERMANIA CUTIE X 1 TUB DIN AL X 20 G CREMA P-RF

ROMANIA CUTIE X 1 TUB AL X 20 G

P-RF

BELGIA

P-RF

CUTIE X 1 TUB X 15 G
ROMANIA CUTIE X 1 TUB PEJD X 15 G

P-RF

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE X 1 TUB DIN AL X 20 MG CREMA P-RF


CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF

GERMANIA

P-RF

P-RF

CUTIE X 1 TUB DIN AL X 20 G CREMA


CUTIE X 1 TUB DIN AL X 35 G CREMA

P-RF

ANTIBIOTICE SA
ANTIBIOTICE SA

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE X 1 TUB AL X 15 G
CUTIE X 1 FLACON X 100 ML
CUTIE X 1 TUB AL X 20 G
CUTIE X 1 TUB AL X 40 G
CUTIE X 1 TUB AL X 20 G
CUTIE X 1 TUB AL X 40 G
CUTIE X 1 TUB AL X 20 G
CUTIE X 1 TUB X 15 G
CUTIE X 1 TUB X 15 G UNGUENT
CUTIE X 1 TUB X 15 G
CUTIE X 1 TUB X 15 G

CUTIE X 1 TUB X 18 G
CUTIE X 1 TUB X 15 G

P-RF

SCHERING-PLOUGH EUROPE

BELGIA

CUTIE X 1 FLACON DIN PEID X 30 ML SOL. CUT., PREVAZUT CU PICURATOR

P-RF

A & G MED TRADING S.R.L.

ROMANIA

CUTIE X 1 FLAC. PEID X 50 ML, PREVAZUT CU PICURATOR

P-RF

SCHERING-PLOUGH EUROPE

BELGIA

CUTIE X 1 TUB DIN AL X 15 G UNGUENT

P-RF

A & G MED TRADING S.R.L.

ROMANIA CUTIE X 1 TUB AL X 30 G


ROMANIA CUTIE X 1 TUB AL X 20G

P-RF

SLOVENIA CUTIE X 1 TUB X 30 G


FRANTA CUTIE X 1 FLACON X 100 ML SOL. CUT.

P-RF

DAR AL DAWA PHARMA S.R.L.

BIOFARM SA
0,5mg/g
0,5mg/g
0,5mg/g
0,5mg/g
0,025%
0,25%
0,25%

GERMANIA

Prescriptie

A & G MED TRADING S.R.L.


A & G MED TRADING S.R.L.
A & G MED TRADING S.R.L.
A & G MED TRADING S.R.L.

LAROPHARM SRL
INTENDIS GMBH
SCHERING AG
ANTIBIOTICE SA
GULF PHARMACEUTICAL IND. (JUPHAR)

FITERMAN PHARMA S.R.L.


FITERMAN PHARMA S.R.L.

FITERMAN PHARMA S.R.L.

0,05%
4g/30ml
4g/30ml

JOHNSON & JOHNSON D.O.O.

40mg/12mg/ml

ASTELLAS PHARMA EUROPE BV

10mg

NOVARTIS PHARMA GMBH

PIERRE FABRE DERMATOLOGIE


PIERRE FABRE DERMATOLOGIE

Pagina 3 din 8

GERMANIA

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

FRANTA CUTIE X 1 FLACON X 30 ML SOL. CUT. P-RF


OLANDA
P-RF
GERMANIA CUTIE X 1 TUB AL X 15 G CREMA
P-RF
CUTIE X 1 FLAC. DIN PEID PULB. PT. SOL. CUTANATA + APLICATOR DIN PP CU SOLV. PT 30 ML SOL. CUTANATA

VAL.SUPORT
ATAT CNAS/
PRET
UT(RON)AMANU
LEGEA NR. VAL.SUPORT
NTUL
PRET
MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
L
ADULTI
a) si f)
(RON)
cant (RON)

100
5
14
28
56
98
14
28
56
98
14
28
56
98
14
28
56
98
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

111.28
300.17
46.15
86.81
163.90
285.90
21.80
41.81
79.12
124.11
28.58
54.87
103.52
171.75
37.81
71.43
133.41
229.36
11.48
7.60
9.01
5.32
7.84
5.86
6.33
10.05
20.43
31.46
20.43
31.46
7.30
12.16
12.63
7.30
7.57
8.10
14.19
7.30
7.30
15.96
20.75
10.63
12.77
8.10
13.84
20.77
8.00
32.11
81.98

1.112800
60.034000
3.296428
3.100357
2.926785
2.917346
1.557142
1.493214
1.412857
1.266428
2.041428
1.959642
1.848571
1.752551
2.700714
2.551071
2.382321
2.340408
11.480000
7.600000
9.010000
5.320000
7.840000
5.860000
6.330000
10.050000
20.430000
31.460000
20.430000
31.460000
7.300000
12.160000
12.630000
7.300000
7.570000
8.100000
14.190000
7.300000
7.300000
15.960000
20.750000
10.630000
12.770000
8.100000
13.840000
20.770000
8.000000
32.110000
81.980000

1.112800
60.034000
3.296428
3.100357
2.926785
2.917346
1.519713
1.493214
1.412857
1.266428
2.041428
1.959642
1.848571
1.752551
2.700714
2.551071
2.382321
2.340408
11.480000
7.600000
6.384000
5.320000
7.840000
5.860000
6.330000
10.050000
20.430000
31.460000
20.430000
31.460000
7.300000
12.160000
12.630000
7.300000
7.570000
8.100000
14.190000
7.300000
7.300000
15.960000
20.750000
10.630000
12.770000
8.100000
13.840000
20.770000
8.000000
32.110000
81.980000

1.112800
60.034000
3.296428
3.100357
2.926785
2.917346
1.519713
1.493214
1.412857
1.266428
2.041428
1.959642
1.848571
1.752551
2.700714
2.551071
2.382321
2.340408
11.480000
7.600000
6.384000
5.320000
7.840000
5.860000
6.330000
10.050000
20.430000
31.460000
20.430000
31.460000
7.300000
12.160000
12.630000
7.300000
7.570000
8.100000
14.190000
7.300000
7.300000
15.960000
20.750000
10.630000
12.770000
8.100000
13.840000
20.770000
8.000000
32.110000
81.980000

Nr. crt

cod
ATC

139 G01AF01
140 G01AX12
141 G01AX12
142 G01AXN1
143 G01BDN1
144 G03AC06
145 G03DB04
146 G03GA01
147 G03GA01
148 G03GA02
149 G04BCN1
150 H03AA03
151 J01CR50
152 J01DB04
153 J01DD62
154 J01DD62
155 J01DD62
156 J01DD62
157 J01DE02
158 J01DE02
159 J01EB05
160 J01FA06
161 J01GB03
162 J01GB03
163 J01GB03
164 J01GB03
165 J01GB07
166 J01GB07
167 J01GB07
168 J01XB01
169 J01XB01
170 J01XB01
171 J02AC03
172 J02AC03
173 J02AC03
174 M01AA01
175 M01AB55
176 M01AB55
177 M01AB55
178 M01AB55
179 M01AE01
180 M01AE01
181 M01AE01
182 M01AE01
183 M01AE01
184 M01AE01
185 M01AE01
186 M01AE01
187 M01AE01

