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ANEXA 4

SECIUNEA C2 - LISTA MEDICAMENTELOR CU PROCENT DE COMPENSARE 100% din pret de decontare - conform denumirilor comune internaionale
corespunztoare medicamentelor de care beneficiaza asiguratii inclusi in programele nationale de sntate cu scop curativ in tratamentul ambulatoriu si spitalicesc
DIN HG NR. 720/2008 CU MODIFICARILE SI COMPLETARILE ULTERIOARE SI ORDINUL MS NR. 1275/2011 CU MODIFICARILE SI COMPLETARILE ULTERIOARE
VALABIL NCEPND CU 06 APRILIE 2012

Grupa
Nr.
terape
crt
utica

Denumire generica

Denumire comerciala

Forma
Concentrati
farmaceutic
e / U.T.
a

Firma

Tara

Ambalaj

Prescriptie

cant/
amba
laj

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

Pret cu ridicata
maximal de
decontare / U.T.

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

P1: PROGRAMUL NATIONAL DE BOLI TRANSMISIBILE


A) SUBPROGRAMUL DE TRATAMENT SI MONITORIZARE A PERSOANELOR CU INFECTIE HIV/SIDA si TRATAMENTUL POSTEXPUNERE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42

A07AA11
A07AA11
A07AA11
D01AC02
D01AC02
D01AC02

D06BB03
D06BB03
D06BB03
D06BB03
D06BB03
D06BB03
D06BB03
D06BB03
D06BB03
D06BB03
G01AF04
G01AF04
G01AF04
G01AF04
G01AF04
G01AF04

J01CF04
J01CF04
J01CF04
J01CF04
J01CF04
J01CF04
J01CF04
J01CF04
J01CF04
J01CF04
J01CF04
J01CF04
J01CF04
J01CF04
J01CF04
J01CF04
J01CF04
J01CR01
J01CR01

RIFAXIMINUM
RIFAXIMINUM
RIFAXIMINUM
MICONAZOLUM
MICONAZOLUM
MICONAZOLUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
MICONAZOLUM
MICONAZOLUM
MICONAZOLUM
MICONAZOLUM
MICONAZOLUM
MICONAZOLUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
AMPICILLINUM + SULBACTAM
AMPICILLINUM + SULBACTAM

NORMIX 200 mg
NORMIX 200 mg
NORMIX 100mg/5ml
MICONAZOL NITRAT 2%
MEDACTER
MICONAL ECOBI
ACICLOVIR MK
ACICLOVIR MK
CLOVIRAL (R) 5%
ZOVIRAX
ACICLOVIR 50mg/g
ACICLOVIR 50mg/g
ACICLOVIR TERAPIA 50 mg/g
ACICLOVIR TIS 50mg/g
ACICLOVIR SLAVIA 50 mg/g
ACICLOVIR HYPERION
GYNOZOL 200
GYNOZOL 400
MEDACTER
MICONAL ECOBI
MICONAL ECOBI
MICONAL ECOBI
OXACILINA ARENA 250 mg
OXACILINA ARENA 250 mg
OXACILINA 250 mg
OXACILINA 250 mg
OXACILINA FARMEX 250 mg
OXACILINA SANDOZ 250 mg
OXACILINA ARENA 500 mg
OXACILINA FORTE 500 mg
OXACILINA FORTE 500 mg

COMPR. FILM. 200mg


COMPR. FILM. 200mg

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

ALFA WASSERMANN SPA


ALFA WASSERMANN SPA

ITALIA
ITALIA
ITALIA

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

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

GRAN. PT. SUSP. ORALA

ALFA WASSERMANN SPA

CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
CAPS. VAG.
CAPS. VAG.

SLAVIA PHARM SRL ROMANIA CUTIE X 1 TUB X 20 G


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

P-RF

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


SLAVIA PHARM S.R.L. ROMANIA CUTIE CU 1 TUB AL X 15 G CREMA
HYPERION S.A.
ROMANIA CUTIE X 1 TUB DIN AL X 15 G CREMA
PHARCO IMPEX 93 S.R.L. ROMANIA CUTIE X 2 BLIST. X 3 CAPS. VAG. MOI
PHARCO IMPEX 93 S.R.L. ROMANIA CUTIE X 1 BLIST. X 3 CAPS. VAG. MOI

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

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


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

FARAN LABORATORIES S.A.


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

ARENA GROUP SA
ARENA GROUP SA
ANTIBIOTICE SA
ANTIBIOTICE SA
FARMEX COMPANY SRL

SANDOZ SRL
ARENA GROUP SA
FARMEX COMPANY SRL
FARMEX COMPANY SRL
LABORMED PHARMA S.A.

ANTIBIOTICE SA
ANTIBIOTICE SA
SANDOZ SRL
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA

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

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
MAREA BRITANIE

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

P-RF

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

PRF
P-RF
P-RF
P-RF
P-RF

P-RF
P-RF
P-RF

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

P-RF

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

P-RF/S

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

P-RF

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

P-RF/S

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 50 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 100 BLIST. X 10 CAPS.


CUTIE X 1 BLIST. X 10 CAPS.

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

P-RF
P-RF
P-RF/S

P-RF

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

P-RF

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

P-RF/S

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

P-RF

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

P-RF/S

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

P-RF

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


CUTIE X 50 FLAC. PULB. PT. SOL. INJ. X 1,5 G

P-RF/S

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

P-RF

Pagina 1 din 56

36
12
1
1
1
1
1
1
1
1
1
1
1
1
1
1
6
3
1
1
15
5
20
1000
20
1000
20
20
10
500
20
10
1000
10
10
100
1
100
1
1
50
28

72.18
24.49
14.14
5.05
6.34
7.04
3.10
4.98
4.73
15.58
3.68
5.62
4.97
3.48
4.97
5.42
4.41
4.23
14.33
10.31
6.66
13.32
5.25
242.55
5.59
257.71
4.98
5.70
4.58
195.09
8.26
4.58
296.26
5.10
5.21
237.08
2.46
376.06
3.94
18.68
633.77
34.28

2.005000
2.040833
14.140000
5.050000
6.340000
7.040000
3.100000
4.980000
4.730000
15.580000
3.680000
5.620000
4.970000
3.480000
4.970000
5.420000
0.735000
1.410000
14.330000
10.310000
0.444000
2.664000
0.262500
0.242550
0.279500
0.257710
0.249000
0.285000
0.458000
0.390180
0.413000
0.458000
0.296260
0.510000
0.521000
2.370800
2.460000
3.760600
3.940000
18.680000
12.675400
1.224285

2.005000
2.040833
14.140000
5.050000
6.340000
7.040000
3.100000
4.176000
4.730000
4.416000
3.680000
4.176000
4.176000
3.480000
4.176000
4.176000
0.735000
1.410000
12.372000
10.310000
0.444000
2.664000
0.262500
0.242550
0.279500
0.257710
0.249000
0.285000
0.355512
0.355512
0.355512
0.355512
0.296260
0.355512
0.355512
2.370800
2.460000
3.760600
3.940000
15.210480
12.675400
1.224285

91.26
33.10
19.11
6.83
8.57
9.51
4.19
6.73
6.39
21.06
4.98
7.60
6.72
4.70
6.72
7.33
5.96
5.72
19.37
13.93
9.00
18.00
7.10
296.11
7.55
314.61
6.73
7.70
6.19
238.17
11.17
6.19
361.68
6.89
7.04
289.43
3.33
448.06
5.33
25.25
728.96
44.84

2.535000
2.758333
19.110000
6.830000
8.570000
9.510000
4.190000
6.730000
6.390000
21.060000
4.980000
7.600000
6.720000
4.700000
6.720000
7.330000
0.993333
1.906666
19.370000
13.930000
0.600000
3.600000
0.355000
0.296110
0.377500
0.314610
0.336500
0.385000
0.619000
0.476340
0.558500
0.619000
0.361680
0.689000
0.704000
2.894300
3.330000
4.480600
5.330000
25.250000
14.579200
1.601428

2.535000
2.758333
19.110000
6.830000
8.570000
9.510000
4.190000
5.640000
6.390000
5.976000
4.980000
5.640000
5.640000
4.700000
5.640000
5.640000
0.993333
1.906666
16.716000
13.930000
0.600000
3.600000
0.355000
0.296110
0.355332
0.314610
0.336500
0.355332
0.434016
0.434016
0.434016
0.434016
0.361680
0.434016
0.434016
2.894300
3.330000
4.480600
5.330000
17.495040
14.579200
1.601428

Grupa
Nr.
terape
crt
utica
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97

Denumire generica

J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM


J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

Denumire comerciala

MEDOCLAV 1000 mg
AMOKSIKLAV 2 x 1000 mg
MEDOCLAV 375 mg
ENHANCIN 500 mg/125mg
AMOXIPLUS 500/125 mg
MEDOCLAV 625 mg
AUGMENTIN 500 mg/125 mg
AMOKSIKLAV 2 x 625 mg
AUGMENTIN 875 mg/125 mg
AMOXIPLUS 875 mg/125 mg

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

1000mg
1000mg

Firma

Tara

MEDOCHEMIE LTD. CIPRU


LEK PHARMACEUTICALS D.D.

Ambalaj

Prescriptie

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

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

P-RF

250mg+125mg MEDOCHEMIE LTD. CIPRU

CUTIE X 4 BLIST. X 4 COMPR. FILM.

500 mg/125 mg RANBAXY UK LIMITED

MAREA BRITANIE

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

500/125mg

ROMANIA

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

ANTIBIOTICE S.A.

P-RF

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.
875mg/125mg BEECHAM GROUP PLC MAREA BRITANIE
875mg/125mg ANTIBIOTICE S.A.
ROMANIA CUTIE CU 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM.

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

PULB. PT. SOL. INJ./PERF.

1000mg
625mg
1,2g
1.2g
1.2g

PULB. PT. SUSP. ORALA

125mg+31,25/5ml

ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA
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 LEK PHARMACEUTICALS D.D.

PULB. PT. SUSP. ORALA

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

SLOVENIA
SLOVENIA

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

PULB. PT. SUSP. ORALA

400mg/57mg/5ml SMITHKLINE BEECHAM PLC

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

PULB. PT. SUSP. ORALA

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

J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM


J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV QUICKTAB 1000 mg


J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV QUICKTAB 625 mg
J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

AMOXIPLUS 1,2 g
AMOXIPLUS 1,2 g
AMOXIPLUS 1,2 g
MEDOCLAV 156,25 mg/5 ml
AMOKSIKLAV 156,25mg/5ml

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


J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

AMOKSIKLAV 2x
AMOKSIKLAV 2x

AUGMENTIN (R) ES

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

COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE

COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE

PULB. PT. SOL. INJ./PERF.

P-RF

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

P-RF

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

P-RF

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

P-RF

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

P-RF

MAREA BRITANIE

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

P-RF

400mg/57mg/5ml SMITHKLINE BEECHAM PLC

MAREA BRITANIE

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

P-RF

PULB. PT. SUSP. ORALA

400mg/57mg/5ml SMITHKLINE BEECHAM PLC

MAREA BRITANIE

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

P-RF

PULB. PT. SUSP. ORALA

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

MAREA BRITANIE

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

P-RF

PULB. PT.SUSP. ORALA

250 mg/ 62,5 mg/5 ml

RANBAXY UK LIMITED

MAREA BRITANIE

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

P-RF

PULB. PT.SUSP. ORALA

312,5mg/5ml

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

LIOF. PT. SOL. INJ.

FARA CONCENTRATIE

WYETH LEDERLE PHARMA GMBH

AUSTRIA CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ.

S/P-RF

LIOF. PT. SOL. INJ.

FARA CONCENTRATIE

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ.

S/P-RF

2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
500mg
1g
500mg
1000mg
1g
1g

ROMASTRU TRADING SRL ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

ROMASTRU TRADING SRL ROMANIA

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

ANTIBIOTICE S.A.

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU 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

PIPERACILINA/TAZOBACTAM MYLAN 2g/0,25 g

PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILINA/TAZOBACTAN ACTAVIS 2 g/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

PIPERACILINA/TAZOBACTAN ACTAVIS 4 g/0,5 g PULB. PT. SOL. INJ./PERF.

ZOPECILIN 4 g/0,5 g
PIPERACILLINUM + TAZOBACTAMUM ZOPECILIN 4 g/0,5 g

J01CR05 PIPERACILLINUM + TAZOBACTAMUM


J01CR05

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.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

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

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

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

J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g

PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

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

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

BACTACIN 4 g/0,5 g
PERASIN 4g/0,5 g
NOVOSEF 500 mg i.m.
CEFTRIAXONA ACTAVIS 1 g
NOVOSEF 500mg i.v.
OFRAMAX 1000 mg
CEFORT 1 g
SEFTRION 1 g

J01CR05 PIPERACILLINUM + TAZOBACTAMUM


J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04

CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM

CUTIE X 1 FLACON CU PULB. PT. SOL. INJ. / PERF. P-RF

P-RF/S

PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

P-RF

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

PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

BIOMEDIAL PHARMA S.R.L.

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

P-RF

P-RF/S

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

BIOMEDIAL PHARMA S.R.L.

P-RF

CUTIE X 50 FLACOANE CU PULB. PT. SOL. INJ. / PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

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

P-RF

CUTIE X 100 FLACOANE CU PULB. PT. SOL. INJ. / PERF.

PULB. PT. SOL. INJ./PERF.

AMOKSIKLAV 312,5mg/5ml
TAZOCIN 2,25
TAZOCIN 4,5
ZOPECILIN 2 g/0,25 g
ZOPECILIN 2 g/0,25 g
PERASIN 2g/0,25 g

J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

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

PULB. PT. SOL. INJ./PERF.


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

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.

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.
S.C. FRESENIUS KABI S.R.L.

MYLAN S.A.S.

SLOVENIA

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

ACTAVIS GROUP PTC EHF.

FRANTA
ISLANDA

TERAPIA SA

ROMANIA

ACTAVIS GROUP PTC EHF.

ISLANDA

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

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 15 ML CONTINAND PULB. PT. SOL. INJ. I.M.+ 1 FIOLA DIN STICLA

P-RF

CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND 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 CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.


CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.

ROMASTRU TRADING SRL ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

ROMASTRU TRADING SRL ROMANIA

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

S.C. FRESENIUS KABI S.R.L.

ROMANIA
ROMANIA

MYLAN S.A.S.

FRANTA

S.C. FRESENIUS KABI S.R.L.

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

ROMANIA
ROMANIA
ROMANIA
ROMANIA

ACTAVIS GROUP PTC EHF.

ISLANDA

S.C. FRESENIUS KABI S.R.L.

ZENTIVA S.A.
TERAPIA SA
ANTIBIOTICE SA

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

CUTIE X 1 FLAC DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU 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 50 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.

PR

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 15ML CONTINAND PULB. PT. SOL INJ./PERF. + 1 FIOLA DIN STICLA I

S/P-RF

CUTIE CU 50 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 15 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE X 10 FLAC. CU PULB. PT. SOL. INJ./PERF.

S/P-RF

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

S/P-RF

Pagina 2 din 56

cant/
amba
laj

14
14
16
28
14
16
14
14
14
14
14
14
1
100
50
1
1
1
1
1
1
1
1
1
1
1
12
12
1
12
1
10
1
5
10
1
5
1
12
1
12
1
12
1
5
1
10
1
1
1
5
1
50
10
1

Pret cu
ridicata
maximal /
ambalaj

31.12
29.92
16.74
24.47
8.01
22.01
11.33
20.76
19.50
14.04
18.55
12.23
5.10
477.30
246.03
11.02
8.65
16.36
9.57
4.78
7.36
14.72
7.36
26.22
16.80
17.77
401.14
692.90
22.93
265.41
22.93
386.57
20.32
99.83
196.11
40.65
196.11
22.93
265.28
22.93
460.81
40.93
460.81
40.93
197.45
40.94
389.01
40.93
40.93
4.47
46.17
4.47
456.00
133.84
10.31

Pret cu ridicata
maximal / U.T.

2.222857
2.137142
1.046250
0.873928
0.572142
1.375625
0.809285
1.482857
1.392857
1.002857
1.325000
0.873571
5.100000
4.773000
4.920600
11.020000
8.650000
16.360000
9.570000
4.780000
7.360000
14.720000
7.360000
26.220000
16.800000
17.770000
33.428333
57.741666
22.930000
22.117500
22.930000
38.657000
20.320000
19.966000
19.611000
40.650000
39.222000
22.930000
22.106666
22.930000
38.400833
40.930000
38.400833
40.930000
39.490000
40.940000
38.901000
40.930000
40.930000
4.470000
9.234000
4.470000
9.120000
13.384000
10.310000

Pret cu ridicata
maximal de
decontare / U.T.

1.203428
1.203428
1.046250
0.686570
0.572142
0.686570
0.686570
0.686570
1.203428
1.002857
1.203428
0.686570
5.100000
4.773000
4.920600
10.380000
8.650000
16.360000
9.570000
4.780000
5.736000
11.484000
5.736000
26.220000
16.800000
17.770000
23.533200
46.081000
22.930000
22.117500
22.930000
23.533200
20.320000
19.966000
19.611000
23.533200
23.533200
22.930000
22.106666
22.930000
38.400833
40.930000
38.400833
40.930000
39.490000
40.940000
38.901000
40.930000
40.930000
4.470000
7.224000
4.470000
7.224000
7.224000
7.224000

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

40.71
39.13
22.63
33.07
10.83
29.75
15.32
28.06
26.35
18.97
25.07
16.53
6.89
558.41
300.35
14.90
11.69
22.11
12.93
6.46
9.95
19.89
9.95
34.30
22.71
24.02
475.39
793.41
30.99
324.01
30.99
459.51
27.47
126.23
239.41
53.17
239.41
30.99
323.86
30.99
540.43
53.53
540.43
53.53
241.05
53.55
462.17
53.53
53.53
6.04
60.39
6.04
535.19
163.39
13.94

2.907857
2.795000
1.414375
1.181071
0.773571
1.859375
1.094285
2.004285
1.882142
1.355000
1.790714
1.180714
6.890000
5.584100
6.007000
14.900000
11.690000
22.110000
12.930000
6.460000
9.950000
19.890000
9.950000
34.300000
22.710000
24.020000
39.615833
66.117500
30.990000
27.000833
30.990000
45.951000
27.470000
25.246000
23.941000
53.170000
47.882000
30.990000
26.988333
30.990000
45.035833
53.530000
45.035833
53.530000
48.210000
53.550000
46.217000
53.530000
53.530000
6.040000
12.078000
6.040000
10.703800
16.339000
13.940000

1.626000
1.626000
1.414375
0.928285
0.773571
0.928285
0.928285
0.928285
1.626000
1.355000
1.626000
0.928285
6.700920
5.584100
6.007000
14.028000
11.690000
22.110000
12.930000
6.460000
7.752000
15.516000
7.752000
34.300000
22.710000
24.020000
28.729200
54.043000
28.729200
27.000833
28.729200
28.729200
27.470000
25.246000
23.941000
28.729200
28.729200
28.729200
26.988333
28.729200
45.035833
53.530000
45.035833
53.530000
48.210000
53.550000
46.217000
53.530000
53.530000
6.040000
9.768000
6.040000
9.768000
9.768000
9.768000

Grupa
Nr.
terape
crt
utica
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152

J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD08
J01DD08
J01DD12
J01DD12
J01DD12
J01DD12
J01DD12
J01DD12

Denumire generica

CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFIXIMUM
CEFIXIMUM
CEFOPERAZONUM
CEFOPERAZONUM
CEFOPERAZONUM
CEFOPERAZONUM
CEFOPERAZONUM
CEFOPERAZONUM

J01DD62 COMBINATII (CEFOPERAZONUM+SULBACTAMUM)


J01DD62 COMBINATII (CEFOPERAZONUM+SULBACTAMUM)
J01DD62 COMBINATII (CEFOPERAZONUM+SULBACTAMUM)
J01DD62 COMBINATII (CEFOPERAZONUM+SULBACTAMUM)

J01DE02
J01DE02
J01DH02
J01DH02
J01DH02
J01DH02
J01DH02
J01DH02
J01DH02
J01DH02
J01DH02
J01DH02
J01DH02
J01DH02
J01DH51
J01DH51
J01DH51
J01DH51
J01DH51
J01DH51
J01DH51
J01DH51

CEFPIROMUM
CEFPIROMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
IMIPENEMUM + CILASTATINUM
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

Denumire comerciala

Forma
Concentrati
farmaceutic
e / U.T.
a

CEFTRIAXONA ACTAVIS 2 g PULB. PT. SOL. INJ./PERF.


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

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


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

MEROPENEM HOSPIRA 500 mg

PULB. PT. SOL. INJ./PERF.

LODITER 500 mg

PULB. PT. SOL. INJ./PERF.

MEROPENEM HOSPIRA 500 mg

PULB. PT. SOL. INJ./PERF.

CILOPEN 500mg/500mg
CILOPEN 500mg/500mg
CILOPEN 500mg/500mg
CILOPEN 500mg/500mg

TIENAM I.V.
TIENAM I.V.
TAGREMIN
SUMETROLIM
CO - TRIM ELL
BITRIM 400mg/80mg
SUMETROLIM

1000mg/1000mg
1000mg/1000mg
1000mg/1000mg
1000mg/1000mg

1g
2g
1g
500mg
1000mg
1g
1g
1g
1g
500mg
500mg
500mg
500mg
500mg

PULB. PT. SOL. PERF.

500mg/500mg
500mg/500mg
500mg/500mg
500mg/500mg
500mg/500mg
500mg/500mg
500mg/500mg
500mg/500mg

COMPR.
COMPR.
COMPR.
COMPR.
SIROP

400mg/80mg
400mg/80mg
400mg/80mg
400mg/80mg
25mg/5mg/ml

PULB. PT. SOL. INJ.


PULB. PT. SOL. INJ.
PULB. PT. SOL. INJ.
PULB. PT. SOL. INJ.

IMIPENEM/CILASTATIN HOSPIRA 500 mg/500 mg PULB. PT. SOL. PERF.

IMIPENEM/CILASTATIN KABI 500mg/500mg

2g
250mg
250mg
250mg
250mg
250mg
2g
2g
500mg
500mg
500mg
500mg
2g
2g
1g
1g
100mg
200mg
1g
2g
2g
500mg
2g
1g

PULB. PT. SOL. PERF.


PULB. PT. SOL. PERF.

Firma

Tara

Ambalaj

Prescriptie

ACTAVIS GROUP PTC EHF.

ISLANDA

TERAPIA SA
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA
MEDOCHEMIE LTD.
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA

ROMANIA
S
ROMANIA CUTIE X 10 FLAC. CU PULB. PT. SOL.INJ./PERF. S/P-RF
ROMANIA CUTIE X 50 FLAC. CU PULB. PT. SOL. INJ.PERF. S/P-RF
ROMANIA CUTIE X 100 FLAC. CU PULB. PT. SOL. INJ.PERF. S
ROMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ.PERF. S/P-RF

CUTIE CU 5 FLACOANE DIN STICLA INCOLORA X 20 ML, CU SIST. SIG. "FLIP - OFF" CU PULB. PT. SOL. INJ./P

PR

CUTIE CU 50 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 5 ML CU PULB. PT. SOL. INJ./PERF.

CIPRU

CUTIE X 10 FLACOANE X 2 G PULB. PT. SOL. INJ./PERF.

S/P-RF

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


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
E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERFZ. S/P-RF
ANTIBIOTICE SA
ROMANIA CUTIE X 50 FLAC. CU PULB. PT. SOL. INJ./PERF. S/P-RF
EIPICO MED SRL
ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. P-RF
ROCHE ROMANIA S.R.L. ROMANIA
S/P-RF
ZENTIVA S.A.
ROMANIA
P-RF
ZENTIVA S.A.
ROMANIA
S/P-RF
ANTIBIOTICE S.A.
ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 CAPS. PRF
ANTIBIOTICE SA
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF
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 CUTIE X 1 FLAC. DIN STICLA INCOLORA A 20 ML CU PULB. PT. SOL. INJ./PERF. I.M./I.V. S/P-RF
E.I.P.I.CO. MED S.R.L. ROMANIA
S/P-RF
MEDOCHEMIE S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF. S/P-RF
MEDOCHEMIE S.R.L. ROMANIA CUTIE CU 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
MEDOCHEMIE S.R.L. ROMANIA CUTIE CU 100 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF. S
CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPCITATEA DE 50ML CONTINAND PULB. PT. SOL. PERFUZ.

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 15 ML CONTINAND PULB. PT. SOL. INJ.+ 1 FIOLA DIN STICLA INCOLO

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 15 ML CONTINAND PULB. PT. SOL. INJ./PERF.+ 1 FIOLA DIN STICLA

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 15 ML CU PULB. PT. SOL. INJ. I.M./PERF. I.V.

LAB. AVENTIS
LAB. AVENTIS

FRANTA
FRANTA

CUTIE X 1 FLAC. PULB. PT. SOL. INJ./PERF.

S/P-RF

CUTIE X 1 FLAC. PULB. PT. SOL. INJ./PERF.

S/P-RF

ASTRAZENECA UK LIMITED

MAREA BRITANIE

CUTIE CU 10 FLAC. DIN STICLA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ. I.V./PERF.

ASTRAZENECA UK LIMITED

MAREA BRITANIE

CUTIE CU 10 FLAC. DIN STICLA CU CAPACITATEA DE 20 ML PULB. PT. SOL. INJ. I.V./PERF.

TERAPIA S.A.

ROMANIA
ROMANIA
ROMANIA

FRESENIUS KABI ROMANIA SRL


FRESENIUS KABI ROMANIA SRL

HOSPIRA UK LIMITED
HOSPIRA UK LIMITED

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 40 ML CONTINAND PULB. PT. SOL. INJ./PERF.

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.

MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.
MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.

FRESENIUS KABI ROMANIA SRL

ROMANIA
ROMANIA

HOSPIRA UK LIMITED

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

FRESENIUS KABI ROMANIA SRL

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.

TERAPIA S.A.

ROMANIA

HOSPIRA UK LIMITED

MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.

TERAPIA SA
TERAPIA SA
TERAPIA SA
TERAPIA SA

ROMANIA
ROMANIA
ROMANIA
ROMANIA

HOSPIRA UK LIMITED

MAREA BRITANIE

ROMANIA
MERCK SHARP & DOHME ROMANIA
MERCK SHARP & DOHME ROMANIA
ZENTIVA S.A.
ROMANIA
EGIS PHARMACEUTICALS P.L.C. UNGARIA
BIO EEL SRL
ROMANIA
ARENA GROUP S.A. ROMANIA
EGIS PHARMACEUTICALS P.L.C. UNGARIA
FRESENIUS KABI ROMANIA SRL

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CONTINAND PULB. PT. SOL. INJ./PERF.

S
S
PR
S
S
PR
PR
S
S
PR
PR
PR

CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF.

S/P-RF

CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF.

S/P-RF

CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 22 ML PULB. PT. SOL. PERF. S/P-RF
CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 22 ML PULB. PT. SOL. PERF.

S/P-RF

CUTIE CU 5 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. PERF.

PR

CUTIE X 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. S/P-RF
TAVA DIN PLASTIC X 25 FLAC. DIN STICLA INCOLORA CU PULB.PT. SOL. PERF.

S/P-RF

TAVA DIN PLASTIC X 10 FLAC. DIN STICLA INCOLORA CU PULB.PT. SOL. PERF.

S/P-RF

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

Pagina 3 din 56

P-RF
P-RF
P-RF

cant/
amba
laj

5
50
10
50
100
1
10
10
100
1
1
50
1
1
1
1
10
10
10
10
1
1
1
1
1
10
50
100
1
1
10
10
1
1
10
1
10
1
10
1
1
10
5
10
5
10
5
10
25
10
20
20
20
20
1

Pret cu
ridicata
maximal /
ambalaj

90.67
246.03
54.63
262.42
505.00
5.48
210.87
228.45
792.54
8.75
7.74
412.34
12.94
44.01
6.02
6.02
15.95
26.58
154.50
257.49
20.07
3.88
11.61
7.04
18.67
180.16
848.93
1,667.86
59.93
104.25
1,030.68
539.60
72.84
72.84
680.43
57.22
540.86
37.77
361.25
31.46
37.77
303.59
146.26
292.52
146.26
292.52
146.26
296.98
1,068.64
445.46
5.71
3.06
5.21
5.71
6.07

Pret cu ridicata
maximal / U.T.

18.134000
4.920600
5.463000
5.248400
5.050000
5.480000
21.087000
22.845000
7.925400
8.750000
7.740000
8.246800
12.940000
44.010000
6.020000
6.020000
1.595000
2.658000
15.450000
25.749000
20.070000
3.880000
11.610000
7.040000
18.670000
18.016000
16.978600
16.678600
59.930000
104.250000
103.068000
53.960000
72.840000
72.840000
68.043000
57.220000
54.086000
37.770000
36.125000
31.460000
37.770000
30.359000
29.252000
29.252000
29.252000
29.252000
29.252000
29.698000
42.745600
44.546000
0.285500
0.153000
0.260500
0.285500
6.070000

Pret cu ridicata
maximal de
decontare / U.T.

15.528000
4.920600
5.463000
5.248400
5.050000
5.480000
15.528000
15.528000
5.364000
5.364000
5.364000
5.364000
12.940000
15.528000
6.020000
6.020000
1.595000
2.658000
8.448000
13.932000
13.932000
3.880000
11.610000
7.040000
18.670000
18.016000
16.978600
16.678600
59.930000
104.250000
64.903200
36.430800
64.903200
64.903200
64.903200
57.220000
54.086000
36.430800
36.125000
31.460000
36.430800
30.359000
29.252000
29.252000
29.252000
29.252000
29.252000
29.698000
35.102400
35.102400
0.183600
0.153000
0.183600
0.183600
6.070000

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

114.64
300.35
69.07
320.36
588.60
7.41
257.43
278.89
902.02
11.82
10.46
487.60
17.49
57.56
8.14
8.14
21.56
34.77
188.61
314.35
27.12
5.24
15.69
9.51
25.24
219.94
963.48
1,856.12
75.78
127.27
1,161.59
626.31
92.10
92.10
779.82
72.35
627.69
49.40
431.91
41.15
49.40
369.06
178.55
357.11
178.55
357.11
178.55
362.55
1,202.97
523.70
7.72
4.13
7.04
7.72
8.20

22.928000
6.007000
6.907000
6.407200
5.886000
7.410000
25.743000
27.889000
9.020200
11.820000
10.460000
9.752000
17.490000
57.560000
8.140000
8.140000
2.156000
3.477000
18.861000
31.435000
27.120000
5.240000
15.690000
9.510000
25.240000
21.994000
19.269600
18.561200
75.780000
127.270000
116.159000
62.631000
92.100000
92.100000
77.982000
72.350000
62.769000
49.400000
43.191000
41.150000
49.400000
36.906000
35.710000
35.711000
35.710000
35.711000
35.710000
36.255000
48.118800
52.370000
0.386000
0.206500
0.352000
0.386000
8.200000

20.988000
6.007000
6.907000
6.407200
5.886000
7.063200
20.988000
20.988000
7.248000
7.248000
7.248000
7.248000
17.490000
20.988000
8.140000
8.140000
2.156000
3.477000
11.412000
18.828000
18.828000
5.240000
15.690000
9.510000
22.273440
21.994000
19.269600
18.561200
75.780000
127.270000
75.322800
44.287200
75.322800
75.322800
75.322800
72.350000
62.769000
44.287200
43.191000
41.150000
44.287200
36.906000
35.710000
35.711000
35.710000
35.711000
35.710000
36.255000
42.852000
42.852000
0.247800
0.206500
0.247800
0.247800
8.200000

Grupa
Nr.
terape
crt
utica
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207

Denumire generica

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
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10

SPIRAMYCINUM
SPIRAMYCINUM
ROXITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM

Denumire comerciala

EPITRIM
ROVAMYCINE (R) 1,5 Mil. UI
ROVAMYCINE (R) 3 Mil. UI
ROXAMED (R) 150
FROMILID 250
KLERIMED (R) 250
KLABAX 250 mg
KLACID (R)
LEKOKLAR (R) 250 mg
CLAR 250
CLAR 500
FROMILID 500
ROCLARIN 500 mg
KLERIMED (R) 500
LEKOKLAR (R) 500 mg
KLABAX 500 mg
KLABAX MR 500 mg
LEKOKLAR XL 500 mg
LEKOKLAR XL 500 mg
KLACID SR
FROMILID (R) UNO
KLABAX 125 mg/5 ml
KLABAX 125 mg/5 ml
LEKOKLAR 125 mg/5 ml
KLACID (R)
KLACID (R)
FROMILID (R) 125 mg/5 ml
KLABAX 250 mg/5 ml
KLABAX 250 mg/5 ml
LEKOKLAR 250 mg/5 ml
LEKOKLAR 250 mg/5 ml
KLACID I.V.
AZATRIL 250 mg
SUMAMED 250 mg
SUMAMED 125 mg
AZITROMICINA SANDOZ 250 mg COMPRIMATE FILMATE

AZITROMICINA TERAPIA 250 mg


AZITROMICINA TERAPIA 250 mg

ZITROCIN 500 mg
AZITROX (R) 500
AZIBIOT 500 mg
AZITROMICINA SANDOZ 500 mg COMPRIMATE FILMATE

SUMAMED 500 mg
AZITROMICINA TERAPIA 500 mg
AZITROMICINA TERAPIA 500 mg
AZITROMICINA TERAPIA 600 mg
AZITROMICINA TERAPIA 600 mg

ZMAX 2 g
SUMAMED (R)
AZITROX 200 mg/5 ml

Forma
Concentrati
farmaceutic
e / U.T.
a
SUSP. ORALA
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM. ELIB. MODIF.
COMPR. FILM. ELIB. MODIF.
COMPR. FILM. ELIB. MODIF.

COMPR. FILM. ELIB. PREL.


COMPR. FILM. ELIB. PREL.

GRAN. PT. SUSP. ORALA


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

LIOF. PT. SOL. PERF.

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

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

PULB. PT. SUSP. ORALA


PULB. PT. SUSP. ORALA
PULB. PT. SUSP. ORALA

Firma

Tara

Ambalaj

200mg/40mg /5ml

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

1,5 M ui
3M ui
150mg
250mg
250mg
250mg
250mg
250mg
250mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
125mg/5ml
125mg/5ml
125mg/5ml
125mg/5ml
125mg/5ml
125mg/5ml
250mg/5ml
250mg/5ml
250mg/5ml
250mg/5ml
500mg
250mg
250mg
125mg
250mg
250mg
250mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
600mg
600mg
2g
500mg
200mg/5ml
100mg/5ml
200 mg/5 ml
200mg/5ml
200mg/5ml
200mg/5ml

LAB. AVENTIS
LAB. AVENTIS

FRANTA
FRANTA

DAR AL DAWA PHARMA S.R.L.

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

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

Prescriptie

P-RF

CUTIE X 2 BLIST. AL/PVC X 8 COMPR. FILM. P-RF


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

P-RF

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

P-RF

MEDICAROM GROUP S.R.L.

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

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

ANTIBIOTICE S.A.
ROMANIA
MEDOCHEMIE LTD. CIPRU

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


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

P-RF

LEK PHARMACEUTICALS D.D.

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

P-RF

TERAPIA SA
TERAPIA SA

ROMANIA
ROMANIA

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

P-RF

CUTIE X 1 BLIST. PVC/PVDC-AL X 7 COMPR. FILM. ELIB. PREL.

P-RF

LEK PHARMACEUTICALS D.D.

CUTIE X 1 FOLIE AL/AL X 7 COMPR. FILM. ELIB. MODIF. 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
TERAPIA SA
SANDOZ SRL
ABBOTT SPA
ABBOTT SPA
KRKA D.D.
TERAPIA SA
TERAPIA SA
SANDOZ SRL
SANDOZ SRL

SLOVENIA

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. ELIB. PREL.

P-RF

CUTIE X 1 FLAC. DIN PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA

P-RF

CUTIE X 1 FLAC. DIN PEID X 70 G GRAN. PT. 100 ML SUSP . ORALA

P-RF

CUTIE X 1 FLAC. PEID CU 41 G GRANULE PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE PP

P-RF

CUTIE X 1 FLACON PEID CU GRANULE PT. 100 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML

P-RF

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

P-RF

ABBOTT LABORATORIES LTD.

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


BULGARIA CUTIE X 1 BLIST. AL/PVC X 6 CAPS.

BALKANPHARMA RAZGRAD AD

ROMANIA
ROMANIA
ROMANIA

ITALIA
ITALIA

CUTIE X 1 FOLIE AL/AL X 5 COMPR. FILM. ELIB. MODIF. P-RF

SLOVENIA CUTIE X 1 FLAC. PULB. PT. 60 ML SUSP.

P-RF

ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE X 1 FLAC. PEID X 70 G GRAN. PT. 100 ML SUSP . ORALA

P-RF

CUTIE X 1 FLAC. 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. DIN PEID CU 41 G GRANULE PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE PP

P-RF
S/P-RF

P-RF

PLIVA LJUBLIJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. PVC-PVDC/AL X 6 CAPS. P-RF

PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. AL/PVC X 6 COMPR. FILM. P-RF

SANDOZ S.R.L.
TERAPIA SA
TERAPIA SA

ROMANIA CUTIE X 1 BLIST. 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.
LABORMED PHARMA S.A. ROMANIA CUTIE X 1 BLIST. PVC/AL X 3 COMPR. FILM.

ZENTIVA K.S.

CEHIA

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

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

SANDOZ S.R.L.

ROMANIA CUTIE X 1 BLIST. X 3 COMPR. FILM.

P-RF

PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM. P-RF

TERAPIA SA
TERAPIA SA
TERAPIA SA
TERAPIA SA

ROMANIA
ROMANIA
ROMANIA
ROMANIA

PFIZER EUROPE MA EEIG

MAREA BRITANIE CUTIE X 1 FLACON DIN PEID CU GRAN. CU ELIB. PREL.

CUTIE X 1 BLIST. PVC-ACLAR/AL X 3 COMPR. FILM.

CUTIE X 1 BLIST. PA-AL-PVC/AL X 3 COMPR. FILM. P-RF


CUTIE X 1 BLIST. PVC-ACLAR/AL X 3 COMPR. FILM.

PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 5 FLAC. LIOF. PT. SOL. PERF.

ZENTIVA S.A.
SANDOZ SRL
SANDOZ SRL

ROMANIA
ROMANIA
ROMANIA

P-RF

CUTIE X 1 BLIST. PA-AL-PVC/AL X 3 COMPR. FILM. P-RF

P-RF
P-RF
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

Pagina 4 din 56

cant/
amba
laj

1
16
10
10
14
14
14
14
14
20
20
14
20
14
14
14
7
7
5
5
7
1
1
1
1
1
1
1
1
1
1
1
6
6
6
6
6
6
3
3
3
3
3
3
3
3
3
1
5
1
1
1
1
1
1

Pret cu
ridicata
maximal /
ambalaj

3.52
7.30
20.62
11.28
12.35
12.35
10.85
21.14
23.85
17.01
33.91
24.13
33.14
24.13
29.01
23.73
26.92
19.04
13.60
27.85
20.78
14.01
23.38
19.39
29.92
18.11
17.24
39.06
23.44
47.03
34.29
41.12
18.87
29.04
18.76
37.31
34.00
34.00
18.98
18.97
18.98
37.31
29.18
28.41
28.41
34.11
34.11
48.56
132.49
12.10
16.61
26.27
18.63
37.14
46.15

Pret cu ridicata
maximal / U.T.

3.520000
0.456250
2.062000
1.128000
0.882142
0.882142
0.775000
1.510000
1.703571
0.850500
1.695500
1.723571
1.657000
1.723571
2.072142
1.695000
3.845714
2.720000
2.720000
5.570000
2.968571
14.010000
23.380000
19.390000
29.920000
18.110000
17.240000
39.060000
23.440000
47.030000
34.290000
41.120000
3.145000
4.840000
3.126666
6.218333
5.666666
5.666666
6.326666
6.323333
6.326666
12.436666
9.726666
9.470000
9.470000
11.370000
11.370000
48.560000
26.498000
12.100000
16.610000
26.270000
18.630000
37.140000
46.150000

Pret cu ridicata
maximal de
decontare / U.T.

3.520000
0.456250
2.062000
1.128000
0.882142
0.882142
0.775000
0.930000
0.930000
0.850500
1.695500
1.723571
1.657000
1.723571
1.988400
1.695000
1.988400
1.988400
1.988400
1.988400
1.988400
14.010000
23.380000
16.812000
28.056000
16.812000
16.812000
39.060000
23.440000
46.872000
28.128000
41.120000
3.145000
3.774000
3.126666
3.774000
3.774000
3.774000
6.326666
6.323333
6.326666
7.588000
7.588000
7.588000
7.588000
11.370000
11.370000
48.560000
26.498000
12.100000
16.610000
26.270000
13.644000
37.140000
46.150000

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

4.76
9.86
27.87
15.24
16.69
16.69
14.67
28.57
32.23
22.99
44.36
32.62
43.35
32.62
37.95
32.08
35.21
25.73
18.38
36.43
28.09
18.94
31.60
26.21
39.14
24.48
23.30
51.09
31.68
61.52
44.85
53.78
25.50
37.99
25.36
48.80
44.47
44.47
25.65
25.64
25.65
48.80
38.17
37.16
37.16
44.61
44.61
63.52
161.75
16.36
22.45
34.36
25.18
48.58
60.36

4.760000
0.616250
2.787000
1.524000
1.192142
1.192142
1.047857
2.040714
2.302142
1.149500
2.218000
2.330000
2.167500
2.330000
2.710714
2.291428
5.030000
3.675714
3.676000
7.286000
4.012857
18.940000
31.600000
26.210000
39.140000
24.480000
23.300000
51.090000
31.680000
61.520000
44.850000
53.780000
4.250000
6.331666
4.226666
8.133333
7.411666
7.411666
8.550000
8.546666
8.550000
16.266666
12.723333
12.386666
12.386666
14.870000
14.870000
63.520000
32.350000
16.360000
22.450000
34.360000
25.180000
48.580000
60.360000

4.760000
0.616250
2.787000
1.524000
1.192142
1.192142
1.047857
1.257428
1.257428
1.149500
2.218000
2.330000
2.167500
2.330000
2.601000
2.291428
2.601000
2.601000
2.601000
2.601000
2.601000
18.940000
31.600000
22.728000
37.920000
22.728000
22.728000
51.090000
31.680000
61.308000
38.016000
53.780000
4.250000
5.100000
4.226666
5.100000
5.100000
5.100000
8.550000
8.546666
8.550000
10.255999
10.255999
10.255999
10.255999
14.870000
14.870000
63.520000
32.350000
16.360000
22.450000
34.360000
17.844000
48.580000
60.360000

Grupa
Nr.
terape
crt
utica
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262

J01GB03
J01GB03
J01GB03
J01GB03
J01GB06
J01GB06
J01GB06
J01GB07
J01GB07
J01GB07
J01MA01
J01MA01
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA03
J01MA06
J01MA06
J01MA06
J01MA06
J01MA06
J01MA06

Denumire generica

GENTAMICINUM
GENTAMICINUM
GENTAMICINUM
GENTAMICINUM
AMIKACINUM
AMIKACINUM
AMIKACINUM
NETILMICINUM
NETILMICINUM
NETILMICINUM
OFLOXACINUM
OFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
PEFLOXACINUM
NORFLOXACINUM
NORFLOXACINUM
NORFLOXACINUM
NORFLOXACINUM
NORFLOXACINUM
NORFLOXACINUM

Denumire comerciala

GENTAMICIN KRKA
GENTAMICIN KRKA
GENTAMICIN KRKA
PAN - GENTAMICINE
AMIKOZIT (R) 100 mg/2 ml
BIODACYNA
AMIKOZIT (R) 500 mg/2 ml
NETROMYCINE (R)
NETROMYCINE (R)
NETROMYCINE (R)
OFLOXIN 200
ZANOCIN
CIPROFLOXACINA ARENA 100 mg
CIPROFLOXACINA ARENA 100 mg
CIPROFLOXACINA ARENA 250 mg

CUMINOL 250 mg
CIPROFLOXACINA ALKALOID 250 mg

CIPROLEN (R) 250 mg


CUMINOL 250 mg
CIPROCIN 250 mg
ALVEBAR 250 mg
CIFRAN
CIPROFLOXACINA ARENA 250 mg

CIPRINOL 250 mg
CUMINOL 500 mg
CIPROFLOXACINA ALKALOID 500 mg

CIPROFLOXACINA ARENA 500 mg

CIPROCIN 500 mg
CIPROLEN (R) 500 mg
ALVEBAR 500 mg
CIPROFLOXACINA ARENA 500 mg

CIPRODAR
CIFRAN
CIPRINOL 500 mg
CIPRO QUIN (R)
CIPROFLOXACINA ARENA 750 mg

Forma
Concentrati
farmaceutic
e / U.T.
a
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL.INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

CIPRINOL 750 mg
CIPROBAY XR 1000 mg
CIPROBAY XR 500 mg

COMPR. FILM. ELIB. PREL.

CIPROFLOXACINA 100 mg/10 ml

CONC. PT. SOL. PERF.

CIPRINOL (R)
CIPRINOL (R)
CIPRINOL
CIPRINOL
UFEXIL 2 mg/ ml

COMPR. FILM. ELIB. PREL.

CONC. PT. SOL. PERF.


CONC. PT. SOL. PERF.

SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.

40mg/ml
80mg/2ml
80mg/2ml
80mg/2ml
100mg/2ml
1g/4ml
500mg/2ml
150mg/1,5ml
200mg/2ml
50mg/2ml
200mg
200mg
100mg
100mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
750mg
750mg
1000 mg
500 mg
100mg/10ml
100mg/10ml
100mg/10ml
100mg/50ml

Firma

Tara

Ambalaj

Prescriptie

KRKA D.D. NOVO MESTO SLOVENIA

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

P-RF

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.

CUTIE X 10 FIOLE DIN STICLA INCOLORA X 2 ML SOL. INJ.

P-RF

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

P-RF

FRANTA

P-RF

ZENTIVA K.S.

BELGIA
BELGIA
BELGIA
CEHIA

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

RANBAXY UK LIMITED

MAREA BRITANIE

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

ARENA GROUP S.A. ROMANIA


ARENA GROUP S.A. ROMANIA
ARENA GROUP S.A. ROMANIA

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

SCHERING PLOUGH EUROPE


SCHERING PLOUGH EUROPE
SCHERING PLOUGH EUROPE

CUTIE X 1 FLACON X 1,5 ML


CUTIE X 1 FLACON X 2 ML
CUTIE X 1 FLACON X 2 ML

P-RF

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

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


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

GEDEON RICHTER ROMANIA SA

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

P-RF

ALKALOID D.O.O.
AC HELCOR SRL

SLOVENIA

CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 COMPR. FILM.

P-RF

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.
E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM.
DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.
RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM.
ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

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

P-RF

GEDEON RICHTER ROMANIA SA

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

ALKALOID D.O.O.
SLOVENIA
ARENA GROUP S.A. ROMANIA
E.I.P.I.CO. MED S.R.L. ROMANIA
AC HELCOR SRL
ROMANIA
DR. REDDY'S LABORATORIES ROMANIA
ARENA GROUP S.A. ROMANIA
DAR AL DAWA PHARMA S.R.L. ROMANIA
RANBAXY UK LIMITED MAREA BRITANIE

CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 COMPR. FILM.

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

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

CUTIE X 1 BLIST. X 10 COMPR. FILM.

P-RF

CUTIE X 1 BLIST. PVC/PVDC-AL 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

ANTIBIOTICE SA
ROMANIA
ARENA GROUP S.A. ROMANIA

CUTIE X 1 BLIST. AL/PVC 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

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

ZENTIVA S.A.
KRKA D.D.
KRKA D.D.

ROMANIA

DEMO SA

GRECIA

CUTIE X 5 FIOLE DIN STICLA INCOLORA PREVAZUTE CU INEL DE RUPERE X 10 ML S/P-RF

SLOVENIA CUTIE X 50 FIOLE X 10 ML


S
SLOVENIA CUTIE X 5 FIOLE X 10 ML
S/P-RF
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 50 ML SOL. PERF. S/P-RF
200mg/100ml KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML SOL. PERF. S/P-RF

2mg/ml
2mg/ml
2mg/ml

CUTIE X 10 PUNGI PP X 100 ML SOL. PERF.

INFOMED FLUIDS SRL ROMANIA CUTIE X 10 PUNGI PVC PLASTIFIAT X 100ML S


CIPROFLOXACINA INFOMED 2 mg/ml
INFOMED FLUIDS SRL ROMANIA CUTIE X 10 PUNGI PVC PLASTIFIAT X 200ML S
CIPRINOL (R)
400mg/200ml KRKA D.D.
SLOVENIA CUTIE X 1 FLACON DIN STICLA X 200 ML S/P-RF
PEFLOXACIN LAROPHARM COMPR. FILM. 400mg
LAROPHARM S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
NORFLOXACINA LPH 400 mg COMPR. FILM. 400mg
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
NORFLOX - 400
COMPR. FILM. 400mg
CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF
NOLICIN 400 mg
COMPR. FILM. 400mg
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF
EPINOR
COMPR. FILM. 400mg
E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 2 BLIST. X 7 COMPR. FILM. P-RF
H - NORFLOXACIN 400 mg COMPR. FILM. 400mg
AC HELCOR SRL
ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF
NOR QUIN 400 mg
COMPR. FILM. 400mg
ANTIBIOTICE S.A.
ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM. P-RF/S
CIPROFLOXACINA INFOMED 2 mg/ml

Pagina 5 din 56

cant/
amba
laj

10
50
10
10
1
1
1
1
1
1
10
10
10
20
20
20
10
10
10
10
10
10
10
10
10
10
10
10
10
10
20
10
10
10
10
10
10
7
3
5
50
5
1
1
10
10
10
1
10
20
10
20
14
20
20

Pret cu
ridicata
maximal /
ambalaj

5.28
31.71
7.09
5.00
2.63
9.47
5.15
14.17
17.94
5.62
14.81
8.40
28.52
51.89
9.10
9.10
5.82
5.05
5.05
5.05
3.52
5.13
4.85
5.05
9.78
11.19
6.83
9.78
9.78
4.80
12.16
9.78
6.50
9.78
9.78
28.52
29.43
66.99
20.44
12.42
111.86
12.42
3.54
7.09
133.17
69.19
128.87
14.29
20.61
11.64
4.58
13.02
5.70
13.02
13.02

Pret cu ridicata
maximal / U.T.

0.528000
0.634200
0.709000
0.500000
2.630000
9.470000
5.150000
14.170000
17.940000
5.620000
1.481000
0.840000
2.852000
2.594500
0.455000
0.455000
0.582000
0.505000
0.505000
0.505000
0.352000
0.513000
0.485000
0.505000
0.978000
1.119000
0.683000
0.978000
0.978000
0.480000
0.608000
0.978000
0.650000
0.978000
0.978000
2.852000
2.943000
9.570000
6.813333
2.484000
2.237200
2.484000
3.540000
7.090000
13.317000
6.919000
12.887000
14.290000
2.061000
0.582000
0.458000
0.651000
0.407142
0.651000
0.651000

Pret cu ridicata
maximal de
decontare / U.T.

0.528000
0.600000
0.600000
0.500000
2.630000
9.470000
5.150000
14.170000
17.940000
5.620000
1.008000
0.840000
2.852000
2.594500
0.422400
0.422400
0.422400
0.422400
0.422400
0.422400
0.352000
0.422400
0.422400
0.422400
0.576000
0.576000
0.576000
0.576000
0.576000
0.480000
0.576000
0.576000
0.576000
0.576000
0.576000
2.852000
2.943000
9.570000
0.576000
2.484000
2.237200
2.484000
2.684640
7.090000
8.302800
6.919000
12.887000
14.290000
2.061000
0.488570
0.458000
0.488570
0.407142
0.488570
0.488570

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

7.13
41.48
9.58
6.76
3.56
12.80
6.96
19.15
24.25
7.60
20.02
11.36
37.31
65.61
12.30
12.30
7.87
6.83
6.83
6.83
4.76
6.93
6.56
6.83
13.22
15.12
9.23
13.22
13.22
6.49
16.43
13.22
8.78
13.22
13.22
37.31
38.50
84.70
27.63
16.79
136.56
16.79
4.79
9.58
162.58
87.49
157.33
19.31
27.86
15.73
6.19
17.60
7.70
17.60
17.60

0.713000
0.829600
0.958000
0.676000
3.560000
12.800000
6.960000
19.150000
24.250000
7.600000
2.002000
1.136000
3.731000
3.280500
0.615000
0.615000
0.787000
0.683000
0.683000
0.683000
0.476000
0.693000
0.656000
0.683000
1.322000
1.512000
0.923000
1.322000
1.322000
0.649000
0.821500
1.322000
0.878000
1.322000
1.322000
3.731000
3.850000
12.100000
9.210000
3.358000
2.731200
3.358000
4.790000
9.580000
16.258000
8.749000
15.733000
19.310000
2.786000
0.786500
0.619000
0.880000
0.550000
0.880000
0.880000

0.713000
0.811200
0.811200
0.676000
3.560000
12.800000
6.960000
19.150000
24.250000
7.600000
1.363200
1.136000
3.731000
3.280500
0.571200
0.571200
0.571200
0.571200
0.571200
0.571200
0.476000
0.571200
0.571200
0.571200
0.778800
0.778800
0.778800
0.778800
0.778800
0.649000
0.778800
0.778800
0.778800
0.778800
0.778800
3.731000
3.850000
12.100000
0.778800
3.277440
2.731200
3.277440
3.277440
9.580000
10.498800
8.749000
15.733000
18.879600
2.786000
0.660000
0.619000
0.660000
0.550000
0.660000
0.660000

Grupa
Nr.
terape
crt
utica
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317

J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA14
J01MA14

J01XA01
J01XA01
J01XA01
J01XA01
J01XA01
J01XA01
J01XA01
J01XA01
J01XA02
J01XB01
J01XB01
J01XB01
J01XB01
J01XD01
J01XD01
J01XD01
J01XD01
J01XD01
J01XD01
J01XD01
J01XD01
J01XD01
J01XD01

J01XX08
J01XX08
J01XX08
J01XX08
J02AB02
J02AB02
J02AB02
J02AB02
J02AB02
J02AC01
J02AC01

Denumire generica

LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
MOXIFLOXACINUM
MOXIFLOXACINUM
VANCOMYCINUM
VANCOMYCINUM
VANCOMYCINUM
VANCOMYCINUM
VANCOMYCINUM
VANCOMYCINUM
VANCOMYCINUM
VANCOMYCINUM
TEICOPLANINUM
COLISTINUM
COLISTINUM
COLISTINUM
COLISTINUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM
KETOCONAZOLUM
KETOCONAZOLUM
KETOCONAZOLUM
KETOCONAZOLUM
KETOCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM

Denumire comerciala

FLERADAY 250 mg
LEVOTOR 250 mg
TAVANIC 250 mg
LEVOFLOXACINA ACTAVIS 250 mg

FLERADAY 500 mg
LEVOTOR 500 mg
LEVOFLOXACINA BLUEFISH 500 mg
LEVOFLOXACINA BLUEFISH 500 mg

TAVANIC 500 mg
LEVOFLOXACINA ACTAVIS 500 mg

TAVANIC I.V. 500 mg


LEVOFLOXACIN KABI 5 mg/ml
LEVOFLOXACIN KABI 5 mg/ml
LEVOFLOXACIN KABI 5 mg/ml
LEVOFLOXACIN KABI 5 mg/ml
LEVOFLOXACINA ACTAVIS 5 mg/ml
LEVOFLOXACINA ACTAVIS 5 mg/ml

EVOLOX 5 mg/ml
EVOLOX 5 mg/ml
AVELOX (R) 400 mg
AVELOX (R) 400 mg/250 ml
VANCOMYCIN TEVA
VANCOMYCIN TEVA

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

SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
COMPR. FILM.

250 mg
250mg
250mg
250mg
500 mg
500mg
500mg
500mg
500mg
500mg
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
400mg

SOL. PERF. 400mg/250ml


LIOF. PT. SOL. PERF. 1g
LIOF. PT. SOL. PERF. 500mg
PULB. PT. SOL. PERF. 1000mg
PULB. PT. SOL. PERF. 500mg
1000mg
1000mg
500mg
PULB.LIOF.PT.SOL.PERF./INJ
1g
LIOF. + SOLV. PT. SOL. INJ. 400mg
PULB. PT. SOL. INJ./PERF. 1000000ui
PULB. PT. SOL. INJ./PERF. 1000000ui
PULB. PT. SOL. INJ./PERF. 1000000ui
PULB. PT. SOL. INJ./PERF. 1000000ui
COMPR.
250mg
COMPR. FILM. 250mg
SOL. PERF. 5g/l
SOL. PERF. 5g/l
SOL. PERF. 5g/l
SOL. PERF. 5g/l
SOL. PERF. 5mg/ml
SOL. PERF. 5mg/ml
SOL. PERF. 5mg/ml
SUSP. ORALA 4%
COMPR. FILM. 600mg
GRAN. PT. SUSP. ORALA 100mg/5ml
SOL. PERF. 2mg/ml
SOL. PERF. 2mg/ml
COMPR.
200mg
COMPR.
200mg
COMPR.
200mg
COMPR.
200mg
COMPR.
200mg
CAPS.
100mg
CAPS.
100mg

Firma

Tara

DR. REDDY'S LABORATORIES

ROMANIA

Ambalaj

Prescriptie

CUTIE CU BLIST. PVC/PVDC - AL X 7 COMPR. FILM. PRF

TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 7 COMPR. FILM. P-RF

TERAPIA S.A.

ROMANIA CUTIE X1 BLIST. PVC/AL. X 7 COMPR. FILM.

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE X 1 BLIST. AL/PVC X 7 COMPR. FILM. P-RF

DR. REDDY'S LABORATORIES

ROMANIA

CUTIE CU BLIST. PVC/PVDC - AL X 7 COMPR. FILM. PRF

P-RF

TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 7 COMPR. FILM. P-RF
BLUEFISH PHARMACEUTICALS AB

SUEDIA
SUEDIA

CUTIE CU BLIST. PVC-PVDC/PVC X 7 COMPR. FILM.

PRF

TERAPIA S.A.

ROMANIA CUTIE X 1 BLIST. PVC/AL X 7COMPR. FILM.

P-RF

BLUEFISH PHARMACEUTICALS AB

CUTIE CU BLIST. PVC/AL X 7 COMPR. FILM. PRF

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE X 1 BLIST. AL/PVC X 7 COMPR. FILM. P-RF

TERAPIA S.A.

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML SOL. PERF.

FRESENIUS KABI ROMANIA SRL


FRESENIUS KABI ROMANIA SRL
FRESENIUS KABI ROMANIA SRL
FRESENIUS KABI ROMANIA SRL

ACTAVIS GROUP PTC EHF.


ACTAVIS GROUP PTC EHF.
TEVA PHARMACEUTICALS S.R.L.
TEVA PHARMACEUTICALS S.R.L.

CUTIE X 1 FLAC. PEJD KABIPAC X 100 ML CONTINAD 50 ML SOL. PERF. (250MG LEVOFLOXACINA)

CUTIE X 25 FLAC. PEJD KABIPAC X 100 ML CONTINAD 50 ML SOL. PERF. (250MG LEVOFLOXACINA)

CUTIE X 1 FLAC. PEJD KABIPAC X 100 ML CONTINAD 100 ML SOL. PERF. (500MG LEVOFLOXACINA)

CUTIE X 25 FLAC. PEJD KABIPAC X 100 ML CONTINAD 100 ML SOL. PERF. (500MG LEVOFLOXACINA)

ISLANDA
ISLANDA

CUTIE CU 1 FLAC. DIN STICLA X 100 ML SOL. PERF.

ROMANIA
ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF.

CUTIE CU 1 FLAC. DIN STICLA X 50 ML SOL. PERF.

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL. PERF.

BAYER HEALTHCARE AG GERMANIA CUTIE X 1 BLIST. ALB OPAC PP/AL X 5 COMPR. FILM.
BAYER HEALTHCARE AG GERMANIA CUTIE X 5 FLACOANE DIN STICLA X 250 ML

TEVA PHARM. WORKS PRIVATE LTD. COMPANY

UNGARIA
UNGARIA

PHARMASWISS CESKA REPUBLIKA S.R.O.

REPUBLICA CEHA CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF.

PHARMASWISS CESKA REPUBLIKA S.R.O.

REPUBLICA CEHA CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF.

TEVA PHARM. WORKS PRIVATE LTD. COMPANY

P-RF/S

S
S
S
S
S
S
S
S
P-RF

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

S/P-RF

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

S/P-RF

VANCOMICINA KABI 1000 mg

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

FRESENIUS KABI ROMANIA SRL

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CARE CONTINE PULB. PT. CONC. PT. SOL. P

PR
PR
PR

VANCOMICINA ACTAVIS 1000mg

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

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CONTINAND 1000 MG VANCOMICINA

P-PR

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

FRESENIUS KABI ROMANIA SRL

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. P

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

VANCOMICINA PHARMASWISS 1000 mg

VANCOMICINA PHARMASWISS 500 mg

VANCOMICINA KABI 500 mg


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

FLAGYL ( vezi J01XD01)


METRONIDAZOL B 5 g/l
METRONIDAZOL B 5 g/l
METRONIDAZOL A 5 g/l
METRONIDAZOL A 5 g/l
METRONIDAZOL BRAUN 5mg/ml
METRONIDAZOL BRAUN 5mg/ml
METRONIDAZOL BRAUN 5mg/ml

FLAGYL 4 % (J01XD01)
ZYVOXID (R)
ZYVOXID (R)
LINEZOLID TEVA 2 mg/ml
ZYVOXID (R)
NIZORAL 200 mg
KETOCONAZOL 200 mg
KETOCONAZOL 200 mg
KETOSTIN 200 mg
KETOCONAZOL ARENA 200 mg

FUNGOLON 100 mg
DIFLAZON 100 mg

ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA
ARENA GROUP SA

CUTIE X 1 FLAC. LIOF. + O FIOLA SOLV.


ROMANIA CUTIE X 100 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.
ROMANIA CUTIE X 50 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.
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 3 BLIST. AL/PVC X 10 COMPR.

LABORATOIRE AVENTIS

FRANTA

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

INFOMED FLUIDS SRL


INFOMED FLUIDS SRL
INFOMED FLUIDS SRL
INFOMED FLUIDS SRL

ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE X 12 FLACOANE X 200 ML


CUTIE X 1 FLACON X 200 ML
CUTIE X 12 FLACOANE X 200 ML
CUTIE X 1 FLACON X 200 ML

P-RF

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

B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FLAC. DIN PEJD X 100 ML SOL. PERF.

S/P-RF

B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. DIN PEJD X 100 ML SOL. PERF.

S/P-RF

B. BRAUN MELSUNGEN AG GERMANIA

CUTIE X 10 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF.

S/P-RF

LABORATOIRE AVENTIS

FRANTA

CUTIE X 1 FLACON X 120 ML SUSP. ORALA + LINGURITA DOZATOARE X 5 ML

P-RF

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

P-RF

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

10 PUNGI PT. PERFUZIE (DIN POLIMER MULTISTRAT) CU 1 PERFUZOR SAU 2 PERFUZOARE CU 300 ML SOL., ECHIPA

PRF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 10 PUNGI X 300 ML


ROMANIA CUTIE X 1 BLIST. X 10 COMPR.
ROMANIA CUTIE X 1 BLIST. X 10 COMPR.

TERAPIA SA
MAGISTRA C & C
SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR.
AC HELCOR SRL
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR.
ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR.
BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 2 BLIST. PVC/AL X 8 CAPS.
KRKA D.D.
SLOVENIA CUTIE X 4 BLIST. X 7 CAPS.

Pagina 6 din 56

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

cant/
amba
laj

7
7
7
7
7
7
7
7
7
7
1
1
25
1
25
1
1
1
1
5
5
1
1
10
10
1
1
1
1
1
100
50
10
150
30
20
12
1
12
1
20
10
10
1
10
1
10
10
10
10
10
10
10
16
28

Pret cu
ridicata
maximal /
ambalaj

20.76
23.08
19.81
23.31
25.88
25.73
23.65
23.65
39.82
25.89
112.19
37.79
858.58
74.25
1,687.14
37.71
74.10
37.79
74.25
65.97
619.74
48.56
24.28
456.00
234.30
48.39
48.45
24.17
56.90
118.16
1,606.36
818.19
173.48
2,394.53
5.71
6.21
77.74
6.59
79.29
6.74
228.10
36.98
37.40
5.88
1,603.26
879.36
1,052.62
1,603.26
15.15
5.94
5.08
9.34
6.78
65.37
193.65

Pret cu ridicata
maximal / U.T.

2.965714
3.297142
2.830000
3.330000
3.697142
3.675714
3.378571
3.378571
5.688571
3.698571
112.190000
37.790000
34.343200
74.250000
67.485600
37.710000
74.100000
37.790000
74.250000
13.194000
123.948000
48.560000
24.280000
45.600000
23.430000
48.390000
48.450000
24.170000
56.900000
118.160000
16.063600
16.363800
17.348000
15.963533
0.190333
0.310500
6.478333
6.590000
6.607500
6.740000
11.405000
3.698000
3.740000
5.880000
160.326000
879.360000
105.262000
160.326000
1.515000
0.594000
0.508000
0.934000
0.678000
4.085625
6.916071

Pret cu ridicata
maximal de
decontare / U.T.

2.965714
3.297142
2.830000
3.330000
3.697142
3.675714
3.378571
3.378571
4.054285
3.698571
80.982720
37.790000
34.343200
74.250000
67.485600
37.710000
74.100000
37.790000
74.250000
13.194000
123.948000
48.560000
24.280000
45.600000
23.430000
48.390000
48.450000
24.170000
54.720000
118.160000
16.063600
16.363800
17.348000
15.963533
0.190333
0.228400
6.478333
6.590000
6.607500
6.740000
4.437600
3.698000
3.740000
5.880000
160.326000
879.360000
105.262000
126.314400
0.609600
0.594000
0.508000
0.609600
0.609600
3.996000
3.996000

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

28.06
31.19
26.78
31.51
33.85
33.65
31.96
31.96
52.08
33.86
136.96
49.43
974.00
93.88
1,877.13
49.33
93.69
49.43
93.88
83.41
713.67
63.52
32.82
535.19
286.03
63.30
63.37
32.67
71.94
144.25
1,789.09
929.98
211.79
2,648.19
7.72
8.40
98.29
8.91
100.25
9.11
278.47
48.37
48.92
7.95
1,785.71
996.65
1,185.51
1,785.71
20.48
8.03
6.87
12.62
9.17
82.66
236.41

4.008571
4.455714
3.825714
4.501428
4.835714
4.807142
4.565714
4.565714
7.440000
4.837142
136.960000
49.430000
38.960000
93.880000
75.085200
49.330000
93.690000
49.430000
93.880000
16.682000
142.734000
63.520000
32.820000
53.519000
28.603000
63.300000
63.370000
32.670000
71.940000
144.250000
17.890900
18.599600
21.179000
17.654600
0.257333
0.420000
8.190833
8.910000
8.354166
9.110000
13.923500
4.837000
4.892000
7.950000
178.571000
996.650000
118.551000
178.571000
2.048000
0.803000
0.687000
1.262000
0.917000
5.166250
8.443214

4.008571
4.455714
3.825714
4.501428
4.835714
4.807142
4.565714
4.565714
5.478857
4.837142
90.102240
46.752000
38.960000
90.102240
75.085200
46.752000
90.102240
46.752000
90.102240
16.682000
142.734000
63.520000
32.820000
53.519000
28.603000
63.300000
63.370000
32.670000
64.222800
144.250000
17.890900
18.599600
21.179000
17.654600
0.257333
0.308800
8.190833
8.910000
8.354166
9.110000
5.804400
4.837000
4.892000
7.950000
178.571000
996.650000
118.551000
142.261200
0.824400
0.803000
0.687000
0.824400
0.824400
5.166250
5.401714

Grupa
Nr.
terape
crt
utica
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372

J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01

Denumire generica

FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM

Denumire comerciala

Forma
Concentrati
farmaceutic
e / U.T.
a

FLUCONAZOLE TEVA 100 mg CAPS.


FLUCONAZOLE TEVA 100 mg CAPS.

FLUCORIC 100 mg
FLUCOVIM 100
FLUCONAZOL MEDOCHEMIE 150 mg

FLUCONAZOL ACTAVIS 150 mg


FLUCONAZOL MEDICO UNO 150 mg

FLUCONAZOL LPH 150 mg


FLUCONAZOL ROMPHARM 150 mg

FLUCONAZOL 150 mg
FLUCONAZOL SANDOZ (R) 150

MYCOMAX 150
DIFLAZON 150 mg
FLUCONAZOLE TEVA 150 mg

FLUCOVIM 150
DIFLUCAN 150 mg
FLUCORIC 150 mg
FLUCONAZOL BIOGALENICA 150 mg

MYCOSYST 150 mg
FLUCONAZOL 150 mg
FLUCONAZOL ARENA 150 MG
FLUCONAZOLE TEVA 200 mg

FLUCONAZOL 50 mg
DIFLAZON 50 mg
FLUCOVIM 50
FLUCONAZOL MEDOCHEMIE 50 mg

FLUCONAZOL LPH 50 mg
FLUCONAZOL BIOGALENICA 50 mg

FUNGOLON 50 mg
FLUCONAZOLE TEVA 50 mg
FLUCONAZOL OZONE 50 mg
DIFLUCAN 50 mg
FLUCORIC 50 mg
FLUCONAZOL SANDOZ (R) 50

FLUCONAZOL 50 mg
FLUCONAZOL ARENA 50 MG
DIFLUCAN (R) 50 mg/5 ml
MYCOMAX INF 2mg/ml
MYCOMAX INF 2mg/ml
DIFLUCAN (R)
DIFLUCAN (R)
FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL KABI 2 mg/ml
MYCOMAX INF 2mg/ml
FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL BIOGALENICA 2mg/ml

DIFLAZON 2mg/ml
FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL B. BRAUN 2mg/ml

CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
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.

100mg
100mg
100mg
100mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
200mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg/5ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml

Firma

Tara

ROMANIA
ROMANIA
TERAPIA SA
ROMANIA
VIM SPECTRUM SRL ROMANIA
MEDOCHEMIE ROMANIA SRL ROMANIA

TEVA PHARMACEUTICALS S.R.L.


TEVA PHARMACEUTICALS S.R.L.

ACTAVIS GROUP PTC EHF.


MEDICO UNO PHARMACEUTICAL SRL

ISLANDA

Ambalaj

Prescriptie

CUTIE X 1 BLIST. PVC-PVDC/AL X 2 CAPS.


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

P-RF

CUTIE X 1 BLIST. X 4 CAPS.


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

P-RF

P-RF
P-RF

P-RF

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

ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA P-RF


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

LABORMED PHARMA S.A. ROMANIA


ROMPHARM COMPANY S.R.L.
OZONE LABORATORIES PHARMA S.A.

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

GERMANIA

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


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

P-RF

CEHIA

P-RF

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


VIM SPECTRUM SRL ROMANIA CUTIE X 1 FLAC. X 1 CAPS.

P-RF

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

P-RF

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

P-RF

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

P-RF

CUTIE X 4 BLIST. AL/PVC X 1 CAPS.


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

P-RF

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

P-RF

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

P-RF

TEVA PHARMACEUTICALS S.R.L.

PFIZER EUROPE MA EEIG

MAREA BRITANIE

TERAPIA SA

ROMANIA
LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
SLAVIA PHARM SRL ROMANIA
ARENA GROUP SA ROMANIA
TEVA PHARMACEUTICALS S.R.L. ROMANIA
ANTIBIOTICE S.A.
ROMANIA

KRKA D.D.
SLOVENIA CUTIE X 1 BLIST. X 7 CAPS.
VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS.
MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS.
LABORMED PHARMA S.A. ROMANIA

P-RF

P-RF

P-RF
P-RF

P-RF
P-RF
P-RF

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

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

P-RF
P-RF

OZONE LABORATORIES PHARMA S.A.

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


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

PFIZER EUROPE MA EEIG

MAREA BRITANIE

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

P-RF

TERAPIA SA
SANDOZ SRL
SLAVIA PHARM SRL
ARENA GROUP SA

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


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

P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

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

P-RF

REPUBLICA CEHA

CUTIE CU 1 FLACON DIN STICLA INCOLORA A 50 ML SOL. PERF. X 100 MG FLUCONAZOL

REPUBLICA CEHA

CUTIE CU 1 FLACON DIN STICLA INCOLORA A 200 ML SOL. PERF. X 400 MG FLUCONAZOL

LABORATOARELE PROF.DR.MORAIT S.R.L.

BALKANPHARMA RAZGRAD AD
TEVA PHARMACEUTICALS S.R.L.

ZENTIVA K.S.
ZENTIVA K.S.
PFIZER EUROPE MA EEIG

MAREA BRITANIE

PFIZER EUROPE MA EEIG

MAREA BRITANIE

FRESENIUS KABI ROMANIA SRL

FRESENIUS KABI ROMANIA SRL

ROMANIA
ROMANIA
ROMANIA

ZENTIVA K.S.

REPUBLICA CEHA

FRESENIUS KABI ROMANIA SRL

ROMANIA
FRESENIUS KABI ROMANIA SRL ROMANIA
FRESENIUS KABI ROMANIA SRL ROMANIA
FRESENIUS KABI ROMANIA SRL ROMANIA
ARENA GROUP S.A. ROMANIA
FRESENIUS KABI ROMANIA SRL

CUTIE X 1 FLACON X 200 ML


CUTIE X 1 FLACON X 50 ML

FRESENIUS KABI ROMANIA SRL


FRESENIUS KABI ROMANIA SRL

ROMANIA
ROMANIA
ROMANIA

P-RF

P-RF
P-RF
P-RF

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

S
S
CUTIE CU 10 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF. S
S
CUTIE CU 20 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. S
CUTIE CU 25 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF. S
CUTIE CU 1 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. S
CUTIE CU 10 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. S
CUTIE X 1 FLAC. X 100 ML SOL. PERF. S
CUTIE CU 25 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF.
CUTIE CU 1 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF.

CUTIE CU 1 FLACON DIN STICLA INCOLORA A 100 ML SOL. PERF. X 200 MG FLUCONAZOL

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML
FRESENIUS KABI ROMANIA SRL

P-RF

CUTIE CU 1 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.


CUTIE CU 10 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.
CUTIE CU 20 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.

B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FLAC. PEJD X 50 ML SOL. PERF.

Pagina 7 din 56

S/PR-F

S
S
S
S

cant/
amba
laj

2
7
7
4
1
1
1
1
1
1
1
1
1
1
1
1
1
1
4
1
1
7
10
7
7
7
7
7
8
7
7
7
7
7
7
7
1
1
1
1
1
25
1
10
1
20
25
1
10
1
1
1
10
20
20

Pret cu
ridicata
maximal /
ambalaj

6.98
23.31
33.15
18.95
6.07
7.44
6.68
7.35
9.57
7.35
10.79
9.27
16.65
4.88
7.35
18.56
13.95
4.88
48.24
7.16
6.68
30.10
18.88
47.19
16.69
11.95
16.69
11.66
14.09
12.35
16.69
43.23
21.91
32.06
14.49
14.15
43.23
30.54
137.44
133.17
30.99
781.76
81.95
761.71
42.66
631.41
443.47
34.28
330.71
40.63
35.03
18.84
181.93
360.77
362.55

Pret cu ridicata
maximal / U.T.

3.490000
3.330000
4.735714
4.737500
6.070000
7.440000
6.680000
7.350000
9.570000
7.350000
10.790000
9.270000
16.650000
4.880000
7.350000
18.560000
13.950000
4.880000
12.060000
7.160000
6.680000
4.300000
1.888000
6.741428
2.384285
1.707142
2.384285
1.665714
1.761250
1.764285
2.384285
6.175714
3.130000
4.580000
2.070000
2.021428
43.230000
30.540000
137.440000
133.170000
30.990000
31.270400
81.950000
76.171000
42.660000
31.570500
17.738800
34.280000
33.071000
40.630000
35.030000
18.840000
18.193000
18.038500
18.127500

Pret cu ridicata
maximal de
decontare / U.T.

