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ANEXA 1

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

Nr crt.

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

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

DCI

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

Denumire Comerciala

RANITIDIN ARENA 150mg


RANITIDINA 150 mg
RANITIDIN
ZANTAC 150 mg
N - RANITIDIN

forma farm.

COMPR.
COMPR.
COMPR.

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

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

NIZATIDIN VIM SPECTRUM 150 mg

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

OMEPRAZOL TERAPIA 20 mg

OMEPRAZOL ARENA 20 mg

OMEPRAZOL FARMEX 20 mg

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

OMEPRAZOL ROMPHARM 20 mg

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

SOL. INJ.

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

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

concentratie

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

Detinator APP

tara det.
APP

Ambalaj

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


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

MAREA BRITANIE

MEDUMAN SA
LAROPHARM SRL

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

MEDOCHEMIE LTD. CIPRU

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

KRKA D.D.

GEDEON RICHTER ROMANIA SA

P-6L
P-6L

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

P-6L

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


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

CUTIE X 2 BLIST. X 10 COMPR. FILM.

P-6L

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

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


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

CUTIE X 5 FIOLE X 2 ML

P-RF

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


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

P-6L

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

S/P-RF

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

P-6L

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

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

ROMANIA

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

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

ZENTIVA K.S.
ZENTIVA K.S.

P-6L

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

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

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

LEK PHARMACEUTICALS D.D.

Prescriptie

P-6L

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


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

P-6L

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

P-6L

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

P-6L

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

P-6L

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


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

P-6L

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

P-6L

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

CEHIA
CEHIA

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

P-6L

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

P-6L

DR. REDDY'S LABORATORIES

ROMANIA

LEK PHARMACEUTICALS D.D.

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

ASTRAZENECA AB SUEDIA
ASTRAZENECA AB SUEDIA

Pagina 1 din 29

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

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

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

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

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

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

Pret
amanuntul
maximal/UT
(RON)

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

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

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

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

Nr crt.

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

cod ATC
A02BC01
A02BC01
A02BC01
A02BC01
A02BC03
A02BC03
A02BC03
A02BC03

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

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

A07AA02
A07EC01
A07EC01
A07EC02
A07EC02
A07EC02
A07EC02
A07EC02
A07EC02

DCI

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

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

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

Denumire Comerciala

OMEDAR (R)
LOSEC 40 mg

forma farm.
COMPR. FILM. GASTROREZ.

LIOF. PT. SOL. PERF.

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

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

20mg
40mg
40mg

PULB. PT. SOL. PERF. FARA CONCENTRATIE

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

CAPS. ELIB. PREL.


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

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

GRAN. PT. SUSP. ORALA

PAPAVERINA ARENA 100 mg COMPR.

PAPAVERINA
METOCLOPRAMID
N - METOCLOPRAMID
METOCLOPRAMID 10 mg

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

MESALAZINA DUO 400 mg

concentratie

COMPR. GASTROREZISTENTE

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

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

tara det.
APP
ROMANIA

Ambalaj

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

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


DR. REDDY'S LABORATORIES

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

RANBAXY UK LTD.

DR. REDDY'S LABORATORIES


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

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


MAGISTRA C & C
GEDEON RICHTER ROMANIA SA

PFIZER EUROPE MA EEIG

ZENTIVA SA
PFIZER EUROPE MA EEIG

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

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

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


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

MIP PHARMA GMBH


MIP PHARMA GMBH

ROMPHARM COMPANY SRL


FRESENIUS KABI AUSTRIA GMBH

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

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

Pagina 2 din 29

Prescriptie

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

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

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

P-6L

S/P-RF

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

Pret
amanuntul
maximal/UT
(RON)

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

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

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

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

Nr crt.

92
93
94
95
96
97
98
99

cod ATC

DCI

107 B03AB05 COMPLEX DE HIDROXID DE FER (III) POLIMALTOZAT

MESALAZINA DUO 800 mg


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

108 B03AB05 COMPLEX DE HIDROXID DE FER (III) POLIMALTOZAT

FERGLUROM FORTE 50 mg/ml

A07EC02
A07EC02
A07EC02
A07EC02
A07EC02
A07EC02
A07EC02

B01AA07

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

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

Denumire Comerciala

109 B03AB05 COMPLEX DE HIDROXID DE FER (III) POLIMALTOZAT


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

COMBINATII (FERROSI SULFAS+ACIDUM ASCORBICUM)

113 B03BB01

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

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

FERRUM HAUSMANN (R)


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

PROPAFENON SANDOZ 150 mg

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

AMIODARONA ARENA 200 MG

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

ISOSORBIDE DINITRATE 10 mg

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

forma farm.

concentratie

Ambalaj

Prescriptie

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

COMPR. GASTROREZISTENTE

COMPR. GASTROREZISTENTE

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

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

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

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

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

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

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

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

Pagina 3 din 29

P6L
P6L

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

Pret
amanuntul
maximal/UT
(RON)

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

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

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

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

Nr crt.

cod ATC

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

DCI

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

Denumire Comerciala

VASAPROSTAN 20

TRIMETAZIDIN VIM SPECTRUM 20 mg

forma farm.
LIOF. PT. SOL. PERF.

CAPS.

TRIMETAZIDINA ATB 35 mg COMPR. CU ELIB. PREL.


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

PREDUCTAL MR 35 mg

COMPR. FILM. ELIB. MODIF.

TRIMETAZIDINA LPH (R) 35 mg

COMPR. FILM. ELIB. MODIF.

MODUXIN MR 35 mg
PREDUTRIM 20 mg/ml
DOPEGYT

COMPR. FILM. ELIB. PREL.

PIC. ORALE, SOL.

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

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

INDAPAMIDA SR TORRENT 1,5 mg

COMPR. CU ELIB. PRELUNGITA


COMPR. CU ELIB. PRELUNGITA

COMPR. ELIB. PREL.


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

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


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

INDAPAMID SR 1,5 mg LAROPHARM

INDAPAMID LPH (R) 1,5 mg


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

INDAPAMID SR OZONE 1,5mg


INDAPAMIDA ACTAVIS 1,5 mg

INDAPAMIDA MYLAN 1,5 mg


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

SPIRONOLACTONA LPH 25 mg

VEROSPIRON

SPIRONOLACTONA ARENA 50 mg

SPIRONOLACTONA EEL 25 mg

COMPR. FILM. ELIB. PREL.


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

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

concentratie

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

Detinator APP

tara det.
APP

Ambalaj

Prescriptie

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

ANTIBIOTICE S.A.

ROMANIA

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

GLENMARK PHARMACEUTICALS SRL

REPUBLICA SLOVACA

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

LUPIN (EUROPE) LTD

MAREA BRITANIE

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

P6L
P6L
P6L

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


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

GEDEON RICHTER ROMANIA SA

LES LABORATOIRES SERVIER

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

LES LAB. SERVIER IND. FRANTA

LABORMED PHARMA SA ROMANIA


GEDEON RICHTER ROMANIA SA

ROMPHARM COMPANY S.R.L.


EGIS PHARMACEUTICALS P.L.C.

SINTOFARM SA
ARENA GROUP SA
ZENTIVA SA
GEDEON RICHTER ROMANIA SA

TERAPIA SA
TERAPIA SA

ROMANIA
ROMANIA
UNGARIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

P-6L

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

P-6L

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

P-6L

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

P-6L

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

P6L

CUTIE X 1 FLAC. X 50 COMPR.


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

P-6L

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

P-6L

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

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

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

MAGISTRA C&C SRL ROMANIA


VIM SPECTRUM SRL ROMANIA

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


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

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


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

P-6L

KRKA D.D. NOVO MESTO SLOVENIA

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

P-6L

ROMANIA

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

P-6L

GLENMARK PHARMACEUTICALS SRL

GEDEON RICHTER ROMANIA SA

OZONE LABORATORIES BV

ACTAVIS GROUP PTC EHF.

MYLAN S.A.S.

OLANDA
ISLANDA
FRANTA

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

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

P-6L

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

P-6L

ROMANIA

J & P PHARMA UK. LTD.

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

Pagina 4 din 29

P6L
P-6L

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

DR. REDDY'S LABORATORIES

MAGISTRA C&C S.R.L. ROMANIA


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

P-6L

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

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


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

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

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


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

P-6L

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

P-RF

P-6L

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


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

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

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

Pret
amanuntul
maximal/UT
(RON)

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

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

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

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

Nr crt.

cod ATC

192 C03DA01
193 C03DA01
194 C03DA01
195 C03DA01
196 C03DA01

DCI

SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM

197 C03EB01 COMBINATII (SPIRONOLACTONUM+FUROSEMIDUM)


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

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

Denumire Comerciala

forma farm.

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

COMPR.
COMPR.

concentratie

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

TERAPIA SA

tara det.
APP

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

ZENTIVA AS
ZENTIVA AS
ZENTIVA AS
ZENTIVA AS

LANNACHER HEILMITTEL GES.M.B.H.

Ambalaj

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


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

MAREA BRITANIE

SLOVACIA
SLOVACIA
SLOVACIA
SLOVACIA

AUSTRIA

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

Prescriptie

P-6L
P-6L

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


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

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

P-6L

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

P-6L

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

P-6L

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

P-6L

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

P-6L

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

AC HELCOR PHARMA SRL

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

TERAPIA SA
TERAPIA SA

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


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

CUTIE X 2 BLIST. X 25 COMPR.


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

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

WORWAG PHARMA GMBH & CO. KG

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

WORWAG PHARMA GMBH & CO. KG

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

ALIUD PHARMA GMBH


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

GERMANIA
GERMANIA

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


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

P-6L
P-6L

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

P-6L

GERMANIA

P-6L

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

WORWAG PHARMA GMBH & CO. KG

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

WORWAG PHARMA GMBH & CO. KG

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

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


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

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


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

AC HELCOR PHARMA SRL

EGIS PHARMACEUTICALS P.L.C.

ALIUD PHARMA GMBH & CO.KG

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

P-6L

ALIUD PHARMA GMBH & CO.KG

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

P-6L

ALIUD PHARMA GMBH & CO.KG

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

P-6L

MAGISTRA C & C SRL ROMANIA


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

Pagina 5 din 29

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


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

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

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

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

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

Pret
amanuntul
maximal/UT
(RON)

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

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

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

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

Nr crt.

cod ATC

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

DCI

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

Denumire Comerciala

forma farm.

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

METOPROLOL TARTRAT INTAS 100 mg

METOPROLOL RETARD 100 mg

BETALOC (R) ZOK 100 mg


EMZOK 100 mg

COMPR. ELIB. PREL.


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

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


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

BETALOC (R) ZOK 50 mg


EMZOK 50 mg

COMPR. FILM. ELIB. PREL.


COMPR. FILM. ELIB. PREL.

METOPROLOL SUCCINAT POLPHARMA 95 mg

COMPR. FILM. ELIB. PREL.

METOSUCCINAT SANDOZ 190 mg

COMPR.FILM.ELIB.MOD.

METOSUCCINAT SANDOZ 47,5 mg

COMPR.FILM.ELIB.MOD.

METOSUCCINAT SANDOZ 95 mg

COMPR.FILM.ELIB.MOD.

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

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

concentratie

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

Detinator APP

tara det.
APP

Ambalaj

Prescriptie

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

EGIS PHARMACEUTICALS P.L.C.

Pagina 6 din 29

UNGARIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
UNGARIA
ROMANIA

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

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

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

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

Pret
amanuntul
maximal/UT
(RON)

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

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

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

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

Nr crt.

cod ATC

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

DCI

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

Denumire Comerciala

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

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

concentratie

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

Detinator APP

tara det.
APP

WORWAG PHARMA GMBH & CO. KG

GERMANIA

MERCK KGAA
ANTIBIOTICE S.A.
MERCK KGAA
MERCK KGAA

Prescriptie

P-6L

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

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


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

WORWAG PHARMA GMBH & CO. KG

GERMANIA

WORWAG PHARMA GMBH & CO. KG

GERMANIA

MERCK KGAA
ANTIBIOTICE S.A.
HEXAL AG

Ambalaj

CUTIE X 3 BLIST. X 10 COMPR. FILM.

CUTIE X 3 BLIST. X 10 COMPR. FILM.


CUTIE X 4 BLIST. X 25 COMPR. FILM.

P-6L
P-6L

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

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


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

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


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

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

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


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

LABORMED PHARMA SA ROMANIA

LABORMED PHARMA S.A.

ZENTIVA K.S.

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

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

CEHIA

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

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


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

AC HELCOR PHARMA SRL

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

HEXAL AG

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

P-6L

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

LABORMED PHARMA SA ROMANIA

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

ZENTIVA K.S.

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

ANTIBIOTICE S.A.

P-6L

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


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

CEHIA

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

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

KRKA D.D.

EGIS PHARMACEUTICALS P.L.C.

HEXAL AG

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

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

P-6L

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

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


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

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

WORWAG PHARMA GMBH & CO. KG

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

WORWAG PHARMA GMBH & CO. KG

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

WORWAG PHARMA GMBH & CO. KG

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

PFIZER EUROPE MA EEIG

MAREA BRITANIE

HEXAL AG
KRKA D.D.

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

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

P-6L

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

LABORMED PHARMA S.A.

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

EGIS PHARMACEUTICALS P.L.C.

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


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

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

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

P-6L

P-6L

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


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

VIM SPECTRUM SRL ROMANIA

Pagina 7 din 29

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

P-6L

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

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

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

Pret
amanuntul
maximal/UT
(RON)

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

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

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

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

Nr crt.

cod ATC

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

DCI

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

Denumire Comerciala

AGEN 10
ALOZUR 10 mg

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

AMLODIPINA LPH 10 mg
STAMLO M 10 mg

AMLODIPINA BLUEFISH 10 mg
AMLODIPINA BIOGALENICA 10 mg

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

ALMACOR 5 mg
EPLODIN 5 mg
AMLODIPINA ACTAVIS 5 mg

AMLODIPIN VIM SPECTRUM 5 mg

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

AMLODIPINA BIOGALENICA 5 mg

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

forma farm.

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

COMPR. ELIB. PREL.


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

COMPR. FILM. ELIB. PREL.


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

concentratie

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

Detinator APP

ZENTIVA K.S.

OZONE LABORATORIES PHARMA S.A.

tara det.
APP

CEHIA

Ambalaj

Prescriptie

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

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

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


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

P-6L/S

BLUEFISH PHARMACEUTICALS AB

P-6L

ARENA GROUP S.A.


HELCOR S.R.L.
TERAPIA SA
TERAPIA SA

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

ROMANIA
ROMANIA
ROMANIA
ROMANIA

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

PFIZER EUROPE MA EEIG

HEXAL AG
KRKA D.D.

MAREA BRITANIE

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

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

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


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

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

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

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

P-6L
P-6L

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

LABORMED PHARMA S.A.

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

EGIS PHARMACEUTICALS P.L.C.

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


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

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

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

P-6L

P-6L

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


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

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


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

ASTRAZENECA AB SUEDIA
ALIUD PHARMA GMBH & CO. KG

GERMANIA

ASTRAZENECA AB SUEDIA

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


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

P-6L

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

ALIUD PHARMA GMBH & CO. KG

GERMANIA

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

P-6L

ALIUD PHARMA GMBH & CO. KG

GERMANIA

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

P-6L

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

P-6L

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

P-6L

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

P-6L

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

HEXAL AG
EGIS PHARMACEUTICALS P.L.C.

Pagina 8 din 29

GERMANIA

ROMANIA
ROMANIA
ROMANIA
UNGARIA

CEHIA

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

P-6L

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

P-6L

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

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

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

UNGARIA

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

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

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

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

Pret
amanuntul
maximal/UT
(RON)

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

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

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

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

Nr crt.

cod ATC

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

DCI

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

Denumire Comerciala

PRESID (R) 2,5 mg


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

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

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

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

COMPR. ELIB. MODIF.


COMPR. FILM. ELIB. PREL.

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

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

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

concentratie

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

Detinator APP
IVAX - PHARMACEUTICALS S.R.O.

EGIS PHARMACEUTICALS P.L.C.


IVAX - PHARMACEUTICALS S.R.O.

HEXAL AG

tara det.
APP

CEHIA

UNGARIA

CEHIA

Ambalaj

Prescriptie

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


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

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

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

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

P-6L

TERAPIA SA

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


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

ABBOTT GMBH&CO.KG GERMANIA


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

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

IVAX - PHARMACEUTICALS S.R.O.

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

ALIUD PHARMA GMBH & CO.KG

CEHIA

CUTIE X 10 BLIST. X 10 COMPR. FILM.


CUTIE X 5 BLIST. X 10 COMPR. FILM.

P-6L
P-6L

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


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

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


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

P-6L

MAREA BRITANIE

P-6L

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


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

PFIZER EUROPE MA EEIG

MAGISTRA C & C
TERAPIA SA
BIO EEL SRL

MAREA BRITANIE

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

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

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


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

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

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

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

P-6L
P-6L

ALIUD PHARMA GMBH & CO.KG

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

MERCK SHARP & DOHME

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

TERAPIA SA
ARENA GROUP SA
ARENA GROUP SA
ARENA GROUP SA

Pagina 9 din 29

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

P-6L

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

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


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

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

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

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

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

Pret
amanuntul
maximal/UT
(RON)

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

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

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

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

Nr crt.

cod ATC

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

DCI

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

Denumire Comerciala

ENALAPRIL ARENA 10mg


ENALAPRIL VIM SPECTRUM 10 mg

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

ENALAPRIL VIM SPECTRUM 5 mg

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

forma farm.

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

concentratie

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

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

ALIUD PHARMA GMBH & CO.KG

Ambalaj

CUTIE X 1 FLAC. DIN PE X 20 COMPR.

Prescriptie

P-6L

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


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

CUTIE X 2 BLIST. X 10 COMPR.


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

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

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

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

P-6L

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

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


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

ALIUD PHARMA GMBH & CO.KG

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

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

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

LABORMED PHARMA SA ROMANIA

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

P-6L
P-6L

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

MEDOCHEMIE ROMANIA SRL

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

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

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


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

P-6L

ANTIBIOTICE SA
ANTIBIOTICE SA

P-6L

WORWAG PHARMA GMBH & CO. KG

MEDOCHEMIE ROMANIA SRL

WORWAG PHARMA GMBH & CO. KG

Pagina 10 din 29

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

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

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

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


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

P-6L

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

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

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

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

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

Pret
amanuntul
maximal/UT
(RON)

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

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

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

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

Nr crt.

cod ATC

DCI

537 C09AA09

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

538 C09BA02

COMBINATII (ENALAPRILUM+HYDROCHLOROTHIAZIDUM)

539 C09BA02

COMBINATII (ENALAPRILUM+HYDROCHLOROTHIAZIDUM)

540 C09BA02

COMBINATII (ENALAPRILUM+HYDROCHLOROTHIAZIDUM)

541 C09BA02

COMBINATII (ENALAPRILUM+HYDROCHLOROTHIAZIDUM)

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

Denumire Comerciala

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

forma farm.

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

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

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

concentratie

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

Detinator APP
MEDOCHEMIE ROMANIA SRL

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

Prescriptie

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


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

P-6L

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


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

P-6L

ACTAVIS GROUP PTC EHF.


GEDEON RICHTER ROMANIA SA

LABORMED PHARMA S.A.

P-6L
P-6L

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

ZENTIVA S.A.

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


ROMANIA CUTIE X 2 BLIST. X 14 COMPR.

P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA

P-6L

EGIS PHARMACEUTICALS P.L.C.

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


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

P-6L

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

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

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

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


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

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


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

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

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

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


ROMANIA CUTIE X 2 BLIST. X 14 COMPR.

P-6L

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

GERMANIA

P-6L

EGIS PHARMACEUTICALS P.L.C.

SANOFI - AVENTIS ROMANIA S.R.L.

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


ROMANIA CUTIE X 2 BLIST. X 14 COMPR.

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


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

P-6L
P-6L

MAREA BRITANIE

P-6L

MAREA BRITANIE

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

PFIZER EUROPE MA EEIG

MAREA BRITANIE

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

RANBAXY UK LIMITED

MAREA BRITANIE

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

PFIZER EUROPE MA EEIG

MAREA BRITANIE

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

MAREA BRITANIE

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

MAREA BRITANIE

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

PFIZER EUROPE MA EEIG

MAREA BRITANIE

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

RANBAXY UK LIMITED

MAREA BRITANIE

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

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

P-6L

RANBAXY UK LIMITED
RANBAXY UK LIMITED

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


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

FARA CONCENTRATIE

P-6L

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

BRISTOL MYERS SQUIBB KFT

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

Pagina 11 din 29

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

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

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

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

Pret
amanuntul
maximal/UT
(RON)

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

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

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

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

Nr crt.

cod ATC

DCI

542 C09BA02

COMBINATII (ENALAPRILUM+HYDROCHLOROTHIAZIDUM)

543 C09BA05

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM)

544 C09BA05

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM)

545 C09BA05

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM)

546 C09BA05

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM)

547 C09BA05

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM)

548 C09BA05

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM)

549 C09BA05

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM)

550 C09BA05

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM)

551 C09CA01

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

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

Denumire Comerciala

forma farm.

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

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

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

SIMVASTATIN BLUEFISH 10 mg

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

SIMVASTATINA BIOGALENICA 20 mg

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

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

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

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

Detinator APP

Prescriptie

MEDOCHEMIE LTD. CIPRU

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

TEVA PHARMACEUTICALS S.R.L.

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

SANOFI - AVENTIS ROMANIA S.R.L.

TERAPIA SA
TERAPIA SA
ZENTIVA A.S.

ROMANIA
ROMANIA
ROMANIA
ROMANIA

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

P-6L

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

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

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


P6L

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

TERAPIA SA
TERAPIA SA
TERAPIA SA
TERAPIA SA
TERAPIA SA

FARMAL INTERNATIONAL S.R.L.

ZENTIVA A.S.
MERCK SHARP & DOHME

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

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


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

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


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

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


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

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

ROMANIA

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

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

P-6L

P6L

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

P-6L

GEDEON RICHTER ROMANIA SA

P-6L

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


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

KRKA D.D.

SLOVENIA

ACTAVIS GROUP PTC EHF.

ISLANDA
ISLANDA

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

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

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


ACTAVIS GROUP PTC EHF.

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


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

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

AUROBINDO PHARMA LIMITED


BLUEFISH PHARMACEUTICALS AB

RANBAXY U.K. LIMITED


RANBAXY U.K. LIMITED

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

MAREA BRITANIE

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

SUEDIA

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

P-6L

CUTIE X 2 BLIST. X 7 COMPR. FILM.


CUTIE X 4 BLIST. X 7 COMPR. FILM.

P-6L

MAREA BRITANIE
MAREA BRITANIE

P-6L

OZONE LABORATORIES PHARMA S.A.

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

RANBAXY U.K. LIMITED

MAREA BRITANIE

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

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

P-6L

GEDEON RICHTER ROMANIA SA

P-6L

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


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

Pagina 12 din 29

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

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

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

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

Pret
amanuntul
maximal/UT
(RON)

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

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

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

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

Nr crt.

cod ATC

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

DCI

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

Denumire Comerciala

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

SIMVASTATIN BLUEFISH 20 mg
SIMVASTATIN BLUEFISH 20 mg

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

SIMVASTATINA BIOGALENICA 40 mg

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

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

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

SIMVASTATINA ALVOGEN 40 mg

SIMVACARD 40 mg
RANVOR 5 mg
SIMVASTATIN LPH 80 mg

SIMVASTATIN ACCORD 80 mg

MEDOSTATIN
MEDOSTATIN

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

COMPR.
COMPR.

concentratie

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

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

Prescriptie

MENARINI INTERNATIONAL OPERATIONS S.A.

LUXEMBOURG

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

OZONE LABORATORIES LTD.

MAREA BRITANIE

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

ISLANDA
ISLANDA

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

P-6L

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

P-6L

ACTAVIS GROUP PTC EHF.


ACTAVIS GROUP PTC EHF.

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

AUROBINDO PHARMA LIMITED


BLUEFISH PHARMACEUTICALS AB
BLUEFISH PHARMACEUTICALS AB

RANBAXY U.K. LIMITED


RANBAXY U.K. LIMITED

MAREA BRITANIE

SUEDIA
SUEDIA
MAREA BRITANIE
MAREA BRITANIE

P-6L

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

P-6L

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

P-6L

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

P-6L

CUTIE X 2 BLIST. X 7 COMPR. FILM.


CUTIE X 4 BLIST. X 7 COMPR. FILM.

P-6L
P-6L

OZONE LABORATORIES PHARMA S.A.

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

RANBAXY U.K. LIMITED

MAREA BRITANIE

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

MAREA BRITANIE

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

CEHIA

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

CIPLA (UK) LIMITED


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

MERCK SHARP & DOHME


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

AC HELCOR PHARMA SRL

P-6L

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

ROMANIA

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

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

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


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

CEHIA

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

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

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

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

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

MENARINI INTERNATIONAL OPERATIONS S.A.

LUXEMBOURG

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

OZONE LABORATORIES LTD.

MAREA BRITANIE

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

LABORMED PHARMA S.A.

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

ACTAVIS GROUP PTC EHF.


ACTAVIS GROUP PTC EHF.

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


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

ISLANDA
ISLANDA

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


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

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

AUROBINDO PHARMA LIMITED

MAREA BRITANIE

P-6L
P-6L

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

P-6L

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

P-6L

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

P-6L

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

P-6L

CUTIE X 2 BLIST. X 7 COMPR. FILM.

P-6L

BLUEFISH PHARMACEUTICALS AB

SUEDIA
SUEDIA
SUEDIA

RANBAXY U.K. LIMITED

MAREA BRITANIE

OZONE LABORATORIES PHARMA S.A.

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

RANBAXY U.K. LIMITED

MAREA BRITANIE

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

BLUEFISH PHARMACEUTICALS AB
BLUEFISH PHARMACEUTICALS AB

CIPLA (UK) LIMITED

MAREA BRITANIE

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

ALVOGEN IPCO S.A.R.L

LUXEMBOURG

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

ZENTIVA K.S.

CEHIA

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

P-6L

RANBAXY U.K. LIMITED

MAREA BRITANIE

CUTIE X 2 BLIST. X 7 COMPR. FILM.

P-6L

LABORMED PHARMA S.A.

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

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

P-6L

MEDOCHEMIE LTD. CIPRU


MEDOCHEMIE LTD. CIPRU

P-6L

Pagina 13 din 29

CUTIE X 10 BLIST. X 10 COMPR.


CUTIE X 1 BLIST. X 10 COMPR.

P-6L

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

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

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

Pret
amanuntul
maximal/UT
(RON)

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

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

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

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

Nr crt.

cod ATC

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

DCI

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

Denumire Comerciala

MEDOSTATIN

LOVASTATINA BIOGALENICA 20 mg

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

forma farm.

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

CAPS. PULB. MICRONIZATA


CAPS. PULB. MICRONIZATA

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

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

concentratie

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

Detinator APP

tara det.
APP

Ambalaj

MEDOCHEMIE LTD. CIPRU


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

Prescriptie

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

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

RANBAXY U.K. LIMITED

MAREA BRITANIE

LABORMED PHARMA S.A.

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

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


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

P-6L

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

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

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

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


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

FARAN LABORATORIES S.A.


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

ZENTIVA S.A.
N.V. ORGANON

GRECIA CUTIE X 1 TUB X 78 G


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

LAB. BESINS INTERNATIONAL

OLANDA
FRANTA

BAYER SCHERING PHARMA AG

GERMANIA

LAB. THERAMEX

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

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

P-RF

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

P-RF

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

CUTIE X 1 FIOLA X 4 ML SOL. INJ.

S/P-RF

LABORATOIRES BESINS INTERNATIONAL

MONACO
FRANTA

BAYER SCHERING PHARMA AG

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

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

P-6L

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

P-6L

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

Pagina 14 din 29

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

Pret
amanuntul
maximal/UT
(RON)

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

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

Nr crt.

cod ATC

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

DCI

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

Denumire Comerciala

forma farm.

KAMIREN (vezi G04CAN1)


KAMIREN (vezi G04CAN1)
KAMIREN (vezi G04CAN1)

COMPR.
COMPR.
COMPR.

CARDURA XL 4 mg (vezi G04CAN1)

COMPR. ELIB. MODIF.

CARDURA XL 4 mg (vezi G04CAN1)

COMPR. ELIB. MODIF.

KAMIREN XL 4 mg (vezi C02CA04)

COMPR. FILM. ELIB. PREL.

KAMIREN XL 4 mg (vezi C02CA04)

COMPR. FILM. ELIB. PREL.

LEMOD SOLU 125 mg


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

LIOF. PT. SOL. INJ.


LIOF. PT. SOL. INJ.

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

LIOF. + SOLV. PT. SOL. INJ.

HYDROCORTISONE 500 mg

LIOF. PT. SOL. INJ. + SOLV.

SOL. INJ. I.V.


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

COMPR. PT. DISPERSIE ORALA

COMPR. PT. DISPERSIE ORALA

COMPR. PT. DISPERSIE ORALA

COMPR. PT. DISPERSIE ORALA

AMOXICILINA SANDOZ 125 mg/5 ml PULBERE PENTRU SUSPENSIE ORALA

PULB. PT. SUSP. ORALA

OSPAMOX (R) 125 mg/5 ml


JULPHAMOX

PULB. PT. SUSP. ORALA

AMOXICILINA SANDOZ 250 mg/ 5 ml PULBERE PENTRU SUSPENSIE ORALA

PULB. PT. SUSP. ORALA

OSPAMOX 250 mg/5 ml


OSPEN (R) 1000
OSPEN (R) 1500

PULB. PT. SUSP. ORALA

PULB. PT. SUSP. ORALA

COMPR. FILM.
COMPR. FILM.

concentratie

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

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

Prescriptie

PFIZER EUROPE MA EEIG

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

P-6L

PFIZER EUROPE MA EEIG

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

P-6L

KRKA D.D. NOVO MESTO SLOVENIA

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

KRKA D.D. NOVO MESTO SLOVENIA

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

P-6L

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

S/P-RF

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

S/P-RF

STADA HEMOFARM S.R.L.


STADA HEMOFARM S.R.L.

MAGISTRA C&C S.R.L.

ARENA GROUP SA
MEDUMAN SA
SINTOFARM SA

GEDEON RICHTER ROMANIA SA

CN UNIFARM
STADA HEMOFARM S.R.L.

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


STADA HEMOFARM S.R.L.

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

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

ANTIBIOTICE SA

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


FARMEX COMPANY SRL
FARMEX COMPANY SRL

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

GULF PHARMACEUTICAL IND. (JUPHAR)

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

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

Pagina 15 din 29

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


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

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

P-RF

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

S/P-RF

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

P-RF

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

S/P-RF

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


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

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

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


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

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

P-RF
P-RF/S

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

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


P-RF

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

P-RF

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


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

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

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

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


ROMANIA

AUSTRIA
AUSTRIA
AUSTRIA

P-RF
P-RF

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

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


ROMANIA

AUSTRIA

P-6L

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

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

P-RF

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

P-RF

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


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

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

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

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

Pret
amanuntul
maximal/UT
(RON)

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

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

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

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

Nr crt.

cod ATC

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

DCI

Denumire Comerciala

PHENOXYMETHYLPENICILLINUM OSPEN (R) 500


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

758 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

AUGMENTIN SR 1000 mg/62,5 mg

766 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

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

767 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

AMOKSIKLAV QUICKTAB 1000 mg

768 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

AMOKSIKLAV QUICKTAB 625 mg

759 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM


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

770 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

MEDOCLAV 156,25 mg/5 ml


AMOKSIKLAV 156,25mg/5ml

771 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

MEDOCLAV FORTE 312,5mg/5ml

769 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

forma farm. concentratie


Detinator APP
COMPR. FILM. 500000ui
SANDOZ GMBH

SIROP

PULB. PT. SUSP. INJ.


PULB. PT. SUSP. INJ.

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

COMPR. ELIB. PREL.

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

COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE

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

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

LEK PHARMACEUTICALS D.D.

LEK PHARMACEUTICALS D.D.

125mg+31,25/5ml

MEDOCHEMIE LTD. CIPRU

156,25mg/5ml

LEK PHARMACEUTICALS D.D.

PULB. PT. SUSP. ORALA

250mg+62,5mg/5ml

PULB. PT. SUSP. ORALA

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

PULB. PT. SUSP. ORALA

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

SLOVENIA
SLOVENIA

790 J01DB01
791 J01DB01

SLOVENIA

MEDOCHEMIE LTD. CIPRU

777 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

789 J01DB01

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

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

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

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

P-RF

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


P-RF

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

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

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

PULB. PT. SUSP. ORALA

778 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

788 J01DB01

P-RF

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

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

PULB. PT. SUSP. ORALA

AUGMENTIN BIS 400 mg/57 mg/5 ml

787 J01DB01

P-RF

P-RF
P-RF

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

776 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

786 J01DB01

P-RF

875mg/125mg ANTIBIOTICE S.A.


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

PULB. PT. SUSP. ORALA

785 J01DB01

P-RF

P-RF

625mg

AUGMENTIN BIS 400 mg/57 mg/5 ml

784 J01DB01

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


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

MAREA BRITANIE

775 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

783 J01DB01

S/P-RF

500mg/125mg BEECHAM GROUP PLC

400mg/57mg/5ml SMITHKLINE BEECHAM PLC

782 J01DB01

P-RF

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

P-RF

PULB. PT. SUSP. ORALA

781 J01DB01

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

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


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

ANTIBIOTICE S.A.

AUGMENTIN BIS 400 mg/57 mg/5 ml

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

P-RF

MAREA BRITANIE

500/125mg

774 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

780 J01DB01

Prescriptie

P-RF

500 mg/125 mg RANBAXY UK LIMITED

AMOKSIKLAV 2x
AMOKSIKLAV 2x

779 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

MAREA BRITANIE

MEDOCHEMIE LTD. CIPRU

773 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

772 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

Ambalaj

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


AUSTRIA CUTIE X 1 FLACON X 60ML

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

1000mg/62,5mg BEECHAM GROUP PLC

1000mg
1000mg

tara det.
APP

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

P-RF

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

P-RF

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

P-RF

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

P-RF

MAREA BRITANIE

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

P-RF

400mg/57mg/5ml SMITHKLINE BEECHAM PLC

MAREA BRITANIE

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

P-RF

PULB. PT. SUSP. ORALA

400mg/57mg/5ml SMITHKLINE BEECHAM PLC

MAREA BRITANIE

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

P-RF

AUGMENTIN (R) ES

PULB. PT. SUSP. ORALA

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

ENHANCIN 250 mg/ 62,5 mg/5 ml

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

AMOKSIKLAV 312,5mg/5ml

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

CEFALEXINA ARENA 250 mg CAPS.

CEFALEXIN SANDOZ 125 mg/5 ml GRANULE PENTRU SUSPENSIE ORALA

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

P-RF

RANBAXY UK LIMITED

MAREA BRITANIE

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

P-RF

LEK PHARMACEUTICALS D.D.

SLOVENIA

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

P-RF

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

Pagina 16 din 29

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


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

AUSTRIA
AUSTRIA
ISLANDA
AUSTRIA

ROMANIA

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

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

P-RF

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

P-RF

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

P-RF

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

P-RF

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

P-RF

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

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

Pret
amanuntul
maximal/UT
(RON)

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

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

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

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

Nr crt.

cod ATC

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

DCI

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

Denumire Comerciala

forma farm.

KEFLEX (R) 250 mg/5 ml

GRAN. PT. SUSP. ORALA

CEFALEXIN SANDOZ 250 mg/5 ml GRANULE PENTRU SUSPENSIE ORALA

GRAN. PT. SUSP. ORALA

OSPEXIN (R) 250 mg/5 ml


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

CEROXIM 500 mg
CEFUROXIMA ANTIBIOTICE 500 mg
CEFUROXIMA ANTIBIOTICE 500 mg

AXYCEF (R) 125


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

CEFACLOR TERAPIA 250 mg


CECLODYNE FORTE 500 mg

CLORACEF (R) FORTE 500


CEFACLOR ARENA 500 mg

CEFACLOR TERAPIA 500 mg

CECLOR MR 500 mg
CECLOR MR 750 mg

CEFACLOR TERAPIA MR 375


CEFACLOR TERAPIA MR 750

CECLODYNE (R) MR 375 mg


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

CECLODYNE 125 mg/5 ml

CEFACLOR TERAPIA 250mg/5ml


CEFACLOR TERAPIA 250mg/5ml

CECLOR (R) 250 mg/5 ml


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

GRAN. PT. SUSP. ORALA

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

GRAN. SUSP. ORALA

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

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

PULB. PT. SUSP. ORALA

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

COMPR. ELIB. PREL.


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

GRAN. PT. SUSP. ORALA


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

PULB. PT. SUSP. ORALA


PULB. PT. SUSP. ORALA

concentratie

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

Detinator APP

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

tara det.
APP

ISLANDA

ROMANIA

AUSTRIA

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
MAREA BRITANIE

Ambalaj

Prescriptie

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

P-RF

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

P-RF

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

P-RF

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


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

P-RF

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

P-RF
P-RF
P-RF

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


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

P-RF

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

P-RF

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

ANTIBIOTICE S.A.
ANTIBIOTICE S.A.

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


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

RANBAXY U.K. LIMITED

MAREA BRITANIE

P-RF
P-RF

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

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

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

GLAXOWELLCOME UK LTD.

MAREA BRITANIE

GLAXOWELLCOME UK LTD.

MAREA BRITANIE

GLAXOWELLCOME UK LTD.

MAREA BRITANIE

CUTIE X 1 BLIST. X 10 COMPR. FILM.


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

GLAXO WELLCOME UK LTD.

MAREA BRITANIE

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

P-RF

MAREA BRITANIE

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

P-RF

MAREA BRITANIE

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

P-RF

RANBAXY UK LIMITED
RANBAXY UK LIMITED

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

P-RF

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

CUTIE X 1 BLIST. X 10 COMPR. ACOPERITE


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

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

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

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

DAR AL DAWA PHARMA S.R.L.

STADA HEMOFARM S.R.L.

Pagina 17 din 29

ROMANIA
ROMANIA

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

P-RF

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

P-RF

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

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

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

Pret
amanuntul
maximal/UT
(RON)

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

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

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

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

Nr crt.

cod ATC

842 J01DC04
843 J01DC04
844 J01DD08
845 J01DD08

DCI

CEFACLORUM
CEFACLORUM
CEFIXIMUM
CEFIXIMUM

846 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM


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

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

Denumire Comerciala

CLORACEF (R) 250


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

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

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

ERITROMICINA SANDOZ 200 mg COMPRIMATE

COMPR.
COMPR.
COMPR.

ERITROMICINA SANDOZ 200mg/5ml

PULB. PT. SUSP. ORALA

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

COMPR. CU ELIB. PREL.

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

COMPR. FILM. ELIB. PREL.


COMPR. FILM. ELIB. PREL.

GRAN. PT. SUSP. ORALA


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

LIOF. PT. SOL. PERF.

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

concentratie

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

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

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

Ambalaj

Prescriptie

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

P-RF

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

P-RF

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


CUTIE X 1 BLIST. AL/PVC X 10 CAPS.
P-RF
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SUSP. ORALA + MASURA DOZATOARE

P-RF

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

P-RF

CUTIE X 2 BLIST. X 10 COMPR.


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

P-RF
P-RF
P-RF
P-RF

ISLANDA CUTIE CU BLIST. PVC/PVDC//AL X 7 COMPR. CU ELIB. PREL. PRF


ABBOTT SPA
ITALIA
CUTIE X 1 BLIST. X 14 COMPR. FILM.
P-RF
LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 2 BLIST. X 7 COMPR. FILM.
P-RF
MEDICAROM GROUP S.R.L. ROMANIA CUTIE X 5 BLIST. X 4 COMPR. FILM.
P-RF
MEDOCHEMIE LTD. CIPRU
CUTIE X 2 BLIST. AL/PVC-PVDC X 7 COMPR. FILM. P-RF
TERAPIA SA
ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF
ACTAVIS GROUP PTC EHF.

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. P-RF
LEK PHARMACEUTICALS D.D.

SLOVENIA CUTIE X 2 BLIST. X 7 COMPR. FILM.

MEDOCHEMIE LTD. CIPRU


TERAPIA SA
ROMANIA
MEDICAROM GROUP S.R.L.

P-RF

CUTIE X 2 BLIST. AL/PVC-PVDC X 7 COMPR. FILM. P-RF


CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF

ROMANIA CUTIE X 5 BLIST. AL/PVC X 4 COMPR. FILM.

P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. P-RF

ANTIBIOTICE S.A.

ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

LEK PHARMACEUTICALS D.D.

SLOVENIA CUTIE X 1 FOLIE AL/AL X 5 COMPR. FILM. ELIB. MODIF.


SLOVENIA CUTIE X 1 FOLIE AL/AL X 7 COMPR. FILM. ELIB. MODIF.

P-RF

ROMANIA

CUTIE X 1 BLIST. PVC/PVDC-AL X 7 COMPR. FILM. ELIB. PREL.

P-RF

ABBOTT LABORATORIES LTD.

MAREA BRITANIE CUTIE X 1 BLIST. PVC-PVDC/AL X 5 COMPR. FILM. ELIB. PREL.

P-RF

KRKA D.D.
ABBOTT SPA
TERAPIA SA
ABBOTT SPA
KRKA D.D.
SANDOZ SRL
TERAPIA SA
SANDOZ SRL
TERAPIA SA
SANDOZ SRL
TERAPIA SA

SLOVENIA

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. ELIB. PREL.

P-RF

CUTIE X 1 FLACON PEID CU GRANULE PT. 100 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML

P-RF

LEK PHARMACEUTICALS D.D.

TERAPIA SA

ITALIA

ROMANIA

ITALIA

P-RF

CUTIE X 1 FLAC. DIN PEID X 70 G GRAN. PT. 100 ML SUSP . ORALA P-RF
CUTIE X 1 FLACON PEID CU GRANULE PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML

P-RF

SLOVENIA CUTIE X 1 FLAC. PULB. PT. 60 ML SUSP.

P-RF

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE X 1 FLAC. PEID CU 41 G GRANULE PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE PP

P-RF

CUTIE X 1 FLAC. DIN PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA

P-RF

CUTIE X 1 FLAC. DIN PEID CU 68,3 G GRANULE PT. 100 ML SUSP. ORALA + LINGURITA DOZATOARE PP

P-RF

CUTIE X 1 FLAC. PEID X 70 G GRAN. PT. 100 ML SUSP . ORALA

P-RF

CUTIE X 1 FLAC. DIN PEID CU 41 G GRANULE PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE PP

P-RF

CUTIE X 1 FLAC. PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA

P-RF

ABBOTT LABORATORIES LTD.

FRANTA CUTIE X 1 FLAC. LIOF. PT. SOL. PERF.

RANBAXY UK LIMITED

MAREA BRITANIE

CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.


ZENTIVA K.S.
CEHIA
CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.
ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.
ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM.

E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM.

S/P-RF

P-RF
P-RF
P-RF
P-RF
P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF

AC HELCOR SRL

Pagina 18 din 29

ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

1
1
10
10
20
20
20
20
1
1
20
20
20
1
7
14
14
20
14
14
14
14
14
14
20
14
20
5
7
7
5
7
1
1
1
1
1
1
1
1
1
1
1
10
10
10
20
10
10
10

21.40
16.53
21.56
34.77
7.72
4.13
7.04
7.72
8.20
4.76
7.09
9.60
8.44
11.46
32.05
28.57
32.23
22.99
16.69
14.67
16.69
37.95
32.62
32.08
44.36
32.62
43.35
18.38
25.73
35.21
36.43
28.09
39.14
31.60
24.48
23.30
26.21
18.94
61.52
51.09
44.85
31.68
53.78
11.36
20.02
37.31
65.61
6.83
6.83
6.83

Pret
amanuntul
maximal/UT
(RON)

21.400000
16.530000
2.156000
3.477000
0.386000
0.206500
0.352000
0.386000
8.200000
4.760000
0.354500
0.480000
0.422000
11.460000
4.578571
2.040714
2.302142
1.149500
1.192142
1.047857
1.192142
2.710714
2.330000
2.291428
2.218000
2.330000
2.167500
3.676000
3.675714
5.030000
7.286000
4.012857
39.140000
31.600000
24.480000
23.300000
26.210000
18.940000
61.520000
51.090000
44.850000
31.680000
53.780000
1.136000
2.002000
3.731000
3.280500
0.683000
0.683000
0.683000

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

19.807875
15.846300
1.752525
3.477000
0.284062
0.206500
0.284062
0.284062
3.853125
4.760000
0.354500
0.429171
0.422000
11.460000
2.145855
1.072927
1.072927
1.072927
1.072927
1.047857
1.072927
2.145855
2.145855
2.145855
2.145855
2.145855
2.145855
2.145855
2.145855
2.145855
2.145855
2.145855
28.410000
28.410000
17.046000
17.046000
17.046000
17.046000
56.820000
51.090000
34.092000
31.680000
25.576250
1.136000
1.189800
0.237960
0.237960
0.594900
0.594900
0.594900

17.827087
14.261670
1.577272
3.129300
0.255656
0.185850
0.255656
0.255656
3.467812
4.284000
0.319050
0.386254
0.379800
10.314000
1.931270
0.965635
0.965635
0.965635
0.965635
0.943071
0.965635
1.931270
1.931270
1.931270
1.931270
1.931270
1.931270
1.931270
1.931270
1.931270
1.931270
1.931270
25.569000
25.569000
15.341400
15.341400
15.341400
15.341400
51.138000
45.981000
30.682800
28.512000
23.018625
1.022400
1.070820
0.214164
0.214164
0.535410
0.535410
0.535410

Nr crt.

cod ATC

892 J01MA02
893 J01MA02
894 J01MA02
895 J01MA02
896 J01MA02
897 J01MA02
898 J01MA02
899 J01MA02
900 J01MA02
901 J01MA02
902 J01MA02
903 J01MA02
904 J01MA02
905 J01MA02
906 J01MA02
907 J01MA02
908 J01MA02
909 J01MA02
910 J01MA02
911 J01MA02
912 J01MA02
913 J01MA02
914 J01MA03
915 J01MA06
916 J01MA06
917 J01MA06
918 J01MA06
919 J01MA06
920 J01MA06
921 J01MB02
922 J01XD01
923 J01XD01
924 J01XD01
925 J01XD01
926 J01XD01
927 J01XD01
928 J01XD01
929 J01XD01
930 J01XD01
931 J01XD01
932 J01XD01
933 J01XD01
934 J01XD01
935 J02AB02
936 J02AB02
937 J02AB02
938 J02AB02
939 J02AB02
940 J02AC01
941 J02AC01

DCI

CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
PEFLOXACINUM
NORFLOXACINUM
NORFLOXACINUM
NORFLOXACINUM
NORFLOXACINUM
NORFLOXACINUM
NORFLOXACINUM
ACIDUM NALIDIXICUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
KETOCONAZOLUM
KETOCONAZOLUM
KETOCONAZOLUM
KETOCONAZOLUM
KETOCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM

Denumire Comerciala

CUMINOL 250 mg
CUMINOL 250 mg

CIPROFLOXACINA ALKALOID 250 mg

CIFRAN
CIPROFLOXACINA ARENA 250 mg
CIPROFLOXACINA ARENA 250 mg

ALVEBAR 250 mg
CIPRINOL 500 mg
CIPROCIN 500 mg
CIPROLEN (R) 500 mg
CUMINOL 500 mg

CIPROFLOXACINA ALKALOID 500 mg

CIFRAN
CIPRO QUIN (R)
CIPRODAR
CIPROFLOXACINA ARENA 500 mg
CIPROFLOXACINA ARENA 500 mg

ALVEBAR 500 mg
CIPRINOL 750 mg

CIPROFLOXACINA ARENA 750 mg

CIPROBAY XR 1000 mg
CIPROBAY XR 500 mg
PEFLOXACIN LAROPHARM
H - NORFLOXACIN 400 mg
NORFLOXACINA LPH 400 mg
NORFLOX - 400
NOLICIN 400 mg
EPINOR
NOR QUIN 400 mg
NALIXID 500 mg

METRONIDAZOL ARENA 250 mg (J01XD01)


METRONIDAZOL ARENA 250 mg (J01XD01)

FLAGYL ( vezi J01XD01)


FLAGYL ( vezi J01XD01)
METRONIDAZOL A 5 g/l
METRONIDAZOL A 5 g/l
METRONIDAZOL B 5 g/l
METRONIDAZOL B 5 g/l

forma farm.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM. ELIB. PREL.
COMPR. FILM. ELIB. PREL.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

CAPS.
COMPR.
COMPR.

COMPR. FILM.
COMPR. FILM.

SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
METRONIDAZOL BRAUN 5mg/ml SOL. PERF.
METRONIDAZOL BRAUN 5mg/ml SOL. PERF.
METRONIDAZOL BRAUN 5mg/ml SOL. PERF.
FLAGYL 4 % (J01XD01)
SUSP. ORALA
FLAGYL 4 % (J01XD01)
SUSP. ORALA
NIZORAL 200 mg
COMPR.
KETOCONAZOL 200 mg
COMPR.
KETOCONAZOL 200 mg
COMPR.
KETOSTIN 200 mg
COMPR.
KETOCONAZOL ARENA 200 mg COMPR.
DIFLAZON 100 mg
CAPS.
FLUCOVIM 100
CAPS.

concentratie

250mg
250mg
250mg
250mg
250mg
250mg
250mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
750mg
750mg
1000 mg
500 mg
400mg
400mg
400mg
400mg
400mg
400mg
400mg
500mg
250mg
250mg
250mg
250mg
5g/l
5g/l
5g/l
5g/l
5mg/ml
5mg/ml
5mg/ml
4%
4%
200mg
200mg
200mg
200mg
200mg
100mg
100mg

ALKALOID D.O.O.

tara det.
APP
Ambalaj
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM.
SLOVENIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 COMPR. FILM.

RANBAXY UK LIMITED

MAREA BRITANIE

Detinator APP
GEDEON RICHTER ROMANIA SA
GEDEON RICHTER ROMANIA SA

Prescriptie

P-RF
P-RF
P-RF

CUTIE X 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. P-RF

ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.


ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

DR. REDDY'S LABORATORIES

P-RF

ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF

E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM.


ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.

AC HELCOR SRL

P-RF
P-RF
P-RF

ALKALOID D.O.O.

SLOVENIA

CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 COMPR. FILM. P-RF

RANBAXY UK LIMITED

MAREA BRITANIE

CUTIE X 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. P-RF

ANTIBIOTICE SA

ROMANIA
DAR AL DAWA PHARMA S.R.L. ROMANIA
ARENA GROUP S.A. ROMANIA
ARENA GROUP S.A. ROMANIA
DR. REDDY'S LABORATORIES ROMANIA

CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

CUTIE X 1 BLIST. X 10 COMPR. FILM.

P-RF

CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.


CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM.
CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF
P-RF
P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF

ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

BAYER HEALTHCARE AG GERMANIA CUTIE X 1 BLIST. DIN PP/AL X 7 COMPR. FILM. ELIB. PREL.

P-RF

BAYER HEALTHCARE AG GERMANIA CUTIE X 1 BLIST. DIN PP/AL X 3 COMPR. FILM. ELIB. PREL. P-RF

LAROPHARM S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.


AC HELCOR SRL
ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

P-RF

CIPLA (UK) LIMITED

P-RF

P-RF

LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF


MAREA BRITANIE

CUTIE X 1 BLIST. X 10 COMPR. FILM.

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF

E.I.P.I.CO. MED S.R.L. ROMANIA


ANTIBIOTICE S.A.
ROMANIA
ZENTIVA SA
ROMANIA
ARENA GROUP SA ROMANIA
ARENA GROUP SA ROMANIA

FRANTA
LABORATOIRE AVENTIS FRANTA
LABORATOIRE AVENTIS

INFOMED FLUIDS SRL


INFOMED FLUIDS SRL
INFOMED FLUIDS SRL
INFOMED FLUIDS SRL

ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE X 2 BLIST. X 7 COMPR. FILM.

P-RF

CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM.

P-RF/S

CUTIE X 3 BLIST. AL/PVC X 10 CAPS.


CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P-RF
P-RF
P-RF

CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF


CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF

CUTIE X 12 FLACOANE X 200 ML


CUTIE X 1 FLACON X 200 ML
CUTIE X 12 FLACOANE X 200 ML
CUTIE X 1 FLACON X 200 ML

S/P-RF
S/P-RF
S/P-RF
S/P-RF

B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF.

S/P-RF

B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. DIN PEJD X 100 ML SOL. PERF.

S/P-RF

B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FLAC. DIN PEJD X 100 ML SOL. PERF.

S/P-RF

LABORATOIRE AVENTIS

P-RF

FRANTA CUTIE X 1 FLACON X 120 ML SUSP. ORALA + LINGURITA DOZATOARE X 5 ML


LABORATOIRE AVENTIS FRANTA CUTIE X 1 FLACON X 120 ML SUSP. ORALA + LINGURITA DOZATOARE X 5 ML
TERAPIA SA
ROMANIA CUTIE X 1 BLIST. X 10 COMPR.
MAGISTRA C & C
ROMANIA CUTIE X 1 BLIST. X 10 COMPR.
SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR.
AC HELCOR SRL
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR.
ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR.
KRKA D.D.
SLOVENIA CUTIE X 4 BLIST. X 7 CAPS.
VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS.

Pagina 19 din 29

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

10
6.83
20 12.30
10
7.87
10
6.93
10
6.56
20 12.30
10
4.76
10 13.22
10 13.22
10 13.22
10 13.22
10 15.12
10
8.78
10 13.22
10 13.22
10
9.23
20 16.43
10
6.49
10 38.50
10 37.31
7 84.70
3 27.63
10 27.86
20 17.60
20 15.73
10
6.19
20 17.60
14
7.70
20 17.60
30 24.41
30
7.72
30
7.72
20
8.40
20
8.40
12 100.25
1
9.11
12 98.29
1
8.91
10 48.92
10 48.37
20 278.47
1
7.95
1
7.95
10 20.48
10
8.03
10
6.87
10 12.62
10
9.17
28 236.41
4 25.61

Pret
amanuntul
maximal/UT
(RON)

0.683000
0.615000
0.787000
0.693000
0.656000
0.615000
0.476000
1.322000
1.322000
1.322000
1.322000
1.512000
0.878000
1.322000
1.322000
0.923000
0.821500
0.649000
3.850000
3.731000
12.100000
9.210000
2.786000
0.880000
0.786500
0.619000
0.880000
0.550000
0.880000
0.813666
0.257333
0.257333
0.420000
0.420000
8.354166
9.110000
8.190833
8.910000
4.892000
4.837000
13.923500
7.950000
7.950000
2.048000
0.803000
0.687000
1.262000
0.917000
8.443214
6.402500

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

0.594900
0.594900
0.594900
0.594900
0.594900
0.594900
0.476000
1.189800
1.189800
1.189800
1.189800
1.189800
0.878000
1.189800
1.189800
0.923000
0.821500
0.594900
1.784700
1.784700
2.379600
1.189800
1.189800
0.660875
0.660875
0.619000
0.660875
0.550000
0.660875
0.813666
0.257333
0.257333
0.341399
0.341399
8.354166
8.632083
8.190833
8.632083
4.316041
4.316041
4.316041
7.950000
7.950000
0.803000
0.803000
0.687000
0.803000
0.803000
4.127784
4.127784

0.535410
0.535410
0.535410
0.535410
0.535410
0.535410
0.428400
1.070820
1.070820
1.070820
1.070820
1.070820
0.790200
1.070820
1.070820
0.830700
0.739350
0.535410
1.606230
1.606230
2.141640
1.070820
1.070820
0.594787
0.594787
0.557100
0.594787
0.495000
0.594787
0.732299
0.231599
0.231599
0.307259
0.307259
7.518749
7.768874
7.371749
7.768874
3.884437
3.884437
3.884437
7.155000
7.155000
0.722700
0.722700
0.618300
0.722700
0.722700
3.715005
3.715005

Nr crt.

cod ATC

942 J02AC01
943 J02AC01
944 J02AC01
945 J02AC01
946 J02AC01
947 J02AC01
948 J02AC01
949 J02AC01
950 J02AC01
951 J02AC01
952 J02AC01
953 J02AC01
954 J02AC01
955 J02AC01
956 J02AC01
957 J02AC01
958 J02AC01
959 J02AC01
960 J02AC01
961 J02AC01
962 J02AC01
963 J02AC01
964 J02AC01
965 J02AC01
966 J02AC01
967 J02AC01
968 J02AC01
969 J02AC01
970 J02AC01
971 J02AC01
972 J02AC01
973 J02AC01
974 J02AC01
975 J02AC01
976 J02AC01
977 J02AC01
978 J02AC01
979 J02AC01
980 J05AB01
981 J05AB01
982 J05AB01
983 J05AB01
984 J05AB01
985 J05AB01
986 J05AB01
987 J05AB01
988 J05AB01
989 J05AB01
990 J05AB01
991 L02BG01

DCI

FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
AMINOGLUTETHIMIDUM

Denumire Comerciala

FLUCORIC 100 mg
FUNGOLON 100 mg

forma farm.

CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.

concentratie

100mg
100mg
FLUCONAZOLE TEVA 100 mg
100mg
FLUCONAZOLE TEVA 100 mg
100mg
DIFLAZON 150 mg
150mg
FLUCOVIM 150
150mg
DIFLUCAN 150 mg
150mg
FLUCORIC 150 mg
150mg
FLUCONAZOL SANDOZ (R) 150
150mg
FLUCONAZOLE TEVA 150 mg
150mg
FLUCONAZOL 150 mg
150mg
FLUCONAZOL MEDOCHEMIE 150 mg
150mg
FLUCONAZOL BIOGALENICA 150 mg
150mg
FLUCONAZOL ARENA 150 MG
150mg
FLUCONAZOL 150 mg
150mg
MYCOSYST 150 mg
150mg
FLUCONAZOL ACTAVIS 150 mg
150mg
MYCOMAX 150
150mg
FLUCONAZOL LPH 150 mg
150mg
FLUCONAZOLE TEVA 200 mg
200mg
DIFLAZON 50 mg
50mg
FLUCOVIM 50
50mg
DIFLUCAN 50 mg
50mg
FLUCORIC 50 mg
50mg
FLUCONAZOL SANDOZ (R) 50
50mg
FUNGOLON 50 mg
50mg
FLUCONAZOL 50 mg
50mg
FLUCONAZOLE TEVA 50 mg
50mg
FLUCONAZOL 50 mg
50mg
FLUCONAZOL MEDOCHEMIE 50 mg
50mg
FLUCONAZOL BIOGALENICA 50 mg
50mg
FLUCONAZOL ARENA 50 MG
50mg
FLUCONAZOL OZONE 50 mg
50mg
FLUCONAZOL LPH 50 mg
50mg
DIFLUCAN (R) 50 mg/5 ml
PULB. PT. SUSP. ORALA 50mg/5ml
DIFLAZON 2mg/ml
SOL. PERF. 2mg/ml
DIFLUCAN (R)
SOL. PERF. 2mg/ml
DIFLUCAN (R)
SOL. PERF. 2mg/ml
ACICLOVIR 200 mg
CAPS.
200mg
ACICLOVIR ARENA 200 mg CAPS.
200mg
ACICLOVIR FARMEX 200 mg CAPS.
200mg
ACICLOVIR ARENA 400 mg CAPS.
400mg
ACICLOVIR TERAPIA 200 mg COMPR.
200mg
ACICLOVIR 200 mg
COMPR.
200mg
CLOVIRAL 200 mg
COMPR.
200mg
ACICLOVIR 200 mg
COMPR.
200mg
ACICLOVIR 200 mg
COMPR.
200mg
ACICLOVIR 400 mg
COMPR.
400mg
VIROLEX
PULB. PT. SOL. INJ./PERF. 250mg
ROGLUTEN (R) 250 mg
COMPR.
250mg

Detinator APP

TERAPIA SA

BALKANPHARMA RAZGRAD AD
TEVA PHARMACEUTICALS S.R.L.
TEVA PHARMACEUTICALS S.R.L.

tara det.
APP
Ambalaj
ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

BULGARIA CUTIE X 2 BLIST. PVC/AL X 8 CAPS.

ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 2 CAPS.


ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

KRKA D.D.
SLOVENIA CUTIE X 1 BLIST. X 1 CAPS.
VIM SPECTRUM SRL ROMANIA CUTIE X 1 FLAC. X 1 CAPS.
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 1 CAPS.
TERAPIA SA
ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS.
SANDOZ SRL
GERMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

ROMANIA
SLAVIA PHARM SRL ROMANIA
MEDOCHEMIE ROMANIA SRL ROMANIA
LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA
ARENA GROUP SA ROMANIA
OZONE LABORATORIES PHARMA S.A. ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
TEVA PHARMACEUTICALS S.R.L.

ACTAVIS GROUP PTC EHF.

ZENTIVA K.S.
LABORMED PHARMA S.A.
TEVA PHARMACEUTICALS S.R.L.

CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.


CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.

CUTIE X 4 BLIST. AL/PVC X 1 CAPS.

ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS.


MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

ROMANIA
ARENA GROUP SA ROMANIA
OZONE LABORATORIES PHARMA S.A. ROMANIA
LABORMED PHARMA S.A. ROMANIA

LABORATOARELE PROF.DR.MORAIT S.R.L.

PFIZER EUROPE MA EEIG

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

ISLANDA CUTIE CU 1 BLIST. PVC-PVDC/AL X 1 CAPS. PRF


CEHIA
CUTIE X 1 BLIST. AL/PVC X 1 CAPS.
P-RF
ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF

KRKA D.D.
SLOVENIA CUTIE X 1 BLIST. X 7 CAPS.
VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS.
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 7 CAPS.
TERAPIA SA
ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS.
SANDOZ SRL
ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS.
BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 1 BLIST. PVC/AL X 8 CAPS.
ANTIBIOTICE S.A.
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS.
TEVA PHARMACEUTICALS S.R.L.

Prescriptie

P-RF

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

CUTIE CU 1 BLIST. PVC/AL X 7 CAPS.

MAREA BRITANIE CUTIE X 1 FLAC. PEID PULB. PT. 35 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 5 ML

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

PRF
P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML

S/PR-F

PFIZER EUROPE MA EEIG

MAREA BRITANIE

S/P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

SLAVIA PHARM SRL ROMANIA


ARENA GROUP SA ROMANIA

CUTIE X 1 FLACON X 200 ML


CUTIE X 1 FLACON X 50 ML
CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
CUTIE CU 2 BLIST. PVC/AL X 10 CAPS.
CUTIE X 1 BLIST. AL/PVC X 10 CAPS.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL./PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

ROMANIA
ARENA GROUP S.A. ROMANIA
TERAPIA SA
ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
ANTIBIOTICE SA
ROMANIA
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR.
LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 5 COMPR.
FARMEX COMPANY S.R.L.

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 5 FLAC. X 250 MG PULB. PT. SOL. INJ./PERF.

ACTAVIS S.R.L.

Pagina 20 din 29

ROMANIA CUTIE X 1 FLAC. X 40 COMPR.

S/P-RF

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
S/P-RF

P-RF

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

Pret
amanuntul
maximal/UT
(RON)

7 43.36
6.194285
16 82.66
5.166250
2
9.43
4.715000
7 31.51
4.501428
1 22.51 22.510000
1
9.94
9.940000
1 25.08 25.080000
1 18.86 18.860000
1 14.58 14.580000
1
6.59
6.590000
1
9.68
9.680000
1
8.20
8.200000
1
6.59
6.590000
1
9.03
9.030000
1
9.94
9.940000
4 63.10 15.775000
1 10.06 10.060000
1 12.53 12.530000
1
9.94
9.940000
7 39.37
5.624285
7 61.72
8.817142
7 22.56
3.222857
7 56.54
8.077142
7 29.61
4.230000
7 41.93
5.990000
8 19.04
2.380000
10 25.52
2.552000
7 16.69
2.384285
7 19.58
2.797142
7 16.15
2.307142
7 15.76
2.251428
7 19.12
2.731428
7 22.56
3.222857
7 22.56
3.222857
1 56.54 56.540000
1 45.82 45.820000
1 162.58 162.580000
1 40.53 40.530000
20 20.23
1.011500
20 21.42
1.071000
20 21.42
1.071000
10 19.48
1.948000
20 17.15
0.857500
20 17.23
0.861500
20 16.44
0.822000
20 13.81
0.690500
20 13.00
0.650000
10 19.23
1.923000
5 282.97 56.594000
40 151.38
3.784500

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

4.127784
4.127784
4.127784
4.127784
6.191676
6.191676
6.191676
6.191676
6.191676
6.191676
6.191676
6.191676
6.191676
6.191676
6.191676
6.191676
6.191676
6.191676
6.191676
5.624285
2.063892
2.063892
2.063892
2.063892
2.063892
2.063892
2.063892
2.063892
2.063892
2.063892
2.063892
2.063892
2.063892
2.063892
14.447245
38.999700
77.999400
19.499850
0.736123
0.736123
0.736123
1.472247
0.736123
0.736123
0.736123
0.690500
0.650000
1.472247
56.594000
3.784500

3.715005
3.715005
3.715005
3.715005
5.572508
5.572508
5.572508
5.572508
5.572508
5.572508
5.572508
5.572508
5.572508
5.572508
5.572508
5.572508
5.572508
5.572508
5.572508
5.061856
1.857502
1.857502
1.857502
1.857502
1.857502
1.857502
1.857502
1.857502
1.857502
1.857502
1.857502
1.857502
1.857502
1.857502
13.002520
35.099730
70.199460
17.549865
0.662511
0.662511
0.662511
1.325022
0.662511
0.662511
0.662511
0.621450
0.585000
1.325022
50.934600
3.406050

Nr crt.

cod ATC

992 M01AB01
993 M01AB01
994 M01AB01
995 M01AB01
996 M01AB01
997 M01AB01
998 M01AB05
999 M01AB05
1000

M01AB05

1001

M01AB05

1002

M01AB05

1003

M01AB05

1004

M01AB05

1005

M01AB05

1006

M01AB05

1007

M01AB05

1008

M01AB05

1009

M01AB05

1010

M01AB05

1011

M01AB05

1012

M01AB05

1013

M01AB05

1014

M01AB05

1015

M01AB05

1016

M01AB05

1017

M01AB05

1018

M01AB05

1019

M01AB05

1020

M01AB05

1021

M01AB05

1022

M01AB05

1023

M01AB05

1024

M01AB05

1025

M01AB05

1026

M01AB05

1027

M01AB05

1028

M01AB15

1029

M01AB15

1030

M01AB15

1031

M01AB15

1032

M01AB16

1033

M01AC02

1034

M01AC02

1035

M01AC02

1036

M01AC02

1037

M01AC02

1038

M01AC06

1039

M01AC06

1040

M01AC06

1041

M01AC06

DCI

INDOMETACINUM
INDOMETACINUM
INDOMETACINUM
INDOMETACINUM
INDOMETACINUM
INDOMETACINUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
KETOROLACUM TROMETHAMIN
KETOROLACUM TROMETHAMIN
KETOROLACUM TROMETHAMIN
KETOROLACUM TROMETHAMIN
ACECLOFENACUM
TENOXICAMUM
TENOXICAMUM
TENOXICAMUM
TENOXICAMUM
TENOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM

Denumire Comerciala

forma farm.

CAPS.
INDOMETACIN ARENA 25 MG CAPS.
INDOMETACIN ARENA 50 MG CAPS.
INDOMETACIN 50 mg
SUPOZ.
INDOMETACIN 50 mg
SUPOZ.
INDOMETACIN 50 mg
SUPOZ.
DICLOREUM 150 mg
CAPS. ELIB. PREL.

INDOMETACIN LAROPHARM 25 mg

DICLOFENAC DUO PHARMASWISS 75 mg CAPS. ELIB. PREL.

TRATUL 50
DICLAC (R) 75 ID
VOLTAREN (R) RETARD
REFEN (R) RETARD
DICLOTARD (R) 100 mg
RHEUMAVEK
VOLTAREN (R) 50
DICLOFENAC 50 mg
CLAFEN 50 mg
DICLOFENAC 50 mg
VOLTAREN RAPID (R)
DICLOFENAC ARENA 25 mg
N - DICLOFENAC
DICLOFENAC ARENA 50 mg
DICLOFENAC ARENA 50 mg
VOLTAREN (R)
RHEUMAVEK
TRATUL (R)
DICLAC
DICLOFENAC 75 mg
DICLOFENAC AL I.M.
DICLOFENAC AL I.M.
REFEN 75 mg
CLAFEN 100 mg
VOLTAREN (R)
DICLOFENAC 100 mg
DICLOFENAC SODIC 100 mg
VOLTAREN (R)
KETOROL
KETANOV 10 mg
KETANOV
KETOROL
AFLAMIL 100mg
TENOXICAM LPH 20 mg
TENOXICAM 20 mg
TENOXICAM ARENA 20 mg
NEO - ENDUSIX (R)
NEO - ENDUSIX (R)
MOVALIS (R) 15 mg
MOVALIS (R) 15 mg
MELOXICAM LPH 15 mg
MELOXICAM SANDOZ 15 mg

CAPS. MOI GASTROREZ.

COMPR. ELIB. MODIF.


COMPR. FILM. ELIB. PREL.
COMPR. FILM. ELIB. PREL.
COMPR. FILM. ELIB. PREL.
COMPR. FILM. GASTROREZ.
COMPR. FILM. GASTROREZ.
COMPR. FILM. GASTROREZ.
COMPR. FILM. GASTROREZ.
COMPR. FILM. GASTROREZ.

DRAJ.
DRAJ. GASTROREZ.
DRAJ. GASTROREZ.
DRAJ. GASTROREZ.
DRAJ. GASTROREZ.

SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ./PERF.

SUPOZ.
SUPOZ.
SUPOZ.
SUPOZ.
SUPOZ.

COMPR. FILM.
COMPR. FILM.

SOL. INJ.
SOL. INJ.

COMPR. FILM.

CAPS.
COMPR.
COMPR.

COMPR. FILM.
LIOF. + SOLV. PT. SOL. INJ.

COMPR.
COMPR.
COMPR.
COMPR.

concentratie

25mg
25mg
50mg
50mg
50mg
50mg
150mg
75mg
50mg
75mg
100mg
100mg
100mg
25mg
50mg
50mg
50mg
50mg
50mg
25mg
50mg
50mg
50mg
25mg/ml
25mg/ml
30mg/ml
75mg
75mg/3ml
75mg/3ml
75mg/3ml
25mg/ml
100mg
100mg
100mg
100mg
50mg
10mg
10mg
30mg/ml
30mg/ml
100mg
20mg
20mg
20mg
20mg
20mg
15mg
15mg
15mg
15mg

Detinator APP

LAROPHARM SRL
ARENA GROUP SA
ARENA GROUP SA
ANTIBIOTICE SA
SINTOFARM SA
MAGISTRA C & C
ALFA WASSERMANN SPA
PHARMASWISS CESKA REPUBLIKA S.R.O.

GEROT PHARMAZEUTIKA GMBH

HEXAL AG

tara det.
APP
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

ITALIA
CEHIA
AUSTRIA

TERAPIA SA
FARAN LABORATORIES S.A.

Prescriptie

P-6L
P-6L
P-6L

CUTIE X 2 FOLII TERMOSUDATE AL-PE X 3 SUPOZ. P-6L

CUTIE X 2 FOLII PVC/PE X 5 SUPOZ.

P-6L

CUTIE X 2 FOLII TERMOSUDATE PVC/PE X 5 SUPOZ. P-6L

CUTIE X 2 BLIST. AL/PVC X 10 CAPS. ELIB. PREL. P-6L


CUTIE X 3 BLIST. PVC/PVDC/AL X 10 CAPS. ELIB. PREL. P-6L
CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS. MOI GASTROREZ.

P-6L

GERMANIA CUTIE X 1 BLIST. AL/PP X 10 COMPR. ELIB. MODIF. P-6L

NOVARTIS PHARMA GMBH GERMANIA

STADA HEMOFARM S.R.L.

Ambalaj

CUTIE X 2 BLIST. PVC/AL X 10 CAPS.


CUTIE X 3 BLIST. AL/PVC X 10 CAPS.
CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

ROMANIA
ROMANIA

GRECIA

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 1 BLIST. PVC-PE-PVDC/AL. X 10 COMPR. FILM. ELIB. PREL.

P-6L

CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L


CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL P-6L
CUTIE X 3 BLIST. PVC-AL/PVDC X 10 COMPR. FILM. GASTROREZ.

P-6L

CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. GASTROREZ.

P-6L

TERAPIA SA
ANTIBIOTICE SA

ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ. P-6L


ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM. GASTROREZ. P-6L
AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ. P-6L
NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 10 DRAJ.

ARENA GROUP SA
MEDUMAN SA
ARENA GROUP SA
ARENA GROUP SA

ROMANIA
ROMANIA
ROMANIA
ROMANIA

P-6L

CUTIE X 3 BLIST. AL/PVC X 10 DRAJ. GASTROREZ.

P-6L

CUTIE X 1 FLAC. PE X 20 DRAJ. GASTROREZ.

P-6L

CUTIE X 2 BLIST. AL/PVC X 10 DRAJ GASTROREZ. P-6L


CUTIE X 1 BLIST. AL/PVC X 30 DRAJ GASTROREZ. P-6L

NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 FIOLE CU PUNCT DE RUPERE X 3 ML P-RF


FARAN LABORATORIES S.A.
GEROT PHARMAZEUTIKA GMBH

HEXAL AG
TERAPIA SA

GRECIA
AUSTRIA

GERMANIA

ROMANIA

ALIUD PHARMA GMBH GERMANIA


ALIUD PHARMA GMBH GERMANIA
STADA HEMOFARM S.R.L.

ANTIBIOTICE SA
NOVARTIS PHARMA GMBH

SINTOFARM SA
MAGISTRA C & C

CUTIE X 5 FIOLE DE STICLA BRUNA PREVAZUTE CU INEL DE RUPERE X 3 ML

P-RF

CUTIE X 1 BLIST PVC X 5 FIOLE DIN STICLA BRUNA X 3 ML SOL. INJ.

P-RF

CUTIE X 5 FIOLE X 3 ML SOL. INJ.

P-RF

CUTIE X 5 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 3 ML

P-RF

CUTIE X 5 FIOLE DIN STICLA INCOLORA X 3ML SOL. INJ. P-RF


CUTIE X 10 FIOLE DIN STICLA INCOLORA X 3ML SOL. INJ. P-RF

ROMANIA CUTIE CU 5 FIOLE DIN STICLA INCOLORA X 3 ML SOL. INJ./PERF.


ROMANIA CUTIE X 2 FOLII TERMOSUDANTE X 3 SUPOZ.
GERMANIA CUTIE X 1 FOLIE PVC/PE-JD X 5 SUPOZ.
ROMANIA CUTIE X 2 FOLII PVC/PE X 5 SUPOZ.
ROMANIA CUTIE X 2 FOLII TERMOSUDATE PVC/PE X 5 SUPOZ.

NOVARTIS PHARMA GMBH GERMANIA

ROMANIA
TERAPIA SA
ROMANIA
TERAPIA SA
ROMANIA
DR. REDDY'S LABORATORIES ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
LABORMED PHARMA SA ROMANIA
ARENA GROUP SA ROMANIA
ARENA GROUP SA ROMANIA
DR. REDDY'S LABORATORIES

CUTIE X 2 FOLII PVC/PEJD X 5 SUPOZ.

P-RF

P-6L
P-6L
P-6L
P-6L
P-6L

CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L


CUTIE CU 2 BLIST. OPA-AL-PVC/AL A CATE 10 COMPR. FILM. P-6L

CUTIE X 10 FIOLE X 1 ML

P-RF

CUTIE X 1 BLIST. X 10 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ. P-RF

CUTIE X 2 BLIST. PA-AL-PVC/AL X 10 COMPR.

P-6L

ANFARM HELLAS S.A. PHARMACEUTICALS

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.


CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
GRECIA CUTIE X 1 BLIST. X 10 COMPR. FILM.
GRECIA CUTIE X 1 FLAC. PULB. + 1 FIOLA SOLV.

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L

ANFARM HELLAS S.A. PHARMACEUTICALS

LABORMED PHARMA SA ROMANIA

HEXAL AG

Pagina 21 din 29

CUTIE X 2 BLIST. X 10 COMPR.

P-6L
P-6L
P-6L
P-6L
P-RF

P-6L

GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

20
30
20
6
10
10
20
30
30
10
10
20
20
30
20
20
20
20
10
30
20
20
30
5
5
5
5
5
5
10
5
6
5
10
10
10
20
20
10
10
20
20
20
20
10
1
20
10
20
20

1.62
2.14
3.53
4.13
6.87
5.27
47.70
20.49
6.39
3.93
6.56
8.55
8.21
5.72
6.56
4.25
3.04
2.27
2.34
5.72
2.54
2.65
3.98
9.40
6.10
14.24
6.10
6.10
6.10
12.22
4.05
3.94
5.47
6.95
5.10
9.45
6.75
10.14
24.75
19.61
22.71
11.45
14.11
14.11
6.35
5.44
15.44
7.70
10.03
9.98

Pret
amanuntul
maximal/UT
(RON)

0.081000
0.071333
0.176500
0.688333
0.687000
0.527000
2.385000
0.683000
0.213000
0.393000
0.656000
0.427500
0.410500
0.190666
0.328000
0.212500
0.152000
0.113500
0.234000
0.190666
0.127000
0.132500
0.132666
1.880000
1.220000
2.848000
1.220000
1.220000
1.220000
1.222000
0.810000
0.656666
1.094000
0.695000
0.510000
0.945000
0.337500
0.507000
2.475000
1.961000
1.135500
0.572500
0.705500
0.705500
0.635000
5.440000
0.772000
0.770000
0.501500
0.499000

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

0.071775
0.071333
0.143550
0.312750
0.312750
0.312750
0.430650
0.215325
0.143550
0.215325
0.287100
0.287100
0.287100
0.071775
0.143550
0.143550
0.143550
0.113500
0.143550
0.071775
0.127000
0.132500
0.132666
1.098000
1.098000
1.317600
1.098000
1.098000
1.098000
1.098000
0.810000
0.625500
0.625500
0.625500
0.510000
0.312750
0.095699
0.095699
1.464000
1.464000
0.143550
0.557437
0.557437
0.557437
0.557437
2.118600
0.557437
0.557437
0.501500
0.499000

0.064597
0.064199
0.129195
0.281475
0.281475
0.281475
0.387585
0.193792
0.129195
0.193792
0.258390
0.258390
0.258390
0.064597
0.129195
0.129195
0.129195
0.102150
0.129195
0.064597
0.114300
0.119250
0.119399
0.988200
0.988200
1.185840
0.988200
0.988200
0.988200
0.988200
0.729000
0.562950
0.562950
0.562950
0.459000
0.281475
0.086129
0.086129
1.317600
1.317600
0.129195
0.501693
0.501693
0.501693
0.501693
1.906740
0.501693
0.501693
0.451350
0.449100

Nr crt.

cod ATC

1042

M01AC06

1043

M01AC06

1044

M01AC06

1045

M01AC06

1046

M01AC06

1047

M01AC06

1048

M01AC06

1049

M01AC06

1050

M01AC06

1051

M01AC06

1052

M01AC06

1053

M01AC06

1054

M01AC06

1055

M01AC06

1056

M01AC06

1057

M01AC06

1058

M01AC06

1059

M01AC06

1060

M01AC06

1061

M01AC06

1062

M01AE03

1063

M01AE03

1064

M01AE03

1065

M01AE03

1066

M01AE03

1067

M01AE03

1068

M01AE03

1069

M01AE03

1070

M01AE03

1071

M01AE03

1072

M01AE03

1073

M01AE03

1074

M01AE03

1075

M01AE03

1076

M01AE03

1077

M01AE03

1078

M01AE03

1079

M01AE03

1080

M03BX07

1081

M04AA01

1082

M04AA01

1083

M04AC01

1084

N02AD01

1085

N02AD01

1086

N02AD01

1087

N02AD01

1088

N02AX02

1089

N02AX02

1090

N02AX02

1091

N02AX02

DCI

MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
TETRAZEPAMUM
ALLOPURINOLUM*
ALLOPURINOLUM*
COLCHICINUM
PENTAZOCINUM
PENTAZOCINUM
PENTAZOCINUM
PENTAZOCINUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM

Denumire Comerciala

MELOX 15 mg
MELOX 15 mg
RECOXA 15
MELOXICAM MCC 15 mg
VALZER 15 mg
NOFLAMEN 15 mg

forma farm.

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
MELOXICAM VIM SPECTRUM 15 mg COMPR.
ASPIFLEX 15 mg
COMPR.
MELOX 7,5 mg
COMPR.
MELOX 7,5 mg
COMPR.
MOVALIS (R) 7,5 mg
COMPR.
MOVALIS (R) 7,5 mg
COMPR.
MELOXICAM LPH 7,5 mg
COMPR.
MELOXICAM SANDOZ 7,5 mg COMPR.
MELOXICAM MCC 7,5 mg
COMPR.
VALZER 7,5mg
COMPR.
MELOXICAM VIM SPECTRUM 7,5 mg COMPR.
ASPIFLEX 7,5 mg
COMPR.
MOVALIS 15mg/1,5ml
SOL. INJ.
MELOXICAM 15 mg
SUPOZ.

KETOPROFEN SR TERAPIA 100 MG CAPS. ELIB. PREL.

KETONAL (R) DUO 150 mg


KETONAL UNO
KETALGON 200 mg

CAPS. ELIB. PREL.


CAPS. ELIB. PREL.
CAPS. ELIB. PREL.

KETOPROFEN SR TERAPIA 200 MG CAPS. ELIB. PREL.

KETARD 200 mg
KETONAL RETARD
RUBIFEN 100 mg
PROFENID (R) 100 mg
KETONAL FORTE 100 mg
KETOPROXIN 100 mg
KETOPROXIN 50 mg
PROFENID (R) LP 200 mg
KETONAL 100 mg/ 2 ml
KETOPROFEN TERAPIA 100MG/2ML

KETONAL 100 mg
RUBIFEN (R) 100 mg
KETOMAG
MYOLASTAN 50 mg
MILURIT 100 mg
MILURIT 300 mg
COLCHICINA
FORTRAL 50 mg
FORTRAL 50 mg
FORTRAL
FORTRAL
TRALGIT 50
TRAMADOL
TRAMADOL AL 50
TRAMADOL AL 50

CAPS. ELIB. PREL.


COMPR. ELIB. PREL.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM. ELIB. PREL.

SOL. INJ.
SOL. INJ./CONC. SOL. PERF.

SUPOZ.
SUPOZ.
SUPOZ.
COMPR. FILM.

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
SOL. INJ.
SOL. INJ.
CAPS.
CAPS.
CAPS.
CAPS.

concentratie

15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
7,5 mg
7,5 mg
7,5mg
7,5mg
7,5mg
7,5mg
7,5mg
7,5mg
7,5mg
7,5mg
15mg/1,5ml
15mg
100mg
150mg
200mg
200mg
200mg
200mg
150mg
100 mg
100mg
100mg
100mg
50mg
200mg
100mg/2ml
100mg/2ml
100mg
100mg
100mg
50mg
100mg
300mg
1mg
50mg
50mg
30mg/ml
30mg/ml
50mg
50mg
50mg
50mg

Detinator APP

MEDOCHEMIE LTD
MEDOCHEMIE LTD
ZENTIVA AS

tara det.
APP

CIPRU
CIPRU
CEHIA

MAGISTRA C & C SRL ROMANIA


GEDEON RICHTER ROMANIA SA ROMANIA
EGIS PHARMACEUTICALS P.L.C. UNGARIA
VIM SPECTRUM SRL ROMANIA
BMF PHARM S.R.L. ROMANIA

MEDOCHEMIE LTD
MEDOCHEMIE LTD

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG


BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

CIPRU
CIPRU

MAGISTRA C & C SRL ROMANIA


ROMANIA
VIM SPECTRUM SRL ROMANIA
BMF PHARM S.R.L. ROMANIA

MAGISTRA C & C
TERAPIA SA
SANDOZ S.R.L.
SANDOZ S.R.L.

ANTIBIOTICE SA
LAB. AVENTIS

P-6L

CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L


CUTIE X BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


CUTIE X 2 BLIST. PVC/AL X 10 COMPR.

CUTIE X 2 BLIST. X 10 COMPR.

P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L

CUTIE X 2 BLIAT. AL/PVC X 10 COMPR.

P-6L

CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


CUTIE X 2 BLIST. PVC/AL X 10 COMPR.

P-6L
P-6L

GERMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 1,5 ML SIL. INJ. P-RF

ROMANIA
ROMANIA
ROMANIA
ROMANIA
LABORMED PHARMA S.A. ROMANIA
TERAPIA SA
ROMANIA
LABORMED PHARMA S.A. ROMANIA
LEK PHARMACEUTICALS D.D.

Prescriptie

GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L

GEDEON RICHTER ROMANIA SA

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

CUTIE X 1 BLIST. AL-PVC/PVDC X 10 COMPR.


CUTIE X 3 BLIST. AL-PVC/PVDC X 10 COMPR.
GERMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR.
GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR.

LABORMED PHARMA SA ROMANIA

HEXAL AG

Ambalaj

CUTIE X 3 BLIST. AL-PVC/PVDC X 10 COMPR. P-6L


CUTIE X 1 BLIST. AL-PVC/PVDC X 10 COMPR. P-6L
CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L

CUTII X 2 FOLII TERMOSUDATE PVC/PE X 3 SUPOZ. P-6L

CUTIE X 1 BLIST. X 10 CAPS. CU ELIB. PREL. P-6L


CUTIE X 2 BLIST. AL/PVC-TE-PVDC X 10 CAPS. ELIB. PREL.

P-6L

CUTIE X 2 BLIST. AL/PVC-TE-PVDC X 10 CAPS. ELIB. PREL.

P-6L

CUTIE X 1 BLIST. AL/PVC X 10 CAPS. ELIB. PREL. P-6L

CUTIE X 1 BLIST. X 10 CAPS. CU ELIB. PREL. P-6L


CUTIE X 1 BLIST. AL/PVC X 10 CAPS. ELIB. PREL. P-6L

SLOVENIA CUTIE X 1 FLAC. X 20 COMPR. CU ELIB. PREL. P-6L


ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L

FRANTA CUTIE X 2 BLIST X 15 COMPR. FILM.

P-6L

LAB. AVENTIS

FRANTA CUTIE X 1 BLIST X 14 COMPR. FILM. ELIB. PREL.

P-6L

LEK PHARMACEUTICALS D.D.

SLOVENIA

SLOVENIA CUTIE X 1 FLAC. X 20 COMPR. FILM.


P-6L
AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. PVC/ALX 10 COMPR. FILM. P-6L
AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. PVC/ALX 10 COMPR. FILM. P-6L

LEK PHARMACEUTICALS D.D.

TERAPIA SA
LEK PHARMACEUTICALS D.D.

ANTIBIOTICE SA
MAGISTRA C & C
SANOFI - AVENTIS ROMANIA S.R.L.

EGIS PHARMACEUTICALS P.L.C.


EGIS PHARMACEUTICALS P.L.C.

BIOFARM SA

ROMANIA CUTIE X 5 FIOLE X 2 ML

P-RF

ROMANIA
ROMANIA
ROMANIA
UNGARIA
UNGARIA
ROMANIA

P-6L

SLOVENIA CUTIE X 2 FOLII AL/PE X 6 SUPOZ.

KRKA D.D. NOVO MESTO SLOVENIA


KRKA D.D. NOVO MESTO SLOVENIA
KRKA D.D. NOVO MESTO SLOVENIA
KRKA D.D. NOVO MESTO SLOVENIA

ZENTIVA A.S.
KRKA D.D.

SLOVACIA
SLOVENIA

ALIUD PHARMA GMBH & CO.KG

GERMANIA

ALIUD PHARMA GMBH & CO.KG

GERMANIA

Pagina 22 din 29

CUTIE X 10 FIOLE X 2 ML SOL. INJ/CONC PT.SOL. PERF. P-RF

CUTIE X 2 FOLII TERMOSUDATE METALIZATE AL-PE X 3 SUPOZ.

P-6L

CUTIE X 2 FOLII LAMINATE PVC/PE X 5 SUPOZ. P-6L

CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM.

CUTIE X 1 FLAC. X 50 COMPR.


CUTIE X 1 FLAC. X 30 COMPR.
CUTIE X 2 BLIST. AL/PVC X 20 COMPR.
CUTIE X 1 FLAC. X 100 COMPR.
CUTIE X 1 FLAC X 20 COMPR.
CUTIE X 10 FIOLE X 1 ML SOL. INJ.
CUTIE X 50 FIOLE X 1 ML SOL. INJ.
CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
CUTIE X 3 BLIST. X 10 CAPS.
CUTIE X 1 BLIST. X 10 CAPS.

P-RF

P-6L
P-6L
P-RF
P-RF/S

P-RF
P-RF
P-RF/S

P-RF
P-RF
P-RF
P-RF

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

30
10
20
20
20
10
20
20
10
30
10
20
20
20
20
20
20
20
5
6
10
20
20
10
10
10
20
20
30
20
20
20
14
10
5
12
6
10
20
50
30
40
100
20
10
50
20
20
30
10

30.39
10.60
14.11
10.03
10.03
5.01
10.03
10.03
9.61
25.65
7.41
14.84
9.65
9.65
9.65
9.65
9.65
9.65
15.12
9.46
11.93
16.49
26.32
7.55
15.13
7.57
15.02
9.03
18.26
11.62
7.89
7.15
16.27
11.36
9.63
8.20
4.10
6.53
9.52
6.04
10.43
5.76
76.53
18.57
14.70
66.75
5.82
5.82
11.53
3.85

Pret
amanuntul
maximal/UT
(RON)

1.013000
1.060000
0.705500
0.501500
0.501500
0.501000
0.501500
0.501500
0.961000
0.855000
0.741000
0.742000
0.482500
0.482500
0.482500
0.482500
0.482500
0.482500
3.024000
1.576666
1.193000
0.824500
1.316000
0.755000
1.513000
0.757000
0.751000
0.451500
0.608666
0.581000
0.394500
0.357500
1.162142
1.136000
1.926000
0.683333
0.683333
0.653000
0.476000
0.120800
0.347666
0.144000
0.765300
0.928500
1.470000
1.335000
0.291000
0.291000
0.384333
0.385000

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

0.557437
0.557437
0.557437
0.501500
0.501500
0.501000
0.501500
0.501500
0.278718
0.278718
0.278718
0.278718
0.278718
0.278718
0.278718
0.278718
0.278718
0.278718
2.118600
0.563625
0.496874
0.745312
0.993749
0.755000
0.993749
0.757000
0.745312
0.451500
0.496874
0.496874
0.394500
0.248437
0.993749
1.049500
1.926000
0.668166
0.668166
0.653000
0.476000
0.117116
0.347666
0.144000
0.765300
0.806100
1.368750
1.335000
0.291000
0.291000
0.323549
0.323549

0.501693
0.501693
0.501693
0.451350
0.451350
0.450900
0.451350
0.451350
0.250846
0.250846
0.250846
0.250846
0.250846
0.250846
0.250846
0.250846
0.250846
0.250846
1.906740
0.507262
0.447187
0.670781
0.894374
0.679500
0.894374
0.681300
0.670781
0.406350
0.447187
0.447187
0.355050
0.223593
0.894374
0.944550
1.733400
0.601349
0.601349
0.587700
0.428400
0.105404
0.312899
0.129600
0.688770
0.725490
1.231875
1.201500
0.261900
0.261900
0.291194
0.291194

Nr crt.

cod ATC

1092

N02AX02

1093

N02AX02

1094

N02AX02

1095

N02AX02

1096

N02AX02

1097

N02AX02

1098

N02AX02

1099

N02AX02

1100

N02AX02

1101

N02AX02

1102

N02AX02

1103

N02AX02

1104

N02AX02

1105

N02AX02

1106

N02AX02

1107

N02AX02

1108

N02AX02

1109

N02AX02

1110

N02AX02

1111

N02AX02

1112

N02AX02

1113

N02AX02

1114

N02AX02

1115

N02AX02

1116

N02AX02

1117

N02AX02

1118

N02AX02

1119

N02AX02

1120

N02AX02

1121

N02AX02

1122

N02AX02

1123

N02AX02

1124

N02AX02

1125

N02AX02

1126

N02AX02

1127

N02AX02

1128

N02AX02

1129

N02AX02

1130

N02CC01

1131

N02CC01

1132

N02CC01

1133

N02CC01

1134

N02CC01

1135

N02CC01

1136

N02CC01

1137

N02CC01

1138

N02CC01

1139

N02CC01

1140

N02CC01

1141

N02CC01

DCI

TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
SUMATRIPTANUM*
SUMATRIPTANUM*
SUMATRIPTANUM*
SUMATRIPTANUM*
SUMATRIPTANUM*
SUMATRIPTANUM*
SUMATRIPTANUM*
SUMATRIPTANUM*
SUMATRIPTANUM*
SUMATRIPTANUM*
SUMATRIPTANUM*
SUMATRIPTANUM*

Denumire Comerciala

MABRON 50 mg
K-ALMA (R)
TRAMACALM
TRAMADOL LPH 50 mg
URGENDOL
TRAMADOL ARENA
TRAMAL UNO 100 mg
TRAMAL UNO 100 mg
TRAMAL UNO 150 mg
TRAMAL UNO 150 mg
TRAMAL UNO 150 mg
TRAMAL UNO 200 mg
TRAMAG 50
TRAMADOL EEL
TRAMADOL 50 mg
TRAMADOLOR (R) 100 ID
TRAMADOL (R) RETARD
TRALGIT SR 100
TRALGIT SR 100
TRALGIT SR 100
TRALGIT SR 150
TRALGIT SR 150
TRALGIT SR 200
TRADOLAN 50 mg
TRAMAL RETARD 100 mg
TRAMAL RETARD 150 mg
TRAMADOL RETARD 150 mg
TRAMAL RETARD 200 mg
TRAMADOL RETARD 200 mg
TRAMADOL AL PICATURI
MABRON
MABRON
TRALGIT 100
TRAMADOL
URGENDOL
TRAMADOL
URGENDOL
TRAMADOL
SUMATRIPTAN TERAPIA 100 mg
SUMATRIPTAN TERAPIA 100 mg
SUMATRIPTAN TERAPIA 50 mg
SUMATRIPTAN TERAPIA 50 mg

IMIGRAN DR 100 mg
IMIGRAN DR 50 mg
SUMACTA 100 mg
SUMACTA 100 mg
XIBIMER 100 mg
XIBIMER 100 mg
SUMACTA 50 mg
SUMACTA 50 mg

forma farm.

CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.

concentratie

Detinator APP

tara det.
APP

50mg
50mg
50mg
50mg
50mg
50mg
CAPS. ELIB. PREL. 100mg
CAPS. ELIB. PREL. 100mg
CAPS. ELIB. PREL. 150mg
CAPS. ELIB. PREL. 150mg
CAPS. ELIB. PREL. 150mg
CAPS. ELIB. PREL. 200mg
COMPR.
50mg
COMPR.
50mg
COMPR.
50mg
COMPR. ELIB. MODIF. 100mg
COMPR. ELIB. PREL. 100mg
COMPR. ELIB. PREL. 100mg
COMPR. ELIB. PREL. 100mg
COMPR. ELIB. PREL. 100mg
COMPR. ELIB. PREL. 150mg
COMPR. ELIB. PREL. 150mg
COMPR. ELIB. PREL. 200mg
COMPR. FILM. 50mg
COMPR. FILM. ELIB. PREL. 100mg
COMPR. FILM. ELIB. PREL. 150mg
COMPR. FILM. ELIB. PREL. 150mg
COMPR. FILM. ELIB. PREL. 200mg
COMPR. FILM. ELIB. PREL. 200mg

OZONE LABORATORIES PHARMA S.A.

PIC. ORALE, SOL.

FARA CONCENTRATIE

SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SUPOZ.
COMPR.
COMPR.
COMPR.
COMPR.

100mg
100mg
100mg/2ml
50mg/ml
50mg/ml
50mg/ml
50mg/ml
100mg
100mg
100mg
50mg
50mg
100mg
50mg
100mg
100mg
100mg
100mg
50mg
50mg

ALIUD PHARMA GMBH GERMANIA

COMPR. DISP.
COMPR. DISP.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

Ambalaj

MEDOCHEMIE LTD. CIPRU


CUTIE X 1 BLIST. AL/PVC X 10 CAPS.
ANTIBIOTICE SA
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
AC HELCOR SRL
ROMANIA CUTIE X 1 BLIST. PVC/AL X 10 CAPS.
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
MEDICAROM GROUP SRL ROMANIA CUTIE X 1 BLIST. X 10 CAPS.
ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH

MAGISTRA C & C
BIO EEL SRL

HEXAL AG
KRKA D.D.
ZENTIVA AS
ZENTIVA AS
ZENTIVA AS
ZENTIVA AS
ZENTIVA AS
ZENTIVA AS
LANNACHER HEILMITTEL GES.M.B.H.

Prescriptie

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-RF


GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 30 CAPS. CU ELIB. PREL. P-RF
GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-RF
GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 20 CAPS. CU ELIB. PREL. P-RF
GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 30 CAPS. CU ELIB. PREL. P-RF
GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 30 CAPS. CU ELIB. PREL. P-RF

ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-RF
P-RF
P-RF

GERMANIA CUTIE X 1 BLIST. X 10 COMPR. ELIB. MODIF. P-RF

SLOVENIA
SLOVACIA
SLOVACIA
SLOVACIA
SLOVACIA
SLOVACIA
SLOVACIA

CUTIE X 3 BLIST. X 10 COMPR. ELIB. PREL.

CUTIE X 1 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF


CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF
CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF
CUTIE X 1 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF
CUTIE X 1 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF

AUSTRIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.FILM.

GRUNENTHAL GMBH GERMANIA


GRUNENTHAL GMBH GERMANIA

P-RF

CUTIE X 5 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF

CUTIE X 1 BLIST. AL/PVDC X 10 COMPR. FILM. CU ELIB. PREL.

P-RF
P-RF

CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR.FILM. CU ELIB. PREL. P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-RF

GRUNENTHAL GMBH GERMANIA

CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR.FILM. ELIB. PREL. P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-RF

MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
ZENTIVA A.S.
KRKA D.D.

MEDICAROM GROUP SRL

KRKA D.D.
MEDICAROM GROUP SRL

CIPRU
CIPRU

CUTIE X 1 FLACON DIN STICLA BRUNA X 10 ML PIC. ORALE, SOL.

P-RF

CUTIE X 5 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.

S/P-RF

CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.

S/P-RF

SLOVACIA CUTIE X 5 FIOLE X 2 ML SOL. INJ.


SLOVENIA CUTIE X 5 FIOLE X 1 ML

S/P-RF
S/P-RF

ROMANIA CUTIE X 5 FIOLE X 1 ML

S/P-RF

ROMANIA CUTIE X 5 FIOLE X 2 ML

S/P-RF

SLOVENIA CUTIE X 5 FIOLE X 2 ML

S/P-RF

KRKA D.D.
TERAPIA SA
TERAPIA SA
TERAPIA SA
TERAPIA SA

SLOVENIA CUTIE X 1 BLIST. X 5 SUPOZ.


ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 6 COMPR.
ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 6 COMPR.
ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 3 COMPR.
ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 3 COMPR.

GLAXO WELLCOME UK LTD.

MAREA BRITANIE

CUTIE CU 1 BLIST. (OPA)-AL-PVC/AL X 2 COMPR. DISP. P-RF

GLAXO WELLCOME UK LTD.

MAREA BRITANIE

CUTIE CU 1 BLIST. (OPA)-AL-PVC/AL X 2 COMPR. DISP. P-RF

ACTAVIS GROUP PTC EHF.


ACTAVIS GROUP PTC EHF.
DR. REDDY'S LABORATORIES
DR. REDDY'S LABORATORIES

ACTAVIS GROUP PTC EHF.


ACTAVIS GROUP PTC EHF.

Pagina 23 din 29

ISLANDA CUTIE X 1 BLIST. AL/PVC X 2 COMPR. FILM.


ISLANDA CUTIE X 2 BLIST. AL/PVC X 3 COMPR. FILM.

ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.


ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 6 COMPR. FILM.
ISLANDA CUTIE X 2 BLIST. AL/PVC X 3 COMPR. FILM.
ISLANDA CUTIE X 1 BLIST. AL/PVC X 2 COMPR. FILM.

P-RF
P-RF
P-RF
P-RF
P-RF

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

10
3.85
20
7.67
10
3.85
20
7.67
10
3.82
20
9.00
10 17.38
30 47.39
10 26.09
20 48.58
30 68.71
30 78.13
20
7.67
20
7.67
20
7.67
10
6.30
30 18.91
50 32.56
10
6.30
30 18.89
30 33.57
10 21.05
10 27.50
30 10.65
10
9.69
10 22.03
30 41.57
10 28.18
30 53.20
1
5.04
5
9.83
100 134.56
5 12.28
5
4.93
5
4.90
5 13.10
5
7.67
5
5.58
6 54.93
12 104.40
3 21.33
6 40.41
2 44.81
2 25.36
2 20.02
6 58.12
10 99.79
6 58.12
6 41.47
2 14.28

Pret
amanuntul
maximal/UT
(RON)

0.385000
0.383500
0.385000
0.383500
0.382000
0.450000
1.738000
1.579666
2.609000
2.429000
2.290333
2.604333
0.383500
0.383500
0.383500
0.630000
0.630333
0.651200
0.630000
0.629666
1.119000
2.105000
2.750000
0.355000
0.969000
2.203000
1.385666
2.818000
1.773333
5.040000
1.966000
1.345600
2.456000
0.986000
0.980000
2.620000
1.534000
1.116000
9.155000
8.700000
7.110000
6.735000
22.405000
12.680000
10.010000
9.686666
9.979000
9.686666
6.911666
7.140000

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

0.323549
0.323549
0.323549
0.323549
0.323549
0.323549
0.647101
0.647101
0.970652
0.970652
0.970652
1.294202
0.323549
0.323549
0.323549
0.630000
0.630333
0.647101
0.630000
0.629666
0.970652
0.970652
1.294202
0.323549
0.647101
0.970652
0.970652
1.294202
1.294202
5.040000
1.572302
1.345600
1.572302
0.786148
0.786148
1.572302
1.534000
1.116000
8.783774
8.700000
4.391887
4.391887
8.783774
4.391887
8.783774
8.783774
8.783774
8.783774
4.391887
4.391887

0.291194
0.291194
0.291194
0.291194
0.291194
0.291194
0.582391
0.582391
0.873587
0.873587
0.873587
1.164782
0.291194
0.291194
0.291194
0.567000
0.567299
0.582391
0.567000
0.566699
0.873587
0.873587
1.164782
0.291194
0.582391
0.873587
0.873587
1.164782
1.164782
4.536000
1.415072
1.211040
1.415072
0.707534
0.707534
1.415072
1.380600
1.004400
7.905397
7.830000
3.952698
3.952698
7.905397
3.952698
7.905397
7.905397
7.905397
7.905397
3.952698
3.952698

Nr crt.

cod ATC

1142

N02CC01

1143

N02CC01

1144

N03AF01

1145

N03AF01

1146

N03AF01

1147

N03AF01

1148

N03AF01

1149

N03AF01

1150

N03AF01

1151

N03AF01

1152

N03AF01

1153

N03AF01

1154

N03AF01

1155

N03AF01

1156

N03AF01

1157

N03AF01

1158

N03AF01

1159

N03AF01

1160

N03AF01

1161

N03AF01

1162

N03AF01

1163

N03AF01

1164

N03AF01

1165

N03AF01

1166

N03AF01

1167

N03AX12

1168

N03AX12

1169

N03AX12

1170

N03AX12

1171

N03AX12

1172

N03AX12

1173

N03AX12

1174

N03AX12

1175

N03AX12

1176

N03AX12

1177

N03AX12

1178

N03AX12

1179

N03AX12

1180

N03AX12

1181

N03AX12

1182

N03AX12

1183

N03AX12

1184

N03AX12

1185

N03AX12

1186

N05AD01

1187

N05AD01

1188

N05AD01

1189

N05AD01

1190

N05AD01

1191

N05AD01

DCI

SUMATRIPTANUM*
SUMATRIPTANUM*
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM

Denumire Comerciala

XIBIMER 50 mg
XIBIMER 50 mg
TEGRETOL (R) 200

forma farm. concentratie


COMPR. FILM. 50mg
COMPR. FILM. 50mg

COMPR.

CARBAMAZEPINA LPH 200 mg COMPR.

CARBAVIM
CARBEPSIL 200
TAVER
CARBAMAZEPIN
CARBAMAZEPIN EEL
FINLEPSIN

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
CARBAMAZEPINA ARENA 200 mg COMPR.
TAVER
COMPR.
CARBAMAZEPINA
COMPR.
CARBEPSIL 400
COMPR.
CARBAMAZEPINA ARENA 400 mg COMPR.
NEUROTOP (R) RETARD 300 mg
NEUROTOP (R) RETARD 600 mg

TEGRETOL CR 200
TEGRETOL CR 400
FINLEPSIN 400 RETARD
TIMONIL 150 RETARD
TIMONIL 300 RETARD
TIMONIL 600 RETARD
FINLEPSIN 200 RETARD
TIMONIL SIROP
GABAGAMMA 100 mg
GABAGAMMA 100 mg
GRIMODIN 100 mg
GABAGAMMA 300 mg
GABAGAMMA 300 mg
GABARAN 300 mg
GABALEPT 300 mg
GRIMODIN 300 mg
GABAGAMMA 400 mg
GABAGAMMA 400 mg
GABARAN 400 mg
GABALEPT 400 mg
GRIMODIN 400 mg
GABARAN 600 mg
GABAGAMMA 600 mg
GRIMODIN 600 mg
GABARAN 800 mg
GABAGAMMA 800 mg
GRIMODIN 800 mg

HALOPERIDOL LAROPHARM 0,5 mg

HALOPERIDOL 1 mg
HALOPERIDOL 2 mg
HALDOL

COMPR. ELIB. PREL.


COMPR. ELIB. PREL.
COMPR. FILM. ELIB. PREL.
COMPR. FILM. ELIB. PREL.
COMPR. FILM. ELIB. PREL.

COMPR. RET.
COMPR. RET.
COMPR. RET.
COMPR.FILM.ELIB.PREL

SUSP. ORALA

CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

COMPR.
COMPR.
COMPR.
COMPR.

HALOPERIDOL ROMPHARM 2 mg/ml PIC. OFT., SOL.

HALOPERIDOL 2 mg/ml

PIC. ORALE-SOL.

200mg
200mg
200mg
200mg
200mg
200mg
200mg
200mg
200mg
200mg
200mg
400mg
400mg
300mg
600mg
200mg
400mg
400mg
150mg
300mg
600mg
200mg
100mg/5ml
100mg
100mg
100mg
300mg
300mg
300mg
300mg
300mg
400mg
400mg
400mg
400mg
400mg
600mg
600mg
600mg
800mg
800mg
800mg
0,5mg
1mg
2mg
5mg
2 mg/ml
2mg/ml

Detinator APP
DR. REDDY'S LABORATORIES
DR. REDDY'S LABORATORIES

tara det.
APP
Ambalaj
ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.
ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 6 COMPR. FILM.

NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR.

VIM SPECTRUM SRL


AC HELCOR SRL
MEDOCHEMIE LTD.
SLAVIA PHARM SRL
BIO EEL SRL

ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE X 5 BLIST. AL/PVC X 10 COMPR.


CUTIE X 5 BLIST. AL/PVC X 10 COMPR.
CUTIE X 5 BLIST. X 10 COMPR.
CUTIE X 5 BLIST. X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

AWD PHARMA GMBH & CO.KG

GERMANIA

CUTIE X 5 BLIST. AL-HARTIE CERATA/PVC-PVDC X 10 COMPR.

LABORMED PHARMA SA ROMANIA

CIPRU

ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


MEDOCHEMIE LTD. CIPRU
CUTIE X 2 BLIST. X 10 COMPR.
OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 2 BLIST. AL/PVCX 10 COMPR.
AC HELCOR SRL
ROMANIA CUTIE X 5 BLIST. X 10 COMPR.
ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR.
GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 5 BLIST. AL/PVDC-PVC X 10 COMPR. ELIB. PREL
GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 5 BLIST. AL/PVDC-PVC X 10 COMPR. ELIB. PREL.
NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 5 BLIST. AL-PVC/PVDC X 10 COMPR. FILM. CU ELIB. PREL.

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 3 BLIST. AL-PVC/PVDC X 10 COMPR. FILM. CU ELIB. PREL.

AWD PHARMA GMBH & CO.KG

DESITIN
DESITIN
DESITIN

GERMANIA

CUTIE X 5 BLIST. AL-HARTIE CERATA/PVC-PVDC X 10 COMPR. FILM. ELIB. PREL.

CUTIE X 5 BLIST. X 10 COMPR. RET.


CUTIE X 5 BLIST. X 10 COMPR. RET.
GERMANIA CUTIE X 5 BLIST. X 10 COMPR. RET.

GERMANIA

GERMANIA

AWD PHARMA GMBH & CO.KG

GERMANIA

CUTIE X 5 BLIST. AL-HARTIE/PVC-PVDC X 10 COMPR. FILM. ELIB. PREL.

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 1 FLACON X 250 ML SUSP.ORALA + MASURA DOZATOARE

WORWAG PHARMA GMBH & CO. KG

GERMANIA

WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE X 10 BLIST. AL/PVC X 10 CAPS.


CUTIE X 5 BLIST. AL/PVC X 10 CAPS.

EGIS PHARMACEUTICALS P.L.C.

UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 60 CAPS.

WORWAG PHARMA GMBH & CO. KG

GERMANIA

WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE X 5 BLIST. AL/PVC X 10 CAPS.


CUTIE X 10 BLIST. AL/PVC X 10 CAPS.

MAREA BRITANIE

CUTIE X 5 BLIST. PVC-PVDC/AL X 10 CAPS.

RANBAXY UK LTD.

PLIVA LJUBLJANA D.O.O. SLOVENIA

CUTIE X 10 BLIST. AL/PVC X 10 CAPS.

EGIS PHARMACEUTICALS P.L.C.

UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 60 CAPS.

WORWAG PHARMA GMBH & CO. KG

GERMANIA

WORWAG PHARMA GMBH & CO. KG

GERMANIA

RANBAXY UK LTD.

MAREA BRITANIE

PLIVA LJUBLJANA D.O.O. SLOVENIA


EGIS PHARMACEUTICALS P.L.C.

CUTIE X 5 BLIST. AL/PVC X 10 CAPS.


CUTIE X 10 BLIST. AL/PVC X 10 CAPS.

CUTIE X 5 BLIST. PVC-PVDC/AL X 10 CAPS.

CUTIE X 10 BLIST. AL/PVC X 10 CAPS.

UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 60 CAPS.

RANBAXY UK LTD.

MAREA BRITANIE

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. PVC/AL X 100 COMPR. FILM.

CUTIE X 3 BLIST. AL-PVC-PA/AL X 10 COMPR. FILM.

UNGARIA

CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM.

RANBAXY UK LTD.

MAREA BRITANIE

CUTIE X 3 BLIST. AL-PVC-PA/AL X 10 COMPR. FILM.

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. PVC/AL X 100 COMPR. FILM.

EGIS PHARMACEUTICALS P.L.C.

UNGARIA

EGIS PHARMACEUTICALS P.L.C.

CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM.

LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
JANSSEN PHARMACEUTICA N.V. BELGIA
CUTIE X 1 BLIST. AL/PVC X 25 COMPR.
ROMPHARM COMPANY S.R.L.
GEDEON RICHTER ROMANIA SA

Pagina 24 din 29

ROMANIA
ROMANIA

CUTIE CU 1 FLACON PEJD CU PICURATOR PEJD X 10 ML PIC. OFT., SOL.

CUTIE X 1 FLACON PICURATOR X 10ML PICATURI ORALE-SOLUTIE

Prescriptie

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

10
6
P-6L
50
P-6L
50
P-6L
50
P-6L
50
P-6L
50
P-6L
20
P-6L
20
P-6L
50
P-6L
20
P-6L
20
P-6L
20
P-6L
50
P-6L
20
P-6L
50
P-6L
50
P-6L
50
P-6L
30
P-6L
50
P-6L
50
P-6L
50
P-6L
50
P-6L
50
P-6L
1
P-6L 100
P-6L
50
P-6L
60
P-6L
50
P-6L 100
P-6L
50
P-6L 100
P-6L
60
P-6L
50
P-6L 100
P-6L
50
P-6L 100
P-6L
60
P-6L
30
P-6L 100
P-6L
60
P-6L
30
P-6L 100
P-6L
60
P-RF
20
P-RF
30
P-RF
30
P-RF
25
PRF
1
P-RF
1
P-RF

P-RF

66.77
41.45
17.38
11.31
11.31
11.31
7.24
4.42
4.50
11.31
4.96
4.50
4.51
26.26
10.51
20.68
36.59
19.17
25.35
27.10
15.16
20.62
36.53
12.43
22.51
60.61
31.05
33.34
70.89
133.56
65.96
133.09
63.62
94.53
175.18
72.72
169.16
85.96
65.21
195.74
123.68
104.24
329.52
197.38
3.24
7.72
10.80
17.94
4.31
6.66

Pret
amanuntul
maximal/UT
(RON)

6.677000
6.908333
0.347600
0.226200
0.226200
0.226200
0.144800
0.221000
0.225000
0.226200
0.248000
0.225000
0.225500
0.525200
0.525500
0.413600
0.731800
0.383400
0.845000
0.542000
0.303200
0.412400
0.730600
0.248600
22.510000
0.606100
0.621000
0.555666
1.417800
1.335600
1.319200
1.330900
1.060333
1.890600
1.751800
1.454400
1.691600
1.432666
2.173666
1.957400
2.061333
3.474666
3.295200
3.289666
0.162000
0.257333
0.360000
0.717600
4.310000
6.660000

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

4.391887
4.391887
0.203580
0.203580
0.203580
0.203580
0.144800
0.203580
0.203580
0.203580
0.203580
0.203580
0.203580
0.407160
0.407160
0.305370
0.610740
0.203580
0.407160
0.407160
0.152685
0.305370
0.610740
0.203580
22.510000
0.359372
0.621000
0.359372
1.078123
1.078123
1.078123
1.078123
1.060333
1.437502
1.437502
1.437502
1.437502
1.432666
2.156253
1.957400
2.061333
2.875004
2.875004
2.875004
0.081000
0.162000
0.324000
0.717600
4.310000
3.240000

3.952698
3.952698
0.183222
0.183222
0.183222
0.183222
0.130320
0.183222
0.183222
0.183222
0.183222
0.183222
0.183222
0.366444
0.366444
0.274833
0.549666
0.183222
0.366444
0.366444
0.137416
0.274833
0.549666
0.183222
20.259000
0.323435
0.558900
0.323435
0.970311
0.970311
0.970311
0.970311
0.954299
1.293752
1.293752
1.293752
1.293752
1.289399
1.940628
1.761660
1.855199
2.587504
2.587504
2.587504
0.072900
0.145800
0.291600
0.645840
3.879000
2.916000

Nr crt.

cod ATC

1192

N05AD01

1193

N05AD01

1194

N05BA01

1195

N05BA01

1196

N05BA01

1197

N05BA01

1198

N05BA01

1199

N05BA01

1200

N05BA03

1201

N05BA03

1202

N05BA03

1203

N05BA03

1204

N05BA03

1205

N05BA06

1206

N05BA08

1207

N05BA08

1208

N05BA08

1209

N05BA08

1210

N05BA08

1211

N05BA08

1212

N05BA08

1213

N05BA08

1214

N05BA12

1215

N05BA12

1216

N05BA12

1217

N05BA12

1218

N05BA12

1219

N05BA12

1220

N05BA12

1221

N05BA12

1222

N05BA12

1223

N05BA12

1224

N05BA12

1225

N05BA12

1226

N05CD02

1227

N05CD02

1228

N05CD02

1229

N05CF01

1230

N05CF02

1231

N05CF02

1232

N05CF02

1233

N05CF02

1234

N05CF02

1235

N05CF02

1236

N05CF02

1237

N06AA04

1238

N06AA04

1239

N06AA09

1240

N06AA12

1241

N06AB03

DCI

HALOPERIDOLUM
HALOPERIDOLUM
DIAZEPAMUM
DIAZEPAMUM
DIAZEPAMUM
DIAZEPAMUM
DIAZEPAMUM
DIAZEPAMUM
MEDAZEPAMUM*
MEDAZEPAMUM*
MEDAZEPAMUM*
MEDAZEPAMUM*
MEDAZEPAMUM*
LORAZEPAMUM*
BROMAZEPAMUM*
BROMAZEPAMUM*
BROMAZEPAMUM*
BROMAZEPAMUM*
BROMAZEPAMUM*
BROMAZEPAMUM*
BROMAZEPAMUM*
BROMAZEPAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
NITRAZEPAMUM
NITRAZEPAMUM
NITRAZEPAMUM
ZOPICLONUM*
ZOLPIDEMUM*
ZOLPIDEMUM*
ZOLPIDEMUM*
ZOLPIDEMUM*
ZOLPIDEMUM*
ZOLPIDEMUM*
ZOLPIDEMUM*
CLOMIPRAMINUM*
CLOMIPRAMINUM*
AMITRIPTYLINUM*
DOXEPINUM*
FLUOXETINUM*

Denumire Comerciala

forma farm.

HALOPERIDOL DECANOAT SOL. INJ.


HALOPERIDOL RICHTER 5 mg/ml SOL. INJ.
DIAZEPAM 10 mg
COMPR.
DIAZEPAM
COMPR.
DIAZEPAM LAROPHARM 10 mg COMPR.
DIAZEPAM 10 mg
SOL. INJ.
DIAZEPAM DESITIN (R) SOLUTIE RECTALA 10 mg
DIAZEPAM DESITIN (R) SOLUTIE RECTALA 5 mg

ANSILAN 10 mg
MEDAZEPAM
MEDAZEPAM
MEDAZEPAM 10 mg
MEDAZEPAM LPH 10 mg
ANXIAR (R) 1 mg
CALMEPAM (R)
BROMAZEPAM LPH 1,5 mg
CALMEPAM (R)
LEXOTAN
LEXOTANIL
BROMAZEPAM LPH 3 mg
BROMAZEPAM SLAVIA 3 mg
BROMAZEPAM ARENA 3 mg
XANAX 0,25 mg
ALPRAZOLAM LPH (R) 0,25 mg

PRAZOLEX (R) 0,25 mg


FRONTIN 0,25 mg
XANAX 0,5 mg

ALPRAZOLAM LPH (R) 0,5 mg

FRONTIN 0,5 mg
PRAZOLEX (R) 0,5 mg
XANAX 1 mg
ALPRAZOLAM LPH (R) 1 mg
PRAZOLEX (R) 1 mg
FRONTIN 1mg
NITRAZEPAM LPH (R) 2,5 mg
NITRAZEPAM LPH (R) 5 mg
NITRAZEPAM 5 mg
IMOVANE 7,5 mg
SANVAL (R) 10 mg
SANVAL (R) 10 mg
ZOLPIDEM 10 mg
ZOLPIDEM ATB 10 MG
STILNOX 10 mg
STILNOX 10 mg
ZOLSANA 5 mg
ANAFRANIL (R) 10 mg
ANAFRANIL (R) 25 mg

SOL. RECTALA
SOL. RECTALA

CAPS.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

DRAJ.
DRAJ.

AMITRIPTILINA ARENA 25 mg COMPR. FILM.

DOXEPIN 25 mg
FLUOXIN 20 mg

DRAJ.
CAPS.

concentratie

50mg/ml
5mg/ml
10mg
10mg
10mg
10mg/2ml
10mg/2,5ml
5mg/2,5ml
10mg
10 mg
10 mg
10mg
10mg
1 mg
1,5mg
1,5mg
3mg
3mg
3mg
3mg
3mg
3mg
0,25mg
0,25mg
0,25mg
0,25mg
0,5mg
0,5mg
0,5mg
0,5mg
1mg
1mg
1mg
1mg
2,5mg
5mg
5mg
7,5mg
10mg
10mg
10mg
10mg
10mg
10mg
5mg
10mg
25mg
25mg
25mg
20mg

Detinator APP
GEDEON RICHTER ROMANIA SA
GEDEON RICHTER ROMANIA SA
GEDEON RICHTER ROMANIA SA

TERAPIA SA
LAROPHARM SRL
TERAPIA SA
DESITIN
DESITIN
LEK PHARMACEUTICALS D.D.

tara det.
APP
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

Ambalaj

CUTIE X 5 FIOLE X 1 ML

Prescriptie

P-RF

CUTIE X 5 FIOLE DIN STICLA INCOLORA X 1 ML SOL. INJ. P-RF

CUTIE X 2 BLIST. X 10 COMPR.


CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 5 FIOLE X 2 ML

P-RF
P-RF
P-RF
S/P-RF

GERMANIA CUTIE X 5 PUNGI X 1 TUB X 2,5 ML + CANULA

S/P-RF

GERMANIA CUTIE X 5 PUNGI X 1 TUB X 2,5 ML + CANULA

S/P-RF

SLOVENIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 25 CAPS.

ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


ARENA GROUP SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR.
LAROPHARM SRL ROMANIA CUTIE X 1 BLIST. X 20 COMPR.
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 25 COMPR.
GLAXOSMITHKLINE (GSK) SRL ROMANIA CUTIE X 1 BLIST X 10 COMPR.
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
GLAXOSMITHKLINE (GSK) SRL ROMANIA CUTIE X 1 BLIST. X 10 COMPR.
ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
TERAPIA SA
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR.
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR.
ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 COMPR.
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR.
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 30 COMPR.
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 30 COMPR.
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR.
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR.
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 30 COMPR.
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
SANOFI AVENTIS
FRANTA CUTIE X 1 BLIST. AL/PVC X 20 COMPR. FILM.
LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 BLIST. X 10 COMPR. FILM.
LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 2 BLIST. X 10 COMPR. FILM.

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

LABORMED PHARMA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF

ANTIBIOTICE S.A.

SANOFI - AVENTIS ROMANIA S.R.L.


SANOFI - AVENTIS ROMANIA S.R.L.

ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.


ROMANIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. FILM.
ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM.

P-RF
P-RF
P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF
NOVARTIS PHARMA GMBH GERMANIA
NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 3 BLIST. AL/PVC X 10 DRAJ.


CUTIE X 3 BLIST. AL/PVC X 10 DRAJ.

ARENA GROUP S.A. ROMANIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. FILM.


TERAPIA SA
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 DRAJ.
VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. PVC/AL X 7 CAPS.

Pagina 25 din 29

P-RF
P-RF
P-RF
P-RF
P-RF

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

5
5
20
30
20
5
5
5
25
20
50
20
20
50
10
20
10
30
10
20
10
10
30
20
30
30
30
20
30
30
30
20
30
30
20
20
20
20
10
20
10
10
10
20
20
30
30
50
30
14

44.52
12.48
1.99
3.14
1.05
8.34
32.62
25.99
3.82
2.45
5.61
2.25
2.47
6.70
3.08
2.14
1.56
7.16
1.56
3.10
2.20
1.54
5.65
2.68
4.35
4.93
8.94
4.24
7.46
5.79
12.70
6.06
8.24
12.60
1.37
1.57
2.40
15.50
4.13
8.27
4.25
4.25
6.56
14.22
13.56
7.24
14.31
15.01
18.30
11.28

Pret
amanuntul
maximal/UT
(RON)

8.904000
2.496000
0.099500
0.104666
0.052500
1.668000
6.524000
5.198000
0.152800
0.122500
0.112200
0.112500
0.123500
0.134000
0.308000
0.107000
0.156000
0.238666
0.156000
0.155000
0.220000
0.154000
0.188333
0.134000
0.145000
0.164333
0.298000
0.212000
0.248666
0.193000
0.423333
0.303000
0.274666
0.420000
0.068500
0.078500
0.120000
0.775000
0.413000
0.413500
0.425000
0.425000
0.656000
0.711000
0.678000
0.241333
0.477000
0.300200
0.610000
0.805714

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

8.904000
1.162619
0.099500
0.104666
0.052500
1.668000
6.524000
5.198000
0.122849
0.122500
0.112200
0.112500
0.122849
0.098279
0.036854
0.036854
0.073709
0.073709
0.073709
0.073709
0.073709
0.073709
0.061424
0.061424
0.061424
0.061424
0.122849
0.122849
0.122849
0.122849
0.245699
0.245699
0.245699
0.245699
0.055912
0.078500
0.111825
0.775000
0.413000
0.413500
0.419250
0.419250
0.419250
0.419250
0.209625
0.136979
0.342449
0.300200
0.342449
0.565199

8.013600
1.046357
0.089550
0.094199
0.047250
1.501200
5.871600
4.678200
0.110564
0.110250
0.100980
0.101250
0.110564
0.088451
0.033169
0.033169
0.066338
0.066338
0.066338
0.066338
0.066338
0.066338
0.055282
0.055282
0.055282
0.055282
0.110564
0.110564
0.110564
0.110564
0.221129
0.221129
0.221129
0.221129
0.050321
0.070650
0.100642
0.697500
0.371700
0.372150
0.377325
0.377325
0.377325
0.377325
0.188662
0.123281
0.308204
0.270180
0.308204
0.508679

Nr crt.

cod ATC

1242

N06AB03

1243

N06AB03

1244

N06AB03

1245

N06AB03

1246

N06AB04

1247

N06AB04

1248

N06AB04

1249

N06AB04

1250

N06AB04

1251

N06AB04

1252

N06AB04

1253

N06AB04

1254

N06AB04

1255

N06AB05

1256

N06AB05

1257

N06AB05

1258

N06AB05

1259

N06AB05

1260

N06AB05

1261

N06AB05

1262

N06AB05

1263

N06AB06

1264

N06AB06

1265

N06AB06

1266

N06AB06

1267

N06AB06

1268

N06AB06

1269

N06AB06

1270

N06AB06

1271

N06AB06

1272

N06AB06

1273

N06AB06

1274

N06AB06

1275

N06AB06

1276

N06AB06

1277

N06AB06

1278

N06AB06

1279

N06AB06

1280

N06AB08

1281

N06AB08

1282

N06AX03

1283

N06AX03

1284

N06AX11

1285

N06AX11

1286

N06AX11

1287

N06AX11

1288

N06AX11

1289

N06AX11

1290

N06AX11

1291

N06AX11

DCI

FLUOXETINUM*
FLUOXETINUM*
FLUOXETINUM*
FLUOXETINUM*
CITALOPRAMUM**
CITALOPRAMUM**
CITALOPRAMUM**
CITALOPRAMUM**
CITALOPRAMUM**
CITALOPRAMUM**
CITALOPRAMUM**
CITALOPRAMUM**
CITALOPRAMUM**
PAROXETINUM*
PAROXETINUM*
PAROXETINUM*
PAROXETINUM*
PAROXETINUM*
PAROXETINUM*
PAROXETINUM*
PAROXETINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
FLUVOXAMINUM*
FLUVOXAMINUM*
MIANSERINUM*
MIANSERINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*

Denumire Comerciala

FLUOXIN 20 mg
MAGRILAN 20 mg
ROFLUXIN 20 mg
PROZAC 20 mg
CITALORAN 10 mg
LINISAN 10 mg
DALSAN 10 mg
CITALORAN 20mg
LINISAN 20 mg
DALSAN 20 mg
CITALORAN 40 mg
LINISAN 40 mg
DALSAN 40 mg
ARKETIS
PAROXETIN ATB 20 mg
SEROXAT 20 mg
PALUXETIL 20 mg
PAXETIN 20 mg
PAROXETIN TEVA 20 mg
REXETIN
PALUXETIL 40 mg
SERLIFT 100 mg
ASENTRA (R)
STIMULOTON (R) 100 mg
SERTRALIN SANDOZ 100 mg
SERTRALINA 100 mg
SETALOFT 100 mg
XIMPROVE 100 mg
ZOLOFT 100 mg
SERLIFT 50 mg
ASENTRA (R)
STIMULOTON (R) 50 mg
SERTRALIN SANDOZ 50 mg
SERTRALINA 50 mg
SETALOFT 50 mg
XIMPROVE 50 mg
ZOLOFT 50 mg
ZOLOFT 20 mg/ml
FEVARIN (R) 100
FEVARIN (R) 50
MIANSERIN 10
MIANSERIN 30
REMERON SOLTAB 30 mg
MIRZATEN (R) 30 mg
MIRTAZAPINE-TEVA 30 mg
PHARMATAZ 30 mg
ESPRITAL (R) 30
MIRTAZAPIN AUROBINDO 15 mg

forma farm.

CAPS.
CAPS.
CAPS.

COMPR. DISP.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

COMPR.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
CONC. PT. SOL. ORALA

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. DISP.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. ORODISPERSABILE

MIRZATEN Q-TAB 30 mg

COMPR. ORODISPERSABILE

MIRTAZAPINA BLUEFISH 30 mg

COMPR. ORODISPERSABILE

concentratie

20mg
20mg
20mg
20mg
10mg
10mg
10mg
20mg
20mg
20mg
40mg
40mg
40mg
20mg
20 mg
20mg
20mg
20mg
20mg
20mg
40mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
20mg/ml
100mg
50mg
10mg
30mg
30mg
30mg
30mg
30mg
30mg
15mg
30mg
30mg

tara det.
APP
Ambalaj
VIM SPECTRUM SRL ROMANIA CUTIE X 4 BLIST. PVC/AL X 7 CAPS.
Detinator APP

Prescriptie

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

28
30
P-RF
20
P-RF
28
RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 2 BLIST. PVDC-PVC/AL X 14 COMPR. FILM. P-RF
28
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
30
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. AL-PVC/PVDC X 14 COMPR. FILM. P-RF
28
RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 2 BLIST. PVDC-PVC/AL X 14 COMPR. FILM. P-RF
28
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
30
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. AL-PVC/PVDC X 14 COMPR. FILM. P-RF
28
RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 2 BLIST. PVDC-PVC/AL X 14 COMPR. FILM. P-RF
28
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
30
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. AL-PVC/PVDC X 14 COMPR. FILM. P-RF
28
MEDOCHEMIE LTD. CIPRU
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF
30
ANTIBIOTICE SA
ROMANIA CUTIE CU 3 BLIST. DIN PVC-PE-PVDC/AL X 10 COMPR. FILM. PRF
30
SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
30
HEXAL AG
GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
30
ACTAVIS GROUP HF. ISLANDA CUTIE X 3 BLIST. AL/AL X 10 COMPR. FILM. P-RF
30
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. TRANSPARENTE DIN PVC-PVDC/AL X 30 COMPR. FILM. P-RF
30
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
30
HEXAL AG
GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
30
TERAPIA SA
ROMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM.
P-RF
28
KRKA D.D.
SLOVENIA CUTIE X 4 BLIST. X 7 COMPR. FILM.
P-RF
28
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-RF
28
HEXAL AG
GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
30
ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF
30
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLISTERE DIN PVC-PVDC/AL X 28 COMPR. FILM. P-RF
28
DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-RF
28
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 2 BLIST. PVC/AL X 14 COMPR. FILM. P-RF
28
TERAPIA SA
ROMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM.
P-RF
28
KRKA D.D.
SLOVENIA CUTIE X 4 BLIST. X 7 COMPR. FILM.
P-RF
28
EGIS PHARMACEUTICALS P.L.C. MAREA BRITANIE CUTIE X 3 BLIST. X 10 COMPR. FILM.
P-RF
30
HEXAL AG
GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
30
ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF
30
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLISTERE DIN PVC-PVDC/AL X 28 COMPR. FILM. P-RF
28
DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-RF
28
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 2 BLIST. PVC/AL X 14 COMPR. FILM. P-RF
28
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA BRUNA X 60 ML CONC. PT. SOL. ORALA + 1 PIPETA GRADATA P-RF
1
ABBOTT HEALTHCARE PRODUCTS B.V. OLANDA CUTIE X 2 BLIST. PVC/PVDC X 15 COMPR. FILM. P-RF
30
ABBOTT HEALTHCARE PRODUCTS B.V. OLANDA CUTIE X 2 BLIST. PVC/PVDC X 15 COMPR. FILM. P-RF
30
REMEDICA LTD.
CIPRU
CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF/S 100
REMEDICA LTD.
CIPRU
CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF
20
NV ORGANON
OLANDA
P-RF
30
KRKA D.D.
SLOVENIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF
30
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF
30
ACTAVIS GROUP HF. ISLANDA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF
30
ZENTIVA KS
CEHIA
CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF
30
AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. PA-AL-PVC/AL-POLIESTER-HARTIE X 30 COMPR. ORODISPERSABILE P-RF
30
KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. DIN AL/OPA-AL-PVC X 30 COMPR. ORODISPERSABILE P-RF
30
BLUEFISH PHARMACEUTICALS AB SUEDIA
CUTIE CU BLIST. PA-AL-PVC/AL-POLIESTER-HARTIE X 30 COMPR. ORODISPERSABILE
P-RF
30
MEDOCHEMIE LTD. CIPRU
CUTIE X 3 BLIST. AL/PVC X 10 CAPS.
ANTIBIOTICE S.A.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
ELI LILLY SA
SPANIA CUTIE X 2 BLIST. PVC-PE-ACLAR/AL X 14 COMPR. DISP.

CUTIE X 5 BLIST. AL/PVC-PA-POLIESTER PERFORAT PT. ELIB. UNEI UNIT. DOZATE X 6 COMPR. DISP.

Pagina 26 din 29

P-RF

P-RF

22.06
17.63
15.12
36.82
7.40
7.12
7.40
10.72
39.54
10.72
33.59
32.37
33.59
23.05
23.04
34.30
23.05
23.05
23.05
46.17
61.70
35.28
40.84
35.28
37.80
37.64
34.09
35.28
68.51
19.54
22.87
20.94
20.82
20.92
18.74
19.54
36.98
65.61
48.83
25.21
46.70
26.06
82.15
37.92
37.90
36.01
37.92
24.62
37.92
37.92

Pret
amanuntul
maximal/UT
(RON)

0.787857
0.587666
0.756000
1.315000
0.264285
0.237333
0.264285
0.382857
1.318000
0.382857
1.199642
1.079000
1.199642
0.768333
0.768000
1.143333
0.768333
0.768333
0.768333
1.539000
2.056666
1.260000
1.458571
1.260000
1.260000
1.254666
1.217500
1.260000
2.446785
0.697857
0.816785
0.698000
0.694000
0.697333
0.669285
0.697857
1.320714
65.610000
1.627666
0.840333
0.467000
1.303000
2.738333
1.264000
1.263333
1.200333
1.264000
0.820666
1.264000
1.264000

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

0.565199
0.565199
0.565199
0.565199
0.264285
0.237333
0.264285
0.382857
0.565199
0.382857
1.130399
1.079000
1.130399
0.565199
0.565199
0.565199
0.565199
0.565199
0.565199
0.565199
1.130399
1.130399
1.130399
1.130399
1.130399
1.130399
1.130399
1.130399
1.130399
0.565199
0.565199
0.565199
0.565199
0.565199
0.565199
0.565199
0.565199
13.564794
0.565199
0.282599
0.398248
1.194751
1.263333
1.263333
1.263333
1.200333
1.263333
0.631666
1.263333
1.263333

0.508679
0.508679
0.508679
0.508679
0.237856
0.213599
0.237856
0.344571
0.508679
0.344571
1.017359
0.971100
1.017359
0.508679
0.508679
0.508679
0.508679
0.508679
0.508679
0.508679
1.017359
1.017359
1.017359
1.017359
1.017359
1.017359
1.017359
1.017359
1.017359
0.508679
0.508679
0.508679
0.508679
0.508679
0.508679
0.508679
0.508679
12.208315
0.508679
0.254339
0.358423
1.075276
1.136999
1.136999
1.136999
1.080299
1.136999
0.568499
1.136999
1.136999

Nr crt.

cod ATC

1292

N06AX11

1293

N06AX11

1294

N06AX11

1295

N06AX11

1296

N06AX11

1297

N06AX16

1298

N06AX16

1299

N06AX16

1300

N06AX16

1301

N06AX16

1302

N06AX16

1303

N06AX16

1304

N06AX16

1305

N06AX16

1306

N06AX16

1307

N06AX16

1308

N06AX16

1309

N06AX16

1310

N06AX16

1311

N06AX16

1312

N06AX16

1313

N06AX16

1314

N06AX16

1315

N06AX16

1316

N06AX16

1317

N06AX16

1318

N06AX16

1319

N06AX16

1320

N06AX16

1321

N06AX16

1322

N06AX16

1323

N06AX16

1324

N06AX16

1325

N06AX16

1326

N06AX16

1327

N06AX16

1328

N06AX16

1329

N06AX16

1330

N06AX16

1331

N06AX16

1332

N06AX16

1333

N06AX16

1334

N06AX16

1335

N06AX16

1336

N06AX16

1337

N06AX16

1338

N06AX16

1339

N06AX16

1340

N06AX16

1341

N06AX16

DCI

MIRTAZAPINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**

Denumire Comerciala
MIRTAZAPIN AUROBINDO 30 mg

ZULIN 30 mg
ZULIN 30 mg
PHARMATAZ 30 mg

MIRTAZAPIN AUROBINDO 45 mg

IVRYX 150mg
EFECTIN EP 150 mg
EFECTIN ER 150 mg
VELAXIN 150 mg
ALVENTA 150mg
FOBILESS 150 mg
NOPEKAR 150 mg
ADOXA EP 150 mg
ELIFY EP 150 mg
VENLAGAMMA 150 mg
JARVIS 150 mg

VENLAFAXINA ACTAVIS 150 mg

forma farm.
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE

CAPS. ELIB. PREL.


CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.

VENLAFAXINA ARENA EP 150 mg CAPS. ELIB. PREL.

NOPEKAR 150 mg
FOBILESS 37,5 mg
NOPEKAR 37,5 mg
VENLAGAMMA 37,5 mg

CAPS. ELIB. PREL.


CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.

VENLAFAXINA ARENA EP 37,5 mg CAPS. ELIB. PREL.

NOPEKAR 37,5 mg
IVRYX 75mg
EFECTIN EP 75 mg
EFECTIN ER 75 mg
VELAXIN 75 mg
ALVENTA 75 mg
FOBILESS 75 mg
NOPEKAR 75 mg
ADOXA EP 75 mg
ELIFY EP 75 mg
VENLAGAMMA 75 mg
JARVIS 75 mg

CAPS. ELIB. PREL.

VENLAFAXINA ACTAVIS 75 mg

CAPS. ELIB. PREL.

CAPS. ELIB. PREL.


CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.

VENLAFAXINA ARENA EP 75 mg CAPS. ELIB. PREL.

NOPEKAR 75 mg
CAPS. ELIB. PREL.
VENLAFAXINA LPH 37,5 mg COMPR.
VELAXIN 37,5 mg
COMPR.
ADOXA 37,5 mg
COMPR.
VENLAFAXINA ARENA 37,5 mg COMPR.
ADOXA 50 mg
COMPR.
VENLAFAXINA ARENA 50 mg COMPR.
VENLAFAXINA LPH 75 mg
COMPR.
VELAXIN 75 mg
COMPR.
ADOXA 75 mg
COMPR.
ADOXA 75 mg
COMPR.
VENLAFAXINA ARENA 75 mg COMPR.
ARGOFAN 150 SR
COMPR. ELIB. PREL.

concentratie

30mg
30mg
30mg
30mg
45mg
150 mg
150 mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
37,5mg
37,5mg
37,5mg
37,5mg
37,5mg
75 mg
75 mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
37,5mg
37,5mg
37,5mg
37,5mg
50mg
50mg
75mg
75mg
75mg
75mg
75mg
150mg

Detinator APP

tara det.
APP

Ambalaj

Prescriptie

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

30 38.11
6
7.83
CUTIE X 5 BLIST. AL/AL X 6 COMPR. ORODISPERSABILE P-RF
30 37.90
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 5 FOLII TERMOSUDATE OPA-AL/AL-PVC X 6 COMPR. ORODISPERSABILE PRF
30 32.17
AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. PA-AL-PVC/AL-POLIESTER-HARTIE X 30 COMPR. ORODISPERSABILE P-RF
30 63.52
ROMASTRU TRADING S.R.L. ROMANIA CUTIE X 2 BLIST. PCV-ACLAR/AL X 14 CAPS. CU ELIB. PREL. P-RF
28 91.54
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU BLIST. DIN ACLAR-PE-PVC/AL X 28 CAPS. ELIB. PREL. PRF
28 58.69
WYETH LEDERLE PHARMA GMBH AUSTRIA CUTIE X 1 BLIST. ACLAR/PE/PVC/AL X 28 CAPS. ELIB. PREL. P-RF
28 58.69
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 CAPS. CU ELIB. PREL. P-RF
28 91.54
KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 30 CAPS. ELIB. PREL. P-RF
30 75.31
LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL.
P-RF
30 98.02
OZONE LABORATORIES BV OLANDA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. ELIB. PREL. P-RF
28 91.54
RANBAXY (UK) LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF
30 90.38
MEDOCHEMIE LTD. CIPRU
CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF
30 98.08
WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC- PCTF/AL X 100 CAPS. CU ELIB. PREL. P-RF/S
100 304.19
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 CAPS. CU ELIB. PREL. P-RF
30 98.08
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/AL X 28 CAPS. CU ELIB. PREL. P-RF
28 75.38
ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-RF
30 85.18
LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. ELIB. PREL. P-RF
28 91.54
LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL.
P-RF
30 35.58
OZONE LABORATORIES BV OLANDA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. CU ELIB. PREL. P-RF
28 46.57
WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC- PCTF/AL X 100 CAPS. CU ELIB. PREL. P-RF/S
100 65.80
ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-RF
30 32.88
LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. CU ELIB. PREL. P-RF
28 46.57
ROMASTRU TRADING S.R.L. ROMANIA CUTIE X 2 BLIST. PCV-ACLAR/AL X 14 CAPS. CU ELIB. PREL. P-RF
28 47.52
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU BLIST. DIN ACLAR-PE-PVC/AL X 28 CAPS. ELIB. PREL. PRF
28 35.58
WYETH LEDERLE PHARMA GMBH AUSTRIA CUTIE X 1 BLIST. ACLAR/PE/PVC/AL X 28 CAPS. ELIB. PREL. P-RF
28 35.58
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 CAPS. CU ELIB. PREL P-RF
28 47.52
KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 30 CAPS. ELIB. PREL. P-RF
30 32.91
LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL.
P-RF
30 50.89
OZONE LABORATORIES BV OLANDA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. ELIB. PREL. P-RF
28 47.52
RANBAXY (UK) LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF
30 39.50
MEDOCHEMIE LTD. CIPRU
CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF
30 50.94
WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC- PCTF/AL X 100 CAPS. CU ELIB. PREL. P-RF/S
100 111.93
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 CAPS. CU ELIB. PREL. P-RF
30 50.94
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/AL X 28 CAPS. CU ELIB. PREL. P-RF
28 31.74
ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-RF
30 47.73
LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. ELIB. PREL. P-RF
28 47.52
LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 20 COMPR. P-RF
60 62.25
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. PVC-PVDC/AL X 14 COMPR. P-RF
56 58.14
TERAPIA SA
ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-RF
30 32.20
ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE- PVDC/AL X 10 COMPR. P-RF
30 32.20
TERAPIA SA
ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-RF
30 38.50
ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE- PVDC/AL X 10 COMPR. P-RF
30 38.50
LABORMED PHARMA SA ROMANIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. P-RF
60 77.52
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. PVC-PVDC/AL X 14 COMPR. P-RF
56 72.46
TERAPIA SA
ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-RF
30 40.87
TERAPIA SA
ROMANIA CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. P-RF
30 40.87
ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE- PVDC/AL X 10 COMPR. P-RF
30 40.87
ZENTIVA A.S.
SLOVACIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. ELIB. PREL. P-RF
30 90.38
AUROBINDO PHARMA LIMITED

MAREA BRITANIE CUTIE CU BLIST. PA-AL-PVC/AL-POLIESTER-HARTIE X 30 COMPR. ORODISPERSABILE

ANTIBIOTICE S.A.
ANTIBIOTICE S.A.

ROMANIA
ROMANIA

Pagina 27 din 29

P-RF

CUTIE X 1 BLIST. AL/AL X 6 COMPR. ORODISPERSABILE P-RF

Pret
amanuntul
maximal/UT
(RON)

1.270333
1.305000
1.263333
1.072333
2.117333
3.269285
2.096071
2.096071
3.269285
2.510333
3.267333
3.269285
3.012666
3.269333
3.041900
3.269333
2.692142
2.839333
3.269285
1.186000
1.663214
0.658000
1.096000
1.663214
1.697142
1.270714
1.270714
1.697142
1.097000
1.696333
1.697142
1.316666
1.698000
1.119300
1.698000
1.133571
1.591000
1.697142
1.037500
1.038214
1.073333
1.073333
1.283333
1.283333
1.292000
1.293928
1.362333
1.362333
1.362333
3.012666

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

1.263333
1.263333
1.263333
1.072333
1.894999
2.368800
2.096071
2.096071
2.368800
2.368800
2.368800
2.368800
2.368800
2.368800
2.368800
2.368800
2.368800
2.368800
2.368800
0.592200
0.592200
0.592200
0.592200
0.592200
1.184400
1.184400
1.184400
1.184400
1.097000
1.184400
1.184400
1.184400
1.184400
1.119300
1.184400
1.133571
1.184400
1.184400
0.592200
0.592200
0.592200
0.592200
0.789600
0.789600
1.184400
1.184400
1.184400
1.184400
1.184400
2.368800

1.136999
1.136999
1.136999
0.965099
1.705499
2.131920
1.886463
1.886463
2.131920
2.131920
2.131920
2.131920
2.131920
2.131920
2.131920
2.131920
2.131920
2.131920
2.131920
0.532980
0.532980
0.532980
0.532980
0.532980
1.065960
1.065960
1.065960
1.065960
0.987300
1.065960
1.065960
1.065960
1.065960
1.007370
1.065960
1.020213
1.065960
1.065960
0.532980
0.532980
0.532980
0.532980
0.710640
0.710640
1.065960
1.065960
1.065960
1.065960
1.065960
2.131920

Nr crt.

cod ATC

1342

N06AX16

1343

N06AX16

1344

N06AX16

1345

N07AA01

1346

P01AB02

1347

P01AB02

1348

P01AB02

1349

P01AB02

1350

P02CA03

1351

P02CA03

1352

P02CA03

1353

P02CA03

1354

P02CA03

1355

P02CA03

1356

P02CA03

1357

P02CE01

1358

P02CE01

1359

P02CE01

1360

P02CE01

1361

R01AD01

1362

R03AC02

1363

R03AC02

1364

R03AC02

1365

R03BA01

1366

R03BA02

1367

R03BA02

1368

R03BA02

1369

R03BA02

1370

R03BA02

1371

R03BA02

1372

R03BA02

1373

R03BB01

1374

R03BB01

1375

R03CC02

1376

R03CC02

1377

R03CC02

1378

R03DA04

1379

R03DA04

1380

R03DA04

1381

R03DA04

1382

R03DA04

1383

R05DA04

1384

R05DA04

1385

R05DA04

1386

R05DA04

1387

R05DA04

1388

R05DA04

1389

R05DA04

1390

R06AB04

1391

R06AE07

DCI

VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
NEOSTIGMINI BROMIDUM
TINIDAZOLUM
TINIDAZOLUM
TINIDAZOLUM
TINIDAZOLUM
ALBENDAZOLUM
ALBENDAZOLUM
ALBENDAZOLUM
ALBENDAZOLUM
ALBENDAZOLUM
ALBENDAZOLUM
ALBENDAZOLUM
LEVAMISOLUM
LEVAMISOLUM
LEVAMISOLUM
LEVAMISOLUM
BECLOMETASONUM*
SALBUTAMOLUM
SALBUTAMOLUM
SALBUTAMOLUM
BECLOMETASONUM*
BUDESONIDUM*
BUDESONIDUM*
BUDESONIDUM*
BUDESONIDUM*
BUDESONIDUM*
BUDESONIDUM*
BUDESONIDUM*
IPRATROPII BROMIDUM*
IPRATROPII BROMIDUM*
SALBUTAMOLUM
SALBUTAMOLUM
SALBUTAMOLUM
THEOPHYLLINUM
THEOPHYLLINUM
THEOPHYLLINUM
THEOPHYLLINUM
THEOPHYLLINUM
CODEINUM
CODEINUM
CODEINUM
CODEINUM
CODEINUM
CODEINUM
CODEINUM
CHLORPHENAMINUM
CETIRIZINUM

Denumire Comerciala

ARGOFAN 75 SR

forma farm.
COMPR. ELIB. PREL.

VENLAFAXINA ACTAVIS 37,5 mg COMPR. FILM.


VENLAFAXINA ACTAVIS 75 mg COMPR. FILM.

NEOSTIGMINA LPH 15 mg

TINIZOL (R) 500 mg (J01XD02)


TIPROGYN 500 (vezi J01XD02)
TINIZOL (R) 500 mg (J01XD02)
TIPROGYN 500 (vezi J01XD02)

ALBENDAZOL VIM SPECTRUM 200 mg

ESKAZOLE
DUADOR 200 mg
ZENTEL 200 mg
ALBENDAZOL LPH 200 mg
ZENTEL 0,4 g/10 ml
VERMIGAL NOVO 400 mg
DECARIS 150 mg
LEVAMISOL ARENA 150 mg
DECARIS 50 mg
LEVAMISOL ARENA 50 mg
RINOCLENIL 100
VENTOLIN (R)
VENTOLIN 100 INHALER CFC-FREE

ASTHALIN INHALER
CLENIL (R) JET 250 mcg
FRENOLYN 200
FRENOLYN 200
PULMICORT TURBUHALER 200 mcg/doza

FRENOLYN 400
FRENOLYN 400
BUDIAIR 200 mcg
BUDIAIR 200 mcg JET
IPRAXA 500mcg/2ml
IPRAVENT INHALER 20mcg/doza

SALBUTAMOL EIPICO 2mg/5ml

VENTOLIN (R)
SALBUTAMOL T
THEO SR 100
TEOTARD (R) 200
THEO SR 200
THEO SR 300
TEOTARD (R) 350

FOSFAT DE CODEINA 15 mg

CODEINA FOSFORICA
FARMACOD
CODEINA FOSFAT

CODEINA FOSFAT LPH 15 mg


CODEINA FOSFAT MCC 15 mg

CODEINA FOSFAT 15 mg
CLORFENIRAMIN
CELERG

COMPR.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

COMPR.
COMPR.

COMPR. FILM.
COMPR. FILM.

COMPR.FILM
SUSP. ORALA
SUSP. ORALA

COMPR.
COMPR.
COMPR.
COMPR.

SPRAY NAZ.,SUSP.

SOL. INHAL.
SUSP. INHAL. PRESURIZATA
SUSP. INHAL. PRESURIZATA
SOL. INHALAT PRESURIZATA

PULB. INHAL.
PULB. INHAL.
PULB. INHAL.
PULB. INHAL.
PULB. INHAL.
SOL. DE INHALAT PRESURIZATA

concentratie

75mg
37,5 mg
75mg
15mg
500mg
500mg
500mg
500mg
200mg
400mg
200mg
200mg
200 mg
0,4g/10ml
400mg/10ml
150mg
150mg
50mg
50mg
100mcg/doza
5mg/ml
100mcg/doza
100mcg/doza
250mcg/doza
200 mcg/doza
200 mcg/doza

tara det.
APP
ZENTIVA A.S.
SLOVACIA
ACTAVIS S.R.L.
ROMANIA
ACTAVIS S.R.L.
ROMANIA
LABORMED PHARMA SA ROMANIA
ZENTIVA S.A.
ROMANIA
AC HELCOR SRL
ROMANIA
ZENTIVA S.A.
ROMANIA
AC HELCOR SRL
ROMANIA
VIM SPECTRUM SRL ROMANIA
Detinator APP

GLAXO SMITHKLINE EXPORT LTD. MAREA BRITANIE

GEDEON RICHTER ROMANIA SA

200mcg/doza
500mcg/2ml
SUSP. INHAL. PRESURIZATA 20mcg/doza
SIROP
2mg/5ml
SOL. INJ.
0,5mg/ml
SOL. ORALA 0,04%
CAPS. ELIB. PREL. 100mg
CAPS. ELIB. PREL. 200mg
CAPS. ELIB. PREL. 200mg
CAPS. ELIB. PREL. 300mg
CAPS. ELIB. PREL. 350mg
COMPR.
15mg
COMPR.
15mg
COMPR.
15mg
COMPR.
15mg
COMPR.
15mg
COMPR.
15mg
COMPR.
15mg
COMPR.
4mg
COMPR. FILM. 10 mg

CUTIE X 1 BLIST. AL/PVC X 20 COMPR.


CUTIE X 1 BLIST. X 4 COMPR. FILM.
CUTIE X 1 BLIST. X 4 COMPR.FILM.
CUTIE X 1 BLIST. X 4 COMPR. FILM.
CUTIE X 1 BLIST. X 4 COMPR.FILM.
CUTIE X 1 BLIST. AL/PVC X 2 COMPR.

ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
ARENA GROUP S.A. ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
ARENA GROUP S.A. ROMANIA

P-RF
P-RF

P-6L
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

CUTIE X 1 BLIST. AL/PVDC-PVC X 2 COMPR. FILM. P-RF

ROMANIA CUTIE X 1 BLIST. AL/PVC X 2 COMPR. FILM.

BIOFARM S.A.

Prescriptie

CUTIE X 12 BLIST. PVC-PVDC/AL X 1 COMPR. P-RF

GLAXOSMITHKLINE EXPORT LTD. MAREA BRITANIE CUTIE X 1 FLACON UNIDOZA DIN PVC X 10 ML SUSP. ORALA

P-RF
P-RF

CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 ML SUSP. ORALA P-RF

CUTIE X 1 BLIST. AL/PVC X 1 COMPR.


CUTIE CU 1 BLIST. PVC/AL X 1 COMPR.
CUTIE X 1 BLIST. AL/PVC X 2 COMPR.
CUTIE CU 1 BLIST. PVC/AL X 2 COMPR.

P-RF
P-RF

P-RF
P-RF
P-RF

CHIESI FARMACEUTICI SPA

ITALIA

CUTIE X 1 FLACON DIN PET X 30 ML SPRAY NAZ.,SUSP., PREVAZUT CU POMPA DOZATOARE

GLAXOWELLCOME UK LTD.

MAREA BRITANIE

CUTIE X 1 FALC. DIN STICLA BRUNA X 10 ML SOL. DE INHAL. P-6L

GLAXOWELLCOME UK LTD.

MAREA BRITANIE

CUTIE X 1 FLACON PRESURIZAT DIN AL PREVAZUT CU VALVA DOZATOARE X 200 DOZE + DISPOZITIV DE ADMINISTRA

P-RF

CIPLA (UK) LIMITED

MAREA BRITANIE

CUTIE X 1 FLAC. AL + VALVA DOZATOARE + DISP. ADM. X 200 DOZE SUSP. INHAL. PRESURIZATA

P-6L

CUTIE X 1 FLACON PRESURIZAT DIN AL X 200 DOZE, PREVAZUT CU VALVA DOZATOARE + DISPOZITIV DE ADM., "SP

P-RF

CHIESI FARMACEUTICI SPA


MEDOCHEMIE ROMANIA SRL
MEDOCHEMIE ROMANIA SRL

200mcg/doza ASTRAZENECA AB

400 mcg/doza
400 mcg/doza
200 mcg/doza

CUTIE X 4 BLIST. AL/PVC X 14 COMPR. FILM.


CUTIE X 4 BLIST. AL/PVC X 14 COMPR. FILM.

ROMANIA CUTIE X 1 BLIST. X 2 COMPR. FILM.

GLAXOSMITHKLINE EXPORT LTD. MAREA BRITANIE

LABORMED PHARMA S.A.

Ambalaj

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. ELIB. PREL. P-RF

MEDOCHEMIE ROMANIA SRL


MEDOCHEMIE ROMANIA SRL

CHIESI FARMACEUTICI SPA

SOL. DE INHALAT PRESURIZATA

CHIESI FARMACEUTICI SPA

SOL. DE INHALAT PRIN NEBULIZ.

TEVA PHARMACEUTICALS S.R.L.

CIPLA (UK) LIMITED

ITALIA

ROMANIA CUTIE X 1 PUNGA X 1 INHALATOR X 100 DOZE


ROMANIA CUTIE X 1 PUNGA X 1 INHALATOR X 200 DOZE

P-RF

CUTIE X 1 FLACON MULTIDOZA DIN PEID X 100 DOZE PULB. INHAL.

P-RF

ROMANIA CUTIE X 1 PUNGA X 1 INHALATOR X 100 DOZE


ROMANIA CUTIE X 1 PUNGA X 1 INHALATOR X 200 DOZE

P-RF

SUEDIA

ITALIA
ITALIA

ROMANIA

P-RF

CUTIE X 1 FLACON X 200 DOZE SOL. DE INHALAT PRESURIZATA + VALVA DOZATOARE + DISPOZITIV DE ADMINISTRA

P-RF

CUTIE X 1 FLACON X 200 DOZE SOL. DE INHALAT PRESURIZATA = VALVA DOZATOARE + DISPOZITIV JET DE ACTION

P-RF

CUTIE X 20 FIOLE DIN PEJD X 2 ML SOL. DE INHALAT PRIN NEBULIZATOR

P-6L

MAREA BRITANIE CUTIE X 1 FLACON AL PRESURIZAT X 200 DOZE SUSP.DE INHALAT PRESURIZATA

E.I.P.I.CO. MED S.R.L. ROMANIA

P-RF

CUTIE X 1 FLAC. DIN STICLA BRUNA X 125 ML SIROP

CUTIE X 5 FIOLE DIN STICLA X 1 ML


TIS FARMACEUTIC SA ROMANIA CUTIE X 1 FLACON X 100 ML

P-6L
P-6L

GLAXO WELLCOME UK LTD.

MAREA BRITANIE

P-6L

GLAXOSMITHKLINE (GSK) SRL

ROMANIA

CUTIE X 2 BLIST. PVC/PVDC-AL X 10 CAPS. ELIB. PREL. P-RF

KRKA D.D.
GLAXOSMITHKLINE (GSK) SRL
GLAXOSMITHKLINE (GSK) SRL

KRKA D.D.
SINTOFARM SA
BIO EEL SRL
FARMACOM SA
SLAVIA PHARM SRL
LABORMED PHARMA SA

MAGISTRA C & C SRL


OZONE LABORATORIES PHARMA S.A.

LABORMED PHARMA SA
AC HELCOR PHARMA SRL

Pagina 28 din 29

SLOVENIA CUTIE X 4 BLIST. AL/PVC X 10 CAPS. ELIB. PREL.

ROMANIA
ROMANIA

P-6L
P-RF

CUTIE X 1 BLIST. PVC/PVDC-AL X 10 CAPS. ELIB. PREL. P-RF


CUTIE X 1 BLIST. PVC/PVDC - AL X 10 CAPS. ELIB. PREL. P-RF

SLOVENIA CUTIE X 4 BLIST. AL/PVC X 10 CAPS. ELIB. PREL.

P-RF

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

P-RF

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.


CUTIE X 1 BLIST. AL/PVC X 25 COMPR.
CUTIE X 2 BLIST. X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 1 BLIST. AL/PVC X 20 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

P-6L

CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM. P-6L

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

Pret
amanuntul
maximal/UT
(RON)

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

30 39.48
1.316000
1.184400
1.065960
56 38.11
0.680535
0.592200
0.532980
56 61.43
1.096964
1.096964
0.987267
20 13.73
0.686500
0.686500
0.617850
4
3.70
0.925000
0.682799
0.614519
4
3.68
0.920000
0.682799
0.614519
4
3.70
0.925000
0.682799
0.614519
4
3.68
0.920000
0.682799
0.614519
2
6.22
3.110000
3.110000
2.799000
12 71.68
5.973333
5.973333
5.375999
2
6.38
3.190000
3.110000
2.799000
2
9.82
4.910000
3.110000
2.799000
2
6.39
3.195000
3.110000
2.799000
1
5.73
5.730000
3.813750
3.432375
1
3.74
3.740000
3.740000
3.366000
1
3.42
3.420000
3.420000
3.078000
1
3.42
3.420000
3.420000
3.078000
2
3.02
1.510000
1.139988
1.025989
2
3.02
1.510000
1.139988
1.025989
1 48.52 48.520000 42.718000 38.446200
1
8.92
8.920000
1.558800
1.402920
1 10.51 10.510000
7.794000
7.014600
1
6.81
6.810000
6.810000
6.129000
1 101.96 101.960000 101.960000 91.764000
1 39.48 39.480000 39.480000 35.532000
1 75.00 75.000000 75.000000 67.500000
1 60.76 60.760000 40.790000 36.711000
1 84.20 84.200000 81.580000 73.422000
1 172.36 172.360000 163.160000 146.844000
1 74.98 74.980000 43.509332 39.158399
1 74.98 74.980000 43.509332 39.158399
20 31.83
1.591500
1.579124
1.421212
1 12.60 12.600000 12.600000 11.340000
1
3.05
3.050000
3.050000
2.745000
5
3.56
0.712000
0.712000
0.640800
1
2.67
2.670000
2.497500
2.247750
20
5.72
0.286000
0.178800
0.160920
40
9.38
0.234500
0.234500
0.211050
10
4.27
0.427000
0.357600
0.321840
10
5.96
0.596000
0.536400
0.482760
40 13.98
0.349500
0.349500
0.314550
30
6.01
0.200333
0.151000
0.135900
25
5.13
0.205200
0.151000
0.135900
20
3.02
0.151000
0.151000
0.135900
20
3.02
0.151000
0.151000
0.135900
20
3.19
0.159500
0.151000
0.135900
20
3.65
0.182500
0.151000
0.135900
20
2.96
0.148000
0.148000
0.133200
20
2.31
0.115500
0.115500
0.103950
20 21.16
1.058000
0.970650
0.873585

DCI

Nr crt.

cod ATC

1392

R06AE07

1393

R06AE07

1394

R06AX17

1395

R06AX17

1396

R06AX17

1397

R06AX17

1398

R06AX17

1399

R06AX17

1400

R06AX17

1401

S01AX13

1402

S01BC03

1403

S01BC03

1404

S01CA05

CETIRIZINUM
CETIRIZINUM
KETOTIFENUM
KETOTIFENUM
KETOTIFENUM
KETOTIFENUM
KETOTIFENUM
KETOTIFENUM
KETOTIFENUM
CIPROFLOXACINUM
DICLOFENACUM
DICLOFENACUM
COMBINATII

1405

S01CA05

COMBINATII (CLORAMPHENICOLUM+BETHAMETASONUM)

1406

S01CA05

COMBINATII (CLORAMPHENICOLUM+BETHAMETASONUM)

Denumire Comerciala

LETIZEN (R) 10 mg
ZYRTEC 10 mg/ml
KETOF 1 mg
KETOF 1 mg
KETOTIFEN LPH (R) 1 mg
H - KETOTIFEN
KETOTIFEN

forma farm. concentratie


Detinator APP
COMPR. FILM. 10mg
KRKA D.D.

tara det.
APP
Ambalaj
SLOVENIA CUTIE X 2 BLIST. X 10 COMPR. FILM.

P-6L

PICATURI ORALE-SOL.

GERMANIA

P-6L

10mg/ml
U.C.B. GMBH
CAPS.
1mg
HEXAL AG
CAPS.
1mg
HEXAL AG
COMPR.
1mg
LABORMED PHARMA SA
COMPR.
1mg
AC HELCOR SRL
COMPR.
1mg
MAGISTRA C&C S.R.L.
KETOTIFEN LAROPHARM 1 mg COMPR.
1mg
LAROPHARM SRL
KETOF 1 mg/5 ml
SIROP
1mg/5ml
HEXAL AG
CIPLOX (vezi S01AX13)
UNG. OFT. 0,3%
CIPLA (UK) LIMITED
DICLOFENAC ROMPHARM PIC. OFT.-SOL. 1mg/ml
ROMPHARM COMPANY SRL
UNICLOPHEN (R) 0,1%
PICATURI OFT.-SOL. 0,1%
UNIMED PHARMA LTD.
OPHTAMESONE - N
SOL. OFT.
FARA CONCENTRATIE DAR AL DAWA PHARMA S.R.L.
BETABIOPTAL
PICATURI OFT.SUSP. 0,2g+0,5g/100ml FARMILA FARMACEUTICI MILANO SPA
BETABIOPTAL
UNG. OFT. 0,2g+0,5g/100g FARMILA FARMACEUTICI

CUTIE X 1 FLAC. STICLA BRUNA X 20 ML PIC. ORAL. SOL + APLICATOR PT. PICURARE

Prescriptie

ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE X 5 BLIST. AL/PP X 10 CAPS.


CUTIE X 2 BLIST. AL/PP X 10 CAPS.
CUTIE X 2 BLIST. X 10 COMPR.
CUTIE X 2 BLIST. X 10 COMPR.
CUTIE X 2 BLIST. X 10 COMPR.
CUTIE X 1 BLIST. AL/PVC X 20 COMPR.

GERMANIA

CUTIE X 1 FLACON X 100 ML SIROP + MASURA DOZATOARE P-6L

GERMANIA
GERMANIA

P-6L
P-6L
P-6L
P-6L
P-6L
P-6L

MAREA BRITANIE CUTIE X 1 TUB DIN AL + VARF APLICATOR SI CAPAC DIN PEID X 5G UNG. OFT.

P-RF

ROMANIA

FLACON PICURATOR DIN PEJD X 5 ML PIC. OFT., SOL.

P-6L

SLOVACIA

CUTIE X 1 FLACON DIN PE X 10 ML PIC. OFTALMICE, SOL., PREVAZUT CU PICURATOR

P-6L

ROMANIA CUTIE X 1 FLACON X 10ML

ITALIA
ITALIA

P-RF

CUTIE X 1 FLACON DIN PEJD X 5 ML PIC. OFT.,SUSP. + APLICATOR PT. PICURARE

P-RF

CUTIE X 1 TUB AL X 5 G

P-RF

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

20
1
50
20
20
20
20
20
1
1
1
1
1
1
1

NOT:
- Tratamentul cu medicamentele corespunztoare DCI-urilor notate cu (*) se iniiaza de medicul de specialitate in limita competenei i poate fi prescris n continuare de medicul de familie pe baza scrisorii medicale
emise de medicul de specialitate;
- Tratamentul cu medicamentele corespunztoare DCI-urilor notate cu (**) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale Ministerului Sntii;
- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (***) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale Ministerului Sntii i cu aprobarea comisiilor
de la nivelul Caselor Judeene de Asigurri de Sntate;
- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (1) se efectueaza pentru pacienii cu intoleran la acidum acetylsalicylicum.