DCI
METRONIDAZOLUM
CICLOPIROXUM
CICLOPIROXUM
COMBINATII
COMBINATII
MEDROXYPROGESTERONUM
NOMEGESTROLUM

Denumire Comerciala
FLAGYL
DAFNEGIN
DAFNEGIN
COLPOSEPTINE (R)
TERGYNAN
DEPO-PROVERA
LUTENYL (R)
GONADOTROPHINUM CHORIONICUM PREGNYL 5000
GONADOTROPHINUM CHORIONICUM PREGNYL 5000
MENOTROPINUM
MENOPUR
COMBINATII
URALYT-U
COMBINATII
NOVOTHYRAL (R) 100
COMBINATII (CEFOPERAZONUM+SULBACTAMUM) SULPERAZON (R) 2 g
CEFAZOLINUM
LYZOLIN
COMBINATII (CEFOPERAZONUM+SULBACTAMUM) SULCEF 1000 mg/1000 mg
COMBINATII (CEFOPERAZONUM+SULBACTAMUM) SULCEF 1000 mg/1000 mg
COMBINATII (CEFOPERAZONUM+SULBACTAMUM) SULCEF 1000 mg/1000 mg
COMBINATII (CEFOPERAZONUM+SULBACTAMUM) SULCEF 1000 mg/1000 mg
CEFPIROMUM
CEFROM (R) 1 g
CEFPIROMUM
CEFROM (R) 2 g
SULFAFURAZOLUM
SULFAFURAZOL
ROXITHROMYCINUM
ROXAMED (R) 150
GENTAMICINUM
GENTAMICIN KRKA
GENTAMICINUM
GENTAMICIN KRKA
GENTAMICINUM
GENTAMICIN KRKA
GENTAMICINUM
PAN - GENTAMICINE
NETILMICINUM
NETROMYCINE (R)
NETILMICINUM
NETROMYCINE (R)
NETILMICINUM
NETROMYCINE (R)
COLISTINUM
COLISTINA ANTIBIOTICE 1000000 UI
COLISTINUM
COLISTINA ANTIBIOTICE 1000000 UI
COLISTINUM
COLISTINA ANTIBIOTICE 1000000 UI
VORICONAZOLUM**
VFEND 200mg
VORICONAZOLUM**
VFEND 50mg
VORICONAZOLUM**
VFEND 40 mg/ml
PHENYLBUTAZONUM
FENILBUTAZONA 250 mg
COMBINATII
NEODOLPASSE
COMBINATII
ACECLOFEN
DICLOFENACUM+MISOPROSTOLUM ARTHROTEC 75
DICLOFENACUM+MISOPROSTOLUM ARTHROTEC 75
IBUPROFENUM
PADUDEN (R) SR 300 mg
IBUPROFENUM
PROFINAL
IBUPROFENUM
REUPROFEN (R) 400 mg
IBUPROFENUM
IBUPROFEN 400
IBUPROFENUM
BRUFEN 400 mg
IBUPROFENUM
BRUFEN 400 mg
IBUPROFENUM
BRUFEN 400 mg
IBUPROFENUM
BRUFEN 400 mg
IBUPROFENUM
BRUFEN 400 mg

forma farm.

concentratie

OVULE
500mg
CREMA VAG. 1%
OVULE
100mg

Detinator APP

LAB. AVENTIS
POLICHEM SA
POLICHEM SA
LAB. THERAMEX

tara det.
APP

Ambalaj
FRANTA CUTIE X 2 BLIST. X 5 OVULE

P-RF

LUXEMBURG

CUTIE X 1 TUB DIN AL X 78G CREMA VAG.+ 17 APLICATOARE DIN PE

P-6L

LUXEMBURG

CUTIE X 1 FOLIE. TERMOSUDATA DIN PVC/PE X 6 OVULE + 6 APLICATOARE DIN PE

P-6L

Prescriptie

MONACO CUTIE X 3 BLIST. X 6 COMPR. VAG. P-RF


LAB. BOUCHARA-RECORDATI FRANTA CUTIE X 1 FOLIE HARTIE/PE/AL/PE X 10 COMPR. VAG. P-RF
SUSP. INJ.
150mg
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 1 ML SUSP. INJ. S/P-RF
COMPR.
5mg
LAB. THERAMEX
MONACO CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF
LIOF. + SOLV. PT. SOL. INJ. 5000ui/ml
NV ORGANON
OLANDA
S/P-RF
LIOF. + SOLV. PT. SOL. INJ. 5000ui/ml
NV ORGANON
OLANDA
S/P-RF
LIOF. + SOLV. PT. SOL. INJ.
FERRING GMBH
GERMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU LIOF. + 10 FIOLE X 1 ML SOLV. PT. SOL. INJ. S/P-RF
GRANULE
MADAUS GMBH
GERMANIA
P-6L
COMPR.
100mcg+20mcg MERCK KGAA
GERMANIA CUTIE X 4 BLIST. AL/PP X 25 COMPR. P-6L
PULB. PT. SOL. INJ.
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC X 2 G
S/P-RF
PULB. PT. SOL. INJ. 1g
MEDICAROM GROUP S.R.L. ROMANIA CUTIE X 1 FLAC/. PULB.
S/P-RF
PULB. PT. SOL. INJ./PERF. 1000mg/1000mg MEDOCHEMIE S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF. S/P-RF
PULB. PT. SOL. INJ./PERF. 1000mg/1000mg MEDOCHEMIE S.R.L. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF. S/P-RF
PULB. PT. SOL. INJ./PERF. 1000mg/1000mg MEDOCHEMIE S.R.L. ROMANIA CUTIE CU 50 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF. S/P-RF
PULB. PT. SOL. INJ./PERF. 1000mg/1000mg MEDOCHEMIE S.R.L. ROMANIA CUTIE CU 100 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF.
S
PULB. PT. SOL. INJ./PERF. 1g
LAB. AVENTIS
FRANTA CUTIE X 1 FLAC. PULB. PT. SOL. INJ./PERF. S/P-RF
PULB. PT. SOL. INJ./PERF. 2g
LAB. AVENTIS
FRANTA CUTIE X 1 FLAC. PULB. PT. SOL. INJ./PERF. S/P-RF
COMPR.
500mg
ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
COMPR. FILM. 150mg
DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF
SOL. INJ.
40mg/ml
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 10 FIOLE DIN STICLA INCOLORA X 1 ML SOL. INJ. P-RF
SOL. INJ.
80mg/2ml
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 50 FIOLE DIN STICLA INCOLORA X 2 ML SOL. INJ. P-RF/S
SOL. INJ.
80mg/2ml
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 10 FIOLE DIN STICLA INCOLORA X 2 ML SOL. INJ. P-RF
SOL.INJ.
80mg/2ml
LAB. PANPHARMA FRANTA CUTIE X 10 FIOLE DIN STICLA INCOLORA X 2 ML SOL. INJ. P-RF
SOL. INJ.
150mg/1,5ml SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 FLACON X 1,5 ML
S/P-RF
SOL. INJ.
200mg/2ml SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 FLACON X 2 ML
S/P-RF
SOL. INJ.
50mg/2ml
SCHERING PLOUGH EUROPE BELGIA
CUTIE X 1 FLACON X 2 ML
S/P-RF
PULB. PT. SOL. INJ./PERF. 1000000ui
ANTIBIOTICE SA
ROMANIA CUTIE X 100 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. S
PULB. PT. SOL. INJ./PERF. 1000000ui
ANTIBIOTICE SA
ROMANIA CUTIE X 50 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. S
PULB. PT. SOL. INJ./PERF. 1000000ui
ANTIBIOTICE SA
ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. S
COMPR. FILM. 200mg
PFIZER LIMITED
MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF
COMPR. FILM. 50mg
PFIZER LIMITED
MAREA BRITANIE CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL)
P-RF
PULB. PT. SUSP. ORALA 40mg/ml
PFIZER LIMITED
MAREA BRITANIE
P-RF
SUPOZ.
250mg
SINTOFARM SA
ROMANIA CUTIE X 2 FOLII TERMOSUDATE PVC/PE X 5 SUPOZ. P-6L
SOL. PERF.
FRESENIUS KABI AUSTRIA GMBH AUSTRIA CUTIE X 10 FLACOANE X 250 ML
S
SUPOZ.
ANTIBIOTICE SA
ROMANIA CUTIE X 2 FOLII TERMOSUDATE AL/PE X 3 SUPOZ. P-6L
COMPR. VAG.
COMPR. VAG.

CUTIE X 3 FIOLE CU LIOF. PREVAZUTE CU INEL DE RUPERE + 3 FIOLE X 1 ML SOLV. PREVAZUTE CU INEL DE RUP

CUTIE X 1 FIOLA CU LIOF. PREVAZUTA CU INEL DE RUPERE + 1 FIOLA X 1 ML SOLV. PREVAZUTE CU INEL DE RUPERE

CUTIE X 1 FLAC. PP X 280 G GRANULE + 1 LINGURITA DOZATOARE + 1 CALENDAR DE CONTROL + HARTIE INDICATO

CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA

COMPR. GASTROREZ.
COMPR. GASTROREZ.