3.490000
3.330000
3.996000
3.996000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
4.880000
5.856000
5.856000
5.856000
4.880000
5.856000
5.856000
5.856000
4.300000
1.888000
1.998857
1.998857
1.707142
1.998857
1.665714
1.761250
1.764285
1.998857
1.998857
1.998857
1.998857
1.998857
1.998857
43.230000
21.286560
91.405200
91.405200
21.286560
31.270400
81.950000
76.171000
37.524480
31.570500
17.738800
34.280000
33.071000
37.524480
35.030000
18.840000
18.193000
18.038500
18.127500

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

9.43
31.51
43.36
25.61
8.20
10.06
9.03
9.94
12.94
9.94
14.58
12.53
22.51
6.59
9.94
25.08
18.86
6.59
63.10
9.68
9.03
39.37
25.52
61.72
22.56
16.15
22.56
15.76
19.04
16.69
22.56
56.54
29.61
41.93
19.58
19.12
56.54
39.95
167.79
162.58
40.53
890.27
103.62
868.42
55.80
726.39
521.53
44.84
398.62
53.14
45.82
25.47
222.10
431.39
433.33

4.715000
4.501428
6.194285
6.402500
8.200000
10.060000
9.030000
9.940000
12.940000
9.940000
14.580000
12.530000
22.510000
6.590000
9.940000
25.080000
18.860000
6.590000
15.775000
9.680000
9.030000
5.624285
2.552000
8.817142
3.222857
2.307142
3.222857
2.251428
2.380000
2.384285
3.222857
8.077142
4.230000
5.990000
2.797142
2.731428
56.540000
39.950000
167.790000
162.580000
40.530000
35.610800
103.620000
86.842000
55.800000
36.319500
20.861200
44.840000
39.862000
53.140000
45.820000
25.470000
22.210000
21.569500
21.666500

4.715000
4.501428
5.401714
5.401714
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
6.590000
7.908000
7.908000
7.908000
6.590000
7.908000
7.908000
7.908000
5.624285
2.552000
2.701714
2.701714
2.307142
2.701714
2.251428
2.380000
2.384285
2.701714
2.701714
2.701714
2.701714
2.701714
2.701714
56.540000
25.033440
104.210400
104.210400
25.033440
35.610800
103.620000
86.842000
42.732960
36.319500
20.861200
42.732960
39.862000
42.732960
42.732960
25.033440
22.210000
21.569500
21.666500

Grupa
Nr.
terape
crt
utica
373
374
375
376
377
378
379
380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
398
399
400
401
402
403
404
405
406
407
408
409
410
411
412
413
414
415
416
417
418
419
420
421
422
423
424
425
426
427

J02AC01
J02AC01
J02AC01
J02AC01
J02AC02
J02AC02
J02AC02
J02AC02
J02AC02
J02AC02
J02AC02
J02AC03
J02AC03
J02AC03
J02AC03
J02AC04
J02AC04

J02AX04
J02AX04
J02AX06
J04AC01
J04AC01
J04AK01
J04AK01
J04AK02
J04AK02
J04AM02

J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB04
J05AB04
J05AB06
J05AB11
J05AB14
J05AB15
J05AE01
J05AE01
J05AE02
J05AE02
J05AE03
J05AE03
J05AE03
J05AE04
J05AE06
J05AE06
J05AE07

Denumire generica

FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
POSACONAZOLUM**
POSACONAZOLUM**
CASPOFUNGINUM**
CASPOFUNGINUM**
ANIDULAFUNGINUM
ISONIAZIDUM
ISONIAZIDUM
PYRAZINAMIDUM
PYRAZINAMIDUM
ETHAMBUTOLUM
ETHAMBUTOLUM

Denumire comerciala

Forma
Concentrati
farmaceutic
e / U.T.
a

SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
OMICRAL 100 mg
CAPS.
ORUNGAL
CAPS.
ITRACONAZOL 100 mg
CAPS.
ITRACONAZOL LPH 100 mg CAPS.
MICOGAL 100 mg
CAPS.
ITRACONAZOL 100 mg
CAPS.
SPORILIN 100 mg
CAPS.
VFEND 200mg
COMPR. FILM.
VFEND 50mg
COMPR. FILM.
VFEND 200mg
PULB. PT. SOL. PERF.
VFEND 40 mg/ml
PULB. PT. SUSP. ORALA
NOXAFIL SP 40mg/ml
SUSP. ORALA
NOXAFIL SP 40mg/ml
SUSP. ORALA
CANCIDAS 50 mg
CANCIDAS 70 mg
ECALTA 100mg
ISONIAZIDA 100 mg
COMPR.
IZONIAZIDA ANTIBIOTICE 300 mg COMPR.
PIRAZINAMIDA ANTIBIOTICE 500 mg COMPR.
PIRAZINAMIDA ANTIBIOTICE 500 mg COMPR.
ETAMBUTOL 250 mg
COMPR. FILM.
ETAMBUTOL 400 mg
COMPR. FILM.
COMBINATII (RIFAMPICINUM+IZONIAZIDUM) SINERDOL ISO
CAPS.
ACICLOVIRUM
ACICLOVIR 200 mg
CAPS.
ACICLOVIRUM
ACICLOVIR ARENA 200 mg CAPS.
ACICLOVIRUM
ACICLOVIR ARENA 200 mg CAPS.
ACICLOVIRUM
ACICLOVIR ARENA 400 mg CAPS.
ACICLOVIRUM
ACICLOVIR 200 mg
COMPR.
ACICLOVIRUM
CLOVIRAL 200 mg
COMPR.
ACICLOVIRUM
ACICLOVIR 200 mg
COMPR.
ACICLOVIRUM
ACICLOVIR TERAPIA 200 mg COMPR.
ACICLOVIRUM
ACICLOVIR 200 mg
COMPR.
ACICLOVIRUM
ACICLOVIR 400 mg
COMPR.
ACICLOVIRUM
VIROLEX
PULB. PT. SOL. INJ./PERF.
RIBAVIRINUM
REBETOL 200 mg
CAPS.
RIBAVIRINUM
COPEGUS 200mg
COMPR. FILM.
GANCICLOVIRUM
CYMEVENE
LIOF. PT. SOL. INJ.
VALACYCLOVIRUM
VALTREX 500 mg
COMPR. FILM.
VALGANCICLOVIRUM**
VALCYTE (R) 450 mg
COMPR. FILM.
BRIVUDINUM
BRIVAL 125mg
COMPR.
SAQUINAVIRUM
INVIRASE 200mg
CAPS.
SAQUINAVIRUM
INVIRASE 500 mg
COMPR. FILM.
INDINAVIRUM
CRIXIVAN 200mg
CAPS.
INDINAVIRUM
CRIXIVAN 400mg
CAPS.
RITONAVIRUM**
NORVIR 100 mg
COMPR. FILM.
RITONAVIRUM**
NORVIR 100 mg
COMPR. FILM.
RITONAVIRUM**
NORVIR 100 mg
COMPR. FILM.
NELFINAVIRUM
VIRACEPT 250 mg
COMPR. FILM.
LOPINAVIRUM+RITONAVIRUM** KALETRA 200mg/50mg
COMPR. FILM.
LOPINAVIRUM+RITONAVIRUM** KALETRA 80mg/ml+20mg/ml SOL. ORALA
FOSAMPRENAVIRUM**
TELZIR 700mg
COMPR. FILM.
FLUCONAZOL B. BRAUN 2mg/ml
FLUCONAZOL B. BRAUN 2mg/ml
FLUCONAZOL B. BRAUN 2mg/ml
FLUCONAZOL B. BRAUN 2mg/ml

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


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

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

Firma

Tara

Ambalaj

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.
B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. PEJD X 50 ML SOL. PERF.
MEDICO UNO PHARMACEUTICAL SRL

ROMANIA CUTIE X 3 BLIST. AL/AL X 5 CAPS.

JANSSEN PHARMACEUTICA N.V.

BELGIA

SLAVIA PHARM SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS.


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

SP EUROPE

BELGIA

CUTIE X 1 FLAC. X 105ML SUSP. ORALA


CUTIE X 1 FLAC. X 105ML SUSP. ORALA

MERCK SHARP & DOHME

MAREA BRITANIE

CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF.

MERCK SHARP & DOHME

MAREA BRITANIE

CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF.

MAREA BRITANIE

CUTIE X 1FLAC.DIN STICLA A 30ML X 100MG PULB.

PFIZER LIMITED
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE S.A.
ANTIBIOTICE S.A.
ANTIBIOTICE SA
ANTIBIOTICE SA
300mg+150mg ANTIBIOTICE SA
200mg
SLAVIA PHARM SRL
200mg
ARENA GROUP SA
200mg
ARENA GROUP SA
400mg
ARENA GROUP S.A.
200mg
GEDEON RICHTER ROMANIA SA
200mg
ANTIBIOTICE SA
200mg
EGIS PHARMACEUTICALS P.L.C.
200mg
TERAPIA SA
200mg
LAROPHARM S.R.L.
400mg
EGIS PHARMACEUTICALS P.L.C.
250mg
KRKA D.D. NOVO MESTO
200mg
SP EUROPE
200mg
ROCHE ROMANIA SRL
500mg
ROCHE ROMANIA S.R.L.
500mg
THE WELLCOME FOUNDATION LTD.
450mg
ROCHE ROMANIA SRL
125mg
BERLIN CHEMIE AG MENARINI GROUP
200mg
ROCHE REGISTRATION LTD.
500mg
ROCHE REGISTRATION LTD.
200mg
MERCK SHARP & DOHME
400mg
MERCK SHARP & DOHME
100mg
ABBOTT LABORATORIES LTD.
100mg
ABBOTT LABORATORIES LTD.
100mg
ABBOTT LABORATORIES LTD.
250mg
ROCHE REGISTRATION LTD.
200mg/50mg ABBOTT LABORATORIES LTD.

MAREA BRITANIE

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

S
S
S
S
P-RF

CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 5 CAPS. P-RF

LABORMED PHARMA S.A. ROMANIA

MERCK SHARP & DOHME

Prescriptie

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

CUTIE X 150 BLIST. X 10 COMPR.

S
S
S
S

CUTIE X 150 BLIST. PVC/AL X 10 COMPR.

S/P-RF

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

S/P-RF

S
S
CUTIE X 150 BLIST. AL/PVC X 10 COMPR. FILM. S
CUTIE X 100 BLIST. AL/PVC X 10 CAPS. S
CUTIE X 150 BLIST. AL/PVC X 10 COMPR.

CUTIE X 150 BLIST. AL/PVC X 10 COMPR. FILM.

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


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

P-RF
P-RF

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

P-RF/S

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

P-RF

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


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

P-RF
P-RF

CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF

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-PVDC/AL X 5 COMPR. P-RF

SLOVENIA

CUTIE X 5 FLAC. X 250 MG PULB. PT. SOL. INJ./PERF.

S/P-RF

BELGIA

CUTIE X 140CAPS. ( BLIST. PVC/PE/PVDC )

P-RF/R

ROMANIA CUTIE X 1 FLAC. PEID X 168 COMPR. FILM. P-RF/R


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

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

ROMANIA CUTIE X 1 FLAC. X 60 COMPR. FILM.


GERMANIA CUTIE X 1 BLIST. PVC/AL X 7 COMPR.

P-RF
P-RF

MAREA BRITANIE

CUTIE X 1 FLAC. X 270 CAPS.

P-RF/R

MAREA BRITANIE

CUTIE X 1 FLAC. PEID X 120 COMPR. FILM.

P-RF/R

MAREA BRITANIE

CUTIE X 1 FLAC. PEID X 360 CAPS.

P-RF/R

MAREA BRITANIE

CUTIE X 1 FLAC DIN PEID. X 180 CAPS.


CUTIE X 1 FLAC. PEID X 30 COMPR.FILM.
CUTIE X 3 FLAC. PEID X 30 COMPR.FILM.
CUTIE X 1 FLAC. PEID X 60 COMPR.FILM.

MAREA BRITANIE

CUTIE X 1 FLAC. PEID X 270 COMPR. FILM.

P-RF/R

MAREA BRITANIE

CUTIE X 1 FLAC. DIN PEID X 120 COMPR. FILM.

P-RF/R

MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE

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

80mg/ml+20mg/ml ABBOTT LABORATORIES LTD.

MAREA BRITANIE CUTIE X 5 FLAC. MULTIDOZA DIN TPE X 60 ML + 5 SERINGI GRADATE A 5 ML

P-RF/R

700mg

MAREA BRITANIE

P-RF/R

GLAXO GROUP LTD.

CUTIE X 1 FLAC. DIN HDPE X 60 COMPR. FILM. PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII

Pagina 8 din 56

cant/
amba
laj

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

10
20
10
10
15
15
15
15
15
15
15
28
28
1
1
1
1
1
1
1
1500
1500
20
1500
1500
1500
1000
20
20
1000
10
20
20
20
20
20
10
5
140
168
1
10
60
7
270
120
360
180
30
90
60
270
120
5
60

454.59
796.39
770.66
182.90
40.18
60.84
40.18
40.18
40.18
40.18
40.18
3,559.23
912.09
458.07
2,203.52
2,488.19
2,488.19
1,202.39
1,560.14
1,458.70
108.12
270.36
6.75
434.58
252.90
395.15
438.43
14.97
15.85
704.14
14.41
12.75
12.16
10.22
12.69
9.62
14.23
231.79
2,210.48
2,406.37
92.79
43.54
4,863.09
272.43
1,020.66
1,013.90
167.56
167.56
196.38
565.59
387.06
1,020.66
1,564.58
1,487.86
1,219.58

45.459000
39.819500
77.066000
18.290000
2.678666
4.056000
2.678666
2.678666
2.678666
2.678666
2.678666
127.115357
32.574642
458.070000
2,203.520000
2,488.190000
2,488.190000
1,202.390000
1,560.140000
1,458.700000
0.072080
0.180240
0.337500
0.289720
0.168600
0.263433
0.438430
0.748500
0.792500
0.704140
1.441000
0.637500
0.608000
0.511000
0.634500
0.481000
1.423000
46.358000
15.789142
14.323630
92.790000
4.354000
81.051500
38.918571
3.780222
8.449166
0.465444
0.930888
6.546000
6.284333
6.451000
3.780222
13.038166
297.572000
20.326333

Pret cu ridicata
maximal de
decontare / U.T.

37.524480
37.524480
77.066000
18.290000
2.678666
3.214399
2.678666
2.678666
2.678666
2.678666
2.678666
127.115357
32.574642
458.070000
2,203.520000
2,488.190000
2,488.190000
1,202.390000
1,560.140000
1,458.700000
0.072080
0.180240
0.337500
0.289720
0.168600
0.263433
0.438430
0.577200
0.577200
0.577200
1.441000
0.577200
0.577200
0.511000
0.577200
0.481000
1.423000
46.358000
15.789142
14.323630
92.790000
4.354000
81.051500
38.918571
3.780222
8.449166
0.465444
0.930888
6.546000
6.284333
6.451000
3.780222
13.038166
297.572000
20.326333

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

533.65
906.22
878.17
223.28
52.56
76.92
52.56
52.56
52.55
52.56
52.56
3,917.72
1,032.33
537.45
2,439.99
2,750.28
2,750.28
1,348.76
1,738.70
1,628.13
131.99
330.05
9.12
511.84
308.74
468.86
516.04
20.23
21.42
805.66
19.48
17.23
16.44
13.81
17.15
13.00
19.23
282.97
2,447.58
2,661.10
117.33
56.95
5,338.93
332.58
1,150.67
1,143.30
204.56
204.56
239.74
654.64
460.05
1,150.67
1,743.54
1,659.92
1,367.49

53.365000
45.311000
87.817000
22.328000
3.504000
5.128000
3.504000
3.504000
3.503333
3.504000
3.504000
139.918571
36.868928
537.450000
2,439.990000
2,750.280000
2,750.280000
1,348.760000
1,738.700000
1,628.130000
0.087993
0.220033
0.456000
0.341226
0.205826
0.312573
0.516040
1.011500
1.071000
0.805660
1.948000
0.861500
0.822000
0.690500
0.857500
0.650000
1.923000
56.594000
17.482714
15.839880
117.330000
5.695000
88.982166
47.511428
4.261740
9.527500
0.568222
1.136444
7.991333
7.273777
7.667500
4.261740
14.529500
331.984000
22.791500

42.732960
42.732960
87.817000
22.328000
3.504000
4.204000
3.504000
3.504000
3.503333
3.504000
3.504000
139.918571
36.868928
537.450000
2,439.990000
2,750.280000
2,750.280000
1,348.760000
1,738.700000
1,628.130000
0.087993
0.220033
0.409471
0.341226
0.205826
0.312573
0.516040
0.780000
0.780000
0.780000
1.948000
0.780000
0.780000
0.690500
0.780000
0.650000
1.923000
56.594000
17.482714
15.839880
117.330000
5.695000
88.982166
47.511428
4.261740
9.527500
0.568222
1.136444
7.991333
7.273777
7.667500
4.261740
14.529500
331.984000
22.791500

Grupa
Nr.
terape
crt
utica
428
429
430
431
432
433
434
435
436
437
438
439
440
441
442
443
444
445
446
447
448
449
450
451
452
453
454
455
456
457
458
459
460
461
462
463
464
465
466
467
468
469
470
471
472
473
474
475
476
477
478
479
480
481
482

J05AE07
J05AE08
J05AE08
J05AE09
J05AE10
J05AE10
J05AE10

J05AF01
J05AF01
J05AF02
J05AF02
J05AF04
J05AF04
J05AF05
J05AF05
J05AF05
J05AF05
J05AF05
J05AF05
J05AF06
J05AF06

Denumire generica

FOSAMPRENAVIRUM**
ATAZANAVIRUM
ATAZANAVIRUM
TIPRANAVIRUM**
DARUNAVIRUM**
DARUNAVIRUM**
DARUNAVIRUM**
ZIDOVUDINUM
ZIDOVUDINUM
DIDANOSINUM
DIDANOSINUM
STAVUDINUM
STAVUDINUM
LAMIVUDINUM
LAMIVUDINUM
LAMIVUDINUM
LAMIVUDINUM
LAMIVUDINUM
LAMIVUDINUM
ABACAVIRUM
ABACAVIRUM

J05AF07 TENOFOVIRUM DISOPROXIL FUMARATE


J05AF09
J05AG01
J05AG01
J05AG01
J05AG01
J05AG01
J05AG01
J05AG03
J05AG03
J05AG03
J05AG04

EMTRICITABINUM
NEVIRAPINUM
NEVIRAPINUM
NEVIRAPINUM
NEVIRAPINUM
NEVIRAPINUM
NEVIRAPINUM
EFAVIRENZUM
EFAVIRENZUM
EFAVIRENZUM
ETRAVIRINUM

Denumire comerciala

TELZIR 50mg/ml
REYATAZ 150 mg
REYATAZ 300 mg
APTIVUS 250mg
PREZISTA 300mg
PREZISTA 400mg
PREZISTA 600mg
RETROVIR (R)
RETROVIR (R)
VIDEX EC 250 mg
VIDEX EC 400 mg
ZERIT 30 mg
ZERIT 40 mg
LAMIVUDINE TEVA 100 mg
ZEFFIX 100 mg
LAMIVUDINE TEVA PHARMA B.V. 150 mg

EPIVIR 150mg
LAMIVUDINE TEVA PHARMA B.V. 300 mg

EPIVIR 10mg/ml
ZIAGEN 300 mg
ZIAGEN 20 mg/ml
VIREAD 245mg
EMTRIVA 200mg
VIRAMUNE 200mg
NEVIRAPINA 200mg
VIRAMUNE 100mg
VIRAMUNE 400mg
VIRAMUNE 50mg
VIRAMUNE 50mg/ml
STOCRIN 50 mg
STOCRIN 600 mg
STOCRIN 600 mg
INTELENCE

Forma
Concentrati
farmaceutic
e / U.T.
a

Firma

Tara

SUSP. ORALA 50mg/ml

GLAXO GROUP LTD.

MAREA BRITANIE

CUTIE X 1 FLAC. DIN HDPE X 225 ML SUSP. ORALA PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII +

P-RF/R

CAPS.
CAPS.
CAPS. MOI

BRISTOL-MYERS SQUIBB

MAREA BRITANIE

CUTIE X 60 CAPS. (BLIST. AL/AL 6X1)

P-RF/R

BRISTOL-MYERS SQUIBB

MAREA BRITANIE

CUTIE X 1 FLAC. PEID X 30 CAPS.

P-RF/R

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA CUTIE X 1 FLAC. DIN PEID X 120 CAPS. MOI

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

CAPS.
SOL. ORALA
CAPS. GASTROREZ.
CAPS. GASTROREZ.

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

SOL. ORALA
COMPR. FILM.

SOL. ORALA
COMPR. FILM.

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

SUSP. ORALA
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

COMPR.

J05AR01 COMBINATII (LAMIVUDINUM+ZIDOVUDINUM)** LAMIVUDINA/ZIDOVUDINA TEVA COMPR. FILM.


J05AR01
J05AR02

ZIDOVUDINUM+LAMIVUDINUM** COMBIVIR 150mg/300mg


ABACAVIRUM+LAMIVUDINUM** KIVEXA 600mg/300mg

J05AR04 ABACAVIRUM+LAMIVUDINUM+ZIDOVUDINUM**

J05AX09

ENFUVIRTIDUM**
RALTEGRAVIRUM
MARAVIROCUM
MARAVIROCUM

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J05AX07
J05AX08
J05AX09

COMPR. FILM.
COMPR. FILM.
TRIZIVIR 300mg/150mg/300mg COMPR. FILM.

FUZEON 90mg/ml
ISENTRESS 400mg
CELSENTRI 150mg
CELSENTRI 300mg
HUMAGLOBIN
HUMAGLOBIN
OCTAGAM 10%
OCTAGAM 10%
OCTAGAM 10%
OCTAGAM 10%
PRIVIGEN 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
PRIVIGEN 100mg/ml
PRIVIGEN 100mg/ml
PRIVIGEN 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml

PULB. + SOLV. PT. SOL. INJ.

COMPR. FILM.
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.

150mg
300mg
250mg
300mg
400mg
600mg
100mg
1%
250mg
400mg
30mg
40mg
100 mg
100mg
150 mg
150mg
300 mg
10mg/ml
300mg
20mg/ml
245mg
200mg
200mg
200mg
100mg
400mg
50mg
50mg/5ml
50mg
600mg
600mg
100mg

Ambalaj

VIIV HEALTHCARE UK LIMITED

BELGIA
BELGIA
BELGIA
UK

THE WELLCOME FOUNDATION LTD.

MAREA BRITANIE

BRISTOL MYERS SQUIBB KFT


BRISTOL MYERS SQUIBB KFT

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


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

BRISTOL-MYERS SQUIBB

MAREA BRITANIE

BRISTOL-MYERS SQUIBB

MAREA BRITANIE

JANSSEN-CILAG INTERNATIONAL NV
JANSSEN-CILAG INTERNATIONAL NV
JANSSEN-CILAG INTERNATIONAL NV

Prescriptie

P-RF/R

CUTIE X 1 FLAC. DIN PEID X 120 COMPR. FILM.

P-RF/R

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

CUTIE X 1 FLACON DIN STICLA BRUNA X 200 ML + 1 ADAPTOR DE DOZARE + 1 SERINGA PT. ADM. ORALA A 10 ML

S/P-RF

CUTIE X 4 BLIST. ACLAR/AL X 14 CAPS.


CUTIE X 4 BLIST. ACLAR/AL X 14 CAPS.

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


GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST. PVC-AL/PVC-AL)
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
GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 60 COMPR. FILM.
GLAXO GROUP LTD. MAREA BRITANIE
CUTIE X 1 FLACON PEID X 240ML SOL. ORALA + 1 SERINGA DOZATOARE + 1 ADAPTOR

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

CUTIE X 1 FLACON PEID X 240 ML SOL. ORALA + SERINGA DOZATOARE PP X 10 ML + ADAPTOR PE

P-RF/R

GILEAD SCIENCE INTERNATIONAL LIMITED

MAREA BRITANIE

CUTIE X 1 FLAC. DIN PEID X 30 COMPR. FILM

P-RF/R

GILEAD SCIENCE INTERNATIONAL LIMITED

MAREA BRITANIE

CUTIE X 1 FLAC. DIN PEID X 30 CAPS.

P-RF/R

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA

CUTIE X 6 BLIST. X 10 COMPR.

P-RF/R

BLISTERE DIN PVC/PE/PVDC - AL X 60 COMP.

P-RF/R

TEVA PHARMA B.V. OLANDA


BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU UN FLACON DIN PEID X 90 COMPR. CU ELIB. PRELUNGITA

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU UN FLACON DIN PEID X 30 COMPR. CU ELIB. PRELUNGITA

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU UN FLACON DIN PEID X 180 COMPR. CU ELIB. PRELUNGITA

PR
PR
PR

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.


150 mg/300 mg TEVA PHARMA B.V. OLANDA CUTIE CU BLIST. DIN OPA/AL/PVC X 60 COMPRIMATE FILMATE
150mg/300mg GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 6 BLIST. X 10 COMPR. FILM.
600mg/300mg GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 30 COMPR. FILM.( BLIST.ALB-OPAC PVC-PVDC/AL )
300mg/150mg/300mg GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM.
90mg/ml
ROCHE REGISTRATION LTD. MAREA BRITANIE
400 mg
MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. PEID X 60 COMPR. FILMATE
150mg
PFIZER LIMITED
MAREA BRITANIE CUTIE X 60 COMPR. FILM.( BLIST. PVC/AL)
300mg
PFIZER LIMITED
MAREA BRITANIE CUTIE X 60 COMPR. FILM.( BLIST. PVC/AL)
5%
UNGARIA CUTIE X 1 CUTIE X 1 FLAC. CU PULB. + 1 CUTIE X 1 FLAC. SOLV. X 50 ML
5%
UNGARIA CUTIE X 1 CUTIE X 1 FLAC. CU PULB. + 1 CUTIE X 1 FLAC. SOLV. X 100 ML
100 mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF.
100 mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL. PERF.
100 mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 20 ML SOL. PERF.
100 mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL. PERF.
100mg/ml
CSL BEHRING GMBH GERMANIA CUTIE X 1 FLAC.X 25 ML SOL. PERF.
100mg/ml
BAXTER AG
AUSTRIA CUTIE X 1 FLAC X 200ML SOL. PERF.(20G/200ML)
100mg/ml
BAXTER AG
AUSTRIA CUTIE X 1 FLAC X 300ML SOL. PERF.(30G/300ML)
100mg/ml
CSL BEHRING GMBH GERMANIA CUTIE X 1 FLAC.X 50 ML SOL. PERF.
100mg/ml
CSL BEHRING GMBH GERMANIA CUTIE X 1 FLAC.X 100 ML SOL. PERF.
100mg/ml
CSL BEHRING GMBH GERMANIA CUTIE X 1 FLAC.X 200 ML SOL. PERF.
100mg/ml
BAXTER AG
AUSTRIA CUTIE X 1 FLAC X 50ML SOL. PERF.(5G/50ML)
100mg/ml
BAXTER AG
AUSTRIA CUTIE X 1 FLAC X 100ML SOL. PERF.(10G/100ML)
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.

Pagina 9 din 56

P-RF/R

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

S
S
S
S
S
S
S
S
S
S
S
S
S
S

cant/
amba
laj

1
60
30
120
120
60
60
100
1
30
30
56
56
30
28
60
60
30
1
60
1
30
30
60
60
90
30
180
1
30
30
30
120
60
60
30
60
60
60
60
60
1
1
1
1
1
1
1
1
1
1
1
1
1
1

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

384.56
1,579.88
1,691.40
2,969.40
2,768.37
2,015.15
2,841.59
354.20
84.40
421.93
657.08
487.42
502.69
159.00
228.32
319.27
476.54
319.27
131.82
787.53
209.91
1,097.01
656.22
625.14
416.84
731.60
966.78
731.60
186.84
12.04
67.45
67.45
1,947.00
677.93
1,026.84
1,328.77
1,675.67
6,090.78
3,480.67
3,352.86
3,352.86
451.00
872.00
3,072.10
6,114.44
663.61
1,550.55
460.47
3,469.04
7,459.41
890.95
1,751.89
3,473.78
889.76
1,749.51

384.560000
26.331333
56.380000
24.745000
23.069750
33.585833
47.359833
3.542000
84.400000
14.064333
21.902666
8.703928
8.976607
5.300000
8.154285
5.321166
7.942333
10.642333
131.820000
13.125500
209.910000
36.567000
21.874000
10.419000
6.947333
8.128888
32.226000
4.064444
186.840000
0.401333
2.248333
2.248333
16.225000
11.298833
17.114000
44.292333
27.927833
101.513000
58.011166
55.881000
55.881000
451.000000
872.000000
3,072.100000
6,114.440000
663.610000
1,550.550000
460.470000
3,469.040000
7,459.410000
890.950000
1,751.890000
3,473.780000
889.760000
1,749.510000

Pret cu ridicata
maximal de
decontare / U.T.

384.560000
26.331333
56.380000
24.745000
23.069750
33.585833
47.359833
3.542000
84.400000
14.064333
21.902666
8.703928
8.976607
5.300000
6.360000
5.321166
6.385399
10.642333
131.820000
13.125500
209.910000
36.567000
21.874000
8.336800
6.947333
8.128888
32.226000
4.064444
186.840000
0.401333
2.248333
2.248333
16.225000
11.298833
13.558600
44.292333
27.927833
101.513000
58.011166
55.881000
55.881000
451.000000
872.000000
3,072.100000
6,114.440000
663.610000
1,550.550000
460.470000
3,469.040000
7,459.410000
890.950000
1,751.890000
3,473.780000
889.760000
1,749.510000

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

457.32
1,760.22
1,881.78
3,274.80
3,055.68
2,234.67
3,135.49
424.23
106.72
498.05
754.37
569.44
586.08
194.11
278.73
386.16
557.58
386.16
160.92
896.56
256.26
1,233.89
753.43
719.55
492.51
835.60
1,091.94
835.60
228.10
16.27
85.28
85.28
2,160.38
777.10
1,157.41
1,486.51
1,864.63
6,677.11
3,832.08
3,692.77
3,692.77
529.74
988.63
3,386.74
6,702.89
761.48
1,728.25
540.07
3,819.40
8,168.91
1,009.28
1,947.71
3,824.57
1,007.99
1,945.12

457.320000
29.337000
62.726000
27.290000
25.464000
37.244500
52.258166
4.242300
106.720000
16.601666
25.145666
10.168571
10.465714
6.470333
9.954642
6.436000
9.293000
12.872000
160.920000
14.942666
256.260000
41.129666
25.114333
11.992500
8.208500
9.284444
36.398000
4.642222
228.100000
0.542333
2.842666
2.842666
18.003166
12.951666
19.290166
49.550333
31.077166
111.285166
63.868000
61.546166
61.546166
529.740000
988.630000
3,386.740000
6,702.890000
761.480000
1,728.250000
540.070000
3,819.400000
8,168.910000
1,009.280000
1,947.710000
3,824.570000
1,007.990000
1,945.120000

457.320000
29.337000
62.726000
27.290000
25.464000
37.244500
52.258166
4.242300
106.720000
16.601666
25.145666
10.168571
10.465714
6.470333
7.764400
6.436000
7.723200
12.872000
160.920000
14.942666
256.260000
41.129666
25.114333
9.850200
8.208500
9.284444
36.398000
4.642222
228.100000
0.542333
2.842666
2.842666
18.003166
12.951666
15.541999
49.550333
31.077166
111.285166
63.868000
61.546166
61.546166
529.740000
988.630000
3,386.740000
6,702.890000
761.480000
1,728.250000
540.070000
3,819.400000
8,168.910000
1,009.280000
1,947.710000
3,824.570000
1,007.990000
1,945.120000

Grupa
Nr.
terape
crt
utica
483
484
485
486
487
488
489
490
491
492
493
494
495
496
497
498
499
500
501
502
503
504
505
506
507
508
509
510
511
512
513
514
515
516

Denumire generica

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BB16

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)**
PRIMAQUINE 4)
MEFLOQUINUM 4)
NETILMICINUM
NETILMICINUM
NETILMICINUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
NORFLOXACINUM

J06BB16
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
P01BA03
P01BC02
S01AA23
S01AA23
S01AA23
S01BA01
S01BA01
S01BA01
S01BA01
S03AAN2

Denumire comerciala

KIOVIG 100mg/ml
KIOVIG 100mg/ml
IG VENA 10g/200ml
IG VENA 1g/20ml
IG VENA 2,5g/50ml
FLEBOGAMMA 5%
FLEBOGAMMA 5%
FLEBOGAMMA 5%
FLEBOGAMMA 5%
OCTAGAM
OCTAGAM
OCTAGAM
IG VENA 5g/100ml
SYNAGIS 100 mg
SYNAGIS 50 mg
NEUPOGEN (R)
NEUPOGEN (R)
ZARZIO 30MU/0,5ml
ZARZIO 48MU/0,5ml
NIVESTIM 12 MU/0,2ml
TEVAGRASTIM 30MUI/0,5ml
NIVESTIM 30 MU/0,5 ml
TEVAGRASTIM 48MUI/0,8ml
NIVESTIM 48 MU/0,5 ml
MALIRID
ELOQUINE 250 mg
NETTACIN (R)
NETTACIN (R)
NETTAVISC 3mg/g
OZURDEX
DEXAMETAZONA ROMPHARM 1mg/ml
DEXAMETAZONA ROMPHARM 1mg/ml

MAXIDEX (R)
NORFLOX

Forma
Concentrati
farmaceutic
e / U.T.
a
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
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.

100mg/ml
100mg/ml
10g/200ml
1g/20ml
2,5g/50ml
5%
5%
5%
5%
50mg/ml
50mg/ml
50mg/ml
5g/100ml
100mg
50mg
30MU/0,5ml
48MU/0,5ml
60MU/ml
96MU/ml
120g/0,2ml

Firma

BAXTER AG
BAXTER AG
KEDRION SPA
KEDRION SPA
KEDRION SPA
INSTITUTO GRIFOLS S.A.
INSTITUTO GRIFOLS S.A.
INSTITUTO GRIFOLS S.A.
INSTITUTO GRIFOLS S.A.

Tara

Ambalaj

AUSTRIA
AUSTRIA
ITALIA
ITALIA
ITALIA
SPANIA
SPANIA
SPANIA
SPANIA

CUTIE X 1 FLAC X 25ML SOL. PERF.(2,5G/25ML)

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.


CUTIE X 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL.PERF.
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL.PERF.
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10 ML SOL.PERF.

MAREA BRITANIE

KEDRION SPA

ITALIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. + 1 SET ADMINISTRARE

ABBOTT LABORATORIES LTD.

MAREA BRITANIE CUTIE X 1 FLAC. PULB. PT. SOL. INJ. + FIOLA X 1 ML SOLV.

ABBOTT LABORATORIES LTD.

MAREA BRITANIE CUTIE X 1 FLAC. PULB. PT. SOL. INJ. + FIOLA X 1 ML SOLV.

MAREA BRITANIE
MAREA BRITANIE

AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML


AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML

SANDOZ GMBH
SANDOZ GMBH

AUSTRIA
AUSTRIA

HOSPIRA UK LIMITED

MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,2ML SOL. INJ. SAU PERF.

300g/0,5ml HOSPIRA UK LIMITED

SOL. INJ./PERF.

HOSPIRA UK LIMITED

COMPR.
COMPR.

CN UNIFARM S.A.
CN UNIFARM
S.I.F.I. SPA
S.I.F.I. SPA
S.I.F.I. SPA
ALLERGAN PHARMACEUTICALS IRELAND

ROMPHARM COMPANY SRL


ROMPHARM COMPANY SRL

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

CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL

P-RF/R

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.

MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF.

SOL. INJ./PERF. 480mcg/0,8ml TEVA GENERICS GMBH GERMANIA

480g/0,5ml
7,5 mg
250mg
PIC. OFT., SOL 0,3%
PICATURI OFT.-SOL. 0,3%
UNG. OFT. 3mg/g
IMPLANT
700 micrograme
PIC. OFT. SUSP. 1mg/ml
PIC. OFT. SUSP. 1mg/ml
PICATURI OFT.-SUSP. 0,1%
PICATURI OFT./AURIC.-SOL. 0,3%

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL. PERF. + 1 SET ADMINISTRARE

CUTIE X 1 FLACON X 100 ML


CUTIE X 1 FLACON X 50 ML
CUTIE X 1 FLACON X 200 ML

OCTAPHARMA (IP) LTD.


OCTAPHARMA (IP) LTD.
OCTAPHARMA (IP) LTD.

SOL. INJ./PERF. 300mcg/0,5ml TEVA GENERICS GMBH GERMANIA


SOL. INJ./PERF.

CUTIE X 1 FLAC X 10ML SOL. PERF.(1G/10ML)

Prescriptie

P-RF
S/P-RF/R

P-RF

CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF.

S/P-RF/R

MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF.

P-RF

ROMANIA CUTIE CU 10 BLIST.X 10 COMPR.


ROMANIA CUTIE X 10 BLIST. X 10 COMPR.

P-RF

ITALIA
CUTIE X 1 FLACON X 5ML
ITALIA
CUTIE X 3 FOLII TERMOSUDATE X 5 FLACOANE UNIDOZA DIN POLIETILENA X 0,3 ML
ITALIA
CUTIE X 1 TUB DIN AL X 5 G UNGUENT OFTALMIC, PREV. CU APLICATOR
IRLANDA

P-RF

CUTIE CU1 IMPLANT STERIL DE TIP FILAMENT CU ELIBERARE PRELUNGIT CONINND DEXAMETAZON 700 MICR

P-RF

ROMANIA
ROMANIA

CUTIE X 1 FLAC. DIN PEID X 5 ML PIC. OFT., SUSPENSIE

P-RF

X
P-RF
P-RF

CUTIE X 1 FLAC. DIN PEID X 10 ML PIC. OFT., SUSPENSIE P-RF

ALCON COUVREUR NV BELGIA

CUTIE X 1 FLACON PICURATOR DIN PE X 5 ML P-RF

CIPLA (UK) LIMITED

CUTIE X 1 FLACON PEJD X 5 ML

MAREA BRITANIE

P-RF

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
5
1
5
1
5
100
100
1
15
1
1
1
1
1
1

459.88
188.56
2,050.80
222.29
535.20
914.10
1,798.20
472.05
99.02
1,166.70
640.45
2,261.30
1,040.40
3,499.13
2,119.02
267.05
436.57
162.10
260.91
418.45
214.16
1,001.12
355.90
1,656.30
14.81
140.58
10.49
21.41
24.05
4,694.69
4.11
7.49
6.33
3.52

459.880000
188.560000
2,050.800000
222.290000
535.200000
914.100000
1,798.200000
472.050000
99.020000
1,166.700000
640.450000
2,261.300000
1,040.400000
3,499.130000
2,119.020000
267.050000
436.570000
162.100000
260.910000
83.690000
214.160000
200.224000
355.900000
331.260000
0.148100
1.405800
10.490000
1.427333
24.050000
4,694.690000
4.110000
7.490000
6.330000
3.520000

459.880000
188.560000
2,050.800000
222.290000
535.200000
914.100000
1,798.200000
472.050000
99.020000
1,166.700000
640.450000
2,261.300000
1,040.400000
3,499.130000
2,119.020000
194.520000
313.092000
162.100000
260.910000
83.690000
194.520000
194.520000
313.092000
313.092000
0.148100
1.405800
10.490000
1.427333
12.588000
4,694.690000
4.110000
7.490000
4.932000
3.520000

539.42
230.20
2,273.52
271.37
621.52
1,034.52
1,998.19
552.68
125.20
1,309.85
736.24
2,502.97
1,172.19
3,852.21
2,347.88
326.02
514.01
197.89
318.52
494.26
261.45
1,129.37
426.08
1,843.52
20.02
171.62
14.18
28.94
32.50
5,155.37
5.55
10.12
8.55
4.76

539.420000
230.200000
2,273.520000
271.370000
621.520000
1,034.520000
1,998.190000
552.680000
125.200000
1,309.850000
736.240000
2,502.970000
1,172.190000
3,852.210000
2,347.880000
326.020000
514.010000
197.890000
318.520000
98.852000
261.450000
225.874000
426.080000
368.704000
0.200200
1.716200
14.180000
1.929333
32.500000
5,155.370000
5.550000
10.120000
8.550000
4.760000

539.420000
230.200000
2,273.520000
271.370000
621.520000
1,034.520000
1,998.190000
552.680000
125.200000
1,309.850000
736.240000
2,502.970000
1,172.190000
3,852.210000
2,347.880000
237.468000
382.224000
197.890000
318.520000
98.852000
237.468000
225.874000
382.224000
368.704000
0.200200
1.716200
14.180000
1.929333
17.016000
5,155.370000
5.550000
10.120000
6.660000
4.760000

20
20
20
5
5
5
5
20
1000
30
30
30
20
14
14
14

6.74
6.74
6.74
7.65
7.65
5.16
5.16
1.96
44.43
1.94
1.83
2.74
1.90
12.35
12.35
10.85

0.337000
0.337000
0.337000
1.530000
1.530000
1.032000
1.032000
0.098000
0.044430
0.064666
0.061000
0.091333
0.095000
0.882142
0.882142
0.775000

0.337000
0.337000
0.337000
1.530000
1.530000
1.032000
1.032000
0.053316
0.044430
0.053316
0.053316
0.053316
0.053316
0.882142
0.882142
0.775000

9.11
9.11
9.11
10.34
10.34
6.98
6.98
2.65
58.12
2.62
2.47
3.71
2.57
16.69
16.69
14.67

0.455500
0.455500
0.455500
2.068000
2.068000
1.396000
1.396000
0.132500
0.058120
0.087333
0.082333
0.123666
0.128500
1.192142
1.192142
1.047857

0.455500
0.455500
0.455500
2.068000
2.068000
1.396000
1.396000
0.069744
0.058120
0.069744
0.069744
0.069744
0.069744
1.192142
1.192142
1.047857

cant/
amba
laj

Pret cu ridicata
maximal de
decontare / U.T.

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

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

A11HA02
A11HA02
A11HA02
A11HA02
A11HA02
A11HA02
A11HA02
H02AB07
H02AB07
H02AB07
H02AB07
H02AB07
H02AB07

J01FA09
J01FA09
J01FA09

PYRIDOXINUM
PYRIDOXINUM
PYRIDOXINUM
PYRIDOXINUM
PYRIDOXINUM
PYRIDOXINUM
PYRIDOXINUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM

VITAMINA B6 250 mg
SICOVIT B6 250 mg

COMPR.
COMPR.
VITAMINA B6 ZENTIVA 250 mg COMPR.
SICOVIT B6 250 mg/5 ml
SOL. INJ.
VITAMINA B6 ZENTIVA 250 mg/5 ml SOL. INJ.
VITAMINA B6 ZENTIVA 50 mg/2ml SOL. INJ.
SICOVIT B6 50 mg/2ml
SOL. INJ.
PREDNISON MCC 5 mg
COMPR.
PREDNISON ARENA 5 mg
COMPR.
PREDNISON ARENA 5 mg
COMPR.
N - PREDNISON
COMPR.
PREDNISON 5 mg
COMPR.
PREDNISON - RICHTER 5 mg COMPR.
FROMILID 250
COMPR. FILM.
KLERIMED (R) 250
COMPR. FILM.
KLABAX 250 mg
COMPR. FILM.

250 mg
250mg
250mg
250mg/5ml
250mg/5ml
50mg/2ml
50mg/2ml
5mg
5mg
5mg
5mg
5mg
5mg
250mg
250mg
250mg

ARENA GROUP SA
ZENTIVA SA
ZENTIVA SA
ZENTIVA SA
ZENTIVA SA
ZENTIVA SA
ZENTIVA SA

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
MAGISTRA C&C S.R.L. ROMANIA
ARENA GROUP SA ROMANIA
ARENA GROUP SA ROMANIA
MEDUMAN SA
ROMANIA
SINTOFARM SA
ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA

CUTIE X 1 FLACON DIN PE X 20 COMPR. P-6L

CUTIE X 1 FLAC. DIN PE X 20 COMPR.


CUTIE X 1 FLAC. DIN PE X 20 COMPR.

P-6L

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

P-RF

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

P-RF

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

P-6L

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

P-RF

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

P-RF/S

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

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

MEDOCHEMIE LTD. CIPRU


TERAPIA SA
ROMANIA

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

Pagina 10 din 56

Grupa
Nr.
terape
crt
utica
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71

J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01GA01
J01GA01
J01GA01
J01GA01
J01GB04
J01GB06
J01GB06
J01GB06
J01MA01
J01MA01
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02

Denumire generica

CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
STREPTOMYCINUM
STREPTOMYCINUM
STREPTOMYCINUM
STREPTOMYCINUM
KANAMYCINUM
AMIKACINUM
AMIKACINUM
AMIKACINUM
OFLOXACINUM
OFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM

Denumire comerciala

KLACID (R)
LEKOKLAR (R) 250 mg
CLAR 250
CLAR 500
FROMILID 500
ROCLARIN 500 mg
KLERIMED (R) 500
LEKOKLAR (R) 500 mg
KLABAX 500 mg
KLABAX MR 500 mg
LEKOKLAR XL 500 mg
LEKOKLAR XL 500 mg
KLACID SR
FROMILID (R) UNO
KLABAX 125 mg/5 ml
KLABAX 125 mg/5 ml
LEKOKLAR 125 mg/5 ml
KLACID (R)
KLACID (R)
FROMILID (R) 125 mg/5 ml
KLABAX 250 mg/5 ml
KLABAX 250 mg/5 ml
LEKOKLAR 250 mg/5 ml
LEKOKLAR 250 mg/5 ml
KLACID I.V.
STREVITAL 1 g
STREVITAL 1 g

Forma
Concentrati
farmaceutic
e / U.T.
a
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM. ELIB. MODIF.
COMPR. FILM. ELIB. MODIF.
COMPR. FILM. ELIB. MODIF.

COMPR. FILM. ELIB. PREL.


COMPR. FILM. ELIB. PREL.

GRAN. PT. SUSP. ORALA


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

LIOF. PT. SOL. PERF.

PULB. PT. SOL. INJ.


PULB. PT. SOL. INJ.

STREPTOMICINA SULFAT BP

PULB. PT. SOL. INJ.

STREVITAL 1 g
PAN - KANAMYCINE
AMIKOZIT (R) 100 mg/2 ml
BIODACYNA
AMIKOZIT (R) 500 mg/2 ml
OFLOXIN 200
ZANOCIN

PULB. PT. SOL. INJ.

CIPROFLOXACINA ARENA 100 mg


CIPROFLOXACINA ARENA 100 mg
CIPROFLOXACINA ARENA 250 mg

CUMINOL 250 mg
CIPROFLOXACINA ALKALOID 250 mg

CIPROLEN (R) 250 mg


CUMINOL 250 mg
CIPROCIN 250 mg
ALVEBAR 250 mg
CIFRAN
CIPROFLOXACINA ARENA 250 mg

CIPRINOL 250 mg
CUMINOL 500 mg
CIPROFLOXACINA ALKALOID 500 mg

CIPROFLOXACINA ARENA 500 mg

CIPROCIN 500 mg
CIPROLEN (R) 500 mg
ALVEBAR 500 mg
CIPROFLOXACINA ARENA 500 mg

CIPRODAR

PULB. PT. SOL. INJ.

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

250mg
250mg
250mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
125mg/5ml
125mg/5ml
125mg/5ml
125mg/5ml
125mg/5ml
125mg/5ml
250mg/5ml
250mg/5ml
250mg/5ml
250mg/5ml
500mg
1g
1g
1g
1g
1g
100mg/2ml
1g/4ml
500mg/2ml
200mg
200mg
100mg
100mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg

Firma

Tara

Ambalaj

Prescriptie

ABBOTT SPA

ITALIA

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

P-RF

MEDICAROM GROUP S.R.L.

P-RF

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

ANTIBIOTICE S.A.
ROMANIA
MEDOCHEMIE LTD. CIPRU

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


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

P-RF

LEK PHARMACEUTICALS D.D.

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

P-RF

TERAPIA SA
TERAPIA SA

ROMANIA
ROMANIA

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

P-RF

CUTIE X 1 BLIST. PVC/PVDC-AL X 7 COMPR. FILM. ELIB. PREL.

P-RF

LEK PHARMACEUTICALS D.D.

CUTIE X 1 FOLIE AL/AL X 7 COMPR. FILM. ELIB. MODIF. 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
TERAPIA SA
SANDOZ SRL
ABBOTT SPA
ABBOTT SPA
KRKA D.D.
TERAPIA SA
TERAPIA SA
SANDOZ SRL
SANDOZ SRL

SLOVENIA

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. ELIB. PREL.

P-RF

CUTIE X 1 FLAC. DIN PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA

P-RF

CUTIE X 1 FLAC. DIN PEID X 70 G GRAN. PT. 100 ML SUSP . ORALA

P-RF

CUTIE X 1 FLAC. PEID CU 41 G GRANULE PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE PP

P-RF

CUTIE X 1 FLACON PEID CU GRANULE PT. 100 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML

P-RF

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

P-RF

ABBOTT LABORATORIES LTD.

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

ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE S.A.
ANTIBIOTICE SA
LAB. PANPHARMA
ZENTIVA S.A.
CN UNIFARM S.A.
ZENTIVA S.A.
ZENTIVA K.S.

ROMANIA CUTIE X 50 FLAC. DIN STICLA CONTINAND PULB. PT. SOL. INJ.
ROMANIA CUTIE X 100 FLAC. DIN STICLA CONTINAND PULB. PT. SOL. INJ.
ROMANIA CUTIE X 50 FL.PULB.PT. SOL.INJ. A 1 G
ROMANIA CUTIE X 10 FLAC. DIN STICLA CONTINAND PULB. PT. SOL. INJ.

ROMANIA
ROMANIA
ROMANIA

ITALIA
ITALIA

CUTIE X 1 FOLIE AL/AL X 5 COMPR. FILM. ELIB. MODIF. P-RF

SLOVENIA CUTIE X 1 FLAC. PULB. PT. 60 ML SUSP.

P-RF

ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE X 1 FLAC. PEID X 70 G GRAN. PT. 100 ML SUSP . ORALA

P-RF

CUTIE X 1 FLAC. 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. DIN PEID CU 41 G GRANULE PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE PP

FRANTA CUTIE X 50 FLAC. X 1 G


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

P-RF
S/P-RF

S
S
PRF

S
P-RF/S

P-RF
P-RF
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

ARENA GROUP S.A. ROMANIA


ARENA GROUP S.A. ROMANIA
ARENA GROUP S.A. ROMANIA

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

RANBAXY UK LIMITED

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


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

GEDEON RICHTER ROMANIA SA

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

P-RF

ALKALOID D.O.O.
AC HELCOR SRL

SLOVENIA

CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 COMPR. FILM.

P-RF

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.
E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM.
DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.
RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM.
ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

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

P-RF

GEDEON RICHTER ROMANIA SA

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

ALKALOID D.O.O.
SLOVENIA
ARENA GROUP S.A. ROMANIA
E.I.P.I.CO. MED S.R.L. ROMANIA
AC HELCOR SRL
ROMANIA
DR. REDDY'S LABORATORIES ROMANIA
ARENA GROUP S.A. ROMANIA
DAR AL DAWA PHARMA S.R.L. ROMANIA

CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 COMPR. FILM.

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

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

CUTIE X 1 BLIST. X 10 COMPR. FILM.

Pagina 11 din 56

P-RF

cant/
amba
laj

14
14
20
20
14
20
14
14
14
7
7
5
5
7
1
1
1
1
1
1
1
1
1
1
1
50
100
50
10
50
1
1
1
10
10
10
20
20
20
10
10
10
10
10
10
10
10
10
10
10
10
10
10
20
10

Pret cu
ridicata
maximal /
ambalaj

21.14
23.85
17.01
33.91
24.13
33.14
24.13
29.01
23.73
26.92
19.04
13.60
27.85
20.78
14.01
23.38
19.39
29.92
18.11
17.24
39.06
23.44
47.03
34.29
41.12
139.72
277.91
139.72
29.14
81.11
2.63
9.47
5.15
14.81
8.40
28.52
51.89
9.10
9.10
5.82
5.05
5.05
5.05
3.52
5.13
4.85
5.05
9.78
11.19
6.83
9.78
9.78
4.80
12.16
9.78

Pret cu ridicata
maximal / U.T.

1.510000
1.703571
0.850500
1.695500
1.723571
1.657000
1.723571
2.072142
1.695000
3.845714
2.720000
2.720000
5.570000
2.968571
14.010000
23.380000
19.390000
29.920000
18.110000
17.240000
39.060000
23.440000
47.030000
34.290000
41.120000
2.794400
2.779100
2.794400
2.914000
1.622200
2.630000
9.470000
5.150000
1.481000
0.840000
2.852000
2.594500
0.455000
0.455000
0.582000
0.505000
0.505000
0.505000
0.352000
0.513000
0.485000
0.505000
0.978000
1.119000
0.683000
0.978000
0.978000
0.480000
0.608000
0.978000

Pret cu ridicata
maximal de
decontare / U.T.

0.930000
0.930000
0.850500
1.695500
1.723571
1.657000
1.723571
1.988400
1.695000
1.988400
1.988400
1.988400
1.988400
1.988400
14.010000
23.380000
16.812000
28.056000
16.812000
16.812000
39.060000
23.440000
46.872000
28.128000
41.120000
2.794400
2.779100
2.794400
2.914000
1.622200
2.630000
9.470000
5.150000
1.008000
0.840000
2.852000
2.594500
0.422400
0.422400
0.422400
0.422400
0.422400
0.422400
0.352000
0.422400
0.422400
0.422400
0.576000
0.576000
0.576000
0.576000
0.576000
0.480000
0.576000
0.576000

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

28.57
32.23
22.99
44.36
32.62
43.35
32.62
37.95
32.08
35.21
25.73
18.38
36.43
28.09
18.94
31.60
26.21
39.14
24.48
23.30
51.09
31.68
61.52
44.85
53.78
170.57
339.27
170.57
38.11
102.56
3.56
12.80
6.96
20.02
11.36
37.31
65.61
12.30
12.30
7.87
6.83
6.83
6.83
4.76
6.93
6.56
6.83
13.22
15.12
9.23
13.22
13.22
6.49
16.43
13.22

2.040714
2.302142
1.149500
2.218000
2.330000
2.167500
2.330000
2.710714
2.291428
5.030000
3.675714
3.676000
7.286000
4.012857
18.940000
31.600000
26.210000
39.140000
24.480000
23.300000
51.090000
31.680000
61.520000
44.850000
53.780000
3.411400
3.392700
3.411400
3.811000
2.051200
3.560000
12.800000
6.960000
2.002000
1.136000
3.731000
3.280500
0.615000
0.615000
0.787000
0.683000
0.683000
0.683000
0.476000
0.693000
0.656000
0.683000
1.322000
1.512000
0.923000
1.322000
1.322000
0.649000
0.821500
1.322000

1.257428
1.257428
1.149500
2.218000
2.330000
2.167500
2.330000
2.601000
2.291428
2.601000
2.601000
2.601000
2.601000
2.601000
18.940000
31.600000
22.728000
37.920000
22.728000
22.728000
51.090000
31.680000
61.308000
38.016000
53.780000
3.411400
3.392700
3.411400
3.811000
2.051200
3.560000
12.800000
6.960000
1.363200
1.136000
3.731000
3.280500
0.571200
0.571200
0.571200
0.571200
0.571200
0.571200
0.476000
0.571200
0.571200
0.571200
0.778800
0.778800
0.778800
0.778800
0.778800
0.649000
0.778800
0.778800

Grupa
Nr.
terape
crt
utica
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104

J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA14
J01MA14

J04AB01
J04AB01
J04AB01
J04AB02
J04AB02
J04AB02
J04AB02
J04AC01
J04AC01
J04AD01
J04AK01
J04AK01
J04AK02
J04AK02

Denumire generica

CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
MOXIFLOXACINUM
MOXIFLOXACINUM
CICLOSERINUM
CICLOSERINUM
CICLOSERINUM
RIFAMPICINUM
RIFAMPICINUM
RIFAMPICINUM
RIFAMPICINUM
ISONIAZIDUM
ISONIAZIDUM
PROTIONAMIDUM
PYRAZINAMIDUM
PYRAZINAMIDUM
ETHAMBUTOLUM
ETHAMBUTOLUM

J04AM02 COMBINATII (RIFAMPICINUM+IZONIAZIDUM)

Denumire comerciala

Forma
Concentrati
farmaceutic
e / U.T.
a

CIFRAN
CIPRINOL 500 mg
CIPRO QUIN (R)

500mg
500mg
500mg
750mg
750mg
CIPROBAY XR 1000 mg
COMPR. FILM. ELIB. PREL. 1000 mg
CIPROBAY XR 500 mg
COMPR. FILM. ELIB. PREL. 500 mg
CIPROFLOXACINA 100 mg/10 ml CONC. PT. SOL. PERF. 100mg/10ml
CIPRINOL (R)
CONC. PT. SOL. PERF. 100mg/10ml
CIPRINOL (R)
CONC. PT. SOL. PERF. 100mg/10ml
CIPRINOL
SOL. PERF. 100mg/50ml
CIPRINOL
SOL. PERF. 200mg/100ml
UFEXIL 2 mg/ ml
SOL. PERF. 2mg/ml
CIPROFLOXACINA INFOMED 2 mg/ml SOL. PERF. 2mg/ml
CIPROFLOXACINA INFOMED 2 mg/ml SOL. PERF. 2mg/ml
CIPRINOL (R)
SOL. PERF. 400mg/200ml
AVELOX (R) 400 mg
COMPR. FILM. 400mg
AVELOX (R) 400 mg/250 ml SOL. PERF. 400mg/250ml
HELPOCERIN
CAPS.
250mg
CICLOSERINA ANTIBIOTICE 250 mg CAPS.
250mg
CICLOSERINA ANTIBIOTICE 250 mg CAPS.
250mg
SINERDOL 150 mg
CAPS.
150mg
SINERDOL 150 mg
CAPS.
150mg
SINERDOL 300 mg
CAPS.
300mg
SINERDOL 300 mg
CAPS.
300mg
ISONIAZIDA 100 mg
COMPR.
100mg
IZONIAZIDA ANTIBIOTICE 300 mg COMPR.
300mg
PETEHA
COMPR.
250 mg
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
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
CIPROFLOXACINA ARENA 750 mg COMPR. FILM.
CIPRINOL 750 mg
COMPR. FILM.

Firma

RANBAXY UK LIMITED

Tara

Ambalaj

Prescriptie

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

P-RF

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

P-RF

MAREA BRITANIE

ANTIBIOTICE SA
ROMANIA
ARENA GROUP S.A. ROMANIA

CUTIE X 1 BLIST. AL/PVC 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

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

ZENTIVA S.A.
KRKA D.D.
KRKA D.D.

ROMANIA

DEMO SA

GRECIA

CUTIE X 5 FIOLE DIN STICLA INCOLORA PREVAZUTE CU INEL DE RUPERE X 10 ML S/P-RF

SLOVENIA CUTIE X 50 FIOLE X 10 ML


S
SLOVENIA CUTIE X 5 FIOLE X 10 ML
S/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
CUTIE X 10 PUNGI PP X 100 ML SOL. PERF.

INFOMED FLUIDS SRL ROMANIA CUTIE X 10 PUNGI PVC PLASTIFIAT X 100ML S


INFOMED FLUIDS SRL ROMANIA CUTIE X 10 PUNGI PVC PLASTIFIAT X 200ML S
KRKA D.D.
SLOVENIA CUTIE X 1 FLACON DIN STICLA X 200 ML S/P-RF
BAYER HEALTHCARE AG GERMANIA CUTIE X 1 BLIST. ALB OPAC PP/AL X 5 COMPR. FILM.
BAYER HEALTHCARE AG GERMANIA CUTIE X 5 FLACOANE DIN STICLA X 250 ML
HELP PHARMACEUTICALS LTD.

GRECIA CUTIE X 5 BLIST. X 10 CAPS.

ANTIBIOTICE S.A.
ANTIBIOTICE S.A.
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA
S.C. PHARMA S.A.
ANTIBIOTICE S.A.
ANTIBIOTICE S.A.
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA

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

P-RF

S
S/P-RF

CUTIE X 5 FOLII TERMOSUDATE DIN AL/AL X 10 CAPS.

P-RF

CUTIE X 10 FOLII TERMOSUDATE DIN AL/AL X 10 CAPS.

P-RF

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

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

S/P-RF

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

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

S/P-RF

CUTIE X 150 BLIST. X 10 COMPR.

CUTIE X 150 BLIST. PVC/AL X 10 COMPR.

S/P-RF

CUTIE X 100 COMPR.

S/P-RF

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

S/P-RF

S
S
CUTIE X 150 BLIST. AL/PVC X 10 COMPR. FILM. S
CUTIE X 100 BLIST. AL/PVC X 10 CAPS. S
CUTIE X 150 BLIST. AL/PVC X 10 COMPR.

CUTIE X 150 BLIST. AL/PVC X 10 COMPR. FILM.

cant/
amba
laj

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

Pret cu ridicata
maximal de
decontare / U.T.

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

10
10
10
10
10
7
3
5
50
5
1
1
10
10
10
1
5
5
50
50
100
1000
20
1000
10
1500
1500
100
20
1500
1500
1500
1000

6.50
9.78
9.78
28.52
29.43
66.99
20.44
12.42
111.86
12.42
3.54
7.09
133.17
69.19
128.87
14.29
65.97
619.74
190.37
219.50
425.06
163.52
4.16
436.71
4.80
108.12
270.36
84.78
6.75
434.58
252.90
395.15
438.43

0.650000
0.978000
0.978000
2.852000
2.943000
9.570000
6.813333
2.484000
2.237200
2.484000
3.540000
7.090000
13.317000
6.919000
12.887000
14.290000
13.194000
123.948000
3.807400
4.390000
4.250600
0.163520
0.208000
0.436710
0.480000
0.072080
0.180240
0.847800
0.337500
0.289720
0.168600
0.263433
0.438430

0.576000
0.576000
0.576000
2.852000
2.943000
9.570000
0.576000
2.484000
2.237200
2.484000
2.684640
7.090000
8.302800
6.919000
12.887000
14.290000
13.194000
123.948000
3.807400
4.390000
4.250600
0.163520
0.196224
0.436710
0.480000
0.072080
0.180240
0.847800
0.337500
0.289720
0.168600
0.263433
0.438430

8.78
13.22
13.22
37.31
38.50
84.70
27.63
16.79
136.56
16.79
4.79
9.58
162.58
87.49
157.33
19.31
83.41
713.67
232.40
267.96
501.47
199.62
5.62
514.17
6.49
131.99
330.05
107.19
9.12
511.84
308.74
468.86
516.04

0.878000
1.322000
1.322000
3.731000
3.850000
12.100000
9.210000
3.358000
2.731200
3.358000
4.790000
9.580000
16.258000
8.749000
15.733000
19.310000
16.682000
142.734000
4.648000
5.359200
5.014700
0.199620
0.281000
0.514170
0.649000
0.087993
0.220033
1.071900
0.456000
0.341226
0.205826
0.312573
0.516040

0.778800
0.778800
0.778800
3.731000
3.850000
12.100000
0.778800
3.277440
2.731200
3.277440
3.277440
9.580000
10.498800
8.749000
15.733000
18.879600
16.682000
142.734000
4.648000
5.359200
5.014700
0.199620
0.239544
0.514170
0.617004
0.087993
0.220033
1.071900
0.409471
0.341226
0.205826
0.312573
0.516040

5
10
10
10
1

59.59
37.94
67.34
60.15
60.15

11.918000
3.794000
6.734000
6.015000
60.150000

11.918000
3.794000
6.734000
6.015000
60.150000

75.34
49.62
85.15
76.06
76.06

15.068000
4.962000
8.515000
7.606000
76.060000

15.068000
4.962000
8.515000
7.606000
76.060000

50
50
1
25
25
1
25

132.97
19.33
11.76
5.25
6.90
92.66
11.61

2.659400
0.386600
11.760000
0.210000
0.276000
92.660000
0.464400

2.659400
0.386600
11.760000
0.210000
0.276000
92.660000
0.464400

162.33
26.13
15.89
7.09
9.32
117.16
15.69

3.246600
0.522600
15.890000
0.283600
0.372800
117.160000
0.627600

3.246600
0.522600
15.890000
0.283600
0.372800
117.160000
0.627600

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

P-RF

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

P-RF

BAYER SCHERING PHARMA AG

GERMANIA

CUTIE X 1 FLAC. X 50 COMPR.

P-RF

BAXTER ONCOLOGY GMBH

GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ. P-RF

P3: PROGRAMUL NATIONAL DE ONCOLOGIE


1
2
3
4
5
6
7

G03HA01

L01AA01
L01AA01
L01AA02
L01AA03
L01AA06
L01AB01

CYPROTERONUM
CYCLOPHOSPHAMIDUM
CYCLOPHOSPHAMIDUM
CHLORAMBUCILUM
MELPHALANUM
IFOSFAMIDUM
BUSULFANUM

ANDROCUR
ENDOXAN (R) 50 mg
ENDOXAN 200 mg
LEUKERAN
ALKERAN 2 mg
HOLOXAN 1 g
MYLERAN

COMPR.
DRAJ.

50mg
50mg
PULB. PT. SOL. PERF./INJ. I.V. 200mg
COMPR. FILM. 2mg
COMPR. FILM. 2mg
PULB. PT. SOL. PERF. 1g
COMPR. FILM. 2mg

ACTAVIS S.R.L.

ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. PERF./INJ S


CUTIE X 1 FLAC. X 25 COMPR. FILM. P-RF

THE WELLCOME FOUNDATION LTD.

MAREA BRITANIE

THE WELLCOME FOUNDATION LTD.

MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA BRUNA X 25 COMPR. FILM.

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

Pagina 12 din 56

P-RF

Grupa
Nr.
terape
crt
utica
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62

L01AD02

L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX04
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA04
L01BB02
L01BB03
L01BB04
L01BB05
L01BB05
L01BB05
L01BC01
L01BC01
L01BC01
L01BC01

Denumire generica

LOMUSTINUM 4)
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
DACARBAZINUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
PEMETREXEDUM****
MERCAPTOPURINUM
TIOGUANINUM
CLADRIBINUM
FLUDARABINUM****
FLUDARABINUM
FLUDARABINUM
CYTARABINUM
CYTARABINUM
CYTARABINUM
CYTARABINUM

Denumire comerciala

CEENU
TEMOMEDAC 100 mg
TEMOZOLOMIDE SANDOZ 100 mg

TEMOZOLOMIDE SUN 100 mg

TEMODAL 100 mg
TEMODAL 100 mg
TEMOZOLOMIDE HOSPIRA 100mg

TEMOZOLOMIDE TEVA 100 mg


TEMOZOLOMIDE SUN 140 mg
TEMOZOLOMIDE HOSPIRA 140mg

TEMODAL 140mg
TEMOZOLOMIDE HOSPIRA 180mg

TEMODAL 180 mg
TEMOZOLOMIDE SANDOZ 20 mg

TEMOZOLOMIDE SUN 20 mg
TEMOZOLOMIDE HOSPIRA 20 mg

TEMODAL 20 mg
TEMOMEDAC 20 mg
TEMOZOLOMIDE TEVA 20 mg

TEMODAL 20 mg
TEMOZOLOMIDE SANDOZ 250 mg

TEMOMEDAC 250 mg
TEMOZOLOMIDE SUN 250 mg
TEMOZOLOMIDE HOSPIRA 250mg

TEMODAL 250 mg
TEMOZOLOMIDE TEVA 250 mg
TEMOZOLOMIDE HOSPIRA 5mg

TEMODAL 5 mg
TEMODAL 2,5mg/ml
DACARBAZINE 500 mg
METOTREXATE BELLON 2,5 mg
METHOTREXAT "EBEWE" 500 mg
METHOTREXAT "EBEWE" 1000 mg
METHOTREXAT "EBEWE" 5000 mg

METHOTREXAT "EBEWE" 5 mg
METOTREXAT EBEWE 10 mg/ml
METOTREXAT EBEWE 10 mg/ml
METOTREXAT EBEWE 10 mg/ml
METOTREXAT EBEWE 10 mg/ml

METOJECT 50mg/ml
METOJECT 50mg/ml
METOJECT 50mg/ml
METOJECT 50mg/ml
METHOTREXAT "EBEWE" 50 mg

ALIMTA 500mg
PURI - NETHOL
LANVIS
LITAK 2 mg/ml
FLUDARA ORAL 10 mg
FLUDARA
FLUDARABINA ACTAVIS 25 mg/ml

ALEXAN 20mg/ml
ALEXAN 20mg/ml
ALEXAN 50mg/ml
ALEXAN 50mg/ml

Forma
Concentrati
farmaceutic
e / U.T.
a
CAPS. MOI
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.

40mg
100 mg
100 mg
100mg
100mg
100mg
100mg
100mg
140mg
140mg
140mg
180mg
180mg
20 mg
20mg
20mg
20mg
20mg
20mg
20mg
250 mg
250 mg
250mg
250mg
250mg
250mg
5mg
5mg
PULB. PT. SOL. PERF. 2,5mg/ml
PULB. PT. SOL. INJ. 500mg
COMPR.
2,5mg
CONC. PT. SOL. INJ./PERF. 100mg/ml
CONC. PT. SOL. INJ./PERF. 100mg/ml
CONC. PT. SOL. INJ./PERF. 100mg/ml
SOL. INJ.
5mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
50mg/ml
50mg/ml
50mg/ml
50mg/ml
SOL. INJ./PERF. 10mg/ml
500mg
COMPR.
50mg
COMPR.
40mg
SOL. INJ.
2mg/ml
COMPR. FILM. 10mg
LIOF. PT. SOL. INJ./PERF. 50mg
PULB. PT. SOL. INJ./PERF. 25mg/ml
SOL. INJ.
20mg/ml
SOL. INJ.
20mg/ml
SOL. INJ.
50mg/ml
SOL. INJ.
50mg/ml

Firma

Tara

Ambalaj

Prescriptie

CN UNIFARM

ROMANIA CUTIE X 1 BLIST. 20 CAPS. MOI

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANIA

P-RF

SANDOZ PHARMACEUTICALS GMBH

GERMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS.

FARA
SP EUROPE
SP EUROPE

FARA TARA CUTIE CU FLACON DIN STICLA BRUNA X 5 CAPSULE

HOSPIRA UK LIMITED

FLACON DIN STICL BRUN, CU CAPAC ALB CU FILET DIN POLIPROPILEN, SECURIZAT PENTRU COPII, CU SIGI

P-RF/R

PRF

BELGIA
BELGIA

CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS.

P-RF/R

CUTIE X 5 CAPS. AMBALATE INDIVIDUAL IN PLICURI

P-RF/R

MAREA BRITANIE

CUTIE CU 1 FL DIN STICLA BRUNA X 5 CAPS.

PR

CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS.

P-RF/R

PRF

TEVA PHARMA B.V. OLANDA


SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V.

ROMANIA

CUTIE CU FLACON DIN STICLA BRUNA X 5 CAPSULE

HOSPIRA UK LIMITED

MAREA BRITANIE

CUTIE CU 1 FL DIN STICLA BRUNA X 5 CAPS.

PR

SP EUROPE

BELGIA

CUTIE X 5 CAPS. AMBALATE INDIVIDUAL IN PLICURI

P-RF/R

HOSPIRA UK LIMITED

MAREA BRITANIE

CUTIE CU 1 FL DIN STICLA BRUNA X 5 CAPS.

PR

SP EUROPE

BELGIA

CUTIE X 5 CAPS. AMBALATE INDIVIDUAL IN PLICURI

P-RF/R

SANDOZ PHARMACEUTICALS GMBH

GERMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS.

P-RF/R

SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V.

OLANDA

CUTIE CU FLACON DIN STICLA BRUNA X 5 CAPSULE

PRF

HOSPIRA UK LIMITED

MAREA BRITANIE

CUTIE CU 1 FL DIN STICLA BRUNA X 5 CAPS.

PR

SP EUROPE

BELGIA

CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS.

P-RF/R

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANIA

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

TEVA PHARMA B.V. OLANDA


SP EUROPE
BELGIA
SANDOZ PHARMACEUTICALS GMBH

GERMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS.

P-RF/R

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANIA

FLACON DIN STICL BRUN, CU CAPAC ALB CU FILET DIN POLIPROPILEN, SECURIZAT PENTRU COPII, CU SIGI

P-RF

SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V.

OLANDA

CUTIE CU FLACON DIN STICLA BRUNA X 5 CAPSULE

PRF

HOSPIRA UK LIMITED

MAREA BRITANIE

CUTIE CU 1 FL DIN STICLA BRUNA X 5 CAPS.

PR

SP EUROPE
BELGIA
TEVA PHARMA B.V. OLANDA

CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS.

P-RF/R

CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS.

P-RF/R

HOSPIRA UK LIMITED

MAREA BRITANIE

CUTIE CU 1 FL DIN STICLA BRUNA X 5 CAPS.

PR

BELGIA
BELGIA

CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS.

P-RF/R

SP EUROPE
SP EUROPE
CN UNIFARM S.A.
FARMEXINM S.R.L.

CUTIE X 1 FLAC. PULB. PT. SOL. PERF.


ROMANIA CUTIE CU 1 FLAC.X 500MG PULB. PT. SOL. INJ.
ROMANIA CUTIE X 20 COMPR.

P-RF/R

P-RF
P-RF/R

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

AUSTRIA CUTIE X 5 FIOLE X 5 ML


AUSTRIA CUTIE X 1 TUB DIN MATERIAL PLASTIC X 1 FIOLA X 10 ML
AUSTRIA CUTIE X 1 FLACON X 50 ML
AUSTRIA CUTIE X 10 FIOLE X 1 ML
AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA CU AC X 0,75 ML SOL INJ.
AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA CU AC X 1 ML SOL INJ.
AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA CU AC X 1,5 ML SOL INJ.
AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA CU AC X 2 ML SOL INJ.

SOL. INJ. IN SERINGA PREUMPLUTA

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,15ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL

P-RF

SOL. INJ. IN SERINGA PREUMPLUTA

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,20ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL

P-RF

SOL. INJ. IN SERINGA PREUMPLUTA

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

SOL. INJ. IN SERINGA PREUMPLUTA

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

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

EBEWE PHARMA GMBH NFG. KG


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

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

ELI LILLY NEDERLAND BV

AUSTRIA CUTIE X 1 FLACON X 5 ML


S
OLANDA CUTIE X 1 FLAC. PULB. PT. CONC. PT. SOL. PERF. S

THE WELLCOME FOUNDATION LTD.

MAREA BRITANIE

THE WELLCOME FOUNDATION LTD.

MAREA BRITANIE

LIPOMED GMBH

GERMANIA

CUTIE X 1 FLAC. X 25 COMPR.


CUTIE X 1 FLACON X 5 ML

BAYER SCHERING PHARMA AG

GERMANIA

CUTIE X 1 FLAC. DIN PE X 4 BLIST. AL/AL X 5 COMPR. FILM.

EBEWE PHARMA GMBH NFG. KG

GENZYME EUROPE B.V.

OLANDA

ACTAVIS S.R.L.

ROMANIA

EBEWE PHARMA GMBH NFG. KG

AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA

EBEWE PHARMA GMBH NFG. KG


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

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


P-RF

S
P-RF/S

S
S
CUTIE X 10 FLACOANE DIN STICLA X 5 ML SOL. INJ. S
CUTIE X 1 FLACON DIN STICLA X 2 ML SOL. INJ. S
CUTIE X 1 FLACON X 20 ML. SOL. INJ. S
CUTIE X 1 FLACON X 10 ML. SOL. INJ. S
CUTIE X 5 FLAC. CU LIOF. PT. SOL. INJ./PERF.

CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 5ML) CU PULB. PT. SOL. INJ/PERF CONTINAND 50MG FLUDA

Pagina 13 din 56

cant/
amba
laj

20
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
1
1
20
5
1
1
10
1
1
1
1
1
1
1
1
1
1
25
25
1
20
5
1
10
1
1
1

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

397.53
1,053.87
1,053.87
1,014.50
1,605.17
1,544.59
981.14
1,053.87
1,648.19
1,439.82
2,519.53
1,898.52
3,211.93
229.67
200.35
168.04
351.21
229.67
229.67
338.84
2,539.46
2,539.46
2,539.46
2,539.46
3,890.71
2,539.46
43.56
91.66
1,219.56
68.24
16.90
197.47
70.91
332.72
17.62
45.60
62.22
87.07
100.34
59.16
62.22
86.63
101.74
9.86
5,045.07
35.56
76.25
1,435.80
1,680.19
1,252.62
340.13
97.56
4.62
76.34
45.22

19.876500
210.774000
210.774000
202.900000
321.034000
308.918000
196.228000
210.774000
329.638000
287.964000
503.906000
379.704000
642.386000
45.934000
40.070000
33.608000
70.242000
45.934000
45.934000
67.768000
507.892000
507.892000
507.892000
507.892000
778.142000
507.892000
8.712000
18.332000
1,219.560000
68.240000
0.845000
39.494000
70.910000
332.720000
1.762000
45.600000
62.220000
87.070000
100.340000
59.160000
62.220000
86.630000
101.740000
9.860000
5,045.070000
1.422400
3.050000
1,435.800000
84.009500
250.524000
340.130000
9.756000
4.620000
76.340000
45.220000

Pret cu ridicata
maximal de
decontare / U.T.

19.876500
210.774000
210.774000
202.900000
235.473600
235.473600
196.228000
210.774000
329.638000
287.964000
345.556800
379.704000
455.644800
40.329600
40.070000
33.608000
40.329600
40.329600
40.329600
40.329600
507.892000
507.892000
507.892000
507.892000
609.470400
507.892000
8.712000
10.454400
1,219.560000
68.240000
0.845000
39.494000
70.910000
332.720000
1.762000
45.600000
62.220000
87.070000
100.340000
54.720000
62.220000
86.630000
101.740000
9.860000
5,045.070000
1.422400
3.050000
1,435.800000
84.009500
250.524000
300.628800
9.756000
4.620000
76.340000
45.220000

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

471.46
1,186.87
1,186.87
1,143.96
1,787.79
1,721.76
1,107.59
1,186.87
1,834.68
1,607.56
2,784.44
2,107.54
3,539.16
280.38
244.59
205.14
420.97
280.38
280.38
407.49
2,806.17
2,806.17
2,806.17
2,806.17
4,279.03
2,806.17
56.98
115.90
1,367.47
86.28
22.84
241.07
89.66
400.81
23.82
59.64
78.67
110.09
122.50
74.80
78.67
109.54
124.21
13.33
5,537.28
46.51
96.41
1,603.17
1,869.56
1,403.51
408.89
123.36
6.24
96.52
59.15

23.573000
237.374000
237.374000
228.792000
357.558000
344.352000
221.518000
237.374000
366.936000
321.512000
556.888000
421.508000
707.832000
56.076000
48.918000
41.028000
84.194000
56.076000
56.076000
81.498000
561.234000
561.234000
561.234000
561.234000
855.806000
561.234000
11.396000
23.180000
1,367.470000
86.280000
1.142000
48.214000
89.660000
400.810000
2.382000
59.640000
78.670000
110.090000
122.500000
74.800000
78.670000
109.540000
124.210000
13.330000
5,537.280000
1.860400
3.856400
1,603.170000
93.478000
280.702000
408.890000
12.336000
6.240000
96.520000
59.150000

23.573000
237.374000
237.374000
228.792000
265.821600
265.821600
221.518000
237.374000
366.936000
321.512000
385.814400
421.508000
505.809600
49.233600
48.918000
41.028000
49.233600
49.233600
49.233600
49.233600
561.234000
561.234000
561.234000
561.234000
673.480800
561.234000
11.396000
13.675200
1,367.470000
86.280000
1.142000
48.214000
89.660000
400.810000
2.382000
59.640000
78.670000
110.090000
122.500000
71.568000
78.670000
109.540000
124.210000
13.330000
5,537.280000
1.860400
3.856400
1,603.170000
93.478000
280.702000
336.842400
12.336000
6.240000
96.520000
59.150000

Grupa
Nr.
terape
crt
utica
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117

L01BC01
L01BC02
L01BC02
L01BC02
L01BC02
L01BC02
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC06
L01BC06
L01BC53
L01BC53
L01CA02
L01CA04
L01CA04
L01CA04
L01CA04
L01CA04
L01CA04
L01CA04
L01CA04
L01CA04

Denumire generica

CYTARABINUM
FLUOROURACILUM
FLUOROURACILUM
FLUOROURACILUM
FLUOROURACILUM
FLUOROURACILUM
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
CAPECITABINUM
CAPECITABINUM
COMBINATII (TAGAFUR+URACIL)
COMBINATII (TAGAFUR+URACIL)
VINCRISTINUM
VINORELBINUM
VINORELBINUM
VINORELBINUM
VINORELBINUM
VINORELBINUM
VINORELBINUM
VINORELBINUM
VINORELBINUM
VINORELBINUM

Denumire comerciala

DEPOCYTE 50mg
5 - FLUOROURACIL EBEWE 50mg/ml
5 - FLUOROURACIL EBEWE 50mg/ml
5 - FLUOROURACIL EBEWE 50mg/ml
5 - FLUOROURACIL EBEWE 50mg/ml

EFUDIX
GEMCITABINA EBEWE PHARMA 10 mg/ml
GEMCITABINA EBEWE PHARMA 10 mg/ml

GEMSOL 40 mg/ml
GEMSOL 40 mg/ml
GEMSOL 40 mg/ml
GITRABIN 40 mg/ml
GITRABIN 40 mg/ml
GITRABIN 40 mg/ml
GEMZAR 1000 mg
NALLIAN1000 mg
DERCIN 1000 mg
GEMCITABINA TEVA 1000 mg

GEMCITIN 1 g
GEMCITABINE POLPHARMA 1 g

DAPLAX 1 g
GEMCITABINA TEVA 2000 mg

GEMCITIN 200 mg
GEMCITABINA TEVA 200 mg
DAPLAX 200 mg
GEMCITABINE POLPHARMA 200 mg

DERCIN 200 mg
GEMZAR (R) 200 mg
NALLIAN 200 mg
GEMCITABINE MYLAN 38 mg/ml
GEMCITABINE MYLAN 38 mg/ml

GITRABIN 38 mg/ml
GITRABIN 38 mg/ml
GITRABIN 38 mg/ml
GEMCIRENA 38 mg/ml
GEMCITABINE MEDAC 38 mg/ml
GEMCITABINE MEDAC 38 mg/ml
GEMCITABINE MEDAC 38 mg/ml

GEMCIRENA 38 mg/ml
GEMCIRENA 38 mg/ml
GEMCIRENA 38 mg/ml
XELODA 150 mg
XELODA 500 mg
UFT
UFT
SINDOVIN 1 mg
NAVELBINE 20 mg
NAVELBINE 30 mg
VINORELBIN EBEWE 10 mg/ ml
VINORELBIN EBEWE 10 mg/ ml

TELBINE 10 mg/ml
VINORELBIN ACTAVIS 10 mg/ml
VINORELBIN ACTAVIS 10 mg/ml
VINORELBINE POLPHARMA 10mg/ml
VINORELBINE POLPHARMA 10mg/ml

Forma
Concentrati
farmaceutic
e / U.T.
a
SUSP. INJ.