Pagina 29 din 29

13.53
22.99
13.81
5.25
3.31
3.65
3.45
3.45
11.43
4.27
10.69
11.23
4.50
13.45
15.45

Pret
amanuntul
maximal/UT
(RON)

0.676500
22.990000
0.276200
0.262500
0.165500
0.182500
0.172500
0.172500
11.430000
4.270000
10.690000
11.230000
4.500000
13.450000
15.450000

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

0.676500
19.413000
0.172500
0.172500
0.165500
0.172500
0.172500
0.172500
11.430000
4.270000
8.152500
11.230000
4.500000
7.065000
7.065000

0.608850
17.471700
0.155250
0.155250
0.148950
0.155250
0.155250
0.155250
10.287000
3.843000
7.337250
10.107000
4.050000
6.358500
6.358500

ANEXA 2

SUBLISTA B - LISTA MEDICAMENTELOR CU NIVEL DE COMPENSARE 50% DIN PRETUL DE REFERINTA CONFORM
DENUMIRILOR COMUNE INTERNATIONALE (DCI) ALE MEDICAMENTELOR DE CARE BENEFICIAZA ASIGURATII, IN TRATAMENTUL AMBULATORIU CU CONTRIBUTIE PERSONALA DIN HG NR. 720/2008 CU MODIFICARILE SI
COMPLETARILE ULTERIOARE VALABILA INCEPAND CU 01 IULIE 2012

Nr. crt

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45

cod ATC
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05

DCI

PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM

Denumire Comerciala

CONTROLOC 20 mg
SELTRAZ 20 mg
CONTROLOC 40mg
CONTROLOC 40mg
CONTROLOC 40mg
SELTRAZ 40 mg
ZENCOPAN 20 mg
PANTEXEL 20 mg
PACID 20 mg
PANTOPRAZOL NYCOMED 20 mg
PANTOPRAZOL NYCOMED 20 mg
DYSPEX 20 mg
PANTOSAL 20 mg
PANTOSAL 20 mg
NOLPAZA 20 mg
AZATOL 20 mg
PANTOPRAZOL TEVA 20 mg
ZENCOPAN 40 mg
PANTEXEL 40 mg
ZIPANTOLA 40 mg
PACID 40 mg
PANTOPRAZOL NYCOMED 40 mg
PANTOPRAZOL NYCOMED 40 mg
PANTOSAL 40 mg
PANTOSAL 40 mg
NOLPAZA 40mg
AZATOL 40 mg
PANTOPRAZOL TEVA 40 mg
PANTOPRAZOL TERAPIA 40 mg
PANTOPRAZOL TERAPIA 40 mg
GESOFLUX 20 mg
GESOFLUX 40 mg
CONTROLOC 40mg LIOFILIZAT PENTRU SOLUTIE INJECTABILA

PANTOPRAZOL NYCOMED I.V. 40 mg


PANTOPRAZOL NYCOMED I.V. 40 mg
NOLPAZA 40 mg
PANTOPRAZOL ACTAVIS 40 mg
EMANERA 20 mg
EMANERA 20 mg
HELIDES 20 mg
EMANERA 40 mg
EMANERA 40 mg
HELIDES 40 mg
NEXIUM 20 mg
ESOMEPRAZOL SANDOZ 20 mg

forma farm.
COMPR. FILM. GASTROREZ.
COMPR. FILM. GASTROREZ.
COMPR. FILM. GASTROREZ.
COMPR. FILM. GASTROREZ.
COMPR. FILM. GASTROREZ.
COMPR. FILM. GASTROREZ.

COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZISTENTE
COMPR. GASTROREZISTENTE

LIOF. PT. SOL. INJ.


PULB. PT. SOL. INJ.
PULB. PT. SOL. INJ.
PULB. PT. SOL. INJ.
PULB. PT. SOL. INJ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.

concentratie

20mg
20mg
40mg
40mg
40mg
40mg
20 mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
40 mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
20mg
40mg
40mg
40mg
40mg
40mg
40mg
20mg
20mg
20mg
40mg
40mg
40mg
20mg
20mg

Detinator APP

NYCOMED GMBH
DR. REDDY'S LABORATORIES

NYCOMED GMBH
NYCOMED GMBH
NYCOMED GMBH
DR. REDDY'S LABORATORIES

ZENTIVA K.S.
GEDEON RICHTER ROMANIA SA

TERAPIA S.A.
NYCOMED GMBH
NYCOMED GMBH
NYCOMED GMBH
NYCOMED GMBH
NYCOMED GMBH

tara det.
APP

Ambalaj

Prescriptie

GERMANIA

CUTIE X 6 BLIST. AL/AL IN SUPORT DE CARTON X 5 COMPR. FILM. GASTROREZ.

P-6L

ROMANIA

CUTIE X 2 BLIST. DIN OPA-AL-PVC/AL X 14 COMPR. FILM. GASTROREZISTENTE

P-6L

GERMANIA

CUTIE X 1 BLIST. DIN AL/AL X 14 COMPR. FILM. GASTROREZ.

P-6L

GERMANIA

CUTIE X 3 BLIST. AL/AL IN SUPORT DE CARTON X 5 COMPR. FILM. GASTROREZ.

P-6L

GERMANIA

CUTIE X 6 BLIST. AL/AL IN SUPORT DE CARTON X 5 COMPR. FILM. GASTROREZ.

P-6L

ROMANIA

CUTIE X 2 BLIST. DIN OPA-AL-PVC/AL X 14 COMPR. FILM. GASTROREZISTENTE

P-6L

REPUBLICA CEHA CUTIE CU BLIST. NYLON/AL/PVC/AL A CATE 28 COMPR. GASTROREZ.

ROMANIA
ROMANIA

P6L

CUTIE X 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. GASTROREZ

P-6L

CUTIE X 3 BLIST. PA-AL-PVC/AL X 10 COMPR. GASTROREZ.

P-6L

GERMANIA CUTIE CU BLIST. AL/AL X 14 COMPR. GASTROREZ. P-6L


GERMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. GASTROREZ. P-6L
GERMANIA CUTIE CU BLIST. AL/AL X 14 COMPR. GASTROREZ. P-6L
GERMANIA CUTIE CU BLIST. AL/AL X 14 COMPR. GASTROREZ. P-6L
GERMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. GASTROREZ. P-6L

KRKA D.D., NOVO MESTO SLOVENIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 15 COMPR. GASTR. P-6L
ROMASTRU TRADING S.R.L.
TEVA PHARMACEUTICALS S.R.L.

ZENTIVA K.S.

ROMANIA
ROMANIA

CUTIE CU BLIST. PVC-PCTFE-PVDC/AL X 28 COMPR. GASTROREZ.

P-6L

REPUBLICA CEHA CUTIE CU BLIST. NYLON/AL/PVC/AL A CATE 28 COMPR. GASTROREZ.

P6L
P6L

ROMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. GASTROREZ.

CUTIE X 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. GASTROREZ

P-6L

PLIVA LJUBLJANA D.O.O. SLOVENIA

CUTIE X 1 BLIST. OPA-AL-PVC/AL X 28 COMPR. GASTROREZ.

P-6L

ROMANIA

CUTIE X 3 BLIST. PA-AL-PVC/AL X 10 COMPR. GASTROREZ.

P-6L

GEDEON RICHTER ROMANIA SA

TERAPIA S.A.
NYCOMED GMBH
NYCOMED GMBH
NYCOMED GMBH
NYCOMED GMBH

GERMANIA CUTIE CU BLIST. AL/AL X 14 COMPR. GASTROREZ. P-6L


GERMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. GASTROREZ. P-6L
GERMANIA CUTIE CU BLIST. AL/AL X 14 COMPR. GASTROREZ. P-6L
GERMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. GASTROREZ. P-6L

KRKA D.D., NOVO MESTO SLOVENIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 15 COMPR. GASTR. P-6L
ROMASTRU TRADING S.R.L.
TEVA PHARMACEUTICALS S.R.L.

TERAPIA S.A.
TERAPIA S.A.
G.L. PHARMA GMBH
G.L. PHARMA GMBH
NYCOMED GMBH
NYCOMED GMBH
NYCOMED GMBH

ROMANIA
ROMANIA
ROMANIA
ROMANIA

AUSTRIA
AUSTRIA

CUTIE CU BLIST. PVC-PCTFE-PVDC/AL X 28 COMPR. GASTROREZ.

P-6L

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. GASTROREZ.

P6L

CUTIE X 1 BLIST. PA-AL-PVC/AL X 10 COMPR. GASTROREZ.

P-6L

CUTIE X 3 BLIST. PA-AL-PVC/AL X 10 COMPR. GASTROREZ.

P-6L

CUTIE CU BLIST. AL/AL X 30 COMPR. GASTROREZISTENTE


CUTIE CU BLIST. AL/AL X 30 COMPR. GASTROREZISTENTE

P6L
P6L

GERMANIA CUTIE X 1 FLAC. LIOF. PT. SOL. INJ.

S/P-RF

GERMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ.

S/P-RF
S/P-RF

GERMANIA

CUTIE X 20 ( 20 X 1) FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ., AMBALAJ SPITALICESC

KRKA D.D., NOVO MESTO SLOVENIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ.

P-RF

ACTAVIS GROUP PTC EHF.

CUTIE CU 1 FLAC. DIN STICLA CU CAPACITATEA DE 15 ML CONTINAND 40 MG PANTOPRAZOL

P-RF

KRKA, D.D., NOVO MESTO SLOVENIA

CUTIE CU BLIST. OPA-AL-PE+DESICANT/AL+ PE X 14 CAPS. GASTROREZ.

P-6L

KRKA, D.D., NOVO MESTO SLOVENIA

CUTIE CU BLIST. OPA-AL-PE+DESICANT/AL+ PE X 28 CAPS. GASTROREZ.

P-6L

REPUBLICA CEHA

CUTIE CU BLIST. PA-AL-PVC/AL X 28 CAPS. GASTROREZ.

P-6L

KRKA, D.D., NOVO MESTO SLOVENIA

CUTIE CU BLIST. OPA-AL-PE+DESICANT/AL+ PE X 14 CAPS. GASTROREZ.

P-6L

KRKA, D.D., NOVO MESTO SLOVENIA

CUTIE CU BLIST. OPA-AL-PE+DESICANT/AL+ PE X 28 CAPS. GASTROREZ.

P-6L

REPUBLICA CEHA

CUTIE CU BLIST. PA-AL-PVC/AL X 28 CAPS. GASTROREZ.

P-6L

SUEDIA

CUTIE X 2 BLIST. X 7 COMPR. FILM. GASTROREZ.

P-6L

ZENTIVA K.S.

ZENTIVA K.S.
ASTRAZENECA AB
SANDOZ SRL

Pagina 1 din 22

ISLANDA

ROMANIA

CUTIE CU BLIST. AL/AL X14 COMPR. GASTROREZ. P-6L

Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
(RON)
j

30 34.83
28 22.06
14 26.84
15 28.77
30 55.68
28 31.62
28 20.42
28 22.06
30 10.69
14 10.83
28 21.74
14 10.75
14 10.94
28 21.91
30 21.88
28 22.57
30 20.43
28 31.62
28 31.62
28 31.62
30 19.57
14 15.56
28 31.14
14 15.67
28 31.39
30 32.77
28 33.80
30 36.17
10
5.93
30 19.57
30 22.28
30 34.10
1 33.62
1 21.85
20 378.13
1 19.31
1 21.85
14 26.47
28 51.23
28 51.23
14 38.71
28 73.54
28 73.54
14 39.41
14 30.17

Pret
amanuntul
maximal/UT
(RON)

1.161000
0.787857
1.917142
1.918000
1.856000
1.129285
0.729285
0.787857
0.356333
0.773571
0.776428
0.767857
0.781428
0.782500
0.729333
0.806071
0.681000
1.129285
1.129285
1.129285
0.652333
1.111428
1.112142
1.119285
1.121071
1.092333
1.207142
1.205666
0.593000
0.652333
0.742666
1.136666
33.620000
21.850000
18.906500
19.310000
21.850000
1.890714
1.829642
1.829642
2.765000
2.626428
2.626428
2.815000
2.155000

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit. a)
(RON) pt.
si f)
Adulti

0.709392
0.709392
1.418785
1.418785
1.418785
1.129285
0.709392
0.709392
0.356333
0.709392
0.709392
0.709392
0.709392
0.709392
0.709392
0.709392
0.681000
1.129285
1.129285
1.129285
0.652333
1.111428
1.112142
1.119285
1.121071
1.092333
1.207142
1.205666
0.593000
0.652333
0.709392
1.136666
30.686175
21.850000
18.906500
19.310000
21.850000
0.945855
0.945855
0.945855
1.891713
1.891713
1.891713
0.945855
0.945855

0.354696
0.354696
0.709392
0.709392
0.709392
0.564642
0.354696
0.354696
0.178166
0.354696
0.354696
0.354696
0.354696
0.354696
0.354696
0.354696
0.340500
0.564642
0.564642
0.564642
0.326166
0.555714
0.556071
0.559642
0.560535
0.546166
0.603571
0.602833
0.296500
0.326166
0.354696
0.568333
15.343087
10.925000
9.453250
9.655000
10.925000
0.472927
0.472927
0.472927
0.945856
0.945856
0.945856
0.472927
0.472927

Nr. crt

46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97

cod ATC
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05

A02BX02
A02BX02
A02BX05
A03AB06
A07AA11
A07AA11
A07AA11
A07EA06
A07EA06
A07EA06
A07EA06
A07XA04
A07XA04
A07XA04
A08AB01
A08AB01
A11CC03
A11CC03
A11CC03
A11CC03

DCI

ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
SUCRALFATUM
SUCRALFATUM
BISMUTHI SUBCITRAS
OTILONIUM BROMIDUM
RIFAXIMINUM
RIFAXIMINUM
RIFAXIMINUM
BUDESONIDUM**
BUDESONIDUM**
BUDESONIDUM**
BUDESONIDUM**
RACECADOTRILUM
RACECADOTRILUM
RACECADOTRILUM
ORLISTATUM****
ORLISTATUM****
ALFACALCIDOLUM
ALFACALCIDOLUM
ALFACALCIDOLUM
ALFACALCIDOLUM

A16AX01 ACIDUM TIOCTICUM (ALFA-LIPOICUM)**#


A16AX01 ACIDUM TIOCTICUM (ALFA-LIPOICUM)**#
A16AX01 ACIDUM TIOCTICUM (ALFA-LIPOICUM)**#
A16AX01 ACIDUM TIOCTICUM (ALFA-LIPOICUM)**#

Denumire Comerciala

ESOMEPRAZOL TORRENT 20 mg
ESOMEPRAZOL TEVA 20 mg
NEXIUM 40 mg
ESOMEPRAZOL SANDOZ 40 mg
ESOMEPRAZOL TORRENT 40 mg
ESOMEPRAZOL TEVA 40 mg
ESOMEPRAZOL TERAPIA 20mg
ESOMEPRAZOL TERAPIA 40mg
NEXIUM 10 mg
NEXIUM 40 mg
GASTROFAIT
VENTER
DE - NOL
SPASMOMEN (R)
NORMIX 200 mg
NORMIX 200 mg
NORMIX 100mg/5ml
BUDENOFALK
BUDENOFALK UNO 9 mg
BUDENOFALK 2 mg/doza
BUDENOFALK 2 mg/doza
HIDRASEC 100 mg
HIDRASEC 10 mg
HIDRASEC 30 mg
XENICAL 120mg
XENICAL 120mg
ALPHA D3 0,25 mcg
ALFACALCIDOL SANDOZ 0,25 mcg
ALPHA D3 0,50 mcg
ALFACALCIDOL SANDOZ 0,5 mcg
THIOGAMMA (R) 600 oral (vezi A16AX01)
THIOGAMMA (R) 600 oral (vezi A16AX01)
THIOGAMMA (R) 600 oral (vezi A16AX01)
THIOCTACID (R) 600 HR (vezi N07XN03)

THIOGAMMA (R) 600 INJEKT (vezi N07XN03)


A16AX01 ACIDUM TIOCTICUM (ALFA-LIPOICUM)**# THIOGAMMA (R) 600 INJEKT (vezi N07XN03)

A16AX01 ACIDUM TIOCTICUM (ALFA-LIPOICUM)**#


A16AX01 ACIDUM TIOCTICUM (ALFA-LIPOICUM)**#
A16AX01 ACIDUM TIOCTICUM (ALFA-LIPOICUM)**#
B01AB04
B01AB04
B01AB04
B01AB04
B01AB04
B01AB04
B01AB04
B01AB04
B01AB05
B01AB05
B01AB05
B01AB05
B01AB06
B01AB06

DALTEPARINUM**#
DALTEPARINUM**#
DALTEPARINUM**#
DALTEPARINUM**#
DALTEPARINUM**#
DALTEPARINUM**#
DALTEPARINUM**#
DALTEPARINUM**#
ENOXAPARINUM**#
ENOXAPARINUM**#
ENOXAPARINUM**#
ENOXAPARINUM**#
NADROPARINUM**#
NADROPARINUM**#

THIOCTACID 600T (vezi N07XN03)

forma farm.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZISTENTE
COMPR. GASTROREZISTENTE
GRAN. GASTROREZ. PT. SUSP.ORALA

PULB. PT. SOL. INJ./PERF.

COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
GRAN. PT. SUSP. ORALA

CAPS. GASTROREZ.
GRANULE GASTROREZ.

SPUMA RECTALA
SPUMA RECTALA

CAPS.
PULB. PT. SOL. ORALA
PULB. PT. SOL. ORALA

CAPS.
CAPS.
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.

SOL. INJ.
THIOGAMMA (R) TURBO-SET (vezi N07XN03) SOL. PERF.
FRAGMIN 10000 UI/0,4 ml
SOL. INJ.
FRAGMIN 10000 UI/ml
SOL. INJ.
FRAGMIN 12500 UI/0,5 ml
SOL. INJ.
FRAGMIN15000 UI/0,6 ml
SOL. INJ.
FRAGMIN 18000 UI/0,72 ml
SOL. INJ.
FRAGMIN 2500 UI/0,2 ml
SOL. INJ.
FRAGMIN 5000 UI/0,2 ml
SOL. INJ.
FRAGMIN 7500 UI/0,3 ml
SOL. INJ.
CLEXANE 2000ui anti-Xa/0,2ml
SOL. INJ.
CLEXANE 4000ui anti-Xa/0,4ml
SOL. INJ.
CLEXANE 6000ui anti-Xa/0,6ml
SOL. INJ.
CLEXANE 8000ui anti-Xa/0,8ml
SOL. INJ.
FRAXIPARINE 2850 UI anti-factor Xa/0,3 ml SOL. INJ.
FRAXIPARINE 3800 UI anti-factor Xa/0,4 ml SOL. INJ.

concentratie

20mg
20mg
40mg
40mg
40mg
40mg
20mg
40mg
10mg
40mg
1g
1g
120mg
40mg
200mg
200mg
100mg/5ml
3mg
9mg
2mg/doza
2mg/doza
100mg
10mg
30mg
120mg
120mg
0,25mcg
0,25g
0,50mcg
0,5g
600mg
600mg
600mg
600mg
30mg/ml
30mg/ml
25mg/ml
12mg/ml

Detinator APP
TORRENT PHARMA S.R.L.
TEVA PHARMACEUTICALS S.R.L.

ASTRAZENECA AB
SANDOZ SRL

tara det.
APP

ROMANIA
ROMANIA

SUEDIA

ROMANIA
TORRENT PHARMA S.R.L. ROMANIA
TEVA PHARMACEUTICALS S.R.L. ROMANIA
TERAPIA S.A.
ROMANIA
TERAPIA S.A.
ROMANIA

Ambalaj

Prescriptie

CUTIE CU BLIST. AL/AL X 14 COMPR. GASTROREZ.

P6L
P6L

CUTIE X 2 BLIST. AL/PVC X 7 COMPR. FILM. GASTROREZ.

P-6L

CUTIE CU BLIST. AL/AL X 28 COMPR. GASTROREZ.

CUTIE CU BLIST. AL/AL X14 COMPR. GASTROREZ. P-6L


CUTIE CU BLIST. AL/AL X 14 COMPR. GASTROREZ.

P6L
P6L

CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/AL X 14 COMPR. GASTROREZISTENTE

P-6L

CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/AL X 14 COMPR. GASTROREZISTENTE

P-6L

CUTIE X 28 PLICURI DIN PET/AL/PEJD CONTINAND GRANULE GASTROREZ. PT. SUSP. ORALA

P-6L

CUTIE X 10 FLACOANE LIOF. PT. SOL. INJ./PERF.

S/P-RF

E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 5 BLIST. AL/PVC X 4 COMPR.

P-6L

CUTIE CU BLIST. AL/AL X 28 COMPR. GASTROREZ.

ASTRAZENECA AB
ASTRAZENECA AB

SUEDIA
SUEDIA

KRKA D.D.

SLOVENIA CUTIE X 5 BLIST. X 10 COMPR.


P-6L
OLANDA CUTIE X 5 BLIST. AL/AL X 8 COMPR. FILM. P-6L

ASTELLAS PHARMA EUROPE BV


A. MENARINI IND. FARM. RIUNITE SRL

ALFA WASSERMANN SPA


ALFA WASSERMANN SPA
ALFA WASSERMANN SPA

ITALIA
ITALIA
ITALIA
ITALIA

CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L

CUTIE X 1 BLIST. AL/PVC X 12 COMPR. FILM. P-RF


CUTIE X 3 BLIST. AL/PVC A CATE 12 COMPR. FILM. P-RF
CUTIE X 1 FLAC. GRAN. PT. 60 ML SUSP. ORALA + 1 MASURA DOZATOARE MARCATA LA 5, 10 SI 15 ML

P-RF

DR. FALK PHARMA GMBH GERMANIA

CUTIE X 10 BLIST. PVC-PVDC/AL X 10 CAPS. CU PELETE GASTROREZ.

P-RF

DR. FALK PHARMA GMBH GERMANIA

CUTIE CU 30 PLICURI PET/AL/PEJD CU GRANULE GASTROREZ.

PRF

CUTIE X 1 FLAC. DIN AL X 14 DOZE X 1,2G SPUMA RECTALA, 14 APLICATOARE LUBREFIANTE PVC SI 14 PUNGI PL

P-RF

CUTIE X 2 FLAC. DIN AL X 2X14 DOZE X 1,2G SPUMA RECTALA, 2X (14 APLICATOARE PVC LUBREFIANTE SI 14 PU

P-RF

DR. FALK PHARMA GMBH GERMANIA


DR. FALK PHARMA GMBH GERMANIA

LAB. FOURNIER SA FRANTA CUTIE X 2 BLIST. AL/PVC-PVDC X 10 CAPS.


LAB. FOURNIER SA FRANTA CUTIE X 16 PLICURI X 1 G
LAB. FOURNIER SA FRANTA CUTIE X 30 PLICURI X 3

P-RF
P-RF
P-RF

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 21 CAPS. TARI (BLISTER PVC/PE/PVDC) P-RF

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 84 CAPS. TARI (BLISTER PVC/PE/PVDC) P-RF

SANDOZ S.R.L.

ROMANIA CUTIE X 1 FLAC. DIN PPID X 50 CAPS. MOI P-RF


ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 CAPS. MOI PRF
ROMANIA CUTIE X 1 FLAC. X 30 CAPS. MOI
P-RF
ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 CAPS. MOI PRF

WORWAG PHARMA GMBH & CO. KG

GERMANIA

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL. X 10 COMPR. FILM. P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 6 BLIST. PVC-PVDC/AL. X 10 COMPR. FILM. P-6L

MEDA PHARMA GMBH & CO KG

GERMANIA CUTIE X 1 FLAC. X 30 COMPR. FILM. P-6L

TEVA PHARMACEUTICALS S.R.L.

SANDOZ S.R.L.
TEVA PHARMACEUTICALS S.R.L.

WORWAG PHARMA GMBH & CO. KG


WORWAG PHARMA GMBH & CO. KG

MEDA PHARMA GMBH & CO KG


WORWAG PHARMA GMBH & CO. KG

CUTIE X 10 BLIST. PVC-PVDC/AL. X 10 COMPR. FILM.

CUTIE X 5 FIOLE X 20 ML
CUTIE X 20 FIOLE X 20 ML
GERMANIA CUTIE X 5 FIOLE X 24 ML SOL.INJ.
GERMANIA CUTIE X 10 FLACOANE X 50 ML
GERMANIA

GERMANIA

P-6L

S/P-RF
S/P-RF
S/P-RF
S/P-RF

10000UI/0,4ml PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 5 BLIST. X 1 SERINGA X 0,4 ML SOL. INJ.

S/P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 2 SUPORTURI TERMOFORMATATE X 5 FIOLE X 1 ML

S/P-RF

12500 UI/0,5ml PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 5 BLIST. X 1 SERINGA X 0,5 ML SOL. INJ.

S/P-RF

15000ui/0,6ml PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 5 BLIST. INDIVIDUALE CONTINAND FIECARE 1 SERINGA PREUMPLUTA X 0,6 ML SOL. INJ.

S/P-RF

18000 UI/0,72ml PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 5 BLIST. X 1 SERINGA X 0,72 ML SOL. INJ.

S/P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 10 BLIST. INDIVIDUALE CONTINAND FIECARE 1 SERINGA PREUMPLUTA X 0,2 ML

S/P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 10 BLIST. INDIVIDUALE CONTINAND FIECARE 1 SERINGA PREUMPLUTA X 0,2 ML

S/P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 10 BLIST. INDIVIDUALE CONTINAND FIECARE 1 SERINGA PREUMPLUTA X 0,3 ML

S/P-RF

FRANTA
FRANTA
FRANTA
FRANTA

CUTIE X 10 SERINGI PREUMPLUTE X 0,2 ML SOL. INJ.

S/P-RF

CUTIE X 10 SERINGI PREUMPLUTE X 0.4 ML SOL. INJ.

S/P-RF

CUTIE X 10 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ.

S/P-RF

8000ui anti-Xa/0,8ml

LAB. AVENTIS
LAB. AVENTIS
LAB. AVENTIS
LAB. AVENTIS

CUTIE X 2 SERINGI PREUMPLUTE X 0,8 ML SOL. INJ.

S/P-RF

2850 ui AFXa/0,3ml

GLAXO GROUP LIMITED/GLAXO WELLCOME HOUSE

MAREA BRITANIE

CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,3 ML SOL. INJ.

S/P-RF

3800 ui AFXa/0,4ml

GLAXO GROUP LIMITED/GLAXO WELLCOME HOUSE

MAREA BRITANIE

CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,4 ML SOL. INJ.

S/P-RF

10000ui/ml

2500ui/0,2ml
5000ui/0,2ml
7500ui/0,3ml
2000ui anti-Xa/0,2ml
4000ui anti-Xa/0,4ml
6000ui anti-Xa/0,6ml

Pagina 2 din 22

Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)

28
14
14
14
28
14
14
14
28
10
20
50
40
30
12
36
1
100
30
1
2
20
16
30
21
84
50
30
30
30
100
30
60
30
5
20
5
10
5
10
5
5
5
10
10
10
10
10
10
2
10
10

Pret
amanuntul
maximal/UT
(RON)

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit. a)
(RON) pt.
si f)
Adulti

51.18
1.827857
0.945855
0.472927
18.94
1.352857
0.945855
0.472927
59.56
4.254285
1.891713
0.945856
44.12
3.151428
1.891713
0.945856
73.48
2.624285
1.891713
0.945856
26.58
1.898571
1.891713
0.945856
26.47
1.890714
0.945855
0.472927
38.71
2.765000
1.891713
0.945856
3.111607
174.25
6.223214
6.223214
297.47 29.747000 29.747000 14.873500
6.19
0.309500
0.309500
0.154750
15.95
0.319000
0.314250
0.157125
39.95
0.998750
0.314250
0.157125
33.57
1.119000
1.119000
0.559500
33.10
2.758333
2.646666
1.323333
91.26
2.535000
2.535000
1.267500
19.11 19.110000 15.880014
7.940007
4.048486
2.024243
444.55
4.445500
419.11 13.970333 12.145471
6.072735
419.11 419.110000 383.830000 191.915000
744.14 372.070000 372.070000 186.035000
43.59
2.179500
1.596375
0.798187
41.04
2.565000
1.596375
0.798187
41.04
1.368000
1.368000
0.684000
92.03
4.382380
3.789970
1.894985
301.77
3.592500
3.592500
1.796250
33.62
0.672400
0.523333
0.261666
37.26
1.242000
0.523333
0.261666
31.40
1.046666
1.046666
0.523333
55.07
1.835666
1.046666
0.523333
213.06
2.130600
2.130600
1.065300
68.60
2.286666
2.169500
1.084750
130.17
2.169500
2.169500
1.084750
96.76
3.225333
2.169500
1.084750
134.35 26.870000 25.536000 12.768000
491.09 24.554500 24.554500 12.277250
127.68 25.536000 25.536000 12.768000
258.17 25.817000 25.536000 12.768000
125.97 25.194000 25.194000 12.597000
266.83 26.683000 26.683000 13.341500
170.87 34.174000 33.473229 16.736614
206.87 41.374000 40.167875 20.083937
235.27 47.054000 47.054000 23.527000
77.59
7.759000
6.694645
3.347322
142.16 14.216000 13.389291
6.694645
202.99 20.299000 20.083937 10.041968
72.93
7.293000
6.694645
3.347322
144.56 14.456000 13.389291
6.694645
187.88 18.788000 18.788000
9.394000
52.19 26.095000 26.095000 13.047500
75.42
7.542000
6.694645
3.347322
103.46 10.346000
8.926192
4.463096

Nr. crt

98
99

cod ATC

DCI

140 B01AC18

NADROPARINUM**#
NADROPARINUM**#
REVIPARINUM**#
REVIPARINUM**#
TINZAPARINUM**#
TINZAPARINUM**#
TINZAPARINUM**#
TINZAPARINUM**#
TINZAPARINUM**#
TINZAPARINUM**#
TINZAPARINUM**#
SULODEXIDUM**
SULODEXIDUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
TRIFLUSALUM

141 B01AC30

COMBINATII (ACID ACETYLSALICYLICUM+DIPYRIDAMOLUM)**

142 B01AX05

FONDAPARINUX SODIUM**#
FONDAPARINUX SODIUM**#

B01AB06
B01AB06

100 B01AB08
101 B01AB08
102 B01AB10
103 B01AB10
104 B01AB10
105 B01AB10
106 B01AB10
107 B01AB10
108 B01AB10
109 B01AB11
110 B01AB11
111 B01AC04
112 B01AC04
113 B01AC04
114 B01AC04
115 B01AC04
116 B01AC04
117 B01AC04
118 B01AC04
119 B01AC04
120 B01AC04
121 B01AC04
122 B01AC04
123 B01AC04
124 B01AC04
125 B01AC04
126 B01AC04
127 B01AC04
128 B01AC04
129 B01AC04
130 B01AC04
131 B01AC04
132 B01AC04
133 B01AC04
134 B01AC04
135 B01AC04
136 B01AC04
137 B01AC04
138 B01AC04
139 B01AC04

143 B01AX05

144 B03AC02 COMPLEX DE HIDROXID DE FER (III) SUCROZA


145 C01EB17
146 C01EB17
147 C01EB17
148 C01EB17
149 C02AC05

IVABRADINUM**
IVABRADINUM**
IVABRADINUM**
IVABRADINUM**
MOXONIDINUM

Denumire Comerciala

forma farm.

FRAXIPARINE 5700 UI anti-factor Xa/0,6 ml SOL. INJ.


FRAXIPARINE 7600 UI anti-factor Xa/0,8 ml SOL. INJ.

CLIVARIN (R) 1432UI/0,25 ml


CLIVARIN (R) 3436 UI/0,6 ml
INNOHEP
INNOHEP
INNOHEP
INNOHEP
INNOHEP
INNOHEP
INNOHEP
VESSEL DUE F
VESSEL DUE F
PLAVIX 300mg
CLOPIDOGREL TEVA 75 mg
ZYLLT
PLAVIX 75mg
TROMBEX 75 mg
EGITROMB 75 mg
TROMBEX 75 mg
CLOPIDOGREL MYLAN 75mg
TROGRAN 75 mg
CLOPIGAMMA 75 mg
CLOPIGAMMA 75 mg
PLAVOCORIN 75 mg
TUXEDON 75 mg
CLOPIDOGREL ACTAVIS 75 mg
DEFROZYP 75 mg
TESSYRON 75 mg
CLORODEN 75 mg
CLORODEN 75 mg
VATOUD 75 mg
LOFRADYK 75 mg
CLOPIDOGREL DR. REDDY'S 75 mg
CLOPIDOGREL DR. REDDY'S 75 mg
MOYTOR 75 mg
PLATEL 75 mg
PLATEL 75 mg
CLOPIDOGREL TERAPIA 75 mg
PLATEL 75 mg
DEPLATT 75 mg
CLOPIDOGREL ACCORD 75 mg
AFLEN (R)
AGGRENOX
ARIXTRA 2,5mg/0,5ml
ARIXTRA 7,5mg/0,6ml
VENOFER (R)
CORLENTOR 5mg
CORLENTOR 5mg
CORLENTOR 7,5mg
CORLENTOR 7,5mg
MOXOGAMMA 0,2 mg

SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
CAPS. MOI
SOL. INJ.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

CAPS.

CAPS. ELIB. MODIF.


SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ./PERF.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

concentratie

Detinator APP

tara det.
APP

Ambalaj

Prescriptie

5700 ui AFXa/0,6ml

GLAXO GROUP LIMITED/GLAXO WELLCOME HOUSE

MAREA BRITANIE

CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,6 ML SOL. INJ.

S/P-RF

7600 ui AFXa/0,8ml

GLAXO GROUP LIMITED/GLAXO WELLCOME HOUSE

MAREA BRITANIE

CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,8 ML SOL. INJ.

S/P-RF

CUTIE X 2 BLIST. X 5 SERINGI PREUMPLUTE UNIDOZA X 0,25ML

S/P-RF

CUTIE X 1 BLIST X 5 SERINGI PREUMPLUTE UNIDOZA X 0,60 ML

S/P-RF

CUTIE X 10 FLAC. DIN STICLA INCOLORA X 2 ML SOL. INJ. (10000 U-AXA)

S/P-RF

1432ui/0,25ml ABBOTT GMBH&CO.KG GERMANIA


3436ui/0,6ml ABBOTT GMBH&CO.KG GERMANIA
10000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA

10000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 2 SERINGI PREUMPLUTE X 0.35 ML SOL. INJ. (3500 U-AXA)

S/P-RF

10000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 2 SERINGI PREUMPLUTE X 0.45 ML SOL. INJ. (4500 U-AXA)

S/P-RF

20000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 2 SERINGI PREUMPLUTE X 0,50 ML SOL. IN. (10000 U-AXA)

S/P-RF

20000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA

CUTIE X 10 FLAC. DIN STICLA INCOLORA X 2ML SOL. INJ. (20000 U-AXA)

S/P-RF

20000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 2 SERINGI PREUMPLUTE X 0,70 ML SOL. IN. (14000 U-AXA)

S/P-RF

20000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 2 SERINGI PREUMPLUTE X 0,90 ML SOL. IN. (18000 U-AXA)

S/P-RF

250ULS
600ULS/2ml
300mg
75 mg
75 mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
300mg
25mg/200mg
2,5mg/0,5ml
7,5mg/0,6ml
20mg/ml
5mg
5mg
7,5mg
7,5mg
0,2mg

ALFA WASSERMANN SPA


ALFA WASSERMANN SPA
SANOFI PHARMA - BRISTOL MYERS SQUIBB

TEVA PHARMA BV

ITALIA
ITALIA
FRANTA
OLANDA

CUTIE X 2 BLIST. PVDC-PVC/AL-PVDC X 25 CAPS. MOI P-RF

CUTIE X 10 FIOLE DIN STICLA GALBENA X 2 ML P-RF


CUTIE X 30X1 COMPR. FILM. (BLIST. AL/AL PERFORATE UNIDOZA)

P-RF

CUTIE CU BLIST. AL/AL X 28 X 1 COMPR. FILM. P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA/AL/PVC-AL X 28 COMPR. FILM. P-RF
SANOFI PHARMA - BRISTOL MYERS SQUIBB

ZENTIVA K.S.
EGIS PHARMACEUTICALS P.L.C.

ZENTIVA K.S.
MYLAN S.A.S.

FRANTA
CEHIA
UNGARIA
CEHIA
FRANTA

CUTIE X 28 COMPR. FILM. (BLIST. PVC/PVDC/AL) P-RF


CUTIE X 1 FLAC. DIN STICLA INCOLORA X 30 COMPR. FILM.

P-RF

CUTIE CU BLIST. OPA-AL-PVDC/AL X 28 COMPR. FILM. P-RF


CUTIE X 1 FLAC. DIN STICLA INCOLORA X 90 COMPR. FILM.

P-RF

CUTIE CU BLIST. DIN OPA/AL/PVC-AL X 28 COMPR.FILM.

P-RF

GLENMARK PHARMACEUTICALS SRL REPUBLICA CEHA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.

P-RF

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-RF

WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-RF

ROMANIA

SANDOZ S.R.L.
ICN POLFA RZESZOW S.A.
ACTAVIS GROUP PTC EHF.

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.

P-RF

POLONIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.


ISLANDA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM.

P-RF

ROMANIA

P-RF

P-RF

LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVDC/AL X 28 COMPR. FILM. P-RF
GEDEON RICHTER ROMANIA SA

IWA CONSULTING APS


IWA CONSULTING APS
ALVOGEN IPCO S.A.R.L
PHARMASWISS MEDICINES S.R.L.

DR. REDDY'S LABORATORIES


DR. REDDY'S LABORATORIES

ROMASTRU TRADING S.R.L.

MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
TERAPIA S.A.
MEDOCHEMIE LTD.
TORRENT PHARMA S.R.L.

DANEMARCA CUTIE CU BLIST. PA-AL-PVC/AL (AL-AL) X 28 COMPR. FILM.

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GLAXO GROUP LTD.


GLAXO GROUP LTD.
VIFOR FRANCE S.A.
LES LAB. SERVIER
LES LAB. SERVIER
LES LAB. SERVIER
LES LAB. SERVIER

P-RF

LUXEMBURG CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-RF

ROMANIA
ROMANIA
ROMANIA
ROMANIA

CIPRU
CIPRU

ROMANIA

CIPRU

ROMANIA

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

GALENICA S.A.

CUTIE CU BLIST. PVC-PCTFE-PVC/AL X 30 COMPR. FILM.

DANEMARCA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-RF

GRECIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.

P-RF

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.

P-RF

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.

P-RF

CUTIE CU BLIST. PCTFE-PE-PVC/AL X 28 COMPR. FILM.

P-RF

CUTIE CU BLIST. AL/AL X 60 COMPR. FILM. P-RF


CUTIE CU BLIST. AL/AL X 90 COMPR. FILM. P-RF
CUTIE CU 3 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM.

PRF

CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-RF


CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.

PRF

CUTIE CU 3 BLIST. AL/AL X 10 COMPR. FILM. PRF

CUTIE X 5 BLIST. X 10 CAPS.

P-RF

GERMANIA CUTIE X 1 FLAC. DIN PP X 60 CAPS. CU ELIB.MODIF. P-6L


MAREA BRITANIE

CUTIE X 10 SERINGI PREUMPLUTE X 0,5 ML SOL. INJ., PREVAZUTE CU UN SISTEM AUTOMAT DE SIGURANTA, DE CU

P-RF

MAREA BRITANIE

CUTIE X 10 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ., PREVAZUTE CU UN SISTEM AUTOMAT DE SIGURANTA, DE CU

P-RF

FRANTA CUTIE X 5 FIOLE X 5 ML


FRANTA CUTIE X 28 COMPR. FILM. (BLIST. AL/PVC TIP CALENDAR)
FRANTA CUTIE X 56 COMPR. FILM. (BLIST. AL/PVC TIP CALENDAR)
FRANTA CUTIE X 56 COMPR. FILM. (BLIST. AL/PVC TIP CALENDAR)
FRANTA CUTIE X 28 COMPR. FILM. (BLIST. AL/PVC TIP CALENDAR)

S/P-RF

P-6L
P-6L
P-6L
P-6L

WORWAG PHARMA GMBH GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L

Pagina 3 din 22

Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)

10
10
10
5
10
2
2
2
10
2
2
50
10
30
28
28
28
30
28
90
28
28
28
28
28
28
28
28
30
28
28
28
28
28
30
28
60
90
30
28
30
30
50
60
10
10
5
28
56
56
28
30

132.46
189.75
84.46
101.41
536.03
26.13
35.12
73.65
1,113.22

103.18
127.08
102.83
78.43
780.80
79.52
90.49
122.34
83.81
79.52
242.40
79.52
79.52
68.52
68.52
89.49
38.37
79.49
79.49
85.21
68.48
68.48
73.81
68.22
79.49
85.18
79.52
161.58
242.38
85.21
67.70
85.19
85.21
84.93
63.61
233.80
653.26
149.77
160.23
240.27
260.36
160.23
21.80

Pret
amanuntul
maximal/UT
(RON)

13.246000
18.975000
8.446000
20.282000
53.603000
13.065000
17.560000
36.825000
111.322000
51.590000
63.540000
2.056600
7.843000
26.026666
2.840000
3.231785
4.369285
2.793666
2.840000
2.693333
2.840000
2.840000
2.447142
2.447142
3.196071
1.370357
2.838928
2.838928
2.840333
2.445714
2.445714
2.636071
2.436428
2.838928
2.839333
2.840000
2.693000
2.693111
2.840333
2.417857
2.839666
2.840333
1.698600
1.060166
23.380000
65.326000
29.954000
5.722500
4.290535
4.649285
5.722500
0.726666

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit. a)
(RON) pt.
si f)
Adulti

13.246000
17.852384
6.704004
16.085881
38.255114
6.694645
8.607399
19.127553
76.510235
26.778583
34.429606
2.056600
7.843000
18.979711
2.840000
3.231785
4.369285
2.793666
2.840000
2.693333
2.840000
2.840000
2.447142
2.447142
3.196071
1.370357
2.838928
2.838928
2.840333
2.445714
2.445714
2.636071
2.436428
2.838928
2.839333
2.840000
2.693000
2.693111
2.840333
2.417857
2.839666
2.840333
1.698600
1.060166
22.176500
65.326000
29.954000
3.272517
3.272517
4.649285
4.908776
0.726666

6.623000
8.926192
3.352002
8.042940
19.127557
3.347322
4.303699
9.563776
38.255117
13.389291
17.214803
1.028300
3.921500
9.489855
1.420000
1.615892
2.184642
1.396833
1.420000
1.346666
1.420000
1.420000
1.223571
1.223571
1.598035
0.685178
1.419464
1.419464
1.420166
1.222857
1.222857
1.318035
1.218214
1.419464
1.419666
1.420000
1.346500
1.346555
1.420166
1.208928
1.419833
1.420166
0.849300
0.530083
11.088250
32.663000
14.977000
1.636258
1.636258
2.324642
2.454388
0.363333

Nr. crt

cod ATC

150 C02AC05
151 C02AC05
152 C02AC05
153 C02AC05
154 C02AC05
155 C02AC05
156 C02AC06
157 C02AC06
158 C02CA01
159 C02CA01
160 C03DA04
161 C03DA04
162 C04AE02
163 C04AE02
164 C04AE02
165 C04AE02
166 C04AE02
167 C04AE02
168 C04AE02
169 C04AE02
170 C04AE02
171 C04AE02
172 C04AE02
173 C04AE02
174 C04AX07
175 C04AX07
176 C04AXN1
177 C04AXN1
178 C04AXN1
179 C04AXN1
180 C04AXN1
181 C04AXN1
182 C04AXN1
183 C04AXN1
184 C04AXN1
185 C04AXN1
186 C04AXN1
187 C04AXN1
188 C04AXN1
189 C04AXN1
190 C04AXN1
191 C04AXN1
192 C04AXN1
193 C04AXN1
194 C04AXN1
195 C04AXN1
196 C04AXN1
197 C04AXN1
198 C04AXN1
199 C04AXN1
200 C05CA53
201 C07AB12

DCI

MOXONIDINUM
MOXONIDINUM
MOXONIDINUM
MOXONIDINUM
MOXONIDINUM
MOXONIDINUM
RILMENIDINUM
RILMENIDINUM
PRAZOSINUM
PRAZOSINUM
EPLERENONUM*#
EPLERENONUM*#
NICERGOLINUM
NICERGOLINUM
NICERGOLINUM
NICERGOLINUM
NICERGOLINUM
NICERGOLINUM
NICERGOLINUM
NICERGOLINUM
NICERGOLINUM
NICERGOLINUM
NICERGOLINUM
NICERGOLINUM
VINCAMINUM
VINCAMINUM
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
DIOSMINUM (COMBINATII)**
NEBIVOLOLUM

Denumire Comerciala

MOXONIDINA MYLAN 0,2 mg


PHYSIOTENS 0,2
MOXOGAMMA 0,3 mg
MOXOGAMMA 0,4 mg
MOXONIDINA MYLAN 0,4 mg
PHYSIOTENS 0,4
TENAXUM
RILMENIDINA TEVA 1 mg
MINIPRESS (R) 1 mg
MINIPRESS (R) 2 mg
INSPRA 25 mg
INSPRA 50 mg
NICERIUM (R) 15
NICERIUM (R) 30 UNO
NICERGOLINA LPH 10 mg
GRALIN 10 mg
SERMION
NICERGOLINA LPH 30 mg
GRALIN 30 mg
NICERGOLINA LPH 5 mg
GRALIN 5 mg
NICERIUM (R) 10
SINERGOLIN 30
SINERGOLIN 30
OXYBRAL SR 30 mg
VINCAMINA
BILOBIL INTENS 120 mg (vezi N06DX02)
BILOBIL 40 mg (C04AXN1)
BILOBIL 40 mg (C04AXN1)
BILOBIL FORTE (vezi C04AXN1)
GINGIUM 120mg (vezi N06DX02)
FLAVOTAN 120 mg (vezi N06DX02)
FLAVOTAN 120 mg (vezi C04AXN1)
TANAKAN (EGB 761) (N06DX02)
GINGIUM 40mg (vezi N06DX02 )
TEBOKAN (vezi C04AXN1)
TEBOKAN (vezi C04AXN1)
GINKOFAR 40 mg (vezi N06DX02)
GINKOFAR 40 mg (vezi N06DX02)
GINKO BILOBA BIOFARM 40 mg (vezi N06DX02)
GINKGO BILOBA BIOFARM 40 mg (vezi N06DX02)
GINKGO BILOBA BIOFARM 40 mg (vezi N06DX02)

FLAVOTAN 40 mg (C04AXN1)
FLAVOTAN 40 mg (C04AXN1)
GINGIUM 80mg (vezi N06DX02)

GINKGO BILOBA BIOFARM 80 mg (vezi N06DX02)


GINKGO BILOBA BIOFARM 80 mg (vezi N06DX02)

FLAVOTAN 80 mg (vezi N06DX02)


FLAVOTAN 80 mg (vezi C04AXN1)
TANAKAN (EGB 761) (C04AXN1)
DETRALEX ( R )
EZOCEM 5 mg

forma farm.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

COMPR.
COMPR.
COMPR.
COMPR.

COMPR. FILM.
COMPR. FILM.
CAPS. ELIB. MODIF.
CAPS. ELIB. MODIF.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

DRAJ.
DRAJ.
DRAJ.

CAPS. ELIB. PREL.

DRAJ.
CAPS.
CAPS.
CAPS.
CAPS.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
PICATURI ORALE-SOL.

COMPR. FILM.

COMPR

concentratie

0,2mg
0,2mg
0,3mg
0,4mg
0,4mg
0,4mg
1mg
1mg
1mg
2mg
25mg
50mg
15mg
30mg
10mg
10mg
30mg
30mg
30mg
5mg
5mg
10mg
30mg
30mg
30mg
10mg
120mg
40mg
40mg
80mg
120mg
120mg
120mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
80mg
80mg
80mg
80mg
80mg
40mg/ml
500mg
5mg

Detinator APP

GENERICS (UK) LTD

tara det.
APP
MAREA BRITANIE

Ambalaj

Prescriptie

CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L

ABBOTT PRODUCTS GMBH GERMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 28 COMPR.FILM. P-6L

WORWAG PHARMA GMBH GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L
WORWAG PHARMA GMBH GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L

GENERICS (UK) LTD

MAREA BRITANIE

CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L

ABBOTT PRODUCTS GMBH GERMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 28 COMPR.FILM. P-6L


LES LABORATOIRES SERVIER

FRANTA CUTIE X 2 BLIST. AL/PVC X 15 COMPR.

P-6L

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

PFIZER EUROPE MA EEIG

MAREA BRITANIE

PFIZER EUROPE MA EEIG

MAREA BRITANIE

P6L
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 3 BLIST. PERFORATE UNIDOZA PVC/AL X 10 COMPR. FILM.

P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 3 BLIST. PERFORATE UNIDOZA PVC/AL X 10 COMPR. FILM.

P-RF

HEXAL AG
HEXAL AG

CUTIE CU BLIST. AL/AL (FOLIE AL CFF (FORMATA LA RECE)/FOLIE AL ACOPERITA LA CALD CU UN STRAT DE LAC)

GERMANIA CUTIE X 3 BLIST. PP/AL X 10 CAPS. ELIB. MODIF. P-6L


GERMANIA CUTIE X 3 BLIST. PP/AL X 10 CAPS. ELIB. MODIF. P-6L

LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM. P-6L


LABORMED PHARMA S.A. ROMANIA CUTIE X 2 BLIST. PVC/AL X 15 COMPR. FILM. P-6L
PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 2 BLIST. PVC-PVDC/AL-PVC X 15 COMPR. FILM

P-6L

LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM. P-6L


LABORMED PHARMA S.A. ROMANIA CUTIE X 2 BLIST. PVC/AL X 15 COMPR. FILM. P-6L

LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM. P-6L


LABORMED PHARMA S.A. ROMANIA CUTIE X 2 BLIST. PVC/AL X 15 COMPR. FILM. P-6L

HEXAL AG
SINTOFARM SA
SINTOFARM SA

GLAXOSMITHKLINE (GSK) SRL

BIOFARM SA

GERMANIA CUTIE X 1 BLIST. AL/PVC X 25 DRAJ. P-6L

ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 DRAJ.


ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 DRAJ.
ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 CAPS. CU ELIB. PREL.
ROMANIA CUTIE X 1 BLIST. AL/PVC X 20 DRAJ.

P-6L
P-6L
P-6L
P-6L

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 CAPS. P-6L
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. AL/PVC-PVDC X 10 CAPS. P-6L
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 6 BLIST. AL/PVC-PVDC X 10 CAPS. P-6L
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 6 BLIST. AL/PVC X 10 CAPS. P-6L

HEXAL AG

GERMANIA CUTIE X 3 BLIST. AL/PP X 10 COMPR. FILM. P-6L

LABORMED PHARMA S.A. ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. FILM. P6L
LABORMED PHARMA S.A. ROMANIA CUTIE CU 6 BLIST. PVC/AL X 10 COMPR. FILM. P6L

IPSEN BIOTECH
HEXAL AG

FRANTA

CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM. P-6L

GERMANIA CUTIE X 3 BLIST. AL/PP X 10 COMPR. FILM. P-6L

DR. WILLMAR SCHWABE GMBH & CO KG

GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L

DR. WILLMAR SCHWABE GMBH & CO KG

GERMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L

BMF PHARM S.R.L.


BMF PHARM S.R.L.
BIOFARM S.A.
BIOFARM S.A.
BIOFARM S.A.

ROMANIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L


ROMANIA CUTIE X 9 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L
ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM. P-6L
ROMANIA CUTIE X 4 BLIST. AL/PVC X 15 COMPR. FILM. P-6L
ROMANIA CUTIE X 4 BLIST. PVC-PVDC/AL X 15 COMPR. FILM. P-6L
LABORMED PHARMA SA ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. FILM. P6L
LABORMED PHARMA SA ROMANIA CUTIE CU 6 BLIST. PVC/AL X 10 COMPR. FILM. P6L

HEXAL AG
BIOFARM S.A.
BIOFARM S.A.

GERMANIA CUTIE X 3 BLIST. AL/PP X 10 COMPR. FILM. P-6L

ROMANIA
ROMANIA
LABORMED PHARMA S.A. ROMANIA
LABORMED PHARMA S.A. ROMANIA
BEAUFOUR IPSEN PHARMA

CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L


CUTIE CU 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L

CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. FILM.

P6L

CUTIE CU 6 BLIST. PVC/AL X 10 COMPR. FILM. P-6L

FRANTA

CUTIE X 1 FLACON DE STICLA BRUNA X 30 ML + 1 PIPETA DIN POLIETILENA

OLANDA

CUTIE X 28 COMPR. IN BLIST. PVC-PE-PVDC/AL P-6L

P-6L

LES LAB. SERVIER IND. FRANTA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM. P-6L
OZONE LABORATORIES BV

Pagina 4 din 22

Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)

28 13.24
28 32.50
30 25.87
30 33.14
28 26.58
28 43.79
30 41.62
30 27.94
30
5.73
30
8.01
30 185.59
30 185.59
30 27.89
30 51.38
30 13.45
30 13.45
30 48.31
30 32.45
30 32.45
30
6.76
30
6.76
25 14.11
30 32.39
20 21.59
10
9.26
20
6.72
60 65.18
20
9.58
60 27.50
60 45.29
30 33.74
30 33.71
60 65.31
30 23.17
30 12.48
50 23.37
20
9.32
60 26.61
90 36.73
30 12.30
60 23.51
60 23.51
30 13.73
60 27.47
30 23.51
30 23.17
60 44.84
30 23.39
60 45.27
1 24.88
30 26.39
28 25.53

Pret
amanuntul
maximal/UT
(RON)

0.472857
1.160714
0.862333
1.104666
0.949285
1.563928
1.387333
0.931333
0.191000
0.267000
6.186333
6.186333
0.929666
1.712666
0.448333
0.448333
1.610333
1.081666
1.081666
0.225333
0.225333
0.564400
1.079666
1.079500
0.926000
0.336000
1.086333
0.479000
0.458333
0.754833
1.124666
1.123666
1.088500
0.772333
0.416000
0.467400
0.466000
0.443500
0.408111
0.410000
0.391833
0.391833
0.457666
0.457833
0.783666
0.772333
0.747333
0.779666
0.754500
24.880000
0.879666
0.911785

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit. a)
(RON) pt.
si f)
Adulti

0.472857
0.871417
0.862333
1.104666
0.949285
1.563928
1.307128
0.931333
0.147875
0.267000
3.866458
6.186333
0.516374
1.032749
0.344249
0.344249
1.032749
1.032749
1.032749
0.172124
0.172124
0.344249
1.032749
1.032749
0.926000
0.315500
1.086333
0.381791
0.381791
0.754833
1.124666
1.123666
1.088500
0.381791
0.381791
0.381791
0.381791
0.381791
0.381791
0.381791
0.381791
0.381791
0.381791
0.381791
0.763583
0.763583
0.747333
0.763583
0.754500
24.880000
0.879666
0.889713

0.236428
0.435708
0.431166
0.552333
0.474642
0.781964
0.653564
0.465666
0.073937
0.133500
1.933229
3.093166
0.258187
0.516374
0.172124
0.172124
0.516374
0.516374
0.516374
0.086062
0.086062
0.172124
0.516374
0.516374
0.463000
0.157750
0.543166
0.190895
0.190895
0.377416
0.562333
0.561833
0.544250
0.190895
0.190895
0.190895
0.190895
0.190895
0.190895
0.190895
0.190895
0.190895
0.190895
0.190895
0.381791
0.381791
0.373666
0.381791
0.377250
12.440000
0.439833
0.444856

Nr. crt

cod ATC

DCI

213 C07AB12

NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM

214 C07BB07

COMBINATII (BISOPROLOLUM+HYDROCHLOROTHIAZIDUM)

215 C07BB07

COMBINATII (BISOPROLOLUM+HYDROCHLOROTHIAZIDUM)

216 C07BB07

COMBINATII (BISOPROLOLUM+HYDROCHLOROTHIAZIDUM)

217 C08CA09

LACIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM

202 C07AB12
203 C07AB12
204 C07AB12
205 C07AB12
206 C07AB12
207 C07AB12
208 C07AB12
209 C07AB12
210 C07AB12
211 C07AB12
212 C07AB12

218 C08CA13
219 C08CA13
220 C08CA13
221 C08CA13
222 C08CA13
223 C08CA13
224 C08CA13
225 C08CA13
226 C08CA13
227 C08CA13
228 C08CA13
229 C08CA13
230 C08CA13
231 C08CA13
232 C08CA13
233 C09AA04
234 C09AA04
235 C09AA04
236 C09AA04
237 C09AA04
238 C09AA04
239 C09AA04
240 C09AA04
241 C09AA04
242 C09AA04
243 C09AA04
244 C09AA04
245 C09AA04
246 C09AA04
247 C09AA04
248 C09AA04
249 C09AA04
250 C09AA04
251 C09AA04
252 C09AA04
253 C09AA04

Denumire Comerciala

NEBILET (R)
NEBIVOLOL ACTAVIS 5 mg
X-PRESSOL 5 mg
NOLET 5 mg
NEBIVOLOL TEVA 5 mg
NEBIVOLOL TEVA 5 mg
VOXNEBIN 5 mg
NEBINORM 5 mg
NEBICARD 5 mg
NEBIVOLOL SANDOZ 5 mg
NEBIVOLOL TERAPIA 5mg
NEBIVOLOL TORRENT 5 mg
LODOZ 10 mg/6,25mg
LODOZ 2,5mg/6,25mg
LODOZ 5mg/6,25mg
LACIPIL 4 mg
LERCANIDIPINA TEVA 10 mg
LERIDIP
LERCANIDIPIN ACTAVIS 10 mg
LERCANIDIPIN ACTAVIS 10 mg
LERIDIP
LERPIN 10 mg
KAPIDIN10 mg
PEGFEL 10 mg
LERCANIDIPINA TEVA 20 mg
LERIDIP 20
LERCANIDIPIN ACTAVIS 20 mg
LERCANIDIPIN ACTAVIS 20 mg
LERIDIP 20
LERPIN 20 mg
PEGFEL 20 mg
PRENESSA 2 mg
PRICORON 4 mg
COVEREX (R) 4 mg
PERINDOPRIL TEVA 4 mg
VIDOTIN 4 mg
TREZEN 4 mg
TREZEN 4 mg
PRENESSA 4 mg
PRINDEX 4 mg
PRESTPRIL 4 mg
PRICORON 8 mg
PERINDOPRIL TEVA 8 mg
VIDOTIN 8 mg
TREZEN 8 mg
TREZEN 8 mg
PRINDEX 8 mg
PERYL 8 mg
PRESTPRIL 8 mg
PRENESSA 8 mg
PRESTARIUM 10 mg
PRESTARIUM 5 mg

forma farm.

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

concentratie

5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg

Detinator APP
BERLIN CHEMIE AG MENARINI GROUP

ACTAVIS S.R.L.

tara det.
APP

ROMANIA
LABORMED PHARMA S.A. ROMANIA
ANTIBIOTICE S.A.
ROMANIA
TEVA PHARMACEUTICALS S.R.L. ROMANIA
TEVA PHARMACEUTICALS S.R.L. ROMANIA
SANDOZ S.R.L.
ROMANIA
GLENMARK PHARMACEUTICALS SRL

BIOFARM SP.ZO.O
SANDOZ S.R.L.
TERAPIA S.A.

Ambalaj

Prescriptie

GERMANIA CUTIE X 4 BLIST. AL/PVC X 7 COMPR. P-6L

CEHIA
POLONIA

CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L


CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-RF
CUTIE X 3 BLIST. PVC- PE- PVDC/AL X 10 COMPR. P-6L

CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. P-6L


CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L

CUTIE CU BLIST. PVC/AL X 28 COMPR. P-6L


CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L
CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. P-6L

ROMANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. P6L


ROMANIA CUTIE X 2 BLIST. PVC/AL X 14 COMPR. P-6L
TORRENT PHARMA SRL ROMANIA CUTIE CU 3 BLIST. AL/PVC X 10 COMPR. P6L

10 mg/6,25mg MERCK KGAA


2,5mg/6,25mg MERCK KGAA

5mg/6,25mg
4mg
10 mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
20 mg
20mg
20mg
20mg
20mg
20mg
20mg
COMPR.
2mg
COMPR.
4 mg
COMPR.
4mg
COMPR.
4mg
COMPR.
4mg
COMPR.
4mg
COMPR.
4mg
COMPR.
4mg
COMPR.
4mg
COMPR.
4mg
COMPR.
8 mg
COMPR.
8mg
COMPR.
8mg
COMPR.
8mg
COMPR.
8mg
COMPR.
8mg
COMPR.
8mg
COMPR.
8mg
COMPR.
8mg
COMPR. FILM. 10 mg
COMPR. FILM. 5mg

MERCK KGAA

GERMANIA CUTIE X 3 BLIST. PP/AL X 10 COMPR. FILM. P-6L


GERMANIA CUTIE X 3 BLIST. PP/AL X 10 COMPR. FILM. P-6L
GERMANIA CUTIE X 3 BLIST. PP/AL X 10 COMPR. FILM. P-6L

GLAXO OPERATIONS UK LTD.

MAREA BRITANIE

CUTIE X 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-6L

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE CU BLIST. DIN PVC-PVDC/AL X 30 COMPR. FILM.

BERLIN CHEMIE AG MENARINI GROUP

GERMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR.FILM. P-6L

P-6L

ACTAVIS GROUP PTC EHF.

ISLANDA
ISLANDA

BERLIN CHEMIE AG MENARINI GROUP

GERMANIA CUTIE X 4 BLIST. AL/PVC X 15 COMPR.FILM. P-6L

ACTAVIS GROUP PTC EHF.

TORRENT PHARMA S.R.L.

ZENTIVA K.S.

ROMANIA
REPUBLICA CEHA

CUTIE CU BLIST. AL/PVC X 28 COMPR. FILM. P-6L


CUTIE CU BLIST. AL/PVC X 30 COMPR. FILM. P-6L
CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L

CUTIE CU BLIST. AL/PVC X 30 COMPR. FILM. P-6L

TEVA PHARMACEUTICALS S.R.L.

ROMANIA
ROMANIA

BERLIN CHEMIE AG MENARINI GROUP

GERMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM. P-6L

DR. REDDY'S LABORATORIES

CUTIE CU BLIST. PVC-PVCDC/AL X 28 COMPR. FILM. P -6L


CUTIE CU BLIST. DIN PVC-PVDC/AL X 30 COMPR. FILM.

P-6L

ACTAVIS GROUP PTC EHF.

ISLANDA
ISLANDA

BERLIN CHEMIE AG MENARINI GROUP

GERMANIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. FILM. P-6L

ACTAVIS GROUP PTC EHF.

TORRENT PHARMA S.R.L.


DR. REDDY'S LABORATORIES

KRKA POLSKA SP. Z.O.O.

ZENTIVA K.S.

ROMANIA
ROMANIA

POLONIA

CUTIE CU BLIST. AL/PVC X 28 COMPR. FILM. P-6L


CUTIE CU BLIST. AL/PVC X 30 COMPR. FILM. P-6L
CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L
CUTIE CU BLIST. PVC-PVCDC/AL X 28 COMPR. FILM. P -6L
CUTIE CU 1 BLIST. DIN PVC-PE-PVDC/AL X 30 COMPR.

CUTIE CU BLIST. AL/AL X 30 COMPR.


UNGARIA CUTIE X 1 BLIST. AL/PVC X 30 COMPR.
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 PUNGA DIN AL X 1 BLIST. PVC/VMCH-AL X 30 COMPR.
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR.
TERAPIA S.A.
ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR.
TERAPIA S.A.
ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR.
KRKA POLSKA SP. Z.O.O. POLONIA CUTIE CU 1 BLIST. PVC-PE-PVDC/AL X 30 COMPR.
GLENMARK PHARMACEUTICALS SRL REPUBLICA SLOVACA CUTIE CU BLIST. AL/AL X 30 COMPR.
LABORMED PHARMA S.A. ROMANIA CUTIE CU 3 BLIST. AL/AL X 10 COMPR.
ZENTIVA K.S.
REPUBLICA SLOVACA CUTIE CU BLIST. AL/AL X 30 COMPR.
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 PUNGA DIN AL X 1 BLIST PVC/VMCH-AL X 30 COMPR.
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR.
TERAPIA S.A.
ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR.
TERAPIA S.A.
ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR.
GLENMARK PHARMACEUTICALS SRL REPUBLICA SLOVACA CUTIE CU BLIST. AL/AL X 30 COMPR.
ICN POLFA RZESZOW S.A. POLONIA CUTIE CU BLIST. AL/AL X 30 COMPR.
LABORMED PHARMA S.A. ROMANIA CUTIE CU 3 BLIST. AL/AL X 10 COMPR.
KRKA POLSKA SP Z O.O. POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR.
LES LAB. SERVIER IND. FRANTA CUTIE X 1 FLAC. DIN PP X 30 COMPR. FILM.
LES LAB. SERVIER IND. FRANTA CUTIE X 1 FLAC. DIN PP X 30 COMPR. FILM.
EGIS PHARMACEUTICALS P.L.C.

Pagina 5 din 22

REPUBLICA SLOVACA

P-6L

P6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L

P6L
P6L
P-6L
P-6L
P-6L
P-6L
P-6L

P6L
P6L
P6L
P-6L
P-6L

Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)

28
30
30
30
28
30
28
30
28
28
28
30
30
30
30
14
30
28
28
30
60
28
30
28
30
28
28
30
60
28
28
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30

34.55
23.20
27.09
24.87
22.80
24.44
13.84
24.87
22.93
13.84
22.65
24.59
29.46
26.29
29.46
12.80
21.09
63.97
16.58
17.77
40.07
22.99
17.77
21.76
32.91
71.97
26.44
28.34
64.75
34.95
33.98
13.44
24.95
29.01
25.32
33.45
25.87
25.87
26.87
26.90
25.87
45.52
49.00
53.44
49.12
49.12
54.01
30.86
49.12
49.45
63.61
41.11

Pret
amanuntul
maximal/UT
(RON)

1.233928
0.773333
0.903000
0.829000
0.814285
0.814666
0.494285
0.829000
0.818928
0.494285
0.808928
0.819666
0.982000
0.876333
0.982000
0.914285
0.703000
2.284642
0.592142
0.592333
0.667833
0.821071
0.592333
0.777142
1.097000
2.570357
0.944285
0.944666
1.079166
1.248214
1.213571
0.448000
0.831666
0.967000
0.844000
1.115000
0.862333
0.862333
0.895666
0.896666
0.862333
1.517333
1.633333
1.781333
1.637333
1.637333
1.800333
1.028666
1.637333
1.648333
2.120333
1.370333

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit. a)
(RON) pt.
si f)
Adulti

0.889713
0.773333
0.889713
0.829000
0.814285
0.814666
0.494285
0.829000
0.818928
0.494285
0.808928
0.819666
0.929166
0.876333
0.929166
0.578399
0.578399
0.578399
0.578399
0.578399
0.578399
0.578399
0.578399
0.578399
1.097000
1.156798
0.944285
0.944666
1.079166
1.156798
1.156798
0.199619
0.399239
0.399239
0.399239
0.399239
0.399239
0.399239
0.399239
0.399239
0.399239
0.798479
0.798479
0.798479
0.798479
0.798479
0.798479
0.798479
0.798479
0.798479
0.998098
0.499049

0.444856
0.386666
0.444856
0.414500
0.407142
0.407333
0.247142
0.414500
0.409464
0.247142
0.404464
0.409833
0.464583
0.438166
0.464583
0.289199
0.289199
0.289199
0.289199
0.289199
0.289199
0.289199
0.289199
0.289199
0.548500
0.578399
0.472142
0.472333
0.539583
0.578399
0.578399
0.099809
0.199619
0.199619
0.199619
0.199619
0.199619
0.199619
0.199619
0.199619
0.199619
0.399239
0.399239
0.399239
0.399239
0.399239
0.399239
0.399239
0.399239
0.399239
0.499049
0.249524

Nr. crt

cod ATC

254 C09AA07
255 C09AA07
256 C09AA07
257 C09AA10
258 C09AA10
259 C09AA10
260 C09AA10
261 C09AA10
262 C09AA10
263 C09AA10
264 C09AA10
265 C09AA15
266 C09AA15

DCI

BENAZEPRILUM
BENAZEPRILUM
BENAZEPRILUM
TRANDOLAPRILUM
TRANDOLAPRILUM
TRANDOLAPRILUM
TRANDOLAPRILUM
TRANDOLAPRILUM
TRANDOLAPRILUM
TRANDOLAPRILUM
TRANDOLAPRILUM
ZOFENOPRILUM
ZOFENOPRILUM

267 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)


268 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)
269 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)
270 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)
271 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)
272 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)
273 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)
274 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)
275 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)
276 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)
277 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)
278 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)
279 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)
280 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)
281 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)
282 C09BA06

COMBINATII (QUINAPRILUM+HYDROCHLOROTHIAZIDUM)

283 C09BA06

COMBINATII (QUINAPRILUM+HYDROCHLOROTHIAZIDUM)

284 C09BB02 COMBINATII (NITRENDIPINUM+ENALAPRILUM)


285 C09BB10 COMBINATII (VERAPAMILUM+TRANDOLAPRILUM)
286 C09BB10 COMBINATII (VERAPAMILUM+TRANDOLAPRILUM)
287 C09BB10 COMBINATII (VERAPAMILUM+TRANDOLAPRILUM)
288 C09CA03
289 C09CA03
290 C09CA03
291 C09CA03
292 C09CA03
293 C09CA03
294 C09CA03
295 C09CA03
296 C09CA03
297 C09CA03
298 C09CA03
299 C09CA03
300 C09CA03
301 C09CA03
302 C09CA03
303 C09CA03
304 C09CA03
305 C09CA03

VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM

Denumire Comerciala

CIBACEN (R) 10 mg
CIBACEN (R) 20 mg
CIBACEN (R) 5 mg
GOPTEN (R) 0,5 mg
FEZZOR 0,5 mg
GOPTEN (R) 2 mg
TRANDOLAPRIL GALEX 2 mg
FEZZOR 2 mg
GOPTEN (R) 4 mg
TRANDOLAPRIL GALEX 4 mg
FEZZOR 4 mg
ZOMEN (R) 30 mg
ZOMEN (R) 7,5 mg
PRINDEX PLUS 2 mg/0,625 mg
CO-PRENESSA 2mg/0,625 mg
INDAPRIL 2 mg/0,625 mg
PRICORON COMBI 2 mg/0,625 mg
DANURIT 2 mg/0,625 mg
PRINDEX PLUS 4 mg/1,25mg
INDAPRIL 4 mg/1,25 mg
PRICORON COMBI 4 mg/1,25 mg
CO-PRENESSA 4mg/1,25 mg
DANURIT 4 mg/1,25mg
CO-PRENESSA 8 mg/2,5mg
NOLITERAX 10 mg/2,5mg
NOLIPREL ARG 2,5mg/0,625mg
NOLIPREL ARG FORTE 5mg/1,25mg
PRESTARIUM ARG PLUS 5mg/1,25mg
ACCUZIDE
ACCUZIDE FORTE
ENEAS
TARKA 240 mg/2 mg
TARKA 240 mg/4 mg
TARKA
VALSARTAN TEVA 160 mg
VALSARTAN TEVA 80 mg
CORETON 160 mg
WENZELL 160 mg
WENZELL 160 mg
VALSARGAMMA 160 mg
DIOVAN 160 mg
VALSARTAN TORRENT 160 mg
VALSACOR 160 mg
AVASSAN 160 mg
DIOVAN 40 mg
AVASSAN 40 mg
CORETON 80 mg
WENZELL 80 mg
WENZELL 80 mg
VALSARGAMMA 80 mg
DIOVAN 80 mg
VALSARTAN TORRENT 80 mg

forma farm.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

concentratie

10mg
20mg
5mg
CAPS.
0,5mg
CAPS.
0,5mg
CAPS.
2mg
CAPS.
2mg
CAPS.
2mg
CAPS.
4mg
CAPS.
4mg
CAPS.
4mg
COMPR. FILM. 30mg
COMPR. FILM. 7,5mg
COMPR.
2 mg/0,625mg
COMPR.
2mg/0,625mg
COMPR.
2mg/0,625mg
COMPR.
2mg/0,625mg
COMPR.
2mg/0,625mg
COMPR.
4 mg/1,25mg
COMPR.
4mg+1.25mg
COMPR.
4mg+1.25mg
COMPR.
4mg/1,25mg
COMPR.
4mg/1,25mg
COMPR.
8mg/2,5mg
COMPR. FILM. 10mg/2,5mg
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

COMPR.

COMPR. CU ELIB. MODIF.


COMPR. CU ELIB. MODIF.
COMPR.FILM.ELIB.MODIF.

CAPS.
CAPS.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

Detinator APP

Prescriptie

P-6L

NOVARTIS PHARMA GMBH

P-6L

NOVARTIS PHARMA GMBH

ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. X 10 CAPS.

P-6L
P-6L

LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. P-6L

ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. X 14 CAPS.


P-6L
GALEX D.D
SLOVENIA CUTIE CU BLIST. PVC-PE-PVCD/AL X 28 CAPS. P-6L

LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. P-6L

ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. X 14 CAPS.


P-6L
GALEX D.D
SLOVENIA CUTIE CU BLIST. PVC-PE-PVCD/AL X 28 CAPS. P-6L

LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. P-6L


MENARINI INTERNATIONAL OPERATIONS LUXEMBURG S.A.

LUXEMBURG

MENARINI INTERNATIONAL OPERATIONS LUXEMBURG S.A.

LUXEMBURG

CUTIE X 4 BLIST. X 7 COMPR. FILM.


CUTIE X 4 BLIST. X 7 COMPR. FILM.

GLENMARK PHARMACEUTICALS SRL REPUBLICA CEHA CUTIE CU 1 BLIST. PVC/PVDC-AL IN AMBALAJ DE AL X 30 (30X1) COMPR.

P-6L
P-6L

P6L

KRKA POLSKA SP ZO.O. POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. P-6L

LABORMED PHARMA S.A. ROMANIA CUTIE CU 3 BLIST. AL/AL X 10 COMPR. P6L

ZENTIVA K.S.

CUTIE CU BLIST. AL/AL X 30 COMPR. P6L


ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 30 COMPR. P6L
GLENMARK PHARMACEUTICALS SRL REPUBLICA CEHA CUTIE CU 1 BLIST. PVC/PVDC-AL IN AMBALAJ DE AL X 30 (30X1) COMPR. P6L
LABORMED PHARMA S.A. ROMANIA CUTIE CU 3 BLIST. AL/AL X 10 COMPR. P6L
ZENTIVA K.S.
REPUBLICA SLOVACA CUTIE CU BLIST. AL/AL X 30 COMPR. P6L
REPUBLICA SLOVACA

GEDEON RICHTER ROMANIA SA

KRKA POLSKA SP ZO.O. POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. P-6L

GEDEON RICHTER ROMANIA SA

PHARMA-REGIST
LES LAB. SERVIER
LES LABORATOIRES SERVIER
LES LABORATOIRES SERVIER

10mg/12,5mg PFIZER EUROPE MA EEIG


20mg/12,5mg PFIZER EUROPE MA EEIG

20mg+10mg
240mg/2mg
240mg/4mg
180mg/2mg
160mg
80mg
160mg
160mg
160mg
160mg
160mg
160mg
160mg
160mg
40mg
40mg
80mg
80mg
80mg
80mg
80mg
80mg

Ambalaj

CUTIE X 2 BLIST. X 14 COMPR. FILM.


GERMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM.
GERMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM.

NOVARTIS PHARMA GMBH GERMANIA

2,5mg/0,625mg LES LABORATOIRES SERVIER

5mg/1,25mg
5mg/1,25mg

tara det.
APP

GALENICA S.A.

ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 30 COMPR. P6L


UNGARIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-6L

FRANTA
FRANTA
FRANTA
FRANTA

CUTIE X 1 FLAC. DIN PP CU CAPAC PEJD CU SILICAGEL X 30 COMPR. FILM.

P-6L

CUTIE X 1 FLAC. DIN PROPILENA X 30 COMPR. FILM. P-6L


CUTIE X 1 FLAC. DIN PROPILENA X 30 COMPR. FILM. P-6L
CUTIE X 1 FLAC. DIN PROPILENA X 30 COMPR. FILM. P-6L

MAREA BRITANIE

CUTIE X 3 BLIST. AL/PVC-AL-OPA X 10 COMPR. FILM.

P-6L

MAREA BRITANIE

CUTIE X 3 BLIST. AL/PVC-AL-OPA X 10 COMPR. FILM.

P-6L

GRECIA

CUTIE X 3 BLIST. PA-PVC-AL/AL X 10 COMPR. P-6L

ABBOTT GMBH & CO.KG GERMANIA

CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. CU ELIB. MODIF.

P6L
P6L

ABBOTT GMBH&CO.KG GERMANIA

CUTIE X 2 BLIST. AL/PVDC-PVC X 14 COMPR. FILM. CU ELIB. PREL.

P-6L

ABBOTT GMBH & CO.KG GERMANIA

TEVA PHARMACEUTICALS S.R.L.


TEVA PHARMACEUTICALS S.R.L.

ZENTIVA K.S.

ROMANIA
ROMANIA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. P-6L

REPUBLICA CEHA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-6L

ROMASTRU TRADING S.R.L.

ROMANIA
ROMANIA

WORWAG PHARMA GMBH & CO. KG

GERMANIA

ROMASTRU TRADING S.R.L.

CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. CU ELIB. MODIF.

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. P-6L


CUTIE CU BLIST. PVC-PE-PVDC/AL-PVDC X 28 COMPR. FILM.

P-6L

CUTIE CU BLIST. PVC-PE-PVDC/AL-PVDC X 30 COMPR. FILM.

P-6L

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.

P6L

NOVARTIS PHARMA GMBH GERMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-6L

TORRENT PHARMA S.R.L.

ROMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.

P6L

KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P6L

TERAPIA S.A.

ROMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.

NOVARTIS PHARMA GMBH GERMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28COMPR. FILM.

TERAPIA S.A.
ZENTIVA K.S.

ROMANIA
REPUBLICA CEHA

ROMASTRU TRADING S.R.L.

ROMANIA
ROMANIA

WORWAG PHARMA GMBH & CO. KG

GERMANIA

ROMASTRU TRADING S.R.L.

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-6L


CUTIE CU BLIST. PVC-PE-PVDC/AL-PVDC X 28 COMPR. FILM.

P-6L

CUTIE CU BLIST. PVC-PE-PVDC/AL-PVDC X 30 COMPR. FILM.

P-6L

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.

P6L
P6L
P6L

NOVARTIS PHARMA GMBH GERMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X28COMPR. FILM.

TORRENT PHARMA S.R.L.

Pagina 6 din 22

ROMANIA

P6L
P6L
P6L

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.

Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)

28 43.66
28 57.30
28 21.80
20
9.71
28
7.94
28 28.09
28 18.26
28 18.26
28 46.79
28 31.42
28 31.42
28 44.47
28 19.69
30 16.18
30 16.18
30 18.71
30 16.18
30 16.18
30 29.41
30 31.19
30 29.41
30 29.41
30 29.41
30 61.17
30 75.76
30 57.17
30 61.63
30 61.63
30 21.68
30 31.57
30 96.52
28 55.45
28 72.69
28 52.85
28 32.59
28 20.26
28 32.85
28 66.00
30 70.74
30 33.91
28 116.60
28 65.71
28 32.85
28 66.00
28 71.91
28 42.63
28 34.00
28 47.37
30 50.79
30 23.25
28 91.88
28 47.00

Pret
amanuntul
maximal/UT
(RON)

1.559285
2.046428
0.778571
0.485500
0.283571
1.003214
0.652142
0.652142
1.671071
1.122142
1.122142
1.588214
0.703214
0.539333
0.539333
0.623666
0.539333
0.539333
0.980333
1.039666
0.980333
0.980333
0.980333
2.039000
2.525333
1.905666
2.054333
2.054333
0.722666
1.052333
3.217333
1.980357
2.596071
1.887500
1.163928
0.723571
1.173214
2.357142
2.358000
1.130333
4.164285
2.346785
1.173214
2.357142
2.568214
1.522500
1.214285
1.691785
1.693000
0.775000
3.281428
1.678571

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit. a)
(RON) pt.
si f)
Adulti

0.532319
1.064638
0.266159
0.099809
0.099809
0.399239
0.399239
0.399239
0.798479
0.798479
0.798479
0.399239
0.099809
0.539333
0.539333
0.623666
0.539333
0.539333
0.970799
0.970799
0.970799
0.970799
0.970799
0.970799
0.970799
0.970799
0.970799
0.970799
0.722666
0.970799
3.217333
1.887500
1.887500
1.887500
1.163928
0.723571
1.173214
2.357142
2.358000
1.130333
2.651141
2.346785
1.173214
2.357142
0.662785
0.662785
1.214285
1.325570
1.325570
0.775000
1.325570
1.325570

0.266159
0.532319
0.133079
0.049904
0.049904
0.199619
0.199619
0.199619
0.399239
0.399239
0.399239
0.199619
0.049904
0.269666
0.269666
0.311833
0.269666
0.269666
0.485399
0.485399
0.485399
0.485399
0.485399
0.485399
0.485399
0.485399
0.485399
0.485399
0.361333
0.485399
1.608666
0.943750
0.943750
0.943750
0.581964
0.361785
0.586607
1.178571
1.179000
0.565166
1.325570
1.173392
0.586607
1.178571
0.331392
0.331392
0.607142
0.662785
0.662785
0.387500
0.662785
0.662785

Nr. crt

cod ATC

306 C09CA03
307 C09CA03
308 C09CA03
309 C09CA04
310 C09CA04
311 C09CA04
312 C09CA04
313 C09CA04
314 C09CA04
315 C09CA04
316 C09CA04
317 C09CA04
318 C09CA04
319 C09CA04
320 C09CA04
321 C09CA04
322 C09CA04
323 C09CA04
324 C09CA04
325 C09CA04
326 C09CA04
327 C09CA04
328 C09CA04
329 C09CA04
330 C09CA04
331 C09CA04
332 C09CA04
333 C09CA04
334 C09CA04
335 C09CA06
336 C09CA06
337 C09CA06
338 C09CA06
339 C09CA06
340 C09CA06
341 C09CA06
342 C09CA06
343 C09CA06
344 C09CA06
345 C09CA06
346 C09CA06
347 C09CA06
348 C09CA06
349 C09CA06
350 C09CA06
351 C09CA06
352 C09CA06
353 C09CA06
354 C09CA06
355 C09CA06
356 C09CA06
357 C09CA06

DCI

VALSARTANUM
VALSARTANUM
VALSARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL

Denumire Comerciala

VALSACOR 80 mg
AVASSAN 80 mg
DIOVAN 3 mg/ml
APROVEL 150mg
IRBESARTAN WINTHROP 150mg
IRBESARTAN TERAPIA 150 mg
IRBESARTAN SANDOZ 150 mg
IRBEGAMMA 150 mg
IRBEGAMMA 150 mg
IRPRESTAN 150 mg
IFIRMASTA 150 mg
IRBESARTAN TEVA 150 mg
IRBESARTAN DR. REDDY'S 150 mg
DEPALONG 150 mg
ATOKKEN 150 mg
IRBESARTAN TEVA 300 mg
APROVEL 300mg
IRBESARTAN WINTHROP 300mg
IRBESARTAN TERAPIA 300 mg
IRBESARTAN SANDOZ 300 mg
IRBEGAMMA 300 mg
IRBEGAMMA 300 mg
IRPRESTAN 300 mg
IFIRMASTA 300mg
IRBESARTAN DR. REDDY'S 300 mg
DEPALONG 300 mg
ATOKKEN 300 mg
IRBEGAMMA 75 mg
ATOKKEN 75 mg
ATACAND
TANDESAR 16 mg

tara det.
forma farm.
concentratie
APP
Detinator APP
COMPR. FILM. 80mg
KRKA D.D. NOVO MESTO SLOVENIA
COMPR. FILM. 80mg
TERAPIA S.A.
ROMANIA

SOL. ORALA 3mg/ml


COMPR. FILM. 150mg
COMPR. FILM. 150mg
COMPR. FILM. 150mg
COMPR. FILM. 150mg
COMPR. FILM. 150mg
COMPR. FILM. 150mg
COMPR. FILM. 150mg
COMPR. FILM. 150mg
COMPR. FILM. 150mg
COMPR. FILM. 150mg
COMPR. FILM. 150mg
COMPR. FILM. 150mg
COMPR. FILM. 300 mg
COMPR. FILM. 300mg
COMPR. FILM. 300mg
COMPR. FILM. 300mg
COMPR. FILM. 300mg
COMPR. FILM. 300mg
COMPR. FILM. 300mg
COMPR. FILM. 300mg
COMPR. FILM. 300mg
COMPR. FILM. 300mg
COMPR. FILM. 300mg
COMPR. FILM. 300mg
COMPR. FILM. 75mg
COMPR. FILM. 75mg
COMPR.
16mg
COMPR.
16mg
CANDESARTAN CILEXETIL ZENTIVA 16 mg COMPR.
16mg
HIPOSTYN 16 mg
COMPR.
16mg
CANDESARTAN SANDOZ 16 mg
COMPR.
16mg
KARBIS 16 mg
COMPR.
16mg
CANDEPOL 16 mg
COMPR.
16mg
CANDESARTAN TORRENT 16 mg
COMPR.
16mg
CLASTINOL 16 mg
COMPR.
16mg
ATACAND 32 mg
COMPR.
32mg
CANDESARTAN CILEXETIL ZENTIVA 32 mg COMPR.
32mg
HIPOSTYN 32 mg
COMPR.
32mg
KARBIS 32 mg
COMPR.
32mg
CANDEPOL 32 mg
COMPR.
32mg
CANDESARTAN TORRENT 32 mg
COMPR.
32mg
CLASTINOL 32 mg
COMPR.
32mg
ATACAND
COMPR.
8mg
TANDESAR 8 mg
COMPR.
8mg
CANDESARTAN CILEXETIL ZENTIVA 8 mg COMPR.
8mg
HIPOSTYN 8 mg
COMPR.
8mg
CANDESARTAN SANDOZ 8 mg
COMPR.
8mg
KARBIS 8 mg
COMPR.
8mg
CANDEPOL 8 mg
COMPR.
8mg

NOVARTIS PHARMA GMBH GERMANIA


SANOFI PHARMA - BRISTOL MYERS SQUIBB
SANOFI PHARMA - BRISTOL MYERS SQUIBB

TERAPIA S.A.
SANDOZ S.R.L.

FRANTA
FRANTA

ROMANIA
ROMANIA

Ambalaj

Prescriptie

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.

P6L
P6L

CUTIE CU 1 FLAC. DIN STICLA BRUNA X 160 ML SOL. ORALA + 1 TRUSA DE ADMINISTRARE (ADAPTOR PT. FLAC.+1

P-6L

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.

CUTIE X BLIST PVC/PVDC/AL X 28 COMPR. FILM. P-6L


CUTIE X 28 COMPR. FILM. (BLIST. PVC/PVDC/AL) P-6L
CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.

P-6L

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.

P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. PVC-PVDC/AL X 100 COMPR. FILM. P-6L

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L

KRKA ,D.D., NOVO MESTO SLOVENIA CUTIE X BLIST. PVC/PE/PVDC/AL X 28 COMPR. FILM. P-6L

TEVA PHARMA B.V. OLANDA

CUTIE X BLIST. PVC/PVDC/AL X 28 COMPR. FILM.

P-6L

ROMANIA CUTIE CU 2 BLIST. AL/AL X 14 COMPR. FILM. P6L


MEDANA PHARMA S.A. POLONIA CUTIE CU 2 BLIST. PVC-PCTFE/AL X 14 COMPR. FILM. P6L
ROMASTRU TRADING SRL ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P6L

DR. REDDY'S LABORATORIES

TEVA PHARMA B.V. OLANDA


FRANTA
SANOFI PHARMA - BRISTOL MYERS SQUIBB
FRANTA
TERAPIA S.A.
ROMANIA
SANDOZ S.R.L.
ROMANIA

SANOFI PHARMA - BRISTOL MYERS SQUIBB

CUTIE X BLIST. PVC/PVDC/AL X 28 COMPR. FILM.

P-6L

CUTIE X BLIST PVC/PVDC/AL X 28 COMPR. FILM. P-6L


CUTIE X 28 COMPR. FILM. (BLIST. PVC/PVDC/AL) P-6L
CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.

P-6L

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.

P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. PVC-PVDC/AL X 100 COMPR. FILM. P-6L

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L

KRKA ,D.D., NOVO MESTO SLOVENIA CUTIE X BLIST. PVC/PE/PVDC/AL X 28 COMPR. FILM. P-6L

ROMANIA CUTIE CU 2 BLIST. AL/AL X 14 COMPR. FILM. P6L


CUTIE CU 2 BLIST. PVC-PCTFE/AL X 14 COMPR. FILM. P6L
ROMASTRU TRADING SRL ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P6L

DR. REDDY'S LABORATORIES

MEDANA PHARMA S.A. POLONIA

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. PVC-PVDC/AL X 100 COMPR. FILM. P-6L

ROMASTRU TRADING SRL

ROMANIA

SUEDIA

CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM.

P6L

ASTRAZENECA AB
TERAPIA SA
ZENTIVA K.S.

REPUBLICA SLOVACA

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR.

ASTRAZENECA AB
ZENTIVA K.S.

SUEDIA

CUTIE X 2 BLIST. AL-PVC/PVDC X 14 COMPR. P-6L

REPUBLICA SLOVACA

ROMANIA

CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-6L


CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. P-6L

P6L
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR. P6L
SANDOZ SRL
ROMANIA CUTIE CU BLIST. AL/AL CU DESICANT X 28 COMPR. P-6L
KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L
PHARMACEUTICAL WORKS POLPHARMA SA POLONIA CUTIE CU BLIST. AL/PVC-PVDC X 28 COMPR.
P6L
TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. P6L

TEVA PHARMACEUTICALS S.R.L.

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L


ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR. P6L

KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L

POLONIA

CUTIE CU BLIST. AL/PVC-PVDC X 28 COMPR.

SUEDIA

CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-6L

P6L
TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. P6L

PHARMACEUTICAL WORKS POLPHARMA SA

ASTRAZENECA AB
TERAPIA SA
ZENTIVA K.S.

TEVA PHARMACEUTICALS S.R.L.

SANDOZ SRL

ROMANIA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. P-6L

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L


ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR. P6L
ROMANIA CUTIE CU BLIST. AL/AL CU DESICANT X 28 COMPR. P-6L

REPUBLICA SLOVACA

KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L
PHARMACEUTICAL WORKS POLPHARMA SA

Pagina 7 din 22

POLONIA

CUTIE CU BLIST. AL/PVC-PVDC X 28 COMPR.

P6L

Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)

28 28.84
28 47.40
1 41.42
28 66.75
28 44.88
28 54.57
28 33.50
30 38.29
100 121.22
30 33.50
28 37.35
28 33.50
28 44.94
28 44.88
28 44.88
28 57.50
28 88.08
28 60.27
28 71.28
28 64.85
30 64.58
100 193.87
30 48.64
28 60.27
28 60.27
28 60.27
28 60.29
100 91.26
28 40.39
28 66.74
28 44.87
30 48.06
30 42.50
28 39.65
30 43.24
28 44.88
30 48.03
28 44.85
28 117.40
30 81.77
30 71.36
30 81.75
28 76.32
30 81.75
28 69.33
28 56.10
28 36.46
30 39.02
30 24.13
28 33.45
30 33.01
28 36.46

Pret
amanuntul
maximal/UT
(RON)

1.030000
1.692857
41.420000
2.383928
1.602857
1.948928
1.196428
1.276333
1.212200
1.116666
1.333928
1.196428
1.605000
1.602857
1.602857
2.053571
3.145714
2.152500
2.545714
2.316071
2.152666
1.938700
1.621333
2.152500
2.152500
2.152500
2.153214
0.912600
1.442500
2.383571
1.602500
1.602000
1.416666
1.416071
1.441333
1.602857
1.601000
1.601785
4.192857
2.725666
2.378666
2.725000
2.725714
2.725000
2.476071
2.003571
1.302142
1.300666
0.804333
1.194642
1.100333
1.302142

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit. a)
(RON) pt.
si f)
Adulti

1.030000
1.325570
7.953425
1.325570
1.325570
1.325570
1.196428
1.276333
1.212200
1.116666
1.325570
1.196428
1.325570
1.325570
1.325570
2.053571
2.651141
2.152500
2.545714
2.316071
2.152666
1.938700
1.621333
2.152500
2.152500
2.152500
2.153214
0.662785
0.662785
2.383571
1.602500
1.602000
1.416666
1.416071
1.441333
1.602857
1.601000
1.601785
4.192857
2.725666
2.378666
2.725000
2.725714
2.725000
2.476071
1.325570
1.302142
1.300666
0.804333
1.194642
1.100333
1.302142

0.515000
0.662785
3.976712
0.662785
0.662785
0.662785
0.598214
0.638166
0.606100
0.558333
0.662785
0.598214
0.662785
0.662785
0.662785
1.026785
1.325570
1.076250
1.272857
1.158035
1.076333
0.969350
0.810666
1.076250
1.076250
1.076250
1.076607
0.331392
0.331392
1.191785
0.801250
0.801000
0.708333
0.708035
0.720666
0.801428
0.800500
0.800892
2.096428
1.362833
1.189333
1.362500
1.362857
1.362500
1.238035
0.662785
0.651071
0.650333
0.402166
0.597321
0.550166
0.651071

Nr. crt

cod ATC

DCI

Denumire Comerciala

376 C09CA07

CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM

377 C09DA01

COMBINATII (LOSARTANUM+HYDROCHLOROTHIAZIDUM)

378 C09DA01

COMBINATII (LOSARTANUM+HYDROCHLOROTHIAZIDUM)

379 C09DA01

COMBINATII (LOSARTANUM+HYDROCHLOROTHIAZIDUM)

380 C09DA01

COMBINATII (LOSARTANUM+HYDROCHLOROTHIAZIDUM)

381 C09DA03

COMBINATII (VALSARTANUM+HYDROCHLOROTHIAZIDUM) VALSARTAN HIDROCLOROTIAZIDA TORRENT 160 mg/12,5 mg

382 C09DA03

COMBINATII (VALSARTANUM+HYDROCHLOROTHIAZIDUM) VALSARTAN HIDROCLOROTIAZIDA TORRENT 160 mg/25 mg

383 C09DA03

COMBINATII (VALSARTANUM+HYDROCHLOROTHIAZIDUM) VALSARTAN HIDROCLOROTIAZIDA TORRENT 320 mg/12,5 mg

358 C09CA06
359 C09CA06
360 C09CA07
361 C09CA07
362 C09CA07
363 C09CA07
364 C09CA07
365 C09CA07
366 C09CA07
367 C09CA07
368 C09CA07
369 C09CA07
370 C09CA07
371 C09CA07
372 C09CA07
373 C09CA07
374 C09CA07
375 C09CA07

CANDESARTAN TORRENT 8 mg
CLASTINOL 8 mg
TELMISARTAN ACTAVIS 40mg
MICARDIS 40 mg
PRITOR 40 mg
TOLURA 40 mg
TEZEO 40 mg
TELMISARTAN ACTAVIS 80mg
MICARDIS 80 mg
PRITOR 80 mg
TOLURA 80 mg
TEZEO 80 mg
TELMARK 20 mg
TELMARK 40 mg
TELMARK 40 mg
TANYDON 40 mg
TELMARK 80 mg
TELMARK 80 mg
TANYDON 80 mg
HYZAAR (R) 50 mg/12,5 mg
LOSARTAN HCT FARMAL 50mg/12,5mg
LORISTA HL 100 mg/12,5 mg
LORISTA H

384 C09DA03

COMBINATII (VALSARTANUM+HYDROCHLOROTHIAZIDUM) VALSARTAN HIDROCLOROTIAZIDA TORRENT 320 mg/25 mg

385 C09DA03

COMBINATII (VALSARTANUM+HYDROCHLOROTHIAZIDUM) VALSARTAN HIDROCLOROTIAZIDA TORRENT 80 mg/12,5 mg

386 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

387 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

COAPROVEL 150mg/12,5mg
COAPROVEL 300mg/12,5mg

388 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

IRBESARTAN HYDROCHLOROTHIAZIDE WINTHROP 150mg/12,5mg

389 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

IRBESARTAN HYDROCHLOROTHIAZIDE WINTHROP 300mg/12,5mg

390 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

IRPREZIDE 150 mg/12,5 mg

391 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

IRBESARTAN/ HYDROCHLOROTHIAZIDE TEVA 150 mg/12,15 mg

392 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

393 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

394 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

IRBEZYD COMBI 150 mg/12,5 mg


IFIRMACOMBI 150mg/12,5mg
IRPREZIDE 300 mg/12,5 mg

395 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

IRBESARTAN/ HYDROCHLOROTHIAZIDE TEVA 300 mg/12,15 mg

396 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

397 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

398 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

399 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

400 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

401 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

402 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM)

403 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM)

404 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM)

405 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM)

406 C09DB01 COMBINATII ( VALSARTANUM+AMLODIPINUM)


407 C09DB01 COMBINATII ( VALSARTANUM+AMLODIPINUM)
408 C09DB01 COMBINATII ( VALSARTANUM+AMLODIPINUM)
409 C09DB01 COMBINATII ( VALSARTANUM+AMLODIPINUM)

IRPREZIDE 300 mg/25 mg


IRBEZYD COMBI 300 mg/12,5 mg
IFIRMACOMBI 300mg/12,5mg
COAPROVEL 300mg/25mg
IRBEZYD COMBI 300 mg/25 mg
IFIRMACOMBI 300mg/25mg
MICARDISPLUS 80/12,5mg
MICARDISPLUS 80/25mg
PRITOR PLUS 80mg/12,5mg
PRITOR PLUS 80mg/25mg
EXFORGE 10mg/160mg
EXFORGE 10mg/160mg
EXFORGE 5mg/160mg
EXFORGE 5mg/160mg

forma farm.

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.

concentratie

8mg
8mg
40 mg
40mg
40mg
40mg
40mg
80 mg
80mg
80mg
80mg
80mg
20mg
40mg
40mg
40mg
80mg
80mg
80mg

Detinator APP

tara det.
APP

Ambalaj

ACTAVIS GROUP PTC EHF.


BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA CUTIE X 28 COMPR. ( BLIST. PA/AL/PVC) P-6L

BAYER SCHERING PHARMA AG

GERMANIA

EGIS PHARMACEUTICALS P.L.C.

CUTIE X 28COMPR.( BLIST. PERFORATE UNIDOZA PA/AL/PVC )

ZENTIVA, K.S.

REPUBLICA CEHA

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-6L

ACTAVIS GROUP PTC EHF.

ISLANDA CUTIE CU BLIST. AL/AL X 28 COMPR. P6L

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA CUTIE X 28COMPR. ( BLIST. PA/AL/PVC) P-6L

BAYER SCHERING PHARMA AG

GERMANIA

CUTIE X 28COMPR.( BLIST. PERFORATE UNIDOZA PA/AL/PVC )

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

P-6L

KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST.OPA-AL-PVC/AL X 28 COMPR. P-6L

ZENTIVA, K.S.

REPUBLICA CEHA

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-6L

REPUBLICA CEHA

CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P6L

REPUBLICA CEHA

CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P6L

REPUBLICA CEHA

CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P6L

ROMANIA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P6L


CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P6L
REPUBLICA CEHA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM.
P6L
ROMANIA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P6L
ROMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM. P-6L
ROMANIA CUTIE X 2 BLIST. PVC-PE PCDC/AL X 14 COMPR. FILM. P-6L

REPUBLICA CEHA

COMPR.FILM 100mg/12,5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM.
COMPR.FILM 50mg+ 12,50mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. DIN PVC-PVDC/AL X 14 COMPR. FILM.
COMPR. FILM. 160mg/12,5mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.
COMPR. FILM. 160mg/25mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.
COMPR. FILM. 320mg/12,5mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.
COMPR. FILM. 320mg/25mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.
COMPR. FILM. 80mg/12,5mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.
COMPR.
150mg/12,5mg SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR.
COMPR.
300mg/12,5mg SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR.
COMPR. FILM 150mg/12,5mg SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X 2 BLIST. PVC/PVDC/AL X 14 COMPR. FILM.
COMPR. FILM 300mg/12,5mg SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X 2 BLIST. PVC/PVDC/AL X 14 COMPR. FILM.
COMPR. FILM. 150 mg/12,5 mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. DIN PVC-PVDC/AL X 30 COMPR. FILM.
COMPR. FILM. 150mg/12,5mg TEVA PHARMA B.V. OLANDA CUTIE X BLIST. AL/AL X 28 COMPR. FILM.
COMPR. FILM. 150mg/12,5mg PHARMACEUTICAL WORKS POLPHARMA SA POLONIA CUTIE CU BLIST. PVC-PCTFE/AL X 28 COMPR. FILM.

COMPR.
COMPR.
COMPR.
COMPR.

P-6L

KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST.OPA-AL-PVC/AL X 28 COMPR. P-6L

COMPR. FILM.
GLENMARK PHARMACEUTICALS SRL
COMPR. FILM.
GLENMARK PHARMACEUTICALS SRL
COMPR. FILM.
GLENMARK PHARMACEUTICALS SRL
COMPR. FILM.
GEDEON RICHTER ROMANIA SA
COMPR. FILM.
GLENMARK PHARMACEUTICALS SRL
COMPR. FILM.
GLENMARK PHARMACEUTICALS SRL
COMPR. FILM.
GEDEON RICHTER ROMANIA SA
COMPR. FILM. 50mg+12,5mg MERCK SHARP & DOHME
COMPR. FILM. 50mg/12,5mg FARMAL INTERNATIONAL S.R.L.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

Prescriptie

ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L


UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. P6L
ISLANDA CUTIE CU BLIST. AL/AL X 28 COMPR. P6L

TORRENT PHARMA S.R.L.

150mg/12,5mg KRKA D.D. NOVO MESTO SLOVENIA

CUTIE CU BLIST. DIN OPA/AL/PVC/AL X 30 COMPR. FILM.

P-6L
P-6L

P6L
P6L
P6L
P6L
P6L
P-6L
P-6L
P-6L
P-6L

P6L
P-6L

P6L
P6L
P6L

ISLANDA CUTIE CU BLIST. DIN PVC-PVDC/AL X 30 COMPR. FILM.


300 mg/12,5mg TEVA PHARMA B.V. OLANDA CUTIE X BLIST. AL/AL X 28 COMPR. FILM. P-6L
300 mg/25 mg ACTAVIS GROUP PTC EHF. IRLANDA CUTIE CU BLIST. DIN PVC-PVDC/AL X 30 COMPR. FILM. P6L
300mg/12,5mg PHARMACEUTICAL WORKS POLPHARMA SA POLONIA CUTIE CU BLIST. PVC-PCTFE/AL X 28 COMPR. FILM. P6L

300 mg/12,5 mg ACTAVIS GROUP PTC EHF.

300mg/12,5mg KRKA D.D. NOVO MESTO SLOVENIA

CUTIE CU BLIST. DIN OPA/AL/PVC/AL X 30 COMPR. FILM.

P6L

FRANTA
POLONIA

CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L

SLOVENIA

CUTIE CU BLIST. DIN OPA/AL/PVC/AL X 30 COMPR. FILM.

300mg/25mg SANOFI PHARMA - BRISTOL MYERS SQUIBB


300mg/25mg PHARMACEUTICAL WORKS POLPHARMA SA
300mg/25mg KRKA D.D. NOVO MESTO
80/12,5mg
80/25mg
BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA CUTIE X 28COMPR. ( BLIST. PA/AL/PVC) P-6L

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA

80mg/12,5mg

BAYER SCHERING PHARMA AG

GERMANIA CUTIE X 28COMPR.( BLIST. PA/AL/PVC PERFORATE) P-6L

80mg/25mg
10mg/160mg
10mg/160mg
5mg/160mg
5mg/160mg

CUTIE CU BLIST. PVC-PCTFE/AL X 28 COMPR. FILM.

CUTIE X 28 COMPR. (BLIST. PA/AL/PVC/AL SAU PA/PA/AL/PVC/AL)

P6L
P6L
P-6L

BAYER SCHERING PHARMA AG

GERMANIA

CUTIE X 28COMPR.( BLIST. PA/AL/PVC SAU PA/PA/AL/PVC/AL PERFORATE UNIDOZA)

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 56 COMPR. FILM. (BLIST. PVC/PVDC ) P-6L

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 28 COMPR. FILM.(BLIST.PVC/PVDC )

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 56 COMPR. FILM. (BLIST. PVC/PVDC ) P-6L

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 28 COMPR. FILM. (BLIST. PVC/PVDC ) P-6L

Pagina 8 din 22

P-6L
P-6L

Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)

30
28
28
28
28
28
30
28
28
28
28
30
30
28
30
30
28
30
30
28
28
28
28
28
28
28
28
28
28
28
28
28
30
28
28
30
30
28
30
28
30
28
28
30
28
28
28
28
56
28
56
28

39.07
36.46
39.46
60.70
64.10
39.46
42.26
52.99
77.42
77.42
52.99
56.77
32.36
39.46
42.27
42.27
52.99
56.78
56.78
79.46
30.06
29.31
18.06
122.45
136.15
132.23
150.44
105.59
83.18
112.31
56.93
73.02
38.41
56.93
56.93
39.59
46.28
73.02
56.93
73.02
73.91
112.36
73.04
73.91
77.42
104.85
79.57
104.85
252.74
128.66
252.74
128.66

Pret
amanuntul
maximal/UT
(RON)

1.302333
1.302142
1.409285
2.167857
2.289285
1.409285
1.408666
1.892500
2.765000
2.765000
1.892500
1.892333
1.078666
1.409285
1.409000
1.409000
1.892500
1.892666
1.892666
2.837857
1.073571
1.046785
0.645000
4.373214
4.862500
4.722500
5.372857
3.771071
2.970714
4.011071
2.033214
2.607857
1.280333
2.033214
2.033214
1.319666
1.542666
2.607857
1.897666
2.607857
2.463666
4.012857
2.608571
2.463666
2.765000
3.744642
2.841785
3.744642
4.513214
4.595000
4.513214
4.595000

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit. a)
(RON) pt.
si f)
Adulti

1.302333
1.302142
1.325570
1.325570
1.325570
1.325570
1.325570
1.892500
2.651141
2.651141
1.892500
1.892333
0.662785
1.325570
1.325570
1.325570
1.892500
1.892666
1.892666
1.829892
1.073571
1.046785
0.645000
1.829892
1.829892
1.829892
1.829892
1.829892
1.829892
1.829892
1.829892
1.829892
1.280333
1.829892
1.829892
1.319666
1.542666
1.829892
1.829892
1.829892
1.829892
1.829892
1.829892
1.829892
1.829892
1.829892
1.829892
1.829892
4.162053
4.162053
4.162053
4.162053

0.651166
0.651071
0.662785
0.662785
0.662785
0.662785
0.662785
0.946250
1.325570
1.325570
0.946250
0.946166
0.331392
0.662785
0.662785
0.662785
0.946250
0.946333
0.946333
0.914946
0.536785
0.523392
0.322500
0.914946
0.914946
0.914946
0.914946
0.914946
0.914946
0.914946
0.914946
0.914946
0.640166
0.914946
0.914946
0.659833
0.771333
0.914946
0.914946
0.914946
0.914946
0.914946
0.914946
0.914946
0.914946
0.914946
0.914946
0.914946
2.081026
2.081026
2.081026
2.081026

Nr. crt

cod ATC

DCI

410 C09DB01 COMBINATII ( VALSARTANUM+AMLODIPINUM)


411 C09DB01 COMBINATII ( VALSARTANUM+AMLODIPINUM)
412 C10AA04
413 C10AA04
414 C10AA04
415 C10AA05
416 C10AA05
417 C10AA05
418 C10AA05
419 C10AA05
420 C10AA05
421 C10AA05
422 C10AA05
423 C10AA05
424 C10AA05
425 C10AA05
426 C10AA05
427 C10AA05
428 C10AA05
429 C10AA05
430 C10AA05
431 C10AA05
432 C10AA05
433 C10AA05
434 C10AA05
435 C10AA05
436 C10AA05
437 C10AA05
438 C10AA05
439 C10AA05
440 C10AA05
441 C10AA05
442 C10AA05
443 C10AA05
444 C10AA05
445 C10AA05
446 C10AA05
447 C10AA05
448 C10AA05
449 C10AA05
450 C10AA05
451 C10AA05
452 C10AA05
453 C10AA05
454 C10AA05
455 C10AA05
456 C10AA05
457 C10AA05
458 C10AA05
459 C10AA05
460 C10AA05
461 C10AA05

FLUVASTATINUM
FLUVASTATINUM
FLUVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM

Denumire Comerciala

EXFORGE 5mg/80mg
EXFORGE 5mg/80mg
LESCOL 20 mg
LESCOL 40 mg
LESCOL XL 80 mg
AMICOR 10 mg
TORVALIPIN 10 mg
SORTIS 10 mg
TORVACARD 10 mg
ATORIS 10 mg
GLETOR 10 mg
ASCORD 10 mg
ATORGAMMA 10 mg
ATORGAMMA 10 mg
TULIP 10 mg
TULIP 10 mg
ATILEN 10 mg
TORVAZIN 10 mg
XAMARA 10 mg
VOREDANIN 10 mg
AMICOR 20 mg
TORVALIPIN 20 mg
SORTIS 20 mg
TORVACARD 20 mg
ATORIS 20 mg
GLETOR 20 mg
ASCORD 20 mg
ATORGAMMA 20 mg
ATORGAMMA 20 mg
TULIP 20 mg
TULIP 20 mg
ATILEN 20 mg
TORVAZIN 20 mg
XAMARA 20 mg
VOREDANIN 20 mg
AMICOR 40 mg
TORVALIPIN 40 mg
SORTIS 40 mg
TORVACARD 40 mg
ATORIS 40 mg
ATORIS 40 mg
GLETOR 40 mg
ASCORD 40 mg
ATORGAMMA 40 mg
ATORGAMMA 40 mg
TULIP 40 mg
TULIP 40 mg
ATILEN 40 mg
TORVAZIN 40 mg
XAMARA 40 mg
VOREDANIN 40 mg
SORTIS 80 mg

forma farm.
concentratie
COMPR. FILM. 5mg/80mg
COMPR. FILM. 5mg/80mg

CAPS.
CAPS.

COMPR. ELIB. PREL.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

20mg
40mg
80mg
10 mg
10 mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
20 mg
20 mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
40 mg
40 mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
80mg

Detinator APP

tara det.
APP

Ambalaj

Prescriptie

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 56 COMPR. FILM.(BLIST.PVC/PVDC ) P-6L

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 28 COMPR. FILM. (BLIST.PVC/PVDC ) P-6L

NOVARTIS PHARMA GMBH GERMANIA


NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 4 BLIST. AL/AL X 7 CAPS.


CUTIE X 4 BLIST. AL/AL X 7 CAPS.

NOVARTIS PHARMA GMBH GERMANIA CUTIE X 4 BLIST. AL/AL X 7 COMPR. ELIB. PREL.

MEDOCHEMIE LTD. CIPRU


ACTAVIS GROUP PTC EHF. ISLANDA
PFIZER EUROPE MA EEIG

MAREA BRITANIE

ZENTIVA K.S.

CEHIA

CUTIE CU BLIST. DIN AL/AL X 30 COMPR. FILM.

P-6L
P-6L
P-6L

P6L

CUTIE CU BLIST. DIN AL/AL X 30 COMPR. FILM. P-6L

CUTIE X 3 BLIST. X 10 COMPR. FILM.

P-6L

CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-6L

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPR.FILM.

P-6L

GLENMARK PHARMACEUTICALS SRL

REPUBLICA SLOVACA

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.

P-6L

TERAPIA SA

ROMANIA

CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM.

P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.

P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 100 COMPR. FILM. P-6L

SANDOZ S.R.L.
SANDOZ S.R.L.

ROMANIA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-6L


ROMANIA CUTIE CU BLIST. AL/AL X 90 COMPR. FILM. P-6L
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-6L
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L
DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L
LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L
MEDOCHEMIE LTD. CIPRU
CUTIE CU BLIST. DIN AL/AL X 30 COMPR. FILM. P6L
ACTAVIS GROUP PTC EHF.

ISLANDA

PFIZER EUROPE MA EEIG

MAREA BRITANIE

ZENTIVA K.S.

CEHIA

CUTIE CU BLIST. DIN AL/AL X 30 COMPR. FILM. P-6L

CUTIE X 3 BLIST. X 10 COMPR. FILM.

P-6L

CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-6L

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPR.FILM.

P-6L

GLENMARK PHARMACEUTICALS SRL

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.

P-6L

REPUBLICA SLOVACA

TERAPIA SA

ROMANIA

CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM.

P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.

P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 100 COMPR. FILM. P-6L

SANDOZ S.R.L.
SANDOZ S.R.L.

ROMANIA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-6L


ROMANIA CUTIE CU BLIST. AL/AL X 90 COMPR. FILM. P-6L
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-6L
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L
DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L
LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L
MEDOCHEMIE LTD. CIPRU
CUTIE CU BLIST. DIN AL/AL X 14 COMPR. FILM. P6L
ACTAVIS GROUP PTC EHF.

ISLANDA

PFIZER EUROPE MA EEIG

MAREA BRITANIE

ZENTIVA K.S.

CEHIA

CUTIE CU BLIST. DIN AL/AL X 30 COMPR. FILM. P-6L

CUTIE X 2 BLIST. X 7 COMPR. FILM.

P-6L

CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-6L

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 14 COMPR.FILM.

P-6L

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPR.FILM.

P-6L

GLENMARK PHARMACEUTICALS SRL

REPUBLICA SLOVACA

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.

P-6L

TERAPIA SA

ROMANIA

CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM.

P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.

P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 100 COMPR. FILM. P-6L

SANDOZ S.R.L.
SANDOZ S.R.L.

ROMANIA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-6L


ROMANIA CUTIE CU BLIST. AL/AL X 90 COMPR. FILM. P-6L
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-6L
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L
DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L
LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L
PFIZER EUROPE MA EEIG

Pagina 9 din 22

MAREA BRITANIE

CUTIE X 2 BLIST. X 7 COMPR. FILM.

P-6L

Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)

56
28
28
28
28
30
30
30
30
30
30
30
30
100
30
90
28
30
30
30
30
30
30
30
30
30
30
30
100
30
90
28
30
30
30
14
30
14
30
14
30
30
30
30
100
30
90
28
30
30
30
14

214.81
113.26
15.98
29.09
46.24
18.38
16.75
41.50
19.43
19.43
21.14
21.05
16.75
54.07
21.23
55.45
19.83
18.77
27.86
25.61
26.90
24.56
53.41
29.46
29.45
31.51
34.71
24.14
73.89
30.65
79.50
31.37
28.64
34.71
38.02
28.58
50.55
45.27
53.71
25.86
53.61
63.06
56.69
52.86
159.32
61.73
152.32
58.84
52.68
63.04
68.44
72.66

Pret
amanuntul
maximal/UT
(RON)

3.835892
4.045000
0.570714
1.038928
1.651428
0.612666
0.558333
1.383333
0.647666
0.647666
0.704666
0.701666
0.558333
0.540700
0.707666
0.616111
0.708214
0.625666
0.928666
0.853666
0.896666
0.818666
1.780333
0.982000
0.981666
1.050333
1.157000
0.804666
0.738900
1.021666
0.883333
1.120357
0.954666
1.157000
1.267333
2.041428
1.685000
3.233571
1.790333
1.847142
1.787000
2.102000
1.889666
1.762000
1.593200
2.057666
1.692444
2.101428
1.756000
2.101333
2.281333
5.190000

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit. a)
(RON) pt.
si f)
Adulti

3.835892
4.045000
0.506631
1.013263
1.651428
0.612666
0.558333
0.759948
0.647666
0.647666
0.704666
0.701666
0.558333
0.540700
0.707666
0.616111
0.708214
0.625666
0.759948
0.759948
0.896666
0.818666
1.519896
0.982000
0.981666
1.050333
1.157000
0.804666
0.738900
1.021666
0.883333
1.120357
0.954666
1.157000
1.267333
2.041428
1.685000
3.039792
1.790333
1.847142
1.787000
2.102000
1.889666
1.762000
1.593200
2.057666
1.692444
2.101428
1.756000
2.101333
2.281333
5.190000

1.917946
2.022500
0.253315
0.506631
0.825714
0.306333
0.279166
0.379974
0.323833
0.323833
0.352333
0.350833
0.279166
0.270350
0.353833
0.308055
0.354107
0.312833
0.379974
0.379974
0.448333
0.409333
0.759948
0.491000
0.490833
0.525166
0.578500
0.402333
0.369450
0.510833
0.441666
0.560178
0.477333
0.578500
0.633666
1.020714
0.842500
1.519896
0.895166
0.923571
0.893500
1.051000
0.944833
0.881000
0.796600
1.028833
0.846222
1.050714
0.878000
1.050666
1.140666
2.595000

Nr. crt

cod ATC

462 C10AA05
463 C10AA05
464 C10AA05
465 C10AA05
466 C10AA07
467 C10AA07
468 C10AA07
469 C10AA07
470 C10AA07
471 C10AA07
472 C10AA07
473 C10AA07
474 C10AA07
475 C10AA07
476 C10AA07
477 C10AA07
478 C10AA07
479 C10AA07
480 C10AA07
481 C10AA07
482 C10AA07
483 C10AA07
484 C10AA07
485 C10AA07
486 C10AA07
487 C10AA07
488 C10AA07
489 C10AA07
490 C10AA07
491 C10AA07
492 C10AA07
493 C10AA07
494 C10AA07
495 C10AB02
496 C10AB08
497 C10AX06
498 C10AX09
499 C10AX09
500 C10BX03
501 C10BX03
502 C10BX03
503 C10BX03
504 C10BX03
505 C10BX03
506 D01AA02
507 D01BA02
508 D01BA02
509 D01BA02
510 D01BA02
511 D01BA02
512 D01BA02
513 D01BA02

DCI

ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
BEZAFIBRATUM
CIPROFIBRATUM

Denumire Comerciala

ASCORD 80 mg
ATILEN 80 mg
XAMARA 80 mg
TORVACARD 80 mg
CRESTOR 10 mg
ROSUCARD 10 mg
ROSUVASTATINA TEVA 10 mg
ROXARDIO 10 mg
ROSTAT 10 mg
ROSWERA 10 mg
TINTAROS 10 mg
SURVAL 10 mg
CRESTOR 20 mg
ROSUCARD 20 mg
ROSUVASTATINA TEVA 20 mg
ROXARDIO 20 mg
ROSTAT 20 mg
ROSWERA 20 mg
TINTAROS 20 mg
SURVAL 20 mg
ROSUCARD 40 mg
ROSUVASTATINA TEVA 40 mg
ROSTAT 40 mg
ROSWERA 40 mg
TINTAROS 40 mg
SURVAL 40 mg
CRESTOR 5 mg
ROSUVASTATINA TEVA 5 mg
ROXARDIO 5 mg
ROSTAT 5 mg
ROSWERA 5 mg
TINTAROS 5 mg
SURVAL 5 mg
REGADRIN (R) B
LIPANOR (R) 100 mg
ACID OMEGA-3-ESTERI ETILICI 90** OMACOR (R)
EZETIMIBUM
EZETROL (R)
EZETIMIBUM
EZETROL (R)
COMBINATII (ATORVASTATINUM+AMLODIPINUM) CADUET 10mg/10mg
COMBINATII (ATORVASTATINUM+AMLODIPINUM) DUPLECOR 10 mg/10 mg
COMBINATII (ATORVASTATINUM+AMLODIPINUM) DUPLECOR 10 mg/5 mg
COMBINATII (ATORVASTATINUM+AMLODIPINUM) DUPLECOR 20 mg/10 mg
COMBINATII (ATORVASTATINUM+AMLODIPINUM) DUPLECOR 20 mg/5 mg
COMBINATII (ATORVASTATINUM+AMLODIPINUM) CADUET 5mg/10mg
NATAMYCINUM
PIMAFUCIN
TERBINAFINUM
EXIFINE 125 mg
TERBINAFINUM
LAMISIL (R)
TERBINAFINUM
TERBINARAN
TERBINAFINUM
TERBINARAN
TERBINAFINUM
TERBINAFINE 250 mg
TERBINAFINUM
TERBINAFINA SLAVIA 250mg
TERBINAFINUM
TERBINAFINA BIOGALENICA 250 mg

forma farm.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

DRAJ.
CAPS.
CAPS. MOI
COMPR.
COMPR.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

CREMA
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.

concentratie

80mg
80mg
80mg
80mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
40mg
40mg
40mg
40mg
40mg
40mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
200mg
100mg
1000mg
10mg
10mg
10mg/10mg
10mg/10mg
10mg/5mg
20mg/10mg
20mg/5mg
5mg/10mg
20mg/g
125mg
250mg
250mg
250mg
250mg
250mg
250mg

Detinator APP

TERAPIA SA

TEVA PHARMACEUTICALS S.R.L.

DR. REDDY'S LABORATORIES

tara det.
APP

Ambalaj

Prescriptie

ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM.


ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM.
ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.

P-6L

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.

P6L

P-6L
P-6L

ZENTIVA, K.S.

REPUBLICA SLOVACA

ASTRAZENECA UK LTD.

MAREA BRITANIE

CUTIE X 2 BLIST. X 14 COMPR. FILM.

P-6L

REPUBLICA CEHA

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.

P-6L

CUTIE CU BLIST. PVC-PVAC-AL/OPA-AL-PVC X 30 COMPR. FILM.

P-6L

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.

P-6L

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.

P-6L

KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.

ZENTIVA K.S.

ROMANIA
SANDOZ S.R.L.
ROMANIA
GEDEON RICHTER PLC. UNGARIA

TEVA PHARMACEUTICALS S.R.L.

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE CU BLIST. PA/AL/PVC-AL X 28 COMPR. FILM.

GLENMARK PHARMACEUTICALS SRL

REPUBLICA SLOVACA

CUTIE CU BLIST. PVC-AL-OPA/AL X 30 COMPR. FILM.

P6L
P6L
P6L

ASTRAZENECA UK LTD.

MAREA BRITANIE

CUTIE X 2 BLIST. X 14 COMPR. FILM.

P-6L

REPUBLICA CEHA

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.

P-6L

CUTIE CU BLIST. PVC-PVAC-AL/OPA-AL-PVC X 30 COMPR. FILM.

P-6L

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.

P-6L

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.

P-6L

KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.

ZENTIVA K.S.

ROMANIA
SANDOZ S.R.L.
ROMANIA
GEDEON RICHTER PLC. UNGARIA

TEVA PHARMACEUTICALS S.R.L.

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE CU BLIST. PA/AL/PVC-AL X 28 COMPR. FILM.

GLENMARK PHARMACEUTICALS SRL

REPUBLICA SLOVACA

CUTIE CU BLIST. PVC-AL-OPA/AL X 30 COMPR. FILM.

ZENTIVA K.S.

P6L
P6L
P6L

REPUBLICA CEHA

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.

P-6L

ROMANIA

CUTIE CU BLIST. PVC-PVAC-AL/OPA-AL-PVC X 30 COMPR. FILM.

P-6L

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.

P-6L

KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.

P6L
P6L
P6L

TEVA PHARMACEUTICALS S.R.L.

GEDEON RICHTER PLC. UNGARIA


ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE CU BLIST. PA/AL/PVC-AL X 28 COMPR. FILM.

GLENMARK PHARMACEUTICALS SRL

REPUBLICA SLOVACA

CUTIE CU BLIST. PVC-AL-OPA/AL X 30 COMPR. FILM.

ASTRAZENECA UK LTD.

MAREA BRITANIE

ROMANIA
SANDOZ S.R.L.
ROMANIA
GEDEON RICHTER PLC. UNGARIA

CUTIE X 2 BLIST. AL/AL X 14 COMPR. FILM. P-6L


CUTIE CU BLIST. PVC-PVAC-AL/OPA-AL-PVC X 30 COMPR. FILM.

P-6L

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.

P-6L

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.

P-6L

KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.

P6L
P6L
P6L

TEVA PHARMACEUTICALS S.R.L.

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE CU BLIST. PA/AL/PVC-AL X 28 COMPR. FILM.

GLENMARK PHARMACEUTICALS SRL

REPUBLICA SLOVACA

CUTIE CU BLIST. PVC-AL-OPA/AL X 30 COMPR. FILM.

BERLIN CHEMIE AG MENARINI GROUP

GERMANIA

SANOFI-AVENTIS FRANCE
PRONOVA BIOPHARMA NORGE A.S.

CUTIE X 5 BLIST. X 10 DRAJ.


FRANTA CUTIE X 3 BLIST. X 10 CAPS.
NORVEGIA FALC. DIN PEID X 28 CAPS. MOI

P-6L
P-6L
P-RF

MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. PCTFE/PVC/AL X 14 COMPR. P-RF
MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PCTFE/PVC/AL X 14 COMPR. P-RF
PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 3 BLIST. PA-AL-PVC/PVC-AL X 10 COMPR. FILM.

GEDEON RICHTER ROMANIA SA

ROMANIA
ROMANIA
ROMANIA
ROMANIA

PFIZER EUROPE MA EEIG

MAREA BRITANIE

ASTELLAS EUROPE B.V.

OLANDA CUTIE X 1 TUB DIN AL X 30 G CREMA

GEDEON RICHTER ROMANIA SA


GEDEON RICHTER ROMANIA SA
GEDEON RICHTER ROMANIA SA

DR. REDDY'S LABORATORIES

P-6L

CUTIE CU BLIST. ALBE, OPACE DIN PA/AL/PVC/AL X 30 COMPR. FILM.

P6L
P6L
P6L
P6L

CUTIE X 3 BLIST. PA-AL-PVC/PVC-AL X 10 COMPR. FILM.

P-6L

CUTIE CU BLIST. ALBE, OPACE DIN PA/AL/PVC/AL X 30 COMPR. FILM.


CUTIE CU BLIST. ALBE, OPACE DIN PA/AL/PVC/AL X 30 COMPR. FILM.
CUTIE CU BLIST. ALBE, OPACE DIN PA/AL/PVC/AL X 30 COMPR. FILM.

ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 14 COMPR.

P-RF
P-RF

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 1 BLIST. X 14 COMPR.

RANBAXY UK LIMITED
RANBAXY UK LIMITED

MAREA BRITANIE

CUTIE X 3 BLIST. AL/PVDC-PVC X 10 COMPR. P-RF

MAREA BRITANIE

CUTIE X 4 BLIST. AL/PVDC-PVC X 7 COMPR. P-RF

ACTAVIS GROUP HF ISLANDA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR.


SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. PVC/AL X 7 COMPR.
ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR.

Pagina 10 din 22

P-RF

P-RF
P-RF
P-RF

Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)

30
28
30
30
28
30
30
28
30
30
28
30
28
30
30
28
30
30
28
30
30
30
30
30
28
30
28
30
28
30
30
28
30
50
30
28
14
28
30
30
30
30
30
30
1
14
14
30
28
28
14
28

101.21
94.46
101.21
101.71
105.02
63.42
53.55
69.51
73.16
53.56
39.44
53.56
149.38
99.58
92.42
102.39
109.71
92.43
52.95
92.43
109.71
109.71
109.71
109.71
68.64
109.71
91.37
50.53
62.54
64.78
50.55
27.73
50.55
28.55
25.67
100.04
95.45
180.99
81.46
55.75
48.82
71.26
64.10
71.34
12.48
27.04
87.90
234.95
107.44
29.74
18.21
31.99

Pret
amanuntul
maximal/UT
(RON)

3.373666
3.373571
3.373666
3.390333
3.750714
2.114000
1.785000
2.482500
2.438666
1.785333
1.408571
1.785333
5.335000
3.319333
3.080666
3.656785
3.657000
3.081000
1.891071
3.081000
3.657000
3.657000
3.657000
3.657000
2.451428
3.657000
3.263214
1.684333
2.233571
2.159333
1.685000
0.990357
1.685000
0.571000
0.855666
3.572857
6.817857
6.463928
2.715333
1.858333
1.627333
2.375333
2.136666
2.378000
12.480000
1.931428
6.278571
7.831666
3.837142
1.062142
1.300714
1.142500

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit. a)
(RON) pt.
si f)
Adulti

3.373666
3.373571
3.373666
3.390333
1.519896
1.519896
1.519896
1.519896
1.519896
1.519896
1.408571
1.519896
3.039792
3.039792
3.039792
3.039792
3.039792
3.039792
1.891071
3.039792
3.657000
3.657000
3.657000
3.657000
2.451428
3.657000
0.759948
0.759948
0.759948
0.759948
0.759948
0.759948
0.759948
0.528299
0.855666
3.572857
6.552410
6.463928
1.927916
1.858333
1.627333
1.927916
1.927916
1.927916
12.480000
0.535500
1.071000
1.071000
1.071000
1.062142
1.071000
1.071000

1.686833
1.686785
1.686833
1.695166
0.759948
0.759948
0.759948
0.759948
0.759948
0.759948
0.704285
0.759948
1.519896
1.519896
1.519896
1.519896
1.519896
1.519896
0.945535
1.519896
1.828500
1.828500
1.828500
1.828500
1.225714
1.828500
0.379974
0.379974
0.379974
0.379974
0.379974
0.379974
0.379974
0.264149
0.427833
1.786428
3.276205
3.231964
0.963958
0.929166
0.813666
0.963958
0.963958
0.963958
6.240000
0.267750
0.535500
0.535500
0.535500
0.531071
0.535500
0.535500

Nr. crt

cod ATC

DCI

516 D05AX02

TERBINAFINUM
TERBINAFINUM
CALCIPOTRIOLUM*

517 D05AX52

COMBINATII (CALCIPOTRIOLUM+BETAMETHASONUM)*

518 D05AX52

COMBINATII (CALCIPOTRIOLUM+BETAMETHASONUM)*

519 D05AX52

COMBINATII (CALCIPOTRIOLUM+BETAMETHASONUM)*

520 D05BB02

ACITRETINUM**
ACIDUM FUSIDICUM
ACIDUM FUSIDICUM
SULFADIAZINUM
PODOPHYLLOTOXINUM*
PODOPHYLLOTOXINUM*
IMIQUIMODUM*

514 D01BA02
515 D01BA02

521 D06AX01
522 D06AX01
523 D06BA01
524 D06BB04
525 D06BB04
526 D06BB10
527 D07AB02
528 D07AB02
529 D07AB02
530 D07AB02
531 D07AC13
532 D07AC13
533 D07AC13
534 D07AC13
535 D07AC13

HYDROCORTISONUM BUTYRATUM
HYDROCORTISONUM BUTYRATUM
HYDROCORTISONUM BUTYRATUM
HYDROCORTISONUM BUTYRATUM

MOMETASONUM
MOMETASONUM
MOMETASONUM
MOMETASONUM
MOMETASONUM

536 D07AC14 METHYLPREDNISOLONUM ACEPONAT


537 D07AC14 METHYLPREDNISOLONUM ACEPONAT
538 D07AC14 METHYLPREDNISOLONUM ACEPONAT

544 D07AD01

FLUTICASONUM PROPIONAT
FLUTICASONUM PROPIONAT
CLOBETASOLUM*
CLOBETASOLUM*
CLOBETASOLUM*
CLOBETASOLUM*

545 D07CA01

COMBINATII (ACIDUM FUSIDICUM+HYDROCORTISONUM)

546 D07CC01

COMBINATII (ACIDUM FUSIDICUM+ BETAMETHASONUM)

539 D07AC17
540 D07AC17
541 D07AD01
542 D07AD01
543 D07AD01

547 D07XC03 COMBINATII (MOMETASONUM + AC. SALICILICUM)


548 D07XC03 COMBINATII (MOMETASONUM + AC. SALICILICUM)
549 D10AD54 COMBINATII (ISOTRETINOINUM + ERITROMICINUM)
550 D10AX03
551 D10AX03
552 D10BA01
553 D10BA01
554 D10BA01
555 D10BA01
556 D10BA01
557 G01AA02
558 G01AA51
559 G01AA51
560 G01AA51
561 G01AA51
562 G01AF12
563 G01AF12
564 G01AF12
565 G01AF15

ACIDUM AZELAICUM
ACIDUM AZELAICUM
ISOTRETINOINUM**
ISOTRETINOINUM**
ISOTRETINOINUM**
ISOTRETINOINUM**
ISOTRETINOINUM**
NATAMYCINUM
COMBINATII
COMBINATII
COMBINATII
COMBINATII
FENTICONAZOLUM
FENTICONAZOLUM
FENTICONAZOLUM
BUTOCONAZOLUM

Denumire Comerciala

EXIFINE 250 mg
TERBISIL 250 mg
DAIVONEX
XAMIOL 50 micrograme/ 0,5 mg/g
DAIVOBET 50 micrograme/0,5 mg/g
DAIVOBET (R) UNGUENT
NEOTIGASON 10 mg
FUCIDIN 20 mg/g
FUCIDIN 20 mg/g
FLAMMAZINE
WARTEC 1,5 mg/g
CONDYLINE
ALDARA 5%
LOCOID (R) crema 0,1%
LOCOID (R) LIPOCREAM 0,1%
LOCOID CRELO (R) 0,1%
LOCOID (R)
ELOCOM
ELOCOM
ELOCOM
MOMERID 1 mg/g
MOMERID 1 mg/g
ADVANTAN
ADVANTAN (R) MILK
ADVANTAN
CUTIVATE
CUTIVATE
DERMOVATE 0,5 mg/g
DERMOVATE (R)
DERMOVATE
DERMIONE
FUCIDIN H
FUCICORT 20 mg/1mg pe gram
ELOSALIC
ELOSALIC
ISOTREXIN GEL
SKINOREN
SKINOREN 150mg/g
ROACCUTANE 10 mg
SOTRET 10 mg
SOTRET 10 mg
SOTRET 20 mg
SOTRET 20 mg
PIMAFUCIN (R)
MACMIROR COMPLEX
POLYGYNAX
POLYGYNAX
MACMIROR COMPLEX
LOMEXIN 1000 mg
LOMEXIN 600 mg
LOMEXIN CREMA VAGINALA
GYNOFORT 2%

forma farm.

COMPR.
COMPR.
CREMA
GEL
GEL
UNGUENT
CAPS.
CREMA
UNGUENT
CREMA
CREMA
SOL. CUT.
CREMA
CREMA
CREMA

concentratie

250mg
250mg
50mcg/g
0,5 mg/g

Detinator APP

Prescriptie

P-RF

LEO PHARMACEUTICAL PRODUCTS


LEO PHARMACEUTICAL PRODUCTS

DANEMARCA

P-RF

LEO PHARMA A/S

CUTIE CU 1 FLAC. PEID X 15 G GEL

DANEMARCA

CUTIE CU 1 FLAC. PEID CU DUZA DIN PEJD SI CAPAC DIN PEID X 30 G GEL

DANEMARCA

CUTIE X 1 TUB X 15 G

GEDEON RICHTER ROMANIA SA

FARA CONCENTRATIE LEO PHARMACEUTICAL PRODUCTS

10mg
20mg/g
20mg/g
1%
1,5 mg/g
5mg/ml
5%
0,1%
0,1%
EMULSIE CUT. 0.1%
SOL. CUT.
0,1%
CREMA
1mg/g
SOL. CUT.
1mg/g
UNGUENT
1mg/g
UNGUENT
1mg/g
UNGUENT
1mg/g
CREMA
1mg/g
EMULSIE CUT. 0,1%
UNGUENT
1mg/g
CREMA
0,05%
UNGUENT
0,005%
CREMA
0,5mg/g
SOL. CUT.
0,05%
UNGUENT
0,05%
UNGUENT
0,05%
CREMA
FARA CONCENTRATIE
CREMA
20mg/1mg pe gram
UNGUENT
1mg+5mg/gram
UNGUENT
1mg+5mg/gram
GEL
0,05%/0,2%
CREMA
200mg/g
GEL
150mg/g
CAPS. MOI 10mg
CAPS. MOI 10mg
CAPS. MOI 10mg
CAPS. MOI 20mg
CAPS. MOI 20mg
OVULE
100mg

Ambalaj

ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 14 COMPR.


ROMANIA CUTIE CU 2 BLIST. PVC/AL X 14 COMPR.
DANEMARCA CUTIE X 1 TUB DIN AL X 30 G CREMA

DR. REDDY'S LABORATORIES

50micrograme/0,5mg/g

tara det.
APP

P-RF

P-6L

PRF
P-RF

ACTAVIS GROUP PTC EHF.

ISLANDA CUTIE X 3 BLIST. AL/PVC-PVDC X 10 CAPS.

LEO PHARMACEUTICAL PRODUCTS

DANEMARCA

CUTIE X 1 TUB DIN AL X 15 G CREMA

P-RF

LEO PHARMACEUTICAL PRODUCTS

DANEMARCA

P-RF

CN UNIFARM

CUTIE X 1 TUB DIN AL X 15 G UNGUENT

ROMANIA BORCAN X 500 G CREMA


ROMANIA CUTIE X 1 TUB X 5 G CREMA

GLAXOSMITHKLINE (GSK) SRL


ASTELLAS PHARMA EUROPE BV

MEDA AB
ASTELLAS PHARMA EUROPE BV
ASTELLAS PHARMA EUROPE BV
ASTELLAS PHARMA EUROPE BV
ASTELLAS PHARMA EUROPE BV

SCHERING PLOUGH EUROPE


SCHERING PLOUGH EUROPE
SCHERING PLOUGH EUROPE

NEPENTES S.A.
NEPENTES S.A.
INTENDIS GMBH
INTENDIS GMBH
INTENDIS GMBH

OLANDA
SUEDIA
OLANDA
OLANDA
OLANDA
OLANDA
BELGIA
BELGIA
BELGIA
POLONIA
POLONIA

CUTIE X 1 FLACON DIN STICLA BRUNA X 3,5 ML SOL. CUTANATA + 15 DISPOZITIVE DE APLICARE

P-RF

PRF
P-RF
P-RF

CUTIE X 12 PLICURI DIN POLIESTER/AL X 250 MG CREMA P-RF

CUTIE X 1 TUB DIN AL X 30 G


CUTIE X 1 TUB DIN AL X 30 G
CUTIE X 1 FLACON X 30 G

P-RF
P-RF
P-RF

CUTIE X 1 FLACON PICURATOR DIN PP X 30 ML P-RF

CUTIE X 1 TUB DIN AL X 15 G

P-RF

CUTIE X 1 FLACON DIN PEID X 20 ML SOL. CUTANATA P-RF

CUTIE X 1 TUB DIN AL X 15 G


CUTIE X 1 TUB AL X 15 G UNGUENT
CUTIE X 1 TUB AL X 30 G UNGUENT

P-RF

CUTIE X 1 TUB X 20 G

P-RF

P-RF
P-RF

GERMANIA CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF


GERMANIA

GERMANIA CUTIE X 1 TUB DIN AL X 15 G UNGUENT P-RF

GLAXO WELLCOME UK LIMITED MAREA BRITANIE

CUTIE X 1 TUB DIN AL X 15 G CREMA

GLAXO WELLCOME UK LIMITED MAREA BRITANIE

CUTIE X 1 TUB DIN AL X 15 G UNGUENT

P-RF
P-RF

GLAXO WELLCOME UK LTD.

MAREA BRITANIE

CUTIE CU 1 TUB AL X 25 G CREMA

GLAXO WELLCOME UK LTD.

MAREA BRITANIE

CUTIE X 1 FLACON CU PICURATOR DIN PP X 25 ML P-RF

GLAXOWELLCOME UK LTD.

MAREA BRITANIE

OZONE LABORATORIES LTD.

MAREA BRITANIE

LEO PHARMACEUTICAL PRODUCTS

DANEMARCA

LEO PHARMACEUTICAL PRODUCTS

DANEMARCA

SCHERING PLOUGH EUROPE


SCHERING PLOUGH EUROPE

BELGIA
BELGIA

STIEFEL LABORATORIES IRELAND LTD. MAREA BRITANIE

INTENDIS GMBH
INTENDIS GMBH

CUTIE X 1 TUB X 25 G
CUTIE X 1 TUB DIN AL X 20 G

CUTIE X 1 TUB DIN AL X 15 G CREMA


CUTIE X 1 TUB DIN AL X 15 G CREMA

P-RF
P-RF
P-RF
P-RF
P-RF

CUTIE X 1 TUB X 15 G
CUTIE X 1 TUB X 45 G
CUTIE X 1 TUB DIN AL X 30 G GEL

P-RF

CUTIE X 1 TUB AL X 30 G GEL

P-RF

P-RF
P-RF

GERMANIA CUTIE X 1 TUB DIN AL X 30 G CREMA P-RF


GERMANIA

ROCHE ROMANIA SRL ROMANIA


RANBAXY U.K. LIMITED MAREA BRITANIE

CUTIE X 3 BLIST. PE-PVDC-PVC/HARTIE-AL X 10 CAPS. MOI

P-RF

TERAPIA S.A.

ROMANIA

CUTIE X 3 BLIST. PE-PVDC-PVC/HARTIE-AL X 10 CAPS. MOI

P-RF

RANBAXY U.K. LIMITED

MAREA BRITANIE

CUTIE X 3 BLIST. PE-PVDC-PVC/HARTIE-AL X 10 CAPS. MOI

P-RF

ROMANIA

CUTIE X 3 BLIST. PE-PVDC-PVC/HARTIE-AL X 10 CAPS. MOI

P-RF

TERAPIA S.A.

ASTELLAS PHARMA EUROPE BV

POLICHEM SA
CAPS. MOI VAG. FARA CONCENTRATIE LAB. INNOTECH INT.
CAPS. MOI VAG. FARA CONCENTRATIE LAB. INNOTECH INT.
CREMA VAG. 10g/400000UI POLICHEM SA
CAPS. MOI VAG. 1000mg
RECORDATI SPA
CAPS. MOI VAG. 600mg
RECORDATI SPA
CREMA VAG. 2%
RECORDATI SPA
CREMA VAG. FARA CONCENTRATIE GEDEON RICHTER ROMANIA SA
CAPS. MOI VAG. 500mg/200000UI

Pagina 11 din 22

CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 CAPS. MOI P-RF

OLANDA CUTIE X 1 FOLIE X 3 OVULE

P-RF

LUXEMBURG CUTIE X 1 BLIST. AL/PVDC-PVC X 12 CAPS. MOI. VAG. P-RF

FRANTA
FRANTA

CUTIE X 1 BLIST. AL/PVC X 6 CAPS. MOI VAG. P-RF


CUTIE X 2 BLIST. AL/PVC X 6 CAPS. MOI. VAG. P-RF

LUXEMBURG CUTIE X 1 TUB DIN AL CREMA VAG. X 30 G + APLICATOR

P-RF

ITALIA
ITALIA
ITALIA

CUTIE X 1 BLIST. PVC/PVDC-AL X 2 CAPS. VAG. MOI

P-RF

CUTIE X 1 BLIST. PVC/PVDC-AL X 1 CAPS. VAG. MOALE

P-RF

ROMANIA

CUTIE X 1 TUB AL + APLICATOR X 78 G CREMA P-RF


CUTIE X 1 APLICATOR PREUMPLUT UNIDOZA DIN PP CU 5 G CREMA VAG.

P-RF

Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)

14
28
1
1
1
1
30
1
1
1
1
1
12
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
30
30
30
30
30
3
12
6
12
1
2
1
1
1

Pret
amanuntul
maximal/UT
(RON)

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit. a)
(RON) pt.
si f)
Adulti

16.66
1.190000
1.071000
108.77
3.884642
1.071000
43.26 43.260000 43.260000
81.72 81.720000 71.985000
108.59 108.590000 71.985000
62.25 62.250000 62.250000
74.74
2.491333
2.491333
15.19 15.190000 15.190000
15.19 15.190000 15.190000
105.59 105.590000 105.590000
85.55 85.550000 45.803214
75.96 75.960000 75.960000
265.43 22.119166 22.119166
12.93 12.930000 12.407500
13.39 13.390000 12.407500
12.80 12.800000 12.407500
11.23 11.230000 11.230000
15.69 15.690000 10.200000
18.78 18.780000 13.600000
15.69 15.690000 10.200000
10.20 10.200000 10.200000
20.40 20.400000 20.400000
13.27 13.270000 13.270000
19.61 19.610000 17.693333
13.27 13.270000 13.270000
10.31 10.310000 10.310000
10.31 10.310000 10.310000
12.08 12.080000
6.032250
5.21
5.210000
5.210000
8.91
8.910000
6.032250
5.76
5.760000
4.825800
21.74 21.740000 21.740000
23.82 23.820000 23.820000
16.66 16.660000 15.915000
47.00 47.000000 47.000000
36.22 36.220000 36.220000
34.10 34.100000 34.100000
44.47 44.470000 36.692500
53.29
1.776333
1.071333
33.09
1.103000
1.071333
33.09
1.103000
1.071333
64.28
2.142666
2.142666
64.28
2.142666
2.142666
11.08
3.693333
3.693333
38.11
3.175833
2.404332
17.46
2.910000
2.404332
33.74
2.811666
2.404332
35.47 35.470000 35.470000
51.21 25.605000 17.454807
20.09 20.090000 10.472884
36.01 36.010000 27.229500
40.29 40.290000
1.745480

0.535500
0.535500
21.630000
35.992500
35.992500
31.125000
1.245666
7.595000
7.595000
52.795000
22.901607
37.980000
11.059583
6.203750
6.203750
6.203750
5.615000
5.100000
6.800000
5.100000
5.100000
10.200000
6.635000
8.846666
6.635000
5.155000
5.155000
3.016125
2.605000
3.016125
2.412900
10.870000
11.910000
7.957500
23.500000
18.110000
17.050000
18.346250
0.535666
0.535666
0.535666
1.071333
1.071333
1.846666
1.202166
1.202166
1.202166
17.735000
8.727403
5.236442
13.614750
0.872740

Nr. crt

cod ATC

DCI

566 G01AF20

COMBINATII (METRONIDAZOLUM+CLOTRIMAZOLUM)

567 G01AF20

COMBINATII (METRONIDAZOLUM+CLOTRIMAZOLUM)

568 G01AF20

COMBINATII (METRONIDAZOLUM+CLOTRIMAZOLUM)

569 G01AF20

COMBINATII (METRONIDAZOLUM+CLOTRIMAZOLUM)

570 G01AF20

COMBINATII (METRONIDAZOLUM+CLOTRIMAZOLUM)

571 G02CB03

CABERGOLINUM*
CABERGOLINUM*
LEVONORGESTRELUM***#
ESTRIOLUM*
ESTRIOLUM*
PROMESTRIENUM*
PROMESTRIENUM*
PROGESTERONUM*
PROGESTERONUM*
PROGESTERONUM*
PROGESTERONUM*
PROGESTERONUM*
PROGESTERONUM*
PROGESTERONUM*
DYDROGESTERONUM*
LYNESTRENOLUM*
TIBOLONUM**
COMBINATII**
COMBINATII**
COMBINATII**
COMBINATII**
COMBINATII**
COMBINATII**
FOLLITROPINUM ALFA****#
FOLLITROPINUM ALFA****#
FOLLITROPINUM ALFA****#
FOLLITROPINUM ALFA****#
FOLLITROPINUM BETA****#
FOLLITROPINUM BETA****#
LUTROPINUM ALFA****#
CLOMIFENUM
CLOMIFENUM
RALOXIFENUM
OXYBUTYNINUM
TOLTERODINUM**#
TOLTERODINUM**#
TOLTERODINUM**#
TOLTERODINUM**#
SOLIFENACINUM SUCCINATE**#
SOLIFENACINUM SUCCINATE**#
SOLIFENACINUM SUCCINATE**#
SOLIFENACINUM SUCCINATE**#
TROSPIUM
TROSPIUM
TROSPIUM
TROSPIUM
TROSPIUM

572 G02CB03
573 G03AC03
574 G03CA04
575 G03CA04
576 G03CA09
577 G03CA09
578 G03DA04
579 G03DA04
580 G03DA04
581 G03DA04
582 G03DA04
583 G03DA04
584 G03DA04
585 G03DB01
586 G03DC03
587 G03DC05
588 G03FA14
589 G03FA14
590 G03FA17
591 G03FB01
592 G03FB08
593 G03FB08
594 G03GA05
595 G03GA05
596 G03GA05
597 G03GA05
598 G03GA06
599 G03GA06
600 G03GA07
601 G03GB02
602 G03GB02
603 G03XC01
604 G04BD04
605 G04BD07
606 G04BD07
607 G04BD07
608 G04BD07
609 G04BD08
610 G04BD08
611 G04BD08
612 G04BD08
613 G04BD09
614 G04BD09
615 G04BD09
616 G04BD09
617 G04BD09

Denumire Comerciala

MECLODIN
MECLON
MECLON
MECLON
MECLON
DOSTINEX
DOSTINEX
MIRENA 20 mcg/24 h
OVESTIN
OVESTIN
COLPOTROPHINE (R)
COLPOTROPHINE (R)
UTROGESTAN (R) 100 mg
AREFAM 100 mg
AREFAM 100 mg
UTROGESTAN (R) 200 mg
AREFAM 200 mg
PROGESTOGEL
MASTOPROFEN 1%
DUPHASTON 10 mg
ORGAMETRIL
LIVIAL (R) 2,5 mg
FEMOSTON CONTI 1 mg/ 5mg
FEMOSTON (R) conti 1/5
ANGELIQ
CYCLO PROGINOVA (R)
FEMOSTON 2/10
FEMOSTON 2/10
GONAL - f 75 UI (5,5 mcg)
GONAL-f 300 UI/0,5 ml ( 22 mcg/0,5 ml)
GONAL-f 450 UI/0,75 ml (33 mcg/0,75 ml)
GONAL-f 900 UI/1,5ml (66 mcg/1,5 ml)
PUREGON 300UI/0,36 ml
PUREGON 900UI/1,08 ml
LUVERIS 75UI
CLOSTILBEGYT
OVA - MIT
EVISTA 60mg
DRIPTANE ( R ) 5 mg
DETRUSITOL SR 4 mg
UROFLOW 1
TOLTERODINA ACCORD 2 mg
UROFLOW 2
ZEVESIN 10 mg
VESICARE 10 mg
ZEVESIN 5 mg
VESICARE 5 mg
INKONTAN 15 mg
INKONTAN 15 mg
INKONTAN 15 mg
INKONTAN 30 mg
INKONTAN 30 mg

tara det.
forma farm.
concentratie
APP
Detinator APP
COMPR. VAG. 500mg/200mg ARENA GROUP S.A. ROMANIA

CREMA
CREMA VAG.
OVULE

SOL. VAGINALA

COMPR.
COMPR.

DISPOZITIV INTRAUTERIN

CREMA VAG.
OVULE
CAPS. MOI VAG.

CREMA VAG.
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
GEL
GEL
COMPR. FILM.

COMPR.
COMPR.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

FARA CONCENTRATIE
FARA CONCENTRATIE
FARA CONCENTRATIE
FARA CONCENTRATIE

0,5mg
0,5mg
52mg
0.1%
0,5mg
10mg
1%
100mg
100mg
100mg
200mg
200mg
1%
1%
10mg
5mg
2,5mg
1mg/5mg

ITALIA
ALFA WASSERMAN SPA ITALIA
ALFA WASSERMAN SPA ITALIA
ALFA WASSERMAN SPA ITALIA

ALFA WASSERMANN SPA

Prescriptie

P-RF

CUTIE X 1 TUB DIN AL X 30 G

P-RF

CUTIE X 1 TUB DIN AL X 30 G CREMA VAG. + 6 APLICATOARE DIN POLIPROPILENA

P-RF

CUTIE X 2 FOLII PVC-PE X 5 OVULE

P-RF

CUTIE X 5 FLACOANE PVC-PE X 10 ML + 5 FLACOANE PEJD X 130 ML + 5 CANULE

P-RF

PFIZER EUROPE MA EEG

MAREA BRITANIE

PFIZER EUROPE MA EEG

MAREA BRITANIE

CUTIE X 1 FLAC. X 2 COMPR.


CUTIE X 1 FLAC. X 8 COMPR.

BAYER SCHERING PHARMA AG

FINLANDA

CUTIE X 1 BLIST. X 1 DISP. PT. ADM. INTRAUTERINA + 1 INSERTOR

P-RF

CUTIE X 1 FLACON X 15 G + APLICATOR

P-RF

ORGANON NV
ORGANON NV
LAB. THERAMEX
LAB. THERAMEX

FARA CONCENTRATIE

Ambalaj
CUTIE X 2 BLIST. TRANSPARENT DIN AL/PVC X 5 COMPR. VAG.

OLANDA
OLANDA
MONACO
MONACO
LAB. BESINS INTERNATIONAL FRANTA
LADEE PHARMA KFT. UNGARIA
MEDICO UNO PHARMA KFT. UNGARIA
LAB. BESINS INTERNATIONAL FRANTA
MEDICO UNO PHARMA KFT. UNGARIA
LAB. BESINS INTERNATIONAL FRANTA
ANTIBIOTICE SA
ROMANIA
ABBOTT HEALTHCARE PRODUCTS B.V. OLANDA
ORGANON NV
OLANDA
ORGANON NV
OLANDA
ABBOTT HEALTHCARE PRODUCTS B.V. OLANDA
SOLVAY PHARMACEUTICALS BV OLANDA

CUTIE X 3 FOLII X 5 OVULE

P-RF
P-RF

P-RF

CUTIE X 1 BLIST. AL/PVC X 10 CAPS. MOI VAG. P-RF

CUTIE X 1 TUB X 15 G
CUTIE X 2 BLIST. X 15 CAPS. MOI

P-RF

P-6L

CUTIE X 2 BLIST. PVC-PVDC/AL X 15 COMPR. MOI P-6L


CUTIE X 2 BLIST. PVC-PVDC/AL X 15 COMPR. MOI P-6L

CUTIE X 2 BLIST. AL/PVC X 7 CAPS. MOI P-6L


CUTIE X 2 BLIST. PVC-PVDC/AL X 15 CAPS. MOI P-6L
CUTIE X 1 TUB X 80 G + DISPOZITIV DE MASURA P-6L

CUTIE X 1 TUB DIN AL X 40 G

P-6L

CUTIE CU 1 BLIST. PVC/AL X 20 COMPR. FILM. P-RF

CUTIE X 1 BLIST. X 30 COMPR.


CUTIE X 1 BLIST. X 28 COMPR.

P-6L

CUTIE CU 1 BLIST. TIP CALENDAR AL/PVC X 28 COMPR. FILM.

P-6L

CUTIE X 1 BLIST. X 28 COMPR. FILM.

P-RF

CUTIE X 1 BLIST. CALENDARISTIC PVC/AL X 28 COMPR. FILM.

P-RF

P-RF

FARA CONCENTRATIE BAYER SCHERING PHARMA AG

DRAJ.

GERMANIA

FARA CONCENTRATIE BAYER SCHERING PHARMA AG

GERMANIA CUTIE X 1 BLIST. TIP CALENDAR X 21 DRAJEURI P-RF

COMPR. FILM.
COMPR. FILM.

FARA CONCENTRATIE ABBOTT HEALTHCARE PRODUCTS B.V.

PULB. + SOLV. PT. SOL. INJ.


SOL. INJ. IN STILOU INJECTOR PREUMPLUT

SOL. INJ. IN STILOU INJECTOR PREUMPLUT

SOL. INJ. IN STILOU INJECTOR PREUMPLUT

SOL. INJ.
SOL. INJ.
PULB+SOLV.PT.SOL.INJ

COMPR.
COMPR.
COMPR. FILM.

COMPR.

CAPS. ELIB. PREL.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

FARA CONCENTRATIE SOLVAY PHARMACEUTICALS BV

75UI
300UI/0,5ml
450UI/0,75ml
900UI/0,75ml
300UI/0,36ml
900UI/1,08ml
75UI
50mg
50mg
60mg
5mg
4mg
1mg
2mg
2mg
10 mg
10mg
5 mg
5mg
15mg
15mg
15mg
30mg
30mg

SERONO EUROPE LTD.


SERONO EUROPE LTD.
SERONO EUROPE LTD.
SERONO EUROPE LTD.

OLANDA
OLANDA

CUTIE X 1 BLIST. TIP CALENDAR X 28 COMPR. FILM. (14 COMPR.FILM. ROSII-CARAMIZII + 14 COMPR.FILM. GAL

P-RF

CUTIE X 1 BLIST. TIP CALENDAR X 28 COMPR. FILM. (14 COMPR.FILM. ROSII-CARAMIZII + 14 COMPR.FILM. GAL

P-RF

MAREA BRITANIE

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. + 1 FLAC. X 1 ML SOLV.

P-RF/R

MAREA BRITANIE

CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT X 0,5 ML SOL. INJ. + 5 ACE PT. ADM.

P-RF/R

MAREA BRITANIE

CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT X 0,75 ML SOL. INJ. + 7 ACE PT. ADM. SUBCUTANATA

P-RF/R

MAREA BRITANIE

CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT X 1,5 ML SOL. INJ. + 14 ACE PT. ADM. SUBCUTANATA

P-RF/R

N. V. ORGANON
N. V. ORGANON

OLANDA CUTIE X 1 CARTUS + 6 ACE


OLANDA CUTIE X 1 CARTUS SOL. INJ. + 9 ACE

SERONO EUROPE LTD.

MAREA BRITANIE

CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ.+ 1 FLAC. A 2 ML SAU 3 ML X 1 ML SOLV.

P-RF
P-RF
P-RF/R

REMEDICA LTD.

UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 COMPR.


CIPRU
CUTIE X 1 BLIST. X 10 COMPR.

DAIICHI SANKYO EUROPE GMBH

GERMANIA CUTIE X 28 COMPR. FILM. (BLIST. ACLAR) P-RF

EGIS PHARMACEUTICALS P.L.C.

LAB. FOURNIER SA FRANTA CUTIE X 2 BLIST. AL/PVC X 30 COMPR.


PFIZER EUROPE MA EEIG

MAREA BRITANIE

ZENTIVA K.S.

REPUBLICA CEHA

P-RF
P-RF

P-6L

CUTIE X 4 BLIST. X 7 CAPS. ELIB. PREL. P-6L


CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P6L

ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L

ZENTIVA K.S.
ZENTIVA K.S.
ASTELLAS PHARMA EUROPE BV

ZENTIVA K.S.
ASTELLAS PHARMA EUROPE BV
PHARMAZEUTISCHE FABRIK MONTAVIT GES.M.B.H.
PHARMAZEUTISCHE FABRIK MONTAVIT GES.M.B.H.
PHARMAZEUTISCHE FABRIK MONTAVIT GES.M.B.H.
PHARMAZEUTISCHE FABRIK MONTAVIT GES.M.B.H.
PHARMAZEUTISCHE FABRIK MONTAVIT GES.M.B.H.

Pagina 12 din 22

REPUBLICA CEHA

CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM.

REPUBLICA CEHA

CUTIE CU BLIST. OPA/AL/PVC/AL X 30 COMPR. FILM.

P6L
P6L

OLANDA

CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L

REPUBLICA CEHA

CUTIE CU BLIST. OPA/AL/PVC/AL X 30 COMPR. FILM.

OLANDA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA

CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L

P6L

CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L


CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L

Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)

10
1
1
10
5
2
8
1
1
15
10
1
30
30
30
14
30
1
1
20
30
28
28
28
28
21
28
28
1
1
1
1
1
1
1
10
10
28
60
28
28
28
28
30
30
30
30
20
50
30
30
20

15.01
9.63
12.87
11.17
21.99
43.59
123.74
513.53
14.76
20.62
12.08
13.87
30.00
19.49
19.49
30.00
37.74
18.00
5.82
14.38
9.12
72.82
28.91
28.91
68.38
8.07
30.99
30.99
137.81
527.76
756.26

Pret
amanuntul
maximal/UT
(RON)

1.501000
9.630000
12.870000
1.117000
4.398000
21.795000
15.467500
513.530000
14.760000
1.374666
1.208000
13.870000
1.000000
0.649666
0.649666
2.142857
1.258000
18.000000
5.820000
0.719000
0.304000
2.600714
1.032500
1.032500
2.442142
0.384285
1.106785
1.106785
137.810000
527.760000
756.260000

1,441.72 1,441.720000

517.31 517.310000

1,410.83 1,410.830000

146.72 146.720000
14.31
1.431000
13.27
1.327000
124.97
4.463214
26.63
0.443833
174.60
6.235714
27.30
0.975000
48.46
1.730714
52.86
1.887857
147.62
4.920666
227.12
7.570666
106.65
3.555000
183.34
6.111333
28.95
1.447500
58.69
1.173800
38.11
1.270333
63.52
2.117333
46.94
2.347000

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit. a)
(RON) pt.
si f)
Adulti

0.850500
0.425250
9.630000
4.815000
12.870000
6.435000
0.850500
0.425250
0.850500
0.425250
8.262750
4.131375
8.262750
4.131375
513.530000 256.765000
7.380000
14.760000
1.038599
0.519299
0.415439
0.207719
6.231597
3.115798
0.649666
0.324833
0.649666
0.324833
0.649666
0.324833
1.299332
0.649666
1.258000
0.629000
7.978500
3.989250
5.820000
2.910000
0.719000
0.359500
0.304000
0.152000
2.600714
1.300357
1.032500
0.516250
1.032500
0.516250
1.032500
0.516250
0.384285
0.192142
0.670981
0.335490
0.670981
0.335490
109.456500 54.728250
437.826000 218.913000
656.739000 328.369500
1,313.478000 656.739000
437.650869 218.825434
1,312.952609 656.476304
146.720000 73.360000
1.353000
0.676500
1.327000
0.663500
4.463214
2.231607
0.443833
0.221916
2.816580
1.408290
0.704145
0.352072
1.408290
0.704145
1.408290
0.704145
4.920666
2.460333
5.633160
2.816580
2.816580
1.408290
2.816580
1.408290
1.056217
0.528108
1.056217
0.528108
1.056217
0.528108
2.112435
1.056217
2.112435
1.056217

Nr. crt

cod ATC

618 G04CA01
619 G04CA01
620 G04CA01
621 G04CA02
622 G04CA02
623 G04CA02
624 G04CA02
625 G04CA02
626 G04CA02
627 G04CA02
628 G04CA02
629 G04CB01
630 G04CB01
631 G04CB01
632 G04CB01
633 G04CB01
634 G04CB01
635 G04CB02
636 H01AA02
637 H01AC01
638 H01AC01
639 H01AC01
640 H01AC01
641 H01AC01
642 H01AC01
643 H01AC01
644 H01AC01
645 H01CC01
646 H01CC02
647 H02AA02
648 H02AB01
649 H02AB06
650 H02AB06
651 H03BB01
652 H03BB02
653 H03BB02
654 H03BB02
655 H05BA01
656 H05BA01
657 H05BA01
658 H05BA01
659 H05BA01
660 J01CR01
661 J01CR01
662 J01CR04
663 J01CR04
664 J01DD14
665 J01DD14
666 J01FA02
667 J01FA02
668 J01FA10
669 J01FA10

DCI

ALFUZOSINUM
ALFUZOSINUM
ALFUZOSINUM
TAMSULOSINUM
TAMSULOSINUM
TAMSULOSINUM
TAMSULOSINUM
TAMSULOSINUM
TAMSULOSINUM
TAMSULOSINUM
TAMSULOSINUM
FINASTERIDUM*
FINASTERIDUM*
FINASTERIDUM*
FINASTERIDUM*
FINASTERIDUM*
FINASTERIDUM*
DUTASTERIDUM*
TETRACOSACTIDUM
SOMATROPINUM***#
SOMATROPINUM***#
SOMATROPINUM***#
SOMATROPINUM***#
SOMATROPINUM***#
SOMATROPINUM***#
SOMATROPINUM***#
SOMATROPINUM***#
GANIRELIXUM***#
CETRORELIXUM***#
FLUDROCORTISONUM
BETAMETHASONUM
PREDNISOLONUM
PREDNISOLONUM
CARBIMAZOLUM
THIAMAZOLUM
THIAMAZOLUM
THIAMAZOLUM
CALCITONINUM (SOMON)
CALCITONINUM (SOMON)
CALCITONINUM (SOMON)
CALCITONINUM (SOMON)
CALCITONINUM (SOMON)
AMPICILLINUM + SULBACTAM
AMPICILLINUM + SULBACTAM
SULTAMICILLINUM
SULTAMICILLINUM
CEFTIBUTENUM
CEFTIBUTENUM
SPIRAMYCINUM
SPIRAMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM

Denumire Comerciala

ALFURAN MR 10 mg
XATRAL SR 10 mg
XATRAL LP 5 mg
TAMSOL 0,4 mg
FOKUSIN
CONTIFLO MR
TANYZ
TAMSUNORM 0,4 mg
TAMSULOSIN TEVA 400 g
TANYZ 0,4 mg
OMNIC TOCAS (R) 0,4
PROSCAR 5 mg
PROSCAR 5 mg
FINASTERIDE TEVA 5mg
FINANORM 5 mg
TAREDOX 5 mg
FINASTERIDA BIOGALENICA 5 mg
AVODART 0,5 mg
SYNACHTEN DEPOT
ZOMACTON
GENOTROPIN (R) 16 ui (5,3 mg)
NUTROPINAq 10 mg/2 ml
OMNITROPE 3,3mg/ml
OMNITROPE 6,7mg/ml
NORDITROPIN SIMPLEXx 10 mg/1,5ml
NORDITROPIN FLEXPRO 10 mg/1,5 ml
NORDITROPIN FLEXPRO 5 mg/1,5 ml
ORGALUTRAN 0.25mg/0,5ml
CETROTIDE 0,25 mg
ASTONIN H
DIPROPHOS (R)
SOLU - DECORTIN H 250
SOLU - DECORTIN H 50
CARBIMAZOLE 5
THYROZOL 10 mg
THYROZOL 20mg
THYROZOL 5 mg
TONOCALCIN 100 UI
NYLEX (R)
MIACALCIC (R)
NYLEX 100 UI/doza
NYLEX (R)
AMPIPLUS (R) 1,5 g
AMPIPLUS (R) 1,5 g
UNASYN
UNASYN
CEDAX
CEDAX
ROVAMYCINE (R) 1,5 Mil. UI
ROVAMYCINE (R) 3 Mil. UI
AZATRIL 250 mg
SUMAMED 250 mg

forma farm.

concentratie

Detinator APP

LIOF. + SOLV. PT. SOL. INJ.

10mg
10mg
5mg
0,4mg
0,4mg
0,4mg
0,4mg
0,4mg
400 g
0,4mg
0,4mg
5mg
5mg
5mg
5mg
5mg
5mg
0,5mg
1mg/ml
4mg (12ui)

PULB. + SOLV. PT. SOL. INJ.

5,3mg/ml (16ui) PFIZER EUROPE MA EEIG

COMPR. ELIB. PREL.


COMPR. ELIB. PREL.
COMPR. FILM. ELIB. PREL.

CAPS. ELIB. MODIF.


CAPS. ELIB. MODIF.

CAPS. ELIB. PREL.


CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
COMPR. CU ELIB. PRELUNGITA

COMPR. ELIB. PREL.


COMPR. FILM. ELIB. PREL.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

CAPS. MOI
SUSP. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.

SOL. INJ. IN CARTUS


SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT

SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT

SOL. INJ.
PULB+SOLV. PT. SOL. INJ.

COMPR.
SUSP. INJ. I.M.
LIOF. + SOLV. PT. SOL. INJ.
LIOF. + SOLV. PT. SOL. INJ.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

SOL. INJ.
SOL. INJ.
SOL. INJ.

SPRAY NAZ.,SOL.
SPRAY NAZAL - SOL.

PULB. PT. SOL. INJ.


PULB. PT. SOL. INJ.