CAPS. ELIB. PREL.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

75mg+0,200mg PFIZER EUROPE MA EEIG


75mg+0,200mg PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 2 BLIST. AL X 10 COMPR. GASTROREZ. P-6L

MAREA BRITANIE

CUTIE X 1 BLIST. AL X 10 COMPR. GASTROREZ. P-6L

300mg
400mg
400mg
400mg
400mg
400mg
400mg
400mg
400mg

ROMANIA CUTIE X 1 BLIST. X 10 CAPS. ELIB. PREL.


ROMANIA CUTIE X 2 BLIST. X 12 COMPR. FILM.
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.

TERAPIA SA
GULF PHARMACEUTICAL IND. (JUPHAR)

AC HELCOR SRL
CIPLA (UK) LIMITED
ABBOTT SCANDINAVIA AB
ABBOTT SCANDINAVIA AB
ABBOTT SCANDINAVIA AB
ABBOTT SCANDINAVIA AB
ABBOTT SCANDINAVIA AB

Pagina 4 din 8

P-6L
P-6L
P-6L

MAREA BRITANIE

CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L

SUEDIA
SUEDIA
SUEDIA
SUEDIA
SUEDIA

CUTIE CU BLIST. AL/PVC X 20 COMPR. FILM. P-6L


CUTIE CU BLIST. AL/PVC X 30 COMPR. FILM. P-6L
CUTIE CU BLIST. AL/PVC X 60 COMPR. FILM. P-6L
CUTIE CU BLIST. PVC-PVDC/AL X 20 COMPR. FILM. P-6L
CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L

VAL.SUPORT
ATAT CNAS/
PRET
UT(RON)AMANU
LEGEA NR. VAL.SUPORT
NTUL
PRET
MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
L
ADULTI
a) si f)
(RON)
cant (RON)

10
1
6
18
10
1
10
3
1
10
1
100
1
1
1
10
50
100
1
1
20
10
10
50
10
10
1
1
1
100
50
10
28
28
1
10
10
6
20
10
10
24
30
20
20
30
60
20
30

8.46
37.67
37.67
17.44
21.65
12.94
31.14
42.26
1.49
816.27
56.26
28.60
37.13
3.41
24.95
217.36
953.01
1,835.17

74.88
125.78
9.61
15.05
7.06
40.99
9.48
6.69
18.92
23.98
7.50
1,768.93

919.89
209.30

0.846000
0.846000
0.846000
37.670000 37.670000 37.670000
6.278333
6.278333
6.278333
0.968888
0.968888
0.968888
2.165000
2.165000
2.165000
12.940000 12.940000 12.940000
3.114000
3.114000
3.114000
14.086666
1.784400
1.784400
1.487000
1.487000
1.487000
81.627000 81.627000 81.627000
56.260000 56.260000 56.260000
0.286000
0.286000
0.286000
37.130000 22.022040 22.022040
3.410000
3.410000
3.410000
24.950000 22.022040 22.022040
21.736000 21.736000 21.736000
19.060200 19.060200 19.060200
18.351700 18.351700 18.351700
74.880000 74.880000 74.880000
125.780000 125.780000 125.780000
0.480500
0.480500
0.480500
1.505000
1.505000
1.505000
0.706000
0.706000
0.706000
0.819800
0.802800
0.802800
0.948000
0.802800
0.802800
0.669000
0.669000
0.669000
18.920000 18.920000 18.920000
23.980000 23.980000 23.980000
7.500000
7.500000
7.500000
17.689300 17.689300 17.689300
18.397800 18.397800 18.397800
20.930000 20.930000 20.930000
138.306071 138.306071 138.306071
36.466071 36.466071 36.466071

3,872.57
1,021.05
2,412.18 2,412.180000 2,412.180000 2,412.180000

9.46
216.54
4.55
28.23
16.46
13.84
5.99
7.49
2.82
10.12
9.08
18.17
10.12
9.08

0.946000
21.654000
0.758333
1.411500
1.646000
1.384000
0.249583
0.249666
0.141000
0.506000
0.302666
0.302833
0.506000
0.302666

0.946000
21.654000
0.758333
1.411500
1.646000
1.384000
0.169200
0.169200
0.141000
0.169200
0.169200
0.169200
0.169200
0.169200

0.946000
21.654000
0.758333
1.411500
1.646000
1.384000
0.169200
0.169200
0.141000
0.169200
0.169200
0.169200
0.169200
0.169200

Nr. crt

cod
ATC

188 M01AE01
189 M01AE01
190 M01AE01
191 M01AE01
192 M01AE01
193 M01AE01
194 M01AE02
195 M01AE02
196 M01AG01
197 M01AH04
198 M01AH04
199 M03BB03
200 M03BB03
201 M03BX04
202 M03BX04
203 M03BX04
204 M03BX04
205 M09AX01

DCI
IBUPROFENUM
IBUPROFENUM
IBUPROFENUM
IBUPROFENUM
IBUPROFENUM
IBUPROFENUM
NAPROXENUM
NAPROXENUM
ACIDUM MEFENAMICUM
PARECOXIBUM
PARECOXIBUM
CHLORZOXAZONUM
CHLORZOXAZONUM
TOLPERISONUM
TOLPERISONUM
TOLPERISONUM
TOLPERISONUM
ACIDUM HIALURONICUM

206 N02AA59 COMBINATII ( PARACETAMOLUM+CODEINUM)


207 N02AA59 COMBINATII ( PARACETAMOLUM+CODEINUM)
208 N02AA59 COMBINATII ( PARACETAMOLUM+CODEINUM)
209 N02AA59 COMBINATII ( PARACETAMOLUM+CODEINUM)
210 N02BA71
211 N02BA71
212 N02BB02
213 N02BB02
214 N02BB02
215 N02BB02
216 N02BB02
217 N02BB02
218 N02BB02
219 N02BB02
220 N02BB02
221 N02BB02
222 N02BB02
223 N02BB02
224 N02BB02
225 N02BB02
226 N02BB02
227 N02BB02
228 N05BA05
229 N05BA05
230 N05BA23
231 N05CD08
232 N05CD08
233 N05CD08
234 N05CD08
235 N05CD08
236 N05CD08

COMBINATII
COMBINATII
METAMIZOLUM NATRIUM
METAMIZOLUM NATRIUM
METAMIZOLUM NATRIUM
METAMIZOLUM NATRIUM
METAMIZOLUM NATRIUM
METAMIZOLUM NATRIUM
METAMIZOLUM NATRIUM
METAMIZOLUM NATRIUM
METAMIZOLUM NATRIUM
METAMIZOLUM NATRIUM
METAMIZOLUM NATRIUM
METAMIZOLUM NATRIUM
METAMIZOLUM NATRIUM
METAMIZOLUM NATRIUM
METAMIZOLUM NATRIUM
METAMIZOLUM NATRIUM
CLORAZEPAT DIKALII
CLORAZEPAT DIKALII
TOFISOPAMUM
MIDAZOLAMUM
MIDAZOLAMUM
MIDAZOLAMUM
MIDAZOLAMUM
MIDAZOLAMUM
MIDAZOLAMUM

Denumire Comerciala
BRUFEN 400 mg
BRUFEN 400 mg
PROFINAL
IBUPROFEN 600
FASPIC 600
IBALGIN BABY
REUXEN 250 mg
REUXEN 500 mg
VIDAN
DYNASTAT 40mg
DYNASTAT 40mg
CLORZOXAZON 250 mg
CLORZOXAZONA 250 mg
MYDOCALM
MYDOCALM
TOLPERISON 50 mg
MYDOCALM
HYALGAN (R)
PARADOREN 500mg/30mg
ULTRACOD
ULTRACOD
PARADOREN 500mg/60mg
FASCONAL P
FASCOREM
ALGOZONE
ALGOCALMIN (R) 500 mg
ALINDOR
SINTOCALMIN
ALGOREMIN
NOVOCALMIN

forma farm.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
GRAN. PT. SOL. ORALA

SUSP. ORALA

COMPR.
COMPR.
COMPR. FILM.
PULB. + SOLV. PT. SOL. INJ.

PULB. PT. SOL. INJ.

COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.