50mg
50mg/ml
CONC. PT. SOL. INJ./PERF. 50mg/ml
CONC. PT. SOL. INJ./PERF. 50mg/ml
CONC. PT. SOL. INJ./PERF. 50mg/ml
UNGUENT
50 mg/g
CONC. PT. SOL. PERF. 10mg/ml
CONC. PT. SOL. PERF. 10mg/ml
CONC. PT. SOL. PERF. 40 mg/ml
CONC. PT. SOL. PERF. 40 mg/ml
CONC. PT. SOL. PERF. 40 mg/ml
CONC. PT. SOL. PERF. 40mg/ml
CONC. PT. SOL. PERF. 40mg/ml
CONC. PT. SOL. PERF. 40mg/ml
PULB. PT. SOL. PERF. 1000 mg
PULB. PT. SOL. PERF. 1000 mg
PULB. PT. SOL. PERF. 1000 mg
PULB. PT. SOL. PERF. 1000mg
PULB. PT. SOL. PERF. 1g
PULB. PT. SOL. PERF. 1g
PULB. PT. SOL. PERF. 1g
PULB. PT. SOL. PERF. 2000mg
PULB. PT. SOL. PERF. 200mg
PULB. PT. SOL. PERF. 200mg
PULB. PT. SOL. PERF. 200mg
PULB. PT. SOL. PERF. 200mg
PULB. PT. SOL. PERF. 200mg
PULB. PT. SOL. PERF. 200mg
PULB. PT. SOL. PERF. 200mg
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
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. INJ./PERF.

Firma

PACIRA LIMITED

Tara

MAREA BRITANIE

Ambalaj

CUTIE X 1 FLAC. X 50MG SUSP.INJ. (MONODOZA 5ML)

AUSTRIA CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML CONCENTRAT PT. SOL. INJ./PERF.
EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON DIN STICLA BRUNA X 10 ML CONCENTRAT PT. SOL. INJ./PERF.
EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON DIN STICLA BRUNA X 5 ML CONCENTRAT PT. SOL. INJ./PERF.
EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON DIN STICLA BRUNA X 20 ML CONCENTRAT PT. SOL. INJ./PERF.
ICN HUNGARY CO. LTD. UNGARIA CUTIE X 1 TUB X 20 G UNGUENT
EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA
EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA
EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA
EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA
EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 5 ML X 200 MG GEMCITABINA
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 25 ML X 1 G GEMCITABINA
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML X 2 G GEMCITABINA
LILLY FRANCE SAS FRANTA CUTIE X 1FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF.
EBEWE PHARMA GMBH NFG. KG

Prescriptie

S
S
S
S
S
S/P-RF

S
S
PR
PR
PR
PR
PR
PR
S
S
S
CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 1000 MG PULB. PT. SOL. PERF. S
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF.
S
S
S
CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 2000 MG PULB. PT. SOL. PERF. S
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF.
S
CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 200 MG PULB. PT. SOL. PERF.
S
S
S
S
CUTIE X 1 FLAC. PULB. PT. SOL. PERF. S
S
S
S
S
S
S
S
S
S
S
S
S
S

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 20 ML CONC. PT. SOL. PERF. X 200 MG GEMCITABINA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 100 ML CONC. PT. SOL. PERF. X 1000 MG GEMCITABINA

CUTIE CU 1 FLACON STICLA INCOLORA SIST. ,,ONCO-SAFE" A 50 ML CONC .SOL. PERF. X 2000 MG

CUTIE CU 1 FLACON STICLA INCOLORA FARA SIST. ,,ONCO-SAFE" A 5 ML CONC .SOL. PERF. X 200 MG

CUTIE CU 1 FLACOANE STICLA INCOLORA SIST. ,,ONCO-SAFE" A 25 ML CONC .SOL. PERF. X 1000 MG

GEDEON RICHTER ROMANIA SA


EGIS PHARMACEUTICALS P.L.C.
TEVA PHARMACEUTICALS S.R.L.

ICN POLFA RZESZOW S.A.


PHARMACEUTICAL WORKS POLPHARMA SA

DR. REDDY'S LABORATORIES


TEVA PHARMACEUTICALS S.R.L.

ROMANIA
UNGARIA
ROMANIA

POLONIA
POLONIA
ROMANIA
ROMANIA

ICN POLFA RZESZOW S.A.

POLONIA

TEVA PHARMACEUTICALS S.R.L.

ROMANIA
ROMANIA

DR. REDDY'S LABORATORIES

POLONIA
EGIS PHARMACEUTICALS P.L.C. UNGARIA
LILLY FRANCE SAS FRANTA

PHARMACEUTICAL WORKS POLPHARMA SA

CUTIE X 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. PERF. CONTINAND 1000 MG GEMCITABINA

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 50 ML CONTINAND PULB. PT. SOL. PERF.

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50ML CONTINAND 1 G GEMCITABINA PULB.PT. SOL. PERF.

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. CONTINAND 1000MG GEMCITABINA

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. CONTINAND 200MG GEMCITABINA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10ML CONTINAND 200MG GEMCITABINA PULB.PT. SOL. PERF.

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 10 ML CU PULB. PT. SOL. PERF.

GEDEON RICHTER ROMANIA SA

ROMANIA

MYLAN S.A.S.
MYLAN S.A.S.

ACTAVIS GROUP PTC EHF.

FRANTA
FRANTA
ISLANDA
ISLANDA
ISLANDA

FRESENIUS KABI ROMANIA SRL

ROMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML CU PULB. PT. SOL. PERF. CARE CONTINE 2000MG GEMCITABINA

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10 ML CU PULB. PT. SOL. PERF. CONTINAND 200 MG GEMCITABINA

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF. CONTINAND 1000 MG GEMCITABINA

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML CU PULB. PT. SOL. PERF. CONTINAND 1500 MG GEMCITABINA

ACTAVIS GROUP PTC EHF.


ACTAVIS GROUP PTC EHF.

CUTIE X 1 FLAC. DIN STICLA INCOLORA A 10 ML CU PULB. PT. SOL. PERF. CONTINAND 200MG GEMCITABINA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10 ML PULB. PT SOL. PERF. CARE CONTINE 200 MG GEMCITABINA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML PULB. PT SOL. PERF. CARE CONTINE 1000 MG GEMCITABINA

CUTIE X 1 FLAC. STICLA INCOLORA CU PULB. PT SOL. PERF. CARE CONTINE 200MG GEMCITABINA

CUTIE X 1 FLAC. STICLA INCOLORA CU PULB. PT SOL. PERF. CARE CONTINE 1000MG GEMCITABINA

CUTIE X 1 FLAC. STICLA INCOLORA CU PULB. PT SOL. PERF. CARE CONTINE 2000MG 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

FRESENIUS KABI ROMANIA SRL


FRESENIUS KABI ROMANIA SRL

PIERRE FABRE MEDICAMENT PRODUCTION


PIERRE FABRE MEDICAMENT PRODUCTION

EBEWE PHARMA GES.M.B.H. NFG KG


EBEWE PHARMA GES.M.B.H. NFG KG

TEVA PHARMACEUTICAL S.R.L.

ACTAVIS S.R.L.
ACTAVIS S.R.L.
PHARMACEUTICALS WORKS POLPHARMA SA
PHARMACEUTICALS WORKS POLPHARMA SA

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

GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 12 CAPS. P-RF

ROMANIA

FRANTA
FRANTA
AUSTRIA
AUSTRIA

CUTIE X 1 FLAC. DIN STICLA CU LIOF. PT. SOL. INJ./PERF. I.V.

CUTIE X 1 BLIST. PVC-PVDC/AL-PETP X 1 CAPS. MOALE

P-RF

CUTIE X 1 BLIST. PVC-PVDC/AL-PETP X 1 CAPS. MOALE

P-RF

CUTIE X 1 FLAC. X 5 ML CONC. PT. SOL. INJ/PERF.

S
S
S
S
S
S
S

CUTIE X 1 FLAC. X 1 ML CONC. PT. SOL. INJ/PERF.

ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF.
ROMANIA CUTIE X 1 FLAC. X 5 ML CONC. PT. SOL. PERF.
ROMANIA CUTIE X 1 FLAC. X 1 ML CONC. PT. SOL. PERF.

POLONIA
POLONIA

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


CUTIE X 10 FLAC. DIN STICLA INCOLORA X 1 ML CONC. PT. SOL. PERF.

Pagina 14 din 56

cant/
amba
laj

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
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1
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1
1
1
1
60
120
120
36
1
1
1
1
1
1
1
1
1
10

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

6,970.59
90.11
7.09
3.50
14.14
92.03
41.54
185.77
367.76
41.54
185.77
41.54
185.77
518.45
285.80
185.77
185.76
185.77
276.61
185.77
185.76
367.77
56.22
41.54
41.54
41.54
41.54
62.79
41.54
62.79
285.80
41.54
185.77
367.76
368.80
94.72
431.18
631.97
279.50
41.54
181.36
240.10
1,478.14
1,970.65
612.17
20.66
195.08
292.59
352.01
72.14
352.01
448.89
72.15
72.15
475.80

6,970.590000
90.110000
7.090000
3.500000
14.140000
92.030000
41.540000
185.770000
367.760000
41.540000
185.770000
41.540000
185.770000
518.450000
285.800000
185.770000
185.760000
185.770000
276.610000
185.770000
185.760000
367.770000
56.220000
41.540000
41.540000
41.540000
41.540000
62.790000
41.540000
62.790000
285.800000
41.540000
185.770000
367.760000
368.800000
94.720000
431.180000
631.970000
279.500000
41.540000
181.360000
4.001666
12.317833
16.422083
17.004722
20.660000
195.080000
292.590000
352.010000
72.140000
352.010000
448.890000
72.150000
72.150000
47.580000

Pret cu ridicata
maximal de
decontare / U.T.

6,970.590000
90.110000
7.090000
3.500000
14.140000
92.030000
41.540000
185.770000
367.760000
41.540000
185.770000
41.540000
185.770000
441.312000
217.632000
185.770000
185.760000
185.770000
217.632000
185.770000
185.760000
367.770000
49.848000
41.540000
41.540000
41.540000
41.540000
49.848000
41.540000
49.848000
217.632000
41.540000
185.770000
367.760000
368.800000
49.848000
217.632000
335.400000
279.500000
41.540000
181.360000
4.001666
12.317833
16.422083
17.004722
20.660000
195.080000
292.590000
230.950800
57.096000
230.950800
230.950800
57.096000
57.096000
47.580000

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

7,636.10
113.94
9.58
4.73
19.11
116.36
54.34
226.79
439.01
54.34
226.79
54.34
226.79
603.26
348.91
226.79
226.77
226.79
337.68
226.79
226.77
439.02
71.09
54.34
54.34
54.34
54.34
79.39
54.34
79.39
348.91
54.34
226.79
439.01
440.14
119.76
508.14
727.00
341.21
54.34
221.40
293.12
1,649.33
2,186.16
705.42
27.92
238.15
357.19
421.84
91.21
421.84
527.44
91.23
91.23
556.77

7,636.100000
113.940000
9.580000
4.730000
19.110000
116.360000
54.340000
226.790000
439.010000
54.340000
226.790000
54.340000
226.790000
603.260000
348.910000
226.790000
226.770000
226.790000
337.680000
226.790000
226.770000
439.020000
71.090000
54.340000
54.340000
54.340000
54.340000
79.390000
54.340000
79.390000
348.910000
54.340000
226.790000
439.010000
440.140000
119.760000
508.140000
727.000000
341.210000
54.340000
221.400000
4.885333
13.744416
18.218000
19.595000
27.920000
238.150000
357.190000
421.840000
91.210000
421.840000
527.440000
91.230000
91.230000
55.677000

7,636.100000
113.940000
9.580000
4.730000
19.110000
116.360000
54.340000
226.790000
439.010000
54.340000
226.790000
54.340000
226.790000
526.812000
265.680000
226.790000
226.770000
226.790000
265.680000
226.790000
226.770000
439.020000
65.208000
54.340000
54.340000
54.340000
54.340000
65.208000
54.340000
65.208000
265.680000
54.340000
226.790000
439.010000
440.140000
65.208000
265.680000
409.452000
341.210000
54.340000
221.400000
4.885333
13.744416
18.218000
19.595000
27.920000
238.150000
357.190000
256.315200
66.812400
256.315200
256.315200
66.812400
66.812400
55.677000

Grupa
Nr.
terape
crt
utica
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172

L01CA04
L01CA04
L01CA04
L01CA04
L01CB01
L01CB01
L01CB01
L01CB01
L01CB01
L01CB01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02

Denumire generica

VINORELBINUM
VINORELBINUM
VINORELBINUM
VINORELBINUM
ETOPOSIDUM
ETOPOSIDUM
ETOPOSIDUM
ETOPOSIDUM
ETOPOSIDUM
ETOPOSIDUM
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**

Denumire comerciala

Forma
Concentrati
farmaceutic
e / U.T.
a

TELBINE 10 mg/ml

CONC. PT. SOL. PERF.

VINORELBINE POLPHARMA 50mg/5ml

CONC. PT. SOL. PERF.

VINORELBINE POLPHARMA 50mg/5ml

CONC. PT. SOL. PERF.

NAVELBINE (R)
VEPESID
VEPESID
SINTOPOZID 100 mg/5 ml

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

ETOPOSID "EBEWE" 100 mg/5 ml

CONC. PT. SOL. PERF.

ETOPOSIDE - TEVA
ETOPOSIDE - TEVA
PACLITAXEL KABI 6mg/ml
PACLITAXEL KABI 6mg/ml

CONC. PT. SOL. PERF.


CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.

PACLITAXEL ARCHIE SAMUEL 6 mg/ml

CONC. PT. SOL. PERF.

PACLITAXEL ACCORD 6 mg/ml


PACLITAXEL ACCORD 6 mg/ml
PACLITAXEL ACCORD 6 mg/ml

CONC. PT. SOL. PERF.

PACLITAXEL ARCHIE SAMUEL 6 mg/ml

CONC. PT. SOL. PERF.

PACLITAXEL ARCHIE SAMUEL 6 mg/ml

CONC. PT. SOL. PERF.

SINDAXEL

CONC. PT. SOL. PERF.

PACLITAXEL ARCHIE SAMUEL 6 mg/ml

CONC. PT. SOL. PERF.

CONC. PT. SOL. PERF.


CONC. PT. SOL. PERF.

PACLITAXEL KABI 6mg/ml


PACLITAXEL EBEWE 6mg/ml
SINDAXEL
SINDAXEL
PACLITAXEL KABI 6mg/ml
PACLITAXEL KABI 6mg/ml
PACLITAXEL KABI 6mg/ml
PACLITAXEL KABI 6mg/ml
PACLITAXEL KABI 6mg/ml
PACLITAXEL EBEWE 6mg/ml
PACLITAXEL EBEWE 6mg/ml
PACLITAXEL EBEWE 6mg/ml
PACLITAXEL 6 mg/ml
PACLITAXEL 6 mg/ml
PACLITAXEL 6 mg/ml
SINDAXEL
SINDAXEL
TAXOTERE 20 mg

CONC. + SOLV. PT. SOL. PERF.

DOCETAXEL ACTAVIS 20 mg/0,5 ml

CONC. + SOLV. PT. SOL. PERF.

DOCETAXEL TEVA 20mg/0,5ml

CONC. + SOLV. PT. SOL. PERF.

TAXOTERE 80 mg

CONC. + SOLV. PT. SOL. PERF.

DOCETAXEL ACTAVIS 80 mg/2 ml

CONC. + SOLV. PT. SOL. PERF.

DOCETAXEL TEVA 80mg/2ml

CONC. + SOLV. PT. SOL. PERF.

DOCETAXEL EBEWE 10 mg/ml


DOCETAXEL EBEWE 10 mg/ml
DOCETAXEL HOSPIRA 10 mg/ml
DOCETAXEL HOSPIRA 10 mg/ml
DOCETAXEL HOSPIRA 10 mg/ml
DOCETAXEL EBEWE 10 mg/ml

TAXOTERE 160 mg/8ml


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

10mg/ml
50mg/5ml
50mg/5ml
10mg/ml
100mg
50mg
100mg/5ml
100mg/5ml
20mg/ml
20mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
20mg
20mg/0,5ml
20mg/0,5ml
80mg
80mg/2ml
80mg/2ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
160 mg/8 ml
20mg/1ml
20mg/1ml
20mg/ml
20mg/ml
20mg/ml

Firma

Tara

TEVA PHARMACEUTICAL S.R.L.

ROMANIA

Ambalaj

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

POLONIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF.
PHARMACEUTICALS WORKS POLPHARMA SA
POLONIA CUTIE X 10 FLAC. DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF.
LAB. PIERRE FABRE FRANTA CUTIE X 10 FIOLE X 1 ML
BRISTOL MYERS SQUIBB KFT UNGARIA CUTIE X 1 BLIST. PVC/A0-PVC-PVDC X 10 CAPS.
BRISTOL MYERS SQUIBB KFT UNGARIA CUTIE X 2 BLIST. PVC/AL-PVC-PVDC X 10 CAPS.
ACTAVIS S.R.L.
ROMANIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF.
EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 5 ML
PHARMACEUTICALS WORKS POLPHARMA SA

P-RF/R

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 8 ML CONC. PT. SOL. PERF.

P-RF/R

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 16 ML CONC. PT. SOL. PERF.

S/P-RF

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 2 ML CONC. PT. SOL. PERF.

S/P-RF

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 8 ML CONC. PT. SOL. PERF.

S/P-RF

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU FOLIE PROTECTOARE DIN PLASTIC ONCO-SAFE X 16 ML CONC. PT. SO

P-RF/R

REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 300 MG CONC. PT. SOL. PERF.

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA A 5 ML CARE CONTINE 30 MG PACLITAXEL

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA A 16,7 ML CARE CONTINE 100 MG PACLITAXEL

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA A 50 ML CARE CONTINE 300 MG PACLITAXEL

ARCHIE SAMUEL S.R.O.


ARCHIE SAMUEL S.R.O.

REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 100 MG CONC. PT. SOL. PERF.
REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 150 MG CONC. PT. SOL. PERF.

ACTAVIS S.R.L.

ROMANIA

ARCHIE SAMUEL S.R.O.

REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 30 MG CONC. PT. SOL. PERF.

FRESENIUS KABI ROMANIA SRL

ROMANIA

CUTIE X 5 FLAC. DIN STICLA INCOLORA X 16,7 ML CONC. PT. SOL. PERF.

EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRIA

CUTIE X 1 FLACON DIN STICLA INCOLORA X 25 ML CONC. PT. SOL. PERF.

ACTAVIS S.R.L.
ACTAVIS S.R.L.
FRESENIUS KABI ROMANIA SRL
FRESENIUS KABI ROMANIA SRL
FRESENIUS KABI ROMANIA SRL
FRESENIUS KABI ROMANIA SRL
FRESENIUS KABI ROMANIA SRL
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
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

AUSTRIA
AUSTRIA
AUSTRIA

PHARMEXPRESS S.R.L. ROMANIA


PHARMEXPRESS S.R.L. ROMANIA
PHARMEXPRESS S.R.L. ROMANIA

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

ROMANIA
ROMANIA

AVENTIS PHARMA SA FRANTA

ISLANDA
TEVA PHARMA B.V. OLANDA
AVENTIS PHARMA SA FRANTA
ACTAVIS GROUP PTC EHF. ISLANDA
TEVA PHARMA B.V. OLANDA
EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA
EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA
HOSPIRA UK LTD
MAREA BRITANIE
HOSPIRA UK LTD
MAREA BRITANIE
HOSPIRA UK LTD
MAREA BRITANIE
EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA
AVENTIS PHARMA SA FRANTA
ACTAVIS GROUP PTC EHF.

FRESENIUS KABI ROMANIA SRL

ROMANIA

AVENTIS PHARMA SA FRANTA


ACTAVIS GROUP PTC EHF.
ACTAVIS GROUP PTC EHF.
ACTAVIS GROUP PTC EHF.

ISLANDA
ISLANDA
ISLANDA

P-RF

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 2 ML CONC. PT. SOL. PERF.

ARCHIE SAMUEL S.R.O.

FRESENIUS KABI ROMANIA SRL

P-RF

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 2 ML CONCENTRAT PT. SOL.PERF.+1 FLAC.X 6ML SOLV.

FRESENIUS KABI ROMANIA SRL

TEVA PHARMACEUTICALS S.R.L.

S
S
S
S

S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S

ROMANIA CUTIE X 1 FLAC. X 5 ML CONC. PT. SOL. PERF.


ROMANIA CUTIE X 1 FLAC. X 10 ML CONC. PT. SOL. PERF.
ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 25 ML CONC. PT. SOL. PERF.
ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA X 25 ML CONC. PT. SOL. PERF.

TEVA PHARMACEUTICALS S.R.L.

Prescriptie

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF.

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 43,33 ML CONC. PT. SOL. PERF.

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 25 ML CONC. PT. SOL. PERF.


CUTIE X 1 FLAC. DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF.
CUTIE X 5 FLAC. DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF.
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 16,7 ML CONC. PT. SOL. PERF.

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML CONC. PT. SOL. PERF.


CUTIE X 5 FLAC. DIN STICLA INCOLORA X 50 ML CONC. PT. SOL. PERF.
CUTIE X 1 FLACON DIN STICLA INCOLORA X 50 ML CONC. PT. SOL. PERF.
CUTIE X 1 FLACON DIN STICLA INCOLORA X 16,6 ML CONC. PT. SOL. PERF.

CUTIE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF.

CUTIE X 1 FLAC. X 50 ML
CUTIE X 10 FLAC. X 5 ML
CUTIE X 4 FLAC. X 16,7 ML
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 16,67 ML CONC. PT. SOL. PERF.

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML CONC. PT. SOL. PERF.


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

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 0,5 ML CONCENTRAT PT. SOL.PERF.+1 FLAC.X1,5ML SOLV.

CUTIE X 1 FLACON X 2 ML CONC. SOL. PERF. + 1 FLACON X 6 ML SOLV.


CUTIE CU 1 BLIST. DIN POLISTIREN TERMOFORMAT CU 1 FLAC. DIN STICLA INCOLORA X 2 ML CONC. PT. SOL. PE

CUTIE X 1 FLACON DIN STICLA CU 8 ML CONC. PT. SOL. PERF.X 160MG


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

CUTIE X 1 FLACON X 1 ML CONC. PT. SOL. PERF.


CUTIE CU 1 FLAC. UNIDOZA DIN STICLA INCOLORA CU 1 ML CONC. PT. SOL. PERF. CARE CONTINE 20 MG DOCETAX

CUTIE CU 1 FLAC. UNIDOZA DIN STICLA INCOLORA CU 4 ML CONC. PT. SOL. PERF. CARE CONTINE 80 MG DOCETAX

CUTIE CU 1 FLAC. UNIDOZA DIN STICLA INCOLORA CU 7 ML CONC. PT. SOL. PERF. CARE CONTINE 140 MG DOCETA

Pagina 15 din 56

S
PR
S
PR
PR
PR

cant/
amba
laj

1
1
10
10
10
20
1
1
1
1
1
5
1
1
1
1
1
1
1
1
5
1
1
1
1
5
1
1
5
1
1
1
1
10
4
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

72.14
351.98
1,924.59
1,020.92
311.36
308.57
32.83
39.04
31.96
61.07
448.50
2,122.51
1,100.65
114.66
356.77
1,100.51
356.96
559.30
114.95
114.92
1,574.25
832.08
909.41
559.41
106.15
503.92
338.86
1,010.86
4,934.31
1,100.68
356.99
114.95
1,010.91
979.86
1,265.52
356.99
1,100.68
545.21
364.79
364.84
2,090.86
1,369.45
1,369.55
261.95
924.39
1,706.08
261.93
924.37
1,542.65
2,608.58
258.23
396.36
261.95
924.39
2,373.51

72.140000
351.980000
192.459000
102.092000
31.136000
15.428500
32.830000
39.040000
31.960000
61.070000
448.500000
424.502000
1,100.650000
114.660000
356.770000
1,100.510000
356.960000
559.300000
114.950000
114.920000
314.850000
832.080000
909.410000
559.410000
106.150000
100.784000
338.860000
1,010.860000
986.862000
1,100.680000
356.990000
114.950000
1,010.910000
97.986000
316.380000
356.990000
1,100.680000
545.210000
364.790000
364.840000
2,090.860000
1,369.450000
1,369.550000
261.950000
924.390000
1,706.080000
261.930000
924.370000
1,542.650000
2,608.580000
258.230000
396.360000
261.950000
924.390000
2,373.510000

Pret cu ridicata
maximal de
decontare / U.T.

57.096000
230.950800
192.459000
57.096000
31.136000
15.428500
32.830000
38.352000
31.960000
61.070000
448.500000
424.502000
1,100.650000
114.660000
356.770000
1,100.510000
356.960000
509.402400
114.950000
114.920000
314.850000
509.402400
909.410000
509.402400
106.150000
100.784000
338.860000
1,010.860000
986.862000
1,100.680000
356.990000
114.950000
1,010.910000
97.986000
316.380000
356.990000
1,100.680000
309.876000
309.876000
309.876000
1,099.680000
1,099.680000
1,099.680000
261.950000
924.390000
1,706.080000
261.930000
924.370000
1,542.650000
1,851.180000
258.230000
309.876000
261.950000
924.390000
2,373.510000

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

91.21
421.81
2,135.96
1,150.95
377.53
374.49
42.94
51.07
41.81
77.22
527.02
2,351.69
1,237.86
139.98
427.03
1,237.71
427.24
647.79
140.33
140.30
1,754.09
945.12
1,029.41
647.91
129.59
587.42
407.51
1,139.99
5,416.56
1,237.89
427.27
140.33
1,140.04
1,106.20
1,417.57
427.27
1,237.89
632.43
435.77
435.83
2,317.19
1,530.85
1,530.96
319.79
1,045.74
1,897.78
319.77
1,045.72
1,719.64
2,881.51
315.25
470.18
319.79
1,045.74
2,625.28

91.210000
421.810000
213.596000
115.095000
37.753000
18.724500
42.940000
51.070000
41.810000
77.220000
527.020000
470.338000
1,237.860000
139.980000
427.030000
1,237.710000
427.240000
647.790000
140.330000
140.300000
350.818000
945.120000
1,029.410000
647.910000
129.590000
117.484000
407.510000
1,139.990000
1,083.312000
1,237.890000
427.270000
140.330000
1,140.040000
110.620000
354.392500
427.270000
1,237.890000
632.430000
435.770000
435.830000
2,317.190000
1,530.850000
1,530.960000
319.790000
1,045.740000
1,897.780000
319.770000
1,045.720000
1,719.640000
2,881.510000
315.250000
470.180000
319.790000
1,045.740000
2,625.280000

66.812400
256.315200
213.596000
66.812400
37.753000
18.724500
42.940000
50.172000
41.810000
77.220000
527.020000
470.338000
1,237.860000
132.744000
427.030000
1,237.710000
427.240000
564.405600
132.744000
132.744000
350.818000
564.405600
1,029.410000
564.405600
129.590000
117.484000
407.510000
1,139.990000
1,083.312000
1,237.890000
427.270000
132.744000
1,140.040000
110.620000
354.392500
427.270000
1,237.890000
378.300000
378.300000
378.300000
1,244.436000
1,244.436000
1,244.436000
319.790000
1,045.740000
1,897.780000
319.770000
1,045.720000
1,719.640000
2,063.568000
315.250000
378.300000
319.790000
1,045.740000
2,625.280000

Grupa
Nr.
terape
crt
utica
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227

L01CD02
L01CD02
L01CD02
L01CD02

L01DB01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB06
L01DB06
L01DB07
L01DC01

L01XA01
L01XA01
L01XA01
L01XA01

Denumire generica

DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
IDARUBICINUM
IDARUBICINUM
MITOXANTRONUM**
BLEOMYCINUM SULFAS
CISPLATINUM
CISPLATINUM
CISPLATINUM
CISPLATINUM

Denumire comerciala

DOCIRENA 80 mg/4 ml
TAXOTERE 80 mg/4ml
TAXEGIS 20 mg
TAXEGIS 80 mg
CAELYX 2 mg/ml
DHARUXO 2 mg/ml
DHARUXO 2 mg/ml
DHARUXO 2 mg/ml
CAELYX 2 mg/ml

Forma
Concentrati
farmaceutic
e / U.T.
a
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
CONC. SI SOLV. PT. SOL. PERF.
CONC. SI SOLV. PT. SOL. PERF.

CONC. PT. SOL. PERF.


CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.

DOXORUBICINA TEVA 2 mg/ml


DOXORUBICINA TEVA 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.

DOXORUBICINA ACCORD 2 mg/ml

CONC. PT. SOL. PERF.

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.

MYOCET 50mg
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.
PULB. + AMESTC. PT. CONC. PT.DISP.LIPOZOM.PT.PERF

EPIRUBICIN "EBEWE" 2 mg/ml


EPIRUBICIN "EBEWE" 2 mg/ml
EPIRUBICIN "EBEWE" 2 mg/ml

CONC. PT. SOL. INJ.

EPISINDAN 10 mg
FARMORUBICIN RD 10 mg
EPISINDAN 50 mg

LIOF. PT. SOL. INJ.

FARMORUBICIN (R) RD 50 mg

LIOF. PT. SOL. INJ.

EPIRUBICINA KABI 2 mg/ml


EPIRUBICINA KABI 2 mg/ml
EPIRUBICINA TEVA 2 mg/ml
EPIRUBICINA TEVA 2 mg/ml
EPIRUBICINA TEVA 2 mg/ml
EPIRUBICINA TEVA 2 mg/ml
EPIRUBICINA TEVA 2 mg/ml
ECCLEPIA 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.

ECCLEPIA 2 mg/ml
ECCLEPIA 2 mg/ml
ECCLEPIA 2 mg/ml
ECCLEPIA 2 mg/ml
ZAVEDOS
ZAVEDOS 5 mg
ONKOTRONE
BLEOCIN

SOL. INJ./PERF.

CISPLATIN "EBEWE" 10 mg/20 ml

SINPLATIN 1 mg/1 ml
SINPLATIN 1 mg/1 ml
CISPLATINA ACCORD 1 mg/ml

CONC. PT. SOL. INJ.


CONC. PT. SOL. INJ.

LIOF. PT. SOL. INJ.


LIOF. PT. SOL. INJ.

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

CAPS.
PULB. PT. SOL. INJ.
CONC. PT. SOL. INJ.

LIOF. PT. SOL. INJ.


CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.

80mg/4ml
80mg/4ml
20mg
80mg
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
50mg
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
10mg
10mg
50mg
50mg
2 mg/ml
2 mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
10mg
5mg
2mg/ml
15mg
10mg/20ml
1mg/1ml
1mg/1ml
1mg/ml

Firma

Tara

ROMANIA
AVENTIS PHARMA SA FRANTA
EGIS PHARMACEUTICALS P.L.C. UNGARIA
EGIS PHARMACEUTICALS P.L.C. UNGARIA
FRESENIUS KABI ROMANIA SRL

JANSSEN CILAG INTERNATIONALL NV

BELGIA

ROMASTRU TRADING S.R.L.

ROMANIA
ROMANIA
ROMANIA

JANSSEN CILAG INTERNATIONALL NV

BELGIA

ROMASTRU TRADING S.R.L.


ROMASTRU TRADING S.R.L.

TEVA PHARMACEUTICALS S.R.L.


TEVA PHARMACEUTICALS S.R.L.

ROMANIA
ROMANIA

Ambalaj

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 10 ML SOL. INJ./PERF. X 200 MG EPIRUBICINA

PR
S
PR
PR
S
PR
PR
PR
S
S
S
PR
PR
PR
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
PR
PR
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S

CUTIE X 1 FLAC. X 1 CAPS.

P-RF

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

CUTIE X 1 FLACON DIN STICLA X 4 ML CONC. PT. SOL. PERF.


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

CUTIE CU 1 BLIST. X 1 FLAC. UNIDOZA DIN STICLA INCOLORA CU CAPACITATEA DE 15 ML CU 2 ML CONC. PT. SO

CUTIE X 1 FLACON DIN STICLA X 10 ML


CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 25 ML CONC. PT. SOL. PERF.
CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF.
CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 10 ML CONC. PT. SOL. PERF.

CUTIE X 1 FLACON DIN STICLA X 25 ML


CUTIE CU 1 FLAC. CONC. PT. SOL. PERF. X 20 MG CLORHIDRAT DE DOXORUBICINA
CUTIE CU 1 FLAC. CONC. PT. SOL. PERF. X 50 MG CLORHIDRAT DE DOXORUBICINA

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 5 ML CONC. PT. SOL. PERF. CONTINAND 10 MG DOXORUBICINA

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 25 ML CONC. PT. SOL. PERF. CONTINAND 50 MG DOXORUBICINA

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 100 ML CONC. PT. SOL. PERF. CONTINAND 200 MG DOXORUBICINA

SP EUROPE
SP EUROPE

BELGIA CUTIE X 1 FLACON DIN STICLA X 10 ML


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

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 8 ML CONTINAND 10 MG CLORHIDRAT DE DOXORUBICIN

TEVA PHARMACEUTICALS S.R.L.


TEVA PHARMACEUTICALS S.R.L.

ROMANIA
ROMANIA

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


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

EBEWE PHARMA GMBH NFG. KG

AUSTRIA CUTIE X 1 FLACON X 5 ML


AUSTRIA CUTIE X 1 FLACON X 50 ML
AUSTRIA CUTIE X 1 FLACON X 25 ML

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

ROMANIA
ROMANIA
ROMANIA
ROMANIA

EBEWE PHARMA GMBH NFG. KG


EBEWE PHARMA GMBH NFG. KG

CUTIE X 1 FLAC. CU LIOF. PT. SOL. INJ.


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

CUTIE X 1 FLAC. CU LIOF. PT. SOL. INJ.


CUTIE X 1 FLAC. X 50 MG LIOF. PT. SOL. INJ.

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

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 100 ML SOL. INJ./PERF. X 200 MG

ROMASTRU TRADING SRL

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

PFIZER EUROPE MA EEIG

MAREA BRITANIE

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.

EURO NIPPON KAYAKU GMBH

GERMANIA

EBEWE PHARMA GMBH NFG. KG

AUSTRIA

CUTIE X 1 FLACON X 20 ML CONC. PT. SOL. PERF.

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

ROMANIA
ROMANIA

CUTIE X 1 FLAC. X 50 ML X 50 MG CONC. SOL. PERF.

TEVA PHARMACEUTICAL S.R.L.


TEVA PHARMACEUTICAL S.R.L.
TEVA PHARMACEUTICAL S.R.L.
TEVA PHARMACEUTICAL S.R.L.
TEVA PHARMACEUTICAL S.R.L.

ROMASTRU TRADING SRL

ACTAVIS S.R.L.
ACTAVIS S.R.L.
ACTAVIS S.R.L.
ACTAVIS S.R.L.
ACTAVIS S.R.L.
ROMASTRU TRADING SRL
ROMASTRU TRADING SRL
ROMASTRU TRADING SRL

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

Prescriptie

CUTIE X 1 FLAC. STICLA INCOLORA X 25 ML SOL. INJ. /PERFZ.


CUTIE X 1 FLAC. STICLA INCOLORA X 5 ML SOL. INJ. /PERFZ.
CUTIE X 1 FLAC. STICLA INCOLORA X 10 ML SOL. INJ. /PERFZ.
CUTIE X 1 FLAC. STICLA INCOLORA X 75 ML SOL. INJ. /PERFZ.
CUTIE X 1 FLAC. STICLA INCOLORA X 100 ML SOL. INJ. /PERFZ.
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 5 ML SOL. INJ./PERF. X 10 MG EPIRUBICINA

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


CUTIE X 1 FLAC. A 10 ML SOL. INJ. X 20MG (20MG/10ML)
CUTIE X 1 FLAC. A 25 ML SOL. INJ. X 50MG (50MG/25ML)
CUTIE X 1 FLAC. A 50 ML SOL. INJ. X 100MG (100MG/50ML)
CUTIE X 1 FLAC. A 100ML SOL. INJ. X 200MG (200MG/100ML)
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 X 1 FLAC. DIN STICLA INCOLORA CU LIOF. PT. SOL. INJ.

CUTIE X 1 FLAC. X 10 ML X 10 MG CONC. SOL. PERF.


CUTIE CU 1 FLAC. DE 10 ML DIN STICLA BRUNA CU CONC. PT. SOL. PERF.

Pagina 16 din 56

S
S
S
S
S
S
S

cant/
amba
laj

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
2
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

916.40
1,405.98
364.88
1,369.55
1,445.08
101.03
27.42
66.23
3,567.70
63.03
89.23
28.22
89.23
225.68
1,445.08
3,567.70
110.17
28.22
4,092.58
105.66
27.18
89.23
66.46
48.67
454.46
231.77
42.74
59.72
233.65
261.82
138.02
396.30
204.65
42.50
83.38
588.06
773.38
39.99
38.03
81.95
197.39
217.00
397.31
80.83
198.48
450.99
771.75
203.33
143.35
555.48
60.53
9.17
24.41
7.75
7.75

916.400000
1,405.980000
364.880000
1,369.550000
1,445.080000
101.030000
27.420000
66.230000
3,567.700000
63.030000
89.230000
28.220000
89.230000
225.680000
1,445.080000
3,567.700000
110.170000
28.220000
2,046.290000
105.660000
27.180000
89.230000
66.460000
48.670000
454.460000
231.770000
42.740000
59.720000
233.650000
261.820000
138.020000
396.300000
204.650000
42.500000
83.380000
588.060000
773.380000
39.990000
38.030000
81.950000
197.390000
217.000000
397.310000
80.830000
198.480000
450.990000
771.750000
203.330000
143.350000
555.480000
60.530000
9.170000
24.410000
7.750000
7.750000

Pret cu ridicata
maximal de
decontare / U.T.

916.400000
1,099.680000
309.876000
1,099.680000
1,445.080000
101.030000
27.420000
66.230000
2,455.548000
63.030000
89.230000
28.220000
89.230000
225.680000
1,445.080000
2,455.548000
107.076000
28.220000
2,046.290000
105.660000
27.180000
89.230000
66.460000
45.636000
260.400000
165.624000
42.740000
45.636000
165.624000
165.624000
138.020000
396.300000
165.624000
42.500000
83.380000
588.060000
475.560000
39.990000
38.030000
81.950000
165.624000
217.000000
397.310000
80.830000
165.624000
260.400000
475.560000
203.330000
143.350000
555.480000
60.530000
9.170000
24.410000
7.750000
7.750000

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

1,037.03
1,570.67
435.87
1,530.96
1,613.29
123.34
35.86
83.74
3,926.95
79.70
112.82
36.91
112.82
275.51
1,613.29
3,926.95
134.49
36.91
4,499.07
128.99
35.55
112.82
84.03
63.66
533.51
282.94
55.90
75.51
285.24
319.63
168.49
470.12
249.84
55.59
105.42
679.14
881.13
52.31
49.74
103.62
240.97
264.91
471.22
102.20
242.30
529.73
879.36
248.22
175.00
643.62
76.54
12.39
32.99
10.48
10.48

1,037.030000
1,570.670000
435.870000
1,530.960000
1,613.290000
123.340000
35.860000
83.740000
3,926.950000
79.700000
112.820000
36.910000
112.820000
275.510000
1,613.290000
3,926.950000
134.490000
36.910000
2,249.535000
128.990000
35.550000
112.820000
84.030000
63.660000
533.510000
282.940000
55.900000
75.510000
285.240000
319.630000
168.490000
470.120000
249.840000
55.590000
105.420000
679.140000
881.130000
52.310000
49.740000
103.620000
240.970000
264.910000
471.220000
102.200000
242.300000
529.730000
879.360000
248.220000
175.000000
643.620000
76.540000
12.390000
32.990000
10.480000
10.480000

1,037.030000
1,244.436000
378.300000
1,244.436000
1,613.290000
123.340000
35.860000
83.740000
2,699.442000
79.700000
112.820000
36.910000
112.820000
275.510000
1,613.290000
2,699.442000
134.490000
36.910000
2,249.535000
128.990000
35.550000
112.820000
84.030000
59.688000
317.892000
202.188000
55.900000
59.688000
202.188000
202.188000
168.490000
470.120000
202.188000
55.590000
105.420000
679.140000
564.144000
52.310000
49.740000
103.620000
202.188000
264.910000
471.220000
102.200000
202.188000
317.892000
564.144000
248.220000
175.000000
643.620000
76.540000
12.390000
32.990000
10.480000
10.480000

Grupa
Nr.
terape
crt
utica
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282

L01XA01
L01XA01
L01XA01
L01XA01
L01XA02
L01XA02
L01XA02
L01XA02
L01XA02
L01XA02
L01XA02
L01XA02
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XC02
L01XC02
L01XC03
L01XC04
L01XC04
L01XC06
L01XC07
L01XC07

L01XE01
L01XE03
L01XE03
L01XE03
L01XE04
L01XE04

Denumire generica

CISPLATINUM
CISPLATINUM
CISPLATINUM
CISPLATINUM
CARBOPLATINUM
CARBOPLATINUM
CARBOPLATINUM
CARBOPLATINUM
CARBOPLATINUM
CARBOPLATINUM
CARBOPLATINUM
CARBOPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
RITUXIMABUM****
RITUXIMABUM****
TRASTUZUMABUM****
ALEMTUZUMABUM****
ALEMTUZUMABUM****
CETUXIMABUM****
BEVACIZUMABUM****
BEVACIZUMABUM****
IMATINIBUM****
ERLOTINIBUM****
ERLOTINIBUM****
ERLOTINIBUM****
SUNITINIBUM****
SUNITINIBUM****

Denumire comerciala

Forma
Concentrati
farmaceutic
e / U.T.
a

CISPLATINA ACCORD 1 mg/ml


CISPLATINA ACCORD 1 mg/ml

CONC. PT. SOL. PERF.


CONC. PT. SOL. PERF.

CISPLATIN "EBEWE" 25 mg/50 ml

CONC. PT. SOL. PERF.

CISPLATIN "EBEWE" 50 mg/100 ml

CONC. PT. SOL. PERF.

CARBOPLATIN ACTAVIS 10mg/ml


CARBOPLATIN ACTAVIS 10mg/ml

CONC. PT. SOL. PERF.

CARBOPLATIN TEVA 10mg/ml


CARBOPLATIN TEVA 10mg/ml

CONC. PT. SOL. PERF.


CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.

CARBOPLATIN "EBEWE" 10 mg/ml

CONC. PT. SOL. PERF.

CARBOPLATIN "EBEWE" 10 mg/ml

CONC. PT. SOL. PERF.

CARBOPLATIN ACTAVIS 10mg/ml


CARBOPLATIN "EBEWE" 10 mg/ml

CONC. PT. SOL. PERF.

OXALIPLATIN KABI 5 mg/ml


OXALIPLATIN KABI 5 mg/ml
ELOXATIN 5mg/ml
OXALIPLATIN ACTAVIS 5 mg/ml
OXALIPLATIN ACTAVIS 5 mg/ml
OXALIPLATIN ACTAVIS 5 mg/ml

ELOXATIN 5mg/ml
OXALIPLATIN ACCORD 5 mg/ml
OXALIPLATIN ACCORD 5 mg/ml

ELOXATIN 5mg/ml
OXALIPLATINA TEVA 5 mg/ml
OXALIPLATINA TEVA 5 mg/ml
OXALIPLATIN KABI 5 mg/ml
OXALIPLATIN KABI 5 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.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.

OXALIPLATIN ACTAVIS 5 mg/ml


OXALIPLATIN ACTAVIS 5 mg/ml

LIOF. PT. SOL. PERF.

OXALIPLATIN KABI 5 mg/ml


OXALIPLATIN KABI 5 mg/ml
REZIDOL 5 mg/ml

PULB. PT. SOL. INJ.

OXALIPLATIN MEDICO UNO 5 mg/ml

PULB. PT. SOL. PERF.

OXALIPLATIN PHARMASWISS 5 mg/ml

PULB. PT. SOL. PERF.

OXALIPLATIN PHARMASWISS 5 mg/ml

PULB. PT. SOL. PERF.

OXALIPLATIN MEDICO UNO 5 mg/ml

PULB. PT. SOL. PERF.

OXALIPLATIN ACCORD 5 mg/ml

PULB. PT. SOL. PERF.

OXALIPLATIN EBEWE 5mg/ml

PULB. PT. SOL. PERF.

OXALIPLATIN ACCORD 5 mg/ml

PULB. PT. SOL. PERF.

OXALIPLATIN EBEWE 5mg/ml


OXALIPLATIN EBEWE 5mg/ml

PULB. PT. SOL. PERF.

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

LIOF. PT. SOL. PERF.

PULB. PT. SOL. INJ.


PULB. PT. SOL. PERF.

PULB. PT. SOL. PERF.


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

CONC. PT. SOL. PERF.


CONC. PT. SOL. PERF.

SOL. PERF.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.

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

CAPS.
CAPS.

1mg/ml
1mg/ml
25mg/50ml
50mg/100ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
10mg/ml
10mg/ml
150mg
10mg/ml
30mg/ml
5mg/ml
25mg/ml
25mg/ml
100mg
100mg
150mg
25mg
12,5mg
25mg

Firma

Tara

Ambalaj

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

CUTIE CU 1 FLAC. DE 30 ML DIN STICLA BRUNA CU CONC. PT. SOL. PERF.

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

CUTIE CU 1 FLAC. DE 50 ML DIN STICLA BRUNA CU CONC. PT. SOL. PERF.

AUSTRIA
AUSTRIA

CUTIE X 1 FLACON X 100 ML CONC. PT. SOL. PERF.

EBEWE PHARMA GMBH NFG. KG


EBEWE PHARMA GMBH NFG. KG

ACTAVIS S.R.L.
ACTAVIS S.R.L.
TEVA PHARMACEUTICALS S.R.L.
TEVA PHARMACEUTICALS S.R.L.

ROMANIA
ROMANIA
ROMANIA
ROMANIA

EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRIA
AUSTRIA

ACTAVIS S.R.L.

ROMANIA

EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRIA

EBEWE PHARMA GES.M.B.H. NFG KG

CUTIE X 1 FLACON X 50 ML COND. PT. SOL. PERF.

CUTIE X 1 FLACON DIN STICLA INCOLORA X 45 ML CONC. PT. SOL. PERF.


CUTIE X 1 FLACON DIN STICLA INCOLORA X 15 ML CONC. PT. SOL. PERF.

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


CUTIE X 1 FLAC. DIN STICLA BRUNA X 15 ML CONC. PT. SOL. PERF.

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


CUTIE X 1 FLACON DIN STICLA X 5 ML CONC. PT. SOL. PERF.
CUTIE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF.

CUTIE X 1 FLACON DIN STICLA X 15 ML CONC. PT. SOL. PERF.

FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU FOLIE PROTECTOARE DIN PLASTIC A 40 ML CONC. PT. SOL. PERF. C

FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA FARA FOLIE PROTECTOARE DIN PLASTIC A 40 ML CONC. PT. SOL. PERF.

SANOFI-AVENTIS FRANCE
ACTAVIS GROUP PTC EHF.
ACTAVIS GROUP PTC EHF.
ACTAVIS GROUP PTC EHF.

SANOFI-AVENTIS FRANCE

FRANTA
ISLANDA
ISLANDA
ISLANDA
FRANTA

CUTIE X 1 FLACON X 200 MG/40 ML CONC. PT. SOL. PERF.


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

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 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 X 1 FLACON X 100 MG/20 ML CONC. PT. SOL. PERF.

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CONC. PT. SOL. PERF. X 50 MG OXALIPLATINA

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 20 ML CONC. PT. SOL. PERF. X 100 MG OXALIPLATINA

SANOFI-AVENTIS FRANCE

FRANTA

TEVA PHARMACEUTICALS S.R.L.

ROMANIA
ROMANIA

TEVA PHARMACEUTICALS S.R.L.

CUTIE X 1 FLACON X 50 MG/10 ML CONC. PT. SOL. PERF.


CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10 ML CONC. PT. SOL. PERF.
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 20 ML CONC. PT. SOL. PERF.

FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU FOLIE PROTECTOARE DIN PLASTIC A 10 ML CONC. PT. SOL. PERF. C

FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU FOLIE PROTECTOARE DIN PLASTIC A 20 ML CONC. PT. SOL. PERF. C

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

ROMANIA CUTIE X 1 FLAC. X 100 MG LIOF. PT. SOL. PERF.


ROMANIA CUTIE 1 FLAC. X 50 MG LIOF. PT. SOL. PERF.

FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCLORA CU CAPACITATEA DE 30 ML X 50 MG OXALIPLATINA

FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCLORA CU CAPACITATEA DE 50 ML X 100 MG OXALIPLATINA

MEDICO UNO PHARMA LTD.

UNGARIA
UNGARIA

PHARMASWISS CESKA REPUBLIKA S.R.O.

REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 50 MG OXALIPLATINA

PHARMASWISS CESKA REPUBLIKA S.R.O.

REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 100 MG OXALIPLATINA

MEDICO UNO PHARMA LTD.

UNGARIA

EGIS PHARMACEUTICALS P.L.C.

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 100 MG OXALIPLATINA

CUTIE CU 1 FLAC. DIN STICLA BRUNA X 100 MG OXALIPLATINA

CUTIE CU 1 FLAC. DIN STICLA BRUNA X 50 MG OXALIPLATINA

ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 50 MG OXALIPLATINA
EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRIA

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU SUPORT TRANSPARENT DIN PLASTIC (ONKO-SAFE) X 50 MG OXALIPLATI

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. CONTINAND 100 MG GEMCITABINA

EGIS PHARMACEUTICALS P.L.C.

AUSTRIA
AUSTRIA
UNGARIA

ROCHE REGISTRATION LTD.

MAREA BRITANIE

ROCHE REGISTRATION LTD.

MAREA BRITANIE CUTIE X 1 FLACON X 50 ML(500MG RITUXIMAB IN 50ML- 10MG/ML)

ROCHE REGISTRATION LTD.

MAREA BRITANIE

EBEWE PHARMA GES.M.B.H. NFG KG


EBEWE PHARMA GES.M.B.H. NFG KG

GENZYME EUROPE BV OLANDA


GENZYME EUROPE BV OLANDA

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU SUPORT TRANSPARENT DIN PLASTIC (ONKO-SAFE) X 150 MG OXALIPLAT

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU SUPORT TRANSPARENT DIN PLASTIC (ONKO-SAFE) X 100 MG OXALIPLAT

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 50 MG OXALIPLATINA

CUTIE X 2 FLACOANE X 10 ML
CUTIE X 1 FLAC. PULB. PT. CONC. PT. SOL. PERF.
CUTIE X 3 FIOLE X 3 ML CONCENTRAT INTR-O FIOLA DE 5ML
CUTIE X 3 FLACOANE X 1 ML CONCENTRAT INTR-UN FLACON DE 2ML

Prescriptie

S
S
S
S
S
S
S
S
S
S
S
S
PR
PR
S
PR
PR
PR
S
S
S
S
S
S
PR
PR
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S

MERCK KGAA

GERMANIA CUTIE X 1 FLAC. DIN STICLA X 20 ML SOL. PERF.

ROCHE REGISTRATION LTD.

MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA X 16 ML CONC. PT. SOL. PERF.

ROCHE REGISTRATION LTD.

MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA X 4 ML CONC. PT. SOL. PERF.

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 120 CAPS.

P-RF/R

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 30 COMPR. FILM. (BLIST. AL/PVC)

P-RF/R

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 30 COMPR. FILM. (BLIST. AL/PVC)

P-RF/R

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 30 COMPR. FILM. (BLIST. AL/PVC)

P-RF/R

MAREA BRITANIE

CUTIE X 1 FLACON DIN PEID X 30 CAPS.


CUTIE X 1 FLACON DIN PEID X 30 CAPS.

PFIZER LIMITED
PFIZER LIMITED

MAREA BRITANIE

Pagina 17 din 56

P-RF/R
P-RF/R

cant/
amba
laj

Pret cu
ridicata
maximal /
ambalaj

1
19.18
1
24.41
1
22.06
1
31.57
1
133.04
1
50.00
1
132.81
1
47.45
1
178.07
1
21.86
1
18.05
1
62.52
1 1,032.71
1 1,032.71
1 2,132.32
1
322.26
1
615.78
1 1,396.51
1
931.20
1
322.25
1
615.78
1
480.70
1
322.25
1
615.78
1
293.86
1
564.27
1
615.78
1
322.26
1
297.71
1
572.27
1
615.76
1 1,005.54
1
322.25
1
615.78
1
517.78
1
322.25
1
457.29
1
615.78
1 1,609.04
1
871.57
1
322.21
2 2,221.55
1 5,509.03
1 2,621.74
3 4,923.23
3 4,923.64
1
871.19
1 5,246.58
1 1,332.54
120 9,032.83
30 6,304.73
30 8,391.10
30 1,911.34
30 5,042.42
30 10,054.84

Pret cu ridicata
maximal / U.T.

19.180000
24.410000
22.060000
31.570000
133.040000
50.000000
132.810000
47.450000
178.070000
21.860000
18.050000
62.520000
1,032.710000
1,032.710000
2,132.320000
322.260000
615.780000
1,396.510000
931.200000
322.250000
615.780000
480.700000
322.250000
615.780000
293.860000
564.270000
615.780000
322.260000
297.710000
572.270000
615.760000
1,005.540000
322.250000
615.780000
517.780000
322.250000
457.290000
615.780000
1,609.040000
871.570000
322.210000
1,110.775000
5,509.030000
2,621.740000
1,641.076666
1,641.213333
871.190000
5,246.580000
1,332.540000
75.273583
210.157666
279.703333
63.711333
168.080666
335.161333

Pret cu ridicata
maximal de
decontare / U.T.

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

19.180000
25.92
24.410000
32.99
22.060000
29.81
29.292000
41.30
133.040000
162.41
50.000000
63.22
132.810000
162.14
47.450000
62.06
159.372000
217.39
21.660000
29.55
18.050000
24.39
56.940000
79.05
1,032.710000 1,163.80
1,032.710000 1,163.80
1,239.252000 2,362.38
322.260000
389.41
615.780000
709.35
1,239.252000 1,560.35
677.124000 1,053.16
322.250000
389.40
615.780000
709.35
352.632000
562.11
322.250000
389.40
615.780000
709.35
293.860000
358.74
564.270000
653.20
615.780000
709.35
322.260000
389.41
297.710000
363.44
572.270000
661.92
615.760000
709.33
677.124000 1,134.19
322.250000
389.40
615.780000
709.35
352.632000
602.53
322.250000
389.40
352.632000
536.60
615.780000
709.35
1,609.040000 1,792.01
677.124000
988.16
322.210000
389.36
1,110.775000 2,459.64
5,509.030000 6,043.00
2,621.740000 2,895.85
1,641.076666 5,404.48
1,641.213333 5,404.92
871.190000
987.75
5,246.580000 5,756.93
1,332.540000 1,490.62
75.273583 9,883.95
210.157666 6,910.31
279.703333 9,184.46
63.711333 2,121.51
168.080666 5,534.39
335.161333 10,997.94

25.920000
32.990000
29.810000
41.300000
162.410000
63.220000
162.140000
62.060000
217.390000
29.550000
24.390000
79.050000
1,163.800000
1,163.800000
2,362.380000
389.410000
709.350000
1,560.350000
1,053.160000
389.400000
709.350000
562.110000
389.400000
709.350000
358.740000
653.200000
709.350000
389.410000
363.440000
661.920000
709.330000
1,134.190000
389.400000
709.350000
602.530000
389.400000
536.600000
709.350000
1,792.010000
988.160000
389.360000
1,229.820000
6,043.000000
2,895.850000
1,801.493333
1,801.640000
987.750000
5,756.930000
1,490.620000
82.366250
230.343666
306.148666
70.717000
184.479666
366.598000

25.920000
32.990000
29.810000
39.588000
162.410000
63.220000
162.140000
62.060000
194.568000
29.268000
24.390000
74.472000
1,163.800000
1,163.800000
1,396.560000
389.410000
709.350000
1,396.560000
783.840000
389.400000
709.350000
430.488000
389.400000
709.350000
358.740000
653.200000
709.350000
389.410000
363.440000
661.920000
709.330000
783.840000
389.400000
709.350000
430.488000
389.400000
430.488000
709.350000
1,792.010000
783.840000
389.360000
1,229.820000
6,043.000000
2,895.850000
1,801.493333
1,801.640000
987.750000
5,756.930000
1,490.620000
82.366250
230.343666
306.148666
70.717000
184.479666
366.598000

Grupa
Nr.
terape
crt
utica
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337

L01XE04
L01XE05
L01XE06
L01XE06
L01XE06
L01XE06
L01XE09
L01XX02
L01XX02
L01XX02
L01XX02
L01XX02
L01XX05
L01XX11
L01XX14
L01XX17
L01XX17
L01XX17
L01XX17
L01XX17
L01XX17
L01XX17
L01XX17
L01XX17
L01XX17
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX23
L01XX32
L02AB01

Denumire generica

SUNITINIBUM****
SORAFENIBUM****
DASATINIBUM****
DASATINIBUM****
DASATINIBUM****
DASATINIBUM****
TEMSIROLIMUSUM
ASPARAGINAZUM
ASPARAGINAZUM
ASPARAGINAZUM
ASPARAGINAZUM
ASPARAGINAZUM
HYDROXYCARBAMIDUM
ESTRAMUSTINUM
TRETINOINUM 4)
TOPOTECAMUM
TOPOTECAMUM
TOPOTECAMUM
TOPOTECAMUM
TOPOTECAMUM
TOPOTECAMUM
TOPOTECAMUM
TOPOTECAMUM
TOPOTECAMUM
TOPOTECAMUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
MITOTANUM
BORTEZOMIBUM****
MEGESTROLUM

Denumire comerciala

SUTENT 50 mg
NEXAVAR 200 mg
SPRYCEL 100mg
SPRYCEL 20mg
SPRYCEL 50mg
SPRYCEL 70mg
TORISEL 25mg/ml
ASPARAGINASE 10000 MEDAC
ASPARAGINASE 10000 MEDAC
ASPARAGINASE 5000 MEDAC
ASPARAGINASE 5000 MEDAC

ONCASPAR
HYDREA
ESTRACYT
VESANOID 10 mg
HYCAMTIN 1 mg
TOPOTECAN TEVA 1 mg/1ml
TOPOTECAN EBEWE 1 mg/ml
TOPOTECAN TEVA 4 mg/4ml

POTACTASOL 4mg
TOPOTECAN KABI 4 mg
TOPOTECAN KABI 4 mg
TOPOTECAN ATB 4 mg
TOPOTECAN ACCORD 4 mg
HYCAMTIN 4 mg
IRINOTECAN KABI 20 mg/ml
IRINOTECAN KABI 20 mg/ml
IRINOTECAN KABI 20 mg/ml
IRINOTECAN KABI 20 mg/ml
LUDIRADOL 20 mg/ml
IRINOTESIN 20mg/ml
TEKAZOL 20 mg/ml
IRINOTESIN 20mg/ml

Forma
Concentrati
farmaceutic
e / U.T.
a
CAPS.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
CONC. + SOLV. PT. SOL. PERF.

LIOF. PT. SOL. INJ./PERF.


LIOF. PT. SOL. INJ./PERF.
LIOF. PT. SOL. INJ./PERF.
LIOF. PT. SOL. INJ./PERF.

PULB. PT. SOL. INJ.

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

PULB.CONC.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.

IRINOTRCAN MEDAC 20 mg/ml

CONC. PT. SOL. PERF.

IRINOTECAN POLPHARMA 20 mg/ml

CONC. PT. SOL. PERF.

TEKAZOL 20 mg/ml

CONC. PT. SOL. PERF.

IRINOTECAN PHARMASWISS 20 mg/ml

CONC. PT. SOL. PERF.

IRINOTECAN PHARMASWISS 20 mg/ml

CONC. PT. SOL. PERF.

IRINOTECAN POLPHARMA 20 mg/ml

CONC. PT. SOL. PERF.

IRINOTRCAN MEDAC 20 mg/ml


IRINOTRCAN MEDAC 20 mg/ml
IRINOTECAN HOSPIRA 20mg/ml
IRINOTECAN HOSPIRA 20mg/ml
IRINOTECAN HOSPIRA 20mg/ml

CONC. PT. SOL. PERF.

CAMPTO
IRINOTECAN EBEWE 20 mg/ml
IRINOTECAN EBEWE 20 mg/ml

IRINOTESIN 20mg/ml
IRINOTESIN 20mg/ml
IRINOTECAN ALVOGEN 20 mg/ml

CAMPTO
CAMPTO
LYSODREN 500mg
VELCADE 3,5 mg
MEGESIN 160 mg

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.
CONC. PT. SOL. PERF.

COMPR.
PULB. PT. SOL. INJ.

COMPR.

50mg
200mg
100 mg
20 mg
50 mg
70 mg
25mg/ml
10000ui
10000ui
5000ui
5000ui
3750U.I.
500mg
140mg
10mg
1mg
1mg/1ml
1mg/ml
4mg/4ml
1 mg/ml
4 mg
4 mg
4mg
4mg
4mg
20 mg/ml
20 mg/ml
20 mg/ml
20 mg/ml
20mg/ml
20mg/ml
20mg/ml
20mg/ml
20mg/ml
20mg/ml
20mg/ml
20mg/ml
20mg/ml
20mg/ml
20mg/ml
20mg/ml
20mg/ml
20mg/ml
20mg/ml
20mg/ml
20mg/ml
20mg/ml
20mg/ml
20mg/ml
20mg/ml
20mg/ml
20mg/ml
500mg
3,5mg
160mg

Firma

Tara

Ambalaj

Prescriptie

CUTIE X 1 FLACON DIN PEID X 30 CAPS.

P-RF/R

PFIZER LIMITED

MAREA BRITANIE

BAYER SCHERING PHARMA AG

GERMANIA CUTIE X 4 BLIST. AL/PP X 28 COMPR.FILM.

P-RF/R

BRISTOL-MYERS SQUIBB

MAREA BRITANIE

CUTIE X 1 FLAC. DIN PEID X 30 COMPR. FILM.

P-RF/R

BRISTOL-MYERS SQUIBB

MAREA BRITANIE

CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM.

P-RF/R

BRISTOL-MYERS SQUIBB

MAREA BRITANIE

CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM.

P-RF/R

BRISTOL-MYERS SQUIBB

MAREA BRITANIE

CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM.

P-RF/R

WYETH EUROPA LIMITED

MAREA BRITANIE CUTIE X 1 FLAC. X 1,2ML CONCENTRAT + 1 FLAC. X 1,8 SOLVENT

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANIA

CUTIE X 1 FLAC. DIN STICLA X 10 000 UI LIOF. PT. SOL. INJ./PERF.

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANIA

CUTIE X 5 FLAC. DIN STICLA X 10 000 UI LIOF. PT. SOL. INJ./PERF.

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANIA

CUTIE X 5 FLAC. DIN STICLA X 5000 UI LIOF. PT. SOL. INJ./PERF.

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANIA

CUTIE X 1 FLAC. DIN STICLA X 5000 UI LIOF. PT. SOL. INJ./PERF.

CN UNIFARM S.A.
BRISTOL MYERS SQUIBB KFT

ROMANIA CUTIE CU 1 FLAC. PULB. PT. SOL. INJ.


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

CUTIE X 1 FLAC. X 100 CAPS.


ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 100 CAPS. MOI
PFIZER EUROPE MA EEIG

MAREA BRITANIE

SMITHKLINE BEECHAM PLC

MAREA BRITANIE

FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE

CUTIE CU 5 FLAC. DIN STICLA INCOLORA, CU FOLIE PROTECTOARE DIN PLASTIC X 4 MG PULB. PT. CONC. PT. SO

ANTIBIOTICE S.A.

ROMANIA

CUTIE CU 1 FLAC DIN STICLA INCOLORA CU CAPACITATEA DE 10 ML X 4 MG TOPOTECAN

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

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

SMITHKLINE BEECHAM PLC

CUTIE X 1 FLAC. PULB. PT. CONC. PT. SOL. PERF.

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 4 ML CONC. PT. SOL. PERF.

PR

CUTIE X 1 FLACON DIN STICLA TRANSPARENTA A 4ML

P-RF/R

FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FLACON STICLA BRUNA DE 6 ML X 2 ML CONC. PT. SOL. PERF.
FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FLACON STICLA BRUNA DE 6 ML X 5 ML CONC. PT. SOL. PERF.
CUTIE CU 1 FLACON STICLA BRUNA DE 20 ML X 15 ML CONC. PT. SOL. PERF.
CUTIE CU 1 FLACON STICLA BRUNA DE 30 ML X 25 ML CONC. PT. SOL. PERF.

ACTAVIS S.R.L.

UNGARIA
ROMANIA
POLONIA
ROMANIA

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA BRUNA X 15 ML CONC. PR. SOL. PERF.

ICN POLFA RZESZOW S.A.

POLONIA
POLONIA

CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 ML CONC. PT. SOL. PERF. CONTANAD 100MG IRINOTECAN

PHARMASWISS CESKA REPUBLIKA S.R.O.

REPUBLICA CEHA

CUTIE CU 1 FLAC. DIN STICLA BRUNA X 40 MG CLORHIDRAT DE IRINOTECAN TRIHIDRAT

PHARMASWISS CESKA REPUBLIKA S.R.O.

REPUBLICA CEHA

CUTIE CU 1 FLAC. DIN STICLA BRUNA X 100 MG CLORHIDRAT DE IRINOTECAN TRIHIDRAT

PHARMACEUTICAL WORKS POLPHARMA SA

POLONIA

CUTIE CU 1 FLAC. DIN STICLA BRUNA A 5 ML CONC. PT. SOL. PERF.

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA BRUNA X 2 ML CONC. PR. SOL. PERF.

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA BRUNA X 5 ML CONC. PR. SOL. PERF.

EGIS PHARMACEUTICALS P.L.C.

ACTAVIS S.R.L.
ICN POLFA RZESZOW S.A.

PHARMACEUTICAL WORKS POLPHARMA SA

HOSPIRA UK LIMITED
HOSPIRA UK LIMITED
HOSPIRA UK LIMITED
PFIZER EUROPE MA EEIG
EBEWE PHARMA GES.M.B.H. NFG KG
EBEWE PHARMA GES.M.B.H. NFG KG

CUTIE CU 1 FLAC. DIN STICLA BRUNA CU CAPACITATEA DE 6 ML X 100 MG IRINOTECAN

CUTIE X 1 FLAC. DIN STICLA BRUNA X 25 ML CONC. PT. SOL. INJ.


CUTIE X 1 FLAC. DIN STICLA BRUNA X 2 ML CONC. PT. SOL. PERF. CONTANAD 40MG IRINOTECAN

CUTIE X 1 FLAC. DIN STICLA BRUNA X 15 ML CONC. PT. SOL.PERF.

CUTIE CU 1 FLAC. DIN STICLA BRUNA A 2 ML CONC. PT. SOL. PERF.

MAREA BRITANIE CUTIE X 1 FLAC. STICLA BRUNA X 2 ML CONC. PT. SOL. PERF.
MAREA BRITANIE CUTIE X 1 FLAC. STICLA BRUNA X 5 ML CONC. PT. SOL. PERF.
MAREA BRITANIE CUTIE X 1 FLAC. STICLA BRUNA X 25 ML CONC. PT. SOL. PERF.
MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 ML CONC. PT. SOL. PERF.

AUSTRIA
AUSTRIA

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

X
P-RF/R

CUTIE CU 1 FLAC. DIN STICLA INCOLORA, CU FOLIE PROTECTOARE DIN PLASTIC X 4 MG PULB. PT. CONC. PT. SO

FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE

P-RF

CUTIE X 1 FLACON DIN STICLA TRANSPARENTA A 1ML

CUTIE CU 1FL DIN STICLA X 4 MG PULBERE PENTRU CONCENTRAT PENTRU SOLU_IE PERFUZABILA

FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE

P-RF

P-RF

FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE

MAREA BRITANIE

P-RF

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

TEVA PHARMA B.V. OLANDA


AUSTRIA
TEVA PHARMA B.V. OLANDA
ACTAVIS GROUP PTC EHF. ISLANDA

EBEWE PHARMA GES.M.B.H. NFG KG

S
S
S
S
S

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

ROMANIA
ROMANIA
ALVOGEN ROMANIA S.R.L. ROMANIA

CUTIE CU 1 FLAC. DIN STICLA BRUNA CU CAPACITATEA DE 5 ML CARE CONTINE 100 MG IRINOTECAN

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 1 FLAC. DIN PP X 5 ML CONC. PT. SOL. PERF.

PFIZER EUROPE MA EEIG

MAREA BRITANIE CUTIE X 1 FLAC. DIN PP X 15 ML CONC. PT. SOL. PERF.

LABORATOIRE HRA PHARMA


JANSSEN-CILAG INTERNATIONAL NV

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


BELGIA

ACTAVIS S.R.L.

ROMANIA

CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 ML CONC. PT. SOL. INJ.


CUTIE X 1 FLAC. DIN STICLA BRUNA X 2 ML CONC. PT. SOL. INJ.

CUTIE X 1 FLAC. X 10ML X 3,5 MG PULB. PT. SOL. INJ., INTRODUS INTR-UN BLISTER TRANSPARENT

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

CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR. P-RF

Pagina 18 din 56

cant/
amba
laj

30
112
30
60
60
60
1
1
5
5
1
1
100
100
100
10
1
1
1
1
1
5
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
100
1
30

Pret cu
ridicata
maximal /
ambalaj

20,079.69
14,588.00
16,311.93
7,697.81
15,365.65
15,365.65
3,737.17
314.90
1,461.36
1,222.80
262.42
4,488.19
65.72
345.51
746.20
1,582.86
170.26
649.10
649.09
649.10
647.24
3,116.22
649.09
647.70
982.46
119.02
312.84
507.64
936.01
355.85
2,010.90
125.76
1,295.74
1,394.57
119.47
314.42
167.11
426.18
298.71
167.11
426.18
152.48
374.64
1,753.18
639.50
416.85
1,345.75
402.16
163.74
326.85
639.39
2,129.33
2,567.46
4,587.17
97.75

Pret cu ridicata
maximal / U.T.

669.323000
130.250000
543.731000
128.296833
256.094166
256.094166
3,737.170000
314.900000
292.272000
244.560000
262.420000
4,488.190000
0.657200
3.455100
7.462000
158.286000
170.260000
649.100000
649.090000
649.100000
647.240000
623.244000
649.090000
647.700000
982.460000
119.020000
312.840000
507.640000
936.010000
355.850000
2,010.900000
125.760000
1,295.740000
1,394.570000
119.470000
314.420000
167.110000
426.180000
298.710000
167.110000
426.180000
152.480000
374.640000
1,753.180000
639.500000
416.850000
1,345.750000
402.160000
163.740000
326.850000
639.390000
2,129.330000
25.674600
4,587.170000
3.258333

Pret cu ridicata
maximal de
decontare / U.T.

669.323000
130.250000
543.731000
128.296833
256.094166
256.094166
3,737.170000
314.900000
292.272000
244.560000
262.420000
4,488.190000
0.657200
3.455100
7.462000
158.286000
170.260000
649.100000
649.090000
649.100000
647.240000
623.244000
649.090000
647.700000
747.892800
119.020000
312.840000
507.640000
936.010000
355.850000
1,123.212000
125.760000
609.168000
609.168000
119.470000
314.420000
142.824000
358.452000
298.710000
142.824000
358.452000
142.824000
358.452000
1,123.212000
358.452000
358.452000
609.168000
358.452000
142.824000
326.850000
358.452000
609.168000
25.674600
4,587.170000
3.258333

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

21,925.04
15,939.09
17,818.18
8,428.77
16,786.73
16,786.73
4,111.67
381.39
1,631.03
1,371.00
320.36
4,930.28
83.10
414.76
851.51
1,763.47
207.85
745.67
745.66
745.67
743.64
3,434.83
745.66
744.14
1,109.03
145.30
379.15
591.48
1,058.40
426.03
2,230.03
153.53
1,450.51
1,558.23
145.85
380.87
204.01
502.69
364.66
204.01
502.69
186.15
446.51
1,949.12
735.21
492.52
1,505.02
476.50
199.89
394.42
735.09
2,359.12
2,836.68
5,038.17
123.59

730.834666
142.313303
593.939333
140.479500
279.778833
279.778833
4,111.670000
381.390000
326.206000
274.200000
320.360000
4,930.280000
0.831000
4.147600
8.515100
176.347000
207.850000
745.670000
745.660000
745.670000
743.640000
686.966000
745.660000
744.140000
1,109.030000
145.300000
379.150000
591.480000
1,058.400000
426.030000
2,230.030000
153.530000
1,450.510000
1,558.230000
145.850000
380.870000
204.010000
502.690000
364.660000
204.010000
502.690000
186.150000
446.510000
1,949.120000
735.210000
492.520000
1,505.020000
476.500000
199.890000
394.420000
735.090000
2,359.120000
28.366800
5,038.170000
4.119666

730.834666
142.313303
593.939333
140.479500
279.778833
279.778833
4,111.670000
381.390000
326.206000
274.200000
320.360000
4,930.280000
0.831000
4.147600
8.515100
176.347000
207.850000
745.670000
745.660000
745.670000
743.640000
686.966000
745.660000
744.140000
824.359200
145.300000
379.150000
591.480000
1,058.400000
426.030000
1,270.080000
153.530000
709.776000
709.776000
145.850000
380.870000
174.360000
437.592000
364.660000
174.360000
437.592000
174.360000
437.592000
1,270.080000
437.592000
437.592000
709.776000
437.592000
174.360000
394.420000
437.592000
709.776000
28.366800
5,038.170000
4.119666

Grupa
Nr.
terape
crt
utica
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
378
379
380
381
382
383
384
385
386
387
388
389
390
391
392

L02AE02
L02AE02
L02AE02
L02AE02
L02AE02
L02AE03
L02AE03
L02AE04
L02AE04
L02AE04
L02AE04
L02AE04
L02BA01
L02BA01
L02BA03
L02BB01
L02BB01
L02BB01
L02BB03
L02BB03
L02BB03
L02BB03
L02BB03
L02BB03
L02BB03
L02BB03
L02BB03
L02BB03
L02BB03
L02BB03
L02BB03
L02BB03
L02BB03
L02BG01
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03

Denumire generica

LEUPRORELINUM**
LEUPRORELINUM**
LEUPRORELINUM**
LEUPRORELINUM**
LEUPRORELINUM**
GOSERELINUM**
GOSERELINUM**
TRIPTORELINUM**
TRIPTORELINUM**
TRIPTORELINUM**
TRIPTORELINUM**
TRIPTORELINUM**
TAMOXIFENUM
TAMOXIFENUM
FULVESTRANTUM**
FLUTAMIDUM
FLUTAMIDUM
FLUTAMIDUM
BICALUTAMIDUM
BICALUTAMIDUM
BICALUTAMIDUM
BICALUTAMIDUM
BICALUTAMIDUM
BICALUTAMIDUM
BICALUTAMIDUM
BICALUTAMIDUM
BICALUTAMIDUM
BICALUTAMIDUM
BICALUTAMIDUM
BICALUTAMIDUM
BICALUTAMIDUM
BICALUTAMIDUM
BICALUTAMIDUM
AMINOGLUTETHIMIDUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM

Denumire comerciala

Forma
Concentrati
farmaceutic
e / U.T.
a

ELIGARD 22,5 mg
LIOF. SI SOLV. PT. SOL. INJ.
ELIGARD 7,5 mg
LIOF. SI SOLV. PT. SOL. INJ.
LUCRIN DEPOT 11,25mg
LUCRIN DEPOT 3,75mg
ELIGARD 45 mg
PULB+SOLV.PT.SOL.INJ
ZOLADEX LA 10,8 mg
IMPLANT
ZOLADEX (R)
IMPLANT
DIPHERELINE 0,1 mg
LIOF. + SOLV. PT. SOL. INJ.
DIPHERELINE PR 11,25 mg
DIPHERELINE 3,75 mg
GONAPEPTYL ZILNIC 0,1 mg/ml SOL. INJ.
GONAPEPTYL ZILNIC 0,1 mg/ml SOL. INJ.
TAMOXIFEN 10 TEVA
COMPR.
TAMOXIFEN SANDOZ 10
COMPR. FILM.
FASLODEX 250mg/5ml
SOL. INJ.
FLUTASIN 250 mg
COMPR.
FLUTAN
COMPR.
FLUTAMIDE CSC 250 mg
COMPR. FILM.
BICALUTAMIDA KABI 150 mg COMPR. FILM.
YONISTIB 150 mg
COMPR. FILM.
CASODEX 150 mg
COMPR. FILM.
LIOF.+ SOLV. PT. SUSP. INJ. ELIB. PREL.