COMPR. FILM.
PULB. PT. SUSP. ORALA

CAPS.
PULB. PT. SUSP. ORALA

COMPR. FILM.
COMPR. FILM.

CAPS.
CAPS.

TERAPIA SA

SANOFI-AVENTIS ROMANIA S.R.L.


SANOFI-AVENTIS ROMANIA S.R.L.

GEDEON RICHTER ROMANIA SA

ZENTIVA KS
RANBAXY UK LTD.

tara det.
APP

ROMANIA
ROMANIA
ROMANIA
ROMANIA

CEHIA

MAREA BRITANIE

KRKA D.D. NOVO MESTO SLOVENIA


ICN POLFA RZESZOW S.A.
TEVA PHARMACEUTICALS S.R.L.

POLONIA

ROMANIA

KRKA D.D., NOVO MESTO SLOVENIA


ASTELLAS PHARMA EUROPE BV

OLANDA

MERCK SHARP & DOHME ROMANIA


MERCK SHARP & DOHME ROMANIA
TEVA PHARMACEUTICAL S.R.L.

ICN POLFA RZESZOW S.A.


DR. REDDY'S LABORATORIES

ROMANIA

POLONIA

ROMANIA

ARENA GROUP S.A. ROMANIA


GLAXOSMITHKLINE (GSK) SRL

ROMANIA

NOVARTIS PHARMA GMBH GERMANIA

FERING GMBH

10mg/2ml
3,3mg/ml
6,7mg/ml
10mg/1,5ml
10mg/1,5 ml
5mg/1,5 ml

GERMANIA
MAREA BRITANIE

IPSEN PHARMA
FRANTA
SANDOZ GMBH
AUSTRIA
SANDOZ GMBH
AUSTRIA
NOVO NORDISK A/S DANEMARCA
NOVO NORDISK A/S DANEMARCA
NOVO NORDISK A/S DANEMARCA
0,25mg/0,5ml N. V. ORGANON
OLANDA
0,25mg
SERONO EUROPE LTD. MAREA BRITANIE
0,1mg
MERCK KGAA
GERMANIA
7mg/ml
SCHERING PLOUGH EUROPE BELGIA
250mg
MERCK KGAA
GERMANIA
50mg
MERCK KGAA
GERMANIA
5mg
REMEDICA LTD.
CIPRU
10mg
MERCK KGAA
GERMANIA
20mg
MERCK KGAA
GERMANIA
5mg
MERCK KGAA
GERMANIA
100UI
ALFA WASSERMANN SPA ITALIA
100UI/ml
PROEL E.P. CORONIS SA GRECIA
50ui/ml
NOVARTIS PHARMA GMBH GERMANIA
100UI/doza
GRECIA
200UI/doza PROEL E.P. CORONIS SA GRECIA
1g+500mg ANTIBIOTICE SA
ROMANIA
1g+500mg ANTIBIOTICE SA
ROMANIA
375mg
PFIZER EUROPE MA EEIG MAREA BRITANIE
250mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE
400mg
SCHERING PLOUGH EUROPE BELGIA
36mg/ml
SCHERING PLOUGH EUROPE BELGIA
1,5 M ui
LAB. AVENTIS
FRANTA
3M ui
LAB. AVENTIS
FRANTA
250mg
BALKANPHARMA RAZGRAD AD BULGARIA
250mg
PLIVA LJUBLIJANA D.O.O. SLOVENIA
PHARMACEUTICAL IND. PROEL EPAM. G.CORONIS SA

Pagina 13 din 22

Ambalaj

Prescriptie

Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)

30
30
CUTIE X 2 BLIST. PVC/AL X 14 COMPR. FILM. ELIB. PREL. P-6L
28
CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL.
P-6L
30
CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS. ELIB. MODIF. P-6L
30
CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS. ELIB. PREL. P-6L
30
CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 CAPS. ELIB. PREL. P-6L
30
CUTIE CU BLIST. PVC-PVDC/AL X 30 CAPS. ELIB. PREL. P-6L
30
CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. CU ELIB. PRELUNG.
P6L
30
CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. CU ELIB. PREL. P6L
30
CUTIE X 3 FOLII AL/AL X 10 COMPR. FILM. ELIB. PREL. P-6L
30
CUTIE X 1 BLIST. PVC/PE/PVD-AL X 14 COMPR.FILM. P-6L
14
CUTIE X 2 BLIST. PVC/PE/PVD-AL X 14 COMPR.FILM. P-6L
28
CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L
30
CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L
30
CUTIE X 2 BLIST. AL/AL X 14 COMPR. FILM. P-6L
28
CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM. P-6L
28
CUTIE X 3 BLIST.PVC-PVDC/AL X 10 CAPS. MOI P-6L
30
CUTIE X 1 FIOLA DIN STICLA X 1 ML SUSP. INJ. S/P-RF
1
CUTIE X 1 FLAC. LIOF. PT. SOL. INJ. + 1 FIOLA X 3,5 ML SOLV. P-RF
1
CUTIE X 1 CARTUS BICAMERAL MULTIDOZA CU PULB. SI SOLV. PT. SOL. INJ.
P-RF
1
CUTIE X 1 CARTUS X 2 ML. SOL. INJ. P-RF/R
1
CUTIE X 1CARTUS X 1,5 ML SOL.INJ. P-RF/R
1
CUTIE X 1CARTUS X 1,5 ML SOL.INJ. P-RF/R
1
CUTIE X 1 CARTUS DIN STICLA INCOLORA X 1,5 ML SOL. INJ.
P-RF
1
P-RF
1
P-RF
1
CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. + AC ATASAT
P-RF/R
1
P-RF
7
CUTIE X 1 FLAC. DIN PP X 50 COMPR. P-RF
50
CUTIE X 5 FIOLE X 1 ML
P-RF
5
P-RF
3
CUTIE X 3 FLAC. X 50 MG LIOF. PT. SOL. INJ. + 3 FIOLE X 1 ML SOLVENT P-RF
3
CUTIE X 10 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 100
CUTIE CU BLIST. PVC/AL X 50 COMPR. FILM. P-6L
50
CUTIE CU BLIST. PVC/AL X 50 COMPR. FILM. P-6L
50
CUTIE CU BLIST. PVC/AL X 100 COMPR. FILM. P-6L/S 100
CUTIE X 5 FIOLE X 1 ML SOL. INJ. P-RF
5
CUTIE X 5 FIOLE X 1ML
P-RF
5
CUTIE X 5 FIOLE X 1 ML
P-RF
5
CUTIE X 1 FLACON PREVAZUT CU POMPA DOZATOARE X 2 ML SPRAY NAZAL, SOL.
P-RF
1
P-RF
1
CUTIE X 1 FLAC. PULB. PT. SOL. INJ. X 1,5 G P-RF
1
CUTIE X 50 FLAC. PULB. PT. SOL. INJ. X 1,5 G P-RF/S
50
CUTIE X 2 BLIST. AL/PVC/PVDC X 6 COMPR. P-RF
12
CUTIE X 1 FLAC. DIN PEID CU PULBERE PT. 60 ML SUSP. ORALA P-RF
1
CUTIE X 5 BLIST. X 1 CAPS.
P-RF
5
P-RF
1
CUTIE X 2 BLIST. AL/PVC X 8 COMPR. FILM. P-RF
16
CUTIE X 2 BLIST. AL/PVC X 5 COMPR. FILM. P-RF
10
CUTIE X 1 BLIST. AL/PVC X 6 CAPS. P-RF
6
CUTIE X 1 BLIST. PVC-PVDC/AL X 6 CAPS. P-RF
6
CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. ELIB. PREL.

P-6L

CUTIE X 3 BLIST. AL/PVCX 10 COMPR. ELIB. PREL. P-6L

CUTIE CU 1 STILOU INJECTOR (PEN) PREUMPLUT MULTI-DOZA ( CARTUS DIN STICLA INCOLORA X 1,5 ML SOL. INJ

CUTIE CU 1 STILOU INJECTOR (PEN) PREUMPLUT MULTI-DOZA ( CARTUS DIN STICLA INCOLORA X 1,5 ML SOL. INJ

CUTIE CU UN SUPORT CONTINAND: 7 FLAC.PULB. + 7 SERINGI PRE-UMPLUTE X 1 ML SOLV. + 7 ACE PT. INJECTII

CUTIE X 3 FLAC. DIN STICLA INCOLORA X 250 MG FIOF. PT. SOL. INJ. + 3 FIOLE X 5 ML SOLV.

CUTIE X 1 FLACON DIN STICLA PREVAZUT CU POMPA DOZATOARE CU APLICATOR NAZAL X 2 ML

CUTIE X 1 FLAC. PULB. PT. 30 ML SUSP. ORALA + 1 LINGURITA GRADATA PT. 45 MG, 90 MG, 135 MG + 1 CAPAC

36.04
58.87
33.76
36.34
34.86
26.93
21.20
22.96
20.08
31.90
63.98
33.27
64.36
35.18
35.26
32.91
32.91
95.62
5.75
445.43
555.63
991.21
484.12
765.73

Pret
amanuntul
maximal/UT
(RON)

1.201333
1.962333
1.205714
1.211333
1.162000
0.897666
0.706666
0.765333
0.669333
1.063333
2.132666
2.376428
2.298571
1.172666
1.175333
1.175357
1.175357
3.187333
5.750000
445.430000
555.630000
991.210000
484.120000
765.730000

1,320.72 1,320.720000
1,726.64 1,726.640000

898.74 898.740000
176.88 176.880000
845.15 120.735714
47.78
0.955600
34.53
6.906000
95.62 31.873333
35.71 11.903333
16.87
0.168700
21.00
0.420000
25.52
0.510400
30.86
0.308600
64.55 12.910000
32.36
6.472000
34.46
6.892000
48.36 48.360000
71.29 71.290000
25.25 25.250000
728.96 14.579200
33.18
2.765000
24.41 24.410000
70.49 14.098000
43.69 43.690000
9.86
0.616250
27.87
2.787000
25.50
4.250000
37.99
6.331666

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit. a)
(RON) pt.
si f)
Adulti

1.201333
1.962333
1.080198
1.211333
1.162000
0.897666
0.706666
0.765333
0.669333
1.063333
1.620299
1.175339
1.175339
1.172666
1.175333
1.175339
1.175339
3.187333
5.750000
394.187000
525.582666
985.467500
484.120000
765.730000
985.467500
985.467500
492.733750
121.294607
120.735714
0.955600
6.906000
31.873333
6.981149
0.113639
0.340920
0.510400
0.170460
8.721900
6.472000
4.360950
38.823750
71.290000
15.522210
14.579200
2.765000
22.692500
14.020200
43.690000
0.616250
1.430568
3.576424
3.576424

0.600666
0.981166
0.540099
0.605666
0.581000
0.448833
0.353333
0.382666
0.334666
0.531666
0.810149
0.587669
0.587669
0.586333
0.587666
0.587669
0.587669
1.593666
2.875000
197.093500
262.791333
492.733750
242.060000
382.865000
492.733750
492.733750
246.366875
60.647303
60.367857
0.477800
3.453000
15.936666
3.490574
0.056819
0.170460
0.255200
0.085230
4.360950
3.236000
2.180475
19.411875
35.645000
7.761105
7.289600
1.382500
11.346250
7.010100
21.845000
0.308125
0.715284
1.788212
1.788212

Nr. crt

cod ATC

670 J01FA10
671 J01FA10
672 J01FA10
673 J01FA10
674 J01FA10
675 J01FA10
676 J01FA10
677 J01FA10
678 J01FA10
679 J01FA10
680 J01FA10
681 J01FA10
682 J01FA10
683 J01FA10
684 J01FA10
685 J01FA10
686 J01FA10
687 J01FA10
688 J01FA10
689 J01FA10
690 J01FF01
691 J01FF01
692 J01FF01
693 J01FF01
694 J01FF01
695 J01FF01
696 J01MA12
697 J01MA12
698 J01MA12
699 J01MA12
700 J01MA12
701 J01MA12
702 J01MA12
703 J01MA12
704 J01MA12
705 J01MA12
706 J01MA12
707 J01MA12
708 J01MA14
709 J02AC02
710 J02AC02
711 J02AC02
712 J02AC02
713 J02AC02
714 J02AC02
715 J02AC02
716 J05AB11
717 J05AB15
718 L01AA01
719 L02AE02
720 L02AE02
721 L02AE03

DCI

AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
CLINDAMYCINUM
CLINDAMYCINUM
CLINDAMYCINUM
CLINDAMYCINUM
CLINDAMYCINUM
CLINDAMYCINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
MOXIFLOXACINUM
ITRACONAZOLUM*
ITRACONAZOLUM*
ITRACONAZOLUM*
ITRACONAZOLUM*
ITRACONAZOLUM*
ITRACONAZOLUM*
ITRACONAZOLUM*
VALACYCLOVIRUM*
BRIVUDINUM*#
CYCLOPHOSPHAMIDUM*
LEUPRORELINUM***#
LEUPRORELINUM***#
GOSERELINUM***#

Denumire Comerciala

SUMAMED 125 mg

AZITROMICINA SANDOZ 250 mg COMPRIMATE FILMATE

AZITROMICINA TERAPIA 250 mg


AZITROMICINA TERAPIA 250 mg
SUMAMED 500 mg
AZITROMICINA SANDOZ 500 mg COMPRIMATE FILMATE

AZIBIOT 500 mg
AZITROMICINA TERAPIA 500 mg
AZITROMICINA TERAPIA 500 mg
ZITROCIN 500 mg
AZITROX (R) 500
AZITROMICINA TERAPIA 600 mg
AZITROMICINA TERAPIA 600 mg
ZMAX 2 g
AZITROX 200 mg/5 ml
AZITROMICINA SANDOZ 100 mg/5 ml
AZITROMICINA SANDOZ 200 mg/5 ml
SUMAMED FORTE
SUMAMED FORTE
SUMAMED FORTE
DALACIN C 150 mg
DALACIN C 300 mg
CLINDAMYCIN - MIP 300 mg
CLINDAMYCIN - MIP 300 mg
CLINDAMYCIN - MIP 600 mg
CLINDAMYCIN - MIP 600 mg
FLERADAY 250 mg
LEVOFLOXACINA ACTAVIS 250 mg
TAVANIC 250 mg
LEVOTOR 250 mg
LEVOFLOXACINA ACCORD 250 mg
FLERADAY 500 mg
LEVOFLOXACINA ACTAVIS 500 mg
TAVANIC 500 mg
LEVOTOR 500 mg
LEVOFLOXACINA BLUEFISH 500 mg
LEVOFLOXACINA BLUEFISH 500 mg
LEVOFLOXACINA ACCORD 500 mg
AVELOX (R) 400 mg
ORUNGAL
ITRACONAZOL 100 mg
ITRACONAZOL 100 mg
OMICRAL 100 mg
SPORILIN 100 mg
ITRACONAZOL LPH 100 mg
MICOGAL 100 mg
VALTREX 500 mg
BRIVAL 125mg
ENDOXAN (R) 50 mg
LUCRIN DEPOT 11,25mg
LUCRIN DEPOT 3,75mg
ZOLADEX (R)

forma farm.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
GRAN. ELIB. PREL. PT. SUSP. ORALA

PULB. + SOLV. SUSP. ORALA

PULB. PT. SUSP. ORALA


PULB. PT. SUSP. ORALA
PULB. PT. SUSP. ORALA
PULB. PT. SUSP. ORALA
PULB. PT. SUSP. ORALA

CAPS.
CAPS.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.

COMPR. FILM.

COMPR.
DRAJ.

LIOF.+ SOLV. PT. SUSP. INJ. ELIB. PREL.

LIOF.+ SOLV. PT. SUSP. INJ. ELIB. PREL.

IMPLANT

concentratie

125mg
250mg
250mg
250mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
600mg
600mg
2g
200mg/5ml
100mg/5ml
200 mg/5 ml
200mg/5ml
200mg/5ml
200mg/5ml
150mg
300mg
300mg
300mg
600mg
600mg
250 mg
250mg
250mg
250mg
250mg
500 mg
500mg
500mg
500mg
500mg
500mg
500mg
400mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
500mg
125mg
50mg
11,25mg
3,75mg
3,6mg

tara det.
APP
Ambalaj
PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. AL/PVC X 6 COMPR. FILM.
Detinator APP

SANDOZ S.R.L.
TERAPIA SA
TERAPIA SA

ROMANIA CUTIE X 1 BLIST. X 6 COMPR. FILM.


ROMANIA CUTIE X 1 BLIST. PVC-ACLAR/AL X 6 COMPR. FILM.
ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 6 COMPR. FILM.

Prescriptie

P-RF
P-RF
P-RF
P-RF

PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM. P-RF

SANDOZ S.R.L.

ROMANIA CUTIE X 1 BLIST. X 3 COMPR. FILM.

P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM. P-RF

TERAPIA SA
TERAPIA SA

ROMANIA CUTIE X 1 BLIST. PVC-ACLAR/AL X 3 COMPR. FILM.


ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 3 COMPR. FILM.
LABORMED PHARMA S.A. ROMANIA CUTIE X 1 BLIST. PVC/AL X 3 COMPR. FILM.

ZENTIVA K.S.
TERAPIA SA
TERAPIA SA

CEHIA

ROMANIA
ROMANIA

PFIZER EUROPE MA EEIG

MAREA BRITANIE

ZENTIVA S.A.
SANDOZ SRL
SANDOZ SRL

ROMANIA
ROMANIA
ROMANIA

P-RF
P-RF
P-RF

CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM. P-RF


CUTIE X 1 BLIST. PVC-ACLAR/AL X 3 COMPR. FILM. P-RF

CUTIE X 1 BLIST. PA-AL-PVC/AL X 3 COMPR. FILM. P-RF


CUTIE X 1 FLACON DIN PEID CU GRAN. CU ELIB. PREL. P-RF
CUTIE X 1 FLAC. DIN PE CU PULB. PT. 15 ML SUSP. ORALA RECONSTITUITA + FLAC. CU SOLV. X 7,5 ML SOLV.

P-RF

CUTIE X 1 FLAC. DIN PEID CONTINAD PULBERE PT. 20 ML SUSP. ORALA + SERINGA DOZATOARE DIN PE/PP

P-RF

CCUTIE X 1 FLAC. DIN PEID CONTINAD PULBERE PT. 20 ML SUSP. ORALA + SERINGA DOZATOARE DIN PE/PP

P-RF

PLIVA LJUBLIJANA D.O.O. SLOVENIA

CUTIE X 1 FLAC. DIN PEID CU PULB. PT.15 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE

P-RF

PLIVA LJUBLIJANA D.O.O. SLOVENIA

CUTIE X 1 FLAC. DIN PEID CU PULB. PT. 30 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE

P-RF

CUTIE X 1 FLAC. DIN PEID CU PULB. PT. 37,5 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE

P-RF

PLIVA LJUBLIJANA D.O.O. SLOVENIA


PFIZER EUROPE MA EEIG

MAREA BRITANIE

PFIZER EUROPE MA EEIG

MAREA BRITANIE

MIP PHARMA GMBH


MIP PHARMA GMBH
MIP PHARMA GMBH
MIP PHARMA GMBH
DR. REDDY'S LABORATORIES

ACTAVIS GROUP PTC EHF.

TERAPIA S.A.

CUTIE X 2 BLIST. AL/PVC X 8 CAPS.


CUTIE X 2 BLIST. AL/PVC X 8 CAPS.

GERMANIA CUTIE X 5 BLIST. PVC/AL X 6 COMPR. FILM. P-RF


GERMANIA CUTIE X 2 BLIST. PVC/AL X 8 COMPR. FILM. P-RF
GERMANIA CUTIE X 5 BLIST. PVC/AL X 6 COMPR. FILM. P-RF

ROMANIA

CUTIE CU BLIST. PVC/PVDC - AL X 7 COMPR. FILM. PRF

ISLANDA CUTIE X 1 BLIST. AL/PVC X 7 COMPR. FILM.

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

ACTAVIS GROUP PTC EHF.

TERAPIA S.A.

ROMANIA

BLUEFISH PHARMACEUTICALS AB

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

P-RF
P-RF

CUTIE CU BLIST. PVC/PVDC - AL X 7 COMPR. FILM. PRF

ISLANDA CUTIE X 1 BLIST. AL/PVC X 7 COMPR. FILM.

SUEDIA
SUEDIA

P-RF

CUTIE CU BLIST. PVC/AL X 7 COMPR. FILM. PRF

ROMANIA CUTIE X 1 BLIST. PVC/AL X 7COMPR. FILM.


TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 7 COMPR. FILM.
BLUEFISH PHARMACEUTICALS AB

P-RF

GERMANIA CUTIE X 2 BLIST. PVC/AL X 8 COMPR. FILM. P-RF

ROMANIA CUTIE X1 BLIST. PVC/AL. X 7 COMPR. FILM.


TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 7 COMPR. FILM.
DR. REDDY'S LABORATORIES

P-RF

P-RF
P-RF
P-RF

CUTIE CU BLIST. PVC/AL X 7 COMPR. FILM. PRF


CUTIE CU BLIST. PVC-PVDC/PVC X 7 COMPR. FILM. PRF

CUTIE CU BLIST. PVC/AL X 7 COMPR. FILM. PRF

BAYER HEALTHCARE AG GERMANIA CUTIE X 1 BLIST. ALB OPAC PP/AL X 5 COMPR. FILM. P-RF

BELGIA CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 5 CAPS.


SLAVIA PHARM SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS.
ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS.
MEDICO UNO PHARMACEUTICAL SRL ROMANIA CUTIE X 3 BLIST. AL/AL X 5 CAPS.
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 5 CAPS.
LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. PVC/AL X 5 CAPS.
ROMPHARM COMPANY SRL ROMANIA CUTIE X 3 BLIST. PVC/AL X 5 CAPS.

JANSSEN PHARMACEUTICA N.V.

THE WELLCOME FOUNDATION LTD. MAREA BRITANIE


BERLIN CHEMIE AG MENARINI GROUP

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF

GERMANIA CUTIE X 1 BLIST. PVC/AL X 7 COMPR. P-RF

BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ. P-RF


ABBOTT LABORATORIES LTD.

SPANIA
SPANIA

ASTRAZENECA UK LTD.

MAREA BRITANIE

ABBOTT LABORATORIES LTD.

Pagina 14 din 22

CUTIE X 1 KIT X 1 FLAC. CU LIOFILIZAT (MICROSFERE) + 1 FIOLA X 2 ML SOLV. + 1 SERINGA + 2 ACE SI TA

S/P-RF

CUTIE X 1 KIT X 1 FLAC. CU LIOFILIZAT (MICROSFERE) + 1 FIOLA X 2 ML SOLV. + 1 SERINGA SI TAMPON IMB

S/P-RF

CUTIE X 1 PLIC X 1 SERINGA PRE-UMPLUTA X 3,6 MG

S/P-RF

Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)

6
6
6
6
3
3
3
3
3
3
3
3
3
1
1
1
1
1
1
1
16
16
16
30
16
30
7
7
7
7
7
7
7
7
7
7
7
7
5
15
15
15
15
15
15
15
10
7
50
1
1
1

Pret
amanuntul
maximal/UT
(RON)

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit. a)
(RON) pt.
si f)
Adulti

25.36
4.226666
1.788210
0.894105
48.80
8.133333
3.576424
1.788212
44.47
7.411666
3.576424
1.788212
44.47
7.411666
3.576424
1.788212
38.17 12.723333
7.152849
3.576424
48.80 16.266666
7.152849
3.576424
25.65
8.550000
7.152849
3.576424
37.16 12.386666
7.152849
3.576424
3.576424
37.16 12.386666
7.152849
25.65
8.550000
7.152849
3.576424
25.64
8.546666
7.152849
3.576424
44.61 14.870000
8.583422
4.291711
44.61 14.870000
8.583422
4.291711
63.52 63.520000 28.611405 14.305702
16.36 16.360000 16.360000
8.180000
22.45 22.450000 15.151996
7.575998
34.36 34.360000 30.303992 15.151996
25.18 25.180000 22.728000 11.364000
48.58 48.580000 45.456000 22.728000
60.36 60.360000 56.820000 28.410000
12.14
0.758750
0.736484
0.368242
23.33
1.458125
1.458125
0.729062
23.31
1.456875
1.456875
0.728437
54.01
1.800333
1.472968
0.736484
52.16
3.260000
2.945937
1.472968
95.84
3.194666
2.945937
1.472968
28.06
4.008571
2.379600
1.189800
17.41
2.487142
2.379600
1.189800
26.78
3.825714
2.379600
1.189800
17.40
2.485714
2.379600
1.189800
17.40
2.485714
2.379600
1.189800
33.85
4.835714
4.759200
2.379600
33.86
4.837142
4.759200
2.379600
52.08
7.440000
4.759200
2.379600
33.65
4.807142
4.759200
2.379600
31.96
4.565714
4.565714
2.282857
31.96
4.565714
4.565714
2.282857
33.40
4.771428
4.759200
2.379600
83.41 16.682000
4.759200
2.379600
76.92
5.128000
5.128000
2.564000
52.56
3.504000
3.504000
1.752000
52.56
3.504000
3.504000
1.752000
52.56
3.504000
3.504000
1.752000
52.56
3.504000
3.504000
1.752000
52.56
3.504000
3.504000
1.752000
52.55
3.503333
3.503333
1.751666
56.95
5.695000
4.907470
2.453735
332.58 47.511428 47.511428 23.755714
26.13
0.522600
0.522600
0.261300
994.94 994.940000 994.940000 497.470000
429.71 429.710000 378.914998 189.457499
436.52 436.520000 402.272493 201.136246

Nr. crt

cod ATC

722 L02AE04
723 L02AE04
724 L02AE04
725 L02AE04
726 L04AX01
727 M01AC01
728 M01AC01
729 M01AC01
730 M01AC01
731 M01AC01
732 M01AC01
733 M01AC01
734 M01AC01
735 M01AC01
736 M01AC01
737 M01AC01
738 M01AC01
739 M01AC01
740 M01AC01
741 M01AC05
742 M01AC05
743 M01AC05
744 M01AC05
745 M01AC05
746 M01AC05
747 M01AC05
748 M01AC05
749 M01AC05
750 M01AC05
751 M01AE17
752 M01AE17
753 M01AH01
754 M01AH01
755 M01AH01
756 M01AH05
757 M01AH05
758 M01AH05
759 M01AH05
760 M01AH05
761 M01AH05
762 M01AH05
763 M01AH05
764 M01AH05
765 M01AH05
766 M01AH05
767 M01AH05
768 M01AX05
769 M01AX05
770 M01AX17
771 M01AX17
772 M01AX17
773 M01AX17

DCI

TRIPTORELINUM***#
TRIPTORELINUM***#
TRIPTORELINUM***#
TRIPTORELINUM***#
AZATHIOPRINUM*
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
LORNOXICAMUM
LORNOXICAMUM
LORNOXICAMUM
LORNOXICAMUM
LORNOXICAMUM
LORNOXICAMUM
LORNOXICAMUM
LORNOXICAMUM
LORNOXICAMUM
LORNOXICAMUM
DEXKETOPROFENUM
DEXKETOPROFENUM
CELECOXIBUM
CELECOXIBUM
CELECOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
GLUCOSAMINUM
GLUCOSAMINUM
NIMESULIDUM
NIMESULIDUM
NIMESULIDUM
NIMESULIDUM

Denumire Comerciala

DIPHERELINE 0,1 mg
DIPHERELINE PR 11,25 mg
DIPHERELINE 3,75 mg
GONAPEPTYL ZILNIC 0,1 mg/ml
IMURAN (R)
PIROXSAL 20 mg
FLAMEXIN
FLAMEXIN
PIROXICAM LPH 20 mg
PIROXICAM ARENA 20 MG
FLAMEXIN
FLAMEXIN
FLAMEXIN
FLAMEXIN (R)
FELDENE (R) 20 mg/ml
HOTEMIN
PIROXICAM ATB 20 mg
PIROXICAM ATB 20 mg
PIROXICAM 20 mg
XEFO 4 mg
XEFO 4 mg
XEFO 4 mg
XEFO RAPID 8 mg
XEFO RAPID 8 mg
XEFO RAPID 8 mg
XEFO 8 mg
XEFO 8 mg
XEFO 8 mg
XEFO 8 mg/ 2 ml
TADOR 25 mg
TADOR INJECT
CELEBREX 100 mg
CELEBREX 200 mg
CELEBREX 200 mg
ARCOXIA 120 mg
ARCOXIA 120 mg
ARCOXIA 120 mg
ARCOXIA 120 mg
ARCOXIA 30 mg
ARCOXIA 60 mg
ARCOXIA 60 mg
ARCOXIA 60 mg
ARCOXIA 90 mg
ARCOXIA 90 mg
ARCOXIA 90 mg
ARCOXIA 90 mg
SLIDEFLEX 1178mg
DONA (R)
LEMESIL
AULIN (R) 100 mg
NIMESULID 100 mg
NIMESULID SLAVIA

forma farm.
LIOF. + SOLV. PT. SOL. INJ.
PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL.

PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL.

SOL. INJ.
COMPR. FILM.

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.

COMPR. EFF.
COMPR. EFF.
COMPR. EFF.

PULB. PT. SOL. ORALA

SOL. INJ.
SOL. INJ.
SUPOZ.
SUPOZ.
SUPOZ.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
PULB. + SOLV. PT. SOL. INJ.

COMPR. FILM.
SOL. INJ./CONC. PT. SOL. PERF.

CAPS.
CAPS.
CAPS.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
PULB. PT. SOL. ORALA

COMPR.
COMPR.
COMPR.
COMPR.

concentratie

0,1mg
11,25mg
3,75mg
0,1mg/ml
50mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg/plic
20mg/ml
20mg/ml
20 mg
20 mg
20mg
4mg
4mg
4mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg/2ml
25mg
50mg/2ml
100mg
200mg
200mg
120mg
120mg
120mg
120mg
30mg
60mg
60mg
60mg
90mg
90mg
90mg
90mg
1178mg
1500mg
100mg
100mg
100mg
100mg

Detinator APP

IPSEN PHARMA
IPSEN PHARMA
IPSEN PHARMA

FERRING ARZEIMITTEL GES.MBH

tara det.
APP

FRANTA
FRANTA
FRANTA
AUSTRIA

THE WELLCOME FOUNDATION LTD. MAREA BRITANIE

Ambalaj

Prescriptie

CUTIE X 7 FLAC. CU LIOF. PT. SOL. INJ. + 7 FIOLE X 1 ML SOLV.

S/P-RF

CUTIE CU 1 FLAC. DIN STICLA CU PULB. PT. SUSP. INJ. + 1 FIOLA DIN STICLA INCOLORA X 2 ML SOLV. + 1 B

S/P-RF

CUTIE CU 1 FLAC. DIN STICLA CU PULB. PT. SUSP. INJ. + 1 FIOLA DIN STICLA INCOLORA X 2 ML SOLV. + 1 B

S/P-RF

CUTIE X 28 SERINGI PREUMPLUTE DIN STICLA INCOLORA X 1 ML SOL. INJ S/P-RF

CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM.

S/P-RF

SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST.PVC/ AL X 10 COMPR.


CHIESI FARMACEUTICI SPA ITALIA
CUTIE X 3 BLIST. PVC-PDVC/AL-LAC PVDC X 10 COMPR.
CHIESI FARMACEUTICI SPA ITALIA
CUTIE X 1 BLIST. PVC-PDVC/AL-LAC PVDC X 10 COMPR.

P-6L

ARENA GROUP SA

P-6L

P-6L
P-6L

LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L

ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

CHIESI FARMACEUTICI SPA

ITALIA
ITALIA
ITALIA
ITALIA

CUTIE X 20 PLICURI DUBLU COMPARTIMENTAT X 3 G PULB. PT. SOL. ORALA

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 6 FIOLE DIN STICLA BRUNA X 1 ML P-RF

CHIESI FARMACEUTICI SPA


CHIESI FARMACEUTICI SPA
CHIESI FARMACEUTICI SPA

UNGARIA
ROMANIA
ROMANIA
ROMANIA
NYCOMED AUSTRIA GMBH AUSTRIA
NYCOMED AUSTRIA GMBH AUSTRIA
NYCOMED AUSTRIA GMBH AUSTRIA
NYCOMED AUSTRIA AUSTRIA
NYCOMED AUSTRIA AUSTRIA
NYCOMED AUSTRIA AUSTRIA
NYCOMED AUSTRIA GMBH AUSTRIA
NYCOMED AUSTRIA GMBH AUSTRIA
NYCOMED AUSTRIA GMBH AUSTRIA
NYCOMED AUSTRIA GMBH AUSTRIA

EGIS PHARMACEUTICALS P.L.C.

ANTIBIOTICE S.A.
ANTIBIOTICE S.A.
SINTOFARM SA

BERLIN CHEMIE AG (MENARINI GROUP)

CUTIE X 1 BLIST. AL-PE/AL X 10 COMPR. EFF. P-6L


CUTIE X 2 BLIST. AL-PE/AL X 10 COMPR. EFF. P-6L
CUTIE X 3 BLIST. AL-PE/AL X 10 COMPR. EFF. P-6L
P-6L

CUTIE X 1 BLIST. C-PET/PE X 5 FIOLE X 1 ML SOL. INJ. P-RF

CUTIE CU 2 FOLII TERMOSUDATE PVC X 3 SUPOZ.


CUTIE CU 1 FOLIE TERMOSUDATA PVC X 6 SUPOZ.

P6L
P6L

CUTIE X 2 FOLII TERMOSUDATE X 5 SUPOZ. P-6L

P6L
P6L
CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. FILM. P6L

CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM.

CUTIE CU 2 BLIST. PVC/AL X 10 COMPR. FILM.

CUTIE CU BLIST. AL/AL X 10 COMPR. FILM. P-6L


CUTIE CU BLIST. AL/AL X 20 COMPR. FILM. P-6L
CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-6L

P6L
CUTIE CU 2 BLIST. PVC/AL X 10 COMPR. FILM. P6L
CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. FILM. P6L
CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM.

CUTIE CU 10 FLAC. DIN STICLA BRUNA CU PULB. PT. SOL. INJ. + 10 FIOLE DIN STICLA INCOLORA X 2 ML SOLV

PRF

GERMANIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. FILM. P-6L

MENARINI INTERNATIONAL OPERATIONS S.A.

LUXEMBOURG CUTIE X 5 FIOLE X 2 ML SOL. INJ./CONC. PT.SOL.PERF.

P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 3 BLIST. AL/PVC X 10 CAPS.


CUTIE X 1 BLIST. AL/PVC X 10 CAPS.
CUTIE X 3 BLIST. AL/PVC X 10 CAPS.

P-RF
P-RF

MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-RF
MERCK SHARP & DOHME ROMANIA CUTIE X2 BLIST. PA-AL-PVC/AL X 14 COMPR. FILM. P-RF
MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-RF
MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 14 COMPR. FILM. P-RF
MERCK SHARP & DOHME ROMANIA CUTIE X 4 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-RF
MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-RF
MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PA-AL-PVC/AL X 14 COMPR. FILM. P-RF
MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 14 COMPR. FILM. P-RF
MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 14 COMPR. FILM. P-RF
MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-RF
MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-RF
MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PA-AL-PVC/AL X 14 COMPR. FILM. P-RF

IRLANDA
ROTTAPHARM SPA ITALIA
ANFARM HELLAS S.A. PHARMACEUTICALS GRECIA
CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA
MAGISTRA C & C
ROMANIA
SLAVIA PHARM SRL ROMANIA

BLUE BIO PHARMACEUTICALS LIMITED

Pagina 15 din 22

CUTIE CU BLIST. DIN PVC/PVDC/AL X 30 COMPR. FILM.

P-6L

CUTIE X 20 PLICURI UNIDOZA CU PULB. P-6L

CUTIE X 2 BLIST. X 10 COMPR.

P-RF

CUTIE X 1 BLIST. AL/PVC X 10 COMPR.


CUTIE X 1 BLIST. AL/PVC X 10 COMPR.
CUTIE X 1 BLIST. AL/PVC X 10 COMPR.

P-RF
P-RF
P-RF

Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)

7
1
1
28
100
20
30
10
20
20
10
20
30
20
6
5
6
6
10
10
20
30
10
20
30
10
20
30
10
10
5
30
10
30
7
28
14
14
28
14
28
14
14
7
14
28
30
20
20
10
10
10

134.62

Pret
amanuntul
maximal/UT
(RON)

19.231428

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit. a)
(RON) pt.
si f)
Adulti

10.104391

5.052195

1,184.81 1,184.810000 1,136.745010 568.372505

440.58 440.580000 440.580000 220.290000


827.20 29.542857 10.104391
5.052195
80.90
0.809000
0.539866
0.269933
2.63
0.131500
0.131500
0.065750
29.01
0.967000
0.967000
0.483500
17.58
1.758000
1.114875
0.557437
0.078250
3.13
0.156500
0.156500
2.47
0.123500
0.123500
0.061750
20.80
2.080000
1.114875
0.557437
39.37
1.968500
1.114875
0.557437
48.42
1.614000
1.114875
0.557437
27.37
1.368500
1.114875
0.557437
9.54
1.590000
1.590000
0.795000
11.77
2.354000
2.354000
1.177000
4.44
0.740000
0.740000
0.370000
0.740000
0.370000
4.44
0.740000
2.85
0.285000
0.285000
0.142500
6.21
0.621000
0.371624
0.185812
12.43
0.621500
0.371624
0.185812
18.44
0.614666
0.371624
0.185812
16.61
1.661000
0.743249
0.371624
33.22
1.661000
0.743249
0.371624
48.22
1.607333
0.743249
0.371624
11.69
1.169000
0.743249
0.371624
23.65
1.182500
0.743249
0.371624
28.37
0.945666
0.743249
0.371624
137.31 13.731000
1.412398
0.706199
14.05
1.405000
0.496874
0.248437
30.51
6.102000
4.198000
2.099000
63.57
2.119000
1.165874
0.582937
33.03
3.303000
2.331749
1.165874
94.10
3.136666
2.331749
1.165874
35.09
5.012857
4.663499
2.331749
128.69
4.596071
4.596071
2.298035
67.83
4.845000
4.663499
2.331749
67.83
4.845000
4.663499
2.331749
86.14
3.076428
1.165874
0.582937
55.68
3.977142
2.331749
1.165874
105.76
3.777142
2.331749
1.165874
55.68
3.977142
2.331749
1.165874
59.15
4.225000
3.497624
1.748812
30.54
4.362857
3.497624
1.748812
59.15
4.225000
3.497624
1.748812
112.36
4.012857
3.497624
1.748812
41.65
1.388333
1.388333
0.694166
43.20
2.160000
1.865870
0.932935
9.72
0.486000
0.486000
0.243000
7.49
0.749000
0.745312
0.372656
4.87
0.487000
0.487000
0.243500
7.24
0.724000
0.724000
0.362000

Nr. crt

cod ATC

DCI

810 M05BA07

NIMESULIDUM
NIMESULIDUM
NIMESULIDUM
NIMESULIDUM
NIMESULIDUM
NIMESULIDUM
BACLOFENUM
BACLOFENUM
ACIDUM ALENDRONICUM*
ACIDUM ALENDRONICUM*
ACIDUM ALENDRONICUM*
ACIDUM ALENDRONICUM*
ACIDUM ALENDRONICUM*
ACIDUM ALENDRONICUM*
ACIDUM ALENDRONICUM*
ACIDUM ALENDRONICUM*
ACIDUM ALENDRONICUM*
ACIDUM ALENDRONICUM*
ACIDUM ALENDRONICUM*
ACIDUM ALENDRONICUM*
ACIDUM IBANDRONICUM*
ACIDUM IBANDRONICUM*
ACIDUM IBANDRONICUM*
ACIDUM IBANDRONICUM*
ACIDUM IBANDRONICUM*
ACIDUM IBANDRONICUM*
ACIDUM RISEDRONICUM*
ACIDUM RISEDRONICUM*
ACIDUM RISEDRONICUM*
ACIDUM RISEDRONICUM*
ACIDUM RISEDRONICUM*
ACIDUM RISEDRONICUM*
ACIDUM RISEDRONICUM*
ACIDUM RISEDRONICUM*
ACIDUM RISEDRONICUM*
ACIDUM RISEDRONICUM*
ACIDUM RISEDRONICUM*

811 M05BB03

COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)*

812 M05BB03

COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)*

813 M05BB03

COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)*

814 M05BB03

COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)*

774 M01AX17
775 M01AX17
776 M01AX17
777 M01AX17
778 M01AX17
779 M01AX17
780 M03BX01
781 M03BX01
782 M05BA04
783 M05BA04
784 M05BA04
785 M05BA04
786 M05BA04
787 M05BA04
788 M05BA04
789 M05BA04
790 M05BA04
791 M05BA04
792 M05BA04
793 M05BA04
794 M05BA06
795 M05BA06
796 M05BA06
797 M05BA06
798 M05BA06
799 M05BA06
800 M05BA07
801 M05BA07
802 M05BA07
803 M05BA07
804 M05BA07
805 M05BA07
806 M05BA07
807 M05BA07
808 M05BA07
809 M05BA07

815 M05BX03
816 M05BX03
817 N02AA05
818 N02AA05
819 N02AA05
820 N02AA05
821 N02AA08
822 N02AA08
823 N02AA08
824 N02AX52
825 N02AX52

STRONTIUM RANELATUM*
STRONTIUM RANELATUM*
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
DIHYDROCODEINUM*
DIHYDROCODEINUM*
DIHYDROCODEINUM*
COMBINATII
COMBINATII

Denumire Comerciala

APONIL
NIMESULID ARENA 100 mg
NIMESULID FARMEX 100 mg
NISE 100 mg
AULIN (R)
NIMESIL
LIORESAL (R)
LIORESAL (R)
ACID ALENDRONIC ACCORD 10 mg
TEVANAT 70 mg
FOSAMAX 70 mg
ACID ALENDRONIC ACCORD 70 mg
RANOS 70 mg
ACID ALENDRONIC BLUEFISH 70 mg
ACID ALENDRONIC BLUEFISH 70 mg
INSTREL 70 mg
ALENDRONAT SANDOZ 70 mg
ADRONIK 70 mg
ADRONIK 70 mg
ADRONIK 70 mg
ACID IBANDRONIC TEVA 150 mg
BONVIVA 150mg
OSSICA 150 mg
ACID IBANDRONIC SANDOZ 150 mg
OSAGRAND 3 mg/3 ml
BONVIVA 3mg/3ml
RISEDRONAT BLUEFISH 35 mg
RISENDROS 35 mg
RISEDRONAT TEVA 35 mg
JUVERITAL 35 mg
LORINE 35mg
JUVERITAL 35 mg
OSTEORON 35 mg
OSODENS 35 mg
ACTONEL SAPTAMANAL 35 mg
PEXALIT 35 mg
ACTONEL 75 mg
FOSAVANCE 70mg/2800UI
FOSAVANCE 70mg/2800UI
FOSAVANCE 70mg/5600UI
FOSAVANCE 70mg/5600UI
OSSEOR 2 g
OSSEOR 2 g
OXYCONTIN (R) 10 mg
OXYCONTIN (R) 20 mg
OXYCONTIN (R) 40 mg
OXYCONTIN (R) 80 mg
DHC CONTINUS 120 mg
DHC CONTINUS 60 mg
DHC CONTINUS 90 mg
DORETA 37,5mg/325mg
DORETA 37,5mg/325mg

forma farm.

COMPR.
COMPR.
COMPR.
COMPR.

GRAN. PT. SUSP. ORALA


GRAN. PT. SUSP. ORALA

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

SOL. INJ.

SOL. INJ. IN SERINGA PREUMPLUTA

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

COMPR.
COMPR.
COMPR.
COMPR.

GRAN. PT. SUSP. ORALA


GRAN. PT. SUSP. ORALA
COMPR. FILM. ELIB. MODIF.
COMPR. FILM. ELIB. MODIF.
COMPR. FILM. ELIB. MODIF.
COMPR. FILM. ELIB. MODIF.

COMPR. ELIB. PREL.


COMPR. ELIB. PREL.
COMPR. ELIB. PREL.

concentratie

100mg
100mg
100mg
100mg
100mg/plic
100mg/plic
10mg
25mg
10mg
70 mg
70mg
70mg
70mg
70mg
70mg
70mg
70mg
70mg
70mg
70mg
150 mg
150mg
150mg
150mg
3mg/3ml
1mg/1ml
35 mg
35mg
35mg
35mg
35mg
35mg
35mg
35mg
35mg
35mg
75mg
70mg/2800UI
70mg/2800UI
70mg/5600UI
70mg/5600UI
2g
2g
10 mg
20 mg
40 mg
80mg
120mg
60mg
90mg

Detinator APP

tara det.
APP

Ambalaj

Prescriptie

MEDOCHEMIE LTD CIPRU


CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR.

P-RF

ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR.

P-RF

P-RF

FARMEX COMPANY SRL ROMANIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. P-RF


DR. REDDY'S LABORATORIES

AUSTRIA
LAB. GUIDOTTI SPA ITALIA

CSC PHARMACEUTICALS HANDELS GMBH

NOVARTIS PHARMA GMBH GERMANIA


NOVARTIS PHARMA GMBH GERMANIA
ACCORD HEALTHCARE LIMITED MAREA BRITANIE
TEVA PHARMACEUTICALS S.R.L.

CUTIE X 15 PLICURI HARTIE/AL/HDPE/FOLIE SURLYN X 2 G GRAN. SUSP. ORALA

P-RF

CUTIE X 9 PLICURI X 2 G GRAN. PT. SUSP. ORALA P-RF

CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L


CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L
CUTIE CU BLIST. PVC/AL X 28 COMPR. P-6L

ROMANIA CUTIE X 1 BLIST. PVC-AL-OPA/AL X 4 COMPR.

P-6L

MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. AL/AL IN PORTOFEL X 2 COMPR. P-6L
ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. OPA -AL-PVC/AL X 4 COMPR. P-6L

TERAPIA SA

ROMANIA

BLUEFISH PHARMACEUTICALS AB
BLUEFISH PHARMACEUTICALS AB

DR. REDDY'S LABORATORIES

SANDOZ S.R.L.
ARENA GROUP S.A.
ARENA GROUP S.A.
ARENA GROUP S.A.
TEVA PHARMA B.V.
ROCHE REGISTRATION LTD.

SUEDIA
SUEDIA

CUTIE X 1 BLIST. DIN PAO-PVC-AL/AL X 4 COMPR. P-6L

CUTIE CU BLIST. AL/AL X 2 COMPR.


CUTIE CU BLIST. AL/AL X 4 COMPR.

ROMANIA CUTIE CU BLIST. AL/AL X 4 COMPR. FILM.


ROMANIA CUTIE X 1 BLIST. OPA-AL-PVC/AL X 2 COMPR. FILM
ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 12 COMPR. FILM.
ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 2 COMPR. FILM.
ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 4 COMPR. FILM.

OLANDA

MAREA BRITANIE

GEDEON RICHTER PLC. UNGARIA

CUTIE CU BLIST. DIN PVC/ACLAR/PVC-AL X 1 COMPRIMAT FILMAT

P-6L
P-6L
P-RF

P-6L
P-6L
P-6L
P-6L
P-RF

CUTIE X 1 COMPR. FILM.( BLIST. AL/AL) P-6L


CUTIE CU 1 BLIST. PVC-PE-PVDC/AL X 1 COMPR. FILM.

P-6L

CUTIE CU 1 BLIST. PA-AL-PVC/AL X 1 COMPR. FILM.

SANDOZ S.R.L.
ZENTIVA K.S.

REPUBLICA CEHA CUTIE CU 1 FIOLA DIN STICLA INCOLORA X 3 ML SOL. INJ.

P6L
P6L

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 1 SERINGA PREUMPLUTA DIN STICLA X 3 ML SOL. INJ. + 1 AC

P-6L

CUTIE CU BLIST. DIN PVC/PE/PVDC-AL X 4 COMPR. FILM.

P6L

ROMANIA

ZENTIVA A.S.

SUEDIA
CEHIA

TEVA PHARMACEUTICAL S.R.L.

MAREA BRITANIE

CUTIE X BLIST. PVC-PVDC/AL X 4 COMPR. FILM.

P-6L

OZONE LABORATORIES BV

OLANDA

CUTIE X BLISTER PVC-PE-PVDC/AL X 4 COMPRIMATE FILMATE

P-6L

BLUEFISH PHARMACEUTICALS AB

ANTIBIOTICE S.A.

CUTIE X 1 BLIST. OPA-AL-PVC/AL X 4 COMPR. FILM. P-6L

ROMANIA
LABORMED PHARMA S.A. ROMANIA

CUTIE X 1BLIST. PVC- PVDC/AL X 4 COMPR. FILM. P-6L

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE X 1 BLIST. PVC- PVDC/AL X 4 COMPR. FILM. P-6L

SANOFI - AVENTIS ROMANIA S.R.L.

ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 4 COMPR. FILM. P-6L


ROMANIA CUTIE CU 1 BLIST. PVC/AL X 4 COMPR. FILM. P-6L
ROMANIA CUTIE CU BLIST. PVC/HT-AL X 4 COMPR. FILM. P6L
ROMANIA CUTIE CU 1 BLIST. PVC/AL X 2 COMPR. FILM. P-6L

MERCK SHARP & DOHME

MAREA BRITANIE

CUTIE X 4 COMPR. (1 PLIANT CU BLIST. AL/AL X 4 COMPR.)

P-6L

MERCK SHARP & DOHME

MAREA BRITANIE

CUTIE X 2 COMPR. (1 PLIANT CU BLIST. AL/AL X 2 COMPR.)

P-6L

MERCK SHARP & DOHME

MAREA BRITANIE

CUTIE X 2 COMPR. (1 PLIANT CU BLIST. AL/AL X 2 COMPR.)

P-6L

MERCK SHARP & DOHME

MAREA BRITANIE

CUTIE X 4 COMPR. (1 PLIANT CU BLIST. AL/AL X 4 COMPR.)

P-6L

CUTIE X 14 PLICURI HARTI-PE-AL/PE GRAN. PT. SUSP. ORALA

P-RF

CUTIE X 28 PLICURI HARTI-PE-AL/PE GRAN. PT. SUSP. ORALA

P-RF

CUTIE X 1 FLAC. X 56 COMPR. FILM. ELIB. MODIF.

P-TS

TERAPIA SA
SANOFI - AVENTIS ROMANIA S.R.L.

DR. REDDY'S LABORATORIES

LES LAB. SERVIER


LES LAB. SERVIER
MUNDIPHARMA
MUNDIPHARMA
MUNDIPHARMA
MUNDIPHARMA
MUNDIPHARMA
MUNDIPHARMA
MUNDIPHARMA

GMBH
GMBH
GMBH
GMBH
GMBH
GMBH
GMBH

FRANTA
FRANTA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA

COMPR. FILM. 37,5mg/325mg KRKA D.D. NOVO MESTO SLOVENIA


COMPR. FILM. 37,5mg/325mg KRKA D.D. NOVO MESTO SLOVENIA

Pagina 16 din 22

CUTIE CU BLIST. PVC-PE-PVDC/AL X 4 COMPR. FILM.

P-6L

CUTIE X 1 FLAC. X 56 COMPR. FILM. ELIB. MODIF.

P-TS

CUTIE X 1 FLAC. X 56 COMPR. FILM. ELIB. MODIF.

P-TS

CUTIE X 1 FLAC. X 56 COMPR. FILM. ELIB. MODIF.

P-TS

CUTIE X 1 FLAC. DIN PP X 56 COMPR. ELIB. PREL. P-RF


CUTIE X 1 FLAC. DIN PP X 56 COMPR. ELIB. PREL. P-RF
CUTIE X 1 FLAC. DIN PP X 56 COMPR. ELIB. PREL. P-RF
CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF
CUTIE CU BLIST. PVC-PVDC/AL X 20 COMPR. FILM. P-RF

Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)

20
10
10
10
15
9
50
50
28
4
2
4
4
2
4
4
2
12
2
4
1
1
1
1
1
1
4
4
4
4
4
4
4
4
4
4
2
4
2
2
4
14
28
56
56
56
56
56
56
56
10
20

Pret
amanuntul
maximal/UT
(RON)

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit. a)
(RON) pt.
si f)
Adulti

8.20
0.410000
0.410000
0.205000
4.78
0.478000
0.478000
0.239000
7.20
0.720000
0.720000
0.360000
3.59
0.359000
0.359000
0.179500
11.25
0.750000
0.745312
0.372656
7.66
0.851111
0.745312
0.372656
20.37
0.407400
0.291839
0.145919
33.50
0.670000
0.670000
0.335000
0.774562
48.27
1.723928
1.549124
48.27 12.067500 10.843872
5.421936
37.13 18.565000 10.843872
5.421936
48.27 12.067500 10.843872
5.421936
47.66 11.915000 10.843872
5.421936
24.93 12.465000 10.843872
5.421936
24.71
6.177500
6.177500
3.088750
47.66 11.915000 10.843872
5.421936
12.82
6.410000
6.410000
3.205000
5.421936
131.92 10.993333 10.843872
24.78 12.390000 10.843872
5.421936
47.97 11.992500 10.843872
5.421936
83.20 83.200000 46.473738 23.236869
129.32 129.320000 46.473738 23.236869
72.31 72.310000 46.473738 23.236869
52.90 52.900000 46.473738 23.236869
283.25 283.250000 254.181375 127.090687
424.57 424.570000 254.181375 127.090687
35.79
8.947500
8.947500
4.473750
56.69 14.172500 10.843872
5.421936
72.55 18.137500 10.843872
5.421936
72.55 18.137500 10.843872
5.421936
36.50
9.125000
9.125000
4.562500
72.55 18.137500 10.843872
5.421936
56.66 14.165000 10.843872
5.421936
72.55 18.137500 10.843872
5.421936
111.62 27.905000 10.843872
5.421936
36.50
9.125000
9.125000
4.562500
94.97 47.485000 23.236869 11.618434
89.84 22.460000 10.843872
5.421936
47.30 23.650000 10.843872
5.421936
47.30 23.650000 10.843872
5.421936
89.84 22.460000 10.843872
5.421936
104.74
7.481428
6.547142
3.273571
174.60
6.235714
6.235714
3.117857
116.83
2.086250
1.519651
0.759825
214.65
3.833035
3.039302
1.519651
395.50
7.062500
6.078615
3.039307
652.80 11.657142 11.657142
5.828571
128.54
2.295357
1.504445
0.752222
29.34
0.523928
0.523928
0.261964
101.69
1.815892
1.128334
0.564167
7.89
0.789000
0.705825
0.352912
15.58
0.779000
0.705825
0.352912

Nr. crt

cod ATC

DCI

826 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM


827 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM
828 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM
829 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM
830 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM
831 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM
832 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM
833 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM
834 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM)
835 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM)
836 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM)
837 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM)
838 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM)
839 N03AE01
840 N03AE01
841 N03AX16
842 N03AX16
843 N03AX16
844 N03AX16
845 N03AX16
846 N03AX16
847 N04AA02
848 N04BC05
849 N04BC05
850 N04BC05
851 N04BC05
852 N04BC05
853 N04BC05
854 N04BC05
855 N04BC05
856 N04BC05
857 N04BC05
858 N04BC05
859 N04BC05
860 N04BC05
861 N04BC05
862 N04BC05
863 N04BC05
864 N04BC05
865 N04BC05
866 N04BC05
867 N04BC05
868 N04BC05
869 N04BC05
870 N04BC05
871 N04BC05
872 N04BC05
873 N04BC05
874 N04BC05
875 N04BC05
876 N04BC05
877 N04BC08

CLONAZEPAMUM
CLONAZEPAMUM
PREGABALINUM**#
PREGABALINUM**#
PREGABALINUM**#
PREGABALINUM**#
PREGABALINUM**#
PREGABALINUM**#
BIPERIDENUM
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PIRIBEDILUM**

Denumire Comerciala

ZALDIAR (R)
ZALDIAR (R)
ZALDIAR (R)
ZALDIAR (R)
ZALDIAR (R)
ZALDIAR (R)
ZALDIAR (R)
ZALDIAR (R)
PADOLTEN 37,5 mg/325 mg
PADOLTEN 37,5 mg/325 mg
LINEROL 37,5 mg/325 mg
LINEROL 37,5 mg/325 mg
LINEROL 37,5 mg/325 mg
RIVOTRIL
RIVOTRIL 2 mg
LYRICA 150 mg
LYRICA 150 mg
LYRICA 300 mg
LYRICA 300 mg
LYRICA 75 mg
LYRICA 75 mg
AKINETON 2 mg
OPRYMEA 0,088mg
MIPARKAN 0,18 mg
MIRAPEXIN 0,18 mg
OPRYMEA 0,18mg
PRAMIPEXOL TEVA 0,18mg
PRAMIPEXOL SANDOZ 0,18 mg
MEDOPEXOL 0,18 mg
GLEPARK 0,18 mg
PRAMIPEXOL RANBAXY 0,18 mg
PRAMIPEXOL BLUEFISH 0,18 mg
MIGLASEN 0,18 mg
PRAMIPEXOL TORRENT 0,18 mg
PRAMIPEXOLE ACCORD 0,35mg
MIPARKAN 0,7 mg
MIRAPEXIN 0,7 mg
OPRYMEA 0,7mg
PRAMIPEXOL TEVA 0,7mg
PRAMIPEXOL SANDOZ 0,7 mg
MEDOPEXOL 0,7 mg
GLEPARK 0,7 mg
PRAMIPEXOL RANBAXY 0,7 mg
PRAMIPEXOL BLUEFISH 0,7 mg
MIGLASEN 0,7 mg
PRAMIPEXOL TORRENT 0,7 mg
MIRAPEXIN 0,26 mg
MIRAPEXIN 0,52 mg
MIRAPEXIN 1,05 mg
MIRAPEXIN 2,1 mg
MIRAPEXIN 3,15 mg
PRONORAN 50 mg

forma farm.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

COMPR.
COMPR.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.

COMPR. ELIB. PREL.


COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.

DRAJ. ELIB. PREL.

concentratie

Detinator APP

tara det.
APP

Ambalaj

Prescriptie

37,5mg+325mg GRUNENTHAL GMBH GERMANIA CUTIE X 3 BLIST. PP OPAC/AL X 10 COMPR. FILM. P-RF
37,5mg+325mg GRUNENTHAL GMBH GERMANIA CUTIE X 1 BLIST. PVC OPAC/AL X 10 COMPR. FILM. P-RF
37,5mg+325mg GRUNENTHAL GMBH GERMANIA CUTIE X 2 BLIST. PVC OPAC/AL X 10 COMPR. FILM. P-RF
37,5mg+325mg GRUNENTHAL GMBH GERMANIA CUTIE X 3 BLIST. PVC OPAC/AL X 10 COMPR. FILM. P-RF
37,5mg+325mg GRUNENTHAL GMBH GERMANIA CUTIE X 1 BLIST. PP OPAC/AL X 10 COMPR. FILM. P-RF
37,5mg+325mg GRUNENTHAL GMBH GERMANIA CUTIE X 5 BLIST. PVC OPAC/AL X 10 COMPR. FILM. P-RF
37,5mg+325mg GRUNENTHAL GMBH GERMANIA CUTIE X 5 BLIST. PP OPAC/AL X 10 COMPR. FILM. P-RF
37,5mg+325mg GRUNENTHAL GMBH GERMANIA CUTIE X 2 BLIST. PP OPAC/AL X 10 COMPR. FILM. P-RF

37,5mg/325mg
37,5mg/325mg
37,5mg/325mg
37,5mg/325mg
37,5mg/325mg

0,5mg
2mg
150mg
150mg
300mg
300mg
75mg
75mg
2mg
0,088mg
0,18 mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,35mg
0,7 mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,26mg
0,52mg
1,05mg
2,1mg
3,15mg
50mg

S.C.TEVA PHARMACEUTICALS S.R.L.


S.C.TEVA PHARMACEUTICALS S.R.L.
PHARMACEUTICAL WORKS POLPHARMA SA
PHARMACEUTICAL WORKS POLPHARMA SA
PHARMACEUTICAL WORKS POLPHARMA SA

ROMANIA CUTIE CU BLIST. PVC/AL X 10 COMPR. FILM.


ROMANIA CUTIE CU BLIST. PVC/AL X 20 COMPR. FILM.

POLONIA
POLONIA
POLONIA

P-RF
P-RF

CUTIE CU BLIST. PVC/AL X 10 COMPR. FILM. P-RF


CUTIE CU BLIST. PVC/AL X 20 COMPR. FILM. P-RF
CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. P-RF

ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 50 COMPR. P-RF
ROCHE ROMANIA S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 30 COMPR. P-RF

PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
DESMA GMBH
KRKA D.D.
ZENTIVA, K.S.

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

KRKA D.D.
TEVA PHARMA BV
SANDOZ S.R.L.
MEDOCHEMIE LTD.

MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE

CUTIE X 14 CAPS. (BLIST. PVC/AL)


CUTIE X 56 CAPS. (BLIST. PVC/AL)
CUTIE X 56 CAPS. (BLIST. PVC/AL)
CUTIE X 14 CAPS. (BLIST. PVC/AL)
CUTIE X 14 CAPS. (BLIST. PVC/AL)
CUTIE X 56 CAPS. (BLIST. PVC/AL)

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

GERMANIA CUTIE CU 5 BLIST. PVC/AL X 10 COMPR. P6L

SLOVENIA CUTIE X 30 COMPR. (BLIST. AL/AL)

REPUBLICA CEHA

GERMANIA

P-RF

CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. PRF

CUTIE X 3 BLIST. X 10 COMPR.

P-RF

SLOVENIA CUTIE X 30 COMPR. (BLIST. AL/AL)

P-RF

ROMANIA

P-RF/R

OLANDA CUTIE CU BLIST. AL/AL X 30 COMPR.

CIPRU

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR.

P-RF

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-6L

GLENMARK PHARMACEUTICALS SRL

REPUBLICA SLOVACA

CUTIE CU BLIST. AL/AL X 30 COMPR.

RANBAXY (UK) LIMITED

MAREA BRITANIE

CUTIE CU BLIST. PA-AL-PVC X 30 COMPR. P-RF

BLUEFISH PHARMACEUTICALS AB

ROMASTRU TRADING S.R.L.

TORRENT PHARMA S.R.L.

SUEDIA

ROMANIA
ROMANIA

CUTIE CU BLIST. AL/AL X 30 COMPR.

P-6L

CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR.

P6L

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-RF

ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 3 BLIST. AL-PVC/AL A CATE 10 COMPR.

ZENTIVA, K.S.

REPUBLICA CEHA

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA

PRF

CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. PRF

CUTIE X 3 BLIST. X 10 COMPR.


SLOVENIA CUTIE X 30 COMPR. (BLIST. AL/AL)
OLANDA CUTIE CU BLIST. AL/AL X 30 COMPR.

KRKA D.D.
TEVA PHARMA BV
SANDOZ S.R.L.
ROMANIA
MEDOCHEMIE LTD. CIPRU

P-RF

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR.

P-RF
P-RF
P-RF
P-RF/R

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-6L

GLENMARK PHARMACEUTICALS SRL

REPUBLICA SLOVACA

CUTIE CU BLIST. AL/AL X 30 COMPR.

RANBAXY (UK) LIMITED

MAREA BRITANIE

CUTIE CU BLIST. PA-AL-PVC X 30 COMPR. P-RF

BLUEFISH PHARMACEUTICALS AB

SUEDIA

ROMANIA
TORRENT PHARMA S.R.L. ROMANIA
ROMASTRU TRADING S.R.L.

P-RF

CUTIE CU BLIST. AL/AL X 30 COMPR.

P-6L

CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR.

P6L

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-RF

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA CUTIE CU 1 BLIST.OPA-AL-PVC/AL X 10 COMPR. P-RF

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA CUTIE CU 3 BLIST.OPA-AL-PVC/AL X 10 COMPR. P-RF

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA CUTIE CU 3 BLIST.OPA-AL-PVC/AL X 10 COMPR. P-RF

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA CUTIE CU 3 BLIST.OPA-AL-PVC/AL X 10 COMPR. P-RF

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA CUTIE CU 3 BLIST.OPA-AL-PVC/AL X 10 COMPR. P-RF

LES LAB. SERVIER IND. FRANTA

Pagina 17 din 22

CUTIE X 2 BLIST. AL/PVC X 15 DRAJ. CU ELIB. PREL. P-RF

Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)

30
10
20
30
10
50
50
20
10
20
10
20
30
50
30
14
56
56
14
14
56
50
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
10
30
30
30
30
30

34.76
12.14
23.96
34.76
12.14
57.78
57.78
23.96
7.89
15.59
7.90
15.59
23.36
6.89
6.56
76.16
288.91
422.67
114.28
53.71
193.52
10.57
19.75
30.00
49.77
30.11
33.41
33.42
33.42
30.35
30.86
25.30
30.35
33.50
48.92
107.26
167.86
107.65
115.05
115.05
115.05
108.52
106.21
90.45
107.65
115.10
58.12
314.07
650.35
1,229.85
1,809.33

28.69

Pret
amanuntul
maximal/UT
(RON)

1.158666
1.214000
1.198000
1.158666
1.214000
1.155600
1.155600
1.198000
0.789000
0.779500
0.790000
0.779500
0.778666
0.137800
0.218666
5.440000
5.159107
7.547678
8.162857
3.836428
3.455714
0.211400
0.658333
1.000000
1.659000
1.003666
1.113666
1.114000
1.114000
1.011666
1.028666
0.843333
1.011666
1.116666
1.630666
3.575333
5.595333
3.588333
3.835000
3.835000
3.835000
3.617333
3.540333
3.015000
3.588333
3.836666
5.812000
10.469000
21.678333
40.995000
60.311000
0.956333

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit. a)
(RON) pt.
si f)
Adulti

0.705825
0.705825
0.705825
0.705825
0.705825
0.705825
0.705825
0.705825
0.705825
0.705825
0.705825
0.705825
0.705825
0.067904
0.218666
5.440000
5.159107
7.547678
8.162857
3.234383
3.234383
0.211400
0.181096
0.370424
0.370424
0.370424
0.370424
0.370424
0.370424
0.370424
0.370424
0.370424
0.370424
0.370424
0.720270
1.440540
1.440540
1.440540
1.440540
1.440540
1.440540
1.440540
1.440540
1.440540
1.440540
1.440540
0.535057
1.070115
2.160810
4.321621
6.482432
0.956333

0.352912
0.352912
0.352912
0.352912
0.352912
0.352912
0.352912
0.352912
0.352912
0.352912
0.352912
0.352912
0.352912
0.033952
0.109333
2.720000
2.579553
3.773839
4.081428
1.617191
1.617191
0.105700
0.090548
0.185212
0.185212
0.185212
0.185212
0.185212
0.185212
0.185212
0.185212
0.185212
0.185212
0.185212
0.360135
0.720270
0.720270
0.720270
0.720270
0.720270
0.720270
0.720270
0.720270
0.720270
0.720270
0.720270
0.267528
0.535057
1.080405
2.160810
3.241216
0.478166

Nr. crt

cod ATC

878 N05AL03
879 N05AL03
880 N05BE01
881 N05BE01
882 N06AA21
883 N06AA21
884 N06AB10
885 N06AX05
886 N06AX05
887 N06AX05
888 N06AX12
889 N06AX14
890 N06AX14
891 N06AX14
892 N06AX17
893 N06AX17
894 N06AX21
895 N06AX21
896 N06BX16
897 N06BX18
898 N06BX18
899 N06BX18
900 N06BX18
901 N06DX02
902 N06DX02
903 N06DX02
904 N06DX02
905 N07CA01
906 N07CA01
907 N07CA01
908 N07CA01
909 N07CA01
910 N07CA01
911 N07CA01
912 N07CA01
913 N07CA01
914 N07CA01
915 N07CA01
916 N07CA01
917 N07CA01
918 N07CA01
919 N07CA01
920 N07CA01
921 N07CA01
922 N07CA01
923 N07CA01
924 N07CA01
925 N07CA01
926 N07CA01
927 N07CA01

DCI

TIAPRIDUM
TIAPRIDUM
BUSPIRONUM
BUSPIRONUM
MAPROTILINUM*
MAPROTILINUM*
ESCITALOPRAMUM**
TRAZODONUM**
TRAZODONUM**
TRAZODONUM**
BUPROPIONUM**#
TIANEPTINUM**
TIANEPTINUM**
TIANEPTINUM**
MILNACIPRANUM**
MILNACIPRANUM**
DULOXETINUM**
DULOXETINUM**
PRAMIRACETAMUM**#
VINPOCETINUM
VINPOCETINUM
VINPOCETINUM
VINPOCETINUM
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM

928 N07CA52 COMBINATII (CINARIZINUM +DIMENHIDRINATUM)


929 N07CA52 COMBINATII (CINARIZINUM +DIMENHIDRINATUM)

Denumire Comerciala

TIAPRIDAL (R) 100 mg


TIAPRIDAL 100 mg/2 ml
SPITOMIN 10 mg
SPITOMIN 5 mg
LUDIOMIL (R) 10 mg
LUDIOMIL (R) 25 mg
CIPRALEX 10 mg
TRITTICO AC 150 mg
TRITTICO AC 75 mg
TRITTICO AC 75 mg
ELONTRIL 150 mg
LYXIT 12,5 mg
LYXIT 12,5 mg
COAXIL (R)
IXEL
IXEL
CYMBALTA 30mg
CYMBALTA 60mg
PRAMISTAR
VIMPOCETIN 5 mg
CAVINTON(R) FORTE
VICEBROL
CAVINTON(R)
GINKOFAR 40 mg (vezi C04AXN1)
GINKOFAR 40 mg (vezi C04AXN1)
GINKOFAR 40 mg (vezi C04AXN1)

forma farm.

COMPR.
SOL. INJ.
COMPR.
COMPR.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. MODIF.

COMPR. FILM.
COMPR. FILM.

DRAJ.
CAPS.
CAPS.

CAPS. GASTROREZ.
CAPS. GASTROREZ.

COMPR. FILM.

CAPS.
COMPR.
COMPR.
COMPR.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
GINKO BILOBA BIOFARM 40 mg (vezi C04AXN1) COMPR. FILM.

BETAHISTINA DICLORHIDRAT ACCORD 16 mg COMPR.

VERTIMED 16 mg
BETAHISTINA LPH 16 mg
EMPERIN 24 mg
BETAHISTINA LPH 24 mg
BETAHISTIN MCC 24 mg
BETAHISTIN MCC 24 mg
BETASERC 24 mg
VERTIMED 24 mg
VERTIMED 24 mg
MARBETA 24 mg
EMPERIN 8 mg
MICROSER
VESTIBO 8 mg
VESTIBO 8 mg
BETAHISTIN MCC 8 mg
BETASERC 8 mg
BETASERC 8 mg
BETAHISTINA LPH 8 mg

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
BETAHISTINA DICLORHIDRAT ACCORD 8 mg COMPR.
VERTIMED 8 mg
COMPR.
ACUVER 8 mg/doza
SOL. ORALA
ACUVER 8 mg/doza
SOL. ORALA
ARLEVERT
COMPR.
ARLEVERT
COMPR.

concentratie

100mg
100mg/2ml
10mg
5mg
10mg
25mg
10mg
150mg
75mg
75mg
150mg
12,5 mg
12,5 mg
12,5mg
25mg
50mg
30mg
60mg
600mg
5mg
10mg
5mg
5mg
40mg
40mg
40mg
40mg
16mg
16mg
16mg
24 mg
24 mg
24mg
24mg
24mg
24mg
24mg
24mg
8 mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg/doza
8mg/doza

Detinator APP
SANOFI-SYNTHELABO FRANCE

SANOFI-AVENTIS FRANCE
EGIS PHARMACEUTICALS P.L.C.
EGIS PHARMACEUTICALS P.L.C.

tara det.
APP

Ambalaj

FRANTA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


FRANTA CUTIE X 2 SUPORTURI PVC X 6 FIOLE X 2 ML
UNGARIA CUTIE X 6 BLIST. AL/OPA-AL-PVC X 10 COMPR.
UNGARIA CUTIE X 6 BLIST. AL/OPA-AL-PVC X 10 COMPR.

Prescriptie

P-RF
P-RF
P-RF
P-RF

NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
NOVARTIS PHARMA GMBH GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF

H. LUNDBECK A/S

ANGELINI FRANCESCO SPA


ANGELINI FRANCESCO SPA
ANGELINI FRANCESCO SPA

DANEMARCA

ITALIA
ITALIA
ITALIA

ROMANIA
ARENA GROUP S.A. ROMANIA
ARENA GROUP S.A. ROMANIA

GLAXOSMITHKLINE (GSK) SRL

CUTIE X 2 BLIST. TRANSPARENTE PVC-PE-PVDC/AL X 14 COMPR. FILM.

P-RF

CUTIE X 1 BLIST. AL/PVC X 20 COMPR. ELIB. PREL. P-RF


CUTIE X 2 BLIST. AL/PVC X 15 COMPR. ELIB. PREL. P-RF
CUTIE X 1 BLIST. AL/PVC X 30 COMPR. ELIB. PREL. P-RF
CUTIE CU 1 FLAC. PEID CU DESICANT X 30 COMPR. ELIB. MODIF.

P-RF

CUTIE CU BLIST. DIN PVC-PVDC/AL X 30 COMPR. FILM.

PRF

CUTIE CU BLIST. DIN PVC-PVDC/AL X 90 COMPR. FILM.

PRF

LES LAB. SERVIER IND. FRANTA CUTIE X 1 BLIST. AL/PVC X 30 DRAJ.

P-RF

PIERRE FABRE MEDICAMENT PRODUCTION

P-RF

FRANTA CUTIE X 4 BLIST. AL/PVC X 14 CAPS.


PIERRE FABRE MEDICAMENT PRODUCTION FRANTA
CUTIE X 4 BLIST. AL/PVC X 14 CAPS.
ELI LILLY NEDERLAND BV OLANDA CUTIE X 28 CAPS. GASTROREZ.( BLIST. PVC/PE/PCTFE/AL)
ELI LILLY NEDERLAND BV OLANDA CUTIE X 28 CAPS. GASTROREZ.( BLIST. PVC/PE/PCTFE/AL)
F.I.R.M.A. S.P.A. (MENARINI GROUP) ITALIA
CUTIE X 2 BLIST. PA-AL-PVC/AL X 10 COMPR.FILM.
VIM SPECTRUM SRL ROMANIA CUTIE X 5 BLIST. X 10 CAPS.
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. X 15 COMPR.
BMF PHARM S.R.L. ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR.

P-RF
P-RF
P-RF

P-6L
P-6L
P-6L
P-6L

ROMANIA CUTIE X 2 BLIST. AL/PVC X 25 COMPR.


ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.
ROMANIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.
ROMANIA CUTIE X 9 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.
ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 15 COMPR. FILM.

P-6L

ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 3 BLIST. PVC/PVDC-AL X 10 COMPR.

P6L
P6L

GEDEON RICHTER ROMANIA SA

BMF PHARM S.R.L.


BMF PHARM S.R.L.
BMF PHARM S.R.L.
BIOFARM S.A.

MEDOCHEMIE LTD. CIPRU

CUTIE CU BLIST. PVC/PE/PVDC-AL X 30 COMPR.

P-6L
P-6L
P-6L
P-6L

LABORMED PHARMA S.A. ROMANIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L


EGIS PHARMACEUTICALS P.L.C.

UNGARIA

CUTIE CU BLIST. DIN PVC-PVDC/AL X 60 COMPR.

P6L

LABORMED PHARMA SA ROMANIA CUTIE CU 6 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L

MAGISTRA C&C SRL ROMANIA CUTIE CU 2 BLIST. PVC-PVDC-TE TRANSPARENT/AL X 10 COMPR.


MAGISTRA C&C SRL ROMANIA CUTIE CU 5 BLIST. PVC-PVDC-TE TRANSPARENT/AL X 10 COMPR.
ABBOTT HEALTHCARE PRODUCTS B.V. OLANDA CUTIE CU 1 BLIST. PVC-PVDC/AL X 20 COMPR.
MEDOCHEMIE LTD. CIPRU
CUTIE CU BLIST. PVC/PE/PVDC-AL X 30 COMPR.
MEDOCHEMIE LTD. CIPRU
CUTIE CU BLIST. PVC/PE/PVDC-AL X 60 COMPR.
MEDREG S.R.O.
REPUBLICA SLOVACA CUTIE CU 6 BLIST. PVC-PVDC/AL X 10 COMPR.
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. DIN PVC-PVDC/AL X 100 COMPR.
PRODOTTI FORMENTI ITALIA
CUTIE X 5 BLIST. X 10 COMPR.
ACTAVIS GROUP HF. ISLANDA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR.
ACTAVIS GROUP HF. ISLANDA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR.
MAGISTRA C&C SRL ROMANIA CUTIE CU 3 BLIST. PVC-PVDC-TE TRANSPARENT/AL X 10 COMPR.
ABBOTT HEALTHCARE PRODUCTS B.V. OLANDA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR.
ABBOTT HEALTHCARE PRODUCTS B.V. OLANDA CUTIE CU 4 BLIST. PVC-PVDC/AL X 25 COMPR.

P-6L
P-6L
P-6L

P6L
P6L
P6L
P6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L

LABORMED PHARMA S.A. ROMANIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L

ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 3 BLIST. PVC/PVDC-AL X 10 COMPR.

MEDOCHEMIE LTD. CIPRU


AUSTRIA
AUSTRIA

CYATHUS EXQUIRERE PHARMAFORSCHUNGS GMBH


CYATHUS EXQUIRERE PHARMAFORSCHUNGS GMBH

CUTIE CU BLIST. PVC/PE/PVDC-AL X 30 COMPR.

P6L
P6L

CUTIE X 1 FLAC. STICLA BRUNA X 60 ML SOL. ORALA P-6L


CUTIE X 1 FLAC. STICLA BRUNA X 120 ML SOL. ORALA

P-6L

FARA CONCENTRATIE HENNIG ARZNEIMITTEL GMBH & CO.KG

GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 25 COMPR. P-RF

FARA CONCENTRATIE HENNIG ARZNEIMITTEL GMBH & CO.KG

GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 24 COMPR. P-RF

Pagina 18 din 22

Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)

20
9.23
12
9.51
60 17.75
60 10.82
50 15.19
30 10.45
28 90.38
20 24.95
30 18.71
30 18.71
30 63.54
30 22.65
90 63.54
30 33.74
56 71.52
56 117.26
28 105.39
28 178.89
20 71.94
50 10.29
30 14.45
50 10.29
50 15.82
20
9.18
60 26.61
90 36.73
30 12.30
30 19.18
30 19.17
30 16.84
60 34.85
60 53.26
20 18.35
50 39.78
20 27.97
30 19.81
60 38.37
60 34.85
100 21.53
50 26.66
30
8.23
100 21.53
30
9.58
30 14.76
100 29.63
30
9.58
30
9.58
30
7.15
1 38.11
1 70.00
50 32.23
48 26.13

Pret
amanuntul
maximal/UT
(RON)

0.461500
0.792500
0.295833
0.180333
0.303800
0.348333
3.227857
1.247500
0.623666
0.623666
2.118000
0.755000
0.706000
1.124666
1.277142
2.093928
3.763928
6.388928
3.597000
0.205800
0.481666
0.205800
0.316400
0.459000
0.443500
0.408111
0.410000
0.639333
0.639000
0.561333
0.580833
0.887666
0.917500
0.795600
1.398500
0.660333
0.639500
0.580833
0.215300
0.533200
0.274333
0.215300
0.319333
0.492000
0.296300
0.319333
0.319333
0.238333
38.110000
70.000000
0.644600
0.544375

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit. a)
(RON) pt.
si f)
Adulti

0.461500
0.792500
0.295833
0.156020
0.273959
0.348333
1.130399
1.247332
0.623666
0.623666
2.118000
0.730500
0.706000
0.730500
1.104508
2.093928
3.336830
6.388928
3.597000
0.205800
0.411600
0.205800
0.205800
0.381791
0.381791
0.381791
0.381791
0.412599
0.412599
0.412599
0.580833
0.618899
0.618899
0.618899
0.618899
0.618899
0.618899
0.580833
0.206299
0.206299
0.206299
0.206299
0.206299
0.206299
0.206299
0.206299
0.206299
0.206299
15.472493
30.944986
0.569431
0.544375

0.230750
0.396250
0.147916
0.078010
0.136979
0.174166
0.565199
0.623666
0.311833
0.311833
1.059000
0.365250
0.353000
0.365250
0.552254
1.046964
1.668415
3.194464
1.798500
0.102900
0.205800
0.102900
0.102900
0.190895
0.190895
0.190895
0.190895
0.206299
0.206299
0.206299
0.290416
0.309449
0.309449
0.309449
0.309449
0.309449
0.309449
0.290416
0.103149
0.103149
0.103149
0.103149
0.103149
0.103149
0.103149
0.103149
0.103149
0.103149
7.736246
15.472493
0.284715
0.272187

forma farm.
concentratie
930 N07XN03 ACIDUM TIOCTICUM (ALFA-LIPOICUM)** THIOCTACID (R) 600 HR (vezi A16AX01) COMPR. FILM. 600mg
931 N07XN03 ACIDUM TIOCTICUM (ALFA-LIPOICUM)** THIOGAMMA (R) 600 INJEKT (vezi N07XN03) CONC. PT. SOL. PERF. 30mg/ml

Nr. crt

cod ATC

DCI

CEREBROLYSIN
CEREBROLYSIN
HIDROLIZAT DE PROTEINA DIN CREIER DE PORCINA** CEREBROLYSIN
HYDROXYCHLOROQUINUM
PLAQUENIL
BUDESONIDUM*
RHINOCORT (R) AQUA
FLUTICASONUM PROPIONAT* FLIXONASE (R)
MOMETASONUM*
NASONEX 50mcg/doza
MOMETASONUM*
NASONEX
FENOTEROLUM
BEROTEC N - 100 mcg
COMBINATII (FENOTEROLUM + IPRATROPIUM)* BERODUAL (R) N
SALMETEROLUM+FLUTICASONUM* SERETIDE DISKUS 50/100
SALMETEROLUM+FLUTICASONUM* SERETIDE DISKUS 50/250
SALMETEROLUM+FLUTICASONUM* SERETIDE DISKUS 50/500

932 N07XXN3

HIDROLIZAT DE PROTEINA DIN CREIER DE PORCINA**

933 N07XXN3

HIDROLIZAT DE PROTEINA DIN CREIER DE PORCINA**

934 N07XXN3
935 P01BA02
936 R01AD05
937 R01AD08
938 R01AD09
939 R01AD09
940 R03AC04
941 R03AK03
942 R03AK06
943 R03AK06
944 R03AK06

Denumire Comerciala

Detinator APP
WORWAG PHARMA GMBH & CO. KG

GERMANIA

215,2mg/ml EVER NEURO PHARMA GMBH AUSTRIA CUTIE X 5 FIOLE DIN STICLA BRUNA CU PUNCT DE RUPERE X 10 ML
215,2mg/ml EVER NEURO PHARMA GMBH AUSTRIA CUTIE X 5 FIOLE DIN STICLA BRUNA CU PUNCT DE RUPERE X 5 ML
SOL. INJ./PERF. 215,2mg/ml EVER NEURO PHARMA GMBH AUSTRIA CUTIE X 10 FIOLE DIN STICLA BRUNA CU PUNCT DE RUPERE X 1 ML
COMPR. FILM. 200mg
SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 6 BLIST. X 10 COMPR. FILM.
SPRAY NAZAL SUSP. 32mcg/doza ASTRAZENECA AB
SUEDIA CUTIE X 1 FLACON X 120 DOZE PREVAZUT CU POMPA DOZATOARE
SPRAY NAZAL SUSP. 50mcg/doza GLAXOWELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 FLACON X 120 DOZE, PREVAZUT CU POMPA DOZATOARE
SPRAY NAZAL SUSP. 50mcg/doza MERCK SHARP & DOHME ROMANIA CUTIE X 1 FLACON PP X 140 DOZE
SPRAY NAZAL SUSP. 50mcg/doza SCHERING PLOUGH EUROPE BELGIA
CUTIE X 1 FLACON PP X 140 DOZE
100mcg/doza
GERMANIA CUTIE X 1 FLACON PRESURIZAT X 200 DOZE SOL. DE INHALAT PRESURIZATA

P-RF
P-RF

SOL. DE INHALAT PRESURIZATA

AEROSOL SOL. INHAL.

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

0,020mg+0,050mg

PULB. INHAL. 50mg/100mg


PULB. INHAL. 50mg/250mg
PULB. INHAL. 50mg/500mg

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

P-6L

MAREA BRITANIE

CUTIE X 1 FLACON PRESURIZAT AL X 120 DOZE SUSP. DE INHALAT PRESURIZATA

P-6L

MAREA BRITANIE

CUTIE X 1 FLACON PRESURIZAT AL X 120 DOZE SUSP. DE INHALAT PRESURIZATA

P-6L

GLAXOWELLCOME UK LTD.

MAREA BRITANIE

CUTIE X 1 FLACON PRESURIZAT AL X 120 DOZE SUSP. DE INHALAT PRESURIZATA

P-6L

ASTRAZENECA AB
ASTRAZENECA AB
ASTRAZENECA AB

SUEDIA
SUEDIA
SUEDIA

GLAXO WELLCOME UK LTD.


GLAXO WELLCOME UK LTD.

949 R03AK07 COMBINATII (BUDESONIDUM + FORMOTEROLUM)*

SYMBICORT TURBUHALER 320 micrograme/9 micrograme/inhalatie

PULB. DE INHAL.

320micrograme/9micrograme/inha

950 R03AK07 COMBINATII (BUDESONIDUM + FORMOTEROLUM)*

SYMBICORT TURBUHALER 80 micrograme/4,5 micrograme/inhalatie

PULB. DE INHAL.

80micrograme/4,5micrograme/inh

FLIXOTIDE DISKUS 100 mcg


FLIXOTIDE DISKUS 250 mcg
FLIXOTIDE DISKUS 500 mcg
FLIXOTIDE 125 INHALER CFC - Free
FLIXOTIDE (R) 50 INHALER CFC - Free
FLIXOTIDE NEBULES 0,5 mg/2 ml
FLIXOTIDE NEBULES 2 mg/2 ml
ASMANEX TWISTHALER 200 mcg
ASMANEX TWISTHALER 200 mcg
ASMANEX TWISTHALER 400 mcg
ASMANEX TWISTHALER 400 mcg
ALVESCO 160 INHALER
ALVESCO 160 INHALER
ALVESCO 80 INHALER
ALVESCO 80 INHALER
SPIRIVA 18 micrograme
MIOFILIN 100 mg
AMINOFILINA EEL
AMINOFILINA ARENA 100 MG
AMINOFILINA ARENA 200 MG
MIOFILIN
ASTHATOR 10 mg
SINGULAIR (R)
SINGULAIR (R)
MONTELUKAST TEVA 10 mg
MONTELUKAST TEVA 10 mg
SPIROKAST 10 mg
MONTELUKAST ACTAVIS 10 mg
MONTEXAL 10 mg
MONKASTA 10 mg
ASTMASAN 10 mg

PULB. INHAL. 100mcg/doza


PULB. INHAL. 250mcg/doza
PULB. INHAL. 500mcg/doza
SUSP. INHAL. PRESURIZATA 125mcg/doza
SUSP. INHAL. PRESURIZATA 50mcg/doza
0,5mg/2ml
2mg/2ml
PULB. INHAL. 200mcg/doza
PULB. INHAL. 200mcg/doza
PULB. INHAL. 400mcg/doza
PULB. INHAL. 400mcg/doza
160g/doza
160g/doza
80g/doza
80g/doza

962 R03BA08
963 R03BA08
964 R03BA08
965 R03BA08
966 R03BB04
967 R03DA05
968 R03DA05
969 R03DA05
970 R03DA05
971 R03DA05
972 R03DC03
973 R03DC03
974 R03DC03
975 R03DC03
976 R03DC03
977 R03DC03
978 R03DC03
979 R03DC03
980 R03DC03
981 R03DC03

P-6L
P-6L

160micrograme/4,5micrograme/in

961 R03BA07

P-6L

CUTIE X 1 DISPOZITIV DE INHALAT X 60 DOZE PULB. DE INHAL.

PULB. DE INHAL.

960 R03BA07

P-RF

CUTIE X 1 DISPOZITIV DE INHALAT X 60 DOZE PULB. DE INHAL.

SYMBICORT TURBUHALER 160 micrograme/4,5 micrograme/inhalatie

959 R03BA07

P-RF

MAREA BRITANIE

948 R03AK07 COMBINATII (BUDESONIDUM + FORMOTEROLUM)*

958 R03BA07

P-RF

MAREA BRITANIE

25mcg/50mcg

956 R03BA05

P-RF

GLAXOWELLCOME UK LTD.

SUSP. INHAL. PRESURIZATA

957 R03BA05

CUTIE X 1 FLACON PRESURIZAT DIN OTEL X 200 DOZE SOLUTIE DE INHALAT PRESURIZATA

P-6L

GLAXOWELLCOME UK LTD.

947 R03AK06 SALMETEROLUM+FLUTICASONUM* SERETIDE 25 mcg/50 mcg INHALER CFC FREE

955 R03BA05

GERMANIA

P-RF

GLAXO WELLCOME UK LIMITED MAREA BRITANIE CUTIE X 1DISPOZITIV DE INHALAT X 60 DOZE PULB. DE INHAL. P-6L

25mcg/125mcg GLAXOWELLCOME UK LTD.


25mcg/250mcg GLAXOWELLCOME UK LTD.

954 R03BA05

S/P-RF

SOL. INJ./PERF.

SUSP. INHAL. PRESURIZATA

953 R03BA05

CUTIE X 10 FIOLE X 20 ML

SOL. INJ./PERF.

SUSP. INHAL. PRESURIZATA

FLUTICASONUM PROPIONAT*
FLUTICASONUM PROPIONAT*
FLUTICASONUM PROPIONAT*
FLUTICASONUM PROPIONAT*
FLUTICASONUM PROPIONAT*
FLUTICASONUM PROPIONAT*
FLUTICASONUM PROPIONAT*
MOMETASONUM*
MOMETASONUM*
MOMETASONUM*
MOMETASONUM*
CICLESONIDUM*
CICLESONIDUM*
CICLESONIDUM*
CICLESONIDUM*
TIOTROPIUM*
AMINOPHYLLINUM
AMINOPHYLLINUM
AMINOPHYLLINUM
AMINOPHYLLINUM
AMINOPHYLLINUM
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*

Prescriptie

GERMANIA CUTIE X 1 FLAC. X 30 COMPR. FILM. P-6L

946 R03AK06 SALMETEROLUM+FLUTICASONUM* SERETIDE 25 mcg/250 mcg INHALER CFC FREE

952 R03BA05

Ambalaj

MEDA PHARMA GMBH & CO KG

945 R03AK06 SALMETEROLUM+FLUTICASONUM* SERETIDE 25 mcg/125 mcg INHALER CFC FREE

951 R03BA05

tara det.
APP

CUTIE CU 1 INHALATOR DIN MATERIAL PLASTIC CU 60 DOZE PULB. DE INHAL.

P6L
P6L
P6L

MAREA BRITANIE

CUTIE X 1 DISPOZITIV INHALATOR DIN PLASTIC SUB FORMA DE DISC X 1 BLIST. PVC/AL X 60 DOZE

P-RF

MAREA BRITANIE

CUTIE X 1 DISPOZITIV INHALATOR DIN PLASTIC SUB FORMA DE DISC X 1 BLIST. PVC/AL X 60 DOZE

P-RF

GLAXO WELLCOME UK LTD.

MAREA BRITANIE

CUTIE X 1 DISPOZITIV INHALATOR DIN PLASTIC SUB FORMA DE DISC X 1 BLIST. PVC/AL X 60 DOZE

P-RF

GLAXO WELLCOME UK LTD.

MAREA BRITANIE

CUTIE X 1 FLACON PRESURIZAT DIN AL X 60 DOZE SUSP. DE INHALAT PRESURIZATA

P-RF

GLAXO WELLCOME UK LTD.

MAREA BRITANIE

CUTIE X 1 FLACON PRESURIZAT X 120 DOZE X 50 MCG, PREVAZUT CU VALVA DOZATOARE

P-RF

CUTIE CU 1 INHALATOR DIN MATERIAL PLASTIC CU 60 DOZE PULB. DE INHAL.


CUTIE CU 1 INHALATOR DIN MATERIAL PLASTIC CU 60 DOZE PULB. DE INHAL.

SUSP. INHAL. PRIN NEBULIZATOR

GLAXO WELLCOME UK LIMITED MAREA BRITANIE

CUTIE X 5 BLIST. PA-AL-PVC/HARTIE-PTF-AL X 2 FIOLE PEJD X 2,5ML CONTINAND 2ML SUSP. INHAL. PRIN NEB

P-RF

SUSP. INHAL. PRIN NEBULIZATOR

GLAXO WELLCOME UK LIMITED MAREA BRITANIE

CUTIE X 5 BLIST. PA-AL-PVC/HARTIE-PTF-AL X 2 FIOLE PEJD X 2,5ML CONTINAND 2ML SUSP. INHAL. PRIN NEB

P-RF

SOL. DE INHALAT PRESURIZATA

SOL. DE INHALAT PRESURIZATA

SOL. DE INHALAT PRESURIZATA

SOL. DE INHALAT PRESURIZATA

CAPS. CU PULB. INHAL.

CAPS.
COMPR.
COMPR.
COMPR.
SOL. INJ.
COMPR.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

18micrograme

100mg
100mg
100mg
200mg
24mg/ml
10 mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg

SCHERING PLOUGH EUROPE


SCHERING PLOUGH EUROPE
SCHERING PLOUGH EUROPE
SCHERING PLOUGH EUROPE

NYCOMED GMBH
NYCOMED GMBH
NYCOMED GMBH
NYCOMED GMBH
BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

ZENTIVA SA
BIO EEL SRL
ARENA GROUP SA
ARENA GROUP SA
ZENTIVA S.A.

BELGIA
BELGIA
BELGIA
BELGIA

ACTAVIS GROUP PTC EHF.

ICN POLFA RZESZOW S.A.

CUTIE X 1 DISPOZITIV DE ADM. X 60 DOZE P-6L


CUTIE X 1 DISPOZITIV DE ADM. X 60 DOZE P-6L
CUTIE X 1 DISPOZITIV DE ADM. X 30 DOZE P-6L

GERMANIA

CUTIE X 1 FLAC. DIN AL CU VALVA DOZATOARE X 120 DOZE SOL. DE INHALAT PRESURIZATA

P-RF

GERMANIA

CUTIE X 1 FLAC. DIN AL CU VALVA DOZATOARE X 60 DOZE SOL. DE INHALAT PRESURIZATA

P-RF

GERMANIA

CUTIE X 1 FLAC. DIN AL CU VALVA DOZATOARE X 120 DOZE SOL. DE INHALAT PRESURIZATA

P-RF

GERMANIA

CUTIE X 1 FLAC. DIN AL CU VALVA DOZATOARE X 60 DOZE SOL. DE INHALAT PRESURIZATA

P-RF

GERMANIA

CUTIE CU 3 BLIST. AL/PVC/AL X 10 CAPS. CU PULB. DE INHALAT

PRF

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.


CUTIE X 2 BLIST. AL/PVC X 25 COMPR.
CUTIE X 4 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-RF

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
TORRENT PHARMA S.R.L. ROMANIA
MERCK SHARP & DOHME ROMANIA
MERCK SHARP & DOHME ROMANIA
TEVA PHARMACEUTICALS S.R.L. ROMANIA
TEVA PHARMACEUTICALS S.R.L. ROMANIA

ZENTIVA, K.S.

CUTIE X 1 DISPOZITIV DE ADM. X 30 DOZE P-6L

REPUBLICA CEHA

ISLANDA
POLONIA

CUTIE X 5 FIOLE PREVAZUTE CU INEL DE RUPERE X 10 ML SOL.INJ.

Pagina 19 din 22

ROMANIA

P-RF
P-RF
S/P-RF

CUTIE CU BLIST. AL/AL X 28 COMPR. P6L


CUTIE X 1 BLIST. OPA-AL-PVC X 14 COMPR. FILM. P-RF
CUTIE X 2 BLIST. OPA-AL-PVC X 14 COMPR. FILM. P-RF

CUTIE CU BLIST. DIN AL/AL X 28 COMPR. FILM. P-RF


CUTIE CU BLIST. DIN AL/AL X 30 COMPR. FILM. P-RF
CUTIE CU BLIST. NY/AL/PVC-AL (FARA INDICAREA ZILELOR SAPTAMANII) X 28 COMPR. FILM.

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.


CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.

KRKA D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC//AL X 28 COMPR. FILM.

SANDOZ S.R.L.

P-RF

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.

P6L
P6L
P6L
P6L
P6L

Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)

30
10
5
5
10
60
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
10
10
1
1
1
1
1
1
1
1
30
20
50
40
20
5
28
14
28
28
30
28
30
28
28
28

96.76
263.89
124.46
86.41
39.22
33.44
25.42
40.11
47.31
47.31
16.66
40.29
117.43
157.36
223.87
164.30
233.63
122.59
120.12
227.81
95.11
40.65
84.46
137.24
44.60
36.40
31.39
90.66
57.33
140.00
249.44
98.82
250.11
124.79
226.54
112.34
164.34
3.62
6.78
6.95
7.72
11.82
99.55
76.80
145.70
82.04
87.90
63.22
65.41
74.05
63.22
77.66

Pret
amanuntul
maximal/UT
(RON)

3.225333
26.389000
24.892000
17.282000
3.922000
0.557333
25.420000
40.110000
47.310000
47.310000
16.660000
40.290000
117.430000
157.360000
223.870000
164.300000
233.630000
122.590000
120.120000
227.810000
95.110000
40.650000
84.460000
137.240000
44.600000
36.400000
3.139000
9.066000
57.330000
140.000000
249.440000
98.820000
250.110000
124.790000
226.540000
112.340000
5.478000
0.181000
0.135600
0.173750
0.386000
2.364000
3.555357
5.485714
5.203571
2.930000
2.930000
2.257857
2.180333
2.644642
2.257857
2.773571

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit. a)
(RON) pt.
si f)
Adulti

2.169500
22.982400
24.892000
14.864000
2.972800
0.557333
25.420000
40.110000
47.310000
47.310000
16.660000
40.290000
45.702450
114.256125
223.870000
114.256125
228.512250
45.702450
117.012500
227.810000
58.506250
31.258800
78.147000
137.240000
39.073500
31.258800
1.041958
4.167838
49.410000
98.820000
197.640000
98.820000
249.977500
124.790000
124.988750
62.494375
5.478000
0.181000
0.135600
0.173750
0.386000
2.364000
2.255714
2.255714
2.255714
2.255714
2.255714
2.255714
2.180333
2.255714
2.255714
2.255714

1.084750
11.491200
12.446000
7.432000
1.486400
0.278666
12.710000
20.055000
23.655000
23.655000
8.330000
20.145000
22.851225
57.128062
111.935000
57.128062
114.256125
22.851225
58.506250
113.905000
29.253125
15.629400
39.073500
68.620000
19.536750
15.629400
0.520979
2.083919
24.705000
49.410000
98.820000
49.410000
124.988750
62.395000
62.494375
31.247187
2.739000
0.090500
0.067800
0.086875
0.193000
1.182000
1.127857
1.127857
1.127857
1.127857
1.127857
1.127857
1.090166
1.127857
1.127857
1.127857

Nr. crt

cod ATC

982 R03DC03
983 R03DC03
984 R03DC03
985 R03DC03
986 R03DC03
987 R03DC03
988 R03DC03
989 R03DC03
990 R03DC03
991 R03DC03
992 R03DC03
993 R03DC03
994 R03DC03
995 R03DC03
996 R03DC03
997 R03DC03
998 R03DC03
999 R03DC03
1000

R03DC03

1001

R03DC03

1002

R03DC03

1003

R03DC03

1004

R03DC03

1005

R03DC03

1006

R03DC03

1007

R03DC03

1008

R03DC03

1009

R03DC03

1010

R03DC03

1011

R03DC03

1012

R03DX03

1013

R03DX03

1014

R05CB15

1015

R05CB15

1016

R05CB15

1017

R05DA09

1018

R05DA09

1019

R05DA09

1020

R05DA09

1021

R05DA09

1022

R05DA09

1023

R05DA09

1024

R05DA09

1025

R06AE09

1026

R06AE09

1027

R06AE09

1028

R06AE09

1029

R06AE09

1030

R06AE09

1031

R06AE09

1032

R06AE09

1033

R06AX26

DCI

MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
FENSPIRIDUM
FENSPIRIDUM
ERDOSTEINUM**
ERDOSTEINUM**
ERDOSTEINUM**
DEXTROMETHORPHANUM
DEXTROMETHORPHANUM
DEXTROMETHORPHANUM
DEXTROMETHORPHANUM
DEXTROMETHORPHANUM
DEXTROMETHORPHANUM
DEXTROMETHORPHANUM
DEXTROMETHORPHANUM
LEVOCETIRIZINUM
LEVOCETIRIZINUM
LEVOCETIRIZINUM
LEVOCETIRIZINUM
LEVOCETIRIZINUM
LEVOCETIRIZINUM
LEVOCETIRIZINUM
LEVOCETIRIZINUM
FEXOFENADINUM

Denumire Comerciala

MONTELUKAST ALVOGEN 10 mg
STANGEN 10 mg
MONTELUKAST ACCORD 10 mg
MONTELUKAST ACCORD 10 mg
SOLOK 10 mg
ASTHATOR 4 mg
SINGULAIR
SINGULAIR
MONTELUKAST TEVA 4 mg
MONTELUKAST TEVA 4 mg
SPIROKAST 4 mg
MONTELUKAST ACTAVIS 4 mg
MONKASTA 4 mg
MONTELUKAST ALVOGEN 4 mg
STANGEN 4 mg
SOLOK 4 mg
ASTHATOR 5 mg
SINGULAIR (R)
SINGULAIR (R)
MONTELUKAST TEVA 5 mg
MONTELUKAST TEVA 5 mg
SPIROKAST 5 mg
MONTEXAL 5 mg
MONTELUKAST ACTAVIS 5 mg
MONKASTA 5 mg
MONTELUKAST ALVOGEN 5 mg
STANGEN 5 mg
SOLOK 5 mg
ASTMASAN 4 mg
SINGULAIR 4 mg
EURESPAL 80 mg
EURESPAL 2 mg/ml
ERDOMED 300 mg
ERDOMED 225 mg
ERDOMED 175 mg/5 ml
TUSSIN FORTE
TUSALIN 15 mg
HUMEX
HUMEX 0,133 g/100 ml
ROFEDEX
TUSSIN 6,5mg/5ml
ROBITUSSIN JUNIOR
ROBITUSSIN ANTITUSSICUM
XYZAL (R)
XYZAL (R)
CEZERA 5 mg
LEVOCETIRIZINA SANDOZ 5 mg
LEVOCETIRIZINA ACTAVIS 5 mg
ZENARO 5 mg
XYZAL
ZENARO 0,5 mg/ml
EWOFEX 120 mg

forma farm.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.

GRANULE
GRANULE

COMPR. FILM.

SIROP
CAPS.

GRAN. PT. SUSP. ORALA

PULB. PT. SUSP. ORALA

COMPR.
COMPR. FILM.

SIROP
SIROP
SIROP
SIROP
SOL. ORALA
SOL. ORALA

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
PIC. ORALE, SOL.

SIROP
COMPR. FILM.

concentratie

10mg
10mg
10mg
10mg
10mg
4 mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
5 mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
4mg
4mg
80mg
2mg/ml
300mg
225mg
175mg/5ml
20mg
15mg
0,1%
0,13%
15mg/5ml
6,5mg/5ml
3,75mg/5ml
7,5mg/5ml
5mg
5mg
5mg
5mg
5mg
5mg
5mg/ml
0,5mg/ml
120mg

Detinator APP
ALVOGEN IPCO S.A.R.L

tara det.
APP

Ambalaj

Prescriptie

P6L
DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. AL/PE-PEID/PE SI DESICANT/AL/OPA X 28 COMPR. FILM. P6L
ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P6L
ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L
TERAPIA S.A.
ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. MAST. P6L
TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. MAST. P6L
MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. MAST. P-RF
MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 7 COMPR. MAST. P-RF
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. DIN AL/AL X 28 COMPR. FILM. P-RF
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. DIN AL/AL X 30 COMPR. FILM. P-RF
ZENTIVA, K.S.
REPUBLICA CEHA CUTIE CU BLIST. NY/AL/PVC-AL (FARA INDICAREA ZILELOR SAPTAMANII) X 28 COMPR. MAST.
P6L
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. MAST. P6L
KRKA D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC//AL X 28 COMPR. MAST. P6L
ALVOGEN IPCO S.A.R.L LUXEMBURG CUTIE CU BLIST. PA-ALL-PVC/AL X 28 COMPR. MASTICABILE P6L
DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. AL/PE-PEID/PE SI DESICANT/AL/OPA X 28 COMPR. MAST. P6L
TERAPIA S.A.
ROMANIA CUTIE CU BLIST. PAPVC/AL X 28 COMPR. MAST. P6L
TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. MAST. P6L
MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. OPA-AL-PVC/AL X 14 COMPR. MAST. P-RF
MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. MAST. P-RF
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. DIN AL/AL X 28 COMPR. FILM. P-RF
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. DIN AL/AL X 30 COMPR. FILM. P-RF
ZENTIVA, K.S.
REPUBLICA CEHA CUTIE CU BLIST. NY/AL/PVC-AL (FARA INDICAREA ZILELOR SAPTAMANII) X 28 COMPR. MAST.
P6L
ICN POLFA RZESZOW S.A. POLONIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. MAST. P6L
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. MAST. P6L
KRKA D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC//AL X 28 COMPR. MAST. P6L
ALVOGEN IPCO S.A.R.L LUXEMBURG CUTIE CU BLIST. PA-ALL-PVC/AL X 28 COMPR. MASTICABILE P6L
DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. AL/PE-PEID/PE SI DESICANT/AL/OPA X 28 COMPR. MAST. P6L
TERAPIA S.A.
ROMANIA CUTIE CU BLIST. PA/PVC/AL X 28 COMPR. MAST. P6L
SANDOZ S.R.L.
ROMANIA CUTIE CU 28 PLICURI PET/AL/PE CONTINAND GRANULE P6L
MERCK SHARP & DOHME ROMANIA CUTIE CU 28 PLICURI DIN PE/AL/POLIESTER CU GRANULE P6L
LUXEMBURG CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. FILM.

LES LAB. SERVIER IND. FRANTA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM. P-6L
LES LAB. SERVIER IND. FRANTA CUTIE X 1 FLACON PVC DE CULOARE BRUNA X 150 ML P-6L

CSC PHARMACEUTICALS HANDELS GMBH


CSC PHARMACEUTICALS HANDELS GMBH
CSC PHARMACEUTICALS HANDELS GMBH

EUROPHARM SA
BMF PHARM SRL
LAB. URGO SA
LAB. URGO SA
BIOFARM SA
ROPHARMA S.A.
WYETH WHITEHALL EXPORT GMBH
WYETH WHITEHALL EXPORT GMBH

U.C.B. GMBH
U.C.B. GMBH

AUSTRIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 CAPS.


AUSTRIA CUTIE CU 20 PLICURI UNIDOZA DIN HARTIE AL/PE
AUSTRIA
CUTIE CU 1 FLAC. DIN STICLA BRUNA A 50 G PULB. PT. OBTINEREA A 100 ML SUSP. ORALA + 1 MASURA DOZATOA

ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.

FRANTA
FRANTA

ROMANIA
ROMANIA

AUSTRIA
AUSTRIA

CUTIE X 1 FLACON X 125 ML SIROP + O MASURA DOZATOARE PENTRU MASURAREA VOLUMELOR 2,5ML; 5ML; 7,5ML; 1

P-6L
P-6L
P-6L
P-RF
P-RF
P-RF

CUTIE X 1 FLACON X 200 ML + O MASURA DOZATOARE DIN POLIPROPILENA

P-RF

CUTIE X 1 FLACON DIN STILCA BRUNA X 100 ML + MASURA DOZATOARE

P-RF

CUTIE X 1 FLAC. X 115ML SIROP + O LINGURITA DOZATOARE GRADATA LA 1,25ML; 2,5ML SI 5 ML

P-RF

CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SOL. ORALA

P-RF

CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SOL. ORALA

P-RF

GERMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-6L


GERMANIA CUTIE X 3 BLIST. X 10 COMPR. FILM. P-6L

KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL CU 30 COMPR. FILM. P-6L

SANDOZ S.R.L.

ACTAVIS GROUP PTC EHF.

ROMANIA

ISLANDA

ZENTIVA K.S.
REPUBLICA CEHA
UCB PHARMA GMBH GERMANIA
ZENTIVA, K.S.
REPUBLICA SLOVACA
EWOPHARMA INTERNATIONAL S.R.O.

Pagina 20 din 22

SLOVACIA

CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L


CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L
CUTIE CU BLIST. PVC-ACLAR/AL X 20 COMPR. FILM.

P-6L

CUTIE X 1 FLACON DIN STICLA BRUNA X 20 ML PIC. ORALE, SOL., PREVAZUT CU PICURATOR

P-6L

CUTIE CU 1 FLAC. DIN STICLA BRUNA X 200 ML SIROP + 1 LINGURITA DOZATOARE DE 5 ML GRADATA LA 2,5 ML S

P6L

CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L

Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)

28
28
28
30
28
28
28
14
28
30
28
30
28
28
28
28
28
14
28
28
30
28
28
30
28
28
28
28
28
28
30
1
10
20
1
20
10
1
1
1
1
1
1
10
30
30
10
10
20
1
1
10

82.04
63.22
52.55
56.29
63.10
107.38
157.51
83.04
42.84
45.90
42.84
45.87
42.84
57.78
42.84
42.32
99.55
76.63
145.31
53.46
57.27
53.46
73.75
57.26
53.46
57.78
53.46
53.25
77.86
158.93
28.09
20.02
15.81
33.14
24.95
6.78
2.70
8.46
10.82
5.27
7.87
8.61
8.61
16.92
42.17
28.34
10.99
10.99
22.00
36.23
24.35
11.96

Pret
amanuntul
maximal/UT
(RON)

2.930000
2.257857
1.876785
1.876333
2.253571
3.835000
5.625357
5.931428
1.530000
1.530000
1.530000
1.529000
1.530000
2.063571
1.530000
1.511428
3.555357
5.473571
5.189642
1.909285
1.909000
1.909285
2.633928
1.908666
1.909285
2.063571
1.909285
1.901785
2.780714
5.676071
0.936333
20.020000
1.581000
1.657000
24.950000
0.339000
0.270000
8.460000
10.820000
5.270000
7.870000
8.610000
8.610000
1.692000
1.405666
0.944666
1.099000
1.099000
1.100000
36.230000
24.350000
1.196000

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit. a)
(RON) pt.
si f)
Adulti

2.255714
2.255714
1.876785
1.876333
2.253571
1.527428
1.527428
1.527428
1.527428
1.527428
1.527428
1.527428
1.527428
1.527428
1.527428
1.511428
1.909285
1.909285
1.909285
1.909285
1.909000
1.909285
1.909285
1.908666
1.909285
1.909285
1.909285
1.901785
1.527428
1.527428
0.936333
20.020000
1.581000
1.303562
24.950000
0.339000
0.265124
8.460000
4.595503
5.270000
2.642415
5.363550
2.651251
1.692000
1.405666
0.944666
1.099000
1.099000
1.100000
36.230000
24.350000
1.119833

1.127857
1.127857
0.938392
0.938166
1.126785
0.763714
0.763714
0.763714
0.763714
0.763714
0.763714
0.763714
0.763714
0.763714
0.763714
0.755714
0.954642
0.954642
0.954642
0.954642
0.954500
0.954642
0.954642
0.954333
0.954642
0.954642
0.954642
0.950892
0.763714
0.763714
0.468166
10.010000
0.790500
0.651781
12.475000
0.169500
0.132562
4.230000
2.297751
2.635000
1.321207
2.681775
1.325625
0.846000
0.702833
0.472333
0.549500
0.549500
0.550000
18.115000
12.175000
0.559916

Nr. crt

cod ATC

1034

R06AX26

1035

R06AX26

1036

R06AX26

1037

R06AX27

1038

R06AX27

1039

R06AX27

1040

R06AX27

1041

R06AX27

1042

R06AX27

1043

R06AX27

1044

R06AX27

1045

R06AX27

1046

R06AX27

1047

R06AX27

1048

R06AX27

1049

R06AX27

1050

R06AX27

1051

R06AX27

1052

S01AA11

1053

S01AA12

1054

S01AA12

1055

S01AA12

1056

S01AA12

1057

S01AA23

1058

S01AA23

1059

S01AA23

1060

S01AX11

1061

S01AX11

1062

S01BA01

1063

S01BA01

1064

S01BA01

1065

S01BA06

DCI

FEXOFENADINUM
FEXOFENADINUM
FEXOFENADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
GENTAMICINUM
TOBRAMYCINUM
TOBRAMYCINUM
TOBRAMYCINUM
TOBRAMYCINUM
NETILMICINUM
NETILMICINUM
NETILMICINUM
OFLOXACINUM
OFLOXACINUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
BETAMETHASONUM

1066

S01CA01 COMBINATII ( NETILMICINUM + DEXAMETHASONUM)

1067

S01CA01 COMBINATII ( NETILMICINUM + DEXAMETHASONUM)

1068

S01CA01

COMBINATII (CLORAMPHENICOLUM+DEXAMETHASONUM)

1069

S01CA01 COMBINATII (TOBRAMYCINUM +DEXAMETAZONUM)

1070

S01CA01 COMBINATII (TOBRAMYCINUM +DEXAMETAZONUM)

1071

S01CA01 COMBINATII (TOBRAMYCINUM +DEXAMETAZONUM)

1072

S01GX09

1073

S01XA02

OLOPATADINUM
RETINOLUM

Denumire Comerciala

TELFAST 120 mg
EWOFEX 180 mg
TELFAST 180 mg
DESLORATADINE ACTAVIS
DESLORATADINE ACTAVIS
AERIUS 5mg
AERIUS 5mg
AERIUS 5mg
DASSELTA
DESLORATADINAE RATIOPHARM
DESLORATADINA ALVOGEN 5 mg
DESLORATADINA TERAPIA 5 mg
LORDESTIN 5 mg
AERIUS 2,5mg
AERIUS 5mg
AERIUS 0,5mg/ml
DESLORATADINA ALVOGEN 0,5 mg/ml
AERIUS 0,5mg/ml
GENTAMICIN SULPHATE
TOBROM 3 mg/ml
TOBREX
TOBREX 2 X
TOBREX (R)
NETTACIN (R)
NETTACIN (R)
NETTAVISC 3mg/g
FLOXAL (R)
FLOXAL (R)
DEXAMETAZONA ROMPHARM 1mg/ml
DEXAMETAZONA ROMPHARM 1mg/ml
MAXIDEX (R)
OPHTAMESONE
NETILDEX
NETILDEX
SPERSADEX COMP
DEXATOBROM 3 mg+1 mg/ml
TOBRADEX ( R )
TOBRADEX (R)
OPATANOL 1mg/ml
OCULOTECT

forma farm.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE

SOL. ORALA
SOL. ORALA
SOL. ORALA
PIC. OFT., SOL
PIC. OFT., SOL
PIC. OFT.,SOL.
PICATURI OFT.-SOL.

UNG. OFT.
PIC. OFT., SOL
PICATURI OFT.-SOL.

UNG. OFT.
PICATURI OFT.-SOL.

UNG. OFT.
PIC. OFT. SUSP.
PIC. OFT. SUSP.
PICATURI OFT.-SUSP.

SOL. OFT.

concentratie

120mg
180mg
180mg
5 mg
5 mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
2,5mg
5mg
0,5mg/ml
0,5mg/ml
0,5mg/ml
0,3%
3mg/ml
3mg/ml
0,3%
0,3%
0,3%
0,3%
3mg/g
0,3%
0,3%
1mg/ml
1mg/ml
0,1%
0,1%

Detinator APP

tara det.
APP

Ambalaj

Prescriptie

SANOFI-AVENTIS ROMANIA S.R.L.

ROMANIA

CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 10 COMPR.FILM. P-6L

EWOPHARMA INTERNATIONAL S.R.O.

SLOVACIA

CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L

SANOFI-AVENTIS ROMANIA S.R.L.

ROMANIA

CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM.

ACTAVIS GROUP PTC EHF.


ACTAVIS GROUP PTC EHF.

SP EUROPE
SP EUROPE
SP EUROPE

ISLANDA
ISLANDA
BELGIA
BELGIA
BELGIA

KRKA D.D. NOVO MESTO SLOVENIA

RATIOPHARM GMBH GERMANIA


ALVOGEN IPCO S.A.R.L LUXEMBURG

TERAPIA SA

GEDEON RICHTER ROMANIA SA

SP EUROPE
SP EUROPE
SP EUROPE

ROMANIA
ROMANIA

BELGIA
BELGIA
BELGIA

ALVOGEN IPCO S.A.R.L LUXEMBURG

SP EUROPE

BELGIA

CUTIE X 30COMPR. FILM. ( PCTFE/ PVC/AL) P-RF


CUTIE X 10 COMPR. FILM. ( PCTFE/ PVC/AL) P-RF

CUTIE X 7 COMPR. FILM. ( PCTFE/ PVC/AL) P-RF


CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPRIMATE FILMATE

PRF

CUTIE CU BLIST. DIN PVC/PVDC/AL X 30 COMPRIMATE FILMATE

PRF

CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM.

CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM.

P6L
P6L
P6L

CUTIE X 30 COMPR. ORODISPERSABILE (PVC/OPA/AL)

P-RF

CUTIE X 30 COMPR. ORODISPERSABILE (PVC/OPA/AL)

P-RF

CUTIE X 1 FLACON X 120 ML SOL. ORALA + LIGURITA DOZATOARE DE 2,5 ML SI 5 ML

P-RF

CUTIE CU BLIST. PCTFE-PVC/AL X 30 COMPR. FILM.

CUTIE CU 1 FLAC. DIN STICLA BRUNA A 120 ML SOL. ORALA + 1 LINGURITA DOZATOARE SAU O SERINGA DOZATOAR

CUTIE X 1 FLACON X 150 ML SOL. ORALA + LIGURITA DOZATOARE DE 2,5 ML SI 5ML

E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON X 10ML


ROMANIA CUTIE C 1 FLAC. PEJD X 5 ML PIC. OFT. SOL

ROMPHARM COMPANY SRL

ALCON COUVREUR NV BELGIA


ALCON COUVREUR NV BELGIA
ALCON COUVREUR NV BELGIA

S.I.F.I. SPA
S.I.F.I. SPA
S.I.F.I. SPA

ITALIA
ITALIA
ITALIA

P-6L

CUTIE CU BLIST. DIN OPA/AL/PVC-AL X 10 PRF


CUTIE CU BLIST. DIN OPA/AL/PVC-AL X30 PRF

P6L
P-RF
P-RF
P-RF

CUTIE X 1 FLACON DIN PEJD CU PICURATOR X 5 ML PIC. OFTALMICE, SOL.

P-RF

CUTIE X 1 FLAC. PEID CU PICURATOR DIN PEID X 5 ML

P-RF

CUTIE X 1 TUB DIN AL X 3,5 G UNGUENT OFTALMIC P-RF

CUTIE X 1 FLACON X 5ML

P-RF

CUTIE X 3 FOLII TERMOSUDATE X 5 FLACOANE UNIDOZA DIN POLIETILENA X 0,3 ML

P-RF

CUTIE X 1 TUB DIN AL X 5 G UNGUENT OFTALMIC, PREV. CU APLICATOR

P-RF

DR. GERHARD MANN CHEM.PHARM.FABRIK GMBH

GERMANIA

CUTIE X 1 FLACON DIN PEJD X 5 ML PICATURI OFT., SOL. P-RF

DR. GERHARD MANN CHEM.PHARM.FABRIK GMBH

GERMANIA

CUTIE X 1 TUB DIN AL PREVAZUT CU APLICATOR X 3 G

ROMANIA
ROMANIA

CUTIE X 1 FLAC. DIN PEID X 10 ML PIC. OFT., SUSPENSIE P-RF

ROMPHARM COMPANY SRL


ROMPHARM COMPANY SRL

ALCON COUVREUR NV BELGIA


DAR AL DAWA PHARMA S.R.L.

S.I.F.I. SPA
S.I.F.I. SPA

CUTIE X 1 FLAC. DIN PEID X 5 ML PIC. OFT., SUSPENSIE

P-RF

CUTIE X 1 FLACON PICURATOR DIN PE X 5 ML P-RF

ROMANIA CUTIE X 1 FLACON X 10ML

ITALIA
ITALIA

P-RF

P-RF

PIC. OFT.,SOL.

FARA CONCENTRATIE

PIC. OFT.SOL. UNIDOZA

FARA CONCENTRATIE

PICATURI OFT.-SOL.

5mg/ml+1mg/ml NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FLACON X 5 ML SOL. OFT. + PICURATOR P-RF

3mg+1mg/ml ROMPHARM COMPANY S.R.L.


1mg+3mg
ALCON COUVREUR NV
UNG. OFT.
1mg+3mg
ALCON COUVREUR NV
PIC. OFT., SOL. 1mg/ml
ALCON LABORATORIES LTD.
GEL OFT.
10mg/g
NOVARTIS PHARMA GMBH
PIC. OFT. SUSP.

PICATURI OFT.-SUSP.

CUTIE X 1 FLACON DIN PEJD X 5 ML PIC. OFT.SOL. P-RF


CUTIE X 20 FLAC. UNIDOZA DIN PEJD X 0,3 ML PIC.OFT. SOL.

ROMANIA CUTIE CU 1 FLAC. PEJD A 5 ML + PICURATOR

BELGIA
BELGIA

CUTIE X 1 FLACON PICURATOR PEJD X 5 ML


CUTIE X 1 TUB AL, PREVAZUT CU APLICATOR PEID X 3,5 G

CUTIE X 1 FLACON X 5 ML
GERMANIA CUTIE X 1 TUB X 10 G GEL. OFT.

MAREA BRITANIE

NOT:
- Tratamentul cu medicamentele corespunztoare DCI-urilor notate cu (*) se iniiaza de medicul de specialitate in limita competenei i poate fi prescris n continuare de medicul de familie pe baza scrisorii medicale
emise de medicul de specialitate;
- Tratamentul cu medicamentele corespunztoare DCI-urilor notate cu (**) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale Ministerului Sntii;
- Tratamentul cu medicamentele corespunztoare DCI-urilor notate cu (***) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale Ministerului Sntii i cu aprobarea comisiilor
de la nivelul Caselor Judeene de Asigurri de Sntate;
- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (****) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MS si cu aprobarea comisiilor de la nivelul
Casei Nationale de Asigurari de Sanatate;
- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (2) se prescrie numai in etapa pregtitoare pentru colonoscopie;

Pagina 21 din 22

P-RF
P-RF
P-RF
P-RF
P-RF

P-6L

Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)

10
10
10
10
30
30
10
7
30
30
30
30
30
30
30
1
1
1
1
1
1
1
1
1
15
1
1
1
1
1
1
1
1
20
1
1
1
1
1
1

13.31
17.92
19.38
9.35
28.06
54.55
21.77
17.46
25.45
35.44
35.44
25.45
35.46
49.67
42.82
20.49
13.31
25.93
4.71
4.08
11.31
20.80
8.64
14.18
28.94
32.50
14.45
15.38
10.12
5.55
8.55
4.50
31.39
51.31
12.53
10.00
15.39
13.07
30.49
16.43

Pret
amanuntul
maximal/UT
(RON)

1.331000
1.792000
1.938000
0.935000
0.935333
1.818333
2.177000
2.494285
0.848333
1.181333
1.181333
0.848333
1.182000
1.655666
1.427333
20.490000
13.310000
25.930000
4.710000
4.080000
11.310000
20.800000
8.640000
14.180000
1.929333
32.500000
14.450000
15.380000
10.120000
5.550000
8.550000
4.500000
31.390000
2.565500
12.530000
10.000000
15.390000
13.070000
30.490000
16.430000

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit. a)
(RON) pt.
si f)
Adulti

1.119833
1.679749
1.679749
0.935000
0.935333
1.119833
1.119833
1.119833
0.848333
1.119833
1.119833
0.848333
1.119833
0.559916
1.119833
12.982500
12.982500
16.228125
4.710000
4.080000
4.080000
4.080000
3.060000
14.180000
1.251059
20.850997
11.302500
15.380000
9.108000
4.554000
4.554000
4.500000
11.920500
0.715230
11.920500
10.000000
11.920500
8.344350
30.490000
16.430000

0.559916
0.839874
0.839874
0.467500
0.467666
0.559916
0.559916
0.559916
0.424166
0.559916
0.559916
0.424166
0.559916
0.279958
0.559916
6.491250
6.491250
8.114062
2.355000
2.040000
2.040000
2.040000
1.530000
7.090000
0.625529
10.425498
5.651250
7.690000
4.554000
2.277000
2.277000
2.250000
5.960250
0.357615
5.960250
5.000000
5.960250
4.172175
15.245000
8.215000

Nr. crt

cod ATC

DCI

Denumire Comerciala

forma farm.

concentratie

- Pentru medicamentele corespunztoare DCI-urilor notate cu (#) regulile de prescriere sunt stabilite prin Contractul Cadru.

Detinator APP

Pagina 22 din 22

tara det.
APP

Ambalaj

Prescriptie

Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)

Pret
amanuntul
maximal/UT
(RON)

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit. a)
(RON) pt.
si f)
Adulti

ANEXA 3
SECIUNEA C1 - LISTA MEDICAMENTELOR CU PROCENT DE COMPENSARE 100% DIN PREUL DE REFERIN CONFORM
DCI-urilor UTILIZATE N TRATAMENTUL AMBULATORIU AL UNOR GRUPE DE BOLI PENTRU CARE DECONTAREA SE FACE PE BAZA PROTOCOALELOR TERAPEUTICE CU MONITORIZAREA PRESCRIERII I CONSUMULUI PRIN COMISIILE PARITARE;
MEDICAMENTELE DIN ACEAST SUBLIST SE ELIBEREAZ PRIN FARMACII CU CIRCUIT DESCHIS PE BAZ DE PRESCRIPIE MEDICAL CU REINERE N FARMACIE ( P-RF)
DIN HG NR. 720/2008 CU MODIFICARILE SI COMPLETARILE ULTERIOARE
VALABIL NCEPND CU 01 IULIE 2012

NR.CRT

COD ATC

DCI

Denumire Comerciala

forma farm.

concentratie

DETINATOR APP

TARA
DET. APP

AMBALAJ

Prescriptie

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ambal
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
aj
(RON)
(RON)
a) si f)
ADULTI

1.INSUFICIENTA CARDIACA CRONICA(CLASA III SAU IV NYHA) - G 1


1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37

B01AA07
B01AA07
C01AA05
C01AA05
C03AA03
C03CA01
C03CA01
C03CA01
C03CA01
C03CA01
C03CA01
C03CA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02

ACENOCUMAROLUM
ACENOCUMAROLUM
DIGOXINUM
DIGOXINUM
HYDROCHLOROTHIAZIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM

TROMBOSTOP 2 mg
SINTROM 4 mg
DIGOXIN 0,25 mg
DIGOXIN 0,5 mg/2 ml
NEFRIX 25 mg
FUROSEMID MCC 40 mg
FUROSEMID SLAVIA
FUROSEMID EEL
FUROSEMID ZENTIVA
FUROSEMID LPH 40 mg
FUROSEMID ARENA 40 mg
FUROSEMID 20 mg/2 ml
VEROSPIRON
SPIRONOLACTONA ARENA 25 mg

SPIRONOLACTONA LPH 25 mg

VEROSPIRON

SPIRONOLACTONA ARENA 50 mg

SPIRONOLACTONA EEL 25 mg
SPIRONOLACTONA OZONE 25 mg
SPIRONOLACTONA OZONE 25 mg

SPIRONOLACTONA 25 mg
ALSPIRON 25 mg
ALSPIRON 50 mg
BLOXAN
BETAPROL 100 mg
EGILOK 100 mg
METOPROLOL LPH 100 mg
METOPROLOL AL 100
METOPROLOL AL 100
METOPROLOL AL 100
METOPROLOL 100 mg

METOPROLOL TERAPIA 100 mg


METOPROLOL VIM SPECTRUM 100 mg

METOPROLOL ARENA 100 MG

METOPROLOL 100 mg
METOPROLOL 100 mg

METOPROLOL TARTRAT INTAS 100 mg

COMPR.
COMPR.
COMPR.
SOL. INJ.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
SOL. INJ.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
COMPR.
COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.

2mg
4mg
0,25mg
0,5mg/2ml
25mg
40mg
40mg
40mg
40mg
40mg
40mg
10mg/ml
100mg
25mg
25mg
50mg
50mg
25mg
25mg
25mg
25mg
25mg
50mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg

TERAPIA SA

30
20
ZENTIVA S.A.
ROMANIA CUTIE X 1 BLIST. AL/PVC X 25 COMPR. P-RF
25
ZENTIVA S.A.
ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 2 ML SOL. INJ. S/P-RF
5
ZENTIVA SA
ROMANIA CUTIE X 1 BLIST. AL/PVC X 25 COMPR. P-6L
25
MAGISTRA C&C S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
BIO EEL SRL
ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
P-6L
20
ZENTIVA SA
ROMANIA CUTIE X 1 FLAC. DIN PEID X 20 COMPR. P-6L
20
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
ZENTIVA SA
ROMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA CU INEL DE RUPERE X 2 ML SOL. INJ. P-RF
5
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L
30
ARENA GROUP S.A. ROMANIA CUTIE CU 5 BLIST. PVC/AL X 10 CAPS. P-6L
50
LABORMED PHARMA S.A. ROMANIA CUTIE CU 6 BLIST. PVC/AL X 10 CAPS. P6L
60
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L
30
ARENA GROUP S.A. ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 CAPS. P-6L
30
BIO EEL SRL
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L
50
OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L
50
TERAPIA SA
ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
50
AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
20
AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
20
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC/PVDC TRANSPARENT/AL X 10 COMPR. P-6L
30
AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 20 COMPR. P-6L
20
LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L
30
ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L
100
ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L
50
MAGISTRA C & C SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
TERAPIA SA
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
SLAVIA PHARMA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
INTAS PHARMACEUTICALS LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 30 COMPR. P6L
30
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P-RF

NOVARTIS PHARMA GMBH GERMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR.

P-RF

Pagina 1 din 42

6.53
6.76
2.79
6.64
3.48
3.02
2.28
5.42
6.02
3.04
6.02
6.07
28.51
16.07
19.46
16.72
16.24
4.30
10.79
10.79
16.21
4.30
13.74
14.05
10.94
6.56
7.12
9.12
19.75
13.00
9.49
15.12
7.38
7.01
8.09
8.09
8.09

0.217666
0.338000
0.111600
1.328000
0.139200
0.151000
0.114000
0.271000
0.301000
0.152000
0.301000
1.214000
0.950333
0.321400
0.324333
0.557333
0.541333
0.215000
0.215800
0.215800
0.324200
0.215000
0.687000
0.468333
0.364666
0.328000
0.237333
0.304000
0.197500
0.260000
0.316333
0.504000
0.369000
0.233666
0.404500
0.404500
0.269666

0.217666
0.338000
0.111600
1.328000
0.139200
0.136800
0.114000
0.136800
0.136800
0.136800
0.136800
1.214000
0.950333
0.258000
0.258000
0.557333
0.541333
0.215000
0.215800
0.215800
0.258000
0.215000
0.649599
0.237000
0.237000
0.237000
0.237000
0.237000
0.197500
0.237000
0.237000
0.237000
0.237000
0.233666
0.237000
0.237000
0.237000

0.217666
0.338000
0.111600
1.328000
0.139200
0.136800
0.114000
0.136800
0.136800
0.136800
0.136800
1.214000
0.950333
0.258000
0.258000
0.557333
0.541333
0.215000
0.215800
0.215800
0.258000
0.215000
0.649599
0.237000
0.237000
0.237000
0.237000
0.237000
0.197500
0.237000
0.237000
0.237000
0.237000
0.233666
0.237000
0.237000
0.237000

NR.CRT

38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86

COD ATC

C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB07
C07AB07
C07AB07
C07AB12
C07AB12
C07AB12
C07AB12
C07AB12
C07AB12
C07AB12
C07AB12
C07AB12
C07AB12
C07AB12
C07AB12
C07AB12
C07AG02
C07AG02
C07AG02
C07AG02

DCI

METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM

Denumire Comerciala

EGILOK 25 mg
METOPROLOL LPH 25 mg
METOPROLOL 25 mg

forma farm.

COMPR.
COMPR.
COMPR.
METOPROLOL ARENA 25 MG COMPR.
BETAPROL 50 mg
COMPR.
EGILOK 50 mg
COMPR.
METOPROLOL LPH 50 mg COMPR.
METOPROLOL AL 50
COMPR.
METOPROLOL AL 50
COMPR.
METOPROLOL AL 50
COMPR.
METOPROLOL 50 mg
COMPR.
METOPROLOL TERAPIA 50 mg COMPR.
METOPROLOL VIM SPECTRUM 50 mg COMPR.
METOPROLOL ARENA 50 MG COMPR.
METOPROLOL 50 mg
COMPR.
METOPROLOL 50 mg
COMPR.
METOPROLOL TARTRAT INTAS 50 mg COMPR.

METOPROLOL RETARD 100 mg COMPR. ELIB. PREL.

BETALOC (R) ZOK 100 mg


EMZOK 100 mg

COMPR. FILM. ELIB. PREL.


COMPR. FILM. ELIB. PREL.

METOPROLOL SUCCINAT POLPHARMA 190 mg COMPR. FILM. ELIB. PREL.


METOPROLOL SUCCINAT POLPHARMA 47,5 mg

BETALOC (R) ZOK 50 mg


EMZOK 50 mg

COMPR. FILM. ELIB. PREL.


COMPR. FILM. ELIB. PREL.
COMPR. FILM. ELIB. PREL.

METOPROLOL SUCCINAT POLPHARMA 95 mg COMPR. FILM. ELIB. PREL.

METOSUCCINAT SANDOZ 190 mg COMPR.FILM.ELIB.MOD.


METOSUCCINAT SANDOZ 47,5 mg
METOSUCCINAT SANDOZ 95 mg

BETALOC
CONCOR COR 10 mg
CONCOR COR 2,5 mg
CONCOR COR 5 mg
EZOCEM 5 mg
NEBILET (R)
NEBIVOLOL ACTAVIS 5 mg
X-PRESSOL 5 mg
NOLET 5 mg
NEBIVOLOL TEVA 5 mg
NEBIVOLOL TEVA 5 mg
VOXNEBIN 5 mg
NEBINORM 5 mg
NEBICARD 5 mg
NEBIVOLOL SANDOZ 5 mg
NEBIVOLOL TERAPIA 5mg
NEBIVOLOL TORRENT 5 mg
CARVEDILOL SANDOZ
DILATREND (R) 12,5 mg
CORYOL 12,5 mg
TALLITON (R) 12,5 mg

COMPR.FILM.ELIB.MOD.
COMPR.FILM.ELIB.MOD.

SOL. INJ.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.

concentratie

25mg
25mg
25mg
25mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
100mg
100mg
100mg
190mg
47,5mg
50mg
50mg
95mg
190mg
47,5mg
95mg
5mg/5ml
10mg
2,5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
12,5 mg
12,5mg
12,5mg
12,5mg

DETINATOR APP

TARA
DET. APP

AMBALAJ

Prescriptie

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ambal
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
aj
(RON)
(RON)
ADULTI
a) si f)

20
20
MAGISTRA C & C SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 20 COMPR. P-6L
20
LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
ALIUD PHARMA GMBH GERMANIA CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L
30
ALIUD PHARMA GMBH GERMANIA CUTIE X 10 BLIST. DIN PVC-PVDC/ALX 10 COMPR P-6L 100
ALIUD PHARMA GMBH GERMANIA CUTIE X 5 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L
50
MAGISTRA C & C SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
TERAPIA SA
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
SLAVIA PHARMA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
INTAS PHARMACEUTICALS LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 30 COMPR. P6L
30
TERAPIA SA
ROMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. CU ELIB. PREL. P-6L
20
ASTRAZENECA AB SUEDIA CUTIE X 1 FLAC. X 30 COMPR. FILM. ELIB. PREL. P-6L
30
IVAX PHARMCEUTICALS S.R.O. CEHIA
CUTIE X 3 BLIST. AL/PP X 10 COMPR. FILM. ELIB. PREL. P-6L
30
PHARMACEUTICAL WORKS POLPHARMA SA
POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. CU ELIB. PREL. P-6L
28
PHARMACEUTICAL WORKS POLPHARMA SA
POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. CU ELIB. PREL. P-6L
28
ASTRAZENECA AB SUEDIA CUTIE X 1 FLAC. X 30 COMPR. FILM. ELIB. PREL. P-6L
30
IVAX PHARMCEUTICALS S.R.O. CEHIA
CUTIE X 3 BLIST. AL/PP X 10 COMPR. FILM. ELIB. PREL. P-6L
30
PHARMACEUTICAL WORKS POLPHARMA SA
POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. CU ELIB. PREL. P-6L
28
HEXAL AG
GERMANIA CUTIE X 3 BLIST. ACLAR-PVC/AL X 10 COMPR. FILM. ELIB. MODIF. P-6L
30
HEXAL AG
GERMANIA CUTIE X 3 BLIST. ACLAR-PVC/AL X 10 COMPR. FILM. ELIB. MODIF. P-6L
30
HEXAL AG
GERMANIA CUTIE X 3 BLIST. ACLAR-PVC/AL X 10 COMPR. FILM. ELIB. MODIF. P-6L
30
ASTRAZENECA AB SUEDIA CUTIE X 5 FIOLE X 5 ML SOL.INJ. I.V./PERF. S
5
MERCK KGAA
GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
30
MERCK KGAA
GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
30
MERCK KGAA
GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
30
OZONE LABORATORIES BV OLANDA CUTIE X 28 COMPR. IN BLIST. PVC-PE-PVDC/AL P-6L
28
BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 4 BLIST. AL/PVC X 7 COMPR. P-6L
28
ACTAVIS S.R.L.
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-RF
30
ANTIBIOTICE S.A.
ROMANIA CUTIE X 3 BLIST. PVC- PE- PVDC/AL X 10 COMPR. P-6L
30
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. P-6L
28
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L
30
SANDOZ S.R.L.
ROMANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. P-6L
28
GLENMARK PHARMACEUTICALS SRL
CEHIA
CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L
30
BIOFARM SP.ZO.O POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. P-6L
28
SANDOZ S.R.L.
ROMANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. P6L
28
TERAPIA S.A.
ROMANIA CUTIE X 2 BLIST. PVC/AL X 14 COMPR. P-6L
28
TORRENT PHARMA SRL ROMANIA CUTIE CU 3 BLIST. AL/PVC X 10 COMPR. P6L
30
HEXAL AG
GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L
30
ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. OPA-AL-PVDC/AL X 14 COMPR. P-6L
28
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 4 BLIST. OPA-AL-PVC/AL X 7 COMPR. P-6L
28
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR. P-6L
30
EGIS PHARMACEUTICALS P.L.C.

UNGARIA

CUTIE X 1 FLAC. DIN STICLA BRUNA X 20 COMPR. P-6L

LABORMED PHARMA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 20 COMPR. P-6L

Pagina 2 din 42

1.90
1.90
2.85
2.85
5.27
3.51
4.75
5.27
8.40
7.09
5.27
7.06
3.45
5.27
3.51
3.51
5.27
11.12
25.70
16.70
21.20
9.51
15.69
10.22
15.59
22.71
8.14
13.59
22.16
32.72
14.76
22.31
25.53
34.55
23.20
27.09
24.87
22.80
24.44
13.84
24.87
22.93
13.84
22.65
24.59
8.74
29.94
12.48
13.30

0.095000
0.095000
0.095000
0.095000
0.175666
0.175500
0.158333
0.175666
0.084000
0.141800
0.175666
0.235333
0.172500
0.175666
0.175500
0.175500
0.175666
0.556000
0.856666
0.556666
0.757142
0.339642
0.523000
0.340666
0.556785
0.757000
0.271333
0.453000
4.432000
1.090666
0.492000
0.743666
0.911785
1.233928
0.773333
0.903000
0.829000
0.814285
0.814666
0.494285
0.829000
0.818928
0.494285
0.808928
0.819666
0.291333
1.069285
0.445714
0.443333

0.095000
0.095000
0.095000
0.095000
0.100800
0.100800
0.100800
0.100800
0.084000
0.100800
0.100800
0.100800
0.100800
0.100800
0.100800
0.100800
0.100800
0.237000
0.237000
0.237000
0.757142
0.325599
0.100800
0.100800
0.543600
0.757000
0.271333
0.453000
4.432000
0.593160
0.492000
0.300120
0.593142
0.593142
0.593142
0.593142
0.593142
0.593142
0.593142
0.494285
0.593142
0.593142
0.494285
0.593142
0.593142
0.291333
0.349599
0.349599
0.349599

0.095000
0.095000
0.095000
0.095000
0.100800
0.100800
0.100800
0.100800
0.084000
0.100800
0.100800
0.100800
0.100800
0.100800
0.100800
0.100800
0.100800
0.237000
0.237000
0.237000
0.757142
0.325599
0.100800
0.100800
0.543600
0.757000
0.271333
0.453000
4.432000
0.593160
0.492000
0.300120
0.593142
0.593142
0.593142
0.593142
0.593142
0.593142
0.593142
0.494285
0.593142
0.593142
0.494285
0.593142
0.593142
0.291333
0.349599
0.349599
0.349599

NR.CRT

87
88
89
90
91
92
93
94
95
96
97
98
99

COD ATC
C07AG02
C07AG02
C07AG02
C07AG02
C07AG02
C07AG02
C07AG02
C07AG02
C07AG02
C07AG02
C07AG02
C07AG02
C07AG02

100 C07AG02
101 C07AG02
102 C07AG02
103 C07AG02
104 C07AG02
105 C07AG02
106 C07AG02
107 C07AG02
108 C07AG02
109 C07AG02
110 C07AG02
111 C07AG02
112 C07AG02
113 C07AG02
114 C09AA01
115 C09AA01
116 C09AA01
117 C09AA01
118 C09AA01
119 C09AA01
120 C09AA01
121 C09AA01
122 C09AA01
123 C09AA01
124 C09AA01
125 C09AA01
126 C09AA01
127 C09AA01
128 C09AA02
129 C09AA02
130 C09AA02
131 C09AA02
132 C09AA02
133 C09AA02
134 C09AA02
135 C09AA02

DCI

CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM

Denumire Comerciala

CARVEDILOL LPH 12,5 mg


CARVEDILOL VIM SPECTRUM 12,5mg

GLADYCOR 12,5 mg
MIOCARVIL 12,5 mg
ATRAM 12,5
CARVEDILOL HELCOR 12,2 mg

DILATREND (R) 25 mg
CORYOL 25 mg
TALLITON (R) 25 mg
CARVEDILOL SANDOZ
CARVEDILOL LPH 25 mg
GLADYCOR 25 mg
MIOCARVIL 25 mg
ATRAM 25

CARVEDILOL HELCOR 25 mg

DILATREND (R) 6,25 mg


CORYOL (R)
TALLITON 6,25 mg
CARVEDILOL SANDOZ
CARVEDILOL LPH 6,25 mg

CARVEDILOL VIM SPECTRUM 6,25 mg

GLADYCOR 6,25 mg
MIOCARVIL 6,25 mg
ATRAM 6,25
CARVEDIGAMMA 12,5 mg
CARVEDIGAMMA 25 mg
CARVEDIGAMMA 6,25 mg
CAPTOPRIL MCC 12,5 mg
CAPTOPRIL 25 mg
CAPTOPRIL 25 EEL
CAPTOPRIL - AC 25 mg
CAPTOPRIL MCC 25 mg
CAPTOPRIL LPH 25 mg
CAPTOPRIL SINTOFARM 25 mg

CAPTOPRIL ARENA 25 mg
CAPTOPRIL ARENA 50 mg
CAPTOPRIL 50 mg
CAPTOPRIL 50 EEL
CAPTOPRIL - AC 50 mg
CAPTOPRIL MCC 50 mg
CAPTOPRIL LPH 50 mg
ENALAPRIL 10 mg
ENALAPRIL 10 mg
ENALAPRIL SANDOZ 10 mg
ENALAPRIL LPH 10 mg
ENAP 10 mg
ENALAPRIL FABIOL 10 mg
ENALAPRIL SLAVIA 10 mg
ENALAPRIL AL 10

forma farm.

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.

concentratie

12,5mg
12,5mg
12,5mg
12,5mg
12,5mg
12,5mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
6,25mg
6,25mg
6,25mg
6,25mg
6,25mg
6,25mg
6,25mg
6,25mg
6,25mg
12,5mg
25mg
6,25mg
12,5mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
50 mg
50mg
50mg
50mg
50mg
50mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg

TARA
DET. APP
LABORMED PHARMA SA ROMANIA
VIM SPECTRUM SRL ROMANIA
ANTIBIOTICE S.A.
ROMANIA
LABORMED PHARMA S.A. ROMANIA
DETINATOR APP

ZENTIVA K.S.

CEHIA

AMBALAJ

Prescriptie

CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L


CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L
CUTIE X 3 BLIST. PVC/AL X 10 COMPR. FILM. P-6L
CUTIE X 2 BLIST. PVC-PVDC/AL X 15 COMPR.

P-6L

ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L


ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. OPA-AL-PVDC/AL X 14 COMPR. P-6L

AC HELCOR PHARMA SRL

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. P-6L
EGIS PHARMACEUTICALS P.L.C.

HEXAL AG

UNGARIA

CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR. P-6L

GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR.

P-6L

LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L

ANTIBIOTICE S.A.

ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L


LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. FILM. P-6L

ZENTIVA K.S.

CEHIA

CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR.

P-6L

ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L


ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. OPA-AL-PVDC/AL X 14 COMPR. P-6L

AC HELCOR PHARMA SRL

KRKA D.D.

EGIS PHARMACEUTICALS P.L.C.

HEXAL AG

SLOVENIA CUTIE X 4 BLIST. OPA-AL-PVC/AL X 7 COMPR. P-6L

UNGARIA

CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR. P-6L

GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR.

P-6L

LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-6L

VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


ANTIBIOTICE S.A.
ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR.

P-6L
P-6L

P-6L

LABORMED PHARMA S.A. ROMANIA CUTIE X 2 BLIST. PVC/AL X 15 COMPR. FILM. P-6L

ZENTIVA K.S.

CEHIA

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L

MAGISTRA C & C
TERAPIA SA
BIO EEL SRL

LABORMED PHARMA SA

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

OZONE LABORATORIES LTD.

MAREA BRITANIE

AC HELCOR PHARMA SRL

MAGISTRA C & C
LABORMED PHARMA SA

SINTOFARM SA
ARENA GROUP SA
ARENA GROUP SA
TERAPIA SA
BIO EEL SRL

AC HELCOR PHARMA SRL

MAGISTRA C & C
MAGISTRA C & C
SANDOZ SRL

CUTIE X 2 BLIST. PVC-PVDC/AL X 15 COMPR.

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.


CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

CUTIE X 2 FOLII X 10 COMPR.

P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L

ROMANIA CUTIE X 2 BLIST. X 10 COMPR.


P-6L
ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
P-6L
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/AL X 10 COMPR. P-6L
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. AL/OPA-AL-PVC X 10 COMPR. P-6L

FABIOL SA
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. PVC/ AL X 10 COMPR.

ALIUD PHARMA GMBH & CO.KG

Pagina 3 din 42

P-6L
P-6L

GERMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ambal
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
aj
(RON)
(RON)
ADULTI
a) si f)

30
20
30
30
30
20
28
28
30
30
30
30
30
30
20
28
28
30
30
30
20
30
30
30
30
30
30
30
30
20
20
30
30
30
20
20
30
20
20
30
30
20
20
20
20
20
20
20
30

13.36
6.72
13.10
13.36
12.87
8.72
33.45
22.05
23.62
9.18
23.62
23.00
23.62
19.57
15.72
16.46
6.44
6.89
6.89
6.89
4.56
6.70
6.89
6.44
13.93
24.30
9.06
3.41
4.10
3.02
2.28
3.42
3.42
4.64
2.28
2.67
6.67
3.87
2.67
4.50
3.93
4.39
4.39
3.96
4.39
4.39
4.39
4.39
6.59

0.445333
0.336000
0.436666
0.445333
0.429000
0.436000
1.194642
0.787500
0.787333
0.306000
0.787333
0.766666
0.787333
0.652333
0.786000
0.587857
0.230000
0.229666
0.229666
0.229666
0.228000
0.223333
0.229666
0.214666
0.464333
0.810000
0.302000
0.113666
0.136666
0.151000
0.114000
0.114000
0.114000
0.154666
0.114000
0.133500
0.222333
0.193500
0.133500
0.150000
0.131000
0.219500
0.219500
0.198000
0.219500
0.219500
0.219500
0.219500
0.219666

0.349599
0.336000
0.349599
0.349599
0.349599
0.349599
0.367200
0.367200
0.367200
0.306000
0.367200
0.367200
0.367200
0.367200
0.367200
0.257599
0.230000
0.229666
0.229666
0.229666
0.228000
0.223333
0.229666
0.214666
0.349599
0.367200
0.257599
0.113666
0.136666
0.136800
0.114000
0.114000
0.114000
0.136800
0.114000
0.133500
0.157200
0.157200
0.133500
0.150000
0.131000
0.219500
0.219500
0.198000
0.219500
0.219500
0.219500
0.219500
0.219666

0.349599
0.336000
0.349599
0.349599
0.349599
0.349599
0.367200
0.367200
0.367200
0.306000
0.367200
0.367200
0.367200
0.367200
0.367200
0.257599
0.230000
0.229666
0.229666
0.229666
0.228000
0.223333
0.229666
0.214666
0.349599
0.367200
0.257599
0.113666
0.136666
0.136800
0.114000
0.114000
0.114000
0.136800
0.114000
0.133500
0.157200
0.157200
0.133500
0.150000
0.131000
0.219500
0.219500
0.198000
0.219500
0.219500
0.219500
0.219500
0.219666

NR.CRT

COD ATC

136 C09AA02
137 C09AA02
138 C09AA02
139 C09AA02
140 C09AA02
141 C09AA02
142 C09AA02
143 C09AA02
144 C09AA02
145 C09AA02
146 C09AA02
147 C09AA02
148 C09AA02
149 C09AA02
150 C09AA02
151 C09AA02
152 C09AA02
153 C09AA02
154 C09AA02
155 C09AA02
156 C09AA02
157 C09AA02
158 C09AA02
159 C09AA02
160 C09AA02
161 C09AA02
162 C09AA02
163 C09AA02
164 C09AA02
165 C09AA02
166 C09AA02
167 C09AA03
168 C09AA03
169 C09AA03
170 C09AA03
171 C09AA03
172 C09AA03
173 C09AA03
174 C09AA03
175 C09AA03
176 C09AA03
177 C09AA03
178 C09AA03
179 C09AA03
180 C09AA03
181 C09AA03
182 C09AA03
183 C09AA03
184 C09AA03

ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM

DCI

Denumire Comerciala

RENITEC 10 mg
ENALAPRIL TERAPIA 10 mg
ENALAPRIL ARENA 10mg
ENALAPRIL ARENA 10mg
ENALAPRIL ARENA 10mg
ENALAPRIL ARENA 10mg
ENALAPRIL VIM SPECTRUM 10 mg

EDNYT 10 mg
ENALAPRIL 20 mg
ENALAPRIL SANDOZ 20 mg
ENALAPRIL LPH 20 mg
ENAP 20 mg
ENALAPRIL FABIOL 20 mg
ENALAPRIL AL 20
RENITEC 20 mg
ENALAPRIL TERAPIA 20 mg
ENALAPRIL ARENA 20 mg
ENALAPRIL ARENA 20 mg
ENALAPRIL SLAVIA 20 mg
ENALAPRIL 5 mg
ENALAPRIL 5 mg
ENALAPRIL SANDOZ 5 mg
ENALAPRIL AL 5
ENAP 5 mg
RENITEC 5 mg
ENALAPRIL LPH (R) 5 mg
ENALAPRIL TERAPIA 5 mg
ENALAPRIL ARENA 5 mg

ENALAPRIL VIM SPECTRUM 5 mg

ENALAPRIL SLAVIA 5 mg
ENAP (R)
RANOLIP
LISIREN 10 mg
LISINOPRIL SANDOZ 10 mg
LISIGAMMA 10 mg
LISINOPRIL 10 MEDO
LISINOPRIL ACTAVIS 10 mg
LISINOPRIL ATB 10 MG
LISINOPRIL ATB 10 MG
TONOLYSIN 10 mg
TONOLYSIN 2,5 mg
RANOLIP
LISIREN 20 mg
LISINOPRIL SANDOZ 20 mg
LISIGAMMA 20 mg
LISINOPRIL 20 MEDO
LISINOPRIL ACTAVIS 20 mg
LISINOPRIL ATB 20 MG
LISINOPRIL ATB 20 MG

forma farm.

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
SOL. INJ.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.

concentratie

10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
1,25mg/ml
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
2,5mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg

DETINATOR APP

TARA
DET. APP
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
SLOVENIA
ROMANIA

AMBALAJ

Prescriptie

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ambal
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
aj
(RON)
(RON)
ADULTI
a) si f)

28
20
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L
50
CUTIE X 10 BLIST. AL/PVC X 10 COMPR. P-6L 100
CUTIE X 1 FLAC. DIN PE X 20 COMPR. P-6L
20
CUTIE X 2 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L
20
GEDEON RICHTER ROMANIA SA
CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L
30
MAGISTRA C & C
CUTIE X 2 BLIST. X 10 COMPR.
P-6L
20
SANDOZ SRL
CUTIE X 2 BLIST. X 10 COMPR.
P-6L
20
LABORMED PHARMA SA
CUTIE X 2 BLIST. AL/AL X 10 COMPR. P-6L
20
KRKA D.D. NOVO MESTO
CUTIE X 2 BLIST. AL/OPA-AL-PVC X 10 COMPR. P-6L
20
FABIOL SA
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L
30
MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. AL/AL X 14 COMPR. P-6L
28
TERAPIA SA
ROMANIA CUTIE X 2 BLIST. AL/PVC-PE-PVDC X 10 COMPR. P-6L
20
ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L
30
ARENA GROUP SA ROMANIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. P-6L
50
SLAVIA PHARM S.R.L. ROMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. P6L
20
OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 FOLII X 10 COMPR.
P-6L
20
MAGISTRA C & C
ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
P-6L
20
SANDOZ SRL
ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
P-6L
20
ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L
30
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. AL/OPA-AL-PVC X 10 COMPR. P-6L
20
MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. AL/AL X 14 COMPR. P-6L
28
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/AL X 10 COMPR. P-6L
20
TERAPIA SA
ROMANIA CUTIE X 2 BLIST. AL/PVC-PE-PVDC X 10 COMPR. P-6L
20
ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L
20
SLAVIA PHARM S.R.L. ROMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. P6L
20
KRKA D.D.
SLOVENIA CUTIE X 5 FIOLE X 1 ML
S/P-RF
5
RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 BLIST. X 10 COMPR.
P-6L
30
AC HELCOR SRL
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
HEXAL AG
GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L
30
MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/AL X 30 COMPR. P-6L
30
ANTIBIOTICE SA
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
ANTIBIOTICE SA
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L
28
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L
28
RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 BLIST. X 10 COMPR.
P-6L
30
AC HELCOR SRL
ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. P-6L
20
HEXAL AG
GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L
30
MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/AL X 30 COMPR. P-6L
30
ANTIBIOTICE SA
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-6L
10
ANTIBIOTICE SA
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
MERCK SHARP & DOHME

TERAPIA SA
ARENA GROUP SA
ARENA GROUP SA
ARENA GROUP SA
ARENA GROUP SA
VIM SPECTRUM SRL

Pagina 4 din 42

CUTIE X 2 BLIST. AL/AL X 14 COMPR. P-6L

CUTIE X 2 BLIST. AL/PVC-PE-PVDC X 10 COMPR.

P-6L

10.52
7.30
6.87
11.25
22.02
11.28
4.10
10.20
7.94
10.18
8.75
7.94
7.12
11.62
17.12
11.11
11.12
16.43
7.92
3.67
3.67
3.67
5.25
3.67
7.87
3.84
3.93
5.58
3.65
3.67
15.45
14.98
10.74
10.31
8.61
14.44
12.87
6.27
9.72
15.47
8.75
23.11
15.65
15.05
12.93
14.44
23.37
7.43
23.48

0.375714
0.365000
0.229000
0.225000
0.220200
0.564000
0.205000
0.340000
0.397000
0.509000
0.437500
0.397000
0.356000
0.387333
0.611428
0.555500
0.370666
0.328600
0.396000
0.183500
0.183500
0.183500
0.175000
0.183500
0.281071
0.192000
0.196500
0.186000
0.182500
0.183500
3.090000
0.499333
0.537000
0.343666
0.287000
0.481333
0.429000
0.313500
0.324000
0.552500
0.312500
0.770333
0.782500
0.501666
0.431000
0.722000
0.779000
0.743000
0.782666

0.237600
0.237600
0.229000
0.225000
0.220200
0.237600
0.205000
0.237600
0.394320
0.394320
0.394320
0.394320
0.356000
0.387333
0.394320
0.394320
0.370666
0.328600
0.394320
0.183500
0.183500
0.183500
0.175000
0.183500
0.210000
0.192000
0.196500
0.186000
0.182500
0.183500
3.090000
0.344400
0.344400
0.343666
0.287000
0.344400
0.344400
0.313500
0.324000
0.344400
0.312500
0.517200
0.517200
0.501666
0.431000
0.517200
0.517200
0.517200
0.517200

0.237600
0.237600
0.229000
0.225000
0.220200
0.237600
0.205000
0.237600
0.394320
0.394320
0.394320
0.394320
0.356000
0.387333
0.394320
0.394320
0.370666
0.328600
0.394320
0.183500
0.183500
0.183500
0.175000
0.183500
0.210000
0.192000
0.196500
0.186000
0.182500
0.183500
3.090000
0.344400
0.344400
0.343666
0.287000
0.344400
0.344400
0.313500
0.324000
0.344400
0.312500
0.517200
0.517200
0.501666
0.431000
0.517200
0.517200
0.517200
0.517200

NR.CRT

COD ATC

185 C09AA03
186 C09AA03
187 C09AA03
188 C09AA03
189 C09AA03
190 C09AA03
191 C09AA03
192 C09AA03
193 C09AA03
194 C09AA05
195 C09AA05
196 C09AA05
197 C09AA05
198 C09AA05
199 C09AA05
200 C09AA05
201 C09AA05
202 C09AA05
203 C09AA05
204 C09AA05
205 C09AA05
206 C09AA05
207 C09AA05
208 C09AA05
209 C09AA05
210 C09AA05
211 C09AA05
212 C09AA05
213 C09AA05
214 C09AA05
215 C09AA05
216 C09AA05
217 C09AA05
218 C09AA05
219 C09AA05
220 C09AA05
221 C09AA05
222 C09CA03
223 C09CA03
224 C09CA03
225 C09CA03
226 C09CA03
227 C09CA03
228 C09CA03
229 C09CA03
230 C09CA03
231 C09CA03
232 C09CA03
233 C09CA03

DCI

LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**

Denumire Comerciala

TONOLYSIN 20 mg
LISINOPRIL ATB 40 MG
LISINOPRIL ATB 40 MG
RANOLIP
LISINOPRIL SANDOZ 5 mg
LISIGAMMA 5 mg
LISINOPRIL 5 MEDO
LISINOPRIL ACTAVIS 5 mg
TONOLYSIN 5 mg
VIVOKAR 10 mg
VIVACE 10 mg
PIRAMIL 10 mg
RAMIPRIL-AC 10 mg
AMPRIL 10 mg
HARTIL 10 mg
ZENRA 10
RAMIGAMMA 10 mg
TRITACE 10
VIVACE 2,5 mg
PIRAMIL 2,5 mg
RAMIPRIL-AC 2,5 mg
AMPRIL 2,5 mg
HARTIL 2,5 mg
ZENRA 2,5
TRITACE(R) 2,5
VIVACE 5 mg
PIRAMIL 5 mg
RAMIPRIL-AC 5 mg
AMPRIL 5 mg
HARTIL 5 mg
ZENRA 5
RAMIGAMMA 5 mg
TRITACE 5
RAMIRAN 1,25 mg
RAMIRAN 10 mg
RAMIRAN 2,5 mg
RAMIRAN 5 mg
VALSARTAN TEVA 160 mg
VALSARTAN TEVA 80 mg
CORETON 160 mg
WENZELL 160 mg
WENZELL 160 mg
VALSARGAMMA 160 mg
DIOVAN 160 mg

forma farm.

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
CAPS.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
CAPS.
CAPS.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
VALSARTAN TORRENT 160 mg COMPR. FILM.
VALSACOR 160 mg
COMPR. FILM.
AVASSAN 160 mg
COMPR. FILM.
DIOVAN 40 mg
COMPR. FILM.
AVASSAN 40 mg
COMPR. FILM.

concentratie

20mg
40mg
40mg
5mg
5mg
5mg
5mg
5mg
5mg
10mg
10 mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
2,5 mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
5 mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
1,25mg
10mg
2,5mg
5mg
160mg
80mg
160mg
160mg
160mg
160mg
160mg
160mg
160mg
160mg
40mg
40mg

ANTIBIOTICE SA
ANTIBIOTICE SA

TARA
DET. APP
AMBALAJ
ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-6L
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L

RANBAXY U.K. LIMITED

MAREA BRITANIE

DETINATOR APP
GEDEON RICHTER ROMANIA SA

Prescriptie

CUTIE X 3 BLIST. X 10 COMPR.

P-6L

HEXAL AG

GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR.

MEDOCHEMIE ROMANIA SRL

ACTAVIS GROUP PTC EHF.

P-6L

ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L

ISLANDA CUTIE CU BLIST. PVC/AL X 30 COMPR.

ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR.


LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 CAPS.
ACTAVIS GROUP HF ISLANDA CUTIE X 4 BLIST. AL/AL X 7 COMPR.
SANDOZ SRL
ROMANIA CUTIE X 4 FOLII AL-LDPE/LDPE-AL X 7 COMPR.
AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

GEDEON RICHTER ROMANIA SA

P-6L
P-6L
P-6L
P-6L
P-6L
P-6L

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L

UNGARIA CUTIE X 4 BLIST. AL/AL X 7 COMPR.


ROMANIA CUTIE X 2 BLIST. X 14 COMPR.
WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. AL/AL X 10 COMPR.
SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR.
ACTAVIS GROUP HF ISLANDA CUTIE X 4 BLIST. AL/AL X 7COMPR.
SANDOZ SRL
ROMANIA CUTIE X 4 FOLII AL-LDPE/LDPE-AL X 7 COMPR.
AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

EGIS PHARMACEUTICALS P.L.C.

P-6L

ZENTIVA S.A.

P-6L
P-6L
P-6L
P-6L
P-6L
P-6L

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L

UNGARIA CUTIE X 4 BLIST. AL/AL X 7 COMPR.


ZENTIVA S.A.
ROMANIA CUTIE X 2 BLIST. X 14 COMPR.
SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. X 14 COMPR.
ACTAVIS GROUP HF ISLANDA CUTIE X 4 BLIST. AL/AL X 7 COMPR.
SANDOZ SRL
ROMANIA CUTIE X 4 FOLII AL-LDPE/LDPE-AL X 7 COMPR.
AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
EGIS PHARMACEUTICALS P.L.C.

P-6L
P-6L
P-6L
P-6L
P-6L
P-6L

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L
EGIS PHARMACEUTICALS P.L.C.

ZENTIVA S.A.
WORWAG PHARMA GMBH & CO. KG

SANOFI - AVENTIS ROMANIA S.R.L.

RANBAXY U.K. LIMITED


RANBAXY U.K. LIMITED
RANBAXY U.K. LIMITED
RANBAXY U.K. LIMITED
TEVA PHARMACEUTICALS S.R.L.
TEVA PHARMACEUTICALS S.R.L.

ZENTIVA K.S.

UNGARIA CUTIE X 4 BLIST. AL/AL X 7 COMPR.


ROMANIA CUTIE X 2 BLIST. X 14 COMPR.
GERMANIA CUTIE X 2 BLIST. A/AL X 10 COMPR.
ROMANIA CUTIE X 2 BLIST. X 14 COMPR.

P-6L
P-6L
P-6L
P-6L

MAREA BRITANIE

CUTIE X 3 FOLII AL/PEJD X 10 COMPR. FILM. P-6L

MAREA BRITANIE

CUTIE X 3 FOLII AL/PEJD X 10 COMPR. FILM. P-6L

MAREA BRITANIE

CUTIE X 3 FOLII AL/PEJD X 10 COMPR. FILM. P-6L

MAREA BRITANIE

CUTIE X 3 FOLII AL/PEJD X 10 COMPR. FILM. P-6L

ROMANIA
ROMANIA
REPUBLICA CEHA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. P-6L


CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. P-6L
CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-6L

ROMASTRU TRADING S.R.L.

ROMANIA
ROMANIA

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L

ROMASTRU TRADING S.R.L.

CUTIE CU BLIST. PVC-PE-PVDC/AL-PVDC X 28 COMPR. FILM.

P-6L

CUTIE CU BLIST. PVC-PE-PVDC/AL-PVDC X 30 COMPR. FILM.

P-6L

NOVARTIS PHARMA GMBH GERMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-6L

TORRENT PHARMA S.R.L.

ROMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.

P6L

KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P6L

TERAPIA S.A.

ROMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.

NOVARTIS PHARMA GMBH GERMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28COMPR. FILM.

TERAPIA S.A.

Pagina 5 din 42

ROMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.