DRAJ.
SOL. INJ.
SOL. INJ.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
METAMIZOL FARMACOM 500 mg COMPR.
FABOCALM
COMPR.
ALGIOTOP
COMPR.
CENTRALGIN 500 mg
COMPR.
ALGOBLOCK
COMPR.
NEVRALGIN
PIC. ORALE, SOL.
ALGOCALMIN (R) 1 g/2 ml
SOL. INJ.
NOVOCALMIN 300 mg
SUPOZ.
SINTOCALMIN 300 mg
SUPOZ.
SINTOCALMIN 300 mg
SUPOZ.
TRANXENE 10 mg
CAPS.
TRANXENE 5 mg
CAPS.
GRANDAXIN
COMPR.
DORMICUM (R)
COMPR. FILM.
DORMICUM (R) 7,5 mg
COMPR. FILM.
DORMICUM (R)
SOL. INJ.
MIDAZOLAM TORREX 1 mg/ml SOL. INJ.
MIDAZOLAM TORREX 1 mg/ml SOL. INJ.
MIDAZOLAM TORREX 5 mg/ml SOL. INJ.

concentratie

Detinator APP

400mg
400mg
600mg
600mg
600mg
100mg/5ml
250mg
500mg
500mg
40mg
40mg
250mg
250mg
150mg
50mg
50mg
100mg/ml
20mg/2ml

CSC PHARMACEUTICALS HANDELS GMBH

30mg+500mg
500mg+30mg
500mg+30mg
60mg+500mg

ARENA GROUP S.A.


ZENTIVA K.S.
ZENTIVA K.S.
ARENA GROUP S.A.

500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg/ml
1g/2ml
300mg
300mg
300mg
10mg
5mg
50mg
7,5mg
7,5mg
1mg/ml
1mg/ml
1mg/ml
5mg/ml

tara det.
APP

Ambalaj

Prescriptie

ABBOTT SCANDINAVIA AB

SUEDIA
SUEDIA

CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM.

P-6L/S

GULF PHARMACEUTICAL IND. (JUPHAR)

ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM.

P-6L

ABBOTT SCANDINAVIA AB

CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. P-6L

CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM.
ZAMBON S.P.A.
ITALIA
CUTIE X 30 PLICURI UNIDOZA X 3 G GRAN. PT. SOL. ORALA
ZENTIVA K.S.
CEHIA
CUTIE X 1 FLAC. DIN STICLA X 100 ML SUSP. ORALA + PIPETA DOZATOARE GRADATA
AC HELCOR PHARMA SRL
AC HELCOR PHARMA SRL

VIANEX SA
PFIZER LIMITED
PFIZER LIMITED
GEDEON RICHTER ROMANIA SA

ARENA GROUP SA
GEDEON RICHTER ROMANIA SA
GEDEON RICHTER ROMANIA SA

TERAPIA SA
GEDEON RICHTER ROMANIA SA

ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-6L
P-6L
P-6L

MAREA BRITANIE CUTIE X 5 FLAC. PULB. X 40 MG + 5 FIOLE X 2 ML SOLV.

S/P-RF

MAREA BRITANIE

CUTIE X 10 FLAC. X 40 MG PULB. PT. SOL. INJ.

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L


CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L

S/P-RF

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.FILM. P-6L


CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L

CUTIE X 3 BLIST. AL/PVC X 10 DRAJ.

P-6L

CUTIE X 5 FIOLE DIN STICLA X 1 ML SOL. INJ. P-RF

GEDEON RICHTER ROMANIA SA

REMEDIA SRL

ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

OZONE LABORATORIES LTD.

MAREA BRITANIE

ZENTIVA S.A.
LAROPHARM SRL
SINTOFARM SA
REMEDIA SRL
ANTIBIOTICE SA
FARMACOM SA
FABIOL S.A.
SANTA SA
CENTROFARM S.A.
BIOFARM S.A.
TERAPIA SA
ZENTIVA S.A.
ANTIBIOTICE SA
SINTOFARM SA
SINTOFARM SA

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

SANOFI-AVENTIS FRANCE

FRANTA
FRANTA
UNGARIA

SANOFI-AVENTIS FRANCE

P-6L
P-RF

GRECIA CUTIE X 3 BLIST. AL/PVC X 8 COMPR. FILM.

AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 2 ML


ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
CEHIA
CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR.
CEHIA
CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR.
ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
ROMANIA CUTIE X 2 BLIST. X 10 COMPR.

EGIS PHARMACEUTICALS P.L.C.

P-6L

P-RF
P-RF
P-RF
P-RF
P-RF

P-6L
P-6L

CUTIE X 2 BLIST. X 10 COMPR.

P-RF

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


CUTIE X 2 BLIST. PVC/AL X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-RF

CUTIE X 2 BLIST. X 10 COMPR.

P-RF

CUTIE X 2 BLIST. PVC/AL X 10 COMPR.


CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. PVC/AL X 10 COMPR.

P-RF

P-RF
P-RF
P-RF

P-RF
P-RF
P-RF
P-RF

CUTIE X 1 FLACON X 10 ML PIC. ORALE, SOL. P-RF


CUTIE X 5 FIOLE DIN STICLA BRUNA CU INEL DE RUPERE X 2 ML SOL. INJ.

P-RF

CUTIE X 2 FOLII X 6 SUPOZ.

P-RF

CUTIE X 2 BLIST. PVC/PE X 3 SUPOZ.


CUTIE X 2 BLIST. PVC/PE X 5 SUPOZ.

P-RF
P-RF

CUTIE X 3 BLIST. AL/PVC-AL-OPA X 10 CAPS. P-RF


CUTIE X 3 BLIST. AL/PVC-AL-OPA X 10 CAPS. P-RF
CUTIE X 1 FLAC. DIN STICLA BRUNA X 20 COMPR.

P-RF

ROMANIA CUTIE X 1 BLIST. PVC/PVDC/AL X 10 COMPR. FILM. P-RF


TERAPIA SA
ROMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF
ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 10 FIOLE X 5 ML
S/P-RF
ROCHE ROMANIA S.R.L.

TORREX CHIESI PHARMA GMBH


TORREX CHIESI PHARMA GMBH
TORREX CHIESI PHARMA GMBH

Pagina 5 din 8

AUSTRIA CUTIE X 10 FIOLE X 5 ML SOL. INJ.


AUSTRIA CUTIE X 10 FIOLE X 2 ML SOL. INJ.
AUSTRIA CUTIE X 10 FIOLE X 1 ML SOL. INJ.

S/P-RF
S/P-RF
S/P-RF

VAL.SUPORT
ATAT CNAS/
PRET
UT(RON)AMANU
LEGEA NR. VAL.SUPORT
NTUL
PRET
MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
L
ADULTI
a) si f)
(RON)
cant (RON)

60 18.17
0.302833
0.169200
0.169200
100 30.26
0.302600
0.169200
0.169200
20 13.17
0.658500
0.291000
0.291000
20
4.85
0.242500
0.242500
0.242500
30 25.30
0.843333
0.291000
0.291000
1
9.77
9.770000
9.770000
9.770000
20
9.17
0.458500
0.458500
0.458500
20 16.58
0.829000
0.829000
0.829000
24
9.88
0.411666
0.411666
0.411666
5 145.50 29.100000 29.100000 29.100000
10 286.92 28.692000 28.692000 28.692000
20
4.38
0.219000
0.219000
0.219000
30
6.10
0.203333
0.203333
0.203333
30 14.41
0.480333
0.480333
0.480333
30
7.21
0.240333
0.208399
0.208399
30
5.21
0.173666
0.173666
0.173666
5
6.81
1.362000
1.362000
1.362000
1 141.74 141.740000 141.740000 141.740000
20 12.59
0.629500
0.629500
0.629500
10 11.56
1.156000
0.755400
0.755400
30 33.39
1.113000
0.755400
0.755400
20 19.60
0.980000
0.980000
0.980000
20
4.58
0.229000
0.229000
0.229000
20
4.58
0.229000
0.229000
0.229000
20
6.72
0.336000
0.324600
0.324600
20
6.81
0.340500
0.324600
0.324600
20
6.81
0.340500
0.324600
0.324600
20
6.76
0.338000
0.324600
0.324600
20
5.95
0.297500
0.297500
0.297500
20
5.41
0.270500
0.270500
0.270500
20
6.44
0.322000
0.322000
0.322000
20
6.19
0.309500
0.309500
0.309500
20
6.81
0.340500
0.324600
0.324600
20
6.80
0.340000
0.324600
0.324600
20
6.10
0.305000
0.305000
0.305000
1
6.13
6.130000
6.130000
6.130000
5
5.84
1.168000
1.168000
1.168000
12 12.82
1.068333
1.068333
1.068333
6
7.47
1.245000
1.245000
1.245000
10 12.17
1.217000
1.217000
1.217000
30
6.24
0.208000
0.208000
0.208000
30
5.70
0.190000
0.190000
0.190000
20
5.30
0.265000
0.265000
0.265000
10
5.52
0.552000
0.552000
0.552000
10 10.45
1.045000
0.662400
0.662400
10 28.80
2.880000
2.880000
2.880000
10 33.76
3.376000
3.376000
3.376000
10 23.61
2.361000
2.361000
2.361000
10 33.76
3.376000
3.376000
3.376000