LIOF.+ SOLV. PT. SUSP. INJ. ELIB. PREL.

PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL.

PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL.

BICALUTAMID TERAPIA 150 mg COMPR. FILM.


BICALUTAMIDA KABI 50 mg COMPR. FILM.
BICALUTAMIDA KABI 50 mg COMPR. FILM.
YONISTIB 50 mg
COMPR. FILM.
CASODEX 50 mg
COMPR. FILM.
CALUMID
COMPR. FILM.
BICALUTAMIDA RANBAXY 50 mg COMPR. FILM.
BICALUTAMIDA RANBAXY 50 mg COMPR. FILM.
BICATLON 50mg
COMPR. FILM.
BICALUTAMIDA SANDOZ 50 mg COMPR. FILM.
BICALUTAMIDA ACCORD 50 mg COMPR. FILM.
BICALUTAMIDA ATB 50 mg COMPR. FILM.

ROGLUTEN (R) 250 mg


ANASTROZOL KABI 1 mg
ANASTROZOL KABI 1 mg
OZOLAN 1 mg
ANASTROZOL TEVA 1 mg
ANASTROZOL TEVA 1 mg
OZOLAN 1 mg
ANASTROZOL BLUEFISH 1 mg

ARIMIDEX
ANASTROZOL TERAPIA 1 mg
ANASTROZOL TERAPIA 1 mg
ANASTROZOL TERAPIA 1 mg
ANASTROZOL TERAPIA 1 mg
ANASTROZOL TERAPIA 1 mg

ANASTRAZE 1 mg
EGISTROZOL 1 mg
EGISTROZOL 1 mg
ARIMIDEX 1 mg
ANASTROZOL TERAPIA 1 mg
ANASTROZOL TERAPIA 1 mg

ENZAMIDEX 1mg
KYARESTA 1 mg

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

22,5mg
7,5mg
11,25mg
3,75mg
45mg
10,8 mg
3,6mg
0,1mg
11,25mg
3,75mg
0,1mg/ml
0,1mg/ml
10mg
10mg
250mg/5ml
250mg
250mg
250mg
150mg
150mg
150mg
150mg
50 mg
50 mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
250mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg

Firma

Tara

ASTELLAS PHARMA EUROPE BV

ASTELLAS PHARMA EUROPE BV

OLANDA
OLANDA
SPANIA
SPANIA
OLANDA

ASTRAZENECA UK LTD.

MAREA BRITANIE

CUTIE X 1 PLIC DIN PET-AL-PE X 1 SERINGA PREUMPLUTA CU 10,8 MG IMPLANT+AC DIN INOX CU SIST. DE PROT

S
S

ASTRAZENECA UK LTD.

MAREA BRITANIE

CUTIE X 1 PLIC X 1 SERINGA PRE-UMPLUTA X 3,6 MG

S/P-RF

ASTELLAS PHARMA EUROPE BV

ABBOTT LABORATORIES LTD.


ABBOTT LABORATORIES LTD.

IPSEN PHARMA
IPSEN PHARMA
IPSEN PHARMA

Ambalaj

CUTIE X 1 SET X 2 SERINGI DIN PP PREUMPLUTE (O SERINGA A SI O SERINGA B), IN PUNGI LAMINATE

S
S

CUTIE X 1 KIT X 1 FLAC. CU LIOFILIZAT (MICROSFERE) + 1 FIOLA X 2 ML SOLV. + 1 SERINGA + 2 ACE SI TA

S/P-RF

CUTIE X 1 KIT X 1 FLAC. CU LIOFILIZAT (MICROSFERE) + 1 FIOLA X 2 ML SOLV. + 1 SERINGA SI TAMPON IMB

S/P-RF

CUTIE X 1 SET X 2 SERINGI DIN PP PREUMPLUTE (O SERINGA A SI O SERINGA B), IN PUNGI LAMINATE

O CUTIE X 1 SET X 2 TAVITE TERMOFORMATE CE CONTIN 2 SERINGI PREUMPLUTE (O SERINGA A SI O SERINGA B)

FRANTA CUTIE X 7 FLAC. CU LIOF. PT. SOL. INJ. + 7 FIOLE X 1 ML SOLV.


FRANTA
FRANTA
FERRING ARZEIMITTEL GES.MBH AUSTRIA CUTIE X 7 SERINGI PREUMPLUTE DIN STICLA INCOLORA X 1 ML SOL. INJ
FERRING ARZEIMITTEL GES.MBH AUSTRIA CUTIE X 28 SERINGI PREUMPLUTE DIN STICLA INCOLORA X 1 ML SOL. INJ
PHARMACHEMIE BV OLANDA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR.
HEXAL AG
GERMANIA CUTIE X 10 BLIST. X 10 COMPR. FILM.
ASTRAZENECA UK LTD.

MAREA BRITANIE

Prescriptie

S/P-RF

CUTIE CU 1 FLAC. DIN STICLA CU PULB. PT. SUSP. INJ. + 1 FIOLA DIN STICLA INCOLORA X 2 ML SOLV. + 1 B

S/P-RF

CUTIE CU 1 FLAC. DIN STICLA CU PULB. PT. SUSP. INJ. + 1 FIOLA DIN STICLA INCOLORA X 2 ML SOLV. + 1 B

S/P-RF

CUTIE X 1 SERINGA PREUMPLUTA X 5 ML + 1 AC

ACTAVIS S.R.L.
ROMANIA CUTIE X 1 FLAC. STICLA BRUNA X 30 COMPR.
MEDOCHEMIE LTD. CIPRU
CUTIE X 10 BLIST. AL/PVC X 10 COMPR.
CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 3 BLIST AL/PVC-PVDC X 10 COMPR. FILM.

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

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

FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE

CUTIE CU 2 BLIST. PVC/AL X 14 COMPR. FILM. P6L

ROMASTRU TRADING S.R.L.

ROMANIA

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

ASTRAZENECA UK LTD.

MAREA BRITANIE

CUTIE X 2 BLIST. X 14 COMPR. FILM.

TERAPIA SA

ROMANIA

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

FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 14 (1X14) COMPR. FILM.
FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 (2X14) COMPR. FILM.

P-6L

P6L
P6L

ROMASTRU TRADING S.R.L.

ROMANIA

ASTRAZENECA UK LTD.

MAREA BRITANIE CUTIE X 2 BLIST. TIP CALENDAR AL/PVC X 14 COMPR. FILM.

P-6L

GEDEON RICHTER ROMANIA SA

ROMANIA

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

P-6L

RANBAXY (UK) LIMITED


RANBAXY (UK) LIMITED

MAREA BRITANIE

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

MAREA BRITANIE

CUTIE X 1 FLAC. PEID X 28 COMPR. FILM. P-6L

MEDICO UNO PHARMA KFT.

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


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

SANDOZ S.R.L.

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

ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.

ANTIBIOTICE S.A.
ACTAVIS S.R.L.

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

FRESENIUS KABI ONCOLOGY PLC

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


ROMANIA CUTIE X 1 FLAC. X 40 COMPR.
P-RF
MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 14 (1X14) COMPR. FILM.
P6L
MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 (2X14) COMPR. FILM.
P6L

ALVOGEN IPCO S.A.R.L

LUXEMBURG CUTIE X BLIST. PVC/AL X 28 COMPR. FILM.

FRESENIUS KABI ONCOLOGY PLC

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


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

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

SUEDIA

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


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

EGIS PHARMACEUTICALS P.L.C.

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
UNGARIA
UNGARIA

ASTRAZENECA UK LTD.

MAREA BRITANIE CUTIE X 2 BLIST. TIP CALENDAR AL/PVC X 14 COMPR. FILM.

P-6L

TERAPIA SA
TERAPIA SA

ROMANIA CUTIE X BLIST. PVC/AL X 28 COMPR. FILM.


ROMANIA CUTIE X BLIST. PVC/AL X 30 COMPR. FILM.

P-6L

LANNACHER HEILMITTEL GES.M.B.H.

AUSTRIA

P-6L

BLUEFISH PHARMACEUTICALS AB

ACTAVIS S.R.L.
TERAPIA SA
TERAPIA SA
TERAPIA SA
TERAPIA SA
TERAPIA SA
SANDOZ SRL
EGIS PHARMACEUTICALS P.L.C.

CUTIE X BLIST. PVC/AL X 50 COMPR. FILM.

P-6L

CUTIE X BLIST. PVC/AL X 84 COMPR. FILM.

P-6L

CUTIE X BLIST. PVC/AL X 98 COMPR. FILM.

P-6L

CUTIE X BLIST. PVC/AL X 100 COMPR. FILM. P-6L


CUTIE X BLIST. PVC/AL X 300 COMPR. FILM.

P-6L/S

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


CUTIE CU BLIST. PVC-PE- PVDC/AL X 90 COMPR.FILM. P-6L
CUTIE CU BLIST. PVC-PE- PVDC/AL X 30 COMPR.FILM. P-6L

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

P-6L

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

Pagina 19 din 56

cant/
amba
laj

1
1
1
1
1
1
1
7
1
1
7
28
100
100
1
30
100
30
28
28
28
28
14
28
28
28
30
28
28
28
30
28
30
40
14
28
28
28
30
28
28
28
50
84
98
100
300
28
90
30
28
28
30
30
28

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

1,020.28
369.22
877.79
359.23
2,030.80
1,040.75
365.48
110.27
1,051.98
369.20
190.84
723.90
16.12
39.78
1,551.89
30.83
113.97
33.52
355.82
394.41
590.67
356.54
71.40
140.25
187.29
288.09
200.69
168.59
168.59
186.27
200.64
141.19
199.57
124.00
40.38
79.33
95.20
107.55
113.18
107.55
80.01
162.50
289.53
509.65
600.71
613.71
1,914.54
148.08
338.63
113.17
128.99
161.78
173.39
113.17
160.28

1,020.280000
369.220000
877.790000
359.230000
2,030.800000
1,040.750000
365.480000
15.752857
1,051.980000
369.200000
27.262857
25.853571
0.161200
0.397800
1,551.890000
1.027666
1.139700
1.117333
12.707857
14.086071
21.095357
12.733571
5.100000
5.008928
6.688928
10.288928
6.689666
6.021071
6.021071
6.652500
6.688000
5.042500
6.652333
3.100000
2.884285
2.833214
3.400000
3.841071
3.772666
3.841071
2.857500
5.803571
5.790600
6.067261
6.129693
6.137100
6.381800
5.288571
3.762555
3.772333
4.606785
5.777857
5.779666
3.772333
5.724285

Pret cu ridicata
maximal de
decontare / U.T.

1,020.280000
369.220000
877.790000
359.230000
2,030.800000
1,040.750000
365.480000
15.752857
1,051.980000
369.200000
18.903428
18.903428
0.161200
0.193440
1,551.890000
1.027666
1.139700
1.117333
12.707857
14.086071
15.249428
12.733571
5.100000
5.008928
6.010714
6.010714
6.010714
6.010714
6.010714
6.010714
6.010714
5.042500
6.010714
3.100000
2.884285
2.833214
3.399857
3.399857
3.399857
3.399857
2.857500
3.399857
3.399857
3.399857
3.399857
3.399857
3.399857
3.399857
3.399857
3.399857
3.399857
3.399857
3.399857
3.399857
3.399857

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

1,150.26
440.60
994.94
429.71
2,251.73
1,172.57
436.52
134.62
1,184.81
440.58
232.98
827.20
21.79
52.03
1,729.71
40.32
139.14
43.84
425.99
468.06
681.98
426.78
90.28
171.22
228.65
351.70
245.00
205.82
205.82
227.40
244.94
172.37
243.63
151.38
52.82
100.30
120.37
131.30
138.17
131.30
101.17
198.38
353.46
593.67
692.92
707.09
2,125.00
180.78
407.26
138.16
157.47
197.50
211.68
138.16
195.67

1,150.260000
440.600000
994.940000
429.710000
2,251.730000
1,172.570000
436.520000
19.231428
1,184.810000
440.580000
33.282857
29.542857
0.217900
0.520300
1,729.710000
1.344000
1.391400
1.461333
15.213928
16.716428
24.356428
15.242142
6.448571
6.115000
8.166071
12.560714
8.166666
7.350714
7.350714
8.121428
8.164666
6.156071
8.121000
3.784500
3.772857
3.582142
4.298928
4.689285
4.605666
4.689285
3.613214
7.085000
7.069200
7.067500
7.070612
7.070900
7.083333
6.456428
4.525111
4.605333
5.623928
7.053571
7.056000
4.605333
6.988214

1,150.260000
440.600000
994.940000
429.710000
2,251.730000
1,172.570000
436.520000
19.231428
1,184.810000
440.580000
23.077714
23.077714
0.217900
0.261480
1,729.710000
1.344000
1.391400
1.461333
15.213928
16.716428
18.256714
15.242142
6.448571
6.115000
7.338000
7.338000
7.338000
7.338000
7.338000
7.338000
7.338000
6.156071
7.338000
3.784500
3.772857
3.582142
4.298570
4.298570
4.298570
4.298570
3.613214
4.298570
4.298570
4.298570
4.298570
4.298570
4.298570
4.298570
4.298570
4.298570
4.298570
4.298570
4.298570
4.298570
4.298570

Grupa
Nr.
terape
crt
utica
393
394
395
396
397
398
399
400
401
402
403
404
405
406
407
408
409
410
411
412
413
414
415
416
417
418
419
420
421
422
423
424
425
426
427
428
429
430
431
432
433
434
435
436
437
438
439
440
441
442
443
444
445
446
447

L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG04
L02BG04
L02BG04
L02BG04
L02BG04
L02BG04
L02BG04
L02BG04
L02BG04
L02BG04
L02BG04
L02BG04
L02BG04
L02BG04
L02BG04
L02BG04
L02BG04
L02BG04
L02BG06
L02BG06
L02BG06
L02BG06
L02BG06
L02BG06
L02BG06
L02BG06
L02BG06
L02BG06
L02BG06
L02BG06
L02BG06

L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA13
L03AA13
L03AB04
L03AB04
L03AB05
L03AB05
M05BA02
M05BA02
M05BA02
M05BA03

Denumire generica

ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
LETROZOLUM
LETROZOLUM
LETROZOLUM
LETROZOLUM
LETROZOLUM
LETROZOLUM
LETROZOLUM
LETROZOLUM
LETROZOLUM
LETROZOLUM
LETROZOLUM
LETROZOLUM
LETROZOLUM
LETROZOLUM
LETROZOLUM
LETROZOLUM
LETROZOLUM
LETROZOLUM
EXEMESTANUM
EXEMESTANUM
EXEMESTANUM
EXEMESTANUM
EXEMESTANUM
EXEMESTANUM
EXEMESTANUM
EXEMESTANUM
EXEMESTANUM
EXEMESTANUM
EXEMESTANUM
EXEMESTANUM
EXEMESTANUM
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***
PEGFILGRASTIMUM***
INTERFERONUM ALFA 2A***
INTERFERONUM ALFA 2A***
INTERFERONUM ALFA 2B***
INTERFERONUM ALFA 2B***
ACIDUM CLODRONICUM**
ACIDUM CLODRONICUM**
ACIDUM CLODRONICUM**
ACIDUM PAMIDRONICUM**

Denumire comerciala

ANASTROZOL ATB 1 mg

Forma
Concentrati
farmaceutic
e / U.T.
a
COMPR. FILM. 1mg

ANASTROZOL TERAPIA 1 mg COMPR. FILM. 1mg


ANASTROZOLE MEDICO UNO 1 mg COMPR. FILM.

ANAROMAT 1 mg
AXASTROL 1 mg
LETROZOL TERAPIA 2,5 mg
LETROZOL BLUEFISH 2,5 mg
LETROZOL KABI 2,5 mg
LETROZOL KABI 2,5 mg
LETROZOL KABI 2,5 mg
LETROZOL ATB 2,5 mg
ETRUZIL 2,5 mg
LETROZOLE MEDICO UNO 2,5mg

TROZEL 2,5 mg
LETRALAN 2,5 mg
ZEQUIPRA 2,5 mg
LETROZOL TEVA 2,5 mg
LETROZOL SANOFI-AVENTIS 2,5 mg

ZOTROL 2,5 mg
LETROZOL ALVOGEN 2,5 mg
FEMARA 2,5 mg
LETROZOL POLPHARMA 2,5 mg

LEZRA 2,5 mg
AROSTANIL 25 mg
INPLAVIA 25 mg
EXEMESTAN MEDISON PHARMA 25 mg

EXEMESTAN ALVOGEN 25 mg

EXEMESTAN TERAPIA 25 mg
XANEPRA 25 mg
XANEPRA 25 mg
EXESTRALAN 25 mg
EXEMESTAN GLENMARK 2 5mg

EXEMESTAN ACTAVIS 25 mg
EXEMESTAN ACCORD 25 mg
EXEMESTAN TEVA 25 mg
AROMASIN 25 mg
NEUPOGEN (R)
NEUPOGEN (R)
ZARZIO 30MU/0,5ml
ZARZIO 48MU/0,5ml
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
NEULASTA 6mg
ROFERON A
ROFERON A
INTRON A 18 milioane U.I.
INTRON A 30 milioane U.I.
BONEFOS (R) 800 mg
SINDRONAT (R) 300 mg/5 ml
BONEFOS (R) 60 mg/ml
PAMIDRONAT TORREX

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

DRAJ.
SOL. INJ.
SOL. INJ.
SOL. INJ. /PERF. IN SERINGA PREUMPLUTA

SOL. INJ. /PERF. IN SERINGA PREUMPLUTA

SOL. INJ./PERF.

1mg
1mg
1mg
2,5 mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
25 mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
30MU/0,5ml
48MU/0,5ml
60MU/ml
96MU/ml
120g/0,2ml

Firma

ANTIBIOTICE S.A.
TERAPIA SA

Tara

P -6L

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

P-6L

AS GRINDEKS
TERAPIA S.A.

ISLANDA
LETONIA
ROMANIA

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

P6L

BLUEFISH PHARMACEUTICALS AB

SUEDIA

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

P-6L

FRESENIUS KABI ONCOLOGY PLC

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

FRESENIUS KABI ONCOLOGY PLC

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

FRESENIUS KABI ONCOLOGY PLC

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

ANTIBIOTICE S.A.

ROMANIA
UNGARIA
UNGARIA

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

P6L
P6L
P6L
P6L

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

P-6L

MEDICO UNO PHARMA KFT.

ACTAVIS GROUP PTC EHF.

EGIS PHARMACEUTICALS P.L.C.

MEDICO UNO PHARMA KFT.

MEDICAMENTA A.S. CEHIA


POLONIA

ICN POLFA RZESZOW S.A.

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

18 milioane U.I.

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

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


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

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

ALVOGEN IPCO S.A.R.L

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

SANOFI - AVENTIS ROMANIA S.R.L.

NOVARTIS PHARMA GMBH GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR.


PHARMACEUTICALS WORKS POLPHARMA SA

ACTAVIS GROUP PTC EHF.

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


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

SANDOZ S.R.L.

ROMANIA
DR. REDDY'S LABORATORIES ROMANIA
MEDISON PHARMA S.R.L. ROMANIA

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

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

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


CUTIE CU BLIST. UNIDOZA PVC-PVDC/AL X 30 (30X1) COMPR. FILM.

PRF

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

ALVOGEN IPCO S.A.R.L

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

TERAPIA S.A.

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

PRF

ROMASTRU TRADING S.R.L.

ROMANIA
ROMANIA
ROMANIA

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

PRF

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

ACTAVIS GROUP PTC EHF.

ISLANDA

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

ROMASTRU TRADING S.R.L.

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

ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-RF
TEVA PHARMACEUTICALS S.R.L.

ROMANIA

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

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 2 BLIST. PVC-PVDC/PVC-AL X 15 DRAJ. 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
SANDOZ GMBH

AUSTRIA
AUSTRIA

HOSPIRA UK LIMITED

MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,2ML SOL. INJ. SAU PERF.

BELGIA
BELGIA

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 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF.

MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF.

HOSPIRA UK LIMITED MAREA BRITANIE


AMGEN EUROPE B.V. OLANDA
AMGEN EUROPE B.V. OLANDA
ROCHE ROMANIA S.R.L. ROMANIA
ROCHE ROMANIA S.R.L. ROMANIA

SP EUROPE
SOL. INJ. PEN MULTIDOZA 30 milioane U.I. SP EUROPE
COMPR. FILM. 800mg
BAYER SCHERING PHARMA AG
CONC. PT. SOL. PERF. 300mg/5ml
ACTAVIS S.R.L.
CONC. PT. SOL. PERF. 60mg/ml
BAYER SCHERING PHARMA AG
CONC. PT. SOL. PERF. 15mg/ml
TORREX CHIESI PHARMA GMBH
SOL. INJ. PEN MULTIDOZA

P-6L

SANDOZ S.R.L.

TEVA PHARMACEUTICALS S.R.L.

300g/0,5ml HOSPIRA UK LIMITED


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

P-6L

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


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

ROMASTRU TRADING S.R.L.

SOL. INJ./PERF. 480mcg/0,8ml TEVA GENERICS GMBH GERMANIA


SOL. INJ./PERF.

Prescriptie

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


ROMANIA CUTIE X BLIST. PVC/AL X 20 COMPR. FILM.
UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM.

SOL. INJ./PERF. 300mcg/0,5ml TEVA GENERICS GMBH GERMANIA


SOL. INJ./PERF.

Ambalaj

P-RF
S/P-RF/R

P-RF

CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF.

S/P-RF/R

CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF.

P-RF

CUTIE CU 1 SERINGA PREUMPLUTA X 0,6ML SOL. INJ. IN BLISTER, CU PROTECTIE A ACULUI

PR

CUTIE X BLISTER X 1 SERINGA PREUMPLUTA X 0,6ML SOL. INJ.

P-RF/R

CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML + AC STERIL

S/P-RF

CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. + AC STERIL

S/P-RF

CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML SOL. INJ. + 12 ACE + 12 TAMPOANE DEZINFECTANTE

P-RF/R

CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML + 12 ACE + 12 TAMPOANE DEZINFECTANTE

P-RF/R

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


ROMANIA CUTIE X 1 FLAC. DIN STICLA X 5 ML S
FINLANDA CUTIE X 5 FIOLE X 5 ML
S/P-RF

AUSTRIA CUTIE X 1 FIOLA PE X 4 ML

Pagina 20 din 56

S/P-RF

cant/
amba
laj

30
20
28
28
28
30
30
10
14
28
30
30
28
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
1
1
1
1
5
1
5
1
5
1
1
1
1
1
1
60
1
5
1

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

113.17
115.31
93.05
95.76
106.54
257.32
165.03
72.53
101.54
199.46
317.16
228.64
166.18
257.01
215.13
316.11
228.64
258.15
228.64
255.82
473.58
255.63
255.37
154.58
176.84
201.50
183.67
201.62
183.66
183.66
200.35
185.49
183.66
201.38
201.62
310.19
267.05
436.57
162.10
260.91
418.45
214.16
1,001.12
355.90
1,656.30
3,307.67
3,307.67
69.15
150.08
415.25
673.78
636.75
20.75
154.06
361.86

3.772333
5.765500
3.323214
3.420000
3.805000
8.577333
5.501000
7.253000
7.252857
7.123571
10.572000
7.621333
5.935000
8.567000
7.171000
10.537000
7.621333
8.605000
7.621333
8.527333
15.786000
8.521000
8.512333
5.152666
5.894666
6.716666
6.122333
6.720666
6.122000
6.122000
6.678333
6.183000
6.122000
6.712666
6.720666
10.339666
267.050000
436.570000
162.100000
260.910000
83.690000
214.160000
200.224000
355.900000
331.260000
3,307.670000
3,307.670000
69.150000
150.080000
415.250000
673.780000
10.612500
20.750000
30.812000
361.860000

Pret cu ridicata
maximal de
decontare / U.T.

3.399857
3.399857
3.323214
3.399857
3.399857
6.601200
5.501000
6.601200
6.601200
6.601200
6.601200
6.601200
5.935000
6.601200
6.601200
6.601200
6.601200
6.601200
6.601200
6.601200
6.601200
6.601200
6.601200
5.152666
5.894666
6.183199
6.122333
6.183199
6.122000
6.122000
6.183199
6.183000
6.122000
6.183199
6.183199
6.183199
194.520000
313.092000
162.100000
260.910000
83.690000
194.520000
194.520000
313.092000
313.092000
3,307.670000
3,307.670000
69.150000
150.080000
415.250000
673.780000
10.612500
20.750000
24.900000
285.384000

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

138.16
140.77
117.65
121.08
130.06
314.14
201.47
91.71
123.96
243.50
383.85
279.12
202.87
313.76
262.63
382.71
279.12
315.15
279.12
312.30
554.35
312.07
311.75
188.71
215.89
245.99
224.23
246.14
224.21
224.21
244.59
226.45
224.21
245.85
246.14
376.26
326.02
514.01
197.89
318.52
494.26
261.45
1,129.37
426.08
1,843.52
3,643.51
3,643.51
87.43
183.22
490.77
772.57
732.21
28.04
188.08
432.58

4.605333
7.038500
4.201785
4.324285
4.645000
10.471333
6.715666
9.171000
8.854285
8.696428
12.795000
9.304000
7.245357
10.458666
8.754333
12.757000
9.304000
10.505000
9.304000
10.410000
18.478333
10.402333
10.391666
6.290333
7.196333
8.199666
7.474333
8.204666
7.473666
7.473666
8.153000
7.548333
7.473666
8.195000
8.204666
12.542000
326.020000
514.010000
197.890000
318.520000
98.852000
261.450000
225.874000
426.080000
368.704000
3,643.510000
3,643.510000
87.430000
183.220000
490.770000
772.570000
12.203500
28.040000
37.616000
432.580000

4.298570
4.298570
4.201785
4.298570
4.298570
8.058799
6.715666
8.058799
8.058799
8.058799
8.058799
8.058799
7.245357
8.058799
8.058799
8.058799
8.058799
8.058799
8.058799
8.058799
8.058799
8.058799
8.058799
6.290333
7.196333
7.548400
7.474333
7.548400
7.473666
7.473666
7.548400
7.548333
7.473666
7.548400
7.548400
7.548400
237.468000
382.224000
197.890000
318.520000
98.852000
237.468000
225.874000
382.224000
368.704000
3,643.510000
3,643.510000
87.430000
183.220000
490.770000
772.570000
12.203500
28.040000
33.648000
348.396000

Grupa
Nr.
terape
crt
utica
448
449
450
451
452
453
454
455
456
457
458
459
460
461
462
463
464
465
466
467
468
469
470
471
472
473
474
475
476
477

M05BA03
M05BA03
M05BA03
M05BA03
M05BA03
M05BA03
M05BA06
M05BA06
M05BA06
M05BA06
M05BA06
M05BA06
M05BA06
M05BA06
M05BA06
M05BA06
M05BA06
M05BA06
M05BA06
M05BA08
M05BA08

V03AF01
V03AF03
V03AF03
V03AF03
V03AF03
V03AF03
V03AF03
V03AF05
V03AF05

Denumire generica

ACIDUM PAMIDRONICUM**
ACIDUM PAMIDRONICUM**
ACIDUM PAMIDRONICUM**
ACIDUM PAMIDRONICUM**
ACIDUM PAMIDRONICUM**
ACIDUM PAMIDRONICUM**
ACIDUM IBANDRONICUM**
ACIDUM IBANDRONICUM**
ACIDUM IBANDRONICUM**
ACIDUM IBANDRONICUM**
ACIDUM IBANDRONICUM**
ACIDUM IBANDRONICUM**
ACIDUM IBANDRONICUM**
ACIDUM IBANDRONICUM**
ACIDUM IBANDRONICUM**
ACIDUM IBANDRONICUM**
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**

Denumire comerciala

PAMIDRONAT TORREX
PAMIDRONAT TORREX
PAMIDRONAT TORREX
PAMIRED 30
PAMIRED 60
AREDIA (R) 15 mg

Forma
Concentrati
farmaceutic
e / U.T.
a

LIOF. PT. SOL. PERF.

15mg/ml
15mg/ml
15mg/ml
30mg
60mg
15mg
150 mg
150mg
150mg
150mg
50 mg
50mg
50mg
50mg
6mg/6ml
6mg/6ml
3mg
3mg/3ml
1mg/1ml
4mg
5mg/100ml
400mg/4ml
15mg
10mg/ml
10mg/ml
3mg/ml
10mg/ml
10mg/ml
375mg
500mg

PULB. + SOLV. PT. SOL. INJ.

30mcg (6 mil. UI)

SOL. INJ.

44mcg
250mcg/ml
250mcg/ml
20mg/ml
20mg/ml
100mg
100mg
50mg
75mg

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.+ SOLV. PT. SOL. PERF.

ACID IBANDRONIC TEVA 150 mg COMPR. FILM.


MIRDEZEL 150 mg
COMPR. FILM.
BONVIVA 150mg
COMPR. FILM.
OSSICA 150 mg
COMPR. FILM.
ACID IBANDRONIC SANDOZ 50 mg COMPR. FILM.
HOLMEVIS 50 mg
COMPR. FILM.
IASIBON 50 mg
COMPR. FILM.
BONDRONAT 50mg
COMPR. FILM.

IASIBON 6mg/6ml
BONDRONAT 6mg/6ml
OSSICA 3 mg
OSAGRAND 3 mg/3 ml
BONVIVA 3mg/3ml
ZOMETA 4 mg
ACLASTA 5mg/100ml
UROMITEXAN (R) 400 mg

CONC. PT. SOL. PERF.


CONC. PT. SOL. PERF.
SOL INJ. IN SERINGA PREUMPLUTA

SOL. INJ.
SOL. INJ. IN SERINGA PREUMPLUTA

PULB. + SOLV. SOL. PERF.

SOL. PERF.
SOL. INJ.
CALCIUM FOLINAT "EBEWE" 15 mg CAPS.
FOLINAT DE CALCIU TEVA 10 mg/ml SOL. INJ.
FOLCASIN (R) 100 mg/10 ml SOL. INJ.
FOLCASIN (R) 30 mg/10 ml SOL. INJ.
CALCIUMFOLINAT "EBEWE" 10 mg/ml SOL. INJ./PERF.
CALCIUMFOLINAT "EBEWE" 10 mg/ml SOL. INJ./PERF.

ETHYOL
ETHYOL (R)

LIOF. PT. SOL. PERF.

Firma

TORREX CHIESI PHARMA GMBH


TORREX CHIESI PHARMA GMBH
TORREX CHIESI PHARMA GMBH

DR. REDDY'S LABORATORIES


DR. REDDY'S LABORATORIES

Tara

AUSTRIA CUTIE X 1 FIOLA PE X 2 ML


AUSTRIA CUTIE X 1 FIOLA PE X 1 ML
AUSTRIA CUTIE X 1 FIOLA PE X 6 ML
ROMANIA
ROMANIA

NOVARTIS PHARMA GMBH GERMANIA

TEVA PHARMA B.V. OLANDA


SANDOZ S.R.L.
ROMANIA
ROCHE REGISTRATION LTD.

Ambalaj

MAREA BRITANIE

GEDEON RICHTER PLC. UNGARIA


GERMANIA

Prescriptie

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

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 30 MG LIOF. PT. SOL. PERF. I.V.

S/P-RF

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 60 MG LIOF. PT. SOL. PERF. I.V.

S/P-RF

CUTIE X 4 FLAC. DIN STICLA X 15 MG LIOF. PT. SOL. PERF. + 4 FIOLE DIN STICLA X 5 ML SOLV.

S/P-RF

CUTIE CU BLIST. DIN PVC/ACLAR/PVC-AL X 1 COMPRIMAT FILMAT

P-RF

P6L
CUTIE X 1 COMPR. FILM.( BLIST. AL/AL) P-6L

CUTIE CU 1 BLIST. PA-AL-PVC/AL X 1 COMPR. FILM.

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


CUTIE CU BLIST. DIN PA/AL/PVC/AL CU 28 COMPRIMATE FILMATE

PR

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

PRF

PHARMATHEN S.A. GRECIA

CUTIE CU BLIST. PA/ALL/PVC/ALU X 28 COMPR. FILM

ROCHE REGISTRATION LTD.

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

SANDOZ PHARMACEUTICALS GMBH

EGIS PHARMACEUTICALS P.L.C.

UNGARIA

ZENTIVA K.S.

REPUBLICA CEHA CUTIE CU 1 FIOLA DIN STICLA INCOLORA X 3 ML SOL. INJ.

PR
S
PR
S
PR
PR

ROCHE REGISTRATION LTD.

MAREA BRITANIE CUTIE X 1 SERINGA PREUMPLUTA DIN STICLA X 3 ML SOL. INJ. + 1 AC

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.

BAXTER ONCOLOGY GMBH

GERMANIA

MAREA BRITANIE

PHARMATHEN S.A. GRECIA

CUTIE CU 1 FLAC. DIN STICLA X 6ML CONC. PT. SOL. PERF.

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 1 FLACON X 6 ML CONC. PT. SOL. PERF.

GEDEON RICHTER ROMANIA SA

ROMANIA

CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA A 3 ML SOL. INJ. + 1 AC PT. INJECTIE

EBEWE PHARMA GES.M.B.H. NFG KG

TEVA PHARMACEUTICALS S.R.L.

ACTAVIS 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

S
S
S

AUSTRIA CUTIE X1 FLAC. X 20 CAPS.


P-6L
ROMANIA CUTIE CU 1 FLAC. X 10 ML SOL. INJ. P-RF/S
ROMANIA CUTIE X 1 FLACON X 10 ML
S/P-RF
ROMANIA CUTIE X 1 FLACON X 10 ML
S/P-RF
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
4
1
1
1
1
28
28
28
28
1
1
1
1
1
1
1
15
20
1
1
1
5
5
5
3

185.79
110.73
529.92
152.87
237.82
595.85
65.80
46.80
105.93
57.19
519.62
637.16
629.47
964.08
596.39
901.37
196.40
232.02
354.51
1,098.45
1,399.70
44.87
29.11
29.50
29.47
13.53
142.16
50.23
2,002.65
1,883.14

185.790000
110.730000
529.920000
152.870000
237.820000
148.962500
65.800000
46.800000
105.930000
57.190000
18.557857
22.755714
22.481071
34.431428
596.390000
901.370000
196.400000
232.020000
354.510000
1,098.450000
1,399.700000
2.991333
1.455500
29.500000
29.470000
13.530000
28.432000
10.046000
400.530000
627.713333

183.444000
110.730000
529.920000
152.870000
237.820000
132.876000
56.160000
46.800000
56.160000
56.160000
18.557857
22.269428
22.269428
22.269428
596.390000
715.668000
196.400000
232.020000
235.680000
1,098.450000
1,399.700000
2.991333
1.455500
29.500000
29.470000
12.055200
28.432000
10.046000
400.530000
627.713333

226.81
135.18
615.76
186.63
290.33
687.63
83.20
61.21
129.32
72.31
604.54
732.65
724.27
1,089.00
688.22
1,020.64
239.77
283.25
424.57
1,235.46
1,563.83
58.69
38.08
38.59
38.55
18.29
173.55
63.51
2,221.04
2,090.77

226.810000
135.180000
615.760000
186.630000
290.330000
171.907500
83.200000
61.210000
129.320000
72.310000
21.590714
26.166071
25.866785
38.892857
688.220000
1,020.640000
239.770000
283.250000
424.570000
1,235.460000
1,563.830000
3.912666
1.904000
38.590000
38.550000
18.290000
34.710000
12.702000
444.208000
696.923333

223.956000
135.180000
615.760000
186.630000
290.330000
162.216000
73.452000
61.210000
73.452000
72.310000
21.590714
25.908857
25.866785
25.908857
688.220000
825.864000
239.770000
283.250000
287.724000
1,235.460000
1,563.830000
3.912666
1.904000
38.590000
38.550000
15.242400
34.710000
12.702000
444.208000
696.923333

4
12
15
15
28
1
50
100
100
100

3,085.23
4,183.50
3,506.14
3,301.14
3,083.08
6,951.95
42.34
83.19
63.98
62.39

771.307500
348.625000
233.742666
220.076000
110.110000
6,951.950000
0.846800
0.831900
0.639800
0.623900

771.307500
348.625000
233.742666
220.076000
110.110000
6,951.950000
0.846800
0.831900
0.639800
0.623900

3,401.05
4,598.17
3,859.85
3,636.40
3,398.71
7,615.78
55.38
105.18
80.90
78.89

850.262500
383.180833
257.323333
242.426666
121.382500
7,615.780000
1.107600
1.051800
0.809000
0.788900

850.262500
383.180833
257.323333
242.426666
121.382500
7,615.780000
1.107600
1.051800
0.809000
0.788900

5
1
5
5
5

90.98
43.32
95.98
99.04
137.54

18.196000
43.320000
19.196000
19.808000
27.508000

18.196000
43.320000
19.196000
19.808000
27.508000

115.03
56.66
121.36
125.23
167.91

23.006000
56.660000
24.272000
25.046000
33.582000

23.006000
56.660000
24.272000
25.046000
33.582000

cant/
amba
laj

Pret cu ridicata
maximal de
decontare / U.T.

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

P4: PROGRAMUL NATIONAL DE BOLI NEUROLOGICE


Subprogramul de tratament al sclerozei multiple
1
2
3
4
5
6
7
8
9
10

L03AB07
L03AB07
L03AB08
L03AB08
L03AX13
L04AA23
L04AX01
L04AX01
L04AX01
L04AX01

INTERFERONUM BETA 1A****


INTERFERONUM BETA 1A****
INTERFERONUM BETA 1-B****
INTERFERONUM BETA 1-B****
GLATIRAMER ACETAT****
NATALIZUMABUM****
AZATHIOPRINUM*
AZATHIOPRINUM*
AZATHIOPRINUM*
AZATHIOPRINUM*

AVONEX 30 mcg BIO-SET


REBIF 44 micrograme
EXTAVIA 250 mcg/ ml
BETAFERON 250mcg/ml
COPAXONE
TYSABRI 300mg
IMMUNOPRIN 100 mg
IMMUNOPRIN 100 mg
IMURAN (R)
IMMUNOPRIN 75 mg

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

SOL. INJ.
CONC. PT. SOL. PERF.

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

BIOGEN IDEC LIMITED


SERONO EUROPE LTD.
NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X (1 FLAC. DIN STICLA X 30 MCG PULBERE + 1 SERINGA PRE-UMPLUTA + 1 ML SOLV. + 4 FIOLE PREVAZUT

P-RF/R

MAREA BRITANIE

CUTIE X 12 SERINGI PREUMPLUTE X 0,5ML SOL. INJ.

P-RF/R

MAREA BRITANIE CUTIE X 15 FLAC. CU PULBERE + 15 SERINGI PREUMPLUTE CU SOLVENT

P-RF/R

BAYER SCHERING AG GERMANIA


TEVA PHARMACEUTICALS S.R.L. ROMANIA

CUTIE X 15 AMBALAJE MULTIPLE CE CONTIN FIECARE CATE 1 FLAC. CU PULB., O SERINGA PREUMPLUTA CU SOLV.

P-RF/P

CUTIE X 28 BLIST. PVC X 1 SERINGA PREUMPLUTA X 1 ML PREVAZUTA CU AC FIX

S/P-RF

EBEWE PHARMA GES.M.B.H. NFG KG

IRLANDA CUTIE X 1 FLAC. X 15ML CONC. PT. SOL. PERF S


AUSTRIA CUTIE CU 1 FLAC. PEID X 50 COMPR. FILM. PR
AUSTRIA CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM. PR

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

LILLY FRANCE SAS FRANTA CUTIE X 5 CARTUSE X 3 ML SOL. INJ.


LILLY FRANCE SAS FRANTA CUTIE X 1 FLAC. X 10 ML SOL. INJ.

P-RF

ELAN PHARMA INTERNATIONAL LTD


EBEWE PHARMA GES.M.B.H. NFG KG

P5: PROGRAMUL NATIONAL DE DIABET ZAHARAT


Tratamentul medicamentos al bolnavilor cu diabet zaharat
1
2
3
4
5

A10AB01
A10AB01
A10AB01
A10AB01
A10AB01

INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE

HUMULIN R
HUMULIN R
INSUMAN RAPID 100UI/ml

SOL. INJ.
SOL. INJ.
SOL. INJ. IN CARTUS

ACTRAPID PENFILL 100 UI/ml

SOL. INJ. IN CARTUS

INSUMAN RAPID 100UI/ml

SOL. INJ. IN FLACON

100UI/ml
100UI/ml
100UI/ml
100UI/ml
100UI/ml

P-RF

SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMANIA

NOVO NORDISK A/S

DANEMARCA

CUTIE X 5 CARTUSE X 3 ML SOL. INJ.

P-RF

SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMANIA

CUTIE X 5 FLACOANE DIN STICLA INCOLORA X 5 ML SOL. INJ.

P-RF

CUTIE X 5 CARTUSE DIN STICLA INCOLORA X 3 ML SOL. INJ. P-RF

Pagina 21 din 56

Grupa
Nr.
terape
crt
utica
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60

A10AB01
A10AB01
A10AB04
A10AB04
A10AB05
A10AB06
A10AB06
A10AB06
A10AC01
A10AC01
A10AC01
A10AC01
A10AC01
A10AC01
A10AC04
A10AD01
A10AD01
A10AD01
A10AD01
A10AD01
A10AD01
A10AD01
A10AD01
A10AD01
A10AD04
A10AD04
A10AD04
A10AD04
A10AD05
A10AE04
A10AE04
A10AE04
A10AE04
A10AE05
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02

Denumire generica

INSULINE UMANE
INSULINE UMANE
INSULINUM LISPRO**
INSULINUM LISPRO**
INSULINUM ASPART**
INSULINUM GLULIZINA**
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
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

Denumire comerciala

Forma
Concentrati
farmaceutic
e / U.T.
a

INSUMAN RAPID 100 UI/ml OPTISET

SOL. INJ. IN STILOU INJECTOR PREUMPLUT

INSUMAN RAPID 100 UI/ml SoloStar

SOL. INJ. IN STILOU INJECTOR PREUMPLUT

HUMALOG 100 U/ml

SOL. INJ.

HUMALOG KWIKPEN100U/ml SOL. INJ.


NOVORAPID PENFILL 100 U/ml

SOL. INJ. IN CARTUS

APIDRA 100U/ml
APIDRA 100U/ml
APIDRA 100U/ml
HUMULIN N
HUMULIN N
INSUMAN BASAL 100UI/ml
INSUMAN BASAL 100UI/ml

SOL. INJ. IN CARTUS


SOL. INJ. IN FLACON
SOL. INJ. IN STILOU INJECTOR PREUMPLUT

SUSP. INJ.
SUSP. INJ.
SUSP. INJ. IN CARTUS
SUSP. INJ. IN FLACON

INSUMAN BASAL 100UI/ml SoloStar

SUSP. INJ. IN STILOU INJECTOR PREUMPLUT

INSUMAN BASAL 100UI/ml OPTISET

SUSP. INJ. IN STILOU INJECTOR PREUMPLUT

HUMALOG BASAL KWIKPEN 100U/ml

HUMULIN M3
HUMULIN M3
INSUMAN COMB 25 100UI/ml
INSUMAN COMB 50 100UI/ml

SUSP. INJ.
SUSP. INJ.
SUSP. INJ.
SUSP. INJ. IN CARTUS
SUSP. INJ. IN CARTUS

MIXTARD 30 PENFILL 100 UI/ml

SUSP. INJ. IN CARTUS

INSUMAN COMB 25 100UI/ml

SUSP. INJ. IN FLACON

INSUMAN COMB 25 100UI/ml OPTISET

SUSP. INJ. IN STILOU INJECTOR PREUMPLUT

INSUMAN COMB 25 100UI/ml SoloStar

SUSP. INJ. IN STILOU INJECTOR PREUMPLUT

INSUMAN COMB 50 100UI/ml OPTISET

SUSP. INJ. IN STILOU INJECTOR PREUMPLUT

HUMALOG MIX25

HUMALOG MIX50

SUSP. INJ.
SUSP. INJ.
SUSP. INJ.
SUSP. INJ.

NOVOMIX 30 PENFILL 100 U/ml

SUSP. INJ. IN CARTUS

HUMALOG MIX25 KWIKPEN 100U/ml


HUMALOG MIX50 KWIKPEN 100U/ml

LANTUS 100UI/ml
LANTUS 100UI/ml
LANTUS OptiSet
LANTUS SoloStar
LEVEMIR PENFILL 100 U/ml

SOL. INJ. IN CARTUS


SOL. INJ. IN FLACON
SOL. INJ. IN STILOU INJECTOR PREUMPLUT

SOL. INJ. IN STILOU INJECTOR PREUMPLUT

SOL. INJ. IN CARTUS

METFORMIN ARENA 1000 MG COMPR.


METFORMIN ARENA 1000 MG COMPR.

METFORMIN ARENA 500 MG COMPR.


METFORMIN ARENA 850 MG COMPR.
GLUCOPHAGE XR
COMPR. ELIB. PREL.
GLUCOPHAGE XR
COMPR. ELIB. PREL.
METFORMIN BLUEFISH 1000 mg COMPR. FILM.
METFOGAMMA 1000mg
COMPR. FILM.
SIOFOR 1000
COMPR. FILM.
GLUCOPHAGE 1000 mg
COMPR. FILM.
METFORMIN AUROBINDO 1000 mg COMPR. FILM.
METFORMIN AUROBINDO 1000 mg COMPR. FILM.
SERDENIS 1000 mg
COMPR. FILM.
SERDENIS 1000 mg
COMPR. FILM.
SERDENIS 1000 mg
COMPR. FILM.
METFORMIN AUROBINDO 500 mg COMPR. FILM.
METFORMIN-TEVA 500 mg COMPR. FILM.
DIPIMET 500 mg
COMPR. FILM.
METFORMIN BLUEFISH 500 mg COMPR. FILM.
METFORMIN BLUEFISH 500 mg COMPR. FILM.
METFORMIN LPH (R) 500 mg COMPR. FILM.

100UI/ml
100UI/ml
100U/ml
100U/ml
100Uml
100U/ml
100U/ml
100U/ml
100UI/ml
100UI/ml
100UI/ml
100UI/ml
100UI/ml
100UI/ml
100U/ml
100ui/ml
100ui/ml
100UI/ml
100UI/ml
100UI/ml
100UI/ml
100UI/ml
100UI/ml
100UI/ml
100U/ml
100U/ml
100U/ml
100U/ml
100U/ml
100UI/ml
100UI/ml
100UI/ml
100UI/ml
100U/ml
1000mg
1000mg
500mg
850mg
500mg
500mg
1000mg
1000mg
1000mg
1000mg
1000mg
1000mg
1000mg
1000mg
1000mg
500mg
500mg
500mg
500mg
500mg
500mg

Firma

Tara

Ambalaj

SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMANIA

CUTIE X 5 STILOURI INJECTOARE X 1 CARTUS DIN STICLA INCOLORA X 3 ML SOL. INJ.

SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMANIA

CUTIE X 5 STILOURI INJECTOARE X 1 CARTUS DIN STICLA INCOLORA X 3 ML SOL. INJ.

ELI LILLY NEDERLAND BV


ELI LILLY NEDERLAND BV

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


OLANDA CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PRE-UMPLUTE X 3 ML SOL. INJ.

NOVO NORDISK A/S

DANEMARCA

SANOFI - AVENTIS DEUTSCHLAND GMBH

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

SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMANIA CUTIE X 1 FLACON X 10 ML SOL. INJ.

SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMANIA

LILLY FRANCE SAS FRANTA


LILLY FRANCE SAS FRANTA

CUTIE X 5 CARTUSE X 3 ML SOL. INJ.

CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE (SOLOSTAR) X 3 ML SOL. INJ.

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


CUTIE X 5 CARTUSE DIN STICLA INCOLORA X 3 ML SUSP. INJ.

SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMANIA

CUTIE X 5 CARTUSE DIN STICLA INCOLORA X 3 ML SUSP. INJ.

SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMANIA

CUTIE X 5 FLACOANE DIN STICLA INCOLORA X 5 ML SUSP. INJ.

SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMANIA

CUTIE X 5 STILOURI INJECTOARE X 1 CARTUS DIN STICLA INCOLORA X 3 ML SUSP. INJ.

SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMANIA

CUTIE X 5 STILOURI INJECTOARE X 1 CARTUS DIN STICLA INCOLORA X 3 ML SUSP. INJ.

OLANDA
LILLY FRANCE S.A.S FRANTA
LILLY FRANCE S.A.S FRANTA

ELI LILLY NEDERLAND BV

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


CUTIE X 1 FLACON DIN STICLA INCOLORA X 10 ML SUSP. INJ.
CUTIE X 5 CARTUSE DIN STICLA INCOLORA X 3 ML SUSP. INJ.

SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMANIA

CUTIE X 5 CARTUSE DIN STICLA INCOLORA X 3 ML SUSP. INJ.

SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMANIA

CUTIE X 5 CARTUSE DIN STICLA INCOLORA X 3 ML SUSP. INJ.

NOVO NORDISK A/S

DANEMARCA

CUTIE X 5 CARTUSE X 3 ML SUSP. INJ.

SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMANIA

CUTIE X 5 FLACOANE DIN STICLA INCOLORA X 5 ML SUSP. INJ.

SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMANIA

CUTIE X 5 STILOURI INJECTOARE X 1 CARTUS DIN STICLA INCOLORA X 3 ML SUSP. INJ.

SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMANIA

CUTIE X 5 STILOURI INJECTOARE X 1 CARTUS DIN STICLA INCOLORA X 3 ML SUSP. INJ.

SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMANIA

CUTIE X 5 STILOURI INJECTOARE X 1 CARTUS DIN STICLA INCOLORA X 3 ML SUSP. INJ.

ELI LILLY NEDERLAND BV

ELI LILLY NEDERLAND BV

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


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

ELI LILLY NEDERLAND BV


ELI LILLY NEDERLAND BV

NOVO NORDISK A/S

DANEMARCA

SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMANIA CUTIE X 5 CARTUSE DIN STICLA X 3 ML SOL. INJ.

SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMANIA CUTIE X 1 FLACON DIN STICLA X 10 ML SOL. INJ.

SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMANIA

CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE X 3 ML

SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMANIA

CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE X 3 ML

NOVO NORDISK A/S


ARENA GROUP S.A.
ARENA GROUP S.A.
ARENA GROUP SA
ARENA GROUP SA

DANEMARCA

CUTIE X 5 CARTUSE X 3 ML

ROMANIA
ROMANIA
ROMANIA
ROMANIA

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

MERCK SANTE S.A.S. FRANTA


MERCK SANTE S.A.S. FRANTA

CUTIE X 5 CARTUSE X 3 ML SUSP. INJ.

FLACON DIN PE X 200 COMPR.


CUTIE X 1 FLAC. DIN PE X 60 COMPR.
CUTIE X 3 BLIST. AL/PVC X 5 COMPR.
CUTIE X 2 BLIST. AL/PVC-PVDC X 15 COMPR. ELIB. PREL.
CUTIE X 3 BLIST. AL/PVC-PVDC X 10 COMPR. ELIB. PREL.

BLUEFISH PHARMACEUTICALS AB

SUEDIA

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 8 BLIST. AL/PVC X 15 COMPR. FILM

BERLIN CHEMIE AG MENARINI GROUP

GERMANIA CUTIE X 4 BLIST. PVC/AL X 15 COMPR. FILM.

CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM.

MERCK SANTE

FRANTA

CUTIE CU BLIST. PVC/AL X 60 COMPR. FILM.

AUROBINDO PHARMA LIMITED

MAREA BRITANIE

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

AUROBINDO PHARMA LIMITED

MAREA BRITANIE

CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM.

ROMASTRU TRADING S.R.L.

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

ROMASTRU TRADING S.R.L.

ROMANIA
ROMANIA
ROMANIA

AUROBINDO PHARMA LIMITED

MAREA BRITANIE

CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM.

TEVA PHARMACEUTICAL S.R.L.

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


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

ROMASTRU TRADING S.R.L.

ANTIBIOTICE SA
BLUEFISH PHARMACEUTICALS AB
BLUEFISH PHARMACEUTICALS AB

SUEDIA
SUEDIA

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


CUTIE CU 9 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

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


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

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

Pagina 22 din 56

Prescriptie

cant/
amba
laj

5
5
P-RF
5
P-RF
5
P-RF
5
P-RF
5
P-RF
1
P-RF
5
P-RF
1
P-RF
5
P-RF
5
P-RF
5
P-RF
5
P-RF
5
P-RF
5
P-RF
1
P-RF
5
P-RF
5
P-RF
5
P-RF
5
P-RF
5
P-RF
5
P-RF
5
P-RF
5
P-RF
5
P-RF
5
P-RF
5
P-RF
5
P-RF
5
P-RF
5
P-RF
1
P-RF
5
P-RF
5
P-RF
5
P-RF
50
P-RF/S
200
P-RF
60
P-RF
15
P-RF
30
P-RF
30
P-6L
60
P-RF/S
120
P-RF
60
P-6L
60
P-6L
30
P-6L
60
P6L
30
P6L
60
P6L
90
P-6L
60
P-RF
60
P-RF
30
P-6L
20
P-6L
30
P-RF
30
P-RF
P-RF

Pret cu
ridicata
maximal /
ambalaj

95.98
113.08
128.96
156.50
130.56
130.56
79.27
130.56
43.32
90.98
99.01
137.54
113.08
134.25
156.50
43.32
90.98
99.01
99.01
105.07
137.54
95.98
113.08
134.25
136.03
156.50
156.50
134.73
140.58
224.93
153.99
224.93
224.93
245.54
6.30
25.16
3.58
1.69
11.34
11.34
12.24
15.93
13.42
20.74
6.64
13.28
6.75
13.50
20.25
5.10
4.08
2.85
1.38
2.07
2.95

Pret cu ridicata
maximal / U.T.

19.196000
22.616000
25.792000
31.300000
26.112000
26.112000
79.270000
26.112000
43.320000
18.196000
19.802000
27.508000
22.616000
26.850000
31.300000
43.320000
18.196000
19.802000
19.802000
21.014000
27.508000
19.196000
22.616000
26.850000
27.206000
31.300000
31.300000
26.946000
28.116000
44.986000
153.990000
44.986000
44.986000
49.108000
0.126000
0.125800
0.059666
0.112666
0.378000
0.378000
0.204000
0.132750
0.223666
0.345666
0.221333
0.221333
0.225000
0.225000
0.225000
0.085000
0.068000
0.095000
0.069000
0.069000
0.098333

Pret cu ridicata
maximal de
decontare / U.T.

19.196000
21.835200
25.792000
30.950400
26.112000
26.112000
79.270000
26.112000
43.320000
18.196000
19.802000
27.508000
21.835200
21.835200
31.300000
43.320000
18.196000
19.802000
19.802000
21.014000
27.508000
19.196000
21.835200
21.835200
27.206000
31.300000
31.300000
26.946000
28.116000
44.986000
153.990000
44.986000
44.986000
49.108000
0.126000
0.125800
0.059666
0.112666
0.071599
0.071599
0.150960
0.132750
0.150960
0.150960
0.150960
0.150960
0.150960
0.150960
0.150960
0.071599
0.068000
0.071599
0.069000
0.069000
0.071599

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

121.36
138.05
157.44
191.06
159.39
159.39
100.23
159.39
56.66
115.03
125.19
167.91
138.05
163.89
191.06
56.66
115.03
125.19
125.19
128.27
167.91
121.36
138.05
163.89
166.07
191.06
191.06
164.48
171.62
274.59
187.99
274.59
274.59
299.76
8.52
32.91
4.84
2.28
15.33
15.33
16.55
21.53
18.14
28.03
8.98
17.95
9.12
18.24
27.37
6.89
5.52
3.85
1.86
2.80
3.99

24.272000
27.610000
31.488000
38.212000
31.878000
31.878000
100.230000
31.878000
56.660000
23.006000
25.038000
33.582000
27.610000
32.778000
38.212000
56.660000
23.006000
25.038000
25.038000
25.654000
33.582000
24.272000
27.610000
32.778000
33.214000
38.212000
38.212000
32.896000
34.324000
54.918000
187.990000
54.918000
54.918000
59.952000
0.170400
0.164550
0.080666
0.152000
0.511000
0.511000
0.275833
0.179416
0.302333
0.467166
0.299333
0.299166
0.304000
0.304000
0.304111
0.114833
0.092000
0.128333
0.093000
0.093333
0.133000

24.272000
27.607200
31.488000
37.785600
31.878000
31.878000
100.230000
31.878000
56.660000
23.006000
25.038000
33.582000
27.607200
27.607200
38.212000
56.660000
23.006000
25.038000
25.038000
25.654000
33.582000
24.272000
27.607200
27.607200
33.214000
38.212000
38.212000
32.896000
34.324000
54.918000
187.990000
54.918000
54.918000
59.952000
0.170400
0.164550
0.080666
0.152000
0.096799
0.096799
0.197460
0.179416
0.197460
0.197460
0.197460
0.197460
0.197460
0.197460
0.197460
0.096799
0.092000
0.096799
0.093000
0.093333
0.096799

Grupa
Nr.
terape
crt
utica
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115

A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA03
A10BA03
A10BB01
A10BB01
A10BB01
A10BB01
A10BB01
A10BB01
A10BB01
A10BB01
A10BB01
A10BB01
A10BB01
A10BB01
A10BB01
A10BB07
A10BB07
A10BB07
A10BB07
A10BB08
A10BB09
A10BB09
A10BB09
A10BB09
A10BB09
A10BB09
A10BB09
A10BB09
A10BB09
A10BB09
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12

Denumire generica

METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
BUFORMINUM
BUFORMINUM
GLIBENCLAMIDUM
GLIBENCLAMIDUM
GLIBENCLAMIDUM
GLIBENCLAMIDUM
GLIBENCLAMIDUM
GLIBENCLAMIDUM
GLIBENCLAMIDUM
GLIBENCLAMIDUM
GLIBENCLAMIDUM
GLIBENCLAMIDUM
GLIBENCLAMIDUM
GLIBENCLAMIDUM
GLIBENCLAMIDUM
GLIPIZIDUM
GLIPIZIDUM
GLIPIZIDUM
GLIPIZIDUM
GLIQUIDONUM
GLICLAZIDUM
GLICLAZIDUM
GLICLAZIDUM
GLICLAZIDUM
GLICLAZIDUM
GLICLAZIDUM
GLICLAZIDUM
GLICLAZIDUM
GLICLAZIDUM
GLICLAZIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM

Denumire comerciala

MEGUAN (R) 500 mg

Forma
Concentrati
farmaceutic
e / U.T.
a
COMPR. FILM. 500mg

METFORMIN AUROBINDO 500 mg COMPR. FILM.

SIOFOR 850 mg

COMPR. FILM.

METFORMIN AUROBINDO 850 mg COMPR. FILM.

GLUCOPHAGE 850 mg
MEGUAN (R) 850 mg
METFORMIN AUROBINDO 850 mg

METFORMIN-TEVA 850 mg
METFORMIN BLUEFISH 850 mg

METFORMIN LPH (R) 850 mg


METFOGAMMA 850
METFORMIN BLUEFISH 850 mg
METFORMIN BLUEFISH 850 mg
METFORMIN BLUEFISH 850 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.

SERDENIS 850 mg
SERDENIS 850 mg
SERDENIS 850 mg
SILUBIN RETARD
DRAJ. RET.
SILUBIN RETARD
DRAJ. RET.
GLIBENCLAMID ATB 1,75 MG COMPR.
GLIBENCLAMID ARENA 1,75 mg COMPR.
GLIBENCLAMID ARENA 1,75 mg COMPR.
MANINIL 1,75 mg
COMPR.
GLIBENCLAMID LPH 1,75 mg COMPR.
GLIBENCLAMID ARENA 1,75 mg COMPR.
GLIBENCLAMID ARENA 3,5 mg COMPR.
GLIBENCLAMID ARENA 3,5 mg COMPR.
MANINIL 3,5 mg
COMPR.
GLIBENCLAMID ATB 3,5 MG COMPR.
GLIBENCLAMID ARENA 3,5 mg COMPR.
GLIBENCLAMID LPH 3,5 mg COMPR.
GLIBENCLAMID ARENA 5 mg COMPR.
GLIPIZIDA ATB 5mg
COMPR.
GLIPIZID LPH 5 mg
COMPR.
GLUCOTROL XL 10 mg
COMPR. FILM. ELIB. MODIF.
GLUCOTROL XL 5mg
COMPR. FILM. ELIB. MODIF.
GLURENORM
COMPR.
DIABREZIDE
COMPR.
ESQUEL (R) 80 mg
COMPR.
GLICLAZID LPH
COMPR.
ADOZID MR 30 mg
DIAPREL MR
COMPR. ELIB. MODIF.
DIAPREL MR 60 mg
COMPR. ELIB. MODIF.
GLYCLADA 30 mg
COMPR. ELIB. PREL.
GLYCLADA 30 mg
COMPR. ELIB. PREL.
GLICLAZID MR LPH 30 mg COMPR. ELIB. PREL.
COMPR. CU ELIBERARE PRELUNGITA

GLICLAZIDA EP ANTIBIOTICE 30 mg

COMPR. ELIB. PREL.

TINERIL 4 mg
AMYX 1
GLIMEPIRIDA ATB 1 mg
GLIMERAN 1 mg
GLIMEPIRID LPH 1 mg
TINERIL 1 mg
GLIMEPIRIDA ACCORD 1 mg
MEGLIMID 1 mg

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

500mg
850mg
850mg
850mg
850mg
850mg
850mg
850mg
850mg
850mg
850mg
850mg
850mg
850mg
850mg
850mg
100mg
100mg
1,75 mg
1,75mg
1,75mg
1,75mg
1,75mg
1,75mg
3,5mg
3,5mg
3,5mg
3,5mg
3,5mg
3,5mg
5mg
5mg
5mg
10mg
5mg
30mg
80mg
80mg
80mg
30mg
30mg
60mg
30mg
30mg
30mg
30mg
4mg
1 mg
1mg
1mg
1mg
1mg
1mg
1mg

Firma

Tara

Ambalaj

Prescriptie

cant/
amba
laj

20
30
BERLIN-CHEMIE AG (MENARINI GROUP) GERMANIA CUTIE CU 4 BLIST. AL/PVC X 15 COMPR. FILM. P-6L
60
AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. P-6L
60
MERCK SANTE
FRANTA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. FILM. P-RF/S 100
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.
P-RF
20
AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L
30
TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.
P-RF
60
BLUEFISH PHARMACEUTICALS AB SUEDIA
CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. P-6L
60
LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
30
WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 12 BLIST. AL/PVC X 10 COMPR. FILM. P-RF/S
120
BLUEFISH PHARMACEUTICALS AB SUEDIA
CUTIE CU BLIST. PVC-PVDC/AL X 20 COMPR. FILM. P-6L
20
BLUEFISH PHARMACEUTICALS AB SUEDIA
CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L
30
BLUEFISH PHARMACEUTICALS AB SUEDIA
CUTIE CU BLIST. PVC-PVDC/AL X 100 COMPR. FILM. P-6L 100
ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P6L
30
ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P6L
60
ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 9 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P6L
90
DITA IMPORT EXPORT SRL ROMANIA CUTIE X 4 BLLIST. X 15 DRAJ.RET. P-RF
60
PHARMAFARM S.A. ROMANIA CUTIE X 4 BLLIST. X 15 DRAJ.RET. P-RF
60
ANTIBIOTICE S.A.
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF
30
ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 COMPR. P-RF/S 1000
ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF
30
BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 1 FLAC. X 120 COMPR.
P-RF/S
120
LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 20 COMPR. P-RF
60
ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. PEID X 100 COMPR. P-RF/S 100
ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF
30
ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 COMPR. P-RF/S 1000
BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 1 FLAC. X 120 COMPR.
P-RF/S
120
ANTIBIOTICE S.A.
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF
30
ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. PEID X 100 COMPR. P-RF/S 100
LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 20 COMPR. P-RF
60
ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF
30
ANTIBIOTICE S.A.
ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. P-6L
30
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF
30
PFIZER EUROPE MA EEIG MAREA BRITANIE
P-RF
30
PFIZER EUROPE MA EEIG MAREA BRITANIE
P-RF
30
GERMANIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. P-RF
60
L. MOLTENI
ITALIA
CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 20 COMPR. P-RF
40
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. X 15 COMPR.
P-RF
30
LABORMED PHARMA SA ROMANIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. P-RF
60
LABORMED PHARMA S.A. ROMANIA CUTIE CU 3 BLIST. PVC/AL X 20 COMPR. CU ELIB. PRELUNGITA P-6L
60
LES LABORATOIRES SERVIER FRANTA CUTIE X 2 BLIST. X 30 COMPR. ELIB. MODIF. P-RF
60
LES LABORATOIRES SERVIER FRANTA CUTIE CU BLIST. PVC/AL X 60 COMPR. CU ELIB. MODIF. P-RF
60
KRKA
SLOVENIA CUTIE X 6 BLIST. PVC/AL X 10 COMPR. CU ELIB. PREL. P-6L
60
KRKA
SLOVENIA CUTIE X 4 BLIST. PVC/AL X 15 COMPR. CU ELIB. PREL. P-6L
60
LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 20 COMPR. ELIB. PREL. P-RF
60
ANTIBIOTICE S.A.
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. ELIB. PREL. P-RF
30
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF
30
ZENTIVA A.S.
SLOVACIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-RF
30
ANTIBIOTICE S.A.
ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. P-RF
30
RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF
30
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF
30
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF
30
ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L
30
KRKA D.D.
SLOVENIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF
30
GEDEON RICHTER ROMANIA SA

ROMANIA

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

AUROBINDO PHARMA LIMITED

MAREA BRITANIE

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

CUTIE X 1 FLAC. DIN PEID, PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII X 30 COMPR. FILM. CU E

CUTIE X 1 FLAC. DIN PEID PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII X 30 COMPR. FILM. CU EL

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

Pagina 23 din 56

P-RF

Pret cu
ridicata
maximal /
ambalaj

3.24
2.55
13.45
7.18
18.70
5.65
3.60
5.82
6.59
3.65
13.54
2.19
3.28
10.96
3.64
7.27
10.90
14.14
14.14
1.41
55.56
1.52
8.75
3.11
8.60
4.15
76.44
6.34
1.01
10.64
2.26
4.24
11.49
11.49
35.35
17.67
20.38
9.71
9.71
13.12
12.13
18.67
34.89
12.10
12.10
12.16
6.02
10.64
3.10
3.08
2.36
3.10
3.10
3.06
6.73

Pret cu ridicata
maximal / U.T.

0.162000
0.085000
0.224166
0.119666
0.187000
0.282500
0.120000
0.097000
0.109833
0.121666
0.112833
0.109500
0.109333
0.109600
0.121333
0.121166
0.121111
0.235666
0.235666
0.047000
0.055560
0.050666
0.072916
0.051833
0.086000
0.138333
0.076440
0.052833
0.033666
0.106400
0.037666
0.141333
0.383000
0.383000
1.178333
0.589000
0.339666
0.242750
0.323666
0.218666
0.202166
0.311166
0.581500
0.201666
0.201666
0.202666
0.200666
0.354666
0.103333
0.102666
0.078666
0.103333
0.103333
0.102000
0.224333

Pret cu ridicata
maximal de
decontare / U.T.

0.071599
0.071599
0.116400
0.116400
0.116400
0.116400
0.116400
0.097000
0.109833
0.116400
0.112833
0.109500
0.109333
0.109600
0.116400
0.116400
0.116400
0.235666
0.235666
0.047000
0.055560
0.050666
0.060799
0.051833
0.060799
0.040399
0.040399
0.040399
0.033666
0.040399
0.037666
0.141333
0.383000
0.383000
1.178333
0.459600
0.339666
0.242750
0.262399
0.218666
0.202166
0.240799
0.581500
0.201666
0.201666
0.202666
0.200666
0.311200
0.094399
0.094399
0.078666
0.094399
0.094399
0.094399
0.094399

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

4.38
3.45
18.18
9.71
25.27
7.64
4.87
7.87
8.91
4.93
18.30
2.96
4.44
14.82
4.92
9.82
14.73
19.11
19.11
1.91
70.25
2.05
11.82
4.21
11.62
5.61
96.65
8.57
1.37
14.38
3.05
5.73
15.53
15.53
46.24
23.88
27.55
13.13
13.13
17.73
16.39
25.24
45.64
16.36
16.36
16.43
8.14
14.38
4.19
4.16
3.19
4.19
4.19
4.14
9.09

0.219000
0.115000
0.303000
0.161833
0.252700
0.382000
0.162333
0.131166
0.148500
0.164333
0.152500
0.148000
0.148000
0.148200
0.164000
0.163666
0.163666
0.318500
0.318500
0.063666
0.070250
0.068333
0.098500
0.070166
0.116200
0.187000
0.096650
0.071416
0.045666
0.143800
0.050833
0.191000
0.517666
0.517666
1.541333
0.796000
0.459166
0.328250
0.437666
0.295500
0.273166
0.420666
0.760666
0.272666
0.272666
0.273833
0.271333
0.479333
0.139666
0.138666
0.106333
0.139666
0.139666
0.138000
0.303000

0.096799
0.096799
0.157399
0.157399
0.157399
0.157399
0.157399
0.131166
0.148500
0.157399
0.152500
0.148000
0.148000
0.148200
0.157399
0.157399
0.157399
0.318500
0.318500
0.063666
0.070250
0.068333
0.082000
0.070166
0.082000
0.054799
0.054799
0.054799
0.045666
0.054799
0.050833
0.191000
0.517666
0.517666
1.541333
0.621199
0.459166
0.328250
0.354600
0.295500
0.273166
0.325600
0.760666
0.272666
0.272666
0.273833
0.271333
0.420799
0.127600
0.127600
0.106333
0.127600
0.127600
0.127600
0.127600

Grupa
Nr.
terape
crt
utica
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170

A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12

Denumire generica

GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM

A10BD02 COMBINATII (METFORMINUM+GLIBENCLAMIDUM)


A10BD02 COMBINATII (METFORMINUM+GLIBENCLAMIDUM)
A10BD02 COMBINATII(GLIBENCLAMIDUM+METFORMINUM)
A10BD02 COMBINATII(GLIBENCLAMIDUM+METFORMINUM)
A10BD02 COMBINATII(GLIBENCLAMIDUM+METFORMINUM)
A10BD02 COMBINATII(GLIBENCLAMIDUM+METFORMINUM)
A10BD05 COMBINATII ( PIOGLITAZONUM + METFORMINUM)***

A10BF01
A10BF01
A10BG03
A10BG03
A10BG03
A10BG03
A10BG03
A10BG03

A10BH01

A10BX02
A10BX02
A10BX02
A10BX02
A10BX02
A10BX02
A10BX02
A10BX02
A10BX02
A10BX02

ACARBOSUM
ACARBOSUM
PIOGLITAZONUM***
PIOGLITAZONUM***
PIOGLITAZONUM***
PIOGLITAZONUM***
PIOGLITAZONUM***
PIOGLITAZONUM***
SITAGLIPTINUM***
REPAGLINIDUM
REPAGLINIDUM
REPAGLINIDUM
REPAGLINIDUM
REPAGLINIDUM
REPAGLINIDUM
REPAGLINIDUM
REPAGLINIDUM
REPAGLINIDUM
REPAGLINIDUM

Denumire comerciala

AMARYL 1mg
GLIMERAN 1 mg
GLIMEPIRIDA ACCORD 2 mg
GLIMEPIRIDE 2 mg
TINERIL 2 mg
GLIMERAN 2 mg
GLIMERAN 2 mg
MEGLIMID 2 mg
GLIMEPIRIDA ATB 2 mg
AMARYL 2 mg
GLIMEPIRID LPH 2 mg
AMYX 2
GLIMEPIRIDE 3 mg
TINERIL 3 mg
GLIMERAN 3 mg
GLIMEPIRIDA ATB 3 mg
AMARYL 3 mg
AMYX 3
GLIMEPIRID LPH 3 mg
GLIMERAN 3 mg
GLIMEPIRIDA ACCORD 3 mg
MEGLIMID 3 mg
GLIMEPIRIDA ATB 4 mg
GLIMERAN 4 mg
AMARYL 4 mg
AMYX 4
GLIMEPIRIDA ACCORD 4mg
GLIMERAN 4 mg
AMARYL 6 mg
BIDIAB 400 mg/2,5 mg
BIDIAB 400 mg/2,5 mg
GLIBOMET (R)
GLIFORMIN

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

1mg
1mg
2mg
2mg
2mg
2mg
2mg
2mg
2mg
2mg
2mg
2mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
4mg
4mg
4mg
4mg
4mg
4mg
6mg

Firma

100mg
50mg
15mg
15mg
30mg
30mg
45mg
45mg
100mg
0,5 mg
0,5mg
0,5mg
0,5mg
0,5mg
1 mg
1mg
1mg
1mg
1mg

Prescriptie

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

P-RF

RANBAXY UK LIMITED

MAREA BRITANIE

CUTIE X 1 FLACON DIN PEID X 30 COMPR.

P-RF

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

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

ACTAVIS GROUP HF. ISLANDA CUTIE X 2 BLIST. AL/PVC X 15 COMPR.


GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR.

P-RF

RANBAXY UK LIMITED
RANBAXY UK LIMITED

KRKA D.D.
ANTIBIOTICE S.A.
SANOFI-AVENTIS ROMANIA S.R.L.

LABORMED PHARMA SA

ZENTIVA A.S.
ACTAVIS GROUP HF.
GEDEON RICHTER ROMANIA SA

RANBAXY UK LIMITED

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

ZENTIVA A.S.
LABORMED PHARMA SA

RANBAXY UK LIMITED

P-RF

MAREA BRITANIE

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

P-RF

MAREA BRITANIE

CUTIE X 1 FLACON DIN PEID X 30 COMPR.

P-RF

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


ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR.
ROMANIA CUTIE CU BLIST. AL/PVC X 30 COMPR.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR.
SLOVACIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR.
ISLANDA CUTIE X 2 BLIST. AL/PVC X 15 COMPR.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR.
MAREA BRITANIE CUTIE X 1 FLACON DIN PEID X 30 COMPR.
ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR.
ROMANIA CUTIE CU BLIST. AL/PVC X 30 COMPR.
SLOVACIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR.
MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

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

KRKA D.D.
ANTIBIOTICE S.A.

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


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

P-RF

RANBAXY UK LIMITED

MAREA BRITANIE

P-RF

SANOFI-AVENTIS ROMANIA S.R.L.

CUTIE X 3 BLIST AL/PVC X 10 COMPR.


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

ZENTIVA A.S.

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

P-RF

P-RF

P-RF

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

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

RANBAXY UK LIMITED

CUTIE X 1 FLACON DIN PEID X 30 COMPR.

SANOFI-AVENTIS ROMANIA S.R.L.

TAKEDA GLOBAL RESEARCH AND DEVELOPMENT CENTRE LTD

COMPR.
COMPR.
PIOGLITAZONA TORRENT 15 mg COMPR.
ACTOS 15mg
COMPR.
PIOGLITAZONA TORRENT 30 mg COMPR.
ACTOS 30mg
COMPR.
PIOGLITAZONA TORRENT 45 mg COMPR.
ACTOS 45mg
COMPR.
JANUVIA 100mg
COMPR. FILM.
RENEOS 0,5 mg
COMPR.
REPAGLINIDA FARMAL 0,5 mg COMPR.
REPAGLINIDA FARMAL 0,5 mg COMPR.
REPAGLINIDA FARMAL 0,5 mg COMPR.
REPAGLINIDA FARMAL 0,5 mg COMPR.
RENEOS 1 mg
COMPR.
REPAGLINIDA FARMAL 1 mg COMPR.
REPAGLINIDA FARMAL 1 mg COMPR.
REPAGLINIDA FARMAL 1 mg COMPR.
REPAGLINIDA FARMAL 1 mg COMPR.

Ambalaj

SANOFI-AVENTIS ROMANIA S.R.L.

400mg+2,5mg ARENA GROUP SA


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

GLUCOBAY (R) 100


GLUCOBAY (R) 50

Tara

MAREA BRITANIE

P-RF

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


ROMANIA CUTIE X 100 BLIST. AL/PVC X 5 CAPS.
ROMANIA CUTIE X 4 BLIST. AL/PVC X 5 CAPS.

P-RF/S

ITALIA

CUTIE X 3 BLIST. X 20 COMPR. FILM.

P-RF

ROMANIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

FRANTA CUTIE X 4 BLIST. X 15 COMPR. FILM.


FRANTA CUTIE X 4 BLIST. X 15 COMPR. FILM.

P-RF

CUTIE X 56 COMPR. FILM. ( BLIST. AL/AL )

P-RF

MAREA BRITANIE

P-RF

P-RF

P-RF

CUTIE X 8 BLIST. AL/PP X 15 COMPR. P-RF


BAYER HEALTHCARE AG GERMANIA CUTIE X 8 BLIST. AL/PP X 15 COMPR. P-RF
TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC-AL X 30 COMPR. PRF
BAYER HEALTHCARE AG GERMANIA

TAKEDA GLOBAL RESEARCH AND DEVELOPMENT CENTRE LTD

MAREA BRITANIE

CUTIE X 28 COMPR. (BLIST. AL/AL)

P-RF

TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC-AL X 30 COMPR.

PRF

CUTIE X 28 COMPR.(BLIST. AL/AL)

P-RF

TAKEDA GLOBAL RESEARCH AND DEVELOPMENT CENTRE LTD

MAREA BRITANIE

TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC-AL X 30 COMPR.

PRF

MAREA BRITANIE

CUTIE X 28 COMPR.(BLIST. AL/AL)

P-RF

MERCK SHARP & DOHME

MAREA BRITANIE

CUTIE X 28 COMPR. FILM. (BLIST. PVC/PE/PVDC/AL)

P-RF

ZENTIVA K.S.

REPUBLICA SLOVACA

CUTIE CU BLIST. OPA-AL-PVC/AL X 90 COMPR. PRF

TAKEDA GLOBAL RESEARCH AND DEVELOPMENT CENTRE LTD

FARMAL INTERNATIONAL S.R.L.

ROMANIA
ROMANIA
ROMANIA
ROMANIA

ZENTIVA K.S.

REPUBLICA SLOVACA

FARMAL INTERNATIONAL S.R.L.