P6L
P6L
P6L

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ambal
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
aj
(RON)
(RON)
ADULTI
a) si f)

28 22.90
10 13.81
30 39.31
30
7.64
30
7.15
30
6.50
30
8.67
30
7.37
28
9.28
30 24.95
28 23.28
28 23.28
30 24.95
30 24.93
28 23.28
28 23.28
20 10.51
28 34.64
28
7.46
28
9.37
30 10.05
30 10.02
28
9.37
28
9.37
28 14.41
28 10.15
28 10.17
30 10.83
30 10.85
28 10.17
28 10.17
20
7.09
28 15.62
30
6.89
30 33.00
30 11.23
30 20.51
28 32.59
28 20.26
28 32.85
28 66.00
30 70.74
30 33.91
28 116.60
28 65.71
28 32.85
28 66.00
28 71.91
28 42.63

0.817857
1.381000
1.310333
0.254666
0.238333
0.216666
0.289000
0.245666
0.331428
0.831666
0.831428
0.831428
0.831666
0.831000
0.831428
0.831428
0.525500
1.237142
0.266428
0.334642
0.335000
0.334000
0.334642
0.334642
0.514642
0.362500
0.363214
0.361000
0.361666
0.363214
0.363214
0.354500
0.557857
0.229666
1.100000
0.374333
0.683666
1.163928
0.723571
1.173214
2.357142
2.358000
1.130333
4.164285
2.346785
1.173214
2.357142
2.568214
1.522500

0.517200
1.381000
1.310333
0.254666
0.238333
0.216666
0.259999
0.245666
0.259999
0.630600
0.630600
0.630600
0.630600
0.630600
0.630600
0.630600
0.525500
0.630600
0.266428
0.319713
0.319713
0.319713
0.319713
0.319713
0.319713
0.362500
0.363214
0.361000
0.361666
0.363214
0.363214
0.354500
0.425400
0.229666
0.630600
0.319713
0.425400
1.163928
0.723571
1.173214
1.356399
1.356399
1.130333
1.356399
1.356399
1.173214
1.356399
1.827000
1.522500

0.517200
1.381000
1.310333
0.254666
0.238333
0.216666
0.259999
0.245666
0.259999
0.630600
0.630600
0.630600
0.630600
0.630600
0.630600
0.630600
0.525500
0.630600
0.266428
0.319713
0.319713
0.319713
0.319713
0.319713
0.319713
0.362500
0.363214
0.361000
0.361666
0.363214
0.363214
0.354500
0.425400
0.229666
0.630600
0.319713
0.425400
1.163928
0.723571
1.173214
1.356399
1.356399
1.130333
1.356399
1.356399
1.173214
1.356399
1.827000
1.522500

NR.CRT

COD ATC

234 C09CA03
235 C09CA03
236 C09CA03
237 C09CA03
238 C09CA03
239 C09CA03
240 C09CA03
241 C09CA03
242 C09CA03
243 C09CA06
244 C09CA06
245 C09CA06
246 C09CA06
247 C09CA06
248 C09CA06
249 C09CA06
250 C09CA06
251 C09CA06
252 C09CA06
253 C09CA06
254 C09CA06
255 C09CA06
256 C09CA06
257 C09CA06
258 C09CA06
259 C09CA06
260 C09CA06
261 C09CA06
262 C09CA06
263 C09CA06
264 C09CA06
265 C09CA06
266 C09CA06
267 C09CA06

DCI

VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**

Denumire Comerciala

CORETON 80 mg
WENZELL 80 mg
WENZELL 80 mg
VALSARGAMMA 80 mg
DIOVAN 80 mg
VALSARTAN TORRENT 80 mg

VALSACOR 80 mg
AVASSAN 80 mg
DIOVAN 3 mg/ml
ATACAND
TANDESAR 16 mg

CANDESARTAN CILEXETIL ZENTIVA 16 mg

HIPOSTYN 16 mg
CANDESARTAN SANDOZ 16 mg

KARBIS 16 mg
CANDEPOL 16 mg

CANDESARTAN TORRENT 16 mg

CLASTINOL 16 mg
ATACAND 32 mg

CANDESARTAN CILEXETIL ZENTIVA 32 mg

HIPOSTYN 32 mg
KARBIS 32 mg
CANDEPOL 32 mg
CANDESARTAN TORRENT 32 mg

CLASTINOL 32 mg
ATACAND
TANDESAR 8 mg

CANDESARTAN CILEXETIL ZENTIVA 8 mg

HIPOSTYN 8 mg
CANDESARTAN SANDOZ 8 mg

KARBIS 8 mg
CANDEPOL 8 mg

CANDESARTAN TORRENT 8 mg

CLASTINOL 8 mg

forma farm.

concentratie

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
SOL. ORALA
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.

80mg
80mg
80mg
80mg
80mg
80mg
80mg
80mg
3mg/ml
16mg
16mg
16mg
16mg
16mg
16mg
16mg
16mg
16mg
32mg
32mg
32mg
32mg
32mg
32mg
32mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg

COMPR.
COMPR.

2mg
4mg

DETINATOR APP

ZENTIVA K.S.

TARA
DET. APP
REPUBLICA CEHA

AMBALAJ

Prescriptie

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-6L

ROMASTRU TRADING S.R.L.

ROMANIA
ROMANIA

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L

ROMASTRU TRADING S.R.L.

CUTIE CU BLIST. PVC-PE-PVDC/AL-PVDC X 28 COMPR. FILM.

P-6L

CUTIE CU BLIST. PVC-PE-PVDC/AL-PVDC X 30 COMPR. FILM.

P-6L

NOVARTIS PHARMA GMBH GERMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X28COMPR. FILM.

TORRENT PHARMA S.R.L.

ROMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.

KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.

TERAPIA S.A.

ROMANIA

NOVARTIS PHARMA GMBH GERMANIA

ASTRAZENECA AB SUEDIA
TERAPIA SA
ROMANIA
ZENTIVA K.S.

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.


CUTIE CU 1 FLAC. DIN STICLA BRUNA X 160 ML SOL. ORALA + 1 TRUSA DE ADMINISTRARE (ADAPTOR PT. FLAC.+1

P6L
P6L
P6L
P6L
P-6L

CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR.

P-6L

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR.

P-6L

P6L
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR. P6L
SANDOZ SRL
ROMANIA CUTIE CU BLIST. AL/AL CU DESICANT X 28 COMPR. P-6L
KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L
PHARMACEUTICAL WORKS POLPHARMA SA
POLONIA CUTIE CU BLIST. AL/PVC-PVDC X 28 COMPR. P6L
TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. P6L
REPUBLICA SLOVACA

ASTRAZENECA AB SUEDIA
ZENTIVA K.S.

CUTIE X 2 BLIST. AL-PVC/PVDC X 14 COMPR.


CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR.

KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR.


PHARMACEUTICAL WORKS POLPHARMA SA

TORRENT PHARMA S.R.L.


EGIS PHARMACEUTICALS P.L.C.

ASTRAZENECA AB
TERAPIA SA
ZENTIVA K.S.
TEVA PHARMACEUTICALS S.R.L.

SANDOZ SRL

P-6L

P6L
ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR. P6L

REPUBLICA SLOVACA

TEVA PHARMACEUTICALS S.R.L.

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR.

POLONIA
ROMANIA
UNGARIA
SUEDIA
ROMANIA

P-6L

P6L
CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L
CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. P6L
CUTIE CU BLIST. AL/PVC-PVDC X 28 COMPR.

CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR.

P-6L

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR.

P-6L

P6L
ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR. P6L
ROMANIA CUTIE CU BLIST. AL/AL CU DESICANT X 28 COMPR. P-6L

REPUBLICA SLOVACA

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR.

KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR.

P-6L

EGIS PHARMACEUTICALS P.L.C.

POLONIA
ROMANIA
UNGARIA

TERAPIA SA

ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P-RF

NOVARTIS PHARMA GMBH GERMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR.

P-RF

PHARMACEUTICAL WORKS POLPHARMA SA

TORRENT PHARMA S.R.L.

P6L
P6L
CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. P6L

CUTIE CU BLIST. AL/PVC-PVDC X 28 COMPR.

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR.

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ambal
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
aj
(RON)
(RON)
ADULTI
a) si f)

28 34.00
28 47.37
30 50.79
30 23.25
28 91.88
28 47.00
28 28.84
28 47.40
1 41.42
28 66.74
28 44.87
30 48.06
30 42.50
28 39.65
30 43.24
28 44.88
30 48.03
28 44.85
28 117.40
30 81.77
30 71.36
30 81.75
28 76.32
30 81.75
28 69.33
28 56.10
28 36.46
30 39.02
30 24.13
28 33.45
30 33.01
28 36.46
30 39.07
28 36.46

1.214285
1.691785
1.693000
0.775000
3.281428
1.678571
1.030000
1.692857
41.420000
2.383571
1.602500
1.602000
1.416666
1.416071
1.441333
1.602857
1.601000
1.601785
4.192857
2.725666
2.378666
2.725000
2.725714
2.725000
2.476071
2.003571
1.302142
1.300666
0.804333
1.194642
1.100333
1.302142
1.302333
1.302142

0.868285
0.868285
0.868285
0.775000
0.868285
0.868285
0.868285
0.868285
41.420000
1.699285
1.602500
1.602000
1.416666
1.416071
1.441333
1.602857
1.601000
1.601785
2.854399
2.725666
2.378666
2.725000
2.725714
2.725000
2.476071
0.965199
0.965199
0.965199
0.804333
0.965199
0.965199
0.965199
0.965199
0.965199

0.868285
0.868285
0.868285
0.775000
0.868285
0.868285
0.868285
0.868285
41.420000
1.699285
1.602500
1.602000
1.416666
1.416071
1.441333
1.602857
1.601000
1.601785
2.854399
2.725666
2.378666
2.725000
2.725714
2.725000
2.476071
0.965199
0.965199
0.965199
0.804333
0.965199
0.965199
0.965199
0.965199
0.965199

6.53
6.76

0.217666
0.338000

0.217666
0.338000

0.217666
0.338000

30 780.80
28 79.52
28 90.49

26.026666
2.840000
3.231785

26.026666
1.644428
1.644428

26.026666
1.644428
1.644428

2. BOLNAVI CU PROTEZE VALVULARE SI VASCULARE - G2


1
2

B01AA07
B01AA07

ACENOCUMAROLUM*
ACENOCUMAROLUM*

TROMBOSTOP 2 mg
SINTROM 4 mg

30
20

Tratamentul se initiaz de ctre medicul n specialitatea cardiologie si chirurgie cardiaca si a vaselor mari

3. BOLNAVI CU PROCEDURI INTERVENTIONALE PERCUTANE, NUMAI DUPA IMPLANTAREA UNEI PROTEZE ENDOVASCULARE (STENT)- G3
1
2
3

B01AC04
B01AC04
B01AC04

CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***

PLAVIX 300mg
COMPR. FILM.
CLOPIDOGREL TEVA 75 mg COMPR. FILM.
ZYLLT
COMPR. FILM.

300mg
75 mg
75 mg

SANOFI PHARMA - BRISTOL MYERS SQUIBB

TEVA PHARMA BV

FRANTA
OLANDA

CUTIE X 30X1 COMPR. FILM. (BLIST. AL/AL PERFORATE UNIDOZA)

P-RF

CUTIE CU BLIST. AL/AL X 28 X 1 COMPR. FILM. P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA/AL/PVC-AL X 28 COMPR. FILM. P-RF

Pagina 6 din 42

NR.CRT

4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29

COD ATC

B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04

DCI

CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***

Denumire Comerciala

PLAVIX 75mg
TROMBEX 75 mg
EGITROMB 75 mg
TROMBEX 75 mg

CLOPIDOGREL MYLAN 75mg

TROGRAN 75 mg
CLOPIGAMMA 75 mg
CLOPIGAMMA 75 mg
PLAVOCORIN 75 mg
TUXEDON 75 mg

CLOPIDOGREL ACTAVIS 75 mg

DEFROZYP 75 mg
TESSYRON 75 mg
CLORODEN 75 mg
CLORODEN 75 mg
VATOUD 75 mg
LOFRADYK 75 mg

CLOPIDOGREL DR. REDDY'S 75 mg


CLOPIDOGREL DR. REDDY'S 75 mg

MOYTOR 75 mg
PLATEL 75 mg
PLATEL 75 mg
CLOPIDOGREL TERAPIA 75 mg

PLATEL 75 mg
DEPLATT 75 mg

CLOPIDOGREL ACCORD 75 mg

forma farm.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

concentratie

75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg

DETINATOR APP
SANOFI PHARMA - BRISTOL MYERS SQUIBB

ZENTIVA K.S.
EGIS PHARMACEUTICALS P.L.C.

ZENTIVA K.S.
MYLAN S.A.S.

TARA
DET. APP

FRANTA
CEHIA

UNGARIA

CEHIA
FRANTA

AMBALAJ

Prescriptie

CUTIE X 28 COMPR. FILM. (BLIST. PVC/PVDC/AL)

P-RF

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 30 COMPR. FILM.

P-RF

CUTIE CU BLIST. OPA-AL-PVDC/AL X 28 COMPR. FILM. P-RF


CUTIE X 1 FLAC. DIN STICLA INCOLORA X 90 COMPR. FILM.

P-RF

CUTIE CU BLIST. DIN OPA/AL/PVC-AL X 28 COMPR.FILM. P-RF

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-RF

GLENMARK PHARMACEUTICALS SRL

REPUBLICA CEHA

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-RF

WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-RF

ROMANIA
POLONIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-RF

SANDOZ S.R.L.
ICN POLFA RZESZOW S.A.
ACTAVIS GROUP PTC EHF.

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-RF

ISLANDA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM.

P-RF

ROMANIA

P-RF

LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVDC/AL X 28 COMPR. FILM. P-RF
GEDEON RICHTER ROMANIA SA

IWA CONSULTING APS


IWA CONSULTING APS
ALVOGEN IPCO S.A.R.L
PHARMASWISS MEDICINES S.R.L.

DR. REDDY'S LABORATORIES


DR. REDDY'S LABORATORIES

ROMASTRU TRADING S.R.L.

MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
TERAPIA S.A.
MEDOCHEMIE LTD.
TORRENT PHARMA S.R.L.

CUTIE CU BLIST. PVC-PCTFE-PVC/AL X 30 COMPR. FILM.

DANEMARCA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-RF


DANEMARCA CUTIE CU BLIST. PA-AL-PVC/AL (AL-AL) X 28 COMPR. FILM. P-RF

LUXEMBURG CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-RF

ROMANIA
ROMANIA
ROMANIA
ROMANIA

CIPRU
CIPRU

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-RF


CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-RF
CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-RF
CUTIE CU BLIST. PCTFE-PE-PVC/AL X 28 COMPR. FILM.

CUTIE CU BLIST. AL/AL X 90 COMPR. FILM. P-RF

ROMANIA

CUTIE CU 3 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM.

ROMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.

CIPRU

P-RF

CUTIE CU BLIST. AL/AL X 60 COMPR. FILM. P-RF


PRF

CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-RF


PRF

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

CUTIE CU 3 BLIST. AL/AL X 10 COMPR. FILM. PRF

SP EUROPE

CUTIE X 140CAPS. ( BLIST. PVC/PE/PVDC )

P-RF/R

ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. PEID X 168 COMPR. FILM.

P-RF/R

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ambal
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
aj
(RON)
(RON)
ADULTI
a) si f)

28
30
28
90
28
28
28
28
28
28
28
28
30
28
28
28
28
28
30
28
60
90
30
28
30
30

122.34
83.81
79.52
242.40
79.52
79.52
68.52
68.52
89.49
38.37
79.49
79.49
85.21
68.48
68.48
73.81
68.22
79.49
85.18
79.52
161.58
242.38
85.21
67.70
85.19
85.21

4.369285
2.793666
2.840000
2.693333
2.840000
2.840000
2.447142
2.447142
3.196071
1.370357
2.838928
2.838928
2.840333
2.445714
2.445714
2.636071
2.436428
2.838928
2.839333
2.840000
2.693000
2.693111
2.840333
2.417857
2.839666
2.840333

1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.370357
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428

1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.370357
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428

611.90
4.370714
665.28
3.960000
194.11
6.470333
278.73
9.954642
386.16
6.436000
557.58
9.293000
386.16 12.872000
160.92 160.920000
1,928.98 64.299333
1,748.63 58.287666
1,938.42 64.614000
326.02 326.020000
514.01 514.010000
197.89 197.890000
318.52 318.520000
494.26 98.852000
261.45 261.450000

4.370714
3.960000
6.470333
7.764399
6.436000
7.723200
12.872000
160.920000
64.299333
58.287666
64.614000
237.468000
382.224000
197.890000
318.520000
98.852000
237.468000

4.370714
3.960000
6.470333
7.764399
6.436000
7.723200
12.872000
160.920000
64.299333
58.287666
64.614000
237.468000
382.224000
197.890000
318.520000
98.852000
237.468000

Tratamentul se iniiaz de ctre medicul n specialitatea cardiologie.

4. HEPATITELE CRONICE DE ETIOLOGIE VIRALA B, C i D - G4


1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17

J05AB04
J05AB04
J05AF05
J05AF05
J05AF05
J05AF05
J05AF05
J05AF05
J05AF08
J05AF10
J05AF10
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02

RIBAVIRINUM****
RIBAVIRINUM****
LAMIVUDINUM****
LAMIVUDINUM****
LAMIVUDINUM****
LAMIVUDINUM****
LAMIVUDINUM****
LAMIVUDINUM****
ADEFOVIRUM DIPIVOXILUM****
ENTECAVIRUM****
ENTECAVIRUM****
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**

REBETOL 200 mg
COPEGUS 200mg
LAMIVUDINE TEVA 100 mg
ZEFFIX 100 mg

CAPS.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
SOL. ORALA
COMPR.
COMPR. FILM.
COMPR. FILM.
SOL. INJ.
SOL. INJ.

200mg
200mg
100 mg
100mg
LAMIVUDINE TEVA PHARMA B.V. 150 mg
150 mg
EPIVIR 150mg
150mg
LAMIVUDINE TEVA PHARMA B.V. 300 mg
300 mg
EPIVIR 10mg/ml
10mg/ml
HEPSERA
10mg
BARACLUDE 0,5mg
0,5mg
BARACLUDE 1mg
1mg
NEUPOGEN (R)
30MU/0,5ml
NEUPOGEN (R)
48MU/0,5ml
ZARZIO 30MU/0,5ml
60MU/ml
ZARZIO 48MU/0,5ml
96MU/ml
NIVESTIM 12 MU/0,2ml
SOL. INJ./PERF. 120g/0,2ml
TEVAGRASTIM 30MUI/0,5ml SOL. INJ./PERF. 300mcg/0,5ml
SOL. INJ. /PERF. IN SERINGA PREUMPLUTA

SOL. INJ. /PERF. IN SERINGA PREUMPLUTA

BELGIA

TEVA PHARMA B.V. OLANDA CUTIE CU BLIST. PVC/PVDC/AL X 30 COMPR. FILM.


GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST. PVC-AL/PVC-AL)
TEVA PHARMA B.V. OLANDA CUTIE CU BLIST. PVC/PVDC/AL X 60 COMPR. FILM.
GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLAC. PEID X 60 COMPR. FILM.
TEVA PHARMA B.V. OLANDA CUTIE CU BLIST. PVC/PVDC/AL X 30 COMPR. FILM.
GLAXO GROUP LTD. MAREA BRITANIE
CUTIE X 1 FLACON PEID X 240ML SOL. ORALA + 1 SERINGA DOZATOARE + 1 ADAPTOR

P-RF/R
P-RF/R
P-RF/R
P-RF/R
P-RF/R
P-RF/R

GILEAD SCIENCE INTERNATIONAL LIMITED

MAREA BRITANIE

CUTIE X 1 FLAC. DIN PEID X 30 COMPR.

P-RF/R

BRISTOL-MYERS SQUIBB

MAREA BRITANIE

CUTIE X 30 X 1 COMPR. FILM. (BLIST. AL/AL UNIDOZA)

P-RF/R

BRISTOL-MYERS SQUIBB

MAREA BRITANIE

CUTIE X 30 X 1 COMPR. FILM.(BLIST. AL/AL UNIDOZA)

P-RF/R

AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML


AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML

S/P-RF

S/P-RF

SANDOZ GMBH
SANDOZ GMBH

AUSTRIA
AUSTRIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL

P-RF/R

CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL

P-RF/R

HOSPIRA UK LIMITED

MAREA BRITANIE

CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,2ML SOL. INJ. SAU PERF.

P-RF

CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF.

S/P-RF/R

TEVA GENERICS GMBH GERMANIA

Pagina 7 din 42

140
168
30
28
60
60
30
1
30
30
30
1
1
1
1
5
1

NR.CRT

18
19
20
21
22
23
24
25
26
27
28
29
30

COD ATC

L03AA02
L03AA02
L03AA02
L03AB04
L03AB04
L03AB05
L03AB05
L03AB10
L03AB10
L03AB10
L03AB10
L03AB11
N04BB01

DCI

FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
INTERFERONUM ALFA 2A****
INTERFERONUM ALFA 2A****
INTERFERONUM ALFA 2B****
INTERFERONUM ALFA 2B****
PEGINTERFERON ALFA-2B****
PEGINTERFERON ALFA-2B****
PEGINTERFERON ALFA-2B****
PEGINTERFERON ALFA-2B****
PEGINTERFERON ALFA-2A****
AMANTADINUM**

TARA
DET. APP
DETINATOR APP
NIVESTIM 30 MU/0,5 ml
SOL. INJ./PERF. 300g/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE
TEVAGRASTIM 48MUI/0,8ml SOL. INJ./PERF. 480mcg/0,8ml TEVA GENERICS GMBH GERMANIA
NIVESTIM 48 MU/0,5 ml
SOL. INJ./PERF. 480g/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE
ROFERON A
SOL. INJ.
3Mui/0,5ml ROCHE ROMANIA S.R.L. ROMANIA
ROFERON A
SOL. INJ.
9Mui/0,5ml ROCHE ROMANIA S.R.L. ROMANIA
Denumire Comerciala

INTRON A 18 milioane U.I.


INTRON A 30 milioane U.I.
PEGINTRON 100 mcg
PEGINTRON 120 mcg
PEGINTRON 150 mcg
PEGINTRON 50 mcg
PEGASYS 180 mcg/0,5ml
VIREGYT (R)- K

forma farm.

concentratie

AMBALAJ
CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF.

P-RF

CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF.

S/P-RF/R

CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF.

P-RF

CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML + AC STERIL

S/P-RF

CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. + AC STERIL

S/P-RF

CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML SOL. INJ. + 12 ACE + 12 TAMPOANE DEZINFECTANTE

P-RF/R

PULB. + SOLV. PT. SOL. INJ.

SP EUROPE
30 milioane U.I. SP EUROPE
100mcg
SP EUROPE
120mcg
SP EUROPE
150mcg
SP EUROPE
50mcg
SP EUROPE

BELGIA
BELGIA
BELGIA
BELGIA
BELGIA
BELGIA

SOL. INJ. IN SERINGA PREUMPLUTA

180mcg/0,5ml

ROCHE REGISTRATION LTD.

MAREA BRITANIE

EGIS PHARMACEUTICALS P.L.C.

UNGARIA CUTIE X 1 FLAC. X 50 CAPS.

SOL. INJ. PEN MULTIDOZA


SOL. INJ. PEN MULTIDOZA
PULB. + SOLV. PT. SOL. INJ.
PULB. + SOLV. PT. SOL. INJ.
PULB. + SOLV. PT. SOL. INJ.

CAPS.

18 milioane U.I.

100mg

Prescriptie

CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML + 12 ACE + 12 TAMPOANE DEZINFECTANTE

P-RF/R

CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV.

P-RF/R

CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV.

P-RF/R

CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV. P-RF/R


CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV.

P-RF/R

CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML + 1 AC

P-RF/R

P-6L

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ambal
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
aj
(RON)
(RON)
ADULTI
a) si f)

5
1
5
1
1
1
1
1
1
1
1
1
50

225.874000
426.08 426.080000
1,843.52 368.704000
87.43 87.430000
183.22 183.220000
490.77 490.770000
772.57 772.570000
820.00 820.000000
969.85 969.850000

1,129.37

225.874000
382.224000
368.704000
87.430000
183.220000
490.770000
772.570000
820.000000
969.850000

225.874000
382.224000
368.704000
87.430000
183.220000
490.770000
772.570000
820.000000
969.850000

1,193.66 1,193.660000 1,193.660000 1,193.660000

445.72 445.720000 445.720000 445.720000


975.16 975.160000 975.160000 975.160000
17.07
0.341400
0.341400
0.341400

Tratamentul se initiaz de ctre medicul n specialitatea gastroenterologie / boli infectioase si nefrologie (doar pentru pacientii cu afectare renala consecutiva infectiei cu virusuri hepatitice)
5. HEPATITA AUTOIMUNA - G5
1
2
3
4
5
6
7
8
9
10

H02AB04
H02AB04
H02AB04
H02AB04
H02AB04
H02AB06
H02AB06

L04AX01
L04AX01
L04AX01

METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
PREDNISOLONUM
PREDNISOLONUM
AZATHIOPRINUM*
AZATHIOPRINUM*
AZATHIOPRINUM*

MEDROL A 16
MEDROL 32
MEDROL 4 mg
LEMOD SOLU 125 mg
LEMOD SOLU 500 mg
SOLU - DECORTIN H 250
SOLU - DECORTIN H 50
IMMUNOPRIN 100 mg
IMURAN (R)
IMMUNOPRIN 75 mg

COMPR.
COMPR.
COMPR.

16mg
32mg
4mg
LIOF. PT. SOL. INJ. 125mg
LIOF. PT. SOL. INJ. 500mg
LIOF. + SOLV. PT. SOL. INJ. 250mg
LIOF. + SOLV. PT. SOL. INJ. 50mg
COMPR. FILM. 100mg
COMPR. FILM. 50mg
COMPR. FILM. 75mg

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 5 BLIST. A-PVC/PVC X 10 COMPR. P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 2 BLIST. AL-PVC/PVC X 10 COMPR. P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 1 FLAC. DIN STICLA X 30 COMPR. P-RF

ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 2 ML


STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 7,8 ML
STADA HEMOFARM S.R.L.

MERCK KGAA
MERCK KGAA

EBEWE PHARMA GES.M.B.H. NFG KG

GERMANIA

CUTIE X 3 FLAC. DIN STICLA INCOLORA X 250 MG FIOF. PT. SOL. INJ. + 3 FIOLE X 5 ML SOLV.

P-RF

GERMANIA

CUTIE X 3 FLAC. X 50 MG LIOF. PT. SOL. INJ. + 3 FIOLE X 1 ML SOLVENT

P-RF

AUSTRIA CUTIE CU 1 FLAC. PEID X 50 COMPR. FILM. PR

THE WELLCOME FOUNDATION LTD. MAREA BRITANIE


EBEWE PHARMA GES.M.B.H. NFG KG

S/P-RF
S/P-RF

AUSTRIA

CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM.

S/P-RF

CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM.

PR

50
20
30
1
1
3
3
50
100
100

32.62
29.65
6.53
8.81
31.02
95.62
35.71
55.38
80.90
78.89

0.652400
1.482500
0.217666
8.810000
31.020000
31.873333
11.903333
1.107600
0.809000
0.788900

0.652400
1.482500
0.217666
8.810000
31.020000
31.873333
11.903333
1.107600
0.809000
0.788900

0.652400
1.482500
0.217666
8.810000
31.020000
31.873333
11.903333
1.107600
0.809000
0.788900

100 124.28
50 71.49
50 68.77
60 54.19
20 35.88

1.242800
1.429800
1.375400
0.903166
1.794000

1.242800
1.429800
1.375400
0.903166
1.794000

1.242800
1.429800
1.375400
0.903166
1.794000

Tratamentul se initiaz de ctre medicul n specialitatea gastroenterologie

6. CIROZA BILIARA PRIMARA, COLANGITA SCLEROZANTA PRIMITIVA, HEPATITA CRONICA SI CIROZE DE ALTE ETIOLOGII CU COLESTAZA - G6
1
2
3
4
5

A05AA02
A05AA02
A05AA02
A05AA02
A05AA02

ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM

URSOFALK (R)
URSOFALK (R)
URSOSAN
URSOCHOL 150 mg
URSOCHOL 300 mg

CAPS.
CAPS.
CAPS.
COMPR.
COMPR.

250mg
250mg
250mg
150mg
300mg

DR. FALK PHARMA GMBH GERMANIA


DR. FALK PHARMA GMBH GERMANIA
PRO. MED. CS PRAHA AS

ZAMBON S.P.A.
ZAMBON S.P.A.

Tratamentul se initiaz de ctre medicul n specialitatea gastroenterologie

7. CIROZA HEPATICA - G7

Pagina 8 din 42

CEHIA
ITALIA
ITALIA

CUTIE X 4 BLIST. AL/PVC X 25 CAPS.


CUTIE X 2 BLIST. AL/PVC X 25 CAPS.
CUTIE X 5 BLIST. AL/PVC X 10 CAPS.

P-6L/S

P-6L
P-6L

CUTIE X 6 BLIST. AL/PVC X 10 COMPR. P-6L


CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L

NR.CRT

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49

COD ATC

A06AD11
A06AD11
A06AD11
A06AD11
A06AD11
A06AD11
A06AD11
A06AD11

A07AA11
A07AA11
A07AA11
C03CA01
C03CA01
C03CA01
C03CA01
C03CA01
C03CA01
C03CA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
H02AB06
H02AB06

J05AB04
J05AB04
J05AF05
J05AF05
J05AF05
J05AF05
J05AF05
J05AF05
J05AF08
J05AF10
J05AF10
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02

DCI

LACTULOSUM*
LACTULOSUM*
LACTULOSUM*
LACTULOSUM*
LACTULOSUM*
LACTULOSUM*
LACTULOSUM*
LACTULOSUM*
RIFAXIMINUM*
RIFAXIMINUM*
RIFAXIMINUM*
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
PREDNISOLONUM
PREDNISOLONUM
RIBAVIRINUM****
RIBAVIRINUM****
LAMIVUDINUM****
LAMIVUDINUM****
LAMIVUDINUM****
LAMIVUDINUM****
LAMIVUDINUM****
LAMIVUDINUM****
ADEFOVIRUM DIPIVOXILUM****
ENTECAVIRUM****
ENTECAVIRUM****
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**

Denumire Comerciala

DUPHALAC (R)
DUPHALAC (R)
LACTULOSE
LACTULOSE
LACTULOSE-MIP 650 mg/ml
LACTULOSE-MIP 650 mg/ml
LACTULAK 660 mg/ml
LAEVOLAC 670mg/ml
NORMIX 200 mg
NORMIX 200 mg
NORMIX 100mg/5ml
FUROSEMID MCC 40 mg
FUROSEMID SLAVIA
FUROSEMID EEL
FUROSEMID ZENTIVA
FUROSEMID LPH 40 mg
FUROSEMID ARENA 40 mg
FUROSEMID 20 mg/2 ml
VEROSPIRON
SPIRONOLACTONA ARENA 25 mg

SPIRONOLACTONA LPH 25 mg

VEROSPIRON

SPIRONOLACTONA ARENA 50 mg

SPIRONOLACTONA EEL 25 mg
SPIRONOLACTONA OZONE 25 mg
SPIRONOLACTONA OZONE 25 mg

SPIRONOLACTONA 25 mg
ALSPIRON 25 mg
ALSPIRON 50 mg
SOLU - DECORTIN H 250
SOLU - DECORTIN H 50
REBETOL 200 mg
COPEGUS 200mg
LAMIVUDINE TEVA 100 mg
ZEFFIX 100 mg

LAMIVUDINE TEVA PHARMA B.V. 150 mg

EPIVIR 150mg
LAMIVUDINE TEVA PHARMA B.V. 300 mg

EPIVIR 10mg/ml
HEPSERA
BARACLUDE 0,5mg
BARACLUDE 1mg
NEUPOGEN (R)
NEUPOGEN (R)
ZARZIO 30MU/0,5ml
ZARZIO 48MU/0,5ml
NIVESTIM 12 MU/0,2ml
TEVAGRASTIM 30MUI/0,5ml
NIVESTIM 30 MU/0,5 ml

forma farm.

LICHID ORAL
LICHID ORAL
SIROP
SIROP
SIROP
SIROP
SOL. ORALA
SOL. ORALA
COMPR. FILM.
COMPR. FILM.

concentratie

66,7%
66,7%
65%
65%
650mg/ml
650mg/ml
660 mg/ml
670mg/ml
200mg
200mg
GRAN. PT. SUSP. ORALA 100mg/5ml
COMPR.
40mg
COMPR.
40mg
COMPR.
40mg
COMPR.
40mg
COMPR.
40mg
COMPR.
40mg
SOL. INJ.
10mg/ml
CAPS.
100mg
CAPS.
25mg
CAPS.
25mg
CAPS.
50mg
CAPS.
50mg
COMPR.
25mg
COMPR.
25mg
COMPR.
25mg
COMPR. FILM. 25mg
COMPR. FILM. 25mg
COMPR. FILM. 50mg
LIOF. + SOLV. PT. SOL. INJ. 250mg
LIOF. + SOLV. PT. SOL. INJ. 50mg
CAPS.
200mg
COMPR. FILM. 200mg
COMPR. FILM. 100 mg
COMPR. FILM. 100mg
COMPR. FILM. 150 mg
COMPR. FILM. 150mg
COMPR. FILM. 300 mg
SOL. ORALA
10mg/ml
COMPR.
10mg
COMPR. FILM. 0,5mg
COMPR. FILM. 1mg
SOL. INJ.
30MU/0,5ml
SOL. INJ.
48MU/0,5ml
60MU/ml
96MU/ml
SOL. INJ./PERF. 120g/0,2ml
SOL. INJ./PERF. 300mcg/0,5ml
SOL. INJ./PERF. 300g/0,5ml

SOL. INJ. /PERF. IN SERINGA PREUMPLUTA

SOL. INJ. /PERF. IN SERINGA PREUMPLUTA

DETINATOR APP

TARA
DET. APP

Prescriptie

1
1
E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON X 300 ML
P-6L
1
E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON X 100 ML
P-6L
1
MIP PHARMA GMBH GERMANIA
P-6L
1
MIP PHARMA GMBH GERMANIA
P-6L
1
ROMPHARM COMPANY SRL ROMANIA CUTIE X 1 FLAC. PEID X 200 ML SOL. ORALA SI O LINGURITA DOZATOARE P-6L
1
FRESENIUS KABI AUSTRIA GMBH AUSTRIA
P-RF
1
ALFA WASSERMANN SPA ITALIA
CUTIE X 1 BLIST. AL/PVC X 12 COMPR. FILM. P-RF
12
ALFA WASSERMANN SPA ITALIA
CUTIE X 3 BLIST. AL/PVC A CATE 12 COMPR. FILM. P-RF
36
ALFA WASSERMANN SPA ITALIA
P-RF
1
MAGISTRA C&C S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
BIO EEL SRL
ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
P-6L
20
ZENTIVA SA
ROMANIA CUTIE X 1 FLAC. DIN PEID X 20 COMPR. P-6L
20
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
ZENTIVA SA
ROMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA CU INEL DE RUPERE X 2 ML SOL. INJ. P-RF
5
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L
30
ARENA GROUP S.A. ROMANIA CUTIE CU 5 BLIST. PVC/AL X 10 CAPS. P-6L
50
LABORMED PHARMA S.A. ROMANIA CUTIE CU 6 BLIST. PVC/AL X 10 CAPS. P6L
60
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L
30
ARENA GROUP S.A. ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 CAPS. P-6L
30
BIO EEL SRL
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L
50
OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L
50
TERAPIA SA
ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
50
AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
20
AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
20
MERCK KGAA
GERMANIA
P-RF
3
MERCK KGAA
GERMANIA CUTIE X 3 FLAC. X 50 MG LIOF. PT. SOL. INJ. + 3 FIOLE X 1 ML SOLVENT P-RF
3
SP EUROPE
BELGIA CUTIE X 140CAPS. ( BLIST. PVC/PE/PVDC ) P-RF/R 140
ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. PEID X 168 COMPR. FILM. P-RF/R 168
TEVA PHARMA B.V. OLANDA CUTIE CU BLIST. PVC/PVDC/AL X 30 COMPR. FILM. P-RF/R
30
GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST. PVC-AL/PVC-AL) P-RF/R
28
TEVA PHARMA B.V. OLANDA CUTIE CU BLIST. PVC/PVDC/AL X 60 COMPR. FILM. P-RF/R
60
GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLAC. PEID X 60 COMPR. FILM. P-RF/R
60
TEVA PHARMA B.V. OLANDA CUTIE CU BLIST. PVC/PVDC/AL X 30 COMPR. FILM. P-RF/R
30
GLAXO GROUP LTD. MAREA BRITANIE
P-RF/R
1
GILEAD SCIENCE INTERNATIONAL LIMITED
MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID X 30 COMPR. P-RF/R
30
BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE X 30 X 1 COMPR. FILM. (BLIST. AL/AL UNIDOZA) P-RF/R
30
BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE X 30 X 1 COMPR. FILM.(BLIST. AL/AL UNIDOZA) P-RF/R
30
AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML S/P-RF
1
AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML S/P-RF
1
SANDOZ GMBH
AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R
1
SANDOZ GMBH
AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R
1
HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,2ML SOL. INJ. SAU PERF. P-RF
5
TEVA GENERICS GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF.
1
HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. P-RF
5
SOLVAY PHARMACEUTICALS BV

ABBOTT HEALTHCARE PRODUCTS B.V.

OLANDA
OLANDA

AMBALAJ

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ambal
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
aj
(RON)
(RON)
ADULTI
a) si f)

FLACON DIN PEID PREVAZUT CU MASURA DOZATOARE X 200 ML

P-RF

FLACON DIN PEID PREVAZUT CU MASURA DOZATOARE X 200 ML

P-RF

CUTIE X 1 FLAC. PET DE CULOARE BRUNA X 500 ML SIROP + 1 MASURA DOZATOARE DIN PP

CUTIE X 1 FLAC. PET DE CULOARE BRUNA X 1000 ML SIROP + 1 MASURA DOZATOARE DIN PP

CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SOL. ORALA + DISPOZITIV DE CURGERE + MASURA CU GRADATII D

CUTIE X 1 FLAC. GRAN. PT. 60 ML SUSP. ORALA + 1 MASURA DOZATOARE MARCATA LA 5, 10 SI 15 ML

CUTIE X 3 FLAC. DIN STICLA INCOLORA X 250 MG FIOF. PT. SOL. INJ. + 3 FIOLE X 5 ML SOLV.

CUTIE X 1 FLACON PEID X 240ML SOL. ORALA + 1 SERINGA DOZATOARE + 1 ADAPTOR

S/P-RF/R

Pagina 9 din 42

10.37 10.370000
10.37 10.370000
10.42 10.420000
3.47
3.470000
17.23 17.230000
33.34 33.340000
7.09
7.090000
3.57
3.570000
33.10
2.758333
91.26
2.535000
19.11 19.110000
3.02
0.151000
2.28
0.114000
5.42
0.271000
6.02
0.301000
3.04
0.152000
6.02
0.301000
6.07
1.214000
28.51
0.950333
16.07
0.321400
19.46
0.324333
16.72
0.557333
16.24
0.541333
4.30
0.215000
10.79
0.215800
10.79
0.215800
16.21
0.324200
4.30
0.215000
13.74
0.687000
95.62 31.873333
35.71 11.903333
611.90
4.370714
665.28
3.960000
194.11
6.470333
278.73
9.954642
386.16
6.436000
557.58
9.293000
386.16 12.872000
160.92 160.920000
1,928.98 64.299333
1,748.63 58.287666
1,938.42 64.614000
326.02 326.020000
514.01 514.010000
197.89 197.890000
318.52 318.520000
494.26 98.852000
261.45 261.450000
1,129.37 225.874000

10.370000
10.370000
10.420000
3.470000
17.230000
33.340000
7.090000
3.570000
2.758333
2.535000
19.110000
0.136800
0.114000
0.136800
0.136800
0.136800
0.136800
1.214000
0.950333
0.258000
0.258000
0.557333
0.541333
0.215000
0.215800
0.215800
0.258000
0.215000
0.649599
31.873333
11.903333
4.370714
3.960000
6.470333
7.764399
6.436000
7.723200
12.872000
160.920000
64.299333
58.287666
64.614000
237.468000
382.224000
197.890000
318.520000
98.852000
237.468000
225.874000

10.370000
10.370000
10.420000
3.470000
17.230000
33.340000
7.090000
3.570000
2.758333
2.535000
19.110000
0.136800
0.114000
0.136800
0.136800
0.136800
0.136800
1.214000
0.950333
0.258000
0.258000
0.557333
0.541333
0.215000
0.215800
0.215800
0.258000
0.215000
0.649599
31.873333
11.903333
4.370714
3.960000
6.470333
7.764399
6.436000
7.723200
12.872000
160.920000
64.299333
58.287666
64.614000
237.468000
382.224000
197.890000
318.520000
98.852000
237.468000
225.874000

NR.CRT

50
51
52
53
54
55
56
57
58
59
60
61

COD ATC

L03AA02
L03AA02
L03AB04
L03AB04
L03AB05
L03AB05
L03AB10
L03AB10
L03AB10
L03AB10
L03AB11
N04BB01

DCI

FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
INTERFERONUM ALFA 2A****
INTERFERONUM ALFA 2A****
INTERFERONUM ALFA 2B****
INTERFERONUM ALFA 2B****
PEGINTERFERON ALFA-2B****
PEGINTERFERON ALFA-2B****
PEGINTERFERON ALFA-2B****
PEGINTERFERON ALFA-2B****
PEGINTERFERON ALFA-2A****
AMANTADINUM**

TARA
concentratie
DET. APP
DETINATOR APP
TEVAGRASTIM 48MUI/0,8ml SOL. INJ./PERF. 480mcg/0,8ml TEVA GENERICS GMBH GERMANIA
NIVESTIM 48 MU/0,5 ml
SOL. INJ./PERF. 480g/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE
ROFERON A
SOL. INJ.
3Mui/0,5ml ROCHE ROMANIA S.R.L. ROMANIA
ROFERON A
SOL. INJ.
9Mui/0,5ml ROCHE ROMANIA S.R.L. ROMANIA
Denumire Comerciala

INTRON A 18 milioane U.I.


INTRON A 30 milioane U.I.
PEGINTRON 100 mcg
PEGINTRON 120 mcg
PEGINTRON 150 mcg
PEGINTRON 50 mcg
PEGASYS 180 mcg/0,5ml
VIREGYT (R)- K

forma farm.

AMBALAJ
CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF.

S/P-RF/R

CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF.

P-RF

CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML + AC STERIL

S/P-RF

CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. + AC STERIL

S/P-RF

PULB. + SOLV. PT. SOL. INJ.

100mcg
120mcg
150mcg
50mcg

SP EUROPE
SP EUROPE
SP EUROPE
SP EUROPE
SP EUROPE
SP EUROPE

BELGIA
BELGIA
BELGIA
BELGIA
BELGIA
BELGIA

SOL. INJ. IN SERINGA PREUMPLUTA

180mcg/0,5ml

ROCHE REGISTRATION LTD.

MAREA BRITANIE

EGIS PHARMACEUTICALS P.L.C.

UNGARIA CUTIE X 1 FLAC. X 50 CAPS.

SOL. INJ. PEN MULTIDOZA

18 milioane U.I.

SOL. INJ. PEN MULTIDOZA

30 milioane U.I.

PULB. + SOLV. PT. SOL. INJ.


PULB. + SOLV. PT. SOL. INJ.
PULB. + SOLV. PT. SOL. INJ.

CAPS.

100mg

Prescriptie

CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML SOL. INJ. + 12 ACE + 12 TAMPOANE DEZINFECTANTE

P-RF/R

CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML + 12 ACE + 12 TAMPOANE DEZINFECTANTE

P-RF/R

CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV.

P-RF/R

CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV.

P-RF/R

CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV. P-RF/R


CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV.

P-RF/R

CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML + 1 AC

P-RF/R

P-6L

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ambal
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
aj
(RON)
(RON)
ADULTI
a) si f)

1
5
1
1
1
1
1
1
1
1
1
50

426.08 426.080000
368.704000
87.43 87.430000
183.22 183.220000
490.77 490.770000
772.57 772.570000
820.00 820.000000
969.85 969.850000

1,843.52

382.224000
368.704000
87.430000
183.220000
490.770000
772.570000
820.000000
969.850000

382.224000
368.704000
87.430000
183.220000
490.770000
772.570000
820.000000
969.850000

1,193.66 1,193.660000 1,193.660000 1,193.660000

445.72 445.720000 445.720000 445.720000


975.16 975.160000 975.160000 975.160000
17.07
0.341400
0.341400
0.341400

Tratamentul se iniiaz de ctre medicul in specialitatea gastroenterologie sau boli infectioase

8. Leucemii, limfoame, aplazie medulara, gamapatii monoclonale maligne, mieloproliferari cronice si tumori maligne, sindroame mielodisplazice - G10
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30

A04AA01
A04AA01
A04AA01
A04AA01
A04AA01
A04AA01
A04AA02
A04AA02
A04AA02
A04AA02
A04AA02
A04AA02
A04AA02
A04AA02
A04AA02
A04AA02
A04AA02
A04AA05
A04AA05

B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01

ONDANSETRONUM**
ONDANSETRONUM**
ONDANSETRONUM**
ONDANSETRONUM**
ONDANSETRONUM**
ONDANSETRONUM**
GRANISETRONUM**
GRANISETRONUM**
GRANISETRONUM**
GRANISETRONUM**
GRANISETRONUM**
GRANISETRONUM**
GRANISETRONUM**
GRANISETRONUM**
GRANISETRONUM**
GRANISETRONUM**
GRANISETRONUM**
PALONOSETRONUM**
PALONOSETRONUM**
EPOETINUM ALFA***
EPOETINUM ALFA***
EPOETINUM ALFA***
EPOETINUM ALFA***
EPOETINUM ALFA***
EPOETINUM ALFA***
EPOETINUM ALFA***
EPOETINUM ALFA***
EPOETINUM ALFA***
EPOETINUM BETA***
EPOETINUM BETA***

OSETRON 4 mg
OSETRON 8 mg

COMPR. FILM.
COMPR. FILM.
OSETRON 8 mg SOLUTIE INJECTABILA SOL. INJ.
OSETRON 4 mg SOLUTIE INJECTABILA SOL. INJ.
EMESET 8 mg/4 ml
SOL. INJ./PERF.
EMESET 4 mg/2 ml
SOL. INJ./PERF.
KYTRIL (R) 1 mg
COMPR. FILM.
GRANISETRON ACTAVIS 1 mg COMPR. FILM.
GRANEGIS 1 mg
COMPR. FILM.
GRANORED 1 mg
COMPR. FILM.
GRANORED 2 mg
COMPR. FILM.
GRANISETRON KABI 1 mg/ml
GRANISETRON KABI 1 mg/ml
GRANISETRON KABI 1 mg/ml
GRANISETRON TEVA 1mg/1ml
GRANISETRON TEVA 3mg/3ml

KYTRIL
ALOXI 500mcg
ALOXI
BINOCRIT 10000UI/1,0ml
BINOCRIT 1000UI/0,5ml
BINOCRIT 2000UI/1,0ml
BINOCRIT 30000UI/0,75ml
BINOCRIT 3000UI/0,3ml
EPREX 40000 UI/ml
BINOCRIT 40000 UI/1 ml
BINOCRIT 4000UI/0,4ml
BINOCRIT 5000UI/0,5ml

NEORECORMON 10000UI/0,6ml
NEORECORMON 2000UI/0,3ml

CONC. PT. SOL. INJ./PERF.


CONC. PT. SOL. INJ./PERF.
CONC. PT. SOL. INJ./PERF.
CONC. PT. SOL. PERF./INJ.
CONC. PT. SOL. PERF./INJ.

SOL. INJ.
CAPS. MOI
SOL. INJ.
SOL. INJ. IN SERINGA PREUMPLUTA

4mg
8mg
2mg/ml
2mg/ml
2mg/ml
2mg/ml
1mg
1mg
1mg
1mg
2mg
1mg/ml
1mg/ml
1mg/ml
1mg/1ml
3mg/3ml
3mg/3ml
500mcg
250 mcg/5ml

DR. REDDY'S LABORATORIES


DR. REDDY'S LABORATORIES
DR. REDDY'S LABORATORIES
DR. REDDY'S LABORATORIES

CIPLA (UK) LIMITED


CIPLA (UK) LIMITED

ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE X 1 BLIST. HARTIE/AL, PVDC/PVC X 10 COMPR. FILM.

P-RF

CUTIE X 1 BLIST. HARTIE/AL, PVDC/PVC X 10 COMPR. FILM.

P-RF

CUTIE X 1 BLIST. AL/PVC X 5 FIOLE X 4 ML SOL. INJ.

S/P-RF

CUTIE 1 BLIST. AL/PVC X 5 FIOLE X 2 ML SOL. INJ.

S/P-RF

MAREA BRITANIE

CUTIE X 5 FIOLE STICLA + INEL RUPERE X 4ML SOL. INJ. / PERF. S/P-RF

MAREA BRITANIE

CUTIE X 5 FIOLE STICLA + INEL RUPERE X 2ML SOL. INJ/ PERF. S/P-RF

ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF


ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE CU BLIST. PVC/AL X 10 COMPR. FILM. P-RF

UNGARIA CUTIE CU BLIST. PVC/AL X 10 COMPR. FILM.


DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM.
DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM.
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 10 FIOLE STICLA INCOLORA X 1 ML CONC. PT. SOL. INJ./PERF.
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 5 FIOLE STICLA INCOLORA X 3 ML CONC. PT. SOL. INJ./PERF.
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 10 FIOLE STICLA INCOLORA X 3 ML CONC. PT. SOL. INJ./PERF.
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 1 ML CONC. PT. SOL. PERF./INJ.
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 3 ML CONC. PT. SOL. PERF./INJ.
ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FIOLA X 3 ML SOL. INJ.
EGIS PHARMACEUTICALS P.L.C.

HELSINN BIREX PHARMACEUTICALS LTD.


HELSINN BIREX PHARMACEUTICALS LTD.

10000UI/1,0ml SANDOZ GMBH

IRLANDA
IRLANDA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA

P-RF

PRF
PRF
S/P-RF
S/P-RF
S/P-RF

S
S
S

CUTIE X BLISTER DIN POLIAMIDA/AL/PVC X 1 CAPSULA MOALE

PRF

CUTIE X 1 FLAC. DIN STICLA X 5 ML SOL. INJ.

P-RF

CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ.

S/P-RF/R

CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ.

S/P-RF/R

CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ.

S/P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

1000UI/0,5ml SANDOZ GMBH


2000UI/1,0ml SANDOZ GMBH
30000UI/0,75ml SANDOZ GMBH
3000UI/0,3ml SANDOZ GMBH
40 000UI/ml JOHNSON & JOHNSON D.O.O.
40000 UI/1 ml SANDOZ GMBH
4000UI/0,4ml SANDOZ GMBH
5000UI/0,5ml SANDOZ GMBH

SOL. INJ. IN SERINGA PREUMPLUTA

10000UI/0,6ml

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 6 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ. + 6 ACE

S/P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

2000UI/0,3ml

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. X 6 ACE

S/P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA


SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA

Pagina 10 din 42

SLOVENIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,75ML SOL. INJ.

P-RF/R

CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ.

S/P-RF/R

CUTIE CU 1 SERINGA PREUMPLUTA X 1 ML SOL. INJ.

S/P-RF

CUTIE X 1 SERINGA PREUMPLUTA X 1ML SOL. INJ.

P-RF/R

AUSTRIA
AUSTRIA
AUSTRIA

CUTIE X 6 SERINGI PREUMPLUTE X 0,4ML SOL. INJ.

S/P-RF/R

CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ.

S/P-RF/R

10
10
5
5
5
5
10
10
10
10
10
10
5
10
5
5
1
1
1
6
6
6
1
6
1
1
6
6
6
6

19.04
1.904000
1.904000
33.31
3.331000
3.331000
43.75
8.750000
8.750000
23.79
4.758000
4.758000
43.73
8.746000
8.746000
4.758000
4.758000
23.79
287.59 28.759000 17.835600
148.63 14.863000 14.863000
148.63 14.863000 14.863000
178.35 17.835000 17.835000
271.77 27.177000 27.177000
135.28 13.528000 13.528000
199.30 39.860000 39.860000
394.03 39.403000 39.403000
71.52 14.304000 14.304000
199.86 39.972000 39.972000
66.02 66.020000 47.283600
403.43 403.430000 403.430000
381.18 381.180000 381.180000
1,728.54 288.090000 288.090000
218.42 36.403333 36.403333
425.83 70.971666 70.971666
788.23 788.230000 788.230000
603.73 100.621666 100.621666

1.904000
3.331000
8.750000
4.758000
8.746000
4.758000
17.835600
14.863000
14.863000
17.835000
27.177000
13.528000
39.860000
39.403000
14.304000
39.972000
47.283600
403.430000
381.180000
288.090000
36.403333
70.971666
788.230000
100.621666

1,353.47 1,353.470000 1,193.316000 1,193.316000

994.43 994.430000 994.430000 994.430000


781.57 130.261666 130.261666 130.261666
959.37 159.895000 159.895000 159.895000
2,346.60 391.100000 391.100000 391.100000
526.27 87.711666 87.711666 87.711666

NR.CRT

31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79

COD ATC

B03XA01
B03XA01
B03XA01
B03XA01
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
G03HA01

H02AB02
H02AB02
H02AB02
H02AB02
H02AB02

J02AC02
J02AC02
J02AC02
J02AC02
J02AC02
J02AC02
J02AC02
J02AC03
J02AC03
J02AC03
J02AC03
J02AC04
J02AC04

J02AX04
J02AX04
L01XX35
L01XX35
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
N02AA01
N02AA01
N02AA01
N02AA01
N02AA01

DCI

EPOETINUM BETA***
EPOETINUM BETA***
EPOETINUM BETA***
EPOETINUM BETA***
DARBEPOETINUM ALFA***
DARBEPOETINUM ALFA***
DARBEPOETINUM ALFA***
DARBEPOETINUM ALFA***
DARBEPOETINUM ALFA***
DARBEPOETINUM ALFA***
DARBEPOETINUM ALFA***
DARBEPOETINUM ALFA***
DARBEPOETINUM ALFA***
DARBEPOETINUM ALFA***
DARBEPOETINUM ALFA***
CYPROTERONUM**
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
POSACONAZOLUM**
POSACONAZOLUM**
CASPOFUNGINUM**
CASPOFUNGINUM**
ANAGRELIDUM***
ANAGRELIDUM***
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
MORPHYNUM
MORPHYNUM
MORPHYNUM
MORPHYNUM
MORPHYNUM

Denumire Comerciala

forma farm.

NEORECORMON 30000UI/0,6ml
NEORECORMON 4000UI/0,3ml
NEORECORMON 5000UI/0,3ml

SOL. INJ. IN SERINGA PREUMPLUTA

NEORECORMON 500UI/0,3ml

SOL. INJ. IN SERINGA PREUMPLUTA

ARANESP 100mcg/0,5ml
ARANESP 10mcg/0,4ml
ARANESP 150mcg/0,3ml
ARANESP 20mcg/0,5ml
ARANESP 300mcg/0,6ml
ARANESP 30mcg/0,3ml
ARANESP 40mcg/0,4ml
ARANESP 500mcg/ml
ARANESP 50mcg/0,5ml
ARANESP 60mcg/0,3ml
ARANESP 80mcg/0,4ml
ANDROCUR
DEXAMED

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA


SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA

COMPR.
COMPR.
DEXAMETHASONE SODIUM PHOSPHATE SOL. INJ.
DEXAMETHASONE SODIUM PHOSPHATE SOL. INJ.
DEXAMED
SOL. INJ.
DEXAMED
SOL. INJ.
ORUNGAL
CAPS.
ITRACONAZOL 100 mg
CAPS.
ITRACONAZOL 100 mg
CAPS.
OMICRAL 100 mg
CAPS.
SPORILIN 100 mg
CAPS.
ITRACONAZOL LPH 100 mg CAPS.
MICOGAL 100 mg
CAPS.
VFEND 200mg
COMPR. FILM.
VFEND 50mg
COMPR. FILM.
VFEND 200mg
PULB. PT. SOL. PERF.
VFEND 40 mg/ml
PULB. PT. SUSP. ORALA
NOXAFIL SP 40mg/ml
SUSP. ORALA
NOXAFIL SP 40mg/ml
SUSP. ORALA
CANCIDAS 50 mg
PULB. PT. CONC. PT. SOL. PERF.
CANCIDAS 70 mg
PULB. PT. CONC. PT. SOL. PERF.
THROMBOREDUCTIN
CAPS.
THROMBOREDUCTIN
CAPS.
EQUORAL (R) 100 mg
CAPS. MOI
SANDIMMUN NEORAL (R) CAPS. MOI
EQUORAL (R) 25 mg
CAPS. MOI
SANDIMMUN NEORAL (R) CAPS. MOI
EQUORAL (R) 50 mg
CAPS. MOI
CICLORAL 50 mg
CAPS. MOI
SEVREDOL 10 mg
COMPR. FILM.
SEVREDOL 20 mg
COMPR. FILM.
MST CONTINUS 100 mg
COMPR. FILM. ELIB. MODIF.
MST CONTINUS 10 mg
COMPR. FILM. ELIB. MODIF.
MST CONTINUS 200 mg
COMPR. FILM. ELIB. MODIF.

concentratie

DETINATOR APP

30000 UI/0,6ml ROCHE REGISTRATION LTD.

TARA
DET. APP

AMBALAJ

Prescriptie

MAREA BRITANIE

CUTIE X 1 SERINGA PRE-UMPLUTA X 0,6 ML + 1 AC

S/P-RF/R

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE

S/P-RF/R

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE

S/P-RF/R

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ. + 6 ACE

S/P-RF/R

100mcg/0,5ml AMGEN EUROPE BV OLANDA

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML

P-RF/R

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML

P-RF/R

4000UI/0,3ml
5000UI/0,3ml
500UI/0,3ml

10mcg/0,4ml AMGEN EUROPE BV


150mcg/0,3ml AMGEN EUROPE BV
20mcg/0,5ml AMGEN EUROPE BV
300mcg/0,6ml AMGEN EUROPE BV
30mcg/0,3ml AMGEN EUROPE BV
40mcg/0,4ml AMGEN EUROPE BV
500mcg/ml AMGEN EUROPE BV
50mcg/0,5ml AMGEN EUROPE BV
60mcg/0,3ml AMGEN EUROPE BV
80mcg/0,4ml AMGEN EUROPE BV
50mg
BAYER SCHERING PHARMA AG
0,5mg
CN UNIFARM S.A.
8mg
E.I.P.I.CO. MED S.R.L.
8mg
E.I.P.I.CO. MED S.R.L.
8mg/2ml
MEDOCHEMIE LTD.
8mg/2ml
MEDOCHEMIE LTD.
100mg
JANSSEN PHARMACEUTICA N.V.
100mg
SLAVIA PHARM SRL
100mg
ARENA GROUP S.A.
100mg
MEDICO UNO PHARMACEUTICAL SRL
100mg
GEDEON RICHTER ROMANIA SA
100mg
LABORMED PHARMA S.A.
100mg
ROMPHARM COMPANY SRL
200mg
PFIZER LIMITED
50mg
PFIZER LIMITED
200mg
PFIZER LIMITED
40mg/ml
PFIZER LIMITED
40mg/ml
SP EUROPE
40mg/ml
MERCK SHARP & DOHME
50mg
MERCK SHARP & DOHME
70mg
MERCK SHARP & DOHME
0,5mg
0,5mg
100mg
IVAX - PHARMACEUTICALS S.R.O.
25mg
NOVARTIS PHARMA GMBH
25mg
IVAX - PHARMACEUTICALS S.R.O.
50mg
NOVARTIS PHARMA GMBH
50mg
IVAX - PHARMACEUTICALS S.R.O.
50mg
HEXAL AG
10mg
MUNDIPHARMA GMBH
20mg
MUNDIPHARMA GMBH
100mg
MUNDIPHARMA GES.M.B.H
10mg
MUNDIPHARMA GES.M.B.H
200mg
MUNDIPHARMA GES.M.B.H
ORPHA-DEVEL HANDELS UND VERTRIEBS GMBH

ORPHA-DEVEL HANDELS UND VERTRIEBS GMBH

Pagina 11 din 42

OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA

GERMANIA

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML

P-RF/R

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML

P-RF/R

CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 0,6 ML

P-RF/R

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML

P-RF/R

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML

P-RF/R

CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 1 ML

P-RF/R

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML

P-RF/R

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML

P-RF/R

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML

P-RF/R

CUTIE X 1 FLAC. X 50 COMPR.

P-RF

CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.

P-RF/S

ROMANIA CUTIE CU 10 BLISTERE X 10 COMPRIMATE PRF


ROMANIA CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. P-RF
ROMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. P-RF

CIPRU
CIPRU
BELGIA

CUTIE X 10 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. P-RF

CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 5 CAPS. P-RF

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE X 3 BLIST. AL/PVC X 5 CAPS.


CUTIE X 3 BLIST. AL/PVC X 5 CAPS.
CUTIE X 3 BLIST. AL/AL X 5 CAPS.
CUTIE X 3 BLIST. AL/AL X 5 CAPS.
CUTIE X 3 BLIST. PVC/AL X 5 CAPS.
CUTIE X 3 BLIST. PVC/AL X 5 CAPS.

MAREA BRITANIE

CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF

MAREA BRITANIE

CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL) P-RF

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

CUTIE X 1 FLAC. UNIDOZA X 30ML

P-RF

CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA

P-RF

MAREA BRITANIE

CUTIE X 1 FLAC. X 105ML SUSP. ORALA


CUTIE X 1 FLAC. X 105ML SUSP. ORALA

P-RF/R

MAREA BRITANIE

CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF.

MAREA BRITANIE

CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF.

MAREA BRITANIE
MAREA BRITANIE

BELGIA

AUSTRIA CUTIE X 1 FLAC. DIN PE X 42 CAPS.


AUSTRIA CUTIE X 1 FLAC. DIN PE X 100 CAPS.
CEHIA
CUTIE X 5 BLIST. X 10 CAPS. MOI
GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI
CEHIA
CUTIE X 5 BLIST. X 10 CAPS. MOI
GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI
CEHIA
CUTIE X 5 BLIST. X 10 CAPS. MOI
GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI

AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA

P-RF/R

S
S
P-RF
P-RF/S
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF

CUTIE X 4 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-TS


CUTIE X 4 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-TS
CUTIE X 2 BLIST. PVC-PVDC/AL X 30 COMPR. FILM. CU ELIB. MOD.

P-TS

CUTIE X 2 BLIST. PVC-PVDC/AL X 30 COMPR. FILM. CU ELIB. MOD.

P-TS

CUTIE X 4 BLIST. PVC-PVDC/AL X 15 COMPR. FILM. CU ELIB. MOD.

P-TS

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ambal
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
aj
(RON)
(RON)
ADULTI
a) si f)

1
6
6
6
4
4
4
4
1
4
4
1
4
4
4
50
100
100
5
100
10
15
15
15
15
15
15
15
28
28
1
1
1
1
1
1
42
100
50
50
50
50
50
50
56
56
60
60
60

1,174.53 1,174.530000 1,174.530000 1,174.530000

981.05 163.508333 163.508333 163.508333


201.383333 201.383333 201.383333
143.93 23.988333 23.988333 23.988333
3,173.01 793.252500 793.252500 793.252500
391.56 97.890000 97.890000 97.890000

1,208.30

4,708.35 1,177.087500 1,177.087500 1,177.087500

702.64 175.660000 175.660000 175.660000

2,208.61 2,208.610000 2,208.610000 2,208.610000


1,009.47
1,318.95

252.367500 252.367500 252.367500


329.737500 329.737500 329.737500

3,633.81 3,633.810000 3,633.810000 3,633.810000


1,626.76
1,937.17
2,555.95

162.33
18.38
123.66
6.98
92.18
10.39
76.92
52.56
52.56
52.56
52.56
52.56
52.55

3,917.72
1,032.33

537.45

406.690000
484.292500
638.987500
3.246600
0.183800
1.236600
1.396000
0.921800
1.039000
5.128000
3.504000
3.504000
3.504000
3.504000
3.504000
3.503333
139.918571
36.868928
537.450000

406.690000
484.292500
638.987500
3.246600
0.183800
1.106160
1.106160
0.921800
1.039000
4.203999
3.504000
3.504000
3.504000
3.504000
3.504000
3.503333
139.918571
36.868928
537.450000

406.690000
484.292500
638.987500
3.246600
0.183800
1.106160
1.106160
0.921800
1.039000
4.203999
3.504000
3.504000
3.504000
3.504000
3.504000
3.503333
139.918571
36.868928
537.450000

2,439.99 2,439.990000 2,439.990000 2,439.990000


2,750.28 2,750.280000 2,750.280000 2,750.280000
2,750.28 2,750.280000 2,750.280000 2,750.280000
1,348.76 1,348.760000 1,348.760000 1,348.760000
1,738.70 1,738.700000 1,738.700000 1,738.700000

875.92

1,655.48

471.31
137.32
94.13
292.16
189.90
305.21
46.96
67.34
248.14
46.12
422.55

20.855238
16.554800
9.426200
2.746400
1.882600
5.843200
3.798000
6.104200
0.838571
1.202500
4.135666
0.768666
7.042500

19.865760
16.554800
9.426200
2.259120
1.882600
4.557600
3.798000
4.557600
0.838571
1.202500
3.401599
0.768666
7.042500

19.865760
16.554800
9.426200
2.259120
1.882600
4.557600
3.798000
4.557600
0.838571
1.202500
3.401599
0.768666
7.042500

NR.CRT

80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99

COD ATC

N02AA01
N02AA01
N02AA01
N02AA01
N02AA01
N02AA01
N02AA05
N02AA05
N02AA05
N02AA05
N02AA08
N02AA08
N02AA08
N02AB02
N02AB03
N02AB03
N02AB03
N02AB03
N02AB03
N02AB03

100 N02AB03
101 N02AB03
102 N02AB03
103 N02AB03
104 N02AB03
105 N02AB03
106 N02AB03
107 N02AB03
108 N02AB03
109 N02AX02
110 N02AX02
111 N02AX02
112 N02AX02
113 N02AX02
114 N02AX02
115 N02AX02
116 N02AX02
117 N02AX02
118 N02AX02
119 N02AX02
120 N02AX02
121 N02AX02
122 N02AX02
123 N02AX02
124 N02AX02
125 N02AX02
126 N02AX02
127 N02AX02
128 N02AX02

DCI

MORPHYNUM
MORPHYNUM
MORPHYNUM
MORPHYNUM
MORPHYNUM
MORPHYNUM
OXYCODONUM
OXYCODONUM
OXYCODONUM
OXYCODONUM
DIHYDROCODEINUM
DIHYDROCODEINUM
DIHYDROCODEINUM
PETHIDINUM
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM

Denumire Comerciala

MST CONTINUS 30 mg
MST CONTINUS 60 mg

VENDAL (R) RETARD 100 mg

forma farm.
COMPR. FILM. ELIB. MODIF.
COMPR. FILM. ELIB. MODIF.

COMPR. FILM. ELIB. PREL.

VENDAL (R) RETARD 30 mg COMPR. FILM. ELIB. PREL.


VENDAL (R) RETARD 60 mg COMPR. FILM. ELIB. PREL.
MORFINA 20 mg/ml
SOL. INJ.
OXYCONTIN (R) 10 mg
COMPR. FILM. ELIB. MODIF.
OXYCONTIN (R) 20 mg
COMPR. FILM. ELIB. MODIF.
OXYCONTIN (R) 40 mg
COMPR. FILM. ELIB. MODIF.
OXYCONTIN (R) 80 mg
COMPR. FILM. ELIB. MODIF.
DHC CONTINUS 120 mg
COMPR. ELIB. PREL.
DHC CONTINUS 60 mg
COMPR. ELIB. PREL.
DHC CONTINUS 90 mg
COMPR. ELIB. PREL.
MIALGIN (R) 100 mg/2 ml
SOL. INJ.

concentratie

30mg
60mg
100mg
30mg
60mg
20mg/ml
10 mg
20 mg
40 mg
80mg
120mg
60mg
90mg
50mg/ml

FENTANYL SANDOZ MATRIX 75mcg/h PLASTURE TRANSDERM. 17,34mg/31,50cmp


FENTANYL SANDOZ MATRIX 100mcg/h PLASTURE TRANSDERM. 23,12mg/42.00cmp

FENTANYL TTS SANDOZ 100 mcg/h

PLASTURE TRANSDERMIC

100mcg/h

DETINATOR APP
MUNDIPHARMA GES.M.B.H
MUNDIPHARMA GES.M.B.H
LANNACHER HEILMITTEL GES.M.B.H.
LANNACHER HEILMITTEL GES.M.B.H.
LANNACHER HEILMITTEL GES.M.B.H.

ZENTIVA S.A.
MUNDIPHARMA
MUNDIPHARMA
MUNDIPHARMA
MUNDIPHARMA
MUNDIPHARMA
MUNDIPHARMA
MUNDIPHARMA

DOLFORIN 100 g/ORA

PLASTURE TRANSDERMIC

100g/ora

GMBH
GMBH
GMBH
GMBH
GMBH
GMBH
GMBH

ZENTIVA SA
SANDOZ S.R.L.
SANDOZ S.R.L.
SANDOZ S.R.L.

GEDEON RICHTER ROMANIA SA

SANDOZ S.R.L.
SANDOZ S.R.L.

FENTANYL TTS SANDOZ 25 mcg/h

PLASTURE TRANSDERMIC

25mcg/h

FENTANYL ACTAVIS 25micrograme/h

PLASTURE TRANSDERMIC

DOLFORIN 25 g/ORA

25micrograme/h ACTAVIS GROUP PTC EHF.

PLASTURE TRANSDERMIC

25g/ora

FENTANYL SANDOZ MATRIX 25mcg/h PLASTURE TRANSDERMIC 5,78mg/10,5cmp

GEDEON RICHTER ROMANIA SA

SANDOZ S.R.L.
SANDOZ S.R.L.

FENTANYL TTS SANDOZ 50 mcg/h

PLASTURE TRANSDERMIC

50mcg/h

FENTANYL ACTAVIS 50micrograme/h

PLASTURE TRANSDERMIC

50micrograme/h ACTAVIS GROUP PTC EHF.

DOLFORIN 50 g/ORA

PLASTURE TRANSDERMIC

FENTANYL TTS SANDOZ 75 mcg/h

PLASTURE TRANSDERMIC

DOLFORIN 75 g/ORA
TRALGIT 50
TRAMADOL
TRAMADOL AL 50
TRAMADOL AL 50
MABRON 50 mg
K-ALMA (R)
TRAMACALM
TRAMADOL LPH 50 mg
URGENDOL
TRAMADOL ARENA
TRAMAL UNO 100 mg
TRAMAL UNO 100 mg
TRAMAL UNO 150 mg
TRAMAL UNO 150 mg
TRAMAL UNO 150 mg
TRAMAL UNO 200 mg
TRAMAG 50
TRAMADOL EEL
TRAMADOL 50 mg
TRAMADOLOR (R) 100 ID

PLASTURE TRANSDERMIC

CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.

COMPR.
COMPR.
COMPR.

COMPR. ELIB. MODIF.

50g/ora
75mcg/h
75g/ora
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
100mg
100mg
150mg
150mg
150mg
200mg
50mg
50mg
50mg
100mg

AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA

AMBALAJ

GEDEON RICHTER ROMANIA SA

SANDOZ S.R.L.
GEDEON RICHTER ROMANIA SA

AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA

P-TS

CUTIE X 2 BLIST. PVC-PVDC/AL X 30 COMPR. FILM. CU ELIB. MOD.

P-TS

CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL.

P-TS

CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL.

P-TS

CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL.

P-TS

ROMANIA
ROMANIA
ROMANIA

ISLANDA

ROMANIA
ROMANIA
ROMANIA

ISLANDA

ROMANIA
ROMANIA
ROMANIA

P-TS

CUTIE X 1 FLAC. X 56 COMPR. FILM. ELIB. MODIF.

P-TS

CUTIE X 1 FLAC. X 56 COMPR. FILM. ELIB. MODIF.

P-TS

CUTIE X 1 FLAC. X 56 COMPR. FILM. ELIB. MODIF.

P-TS

CUTIE X 1 FLAC. X 56 COMPR. FILM. ELIB. MODIF.

P-TS

CUTIE X 1 FLAC. DIN PP X 56 COMPR. ELIB. PREL. P-RF


CUTIE X 1 FLAC. DIN PP X 56 COMPR. ELIB. PREL. P-RF
CUTIE X 1 FLAC. DIN PP X 56 COMPR. ELIB. PREL. P-RF

ROMANIA CUTIE X 5 FIOLE DIN STICLA X 2 ML


ROMANIA CUTIE X 5 PLICURI MULTISTRAT X 1 PLASTURE TRANSDERMIC
ROMANIA CUTIE X 5 PLICURI MULTISTRAT X 1 PLASTURE TRANSDERMIC
ROMANIA CUTIE X 5 PLIC DIN HARTIE/PE/AL/PE X 1 PLASTURE TRANSDERMIC

ISLANDA

Prescriptie

CUTIE X 2 BLIST. PVC-PVDC/AL X 30 COMPR. FILM. CU ELIB. MOD.

ROMANIA CUTIE X 5 FIOLE X 1 ML

FENTANYL ACTAVIS 100micrograme/h PLASTURE TRANSDERMIC 100micrograme/h ACTAVIS GROUP PTC EHF.
FENTANYL SANDOZ MATRIX 50mcg/h PLASTURE TRANSDERMIC 11,56mg/21,00cmp

TARA
DET. APP

P-TS
P-TS
P-TS
P-TS

CUTIE X 5 PLICURI MULTISTRAT DIN HARTIE -PEJD- AL- SURLYN X 1 PLASTURE TRANSDERMIC

P-TS

CUTIE X 5 PLICURI DIN PES-AL-PP X 1 PLASTURE TRANSDERMIC

P-TS

CUTIE X 5 PLICURI MULTISTRAT X 1 PLASTURE TRANSDERMIC

P-TS

CUTIE X 5 PLIC DIN HARTIE/PE/AL/PE X 1 PLASTURE TRANSDERMIC

P-TS

CUTIE X 5 PLICURI MULTISTRAT DIN HARTIE -PEJD- AL- SURLYN X 1 PLASTURE TRANSDERMIC

P-TS

CUTIE X 5 PLICURI DIN PES-AL-PP X 1 PLASTURE TRANSDERMIC

P-TS

CUTIE X 5 PLICURI MULTISTRAT X 1 PLASTURE TRANSDERMIC

P-TS

CUTIE X 5 PLIC DIN HARTIE/PE/AL/PE X 1 PLASTURE TRANSDERMIC

P-TS

CUTIE X 5 PLICURI MULTISTRAT DIN HARTIE -PEJD- AL- SURLYN X 1 PLASTURE TRANSDERMIC

P-TS

CUTIE X 5 PLICURI DIN PES-AL-PP X 1 PLASTURE TRANSDERMIC

P-TS

CUTIE X 5 PLIC DIN HARTIE/PE/AL/PE X 1 PLASTURE TRANSDERMIC

P-TS

CUTIE X 5 PLICURI DIN PES-AL-PP X 1 PLASTURE TRANSDERMIC

P-TS

ZENTIVA A.S.
KRKA D.D.

SLOVACIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.


SLOVENIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P-RF

ALIUD PHARMA GMBH & CO.KG

GERMANIA

P-RF

P-RF

CUTIE X 3 BLIST. X 10 CAPS.


ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 1 BLIST. X 10 CAPS.
MEDOCHEMIE LTD. CIPRU
CUTIE X 1 BLIST. AL/PVC X 10 CAPS.
ANTIBIOTICE SA
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
AC HELCOR SRL
ROMANIA CUTIE X 1 BLIST. PVC/AL X 10 CAPS.

P-RF

CUTIE X 1 BLIST. X 10 CAPS.


ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P-RF

P-RF
P-RF
P-RF

LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF

MEDICAROM GROUP SRL ROMANIA

GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH

MAGISTRA C & C
BIO EEL SRL

OZONE LABORATORIES PHARMA S.A.

HEXAL AG

Pagina 12 din 42

P-RF

GERMANIA

CUTIE X BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL.

P-RF

GERMANIA

CUTIE X BLIST. PVC-PVDC/AL X 30 CAPS. CU ELIB. PREL.

P-RF

GERMANIA

CUTIE X BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL.

P-RF

GERMANIA

CUTIE X BLIST. PVC-PVDC/AL X 20 CAPS. CU ELIB. PREL.

P-RF

GERMANIA

CUTIE X BLIST. PVC-PVDC/AL X 30 CAPS. CU ELIB. PREL.

P-RF

GERMANIA

CUTIE X BLIST. PVC-PVDC/AL X 30 CAPS. CU ELIB. PREL.

P-RF

ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-RF
P-RF
P-RF

GERMANIA CUTIE X 1 BLIST. X 10 COMPR. ELIB. MODIF. P-RF

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ambal
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
aj
(RON)
(RON)
ADULTI
a) si f)

60
60
30
30
30
5
56
56
56
56
56
56
56
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
20
20
30
10
10
20
10
20
10
20
10
30
10
20
30
30
20
20
20
10

76.46
154.65
85.04
27.06
55.81
8.29
116.83
214.65
395.50
652.80
128.54
29.34
101.69
7.80
154.58
191.24
191.24
190.93
191.24
120.78
71.80
69.07
69.71
71.80
120.78
120.72
120.78
154.58
154.58
5.82
5.82
11.53
3.85
3.85
7.67
3.85
7.67
3.82
9.00
17.38
47.39
26.09
48.58
68.71
78.13
7.67
7.67
7.67
6.30

1.274333
2.577500
2.834666
0.902000
1.860333
1.658000
2.086250
3.833035
7.062500
11.657142
2.295357
0.523928
1.815892
1.560000
30.916000
38.248000
38.248000
38.186000
38.248000
24.156000
14.360000
13.814000
13.942000
14.360000
24.156000
24.144000
24.156000
30.916000
30.916000
0.291000
0.291000
0.384333
0.385000
0.385000
0.383500
0.385000
0.383500
0.382000
0.450000
1.738000
1.579666
2.609000
2.429000
2.290333
2.604333
0.383500
0.383500
0.383500
0.630000

1.082400
2.232399
2.834666
0.902000
1.860333
1.658000
2.086250
3.833035
7.062500
11.657142
2.295357
0.523928
1.815892
1.560000
30.916000
38.248000
38.248000
38.186000
38.248000
24.156000
14.360000
13.814000
13.942000
14.360000
24.156000
24.144000
24.156000
30.916000
30.916000
0.291000
0.291000
0.349200
0.349200
0.349200
0.349200
0.349200
0.349200
0.349200
0.349200
0.755599
0.755599
1.342800
1.342800
1.342800
2.127999
0.349200
0.349200
0.349200
0.630000

1.082400
2.232399
2.834666
0.902000
1.860333
1.658000
2.086250
3.833035
7.062500
11.657142
2.295357
0.523928
1.815892
1.560000
30.916000
38.248000
38.248000
38.186000
38.248000
24.156000
14.360000
13.814000
13.942000
14.360000
24.156000
24.144000
24.156000
30.916000
30.916000
0.291000
0.291000
0.349200
0.349200
0.349200
0.349200
0.349200
0.349200
0.349200
0.349200
0.755599
0.755599
1.342800
1.342800
1.342800
2.127999
0.349200
0.349200
0.349200
0.630000

NR.CRT

COD ATC

129 N02AX02
130 N02AX02
131 N02AX02
132 N02AX02
133 N02AX02
134 N02AX02
135 N02AX02
136 N02AX02
137 N02AX02
138 N02AX02
139 N02AX02
140 N02AX02
141 N02AX02
142 N02AX02
143 N02AX02
144 N02AX02
145 N02AX02
146 N02AX02
147 N02AX02
148 N02AX02
149 N02AX02
150 N02AX02
151 N07BC02
152 N07BC02
153 R05DA04
154 R05DA04
155 R05DA04
156 R05DA04
157 R05DA04
158 R05DA04
159 R05DA04
160 V03AC01
161 V03AC03
162 V03AC03
163 V03AC03

DCI

TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
METHADONUM
METHADONUM
CODEINUM
CODEINUM
CODEINUM
CODEINUM
CODEINUM
CODEINUM
CODEINUM
DEFEROXAMINUM**3)
DEFERASIROXUM***
DEFERASIROXUM***
DEFERASIROXUM***

forma farm.

Denumire Comerciala

TRAMADOL (R) RETARD


TRALGIT SR 100
TRALGIT SR 100
TRALGIT SR 100
TRALGIT SR 150
TRALGIT SR 150
TRALGIT SR 200
TRADOLAN 50 mg
TRAMAL RETARD 100 mg
TRAMAL RETARD 150 mg
TRAMADOL RETARD 150 mg
TRAMAL RETARD 200 mg
TRAMADOL RETARD 200 mg
TRAMADOL AL PICATURI
MABRON
MABRON
TRALGIT 100
TRAMADOL
URGENDOL
TRAMADOL
URGENDOL
TRAMADOL
SINTALGON 2,5 mg
METADON BIOEEL 5 mg
FOSFAT DE CODEINA 15 mg
CODEINA FOSFORICA
FARMACOD
CODEINA FOSFAT

concentratie

COMPR. FILM. ELIB. PREL.

100mg
100mg
100mg
100mg
150mg
150mg
200mg
50mg
100mg
150mg
150mg
200mg
200mg

PIC. ORALE, SOL.

FARA CONCENTRATIE

COMPR. ELIB. PREL.


COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.

COMPR. FILM.

COMPR. FILM. ELIB. PREL.


COMPR. FILM. ELIB. PREL.
COMPR. FILM. ELIB. PREL.
COMPR. FILM. ELIB. PREL.

SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SUPOZ.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
CODEINA FOSFAT LPH 15 mg COMPR.
CODEINA FOSFAT MCC 15 mg COMPR.
CODEINA FOSFAT 15 mg
COMPR.
DESFERAL
LIOF. PT. SOL. INJ./PERF.
EXJADE 125mg
COMPR. DISP.
EXJADE 250mg
COMPR. DISP.
EXJADE 500mg
COMPR. DISP.

100mg
100mg
100mg/2ml
50mg/ml
50mg/ml
50mg/ml
50mg/ml
100mg
2,5mg
5mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
500mg
125mg
250mg
500mg

DETINATOR APP

KRKA D.D.
ZENTIVA AS
ZENTIVA AS
ZENTIVA AS
ZENTIVA AS
ZENTIVA AS
ZENTIVA AS

LANNACHER HEILMITTEL GES.M.B.H.

TARA
DET. APP
AMBALAJ
SLOVENIA CUTIE X 3 BLIST. X 10 COMPR. ELIB. PREL.
SLOVACIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. ELIB. PREL.
SLOVACIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. ELIB. PREL.
SLOVACIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL.
SLOVACIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL.
SLOVACIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. ELIB. PREL.
SLOVACIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. ELIB. PREL.

AUSTRIA

Prescriptie

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.FILM. P-RF

GRUNENTHAL GMBH GERMANIA


GRUNENTHAL GMBH GERMANIA

CUTIE X 1 BLIST. AL/PVDC X 10 COMPR. FILM. CU ELIB. PREL.

P-RF

CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR.FILM. CU ELIB. PREL.

P-RF

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL.

P-RF

GRUNENTHAL GMBH GERMANIA

CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR.FILM. ELIB. PREL.

P-RF

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL.

P-RF

ALIUD PHARMA GMBH GERMANIA

CUTIE X 1 FLACON DIN STICLA BRUNA X 10 ML PIC. ORALE, SOL.

P-RF

CUTIE X 5 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.

S/P-RF

CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.

S/P-RF

MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
ZENTIVA A.S.
KRKA D.D.

CIPRU
CIPRU

SLOVACIA CUTIE X 5 FIOLE X 2 ML SOL. INJ.


SLOVENIA CUTIE X 5 FIOLE X 1 ML

KRKA D.D.

SLOVENIA CUTIE X 5 FIOLE X 2 ML

MEDICAROM GROUP SRL ROMANIA

CUTIE X 5 FIOLE X 1 ML

CUTIE X 5 FIOLE X 2 ML
SLOVENIA CUTIE X 1 BLIST. X 5 SUPOZ.

MEDICAROM GROUP SRL ROMANIA

KRKA D.D.
ZENTIVA S.A.
BIO EEL SRL
SINTOFARM SA
BIO EEL SRL
FARMACOM SA
SLAVIA PHARM SRL

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
LABORMED PHARMA SA ROMANIA
MAGISTRA C & C SRL ROMANIA
OZONE LABORATORIES PHARMA S.A. ROMANIA

S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF

P-RF

CUTIE X 2 BLIST. AL/PVC X 25 COMPR.

P-TS

CUTIE X 5 BLIST. AL/PVC-PVDC X 10 COMPR.

P-TS

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.


CUTIE X 1 BLIST. AL/PVC X 25 COMPR.

P-RF

CUTIE X 2 BLIST. X 10 COMPR.

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


CUTIE X 1 BLIST. AL/PVC X 20 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 10 FLAC. DIN STICLA X 500 MG LIOF. PT. SOL. INJ./PERF.

S/P-RF

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 28 COMPR. DISP.(BLIST. PVC/PE/PVDC/AL)

P-RF/R

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL)

P-RF/R

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL)

P-RF/R

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ambal
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
aj
(RON)
(RON)
ADULTI
a) si f)

30
50
10
30
30
10
10
30
10
10
30
10
30
1
5
100
5
5
5
5
5
5
50
50
30
25
20
20
20
20
20
10
28
28
28

18.91
32.56
6.30
18.89
33.57
21.05
27.50
10.65
9.69
22.03
41.57
28.18
53.20
5.04
9.83
134.56
12.28
4.93
4.90
13.10
7.67
5.58
24.41
15.72
6.01
5.13
3.02
3.02
3.19
3.65
2.96
135.07
787.57

0.630333
0.630333
0.630333
0.651200
0.651200
0.651200
0.630000
0.630000
0.630000
0.629666
0.629666
0.629666
1.119000
1.119000
1.119000
2.105000
1.342800
1.342800
2.750000
2.127999
2.127999
0.355000
0.349200
0.349200
0.755599
0.969000
0.755599
2.203000
1.342800
1.342800
1.385666
1.342800
1.342800
2.818000
2.127999
2.127999
1.773333
1.773333
1.773333
5.040000
5.040000
5.040000
1.966000
1.614720
1.614720
1.345600
1.345600
1.345600
2.456000
1.614720
1.614720
0.986000
0.986000
0.986000
0.980000
0.980000
0.980000
2.620000
1.614720
1.614720
1.534000
1.534000
1.534000
1.116000
1.116000
1.116000
0.488200
0.488200
0.488200
0.314400
0.314400
0.314400
0.200333
0.177600
0.177600
0.205200
0.177600
0.177600
0.151000
0.151000
0.151000
0.151000
0.151000
0.151000
0.159500
0.159500
0.159500
0.182500
0.177600
0.177600
0.148000
0.148000
0.148000
13.507000 13.507000 13.507000
28.127500 28.127500 28.127500
1,631.03 58.251071 58.251071 58.251071
2,937.68 104.917142 104.917142 104.917142

Tratamentul se iniiaz de ctre medicul n specialitatea oncologie sau hematologie.


9. EPILEPSIE - G11
1
2
3
4
5
6
7
8
9

N03AA02
N03AA02
N03AA02
N03AA02
N03AB02
N03AB02
N03AE01
N03AE01

N03AF01

PHENOBARBITALUM
PHENOBARBITALUM
PHENOBARBITALUM
PHENOBARBITALUM
PHENYTOINUM
PHENYTOINUM
CLONAZEPAMUM
CLONAZEPAMUM
CARBAMAZEPINUM

FENOBARBITAL 100 mg
FENOBARBITAL 100 mg

COMPR.
COMPR.
FENOBARBITAL ARENA 100mg COMPR.
FENOBARBITAL 200 mg/ 2 ml SOL. INJ.
FENITOINA RICHTER 100 mg COMPR.
PHENHYDAN 250 mg/5 ml
SOL. INJ.
RIVOTRIL
COMPR.
RIVOTRIL 2 mg
COMPR.
TEGRETOL (R) 200
COMPR.

100 mg
100mg
100mg
10%
100mg
250mg/5ml
0,5mg
2mg
200mg

ZENTIVA SA

ROMANIA CUTIE X 1 BLIST. AL/PVC X 25 COMPR. P-RF


SC ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. X 10 COMPR.
P-RF
SC ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. X 10 COMPR.
P-RF
ZENTIVA S.A
ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 2 ML SOL. INJ. P-RF
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
P-6L
DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE CU 5 FIOLE DIN STICLA INCOLORA X 5 ML SOL. INJ. P-RF

ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 50 COMPR. P-RF
ROCHE ROMANIA S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 30 COMPR. P-RF
NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L

Pagina 13 din 42

25
10
10
5
20
5
50
30
50

4.39
1.14
1.14
10.96
2.77
67.73
6.89
6.56
17.38

0.175600
0.114000
0.114000
2.192000
0.138500
13.546000
0.137800
0.218666
0.347600

0.136800
0.114000
0.114000
2.192000
0.138500
13.546000
0.137800
0.218666
0.173760

0.136800
0.114000
0.114000
2.192000
0.138500
13.546000
0.137800
0.218666
0.173760

NR.CRT

10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58

COD ATC

N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF02
N03AF02
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01

N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09

DCI

CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
OXCARBAZEPINUM
OXCARBAZEPINUM
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**

Denumire Comerciala

forma farm.

CARBAMAZEPINA LPH 200 mg COMPR.

CARBAVIM
CARBEPSIL 200
TAVER
CARBAMAZEPIN
CARBAMAZEPIN EEL
FINLEPSIN

200mg
200mg
200mg
200mg
200mg
200mg
200mg
200mg
200mg
200mg
400mg
400mg
COMPR. ELIB. PREL. 300mg
COMPR. ELIB. PREL. 600mg
COMPR. FILM. ELIB. PREL. 200mg
COMPR. FILM. ELIB. PREL. 400mg
COMPR. FILM. ELIB. PREL. 400mg
COMPR. RET.
150mg
COMPR. RET.
300mg
COMPR. RET.
600mg
COMPR.FILM.ELIB.PREL 200mg
SUSP. ORALA
100mg/5ml
COMPR. FILM. 300mg
COMPR. FILM. 600mg
CAPS. ELIB. PREL. 150mg
CAPS. ELIB. PREL. 300mg
CAPS. MOI GASTROREZ. 150mg
CAPS. MOI GASTROREZ. 300mg
CAPS. MOI GASTROREZ. 500mg
COMPR. ELIB. PREL. 500mg
COMPR. FILM. ELIB. PREL. DIVIZ. 300mg
COMPR. FILM. GASTROREZ. 150mg
COMPR. FILM. GASTROREZ. 200mg
COMPR. FILM. GASTROREZ. 300mg
COMPR. FILM. GASTROREZ. 600mg
LIOF. + SOLV. PT. SOL. 400mg/4ml
MINICOMPR. ELIB. PREL. 1000mg
MINICOMPR. ELIB. PREL. 500mg
SIROP
300mg/5ml
SIROP
57,64mg/ml
COMPR.
100mg
COMPR.
100mg
COMPR.
100mg
COMPR.
100mg
COMPR.
100mg
COMPR.
100mg
COMPR.
100mg
COMPR.
100mg
COMPR.
200mg

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
CARBAMAZEPINA ARENA 200 mg COMPR.
TAVER
COMPR.
CARBAMAZEPINA
COMPR.
CARBEPSIL 400
COMPR.
CARBAMAZEPINA ARENA 400 mg COMPR.
NEUROTOP (R) RETARD 300 mg
NEUROTOP (R) RETARD 600 mg

TEGRETOL CR 200
TEGRETOL CR 400
FINLEPSIN 400 RETARD
TIMONIL 150 RETARD
TIMONIL 300 RETARD
TIMONIL 600 RETARD
FINLEPSIN 200 RETARD
TIMONIL SIROP
TRILEPTAL (R) 300 mg
TRILEPTAL (R) 600 mg
ORFIRIL LONG 150 mg
ORFIRIL LONG 300 mg
CONVULEX (R) 150 mg
CONVULEX (R) 300 mg
CONVULEX (R) 500 mg

DEPAKINE (R) CHRONO 500 mg

DEPAKINE CHRONO 300 mg


ORFIRIL 150
DEPAKINE 200 mg
ORFIRIL 300
ORFIRIL 600

DEPAKINE (R) 400 mg/4 ml LIOFILIZAT SI SOLVENT PENTRU SOLUTIE INJECTABILA i.v.

ORFIRIL LONG 1000 mg


ORFIRIL LONG 500 mg
ORFIRIL SIROP
DEPAKINE
LAMOTIRAN 100 mg
LAMOTRIX 100 mg
EPIMIL 100 mg
PLEXXO (R) 100 mg
LAMOTRIGINE FARMAL 100 mg

LAMICTAL 100 mg
LAMOTRIGINA SUN 100 mg

LAMOTRIGINE TORRENT 100 mg

LAMOTRIX 200 mg

concentratie

TARA
DET. APP
AMBALAJ
LABORMED PHARMA SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L
VIM SPECTRUM SRL ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L
AC HELCOR SRL
ROMANIA CUTIE X 5 BLIST. X 10 COMPR.
P-6L
DETINATOR APP

Prescriptie

MEDOCHEMIE LTD. CIPRU


CUTIE X 5 BLIST. X 10 COMPR.
SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
BIO EEL SRL
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
GERMANIA

P-6L
P-6L
P-6L

CUTIE X 5 BLIST. AL-HARTIE CERATA/PVC-PVDC X 10 COMPR.

P-6L

ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


MEDOCHEMIE LTD. CIPRU
CUTIE X 2 BLIST. X 10 COMPR.

P-6L

AWD PHARMA GMBH & CO.KG

P-6L

ROMANIA CUTIE X 2 BLIST. AL/PVCX 10 COMPR. P-6L


AC HELCOR SRL
ROMANIA CUTIE X 5 BLIST. X 10 COMPR.
P-6L
ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. P-6L

OZONE LABORATORIES PHARMA S.A.

AUSTRIA
AUSTRIA

CUTIE X 5 BLIST. AL/PVDC-PVC X 10 COMPR. ELIB. PREL

P-6L

CUTIE X 5 BLIST. AL/PVDC-PVC X 10 COMPR. ELIB. PREL.

P-6L

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 5 BLIST. AL-PVC/PVDC X 10 COMPR. FILM. CU ELIB. PREL.

P-6L

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 3 BLIST. AL-PVC/PVDC X 10 COMPR. FILM. CU ELIB. PREL.

P-6L

CUTIE X 5 BLIST. AL-HARTIE CERATA/PVC-PVDC X 10 COMPR. FILM. ELIB. PREL.

P-6L

GEROT PHARMAZEUTIKA GMBH


GEROT PHARMAZEUTIKA GMBH

AWD PHARMA GMBH & CO.KG

GERMANIA

DESITIN
DESITIN
DESITIN

GERMANIA CUTIE X 5 BLIST. X 10 COMPR. RET. P-6L

AWD PHARMA GMBH & CO.KG

GERMANIA

CUTIE X 5 BLIST. AL-HARTIE/PVC-PVDC X 10 COMPR. FILM. ELIB. PREL.

P-6L

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 1 FLACON X 250 ML SUSP.ORALA + MASURA DOZATOARE

P-6L

GERMANIA CUTIE X 5 BLIST. X 10 COMPR. RET. P-6L

GERMANIA CUTIE X 5 BLIST. X 10 COMPR. RET. P-6L

NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-6L
NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-6L
DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 1 FLAC. DIN PP X 50 CAPS. CU MINICOMPR. CU ELIB. PRELUNG.

P-6L

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 1 FLAC. DIN PP X 50 CAPS. CU MINICOMPR. CU ELIB. PREL.

P-6L

SANOFI-AVENTIS FRANCE

AUSTRIA
AUSTRIA
AUSTRIA
FRANTA
FRANTA

DESITIN ARZNEIMITTEL GMBH

GERMANIA

GEROT PHARMAZEUTIKA GMBH


GEROT PHARMAZEUTIKA GMBH
GEROT PHARMAZEUTIKA GMBH

SANOFI-AVENTIS FRANCE

CUTIE X 10 BLIST. AL/PVDC-PVC X 10 CAPS. MOI GASTROREZ.

P-6L

CUTIE X 10 BLIST. AL/PVDC-PVC X 10 CAPS. MOI GASTROREZ.

P-6L

CUTIE X 10 BLIST. AL/PVDC-PVCX 10 CAPS. MOI GASTROREZ.

P-6L

CUTIE X 1 FLAC. PP X 30 COMPR. FILM. ELIB. PREL. P-6L


CUTIE X 2 FLAC. DIN PP X 50 COMPR. FILM. ELIB. PREL., DIVIZIBILE

P-6L

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 COMPR.FILM. GASTROREZ.

P-6L

SANOFI-AVENTIS FRANCE

FRANTA

CUTIE X 1 FLAC. DIN PP X 40 COMPR. FILM. GASTROREZ.

P-6L

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 1 FLAC. DIN PP X 100 COMPR. FILM. GASTROREZ.

P-6L

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 1 FLAC. DIN PP X 50 COMPR. FILM. GASTROREZ.

P-6L

SANOFI-AVENTIS FRANCE

FRANTA

CUTIE X 4 FLAC. CU LIOF. PT. SOL. INJ. + 4 FIOLE SOLV. X 4ML S/P-RF

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 50 MINIPLICURI. DIN PET/AL/PE CU MINICOMPR. CU ELIB. PRELUNG.

P-6L

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 50 MINIPLICURI. DIN PET/AL/PE CU MINICOMPR. CU ELIB. PRELUNG.

P-6L

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 1 FLACON X 250 ML + LINGURITA DOZATOARE PP A 5 ML

P-6L

CUTIE X 1 FLACON X 150 ML + 1 SERINGA PT. ADMIN. ORALA

P-6L

RANBAXY UK LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVDC-PVC X 7 COMPR.


MEDOCHEMIE LTD. CIPRU
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
IVAX PHARMCEUTICALS S.R.O. CEHIA
CUTIE X 3 BLIST. PVC-PVDC/PVC-AL X 10 COMPR.
DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 3 BLIST. X 10 COMPR.

P-6L

SANOFI - AVENTIS FRANCE

FRANTA

ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.


THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 COMPR.
CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 4 BLIST. AL/PVC X 14 COMPR.
TORRENT PHARMA S.R.L. ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR.
MEDOCHEMIE LTD. CIPRU
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
FARMAL INTERNATIONAL S.R.L.

Pagina 14 din 42

P-6L
P-6L
P-6L
P-RF

P-6L
P-6L
P-6L
P-6L

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ambal
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
aj
(RON)
(RON)
ADULTI
a) si f)

50 11.31
50 11.31
50 11.31
50
7.24
20
4.42
20
4.50
50 11.31
20
4.96
20
4.50
20
4.51
50 26.26
20 10.51
50 20.68
50 36.59
50 19.17
30 25.35
50 27.10
50 15.16
50 20.62
50 36.53
50 12.43
1 22.51
50 64.73
50 118.30
50 21.96
50 36.76
100 20.26
100 33.28
100 51.12
30 16.06
100 34.76
100 29.14
40 10.72
100 37.58
50 39.99
4 127.06
50 94.92
50 59.48
1 36.26
1 23.13
28 26.66
30 28.86
30 28.86
30 28.86
30 28.84
28 40.13
56 52.11
30 28.24
30 60.33

0.226200
0.226200
0.226200
0.144800
0.221000
0.225000
0.226200
0.248000
0.225000
0.225500
0.525200
0.525500
0.413600
0.731800
0.383400
0.845000
0.542000
0.303200
0.412400
0.730600
0.248600
22.510000
1.294600
2.366000
0.439200
0.735200
0.202600
0.332800
0.511200
0.535333
0.347600
0.291400
0.268000
0.375800
0.799800
31.765000
1.898400
1.189600
36.260000
23.130000
0.952142
0.962000
0.962000
0.962000
0.961333
1.433214
0.930535
0.941333
2.011000

0.173760
0.173760
0.173760
0.144800
0.173760
0.173760
0.173760
0.173760
0.173760
0.173760
0.525200
0.525500
0.413600
0.731800
0.173760
0.630240
0.542000
0.303200
0.412400
0.730600
0.173760
22.510000
1.294600
2.366000
0.243120
0.399360
0.202600
0.332800
0.511200
0.535333
0.347600
0.243120
0.268000
0.375800
0.799800
31.765000
1.898400
0.613440
36.260000
23.130000
0.952142
0.962000
0.962000
0.962000
0.961333
1.116642
0.930535
0.941333
2.011000

0.173760
0.173760
0.173760
0.144800
0.173760
0.173760
0.173760
0.173760
0.173760
0.173760
0.525200
0.525500
0.413600
0.731800
0.173760
0.630240
0.542000
0.303200
0.412400
0.730600
0.173760
22.510000
1.294600
2.366000
0.243120
0.399360
0.202600
0.332800
0.511200
0.535333
0.347600
0.243120
0.268000
0.375800
0.799800
31.765000
1.898400
0.613440
36.260000
23.130000
0.952142
0.962000
0.962000
0.962000
0.961333
1.116642
0.930535
0.941333
2.011000

NR.CRT

59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99

COD ATC

N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11

100 N03AX11
101 N03AX11
102 N03AX11
103 N03AX11
104 N03AX11
105 N03AX11
106 N03AX11
107 N03AX11

DCI

LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**

Denumire Comerciala

LAMOTRIGINA SUN 200 mg


LAMOTIRAN 25 mg
LAMOTRIX 25 mg
LAMICTAL 25 mg
PLEXXO (R) 50 mg
LAMOTIRAN 50 mg
LAMOTRIX 50 mg
EPIMIL 50 mg
LAMOTRIGINE FARMAL 50 mg

LAMICTAL 50 mg
LAMOTRIGINA SUN 50 mg
LAMOTRIN 100 mg
LAMOTRIN 25 mg
LAMOTRIN 50 mg
TOPAMAX 100 mg
TOPRAN 100 mg
TOPIRAMAT TEVA 100 mg

TOPIRAMAT ACTAVIS 100 mg

ZIDOXER 100 mg
TOPILEX 100 mg
LUSITRAX 100mg
ZIDOXER 100 mg
TORLEPTA 100 mg

TOPIRAMAT BLUEFISH 100 mg


TOPIRAMAT BLUEFISH 100 mg

ETOPRO 100 mg
TOPIRAMAT EGIS 100 mg
NEXTOP 100 mg
TOPRAN 200 mg
TOPIRAMAT TEVA 200 mg
ZIDOXER 200 mg
NEXTOP 200 mg
TOPAMAX 25 mg
TOPRAN 25 mg
TOPIRAMAT TEVA 25 mg
TOPIRAMAT ACTAVIS 25 mg
ZIDOXER 25 mg
TOPILEX 25 mg
LUSITRAX 25 mg
ZIDOXER 25 mg
TORLEPTA 25 mg

TOPIRAMAT BLUEFISH 25 mg

TOPIRAMAT EGIS 25 mg
NEXTOP 25 mg
TOPAMAX 50 mg
TOPRAN 50 mg
TOPIRAMAT TEVA 50 mg
TOPIRAMAT ACTAVIS 50 mg
ZIDOXER 50 mg

forma farm.

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. DISP.
COMPR. DISP.
COMPR. DISP.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

concentratie

200mg
25mg
25mg
25mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
100mg
25mg
50mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
200mg
200mg
200mg
200mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
50mg
50mg
50mg
50mg
50mg

DETINATOR APP

TARA
DET. APP

AMBALAJ

CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 4 BLIST. AL/PVC X 14 COMPR.


RANBAXY UK LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVDC-PVC X 7 COMPR.
MEDOCHEMIE LTD. CIPRU
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
THE WELLCOME FOUNDATION LTD. MAREA BRITANIE

Prescriptie

P-6L
P-6L
P-6L

CUTIE CU BLIST. PVC/AL X 28 COMPR. P-6L

GERMANIA CUTIE X 3 BLIST. X 10 COMPR.


RANBAXY UK LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVDC-PVC X 7 COMPR.
MEDOCHEMIE LTD. CIPRU
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
IVAX PHARMCEUTICALS S.R.O. CEHIA
CUTIE X 3 BLIST. PVC-PVDC/PVC-AL X 10 COMPR.

P-6L

FARMAL INTERNATIONAL S.R.L.

P-RF

DESITIN ARZNEIMITTEL GMBH

ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

THE WELLCOME FOUNDATION LTD. MAREA BRITANIE

CIPLA (UK) LIMITED

MAREA BRITANIE

ACTAVIS GROUP HF. ISLANDA


ACTAVIS GROUP HF. ISLANDA
ACTAVIS GROUP HF. ISLANDA

JOHNSON & JOHNSON D.O.O.

TERAPIA SA
TEVA PHARMACEUTICALS S.R.L.

ACTAVIS S.R.L.
OZONE LABORATORIES BV
LANNACHER HEILMITTEL GES.M.B.H.

SLOVENIA

OLANDA
AUSTRIA

ROMANIA
LABORMED PHARMA S.A. ROMANIA

BLUEFISH PHARMACEUTICALS AB
BLUEFISH PHARMACEUTICALS AB

ICN POLFA RZESZOW S.A.


EGIS PHARMACEUTICALS P.L.C.

CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. DISPERSABILE

P-6L

CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. DISPERSABILE

P-6L

CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. DISPERSABILE

P-6L

CUTIE X 4 BLIST. OPA-AL-PVC/AL X 7 COMPR. FILM. P-6L

REPUBLICA SLOVACA

CUTIE X BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L


CUTIE CU BLIST. PVC-PE - PVDC/AL X 30 COMPR. FILM.

P-6L

CUTIE CU BLIST. PVC-PCTFE-PVC/AL-PVDC X 30 COMPR. FILM.

P-RF

CUTIE X BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L

CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-RF

SUEDIA CUTIE CU BLIST. AL/AL X 60 COMPR. FILM.


SUEDIA CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM.
POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 60 COMPR. FILM.
UK
CUTIE CU BLIST. PVC/PVDC/AL X 60 COMPR. FILM.

ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.


TERAPIA SA
ROMANIA CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM.
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPR. FILM.
LABORMED PHARMA S.A. ROMANIA CUTIE X BLIST. PVC-PVDC/AL X 28 COMPR. FILM.
TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.

TERAPIA SA
TEVA PHARMACEUTICALS S.R.L.

ACTAVIS S.R.L.
OZONE LABORATORIES BV
LANNACHER HEILMITTEL GES.M.B.H.

SLOVENIA

OLANDA
AUSTRIA

ROMANIA
LABORMED PHARMA S.A. ROMANIA

BLUEFISH PHARMACEUTICALS AB

EGIS PHARMACEUTICALS P.L.C.

P-RF
P-RF

P-6L

PRF
P-6L
P-6L
P-RF

P-6L
P-6L

CUTIE X 4 BLIST. OPA-AL-PVC/AL X 7 COMPR. FILM. P-6L

ROMANIA CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. P-6L


ROMANIA CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPR. FILM. P-RF
ROMANIA CUTIE X 6 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. P-RF

ROMASTRU TRADING S.R.L.


GLENMARK PHARMACEUTICALS SRL

P-6L

CUTIE CU BLIST. PVC/AL X 28 COMPR. P-6L


CUTIE X 4 BLIST. AL/PVC X 14 COMPR. P-6L

TORRENT PHARMA S.R.L.

JOHNSON & JOHNSON D.O.O.

P-6L

ROMANIA CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. P-6L


ROMANIA CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPR. FILM. P-RF
ROMANIA CUTIE X 6 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. P-RF

ROMASTRU TRADING S.R.L.

GLENMARK PHARMACEUTICALS SRL

P-6L

REPUBLICA SLOVACA

CUTIE X BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L


CUTIE CU BLIST. PVC-PE - PVDC/AL X 30 COMPR. FILM.

P-6L

CUTIE CU BLIST. PVC-PCTFE-PVC/AL-PVDC X 30 COMPR. FILM.

P-RF

CUTIE X BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L

CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-RF

SUEDIA CUTIE CU BLIST. AL/AL X 60 COMPR. FILM.


UK
CUTIE CU BLIST. PVC/PVDC/AL X 60 COMPR. FILM.

P-RF

PRF

TORRENT PHARMA S.R.L.

ROMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L

JOHNSON & JOHNSON D.O.O.

SLOVENIA

CUTIE X 4 BLIST. OPA-AL-PVC/AL X 7 COMPR. FILM. P-6L

TERAPIA SA
TEVA PHARMACEUTICALS S.R.L.

ACTAVIS S.R.L.
OZONE LABORATORIES BV

Pagina 15 din 42

ROMANIA CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. P-6L


ROMANIA CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPR. FILM. P-RF
ROMANIA CUTIE X 6 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. P-RF

OLANDA

CUTIE X BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ambal
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
aj
(RON)
(RON)
ADULTI
a) si f)

56
28
30
28
30
28
30
30
30
28
56
30
30
30
28
60
30
60
28
30
30
28
30
60
60
60
60
30
60
30
28
30
28
60
30
60
28
30
30
28
30
60
60
30
28
60
30
60
28

99.51
6.66
7.26
10.40
14.41
13.33
14.41
14.41
14.42
20.69
26.89
28.84
3.82
16.95
125.11
165.90
90.25
159.80
84.23
87.49
87.45
84.23
80.21
142.68
142.68
134.01
133.79
87.16
310.81
159.08
148.47
155.05
40.62
53.96
29.21
55.59
27.29
27.81
27.87
27.29
26.67
51.29
48.19
27.57
73.20
97.27
53.67
89.22
50.09

1.776964
0.237857
0.242000
0.371428
0.480333
0.476071
0.480333
0.480333
0.480666
0.738928
0.480178
0.961333
0.127333
0.565000
4.468214
2.765000
3.008333
2.663333
3.008214
2.916333
2.915000
3.008214
2.673666
2.378000
2.378000
2.233500
2.229833
2.905333
5.180166
5.302666
5.302500
5.168333
1.450714
0.899333
0.973666
0.926500
0.974642
0.927000
0.929000
0.974642
0.889000
0.854833
0.803166
0.919000
2.614285
1.621166
1.789000
1.487000
1.788928

1.776964
0.152799
0.152799
0.152799
0.480333
0.476071
0.480333
0.480333
0.480666
0.571285
0.480178
0.961333
0.127333
0.565000
2.675799
2.675799
2.675799
2.663333
2.675799
2.675799
2.675799
2.675799
2.673666
2.378000
2.378000
2.233500
2.229833
2.675799
5.180166
5.302666
5.302500
5.168333
0.963799
0.899333
0.963799
0.926500
0.963799
0.927000
0.929000
0.963799
0.889000
0.854833
0.803166
0.919000
1.495999
1.495999
1.495999
1.487000
1.495999

1.776964
0.152799
0.152799
0.152799
0.480333
0.476071
0.480333
0.480333
0.480666
0.571285
0.480178
0.961333
0.127333
0.565000
2.675799
2.675799
2.675799
2.663333
2.675799
2.675799
2.675799
2.675799
2.673666
2.378000
2.378000
2.233500
2.229833
2.675799
5.180166
5.302666
5.302500
5.168333
0.963799
0.899333
0.963799
0.926500
0.963799
0.927000
0.929000
0.963799
0.889000
0.854833
0.803166
0.919000
1.495999
1.495999
1.495999
1.487000
1.495999

NR.CRT

COD ATC

108 N03AX11
109 N03AX11
110 N03AX11
111 N03AX11
112 N03AX11
113 N03AX11
114 N03AX11
115 N03AX11
116 N03AX12
117 N03AX12
118 N03AX12
119 N03AX12
120 N03AX12
121 N03AX12
122 N03AX12
123 N03AX12
124 N03AX12
125 N03AX12
126 N03AX12
127 N03AX12
128 N03AX12
129 N03AX12
130 N03AX12
131 N03AX12
132 N03AX12
133 N03AX12
134 N03AX12
135 N03AX14
136 N03AX14
137 N03AX14
138 N03AX14
139 N03AX14
140 N03AX14
141 N03AX14
142 N03AX14
143 N03AX14
144 N03AX14
145 N03AX14
146 N03AX14
147 N03AX14
148 N03AX14
149 N03AX14
150 N03AX14
151 N03AX14
152 N03AX14
153 N03AX14
154 N03AX14
155 N03AX14
156 N03AX14

DCI

TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**

Denumire Comerciala

TOPILEX 50 mg
LUSITRAX 50 mg
ZIDOXER 50 mg
TORLEPTA 50 mg

TOPIRAMAT BLUEFISH 50 mg
TOPIRAMAT BLUEFISH 50 mg

TOPIRAMAT EGIS 50 mg
NEXTOP 50 mg
GABAGAMMA 100 mg
GABAGAMMA 100 mg
GRIMODIN 100 mg
GABAGAMMA 300 mg
GABAGAMMA 300 mg
GABARAN 300 mg
GABALEPT 300 mg
GRIMODIN 300 mg
GABAGAMMA 400 mg
GABAGAMMA 400 mg
GABARAN 400 mg
GABALEPT 400 mg
GRIMODIN 400 mg
GABARAN 600 mg
GABAGAMMA 600 mg
GRIMODIN 600 mg
GABARAN 800 mg
GABAGAMMA 800 mg
GRIMODIN 800 mg

LEVETIRACETAM TORRENT 1000 mg

KEPPRA 1000 mg
LEVETIRACETAM ACCORD 1000mg
LEVETIRACETAM ACTAVIS 1000mg
LEVETIRACETAM PHARMASWISS 1000 mg

LEVETIRACETAM TEVA 1000mg

TRUND 1000 mg
EPILETAM 1000 mg

LEVETIRACETAM DR. REDDY'S 1000 mg

LERETAN 1000 mg
MYAKELL 1000 mg
LEVETIRACETAM TEVA 250 mg
LEVETIRACETAM TORRENT 250 mg

KEPPRA 250 mg
LEVETIRACETAM ACTAVIS 250mg
LEVETIRACETAM ACCORD 250mg
LEVETIRACETAM PHARMASWISS 250 mg

TRUND 250 mg
EPILETAM 250 mg
MYAKELL 250 mg
LEVETIRACETAM TORRENT 500 mg

KEPPRA 500 mg

forma farm.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

concentratie

50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
100mg
100mg
100mg
300mg
300mg
300mg
300mg
300mg
400mg
400mg
400mg
400mg
400mg
600mg
600mg
600mg
800mg
800mg
800mg
1000 mg
1000mg
1000mg
1000mg
1000mg
1000mg
1000mg
1000mg
1000mg
1000mg
1000mg
250 mg
250 mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
500 mg
500mg

DETINATOR APP
LANNACHER HEILMITTEL GES.M.B.H.

TARA
DET. APP

AUSTRIA

ROMANIA
LABORMED PHARMA S.A. ROMANIA

ROMASTRU TRADING S.R.L.


GLENMARK PHARMACEUTICALS SRL

BLUEFISH PHARMACEUTICALS AB
BLUEFISH PHARMACEUTICALS AB

EGIS PHARMACEUTICALS P.L.C.

TORRENT PHARMA S.R.L.

REPUBLICA SLOVACA

AMBALAJ
CUTIE CU BLIST. PVC-PE - PVDC/AL X 30 COMPR. FILM.

P-6L

CUTIE CU BLIST. PVC-PCTFE-PVC/AL-PVDC X 30 COMPR. FILM.

P-RF

CUTIE X BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L

CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-RF

SUEDIA CUTIE CU BLIST. AL/AL X 60 COMPR. FILM.


SUEDIA CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM.
UK
CUTIE CU BLIST. PVC/PVDC/AL X 60 COMPR. FILM.
ROMANIA

Prescriptie

P-RF
P-RF

PRF

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 CAPS. P-6L

EGIS PHARMACEUTICALS P.L.C.


WORWAG PHARMA GMBH & CO. KG
WORWAG PHARMA GMBH & CO. KG

RANBAXY UK LTD.

UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 60 CAPS.

P-6L

GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 CAPS. P-6L


GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L
MAREA BRITANIE

CUTIE X 5 BLIST. PVC-PVDC/AL X 10 CAPS. P-6L

PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L


EGIS PHARMACEUTICALS P.L.C.

UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 60 CAPS.

P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 CAPS. P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L

RANBAXY UK LTD.

MAREA BRITANIE

CUTIE X 5 BLIST. PVC-PVDC/AL X 10 CAPS. P-6L

PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L


EGIS PHARMACEUTICALS P.L.C.

UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 60 CAPS.

P-6L

RANBAXY UK LTD.

MAREA BRITANIE

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. PVC/AL X 100 COMPR. FILM. P-6L

CUTIE X 3 BLIST. AL-PVC-PA/AL X 10 COMPR. FILM. P-6L

UNGARIA

CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM.

RANBAXY UK LTD.

MAREA BRITANIE

CUTIE X 3 BLIST. AL-PVC-PA/AL X 10 COMPR. FILM. P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. PVC/AL X 100 COMPR. FILM. P-6L

EGIS PHARMACEUTICALS P.L.C.

EGIS PHARMACEUTICALS P.L.C.

TORRENT PHARMA S.R.L.

UCB PHARMA SA

UNGARIA
ROMANIA

BELGIA

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

ACTAVIS GROUP PTC EHF.

ISLANDA

PHARMASWISS CESKA REPUBLIKA S.R.O. REPUBLICA CEHA

TEVA PHARMA

OLANDA

GLENMARK PHARMACEUTICALS SRL

REPUBLICA SLOVACA

UNGARIA
DR. REDDY'S LABORATORIES ROMANIA
LABORMED PHARMA S.A. ROMANIA
ROMASTRU TRADING SRL ROMANIA

EGIS PHARMACEUTICALS P.L.C.

TEVA PHARMA

TORRENT PHARMA S.R.L.

UCB PHARMA SA
ACTAVIS GROUP PTC EHF.

OLANDA

ROMANIA

CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM.

P-6L

CUTIE CU BLIST. DIN PVC-PVDC/AL X 30 COMPR. FILM.

P-RF

CUTIE X 30 COMPR. FILM.1 (BLIST. AL/PVC) P-RF


CUTIE CU BLIST. AL/PVC X 30 COMPR. FILM. PRF
CUTIE CU BLIST. DIN AL/PVC X 30 COMPR. FILM.

PRF

CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. FILM. PRF


CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR.FILM. PRF
CUTIE CU 6 BLIST. AL/PVC-PE-PVDC X 10 COMPR. FILM.

PRF

CUTIE CU 3 BLIST. AL/PVC-PE-PVDC X 10 COMPR. FILM.

PRF

CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

PRF

CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM.

PRF

CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM.

PRF

CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR.FILM. PRF


CUTIE CU BLIST. DIN PVC-PVDC/AL X 30 COMPR. FILM.

BELGIA CUTIE X 30 COMPR. FILM. (BLIST. AL/PVC)


ISLANDA CUTIE CU BLIST. DIN AL/PVC X 30 COMPR. FILM.

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

P-6L

PRF
P-RF

PRF

CUTIE CU BLIST. AL/PVC X 30 COMPR. FILM. PRF

PHARMASWISS CESKA REPUBLIKA S.R.O. REPUBLICA CEHA

CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. FILM. PRF

GLENMARK PHARMACEUTICALS SRL

CUTIE CU 6 BLIST. AL/PVC-PE-PVDC X 10 COMPR. FILM.

PRF

CUTIE CU 3 BLIST. AL/PVC-PE-PVDC X 10 COMPR. FILM.

PRF

CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM.

PRF

CUTIE CU BLIST. DIN PVC-PVDC/AL X 30 COMPR. FILM.

PRF

EGIS PHARMACEUTICALS P.L.C.

ROMASTRU TRADING SRL

TORRENT PHARMA S.R.L.

UCB PHARMA LTD

Pagina 16 din 42

REPUBLICA SLOVACA

UNGARIA
ROMANIA
ROMANIA

BELGIA

CUTIE X 30 COMPR. FILM. (BLIST. AL/PVC) P-RF

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ambal
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
aj
(RON)
(RON)
ADULTI
a) si f)

30
30
28
30
60
60
60
30
100
50
60
50
100
50
100
60
50
100
50
100
60
30
100
60
30
100
60
30
30
30
30
30
30
60
30
30
30
30
30
30
30
30
30
30
60
30
30
30
30

51.21
51.21
50.09
47.85
84.54
84.54
74.80
50.82
60.61
31.05
33.34
70.89
133.56
65.96
133.09
63.62
94.53
175.18
72.72
169.16
85.96
65.21
195.74
123.68
104.24
329.52
197.38
222.17
345.20
222.85
183.44
183.44
222.99
435.10
202.47
100.56
224.38
220.10
62.36
61.87
91.13
62.31
61.87
60.36
118.46
52.05
62.36
116.79
171.53

1.707000
1.707000
1.788928
1.595000
1.409000
1.409000
1.246666
1.694000
0.606100
0.621000
0.555666
1.417800
1.335600
1.319200
1.330900
1.060333
1.890600
1.751800
1.454400
1.691600
1.432666
2.173666
1.957400
2.061333
3.474666
3.295200
3.289666
7.405666
11.506666
7.428333
6.114666
6.114666
7.433000
7.251666
6.749000
3.352000
7.479333
7.336666
2.078666
2.062333
3.037666
2.077000
2.062333
2.012000
1.974333
1.735000
2.078666
3.893000
5.717666

1.495999
1.495999
1.495999
1.495999
1.409000
1.409000
1.246666
1.495999
0.606100
0.621000
0.555666
1.272399
1.272399
1.272399
1.272399
1.060333
1.719199
1.719199
1.454400
1.691600
1.432666
2.173666
1.957400
2.061333
3.474666
3.295200
3.289666
4.022400
4.022400
4.022400
4.022400
4.022400
4.022400
4.022400
4.022400
3.352000
4.022400
4.022400
2.078666
2.062333
2.082000
2.077000
2.062333
2.012000
1.974333
1.735000
2.078666
2.002399
2.002399

1.495999
1.495999
1.495999
1.495999
1.409000
1.409000
1.246666
1.495999
0.606100
0.621000
0.555666
1.272399
1.272399
1.272399
1.272399
1.060333
1.719199
1.719199
1.454400
1.691600
1.432666
2.173666
1.957400
2.061333
3.474666
3.295200
3.289666
4.022400
4.022400
4.022400
4.022400
4.022400
4.022400
4.022400
4.022400
3.352000
4.022400
4.022400
2.078666
2.062333
2.082000
2.077000
2.062333
2.012000
1.974333
1.735000
2.078666
2.002399
2.002399

NR.CRT

COD ATC

157 N03AX14
158 N03AX14
159 N03AX14
160 N03AX14
161 N03AX14
162 N03AX14
163 N03AX14
164 N03AX14
165 N03AX14
166 N03AX14
167 N03AX14
168 N03AX14
169 N03AX14
170 N03AX14
171 N03AX14
172 N03AX14
173 N03AX14
174 N03AX14
175 N03AX16
176 N03AX16
177 N03AX16
178 N03AX16
179 N03AX16
180 N03AX16

DCI

LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
PREGABALINUM***
PREGABALINUM***
PREGABALINUM***
PREGABALINUM***
PREGABALINUM***
PREGABALINUM***

Denumire Comerciala

forma farm.

COMPR. FILM.
COMPR. FILM.
LEVETIRACETAM PHARMASWISS 500 mg COMPR. FILM.
LEVETIRACETAM TEVA 500 mg COMPR. FILM.
TRUND 500 mg
COMPR. FILM.
EPILETAM 500 mg
COMPR. FILM.
LEVETIRACETAM DR. REDDY'S 500 mg COMPR. FILM.
LERETAN 500 mg
COMPR. FILM.
MYAKELL 500 mg
COMPR. FILM.
LEVETIRACETAM TORRENT 750 mg COMPR. FILM.
MYAKELL 750 mg
COMPR. FILM.

SOL. ORALA
SOL. ORALA
SOL. ORALA
SOL. ORALA
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.

COMPR.
COMPR.

2mg
2mg

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
GEL INT.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

100mg/25mg TEVA PHARMACEUTICALS S.R.L.


200mg+50mg TERAPIA SA
200mg+50mg ROCHE ROMANIA SRL
200mg/50mg TEVA PHARMACEUTICALS S.R.L.
250mg+25mg FARAN LABORATORIES S.A.
250mg+25mg REMEDICA LTD.
250mg+25mg LEK PHARMACEUTICALS D.D.
250mg/25mg DESITIN ARZNEIMITTEL GMBH

LEVETIRACETAM DESITIN 1000 mg

GRANULE ACOPERITE, IN PLIC UNIDOZA

LEVETIRACETAM DESITIN 250 mg

GRANULE ACOPERITE, IN PLIC UNIDOZA

LEVETIRACETAM DESITIN 500 mg

GRANULE ACOPERITE, IN PLIC UNIDOZA

KEPPRA 100 mg/ml


TRUND 100 mg/ml
LEVETIRACETAM RATIOPHARM 100mg/ml

LYRICA 150 mg
LYRICA 150 mg
LYRICA 300 mg
LYRICA 300 mg
LYRICA 75 mg
LYRICA 75 mg

DETINATOR APP

500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
750 mg
750mg
1000mg
250mg
500mg
100 mg/ml
100mg/ml
100mg/ml
100mg/ml
150mg
150mg
300mg
300mg
75mg
75mg

LEVETIRACETAM ACCORD 500mg

LEVETIRACETAM ACTAVIS 500mg

LEVETIRACETAM ACTAVIS GROUP 100mg/ml

concentratie

TARA
DET. APP

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

ACTAVIS GROUP PTC EHF.

ISLANDA

PHARMASWISS CESKA REPUBLIKA S.R.O. REPUBLICA CEHA

TEVA PHARMA

OLANDA

GLENMARK PHARMACEUTICALS SRL

REPUBLICA SLOVACA

UNGARIA
DR. REDDY'S LABORATORIES ROMANIA
LABORMED PHARMA S.A. ROMANIA
ROMASTRU TRADING SRL ROMANIA
TORRENT PHARMA S.R.L. ROMANIA
ROMASTRU TRADING SRL ROMANIA

EGIS PHARMACEUTICALS P.L.C.

AMBALAJ

Prescriptie

CUTIE CU BLIST. AL/PVC X 30 COMPR. FILM. PRF


CUTIE CU BLIST. DIN AL/PVC X 30 COMPR. FILM.

PRF

CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. FILM. PRF


CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR.FILM. PRF
CUTIE CU 6 BLIST. AL/PVC-PE-PVDC X 10 COMPR. FILM.

PRF

CUTIE CU 3 BLIST. AL/PVC-PE-PVDC X 10 COMPR. FILM.

PRF

CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

PRF

CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM.

PRF

CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM.

PRF

CUTIE CU BLIST. DIN PVC-PVDC/AL X 30 COMPR. FILM.

PRF

CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM.

PRF

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE CU 30 PLICURI UNIDOZA DIN HARTIE/AL/PE CONTINAND GRANULE ACOPERITE

PRF

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE CU 30 PLICURI UNIDOZA DIN HARTIE/AL/PE CONTINAND GRANULE ACOPERITE

PRF

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE CU 30 PLICURI UNIDOZA DIN HARTIE/AL/PE CONTINAND GRANULE ACOPERITE

PRF

UCB PHARMA SA

ISLANDA
BELGIA

GLENMARK PHARMACEUTICALS SRL

REPUBLICA SLOVACA

ACTAVIS GROUP PTC EHF.

CUTIE CU UN FLACON DIN STICLA BRUNA A 300ML, PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII, CU

CUTIE X 1 FLACON X 300 ML SOL. ORALA + SERINGA PT. ADMIN. ORALA


CUTIE CU 1 FLAC DIN STICLA BRUNA X 300 ML SOL. ORALA + 1 SERINGA DOZATOARE (PP,PE) DE 10 ML SI UN AD

PRF
P-RF

PRF

RATIOPHARM GMBH GERMANIA


PRF
PFIZER LIMITED
MAREA BRITANIE CUTIE X 14 CAPS. (BLIST. PVC/AL) P-RF
PFIZER LIMITED
MAREA BRITANIE CUTIE X 56 CAPS. (BLIST. PVC/AL) P-RF
PFIZER LIMITED
MAREA BRITANIE CUTIE X 56 CAPS. (BLIST. PVC/AL) P-RF
PFIZER LIMITED
MAREA BRITANIE CUTIE X 14 CAPS. (BLIST. PVC/AL) P-RF
PFIZER LIMITED
MAREA BRITANIE CUTIE X 14 CAPS. (BLIST. PVC/AL) P-RF
PFIZER LIMITED
MAREA BRITANIE CUTIE X 56 CAPS. (BLIST. PVC/AL) P-RF
CUTIE CU UN FLACON DIN STICLA BRUNA A 300 ML, PREVAZUT CU SISTEM DE NCHIDERE SECURIZAT PENTRU COPI

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ambal
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
aj
(RON)
(RON)
ADULTI
a) si f)

30
30
30
30
60
30
30
30
30
30
30
30
30
30
1
1
1
1
14
56
56
14
14
56

117.50
117.50
100.30
117.57
222.99
105.46
50.06
117.57
117.57
163.07
167.66
224.38
62.36
117.57
147.72
339.28
147.72
123.49
76.16
288.91
422.67
114.28
53.71
193.52

50
50
100
100
30
30
30
30
20
100
100
7
100
100
100
100
100
100

19.49
10.57
58.87
38.28
48.36
24.21
15.73
19.21
19.31
62.05
74.57

3.916666
3.916666
3.343333
3.919000
3.716500
3.515333
1.668666
3.919000
3.919000
5.435666
5.588666
7.479333
2.078666
3.919000
147.720000
339.280000
147.720000
123.490000
5.440000
5.159107
7.547678
8.162857
3.836428
3.455714

2.002399
2.002399
2.002399
2.002399
2.002399
2.002399
1.668666
2.002399
2.002399
5.435666
5.588666
4.022400
2.078666
2.002399
147.720000
148.188000
147.720000
123.490000
5.440000
5.159107
7.547678
8.162857
3.836428
3.455714

2.002399
2.002399
2.002399
2.002399
2.002399
2.002399
1.668666
2.002399
2.002399
5.435666
5.588666
4.022400
2.078666
2.002399
147.720000
148.188000
147.720000
123.490000
5.440000
5.159107
7.547678
8.162857
3.836428
3.455714

Tratamentul se initiaz de ctre medicul n specialitatea neurologie

10. BOALA PARKINSON - G12


1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18

N04AA01
N04AA02

TRIHEXYPHENIDYLUM
BIPERIDENUM

N04BA02 COMBINATII (LEVODOPUM+BENSERAZIDUM)**

ROMPARKIN (R) 2 mg
AKINETON 2 mg
MADOPAR HBS

N04BA02 COMBINATII (LEVODOPUM+BENSERAZIDUM)** LEVODOPA/BENSERASIDE TEVA 100mg/25mg


N04BA02 COMBINATII (LEVODOPUM+BENSERAZIDUM)**
N04BA02 COMBINATII (LEVODOPUM+BENSERAZIDUM)**

MADOPAR (R) 250


MADOPAR 250

N04BA02 COMBINATII (LEVODOPUM+BENSERAZIDUM)** LEVODOPA/BENSERASIDE TEVA 200mg/50mg

N04BA02 COMBINATII (LEVODOPUM+CARBIDOPUM)**

ZIMOX
CREDANIL 25/250
NAKOM
ISICOM 250 mg/25 mg
DUODOPA

N04BA03

COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)***

STALEVO 100 mg/25 mg/200 mg

N04BA03

COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)***

STALEVO 125 mg/31,25 mg/200 mg

N04BA03

COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)***

STALEVO 150 mg/37,5 mg/200 mg

N04BA03

COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)***

N04BA03

COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)***

STALEVO 200 mg/50 mg/200 mg


STALEVO 50 mg/12,5 mg/200 mg

N04BA03

COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)***

STALEVO 75 mg/18,75 mg/200 mg

N04BA02 COMBINATII (LEVODOPUM+CARBIDOPUM)**


N04BA02 COMBINATII (LEVODOPUM+CARBIDOPUM)**
N04BA02 COMBINATII (LEVODOPUM+CARBIDOPUM)**
N04BA02 COMBINATII (LEVODOPUM+CARBIDOPUM)**

TERAPIA SA
DESMA GMBH

ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L


GERMANIA CUTIE CU 5 BLIST. PVC/AL X 10 COMPR. P6L

CAPS. ELIB. MODIF. 100mg+25mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 FLAC. X 100 CAPS. CU ELIB. MODIF. P-6L

ROMANIA CUTIE X 1 FLACON PEID X 100 COMPR.


ROMANIA CUTIE X 1 FLAC. X 30 COMPR.
ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR.
ROMANIA CUTIE X 1 FLACON PEID X 30 COMPR.

GRECIA CUTIE X 3 BLIST. X 10 COMPR.


CIPRU
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

FARA CONCENTRATIE

SOLVAY PHARMACEUTICALS BV

GERMANIA

ORION CORPORATION
ORION CORPORATION
ORION CORPORATION
ORION CORPORATION
ORION CORPORATION
ORION CORPORATION

FINLANDA
FINLANDA
FINLANDA
FINLANDA
FINLANDA
FINLANDA

150mg/37,5mg/200mg

200mg/50mg/200mg
50mg/12,5mg/200mg
75mg/18,5mg/200mg

Pagina 17 din 42

P-6L
P-6L
P-6L
P-6L
P-6L

SLOVENIA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. P-6L


GERMANIA CUTIE X 10 BLIST. PP/AL X 10 COMPR. P-6L

100mg/25mg/200mg
125mg/31,25mg/200mg

P-6L

CUTIE X 7 CASETE BRUNE TRANSPARENTE X 100 GEL INT. IN PUNGA PVC

S/P-RF

CUTIE X 1 FLAC. PEID X 100 COMPR. FILM. P-RF


CUTIE X 1 FLAC. HDPE X 100 COMPR. FILM. P-6L

CUTIE X 1 FLAC. PEID X 100 COMPR. FILM. P-RF


CUTIE X 1 FLAC. PEID X 100 COMPR. FILM. P-RF
CUTIE X 1 FLAC. PEID X 100 COMPR. FILM. P-RF
CUTIE X 1 FLAC. HDPE X 100 COMPR. FILM. P-6L

3,424.76

414.46
414.46
414.46
544.89
414.46
414.46

0.389800
0.389800
0.389800
0.211400
0.211400
0.211400
0.588700
0.459360
0.459360
0.382800
0.382800
0.382800
1.612000
0.629199
0.629199
0.807000
0.629199
0.629199
0.524333
0.524333
0.524333
0.640333
0.640333
0.640333
0.965500
0.744600
0.744600
0.620500
0.620500
0.620500
0.745700
0.744600
0.744600
489.251428 489.251428 489.251428
4.144600
4.144600
4.144600
4.144600
4.144600
4.144600
4.144600
4.144600
4.144600
5.448900
5.448900
5.448900
4.144600
4.144600
4.144600
4.144600
4.144600
4.144600

NR.CRT

19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67

COD ATC

N04BB01
N04BC01
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05

DCI

AMANTADINUM**
BROMOCRIPTINUM
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**

Denumire Comerciala

VIREGYT (R)- K
BROCRIPTIN (N04BC01)
ROPINIROL TEVA 2 mg
ROPINIROL TEVA 4 mg
ROPINIROL TEVA 8 mg
ROLPRYNA EP 2 mg
ROLPRYNA EP 4 mg
ROLPRYNA EP 8 mg

forma farm.

CAPS.
DRAJ.

COMPR. CU ELIB. PREL.


COMPR. CU ELIB. PREL.
COMPR. CU ELIB. PREL.
COMPR. CU ELIBERARE PRELUNGITA
COMPR. CU ELIBERARE PRELUNGITA
COMPR. CU ELIBERARE PRELUNGITA

ROPINIROL ACTAVIS 0,25 mg COMPR. FILM.

ALETA 0,25mg
ALETA 0,25mg
ROPINIROL ACTAVIS 1 mg
ALETA 1mg
ALETA 1mg
ROPINIROL TEVA 1 mg
ROPINIROL ACTAVIS 2 mg
ALETA 2mg
ROPINIROL TEVA 2 mg
ROPINIROL ACTAVIS 5 mg
ALETA 5mg
ALETA 5mg
REQUIP-MODUTAB 2 mg
REQUIP-MODUTAB 4 mg
REQUIP-MODUTAB 8 mg
OPRYMEA 0,088mg
MIPARKAN 0,18 mg
MIRAPEXIN 0,18 mg
OPRYMEA 0,18mg
PRAMIPEXOL TEVA 0,18mg

PRAMIPEXOL SANDOZ 0,18 mg

MEDOPEXOL 0,18 mg
GLEPARK 0,18 mg

PRAMIPEXOL RANBAXY 0,18 mg


PRAMIPEXOL BLUEFISH 0,18 mg

MIGLASEN 0,18 mg

PRAMIPEXOL TORRENT 0,18 mg


PRAMIPEXOLE ACCORD 0,35mg

MIPARKAN 0,7 mg
MIRAPEXIN 0,7 mg
OPRYMEA 0,7mg
PRAMIPEXOL TEVA 0,7mg

PRAMIPEXOL SANDOZ 0,7 mg

MEDOPEXOL 0,7 mg
GLEPARK 0,7 mg

PRAMIPEXOL RANBAXY 0,7 mg


PRAMIPEXOL BLUEFISH 0,7 mg

MIGLASEN 0,7 mg

PRAMIPEXOL TORRENT 0,7 mg

MIRAPEXIN 0,26 mg

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

COMPR. FILM. ELIB. PREL.


COMPR. FILM. ELIB. PREL.
COMPR. FILM. ELIB. PREL.

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. ELIB. PREL.

concentratie

100mg
2,5mg
2mg
4mg
8mg
2 mg
4 mg
8 mg
0,25mg
0,25mg
0,25mg
1mg
1mg
1mg
1mg
2mg
2mg
2mg
5mg
5mg
5mg
2mg
4mg
8mg
0,088mg
0,18 mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,35mg
0,7 mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,26mg

DETINATOR APP
EGIS PHARMACEUTICALS P.L.C.

BIOFARM SA
TEVA PHARMACEUTICALS S.R.L.
TEVA PHARMACEUTICALS S.R.L.
TEVA PHARMACEUTICALS S.R.L.

TARA
DET. APP

AMBALAJ

Prescriptie

UNGARIA CUTIE X 1 FLAC. X 50 CAPS.


P-6L
ROMANIA CUTIE X 2 BLIST. AL/PVC X 20 DRAJ. P-RF
ROMANIA CUTIE CU BLIST. OPA/AL/PVC-AL X 30 COMPR. ELIB. PRELUNG. PRF
ROMANIA CUTIE CU BLIST. OPA/AL/PVC-AL X 30 COMPR. ELIB. PRELUNG. PRF
ROMANIA CUTIE CU BLIST. OPA/AL/PVC-AL X 30 COMPR. ELIB. PRELUNG. PRF

KRKA ,D.D., NOVO MESTO SLOVENIA

CUTIE CU BLIST. OPA - AL - PVC/AL X 28 COMPR. ELIB. PREL.

PRF

KRKA ,D.D., NOVO MESTO SLOVENIA

CUTIE CU BLIST. OPA - AL - PVC/AL X 28 COMPR. ELIB. PREL.

PRF

KRKA ,D.D., NOVO MESTO SLOVENIA

CUTIE CU BLIST. OPA - AL - PVC/AL X 28 COMPR. ELIB. PREL.

ACTAVIS GROUP PTC EHF.

TERAPIA SA
TERAPIA SA
ACTAVIS GROUP PTC EHF.

TERAPIA SA
TERAPIA SA

ISLANDA CUTIE CU BLIST. AL/AL X 21 COMPR. FILM.

ROMANIA
ROMANIA

PRF
P-RF

CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. P-RF


CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. FILM.

P-RF

ISLANDA CUTIE CU BLIST. AL/AL X 21 COMPR. FILM.

P-RF

ROMANIA
ROMANIA
ROMANIA

CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. P-RF

ROMANIA
ROMANIA

CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. P-RF

TERAPIA SA
TERAPIA SA

ROMANIA
ROMANIA

CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. P-RF


CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. FILM.

P-RF

SMITHKLINE BEECHAM PLC

MAREA BRITANIE

CUTIE X BLIST. PVC-ACLAR/AL X 28 COMPR. FILM. ELIB. PREL.

P-RF

SMITHKLINE BEECHAM PLC

MAREA BRITANIE

CUTIE X BLIST. PVC-ACLAR/AL X 28 COMPR. FILM. ELIB. PREL,

P-RF

SMITHKLINE BEECHAM PLC

MAREA BRITANIE

CUTIE X BLIST. PVC-ACLAR/AL X 28 COMPR. FILM. ELIB. PREL.

P-RF

KRKA D.D.
ZENTIVA, K.S.

SLOVENIA CUTIE X 30 COMPR. (BLIST. AL/AL)

P-RF

REPUBLICA CEHA

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA

TEVA PHARMACEUTICALS S.R.L.

ACTAVIS GROUP PTC EHF.

TERAPIA SA
TEVA PHARMACEUTICALS S.R.L.

ACTAVIS GROUP PTC EHF.

CUTIE X 3 BLIST.PVC-ACLAR/AL X 10 COMPR. FILM. P-RF


CUTIE CU BLIST. OPA-AL-PVC/AL X 21 COMPR. FILM. P-RF

ISLANDA CUTIE CU BLIST. AL/AL X 21 COMPR. FILM.

P-RF

CUTIE CU BLIST. OPA-AL-PVC/AL X 21 COMPR. FILM. P-RF

ISLANDA CUTIE CU BLIST. AL/AL X 21 COMPR. FILM.

CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR.

P-RF

PRF

CUTIE X 3 BLIST. X 10 COMPR.


SLOVENIA CUTIE X 30 COMPR. (BLIST. AL/AL)
OLANDA CUTIE CU BLIST. AL/AL X 30 COMPR.

P-RF

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR.

P-RF/R

KRKA D.D.
TEVA PHARMA BV
SANDOZ S.R.L.
ROMANIA
MEDOCHEMIE LTD. CIPRU

P-RF
P-RF

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-6L

GLENMARK PHARMACEUTICALS SRL

REPUBLICA SLOVACA

CUTIE CU BLIST. AL/AL X 30 COMPR.

P-RF

RANBAXY (UK) LIMITED

MAREA BRITANIE

CUTIE CU BLIST. PA-AL-PVC X 30 COMPR.

P-RF

CUTIE CU BLIST. AL/AL X 30 COMPR.

P-6L

CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR.

P6L

BLUEFISH PHARMACEUTICALS AB

SUEDIA

ROMANIA
TORRENT PHARMA S.R.L. ROMANIA
ROMASTRU TRADING S.R.L.

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-RF

ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 3 BLIST. AL-PVC/AL A CATE 10 COMPR.

ZENTIVA, K.S.

REPUBLICA CEHA

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR.

PRF
PRF

CUTIE X 3 BLIST. X 10 COMPR.


SLOVENIA CUTIE X 30 COMPR. (BLIST. AL/AL)
OLANDA CUTIE CU BLIST. AL/AL X 30 COMPR.

P-RF

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR.

P-RF/R

KRKA D.D.
TEVA PHARMA BV
SANDOZ S.R.L.
ROMANIA
MEDOCHEMIE LTD. CIPRU

P-RF
P-RF

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-6L

GLENMARK PHARMACEUTICALS SRL

REPUBLICA SLOVACA

CUTIE CU BLIST. AL/AL X 30 COMPR.

P-RF

RANBAXY (UK) LIMITED

MAREA BRITANIE

CUTIE CU BLIST. PA-AL-PVC X 30 COMPR.

P-RF

CUTIE CU BLIST. AL/AL X 30 COMPR.

P-6L

CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR.

P6L

BLUEFISH PHARMACEUTICALS AB

SUEDIA

TORRENT PHARMA S.R.L.

ROMANIA
ROMANIA

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA CUTIE CU 1 BLIST.OPA-AL-PVC/AL X 10 COMPR.

ROMASTRU TRADING S.R.L.

Pagina 18 din 42

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-RF


P-RF

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ambal
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
aj
(RON)
(RON)
ADULTI
a) si f)

50
40
30
30
30
28
28
28
21
30
30
21
30
30
21
21
30
21
21
30
30
28
28
28
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
10

17.07
21.16
42.74
81.12
153.89
39.89
75.71
143.63
6.32
9.06
9.06
23.00
32.87
32.87
23.02
30.92
42.74
35.77
76.80
109.74
109.74
61.36
116.48
220.96
19.75
30.00
49.77
30.11
33.41
33.42
33.42
30.35
30.86
25.30
30.35
33.50
48.92
107.26
167.86
107.65
115.05
115.05
115.05
108.52
106.21
90.45
107.65
115.10
58.12

0.341400
0.529000
1.424666
2.704000
5.129666
1.424642
2.703928
5.129642
0.300952
0.302000
0.302000
1.095238
1.095666
1.095666
1.096190
1.472380
1.424666
1.703333
3.657142
3.658000
3.658000
2.191428
4.160000
7.891428
0.658333
1.000000
1.659000
1.003666
1.113666
1.114000
1.114000
1.011666
1.028666
0.843333
1.011666
1.116666
1.630666
3.575333
5.595333
3.588333
3.835000
3.835000
3.835000
3.617333
3.540333
3.015000
3.588333
3.836666
5.812000

0.341400
0.529000
1.424666
2.704000
5.129666
1.424642
2.703928
5.129642
0.300952
0.302000
0.302000
1.095238
1.095666
1.095666
1.096190
1.472380
1.424666
1.703333
3.657142
3.658000
3.658000
1.709570
3.244713
6.155570
0.658333
1.000000
1.011999
1.003666
1.011999
1.011999
1.011999
1.011666
1.011999
0.843333
1.011666
1.011999
1.630666
3.575333
3.618000
3.588333
3.618000
3.618000
3.618000
3.617333
3.540333
3.015000
3.588333
3.618000
5.812000

0.341400
0.529000
1.424666
2.704000
5.129666
1.424642
2.703928
5.129642
0.300952
0.302000
0.302000
1.095238
1.095666
1.095666
1.096190
1.472380
1.424666
1.703333
3.657142
3.658000
3.658000
1.709570
3.244713
6.155570
0.658333
1.000000
1.011999
1.003666
1.011999
1.011999
1.011999
1.011666
1.011999
0.843333
1.011666
1.011999
1.630666
3.575333
3.618000
3.588333
3.618000
3.618000
3.618000
3.617333
3.540333
3.015000
3.588333
3.618000
5.812000

NR.CRT

68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87

COD ATC

N04BC05
N04BC05
N04BC05
N04BC05
N04BC09
N04BC09
N04BC09
N04BC09
N04BC09
N04BC09
N04BC09
N04BC09
N04BD01
N04BD01
N04BD01
N04BD02

N04BX02
N04BX02
N05AH02
N05AH02

DCI

PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
ROTIGOTINUM***
ROTIGOTINUM***
ROTIGOTINUM***
ROTIGOTINUM***
ROTIGOTINUM***
ROTIGOTINUM***
ROTIGOTINUM***
ROTIGOTINUM***
SELEGILINUM
SELEGILINUM
SELEGILINUM
RASAGILINUM***
ENTACAPONUM***
ENTACAPONUM***
CLOZAPINUM**
CLOZAPINUM**

Denumire Comerciala

MIRAPEXIN 0,52 mg
MIRAPEXIN 1,05 mg
MIRAPEXIN 2,1 mg
MIRAPEXIN 3,15 mg
NEUPRO 2mg/24h
NEUPRO 2mg/24h
NEUPRO 4mg/24h
NEUPRO 4mg/24h
NEUPRO 6mg/24h
NEUPRO 6mg/24h
NEUPRO 8mg/24h
NEUPRO 8mg/24h
SELEGOS
SELEGOS
JUMEX 5 mg
AZILECT 1mg
COMTAN 200mg
COMTAN 200mg
LEPONEX (R) 100 mg
LEPONEX (R) 25 mg

forma farm.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
PLASTURE TRANSDERMIC
PLASTURE TRANSDERMIC
PLASTURE TRANSDERMIC
PLASTURE TRANSDERMIC
PLASTURE TRANSDERMIC
PLASTURE TRANSDERMIC
PLASTURE TRANSDERMIC
PLASTURE TRANSDERMIC

COMPR.
COMPR.
COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.
COMPR.
COMPR.

concentratie

0,52mg
1,05mg
2,1mg
3,15mg
2mg/24h
2mg/24h
4mg/24h
4mg/24h
6mg/24h
6mg/24h
8mg/24h
8mg/24h
5mg
5mg
5mg
1mg
200mg
200mg
100mg
25mg

DETINATOR APP

TARA
DET. APP

AMBALAJ

Prescriptie

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA CUTIE CU 3 BLIST.OPA-AL-PVC/AL X 10 COMPR.

P-RF

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA CUTIE CU 3 BLIST.OPA-AL-PVC/AL X 10 COMPR.

P-RF

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA CUTIE CU 3 BLIST.OPA-AL-PVC/AL X 10 COMPR.

P-RF

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

GERMANIA CUTIE CU 3 BLIST.OPA-AL-PVC/AL X 10 COMPR.

P-RF

SCHWARZ PHARMA LTD


SCHWARZ PHARMA LTD
SCHWARZ PHARMA LTD
SCHWARZ PHARMA LTD
SCHWARZ PHARMA LTD
SCHWARZ PHARMA LTD
SCHWARZ PHARMA LTD
SCHWARZ PHARMA LTD

MEDOCHEMIE LTD.
MEDOCHEMIE LTD.

IRLANDA
IRLANDA
IRLANDA
IRLANDA
IRLANDA
IRLANDA
IRLANDA
IRLANDA
CIPRU
CIPRU

CUTIE X 28 PLASTURI TRANSDERMICI


CUTIE X 7 PLASTURI TRANSDERMICI
CUTIE X 7 PLASTURI TRANSDERMICI
CUTIE X 28 PLASTURI TRANSDERMICI
CUTIE X 28 PLASTURI TRANSDERMICI
CUTIE X 7 PLASTURI TRANSDERMICI
CUTIE X 28 PLASTURI TRANSDERMICI
CUTIE X 7 PLASTURI TRANSDERMICI

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

CUTIE X 5 BLIST. DIN AL/PVC X 10 COMPR. P-6L


CUTIE X 10 BLIST. DIN AL/PVC X 10 COMPR. P-6L

UNGARIA CUTIE X 5 BLIST. AL/AL X 10 COMPR.

P-6L

TEVA PHARMA GMBH GERMANIA CUTIE X 30 COMPR.(BLIST. AL/AL)

P-RF

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 1 FLAC. DIN STICLA BRUNA CU SISTEM DE INCHIDERE SECURIZAT X 100 COMPR. FILM.

P-RF

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 1 FLAC. DIN STICLA BRUNA CU SISTEM DE INCHIDERE SECURIZAT X 30 COMPR. FILM.

P-RF

CHINOIN PRIVATE CO. LTD.

NOVARTIS PHARMA GMBH GERMANIA


NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 5 BLIST. X 10 COMPR.


CUTIE X 5 BLIST. X 10 COMPR.

P-RF

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P-RF

P-RF

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ambal
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
aj
(RON)
(RON)
ADULTI
a) si f)

30
30
30
30
28
7
7
28
28
7
28
7
50
100
50
30
100
30
50
50

314.07
650.35
367.49
98.15
101.65
382.31
477.57
127.57
571.41
154.18
36.31
70.37
41.74
523.59
391.65
125.26
106.79
33.65

10.469000
21.678333
40.995000
60.311000
13.124642
14.021428
14.521428
13.653928
17.056071
18.224285
20.407500
22.025714
0.726200
0.703700
0.834800
17.453000
3.916500
4.175333
2.135800
0.673000

10.469000
21.678333
40.995000
60.311000
13.124642
14.021428
14.521428
13.653928
17.056071
18.224285
20.407500
22.025714
0.726200
0.703700
0.834800
17.453000
3.916500
4.175333
2.135800
0.673000

10.469000
21.678333
40.995000
60.311000
13.124642
14.021428
14.521428
13.653928
17.056071
18.224285
20.407500
22.025714
0.726200
0.703700
0.834800
17.453000
3.916500
4.175333
2.135800
0.673000

2.65
2.62
2.47
3.71
2.57
400.81
241.07
89.66
23.82
78.67
59.64
122.50
110.09
124.21
78.67
74.80
109.54
13.33
55.38
80.90
78.89
13.73

0.132500
0.087333
0.082333
0.123666
0.128500
400.810000
48.214000
89.660000
2.382000
78.670000
59.640000
122.500000
110.090000
124.210000
78.670000
74.800000
109.540000
13.330000
1.107600
0.809000
0.788900
0.686500

0.098799
0.087333
0.082333
0.098799
0.098799
400.810000
48.214000
89.660000
2.382000
78.670000
59.640000
122.500000
110.090000
124.210000
78.670000
71.568000
109.540000
13.330000
1.107600
0.809000
0.788900
0.686500

0.098799
0.087333
0.082333
0.098799
0.098799
400.810000
48.214000
89.660000
2.382000
78.670000
59.640000
122.500000
110.090000
124.210000
78.670000
71.568000
109.540000
13.330000
1.107600
0.809000
0.788900
0.686500

1,229.85
1,809.33

Tratamentul se initiaza de catre medicul in specialitatea neurologie

11. MIASTENIA GRAVIS - G13


1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22

H02AB07
H02AB07
H02AB07
H02AB07
H02AB07

L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01

L04AX01
L04AX01
L04AX01
N07AA01

PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
AZATHIOPRINUM
AZATHIOPRINUM
AZATHIOPRINUM
NEOSTIGMINI BROMIDUM

PREDNISON MCC 5 mg
PREDNISON ARENA 5 mg
N - PREDNISON
PREDNISON 5 mg

COMPR.
COMPR.
COMPR.
COMPR.
PREDNISON - RICHTER 5 mg COMPR.

MAGISTRA C&C S.R.L. ROMANIA


ARENA GROUP SA ROMANIA
MEDUMAN SA
ROMANIA
SINTOFARM SA
ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA

METHOTREXAT "EBEWE" 5000 mg

EBEWE PHARMA GMBH NFG. KG

METHOTREXAT "EBEWE" 500 mg


METHOTREXAT "EBEWE" 1000 mg

METHOTREXAT "EBEWE" 5 mg
METOTREXAT EBEWE 10 mg/ml
METOTREXAT EBEWE 10 mg/ml
METOTREXAT EBEWE 10 mg/ml
METOTREXAT EBEWE 10 mg/ml

METOJECT 50mg/ml
METOJECT 50mg/ml
METOJECT 50mg/ml
METOJECT 50mg/ml

METHOTREXAT "EBEWE" 50 mg

IMMUNOPRIN 100 mg
IMURAN (R)
IMMUNOPRIN 75 mg
NEOSTIGMINA LPH 15 mg

5mg
5mg
5mg
5mg
5mg
CONC. PT. SOL. INJ./PERF. 100mg/ml
CONC. PT. SOL. INJ./PERF. 100mg/ml
CONC. PT. SOL. INJ./PERF. 100mg/ml
SOL. INJ.
5mg/ml
SOL. INJ. IN SERINGA PREUMPLUTA
10mg/ml
SOL. INJ. IN SERINGA PREUMPLUTA
10mg/ml
SOL. INJ. IN SERINGA PREUMPLUTA
10mg/ml
SOL. INJ. IN SERINGA PREUMPLUTA
10mg/ml
SOL. INJ. IN SERINGA PREUMPLUTA
50mg/ml
SOL. INJ. IN SERINGA PREUMPLUTA
50mg/ml
SOL. INJ. IN SERINGA PREUMPLUTA
50mg/ml
SOL. INJ. IN SERINGA PREUMPLUTA
50mg/ml
SOL. INJ./PERF. 10mg/ml
COMPR. FILM. 100mg
COMPR. FILM. 50mg
COMPR. FILM. 75mg
COMPR.
15mg

EBEWE PHARMA GMBH NFG. KG


EBEWE PHARMA GMBH NFG. KG
EBEWE PHARMA GMBH NFG. KG
EBEWE PHARMA GES.M.B.H. NFG KG
EBEWE PHARMA GES.M.B.H. NFG KG
EBEWE PHARMA GES.M.B.H. NFG KG
EBEWE PHARMA GES.M.B.H. NFG KG
MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

EBEWE PHARMA GMBH NFG. KG


EBEWE PHARMA GES.M.B.H. NFG KG

P-RF

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.


CUTIE X 2 BLIST. AL./PVC X 10 COMPR.

P-RF

P-RF

AUSTRIA CUTIE X 1 FLACON X 50 ML


AUSTRIA CUTIE X 5 FIOLE X 5 ML
AUSTRIA CUTIE X 1 TUB DIN MATERIAL PLASTIC X 1 FIOLA X 10 ML
AUSTRIA CUTIE X 10 FIOLE X 1 ML
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA

S
S
S
S
PR
PR
PR
PR

GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,50ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL

P-RF

GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,20ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL

P-RF

GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,15ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL

P-RF

GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,40ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL

P-RF

CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 1,0 ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJE

CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 0,75 ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJ

CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 2,0 ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJE

CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 1,5 ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJE

AUSTRIA CUTIE X 1 FLACON X 5 ML


S
AUSTRIA CUTIE CU 1 FLAC. PEID X 50 COMPR. FILM. PR

THE WELLCOME FOUNDATION LTD. MAREA BRITANIE


EBEWE PHARMA GES.M.B.H. NFG KG

P-RF

CUTIE X 1 FLAC. X 30 COMPR.

AUSTRIA

CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM.


CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM.

S/P-RF

PR

LABORMED PHARMA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 20 COMPR. P-6L

Pagina 19 din 42

20
30
30
30
20
1
5
1
10
1
1
1
1
1
1
1
1
1
50
100
100
20

NR.CRT

23

COD ATC

N07AA02

DCI

PYRIDOSTIGMINI BROMIDUM

Denumire Comerciala

MESTINON 60 mg

forma farm.

concentratie

DETINATOR APP

TARA
DET. APP

AMBALAJ

Prescriptie

DRAJ.

60mg

ICN POLFA RZESZOW S.A.

POLONIA CUTIE X 1 FLAC. X 20 DRAJ.

COMPR.
COMPR.
COMPR.

16mg
32mg
4mg
125mg
500mg
5mg
5mg
5mg
5mg
5mg
100mg/ml
100mg/ml
100mg/ml
5mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
50mg/ml
50mg/ml
50mg/ml
50mg/ml
10mg/ml
2mg/ml
100mg
50mg
75mg

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 5 BLIST. A-PVC/PVC X 10 COMPR. P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 2 BLIST. AL-PVC/PVC X 10 COMPR. P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

S/P-RF

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ambal
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
aj
(RON)
(RON)
ADULTI
a) si f)

20

16.56

0.828000

0.828000

0.828000

50
20
30
1
1
20
30
30
30
20
1
5
1
10
1
1
1
1
1
1
1
1
1
1
50
100
100

32.62
29.65
6.53
8.81
31.02
2.65
2.62
2.47
3.71
2.57
400.81
241.07
89.66
23.82
78.67
59.64
122.50
110.09
124.21
78.67
74.80
109.54
13.33
643.62
55.38
80.90
78.89

0.652400
1.482500
0.217666
8.810000
31.020000
0.132500
0.087333
0.082333
0.123666
0.128500
400.810000
48.214000
89.660000
2.382000
78.670000
59.640000
122.500000
110.090000
124.210000
78.670000
74.800000
109.540000
13.330000
643.620000
1.107600
0.809000
0.788900

0.652400
1.482500
0.217666
8.810000
31.020000
0.098799
0.087333
0.082333
0.098799
0.098799
400.810000
48.214000
89.660000
2.382000
78.670000
59.640000
122.500000
110.090000
124.210000
78.670000
71.568000
109.540000
13.330000
643.620000
1.107600
0.809000
0.788900

0.652400
1.482500
0.217666
8.810000
31.020000
0.098799
0.087333
0.082333
0.098799
0.098799
400.810000
48.214000
89.660000
2.382000
78.670000
59.640000
122.500000
110.090000
124.210000
78.670000
71.568000
109.540000
13.330000
643.620000
1.107600
0.809000
0.788900

0.439200
0.735200
0.202600
0.332800
0.511200
0.535333

0.243120
0.399360
0.202600
0.332800
0.511200
0.535333

0.243120
0.399360
0.202600
0.332800
0.511200
0.535333

Tratamentul se initiaza de catre medicul in specialitatea neurologie

12. SCLEROZA MULTIPLA - G14


1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27

H02AB04
H02AB04
H02AB04
H02AB04
H02AB04
H02AB07
H02AB07
H02AB07
H02AB07
H02AB07

L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01DB07

L04AX01
L04AX01
L04AX01

METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
MITOXANTRONUM***
AZATHIOPRINUM
AZATHIOPRINUM
AZATHIOPRINUM

MEDROL A 16
MEDROL 32
MEDROL 4 mg
LEMOD SOLU 125 mg
LEMOD SOLU 500 mg
PREDNISON MCC 5 mg
PREDNISON ARENA 5 mg
N - PREDNISON
PREDNISON 5 mg

LIOF. PT. SOL. INJ.


LIOF. PT. SOL. INJ.

COMPR.
COMPR.
COMPR.
COMPR.
PREDNISON - RICHTER 5 mg COMPR.

METHOTREXAT "EBEWE" 5000 mg

CONC. PT. SOL. INJ./PERF.

METHOTREXAT "EBEWE" 500 mg

CONC. PT. SOL. INJ./PERF.

METHOTREXAT "EBEWE" 1000 mg

CONC. PT. SOL. INJ./PERF.

METHOTREXAT "EBEWE" 5 mg SOL. INJ.


METOTREXAT EBEWE 10 mg/ml SOL. INJ. IN SERINGA PREUMPLUTA
METOTREXAT EBEWE 10 mg/ml SOL. INJ. IN SERINGA PREUMPLUTA
METOTREXAT EBEWE 10 mg/ml SOL. INJ. IN SERINGA PREUMPLUTA
METOTREXAT EBEWE 10 mg/ml SOL. INJ. IN SERINGA PREUMPLUTA

METOJECT 50mg/ml
METOJECT 50mg/ml
METOJECT 50mg/ml
METOJECT 50mg/ml

SOL. INJ. IN SERINGA PREUMPLUTA


SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA

METHOTREXAT "EBEWE" 50 mg SOL. INJ./PERF.


ONKOTRONE
CONC. PT. SOL. INJ.

IMMUNOPRIN 100 mg
IMURAN (R)
IMMUNOPRIN 75 mg

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

ROMANIA
STADA HEMOFARM S.R.L. ROMANIA
MAGISTRA C&C S.R.L. ROMANIA
ARENA GROUP SA ROMANIA
MEDUMAN SA
ROMANIA
SINTOFARM SA
ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
STADA HEMOFARM S.R.L.

EBEWE PHARMA GMBH NFG. KG


EBEWE PHARMA GMBH NFG. KG
EBEWE PHARMA GMBH NFG. KG
EBEWE PHARMA GMBH NFG. KG
EBEWE PHARMA GES.M.B.H. NFG KG
EBEWE PHARMA GES.M.B.H. NFG KG
EBEWE PHARMA GES.M.B.H. NFG KG
EBEWE PHARMA GES.M.B.H. NFG KG
MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

EBEWE PHARMA GMBH NFG. KG

CUTIE X 1 FLAC. DIN STICLA X 30 COMPR. P-RF


CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 2 ML

S/P-RF

CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 7,8 ML

S/P-RF

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P-RF

P-RF

CUTIE X 1 FLAC. X 30 COMPR.

P-RF

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.


CUTIE X 2 BLIST. AL./PVC X 10 COMPR.

P-RF
P-RF

AUSTRIA CUTIE X 1 FLACON X 50 ML


AUSTRIA CUTIE X 5 FIOLE X 5 ML
AUSTRIA CUTIE X 1 TUB DIN MATERIAL PLASTIC X 1 FIOLA X 10 ML
AUSTRIA CUTIE X 10 FIOLE X 1 ML
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA

S
S
S
S
PR
PR
PR
PR

GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,50ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL

P-RF

GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,20ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL

P-RF

GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,15ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL

P-RF

GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,40ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL

P-RF

CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 1,0 ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJE

CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 0,75 ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJ

CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 2,0 ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJE

CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 1,5 ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJE

AUSTRIA CUTIE X 1 FLACON X 5 ML

S
S
AUSTRIA CUTIE CU 1 FLAC. PEID X 50 COMPR. FILM. PR

BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 1 FLACON X 10 ML CONC. PT. SOL. INJ.
EBEWE PHARMA GES.M.B.H. NFG KG

THE WELLCOME FOUNDATION LTD. MAREA BRITANIE


EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRIA

CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM.

S/P-RF

CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM.

PR

Tratamentul se initiaza de catre medicul in specialitatea neurologie


Medicamentele specifice se prescriu numai pentru pacientii inclusi in Programul National de boli neurologice (Subprogramul de tratament al screlozei multiple)
13. BOLI PSIHICE (SCHIZOFRENIE, TULBURARI SCHIZOTIPALE SI DELIRANTE, TULBURARI AFECTIVE MAJORE, TULBURARI PSIHOTICE ACUTE SI BOLI PSIHICE COPII, AUTISM) - G15
1
2
3
4
5
6

N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01

ACIDUM VALPROICUM + SARURI


ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI

ORFIRIL LONG 150 mg


ORFIRIL LONG 300 mg
CONVULEX (R) 150 mg
CONVULEX (R) 300 mg
CONVULEX (R) 500 mg

CAPS. ELIB. PREL. 150mg


CAPS. ELIB. PREL. 300mg

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 1 FLAC. DIN PP X 50 CAPS. CU MINICOMPR. CU ELIB. PRELUNG.

P-6L

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 1 FLAC. DIN PP X 50 CAPS. CU MINICOMPR. CU ELIB. PREL.

P-6L

CAPS. MOI GASTROREZ.

GEROT PHARMAZEUTIKA GMBH

CUTIE X 10 BLIST. AL/PVDC-PVC X 10 CAPS. MOI GASTROREZ.

P-6L

CUTIE X 10 BLIST. AL/PVDC-PVC X 10 CAPS. MOI GASTROREZ.

P-6L

CUTIE X 10 BLIST. AL/PVDC-PVCX 10 CAPS. MOI GASTROREZ.

P-6L

CAPS. MOI GASTROREZ.


CAPS. MOI GASTROREZ.

DEPAKINE (R) CHRONO 500 mg COMPR. ELIB. PREL.

150mg
300mg
500mg
500mg

GEROT PHARMAZEUTIKA GMBH


GEROT PHARMAZEUTIKA GMBH

SANOFI-AVENTIS FRANCE

Pagina 20 din 42

AUSTRIA
AUSTRIA
AUSTRIA
FRANTA

CUTIE X 1 FLAC. PP X 30 COMPR. FILM. ELIB. PREL. P-6L

50
50
100
100
100
30

21.96
36.76
20.26
33.28
51.12
16.06

NR.CRT

7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55

COD ATC
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01

N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N04AA01
N05AD01
N05AD01
N05AD01
N05AD01
N05AD01
N05AD01
N05AD01
N05AD01
N05AE03
N05AE03
N05AE04
N05AE04
N05AE04
N05AE04
N05AE04

DCI

ACIDUM VALPROICUM + SARURI


ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
TRIHEXYPHENIDYLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
SERTINDOL**
SERTINDOL**
ZIPRASIDONUM**
ZIPRASIDONUM**
ZIPRASIDONUM**
ZIPRASIDONUM**
ZIPRASIDONUM**

Denumire Comerciala

DEPAKINE CHRONO 300 mg


ORFIRIL 150
DEPAKINE 200 mg
ORFIRIL 300
ORFIRIL 600
DEPAKINE (R) 400 mg/4 ml LIOFILIZAT SI SOLVENT PENTRU SOLUTIE INJECTABILA i.v.