Nr. crt

cod
ATC

237 N05CD08
238 N05CD08
239 N05CD13
240 N06BA04
241 N06BA04
242 N06BA04
243 N06BA04
244 N06BA04
245 N06BA04
246 N06BA04
247 N06BA09
248 N06BA09
249 N06BA09
250 N06BA09
251 N06BA09
252 N06BA09
253 N06BX02
254 N06BX02
255 N06BX02
256 N06BX02
257 N06BX03
258 N06BX03
259 N06BX03
260 N06BX03
261 N06BX03
262 N06BX03
263 N06BX03
264 N06BX03
265 N06BX03
266 N06BX03
267 N06BX03
268 N06BX03
269 N06BX03
270 N06BX03
271 N06BX03
272 N06BX03
273 N06BX03
274 N06BX03
275 N06BX03
276 N06BX03
277 N06BX03
278 N06BX03
279 N06BX03
280 N06BX03
281 N06BX03
282 N06BX03
283 N06BX03
284 N07CA02
285 N07CA02

DCI
MIDAZOLAMUM
MIDAZOLAMUM
CINOLAZEPAMUM
METHYLFENIDATUM***
METHYLFENIDATUM***
METHYLFENIDATUM***
METHYLFENIDATUM***
METHYLFENIDATUM***
METHYLFENIDATUM***
METHYLFENIDATUM***
ATOMOXETINUM***
ATOMOXETINUM***
ATOMOXETINUM***
ATOMOXETINUM***
ATOMOXETINUM***
ATOMOXETINUM***
PYRITINOLUM
PYRITINOLUM
PYRITINOLUM
PYRITINOLUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
CINNARIZINUM
CINNARIZINUM

Denumire Comerciala

forma farm.

MIDAZOLAM TORREX 5 mg/ml SOL. INJ.


MIDAZOLAM TORREX 5 mg/ml SOL. INJ.

GERODORM (R)
MEDIKINET EM 10 mg
MEDIKINET EM 20 mg
MEDIKINET EM 30 mg
MEDIKINET EM 40 mg
CONCERTA 18 mg
CONCERTA 36 mg
CONCERTA 54 mg
STRATTERA 10 mg
STRATTERA 18 mg
STRATTERA 25 mg
STRATTERA 40 mg
STRATTERA 60 mg
STRATTERA 80 mg
ENCEPHABOL (R) 100 mg
PIRITINOL ARENA 100 mg
ENCEPHABOL (R) FORTE

COMPR.
CAPS. ELIB. MODIF.
CAPS. ELIB. MODIF.
CAPS. ELIB. MODIF.
CAPS. ELIB. MODIF.
COMPR. FILM. ELIB. PREL.
COMPR. FILM. ELIB. PREL.
COMPR. FILM. ELIB. PREL.

CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
DRAJ.
DRAJ.
DRAJ.

ENCEPHABOL (R) SUSPENSIE SUSP. ORALA

PIRACETAM ARENA 400 mg


PIRACETAM 400 mg
PIRACETAM 400 mg
N - PIRACETAM
MEMOTAL 400mg
PIRACETAM SLAVIA 400 mg
PIRACETAM LAROPHARM 400 mg

PIRACETAM
PIRACETAM FARMEX 400 mg
PIRACETAM MCC 400mg
PIRACETAM SINTOFARM 400 mg
PIRACETAM SINTOFARM 400 mg

LUCETAM (R) 1200 mg


NOOTROPIL (R) 1200 mg
PIRACETAM 400 mg
PIRACETAM LPH (R) 400 mg
LUCETAM
NEUROSTIM 400 mg
NOOTROPIL (R) 800 mg
PIRACETAM 800 mg
PIRACETAM LPH 800 mg
LUCETAM
NEUROSTIM 800 mg
NOOTROPIL
MEMOTAL1 g/5 ml
NOOTROPIL (R)
NOOTROPIL
CINARIZINA ARENA 25 mg
STUGERON 25 mg

CAPS.
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.

SOL. INJ.
SOL. INJ.
SOL. ORALA
SOL. PERF.
CAPS.
COMPR.

concentratie

5mg/ml
5mg/ml
40mg
10mg
20mg
30mg
40mg
18mg
36mg
54mg
10mg
18mg
25mg
40mg
60mg
80mg
100mg
100mg
200mg
80,5mg/5ml
400mg
400 mg
400mg
400mg
400mg
400mg
400mg
400mg
400mg
400mg
400mg
400mg
1200mg
1200mg
400mg
400mg
400mg
400mg
800mg
800mg
800mg
800mg
800mg
1g
1g/5ml
20%
12g
25mg
25mg

tara det.
APP

GEROT PHARMAZEUTIKA GMBH

Ambalaj
AUSTRIA CUTIE X 10 FIOLE X 3 ML SOL. INJ.
AUSTRIA CUTIE X 10 FIOLE X 10 ML SOL. INJ.
AUSTRIA CUTIE X 3 BLIST. AL/PVDC-PVC X 10 COMPR.

MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG

GERMANIA

CUTIE CU BLIST. PVC/PVDC/AL X 30 CAPS. ELIB. MODIF.

MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG

GERMANIA

CUTIE CU BLIST. PVC/PVDC/AL X 30 CAPS. ELIB. MODIF.

MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG

GERMANIA

CUTIE CU BLIST. PVC/PVDC/AL X 30 CAPS. ELIB. MODIF.

MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG

GERMANIA

CUTIE CU BLIST. PVC/PVDC/AL X 30 CAPS. ELIB. MODIF.

PR
PR
PR
PR

CUTIE X 1 FLAC. DIN PEID X 30 COMPR. FILM. CU ELIB. PREL.

P-RF/R

CUTIE X 1 FLAC. DIN PEID X 30 COMPR. FILM. CU ELIB. PREL.

P-RF/R

CUTIE X 1 FLAC. DIN PEID X 30 COMPR. FILM. CU ELIB. PREL.

P-RF/R

Detinator APP
TORREX CHIESI PHARMA GMBH
TORREX CHIESI PHARMA GMBH

Prescriptie

S/P-RF
S/P-RF

P-RF

JANSSEN PHARMACEUTICA N.V.

BELGIA
BELGIA
BELGIA

ELI LILLY AND COMPANY LTD.

MAREA BRITANIE

CUTIE X 1 BLIST. PVC-PE-PCTFE/AL X 7 CAPS. P-RF

ELI LILLY AND COMPANY LTD.

MAREA BRITANIE

CUTIE X 1 BLIST. PVC-PE-PCTFE/AL X 7 CAPS. P-RF

ELI LILLY AND COMPANY LTD.

MAREA BRITANIE

CUTIE X 4 BLIST. PVC-PE-PCTFE/AL X 7 CAPS. P-RF

ELI LILLY AND COMPANY LTD.

MAREA BRITANIE

CUTIE X 4 BLIST. PVC-PE-PCTFE/AL X 7 CAPS. P-RF

ELI LILLY AND COMPANY LTD.

MAREA BRITANIE

CUTIE X 4 BLIST. PVC-PE-PCTFE/AL X 7 CAPS. P-RF

ELI LILLY AND COMPANY LTD.