FARMAL INTERNATIONAL S.R.L.
FARMAL INTERNATIONAL S.R.L.

FARMAL INTERNATIONAL S.R.L.


FARMAL INTERNATIONAL S.R.L.
FARMAL INTERNATIONAL S.R.L.
FARMAL INTERNATIONAL S.R.L.

ROMANIA
ROMANIA
ROMANIA
ROMANIA

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

P-RF

CUTIE CU BLIST. AL/AL X 90 COMPR. FILM.

P-RF

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


CUTIE CU BLIST. AL/AL X 120 COMPR. FILM. P-RF
CUTIE CU BLIST. OPA-AL-PVC/AL X 90 COMPR. PRF

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

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

P-RF

CUTIE CU BLIST. AL/AL X 90 COMPR. FILM.

P-RF

CUTIE CU BLIST. AL/AL X 120 COMPR. FILM. P-RF

Pagina 24 din 56

cant/
amba
laj

30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
500
20
60
60
60
60
56
120
120
30
28
30
28
30
28
28
90
30
90
270
120
90
270
30
90
120

Pret cu
ridicata
maximal /
ambalaj

3.64
2.36
5.36
3.97
5.37
3.97
3.97
13.35
5.08
6.10
5.37
5.37
7.35
10.01
7.35
9.43
11.31
10.01
10.01
7.35
9.94
18.49
10.62
7.78
11.97
10.64
10.64
7.78
19.08
178.17
7.63
19.06
19.06
20.43
20.43
159.72
67.50
48.67
69.84
100.29
107.02
150.92
143.75
206.41
160.75
45.59
15.20
45.59
131.98
59.73
59.40
175.06
20.15
59.40
79.22

Pret cu ridicata
maximal / U.T.

0.121333
0.078666
0.178666
0.132333
0.179000
0.132333
0.132333
0.445000
0.169333
0.203333
0.179000
0.179000
0.245000
0.333666
0.245000
0.314333
0.377000
0.333666
0.333666
0.245000
0.331333
0.616333
0.354000
0.259333
0.399000
0.354666
0.354666
0.259333
0.636000
0.356340
0.381500
0.317666
0.317666
0.340500
0.340500
2.852142
0.562500
0.405583
2.328000
3.581785
3.567333
5.390000
4.791666
7.371785
5.741071
0.506555
0.506666
0.506555
0.488814
0.497750
0.660000
0.648370
0.671666
0.660000
0.660166

Pret cu ridicata
maximal de
decontare / U.T.

0.094399
0.078666
0.158800
0.132333
0.158800
0.132333
0.132333
0.158800
0.158800
0.158800
0.158800
0.158800
0.245000
0.294000
0.245000
0.294000
0.294000
0.294000
0.294000
0.245000
0.294000
0.294000
0.311200
0.259333
0.311200
0.311200
0.311200
0.259333
0.636000
0.356340
0.381199
0.317666
0.317666
0.340500
0.340500
2.852142
0.562500
0.405583
2.328000
2.793600
3.567333
4.280800
4.791666
5.749999
5.741071
0.506555
0.506666
0.506555
0.488814
0.497750
0.660000
0.648370
0.671666
0.660000
0.660166

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

4.92
3.19
7.24
5.36
7.26
5.36
5.36
18.04
6.87
8.24
7.26
7.26
9.94
13.53
9.94
12.74
15.28
13.53
13.53
9.94
13.44
24.99
14.36
10.52
16.18
14.38
14.38
10.52
25.79
217.51
10.31
25.76
25.76
27.61
27.61
194.99
85.35
63.66
88.30
122.43
130.65
184.24
175.49
251.99
196.24
59.63
20.54
59.63
161.12
75.52
75.11
213.71
27.24
75.11
100.16

0.164000
0.106333
0.241333
0.178666
0.242000
0.178666
0.178666
0.601333
0.229000
0.274666
0.242000
0.242000
0.331333
0.451000
0.331333
0.424666
0.509333
0.451000
0.451000
0.331333
0.448000
0.833000
0.478666
0.350666
0.539333
0.479333
0.479333
0.350666
0.859666
0.435020
0.515500
0.429333
0.429333
0.460166
0.460166
3.481964
0.711250
0.530500
2.943333
4.372500
4.355000
6.580000
5.849666
8.999642
7.008571
0.662555
0.684666
0.662555
0.596740
0.629333
0.834555
0.791518
0.908000
0.834555
0.834666

0.127600
0.106333
0.214399
0.178666
0.214399
0.178666
0.178666
0.214399
0.214399
0.214399
0.214399
0.214399
0.331333
0.397600
0.331333
0.397600
0.397600
0.397600
0.397600
0.331333
0.397600
0.397600
0.420799
0.350666
0.420799
0.420799
0.420799
0.350666
0.859666
0.435020
0.515200
0.429333
0.429333
0.460166
0.460166
3.481964
0.711250
0.530500
2.943333
3.532000
4.355000
5.226000
5.849666
7.019599
7.008571
0.662555
0.684666
0.662555
0.596740
0.629333
0.834555
0.791518
0.908000
0.834555
0.834666

Grupa
Nr.
terape
crt
utica
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192

A10BX02
A10BX02
A10BX02
A10BX02
A10BX02
A10BX04
A10BX04
A10BX04
A11DA03
A11DA03
A11DBN1
A11DBN1
A11DBN1
A11DBN1
A11DBN1
A11DBN1
A11DBN1
A11DBN1
A11DBN1

B03BA51
B03BA51
B03BA51

Denumire generica

REPAGLINIDUM
REPAGLINIDUM
REPAGLINIDUM
REPAGLINIDUM
REPAGLINIDUM
EXENATIDUM***
EXENATIDUM***
EXENATIDUM***
BENFOTIAMINUM
BENFOTIAMINUM
COMBINATII**
COMBINATII**
COMBINATII**
COMBINATII**
COMBINATII**
COMBINATII**
COMBINATII**
COMBINATII**
COMBINATII**
COMBINATII**
COMBINATII**
COMBINATII**

Denumire comerciala

RENEOS 2 mg
REPAGLINIDA FARMAL 2 mg
REPAGLINIDA FARMAL 2 mg
REPAGLINIDA FARMAL 2 mg
REPAGLINIDA FARMAL 2 mg
BYDUREON 2 mg
BYETTA 10mcg/doza
BYETTA 5mcg/doza
BENFOGAMMA
BENFOGAMMA
MILGAMMA (R) N
MILGAMMA (R) N
MILGAMMA (R) N
MILGAMMA (R) 100
MILGAMMA (R) 100
MILGAMMA (R) 100
MILGAMMA (R) N
MILGAMMA (R) N
MILGAMMA (R) NA

Forma
Concentrati
farmaceutic
e / U.T.
a
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL.

SOL. INJ. IN STILOU INJECTOR PREUMPLUT

SOL. INJ. IN STILOU INJECTOR PREUMPLUT

DRAJ.
DRAJ.
CAPS. MOI
CAPS. MOI
CAPS. MOI
DRAJ.
DRAJ.
DRAJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
MILGAMMA (R) (vezi B03BA51) DRAJ.
MILGAMMA (R) (vezi B03BA51) DRAJ.
MILGAMMA (R) (vezi B03BA51) DRAJ.

Tara

Firma

2 mg
ZENTIVA K.S.
2mg
FARMAL INTERNATIONAL S.R.L.
2mg
FARMAL INTERNATIONAL S.R.L.
2mg
FARMAL INTERNATIONAL S.R.L.
2mg
FARMAL INTERNATIONAL S.R.L.
2 mg
ELI LILLY NEDERLAND BV
10mcg/doza ELI LILLY NEDERLAND BV
5mcg/doza ELI LILLY NEDERLAND BV
50mg
WORWAG PHARMA GMBH & CO. KG
50mg
WORWAG PHARMA GMBH & CO. KG

Ambalaj

Prescriptie

REPUBLICA SLOVACA

CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 90 COMPR.

PRF

ROMANIA
ROMANIA
ROMANIA
ROMANIA

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

P-RF

CUTIE CU BLIST. AL/AL X 90 COMPR. FILM.

P-RF

OLANDA
OLANDA
OLANDA

CUTIE CU BLIST. AL/AL X 120 COMPR. FILM. P-RF


CUTIE CU BLIST. AL/AL X 270 COMPR. FILM. P-RF
AMBALAJ CU 4 X 1 DISPOZITIV DE ADMINISTRAREA UNICA (1FL X2MG PULB.+1SERINGA PREUMPLUTAX0,65ML SOLVEN

PRF

CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT (60 DOZE)

P-RF

CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT (60 DOZE)

P-RF

GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 20 DRAJ. P-6L


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

FARA CONCENTRATIE

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 2 BLIST. PVC/PVDC X 10 CAPS. MOI P-6L

FARA CONCENTRATIE

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 10 BLIST. PVC/PVDC X 10 CAPS. MOI P-6L

FARA CONCENTRATIE

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 5 BLIST. PVC/PVDC X 10 CAPS. MOI P-6L

FARA CONCENTRATIE

WORWAG PHARMA GMBH & CO. KG

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

FARA CONCENTRATIE

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 4 BLIST. PVC-PVDC/AL X 25 DRAJ. P-6L

FARA CONCENTRATIE

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 4 BLIST. PVC-PVDC/AL X 15 DRAJ. P-6L

FARA CONCENTRATIE

WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE X 25 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 2 ML

P-RF

FARA CONCENTRATIE

WORWAG PHARMA GMBH & CO. KG

GERMANIA

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

P-RF

FARA CONCENTRATIE

WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE X 5 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 1 ML

P-RF

FARA CONCENTRATIE

WORWAG PHARMA GMBH & CO. KG

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

FARA CONCENTRATIE

WORWAG PHARMA GMBH & CO. KG

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

FARA CONCENTRATIE

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 5 BLIST. PVC/PVDC X 10 DRAJ. P-6L

cant/
amba
laj

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

90
30
90
120
270
4
1
1
100
50
20
100
50
30
100
60
25
5
5
100
20
50

72.61
24.64
72.61
96.81
213.89
468.95
393.64
336.72
39.86
21.25
15.00
66.70
35.84
38.12
113.93
71.14
66.08
13.70
13.70
66.70
15.00
35.84

0.806777
0.821333
0.806777
0.806750
0.792185
117.237500
393.640000
336.720000
0.398600
0.425000
0.750000
0.667000
0.716800
1.270666
1.139300
1.185666
2.643200
2.740000
2.740000
0.667000
0.750000
0.716800

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

1,475.99
375.37
753.00
1,765.78
463.88
897.84
1,419.30
377.32
724.65
2,441.69
4,853.37
632.91
1,235.86
2,301.15
597.46
1,165.59
3,035.05
2,630.24
4,766.25
5,541.15
718.85
1,608.75
1,396.36
6,345.00
781.26
9,502.50
2,766.50
1,407.44

1,475.990000
375.370000
753.000000
1,765.780000
463.880000
897.840000
1,419.300000
377.320000
724.650000
2,441.690000
4,853.370000
632.910000
1,235.860000
2,301.150000
597.460000
1,165.590000
3,035.050000
2,630.240000
4,766.250000
5,541.150000
718.850000
1,608.750000
1,396.360000
6,345.000000
781.260000
9,502.500000
2,766.500000
1,407.440000

Pret cu ridicata
maximal de
decontare / U.T.

0.806777
0.821333
0.806777
0.806750
0.792185
117.237500
393.640000
336.720000
0.398600
0.425000
0.750000
0.667000
0.716800
1.270666
1.139300
1.185666
2.643200
2.740000
2.740000
0.667000
0.750000
0.716800

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

91.81
33.30
91.81
122.41
261.12
549.31
467.22
405.17
52.14
28.72
20.28
84.34
46.88
49.86
139.08
89.95
83.55
18.52
18.52
84.34
20.28
46.88

1.020111
1.110000
1.020111
1.020083
0.967111
137.327500
467.220000
405.170000
0.521400
0.574400
1.014000
0.843400
0.937600
1.662000
1.390800
1.499166
3.342000
3.704000
3.704000
0.843400
1.014000
0.937600

1.020111
1.110000
1.020111
1.020083
0.967111
137.327500
467.220000
405.170000
0.521400
0.574400
1.012080
0.843400
0.937600
1.662000
1.390800
1.499166
3.342000
3.704000
3.704000
0.843400
1.012080
0.937600

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.1: HEMOFILIE SI TALASEMIE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28

B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02

FACTOR VIII DE COAGULARE**


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**

HAEMOCTIN SDH 1000


HAEMOCTIN SDH 250
HAEMOCTIN SDH 500
FANHDI 100ui/ml
FANHDI 25 ui/ml
FANHDI 50 ui/ml
OCTANATE 100 UI/ml
OCTANATE 50 UI/ml
OCTANATE 50 UI/ml
REFACTO 1000UI
REFACTO 2000UI
REFACTO 250UI
REFACTO 500UI
RECOMBINATE 1000 UI
RECOMBINATE 250 UI
RECOMBINATE 500 UI
ADVATE 1000UI
KOGENATE BAYER 1000UI
ADVATE 1500UI
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

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. + 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.

100UI/ml
50UI/ml
50UI/ml
1000ui
250ui
500ui
100 UI/ml
50 UI/ml
50 UI/ml
1000 UI
2000 UI
250 UI
500 UI
1000UI
250UI
500UI
1000UI
1000UI
1500UI
2000UI
250UI
500 UI
500UI
2000 UI
250 UI
3000 UI
1000 U/20 ml
500 U/20ml

BIOTEST PHARMA GMBH GERMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. + 1 FLAC. DIN STICLA INCOLORA CU 10 ML S

P-PR

BIOTEST PHARMA GMBH GERMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. + 1 FLAC. DIN STICLA INCOLORA CU 5 ML SO

P-PR

BIOTEST PHARMA GMBH GERMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. + 1 FLAC. DIN STICLA INCOLORA CU 10 ML S

P-PR

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.

S
S
S
PR
PR
PR

MAREA BRITANIE

CUTIE X 1 FLAC.CU PULB. + 1 SERINGA PREUMPL. X 4 ML SOLV + 1 ADAPTOR + 2 TAMP.CU ALCOOL + 1 SET STER

P-RF/R

MAREA BRITANIE

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

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

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

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

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

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

AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA

AUSTRIA

BAYER HEALTHCARE AG GERMANIA

BAXTER AG
BAXTER AG
BAXTER AG
BAXTER AG
BAXTER AG

AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA

CUTIE X 1 FLAC. CU PULB. X 1 SERINGA PREUMPLUTA X 10 ML SOLV. + 1 CANULA + 2 TAMPOANE CU ALCOOL

CUTIE X 1 FLAC. CU PULB. X 1 SERINGA PREUMPLUTA X 10 ML SOLVENT + 1 CANULA + 2 TAMPOANE ALCOOL

CUTIE X 1 FLAC. CU PULB. X 1 SERINGA PREUMPLUTA X 10 ML SOLV. + 1 CANULA + 2 TAMPOANE CU ALCOOL

CUTIE X 1 FLAC. LIOF. + 1 FLAC. SOLV. + 1 TRUSA DE RECONSTITUIRE SI ADM.


CUTIE X 1 FLAC. LIOF. + 1 FLAC. SOLV. + 1 TRUSA MEDICALA PT. RECONSTITUIRE SI ADM.

Pagina 25 din 56

S
S

1,475.990000 1,646.98 1,646.980000 1,646.980000


375.370000
447.30
447.300000
447.300000
753.000000
858.92
858.920000
858.920000
1,765.780000 1,962.85 1,962.850000 1,962.850000
463.880000
543.78
543.780000
543.780000
897.840000 1,016.80 1,016.800000 1,016.800000
1,419.300000 1,585.19 1,585.190000 1,585.190000
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

Grupa
Nr.
terape
crt
utica
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50

Denumire generica

B02BD04

FACTOR IX DE COAGULARE**
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
B02BD04

B02BD08
B02BD08
V03AC01
V03AC03
V03AC03
V03AC03

Denumire comerciala

Forma
Concentrati
farmaceutic
e / U.T.
a

OCTANINE F 250
LIOF. + SOLV. PT. SOL. PERF. 250 UI
OCTANINE F 1000 UI
PULB. + SOLV. PT. SOL. PERF.
1000UI
OCTANINE F 500 UI
PULB. + SOLV. SOL. PERF. 500 UI
IMMUNINE 1200 UI
1200UI
IMMUNINE 600 UI
600UI
BENEFIX 1000UI
PULB+SOLV.PT.SOL.INJ 1000UI
BENEFIX 2000UI
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
500UI+1200UI
WILATE 450 U.I./400 U.I.
PULB+SOLV. PT. SOL. INJ. 450U.I./400U.I.
WILATE 900 U.I./800 U.I.
PULB+SOLV. PT. SOL. INJ. 900U.I./800U.I.
NOVOSEVEN 2mg (100 KUI) PULB. + SOLV. PT. SOL. INJ. 100 KIU
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.

Firma

Tara

OCTAPHARMA (IP) LIMITED

MAREA BRITANIE

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA A 30 ML CU LIOF. + 1 FLAC. X 5 ML SOLV. + 1 SERIN

OCTAPHARMA (IP) LTD.


OCTAPHARMA (IP) LTD.

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

BAXTER AG
BAXTER AG

AUSTRIA
AUSTRIA

WYETH
WYETH
WYETH
WYETH

EUROPA LTD
EUROPA LTD
EUROPA LTD
EUROPA LTD

CUTIE X 1 FLAC. PULB. PT. SOL. INJ./ PERF. + 1 FLAC. X 5 ML SOLV. + 1 SET DE RECONSTITUIRE SI ADMIN

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

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


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

CSL BEHRING GMBH GERMANIA

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

Prescriptie

S
S
S
S
S

BAXTER AG
BAXTER AG
BAXTER AG

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

Ambalaj

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

CUTIE X 1 FLAC. DIN STICLA INCOLORA A 30 ML CU LIOF. + 1 FLAC. X 10 ML SOLV. + 1 SET DE RECONSTIT.

P-RF

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

OCTAPHARMA (IP) LTD.


OCTAPHARMA (IP) LTD.

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. + SOLV. + DISPOZITIV PT. RECONSTITUIRE S

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. + SOLV. + DISPOZITIV PT. RECONSTITUIRE S

S
S

NOVO NORDISK A/S


NOVO NORDISK A/S
NOVO NORDISK A/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. RECONSTITUIRE

P-RF/R

DANEMARCA

CUTIE X 1 FLAC. PULB. PT. SOL. INJ. + 1 FLAC. SOLV. PT. RECONSTITUIRE

P-RF/R

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/
amba
laj

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

Pret cu ridicata
maximal de
decontare / U.T.

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

1
492.34
492.340000
492.340000
574.80
574.800000
574.800000
1 1,629.80 1,629.800000 1,629.800000 1,814.63 1,814.630000 1,814.630000
1
829.90
829.900000
829.900000
942.74
942.740000
942.740000
1 1,586.83 1,586.830000 1,586.830000 1,767.79 1,767.790000 1,767.790000
1
891.90
891.900000
891.900000 1,010.32 1,010.320000 1,010.320000
1 2,519.23 2,519.230000 2,519.230000 2,784.11 2,784.110000 2,784.110000
1 5,008.46 5,008.460000 5,008.460000 5,497.37 5,497.370000 5,497.370000
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
110.64
11.064000
11.064000
135.07
13.507000
13.507000
28
687.54
24.555000
24.555000
787.57
28.127500
28.127500
28 1,461.36
52.191428
52.191428 1,631.03
58.251071
58.251071
28 2,660.12
95.004285
95.004285 2,937.68
104.917142
104.917142

P6: 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

D06BA01

ACITRETINUM
TETRACYCLINUM
ACIDUM FUSIDICUM
ACIDUM FUSIDICUM
SULFADIAZINUM

D07CA01

COMBINATII (ACIDUM FUSIDICUM+HYDROCORTISONUM)

D07CC01

D07CC01

COMBINATII
COMBINATII
COMBINATII
COMBINATII

FUCIDIN 20 mg/g
FUCIDIN 20 mg/g
FLAMMAZINE
FUCIDIN H
DIPROGENTA (R)
TRIDERM (R)
DIPROGENTA (R)
TRIDERM

D07CC01

COMBINATII (ACIDUM FUSIDICUM+ BETAMETHASONUM)

FUCICORT 20 mg/1mg pe gram

J01AA07

TETRACYCLINUM
TETRACYCLINUM
TETRACYCLINUM
TETRACYCLINUM
PHENYTOINUM
PHENYTOINUM

TETRACICLINA ATB 250 mg


TETRACICLINA 250 mg

D05BB02
D06AA04
D06AX01
D06AX01

D07CC01
D07CC01

J01AA07
J01AA07
J01AA07
N03AB02
N03AB02

NEOTIGASON 10 mg

CAPS.

TETRACICLINA CLORHIDRAT UNGUENT

TETRACICLINA ARENA 250 mg


TETRACICLINA ARENA 250 mg

FENITOINA RICHTER 100 mg


PHENHYDAN 250 mg/5 ml

CREMA
UNGUENT
CREMA
CREMA
CREMA
CREMA
UNGUENT
UNGUENT
CREMA
CAPS.
CAPS.
CAPS.
CAPS.
COMPR.
SOL. INJ.

10mg
3%
20mg/g
20mg/g
1%

ACTAVIS GROUP PTC EHF.

ISLANDA

ANTIBIOTICE SA

P-RF

LEO PHARMACEUTICAL PRODUCTS

ROMANIA CUTIE X 1 TUB X 12 G


DANEMARCA CUTIE X 1 TUB DIN AL X 15 G CREMA

LEO PHARMACEUTICAL PRODUCTS

DANEMARCA

CUTIE X 1 TUB DIN AL X 15 G UNGUENT

P-RF

CN UNIFARM

ROMANIA BORCAN X 500 G CREMA


PRF
DANEMARCA CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF

FARA CONCENTRATIE

LEO PHARMACEUTICAL PRODUCTS

0,5mg/1mg pe gram

SCHERING PLOUGH EUROPE

FARA CONCENTRATIE

SCHERING PLOUGH EUROPE

0,5mg/1mg pe gram

SCHERING PLOUGH EUROPE

FARA CONCENTRATIE

SCHERING PLOUGH EUROPE

BELGIA
BELGIA
BELGIA
BELGIA

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


P-RF

CUTIE X 1 TUB X 15 G
CUTIE X 1 TUB AL X 15 G
CUTIE X 1 TUB X 15 G

P-RF

CUTIE X 1 TUB DIN AL X 15 G UNGUENT

P-RF

P-RF
P-RF

20mg/1mg pe gram LEO PHARMACEUTICAL PRODUCTS

DANEMARCA

250mg
250mg
250mg
250mg
100mg
250mg/5ml

GEDEON RICHTER ROMANIA SA

CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF


ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 CAPS. PRF
ROMANIA CUTIE X 2 BLIST. X 10 CAPS.
P-RF
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF
ROMANIA CUTIE X 50 BLIST. AL/PVC X 10 CAPS. P-RF/S
ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
P-6L

DESITIN ARZNEIMITTEL GMBH

GERMANIA

ANTIBIOTICE S.A.
ANTIBIOTICE SA
ARENA GROUP SA
ARENA GROUP SA

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

30
1
1
1
1
1
1
1
1
1
1
20
20
20
500
20
5

59.11
4.85
11.24
11.24
83.51
16.08
9.26
11.28
9.26
11.28
17.62
4.79
2.35
2.21
52.21
2.05
53.57

1.970333
4.850000
11.240000
11.240000
83.510000
16.080000
9.260000
11.280000
9.260000
11.280000
17.620000
0.239500
0.117500
0.110500
0.104420
0.102500
10.714000

56
56
90

9,529.79
9,200.67
1,873.53

170.174821
164.297678
20.817000

1.970333
4.850000
11.240000
11.240000
83.510000
16.080000
9.260000
11.280000
9.260000
11.280000
17.620000
0.125304
0.117500
0.110500
0.104420
0.102500
10.714000

74.74
6.56
15.19
15.19
105.59
21.74
12.51
15.24
12.51
15.24
23.82
6.47
3.17
2.99
66.02
2.77
67.73

2.491333
6.560000
15.190000
15.190000
105.590000
21.740000
12.510000
15.240000
12.510000
15.240000
23.820000
0.323500
0.158500
0.149500
0.132040
0.138500
13.546000

2.491333
6.560000
15.190000
15.190000
105.590000
21.740000
12.510000
15.240000
12.510000
15.240000
23.820000
0.158448
0.158448
0.149500
0.132040
0.138500
13.546000

170.174821 10,425.63
164.297678 10,066.89
20.817000 2,080.30

186.171964
179.765892
23.114444

186.171964
179.765892
23.114444

P6: 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.

Pagina 26 din 56

Grupa
Nr.
terape
crt
utica

Denumire generica

Denumire comerciala

Forma
Concentrati
farmaceutic
e / U.T.
a

Tara

Firma

Ambalaj

Prescriptie

cant/
amba
laj

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

Pret cu ridicata
maximal de
decontare / U.T.

Pret cu
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
P6.4: MUCOVISCIDOZA
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35

A09AA02
A09AA02
A09AA02
A09AA02
A09AA02

J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01GB01
R05CB13

PANCREATINUM**
PANCREATINUM**
PANCREATINUM**
PANCREATINUM**
PANCREATINUM**
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
TOBRAMYCINUM**
DORNAZA ALFA**

MEZYM FORTE 25000


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

CAPS. CU MINI-COMPR. GASTROREZ.

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

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

COMPR. FILM. ELIB. PREL.


COMPR. FILM. ELIB. PREL.

GRAN. PT. SUSP. ORALA


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

LIOF. PT. SOL. PERF.

SOL. INHAL.
SOL. INHAL.

356,100mg
150mg
300mg
400mg
400mg
250mg
250mg
250mg
250mg
250mg
250mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
125mg/5ml
125mg/5ml
125mg/5ml
125mg/5ml
125mg/5ml
125mg/5ml
250mg/5ml
250mg/5ml
250mg/5ml
250mg/5ml
500mg
300mg/5ml
1mg/ml

BERLIN CHEMIE AG (MENARINI GROUP)

GERMANIA

SOLVAY PHARMACEUTICALS BV

GERMANIA FLACON DIN PEID CU 20 CAPS. GASTROREZ. OTC

SOLVAY PHARMACEUTICALS BV

GERMANIA FLACON DIN PEID CU 20 CAPS. GASTROREZ. OTC

CUTIE X 1 FLACON DIN PP X 20 CAPS. CU MINI-COMPR. GASTROREZ.

ABBOTT PRODUCTS GMBH GERMANIA CUTIE X UN FLACON DIN PEID CU 50 CAPS. GASTROREZ.
SOLVAY PHARMACEUTICALS BV

OTC

P-6L

GERMANIA FLACON DIN PEID CU 50 CAPS. GASTROREZ. P-6L

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

P-RF

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

P-RF

MEDICAROM GROUP S.R.L.

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

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

ANTIBIOTICE S.A.
ROMANIA
MEDOCHEMIE LTD. CIPRU

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


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

P-RF

LEK PHARMACEUTICALS D.D.

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

P-RF

TERAPIA SA
TERAPIA SA

ROMANIA
ROMANIA

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

P-RF

CUTIE X 1 BLIST. PVC/PVDC-AL X 7 COMPR. FILM. ELIB. PREL.

P-RF

LEK PHARMACEUTICALS D.D.

CUTIE X 1 FOLIE AL/AL X 7 COMPR. FILM. ELIB. MODIF. 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
TERAPIA SA
SANDOZ SRL
ABBOTT SPA
ABBOTT SPA
KRKA D.D.
TERAPIA SA
TERAPIA SA
SANDOZ SRL
SANDOZ SRL

SLOVENIA

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. ELIB. PREL.

P-RF

CUTIE X 1 FLAC. DIN PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA

P-RF

CUTIE X 1 FLAC. DIN PEID X 70 G GRAN. PT. 100 ML SUSP . ORALA

P-RF

CUTIE X 1 FLAC. PEID CU 41 G GRANULE PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE PP

P-RF

CUTIE X 1 FLACON PEID CU GRANULE PT. 100 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML

P-RF

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

P-RF

ABBOTT LABORATORIES LTD.

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

ROMANIA
ROMANIA
ROMANIA

ITALIA
ITALIA

CUTIE X 1 FOLIE AL/AL X 5 COMPR. FILM. ELIB. MODIF. P-RF

SLOVENIA CUTIE X 1 FLAC. PULB. PT. 60 ML SUSP.

P-RF

ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE X 1 FLAC. PEID X 70 G GRAN. PT. 100 ML SUSP . ORALA

P-RF

CUTIE X 1 FLAC. 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. DIN PEID CU 41 G GRANULE PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE PP

P-RF
S/P-RF

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

20
20
20
50
50
14
14
14
14
14
20
20
14
20
14
14
14
7
7
5
5
7
1
1
1
1
1
1
1
1
1
1
1
28
6

42.40
21.60
33.00
111.16
109.87
12.35
12.35
10.85
21.14
23.85
17.01
33.91
24.13
33.14
24.13
29.01
23.73
26.92
19.04
13.60
27.85
20.78
14.01
23.38
19.39
29.92
18.11
17.24
39.06
23.44
47.03
34.29
41.12
8,112.06
551.59

2.120000
1.080000
1.650000
2.223200
2.197400
0.882142
0.882142
0.775000
1.510000
1.703571
0.850500
1.695500
1.723571
1.657000
1.723571
2.072142
1.695000
3.845714
2.720000
2.720000
5.570000
2.968571
14.010000
23.380000
19.390000
29.920000
18.110000
17.240000
39.060000
23.440000
47.030000
34.290000
41.120000
289.716428
91.931666

2.120000
1.080000
1.650000
2.223200
2.223200
0.882142
0.882142
0.775000
0.930000
0.930000
0.850500
1.695500
1.723571
1.657000
1.723571
1.988400
1.695000
1.988400
1.988400
1.988400
1.988400
1.988400
14.010000
23.380000
16.812000
28.056000
16.812000
16.812000
39.060000
23.440000
46.872000
28.128000
41.120000
289.716428
91.931666

42.40
21.60
33.00
135.70
134.13
16.69
16.69
14.67
28.57
32.23
22.99
44.36
32.62
43.35
32.62
37.95
32.08
35.21
25.73
18.38
36.43
28.09
18.94
31.60
26.21
39.14
24.48
23.30
51.09
31.68
61.52
44.85
53.78
8,880.31
639.38

2.120000
1.080000
1.650000
2.714000
2.682600
1.192142
1.192142
1.047857
2.040714
2.302142
1.149500
2.218000
2.330000
2.167500
2.330000
2.710714
2.291428
5.030000
3.675714
3.676000
7.286000
4.012857
18.940000
31.600000
26.210000
39.140000
24.480000
23.300000
51.090000
31.680000
61.520000
44.850000
53.780000
317.153928
106.563333

2.120000
1.080000
1.650000
2.714000
2.714000
1.192142
1.192142
1.047857
1.257428
1.257428
1.149500
2.218000
2.330000
2.167500
2.330000
2.601000
2.291428
2.601000
2.601000
2.601000
2.601000
2.601000
18.940000
31.600000
22.728000
37.920000
22.728000
22.728000
51.090000
31.680000
61.308000
38.016000
53.780000
317.153928
106.563333

1
1
1
1
1
1
1
1
1
1
1
1

451.00
872.00
3,072.10
6,114.44
663.61
1,550.55
460.47
3,469.04
7,459.41
890.95
1,751.89
3,473.78

451.000000
872.000000
3,072.100000
6,114.440000
663.610000
1,550.550000
460.470000
3,469.040000
7,459.410000
890.950000
1,751.890000
3,473.780000

451.000000
872.000000
3,072.100000
6,114.440000
663.610000
1,550.550000
460.470000
3,469.040000
7,459.410000
890.950000
1,751.890000
3,473.780000

529.74
988.63
3,386.74
6,702.89
761.48
1,728.25
540.07
3,819.40
8,168.91
1,009.28
1,947.71
3,824.57

529.740000
988.630000
3,386.740000
6,702.890000
761.480000
1,728.250000
540.070000
3,819.400000
8,168.910000
1,009.280000
1,947.710000
3,824.570000

529.740000
988.630000
3,386.740000
6,702.890000
761.480000
1,728.250000
540.070000
3,819.400000
8,168.910000
1,009.280000
1,947.710000
3,824.570000

P6: 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

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

HUMAGLOBIN
HUMAGLOBIN
OCTAGAM 10%
OCTAGAM 10%
OCTAGAM 10%
OCTAGAM 10%
PRIVIGEN 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
PRIVIGEN 100mg/ml
PRIVIGEN 100mg/ml
PRIVIGEN 100mg/ml

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.

5%
5%
100 mg/ml
100 mg/ml
100 mg/ml
100 mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml

HUMAN BIOPLAZMA MANUFACTURING AND TRADING LTD.

UNGARIA
UNGARIA

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.

OCTAPHARMA (IP) LIMITED

MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 20 ML SOL. PERF.

OCTAPHARMA (IP) LIMITED

MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL. PERF.

HUMAN BIOPLAZMA MANUFACTURING AND TRADING LTD.

CSL BEHRING GMBH GERMANIA


BAXTER AG
AUSTRIA
BAXTER AG
AUSTRIA
CSL BEHRING GMBH GERMANIA
CSL BEHRING GMBH GERMANIA
CSL BEHRING GMBH GERMANIA

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.X 25 ML SOL. PERF.


CUTIE X 1 FLAC X 200ML SOL. PERF.(20G/200ML)
CUTIE X 1 FLAC X 300ML SOL. PERF.(30G/300ML)

CUTIE X 1 FLAC.X 50 ML SOL. PERF.


CUTIE X 1 FLAC.X 100 ML SOL. PERF.
CUTIE X 1 FLAC.X 200 ML SOL. PERF.

Pagina 27 din 56

S
S
S
S
S
S
S
S
S
S
S
S

Grupa
Nr.
terape
crt
utica
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28

Denumire generica

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

N07XX02

RILUZOLUM**

Denumire comerciala

KIOVIG 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
IG VENA 10g/200ml
IG VENA 1g/20ml
IG VENA 2,5g/50ml
FLEBOGAMMA 5%
FLEBOGAMMA 5%
FLEBOGAMMA 5%
FLEBOGAMMA 5%
OCTAGAM
OCTAGAM
OCTAGAM
IG VENA 5g/100ml
RILUTEK 50 mg

Forma
Concentrati
farmaceutic
e / U.T.
a
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.

100mg/ml
100mg/ml
100mg/ml
100mg/ml
10g/200ml
1g/20ml
2,5g/50ml
5%
5%
5%
5%
50mg/ml
50mg/ml
50mg/ml
5g/100ml
COMPR. FILM. 50mg

Tara

Ambalaj

AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
ITALIA
ITALIA
ITALIA
SPANIA
SPANIA
SPANIA
SPANIA

CUTIE X 1 FLAC X 50ML SOL. PERF.(5G/50ML)

Firma

BAXTER AG
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.

CUTIE X 1 FLAC X 100ML SOL. PERF.(10G/100ML)

CUTIE X 1 FLAC X 25ML SOL. PERF.(2,5G/25ML)

CUTIE X 1 FLAC X 10ML SOL. PERF.(1G/10ML)


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.


CUTIE X 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL.PERF.
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL.PERF.
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10 ML SOL.PERF.

OCTAPHARMA (IP) LTD.


OCTAPHARMA (IP) LTD.
OCTAPHARMA (IP) LTD.

MAREA BRITANIE

MAREA BRITANIE

CUTIE X 1 FLACON X 100 ML


CUTIE X 1 FLACON X 50 ML
CUTIE X 1 FLACON X 200 ML

KEDRION SPA

ITALIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. + 1 SET ADMINISTRARE

MAREA BRITANIE

AVENTIS PHARMA SA FRANTA CUTIE X 4 BLIST. X 14 COMPR.

Prescriptie

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

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
56

889.76
1,749.51
459.88
188.56
2,050.80
222.29
535.20
914.10
1,798.20
472.05
99.02
1,166.70
640.45
2,261.30
1,040.40
884.76

889.760000
1,749.510000
459.880000
188.560000
2,050.800000
222.290000
535.200000
914.100000
1,798.200000
472.050000
99.020000
1,166.700000
640.450000
2,261.300000
1,040.400000
15.799285

889.760000
1,749.510000
459.880000
188.560000
2,050.800000
222.290000
535.200000
914.100000
1,798.200000
472.050000
99.020000
1,166.700000
640.450000
2,261.300000
1,040.400000
15.799285

1,007.99
1,945.12
539.42
230.20
2,273.52
271.37
621.52
1,034.52
1,998.19
552.68
125.20
1,309.85
736.24
2,502.97
1,172.19
1,002.54

1,007.990000
1,945.120000
539.420000
230.200000
2,273.520000
271.370000
621.520000
1,034.520000
1,998.190000
552.680000
125.200000
1,309.850000
736.240000
2,502.970000
1,172.190000
17.902500

1,007.990000
1,945.120000
539.420000
230.200000
2,273.520000
271.370000
621.520000
1,034.520000
1,998.190000
552.680000
125.200000
1,309.850000
736.240000
2,502.970000
1,172.190000
17.902500

1
1
1
1
1
1
4

361.86
185.79
110.73
529.92
152.87
237.82
595.85

361.860000
185.790000
110.730000
529.920000
152.870000
237.820000
148.962500

285.384000
183.444000
110.730000
529.920000
152.870000
237.820000
132.876000

432.58
226.81
135.18
615.76
186.63
290.33
687.63

432.580000
226.810000
135.180000
615.760000
186.630000
290.330000
171.907500

348.396000
223.956000
135.180000
615.760000
186.630000
290.330000
162.216000

373.65
474.75
409.15
667.50
1,176.67
1,549.07
789.53

373.650000
474.750000
409.150000
667.500000
1,176.670000
1,549.070000
789.530000

373.650000
474.750000
409.150000
667.500000
801.000000
801.000000
490.980000

445.43
555.63
484.12
765.73
1,320.72
1,726.64
898.74

445.430000
555.630000
484.120000
765.730000
1,320.720000
1,726.640000
898.740000

445.430000
555.630000
484.120000
765.730000
918.876000
918.876000
580.944000

cant/
amba
laj

Pret cu ridicata
maximal de
decontare / U.T.

Pret cu
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

M05BA03
M05BA03
M05BA03
M05BA03
M05BA03
M05BA03
M05BA03

ACIDUM PAMIDRONICUM
ACIDUM PAMIDRONICUM
ACIDUM PAMIDRONICUM
ACIDUM PAMIDRONICUM
ACIDUM PAMIDRONICUM
ACIDUM PAMIDRONICUM
ACIDUM PAMIDRONICUM

PAMIDRONAT TORREX
PAMIDRONAT TORREX
PAMIDRONAT TORREX
PAMIDRONAT TORREX
PAMIRED 30
PAMIRED 60
AREDIA (R) 15 mg

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.+ SOLV. PT. SOL. PERF.

15mg/ml
15mg/ml
15mg/ml
15mg/ml
30mg
60mg
15mg

TORREX CHIESI PHARMA GMBH


TORREX CHIESI PHARMA GMBH
TORREX CHIESI PHARMA GMBH
TORREX CHIESI PHARMA GMBH

DR. REDDY'S LABORATORIES


DR. REDDY'S LABORATORIES

AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
ROMANIA
ROMANIA

CUTIE X 1 FIOLA PE X 4 ML
CUTIE X 1 FIOLA PE X 2 ML
CUTIE X 1 FIOLA PE X 1 ML
CUTIE X 1 FIOLA PE X 6 ML

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

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 30 MG LIOF. PT. SOL. PERF. I.V.

S/P-RF

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 60 MG LIOF. PT. SOL. PERF. I.V.

S/P-RF

CUTIE X 4 FLAC. DIN STICLA X 15 MG LIOF. PT. SOL. PERF. + 4 FIOLE DIN STICLA X 5 ML SOLV.

S/P-RF

CUTIE X 1 FLAC. LIOF. PT. SOL. INJ. + 1 FIOLA X 3,5 ML SOLV.

P-RF

MAREA BRITANIE CUTIE X 1 CARTUS BICAMERAL MULTIDOZA CU PULB. SI SOLV. PT. SOL. INJ.

P-RF

NOVARTIS PHARMA GMBH GERMANIA

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 SOL. INJ. IN CARTUS


NORDITROPIN FLEXPRO 10 mg/1,5 ml

SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT

NORDITROPIN FLEXPRO 5 mg/1,5 ml

SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT

3,3mg/ml
6,7mg/ml
10mg/1,5ml
10mg/1,5 ml
5mg/1,5 ml

FERING GMBH

GERMANIA

CUTIE CU 1 STILOU INJECTOR (PEN) PREUMPLUT MULTI-DOZA ( CARTUS DIN STICLA INCOLORA X 1,5 ML SOL. INJ

P-RF

CUTIE CU 1 STILOU INJECTOR (PEN) PREUMPLUT MULTI-DOZA ( CARTUS DIN STICLA INCOLORA X 1,5 ML SOL. INJ

P-RF

1
1
1
1
1
1
1

CUTIE X 1 FLAC. CU PULB. PT. CONC. PT. SOL. PERF.

1 13,797.28 13,797.280000 13,797.280000 15,077.20 15,077.200000 15,077.200000

CUTIE X 1 FLAC. CU 50MG PULB. PT. CONC. PT. SOL. PERF.

SANDOZ GMBH
AUSTRIA CUTIE X 1CARTUS X 1,5 ML SOL.INJ.
SANDOZ GMBH
AUSTRIA CUTIE X 1CARTUS X 1,5 ML SOL.INJ.
NOVO NORDISK A/S DANEMARCA CUTIE X 1 CARTUS DIN STICLA INCOLORA X 1,5 ML SOL. INJ.
NOVO NORDISK A/S DANEMARCA
NOVO NORDISK A/S DANEMARCA

P-RF/R
P-RF/R

P-RF

P6: 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

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

Pagina 28 din 56

2,264.71

2,264.710000

2,264.710000

2,506.69

2,506.690000

2,506.690000

Grupa
Nr.
terape
crt
utica

Denumire generica

Denumire comerciala

Forma
Concentrati
farmaceutic
e / U.T.
a

Tara

Firma

Ambalaj

Prescriptie

cant/
amba
laj

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

Pret cu ridicata
maximal de
decontare / U.T.

Pret cu
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
P6.10: 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.

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

60 12,802.92
60 3,522.06
60 7,014.11

213.382000
58.701000
116.901833

213.382000 13,993.35
58.701000 3,877.20
116.901833 7,683.54

233.222500
64.620000
128.059000

233.222500
64.620000
128.059000

P6: 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

SUEDIA

CUTIE X 4 FLAC. X 3 ML CONC. PT. SOL. PERF.

4 49,871.94 12,467.985000 12,467.985000 54,398.63 13,599.657500 13,599.657500

2,802.88

2,802.880000

2,802.880000

3,093.29

3,093.290000

3,093.290000

S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

451.00
872.00
3,072.10
6,114.44
663.61
1,550.55
460.47
3,469.04
7,459.41
890.95
1,751.89
3,473.78
889.76
1,749.51
459.88
188.56
2,050.80
222.29
535.20
914.10
1,798.20
472.05
99.02
1,166.70
640.45
2,261.30
1,040.40

451.000000
872.000000
3,072.100000
6,114.440000
663.610000
1,550.550000
460.470000
3,469.040000
7,459.410000
890.950000
1,751.890000
3,473.780000
889.760000
1,749.510000
459.880000
188.560000
2,050.800000
222.290000
535.200000
914.100000
1,798.200000
472.050000
99.020000
1,166.700000
640.450000
2,261.300000
1,040.400000

451.000000
872.000000
3,072.100000
6,114.440000
663.610000
1,550.550000
460.470000
3,469.040000
7,459.410000
890.950000
1,751.890000
3,473.780000
889.760000
1,749.510000
459.880000
188.560000
2,050.800000
222.290000
535.200000
914.100000
1,798.200000
472.050000
99.020000
1,166.700000
640.450000
2,261.300000
1,040.400000

529.74
988.63
3,386.74
6,702.89
761.48
1,728.25
540.07
3,819.40
8,168.91
1,009.28
1,947.71
3,824.57
1,007.99
1,945.12
539.42
230.20
2,273.52
271.37
621.52
1,034.52
1,998.19
552.68
125.20
1,309.85
736.24
2,502.97
1,172.19

529.740000
988.630000
3,386.740000
6,702.890000
761.480000
1,728.250000
540.070000
3,819.400000
8,168.910000
1,009.280000
1,947.710000
3,824.570000
1,007.990000
1,945.120000
539.420000
230.200000
2,273.520000
271.370000
621.520000
1,034.520000
1,998.190000
552.680000
125.200000
1,309.850000
736.240000
2,502.970000
1,172.190000

529.740000
988.630000
3,386.740000
6,702.890000
761.480000
1,728.250000
540.070000
3,819.400000
8,168.910000
1,009.280000
1,947.710000
3,824.570000
1,007.990000
1,945.120000
539.420000
230.200000
2,273.520000
271.370000
621.520000
1,034.520000
1,998.190000
552.680000
125.200000
1,309.850000
736.240000
2,502.970000
1,172.190000

P6: 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

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

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

HUMAGLOBIN
HUMAGLOBIN
OCTAGAM 10%
OCTAGAM 10%
OCTAGAM 10%
OCTAGAM 10%
PRIVIGEN 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
PRIVIGEN 100mg/ml
PRIVIGEN 100mg/ml
PRIVIGEN 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
IG VENA 10g/200ml
IG VENA 1g/20ml
IG VENA 2,5g/50ml
FLEBOGAMMA 5%
FLEBOGAMMA 5%
FLEBOGAMMA 5%
FLEBOGAMMA 5%
OCTAGAM
OCTAGAM
OCTAGAM
IG VENA 5g/100ml

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.
SOL. PERF.
SOL. PERF.
SOL. PERF.

5%
5%
100 mg/ml
100 mg/ml
100 mg/ml
100 mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
10g/200ml
1g/20ml
2,5g/50ml
5%
5%
5%
5%
50mg/ml
50mg/ml
50mg/ml
5g/100ml

HUMAN BIOPLAZMA MANUFACTURING AND TRADING LTD.

UNGARIA
UNGARIA

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.

OCTAPHARMA (IP) LIMITED

MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 20 ML SOL. PERF.

OCTAPHARMA (IP) LIMITED

MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL. PERF.

HUMAN BIOPLAZMA MANUFACTURING AND TRADING LTD.

CSL BEHRING GMBH GERMANIA


BAXTER AG
AUSTRIA
BAXTER AG
AUSTRIA
CSL BEHRING GMBH GERMANIA
CSL BEHRING GMBH GERMANIA
CSL BEHRING GMBH GERMANIA
BAXTER AG
AUSTRIA
BAXTER AG
AUSTRIA
BAXTER AG
AUSTRIA
BAXTER AG
AUSTRIA

KEDRION SPA
KEDRION SPA
KEDRION SPA
INSTITUTO GRIFOLS S.A.
INSTITUTO GRIFOLS S.A.
INSTITUTO GRIFOLS S.A.
INSTITUTO GRIFOLS S.A.

ITALIA
ITALIA
ITALIA
SPANIA
SPANIA
SPANIA
SPANIA

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.X 25 ML SOL. PERF.


CUTIE X 1 FLAC X 200ML SOL. PERF.(20G/200ML)
CUTIE X 1 FLAC X 300ML SOL. PERF.(30G/300ML)

CUTIE X 1 FLAC.X 50 ML SOL. PERF.


CUTIE X 1 FLAC.X 100 ML SOL. PERF.
CUTIE X 1 FLAC.X 200 ML SOL. PERF.
CUTIE X 1 FLAC X 50ML SOL. PERF.(5G/50ML)
CUTIE X 1 FLAC X 100ML SOL. PERF.(10G/100ML)

CUTIE X 1 FLAC X 25ML SOL. PERF.(2,5G/25ML)

CUTIE X 1 FLAC X 10ML SOL. PERF.(1G/10ML)


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.


CUTIE X 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL.PERF.
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL.PERF.
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10 ML SOL.PERF.

OCTAPHARMA (IP) LTD.


OCTAPHARMA (IP) LTD.
OCTAPHARMA (IP) LTD.

MAREA BRITANIE

MAREA BRITANIE

CUTIE X 1 FLACON X 100 ML


CUTIE X 1 FLACON X 50 ML
CUTIE X 1 FLACON X 200 ML

KEDRION SPA

ITALIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. + 1 SET ADMINISTRARE

MAREA BRITANIE

P7: PROGRAM NATIONAL DE BOLI ENDOCRINE


Tratamentul medicamentos al bolnavilor cu osteoporoza, gusa datorata carentei de iod si proliferarii maligne

Pagina 29 din 56

Grupa
Nr.
terape
crt
utica

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54

A11CC03
A11CC03
A11CC03
A11CC03
A11CC03
A11CC03
A11CC04
G03CA03
G03CA03
G03CA03
G03DC05
G03XC01

H01AB01
H02AB04
H02AB04
H02AB04
H02AB04
H02AB04
H02AB04
H03AA01
H03AA01
H03AA01
H03AA01
H03AA01
H03AA01
H03AAN1

H03BB01
H03BB02
H03BB02
H03BB02
H03CA01
H03CA01
H03CA01
H03CA01

H05AA02
H05BA01
H05BA01
H05BA01
H05BA01
H05BA01
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA06
M05BA06

Denumire generica

ALFACALCIDOLUM
ALFACALCIDOLUM
ALFACALCIDOLUM
ALFACALCIDOLUM
ALFACALCIDOLUM
ALFACALCIDOLUM
CALCITRIOLUM
ESTRADIOLUM
ESTRADIOLUM
ESTRADIOLUM
TIBOLONUM
RALOXIFENUM
TIREOTROPINUM ALFA
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
LEVOTHYROXINUM
LEVOTHYROXINUM
LEVOTHYROXINUM
LEVOTHYROXINUM
LEVOTHYROXINUM
LEVOTHYROXINUM
LEVOTIROXINUM+KALII IODIDUM
CARBIMAZOLUM
THIAMAZOLUM
THIAMAZOLUM
THIAMAZOLUM
KALII IODIDUM
KALII IODIDUM
KALII IODIDUM
KALII IODIDUM
TERIPARATIDUM**
CALCITONINUM (SOMON)
CALCITONINUM (SOMON)
CALCITONINUM (SOMON)
CALCITONINUM (SOMON)
CALCITONINUM (SOMON)
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**

Denumire comerciala

ALPHA D3 0,25 mcg

Forma
Concentrati
farmaceutic
e / U.T.
a

CAPS. MOI
CAPS. MOI
ALPHA D3 0,50 mcg
CAPS. MOI
ALFACALCIDOL SANDOZ 0,5 mcg CAPS. MOI
ONE-ALPHA 2 micrograme/ml SOL. INJ.
ONE-ALPHA 2 micrograme/ml SOL. INJ.
ROCALTROL
CAPS. MOI
ESTREVA (R)
GEL
OESTROGEL 0,6 mg/g
GEL
CLIMARA
PLASTURE TRANSDERM.
LIVIAL (R) 2,5 mg
COMPR.
EVISTA 60mg
COMPR. FILM.
THYROGEN 0,9 mg
PULB. PT. SOL. INJ.
MEDROL A 16
COMPR.
MEDROL 32
COMPR.
MEDROL 4 mg
COMPR.
LEMOD SOLU 125 mg
LIOF. PT. SOL. INJ.
LEMOD SOLU 500 mg
LIOF. PT. SOL. INJ.
SOLU - MEDROL ACT-O-VIAL LIOF. SI SOLV.PT.SOL.INJ
L-THYROXIN 100 BERLIN - CHEMIE COMPR.
EUTHYROX 100mcg
COMPR.
EUTHYROX 200mcg
COMPR.
EUTHYROX 25mcg
COMPR.
L-THYROXIN 50
COMPR.
EUTHYROX 50mcg
COMPR.
JODTHYROX (R) 100/130,8 COMPR.
CARBIMAZOLE 5
COMPR. FILM.
THYROZOL 10 mg
COMPR. FILM.
THYROZOL 20mg
COMPR. FILM.
THYROZOL 5 mg
COMPR. FILM.
JODID 100
COMPR.
JODID 100
COMPR.
JODID 200
COMPR.
JODID 200
COMPR.
FORSTEO 20g/80g
SOL. INJ.
TONOCALCIN 100 UI
SOL. INJ.
NYLEX (R)
SOL. INJ.
MIACALCIC (R)
SOL. INJ.
NYLEX 100 UI/doza
SPRAY NAZ.,SOL.
NYLEX (R)
SPRAY NAZAL - SOL.
ACID ALENDRONIC ACCORD 10 mg COMPR.
TEVANAT 70 mg
COMPR.
INSTREL 70 mg
COMPR.
ACID ALENDRONIC BLUEFISH 70 mg COMPR.
ACID ALENDRONIC BLUEFISH 70 mg COMPR.
RANOS 70 mg
COMPR.
ACID ALENDRONIC ACCORD 70 mg COMPR.
FOSAMAX 70 mg
COMPR.
ADRONIK 70 mg
COMPR. FILM.
ADRONIK 70 mg
COMPR. FILM.
ADRONIK 70 mg
COMPR. FILM.
ALFACALCIDOL SANDOZ 0,25 mcg

0,25mcg
0,25g
0,50mcg
0,5g
2micrograme/ml
2micrograme/ml

0,25mcg
0,1%
0,6mg/g
50mcg/24ore
2,5mg
60mg
0,9mg
16mg
32mg
4mg
125mg
500mg
250mg/4ml
100mcg
100mcg
200mcg
25mcg
50mcg
50mcg
FARA CONCENTRATIE

5mg
10mg
20mg
5mg
100mcg
100mcg
200mcg
200mcg
20g/80l
100UI
100UI/ml
50ui/ml
100UI/doza
200UI/doza
10mg
70 mg
70mg
70mg
70mg
70mg
70mg
70mg
70mg
70mg
70mg
ALENDRONAT SANDOZ 70 mg COMPR. FILM. 70mg
ACID IBANDRONIC TEVA 150 mg COMPR. FILM. 150 mg
MIRDEZEL 150 mg
COMPR. FILM. 150mg

Firma

TEVA PHARMACEUTICALS S.R.L.

SANDOZ S.R.L.
TEVA PHARMACEUTICALS S.R.L.

SANDOZ S.R.L.
LEO PHARMA A/S
LEO PHARMA A/S

Tara

Ambalaj

DANEMARCA CUTIE CU 10 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ.


DANEMARCA CUTIE CU 10 FIOLE DIN STICLA BRUNA X 0,5 ML SOL. INJ.
CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 CAPS. MOI

LAB. THERAMEX

MONACO

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

LABORATOIRES BESINS INTERNATIONAL

FRANTA

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

BAYER SCHERING PHARMA AG

GERMANIA CUTIE X 4 PLICURI X 1 PLASTURE TRANSDERM.

ORGANON NV

OLANDA CUTIE X 1 BLIST. X 28 COMPR.

DAIICHI SANKYO EUROPE GMBH

GERMANIA CUTIE X 28 COMPR. FILM. (BLIST. ACLAR)

GENZYME EUROPE BV OLANDA CUTIE X 2 FLACOANE


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.

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 1 FLAC. DIN STICLA X 30 COMPR.

STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 2 ML


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

MAREA BRITANIE

BERLIN CHEMIE AG MENARINI GROUP

GERMANIA CUTIE X 4 BLIST. PVC-PVDC/AL X 25 COMPR.

MERCK KGAA
MERCK KGAA
MERCK KGAA

GERMANIA CUTIE X 4 BLIST. PP/AL X 25 COMPR.

BERLIN CHEMIE AG MENARINI GROUP

GERMANIA CUTIE X 4 BLIST. PVC-PVDC/AL X 25 COMPR.

MERCK KGAA
MERCK KGAA
REMEDICA LTD.
MERCK KGAA
MERCK KGAA
MERCK KGAA
MERCK KGAA
MERCK KGAA
MERCK KGAA
MERCK KGAA

GERMANIA CUTIE X 4 BLIST. PP/AL X 25 COMPR.

ELI LILLY NEDERLAND BV

OLANDA CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT X 2,4 ML (28 DOZE X 20 G/80L)
ITALIA
CUTIE X 5 FIOLE X 1 ML SOL. INJ.
GRECIA CUTIE X 5 FIOLE X 1ML
GERMANIA CUTIE X 5 FIOLE X 1 ML
GRECIA CUTIE X 1 FLACON PREVAZUT CU POMPA DOZATOARE X 2 ML SPRAY NAZAL, SOL.
GRECIA

PROEL E.P. CORONIS SA


NOVARTIS PHARMA GMBH
PHARMACEUTICAL IND. PROEL EPAM. G.CORONIS SA

PROEL E.P. CORONIS SA

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

GERMANIA CUTIE X 4 BLIST. AL/PP X 25 COMPR.


GERMANIA CUTIE X 4 BLIST. PP/AL X 25 COMPR.

GERMANIA CUTIE X 2 BLIST. PP/AL X 25 COMPR.

CIPRU

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

GERMANIA CUTIE CU BLIST. PVC/AL X 50 COMPR. FILM.


GERMANIA CUTIE CU BLIST. PVC/AL X 50 COMPR. FILM.
GERMANIA CUTIE CU BLIST. PVC/AL X 100 COMPR. FILM.
GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 COMPR.
GERMANIA CUTIE X 4 BLIST. AL/PP X 25 COMPR.
GERMANIA CUTIE X 4 BLIST. PP/AL X 25 COMPR.
GERMANIA CUTIE X 4 BLIST. PVC/AL X 25 COMPR.

CUTIE X 1 FLACON DIN STICLA PREVAZUT CU POMPA DOZATOARE CU APLICATOR NAZAL X 2 ML

CUTIE CU BLIST. PVC/AL X 28 COMPR.


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

ACCORD HEALTHCARE LIMITED MAREA BRITANIE


TEVA PHARMACEUTICALS S.R.L.

DR. REDDY'S LABORATORIES

BLUEFISH PHARMACEUTICALS AB

SUEDIA
SUEDIA

CUTIE CU BLIST. AL/AL X 2 COMPR.


CUTIE CU BLIST. AL/AL X 4 COMPR.

TERAPIA SA

ROMANIA

CUTIE X 1 BLIST. DIN PAO-PVC-AL/AL X 4 COMPR.

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

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

BLUEFISH PHARMACEUTICALS AB

MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. AL/AL IN PORTOFEL X 2 COMPR.

ARENA GROUP S.A.


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

ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE X 1 BLIST. PVC-PVDC/AL X 4 COMPR. FILM.


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

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


CUTIE X 1 BLIST. OPA-AL-PVC/AL X 2 COMPR. FILM

OLANDA

CUTIE CU BLIST. DIN PVC/ACLAR/PVC-AL X 1 COMPRIMAT FILMAT

ROMANIA

CUTIE CU 1 BLIST. PA-AL-PVC/AL X 1 COMPR. FILM.

Pagina 30 din 56

cant/
amba
laj

50
30
30
30
S
10
S
10
P-RF
100
P-6L
1
P-6L
1
P-6L
4
P-RF
28
P-RF
28
S
2
P-RF
50
P-RF
20
P-RF
30
S/P-RF
1
S/P-RF
1
P-RF
1
P-6L 100
P-6L 100
P-6L 100
P-6L 100
P-6L/S
100
P-6L 100
P-6L
50
P-6L 100
P-6L
50
P-6L
50
P-6L/S
100
P-RF
100
P-RF
100
P-RF
100
P-RF
100
P-RF
1
P-RF
5
P-RF
5
P-RF
5
P-RF
1
P-RF
1
P-6L
28
P-6L
4
P-RF
4
P-6L
2
P-6L
4
P-6L
4
P-6L
4
P-6L
2
P-6L
4
P-6L
12
P-6L
2
P-6L
2
P-RF
1
P6L
1

ROMANIA CUTIE X 1 FLAC. DIN PPID X 50 CAPS. MOI P-RF


ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 CAPS. MOI PRF
ROMANIA CUTIE X 1 FLAC. X 30 CAPS. MOI
P-RF
ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 CAPS. MOI PRF

ROCHE ROMANIA S.R.L. ROMANIA

ALFA WASSERMANN SPA

Prescriptie

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

25.70
28.49
23.23
42.10
203.78
108.79
60.88
21.75
12.29
25.48
57.59
98.84
3,064.97
24.13
21.94
4.83
6.52
22.95
15.15
9.23
8.65
17.86
7.04
6.21
6.12
10.92
12.48
15.54
18.88
22.83
9.12
9.12
14.23
14.23
1,473.60
51.05
23.94
26.35
36.97
56.38
36.90
36.90
36.44
18.44
18.28
36.44
36.90
28.39
36.67
108.06
18.33
9.49
65.80
46.80

0.514000
0.949666
0.774333
1.403333
20.378000
10.879000
0.608800
21.750000
12.290000
6.370000
2.056785
3.530000
1,532.485000
0.482600
1.097000
0.161000
6.520000
22.950000
15.150000
0.092300
0.086500
0.178600
0.070400
0.062100
0.061200
0.218400
0.124800
0.310800
0.377600
0.228300
0.091200
0.091200
0.142300
0.142300
1,473.600000
10.210000
4.788000
5.270000
36.970000
56.380000
1.317857
9.225000
9.110000
9.220000
4.570000
9.110000
9.225000
14.195000
9.167500
9.005000
9.165000
4.745000
65.800000
46.800000

Pret cu ridicata
maximal de
decontare / U.T.

0.514000
0.616800
0.774333
0.929200
20.378000
10.879000
0.608800
21.750000
12.290000
6.370000
2.056785
3.530000
1,532.485000
0.482600
1.097000
0.161000
6.520000
22.950000
15.150000
0.092300
0.086500
0.178600
0.070400
0.062100
0.061200
0.218400
0.124800
0.310800
0.377600
0.228300
0.091200
0.091200
0.142300
0.142300
1,473.600000
5.745600
4.788000
5.270000
36.970000
56.380000
1.317857
5.484000
5.484000
5.484000
4.570000
5.484000
5.484000
5.484000
5.484000
5.484000
5.484000
4.745000
56.160000
46.800000

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

33.62
37.26
31.40
55.07
248.78
132.81
76.98
29.40
16.61
33.33
72.82
124.97
3,378.97
32.62
29.65
6.53
8.81
31.02
20.48
12.48
11.69
24.14
9.51
8.40
8.27
14.76
16.87
21.00
25.52
30.86
12.33
12.33
19.23
19.23
1,644.38
64.55
32.36
34.46
48.36
71.29
48.27
48.27
47.66
24.93
24.71
47.66
48.27
37.13
47.97
131.92
24.78
12.82
83.20
61.21

0.672400
1.242000
1.046666
1.835666
24.878000
13.281000
0.769800
29.400000
16.610000
8.332500
2.600714
4.463214
1,689.485000
0.652400
1.482500
0.217666
8.810000
31.020000
20.480000
0.124800
0.116900
0.241400
0.095100
0.084000
0.082700
0.295200
0.168700
0.420000
0.510400
0.308600
0.123300
0.123300
0.192300
0.192300
1,644.380000
12.910000
6.472000
6.892000
48.360000
71.290000
1.723928
12.067500
11.915000
12.465000
6.177500
11.915000
12.067500
18.565000
11.992500
10.993333
12.390000
6.410000
83.200000
61.210000

0.672400
0.806880
1.046666
1.255999
24.878000
13.281000
0.769800
29.400000
16.610000
8.332500
2.600714
4.463214
1,689.485000
0.652400
1.482500
0.217666
8.810000
31.020000
20.480000
0.124800
0.116900
0.241400
0.095100
0.084000
0.082700
0.295200
0.168700
0.420000
0.510400
0.308600
0.123300
0.123300
0.192300
0.192300
1,644.380000
7.766400
6.472000
6.892000
48.360000
71.290000
1.723928
7.413000
7.413000
7.413000
6.177500
7.413000
7.413000
7.413000
7.413000
7.413000
7.413000
6.410000
73.452000
61.210000

Grupa
Nr.
terape
crt
utica
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84

Denumire generica

M05BA08

ACIDUM IBANDRONICUM**
ACIDUM IBANDRONICUM**
ACIDUM IBANDRONICUM**
ACIDUM IBANDRONICUM**
ACIDUM IBANDRONICUM**
ACIDUM IBANDRONICUM**
ACIDUM IBANDRONICUM**
ACIDUM IBANDRONICUM**
ACIDUM IBANDRONICUM**
ACIDUM IBANDRONICUM**
ACIDUM IBANDRONICUM**
ACIDUM RISEDRONICUM**
ACIDUM RISEDRONICUM**
ACIDUM RISEDRONICUM**
ACIDUM RISEDRONICUM**
ACIDUM RISEDRONICUM**
ACIDUM RISEDRONICUM**
ACIDUM RISEDRONICUM**
ACIDUM RISEDRONICUM**
ACIDUM RISEDRONICUM**
ACIDUM RISEDRONICUM**
ACIDUM RISEDRONICUM**
ACIDUM ZOLEDRONICUM**
ACIDUM ZOLEDRONICUM**

M05BB03

COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)**

M05BB03

COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)**

M05BB03

COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)**

M05BB03

COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)**

M05BX03

STRONTIUM RANELATUM
STRONTIUM RANELATUM

M05BA06
M05BA06
M05BA06
M05BA06
M05BA06
M05BA06
M05BA06
M05BA06
M05BA06
M05BA06
M05BA06
M05BA07
M05BA07
M05BA07
M05BA07
M05BA07
M05BA07
M05BA07
M05BA07
M05BA07
M05BA07
M05BA07
M05BA08

M05BX03

Denumire comerciala

Forma
Concentrati
farmaceutic
e / U.T.
a

BONVIVA 150mg
OSSICA 150 mg

COMPR. FILM.
COMPR. FILM.
ACID IBANDRONIC SANDOZ 50 mg COMPR. FILM.
HOLMEVIS 50 mg
COMPR. FILM.
IASIBON 50 mg
COMPR. FILM.
BONDRONAT 50mg
COMPR. FILM.

IASIBON 6mg/6ml
BONDRONAT 6mg/6ml
OSSICA 3 mg
OSAGRAND 3 mg/3 ml
BONVIVA 3mg/3ml
RISEDRONAT TEVA 35 mg
OSODENS 35 mg
RISENDROS 35 mg

CONC. PT. SOL. PERF.


CONC. PT. SOL. PERF.
SOL INJ. IN SERINGA PREUMPLUTA

SOL. INJ.
SOL. INJ. IN SERINGA PREUMPLUTA

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
ACTONEL SAPTAMANAL 35 mg COMPR. FILM.
JUVERITAL 35 mg
COMPR. FILM.
OSTEORON 35 mg
COMPR. FILM.
PEXALIT 35 mg
COMPR. FILM.
JUVERITAL 35 mg
COMPR. FILM.
LORINE 35mg
COMPR. FILM.
JUVERITAL 5 mg
COMPR. FILM.
ACTONEL 75 mg
COMPR. FILM.

ZOMETA 4 mg
ACLASTA 5mg/100ml
FOSAVANCE 70mg/2800UI
FOSAVANCE 70mg/2800UI
FOSAVANCE 70mg/5600UI
FOSAVANCE 70mg/5600UI
OSSEOR 2 g
OSSEOR 2 g

PULB. + SOLV. SOL. PERF.

SOL. PERF.
COMPR.
COMPR.
COMPR.
COMPR.
GRAN. PT. SUSP. ORALA
GRAN. PT. SUSP. ORALA

150mg
150mg
50 mg
50mg
50mg
50mg
6mg/6ml
6mg/6ml
3mg
3mg/3ml
1mg/1ml
35mg
35mg
35mg
35mg
35mg
35mg
35mg
35mg
35mg
5mg
75mg
4mg
5mg/100ml

Firma

Tara

ROCHE REGISTRATION LTD.

MAREA BRITANIE

GEDEON RICHTER PLC. UNGARIA


SANDOZ PHARMACEUTICALS GMBH GERMANIA

Ambalaj

Prescriptie

CUTIE X 1 COMPR. FILM.( BLIST. AL/AL) P-6L


CUTIE CU 1 BLIST. PVC-PE-PVDC/AL X 1 COMPR. FILM. P-6L
CUTIE CU BLIST. DIN PA/AL/PVC/AL CU 28 COMPRIMATE FILMATE

PR

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

PRF

PHARMATHEN S.A. GRECIA

CUTIE CU BLIST. PA/ALL/PVC/ALU X 28 COMPR. FILM

ROCHE REGISTRATION LTD.

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

EGIS PHARMACEUTICALS P.L.C.

UNGARIA

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 1 FLACON X 6 ML CONC. PT. SOL. PERF.

GEDEON RICHTER ROMANIA SA

ROMANIA

CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA A 3 ML SOL. INJ. + 1 AC PT. INJECTIE

ZENTIVA K.S.

REPUBLICA CEHA CUTIE CU 1 FIOLA DIN STICLA INCOLORA X 3 ML SOL. INJ.

PR
S
PR
S
PR
PR

ROCHE REGISTRATION LTD.

MAREA BRITANIE CUTIE X 1 SERINGA PREUMPLUTA DIN STICLA X 3 ML SOL. INJ. + 1 AC

P-6L

MAREA BRITANIE

PHARMATHEN S.A. GRECIA

CUTIE CU 1 FLAC. DIN STICLA X 6ML CONC. PT. SOL. PERF.

TEVA PHARMACEUTICAL S.R.L. MAREA BRITANIE CUTIE X BLIST. PVC-PVDC/AL X 4 COMPR. FILM. P-6L

TERAPIA SA
ZENTIVA A.S.

ROMANIA

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

P-6L

CEHIA

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

P-6L

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


LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 4 COMPR. FILM.

P-6L

SANOFI - AVENTIS ROMANIA S.R.L.

P-6L

ACTAVIS GROUP PTC EHF.

ISLANDA

DR. REDDY'S LABORATORIES

ROMANIA CUTIE CU BLIST. PVC/HT-AL X 4 COMPR. FILM. P6L

OZONE LABORATORIES BV

OLANDA

CUTIE X 1 BLIST. PVC- PVDC/AL X 4 COMPR. FILM. P-6L

CUTIE X BLISTER PVC-PE-PVDC/AL X 4 COMPRIMATE FILMATE

ANTIBIOTICE S.A.

P-6L

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


LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.
SANOFI - AVENTIS ROMANIA S.R.L.
ROMANIA CUTIE CU 1 BLIST. PVC/AL X 2 COMPR. FILM.

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

70mg/2800UI
70mg/2800UI
70mg/5600UI
70mg/5600UI

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

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

2g
2g

LES LAB. SERVIER


LES LAB. SERVIER

FRANTA
FRANTA

CUTIE X 28 PLICURI HARTI-PE-AL/PE GRAN. PT. SUSP. ORALA

P-RF

CUTIE X 14 PLICURI HARTI-PE-AL/PE GRAN. PT. SUSP. ORALA

P-RF

CUTIE X 1 BLIST. HARTIE/AL, PVDC/PVC X 10 COMPR. FILM.

P-RF

CUTIE X 1 BLIST. HARTIE/AL, PVDC/PVC X 10 COMPR. FILM.

P-RF

P-6L
P-6L

cant/
amba
laj

1
1
28
28
28
28
1
1
1
1
1
4
4
4
4
4
4
4
4
4
28
2
1
1
2
4
4
2
28
14

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

105.93
57.19
519.62
637.16
629.47
964.08
596.39
901.37
196.40
232.02
354.51
57.38
57.38
43.34
88.28
57.38
57.38
27.91
57.38
27.91
57.38
75.11
1,098.45
1,399.70
36.16
71.05
71.05
36.16
143.02
82.84

105.930000
57.190000
18.557857
22.755714
22.481071
34.431428
596.390000
901.370000
196.400000
232.020000
354.510000
14.345000
14.345000
10.835000
22.070000
14.345000
14.345000
6.977500
14.345000
6.977500
2.049285
37.555000
1,098.450000
1,399.700000
18.080000
17.762500
17.762500
18.080000
5.107857
5.917142

Pret cu ridicata
maximal de
decontare / U.T.

56.160000
56.160000
18.557857
22.269428
22.269428
22.269428
596.390000
715.668000
196.400000
232.020000
235.680000
8.373000
8.373000
8.373000
8.373000
8.373000
8.373000
6.977500
8.373000
6.977500
2.049285
37.555000
1,098.450000
1,399.700000
18.080000
17.762500
17.762500
18.080000
5.107857
5.917142

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

129.32
72.31
604.54
732.65
724.27
1,089.00
688.22
1,020.64
239.77
283.25
424.57
72.55
72.55
56.69
111.62
72.55
72.55
36.50
72.55
36.50
72.55
94.97
1,235.46
1,563.83
47.30
89.84
89.84
47.30
174.60
104.74

129.320000
72.310000
21.590714
26.166071
25.866785
38.892857
688.220000
1,020.640000
239.770000
283.250000
424.570000
18.137500
18.137500
14.172500
27.905000
18.137500
18.137500
9.125000
18.137500
9.125000
2.591071
47.485000
1,235.460000
1,563.830000
23.650000
22.460000
22.460000
23.650000
6.235714
7.481428

73.452000
72.310000
21.590714
25.908857
25.866785
25.908857
688.220000
825.864000
239.770000
283.250000
287.724000
10.950000
10.950000
10.950000
10.950000
10.950000
10.950000
9.125000
10.950000
9.125000
2.591071
47.485000
1,235.460000
1,563.830000
23.650000
22.460000
22.460000
23.650000
6.235714
7.481428

P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA


P9.1: TRANSPLANT MEDULAR
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20

A04AA01
A04AA01
A04AA01
A04AA01
A04AA01
A04AA01
A05AA02
A05AA02
A05AA02
A05AA02
A05AA02
B01AB08
B01AB08
B02AA02
B02BD08
B02BD08
B02BD08

B03XA01
B03XA01
B03XA01

ONDANSETRONUM**
ONDANSETRONUM**
ONDANSETRONUM**
ONDANSETRONUM**
ONDANSETRONUM**
ONDANSETRONUM**
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
REVIPARINUM
REVIPARINUM
ACIDUM TRANEXAMICUM 4)
EPTACOG ALFA ACTIVATUM**
EPTACOG ALFA ACTIVATUM**
EPTACOG ALFA ACTIVATUM**
EPOETINUM ALFA
EPOETINUM ALFA
EPOETINUM ALFA

OSETRON 4 mg
OSETRON 8 mg

COMPR. FILM. 4mg


COMPR. FILM. 8mg

DR. REDDY'S LABORATORIES

OSETRON 4 mg SOLUTIE INJECTABILA

SOL. INJ.
SOL. INJ.

DR. REDDY'S LABORATORIES

OSETRON 8 mg SOLUTIE INJECTABILA

EMESET 8 mg/4 ml
EMESET 4 mg/2 ml
URSOSAN
URSOFALK (R)
URSOFALK (R)
URSOCHOL 150 mg
URSOCHOL 300 mg
CLIVARIN (R) 1432UI/0,25 ml
CLIVARIN (R) 3436 UI/0,6 ml
EXACYL
NOVOSEVEN 2mg (100 KUI)
NOVOSEVEN 5mg (250 KUI)
NOVOSEVEN 1mg (50 KUI)
BINOCRIT 10000UI/1,0ml
BINOCRIT 1000UI/0,5ml
BINOCRIT 2000UI/1,0ml

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. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

2mg/ml
2mg/ml
2mg/ml
2mg/ml
250mg
250mg
250mg
150mg
300mg

DR. REDDY'S LABORATORIES

DR. REDDY'S LABORATORIES

CIPLA (UK) LIMITED


CIPLA (UK) LIMITED

ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE 1 BLIST. AL/PVC X 5 FIOLE X 2 ML SOL. INJ.

S/P-RF

CUTIE X 1 BLIST. AL/PVC X 5 FIOLE X 4 ML SOL. INJ.

S/P-RF

MAREA BRITANIE CUTIE X 5 FIOLE STICLA + INEL RUPERE X 4ML SOL. INJ. / PERF.

S/P-RF

MAREA BRITANIE CUTIE X 5 FIOLE STICLA + INEL RUPERE X 2ML SOL. INJ/ PERF.

S/P-RF

CEHIA

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


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

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

ITALIA
ITALIA

1432ui/0,25ml ABBOTT GMBH&CO.KG GERMANIA

3436ui/0,6ml
500mg/5ml
100 KIU
250 KIU
50 KIU

ABBOTT GMBH&CO.KG GERMANIA

CN UNIFARM
NOVO NORDISK A/S
NOVO NORDISK A/S
NOVO NORDISK A/S
10000UI/1,0ml SANDOZ GMBH
1000UI/0,5ml SANDOZ GMBH
2000UI/1,0ml SANDOZ GMBH

P-6L
P-6L/S

P-6L

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


CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
CUTIE X 2 BLIST. X 5 SERINGI PREUMPLUTE UNIDOZA X 0,25ML

S/P-RF

CUTIE X 1 BLIST X 5 SERINGI PREUMPLUTE UNIDOZA X 0,60 ML

S/P-RF

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

DANEMARCA

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. RECONSTITUIRE

P-RF/R

DANEMARCA

CUTIE X 1 FLAC. PULB. PT. SOL. INJ. + 1 FLAC. SOLV. PT. RECONSTITUIRE

P-RF/R

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

Pagina 31 din 56

10
14.09
1.409000
1.409000
19.04
1.904000
1.904000
10
24.64
2.464000
2.464000
33.31
3.331000
3.331000
5
17.60
3.520000
3.520000
23.79
4.758000
4.758000
5
33.45
6.690000
6.690000
43.75
8.750000
8.750000
5
33.43
6.686000
6.686000
43.73
8.746000
8.746000
5
17.60
3.520000
3.520000
23.79
4.758000
4.758000
50
54.39
1.087800
1.087800
68.77
1.375400
1.375400
100
98.29
0.982900
0.982900
124.28
1.242800
1.242800
50
56.54
1.130800
1.130800
71.49
1.429800
1.429800
60
41.43
0.690500
0.690500
54.19
0.903166
0.903166
20
27.43
1.371500
1.371500
35.88
1.794000
1.794000
10
66.80
6.680000
6.680000
84.46
8.446000
8.446000
5
80.20
16.040000
16.040000
101.41
20.282000
20.282000
5
9.47
1.894000
1.894000
12.80
2.560000
2.560000
1 5,431.43 5,431.430000 5,431.430000 5,958.41 5,958.410000 5,958.410000
1 13,793.54 13,793.540000 13,793.540000 15,073.11 15,073.110000 15,073.110000
1 2,730.72 2,730.720000 2,730.720000 3,014.63 3,014.630000 3,014.630000
6 1,550.81
258.468333
258.468333 1,728.54
288.090000
288.090000
6
178.92
29.820000
29.820000
218.42
36.403333
36.403333
6
355.67
59.278333
59.278333
425.83
70.971666
70.971666

Grupa
Nr.
terape
crt
utica
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75

B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01

Denumire generica

EPOETINUM ALFA
EPOETINUM ALFA
EPOETINUM ALFA
EPOETINUM ALFA
EPOETINUM ALFA
EPOETINUM ALFA
EPOETINUM BETA
EPOETINUM BETA
EPOETINUM BETA
EPOETINUM BETA
EPOETINUM BETA
EPOETINUM BETA
EPOETINUM BETA

Denumire comerciala

BINOCRIT 30000UI/0,75ml
BINOCRIT 3000UI/0,3ml
EPREX 40000 UI/ml
BINOCRIT 40000 UI/1 ml
BINOCRIT 4000UI/0,4ml
BINOCRIT 5000UI/0,5ml
NEORECORMON 10000UI/0,6ml
NEORECORMON 1000UI/0,3ml
NEORECORMON 2000UI/0,3ml
NEORECORMON 30000UI/0,6ml
NEORECORMON 4000UI/0,3ml
NEORECORMON 5000UI/0,3ml

Forma
Concentrati
farmaceutic
e / U.T.
a

S/P-RF/R

S/P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

30000 UI/0,6ml ROCHE REGISTRATION LTD.

WYETH LEDERLE PHARMA GMBH

AUSTRIA CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ.