ORFIRIL LONG 1000 mg


ORFIRIL LONG 500 mg
ORFIRIL SIROP
DEPAKINE
LAMOTIRAN 100 mg
LAMOTRIX 100 mg
EPIMIL 100 mg
PLEXXO (R) 100 mg
LAMOTRIGINE FARMAL 100 mg

LAMICTAL 100 mg
LAMOTRIGINA SUN 100 mg

LAMOTRIGINE TORRENT 100 mg

LAMOTRIX 200 mg
LAMOTRIGINA SUN 200 mg
LAMOTIRAN 25 mg
LAMOTRIX 25 mg
LAMICTAL 25 mg
PLEXXO (R) 50 mg
LAMOTIRAN 50 mg
LAMOTRIX 50 mg
EPIMIL 50 mg

LAMOTRIGINE FARMAL 50 mg

LAMICTAL 50 mg
LAMOTRIGINA SUN 50 mg
LAMOTRIN 100 mg
LAMOTRIN 25 mg
LAMOTRIN 50 mg
ROMPARKIN (R) 2 mg

HALOPERIDOL LAROPHARM 0,5 mg

HALOPERIDOL 1 mg
HALOPERIDOL 2 mg
HALDOL
HALOPERIDOL ROMPHARM 2 mg/ml

HALOPERIDOL 2 mg/ml
HALOPERIDOL DECANOAT
HALOPERIDOL RICHTER 5 mg/ml

SERDOLECT 16 mg
SERDOLECT 4 mg
ZELDOX (R) 40 mg
ZYPSILA 40 mg
ZIXADOX 40 mg
ZELDOX (R) 60 mg
ZYPSILA 60 mg

forma farm.

concentratie

300mg
150mg
COMPR. FILM. GASTROREZ. 200mg
COMPR. FILM. GASTROREZ. 300mg
COMPR. FILM. GASTROREZ. 600mg
LIOF. + SOLV. PT. SOL. 400mg/4ml
MINICOMPR. ELIB. PREL. 1000mg
MINICOMPR. ELIB. PREL. 500mg
SIROP
300mg/5ml
SIROP
57,64mg/ml
COMPR.
100mg
COMPR.
100mg
COMPR.
100mg
COMPR.
100mg
COMPR.
100mg
COMPR.
100mg
COMPR.
100mg
COMPR.
100mg
COMPR.
200mg
COMPR.
200mg
COMPR.
25mg
COMPR.
25mg
COMPR.
25mg
COMPR.
50mg
COMPR.
50mg
COMPR.
50mg
COMPR.
50mg
COMPR.
50mg
COMPR.
50mg
COMPR.
50mg
COMPR. DISP. 100mg
COMPR. DISP. 25mg
COMPR. DISP. 50mg
COMPR.
2mg
COMPR.
0,5mg
COMPR.
1mg
COMPR.
2mg
COMPR.
5mg
PIC. OFT., SOL. 2 mg/ml
PIC. ORALE-SOL. 2mg/ml
SOL. INJ.
50mg/ml
SOL. INJ.
5mg/ml
COMPR. FILM. 16mg
COMPR. FILM. 4mg
CAPS.
40mg
CAPS.
40mg
CAPS.
40mg
CAPS.
60mg
CAPS.
60mg

DETINATOR APP

TARA
DET. APP

AMBALAJ

Prescriptie

COMPR. FILM. ELIB. PREL. DIVIZ.

SANOFI-AVENTIS FRANCE

FRANTA

CUTIE X 2 FLAC. DIN PP X 50 COMPR. FILM. ELIB. PREL., DIVIZIBILE

P-6L

COMPR. FILM. GASTROREZ.

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 COMPR.FILM. GASTROREZ.

P-6L

SANOFI-AVENTIS FRANCE

FRANTA

CUTIE X 1 FLAC. DIN PP X 40 COMPR. FILM. GASTROREZ.

P-6L

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 1 FLAC. DIN PP X 100 COMPR. FILM. GASTROREZ.

P-6L

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 1 FLAC. DIN PP X 50 COMPR. FILM. GASTROREZ.

P-6L

SANOFI-AVENTIS FRANCE

FRANTA

CUTIE X 4 FLAC. CU LIOF. PT. SOL. INJ. + 4 FIOLE SOLV. X 4ML S/P-RF

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 50 MINIPLICURI. DIN PET/AL/PE CU MINICOMPR. CU ELIB. PRELUNG.

P-6L

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 50 MINIPLICURI. DIN PET/AL/PE CU MINICOMPR. CU ELIB. PRELUNG.

P-6L

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 1 FLACON X 250 ML + LINGURITA DOZATOARE PP A 5 ML

P-6L

CUTIE X 1 FLACON X 150 ML + 1 SERINGA PT. ADMIN. ORALA

P-6L

RANBAXY UK LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVDC-PVC X 7 COMPR.


MEDOCHEMIE LTD. CIPRU
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
IVAX PHARMCEUTICALS S.R.O. CEHIA
CUTIE X 3 BLIST. PVC-PVDC/PVC-AL X 10 COMPR.
DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 3 BLIST. X 10 COMPR.

P-6L

FARMAL INTERNATIONAL S.R.L.

P-RF

SANOFI - AVENTIS FRANCE

THE WELLCOME FOUNDATION LTD.

CIPLA (UK) LIMITED


TORRENT PHARMA S.R.L.

FRANTA

ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.


MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 COMPR.
MAREA BRITANIE CUTIE X 4 BLIST. AL/PVC X 14 COMPR.
ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR.
CIPRU
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
MAREA BRITANIE CUTIE X 4 BLIST. AL/PVC X 14 COMPR.

MEDOCHEMIE LTD.
CIPLA (UK) LIMITED
RANBAXY UK LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVDC-PVC X 7 COMPR.
MEDOCHEMIE LTD. CIPRU
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
THE WELLCOME FOUNDATION LTD. MAREA BRITANIE

P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L

CUTIE CU BLIST. PVC/AL X 28 COMPR. P-6L

GERMANIA CUTIE X 3 BLIST. X 10 COMPR.


RANBAXY UK LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVDC-PVC X 7 COMPR.
MEDOCHEMIE LTD. CIPRU
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
IVAX PHARMCEUTICALS S.R.O. CEHIA
CUTIE X 3 BLIST. PVC-PVDC/PVC-AL X 10 COMPR.

P-6L

FARMAL INTERNATIONAL S.R.L.

P-RF

DESITIN ARZNEIMITTEL GMBH

ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

THE WELLCOME FOUNDATION LTD. MAREA BRITANIE

CIPLA (UK) LIMITED

MAREA BRITANIE

ACTAVIS GROUP HF. ISLANDA


ACTAVIS GROUP HF. ISLANDA
ACTAVIS GROUP HF. ISLANDA
TERAPIA SA
ROMANIA
LAROPHARM S.R.L. ROMANIA
ARENA GROUP SA ROMANIA
ARENA GROUP SA ROMANIA
JANSSEN PHARMACEUTICA N.V.

ROMPHARM COMPANY S.R.L.


GEDEON RICHTER ROMANIA SA
GEDEON RICHTER ROMANIA SA
GEDEON RICHTER ROMANIA SA

BELGIA

P-6L
P-6L
P-6L

CUTIE CU BLIST. PVC/AL X 28 COMPR. P-6L


CUTIE X 4 BLIST. AL/PVC X 14 COMPR. P-6L
CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. DISPERSABILE

P-6L

CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. DISPERSABILE

P-6L

CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. DISPERSABILE

P-6L

CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L


CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF
CUTIE X 1 BLIST. AL/PVC X 25 COMPR. P-RF

ROMANIA CUTIE CU 1 FLACON PEJD CU PICURATOR PEJD X 10 ML PIC. OFT., SOL. PRF
ROMANIA CUTIE X 1 FLACON PICURATOR X 10ML PICATURI ORALE-SOLUTIE P-RF
ROMANIA CUTIE X 5 FIOLE X 1 ML
P-RF
ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 1 ML SOL. INJ. P-RF

H. LUNDBECK A/S
H. LUNDBECK A/S

DANEMARCA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

DANEMARCA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-RF

CUTIE X 4 BLIST. X 14 CAPS.

P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 CAPS. P-RF

ZENTIVA K.S.

REPUBLICA CEHA

CUTIE CU BLIST. OPA-AL-PVC/AL X 56 CAPS.

P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 4 BLIST. X 14 CAPS.

P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 CAPS. P-RF

Pagina 21 din 42

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ambal
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
aj
(RON)
(RON)
ADULTI
a) si f)

100
100
40
100
50
4
50
50
1
1
28
30
30
30
30
28
56
30
30
56
28
30
28
30
28
30
30
30
28
56
30
30
30
50
20
30
30
25
1
1
5
5
28
30
56
60
56
56
60

34.76
29.14
10.72
37.58
39.99
127.06
94.92
59.48
36.26
23.13
26.66
28.86
28.86
28.86
28.84
40.13
52.11
28.24
60.33
99.51
6.66
7.26
10.40
14.41
13.33
14.41
14.41
14.42
20.69
26.89
28.84
3.82
16.95
19.49
3.24
7.72
10.80
17.94
4.31
6.66
44.52
12.48
484.77
127.86
416.90
291.19
277.12
542.18
358.39

0.347600
0.291400
0.268000
0.375800
0.799800
31.765000
1.898400
1.189600
36.260000
23.130000
0.952142
0.962000
0.962000
0.962000
0.961333
1.433214
0.930535
0.941333
2.011000
1.776964
0.237857
0.242000
0.371428
0.480333
0.476071
0.480333
0.480333
0.480666
0.738928
0.480178
0.961333
0.127333
0.565000
0.389800
0.162000
0.257333
0.360000
0.717600
4.310000
6.660000
8.904000
2.496000
17.313214
4.262000
7.444642
4.853166
4.948571
9.681785
5.973166

0.347600
0.243120
0.268000
0.375800
0.799800
31.765000
1.898400
0.613440
36.260000
23.130000
0.952142
0.962000
0.962000
0.962000
0.961333
1.116642
0.930535
0.941333
2.011000
1.776964
0.152799
0.152799
0.152799
0.480333
0.476071
0.480333
0.480333
0.480666
0.571285
0.480178
0.961333
0.127333
0.565000
0.389800
0.162000
0.257333
0.360000
0.717600
4.310000
6.660000
8.904000
2.496000
17.313214
4.262000
5.823799
4.853166
4.948571
7.167799
5.973166

0.347600
0.243120
0.268000
0.375800
0.799800
31.765000
1.898400
0.613440
36.260000
23.130000
0.952142
0.962000
0.962000
0.962000
0.961333
1.116642
0.930535
0.941333
2.011000
1.776964
0.152799
0.152799
0.152799
0.480333
0.476071
0.480333
0.480333
0.480666
0.571285
0.480178
0.961333
0.127333
0.565000
0.389800
0.162000
0.257333
0.360000
0.717600
4.310000
6.660000
8.904000
2.496000
17.313214
4.262000
5.823799
4.853166
4.948571
7.167799
5.973166

NR.CRT

56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99

COD ATC

N05AE04
N05AE04
N05AE04

N05AF01
N05AF05
N05AF05
N05AF05
N05AF05
N05AF05
N05AH02
N05AH02
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03

100 N05AH03
101 N05AH03
102 N05AH03
103 N05AH03
104 N05AH03

DCI

ZIPRASIDONUM**
ZIPRASIDONUM**
ZIPRASIDONUM**
FLUPENTIXOLUM**
ZUCLOPENTHIXOLUM**
ZUCLOPENTHIXOLUM**
ZUCLOPENTHIXOLUM**
ZUCLOPENTHIXOLUM**
ZUCLOPENTHIXOLUM**
CLOZAPINUM**
CLOZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**

Denumire Comerciala

ZELDOX (R) 80 mg
ZYPSILA 80 mg
ZELDOX (R) 20 mg/ml
FLUANXOL DEPOT
CLOPIXOL (R) 10 mg
CLOPIXOL (R) 25 mg
CLOPIXOL 20 mg/ml
CLOPIXOL (R) DEPOT
CLOPIXOL ACUPHASE (R)
LEPONEX (R) 100 mg
LEPONEX (R) 25 mg
ZALASTA 10mg
OLAZAX 10 mg
ZALASTA 5mg
OLAZAX 5 mg
ZYPREXA 10 mg
OLIPAZIX 10 MG

OLANZAPINA ACCORD 10 mg

LAPOZAN 10 mg
LAPOZAN 10 mg

OLANZAPINA ACTAVIS 10 mg

BLOONIS 10 mg

OLANZAPINA DR. REDDY'S 10 mg

EGOLANZA 10 mg
NYKOB 10 mg
OLANZAPINA LPH 10 mg
OLANZAPINA LILLY 10 mg
OLANZAPINE GSK 10 mg

OLANZAPINA ACCORD 15 mg

LAPOZAN 15 mg
EGOLANZA 15 mg
NYKOB 15 mg
OLANZAPINA LPH 15 mg

OLANZAPINA ACCORD 2,5 mg


OLANZAPINA ACCORD 20 mg
OLANZAPINA DR. REDDY'S 20 mg

EGOLANZA 20 mg
NYKOB 20 mg
OLANZAPINA LPH 20 mg
ZYPREXA 5 mg
OLIPAZIX 5 MG
OLANZAPINA ACCORD 5 mg
LAPOZAN 5 mg
LAPOZAN 5 mg
OLANZAPINA ACTAVIS 5 mg
BLOONIS 5 mg

OLANZAPINA DR. REDDY'S 5 mg

EGOLANZA 5 mg
NYKOB 5 mg

forma farm.

CAPS.
CAPS.

concentratie

80mg
80mg
LIOF. PT. SOL. INJ. + SOLV. 20mg/ml
SOL. INJ.
20mg/ml
COMPR. FILM. 10mg
COMPR. FILM. 25mg
PIC. ORALE-SOL. 20mg/ml
SOL. INJ.
200mg/ml
SOL. INJ.
50mg/ml
COMPR.
100mg
COMPR.
25mg
COMPR.
10mg
COMPR.
10mg
COMPR.
5mg
COMPR.
5mg
COMPR. FILM. 10mg
COMPR. FILM. 10mg
COMPR. FILM. 10mg
COMPR. FILM. 10mg
COMPR. FILM. 10mg
COMPR. FILM. 10mg
COMPR. FILM. 10mg
COMPR. FILM. 10mg
COMPR. FILM. 10mg
COMPR. FILM. 10mg
COMPR. FILM. 10mg
COMPR. FILM. 10mg
COMPR. FILM. 10mg
COMPR. FILM. 15mg
COMPR. FILM. 15mg
COMPR. FILM. 15mg
COMPR. FILM. 15mg
COMPR. FILM. 15mg
COMPR. FILM. 2,5mg
COMPR. FILM. 20mg
COMPR. FILM. 20mg
COMPR. FILM. 20mg
COMPR. FILM. 20mg
COMPR. FILM. 20mg
COMPR. FILM. 5mg
COMPR. FILM. 5mg
COMPR. FILM. 5mg
COMPR. FILM. 5mg
COMPR. FILM. 5mg
COMPR. FILM. 5mg
COMPR. FILM. 5mg
COMPR. FILM. 5mg
COMPR. FILM. 5mg
COMPR. FILM. 5mg

DETINATOR APP
PFIZER EUROPE MA EEIG

TARA
DET. APP
MAREA BRITANIE

AMBALAJ

CUTIE X 4 BLIST. X 14 CAPS.

Prescriptie

P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 CAPS. P-RF
PFIZER EUROPE MA EEIG

H. LUNDBECK A/S
H. LUNDBECK A/S
H. LUNDBECK A/S
H. LUNDBECK A/S
H. LUNDBECK A/S
H. LUNDBECK A/S
NOVARTIS PHARMA GMBH
NOVARTIS PHARMA GMBH

MAREA BRITANIE

CUTIE X 1 FLAC. LIOF. + 1 FIOLA X 1,2 ML SOLV.

S/P-RF

DANEMARCA CUTIE X 10 FIOLE DIN STICLA INCOLORA X 1 ML SOL. INJ. P-RF


DANEMARCA
DANEMARCA

FLAC. X 50 COMPR. FILM.


FLAC. X 50 COMPR. FILM.

P-RF
P-RF

DANEMARCA CUTIE X 1 FLAC. + CAPAC SECURIZAT PT. COPII X 20 ML

P-RF

CUTIE X 10 FIOLE X 1 ML
DANEMARCA CUTIE X 5 FIOLE X 1 ML
GERMANIA CUTIE X 5 BLIST. X 10 COMPR.
GERMANIA CUTIE X 5 BLIST. X 10 COMPR.

P-RF

DANEMARCA

P-RF
P-RF
P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 28 COMPR. (BLISTER OPA/AL/PVC/AL) P-RF
GLENMARK PHARMACEUTICALS SRL

REPUBLICA CEHA

CUTIE CU BLIST. AL/AL X 28 COMPR.

P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 28 COMPR. (BLISTER OPA/AL/PVC/AL) P-RF
GLENMARK PHARMACEUTICALS SRL

ELI LILLY NEDERLAND BV


LABORATORIOS LESVI, SL

REPUBLICA CEHA

OLANDA
SPANIA

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

CUTIE CU BLIST. AL/AL X 28 COMPR.

P-RF

CUTIE X 28 COMPR. FILM. ( BLIST.AL ABUTISATE LA RECE) P-RF

CUTIE CU BLIST. DIN PA-AL-PVC/AL X 28 COMPR. FILM.

P-RF

CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-RF

MEDOCHEMIE LTD. CIPRU


CUTIE CU BLIST. AL/AL X 28 COMPR. FILM.
MEDOCHEMIE LTD. CIPRU
CUTIE CU BLIST. AL/AL X 30 COMPR. FILM.
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM.

P-RF
P-RF
P-RF

ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-RF


DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. AL/AL X 35 COMPR. FILM. P-RF
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-RF
PHARMASWISS MEDICINES S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. FILM. P-RF
LABORMED PHARMA S.A. ROMANIA CUTIE CU 4 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. PRF
ELI LILLY ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. DIN AL X 28 COMPR. FILM. PRF
GLAXOSMITHKLINE S.R.L. ROMANIA CUTIE CU BLIST. DIN PA-AL-PVC/AL X 28 COMPR. FILM. P-RF
SANOFI - AVENTIS ROMANIA S.R.L.

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

MEDOCHEMIE LTD. CIPRU

CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-RF


CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-RF

UNGARIA
PHARMASWISS MEDICINES S.R.L. ROMANIA
LABORMED PHARMA S.A. ROMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-RF

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-RF

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-RF

EGIS PHARMACEUTICALS P.L.C.

CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. FILM. P-RF


CUTIE CU 4 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. PRF

ROMANIA CUTIE CU BLIST. AL/AL X 35 COMPR. FILM. P-RF


UNGARIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-RF
PHARMASWISS MEDICINES S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. FILM. P-RF
LABORMED PHARMA S.A. ROMANIA CUTIE CU 4 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. PRF
DR. REDDY'S LABORATORIES

EGIS PHARMACEUTICALS P.L.C.

ELI LILLY NEDERLAND BV


LABORATORIOS LESVI, SL

OLANDA
SPANIA

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

CUTIE X 28 COMPR. FILM. ( BLIST.AL ABUTISATE LA RECE) P-RF

CUTIE CU BLIST. DIN PA-AL-PVC/AL X 28 COMPR. FILM.

CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-RF

MEDOCHEMIE LTD. CIPRU


CUTIE CU BLIST. AL/AL X 28 COMPR. FILM.
MEDOCHEMIE LTD. CIPRU
CUTIE CU BLIST. AL/AL X 30 COMPR. FILM.
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM.
SANOFI - AVENTIS ROMANIA S.R.L.

DR. REDDY'S LABORATORIES


EGIS PHARMACEUTICALS P.L.C.
PHARMASWISS MEDICINES S.R.L.

Pagina 22 din 42

P-RF

ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.


ROMANIA CUTIE CU BLIST. AL/AL X 35 COMPR. FILM.
UNGARIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.
ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. FILM.

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ambal
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
aj
(RON)
(RON)
ADULTI
a) si f)

56
60
1
10
50
50
1
10
5
50
50
28
28
28
28
28
28
28
28
30
30
28
35
28
28
28
28
28
28
28
28
28
28
28
28
35
28
28
28
28
28
28
28
30
30
28
35
28
28

583.10
386.47
64.19
71.81
23.13
33.57
32.70
157.82
46.49
106.79
33.65
134.53
139.69
71.47
73.21
208.23
130.06
135.34
135.35
145.02
124.89
135.09
169.19
135.34
114.62
133.72
134.56
135.35
203.00
197.35
205.18
171.62
196.62
37.58
270.68
835.65
274.48
228.83
262.17
109.79
68.55
71.36
71.36
76.46
65.84
71.15
89.20
71.36
60.36

10.412500
6.441166
64.190000
7.181000
0.462600
0.671400
32.700000
15.782000
9.298000
2.135800
0.673000
4.804642
4.988928
2.552500
2.614642
7.436785
4.645000
4.833571
4.833928
4.834000
4.163000
4.824642
4.834000
4.833571
4.093571
4.775714
4.805714
4.833928
7.250000
7.048214
7.327857
6.129285
7.022142
1.342142
9.667142
23.875714
9.802857
8.172500
9.363214
3.921071
2.448214
2.548571
2.548571
2.548666
2.194666
2.541071
2.548571
2.548571
2.155714

7.729399
6.441166
64.190000
7.181000
0.462600
0.671400
32.700000
15.782000
9.298000
2.135800
0.673000
4.804642
4.912285
2.552500
2.586856
4.912285
4.645000
4.833571
4.833928
4.834000
4.163000
4.824642
4.834000
4.833571
4.093571
4.775714
4.805714
4.833928
7.250000
7.048214
7.327857
6.129285
7.022142
1.342142
9.667142
9.807000
9.802857
8.172500
9.363214
2.586856
2.448214
2.548571
2.548571
2.548666
2.194666
2.541071
2.548571
2.548571
2.155714

7.729399
6.441166
64.190000
7.181000
0.462600
0.671400
32.700000
15.782000
9.298000
2.135800
0.673000
4.804642
4.912285
2.552500
2.586856
4.912285
4.645000
4.833571
4.833928
4.834000
4.163000
4.824642
4.834000
4.833571
4.093571
4.775714
4.805714
4.833928
7.250000
7.048214
7.327857
6.129285
7.022142
1.342142
9.667142
9.807000
9.802857
8.172500
9.363214
2.586856
2.448214
2.548571
2.548571
2.548666
2.194666
2.541071
2.548571
2.548571
2.155714

NR.CRT

COD ATC

105 N05AH03
106 N05AH03
107 N05AH03
108 N05AH03
109 N05AH03
110 N05AH03
111 N05AH03
112 N05AH03
113 N05AH03
114 N05AH03
115 N05AH03
116 N05AH03
117 N05AH03
118 N05AH03
119 N05AH03
120 N05AH03
121 N05AH03
122 N05AH03
123 N05AH03
124 N05AH03
125 N05AH03
126 N05AH03
127 N05AH03
128 N05AH03
129 N05AH03
130 N05AH03
131 N05AH03
132 N05AH03
133 N05AH03
134 N05AH03
135 N05AH03
136 N05AH03
137 N05AH03
138 N05AH03
139 N05AH03
140 N05AH03
141 N05AH03
142 N05AH03
143 N05AH03
144 N05AH03
145 N05AH03
146 N05AH03
147 N05AH03
148 N05AH03
149 N05AH03
150 N05AH03
151 N05AH03
152 N05AH03
153 N05AH03

DCI

OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**

Denumire Comerciala

OLANZAPINA LPH 5 mg
OLANZAPINA LILLY 5 mg
OLANZAPINE GSK 5 mg

forma farm.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
OLANZAPINA DR. REDDY'S 7,5 mg COMPR. FILM.
ZYPREXA VELOTAB 10 mg COMPR. ORODISPERSABILE
ZALASTA 10mg
COMPR. ORODISPERSABILE
OLANZAPINE TEVA 10mg
COMPR. ORODISPERSABILE
OLANZAPINA TERAPIA 10 mg

OLAZAX DISPERZI 10 mg
LAPOZAN 10 mg
LAPOZAN 10 mg
BLOONIS 10 mg

OLANZAPINA DR. REDDY'S 10 mg

NYKOB 10 mg

OLANZAPINA ACTAVIS 10 mg

IRROPIA 10 mg
OLANZAPINA LILLY 10 mg

OLANZAPINA TORRENT 10 mg

OLANZAPINE GSK 10 mg
ZYPREXA VELOTAB 15 mg
ZALASTA 15mg
OLANZAPINE TEVA 15mg

OLANZAPINA TERAPIA 15 mg

OLAZAX DISPERZI 15 mg
BLOONIS 15 mg

OLANZAPINA DR. REDDY'S 15 mg

NYKOB 15 mg

OLANZAPINA ACTAVIS 15 mg

IRROPIA 15 mg
OLANZAPINA LILLY 15 mg

OLANZAPINA TORRENT 15 mg

ZYPREXA VELOTAB 20 mg
ZALASTA 20mg
OLANZAPINE TEVA 20mg

OLANZAPINA TERAPIA 20 mg

OLAZAX DISPERZI 20 mg
BLOONIS 20 mg

OLANZAPINA DR. REDDY'S 20 mg

NYKOB 20 mg

OLANZAPINA ACTAVIS 20 mg

IRROPIA 20 mg
OLANZAPINA LILLY 20 mg

OLANZAPINA TORRENT 20 mg

ZYPREXA VELOTAB 5 mg
ZALASTA 5mg
OLANZAPINE TEVA 5mg
OLANZAPINA TERAPIA 5 mg
OLAZAX DISPERZI 5 mg
LAPOZAN 5 mg

COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE

concentratie

5mg
5mg
5mg
7,5mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
5mg
5mg
5mg
5mg
5mg
5mg

TARA
DET. APP
AMBALAJ
LABORMED PHARMA S.A. ROMANIA CUTIE CU 4 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. PRF
ELI LILLY ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. DIN AL X 28 COMPR. FILM. PRF
GLAXOSMITHKLINE S.R.L. ROMANIA CUTIE CU BLIST. DIN PA-AL-PVC/AL X 28 COMPR. FILM. P-RF
DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. AL/AL X 35 COMPR. FILM. P-RF
DETINATOR APP

ELI LILLY NEDERLAND BV

Prescriptie

OLANDA

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE X 28COMPR. ORODISPERSABILE (BLIST. AL/AL )

P-RF

CUTIE X 28 COMPR.ORODISPERSABILE. (BLISTER OPA/AL/PVC/AL)

P-RF

TEVA PHARMA BV
TERAPIA S.A.

OLANDA

CUTIE X 30 COMPR. FILM. (BLIST. OPA-AL-PVC/AL) P-RF

ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR.

P-RF

GLENMARK PHARMACEUTICALS SRL

REPUBLICA CEHA

CUTIE CU BLIST. AL/AL X 28 COMPR. ORODISPERSABILE

P-RF

CUTIE CU BLIST. AL/AL X 30 COMPR. ORODISPERSABILE

P-RF

CUTIE CU BLIST. AL/AL X 50 COMPR. ORODISPERSABILE

P-RF

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE

P-RF

CUTIE CU BLIST. OPA-AL-PVC/AL X 35 COMPR. ORODISPERSABILE

P-RF

MEDOCHEMIE LTD. CIPRU


MEDOCHEMIE LTD. CIPRU
SANOFI - AVENTIS ROMANIA S.R.L.

DR. REDDY'S LABORATORIES


PHARMASWISS MEDICINES S.R.L.

ACTAVIS GROUP PTC EHF.


ROMASTRU TRADING S.R.L.

ROMANIA
ROMANIA
ROMANIA

ISLANDA

ROMANIA

CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE

P-RF

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE

P-RF

CUTIE CU 4 BLIST. AL/AL X 7 COMPR. ORODISPERSABILE

PRF

ELI LILLY ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. AL X 28 COMPR. ORODIPSERSABILE PRF

ROMANIA
GLAXOSMITHKLINE S.R.L. ROMANIA
TORRENT PHARMA S.R.L.

ELI LILLY NEDERLAND BV

OLANDA

KRKA D.D. NOVO MESTO SLOVENIA

P-RF

CUTIE CU BLIST. PA-AL-PVC/AL-PETF X 28 COMPR. ORODISPERSABILE

P-RF

CUTIE X 28COMPR. ORODISPERSABILE (BLIST. AL/AL )

P-RF

CUTIE X 28 COMPR.ORODISPERSABILE. (BLISTER OPA/AL/PVC/AL)

P-RF

TEVA PHARMA BV
TERAPIA S.A.

ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR.

P-RF

GLENMARK PHARMACEUTICALS SRL

REPUBLICA CEHA

CUTIE CU BLIST. AL/AL X 28 COMPR. ORODISPERSABILE

P-RF

SANOFI - AVENTIS ROMANIA S.R.L.

DR. REDDY'S LABORATORIES


PHARMASWISS MEDICINES S.R.L.

ACTAVIS GROUP PTC EHF.

OLANDA

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE

ROMANIA
ROMANIA
ROMANIA

ISLANDA

ROMANIA
ELI LILLY ROMANIA S.R.L. ROMANIA
TORRENT PHARMA S.R.L. ROMANIA
ROMASTRU TRADING S.R.L.

ELI LILLY NEDERLAND BV

OLANDA

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE

P-RF

CUTIE CU BLIST. OPA-AL-PVC/AL X 35 COMPR. ORODISPERSABILE

P-RF

CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE

P-RF

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE

P-RF

CUTIE CU 4 BLIST. AL/AL X 7 COMPR. ORODISPERSABILE

PRF

CUTIE CU BLIST. AL X 28 COMPR. ORODIPSERSABILE

PRF

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE

P-RF

CUTIE X 28COMPR. ORODISPERSABILE (BLIST. AL/AL )

P-RF

CUTIE X 28 COMPR.ORODISPERSABILE. (BLISTER OPA/AL/PVC/AL)

P-RF

TEVA PHARMA BV
TERAPIA S.A.

ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR.

P-RF

GLENMARK PHARMACEUTICALS SRL

REPUBLICA CEHA

CUTIE CU BLIST. AL/AL X 28 COMPR. ORODISPERSABILE

P-RF

SANOFI - AVENTIS ROMANIA S.R.L.

DR. REDDY'S LABORATORIES


PHARMASWISS MEDICINES S.R.L.

ACTAVIS GROUP PTC EHF.

OLANDA

CUTIE X 30 COMPR. FILM. (BLIST. OPA-AL-PVC/AL) P-RF

ROMANIA
ROMANIA
ROMANIA

ISLANDA

ROMANIA
ELI LILLY ROMANIA S.R.L. ROMANIA
TORRENT PHARMA S.R.L. ROMANIA
ROMASTRU TRADING S.R.L.

ELI LILLY NEDERLAND BV

OLANDA

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE X 30 COMPR. FILM. (BLIST. OPA-AL-PVC/AL) P-RF

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE

P-RF

CUTIE CU BLIST. OPA-AL-PVC/AL X 35 COMPR. ORODISPERSABILE

P-RF

CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE

P-RF

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE

P-RF

CUTIE CU 4 BLIST. AL/AL X 7 COMPR. ORODISPERSABILE

PRF

CUTIE CU BLIST. AL X 28 COMPR. ORODIPSERSABILE

PRF

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE

P-RF

CUTIE X 28COMPR. ORODISPERSABILE (BLIST. AL/AL )

P-RF

CUTIE X 28 COMPR.ORODISPERSABILE. (BLISTER OPA/AL/PVC/AL)

P-RF

TEVA PHARMA BV
TERAPIA S.A.

OLANDA

CUTIE X 30 COMPR. FILM. (BLIST. OPA-AL-PVC/AL) P-RF

ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR.

P-RF

GLENMARK PHARMACEUTICALS SRL

REPUBLICA CEHA

CUTIE CU BLIST. AL/AL X 28 COMPR. ORODISPERSABILE

P-RF

CUTIE CU BLIST. AL/AL X 30 COMPR. ORODISPERSABILE

P-RF

MEDOCHEMIE LTD. CIPRU

Pagina 23 din 42

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ambal
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
aj
(RON)
(RON)
ADULTI
a) si f)

28
28
28
35
28
28
30
28
28
30
50
28
35
28
28
28
28
28
28
28
28
30
28
28
28
35
28
28
28
28
28
28
28
30
28
28
28
35
28
28
28
28
28
28
28
30
28
28
30

68.89
70.95
71.36
296.13
466.24
134.53
142.72
134.53
139.69
148.62
247.69
135.09
171.82
114.62
120.72
134.25
136.15
245.20
316.62
616.92
203.82
214.08
203.82
205.88
205.93
257.36
171.62
171.71
201.86
205.86
359.46
1,013.57

271.77
285.43
271.77
274.46
274.59
342.90
228.83
228.96
269.05
274.48
472.92
243.53
71.47
75.25
73.57
73.21
78.30

2.460357
2.533928
2.548571
8.460857
16.651428
4.804642
4.757333
4.804642
4.988928
4.954000
4.953800
4.824642
4.909142
4.093571
4.311428
4.794642
4.862500
8.757142
11.307857
22.032857
7.279285
7.136000
7.279285
7.352857
7.354642
7.353142
6.129285
6.132500
7.209285
7.352142
12.837857
36.198928
9.706071
9.514333
9.706071
9.802142
9.806785
9.797142
8.172500
8.177142
9.608928
9.802857
16.890000
8.697500
2.552500
2.508333
2.627500
2.614642
2.610000

2.460357
2.533928
2.548571
8.460857
4.912285
4.804642
4.757333
4.804642
4.912285
4.912285
4.912285
4.824642
4.909142
4.093571
4.311428
4.794642
4.862500
4.912285
4.912285
7.355142
7.279285
7.136000
7.279285
7.352857
7.354642
7.353142
6.129285
6.132500
7.209285
7.352142
7.355142
9.807000
9.706071
9.514333
9.706071
9.802142
9.806785
9.797142
8.172500
8.177142
9.608928
9.802857
9.807000
2.586856
2.552500
2.508333
2.586856
2.586856
2.586856

2.460357
2.533928
2.548571
8.460857
4.912285
4.804642
4.757333
4.804642
4.912285
4.912285
4.912285
4.824642
4.909142
4.093571
4.311428
4.794642
4.862500
4.912285
4.912285
7.355142
7.279285
7.136000
7.279285
7.352857
7.354642
7.353142
6.129285
6.132500
7.209285
7.352142
7.355142
9.807000
9.706071
9.514333
9.706071
9.802142
9.806785
9.797142
8.172500
8.177142
9.608928
9.802857
9.807000
2.586856
2.552500
2.508333
2.586856
2.586856
2.586856

NR.CRT

COD ATC

154 N05AH03
155 N05AH03
156 N05AH03
157 N05AH03
158 N05AH03
159 N05AH03
160 N05AH03
161 N05AH03
162 N05AH03
163 N05AH03
164 N05AH03
165 N05AH03
166 N05AH03
167 N05AH03
168 N05AH03
169 N05AH04
170 N05AH04
171 N05AH04
172 N05AH04
173 N05AH04
174 N05AH04
175 N05AH04
176 N05AH04
177 N05AH04
178 N05AH04
179 N05AH04
180 N05AH04
181 N05AH04
182 N05AH04
183 N05AH04
184 N05AH04
185 N05AH04
186 N05AH04
187 N05AH04
188 N05AH04
189 N05AH04
190 N05AH04
191 N05AH04
192 N05AH04
193 N05AH04
194 N05AH04
195 N05AH04
196 N05AH04
197 N05AH04
198 N05AH04
199 N05AH04
200 N05AL01
201 N05AL01
202 N05AL05

DCI

OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
SULPIRIDUM
SULPIRIDUM
AMISULPRIDUM**

Denumire Comerciala

OLANZAPINA DR. REDDY'S 5 mg

NYKOB 5 mg
OLANZAPINA ACTAVIS 5 mg
IRROPIA 5 mg
OLANZAPINA LILLY 5 mg
OLANZAPINA TORRENT 5 mg

OLANZAPINE GSK 5 mg
ZAPILUX 10 mg
ZAPILUX 15 mg
ZAPILUX 20 mg
ZAPILUX 5 mg
ZYPADHERA 210mg
ZYPADHERA 300mg
ZYPADHERA 405mg
ZYPREXA 10 mg
SEROQUEL XR 150 mg
KETILEPT 100 mg
QUETIAPINE TEVA 100 mg
SETININ 100 mg
HEDONIN 100 mg
KVENTIAX 100 mg
QUETROP 100 mg

QUETIAPINE ACCORD 100 mg


QUETIAPINA POLPHARMA 100 mg

SETININ 150 mg

QUETIAPINE ACCORD 150 mg

KETILEPT 200 mg
SETININ 200 mg
HEDONIN 200 mg
KVENTIAX 200 mg
QUETROP 200 mg

QUETIAPINE ACCORD 200 mg


QUETIAPINA POLPHARMA 200 mg

HEDONIN 25 mg

QUETIAPINE ACCORD 25 mg

QUETIAPINA POLPHARMA 25 mg

KETILEPT 300 mg
SETININ 300 mg
KVENTIAX 300 mg
QUETROP 300 mg

QUETIAPINE ACCORD 300 mg


QUETIAPINA POLPHARMA 300 mg

SEROQUEL XR 200 mg
SEROQUEL XR 300 mg
SEROQUEL XR 400 mg
SEROQUEL XR 50 mg
EGLONYL (R) 50 mg
EGLONYL (R) 200 mg
AMISULPRIDA LPH 100 mg

forma farm.

concentratie

5mg
5mg
COMPR. ORODISPERSABILE 5mg
COMPR. ORODISPERSABILE 5mg
COMPR. ORODISPERSABILE 5mg
COMPR. ORODISPERSABILE 5mg
COMPR. ORODISPERSABILE 5mg
FILM ORODISPERSABIL 10mg
FILM ORODISPERSABIL 15mg
FILM ORODISPERSABIL 20mg
FILM ORODISPERSABIL 5mg
210mg
300mg
405mg
PULB. PT. SOL. INJ. 10mg
COMPR. ELIB. PREL. 150mg
COMPR. FILM. 100mg
COMPR. FILM. 100mg
COMPR. FILM. 100mg
COMPR. FILM. 100mg
COMPR. FILM. 100mg
COMPR. FILM. 100mg
COMPR. FILM. 100mg
COMPR. FILM. 100mg
COMPR. FILM. 150mg
COMPR. FILM. 150mg
COMPR. FILM. 200mg
COMPR. FILM. 200mg
COMPR. FILM. 200mg
COMPR. FILM. 200mg
COMPR. FILM. 200mg
COMPR. FILM. 200mg
COMPR. FILM. 200mg
COMPR. FILM. 25mg
COMPR. FILM. 25mg
COMPR. FILM. 25mg
COMPR. FILM. 300mg
COMPR. FILM. 300mg
COMPR. FILM. 300mg
COMPR. FILM. 300mg
COMPR. FILM. 300mg
COMPR. FILM. 300mg
COMPR. FILM. ELIB. PREL. 200mg
COMPR. FILM. ELIB. PREL. 300mg
COMPR. FILM. ELIB. PREL. 400mg
COMPR. FILM. ELIB. PREL. 50mg
CAPS.
50mg
COMPR.
200mg
COMPR.
100mg

DETINATOR APP

COMPR. ORODISPERSABILE

DR. REDDY'S LABORATORIES

COMPR. ORODISPERSABILE

PHARMASWISS MEDICINES S.R.L.

ACTAVIS GROUP PTC EHF.

TARA
DET. APP
ROMANIA
ROMANIA

ISLANDA

ROMANIA
ELI LILLY ROMANIA S.R.L. ROMANIA
TORRENT PHARMA S.R.L. ROMANIA
GLAXOSMITHKLINE S.R.L. ROMANIA
SANDOZ S.R.L.
ROMANIA
SANDOZ S.R.L.
ROMANIA
SANDOZ S.R.L.
ROMANIA
SANDOZ S.R.L.
ROMANIA
ROMASTRU TRADING S.R.L.

AMBALAJ
CUTIE CU BLIST. OPA-AL-PVC/AL X 35 COMPR. ORODISPERSABILE

P-RF

CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE

P-RF

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE

P-RF

CUTIE CU 4 BLIST. AL/AL X 7 COMPR. ORODISPERSABILE

PRF

CUTIE CU BLIST. AL X 28 COMPR. ORODIPSERSABILE

PRF

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE

P-RF

CUTIE CU BLIST. PA-AL-PVC/AL-PETF X 28 COMPR. ORODISPERSABILE

P-RF

CUTIE CU PLICULETE PET/AL/PE X 28 FILME ORODISPERSABILE

P-RF

CUTIE CU PLICULETE PET/AL/PE X 28 FILME ORODISPERSABILE

P-RF

CUTIE CU PLICULETE PET/AL/PE X 28 FILME ORODISPERSABILE

P-RF

CUTIE CU PLICULETE PET/AL/PE X 28 FILME ORODISPERSABILE

P-RF

ELI LILLY NEDERLAND BV

OLANDA
OLANDA
OLANDA
OLANDA

ASTRAZENECA UK LIMITED

MAREA BRITANIE

CUTIE CU 6 BLIST. PVC-PCTFE/AL X 10 COMPR. ELIB. PREL.

UNGARIA
ROMANIA

CUTIE CU BLIST. PVC-PE-ACLAR/AL X 60 COMPR. FILM.

PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL.

ELI LILLY NEDERLAND BV

PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL.

ELI LILLY NEDERLAND BV

PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL.

ELI LILLY NEDERLAND BV

EGIS PHARMACEUTICALS P.L.C.

TEVA PHARMACEUTICAL S.R.L.

ACTAVIS GROUP PTC EHF.


LANNACHER HEILMITTEL GES.M.B.H.

ISLANDA
AUSTRIA

Prescriptie

CUTIE X 1 FLAC X 210MG PULB. + 1 FLAC. X 3ML SOLVENT P-RF/R


CUTIE X 1 FLAC X 300MG PULB. + 1 FLAC. X 3ML SOLVENT P-RF/R
CUTIE X 1 FLAC X 405MG PULB. + 1 FLAC. X 3ML SOLVENT P-RF/R

CUTIE X 1 FLAC. X 10 MG PULB.PT.SOL.INJ. P-RF


P-RF

CUTIE X BLIST. PVC-PVDC/AL X 60 COMPR. FILM. P-RF


P-RF/S

CUTIE CU BLIST. PVC/AL X 60 COMPR. FILM. P-RF


CUTIE CU BLIST. PVC-PE-PVDC/AL X 60 COMPR. FILM. P-RF

KRKA D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC/AL X 60 COMPR. FILM. P-RF
REPUBLICA SLOVACA

CUTIE CU 6 BLIST. PVC/AL X 10 COMPR. FILM. P-RF

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

CUTIE CU BLIST. PVC/AL X 60 COMPR. FILM. PRF

GLENMARK PHARMACEUTICALS SRL

PHARMACEUTICAL WORKS POLPHARMA SA

ACTAVIS GROUP PTC EHF.

POLONIA CUTIE CU BLIST. PVC/AL X 60 COMPR. FILM.


ISLANDA CUTIE CU BLIST. PVC/AL X 60 COMPR. FILM.

ACCORD HEALTHCARE LIMITED MAREA BRITANIE


EGIS PHARMACEUTICALS P.L.C.

ACTAVIS GROUP PTC EHF.


LANNACHER HEILMITTEL GES.M.B.H.

UNGARIA

ISLANDA
AUSTRIA

P-RF
P-RF

CUTIE CU BLIST. PVC/AL X 60 COMPR. FILM. PRF


CUTIE X BLIST. PVC-PVDC/AL X 60 COMPR. FILM. P-RF

CUTIE CU BLIST. PVC/AL X 60 COMPR. FILM. P-RF


CUTIE CU BLIST. PVC-PE-PVDC/AL X 60 COMPR. FILM. P-RF

KRKA D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC/AL X 60 COMPR. FILM. P-RF
REPUBLICA SLOVACA

CUTIE CU 6 BLIST. PVC/AL X 10 COMPR. FILM. P-RF

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

CUTIE CU BLIST. PVC/AL X 60 COMPR. FILM. PRF

GLENMARK PHARMACEUTICALS SRL

PHARMACEUTICAL WORKS POLPHARMA SA

LANNACHER HEILMITTEL GES.M.B.H.

POLONIA CUTIE CU BLIST. PVC/AL X 60 COMPR. FILM.


AUSTRIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM.

ACCORD HEALTHCARE LIMITED MAREA BRITANIE


PHARMACEUTICAL WORKS POLPHARMA SA

EGIS PHARMACEUTICALS P.L.C.

ACTAVIS GROUP PTC EHF.

P-RF

CUTIE CU BLIST. PVC/AL X 60 COMPR. FILM. PRF

POLONIA CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM.


UNGARIA CUTIE X BLIST. PVC-PVDC/AL X 60 COMPR. FILM.

ISLANDA

P-RF

P-RF
P-RF

CUTIE CU BLIST. PVC/AL X 60 COMPR. FILM. P-RF

KRKA D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC/AL X 60 COMPR. FILM. P-RF
REPUBLICA SLOVACA

CUTIE CU 6 BLIST. PVC/AL X 10 COMPR. FILM. P-RF

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

CUTIE CU BLIST. PVC/AL X 60 COMPR. FILM. PRF

GLENMARK PHARMACEUTICALS SRL

PHARMACEUTICAL WORKS POLPHARMA SA

POLONIA CUTIE CU BLIST. PVC/AL X 60 COMPR. FILM.

P-RF

ASTRAZENECA UK LTD.

MAREA BRITANIE

CUTIE X 6 BLIST. OPACE AL/PVC-PCTFE X 10 COMPR. FILM. ELIB. PREL.

P-RF

ASTRAZENECA UK LTD.

MAREA BRITANIE

CUTIE X 6 BLIST. OPACE AL/PVC-PCTFE X 10 COMPR. FILM. ELIB. PREL.

P-RF

ASTRAZENECA UK LIMITED

MAREA BRITANIE

CUTIE X 6 BLIST. PVC-PCTFE/AL X 10 COMPR. CU ELIB. PREL.

P-RF

ASTRAZENECA UK LTD.

MAREA BRITANIE

CUTIE X 6 BLIST. OPACE DIN AL/PVC-PCTFE X 10 COMPR. FILM. ELIB. PREL.

P-RF

SANOFI-SYNTHELABO FRANCE
SANOFI-SYNTHELABO FRANCE

FRANTA CUTIE X 2 BLIST. X 15 CAPS.


FRANTA CUTIE X 1 BLIST. X 12 COMPR.

P-RF
P-RF

LABORMED PHARMA S.A. ROMANIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-RF

Pagina 24 din 42

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ambal
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
aj
(RON)
(RON)
ADULTI
a) si f)

35
28
28
28
28
28
28
28
28
28
28
1
1
1
1
60
60
60
60
60
60
60
60
60
60
60
60
60
60
60
60
60
60
30
60
30
60
60
60
60
60
60
60
60
60
60
30
12
30

90.49
2.585428
2.585428
2.585428
60.36
2.155714
2.155714
2.155714
63.57
2.270357
2.270357
2.270357
70.95
2.533928
2.533928
2.533928
71.80
2.564285
2.564285
2.564285
126.00
4.500000
2.586856
2.586856
158.29
5.653214
2.586856
2.586856
316.62 11.307857
4.912285
4.912285
7.355142
425.80 15.207142
7.355142
683.62 24.415000
9.807000
9.807000
158.29
5.653214
2.586856
2.586856
893.61 893.610000 893.610000 893.610000
1,379.83 1,379.830000 1,379.830000 1,379.830000
1,716.38 1,716.380000 1,716.380000 1,716.380000

19.95
444.50
73.82
66.38
79.30
99.41
69.71
84.46
83.49
87.35
105.47
105.47
114.86
105.47
125.95
98.66
108.59
128.64
185.81
28.60
43.97
14.19
183.06
131.47
123.81
156.27
159.59
294.10
444.50
576.10
743.17
232.04
10.77
10.52
56.56

19.950000
7.408333
1.230333
1.106333
1.321666
1.656833
1.161833
1.407666
1.391500
1.455833
1.757833
1.757833
1.914333
1.757833
2.099166
1.644333
1.809833
2.144000
3.096833
0.953333
0.732833
0.473000
3.051000
2.191166
2.063500
2.604500
2.659833
4.901666
7.408333
9.601666
12.386166
3.867333
0.359000
0.876666
1.885333

19.950000
7.408333
1.230333
1.106333
1.321666
1.327599
1.161833
1.327599
1.327599
1.327599
1.757833
1.757833
1.914333
1.757833
1.973199
1.644333
1.809833
1.973199
1.973199
0.567600
0.567600
0.473000
2.476200
2.191166
2.063500
2.476200
2.476200
2.476200
7.408333
9.601666
12.386166
3.867333
0.359000
0.876666
1.885333

19.950000
7.408333
1.230333
1.106333
1.321666
1.327599
1.161833
1.327599
1.327599
1.327599
1.757833
1.757833
1.914333
1.757833
1.973199
1.644333
1.809833
1.973199
1.973199
0.567600
0.567600
0.473000
2.476200
2.191166
2.063500
2.476200
2.476200
2.476200
7.408333
9.601666
12.386166
3.867333
0.359000
0.876666
1.885333

NR.CRT

COD ATC

203 N05AL05
204 N05AL05
205 N05AL05
206 N05AL05
207 N05AL05
208 N05AX08
209 N05AX08
210 N05AX08
211 N05AX08
212 N05AX08
213 N05AX08
214 N05AX08
215 N05AX08
216 N05AX08
217 N05AX08
218 N05AX08
219 N05AX08
220 N05AX08
221 N05AX08
222 N05AX08
223 N05AX08
224 N05AX08
225 N05AX08
226 N05AX08
227 N05AX08
228 N05AX08
229 N05AX08
230 N05AX08
231 N05AX08
232 N05AX08
233 N05AX08
234 N05AX08
235 N05AX08
236 N05AX08
237 N05AX08
238 N05AX08
239 N05AX08
240 N05AX08
241 N05AX08
242 N05AX08
243 N05AX08
244 N05AX08
245 N05AX08
246 N05AX08
247 N05AX08
248 N05AX08
249 N05AX08
250 N05AX08
251 N05AX08

DCI

AMISULPRIDUM**
AMISULPRIDUM**
AMISULPRIDUM**
AMISULPRIDUM**
AMISULPRIDUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**

Denumire Comerciala

AMISAN 200 mg
AMISULPRIDA LPH 200 mg
MIDORA 200 mg
SOLIAN 200 mg
SOLIAN 400 mg
RILEPTID 1 mg
RISPERIDONE TEVA 1 mg
RISPERIDONE TEVA 1 mg
RISPERIDONA 1 mg

RISPERIDONA ACCORD 1 mg

SPRING 1 mg
SPRING 1 mg

RISPERIDONA FARMAL 1 mg

RONYDAL 1 mg
RISPEN 1

RISPERIDONE TORRENT 1 mg

RISPEN 2
RILEPTID 2 mg
RISPERIDONE TEVA 2 mg
RISPERIDONE TEVA 2 mg
RISON 2 mg
RISPERIDONA 2 mg

RISPERIDONA ACCORD 2 mg

SPRING 2 mg
SPRING 2 mg

RISPERIDONA FARMAL 2 mg

RISPEMAR 2 mg
RONYDAL 2 mg

RISPERIDONE TORRENT 2 mg

TORENDO 3 mg
RISPERIDONE TEVA 3 mg
RISPERIDONE TEVA 3 mg
RISON 3 mg
RISPERIDONA 3 mg

RISPERIDONA ACCORD 3 mg

SPRING 3 mg
RISPEMAR 3 mg
RISPEMAR 3 mg
RONYDAL 3 mg
XENOMA 3 mg
RISPEN 3

RISPERIDONE TORRENT 3 mg

RISPEN 4
TORENDO 4 mg
RISPERIDONE TEVA 4 mg
RISPERIDONE TEVA 4 mg
RISON 4 mg
RISPERIDONA 4 mg
SPRING 4 mg

forma farm.

COMPR.
COMPR.
COMPR.
COMPR. DIVIZ.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

concentratie

200mg
200mg
200mg
200mg
400mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
2 mg
2mg
2mg
2mg
2mg
2mg
2mg
2mg
2mg
2mg
2mg
2mg
2mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
4 mg
4mg
4mg
4mg
4mg
4mg
4mg

DETINATOR APP

TARA
DET. APP

PRO. MED. CS PRAHA AS

REPUBLICA CEHA

AMBALAJ

CUTIE CU BLIST. PVC/AL X 30 COMPR.

Prescriptie

P-RF

LABORMED PHARMA S.A. ROMANIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-RF

TERAPIA S.A.

SANOFI-AVENTIS FRANCE
SANOFI-AVENTIS FRANCE

ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR.

P-RF

CUTIE X 3 BLIST. AL/PVC X 10 COMPR. DIVIZ.

P-RF

FRANTA
FRANTA

CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF

UNGARIA
TEVA PHARMACEUTICAL S.R.L. ROMANIA
TEVA PHARMACEUTICAL S.R.L. ROMANIA
ARENA GROUP S.A. ROMANIA

CUTIE X 2 BLIST. PVC-PE-PVDC/AL-PVDC X 10 COMPR. FILM. P-RF

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR.

EGIS PHARMACEUTICALS P.L.C.

ANTIBIOTICE S.A.
ANTIBIOTICE S.A.
FARMAL INTERNATIONAL S.R.L.

ROMASTRU TRADING SRL

ZENTIVA KS
TORRENT PHARMA S.R.L.

ZENTIVA KS
EGIS PHARMACEUTICALS P.L.C.
TEVA PHARMACEUTICALS S.R.L.
TEVA PHARMACEUTICALS S.R.L.

CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF


CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF
CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF
P-RF

ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE CU 6 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF

ROMANIA

CUTIE X 2 BLIST. PVC-PEJD-PVDC/AL X 10 COMPR. FILM.

CEHIA
CEHIA

UNGARIA
ROMANIA
ROMANIA

ACTAVIS GROUP HF. ISLANDA


ARENA GROUP S.A. ROMANIA

CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF


CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF
CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF

CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF

CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF


CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF
CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF
CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF
CUTIE X 2 BLIST. PVC-PE-PVDC/AL-PVDC X 10 COMPR. FILM. P-RF

ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

ANTIBIOTICE S.A.
ANTIBIOTICE S.A.

ROMANIA
ROMANIA
FARMAL INTERNATIONAL S.R.L. ROMANIA
ICN POLFA RZESZOW POLONIA
ROMASTRU TRADING SRL ROMANIA
TORRENT PHARMA S.R.L. ROMANIA

P-RF

CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF

P-RF

CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF


CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF
CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF
CUTIE CU BLIST. PVC-PE-PVDC/AL X 60 COMPR. FILM. P-RF
CUTIE CU 6 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF
CUTIE X 2 BLIST. PVC-PEJD-PVDC/AL X 10 COMPR. FILM.

P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF
TEVA PHARMACEUTICALS S.R.L.
TEVA PHARMACEUTICALS S.R.L.

ROMANIA
ROMANIA

ACTAVIS GROUP HF. ISLANDA


ARENA GROUP S.A. ROMANIA

CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF


CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF
CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF
CUTIE X 2 BLIST. PVC-PE-PVDC/AL-PVDC X 10 COMPR. FILM. P-RF

ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

ANTIBIOTICE S.A.
ROMANIA
ICN POLFA RZESZOW POLONIA
ICN POLFA RZESZOW POLONIA
ROMASTRU TRADING SRL ROMANIA
DR. REDDY'S LABORATORIES ROMANIA
ZENTIVA KS

TORRENT PHARMA S.R.L.

ZENTIVA KS

CEHIA

ROMANIA

CEHIA

P-RF

CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF


CUTIE CU BLIST. PVC-PE-PVDC/AL X 20 COMPR. FILM. P-RF
CUTIE CU BLIST. PVC-PE-PVDC/AL X 60 COMPR. FILM. P-RF
CUTIE CU 6 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF

CUTIE X 6 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF

CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF


CUTIE X 2 BLIST. PVC-PEJD-PVDC/AL X 10 COMPR. FILM.

P-RF

CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF
TEVA PHARMACEUTICALS S.R.L.
TEVA PHARMACEUTICALS S.R.L.

ROMANIA
ROMANIA

ACTAVIS GROUP HF. ISLANDA


ARENA GROUP S.A. ROMANIA
ANTIBIOTICE S.A.
ROMANIA

Pagina 25 din 42

CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF


CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF
CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF
CUTIE X 2 BLIST. PVC-PE-PVDC/AL-PVDC X 10 COMPR. FILM. P-RF

CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ambal
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
aj
(RON)
(RON)
ADULTI
a) si f)

30
30
30
30
30
60
20
60
20
60
20
30
50
60
50
20
50
60
20
60
20
20
60
20
30
50
60
60
20
30
20
60
20
20
60
30
20
60
60
60
50
20
50
30
60
20
20
20
20

85.93
85.93
85.59
127.65
128.44
51.35
8.34
24.62
8.78
23.54
10.31
15.45
23.94
24.02
23.64
6.96
45.73
101.34
16.07
46.70
17.15
17.49
44.78
21.73
32.56
44.47
52.65
53.40
16.21
34.62
27.18
75.48
27.44
29.61
69.74
51.62
26.78
75.28
82.53
74.79
66.32
27.50
86.87
47.61
100.81
35.38
37.41
36.59
46.97

2.864333
2.864333
2.853000
4.255000
4.281333
0.855833
0.417000
0.410333
0.439000
0.392333
0.515500
0.515000
0.478800
0.400333
0.472800
0.348000
0.914600
1.689000
0.803500
0.778333
0.857500
0.874500
0.746333
1.086500
1.085333
0.889400
0.877500
0.890000
0.810500
1.154000
1.359000
1.258000
1.372000
1.480500
1.162333
1.720666
1.339000
1.254666
1.375500
1.246500
1.326400
1.375000
1.737400
1.587000
1.680166
1.769000
1.870500
1.829500
2.348500

2.864333
2.864333
2.853000
3.423600
4.281333
0.417600
0.417000
0.410333
0.417600
0.392333
0.417600
0.417600
0.417600
0.400333
0.417600
0.348000
0.895599
0.895599
0.803500
0.778333
0.857500
0.874500
0.746333
0.895599
0.895599
0.889400
0.877500
0.890000
0.810500
1.154000
1.359000
1.258000
1.372000
1.384800
1.162333
1.384800
1.339000
1.254666
1.375500
1.246500
1.326400
1.375000
1.737400
1.587000
1.680166
1.769000
1.870500
1.829500
1.904400

2.864333
2.864333
2.853000
3.423600
4.281333
0.417600
0.417000
0.410333
0.417600
0.392333
0.417600
0.417600
0.417600
0.400333
0.417600
0.348000
0.895599
0.895599
0.803500
0.778333
0.857500
0.874500
0.746333
0.895599
0.895599
0.889400
0.877500
0.890000
0.810500
1.154000
1.359000
1.258000
1.372000
1.384800
1.162333
1.384800
1.339000
1.254666
1.375500
1.246500
1.326400
1.375000
1.737400
1.587000
1.680166
1.769000
1.870500
1.829500
1.904400

NR.CRT

COD ATC

252 N05AX08
253 N05AX08
254 N05AX08
255 N05AX08
256 N05AX08
257 N05AX08
258 N05AX08
259 N05AX08
260 N05AX08
261 N05AX08
262 N05AX08
263 N05AX08
264 N05AX08
265 N05AX08
266 N05AX08
267 N05AX08
268 N05AX08
269 N05AX08
270 N05AX08
271 N05AX12
272 N05AX12
273 N05AX12
274 N06AB04
275 N06AB04
276 N06AB04
277 N06AB04
278 N06AB04
279 N06AB04
280 N06AB04
281 N06AB04
282 N06AB04
283 N06AB10
284 N06AX05
285 N06AX05
286 N06AX05
287 N06AX14
288 N06AX14
289 N06AX14
290 N06AX16
291 N06AX16
292 N06AX16
293 N06AX16
294 N06AX16
295 N06AX16
296 N06AX16
297 N06AX16
298 N06AX16
299 N06AX16
300 N06AX16

DCI

RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
ARIPIPRAZOLUM**
ARIPIPRAZOLUM**
ARIPIPRAZOLUM**
CITALOPRAMUM**
CITALOPRAMUM**
CITALOPRAMUM**
CITALOPRAMUM**
CITALOPRAMUM**
CITALOPRAMUM**
CITALOPRAMUM**
CITALOPRAMUM**
CITALOPRAMUM**
ESCITALOPRAMUM**
TRAZODONUM**
TRAZODONUM**
TRAZODONUM**
TIANEPTINUM**
TIANEPTINUM**
TIANEPTINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**

Denumire Comerciala

SPRING 4 mg
SPRING 4 mg

forma farm.

COMPR. FILM.
COMPR. FILM.
RISPERIDONA FARMAL 4 mg COMPR. FILM.
RISPEMAR 4 mg
COMPR. FILM.
RONYDAL 4 mg
COMPR. FILM.
RISPERIDONE TORRENT 4 mg COMPR. FILM.
TORENDO Q-TAB 1 mg
COMPR. ORODISPERSABILE
ESSENS OD 1 mg
COMPR. ORODISPERSABILE
TORENDO Q-TAB 2 mg
COMPR. ORODISPERSABILE
ESSENS OD 2 mg
COMPR. ORODISPERSABILE
ESSENS OD 3 mg
COMPR. ORODISPERSABILE
RISPOLEPT CONSTA (R) 25 mg

RISPOLEPT CONSTA 25 mg

RISPOLEPT CONSTA (R) 37,5 mg

RISPOLEPT CONSTA 37,5 mg


RISPOLEPT CONSTA (R) 50 mg

RISPOLEPT CONSTA 50 mg
RISPOLEPT
RISPOLEPT
ABILIFY 10mg
ABILIFY 15mg
ABILIFY 7,5mg/ml
CITALORAN 10 mg
LINISAN 10 mg
DALSAN 10 mg
CITALORAN 20mg
LINISAN 20 mg
DALSAN 20 mg
CITALORAN 40 mg
LINISAN 40 mg
DALSAN 40 mg
CIPRALEX 10 mg
TRITTICO AC 150 mg
TRITTICO AC 75 mg
TRITTICO AC 75 mg
LYXIT 12,5 mg
LYXIT 12,5 mg
COAXIL (R)
IVRYX 150mg
EFECTIN EP 150 mg
EFECTIN ER 150 mg
VELAXIN 150 mg
ALVENTA 150mg
FOBILESS 150 mg
NOPEKAR 150 mg
ADOXA EP 150 mg
ELIFY EP 150 mg
VENLAGAMMA 150 mg
JARVIS 150 mg

PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL.


PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL.
PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL.
PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL.
PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL.
PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL.

SOL. ORALA
SOL. ORALA
COMPR.
COMPR.
SOL. INJ.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.

COMPR. FILM.
COMPR. FILM.
DRAJ.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.

concentratie

4mg
4mg
4mg
4mg
4mg
4mg
1mg
1mg
2mg
2mg
3mg
25mg
25mg
37,5mg
37,5mg
50mg
50mg
1mg/ml
1mg/ml
10mg
15mg
7,5mg/ml
10mg
10mg
10mg
20mg
20mg
20mg
40mg
40mg
40mg
10mg
150mg
75mg
75mg
12,5 mg
12,5 mg
12,5mg
150 mg
150 mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg

DETINATOR APP

ANTIBIOTICE S.A.
ANTIBIOTICE S.A.

FARMAL INTERNATIONAL S.R.L.

TARA
DET. APP
ROMANIA
ROMANIA
ROMANIA

ICN POLFA RZESZOW POLONIA


ROMASTRU TRADING SRL ROMANIA
TORRENT PHARMA S.R.L. ROMANIA
KRKA D.D. NOVO MESTO SLOVENIA
TERAPIA SA
ROMANIA
KRKA D.D. NOVO MESTO SLOVENIA
TERAPIA SA
ROMANIA
TERAPIA SA
ROMANIA

AMBALAJ

Prescriptie

CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF


CUTIE X 6 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF
CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF
CUTIE CU BLIST. PVC-PE-PVDC/AL X 60 COMPR. FILM. P-RF
CUTIE CU 6 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF
CUTIE X 2 BLIST. PVC-PEJD-PVDC/AL X 10 COMPR. FILM.

P-RF

CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. ORODISPERSABILE

P-RF

CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. ORODISPERSABILE

P-RF

CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. ORODISPERSABILE

P-RF

CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. ORODISPERSABILE

P-RF

CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. ORODISPERSABILE

P-RF

JANSSEN PHARMACEUTICA N.V.

BELGIA
BELGIA
BELGIA
BELGIA
BELGIA
BELGIA
BELGIA
BELGIA

CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SOL. ORALA + 1 PIPETA

P-RF

OTSUKA PHARMACEUTICAL EUROPE LTD.

MAREA BRITANIE

CUTIE X 1BLIST. AL/AL PERFORAT UNIDOZA X 28 (X1) COMPR.

P-RF

OTSUKA PHARMACEUTICAL EUROPE LTD.

MAREA BRITANIE

CUTIE X 1BLIST. AL/AL PERFORAT UNIDOZA X 28 (X1) COMPR.

P-RF

OTSUKA PHARMACEUTICAL EUROPE LTD.

MAREA BRITANIE

CUTIE X 1FLAC. X 1,3ML SOL.INJ

P-RF

RANBAXY UK LIMITED

MAREA BRITANIE

CUTIE X 2 BLIST. PVDC-PVC/AL X 14 COMPR. FILM. P-RF

JANSSEN PHARMACEUTICA N.V.


JANSSEN PHARMACEUTICA N.V.
JANSSEN PHARMACEUTICA N.V.
JANSSEN PHARMACEUTICA N.V.
JANSSEN PHARMACEUTICA N.V.
JANSSEN PHARMACEUTICA N.V.
JANSSEN PHARMACEUTICA N.V.

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SUSP. INJ. CU ELIB. PREL. + 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 2 ML SOLV.+2 ACE STERILE PT. RECONSTITUIRE+ 1 AC PT.INJECTARE INTRAMUSCULARA

CUT IE CU UN FLAC.DIN ST ICLA INCOLORA CU PULB. PENT RU SUSP. INJ. CU ELIB. PREL., O SERINGA PRE-UMPLUT A DIN ST ICLA INCOLORA CU 2 ML SOLVENT , UN DISPOZIT IV ALARIS SMART SIT E +2 ACE PENT RU INJECT ARE I.M. N MUSCHIUL DELT OID SI IN MUSCHIUL GLUT EAL

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SUSP. INJ. CU ELIB. PREL. + 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 2 ML SOLV.+2 ACE STERILE PT. RECONSTITUIRE+ 1 AC PT.INJECTARE INTRAMUSCULARA

CUT IE CU UN FLAC.DIN ST ICLA INCOLORA CU PULB. PENT RU SUSP. INJ. CU ELIB. PREL., O SERINGA PRE-UMPLUT A DIN ST ICLA INCOLORA CU 2 ML SOLVENT , UN DISPOZIT IV ALARIS SMART SIT E +2 ACE PENT RU INJECT ARE I.M. N MUSCHIUL DELT OID SI IN MUSCHIUL GLUT EAL

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SUSP. INJ. CU ELIB. PREL. + 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 2 ML SOLV.+2 ACE STERILE PT. RECONSTITUIRE+ 1 AC PT.INJECTARE INTRAMUSCULARA

CUT IE CU UN FLAC.DIN ST ICLA INCOLORA CU PULB. PENT RU SUSP. INJ. CU ELIB. PREL., O SERINGA PRE-UMPLUT A DIN ST ICLA INCOLORA CU 2 ML SOLVENT , UN DISPOZIT IV ALARIS SMART SIT E +2 ACE PENT RU INJECT ARE I.M. N MUSCHIUL DELT OID SI IN MUSCHIUL GLUT EAL

RANBAXY UK LIMITED

MAREA BRITANIE

ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.


UNGARIA CUTIE X 2 BLIST. AL-PVC/PVDC X 14 COMPR. FILM.

RANBAXY UK LIMITED

MAREA BRITANIE

EGIS PHARMACEUTICALS P.L.C.

H. LUNDBECK A/S

P-RF
P-RF
P-RF
P-RF

CUTIE X 2 BLIST. PVDC-PVC/AL X 14 COMPR. FILM. P-RF

ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.


UNGARIA CUTIE X 2 BLIST. AL-PVC/PVDC X 14 COMPR. FILM.

P-RF
P-RF

CUTIE X 2 BLIST. TRANSPARENTE PVC-PE-PVDC/AL X 14 COMPR. FILM.

P-RF

CUTIE X 1 BLIST. AL/PVC X 20 COMPR. ELIB. PREL.

P-RF

CUTIE X 2 BLIST. AL/PVC X 15 COMPR. ELIB. PREL.

P-RF

CUTIE X 1 BLIST. AL/PVC X 30 COMPR. ELIB. PREL.

P-RF

ARENA GROUP S.A. ROMANIA CUTIE CU BLIST. DIN PVC-PVDC/AL X 30 COMPR. FILM.
ARENA GROUP S.A. ROMANIA CUTIE CU BLIST. DIN PVC-PVDC/AL X 90 COMPR. FILM.
LES LAB. SERVIER IND. FRANTA CUTIE X 1 BLIST. AL/PVC X 30 DRAJ.

PRF
P-RF

ROMASTRU TRADING S.R.L.

ROMANIA

CUTIE X 2 BLIST. PCV-ACLAR/AL X 14 CAPS. CU ELIB. PREL.

P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE CU BLIST. DIN ACLAR-PE-PVC/AL X 28 CAPS. ELIB. PREL.

AUSTRIA

PRF

WYETH LEDERLE PHARMA GMBH

CUTIE X 1 BLIST. ACLAR/PE/PVC/AL X 28 CAPS. ELIB. PREL.

P-RF

ANGELINI FRANCESCO SPA


ANGELINI FRANCESCO SPA
ANGELINI FRANCESCO SPA

EGIS PHARMACEUTICALS P.L.C.

DANEMARCA

S/P-RF

CUTIE X 2 BLIST. PVDC-PVC/AL X 14 COMPR. FILM. P-RF

EGIS PHARMACEUTICALS P.L.C.

GEDEON RICHTER ROMANIA SA

S/P-RF
S/P-RF

P-RF

ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.


UNGARIA CUTIE X 2 BLIST. AL-PVC/PVDC X 14 COMPR. FILM.

GEDEON RICHTER ROMANIA SA

S/P-RF
S/P-RF

CUTIE X 1 FLACON DIN STICLA BRUNA X 30 ML SOL. ORALA + 1 PIPETA

EGIS PHARMACEUTICALS P.L.C.

GEDEON RICHTER ROMANIA SA

S/P-RF

ITALIA
ITALIA
ITALIA

UNGARIA

PRF

CUTIE X 2 BLIST. PVC-PVDC/AL X 14 CAPS. CU ELIB. PREL. P-RF

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE CU BLIST. PVC-PVDC/AL X 30 CAPS. ELIB. PREL.

P-RF

LANNACHER HEILMITTEL GES.M.B.H.

CUTIE X BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL.

P-RF

OZONE LABORATORIES BV

AUSTRIA
OLANDA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. ELIB. PREL. P-RF

RANBAXY (UK) LIMITED

MAREA BRITANIE

CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL.


CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL.

P-RF

WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU BLIST. PVC- PCTF/AL X 100 CAPS. CU ELIB. PREL.

P-RF/S

GEDEON RICHTER ROMANIA SA

ROMANIA

CUTIE X 3 BLIST. PVC/AL X 10 CAPS. CU ELIB. PREL.

P-RF

MEDOCHEMIE LTD. CIPRU

Pagina 26 din 42

P-RF

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ambal
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
aj
(RON)
(RON)
ADULTI
a) si f)

30
60
50
60
60
20
30
30
30
30
30
1
1
1
1
1
1
1
1
28
28
1
28
30
28
28
30
28
28
30
28
28
20
30
30
30
90
30
28
28
28
28
30
30
28
30
30
100
30

68.05
128.35
93.52
100.62
110.91
33.34
12.34
12.56
26.86
26.86
41.56
424.25
424.25
597.43
597.43
719.03
719.03
52.14
156.63
483.22
483.22
21.00
7.40
7.12
7.40
10.72
39.54
10.72
33.59
32.37
33.59
90.38
24.95
18.71
18.71
22.65
63.54
33.74
91.54
58.69
58.69
91.54
75.31
98.02
91.54
90.38
98.08
304.19
98.08

2.268333
2.139166
1.870400
1.677000
1.848500
1.667000
0.411333
0.418666
0.895333
0.895333
1.385333
424.250000
424.250000
597.430000
597.430000
719.030000
719.030000
52.140000
156.630000
17.257857
17.257857
21.000000
0.264285
0.237333
0.264285
0.382857
1.318000
0.382857
1.199642
1.079000
1.199642
3.227857
1.247500
0.623666
0.623666
0.755000
0.706000
1.124666
3.269285
2.096071
2.096071
3.269285
2.510333
3.267333
3.269285
3.012666
3.269333
3.041900
3.269333

1.904400
1.904400
1.870400
1.677000
1.848500
1.667000
0.411333
0.417600
0.895333
0.895333
1.384800
424.250000
424.250000
597.430000
597.430000
719.030000
719.030000
52.140000
156.630000
17.257857
17.257857
21.000000
0.264285
0.237333
0.264285
0.382857
0.459428
0.382857
1.199642
1.079000
1.199642
3.227857
1.247500
0.623666
0.623666
0.755000
0.706000
0.847200
2.515285
2.096071
2.096071
2.515285
2.510333
2.515285
2.515285
2.515285
2.515285
2.515285
2.515285

1.904400
1.904400
1.870400
1.677000
1.848500
1.667000
0.411333
0.417600
0.895333
0.895333
1.384800
424.250000
424.250000
597.430000
597.430000
719.030000
719.030000
52.140000
156.630000
17.257857
17.257857
21.000000
0.264285
0.237333
0.264285
0.382857
0.459428
0.382857
1.199642
1.079000
1.199642
3.227857
1.247500
0.623666
0.623666
0.755000
0.706000
0.847200
2.515285
2.096071
2.096071
2.515285
2.510333
2.515285
2.515285
2.515285
2.515285
2.515285
2.515285

NR.CRT

COD ATC

301 N06AX16
302 N06AX16
303 N06AX16
304 N06AX16
305 N06AX16
306 N06AX16
307 N06AX16
308 N06AX16
309 N06AX16
310 N06AX16
311 N06AX16
312 N06AX16
313 N06AX16
314 N06AX16
315 N06AX16
316 N06AX16
317 N06AX16
318 N06AX16
319 N06AX16
320 N06AX16
321 N06AX16
322 N06AX16
323 N06AX16
324 N06AX16
325 N06AX16
326 N06AX16
327 N06AX16
328 N06AX16
329 N06AX16
330 N06AX16
331 N06AX16
332 N06AX16
333 N06AX16
334 N06AX16
335 N06AX16
336 N06AX16
337 N06AX16
338 N06AX17
339 N06AX17
340 N06AX21
341 N06AX21

DCI

VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
MILNACIPRANUM**
MILNACIPRANUM**
DULOXETINUM**
DULOXETINUM**

Denumire Comerciala

VENLAFAXINA ACTAVIS 150 mg


VENLAFAXINA ARENA EP 150 mg

NOPEKAR 150 mg
FOBILESS 37,5 mg
NOPEKAR 37,5 mg
VENLAGAMMA 37,5 mg

VENLAFAXINA ARENA EP 37,5 mg

NOPEKAR 37,5 mg
IVRYX 75mg
EFECTIN EP 75 mg
EFECTIN ER 75 mg
VELAXIN 75 mg
ALVENTA 75 mg
FOBILESS 75 mg
NOPEKAR 75 mg
ADOXA EP 75 mg
ELIFY EP 75 mg
VENLAGAMMA 75 mg
JARVIS 75 mg

VENLAFAXINA ACTAVIS 75 mg
VENLAFAXINA ARENA EP 75 mg

forma farm.
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.
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.

NOPEKAR 75 mg
VENLAFAXINA LPH 37,5 mg COMPR.
VELAXIN 37,5 mg
COMPR.
ADOXA 37,5 mg
COMPR.
VENLAFAXINA ARENA 37,5 mg COMPR.
ADOXA 50 mg
COMPR.
VENLAFAXINA ARENA 50 mg COMPR.
VENLAFAXINA LPH 75 mg
COMPR.
VELAXIN 75 mg
COMPR.
ADOXA 75 mg
COMPR.
ADOXA 75 mg
COMPR.
VENLAFAXINA ARENA 75 mg COMPR.
ARGOFAN 150 SR
COMPR. ELIB. PREL.
ARGOFAN 75 SR
COMPR. ELIB. PREL.
VENLAFAXINA ACTAVIS 37,5 mg COMPR. FILM.
VENLAFAXINA ACTAVIS 75 mg COMPR. FILM.
IXEL
CAPS.
IXEL
CAPS.
CYMBALTA 30mg
CAPS. GASTROREZ.
CYMBALTA 60mg
CAPS. GASTROREZ.

concentratie

150mg
150mg
150mg
37,5mg
37,5mg
37,5mg
37,5mg
37,5mg
75 mg
75 mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
37,5mg
37,5mg
37,5mg
37,5mg
50mg
50mg
75mg
75mg
75mg
75mg
75mg
150mg
75mg
37,5 mg
75mg
25mg
50mg
30mg
60mg

DETINATOR APP

TARA
DET. APP

ISLANDA
ARENA GROUP S.A. ROMANIA

ACTAVIS GROUP PTC EHF.

LABORMED PHARMA S.A. ROMANIA

AMBALAJ

Prescriptie

CUTIE X 28 CAPS. GASTROREZ.( BLIST. PVC/PE/PCTFE/AL)

P-RF

CUTIE X 28 CAPS. GASTROREZ.( BLIST. PVC/PE/PCTFE/AL)

P-RF

28
30
28
30
28
100
30
28
28
28
28
28
30
30
28
30
30
100
30
28
30
28
60
56
30
30
30
30
60
56
30
30
30
30
30
56
56
56
56
28
28

CUTIE CU BLIST. DIN OPA-AL-PVC/AL CU 28 COMPR. FILM.

P-RF

28

CUTIE CU BLIST. PVC/AL X 28 CAPS. CU ELIB. PREL.

P-RF

CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 CAPS. CU ELIB. PREL.

P-RF

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. ELIB. PREL. P-RF

OZONE LABORATORIES BV

AUSTRIA
OLANDA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. CU ELIB. PREL.

P-RF

WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU BLIST. PVC- PCTF/AL X 100 CAPS. CU ELIB. PREL.

P-RF/S

LANNACHER HEILMITTEL GES.M.B.H.

ARENA GROUP S.A. ROMANIA

CUTIE X BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL.

P-RF

CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 CAPS. CU ELIB. PREL.

P-RF

LABORMED PHARMA S.A. ROMANIA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. CU ELIB. PREL.

P-RF

ROMASTRU TRADING S.R.L.

ROMANIA

CUTIE X 2 BLIST. PCV-ACLAR/AL X 14 CAPS. CU ELIB. PREL.

P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE CU BLIST. DIN ACLAR-PE-PVC/AL X 28 CAPS. ELIB. PREL.

AUSTRIA

PRF

WYETH LEDERLE PHARMA GMBH

CUTIE X 1 BLIST. ACLAR/PE/PVC/AL X 28 CAPS. ELIB. PREL.

P-RF

UNGARIA

CUTIE X 2 BLIST. PVC-PVDC/AL X 14 CAPS. CU ELIB. PREL

P-RF

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE CU BLIST. PVC-PVDC/AL X 30 CAPS. ELIB. PREL.

P-RF

LANNACHER HEILMITTEL GES.M.B.H.

CUTIE X BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL.

P-RF

EGIS PHARMACEUTICALS P.L.C.

OZONE LABORATORIES BV

AUSTRIA
OLANDA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. ELIB. PREL. P-RF

RANBAXY (UK) LIMITED

MAREA BRITANIE

CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL.

MEDOCHEMIE LTD. CIPRU

P-RF

CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL.

P-RF

WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU BLIST. PVC- PCTF/AL X 100 CAPS. CU ELIB. PREL.

P-RF/S

GEDEON RICHTER ROMANIA SA

ROMANIA

CUTIE X 3 BLIST. PVC/AL X 10 CAPS. CU ELIB. PREL.

P-RF

CUTIE CU BLIST. PVC/AL X 28 CAPS. CU ELIB. PREL.

P-RF

CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 CAPS. CU ELIB. PREL.

P-RF

ACTAVIS GROUP PTC EHF.

ISLANDA

ARENA GROUP S.A. ROMANIA

LABORMED PHARMA S.A. ROMANIA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. ELIB. PREL. P-RF

LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 20 COMPR. P-RF

UNGARIA CUTIE X 4 BLIST. PVC-PVDC/AL X 14 COMPR.


ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR.
ROMANIA CUTIE X 3 BLIST. PVC-PE- PVDC/AL X 10 COMPR.
ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR.
ROMANIA CUTIE X 3 BLIST. PVC-PE- PVDC/AL X 10 COMPR.
LABORMED PHARMA SA ROMANIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR.
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. PVC-PVDC/AL X 14 COMPR.
TERAPIA SA
ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR.
TERAPIA SA
ROMANIA CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR.
ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE- PVDC/AL X 10 COMPR.
EGIS PHARMACEUTICALS P.L.C.

TERAPIA SA
ARENA GROUP S.A.
TERAPIA SA
ARENA GROUP S.A.

ZENTIVA A.S.
ZENTIVA A.S.
ACTAVIS S.R.L.
ACTAVIS S.R.L.

PIERRE FABRE MEDICAMENT PRODUCTION


PIERRE FABRE MEDICAMENT PRODUCTION

ELI LILLY NEDERLAND BV


ELI LILLY NEDERLAND BV

SLOVACIA
SLOVACIA

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. ELIB. PREL.

P-RF

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. ELIB. PREL.

P-RF

ROMANIA CUTIE X 4 BLIST. AL/PVC X 14 COMPR. FILM.


ROMANIA CUTIE X 4 BLIST. AL/PVC X 14 COMPR. FILM.
FRANTA CUTIE X 4 BLIST. AL/PVC X 14 CAPS.
FRANTA CUTIE X 4 BLIST. AL/PVC X 14 CAPS.

OLANDA
OLANDA

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ambal
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
aj
(RON)
(RON)
ADULTI
a) si f)

P-RF
P-RF
P-RF
P-RF

75.38
85.18
91.54
35.58
46.57
65.80
32.88
46.57
47.52
35.58
35.58
47.52
32.91
50.89
47.52
39.50
50.94
111.93
50.94
31.74
47.73
47.52
62.25
58.14
32.20
32.20
38.50
38.50
77.52
72.46
40.87
40.87
40.87
90.38
39.48
38.11
61.43
71.52
117.26
105.39
178.89

2.692142
2.839333
3.269285
1.186000
1.663214
0.658000
1.096000
1.663214
1.697142
1.270714
1.270714
1.697142
1.097000
1.696333
1.697142
1.316666
1.698000
1.119300
1.698000
1.133571
1.591000
1.697142
1.037500
1.038214
1.073333
1.073333
1.283333
1.283333
1.292000
1.293928
1.362333
1.362333
1.362333
3.012666
1.316000
0.680535
1.096964
1.277142
2.093928
3.763928
6.388928

2.515285
2.515285
2.515285
0.789600
0.789600
0.658000
0.789600
0.789600
1.316356
1.270714
1.270714
1.316356
1.097000
1.316356
1.316356
1.316356
1.316356
1.119300
1.316356
1.133571
1.316356
1.316356
0.789600
0.789600
0.789600
0.789600
1.283333
1.283333
1.292000
1.293928
1.316356
1.316356
1.316356
2.515285
1.316000
0.680535
1.096964
1.277142
2.093928
3.763928
6.388928

2.515285
2.515285
2.515285
0.789600
0.789600
0.658000
0.789600
0.789600
1.316356
1.270714
1.270714
1.316356
1.097000
1.316356
1.316356
1.316356
1.316356
1.119300
1.316356
1.133571
1.316356
1.316356
0.789600
0.789600
0.789600
0.789600
1.283333
1.283333
1.292000
1.293928
1.316356
1.316356
1.316356
2.515285
1.316000
0.680535
1.096964
1.277142
2.093928
3.763928
6.388928

90.63

3.236785

3.236785

3.236785

Tratamentul se initiaza de catre medicul in specialitatea psihiatrie

14. DEMENTE(DEGENERATIVE, VASCULARE, MIXTE) - G 16


1

N06DA02

DONEPEZILUM***

YASNAL 10 mg

COMPR. FILM.

10mg

KRKA D.D. NOVO MESTO SLOVENIA

Pagina 27 din 42

NR.CRT

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

COD ATC

N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02

DCI

DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***

Denumire Comerciala

ZILDON 10mg
DAVIA 10 mg
DAVIA 10 mg
TUADIN 10 mg
PRIDIA 10 mg
ALZEPIL 10 mg
ALZEPIL 10 mg
ALZEPIL 10 mg
ALZEPIL 10 mg
DONECEPT 10 MG
COGITON 10 mg
COGNEZIL 10 mg
DONEPEZIL TEVA 10 mg
DONEPEZIL ACCORD 10 mg
DOSPELIN 10 mg

DONEPEZIL BLUEFISH 10 mg
DONEPEZIL TORRENT 10 mg
DONEPEZIL TORRENT 10 mg

XALINAT 10 mg
YASNAL 5 mg
ZILDON 5 mg
DAVIA 5 mg
DAVIA 5 mg
TUADIN 5 mg
PRIDIA 5 mg
ALZEPIL 5 mg
ALZEPIL 5 mg
ALZEPIL 5 mg
DONECEPT 5 MG
COGITON 5 mg
COGNEZIL 5 mg
DONEPEZIL TEVA 5 mg
DOSPELIN 5 mg
DONEPEZIL ACCORD 5 mg
DONEPEZIL BLUEFISH 5 mg
DONEPEZIL TORRENT 5 mg
DONEPEZIL TORRENT 5 mg
XALINAT 5 mg
YASNAL 10 mg
ARICEPT EVESS
DONEPEZIL TEVA 10 mg
COGNEZIL 10 mg
DONECTIL 10 mg
DARIZOL 10 mg
YASNAL 5 mg
ARICEPT EVESS
DONEPEZIL TEVA 5 mg
COGNEZIL 5 mg
DONECTIL 5 mg

forma farm.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE

concentratie

10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
10 mg
10mg
10mg
10mg
10mg
10mg
5 mg
5mg
5mg
5mg
5mg

TARA
DET. APP
AMBALAJ
SANDOZ S.R.L.
ROMANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM.
TERAPIA SA
ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.
TERAPIA SA
ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. FILM.
ANTIBIOTICE S.A.
ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM.
LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.
DETINATOR APP

EGIS PHARMACEUTICALS P.L.C.


EGIS PHARMACEUTICALS P.L.C.
EGIS PHARMACEUTICALS P.L.C.
EGIS PHARMACEUTICALS P.L.C.

ACTAVIS GROUP PTC EHF.

BMF PHARM S.R.L.

UNGARIA
UNGARIA
UNGARIA
UNGARIA

Prescriptie

P-RF
P-RF
P-RF
P-RF
P-RF

CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM.

P-RF

CUTIE CU BLIST. PVC-PVDC/AL X 56 COMPR. FILM.

P-RF

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-RF


CUTIE CU BLIST. OPA-AL-PVC/AL X 56 COMPR. FILM. P-RF

ISLANDA CUTIE X BLIST. PVC/AL X 28 COMPR. FILM.

ROMANIA CUTIE X 4 BLIST. PVC/AL X 7 COMPR. FILM.

P-RF
P-RF

GLENMARK PHARMACEUTICALS SRL

REPUBLICA CEHA

CUTIE X 4 BLIST. AL/PVC X 7 COMPR. FILM. P-RF

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-RF

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. P-RF

MEDOCHEMIE LTD. CIPRU


BLUEFISH PHARMACEUTICALS AB SUEDIA

CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. P-RF


CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. P-RF

ROMANIA CUTIE CU 1 FLAC. PEID X 28 COMPR. FILM. PRF


TORRENT PHARMA S.R.L. ROMANIA CUTIE CU 1 FLAC. PEID X 30 COMPR. FILM. PRF
TORRENT PHARMA S.R.L.

GALENICA S.A.

GRECIA

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 14 COMPR. FILM. P-RF


CUTIE CU BLIST. DIN OPA-AL-PVC/AL CU 28 COMPR. FILM.

SANDOZ S.R.L.
TERAPIA SA
TERAPIA SA
ANTIBIOTICE S.A.

ROMANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM.


ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.
ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. FILM.
ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM.
LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM.
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. OPA-AL-PVC/AL X 56 COMPR. FILM.
ACTAVIS GROUP PTC EHF.

BMF PHARM S.R.L.

ISLANDA CUTIE X BLIST. PVC/AL X 28 COMPR. FILM.

ROMANIA CUTIE X 4 BLIST. PVC/AL X 7 COMPR. FILM.

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

GLENMARK PHARMACEUTICALS SRL

REPUBLICA CEHA

CUTIE X 4 BLIST. AL/PVC X 7 COMPR. FILM. P-RF

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-RF

MEDOCHEMIE LTD. CIPRU

CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. P-RF

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. P-RF

BLUEFISH PHARMACEUTICALS AB

TORRENT PHARMA S.R.L.


TORRENT PHARMA S.R.L.

SUEDIA

CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. P-RF

ROMANIA CUTIE CU 1 FLAC. PEID X 28 COMPR. FILM. PRF


ROMANIA CUTIE CU 1 FLAC. PEID X 30 COMPR. FILM. PRF

GALENICA S.A.
KRKA D.D.

GRECIA

CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 14 COMPR. FILM. P-RF

SLOVENIA

CUTIE CU BLIST. OPA/AL/PVC SI FOLIE PET-AL TIP "PEEL-OPEN" A CATE 28 COMPR. ORODISP.

PRF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 2 BLIST. AL/PVC-PVDC-PE-PVDC-PVC X 14 COMPR. ORODISPERSABILE

P-RF

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE CU BLIST. TIP CALENDAR OPA-AL-PVC/AL X 28 COMPR. ORODISP.

P-RF

GLENMARK PHARMACEUTICALS SRL

REPUBLICA SLOVACA

ICN POLFA RZESZOW S.A.


ROMASTRU TRADING S.R.L.

POLONIA
ROMANIA

CUTIE CU BLIST. PVC-ACLAR/AL X 28 COMPR. ORODISPERSABILE

P-RF

CUTIE CU BLIST. AL/AL X 30 COMPR. ORODISPERSABILE

P-RF

CUTIE CU 2 BLIST. PVC-PCTFE(ACLAR)/AL /FOLIE DE AL DETASABILA X 14 COMPR. ORODISPERSABILE

PRF

KRKA D.D.

SLOVENIA

CUTIE CU BLIST. OPA/AL/PVC SI FOLIE PET-AL "PEEL-OPEN" A CATE 28 COMPR. ORODISP.

PRF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 2 BLIST. AL/PVC-PVDC-PE-PVDC-PVC X 14 COMPR. ORODISPERSABILE

P-RF

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE CU BLIST. TIP CALENDAR OPA-AL-PVC/AL X 28 COMPR. ORODISP.

P-RF

GLENMARK PHARMACEUTICALS SRL

REPUBLICA SLOVACA

CUTIE CU BLIST. PVC-ACLAR/AL X 28 COMPR. ORODISPERSABILE

P-RF

ICN POLFA RZESZOW S.A.

POLONIA

CUTIE CU BLIST. AL/AL X 30 COMPR. ORODISPERSABILE

P-RF

Pagina 28 din 42

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ambal
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
aj
(RON)
(RON)
ADULTI
a) si f)

28
30
30
30
28
28
56
28
56
28
28
28
30
28
28
28
28
30
28
28
28
30
30
30
28
28
28
56
28
28
28
30
28
28
28
28
30
28
28
28
28
28
30
28
28
28
28
28
30

171.82
154.06
154.06
211.13
129.31
141.88
283.75
141.88
283.75
129.31
134.46
143.63
231.98
170.94
143.02
150.35
232.26
248.86
173.24
84.97
145.89
139.30
139.30
183.41
118.93
127.57
127.57
250.57
118.93
118.91
130.00
175.19
129.88
143.02
52.03
197.01
211.10
150.15
90.63
379.17
143.78
170.94
128.38
143.69
84.97
305.48
130.00
145.37
116.07

6.136428
5.135333
5.135333
7.037666
4.618214
5.067142
5.066964
5.067142
5.066964
4.618214
4.802142
5.129642
7.732666
6.105000
5.107857
5.369642
8.295000
8.295333
6.187142
3.034642
5.210357
4.643333
4.643333
6.113666
4.247500
4.556071
4.556071
4.474464
4.247500
4.246785
4.642857
5.839666
4.638571
5.107857
1.858214
7.036071
7.036666
5.362500
3.236785
13.541785
5.135000
6.105000
4.279333
5.131785
3.034642
10.910000
4.642857
5.191785
3.869000

3.884142
3.884142
3.884142
3.884142
3.884142
3.884142
3.884142
3.884142
3.884142
3.884142
3.884142
3.884142
3.884142
3.884142
3.884142
3.884142
3.884142
3.884142
3.884142
2.229856
2.229856
2.229856
2.229856
2.229856
2.229856
2.229856
2.229856
2.229856
2.229856
2.229856
2.229856
2.229856
2.229856
2.229856
1.858214
2.229856
2.229856
2.229856
3.236785
3.884142
3.884142
3.884142
3.884142
3.884142
2.229856
2.229856
2.229856
2.229856
2.229856

3.884142
3.884142
3.884142
3.884142
3.884142
3.884142
3.884142
3.884142
3.884142
3.884142
3.884142
3.884142
3.884142
3.884142
3.884142
3.884142
3.884142
3.884142
3.884142
2.229856
2.229856
2.229856
2.229856
2.229856
2.229856
2.229856
2.229856
2.229856
2.229856
2.229856
2.229856
2.229856
2.229856
2.229856
1.858214
2.229856
2.229856
2.229856
3.236785
3.884142
3.884142
3.884142
3.884142
3.884142
2.229856
2.229856
2.229856
2.229856
2.229856

NR.CRT

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

COD ATC

N06DA02
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA04
N06DA04
N06DA04
N06DA04
N06DA04
N06DA04
N06DA04
N06DX01
N06DX01

DCI

DONEPEZILUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
GALANTAMINUM***
GALANTAMINUM***
GALANTAMINUM***
GALANTAMINUM***
GALANTAMINUM***
GALANTAMINUM***
GALANTAMINUM***
MEMANTINUM***
MEMANTINUM***

Denumire Comerciala

forma farm.

DARIZOL 5 mg
COMPR. ORODISPERSABILE
EXELON 1,5mg
CAPS.
RIVASTIGMINA TEVA 1,5mg CAPS.
RIVASTIGMINA RATIOPHARM 1,5 mg CAPS.
EVERTAS 1,5 mg
CAPS.
RIVASTIGMINE SANDOZ1,5mg CAPS.
RIDAXIN 1,5 mg
CAPS.
RISTIDIC 1,5 mg
CAPS.
RIVASTIGMINA ACTAVIS 1,5 mg CAPS.
RIVASTIGMINA TORRENT 1,5 mg CAPS.
NIMVASTID 1.5mg
CAPS.
EXELON 3mg
CAPS.
RIVASTIGMINA TEVA 3mg CAPS.
NIMVASTID 3mg
CAPS.
RIVASTIGMINA RATIOPHARM 3 mg CAPS.
RIVASTIGMINE SANDOZ 3mg CAPS.
RIDAXIN 3 mg
CAPS.
RISTIDIC 3 mg
CAPS.
EVERTAS 3 mg
CAPS.
RIVASTIGMINA ACTAVIS 3 mg CAPS.
RIVASTIGMINA TORRENT 3 mg CAPS.
RIVASTIGMINA TEVA 4,5mg CAPS.
EVERTAS 4,5 mg
CAPS.
RIDAXIN 4,5 mg
CAPS.
RIVASTIGMINA ACTAVIS 4,5 mg CAPS.
RIVASTIGMINA TEVA 6mg CAPS.
EVERTAS 6 mg
CAPS.
RIDAXIN 6 mg
CAPS.
RIVASTIGMINA ACTAVIS 6 mg CAPS.
NIMVASTID 1.5 mg
COMPR. ORODISPERSABILE
NIMVASTID 3mg
COMPR. ORODISPERSABILE
NIMVASTID 4.5 mg
COMPR. ORODISPERSABILE
NIMVASTID 6mg
COMPR. ORODISPERSABILE
EXELON 4,6mg/24h
PLASTURE TRANSDERMIC
EXELON 9,5mg/24h
PLASTURE TRANSDERMIC
RIVASTIGMINA TEVA 2 mg/ml SOL. ORALA
REMINYL 16 mg
CAPS. ELIB. PREL.
GALSYA 16 mg
CAPS. ELIB. PREL.
REMINYL 24 mg
CAPS. ELIB. PREL.
GALSYA 24 mg
CAPS. ELIB. PREL.
REMINYL 8 mg
CAPS. ELIB. PREL.
GALSYA 8 mg
CAPS. ELIB. PREL.
REMINYL (R) 4 mg/ml
SOL. ORALA
EBIXA 10 mg
COMPR. FILM.
EBIXA 5mg/doza
PICATURI ORALE - SOL.

concentratie

5mg
1,5mg
1,5mg
1,5mg
1,5mg
1,5mg
1,5mg
1,5mg
1,5mg
1,5mg
1.5mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
4,5mg
4,5mg
4,5mg
4,5mg
6mg
6mg
6mg
6mg
1.5mg
3mg
4.5mg
6mg
4,6mg/24h
9,5mg/24h
2mg/ml
16mg
16mg
24mg
24mg
8mg
8mg
4mg/ml
10mg
5mg/doza

ROMASTRU TRADING S.R.L.

TARA
DET. APP
ROMANIA

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

DETINATOR APP

TEVA PHARMA BV
RATIOPHARM GMBH
ZENTIVA K.S.
SANDOZ S.R.L.
ROMASTRU TRADING SRL
ICN POLFA RZESZOW S.A.
ACTAVIS GROUP PTC EHF.

AMBALAJ

Prescriptie

CUTIE CU 2 BLIST. PVC-PCTFE(ACLAR)/AL /FOLIE DE AL DETASABILA X 14 COMPR. ORODISPERSABILE

PRF

CUTIE X 4 BLIST. PVC/AL X 14 CAPS.

P-RF/R

OLANDA CUTIE CU BLIST.PVC/ACLAR X 56 CAPS.

P-RF/R

GERMANIA CUTIE CU BLIST. PVC-PVDC/AL X 56 CAPS.

P-RF/R

CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS.

P-RF/R

CEHIA

ROMANIA CUTIE CU BLIST.PVC/AL X 56 CAPS.


ROMANIA CUTIE CU 4 BLIST. PVC/AL X 14 CAPS.
POLONIA CUTIE CU BLIST. PVC/AL X 56 CAPS.

P-RF/R
P-RF/R
P-RF/R

ISLANDA CUTIE CU BLIST. DIN PVC/AL X 56 CAPS. PR


ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 56 CAPS.

P-RF/R

KRKA ,D.D., NOVO MESTO SLOVENIA CUTIE X BLIST. PVC/PVDC/AL X 28 CAPSULE

P-RF/R

CUTIE X 4 BLIST. PVC/AL X 14 CAPS.

P-RF/R

TORRENT PHARMA S.R.L.


NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

TEVA PHARMA BV

OLANDA CUTIE CU BLIST.PVC/ACLAR X 56 CAPS.

KRKA ,D.D., NOVO MESTO SLOVENIA CUTIE X BLIST. PVC/PVDC/AL X 28 CAPSULE

P-RF/R
P-RF/R

RATIOPHARM GMBH GERMANIA CUTIE CU BLIST. PVC-PVDC/AL X 56 CAPS. P-RF/R


SANDOZ S.R.L.
ROMANIA CUTIE CU BLIST.PVC/AL X 56 CAPS. P-RF/R
ROMASTRU TRADING SRL ROMANIA CUTIE CU 4 BLIST. PVC/AL X 14 CAPS. P-RF/R
ICN POLFA RZESZOW S.A. POLONIA CUTIE CU BLIST. PVC/AL X 56 CAPS. P-RF/R
ZENTIVA K.S.
CEHIA
CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS. P-RF/R
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. DIN PVC/AL X 56 CAPS. PR
TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 56 CAPS. P-RF/R
TEVA PHARMA BV OLANDA CUTIE CU BLIST.PVC/ACLAR X 56 CAPS. P-RF/R
ZENTIVA K.S.
CEHIA
CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS. P-RF/R
ROMASTRU TRADING SRL ROMANIA CUTIE CU 4 BLIST. PVC/AL X 14 CAPS. P-RF/R
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. DIN PVC/AL X 56 CAPS. PR
TEVA PHARMA BV OLANDA CUTIE CU BLIST.PVC/ACLAR X 56 CAPS. P-RF/R
ZENTIVA K.S.
CEHIA
CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS. P-RF/R
ROMASTRU TRADING SRL ROMANIA CUTIE CU 4 BLIST. PVC/AL X 14 CAPS. P-RF/R
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. DIN PVC/AL X 56 CAPS. PR
KRKA ,D.D., NOVO MESTO SLOVENIA

CUTIE X BLIST.UNIDOZA OPA/AL/PVC/PET/AL X (28 X 1) COMPR. ORODISPESABILE

P-RF/R

KRKA ,D.D., NOVO MESTO SLOVENIA

CUTIE X BLIST.UNIDOZA OPA/AL/PVC/PET/AL X (28 X 1) COMPR. ORODISPESABILE

P-RF/R

KRKA ,D.D., NOVO MESTO SLOVENIA

CUTIE X BLIST.UNIDOZA OPA/AL/PVC/PET/AL X (28 X 1) COMPR. ORODISPESABILE

P-RF/R

KRKA ,D.D., NOVO MESTO SLOVENIA

CUTIE X BLIST.UNIDOZA OPA/AL/PVC/PET/AL X (28 X 1) COMPR. ORODISPESABILE

P-RF/R

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 30 PLICURI X 1 PLASTURE TRANSDERMIC

P-RF/R

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 30 PLICURI X 1 PLASTURE TRANSDERMIC

P-RF/R

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA BRUNA X 125 ML SOL. ORALA + 1 SERINGA DOZATOARE

P-RF/R

TEVA PHARMACEUTICALS S.R.L.


JANSSEN PHARMACEUTICA N.V.

BELGIA

CUTIE X 4 BLIST. PVC-PE-PVDC X 7 CAPS. CU ELIB. PREL. P-RF

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 CAPS. CU ELIB. PREL.

JANSSEN PHARMACEUTICA N.V.

CUTIE X 4 BLIST. PVC-PE-PVDC X 7 CAPS. CU ELIB. PREL. P-RF

BELGIA

PRF

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 CAPS. CU ELIB. PREL.

JANSSEN PHARMACEUTICA N.V.

CUTIE X 4 BLIST. PVC-PE-PVDC X 7 CAPS. CU ELIB. PREL. P-RF

BELGIA

PRF

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 CAPS. CU ELIB. PREL.

JANSSEN-PHARMACEUTICA NV

CUTIE X 1 FLACON X 100 ML + 1 PIPETA DOZATOARE P-RF

H. LUNDBECK A/S
H LUNDBECK A/S

Tratamentul se initiaza de catre medicul in specialitatea psihiatrie, neurologie sau geriatrie

Pagina 29 din 42

BELGIA

PRF

DANEMARCA

CUTIE X 56 COMPR. FILM. (BLIST. AL/PP)

P-RF/R

DANEMARCA

CUTIE X 1 FLACON DIN STICLA BRUNA CU POMPA DOZATOARE X 50 ML SOLUTIE

P-RF/R

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ambal
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
aj
(RON)
(RON)
ADULTI
a) si f)

28
56
56
56
30
56
56
56
56
56
28
56
56
28
56
56
56
56
30
56
56
56
30
56
56
56
30
56
56
28
28
28
28
30
30
1
28
30
28
30
28
30
1
56
1

129.65
4.630357
2.229856
2.229856
332.26
5.933214
1.368856
1.368856
194.50
3.473214
1.368856
1.368856
79.35
1.416964
1.368856
1.368856
41.08
1.369333
1.368856
1.368856
70.74
1.263214
1.263214
1.263214
63.91
1.141250
1.141250
1.141250
70.74
1.263214
1.263214
1.263214
1.140714
63.88
1.140714
1.140714
72.39
1.292678
1.292678
1.292678
37.89
1.353214
1.353214
1.353214
348.68
6.226428
2.787000
2.787000
215.96
3.856428
2.787000
2.787000
78.01
2.786071
2.786071
2.786071
150.48
2.687142
2.687142
2.687142
133.98
2.392500
2.392500
2.392500
130.32
2.327142
2.327142
2.327142
2.392500
2.392500
133.98
2.392500
83.75
2.791666
2.787000
2.787000
130.06
2.322500
2.322500
2.322500
143.02
2.553928
2.553928
2.553928
323.93
5.784464
3.217500
3.217500
96.65
3.221666
3.217500
3.217500
150.36
2.685000
2.685000
2.685000
150.15
2.681250
2.681250
2.681250
407.51
7.276964
3.639642
3.639642
109.54
3.651333
3.639642
3.639642
170.40
3.042857
3.042857
3.042857
169.85
3.033035
3.033035
3.033035
37.89
1.353214
1.353214
1.353214
78.01
2.786071
2.786071
2.786071
89.80
3.207142
3.207142
3.207142
101.04
3.608571
3.608571
3.608571
390.58 13.019333 13.019333 13.019333
390.58 13.019333 13.019333 13.019333
420.26 420.260000 420.260000 420.260000
374.39 13.371071
8.958799
8.958799
223.97
7.465666
7.465666
7.465666
417.57 14.913214
9.830400
9.830400
245.76
8.192000
8.192000
8.192000
201.08
7.181428
5.601600
5.601600
140.04
4.668000
4.668000
4.668000
254.22 254.220000 254.220000 254.220000
417.38
7.453214
7.453214
7.453214
352.22 352.220000 352.220000 352.220000

NR.CRT

COD ATC

DCI

Denumire Comerciala

forma farm.

concentratie

DETINATOR APP

TARA
DET. APP

AMBALAJ

Prescriptie

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ambal
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
aj
(RON)
(RON)
ADULTI
a) si f)

15. COLAGENOZE MAJORE (LUPUS ERITEMATOS SISTEMIC, SCLERODERMIE, POLI/DERMATOMICOZA, VASCULITE SISTEMICE) - G 17
1
2
3
4
5
6
7
8
9

H02AB04
H02AB04
H02AB04

L01AA01
L01AA01

L04AX01
L04AX01
L04AX01
P01BA02

METHYLPREDNISOLONUM5)
METHYLPREDNISOLONUM5)
METHYLPREDNISOLONUM5)
CYCLOPHOSPHAMIDUM*
CYCLOPHOSPHAMIDUM*
AZATHIOPRINUM*
AZATHIOPRINUM*
AZATHIOPRINUM*
HYDROXYCHLOROQUINUM

MEDROL A 16
MEDROL 32
MEDROL 4 mg
ENDOXAN (R) 50 mg
ENDOXAN 200 mg
IMMUNOPRIN 100 mg
IMURAN (R)
IMMUNOPRIN 75 mg
PLAQUENIL

COMPR.
COMPR.
COMPR.
DRAJ.
PULB. PT. SOL. PERF./INJ. I.V.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

16mg
32mg
4mg
50mg
200mg
100mg
50mg
75mg
200mg

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 5 BLIST. A-PVC/PVC X 10 COMPR. P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 2 BLIST. AL-PVC/PVC X 10 COMPR. P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 1 FLAC. DIN STICLA X 30 COMPR. P-RF

BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ. P-RF

ACTAVIS S.R.L.

EBEWE PHARMA GES.M.B.H. NFG KG

ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. PERF./INJ S

AUSTRIA CUTIE CU 1 FLAC. PEID X 50 COMPR. FILM. PR


CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM.

S/P-RF

AUSTRIA

CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM.

PR

COMPR. FILM. GASTROREZ.

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ.

P-6L

COMPR. FILM. GASTROREZ.

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 1 FLAC. PEID X 100 COMPR. FILM. GASTROREZ.

P-6L

SCHERING PLOUGH EUROPE

BELGIA

CUTIE X 5 FIOLE X 1 ML

P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 5 BLIST. A-PVC/PVC X 10 COMPR. P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 2 BLIST. AL-PVC/PVC X 10 COMPR. P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 1 FLAC. DIN STICLA X 30 COMPR. P-RF

THE WELLCOME FOUNDATION LTD. MAREA BRITANIE


EBEWE PHARMA GES.M.B.H. NFG KG

SANOFI - AVENTIS ROMANIA S.R.L.

ROMANIA CUTIE X 6 BLIST. X 10 COMPR. FILM. P-6L

50
20
30
50
1
50
100
100
60

32.62
29.65
6.53
26.13
15.89
55.38
80.90
78.89
33.44

0.652400
1.482500
0.217666
0.522600
15.890000
1.107600
0.809000
0.788900
0.557333

0.652400
1.482500
0.217666
0.522600
15.890000
1.107600
0.809000
0.788900
0.557333

0.652400
1.482500
0.217666
0.522600
15.890000
1.107600
0.809000
0.788900
0.557333

50
100
5
50
20
30
1
5
1
10
1
1
1
1
1
1
1
1
1
30
30
30
30
30
30
30
30
30
30
50

28.24
31.25
34.53
32.62
29.65
6.53
400.81
241.07
89.66
23.82
78.67
59.64
122.50
110.09
124.21
78.67
74.80
109.54
13.33
182.03
280.03
182.03
160.47
133.74
190.22
292.65
190.22
190.22
190.22
471.31

0.564800
0.312500
6.906000
0.652400
1.482500
0.217666
400.810000
48.214000
89.660000
2.382000
78.670000
59.640000
122.500000
110.090000
124.210000
78.670000
74.800000
109.540000
13.330000
6.067666
9.334333
6.067666
5.349000
4.458000
6.340666
9.755000
6.340666
6.340666
6.340666
9.426200

0.375000
0.312500
6.906000
0.652400
1.482500
0.217666
400.810000
48.214000
89.660000
2.382000
78.670000
59.640000
122.500000
110.090000
124.210000
78.670000
71.568000
109.540000
13.330000
5.349600
5.349600
5.349600
5.349000
4.458000
6.340666
7.608799
6.340666
6.340666
6.340666
9.426200

0.375000
0.312500
6.906000
0.652400
1.482500
0.217666
400.810000
48.214000
89.660000
2.382000
78.670000
59.640000
122.500000
110.090000
124.210000
78.670000
71.568000
109.540000
13.330000
5.349600
5.349600
5.349600
5.349000
4.458000
6.340666
7.608799
6.340666
6.340666
6.340666
9.426200

Tratamentul se initiaza si se monitorizeaza de catre medicul in specialitatea reumatologie, nefrologie si boli infectioase.

16. POLIARTRITA REUMATOIDA , ARTROPATIA PSORIAZICA SI ARTRITA JUVENILA - G 18


1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30

A07EC01
A07EC01
H02AB01
H02AB04
H02AB04
H02AB04

L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L04AA13
L04AA13
L04AA13
L04AA13
L04AA13
L04AA13
L04AA13
L04AA13
L04AA13
L04AA13
L04AD01

SULFASALAZINUM
SULFASALAZINUM
BETAMETHASONUM
METHYLPREDNISOLONUM5)
METHYLPREDNISOLONUM5)
METHYLPREDNISOLONUM5)
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
LEFLUNOMIDUM**
LEFLUNOMIDUM**
LEFLUNOMIDUM**
LEFLUNOMIDUM**
LEFLUNOMIDUM**
LEFLUNOMIDUM**
LEFLUNOMIDUM**
LEFLUNOMIDUM**
LEFLUNOMIDUM**
LEFLUNOMIDUM**
CICLOSPORINUM*

SULFASALAZIN EN
SALAZOPYRIN EN
DIPROPHOS (R)
MEDROL A 16
MEDROL 32
MEDROL 4 mg
METHOTREXAT "EBEWE" 5000 mg

METHOTREXAT "EBEWE" 500 mg


METHOTREXAT "EBEWE" 1000 mg

METHOTREXAT "EBEWE" 5 mg
METOTREXAT EBEWE 10 mg/ml
METOTREXAT EBEWE 10 mg/ml
METOTREXAT EBEWE 10 mg/ml
METOTREXAT EBEWE 10 mg/ml

METOJECT 50mg/ml
METOJECT 50mg/ml
METOJECT 50mg/ml
METOJECT 50mg/ml

METHOTREXAT "EBEWE" 50 mg

LEFLUNOMIDA SANDOZ 10 mg

ARAVA 10mg

LEFLUNOMIDA RATIOPHARM 10 MG

LEFLUNOMIDE WINTHROP 10mg

LEFLUNOMIDA MEDAC 10 mg
LEFLUNOMIDA SANDOZ 20 mg

ARAVA 20mg

LEFLUNOMIDA RATIOPHARM 20 MG

LEFLUNOMIDE WINTHROP 20mg

LEFLUNOMIDA MEDAC 20 mg

EQUORAL (R) 100 mg

500mg
500mg
SUSP. INJ. I.M. 7mg/ml
COMPR.
16mg
COMPR.
32mg
COMPR.
4mg
CONC. PT. SOL. INJ./PERF. 100mg/ml
CONC. PT. SOL. INJ./PERF. 100mg/ml
CONC. PT. SOL. INJ./PERF. 100mg/ml
SOL. INJ.
5mg/ml
SOL. INJ. IN SERINGA PREUMPLUTA
10mg/ml
SOL. INJ. IN SERINGA PREUMPLUTA
10mg/ml
SOL. INJ. IN SERINGA PREUMPLUTA
10mg/ml
SOL. INJ. IN SERINGA PREUMPLUTA
10mg/ml
SOL. INJ. IN SERINGA PREUMPLUTA
50mg/ml
SOL. INJ. IN SERINGA PREUMPLUTA
50mg/ml
SOL. INJ. IN SERINGA PREUMPLUTA
50mg/ml
SOL. INJ. IN SERINGA PREUMPLUTA
50mg/ml
SOL. INJ./PERF. 10mg/ml
COMPR. FILM. 10 mg
COMPR. FILM. 10mg
COMPR. FILM. 10mg
COMPR. FILM. 10mg
COMPR. FILM. 10mg
COMPR. FILM. 20 mg
COMPR. FILM. 20mg
COMPR. FILM. 20mg
COMPR. FILM. 20mg
COMPR. FILM. 20mg
CAPS. MOI
100mg

EBEWE PHARMA GMBH NFG. KG


EBEWE PHARMA GMBH NFG. KG
EBEWE PHARMA GMBH NFG. KG
EBEWE PHARMA GMBH NFG. KG
EBEWE PHARMA GES.M.B.H. NFG KG
EBEWE PHARMA GES.M.B.H. NFG KG
EBEWE PHARMA GES.M.B.H. NFG KG
EBEWE PHARMA GES.M.B.H. NFG KG
MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

AUSTRIA CUTIE X 1 FLACON X 50 ML


AUSTRIA CUTIE X 5 FIOLE X 5 ML
AUSTRIA CUTIE X 1 TUB DIN MATERIAL PLASTIC X 1 FIOLA X 10 ML
AUSTRIA CUTIE X 10 FIOLE X 1 ML
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA

S
S
S
S
PR
PR
PR
PR

GERMANIA

P-RF

CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 1,0 ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJE

CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 0,75 ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJ

CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 2,0 ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJE

CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 1,5 ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJE

CUTIE X 1 SERINGA PREUMPLUTA X 0,50ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL

GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,20ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL

P-RF

GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,15ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL

P-RF

GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,40ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL

P-RF

SANDOZ S.R.L.

ROMANIA

CUTIE CU 1 FLACON PEID CU CAPAC PP CU DESICANT X 30 COMPR. FILM.

SANOFI- AVENTIS DEUTSCHLAND GMBH

GERMANIA CUTIE X 1 FLAC. PEID X 30 COMPR. FILM.

P-RF/R

RATIOPHARM GMBH GERMANIA CUTIE X 1 FLAC. PEID X 30 COMPR. FILM.

P-RF/R

GERMANIA CUTIE X 1 FLAC. PEID X 30 COMPR. FILM.

P-RF/R

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

EBEWE PHARMA GMBH NFG. KG

SANOFI- AVENTIS DEUTSCHLAND GMBH


MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

SANDOZ S.R.L.
SANOFI- AVENTIS DEUTSCHLAND GMBH

AUSTRIA CUTIE X 1 FLACON X 5 ML

GERMANIA CUTIE CU 1 FLACON DIN PEID X 30 COMPR. FILM.

ROMANIA

CUTIE CU 1 FLACON PEID CU CAPAC PP DESICANT X 30 COMPR. FILM.

GERMANIA CUTIE X 1 FLAC. PEID X 30 COMPR. FILM.

S
PR

PR
PR
P-RF/R

RATIOPHARM GMBH GERMANIA CUTIE X 1 FLAC. PEID X 30 COMPR. FILM.

P-RF

GERMANIA CUTIE X 1 FLAC. PEID X 30 COMPR. FILM.

P-RF/R

SANOFI- AVENTIS DEUTSCHLAND GMBH


MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

IVAX - PHARMACEUTICALS S.R.O.

Pagina 30 din 42

GERMANIA CUTIE CU 1 FLACON DIN PEID X 30 COMPR.FILM

CEHIA

CUTIE X 5 BLIST. X 10 CAPS. MOI

PR
S/P-RF

NR.CRT

31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69

COD ATC

L04AD01
L04AD01
L04AD01
L04AD01
L04AD01

L04AX01
L04AX01
L04AX01
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05

P01BA02

DCI

CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
AZATHIOPRINUM*
AZATHIOPRINUM*
AZATHIOPRINUM*
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
HYDROXYCHLOROQUINUM

Denumire Comerciala

SANDIMMUN NEORAL (R)


EQUORAL (R) 25 mg
SANDIMMUN NEORAL (R)
EQUORAL (R) 50 mg
CICLORAL 50 mg
IMMUNOPRIN 100 mg
IMURAN (R)
IMMUNOPRIN 75 mg
DICLOREUM 150 mg

forma farm.

CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

concentratie

25mg
25mg
50mg
50mg
50mg
100mg
50mg
75mg
CAPS. ELIB. PREL. 150mg
DICLOFENAC DUO PHARMASWISS 75 mg CAPS. ELIB. PREL. 75mg
TRATUL 50
CAPS. MOI GASTROREZ. 50mg
DICLAC (R) 75 ID
COMPR. ELIB. MODIF. 75mg
VOLTAREN (R) RETARD
COMPR. FILM. ELIB. PREL. 100mg
REFEN (R) RETARD
COMPR. FILM. ELIB. PREL. 100mg
DICLOTARD (R) 100 mg
COMPR. FILM. ELIB. PREL. 100mg
RHEUMAVEK
COMPR. FILM. GASTROREZ. 25mg
VOLTAREN (R) 50
COMPR. FILM. GASTROREZ. 50mg
DICLOFENAC 50 mg
COMPR. FILM. GASTROREZ. 50mg
CLAFEN 50 mg
COMPR. FILM. GASTROREZ. 50mg
DICLOFENAC 50 mg
COMPR. FILM. GASTROREZ. 50mg
VOLTAREN RAPID (R)
DRAJ.
50mg
DICLOFENAC ARENA 25 mg DRAJ. GASTROREZ. 25mg
N - DICLOFENAC
DRAJ. GASTROREZ. 50mg
DICLOFENAC ARENA 50 mg DRAJ. GASTROREZ. 50mg
DICLOFENAC ARENA 50 mg DRAJ. GASTROREZ. 50mg
VOLTAREN (R)
SOL. INJ.
25mg/ml
RHEUMAVEK
SOL. INJ.
25mg/ml
TRATUL (R)
SOL. INJ.
30mg/ml
DICLAC
SOL. INJ.
75mg
DICLOFENAC 75 mg
SOL. INJ.
75mg/3ml
DICLOFENAC AL I.M.
SOL. INJ.
75mg/3ml
DICLOFENAC AL I.M.
SOL. INJ.
75mg/3ml
REFEN 75 mg
SOL. INJ./PERF. 25mg/ml
CLAFEN 100 mg
SUPOZ.
100mg
VOLTAREN (R)
SUPOZ.
100mg
DICLOFENAC 100 mg
SUPOZ.
100mg
DICLOFENAC SODIC 100 mg SUPOZ.
100mg
VOLTAREN (R)
SUPOZ.
50mg
PLAQUENIL
COMPR. FILM. 200mg

DETINATOR APP

TARA
DET. APP

AMBALAJ

CUTIE X 10 BLIST. X 5 CAPS. MOI


CUTIE X 5 BLIST. X 10 CAPS. MOI
GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI
CEHIA
CUTIE X 5 BLIST. X 10 CAPS. MOI

Prescriptie

NOVARTIS PHARMA GMBH GERMANIA

S/P-RF

IVAX - PHARMACEUTICALS S.R.O.

S/P-RF

NOVARTIS PHARMA GMBH


IVAX - PHARMACEUTICALS S.R.O.

HEXAL AG
EBEWE PHARMA GES.M.B.H. NFG KG

CEHIA

ALFA WASSERMANN SPA


PHARMASWISS CESKA REPUBLIKA S.R.O.

GEROT PHARMAZEUTIKA GMBH

HEXAL AG

S/P-RF

CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM.

S/P-RF

AUSTRIA CUTIE CU 1 FLAC. PEID X 50 COMPR. FILM. PR

AUSTRIA
ITALIA
CEHIA
AUSTRIA

TERAPIA SA
FARAN LABORATORIES S.A.

CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM.

PR

CUTIE X 2 BLIST. AL/PVC X 10 CAPS. ELIB. PREL. P-6L


CUTIE X 3 BLIST. PVC/PVDC/AL X 10 CAPS. ELIB. PREL.

P-6L

CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS. MOI GASTROREZ.

P-6L

GERMANIA CUTIE X 1 BLIST. AL/PP X 10 COMPR. ELIB. MODIF. P-6L

NOVARTIS PHARMA GMBH GERMANIA

STADA HEMOFARM S.R.L.

S/P-RF

GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI

THE WELLCOME FOUNDATION LTD. MAREA BRITANIE


EBEWE PHARMA GES.M.B.H. NFG KG

S/P-RF

ROMANIA
ROMANIA

GRECIA

NOVARTIS PHARMA GMBH GERMANIA

TERAPIA SA
ANTIBIOTICE SA

ROMANIA
ROMANIA
AC HELCOR PHARMA SRL ROMANIA

CUTIE X 1 BLIST. PVC-PE-PVDC/AL. X 10 COMPR. FILM. ELIB. PREL.

P-6L

CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM. ELIB. PREL.

P-6L

CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL

P-6L

CUTIE X 3 BLIST. PVC-AL/PVDC X 10 COMPR. FILM. GASTROREZ.

P-6L

CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. GASTROREZ.

P-6L

CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ.

P-6L

CUTIE X 2 BLIST. X 10 COMPR. FILM. GASTROREZ. P-6L


CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ.

P-6L

NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 10 DRAJ. P-6L

ARENA GROUP SA
MEDUMAN SA
ARENA GROUP SA
ARENA GROUP SA

ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 DRAJ. GASTROREZ.


ROMANIA CUTIE X 1 FLAC. PE X 20 DRAJ. GASTROREZ.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 DRAJ GASTROREZ.
ROMANIA CUTIE X 1 BLIST. AL/PVC X 30 DRAJ GASTROREZ.

P-6L
P-6L
P-6L
P-6L

NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 FIOLE CU PUNCT DE RUPERE X 3 ML P-RF


FARAN LABORATORIES S.A.
GEROT PHARMAZEUTIKA GMBH

HEXAL AG
TERAPIA SA

GRECIA
AUSTRIA

GERMANIA

ROMANIA

ALIUD PHARMA GMBH GERMANIA


ALIUD PHARMA GMBH GERMANIA
STADA HEMOFARM S.R.L.

ANTIBIOTICE SA

CUTIE X 5 FIOLE DE STICLA BRUNA PREVAZUTE CU INEL DE RUPERE X 3 ML

P-RF

CUTIE X 1 BLIST PVC X 5 FIOLE DIN STICLA BRUNA X 3 ML SOL. INJ.

P-RF

CUTIE X 5 FIOLE X 3 ML SOL. INJ.

P-RF

CUTIE X 5 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 3 ML

P-RF

CUTIE X 5 FIOLE DIN STICLA INCOLORA X 3ML SOL. INJ. P-RF


CUTIE X 10 FIOLE DIN STICLA INCOLORA X 3ML SOL. INJ.

P-RF

ROMANIA CUTIE CU 5 FIOLE DIN STICLA INCOLORA X 3 ML SOL. INJ./PERF. P-RF


ROMANIA CUTIE X 2 FOLII TERMOSUDANTE X 3 SUPOZ. P-6L

NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FOLIE PVC/PE-JD X 5 SUPOZ. P-6L

SINTOFARM SA
MAGISTRA C & C

NOVARTIS PHARMA GMBH


SANOFI - AVENTIS ROMANIA S.R.L.

ROMANIA CUTIE X 2 FOLII PVC/PE X 5 SUPOZ.


ROMANIA CUTIE X 2 FOLII TERMOSUDATE PVC/PE X 5 SUPOZ.
GERMANIA CUTIE X 2 FOLII PVC/PEJD X 5 SUPOZ.
ROMANIA CUTIE X 6 BLIST. X 10 COMPR. FILM.

P-6L
P-6L
P-6L
P-6L

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ambal
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
aj
(RON)
(RON)
ADULTI
a) si f)

50
50
50
50
50
50
100
100
20
30
30
10
10
20
20
30
20
20
20
20
10
30
20
20
30
5
5
5
5
5
5
10
5
6
5
10
10
10
60

137.32
94.13
292.16
189.90
305.21
55.38
80.90
78.89
47.70
20.49
6.39
3.93
6.56
8.55
8.21
5.72
6.56
4.25
3.04
2.27
2.34
5.72
2.54
2.65
3.98
9.40
6.10
14.24
6.10
6.10
6.10
12.22
4.05
3.94
5.47
6.95
5.10
9.45
33.44

2.746400
1.882600
5.843200
3.798000
6.104200
1.107600
0.809000
0.788900
2.385000
0.683000
0.213000
0.393000
0.656000
0.427500
0.410500
0.190666
0.328000
0.212500
0.152000
0.113500
0.234000
0.190666
0.127000
0.132500
0.132666
1.880000
1.220000
2.848000
1.220000
1.220000
1.220000
1.222000
0.810000
0.656666
1.094000
0.695000
0.510000
0.945000
0.557333

2.259120
1.882600
4.557600
3.798000
4.557600
1.107600
0.809000
0.788900
2.385000
0.471600
0.136200
0.393000
0.492600
0.427500
0.410500
0.190666
0.136200
0.136200
0.136200
0.113500
0.136200
0.190666
0.127000
0.132500
0.132666
0.972000
0.972000
0.972000
0.972000
0.972000
0.972000
0.972000
0.810000
0.612000
0.612000
0.612000
0.510000
0.945000
0.557333

2.259120
1.882600
4.557600
3.798000
4.557600
1.107600
0.809000
0.788900
2.385000
0.471600
0.136200
0.393000
0.492600
0.427500
0.410500
0.190666
0.136200
0.136200
0.136200
0.113500
0.136200
0.190666
0.127000
0.132500
0.132666
0.972000
0.972000
0.972000
0.972000
0.972000
0.972000
0.972000
0.810000
0.612000
0.612000
0.612000
0.510000
0.945000
0.557333

0.375000
0.312500

0.375000
0.312500

Tratamentul se initiaza si se monitorizeaza de catre medicul in specialitatea reumatologie, nefrologie, medicina interna sau recuperare medicina fizica balneofizioterapie (unitati sanitare nominalizate de catre Ministerul
Sanatatii pt specialitatea recuperare, medicina fizica balneofizioterapie )
17. SPONDILITA ANKILOZANTA - G 19
1
2

A07EC01
A07EC01

SULFASALAZINUM
SULFASALAZINUM

SULFASALAZIN EN
SALAZOPYRIN EN

COMPR. FILM. GASTROREZ.


COMPR. FILM. GASTROREZ.

500mg
500mg

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ.

P-6L

PFIZER EUROPE MA EEIG

CUTIE X 1 FLAC. PEID X 100 COMPR. FILM. GASTROREZ.

P-6L

Pagina 31 din 42

MAREA BRITANIE

50
100

28.24
31.25

0.564800
0.312500

NR.CRT

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

COD ATC

H02AB01
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05

DCI

BETAMETHASONUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM

Denumire Comerciala

DIPROPHOS (R)
DICLOREUM 150 mg

DICLOFENAC DUO PHARMASWISS 75 mg

TRATUL 50
DICLAC (R) 75 ID
VOLTAREN (R) RETARD
REFEN (R) RETARD
DICLOTARD (R) 100 mg
RHEUMAVEK
VOLTAREN (R) 50
DICLOFENAC 50 mg
CLAFEN 50 mg
DICLOFENAC 50 mg
VOLTAREN RAPID (R)
DICLOFENAC ARENA 25 mg
N - DICLOFENAC
DICLOFENAC ARENA 50 mg
DICLOFENAC ARENA 50 mg
VOLTAREN (R)
RHEUMAVEK
TRATUL (R)
DICLAC
DICLOFENAC 75 mg
DICLOFENAC AL I.M.
DICLOFENAC AL I.M.
REFEN 75 mg
CLAFEN 100 mg
VOLTAREN (R)
DICLOFENAC 100 mg
DICLOFENAC SODIC 100 mg
VOLTAREN (R)

forma farm.

SUSP. INJ. I.M.

concentratie

7mg/ml

DETINATOR APP
SCHERING PLOUGH EUROPE

CAPS. ELIB. PREL. 150mg


CAPS. ELIB. PREL. 75mg

PHARMASWISS CESKA REPUBLIKA S.R.O.

CAPS. MOI GASTROREZ.

GEROT PHARMAZEUTIKA GMBH

50mg
COMPR. ELIB. MODIF. 75mg
COMPR. FILM. ELIB. PREL. 100mg
COMPR. FILM. ELIB. PREL. 100mg
COMPR. FILM. ELIB. PREL. 100mg
COMPR. FILM. GASTROREZ. 25mg
COMPR. FILM. GASTROREZ. 50mg
COMPR. FILM. GASTROREZ. 50mg
COMPR. FILM. GASTROREZ. 50mg
COMPR. FILM. GASTROREZ. 50mg
DRAJ.
50mg
DRAJ. GASTROREZ. 25mg
DRAJ. GASTROREZ. 50mg
DRAJ. GASTROREZ. 50mg
DRAJ. GASTROREZ. 50mg
SOL. INJ.
25mg/ml
SOL. INJ.
25mg/ml
SOL. INJ.
30mg/ml
SOL. INJ.
75mg
SOL. INJ.
75mg/3ml
SOL. INJ.
75mg/3ml
SOL. INJ.
75mg/3ml
SOL. INJ./PERF. 25mg/ml
SUPOZ.
100mg
SUPOZ.
100mg
SUPOZ.
100mg
SUPOZ.
100mg
SUPOZ.
50mg

ALFA WASSERMANN SPA

HEXAL AG

TARA
DET. APP

AMBALAJ

BELGIA CUTIE X 5 FIOLE X 1 ML


ITALIA
CUTIE X 2 BLIST. AL/PVC X 10 CAPS. ELIB. PREL.
CEHIA
CUTIE X 3 BLIST. PVC/PVDC/AL X 10 CAPS. ELIB. PREL.
AUSTRIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS. MOI GASTROREZ.

Prescriptie

P-RF

P-6L
P-6L
P-6L

GERMANIA CUTIE X 1 BLIST. AL/PP X 10 COMPR. ELIB. MODIF. P-6L

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 1 BLIST. PVC-PE-PVDC/AL. X 10 COMPR. FILM. ELIB. PREL.

ROMANIA
ROMANIA

CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM. ELIB. PREL.

P-6L

CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL

P-6L

STADA HEMOFARM S.R.L.

TERAPIA SA
FARAN LABORATORIES S.A.

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ambal
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
aj
(RON)
(RON)
ADULTI
a) si f)

GRECIA

NOVARTIS PHARMA GMBH GERMANIA

TERAPIA SA
ANTIBIOTICE SA

ROMANIA
ROMANIA
AC HELCOR PHARMA SRL ROMANIA

P-6L

CUTIE X 3 BLIST. PVC-AL/PVDC X 10 COMPR. FILM. GASTROREZ.

P-6L

CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. GASTROREZ.

P-6L

CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ.

P-6L

CUTIE X 2 BLIST. X 10 COMPR. FILM. GASTROREZ. P-6L


CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ.

P-6L

NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 10 DRAJ. P-6L

ARENA GROUP SA
MEDUMAN SA
ARENA GROUP SA
ARENA GROUP SA

ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 DRAJ. GASTROREZ.


ROMANIA CUTIE X 1 FLAC. PE X 20 DRAJ. GASTROREZ.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 DRAJ GASTROREZ.
ROMANIA CUTIE X 1 BLIST. AL/PVC X 30 DRAJ GASTROREZ.

P-6L
P-6L
P-6L
P-6L

NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 FIOLE CU PUNCT DE RUPERE X 3 ML P-RF


FARAN LABORATORIES S.A.
GEROT PHARMAZEUTIKA GMBH

HEXAL AG
TERAPIA SA

GRECIA
AUSTRIA

GERMANIA

ROMANIA

ALIUD PHARMA GMBH GERMANIA


ALIUD PHARMA GMBH GERMANIA
STADA HEMOFARM S.R.L.

ANTIBIOTICE SA

CUTIE X 5 FIOLE DE STICLA BRUNA PREVAZUTE CU INEL DE RUPERE X 3 ML

P-RF

CUTIE X 1 BLIST PVC X 5 FIOLE DIN STICLA BRUNA X 3 ML SOL. INJ.

P-RF

CUTIE X 5 FIOLE X 3 ML SOL. INJ.

P-RF

CUTIE X 5 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 3 ML

P-RF

CUTIE X 5 FIOLE DIN STICLA INCOLORA X 3ML SOL. INJ. P-RF


CUTIE X 10 FIOLE DIN STICLA INCOLORA X 3ML SOL. INJ.

P-RF

ROMANIA CUTIE CU 5 FIOLE DIN STICLA INCOLORA X 3 ML SOL. INJ./PERF. P-RF


ROMANIA CUTIE X 2 FOLII TERMOSUDANTE X 3 SUPOZ. P-6L

NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FOLIE PVC/PE-JD X 5 SUPOZ. P-6L

SINTOFARM SA
MAGISTRA C & C

NOVARTIS PHARMA GMBH

ROMANIA CUTIE X 2 FOLII PVC/PE X 5 SUPOZ. P-6L


ROMANIA CUTIE X 2 FOLII TERMOSUDATE PVC/PE X 5 SUPOZ. P-6L
GERMANIA CUTIE X 2 FOLII PVC/PEJD X 5 SUPOZ. P-6L

5
20
30
30
10
10
20
20
30
20
20
20
20
10
30
20
20
30
5
5
5
5
5
5
10
5
6
5
10
10
10

34.53
47.70
20.49
6.39
3.93
6.56
8.55
8.21
5.72
6.56
4.25
3.04
2.27
2.34
5.72
2.54
2.65
3.98
9.40
6.10
14.24
6.10
6.10
6.10
12.22
4.05
3.94
5.47
6.95
5.10
9.45

6.906000
2.385000
0.683000
0.213000
0.393000
0.656000
0.427500
0.410500
0.190666
0.328000
0.212500
0.152000
0.113500
0.234000
0.190666
0.127000
0.132500
0.132666
1.880000
1.220000
2.848000
1.220000
1.220000
1.220000
1.222000
0.810000
0.656666
1.094000
0.695000
0.510000
0.945000

6.906000
2.385000
0.471600
0.136200
0.393000
0.492600
0.427500
0.410500
0.190666
0.136200
0.136200
0.136200
0.113500
0.136200
0.190666
0.127000
0.132500
0.132666
0.972000
0.972000
0.972000
0.972000
0.972000
0.972000
0.972000
0.810000
0.612000
0.612000
0.612000
0.510000
0.945000

6.906000
2.385000
0.471600
0.136200
0.393000
0.492600
0.427500
0.410500
0.190666
0.136200
0.136200
0.136200
0.113500
0.136200
0.190666
0.127000
0.132500
0.132666
0.972000
0.972000
0.972000
0.972000
0.972000
0.972000
0.972000
0.810000
0.612000
0.612000
0.612000
0.510000
0.945000

Tratamentul se initiaza si se monitorizeaza de catre medicul in specialitatea reumatologie sau recuperare medicina fizica balneofizioterapie (unitati sanitare nominalizate de catre Ministerul Sanatatii pt
specialitatea recuperare, medicina fizica balneofizioterapie )

18. BOLI ENDOCRINE (GUSA ENDEMICA, INSUFICIENTA SUPRARENALA CRONICA, DIABETUL INSIPID, MIXEDEMUL ADULTULUI, TUMORI HIPOFIZARE CU EXPANSIUNE SUPRASELARA SI TUMORI NEUROENDOCRINE) G 22
1
2
3
4
5
6
7
8

G02CB03
G02CB03

H01AX01
H01AX01
H01BA02
H01BA02
H01BA02
H01BA02

CABERGOLINUM**
CABERGOLINUM**
PEGVISOMANTUM****
PEGVISOMANTUM****
DESMOPRESSINUM
DESMOPRESSINUM
DESMOPRESSINUM
DESMOPRESSINUM

DOSTINEX
DOSTINEX
SOMAVERT 10 mg
SOMAVERT 20 mg

COMPR.
COMPR.
LIOF. + SOLV. PT. SOL. INJ.
LIOF. + SOLV. PT. SOL. INJ.

DESMOPRESINA TEVA 0,2mg COMPR.

MINIRIN 0,2 mg
MINIRIN MELT 120 mcg
MINIRIN MELT 60 mcg

COMPR.
LIOF. ORAL
LIOF. ORAL

0,5mg
0,5mg
10mg
20mg
0,2mg
0,2mg
120mcg
60mcg

PFIZER EUROPE MA EEG

MAREA BRITANIE

PFIZER EUROPE MA EEG

MAREA BRITANIE

CUTIE X 1 FLAC. X 2 COMPR.


CUTIE X 1 FLAC. X 8 COMPR.

P-RF

MAREA BRITANIE

CUTIE X 30 FLAC. CU PULB., INSOTITE DE 30 FLAC. X 8 ML SOLV. PT. RECONSTITUIRE

P-RF/R

MAREA BRITANIE

CUTIE X 30 FLAC. CU LIOF., INSOTITE DE 30 FLAC. A 8 ML SOLV. PT. RECONSTITUIRE

P-RF/R

ROMANIA

CUTIE CU BLIST. OPA-AL- PVC/AL X 30 COMPR. P-RF

PFIZER LIMITED
PFIZER LIMITED

TEVA PHARMACEUTICAL S.R.L.

FERRING GMBH
FERRING GMBH
FERRING GMBH

Pagina 32 din 42

P-RF

GERMANIA CUTIE X 1 FLAC. DIN PEID X 30 COMPR. P-RF


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

2
8
30
30
30
30
30
30

43.59
123.74
8,603.01
17,135.17

128.50
120.65
185.47
98.08

21.795000 18.561000 18.561000


15.467500 15.467500 15.467500
286.767000 286.767000 286.767000
571.172333 571.172333 571.172333
4.283333
4.283333
4.283333
4.021666
4.021666
4.021666
6.182333
6.182333
6.182333
3.269333
3.269333
3.269333

NR.CRT

9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38

COD ATC

H01CB02
H01CB02
H01CB02
H01CB02
H01CB03
H01CB03
H02AA02
H02AB06
H02AB06
H02AB07
H02AB07
H02AB07
H02AB07
H02AB07
H02AB09
H02AB09
H02AB09
H02AB09
H02AB09
H03AA01
H03AA01
H03AA01
H03AA01
H03AA01
H03AA01
H03CA01
H03CA01
H03CA01
H03CA01
N04BC01

DCI

OCTREOTIDUM****
OCTREOTIDUM****
OCTREOTIDUM****
OCTREOTIDUM****
LANREOTIDUM****
LANREOTIDUM****
FLUDROCORTISONUM
PREDNISOLONUM
PREDNISOLONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
HYDROCORTISONUM
HYDROCORTISONUM
HYDROCORTISONUM
HYDROCORTISONUM
HYDROCORTISONUM
LEVOTHYROXINUM
LEVOTHYROXINUM
LEVOTHYROXINUM
LEVOTHYROXINUM
LEVOTHYROXINUM
LEVOTHYROXINUM
KALII IODIDUM
KALII IODIDUM
KALII IODIDUM
KALII IODIDUM
BROMOCRIPTINUM

forma farm.

Denumire Comerciala

SANDOSTATIN LAR 20 mg
SANDOSTATIN LAR 10 mg
SANDOSTATIN LAR 30 mg
SANDOSTATIN (R)
SOL. INJ.
SOMATULINE (R) PR 30 mg LIOF. PT. SOL. INJ. + SOLV.
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.

SOMATULINE AUTOGEL 120 mg

ASTONIN H
SOLU - DECORTIN H 250
SOLU - DECORTIN H 50
PREDNISON MCC 5 mg
PREDNISON ARENA 5 mg
N - PREDNISON
PREDNISON 5 mg

SOL. INJ. CU ELIB. PREL.

COMPR.
LIOF. + SOLV. PT. SOL. INJ.
LIOF. + SOLV. PT. SOL. INJ.

COMPR.
COMPR.
COMPR.
COMPR.
PREDNISON - RICHTER 5 mg COMPR.
HYDROCORTISONE ROUSSEL COMPR.
HYDROCORTISONE 100 mg LIOF. + SOLV. PT. SOL. INJ.
HYDROCORTISONE SUCCINAT SODIC LIOF. + SOLV. PT. SOL. INJ.

HYDROCORTISONE 500 mg
HIDROCORTIZON HEMISUCCINAT
L-THYROXIN 100 BERLIN - CHEMIE

EUTHYROX 100mcg
EUTHYROX 200mcg
EUTHYROX 25mcg
L-THYROXIN 50
EUTHYROX 50mcg
JODID 100
JODID 100
JODID 200
JODID 200
BROCRIPTIN (N04BC01)

LIOF. PT. SOL. INJ. + SOLV.

SOL. INJ. I.V.


COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
DRAJ.

concentratie

20mg
10mg
30mg
0,1mg/ml
30mg
120mg
0,1mg
250mg
50mg
5mg
5mg
5mg
5mg
5mg
10mg
100mg
100mg
500mg
25mg/5ml
100mcg
100mcg
200mcg
25mcg
50mcg
50mcg
100mcg
100mcg
200mcg
200mcg
2,5mg

DETINATOR APP

TARA
DET. APP

AMBALAJ

Prescriptie

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 1 FLAC. PULBERE + 1 SERINGA PREUMPLUTA X 2,5 ML SOLVENT + 2 ACE

S/P-RF

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 1 FLAC. PULBERE + 1 SERINGA PREUMPLUTA X 2,5 ML SOLVENT + 2 ACE

S/P-RF

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 1 FLAC. PULB. + 1 SERINGA PREUMPLUTA X 2,5 ML SOLVENT + 2 ACE

S/P-RF

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 5 FIOLE X 1 ML

S/P-RF

BEAUFOUR IPSEN PHARMA

CUTIE X 1 FLACON LIOF. + 1 FIOLA X 2 ML SOLV. + 1 SERINGA X 3 ML + 2 ACE

IPSEN PHARMA
MERCK KGAA
MERCK KGAA
MERCK KGAA

FRANTA
FRANTA

MERCK KGAA
MERCK KGAA
MERCK KGAA
BERLIN CHEMIE AG MENARINI GROUP

MERCK KGAA
MERCK KGAA
MERCK KGAA
MERCK KGAA
MERCK KGAA
BIOFARM SA

Tratamentul se initiaza de catre medicul in specialitatea endocrinologie sau oncologie

Pagina 33 din 42

S/P-RF

GERMANIA CUTIE X 1 FLAC. DIN PP X 50 COMPR. P-RF


GERMANIA

CUTIE X 3 FLAC. DIN STICLA INCOLORA X 250 MG FIOF. PT. SOL. INJ. + 3 FIOLE X 5 ML SOLV.

P-RF

GERMANIA

CUTIE X 3 FLAC. X 50 MG LIOF. PT. SOL. INJ. + 3 FIOLE X 1 ML SOLVENT

P-RF

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P-RF

MAGISTRA C&C S.R.L. ROMANIA


ARENA GROUP SA ROMANIA
MEDUMAN SA
ROMANIA
SINTOFARM SA
ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
CN UNIFARM
ROMANIA
STADA HEMOFARM S.R.L. ROMANIA
E.I.P.I.CO. MED S.R.L. ROMANIA
STADA HEMOFARM S.R.L. ROMANIA
ZENTIVA S.A.
ROMANIA
BERLIN CHEMIE AG MENARINI GROUP

CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. CU ELIB. PREL., IN PUNGA AL/NYLON/PE + AC

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

CUTIE X 1 FLAC. 25 COMPR.

P-RF

PRF

CUTIE X 1 FLAC. LIOF. + 1 FIOLA X 2 ML SOLV. P-RF


CUTIE X 1 FLAC. DIN STICLA INCOLORA CU LIOF. PT. SOL. INJ. + 1 FIOLA SOLV. X 2 ML

S/P-RF

CUTIE X 1 FLAC. LIOF. + 1 FIOLA X 4 ML SOLV. P-RF


CUTIE X 5 FIOLE X 1 ML SOL. A + 5 FIOLE X 4 ML SOL. B

S/P-RF

GERMANIA CUTIE X 4 BLIST. PVC-PVDC/AL X 25 COMPR.

P-6L

GERMANIA CUTIE X 4 BLIST. PP/AL X 25 COMPR. P-6L


GERMANIA CUTIE X 4 BLIST. AL/PP X 25 COMPR. P-6L
GERMANIA CUTIE X 4 BLIST. PP/AL X 25 COMPR. P-6L
GERMANIA CUTIE X 4 BLIST. PVC-PVDC/AL X 25 COMPR.

P-6L/S

GERMANIA CUTIE X 4 BLIST. PP/AL X 25 COMPR. P-6L


GERMANIA CUTIE X 4 BLIST. AL/PP X 25 COMPR. P-RF
GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 COMPR. P-RF
GERMANIA CUTIE X 4 BLIST. PP/AL X 25 COMPR. P-RF
GERMANIA CUTIE X 4 BLIST. PVC/AL X 25 COMPR. P-RF

ROMANIA CUTIE X 2 BLIST. AL/PVC X 20 DRAJ.

P-RF

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ambal
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
aj
(RON)
(RON)
ADULTI
a) si f)

1
1
1
5
1
1
50
3
3
20
30
30
30
20
25
1
1
1
5
100
100
100
100
100
100
100
100
100
100
40

3,829.62 3,829.620000 3,829.620000 3,829.620000


2,400.54 2,400.540000 2,400.540000 2,400.540000
5,288.92 5,288.920000 5,288.920000 5,288.920000

152.62

30.524000

30.524000

30.524000

1,573.19 1,573.190000 1,573.190000 1,573.190000


5,089.12 5,089.120000 5,089.120000 5,089.120000

47.78
95.62
35.71
2.65
2.62
2.47
3.71
2.57
12.20
3.91
3.91
11.91
21.33
12.48
11.69
24.14
9.51
8.40
8.27
12.33
12.33
19.23
19.23
21.16

0.955600
31.873333
11.903333
0.132500
0.087333
0.082333
0.123666
0.128500
0.488000
3.910000
3.910000
11.910000
4.266000
0.124800
0.116900
0.241400
0.095100
0.084000
0.082700
0.123300
0.123300
0.192300
0.192300
0.529000

0.955600
31.873333
11.903333
0.098799
0.087333
0.082333
0.098799
0.098799
0.488000
3.910000
3.910000
11.910000
4.266000
0.124800
0.116900
0.241400
0.095100
0.084000
0.082700
0.123300
0.123300
0.192300
0.192300
0.529000

0.955600
31.873333
11.903333
0.098799
0.087333
0.082333
0.098799
0.098799
0.488000
3.910000
3.910000
11.910000
4.266000
0.124800
0.116900
0.241400
0.095100
0.084000
0.082700
0.123300
0.123300
0.192300
0.192300
0.529000

NR.CRT

COD ATC

19. BOALA WILSON - G23


1
2

M01CC01
M01CC01

DCI

PENICILLAMINUM**4)
PENICILLAMINUM**4)

forma farm.

Denumire Comerciala

CUPRENIL
CUPRENIL

COMPR. FILM.
COMPR. FILM.

concentratie

250mg
250mg

DETINATOR APP

CN UNIFARM
CN UNIFARM

TARA
DET. APP

AMBALAJ

ROMANIA CUTIE X 1FLAC. X 100 COMPR. FILM.


ROMANIA CUTIE X 30 CPR.FILM.

Prescriptie

P-RF
P-RF

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ambal
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
aj
(RON)
(RON)
ADULTI
a) si f)

100 113.72
30 37.44

1.137200
1.248000

1.137200
1.248000

1.137200
1.248000

468.00 16.714285
931.18 33.256428
902.02 180.404000
474.83 94.966000
149.77 29.954000
1,728.54 288.090000
218.42 36.403333
425.83 70.971666
788.23 788.230000
603.73 100.621666

16.714285
33.256428
180.404000
94.966000
29.954000
288.090000
36.403333
70.971666
788.230000
100.621666

16.714285
33.256428
180.404000
94.966000
29.954000
288.090000
36.403333
70.971666
788.230000
100.621666

Tratamentul se initiaza de catre medicul in specialitatea endocrinologie sau neurologie

20. BOALA CRONICA DE RINICHI - faza predializa - G 25


1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38

A11CC07
A11CC07
A11CC07
A11CC07

PARICALCITOLUM**
PARICALCITOLUM**
PARICALCITOLUM**
PARICALCITOLUM**

B03AC02 COMPLEX DE HIDROXID DE FER (III) SUCROZA**

B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04

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**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**

ZEMPLAR 1mcg
ZEMPLAR 2mcg
ZEMPLAR
ZEMPLAR
VENOFER (R)
BINOCRIT 10000UI/1,0ml
BINOCRIT 1000UI/0,5ml
BINOCRIT 2000UI/1,0ml
BINOCRIT 30000UI/0,75ml
BINOCRIT 3000UI/0,3ml
EPREX 40000 UI/ml
BINOCRIT 40000 UI/1 ml
BINOCRIT 4000UI/0,4ml
BINOCRIT 5000UI/0,5ml
NEORECORMON 10000UI/0,6ml
NEORECORMON 2000UI/0,3ml
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
ARANESP 20mcg/0,5ml
ARANESP 300mcg/0,6ml
ARANESP 30mcg/0,3ml
ARANESP 40mcg/0,4ml
ARANESP 500mcg/ml
ARANESP 50mcg/0,5ml
ARANESP 60mcg/0,3ml
ARANESP 80mcg/0,4ml
APROVEL 150mg

CAPS. MOI
CAPS. MOI
SOL. INJ.
SOL. INJ.
SOL. INJ./PERF.

SOL. INJ. IN SERINGA PREUMPLUTA

SPANIA CUTIE X 4 BLIST. PVC/FLUOROPOLIMER/AL X 7 CAPS. MOI P-RF


SPANIA CUTIE X 4 BLIST. PVC/FLUOROPOLIMER/AL X 7 CAPS. P-RF
ABBOTT LABORATORIES LTD. SPANIA
CUTIE X 5 FIOLE X 2 ML SOL. INJ. S
ABBOTT LABORATORIES LTD. SPANIA
CUTIE X 5 FIOLE X 1 ML SOL. INJ. S
VIFOR FRANCE S.A. FRANTA CUTIE X 5 FIOLE X 5 ML
S/P-RF
10000UI/1,0ml SANDOZ GMBH
AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ.
1000UI/0,5ml SANDOZ GMBH
AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ.
2000UI/1,0ml SANDOZ GMBH
AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ.
30000UI/0,75ml SANDOZ GMBH
AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,75ML SOL. INJ. P-RF/R
3000UI/0,3ml SANDOZ GMBH
AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ.
40 000UI/ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE CU 1 SERINGA PREUMPLUTA X 1 ML SOL. INJ. S/P-RF
40000 UI/1 ml SANDOZ GMBH
AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 1ML SOL. INJ. P-RF/R
4000UI/0,4ml SANDOZ GMBH
AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,4ML SOL. INJ.
5000UI/0,5ml SANDOZ GMBH
AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ.

SOL. INJ. IN SERINGA PREUMPLUTA

10000UI/0,6ml

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 6 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ. + 6 ACE

S/P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

2000UI/0,3ml

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. X 6 ACE

S/P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

30000 UI/0,6ml ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 1 SERINGA PRE-UMPLUTA X 0,6 ML + 1 AC

S/P-RF/R

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE

S/P-RF/R

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE

S/P-RF/R

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ. + 6 ACE

S/P-RF/R

100mcg/0,5ml AMGEN EUROPE BV OLANDA

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML

P-RF/R

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML

P-RF/R

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
SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA


SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA

COMPR. FILM.
IRBESARTAN WINTHROP 150mg COMPR. FILM.
IRBESARTAN TERAPIA 150 mg COMPR. FILM.
IRBESARTAN SANDOZ 150 mg COMPR. FILM.
IRBEGAMMA 150 mg
COMPR. FILM.
IRBEGAMMA 150 mg
COMPR. FILM.
IRPRESTAN 150 mg
COMPR. FILM.

1mcg
2mcg
5 mcg/ml
5 mcg/ml
20mg/ml

ABBOTT LABORATORIES LTD.


ABBOTT LABORATORIES LTD.

S/P-RF/R

S/P-RF/R

S/P-RF/R

S/P-RF/R

S/P-RF/R

S/P-RF/R

4000UI/0,3ml
5000UI/0,3ml
500UI/0,3ml

10mcg/0,4ml AMGEN EUROPE BV


150mcg/0,3ml AMGEN EUROPE BV
20mcg/0,5ml AMGEN EUROPE BV
300mcg/0,6ml AMGEN EUROPE BV
30mcg/0,3ml AMGEN EUROPE BV
40mcg/0,4ml AMGEN EUROPE BV
500mcg/ml AMGEN EUROPE BV
50mcg/0,5ml AMGEN EUROPE BV
60mcg/0,3ml AMGEN EUROPE BV
80mcg/0,4ml AMGEN EUROPE BV
150mg
SANOFI PHARMA - BRISTOL MYERS SQUIBB
150mg
SANOFI PHARMA - BRISTOL MYERS SQUIBB
150mg
TERAPIA S.A.
150mg
SANDOZ S.R.L.
150mg
WORWAG PHARMA GMBH & CO. KG
150mg
WORWAG PHARMA GMBH & CO. KG
150mg
ACTAVIS GROUP PTC EHF.

Pagina 34 din 42

OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
FRANTA
FRANTA

ROMANIA
ROMANIA

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML

P-RF/R

CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 0,6 ML

P-RF/R

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML

P-RF/R

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML

P-RF/R

CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 1 ML

P-RF/R

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML

P-RF/R

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML

P-RF/R

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML

P-RF/R

CUTIE X BLIST PVC/PVDC/AL X 28 COMPR. FILM.

P-6L

CUTIE X 28 COMPR. FILM. (BLIST. PVC/PVDC/AL)

P-6L

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.

P-6L

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-6L

GERMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L


GERMANIA CUTIE CU BLIST. PVC-PVDC/AL X 100 COMPR. FILM. P-6L

ISLANDA

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM.

P-6L

28
28
5
5
5
6
6
6
1
6
1
1
6
6
6
6
1
6
6
6
4
4
4
4
1
4
4
1
4
4
4
28
28
28
28
30
100
30

1,353.47 1,353.470000 1,193.316000 1,193.316000

994.43 994.430000 994.430000 994.430000


781.57 130.261666 130.261666 130.261666
959.37 159.895000 159.895000 159.895000
2,346.60 391.100000 391.100000 391.100000
526.27 87.711666 87.711666 87.711666

1,174.53 1,174.530000 1,174.530000 1,174.530000

981.05 163.508333 163.508333 163.508333


201.383333 201.383333 201.383333
143.93 23.988333 23.988333 23.988333
3,173.01 793.252500 793.252500 793.252500
391.56 97.890000 97.890000 97.890000

1,208.30

4,708.35 1,177.087500 1,177.087500 1,177.087500

702.64 175.660000 175.660000 175.660000

2,208.61 2,208.610000 2,208.610000 2,208.610000


1,009.47
1,318.95

252.367500 252.367500 252.367500


329.737500 329.737500 329.737500

3,633.81 3,633.810000 3,633.810000 3,633.810000


1,626.76
1,937.17
2,555.95

66.75
44.88
54.57
33.50
38.29
121.22
33.50

406.690000 406.690000 406.690000


484.292500 484.292500 484.292500
638.987500 638.987500 638.987500
2.383928
1.339999
1.339999
1.602857
1.339999
1.339999
1.948928
1.339999
1.339999
1.196428
1.196428
1.196428
1.276333
1.276333
1.276333
1.212200
1.212200
1.212200
1.116666
1.116666
1.116666

NR.CRT

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

COD ATC

C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
H02AB07
H02AB07
H02AB07
H02AB07
H02AB07

L01AA01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01

L04AX01
L04AX01
L04AX01
V06DDN1

DCI

IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
CYCLOPHOSPHAMIDUM
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
AZATHIOPRINUM*
AZATHIOPRINUM*
AZATHIOPRINUM*
COMBINATII (AMINOACIZI)**

Denumire Comerciala

forma farm.

IFIRMASTA 150 mg
COMPR. FILM.
IRBESARTAN TEVA 150 mg COMPR. FILM.
IRBESARTAN DR. REDDY'S 150 mg COMPR. FILM.
DEPALONG 150 mg
COMPR. FILM.
ATOKKEN 150 mg
COMPR. FILM.
IRBESARTAN TEVA 300 mg COMPR. FILM.
APROVEL 300mg
COMPR. FILM.
IRBESARTAN WINTHROP 300mg COMPR. FILM.
IRBESARTAN TERAPIA 300 mg COMPR. FILM.
IRBESARTAN SANDOZ 300 mg COMPR. FILM.
IRBEGAMMA 300 mg
COMPR. FILM.
IRBEGAMMA 300 mg
COMPR. FILM.
IRPRESTAN 300 mg
COMPR. FILM.
IFIRMASTA 300mg
COMPR. FILM.
IRBESARTAN DR. REDDY'S 300 mg COMPR. FILM.
DEPALONG 300 mg
COMPR. FILM.
ATOKKEN 300 mg
COMPR. FILM.
IRBEGAMMA 75 mg
COMPR. FILM.
ATOKKEN 75 mg
COMPR. FILM.
PREDNISON MCC 5 mg
COMPR.
PREDNISON ARENA 5 mg COMPR.
N - PREDNISON
COMPR.
PREDNISON 5 mg
COMPR.
PREDNISON - RICHTER 5 mg COMPR.
ENDOXAN (R) 50 mg
DRAJ.
EQUORAL (R) 100 mg
CAPS. MOI
SANDIMMUN NEORAL (R) CAPS. MOI
EQUORAL (R) 25 mg
CAPS. MOI
SANDIMMUN NEORAL (R) CAPS. MOI
EQUORAL (R) 50 mg
CAPS. MOI
CICLORAL 50 mg
CAPS. MOI
IMMUNOPRIN 100 mg
COMPR. FILM.
IMURAN (R)
COMPR. FILM.
IMMUNOPRIN 75 mg
COMPR. FILM.
KETOSTERIL
COMPR. FILM.

concentratie

150mg
150mg
150mg
150mg
150mg
300 mg
300mg
300mg
300mg
300mg
300mg
300mg
300mg
300mg
300mg
300mg
300mg
75mg
75mg
5mg
5mg
5mg
5mg
5mg
50mg
100mg
25mg
25mg
50mg
50mg
50mg
100mg
50mg
75mg

FARA CONCENTRATIE

TARA
DET. APP
KRKA ,D.D., NOVO MESTO SLOVENIA
DETINATOR APP

TEVA PHARMA B.V. OLANDA

DR. REDDY'S LABORATORIES

AMBALAJ

Prescriptie

CUTIE X BLIST. PVC/PE/PVDC/AL X 28 COMPR. FILM. P-6L

CUTIE X BLIST. PVC/PVDC/AL X 28 COMPR. FILM. P-6L

ROMANIA CUTIE CU 2 BLIST. AL/AL X 14 COMPR. FILM. P6L


CUTIE CU 2 BLIST. PVC-PCTFE/AL X 14 COMPR. FILM. P6L
ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P6L

MEDANA PHARMA S.A. POLONIA


ROMASTRU TRADING SRL

TEVA PHARMA B.V. OLANDA


SANOFI PHARMA - BRISTOL MYERS SQUIBB
FRANTA
SANOFI PHARMA - BRISTOL MYERS SQUIBB
FRANTA
TERAPIA S.A.
ROMANIA
SANDOZ S.R.L.
ROMANIA

CUTIE X BLIST. PVC/PVDC/AL X 28 COMPR. FILM. P-6L


CUTIE X BLIST PVC/PVDC/AL X 28 COMPR. FILM.

P-6L

CUTIE X 28 COMPR. FILM. (BLIST. PVC/PVDC/AL)

P-6L

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.

P-6L

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. PVC-PVDC/AL X 100 COMPR. FILM. P-6L

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM.

P-6L

KRKA ,D.D., NOVO MESTO SLOVENIA CUTIE X BLIST. PVC/PE/PVDC/AL X 28 COMPR. FILM. P-6L

ROMASTRU TRADING SRL

ROMANIA CUTIE CU 2 BLIST. AL/AL X 14 COMPR. FILM. P6L


CUTIE CU 2 BLIST. PVC-PCTFE/AL X 14 COMPR. FILM. P6L
ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. PVC-PVDC/AL X 100 COMPR. FILM. P-6L

DR. REDDY'S LABORATORIES

MEDANA PHARMA S.A. POLONIA

ROMANIA
MAGISTRA C&C S.R.L. ROMANIA
ARENA GROUP SA ROMANIA
MEDUMAN SA
ROMANIA
SINTOFARM SA
ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
ROMASTRU TRADING SRL

CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM.

P6L

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P-RF
P-RF

CUTIE X 1 FLAC. X 30 COMPR.

P-RF

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.


CUTIE X 2 BLIST. AL./PVC X 10 COMPR.

P-RF
P-RF

BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ. P-RF


IVAX - PHARMACEUTICALS S.R.O.

CEHIA

CUTIE X 5 BLIST. X 10 CAPS. MOI


CUTIE X 10 BLIST. X 5 CAPS. MOI
CEHIA
CUTIE X 5 BLIST. X 10 CAPS. MOI
GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI
CEHIA
CUTIE X 5 BLIST. X 10 CAPS. MOI

S/P-RF

NOVARTIS PHARMA GMBH GERMANIA

S/P-RF

IVAX - PHARMACEUTICALS S.R.O.

S/P-RF

NOVARTIS PHARMA GMBH


IVAX - PHARMACEUTICALS S.R.O.

HEXAL AG
EBEWE PHARMA GES.M.B.H. NFG KG

S/P-RF
S/P-RF

GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI

S/P-RF

CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM.

S/P-RF

AUSTRIA CUTIE CU 1 FLAC. PEID X 50 COMPR. FILM. PR

THE WELLCOME FOUNDATION LTD. MAREA BRITANIE


EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRIA

FRESENIUS KABI DEUTSCHLAND GMBH

GERMANIA CUTIE X 5 BLIST. DIN PVC/AL X 20 COMPR. FILM. P-RF

CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM.

PR

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ambal
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
aj
(RON)
(RON)
ADULTI
a) si f)

28
28
28
28
28
28
28
28
28
28
30
100
30
28
28
28
28
100
28
20
30
30
30
20
50
50
50
50
50
50
50
50
100
100
100

37.35
33.50
44.94
44.88
44.88
57.50
88.08
60.27
71.28
64.85
64.58
193.87
48.64
60.27
60.27
60.27
60.29
91.26
40.39
2.65
2.62
2.47
3.71
2.57
26.13
471.31
137.32
94.13
292.16
189.90
305.21
55.38
80.90
78.89
233.98

1.333928
1.196428
1.605000
1.602857
1.602857
2.053571
3.145714
2.152500
2.545714
2.316071
2.152666
1.938700
1.621333
2.152500
2.152500
2.152500
2.153214
0.912600
1.442500
0.132500
0.087333
0.082333
0.123666
0.128500
0.522600
9.426200
2.746400
1.882600
5.843200
3.798000
6.104200
1.107600
0.809000
0.788900
2.339800

1.333928
1.196428
1.339999
1.339999
1.339999
1.945599
1.945599
1.945599
1.945599
1.945599
1.945599
1.938700
1.621333
1.945599
1.945599
1.945599
1.945599
0.912600
1.095120
0.098799
0.087333
0.082333
0.098799
0.098799
0.522600
9.426200
2.259120
1.882600
4.557600
3.798000
4.557600
1.107600
0.809000
0.788900
2.339800

1.333928
1.196428
1.339999
1.339999
1.339999
1.945599
1.945599
1.945599
1.945599
1.945599
1.945599
1.938700
1.621333
1.945599
1.945599
1.945599
1.945599
0.912600
1.095120
0.098799
0.087333
0.082333
0.098799
0.098799
0.522600
9.426200
2.259120
1.882600
4.557600
3.798000
4.557600
1.107600
0.809000
0.788900
2.339800

27.37
40.75
50.95
15.39
3.11
4.98

27.370000
40.750000
50.950000
15.390000
3.110000
4.980000

27.370000
32.844000
50.950000
15.390000
3.110000
4.980000

27.370000
32.844000
50.950000
15.390000
3.110000
4.980000

Tratamentul se initiaza de catre medicul in specialitatea nefrologie. Medicamentele specifice se prescriu numai pentru pacientii inclusi in Programul National de supleere a functiei renale la bolnavii cu
insuficienta renala cronica.

21. GLAUCOM - G 26
1
2
3
4
5
6

S01EC03
S01EC03
S01EC04
S01ED01
S01ED01
S01ED01

DORZOLAMIDUM
DORZOLAMIDUM
BRINZOLAMIDUM
TIMOLOLUM
TIMOLOLUM
TIMOLOLUM

DORZOPT 20 mg/ml
TRUSOPT
AZOPT 10mg/ml
NYOLOL GEL
TIMOLOL ROMPHARM 0,25%
TIMOLOL ROMPHARM 0,5%

PIC. OFT., SOL


SOL. OFT.

20mg/ml
20mg/ml
PICATURI OFT.-SUSP. 10mg/ml
GEL OFT.
1mg/g
PIC. OFT., SOL. 2,5mg/ml
PIC. OFT.,SOL. 5mg/ml

ROMPHARM COMPANY SRL

ROMANIA CUTIE X 1 FLAC. PEJD X 5 ML PIC. OFT., SOL

MERCK SHARP & DOHME ROMANIA

CUTIE X 1 FLACON TIP OCULOMETER PLUS X 5 ML SOL. OFT.

P-RF

P-6L

CUTIE X 1 FLACON PEJD X 5 ML

P-6L

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 1 FLACON DIN PEID X 5 G GEL OFTALMIC , PREVAZUT CU PICURATOR

P-6L

ROMANIA
ROMANIA

CUTIE X 1 FLAC. PICURATOR DIN PEID X 5 ML PIC. OFTALMICE, SOL.

P-6L

CUTIE X 1 FLAC. PICURATOR DIN PEID X 5 ML PIC. OFTALMICE, SOL.

P-6L

ALCON LABORATORIES LTD.