MAREA BRITANIE

CUTIE X 4 BLIST. PCTFE-PE-PVC/AL X 7 CAPS.

MERCK KGAA
ARENA GROUP S.A.
MERCK KGAA
MERCK KGAA
ARENA GROUP SA
ANTIBIOTICE SA

GERMANIA

OZONE LABORATORIES LTD.

MAREA BRITANIE

JANSSEN PHARMACEUTICA N.V.


JANSSEN PHARMACEUTICA N.V.

P-RF/R

CUTIE X 5 BLIST. X 10 DRAJ.


ROMANIA CUTIE X 3 BLIST. X 10 DRAJ.
GERMANIA CUTIE X 5 BLIST. X 10 DRAJ.
GERMANIA CUTIE X 1 FLACON X 200 ML

P-6L

ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS.


ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-6L

CUTIE X 2 BLIST. X 10 COMPR.


ROMANIA CUTIE X 1 FLAC. PE X 40 COMPR.
ROMANIA CUTIE X 2 BLIST. X 10 COMPR.

P-6L

MEDUMAN SA
ZENTIVA S.A
SLAVIA PHARM SRL ROMANIA CUTIE X 4 BLIST. DIN PVC/AL X 10 COMPR.
LAROPHARM SRL
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
FABIOL SA
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

FARMEX COMPANY SRL ROMANIA CUTIE X 4 BLIST. AL/PVC X 10 COMPR. P-6L

MAGISTRA C & C
SINTOFARM SA
SINTOFARM SA
EGIS PHARMACEUTICALS P.L.C.

ROMANIA
ROMANIA
ROMANIA
UNGARIA

U.C.B. SA

BELGIA

CUTIE X 2 BLIST. PVC/AL X 10 COMPR. P-6L


CUTIE X 2 BLIST. PVC/AL X 10 COMPR. P-6L
CUTIE X 4 BLIST. PVC/AL X 10 COMPR. P-6L

CUTIE X 1 FLAC. X 20 COMPR. FILM. P-6L


CUTIE X 10 BLIST. X 10 COMPR. FILM. P-6L
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM.
P-6L
LABORMED PHARMA SA ROMANIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 60 COMPR.FILM. P-6L
AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
U.C.B. SA
BELGIA CUTIE X 6 BLIST. X 15 COMPR. FILM. P-6L
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM.
P-6L
LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR.FILM. P-6L
AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.FILM. P-6L
U.C.B. SA
BELGIA CUTIE X 12 FIOLE DIN STICLA X 5 ML SOL. INJ. P-RF
ZENTIVA SA
ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 5 ML SOL. INJ. P-RF
U.C.B. SA
BELGIA CUTIE X 1 FLACON DIN STICLA BRUNA X 125 ML + 1 MASURA DOZATOARE P-6L
U.C.B. SA
BELGIA CUTIE X 1 FLACON DIN STICLA X 60 ML SOL. PERF. S
ARENA GROUP SA ROMANIA CUTIE X 4 BLIST. AL/PVC X 10 CAPS. P-6L
TERAPIA SA
ROMANIA CUTIE X 4 BLIST. X 10 COMPR.
P-6L

Pagina 6 din 8

VAL.SUPORT
ATAT CNAS/
PRET
UT(RON)AMANU
LEGEA NR. VAL.SUPORT
NTUL
PRET
MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
L
ADULTI
a) si f)
(RON)
cant (RON)

10
10
30
30
30
30
30
30
30
30
7
7
28
28
28
28
50
30
50
1
30
20
20
40
20
40
20
30
40
20
20
40
20
100
20
60
60
20
90
20
30
30
20
12
5
1
1
40
40

63.29
193.75
22.77
47.27
94.68
96.37
125.56
190.17
226.54
293.37
102.12
102.12
384.05
384.05
384.05
550.11
32.96
17.80
59.96
40.11
10.45
2.33
2.33
3.99
8.24
4.58
1.93
2.90
4.39
3.07
3.41
6.38
6.64
49.42
3.45
6.26
6.96
2.33
32.88
6.69
5.89
6.55
4.36
16.61
8.86
13.14
16.61
3.25
6.96

6.329000
19.375000
0.759000
1.575666
3.156000
3.212333
4.185333
6.339000
7.551333
9.779000
14.588571
14.588571
13.716071
13.716071
13.716071
19.646785
0.659200
0.593333
1.199200
40.110000
0.348333
0.116500
0.116500
0.099750
0.412000
0.114500
0.096500
0.096666
0.109750
0.153500
0.170500
0.159500
0.332000
0.494200
0.172500
0.104333
0.116000
0.116500
0.365333
0.334500
0.196333
0.218333
0.218000
1.384166
1.772000
13.140000
16.610000
0.081250
0.174000

6.329000
19.375000
0.759000
1.575666
3.156000
3.212333
4.185333
6.339000
7.551333
9.779000
14.588571
14.588571
13.716071
13.716071
13.716071
19.646785
0.659200
0.593333
1.199200
40.110000
0.115800
0.115800
0.115800
0.099750
0.115800
0.114500
0.096500
0.096666
0.109750
0.115800
0.115800
0.115800
0.332000
0.398400
0.115800
0.104333
0.115800
0.115800
0.235599
0.235599
0.196333
0.218333
0.218000
1.384166
1.660999
13.140000
16.610000
0.081250
0.085800

6.329000
19.375000
0.759000
1.575666
3.156000
3.212333
4.185333
6.339000
7.551333
9.779000
14.588571
14.588571
13.716071
13.716071
13.716071
19.646785
0.659200
0.593333
1.199200
40.110000
0.115800
0.115800
0.115800
0.099750
0.115800
0.114500
0.096500
0.096666
0.109750
0.115800
0.115800
0.115800
0.332000
0.398400
0.115800
0.104333
0.115800
0.115800
0.235599
0.235599
0.196333
0.218333
0.218000
1.384166
1.660999
13.140000
16.610000
0.081250
0.085800

cod
ATC

321 R06AX13

DCI
CINNARIZINUM
CINNARIZINUM
TENONITROZOLUM
PYRANTELUM
PYRANTELUM
PYRANTELUM
BENZYLUM BENZOICUM
BENZYLUM BENZOICUM
TIXOCORTOLUM
COMBINATII
COMBINATII
FUSAFUNGINUM
EPHEDRINI HYDROCHLORIDUM
EPHEDRINI HYDROCHLORIDUM
OMALIZUMABUM**
OMALIZUMABUM**
ACETYLCYSTEINUM
ACETYLCYSTEINUM
ACETYLCYSTEINUM
CARBOCISTEINUM
CARBOCISTEINUM
CARBOCISTEINUM
CARBOCISTEINUM
PROMETHAZINUM
PROMETHAZINUM
MEQUITAZINUM
MECLOZINUM
CYPROHEPTADINUM
CYPROHEPTADINUM
CYPROHEPTADINUM
CYPROHEPTADINUM
LORATADINUM
LORATADINUM
LORATADINUM
LORATADINUM
LORATADINUM

322 R06AX27

COMBINATII (DESLORATADINUM+ PSEUDOEPHEDRINE)

AERINAZE (vezi R06AX27) 2,5mg/120mg

323 S01AA01

CHLORAMPHENICOLUM
ACIDUM FUSIDICUM
KANAMYCINUM
COMBINATII
COMBINATII
FLUOROMETHOLONUM
FLUOROMETHOLONUM
DESONIDUM
INDOMETACINUM
PIROXICAMUM
PILOCARPINUM
PILOCARPINUM

SIFICETINA
FUCITHALMIC 10mg/g
KANAMICINA SULFAT 1%
ANTIBIOPTAL
COLBIOCIN
FLUMETOL S

Nr. crt

286 N07CA02
287 N07CA02
288 P01AX08
289 P02CC01
290 P02CC01
291 P02CC01
292 P03AX01
293 P03AX01
294 R01AD07
295 R01ADN1
296 R01BA52
297 R02AB03
298 R03CA02
299 R03CA02
300 R03DX05
301 R03DX05
302 R05CB01
303 R05CB01
304 R05CB01
305 R05CB03
306 R05CB03
307 R05CB03
308 R05CB03
309 R06AD02
310 R06AD02
311 R06AD07
312 R06AE05
313 R06AX02
314 R06AX02
315 R06AX02
316 R06AX02
317 R06AX13
318 R06AX13
319 R06AX13
320 R06AX13

324 S01AA13
325 S01AA24
326 S01AA30
327 S01AA30
328 S01BA07
329 S01BA07
330 S01BA11
331 S01BC01
332 S01BC06
333 S01EB01
334 S01EB01

Denumire Comerciala
CINARIZIN 25 mg
N-CINARIZINA
ATRICAN 250 mg
HELMINTOX (R) 125 mg
HELMINTOX (R) 250 mg
HELMINTOX (R)
BENZOAT DE BENZIL MK
BENZOAT DE BENZIL MK
PIVALONE 1%
BIORINIL
CLARINASE (R)
BIOPAROX
EFEDRINA ARENA
EFEDRINA 50 mg/ ml
XOLAIR 150 mg
XOLAIR 75 mg
ACC INJECT 300mg/3ml
FLUIMUCIL 2% PEDIATRIC
FLUIMUCIL

forma farm.