S/P-RF

LIOF. PT. SOL. INJ.

FARA CONCENTRATIE

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ.

S/P-RF

2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
1g
500mg
1000mg
1g
1g
1g
1g
500mg
500mg
500mg
500mg
500mg

ROMASTRU TRADING SRL ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

ROMASTRU TRADING SRL ROMANIA

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

ANTIBIOTICE S.A.

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g

PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILINA/TAZOBACTAM MYLAN 2g/0,25 g

PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILINA/TAZOBACTAN ACTAVIS 2 g/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

PIPERACILINA/TAZOBACTAN ACTAVIS 4 g/0,5 g PULB. PT. SOL. INJ./PERF.

SOL. INJ. IN SERINGA PREUMPLUTA

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.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

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

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

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


PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

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

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

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

J01DH02
J01DH02
J01DH02
J01DH02
J01DH02
J01DH02
J01DH02
J01DH51
J01DH51
J01DH51
J01DH51
J01DH51
J01DH51

PULB. PT. SOL. INJ./PERF.


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

MEROPENEM HOSPIRA 500 mg

PULB. PT. SOL. INJ./PERF.

LODITER 500 mg

PULB. PT. SOL. INJ./PERF.

MEROPENEM HOSPIRA 500 mg

PULB. PT. SOL. INJ./PERF.

CILOPEN 500mg/500mg
CILOPEN 500mg/500mg
CILOPEN 500mg/500mg
CILOPEN 500mg/500mg

PULB. PT. SOL. INJ.


PULB. PT. SOL. INJ.
PULB. PT. SOL. INJ.
PULB. PT. SOL. INJ.

IMIPENEM/CILASTATIN HOSPIRA 500 mg/500 mg PULB. PT. SOL. PERF.

IMIPENEM/CILASTATIN KABI 500mg/500mg

S/P-RF/R

FARA CONCENTRATIE

PULB. PT. SOL. INJ./PERF.

J01DH02

CUTIE X 1 SERINGA PRE-UMPLUTA X 0,6 ML + 1 AC

LIOF. PT. SOL. INJ.

PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g

J01DH02

MAREA BRITANIE

PULB. PT. SOL. INJ./PERF.

SOL. INJ. IN SERINGA PREUMPLUTA

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

J01DH02

30000UI/0,75ml

4000UI/0,3ml ROCHE REGISTRATION LTD.


5000UI/0,3ml ROCHE REGISTRATION LTD.
500UI/0,3ml ROCHE REGISTRATION LTD.
3,2g
BEECHAM GROUP PLC

SOL. INJ. IN SERINGA PREUMPLUTA

PULB. PT. SOL. INJ./PERF.

J01DH02

S/P-RF/R

MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. X 6 ACE

PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g

MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM

CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ.

ROCHE REGISTRATION LTD.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

J01DH02

S/P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

P-RF/R

CUTIE X 6 SERINGI PREUMPLUTE X 0,4ML SOL. INJ.

S/P-RF/R

PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g

J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g

S/P-RF

CUTIE X 1 SERINGA PREUMPLUTA X 1ML SOL. INJ.

MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

J01CR05

CUTIE CU 1 SERINGA PREUMPLUTA X 1 ML SOL. INJ.

AUSTRIA
AUSTRIA
AUSTRIA

ROCHE REGISTRATION LTD.

PULB. PT. SOL. INJ./PERF.

ZOPECILIN 4 g/0,5 g
PIPERACILLINUM + TAZOBACTAMUM ZOPECILIN 4 g/0,5 g

SLOVENIA

1000UI/0,3ml
2000UI/0,3ml

SOL. INJ. IN SERINGA PREUMPLUTA

PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

S/P-RF/R

MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ. + 6 ACE

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

P-RF/R

CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ.

ROCHE REGISTRATION LTD.

SOL. INJ. IN SERINGA PREUMPLUTA

PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

CUTIE X 1 SERINGA PREUMPLUTA X 0,75ML SOL. INJ.

10000UI/0,6ml

SOL. INJ. IN SERINGA PREUMPLUTA

PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

AUSTRIA
AUSTRIA

Prescriptie

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

Ambalaj

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

J01CR03 TICARCILLINUM + ACIDUM CLAVULANICUM

Tara

SANDOZ GMBH
3000UI/0,3ml SANDOZ GMBH
40 000UI/ml JOHNSON & JOHNSON D.O.O.
40000 UI/1 ml SANDOZ GMBH
4000UI/0,4ml SANDOZ GMBH
5000UI/0,5ml SANDOZ GMBH

SOL. INJ. IN SERINGA PREUMPLUTA

NEORECORMON 500UI/0,3ml
TIMENTIN 3,2 g
TAZOCIN 2,25
TAZOCIN 4,5
ZOPECILIN 2 g/0,25 g
ZOPECILIN 2 g/0,25 g
PERASIN 2g/0,25 g

B03XA01

Firma

PULB. PT. SOL. PERF.

500mg/500mg
500mg/500mg
500mg/500mg
500mg/500mg
500mg/500mg
500mg/500mg

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.
S.C. FRESENIUS KABI S.R.L.

MYLAN S.A.S.

MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE

S/P-RF/R

MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE

S/P-RF/R

MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ. + 6 ACE

S/P-RF/R

MAREA BRITANIE CUTIE X 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.

S/P-RF

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

ACTAVIS GROUP PTC EHF.

FRANTA
ISLANDA

TERAPIA SA

ROMANIA

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND 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 CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.


CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.

ROMASTRU TRADING SRL ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

ROMASTRU TRADING SRL ROMANIA

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

S.C. FRESENIUS KABI S.R.L.

ROMANIA
ROMANIA

MYLAN S.A.S.

FRANTA

S.C. FRESENIUS KABI S.R.L.

TERAPIA SA
ANTIBIOTICE S.A.

ROMANIA
ROMANIA
ROMANIA

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.

TERAPIA S.A.

ROMANIA
ROMANIA
ROMANIA

S.C. FRESENIUS KABI S.R.L.

FRESENIUS KABI ROMANIA SRL


FRESENIUS KABI ROMANIA SRL

HOSPIRA UK LIMITED
HOSPIRA UK LIMITED

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 A 50 ML CU 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 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 CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 40 ML CONTINAND PULB. PT. SOL. INJ./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.

MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.
MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.

FRESENIUS KABI ROMANIA SRL

ROMANIA
ROMANIA

HOSPIRA UK LIMITED

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

FRESENIUS KABI ROMANIA SRL

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
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
PR
S
S
PR
PR
S
S
PR
PR
PR

TERAPIA S.A.

ROMANIA

HOSPIRA UK LIMITED

MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.

TERAPIA SA
TERAPIA SA
TERAPIA SA
TERAPIA SA

ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 22 ML PULB. PT. SOL. PERF.

S/P-RF

HOSPIRA UK LIMITED

MAREA BRITANIE

CUTIE CU 5 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. PERF.

PR

FRESENIUS KABI ROMANIA SRL

ROMANIA

CUTIE X 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. S/P-RF

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CONTINAND PULB. PT. SOL. INJ./PERF.

CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF.

S/P-RF

CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF.

S/P-RF

CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 22 ML PULB. PT. SOL. PERF. S/P-RF

Pagina 32 din 56

cant/
amba
laj

1
6
1
1
6
6
6
6
6
1
6
6
6
10
12
12
1
12
1
10
1
5
10
1
5
1
12
1
12
1
12
1
5
1
10
1
1
10
10
1
1
10
1
10
1
10
1
1
10
5
10
5
10
5
10

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

688.15
518.88
1,206.71
877.32
682.04
845.15
2,117.84
229.28
447.82
1,042.55
865.04
1,073.53
117.90
212.62
401.14
692.90
22.93
265.41
22.93
386.57
20.32
99.83
196.11
40.65
196.11
22.93
265.28
22.93
460.81
40.93
460.81
40.93
197.45
40.94
389.01
40.93
40.93
1,030.68
539.60
72.84
72.84
680.43
57.22
540.86
37.77
361.25
31.46
37.77
303.59
146.26
292.52
146.26
292.52
146.26
296.98

688.150000
86.480000
1,206.710000
877.320000
113.673333
140.858333
352.973333
38.213333
74.636666
1,042.550000
144.173333
178.921666
19.650000
21.262000
33.428333
57.741666
22.930000
22.117500
22.930000
38.657000
20.320000
19.966000
19.611000
40.650000
39.222000
22.930000
22.106666
22.930000
38.400833
40.930000
38.400833
40.930000
39.490000
40.940000
38.901000
40.930000
40.930000
103.068000
53.960000
72.840000
72.840000
68.043000
57.220000
54.086000
37.770000
36.125000
31.460000
37.770000
30.359000
29.252000
29.252000
29.252000
29.252000
29.252000
29.698000

Pret cu ridicata
maximal de
decontare / U.T.

688.150000
86.480000
1,052.784000
877.320000
113.673333
140.858333
352.973333
38.213333
74.636666
1,042.550000
144.173333
178.921666
19.650000
21.262000
23.533200
46.081000
22.930000
22.117500
22.930000
23.533200
20.320000
19.966000
19.611000
23.533200
23.533200
22.930000
22.106666
22.930000
38.400833
40.930000
38.400833
40.930000
39.490000
40.940000
38.901000
40.930000
40.930000
64.903200
36.430800
64.903200
64.903200
64.903200
57.220000
54.086000
36.430800
36.125000
31.460000
36.430800
30.359000
29.252000
29.252000
29.252000
29.252000
29.252000
29.698000

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

788.23
603.73
1,353.47
994.43
781.57
959.37
2,346.60
279.91
526.27
1,174.53
981.05
1,208.30
143.93
259.57
475.39
793.41
30.99
324.01
30.99
459.51
27.47
126.23
239.41
53.17
239.41
30.99
323.86
30.99
540.43
53.53
540.43
53.53
241.05
53.55
462.17
53.53
53.53
1,161.59
626.31
92.10
92.10
779.82
72.35
627.69
49.40
431.91
41.15
49.40
369.06
178.55
357.11
178.55
357.11
178.55
362.55

788.230000
100.621666
1,353.470000
994.430000
130.261666
159.895000
391.100000
46.651666
87.711666
1,174.530000
163.508333
201.383333
23.988333
25.957000
39.615833
66.117500
30.990000
27.000833
30.990000
45.951000
27.470000
25.246000
23.941000
53.170000
47.882000
30.990000
26.988333
30.990000
45.035833
53.530000
45.035833
53.530000
48.210000
53.550000
46.217000
53.530000
53.530000
116.159000
62.631000
92.100000
92.100000
77.982000
72.350000
62.769000
49.400000
43.191000
41.150000
49.400000
36.906000
35.710000
35.711000
35.710000
35.711000
35.710000
36.255000

788.230000
100.621666
1,193.316000
994.430000
130.261666
159.895000
391.100000
46.651666
87.711666
1,174.530000
163.508333
201.383333
23.988333
25.957000
28.729200
54.043000
28.729200
27.000833
28.729200
28.729200
27.470000
25.246000
23.941000
28.729200
28.729200
28.729200
26.988333
28.729200
45.035833
53.530000
45.035833
53.530000
48.210000
53.550000
46.217000
53.530000
53.530000
75.322800
44.287200
75.322800
75.322800
75.322800
72.350000
62.769000
44.287200
43.191000
41.150000
44.287200
36.906000
35.710000
35.711000
35.710000
35.711000
35.710000
36.255000

Grupa
Nr.
terape
crt
utica
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130

J01DH51
J01DH51

J01XA01
J01XA01
J01XA01
J01XA01
J01XA01
J01XA01
J01XA01
J01XA01
J01XA02
J01XX08
J01XX08
J01XX08
J01XX08
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01

Denumire generica

IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
VANCOMYCINUM
VANCOMYCINUM
VANCOMYCINUM
VANCOMYCINUM
VANCOMYCINUM
VANCOMYCINUM
VANCOMYCINUM
VANCOMYCINUM
TEICOPLANINUM
LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM

Denumire comerciala

TIENAM I.V.
TIENAM I.V.
VANCOMYCIN TEVA
VANCOMYCIN TEVA

Forma
Concentrati
farmaceutic
e / U.T.
a
PULB. PT. SOL. PERF.
PULB. PT. 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.

VANCOMICINA KABI 1000 mg

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

VANCOMICINA ACTAVIS 1000mg

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

VANCOMICINA KABI 500 mg


EDICIN
TARGOCID (R) 400 mg
ZYVOXID (R)
ZYVOXID (R)
LINEZOLID TEVA 2 mg/ml
ZYVOXID (R)
FUNGOLON 100 mg
DIFLAZON 100 mg
FLUCONAZOLE TEVA 100 mg
FLUCONAZOLE TEVA 100 mg

FLUCORIC 100 mg
FLUCOVIM 100
FLUCONAZOL MEDOCHEMIE 150 mg

FLUCONAZOL ACTAVIS 150 mg


FLUCONAZOL MEDICO UNO 150 mg

FLUCONAZOL LPH 150 mg


FLUCONAZOL ROMPHARM 150 mg

FLUCONAZOL 150 mg
FLUCONAZOL SANDOZ (R) 150

MYCOMAX 150
DIFLAZON 150 mg
FLUCONAZOLE TEVA 150 mg

FLUCOVIM 150
DIFLUCAN 150 mg
FLUCORIC 150 mg
FLUCONAZOL BIOGALENICA 150 mg

MYCOSYST 150 mg
FLUCONAZOL 150 mg
FLUCONAZOL ARENA 150 MG
FLUCONAZOLE TEVA 200 mg

FLUCONAZOL 50 mg
DIFLAZON 50 mg
FLUCOVIM 50
FLUCONAZOL MEDOCHEMIE 50 mg

FLUCONAZOL LPH 50 mg
FLUCONAZOL BIOGALENICA 50 mg

FUNGOLON 50 mg
FLUCONAZOLE TEVA 50 mg
FLUCONAZOL OZONE 50 mg
DIFLUCAN 50 mg
FLUCORIC 50 mg
FLUCONAZOL SANDOZ (R) 50

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

PULB.LIOF.PT.SOL.PERF./INJ

LIOF. + SOLV. PT. SOL. INJ.

COMPR. FILM.
GRAN. PT. SUSP. ORALA

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

FLUCONAZOL 50 mg
FLUCONAZOL ARENA 50 MG
DIFLUCAN (R) 50 mg/5 ml
PULB. PT. SUSP. ORALA
MYCOMAX INF 2mg/ml
SOL. PERF.

Firma

Tara

500mg/500mg MERCK SHARP & DOHME ROMANIA


500mg/500mg MERCK SHARP & DOHME ROMANIA

1g
500mg
1000mg
500mg
1000mg
1000mg
500mg
1g
400mg
600mg
100mg/5ml
2mg/ml
2mg/ml
100mg
100mg
100mg
100mg
100mg
100mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
200mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg/5ml
2mg/ml

Ambalaj

Prescriptie

TAVA DIN PLASTIC X 25 FLAC. DIN STICLA INCOLORA CU PULB.PT. SOL. PERF.

S/P-RF

TAVA DIN PLASTIC X 10 FLAC. DIN STICLA INCOLORA CU PULB.PT. SOL. PERF.

S/P-RF

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

TEVA PHARM. WORKS PRIVATE LTD. COMPANY

UNGARIA
UNGARIA

PHARMASWISS CESKA REPUBLIKA S.R.O.

REPUBLICA CEHA CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF.

PHARMASWISS CESKA REPUBLIKA S.R.O.

REPUBLICA CEHA CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF.

FRESENIUS KABI ROMANIA SRL

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CARE CONTINE PULB. PT. CONC. PT. SOL. P

PR
PR
PR

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CONTINAND 1000 MG VANCOMICINA

P-PR

FRESENIUS KABI ROMANIA SRL

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. P

PR

LEK PHARMACEUTICALS D.D.

SLOVENIA

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

S/P-RF

TEVA PHARM. WORKS PRIVATE LTD. COMPANY

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

P-RF

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

10 PUNGI PT. PERFUZIE (DIN POLIMER MULTISTRAT) CU 1 PERFUZOR SAU 2 PERFUZOARE CU 300 ML SOL., ECHIPA

PRF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

BALKANPHARMA RAZGRAD AD

KRKA D.D.

CUTIE X 10 PUNGI X 300 ML


S
BULGARIA CUTIE X 2 BLIST. PVC/AL X 8 CAPS. P-RF
SLOVENIA CUTIE X 4 BLIST. X 7 CAPS.
P-RF

ROMANIA
ROMANIA
TERAPIA SA
ROMANIA
VIM SPECTRUM SRL ROMANIA
MEDOCHEMIE ROMANIA SRL ROMANIA

TEVA PHARMACEUTICALS S.R.L.


TEVA PHARMACEUTICALS S.R.L.

ACTAVIS GROUP PTC EHF.


MEDICO UNO PHARMACEUTICAL SRL

ISLANDA

CUTIE X 1 BLIST. PVC-PVDC/AL X 2 CAPS.


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

P-RF

CUTIE X 1 BLIST. X 4 CAPS.


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

P-RF

P-RF
P-RF

P-RF

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

ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA P-RF


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

LABORMED PHARMA S.A. ROMANIA


ROMPHARM COMPANY S.R.L.
OZONE LABORATORIES PHARMA S.A.

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

GERMANIA

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


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

P-RF

CEHIA

P-RF

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


VIM SPECTRUM SRL ROMANIA CUTIE X 1 FLAC. X 1 CAPS.

P-RF

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

P-RF

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

P-RF

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

P-RF

CUTIE X 4 BLIST. AL/PVC X 1 CAPS.


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

P-RF

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

P-RF

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

P-RF

TEVA PHARMACEUTICALS S.R.L.

PFIZER EUROPE MA EEIG

MAREA BRITANIE

TERAPIA SA

ROMANIA
LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
SLAVIA PHARM SRL ROMANIA
ARENA GROUP SA ROMANIA
TEVA PHARMACEUTICALS S.R.L. ROMANIA
ANTIBIOTICE S.A.
ROMANIA

KRKA D.D.
SLOVENIA CUTIE X 1 BLIST. X 7 CAPS.
VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS.
MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS.
LABORMED PHARMA S.A. ROMANIA

P-RF

P-RF

P-RF
P-RF

P-RF
P-RF
P-RF

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

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

P-RF
P-RF

OZONE LABORATORIES PHARMA S.A.

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


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

PFIZER EUROPE MA EEIG

MAREA BRITANIE

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

P-RF

TERAPIA SA
SANDOZ SRL
SLAVIA PHARM SRL
ARENA GROUP SA

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


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

P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

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

P-RF

ZENTIVA K.S.

REPUBLICA CEHA

CUTIE CU 1 FLACON DIN STICLA INCOLORA A 50 ML SOL. PERF. X 100 MG FLUCONAZOL

LABORATOARELE PROF.DR.MORAIT S.R.L.

BALKANPHARMA RAZGRAD AD
TEVA PHARMACEUTICALS S.R.L.

Pagina 33 din 56

P-RF
P-RF

P-RF
P-RF
P-RF

cant/
amba
laj

25
10
1
1
10
10
1
1
1
1
1
10
1
10
10
16
28
2
7
7
4
1
1
1
1
1
1
1
1
1
1
1
1
1
1
4
1
1
7
10
7
7
7
7
7
8
7
7
7
7
7
7
7
1
1

Pret cu
ridicata
maximal /
ambalaj

1,068.64
445.46
48.56
24.28
456.00
234.30
48.39
48.45
24.17
56.90
118.16
1,603.26
879.36
1,052.62
1,603.26
65.37
193.65
6.98
23.31
33.15
18.95
6.07
7.44
6.68
7.35
9.57
7.35
10.79
9.27
16.65
4.88
7.35
18.56
13.95
4.88
48.24
7.16
6.68
30.10
18.88
47.19
16.69
11.95
16.69
11.66
14.09
12.35
16.69
43.23
21.91
32.06
14.49
14.15
43.23
30.54

Pret cu ridicata
maximal / U.T.

42.745600
44.546000
48.560000
24.280000
45.600000
23.430000
48.390000
48.450000
24.170000
56.900000
118.160000
160.326000
879.360000
105.262000
160.326000
4.085625
6.916071
3.490000
3.330000
4.735714
4.737500
6.070000
7.440000
6.680000
7.350000
9.570000
7.350000
10.790000
9.270000
16.650000
4.880000
7.350000
18.560000
13.950000
4.880000
12.060000
7.160000
6.680000
4.300000
1.888000
6.741428
2.384285
1.707142
2.384285
1.665714
1.761250
1.764285
2.384285
6.175714
3.130000
4.580000
2.070000
2.021428
43.230000
30.540000

Pret cu ridicata
maximal de
decontare / U.T.

35.102400
35.102400
48.560000
24.280000
45.600000
23.430000
48.390000
48.450000
24.170000
54.720000
118.160000
160.326000
879.360000
105.262000
126.314400
3.996000
3.996000
3.490000
3.330000
3.996000
3.996000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
4.880000
5.856000
5.856000
5.856000
4.880000
5.856000
5.856000
5.856000
4.300000
1.888000
1.998857
1.998857
1.707142
1.998857
1.665714
1.761250
1.764285
1.998857
1.998857
1.998857
1.998857
1.998857
1.998857
43.230000
21.286560

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

1,202.97
523.70
63.52
32.82
535.19
286.03
63.30
63.37
32.67
71.94
144.25
1,785.71
996.65
1,185.51
1,785.71
82.66
236.41
9.43
31.51
43.36
25.61
8.20
10.06
9.03
9.94
12.94
9.94
14.58
12.53
22.51
6.59
9.94
25.08
18.86
6.59
63.10
9.68
9.03
39.37
25.52
61.72
22.56
16.15
22.56
15.76
19.04
16.69
22.56
56.54
29.61
41.93
19.58
19.12
56.54
39.95

48.118800
52.370000
63.520000
32.820000
53.519000
28.603000
63.300000
63.370000
32.670000
71.940000
144.250000
178.571000
996.650000
118.551000
178.571000
5.166250
8.443214
4.715000
4.501428
6.194285
6.402500
8.200000
10.060000
9.030000
9.940000
12.940000
9.940000
14.580000
12.530000
22.510000
6.590000
9.940000
25.080000
18.860000
6.590000
15.775000
9.680000
9.030000
5.624285
2.552000
8.817142
3.222857
2.307142
3.222857
2.251428
2.380000
2.384285
3.222857
8.077142
4.230000
5.990000
2.797142
2.731428
56.540000
39.950000

42.852000
42.852000
63.520000
32.820000
53.519000
28.603000
63.300000
63.370000
32.670000
64.222800
144.250000
178.571000
996.650000
118.551000
142.261200
5.166250
5.401714
4.715000
4.501428
5.401714
5.401714
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
6.590000
7.908000
7.908000
7.908000
6.590000
7.908000
7.908000
7.908000
5.624285
2.552000
2.701714
2.701714
2.307142
2.701714
2.251428
2.380000
2.384285
2.701714
2.701714
2.701714
2.701714
2.701714
2.701714
56.540000
25.033440

Grupa
Nr.
terape
crt
utica
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185

Denumire generica

J05AB14

FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
POSACONAZOLUM**
POSACONAZOLUM**
CASPOFUNGINUM**
CASPOFUNGINUM**
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
VALACYCLOVIRUM
VALGANCICLOVIRUM**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC03
J02AC03
J02AC03
J02AC03
J02AC04
J02AC04

J02AX04
J02AX04
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB11

Denumire comerciala

MYCOMAX INF 2mg/ml


DIFLUCAN (R)
DIFLUCAN (R)
FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL KABI 2 mg/ml
MYCOMAX INF 2mg/ml
FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL BIOGALENICA 2mg/ml

DIFLAZON 2mg/ml
FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL KABI 2 mg/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

VFEND 200mg
VFEND 50mg
VFEND 200mg
VFEND 40 mg/ml
NOXAFIL SP 40mg/ml
NOXAFIL SP 40mg/ml
CANCIDAS 50 mg
CANCIDAS 70 mg
ACICLOVIR 200 mg
ACICLOVIR ARENA 200 mg
ACICLOVIR ARENA 200 mg
ACICLOVIR ARENA 400 mg
ACICLOVIR 200 mg
CLOVIRAL 200 mg
ACICLOVIR 200 mg
ACICLOVIR TERAPIA 200 mg
ACICLOVIR 200 mg
ACICLOVIR 400 mg
VIROLEX
VALTREX 500 mg
VALCYTE (R) 450 mg
HUMAGLOBIN
HUMAGLOBIN
OCTAGAM 10%
OCTAGAM 10%
OCTAGAM 10%
OCTAGAM 10%
PRIVIGEN 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
PRIVIGEN 100mg/ml
PRIVIGEN 100mg/ml
PRIVIGEN 100mg/ml
KIOVIG 100mg/ml

Forma
Concentrati
farmaceutic
e / U.T.
a
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
COMPR. FILM.
COMPR. FILM.
PULB. PT. SOL. PERF.
PULB. PT. SUSP. ORALA

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.
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.

2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
200mg
50mg
200mg
40mg/ml
40mg/ml
40mg/ml
50mg
70mg
200mg
200mg
200mg
400mg
200mg
200mg
200mg
200mg
200mg
400mg
250mg
500mg
450mg
5%
5%
100 mg/ml
100 mg/ml
100 mg/ml
100 mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml

Firma

Tara

ZENTIVA K.S.

REPUBLICA CEHA

PFIZER EUROPE MA EEIG

MAREA BRITANIE

PFIZER EUROPE MA EEIG

MAREA BRITANIE

FRESENIUS KABI ROMANIA SRL

FRESENIUS KABI ROMANIA SRL

ROMANIA
ROMANIA
ROMANIA

ZENTIVA K.S.

REPUBLICA CEHA

FRESENIUS KABI ROMANIA SRL

ROMANIA
FRESENIUS KABI ROMANIA SRL ROMANIA
FRESENIUS KABI ROMANIA SRL ROMANIA
FRESENIUS KABI ROMANIA SRL ROMANIA
ARENA GROUP S.A. ROMANIA
FRESENIUS KABI ROMANIA SRL

Ambalaj

CUTIE CU 1 FLACON DIN STICLA INCOLORA A 200 ML SOL. PERF. X 400 MG FLUCONAZOL

CUTIE X 1 FLACON X 200 ML


CUTIE X 1 FLACON X 50 ML

FRESENIUS KABI ROMANIA SRL


FRESENIUS KABI ROMANIA SRL

ROMANIA
ROMANIA
ROMANIA

S
S
CUTIE CU 10 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF. S
S
CUTIE CU 20 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. S
CUTIE CU 25 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF. S
CUTIE CU 1 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. S
CUTIE CU 10 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. S
CUTIE X 1 FLAC. X 100 ML SOL. PERF. S

CUTIE CU 1 FLACON DIN STICLA INCOLORA A 100 ML SOL. PERF. X 200 MG FLUCONAZOL

CUTIE CU 1 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.


CUTIE CU 10 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.
CUTIE CU 20 FLAC. PEJD (KABIPAC) 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.
B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. PEJD X 50 ML SOL. PERF.

CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL)

P-RF

CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL)

P-RF

MAREA BRITANIE

CUTIE X 1 FLAC. UNIDOZA X 30ML

P-RF

MAREA BRITANIE

CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA

SP EUROPE

BELGIA
MAREA BRITANIE

CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF.

MERCK SHARP & DOHME

MAREA BRITANIE

CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF.

ROMANIA
ROMANIA
ROMANIA
ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
ANTIBIOTICE SA
ROMANIA
EGIS PHARMACEUTICALS P.L.C. UNGARIA
TERAPIA SA
ROMANIA
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.

MAREA BRITANIE

SLAVIA PHARM SRL


ARENA GROUP SA
ARENA GROUP SA
ARENA GROUP S.A.

MAREA BRITANIE

P-RF/R

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

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

P-RF

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


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

P-RF
P-RF

CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF

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-PVDC/AL X 5 COMPR. P-RF


S/P-RF

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.

UNGARIA
UNGARIA

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.

OCTAPHARMA (IP) LIMITED

MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 20 ML SOL. PERF.

OCTAPHARMA (IP) LIMITED

MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL. PERF.

CSL BEHRING GMBH GERMANIA


BAXTER AG
AUSTRIA
BAXTER AG
AUSTRIA
CSL BEHRING GMBH GERMANIA
CSL BEHRING GMBH GERMANIA
CSL BEHRING GMBH GERMANIA
BAXTER AG
AUSTRIA

P-RF
P-RF/R

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

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

HUMAN BIOPLAZMA MANUFACTURING AND TRADING LTD.

S
S
S
S
S
S
S
S

MAREA BRITANIE

MERCK SHARP & DOHME

THE WELLCOME FOUNDATION LTD.

S/PR-F

MAREA BRITANIE

CUTIE X 1 FLAC. X 105ML SUSP. ORALA


CUTIE X 1 FLAC. X 105ML SUSP. ORALA

MERCK SHARP & DOHME

S/P-RF

CUTIE CU 1 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF.

B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FLAC. PEJD X 50 ML SOL. PERF.

PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED

S
S/P-RF

CUTIE CU 25 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF.

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML
FRESENIUS KABI ROMANIA SRL

Prescriptie

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.X 25 ML SOL. PERF.


CUTIE X 1 FLAC X 200ML SOL. PERF.(20G/200ML)
CUTIE X 1 FLAC X 300ML SOL. PERF.(30G/300ML)

CUTIE X 1 FLAC.X 50 ML SOL. PERF.


CUTIE X 1 FLAC.X 100 ML SOL. PERF.
CUTIE X 1 FLAC.X 200 ML SOL. PERF.
CUTIE X 1 FLAC X 50ML SOL. PERF.(5G/50ML)

Pagina 34 din 56

P-RF

S
S
S
S
S
S
S
S
S
S
S
S
S

cant/
amba
laj

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

1
1
1
25
1
10
1
20
25
1
10
1
1
1
10
20
20
10
20
10
10
28
28
1
1
1
1
1
1
20
20
1000
10
20
20
20
20
20
10
5
10
60
1
1
1
1
1
1
1
1
1
1
1
1
1

137.44
133.17
30.99
781.76
81.95
761.71
42.66
631.41
443.47
34.28
330.71
40.63
35.03
18.84
181.93
360.77
362.55
454.59
796.39
770.66
182.90
3,559.23
912.09
458.07
2,203.52
2,488.19
2,488.19
1,202.39
1,560.14
14.97
15.85
704.14
14.41
12.75
12.16
10.22
12.69
9.62
14.23
231.79
43.54
4,863.09
451.00
872.00
3,072.10
6,114.44
663.61
1,550.55
460.47
3,469.04
7,459.41
890.95
1,751.89
3,473.78
889.76

137.440000
133.170000
30.990000
31.270400
81.950000
76.171000
42.660000
31.570500
17.738800
34.280000
33.071000
40.630000
35.030000
18.840000
18.193000
18.038500
18.127500
45.459000
39.819500
77.066000
18.290000
127.115357
32.574642
458.070000
2,203.520000
2,488.190000
2,488.190000
1,202.390000
1,560.140000
0.748500
0.792500
0.704140
1.441000
0.637500
0.608000
0.511000
0.634500
0.481000
1.423000
46.358000
4.354000
81.051500
451.000000
872.000000
3,072.100000
6,114.440000
663.610000
1,550.550000
460.470000
3,469.040000
7,459.410000
890.950000
1,751.890000
3,473.780000
889.760000

Pret cu ridicata
maximal de
decontare / U.T.

91.405200
91.405200
21.286560
31.270400
81.950000
76.171000
37.524480
31.570500
17.738800
34.280000
33.071000
37.524480
35.030000
18.840000
18.193000
18.038500
18.127500
37.524480
37.524480
77.066000
18.290000
127.115357
32.574642
458.070000
2,203.520000
2,488.190000
2,488.190000
1,202.390000
1,560.140000
0.577200
0.577200
0.577200
1.441000
0.577200
0.577200
0.511000
0.577200
0.481000
1.423000
46.358000
4.354000
81.051500
451.000000
872.000000
3,072.100000
6,114.440000
663.610000
1,550.550000
460.470000
3,469.040000
7,459.410000
890.950000
1,751.890000
3,473.780000
889.760000

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

167.79
162.58
40.53
890.27
103.62
868.42
55.80
726.39
521.53
44.84
398.62
53.14
45.82
25.47
222.10
431.39
433.33
533.65
906.22
878.17
223.28
3,917.72
1,032.33
537.45
2,439.99
2,750.28
2,750.28
1,348.76
1,738.70
20.23
21.42
805.66
19.48
17.23
16.44
13.81
17.15
13.00
19.23
282.97
56.95
5,338.93
529.74
988.63
3,386.74
6,702.89
761.48
1,728.25
540.07
3,819.40
8,168.91
1,009.28
1,947.71
3,824.57
1,007.99

167.790000
162.580000
40.530000
35.610800
103.620000
86.842000
55.800000
36.319500
20.861200
44.840000
39.862000
53.140000
45.820000
25.470000
22.210000
21.569500
21.666500
53.365000
45.311000
87.817000
22.328000
139.918571
36.868928
537.450000
2,439.990000
2,750.280000
2,750.280000
1,348.760000
1,738.700000
1.011500
1.071000
0.805660
1.948000
0.861500
0.822000
0.690500
0.857500
0.650000
1.923000
56.594000
5.695000
88.982166
529.740000
988.630000
3,386.740000
6,702.890000
761.480000
1,728.250000
540.070000
3,819.400000
8,168.910000
1,009.280000
1,947.710000
3,824.570000
1,007.990000

104.210400
104.210400
25.033440
35.610800
103.620000
86.842000
42.732960
36.319500
20.861200
42.732960
39.862000
42.732960
42.732960
25.033440
22.210000
21.569500
21.666500
42.732960
42.732960
87.817000
22.328000
139.918571
36.868928
537.450000
2,439.990000
2,750.280000
2,750.280000
1,348.760000
1,738.700000
0.780000
0.780000
0.780000
1.948000
0.780000
0.780000
0.690500
0.780000
0.650000
1.923000
56.594000
5.695000
88.982166
529.740000
988.630000
3,386.740000
6,702.890000
761.480000
1,728.250000
540.070000
3,819.400000
8,168.910000
1,009.280000
1,947.710000
3,824.570000
1,007.990000

Grupa
Nr.
terape
crt
utica
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240

Denumire generica

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

L01AA01

CYCLOPHOSPHAMIDUM
CYCLOPHOSPHAMIDUM
MELPHALANUM
IFOSFAMIDUM
BUSULFANUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
FLUDARABINUM
FLUDARABINUM
FLUDARABINUM
ETOPOSIDUM
ETOPOSIDUM
ETOPOSIDUM
ETOPOSIDUM
ETOPOSIDUM
ETOPOSIDUM
IDARUBICINUM
IDARUBICINUM
MITOXANTRONUM**
CISPLATINUM
CISPLATINUM
CISPLATINUM
CISPLATINUM
CISPLATINUM
CISPLATINUM
CISPLATINUM
CISPLATINUM
CARBOPLATINUM
CARBOPLATINUM

L01AA01
L01AA03
L01AA06
L01AB01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BB05
L01BB05
L01BB05
L01CB01
L01CB01
L01CB01
L01CB01
L01CB01
L01CB01
L01DB06
L01DB06
L01DB07

L01XA01
L01XA01
L01XA01
L01XA01
L01XA01
L01XA01
L01XA01
L01XA01
L01XA02
L01XA02

Denumire comerciala

KIOVIG 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
IG VENA 10g/200ml
IG VENA 1g/20ml
IG VENA 2,5g/50ml
FLEBOGAMMA 5%
FLEBOGAMMA 5%
FLEBOGAMMA 5%
FLEBOGAMMA 5%
OCTAGAM
OCTAGAM
OCTAGAM
IG VENA 5g/100ml
ENDOXAN (R) 50 mg
ENDOXAN 200 mg
ALKERAN 2 mg
HOLOXAN 1 g
MYLERAN

Forma
Concentrati
farmaceutic
e / U.T.
a
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
DRAJ.

100mg/ml
100mg/ml
100mg/ml
10g/200ml
1g/20ml
2,5g/50ml
5%
5%
5%
5%
50mg/ml
50mg/ml
50mg/ml
5g/100ml
50mg
PULB. PT. SOL. PERF./INJ. I.V. 200mg
COMPR. FILM. 2mg
PULB. PT. SOL. PERF. 1g
COMPR. FILM. 2mg
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
METOJECT 50mg/ml
50mg/ml
METOJECT 50mg/ml
50mg/ml
METHOTREXAT "EBEWE" 50 mg SOL. INJ./PERF. 10mg/ml
FLUDARA ORAL 10 mg
COMPR. FILM. 10mg
FLUDARA
LIOF. PT. SOL. INJ./PERF. 50mg
FLUDARABINA ACTAVIS 25 mg/ml PULB. PT. SOL. INJ./PERF. 25mg/ml
VEPESID
CAPS. MOI 100mg
VEPESID
CAPS. MOI 50mg
SINTOPOZID 100 mg/5 ml
CONC. PT. SOL. PERF. 100mg/5ml
ETOPOSID "EBEWE" 100 mg/5 ml CONC. PT. SOL. PERF. 100mg/5ml
ETOPOSIDE - TEVA
CONC. PT. SOL. PERF. 20mg/ml
ETOPOSIDE - TEVA
CONC. PT. SOL. PERF. 20mg/ml
ZAVEDOS
CAPS.
10mg
ZAVEDOS 5 mg
PULB. PT. SOL. INJ. 5mg
ONKOTRONE
CONC. PT. SOL. INJ. 2mg/ml
CISPLATIN "EBEWE" 10 mg/20 ml CONC. PT. SOL. PERF. 10mg/20ml
SINPLATIN 1 mg/1 ml
CONC. PT. SOL. PERF. 1mg/1ml
SINPLATIN 1 mg/1 ml
CONC. PT. SOL. PERF. 1mg/1ml
CISPLATINA ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml
CISPLATINA ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml
CISPLATINA ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml
CISPLATIN "EBEWE" 25 mg/50 ml CONC. PT. SOL. PERF. 25mg/50ml
CISPLATIN "EBEWE" 50 mg/100 ml CONC. PT. SOL. PERF. 50mg/100ml
CARBOPLATIN ACTAVIS 10mg/ml CONC. PT. SOL. PERF. 10mg/ml
CARBOPLATIN ACTAVIS 10mg/ml CONC. PT. SOL. PERF. 10mg/ml

Firma

BAXTER AG
BAXTER AG
BAXTER AG
KEDRION SPA
KEDRION SPA
KEDRION SPA
INSTITUTO GRIFOLS S.A.
INSTITUTO GRIFOLS S.A.
INSTITUTO GRIFOLS S.A.
INSTITUTO GRIFOLS S.A.

Tara

Ambalaj

AUSTRIA
AUSTRIA
AUSTRIA
ITALIA
ITALIA
ITALIA
SPANIA
SPANIA
SPANIA
SPANIA

CUTIE X 1 FLAC X 100ML SOL. PERF.(10G/100ML)

CUTIE X 1 FLAC X 25ML SOL. PERF.(2,5G/25ML)

CUTIE X 1 FLAC X 10ML SOL. PERF.(1G/10ML)


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.


CUTIE X 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL.PERF.
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL.PERF.
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10 ML SOL.PERF.

Prescriptie

S
S
S
S
S
S
S
S
S
S
S
S
S
S

MAREA BRITANIE

CUTIE X 1 FLACON X 100 ML


CUTIE X 1 FLACON X 50 ML
CUTIE X 1 FLACON X 200 ML

KEDRION SPA

ITALIA

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

OCTAPHARMA (IP) LTD.


OCTAPHARMA (IP) LTD.
OCTAPHARMA (IP) LTD.

MAREA BRITANIE
MAREA BRITANIE

ACTAVIS S.R.L.

ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. PERF./INJ S

THE WELLCOME FOUNDATION LTD.

MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA BRUNA X 25 COMPR. FILM.

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.

ROMANIA CUTIE X 20 COMPR.

P-RF/R

EBEWE PHARMA GMBH NFG. KG

P-RF

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

AUSTRIA CUTIE X 5 FIOLE X 5 ML


AUSTRIA CUTIE X 1 TUB DIN MATERIAL PLASTIC X 1 FIOLA X 10 ML
AUSTRIA CUTIE X 1 FLACON X 50 ML
AUSTRIA CUTIE X 10 FIOLE X 1 ML
AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA CU AC X 0,75 ML SOL INJ.
AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA CU AC X 1 ML SOL INJ.
AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA CU AC X 1,5 ML SOL INJ.
AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA CU AC X 2 ML SOL INJ.

SOL. INJ. IN SERINGA PREUMPLUTA

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,15ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL

P-RF

SOL. INJ. IN SERINGA PREUMPLUTA

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,20ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL

P-RF

SOL. INJ. IN SERINGA PREUMPLUTA

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

SOL. INJ. IN SERINGA PREUMPLUTA

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

EBEWE PHARMA GMBH NFG. KG

AUSTRIA CUTIE X 1 FLACON X 5 ML

BAYER SCHERING PHARMA AG

GERMANIA

CUTIE X 1 FLAC. DIN PE X 4 BLIST. AL/AL X 5 COMPR. FILM.

P-RF/S

CUTIE X 5 FLAC. CU LIOF. PT. SOL. INJ./PERF.

S
S

EBEWE PHARMA GMBH NFG. KG


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

GENZYME EUROPE B.V.

OLANDA

ACTAVIS S.R.L.

ACTAVIS S.R.L.

ROMANIA
UNGARIA
UNGARIA
ROMANIA

EBEWE PHARMA GMBH NFG. KG

AUSTRIA CUTIE X 1 FLACON X 5 ML

TEVA PHARMACEUTICALS S.R.L.


TEVA PHARMACEUTICALS S.R.L.

ROMANIA CUTIE X 1 FLAC. X 5 ML CONC. PT. SOL. PERF.


ROMANIA CUTIE X 1 FLAC. X 10 ML CONC. PT. SOL. PERF.

PFIZER EUROPE MA EEIG

MAREA BRITANIE

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.

BRISTOL MYERS SQUIBB KFT


BRISTOL MYERS SQUIBB KFT

CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 5ML) CU PULB. PT. SOL. INJ/PERF CONTINAND 50MG FLUDA

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

CUTIE X 1 BLIST. PVC/A0-PVC-PVDC X 10 CAPS. P-RF


CUTIE X 2 BLIST. PVC/AL-PVC-PVDC X 10 CAPS. P-RF
CUTIE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF.

CUTIE X 1 FLAC. X 1 CAPS.

EBEWE PHARMA GMBH NFG. KG

AUSTRIA

CUTIE X 1 FLACON X 20 ML CONC. PT. SOL. PERF.

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

ROMANIA
ROMANIA

CUTIE X 1 FLAC. X 50 ML X 50 MG CONC. SOL. PERF.


CUTIE X 1 FLAC. X 10 ML X 10 MG CONC. SOL. PERF.

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

CUTIE CU 1 FLAC. DE 10 ML DIN STICLA BRUNA CU CONC. PT. SOL. PERF.

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

CUTIE CU 1 FLAC. DE 30 ML DIN STICLA BRUNA CU CONC. PT. SOL. PERF.

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

CUTIE CU 1 FLAC. DE 50 ML DIN STICLA BRUNA CU CONC. PT. SOL. PERF.

EBEWE PHARMA GMBH NFG. KG

AUSTRIA
AUSTRIA

CUTIE X 1 FLACON X 100 ML CONC. PT. SOL. PERF.

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

ROMANIA
ROMANIA

EBEWE PHARMA GMBH NFG. KG

S
S
S
S

CUTIE X 1 FLACON X 50 ML COND. PT. SOL. PERF.

CUTIE X 1 FLACON DIN STICLA INCOLORA X 45 ML CONC. PT. SOL. PERF.


CUTIE X 1 FLACON DIN STICLA INCOLORA X 15 ML CONC. PT. SOL. PERF.

Pagina 35 din 56

S
S
S
S
P-RF

S
S
S
S
S
S
S
S
S
S
S
S

cant/
amba
laj

1
1
1
1
1
1
1
1
1
1
1
1
1
1
50
1
25
1
25
20
5
1
1
10
1
1
1
1
1
1
1
1
1
20
5
1
10
20
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

1,749.51
459.88
188.56
2,050.80
222.29
535.20
914.10
1,798.20
472.05
99.02
1,166.70
640.45
2,261.30
1,040.40
19.33
11.76
6.90
92.66
11.61
16.90
197.47
70.91
332.72
17.62
45.60
62.22
87.07
100.34
59.16
62.22
86.63
101.74
9.86
1,680.19
1,252.62
340.13
311.36
308.57
32.83
39.04
31.96
61.07
203.33
143.35
555.48
9.17
24.41
7.75
7.75
19.18
24.41
22.06
31.57
133.04
50.00

1,749.510000
459.880000
188.560000
2,050.800000
222.290000
535.200000
914.100000
1,798.200000
472.050000
99.020000
1,166.700000
640.450000
2,261.300000
1,040.400000
0.386600
11.760000
0.276000
92.660000
0.464400
0.845000
39.494000
70.910000
332.720000
1.762000
45.600000
62.220000
87.070000
100.340000
59.160000
62.220000
86.630000
101.740000
9.860000
84.009500
250.524000
340.130000
31.136000
15.428500
32.830000
39.040000
31.960000
61.070000
203.330000
143.350000
555.480000
9.170000
24.410000
7.750000
7.750000
19.180000
24.410000
22.060000
31.570000
133.040000
50.000000

Pret cu ridicata
maximal de
decontare / U.T.

1,749.510000
459.880000
188.560000
2,050.800000
222.290000
535.200000
914.100000
1,798.200000
472.050000
99.020000
1,166.700000
640.450000
2,261.300000
1,040.400000
0.386600
11.760000
0.276000
92.660000
0.464400
0.845000
39.494000
70.910000
332.720000
1.762000
45.600000
62.220000
87.070000
100.340000
54.720000
62.220000
86.630000
101.740000
9.860000
84.009500
250.524000
300.628800
31.136000
15.428500
32.830000
38.352000
31.960000
61.070000
203.330000
143.350000
555.480000
9.170000
24.410000
7.750000
7.750000
19.180000
24.410000
22.060000
29.292000
133.040000
50.000000

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

1,945.12
539.42
230.20
2,273.52
271.37
621.52
1,034.52
1,998.19
552.68
125.20
1,309.85
736.24
2,502.97
1,172.19
26.13
15.89
9.32
117.16
15.69
22.84
241.07
89.66
400.81
23.82
59.64
78.67
110.09
122.50
74.80
78.67
109.54
124.21
13.33
1,869.56
1,403.51
408.89
377.53
374.49
42.94
51.07
41.81
77.22
248.22
175.00
643.62
12.39
32.99
10.48
10.48
25.92
32.99
29.81
41.30
162.41
63.22

1,945.120000
539.420000
230.200000
2,273.520000
271.370000
621.520000
1,034.520000
1,998.190000
552.680000
125.200000
1,309.850000
736.240000
2,502.970000
1,172.190000
0.522600
15.890000
0.372800
117.160000
0.627600
1.142000
48.214000
89.660000
400.810000
2.382000
59.640000
78.670000
110.090000
122.500000
74.800000
78.670000
109.540000
124.210000
13.330000
93.478000
280.702000
408.890000
37.753000
18.724500
42.940000
51.070000
41.810000
77.220000
248.220000
175.000000
643.620000
12.390000
32.990000
10.480000
10.480000
25.920000
32.990000
29.810000
41.300000
162.410000
63.220000

1,945.120000
539.420000
230.200000
2,273.520000
271.370000
621.520000
1,034.520000
1,998.190000
552.680000
125.200000
1,309.850000
736.240000
2,502.970000
1,172.190000
0.522600
15.890000
0.372800
117.160000
0.627600
1.142000
48.214000
89.660000
400.810000
2.382000
59.640000
78.670000
110.090000
122.500000
71.568000
78.670000
109.540000
124.210000
13.330000
93.478000
280.702000
336.842400
37.753000
18.724500
42.940000
50.172000
41.810000
77.220000
248.220000
175.000000
643.620000
12.390000
32.990000
10.480000
10.480000
25.920000
32.990000
29.810000
39.588000
162.410000
63.220000

Grupa
Nr.
terape
crt
utica
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295

L01XA02
L01XA02
L01XA02
L01XA02
L01XA02
L01XA02
L01XC02
L01XC02
L01XC04
L01XC04

L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06

Denumire generica

CARBOPLATINUM
CARBOPLATINUM
CARBOPLATINUM
CARBOPLATINUM
CARBOPLATINUM
CARBOPLATINUM
RITUXIMABUM**
RITUXIMABUM**
ALEMTUZUMABUM**
ALEMTUZUMABUM**
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**

Denumire comerciala

CARBOPLATIN TEVA 10mg/ml


CARBOPLATIN TEVA 10mg/ml

Forma
Concentrati
farmaceutic
e / U.T.
a
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.

CARBOPLATIN "EBEWE" 10 mg/ml

CONC. PT. SOL. PERF.

CARBOPLATIN "EBEWE" 10 mg/ml

CONC. PT. SOL. PERF.

CARBOPLATIN ACTAVIS 10mg/ml


CARBOPLATIN "EBEWE" 10 mg/ml

CONC. PT. SOL. PERF.

MABTHERA 100 mg
MABTHERA 500 mg
MABCAMPATH 10 mg/ml
MABCAMPATH 30 mg/ml
NEUPOGEN (R)
NEUPOGEN (R)
ZARZIO 30MU/0,5ml
ZARZIO 48MU/0,5ml
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
CELLCEPT 500mg
MYCOPHENOLATE MOFETIL MEDICO UNO 500 MG

MYFORTIC 180 mg
MYFORTIC 360 mg

L04AA06 MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL DR. REDDY'S 250 mg

L04AA06 MYCOPHENOLATUM MOFETILUM**

MYFENAX 250mg

L04AA06 MYCOPHENOLATUM MOFETILUM** MYCOPHENOLATE MOFETIL ACCORD 250 mg


L04AA06 MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL SANDOZ 500 mg

CONC. PT. SOL. PERF.


CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.

SOL. INJ.
SOL. INJ.
SOL. INJ. /PERF. IN SERINGA PREUMPLUTA

SOL. INJ. /PERF. IN SERINGA PREUMPLUTA

SOL. INJ./PERF.

ARZIP 500 mg

L04AA06 MYCOPHENOLATUM MOFETILUM** MYCOFENOLAT MOFETIL ACTAVIS 500 mg


L04AA06 MYCOPHENOLATUM MOFETILUM**

MYFENAX 500mg

L04AA06 MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL DR. REDDY'S 500 mg

L04AA10
L04AB01
L04AB01
L04AB01
L04AB01
L04AB01
L04AB01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02

SIROLIMUS**
ETANERCEPTUM**
ETANERCEPTUM**
ETANERCEPTUM**
ETANERCEPTUM**
ETANERCEPTUM**
ETANERCEPTUM**
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**

RAPAMUNE 1mg
ENBREL 50 mg
ENBREL DE UZ PEDIATRIC
ENBREL 25mg
ENBREL 25mg
ENBREL 50mg
ENBREL 50mg
EQUORAL (R) 100 mg
EQUORAL (R) 25 mg
SANDIMMUN NEORAL (R)
CICLORAL 25 mg
EQUORAL (R) 50 mg
SANDIMMUN NEORAL (R)
CICLORAL 50 mg
EQUORAL (R)
TACNI 0,5 mg
PROGRAF (R) 0,5 mg

Tara

TEVA PHARMACEUTICALS S.R.L.

ROMANIA
ROMANIA

TEVA PHARMACEUTICALS S.R.L.

SOL. INJ./PERF.

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

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

DRAJ.
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

CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
SOL. ORALA
CAPS.
CAPS.
TACROLIMUSUM ACCORD 0,5 mg CAPS.
TACROLIMUS SANDOZ 0,5 mg CAPS.
TACNI 1 mg
CAPS.
PROGRAF (R) 1 mg
CAPS.
TACROLIMUSUM ACCORD 1 mg CAPS.

CUTIE X 1 FLAC. DIN STICLA BRUNA X 15 ML CONC. PT. SOL. PERF.

ACTAVIS S.R.L.

ROMANIA

CUTIE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF.

EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRIA

CUTIE X 1 FLACON DIN STICLA X 15 ML CONC. PT. SOL. PERF.

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 2 FLACOANE X 10 ML

ROCHE REGISTRATION LTD.

MAREA BRITANIE CUTIE X 1 FLACON X 50 ML(500MG RITUXIMAB IN 50ML- 10MG/ML)

GENZYME EUROPE BV OLANDA


GENZYME EUROPE BV OLANDA

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


CUTIE X 1 FLACON DIN STICLA X 5 ML CONC. PT. SOL. PERF.

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


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

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
SANDOZ GMBH

AUSTRIA
AUSTRIA

HOSPIRA UK LIMITED

MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,2ML SOL. INJ. SAU PERF.

300g/0,5ml HOSPIRA UK LIMITED


480g/0,5ml
250mg
500mg
500mg
180mg
360mg
250 mg
250mg
250mg
500mg
500 mg
500mg
500mg
500mg
500mg
1mg
50mg
25mg
25mg
25mg
50mg
50mg
100mg
25mg
25mg
25mg
50mg
50mg
50mg
100mg/ml
0,5 mg
0,5mg
0,5mg
0,5mg
1 mg
1mg
1mg

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

AUSTRIA
AUSTRIA

Prescriptie

S
S
S
S
S
S
S
S
S
S
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 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF.

MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF.

SOL. INJ./PERF. 480mcg/0,8ml TEVA GENERICS GMBH GERMANIA


SOL. INJ./PERF.

Ambalaj

EBEWE PHARMA GES.M.B.H. NFG KG

EBEWE PHARMA GES.M.B.H. NFG KG

SOL. INJ./PERF. 300mcg/0,5ml TEVA GENERICS GMBH GERMANIA

L04AA06 MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL TERAPIA 500 mg COMPR. FILM.


L04AA06 MYCOPHENOLATUM MOFETILUM**

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

CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF.

P-RF
S/P-RF/R

P-RF
S/P-RF/R

HOSPIRA UK LIMITED

MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF.

ROCHE REGISTRATION LTD.

MAREA BRITANIE

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 10 BLIST. X 10 CAPS.


CUTIE X 5 BLIST. X 10 COMPR. FILM.

MEDICO UNO PHARMA KFT.

UNGARIA

CUTIE CU BLIST. PVC-PVDC/AL X 50 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

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

DR. REDDY'S LABORATORIES

ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 100 CAPS. PR

TEVA PHARMA BV

OLANDA CUTIE X BLIST. PVC/PVDC/AL X 100 CAPS.

P-RF/R

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

CUTIE CU BLIST. PVC-PVDC/AL CU 100 CAPS.

P-RF/R

SANDOZ S.R.L.
TERAPIA S.A.
ZENTIVA K.S.

ROMANIA
ROMANIA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 50 COMPR. FILM.

P-RF

CUTIE CU 1 BLIST. DIN AL-PA-PVC/AL X 50 COMPR. FILM.

REPUBLICA CEHA

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

PR
PR

ISLANDA
OLANDA

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

P-RF/R

TEVA PHARMA BV

CUTIE X BLIST. PVC/PVDC/AL X 50 COMPR. FILM.

P-RF/R

DR. REDDY'S LABORATORIES

ROMANIA

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. P-RF

ACTAVIS GROUP PTC EHF.

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 SERINGI DIN PLASTIC GOALE + 20 ACE + 24 TAMPOANE

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 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 STILOURI INJECTOARE PREUMPLUTE (PEN) X 8 TAMPOANE CU ALCOOL

P-RF/R

CEHIA
CEHIA

CUTIE X 5 BLIST. X 10 CAPS. MOI


CUTIE X 5 BLIST. X 10 CAPS. MOI
CUTIE X 10 BLIST. X 5 CAPS. MOI

IVAX - PHARMACEUTICALS S.R.O.


IVAX - PHARMACEUTICALS S.R.O.

NOVARTIS PHARMA GMBH GERMANIA

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

HEXAL AG

GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI

S/P-RF

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

HEXAL AG

GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI

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

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

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT

S/P-RF

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

CUTIE CU BLIST. AL/AL X 50 CAPS. PR

SANDOZ S.R.L.

CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS.

TEVA PHARMACEUTICALS S.R.L.

ROMANIA
ROMANIA

ASTELLAS PHARMA EUROPE BV

OLANDA

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

S/P-RF

CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI AL A CATE 10 CAPSULE

PRF

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT

S/P-RF

CUTIE CU BLIST. AL/AL X 50 CAPS. PR

Pagina 36 din 56

cant/
amba
laj

1
1
1
1
1
1
2
1
3
3
1
1
1
1
5
1
5
1
5
100
50
50
120
120
100
100
100
50
50
50
50
50
50
30
4
4
4
4
4
4
50
50
50
50
50
50
50
1
50
50
50
50
50
50
50

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

132.81
47.45
178.07
21.86
18.05
62.52
2,221.55
5,509.03
4,923.23
4,923.64
267.05
436.57
162.10
260.91
418.45
214.16
1,001.12
355.90
1,656.30
452.86
452.86
292.89
557.65
1,041.93
291.62
302.31
292.89
227.17
302.36
272.59
272.59
302.31
272.59
489.29
4,153.67
2,047.58
2,052.34
2,047.58
4,065.15
4,065.15
397.39
74.45
112.48
112.61
155.55
239.32
250.01
358.02
133.49
205.39
133.49
133.49
238.62
363.74
238.62

132.810000
47.450000
178.070000
21.860000
18.050000
62.520000
1,110.775000
5,509.030000
1,641.076666
1,641.213333
267.050000
436.570000
162.100000
260.910000
83.690000
214.160000
200.224000
355.900000
331.260000
4.528600
9.057200
5.857800
4.647083
8.682750
2.916200
3.023100
2.928900
4.543400
6.047200
5.451800
5.451800
6.046200
5.451800
16.309666
1,038.417500
511.895000
513.085000
511.895000
1,016.287500
1,016.287500
7.947800
1.489000
2.249600
2.252200
3.111000
4.786400
5.000200
358.020000
2.669800
4.107800
2.669800
2.669800
4.772400
7.274800
4.772400

Pret cu ridicata
maximal de
decontare / U.T.

132.810000
47.450000
159.372000
21.660000
18.050000
56.940000
1,110.775000
5,509.030000
1,641.076666
1,641.213333
194.520000
313.092000
162.100000
260.910000
83.690000
194.520000
194.520000
313.092000
313.092000
3.499440
5.452080
5.452080
4.647083
8.682750
2.916200
3.023100
2.928900
4.543400
5.452080
5.451800
5.451800
5.452080
5.451800
16.309666
1,038.417500
511.895000
513.085000
511.895000
1,016.287500
1,016.287500
7.947800
1.489000
1.786800
1.786800
3.111000
3.733200
3.733200
358.020000
2.669800
3.203760
2.669800
2.669800
4.772400
5.726880
4.772400

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

162.14
62.06
217.39
29.55
24.39
79.05
2,459.64
6,043.00
5,404.48
5,404.92
326.02
514.01
197.89
318.52
494.26
261.45
1,129.37
426.08
1,843.52
531.77
531.77
357.56
645.99
1,173.85
356.01
367.67
357.56
277.33
367.72
332.78
332.78
367.67
332.78
571.48
4,565.66
2,270.01
2,275.20
2,270.01
4,469.17
4,469.17
471.31
94.13
137.32
137.48
189.90
292.16
305.21
428.39
162.97
250.74
162.97
162.97
291.31
434.63
291.31

162.140000
62.060000
217.390000
29.550000
24.390000
79.050000
1,229.820000
6,043.000000
1,801.493333
1,801.640000
326.020000
514.010000
197.890000
318.520000
98.852000
261.450000
225.874000
426.080000
368.704000
5.317700
10.635400
7.151200
5.383250
9.782083
3.560100
3.676700
3.575600
5.546600
7.354400
6.655600
6.655600
7.353400
6.655600
19.049333
1,141.415000
567.502500
568.800000
567.502500
1,117.292500
1,117.292500
9.426200
1.882600
2.746400
2.749600
3.798000
5.843200
6.104200
428.390000
3.259400
5.014800
3.259400
3.259400
5.826200
8.692600
5.826200

162.140000
62.060000
194.568000
29.268000
24.390000
74.472000
1,229.820000
6,043.000000
1,801.493333
1,801.640000
237.468000
382.224000
197.890000
318.520000
98.852000
237.468000
225.874000
382.224000
368.704000
4.272120
6.655920
6.655920
5.383250
9.782083
3.560100
3.676700
3.575600
5.546600
6.655920
6.655600
6.655600
6.655920
6.655600
19.049333
1,141.415000
567.502500
568.800000
567.502500
1,117.292500
1,117.292500
9.426200
1.882600
2.259120
2.259120
3.798000
4.557600
4.557600
428.390000
3.259400
3.911280
3.259400
3.259400
5.826200
6.991440
5.826200

Grupa
Nr.
terape
crt
utica
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350

L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02

Denumire generica

TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM

Denumire comerciala

TACROLIMUS SANDOZ 1 mg
TACNI 5 mg
PROGRAF (R) 5 mg
ADVAGRAF 0,5mg
ADVAGRAF 1mg
ADVAGRAF 5mg
PROGRAF (R) 5 mg/ml
TRAMADOL
K-ALMA (R)
TRAMADOL LPH 50 mg
TRAMADOL ARENA
TRAMACALM
TRAMADOL AL 50
TRAMADOL AL 50
MABRON 50 mg
TRALGIT 50
URGENDOL
TRAMAL UNO 100 mg
TRAMAL UNO 100 mg
TRAMAL UNO 100 mg
TRAMAL UNO 100 mg
TRAMAL UNO 150 mg
TRAMAL UNO 150 mg
TRAMAL UNO 150 mg
TRAMAL UNO 150 mg
TRAMAL UNO 200 mg
TRAMAL UNO 200 mg
TRAMAL UNO 200 mg
TRAMAL UNO 200 mg
TRAMAG 50
TRAMADOL EEL
TRAMADOL 50 mg
TRAMADOLOR (R) 100 ID
TRAMADOL (R) RETARD
TRALGIT SR 100
TRALGIT SR 100
TRALGIT SR 100
TRALGIT SR 150
TRALGIT SR 150
TRALGIT SR 200
TRADOLAN 50 mg
TRAMAL RETARD 100 mg
TRAMADOL RETARD 150 mg
TRAMAL RETARD 150 mg
TRAMAL RETARD 200 mg
TRAMADOL RETARD 200 mg
TRAMADOL AL PICATURI
MABRON
MABRON
TRALGIT 100
TRAMADOL
TRAMADOL
TRAMAL (R) 50
TRALGIT 50
URGENDOL

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

1mg
5 mg
5mg
CAPS. ELIB. PREL. 0,5mg
CAPS. ELIB. PREL. 1mg
CAPS. 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. 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. ELIB. MODIF. 100mg
COMPR. ELIB. PREL. 100mg
COMPR. ELIB. PREL. 100mg
COMPR. ELIB. PREL. 100mg
COMPR. ELIB. PREL. 100mg
COMPR. ELIB. PREL. 150mg
COMPR. ELIB. PREL. 150mg
COMPR. ELIB. PREL. 200mg
COMPR. FILM. 50mg
COMPR. FILM. ELIB. PREL. 100mg
COMPR. FILM. ELIB. PREL. 150mg
COMPR. FILM. ELIB. PREL. 150mg
COMPR. FILM. ELIB. PREL. 200mg
COMPR. FILM. ELIB. PREL. 200mg
PIC. ORALE, SOL.

FARA CONCENTRATIE

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

100mg
100mg
100mg/2ml
50mg/ml
50mg/ml
50mg/ml
50mg/ml
50mg/ml

Firma

SANDOZ S.R.L.

Tara

TEVA PHARMACEUTICALS S.R.L.

ROMANIA
ROMANIA

ASTELLAS PHARMA EUROPE BV

OLANDA

Ambalaj

CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS.

S/P-RF

CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI AL A CATE 10 CAPS.

PRF

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT

S/P-RF

ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)

OLANDA

Prescriptie

P-RF/R

CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)

P-RF/R

ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)

P-RF/R

ASTELLAS PHARMA EUROPE BV

ASTELLAS PHARMA EUROPE BV

OLANDA CUTIE X 10 FIOLE X 1 ML

KRKA D.D.
ANTIBIOTICE SA

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

P-RF

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

P-RF

LABORMED PHARMA SA ROMANIA 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.


AC HELCOR SRL
ROMANIA CUTIE X 1 BLIST. PVC/AL X 10 CAPS.
ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. X 10 CAPS.
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.
ZENTIVA A.S.
SLOVACIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
MEDICAROM GROUP SRL ROMANIA CUTIE X 1 BLIST. X 10 CAPS.

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

GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH

GERMANIA

CUTIE X BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-RF

GERMANIA

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.

MAGISTRA C & C
BIO EEL SRL

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


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

OZONE LABORATORIES PHARMA S.A.

HEXAL AG
KRKA D.D.
ZENTIVA AS
ZENTIVA AS
ZENTIVA AS
ZENTIVA AS
ZENTIVA AS
ZENTIVA AS
LANNACHER HEILMITTEL GES.M.B.H.

P-RF/S

P-RF/S

P-RF/S

P-RF
P-RF
P-RF

GERMANIA CUTIE X 1 BLIST. X 10 COMPR. ELIB. MODIF. P-RF

SLOVENIA
SLOVACIA
SLOVACIA
SLOVACIA
SLOVACIA
SLOVACIA
SLOVACIA

AUSTRIA

CUTIE X 3 BLIST. X 10 COMPR. ELIB. PREL. P-RF


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

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

KRKA D.D. NOVO MESTO SLOVENIA

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

P-RF

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

P-RF

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

P-RF

GRUNENTHAL GMBH GERMANIA


GRUNENTHAL GMBH GERMANIA
KRKA D.D. NOVO MESTO SLOVENIA

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

ALIUD PHARMA GMBH GERMANIA

CUTIE X 1 FLACON DIN STICLA BRUNA X 10 ML PIC. ORALE, SOL.

P-RF

CUTIE X 5 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.

S/P-RF

CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.

S/P-RF

MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
ZENTIVA A.S.
KRKA D.D.
KRKA D.D.

CIPRU
CIPRU

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


SLOVENIA CUTIE X 5 FIOLE X 2 ML
SLOVENIA CUTIE X 5 FIOLE X 1 ML

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

GRUNENTHAL GMBH GERMANIA CUTIE X 5 FIOLE X 1 ML

S/P-RF

ZENTIVA A.S.

SLOVACIA CUTIE X 5 FIOLE X 1 ML SOL. INJ.

S/P-RF

CUTIE X 5 FIOLE X 1 ML

S/P-RF

MEDICAROM GROUP SRL ROMANIA

Pagina 37 din 56

cant/
amba
laj

50
50
50
50
50
50
10
20
20
20
20
10
30
10
10
20
10
10
20
30
50
10
20
30
50
10
20
30
50
20
20
20
10
30
50
10
30
10
30
10
30
10
30
10
10
30
1
5
100
5
5
5
5
5
5

Pret cu
ridicata
maximal /
ambalaj

238.62
1,114.65
1,715.18
204.92
402.53
1,865.58
1,545.19
4.31
5.67
5.67
6.66
2.85
8.53
2.85
2.85
4.31
2.83
12.86
24.79
36.23
56.65
19.30
37.14
54.34
84.99
24.09
44.68
61.79
96.03
5.67
5.67
5.67
4.66
13.99
24.09
4.66
13.98
15.57
24.84
20.35
7.88
7.17
31.78
16.30
20.85
40.67
3.73
7.27
110.22
9.09
9.69
3.65
5.60
8.50
3.63

Pret cu ridicata
maximal / U.T.

4.772400
22.293000
34.303600
4.098400
8.050600
37.311600
154.519000
0.215500
0.283500
0.283500
0.333000
0.285000
0.284333
0.285000
0.285000
0.215500
0.283000
1.286000
1.239500
1.207666
1.133000
1.930000
1.857000
1.811333
1.699800
2.409000
2.234000
2.059666
1.920600
0.283500
0.283500
0.283500
0.466000
0.466333
0.481800
0.466000
0.466000
1.557000
0.828000
2.035000
0.262666
0.717000
1.059333
1.630000
2.085000
1.355666
3.730000
1.454000
1.102200
1.818000
1.938000
0.730000
1.120000
1.700000
0.726000

Pret cu ridicata
maximal de
decontare / U.T.

4.772400
22.293000
26.751600
3.203760
5.726880
26.751600
154.519000
0.215500
0.258600
0.258600
0.258600
0.258600
0.258600
0.258600
0.258600
0.215500
0.258600
0.559200
0.559200
0.559200
0.559200
0.993600
0.993600
0.993600
0.993600
1.626799
1.626799
1.626799
1.626799
0.258600
0.258600
0.258600
0.466000
0.466333
0.481800
0.466000
0.466000
0.993600
0.828000
1.626799
0.258600
0.559200
0.993600
0.993600
1.626799
1.355666
3.730000
1.322640
1.102200
1.322640
1.322640
0.730000
0.871200
0.871200
0.726000

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

291.31
1,253.12
1,907.70
250.17
476.91
2,071.63
1,722.41
5.82
7.67
7.67
9.00
3.85
11.53
3.85
3.85
5.82
3.82
17.38
33.50
47.39
71.63
26.09
48.58
68.71
107.46
32.56
58.44
78.13
121.42
7.67
7.67
7.67
6.30
18.91
32.56
6.30
18.89
21.05
33.57
27.50
10.65
9.69
41.57
22.03
28.18
53.20
5.04
9.83
134.56
12.28
13.10
4.93
7.57
11.49
4.90

5.826200
25.062400
38.154000
5.003400
9.538200
41.432600
172.241000
0.291000
0.383500
0.383500
0.450000
0.385000
0.384333
0.385000
0.385000
0.291000
0.382000
1.738000
1.675000
1.579666
1.432600
2.609000
2.429000
2.290333
2.149200
3.256000
2.922000
2.604333
2.428400
0.383500
0.383500
0.383500
0.630000
0.630333
0.651200
0.630000
0.629666
2.105000
1.119000
2.750000
0.355000
0.969000
1.385666
2.203000
2.818000
1.773333
5.040000
1.966000
1.345600
2.456000
2.620000
0.986000
1.514000
2.298000
0.980000

5.826200
25.062400
30.074880
3.911280
6.991440
30.074880
172.241000
0.291000
0.349200
0.349200
0.349200
0.349200
0.349200
0.349200
0.349200
0.291000
0.349200
0.755599
0.755599
0.755599
0.755599
1.342800
1.342800
1.342800
1.342800
2.128000
2.128000
2.128000
2.128000
0.349200
0.349200
0.349200
0.630000
0.630333
0.651200
0.630000
0.629666
1.342800
1.119000
2.128000
0.349200
0.755599
1.342800
1.342800
2.128000
1.773333
5.040000
1.614720
1.345600
1.614720
1.614720
0.986000
1.176000
1.176000
0.980000

Grupa
Nr.
terape
crt
utica
351
352
353
354
355
356
357

N02AX02
N02AX02
R05CB13

V03AC03
V03AC03
V03AC03

V03AF01

Denumire generica

TRAMADOLUM
TRAMADOLUM
DORNAZA ALFA**
DEFERASIROXUM**
DEFERASIROXUM**
DEFERASIROXUM**
MESNUM

Denumire comerciala

URGENDOL
TRAMADOL
PULMOZYME
EXJADE 125mg
EXJADE 250mg
EXJADE 500mg
UROMITEXAN (R) 400 mg

Forma
Concentrati
farmaceutic
e / U.T.
a
SOL. INJ.
50mg/ml
SUPOZ.
100mg
SOL. INHAL. 1mg/ml
COMPR. DISP. 125mg
COMPR. DISP. 250mg
COMPR. DISP. 500mg
SOL. INJ.
400mg/4ml

Tara

Firma

MEDICAROM GROUP SRL ROMANIA

KRKA D.D.

Ambalaj

CUTIE X 5 FIOLE X 2 ML

SLOVENIA CUTIE X 1 BLIST. X 5 SUPOZ.

Prescriptie

S/P-RF

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

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

BAXTER ONCOLOGY GMBH

GERMANIA

CUTIE X 3 SUPORTURI TERMOFORMATE DIN PLASTIC X 5 FIOLE DE STICLA INCOLORA X 4 ML

CUTIE X 2 BLIST. X 5 SERINGI PREUMPLUTE UNIDOZA X 0,25ML

S/P-RF

cant/
amba
laj

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

Pret cu ridicata
maximal de
decontare / U.T.

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

5
5
6
28
28
28
15

5.67
4.13
551.59
687.54
1,461.36
2,660.12
44.87

1.134000
0.826000
91.931666
24.555000
52.191428
95.004285
2.991333

1.134000
0.826000
91.931666
24.555000
52.191428
95.004285
2.991333

7.67
5.58
639.38
787.57
1,631.03
2,937.68
58.69

1.534000
1.116000
106.563333
28.127500
58.251071
104.917142
3.912666

1.534000
1.116000
106.563333
28.127500
58.251071
104.917142
3.912666

10
5
100
12
12
1
12
1
10
1
5
10
1
5
1
12
1
12
1
12
1
5
1
10
1
1
10
10
1
1
1
1
5
10
5
10
5
10
25
10
10
1
10

66.80
80.20
113.56
401.14
692.90
22.93
265.41
22.93
386.57
20.32
99.83
196.11
40.65
196.11
22.93
265.28
22.93
460.81
40.93
460.81
40.93
197.45
40.94
389.01
40.93
40.93
154.50
257.49
20.07
3.88
11.61
7.04
146.26
292.52
146.26
292.52
146.26
296.98
1,068.64
445.46
1,603.26
879.36
1,052.62

6.680000
16.040000
1.135600
33.428333
57.741666
22.930000
22.117500
22.930000
38.657000
20.320000
19.966000
19.611000
40.650000
39.222000
22.930000
22.106666
22.930000
38.400833
40.930000
38.400833
40.930000
39.490000
40.940000
38.901000
40.930000
40.930000
15.450000
25.749000
20.070000
3.880000
11.610000
7.040000
29.252000
29.252000
29.252000
29.252000
29.252000
29.698000
42.745600
44.546000
160.326000
879.360000
105.262000

6.680000
16.040000
1.135600
23.533200
46.081000
22.930000
22.117500
22.930000
23.533200
20.320000
19.966000
19.611000
23.533200
23.533200
22.930000
22.106666
22.930000
38.400833
40.930000
38.400833
40.930000
39.490000
40.940000
38.901000
40.930000
40.930000
8.448000
13.932000
13.932000
3.880000
11.610000
7.040000
29.252000
29.252000
29.252000
29.252000
29.252000
29.698000
35.102400
35.102400
160.326000
879.360000
105.262000

84.46
101.41
138.64
475.39
793.41
30.99
324.01
30.99
459.51
27.47
126.23
239.41
53.17
239.41
30.99
323.86
30.99
540.43
53.53
540.43
53.53
241.05
53.55
462.17
53.53
53.53
188.61
314.35
27.12
5.24
15.69
9.51
178.55
357.11
178.55
357.11
178.55
362.55
1,202.97
523.70
1,785.71
996.65
1,185.51

8.446000
20.282000
1.386400
39.615833
66.117500
30.990000
27.000833
30.990000
45.951000
27.470000
25.246000
23.941000
53.170000
47.882000
30.990000
26.988333
30.990000
45.035833
53.530000
45.035833
53.530000
48.210000
53.550000
46.217000
53.530000
53.530000
18.861000
31.435000
27.120000
5.240000
15.690000
9.510000
35.710000
35.711000
35.710000
35.711000
35.710000
36.255000
48.118800
52.370000
178.571000
996.650000
118.551000

8.446000
20.282000
1.386400
28.729200
54.043000
28.729200
27.000833
28.729200
28.729200
27.470000
25.246000
23.941000
28.729200
28.729200
28.729200
26.988333
28.729200
45.035833
53.530000
45.035833
53.530000
48.210000
53.550000
46.217000
53.530000
53.530000
11.412000
18.828000
18.828000
5.240000
15.690000
9.510000
35.710000
35.711000
35.710000
35.711000
35.710000
36.255000
42.852000
42.852000
178.571000
996.650000
118.551000

P9: 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
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

CLIVARIN (R) 1432UI/0,25 ml SOL. INJ.


CLIVARIN (R) 3436 UI/0,6 ml SOL. INJ.
ADRENALINA 1 mg
SOL. INJ.
TAZOCIN 2,25
LIOF. PT. SOL. INJ.
TAZOCIN 4,5
LIOF. PT. SOL. INJ.
ZOPECILIN 2 g/0,25 g
PULB. PT. SOL. INJ./PERF.
ZOPECILIN 2 g/0,25 g
PULB. PT. SOL. INJ./PERF.
PERASIN 2g/0,25 g
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

PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g

PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILINA/TAZOBACTAM MYLAN 2g/0,25 g

PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILINA/TAZOBACTAN ACTAVIS 2 g/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

PIPERACILINA/TAZOBACTAN ACTAVIS 4 g/0,5 g PULB. PT. SOL. INJ./PERF.