ROMPHARM COMPANY SRL


ROMPHARM COMPANY SRL

Pagina 35 din 42

MAREA BRITANIE

1
1
1
1
1
1

NR.CRT

7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28

COD ATC

S01ED01
S01ED01
S01ED01
S01ED02
S01ED02
S01ED02
S01ED05
S01ED05
S01ED05

DCI

TIMOLOLUM
TIMOLOLUM
TIMOLOLUM
BETAXOLOLUM
BETAXOLOLUM
BETAXOLOLUM
CARTEOLOLUM
CARTEOLOLUM
CARTEOLOLUM

S01ED51 COMBINATII (BIMATOPROSTUM + TIMOLOLUM)


S01ED51 COMBINATII (DORZOLAMIDUM+TIMOLOLUM)

Denumire Comerciala

TIMOPTIC
TIMOLOL 0,25%
TIMOLOL 0,5%
BETAX
BETOPTIC
BETOPTIC - S
FORTINOL EP 2%
CARTEOL 2%
CARTEOL 2%
GANFORT
COSOPT

S01ED51 COMBINATII (LATANOPROSTUM+TIMOLOLUM) XALOPTIC COMBI 50 micrograme/ml + 5 mg/ml


S01ED51 COMBINATII (LATANOPROSTUM+TIMOLOLUM)
S01ED51 COMBINATII (TAVOPROSTUM+TIMOLOLUM)

S01EE01
S01EE01
S01EE01
S01EE01
S01EE01
S01EE03
S01EE03
S01EE04

LATANOPROSTUM
LATANOPROSTUM
LATANOPROSTUM
LATANOPROSTUM
LATANOPROSTUM
BIMATOPROSTUM
BIMATOPROSTUM
TRAVOPROSTUM

XALCOM (R)

forma farm.

PIC. OFT.-SOL.
PICATURI OFT.-SOL.
PICATURI OFT.-SOL.

PIC. OFT.-SOL.
PIC.OFTALMICE,SOL.
PICATURI OFT.-SUSP.
PIC. OFTALMICE CU ELIB. PREL.

PICATURI OFT.-SOL.
PICATURI OFT.-SOL.

5mg/ml
0,25%
0,5%
5mg/ml
5mg/ml
0,25%
20mg/ml
2%
20mg/ml

TARA
DET. APP
AMBALAJ
MERCK SHARP & DOHME ROMANIA CUTIE X 1 FLACON TIP OCUMETER PLUS X 5 ML PIC. OFTALMICE SOL.
E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON PEID, PREVAZUT CU PICURATOR X 5 ML
E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON CU PICURATOR X 5 ML
ROMPHARM SRL
ROMANIA CUTIE X 1 FLACON DIN PEJD X 5 ML PIC. OFTALMICE, SOL.
DETINATOR APP

ALCON COUVREUR NV BELGIA


ALCON COUVREUR NV BELGIA
DR. GERHARD MANN CHEM.PHARM.FABRIK GMBH
GERMANIA

S.I.F.I. SPA
S.I.F.I. SPA

ITALIA
ITALIA
IRLANDA

CUTIE X 1 FLACON DIN PEJD PREV. CU PICURATOR X 5 ML PIC.OFTALMICE, SOL.

Prescriptie

P-6L
P-6L
P-6L
P-6L
P-6L

CUTIE X 1 FLACON DIN PEJD X 5ML PIC. OFT.SUSP. P-6L


CUTIE X 1 FLAC. DIN PEJD X 3 ML PIC. OFTALMICE CU ELIB. PREL.

P-6L

CUTIE X 30 FLACOANE UNIDOZA DIN PEJD X 0,3 ML

P-6L/S

CUTIE X 1 FLACON DIN PEJD X 5 ML PIC. OFTALMICE, SOL.

P-6L

PIC. OFT.,SOL.
PIC. OFT.-SOL.

FARA CONCENTRATIE

MERCK SHARP & DOHME ROMANIA

CUTIE X 1 FLACON DE TIP OCUMETER PLUS X 5ML PIC. OFT., SOL.

P-6L

PIC. OFTALMICE SOL.

50micrograme/ml+5mg/ml

PHARMACEUTICAL WORKS POLPHARMA SA

CUTIE CU 1 FLAC. PEJD X 2,5 ML PIC. OFT., SOL.

SOL. OFT.

FARA CONCENTRATIE

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 1 FLACON X 2,5 ML

P6L
P-6L

40mcg/ml + 5mg/ml ALCON LABORATORIES (UK) LTD.

MAREA BRITANIE

CUTIE X 1 FLAC. DIN PP X 2,5 ML PIC. OFTALMICE,SOLUTIE

P-RF

DUOTRAV 40mcg/ml + 5mg/ml PIC. OFT.-SOL.


XALAPROST 50 micrograme/ml PIC. OFT., SOL

UNILAT 50 micrograme/ml
GLAUTAN 0,05 mg/ml
XALATAN (R)
XALOPTIC
LUMIGAN 0,1mg/ml
LUMIGAN 0,3mg/ml
TRAVATAN 40mcg/ml

concentratie

300mcg/ml+5mg/ml

ALLERGAN PHARMACEUTICALS IRELAND

POLONIA

CUTIE CU 1 FLAC. PEJD CU PICURATOR PEJD X 2,5 ML PIC. OFT., SOL.

P-6L

UNIMED PHARMA SPOL. S.R.O.

REPUBLICA SLOVACA

CUTIE CU 1 FLAC. PICURATOR PE X 2,5 ML PIC. OFT., SOL.

P-6L

ROMPHARM COMPANY SRL

ROMANIA

PFIZER EUROPE MA EEIG

MAREA BRITANIE

50micrograme/ml ICN POLFA RZESZOW S.A.

PIC. OFT., SOL. 50micrograme/ml


PIC. OFT.,SOL. 0,05mg/ml
PICATURI OFT.-SOL. 0,005%
PICATURI OFT.-SOL. 0,005%
PIC. OFT.,SOL. 0,1mg/ml
PIC. OFT.,SOL. 0,3mg/ml
PICATURI OFT.SOL. 40mcg/ml

POLONIA

CUTIE X 1 FLAC. DIN PEJD X 3 ML PIC.OFT.SOL. P-RF

ALLERGAN PHARMACEUTICALS IRELAND

POLONIA
IRLANDA
IRLANDA

ALCON LABORATORIES LTD.

MAREA BRITANIE

PHARMACEUTICAL WORKS POLPHARMA SA

ALLERGAN PHARMACEUTICALS IRELAND

CUTIE CU 1 FLAC. PEJD CU CAPACITATEA DE 5 ML+PICURATOR DIN PEJD, CU CAPAC DE SIGURANTA DIN PEJD X 2,

P6L

CUTIE X 1 FLACON PICURATOR PE X 2,5 ML P-6L


CUTIE X 1 FLACON PICURATOR PEJD X 2,5 ML PIC. OFT. SOL.

P-6L

CUTIE X 1 FLAC. DIN PEJD X 3 ML PIC. OFT. SOL. P-RF


CUTIE X 1 FLAC. DIN PEJD X 3 ML PIC. OFT. SOL. P-RF

CUTIE X 1 FLACON X 2,5 ML

P-6L

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ambal
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
aj
(RON)
(RON)
ADULTI
a) si f)

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

10.12
3.13
5.41
5.32
15.32
15.32
13.59
33.74
15.95
81.85
69.75
56.71
82.84
88.49
50.73
51.53
51.47
75.25
46.18
76.07
68.27
72.03

10.120000
3.130000
5.410000
5.320000
15.320000
15.320000
13.590000
33.740000
15.950000
81.850000
69.750000
56.710000
82.840000
88.490000
50.730000
51.530000
51.470000
75.250000
46.180000
76.070000
68.270000
72.030000

5.976000
3.130000
5.410000
5.320000
6.384000
15.320000
13.590000
33.740000
15.950000
81.850000
69.750000
56.710000
68.052000
88.490000
50.730000
51.530000
51.470000
55.416000
46.180000
76.070000
68.270000
72.030000

5.976000
3.130000
5.410000
5.320000
6.384000
15.320000
13.590000
33.740000
15.950000
81.850000
69.750000
56.710000
68.052000
88.490000
50.730000
51.530000
51.470000
55.416000
46.180000
76.070000
68.270000
72.030000

Tratamentul se iniiaz de ctre medicul n specialitatea oftalmologie.

22. PEMFIGUS - G 27
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21

H02AB02
H02AB02
H02AB02
H02AB02
H02AB02
H02AB04
H02AB04
H02AB04
H02AB04
H02AB04
H02AB07
H02AB07
H02AB07
H02AB07
H02AB07

J04BA02
L01AA01
L01AA01
L01BA01
L01BA01
L01BA01

DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
DAPSONUM4)
CYCLOPHOSPHAMIDUM
CYCLOPHOSPHAMIDUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM

DEXAMED

0,5mg
8mg
DEXAMETHASONE SODIUM PHOSPHATE
8mg
DEXAMED
8mg/2ml
DEXAMED
8mg/2ml
MEDROL A 16
16mg
MEDROL 32
32mg
MEDROL 4 mg
4mg
LEMOD SOLU 125 mg
LIOF. PT. SOL. INJ. 125mg
LEMOD SOLU 500 mg
LIOF. PT. SOL. INJ. 500mg
PREDNISON MCC 5 mg
COMPR.
5mg
PREDNISON ARENA 5 mg COMPR.
5mg
N - PREDNISON
COMPR.
5mg
PREDNISON 5 mg
COMPR.
5mg
PREDNISON - RICHTER 5 mg COMPR.
5mg
DISULONE
COMPR.
100mg
ENDOXAN (R) 50 mg
DRAJ.
50mg
ENDOXAN 200 mg
PULB. PT. SOL. PERF./INJ. I.V. 200mg
METHOTREXAT "EBEWE" 5000 mg CONC. PT. SOL. INJ./PERF. 100mg/ml
METHOTREXAT "EBEWE" 500 mg CONC. PT. SOL. INJ./PERF. 100mg/ml
METHOTREXAT "EBEWE" 1000 mg CONC. PT. SOL. INJ./PERF. 100mg/ml
DEXAMETHASONE SODIUM PHOSPHATE

COMPR.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
COMPR.
COMPR.
COMPR.

CN UNIFARM S.A.
ROMANIA CUTIE CU 10 BLISTERE X 10 COMPRIMATE PRF
E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. P-RF
E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. P-RF
MEDOCHEMIE LTD. CIPRU
MEDOCHEMIE LTD. CIPRU

CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.

P-RF/S

CUTIE X 10 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 5 BLIST. A-PVC/PVC X 10 COMPR. P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 2 BLIST. AL-PVC/PVC X 10 COMPR. P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

ROMANIA
STADA HEMOFARM S.R.L. ROMANIA
MAGISTRA C&C S.R.L. ROMANIA
ARENA GROUP SA ROMANIA
MEDUMAN SA
ROMANIA
SINTOFARM SA
ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
CN UNIFARM
ROMANIA
STADA HEMOFARM S.R.L.

CUTIE X 1 FLAC. DIN STICLA X 30 COMPR. P-RF


CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 2 ML

S/P-RF

CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 7,8 ML

S/P-RF

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P-RF

P-RF

CUTIE X 1 FLAC. X 30 COMPR.

P-RF

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.


CUTIE X 2 BLIST. AL./PVC X 10 COMPR.

P-RF

CUTIE X 100 COMPR.

P-RF
P-RF

BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ. P-RF

ACTAVIS S.R.L.

EBEWE PHARMA GMBH NFG. KG


EBEWE PHARMA GMBH NFG. KG
EBEWE PHARMA GMBH NFG. KG

Pagina 36 din 42

ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. PERF./INJ S


AUSTRIA CUTIE X 1 FLACON X 50 ML
S
AUSTRIA CUTIE X 5 FIOLE X 5 ML
S
AUSTRIA CUTIE X 1 TUB DIN MATERIAL PLASTIC X 1 FIOLA X 10 ML S

100 18.38
0.183800
0.183800
0.183800
100 123.66
1.236600
1.106160
1.106160
5
6.98
1.396000
1.106160
1.106160
100 92.18
0.921800
0.921800
0.921800
10 10.39
1.039000
1.039000
1.039000
50 32.62
0.652400
0.652400
0.652400
20 29.65
1.482500
1.482500
1.482500
30
6.53
0.217666
0.217666
0.217666
1
8.81
8.810000
8.810000
8.810000
1 31.02 31.020000 31.020000 31.020000
20
2.65
0.132500
0.098799
0.098799
30
2.62
0.087333
0.087333
0.087333
30
2.47
0.082333
0.082333
0.082333
30
3.71
0.123666
0.098799
0.098799
20
2.57
0.128500
0.098799
0.098799
100 32.97
0.329700
0.329700
0.329700
50 26.13
0.522600
0.522600
0.522600
1 15.89 15.890000 15.890000 15.890000
1 400.81 400.810000 400.810000 400.810000
5 241.07 48.214000 48.214000 48.214000
1 89.66 89.660000 89.660000 89.660000

NR.CRT

22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40

COD ATC

L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01

L04AX01
L04AX01
L04AX01

DCI

METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
AZATHIOPRINUM*
AZATHIOPRINUM*
AZATHIOPRINUM*

Denumire Comerciala

forma farm.

METHOTREXAT "EBEWE" 5 mg SOL. INJ.


METOTREXAT EBEWE 10 mg/ml SOL. INJ. IN SERINGA PREUMPLUTA
METOTREXAT EBEWE 10 mg/ml SOL. INJ. IN SERINGA PREUMPLUTA
METOTREXAT EBEWE 10 mg/ml SOL. INJ. IN SERINGA PREUMPLUTA
METOTREXAT EBEWE 10 mg/ml SOL. INJ. IN SERINGA PREUMPLUTA

concentratie

5mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
METOJECT 50mg/ml
SOL. INJ. IN SERINGA PREUMPLUTA
50mg/ml
METOJECT 50mg/ml
SOL. INJ. IN SERINGA PREUMPLUTA
50mg/ml
METOJECT 50mg/ml
SOL. INJ. IN SERINGA PREUMPLUTA
50mg/ml
METOJECT 50mg/ml
SOL. INJ. IN SERINGA PREUMPLUTA
50mg/ml
METHOTREXAT "EBEWE" 50 mg SOL. INJ./PERF. 10mg/ml
EQUORAL (R) 100 mg
CAPS. MOI
100mg
SANDIMMUN NEORAL (R) CAPS. MOI
25mg
EQUORAL (R) 25 mg
CAPS. MOI
25mg
SANDIMMUN NEORAL (R) CAPS. MOI
50mg
EQUORAL (R) 50 mg
CAPS. MOI
50mg
CICLORAL 50 mg
CAPS. MOI
50mg
IMMUNOPRIN 100 mg
COMPR. FILM. 100mg
IMURAN (R)
COMPR. FILM. 50mg
IMMUNOPRIN 75 mg
COMPR. FILM. 75mg

DETINATOR APP
EBEWE PHARMA GMBH NFG. KG
EBEWE PHARMA GES.M.B.H. NFG KG
EBEWE PHARMA GES.M.B.H. NFG KG
EBEWE PHARMA GES.M.B.H. NFG KG
EBEWE PHARMA GES.M.B.H. NFG KG
MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

EBEWE PHARMA GMBH NFG. KG


IVAX - PHARMACEUTICALS S.R.O.

NOVARTIS PHARMA GMBH


IVAX - PHARMACEUTICALS S.R.O.

NOVARTIS PHARMA GMBH


IVAX - PHARMACEUTICALS S.R.O.

HEXAL AG
EBEWE PHARMA GES.M.B.H. NFG KG

TARA
DET. APP

Prescriptie

AUSTRIA CUTIE X 10 FIOLE X 1 ML


AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA

S
PR
PR
PR
PR

GERMANIA

P-RF

CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 1,0 ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJE

CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 0,75 ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJ

CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 2,0 ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJE

CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 1,5 ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJE

CUTIE X 1 SERINGA PREUMPLUTA X 0,50ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL

GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,20ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL

P-RF

GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,15ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL

P-RF

GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,40ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL

P-RF

AUSTRIA CUTIE X 1 FLACON X 5 ML


CEHIA
CUTIE X 5 BLIST. X 10 CAPS. MOI
GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI
CEHIA
CUTIE X 5 BLIST. X 10 CAPS. MOI
GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI
CEHIA
CUTIE X 5 BLIST. X 10 CAPS. MOI

S
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF

GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI

S/P-RF

CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM.

S/P-RF

CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM.

PR

CUTIE X 1 FLAC. PULB. PT. CONC. PT. SOL. PERF.

S
S

AUSTRIA CUTIE CU 1 FLAC. PEID X 50 COMPR. FILM. PR

THE WELLCOME FOUNDATION LTD. MAREA BRITANIE


EBEWE PHARMA GES.M.B.H. NFG KG

AMBALAJ

AUSTRIA

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ambal
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
aj
(RON)
(RON)
ADULTI
a) si f)

10
1
1
1
1
1
1
1
1
1
50
50
50
50
50
50
50
100
100

23.82
78.67
59.64
122.50
110.09
124.21
78.67
74.80
109.54
13.33
471.31
137.32
94.13
292.16
189.90
305.21
55.38
80.90
78.89

2.382000
78.670000
59.640000
122.500000
110.090000
124.210000
78.670000
74.800000
109.540000
13.330000
9.426200
2.746400
1.882600
5.843200
3.798000
6.104200
1.107600
0.809000
0.788900

2.382000
78.670000
59.640000
122.500000
110.090000
124.210000
78.670000
71.568000
109.540000
13.330000
9.426200
2.259120
1.882600
4.557600
3.798000
4.557600
1.107600
0.809000
0.788900

2.382000
78.670000
59.640000
122.500000
110.090000
124.210000
78.670000
71.568000
109.540000
13.330000
9.426200
2.259120
1.882600
4.557600
3.798000
4.557600
1.107600
0.809000
0.788900

Tratamentul se iniiaz de ctre medicul n specialitatea dermatologie.

23. BOALA GAUCHER - G 29


1
2

A16AB02
A16AB02

IMIGLUCERASUM****
IMIGLUCERASUM****

CEREZYME 200U
CEREZYME 400U

PULB. PT.CONC. PT.SOL. PERF.


PULB. PT.CONC. PT.SOL. PERF.

200U
400U

GENZYME EUROPE BV OLANDA


GENZYME EUROPE BV OLANDA

CUTIE X 1 FLAC. PULB. PT. CONC. PT. SOL. PERF.

1 3,492.21 3,492.210000 3,492.210000 3,492.210000


1 6,907.43 6,907.430000 6,907.430000 6,907.430000

Dup precizarea diagnosticului de catre laboratoarele de specialitate, va putea fi prescris de ctre medicul in specialitatea gastroenterologie, hematologie, neurologie si pediatrie.

24. BOLI VENERICE (SIFILIS, GONOREE, INFECTIA CU CHLAMIDIA) - G 30


1
2
3
4
5
6
7
8
9
10
11
12
13
14

J01AA02
J01AA02
J01AA02
J01AA02
J01AA02
J01AA07
J01AA07
J01AA07
J01CE01
J01CE01
J01CE01
J01CE01
J01CE01
J01CE01

DOXYCYCLINUM
DOXYCYCLINUM
DOXYCYCLINUM
DOXYCYCLINUM
DOXYCYCLINUM
TETRACYCLINUM
TETRACYCLINUM
TETRACYCLINUM
BENZYLPENICILLINUM
BENZYLPENICILLINUM
BENZYLPENICILLINUM
BENZYLPENICILLINUM
BENZYLPENICILLINUM
BENZYLPENICILLINUM

DOXICICLINA ATB 100 mg


DOXICICLINA
DOXICICLINA 100 mg

CAPS.
CAPS.
CAPS.
DOXICICLINA SANDOZ 100 mg CAPS.
UNIDOX SOLUTAB
COMPR. DISP.
TETRACICLINA 250 mg
CAPS.
TETRACICLINA ARENA 250 mg CAPS.
TETRACICLINA ATB 250 mg CAPS.
PENICILINA G SODICA
PULB. PT. SOL. INJ.
PENICILINA G SODICA
PULB. PT. SOL. INJ.
PENICILINA G POTASICA
PULB. PT. SOL. INJ.
PENICILINA G POTASICA
PULB. PT. SOL. INJ.
PENICILINA G SODICA
PULB. PT. SOL. INJ.
PENICILINA G SODICA
PULB. PT. SOL. INJ.

100 mg
100mg
100mg
100mg
100mg
250mg
250mg
250mg
1 000 000ui
1 000 000ui
1000000ui
1000000ui
400 000ui
400 000ui

ANTIBIOTICE S.A.
ARENA GROUP SA
ANTIBIOTICE SA
SANDOZ SRL
ASTELLAS PHARMA EUROPE BV

ANTIBIOTICE SA
ARENA GROUP SA
ANTIBIOTICE S.A.
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA

Pagina 37 din 42

ROMANIA
ROMANIA
ROMANIA
ROMANIA

OLANDA

CUTIE CU 1 BLIST. PVC/AL X 10 CAPS. PRF

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P-RF

CUTIE X 1 BLIST. AL/PVC X 10 CAPS.

P-RF

CUTIE X 1 BLIST. DIN AL/PVC X 10 COMPR.DISP.

P-RF

CUTIE X 1 BLIST. X 10 CAPS.

P-RF

ROMANIA CUTIE X 2 BLIST. X 10 CAPS.


P-RF
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF
ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 CAPS. PRF
ROMANIA CUTIE X 100 FLAC. DIN STICLA CU PULB. PT. SOL. INJ. P-RF/S
ROMANIA CUTIE X 1 FLAC. DIN STICLA CU PULB. PT. SOL. INJ. P-RF
ROMANIA CUTIE X 1 FLAC. DIN STICLA CU PULB. PT. SOL. INJ. P-RF
ROMANIA CUTIE X 100 FLAC. DIN STICLA CU PULB. PT. SOL. INJ. P-RF/S
ROMANIA CUTIE X 100 FLAC. DIN STICLA CU PULB. PT. SOL. INJ. P-RF/S
ROMANIA CUTIE X 1 FLAC. DIN STICLA CU PULB. PT. SOL. INJ. P-RF

10
3.59
20
7.00
10
3.59
10
3.61
10
9.58
20
3.17
20
2.99
20
6.47
100 271.77
1
3.11
1
3.11
100 271.77
100 183.44
1
2.11

0.359000
0.350000
0.359000
0.361000
0.958000
0.158500
0.149500
0.323500
2.717700
3.110000
3.110000
2.717700
1.834400
2.110000

0.359000
0.350000
0.359000
0.361000
0.420000
0.158500
0.149500
0.179400
2.717700
3.110000
3.110000
2.717700
1.834400
2.110000

0.359000
0.350000
0.359000
0.361000
0.420000
0.158500
0.149500
0.179400
2.717700
3.110000
3.110000
2.717700
1.834400
2.110000

NR.CRT

15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63

COD ATC

J01CE02
J01CE02
J01CE02
J01CE02
J01CE08
J01CE08
J01DD08
J01DD08

J01FA01
J01FA01
J01FA01
J01FA01
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02

DCI

Denumire Comerciala

OSPEN (R) 1000


OSPEN (R) 1500
OSPEN (R) 500
OSPEN 400
BENZATHINI BENZYLPENICILLINUM MOLDAMIN 1200000 UI
BENZATHINI BENZYLPENICILLINUM MOLDAMIN 1200000 UI
CEFIXIMUM
EFICEF 100 mg
CEFIXIMUM
EFICEF (R) 200 mg
ERYTHROMYCINUM
ERITROMAGIS 200 mg
ERYTHROMYCINUM
ERITROMICINA 200 mg
ERYTHROMYCINUM
ERITROMICINA SANDOZ 200 mg COMPRIMATE
ERYTHROMYCINUM
ERITROMICINA SANDOZ 200mg/5ml
AZITHROMYCINUM
AZATRIL 250 mg
AZITHROMYCINUM
SUMAMED 250 mg
AZITHROMYCINUM
SUMAMED 125 mg
AZITHROMYCINUM
AZITROMICINA SANDOZ 250 mg COMPRIMATE FILMATE
AZITHROMYCINUM
AZITROMICINA TERAPIA 250 mg
AZITHROMYCINUM
AZITROMICINA TERAPIA 250 mg
AZITHROMYCINUM
SUMAMED 500 mg
AZITHROMYCINUM
AZITROMICINA SANDOZ 500 mg COMPRIMATE FILMATE
AZITHROMYCINUM
AZIBIOT 500 mg
AZITHROMYCINUM
AZITROMICINA TERAPIA 500 mg
AZITHROMYCINUM
AZITROMICINA TERAPIA 500 mg
AZITHROMYCINUM
ZITROCIN 500 mg
AZITHROMYCINUM
AZITROX (R) 500
AZITHROMYCINUM
AZITROMICINA TERAPIA 600 mg
AZITHROMYCINUM
AZITROMICINA TERAPIA 600 mg
AZITHROMYCINUM
ZMAX 2 g
AZITHROMYCINUM
SUMAMED (R)
AZITHROMYCINUM
AZITROX 200 mg/5 ml
AZITHROMYCINUM
AZITROMICINA SANDOZ 100 mg/5 ml
AZITHROMYCINUM
AZITROMICINA SANDOZ 200 mg/5 ml
AZITHROMYCINUM
SUMAMED FORTE
AZITHROMYCINUM
SUMAMED FORTE
AZITHROMYCINUM
SUMAMED FORTE
CIPROFLOXACINUM
CIPROFLOXACINA ARENA 100 mg
CIPROFLOXACINUM
CIPROFLOXACINA ARENA 100 mg
CIPROFLOXACINUM
CIPROCIN 250 mg
CIPROFLOXACINUM
CIPRINOL 250 mg
CIPROFLOXACINUM
CIPROLEN (R) 250 mg
CIPROFLOXACINUM
CUMINOL 250 mg
CIPROFLOXACINUM
CUMINOL 250 mg
CIPROFLOXACINUM
CIPROFLOXACINA ALKALOID 250 mg
CIPROFLOXACINUM
CIFRAN
CIPROFLOXACINUM
CIPROFLOXACINA ARENA 250 mg
CIPROFLOXACINUM
CIPROFLOXACINA ARENA 250 mg
CIPROFLOXACINUM
ALVEBAR 250 mg
CIPROFLOXACINUM
CIPRINOL 500 mg
CIPROFLOXACINUM
CIPROCIN 500 mg
PHENOXYMETHYLPENICILLINUM
PHENOXYMETHYLPENICILLINUM
PHENOXYMETHYLPENICILLINUM
PHENOXYMETHYLPENICILLINUM

forma farm.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
SIROP
PULB. PT. SUSP. INJ.
PULB. PT. SUSP. INJ.

CAPS.
CAPS.
COMPR.
COMPR.
COMPR.
PULB. PT. SUSP. ORALA

CAPS.
CAPS.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
GRAN. ELIB. PREL. PT. SUSP. ORALA

LIOF. PT. SOL. PERF.


PULB. + SOLV. SUSP. ORALA

PULB. PT. SUSP. ORALA


PULB. PT. SUSP. ORALA
PULB. PT. SUSP. ORALA
PULB. PT. SUSP. ORALA
PULB. PT. 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.

concentratie

1000000ui
1500000ui
500000ui

DETINATOR APP

TARA
DET. APP

SANDOZ GMBH
AUSTRIA
SANDOZ GMBH
AUSTRIA
SANDOZ GMBH
AUSTRIA
400000ui/5ml SANDOZ GMBH
AUSTRIA
1200000UI ANTIBIOTICE S.A.
ROMANIA
1200000UI ANTIBIOTICE S.A.
ROMANIA
100mg
ANTIBIOTICE S.A.
ROMANIA
200mg
ANTIBIOTICE SA
ROMANIA
200mg
ARENA GROUP SA ROMANIA
200mg
ANTIBIOTICE SA
ROMANIA
200mg
SANDOZ S.R.L.
ROMANIA
200mg/5ml SANDOZ S.R.L.
ROMANIA
250mg
BALKANPHARMA RAZGRAD AD BULGARIA
250mg
PLIVA LJUBLIJANA D.O.O. SLOVENIA
125mg
PLIVA LJUBLJANA D.O.O. SLOVENIA
250mg
SANDOZ S.R.L.
ROMANIA
250mg
TERAPIA SA
ROMANIA
250mg
TERAPIA SA
ROMANIA
500mg
PLIVA LJUBLJANA D.O.O. SLOVENIA
500mg
SANDOZ S.R.L.
ROMANIA
500mg
KRKA D.D. NOVO MESTO SLOVENIA
500mg
TERAPIA SA
ROMANIA
500mg
TERAPIA SA
ROMANIA
500mg
LABORMED PHARMA S.A. ROMANIA
500mg
ZENTIVA K.S.
CEHIA
600mg
TERAPIA SA
ROMANIA
600mg
TERAPIA SA
ROMANIA
2g
PFIZER EUROPE MA EEIG MAREA BRITANIE
500mg
PLIVA LJUBLJANA D.O.O. SLOVENIA
200mg/5ml ZENTIVA S.A.
ROMANIA
100mg/5ml SANDOZ SRL
ROMANIA
200 mg/5 ml SANDOZ SRL
ROMANIA
200mg/5ml PLIVA LJUBLIJANA D.O.O. SLOVENIA
200mg/5ml PLIVA LJUBLIJANA D.O.O. SLOVENIA
200mg/5ml PLIVA LJUBLIJANA D.O.O. SLOVENIA
100mg
ARENA GROUP S.A. ROMANIA
100mg
ARENA GROUP S.A. ROMANIA
250mg
E.I.P.I.CO. MED S.R.L. ROMANIA
250mg
KRKA D.D. NOVO MESTO SLOVENIA
250mg
AC HELCOR SRL
ROMANIA
250mg
GEDEON RICHTER ROMANIA SA ROMANIA
250mg
GEDEON RICHTER ROMANIA SA ROMANIA
250mg
ALKALOID D.O.O.
SLOVENIA
250mg
RANBAXY UK LIMITED MAREA BRITANIE
250mg
ARENA GROUP S.A. ROMANIA
250mg
ARENA GROUP S.A. ROMANIA
250mg
DR. REDDY'S LABORATORIES ROMANIA
500mg
KRKA D.D. NOVO MESTO SLOVENIA
500mg
E.I.P.I.CO. MED S.R.L. ROMANIA

Pagina 38 din 42

AMBALAJ

Prescriptie

CUTIE X 1 BLIST. AL/PVC-PVDC X 12 COMPR. FILM. P-RF


CUTIE X 1 BLIST. AL/PVC-PVDC X 12 COMPR. FILM. P-RF
CUTIE X 1 BLIST. AL/PVC-PVDC X 12 COMPR. FILM. P-RF

CUTIE X 1 FLACON X 60ML

P-RF

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SUSP. INJ. I.M.

P-RF

CUTIE CU 100 FLAC. DIN STICLA INCOLORA CU PULB. PT. SUSP. INJ. I.M.

S/P-RF

CUTIE CU 1 BLIST. PVC/AL X 10 CAPS. PRF

CUTIE X 1 BLIST. AL/PVC X 10 CAPS.

CUTIE X 2 BLIST. X 10 COMPR.


CUTIE X 2 BLIST. X 10 COMPR.
CUTIE X 2 BLIST. X 10 COMPR.

P-RF
P-RF
P-RF
P-RF

CUTIE X 1 FLAC. X 30G + PULB. PT. 60 ML SUSP. ORALA + O LIGURITA DOZATOARE

P-RF

CUTIE X 1 BLIST. AL/PVC X 6 CAPS.

P-RF

CUTIE X 1 BLIST. PVC-PVDC/AL X 6 CAPS. P-RF


CUTIE X 1 BLIST. AL/PVC X 6 COMPR. FILM. P-RF

CUTIE X 1 BLIST. X 6 COMPR. FILM.

P-RF

CUTIE X 1 BLIST. PVC-ACLAR/AL X 6 COMPR. FILM. P-RF

CUTIE X 1 BLIST. PA-AL-PVC/AL X 6 COMPR. FILM. P-RF

CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM. P-RF

CUTIE X 1 BLIST. X 3 COMPR. FILM.

P-RF

CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM. P-RF


CUTIE X 1 BLIST. PVC-ACLAR/AL X 3 COMPR. FILM. P-RF

CUTIE X 1 BLIST. PA-AL-PVC/AL X 3 COMPR. FILM. P-RF

CUTIE X 1 BLIST. PVC/AL X 3 COMPR. FILM. P-RF


CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM. P-RF
CUTIE X 1 BLIST. PVC-ACLAR/AL X 3 COMPR. FILM. P-RF

CUTIE X 1 BLIST. PA-AL-PVC/AL X 3 COMPR. FILM. P-RF


CUTIE X 1 FLACON DIN PEID CU GRAN. CU ELIB. PREL.

P-RF

CUTIE X 5 FLAC. LIOF. PT. SOL. PERF.

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

CUTIE X 1 FLAC. DIN PEID CU PULB. PT.15 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE

P-RF

CUTIE X 1 FLAC. DIN PEID CU PULB. PT. 30 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE

P-RF

CUTIE X 1 FLAC. DIN PEID CU PULB. PT. 37,5 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE

P-RF

CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF


CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF
CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF

CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF


CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 COMPR. FILM. P-RF

CUTIE X 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. P-RF

CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF


CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF

CUTIE X 1 BLIST. X 10 COMPR. FILM.

P-RF

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ambal
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
aj
(RON)
(RON)
ADULTI
a) si f)

12
3.47
12
6.10
12
2.62
1
9.51
1
3.62
100 315.25
10 21.56
10 34.77
20
7.09
20
9.60
20
8.44
1 11.46
6 25.50
6 37.99
6 25.36
6 48.80
6 44.47
6 44.47
3 38.17
3 48.80
3 25.65
3 37.16
3 37.16
3 25.65
3 25.64
3 44.61
3 44.61
1 63.52
5 161.75
1 16.36
1 22.45
1 34.36
1 25.18
1 48.58
1 60.36
10 37.31
20 65.61
10
6.83
10
6.83
10
6.83
10
6.83
20 12.30
10
7.87
10
6.93
10
6.56
20 12.30
10
4.76
10 13.22
10 13.22

0.289166
0.508333
0.218333
9.510000
3.620000
3.152500
2.156000
3.477000
0.354500
0.480000
0.422000
11.460000
4.250000
6.331666
4.226666
8.133333
7.411666
7.411666
12.723333
16.266666
8.550000
12.386666
12.386666
8.550000
8.546666
14.870000
14.870000
63.520000
32.350000
16.360000
22.450000
34.360000
25.180000
48.580000
60.360000
3.731000
3.280500
0.683000
0.683000
0.683000
0.683000
0.615000
0.787000
0.693000
0.656000
0.615000
0.476000
1.322000
1.322000

0.289166
0.508333
0.218333
9.510000
3.620000
3.152500
2.156000
3.477000
0.354500
0.425400
0.422000
11.460000
4.250000
5.100000
4.226666
5.100000
5.100000
5.100000
10.255999
10.255999
8.550000
10.255999
10.255999
8.550000
8.546666
14.870000
14.870000
63.520000
32.350000
16.360000
22.450000
34.360000
17.844000
48.580000
60.360000
3.731000
3.280500
0.571200
0.571200
0.571200
0.571200
0.571200
0.571200
0.571200
0.571200
0.571200
0.476000
0.778800
0.778800

0.289166
0.508333
0.218333
9.510000
3.620000
3.152500
2.156000
3.477000
0.354500
0.425400
0.422000
11.460000
4.250000
5.100000
4.226666
5.100000
5.100000
5.100000
10.255999
10.255999
8.550000
10.255999
10.255999
8.550000
8.546666
14.870000
14.870000
63.520000
32.350000
16.360000
22.450000
34.360000
17.844000
48.580000
60.360000
3.731000
3.280500
0.571200
0.571200
0.571200
0.571200
0.571200
0.571200
0.571200
0.571200
0.571200
0.476000
0.778800
0.778800

NR.CRT

64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85

COD ATC

J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02

DCI

CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM

Denumire Comerciala

CIPROLEN (R) 500 mg


CUMINOL 500 mg

forma farm.

COMPR. FILM.
COMPR. FILM.
CIPROFLOXACINA ALKALOID 500 mg COMPR. FILM.
CIFRAN
COMPR. FILM.
CIPRO QUIN (R)
COMPR. FILM.
CIPRODAR
COMPR. FILM.
CIPROFLOXACINA ARENA 500 mg COMPR. FILM.
CIPROFLOXACINA ARENA 500 mg COMPR. FILM.
ALVEBAR 500 mg
COMPR. FILM.
CIPRINOL 750 mg
COMPR. FILM.
CIPROFLOXACINA ARENA 750 mg COMPR. FILM.
CIPROBAY XR 1000 mg
COMPR. FILM. ELIB. PREL.
CIPROBAY XR 500 mg
COMPR. FILM. ELIB. PREL.
CIPRINOL (R)
CONC. PT. SOL. PERF.
CIPRINOL (R)
CONC. PT. SOL. PERF.
CIPROFLOXACINA 100 mg/10 ml CONC. PT. SOL. PERF.

CIPRINOL
CIPRINOL
UFEXIL 2 mg/ ml

CIPROFLOXACINA INFOMED 2 mg/ml


CIPROFLOXACINA INFOMED 2 mg/ml

CIPRINOL (R)

SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.

concentratie

500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
750mg
750mg
1000 mg
500 mg
100mg/10ml
100mg/10ml
100mg/10ml
100mg/50ml

ALKALOID D.O.O.

TARA
DET. APP
AMBALAJ
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.
SLOVENIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 COMPR. FILM.

RANBAXY UK LIMITED

MAREA BRITANIE

DETINATOR APP

AC HELCOR SRL

GEDEON RICHTER ROMANIA SA

ANTIBIOTICE SA

ROMANIA
ROMANIA
ARENA GROUP S.A. ROMANIA
ARENA GROUP S.A. ROMANIA
DR. REDDY'S LABORATORIES ROMANIA
DAR AL DAWA PHARMA S.R.L.

Prescriptie

P-RF
P-RF
P-RF

CUTIE X 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. P-RF

CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF

CUTIE X 1 BLIST. X 10 COMPR. FILM.

P-RF

CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF


CUTIE X 2 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

ARENA GROUP S.A. ROMANIA

CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF

BAYER HEALTHCARE AG GERMANIA

CUTIE X 1 BLIST. DIN PP/AL X 7 COMPR. FILM. ELIB. PREL. P-RF

BAYER HEALTHCARE AG GERMANIA

CUTIE X 1 BLIST. DIN PP/AL X 3 COMPR. FILM. ELIB. PREL. P-RF

KRKA D.D.
KRKA D.D.
ZENTIVA S.A.

SLOVENIA CUTIE X 50 FIOLE X 10 ML


SLOVENIA CUTIE X 5 FIOLE X 10 ML

ROMANIA

CUTIE X 5 FIOLE DIN STICLA INCOLORA PREVAZUTE CU INEL DE RUPERE X 10 ML

S
S/P-RF
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

DEMO SA

GRECIA CUTIE X 10 PUNGI PP X 100 ML SOL. PERF. S

INFOMED FLUIDS SRL ROMANIA CUTIE X 10 PUNGI PVC PLASTIFIAT X 100ML S


INFOMED FLUIDS SRL ROMANIA CUTIE X 10 PUNGI PVC PLASTIFIAT X 200ML S
400mg/200ml KRKA D.D.
SLOVENIA CUTIE X 1 FLACON DIN STICLA X 200 ML S/P-RF

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ambal
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
aj
(RON)
(RON)
ADULTI
a) si f)

10 13.22
10 13.22
10 15.12
10
8.78
10 13.22
10 13.22
10
9.23
20 16.43
10
6.49
10 38.50
10 37.31
7 84.70
3 27.63
50 136.56
5 16.79
5 16.79
1
4.79
1
9.58
10 162.58
10 87.49
10 157.33
1 19.31

1.322000
1.322000
1.512000
0.878000
1.322000
1.322000
0.923000
0.821500
0.649000
3.850000
3.731000
12.100000
9.210000
2.731200
3.358000
3.358000
4.790000
9.580000
16.258000
8.749000
15.733000
19.310000

0.778800
0.778800
0.778800
0.778800
0.778800
0.778800
0.778800
0.778800
0.649000
3.850000
3.731000
12.100000
0.778800
2.731200
3.277440
3.277440
3.277440
9.580000
10.498800
8.749000
15.733000
18.879600

0.778800
0.778800
0.778800
0.778800
0.778800
0.778800
0.778800
0.778800
0.649000
3.850000
3.731000
12.100000
0.778800
2.731200
3.277440
3.277440
3.277440
9.580000
10.498800
8.749000
15.733000
18.879600

Tratamentul se iniiaz de ctre medicul n specialitatea dermatologie i obstetric-ginecologie (pentru gonoree i infecia cu Chlamidia).

IMUNOSUPRESOARE SELECTIVE - G31


25. BOALA CRONICA INFLAMATORIE INTESTINALA - G31a
1
2
3

L04AB02
L04AB04
L04AB04

INFLIXIMABUM****
ADALIMUMABUM****
ADALIMUMABUM****

REMICADE 100 mg
HUMIRA 40 mg
HUMIRA 40 mg

PULB. PT. CONC. PT. SOL. PERF.

SOL. INJ. IN PEN PRE-UMPLUTA


SOL. INJ. IN SERINGA PREUMPLUTA

100mg
40mg
40mg

JANSSEN BIOLOGICS B.V.

OLANDA

CUTIE X 3 FLAC. DIN STICLA CU PULB. PT. CONC. PT. SOL. PERF.

PR

ABBOTT LABORATORIES LTD.

MAREA BRITANIE

CUTIE X 2 BLIST. X 1 PEN PREUMPLUTA X 0,8 ML + 1 TAMPON CU ALCOOL

P-RF/R

ABBOTT LABORATORIES LTD.

MAREA BRITANIE

CUTIE X 2 BLIST. X 1 SERINGA PREUMPLUTA X 0,8 ML + 1 TAMPON CU ALCOOL

P-RF/R

Tratamentul se prescrie i se monitorizeaz de ctre medicul n specialitatea gastro-enterologie i medicin intern (uniti sanitare nominalizate de ctre Ministerul Sntii Publice)

Pagina 39 din 42

3 6,662.76 2,220.920000 2,220.920000 2,220.920000


2 4,784.50 2,392.250000 2,392.250000 2,392.250000
2 4,749.13 2,374.565000 2,374.565000 2,374.565000

NR.CRT

COD ATC

DCI

26. POLIARTITRITA REUMATOIDA - G31b


1
2
3
4
5
6
7
8
9
10
11

L01XC02
L01XC02
L04AB01
L04AB01
L04AB01
L04AB01
L04AB01
L04AB01
L04AB02
L04AB04
L04AB04

RITUXIMABUM****
RITUXIMABUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
INFLIXIMABUM****
ADALIMUMABUM****
ADALIMUMABUM****

Denumire Comerciala

MABTHERA 100 mg
MABTHERA 500 mg
ENBREL 50 mg
ENBREL 25mg
ENBREL DE UZ PEDIATRIC
ENBREL 25mg
ENBREL 50mg
ENBREL 50mg
REMICADE 100 mg
HUMIRA 40 mg
HUMIRA 40 mg

forma farm.

CONC. PT. SOL. PERF.


CONC. PT. SOL. PERF.
PULB+SOLV.PT.SOL.INJ
PULB. + SOLV. PT. SOL. INJ.
PULB. + SOLV. PT. SOL. INJ.
SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN STILOU INJECTOR PREUMPLUT

PULB. PT. CONC. PT. SOL. PERF.

SOL. INJ. IN PEN PRE-UMPLUTA


SOL. INJ. IN SERINGA PREUMPLUTA

concentratie

10mg/ml
10mg/ml
50mg
25mg
25mg
25mg
50mg
50mg
100mg
40mg
40mg

DETINATOR APP

TARA
DET. APP

AMBALAJ

Prescriptie

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)

WYETH EUROPA LIMITED

MAREA BRITANIE

CUTIE X 4 FLAC. PULB. PT. SOL. INJ. + 4 SERINGI PREUMPLUTE CU SOLVENT + 4 ADAPTOARE PT. FLAC. + 8 TA

P-RF/R

WYETH EUROPA LIMITED

MAREA BRITANIE

CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 TAMPOANE CU ALCOOL

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 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

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ambal
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
aj
(RON)
(RON)
ADULTI
a) si f)

S
S

JANSSEN BIOLOGICS B.V.

OLANDA

CUTIE X 3 FLAC. DIN STICLA CU PULB. PT. CONC. PT. SOL. PERF.

PR

ABBOTT LABORATORIES LTD.

MAREA BRITANIE

CUTIE X 2 BLIST. X 1 PEN PREUMPLUTA X 0,8 ML + 1 TAMPON CU ALCOOL

P-RF/R

ABBOTT LABORATORIES LTD.

MAREA BRITANIE

CUTIE X 2 BLIST. X 1 SERINGA PREUMPLUTA X 0,8 ML + 1 TAMPON CU ALCOOL

P-RF/R

2
1
4
4
4
4
4
4
3
2
2

2,459.64 1,229.820000 1,229.820000 1,229.820000


6,043.00 6,043.000000 6,043.000000 6,043.000000
4,565.66 1,141.415000 1,141.415000 1,141.415000

568.800000 568.800000 568.800000


567.502500 567.502500 567.502500
2,270.01 567.502500 567.502500 567.502500

2,275.20

2,270.01

4,469.17 1,117.292500 1,117.292500 1,117.292500


4,469.17 1,117.292500 1,117.292500 1,117.292500
6,662.76 2,220.920000 2,220.920000 2,220.920000
4,784.50 2,392.250000 2,392.250000 2,392.250000
4,749.13 2,374.565000 2,374.565000 2,374.565000

Tratamentul se prescrie si se monitorizeaza de catre medicul in specialitatea reumatologie, medicina interna, nefrologie (pentru pacienii cu afectare renal), medicina interna sau recuperare medicina fizica i
balneofizioieterapie (unitati sanitare nominalizate de catre Ministerul Sanatatii)
27. ARTROPATIA PSORIAZICA - G31c
1
2
3
4
5
6
7
8
9

L04AB01
L04AB01
L04AB01
L04AB01
L04AB01
L04AB01
L04AB02
L04AB04
L04AB04

ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
INFLIXIMABUM****
ADALIMUMABUM****
ADALIMUMABUM****

ENBREL 50 mg
ENBREL 25mg
ENBREL DE UZ PEDIATRIC
ENBREL 25mg
ENBREL 50mg
ENBREL 50mg
REMICADE 100 mg
HUMIRA 40 mg
HUMIRA 40 mg

PULB+SOLV.PT.SOL.INJ
PULB. + SOLV. PT. SOL. INJ.
PULB. + SOLV. PT. SOL. INJ.
SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN STILOU INJECTOR PREUMPLUT

PULB. PT. CONC. PT. SOL. PERF.

SOL. INJ. IN PEN PRE-UMPLUTA


SOL. INJ. IN SERINGA PREUMPLUTA

50mg
25mg
25mg
25mg
50mg
50mg
100mg
40mg
40mg

WYETH EUROPA LIMITED

MAREA BRITANIE

CUTIE X 4 FLAC. PULB. PT. SOL. INJ. + 4 SERINGI PREUMPLUTE CU SOLVENT + 4 ADAPTOARE PT. FLAC. + 8 TA

P-RF/R

WYETH EUROPA LIMITED

MAREA BRITANIE

CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 TAMPOANE CU ALCOOL

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 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

JANSSEN BIOLOGICS B.V.

OLANDA

CUTIE X 3 FLAC. DIN STICLA CU PULB. PT. CONC. PT. SOL. PERF.

PR

ABBOTT LABORATORIES LTD.

MAREA BRITANIE

CUTIE X 2 BLIST. X 1 PEN PREUMPLUTA X 0,8 ML + 1 TAMPON CU ALCOOL

P-RF/R

ABBOTT LABORATORIES LTD.

MAREA BRITANIE

CUTIE X 2 BLIST. X 1 SERINGA PREUMPLUTA X 0,8 ML + 1 TAMPON CU ALCOOL

P-RF/R

4
4
4
4
4
4
3
2
2

4,565.66 1,141.415000 1,141.415000 1,141.415000

4
4
4
4
4
4
3
2
2

4,565.66 1,141.415000 1,141.415000 1,141.415000

568.800000 568.800000 568.800000


567.502500 567.502500 567.502500
2,270.01 567.502500 567.502500 567.502500

2,275.20

2,270.01

4,469.17 1,117.292500 1,117.292500 1,117.292500


4,469.17 1,117.292500 1,117.292500 1,117.292500
6,662.76 2,220.920000 2,220.920000 2,220.920000
4,784.50 2,392.250000 2,392.250000 2,392.250000
4,749.13 2,374.565000 2,374.565000 2,374.565000

Tratamentul se prescrie si se monitorizeaza de catre medicul in specialitatea reumatologie si recuperare medicina fizica i balneofizioieterapie (unitati sanitare nominalizate de catre Ministerul Sanatatii)
28. SPONDILITA ANKILOZANTA - G 31d
1
2
3
4
5
6
7
8
9

L04AB01
L04AB01
L04AB01
L04AB01
L04AB01
L04AB01
L04AB02
L04AB04
L04AB04

ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
INFLIXIMABUM****
ADALIMUMABUM****
ADALIMUMABUM****

ENBREL 50 mg
ENBREL 25mg
ENBREL DE UZ PEDIATRIC
ENBREL 25mg
ENBREL 50mg
ENBREL 50mg
REMICADE 100 mg
HUMIRA 40 mg
HUMIRA 40 mg

PULB+SOLV.PT.SOL.INJ
PULB. + SOLV. PT. SOL. INJ.
PULB. + SOLV. PT. SOL. INJ.
SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN STILOU INJECTOR PREUMPLUT

PULB. PT. CONC. PT. SOL. PERF.

SOL. INJ. IN PEN PRE-UMPLUTA


SOL. INJ. IN SERINGA PREUMPLUTA

50mg
25mg
25mg
25mg
50mg
50mg
100mg
40mg
40mg

WYETH EUROPA LIMITED

MAREA BRITANIE

WYETH EUROPA LIMITED


WYETH EUROPA LIMITED

CUTIE X 4 FLAC. PULB. PT. SOL. INJ. + 4 SERINGI PREUMPLUTE CU SOLVENT + 4 ADAPTOARE PT. FLAC. + 8 TA

P-RF/R

MAREA BRITANIE

CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 TAMPOANE CU ALCOOL

P-RF/R

MAREA BRITANIE

CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 SERINGI DIN PLASTIC GOALE + 20 ACE + 24 TAMPOANE

P-RF/R

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

JANSSEN BIOLOGICS B.V.

OLANDA

CUTIE X 3 FLAC. DIN STICLA CU PULB. PT. CONC. PT. SOL. PERF.

PR

ABBOTT LABORATORIES LTD.

MAREA BRITANIE

CUTIE X 2 BLIST. X 1 PEN PREUMPLUTA X 0,8 ML + 1 TAMPON CU ALCOOL

P-RF/R

ABBOTT LABORATORIES LTD.

MAREA BRITANIE

CUTIE X 2 BLIST. X 1 SERINGA PREUMPLUTA X 0,8 ML + 1 TAMPON CU ALCOOL

P-RF/R

Pagina 40 din 42

568.800000 568.800000 568.800000


567.502500 567.502500 567.502500
2,270.01 567.502500 567.502500 567.502500

2,275.20

2,270.01

4,469.17 1,117.292500 1,117.292500 1,117.292500


4,469.17 1,117.292500 1,117.292500 1,117.292500
6,662.76 2,220.920000 2,220.920000 2,220.920000
4,784.50 2,392.250000 2,392.250000 2,392.250000
4,749.13 2,374.565000 2,374.565000 2,374.565000

NR.CRT

COD ATC

DCI

Denumire Comerciala

forma farm.

concentratie

DETINATOR APP

TARA
DET. APP

AMBALAJ

Prescriptie

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ambal
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
aj
(RON)
(RON)
ADULTI
a) si f)

Tratamentul se prescrie si se monitorizeaza de catre medicul in specialitatea reumatologie, medicina interna sau recuperare medicina fizica i balneofizioieterapie (unitati sanitare nominalizate de catre Ministerul
Sanatatii)

Pagina 41 din 42

NR.CRT

COD ATC

DCI

Denumire Comerciala

forma farm.

concentratie

DETINATOR APP

TARA
DET. APP

AMBALAJ

Prescriptie

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ambal
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
aj
(RON)
(RON)
ADULTI
a) si f)

29. ARTRITA JUVENILA - G 31e


1
2
3
4
5
6

L04AB01
L04AB01
L04AB01
L04AB01
L04AB01
L04AB01

ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****

ENBREL 50 mg
ENBREL 25mg
ENBREL DE UZ PEDIATRIC
ENBREL 25mg
ENBREL 50mg
ENBREL 50mg

PULB+SOLV.PT.SOL.INJ
PULB. + SOLV. PT. SOL. INJ.
PULB. + SOLV. PT. SOL. INJ.
SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN STILOU INJECTOR PREUMPLUT

50mg
25mg
25mg
25mg
50mg
50mg

WYETH EUROPA LIMITED

MAREA BRITANIE

CUTIE X 4 FLAC. PULB. PT. SOL. INJ. + 4 SERINGI PREUMPLUTE CU SOLVENT + 4 ADAPTOARE PT. FLAC. + 8 TA

P-RF/R

WYETH EUROPA LIMITED

MAREA BRITANIE

CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 TAMPOANE CU ALCOOL

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 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

4
4
4
4
4
4

4,565.66 1,141.415000 1,141.415000 1,141.415000

4
4
4
4
4
4
3
2
2

4,565.66 1,141.415000 1,141.415000 1,141.415000

568.800000 568.800000 568.800000


567.502500 567.502500 567.502500
2,270.01 567.502500 567.502500 567.502500

2,275.20

2,270.01

4,469.17 1,117.292500 1,117.292500 1,117.292500


4,469.17 1,117.292500 1,117.292500 1,117.292500

Tratamentul se prescrie si se monitorizeaza de catre medicul in specialitatea reumatologie si recuperare medicina fizica i balneofizioieterapie (unitati sanitare nominalizate de catre Ministerul Sanatatii)
30. PSORIAZIS CRONIC SEVER - G 31f
1
2
3
4
5
6
7
8
9

L04AB01
L04AB01
L04AB01
L04AB01
L04AB01
L04AB01
L04AB02
L04AB04
L04AB04

ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
INFLIXIMABUM****
ADALIMUMABUM****
ADALIMUMABUM****

ENBREL 50 mg
ENBREL 25mg
ENBREL DE UZ PEDIATRIC
ENBREL 25mg
ENBREL 50mg
ENBREL 50mg
REMICADE 100 mg
HUMIRA 40 mg
HUMIRA 40 mg

PULB+SOLV.PT.SOL.INJ
PULB. + SOLV. PT. SOL. INJ.
PULB. + SOLV. PT. SOL. INJ.
SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN STILOU INJECTOR PREUMPLUT

PULB. PT. CONC. PT. SOL. PERF.

SOL. INJ. IN PEN PRE-UMPLUTA


SOL. INJ. IN SERINGA PREUMPLUTA

50mg
25mg
25mg
25mg
50mg
50mg
100mg
40mg
40mg

WYETH EUROPA LIMITED

MAREA BRITANIE

WYETH EUROPA LIMITED


WYETH EUROPA LIMITED

CUTIE X 4 FLAC. PULB. PT. SOL. INJ. + 4 SERINGI PREUMPLUTE CU SOLVENT + 4 ADAPTOARE PT. FLAC. + 8 TA

P-RF/R

MAREA BRITANIE

CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 TAMPOANE CU ALCOOL

P-RF/R

MAREA BRITANIE

CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 SERINGI DIN PLASTIC GOALE + 20 ACE + 24 TAMPOANE

P-RF/R

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

JANSSEN BIOLOGICS B.V.

OLANDA

CUTIE X 3 FLAC. DIN STICLA CU PULB. PT. CONC. PT. SOL. PERF.

PR

ABBOTT LABORATORIES LTD.

MAREA BRITANIE

CUTIE X 2 BLIST. X 1 PEN PREUMPLUTA X 0,8 ML + 1 TAMPON CU ALCOOL

P-RF/R

ABBOTT LABORATORIES LTD.

MAREA BRITANIE

CUTIE X 2 BLIST. X 1 SERINGA PREUMPLUTA X 0,8 ML + 1 TAMPON CU ALCOOL

P-RF/R

Tratamentul se prescrie si monitorizeaza de catre medicul in specialitatea dermatologie (unitati sanitare nominalizate de catre Ministerul Sanatatii)
NOTA:
- Pentru medicamentele corespunzatoare acestei sectiuni initierea tratamentului se face de catre medicul de specialitate altul decat medicul de familie, exceptie facand medicamentele din G1-INSUFICIENTA
CARDIACA CRONICA (CLASA III SAU IV NYHA) pozitiile 2, 3, 4, 5, 6, 7, 9 pentru care initierea tratamentului poate fi efectuata si de medicul de familie;
- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (**) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MS;
- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (***) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MS si cu aprobarea comisiilor de la
nivelul Caselor Judetene de Asigurari de Sanatate;
- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (****) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MS si cu aprobarea comisiilor de la
nivelul Casei Nationale de Asigurari de Sanatate;
Medicamentul corespunzator DCI-ului notat cu (3) se livreaza impreuna cu solvent;
4
- Medicamentele corespunzatoare DCI-urilor notate cu ( ) se importa cu avizul MS;
5
- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu ( ) se utilizeaza numai pentru cazurile fara raspuns terapeutic la prednisonum.
NOT: Medicamentele din aceast sublist se elibereaz prin farmacii cu circuit deschis pe baz de prescripie medical cu reinere n farmacie (P-RF).

Pagina 42 din 42

568.800000 568.800000 568.800000


567.502500 567.502500 567.502500
2,270.01 567.502500 567.502500 567.502500
2,275.20

2,270.01

4,469.17 1,117.292500 1,117.292500 1,117.292500


4,469.17 1,117.292500 1,117.292500 1,117.292500
6,662.76 2,220.920000 2,220.920000 2,220.920000
4,784.50 2,392.250000 2,392.250000 2,392.250000
4,749.13 2,374.565000 2,374.565000 2,374.565000

ANEXA 4

Grupa
Nr.
terape
crt
utica

Denumire generica

Denumire comerciala

Forma
Concentr
farmaceuti
atie / U.T.
ca

Firma

Tara

Ambalaj

Prescriptie

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 01 IULIE 2012

cant/a
mbala
j

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

Pret cu ridicata
maximal de
decontare / U.T.

Pret cu
amanuntul
maximal /
ambalaj

Pret cu amanuntul
maximal / U.T.

P1: PROGRAMUL NATIONAL DE BOLI TRANSMISIBILE


A) SUBPROGRAMUL DE TRATAMENT SI MONITORIZARE A PERSOANELOR CU INFECTIE HIV/SIDA si TRATAMENTUL POSTEXPUNERE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49

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
J01CR01
J01CR01
J01CR02
J01CR02
J01CR02
J01CR02
J01CR02
J01CR02
J01CR02
J01CR02
J01CR02

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
AMPICILLINUM + SULBACTAM
AMPICILLINUM + SULBACTAM
AMOXICILLINUM + ACIDUM CLAVULANICUM
AMOXICILLINUM + ACIDUM CLAVULANICUM
AMOXICILLINUM + ACIDUM CLAVULANICUM
AMOXICILLINUM + ACIDUM CLAVULANICUM
AMOXICILLINUM + ACIDUM CLAVULANICUM
AMOXICILLINUM + ACIDUM CLAVULANICUM
AMOXICILLINUM + ACIDUM CLAVULANICUM
AMOXICILLINUM + ACIDUM CLAVULANICUM
AMOXICILLINUM + ACIDUM CLAVULANICUM

NORMIX 200 mg
NORMIX 200 mg
NORMIX 100mg/5ml
MICONAZOL NITRAT 2%
MEDACTER
MICONAL ECOBI
CLOVIRAL (R) 5%
ACICLOVIR 50mg/g
ACICLOVIR 50mg/g
ACICLOVIR MK
ACICLOVIR MK
ZOVIRAX
ACICLOVIR SLAVIA 50 mg/g
ACICLOVIR HYPERION
ACICLOVIR TERAPIA 50 mg/g
ACICLOVIR TIS 50mg/g
GYNOZOL 200
GYNOZOL 400
MEDACTER
MICONAL ECOBI
MICONAL ECOBI
MICONAL ECOBI
OXACILINA FARMEX 250 mg
OXACILINA SANDOZ 250 mg
OXACILINA ARENA 250 mg
OXACILINA 250 mg
OXACILINA 250 mg
OXACILINA ARENA 250 mg
OXACILINA ARENA 500 mg
OXACILINA FORTE 500 mg
OXACILINA FORTE 500 mg
OXACILINA SANDOZ 500 mg
OXACILINA 500 mg
OXACILINA 500 mg

COMPR. FILM.

200mg
200mg

GRAN. PT. SUSP. ORALA

100mg/5ml ALFA WASSERMANN SPA

COMPR. FILM.

CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
CAPS. VAG.
CAPS. VAG.

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
CAPS.
500mg
CAPS.
500mg
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
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.

AUGMENTIN SR 1000 mg/62,5 mg

AMOKSIKLAV 2 x 1000 mg
MEDOCLAV 1000 mg
ENHANCIN 500 mg/125mg
AMOXIPLUS 500/125 mg
AUGMENTIN 500 mg/125 mg
AMOKSIKLAV 2 x 625 mg
AUGMENTIN 875 mg/125 mg
AMOXIPLUS 875 mg/125 mg

COMPR. ELIB. PREL. 1000mg/62,5mg

COMPR. FILM.
COMPR. FILM.

1000mg
1000mg

ALFA WASSERMANN SPA


ALFA WASSERMANN SPA

ITALIA
ITALIA
ITALIA

SLAVIA PHARM SRL ROMANIA


FARAN LABORATORIES S.A. GRECIA
FARMACEUTICI ECOBI S.A.S ITALIA
ANTIBIOTICE SA
ROMANIA

GEDEON RICHTER ROMANIA SA

ROMANIA

GEDEON RICHTER ROMANIA SA

ROMANIA

FITERMAN PHARMA S.R.L. ROMANIA


FITERMAN PHARMA S.R.L. ROMANIA
THE WELLCOME FOUNDATION LTD.

MAREA BRITANIE

SLAVIA PHARM S.R.L. ROMANIA

HYPERION S.A.
TERAPIA S.A.

ROMANIA
ROMANIA

TIS FARMACEUTIC SA ROMANIA


PHARCO IMPEX 93 S.R.L. ROMANIA
PHARCO IMPEX 93 S.R.L. ROMANIA

CUTIE X 3 BLIST. AL/PVC A CATE 12 COMPR. FILM. P-RF

CUTIE X 1 BLIST. AL/PVC X 12 COMPR. FILM.


CUTIE X 1 FLAC. GRAN. PT. 60 ML SUSP. ORALA + 1 MASURA DOZATOARE MARCATA LA 5, 10 SI 15 ML

CUTIE X 1 TUB X 20 G
CUTIE X 1 TUB X 30G
CUTIE X 1 TUB DIN AL X 30 G CREMA
CUTIE X 1 TUB AL. X 12 G
CUTIE X 1 TUB X 5 G CREMA
CUTIE X 1 TUB X 15 G CREMA
CUTIE X 1 TUB AL X 7,5 G
CUTIE X 1 TUB AL X 15 G
CUTIE X 1 TUB X 5G CREMA
CUTIE CU 1 TUB AL X 15 G CREMA
CUTIE X 1 TUB DIN AL X 15 G CREMA
CUTIE CU 1 TUB DIN AL X 15 G CREMA
CUTIE X 1 TUB DIN PEJD X 15 G CREMA
CUTIE X 2 BLIST. X 3 CAPS. VAG. MOI
CUTIE X 1 BLIST. X 3 CAPS. VAG. MOI
CUTIE X 1 TUB X 78 G

GRECIA
FARMACEUTICI ECOBI S.A.S ITALIA
CUTIE X 1 TUB DIN AL X 78 G CREMA VAGINALA + CANULA
FARMACEUTICI ECOBI S.A.S ITALIA
CUTIE X 3 FOLII PREFORMATE PVC/PE X 5 OVULE
FARMACEUTICI ECOBI S.A.S ITALIA
CUTIE X 5 FLACOANE DIN PEJD X 150 ML SOL. VAG. + 5 CANULE
FARMEX COMPANY SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
SANDOZ SRL
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS.
ANTIBIOTICE SA
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
ANTIBIOTICE SA
ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS.
ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS.
FARMEX COMPANY SRL ROMANIA CUTIE X 50 BLIST. AL/PVC X 10 CAPS.
FARMEX COMPANY SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
SANDOZ SRL
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS.
ANTIBIOTICE SA
ROMANIA CUTIE X 100 BLIST. X 10 CAPS.
ANTIBIOTICE SA
ROMANIA CUTIE X 1 BLIST. X 10 CAPS.
ANTIBIOTICE SA
ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. I.M./I.V.
ANTIBIOTICE SA
ROMANIA CUTIE X 100 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. I.M./I.V.
ANTIBIOTICE SA
ROMANIA CUTIE X 100 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. I.M./I.V.
ANTIBIOTICE SA
ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. I.M./I.V.
ANTIBIOTICE SA
ROMANIA CUTIE X 50 FLAC. PULB. PT. SOL. INJ. X 1,5 G
ANTIBIOTICE SA
ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. INJ. X 1,5 G
FARAN LABORATORIES S.A.

BEECHAM GROUP PLC

MAREA BRITANIE

LEK PHARMACEUTICALS D.D.

SLOVENIA

MEDOCHEMIE LTD. CIPRU

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

PRF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF/S

P-RF
P-RF/S

P-RF
P-RF
P-RF/S

P-RF
P-RF
P-RF/S

P-RF
P-RF
P-RF/S
P-RF/S

P-RF
P-RF/S

P-RF

CUTIE CU 7 BLIST. AL/PVC-AL X 4 COMPR. ELIB. PREL.

P-RF

CUTIE X 2 BLIST. AL/AL X 7 COMPR.FILM.

P-RF

CUTIE X 2 BLIST. AL-PVC/AL X 7 COMPR. FILM.

P-RF

CUTIE X 4 FOLII AL-PEJD X 7 COMPR. FILM.

P-RF

COMPR. FILM. 500 mg/125 mg RANBAXY UK LIMITED

MAREA BRITANIE

COMPR. FILM. 500/125mg

ROMANIA CUTIE X 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-RF

ANTIBIOTICE S.A.

COMPR. FILM. 500mg/125mg BEECHAM GROUP PLC

MAREA BRITANIE

CUTIE CU 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM., FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA PROTECTO

P-RF

COMPR. FILM.

SLOVENIA

CUTIE X 1 BLIST. AL/AL X 14 COMPR. FILM.

P-RF

COMPR. FILM. 875mg/125mg BEECHAM GROUP PLC

MAREA BRITANIE

CUTIE CU 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM., FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA PROTECTO

P-RF

COMPR. FILM. 875mg/125mg

ROMANIA CUTIE CU 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-RF

625mg

LEK PHARMACEUTICALS D.D.

ANTIBIOTICE S.A.

Pagina 1 din 96

36
12
1
1
1
1
1
1
1
1
1
1
1
1
1
1
6
3
1
1
15
5
20
20
1000
20
1000
20
10
500
20
10
1000
10
1
100
100
1
50
1
28
14
14
28
14
14
14
14
14

72.18
24.49
14.14
5.05
6.34
7.04
4.73
3.68
5.62
3.10
4.98
15.58
4.97
5.42
4.97
3.48
4.41
4.23
14.33
10.31
6.66
13.32
4.98
5.70
242.55
5.59
257.71
5.25
4.58
195.09
8.26
5.21
296.26
5.10
2.46
237.08
376.06
3.94
633.77
18.68
34.28
29.92
31.12
24.47
8.01
11.33
20.76
19.50
14.04

2.005000
2.040833
14.140000
5.050000
6.340000
7.040000
4.730000
3.680000
5.620000
3.100000
4.980000
15.580000
4.970000
5.420000
4.970000
3.480000
0.735000
1.410000
14.330000
10.310000
0.444000
2.664000
0.249000
0.285000
0.242550
0.279500
0.257710
0.262500
0.458000
0.390180
0.413000
0.521000
0.296260
0.510000
2.460000
2.370800
3.760600
3.940000
12.675400
18.680000
1.224285
2.137142
2.222857
0.873928
0.572142
0.809285
1.482857
1.392857
1.002857

2.005000
2.040833
14.140000
5.050000
6.340000
7.040000
4.730000
3.680000
4.176000
3.100000
4.176000
4.416000
4.176000
4.176000
4.176000
3.480000
0.735000
1.410000
12.372000
10.310000
0.444000
2.664000
0.249000
0.285000
0.242550
0.279500
0.257710
0.262500
0.355512
0.355512
0.355512
0.355512
0.296260
0.355512
2.460000
2.370800
3.760600
3.940000
12.675400
15.210480
1.224285
1.203428
1.203428
0.686570
0.572142
0.686570
0.686570
1.203428
1.002857

91.26
33.10
19.11
6.83
8.57
9.51
6.39
4.98
7.60
4.19
6.73
21.06
6.72
7.33
6.72
4.70
5.96
5.72
19.37
13.93
9.00
18.00
6.73
7.70
296.11
7.55
314.61
7.10
6.19
238.17
11.17
7.04
361.68
6.89
3.33
289.43
448.06
5.33
728.96
25.25
44.84
39.13
40.71
33.07
10.83
15.32
28.06
26.35
18.97

2.535000
2.758333
19.110000
6.830000
8.570000
9.510000
6.390000
4.980000
7.600000
4.190000
6.730000
21.060000
6.720000
7.330000
6.720000
4.700000
0.993333
1.906666
19.370000
13.930000
0.600000
3.600000
0.336500
0.385000
0.296110
0.377500
0.314610
0.355000
0.619000
0.476340
0.558500
0.704000
0.361680
0.689000
3.330000
2.894300
4.480600
5.330000
14.579200
25.250000
1.601428
2.795000
2.907857
1.181071
0.773571
1.094285
2.004285
1.882142
1.355000

50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113

J01CR02
J01CR02
J01CR02
J01CR02
J01CR02
J01CR02
J01CR02
J01CR02
J01CR02
J01CR02
J01CR02
J01CR02
J01CR02
J01CR02
J01CR02
J01CR02
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD08
J01DD08
J01DD12
J01DD12
J01DD12

Denumire generica

Denumire comerciala

AMOXICILLINUM + ACIDUM CLAVULANICUM


AMOXICILLINUM + ACIDUM CLAVULANICUM
AMOXICILLINUM + ACIDUM CLAVULANICUM
AMOXICILLINUM + ACIDUM CLAVULANICUM
AMOXICILLINUM + ACIDUM CLAVULANICUM
AMOXICILLINUM + ACIDUM CLAVULANICUM
AMOXICILLINUM + ACIDUM CLAVULANICUM
AMOXICILLINUM + ACIDUM CLAVULANICUM
AMOXICILLINUM + ACIDUM CLAVULANICUM
AMOXICILLINUM + ACIDUM CLAVULANICUM
AMOXICILLINUM + ACIDUM CLAVULANICUM
AMOXICILLINUM + ACIDUM CLAVULANICUM
AMOXICILLINUM + ACIDUM CLAVULANICUM
AMOXICILLINUM + ACIDUM CLAVULANICUM
AMOXICILLINUM + ACIDUM CLAVULANICUM
AMOXICILLINUM + ACIDUM CLAVULANICUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFIXIMUM
CEFIXIMUM
CEFOPERAZONUM
CEFOPERAZONUM
CEFOPERAZONUM

AMOKSIKLAV QUICKTAB 1000 mg


AMOKSIKLAV QUICKTAB 625 mg

AMOXIPLUS 1,2 g
AMOXIPLUS 1,2 g
AMOXIPLUS 1,2 g
MEDOCLAV 156,25 mg/5 ml
AMOKSIKLAV 156,25mg/5ml

MEDOCLAV FORTE 312,5mg/5ml

AMOKSIKLAV 2x
AMOKSIKLAV 2x

AUGMENTIN BIS 400 mg/57 mg/5 ml

Forma
Concentr
farmaceuti
atie / U.T.
ca

Firma

Tara

PULB. PT. SOL. INJ./PERF.

1000mg
625mg
1,2g
1.2g
1.2g

PULB. PT. SUSP. ORALA

125mg+31,25/5ml

PULB. PT. SUSP. ORALA

156,25mg/5ml LEK PHARMACEUTICALS D.D. SLOVENIA

COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE

COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE

PULB. PT. SOL. INJ./PERF.


PULB. PT. SOL. INJ./PERF.

Ambalaj

Prescriptie

Grupa
Nr.
terape
crt
utica

BIOMEDIAL PHARMA S.R.L. ROMANIA

CUTIE X 7 BLIST. AL/AL X 2 COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE

P-RF

BIOMEDIAL PHARMA S.R.L. ROMANIA

CUTIE X 7 BLIST. AL/AL X 2 COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE

P-RF

ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA
MEDOCHEMIE LTD.

ROMANIA CUTIE X 1 FLACON CU PULB. PT. SOL. INJ. / PERF. P-RF


ROMANIA CUTIE X 100 FLACOANE CU PULB. PT. SOL. INJ. / PERF.

P-RF/S

ROMANIA CUTIE X 50 FLACOANE CU PULB. PT. SOL. INJ. / PERF.

P-RF/S

CIPRU

MEDOCHEMIE LTD. CIPRU

PULB. PT. SUSP. ORALA

250mg+62,5mg/5ml

PULB. PT. SUSP. ORALA

400mg+57mg/5ml LEK PHARMACEUTICALS D.D.

PULB. PT. SUSP. ORALA

400mg+57mg/5ml LEK PHARMACEUTICALS D.D.

PULB. PT. SUSP. ORALA

400mg/57mg/5ml

SMITHKLINE BEECHAM PLC

SLOVENIA

CUTIE X 1 FLAC. CU PULB. PT. 100ML SUSP. ORALA + LINGURITA DOZATOARE

P-RF

CUTIE X 1 FLAC. DIN STICLA BRUNA CU 25 MG PULB. PT. 100 ML SUSP. ORALA

P-RF

CUTIE X 1 FLAC. DIN STICLA BRUNA CU PULB. PT. 100 ML SUSP.

P-RF

CUTIE X 1 FLAC. DIN STICLA BRUNA CU PULB. PT. 70 ML SUSP.ORALA + SERINGA DOZATOARE

P-RF

SLOVENIA

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. 70 ML SUSP. ORALA + MASURA DOZATOARE

P-RF

AUGMENTIN BIS 400 mg/57 mg/5 ml

PULB. PT. SUSP. ORALA

400mg/57mg/5ml

SMITHKLINE BEECHAM PLC

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. 35 ML SUSP. ORALA + MASURA DOZATOARE

P-RF

AUGMENTIN BIS 400 mg/57 mg/5 ml

PULB. PT. SUSP. ORALA

400mg/57mg/5ml

SMITHKLINE BEECHAM PLC

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. 35 ML SUSP. ORALA + 1 SERINGA PT. ADM. ORALA

P-RF

AUGMENTIN (R) ES

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

ENHANCIN 250 mg/ 62,5 mg/5 ml

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

AMOKSIKLAV 312,5mg/5ml
TAZOCIN 4,5
TAZOCIN 2,25
ZOPECILIN 2 g/0,25 g
ZOPECILIN 2 g/0,25 g

PULB. PT.SUSP. ORALA

312,5mg/5ml LEK PHARMACEUTICALS D.D. SLOVENIA

LIOF. PT. SOL. INJ.

FARA CONCENTRATIE

PFIZER EUROPE MA EEIG

LIOF. PT. SOL. INJ.

FARA CONCENTRATIE

WYETH LEDERLE PHARMA GMBH

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
1000mg
1g
1g
2g
250mg
250mg
250mg
250mg
250mg
2g
2g
500mg
500mg
500mg
500mg
2g
2g
1g
1g
100mg
200mg
1g
2g
2g

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.

S.C. FRESENIUS KABI S.R.L. ROMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF

S.C. FRESENIUS KABI S.R.L. ROMANIA

CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF

S.C. FRESENIUS KABI S.R.L. ROMANIA

CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF

S.C. FRESENIUS KABI S.R.L. ROMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

S.C. FRESENIUS KABI S.R.L. ROMANIA

CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

PULB. PT. SOL. INJ./PERF.


PULB. PT. SOL. INJ./PERF.

PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g

PULB. PT. SOL. INJ./PERF.

PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g

PULB. PT. SOL. INJ./PERF.

PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g

PULB. PT. SOL. INJ./PERF.

PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g

PULB. PT. SOL. INJ./PERF.

PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g

PULB. PT. SOL. INJ./PERF.

PERASIN 2g/0,25 g

PULB. PT. SOL. INJ./PERF.

PIPERACILINA/TAZOBACTAM MYLAN 2g/0,25 g

PULB. PT. SOL. INJ./PERF.

BACTACIN 2 g/0,25 g

PULB. PT. SOL. INJ./PERF.

PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g

PULB. PT. SOL. INJ./PERF.

PIPERACILINA/TAZOBACTAN ACTAVIS 2 g/0,25 g

PULB. PT. SOL. INJ./PERF.

PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g

PULB. PT. SOL. INJ./PERF.

PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g

PULB. PT. SOL. INJ./PERF.

PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g

PULB. PT. SOL. INJ./PERF.

PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g

PULB. PT. SOL. INJ./PERF.

BACTACIN 4 g/0,5 g
PERASIN 4g/0,5 g
ZOPECILIN 4 g/0,5 g
ZOPECILIN 4 g/0,5 g
PIPERACILINA/TAZOBACTAN ACTAVIS 4 g/0,5 g

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.

CEFTRIAXONA ACTAVIS 1 g PULB. PT. SOL. INJ.


OFRAMAX 1000 mg
PULB. PT. SOL. INJ./PERF.
SEFTRION 1 g
PULB. PT. SOL. INJ./PERF.
CEFORT 1 g
PULB. PT. SOL. INJ./PERF.
CEFTRIAXONA ACTAVIS 2 g 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.
OFRAMAX 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.
SEFTRION 500 mg
PULB. PT. SOL. INJ./PERF.
CEFORT 500 mg
PULB. PT. SOL. INJ./PERF.
CEFORT 500 mg
PULB. PT. SOL. INJ./PERF.
ROCEPHIN (R)
PULB. PT. SOL. PERF.
SEFTRION 2 g
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.
PULB.+SOLV. PT. SOL. INJ./PERF.

CUTIE X 1 FLAC. DIN STICLA BRUNA CU 25 G PULB. PT. 100 ML SUSP. ORALA + LINGURITA DOZATOARE

CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ.


AUSTRIA CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ.

MAREA BRITANIE

P-RF
S/P-RF
S/P-RF

ROMANIA

CUTIE CU 50 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 15 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
PR
S

E.I.P.I.CO. MED S.R.L. ROMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERFZ.

S/P-RF

ROMANIA CUTIE X 10 FLAC. CU PULB. PT. SOL. INJ./PERF.

S/P-RF

ANTIBIOTICE S.A.
MYLAN S.A.S.
TERAPIA SA

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

FRANTA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CU PULB. PT. SOL. INJ./PERF.

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF.

S.C. FRESENIUS KABI S.R.L. ROMANIA

CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

ACTAVIS GROUP PTC EHF. ISLANDA

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.

S.C. FRESENIUS KABI S.R.L. ROMANIA

CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

MYLAN S.A.S.

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. INJ./PERF.

FRANTA

S.C. FRESENIUS KABI S.R.L. ROMANIA

CUTIE X 1 FLAC DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

S.C. FRESENIUS KABI S.R.L. ROMANIA

CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

TERAPIA SA
ANTIBIOTICE S.A.

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 50 ML CU PULB. PT. SOL. INJ./PERF.

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 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.

ACTAVIS GROUP PTC EHF. ISLANDA

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.

ACTAVIS GROUP PTC EHF. ISLANDA

CUTIE CU 5 FLACOANE DIN STICLA INCOLORA X 20 ML, CU SIST. SIG. "FLIP - OFF" CU PULB. PT. SOL. INJ.

TERAPIA SA

ANTIBIOTICE SA

ACTAVIS GROUP PTC EHF. ISLANDA

ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA
TERAPIA SA
ANTIBIOTICE SA
MEDOCHEMIE LTD.
ANTIBIOTICE SA
ANTIBIOTICE SA

ROMANIA CUTIE X 50 FLAC. CU PULB. PT. SOL. INJ.PERF.

ROMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ.PERF.

S/P-RF

ROMANIA

MEDICAROM GROUP S.R.L.

CUTIE CU 50 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 5 ML CU PULB. PT. SOL. INJ./PERF.

ROMANIA CUTIE X 10 FLAC. CU PULB. PT. SOL.INJ./PERF.

S/P-RF

CUTIE X 10 FLACOANE X 2 G PULB. PT. SOL. INJ./PERF.

S/P-RF

CIPRU

ROMANIA CUTIE X 10 FLAC. CU PULB. PT. SOL. INJ./PERF.


ROMANIA CUTIE X 50 FLAC. CU PULB. PT. SOL. INJ./PERF.
CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERFZ.

S/P-RF
S/P-RF
S/P-RF

ROMANIA CUTIE X 100 FLAC. CU PULB. PT. SOL. INJ./PERF.

S/P-RF

ROMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ./PERF.

S/P-RF

ROCHE ROMANIA S.R.L. ROMANIA

EIPICO MED SRL


ZENTIVA S.A.
ZENTIVA S.A.
ANTIBIOTICE S.A.
ANTIBIOTICE SA
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.

PR
S/P-RF

ROMANIA CUTIE X 100 FLAC. CU PULB. PT. SOL. INJ.PERF.

E.I.P.I.CO. MED S.R.L. ROMANIA

ANTIBIOTICE SA
ANTIBIOTICE SA

CUTIE CU 5 FLACOANE DIN STICLA INCOLORA X 20 ML, CU SIST. SIG. "FLIP - OFF" CU PULB. PT. SOL. INJ./P

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPCITATEA DE 50ML CONTINAND PULB. PT. SOL. PERFUZ.

S/P-RF

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF.

P-RF

ROMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 15 ML CONTINAND PULB. PT. SOL. INJ.+ 1 FIOLA DIN STICLA INCOLO

P-RF

ROMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 15 ML CONTINAND PULB. PT. SOL. INJ./PERF.+ 1 FIOLA DIN STICLA

S/P-RF

CUTIE CU 1 BLIST. PVC/AL X 10 CAPS.


ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS.
CIPRU CUTIE X 10 FLAC. PULB. PT. SOL. INJ.
CIPRU CUTIE X 10 FLAC. PULB. PT. SOL. INJ.
ROMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ.
ROMANIA

Pagina 2 din 96

PRF
P-RF
S/P-RF
S/P-RF
S/P-RF

cant/a
mbala
j

14
14
1
100
50
1
1
1
1
1
1
1
1
1
1
1
12
12
1
12
1
5
10
1
5
1
1
1
10
12
10
1
1
5
1
1
1
12
12
5
50
1
10
5
50
100
1
50
10
10
10
50
1
100
1
1
1
1
1
10
10
10
10
1

Pret cu
ridicata
maximal /
ambalaj

18.55
12.23
5.10
477.30
246.03
11.02
8.65
16.36
9.57
4.78
14.72
7.36
7.36
26.22
16.80
17.77
692.90
401.14
22.93
265.41
20.32
99.83
196.11
40.65
196.11
22.93
22.93
22.93
386.57
265.28
389.01
40.94
40.93
197.45
40.93
40.93
40.93
460.81
460.81
46.17
456.00
10.31
133.84
90.67
262.42
505.00
5.48
246.03
54.63
210.87
228.45
412.34
7.74
792.54
8.75
44.01
12.94
6.02
6.02
15.95
26.58
154.50
257.49
20.07

Pret cu ridicata
maximal / U.T.

1.325000
0.873571
5.100000
4.773000
4.920600
11.020000
8.650000
16.360000
9.570000
4.780000
14.720000
7.360000
7.360000
26.220000
16.800000
17.770000
57.741666
33.428333
22.930000
22.117500
20.320000
19.966000
19.611000
40.650000
39.222000
22.930000
22.930000
22.930000
38.657000
22.106666
38.901000
40.940000
40.930000
39.490000
40.930000
40.930000
40.930000
38.400833
38.400833
9.234000
9.120000
10.310000
13.384000
18.134000
5.248400
5.050000
5.480000
4.920600
5.463000
21.087000
22.845000
8.246800
7.740000
7.925400
8.750000
44.010000
12.940000
6.020000
6.020000
1.595000
2.658000
15.450000
25.749000
20.070000

Pret cu ridicata
maximal de
decontare / U.T.

1.203428
0.686570
5.100000
4.773000
4.920600
10.380000
8.650000
16.360000
9.570000
4.780000
11.484000
5.736000
5.736000
26.220000
16.800000
17.770000
46.081000
23.533200
22.930000
22.117500
20.320000
19.966000
19.611000
23.533200
23.533200
22.930000
22.930000
22.930000
23.533200
22.106666
38.901000
40.940000
40.930000
39.490000
40.930000
40.930000
40.930000
38.400833
38.400833
7.224000
7.224000
7.224000
7.224000
15.528000
5.248400
5.050000
5.480000
4.920600
5.463000
15.528000
15.528000
8.246800
7.740000
7.925400
8.750000
15.528000
12.940000
6.020000
6.020000
1.595000
2.658000
8.448000
13.932000
13.932000

Pret cu
amanuntul
maximal /
ambalaj

25.07
16.53
6.89
558.41
300.35
14.90
11.69
22.11
12.93
6.46
19.89
9.95
9.95
34.30
22.71
24.02
793.41
475.39
30.99
324.01
27.47
126.23
239.41
53.17
239.41
30.99
30.99
30.99
459.51
323.86
462.17
53.55
53.53
241.05
53.53
53.53
53.53
540.43
540.43
60.39
535.19
13.94
163.39
114.64
320.36
588.60
7.41
300.35
69.07
257.43
278.89
487.60
10.46
902.02
11.82
57.56
17.49
8.14
8.14
21.56
34.77
188.61
314.35
27.12

Pret cu amanuntul
maximal / U.T.

1.790714
1.180714
6.890000
5.584100
6.007000
14.900000
11.690000
22.110000
12.930000
6.460000
19.890000
9.950000
9.950000
34.300000
22.710000
24.020000
66.117500
39.615833
30.990000
27.000833
27.470000
25.246000
23.941000
53.170000
47.882000
30.990000
30.990000
30.990000
45.951000
26.988333
46.217000
53.550000
53.530000
48.210000
53.530000
53.530000
53.530000
45.035833
45.035833
12.078000
10.703800
13.940000
16.339000
22.928000
6.407200
5.886000
7.410000
6.007000
6.907000
25.743000
27.889000
9.752000
10.460000
9.020200
11.820000
57.560000
17.490000
8.140000
8.140000
2.156000
3.477000
18.861000
31.435000
27.120000

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
168
169
170
171
172
173
174
175
176
177

J01DD12
J01DD12
J01DD12

Denumire generica
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
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

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

Denumire comerciala
CEFOZON 500 mg
CEFOZON 2 g
CEFOZON 1 g
SULCEF 1000 mg/1000 mg
SULCEF 1000 mg/1000 mg
SULCEF 1000 mg/1000 mg
SULCEF 1000 mg/1000 mg
CEFROM (R) 1 g
CEFROM (R) 2 g
MERONEM IV 1 g
MERONEM IV 500 mg
LODITER 1000 mg
MEROPENEM HOSPIRA 1 g
MEROPENEM HOSPIRA 1 g
MEROPENEM KABI 1 g
MEROPENEM KABI 1 g
LODITER 500 mg
MEROPENEM HOSPIRA 500 mg

MEROPENEM KABI 500 mg


MEROPENEM KABI 500 mg

MEROPENEM HOSPIRA 500 mg

CILOPEN 500mg/500mg
CILOPEN 500mg/500mg
CILOPEN 500mg/500mg
CILOPEN 500mg/500mg

Forma
Concentr
farmaceuti
atie / U.T.
ca
PULB. PT. SOL. INJ.
PULB. PT. SOL. INJ./PERF. I.M./I.V.

PULB. PT. SOL. INJ./PERF.I.M./I.V.

500mg
2g
1g

PULB. PT. SOL. INJ./PERF.

1000mg/1000mg

PULB. PT. SOL. INJ./PERF.

1000mg/1000mg

PULB. PT. SOL. INJ./PERF.

1000mg/1000mg

PULB. PT. SOL. INJ./PERF.

1000mg/1000mg

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.
PULB. PT. SOL. INJ./PERF.
PULB. PT. SOL. INJ./PERF.
PULB. PT. SOL. INJ./PERF.

1g
2g
1g
500mg
1000mg
1g
1g
1g
1g
500mg
500mg
500mg
500mg
500mg

PULB. PT. SOL. INJ. 500mg/500mg


PULB. PT. SOL. INJ. 500mg/500mg
PULB. PT. SOL. INJ. 500mg/500mg
PULB. PT. SOL. INJ. 500mg/500mg

Firma

Tara

Ambalaj

E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. INJ.
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.
E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 15 ML CU PULB. PT. SOL. INJ. I.M./PERF. I.V.

MEDOCHEMIE S.R.L.
MEDOCHEMIE S.R.L.
MEDOCHEMIE S.R.L.
MEDOCHEMIE S.R.L.
LAB. AVENTIS
LAB. AVENTIS

Prescriptie

Grupa
Nr.
terape
crt
utica

S/P-RF
S/P-RF
S/P-RF

ROMANIA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF.

S/P-RF

ROMANIA

CUTIE CU 50 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF.

S/P-RF

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF.

S/P-RF

ROMANIA

CUTIE CU 100 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF.

FRANTA CUTIE X 1 FLAC. PULB. PT. SOL. INJ./PERF.


FRANTA CUTIE X 1 FLAC. PULB. PT. SOL. INJ./PERF.

S
S/P-RF
S/P-RF

HOSPIRA UK LIMITED
HOSPIRA UK LIMITED

MAREA BRITANIE

CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.

FRESENIUS KABI ROMANIA SRL

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF.

FRESENIUS KABI ROMANIA SRL

ROMANIA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF.

TERAPIA S.A.

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CONTINAND PULB. PT. SOL. INJ./PERF.

HOSPIRA UK LIMITED

MAREA BRITANIE

CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.

FRESENIUS KABI ROMANIA SRL

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF.

FRESENIUS KABI ROMANIA SRL

ROMANIA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF.

HOSPIRA UK LIMITED

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.

S
S
PR
PR
PR
S
S
PR
PR
S
S
PR

ROMANIA

CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF.

S/P-RF

ROMANIA

CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. 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.

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 40 ML CONTINAND PULB. PT. SOL. INJ./PERF.

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.

TERAPIA S.A.

TERAPIA SA
TERAPIA SA
TERAPIA SA
TERAPIA SA

ROMANIA

CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 22 ML PULB. PT. SOL. PERF.

S/P-RF

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

ROMANIA

CUTIE X 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF.

S/P-RF

IMIPENEM/CILASTATIN HOSPIRA 500 mg/500 mg PULB. PT. SOL. PERF.

500mg/500mg

IMIPENEM/CILASTATIN KABI 500mg/500mg

PULB. PT. SOL. PERF.

500mg/500mg FRESENIUS KABI ROMANIA SRL

PULB. PT. SOL. PERF.

500mg/500mg MERCK SHARP & DOHME ROMANIA

TAVA DIN PLASTIC X 25 FLAC. DIN STICLA INCOLORA CU PULB.PT. SOL. PERF.

S/P-RF

PULB. PT. SOL. PERF.

500mg/500mg MERCK SHARP & DOHME ROMANIA

TAVA DIN PLASTIC X 10 FLAC. DIN STICLA INCOLORA CU PULB.PT. SOL. PERF.

S/P-RF

TIENAM I.V.
TIENAM I.V.
BITRIM 400mg/80mg
TAGREMIN
SUMETROLIM
CO - TRIM ELL
SUMETROLIM
EPITRIM
ROVAMYCINE (R) 1,5 Mil. UI
ROVAMYCINE (R) 3 Mil. UI
ROXAMED (R) 150
CLAXIRIT 500 mg
LEKOKLAR (R) 250 mg
CLAR 250
KLERIMED (R) 250
KLABAX 250 mg
KLACID (R)
FROMILID 250
LEKOKLAR (R) 500 mg
ROCLARIN 500 mg
KLERIMED (R) 500
KLABAX 500 mg
FROMILID 500
CLAR 500
LEKOKLAR XL 500 mg
LEKOKLAR XL 500 mg
KLABAX MR 500 mg
KLACID SR
FROMILID (R) UNO
LEKOKLAR 125 mg/5 ml
KLACID (R)
KLACID (R)
FROMILID (R) 125 mg/5 ml
KLABAX 125 mg/5 ml
KLABAX 125 mg/5 ml
LEKOKLAR 250 mg/5 ml
LEKOKLAR 250 mg/5 ml

COMPR.
COMPR.
COMPR.
COMPR.
SIROP

25mg/5mg/ml EGIS PHARMACEUTICALS P.L.C. UNGARIA

SUSP. ORALA

200mg/40mg /5ml

COMPR. FILM.

1,5 M ui
3M ui
150mg
500mg
250mg
250mg
250mg
250mg
250mg
250mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg

COMPR. FILM.
COMPR. FILM.
COMPR. CU ELIB. PREL.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM. ELIB. MODIF.
COMPR. FILM. ELIB. MODIF.
COMPR. FILM. ELIB. MODIF.

COMPR. FILM. ELIB. PREL.


COMPR. FILM. ELIB. PREL.

GRAN. PT. SUSP. ORALA


GRAN. PT. SUSP. ORALA
GRAN. PT. SUSP. ORALA
GRAN. PT. SUSP. ORALA
GRAN. PT. SUSP. ORALA
GRAN. PT. SUSP. ORALA
GRAN. PT. SUSP. ORALA
GRAN. PT. SUSP. ORALA

400mg/80mg
400mg/80mg
400mg/80mg
400mg/80mg

125mg/5ml
125mg/5ml
125mg/5ml
125mg/5ml
125mg/5ml
125mg/5ml
250mg/5ml
250mg/5ml

ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


ZENTIVA S.A.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
BIO EEL SRL
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SUSP. ORALA + MASURA DOZATOARE

E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON DIN STICLA BRUNA CU MASURA DOZATOARE X 100 ML
LAB. AVENTIS
FRANTA CUTIE X 2 BLIST. AL/PVC X 8 COMPR. FILM.
LAB. AVENTIS
FRANTA CUTIE X 2 BLIST. AL/PVC X 5 COMPR. FILM.
DAR AL DAWA PHARMA S.R.L.

ROMANIA

CUTIE X 1 BLIST. X 10 COMPR. FILM.

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/PVDC//AL X 7 COMPR. CU ELIB. PREL. PRF
LEK PHARMACEUTICALS D.D.

SLOVENIA

MEDICAROM GROUP S.R.L. ROMANIA

CUTIE X 2 BLIST. X 7 COMPR. FILM.


CUTIE X 5 BLIST. X 4 COMPR. FILM.

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.

P-RF
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
SLOVENIA CUTIE X 2 BLIST. X 7 COMPR. FILM.
ANTIBIOTICE S.A.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM.
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.

LEK PHARMACEUTICALS D.D.

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
MEDICAROM GROUP S.R.L. ROMANIA

CUTIE X 5 BLIST. AL/PVC X 4 COMPR. FILM.

P-RF

LEK PHARMACEUTICALS D.D.

SLOVENIA CUTIE X 1 FOLIE AL/AL X 7 COMPR. FILM. ELIB. MODIF.

P-RF

LEK PHARMACEUTICALS D.D.

SLOVENIA CUTIE X 1 FOLIE AL/AL X 5 COMPR. FILM. ELIB. MODIF.

P-RF

TERAPIA SA

ROMANIA CUTIE X 1 BLIST. PVC/PVDC-AL X 7 COMPR. FILM. ELIB. PREL. P-RF

ABBOTT LABORATORIES LTD.

MAREA BRITANIE

KRKA D.D.
SANDOZ SRL
ABBOTT SPA
ABBOTT SPA
KRKA D.D.
TERAPIA SA
TERAPIA SA
SANDOZ SRL
SANDOZ SRL

CUTIE X 1 BLIST. PVC-PVDC/AL X 5 COMPR. FILM. ELIB. PREL. P-RF

SLOVENIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. ELIB. PREL. P-RF

ROMANIA

ITALIA
ITALIA

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

SLOVENIA

CUTIE X 1 FLAC. PULB. PT. 60 ML SUSP.

P-RF

ROMANIA

CUTIE X 1 FLAC. DIN PEID X 70 G GRAN. PT. 100 ML SUSP . ORALA

P-RF

ROMANIA

CUTIE X 1 FLAC. DIN PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA

P-RF

ROMANIA

CUTIE X 1 FLAC. DIN PEID CU 68,3 G GRANULE PT. 100 ML SUSP. ORALA + LINGURITA DOZATOARE PP

P-RF

ROMANIA

CUTIE X 1 FLAC. DIN PEID CU 41 G GRANULE PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE PP

P-RF

Pagina 3 din 96

cant/a
mbala
j

1
1
1
10
50
1
100
1
1
10
10
1
1
10
1
10
1
10
1
10
1
5
10
5
10
5
10
25
10
20
20
20
20
1
1
16
10
10
7
14
20
14
14
14
14
14
20
14
14
14
20
7
5
7
5
7
1
1
1
1
1
1
1
1

Pret cu
ridicata
maximal /
ambalaj

3.88
11.61
7.04
180.16
848.93
18.67
1,667.86
59.93
104.25
1,030.68
539.60
72.84
57.22
540.86
72.84
680.43
37.77
303.59
37.77
361.25
31.46
146.26
292.52
146.26
292.52
146.26
296.98
1,068.64
445.46
5.71
5.71
3.06
5.21
6.07
3.52
7.30
20.62
11.28
23.71
23.85
17.01
12.35
10.85
21.14
12.35
29.01
33.14
24.13
23.73
24.13
33.91
19.04
13.60
26.92
27.85
20.78
19.39
29.92
18.11
17.24
23.38
14.01
47.03
34.29

Pret cu ridicata
maximal / U.T.

3.880000
11.610000
7.040000
18.016000
16.978600
18.670000
16.678600
59.930000
104.250000
103.068000
53.960000
72.840000
57.220000
54.086000
72.840000
68.043000
37.770000
30.359000
37.770000
36.125000
31.460000
29.252000
29.252000
29.252000
29.252000
29.252000
29.698000
42.745600
44.546000
0.285500
0.285500
0.153000
0.260500
6.070000
3.520000
0.456250
2.062000
1.128000
3.387142
1.703571
0.850500
0.882142
0.775000
1.510000
0.882142
2.072142
1.657000
1.723571
1.695000
1.723571
1.695500
2.720000
2.720000
3.845714
5.570000
2.968571
19.390000
29.920000
18.110000
17.240000
23.380000
14.010000
47.030000
34.290000

Pret cu ridicata
maximal de
decontare / U.T.

3.880000
11.610000
7.040000
18.016000
16.978600
18.670000
16.678600
59.930000
104.250000
64.903200
36.430800
64.903200
57.220000
54.086000
64.903200
64.903200
36.430800
30.359000
36.430800
36.125000
31.460000
29.252000
29.252000
29.252000
29.252000
29.252000
29.698000
35.102400
35.102400
0.183600
0.183600
0.153000
0.183600
6.070000
3.520000
0.456250
2.062000
1.128000
1.988400
0.930000
0.850500
0.882142
0.775000
0.930000
0.882142
1.988400
1.657000
1.723571
1.695000
1.723571
1.695500
1.988400
1.988400
1.988400
1.988400
1.988400
16.812000
28.056000
16.812000
16.812000
23.380000
14.010000
46.872000
28.128000

Pret cu
amanuntul
maximal /
ambalaj

5.24
15.69
9.51
219.94
963.48
25.24
1,856.12
75.78
127.27
1,161.59
626.31
92.10
72.35
627.69
92.10
779.82
49.40
369.06
49.40
431.91
41.15
178.55
357.11
178.55
357.11
178.55
362.55
1,202.97
523.70
7.72
7.72
4.13
7.04
8.20
4.76
9.86
27.87
15.24
32.05
32.23
22.99
16.69
14.67
28.57
16.69
37.95
43.35
32.62
32.08
32.62
44.36
25.73
18.38
35.21
36.43
28.09
26.21
39.14
24.48
23.30
31.60
18.94
61.52
44.85

Pret cu amanuntul
maximal / U.T.

5.240000
15.690000
9.510000
21.994000
19.269600
25.240000
18.561200
75.780000
127.270000
116.159000
62.631000
92.100000
72.350000
62.769000
92.100000
77.982000
49.400000
36.906000
49.400000
43.191000
41.150000
35.710000
35.711000
35.710000
35.711000
35.710000
36.255000
48.118800
52.370000
0.386000
0.386000
0.206500
0.352000
8.200000
4.760000
0.616250
2.787000
1.524000
4.578571
2.302142
1.149500
1.192142
1.047857
2.040714
1.192142
2.710714
2.167500
2.330000
2.291428
2.330000
2.218000
3.675714
3.676000
5.030000
7.286000
4.012857
26.210000
39.140000
24.480000
23.300000
31.600000
18.940000
61.520000
44.850000

178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241

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
J01GB03
J01GB03
J01GB03
J01GB03
J01GB06
J01GB06
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

Denumire generica
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
GENTAMICINUM
GENTAMICINUM
GENTAMICINUM
GENTAMICINUM
AMIKACINUM
AMIKACINUM
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

Denumire comerciala
KLABAX 250 mg/5 ml
KLABAX 250 mg/5 ml
KLACID I.V.
AZATRIL 250 mg
SUMAMED 250 mg
SUMAMED 125 mg
AZITROMICINA SANDOZ 250 mg COMPRIMATE FILMATE

AZITROMICINA TERAPIA 250 mg


AZITROMICINA TERAPIA 250 mg
AZITROMICINA TERAPIA 500 mg
AZITROMICINA TERAPIA 500 mg
AZITROMICINA SANDOZ 500 mg COMPRIMATE FILMATE

SUMAMED 500 mg
AZITROX (R) 500
ZITROCIN 500 mg
AZIBIOT 500 mg

Forma
Concentr
farmaceuti
atie / U.T.
ca
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.

AZITROMICINA TERAPIA 600 mg COMPR. FILM.


AZITROMICINA TERAPIA 600 mg COMPR. FILM.

ZMAX 2 g
SUMAMED (R)
AZITROX 200 mg/5 ml

GRAN. ELIB. PREL. PT. SUSP. ORALA

LIOF. PT. SOL. PERF.


PULB. + SOLV. SUSP. ORALA

AZITROMICINA SANDOZ 100 mg/5 ml

PULB. PT. SUSP. ORALA

AZITROMICINA SANDOZ 200 mg/5 ml

PULB. PT. SUSP. ORALA

SUMAMED FORTE
SUMAMED FORTE
SUMAMED FORTE
GENTAMICIN KRKA
GENTAMICIN KRKA
GENTAMICIN KRKA
PAN - GENTAMICINE
BIODACYNA
AMIKOZIT (R) 500 mg/2 ml
ZANOCIN
OFLOXIN 200

PULB. PT. SUSP. ORALA


PULB. PT. SUSP. ORALA
PULB. PT. SUSP. ORALA

SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL.INJ.
SOL. INJ.
SOL. INJ.
COMPR. FILM.
COMPR. FILM.

CIPROFLOXACINA ARENA 100 mg COMPR. FILM.


CIPROFLOXACINA ARENA 100 mg COMPR. FILM.

CIFRAN

COMPR. FILM.

CIPROFLOXACINA ALKALOID 250 mg

COMPR. FILM.

CIPRINOL 250 mg
CIPROLEN (R) 250 mg
CUMINOL 250 mg
CIPROCIN 250 mg
ALVEBAR 250 mg

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

CIPROFLOXACINA ARENA 250 mg COMPR. FILM.

CUMINOL 250 mg

COMPR. FILM.

CIPROFLOXACINA ARENA 250 mg COMPR. FILM.

CIFRAN
CIPRINOL 500 mg

COMPR. FILM.

CIPROFLOXACINA ALKALOID 500 mg

COMPR. FILM.

CIPRO QUIN (R)


ALVEBAR 500 mg

COMPR. FILM.

COMPR. FILM.

COMPR. FILM.

CIPROFLOXACINA ARENA 500 mg COMPR. FILM.

CIPROCIN 500 mg
CIPROLEN (R) 500 mg

COMPR. FILM.
COMPR. FILM.

CIPROFLOXACINA ARENA 500 mg COMPR. FILM.

CIPRODAR
CUMINOL 500 mg
CIPRINOL 750 mg

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

CIPROFLOXACINA ARENA 750 mg COMPR. FILM.

CIPROBAY XR 1000 mg
CIPROBAY XR 500 mg
CIPROFLOXACINA 100 mg/10 ml

CIPRINOL (R)
CIPRINOL (R)

COMPR. FILM. ELIB. PREL.


COMPR. FILM. ELIB. PREL.

CONC. PT. SOL. PERF.


CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.

Firma

250mg/5ml TERAPIA SA
250mg/5ml TERAPIA SA

500mg
250mg
250mg
125mg
250mg
250mg
250mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
600mg
600mg
2g
500mg

ABBOTT LABORATORIES LTD.

Tara

ROMANIA

Ambalaj

CUTIE X 1 FLAC. PEID X 70 G GRAN. PT. 100 ML SUSP . ORALA

Prescriptie

Grupa
Nr.
terape
crt
utica

P-RF

ROMANIA CUTIE X 1 FLAC. PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA P-RF

FRANTA CUTIE X 1 FLAC. LIOF. PT. SOL. PERF.

BALKANPHARMA RAZGRAD AD BULGARIA

PLIVA LJUBLIJANA D.O.O. SLOVENIA

CUTIE X 1 BLIST. AL/PVC X 6 CAPS.


CUTIE X 1 BLIST. PVC-PVDC/AL X 6 CAPS.

S/P-RF

P-RF
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
TERAPIA SA
TERAPIA SA
SANDOZ S.R.L.

ROMANIA

CUTIE X 1 BLIST. X 6 COMPR. FILM.

ROMANIA CUTIE X 1 BLIST. PVC-ACLAR/AL X 6 COMPR. FILM.

P-RF
P-RF

ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 6 COMPR. FILM. P-RF


ROMANIA CUTIE X 1 BLIST. PVC-ACLAR/AL X 3 COMPR. FILM.

P-RF

ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 3 COMPR. FILM. P-RF


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

ZENTIVA K.S.

CEHIA

CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM.

P-RF

LABORMED PHARMA S.A. ROMANIA CUTIE X 1 BLIST. PVC/AL X 3 COMPR. FILM. P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM. P-RF

TERAPIA SA
TERAPIA SA

PFIZER EUROPE MA EEIG

ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 3 COMPR. FILM. P-RF


ROMANIA CUTIE X 1 BLIST. PVC-ACLAR/AL X 3 COMPR. FILM.
MAREA BRITANIE

PLIVA LJUBLJANA D.O.O. SLOVENIA

200mg/5ml ZENTIVA S.A.


100mg/5ml SANDOZ SRL

P-RF

CUTIE X 1 FLACON DIN PEID CU GRAN. CU ELIB. PREL.

P-RF

CUTIE X 5 FLAC. LIOF. PT. SOL. PERF.

S/P-RF

ROMANIA

CUTIE X 1 FLAC. DIN PE CU PULB. PT. 15 ML SUSP. ORALA RECONSTITUITA + FLAC. CU SOLV. X 7,5 ML SOLV.

P-RF

ROMANIA

CUTIE X 1 FLAC. DIN PEID CONTINAD PULBERE PT. 20 ML SUSP. ORALA + SERINGA DOZATOARE DIN PE/PP

P-RF

200 mg/5 ml SANDOZ SRL

ROMANIA

CCUTIE X 1 FLAC. DIN PEID CONTINAD PULBERE PT. 20 ML SUSP. ORALA + SERINGA DOZATOARE DIN PE/PP

P-RF

200mg/5ml PLIVA LJUBLIJANA D.O.O.


200mg/5ml PLIVA LJUBLIJANA D.O.O.
200mg/5ml 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

SLOVENIA

CUTIE X 1 FLAC. DIN PEID CU PULB. PT. 30 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE

P-RF

SLOVENIA

CUTIE X 1 FLAC. DIN PEID CU PULB. PT. 37,5 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE

P-RF

40mg/ml
80mg/2ml
80mg/2ml
80mg/2ml
1g/4ml

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
CN UNIFARM S.A.
500mg/2ml ZENTIVA S.A.
200mg
RANBAXY UK LIMITED
200mg
ZENTIVA K.S.
100mg
ARENA GROUP S.A.
100mg
ARENA GROUP S.A.
250mg
RANBAXY UK LIMITED
250mg
ALKALOID D.O.O.
250mg
KRKA D.D. NOVO MESTO
250mg
AC HELCOR SRL
250mg
GEDEON RICHTER ROMANIA SA
250mg
E.I.P.I.CO. MED S.R.L.
250mg
DR. REDDY'S LABORATORIES
250mg
ARENA GROUP S.A.
250mg
GEDEON RICHTER ROMANIA SA
250mg
ARENA GROUP S.A.
500mg
RANBAXY UK LIMITED
500mg
KRKA D.D. NOVO MESTO
500mg
ALKALOID D.O.O.
500mg
ANTIBIOTICE SA
500mg
DR. REDDY'S LABORATORIES
500mg
ARENA GROUP S.A.
500mg
E.I.P.I.CO. MED S.R.L.
500mg
AC HELCOR SRL
500mg
ARENA GROUP S.A.
500mg
DAR AL DAWA PHARMA S.R.L.
500mg
GEDEON RICHTER ROMANIA SA
750mg
KRKA D.D. NOVO MESTO
750mg
ARENA GROUP S.A.
1000 mg BAYER HEALTHCARE AG
500 mg
BAYER HEALTHCARE AG
100mg/10ml ZENTIVA S.A.
100mg/10ml KRKA D.D.
100mg/10ml KRKA D.D.

FRANTA
ROMANIA
ROMANIA

CUTIE X 10 FIOLE DIN STICLA INCOLORA X 2 ML SOL. INJ. P-RF

CUTIE CU 1 FL.X 1G SOL.INJ.


CUTIE X 1 FLACON DIN STICLA X 2 ML

P-RF
P-RF

CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.


CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

CUTIE X 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM.

P-RF

MAREA BRITANIE

CEHIA

MAREA BRITANIE

P-RF
P-RF
P-RF

SLOVENIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 COMPR. FILM. P-RF


SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM.

P-RF

ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM.

P-RF

ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

CUTIE X 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM.

P-RF

MAREA BRITANIE

SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM.

P-RF

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.

P-RF

ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

ROMANIA

P-RF

CUTIE X 1 BLIST. X 10 COMPR. FILM.

ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

ROMANIA

P-RF

CUTIE X 1 BLIST. X 10 COMPR. FILM.

ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM.

P-RF

ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

GERMANIA CUTIE X 1 BLIST. DIN PP/AL X 7 COMPR. FILM. ELIB. PREL. P-RF
GERMANIA CUTIE X 1 BLIST. DIN PP/AL X 3 COMPR. FILM. ELIB. PREL.

P-RF

ROMANIA

CUTIE X 5 FIOLE DIN STICLA INCOLORA PREVAZUTE CU INEL DE RUPERE X 10 ML

S/P-RF

CUTIE X 50 FIOLE X 10 ML
CUTIE X 5 FIOLE X 10 ML

S/P-RF

SLOVENIA
SLOVENIA

Pagina 4 din 96

cant/a
mbala
j

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
10
50
10
10
1
1
10
10
10
20
10
10
10
10
10
10
10
10
20
20
10
10
10
10
10
20
10
10
10
10
10
10
10
7
3
5
50
5

Pret cu
ridicata
maximal /
ambalaj

39.06
23.44
41.12
18.87
29.04
18.76
37.31
34.00
34.00
28.41
28.41
37.31
29.18
18.97
18.98
18.98
34.11
34.11
48.56
132.49
12.10
16.61
26.27
18.63
37.14
46.15
5.28
31.71
7.09
5.00
9.47
5.15
8.40
14.81
28.52
51.89
5.13
5.82
5.05
5.05
5.05
5.05
3.52
4.85
9.10
9.10
6.50
9.78
11.19
9.78
4.80
12.16
9.78
9.78
6.83
9.78
9.78
29.43
28.52
66.99
20.44
12.42
111.86
12.42

Pret cu ridicata
maximal / U.T.

39.060000
23.440000
41.120000
3.145000
4.840000
3.126666
6.218333
5.666666
5.666666
9.470000
9.470000
12.436666
9.726666
6.323333
6.326666
6.326666
11.370000
11.370000
48.560000
26.498000
12.100000
16.610000
26.270000
18.630000
37.140000
46.150000
0.528000
0.634200
0.709000
0.500000
9.470000
5.150000
0.840000
1.481000
2.852000
2.594500
0.513000
0.582000
0.505000
0.505000
0.505000
0.505000
0.352000
0.485000
0.455000
0.455000
0.650000
0.978000
1.119000
0.978000
0.480000
0.608000
0.978000
0.978000
0.683000
0.978000
0.978000
2.943000
2.852000
9.570000
6.813333
2.484000
2.237200
2.484000

Pret cu ridicata
maximal de
decontare / U.T.

39.060000
23.440000
41.120000
3.145000
3.774000
3.126666
3.774000
3.774000
3.774000
7.588000
7.588000
7.588000
7.588000
6.323333
6.326666
6.326666
11.370000
11.370000
48.560000
26.498000
12.100000
16.610000
26.270000
13.644000
37.140000
46.150000
0.528000
0.600000
0.600000
0.500000
9.470000
5.150000
0.840000
1.008000
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
0.480000
0.576000
0.576000
0.576000
0.576000
0.576000
0.576000
2.943000
2.852000
9.570000
0.576000
2.484000
2.237200
2.484000

Pret cu
amanuntul
maximal /
ambalaj

51.09
31.68
53.78
25.50
37.99
25.36
48.80
44.47
44.47
37.16
37.16
48.80
38.17
25.64
25.65
25.65
44.61
44.61
63.52
161.75
16.36
22.45
34.36
25.18
48.58
60.36
7.13
41.48
9.58
6.76
12.80
6.96
11.36
20.02
37.31
65.61
6.93
7.87
6.83
6.83
6.83
6.83
4.76
6.56
12.30
12.30
8.78
13.22
15.12
13.22
6.49
16.43
13.22
13.22
9.23
13.22
13.22
38.50
37.31
84.70
27.63
16.79
136.56
16.79

Pret cu amanuntul
maximal / U.T.

51.090000
31.680000
53.780000
4.250000
6.331666
4.226666
8.133333
7.411666
7.411666
12.386666
12.386666
16.266666
12.723333
8.546666
8.550000
8.550000
14.870000
14.870000
63.520000
32.350000
16.360000
22.450000
34.360000
25.180000
48.580000
60.360000
0.713000
0.829600
0.958000
0.676000
12.800000
6.960000
1.136000
2.002000
3.731000
3.280500
0.693000
0.787000
0.683000
0.683000
0.683000
0.683000
0.476000
0.656000
0.615000
0.615000
0.878000
1.322000
1.512000
1.322000
0.649000
0.821500
1.322000
1.322000
0.923000
1.322000
1.322000
3.850000
3.731000
12.100000
9.210000
3.358000
2.731200
3.358000

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
296
297
298
299
300
301
302
303
304
305

J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA03
J01MA06
J01MA06
J01MA06
J01MA06
J01MA06
J01MA06
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
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

Denumire generica
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
PEFLOXACINUM
NORFLOXACINUM
NORFLOXACINUM
NORFLOXACINUM
NORFLOXACINUM
NORFLOXACINUM
NORFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
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

Denumire comerciala
CIPRINOL
CIPRINOL
UFEXIL 2 mg/ ml
CIPROFLOXACINA INFOMED 2 mg/ml
CIPROFLOXACINA INFOMED 2 mg/ml

CIPRINOL (R)
PEFLOXACIN LAROPHARM
NOR QUIN 400 mg
H - NORFLOXACIN 400 mg
NORFLOX - 400
NOLICIN 400 mg
EPINOR
NORFLOXACINA LPH 400 mg
FLERADAY 250 mg

Forma
Concentr
farmaceuti
atie / U.T.
ca
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

LEVOFLOXACINA ACTAVIS 250 mg COMPR. FILM.

LEVOTOR 250 mg
TAVANIC 250 mg

COMPR. FILM.

LEVOFLOXACINA ACCORD 250 mg

COMPR. FILM.

FLERADAY 500 mg

COMPR. FILM.

COMPR. FILM.

LEVOFLOXACINA ACTAVIS 500 mg COMPR. FILM.

TAVANIC 500 mg
LEVOTOR 500 mg

COMPR. FILM.
COMPR. FILM.

LEVOFLOXACINA BLUEFISH 500 mg COMPR. FILM.


LEVOFLOXACINA BLUEFISH 500 mg COMPR. FILM.
LEVOFLOXACINA ACCORD 500 mg

COMPR. FILM.

LEVOFLOXACINA ACTAVIS 5 mg/ml

SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.

LEVOFLOXACINA ACTAVIS 5 mg/ml

Firma

Tara

100mg/50ml KRKA D.D. NOVO MESTO SLOVENIA

Ambalaj

CUTIE X 1 FLACON DIN STICLA INCOLORA X 50 ML SOL. PERF.

200mg/100ml KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML SOL. PERF.

2mg/ml
2mg/ml
2mg/ml
400mg/200ml

400mg
400mg
400mg
400mg
400mg
400mg
400mg
250 mg
250mg
250mg
250mg
250mg
500 mg
500mg
500mg
500mg
500mg
500mg
500mg
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
400mg

Prescriptie

Grupa
Nr.
terape
crt
utica

S/P-RF
S/P-RF

DEMO SA
GRECIA CUTIE X 10 PUNGI PP X 100 ML SOL. PERF. S
INFOMED FLUIDS SRL ROMANIA CUTIE X 10 PUNGI PVC PLASTIFIAT X 100ML S
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
LAROPHARM S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.
ANTIBIOTICE S.A.
ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM.
AC HELCOR SRL
ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.
CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 1 BLIST. X 10 COMPR. FILM.

P-RF/S

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

P-RF

S/P-RF

P-RF
P-RF
P-RF

E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 2 BLIST. X 7 COMPR. FILM.

P-RF

LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

DR. REDDY'S LABORATORIES

ROMANIA CUTIE CU BLIST. PVC/PVDC - AL X 7 COMPR. FILM. PRF

ACTAVIS GROUP PTC EHF. ISLANDA

CUTIE X 1 BLIST. AL/PVC X 7 COMPR. FILM.

P-RF

TORRENT PHARMA 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. P-RF

ACCORD HEALTHCARE LIMITED

MAREA BRITANIE

DR. REDDY'S LABORATORIES

ROMANIA CUTIE CU BLIST. PVC/PVDC - AL X 7 COMPR. FILM. PRF

ACTAVIS GROUP PTC EHF. ISLANDA

TERAPIA S.A.

CUTIE CU BLIST. PVC/AL X 7 COMPR. FILM. PRF


CUTIE X 1 BLIST. AL/PVC X 7 COMPR. FILM.

P-RF

ROMANIA CUTIE X 1 BLIST. PVC/AL X 7COMPR. FILM. P-RF

TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 7 COMPR. FILM. P-RF
BLUEFISH PHARMACEUTICALS AB

SUEDIA CUTIE CU BLIST. PVC/AL X 7 COMPR. FILM.


SUEDIA CUTIE CU BLIST. PVC-PVDC/PVC X 7 COMPR. FILM.

ACCORD HEALTHCARE LIMITED

MAREA BRITANIE

BLUEFISH PHARMACEUTICALS AB

PRF

CUTIE CU BLIST. PVC/AL X 7 COMPR. FILM. PRF

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF.

S
S
S
S

ROMANIA

CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML SOL. PERF.

P-RF/S

ROMANIA

CUTIE X 1 FLAC. PEJD KABIPAC X 100 ML CONTINAD 50 ML SOL. PERF. (250MG LEVOFLOXACINA)

ROMANIA

CUTIE X 25 FLAC. PEJD KABIPAC X 100 ML CONTINAD 50 ML SOL. PERF. (250MG LEVOFLOXACINA)

ROMANIA

CUTIE X 1 FLAC. PEJD KABIPAC X 100 ML CONTINAD 100 ML SOL. PERF. (500MG LEVOFLOXACINA)

ROMANIA

CUTIE X 25 FLAC. PEJD KABIPAC X 100 ML CONTINAD 100 ML SOL. PERF. (500MG LEVOFLOXACINA)

ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 FLAC. DIN STICLA X 50 ML SOL. PERF.
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 FLAC. DIN STICLA X 100 ML SOL. PERF.

EVOLOX 5 mg/ml
TEVA PHARMACEUTICALS S.R.L.
EVOLOX 5 mg/ml
TEVA PHARMACEUTICALS S.R.L.
TAVANIC I.V. 500 mg
TERAPIA S.A.
LEVOFLOXACIN KABI 5 mg/ml
FRESENIUS KABI ROMANIA SRL
LEVOFLOXACIN KABI 5 mg/ml
FRESENIUS KABI ROMANIA SRL
LEVOFLOXACIN KABI 5 mg/ml
FRESENIUS KABI ROMANIA SRL
LEVOFLOXACIN KABI 5 mg/ml
FRESENIUS KABI ROMANIA SRL
AVELOX (R) 400 mg
COMPR. FILM.
BAYER HEALTHCARE AG
AVELOX (R) 400 mg/250 ml SOL. PERF. 400mg/250ml BAYER HEALTHCARE AG
VANCOMYCIN TEVA
LIOF. PT. SOL. PERF. 1g
TEVA PHARM. WORKS PRIVATE LTD. COMPANY
VANCOMYCIN TEVA
LIOF. PT. SOL. PERF. 500mg
TEVA PHARM. WORKS PRIVATE LTD. COMPANY
VANCOMICINA PHARMASWISS 1000 mg PULB. PT. SOL. PERF. 1000mg
PHARMASWISS CESKA REPUBLIKA S.R.O.
VANCOMICINA PHARMASWISS 500 mg PULB. PT. SOL. PERF. 500mg
PHARMASWISS CESKA REPUBLIKA S.R.O.
VANCOMICINA ACTAVIS 1000mg
1000mg ACTAVIS GROUP PTC EHF.
VANCOMICINA KABI 1000 mg
1000mg FRESENIUS KABI ROMANIA SRL
VANCOMICINA KABI 500 mg
500mg
FRESENIUS KABI ROMANIA SRL
EDICIN
1g
LEK PHARMACEUTICALS D.D.
TARGOCID (R) 400 mg
LIOF. + SOLV. PT. SOL. INJ. 400mg
AVENTIS PHARMA LTD.
COLISTINA ANTIBIOTICE 1000000 UI PULB. PT. SOL. INJ./PERF. 1000000ui ANTIBIOTICE SA
COLISTINA ANTIBIOTICE 1000000 UI PULB. PT. SOL. INJ./PERF. 1000000ui ANTIBIOTICE SA
COLISTINA ANTIBIOTICE 1000000 UI PULB. PT. SOL. INJ./PERF. 1000000ui ANTIBIOTICE SA
COLISTINA ANTIBIOTICE 1000000 UI PULB. PT. SOL. INJ./PERF. 1000000ui ANTIBIOTICE SA
METRONIDAZOL ARENA 250 mg (J01XD01) COMPR.
250mg
ARENA GROUP SA
FLAGYL ( vezi J01XD01)
COMPR. FILM. 250mg
LABORATOIRE AVENTIS
METRONIDAZOL A 5 g/l
SOL. PERF. 5g/l
INFOMED FLUIDS SRL
METRONIDAZOL A 5 g/l
SOL. PERF. 5g/l
INFOMED FLUIDS SRL
METRONIDAZOL B 5 g/l
SOL. PERF. 5g/l
INFOMED FLUIDS SRL
METRONIDAZOL B 5 g/l
SOL. PERF. 5g/l
INFOMED FLUIDS SRL
METRONIDAZOL BRAUN 5mg/ml SOL. PERF. 5mg/ml
B. BRAUN MELSUNGEN AG
METRONIDAZOL BRAUN 5mg/ml SOL. PERF. 5mg/ml
B. BRAUN MELSUNGEN AG
METRONIDAZOL BRAUN 5mg/ml SOL. PERF. 5mg/ml
B. BRAUN MELSUNGEN AG
FLAGYL 4 % (J01XD01)
SUSP. ORALA 4%
LABORATOIRE AVENTIS
ZYVOXID (R)
COMPR. FILM. 600mg
PFIZER EUROPE MA EEIG
ZYVOXID (R)
GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG
ZYVOXID (R)
SOL. PERF. 2mg/ml
PFIZER EUROPE MA EEIG
LINEZOLID TEVA 2 mg/ml
SOL. PERF. 2mg/ml
TEVA PHARMACEUTICALS S.R.L.
KETOSTIN 200 mg
COMPR.
200mg
AC HELCOR SRL

PRF

ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL. PERF.

S
S
S
S

GERMANIA CUTIE X 1 BLIST. ALB OPAC PP/AL X 5 COMPR. FILM. P-RF


GERMANIA

CUTIE X 5 FLACOANE DIN STICLA X 250 ML S

UNGARIA CUTIE X 1 FLAC. DIN STICLA CU LIOF. PT. SOL. PERF.

S/P-RF

UNGARIA CUTIE X 1 FLAC. DIN STICLA CU LIOF. PT. SOL. PERF.

S/P-RF

REPUBLICA CEHA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF.

REPUBLICA CEHA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF.

PR
PR
P-PR

PULB. PT.CONC. PT.SOL. PERF.

ISLANDA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CONTINAND 1000 MG VANCOMICINA

PULB. PT.CONC. PT.SOL. PERF.

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CARE CONTINE PULB. PT. CONC. PT. SOL. P

PULB. PT.CONC. PT.SOL. PERF.

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. P

PULB.LIOF.PT.SOL.PERF./INJ

SLOVENIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. LIOF. PT. SOL. PERF./INJ.

S/P-RF

MAREA BRITANIE

CUTIE X 1 FLAC. LIOF. + O FIOLA SOLV.

P-RF

ROMANIA

CUTIE X 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.

ROMANIA

CUTIE X 150 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.

ROMANIA

CUTIE X 100 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.

ROMANIA

CUTIE X 50 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.

ROMANIA

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

FRANTA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

PR
PR
S
S
S
S
P-RF
P-RF

CUTIE X 1 FLACON X 200 ML


CUTIE X 12 FLACOANE X 200 ML
ROMANIA CUTIE X 12 FLACOANE X 200 ML
ROMANIA CUTIE X 1 FLACON X 200 ML

S/P-RF

GERMANIA CUTIE X 20 FLAC. DIN PEJD X 100 ML SOL. PERF.

S/P-RF

ROMANIA

S/P-RF

ROMANIA

S/P-RF
S/P-RF

GERMANIA CUTIE X 10 FLAC. DIN PEJD X 100 ML SOL. PERF.

S/P-RF

GERMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF.

S/P-RF

FRANTA

CUTIE X 1 FLACON X 120 ML SUSP. ORALA + LINGURITA DOZATOARE X 5 ML

P-RF

MAREA BRITANIE

CUTIE X 1 FLAC. X 10 COMPR. FILM.

P-RF

MAREA BRITANIE

CUTIE X 1 FLACON X 66 G GRAN. PTR. 150 ML SUSP. + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML

P-RF

CUTIE X 10 PUNGI X 300 ML

ROMANIA

10 PUNGI PT. PERFUZIE (DIN POLIMER MULTISTRAT) CU 1 PERFUZOR SAU 2 PERFUZOARE CU 300 ML SOL., ECHIPA

PRF

ROMANIA

CUTIE X 1 BLIST. AL/PVC X 10 COMPR.

P-RF

MAREA BRITANIE

Pagina 5 din 96

cant/a
mbala
j

1
1
10
10
10
1
10
20
20
10
20
14
20
7
7
7
7
7
7
7
7
7
7
7
7
1
1
1
1
1
1
25
1
25
5
5
1
1
10
10
1
1
1
1
1
10
150
100
50
30
20
1
12
12
1
20
10
10
1
10
1
10
10
10

Pret cu
ridicata
maximal /
ambalaj

3.54
7.09
133.17
69.19
128.87
14.29
20.61
13.02
13.02
4.58
13.02
5.70
11.64
20.76
12.88
12.87
19.81
12.87
25.88
25.89
39.82
25.73
23.65
23.65
25.54
37.71
74.10
37.79
74.25
112.19
37.79
858.58
74.25
1,687.14
65.97
619.74
48.56
24.28
456.00
234.30
48.45
48.39
24.17
56.90
118.16
173.48
2,394.53
1,606.36
818.19
5.71
6.21
6.74
79.29
77.74
6.59
228.10
36.98
37.40
5.88
1,603.26
879.36
1,603.26
1,052.62
9.34

Pret cu ridicata
maximal / U.T.

3.540000
7.090000
13.317000
6.919000
12.887000
14.290000
2.061000
0.651000
0.651000
0.458000
0.651000
0.407142
0.582000
2.965714
1.840000
1.838571
2.830000
1.838571
3.697142
3.698571
5.688571
3.675714
3.378571
3.378571
3.648571
37.710000
74.100000
37.790000
74.250000
112.190000
37.790000
34.343200
74.250000
67.485600
13.194000
123.948000
48.560000
24.280000
45.600000
23.430000
48.450000
48.390000
24.170000
56.900000
118.160000
17.348000
15.963533
16.063600
16.363800
0.190333
0.310500
6.740000
6.607500
6.478333
6.590000
11.405000
3.698000
3.740000
5.880000
160.326000
879.360000
160.326000
105.262000
0.934000

Pret cu ridicata
maximal de
decontare / U.T.

2.684640
7.090000
8.302800
6.919000
12.887000
14.290000
2.061000
0.488570
0.488570
0.458000
0.488570
0.407142
0.488570
2.206285
1.840000
1.838571
2.206285
1.838571
3.697142
3.698571
4.054285
3.675714
3.378571
3.378571
3.648571
37.710000
74.100000
37.790000
74.250000
80.982720
37.790000
34.343200
74.250000
67.485600
13.194000
123.948000
48.560000
24.280000
45.600000
23.430000
48.450000
48.390000
24.170000
54.720000
118.160000
17.348000
15.963533
16.063600
16.363800
0.190333
0.228400
6.740000
6.607500
6.478333
6.590000
4.437600
3.698000
3.740000
5.880000
160.326000
879.360000
126.314400
105.262000
0.609600

Pret cu
amanuntul
maximal /
ambalaj

4.79
9.58
162.58
87.49
157.33
19.31
27.86
17.60
17.60
6.19
17.60
7.70
15.73
28.06
17.41
17.40
26.78
17.40
33.85
33.86
52.08
33.65
31.96
31.96
33.40
49.33
93.69
49.43
93.88
136.96
49.43
974.00
93.88
1,877.13
83.41
713.67
63.52
32.82
535.19
286.03
63.37
63.30
32.67
71.94
144.25
211.79
2,648.19
1,789.09
929.98
7.72
8.40
9.11
100.25
98.29
8.91
278.47
48.37
48.92
7.95
1,785.71
996.65
1,785.71
1,185.51
12.62

Pret cu amanuntul
maximal / U.T.

4.790000
9.580000
16.258000
8.749000
15.733000
19.310000
2.786000
0.880000
0.880000
0.619000
0.880000
0.550000
0.786500
4.008571
2.487142
2.485714
3.825714
2.485714
4.835714
4.837142
7.440000
4.807142
4.565714
4.565714
4.771428
49.330000
93.690000
49.430000
93.880000
136.960000
49.430000
38.960000
93.880000
75.085200
16.682000
142.734000
63.520000
32.820000
53.519000
28.603000
63.370000
63.300000
32.670000
71.940000
144.250000
21.179000
17.654600
17.890900
18.599600
0.257333
0.420000
9.110000
8.354166
8.190833
8.910000
13.923500
4.837000
4.892000
7.950000
178.571000
996.650000
178.571000
118.551000
1.262000

306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369

J02AB02
J02AB02
J02AB02
J02AB02
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC02

Denumire generica
KETOCONAZOLUM
KETOCONAZOLUM
KETOCONAZOLUM
KETOCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
ITRACONAZOLUM

Denumire comerciala

Forma
Concentr
farmaceuti
atie / U.T.
ca

KETOCONAZOL ARENA 200 mg COMPR.

NIZORAL 200 mg
KETOCONAZOL 200 mg
KETOCONAZOL 200 mg
FUNGOLON 100 mg

FLUCONAZOLE TEVA 100 mg


FLUCONAZOLE TEVA 100 mg

DIFLAZON 100 mg
FLUCOVIM 100
FLUCORIC 100 mg

FLUCONAZOL BIOGALENICA 150 mg

FLUCONAZOLE TEVA 150 mg


FLUCONAZOL ARENA 150 MG

FLUCONAZOL 150 mg
DIFLAZON 150 mg
FLUCONAZOL LPH 150 mg

FLUCONAZOL ROMPHARM 150 mg

FLUCOVIM 150
DIFLUCAN 150 mg
FLUCORIC 150 mg
FLUCONAZOL SANDOZ (R) 150

FLUCONAZOL 150 mg
MYCOMAX 150
MYCOSYST 150 mg

FLUCONAZOL ACTAVIS 150 mg


FLUCONAZOL MEDOCHEMIE 150 mg

FLUCONAZOLE TEVA 200 mg


FLUCONAZOL BIOGALENICA 50 mg

FLUCONAZOLE TEVA 50 mg
FLUCONAZOL OZONE 50 mg
FLUCONAZOL ARENA 50 MG
FLUCONAZOL MEDOCHEMIE 50 mg

FLUCONAZOL LPH 50 mg
DIFLUCAN 50 mg
FLUCORIC 50 mg
FLUCONAZOL SANDOZ (R) 50

COMPR.
COMPR.
COMPR.
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.

FLUCOVIM 50
FUNGOLON 50 mg
FLUCONAZOL 50 mg
DIFLAZON 50 mg
FLUCONAZOL 50 mg
DIFLUCAN (R) 50 mg/5 ml
PULB. PT. SUSP. ORALA
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 KABI 2 mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
DIFLAZON 2mg/ml
SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
FLUCONAZOL BIOGALENICA 2mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
MYCOMAX INF 2mg/ml
SOL. PERF.
FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF.
MYCOMAX INF 2mg/ml
SOL. PERF.
DIFLUCAN (R)
SOL. PERF.
DIFLUCAN (R)
SOL. PERF.
ITRACONAZOL 100 mg
CAPS.

200mg
200mg
200mg
200mg
100mg
100mg
100mg
100mg
100mg
100mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
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
100mg

Firma
ARENA GROUP SA
TERAPIA SA
MAGISTRA C & C
SLAVIA PHARM SRL

Tara

Ambalaj

ROMANIA

CUTIE X 1 BLIST. AL/PVC X 10 COMPR.


CUTIE X 1 BLIST. X 10 COMPR.
CUTIE X 1 BLIST. X 10 COMPR.
CUTIE X 1 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. PVC/AL X 8 CAPS.
CUTIE X 1 BLIST. PVC-PVDC/AL X 2 CAPS.
CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.
CUTIE X 4 BLIST. X 7 CAPS.
CUTIE X 1 BLIST. X 4 CAPS.
CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.
CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.
CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.
CUTIE X 1 BLIST. AL/PVC X 1 CAPS.
CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.
CUTIE X 1 BLIST. X 1 CAPS.
CUTIE CU 1 BLIST. PVC/AL X 1 CAPS.
CUTIE CU 1 BLIST. PVC/AL X 1 CAPS.
CUTIE X 1 FLAC. X 1 CAPS.
CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

ROMANIA
ROMANIA
ROMANIA

BALKANPHARMA RAZGRAD AD BULGARIA


TEVA PHARMACEUTICALS S.R.L.

ROMANIA

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

KRKA D.D.
SLOVENIA
VIM SPECTRUM SRL ROMANIA
TERAPIA SA
ROMANIA
LABORATOARELE PROF.DR.MORAIT S.R.L.

ROMANIA

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

ARENA GROUP SA

ROMANIA

OZONE LABORATORIES PHARMA S.A.

ROMANIA

KRKA D.D.

SLOVENIA

LABORMED PHARMA S.A. ROMANIA


ROMPHARM COMPANY S.R.L. ROMANIA

VIM SPECTRUM SRL ROMANIA


PFIZER EUROPE MA EEIG

MAREA BRITANIE

TERAPIA SA
ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS.
SANDOZ SRL
GERMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS.
SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS.
ZENTIVA K.S.
CEHIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS.
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 4 BLIST. AL/PVC X 1 CAPS.
ACTAVIS GROUP PTC EHF. ISLANDA
MEDOCHEMIE ROMANIA SRL ROMANIA
TEVA PHARMACEUTICALS S.R.L.

ROMANIA

LABORATOARELE PROF.DR.MORAIT S.R.L.

ROMANIA

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

OZONE LABORATORIES PHARMA S.A.

ROMANIA

ARENA GROUP SA

ROMANIA

MEDOCHEMIE ROMANIA SRL ROMANIA

LABORMED PHARMA S.A. ROMANIA


PFIZER EUROPE MA EEIG

MAREA BRITANIE

Prescriptie

Grupa
Nr.
terape
crt
utica

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

PRF
PRF
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

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. PVC-PVDC/AL X 7 CAPS. P-RF
CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF
CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF
CUTIE X 1 BLIST. AL/PVC X 7 CAPS.
P-RF
CUTIE X 1 BLIST. AL/PVC X 7 CAPS.
P-RF
CUTIE CU 1 BLIST. PVC/AL X 7 CAPS.
PRF
CUTIE X 1 BLIST. AL/PVC X 7 CAPS.
P-RF

TERAPIA SA
ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS.
SANDOZ SRL
ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS.
VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS.
BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 1 BLIST. PVC/AL X 8 CAPS.
SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS.
KRKA D.D.
SLOVENIA CUTIE X 1 BLIST. X 7 CAPS.
ANTIBIOTICE S.A.
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS.

P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

P-RF

FRESENIUS KABI ROMANIA SRL

ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF.

B. BRAUN MELSUNGEN AG GERMANIA


B. BRAUN MELSUNGEN AG GERMANIA
B. BRAUN MELSUNGEN AG GERMANIA
B. BRAUN MELSUNGEN AG GERMANIA

CUTIE X 1 FLAC. PEID PULB. PT. 35 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 5 ML

CUTIE X 20 FLAC. PEJD X 50 ML SOL. PERF.


CUTIE X 10 FLAC. PEJD X 100 ML SOL. PERF.
CUTIE X 20 FLAC. PEJD X 100 ML SOL. PERF.
CUTIE X 10 FLAC. PEJD X 200 ML SOL. PERF.

FRESENIUS KABI ROMANIA SRL

ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.

FRESENIUS KABI ROMANIA SRL

ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.

FRESENIUS KABI ROMANIA SRL

ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML
ROMANIA CUTIE CU 25 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF.

FRESENIUS KABI ROMANIA SRL

ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF.

ARENA GROUP S.A. ROMANIA


ROMANIA

FRESENIUS KABI ROMANIA SRL

ROMANIA

FRESENIUS KABI ROMANIA SRL

ROMANIA

FRESENIUS KABI ROMANIA SRL

ROMANIA

ZENTIVA K.S.

REPUBLICA CEHA

B. BRAUN MELSUNGEN AG GERMANIA

ZENTIVA K.S.

REPUBLICA CEHA

PFIZER EUROPE MA EEIG

MAREA BRITANIE

PFIZER EUROPE MA EEIG

MAREA BRITANIE

ARENA GROUP S.A. ROMANIA

P-RF
P-RF
P-RF
P-RF

S
S
S
S
S
S
S
S
S/PR-F

S
S
CUTIE X 1 FLAC. 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 CU 10 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF. S
CUTIE CU 1 FLACON DIN STICLA INCOLORA A 100 ML SOL. PERF. X 200 MG FLUCONAZOL S
CUTIE X 10 FLAC. PEJD X 50 ML SOL. PERF. S
CUTIE CU 1 FLACON DIN STICLA INCOLORA A 200 ML SOL. PERF. X 400 MG FLUCONAZOL S
CUTIE X 1 FLACON X 200 ML
S/P-RF
CUTIE X 1 FLACON X 50 ML
S/P-RF
CUTIE X 3 BLIST. AL/PVC X 5 CAPS.
P-RF

FRESENIUS KABI ROMANIA SRL

FRESENIUS KABI ROMANIA SRL

P-RF
P-RF

Pagina 6 din 96

cant/a
mbala
j

10
10
10
10
16
2
7
28
4
7
1
1
1
1
1
1
1
1
1
1
1
1
1
4
1
1
7
7
7
7
7
7
7
7
7
7
7
8
7
7
10
1
20
20
10
20
10
1
10
20
1
25
1
1
25
1
10
10
1
10
1
1
1
15

Pret cu
ridicata
maximal /
ambalaj

6.78
15.15
5.94
5.08
65.37
6.98
23.31
193.65
18.95
33.15
4.88
4.88
6.68
7.35
16.65
7.35
9.57
7.35
18.56
13.95
10.79
7.16
9.27
48.24
7.44
6.07
30.10
11.66
12.35
16.69
14.15
11.95
16.69
43.23
21.91
32.06
16.69
14.09
14.49
47.19
18.88
43.23
631.41
362.55
454.59
796.39
770.66
18.84
181.93
360.77
35.03
781.76
81.95
40.63
443.47
34.28
330.71
761.71
42.66
182.90
137.44
133.17
30.99
40.18

Pret cu ridicata
maximal / U.T.

0.678000
1.515000
0.594000
0.508000
4.085625
3.490000
3.330000
6.916071
4.737500
4.735714
4.880000
4.880000
6.680000
7.350000
16.650000
7.350000
9.570000
7.350000
18.560000
13.950000
10.790000
7.160000
9.270000
12.060000
7.440000
6.070000
4.300000
1.665714
1.764285
2.384285
2.021428
1.707142
2.384285
6.175714
3.130000
4.580000
2.384285
1.761250
2.070000
6.741428
1.888000
43.230000
31.570500
18.127500
45.459000
39.819500
77.066000
18.840000
18.193000
18.038500
35.030000
31.270400
81.950000
40.630000
17.738800
34.280000
33.071000
76.171000
42.660000
18.290000
137.440000
133.170000
30.990000
2.678666

Pret cu ridicata
maximal de
decontare / U.T.

0.609600
0.609600
0.594000
0.508000
3.996000
3.490000
3.330000
3.996000
3.996000
3.996000
4.880000
4.880000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
4.300000
1.665714
1.764285
1.998857
1.998857
1.707142
1.998857
1.998857
1.998857
1.998857
1.998857
1.761250
1.998857
1.998857
1.888000
43.230000
31.570500
18.127500
37.524480
37.524480
77.066000
18.840000
18.193000
18.038500
35.030000
31.270400
81.950000
37.524480
17.738800
34.280000
33.071000
76.171000
37.524480
18.290000
91.405200
91.405200
21.286560
2.678666

Pret cu
amanuntul
maximal /
ambalaj

9.17
20.48
8.03
6.87
82.66
9.43
31.51
236.41
25.61
43.36
6.59
6.59
9.03
9.94
22.51
9.94
12.94
9.94
25.08
18.86
14.58
9.68
12.53
63.10
10.06
8.20
39.37
15.76
16.69
22.56
19.12
16.15
22.56
56.54
29.61
41.93
22.56
19.04
19.58
61.72
25.52
56.54
726.39
433.33
533.65
906.22
878.17
25.47
222.10
431.39
45.82
890.27
103.62
53.14
521.53
44.84
398.62
868.42
55.80
223.28
167.79
162.58
40.53
52.56

Pret cu amanuntul
maximal / U.T.

0.917000
2.048000
0.803000
0.687000
5.166250
4.715000
4.501428
8.443214
6.402500
6.194285
6.590000
6.590000
9.030000
9.940000
22.510000
9.940000
12.940000
9.940000
25.080000
18.860000
14.580000
9.680000
12.530000
15.775000
10.060000
8.200000
5.624285
2.251428
2.384285
3.222857
2.731428
2.307142
3.222857
8.077142
4.230000
5.990000
3.222857
2.380000
2.797142
8.817142
2.552000
56.540000
36.319500
21.666500
53.365000
45.311000
87.817000
25.470000
22.210000
21.569500
45.820000
35.610800
103.620000
53.140000
20.861200
44.840000
39.862000
86.842000
55.800000
22.328000
167.790000
162.580000
40.530000
3.504000

370
371
372
373
374
375
376
377
378
379
380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
398
399
400
401
402
403
404
405
406
407
408
409
410
411
412
413
414
415
416
417
418
419
420
421
422
423
424
425
426
427
428
429
430
431
432
433

J02AC02
J02AC02
J02AC02
J02AC02
J02AC02
J02AC02
J02AC03
J02AC03
J02AC03
J02AC03
J02AC04
J02AC04

J02AX04
J02AX04
J02AX06
J04AC01
J04AC01
J04AC01
J04AC01

J04AK01
J04AK01
J04AK02
J04AK02
J04AM02

J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB04
J05AB04
J05AB06
J05AB11
J05AB14
J05AB15
J05AE01
J05AE01
J05AE02
J05AE02
J05AE03
J05AE03
J05AE03
J05AE04
J05AE06
J05AE06
J05AE07
J05AE07
J05AE08
J05AE08
J05AE09
J05AE10
J05AE10
J05AE10
J05AF01
J05AF01
J05AF02
J05AF02

Denumire generica
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
POSACONAZOLUM**
POSACONAZOLUM**
CASPOFUNGINUM**
CASPOFUNGINUM**
ANIDULAFUNGINUM
ISONIAZIDUM
ISONIAZIDUM
ISONIAZIDUM
ISONIAZIDUM
PYRAZINAMIDUM
PYRAZINAMIDUM
ETHAMBUTOLUM
ETHAMBUTOLUM
COMBINATII (RIFAMPICINUM+IZONIAZIDUM)
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
RIBAVIRINUM
RIBAVIRINUM
GANCICLOVIRUM
VALACYCLOVIRUM
VALGANCICLOVIRUM**
BRIVUDINUM
SAQUINAVIRUM
SAQUINAVIRUM
INDINAVIRUM
INDINAVIRUM
RITONAVIRUM**
RITONAVIRUM**
RITONAVIRUM**
NELFINAVIRUM
LOPINAVIRUM+RITONAVIRUM**
LOPINAVIRUM+RITONAVIRUM**
FOSAMPRENAVIRUM**
FOSAMPRENAVIRUM**
ATAZANAVIRUM
ATAZANAVIRUM
TIPRANAVIRUM**
DARUNAVIRUM**
DARUNAVIRUM**
DARUNAVIRUM**
ZIDOVUDINUM
ZIDOVUDINUM
DIDANOSINUM
DIDANOSINUM

Denumire comerciala
ITRACONAZOL LPH 100 mg
MICOGAL 100 mg
ORUNGAL
ITRACONAZOL 100 mg
SPORILIN 100 mg
OMICRAL 100 mg
VFEND 200mg
VFEND 50mg
VFEND 200mg
VFEND 40 mg/ml
NOXAFIL SP 40mg/ml
NOXAFIL SP 40mg/ml
CANCIDAS 50 mg
CANCIDAS 70 mg
ECALTA 100mg
ISONIAZIDA 100 mg
IZONIAZIDA ATB 100 mg

Forma
Concentr
farmaceuti
atie / U.T.
ca
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
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.
PULB. PT. CONC. PT. SOL. PERF.

COMPR.
COMPR.
IZONIAZIDA ANTIBIOTICE 300 mg COMPR.
IZONIAZIDA ATB 300 mg
COMPR.
PIRAZINAMIDA ANTIBIOTICE 500 mg COMPR.
PIRAZINAMIDA ANTIBIOTICE 500 mg COMPR.
ETAMBUTOL 250 mg
COMPR. FILM.
ETAMBUTOL 400 mg
COMPR. FILM.
SINERDOL ISO
CAPS.
ACICLOVIR FARMEX 200 mg CAPS.
ACICLOVIR ARENA 200 mg CAPS.
ACICLOVIR ARENA 200 mg CAPS.
ACICLOVIR 200 mg
CAPS.
ACICLOVIR ARENA 400 mg CAPS.
ACICLOVIR 200 mg
COMPR.
ACICLOVIR 200 mg
COMPR.
ACICLOVIR TERAPIA 200 mg COMPR.
CLOVIRAL 200 mg
COMPR.
ACICLOVIR 200 mg
COMPR.
ACICLOVIR 400 mg
COMPR.
VIROLEX
PULB. PT. SOL. INJ./PERF.
REBETOL 200 mg
CAPS.
COPEGUS 200mg
COMPR. FILM.
CYMEVENE
LIOF. PT. SOL. INJ.
VALTREX 500 mg
COMPR. FILM.
VALCYTE (R) 450 mg
COMPR. FILM.
BRIVAL 125mg
COMPR.
INVIRASE 200mg
CAPS.
INVIRASE 500 mg
COMPR. FILM.
CRIXIVAN 200mg
CAPS.
CRIXIVAN 400mg
CAPS.
NORVIR 100 mg
COMPR. FILM.
NORVIR 100 mg
COMPR. FILM.
NORVIR 100 mg
COMPR. FILM.
VIRACEPT 250 mg
COMPR. FILM.
KALETRA 200mg/50mg
COMPR. FILM.
KALETRA 80mg/ml+20mg/ml SOL. ORALA
TELZIR 700mg
COMPR. FILM.
TELZIR 50mg/ml
SUSP. ORALA
REYATAZ 150 mg
CAPS.
REYATAZ 300 mg
CAPS.
APTIVUS 250mg
CAPS. MOI
PREZISTA 300mg
COMPR. FILM.
PREZISTA 400mg
COMPR. FILM.
PREZISTA 600mg
COMPR. FILM.
RETROVIR (R)
CAPS.
RETROVIR (R)
SOL. ORALA
VIDEX EC 250 mg
CAPS. GASTROREZ.
VIDEX EC 400 mg
CAPS. GASTROREZ.

100mg
100mg
100mg
100mg
100mg
100mg
200mg
50mg
200mg
40mg/ml
40mg/ml
40mg/ml
50mg
70mg
100mg
100mg
100mg
300mg
300mg
500mg
500mg
250mg
400mg
300mg+150mg

200mg
200mg
200mg
200mg
400mg
200mg
200mg
200mg
200mg
200mg
400mg
250mg
200mg
200mg
500mg
500mg
450mg
125mg
200mg
500mg
200mg
400mg
100mg
100mg
100mg
250mg
200mg/50mg
80mg/ml+20mg/ml

700mg
50mg/ml
150mg
300mg
250mg
300mg
400mg
600mg
100mg
1%
250mg
400mg

Firma

Tara

Ambalaj

cant/a
mbala
j

15
15
JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 5 CAPS. P-RF
15
SLAVIA PHARM SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS.
P-RF
15
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 5 CAPS.
P-RF
15
MEDICO UNO PHARMACEUTICAL SRL ROMANIA CUTIE X 3 BLIST. AL/AL X 5 CAPS.
P-RF
15
PFIZER LIMITED
MAREA BRITANIE
CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF
28
PFIZER LIMITED
MAREA BRITANIE
CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL) P-RF
28
PFIZER LIMITED
MAREA BRITANIE
CUTIE X 1 FLAC. UNIDOZA X 30ML
P-RF
1
PFIZER LIMITED
MAREA BRITANIE
P-RF
1
MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. X 105ML SUSP. ORALA
P-RF/R
1
SP EUROPE
BELGIA CUTIE X 1 FLAC. X 105ML SUSP. ORALA P-RF/R
1
MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF. S
1
MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF. S
1
PFIZER LIMITED
MAREA BRITANIE
CUTIE X 1FLAC.DIN STICLA A 30ML X 100MG PULB. S
1
ANTIBIOTICE SA
ROMANIA CUTIE X 150 BLIST. X 10 COMPR.
S 1500
ANTIBIOTICE S.A.
ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 COMPR. PR
20
ANTIBIOTICE SA
ROMANIA CUTIE X 150 BLIST. PVC/AL X 10 COMPR. S/P-RF 1500
ANTIBIOTICE SA
ROMANIA CUTIE X 150 BLIST. PVC/AL X 10 COMPR. S/P-RF 1500
ANTIBIOTICE S.A.
ROMANIA CUTIE X 150 BLIST. AL/PVC X 10 COMPR. S
1500
ANTIBIOTICE S.A.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
S/P-RF
20
ANTIBIOTICE SA
ROMANIA CUTIE X 150 BLIST. AL/PVC X 10 COMPR. FILM. S
1500
ANTIBIOTICE SA
ROMANIA CUTIE X 150 BLIST. AL/PVC X 10 COMPR. FILM. S
1500
ANTIBIOTICE SA
ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS.
S 1000
FARMEX COMPANY S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 CAPS.
P-RF
20
ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
P-RF
20
ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS.
P-RF/S 1000
SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
P-RF
20
ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS.
P-RF
10
LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
P-RF
20
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF
20
TERAPIA SA
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
P-RF
20
ANTIBIOTICE SA
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
P-RF
20
P-RF
20
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR.
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF
10
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 5 FLAC. X 250 MG PULB. PT. SOL. INJ./PERF. S/P-RF
5
SP EUROPE
BELGIA CUTIE X 140CAPS. ( BLIST. PVC/PE/PVDC ) P-RF/R 140
ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. PEID X 168 COMPR. FILM. P-RF/R 168
ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU LIOF. PT. SOL. INJ. S
1
THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
10
ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. X 60 COMPR. FILM.
P-RF
60
BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 1 BLIST. PVC/AL X 7 COMPR.
P-RF
7
ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLAC. X 270 CAPS.
P-RF/R
270
ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLAC. PEID X 120 COMPR. FILM. P-RF/R 120
MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. PEID X 360 CAPS.
P-RF/R
360
MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC DIN PEID. X 180 CAPS.
P-RF/R
180
ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 FLAC. PEID X 60 COMPR.FILM. P-RF/R
60
ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 FLAC. PEID X 30 COMPR.FILM. P-RF/R
30
ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 3 FLAC. PEID X 30 COMPR.FILM. P-RF/R
90
ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLAC. PEID X 270 COMPR. FILM. P-RF/R 270
ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID X 120 COMPR. FILM. P-RF/R
120
ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 5 FLAC. MULTIDOZA DIN TPE X 60 ML + 5 SERINGI GRADATE A 5 ML P-RF/R
5
GLAXO GROUP LTD. MAREA BRITANIE
P-RF/R
60
GLAXO GROUP LTD. MAREA BRITANIE
P-RF/R
1
BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE X 60 CAPS. (BLIST. AL/AL 6X1)
P-RF/R
60
BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE X 1 FLAC. PEID X 30 CAPS.
P-RF/R
30
GERMANIA CUTIE X 1 FLAC. DIN PEID X 120 CAPS. MOI P-RF/R 120
JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE X 1 FLAC. DIN PEID X 120 COMPR. FILM. P-RF/R
120
60
JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. P-RF/R
JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. P-RF/R
60
VIIV HEALTHCARE UK LIMITED UK
CUTIE X 10 BLIST. AL/PVC X 10 CAPS.
S/P-RF
100
THE WELLCOME FOUNDATION LTD. MAREA BRITANIE
S/P-RF
1
BRISTOL MYERS SQUIBB KFT UNGARIA CUTIE X 3 BLIST. X 10 CAPS. GASTROREZ. S/P-RF
30
BRISTOL MYERS SQUIBB KFT UNGARIA CUTIE X 3 BLIST. X 10 CAPS. GASTROREZ. S/P-RF
30
LABORMED PHARMA S.A. ROMANIA

ROMPHARM COMPANY SRL ROMANIA

CUTIE X 3 BLIST. PVC/AL X 5 CAPS.


CUTIE X 3 BLIST. PVC/AL X 5 CAPS.

Prescriptie

Grupa
Nr.
terape
crt
utica

CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA

CUTIE X 1 FLAC. DIN HDPE X 60 COMPR. FILM. PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII
CUTIE X 1 FLAC. DIN HDPE X 225 ML SUSP. ORALA PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII +

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

CUTIE X 1 FLACON DIN STICLA BRUNA X 200 ML + 1 ADAPTOR DE DOZARE + 1 SERINGA PT. ADM. ORALA A 10 ML

Pagina 7 din 96

P-RF

P-RF

Pret cu
ridicata
maximal /
ambalaj

40.18
40.18
60.84
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
108.12
270.36
270.36
434.58
6.75
252.90
395.15
438.43
15.85
15.85
704.14
14.97
14.41
9.62
10.22
12.69
12.16
12.75
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
387.06
196.38
565.59
1,020.66
1,564.58
1,487.86
1,219.58
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

Pret cu ridicata
maximal / U.T.

2.678666
2.678666
4.056000
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
5.406000
0.180240
0.180240
0.289720
0.337500
0.168600
0.263433
0.438430
0.792500
0.792500
0.704140
0.748500
1.441000
0.481000
0.511000
0.634500
0.608000
0.637500
1.423000
46.358000
15.789142
14.323630
92.790000
4.354000
81.051500
38.918571
3.780222
8.449166
0.465444
0.930888
6.451000
6.546000
6.284333
3.780222
13.038166
297.572000
20.326333
384.560000
26.331333
56.380000
24.745000
23.069750
33.585833
47.359833
3.542000
84.400000
14.064333
21.902666

Pret cu ridicata
maximal de
decontare / U.T.

2.678666
2.678666
3.214399
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
0.086496
0.180240
0.180240
0.289720
0.337500
0.168600
0.263433
0.438430
0.577200
0.577200
0.577200
0.577200
1.441000
0.481000
0.511000
0.577200
0.577200
0.577200
1.423000
46.358000
15.789142
14.323630
92.790000
4.354000
81.051500
38.918571
3.780222
8.449166
0.465444
0.930888
6.451000
6.546000
6.284333
3.780222
13.038166
297.572000
20.326333
384.560000
26.331333
56.380000
24.745000
23.069750
33.585833
47.359833
3.542000
84.400000
14.064333
21.902666

Pret cu
amanuntul
maximal /
ambalaj

52.56
52.55
76.92
52.56
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
131.99
330.05
330.05
511.84
9.12
308.74
468.86
516.04
21.42
21.42
805.66
20.23
19.48
13.00
13.81
17.15
16.44
17.23
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
460.05
239.74
654.64
1,150.67
1,743.54
1,659.92
1,367.49
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

Pret cu amanuntul
maximal / U.T.

3.504000
3.503333
5.128000
3.504000
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
6.599500
0.220033
0.220033
0.341226
0.456000
0.205826
0.312573
0.516040
1.071000
1.071000
0.805660
1.011500
1.948000
0.650000
0.690500
0.857500
0.822000
0.861500
1.923000
56.594000
17.482714
15.839880
117.330000
5.695000
88.982166
47.511428
4.261740
9.527500
0.568222
1.136444
7.667500
7.991333
7.273777
4.261740
14.529500
331.984000
22.791500
457.320000
29.337000
62.726000
27.290000
25.464000
37.244500
52.258166
4.242300
106.720000
16.601666
25.145666

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
483
484
485
486
487
488
489
490
491
492
493
494
495
496
497

J05AF04
J05AF04
J05AF05
J05AF05
J05AF05
J05AF05
J05AF05
J05AF05
J05AF06
J05AF06
J05AF07
J05AF09
J05AG01
J05AG01
J05AG01
J05AG01
J05AG01
J05AG01
J05AG03
J05AG03
J05AG04

Denumire generica
STAVUDINUM
STAVUDINUM
LAMIVUDINUM
LAMIVUDINUM
LAMIVUDINUM
LAMIVUDINUM
LAMIVUDINUM
LAMIVUDINUM
ABACAVIRUM
ABACAVIRUM
TENOFOVIRUM DISOPROXIL FUMARATE
EMTRICITABINUM
NEVIRAPINUM
NEVIRAPINUM
NEVIRAPINUM
NEVIRAPINUM
NEVIRAPINUM
NEVIRAPINUM
EFAVIRENZUM
EFAVIRENZUM
ETRAVIRINUM

Denumire comerciala
ZERIT 30 mg
ZERIT 40 mg
LAMIVUDINE TEVA 100 mg
ZEFFIX 100 mg

Forma
Concentr
farmaceuti
atie / U.T.
ca
CAPS.
CAPS.
COMPR. FILM.
COMPR. FILM.

LAMIVUDINE TEVA PHARMA B.V. 150 mg COMPR. FILM.

EPIVIR 150mg

COMPR. FILM.

LAMIVUDINE TEVA PHARMA B.V. 300 mg COMPR. FILM.

EPIVIR 10mg/ml
ZIAGEN 300 mg
ZIAGEN 20 mg/ml
VIREAD 245mg
EMTRIVA 200mg
NEVIRAPINA 200mg
VIRAMUNE 200mg
VIRAMUNE 100mg
VIRAMUNE 400mg
VIRAMUNE 50mg
VIRAMUNE 50mg/ml
STOCRIN 50 mg
STOCRIN 600 mg
INTELENCE

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.

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
100mg

J05AR01 COMBINATII (LAMIVUDINUM+ZIDOVUDINUM)** LAMIVUDINA/ZIDOVUDINA TEVA COMPR. FILM. 150 mg/300 mg


J05AR01
J05AR02

ZIDOVUDINUM+LAMIVUDINUM**
ABACAVIRUM+LAMIVUDINUM**

J05AR04 ABACAVIRUM+LAMIVUDINUM+ZIDOVUDINUM**

J05AX07
J05AX08
J05AX09
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**
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
J06BB16
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02

PALIVIZUMABUM**
PALIVIZUMABUM**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**

COMBIVIR 150mg/300mg
KIVEXA 600mg/300mg

COMPR. FILM. 150mg/300mg


COMPR. FILM. 600mg/300mg

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
PRIVIGEN 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
PRIVIGEN 100mg/ml
PRIVIGEN 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
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

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.
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.

300mg/150mg/300mg

90mg/ml
400 mg
150mg
300mg
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
100mg
50mg

Firma

Tara

BRISTOL-MYERS SQUIBB

MAREA BRITANIE

BRISTOL-MYERS SQUIBB

MAREA BRITANIE

SOL. INJ. /PERF. IN SERINGA PREUMPLUTA

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 CUTIE X 1 FLACON PEID X 240ML SOL. ORALA + 1 SERINGA DOZATOARE + 1 ADAPTOR
GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 60 COMPR. FILM.
GLAXO GROUP LTD. MAREA BRITANIE
CUTIE X 1 FLACON PEID X 240 ML SOL. ORALA + SERINGA DOZATOARE PP X 10 ML + ADAPTOR PE

GILEAD SCIENCE INTERNATIONAL LIMITED

MAREA BRITANIE

GILEAD SCIENCE INTERNATIONAL LIMITED

MAREA BRITANIE

CUTIE X 1 FLAC. DIN PEID X 30 COMPR. FILM

CUTIE X 1 FLAC. DIN PEID X 30 CAPS.

TEVA PHARMA B.V. OLANDA BLISTERE DIN PVC/PE/PVDC - AL X 60 COMP.


GERMANIA CUTIE X 6 BLIST. X 10 COMPR.

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG

P-RF/R
P-RF/R
P-RF/R
P-RF/R
P-RF/R
P-RF/R
P-RF/R
P-RF/R
P-RF/R
P-RF/R
P-RF/R
P-RF/R
P-RF/R
P-RF/R

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

P-RF/R

CUTIE X 1 FLACON PEID X 240 ML + O SERINGA X 5 ML + UN DISPOZITIV DE ADAPTARE A SERINGII LA FLACON

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

BELGIA CUTIE X 1 FLAC. PEID X 120 COMPR.


TEVA PHARMA B.V. OLANDA CUTIE CU BLIST. DIN OPA/AL/PVC X 60 COMPRIMATE FILMATE
GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 6 BLIST. X 10 COMPR. FILM.
GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 30 COMPR. FILM.( BLIST.ALB-OPAC PVC-PVDC/AL )
GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM.

JANSSEN-CILAG INTERNATIONAL NV

ROCHE REGISTRATION LTD.

MAREA BRITANIE

MERCK SHARP & DOHME

MAREA BRITANIE

UNGARIA

CUTIE X 1 CUTIE X 1 FLAC. CU PULB. + 1 CUTIE X 1 FLAC. SOLV. X 50 ML

HUMAN BIOPLAZMA MANUFACTURING AND TRADING LTD.

UNGARIA

CUTIE X 1 CUTIE X 1 FLAC. CU PULB. + 1 CUTIE X 1 FLAC. SOLV. X 100 ML

OCTAPHARMA (IP) LIMITED

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF.


CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL. PERF.

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.

INSTITUTO GRIFOLS S.A.


INSTITUTO GRIFOLS S.A.
INSTITUTO GRIFOLS S.A.
INSTITUTO GRIFOLS S.A.

OCTAPHARMA (IP) LTD.


OCTAPHARMA (IP) LTD.
OCTAPHARMA (IP) LTD.

KEDRION SPA

CUTIE X 1 FLAC.X 200 ML SOL. PERF.


CUTIE X 1 FLAC.X 25 ML SOL. PERF.

AUSTRIA CUTIE X 1 FLAC X 10ML SOL. PERF.(1G/10ML)


AUSTRIA CUTIE X 1 FLAC X 50ML SOL. PERF.(5G/50ML)
AUSTRIA CUTIE X 1 FLAC X 100ML SOL. PERF.(10G/100ML)
GERMANIA
GERMANIA

CUTIE X 1 FLAC.X 50 ML SOL. PERF.


CUTIE X 1 FLAC.X 100 ML SOL. PERF.

AUSTRIA CUTIE X 1 FLAC X 200ML SOL. PERF.(20G/200ML)


AUSTRIA CUTIE X 1 FLAC X 25ML SOL. PERF.(2,5G/25ML)
AUSTRIA CUTIE X 1 FLAC X 300ML SOL. PERF.(30G/300ML)

ITALIA
ITALIA
ITALIA
SPANIA
SPANIA
SPANIA
SPANIA

MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE

ITALIA

P-RF/R

P-RF

MAREA BRITANIE
MAREA BRITANIE

GERMANIA

P-RF/R

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. + 1 SET ADMINISTRARE

OCTAPHARMA (IP) LIMITED

GERMANIA

P-RF/R

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

OCTAPHARMA (IP) LIMITED

CSL BEHRING GMBH


CSL BEHRING GMBH
BAXTER AG
BAXTER AG
BAXTER AG
CSL BEHRING GMBH
CSL BEHRING GMBH
BAXTER AG
BAXTER AG
BAXTER AG
KEDRION SPA
KEDRION SPA
KEDRION SPA

P-RF/R

P-RF/R

MAREA BRITANIE

MAREA BRITANIE

P-RF
P-RF/R

P-RF/R

HUMAN BIOPLAZMA MANUFACTURING AND TRADING LTD.

PFIZER LIMITED
PFIZER LIMITED

P-RF/R

CUTIE X 60 FLAC. PULB. PT. SOL. INJ. + 60 FLAC. SOLV. + 60 SERINGI X 3 ML + 60 SERINGI X 1 ML, 180 T

CUTIE X 1 FLAC. PEID X 60 COMPR. FILMATE


CUTIE X 60 COMPR. FILM.( BLIST. PVC/AL)
CUTIE X 60 COMPR. FILM.( BLIST. PVC/AL)

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.