COMPR.
COMPR.
CAPS. MOI GASTROREZ.

COMPR. FILM.
COMPR. FILM.
SUSP. ORALA

CREMA
CREMA

concentratie

Detinator APP

25mg
25mg
250mg
125mg
250mg
125mg/2,5ml
25%
25%
1%

LAROPHARM SRL
MEDUMAN SA
LAB. INNOTECH INT.
LAB. INNOTECH INT.
LAB. INNOTECH INT.
LAB. INNOTECH INT.

MAREA BRITANIE CUTIE X 1 FLACON X 10 ML + POMPA DOZATOARE + APLICATOR NAZAL P-RF

SPRAY NAZ.,SUSP.

FARMILA FARMACEUTICI

COMPR. ELIB. MODIF.

SCHERING PLOUGH EUROPE


LES LABORATOIRES SERVIER

ITALIA
CUTIE X 1 FLACON X 10 ML SPRAY NAZAL, SUSP. PREVAZUT CU NEBULIZATOR
BELGIA CUTIE X 1 BLIST. X 7 COMPR. ELIB. MODIF.
FRANTA

ARENA GROUP SA
ZENTIVA S.A.

ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF


ROMANIA CUTIE X 5 FIOLE CU INEL DE RUPERE X 1ML SOL. INJ S

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE CUTIE CU 1 SERINGA PREUMPLUTA X 1ML SOLUTIE INJECTABILA

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE CUTIE CU 1 SERINGA PREUMPLUTA X 0.5ML SOLUTIE INJECTABILA

PR
PR

HEXAL AG
ZAMBON S.P.A.
ZAMBON S.P.A.
LAB. URGO

GERMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA X 3 ML SOL. INJ.

S/P-RF

SPRAY BUCOFARINGIAN SI NAZAL-SOL.

COMPR.
SOL. INJ.
SOL INJ.
SOL INJ.
SOL. INJ.
SOL. ORALA
SOL.INJ./INHAL.NEBULIZ./INSTILATIE ENDOTRAHEOBRON.

SIROP
SIROP
SIROP
SOL. ORALA

PROMETAZINA ARENA 30 mg COMPR. FILM.

ROMERGAN
PRIMALAN (R) 10 mg
EMETOSTOP
PERITOL
CIPROHEPTADINA 4 mg
PERITOL
BIOHEPT
SYMPHORAL (R) 1 mg/ml
CLARITINE
CLARITINE

FLUMETOL S UNGUENT OFTALMIC

PRENACID
INDOCOLLYRE (R) 0,1%
BRUXICAM 0,5%
PILOCARPINA ROMPHARM 10 mg/ml
PILOCARPINA ROMPHARM 20 mg/ml

FRANTA CUTIE X 1 BLIST. AL/PVC X 8 CAPS. MOI GASTROREZ. P-RF


FRANTA CUTIE X 2 BLIST. AL/PVC X 3 COMPR. FILM. P-RF
FRANTA CUTIE X 1 BLIST. X 3 COMPR. FILM. P-RF
FRANTA CUTIE X 1 FLACON X 15 ML + LINGURITA DOZATOARE X 2,5 ML P-RF

PFIZER EUROPE MA EEG

SUSP. NAZALA

2,5mg/120mg SP EUROPE

MUCOTREIS
FLUIDOL 100mg/5ml

P-6L

ROMANIA CUTIE X 1 TUB DIN AL X 35 G CREMA


ROMANIA CUTIE X 1 TUB DIN AL X 50 G CREMA

SIROP
COMPR.
COMPR.
COMPR.
COMPR.
SIROP
SIROP
SIROP
SIROP
SIROP
LORATADINA BIOFARM 5mg/5ml SIROP
FLONIDAN
SUSP. ORALA

RHINATHIOL 2% pentru copii si sugari

Prescriptie

P-6L

FITERMAN PHARMA S.R.L.

FITERMAN PHARMA S.R.L.

50mg/10ml
50mg
50mg/ml
150mg
75mg
300mg/3ml
2%
300mg/3ml
100mg/5ml
2%
20mg/ml
100mg/5ml
30mg
5mg/5ml
10mg
30mg
4mg
4mg
2mg/5ml
2mg/5ml
1mg/ml
1mg/ml
1mg/ml
5mg/5ml
5mg/5ml

HUMEX EXPECTORANT PENTRU COPII SI SUGARI

tara det.
APP
Ambalaj
ROMANIA CUTIE X 3 BLIST. X 20 COMPR.
ROMANIA CUTIE X 1 FLAC. PE X 20 COMPR.

COMPR. FILM. ELIB. MODIF.


PULB. + SOLV. PT. SOL. OFT.

GEL OFT.
UNG. OFT.

0,4%
10mg/g
1%

PICATURI OFT.-SOL.
PULB. + SOLV. PT. SOL. OFT.

2mg/ml
1mg/g
PICATURI OFT.-SOL. 0,25%
PICATURI OFT.-SOL. 0,1%
PIC. OFT., SOL. 0,5%
PIC. OFT., SOL 10 mg/ml
PIC. OFT., SOL 20 mg/ml
PICATURI OFT.SUSP.

UNG. OFT.

P-RF
P-RF

P-RF

P-6L
P-RF

CUTIE X 1 FLACON PRESURIZAT DIN AL X 10 ML SOL. + 3 APLIC. DIN PE: 1 APLIC. BUCAL (ALB) + 2 APLIC.

ITALIA
ITALIA
FRANTA
SANOFI-AVENTIS OTC FRANTA
ECOBI PHARMACEUTICI ITALIA

CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 ML SOL. ORALA + MASURA DOZATOARE (5 SI 10 ML)

P-RF

CUTIE X 5 FIOLE DIN STICLA X 3 ML SOL.INJ/SOL.PT.INHALAT PRIN NEBULIZATOR/SOL.PT.INSTILATIE ENDOTRAH

S/P-RF

CUTIE X 1 FLACON X 125ML SIROP + MASURA DOZATOARE A 5 ML

P-RF

CUTIE X 1 FLACON DIN STICLA INCOLORA X 125 ML SIROP + LINGURITA DOZATOARE

P-RF

CUTIE X 1 FLACON DIN STICLA BRUNA X 150 ML SIROP + MASURA DOZATOARE A 10 ML

P-RF

TIS FARMACEUTIC SA ROMANIA CUTIE X 1 FLACON DIN PVC X 100 ML SIROP + LINGURITA DUBLA GRADATA LA 2,5 SI 5 ML P-RF
ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM. P-RF
BIOFARM S.A.
ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 50 ML SIROP + MASURA DOZATOARE P-RF
LAB. PIERRE FABRE FRANTA CUTIE X 1 BLIST. AL/PVC X 14 COMPR. P-RF
SPECIFAR SA
GRECIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L

BIOFARM S.A.

UNGARIA
ROMANIA
ROMANIA
BELGIA
BELGIA
ROMANIA

LEK PHARMACEUTICALS D.D.

SLOVENIA

EGIS PHARMACEUTICALS P.L.C.