B01AB08
B01AB08
C01CA24

REVIPARINUM
REVIPARINUM
EPINEPHRINUM

J01CR05 PIPERACILLINUM + TAZOBACTAMUM


J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM

ZOPECILIN 4 g/0,5 g
PIPERACILLINUM + TAZOBACTAMUM ZOPECILIN 4 g/0,5 g

J01CR05 PIPERACILLINUM + TAZOBACTAMUM


J01CR05

PULB. PT. SOL. INJ./PERF.


PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

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

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

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

J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g

PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

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

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

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

J01CR05 PIPERACILLINUM + TAZOBACTAMUM


J01DD12
J01DD12
J01DD12
J01DD12
J01DD12
J01DD12
J01DH51
J01DH51
J01DH51
J01DH51
J01DH51
J01DH51
J01DH51
J01DH51

J01XX08
J01XX08
J01XX08

CEFOPERAZONUM
CEFOPERAZONUM
CEFOPERAZONUM
CEFOPERAZONUM
CEFOPERAZONUM
CEFOPERAZONUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM

PULB. PT. SOL. INJ./PERF.


PULB. PT. SOL. INJ./PERF.

PULB. PT. SOL. INJ.


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

PULB. PT. SOL. INJ.


PULB. PT. SOL. INJ.
PULB. PT. SOL. INJ.
PULB. PT. SOL. INJ.

IMIPENEM/CILASTATIN HOSPIRA 500 mg/500 mg PULB. PT. SOL. PERF.

IMIPENEM/CILASTATIN KABI 500mg/500mg

TIENAM I.V.
TIENAM I.V.
ZYVOXID (R)
ZYVOXID (R)
LINEZOLID TEVA 2 mg/ml

PULB. PT. SOL. PERF.


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

1432ui/0,25ml ABBOTT GMBH&CO.KG GERMANIA

3436ui/0,6ml ABBOTT GMBH&CO.KG GERMANIA CUTIE X 1 BLIST X 5 SERINGI PREUMPLUTE UNIDOZA X 0,60 ML S/P-RF
1mg/ml
TERAPIA SA
ROMANIA CUTIE X 100 FIOLE X 1 ML
S
FARA CONCENTRATIE WYETH LEDERLE PHARMA GMBH AUSTRIA CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ. S/P-RF
CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ.

FARA CONCENTRATIE

PFIZER EUROPE MA EEIG

2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
1g
2g
2g
500mg
2g
1g

ROMASTRU TRADING SRL ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

ROMASTRU TRADING SRL ROMANIA

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

ANTIBIOTICE S.A.

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

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.
S.C. FRESENIUS KABI S.R.L.

MYLAN S.A.S.

MAREA BRITANIE

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

ACTAVIS GROUP PTC EHF.

FRANTA
ISLANDA

TERAPIA SA

ROMANIA

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND 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 CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.


CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.

ROMASTRU TRADING SRL ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

ROMASTRU TRADING SRL ROMANIA

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

S.C. FRESENIUS KABI S.R.L.

ROMANIA
ROMANIA

MYLAN S.A.S.

FRANTA

S.C. FRESENIUS KABI S.R.L.

ROMANIA
ROMANIA
ROMANIA

S.C. FRESENIUS KABI S.R.L.

TERAPIA SA
ANTIBIOTICE S.A.
MEDOCHEMIE LTD. CIPRU
MEDOCHEMIE LTD. CIPRU

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 A 50 ML CU 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 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 10 FLAC. PULB. PT. SOL. INJ.


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

S/P-RF

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

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


E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. INJ. S/P-RF
E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA A 20 ML CU PULB. PT. SOL. INJ./PERF. I.M./I.V. S/P-RF
E.I.P.I.CO. MED S.R.L. ROMANIA
S/P-RF
500mg/500mg TERAPIA SA
ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF. S/P-RF
500mg/500mg TERAPIA SA
ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF. S/P-RF
500mg/500mg TERAPIA SA
ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 22 ML PULB. PT. SOL. PERF. S/P-RF
500mg/500mg TERAPIA SA
ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 22 ML PULB. PT. SOL. PERF. S/P-RF
500mg/500mg HOSPIRA UK LIMITED MAREA BRITANIE
PR
500mg/500mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. S/P-RF
500mg/500mg MERCK SHARP & DOHME ROMANIA TAVA DIN PLASTIC X 25 FLAC. DIN STICLA INCOLORA CU PULB.PT. SOL. PERF. S/P-RF
500mg/500mg MERCK SHARP & DOHME ROMANIA TAVA DIN PLASTIC X 10 FLAC. DIN STICLA INCOLORA CU PULB.PT. SOL. PERF. S/P-RF
MEDICAROM GROUP S.R.L.

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 15 ML CU PULB. PT. SOL. INJ. I.M./PERF. I.V.

CUTIE CU 5 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. PERF.

COMPR. FILM. 600mg

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 1 FLAC. X 10 COMPR. FILM.

P-RF

100mg/5ml
SOL. PERF. 2mg/ml

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

P-RF

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

10 PUNGI PT. PERFUZIE (DIN POLIMER MULTISTRAT) CU 1 PERFUZOR SAU 2 PERFUZOARE CU 300 ML SOL., ECHIPA

PRF

GRAN. PT. SUSP. ORALA

Pagina 38 din 56

Grupa
Nr.
terape
crt
utica
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98

J01XX08
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01

Denumire generica

LINEZOLIDUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM

Denumire comerciala

ZYVOXID (R)
FUNGOLON 100 mg
DIFLAZON 100 mg
FLUCONAZOLE TEVA 100 mg
FLUCONAZOLE TEVA 100 mg

FLUCORIC 100 mg
FLUCOVIM 100
FLUCONAZOL MEDOCHEMIE 150 mg

FLUCONAZOL ACTAVIS 150 mg


FLUCONAZOL MEDICO UNO 150 mg

FLUCONAZOL LPH 150 mg


FLUCONAZOL ROMPHARM 150 mg

FLUCONAZOL 150 mg
FLUCONAZOL SANDOZ (R) 150

MYCOMAX 150
DIFLAZON 150 mg
FLUCONAZOLE TEVA 150 mg

FLUCOVIM 150
DIFLUCAN 150 mg
FLUCORIC 150 mg
FLUCONAZOL BIOGALENICA 150 mg

MYCOSYST 150 mg
FLUCONAZOL 150 mg
FLUCONAZOL ARENA 150 MG
FLUCONAZOLE TEVA 200 mg

FLUCONAZOL 50 mg
DIFLAZON 50 mg
FLUCOVIM 50
FLUCONAZOL MEDOCHEMIE 50 mg

FLUCONAZOL LPH 50 mg
FLUCONAZOL BIOGALENICA 50 mg

FUNGOLON 50 mg
FLUCONAZOLE TEVA 50 mg
FLUCONAZOL OZONE 50 mg
DIFLUCAN 50 mg
FLUCORIC 50 mg
FLUCONAZOL SANDOZ (R) 50

FLUCONAZOL 50 mg
FLUCONAZOL ARENA 50 MG
DIFLUCAN (R) 50 mg/5 ml
MYCOMAX INF 2mg/ml
MYCOMAX INF 2mg/ml
DIFLUCAN (R)
DIFLUCAN (R)
FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL KABI 2 mg/ml
MYCOMAX INF 2mg/ml
FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL KABI 2 mg/ml

Forma
Concentrati
farmaceutic
e / U.T.
a
SOL. PERF.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
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.
FLUCONAZOL BIOGALENICA 2mg/ml SOL. PERF.
DIFLAZON 2mg/ml
SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.

2mg/ml
100mg
100mg
100mg
100mg
100mg
100mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
200mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg/5ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml

Firma

Tara

Ambalaj

CUTIE X 10 PUNGI X 300 ML

PFIZER EUROPE MA EEIG

MAREA BRITANIE

BALKANPHARMA RAZGRAD AD

BULGARIA CUTIE X 2 BLIST. PVC/AL X 8 CAPS.


SLOVENIA CUTIE X 4 BLIST. X 7 CAPS.
ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 2 CAPS.
ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.
ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

KRKA D.D.
TEVA PHARMACEUTICALS S.R.L.
TEVA PHARMACEUTICALS S.R.L.

Prescriptie

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

TERAPIA SA
VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS.
MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS.
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 BLIST. PVC-PVDC/AL X 1 CAPS.

P-RF

ROMANIA
LABORMED PHARMA S.A. ROMANIA
ROMPHARM COMPANY S.R.L. ROMANIA
OZONE LABORATORIES PHARMA S.A. ROMANIA

P-RF

MEDICO UNO PHARMACEUTICAL SRL

CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA

P-RF
P-RF

PRF

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


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

P-RF

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


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

P-RF

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


VIM SPECTRUM SRL ROMANIA CUTIE X 1 FLAC. X 1 CAPS.

P-RF

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

P-RF

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

P-RF

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

P-RF

CUTIE X 4 BLIST. AL/PVC X 1 CAPS.


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

P-RF

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

P-RF

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

P-RF

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

GERMANIA

TEVA PHARMACEUTICALS S.R.L.

PFIZER EUROPE MA EEIG

MAREA BRITANIE

TERAPIA SA

ROMANIA
LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
SLAVIA PHARM SRL ROMANIA
ARENA GROUP SA ROMANIA
TEVA PHARMACEUTICALS S.R.L. ROMANIA
ANTIBIOTICE S.A.
ROMANIA

KRKA D.D.
SLOVENIA CUTIE X 1 BLIST. X 7 CAPS.
VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS.
MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS.
LABORMED PHARMA S.A. ROMANIA

P-RF
P-RF

P-RF

P-RF
P-RF

P-RF
P-RF
P-RF

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

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

P-RF
P-RF

OZONE LABORATORIES PHARMA S.A.

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


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

PFIZER EUROPE MA EEIG

MAREA BRITANIE

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

P-RF

TERAPIA SA
SANDOZ SRL
SLAVIA PHARM SRL
ARENA GROUP SA

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


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

P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

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

P-RF

REPUBLICA CEHA

CUTIE CU 1 FLACON DIN STICLA INCOLORA A 50 ML SOL. PERF. X 100 MG FLUCONAZOL

REPUBLICA CEHA

CUTIE CU 1 FLACON DIN STICLA INCOLORA A 200 ML SOL. PERF. X 400 MG FLUCONAZOL

LABORATOARELE PROF.DR.MORAIT S.R.L.

BALKANPHARMA RAZGRAD AD
TEVA PHARMACEUTICALS S.R.L.

ZENTIVA K.S.
ZENTIVA K.S.
PFIZER EUROPE MA EEIG

MAREA BRITANIE

PFIZER EUROPE MA EEIG

MAREA BRITANIE

FRESENIUS KABI ROMANIA SRL

FRESENIUS KABI ROMANIA SRL

ROMANIA
ROMANIA
ROMANIA

ZENTIVA K.S.

REPUBLICA CEHA

FRESENIUS KABI ROMANIA SRL

ROMANIA
FRESENIUS KABI ROMANIA SRL ROMANIA
FRESENIUS KABI ROMANIA SRL ROMANIA
FRESENIUS KABI ROMANIA SRL ROMANIA
ARENA GROUP S.A. ROMANIA
FRESENIUS KABI ROMANIA SRL

CUTIE X 1 FLACON X 200 ML


CUTIE X 1 FLACON X 50 ML

ROMANIA

P-RF

P-RF
P-RF
P-RF

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

S
S
CUTIE CU 10 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF. S
S
CUTIE CU 20 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. S
CUTIE CU 25 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF. S
CUTIE CU 1 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. S
CUTIE CU 10 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. S
CUTIE X 1 FLAC. X 100 ML SOL. PERF. S
CUTIE CU 25 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF.
CUTIE CU 1 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF.

CUTIE CU 1 FLACON DIN STICLA INCOLORA A 100 ML SOL. PERF. X 200 MG FLUCONAZOL

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML
FRESENIUS KABI ROMANIA SRL

P-RF

CUTIE CU 1 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.

Pagina 39 din 56

S/PR-F

cant/
amba
laj

10
16
28
2
7
7
4
1
1
1
1
1
1
1
1
1
1
1
1
1
1
4
1
1
7
10
7
7
7
7
7
8
7
7
7
7
7
7
7
1
1
1
1
1
25
1
10
1
20
25
1
10
1
1
1

Pret cu
ridicata
maximal /
ambalaj

1,603.26
65.37
193.65
6.98
23.31
33.15
18.95
6.07
7.44
6.68
7.35
9.57
7.35
10.79
9.27
16.65
4.88
7.35
18.56
13.95
4.88
48.24
7.16
6.68
30.10
18.88
47.19
16.69
11.95
16.69
11.66
14.09
12.35
16.69
43.23
21.91
32.06
14.49
14.15
43.23
30.54
137.44
133.17
30.99
781.76
81.95
761.71
42.66
631.41
443.47
34.28
330.71
40.63
35.03
18.84

Pret cu ridicata
maximal / U.T.

160.326000
4.085625
6.916071
3.490000
3.330000
4.735714
4.737500
6.070000
7.440000
6.680000
7.350000
9.570000
7.350000
10.790000
9.270000
16.650000
4.880000
7.350000
18.560000
13.950000
4.880000
12.060000
7.160000
6.680000
4.300000
1.888000
6.741428
2.384285
1.707142
2.384285
1.665714
1.761250
1.764285
2.384285
6.175714
3.130000
4.580000
2.070000
2.021428
43.230000
30.540000
137.440000
133.170000
30.990000
31.270400
81.950000
76.171000
42.660000
31.570500
17.738800
34.280000
33.071000
40.630000
35.030000
18.840000

Pret cu ridicata
maximal de
decontare / U.T.

126.314400
3.996000
3.996000
3.490000
3.330000
3.996000
3.996000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
4.880000
5.856000
5.856000
5.856000
4.880000
5.856000
5.856000
5.856000
4.300000
1.888000
1.998857
1.998857
1.707142
1.998857
1.665714
1.761250
1.764285
1.998857
1.998857
1.998857
1.998857
1.998857
1.998857
43.230000
21.286560
91.405200
91.405200
21.286560
31.270400
81.950000
76.171000
37.524480
31.570500
17.738800
34.280000
33.071000
37.524480
35.030000
18.840000

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

1,785.71
82.66
236.41
9.43
31.51
43.36
25.61
8.20
10.06
9.03
9.94
12.94
9.94
14.58
12.53
22.51
6.59
9.94
25.08
18.86
6.59
63.10
9.68
9.03
39.37
25.52
61.72
22.56
16.15
22.56
15.76
19.04
16.69
22.56
56.54
29.61
41.93
19.58
19.12
56.54
39.95
167.79
162.58
40.53
890.27
103.62
868.42
55.80
726.39
521.53
44.84
398.62
53.14
45.82
25.47

178.571000
5.166250
8.443214
4.715000
4.501428
6.194285
6.402500
8.200000
10.060000
9.030000
9.940000
12.940000
9.940000
14.580000
12.530000
22.510000
6.590000
9.940000
25.080000
18.860000
6.590000
15.775000
9.680000
9.030000
5.624285
2.552000
8.817142
3.222857
2.307142
3.222857
2.251428
2.380000
2.384285
3.222857
8.077142
4.230000
5.990000
2.797142
2.731428
56.540000
39.950000
167.790000
162.580000
40.530000
35.610800
103.620000
86.842000
55.800000
36.319500
20.861200
44.840000
39.862000
53.140000
45.820000
25.470000

142.261200
5.166250
5.401714
4.715000
4.501428
5.401714
5.401714
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
6.590000
7.908000
7.908000
7.908000
6.590000
7.908000
7.908000
7.908000
5.624285
2.552000
2.701714
2.701714
2.307142
2.701714
2.251428
2.380000
2.384285
2.701714
2.701714
2.701714
2.701714
2.701714
2.701714
56.540000
25.033440
104.210400
104.210400
25.033440
35.610800
103.620000
86.842000
42.732960
36.319500
20.861200
42.732960
39.862000
42.732960
42.732960
25.033440

Grupa
Nr.
terape
crt
utica
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146

J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC03
J02AC03
J02AC03
J02AC03
J05AB14
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06

Denumire generica

FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
VALGANCICLOVIRUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**

Denumire comerciala

Forma
Concentrati
farmaceutic
e / U.T.
a

FLUCONAZOL KABI 2 mg/ml SOL. PERF.


FLUCONAZOL KABI 2 mg/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.
VFEND 200mg
COMPR. FILM.
VFEND 50mg
COMPR. FILM.
VFEND 200mg
PULB. PT. SOL. PERF.
VFEND 40 mg/ml
PULB. PT. SUSP. ORALA
VALCYTE (R) 450 mg
COMPR. FILM.
CELLCEPT 250mg
CAPS.
CELLCEPT 500mg
COMPR. FILM.
MYCOPHENOLATE MOFETIL MEDICO UNO 500 MG

MYFORTIC 180 mg
MYFORTIC 360 mg

L04AA06 MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL DR. REDDY'S 250 mg

L04AA06 MYCOPHENOLATUM MOFETILUM**

MYFENAX 250mg

L04AA06 MYCOPHENOLATUM MOFETILUM** MYCOPHENOLATE MOFETIL ACCORD 250 mg


L04AA06 MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL SANDOZ 500 mg

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

CAPS.
CAPS.
CAPS.
COMPR.

L04AA06 MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL TERAPIA 500 mg COMPR. FILM.


L04AA06 MYCOPHENOLATUM MOFETILUM**

ARZIP 500 mg

L04AA06 MYCOPHENOLATUM MOFETILUM** MYCOFENOLAT MOFETIL ACTAVIS 500 mg


L04AA06 MYCOPHENOLATUM MOFETILUM**

MYFENAX 500mg

L04AA06 MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL DR. REDDY'S 500 mg

L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02

CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**

EQUORAL (R) 100 mg


EQUORAL (R) 25 mg
SANDIMMUN NEORAL (R)
CICLORAL 25 mg
EQUORAL (R) 50 mg
SANDIMMUN NEORAL (R)
CICLORAL 50 mg
EQUORAL (R)
TACNI 0,5 mg
PROGRAF (R) 0,5 mg
TACROLIMUSUM ACCORD 0,5 mg

TACROLIMUS SANDOZ 0,5 mg

TACNI 1 mg
PROGRAF (R) 1 mg
TACROLIMUSUM ACCORD 1 mg

TACROLIMUS SANDOZ 1 mg
TACNI 5 mg
PROGRAF (R) 5 mg
ADVAGRAF 0,5mg
ADVAGRAF 1mg
ADVAGRAF 5mg
PROGRAF (R) 5 mg/ml

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

CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
SOL. ORALA
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CONC. PT. SOL. PERF.

2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
200mg
50mg
200mg
40mg/ml
450mg
250mg
500mg
500mg
180mg
360mg
250 mg
250mg
250mg
500mg
500 mg
500mg
500mg
500mg
500mg
100mg
25mg
25mg
25mg
50mg
50mg
50mg
100mg/ml
0,5 mg
0,5mg
0,5mg
0,5mg
1 mg
1mg
1mg
1mg
5 mg
5mg
0,5mg
1mg
5mg
5mg/ml

Firma

Tara

Ambalaj

FRESENIUS KABI ROMANIA SRL

ROMANIA
ROMANIA

CUTIE CU 10 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.

FRESENIUS KABI ROMANIA SRL

CUTIE CU 20 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.

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.
B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. PEJD X 50 ML SOL. PERF.

PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED

Prescriptie

S
S
S
S
S
S
S

MAREA BRITANIE

CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL)

P-RF

MAREA BRITANIE

CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL)

P-RF

MAREA BRITANIE

CUTIE X 1 FLAC. UNIDOZA X 30ML

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

P-RF

ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. X 60 COMPR. FILM.

P-RF

ROCHE REGISTRATION LTD.

MAREA BRITANIE

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 10 BLIST. X 10 CAPS.


CUTIE X 5 BLIST. X 10 COMPR. FILM.

MEDICO UNO PHARMA KFT.

UNGARIA

CUTIE CU BLIST. PVC-PVDC/AL X 50 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

P-RF/R
P-RF/R

DR. REDDY'S LABORATORIES

ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 100 CAPS. PR

TEVA PHARMA BV

OLANDA CUTIE X BLIST. PVC/PVDC/AL X 100 CAPS.

P-RF/R

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

CUTIE CU BLIST. PVC-PVDC/AL CU 100 CAPS.

P-RF/R

SANDOZ S.R.L.
TERAPIA S.A.
ZENTIVA K.S.

ROMANIA
ROMANIA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 50 COMPR. FILM.

P-RF

CUTIE CU 1 BLIST. DIN AL-PA-PVC/AL X 50 COMPR. FILM.

REPUBLICA CEHA

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

PR
PR

ISLANDA
OLANDA

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

P-RF/R

TEVA PHARMA BV

CUTIE X BLIST. PVC/PVDC/AL X 50 COMPR. FILM.

P-RF/R

DR. REDDY'S LABORATORIES

ROMANIA

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. P-RF

IVAX - PHARMACEUTICALS S.R.O.

CEHIA
CEHIA

CUTIE X 5 BLIST. X 10 CAPS. MOI


CUTIE X 5 BLIST. X 10 CAPS. MOI
CUTIE X 10 BLIST. X 5 CAPS. MOI

ACTAVIS GROUP PTC EHF.

IVAX - PHARMACEUTICALS S.R.O.

NOVARTIS PHARMA GMBH GERMANIA

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

HEXAL AG

GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI

S/P-RF

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

HEXAL AG

GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI

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

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

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT

S/P-RF

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

CUTIE CU BLIST. AL/AL X 50 CAPS. PR

SANDOZ S.R.L.

CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS.

TEVA PHARMACEUTICALS S.R.L.

ROMANIA
ROMANIA

ASTELLAS PHARMA EUROPE BV

OLANDA

S/P-RF

CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI AL A CATE 10 CAPSULE

PRF

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT

S/P-RF

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

CUTIE CU BLIST. AL/AL X 50 CAPS. PR

SANDOZ S.R.L.

CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS.

TEVA PHARMACEUTICALS S.R.L.

ROMANIA
ROMANIA

ASTELLAS PHARMA EUROPE BV

OLANDA

PRF

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT

S/P-RF

ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)

OLANDA

S/P-RF

CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI AL A CATE 10 CAPS.

P-RF/R

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

ASTELLAS PHARMA EUROPE BV

OLANDA CUTIE X 10 FIOLE X 1 ML

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

10
20
20
10
20
10
10
28
28
1
1
60
100
50
50
120
120
100
100
100
50
50
50
50
50
50
50
50
50
50
50
50
50
1
50
50
50
50
50
50
50
50
50
50
50
50
50
10

181.93
360.77
362.55
454.59
796.39
770.66
182.90
3,559.23
912.09
458.07
2,203.52
4,863.09
452.86
452.86
292.89
557.65
1,041.93
291.62
302.31
292.89
227.17
302.36
272.59
272.59
302.31
272.59
397.39
74.45
112.48
112.61
155.55
239.32
250.01
358.02
133.49
205.39
133.49
133.49
238.62
363.74
238.62
238.62
1,114.65
1,715.18
204.92
402.53
1,865.58
1,545.19

18.193000
18.038500
18.127500
45.459000
39.819500
77.066000
18.290000
127.115357
32.574642
458.070000
2,203.520000
81.051500
4.528600
9.057200
5.857800
4.647083
8.682750
2.916200
3.023100
2.928900
4.543400
6.047200
5.451800
5.451800
6.046200
5.451800
7.947800
1.489000
2.249600
2.252200
3.111000
4.786400
5.000200
358.020000
2.669800
4.107800
2.669800
2.669800
4.772400
7.274800
4.772400
4.772400
22.293000
34.303600
4.098400
8.050600
37.311600
154.519000

18.193000
18.038500
18.127500
37.524480
37.524480
77.066000
18.290000
127.115357
32.574642
458.070000
2,203.520000
81.051500
3.499440
5.452080
5.452080
4.647083
8.682750
2.916200
3.023100
2.928900
4.543400
5.452080
5.451800
5.451800
5.452080
5.451800
7.947800
1.489000
1.786800
1.786800
3.111000
3.733200
3.733200
358.020000
2.669800
3.203760
2.669800
2.669800
4.772400
5.726880
4.772400
4.772400
22.293000
26.751600
3.203760
5.726880
26.751600
154.519000

222.10
431.39
433.33
533.65
906.22
878.17
223.28
3,917.72
1,032.33
537.45
2,439.99
5,338.93
531.77
531.77
357.56
645.99
1,173.85
356.01
367.67
357.56
277.33
367.72
332.78
332.78
367.67
332.78
471.31
94.13
137.32
137.48
189.90
292.16
305.21
428.39
162.97
250.74
162.97
162.97
291.31
434.63
291.31
291.31
1,253.12
1,907.70
250.17
476.91
2,071.63
1,722.41

22.210000
21.569500
21.666500
53.365000
45.311000
87.817000
22.328000
139.918571
36.868928
537.450000
2,439.990000
88.982166
5.317700
10.635400
7.151200
5.383250
9.782083
3.560100
3.676700
3.575600
5.546600
7.354400
6.655600
6.655600
7.353400
6.655600
9.426200
1.882600
2.746400
2.749600
3.798000
5.843200
6.104200
428.390000
3.259400
5.014800
3.259400
3.259400
5.826200
8.692600
5.826200
5.826200
25.062400
38.154000
5.003400
9.538200
41.432600
172.241000

22.210000
21.569500
21.666500
42.732960
42.732960
87.817000
22.328000
139.918571
36.868928
537.450000
2,439.990000
88.982166
4.272120
6.655920
6.655920
5.383250
9.782083
3.560100
3.676700
3.575600
5.546600
6.655920
6.655600
6.655600
6.655920
6.655600
9.426200
1.882600
2.259120
2.259120
3.798000
4.557600
4.557600
428.390000
3.259400
3.911280
3.259400
3.259400
5.826200
6.991440
5.826200
5.826200
25.062400
30.074880
3.911280
6.991440
30.074880
172.241000

50
100

54.39
98.29

1.087800
0.982900

1.087800
0.982900

68.77
124.28

1.375400
1.242800

1.375400
1.242800

cant/
amba
laj

Pret cu ridicata
maximal de
decontare / U.T.

Pret cu
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

A05AA02
A05AA02

ACIDUM URSODEOXYCHOLICUM URSOSAN


ACIDUM URSODEOXYCHOLICUM URSOFALK (R)

CAPS.
CAPS.

250mg
250mg

PRO. MED. CS PRAHA AS

CEHIA

DR. FALK PHARMA GMBH GERMANIA

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


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

Pagina 40 din 56

P-6L
P-6L/S

Grupa
Nr.
terape
crt
utica
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57

A05AA02
A05AA02
A05AA02
B01AB05
B01AB05
B01AB05
B01AB05
B01AB08

Denumire generica

ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ENOXAPARINUM
ENOXAPARINUM
ENOXAPARINUM
ENOXAPARINUM
REVIPARINUM
REVIPARINUM
ILOPROSTUM**
ILOPROSTUM**
ALTEPLASUM**
ACIDUM TRANEXAMICUM 4)
EPTACOG ALFA ACTIVATUM**
EPTACOG ALFA ACTIVATUM**
EPTACOG ALFA ACTIVATUM**

Denumire comerciala

URSOFALK (R)
URSOCHOL 150 mg
URSOCHOL 300 mg
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

Forma
Concentrati
farmaceutic
e / U.T.
a
CAPS.
COMPR.
COMPR.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

CLIVARIN (R) 3436 UI/0,6 ml


ILOMEDIN 20
CONC. PT. SOL. PERF.
VENTAVIS 10mcg/ml
ACTILYSE
PULB+SOLV. PT. SOL. INJ
EXACYL
SOL. INJ.
NOVOSEVEN 2mg (100 KUI) PULB. + SOLV. PT. SOL. INJ.
NOVOSEVEN 5mg (250 KUI) PULB. + SOLV. PT. SOL. INJ.
NOVOSEVEN 1mg (50 KUI) PULB. + SOLV. PT. SOL. INJ.
DIUREX 50
CAPS.
MINIRIN 0,2 mg
COMPR.
DESMOPRESINA TEVA 0,2mg COMPR.
MINIRIN MELT 120 mcg
LIOF. ORAL
MINIRIN MELT 60 mcg
LIOF. ORAL
TAZOCIN 2,25
LIOF. PT. SOL. INJ.
TAZOCIN 4,5
LIOF. PT. SOL. INJ.
ZOPECILIN 2 g/0,25 g
PULB. PT. SOL. INJ./PERF.
ZOPECILIN 2 g/0,25 g
PULB. PT. SOL. INJ./PERF.
PERASIN 2g/0,25 g
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

PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g

PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILINA/TAZOBACTAM MYLAN 2g/0,25 g

PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILINA/TAZOBACTAN ACTAVIS 2 g/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

PIPERACILINA/TAZOBACTAN ACTAVIS 4 g/0,5 g PULB. PT. SOL. INJ./PERF.

B01AB08
B01AC11
B01AC11
B01AD02
B02AA02
B02BD08
B02BD08
B02BD08

C03EB01 COMBINATII (SPIRONOLACTONUM+FUROSEMIDUM)


H01BA02
H01BA02
H01BA02
H01BA02

DESMOPRESSINUM
DESMOPRESSINUM
DESMOPRESSINUM
DESMOPRESSINUM

J01CR05 PIPERACILLINUM + TAZOBACTAMUM


J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM
J01CR05 PIPERACILLINUM + TAZOBACTAMUM

SOL. DE INHALAT PRIN NEBULIZ.

ZOPECILIN 4 g/0,5 g
PIPERACILLINUM + TAZOBACTAMUM ZOPECILIN 4 g/0,5 g

J01CR05 PIPERACILLINUM + TAZOBACTAMUM


J01CR05

PULB. PT. SOL. INJ./PERF.


PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

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

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

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

J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g

PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

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

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

BACTACIN 4 g/0,5 g
PERASIN 4g/0,5 g
ZYVOXID (R)
ZYVOXID (R)
LINEZOLID TEVA 2 mg/ml
ZYVOXID (R)
VFEND 200mg
VFEND 50mg
VFEND 200mg
VFEND 40 mg/ml
CANCIDAS 50 mg
CANCIDAS 70 mg
VALCYTE (R) 450 mg

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

J01XX08
J01XX08
J01XX08
J01XX08
J02AC03
J02AC03
J02AC03
J02AC03

J02AX04
J02AX04
J05AB14

LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
CASPOFUNGINUM**
CASPOFUNGINUM**
VALGANCICLOVIRUM**

PULB. PT. SOL. INJ./PERF.


PULB. PT. SOL. INJ./PERF.

COMPR. FILM.
GRAN. PT. SUSP. ORALA

SOL. PERF.
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.

250mg
150mg
300mg
2000ui anti-Xa/0,2ml
4000ui anti-Xa/0,4ml
6000ui anti-Xa/0,6ml
8000ui anti-Xa/0,8ml

Firma

Tara

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

P-6L
P-6L

1432ui/0,25ml ABBOTT GMBH&CO.KG GERMANIA

3436ui/0,6ml
20mcg/ml
10mcg/ml
50mg
500mg/5ml
100 KIU
250 KIU
50 KIU
50mg/20mg
0,2mg
0,2mg
120mcg
60mcg

Prescriptie

ITALIA
CUTIE X 6 BLIST. AL/PVC X 10 COMPR.
ITALIA
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
FRANTA CUTIE X 10 SERINGI PREUMPLUTE X 0,2 ML SOL. INJ.
FRANTA CUTIE X 10 SERINGI PREUMPLUTE X 0.4 ML SOL. INJ.
FRANTA CUTIE X 10 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ.
FRANTA CUTIE X 2 SERINGI PREUMPLUTE X 0,8 ML SOL. INJ.

DR. FALK PHARMA GMBH GERMANIA

ZAMBON S.P.A.
ZAMBON S.P.A.
LAB. AVENTIS
LAB. AVENTIS
LAB. AVENTIS
LAB. AVENTIS

Ambalaj

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

CUTIE X 2 BLIST. X 5 SERINGI PREUMPLUTE UNIDOZA X 0,25ML

S/P-RF

ABBOTT GMBH&CO.KG GERMANIA

CUTIE X 1 BLIST X 5 SERINGI PREUMPLUTE UNIDOZA X 0,60 ML

S/P-RF

BAYER SCHERING PHARMA AG

GERMANIA

CUTIE X 5 FIOLE STICLA INCOLORA X 1 ML CONC. PT. SOL. PERFZ.

S/P-RF

BAYER SCHERING PHARMA AG

GERMANIA

CUTIE X 30 FIOLE X 1 ML SOL. DE INHALAT PRIN NEBULIZ.

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA

CUTIE X 1 FLAC. LIOF. PT. SOL. INJ. + 1 FLACON SOLV. + CANULA DE TRANSFER

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
NOVO NORDISK A/S DANEMARCA CUTIE X 1 FLAC. PULB. PT. SOL. INJ. + 1 FLAC. SOLV. PT. RECONSTITUIRE
NOVO NORDISK A/S DANEMARCA CUTIE X 1 FLAC. PULB. PT. SOL. INJ. + 1 FLAC. SOLV. PT. RECONSTITUIRE
TERAPIA SA
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
FERRING GMBH
GERMANIA CUTIE X 1 FLAC. DIN PEID X 30 COMPR.

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

P-6L
P-RF

TEVA PHARMACEUTICAL S.R.L.

ROMANIA

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

P-RF

FERRING GMBH
FERRING GMBH

GERMANIA

CUTIE X 3 BLIST. AL/AL X 10 UNITATI DOZATE LIOF. ORAL

P-RF

GERMANIA

CUTIE X 3 BLIST AL/AL X 10 UNITATI DOZATE LIOF. ORAL P-RF

FARA CONCENTRATIE

WYETH LEDERLE PHARMA GMBH

AUSTRIA CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ.

S/P-RF

FARA CONCENTRATIE

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ.

S/P-RF

2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
600mg
100mg/5ml
2mg/ml
2mg/ml
200mg
50mg
200mg
40mg/ml
50mg
70mg
450mg

ROMASTRU TRADING SRL ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

ROMASTRU TRADING SRL ROMANIA

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

ANTIBIOTICE S.A.

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

S.C. FRESENIUS KABI S.R.L.

ROMANIA
ROMANIA

MYLAN S.A.S.

FRANTA

S.C. FRESENIUS KABI S.R.L.

TERAPIA SA
ANTIBIOTICE S.A.

ROMANIA
ROMANIA
ROMANIA

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

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

P-RF

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

10 PUNGI PT. PERFUZIE (DIN POLIMER MULTISTRAT) CU 1 PERFUZOR SAU 2 PERFUZOARE CU 300 ML SOL., ECHIPA

PRF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

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.
S.C. FRESENIUS KABI S.R.L.

MYLAN S.A.S.

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

ACTAVIS GROUP PTC EHF.

FRANTA
ISLANDA

TERAPIA SA

ROMANIA

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND 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 CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.


CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.

ROMASTRU TRADING SRL ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

ROMASTRU TRADING SRL ROMANIA

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

S.C. FRESENIUS KABI S.R.L.

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 A 50 ML CU 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 50 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE X 10 PUNGI X 300 ML

S
P-RF

MAREA BRITANIE

CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL)


CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL)

MAREA BRITANIE

CUTIE X 1 FLAC. UNIDOZA X 30ML

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

P-RF

MERCK SHARP & DOHME

MAREA BRITANIE

CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF.

MERCK SHARP & DOHME

MAREA BRITANIE

CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF.

PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED

MAREA BRITANIE

ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. X 60 COMPR. FILM.

Pagina 41 din 56

P-RF

S
S
P-RF

cant/
amba
laj

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

Pret cu ridicata
maximal de
decontare / U.T.

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

50
56.54
1.130800
1.130800
71.49
1.429800
1.429800
60
41.43
0.690500
0.690500
54.19
0.903166
0.903166
20
27.43
1.371500
1.371500
35.88
1.794000
1.794000
10
57.68
5.768000
5.768000
72.93
7.293000
7.293000
10
118.41
11.841000
11.841000
144.56
14.456000
14.456000
10
153.90
15.390000
15.390000
187.88
18.788000
18.788000
2
39.90
19.950000
19.950000
52.19
26.095000
26.095000
10
66.80
6.680000
6.680000
84.46
8.446000
8.446000
5
80.20
16.040000
16.040000
101.41
20.282000
20.282000
5
764.66
152.932000
152.932000
871.63
174.326000
174.326000
30 1,947.00
64.900000
64.900000 2,160.38
72.012666
72.012666
1 1,490.89 1,490.890000 1,490.890000 1,663.22 1,663.220000 1,663.220000
5
9.47
1.894000
1.894000
12.80
2.560000
2.560000
1 5,431.43 5,431.430000 5,431.430000 5,958.41 5,958.410000 5,958.410000
1 13,793.54 13,793.540000 13,793.540000 15,073.11 15,073.110000 15,073.110000
1 2,730.72 2,730.720000 2,730.720000 3,014.63 3,014.630000 3,014.630000
20
17.25
0.862500
0.862500
23.31
1.165500
1.165500
30
95.42
3.180666
3.180666
120.65
4.021666
4.021666
30
105.26
3.508666
3.508666
128.50
4.283333
4.283333
30
151.92
5.064000
5.064000
185.47
6.182333
6.182333
30
77.57
2.585666
2.585666
98.08
3.269333
3.269333
12
401.14
33.428333
23.533200
475.39
39.615833
28.729200
12
692.90
57.741666
46.081000
793.41
66.117500
54.043000
1
22.93
22.930000
22.930000
30.99
30.990000
28.729200
12
265.41
22.117500
22.117500
324.01
27.000833
27.000833
1
22.93
22.930000
22.930000
30.99
30.990000
28.729200
10
386.57
38.657000
23.533200
459.51
45.951000
28.729200
1
20.32
20.320000
20.320000
27.47
27.470000
27.470000
5
99.83
19.966000
19.966000
126.23
25.246000
25.246000
10
196.11
19.611000
19.611000
239.41
23.941000
23.941000
1
40.65
40.650000
23.533200
53.17
53.170000
28.729200
5
196.11
39.222000
23.533200
239.41
47.882000
28.729200
1
22.93
22.930000
22.930000
30.99
30.990000
28.729200
12
265.28
22.106666
22.106666
323.86
26.988333
26.988333
1
22.93
22.930000
22.930000
30.99
30.990000
28.729200
12
460.81
38.400833
38.400833
540.43
45.035833
45.035833
1
40.93
40.930000
40.930000
53.53
53.530000
53.530000
12
460.81
38.400833
38.400833
540.43
45.035833
45.035833
1
40.93
40.930000
40.930000
53.53
53.530000
53.530000
5
197.45
39.490000
39.490000
241.05
48.210000
48.210000
1
40.94
40.940000
40.940000
53.55
53.550000
53.550000
10
389.01
38.901000
38.901000
462.17
46.217000
46.217000
1
40.93
40.930000
40.930000
53.53
53.530000
53.530000
1
40.93
40.930000
40.930000
53.53
53.530000
53.530000
10 1,603.26
160.326000
160.326000 1,785.71
178.571000
178.571000
1
879.36
879.360000
879.360000
996.65
996.650000
996.650000
10 1,052.62
105.262000
105.262000 1,185.51
118.551000
118.551000
10 1,603.26
160.326000
126.314400 1,785.71
178.571000
142.261200
28 3,559.23
127.115357
127.115357 3,917.72
139.918571
139.918571
28
912.09
32.574642
32.574642 1,032.33
36.868928
36.868928
1
458.07
458.070000
458.070000
537.45
537.450000
537.450000
1 2,203.52 2,203.520000 2,203.520000 2,439.99 2,439.990000 2,439.990000
1 1,202.39 1,202.390000 1,202.390000 1,348.76 1,348.760000 1,348.760000
1 1,560.14 1,560.140000 1,560.140000 1,738.70 1,738.700000 1,738.700000
60 4,863.09
81.051500
81.051500 5,338.93
88.982166
88.982166

Grupa
Nr.
terape
crt
utica
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105

Denumire generica

J06BB04 IMUNOGLOBULINA ANTI-HEPATITICA B**


J06BB04 IMUNOGLOBULINA ANTI-HEPATITICA B**
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06

FILGRASTIMUM (G-CSF)
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**

Denumire comerciala

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
CELLCEPT 500mg
MYCOPHENOLATE MOFETIL MEDICO UNO 500 MG

MYFORTIC 180 mg
MYFORTIC 360 mg

L04AA06 MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL DR. REDDY'S 250 mg

L04AA06 MYCOPHENOLATUM MOFETILUM**

MYFENAX 250mg

L04AA06 MYCOPHENOLATUM MOFETILUM** MYCOPHENOLATE MOFETIL ACCORD 250 mg


L04AA06 MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL SANDOZ 500 mg

Forma
Concentrati
farmaceutic
e / U.T.
a
500 UI
SOL. PERF. 50 UI/ ml
SOL. INJ.
30MU/0,5ml
SOL. INJ.
48MU/0,5ml
60MU/ml
96MU/ml
SOL. INJ./PERF. 120g/0,2ml

SOL INJ. IN SERINGA PRE-UMPLUTA

SOL. INJ. /PERF. IN SERINGA PREUMPLUTA

SOL. INJ. /PERF. IN SERINGA PREUMPLUTA

SOL. INJ./PERF.

CAPS.

ARZIP 500 mg

L04AA06 MYCOPHENOLATUM MOFETILUM** MYCOFENOLAT MOFETIL ACTAVIS 500 mg


L04AA06 MYCOPHENOLATUM MOFETILUM**

MYFENAX 500mg

L04AA06 MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL DR. REDDY'S 500 mg

L04AA10
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02

SIROLIMUS**
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**

RAPAMUNE 1mg
EQUORAL (R) 100 mg
EQUORAL (R) 25 mg
SANDIMMUN NEORAL (R)
CICLORAL 25 mg
EQUORAL (R) 50 mg
SANDIMMUN NEORAL (R)
CICLORAL 50 mg
EQUORAL (R)
TACNI 0,5 mg
PROGRAF (R) 0,5 mg
TACROLIMUSUM ACCORD 0,5 mg

TACROLIMUS SANDOZ 0,5 mg

TACNI 1 mg
PROGRAF (R) 1 mg
TACROLIMUSUM ACCORD 1 mg

TACROLIMUS SANDOZ 1 mg
TACNI 5 mg
PROGRAF (R) 5 mg
ADVAGRAF 0,5mg
ADVAGRAF 1mg
ADVAGRAF 5mg
PROGRAF (R) 5 mg/ml

CUTIE CU 5 SERINGI PREUMPLUTE DIN STICLA A CATE 500 UI AMBALATE N BLISTERE

PRF

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 40 ML SOL. PERF. (2000UI)

PR

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
SANDOZ GMBH

AUSTRIA
AUSTRIA

HOSPIRA UK LIMITED

MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,2ML SOL. INJ. SAU PERF.

300g/0,5ml HOSPIRA UK LIMITED

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

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

DRAJ.
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
SOL. ORALA
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CONC. PT. SOL. PERF.

480g/0,5ml
250mg
500mg
500mg
180mg
360mg
250 mg
250mg
250mg
500mg
500 mg
500mg
500mg
500mg
500mg
1mg
100mg
25mg
25mg
25mg
50mg
50mg
50mg
100mg/ml
0,5 mg
0,5mg
0,5mg
0,5mg
1 mg
1mg
1mg
1mg
5 mg
5mg
0,5mg
1mg
5mg
5mg/ml

Prescriptie

BIOTEST PHARMA GMBH GERMANIA

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 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF.

MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF.

SOL. INJ./PERF. 480mcg/0,8ml TEVA GENERICS GMBH GERMANIA


SOL. INJ./PERF.

Ambalaj

BIOTEST PHARMA GMBH GERMANIA

SOL. INJ./PERF. 300mcg/0,5ml TEVA GENERICS GMBH GERMANIA

L04AA06 MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL TERAPIA 500 mg COMPR. FILM.


L04AA06 MYCOPHENOLATUM MOFETILUM**

Tara

Firma

CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF.

P-RF
S/P-RF/R

P-RF
S/P-RF/R

HOSPIRA UK LIMITED

MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF.

ROCHE REGISTRATION LTD.

MAREA BRITANIE

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 10 BLIST. X 10 CAPS.


CUTIE X 5 BLIST. X 10 COMPR. FILM.

MEDICO UNO PHARMA KFT.

UNGARIA

CUTIE CU BLIST. PVC-PVDC/AL X 50 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

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

DR. REDDY'S LABORATORIES

ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 100 CAPS. PR

TEVA PHARMA BV

OLANDA CUTIE X BLIST. PVC/PVDC/AL X 100 CAPS.

P-RF/R

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

CUTIE CU BLIST. PVC-PVDC/AL CU 100 CAPS.

P-RF/R

SANDOZ S.R.L.
TERAPIA S.A.
ZENTIVA K.S.

ROMANIA
ROMANIA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 50 COMPR. FILM.

P-RF

CUTIE CU 1 BLIST. DIN AL-PA-PVC/AL X 50 COMPR. FILM.

REPUBLICA CEHA

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

PR
PR

ISLANDA
OLANDA

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

P-RF/R

TEVA PHARMA BV

CUTIE X BLIST. PVC/PVDC/AL X 50 COMPR. FILM.

P-RF/R

DR. REDDY'S LABORATORIES

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)

CEHIA
CEHIA

CUTIE X 5 BLIST. X 10 CAPS. MOI


CUTIE X 5 BLIST. X 10 CAPS. MOI
CUTIE X 10 BLIST. X 5 CAPS. MOI

ACTAVIS GROUP PTC EHF.

IVAX - PHARMACEUTICALS S.R.O.


IVAX - PHARMACEUTICALS S.R.O.

NOVARTIS PHARMA GMBH GERMANIA

P-RF/R

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

HEXAL AG

GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI

S/P-RF

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

HEXAL AG

GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI

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

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

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT

S/P-RF

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

CUTIE CU BLIST. AL/AL X 50 CAPS. PR

SANDOZ S.R.L.

CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS.

TEVA PHARMACEUTICALS S.R.L.

ROMANIA
ROMANIA

ASTELLAS PHARMA EUROPE BV

OLANDA

S/P-RF

CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI AL A CATE 10 CAPSULE

PRF

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT

S/P-RF

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

CUTIE CU BLIST. AL/AL X 50 CAPS. PR

SANDOZ S.R.L.

CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS.

TEVA PHARMACEUTICALS S.R.L.

ROMANIA
ROMANIA

ASTELLAS PHARMA EUROPE BV

OLANDA

PRF

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT

S/P-RF

ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)

OLANDA

S/P-RF

CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI AL A CATE 10 CAPS.

P-RF/R

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

ASTELLAS PHARMA EUROPE BV

OLANDA CUTIE X 10 FIOLE X 1 ML

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

5
1
1
1
1
1
5
1
5
1
5
100
50
50
120
120
100
100
100
50
50
50
50
50
50
30
50
50
50
50
50
50
50
1
50
50
50
50
50
50
50
50
50
50
50
50
50
10

9,205.00
4,477.57
267.05
436.57
162.10
260.91
418.45
214.16
1,001.12
355.90
1,656.30
452.86
452.86
292.89
557.65
1,041.93
291.62
302.31
292.89
227.17
302.36
272.59
272.59
302.31
272.59
489.29
397.39
74.45
112.48
112.61
155.55
239.32
250.01
358.02
133.49
205.39
133.49
133.49
238.62
363.74
238.62
238.62
1,114.65
1,715.18
204.92
402.53
1,865.58
1,545.19

1,841.000000
4,477.570000
267.050000
436.570000
162.100000
260.910000
83.690000
214.160000
200.224000
355.900000
331.260000
4.528600
9.057200
5.857800
4.647083
8.682750
2.916200
3.023100
2.928900
4.543400
6.047200
5.451800
5.451800
6.046200
5.451800
16.309666
7.947800
1.489000
2.249600
2.252200
3.111000
4.786400
5.000200
358.020000
2.669800
4.107800
2.669800
2.669800
4.772400
7.274800
4.772400
4.772400
22.293000
34.303600
4.098400
8.050600
37.311600
154.519000

50
100

54.39
98.29

1.087800
0.982900

cant/
amba
laj

Pret cu ridicata
maximal de
decontare / U.T.

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

1,841.000000 10,071.60
4,477.570000 4,918.70
194.520000
326.02
313.092000
514.01
162.100000
197.89
260.910000
318.52
83.690000
494.26
194.520000
261.45
194.520000 1,129.37
313.092000
426.08
313.092000 1,843.52
3.499440
531.77
5.452080
531.77
5.452080
357.56
4.647083
645.99
8.682750 1,173.85
2.916200
356.01
3.023100
367.67
2.928900
357.56
4.543400
277.33
5.452080
367.72
5.451800
332.78
5.451800
332.78
5.452080
367.67
5.451800
332.78
16.309666
571.48
7.947800
471.31
1.489000
94.13
1.786800
137.32
1.786800
137.48
3.111000
189.90
3.733200
292.16
3.733200
305.21
358.020000
428.39
2.669800
162.97
3.203760
250.74
2.669800
162.97
2.669800
162.97
4.772400
291.31
5.726880
434.63
4.772400
291.31
4.772400
291.31
22.293000 1,253.12
26.751600 1,907.70
3.203760
250.17
5.726880
476.91
26.751600 2,071.63
154.519000 1,722.41

2,014.320000
4,918.700000
326.020000
514.010000
197.890000
318.520000
98.852000
261.450000
225.874000
426.080000
368.704000
5.317700
10.635400
7.151200
5.383250
9.782083
3.560100
3.676700
3.575600
5.546600
7.354400
6.655600
6.655600
7.353400
6.655600
19.049333
9.426200
1.882600
2.746400
2.749600
3.798000
5.843200
6.104200
428.390000
3.259400
5.014800
3.259400
3.259400
5.826200
8.692600
5.826200
5.826200
25.062400
38.154000
5.003400
9.538200
41.432600
172.241000

2,014.320000
4,918.700000
237.468000
382.224000
197.890000
318.520000
98.852000
237.468000
225.874000
382.224000
368.704000
4.272120
6.655920
6.655920
5.383250
9.782083
3.560100
3.676700
3.575600
5.546600
6.655920
6.655600
6.655600
6.655920
6.655600
19.049333
9.426200
1.882600
2.259120
2.259120
3.798000
4.557600
4.557600
428.390000
3.259400
3.911280
3.259400
3.259400
5.826200
6.991440
5.826200
5.826200
25.062400
30.074880
3.911280
6.991440
30.074880
172.241000

1.375400
1.242800

1.375400
1.242800

P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA


P9.4: TRANSPLANT RENAL combinat RINICHI si PANCREAS
1
2

A05AA02
A05AA02

ACIDUM URSODEOXYCHOLICUM URSOSAN


ACIDUM URSODEOXYCHOLICUM URSOFALK (R)

CAPS.
CAPS.

250mg
250mg

PRO. MED. CS PRAHA AS

CEHIA

DR. FALK PHARMA GMBH GERMANIA

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


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

Pagina 42 din 56

P-6L
P-6L/S

1.087800
0.982900

68.77
124.28

Grupa
Nr.
terape
crt
utica
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57

A05AA02
A05AA02
A05AA02
A11CC03
A11CC03
A11CC03
A11CC03
A11CC03
A11CC03

B01AB04
B01AB04
B01AB04
B01AB04
B01AB04
B01AB04
B01AB04
B01AB04
B01AB05
B01AB05
B01AB05
B01AB05
B01AB08
B01AB08

B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
H01CB02
H01CB02
H01CB02
H01CB02

Denumire generica

ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ALFACALCIDOLUM
ALFACALCIDOLUM
ALFACALCIDOLUM
ALFACALCIDOLUM
ALFACALCIDOLUM
ALFACALCIDOLUM
DALTEPARINUM
DALTEPARINUM
DALTEPARINUM
DALTEPARINUM
DALTEPARINUM
DALTEPARINUM
DALTEPARINUM
DALTEPARINUM
ENOXAPARINUM
ENOXAPARINUM
ENOXAPARINUM
ENOXAPARINUM
REVIPARINUM
REVIPARINUM
EPOETINUM ALFA
EPOETINUM ALFA
EPOETINUM ALFA
EPOETINUM ALFA
EPOETINUM ALFA
EPOETINUM ALFA
EPOETINUM ALFA
EPOETINUM ALFA
EPOETINUM ALFA
EPOETINUM BETA
EPOETINUM BETA
EPOETINUM BETA
EPOETINUM BETA
EPOETINUM BETA
EPOETINUM BETA
EPOETINUM BETA
OCTREOTIDUM**
OCTREOTIDUM**
OCTREOTIDUM**
OCTREOTIDUM**

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

Denumire comerciala

URSOFALK (R)
URSOCHOL 150 mg
URSOCHOL 300 mg
ALPHA D3 0,25 mcg
ALFACALCIDOL SANDOZ 0,25 mcg

ALPHA D3 0,50 mcg


ALFACALCIDOL SANDOZ 0,5 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
BINOCRIT 10000UI/1,0ml
BINOCRIT 1000UI/0,5ml
BINOCRIT 2000UI/1,0ml
BINOCRIT 30000UI/0,75ml
BINOCRIT 3000UI/0,3ml
EPREX 40000 UI/ml
BINOCRIT 40000 UI/1 ml
BINOCRIT 4000UI/0,4ml
BINOCRIT 5000UI/0,5ml
NEORECORMON 10000UI/0,6ml
NEORECORMON 1000UI/0,3ml
NEORECORMON 2000UI/0,3ml
NEORECORMON 30000UI/0,6ml
NEORECORMON 4000UI/0,3ml
NEORECORMON 5000UI/0,3ml

Forma
Concentrati
farmaceutic
e / U.T.
a
CAPS.
COMPR.
COMPR.
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.

250mg
150mg
300mg
0,25mcg
0,25g
0,50mcg
0,5g
2micrograme/ml
2micrograme/ml

Firma

Tara

Ambalaj

Prescriptie

DR. FALK PHARMA GMBH GERMANIA

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

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

ITALIA
ITALIA

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


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

TEVA PHARMACEUTICALS S.R.L.

ROMANIA CUTIE X 1 FLAC. DIN PPID X 50 CAPS. MOI P-RF


ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 CAPS. MOI PRF
ROMANIA CUTIE X 1 FLAC. X 30 CAPS. MOI
P-RF
ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 CAPS. MOI PRF

SANDOZ S.R.L.
TEVA PHARMACEUTICALS S.R.L.

SANDOZ S.R.L.
LEO PHARMA A/S
LEO PHARMA A/S

DANEMARCA CUTIE CU 10 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ.


DANEMARCA CUTIE CU 10 FIOLE DIN STICLA BRUNA X 0,5 ML SOL. INJ.

10000UI/0,4ml PFIZER EUROPE MA EEIG

MAREA BRITANIE

10000ui/ml

MAREA BRITANIE CUTIE X 2 SUPORTURI TERMOFORMATATE X 5 FIOLE X 1 ML

PFIZER EUROPE MA EEIG

CUTIE X 5 BLIST. X 1 SERINGA X 0,4 ML SOL. INJ.

P-6L

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

12500 UI/0,5ml PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 5 BLIST. X 1 SERINGA X 0,5 ML SOL. INJ.

S/P-RF

15000ui/0,6ml PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 5 BLIST. INDIVIDUALE CONTINAND FIECARE 1 SERINGA PREUMPLUTA X 0,6 ML SOL. INJ.

S/P-RF

18000 UI/0,72ml PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 5 BLIST. X 1 SERINGA X 0,72 ML SOL. INJ.

S/P-RF

2500ui/0,2ml
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 0,2 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

LAB. AVENTIS
LAB. AVENTIS
LAB. AVENTIS
LAB. AVENTIS

FRANTA
FRANTA
FRANTA
FRANTA

CUTIE X 10 SERINGI PREUMPLUTE X 0,2 ML SOL. INJ.

S/P-RF

CUTIE X 10 SERINGI PREUMPLUTE X 0.4 ML SOL. INJ.

S/P-RF

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

4000ui anti-Xa/0,4ml
6000ui anti-Xa/0,6ml
8000ui anti-Xa/0,8ml

1432ui/0,25ml ABBOTT GMBH&CO.KG GERMANIA


GERMANIA

CUTIE X 1 BLIST X 5 SERINGI PREUMPLUTE UNIDOZA X 0,60 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

SOL. INJ. IN SERINGA PREUMPLUTA

3436ui/0,6ml ABBOTT GMBH&CO.KG


10000UI/1,0ml SANDOZ GMBH
1000UI/0,5ml SANDOZ GMBH
2000UI/1,0ml SANDOZ GMBH
30000UI/0,75ml SANDOZ GMBH
3000UI/0,3ml SANDOZ GMBH
40 000UI/ml JOHNSON & JOHNSON D.O.O.
40000 UI/1 ml SANDOZ GMBH
4000UI/0,4ml SANDOZ GMBH
5000UI/0,5ml SANDOZ GMBH

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

SOL. INJ. IN SERINGA PREUMPLUTA

4000UI/0,3ml
5000UI/0,3ml
500UI/0,3ml
20mg
10mg
30mg
0,1mg/ml

PULB. + SOLV. PT. SUSP. INJ. (I.M.) CU ELIB. PRELU

PULB.+SOLV.PT.SUSP. INJ. (I.M.) CU ELIB. PRELUNG.

PULB.+SOLV.PT.SUSP. INJ. (I.M.) CU ELIB. PRELUNG.

P-RF/R

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

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

MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ. + 6 ACE

S/P-RF/R

GERMANIA

CUTIE X 1 FLAC. PULBERE + 1 SERINGA PREUMPLUTA X 2,5 ML SOLVENT + 2 ACE

S/P-RF

GERMANIA

CUTIE X 1 FLAC. PULBERE + 1 SERINGA PREUMPLUTA X 2,5 ML SOLVENT + 2 ACE

S/P-RF

GERMANIA

CUTIE X 1 FLAC. PULB. + 1 SERINGA PREUMPLUTA X 2,5 ML SOLVENT + 2 ACE

S/P-RF

GERMANIA

CUTIE X 5 FIOLE X 1 ML

S/P-RF

NEORECORMON 500UI/0,3ml
ROCHE REGISTRATION LTD.
SANDOSTATIN LAR 20 mg
NOVARTIS PHARMA GMBH
SANDOSTATIN LAR 10 mg
NOVARTIS PHARMA GMBH
SANDOSTATIN LAR 30 mg
NOVARTIS PHARMA GMBH
SANDOSTATIN (R)
SOL. INJ.
NOVARTIS PHARMA GMBH
TAZOCIN 2,25
LIOF. PT. SOL. INJ. FARA CONCENTRATIE WYETH LEDERLE PHARMA GMBH
TAZOCIN 4,5
LIOF. PT. SOL. INJ. FARA CONCENTRATIE PFIZER EUROPE MA EEIG
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.
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.
PIPERACILINA/TAZOBACTAM MYLAN 2g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g
MYLAN S.A.S.
SOL. INJ. IN SERINGA PREUMPLUTA

CUTIE X 1 SERINGA PREUMPLUTA X 0,75ML SOL. INJ.

AUSTRIA CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ.

S/P-RF

CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ.

S/P-RF

MAREA BRITANIE

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

FRANTA

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 X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND 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 CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CU PULB. PT. SOL. INJ./PERF.

Pagina 43 din 56

S
S
S
S
S
S
S
S
S
S

cant/
amba
laj

50
60
20
50
30
30
30
10
10
5
10
5
5
5
10
10
10
10
10
10
2
10
5
6
6
6
1
6
1
1
6
6
6
6
6
1
6
6
6
1
1
1
5
12
12
1
12
1
10
1
5
10
1
5
1

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

56.54
41.43
27.43
25.70
28.49
23.23
42.10
203.78
108.79
103.19
218.57
139.97
169.45
192.72
61.36
116.45
166.28
57.68
118.41
153.90
39.90
66.80
80.20
1,550.81
178.92
355.67
688.15
518.88
1,206.71
877.32
682.04
845.15
2,117.84
229.28
447.82
1,042.55
865.04
1,073.53
117.90
3,478.41
2,167.33
4,817.21
125.02
401.14
692.90
22.93
265.41
22.93
386.57
20.32
99.83
196.11
40.65
196.11
22.93

1.130800
0.690500
1.371500
0.514000
0.949666
0.774333
1.403333
20.378000
10.879000
20.638000
21.857000
27.994000
33.890000
38.544000
6.136000
11.645000
16.628000
5.768000
11.841000
15.390000
19.950000
6.680000
16.040000
258.468333
29.820000
59.278333
688.150000
86.480000
1,206.710000
877.320000
113.673333
140.858333
352.973333
38.213333
74.636666
1,042.550000
144.173333
178.921666
19.650000
3,478.410000
2,167.330000
4,817.210000
25.004000
33.428333
57.741666
22.930000
22.117500
22.930000
38.657000
20.320000
19.966000
19.611000
40.650000
39.222000
22.930000

Pret cu ridicata
maximal de
decontare / U.T.

1.130800
0.690500
1.371500
0.514000
0.616800
0.774333
0.929200
20.378000
10.879000
20.638000
21.857000
27.994000
33.890000
38.544000
6.136000
11.645000
16.628000
5.768000
11.841000
15.390000
19.950000
6.680000
16.040000
258.468333
29.820000
59.278333
688.150000
86.480000
1,052.784000
877.320000
113.673333
140.858333
352.973333
38.213333
74.636666
1,042.550000
144.173333
178.921666
19.650000
3,478.410000
2,167.330000
4,817.210000
25.004000
23.533200
46.081000
22.930000
22.117500
22.930000
23.533200
20.320000
19.966000
19.611000
23.533200
23.533200
22.930000

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

71.49
54.19
35.88
33.62
37.26
31.40
55.07
248.78
132.81
125.97
266.83
170.87
206.87
235.27
77.59
142.16
202.99
72.93
144.56
187.88
52.19
84.46
101.41
1,728.54
218.42
425.83
788.23
603.73
1,353.47
994.43
781.57
959.37
2,346.60
279.91
526.27
1,174.53
981.05
1,208.30
143.93
3,829.62
2,400.54
5,288.92
152.62
475.39
793.41
30.99
324.01
30.99
459.51
27.47
126.23
239.41
53.17
239.41
30.99

1.429800
0.903166
1.794000
0.672400
1.242000
1.046666
1.835666
24.878000
13.281000
25.194000
26.683000
34.174000
41.374000
47.054000
7.759000
14.216000
20.299000
7.293000
14.456000
18.788000
26.095000
8.446000
20.282000
288.090000
36.403333
70.971666
788.230000
100.621666
1,353.470000
994.430000
130.261666
159.895000
391.100000
46.651666
87.711666
1,174.530000
163.508333
201.383333
23.988333
3,829.620000
2,400.540000
5,288.920000
30.524000
39.615833
66.117500
30.990000
27.000833
30.990000
45.951000
27.470000
25.246000
23.941000
53.170000
47.882000
30.990000

1.429800
0.903166
1.794000
0.672400
0.806880
1.046666
1.255999
24.878000
13.281000
25.194000
26.683000
34.174000
41.374000
47.054000
7.759000
14.216000
20.299000
7.293000
14.456000
18.788000
26.095000
8.446000
20.282000
288.090000
36.403333
70.971666
788.230000
100.621666
1,193.316000
994.430000
130.261666
159.895000
391.100000
46.651666
87.711666
1,174.530000
163.508333
201.383333
23.988333
3,829.620000
2,400.540000
5,288.920000
30.524000
28.729200
54.043000
28.729200
27.000833
28.729200
28.729200
27.470000
25.246000
23.941000
28.729200
28.729200
28.729200

Grupa
Nr.
terape
crt
utica
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112

Denumire generica

Denumire comerciala

Forma
Concentrati
farmaceutic
e / U.T.
a

Tara

Ambalaj

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILINA/TAZOBACTAN ACTAVIS 2 g/0,25 g

PULB. PT. SOL. INJ./PERF.

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.

J01CR05 PIPERACILLINUM + TAZOBACTAMUM

BACTACIN 2 g/0,25 g

PULB. PT. SOL. INJ./PERF.

TERAPIA SA

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF.

ACTAVIS GROUP PTC EHF.

ISLANDA

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
J01XX08
J02AB02
J02AB02
J02AB02
J02AB02
J02AB02
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01

TEICOPLANINUM
LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM
KETOCONAZOLUM
KETOCONAZOLUM
KETOCONAZOLUM
KETOCONAZOLUM
KETOCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM

2g/0,25g
2g/0,25g
PIPERACILINA/TAZOBACTAN ACTAVIS 4 g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g
ZOPECILIN 4 g/0,5 g
PULB. PT. SOL. INJ./PERF. 4g/0,5g
ZOPECILIN 4 g/0,5 g
PULB. PT. SOL. INJ./PERF. 4g/0,5g
PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PULB. PT. SOL. INJ./PERF. 4g/0,5g
PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PULB. PT. SOL. INJ./PERF. 4g/0,5g
PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g
PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PULB. PT. SOL. INJ./PERF. 4g/0,5g
BACTACIN 4 g/0,5 g
PULB. 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
LINEZOLID TEVA 2 mg/ml
SOL. PERF. 2mg/ml
ZYVOXID (R)
SOL. PERF. 2mg/ml
NIZORAL 200 mg
COMPR.
200mg
KETOCONAZOL 200 mg
COMPR.
200mg
KETOCONAZOL 200 mg
COMPR.
200mg
KETOSTIN 200 mg
COMPR.
200mg
KETOCONAZOL ARENA 200 mg COMPR.
200mg
FUNGOLON 100 mg
CAPS.
100mg
DIFLAZON 100 mg
CAPS.
100mg
FLUCONAZOLE TEVA 100 mg CAPS.
100mg
FLUCONAZOLE TEVA 100 mg CAPS.
100mg
FLUCORIC 100 mg
CAPS.
100mg
FLUCOVIM 100
CAPS.
100mg
FLUCONAZOL MEDOCHEMIE 150 mg CAPS.
150mg
FLUCONAZOL ACTAVIS 150 mg CAPS.
150mg
FLUCONAZOL MEDICO UNO 150 mg CAPS.
150mg
FLUCONAZOL LPH 150 mg CAPS.
150mg
FLUCONAZOL ROMPHARM 150 mg CAPS.
150mg
FLUCONAZOL 150 mg
CAPS.
150mg
FLUCONAZOL SANDOZ (R) 150 CAPS.
150mg
MYCOMAX 150
CAPS.
150mg
DIFLAZON 150 mg
CAPS.
150mg
FLUCONAZOLE TEVA 150 mg CAPS.
150mg
FLUCOVIM 150
CAPS.
150mg
DIFLUCAN 150 mg
CAPS.
150mg
FLUCORIC 150 mg
CAPS.
150mg
FLUCONAZOL BIOGALENICA 150 mg CAPS.
150mg
MYCOSYST 150 mg
CAPS.
150mg
FLUCONAZOL 150 mg
CAPS.
150mg
FLUCONAZOL ARENA 150 MG CAPS.
150mg
FLUCONAZOLE TEVA 200 mg CAPS.
200mg
FLUCONAZOL 50 mg
CAPS.
50mg
DIFLAZON 50 mg
CAPS.
50mg
FLUCOVIM 50
CAPS.
50mg
FLUCONAZOL MEDOCHEMIE 50 mg CAPS.
50mg
FLUCONAZOL LPH 50 mg
CAPS.
50mg
FLUCONAZOL BIOGALENICA 50 mg CAPS.
50mg
FUNGOLON 50 mg
CAPS.
50mg
FLUCONAZOLE TEVA 50 mg CAPS.
50mg
FLUCONAZOL OZONE 50 mg CAPS.
50mg
DIFLUCAN 50 mg
CAPS.
50mg

Firma

Prescriptie

S.C. FRESENIUS KABI S.R.L.

ROMANIA
ROMANIA

MYLAN S.A.S.

FRANTA

S.C. FRESENIUS KABI S.R.L.

TERAPIA SA
ANTIBIOTICE S.A.

ROMANIA
ROMANIA
ROMANIA

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

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

P-RF

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

10 PUNGI PT. PERFUZIE (DIN POLIMER MULTISTRAT) CU 1 PERFUZOR SAU 2 PERFUZOARE CU 300 ML SOL., ECHIPA

PRF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.

ROMASTRU TRADING SRL ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

ROMASTRU TRADING SRL ROMANIA

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

S.C. FRESENIUS KABI S.R.L.

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 A 50 ML CU 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 50 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE X 10 PUNGI X 300 ML


ROMANIA CUTIE X 1 BLIST. X 10 COMPR.
ROMANIA CUTIE X 1 BLIST. X 10 COMPR.

TERAPIA SA
MAGISTRA C & C
SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR.
AC HELCOR SRL
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR.
ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR.
BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 2 BLIST. PVC/AL X 8 CAPS.
KRKA D.D.
SLOVENIA CUTIE X 4 BLIST. X 7 CAPS.

P-RF

ROMANIA
TEVA PHARMACEUTICALS S.R.L. ROMANIA
TERAPIA SA
ROMANIA
VIM SPECTRUM SRL ROMANIA
MEDOCHEMIE ROMANIA SRL ROMANIA

CUTIE X 1 BLIST. PVC-PVDC/AL X 2 CAPS.


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

P-RF

CUTIE X 1 BLIST. X 4 CAPS.


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

P-RF

TEVA PHARMACEUTICALS S.R.L.

ACTAVIS GROUP PTC EHF.


MEDICO UNO PHARMACEUTICAL SRL

ISLANDA

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

P-RF
P-RF

P-RF

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

ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA P-RF


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

LABORMED PHARMA S.A. ROMANIA


ROMPHARM COMPANY S.R.L.
OZONE LABORATORIES PHARMA S.A.

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

GERMANIA

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


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

P-RF

CEHIA

P-RF

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


VIM SPECTRUM SRL ROMANIA CUTIE X 1 FLAC. X 1 CAPS.

P-RF

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

P-RF

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

P-RF

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

P-RF

CUTIE X 4 BLIST. AL/PVC X 1 CAPS.


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

P-RF

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

P-RF

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

P-RF

TEVA PHARMACEUTICALS S.R.L.

PFIZER EUROPE MA EEIG

MAREA BRITANIE

TERAPIA SA

ROMANIA
LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
SLAVIA PHARM SRL ROMANIA
ARENA GROUP SA ROMANIA
TEVA PHARMACEUTICALS S.R.L. ROMANIA
ANTIBIOTICE S.A.
ROMANIA

KRKA D.D.
SLOVENIA CUTIE X 1 BLIST. X 7 CAPS.
VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS.
MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS.
LABORMED PHARMA S.A. ROMANIA

P-RF

P-RF

P-RF
P-RF

P-RF
P-RF
P-RF

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

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

P-RF
P-RF

OZONE LABORATORIES PHARMA S.A.

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


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

PFIZER EUROPE MA EEIG

MAREA BRITANIE

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

P-RF

LABORATOARELE PROF.DR.MORAIT S.R.L.

BALKANPHARMA RAZGRAD AD
TEVA PHARMACEUTICALS S.R.L.

Pagina 44 din 56

P-RF
P-RF

cant/
amba
laj

12
1
12
1
12
1
5
1
10
1
1
1
10
1
10
10
10
10
10
10
10
16
28
2
7
7
4
1
1
1
1
1
1
1
1
1
1
1
1
1
1
4
1
1
7
10
7
7
7
7
7
8
7
7
7

Pret cu
ridicata
maximal /
ambalaj

265.28
22.93
460.81
40.93
460.81
40.93
197.45
40.94
389.01
40.93
40.93
118.16
1,603.26
879.36
1,052.62
1,603.26
15.15
5.94
5.08
9.34
6.78
65.37
193.65
6.98
23.31
33.15
18.95
6.07
7.44
6.68
7.35
9.57
7.35
10.79
9.27
16.65
4.88
7.35
18.56
13.95
4.88
48.24
7.16
6.68
30.10
18.88
47.19
16.69
11.95
16.69
11.66
14.09
12.35
16.69
43.23

Pret cu ridicata
maximal / U.T.

22.106666
22.930000
38.400833
40.930000
38.400833
40.930000
39.490000
40.940000
38.901000
40.930000
40.930000
118.160000
160.326000
879.360000
105.262000
160.326000
1.515000
0.594000
0.508000
0.934000
0.678000
4.085625
6.916071
3.490000
3.330000
4.735714
4.737500
6.070000
7.440000
6.680000
7.350000
9.570000
7.350000
10.790000
9.270000
16.650000
4.880000
7.350000
18.560000
13.950000
4.880000
12.060000
7.160000
6.680000
4.300000
1.888000
6.741428
2.384285
1.707142
2.384285
1.665714
1.761250
1.764285
2.384285
6.175714

Pret cu ridicata
maximal de
decontare / U.T.

22.106666
22.930000
38.400833
40.930000
38.400833
40.930000
39.490000
40.940000
38.901000
40.930000
40.930000
118.160000
160.326000
879.360000
105.262000
126.314400
0.609600
0.594000
0.508000
0.609600
0.609600
3.996000
3.996000
3.490000
3.330000
3.996000
3.996000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
4.880000
5.856000
5.856000
5.856000
4.880000
5.856000
5.856000
5.856000
4.300000
1.888000
1.998857
1.998857
1.707142
1.998857
1.665714
1.761250
1.764285
1.998857
1.998857

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

323.86
30.99
540.43
53.53
540.43
53.53
241.05
53.55
462.17
53.53
53.53
144.25
1,785.71
996.65
1,185.51
1,785.71
20.48
8.03
6.87
12.62
9.17
82.66
236.41
9.43
31.51
43.36
25.61
8.20
10.06
9.03
9.94
12.94
9.94
14.58
12.53
22.51
6.59
9.94
25.08
18.86
6.59
63.10
9.68
9.03
39.37
25.52
61.72
22.56
16.15
22.56
15.76
19.04
16.69
22.56
56.54

26.988333
30.990000
45.035833
53.530000
45.035833
53.530000
48.210000
53.550000
46.217000
53.530000
53.530000
144.250000
178.571000
996.650000
118.551000
178.571000
2.048000
0.803000
0.687000
1.262000
0.917000
5.166250
8.443214
4.715000
4.501428
6.194285
6.402500
8.200000
10.060000
9.030000
9.940000
12.940000
9.940000
14.580000
12.530000
22.510000
6.590000
9.940000
25.080000
18.860000
6.590000
15.775000
9.680000
9.030000
5.624285
2.552000
8.817142
3.222857
2.307142
3.222857
2.251428
2.380000
2.384285
3.222857
8.077142

26.988333
28.729200
45.035833
53.530000
45.035833
53.530000
48.210000
53.550000
46.217000
53.530000
53.530000
144.250000
178.571000
996.650000
118.551000
142.261200
0.824400
0.803000
0.687000
0.824400
0.824400
5.166250
5.401714
4.715000
4.501428
5.401714
5.401714
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
6.590000
7.908000
7.908000
7.908000
6.590000
7.908000
7.908000
7.908000
5.624285
2.552000
2.701714
2.701714
2.307142
2.701714
2.251428
2.380000
2.384285
2.701714
2.701714

Grupa
Nr.
terape
crt
utica
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167

Denumire generica

J05AB14

FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
CASPOFUNGINUM**
CASPOFUNGINUM**
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
VALACYCLOVIRUM
VALGANCICLOVIRUM**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC02
J02AC02
J02AC02
J02AC02
J02AC02
J02AC02
J02AC02
J02AC03
J02AC03
J02AC03
J02AC03

J02AX04
J02AX04
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB11

Denumire comerciala

FLUCORIC 50 mg

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

FLUCONAZOL SANDOZ (R) 50 CAPS.

FLUCONAZOL 50 mg
FLUCONAZOL ARENA 50 MG
DIFLUCAN (R) 50 mg/5 ml
MYCOMAX INF 2mg/ml
MYCOMAX INF 2mg/ml
DIFLUCAN (R)
DIFLUCAN (R)
FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL KABI 2 mg/ml
MYCOMAX INF 2mg/ml
FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL BIOGALENICA 2mg/ml

DIFLAZON 2mg/ml
FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL KABI 2 mg/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

OMICRAL 100 mg
ORUNGAL
ITRACONAZOL 100 mg
ITRACONAZOL LPH 100 mg
MICOGAL 100 mg
ITRACONAZOL 100 mg
SPORILIN 100 mg
VFEND 200mg
VFEND 50mg
VFEND 200mg
VFEND 40 mg/ml
CANCIDAS 50 mg
CANCIDAS 70 mg
ACICLOVIR 200 mg
ACICLOVIR ARENA 200 mg
ACICLOVIR ARENA 200 mg
ACICLOVIR ARENA 400 mg
ACICLOVIR 200 mg
CLOVIRAL 200 mg
ACICLOVIR 200 mg
ACICLOVIR TERAPIA 200 mg
ACICLOVIR 200 mg
ACICLOVIR 400 mg
VIROLEX
VALTREX 500 mg
VALCYTE (R) 450 mg
HUMAGLOBIN
HUMAGLOBIN

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

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

50mg
50mg
50mg
50mg
50mg/5ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
100mg
100mg
100mg
100mg
100mg
100mg
100mg
200mg
50mg
200mg
40mg/ml
50mg
70mg
200mg
200mg
200mg
400mg
200mg
200mg
200mg
200mg
200mg
400mg
250mg
500mg
450mg
5%
5%

Firma

Tara

Ambalaj

Prescriptie

TERAPIA SA
SANDOZ SRL
SLAVIA PHARM SRL
ARENA GROUP SA

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


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

P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

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

P-RF

REPUBLICA CEHA

CUTIE CU 1 FLACON DIN STICLA INCOLORA A 50 ML SOL. PERF. X 100 MG FLUCONAZOL

REPUBLICA CEHA

CUTIE CU 1 FLACON DIN STICLA INCOLORA A 200 ML SOL. PERF. X 400 MG FLUCONAZOL

ZENTIVA K.S.
ZENTIVA K.S.
PFIZER EUROPE MA EEIG

MAREA BRITANIE

PFIZER EUROPE MA EEIG

MAREA BRITANIE

FRESENIUS KABI ROMANIA SRL

FRESENIUS KABI ROMANIA SRL

ROMANIA
ROMANIA
ROMANIA

ZENTIVA K.S.

REPUBLICA CEHA

FRESENIUS KABI ROMANIA SRL

ROMANIA
FRESENIUS KABI ROMANIA SRL ROMANIA
FRESENIUS KABI ROMANIA SRL ROMANIA
FRESENIUS KABI ROMANIA SRL ROMANIA
ARENA GROUP S.A. ROMANIA
FRESENIUS KABI ROMANIA SRL

CUTIE X 1 FLACON X 200 ML


CUTIE X 1 FLACON X 50 ML

FRESENIUS KABI ROMANIA SRL


FRESENIUS KABI ROMANIA SRL

ROMANIA
ROMANIA
ROMANIA

P-RF
P-RF

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

S
S
CUTIE CU 10 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF. S
S
CUTIE CU 20 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. S
CUTIE CU 25 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF. S
CUTIE CU 1 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. S
CUTIE CU 10 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. S
CUTIE X 1 FLAC. X 100 ML SOL. PERF. S
CUTIE CU 25 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF.
CUTIE CU 1 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF.