CUTIE X 1 FLACON X 100 ML


CUTIE X 1 FLACON X 50 ML
CUTIE X 1 FLACON X 200 ML

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. P-RF

30MU/0,5ml AMGEN EUROPE B.V. OLANDA


48MU/0,5ml AMGEN EUROPE B.V. OLANDA
60MU/ml SANDOZ GMBH
AUSTRIA
96MU/ml SANDOZ GMBH
AUSTRIA
SOL. INJ./PERF. 120g/0,2ml HOSPIRA UK LIMITED MAREA BRITANIE
SOL. INJ./PERF. 300mcg/0,5ml TEVA GENERICS GMBH GERMANIA

SOL. INJ. /PERF. IN SERINGA PREUMPLUTA

Ambalaj

Prescriptie

Grupa
Nr.
terape
crt
utica

CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML


CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML
CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL
CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL

S/P-RF
S/P-RF
P-RF/R
P-RF/R

CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,2ML SOL. INJ. SAU PERF.

P-RF

CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF.

S/P-RF/R

Pagina 8 din 96

cant/a
mbala
j

56
56
30
28
60
60
30
1
60
1
30
30
60
60
90
30
180
1
30
30
120
60
60
30
60
60
60
60
60
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
5
1

Pret cu
ridicata
maximal /
ambalaj

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
416.84
625.14
731.60
966.78
731.60
186.84
12.04
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
3,473.78
460.47
188.56
889.76
1,749.51
890.95
1,751.89
3,469.04
459.88
7,459.41
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

Pret cu ridicata
maximal / U.T.

8.703928
8.976607
5.300000
8.154285
5.321166
7.942333
10.642333
131.820000
13.125500
209.910000
36.567000
21.874000
6.947333
10.419000
8.128888
32.226000
4.064444
186.840000
0.401333
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
3,473.780000
460.470000
188.560000
889.760000
1,749.510000
890.950000
1,751.890000
3,469.040000
459.880000
7,459.410000
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

Pret cu ridicata
maximal de
decontare / U.T.

8.703928
8.976607
5.300000
6.360000
5.321166
6.385399
10.642333
131.820000
13.125500
209.910000
36.567000
21.874000
6.947333
8.336800
8.128888
32.226000
4.064444
186.840000
0.401333
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
3,473.780000
460.470000
188.560000
889.760000
1,749.510000
890.950000
1,751.890000
3,469.040000
459.880000
7,459.410000
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

Pret cu
amanuntul
maximal /
ambalaj

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
492.51
719.55
835.60
1,091.94
835.60
228.10
16.27
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
3,824.57
540.07
230.20
1,007.99
1,945.12
1,009.28
1,947.71
3,819.40
539.42
8,168.91
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

Pret cu amanuntul
maximal / U.T.

10.168571
10.465714
6.470333
9.954642
6.436000
9.293000
12.872000
160.920000
14.942666
256.260000
41.129666
25.114333
8.208500
11.992500
9.284444
36.398000
4.642222
228.100000
0.542333
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
3,824.570000
540.070000
230.200000
1,007.990000
1,945.120000
1,009.280000
1,947.710000
3,819.400000
539.420000
8,168.910000
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

498
499
500
501
502
503
504
505
506
507
508
509

L03AA02
L03AA02
L03AA02
P01BC02
S01AA23
S01AA23
S01AA23
S01BA01
S01BA01
S01BA01
S01BA01
S03AAN2

Denumire generica
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
MEFLOQUINUM4
NETILMICINUM
NETILMICINUM
NETILMICINUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
NORFLOXACINUM

Denumire comerciala

Forma
Concentr
farmaceuti
atie / U.T.
ca

NIVESTIM 30 MU/0,5 ml
SOL. INJ./PERF.
TEVAGRASTIM 48MUI/0,8ml SOL. INJ./PERF.
NIVESTIM 48 MU/0,5 ml
SOL. INJ./PERF.
ELOQUINE 250 mg
COMPR.
NETTACIN (R)
PIC. OFT., SOL
NETTACIN (R)
PICATURI OFT.-SOL.
NETTAVISC 3mg/g
UNG. OFT.
OZURDEX
IMPLANT
DEXAMETAZONA ROMPHARM 1mg/ml PIC. OFT. SUSP.
DEXAMETAZONA ROMPHARM 1mg/ml PIC. OFT. SUSP.

MAXIDEX (R)
NORFLOX

PICATURI OFT.-SUSP.
PICATURI OFT./AURIC.-SOL.

Firma

300g/0,5ml HOSPIRA UK LIMITED

Tara

MAREA BRITANIE

Ambalaj

CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF.

Prescriptie

Grupa
Nr.
terape
crt
utica

P-RF

480mcg/0,8ml TEVA GENERICS GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF.

S/P-RF/R

480g/0,5ml HOSPIRA UK LIMITED

250mg
0,3%
0,3%
3mg/g

CN UNIFARM
S.I.F.I. SPA
S.I.F.I. SPA
S.I.F.I. SPA

700 micrograme

ALLERGAN PHARMACEUTICALS IRELAND

1mg/ml
1mg/ml
0,1%
0,3%

MAREA BRITANIE

CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF.

P-RF

ROMANIA

CUTIE X 10 BLIST. X 10 COMPR.


CUTIE X 1 FLACON X 5ML

X
P-RF

CUTIE X 3 FOLII TERMOSUDATE X 5 FLACOANE UNIDOZA DIN POLIETILENA X 0,3 ML

P-RF

CUTIE X 1 TUB DIN AL X 5 G UNGUENT OFTALMIC, PREV. CU APLICATOR

P-RF

ITALIA
ITALIA
ITALIA

IRLANDA CUTIE CU1 IMPLANT STERIL DE TIP FILAMENT CU ELIBERARE PRELUNGIT CONINND DEXAMETAZON 700 MICR
ROMPHARM COMPANY SRL ROMANIA CUTIE X 1 FLAC. DIN PEID X 5 ML PIC. OFT., SUSPENSIE
ROMPHARM COMPANY SRL ROMANIA CUTIE X 1 FLAC. DIN PEID X 10 ML PIC. OFT., SUSPENSIE
ALCON COUVREUR NV BELGIA CUTIE X 1 FLACON PICURATOR DIN PE X 5 ML

CIPLA (UK) LIMITED

P-RF
P-RF
P-RF
P-RF

CUTIE X 1 FLACON PEJD X 5 ML

P-RF

ROMANIA

CUTIE X 1 FLACON DIN PE X 20 COMPR.


CUTIE X 1 FLAC. DIN PE X 20 COMPR.
ROMANIA CUTIE X 1 FLAC. DIN PE X 20 COMPR.

P-6L

ROMANIA

P-6L

ROMANIA

CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 5 ML SOL. INJ.

P-RF

ROMANIA

CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 5 ML SOL. INJ.

P-RF

ROMANIA

CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 2 ML SOL. INJ.

P-RF

ROMANIA

CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 2 ML SOL. INJ.

P-RF

MAREA BRITANIE

cant/a
mbala
j

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

Pret cu ridicata
maximal de
decontare / U.T.

Pret cu
amanuntul
maximal /
ambalaj

Pret cu amanuntul
maximal / U.T.

5
1
5
100
1
15
1
1
1
1
1
1

1,001.12
355.90
1,656.30
140.58
10.49
21.41
24.05
4,694.69
4.11
7.49
6.33
3.52

200.224000
355.900000
331.260000
1.405800
10.490000
1.427333
24.050000
4,694.690000
4.110000
7.490000
6.330000
3.520000

194.520000
313.092000
313.092000
1.405800
10.490000
1.427333
12.588000
4,694.690000
4.110000
7.490000
4.932000
3.520000

1,129.37
426.08
1,843.52
171.62
14.18
28.94
32.50
5,155.37
5.55
10.12
8.55
4.76

225.874000
426.080000
368.704000
1.716200
14.180000
1.929333
32.500000
5,155.370000
5.550000
10.120000
8.550000
4.760000

20
20
20
5
5
5
5
20
1000
30
30
30
20
7
14
20
14
14
14
14
14
20
14
14
14
20
7
5
7
5
7
1
1
1
1
1
1
1
1
1
1
1
100
10
50
50

6.74
6.74
6.74
7.65
7.65
5.16
5.16
1.90
44.43
1.94
1.83
2.74
1.96
23.71
23.85
17.01
12.35
10.85
21.14
12.35
29.01
33.14
24.13
23.73
24.13
33.91
19.04
13.60
26.92
27.85
20.78
19.39
29.92
18.11
17.24
23.38
14.01
47.03
34.29
39.06
23.44
41.12
277.91
29.14
139.72
139.72

0.337000
0.337000
0.337000
1.530000
1.530000
1.032000
1.032000
0.095000
0.044430
0.064666
0.061000
0.091333
0.098000
3.387142
1.703571
0.850500
0.882142
0.775000
1.510000
0.882142
2.072142
1.657000
1.723571
1.695000
1.723571
1.695500
2.720000
2.720000
3.845714
5.570000
2.968571
19.390000
29.920000
18.110000
17.240000
23.380000
14.010000
47.030000
34.290000
39.060000
23.440000
41.120000
2.779100
2.914000
2.794400
2.794400

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
1.988400
0.930000
0.850500
0.882142
0.775000
0.930000
0.882142
1.988400
1.657000
1.723571
1.695000
1.723571
1.695500
1.988400
1.988400
1.988400
1.988400
1.988400
16.812000
28.056000
16.812000
16.812000
23.380000
14.010000
46.872000
28.128000
39.060000
23.440000
41.120000
2.779100
2.914000
2.794400
2.794400

9.11
9.11
9.11
10.34
10.34
6.98
6.98
2.57
58.12
2.62
2.47
3.71
2.65
32.05
32.23
22.99
16.69
14.67
28.57
16.69
37.95
43.35
32.62
32.08
32.62
44.36
25.73
18.38
35.21
36.43
28.09
26.21
39.14
24.48
23.30
31.60
18.94
61.52
44.85
51.09
31.68
53.78
339.27
38.11
170.57
170.57

0.455500
0.455500
0.455500
2.068000
2.068000
1.396000
1.396000
0.128500
0.058120
0.087333
0.082333
0.123666
0.132500
4.578571
2.302142
1.149500
1.192142
1.047857
2.040714
1.192142
2.710714
2.167500
2.330000
2.291428
2.330000
2.218000
3.675714
3.676000
5.030000
7.286000
4.012857
26.210000
39.140000
24.480000
23.300000
31.600000
18.940000
61.520000
44.850000
51.090000
31.680000
53.780000
3.392700
3.811000
3.411400
3.411400

P1: PROGRAMUL NATIONAL DE BOLI TRANSMISIBILE

B) SUBPROGRAMUL DE TRATAMENT AL BOLNAVILOR CU TUBERCULOZA


1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46

A11HA02
A11HA02
A11HA02
A11HA02
A11HA02
A11HA02
A11HA02
H02AB07
H02AB07
H02AB07
H02AB07
H02AB07
H02AB07

J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01GA01
J01GA01
J01GA01
J01GA01

PYRIDOXINUM
PYRIDOXINUM
PYRIDOXINUM
PYRIDOXINUM
PYRIDOXINUM
PYRIDOXINUM
PYRIDOXINUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
STREPTOMYCINUM
STREPTOMYCINUM
STREPTOMYCINUM
STREPTOMYCINUM

VITAMINA B6 250 mg
SICOVIT B6 250 mg
VITAMINA B6 ZENTIVA 250 mg

SICOVIT B6 250 mg/5 ml

VITAMINA B6 ZENTIVA 250 mg/5 ml

SICOVIT B6 50 mg/2ml
VITAMINA B6 ZENTIVA 50 mg/2ml

PREDNISON - RICHTER 5 mg
PREDNISON ARENA 5 mg
PREDNISON ARENA 5 mg
N - PREDNISON
PREDNISON 5 mg
PREDNISON MCC 5 mg
CLAXIRIT 500 mg
LEKOKLAR (R) 250 mg
CLAR 250
KLERIMED (R) 250
KLABAX 250 mg
KLACID (R)
FROMILID 250
LEKOKLAR (R) 500 mg
ROCLARIN 500 mg
KLERIMED (R) 500
KLABAX 500 mg
FROMILID 500
CLAR 500
LEKOKLAR XL 500 mg
LEKOKLAR XL 500 mg
KLABAX MR 500 mg
KLACID SR
FROMILID (R) UNO
LEKOKLAR 125 mg/5 ml
KLACID (R)
KLACID (R)
FROMILID (R) 125 mg/5 ml
KLABAX 125 mg/5 ml
KLABAX 125 mg/5 ml
LEKOKLAR 250 mg/5 ml
LEKOKLAR 250 mg/5 ml
KLABAX 250 mg/5 ml
KLABAX 250 mg/5 ml
KLACID I.V.
STREVITAL 1 g
STREVITAL 1 g
STREPTOMICINA SULFAT BP
STREVITAL 1 g

COMPR.
COMPR.
COMPR.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. CU ELIB. PREL.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM. ELIB. MODIF.
COMPR. FILM. ELIB. MODIF.
COMPR. FILM. ELIB. MODIF.

COMPR. FILM. ELIB. PREL.


COMPR. FILM. ELIB. PREL.

GRAN. PT. SUSP. ORALA


GRAN. PT. SUSP. ORALA
GRAN. PT. SUSP. ORALA
GRAN. PT. SUSP. ORALA
GRAN. PT. SUSP. ORALA
GRAN. PT. SUSP. ORALA
GRAN. PT. SUSP. ORALA
GRAN. PT. SUSP. ORALA
GRAN. PT. SUSP. ORALA
GRAN. PT. SUSP. ORALA

LIOF. PT. SOL. PERF.

PULB. PT. SOL. INJ.


PULB. PT. SOL. INJ.
PULB. PT. SOL. INJ.
PULB. PT. SOL. INJ.

250 mg
250mg
250mg
250mg/5ml
250mg/5ml

50mg/2ml
50mg/2ml
5mg
5mg
5mg
5mg
5mg
5mg
500mg
250mg
250mg
250mg
250mg
250mg
250mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg

125mg/5ml
125mg/5ml
125mg/5ml
125mg/5ml
125mg/5ml
125mg/5ml
250mg/5ml
250mg/5ml
250mg/5ml
250mg/5ml

500mg
1g
1g
1g
1g

ARENA GROUP SA
ZENTIVA SA
ZENTIVA SA
ZENTIVA SA
ZENTIVA SA
ZENTIVA SA
ZENTIVA SA
GEDEON RICHTER ROMANIA SA

ROMANIA

ARENA GROUP SA
ARENA GROUP SA
MEDUMAN SA
SINTOFARM SA

ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE X 2 BLIST. AL./PVC X 10 COMPR.


CUTIE X 100 BLIST. AL/PVC X 10 COMPR.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 1 FLAC. X 30 COMPR.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-6L

P-RF
P-RF/S

P-RF
P-RF
P-RF

MAGISTRA C&C S.R.L. ROMANIA


ACTAVIS GROUP PTC EHF. ISLANDA

CUTIE CU BLIST. PVC/PVDC//AL X 7 COMPR. CU ELIB. PREL. PRF

SLOVENIA

P-RF

LEK PHARMACEUTICALS D.D.

MEDICAROM GROUP S.R.L. ROMANIA

CUTIE X 2 BLIST. X 7 COMPR. FILM.


CUTIE X 5 BLIST. X 4 COMPR. FILM.

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.

P-RF

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
SLOVENIA CUTIE X 2 BLIST. X 7 COMPR. FILM.
ANTIBIOTICE S.A.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM.
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.

LEK PHARMACEUTICALS D.D.

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

CUTIE X 5 BLIST. AL/PVC X 4 COMPR. FILM.

P-RF

LEK PHARMACEUTICALS D.D.

SLOVENIA CUTIE X 1 FOLIE AL/AL X 7 COMPR. FILM. ELIB. MODIF.

P-RF

LEK PHARMACEUTICALS D.D.

SLOVENIA CUTIE X 1 FOLIE AL/AL X 5 COMPR. FILM. ELIB. MODIF.

P-RF

MEDICAROM GROUP S.R.L. ROMANIA

TERAPIA SA

ROMANIA CUTIE X 1 BLIST. PVC/PVDC-AL X 7 COMPR. FILM. ELIB. PREL. P-RF

ABBOTT LABORATORIES LTD.

MAREA BRITANIE

KRKA D.D.
SANDOZ SRL
ABBOTT SPA
ABBOTT SPA
KRKA D.D.
TERAPIA SA
TERAPIA SA
SANDOZ SRL
SANDOZ SRL
TERAPIA SA
TERAPIA SA
ABBOTT LABORATORIES LTD.

ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE S.A.
ANTIBIOTICE SA

CUTIE X 1 BLIST. PVC-PVDC/AL X 5 COMPR. FILM. ELIB. PREL. P-RF

SLOVENIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. ELIB. PREL. P-RF

ROMANIA

ITALIA
ITALIA

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

SLOVENIA

CUTIE X 1 FLAC. PULB. PT. 60 ML SUSP.

P-RF

ROMANIA

CUTIE X 1 FLAC. DIN PEID X 70 G GRAN. PT. 100 ML SUSP . ORALA

P-RF

ROMANIA

CUTIE X 1 FLAC. DIN PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA

P-RF

ROMANIA

CUTIE X 1 FLAC. DIN PEID CU 68,3 G GRANULE PT. 100 ML SUSP. ORALA + LINGURITA DOZATOARE PP

P-RF

ROMANIA

CUTIE X 1 FLAC. DIN PEID CU 41 G GRANULE PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE PP

P-RF

ROMANIA

CUTIE X 1 FLAC. PEID X 70 G GRAN. PT. 100 ML SUSP . ORALA

P-RF

ROMANIA CUTIE X 1 FLAC. PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA P-RF

FRANTA CUTIE X 1 FLAC. LIOF. PT. SOL. PERF.


ROMANIA

CUTIE X 100 FLAC. DIN STICLA CONTINAND PULB. PT. SOL. INJ.

ROMANIA

CUTIE X 10 FLAC. DIN STICLA CONTINAND PULB. PT. SOL. INJ.

ROMANIA

CUTIE X 50 FL.PULB.PT. SOL.INJ. A 1 G

ROMANIA

CUTIE X 50 FLAC. DIN STICLA CONTINAND PULB. PT. SOL. INJ.

Pagina 9 din 96

S/P-RF

S
S
PRF

47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
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76
77
78
79
80
81
82
83
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85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106

J01GB04
J01GB06
J01GB06
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
J01MA14
J01MA14

J04AB01
J04AB01
J04AB01
J04AB02
J04AB02
J04AB02
J04AB02
J04AC01
J04AC01
J04AC01
J04AC01
J04AD01

J04AK01
J04AK01
J04AK02
J04AK02
J04AM02

Denumire generica
KANAMYCINUM
AMIKACINUM
AMIKACINUM
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
MOXIFLOXACINUM
MOXIFLOXACINUM
CICLOSERINUM
CICLOSERINUM
CICLOSERINUM
RIFAMPICINUM
RIFAMPICINUM
RIFAMPICINUM
RIFAMPICINUM
ISONIAZIDUM
ISONIAZIDUM
ISONIAZIDUM
ISONIAZIDUM
PROTIONAMIDUM
PYRAZINAMIDUM
PYRAZINAMIDUM
ETHAMBUTOLUM
ETHAMBUTOLUM
COMBINATII (RIFAMPICINUM+IZONIAZIDUM)

Denumire comerciala
PAN - KANAMYCINE
BIODACYNA
AMIKOZIT (R) 500 mg/2 ml
ZANOCIN
OFLOXIN 200

Forma
Concentr
farmaceuti
atie / U.T.
ca
PULB. PT. SOL. INJ.

SOL. INJ.
SOL. INJ.
COMPR. FILM.
COMPR. FILM.

CIPROFLOXACINA ARENA 100 mg COMPR. FILM.


CIPROFLOXACINA ARENA 100 mg COMPR. FILM.

CIFRAN

COMPR. FILM.

CIPROFLOXACINA ALKALOID 250 mg

COMPR. FILM.

CIPRINOL 250 mg
CIPROLEN (R) 250 mg
CUMINOL 250 mg
CIPROCIN 250 mg
ALVEBAR 250 mg

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

CIPROFLOXACINA ARENA 250 mg COMPR. FILM.

CUMINOL 250 mg

COMPR. FILM.

CIPROFLOXACINA ARENA 250 mg COMPR. FILM.

CIFRAN
CIPRINOL 500 mg

COMPR. FILM.

CIPROFLOXACINA ALKALOID 500 mg

COMPR. FILM.

CIPRO QUIN (R)


ALVEBAR 500 mg

COMPR. FILM.

COMPR. FILM.

COMPR. FILM.

CIPROFLOXACINA ARENA 500 mg COMPR. FILM.

CIPROCIN 500 mg
CIPROLEN (R) 500 mg

COMPR. FILM.
COMPR. FILM.

CIPROFLOXACINA ARENA 500 mg COMPR. FILM.

CIPRODAR
CUMINOL 500 mg
CIPRINOL 750 mg

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

CIPROFLOXACINA ARENA 750 mg COMPR. FILM.

CIPROBAY XR 1000 mg
CIPROBAY XR 500 mg
CIPROFLOXACINA 100 mg/10 ml

CIPRINOL (R)
CIPRINOL (R)
CIPRINOL
CIPRINOL
UFEXIL 2 mg/ ml

CIPROFLOXACINA INFOMED 2 mg/ml


CIPROFLOXACINA INFOMED 2 mg/ml

CIPRINOL (R)
AVELOX (R) 400 mg
AVELOX (R) 400 mg/250 ml

COMPR. FILM. ELIB. PREL.


COMPR. FILM. ELIB. PREL.

CONC. PT. SOL. PERF.


CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.

SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
COMPR. FILM.

SOL. PERF.
CAPS.
HELPOCERIN
CAPS.
CICLOSERINA ANTIBIOTICE 250 mg CAPS.
SINERDOL 150 mg
CAPS.
SINERDOL 150 mg
CAPS.
SINERDOL 300 mg
CAPS.
SINERDOL 300 mg
CAPS.
ISONIAZIDA 100 mg
COMPR.
IZONIAZIDA ATB 100 mg
COMPR.
IZONIAZIDA ANTIBIOTICE 300 mg COMPR.
IZONIAZIDA ATB 300 mg
COMPR.
PETEHA
COMPR.
PIRAZINAMIDA ANTIBIOTICE 500 mg COMPR.
PIRAZINAMIDA ANTIBIOTICE 500 mg COMPR.
ETAMBUTOL 250 mg
COMPR. FILM.
ETAMBUTOL 400 mg
COMPR. FILM.
SINERDOL ISO
CAPS.
CICLOSERINA ANTIBIOTICE 250 mg

Firma

1g
1g/4ml

LAB. PANPHARMA
CN UNIFARM S.A.
500mg/2ml ZENTIVA S.A.
200mg
RANBAXY UK LIMITED
200mg
ZENTIVA K.S.
100mg
ARENA GROUP S.A.
100mg
ARENA GROUP S.A.
250mg
RANBAXY UK LIMITED
ALKALOID D.O.O.
250mg
250mg
KRKA D.D. NOVO MESTO
250mg
AC HELCOR SRL
250mg
GEDEON RICHTER ROMANIA SA
250mg
E.I.P.I.CO. MED S.R.L.
250mg
DR. REDDY'S LABORATORIES
250mg
ARENA GROUP S.A.
250mg
GEDEON RICHTER ROMANIA SA
250mg
ARENA GROUP S.A.
500mg
RANBAXY UK LIMITED
500mg
KRKA D.D. NOVO MESTO
500mg
ALKALOID D.O.O.
500mg
ANTIBIOTICE SA
500mg
DR. REDDY'S LABORATORIES
500mg
ARENA GROUP S.A.
500mg
E.I.P.I.CO. MED S.R.L.
500mg
AC HELCOR SRL
500mg
ARENA GROUP S.A.
500mg
DAR AL DAWA PHARMA S.R.L.
500mg
GEDEON RICHTER ROMANIA SA
750mg
KRKA D.D. NOVO MESTO
750mg
ARENA GROUP S.A.
1000 mg BAYER HEALTHCARE AG
500 mg
BAYER HEALTHCARE AG
100mg/10ml ZENTIVA S.A.
100mg/10ml KRKA D.D.
100mg/10ml KRKA D.D.

Tara

FRANTA CUTIE X 50 FLAC. X 1 G

P-RF/S

ROMANIA

P-RF

MAREA BRITANIE

CEHIA
ROMANIA
ROMANIA
MAREA BRITANIE

SLOVENIA
SLOVENIA

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
MAREA BRITANIE

SLOVENIA
SLOVENIA

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
SLOVENIA

ROMANIA
GERMANIA
GERMANIA

ROMANIA
SLOVENIA
SLOVENIA

200mg/100ml KRKA D.D. NOVO MESTO SLOVENIA

400mg/200ml

400mg

DEMO SA

GRECIA

INFOMED FLUIDS SRL ROMANIA


INFOMED FLUIDS SRL ROMANIA

KRKA D.D.

SLOVENIA

BAYER HEALTHCARE AG GERMANIA

400mg/250ml BAYER HEALTHCARE AG GERMANIA

250mg
250mg
250mg
150mg
150mg
300mg
300mg
100mg
100mg
300mg
300mg
250 mg
500mg
500mg
250mg
400mg
300mg+150mg

ANTIBIOTICE S.A.
HELP PHARMACEUTICALS LTD.

ANTIBIOTICE S.A.
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE S.A.
ANTIBIOTICE SA
ANTIBIOTICE SA
S.C. PHARMA S.A.
ANTIBIOTICE S.A.
ANTIBIOTICE S.A.
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA

ROMANIA

GRECIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

cant/a
mbala
j

50
1
P-RF
1
CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
10
CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
10
CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
10
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
20
CUTIE X 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. P-RF
10
CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 COMPR. FILM. P-RF
10
CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF
10
CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
10
CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
10
CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF
10
CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
10
CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
10
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
20
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
20
CUTIE X 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. P-RF
10
CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF
10
CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 COMPR. FILM. P-RF
10
CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
10
CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
10
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
20
CUTIE X 1 BLIST. X 10 COMPR. FILM.
P-RF
10
CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
10
CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
10
CUTIE X 1 BLIST. X 10 COMPR. FILM.
P-RF
10
CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
10
CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF
10
CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
10
CUTIE X 1 BLIST. DIN PP/AL X 7 COMPR. FILM. ELIB. PREL. P-RF
7
CUTIE X 1 BLIST. DIN PP/AL X 3 COMPR. FILM. ELIB. PREL. P-RF
3
CUTIE X 5 FIOLE DIN STICLA INCOLORA PREVAZUTE CU INEL DE RUPERE X 10 ML S/P-RF
5
CUTIE X 50 FIOLE X 10 ML
S
50
CUTIE X 5 FIOLE X 10 ML
S/P-RF
5
CUTIE X 1 FLACON DIN STICLA INCOLORA X 50 ML SOL. PERF. S/P-RF
1
CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML SOL. PERF.
S/P-RF
1
CUTIE X 10 PUNGI PP X 100 ML SOL. PERF. S
10
CUTIE X 10 PUNGI PVC PLASTIFIAT X 100ML S
10
CUTIE X 10 PUNGI PVC PLASTIFIAT X 200ML S
10
CUTIE X 1 FLACON DIN STICLA X 200 ML S/P-RF
1
CUTIE X 1 BLIST. ALB OPAC PP/AL X 5 COMPR. FILM. P-RF
5
CUTIE X 5 FLACOANE DIN STICLA X 250 ML S
5
CUTIE X 10 FOLII TERMOSUDATE DIN AL/AL X 10 CAPS. P-RF 100
CUTIE X 5 BLIST. X 10 CAPS.
S/P-RF
50
CUTIE X 5 FOLII TERMOSUDATE DIN AL/AL X 10 CAPS. P-RF
50
CUTIE X 100 BLIST. AL/PVC X 10 CAPS.
S 1000
CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
S/P-RF
20
CUTIE X 100 BLIST. AL/PVC X 10 COMPR. S 1000
CUTIE X 1 BLIST. AL/PVC X 10 CAPS.
S/P-RF
10
CUTIE X 150 BLIST. X 10 COMPR.
S 1500
CUTIE CU 2 BLIST. PVC/AL X 10 COMPR. PR
20
CUTIE X 150 BLIST. PVC/AL X 10 COMPR. S/P-RF 1500
CUTIE X 150 BLIST. PVC/AL X 10 COMPR. S/P-RF 1500
CUTIE X 100 COMPR.
S/P-RF
100
CUTIE X 150 BLIST. AL/PVC X 10 COMPR. S 1500
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
S/P-RF
20
CUTIE X 150 BLIST. AL/PVC X 10 COMPR. FILM. S
1500
1500
CUTIE X 150 BLIST. AL/PVC X 10 COMPR. FILM. S
CUTIE X 100 BLIST. AL/PVC X 10 CAPS.
S 1000

CUTIE CU 1 FL.X 1G SOL.INJ.


ROMANIA CUTIE X 1 FLACON DIN STICLA X 2 ML

100mg/50ml KRKA D.D. NOVO MESTO SLOVENIA

2mg/ml
2mg/ml
2mg/ml

Ambalaj

Prescriptie

Grupa
Nr.
terape
crt
utica

P1: PROGRAMUL NATIONAL DE BOLI TRANSMISIBILE

Pagina 10 din 96

Pret cu
ridicata
maximal /
ambalaj

81.11
9.47
5.15
8.40
14.81
28.52
51.89
5.13
5.82
5.05
5.05
5.05
5.05
3.52
4.85
9.10
9.10
6.50
9.78
11.19
9.78
4.80
12.16
9.78
9.78
6.83
9.78
9.78
29.43
28.52
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
425.06
190.37
219.50
163.52
4.16
436.71
4.80
108.12
108.12
270.36
270.36
98.56
434.58
6.75
252.90
395.15
438.43

Pret cu ridicata
maximal / U.T.

1.622200
9.470000
5.150000
0.840000
1.481000
2.852000
2.594500
0.513000
0.582000
0.505000
0.505000
0.505000
0.505000
0.352000
0.485000
0.455000
0.455000
0.650000
0.978000
1.119000
0.978000
0.480000
0.608000
0.978000
0.978000
0.683000
0.978000
0.978000
2.943000
2.852000
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
4.250600
3.807400
4.390000
0.163520
0.208000
0.436710
0.480000
0.072080
5.406000
0.180240
0.180240
0.985600
0.289720
0.337500
0.168600
0.263433
0.438430

Pret cu ridicata
maximal de
decontare / U.T.

1.622200
9.470000
5.150000
0.840000
1.008000
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
0.480000
0.576000
0.576000
0.576000
0.576000
0.576000
0.576000
2.943000
2.852000
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
4.250600
3.807400
4.390000
0.163520
0.196224
0.436710
0.480000
0.072080
0.086496
0.180240
0.180240
0.985600
0.289720
0.337500
0.168600
0.263433
0.438430

Pret cu
amanuntul
maximal /
ambalaj

102.56
12.80
6.96
11.36
20.02
37.31
65.61
6.93
7.87
6.83
6.83
6.83
6.83
4.76
6.56
12.30
12.30
8.78
13.22
15.12
13.22
6.49
16.43
13.22
13.22
9.23
13.22
13.22
38.50
37.31
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
501.47
232.40
267.96
199.62
5.62
514.17
6.49
131.99
131.99
330.05
330.05
124.62
511.84
9.12
308.74
468.86
516.04

Pret cu amanuntul
maximal / U.T.

2.051200
12.800000
6.960000
1.136000
2.002000
3.731000
3.280500
0.693000
0.787000
0.683000
0.683000
0.683000
0.683000
0.476000
0.656000
0.615000
0.615000
0.878000
1.322000
1.512000
1.322000
0.649000
0.821500
1.322000
1.322000
0.923000
1.322000
1.322000
3.850000
3.731000
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
5.014700
4.648000
5.359200
0.199620
0.281000
0.514170
0.649000
0.087993
6.599500
0.220033
0.220033
1.246200
0.341226
0.456000
0.205826
0.312573
0.516040

Denumire generica

Denumire comerciala

Forma
Concentr
farmaceuti
atie / U.T.
ca

Firma

Tara

Ambalaj

Prescriptie

Grupa
Nr.
terape
crt
utica

cant/a
mbala
j

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

Pret cu ridicata
maximal de
decontare / U.T.

Pret cu
amanuntul
maximal /
ambalaj

Pret cu amanuntul
maximal / U.T.

C) SUBPROGRAMUL DE SUPRAVEGHERE SI CONTROL AL BOLILOR TRANSMISIBILE PRIORITATRE PREV-TRAT GRIPEI


1
2
3
4
5

J05AH01
J05AH02
J05AH02
J05AH02
J05AH02

ZANAMIVIRUM
OSELTAMIVIRUM
OSELTAMIVIRUM
OSELTAMIVIRUM
OSELTAMIVIRUM

RELENZA 5 mg
TAMIFLU 30mg
TAMIFLU 45mg
TAMIFLU 75 mg
TAMIFLU 12 mg/ml

PULB. UNIDOZA DE INHALAT

CAPS.
CAPS.
CAPS.
PULB. PT. SUSP. ORALA

5mg
30mg
45mg
75mg
12mg/ml

GLAXO GROUP LTD.

MAREA BRITANIE

CUTIE X 1 FLAC. X 5 BLIST. TIP ROTADISK X 4 DOZE + DISPOZITIV DE ADMINISTRARE DISKHALER

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 1BLISTER PVC/PE/PVDC/ALX 10 CAPSULE P-RF

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 1 BLISTER PVC/PE/PVDC/ALX 10 CAPSULE P-RF

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 1BLISTER PVC/PE/PVDC/AL X 10 CAPSULE P-RF

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 1 FLAC. A 100ML X 30 G PULB. PT. SUSP. ORALA + ADAPTOR, SERINGA SI CUPA PT. MASURARE

P-RF

P-RF

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

50
50
1
25
25
1
25
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
1
1
5
10
1
1
1
1
1
1
1
1
1
1
25
25

132.97
19.33
11.76
5.25
6.90
92.66
11.61
397.53
1,053.87
1,053.87
981.14
1,053.87
1,605.17
1,544.59
1,014.50
1,439.82
2,519.53
1,648.19
1,898.52
3,211.93
229.67
229.67
168.04
338.84
229.67
351.21
200.35
2,539.46
2,539.46
2,539.46
3,890.71
2,539.46
2,539.46
43.56
91.66
1,219.56
68.24
70.91
332.72
197.47
17.62
45.60
62.22
87.07
100.34
101.74
86.63
59.16
62.22
9.86
5,045.07
35.56
76.25

2.659400
0.386600
11.760000
0.210000
0.276000
92.660000
0.464400
19.876500
210.774000
210.774000
196.228000
210.774000
321.034000
308.918000
202.900000
287.964000
503.906000
329.638000
379.704000
642.386000
45.934000
45.934000
33.608000
67.768000
45.934000
70.242000
40.070000
507.892000
507.892000
507.892000
778.142000
507.892000
507.892000
8.712000
18.332000
1,219.560000
68.240000
70.910000
332.720000
39.494000
1.762000
45.600000
62.220000
87.070000
100.340000
101.740000
86.630000
59.160000
62.220000
9.860000
5,045.070000
1.422400
3.050000

2.659400
0.386600
11.760000
0.210000
0.276000
92.660000
0.464400
19.876500
210.774000
210.774000
196.228000
210.774000
235.473600
235.473600
202.900000
287.964000
345.556800
329.638000
379.704000
455.644800
40.329600
40.329600
33.608000
40.329600
40.329600
40.329600
40.070000
507.892000
507.892000
507.892000
609.470400
507.892000
507.892000
8.712000
10.454400
1,219.560000
68.240000
70.910000
332.720000
39.494000
1.762000
45.600000
62.220000
87.070000
100.340000
101.740000
86.630000
54.720000
62.220000
9.860000
5,045.070000
1.422400
3.050000

162.33
26.13
15.89
7.09
9.32
117.16
15.69
471.46
1,186.87
1,186.87
1,107.59
1,186.87
1,787.79
1,721.76
1,143.96
1,607.56
2,784.44
1,834.68
2,107.54
3,539.16
280.38
280.38
205.14
407.49
280.38
420.97
244.59
2,806.17
2,806.17
2,806.17
4,279.03
2,806.17
2,806.17
56.98
115.90
1,367.47
86.28
89.66
400.81
241.07
23.82
59.64
78.67
110.09
122.50
124.21
109.54
74.80
78.67
13.33
5,537.28
46.51
96.41

3.246600
0.522600
15.890000
0.283600
0.372800
117.160000
0.627600
23.573000
237.374000
237.374000
221.518000
237.374000
357.558000
344.352000
228.792000
321.512000
556.888000
366.936000
421.508000
707.832000
56.076000
56.076000
41.028000
81.498000
56.076000
84.194000
48.918000
561.234000
561.234000
561.234000
855.806000
561.234000
561.234000
11.396000
23.180000
1,367.470000
86.280000
89.660000
400.810000
48.214000
2.382000
59.640000
78.670000
110.090000
122.500000
124.210000
109.540000
74.800000
78.670000
13.330000
5,537.280000
1.860400
3.856400

P3: PROGRAMUL NATIONAL DE ONCOLOGIE


1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
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

G03HA01

L01AA01
L01AA01
L01AA02
L01AA03
L01AA06
L01AB01
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
L01BA04
L01BB02
L01BB03

CYPROTERONUM
CYCLOPHOSPHAMIDUM
CYCLOPHOSPHAMIDUM
CHLORAMBUCILUM
MELPHALANUM
IFOSFAMIDUM
BUSULFANUM
LOMUSTINUM4
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
PEMETREXEDUM****
MERCAPTOPURINUM
TIOGUANINUM

ANDROCUR
ENDOXAN (R) 50 mg
ENDOXAN 200 mg
LEUKERAN
ALKERAN 2 mg
HOLOXAN 1 g
MYLERAN
CEENU
TEMOZOLOMIDE SANDOZ 100 mg

TEMOMEDAC 100 mg

TEMOZOLOMIDE HOSPIRA 100mg

TEMOZOLOMIDE TEVA 100 mg

TEMODAL 100 mg
TEMODAL 100 mg
TEMOZOLOMIDE SUN 100 mg

TEMOZOLOMIDE HOSPIRA 140mg

TEMODAL 140mg
TEMOZOLOMIDE SUN 140 mg
TEMOZOLOMIDE HOSPIRA 180mg

TEMODAL 180 mg
TEMOZOLOMIDE SANDOZ 20 mg

TEMOMEDAC 20 mg

TEMOZOLOMIDE HOSPIRA 20 mg

TEMODAL 20 mg

TEMOZOLOMIDE TEVA 20 mg

TEMODAL 20 mg
TEMOZOLOMIDE SUN 20 mg
TEMOZOLOMIDE SANDOZ 250 mg

TEMOMEDAC 250 mg

TEMOZOLOMIDE HOSPIRA 250mg

TEMODAL 250 mg
TEMOZOLOMIDE TEVA 250 mg

TEMOZOLOMIDE SUN 250 mg


TEMOZOLOMIDE HOSPIRA 5mg

TEMODAL 5 mg
TEMODAL 2,5mg/ml
DACARBAZINE 500 mg

COMPR.
DRAJ.
PULB. PT. SOL. PERF./INJ. I.V.

COMPR. FILM.
COMPR. FILM.
PULB. PT. SOL. PERF.

COMPR. FILM.

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.
PULB. PT. SOL. PERF.

PULB. PT. SOL. INJ.

METHOTREXAT "EBEWE" 1000 mg

CONC. PT. SOL. INJ./PERF.

METHOTREXAT "EBEWE" 5000 mg

CONC. PT. SOL. INJ./PERF.

METHOTREXAT "EBEWE" 500 mg

CONC. PT. SOL. INJ./PERF.

METHOTREXAT "EBEWE" 5 mg SOL. INJ.


METOTREXAT EBEWE 10 mg/ml
METOTREXAT EBEWE 10 mg/ml
METOTREXAT EBEWE 10 mg/ml
METOTREXAT EBEWE 10 mg/ml

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

METOJECT 50mg/ml
METOJECT 50mg/ml
METOJECT 50mg/ml
METOJECT 50mg/ml

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

METHOTREXAT "EBEWE" 50 mg SOL. INJ./PERF.

ALIMTA 500mg
PURI - NETHOL
LANVIS

PULB. PT. CONC. PT. SOL. PERF.

COMPR.
COMPR.

50mg
50mg
200mg
2mg
2mg
1g
2mg
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
2,5mg/ml
500mg
100mg/ml
100mg/ml
100mg/ml
5mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
50mg/ml
50mg/ml
50mg/ml
50mg/ml
10mg/ml
500mg
50mg
40mg

THE WELLCOME FOUNDATION LTD.

CUTIE X 1 FLAC. X 50 COMPR.


P-RF
CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ. P-RF
ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. PERF./INJ S
MAREA BRITANIE
CUTIE X 1 FLAC. X 25 COMPR. FILM.
P-RF

THE WELLCOME FOUNDATION LTD.

MAREA BRITANIE

BAYER SCHERING PHARMA AG

GERMANIA

BAXTER ONCOLOGY GMBH GERMANIA

ACTAVIS S.R.L.

CUTIE X 1 FLAC. DIN STICLA BRUNA X 25 COMPR. FILM.

P-RF

BAXTER ONCOLOGY GMBH GERMANIA

CUTIE X 1 FLAC. CU PULB. PT. SOL. PERF. S

THE WELLCOME FOUNDATION LTD.

MAREA BRITANIE

CUTIE X 1 FLAC. DIN STICLA BRUNA X 25 COMPR. FILM.

P-RF

CN UNIFARM

ROMANIA

CUTIE X 1 BLIST. 20 CAPS. MOI

SANDOZ PHARMACEUTICALS GMBH

GERMANIA

CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS.

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 CU 1 FL DIN STICLA BRUNA X 5 CAPS. PR


TEVA PHARMA B.V. OLANDA CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS. P-RF/R
SP EUROPE
BELGIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS. P-RF/R

HOSPIRA UK LIMITED

MAREA BRITANIE

SP EUROPE

BELGIA

CUTIE X 5 CAPS. AMBALATE INDIVIDUAL IN PLICURI

P-RF/R

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

SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V.

SP EUROPE

BELGIA

CUTIE X 5 CAPS. AMBALATE INDIVIDUAL IN PLICURI

P-RF/R

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

SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V.

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

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANIA

FLACON DIN STICL BRUN, CU CAPAC ALB CU FILET DIN POLIPROPILEN, SECURIZAT PENTRU COPII, CU SIGI

P-RF

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
TEVA PHARMA B.V. OLANDA CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS.
SP EUROPE
BELGIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS.

SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V.

SANDOZ PHARMACEUTICALS GMBH


MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

P-RF/R
P-RF/R
P-RF/R

OLANDA CUTIE CU FLACON DIN STICLA BRUNA X 5 CAPSULE PRF


GERMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS. P-RF/R
GERMANIA

FLACON DIN STICL BRUN, CU CAPAC ALB CU FILET DIN POLIPROPILEN, SECURIZAT PENTRU COPII, CU SIGI

P-RF

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
TEVA PHARMA B.V. OLANDA 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

HOSPIRA UK LIMITED

MAREA BRITANIE

SP EUROPE
CN UNIFARM S.A.

ROMANIA CUTIE CU 1 FLAC.X 500MG PULB. PT. SOL. INJ. P-RF

BELGIA CUTIE X 1 FLAC. PULB. PT. SOL. PERF.

P-RF/R

S
S
S
S
PR
PR
PR
PR

EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA

CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 2,0 ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJE

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,50ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL

P-RF

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,40ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL

P-RF

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

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

EBEWE PHARMA GMBH NFG. KG


EBEWE PHARMA GMBH NFG. KG
EBEWE PHARMA GMBH NFG. KG
EBEWE PHARMA GMBH NFG. KG
EBEWE PHARMA GES.M.B.H. NFG KG
EBEWE PHARMA GES.M.B.H. NFG KG
EBEWE PHARMA GES.M.B.H. NFG KG

CUTIE X 1 TUB DIN MATERIAL PLASTIC X 1 FIOLA X 10 ML

CUTIE X 1 FLACON X 50 ML
CUTIE X 5 FIOLE X 5 ML
CUTIE X 10 FIOLE X 1 ML
CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 0,75 ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJ
CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 1,0 ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJE
CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 1,5 ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJE

AUSTRIA CUTIE X 1 FLACON X 5 ML


S
ELI LILLY NEDERLAND BV OLANDA CUTIE X 1 FLAC. PULB. PT. CONC. PT. SOL. PERF. S

EBEWE PHARMA GMBH NFG. KG

THE WELLCOME FOUNDATION LTD.

MAREA BRITANIE

CUTIE X 1 FLAC. DIN STICLA BRUNA X 25 COMPR. P-RF

THE WELLCOME FOUNDATION LTD.

MAREA BRITANIE

CUTIE X 1 FLAC. X 25 COMPR.

Pagina 11 din 96

P-RF

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L01BB04
L01BB05
L01BB05
L01BB05
L01BC01
L01BC01
L01BC01
L01BC01
L01BC01
L01BC02
L01BC02
L01BC02
L01BC02
L01BC02
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC06
L01BC06
L01BC53
L01BC53
L01CA02
L01CA04
L01CA04
L01CA04
L01CA04
L01CA04
L01CA04
L01CA04
L01CA04
L01CA04
L01CA04

Denumire generica
CLADRIBINUM
FLUDARABINUM****
FLUDARABINUM
FLUDARABINUM
CYTARABINUM
CYTARABINUM
CYTARABINUM
CYTARABINUM
CYTARABINUM
FLUOROURACILUM
FLUOROURACILUM
FLUOROURACILUM
FLUOROURACILUM
FLUOROURACILUM
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
CAPECITABINUM
CAPECITABINUM
COMBINATII (TAGAFUR+URACIL)
COMBINATII (TAGAFUR+URACIL)
VINCRISTINUM
VINORELBINUM
VINORELBINUM
VINORELBINUM
VINORELBINUM
VINORELBINUM
VINORELBINUM
VINORELBINUM
VINORELBINUM
VINORELBINUM
VINORELBINUM

Denumire comerciala

Forma
Concentr
farmaceuti
atie / U.T.
ca

LITAK 2 mg/ml
FLUDARA ORAL 10 mg
FLUDARA

LIOF. PT. SOL. INJ./PERF.

FLUDARABINA ACTAVIS 25 mg/ml

PULB. PT. SOL. INJ./PERF.

ALEXAN 20mg/ml
ALEXAN 20mg/ml
ALEXAN 50mg/ml
ALEXAN 50mg/ml
DEPOCYTE 50mg

SOL. INJ.
COMPR. FILM.

SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SUSP. INJ.

5 - FLUOROURACIL EBEWE 50mg/ml

CONC. PT. SOL. INJ./PERF.

5 - FLUOROURACIL EBEWE 50mg/ml

CONC. PT. SOL. INJ./PERF.

5 - FLUOROURACIL EBEWE 50mg/ml

CONC. PT. SOL. INJ./PERF.

5 - FLUOROURACIL EBEWE 50mg/ml

CONC. PT. SOL. INJ./PERF.

EFUDIX

UNGUENT

GEMCITABINA EBEWE PHARMA 10 mg/ml

CONC. PT. SOL. PERF.

GEMCITABINA EBEWE PHARMA 10 mg/ml

CONC. PT. SOL. PERF.

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 ATB 1000 mg
GEMCITABINA TEVA 1000 mg
DAPLAX 1 g
GEMCITIN 1 g
GEMCITABINA TEVA 2000 mg
GEMCITABINA ATB 200 mg
GEMZAR (R) 200 mg
NALLIAN 200 mg
DERCIN 200 mg
GEMCITIN 200 mg
GEMCITABINA TEVA 200 mg
DAPLAX 200 mg
GEMCITABINE MEDAC 38 mg/ml

GEMCIRENA 38 mg/ml

GEMCITABINE MEDAC 38 mg/ml


GEMCITABINE MEDAC 38 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.

PULB. PT. SOL. PERF.


PULB. PT. SOL. PERF.
PULB. PT. SOL. PERF.
PULB. PT. SOL. PERF.
PULB. PT. SOL. PERF.
PULB. PT. SOL. PERF.
PULB. PT. SOL. PERF.
PULB. PT. SOL. PERF.
PULB. PT. SOL. PERF.
PULB. PT. SOL. PERF.
PULB. PT. SOL. PERF.
PULB. PT. SOL. PERF.
PULB. PT. SOL. PERF.
PULB. PT. SOL. PERF.
PULB. PT. SOL. PERF.
PULB. PT. SOL. PERF.
PULB. PT. SOL. PERF.
PULB. PT. SOL. PERF.
PULB. PT. SOL. PERF.

GEMCIRENA 38 mg/ml
GEMCIRENA 38 mg/ml
GITRABIN 38 mg/ml
GITRABIN 38 mg/ml
GITRABIN 38 mg/ml
GEMCIRENA 38 mg/ml

PULB. PT. SOL. PERF.

GEMCITABINE MYLAN 38 mg/ml


GEMCITABINE MYLAN 38 mg/ml

PULB. PT. SOL. PERF.

XELODA 150 mg
XELODA 500 mg
UFT
UFT
SINDOVIN 1 mg
NAVELBINE 20 mg
NAVELBINE 30 mg

PULB. PT. SOL. PERF.


PULB. PT. SOL. PERF.
PULB. PT. SOL. PERF.
PULB. PT. SOL. PERF.
PULB. PT. SOL. PERF.

PULB. PT. SOL. PERF.

COMPR. FILM.
COMPR. FILM.

CAPS.
CAPS.

2mg/ml
10mg
50mg
25mg/ml
20mg/ml
20mg/ml
50mg/ml
50mg/ml
50mg
50mg/ml
50mg/ml
50mg/ml
50mg/ml
50 mg/g
10mg/ml
10mg/ml
40 mg/ml
40 mg/ml
40 mg/ml
40mg/ml
40mg/ml
40mg/ml
1000 mg
1000 mg
1000 mg
1000mg
1000mg
1g
1g
2000mg
200mg
200mg
200mg
200mg
200mg
200mg
200mg
38mg/ml
38mg/ml
38mg/ml
38mg/ml
38mg/ml
38mg/ml
38mg/ml
38mg/ml
38mg/ml
38mg/ml
38mg/ml
38mg/ml
150mg
500mg
100mg+224mg
100mg+224mg

1mg
CAPS. MOI 20mg
CAPS. MOI 30mg
VINORELBIN EBEWE 10 mg/ ml CONC. PT. SOL. INJ./PERF. 10mg/ml
VINORELBIN EBEWE 10 mg/ ml CONC. PT. SOL. INJ./PERF. 10mg/ml
VINORELBINE POLPHARMA 10mg/ml CONC. PT. SOL. PERF. 10mg/ml
VINORELBINE POLPHARMA 10mg/ml CONC. PT. SOL. PERF. 10mg/ml
TELBINE 10 mg/ml
CONC. PT. SOL. PERF. 10mg/ml
VINORELBIN ACTAVIS 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml
VINORELBIN ACTAVIS 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml
TELBINE 10 mg/ml
CONC. PT. SOL. PERF. 10mg/ml
LIOF. PT. SOL. INJ./PERF. I.V.

Firma
LIPOMED GMBH

Tara

GERMANIA

Ambalaj
CUTIE X 1 FLACON X 5 ML

GENZYME EUROPE B.V. OLANDA CUTIE X 1 FLAC. DIN PE X 4 BLIST. AL/AL X 5 COMPR. FILM.

Prescriptie

Grupa
Nr.
terape
crt
utica

S
P-RF/S

GENZYME EUROPE B.V. OLANDA CUTIE X 5 FLAC. CU LIOF. PT. SOL. INJ./PERF. S

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

PACIRA LIMITED
EBEWE PHARMA GMBH NFG. KG
EBEWE PHARMA GMBH NFG. KG
EBEWE PHARMA GMBH NFG. KG
EBEWE PHARMA GMBH NFG. KG

MAREA BRITANIE

AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA

ICN HUNGARY CO. LTD. UNGARIA


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
ACTAVIS GROUP PTC EHF. ISLANDA
ACTAVIS GROUP PTC EHF. ISLANDA
EBEWE PHARMA GES.M.B.H. NFG KG

LILLY FRANCE SAS FRANTA

GEDEON RICHTER ROMANIA SA

ROMANIA

EGIS PHARMACEUTICALS P.L.C.

UNGARIA

ANTIBIOTICE S.A.

ROMANIA

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

DR. REDDY'S LABORATORIES

ROMANIA

ICN POLFA RZESZOW S.A. POLONIA


TEVA PHARMACEUTICALS S.R.L.

ROMANIA

ANTIBIOTICE S.A.
ROMANIA
LILLY FRANCE SAS FRANTA
GEDEON RICHTER ROMANIA SA

ROMANIA

EGIS PHARMACEUTICALS P.L.C.

UNGARIA

ICN POLFA RZESZOW S.A. POLONIA

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 1 FLAC. X 50MG SUSP.INJ. (MONODOZA 5ML) S
CUTIE X 1 FLACON DIN STICLA BRUNA X 20 ML CONCENTRAT PT. SOL. INJ./PERF.
S
CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML CONCENTRAT PT. SOL. INJ./PERF.
S
CUTIE X 1 FLACON DIN STICLA BRUNA X 10 ML CONCENTRAT PT. SOL. INJ./PERF.
S
CUTIE X 1 FLACON DIN STICLA BRUNA X 5 ML CONCENTRAT PT. SOL. INJ./PERF.
S
CUTIE X 1 TUB X 20 G UNGUENT
S/P-RF
S
S
PR
PR
PR
CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML X 2 G GEMCITABINA PR
CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 5 ML X 200 MG GEMCITABINA
PR
CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 25 ML X 1 G GEMCITABINA PR
CUTIE X 1FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. S
S
S
CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 50 ML PULB. PT. SOL. PERF. PR
CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 1000 MG PULB. PT. SOL. PERF.
S
S
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. S
CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 2000 MG PULB. PT. SOL. PERF.
S
CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 10 ML PULB. PT. SOL. PERF. PR
CUTIE X 1 FLAC. PULB. PT. SOL. PERF.
S
S
CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 10 ML CU 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
S
S
S
S
S
S
S
S
S
S
CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 5ML) CU PULB. PT. SOL. INJ/PERF CONTINAND 50MG FLUDA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 100 ML CONC. PT. SOL. PERF. X 1000 MG GEMCITABINA
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 20 ML CONC. PT. SOL. PERF. X 200 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

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 CU PULB. PT. SOL. PERF. CONTINAND 1000MG GEMCITABINA

CUTIE X 1 FLAC. DIN STICLA INCOLORA A 10 ML CU PULB. PT. SOL. PERF. CONTINAND 200MG GEMCITABINA

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

DR. REDDY'S LABORATORIES

ROMANIA

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANIA

FRESENIUS KABI ROMANIA SRL

ROMANIA

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

FRESENIUS KABI ROMANIA SRL

ROMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10 ML CU PULB. PT. SOL. PERF. CARE CONTINE 200MG GEMCITABINA

FRESENIUS KABI ROMANIA SRL

ROMANIA

ACTAVIS GROUP PTC EHF. ISLANDA


ACTAVIS GROUP PTC EHF. ISLANDA
ACTAVIS GROUP PTC EHF. ISLANDA

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. CONTINAND 200MG GEMCITABINA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10 ML CU PULB. PT. SOL. PERF. CONTINAND 200 MG GEMCITABINA
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML CU PULB. PT. SOL. PERF. CARE CONTINE 1500MG GEMCITABINA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF. CARE CONTINE 1000MG 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

MYLAN S.A.S.
MYLAN S.A.S.

FRANTA
FRANTA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML PULB. PT SOL. PERF. CARE CONTINE 1000 MG GEMCITABINA

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.
PIERRE FABRE MEDICAMENT PRODUCTION
PIERRE FABRE MEDICAMENT PRODUCTION

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML CU PULB. PT. SOL. PERF. CARE CONTINE 2000MG GEMCITABINA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10 ML PULB. PT SOL. PERF. CARE CONTINE 200 MG GEMCITABINA

GERMANIA

CUTIE X 10 BLIST. PVC-PVDC/AL X 12 CAPS.


CUTIE X 3 BLIST. PVC-PVDC/AL X 12 CAPS.

ROMANIA

CUTIE X 1 FLAC. DIN STICLA CU LIOF. PT. SOL. INJ./PERF. I.V.

FRANTA
FRANTA

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

GERMANIA

PHARMACEUTICALS WORKS POLPHARMA SA

TEVA PHARMACEUTICAL S.R.L.

ROMANIA

ACTAVIS S.R.L.
ACTAVIS S.R.L.

ROMANIA

TEVA PHARMACEUTICAL S.R.L.

ROMANIA

PHARMACEUTICALS WORKS POLPHARMA SA

ROMANIA

P-RF

S
S
S
S
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 1 ML CONC. PT. SOL. PERF. S
CUTIE X 1 FLAC. X 5 ML CONC. PT. SOL. PERF. S
CUTIE X 1 FLAC. X 1 ML CONC. PT. SOL. PERF. S
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. S

AUSTRIA CUTIE X 1 FLAC. X 5 ML CONC. PT. SOL. INJ/PERF.


AUSTRIA CUTIE X 1 FLAC. X 1 ML CONC. PT. SOL. INJ/PERF.
POLONIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 1 ML CONC. PT. SOL. PERF.
POLONIA CUTIE X 10 FLAC. DIN STICLA INCOLORA X 1 ML CONC. PT. SOL. PERF.

EBEWE PHARMA GES.M.B.H. NFG KG


EBEWE PHARMA GES.M.B.H. NFG KG

P-RF

Pagina 12 din 96

cant/a
mbala
j

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20
5
1
10
1
1
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1
1
1
1
1
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1
1
1
1
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60
120
120
36
1
1
1
1
1
1
10
1
1
1
1

Pret cu
ridicata
maximal /
ambalaj

1,435.80
1,494.08
1,252.62
340.13
97.56
4.62
76.34
45.22
6,970.59
14.14
90.11
7.09
3.50
92.03
185.77
41.54
367.76
41.54
185.77
518.45
41.54
185.77
285.80
185.77
185.76
185.77
185.77
185.76
276.61
367.77
41.54
62.79
41.54
41.54
56.22
41.54
41.54
94.72
279.50
431.18
631.97
41.54
181.36
41.54
185.77
367.76
368.80
62.79
285.80
240.10
1,478.14
1,970.65
612.17
20.66
195.08
292.59
352.01
72.14
72.15
475.80
72.14
448.89
72.15
352.01

Pret cu ridicata
maximal / U.T.

1,435.800000
74.704000
250.524000
340.130000
9.756000
4.620000
76.340000
45.220000
6,970.590000
14.140000
90.110000
7.090000
3.500000
92.030000
185.770000
41.540000
367.760000
41.540000
185.770000
518.450000
41.540000
185.770000
285.800000
185.770000
185.760000
185.770000
185.770000
185.760000
276.610000
367.770000
41.540000
62.790000
41.540000
41.540000
56.220000
41.540000
41.540000
94.720000
279.500000
431.180000
631.970000
41.540000
181.360000
41.540000
185.770000
367.760000
368.800000
62.790000
285.800000
4.001666
12.317833
16.422083
17.004722
20.660000
195.080000
292.590000
352.010000
72.140000
72.150000
47.580000
72.140000
448.890000
72.150000
352.010000

Pret cu ridicata
maximal de
decontare / U.T.

1,435.800000
74.704000
250.524000
300.628800
9.756000
4.620000
76.340000
45.220000
6,970.590000
14.140000
90.110000
7.090000
3.500000
92.030000
185.770000
41.540000
367.760000
41.540000
185.770000
441.312000
41.540000
185.770000
217.632000
185.770000
185.760000
185.770000
185.770000
185.760000
217.632000
367.770000
41.540000
49.848000
41.540000
41.540000
49.848000
41.540000
41.540000
49.848000
279.500000
217.632000
335.400000
41.540000
181.360000
41.540000
185.770000
367.760000
368.800000
49.848000
217.632000
4.001666
12.317833
16.422083
17.004722
20.660000
195.080000
292.590000
230.950800
57.096000
57.096000
47.580000
57.096000
230.950800
57.096000
230.950800

Pret cu
amanuntul
maximal /
ambalaj

1,603.17
1,666.70
1,403.51
408.89
123.36
6.24
96.52
59.15
7,636.10
19.11
113.94
9.58
4.73
116.36
226.79
54.34
439.01
54.34
226.79
603.26
54.34
226.79
348.91
226.79
226.77
226.79
226.79
226.77
337.68
439.02
54.34
79.39
54.34
54.34
71.09
54.34
54.34
119.76
341.21
508.14
727.00
54.34
221.40
54.34
226.79
439.01
440.14
79.39
348.91
293.12
1,649.33
2,186.16
705.42
27.92
238.15
357.19
421.84
91.21
91.23
556.77
91.21
527.44
91.23
421.84

Pret cu amanuntul
maximal / U.T.

1,603.170000
83.335000
280.702000
408.890000
12.336000
6.240000
96.520000
59.150000
7,636.100000
19.110000
113.940000
9.580000
4.730000
116.360000
226.790000
54.340000
439.010000
54.340000
226.790000
603.260000
54.340000
226.790000
348.910000
226.790000
226.770000
226.790000
226.790000
226.770000
337.680000
439.020000
54.340000
79.390000
54.340000
54.340000
71.090000
54.340000
54.340000
119.760000
341.210000
508.140000
727.000000
54.340000
221.400000
54.340000
226.790000
439.010000
440.140000
79.390000
348.910000
4.885333
13.744416
18.218000
19.595000
27.920000
238.150000
357.190000
421.840000
91.210000
91.230000
55.677000
91.210000
527.440000
91.230000
421.840000

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
173
174
175
176
177
178
179
180
181

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
L01CD02
L01CD02
L01CD02
L01CD02

L01DA01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB01

Denumire generica
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**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DACTINOMICINUM4
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM

Denumire comerciala

Forma
Concentr
farmaceuti
atie / U.T.
ca

Firma

NAVELBINE (R)
VEPESID
VEPESID

50mg/5ml PHARMACEUTICALS WORKS POLPHARMA SA


50mg/5ml PHARMACEUTICALS WORKS POLPHARMA SA
SOL. INJ.
10mg/ml LAB. PIERRE FABRE
CAPS. MOI 100mg
BRISTOL MYERS SQUIBB KFT
CAPS. MOI 50mg
BRISTOL MYERS SQUIBB KFT

ETOPOSID "EBEWE" 100 mg/5 ml

CONC. PT. SOL. PERF.

VINORELBINE POLPHARMA 50mg/5ml

CONC. PT. SOL. PERF.

VINORELBINE POLPHARMA 50mg/5ml

CONC. PT. SOL. PERF.

SINTOPOZID 100 mg/5 ml


ETOPOSIDE - TEVA
ETOPOSIDE - TEVA
PACLITAXEL EBEWE 6mg/ml
PACLITAXEL EBEWE 6mg/ml
PACLITAXEL EBEWE 6mg/ml

PACLITAXEL ARCHIE SAMUEL 6 mg/ml

PACLITAXEL 6 mg/ml
PACLITAXEL 6 mg/ml
PACLITAXEL 6 mg/ml
SINDAXEL
PACLITAXEL KABI 6mg/ml
SINDAXEL
SINDAXEL
PACLITAXEL KABI 6mg/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.

PACLITAXEL ARCHIE SAMUEL 6 mg/ml

CONC. PT. SOL. PERF.

PACLITAXEL ARCHIE SAMUEL 6 mg/ml

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

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.

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 ACCORD 6 mg/ml

TAXOTERE 20 mg

CONC. PT. SOL. PERF.

CONC. PT. SOL. PERF.


CONC. + SOLV. PT. SOL. PERF.

DOCETAXEL TEVA 20mg/0,5ml

CONC. + SOLV. PT. SOL. PERF.

DOCETAXEL ACTAVIS 20 mg/0,5 ml

CONC. + SOLV. PT. SOL. PERF.

TAXOTERE 80 mg
DOCETAXEL ACTAVIS 80 mg/2 ml

DOCETAXEL TEVA 80mg/2ml


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

POLONIA
POLONIA

UNGARIA CUTIE X 2 BLIST. PVC/AL-PVC-PVDC X 10 CAPS. P-RF

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

TEVA PHARMACEUTICALS S.R.L.

ROMANIA CUTIE X 1 FLAC. X 5 ML CONC. PT. SOL. PERF.

TEVA PHARMACEUTICALS S.R.L.

ROMANIA CUTIE X 1 FLAC. X 10 ML CONC. PT. SOL. PERF.

EBEWE PHARMA GES.M.B.H. NFG KG


EBEWE PHARMA GES.M.B.H. NFG KG
EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRIA
AUSTRIA
AUSTRIA

CONC. PT. SOL. PERF.


CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.

CONC. PT. SOL. PERF.

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.

TAXOTERE 80 mg/4ml
CONC. PT. SOL. PERF.
DOCIRENA 80 mg/4 ml
CONC. PT. SOL. PERF.
TAXEGIS 20 mg
TAXEGIS 80 mg
COSMEGEN LYOVAC 0,5 mg SOL. INJ.
DHARUXO 2 mg/ml
CONC. PT. SOL. PERF.
CONC. SI SOLV. PT. SOL. PERF.
CONC. SI SOLV. PT. SOL. PERF.

CONC. PT. SOL. PERF.

DOXORUBICINA ACCORD 2 mg/ml

CONC. PT. SOL. PERF.

DOXORUBICINA ACCORD 2 mg/ml

CONC. PT. SOL. PERF.

DOXORUBICINA TEVA 2 mg/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.

ARCHIE SAMUEL S.R.O. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 30 MG CONC. PT. SOL. PERF.
PHARMEXPRESS S.R.L. ROMANIA CUTIE X 1 FLAC. X 50 ML
PHARMEXPRESS S.R.L. ROMANIA CUTIE X 10 FLAC. X 5 ML
PHARMEXPRESS S.R.L. ROMANIA CUTIE X 4 FLAC. X 16,7 ML
ACTAVIS S.R.L.
ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF.
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML CONC. PT. SOL. PERF.
ACTAVIS S.R.L.
ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 16,67 ML CONC. PT. SOL. PERF.
ACTAVIS S.R.L.
ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML CONC. PT. SOL. PERF.
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA X 50 ML CONC. PT. SOL. PERF.
ARCHIE SAMUEL S.R.O. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 100 MG CONC. PT. SOL. PERF.
ARCHIE SAMUEL S.R.O. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 150 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.
ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 43,33 ML CONC. PT. SOL. PERF.
ACTAVIS S.R.L.
ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 25 ML CONC. PT. SOL. PERF.
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF.
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF.
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 16,7 ML CONC. PT. SOL. PERF.
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 25 ML CONC. PT. SOL. PERF.
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA X 25 ML CONC. PT. SOL. PERF.
ACCORD HEALTHCARE LIMITED

MAREA BRITANIE

ACCORD HEALTHCARE LIMITED

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA A 16,7 ML CARE CONTINE 100 MG PACLITAXEL

ARCHIE SAMUEL S.R.O.

REPUBLICA CEHA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 300 MG CONC. PT. SOL. PERF.

ACCORD HEALTHCARE LIMITED

MAREA BRITANIE

AVENTIS PHARMA SA FRANTA


20mg/0,5ml TEVA PHARMA B.V. OLANDA
20mg/0,5ml ACTAVIS GROUP PTC EHF. ISLANDA

160 mg/8 ml AVENTIS PHARMA SA FRANTA

CONC. PT. SOL. PERF.


CONC. PT. SOL. PERF.

S
S
S

100mg/5ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 5 ML


S
100mg/5ml ACTAVIS S.R.L.
ROMANIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. S

CONC. PT. SOL. PERF.

CONC. + SOLV. PT. SOL. PERF.

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF.


CUTIE X 10 FLAC. DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF.

FRANTA CUTIE X 10 FIOLE X 1 ML

CONC. PT. SOL. PERF.

CONC. + SOLV. PT. SOL. PERF.

Ambalaj

UNGARIA CUTIE X 1 BLIST. PVC/A0-PVC-PVDC X 10 CAPS. P-RF

80mg
80mg/2ml
80mg/2ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml

CONC. + SOLV. PT. SOL. PERF.

TAXOTERE 160 mg/8ml


TAXOTERE 20 mg/1ml
DOCIRENA 20 mg/1 ml

DOXORUBICINA ACCORD 2 mg/ml

Tara

Prescriptie

Grupa
Nr.
terape
crt
utica

CUTIE CU 1 FLAC. DIN STICLA A 5 ML CARE CONTINE 30 MG PACLITAXEL

CUTIE CU 1 FLAC. DIN STICLA A 50 ML CARE CONTINE 300 MG PACLITAXEL


CUTIE X 1 FLACON X 0,5 ML CONC. SOL. PERF. + 1 FLACON X 1,5 ML SOLV.
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 0,5 ML CONCENTRAT PT. SOL.PERF.+1 FLAC.X1,5ML SOLV.
CUTIE CU 1 BLIST. DIN POLISTIREN TERMOFORMAT CU 1 FLAC. DIN STICLA INCOLORA X 0,5 ML CONC. PT. SOL.

AVENTIS PHARMA SA FRANTA

CUTIE X 1 FLACON X 2 ML CONC. SOL. PERF. + 1 FLACON X 6 ML SOLV.

ACTAVIS GROUP PTC EHF. ISLANDA

CUTIE CU 1 BLIST. DIN POLISTIREN TERMOFORMAT CU 1 FLAC. DIN STICLA INCOLORA X 2 ML CONC. PT. SOL. PE

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

TEVA PHARMA B.V. OLANDA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 2 ML CONCENTRAT PT. SOL.PERF.+1 FLAC.X 6ML SOLV.

AUSTRIA
AUSTRIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 2 ML CONC. PT. SOL. PERF.

P-RF/R

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 8 ML CONC. PT. SOL. PERF.

P-RF/R

EBEWE PHARMA GES.M.B.H. NFG KG


EBEWE PHARMA GES.M.B.H. NFG KG

HOSPIRA UK LTD
HOSPIRA UK LTD
HOSPIRA UK LTD

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 2 ML CONC. PT. SOL. PERF.

S/P-RF

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 8 ML CONC. PT. SOL. PERF.

S/P-RF

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 16 ML CONC. PT. SOL. PERF. S/P-RF

EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU FOLIE PROTECTOARE DIN PLASTIC ONCO-SAFE X 16 ML CONC. PT. SO

P-RF/R

CUTIE X 1 FLACON DIN STICLA CU 8 ML CONC. PT. SOL. PERF.X 160MG

20mg/1ml AVENTIS PHARMA SA


20mg/1ml FRESENIUS KABI ROMANIA SRL
20mg/ml ACTAVIS GROUP PTC EHF.
20mg/ml ACTAVIS GROUP PTC EHF.
20mg/ml ACTAVIS GROUP PTC EHF.
80mg/4ml AVENTIS PHARMA SA
80mg/4ml FRESENIUS KABI ROMANIA SRL
20mg
EGIS PHARMACEUTICALS P.L.C.
80mg
EGIS PHARMACEUTICALS P.L.C.
0,5mg
CN UNIFARM
2mg/ml
ROMASTRU TRADING S.R.L.
2mg/ml
ACCORD HEALTHCARE LIMITED
2mg/ml
ACCORD HEALTHCARE LIMITED
2mg/ml
ACCORD HEALTHCARE LIMITED
2mg/ml
TEVA PHARMACEUTICALS S.R.L.

FRANTA CUTIE X 1 FLACON X 1 ML CONC. PT. SOL. PERF. S

ROMANIA

ISLANDA
ISLANDA
ISLANDA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP SI SIGILIU DETASABIL A 1 ML CONC. PT. SOL. PERF.
CUTIE CU 1 FLAC. UNIDOZA DIN STICLA INCOLORA CU 7 ML CONC. PT. SOL. PERF. CARE CONTINE 140 MG DOCETA
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

FRANTA

CUTIE X 1 FLACON DIN STICLA X 4 ML CONC. PT. SOL. PERF.

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP SI SIGILIU DETASABIL A 4 ML CONC. PT. SOL. PERF.

UNGARIA

CUTIE CU 1 BLIST. X 1 FLAC. UNIDOZA DIN STICLA INCOLORA CU CAPACITATEA DE 5 ML CU 0,5 ML CONC. PT. S

UNGARIA

CUTIE CU 1 BLIST. X 1 FLAC. UNIDOZA DIN STICLA INCOLORA CU CAPACITATEA DE 15 ML CU 2 ML CONC. PT. SO

ROMANIA

CUTIE X 1 FLAC. X 3 ML SOL. INJ

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF.

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 5 ML CONC. PT. SOL. PERF. CONTINAND 10 MG DOXORUBICINA

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 25 ML CONC. PT. SOL. PERF. CONTINAND 50 MG DOXORUBICINA

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 100 ML CONC. PT. SOL. PERF. CONTINAND 200 MG DOXORUBICINA

ROMANIA

CUTIE CU 1 FLAC. CONC. PT. SOL. PERF. X 20 MG CLORHIDRAT DE DOXORUBICINA

Pagina 13 din 96

PR
PR
PR
PR
S
PR
PR
PR
X
PR
PR
PR
PR
S

cant/a
mbala
j

1
10
10
10
20
1
1
1
1
1
1
1
1
1
10
4
1
1
1
1
5
1
1
5
1
1
1
1
5
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
1
1

Pret cu
ridicata
maximal /
ambalaj

351.98
1,924.59
1,020.92
311.36
308.57
39.04
32.83
31.96
61.07
1,100.68
356.99
114.95
114.92
1,010.91
979.86
1,265.52
114.95
1,010.86
356.99
1,100.68
4,934.31
356.96
559.30
1,574.25
832.08
909.41
559.41
106.15
503.92
338.86
448.50
2,122.51
114.66
356.77
1,100.65
1,100.51
545.21
364.84
364.79
2,090.86
1,369.45
1,369.55
261.95
924.39
261.93
924.37
1,706.08
1,542.65
2,608.58
396.36
258.23
2,373.51
261.95
924.39
1,405.98
916.40
364.88
1,369.55
108.74
27.42
28.22
89.23
225.68
63.03

Pret cu ridicata
maximal / U.T.

351.980000
192.459000
102.092000
31.136000
15.428500
39.040000
32.830000
31.960000
61.070000
1,100.680000
356.990000
114.950000
114.920000
1,010.910000
97.986000
316.380000
114.950000
1,010.860000
356.990000
1,100.680000
986.862000
356.960000
559.300000
314.850000
832.080000
909.410000
559.410000
106.150000
100.784000
338.860000
448.500000
424.502000
114.660000
356.770000
1,100.650000
1,100.510000
545.210000
364.840000
364.790000
2,090.860000
1,369.450000
1,369.550000
261.950000
924.390000
261.930000
924.370000
1,706.080000
1,542.650000
2,608.580000
396.360000
258.230000
2,373.510000
261.950000
924.390000
1,405.980000
916.400000
364.880000
1,369.550000
108.740000
27.420000
28.220000
89.230000
225.680000
63.030000

Pret cu ridicata
maximal de
decontare / U.T.

230.950800
192.459000
57.096000
31.136000
15.428500
38.352000
32.830000
31.960000
61.070000
1,100.680000
356.990000
114.950000
114.920000
1,010.910000
97.986000
316.380000
114.950000
1,010.860000
356.990000
1,100.680000
986.862000
356.960000
509.402400
314.850000
509.402400
909.410000
509.402400
106.150000
100.784000
338.860000
448.500000
424.502000
114.660000
356.770000
1,100.650000
1,100.510000
309.876000
309.876000
309.876000
1,099.680000
1,099.680000
1,099.680000
261.950000
924.390000
261.930000
924.370000
1,706.080000
1,542.650000
1,851.180000
309.876000
258.230000
2,373.510000
261.950000
924.390000
1,099.680000
916.400000
309.876000
1,099.680000
108.740000
27.420000
28.220000
89.230000
225.680000
63.030000

Pret cu
amanuntul
maximal /
ambalaj

421.81
2,135.96
1,150.95
377.53
374.49
51.07
42.94
41.81
77.22
1,237.89
427.27
140.33
140.30
1,140.04
1,106.20
1,417.57
140.33
1,139.99
427.27
1,237.89
5,416.56
427.24
647.79
1,754.09
945.12
1,029.41
647.91
129.59
587.42
407.51
527.02
2,351.69
139.98
427.03
1,237.86
1,237.71
632.43
435.83
435.77
2,317.19
1,530.85
1,530.96
319.79
1,045.74
319.77
1,045.72
1,897.78
1,719.64
2,881.51
470.18
315.25
2,625.28
319.79
1,045.74
1,570.67
1,037.03
435.87
1,530.96
132.75
35.86
36.91
112.82
275.51
79.70

Pret cu amanuntul
maximal / U.T.

421.810000
213.596000
115.095000
37.753000
18.724500
51.070000
42.940000
41.810000
77.220000
1,237.890000
427.270000
140.330000
140.300000
1,140.040000
110.620000
354.392500
140.330000
1,139.990000
427.270000
1,237.890000
1,083.312000
427.240000
647.790000
350.818000
945.120000
1,029.410000
647.910000
129.590000
117.484000
407.510000
527.020000
470.338000
139.980000
427.030000
1,237.860000
1,237.710000
632.430000
435.830000
435.770000
2,317.190000
1,530.850000
1,530.960000
319.790000
1,045.740000
319.770000
1,045.720000
1,897.780000
1,719.640000
2,881.510000
470.180000
315.250000
2,625.280000
319.790000
1,045.740000
1,570.670000
1,037.030000
435.870000
1,530.960000
132.750000
35.860000
36.910000
112.820000
275.510000
79.700000

182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245

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
L01XA01
L01XA01
L01XA01
L01XA01
L01XA01
L01XA01
L01XA01
L01XA01
L01XA02
L01XA02
L01XA02
L01XA02
L01XA02
L01XA02
L01XA02
L01XA02
L01XA03
L01XA03
L01XA03

Denumire generica
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**
CISPLATINUM
CISPLATINUM
CISPLATINUM
CISPLATINUM
CISPLATINUM
CISPLATINUM
CISPLATINUM
CISPLATINUM
CARBOPLATINUM
CARBOPLATINUM
CARBOPLATINUM
CARBOPLATINUM
CARBOPLATINUM
CARBOPLATINUM
CARBOPLATINUM
CARBOPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM

Denumire comerciala

Forma
Concentr
farmaceuti
atie / U.T.
ca

EPIRUBICINA TEVA 2 mg/ml SOL. INJ./PERF.


EPIRUBICINA TEVA 2 mg/ml SOL. INJ./PERF.
ECCLEPIA 2 mg/ml
SOL. INJ./PERF.
ECCLEPIA 2 mg/ml
SOL. INJ./PERF.
ECCLEPIA 2 mg/ml
SOL. INJ./PERF.
ECCLEPIA 2 mg/ml
SOL. INJ./PERF.
ECCLEPIA 2 mg/ml
SOL. INJ./PERF.
EPIRUBICINA TEVA 2 mg/ml SOL. INJ./PERF.
ZAVEDOS
CAPS.
ZAVEDOS 5 mg
PULB. PT. SOL. INJ.
ONKOTRONE
CONC. PT. SOL. INJ.

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

CISPLATIN "EBEWE" 10 mg/20 ml

10mg/20ml

DOXORUBICINA TEVA 2 mg/ml

CAELYX 2 mg/ml
DHARUXO 2 mg/ml

DOXORUBICIN "EBEWE" 2mg/ml


DOXORUBICIN "EBEWE" 2mg/ml

CAELYX 2 mg/ml
DHARUXO 2 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.

DOXORUBICINA ACTAVIS 2 mg/ml

CONC. PT. SOL. PERF.

DOXORUBICINA ACTAVIS 2 mg/ml

CONC. PT. SOL. PERF.

DOXORUBICINA ACTAVIS 2 mg/ml

CONC. PT. SOL. PERF.

DOXORUBICINA ACTAVIS 2 mg/ml

CONC. PT. SOL. PERF.

DOXORUBICINA ACTAVIS 2 mg/ml

CONC. PT. SOL. PERF.

DOXORUBICINA ACTAVIS 2 mg/ml

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

EPISINDAN 10 mg
FARMORUBICIN RD 10 mg

FARMORUBICIN (R) RD 50 mg

EPISINDAN 50 mg
EPIRUBICINA KABI 2 mg/ml
EPIRUBICINA KABI 2 mg/ml
EPIRUBICINA TEVA 2 mg/ml
EPIRUBICINA TEVA 2 mg/ml

EPIRUBICINA ACTAVIS 2mg/ml


EPIRUBICINA ACTAVIS 2mg/ml
EPIRUBICINA ACTAVIS 2mg/ml
EPIRUBICINA ACTAVIS 2mg/ml
EPIRUBICINA ACTAVIS 2mg/ml

SINPLATIN 1 mg/1 ml
SINPLATIN 1 mg/1 ml

CISPLATINA ACCORD 1 mg/ml


CISPLATINA ACCORD 1 mg/ml
CISPLATINA ACCORD 1 mg/ml

CONC. PT. SOL. INJ.


CONC. PT. SOL. INJ.
CONC. PT. SOL. INJ.

LIOF. PT. SOL. INJ.


LIOF. 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.

CONC. PT. SOL. PERF.


CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.

1mg/1ml
1mg/1ml
1mg/ml
1mg/ml
1mg/ml

Firma

BELGIA CUTIE X 1 FLACON DIN STICLA X 25 ML

ROMASTRU TRADING S.R.L. ROMANIA


EBEWE PHARMA GMBH NFG. KG
EBEWE PHARMA GMBH NFG. KG
JANSSEN CILAG INTERNATIONALL NV

ACTAVIS GROUP PTC EHF. ISLANDA


ACTAVIS GROUP PTC EHF. ISLANDA
ACTAVIS GROUP PTC EHF. ISLANDA
ACTAVIS GROUP PTC EHF. ISLANDA
ACTAVIS GROUP PTC EHF. ISLANDA

CEPHALON EUROPE FRANTA


ACTAVIS S.R.L
ROMANIA
ACTAVIS S.R.L
ROMANIA
TEVA PHARMACEUTICALS S.R.L.

ROMANIA

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

EBEWE PHARMA GMBH NFG. KG

AUSTRIA
AUSTRIA
AUSTRIA

EBEWE PHARMA GMBH NFG. KG


EBEWE PHARMA GMBH NFG. KG

ACTAVIS S.R.L.
ACTAVIS S.R.L.
ACTAVIS S.R.L.
ACTAVIS S.R.L.

MAREA BRITANIE
MAREA BRITANIE

TEVA PHARMACEUTICAL S.R.L.

ROMANIA

TEVA PHARMACEUTICAL S.R.L.

ROMANIA

ACTAVIS S.R.L.
ACTAVIS S.R.L.
ACTAVIS S.R.L.
ACTAVIS S.R.L.
ACTAVIS S.R.L.

ROMANIA

CONC. PT. SOL. PERF.

CONC. PT. SOL. PERF.

CONC. PT. SOL. PERF.

CARBOPLATIN TEVA 10mg/ml

CONC. PT. SOL. PERF.

CARBOPLATIN ACTAVIS 10mg/ml

CONC. PT. SOL. PERF.

OXALIPLATIN EBEWE 5mg/ml


OXALIPLATIN EBEWE 5mg/ml
OXALIPLATIN EBEWE 5mg/ml

CONC. PT. SOL. PERF.

CONC. PT. SOL. PERF.

CONC. PT. SOL. PERF.

ROMANIA
ROMANIA
ROMANIA
ROMANIA

TEVA PHARMACEUTICAL S.R.L.

ROMANIA

TEVA PHARMACEUTICAL S.R.L.

ROMANIA

ROMASTRU TRADING SRL ROMANIA


ROMASTRU TRADING SRL ROMANIA
ROMASTRU TRADING SRL ROMANIA
ROMASTRU TRADING SRL ROMANIA
ROMASTRU TRADING SRL ROMANIA
TEVA PHARMACEUTICAL S.R.L.

ROMANIA

PFIZER EUROPE MA EEIG

MAREA BRITANIE

PFIZER EUROPE MA EEIG

MAREA BRITANIE

BAXTER ONCOLOGY GMBH GERMANIA


EBEWE PHARMA GMBH NFG. KG

AUSTRIA

ACTAVIS S.R.L.
ACTAVIS S.R.L.

ROMANIA

ACCORD HEALTHCARE LIMITED

MAREA BRITANIE

ACCORD HEALTHCARE LIMITED

MAREA BRITANIE

ACCORD HEALTHCARE LIMITED

MAREA BRITANIE

EBEWE PHARMA GMBH NFG. KG

CARBOPLATIN "EBEWE" 10 mg/ml


CARBOPLATIN ACTAVIS 10mg/ml
CARBOPLATIN ACTAVIS 10mg/ml

ROMANIA
ROMANIA

FRESENIUS KABI ONCOLOGY PLC

EBEWE PHARMA GMBH NFG. KG

CONC. PT. SOL. PERF.

ROMANIA
ROMANIA

FRESENIUS KABI ONCOLOGY PLC

25mg/50ml

CARBOPLATIN "EBEWE" 10 mg/ml

BELGIA

ACTAVIS GROUP PTC EHF. ISLANDA

50mg/100ml

10mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
5 mg/ml
5 mg/ml
5 mg/ml

AUSTRIA
AUSTRIA

ROMASTRU TRADING S.R.L. ROMANIA

CONC. PT. SOL. PERF.

CONC. PT. SOL. PERF.

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
1
1
1
1
1
1
1
1
1
1
1
1
1
1

Ambalaj

ROMANIA

CONC. PT. SOL. PERF.

CONC. PT. SOL. PERF.

S
S
CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 10 ML CONC. PT. SOL. PERF. PR
CUTIE X 1 FLACON X 25 ML CONC. PT. SOL. PERF. (50 MG DOXORUBICINA)
S
CUTIE X 1 FLACON X 5 ML CONC. PT. SOL. PERF. (10 MG DOXORUBICINA)
S
CUTIE X 1 FLACON DIN STICLA X 10 ML
S
CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 25 ML CONC. PT. SOL. PERF. PR
CUTIE CU 1 FLAC. A 5 ML CONC. PT. SOL. PERF. CARE CONTINE 10 MG DOXORUBICINA
PR
CUTIE CU 1 FLAC. A 10 ML CONC. PT. SOL. PERF. CARE CONTINE 20 MG DOXORUBICINA PR
CUTIE CU 1 FLAC. A 25 ML CONC. PT. SOL. PERF. CARE CONTINE 50 MG DOXORUBICINA PR
CUTIE CU 1 FLAC. A 50 ML CONC. PT. SOL. PERF. CARE CONTINE 100 MG DOXORUBICINA PR
CUTIE CU 1 FLAC. A 75 ML CONC. PT. SOL. PERF. CARE CONTINE 150 MG DOXORUBICINA PR
CUTIE CU 1 FLAC. A 100 ML CONC. PT. SOL. PERF. CARE CONTINE 200 MG DOXORUBICINA
PR
CUTIE X 2 SETURI X 3 FLAC. (1 FLAC PULB. + 1 FLAC.LIPOZOMI +1 FLAC. SOL.TAMP.)
S
S
S
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10 ML SOL. INJ. S
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 25 ML SOL. INJ. S
CUTIE X 1 FLACON X 5 ML
S
CUTIE X 1 FLACON X 50 ML
S
CUTIE X 1 FLACON X 25 ML
S
CUTIE X 1 FLAC. CU LIOF. PT. SOL. INJ.
S
CUTIE X 1 FLAC. X 10 MG LIOF. PT. SOL. INJ. S
CUTIE X 1 FLAC. X 50 MG LIOF. PT. SOL. INJ. S
CUTIE X 1 FLAC. CU LIOF. PT. SOL. INJ.
S
CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 25 ML SOL. INJ./PERF. X 50 MG
PR
CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 100 ML SOL. INJ./PERF. X 200 MG
PR
CUTIE X 1 FLAC. STICLA INCOLORA X 5 ML SOL. INJ. /PERFZ. S
CUTIE X 1 FLAC. STICLA INCOLORA X 10 ML SOL. INJ. /PERFZ. S
CUTIE X 1 FLAC. A 5 ML SOL. INJ. X 10MG (10MG/5ML)
S
CUTIE X 1 FLAC. A 10 ML SOL. INJ. X 20MG (20MG/10ML) S
CUTIE X 1 FLAC. A 25 ML SOL. INJ. X 50MG (50MG/25ML) S
CUTIE X 1 FLAC. A 50 ML SOL. INJ. X 100MG (100MG/50ML) S
CUTIE X 1 FLAC. A 100ML SOL. INJ. X 200MG (200MG/100ML) S
CUTIE X 1 FLAC. STICLA INCOLORA X 75 ML SOL. INJ. /PERFZ. S
CUTIE X 1 FLAC. STICLA INCOLORA X 100 ML SOL. INJ. /PERFZ. S
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 5 ML SOL. INJ./PERF. X 10 MG EPIRUBICINA S
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 10 ML SOL. INJ./PERF. X 20 MG EPIRUBICINA S
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 25 ML SOL. INJ./PERF. X 50 MG EPIRUBICINA S
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 50 ML SOL. INJ./PERF. X 100 MG EPIRUBICINA
S
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 10 ML SOL. INJ./PERF. X 200 MG EPIRUBICINA
S
CUTIE X 1 FLAC. STICLA INCOLORA X 25 ML SOL. INJ. /PERFZ. S
CUTIE X 1 FLAC. X 1 CAPS.
P-RF
CUTIE X 1 FLAC. DIN STICLA INCOLORA CU LIOF. PT. SOL. INJ. S
CUTIE X 1 FLACON X 10 ML CONC. PT. SOL. INJ. S
CUTIE X 1 FLACON X 20 ML CONC. PT. SOL. PERF. S
CUTIE X 1 FLAC. X 50 ML X 50 MG CONC. SOL. PERF. S
CUTIE X 1 FLAC. X 10 ML X 10 MG CONC. SOL. PERF. S
CUTIE CU 1 FLAC. DE 10 ML DIN STICLA BRUNA CU CONC. PT. SOL. PERF.
S
CUTIE CU 1 FLAC. DE 30 ML DIN STICLA BRUNA CU CONC. PT. SOL. PERF.
S
CUTIE CU 1 FLAC. DE 50 ML DIN STICLA BRUNA CU CONC. PT. SOL. PERF.
S
CUTIE X 1 FLACON X 50 ML COND. PT. SOL. PERF. S
CUTIE X 1 FLACON X 100 ML CONC. PT. SOL. PERF. S
CUTIE X 1 FLACON DIN STICLA X 15 ML CONC. PT. SOL. PERF. S
CUTIE X 1 FLAC. DIN STICLA BRUNA X 45 ML CONC. PT. SOL. PERF. S
CUTIE X 1 FLACON DIN STICLA X 45 ML CONC. PT. SOL. PERF. S
CUTIE X 1 FLACON DIN STICLA X 5 ML CONC. PT. SOL. PERF. S
CUTIE X 1 FLACON DIN STICLA INCOLORA X 45 ML CONC. PT. SOL. PERF.
S
CUTIE X 1 FLACON DIN STICLA INCOLORA X 15 ML CONC. PT. SOL. PERF.
S
CUTIE X 1 FLAC. DIN STICLA BRUNA X 15 ML CONC. PT. SOL. PERF. S
CUTIE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. S
PR
PR
PR

Tara

TEVA PHARMACEUTICALS S.R.L.

CISPLATIN "EBEWE" 25 mg/50 ml

CARBOPLATIN TEVA 10mg/ml

cant/a
mbala
j

JANSSEN CILAG INTERNATIONALL NV

CISPLATIN "EBEWE" 50 mg/100 ml


CARBOPLATIN "EBEWE" 10 mg/ml

Prescriptie

Grupa
Nr.
terape
crt
utica

EBEWE PHARMA GES.M.B.H. NFG KG

TEVA PHARMACEUTICALS S.R.L.


EBEWE PHARMA GES.M.B.H. NFG KG
EBEWE PHARMA GES.M.B.H. NFG KG

ACTAVIS S.R.L.
ACTAVIS S.R.L.

ROMANIA

AUSTRIA
AUSTRIA
AUSTRIA
ROMANIA

AUSTRIA
AUSTRIA
ROMANIA
ROMANIA

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

ACTAVIS S.R.L.

ROMANIA

EBEWE PHARMA GES.M.B.H. NFG KG


EBEWE PHARMA GES.M.B.H. NFG KG
EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRIA
AUSTRIA
AUSTRIA

CUTIE CU 1 FLAC. CONC. PT. SOL. PERF. X 50 MG CLORHIDRAT DE DOXORUBICINA

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 50 ML X 50 MG CLORHIDRAT DE DOXORUBICINA


CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 8 ML CONTINAND 10 MG CLORHIDRAT DE DOXORUBICIN

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU INVELIS DE PROTECTIE (ONCO-SAFE) X 10 ML CONC. PT. SOL. PERF

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU INVELIS DE PROTECTIE (ONCO-SAFE) X 20 ML CONC. PT. SOL. PERF

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU INVELIS DE PROTECTIE (ONCO-SAFE) X 40 ML CONC. PT. SOL. PERF

Pagina 14 din 96

Pret cu
ridicata
maximal /
ambalaj

89.23
3,567.70
66.23
110.17
28.22
1,445.08
101.03
27.18
62.33
105.66
208.14
261.57
269.92
4,092.58
105.66
27.18
66.46
89.23
48.67
454.46
231.77
42.74
59.72
261.82
233.65
138.02
396.30
42.50
83.38
38.03
81.95
197.39
217.00
397.31
588.06
773.38
39.99
80.83
198.48
450.99
771.75
204.65
203.33
143.35
555.48
9.17
24.41
7.75
7.75
19.18
24.41
22.06
31.57
62.52
132.81
178.07
21.86
133.04
50.00
47.45
18.05
264.15
523.31
1,396.48

Pret cu ridicata
maximal / U.T.

89.230000
3,567.700000
66.230000
110.170000
28.220000
1,445.080000
101.030000
27.180000
62.330000
105.660000
208.140000
261.570000
269.920000
2,046.290000
105.660000
27.180000
66.460000
89.230000
48.670000
454.460000
231.770000
42.740000
59.720000
261.820000
233.650000
138.020000
396.300000
42.500000
83.380000
38.030000
81.950000
197.390000
217.000000
397.310000
588.060000
773.380000
39.990000
80.830000
198.480000
450.990000
771.750000
204.650000
203.330000
143.350000
555.480000
9.170000
24.410000
7.750000
7.750000
19.180000
24.410000
22.060000
31.570000
62.520000
132.810000
178.070000
21.860000
133.040000
50.000000
47.450000
18.050000
264.150000
523.310000
1,396.480000

Pret cu ridicata
maximal de
decontare / U.T.

89.230000
2,455.548000
66.230000
107.076000
28.220000
1,445.080000
101.030000
27.180000
62.330000
105.660000
208.140000
261.570000
269.920000
2,046.290000
105.660000
27.180000
66.460000
89.230000
45.636000
260.400000
165.624000
42.740000
45.636000
165.624000
165.624000
138.020000
396.300000
42.500000
83.380000
38.030000
81.950000
165.624000
217.000000
397.310000
588.060000
475.560000
39.990000
80.830000
165.624000
260.400000
475.560000
165.624000
203.330000
143.350000
555.480000
9.170000
24.410000
7.750000
7.750000
19.180000
24.410000
22.060000
29.292000
56.940000
132.810000
159.372000
21.660000
133.040000
50.000000
47.450000
18.050000
264.150000
523.310000
1,239.252000

Pret cu
amanuntul
maximal /
ambalaj

112.82
3,926.95
83.74
134.49
36.91
1,613.29
123.34
35.55
78.81
128.99
254.10
319.32
329.52
4,499.07
128.99
35.55
84.03
112.82
63.66
533.51
282.94
55.90
75.51
319.63
285.24
168.49
470.12
55.59
105.42
49.74
103.62
240.97
264.91
471.22
679.14
881.13
52.31
102.20
242.30
529.73
879.36
249.84
248.22
175.00
643.62
12.39
32.99
10.48
10.48
25.92
32.99
29.81
41.30
79.05
162.14
217.39
29.55
162.41
63.22
62.06
24.39
322.48
608.56
1,560.32

Pret cu amanuntul
maximal / U.T.

112.820000
3,926.950000
83.740000
134.490000
36.910000
1,613.290000
123.340000
35.550000
78.810000
128.990000
254.100000
319.320000
329.520000
2,249.535000
128.990000
35.550000
84.030000
112.820000
63.660000
533.510000
282.940000
55.900000
75.510000
319.630000
285.240000
168.490000
470.120000
55.590000
105.420000
49.740000
103.620000
240.970000
264.910000
471.220000
679.140000
881.130000
52.310000
102.200000
242.300000
529.730000
879.360000
249.840000
248.220000
175.000000
643.620000
12.390000
32.990000
10.480000
10.480000
25.920000
32.990000
29.810000
41.300000
79.050000
162.140000
217.390000
29.550000
162.410000
63.220000
62.060000
24.390000
322.480000
608.560000
1,560.320000

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
296
297
298
299
300
301
302
303
304
305
306
307
308
309

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
L01XE04
L01XE05
L01XE06
L01XE06
L01XE06
L01XE06
L01XE09

L01XX02
L01XX02
L01XX02
L01XX02
L01XX02
L01XX05
L01XX11
L01XX14
L01XX17
L01XX17
L01XX17
L01XX17
L01XX17
L01XX17

Denumire generica
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****
SUNITINIBUM****
SORAFENIBUM****
DASATINIBUM****
DASATINIBUM****
DASATINIBUM****
DASATINIBUM****
TEMSIROLIMUSUM
ASPARAGINAZUM
ASPARAGINAZUM
ASPARAGINAZUM
ASPARAGINAZUM
ASPARAGINAZUM
HYDROXYCARBAMIDUM
ESTRAMUSTINUM
TRETINOINUM4
TOPOTECAMUM
TOPOTECAMUM
TOPOTECAMUM
TOPOTECAMUM
TOPOTECAMUM
TOPOTECAMUM

Denumire comerciala

OXALIPLATIN ACTAVIS 5 mg/ml


OXALIPLATIN ACCORD 5 mg/ml
OXALIPLATIN ACCORD 5 mg/ml

ELOXATIN 5mg/ml
ELOXATIN 5mg/ml

OXALIPLATIN ACTAVIS 5 mg/ml


OXALIPLATIN ACTAVIS 5 mg/ml

OXALIPLATINA TEVA 5 mg/ml


OXALIPLATINA TEVA 5 mg/ml
ELOXATIN 5mg/ml
OXALIPLATIN KABI 5 mg/ml
OXALIPLATIN KABI 5 mg/ml
OXALIPLATIN KABI 5 mg/ml
OXALIPLATIN KABI 5 mg/ml

OXALIPLATIN ACTAVIS 5 mg/ml


OXALIPLATIN ACTAVIS 5 mg/ml

OXALIPLATIN KABI 5 mg/ml


OXALIPLATIN KABI 5 mg/ml

Forma
Concentr
farmaceuti
atie / U.T.
ca
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.

LIOF. PT. SOL. PERF.


LIOF. PT. SOL. PERF.

PULB. PT. SOL. INJ.


PULB. PT. SOL. INJ.

OXALIPLATIN MEDICO UNO 5 mg/ml

PULB. PT. SOL. PERF.

REZIDOL 5 mg/ml

PULB. PT. SOL. PERF.

OXALIPLATIN ACCORD 5 mg/ml

PULB. PT. SOL. PERF.

OXALIPLATIN EBEWE 5mg/ml


OXALIPLATIN EBEWE 5mg/ml
OXALIPLATIN EBEWE 5mg/ml

PULB. PT. SOL. PERF.


PULB. PT. SOL. PERF.

OXALIPLATIN MEDICO UNO 5 mg/ml

PULB. PT. SOL. PERF.

PULB. PT. SOL. PERF.

OXALIPLATIN PHARMASWISS 5 mg/ml

PULB. PT. SOL. PERF.

OXALIPLATIN PHARMASWISS 5 mg/ml

PULB. PT. SOL. PERF.

REZIDOL 5 mg/ml

PULB. PT. SOL. PERF.

OXALIPLATIN ACCORD 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
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 ATB 1 mg

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.
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.

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
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
1mg

Firma

Tara

Ambalaj

ACTAVIS GROUP PTC EHF. ISLANDA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 40 ML CONC. PT. SOL. PERF. CARE CONTINE 200 MG OXALIPLATINA

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

FRANTA
SANOFI-AVENTIS FRANCE FRANTA
SANOFI-AVENTIS FRANCE

CUTIE X 1 FLACON X 50 MG/10 ML CONC. PT. SOL. PERF.

ACTAVIS GROUP PTC EHF. ISLANDA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CONC. PT. SOL. PERF. CARE CONTINE 50 MG OXALIPLATINA

ACTAVIS GROUP PTC EHF. ISLANDA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 20 ML CONC. PT. SOL. PERF. CARE CONTINE 100 MG OXALIPLATINA

CUTIE X 1 FLACON X 100 MG/20 ML CONC. PT. SOL. PERF.

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10 ML CONC. PT. SOL. PERF.

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 20 ML CONC. PT. SOL. PERF.

SANOFI-AVENTIS FRANCE

FRANTA

CUTIE X 1 FLACON X 200 MG/40 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

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.

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 CUTIE CU 1 FLAC. DIN STICLA BRUNA X 50 MG OXALIPLATINA
EGIS PHARMACEUTICALS P.L.C.

UNGARIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 50 MG OXALIPLATINA

ACCORD HEALTHCARE LIMITED

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 50 MG OXALIPLATINA

AUSTRIA
AUSTRIA
AUSTRIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU SUPORT TRANSPARENT DIN PLASTIC (ONKO-SAFE) X 150 MG OXALIPLAT

EBEWE PHARMA GES.M.B.H. NFG KG


EBEWE PHARMA GES.M.B.H. NFG KG
EBEWE PHARMA GES.M.B.H. NFG KG

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU SUPORT TRANSPARENT DIN PLASTIC (ONKO-SAFE) X 50 MG OXALIPLATI

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU SUPORT TRANSPARENT DIN PLASTIC (ONKO-SAFE) X 100 MG OXALIPLAT

MEDICO UNO PHARMA LTD. UNGARIA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 100 MG OXALIPLATINA
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

EGIS PHARMACEUTICALS P.L.C.

UNGARIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 100 MG OXALIPLATINA


CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. CONTINAND 100 MG GEMCITABINA

ACCORD HEALTHCARE LIMITED

MAREA BRITANIE

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)

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 1 FLAC. PULB. PT. CONC. PT. SOL. PERF.

GENZYME EUROPE BV OLANDA


GENZYME EUROPE BV OLANDA

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

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 4 ML CONC. PT. SOL. PERF.

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 1 FLAC. DIN STICLA X 16 ML CONC. PT. SOL. PERF.

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

ROCHE REGISTRATION LTD.

MAREA BRITANIE

ROCHE REGISTRATION LTD.

MAREA BRITANIE

ROCHE REGISTRATION LTD.

MAREA BRITANIE

PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED

MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE

CUTIE X 120 CAPS.


CUTIE X 30 COMPR. FILM. (BLIST. AL/PVC)
CUTIE X 30 COMPR. FILM. (BLIST. AL/PVC)
CUTIE X 30 COMPR. FILM. (BLIST. AL/PVC)
CUTIE X 1 FLACON DIN PEID X 30 CAPS.
CUTIE X 1 FLACON DIN PEID X 30 CAPS.
CUTIE X 1 FLACON DIN PEID X 30 CAPS.
CUTIE X 4 BLIST. AL/PP X 28 COMPR.FILM.

BAYER SCHERING PHARMA AG

GERMANIA

BRISTOL-MYERS SQUIBB

MAREA BRITANIE

BRISTOL-MYERS SQUIBB

MAREA BRITANIE

BRISTOL-MYERS SQUIBB

MAREA BRITANIE

BRISTOL-MYERS SQUIBB

MAREA BRITANIE

CUTIE X 1 FLAC. DIN PEID X 30 COMPR. FILM.


CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM.
CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM.
CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM.

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.

ROMANIA

BRISTOL MYERS SQUIBB KFT UNGARIA

CUTIE CU 1 FLAC. PULB. PT. SOL. INJ.

Prescriptie

Grupa
Nr.
terape
crt
utica

PR
S
S
S
S
PR
PR
S
S
S
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
S
P-RF/R
P-RF/R
P-RF/R
P-RF/R
P-RF/R
P-RF/R
P-RF/R
P-RF/R
P-RF/R
P-RF/R
P-RF/R
P-RF/R

S
S
S
S
S
P-RF

CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 CAPS. P-RF

CUTIE X 1 FLAC. X 100 CAPS.

P-RF

ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 100 CAPS. MOI

CUTIE X BLIST. PVC/PCTFE/AL X 10 CAPS.

SMITHKLINE BEECHAM PLC

P-RF

CUTIE X 1 FLACON DIN STICLA TRANSPARENTA A 1ML

P-RF/R

PFIZER EUROPE MA EEIG

MAREA BRITANIE

MAREA BRITANIE

TEVA PHARMA B.V. OLANDA

AUSTRIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 4 ML CONC. PT. SOL. PERF. PR
TEVA PHARMA B.V. OLANDA CUTIE X 1 FLACON DIN STICLA TRANSPARENTA A 4ML P-RF/R
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1FL DIN STICLA X 4 MG PULBERE PENTRU CONCENTRAT PENTRU SOLU_IE PERFUZABILA PR

EBEWE PHARMA GES.M.B.H. NFG KG

ANTIBIOTICE S.A.

ROMANIA

CUTIE CU 1 FLAC DIN STICLA INCOLORA CU CAPACITATEA DE 5 ML X 1 MG TOPOTECAN

Pagina 15 din 96

PR

cant/a
mbala
j

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
2
1
1
3
3
1
1
1
120
30
30
30
30
30
30
112
30
60
60
60
1
1
5
5
1
1
100
100
100
10
1
1
1
1
1

Pret cu
ridicata
maximal /
ambalaj

1,396.51
322.25
615.78
480.70
931.20
322.26
615.78
322.25
615.78
2,132.32
293.86
564.27
1,032.71
1,032.71
615.78
322.26
297.71
572.27
517.78
322.21
322.25
457.29
1,609.04
871.57
1,005.54
322.25
615.78
615.76
615.78
2,221.55
5,509.03
2,621.74
4,923.23
4,923.64
871.19
1,332.54
5,246.58
9,032.83
6,304.73
8,391.10
1,911.34
5,042.42
10,054.84
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
170.26

Pret cu ridicata
maximal / U.T.

1,396.510000
322.250000
615.780000
480.700000
931.200000
322.260000
615.780000
322.250000
615.780000
2,132.320000
293.860000
564.270000
1,032.710000
1,032.710000
615.780000
322.260000
297.710000
572.270000
517.780000
322.210000
322.250000
457.290000
1,609.040000
871.570000
1,005.540000
322.250000
615.780000
615.760000
615.780000
1,110.775000
5,509.030000
2,621.740000
1,641.076666
1,641.213333
871.190000
1,332.540000
5,246.580000
75.273583
210.157666
279.703333
63.711333
168.080666
335.161333
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
170.260000

Pret cu ridicata
maximal de
decontare / U.T.

1,239.252000
316.980000
615.780000
316.980000
627.972000
316.980000
615.780000
316.980000
615.780000
1,239.252000
293.860000
564.270000
1,032.710000
1,032.710000
615.780000
316.980000
297.710000
572.270000
316.980000
316.980000
316.980000
316.980000
1,609.040000
627.972000
627.972000
316.980000
615.780000
615.760000
615.780000
1,110.775000
5,509.030000
2,621.740000
1,641.076666
1,641.213333
871.190000
1,332.540000
5,246.580000
75.273583
210.157666
279.703333
63.711333
168.080666
335.161333
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
170.260000

Pret cu
amanuntul
maximal /
ambalaj

1,560.35
389.40
709.35
562.11
1,053.16
389.41
709.35
389.40
709.35
2,362.38
358.74
653.20
1,163.80
1,163.80
709.35
389.41
363.44
661.92
602.53
389.36
389.40
536.60
1,792.01
988.16
1,134.19
389.40
709.35
709.33
709.35
2,459.64
6,043.00
2,895.85
5,404.48
5,404.92
987.75
1,490.62
5,756.93
9,883.95
6,910.31
9,184.46
2,121.51
5,534.39
10,997.94
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
207.85

Pret cu amanuntul
maximal / U.T.

1,560.350000
389.400000
709.350000
562.110000
1,053.160000
389.410000
709.350000
389.400000
709.350000
2,362.380000
358.740000
653.200000
1,163.800000
1,163.800000
709.350000
389.410000
363.440000
661.920000
602.530000
389.360000
389.400000
536.600000
1,792.010000
988.160000
1,134.190000
389.400000
709.350000
709.330000
709.350000
1,229.820000
6,043.000000
2,895.850000
1,801.493333
1,801.640000
987.750000
1,490.620000
5,756.930000
82.366250
230.343666
306.148666
70.717000
184.479666
366.598000
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
207.850000

310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373

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
L01XX19
L01XX23
L01XX32
L02AB01
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

Denumire generica
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
IRINOTECANUM
MITOTANUM
BORTEZOMIBUM****
MEGESTROLUM
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

Denumire comerciala
TOPOTECAN KABI 4 mg
TOPOTECAN KABI 4 mg
TOPOTECAN ACCORD 4 mg
TOPOTECAN ATB 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

Forma
Concentr
farmaceuti
atie / U.T.
ca

4 mg
4 mg
4mg
4mg
PULB.CONC.SOL.PERF. 4mg
CONC. PT. SOL. PERF. 20 mg/ml
CONC. PT. SOL. PERF. 20 mg/ml
CONC. PT. SOL. PERF. 20 mg/ml
CONC. PT. SOL. PERF. 20 mg/ml
IRINOTRCAN MEDAC 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml
IRINOTRCAN MEDAC 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml
CAMPTO
CONC. PT. SOL. PERF. 20mg/ml
CAMPTO
CONC. PT. SOL. PERF. 20mg/ml
TEKAZOL 20 mg/ml
CONC. PT. SOL. PERF. 20mg/ml
IRINOTECAN POLPHARMA 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml
IRINOTESIN 20mg/ml
CONC. PT. SOL. PERF. 20mg/ml
IRINOTESIN 20mg/ml
CONC. PT. SOL. PERF. 20mg/ml
IRINOTECAN EBEWE 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml
IRINOTECAN EBEWE 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml
IRINOTECAN PHARMASWISS 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml
IRINOTECAN PHARMASWISS 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml
IRINOTECAN HOSPIRA 20mg/ml CONC. PT. SOL. PERF. 20mg/ml
IRINOTECAN HOSPIRA 20mg/ml CONC. PT. SOL. PERF. 20mg/ml
IRINOTECAN HOSPIRA 20mg/ml CONC. PT. SOL. PERF. 20mg/ml
CAMPTO
CONC. PT. SOL. PERF. 20mg/ml
IRINOTECAN POLPHARMA 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml
IRINOTECAN ALVOGEN 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml
LUDIRADOL 20 mg/ml
CONC. PT. SOL. PERF. 20mg/ml
IRINOTESIN 20mg/ml
CONC. PT. SOL. PERF. 20mg/ml
TEKAZOL 20 mg/ml
CONC. PT. SOL. PERF. 20mg/ml
IRINOTESIN 20mg/ml
CONC. PT. SOL. PERF. 20mg/ml
IRINOTRCAN MEDAC 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml
IRINOTECAN ATB 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml
LYSODREN 500mg
COMPR.
500mg
VELCADE 3,5 mg
PULB. PT. SOL. INJ. 3,5mg
MEGESIN 160 mg
COMPR.
160mg
ELIGARD 22,5 mg
LIOF. SI SOLV. PT. SOL. INJ. 22,5mg
ELIGARD 7,5 mg
LIOF. SI SOLV. PT. SOL. INJ. 7,5mg
LUCRIN DEPOT 11,25mg
11,25mg
LUCRIN DEPOT 3,75mg
3,75mg
ELIGARD 45 mg
PULB+SOLV.PT.SOL.INJ 45mg
ZOLADEX LA 10,8 mg
IMPLANT
10,8 mg
ZOLADEX (R)
IMPLANT
3,6mg
DIPHERELINE 0,1 mg
LIOF. + SOLV. PT. SOL. INJ. 0,1mg
DIPHERELINE PR 11,25 mg
11,25mg
DIPHERELINE 3,75 mg
3,75mg
GONAPEPTYL ZILNIC 0,1 mg/ml SOL. INJ.
0,1mg/ml
GONAPEPTYL ZILNIC 0,1 mg/ml SOL. INJ.
0,1mg/ml
TAMOXIFEN 10 TEVA
COMPR.
10mg
TAMOXIFEN SANDOZ 10
COMPR. FILM. 10mg
FASLODEX 250mg/5ml
SOL. INJ.
250mg/5ml
FLUTASIN 250 mg
COMPR.
250mg
FLUTAN
COMPR.
250mg
FLUTAMIDE CSC 250 mg
COMPR. FILM. 250mg
BICALUTAMIDA ALVOGEN 150 mg COMPR. FILM. 150mg
BICALUTAMIDA SANDOZ 150 mg COMPR. FILM. 150mg
BICALUTAMID TERAPIA 150 mg COMPR. FILM. 150mg
CASODEX 150 mg
COMPR. FILM. 150mg
YONISTIB 150 mg
COMPR. FILM. 150mg
BICALUTAMIDA KABI 150 mg COMPR. FILM. 150mg
BICALUTAMIDA KABI 50 mg COMPR. FILM. 50 mg
BICALUTAMIDA KABI 50 mg COMPR. FILM. 50 mg
BICALUTAMIDA ALVOGEN 50 mg COMPR. FILM. 50mg
BICALUTAMIDA RANBAXY 50 mg COMPR. FILM. 50mg

Firma

Tara

PULB. PT. CONC. PT. SOL. PERF.

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITANIE

PULB. PT. CONC. PT. SOL. PERF.

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITANIE

PULB. PT. CONC. PT. SOL. PERF.

ACCORD HEALTHCARE LIMITED

MAREA BRITANIE

ANTIBIOTICE S.A.

ROMANIA

PULB. PT. CONC. PT. SOL. PERF.

SMITHKLINE BEECHAM PLC

MAREA BRITANIE

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITANIE

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITANIE

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITANIE

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITANIE

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANIA

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANIA

PFIZER EUROPE MA EEIG

MAREA BRITANIE

PFIZER EUROPE MA EEIG

MAREA BRITANIE

ICN POLFA RZESZOW S.A. POLONIA

EBEWE PHARMA GES.M.B.H. NFG KG

POLONIA
ROMANIA
ROMANIA
AUSTRIA
AUSTRIA

PHARMASWISS CESKA REPUBLIKA S.R.O.

REPUBLICA CEHA

PHARMACEUTICAL WORKS POLPHARMA SA

ACTAVIS S.R.L.
ACTAVIS S.R.L.
EBEWE PHARMA GES.M.B.H. NFG KG

PHARMASWISS CESKA REPUBLIKA S.R.O.

MAREA BRITANIE

PFIZER EUROPE MA EEIG

MAREA BRITANIE

PHARMACEUTICAL WORKS POLPHARMA SA

POLONIA

MAREA BRITANIE

EGIS PHARMACEUTICALS P.L.C.

UNGARIA

ACTAVIS S.R.L.

ROMANIA

ICN POLFA RZESZOW S.A. POLONIA

ACTAVIS S.R.L.

ROMANIA

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANIA

ANTIBIOTICE S.A.

ROMANIA

LABORATOIRE HRA PHARMA

FRANTA

JANSSEN-CILAG INTERNATIONAL NV

ACTAVIS S.R.L.
ASTELLAS PHARMA EUROPE BV
ASTELLAS PHARMA EUROPE BV

ABBOTT LABORATORIES LTD.

LIOF.+ SOLV. PT. SUSP. INJ. ELIB. PREL.

ABBOTT LABORATORIES LTD.

PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL.

MAREA BRITANIE

ALVOGEN ROMANIA S.R.L. ROMANIA

LIOF.+ SOLV. PT. SUSP. INJ. ELIB. PREL.

PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL.

REPUBLICA CEHA

HOSPIRA UK LIMITED
HOSPIRA UK LIMITED
HOSPIRA UK LIMITED

BELGIA

Ambalaj

Prescriptie

Grupa
Nr.
terape
crt
utica

PR
PR
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. CONC. PT. SOL. PERF.
S
CUTIE CU 1 FLAC DIN STICLA INCOLORA CU CAPACITATEA DE 10 ML X 4 MG TOPOTECAN
PR
CUTIE X 1 FLAC. PULB. PT. CONC. PT. SOL. PERF. S
CUTIE CU 1 FLACON STICLA BRUNA DE 6 ML X 2 ML CONC. PT. SOL. PERF.
PR
CUTIE CU 1 FLACON STICLA BRUNA DE 6 ML X 5 ML CONC. PT. SOL. PERF.
PR
CUTIE CU 1 FLACON STICLA BRUNA DE 20 ML X 15 ML CONC. PT. SOL. PERF.
PR
CUTIE CU 1 FLACON STICLA BRUNA DE 30 ML X 25 ML CONC. PT. SOL. PERF.
PR
CUTIE X 1 FLAC. DIN STICLA INCOLORA BRUNA X 2 ML CONC. PR. SOL. PERF.
S
CUTIE X 1 FLAC. DIN STICLA INCOLORA BRUNA X 5 ML CONC. PR. SOL. PERF.
S
CUTIE X 1 FLAC. DIN PP X 5 ML CONC. PT. SOL. PERF. S
CUTIE X 1 FLAC. DIN PP X 15 ML CONC. PT. SOL. PERF. S
S
CUTIE CU 1 FLAC. DIN STICLA BRUNA A 2 ML CONC. PT. SOL. PERF. S
CUTIE X 1 FLAC. DIN STICLA BRUNA X 2 ML CONC. PT. SOL. INJ.
S
CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 ML CONC. PT. SOL. INJ.
S
S
S
CUTIE CU 1 FLAC. DIN STICLA BRUNA X 40 MG CLORHIDRAT DE IRINOTECAN TRIHIDRAT S
CUTIE CU 1 FLAC. DIN STICLA BRUNA X 100 MG CLORHIDRAT DE IRINOTECAN TRIHIDRAT
S
CUTIE X 1 FLAC. STICLA BRUNA X 2 ML CONC. PT. SOL. PERF. S
CUTIE X 1 FLAC. STICLA BRUNA X 5 ML CONC. PT. SOL. PERF. S
CUTIE X 1 FLAC. STICLA BRUNA X 25 ML CONC. PT. SOL. PERF. S
CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 ML CONC. PT. SOL. PERF.
S
CUTIE CU 1 FLAC. DIN STICLA BRUNA A 5 ML CONC. PT. SOL. PERF. S
S
CUTIE CU 1 FLAC. DIN STICLA BRUNA CU CAPACITATEA DE 6 ML X 100 MG IRINOTECAN
PR
CUTIE X 1 FLAC. DIN STICLA BRUNA X 25 ML CONC. PT. SOL. INJ. S
CUTIE X 1 FLAC. DIN STICLA BRUNA X 2 ML CONC. PT. SOL. PERF. CONTANAD 40MG IRINOTECAN
S
CUTIE X 1 FLAC. DIN STICLA BRUNA X 15 ML CONC. PT. SOL.PERF. S
CUTIE X 1 FLAC. DIN STICLA INCOLORA BRUNA X 15 ML CONC. PR. SOL. PERF. S
PR
CUTIE X 1 FLAC. DIN PEID X 100 COMPR. P-RF/R
CUTIE CU 1 FLAC. DIN STICLA INCOLORA, CU FOLIE PROTECTOARE DIN PLASTIC X 4 MG PULB. PT. CONC. PT. SO
CUTIE CU 5 FLAC. DIN STICLA INCOLORA, CU FOLIE PROTECTOARE DIN PLASTIC X 4 MG PULB. PT. CONC. PT. SO

CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 ML CONC. PT. SOL. PERF. CONTANAD 100MG IRINOTECAN

CUTIE CU 1 FLAC. DIN STICLA BRUNA + DOP CAUCIUC FARA PLASTIC DE PROTECTIE TIP ONCO-SAFE A 5 ML CONC.

CUTIE CU 1 FLAC. DIN STICLA BRUNA + DOP CAUCIUC FARA PLASTIC DE PROTECTIE TIP ONCO-SAFE A 15 ML CONC

CUTIE CU 1 FLAC. DIN STICLA BRUNA CU CAPACITATEA DE 5 ML CARE CONTINE 100 MG IRINOTECAN

CUTIE CU 1 FLAC. DIN STICLA BRUNA CU CAPACITATEA DE 5 ML X 5 ML CONC. PT. SOL. PERF. INCHIS CU DOP D

CUTIE X 1 FLAC. X 10ML X 3,5 MG PULB. PT. SOL. INJ., INTRODUS INTR-UN BLISTER TRANSPARENT

P-RF/R

ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR. P-RF

OLANDA
OLANDA

SPANIA
SPANIA

ASTELLAS PHARMA EUROPE BV

OLANDA

ASTRAZENECA UK LTD.

MAREA BRITANIE

ASTRAZENECA UK LTD.

MAREA BRITANIE

IPSEN PHARMA
IPSEN PHARMA
IPSEN PHARMA

FRANTA
FRANTA
FRANTA

CUTIE X 1 SET X 2 SERINGI DIN PP PREUMPLUTE (O SERINGA A SI O SERINGA B), IN PUNGI LAMINATE
CUTIE X 1 SET X 2 SERINGI DIN PP PREUMPLUTE (O SERINGA A SI O SERINGA B), IN PUNGI LAMINATE

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

O CUTIE X 1 SET X 2 TAVITE TERMOFORMATE CE CONTIN 2 SERINGI PREUMPLUTE (O SERINGA A SI O SERINGA B)


CUTIE X 1 PLIC DIN PET-AL-PE X 1 SERINGA PREUMPLUTA CU 10,8 MG IMPLANT+AC DIN INOX CU SIST. DE PROT

S
S

CUTIE X 1 PLIC X 1 SERINGA PRE-UMPLUTA X 3,6 MG

S/P-RF

CUTIE X 7 FLAC. CU LIOF. PT. SOL. INJ. + 7 FIOLE X 1 ML SOLV.

S/P-RF

CUTIE CU 1 FLAC. DIN STICLA CU PULB. PT. SUSP. INJ. + 1 FIOLA DIN STICLA INCOLORA X 2 ML SOLV. + 1 B

S/P-RF

CUTIE CU 1 FLAC. DIN STICLA CU PULB. PT. SUSP. INJ. + 1 FIOLA DIN STICLA INCOLORA X 2 ML SOLV. + 1 B

S/P-RF

AUSTRIA CUTIE X 28 SERINGI PREUMPLUTE DIN STICLA INCOLORA X 1 ML SOL. INJ


FERRING ARZEIMITTEL GES.MBH AUSTRIA CUTIE X 7 SERINGI PREUMPLUTE DIN STICLA INCOLORA X 1 ML SOL. INJ
PHARMACHEMIE BV OLANDA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR.
FERRING ARZEIMITTEL GES.MBH

S/P-RF
S/P-RF
P-RF/S

HEXAL AG

GERMANIA

CUTIE X 10 BLIST. X 10 COMPR. FILM.

ASTRAZENECA UK LTD.

MAREA BRITANIE

CUTIE X 1 SERINGA PREUMPLUTA X 5 ML + 1 AC P-RF

P-RF/S

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.

P-RF

AUSTRIA CUTIE X 3 BLIST AL/PVC-PVDC X 10 COMPR. FILM.

P-RF

CSC PHARMACEUTICALS HANDELS GMBH

P-RF

ALVOGEN ROMANIA S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM P6L

SANDOZ S.R.L.
TERAPIA SA

ROMANIA CUTIE CU BLISTERE PVC-ACLAR/AL X 30 COMPR. FILM.

P-6L

ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM.

P-6L

ASTRAZENECA UK LTD.

MAREA BRITANIE

CUTIE X 2 BLIST. X 14 COMPR. FILM.

P-6L

ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L

CUTIE CU 2 BLIST. PVC/AL X 14 COMPR. FILM. P6L


CUTIE CU BLIST. PVC/AL X 14 (1X14) COMPR. FILM. P6L
FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 (2X14) COMPR. FILM. P6L
ALVOGEN ROMANIA S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM P6L
RANBAXY (UK) LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L
FRESENIUS KABI ONCOLOGY PLC

MAREA BRITANIE

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITANIE

Pagina 16 din 96

cant/a
mbala
j

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
1
100
1
30
1
1
1
1
1
1
1
7
1
1
28
7
100
100
1
30
100
30
28
30
28
28
28
28
14
28
28
28

Pret cu
ridicata
maximal /
ambalaj

647.24
3,116.22
647.70
649.09
982.46
119.02
312.84
507.64
936.01
167.11
426.18
639.39
2,129.33
314.42
119.47
163.74
402.16
416.85
1,345.75
167.11
426.18
152.48
374.64
1,753.18
639.50
298.71
326.85
355.85
2,010.90
125.76
1,295.74
1,394.57
426.10
2,567.46
4,587.17
97.75
1,020.28
369.22
877.79
359.23
2,030.80
1,040.75
365.48
110.27
1,051.98
369.20
723.90
190.84
16.12
39.78
1,551.89
30.83
113.97
33.52
381.97
415.88
356.54
590.67
394.41
355.82
71.40
140.25
152.77
168.59

Pret cu ridicata
maximal / U.T.

647.240000
623.244000
647.700000
649.090000
982.460000
119.020000
312.840000
507.640000
936.010000
167.110000
426.180000
639.390000
2,129.330000
314.420000
119.470000
163.740000
402.160000
416.850000
1,345.750000
167.110000
426.180000
152.480000
374.640000
1,753.180000
639.500000
298.710000
326.850000
355.850000
2,010.900000
125.760000
1,295.740000
1,394.570000
426.100000
25.674600
4,587.170000
3.258333
1,020.280000
369.220000
877.790000
359.230000
2,030.800000
1,040.750000
365.480000
15.752857
1,051.980000
369.200000
25.853571
27.262857
0.161200
0.397800
1,551.890000
1.027666
1.139700
1.117333
13.641785
13.862666
12.733571
21.095357
14.086071
12.707857
5.100000
5.008928
5.456071
6.021071

Pret cu ridicata
maximal de
decontare / U.T.

647.240000
623.244000
647.700000
649.090000
747.892800
119.020000
312.840000
507.640000
936.010000
142.824000
358.452000
358.452000
609.168000
314.420000
119.470000
142.824000
358.452000
358.452000
609.168000
142.824000
358.452000
142.824000
358.452000
1,123.212000
358.452000
298.710000
326.850000
355.850000
1,123.212000
125.760000
609.168000
609.168000
358.452000
25.674600
4,587.170000
3.258333
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
13.641785
13.862666
12.733571
15.249428
14.086071
12.707857
5.100000
5.008928
5.456071
5.983999

Pret cu
amanuntul
maximal /
ambalaj

743.64
3,434.83
744.14
745.66
1,109.03
145.30
379.15
591.48
1,058.40
204.01
502.69
735.09
2,359.12
380.87
145.85
199.89
476.50
492.52
1,505.02
204.01
502.69
186.15
446.51
1,949.12
735.21
364.66
394.42
426.03
2,230.03
153.53
1,450.51
1,558.23
502.60
2,836.68
5,038.17
123.59
1,150.26
440.60
994.94
429.71
2,251.73
1,172.57
436.52
134.62
1,184.81
440.58
827.20
232.98
21.79
52.03
1,729.71
40.32
139.14
43.84
454.50
491.46
426.78
681.98
468.06
425.99
90.28
171.22
186.50
205.82

Pret cu amanuntul
maximal / U.T.

743.640000
686.966000
744.140000
745.660000
1,109.030000
145.300000
379.150000
591.480000
1,058.400000
204.010000
502.690000
735.090000
2,359.120000
380.870000
145.850000
199.890000
476.500000
492.520000
1,505.020000
204.010000
502.690000
186.150000
446.510000
1,949.120000
735.210000
364.660000
394.420000
426.030000
2,230.030000
153.530000
1,450.510000
1,558.230000
502.600000
28.366800
5,038.170000
4.119666
1,150.260000
440.600000
994.940000
429.710000
2,251.730000
1,172.570000
436.520000
19.231428
1,184.810000
440.580000
29.542857
33.282857
0.217900
0.520300
1,729.710000
1.344000
1.391400
1.461333
16.232142
16.382000
15.242142
24.356428
16.716428
15.213928
6.448571
6.115000
6.660714
7.350714

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
428
429
430
431
432
433
434
435
436
437

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
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

Denumire generica
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
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

Denumire comerciala

Forma
Concentr
farmaceuti
atie / U.T.
ca

CASODEX 50 mg
COMPR. FILM.
BICALUTAMIDA RANBAXY 50 mg COMPR. FILM.
BICALUTAMIDA ACCORD 50 mg COMPR. FILM.
BICALUTAMIDA ATB 50 mg COMPR. FILM.
BICATLON 50mg
COMPR. FILM.
BICALUTAMIDA SANDOZ 50 mg COMPR. FILM.
YONISTIB 50 mg
COMPR. FILM.
CALUMID
COMPR. FILM.
ROGLUTEN (R) 250 mg
ENZAMIDEX 1mg
ANASTROZOL TERAPIA 1 mg
EGISTROZOL 1 mg

COMPR.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

ANASTROZOL BLUEFISH 1 mg COMPR. FILM.

ANASTROZOL TERAPIA 1 mg COMPR. FILM.


ARIMIDEX 1 mg
COMPR. FILM.

ANASTROZOLE MEDICO UNO 1 mg COMPR. FILM.

ANASTROZOL TERAPIA 1 mg
ANASTROZOL TERAPIA 1 mg
ARIMIDEX
ANASTROZOL TERAPIA 1 mg
ANASTROZOL TERAPIA 1 mg
ANASTROZOL TERAPIA 1 mg
ANASTROZOL TERAPIA 1 mg
AXASTROL 1 mg
ANASTRAZE 1 mg
KYARESTA 1 mg
ANASTROZOL ATB 1 mg
EGISTROZOL 1 mg
OZOLAN 1 mg
ANAROMAT 1 mg
OZOLAN 1 mg
ANASTROZOL KABI 1 mg
ANASTROZOL KABI 1 mg
ANASTROZOL TEVA 1 mg
ANASTROZOL TEVA 1 mg
LETROZOL TERAPIA 2,5 mg

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

LETROZOL SANOFI-AVENTIS 2,5 mg COMPR. FILM.

LETROZOLE MEDICO UNO 2,5mg COMPR. FILM.


LETROZOL TEVA 2,5 mg
COMPR. FILM.
LETROZOL POLPHARMA 2,5 mg COMPR. FILM.
LEZRA 2,5 mg
COMPR. FILM.
ZOTROL 2,5 mg
COMPR. FILM.
LETROZOL ALVOGEN 2,5 mg COMPR. FILM.
LETROZOL ATB 2,5 mg
COMPR. FILM.
FEMARA 2,5 mg
COMPR. FILM.
LETRALAN 2,5 mg
COMPR. FILM.
ZEQUIPRA 2,5 mg
COMPR. FILM.
ETRUZIL 2,5 mg
COMPR. FILM.
TROZEL 2,5 mg
COMPR. FILM.
LETROZOL KABI 2,5 mg
COMPR. FILM.
LETROZOL KABI 2,5 mg
COMPR. FILM.
LETROZOL BLUEFISH 2,5 mg COMPR. FILM.
LETROZOL KABI 2,5 mg
COMPR. FILM.
AROSTANIL 25 mg
COMPR. FILM.
EXESTRALAN 25 mg
COMPR. FILM.
EXEMESTAN GLENMARK 2 5mg COMPR. FILM.
EXEMESTAN ACTAVIS 25 mg COMPR. FILM.
EXEMESTAN ACCORD 25 mg COMPR. FILM.
EXEMESTAN TEVA 25 mg
COMPR. FILM.
INPLAVIA 25 mg
COMPR. FILM.
EXEMESTAN MEDISON PHARMA 25 mg COMPR. FILM.
EXEMESTAN ALVOGEN 25 mg COMPR. FILM.
EXEMESTAN TERAPIA 25 mg COMPR. FILM.
XANEPRA 25 mg
COMPR. FILM.

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
1mg
1mg
1mg
1mg
1mg
2,5 mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
25 mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg

Firma

Tara

Ambalaj

Prescriptie

Grupa
Nr.
terape
crt
utica

ASTRAZENECA UK LTD.
RANBAXY (UK) LIMITED

MAREA BRITANIE

CUTIE X 2 BLIST. TIP CALENDAR AL/PVC X 14 COMPR. FILM. P-6L

MAREA BRITANIE

CUTIE X 1 FLAC. PEID X 28 COMPR. FILM.

P-6L

ACCORD HEALTHCARE LIMITED

MAREA BRITANIE

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.

P-6L

ANTIBIOTICE S.A.

ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. FILM.

MEDICO UNO PHARMA KFT. UNGARIA

SANDOZ S.R.L.

PR

CUTIE CU BLIST. AL/PVC X 28 COMPR. FILM. P-6L

ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM.

P-6L

ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L
GEDEON RICHTER ROMANIA SA

ROMANIA CUTIE X 2 BLIST. AL/PVDC-PVC X 15 COMPR. FILM.

ACTAVIS S.R.L.

ROMANIA

LANNACHER HEILMITTEL GES.M.B.H.

CUTIE X 1 FLAC. X 40 COMPR.

P-6L
P-RF

AUSTRIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. P-6L

TERAPIA SA

ROMANIA CUTIE X BLIST. PVC/AL X 300 COMPR. FILM.

EGIS PHARMACEUTICALS P.L.C.

UNGARIA CUTIE CU BLIST. PVC-PE- PVDC/AL X 90 COMPR.FILM. P-6L

TERAPIA SA

SUEDIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM.


ROMANIA CUTIE X BLIST. PVC/AL X 20 COMPR. FILM.

ASTRAZENECA UK LTD.

MAREA BRITANIE

BLUEFISH PHARMACEUTICALS AB

P-6L/S

P-6L
P-6L

CUTIE X 2 BLIST. TIP CALENDAR AL/PVC X 14 COMPR. FILM. P-6L

MEDICO UNO PHARMA KFT. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM.

P-6L

TERAPIA SA
TERAPIA SA
ACTAVIS S.R.L.
TERAPIA SA
TERAPIA SA
TERAPIA SA
TERAPIA SA
AS GRINDEKS
SANDOZ SRL

ROMANIA CUTIE X BLIST. PVC/AL X 28 COMPR. FILM. P-6L

EGIS PHARMACEUTICALS P.L.C.

UNGARIA CUTIE CU BLIST. PVC-PE- PVDC/AL X 30 COMPR.FILM. P-6L

ROMANIA CUTIE X BLIST. PVC/AL X 30 COMPR. FILM. P-6L

ROMANIA CUTIE X 2 BLIST. PVC/AL X 14 COMPR. FILM.

P-6L

ROMANIA CUTIE X BLIST. PVC/AL X 50 COMPR. FILM. P-6L

ROMANIA CUTIE X BLIST. PVC/AL X 84 COMPR. FILM. P-6L

ROMANIA CUTIE X BLIST. PVC/AL X 98 COMPR. FILM. P-6L


ROMANIA CUTIE X BLIST. PVC/AL X 100 COMPR. FILM. P-6L

LETONIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. P-6L


ROMANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. P-6L
ROMASTRU TRADING SRL ROMANIA CUTIE CU 2 BLIST. PVC/AL X 14 COMPR. FILM. P-6L
ANTIBIOTICE S.A.
ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. FILM. P -6L
S.C. CORIS PHARMA S.R.L. ROMANIA

CUTIE X BLIST. PVC/AL X 28 COMPR. FILM.

ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.

ALVOGEN IPCO S.A.R.L

LUXEMBURG

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITANIE

CUTIE X BLIST. PVC/AL X 28 COMPR. FILM.

P-6L
P-6L
P-6L

P6L
CUTIE CU BLIST. PVC/AL X 28 (2X14) COMPR. FILM. P6L
CUTIE CU BLIST. PVC/AL X 14 (1X14) COMPR. FILM.

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITANIE

TEVA PHARMACEUTICALS S.R.L.

ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM.

P-6L

TEVA PHARMACEUTICALS S.R.L.

ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM.

P-6L

TERAPIA S.A.

ROMANIA CUTIE CU BLIST. PVC/PE/PVDC - AL X 30 COMPR. FILM. P6L

SANOFI - AVENTIS ROMANIA S.R.L.

ROMANIA CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM.

P-6L

MEDICO UNO PHARMA KFT. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM.

P-6L

TEVA PHARMACEUTICALS S.R.L.

ROMANIA CUTIE X BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L

PHARMACEUTICALS WORKS POLPHARMA SA

POLONIA CUTIE CU BLIST. DIN PVC/AL X 30 COMPR. FILM. P-6L

ACTAVIS GROUP PTC EHF. ISLANDA

CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. P-6L

SANDOZ S.R.L.

ROMANIA CUTIE CU BLIST. DIN PVC/AL X 30 COMPR. FILM. P-6L

ALVOGEN IPCO S.A.R.L

LUXEMBURG

ANTIBIOTICE S.A.

CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. P-6L


P6L
CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L

ROMANIA CUTIE CU 3 BLIST. PVDC-PE-PVC/AL X 10 COMPR. FILM.

NOVARTIS PHARMA GMBH GERMANIA

ICN POLFA RZESZOW S.A. POLONIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM.

P-RF

ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU BLIST. AL-PVC/PVC-PE-PVDC X 30 COMPR. FILM. P-6L
EGIS PHARMACEUTICALS P.L.C.

UNGARIA CUTIE CU BLIST. DIN PVC/AL X 30 COMPR. FILM. P-6L

MEDICAMENTA A.S. CEHIA

CUTIE CU BLIST. DIN PVC-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.

SUEDIA

P6L
P6L

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 28 COMPR. FILM.

P6L

ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM.

PRF

BLUEFISH PHARMACEUTICALS AB

SANDOZ S.R.L.

ICN POLFA RZESZOW S.A. POLONIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM.

P-RF

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM.

P-RF

GLENMARK PHARMACEUTICALS SRL

REPUBLICA SLOVACA

ACTAVIS GROUP PTC EHF. ISLANDA

CUTIE CU BLIST. AL/PVC X 30 COMPR. FILM. PRF

ACCORD HEALTHCARE LIMITED

MAREA BRITANIE

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM.

TEVA PHARMACEUTICALS S.R.L.

ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM P-RF

DR. REDDY'S LABORATORIES

ROMANIA

P-RF

CUTIE CU BLIST. UNIDOZA PVC-PVDC/AL X 30 (30X1) COMPR. FILM.

PRF

MEDISON PHARMA S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR. FILM.

PRF

ALVOGEN IPCO S.A.R.L

TERAPIA S.A.

LUXEMBURG

CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF

ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR. FILM.

PRF

ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM PRF

Pagina 17 din 96

cant/a
mbala
j

28
28
28
30
28
30
28
30
40
30
300
90
28
20
28
28
28
30
28
50
84
98
100
28
28
28
30
30
28
28
28
14
28
28
30
30
30
28
30
30
30
30
30
30
30
30
30
30
30
10
14
30
28
30
30
30
30
30
30
30
30
30
30
30

Pret cu
ridicata
maximal /
ambalaj

288.09
168.59
141.19
199.57
186.27
149.60
187.29
200.69
124.00
113.17
1,914.54
338.63
80.01
115.31
128.99
93.05
161.78
173.39
162.50
289.53
509.65
600.71
613.71
106.54
94.64
95.19
113.17
113.17
107.55
89.60
95.20
40.38
79.33
107.55
113.18
257.32
258.15
166.18
228.64
255.63
195.80
164.45
196.90
317.16
473.58
215.13
196.90
196.59
257.01
72.53
101.54
165.03
199.46
154.58
200.35
185.49
183.66
201.38
201.62
176.84
201.50
183.67
201.62
183.66

Pret cu ridicata
maximal / U.T.

10.288928
6.021071
5.042500
6.652333
6.652500
4.986666
6.688928
6.689666
3.100000
3.772333
6.381800
3.762555
2.857500
5.765500
4.606785
3.323214
5.777857
5.779666
5.803571
5.790600
6.067261
6.129693
6.137100
3.805000
3.380000
3.399642
3.772333
3.772333
3.841071
3.200000
3.400000
2.884285
2.833214
3.841071
3.772666
8.577333
8.605000
5.935000
7.621333
8.521000
6.526666
5.481666
6.563333
10.572000
15.786000
7.171000
6.563333
6.553000
8.567000
7.253000
7.252857
5.501000
7.123571
5.152666
6.678333
6.183000
6.122000
6.712666
6.720666
5.894666
6.716666
6.122333
6.720666
6.122000

Pret cu ridicata
maximal de
decontare / U.T.

5.983999
5.983999
5.042500
5.983999
5.983999
4.986666
5.983999
5.983999
3.100000
3.399857
3.399857
3.399857
2.857500
3.399857
3.399857
3.323214
3.399857
3.399857
3.399857
3.399857
3.399857
3.399857
3.399857
3.399857
3.380000
3.399642
3.399857
3.399857
3.399857
3.200000
3.399857
2.884285
2.833214
3.399857
3.399857
6.577999
6.577999
5.935000
6.577999
6.577999
6.526666
5.481666
6.563333
6.577999
6.577999
6.577999
6.563333
6.553000
6.577999
6.577999
6.577999
5.501000
6.577999
5.152666
6.183199
6.183000
6.122000
6.183199
6.183199
5.894666
6.183199
6.122333
6.183199
6.122000

Pret cu
amanuntul
maximal /
ambalaj

351.70
205.82
172.37
243.63
227.40
182.63
228.65
245.00
151.38
138.16
2,125.00
407.26
101.17
140.77
157.47
117.65
197.50
211.68
198.38
353.46
593.67
692.92
707.09
130.06
119.66
120.36
138.16
138.16
131.30
113.29
120.37
52.82
100.30
131.30
138.17
314.14
315.15
202.87
279.12
312.07
239.03
200.76
240.38
383.85
554.35
262.63
240.38
240.00
313.76
91.71
123.96
201.47
243.50
188.71
244.59
226.45
224.21
245.85
246.14
215.89
245.99
224.23
246.14
224.21

Pret cu amanuntul
maximal / U.T.

12.560714
7.350714
6.156071
8.121000
8.121428
6.087666
8.166071
8.166666
3.784500
4.605333
7.083333
4.525111
3.613214
7.038500
5.623928
4.201785
7.053571
7.056000
7.085000
7.069200
7.067500
7.070612
7.070900
4.645000
4.273571
4.298571
4.605333
4.605333
4.689285
4.046071
4.298928
3.772857
3.582142
4.689285
4.605666
10.471333
10.505000
7.245357
9.304000
10.402333
7.967666
6.692000
8.012666
12.795000
18.478333
8.754333
8.012666
8.000000
10.458666
9.171000
8.854285
6.715666
8.696428
6.290333
8.153000
7.548333
7.473666
8.195000
8.204666
7.196333
8.199666
7.474333
8.204666
7.473666

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
483
484
485
486
487

L02BG06
L02BG06

L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA13
L03AA13
L03AB04
L03AB04
L03AB05
L03AB05
M05BA02
M05BA02
M05BA02
M05BA03
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

Denumire generica
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**
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**

Denumire comerciala
XANEPRA 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
PAMIDRONAT TORREX
PAMIDRONAT TORREX
PAMIDRONAT TORREX
PAMIRED 30
PAMIRED 60
AREDIA (R) 15 mg

Forma
Concentr
farmaceuti
atie / U.T.
ca
COMPR. FILM.

DRAJ.
SOL. INJ.
SOL. INJ.
SOL. INJ. /PERF. IN SERINGA PREUMPLUTA

SOL. INJ. /PERF. IN SERINGA PREUMPLUTA

SOL. INJ./PERF.
SOL. INJ./PERF.
SOL. INJ./PERF.
SOL. INJ./PERF.
SOL. INJ./PERF.

SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.

18 milioane U.I.
30 milioane U.I.

COMPR. FILM.

800mg

CONC. PT. SOL. PERF.

CONC. PT. SOL. PERF.


CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
LIOF. PT. SOL. PERF. I.V.
LIOF. PT. SOL. PERF. I.V.
LIOF.+ SOLV. PT. SOL. PERF.

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.
FOLCASIN (R) 100 mg/10 ml SOL. INJ.
FOLINAT DE CALCIU TEVA 10 mg/ml SOL. INJ.
FOLCASIN (R) 30 mg/10 ml SOL. INJ.

5mg/100ml
400mg/4ml

LIOF. PT. SOL. PERF.

PULB. + SOLV. PT. SOL. INJ.

30mcg (6 mil. UI)

SOL. INJ.

44mcg

CALCIUMFOLINAT "EBEWE" 10 mg/ml SOL. INJ./PERF.

Ambalaj

ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM PRF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

AMGEN EUROPE B.V. OLANDA


AMGEN EUROPE B.V. OLANDA

CUTIE X 2 BLIST. PVC-PVDC/PVC-AL X 15 DRAJ. P-RF

CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML


CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML
CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL
CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL

S/P-RF
S/P-RF
P-RF/R
P-RF/R

CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,2ML SOL. INJ. SAU PERF.

P-RF

CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF.

S/P-RF/R

CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF.

P-RF

CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF.

S/P-RF/R

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

ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML + AC STERIL

S/P-RF

ROCHE ROMANIA S.R.L. ROMANIA

S/P-RF

CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. + AC STERIL

SP EUROPE
SP EUROPE

BELGIA
BELGIA

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

BAYER SCHERING PHARMA AG

FINLANDA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. FILM.

P-6L

300mg/5ml ACTAVIS S.R.L.

60mg/ml
15mg/ml
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
15mg
10mg/ml
10mg/ml
3mg/ml
10mg/ml
10mg/ml
500mg

CALCIUMFOLINAT "EBEWE" 10 mg/ml SOL. INJ./PERF.

ETHYOL (R)

6 mg
6mg
3Mui/0,5ml
9Mui/0,5ml

SOL. INJ. PEN MULTIDOZA

CONC. PT. SOL. PERF.

Tara

30MU/0,5ml AMGEN EUROPE B.V. OLANDA


48MU/0,5ml AMGEN EUROPE B.V. OLANDA
60MU/ml SANDOZ GMBH
AUSTRIA
96MU/ml SANDOZ GMBH
AUSTRIA
120g/0,2ml HOSPIRA UK LIMITED MAREA BRITANIE
300mcg/0,5ml TEVA GENERICS GMBH GERMANIA
300g/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE
480mcg/0,8ml TEVA GENERICS GMBH GERMANIA
480g/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE

SOL. INJ. PEN MULTIDOZA

ACID IBANDRONIC TEVA 150 mg COMPR. FILM.


OSSICA 150 mg
COMPR. FILM.
BONVIVA 150mg
COMPR. FILM.
ACID IBANDRONIC SANDOZ 150 mg COMPR. FILM.
ACID IBANDRONIC SANDOZ 50 mg COMPR. FILM.
BONDRONAT 50mg
COMPR. FILM.
IASIBON 50 mg
COMPR. FILM.
HOLMEVIS 50 mg
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

25mg
25mg

Firma

Prescriptie

Grupa
Nr.
terape
crt
utica

TORREX CHIESI PHARMA GMBH

AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA

CUTIE X 1 FLAC. DIN STICLA X 5 ML


CUTIE X 5 FIOLE X 5 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
CUTIE X 1 FIOLA PE X 4 ML

S/P-RF

DR. REDDY'S LABORATORIES

ROMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 30 MG LIOF. PT. SOL. PERF. I.V.

S/P-RF

DR. REDDY'S LABORATORIES

ROMANIA

ROMANIA

BAYER SCHERING PHARMA AG

FINLANDA

TORREX CHIESI PHARMA GMBH


TORREX CHIESI PHARMA GMBH
TORREX CHIESI PHARMA GMBH

S
S/P-RF
S/P-RF
S/P-RF
S/P-RF

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 60 MG LIOF. PT. SOL. PERF. I.V.

S/P-RF

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 4 FLAC. DIN STICLA X 15 MG LIOF. PT. SOL. PERF. + 4 FIOLE DIN STICLA X 5 ML SOLV.

S/P-RF

TEVA PHARMA B.V. OLANDA

CUTIE CU BLIST. DIN PVC/ACLAR/PVC-AL X 1 COMPRIMAT FILMAT

P-RF

GEDEON RICHTER PLC. UNGARIA CUTIE CU 1 BLIST. PVC-PE-PVDC/AL X 1 COMPR. FILM. P-6L

CUTIE X 1 COMPR. FILM.( BLIST. AL/AL)

P-6L

ROCHE REGISTRATION LTD.

MAREA BRITANIE

SANDOZ S.R.L.

ROMANIA CUTIE CU 1 BLIST. PA-AL-PVC/AL X 1 COMPR. FILM. P6L

SANDOZ PHARMACEUTICALS GMBH

GERMANIA CUTIE CU BLIST. DIN PA/AL/PVC/AL CU 28 COMPRIMATE FILMATE

PR
ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X BLIST. AL/PVC X 28 COMPR. FILM. S
PHARMATHEN S.A. GRECIA CUTIE CU BLIST. PA/ALL/PVC/ALU X 28 COMPR. FILM PR
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PA/AL/PVC-AL X 28 COMPR. FILM.
PR
PHARMATHEN S.A. GRECIA CUTIE CU 1 FLAC. DIN STICLA X 6ML CONC. PT. SOL. PERF. PR
ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLACON X 6 ML CONC. PT. SOL. PERF. S
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA A 3 ML SOL. INJ. + 1 AC PT. INJECTIE
PR
ZENTIVA K.S.
REPUBLICA CEHA
CUTIE CU 1 FIOLA DIN STICLA INCOLORA X 3 ML SOL. INJ. P6L
ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 1 SERINGA PREUMPLUTA DIN STICLA X 3 ML SOL. INJ. + 1 AC

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 1 FLAC. 4MG PULB. PT. SOL. PERF. + 1 FIOLA X 5 ML SOLV.

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 1 FLAC. X 100 ML + 1 CAPAC AL/PP CU COMPONENTA FLIP.

BAXTER ONCOLOGY GMBH GERMANIA


EBEWE PHARMA GES.M.B.H. NFG KG

ACTAVIS S.R.L.

S
S
S

AUSTRIA CUTIE X1 FLAC. X 20 CAPS.

P-6L

ROMANIA

S/P-RF

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

ACTAVIS S.R.L.

ROMANIA

EBEWE PHARMA GMBH NFG. KG

AUSTRIA
AUSTRIA

EBEWE PHARMA GMBH NFG. KG

CUTIE X 3 SUPORTURI TERMOFORMATE DIN PLASTIC X 5 FIOLE DE STICLA INCOLORA X 4 ML

P-6L

CUTIE X 1 FLACON X 10 ML
CUTIE CU 1 FLAC. X 10 ML SOL. INJ.
CUTIE X 1 FLACON X 10 ML
CUTIE X 5 FIOLE X 10 ML
CUTIE X 5 FIOLE X 3 ML

P-RF/S
S/P-RF

P-RF
P-RF

BELGIA

CUTIE X 3 FLAC. DIN STICLA INCOLORA CONTINAND 500 MG LIOF. PT. SOL. PERF.

BIOGEN IDEC LIMITED

MAREA BRITANIE

CUTIE X (1 FLAC. DIN STICLA X 30 MCG PULBERE + 1 SERINGA PRE-UMPLUTA + 1 ML SOLV. + 4 FIOLE PREVAZUT

P-RF/R

SERONO EUROPE LTD.

MAREA BRITANIE

CUTIE X 12 SERINGI PREUMPLUTE X 0,5ML SOL. INJ.

P-RF/R

SCHERING PLOUGH EUROPE

cant/a
mbala
j

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

Pret cu ridicata
maximal de
decontare / U.T.

Pret cu
amanuntul
maximal /
ambalaj

Pret cu amanuntul
maximal / U.T.

30
30
1
1
1
1
5
1
5
1
5
1
1
1
1
1
1
60
1
5
1
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
3

183.66
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
185.79
110.73
529.92
361.86
152.87
237.82
595.85
65.80
57.19
105.93
40.44
519.62
964.08
629.47
637.16
596.39
901.37
196.40
232.02
354.51
1,098.45
1,399.70
44.87
29.11
29.47
29.50
13.53
142.16
50.23
1,883.14

6.122000
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
185.790000
110.730000
529.920000
361.860000
152.870000
237.820000
148.962500
65.800000
57.190000
105.930000
40.440000
18.557857
34.431428
22.481071
22.755714
596.390000
901.370000
196.400000
232.020000
354.510000
1,098.450000
1,399.700000
2.991333
1.455500
29.470000
29.500000
13.530000
28.432000
10.046000
627.713333

6.122000
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
183.444000
110.730000
529.920000
285.384000
152.870000
237.820000
132.876000
48.528000
48.528000
48.528000
40.440000
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
29.470000
29.500000
12.055200
28.432000
10.046000
627.713333

224.21
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
226.81
135.18
615.76
432.58
186.63
290.33
687.63
83.20
72.31
129.32
52.90
604.54
1,089.00
724.27
732.65
688.22
1,020.64
239.77
283.25
424.57
1,235.46
1,563.83
58.69
38.08
38.55
38.59
18.29
173.55
63.51
2,090.77

7.473666
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
226.810000
135.180000
615.760000
432.580000
186.630000
290.330000
171.907500
83.200000
72.310000
129.320000
52.900000
21.590714
38.892857
25.866785
26.166071
688.220000
1,020.640000
239.770000
283.250000
424.570000
1,235.460000
1,563.830000
3.912666
1.904000
38.550000
38.590000
18.290000
34.710000
12.702000
696.923333

4
12
15
15
28
1
100
50
100

3,085.23
4,183.50
3,506.14
3,301.14
3,083.08
6,951.95
83.19
42.34
63.98

771.307500
348.625000
233.742666
220.076000
110.110000
6,951.950000
0.831900
0.846800
0.639800

771.307500
348.625000
233.742666
220.076000
110.110000
6,951.950000
0.831900
0.846800
0.639800

3,401.05
4,598.17
3,859.85
3,636.40
3,398.71
7,615.78
105.18
55.38
80.90

850.262500
383.180833
257.323333
242.426666
121.382500
7,615.780000
1.051800
1.107600
0.809000

P4: PROGRAMUL NATIONAL DE BOLI NEUROLOGICE

Subprogramul de tratament al sclerozei multiple


1
2
3
4
5
6
7
8
9

L03AB07
L03AB07
L03AB08
L03AB08
L03AX13
L04AA23
L04AX01
L04AX01
L04AX01

INTERFERONUM BETA 1A****


INTERFERONUM BETA 1A****
INTERFERONUM BETA 1-B****
INTERFERONUM BETA 1-B****
GLATIRAMER ACETAT****
NATALIZUMABUM****
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)

PULB+SOLV.PT.SOL.INJ
PULB. + SOLV. PT. SOL. INJ.

SOL. INJ.

250mcg/ml NOVARTIS EUROPHARM LTD. MAREA BRITANIE


250mcg/ml BAYER SCHERING AG GERMANIA

20mg/ml
20mg/ml
COMPR. FILM. 100mg
COMPR. FILM. 100mg
COMPR. FILM. 50mg

CONC. PT. SOL. PERF.

CUTIE X 15 FLAC. CU PULBERE + 15 SERINGI PREUMPLUTE CU SOLVENT

P-RF/R

CUTIE X 15 AMBALAJE MULTIPLE CE CONTIN FIECARE CATE 1 FLAC. CU PULB., O SERINGA PREUMPLUTA CU SOLV.

P-RF/P

EBEWE PHARMA GES.M.B.H. NFG KG

ROMANIA CUTIE X 28 BLIST. PVC X 1 SERINGA PREUMPLUTA X 1 ML PREVAZUTA CU AC FIX S/P-RF


IRLANDA CUTIE X 1 FLAC. X 15ML CONC. PT. SOL. PERF S
AUSTRIA CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM. PR
AUSTRIA CUTIE CU 1 FLAC. PEID X 50 COMPR. FILM. PR

THE WELLCOME FOUNDATION LTD.

MAREA BRITANIE

TEVA PHARMACEUTICALS S.R.L.


ELAN PHARMA INTERNATIONAL LTD
EBEWE PHARMA GES.M.B.H. NFG KG

CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM.

Pagina 18 din 96

S/P-RF

10

L04AX01

Denumire generica
AZATHIOPRINUM*

Denumire comerciala
IMMUNOPRIN 75 mg

Forma
Concentr
farmaceuti
atie / U.T.
ca
COMPR. FILM.

75mg

Firma

EBEWE PHARMA GES.M.B.H. NFG KG

Tara

Ambalaj

AUSTRIA CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM.

Prescriptie

Grupa
Nr.
terape
crt
utica

cant/a
mbala
j

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

Pret cu ridicata
maximal de
decontare / U.T.

Pret cu
amanuntul
maximal /
ambalaj

Pret cu amanuntul
maximal / U.T.

PR

100

62.39

0.623900

0.623900

78.89

0.788900

P-RF

5
1
5
5
5
5
5
5
5
5
5
1
5
1
5
5
5
5
5
5
1
5
5
5
5
5
5
5
5
5
5
5
5
5
5
1
5
5
5
200
50
60
15
30
30
30
60
60
90
60
120
30
60
60
20
30
20
30

90.98
43.32
95.98
99.04
137.54
95.98
113.08
156.50
128.96
130.56
130.56
79.27
130.56
43.32
90.98
99.01
137.54
134.25
113.08
156.50
43.32
90.98
99.01
99.01
105.07
137.54
95.98
134.25
113.08
156.50
156.50
136.03
134.73
140.58
224.93
153.99
224.93
224.93
245.54
25.16
6.30
3.58
1.69
11.34
11.34
6.75
13.50
13.42
20.25
20.74
15.93
6.64
13.28
12.24
1.38
2.07
3.24
2.85

18.196000
43.320000
19.196000
19.808000
27.508000
19.196000
22.616000
31.300000
25.792000
26.112000
26.112000
79.270000
26.112000
43.320000
18.196000
19.802000
27.508000
26.850000
22.616000
31.300000
43.320000
18.196000
19.802000
19.802000
21.014000
27.508000
19.196000
26.850000
22.616000
31.300000
31.300000
27.206000
26.946000
28.116000
44.986000
153.990000
44.986000
44.986000
49.108000
0.125800
0.126000
0.059666
0.112666
0.378000
0.378000
0.225000
0.225000
0.223666
0.225000
0.345666
0.132750
0.221333
0.221333
0.204000
0.069000
0.069000
0.162000
0.095000

18.196000
43.320000
19.196000
19.808000
27.508000
19.196000
21.835200
30.950400
25.792000
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
31.300000
31.300000
27.206000
26.946000
28.116000
44.986000
153.990000
44.986000
44.986000
49.108000
0.125800
0.126000
0.059666
0.112666
0.071599
0.071599
0.150960
0.150960
0.150960
0.150960
0.150960
0.132750
0.150960
0.150960
0.150960
0.069000
0.069000
0.071599
0.071599

115.03
56.66
121.36
125.23
167.91
121.36
138.05
191.06
157.44
159.39
159.39
100.23
159.39
56.66
115.03
125.19
167.91
163.89
138.05
191.06
56.66
115.03
125.19
125.19
128.27
167.91
121.36
163.89
138.05
191.06
191.06
166.07
164.48
171.62
274.59
187.99
274.59
274.59
299.76
32.91
8.52
4.84
2.28
15.33
15.33
9.12
18.24
18.14
27.37
28.03
21.53
8.98
17.95
16.55
1.86
2.80
4.38
3.85

23.006000
56.660000
24.272000
25.046000
33.582000
24.272000
27.610000
38.212000
31.488000
31.878000
31.878000
100.230000
31.878000
56.660000
23.006000
25.038000
33.582000
32.778000
27.610000
38.212000
56.660000
23.006000
25.038000
25.038000
25.654000
33.582000
24.272000
32.778000
27.610000
38.212000
38.212000
33.214000
32.896000
34.324000
54.918000
187.990000
54.918000
54.918000
59.952000
0.164550
0.170400
0.080666
0.152000
0.511000
0.511000
0.304000
0.304000
0.302333
0.304111
0.467166
0.179416
0.299333
0.299166
0.275833
0.093000
0.093333
0.219000
0.128333

P5: PROGRAMUL NATIONAL DE DIABET ZAHARAT

Tratamentul medicamentos al bolnavilor cu diabet zaharat


1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
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

A10AB01
A10AB01
A10AB01
A10AB01
A10AB01
A10AB01
A10AB01
A10AB04
A10AB04
A10AB05
A10AB06
A10AB06
A10AB06
A10AC01
A10AC01
A10AC01
A10AC01
A10AC01
A10AC01
A10AC04
A10AD01
A10AD01
A10AD01
A10AD01
A10AD01
A10AD01
A10AD01
A10AD01
A10AD01
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

INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINUM LISPRO**
INSULINUM LISPRO**
INSULINUM ASPART**
INSULINUM GLULIZINA**
INSULINUM GLULIZINA**
INSULINUM GLULIZINA**
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINUM LISPRO**
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
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

HUMULIN R
SOL. INJ.
HUMULIN R
SOL. INJ.
INSUMAN RAPID 100UI/ml
SOL. INJ. IN CARTUS
ACTRAPID PENFILL 100 UI/ml SOL. INJ. IN CARTUS
INSUMAN RAPID 100UI/ml
SOL. INJ. IN FLACON
INSUMAN RAPID 100 UI/ml OPTISET
INSUMAN RAPID 100 UI/ml SoloStar

HUMALOG KWIKPEN100U/ml
HUMALOG 100 U/ml
NOVORAPID PENFILL 100 U/ml
APIDRA 100U/ml
APIDRA 100U/ml
APIDRA 100U/ml
HUMULIN N
HUMULIN N
INSUMAN BASAL 100UI/ml
INSUMAN BASAL 100UI/ml
INSUMAN BASAL 100UI/ml OPTISET

INSUMAN BASAL 100UI/ml SoloStar


HUMALOG BASAL KWIKPEN 100U/ml

HUMULIN M3
HUMULIN M3
INSUMAN COMB 25 100UI/ml
INSUMAN COMB 50 100UI/ml
MIXTARD 30 PENFILL 100 UI/ml

INSUMAN COMB 25 100UI/ml

INSUMAN COMB 25 100UI/ml OPTISET


INSUMAN COMB 50 100UI/ml OPTISET
INSUMAN COMB 25 100UI/ml SoloStar

SOL. INJ. IN STILOU INJECTOR PREUMPLUT

SOL. INJ. IN STILOU INJECTOR PREUMPLUT

SOL. INJ.
SOL. INJ.
SOL. INJ. IN CARTUS
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
SUSP. INJ. IN STILOU INJECTOR PREUMPLUT

SUSP. INJ. IN STILOU INJECTOR PREUMPLUT

SUSP. INJ.
SUSP. INJ.
SUSP. INJ.
SUSP. INJ. IN CARTUS
SUSP. INJ. IN CARTUS
SUSP. INJ. IN CARTUS
SUSP. INJ. IN FLACON
SUSP. INJ. IN STILOU INJECTOR PREUMPLUT

SUSP. INJ. IN STILOU INJECTOR PREUMPLUT

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 MIX50 KWIKPEN 100U/ml


HUMALOG MIX25 KWIKPEN 100U/ml

LANTUS 100UI/ml
LANTUS 100UI/ml
LANTUS SoloStar
LANTUS OptiSet
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


METFORMIN ARENA 850 MG
GLUCOPHAGE XR
GLUCOPHAGE XR
SERDENIS 1000 mg
SERDENIS 1000 mg
SIOFOR 1000
SERDENIS 1000 mg
GLUCOPHAGE 1000 mg
METFOGAMMA 1000mg

COMPR.
COMPR.

COMPR. ELIB. PREL.


COMPR. ELIB. PREL.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

METFORMIN AUROBINDO 1000 mg COMPR. FILM.


METFORMIN AUROBINDO 1000 mg COMPR. FILM.

METFORMIN BLUEFISH 1000 mg COMPR. FILM.


METFORMIN BLUEFISH 500 mg COMPR. FILM.
METFORMIN BLUEFISH 500 mg COMPR. FILM.

MEGUAN (R) 500 mg


DIPIMET 500 mg

COMPR. FILM.
COMPR. FILM.

100UI/ml
100UI/ml
100UI/ml
100UI/ml
100UI/ml
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

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.
SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMANIA CUTIE X 5 CARTUSE DIN STICLA INCOLORA X 3 ML SOL. INJ.

NOVO NORDISK A/S

DANEMARCA

CUTIE X 5 CARTUSE X 3 ML SOL. INJ.

P-RF
P-RF
P-RF

SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMANIA CUTIE X 5 FLACOANE DIN STICLA INCOLORA X 5 ML SOL. INJ. P-RF

SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMANIA

CUTIE X 5 STILOURI INJECTOARE X 1 CARTUS DIN STICLA INCOLORA X 3 ML SOL. INJ.

P-RF

SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMANIA

CUTIE X 5 STILOURI INJECTOARE X 1 CARTUS DIN STICLA INCOLORA X 3 ML SOL. INJ.

P-RF

CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PRE-UMPLUTE X 3 ML SOL. INJ.

P-RF

ELI LILLY NEDERLAND BV OLANDA

SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMANIA

CUTIE X 5 CARTUSE X 3 ML SOL.INJ.


CUTIE X 5 CARTUSE X 3 ML SOL. INJ.
CUTIE X 5 CARTUSE X 3 ML SOL. INJ.
CUTIE X 1 FLACON X 10 ML SOL. INJ.

SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMANIA

CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE (SOLOSTAR) X 3 ML SOL. INJ.

P-RF

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10 ML SUSP. INJ.

P-RF

ELI LILLY NEDERLAND BV OLANDA

NOVO NORDISK A/S

DANEMARCA

SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMANIA

LILLY FRANCE SAS FRANTA


LILLY FRANCE SAS FRANTA

P-RF
P-RF
P-RF
P-RF

CUTIE X 5 CARTUSE DIN STICLA INCOLORA X 3 ML SUSP. INJ. P-RF

SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMANIA CUTIE X 5 CARTUSE DIN STICLA INCOLORA X 3 ML SUSP. INJ. P-RF

SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMANIA CUTIE X 5 FLACOANE DIN STICLA INCOLORA X 5 ML SUSP. INJ. P-RF

SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMANIA

CUTIE X 5 STILOURI INJECTOARE X 1 CARTUS DIN STICLA INCOLORA X 3 ML SUSP. INJ.

P-RF

SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMANIA

CUTIE X 5 STILOURI INJECTOARE X 1 CARTUS DIN STICLA INCOLORA X 3 ML SUSP. INJ.