BIOFARM S.A.
GEDEON RICHTER ROMANIA SA

SCHERING-PLOUGH EUROPE
SCHERING-PLOUGH EUROPE

CUTIE X 1 FLACON X 100 ML + MASURA DOZATOARE PP

P-6L

CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 ML SIROP + MASURA DOZATOARE

P-6L

CUTIE X 1 FLACON X 120 ML + LINGURITA DOZATOARE

P-6L

CUTIE X 1 FLACON X 120 ML + LINGURITA DOZATOARE

P-6L

CUTIE X 1 FLACON X 60 ML + LINGURITA DOZATOARE P-6L


CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 ML SIROP + MASURA DOZATOARE DIN PE CU GRADATII DE LA 2,5 LA 2

P-RF

CUTIE X 1 FLACON DIN STICLA BRUNA X 120 ML SUSP. ORALA + LINGURITA DOZATOARE

P-6L

CUTIE X 10 COMPR.FILM.ELIB.MODIF. ( BLIST.PCTFE/PVC/AL)

P-RF

S.I.F.I. SPA

BELGIA
ITALIA

CUTIE X 1 FLAC. STICLA BRUNA X 5 ML SOLV. + O PUNGA X UN REZERVOR CU PULB. + UN PICURATOR

P-RF

LEO PHARMACEUTICAL PRODUCTS

DANEMARCA

CUTIE X 1 TUB AL CU CANULA APLICATOARE X 5 G GEL OFTALMIC P-6L

ANTIBIOTICE SA

ROMANIA CUTIE X 1 TUB AL X 6 G

P-RF

ITALIA
CUTIE X 1 FLACON PICURATOR X 10 ML P-RF
S.I.F.I. SPA
ITALIA
CUTIE X 1 FLACON X 5 ML SOLV. + PLIC REZERVOR PULBERE + DISP. PICURARE P-RF
FARMILA - THEA FARMACEUTICI SPA ITALIA
CUTIE X 1 FLACON PEJD X 10ML PIC. OFT. SUSP. P-RF
FARMILA - THEA FARMACEUTICI SPA ITALIA
CUTIE X 1 TUB X 5G
P-RF
S.I.F.I. SPA
ITALIA
CUTIE X 1 FLACON DIN STICLA BRUNA X 10 ML, PREVAZUT CU PICURATOR P-RF
LAB. CHAUVIN
FRANTA CUTIE X 1 FLACON PICURATOR DIN POLIETILENA X 5 ML P-6L
BRUSCHETTINI S.R.L. ITALIA
CUTIE X 1 FLAC. DIN PEJD PREVAZUT CU PICURATOR X 10 ML PIC. OFT., SOL.
P-6L
FARMILA FARMACEUTICI

ROMPHARM COMPANY S.R.L.


ROMPHARM COMPANY S.R.L.

Pagina 7 din 8

ROMANIA
ROMANIA

CUTIE CU 1 FLACON PEJD X 10 ML PIC. OFT., SOL., CU PICURATOR PEJD


CUTIE CU 1 FLACON PEJD X 10 ML PIC. OFT., SOL., CU PICURATOR PEJD

P6L
P6L

VAL.SUPORT
ATAT CNAS/
PRET
UT(RON)AMANU
LEGEA NR. VAL.SUPORT
NTUL
PRET
MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
L
ADULTI
a) si f)
(RON)
cant (RON)

60
4.47
0.074500
0.074500
0.074500
20
1.43
0.071500
0.071500
0.071500
8 11.42
1.427500
1.427500
1.427500
6
3.42
0.570000
0.570000
0.570000
3
3.42
1.140000
1.140000
1.140000
1
6.49
6.490000
6.490000
6.490000
1
3.79
3.790000
3.790000
3.790000
1
5.42
5.420000
4.548000
4.548000
1 10.35 10.350000 10.350000 10.350000
1 25.56 25.560000 25.560000 25.560000
7
9.15
1.307142
1.307142
1.307142
1 19.78 19.780000 19.780000 19.780000
30
9.28
0.309333
0.309333
0.309333
5
6.10
1.220000
1.220000
1.220000
1 1,558.61 1,558.610000 1,558.610000 1,558.610000
1 905.47 905.470000 905.470000 905.470000
5
7.46
1.492000
1.492000
1.492000
1 12.97 12.970000 12.970000 12.970000
5
8.15
1.630000
1.630000
1.630000
1
7.92
7.920000
7.920000
7.920000
1
9.08
9.080000
9.080000
9.080000
1
8.71
8.710000
8.710000
8.710000
1
3.48
3.480000
3.480000
3.480000
20 14.84
0.742000
0.742000
0.742000
1
2.31
2.310000
2.310000
2.310000
14 15.89
1.135000
1.135000
1.135000
10
3.54
0.354000
0.354000
0.354000
20
3.22
0.161000
0.161000
0.161000
30
4.84
0.161333
0.161333
0.161333
1
5.52
5.520000
5.520000
5.520000
1
5.73
5.730000
5.730000
5.730000
1 17.01 17.010000 14.232000 14.232000
1 17.87 17.870000 14.232000 14.232000
1
8.92
8.920000
8.920000
8.920000
1
7.01
7.010000
7.010000
7.010000
1 11.86 11.860000 11.860000 11.860000
10 20.75
2.075000
2.075000
2.075000
1 12.48 12.480000 12.480000 12.480000
1 14.79 14.790000 14.790000 14.790000
1
6.32
6.320000
6.320000
6.320000
1 12.97 12.970000 12.970000 12.970000
1 13.91 13.910000 13.910000 13.910000
1 31.65 31.650000 31.650000 31.650000
1 10.00 10.000000 10.000000 10.000000
1
6.69
6.690000
6.690000
6.690000
1 14.33 14.330000 14.330000 14.330000
1 16.55 16.550000 16.550000 16.550000
1
7.66
7.660000
7.660000
7.660000
1 10.65 10.650000 10.650000 10.650000

Nr. crt

cod
ATC

335 S02CA05
A01AA01
A01AB17
A11HA04

B03AA02
D03AX03
D05AC01
D10AE01

J01XC01
M01AX02
M02AA07
M02AA13
M02AA17
M02AA23
M02ACN3

P03AC04
R03CC06

R06AA04
S01GX06
S01GX08

S01KA01
S01XA11
S01XA12

DCI
COMBINATII
NATRII FLUORIDUM
METRONIDAZOLUM
RIBOFLAVINUM
FERROSI FUMARAS
DEXPANTHENOLUM
DITHRANOLUM
BENZOYLIS PEROXIDUM
ACIDUM FUSIDICUM
ACIDUM NIFLUMICUM
PIROXICAMUM
IBUPROFENUM
ACIDUM NIFLUMICUM
INDOMETACINUM
COMBINATII
PERMETHRINUM
TERBUTALINUM
CLEMASTINUM
EMEDASTINUM
KETOTIFENUM
ACIDUM HIALURONICUM
NANDROLONUM
DEXPANTHENOLUM

Denumire Comerciala
SOLUTIE AURICULARA CU CLORAMFENICOL SI FLUOCINOLON

forma farm.
SOL. AURICULARA

concentratie

Detinator APP

BIOFARM SA

tara det.
APP
ROMANIA

Ambalaj

Prescriptie

CUTIE X 1 FLAC DIN STICLA BRUNA+APLICATOR TIP PIPETA X 10 ML SOL. AURICULARA

P-RF

Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (**) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MS;
Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (***) se face pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MS si cu aprobarea comisiilor de la nivelul
Caselor Judetene de Asigurari de Sanatate;
Medicamentele din aceast sublist corespund DCI-urilor din CANAMED altele dect cele din sublistele A, B si C1.
Pentru categoriile de asigurati mentionate in aceasta sublista, medicamentele
corespunzatoare denumirilor comune internationale din sublista A, sublista B, sectiunea C1 a sublistei C, se vor acorda in regim de compensare de 100% la pret de referinta, indiferent de indicatia pentru care
sunt prevazute in aceste subliste .

Pagina 8 din 8

VAL.SUPORT
ATAT CNAS/
PRET
UT(RON)AMANU
LEGEA NR. VAL.SUPORT
NTUL
PRET
MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
L
ADULTI
a) si f)
(RON)
cant (RON)

2.80

2.800000

2.800000

2.800000

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