CUTIE CU 1 FLACON DIN STICLA INCOLORA A 100 ML SOL. PERF. X 200 MG FLUCONAZOL

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML
FRESENIUS KABI ROMANIA SRL

P-RF

CUTIE CU 1 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.


CUTIE CU 10 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.
CUTIE CU 20 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.

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.
B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. PEJD X 50 ML SOL. PERF.
MEDICO UNO PHARMACEUTICAL SRL

ROMANIA CUTIE X 3 BLIST. AL/AL X 5 CAPS.

JANSSEN PHARMACEUTICA N.V.

BELGIA

S/PR-F

S
S
S
S
S
S
S
S
P-RF

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.


CUTIE X 3 BLIST. PVC/AL X 5 CAPS.
ROMPHARM COMPANY SRL ROMANIA CUTIE X 3 BLIST. PVC/AL X 5 CAPS.
ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS.
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 5 CAPS.
PFIZER LIMITED
MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL)
PFIZER LIMITED
MAREA BRITANIE CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL)
PFIZER LIMITED
MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML
PFIZER LIMITED
MAREA BRITANIE

P-RF

MERCK SHARP & DOHME

MAREA BRITANIE

CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF.

MERCK SHARP & DOHME

MAREA BRITANIE

CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF.

S
S

ROMANIA
ROMANIA
ROMANIA
ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
ANTIBIOTICE SA
ROMANIA
EGIS PHARMACEUTICALS P.L.C. UNGARIA
TERAPIA SA
ROMANIA
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.

LABORMED PHARMA S.A. ROMANIA

CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA

SLAVIA PHARM SRL


ARENA GROUP SA
ARENA GROUP SA
ARENA GROUP S.A.

MAREA BRITANIE

HUMAN BIOPLAZMA MANUFACTURING AND TRADING LTD.

UNGARIA
UNGARIA

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

P-RF
P-RF
P-RF/S

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

P-RF

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


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

P-RF
P-RF

CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF

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-PVDC/AL X 5 COMPR. P-RF


S/P-RF

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.

P-RF

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

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

P-RF

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

Pagina 45 din 56

P-RF

S
S

cant/
amba
laj

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

7
7
7
7
1
1
1
1
1
25
1
10
1
20
25
1
10
1
1
1
10
20
20
10
20
10
10
15
15
15
15
15
15
15
28
28
1
1
1
1
20
20
1000
10
20
20
20
20
20
10
5
10
60
1
1

21.91
32.06
14.49
14.15
43.23
30.54
137.44
133.17
30.99
781.76
81.95
761.71
42.66
631.41
443.47
34.28
330.71
40.63
35.03
18.84
181.93
360.77
362.55
454.59
796.39
770.66
182.90
40.18
60.84
40.18
40.18
40.18
40.18
40.18
3,559.23
912.09
458.07
2,203.52
1,202.39
1,560.14
14.97
15.85
704.14
14.41
12.75
12.16
10.22
12.69
9.62
14.23
231.79
43.54
4,863.09
451.00
872.00

3.130000
4.580000
2.070000
2.021428
43.230000
30.540000
137.440000
133.170000
30.990000
31.270400
81.950000
76.171000
42.660000
31.570500
17.738800
34.280000
33.071000
40.630000
35.030000
18.840000
18.193000
18.038500
18.127500
45.459000
39.819500
77.066000
18.290000
2.678666
4.056000
2.678666
2.678666
2.678666
2.678666
2.678666
127.115357
32.574642
458.070000
2,203.520000
1,202.390000
1,560.140000
0.748500
0.792500
0.704140
1.441000
0.637500
0.608000
0.511000
0.634500
0.481000
1.423000
46.358000
4.354000
81.051500
451.000000
872.000000

Pret cu ridicata
maximal de
decontare / U.T.

1.998857
1.998857
1.998857
1.998857
43.230000
21.286560
91.405200
91.405200
21.286560
31.270400
81.950000
76.171000
37.524480
31.570500
17.738800
34.280000
33.071000
37.524480
35.030000
18.840000
18.193000
18.038500
18.127500
37.524480
37.524480
77.066000
18.290000
2.678666
3.214399
2.678666
2.678666
2.678666
2.678666
2.678666
127.115357
32.574642
458.070000
2,203.520000
1,202.390000
1,560.140000
0.577200
0.577200
0.577200
1.441000
0.577200
0.577200
0.511000
0.577200
0.481000
1.423000
46.358000
4.354000
81.051500
451.000000
872.000000

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

29.61
41.93
19.58
19.12
56.54
39.95
167.79
162.58
40.53
890.27
103.62
868.42
55.80
726.39
521.53
44.84
398.62
53.14
45.82
25.47
222.10
431.39
433.33
533.65
906.22
878.17
223.28
52.56
76.92
52.56
52.56
52.55
52.56
52.56
3,917.72
1,032.33
537.45
2,439.99
1,348.76
1,738.70
20.23
21.42
805.66
19.48
17.23
16.44
13.81
17.15
13.00
19.23
282.97
56.95
5,338.93
529.74
988.63

4.230000
5.990000
2.797142
2.731428
56.540000
39.950000
167.790000
162.580000
40.530000
35.610800
103.620000
86.842000
55.800000
36.319500
20.861200
44.840000
39.862000
53.140000
45.820000
25.470000
22.210000
21.569500
21.666500
53.365000
45.311000
87.817000
22.328000
3.504000
5.128000
3.504000
3.504000
3.503333
3.504000
3.504000
139.918571
36.868928
537.450000
2,439.990000
1,348.760000
1,738.700000
1.011500
1.071000
0.805660
1.948000
0.861500
0.822000
0.690500
0.857500
0.650000
1.923000
56.594000
5.695000
88.982166
529.740000
988.630000

2.701714
2.701714
2.701714
2.701714
56.540000
25.033440
104.210400
104.210400
25.033440
35.610800
103.620000
86.842000
42.732960
36.319500
20.861200
42.732960
39.862000
42.732960
42.732960
25.033440
22.210000
21.569500
21.666500
42.732960
42.732960
87.817000
22.328000
3.504000
4.204000
3.504000
3.504000
3.503333
3.504000
3.504000
139.918571
36.868928
537.450000
2,439.990000
1,348.760000
1,738.700000
0.780000
0.780000
0.780000
1.948000
0.780000
0.780000
0.690500
0.780000
0.650000
1.923000
56.594000
5.695000
88.982166
529.740000
988.630000

Grupa
Nr.
terape
crt
utica
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222

Denumire generica

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

L01AA01

CYCLOPHOSPHAMIDUM
CYCLOPHOSPHAMIDUM
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**

L01AA01
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06

Denumire comerciala

OCTAGAM 10%
OCTAGAM 10%
OCTAGAM 10%
OCTAGAM 10%
PRIVIGEN 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
PRIVIGEN 100mg/ml
PRIVIGEN 100mg/ml
PRIVIGEN 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
IG VENA 10g/200ml
IG VENA 1g/20ml
IG VENA 2,5g/50ml
FLEBOGAMMA 5%
FLEBOGAMMA 5%
FLEBOGAMMA 5%
FLEBOGAMMA 5%
OCTAGAM
OCTAGAM
OCTAGAM
IG VENA 5g/100ml
ENDOXAN (R) 50 mg
ENDOXAN 200 mg
NEUPOGEN (R)
NEUPOGEN (R)
ZARZIO 30MU/0,5ml
ZARZIO 48MU/0,5ml
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
CELLCEPT 500mg
MYCOPHENOLATE MOFETIL MEDICO UNO 500 MG

MYFORTIC 180 mg
MYFORTIC 360 mg

L04AA06 MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL DR. REDDY'S 250 mg

L04AA06 MYCOPHENOLATUM MOFETILUM**

MYFENAX 250mg

L04AA06 MYCOPHENOLATUM MOFETILUM** MYCOPHENOLATE MOFETIL ACCORD 250 mg


L04AA06 MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL SANDOZ 500 mg

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

SOL. INJ.
SOL. INJ.
SOL. INJ. /PERF. IN SERINGA PREUMPLUTA

SOL. INJ. /PERF. IN SERINGA PREUMPLUTA

SOL. INJ./PERF.

ARZIP 500 mg

L04AA06 MYCOPHENOLATUM MOFETILUM** MYCOFENOLAT MOFETIL ACTAVIS 500 mg


L04AA06 MYCOPHENOLATUM MOFETILUM**

MYFENAX 500mg

L04AA06 MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL DR. REDDY'S 500 mg

L04AA10
L04AC02
L04AD01
L04AD01
L04AD01

SIROLIMUS**
BASILIXIMABUM**
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM

RAPAMUNE 1mg
SIMULECT 20 mg
EQUORAL (R) 100 mg
EQUORAL (R) 25 mg
SANDIMMUN NEORAL (R)

Tara

SOL. INJ./PERF.

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.

OCTAPHARMA (IP) LIMITED

MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 20 ML SOL. PERF.

OCTAPHARMA (IP) LIMITED

MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL. PERF.

CSL BEHRING GMBH GERMANIA


BAXTER AG
AUSTRIA
BAXTER AG
AUSTRIA
CSL BEHRING GMBH GERMANIA
CSL BEHRING GMBH GERMANIA
CSL BEHRING GMBH GERMANIA
BAXTER AG
AUSTRIA
BAXTER AG
AUSTRIA
BAXTER AG
AUSTRIA
BAXTER AG
AUSTRIA

KEDRION SPA
KEDRION SPA
KEDRION SPA
INSTITUTO GRIFOLS S.A.
INSTITUTO GRIFOLS S.A.
INSTITUTO GRIFOLS S.A.
INSTITUTO GRIFOLS S.A.

ITALIA
ITALIA
ITALIA
SPANIA
SPANIA
SPANIA
SPANIA

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

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

DRAJ.
LIOF. + SOLV. PT. SOL. INJ./PERF.

CAPS. MOI
CAPS. MOI
CAPS. MOI

CUTIE X 1 FLAC X 300ML SOL. PERF.(30G/300ML)

CUTIE X 1 FLAC.X 50 ML SOL. PERF.


CUTIE X 1 FLAC.X 100 ML SOL. PERF.
CUTIE X 1 FLAC.X 200 ML SOL. PERF.
CUTIE X 1 FLAC X 50ML SOL. PERF.(5G/50ML)
CUTIE X 1 FLAC X 100ML SOL. PERF.(10G/100ML)

CUTIE X 1 FLAC X 25ML SOL. PERF.(2,5G/25ML)

CUTIE X 1 FLAC X 10ML SOL. PERF.(1G/10ML)


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.


CUTIE X 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL.PERF.
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL.PERF.
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10 ML SOL.PERF.

S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S

MAREA BRITANIE

KEDRION SPA

ITALIA

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

MAREA BRITANIE
MAREA BRITANIE

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
SANDOZ GMBH

AUSTRIA
AUSTRIA

HOSPIRA UK LIMITED

MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,2ML SOL. INJ. SAU PERF.

300g/0,5ml HOSPIRA UK LIMITED


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

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


CUTIE X 1 FLAC X 200ML SOL. PERF.(20G/200ML)

Prescriptie

CUTIE X 1 FLACON X 100 ML


CUTIE X 1 FLACON X 50 ML
CUTIE X 1 FLACON X 200 ML

OCTAPHARMA (IP) LTD.


OCTAPHARMA (IP) LTD.
OCTAPHARMA (IP) LTD.

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 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF.

MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF.

SOL. INJ./PERF. 480mcg/0,8ml TEVA GENERICS GMBH GERMANIA


SOL. INJ./PERF.

Ambalaj

OCTAPHARMA (IP) LIMITED

SOL. INJ./PERF. 300mcg/0,5ml TEVA GENERICS GMBH GERMANIA

L04AA06 MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL TERAPIA 500 mg COMPR. FILM.


L04AA06 MYCOPHENOLATUM MOFETILUM**

100 mg/ml
100 mg/ml
100 mg/ml
100 mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
10g/200ml
1g/20ml
2,5g/50ml
5%
5%
5%
5%
50mg/ml
50mg/ml
50mg/ml
5g/100ml
50mg
200mg
30MU/0,5ml
48MU/0,5ml
60MU/ml
96MU/ml
120g/0,2ml

Firma

CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF.

P-RF
S/P-RF/R

P-RF
S/P-RF/R

HOSPIRA UK LIMITED

MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF.

ROCHE REGISTRATION LTD.

MAREA BRITANIE

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 10 BLIST. X 10 CAPS.


CUTIE X 5 BLIST. X 10 COMPR. FILM.

MEDICO UNO PHARMA KFT.

UNGARIA

CUTIE CU BLIST. PVC-PVDC/AL X 50 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

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

DR. REDDY'S LABORATORIES

ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 100 CAPS. PR

TEVA PHARMA BV

OLANDA CUTIE X BLIST. PVC/PVDC/AL X 100 CAPS.

P-RF/R

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

CUTIE CU BLIST. PVC-PVDC/AL CU 100 CAPS.

P-RF/R

SANDOZ S.R.L.
TERAPIA S.A.
ZENTIVA K.S.

ROMANIA
ROMANIA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 50 COMPR. FILM.

P-RF

CUTIE CU 1 BLIST. DIN AL-PA-PVC/AL X 50 COMPR. FILM.

REPUBLICA CEHA

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

PR
PR

ISLANDA
OLANDA

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

P-RF/R

TEVA PHARMA BV

CUTIE X BLIST. PVC/PVDC/AL X 50 COMPR. FILM.

P-RF/R

DR. REDDY'S LABORATORIES

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)

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE CUTIE X 1 FLAC. CU LIOF.+ 1 FIOLA SOLV. APA PT. PREP. INJ.

ACTAVIS GROUP PTC EHF.

IVAX - PHARMACEUTICALS S.R.O.


IVAX - PHARMACEUTICALS S.R.O.

CEHIA
CEHIA

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 5 BLIST. X 10 CAPS. MOI


CUTIE X 5 BLIST. X 10 CAPS. MOI
CUTIE X 10 BLIST. X 5 CAPS. MOI

Pagina 46 din 56

P-RF/R

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

cant/
amba
laj

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
50
1
1
1
1
1
5
1
5
1
5
100
50
50
120
120
100
100
100
50
50
50
50
50
50
30
1
50
50
50

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

3,072.10
6,114.44
663.61
1,550.55
460.47
3,469.04
7,459.41
890.95
1,751.89
3,473.78
889.76
1,749.51
459.88
188.56
2,050.80
222.29
535.20
914.10
1,798.20
472.05
99.02
1,166.70
640.45
2,261.30
1,040.40
19.33
11.76
267.05
436.57
162.10
260.91
418.45
214.16
1,001.12
355.90
1,656.30
452.86
452.86
292.89
557.65
1,041.93
291.62
302.31
292.89
227.17
302.36
272.59
272.59
302.31
272.59
489.29
4,267.46
397.39
74.45
112.48

3,072.100000
6,114.440000
663.610000
1,550.550000
460.470000
3,469.040000
7,459.410000
890.950000
1,751.890000
3,473.780000
889.760000
1,749.510000
459.880000
188.560000
2,050.800000
222.290000
535.200000
914.100000
1,798.200000
472.050000
99.020000
1,166.700000
640.450000
2,261.300000
1,040.400000
0.386600
11.760000
267.050000
436.570000
162.100000
260.910000
83.690000
214.160000
200.224000
355.900000
331.260000
4.528600
9.057200
5.857800
4.647083
8.682750
2.916200
3.023100
2.928900
4.543400
6.047200
5.451800
5.451800
6.046200
5.451800
16.309666
4,267.460000
7.947800
1.489000
2.249600

Pret cu ridicata
maximal de
decontare / U.T.

3,072.100000
6,114.440000
663.610000
1,550.550000
460.470000
3,469.040000
7,459.410000
890.950000
1,751.890000
3,473.780000
889.760000
1,749.510000
459.880000
188.560000
2,050.800000
222.290000
535.200000
914.100000
1,798.200000
472.050000
99.020000
1,166.700000
640.450000
2,261.300000
1,040.400000
0.386600
11.760000
194.520000
313.092000
162.100000
260.910000
83.690000
194.520000
194.520000
313.092000
313.092000
3.499440
5.452080
5.452080
4.647083
8.682750
2.916200
3.023100
2.928900
4.543400
5.452080
5.451800
5.451800
5.452080
5.451800
16.309666
4,267.460000
7.947800
1.489000
1.786800

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

3,386.74
6,702.89
761.48
1,728.25
540.07
3,819.40
8,168.91
1,009.28
1,947.71
3,824.57
1,007.99
1,945.12
539.42
230.20
2,273.52
271.37
621.52
1,034.52
1,998.19
552.68
125.20
1,309.85
736.24
2,502.97
1,172.19
26.13
15.89
326.02
514.01
197.89
318.52
494.26
261.45
1,129.37
426.08
1,843.52
531.77
531.77
357.56
645.99
1,173.85
356.01
367.67
357.56
277.33
367.72
332.78
332.78
367.67
332.78
571.48
4,689.69
471.31
94.13
137.32

3,386.740000
6,702.890000
761.480000
1,728.250000
540.070000
3,819.400000
8,168.910000
1,009.280000
1,947.710000
3,824.570000
1,007.990000
1,945.120000
539.420000
230.200000
2,273.520000
271.370000
621.520000
1,034.520000
1,998.190000
552.680000
125.200000
1,309.850000
736.240000
2,502.970000
1,172.190000
0.522600
15.890000
326.020000
514.010000
197.890000
318.520000
98.852000
261.450000
225.874000
426.080000
368.704000
5.317700
10.635400
7.151200
5.383250
9.782083
3.560100
3.676700
3.575600
5.546600
7.354400
6.655600
6.655600
7.353400
6.655600
19.049333
4,689.690000
9.426200
1.882600
2.746400

3,386.740000
6,702.890000
761.480000
1,728.250000
540.070000
3,819.400000
8,168.910000
1,009.280000
1,947.710000
3,824.570000
1,007.990000
1,945.120000
539.420000
230.200000
2,273.520000
271.370000
621.520000
1,034.520000
1,998.190000
552.680000
125.200000
1,309.850000
736.240000
2,502.970000
1,172.190000
0.522600
15.890000
237.468000
382.224000
197.890000
318.520000
98.852000
237.468000
225.874000
382.224000
368.704000
4.272120
6.655920
6.655920
5.383250
9.782083
3.560100
3.676700
3.575600
5.546600
6.655920
6.655600
6.655600
6.655920
6.655600
19.049333
4,689.690000
9.426200
1.882600
2.259120

Grupa
Nr.
terape
crt
utica
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258

L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02

L04AX01
L04AX01
L04AX01
L04AX01
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04

N02AB02

Denumire generica

CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
AZATHIOPRINUM
AZATHIOPRINUM
AZATHIOPRINUM
AZATHIOPRINUM
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
PETHIDINUM

Denumire comerciala

CICLORAL 25 mg
EQUORAL (R) 50 mg
SANDIMMUN NEORAL (R)
CICLORAL 50 mg
EQUORAL (R)
TACNI 0,5 mg
PROGRAF (R) 0,5 mg
TACROLIMUSUM ACCORD 0,5 mg

TACROLIMUS SANDOZ 0,5 mg

TACNI 1 mg
PROGRAF (R) 1 mg
TACROLIMUSUM ACCORD 1 mg

TACROLIMUS SANDOZ 1 mg
TACNI 5 mg
PROGRAF (R) 5 mg
ADVAGRAF 0,5mg
ADVAGRAF 1mg
ADVAGRAF 5mg
PROGRAF (R) 5 mg/ml
IMMUNOPRIN 100 mg
IMMUNOPRIN 100 mg
IMURAN (R)
IMMUNOPRIN 75 mg
ACID ALENDRONIC ACCORD 10 mg

TEVANAT 70 mg
INSTREL 70 mg
ACID ALENDRONIC BLUEFISH 70 mg
ACID ALENDRONIC BLUEFISH 70 mg

RANOS 70 mg
ACID ALENDRONIC ACCORD 70 mg

FOSAMAX 70 mg
ADRONIK 70 mg
ADRONIK 70 mg
ADRONIK 70 mg

Forma
Concentrati
farmaceutic
e / U.T.
a
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
SOL. ORALA
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CONC. PT. SOL. PERF.

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

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

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
ALENDRONAT SANDOZ 70 mg COMPR. FILM.

MIALGIN (R) 100 mg/2 ml

SOL. INJ.

25mg
50mg
50mg
50mg
100mg/ml
0,5 mg
0,5mg
0,5mg
0,5mg
1 mg
1mg
1mg
1mg
5 mg
5mg
0,5mg
1mg
5mg
5mg/ml
100mg
100mg
50mg
75mg
10mg
70 mg
70mg
70mg
70mg
70mg
70mg
70mg
70mg
70mg
70mg
70mg
50mg/ml

Tara

Firma

Ambalaj

Prescriptie

HEXAL AG

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

HEXAL AG

GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI

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

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

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT

S/P-RF

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

CUTIE CU BLIST. AL/AL X 50 CAPS. PR

SANDOZ S.R.L.

CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS.

TEVA PHARMACEUTICALS S.R.L.

ROMANIA
ROMANIA

ASTELLAS PHARMA EUROPE BV

OLANDA

S/P-RF

CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI AL A CATE 10 CAPSULE

PRF

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT

S/P-RF

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

CUTIE CU BLIST. AL/AL X 50 CAPS. PR

SANDOZ S.R.L.

CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS.

TEVA PHARMACEUTICALS S.R.L.

ROMANIA
ROMANIA

ASTELLAS PHARMA EUROPE BV

OLANDA

PRF

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT

S/P-RF

ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)

OLANDA

S/P-RF

CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI AL A CATE 10 CAPS.

P-RF/R

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

OLANDA CUTIE X 10 FIOLE X 1 ML


S
AUSTRIA CUTIE CU 1 FLAC. PEID X 50 COMPR. FILM. PR
AUSTRIA CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM. PR

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

ASTELLAS PHARMA EUROPE BV


EBEWE PHARMA GES.M.B.H. NFG KG

ACCORD HEALTHCARE LIMITED MAREA BRITANIE


TEVA PHARMACEUTICALS S.R.L.

DR. REDDY'S LABORATORIES

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

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


ROMANIA CUTIE CU BLIST. AL/AL X 4 COMPR. FILM.

P-6L
P-RF

SUEDIA
SUEDIA

CUTIE CU BLIST. AL/AL X 2 COMPR.


CUTIE CU BLIST. AL/AL X 4 COMPR.

P-6L

BLUEFISH PHARMACEUTICALS AB

TERAPIA SA

ROMANIA

CUTIE X 1 BLIST. DIN PAO-PVC-AL/AL X 4 COMPR.

P-6L

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

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

P-6L

BLUEFISH PHARMACEUTICALS AB

P-6L

MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. AL/AL IN PORTOFEL X 2 COMPR. P-6L

ARENA GROUP S.A.


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

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


ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 12 COMPR. FILM.
ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 2 COMPR. FILM.
ROMANIA CUTIE X 1 BLIST. OPA-AL-PVC/AL X 2 COMPR. FILM
ROMANIA CUTIE X 5 FIOLE DIN STICLA X 2 ML

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

cant/
amba
laj

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

Pret cu ridicata
maximal de
decontare / U.T.

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

50
50
50
50
1
50
50
50
50
50
50
50
50
50
50
50
50
50
10
50
100
100
100
28
4
4
2
4
4
4
2
4
12
2
2
5

112.61
155.55
239.32
250.01
358.02
133.49
205.39
133.49
133.49
238.62
363.74
238.62
238.62
1,114.65
1,715.18
204.92
402.53
1,865.58
1,545.19
42.34
83.19
63.98
62.39
36.90
36.90
36.44
18.44
18.28
36.44
36.90
28.39
36.67
108.06
18.33
9.49
5.77

2.252200
3.111000
4.786400
5.000200
358.020000
2.669800
4.107800
2.669800
2.669800
4.772400
7.274800
4.772400
4.772400
22.293000
34.303600
4.098400
8.050600
37.311600
154.519000
0.846800
0.831900
0.639800
0.623900
1.317857
9.225000
9.110000
9.220000
4.570000
9.110000
9.225000
14.195000
9.167500
9.005000
9.165000
4.745000
1.154000

1.786800
3.111000
3.733200
3.733200
358.020000
2.669800
3.203760
2.669800
2.669800
4.772400
5.726880
4.772400
4.772400
22.293000
26.751600
3.203760
5.726880
26.751600
154.519000
0.846800
0.831900
0.639800
0.623900
1.317857
5.484000
5.484000
5.484000
4.570000
5.484000
5.484000
5.484000
5.484000
5.484000
5.484000
4.745000
1.154000

137.48
189.90
292.16
305.21
428.39
162.97
250.74
162.97
162.97
291.31
434.63
291.31
291.31
1,253.12
1,907.70
250.17
476.91
2,071.63
1,722.41
55.38
105.18
80.90
78.89
48.27
48.27
47.66
24.93
24.71
47.66
48.27
37.13
47.97
131.92
24.78
12.82
7.80

2.749600
3.798000
5.843200
6.104200
428.390000
3.259400
5.014800
3.259400
3.259400
5.826200
8.692600
5.826200
5.826200
25.062400
38.154000
5.003400
9.538200
41.432600
172.241000
1.107600
1.051800
0.809000
0.788900
1.723928
12.067500
11.915000
12.465000
6.177500
11.915000
12.067500
18.565000
11.992500
10.993333
12.390000
6.410000
1.560000

2.259120
3.798000
4.557600
4.557600
428.390000
3.259400
3.911280
3.259400
3.259400
5.826200
6.991440
5.826200
5.826200
25.062400
30.074880
3.911280
6.991440
30.074880
172.241000
1.107600
1.051800
0.809000
0.788900
1.723928
7.413000
7.413000
7.413000
6.177500
7.413000
7.413000
7.413000
7.413000
7.413000
7.413000
6.410000
1.560000

10
5
10
1
10
10
28
28
1
1
60

66.80
80.20
1,603.26
879.36
1,052.62
1,603.26
3,559.23
912.09
458.07
2,203.52
4,863.09

6.680000
16.040000
160.326000
879.360000
105.262000
160.326000
127.115357
32.574642
458.070000
2,203.520000
81.051500

6.680000
16.040000
160.326000
879.360000
105.262000
126.314400
127.115357
32.574642
458.070000
2,203.520000
81.051500

84.46
101.41
1,785.71
996.65
1,185.51
1,785.71
3,917.72
1,032.33
537.45
2,439.99
5,338.93

8.446000
20.282000
178.571000
996.650000
118.551000
178.571000
139.918571
36.868928
537.450000
2,439.990000
88.982166

8.446000
20.282000
178.571000
996.650000
118.551000
142.261200
139.918571
36.868928
537.450000
2,439.990000
88.982166

P9: 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
11

B01AB08
B01AB08

J01XX08
J01XX08
J01XX08
J01XX08
J02AC03
J02AC03
J02AC03
J02AC03
J05AB14

REVIPARINUM
REVIPARINUM
LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
VALGANCICLOVIRUM**

CLIVARIN (R) 1432UI/0,25 ml


CLIVARIN (R) 3436 UI/0,6 ml
ZYVOXID (R)
ZYVOXID (R)
LINEZOLID TEVA 2 mg/ml
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.
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
2mg/ml
200mg
50mg
200mg
40mg/ml
450mg

ABBOTT GMBH&CO.KG 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

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

P-RF

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

10 PUNGI PT. PERFUZIE (DIN POLIMER MULTISTRAT) CU 1 PERFUZOR SAU 2 PERFUZOARE CU 300 ML SOL., ECHIPA

PRF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED

CUTIE X 10 PUNGI X 300 ML

S
P-RF

MAREA BRITANIE

CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL)


CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL)

MAREA BRITANIE

CUTIE X 1 FLAC. UNIDOZA X 30ML

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

P-RF

MAREA BRITANIE

ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. X 60 COMPR. FILM.

P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA

Pagina 47 din 56

P-RF

P-RF

Grupa
Nr.
terape
crt
utica

Denumire generica

Denumire comerciala

Forma
Concentrati
farmaceutic
e / U.T.
a

Firma

Tara

Ambalaj

Prescriptie

cant/
amba
laj

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

Pret cu ridicata
maximal de
decontare / U.T.

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

P9.6: TRANSPLANT PULMONAR


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

B01AB05
B01AB05
B01AB05
B01AB05
B01AB08
B01AB08
B02AA02
C01CA24

ENOXAPARINUM
ENOXAPARINUM
ENOXAPARINUM
ENOXAPARINUM
REVIPARINUM
REVIPARINUM
ACIDUM TRANEXAMICUM 4)
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

J01XX08
J01XX08
J01XX08
J01XX08
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01

LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM

SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
CLIVARIN (R) 3436 UI/0,6 ml SOL. INJ.
EXACYL
SOL. INJ.
ADRENALINA 1 mg
SOL. INJ.
TAZOCIN 2,25
LIOF. PT. SOL. INJ.
TAZOCIN 4,5
LIOF. PT. SOL. INJ.
ZOPECILIN 2 g/0,25 g
PULB. PT. SOL. INJ./PERF.
ZOPECILIN 2 g/0,25 g
PULB. PT. SOL. INJ./PERF.
PERASIN 2g/0,25 g
PULB. PT. SOL. INJ./PERF.

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

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
FARA CONCENTRATIE WYETH LEDERLE PHARMA GMBH AUSTRIA CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ. S/P-RF
FARA CONCENTRATIE

2g/0,25g
2g/0,25g
2g/0,25g
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
PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g
PIPERACILINA/TAZOBACTAM MYLAN 2g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g
PIPERACILINA/TAZOBACTAN ACTAVIS 2 g/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
PIPERACILINA/TAZOBACTAN ACTAVIS 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
PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PULB. PT. SOL. INJ./PERF. 4g/0,5g
PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PULB. PT. SOL. INJ./PERF. 4g/0,5g
PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g
PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g PULB. PT. SOL. INJ./PERF. 4g/0,5g
BACTACIN 4 g/0,5 g
PULB. 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
LINEZOLID TEVA 2 mg/ml
SOL. PERF. 2mg/ml
ZYVOXID (R)
SOL. PERF. 2mg/ml
FUNGOLON 100 mg
CAPS.
100mg
DIFLAZON 100 mg
CAPS.
100mg
FLUCONAZOLE TEVA 100 mg CAPS.
100mg
FLUCONAZOLE TEVA 100 mg CAPS.
100mg
FLUCORIC 100 mg
CAPS.
100mg
FLUCOVIM 100
CAPS.
100mg
FLUCONAZOL MEDOCHEMIE 150 mg CAPS.
150mg
FLUCONAZOL ACTAVIS 150 mg CAPS.
150mg
FLUCONAZOL MEDICO UNO 150 mg CAPS.
150mg
FLUCONAZOL LPH 150 mg CAPS.
150mg
FLUCONAZOL ROMPHARM 150 mg CAPS.
150mg
FLUCONAZOL 150 mg
CAPS.
150mg
FLUCONAZOL SANDOZ (R) 150 CAPS.
150mg
MYCOMAX 150
CAPS.
150mg
DIFLAZON 150 mg
CAPS.
150mg
FLUCONAZOLE TEVA 150 mg CAPS.
150mg
FLUCOVIM 150
CAPS.
150mg
DIFLUCAN 150 mg
CAPS.
150mg

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ.

S/P-RF

S.C. FRESENIUS KABI S.R.L.

ROMANIA
ROMANIA

MYLAN S.A.S.

FRANTA

S.C. FRESENIUS KABI S.R.L.

TERAPIA SA
ANTIBIOTICE S.A.

ROMANIA
ROMANIA
ROMANIA

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

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

P-RF

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

10 PUNGI PT. PERFUZIE (DIN POLIMER MULTISTRAT) CU 1 PERFUZOR SAU 2 PERFUZOARE CU 300 ML SOL., ECHIPA

PRF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

ROMASTRU TRADING SRL ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

ROMASTRU TRADING SRL ROMANIA

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

ANTIBIOTICE S.A.

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

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.
S.C. FRESENIUS KABI S.R.L.

MYLAN S.A.S.

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

ACTAVIS GROUP PTC EHF.

FRANTA
ISLANDA

TERAPIA SA

ROMANIA

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND 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 CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.


CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.

ROMASTRU TRADING SRL ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

ROMASTRU TRADING SRL ROMANIA

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

S.C. FRESENIUS KABI S.R.L.

BALKANPHARMA RAZGRAD AD

KRKA D.D.

ROMANIA
ROMANIA
TERAPIA SA
ROMANIA
VIM SPECTRUM SRL ROMANIA
MEDOCHEMIE ROMANIA SRL ROMANIA

TEVA PHARMACEUTICALS S.R.L.

MEDICO UNO PHARMACEUTICAL SRL

CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU 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 50 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE X 10 PUNGI X 300 ML


S
BULGARIA CUTIE X 2 BLIST. PVC/AL X 8 CAPS. P-RF
SLOVENIA CUTIE X 4 BLIST. X 7 CAPS.
P-RF

TEVA PHARMACEUTICALS S.R.L.

ACTAVIS GROUP PTC EHF.

CUTIE X 1 FLAC DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

ISLANDA

CUTIE X 1 BLIST. PVC-PVDC/AL X 2 CAPS.


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

P-RF

CUTIE X 1 BLIST. X 4 CAPS.


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

P-RF

P-RF
P-RF

P-RF

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

ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA P-RF


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

LABORMED PHARMA S.A. ROMANIA


ROMPHARM COMPANY S.R.L.
OZONE LABORATORIES PHARMA S.A.

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

GERMANIA

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


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

P-RF

CEHIA

P-RF

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


VIM SPECTRUM SRL ROMANIA CUTIE X 1 FLAC. X 1 CAPS.

P-RF

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

P-RF

TEVA PHARMACEUTICALS S.R.L.

PFIZER EUROPE MA EEIG

MAREA BRITANIE

Pagina 48 din 56

P-RF

P-RF

10
10
10
2
10
5
5
100
12
12
1
12
1
10
1
5
10
1
5
1
12
1
12
1
12
1
5
1
10
1
1
10
1
10
10
16
28
2
7
7
4
1
1
1
1
1
1
1
1
1
1
1
1

57.68
118.41
153.90
39.90
66.80
80.20
9.47
113.56
401.14
692.90
22.93
265.41
22.93
386.57
20.32
99.83
196.11
40.65
196.11
22.93
265.28
22.93
460.81
40.93
460.81
40.93
197.45
40.94
389.01
40.93
40.93
1,603.26
879.36
1,052.62
1,603.26
65.37
193.65
6.98
23.31
33.15
18.95
6.07
7.44
6.68
7.35
9.57
7.35
10.79
9.27
16.65
4.88
7.35
18.56

5.768000
11.841000
15.390000
19.950000
6.680000
16.040000
1.894000
1.135600
33.428333
57.741666
22.930000
22.117500
22.930000
38.657000
20.320000
19.966000
19.611000
40.650000
39.222000
22.930000
22.106666
22.930000
38.400833
40.930000
38.400833
40.930000
39.490000
40.940000
38.901000
40.930000
40.930000
160.326000
879.360000
105.262000
160.326000
4.085625
6.916071
3.490000
3.330000
4.735714
4.737500
6.070000
7.440000
6.680000
7.350000
9.570000
7.350000
10.790000
9.270000
16.650000
4.880000
7.350000
18.560000

5.768000
11.841000
15.390000
19.950000
6.680000
16.040000
1.894000
1.135600
23.533200
46.081000
22.930000
22.117500
22.930000
23.533200
20.320000
19.966000
19.611000
23.533200
23.533200
22.930000
22.106666
22.930000
38.400833
40.930000
38.400833
40.930000
39.490000
40.940000
38.901000
40.930000
40.930000
160.326000
879.360000
105.262000
126.314400
3.996000
3.996000
3.490000
3.330000
3.996000
3.996000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
4.880000
5.856000
5.856000

72.93
144.56
187.88
52.19
84.46
101.41
12.80
138.64
475.39
793.41
30.99
324.01
30.99
459.51
27.47
126.23
239.41
53.17
239.41
30.99
323.86
30.99
540.43
53.53
540.43
53.53
241.05
53.55
462.17
53.53
53.53
1,785.71
996.65
1,185.51
1,785.71
82.66
236.41
9.43
31.51
43.36
25.61
8.20
10.06
9.03
9.94
12.94
9.94
14.58
12.53
22.51
6.59
9.94
25.08

7.293000
14.456000
18.788000
26.095000
8.446000
20.282000
2.560000
1.386400
39.615833
66.117500
30.990000
27.000833
30.990000
45.951000
27.470000
25.246000
23.941000
53.170000
47.882000
30.990000
26.988333
30.990000
45.035833
53.530000
45.035833
53.530000
48.210000
53.550000
46.217000
53.530000
53.530000
178.571000
996.650000
118.551000
178.571000
5.166250
8.443214
4.715000
4.501428
6.194285
6.402500
8.200000
10.060000
9.030000
9.940000
12.940000
9.940000
14.580000
12.530000
22.510000
6.590000
9.940000
25.080000

7.293000
14.456000
18.788000
26.095000
8.446000
20.282000
2.560000
1.386400
28.729200
54.043000
28.729200
27.000833
28.729200
28.729200
27.470000
25.246000
23.941000
28.729200
28.729200
28.729200
26.988333
28.729200
45.035833
53.530000
45.035833
53.530000
48.210000
53.550000
46.217000
53.530000
53.530000
178.571000
996.650000
118.551000
142.261200
5.166250
5.401714
4.715000
4.501428
5.401714
5.401714
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
6.590000
7.908000
7.908000

Grupa
Nr.
terape
crt
utica
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108

J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC03
J02AC03
J02AC03
J02AC03
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01

Denumire generica

FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM

Denumire comerciala

FLUCORIC 150 mg
FLUCONAZOL BIOGALENICA 150 mg

MYCOSYST 150 mg
FLUCONAZOL 150 mg
FLUCONAZOL ARENA 150 MG
FLUCONAZOLE TEVA 200 mg

FLUCONAZOL 50 mg
DIFLAZON 50 mg
FLUCOVIM 50
FLUCONAZOL MEDOCHEMIE 50 mg

FLUCONAZOL LPH 50 mg
FLUCONAZOL BIOGALENICA 50 mg

FUNGOLON 50 mg
FLUCONAZOLE TEVA 50 mg
FLUCONAZOL OZONE 50 mg
DIFLUCAN 50 mg
FLUCORIC 50 mg
FLUCONAZOL SANDOZ (R) 50

FLUCONAZOL 50 mg
FLUCONAZOL ARENA 50 MG
DIFLUCAN (R) 50 mg/5 ml
MYCOMAX INF 2mg/ml
MYCOMAX INF 2mg/ml
DIFLUCAN (R)
DIFLUCAN (R)
FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL KABI 2 mg/ml
MYCOMAX INF 2mg/ml
FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL BIOGALENICA 2mg/ml

DIFLAZON 2mg/ml
FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL KABI 2 mg/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

VFEND 200mg
VFEND 50mg
VFEND 200mg
VFEND 40 mg/ml
ACICLOVIR 200 mg
ACICLOVIR ARENA 200 mg
ACICLOVIR ARENA 200 mg
ACICLOVIR ARENA 400 mg
ACICLOVIR 200 mg
CLOVIRAL 200 mg
ACICLOVIR 200 mg
ACICLOVIR TERAPIA 200 mg

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

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

150mg
150mg
150mg
150mg
150mg
200mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg/5ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
200mg
50mg
200mg
40mg/ml
200mg
200mg
200mg
400mg
200mg
200mg
200mg
200mg

Firma

Tara

Ambalaj

Prescriptie

TERAPIA SA

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

P-RF

LABORATOARELE PROF.DR.MORAIT S.R.L.

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

P-RF

CUTIE X 4 BLIST. AL/PVC X 1 CAPS.


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

P-RF

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

P-RF

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

P-RF

ROMANIA
ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
SLAVIA PHARM SRL ROMANIA
ARENA GROUP SA ROMANIA
TEVA PHARMACEUTICALS S.R.L. ROMANIA
ANTIBIOTICE S.A.
ROMANIA

KRKA D.D.
SLOVENIA CUTIE X 1 BLIST. X 7 CAPS.
VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS.
MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS.
LABORMED PHARMA S.A. ROMANIA

P-RF
P-RF

P-RF
P-RF
P-RF

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

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

P-RF
P-RF

OZONE LABORATORIES PHARMA S.A.

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


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

PFIZER EUROPE MA EEIG

MAREA BRITANIE

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

P-RF

TERAPIA SA
SANDOZ SRL
SLAVIA PHARM SRL
ARENA GROUP SA

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


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

P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

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

P-RF

REPUBLICA CEHA

CUTIE CU 1 FLACON DIN STICLA INCOLORA A 50 ML SOL. PERF. X 100 MG FLUCONAZOL

REPUBLICA CEHA

CUTIE CU 1 FLACON DIN STICLA INCOLORA A 200 ML SOL. PERF. X 400 MG FLUCONAZOL

LABORATOARELE PROF.DR.MORAIT S.R.L.

BALKANPHARMA RAZGRAD AD
TEVA PHARMACEUTICALS S.R.L.

ZENTIVA K.S.
ZENTIVA K.S.
PFIZER EUROPE MA EEIG

MAREA BRITANIE

PFIZER EUROPE MA EEIG

MAREA BRITANIE

FRESENIUS KABI ROMANIA SRL

FRESENIUS KABI ROMANIA SRL

ROMANIA
ROMANIA
ROMANIA

ZENTIVA K.S.

REPUBLICA CEHA

FRESENIUS KABI ROMANIA SRL

ROMANIA
FRESENIUS KABI ROMANIA SRL ROMANIA
FRESENIUS KABI ROMANIA SRL ROMANIA
FRESENIUS KABI ROMANIA SRL ROMANIA
ARENA GROUP S.A. ROMANIA
FRESENIUS KABI ROMANIA SRL

CUTIE X 1 FLACON X 200 ML


CUTIE X 1 FLACON X 50 ML

FRESENIUS KABI ROMANIA SRL


FRESENIUS KABI ROMANIA SRL

ROMANIA
ROMANIA
ROMANIA

CUTIE CU 1 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.


CUTIE CU 10 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.
CUTIE CU 20 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.

B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. PEJD X 200 ML SOL. PERF.


B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. PEJD X 50 ML SOL. PERF.

EGIS PHARMACEUTICALS P.L.C.

TERAPIA SA

P-RF

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

CUTIE CU 1 FLACON DIN STICLA INCOLORA A 100 ML SOL. PERF. X 200 MG FLUCONAZOL

B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FLAC. PEJD X 100 ML SOL. PERF.

ANTIBIOTICE SA

P-RF

S
S
CUTIE CU 10 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF. S
S
CUTIE CU 20 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. S
CUTIE CU 25 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF. S
CUTIE CU 1 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. S
CUTIE CU 10 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. S
CUTIE X 1 FLAC. X 100 ML SOL. PERF. S

B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. PEJD X 100 ML SOL. PERF.

GEDEON RICHTER ROMANIA SA

P-RF

CUTIE CU 1 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF.

B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FLAC. PEJD X 50 ML SOL. PERF.

PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
SLAVIA PHARM SRL
ARENA GROUP SA
ARENA GROUP SA
ARENA GROUP S.A.

P-RF

CUTIE CU 25 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF.

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML
FRESENIUS KABI ROMANIA SRL

P-RF

S/PR-F

S
S
S
S
S
S
S
S

MAREA BRITANIE

CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL)

P-RF

MAREA BRITANIE

CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL)

P-RF

MAREA BRITANIE

CUTIE X 1 FLAC. UNIDOZA X 30ML

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

P-RF

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
UNGARIA
ROMANIA

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


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

P-RF
P-RF

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

P-RF/S

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

P-RF

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


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

P-RF
P-RF

CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF

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

Pagina 49 din 56

P-RF

cant/
amba
laj

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

1
1
4
1
1
7
10
7
7
7
7
7
8
7
7
7
7
7
7
7
1
1
1
1
1
25
1
10
1
20
25
1
10
1
1
1
10
20
20
10
20
10
10
28
28
1
1
20
20
1000
10
20
20
20
20

13.95
4.88
48.24
7.16
6.68
30.10
18.88
47.19
16.69
11.95
16.69
11.66
14.09
12.35
16.69
43.23
21.91
32.06
14.49
14.15
43.23
30.54
137.44
133.17
30.99
781.76
81.95
761.71
42.66
631.41
443.47
34.28
330.71
40.63
35.03
18.84
181.93
360.77
362.55
454.59
796.39
770.66
182.90
3,559.23
912.09
458.07
2,203.52
14.97
15.85
704.14
14.41
12.75
12.16
10.22
12.69

13.950000
4.880000
12.060000
7.160000
6.680000
4.300000
1.888000
6.741428
2.384285
1.707142
2.384285
1.665714
1.761250
1.764285
2.384285
6.175714
3.130000
4.580000
2.070000
2.021428
43.230000
30.540000
137.440000
133.170000
30.990000
31.270400
81.950000
76.171000
42.660000
31.570500
17.738800
34.280000
33.071000
40.630000
35.030000
18.840000
18.193000
18.038500
18.127500
45.459000
39.819500
77.066000
18.290000
127.115357
32.574642
458.070000
2,203.520000
0.748500
0.792500
0.704140
1.441000
0.637500
0.608000
0.511000
0.634500

Pret cu ridicata
maximal de
decontare / U.T.

5.856000
4.880000
5.856000
5.856000
5.856000
4.300000
1.888000
1.998857
1.998857
1.707142
1.998857
1.665714
1.761250
1.764285
1.998857
1.998857
1.998857
1.998857
1.998857
1.998857
43.230000
21.286560
91.405200
91.405200
21.286560
31.270400
81.950000
76.171000
37.524480
31.570500
17.738800
34.280000
33.071000
37.524480
35.030000
18.840000
18.193000
18.038500
18.127500
37.524480
37.524480
77.066000
18.290000
127.115357
32.574642
458.070000
2,203.520000
0.577200
0.577200
0.577200
1.441000
0.577200
0.577200
0.511000
0.577200

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

18.86
6.59
63.10
9.68
9.03
39.37
25.52
61.72
22.56
16.15
22.56
15.76
19.04
16.69
22.56
56.54
29.61
41.93
19.58
19.12
56.54
39.95
167.79
162.58
40.53
890.27
103.62
868.42
55.80
726.39
521.53
44.84
398.62
53.14
45.82
25.47
222.10
431.39
433.33
533.65
906.22
878.17
223.28
3,917.72
1,032.33
537.45
2,439.99
20.23
21.42
805.66
19.48
17.23
16.44
13.81
17.15

18.860000
6.590000
15.775000
9.680000
9.030000
5.624285
2.552000
8.817142
3.222857
2.307142
3.222857
2.251428
2.380000
2.384285
3.222857
8.077142
4.230000
5.990000
2.797142
2.731428
56.540000
39.950000
167.790000
162.580000
40.530000
35.610800
103.620000
86.842000
55.800000
36.319500
20.861200
44.840000
39.862000
53.140000
45.820000
25.470000
22.210000
21.569500
21.666500
53.365000
45.311000
87.817000
22.328000
139.918571
36.868928
537.450000
2,439.990000
1.011500
1.071000
0.805660
1.948000
0.861500
0.822000
0.690500
0.857500

7.908000
6.590000
7.908000
7.908000
7.908000
5.624285
2.552000
2.701714
2.701714
2.307142
2.701714
2.251428
2.380000
2.384285
2.701714
2.701714
2.701714
2.701714
2.701714
2.701714
56.540000
25.033440
104.210400
104.210400
25.033440
35.610800
103.620000
86.842000
42.732960
36.319500
20.861200
42.732960
39.862000
42.732960
42.732960
25.033440
22.210000
21.569500
21.666500
42.732960
42.732960
87.817000
22.328000
139.918571
36.868928
537.450000
2,439.990000
0.780000
0.780000
0.780000
1.948000
0.780000
0.780000
0.690500
0.780000

Grupa
Nr.
terape
crt
utica
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163

J05AB01
J05AB01
J05AB01
J05AB14
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06

Denumire generica

ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
VALGANCICLOVIRUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**

Denumire comerciala

ACICLOVIR 200 mg
ACICLOVIR 400 mg
VIROLEX
VALCYTE (R) 450 mg
CELLCEPT 250mg
CELLCEPT 500mg
MYCOPHENOLATE MOFETIL MEDICO UNO 500 MG

MYFORTIC 180 mg
MYFORTIC 360 mg

L04AA06 MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL DR. REDDY'S 250 mg

L04AA06 MYCOPHENOLATUM MOFETILUM**

MYFENAX 250mg

L04AA06 MYCOPHENOLATUM MOFETILUM** MYCOPHENOLATE MOFETIL ACCORD 250 mg


L04AA06 MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL SANDOZ 500 mg

Forma
Concentrati
farmaceutic
e / U.T.
a
COMPR.
COMPR.
PULB. PT. SOL. INJ./PERF.

COMPR. FILM.

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

CAPS.
CAPS.
CAPS.
COMPR.

L04AA06 MYCOPHENOLATUM MOFETILUM** MICOFENOLAT MOFETIL TERAPIA 500 mg COMPR. FILM.


L04AA06 MYCOPHENOLATUM MOFETILUM**

ARZIP 500 mg

L04AA06 MYCOPHENOLATUM MOFETILUM** MYCOFENOLAT MOFETIL ACTAVIS 500 mg


L04AA06 MYCOPHENOLATUM MOFETILUM**

MYFENAX 500mg

L04AA06 MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL DR. REDDY'S 500 mg

L04AC02
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01

L04AX01
L04AX01
L04AX01
L04AX01
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02

BASILIXIMABUM**
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
AZATHIOPRINUM
AZATHIOPRINUM
AZATHIOPRINUM
AZATHIOPRINUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM

SIMULECT 20 mg
EQUORAL (R) 100 mg
EQUORAL (R) 25 mg
SANDIMMUN NEORAL (R)
CICLORAL 25 mg
EQUORAL (R) 50 mg
SANDIMMUN NEORAL (R)
CICLORAL 50 mg
EQUORAL (R)
IMMUNOPRIN 100 mg
IMMUNOPRIN 100 mg
IMURAN (R)
IMMUNOPRIN 75 mg
TRAMADOL
K-ALMA (R)
TRAMADOL LPH 50 mg
TRAMADOL ARENA
TRAMACALM
TRAMADOL AL 50
TRAMADOL AL 50
MABRON 50 mg
TRALGIT 50
URGENDOL
TRAMAL UNO 100 mg
TRAMAL UNO 100 mg
TRAMAL UNO 100 mg
TRAMAL UNO 100 mg
TRAMAL UNO 150 mg
TRAMAL UNO 150 mg
TRAMAL UNO 150 mg
TRAMAL UNO 150 mg
TRAMAL UNO 200 mg
TRAMAL UNO 200 mg
TRAMAL UNO 200 mg
TRAMAL UNO 200 mg
TRAMAG 50
TRAMADOL EEL

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

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

COMPR.
COMPR.

200mg
400mg
250mg
450mg
250mg
500mg
500mg
180mg
360mg
250 mg
250mg
250mg
500mg
500 mg
500mg
500mg
500mg
500mg
20mg
100mg
25mg
25mg
25mg
50mg
50mg
50mg
100mg/ml
100mg
100mg
50mg
75mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
100mg
100mg
100mg
100mg
150mg
150mg
150mg
150mg
200mg
200mg
200mg
200mg
50mg
50mg

Firma

Tara

Ambalaj

LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR.


EGIS PHARMACEUTICALS P.L.C.

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

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.

Prescriptie

P-RF
P-RF
S/P-RF

P-RF

ROCHE REGISTRATION LTD.

MAREA BRITANIE

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 10 BLIST. X 10 CAPS.


CUTIE X 5 BLIST. X 10 COMPR. FILM.

MEDICO UNO PHARMA KFT.

UNGARIA

CUTIE CU BLIST. PVC-PVDC/AL X 50 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

P-RF/R
P-RF/R

DR. REDDY'S LABORATORIES

ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 100 CAPS. PR

TEVA PHARMA BV

OLANDA CUTIE X BLIST. PVC/PVDC/AL X 100 CAPS.

P-RF/R

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

CUTIE CU BLIST. PVC-PVDC/AL CU 100 CAPS.

P-RF/R

SANDOZ S.R.L.
TERAPIA S.A.
ZENTIVA K.S.

ROMANIA
ROMANIA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 50 COMPR. FILM.

P-RF

CUTIE CU 1 BLIST. DIN AL-PA-PVC/AL X 50 COMPR. FILM.

REPUBLICA CEHA

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

PR
PR

ISLANDA
OLANDA

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

P-RF/R

TEVA PHARMA BV

CUTIE X BLIST. PVC/PVDC/AL X 50 COMPR. FILM.

P-RF/R

DR. REDDY'S LABORATORIES

ROMANIA

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. P-RF

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE CUTIE X 1 FLAC. CU LIOF.+ 1 FIOLA SOLV. APA PT. PREP. INJ.

ACTAVIS GROUP PTC EHF.

IVAX - PHARMACEUTICALS S.R.O.


IVAX - PHARMACEUTICALS S.R.O.

CEHIA
CEHIA

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 5 BLIST. X 10 CAPS. MOI


CUTIE X 5 BLIST. X 10 CAPS. MOI
CUTIE X 10 BLIST. X 5 CAPS. MOI

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

HEXAL AG

GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI

S/P-RF

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

HEXAL AG

GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI

IVAX - PHARMACEUTICALS S.R.O.

EBEWE PHARMA GES.M.B.H. NFG KG

CEHIA
AUSTRIA
AUSTRIA

THE WELLCOME FOUNDATION LTD.


EBEWE PHARMA GES.M.B.H. NFG KG

EBEWE PHARMA GES.M.B.H. NFG KG

KRKA D.D.
ANTIBIOTICE SA

S/P-RF
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 CU 1 FLAC. PEID X 50 COMPR. FILM.


CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM.

PR
PR

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

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

P-RF

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

P-RF

LABORMED PHARMA SA ROMANIA 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.


AC HELCOR SRL
ROMANIA CUTIE X 1 BLIST. PVC/AL X 10 CAPS.
ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. X 10 CAPS.
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.
ZENTIVA A.S.
SLOVACIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
MEDICAROM GROUP SRL ROMANIA CUTIE X 1 BLIST. X 10 CAPS.

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

GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH

GERMANIA

CUTIE X BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-RF

GERMANIA

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.

MAGISTRA C & C
BIO EEL SRL

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


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

Pagina 50 din 56

P-RF/S

P-RF/S

P-RF/S

P-RF
P-RF

cant/
amba
laj

20
10
5
60
100
50
50
120
120
100
100
100
50
50
50
50
50
50
1
50
50
50
50
50
50
50
1
50
100
100
100
20
20
20
20
10
30
10
10
20
10
10
20
30
50
10
20
30
50
10
20
30
50
20
20

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

9.62
14.23
231.79
4,863.09
452.86
452.86
292.89
557.65
1,041.93
291.62
302.31
292.89
227.17
302.36
272.59
272.59
302.31
272.59
4,267.46
397.39
74.45
112.48
112.61
155.55
239.32
250.01
358.02
42.34
83.19
63.98
62.39
4.31
5.67
5.67
6.66
2.85
8.53
2.85
2.85
4.31
2.83
12.86
24.79
36.23
56.65
19.30
37.14
54.34
84.99
24.09
44.68
61.79
96.03
5.67
5.67

0.481000
1.423000
46.358000
81.051500
4.528600
9.057200
5.857800
4.647083
8.682750
2.916200
3.023100
2.928900
4.543400
6.047200
5.451800
5.451800
6.046200
5.451800
4,267.460000
7.947800
1.489000
2.249600
2.252200
3.111000
4.786400
5.000200
358.020000
0.846800
0.831900
0.639800
0.623900
0.215500
0.283500
0.283500
0.333000
0.285000
0.284333
0.285000
0.285000
0.215500
0.283000
1.286000
1.239500
1.207666
1.133000
1.930000
1.857000
1.811333
1.699800
2.409000
2.234000
2.059666
1.920600
0.283500
0.283500

Pret cu ridicata
maximal de
decontare / U.T.

0.481000
1.423000
46.358000
81.051500
3.499440
5.452080
5.452080
4.647083
8.682750
2.916200
3.023100
2.928900
4.543400
5.452080
5.451800
5.451800
5.452080
5.451800
4,267.460000
7.947800
1.489000
1.786800
1.786800
3.111000
3.733200
3.733200
358.020000
0.846800
0.831900
0.639800
0.623900
0.215500
0.258600
0.258600
0.258600
0.258600
0.258600
0.258600
0.258600
0.215500
0.258600
0.559200
0.559200
0.559200
0.559200
0.993600
0.993600
0.993600
0.993600
1.626799
1.626799
1.626799
1.626799
0.258600
0.258600

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

13.00
19.23
282.97
5,338.93
531.77
531.77
357.56
645.99
1,173.85
356.01
367.67
357.56
277.33
367.72
332.78
332.78
367.67
332.78
4,689.69
471.31
94.13
137.32
137.48
189.90
292.16
305.21
428.39
55.38
105.18
80.90
78.89
5.82
7.67
7.67
9.00
3.85
11.53
3.85
3.85
5.82
3.82
17.38
33.50
47.39
71.63
26.09
48.58
68.71
107.46
32.56
58.44
78.13
121.42
7.67
7.67

0.650000
1.923000
56.594000
88.982166
5.317700
10.635400
7.151200
5.383250
9.782083
3.560100
3.676700
3.575600
5.546600
7.354400
6.655600
6.655600
7.353400
6.655600
4,689.690000
9.426200
1.882600
2.746400
2.749600
3.798000
5.843200
6.104200
428.390000
1.107600
1.051800
0.809000
0.788900
0.291000
0.383500
0.383500
0.450000
0.385000
0.384333
0.385000
0.385000
0.291000
0.382000
1.738000
1.675000
1.579666
1.432600
2.609000
2.429000
2.290333
2.149200
3.256000
2.922000
2.604333
2.428400
0.383500
0.383500

0.650000
1.923000
56.594000
88.982166
4.272120
6.655920
6.655920
5.383250
9.782083
3.560100
3.676700
3.575600
5.546600
6.655920
6.655600
6.655600
6.655920
6.655600
4,689.690000
9.426200
1.882600
2.259120
2.259120
3.798000
4.557600
4.557600
428.390000
1.107600
1.051800
0.809000
0.788900
0.291000
0.349200
0.349200
0.349200
0.349200
0.349200
0.349200
0.349200
0.291000
0.349200
0.755599
0.755599
0.755599
0.755599
1.342800
1.342800
1.342800
1.342800
2.128000
2.128000
2.128000
2.128000
0.349200
0.349200

Grupa
Nr.
terape
crt
utica
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189

N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02

Denumire generica

TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM

Denumire comerciala

TRAMADOL 50 mg
TRAMADOLOR (R) 100 ID
TRAMADOL (R) RETARD
TRALGIT SR 100
TRALGIT SR 100
TRALGIT SR 100
TRALGIT SR 150
TRALGIT SR 150
TRALGIT SR 200
TRADOLAN 50 mg
TRAMAL RETARD 100 mg
TRAMADOL RETARD 150 mg
TRAMAL RETARD 150 mg
TRAMAL RETARD 200 mg
TRAMADOL RETARD 200 mg
TRAMADOL AL PICATURI
MABRON
MABRON
TRALGIT 100
TRAMADOL
TRAMADOL
TRAMAL (R) 50
TRALGIT 50
URGENDOL
URGENDOL
TRAMADOL

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

50mg
100mg
COMPR. ELIB. PREL. 100mg
COMPR. ELIB. PREL. 100mg
COMPR. ELIB. PREL. 100mg
COMPR. ELIB. PREL. 100mg
COMPR. ELIB. PREL. 150mg
COMPR. ELIB. PREL. 150mg
COMPR. ELIB. PREL. 200mg
COMPR. FILM. 50mg
COMPR. FILM. ELIB. PREL. 100mg
COMPR. FILM. ELIB. PREL. 150mg
COMPR. FILM. ELIB. PREL. 150mg
COMPR. FILM. ELIB. PREL. 200mg
COMPR. FILM. ELIB. PREL. 200mg
COMPR. ELIB. MODIF.

PIC. ORALE, SOL.

FARA CONCENTRATIE

SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SUPOZ.

100mg
100mg
100mg/2ml
50mg/ml
50mg/ml
50mg/ml
50mg/ml
50mg/ml
50mg/ml
100mg

Tara

Firma

OZONE LABORATORIES PHARMA S.A.

HEXAL AG
KRKA D.D.
ZENTIVA AS
ZENTIVA AS
ZENTIVA AS
ZENTIVA AS
ZENTIVA AS
ZENTIVA AS
LANNACHER HEILMITTEL GES.M.B.H.

Ambalaj

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

Prescriptie

P-RF

GERMANIA CUTIE X 1 BLIST. X 10 COMPR. ELIB. MODIF. P-RF

SLOVENIA
SLOVACIA
SLOVACIA
SLOVACIA
SLOVACIA
SLOVACIA
SLOVACIA

AUSTRIA

CUTIE X 3 BLIST. X 10 COMPR. ELIB. PREL. P-RF


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

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

KRKA D.D. NOVO MESTO SLOVENIA

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

P-RF

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

P-RF

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

P-RF

GRUNENTHAL GMBH GERMANIA


GRUNENTHAL GMBH GERMANIA
KRKA D.D. NOVO MESTO SLOVENIA

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

ALIUD PHARMA GMBH GERMANIA

CUTIE X 1 FLACON DIN STICLA BRUNA X 10 ML PIC. ORALE, SOL.

P-RF

CUTIE X 5 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.

S/P-RF

CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.

S/P-RF

MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
ZENTIVA A.S.
KRKA D.D.
KRKA D.D.

CIPRU
CIPRU

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


SLOVENIA CUTIE X 5 FIOLE X 2 ML
SLOVENIA CUTIE X 5 FIOLE X 1 ML

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

GRUNENTHAL GMBH GERMANIA CUTIE X 5 FIOLE X 1 ML

S/P-RF

ZENTIVA A.S.

S/P-RF

SLOVACIA CUTIE X 5 FIOLE X 1 ML SOL. INJ.

CUTIE X 5 FIOLE X 1 ML
ROMANIA CUTIE X 5 FIOLE X 2 ML
SLOVENIA CUTIE X 1 BLIST. X 5 SUPOZ.

MEDICAROM GROUP SRL ROMANIA

S/P-RF

MEDICAROM GROUP SRL

S/P-RF

KRKA D.D.

P-RF

cant/
amba
laj

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

Pret cu ridicata
maximal de
decontare / U.T.

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

20
10
30
50
10
30
10
30
10
30
10
30
10
10
30
1
5
100
5
5
5
5
5
5
5
5

5.67
4.66
13.99
24.09
4.66
13.98
15.57
24.84
20.35
7.88
7.17
31.78
16.30
20.85
40.67
3.73
7.27
110.22
9.09
9.69
3.65
5.60
8.50
3.63
5.67
4.13

0.283500
0.466000
0.466333
0.481800
0.466000
0.466000
1.557000
0.828000
2.035000
0.262666
0.717000
1.059333
1.630000
2.085000
1.355666
3.730000
1.454000
1.102200
1.818000
1.938000
0.730000
1.120000
1.700000
0.726000
1.134000
0.826000

0.258600
0.466000
0.466333
0.481800
0.466000
0.466000
0.993600
0.828000
1.626799
0.258600
0.559200
0.993600
0.993600
1.626799
1.355666
3.730000
1.322640
1.102200
1.322640
1.322640
0.730000
0.871200
0.871200
0.726000
1.134000
0.826000

7.67
6.30
18.91
32.56
6.30
18.89
21.05
33.57
27.50
10.65
9.69
41.57
22.03
28.18
53.20
5.04
9.83
134.56
12.28
13.10
4.93
7.57
11.49
4.90
7.67
5.58

0.383500
0.630000
0.630333
0.651200
0.630000
0.629666
2.105000
1.119000
2.750000
0.355000
0.969000
1.385666
2.203000
2.818000
1.773333
5.040000
1.966000
1.345600
2.456000
2.620000
0.986000
1.514000
2.298000
0.980000
1.534000
1.116000

0.349200
0.630000
0.630333
0.651200
0.630000
0.629666
1.342800
1.119000
2.128000
0.349200
0.755599
1.342800
1.342800
2.128000
1.773333
5.040000
1.614720
1.345600
1.614720
1.614720
0.986000
1.176000
1.176000
0.980000
1.534000
1.116000

50
100
50
60
20
6
6
6
1
6
1
1
6
6
6
6
6
1
6
6
6
4
4
4

54.39
98.29
56.54
41.43
27.43
1,550.81
178.92
355.67
688.15
518.88
1,206.71
877.32
682.04
845.15
2,117.84
229.28
447.82
1,042.55
865.04
1,073.53
117.90
2,876.01
324.23
4,284.58

1.087800
0.982900
1.130800
0.690500
1.371500
258.468333
29.820000
59.278333
688.150000
86.480000
1,206.710000
877.320000
113.673333
140.858333
352.973333
38.213333
74.636666
1,042.550000
144.173333
178.921666
19.650000
719.002500
81.057500
1,071.145000

1.087800
0.982900
1.130800
0.690500
1.371500
258.468333
29.820000
59.278333
688.150000
86.480000
1,052.784000
877.320000
113.673333
140.858333
352.973333
38.213333
74.636666
1,042.550000
144.173333
178.921666
19.650000
719.002500
81.057500
1,071.145000

68.77
124.28
71.49
54.19
35.88
1,728.54
218.42
425.83
788.23
603.73
1,353.47
994.43
781.57
959.37
2,346.60
279.91
526.27
1,174.53
981.05
1,208.30
143.93
3,173.01
391.56
4,708.35

1.375400
1.242800
1.429800
0.903166
1.794000
288.090000
36.403333
70.971666
788.230000
100.621666
1,353.470000
994.430000
130.261666
159.895000
391.100000
46.651666
87.711666
1,174.530000
163.508333
201.383333
23.988333
793.252500
97.890000
1,177.087500

1.375400
1.242800
1.429800
0.903166
1.794000
288.090000
36.403333
70.971666
788.230000
100.621666
1,193.316000
994.430000
130.261666
159.895000
391.100000
46.651666
87.711666
1,174.530000
163.508333
201.383333
23.988333
793.252500
97.890000
1,177.087500

P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA


P9.7: TRATAMENTUL STARII POSTTRANSPLANT IN AMBULATORIU A PACIENTILOR TRANSPLANTATI
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24

A05AA02
A05AA02
A05AA02
A05AA02
A05AA02

B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA02
B03XA02
B03XA02

ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
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 BETA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
DARBEPOETINUM ALFA **
DARBEPOETINUM ALFA **
DARBEPOETINUM ALFA **

URSOSAN
URSOFALK (R)
URSOFALK (R)
URSOCHOL 150 mg
URSOCHOL 300 mg
BINOCRIT 10000UI/1,0ml
BINOCRIT 1000UI/0,5ml
BINOCRIT 2000UI/1,0ml
BINOCRIT 30000UI/0,75ml
BINOCRIT 3000UI/0,3ml
EPREX 40000 UI/ml
BINOCRIT 40000 UI/1 ml
BINOCRIT 4000UI/0,4ml
BINOCRIT 5000UI/0,5ml
NEORECORMON 10000UI/0,6ml
NEORECORMON 1000UI/0,3ml
NEORECORMON 2000UI/0,3ml
NEORECORMON 30000UI/0,6ml
NEORECORMON 4000UI/0,3ml
NEORECORMON 5000UI/0,3ml

NEORECORMON 500UI/0,3ml
ARANESP 100mcg/0,5ml
ARANESP 10mcg/0,4ml
ARANESP 150mcg/0,3ml

CAPS.
CAPS.
CAPS.
COMPR.
COMPR.

250mg
250mg
250mg
150mg
300mg

SOL. INJ. IN SERINGA PREUMPLUTA

10000UI/1,0ml

CEHIA

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


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

DR. FALK PHARMA GMBH GERMANIA

P-6L
P-6L/S

P-6L

ZAMBON S.P.A.
ZAMBON S.P.A.
SANDOZ GMBH
SANDOZ GMBH
SANDOZ GMBH
SANDOZ GMBH
SANDOZ GMBH

ITALIA
CUTIE X 6 BLIST. AL/PVC X 10 COMPR.
ITALIA
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ.
AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ.
AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ.
AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,75ML SOL. INJ.
AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ.

JOHNSON & JOHNSON D.O.O.

SLOVENIA

CUTIE CU 1 SERINGA PREUMPLUTA X 1 ML SOL. INJ.

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

4000UI/0,4ml SANDOZ GMBH


5000UI/0,5ml SANDOZ GMBH

AUSTRIA
AUSTRIA
AUSTRIA

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

1000UI/0,5ml
2000UI/1,0ml

SOL. INJ. IN SERINGA PREUMPLUTA

30000UI/0,75ml

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

3000UI/0,3ml
40 000UI/ml

SOL. INJ. IN SERINGA PREUMPLUTA

40000 UI/1 ml SANDOZ GMBH

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

MAREA BRITANIE

CUTIE X 1 SERINGA PRE-UMPLUTA X 0,6 ML + 1 AC

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

S/P-RF/R

S/P-RF/R

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

S/P-RF

S/P-RF/R

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

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML

P-RF/R

10mcg/0,4ml AMGEN EUROPE BV OLANDA


150mcg/0,3ml AMGEN EUROPE BV OLANDA

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML

P-RF/R

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML

P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

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

Pagina 51 din 56

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

B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
H02AB04
H02AB04
H02AB04
H02AB04
H02AB04
H02AB04
H02AB07
H02AB07
H02AB07
H02AB07
H02AB07
H02AB07

Denumire generica

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
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01

FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM

Denumire comerciala

ARANESP 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
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
PREDNISON ARENA 5 mg
N - PREDNISON
PREDNISON 5 mg
PREDNISON - RICHTER 5 mg
TAGREMIN
SUMETROLIM
CO - TRIM ELL
BITRIM 400mg/80mg
SUMETROLIM
EPITRIM
FUNGOLON 100 mg
DIFLAZON 100 mg
FLUCONAZOLE TEVA 100 mg
FLUCONAZOLE TEVA 100 mg

FLUCORIC 100 mg
FLUCOVIM 100
FLUCONAZOL MEDOCHEMIE 150 mg

FLUCONAZOL ACTAVIS 150 mg


FLUCONAZOL MEDICO UNO 150 mg

FLUCONAZOL LPH 150 mg


FLUCONAZOL ROMPHARM 150 mg

FLUCONAZOL 150 mg
FLUCONAZOL SANDOZ (R) 150

MYCOMAX 150
DIFLAZON 150 mg
FLUCONAZOLE TEVA 150 mg

FLUCOVIM 150
DIFLUCAN 150 mg
FLUCORIC 150 mg
FLUCONAZOL BIOGALENICA 150 mg

MYCOSYST 150 mg
FLUCONAZOL 150 mg
FLUCONAZOL ARENA 150 MG
FLUCONAZOLE TEVA 200 mg

FLUCONAZOL 50 mg
DIFLAZON 50 mg
FLUCOVIM 50
FLUCONAZOL MEDOCHEMIE 50 mg

Forma
Concentrati
farmaceutic
e / U.T.
a
SOL. INJ. IN SERINGA PREUMPLUTA

Firma

15mcg/0,375ml AMGEN EUROPE BV

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
SIROP

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
16mg
PFIZER EUROPE MA EEIG
32mg
PFIZER EUROPE MA EEIG
4mg
PFIZER EUROPE MA EEIG
125mg
STADA HEMOFARM S.R.L.
500mg
STADA HEMOFARM S.R.L.
250mg/4ml PFIZER EUROPE MA EEIG
5mg
MAGISTRA C&C S.R.L.
5mg
ARENA GROUP SA
5mg
ARENA GROUP SA
5mg
MEDUMAN SA
5mg
SINTOFARM SA
5mg
GEDEON RICHTER ROMANIA SA
400mg/80mg ZENTIVA S.A.
400mg/80mg EGIS PHARMACEUTICALS P.L.C.
400mg/80mg BIO EEL SRL
400mg/80mg ARENA GROUP S.A.
25mg/5mg/ml EGIS PHARMACEUTICALS P.L.C.

SUSP. ORALA

200mg/40mg /5ml

CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.

100mg
100mg
100mg
100mg
100mg
100mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
200mg
50mg
50mg
50mg
50mg

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

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

Tara

KRKA D.D.
TEVA PHARMACEUTICALS S.R.L.
TEVA PHARMACEUTICALS S.R.L.

Prescriptie

OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA

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

MAREA BRITANIE

CUTIE X 5 BLIST. A-PVC/PVC X 10 COMPR.

P-RF

MAREA BRITANIE

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

MAREA BRITANIE

CUTIE X 1 FLAC. DIN STICLA X 30 COMPR.

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


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

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

BALKANPHARMA RAZGRAD AD

Ambalaj

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

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

P-RF

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

P-RF

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

P-RF/S

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.
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

BULGARIA CUTIE X 2 BLIST. PVC/AL X 8 CAPS.


SLOVENIA CUTIE X 4 BLIST. X 7 CAPS.
ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 2 CAPS.
ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.
ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

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

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

TERAPIA SA
VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS.
MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS.
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 BLIST. PVC-PVDC/AL X 1 CAPS.

P-RF

ROMANIA
LABORMED PHARMA S.A. ROMANIA
ROMPHARM COMPANY S.R.L. ROMANIA
OZONE LABORATORIES PHARMA S.A. ROMANIA

P-RF

MEDICO UNO PHARMACEUTICAL SRL

CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA

P-RF
P-RF

PRF

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


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

P-RF

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


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

P-RF

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


VIM SPECTRUM SRL ROMANIA CUTIE X 1 FLAC. X 1 CAPS.

P-RF

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

P-RF

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

P-RF

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

P-RF

CUTIE X 4 BLIST. AL/PVC X 1 CAPS.


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

P-RF

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

P-RF

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

P-RF

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

GERMANIA

TEVA PHARMACEUTICALS S.R.L.

PFIZER EUROPE MA EEIG

TERAPIA SA

MAREA BRITANIE

ROMANIA
LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
SLAVIA PHARM SRL ROMANIA
ARENA GROUP SA ROMANIA
TEVA PHARMACEUTICALS S.R.L. ROMANIA
ANTIBIOTICE S.A.
ROMANIA

KRKA D.D.
SLOVENIA CUTIE X 1 BLIST. X 7 CAPS.
VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS.
MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

Pagina 52 din 56

P-RF
P-RF

P-RF

P-RF
P-RF

P-RF
P-RF
P-RF

cant/
amba
laj

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

4
4
1
4
4
1
4
4
4
50
20
30
1
1
1
20
1000
30
30
30
20
20
20
20
20
1
1
16
28
2
7
7
4
1
1
1
1
1
1
1
1
1
1
1
1
1
1
4
1
1
7
10
7
7
7

467.24
609.62
1,991.25
891.12
1,175.04
3,298.77
1,457.44
1,742.22
2,309.91
24.13
21.94
4.83
6.52
22.95
15.15
1.96
44.43
1.94
1.83
2.74
1.90
5.71
3.06
5.21
5.71
6.07
3.52
65.37
193.65
6.98
23.31
33.15
18.95
6.07
7.44
6.68
7.35
9.57
7.35
10.79
9.27
16.65
4.88
7.35
18.56
13.95
4.88
48.24
7.16
6.68
30.10
18.88
47.19
16.69
11.95

116.810000
152.405000
1,991.250000
222.780000
293.760000
3,298.770000
364.360000
435.555000
577.477500
0.482600
1.097000
0.161000
6.520000
22.950000
15.150000
0.098000
0.044430
0.064666
0.061000
0.091333
0.095000
0.285500
0.153000
0.260500
0.285500
6.070000
3.520000
4.085625
6.916071
3.490000
3.330000
4.735714
4.737500
6.070000
7.440000
6.680000
7.350000
9.570000
7.350000
10.790000
9.270000
16.650000
4.880000
7.350000
18.560000
13.950000
4.880000
12.060000
7.160000
6.680000
4.300000
1.888000
6.741428
2.384285
1.707142

Pret cu ridicata
maximal de
decontare / U.T.

116.810000
152.405000
1,991.250000
222.780000
293.760000
3,298.770000
364.360000
435.555000
577.477500
0.482600
1.097000
0.161000
6.520000
22.950000
15.150000
0.053316
0.044430
0.053316
0.053316
0.053316
0.053316
0.183600
0.153000
0.183600
0.183600
6.070000
3.520000
3.996000
3.996000
3.490000
3.330000
3.996000
3.996000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
4.880000
5.856000
5.856000
5.856000
4.880000
5.856000
5.856000
5.856000
4.300000
1.888000
1.998857
1.998857
1.707142

Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj

547.44
702.64
2,208.61
1,009.47
1,318.95
3,633.81
1,626.76
1,937.17
2,555.95
32.62
29.65
6.53
8.81
31.02
20.48
2.65
58.12
2.62
2.47
3.71
2.57
7.72
4.13
7.04
7.72
8.20
4.76
82.66
236.41
9.43
31.51
43.36
25.61
8.20
10.06
9.03
9.94
12.94
9.94
14.58
12.53
22.51
6.59
9.94
25.08
18.86
6.59
63.10
9.68
9.03
39.37
25.52
61.72
22.56
16.15

136.860000
175.660000
2,208.610000
252.367500
329.737500
3,633.810000
406.690000
484.292500
638.987500
0.652400
1.482500
0.217666
8.810000
31.020000
20.480000
0.132500
0.058120
0.087333
0.082333
0.123666
0.128500
0.386000
0.206500
0.352000
0.386000
8.200000
4.760000
5.166250
8.443214
4.715000
4.501428
6.194285
6.402500
8.200000
10.060000
9.030000
9.940000
12.940000
9.940000
14.580000
12.530000
22.510000
6.590000
9.940000
25.080000
18.860000
6.590000
15.775000
9.680000
9.030000
5.624285
2.552000
8.817142
3.222857
2.307142

136.860000
175.660000
2,208.610000
252.367500
329.737500
3,633.810000
406.690000
484.292500
638.987500
0.652400
1.482500
0.217666
8.810000
31.020000
20.480000
0.069744
0.058120
0.069744
0.069744
0.069744
0.069744
0.247800
0.206500
0.247800
0.247800
8.200000
4.760000
5.166250
5.401714
4.715000
4.501428
5.401714
5.401714
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
6.590000
7.908000
7.908000
7.908000
6.590000
7.908000
7.908000
7.908000
5.624285
2.552000
2.701714
2.701714
2.307142

Grupa
Nr.
terape
crt
utica
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134

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