P-RF

ELI LILLY NEDERLAND BV OLANDA CUTIE X 5 STILOURI INJECTOARE (PEN-URI) X 3 ML SUSP. INJ. P-RF

LILLY FRANCE S.A.S FRANTA


LILLY FRANCE S.A.S FRANTA

SANOFI - AVENTIS DEUTSCHLAND GMBH

CUTIE X 1 FLACON DIN STICLA INCOLORA X 10 ML SUSP. INJ. P-RF


CUTIE X 5 CARTUSE DIN STICLA INCOLORA X 3 ML SUSP. INJ. P-RF

GERMANIA CUTIE X 5 CARTUSE DIN STICLA INCOLORA X 3 ML SUSP. INJ. P-RF

SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMANIA CUTIE X 5 CARTUSE DIN STICLA INCOLORA X 3 ML SUSP. INJ. P-RF

NOVO NORDISK A/S

DANEMARCA

SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMANIA CUTIE X 5 FLACOANE DIN STICLA INCOLORA X 5 ML SUSP. INJ. P-RF

CUTIE X 5 CARTUSE X 3 ML SUSP. INJ.

P-RF

SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMANIA

CUTIE X 5 STILOURI INJECTOARE X 1 CARTUS DIN STICLA INCOLORA X 3 ML SUSP. INJ.

P-RF

SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMANIA

CUTIE X 5 STILOURI INJECTOARE X 1 CARTUS DIN STICLA INCOLORA X 3 ML SUSP. INJ.

P-RF

SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMANIA

CUTIE X 5 STILOURI INJECTOARE X 1 CARTUS DIN STICLA INCOLORA X 3 ML SUSP. INJ.

P-RF

ELI LILLY NEDERLAND BV OLANDA

CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE X 3 ML SUSP. INJ.

P-RF

ELI LILLY NEDERLAND BV OLANDA

CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE X 3 ML SUSP. INJ.

CUTIE X 5 CARTUSE X 3 ML SUSP.INJ.


ELI LILLY NEDERLAND BV OLANDA CUTIE X 5 CARTUSE X 3 ML SUSP. INJ.
NOVO NORDISK A/S DANEMARCA CUTIE X 5 CARTUSE X 3 ML SUSP. INJ.
ELI LILLY NEDERLAND BV OLANDA

SANOFI - AVENTIS DEUTSCHLAND GMBH

P-RF
P-RF
P-RF
P-RF

GERMANIA CUTIE X 5 CARTUSE DIN STICLA X 3 ML SOL. INJ. P-RF

SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMANIA CUTIE X 1 FLACON DIN STICLA X 10 ML SOL. INJ.

P-RF

SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMANIA CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE X 3 ML

P-RF

SANOFI - AVENTIS DEUTSCHLAND GMBH

NOVO NORDISK A/S


ARENA GROUP S.A.
ARENA GROUP S.A.
ARENA GROUP SA
ARENA GROUP SA

GERMANIA CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE X 3 ML


DANEMARCA

ROMANIA
ROMANIA
ROMANIA
ROMANIA

MERCK SANTE S.A.S. FRANTA


MERCK SANTE S.A.S. FRANTA

CUTIE X 5 CARTUSE X 3 ML
FLACON DIN PE X 200 COMPR.
CUTIE X 10 BLIST. AL/PVC X 5 COMPR.
CUTIE X 1 FLAC. DIN PE X 60 COMPR.
CUTIE X 3 BLIST. AL/PVC X 5 COMPR.

P-RF
P-RF
P-RF/S

P-RF
P-RF
P-RF

CUTIE X 3 BLIST. AL/PVC-PVDC X 10 COMPR. ELIB. PREL. P-RF


CUTIE X 2 BLIST. AL/PVC-PVDC X 15 COMPR. ELIB. PREL. P-RF

ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

P6L
P6L

CUTIE X 4 BLIST. PVC/AL X 15 COMPR. FILM.

P-RF

ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.


BERLIN CHEMIE AG MENARINI GROUP

GERMANIA

ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 9 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

MERCK SANTE

FRANTA CUTIE CU BLIST. PVC/AL X 60 COMPR. FILM.


WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 8 BLIST. AL/PVC X 15 COMPR. FILM

P6L
P-6L
P-RF/S

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.

P-6L

CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM.

P-6L

P-6L

CUTIE CU BLIST. PVC-PVDC/AL X 20 COMPR. FILM.

P-6L

BLUEFISH PHARMACEUTICALS AB

SUEDIA
SUEDIA
SUEDIA

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM.

P-6L

GEDEON RICHTER ROMANIA SA

ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

P-RF

ANTIBIOTICE SA

ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

BLUEFISH PHARMACEUTICALS AB
BLUEFISH PHARMACEUTICALS AB

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102
103
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105
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109
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111
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115
116
117
118
119
120
121
122

A10BA02
A10BA02
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
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
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
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM

Denumire comerciala

Forma
Concentr
farmaceuti
atie / U.T.
ca

METFORMIN LPH (R) 500 mg COMPR. FILM. 500mg


METFORMIN-TEVA 500 mg COMPR. FILM. 500mg
METFORMIN AUROBINDO 500 mg COMPR. FILM. 500mg
METFORMIN AUROBINDO 500 mg COMPR. FILM. 500mg
SERDENIS 850 mg
COMPR. FILM. 850mg
SERDENIS 850 mg
COMPR. FILM. 850mg
METFORMIN BLUEFISH 850 mg COMPR. FILM. 850mg
METFORMIN BLUEFISH 850 mg COMPR. FILM. 850mg
GLUCOPHAGE 850 mg
COMPR. FILM. 850mg
MEGUAN (R) 850 mg
COMPR. FILM. 850mg
METFORMIN-TEVA 850 mg COMPR. FILM. 850mg
METFORMIN LPH (R) 850 mg COMPR. FILM. 850mg
METFOGAMMA 850
COMPR. FILM. 850mg
METFORMIN AUROBINDO 850 mg COMPR. FILM. 850mg
METFORMIN BLUEFISH 850 mg COMPR. FILM. 850mg
METFORMIN BLUEFISH 850 mg COMPR. FILM. 850mg
SERDENIS 850 mg
COMPR. FILM. 850mg
SIOFOR 850 mg
COMPR. FILM. 850mg
METFORMIN AUROBINDO 850 mg COMPR. FILM. 850mg
SILUBIN RETARD
DRAJ. RET. 100mg
SILUBIN RETARD
DRAJ. RET. 100mg
GLIBENCLAMID ATB 1,75 MG COMPR.
1,75 mg
MANINIL 1,75 mg
COMPR.
1,75mg
GLIBENCLAMID LPH 1,75 mg COMPR.
1,75mg
GLIBENCLAMID ARENA 1,75 mg COMPR.
1,75mg
GLIBENCLAMID ARENA 1,75 mg COMPR.
1,75mg
GLIBENCLAMID ARENA 1,75 mg COMPR.
1,75mg
MANINIL 3,5 mg
COMPR.
3,5mg
GLIBENCLAMID ATB 3,5 MG COMPR.
3,5mg
GLIBENCLAMID LPH 3,5 mg COMPR.
3,5mg
GLIBENCLAMID ARENA 3,5 mg COMPR.
3,5mg
GLIBENCLAMID ARENA 3,5 mg COMPR.
3,5mg
GLIBENCLAMID ARENA 3,5 mg COMPR.
3,5mg
GLIBENCLAMID ARENA 5 mg COMPR.
5mg
GLIPIZID LPH 5 mg
COMPR.
5mg
GLIPIZIDA ATB 5mg
COMPR.
5mg
GLUCOTROL XL 10 mg
COMPR. FILM. ELIB. MODIF. 10mg
GLUCOTROL XL 5mg
COMPR. FILM. ELIB. MODIF. 5mg
GLURENORM
COMPR.
30mg
GLICLAZID LPH
COMPR.
80mg
DIABREZIDE
COMPR.
80mg
ESQUEL (R) 80 mg
COMPR.
80mg
ADOZID MR 30 mg
30mg
DIAPREL MR
COMPR. ELIB. MODIF. 30mg
DIAPREL MR 60 mg
COMPR. ELIB. MODIF. 60mg
GLICLAZIDA ATB 30 mg
COMPR. ELIB. PREL. 30mg
GLICLAZID MR LPH 30 mg
COMPR. ELIB. PREL. 30mg
GLYCLADA 30 mg
COMPR. ELIB. PREL. 30mg
GLYCLADA 30 mg
COMPR. ELIB. PREL. 30mg
TINERIL 4 mg
COMPR
4mg
AMYX 1
COMPR.
1 mg
TINERIL 1 mg
COMPR.
1mg
MEGLIMID 1 mg
COMPR.
1mg
GLIMEPIRIDA ACCORD 1 mg COMPR.
1mg
AMARYL 1mg
COMPR.
1mg
GLIMERAN 1 mg
COMPR.
1mg
GLIMEPIRID LPH 1 mg
COMPR.
1mg
GLIMEPIRIDA ATB 1 mg
COMPR.
1mg
GLIMERAN 1 mg
COMPR.
1mg
GLIMEPIRIDE 2 mg
COMPR.
2mg
AMYX 2
COMPR.
2mg
TINERIL 2 mg
COMPR.
2mg
MEGLIMID 2 mg
COMPR.
2mg
GLIMERAN 2 mg
COMPR.
2mg
COMPR. CU ELIBERARE PRELUNGITA

Firma

Tara

Ambalaj

Prescriptie

Grupa
Nr.
terape
crt
utica

cant/a
mbala
j

30
60
AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L
30
AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. P-6L
60
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
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
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
TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF
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
AUROBINDO PHARMA LIMITED MAREA BRITANIE 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
BLUEFISH PHARMACEUTICALS AB SUEDIA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM.
P-6L
60
ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P6L
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
PHARMAFARM S.A. ROMANIA CUTIE X 4 BLLIST. X 15 DRAJ.RET.
P-RF
60
DITA IMPORT EXPORT SRL 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
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 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
ANTIBIOTICE S.A.
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
P-RF
30
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
P-RF
30
ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR.
P-RF
30
ANTIBIOTICE S.A.
ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. P-6L
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
LABORMED PHARMA SA ROMANIA 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 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
ANTIBIOTICE S.A.
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. ELIB. PREL. P-RF
30
LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 20 COMPR. ELIB. PREL. 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
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
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR.
P-RF
30
KRKA D.D.
SLOVENIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
P-RF
30
ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L
30
SANOFI-AVENTIS ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. AL/PVC X 30 COMPR.
P-RF
30
RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 FLACON DIN PEID X 30 COMPR. P-RF
30
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR.
P-RF
30
ANTIBIOTICE S.A.
ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. P-RF
30
30
RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
P-RF
ACTAVIS GROUP HF. ISLANDA 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
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR.
P-RF
30
KRKA D.D.
SLOVENIA CUTIE X 3 BLIST. AL/PVC 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 3 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

ROMANIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

P-RF

TEVA PHARMACEUTICAL S.R.L.

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 20 din 96

Pret cu
ridicata
maximal /
ambalaj

2.95
4.08
2.55
5.10
7.27
10.90
2.19
3.28
18.70
5.65
5.82
3.65
13.54
3.60
10.96
6.59
3.64
13.45
7.18
14.14
14.14
1.41
8.75
3.11
8.60
55.56
1.52
6.34
1.01
2.26
10.64
4.15
76.44
4.24
11.49
11.49
35.35
17.67
20.38
13.12
9.71
9.71
12.13
18.67
34.89
6.02
12.16
12.10
12.10
10.64
3.10
3.10
6.73
3.06
3.64
2.36
3.10
3.08
2.36
3.97
5.37
5.37
13.35
3.97

Pret cu ridicata
maximal / U.T.

0.098333
0.068000
0.085000
0.085000
0.121166
0.121111
0.109500
0.109333
0.187000
0.282500
0.097000
0.121666
0.112833
0.120000
0.109600
0.109833
0.121333
0.224166
0.119666
0.235666
0.235666
0.047000
0.072916
0.051833
0.086000
0.055560
0.050666
0.052833
0.033666
0.037666
0.106400
0.138333
0.076440
0.141333
0.383000
0.383000
1.178333
0.589000
0.339666
0.218666
0.242750
0.323666
0.202166
0.311166
0.581500
0.200666
0.202666
0.201666
0.201666
0.354666
0.103333
0.103333
0.224333
0.102000
0.121333
0.078666
0.103333
0.102666
0.078666
0.132333
0.179000
0.179000
0.445000
0.132333

Pret cu ridicata
maximal de
decontare / U.T.

0.071599
0.068000
0.071599
0.071599
0.116400
0.116400
0.109500
0.109333
0.116400
0.116400
0.097000
0.116400
0.112833
0.116400
0.109600
0.109833
0.116400
0.116400
0.116400
0.235666
0.235666
0.047000
0.060799
0.051833
0.060799
0.055560
0.050666
0.040399
0.033666
0.037666
0.040399
0.040399
0.040399
0.141333
0.383000
0.383000
1.178333
0.459600
0.339666
0.218666
0.242750
0.262399
0.202166
0.240799
0.581500
0.200666
0.202666
0.201666
0.201666
0.311200
0.094399
0.094399
0.094399
0.094399
0.094399
0.078666
0.094399
0.094399
0.078666
0.132333
0.158800
0.158800
0.158800
0.132333

Pret cu
amanuntul
maximal /
ambalaj

3.99
5.52
3.45
6.89
9.82
14.73
2.96
4.44
25.27
7.64
7.87
4.93
18.30
4.87
14.82
8.91
4.92
18.18
9.71
19.11
19.11
1.91
11.82
4.21
11.62
70.25
2.05
8.57
1.37
3.05
14.38
5.61
96.65
5.73
15.53
15.53
46.24
23.88
27.55
17.73
13.13
13.13
16.39
25.24
45.64
8.14
16.43
16.36
16.36
14.38
4.19
4.19
9.09
4.14
4.92
3.19
4.19
4.16
3.19
5.36
7.26
7.26
18.04
5.36

Pret cu amanuntul
maximal / U.T.

0.133000
0.092000
0.115000
0.114833
0.163666
0.163666
0.148000
0.148000
0.252700
0.382000
0.131166
0.164333
0.152500
0.162333
0.148200
0.148500
0.164000
0.303000
0.161833
0.318500
0.318500
0.063666
0.098500
0.070166
0.116200
0.070250
0.068333
0.071416
0.045666
0.050833
0.143800
0.187000
0.096650
0.191000
0.517666
0.517666
1.541333
0.796000
0.459166
0.295500
0.328250
0.437666
0.273166
0.420666
0.760666
0.271333
0.273833
0.272666
0.272666
0.479333
0.139666
0.139666
0.303000
0.138000
0.164000
0.106333
0.139666
0.138666
0.106333
0.178666
0.242000
0.242000
0.601333
0.178666

123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186

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

A10BD02 COMBINATII (METFORMINUM+GLIBENCLAMIDUM)


A10BD02 COMBINATII (METFORMINUM+GLIBENCLAMIDUM)
A10BD02 COMBINATII(GLIBENCLAMIDUM+METFORMINUM)

Denumire comerciala
GLIMERAN 2 mg
GLIMEPIRIDA ATB 2 mg
AMARYL 2 mg
GLIMEPIRID LPH 2 mg
GLIMEPIRIDA ACCORD 2 mg
GLIMEPIRIDE 3 mg
MEGLIMID 3 mg
GLIMERAN 3 mg
TINERIL 3 mg
GLIMERAN 3 mg
GLIMEPIRIDA ACCORD 3 mg
AMYX 3
GLIMEPIRIDA ATB 3 mg
AMARYL 3 mg
GLIMEPIRID LPH 3 mg
GLIMERAN 4 mg
GLIMEPIRIDA ATB 4 mg
GLIMERAN 4 mg
GLIMEPIRIDA ACCORD 4mg
AMYX 4
AMARYL 4 mg
AMARYL 6 mg
BIDIAB 400 mg/2,5 mg
BIDIAB 400 mg/2,5 mg
GLIBOMET (R)
GLIFORMIN

Forma
Concentr
farmaceuti
atie / U.T.
ca
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
CAPS.
CAPS.

2mg
2mg
2mg
2mg
2mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
4mg
4mg
4mg
4mg
4mg
4mg
6mg
400mg+2,5mg
400mg+2,5mg

COMPR. FILM. 2,5mg/400mg

Firma

Tara

Ambalaj

CUTIE X 1 FLACON DIN PEID X 30 COMPR.


CUTIE CU 3 BLIST. PVC/AL X 10 COMPR.
SANOFI-AVENTIS ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. AL/PVC X 30 COMPR.
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR.
RANBAXY UK LIMITED

ANTIBIOTICE S.A.

ACCORD HEALTHCARE LIMITED

MAREA BRITANIE

P-RF

ROMANIA

P-RF

MAREA BRITANIE

MAREA BRITANIE

ZENTIVA A.S.
ANTIBIOTICE S.A.

ROMANIA

CUTIE CU 3 BLIST. PVC/AL X 10 COMPR.


SANOFI-AVENTIS ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. AL/PVC X 30 COMPR.
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR.
RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 FLACON DIN PEID X 30 COMPR.
ANTIBIOTICE S.A.
ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR.
RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 3 BLIST AL/PVC X 10 COMPR.

A10BF01
A10BG03
A10BG03
A10BG03
A10BG03
A10BG03
A10BG03
A10BG03
A10BG03
A10BG03
A10BG03
A10BG03
A10BG03
A10BG03
A10BG03
A10BG03
A10BG03
A10BG03
A10BG03

A10BH01
A10BX02
A10BX02
A10BX02
A10BX02
A10BX02
A10BX02
A10BX02
A10BX02
A10BX02
A10BX02
A10BX02
A10BX02
A10BX02
A10BX02

GLUCOBAY (R) 100


GLUCOBAY (R) 50
ACTOS 15mg

PIOGLITAZONA TORRENT 15 mg

GLIDIPION 15 mg
LISPECIP 15 mg

PIOGLITAZONE ACCORD 15 mg
PIOGLITAZONE ACCORD 15 mg

ACTOS 30mg

PIOGLITAZONA TORRENT 30 mg

GLIDIPION 30 mg

PIOGLITAZONE ACCORD 30 mg
PIOGLITAZONE ACCORD 30 mg

LISPECIP 30 mg
ACTOS 45mg

PIOGLITAZONA TORRENT 45 mg

GLIDIPION 45 mg

PIOGLITAZONE ACCORD 45 mg
PIOGLITAZONE ACCORD 45 mg

LISPECIP 45 mg
JANUVIA 100mg
RENEOS 0,5 mg

REPAGLINIDA FARMAL 0,5 mg


REPAGLINIDA FARMAL 0,5 mg
REPAGLINIDA FARMAL 0,5 mg
REPAGLINIDA FARMAL 0,5 mg

RENEOS 1 mg
REPAGLINIDA FARMAL 1 mg
REPAGLINIDA FARMAL 1 mg
REPAGLINIDA FARMAL 1 mg
REPAGLINIDA FARMAL 1 mg
RENEOS 2 mg
REPAGLINIDA FARMAL 2 mg
REPAGLINIDA FARMAL 2 mg
REPAGLINIDA FARMAL 2 mg

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.

100mg
50mg
15mg
15mg
15mg
15mg
15mg
15mg
30mg
30mg
30mg
30mg
30mg
30mg
45mg
45mg
45mg
45mg
45mg
45mg
COMPR. FILM. 100mg
COMPR.
0,5 mg
COMPR.
0,5mg
COMPR.
0,5mg
COMPR.
0,5mg
COMPR.
0,5mg
COMPR.
1 mg
COMPR.
1mg
COMPR.
1mg
COMPR.
1mg
COMPR.
1mg
COMPR.
2 mg
COMPR.
2mg
COMPR.
2mg
COMPR.
2mg

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

ACCORD HEALTHCARE LIMITED

MAREA BRITANIE

ZENTIVA A.S.

SLOVACIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-RF

CUTIE CU BLIST. AL/PVC X 30 COMPR.


CUTIE CU BLIST. AL/PVC X 30 COMPR.
ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 5 CAPS.
ARENA GROUP SA ROMANIA CUTIE X 4 BLIST. AL/PVC X 5 CAPS.
LAB. GUIDOTTI SPA ITALIA CUTIE X 3 BLIST. X 20 COMPR. FILM.

SANOFI-AVENTIS ROMANIA S.R.L.

ROMANIA

P-RF

SANOFI-AVENTIS ROMANIA S.R.L.

ROMANIA

P-RF

TAKEDA GLOBAL RESEARCH AND DEVELOPMENT CENTRE LTD

ACARBOSUM
ACARBOSUM
PIOGLITAZONUM***
PIOGLITAZONUM***
PIOGLITAZONUM***
PIOGLITAZONUM***
PIOGLITAZONUM***
PIOGLITAZONUM***
PIOGLITAZONUM***
PIOGLITAZONUM***
PIOGLITAZONUM***
PIOGLITAZONUM***
PIOGLITAZONUM***
PIOGLITAZONUM***
PIOGLITAZONUM***
PIOGLITAZONUM***
PIOGLITAZONUM***
PIOGLITAZONUM***
PIOGLITAZONUM***
PIOGLITAZONUM***
SITAGLIPTINUM***
REPAGLINIDUM
REPAGLINIDUM
REPAGLINIDUM
REPAGLINIDUM
REPAGLINIDUM
REPAGLINIDUM
REPAGLINIDUM
REPAGLINIDUM
REPAGLINIDUM
REPAGLINIDUM
REPAGLINIDUM
REPAGLINIDUM
REPAGLINIDUM
REPAGLINIDUM

P-RF
P-RF

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L


SLOVACIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-RF

ACCORD HEALTHCARE LIMITED

A10BD02 COMBINATII(GLIBENCLAMIDUM+METFORMINUM)

A10BF01

P-RF
P-RF

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L

ACTAVIS GROUP HF. ISLANDA CUTIE X 2 BLIST. AL/PVC X 15 COMPR.


KRKA D.D.
SLOVENIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR.
RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 FLACON DIN PEID X 30 COMPR.

COMPR. FILM. 400mg + 2,5mg LABORMED PHARMA SA ROMANIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. FILM.
GLUCOVANCE (R) 500 mg/2,5 mg COMPR. FILM. 500mg/2,5mg MERCK SANTE
FRANTA CUTIE X 4 BLIST. X 15 COMPR. FILM.
A10BD02 COMBINATII(GLIBENCLAMIDUM+METFORMINUM) GLUCOVANCE (R) 500 mg/5 mg COMPR. FILM. 500mg/5mg MERCK SANTE
FRANTA CUTIE X 4 BLIST. X 15 COMPR. FILM.
A10BD05 COMBINATII ( PIOGLITAZONUM + METFORMINUM)*** COMPETACT
COMPR. FILM. 15mg/850mg
MAREA BRITANIE
CUTIE X 56 COMPR. FILM. ( BLIST. AL/AL )

A10BD02 COMBINATII(GLIBENCLAMIDUM+METFORMINUM)

Prescriptie

Grupa
Nr.
terape
crt
utica

BAYER HEALTHCARE AG GERMANIA


BAYER HEALTHCARE AG GERMANIA
TAKEDA GLOBAL RESEARCH AND DEVELOPMENT CENTRE LTD

MAREA BRITANIE

CUTIE X 8 BLIST. AL/PP X 15 COMPR.


CUTIE X 8 BLIST. AL/PP X 15 COMPR.
CUTIE X 28 COMPR. (BLIST. AL/AL)

P-RF/S

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC-AL X 30 COMPR.

PRF

ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. AL/AL X 28 COMPR. (BLIST. TIP CALENDAR)

PRF

ALVOGEN IPCO S.A.R.L

LUXEMBURG

ACCORD HEALTHCARE LIMITED

MAREA BRITANIE

ACCORD HEALTHCARE LIMITED

MAREA BRITANIE

TAKEDA GLOBAL RESEARCH AND DEVELOPMENT CENTRE LTD

MAREA BRITANIE

CUTIE CU BLIST. PA-AL-PVC/AL X 30 COMPR. PRF

CUTIE CU BLIST. AL/AL X 28 COMPR.


CUTIE CU BLIST. AL/AL X 30 COMPR.
CUTIE X 28 COMPR.(BLIST. AL/AL)

PRF
PRF
P-RF

TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC-AL X 30 COMPR.

PRF

ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. AL/AL X 28 COMPR. (BLIST. TIP CALENDAR)

PRF

ACCORD HEALTHCARE LIMITED

MAREA BRITANIE

ACCORD HEALTHCARE LIMITED

MAREA BRITANIE

CUTIE CU BLIST. AL/AL X 28 COMPR.


CUTIE CU BLIST. AL/AL X 30 COMPR.

ALVOGEN IPCO S.A.R.L

LUXEMBURG

CUTIE CU BLIST. PA-AL-PVC/AL X 30 COMPR. PRF

TAKEDA GLOBAL RESEARCH AND DEVELOPMENT CENTRE LTD

MAREA BRITANIE

CUTIE X 28 COMPR.(BLIST. AL/AL)

PRF
PRF
P-RF

TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC-AL X 30 COMPR.

PRF

ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. AL/AL X 28 COMPR. (BLIST. TIP CALENDAR)

PRF

ACCORD HEALTHCARE LIMITED

MAREA BRITANIE

PRF

ACCORD HEALTHCARE LIMITED

MAREA BRITANIE

CUTIE CU BLIST. AL/AL X 28 COMPR.


CUTIE CU BLIST. AL/AL X 30 COMPR.

ALVOGEN IPCO S.A.R.L

LUXEMBURG

CUTIE CU BLIST. PA-AL-PVC/AL X 30 COMPR. PRF

MERCK SHARP & DOHME

MAREA BRITANIE

CUTIE X 28 COMPR. FILM. (BLIST. PVC/PE/PVDC/AL) P-RF

REPUBLICA SLOVACA

CUTIE CU BLIST. OPA-AL-PVC/AL X 90 COMPR. PRF

ZENTIVA K.S.

PRF

FARMAL INTERNATIONAL S.R.L.

ROMANIA CUTIE CU BLIST. AL/AL X 90 COMPR. FILM. P-RF

FARMAL INTERNATIONAL S.R.L.

ROMANIA CUTIE CU BLIST. AL/AL X 270 COMPR. FILM. P-RF

FARMAL INTERNATIONAL S.R.L.

ROMANIA CUTIE CU BLIST. AL/AL X 120 COMPR. FILM. P-RF

FARMAL INTERNATIONAL S.R.L.

ROMANIA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-RF

ZENTIVA K.S.

REPUBLICA SLOVACA

CUTIE CU BLIST. OPA-AL-PVC/AL X 90 COMPR. PRF

FARMAL INTERNATIONAL S.R.L.

ROMANIA CUTIE CU BLIST. AL/AL X 270 COMPR. FILM. P-RF

FARMAL INTERNATIONAL S.R.L.

ROMANIA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-RF

FARMAL INTERNATIONAL S.R.L.


FARMAL INTERNATIONAL S.R.L.

ZENTIVA K.S.

ROMANIA CUTIE CU BLIST. AL/AL X 90 COMPR. FILM. P-RF

ROMANIA CUTIE CU BLIST. AL/AL X 120 COMPR. FILM. P-RF


REPUBLICA SLOVACA

CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 90 COMPR.

PRF

FARMAL INTERNATIONAL S.R.L.

ROMANIA CUTIE CU BLIST. AL/AL X 270 COMPR. FILM. P-RF

FARMAL INTERNATIONAL S.R.L.

ROMANIA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-RF

FARMAL INTERNATIONAL S.R.L.

ROMANIA CUTIE CU BLIST. AL/AL X 90 COMPR. FILM. P-RF

Pagina 21 din 96

cant/a
mbala
j

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
28
30
28
30
28
30
28
30
28
28
30
30
28
30
28
28
30
30
28
90
90
270
120
30
90
270
30
90
120
90
270
30
90

Pret cu
ridicata
maximal /
ambalaj

3.97
5.08
6.10
5.37
5.36
7.35
18.49
7.35
10.01
7.35
9.94
10.01
9.43
11.31
10.01
7.78
10.62
7.78
10.64
10.64
11.97
19.08
178.17
7.63
19.06
19.06
20.43
20.43
159.72
67.50
48.67
100.29
69.84
64.96
65.18
65.18
69.84
150.92
107.02
99.68
99.88
107.02
99.89
206.41
143.75
133.98
134.17
143.75
130.26
160.75
45.59
45.59
131.98
59.73
15.20
59.40
175.06
20.15
59.40
79.22
72.61
213.89
24.64
72.61

Pret cu ridicata
maximal / U.T.

0.132333
0.169333
0.203333
0.179000
0.178666
0.245000
0.616333
0.245000
0.333666
0.245000
0.331333
0.333666
0.314333
0.377000
0.333666
0.259333
0.354000
0.259333
0.354666
0.354666
0.399000
0.636000
0.356340
0.381500
0.317666
0.317666
0.340500
0.340500
2.852142
0.562500
0.405583
3.581785
2.328000
2.320000
2.172666
2.327857
2.328000
5.390000
3.567333
3.560000
3.567142
3.567333
3.329666
7.371785
4.791666
4.785000
4.791785
4.791666
4.342000
5.741071
0.506555
0.506555
0.488814
0.497750
0.506666
0.660000
0.648370
0.671666
0.660000
0.660166
0.806777
0.792185
0.821333
0.806777

Pret cu ridicata
maximal de
decontare / U.T.

0.132333
0.158800
0.158800
0.158800
0.158800
0.245000
0.294000
0.245000
0.294000
0.245000
0.294000
0.294000
0.294000
0.294000
0.294000
0.259333
0.311200
0.259333
0.311200
0.311200
0.311200
0.636000
0.356340
0.381199
0.317666
0.317666
0.340500
0.340500
2.852142
0.562500
0.405583
2.607199
2.328000
2.320000
2.172666
2.327857
2.328000
3.995599
3.567333
3.560000
3.567142
3.567333
3.329666
5.210400
4.791666
4.785000
4.791785
4.791666
4.342000
5.741071
0.506555
0.506555
0.488814
0.497750
0.506666
0.660000
0.648370
0.671666
0.660000
0.660166
0.806777
0.792185
0.821333
0.806777

Pret cu
amanuntul
maximal /
ambalaj

5.36
6.87
8.24
7.26
7.24
9.94
24.99
9.94
13.53
9.94
13.44
13.53
12.74
15.28
13.53
10.52
14.36
10.52
14.38
14.38
16.18
25.79
217.51
10.31
25.76
25.76
27.61
27.61
194.99
85.35
63.66
122.43
88.30
82.14
82.42
82.42
88.30
184.24
130.65
126.04
126.29
130.65
126.30
251.99
175.49
163.56
163.79
175.49
159.02
196.24
59.63
59.63
161.12
75.52
20.54
75.11
213.71
27.24
75.11
100.16
91.81
261.12
33.30
91.81

Pret cu amanuntul
maximal / U.T.

0.178666
0.229000
0.274666
0.242000
0.241333
0.331333
0.833000
0.331333
0.451000
0.331333
0.448000
0.451000
0.424666
0.509333
0.451000
0.350666
0.478666
0.350666
0.479333
0.479333
0.539333
0.859666
0.435020
0.515500
0.429333
0.429333
0.460166
0.460166
3.481964
0.711250
0.530500
4.372500
2.943333
2.933571
2.747333
2.943571
2.943333
6.580000
4.355000
4.501428
4.510357
4.355000
4.210000
8.999642
5.849666
5.841428
5.849642
5.849666
5.300666
7.008571
0.662555
0.662555
0.596740
0.629333
0.684666
0.834555
0.791518
0.908000
0.834555
0.834666
1.020111
0.967111
1.110000
1.020111

187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205

A10BX02
A10BX04
A10BX04
A10BX04
A11DA03
A11DA03
A11DBN1
A11DBN1
A11DBN1
A11DBN1
A11DBN1
A11DBN1
A11DBN1
A11DBN1
A11DBN1

B03BA51
B03BA51
B03BA51
FARA ATC

Denumire generica
REPAGLINIDUM
EXENATIDUM***
EXENATIDUM***
EXENATIDUM***
BENFOTIAMINUM
BENFOTIAMINUM
COMBINATII**
COMBINATII**
COMBINATII**
COMBINATII**
COMBINATII**
COMBINATII**
COMBINATII**
COMBINATII**
COMBINATII**
COMBINATII**
COMBINATII**
COMBINATII**
FARA DCI

Denumire comerciala
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
Concentr
farmaceuti
atie / U.T.
ca
COMPR.
PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL.

SOL. INJ. IN STILOU INJECTOR PREUMPLUT

SOL. INJ. IN STILOU INJECTOR PREUMPLUT

2mg
2 mg

FARA FORMA

FARMAL INTERNATIONAL S.R.L.

Tara

Ambalaj

ROMANIA CUTIE CU BLIST. AL/AL X 120 COMPR. FILM. P-RF

ELI LILLY NEDERLAND BV OLANDA

AMBALAJ CU 4 X 1 DISPOZITIV DE ADMINISTRAREA UNICA (1FL X2MG PULB.+1SERINGA PREUMPLUTAX0,65ML SOLVEN

PRF

10mcg/doza ELI LILLY NEDERLAND BV OLANDA CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT (60 DOZE) P-RF

5mcg/doza ELI LILLY NEDERLAND BV OLANDA

DRAJ.
50mg
DRAJ.
50mg
CAPS. MOI FARA CONCENTRATIE
CAPS. MOI FARA CONCENTRATIE
CAPS. MOI FARA CONCENTRATIE
DRAJ.
FARA CONCENTRATIE
DRAJ.
FARA CONCENTRATIE
DRAJ.
FARA CONCENTRATIE
SOL. INJ.
FARA CONCENTRATIE
SOL. INJ.
FARA CONCENTRATIE
SOL. INJ.
FARA CONCENTRATIE
MILGAMMA (R) (vezi B03BA51) DRAJ.
FARA CONCENTRATIE
MILGAMMA (R) (vezi B03BA51) DRAJ.
FARA CONCENTRATIE
MILGAMMA (R) (vezi B03BA51) DRAJ.
FARA CONCENTRATIE
Teste de automonitorizare a glicemiei pentru bolnavii cu diabet zaharat

Firma

Prescriptie

Grupa
Nr.
terape
crt
utica

FARA CONCENTRATIE

WORWAG PHARMA GMBH & CO. KG

GERMANIA

WORWAG PHARMA GMBH & CO. KG

GERMANIA

WORWAG PHARMA GMBH & CO. KG

GERMANIA

WORWAG PHARMA GMBH & CO. KG

GERMANIA

WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT (60 DOZE) P-RF

CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ.


CUTIE X 5 BLIST. PVC-PVDC/AL X 20 DRAJ.
CUTIE X 2 BLIST. PVC/PVDC X 10 CAPS. MOI

WORWAG PHARMA GMBH & CO. KG

GERMANIA

WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE X 25 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 2 ML

GERMANIA
GERMANIA

P-6L

CUTIE X 10 BLIST. PVC/PVDC X 10 CAPS. MOI P-6L


CUTIE X 5 BLIST. PVC/PVDC X 10 CAPS. MOI P-6L

CUTIE X 2 BLIST. PVC-PVDC/AL X 15 DRAJ.


CUTIE X 4 BLIST. PVC-PVDC/AL X 25 DRAJ.
CUTIE X 4 BLIST. PVC-PVDC/AL X 15 DRAJ.

WORWAG PHARMA GMBH & CO. KG


WORWAG PHARMA GMBH & CO. KG

P-6L
P-6L

P-6L
P-6L
P-6L
P-RF

WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE X 5 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 2 ML

P-RF

WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE X 5 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 1 ML

P-RF

CUTIE X 10 BLIST. PVC/PVDC X 10 DRAJ. P-6L


CUTIE X 2 BLIST. PVC/PVDC X 10 DRAJ. P-6L
WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. PVC/PVDC X 10 DRAJ.
P-6L
FARA PRODUCATOR ROMANIA FARA FORMA AMB
X

WORWAG PHARMA GMBH & CO. KG

GERMANIA

WORWAG PHARMA GMBH & CO. KG

GERMANIA

cant/a
mbala
j

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

120
4
1
1
50
100
20
100
50
30
100
60
25
5
5
100
20
50
1

96.81
468.95
393.64
336.72
21.25
39.86
15.00
66.70
35.84
38.12
113.93
71.14
66.08
13.70
13.70
66.70
15.00
35.84
1.20

0.806750
117.237500
393.640000
336.720000
0.425000
0.398600
0.750000
0.667000
0.716800
1.270666
1.139300
1.185666
2.643200
2.740000
2.740000
0.667000
0.750000
0.716800
1.200000

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

1,475.99
375.37
753.00
1,765.78
463.88
897.84
1,419.30
377.32
724.65
2,441.69
4,853.37
632.91
1,235.86
2,301.15
597.46
1,165.59
3,035.05
2,630.24
4,766.25
5,541.15
718.85
1,608.75
1,396.36
6,345.00
781.26
9,502.50
2,766.50
1,407.44
492.34
1,629.80
829.90
1,586.83
891.90
2,519.23
5,008.46
712.99
1,274.61
1,107.58
296.35
568.81

1,475.990000
375.370000
753.000000
1,765.780000
463.880000
897.840000
1,419.300000
377.320000
724.650000
2,441.690000
4,853.370000
632.910000
1,235.860000
2,301.150000
597.460000
1,165.590000
3,035.050000
2,630.240000
4,766.250000
5,541.150000
718.850000
1,608.750000
1,396.360000
6,345.000000
781.260000
9,502.500000
2,766.500000
1,407.440000
492.340000
1,629.800000
829.900000
1,586.830000
891.900000
2,519.230000
5,008.460000
712.990000
1,274.610000
1,107.580000
296.350000
568.810000

Pret cu ridicata
maximal de
decontare / U.T.

0.806750
117.237500
393.640000
336.720000
0.425000
0.398600
0.750000
0.667000
0.716800
1.270666
1.139300
1.185666
2.643200
2.740000
2.740000
0.667000
0.750000
0.716800
1.200000

Pret cu
amanuntul
maximal /
ambalaj

122.41
549.31
467.22
405.17
28.72
52.14
20.28
84.34
46.88
49.86
139.08
89.95
83.55
18.52
18.52
84.34
20.28
46.88
1.20

Pret cu amanuntul
maximal / U.T.

1.020083
137.327500
467.220000
405.170000
0.574400
0.521400
1.014000
0.843400
0.937600
1.662000
1.390800
1.499166
3.342000
3.704000
3.704000
0.843400
1.014000
0.937600
1.200000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER

P6.1: HEMOFILIE SI TALASEMIE


1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40

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
B02BD03
B02BD03
B02BD04
B02BD04
B02BD04
B02BD04
B02BD04
B02BD04
B02BD04
B02BD04
B02BD04
B02BD06
B02BD06
B02BD06

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**

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
COMPLEX DE ANTIINHIBITORI AI COAGULARII** FEIBA NF 1000 U FEIBA
COMPLEX DE ANTIINHIBITORI AI COAGULARII** FEIBA NF 500 U FEIBA
FACTOR IX DE COAGULARE**
OCTANINE F 250
FACTOR IX DE COAGULARE**
OCTANINE F 1000 UI
FACTOR IX DE COAGULARE**
OCTANINE F 500 UI
FACTOR IX DE COAGULARE**
IMMUNINE 1200 UI
FACTOR IX DE COAGULARE**
IMMUNINE 600 UI
NONACOG ALPHA**
BENEFIX 1000UI
NONACOG ALPHA**
BENEFIX 2000UI
NONACOG ALPHA**
BENEFIX 250UI
NONACOG ALPHA**
BENEFIX 500UI
FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND** IMMUNATE 1000 UI
FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND** IMMUNATE 250 UI
FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND** IMMUNATE 500 UI

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.

LIOF. + SOLV. PT. SOL. PERF.


PULB. + SOLV. PT. SOL. PERF.

PULB. + SOLV. SOL. PERF.


PULB.+SOLV. PT. SOL. INJ./PERF.
PULB.+SOLV. PT. SOL. INJ./PERF.

PULB+SOLV.PT.SOL.INJ
PULB+SOLV.PT.SOL.INJ
PULB+SOLV.PT.SOL.INJ
PULB+SOLV.PT.SOL.INJ
LIOF. + SOLV. PT. SOL. INJ./PERF.
LIOF. + SOLV. PT. SOL. INJ./PERF.
LIOF. + SOLV. PT. SOL. 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

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

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

SPANIA
INSTITUTO GRIFOLS S.A. SPANIA
INSTITUTO GRIFOLS S.A. SPANIA
INSTITUTO GRIFOLS S.A.

OCTAPHARMA (IP) LTD.


OCTAPHARMA (IP) LTD.
OCTAPHARMA (IP) LTD.

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

S
S
S
PR
PR
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.

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

WYETH
WYETH
WYETH
WYETH

EUROPA LTD
EUROPA LTD
EUROPA LTD
EUROPA LTD

BAXTER AG
BAXTER AG
BAXTER AG
BAXTER AG

AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA

AUSTRIA

BAYER HEALTHCARE AG GERMANIA

BAXTER AG
BAXTER AG
BAXTER AG
1000 U/20 ml BAXTER AG
500 U/20ml BAXTER AG
250 UI
OCTAPHARMA (IP) LIMITED
1000UI
OCTAPHARMA (IP) LTD.
500 UI
OCTAPHARMA (IP) LTD.
1200UI
BAXTER AG
600UI
BAXTER AG
1000UI
WYETH EUROPA LTD
2000UI
WYETH EUROPA LTD
250UI
WYETH EUROPA LTD
500UI
WYETH EUROPA LTD
1000UI
BAXTER AG
250UI
BAXTER AG
500UI
BAXTER AG

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

AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA

CUTIE X 1 FLAC. LIOF. + 1 FLAC. SOLV. + 1 TRUSA MEDICALA PT. RECONSTITUIRE SI ADM.

MAREA BRITANIE

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA A 30 ML CU LIOF. + 1 FLAC. X 5 ML SOLV. + 1 SERIN

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA CU PULB. PT. SOL. PERF. + 1 FLAC. DIN STICLA CU 10 ML SOLV. PT. SOL. PER

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA CU PULB. PT. SOL. PERF. + 1 FLAC. DIN STICLA CU 5 ML SOLV. PT. SOL. PERF

AUSTRIA
AUSTRIA

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.

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

AUSTRIA
AUSTRIA
AUSTRIA

CUTIE X 1 FLAC CU PULB. + 1 FLAC. X 5 ML APA PT. SOL. INJ. + 1 DISPOZITIV BAXJECT II

P-RF/R

CUTIE X 1 FLAC CU PULB. + 1 FLAC. X 5 ML SOLVENT + 1 DISPOZITIV BAXJECT II

P-RF/R

CUTIE X 1 FLAC. LIOF. + 1 FLAC. SOLV. + 1 TRUSA DE RECONSTITUIRE SI ADM.

CUTIE X 1 FLAC. 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 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
CUTIE X 1 FLAC. LIOF. + 1 FLAC. X 5 ML SOLV. + 1 TRUSA MEDICALA PT. RECONSTITUIRE SI ADMINISTRARE

Pagina 22 din 96

S
S
S
S
S
S
S
P-RF

S
S
S
S

1,475.990000 1,646.98 1,646.980000


375.370000
447.30
447.300000
753.000000
858.92
858.920000
1,765.780000 1,962.85 1,962.850000
463.880000
543.78
543.780000
897.840000 1,016.80 1,016.800000
1,419.300000 1,585.19 1,585.190000
377.320000
449.43
449.430000
724.650000
828.02
828.020000
2,441.690000 2,699.59 2,699.590000
4,853.370000 5,328.32 5,328.320000
632.910000
728.02
728.020000
1,235.860000 1,385.24 1,385.240000
2,301.150000 2,546.40 2,546.400000
597.460000
689.38
689.380000
1,165.590000 1,308.64 1,308.640000
3,035.050000 3,346.35 3,346.350000
2,630.240000 2,905.11 2,905.110000
4,766.250000 5,233.36 5,233.360000
5,541.150000 6,078.00 6,078.000000
718.850000
821.70
821.700000
1,608.750000 1,791.69 1,791.690000
1,396.360000 1,560.18 1,560.180000
6,345.000000 6,954.20 6,954.200000
781.260000
889.72
889.720000
9,502.500000 10,395.88 10,395.880000
2,766.500000 3,053.64 3,053.640000
1,407.440000 1,572.26 1,572.260000
492.340000
574.80
574.800000
1,629.800000 1,814.63 1,814.630000
829.900000
942.74
942.740000
1,586.830000 1,767.79 1,767.790000
891.900000 1,010.32 1,010.320000
2,519.230000 2,784.11 2,784.110000
5,008.460000 5,497.37 5,497.370000
712.990000
815.31
815.310000
1,274.610000 1,427.47 1,427.470000
1,107.580000 1,245.41 1,245.410000
296.350000
361.79
361.790000
568.810000
658.15
658.150000

41
42
43
44
45
46
47
48
49
50

Denumire generica

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
B02BD08
B02BD08
V03AC01
V03AC03
V03AC03
V03AC03

EPTACOG ALFA ACTIVATUM**


EPTACOG ALFA ACTIVATUM**
EPTACOG ALFA ACTIVATUM**
DEFEROXAMINUM**3)
DEFERASIROXUM****
DEFERASIROXUM****
DEFERASIROXUM****

Denumire comerciala
HAEMATE P 500 UI
WILATE 450 U.I./400 U.I.
WILATE 900 U.I./800 U.I.
NOVOSEVEN 2mg (100 KUI)
NOVOSEVEN 5mg (250 KUI)
NOVOSEVEN 1mg (50 KUI)
DESFERAL
EXJADE 125mg
EXJADE 250mg
EXJADE 500mg

Forma
Concentr
farmaceuti
atie / U.T.
ca
LIOF. SI SOLV. PT. SOL. INJ./PERF.

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. PT. SOL. INJ./PERF.

COMPR. DISP.
COMPR. DISP.
COMPR. DISP.

500UI+1200UI

Firma
CSL BEHRING GMBH

OCTAPHARMA (IP) LTD.


900U.I./800U.I. OCTAPHARMA (IP) LTD.
450U.I./400U.I.

100 KIU
250 KIU
50 KIU
500mg
125mg
250mg
500mg

NOVO NORDISK A/S


NOVO NORDISK A/S
NOVO NORDISK A/S

Tara

Ambalaj

GERMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA A 30 ML CU LIOF. + 1 FLAC. X 10 ML SOLV. + 1 SET DE RECONSTIT.

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. + SOLV. + DISPOZITIV PT. RECONSTITUIRE S

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. + SOLV. + DISPOZITIV PT. RECONSTITUIRE S

DANEMARCA CUTIE X 1 FLAC. PULB. PT. SOL. INJ. + 1 FLAC. SOLV. PT. RECONSTITUIRE

Prescriptie

Grupa
Nr.
terape
crt
utica

P-RF

S
S
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

CUTIE X 28 COMPR. DISP.(BLIST. PVC/PE/PVDC/AL)

P-RF/R

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL)


CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL)

P-RF/R
P-RF/R

cant/a
mbala
j

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

Pret cu ridicata
maximal de
decontare / U.T.

Pret cu
amanuntul
maximal /
ambalaj

Pret cu amanuntul
maximal / U.T.

1 1,337.63 1,337.630000 1,337.630000 1,496.17 1,496.170000


1
996.20
996.200000
996.200000 1,124.01 1,124.010000
1 1,962.39 1,962.390000 1,962.390000 2,177.16 2,177.160000
1 5,431.43 5,431.430000 5,431.430000 5,958.41 5,958.410000
1 13,793.54 13,793.540000 13,793.540000 15,073.11 15,073.110000
1 2,730.72 2,730.720000 2,730.720000 3,014.63 3,014.630000
10
110.64
11.064000
11.064000
135.07
13.507000
28
687.54
24.555000
24.555000
787.57
28.127500
28 1,461.36
52.191428
52.191428 1,631.03
58.251071
28 2,660.12
95.004285
95.004285 2,937.68
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
18
19
20
21

D05BB02
D06AA04
D06AX01
D06AX01
D06BA01

ACITRETINUM
TETRACYCLINUM
ACIDUM FUSIDICUM
ACIDUM FUSIDICUM
SULFADIAZINUM

D07CA01 COMBINATII (ACIDUM FUSIDICUM+HYDROCORTISONUM)


D07CC01
D07CC01
D07CC01
D07CC01
D07CC01
D07CC01
D07CC01
D07CC01

COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII

D07CC01 COMBINATII (ACIDUM FUSIDICUM+ BETAMETHASONUM)

J01AA07
J01AA07
J01AA07
J01AA07
N03AB02
N03AB02

TETRACYCLINUM
TETRACYCLINUM
TETRACYCLINUM
TETRACYCLINUM
PHENYTOINUM
PHENYTOINUM

NEOTIGASON 10 mg
TETRACICLINA ATB 30 mg/g
FUCIDIN 20 mg/g
FUCIDIN 20 mg/g
FLAMMAZINE
FUCIDIN H
TRIDERM
DIPROGENTA (R)
DIPROGENTA 0,5 mg/1 mg pe gram

TRIDERM (R)
TRIDERM
DIPROGENTA (R)
DIPROGENTA 0,5 mg/1 mg pe gram

TRIDERM
FUCICORT 20 mg/1mg pe gram
TETRACICLINA ARENA 250 mg
TETRACICLINA ARENA 250 mg

TETRACICLINA 250 mg
TETRACICLINA ATB 250 mg
FENITOINA RICHTER 100 mg
PHENHYDAN 250 mg/5 ml

CAPS.
UNGUENT
CREMA
UNGUENT
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
UNGUENT
UNGUENT
UNGUENT
UNGUENT
CREMA
CAPS.
CAPS.
CAPS.
CAPS.
COMPR.
SOL. INJ.

10mg
30mg/g
20mg/g
20mg/g
1%

LEO PHARMACEUTICAL PRODUCTS DANEMARCA

FARA CONCENTRATIE

LEO PHARMACEUTICAL PRODUCTS DANEMARCA

ACTAVIS GROUP PTC EHF. ISLANDA

ANTIBIOTICE S.A.

ROMANIA

LEO PHARMACEUTICAL PRODUCTS DANEMARCA

CN UNIFARM

ROMANIA

0,5mg+10mg+1mg/g

MERCK SHARP & DOHME ROMANIA

0,5mg/1mg pe gram

SCHERING PLOUGH EUROPE

BELGIA

0,5mg/1mg/g MERCK SHARP & DOHME ROMANIA

BELGIA

FARA CONCENTRATIE

SCHERING PLOUGH EUROPE

0,5mg+10mg+1mg/g

MERCK SHARP & DOHME ROMANIA

0,5mg/1mg pe gram

SCHERING PLOUGH EUROPE

BELGIA

0,5mg/1mg/g MERCK SHARP & DOHME ROMANIA


FARA CONCENTRATIE

SCHERING PLOUGH EUROPE

BELGIA

20mg/1mg pe gram LEO PHARMACEUTICAL PRODUCTS DANEMARCA

ARENA GROUP SA
ARENA GROUP SA
ANTIBIOTICE SA
ANTIBIOTICE S.A.

CUTIE X 3 BLIST. AL/PVC-PVDC X 10 CAPS.

CUTIE CU 1 TUB AL X 12 G UNGUENT


CUTIE X 1 TUB DIN AL X 15 G CREMA
CUTIE X 1 TUB DIN AL X 15 G UNGUENT
BORCAN X 500 G CREMA
CUTIE X 1 TUB DIN AL X 15 G CREMA
CUTIE X 1 TUB AL X 15 G
CUTIE X 1 TUB X 15 G
CUTIE X 1 TUB DIN AL X 15 G CREMA
CUTIE X 1 TUB AL X 15 G
CUTIE X 1 TUB DIN AL X 15 G UNGUENT
CUTIE X 1 TUB X 15 G
CUTIE X 1 TUB DIN AL X 15 G UNGUENT
CUTIE X 1 TUB DIN AL X 15 G UNGUENT
CUTIE X 1 TUB DIN AL X 15 G CREMA
CUTIE X 50 BLIST. AL/PVC X 10 CAPS.
CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
CUTIE X 2 BLIST. X 10 CAPS.
CUTIE CU 2 BLIST. PVC/AL X 10 CAPS.
CUTIE X 2 BLIST. X 10 COMPR.

P-RF
P-RF
P-RF
P-RF

PRF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

250mg
250mg
250mg
250mg
100mg

GEDEON RICHTER ROMANIA SA

250mg/5ml

DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE CU 5 FIOLE DIN STICLA INCOLORA X 5 ML SOL. INJ. P-RF

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

P-RF/S

P-RF
P-RF

PRF
P-6L

30
1
1
1
1
1
1
1
1
1
1
1
1
1
1
500
20
20
20
20
5

59.11
4.85
11.24
11.24
83.51
16.08
11.28
9.26
9.26
11.28
11.28
9.26
9.26
11.28
17.62
52.21
2.21
2.35
4.79
2.05
53.57

1.970333
4.850000
11.240000
11.240000
83.510000
16.080000
11.280000
9.260000
9.260000
11.280000
11.280000
9.260000
9.260000
11.280000
17.620000
0.104420
0.110500
0.117500
0.239500
0.102500
10.714000

56
56
90

9,529.79
9,200.67
1,873.53

170.174821
164.297678
20.817000

20
20
20
50
50
7
14
20
14
14
14
14
14
20

42.40
21.60
33.00
111.16
111.16
23.71
23.85
17.01
12.35
10.85
21.14
12.35
29.01
33.14

2.120000
1.080000
1.650000
2.223200
2.223200
3.387142
1.703571
0.850500
0.882142
0.775000
1.510000
0.882142
2.072142
1.657000

1.970333
4.850000
11.240000
11.240000
83.510000
16.080000
11.280000
9.260000
9.260000
11.280000
11.280000
9.260000
9.260000
11.280000
17.620000
0.104420
0.110500
0.117500
0.125304
0.102500
10.714000

74.74
6.56
15.19
15.19
105.59
21.74
15.24
12.51
12.51
15.24
15.24
12.51
12.51
15.24
23.82
66.02
2.99
3.17
6.47
2.77
67.73

2.491333
6.560000
15.190000
15.190000
105.590000
21.740000
15.240000
12.510000
12.510000
15.240000
15.240000
12.510000
12.510000
15.240000
23.820000
0.132040
0.149500
0.158500
0.323500
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

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

125mg
62,5mg
COMPR. FILM. 20mg

COMPR. FILM.

ACTELION REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 4 BLIST. PVC/PE/PVDC/AL X 14 COMPR. FILM.

P-RF/R

COMPR. FILM.

ACTELION REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 4 BLIST. PVC/PE/PVDC/AL X 14 COMPR. FILM.

P-RF/R

PFIZER LIMITED

MAREA BRITANIE

CUTIE X 6 BLIST. AL/PVC X 15 COMPR. FILM.

P-RF/R

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

A09AA02
A09AA02
A09AA02
A09AA02
A09AA02

J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09

PANCREATINUM**
PANCREATINUM**
PANCREATINUM**
PANCREATINUM**
PANCREATINUM**
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM

MEZYM FORTE 25000


KREON 10000
KREON 25000
KREON 40000
KREON 40000
CLAXIRIT 500 mg
LEKOKLAR (R) 250 mg
CLAR 250
KLERIMED (R) 250
KLABAX 250 mg
KLACID (R)
FROMILID 250
LEKOKLAR (R) 500 mg
ROCLARIN 500 mg

CAPS. CU MINI-COMPR. GASTROREZ.

CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
COMPR. CU ELIB. PREL.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

356,100mg

150mg
300mg
400mg
400mg
500mg
250mg
250mg
250mg
250mg
250mg
250mg
500mg
500mg

BERLIN CHEMIE AG (MENARINI GROUP)

GERMANIA CUTIE X 1 FLACON DIN PP X 20 CAPS. CU MINI-COMPR. GASTROREZ. OTC

SOLVAY PHARMACEUTICALS BV

GERMANIA

SOLVAY PHARMACEUTICALS BV

GERMANIA

SOLVAY PHARMACEUTICALS BV

GERMANIA

FLACON DIN PEID CU 20 CAPS. GASTROREZ. OTC


FLACON DIN PEID CU 20 CAPS. GASTROREZ. OTC
FLACON DIN PEID CU 50 CAPS. GASTROREZ. P-6L

ABBOTT PRODUCTS GMBH GERMANIA CUTIE X UN FLACON DIN PEID CU 50 CAPS. GASTROREZ. P-6L
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/PVDC//AL X 7 COMPR. CU ELIB. PREL. PRF
LEK PHARMACEUTICALS D.D.

SLOVENIA

MEDICAROM GROUP S.R.L. ROMANIA

CUTIE X 2 BLIST. X 7 COMPR. FILM.


CUTIE X 5 BLIST. X 4 COMPR. FILM.

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.

P-RF
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

CUTIE X 2 BLIST. X 7 COMPR. FILM.

LEK PHARMACEUTICALS D.D.

SLOVENIA

ANTIBIOTICE S.A.

ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM.

Pagina 23 din 96

P-RF
P-RF

2.120000
1.080000
1.650000
2.223200
2.223200
1.988400
0.930000
0.850500
0.882142
0.775000
0.930000
0.882142
1.988400
1.657000

42.40
21.60
33.00
135.70
135.70
32.05
32.23
22.99
16.69
14.67
28.57
16.69
37.95
43.35

2.120000
1.080000
1.650000
2.714000
2.714000
4.578571
2.302142
1.149500
1.192142
1.047857
2.040714
1.192142
2.710714
2.167500

15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36

J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01GB01
R05CB13

Denumire generica
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
TOBRAMYCINUM**
DORNAZA ALFA**

Denumire comerciala
KLERIMED (R) 500
KLABAX 500 mg
FROMILID 500
CLAR 500
LEKOKLAR XL 500 mg
LEKOKLAR XL 500 mg
KLABAX MR 500 mg
KLACID SR
FROMILID (R) UNO
LEKOKLAR 125 mg/5 ml
KLACID (R)
KLACID (R)
FROMILID (R) 125 mg/5 ml
KLABAX 125 mg/5 ml
KLABAX 125 mg/5 ml
LEKOKLAR 250 mg/5 ml
LEKOKLAR 250 mg/5 ml
KLABAX 250 mg/5 ml
KLABAX 250 mg/5 ml
KLACID I.V.
TOBI (R)
PULMOZYME

Forma
Concentr
farmaceuti
atie / U.T.
ca
500mg
500mg
COMPR. FILM. 500mg
COMPR. FILM. 500mg
COMPR. FILM. ELIB. MODIF. 500mg
COMPR. FILM. ELIB. MODIF. 500mg
COMPR. FILM. ELIB. MODIF. 500mg
COMPR. FILM. ELIB. PREL. 500mg
COMPR. FILM. ELIB. PREL. 500mg
COMPR. FILM.

COMPR. FILM.

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

125mg/5ml
125mg/5ml
125mg/5ml
125mg/5ml
125mg/5ml
125mg/5ml
250mg/5ml
250mg/5ml
250mg/5ml
250mg/5ml

Tara

Ambalaj

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.

P-RF
P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. P-RF

CUTIE X 5 BLIST. AL/PVC X 4 COMPR. FILM.

P-RF

LEK PHARMACEUTICALS D.D.

SLOVENIA CUTIE X 1 FOLIE AL/AL X 7 COMPR. FILM. ELIB. MODIF.

P-RF

LEK PHARMACEUTICALS D.D.

SLOVENIA CUTIE X 1 FOLIE AL/AL X 5 COMPR. FILM. ELIB. MODIF.

P-RF

TERAPIA SA

ROMANIA CUTIE X 1 BLIST. PVC/PVDC-AL X 7 COMPR. FILM. ELIB. PREL. P-RF

ABBOTT LABORATORIES LTD.

MAREA BRITANIE

MEDICAROM GROUP S.R.L. ROMANIA

KRKA D.D.
SANDOZ SRL
ABBOTT SPA
ABBOTT SPA
KRKA D.D.
TERAPIA SA
TERAPIA SA
SANDOZ SRL
SANDOZ SRL
TERAPIA SA
TERAPIA SA

CUTIE X 1 BLIST. PVC-PVDC/AL X 5 COMPR. FILM. ELIB. PREL. P-RF

SLOVENIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. ELIB. PREL. P-RF

ROMANIA

ITALIA
ITALIA

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

SLOVENIA

CUTIE X 1 FLAC. PULB. PT. 60 ML SUSP.

P-RF

ROMANIA

CUTIE X 1 FLAC. DIN PEID X 70 G GRAN. PT. 100 ML SUSP . ORALA

P-RF

ROMANIA

CUTIE X 1 FLAC. DIN PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA

P-RF

ROMANIA

CUTIE X 1 FLAC. DIN PEID CU 68,3 G GRANULE PT. 100 ML SUSP. ORALA + LINGURITA DOZATOARE PP

P-RF

ROMANIA

CUTIE X 1 FLAC. DIN PEID CU 41 G GRANULE PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE PP

P-RF

ROMANIA

CUTIE X 1 FLAC. PEID X 70 G GRAN. PT. 100 ML SUSP . ORALA

P-RF

ROMANIA CUTIE X 1 FLAC. PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA P-RF

FRANTA CUTIE X 1 FLAC. LIOF. PT. SOL. PERF.


SOL. INHAL. 300mg/5ml NOVARTIS PHARMA GMBH GERMANIA
SOL. INHAL. 1mg/ml
ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 6 FIOLE UNIDOZA PE X 2,5 ML SOL. INHAL. PRIN NEBULIZATOR, INTRODUSE IN PUNGA AL

LIOF. PT. SOL. PERF.

500mg

Firma

Prescriptie

Grupa
Nr.
terape
crt
utica

ABBOTT LABORATORIES LTD.

CUTIE X 4 PLICURI DIN AL; FIECARE PLIC CONTINE 7 FIOLE GEMENE DIN PEJD X 5 ML SOL. DE INHALAT PRIN N

S/P-RF

P-RF
S/P-RF

cant/a
mbala
j

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

Pret cu ridicata
maximal de
decontare / U.T.

Pret cu
amanuntul
maximal /
ambalaj

Pret cu amanuntul
maximal / U.T.

14
14
14
20
7
5
7
5
7
1
1
1
1
1
1
1
1
1
1
1
28
6

24.13
23.73
24.13
33.91
19.04
13.60
26.92
27.85
20.78
19.39
29.92
18.11
17.24
23.38
14.01
47.03
34.29
39.06
23.44
41.12
8,112.06
551.59

1.723571
1.695000
1.723571
1.695500
2.720000
2.720000
3.845714
5.570000
2.968571
19.390000
29.920000
18.110000
17.240000
23.380000
14.010000
47.030000
34.290000
39.060000
23.440000
41.120000
289.716428
91.931666

1.723571
1.695000
1.723571
1.695500
1.988400
1.988400
1.988400
1.988400
1.988400
16.812000
28.056000
16.812000
16.812000
23.380000
14.010000
46.872000
28.128000
39.060000
23.440000
41.120000
289.716428
91.931666

32.62
32.08
32.62
44.36
25.73
18.38
35.21
36.43
28.09
26.21
39.14
24.48
23.30
31.60
18.94
61.52
44.85
51.09
31.68
53.78
8,880.31
639.38

2.330000
2.291428
2.330000
2.218000
3.675714
3.676000
5.030000
7.286000
4.012857
26.210000
39.140000
24.480000
23.300000
31.600000
18.940000
61.520000
44.850000
51.090000
31.680000
53.780000
317.153928
106.563333

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
3,473.78
460.47
188.56
889.76
1,749.51
890.95
1,751.89
3,469.04
459.88
7,459.41
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
3,473.780000
460.470000
188.560000
889.760000
1,749.510000
890.950000
1,751.890000
3,469.040000
459.880000
7,459.410000
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
3,473.780000
460.470000
188.560000
889.760000
1,749.510000
890.950000
1,751.890000
3,469.040000
459.880000
7,459.410000
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
3,824.57
540.07
230.20
1,007.99
1,945.12
1,009.28
1,947.71
3,819.40
539.42
8,168.91
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
3,824.570000
540.070000
230.200000
1,007.990000
1,945.120000
1,009.280000
1,947.710000
3,819.400000
539.420000
8,168.910000
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

56

884.76

15.799285

15.799285

1,002.54

17.902500

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER

P6.5: BOLI NEUROLOGICE DEGENERATIVE/INFLAMATOR-IMUNE

P6.5.1: TRATAMENTUL MEDICAMENTOS AL BOLNAVILOR CU BOLI NEUROLOGICE INFLAMATOR-IMUNE


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
PRIVIGEN 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
PRIVIGEN 100mg/ml
PRIVIGEN 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

CUTIE X 1 CUTIE X 1 FLAC. CU PULB. + 1 CUTIE X 1 FLAC. SOLV. X 50 ML

HUMAN BIOPLAZMA MANUFACTURING AND TRADING LTD.

UNGARIA

CUTIE X 1 CUTIE X 1 FLAC. CU PULB. + 1 CUTIE X 1 FLAC. SOLV. X 100 ML

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


CSL BEHRING GMBH
BAXTER AG
BAXTER AG
BAXTER AG
CSL BEHRING GMBH
CSL BEHRING GMBH
BAXTER AG
BAXTER AG
BAXTER AG
KEDRION SPA
KEDRION SPA
KEDRION SPA
INSTITUTO GRIFOLS S.A.
INSTITUTO GRIFOLS S.A.
INSTITUTO GRIFOLS S.A.
INSTITUTO GRIFOLS S.A.

OCTAPHARMA (IP) LTD.


OCTAPHARMA (IP) LTD.
OCTAPHARMA (IP) LTD.

KEDRION SPA

GERMANIA
GERMANIA

CUTIE X 1 FLAC.X 200 ML SOL. PERF.


CUTIE X 1 FLAC.X 25 ML SOL. PERF.

AUSTRIA CUTIE X 1 FLAC X 10ML SOL. PERF.(1G/10ML)


AUSTRIA CUTIE X 1 FLAC X 50ML SOL. PERF.(5G/50ML)
AUSTRIA CUTIE X 1 FLAC X 100ML SOL. PERF.(10G/100ML)
GERMANIA
GERMANIA

CUTIE X 1 FLAC.X 50 ML SOL. PERF.


CUTIE X 1 FLAC.X 100 ML SOL. PERF.

AUSTRIA CUTIE X 1 FLAC X 200ML SOL. PERF.(20G/200ML)


AUSTRIA CUTIE X 1 FLAC X 25ML SOL. PERF.(2,5G/25ML)
AUSTRIA CUTIE X 1 FLAC X 300ML SOL. PERF.(30G/300ML)

ITALIA
ITALIA
ITALIA
SPANIA
SPANIA
SPANIA
SPANIA

MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE

ITALIA

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.

CUTIE X 1 FLACON X 100 ML


CUTIE X 1 FLACON X 50 ML
CUTIE X 1 FLACON X 200 ML
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. + 1 SET ADMINISTRARE

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

P6.5.2: TRATAMENTUL MEDICAMENTOS AL BOLNAVILOR CU BOLI NEUROLOGICE DEGENERATIVE-SCLEROZA LATERALA AMIOTROFICA


1

N07XX02

RILUZOLUM**

RILUTEK 50 mg

COMPR. FILM.

50mg

AVENTIS PHARMA SA FRANTA CUTIE X 4 BLIST. X 14 COMPR.

Pagina 24 din 96

P-RF/R

Denumire generica

Denumire comerciala

Forma
Concentr
farmaceuti
atie / U.T.
ca

Firma

Tara

Ambalaj

Prescriptie

Grupa
Nr.
terape
crt
utica

cant/a
mbala
j

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

Pret cu ridicata
maximal de
decontare / U.T.

Pret cu
amanuntul
maximal /
ambalaj

Pret cu amanuntul
maximal / U.T.

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

AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA

CUTIE X 1 FIOLA PE X 2 ML
CUTIE X 1 FIOLA PE X 1 ML
CUTIE X 1 FIOLA PE X 6 ML
CUTIE X 1 FIOLA PE X 4 ML

S/P-RF
S/P-RF
S/P-RF
S/P-RF

DR. REDDY'S LABORATORIES

ROMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 30 MG LIOF. PT. SOL. PERF. I.V.

S/P-RF

DR. REDDY'S LABORATORIES

ROMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 60 MG LIOF. PT. SOL. PERF. I.V.

S/P-RF

CUTIE X 4 FLAC. DIN STICLA X 15 MG LIOF. PT. SOL. PERF. + 4 FIOLE DIN STICLA X 5 ML SOLV.

S/P-RF

NOVARTIS PHARMA GMBH GERMANIA

1
1
1
1
1
1
4

185.79
110.73
529.92
361.86
152.87
237.82
595.85

185.790000
110.730000
529.920000
361.860000
152.870000
237.820000
148.962500

183.444000
110.730000
529.920000
285.384000
152.870000
237.820000
132.876000

226.81
135.18
615.76
432.58
186.63
290.33
687.63

226.810000
135.180000
615.760000
432.580000
186.630000
290.330000
171.907500

1
1
1
1
1
1
1

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

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) FERING GMBH

GERMANIA CUTIE X 1 FLAC. LIOF. PT. SOL. INJ. + 1 FIOLA X 3,5 ML SOLV. P-RF

GENOTROPIN (R) 16 ui (5,3 mg)

PULB. + SOLV. PT. SOL. INJ.

5,3mg/ml (16ui) PFIZER EUROPE MA EEIG

MAREA BRITANIE

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

NORDITROPIN FLEXPRO 5 mg/1,5 ml

SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT

SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT

CUTIE X 1 CARTUS BICAMERAL MULTIDOZA CU PULB. SI SOLV. PT. SOL. INJ.

3,3mg/ml SANDOZ GMBH


AUSTRIA CUTIE X 1CARTUS X 1,5 ML SOL.INJ.
6,7mg/ml SANDOZ GMBH
AUSTRIA CUTIE X 1CARTUS X 1,5 ML SOL.INJ.
10mg/1,5ml NOVO NORDISK A/S DANEMARCA CUTIE X 1 CARTUS DIN STICLA INCOLORA X 1,5 ML SOL. INJ.
10mg/1,5 ml NOVO NORDISK A/S DANEMARCA
5mg/1,5 ml NOVO NORDISK A/S DANEMARCA

P-RF
P-RF/R
P-RF/R

P-RF

CUTIE CU 1 STILOU INJECTOR (PEN) PREUMPLUT MULTI-DOZA ( CARTUS DIN STICLA INCOLORA X 1,5 ML SOL. INJ

P-RF

CUTIE CU 1 STILOU INJECTOR (PEN) PREUMPLUT MULTI-DOZA ( CARTUS DIN STICLA INCOLORA X 1,5 ML SOL. INJ

P-RF

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.8: BOALA FABRY
1

A16AB04

AGALSIDASUM BETA**

FABRAZYME 35 mg

PULB. PT. CONC. PT. SOL. PERF.

35mg

GENZYME EUROPE BV OLANDA CUTIE X 1 FLAC. CU PULB. PT. CONC. PT. SOL. PERF. S

1 13,797.28 13,797.280000 13,797.280000 15,077.20 15,077.200000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER

P6.9: BOALA POMPE


1

A16AB07

ALGLUCOSIDASUM ALPHA**

MYOZYME 50mg

PULB. PT. CONC. PT. SOL. PERF.

50mg

GENZYME EUROPE B.V. OLANDA CUTIE X 1 FLAC. CU 50MG PULB. PT. CONC. PT. SOL. PERF. S

2,264.71

2,264.710000

60 12,802.92
60 3,522.06
60 7,014.11

213.382000
58.701000
116.901833

2,264.710000

2,506.69

2,506.690000

213.382000 13,993.35
58.701000 3,877.20
116.901833 7,683.54

233.222500
64.620000
128.059000

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 CUTIE X 1 FLAC. DIN PEID X 60 CAPS.


SUEDIA CUTIE X 1 FLAC. DIN PEID X 60 CAPS.
SUEDIA CUTIE X 1 FLAC. DIN PEID X 60 CAPS.

P-RF/R
P-RF/R
P-RF/R

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. S

4 49,871.94 12,467.985000 12,467.985000 54,398.63 13,599.657500

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

2,802.88

2,802.880000

2,802.880000

3,093.29

3,093.290000

S
S
S

1
1
1

451.00
872.00
3,072.10

451.000000
872.000000
3,072.100000

451.000000
872.000000
3,072.100000

529.74
988.63
3,386.74

529.740000
988.630000
3,386.740000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER

P6.15: Sindrom de imunodeficien primar


1
2
3

J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**


J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**
J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

HUMAGLOBIN
HUMAGLOBIN
OCTAGAM 10%

5%
5%
SOL. PERF. 100 mg/ml

PULB.+SOLV. PT. SOL. PERF.

HUMAN BIOPLAZMA MANUFACTURING AND TRADING LTD.

UNGARIA

CUTIE X 1 CUTIE X 1 FLAC. CU PULB. + 1 CUTIE X 1 FLAC. SOLV. X 50 ML

PULB.+SOLV. PT. SOL. PERF.

HUMAN BIOPLAZMA MANUFACTURING AND TRADING LTD.

UNGARIA

CUTIE X 1 CUTIE X 1 FLAC. CU PULB. + 1 CUTIE X 1 FLAC. SOLV. X 100 ML

OCTAPHARMA (IP) LIMITED

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF.

Pagina 25 din 96

4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27

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**

Denumire comerciala
OCTAGAM 10%
OCTAGAM 10%
OCTAGAM 10%
PRIVIGEN 100mg/ml
PRIVIGEN 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
PRIVIGEN 100mg/ml
PRIVIGEN 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

Forma
Concentr
farmaceuti
atie / U.T.
ca
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.

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

Firma

Tara

Ambalaj

Prescriptie

Grupa
Nr.
terape
crt
utica

KEDRION SPA

ITALIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. + 1 SET ADMINISTRARE

S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE X 1 FLAC. DIN PPID X 50 CAPS. MOI

P-RF

SANDOZ S.R.L.

ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 CAPS. MOI

PRF

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

P-RF

SANDOZ S.R.L.
LEO PHARMA A/S
LEO PHARMA A/S

ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 CAPS. MOI

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


CSL BEHRING GMBH
BAXTER AG
BAXTER AG
BAXTER AG
CSL BEHRING GMBH
CSL BEHRING GMBH
BAXTER AG
BAXTER AG
BAXTER AG
KEDRION SPA
KEDRION SPA
KEDRION SPA
INSTITUTO GRIFOLS S.A.
INSTITUTO GRIFOLS S.A.
INSTITUTO GRIFOLS S.A.
INSTITUTO GRIFOLS S.A.

OCTAPHARMA (IP) LTD.


OCTAPHARMA (IP) LTD.
OCTAPHARMA (IP) LTD.

GERMANIA
GERMANIA

CUTIE X 1 FLAC.X 200 ML SOL. PERF.


CUTIE X 1 FLAC.X 25 ML SOL. PERF.

AUSTRIA CUTIE X 1 FLAC X 10ML SOL. PERF.(1G/10ML)


AUSTRIA CUTIE X 1 FLAC X 50ML SOL. PERF.(5G/50ML)
AUSTRIA CUTIE X 1 FLAC X 100ML SOL. PERF.(10G/100ML)
GERMANIA
GERMANIA

CUTIE X 1 FLAC.X 50 ML SOL. PERF.


CUTIE X 1 FLAC.X 100 ML SOL. PERF.

AUSTRIA CUTIE X 1 FLAC X 200ML SOL. PERF.(20G/200ML)


AUSTRIA CUTIE X 1 FLAC X 25ML SOL. PERF.(2,5G/25ML)
AUSTRIA CUTIE X 1 FLAC X 300ML SOL. PERF.(30G/300ML)

ITALIA
ITALIA
ITALIA
SPANIA
SPANIA
SPANIA
SPANIA

MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE

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.

CUTIE X 1 FLACON X 100 ML


CUTIE X 1 FLACON X 50 ML
CUTIE X 1 FLACON X 200 ML

cant/a
mbala
j

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

Pret cu ridicata
maximal de
decontare / U.T.

Pret cu
amanuntul
maximal /
ambalaj

Pret cu amanuntul
maximal / U.T.

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

6,114.44
663.61
1,550.55
3,473.78
460.47
188.56
889.76
1,749.51
890.95
1,751.89
3,469.04
459.88
7,459.41
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

6,114.440000
663.610000
1,550.550000
3,473.780000
460.470000
188.560000
889.760000
1,749.510000
890.950000
1,751.890000
3,469.040000
459.880000
7,459.410000
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

6,114.440000
663.610000
1,550.550000
3,473.780000
460.470000
188.560000
889.760000
1,749.510000
890.950000
1,751.890000
3,469.040000
459.880000
7,459.410000
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

6,702.89
761.48
1,728.25
3,824.57
540.07
230.20
1,007.99
1,945.12
1,009.28
1,947.71
3,819.40
539.42
8,168.91
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

6,702.890000
761.480000
1,728.250000
3,824.570000
540.070000
230.200000
1,007.990000
1,945.120000
1,009.280000
1,947.710000
3,819.400000
539.420000
8,168.910000
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

50
30
30
30
10
10
100
1
1
4
28
28
2
50
20
30
1
1
1
100
100
100
100
100
100
50
100
50
50
100
100
100
100
100
1

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
8.65
9.23
17.86
7.04
6.12
6.21
10.92
12.48
15.54
18.88
22.83
9.12
9.12
14.23
14.23
1,473.60

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
0.086500
0.092300
0.178600
0.070400
0.061200
0.062100
0.218400
0.124800
0.310800
0.377600
0.228300
0.091200
0.091200
0.142300
0.142300
1,473.600000

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
0.086500
0.092300
0.178600
0.070400
0.061200
0.062100
0.218400
0.124800
0.310800
0.377600
0.228300
0.091200
0.091200
0.142300
0.142300
1,473.600000

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
11.69
12.48
24.14
9.51
8.27
8.40
14.76
16.87
21.00
25.52
30.86
12.33
12.33
19.23
19.23
1,644.38

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
0.116900
0.124800
0.241400
0.095100
0.082700
0.084000
0.295200
0.168700
0.420000
0.510400
0.308600
0.123300
0.123300
0.192300
0.192300
1,644.380000

P7: PROGRAM NATIONAL DE BOLI ENDOCRINE

Tratamentul medicamentos al bolnavilor cu osteoporoza, gusa datorata carentei de iod si proliferarii maligne
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35

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

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**

ALPHA D3 0,25 mcg

CAPS. MOI 0,25mcg


CAPS. MOI 0,25g
ALPHA D3 0,50 mcg
CAPS. MOI 0,50mcg
ALFACALCIDOL SANDOZ 0,5 mcg CAPS. MOI 0,5g
ONE-ALPHA 2 micrograme/ml SOL. INJ.
2micrograme/ml
ONE-ALPHA 2 micrograme/ml SOL. INJ.
2micrograme/ml
ROCALTROL
CAPS. MOI 0,25mcg
ESTREVA (R)
GEL
0,1%
OESTROGEL 0,6 mg/g
GEL
0,6mg/g
CLIMARA
PLASTURE TRANSDERM.
50mcg/24ore
LIVIAL (R) 2,5 mg
COMPR.
2,5mg
EVISTA 60mg
COMPR. FILM. 60mg
THYROGEN 0,9 mg
PULB. PT. SOL. INJ. 0,9mg
MEDROL A 16
COMPR.
16mg
MEDROL 32
COMPR.
32mg
MEDROL 4 mg
COMPR.
4mg
LEMOD SOLU 125 mg
LIOF. PT. SOL. INJ. 125mg
LEMOD SOLU 500 mg
LIOF. PT. SOL. INJ. 500mg
SOLU - MEDROL ACT-O-VIAL LIOF. SI SOLV.PT.SOL.INJ 250mg/4ml
EUTHYROX 100mcg
COMPR.
100mcg
L-THYROXIN 100 BERLIN - CHEMIE COMPR.
100mcg
EUTHYROX 200mcg
COMPR.
200mcg
EUTHYROX 25mcg
COMPR.
25mcg
EUTHYROX 50mcg
COMPR.
50mcg
L-THYROXIN 50
COMPR.
50mcg
JODTHYROX (R) 100/130,8 COMPR.
FARA CONCENTRATIE
CARBIMAZOLE 5
COMPR. FILM. 5mg
THYROZOL 10 mg
COMPR. FILM. 10mg
THYROZOL 20mg
COMPR. FILM. 20mg
THYROZOL 5 mg
COMPR. FILM. 5mg
JODID 100
COMPR.
100mcg
JODID 100
COMPR.
100mcg
JODID 200
COMPR.
200mcg
JODID 200
COMPR.
200mcg
FORSTEO 20g/80g
SOL. INJ.
20g/80l
ALFACALCIDOL SANDOZ 0,25 mcg

CUTIE X 1 FLAC. X 30 CAPS. MOI

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.

PRF

S
S

ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 CAPS. MOI P-RF

LAB. THERAMEX

MONACO

CUTIE X 1 FLACON PE, INCHIS CU POMPA DOZATOARE X 50 G

P-6L

LABORATOIRES BESINS INTERNATIONAL

FRANTA

CUTIE CU 1 TUB AL X 80 G GEL + DISPOZITIV DE DOZARE DIN POLISTIREN

P-6L

BAYER SCHERING PHARMA AG

GERMANIA

ORGANON NV

OLANDA CUTIE X 1 BLIST. X 28 COMPR.

CUTIE X 4 PLICURI X 1 PLASTURE TRANSDERM. P-6L

DAIICHI SANKYO EUROPE GMBH

GERMANIA

P-RF

CUTIE X 28 COMPR. FILM. (BLIST. ACLAR) P-RF


GENZYME EUROPE BV OLANDA CUTIE X 2 FLACOANE
S
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 5 BLIST. A-PVC/PVC X 10 COMPR. P-RF

CUTIE X 2 BLIST. AL-PVC/PVC X 10 COMPR.


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

S/P-RF

STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 7,8 ML

S/P-RF

PFIZER EUROPE MA EEIG

CUTIE X 1 FLAC. BICOMPARTIMENTAT (COMPARTIMENT INFERIOR) LIOF. PT. SOL. INJ. + (COMPARTIMENT SUPERIO

P-RF

P-6L

PFIZER EUROPE MA EEIG

MAREA BRITANIE

PFIZER EUROPE MA EEIG

MAREA BRITANIE

MAREA BRITANIE

P-RF
P-RF

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. P-6L

MERCK KGAA
MERCK KGAA
MERCK KGAA
BERLIN CHEMIE AG MENARINI GROUP

MERCK KGAA
REMEDICA LTD.
MERCK KGAA
MERCK KGAA
MERCK KGAA
MERCK KGAA
MERCK KGAA
MERCK KGAA
MERCK KGAA

GERMANIA

CUTIE X 4 BLIST. AL/PP X 25 COMPR.


CUTIE X 4 BLIST. PP/AL X 25 COMPR.
CUTIE X 4 BLIST. PP/AL X 25 COMPR.

P-6L

GERMANIA

CUTIE X 4 BLIST. PVC-PVDC/AL X 25 COMPR.

P-6L/S

GERMANIA
GERMANIA

GERMANIA

CIPRU
GERMANIA
GERMANIA
GERMANIA
GERMANIA
GERMANIA
GERMANIA
GERMANIA

ELI LILLY NEDERLAND BV OLANDA

CUTIE X 2 BLIST. PP/AL X 25 COMPR.

P-6L
P-6L

P-6L

CUTIE X 10 BLIST. AL/PVC X 10 COMPR. FILM. P-6L


CUTIE CU BLIST. PVC/AL X 50 COMPR. FILM. P-6L
CUTIE CU BLIST. PVC/AL X 50 COMPR. FILM. P-6L
CUTIE CU BLIST. PVC/AL X 100 COMPR. FILM. P-6L/S

CUTIE X 4 BLIST. AL/PVC X 25 COMPR.


CUTIE X 4 BLIST. AL/PP X 25 COMPR.
CUTIE X 4 BLIST. PP/AL X 25 COMPR.
CUTIE X 4 BLIST. PVC/AL X 25 COMPR.

CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT X 2,4 ML (28 DOZE X 20 G/80L)

Pagina 26 din 96

P-RF
P-RF
P-RF
P-RF
P-RF

36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85

H05BA01
H05BA01
H05BA01
H05BA01
H05BA01
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA06
M05BA06
M05BA06
M05BA06
M05BA06
M05BA06
M05BA06
M05BA06
M05BA06
M05BA06
M05BA06
M05BA06
M05BA06
M05BA07
M05BA07
M05BA07
M05BA07
M05BA07
M05BA07
M05BA07
M05BA07
M05BA07
M05BA07
M05BA07
M05BA07
M05BA08
M05BA08

Denumire generica
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**
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 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
M05BX03
V09FX03

V10XA01

STRONTIUM RANELATUM
STRONTIUM RANELATUM
NATRII IODIDUM (131I)
NATRII IODIDUM (131I)

Denumire comerciala
TONOCALCIN 100 UI
NYLEX (R)
MIACALCIC (R)
NYLEX 100 UI/doza
NYLEX (R)
ACID ALENDRONIC ACCORD 10 mg

TEVANAT 70 mg
ACID ALENDRONIC ACCORD 70 mg
ACID ALENDRONIC BLUEFISH 70 mg
ACID ALENDRONIC BLUEFISH 70 mg

FOSAMAX 70 mg
RANOS 70 mg
INSTREL 70 mg
ADRONIK 70 mg
ADRONIK 70 mg

Forma
Concentr
farmaceuti
atie / U.T.
ca
SOL. INJ.
SOL. INJ.
SOL. INJ.

100UI
100UI/ml
50ui/ml

SPRAY NAZ.,SOL.

100UI/doza PHARMACEUTICAL IND. PROEL EPAM. G.CORONIS SA


200UI/doza PROEL E.P. CORONIS SA

SPRAY NAZAL - SOL.

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.

ALENDRONAT SANDOZ 70 mg COMPR. FILM.

ADRONIK 70 mg

COMPR. FILM.

ACID IBANDRONIC TEVA 150 mg COMPR. FILM.


OSSICA 150 mg
COMPR. FILM.
BONVIVA 150mg
COMPR. FILM.
ACID IBANDRONIC SANDOZ 150 mg COMPR. FILM.
ACID IBANDRONIC SANDOZ 50 mg COMPR. FILM.
BONDRONAT 50mg
COMPR. FILM.
IASIBON 50 mg
COMPR. FILM.
HOLMEVIS 50 mg
COMPR. FILM.

IASIBON 6mg/6ml
BONDRONAT 6mg/6ml
OSSICA 3 mg
OSAGRAND 3 mg/3 ml
BONVIVA 3mg/3ml

CONC. PT. SOL. PERF.


CONC. PT. SOL. PERF.
SOL INJ. IN SERINGA PREUMPLUTA

SOL. INJ.
SOL. INJ. IN SERINGA PREUMPLUTA

RISEDRONAT BLUEFISH 35 mg COMPR. FILM.

JUVERITAL 35 mg
LORINE 35mg
OSODENS 35 mg
RISEDRONAT TEVA 35 mg

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

ACTONEL SAPTAMANAL 35 mg COMPR. FILM.

PEXALIT 35 mg
JUVERITAL 35 mg
OSTEORON 35 mg
RISENDROS 35 mg
JUVERITAL 5 mg
ACTONEL 75 mg
ZOMETA 4 mg
ACLASTA 5mg/100ml
FOSAVANCE 70mg/2800UI
FOSAVANCE 70mg/2800UI
FOSAVANCE 70mg/5600UI
FOSAVANCE 70mg/5600UI
OSSEOR 2 g
OSSEOR 2 g

Firma

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
PULB. + SOLV. SOL. PERF.

10mg
70 mg
70mg
70mg
70mg
70mg
70mg
70mg
70mg
70mg
70mg
70mg
150 mg
150mg
150mg
150mg
50 mg
50mg
50mg
50mg
6mg/6ml
6mg/6ml
3mg
3mg/3ml
1mg/1ml
35 mg
35mg
35mg
35mg
35mg
35mg
35mg
35mg
35mg
35mg
5mg
75mg
4mg

ALFA WASSERMANN SPA


PROEL E.P. CORONIS SA
NOVARTIS PHARMA GMBH

ACCORD HEALTHCARE LIMITED

Tara

Ambalaj

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 CUTIE X 1 FLACON DIN STICLA PREVAZUT CU POMPA DOZATOARE CU APLICATOR NAZAL X 2 ML
MAREA BRITANIE
CUTIE CU BLIST. PVC/AL X 28 COMPR.

Prescriptie

Grupa
Nr.
terape
crt
utica

P-RF
P-RF
P-RF
P-RF
P-RF

P-6L

TEVA PHARMACEUTICALS S.R.L.

ROMANIA CUTIE X 1 BLIST. PVC-AL-OPA/AL X 4 COMPR. P-6L

ACCORD HEALTHCARE LIMITED

MAREA BRITANIE

BLUEFISH PHARMACEUTICALS AB
BLUEFISH PHARMACEUTICALS AB

CUTIE CU BLIST. OPA -AL-PVC/AL X 4 COMPR. P-6L

SUEDIA CUTIE CU BLIST. AL/AL X 2 COMPR.


SUEDIA CUTIE CU BLIST. AL/AL X 4 COMPR.

P-6L
P-6L

MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. AL/AL IN PORTOFEL X 2 COMPR. P-6L

TERAPIA SA

ROMANIA CUTIE X 1 BLIST. DIN PAO-PVC-AL/AL X 4 COMPR. P-6L

DR. REDDY'S LABORATORIES

ROMANIA

ARENA GROUP S.A.


ARENA GROUP S.A.
SANDOZ S.R.L.
ARENA GROUP S.A.
TEVA PHARMA B.V.

ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 12 COMPR. FILM.

CUTIE CU BLIST. AL/AL X 4 COMPR. FILM.

P-RF

P-6L

ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 2 COMPR. FILM. P-6L


ROMANIA CUTIE X 1 BLIST. OPA-AL-PVC/AL X 2 COMPR. FILM

P-6L

ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 4 COMPR. FILM. P-6L

OLANDA

CUTIE CU BLIST. DIN PVC/ACLAR/PVC-AL X 1 COMPRIMAT FILMAT

P-RF

GEDEON RICHTER PLC. UNGARIA CUTIE CU 1 BLIST. PVC-PE-PVDC/AL X 1 COMPR. FILM. P-6L

CUTIE X 1 COMPR. FILM.( BLIST. AL/AL)

P-6L

ROCHE REGISTRATION LTD.

MAREA BRITANIE

SANDOZ S.R.L.

ROMANIA CUTIE CU 1 BLIST. PA-AL-PVC/AL X 1 COMPR. FILM. P6L

PR
CUTIE X BLIST. AL/PVC X 28 COMPR. FILM. S
CUTIE CU BLIST. PA/ALL/PVC/ALU X 28 COMPR. FILM PR
CUTIE CU BLIST. PA/AL/PVC-AL X 28 COMPR. FILM. PR
CUTIE CU 1 FLAC. DIN STICLA X 6ML CONC. PT. SOL. PERF. PR
CUTIE X 1 FLACON X 6 ML CONC. PT. SOL. PERF. S
CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA A 3 ML SOL. INJ. + 1 AC PT. INJECTIE
PR

SANDOZ PHARMACEUTICALS GMBH

GERMANIA CUTIE CU BLIST. DIN PA/AL/PVC/AL CU 28 COMPRIMATE FILMATE

ROCHE REGISTRATION LTD.

MAREA BRITANIE

PHARMATHEN S.A.

GRECIA

EGIS PHARMACEUTICALS P.L.C.

UNGARIA

PHARMATHEN S.A.

GRECIA

ROCHE REGISTRATION LTD.

MAREA BRITANIE

GEDEON RICHTER ROMANIA SA

ROMANIA

ZENTIVA K.S.

REPUBLICA CEHA

CUTIE CU 1 FIOLA DIN STICLA INCOLORA X 3 ML SOL. INJ.

P6L

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 1 SERINGA PREUMPLUTA DIN STICLA X 3 ML SOL. INJ. + 1 AC

P-6L

BLUEFISH PHARMACEUTICALS AB

SUEDIA

CUTIE CU BLIST. DIN PVC/PE/PVDC-AL X 4 COMPR. FILM.

P6L

OZONE LABORATORIES BV

OLANDA

CUTIE X BLISTER PVC-PE-PVDC/AL X 4 COMPRIMATE FILMATE P-6L

ANTIBIOTICE S.A.
TERAPIA SA

ROMANIA CUTIE X 1BLIST. PVC- PVDC/AL X 4 COMPR. FILM. P-6L


ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 4 COMPR. FILM. P-6L

CUTIE X BLIST. PVC-PVDC/AL X 4 COMPR. FILM. P-6L

TEVA PHARMACEUTICAL S.R.L.

MAREA BRITANIE

SANOFI - AVENTIS ROMANIA S.R.L.

ROMANIA CUTIE CU 1 BLIST. PVC/AL X 4 COMPR. FILM. P-6L

DR. REDDY'S LABORATORIES

ROMANIA CUTIE CU BLIST. PVC/HT-AL X 4 COMPR. FILM. P6L

LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 4 COMPR. FILM. P-6L
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 1 BLIST. PVC- PVDC/AL X 4 COMPR. FILM. P-6L

ZENTIVA A.S.

CEHIA

CUTIE X 1 BLIST. OPA-AL-PVC/AL X 4 COMPR. FILM. P-6L

LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.

P-6L

SANOFI - AVENTIS ROMANIA S.R.L.

ROMANIA CUTIE CU 1 BLIST. PVC/AL X 2 COMPR. FILM. P-6L

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

SOL. PERF. 5mg/100ml NOVARTIS EUROPHARM LTD. MAREA BRITANIE


COMPR.
70mg/2800UI MERCK SHARP & DOHME MAREA BRITANIE
COMPR.
70mg/2800UI MERCK SHARP & DOHME MAREA BRITANIE
COMPR.
70mg/5600UI MERCK SHARP & DOHME MAREA BRITANIE
COMPR.
70mg/5600UI MERCK SHARP & DOHME MAREA BRITANIE
GRAN. PT. SUSP. ORALA 2g
LES LAB. SERVIER FRANTA
GRAN. PT. SUSP. ORALA 2g
LES LAB. SERVIER FRANTA

CUTIE X 1 FLAC. 4MG PULB. PT. SOL. PERF. + 1 FIOLA X 5 ML SOLV.


CUTIE X 1 FLAC. X 100 ML + 1 CAPAC AL/PP CU COMPONENTA FLIP.

S
S

CUTIE X 2 COMPR. (1 PLIANT CU BLIST. AL/AL X 2 COMPR.) P-6L


CUTIE X 4 COMPR. (1 PLIANT CU BLIST. AL/AL X 4 COMPR.) P-6L
CUTIE X 2 COMPR. (1 PLIANT CU BLIST. AL/AL X 2 COMPR.) P-6L
CUTIE X 4 COMPR. (1 PLIANT CU BLIST. AL/AL X 4 COMPR.) P-6L
CUTIE X 14 PLICURI HARTI-PE-AL/PE GRAN. PT. SUSP. ORALA

P-RF

CUTIE X 28 PLICURI HARTI-PE-AL/PE GRAN. PT. SUSP. ORALA

P-RF

cant/a
mbala
j

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

Pret cu ridicata
maximal de
decontare / U.T.

Pret cu
amanuntul
maximal /
ambalaj

Pret cu amanuntul
maximal / U.T.

5
5
5
1
1
28
4
4
2
4
2
4
4
12
2
2
4
1
1
1
1
28
28
28
28
1
1
1
1
1
4
4
4
4
4
4
4
4
4
4
28
2
1
1
2
4
2
4
14
28

51.05
23.94
26.35
36.97
56.38
36.90
36.90
36.90
18.44
18.28
28.39
36.44
36.44
108.06
18.33
9.49
36.67
65.80
57.19
105.93
40.44
519.62
964.08
629.47
637.16
596.39
901.37
196.40
232.02
354.51
27.36
57.38
27.91
57.38
57.38
88.28
27.91
57.38
43.32
43.34
57.38
75.11
1,098.45
1,399.70
36.16
71.05
36.16
71.05
82.84
143.02

10.210000
4.788000
5.270000
36.970000
56.380000
1.317857
9.225000
9.225000
9.220000
4.570000
14.195000
9.110000
9.110000
9.005000
9.165000
4.745000
9.167500
65.800000
57.190000
105.930000
40.440000
18.557857
34.431428
22.481071
22.755714
596.390000
901.370000
196.400000
232.020000
354.510000
6.840000
14.345000
6.977500
14.345000
14.345000
22.070000
6.977500
14.345000
10.830000
10.835000
2.049285
37.555000
1,098.450000
1,399.700000
18.080000
17.762500
18.080000
17.762500
5.917142
5.107857

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
4.745000
5.484000
48.528000
48.528000
48.528000
40.440000
18.557857
22.269428
22.269428
22.269428
596.390000
715.668000
196.400000
232.020000
235.680000
6.840000
8.208000
6.977500
8.208000
8.208000
8.208000
6.977500
8.208000
8.208000
8.208000
2.049285
37.555000
1,098.450000
1,399.700000
18.080000
17.762500
18.080000
17.762500
5.917142
5.107857

64.55
32.36
34.46
48.36
71.29
48.27
48.27
48.27
24.93
24.71
37.13
47.66
47.66
131.92
24.78
12.82
47.97
83.20
72.31
129.32
52.90
604.54
1,089.00
724.27
732.65
688.22
1,020.64
239.77
283.25
424.57
35.79
72.55
36.50
72.55
72.55
111.62
36.50
72.55
56.66
56.69
72.55
94.97
1,235.46
1,563.83
47.30
89.84
47.30
89.84
104.74
174.60

12.910000
6.472000
6.892000
48.360000
71.290000
1.723928
12.067500
12.067500
12.465000
6.177500
18.565000
11.915000
11.915000
10.993333
12.390000
6.410000
11.992500
83.200000
72.310000
129.320000
52.900000
21.590714
38.892857
25.866785
26.166071
688.220000
1,020.640000
239.770000
283.250000
424.570000
8.947500
18.137500
9.125000
18.137500
18.137500
27.905000
9.125000
18.137500
14.165000
14.172500
2.591071
47.485000
1,235.460000
1,563.830000
23.650000
22.460000
23.650000
22.460000
7.481428
6.235714

10
10
5
5
5
5
100

14.09
24.64
17.60
33.45
33.43
17.60
98.29

1.409000
2.464000
3.520000
6.690000
6.686000
3.520000
0.982900

1.409000
2.464000
3.520000
6.690000
6.686000
3.520000
0.982900

19.04
33.31
23.79
43.75
43.73
23.79
124.28

1.904000
3.331000
4.758000
8.750000
8.746000
4.758000
1.242800

P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA


P9.1: TRANSPLANT MEDULAR
1
2
3
4
5
6
7

A04AA01
A04AA01
A04AA01
A04AA01
A04AA01
A04AA01
A05AA02

ONDANSETRONUM**
ONDANSETRONUM**
ONDANSETRONUM**
ONDANSETRONUM**
ONDANSETRONUM**
ONDANSETRONUM**
ACIDUM URSODEOXYCHOLICUM

OSETRON 4 mg
OSETRON 8 mg
OSETRON 4 mg SOLUTIE INJECTABILA
OSETRON 8 mg SOLUTIE INJECTABILA

EMESET 8 mg/4 ml
EMESET 4 mg/2 ml
URSOFALK (R)

COMPR. FILM.
COMPR. FILM.

SOL. INJ.
SOL. INJ.
SOL. INJ./PERF.
SOL. INJ./PERF.

CAPS.

4mg
8mg
2mg/ml
2mg/ml
2mg/ml
2mg/ml
250mg

DR. REDDY'S LABORATORIES

ROMANIA CUTIE X 1 BLIST. HARTIE/AL, PVDC/PVC X 10 COMPR. FILM. P-RF

DR. REDDY'S LABORATORIES

ROMANIA CUTIE X 1 BLIST. HARTIE/AL, PVDC/PVC X 10 COMPR. FILM. P-RF

DR. REDDY'S LABORATORIES

ROMANIA CUTIE 1 BLIST. AL/PVC X 5 FIOLE X 2 ML SOL. INJ.

S/P-RF

DR. REDDY'S LABORATORIES

ROMANIA CUTIE X 1 BLIST. AL/PVC X 5 FIOLE X 4 ML SOL. INJ.

S/P-RF

CIPLA (UK) LIMITED


CIPLA (UK) LIMITED

MAREA BRITANIE

CUTIE X 5 FIOLE STICLA + INEL RUPERE X 4ML SOL. INJ. / PERF.

S/P-RF

MAREA BRITANIE

CUTIE X 5 FIOLE STICLA + INEL RUPERE X 2ML SOL. INJ/ PERF.

S/P-RF

CUTIE X 4 BLIST. AL/PVC X 25 CAPS.

P-6L/S

DR. FALK PHARMA GMBH GERMANIA

Pagina 27 din 96

8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71

A05AA02
A05AA02
A05AA02
A05AA02
B01AB08
B01AB08
B02AA02
B02BD08
B02BD08
B02BD08

J01CR03
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01DH02
J01DH02
J01DH02
J01DH02
J01DH02
J01DH02
J01DH02
J01DH02
J01DH02
J01DH02
J01DH02
J01DH02
J01DH51
J01DH51
J01DH51
J01DH51
J01DH51
J01DH51
J01DH51
J01DH51

J01XA01
J01XA01
J01XA01
J01XA01
J01XA01
J01XA01
J01XA01
J01XA01
J01XA02
J01XX08

Denumire generica

Denumire comerciala

ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
REVIPARINUM
REVIPARINUM
ACIDUM TRANEXAMICUM4)
EPTACOG ALFA ACTIVATUM**
EPTACOG ALFA ACTIVATUM**
EPTACOG ALFA ACTIVATUM**
TICARCILLINUM + ACIDUM CLAVULANICUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
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
VANCOMYCINUM
VANCOMYCINUM
VANCOMYCINUM
VANCOMYCINUM
VANCOMYCINUM
VANCOMYCINUM
VANCOMYCINUM
VANCOMYCINUM
TEICOPLANINUM
LINEZOLIDUM

URSOFALK (R)
URSOSAN
URSOCHOL 150 mg
URSOCHOL 300 mg
CLIVARIN (R) 1432UI/0,25 ml
CLIVARIN (R) 3436 UI/0,6 ml
EXACYL
NOVOSEVEN 2mg (100 KUI)
NOVOSEVEN 5mg (250 KUI)
NOVOSEVEN 1mg (50 KUI)
TIMENTIN 3,2 g
TAZOCIN 4,5
TAZOCIN 2,25
ZOPECILIN 2 g/0,25 g
ZOPECILIN 2 g/0,25 g

Forma
Concentr
farmaceuti
atie / U.T.
ca
CAPS.
CAPS.
COMPR.
COMPR.
SOL. INJ.
SOL. INJ.
SOL. INJ.

ROMANIA

CUTIE X 5 FIOLE X 5ML SOL. INJ.

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.

S.C. FRESENIUS KABI S.R.L. ROMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF

S.C. FRESENIUS KABI S.R.L. ROMANIA

CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF

S.C. FRESENIUS KABI S.R.L. ROMANIA

CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF

S.C. FRESENIUS KABI S.R.L. ROMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

S.C. FRESENIUS KABI S.R.L. ROMANIA

CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

PULB. PT. SOL. INJ./PERF.


PULB. PT. SOL. INJ./PERF.

PERASIN 2g/0,25 g

PULB. PT. SOL. INJ./PERF.

PIPERACILINA/TAZOBACTAM MYLAN 2g/0,25 g

PULB. PT. SOL. INJ./PERF.

BACTACIN 2 g/0,25 g

PULB. PT. SOL. INJ./PERF.

PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g

PULB. PT. SOL. INJ./PERF.

PIPERACILINA/TAZOBACTAN ACTAVIS 2 g/0,25 g

PULB. PT. SOL. INJ./PERF.

PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g

PULB. PT. SOL. INJ./PERF.

PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g

PULB. PT. SOL. INJ./PERF.

PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g

PULB. PT. SOL. INJ./PERF.

PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g

PULB. PT. SOL. INJ./PERF.


PULB. PT. SOL. INJ./PERF.
PULB. PT. SOL. INJ./PERF.
PULB. PT. SOL. INJ./PERF.
PULB. PT. SOL. INJ./PERF.
PULB. PT. SOL. INJ./PERF.
PULB. PT. SOL. INJ. I.V./PERF.
PULB. PT. SOL. INJ. I.V./PERF.

PULB. PT. SOL. INJ./PERF.


PULB. PT. SOL. INJ./PERF.
PULB. PT. SOL. INJ./PERF.
PULB. PT. SOL. INJ./PERF.
PULB. PT. SOL. INJ./PERF.
PULB. PT. SOL. INJ./PERF.
PULB. PT. SOL. INJ./PERF.
PULB. PT. SOL. INJ./PERF.
PULB. PT. SOL. INJ./PERF.
PULB. PT. SOL. INJ./PERF.

P-6L
S/P-RF

500mg/5ml CN UNIFARM

AUSTRIA CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ.

PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g

P-6L
S/P-RF

MAREA BRITANIE

PULB. PT. SOL. INJ./PERF.

P-6L

CUTIE X 2 BLIST. X 5 SERINGI PREUMPLUTE UNIDOZA X 0,25ML

PFIZER EUROPE MA EEIG

PULB. PT. SOL. INJ./PERF.

P-6L

3436ui/0,6ml ABBOTT GMBH&CO.KG GERMANIA CUTIE X 1 BLIST X 5 SERINGI PREUMPLUTE UNIDOZA X 0,60 ML

WYETH LEDERLE PHARMA GMBH

PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g

CILOPEN 500mg/500mg
CILOPEN 500mg/500mg
CILOPEN 500mg/500mg
CILOPEN 500mg/500mg

CUTIE X 2 BLIST. AL/PVC X 25 CAPS.


CUTIE X 5 BLIST. AL/PVC X 10 CAPS.
CUTIE X 6 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

FARA CONCENTRATIE

PULB. PT. SOL. INJ./PERF.

MEROPENEM HOSPIRA 500 mg

ABBOTT GMBH&CO.KG GERMANIA

ZAMBON S.P.A.
ZAMBON S.P.A.

CEHIA
ITALIA
ITALIA

FARA CONCENTRATIE

PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g

MEROPENEM KABI 500 mg


MEROPENEM KABI 500 mg

1432ui/0,25ml

PRO. MED. CS PRAHA AS

LIOF. PT. SOL. INJ.

PULB. PT. SOL. INJ./PERF.

MEROPENEM HOSPIRA 500 mg

DR. FALK PHARMA GMBH GERMANIA

LIOF. PT. SOL. INJ.

PULB. + SOLV. PT. SOL. INJ.

PULB. PT. SOL. INJ./PERF.

MERONEM IV 1 g
MERONEM IV 500 mg
LODITER 1000 mg
MEROPENEM HOSPIRA 1 g
MEROPENEM HOSPIRA 1 g
MEROPENEM KABI 1 g
MEROPENEM KABI 1 g
LODITER 500 mg

250mg
250mg
150mg
300mg

Ambalaj

PULB. PT. SOL. INJ./PERF.

PULB. + SOLV. PT. SOL. INJ.

PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g

PIPERACILINA/TAZOBACTAN ACTAVIS 4 g/0,5 g

Tara

100 KIU
250 KIU
50 KIU
3,2g

PULB. + SOLV. PT. SOL. INJ.

PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g

BACTACIN 4 g/0,5 g
PERASIN 4g/0,5 g
ZOPECILIN 4 g/0,5 g
ZOPECILIN 4 g/0,5 g

Firma

Prescriptie

Grupa
Nr.
terape
crt
utica

PULB. PT. SOL. INJ. 500mg/500mg


PULB. PT. SOL. INJ. 500mg/500mg
PULB. PT. SOL. INJ. 500mg/500mg
PULB. PT. SOL. INJ. 500mg/500mg

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

BEECHAM GROUP PLC

MAREA BRITANIE

CUTIE X 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.

S/P-RF

CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ.

S/P-RF

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
P-RF/R

S/P-RF

ACTAVIS GROUP PTC EHF. ISLANDA

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.

ASTRAZENECA UK LIMITED

MAREA BRITANIE

CUTIE CU 10 FLAC. DIN STICLA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ. I.V./PERF.

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

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 40 ML CONTINAND PULB. PT. SOL. INJ./PERF.

HOSPIRA UK LIMITED
HOSPIRA UK LIMITED

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

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF.

FRESENIUS KABI ROMANIA SRL

ROMANIA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF.

TERAPIA S.A.

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CONTINAND PULB. PT. SOL. INJ./PERF.

HOSPIRA UK LIMITED

MAREA BRITANIE

CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.

FRESENIUS KABI ROMANIA SRL

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF.

FRESENIUS KABI ROMANIA SRL

ROMANIA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF.

HOSPIRA UK LIMITED

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA 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
PR
PR
S
S
PR
PR
S
S
PR

ROMANIA

CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF.

S/P-RF

ROMANIA

CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF.

S/P-RF

ROMANIA

CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 22 ML PULB. PT. SOL. PERF.

S/P-RF

ROMANIA

CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 22 ML PULB. PT. SOL. PERF.

S/P-RF

MAREA BRITANIE

CUTIE CU 5 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. PERF.

PR

ANTIBIOTICE S.A.
MYLAN S.A.S.
TERAPIA SA

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

FRANTA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CU PULB. PT. SOL. INJ./PERF.

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF.

S.C. FRESENIUS KABI S.R.L. ROMANIA

CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

ACTAVIS GROUP PTC EHF. ISLANDA

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.

S.C. FRESENIUS KABI S.R.L. ROMANIA

CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

MYLAN S.A.S.

FRANTA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. INJ./PERF.

S.C. FRESENIUS KABI S.R.L. ROMANIA

CUTIE X 1 FLAC DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

S.C. FRESENIUS KABI S.R.L. ROMANIA

CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

TERAPIA SA
ANTIBIOTICE S.A.

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 50 ML CU PULB. PT. SOL. INJ./PERF.

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 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.

TERAPIA SA
TERAPIA SA
TERAPIA SA
TERAPIA SA

HOSPIRA UK LIMITED

IMIPENEM/CILASTATIN HOSPIRA 500 mg/500 mg PULB. PT. SOL. PERF.

500mg/500mg

IMIPENEM/CILASTATIN KABI 500mg/500mg

PULB. PT. SOL. PERF.

500mg/500mg FRESENIUS KABI ROMANIA SRL

CUTIE X 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF.

S/P-RF

PULB. PT. SOL. PERF.

500mg/500mg MERCK SHARP & DOHME ROMANIA

TAVA DIN PLASTIC X 25 FLAC. DIN STICLA INCOLORA CU PULB.PT. SOL. PERF.

S/P-RF

PULB. PT. SOL. PERF.

500mg/500mg MERCK SHARP & DOHME ROMANIA

TAVA DIN PLASTIC X 10 FLAC. DIN STICLA INCOLORA CU PULB.PT. SOL. PERF.

S/P-RF

TIENAM I.V.
TIENAM I.V.
VANCOMYCIN TEVA
VANCOMYCIN TEVA

1g
LIOF. PT. SOL. PERF. 500mg
VANCOMICINA PHARMASWISS 1000 mg PULB. PT. SOL. PERF. 1000mg
VANCOMICINA PHARMASWISS 500 mg PULB. PT. SOL. PERF. 500mg
VANCOMICINA ACTAVIS 1000mg
1000mg
VANCOMICINA KABI 1000 mg
1000mg
VANCOMICINA KABI 500 mg
500mg
EDICIN
1g
TARGOCID (R) 400 mg
LIOF. + SOLV. PT. SOL. INJ. 400mg
ZYVOXID (R)
COMPR. FILM. 600mg
LIOF. PT. SOL. PERF.

ROMANIA

TEVA PHARM. WORKS PRIVATE LTD. COMPANY

UNGARIA CUTIE X 1 FLAC. DIN STICLA CU LIOF. PT. SOL. PERF.

S/P-RF

TEVA PHARM. WORKS PRIVATE LTD. COMPANY

UNGARIA CUTIE X 1 FLAC. DIN STICLA CU LIOF. PT. SOL. PERF.

S/P-RF

PHARMASWISS CESKA REPUBLIKA S.R.O.

REPUBLICA 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.

PR
PR

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CONTINAND 1000 MG VANCOMICINA

P-PR

PULB. PT.CONC. PT.SOL. PERF.

ACTAVIS GROUP PTC EHF. ISLANDA

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

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

PULB.LIOF.PT.SOL.PERF./INJ

LEK PHARMACEUTICALS D.D.

SLOVENIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. LIOF. PT. SOL. PERF./INJ.

AVENTIS PHARMA LTD.

MAREA BRITANIE

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 1 FLAC. LIOF. + O FIOLA SOLV.


CUTIE X 1 FLAC. X 10 COMPR. FILM.

Pagina 28 din 96

PR
PR
S/P-RF

P-RF
P-RF

cant/a
mbala
j

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

Pret cu ridicata
maximal de
decontare / U.T.

Pret cu
amanuntul
maximal /
ambalaj

Pret cu amanuntul
maximal / U.T.

50
56.54
1.130800
1.130800
71.49
1.429800
50
54.39
1.087800
1.087800
68.77
1.375400
60
41.43
0.690500
0.690500
54.19
0.903166
20
27.43
1.371500
1.371500
35.88
1.794000
10
66.80
6.680000
6.680000
84.46
8.446000
5
80.20
16.040000
16.040000
101.41
20.282000
5
9.47
1.894000
1.894000
12.80
2.560000
1 5,431.43 5,431.430000 5,431.430000 5,958.41 5,958.410000
1 13,793.54 13,793.540000 13,793.540000 15,073.11 15,073.110000
1 2,730.72 2,730.720000 2,730.720000 3,014.63 3,014.630000
10
212.62
21.262000
21.262000
259.57
25.957000
12
692.90
57.741666
46.081000
793.41
66.117500
12
401.14
33.428333
23.533200
475.39
39.615833
1
22.93
22.930000
22.930000
30.99
30.990000
12
265.41
22.117500
22.117500
324.01
27.000833
1
20.32
20.320000
20.320000
27.47
27.470000
19.966000
19.966000
126.23
25.246000
5
99.83
10
196.11
19.611000
19.611000
239.41
23.941000
1
40.65
40.650000
23.533200
53.17
53.170000
5
196.11
39.222000
23.533200
239.41
47.882000
1
22.93
22.930000
22.930000
30.99
30.990000
1
22.93
22.930000
22.930000
30.99
30.990000
1
22.93
22.930000
22.930000
30.99
30.990000
10
386.57
38.657000
23.533200
459.51
45.951000
12
265.28
22.106666
22.106666
323.86
26.988333
10
389.01
38.901000
38.901000
462.17
46.217000
1
40.94
40.940000
40.940000
53.55
53.550000
1
40.93
40.930000
40.930000
53.53
53.530000
5
197.45
39.490000
39.490000
241.05
48.210000
1
40.93
40.930000
40.930000
53.53
53.530000
1
40.93
40.930000
40.930000
53.53
53.530000
1
40.93
40.930000
40.930000
53.53
53.530000
12
460.81
38.400833
38.400833
540.43
45.035833
12
460.81
38.400833
38.400833
540.43
45.035833
10 1,030.68
103.068000
64.903200 1,161.59
116.159000
10
539.60
53.960000
36.430800
626.31
62.631000
1
72.84
72.840000
64.903200
92.10
92.100000
1
57.22
57.220000
57.220000
72.35
72.350000
10
540.86
54.086000
54.086000
627.69
62.769000
1
72.84
72.840000
64.903200
92.10
92.100000
10
680.43
68.043000
64.903200
779.82
77.982000
1
37.77
37.770000
36.430800
49.40
49.400000
10
303.59
30.359000
30.359000
369.06
36.906000
1
37.77
37.770000
36.430800
49.40
49.400000
10
361.25
36.125000
36.125000
431.91
43.191000
1
31.46
31.460000
31.460000
41.15
41.150000
5
146.26
29.252000
29.252000
178.55
35.710000
10
292.52
29.252000
29.252000
357.11
35.711000
5
146.26
29.252000
29.252000
178.55
35.710000
10
292.52
29.252000
29.252000
357.11
35.711000
5
146.26
29.252000
29.252000
178.55
35.710000
10
296.98
29.698000
29.698000
362.55
36.255000
25 1,068.64
42.745600
35.102400 1,202.97
48.118800
10
445.46
44.546000
35.102400
523.70
52.370000
1
48.56
48.560000
48.560000
63.52
63.520000
1
24.28
24.280000
24.280000
32.82
32.820000
10
456.00
45.600000
45.600000
535.19
53.519000
10
234.30
23.430000
23.430000
286.03
28.603000
1
48.45
48.450000
48.450000
63.37
63.370000
1
48.39
48.390000
48.390000
63.30
63.300000
1
24.17
24.170000
24.170000
32.67
32.670000
1
56.90
56.900000
54.720000
71.94
71.940000
1
118.16
118.160000
118.160000
144.25
144.250000
10 1,603.26
160.326000
160.326000 1,785.71
178.571000

72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135

J01XX08
J01XX08
J01XX08
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC03
J02AC03

Denumire generica
LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
VORICONAZOLUM**
VORICONAZOLUM**

Denumire comerciala
ZYVOXID (R)
ZYVOXID (R)
LINEZOLID TEVA 2 mg/ml
FUNGOLON 100 mg
FLUCONAZOLE TEVA 100 mg
FLUCONAZOLE TEVA 100 mg

DIFLAZON 100 mg
FLUCOVIM 100
FLUCORIC 100 mg

FLUCONAZOL BIOGALENICA 150 mg

FLUCONAZOLE TEVA 150 mg


FLUCONAZOL ARENA 150 MG

FLUCONAZOL 150 mg
DIFLAZON 150 mg
FLUCONAZOL LPH 150 mg

FLUCONAZOL ROMPHARM 150 mg

FLUCOVIM 150
DIFLUCAN 150 mg
FLUCORIC 150 mg
FLUCONAZOL SANDOZ (R) 150

FLUCONAZOL 150 mg
MYCOMAX 150
MYCOSYST 150 mg

FLUCONAZOL ACTAVIS 150 mg


FLUCONAZOL MEDOCHEMIE 150 mg

FLUCONAZOLE TEVA 200 mg


FLUCONAZOL BIOGALENICA 50 mg

FLUCONAZOLE TEVA 50 mg
FLUCONAZOL OZONE 50 mg
FLUCONAZOL ARENA 50 MG
FLUCONAZOL MEDOCHEMIE 50 mg

FLUCONAZOL LPH 50 mg
DIFLUCAN 50 mg
FLUCORIC 50 mg
FLUCONAZOL SANDOZ (R) 50

Forma
Concentr
farmaceuti
atie / U.T.
ca
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.

FLUCOVIM 50
FUNGOLON 50 mg
FLUCONAZOL 50 mg
DIFLAZON 50 mg
FLUCONAZOL 50 mg
DIFLUCAN (R) 50 mg/5 ml
PULB. PT. SUSP. ORALA
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 KABI 2 mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
DIFLAZON 2mg/ml
SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
FLUCONAZOL BIOGALENICA 2mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
MYCOMAX INF 2mg/ml
SOL. PERF.
FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF.
MYCOMAX INF 2mg/ml
SOL. PERF.
DIFLUCAN (R)
SOL. PERF.
DIFLUCAN (R)
SOL. PERF.
VFEND 200mg
COMPR. FILM.
VFEND 50mg
COMPR. FILM.

Firma

Tara

Ambalaj

Prescriptie

Grupa
Nr.
terape
crt
utica

100mg/5ml 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

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 10 PUNGI X 300 ML

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

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
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
200mg
50mg

BALKANPHARMA RAZGRAD AD BULGARIA


TEVA PHARMACEUTICALS S.R.L.

ROMANIA

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

KRKA D.D.
SLOVENIA
VIM SPECTRUM SRL ROMANIA
TERAPIA SA
ROMANIA
LABORATOARELE PROF.DR.MORAIT S.R.L.

ROMANIA

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

ARENA GROUP SA

ROMANIA

OZONE LABORATORIES PHARMA S.A.

ROMANIA

KRKA D.D.

SLOVENIA

LABORMED PHARMA S.A. ROMANIA


ROMPHARM COMPANY S.R.L. ROMANIA

VIM SPECTRUM SRL ROMANIA


PFIZER EUROPE MA EEIG

MAREA BRITANIE

10 PUNGI PT. PERFUZIE (DIN POLIMER MULTISTRAT) CU 1 PERFUZOR SAU 2 PERFUZOARE CU 300 ML SOL., ECHIPA

CUTIE X 2 BLIST. PVC/AL X 8 CAPS.


CUTIE X 1 BLIST. PVC-PVDC/AL X 2 CAPS.
CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.
CUTIE X 4 BLIST. X 7 CAPS.
CUTIE X 1 BLIST. X 4 CAPS.
CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.
CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.
CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.
CUTIE X 1 BLIST. AL/PVC X 1 CAPS.
CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.
CUTIE X 1 BLIST. X 1 CAPS.
CUTIE CU 1 BLIST. PVC/AL X 1 CAPS.
CUTIE CU 1 BLIST. PVC/AL X 1 CAPS.
CUTIE X 1 FLAC. X 1 CAPS.
CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

TERAPIA SA
ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS.
SANDOZ SRL
GERMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS.
SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS.
ZENTIVA K.S.
CEHIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS.
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 4 BLIST. AL/PVC X 1 CAPS.
ACTAVIS GROUP PTC EHF. ISLANDA
MEDOCHEMIE ROMANIA SRL ROMANIA
TEVA PHARMACEUTICALS S.R.L.

ROMANIA

LABORATOARELE PROF.DR.MORAIT S.R.L.

ROMANIA

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

OZONE LABORATORIES PHARMA S.A.

ROMANIA

ARENA GROUP SA

ROMANIA

MEDOCHEMIE ROMANIA SRL ROMANIA

LABORMED PHARMA S.A. ROMANIA


PFIZER EUROPE MA EEIG

MAREA BRITANIE

PRF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

PRF
PRF
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

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.


CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.
CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.
CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.
CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.
CUTIE X 1 BLIST. AL/PVC X 7 CAPS.
CUTIE X 1 BLIST. AL/PVC X 7 CAPS.
CUTIE CU 1 BLIST. PVC/AL X 7 CAPS.
CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

PRF
P-RF

TERAPIA SA
ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS.
SANDOZ SRL
ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS.
VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS.
BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 1 BLIST. PVC/AL X 8 CAPS.
SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS.
KRKA D.D.
SLOVENIA CUTIE X 1 BLIST. X 7 CAPS.
ANTIBIOTICE S.A.
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS.

P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

P-RF

FRESENIUS KABI ROMANIA SRL

ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF.

B. BRAUN MELSUNGEN AG GERMANIA


B. BRAUN MELSUNGEN AG GERMANIA
B. BRAUN MELSUNGEN AG GERMANIA
B. BRAUN MELSUNGEN AG GERMANIA

CUTIE X 1 FLAC. PEID PULB. PT. 35 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 5 ML

CUTIE X 20 FLAC. PEJD X 50 ML SOL. PERF.


CUTIE X 10 FLAC. PEJD X 100 ML SOL. PERF.
CUTIE X 20 FLAC. PEJD X 100 ML SOL. PERF.
CUTIE X 10 FLAC. PEJD X 200 ML SOL. PERF.

FRESENIUS KABI ROMANIA SRL

ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.

FRESENIUS KABI ROMANIA SRL

ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.

FRESENIUS KABI ROMANIA SRL

ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML
ROMANIA CUTIE CU 25 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF.

FRESENIUS KABI ROMANIA SRL

ROMANIA

FRESENIUS KABI ROMANIA SRL

ROMANIA

FRESENIUS KABI ROMANIA SRL

ROMANIA

FRESENIUS KABI ROMANIA SRL

ROMANIA

FRESENIUS KABI ROMANIA SRL

ROMANIA

ZENTIVA K.S.

REPUBLICA CEHA

B. BRAUN MELSUNGEN AG GERMANIA

ZENTIVA K.S.

REPUBLICA CEHA

PFIZER EUROPE MA EEIG

MAREA BRITANIE

PFIZER EUROPE MA EEIG

PFIZER LIMITED
PFIZER LIMITED

MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE

P-RF
P-RF
P-RF
P-RF

S
S
S
S
S
S
S
S
S/PR-F

S
CUTIE CU 1 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF. S
CUTIE X 1 FLAC. 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 CU 10 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF. S
CUTIE CU 1 FLACON DIN STICLA INCOLORA A 100 ML SOL. PERF. X 200 MG FLUCONAZOL S
CUTIE X 10 FLAC. PEJD X 50 ML SOL. PERF. S
CUTIE CU 1 FLACON DIN STICLA INCOLORA A 200 ML SOL. PERF. X 400 MG FLUCONAZOL S
CUTIE X 1 FLACON X 200 ML
S/P-RF
CUTIE X 1 FLACON X 50 ML
S/P-RF
CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF
CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL) P-RF

FRESENIUS KABI ROMANIA SRL

ARENA GROUP S.A. ROMANIA

P-RF
P-RF

Pagina 29 din 96

cant/a
mbala
j

1
10
10
16
2
7
28
4
7
1
1
1
1
1
1
1
1
1
1
1
1
1
4
1
1
7
7
7
7
7
7
7
7
7
7
7
8
7
7
10
1
20
20
10
20
10
1
10
20
1
25
1
1
25
1
10
10
1
10
1
1
1
28
28

Pret cu
ridicata
maximal /
ambalaj

879.36
1,603.26
1,052.62
65.37
6.98
23.31
193.65
18.95
33.15
4.88
4.88
6.68
7.35
16.65
7.35
9.57
7.35
18.56
13.95
10.79
7.16
9.27
48.24
7.44
6.07
30.10
11.66
12.35
16.69
14.15
11.95
16.69
43.23
21.91
32.06
16.69
14.09
14.49
47.19
18.88
43.23
631.41
362.55
454.59
796.39
770.66
18.84
181.93
360.77
35.03
781.76
81.95
40.63
443.47
34.28
330.71
761.71
42.66
182.90
137.44
133.17
30.99
3,559.23
912.09

Pret cu ridicata
maximal / U.T.

879.360000
160.326000
105.262000
4.085625
3.490000
3.330000
6.916071
4.737500
4.735714
4.880000
4.880000
6.680000
7.350000
16.650000
7.350000
9.570000
7.350000
18.560000
13.950000
10.790000
7.160000
9.270000
12.060000
7.440000
6.070000
4.300000
1.665714
1.764285
2.384285
2.021428
1.707142
2.384285
6.175714
3.130000
4.580000
2.384285
1.761250
2.070000
6.741428
1.888000
43.230000
31.570500
18.127500
45.459000
39.819500
77.066000
18.840000
18.193000
18.038500
35.030000
31.270400
81.950000
40.630000
17.738800
34.280000
33.071000
76.171000
42.660000
18.290000
137.440000
133.170000
30.990000
127.115357
32.574642

Pret cu ridicata
maximal de
decontare / U.T.

879.360000
126.314400
105.262000
3.996000
3.490000
3.330000
3.996000
3.996000
3.996000
4.880000
4.880000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
4.300000
1.665714
1.764285
1.998857
1.998857
1.707142
1.998857
1.998857
1.998857
1.998857
1.998857
1.761250
1.998857
1.998857
1.888000
43.230000
31.570500
18.127500
37.524480
37.524480
77.066000
18.840000
18.193000
18.038500
35.030000
31.270400
81.950000
37.524480
17.738800
34.280000
33.071000
76.171000
37.524480
18.290000
91.405200
91.405200
21.286560
127.115357
32.574642

Pret cu
amanuntul
maximal /
ambalaj

996.65
1,785.71
1,185.51
82.66
9.43
31.51
236.41
25.61
43.36
6.59
6.59
9.03
9.94
22.51
9.94
12.94
9.94
25.08
18.86
14.58
9.68
12.53
63.10
10.06
8.20
39.37
15.76
16.69
22.56
19.12
16.15
22.56
56.54
29.61
41.93
22.56
19.04
19.58
61.72
25.52
56.54
726.39
433.33
533.65
906.22
878.17
25.47
222.10
431.39
45.82
890.27
103.62
53.14
521.53
44.84
398.62
868.42
55.80
223.28
167.79
162.58
40.53
3,917.72
1,032.33

Pret cu amanuntul
maximal / U.T.

996.650000
178.571000
118.551000
5.166250
4.715000
4.501428
8.443214
6.402500
6.194285
6.590000
6.590000
9.030000
9.940000
22.510000
9.940000
12.940000
9.940000
25.080000
18.860000
14.580000
9.680000
12.530000
15.775000
10.060000
8.200000
5.624285
2.251428
2.384285
3.222857
2.731428
2.307142
3.222857
8.077142
4.230000
5.990000
3.222857
2.380000
2.797142
8.817142
2.552000
56.540000
36.319500
21.666500
53.365000
45.311000
87.817000
25.470000
22.210000
21.569500
45.820000
35.610800
103.620000
53.140000
20.861200
44.840000
39.862000
86.842000
55.800000
22.328000
167.790000
162.580000
40.530000
139.918571
36.868928

136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199

J02AC03
J02AC03
J02AC04
J02AC04

J02AX04
J02AX04
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB11
J05AB14

Denumire generica
VORICONAZOLUM**
VORICONAZOLUM**
POSACONAZOLUM**
POSACONAZOLUM**
CASPOFUNGINUM**
CASPOFUNGINUM**
ACICLOVIRUM
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**
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
L01AA01
L01AA03
L01AA06
L01AB01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01

CYCLOPHOSPHAMIDUM
CYCLOPHOSPHAMIDUM
MELPHALANUM
IFOSFAMIDUM
BUSULFANUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM

Denumire comerciala
VFEND 200mg
VFEND 40 mg/ml
NOXAFIL SP 40mg/ml
NOXAFIL SP 40mg/ml
CANCIDAS 50 mg
CANCIDAS 70 mg
ACICLOVIR FARMEX 200 mg
ACICLOVIR ARENA 200 mg
ACICLOVIR ARENA 200 mg
ACICLOVIR 200 mg
ACICLOVIR ARENA 400 mg
ACICLOVIR 200 mg
ACICLOVIR 200 mg
ACICLOVIR TERAPIA 200 mg
CLOVIRAL 200 mg
ACICLOVIR 200 mg
ACICLOVIR 400 mg
VIROLEX
VALTREX 500 mg
VALCYTE (R) 450 mg
HUMAGLOBIN
HUMAGLOBIN
OCTAGAM 10%
OCTAGAM 10%
OCTAGAM 10%
OCTAGAM 10%
PRIVIGEN 100mg/ml
PRIVIGEN 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
PRIVIGEN 100mg/ml
PRIVIGEN 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
ALKERAN 2 mg
HOLOXAN 1 g
MYLERAN

Forma
Concentr
farmaceuti
atie / U.T.
ca
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.
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.
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.

COMPR. FILM.
PULB. PT. SOL. PERF.

COMPR. FILM.

METHOTREXAT "EBEWE" 1000 mg

CONC. PT. SOL. INJ./PERF.

METHOTREXAT "EBEWE" 5000 mg

CONC. PT. SOL. INJ./PERF.

METHOTREXAT "EBEWE" 500 mg

CONC. PT. SOL. INJ./PERF.

METHOTREXAT "EBEWE" 5 mg SOL. INJ.


METOTREXAT EBEWE 10 mg/ml
METOTREXAT EBEWE 10 mg/ml
METOTREXAT EBEWE 10 mg/ml
METOTREXAT EBEWE 10 mg/ml

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

METOJECT 50mg/ml
METOJECT 50mg/ml
METOJECT 50mg/ml
METOJECT 50mg/ml

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

200mg
40mg/ml
40mg/ml
40mg/ml
50mg
70mg
200mg
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
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
2mg
1g
2mg
100mg/ml
100mg/ml
100mg/ml
5mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
50mg/ml
50mg/ml
50mg/ml
50mg/ml

Firma

Tara

Ambalaj

Prescriptie

Grupa
Nr.
terape
crt
utica

PFIZER LIMITED
PFIZER LIMITED

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

SP EUROPE

CUTIE X 1 FLAC. X 105ML SUSP. ORALA


BELGIA CUTIE X 1 FLAC. X 105ML SUSP. ORALA

MERCK SHARP & DOHME

MAREA BRITANIE

CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF.

MERCK SHARP & DOHME

MAREA BRITANIE

CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF.

FARMEX COMPANY S.R.L. ROMANIA

ARENA GROUP SA
ARENA GROUP SA
SLAVIA PHARM SRL
ARENA GROUP S.A.
LAROPHARM S.R.L.
EGIS PHARMACEUTICALS P.L.C.

TERAPIA SA
ANTIBIOTICE SA

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE CU 2 BLIST. PVC/AL X 10 CAPS.


CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
CUTIE X 100 BLIST. AL/PVC X 10 CAPS.
CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
CUTIE X 1 BLIST. AL/PVC X 10 CAPS.
CUTIE X 2 BLIST. X 10 COMPR.

P-RF/R
P-RF/R

S
S
P-RF
P-RF
P-RF/S

P-RF
P-RF
P-RF

UNGARIA CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF

GEDEON RICHTER ROMANIA SA

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR.

EGIS PHARMACEUTICALS P.L.C.

UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF

ROMANIA

P-RF

ROMANIA

P-RF
P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 5 FLAC. X 250 MG PULB. PT. SOL. INJ./PERF.

S/P-RF

MAREA BRITANIE
CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.
ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. X 60 COMPR. FILM.

P-RF

THE WELLCOME FOUNDATION LTD.

HUMAN BIOPLAZMA MANUFACTURING AND TRADING LTD.

UNGARIA

CUTIE X 1 CUTIE X 1 FLAC. CU PULB. + 1 CUTIE X 1 FLAC. SOLV. X 50 ML

HUMAN BIOPLAZMA MANUFACTURING AND TRADING LTD.

UNGARIA

CUTIE X 1 CUTIE X 1 FLAC. CU PULB. + 1 CUTIE X 1 FLAC. SOLV. X 100 ML

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


CSL BEHRING GMBH
BAXTER AG
BAXTER AG
BAXTER AG
CSL BEHRING GMBH
CSL BEHRING GMBH
BAXTER AG
BAXTER AG
BAXTER AG
KEDRION SPA
KEDRION SPA
KEDRION SPA
INSTITUTO GRIFOLS S.A.
INSTITUTO GRIFOLS S.A.
INSTITUTO GRIFOLS S.A.
INSTITUTO GRIFOLS S.A.

OCTAPHARMA (IP) LTD.


OCTAPHARMA (IP) LTD.
OCTAPHARMA (IP) LTD.

KEDRION SPA

GERMANIA
GERMANIA

CUTIE X 1 FLAC.X 200 ML SOL. PERF.


CUTIE X 1 FLAC.X 25 ML SOL. PERF.

AUSTRIA CUTIE X 1 FLAC X 10ML SOL. PERF.(1G/10ML)


AUSTRIA CUTIE X 1 FLAC X 50ML SOL. PERF.(5G/50ML)
AUSTRIA CUTIE X 1 FLAC X 100ML SOL. PERF.(10G/100ML)
GERMANIA
GERMANIA

CUTIE X 1 FLAC.X 50 ML SOL. PERF.


CUTIE X 1 FLAC.X 100 ML SOL. PERF.

AUSTRIA CUTIE X 1 FLAC X 200ML SOL. PERF.(20G/200ML)


AUSTRIA CUTIE X 1 FLAC X 25ML SOL. PERF.(2,5G/25ML)
AUSTRIA CUTIE X 1 FLAC X 300ML SOL. PERF.(30G/300ML)

ITALIA
ITALIA
ITALIA
SPANIA
SPANIA
SPANIA
SPANIA

MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE

ITALIA

BAXTER ONCOLOGY GMBH GERMANIA

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.

CUTIE X 1 FLACON X 100 ML


CUTIE X 1 FLACON X 50 ML
CUTIE X 1 FLACON X 200 ML
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. + 1 SET ADMINISTRARE

P-RF

CUTIE X 1 FLAC. DIN STICLA BRUNA X 25 COMPR. FILM.

P-RF

ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. PERF./INJ

THE WELLCOME FOUNDATION LTD.

MAREA BRITANIE

THE WELLCOME FOUNDATION LTD.

MAREA BRITANIE

S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S

CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ.

ACTAVIS S.R.L.

BAXTER ONCOLOGY GMBH GERMANIA

P-RF

CUTIE X 1 FLAC. CU PULB. PT. SOL. PERF. S


CUTIE X 1 FLAC. DIN STICLA BRUNA X 25 COMPR. FILM.

P-RF

CUTIE X 1 TUB DIN MATERIAL PLASTIC X 1 FIOLA X 10 ML

S
S
S
S
PR
PR
PR
PR

EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,50ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL

P-RF

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,40ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL

P-RF

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

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

EBEWE PHARMA GMBH NFG. KG


EBEWE PHARMA GMBH NFG. KG
EBEWE PHARMA GMBH NFG. KG
EBEWE PHARMA GMBH NFG. KG
EBEWE PHARMA GES.M.B.H. NFG KG
EBEWE PHARMA GES.M.B.H. NFG KG
EBEWE PHARMA GES.M.B.H. NFG KG

CUTIE X 1 FLACON X 50 ML
CUTIE X 5 FIOLE X 5 ML
CUTIE X 10 FIOLE X 1 ML
CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 0,75 ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJ
CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 1,0 ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJE
CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 1,5 ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJE
CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 2,0 ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJE

Pagina 30 din 96

cant/a
mbala
j

1
1
1
1
1
1
20
20
1000
20
10
20
20
20
20
20
10
5
10
60
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
50
1
25
1
25
1
1
5
10
1
1
1
1
1
1
1
1

Pret cu
ridicata
maximal /
ambalaj

458.07
2,203.52
2,488.19
2,488.19
1,202.39
1,560.14
15.85
15.85
704.14
14.97
14.41
9.62
10.22
12.69
12.16
12.75
14.23
231.79
43.54
4,863.09
451.00
872.00
3,072.10
6,114.44
663.61
1,550.55
3,473.78
460.47
188.56
889.76
1,749.51
890.95
1,751.89
3,469.04
459.88
7,459.41
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
70.91
332.72
197.47
17.62
45.60
62.22
87.07
100.34
101.74
86.63
59.16
62.22

Pret cu ridicata
maximal / U.T.

458.070000
2,203.520000
2,488.190000
2,488.190000
1,202.390000
1,560.140000
0.792500
0.792500
0.704140
0.748500
1.441000
0.481000
0.511000
0.634500
0.608000
0.637500
1.423000
46.358000
4.354000
81.051500
451.000000
872.000000
3,072.100000
6,114.440000
663.610000
1,550.550000
3,473.780000
460.470000
188.560000
889.760000
1,749.510000
890.950000
1,751.890000
3,469.040000
459.880000
7,459.410000
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
70.910000
332.720000
39.494000
1.762000
45.600000
62.220000
87.070000
100.340000
101.740000
86.630000
59.160000
62.220000

Pret cu ridicata
maximal de
decontare / U.T.

458.070000
2,203.520000
2,488.190000
2,488.190000
1,202.390000
1,560.140000
0.577200
0.577200
0.577200
0.577200
1.441000
0.481000
0.511000
0.577200
0.577200
0.577200
1.423000
46.358000
4.354000
81.051500
451.000000
872.000000
3,072.100000
6,114.440000
663.610000
1,550.550000
3,473.780000
460.470000
188.560000
889.760000
1,749.510000
890.950000
1,751.890000
3,469.040000
459.880000
7,459.410000
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
70.910000
332.720000
39.494000
1.762000
45.600000
62.220000
87.070000
100.340000
101.740000
86.630000
54.720000
62.220000

Pret cu
amanuntul
maximal /
ambalaj

537.45
2,439.99
2,750.28
2,750.28
1,348.76
1,738.70
21.42
21.42
805.66
20.23
19.48
13.00
13.81
17.15
16.44
17.23
19.23
282.97
56.95
5,338.93
529.74
988.63
3,386.74
6,702.89
761.48
1,728.25
3,824.57
540.07
230.20
1,007.99
1,945.12
1,009.28
1,947.71
3,819.40
539.42
8,168.91
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
89.66
400.81
241.07
23.82
59.64
78.67
110.09
122.50
124.21
109.54
74.80
78.67

Pret cu amanuntul
maximal / U.T.

537.450000
2,439.990000
2,750.280000
2,750.280000
1,348.760000
1,738.700000
1.071000
1.071000
0.805660
1.011500
1.948000
0.650000
0.690500
0.857500
0.822000
0.861500
1.923000
56.594000
5.695000
88.982166
529.740000
988.630000
3,386.740000
6,702.890000
761.480000
1,728.250000
3,824.570000
540.070000
230.200000
1,007.990000
1,945.120000
1,009.280000
1,947.710000
3,819.400000
539.420000
8,168.910000
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
89.660000
400.810000
48.214000
2.382000
59.640000
78.670000
110.090000
122.500000
124.210000
109.540000
74.800000
78.670000

200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263

L01BA01
L01BB05
L01BB05
L01BB05
L01CB01
L01CB01
L01CB01
L01CB01
L01CB01
L01CB01
L01DB06
L01DB06
L01DB07
L01XA01
L01XA01
L01XA01
L01XA01
L01XA01
L01XA01
L01XA01
L01XA01
L01XA02
L01XA02
L01XA02
L01XA02
L01XA02
L01XA02
L01XA02
L01XA02
L01XC02
L01XC02
L01XC04
L01XC04
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA10
L04AB01
L04AB01
L04AB01
L04AB01
L04AB01
L04AB01

Denumire generica
METHOTREXATUM
FLUDARABINUM
FLUDARABINUM
FLUDARABINUM
ETOPOSIDUM
ETOPOSIDUM
ETOPOSIDUM
ETOPOSIDUM
ETOPOSIDUM
ETOPOSIDUM
IDARUBICINUM
IDARUBICINUM
MITOXANTRONUM**
CISPLATINUM
CISPLATINUM
CISPLATINUM
CISPLATINUM
CISPLATINUM
CISPLATINUM
CISPLATINUM
CISPLATINUM
CARBOPLATINUM
CARBOPLATINUM
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**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
SIROLIMUS**
ETANERCEPTUM**
ETANERCEPTUM**
ETANERCEPTUM**
ETANERCEPTUM**
ETANERCEPTUM**
ETANERCEPTUM**

Denumire comerciala

Forma
Concentr
farmaceuti
atie / U.T.
ca

METHOTREXAT "EBEWE" 50 mg SOL. INJ./PERF. 10mg/ml

FLUDARA ORAL 10 mg
FLUDARA

10mg
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
ETOPOSID "EBEWE" 100 mg/5 ml

SINTOPOZID 100 mg/5 ml


ETOPOSIDE - TEVA
ETOPOSIDE - TEVA
ZAVEDOS
ZAVEDOS 5 mg
ONKOTRONE

CISPLATIN "EBEWE" 10 mg/20 ml

SINPLATIN 1 mg/1 ml
SINPLATIN 1 mg/1 ml

CISPLATINA ACCORD 1 mg/ml


CISPLATINA ACCORD 1 mg/ml
CISPLATINA ACCORD 1 mg/ml

COMPR. FILM.

CONC. PT. SOL. PERF.


CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.
CONC. PT. SOL. PERF.

CAPS.
PULB. PT. SOL. INJ.
CONC. PT. SOL. INJ.
CONC. PT. SOL. PERF.

BRISTOL MYERS SQUIBB KFT UNGARIA

20mg/ml
20mg/ml
10mg
5mg
2mg/ml

10mg/20ml

TEVA PHARMACEUTICALS S.R.L.


TEVA PHARMACEUTICALS S.R.L.

ROMANIA

PFIZER EUROPE MA EEIG

MAREA BRITANIE

PFIZER EUROPE MA EEIG

MAREA BRITANIE

BAXTER ONCOLOGY GMBH GERMANIA


EBEWE PHARMA GMBH NFG. KG

AUSTRIA

ACCORD HEALTHCARE LIMITED

MAREA BRITANIE

25mg/50ml

EBEWE PHARMA GMBH NFG. KG

CONC. PT. SOL. PERF.

50mg/100ml

EBEWE PHARMA GMBH NFG. KG

CONC. PT. SOL. PERF.

CARBOPLATIN ACTAVIS 10mg/ml


CARBOPLATIN ACTAVIS 10mg/ml

CONC. PT. SOL. PERF.

CARBOPLATIN TEVA 10mg/ml

CONC. PT. SOL. PERF.

CARBOPLATIN ACTAVIS 10mg/ml

CONC. PT. SOL. PERF.

CONC. PT. SOL. PERF.

MABTHERA 100 mg
CONC. PT. SOL. PERF.
MABTHERA 500 mg
CONC. PT. SOL. PERF.
MABCAMPATH 10 mg/ml
CONC. PT. SOL. PERF.
MABCAMPATH 30 mg/ml
CONC. PT. SOL. PERF.
NEUPOGEN (R)
SOL. INJ.
NEUPOGEN (R)
SOL. INJ.
ZARZIO 30MU/0,5ml
ZARZIO 48MU/0,5ml
NIVESTIM 12 MU/0,2ml
SOL. INJ./PERF.
TEVAGRASTIM 30MUI/0,5ml SOL. INJ./PERF.
NIVESTIM 30 MU/0,5 ml
SOL. INJ./PERF.
TEVAGRASTIM 48MUI/0,8ml SOL. INJ./PERF.
NIVESTIM 48 MU/0,5 ml
SOL. INJ./PERF.
CELLCEPT 250mg
CAPS.
SOL. INJ. /PERF. IN SERINGA PREUMPLUTA

SOL. INJ. /PERF. IN SERINGA PREUMPLUTA

COMPR. FILM.
COMPR. FILM.
COMPR. FILM. GASTROREZ.
COMPR. FILM. GASTROREZ.

CAPS.
CAPS.
CAPS.
COMPR.

SUPREPHEN 250 mg

COMPR. FILM.

MICOFENOLAT MOFETIL TERAPIA 500 mg

COMPR. FILM.

MYFENAX 500mg

COMPR. FILM.

MYCOFENOLAT MOFETIL ACTAVIS 500 mg

COMPR. FILM.

MICOFENOLAT MOFETIL DR. REDDY'S 500 mg

COMPR. FILM.

SUPREPHEN 500 mg
RAPAMUNE 1mg
ENBREL 50 mg
ENBREL 25mg
ENBREL DE UZ PEDIATRIC
ENBREL 25mg
ENBREL 50mg
ENBREL 50mg

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

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

10mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
30mg/ml

ROMANIA

EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRIA
AUSTRIA
AUSTRIA

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

EBEWE PHARMA GES.M.B.H. NFG KG


EBEWE PHARMA GES.M.B.H. NFG KG

ACTAVIS S.R.L.
ACTAVIS S.R.L.
TEVA PHARMACEUTICALS S.R.L.

AUSTRIA
AUSTRIA
ROMANIA
ROMANIA
ROMANIA

ACTAVIS S.R.L.

ROMANIA

ROCHE REGISTRATION LTD.

MAREA BRITANIE

ROCHE REGISTRATION LTD.

MAREA BRITANIE

GENZYME EUROPE BV OLANDA


GENZYME EUROPE BV OLANDA
30MU/0,5ml AMGEN EUROPE B.V. OLANDA
48MU/0,5ml AMGEN EUROPE B.V. OLANDA
60MU/ml SANDOZ GMBH
AUSTRIA
96MU/ml SANDOZ GMBH
AUSTRIA
120g/0,2ml HOSPIRA UK LIMITED MAREA BRITANIE
300mcg/0,5ml TEVA GENERICS GMBH GERMANIA
300g/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE
480mcg/0,8ml TEVA GENERICS GMBH GERMANIA
480g/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE

250mg
500mg
500mg
180mg
360mg
250 mg
250mg
250mg
500mg
250mg
500 mg
500mg
500mg
500mg
500mg
1mg
50mg
25mg
25mg
25mg
50mg
50mg

ROCHE REGISTRATION LTD.

S
CUTIE X 1 FLAC. X 10 ML CONC. PT. SOL. PERF. S
CUTIE X 1 FLAC. X 1 CAPS.
P-RF
CUTIE X 1 FLAC. DIN STICLA INCOLORA CU LIOF. PT. SOL. INJ. S
CUTIE X 1 FLACON X 10 ML CONC. PT. SOL. INJ. S
CUTIE X 1 FLACON X 20 ML CONC. PT. SOL. PERF. S
CUTIE X 1 FLAC. X 50 ML X 50 MG CONC. SOL. PERF. S
CUTIE X 1 FLAC. X 10 ML X 10 MG CONC. SOL. PERF. S
CUTIE CU 1 FLAC. DE 10 ML DIN STICLA BRUNA CU CONC. PT. SOL. PERF.
S
CUTIE CU 1 FLAC. DE 30 ML DIN STICLA BRUNA CU CONC. PT. SOL. PERF.
S
CUTIE CU 1 FLAC. DE 50 ML DIN STICLA BRUNA CU CONC. PT. SOL. PERF.
S
CUTIE X 1 FLACON X 50 ML COND. PT. SOL. PERF. S
CUTIE X 1 FLACON X 100 ML CONC. PT. SOL. PERF. S
CUTIE X 1 FLACON DIN STICLA X 15 ML CONC. PT. SOL. PERF. S
CUTIE X 1 FLAC. DIN STICLA BRUNA X 45 ML CONC. PT. SOL. PERF. S
CUTIE X 1 FLACON DIN STICLA X 45 ML CONC. PT. SOL. PERF. S
CUTIE X 1 FLACON DIN STICLA X 5 ML CONC. PT. SOL. PERF. S
CUTIE X 1 FLACON DIN STICLA INCOLORA X 45 ML CONC. PT. SOL. PERF.
S
CUTIE X 1 FLACON DIN STICLA INCOLORA X 15 ML CONC. PT. SOL. PERF.
S
CUTIE X 1 FLAC. DIN STICLA BRUNA X 15 ML CONC. PT. SOL. PERF. S
CUTIE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. S
CUTIE X 2 FLACOANE X 10 ML
S
CUTIE X 1 FLACON X 50 ML(500MG RITUXIMAB IN 50ML- 10MG/ML) S
CUTIE X 3 FIOLE X 3 ML CONCENTRAT INTR-O FIOLA DE 5ML S
CUTIE X 3 FLACOANE X 1 ML CONCENTRAT INTR-UN FLACON DE 2ML S

ROMANIA CUTIE X 1 FLAC. X 5 ML CONC. PT. SOL. PERF.

CONC. PT. SOL. PERF.

CONC. PT. SOL. PERF.

CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 5ML) CU PULB. PT. SOL. INJ/PERF CONTINAND 50MG FLUDA

100mg/5ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 5 ML


S
100mg/5ml ACTAVIS S.R.L.
ROMANIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. S

CONC. PT. SOL. PERF.

CARBOPLATIN "EBEWE" 10 mg/ml

MYFENAX 250mg

BRISTOL MYERS SQUIBB KFT UNGARIA

MAREA BRITANIE

CARBOPLATIN "EBEWE" 10 mg/ml

MICOFENOLAT MOFETIL SANDOZ 500 mg

ROMANIA

ACCORD HEALTHCARE LIMITED

CONC. PT. SOL. PERF.

MICOFENOLAT MOFETIL DR. REDDY'S 250 mg

ACTAVIS S.R.L.

GENZYME EUROPE B.V. OLANDA CUTIE X 5 FLAC. CU LIOF. PT. SOL. INJ./PERF. S

MAREA BRITANIE

CONC. PT. SOL. PERF.

S
P-RF/S

ACCORD HEALTHCARE LIMITED

CONC. PT. SOL. PERF.

CONC. PT. SOL. PERF.

MYCOPHENOLATE MOFETIL ACCORD 250 mg

AUSTRIA CUTIE X 1 FLACON X 5 ML

ROMANIA

CONC. PT. SOL. PERF.

Ambalaj

GENZYME EUROPE B.V. OLANDA CUTIE X 1 FLAC. DIN PE X 4 BLIST. AL/AL X 5 COMPR. FILM.

ACTAVIS S.R.L.
ACTAVIS S.R.L.

CARBOPLATIN TEVA 10mg/ml

CELLCEPT 500mg
MYFORTIC 180 mg
MYFORTIC 360 mg

EBEWE PHARMA GMBH NFG. KG

Tara

1mg/1ml
1mg/1ml
1mg/ml
1mg/ml
1mg/ml

CONC. PT. SOL. PERF.

CISPLATIN "EBEWE" 25 mg/50 ml


CISPLATIN "EBEWE" 50 mg/100 ml
CARBOPLATIN "EBEWE" 10 mg/ml

MYCOPHENOLATE MOFETIL MEDICO UNO 500 MG

Firma

Prescriptie

Grupa
Nr.
terape
crt
utica

MAREA BRITANIE

CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML


CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML
CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL
CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL

S/P-RF
S/P-RF
P-RF/R
P-RF/R

CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,2ML SOL. INJ. SAU PERF.

P-RF

CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF.

S/P-RF/R

CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF.

P-RF

CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF.

S/P-RF/R

CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF.

P-RF

CUTIE X 10 BLIST. X 10 CAPS.

MEDICO UNO PHARMA KFT. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

P-RF/R
P-RF/R

CUTIE X 5 BLIST. X 10 COMPR. FILM.

P-RF/R

NOVARTIS PHARMA GMBH GERMANIA

CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ.

S/P-RF

NOVARTIS PHARMA GMBH GERMANIA

CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ.

S/P-RF

ROCHE REGISTRATION LTD.

MAREA BRITANIE

PR

DR. REDDY'S LABORATORIES

ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 100 CAPS.

ACCORD HEALTHCARE LIMITED

MAREA BRITANIE

TEVA PHARMA BV
SANDOZ S.R.L.

OLANDA CUTIE X BLIST. PVC/PVDC/AL X 100 CAPS.

P-RF/R

ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 50 COMPR. FILM.

P-RF

CUTIE CU BLIST. PVC-PVDC/AL CU 100 CAPS.

P-RF/R

ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 10 BLIST. PVC-PCTFE-PE/AL X 10 COMPR. FILM. PRF

TERAPIA S.A.
TEVA PHARMA BV

ROMANIA CUTIE CU 1 BLIST. DIN AL-PA-PVC/AL X 50 COMPR. FILM.

DR. REDDY'S LABORATORIES

ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

OLANDA CUTIE X BLIST. PVC/PVDC/AL X 50 COMPR. FILM.


ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

PR
P-RF/R
P-RF/R

P-RF

ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 5 BLIST. PVC-PCTFE-PE/AL X 10 COMPR. FILM. PRF

WYETH EUROPA LTD.

MAREA BRITANIE

CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR)

P-RF/R

WYETH EUROPA LIMITED

MAREA BRITANIE

CUTIE X 4 FLAC. PULB. PT. SOL. INJ. + 4 SERINGI PREUMPLUTE CU SOLVENT + 4 ADAPTOARE PT. FLAC. + 8 TA

P-RF/R

WYETH EUROPA LIMITED

MAREA BRITANIE

CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 TAMPOANE CU ALCOOL

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 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

Pagina 31 din 96

cant/a
mbala
j

1
20
5
1
10
20
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
2
1
3
3
1
1
1
1
5
1
5
1
5
100
50
50
120
120
100
100
100
50
100
50
50
50
50
50
30
4
4
4
4
4
4

Pret cu
ridicata
maximal /
ambalaj

9.86
1,494.08
1,252.62
340.13
311.36
308.57
39.04
32.83
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
62.52
132.81
178.07
21.86
133.04
50.00
47.45
18.05
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
292.89
452.86
557.65
1,041.93
291.62
292.89
302.31
227.17
291.62
302.36
302.31
272.59
272.59
227.17
489.29
4,153.67
2,052.34
2,047.58
2,047.58
4,065.15
4,065.15

Pret cu ridicata
maximal / U.T.

9.860000
74.704000
250.524000
340.130000
31.136000
15.428500
39.040000
32.830000
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
62.520000
132.810000
178.070000
21.860000
133.040000
50.000000
47.450000
18.050000
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
5.857800
9.057200
4.647083
8.682750
2.916200
2.928900
3.023100
4.543400
2.916200
6.047200
6.046200
5.451800
5.451800
4.543400
16.309666
1,038.417500
513.085000
511.895000
511.895000
1,016.287500
1,016.287500

Pret cu ridicata
maximal de
decontare / U.T.

9.860000
74.704000
250.524000
300.628800
31.136000
15.428500
38.352000
32.830000
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
56.940000
132.810000
159.372000
21.660000
133.040000
50.000000
47.450000
18.050000
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
2.928900
3.023100
4.543400
2.916200
5.452080
5.452080
5.451800
5.451800
4.543400
16.309666
1,038.417500
513.085000
511.895000
511.895000
1,016.287500
1,016.287500

Pret cu
amanuntul
maximal /
ambalaj

13.33
1,666.70
1,403.51
408.89
377.53
374.49
51.07
42.94
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
79.05
162.14
217.39
29.55
162.41
63.22
62.06
24.39
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
357.56
531.77
645.99
1,173.85
356.01
357.56
367.67
277.33
356.01
367.72
367.67
332.78
332.78
277.33
571.48
4,565.66
2,275.20
2,270.01
2,270.01
4,469.17
4,469.17

Pret cu amanuntul
maximal / U.T.

13.330000
83.335000
280.702000
408.890000
37.753000
18.724500
51.070000
42.940000
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
79.050000
162.140000
217.390000
29.550000
162.410000
63.220000
62.060000
24.390000
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
7.151200
10.635400
5.383250
9.782083
3.560100
3.575600
3.676700
5.546600
3.560100
7.354400
7.353400
6.655600
6.655600
5.546600
19.049333
1,141.415000
568.800000
567.502500
567.502500
1,117.292500
1,117.292500

264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327

L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02

Denumire generica
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM

Denumire comerciala
EQUORAL (R) 100 mg
CICLORAL 25 mg
SANDIMMUN NEORAL (R)
EQUORAL (R) 25 mg
CICLORAL 50 mg
SANDIMMUN NEORAL (R)
EQUORAL (R) 50 mg
EQUORAL (R)
TACNI 0,5 mg
TACROLIMUSUM ACCORD 0,5 mg

PROGRAF (R) 0,5 mg

TACROLIMUS SANDOZ 0,5 mg

TACNI 1 mg

TACROLIMUSUM ACCORD 1 mg

Forma
Concentr
farmaceuti
atie / U.T.
ca
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI

100mg
25mg
25mg
25mg
50mg
50mg
50mg
SOL. ORALA 100mg/ml
CAPS.
0,5 mg
CAPS.
0,5mg
CAPS.
0,5mg
CAPS.
0,5mg
CAPS.
1 mg
CAPS.
1mg
CAPS.
1mg
CAPS.
1mg
CAPS.
5 mg
CAPS.
5mg
CAPS. ELIB. PREL. 0,5mg
CAPS. ELIB. PREL. 1mg
CAPS. ELIB. PREL. 5mg
CONC. PT. SOL. PERF. 5mg/ml
CAPS.
50mg
CAPS.
50mg
CAPS.
50mg
CAPS.
50mg
CAPS.
50mg
CAPS.
50mg
CAPS.
50mg
CAPS.
50mg
CAPS.
50mg
CAPS.
50mg
CAPS. 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

PROGRAF (R) 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
TRALGIT 50
TRAMADOL LPH 50 mg
K-ALMA (R)
TRAMADOL ARENA
TRAMADOL AL 50
TRAMADOL AL 50
MABRON 50 mg
TRAMACALM
URGENDOL
TRAMADOL
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 50 mg
TRAMADOL EEL
TRAMADOLOR (R) 100 ID
TRAMADOL (R) RETARD
TRALGIT SR 100
TRALGIT SR 100
TRALGIT SR 100
TRALGIT SR 150
TRALGIT SR 150
TRALGIT SR 200
TRADOLAN 50 mg
TRAMAL RETARD 100 mg
TRAMAL RETARD 150 mg
TRAMADOL RETARD 150 mg
TRAMAL RETARD 200 mg
TRAMADOL RETARD 200 mg
TRAMADOL AL PICATURI
PIC. ORALE, SOL. FARA CONCENTRATIE
MABRON
SOL. INJ.
100mg
MABRON
SOL. INJ.
100mg

Firma

IVAX - PHARMACEUTICALS S.R.O.

HEXAL AG

Tara
CEHIA
GERMANIA

NOVARTIS PHARMA GMBH GERMANIA


IVAX - PHARMACEUTICALS S.R.O.

HEXAL AG

CEHIA
GERMANIA

NOVARTIS PHARMA GMBH GERMANIA

Ambalaj

Prescriptie

Grupa
Nr.
terape
crt
utica

CUTIE X 5 BLIST. X 10 CAPS. MOI


CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI
CUTIE X 10 BLIST. X 5 CAPS. MOI
CUTIE X 5 BLIST. X 10 CAPS. MOI
CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI
CUTIE X 10 BLIST. X 5 CAPS. MOI
CUTIE X 5 BLIST. X 10 CAPS. MOI

S/P-RF

S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF

IVAX - PHARMACEUTICALS S.R.O.

CEHIA
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

ACCORD HEALTHCARE LIMITED

MAREA BRITANIE

CUTIE CU BLIST. AL/AL X 50 CAPS.

PR

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

IVAX - PHARMACEUTICALS S.R.O.

SANDOZ S.R.L.

ROMANIA

CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS.

S/P-RF

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI AL A CATE 10 CAPSULE

PRF

ACCORD HEALTHCARE LIMITED

MAREA BRITANIE

CUTIE CU BLIST. AL/AL X 50 CAPS.

PR

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
S/P-RF

SANDOZ S.R.L.

ROMANIA

CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS.

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI AL A CATE 10 CAPS.

PRF

ASTELLAS PHARMA EUROPE BV

OLANDA

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)

P-RF/R

OLANDA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)

P-RF/R

ASTELLAS PHARMA EUROPE BV

ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)
ASTELLAS PHARMA EUROPE BV

ZENTIVA A.S.

P-RF/R

OLANDA CUTIE X 10 FIOLE X 1 ML

SLOVACIA

P-RF

LABORMED PHARMA SA ROMANIA

ANTIBIOTICE SA
ROMANIA
ARENA GROUP S.A. ROMANIA
ALIUD PHARMA GMBH & CO.KG

GERMANIA

ALIUD PHARMA GMBH & CO.KG

GERMANIA

MEDOCHEMIE LTD. CIPRU


AC HELCOR SRL
ROMANIA
MEDICAROM GROUP SRL ROMANIA

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.


CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
CUTIE X 3 BLIST. X 10 CAPS.
CUTIE X 1 BLIST. X 10 CAPS.
CUTIE X 1 BLIST. AL/PVC X 10 CAPS.
CUTIE X 1 BLIST. PVC/AL X 10 CAPS.
CUTIE X 1 BLIST. X 10 CAPS.
CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

KRKA D.D.
SLOVENIA
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 20 CAPS. CU ELIB. PREL.
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 30 CAPS. CU ELIB. PREL.
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 50 CAPS. CU ELIB. PREL.
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL.
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL.
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 20 CAPS. CU ELIB. PREL.
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 30 CAPS. CU ELIB. PREL.
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 50 CAPS. CU ELIB. PREL.
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL.
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 20 CAPS. CU ELIB. PREL.
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 30 CAPS. CU ELIB. PREL.
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 50 CAPS. CU ELIB. PREL.
MAGISTRA C & C
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
BIO EEL SRL
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
HEXAL AG
GERMANIA CUTIE X 1 BLIST. X 10 COMPR. ELIB. MODIF.
KRKA D.D.
SLOVENIA CUTIE X 3 BLIST. X 10 COMPR. ELIB. PREL.
ZENTIVA AS
SLOVACIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. ELIB. PREL.
ZENTIVA AS
SLOVACIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. ELIB. PREL.
ZENTIVA AS
SLOVACIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL.
ZENTIVA AS
SLOVACIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL.
ZENTIVA AS
SLOVACIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. ELIB. PREL.
ZENTIVA AS
SLOVACIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. ELIB. PREL.
LANNACHER HEILMITTEL GES.M.B.H.

AUSTRIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.FILM.

GRUNENTHAL GMBH
GRUNENTHAL GMBH

GERMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR.FILM. CU ELIB. PREL.

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF/S

P-RF
P-RF
P-RF
P-RF
P-RF/S

P-RF
P-RF
P-RF
P-RF/S

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

GERMANIA CUTIE X 1 BLIST. AL/PVDC X 10 COMPR. FILM. CU ELIB. PREL. P-RF


P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-RF

GRUNENTHAL GMBH

GERMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR.FILM. ELIB. PREL.

P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-RF

ALIUD PHARMA GMBH

GERMANIA CUTIE X 1 FLACON DIN STICLA BRUNA X 10 ML PIC. ORALE, SOL.

MEDOCHEMIE LTD. CIPRU


MEDOCHEMIE LTD. CIPRU

P-RF

CUTIE X 5 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.

S/P-RF

CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.

S/P-RF

Pagina 32 din 96

cant/a
mbala
j

50
50
50
50
50
50
50
1
50
50
50
50
50
50
50
50
50
50
50
50
50
10
20
20
20
20
30
10
10
10
10
20
20
30
50
10
10
20
30
50
10
20
30
50
20
20
20
10
30
50
10
30
30
10
10
30
10
10
30
10
30
1
5
100

Pret cu
ridicata
maximal /
ambalaj

397.39
112.61
112.48
74.45
250.01
239.32
155.55
358.02
133.49
133.49
205.39
133.49
238.62
238.62
363.74
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
8.53
2.85
2.85
2.85
2.83
4.31
24.79
36.23
56.65
12.86
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
24.84
15.57
20.35
7.88
7.17
16.30
31.78
20.85
40.67
3.73
7.27
110.22

Pret cu ridicata
maximal / U.T.

7.947800
2.252200
2.249600
1.489000
5.000200
4.786400
3.111000
358.020000
2.669800
2.669800
4.107800
2.669800
4.772400
4.772400
7.274800
4.772400
22.293000
34.303600
4.098400
8.050600
37.311600
154.519000
0.215500
0.283500
0.283500
0.333000
0.284333
0.285000
0.285000
0.285000
0.283000
0.215500
1.239500
1.207666
1.133000
1.286000
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
0.828000
1.557000
2.035000
0.262666
0.717000
1.630000
1.059333
2.085000
1.355666
3.730000
1.454000
1.102200

Pret cu ridicata
maximal de
decontare / U.T.

7.947800
1.786800
1.786800
1.489000
3.733200
3.733200
3.111000
358.020000
2.669800
2.669800
3.203760
2.669800
4.772400
4.772400
5.726880
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
0.258600
0.215500
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
0.828000
0.993600
1.626799
0.258600
0.559200
0.993600
0.993600
1.626799
1.355666
3.730000
1.322640
1.102200

Pret cu
amanuntul
maximal /
ambalaj

471.31
137.48
137.32
94.13
305.21
292.16
189.90
428.39
162.97
162.97
250.74
162.97
291.31
291.31
434.63
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
11.53
3.85
3.85
3.85
3.82
5.82
33.50
47.39
71.63
17.38
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
33.57
21.05
27.50
10.65
9.69
22.03
41.57
28.18
53.20
5.04
9.83
134.56

Pret cu amanuntul
maximal / U.T.

9.426200
2.749600
2.746400
1.882600
6.104200
5.843200
3.798000
428.390000
3.259400
3.259400
5.014800
3.259400
5.826200
5.826200
8.692600
5.826200
25.062400
38.154000
5.003400
9.538200
41.432600
172.241000
0.291000
0.383500
0.383500
0.450000
0.384333
0.385000
0.385000
0.385000
0.382000
0.291000
1.675000
1.579666
1.432600
1.738000
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
1.119000
2.105000
2.750000
0.355000
0.969000
2.203000
1.385666
2.818000
1.773333
5.040000
1.966000
1.345600

328
329
330
331
332
333
334
335
336
337
338

N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
R05CB13

V03AC03
V03AC03
V03AC03

V03AF01

Denumire generica
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
DORNAZA ALFA**
DEFERASIROXUM**
DEFERASIROXUM**
DEFERASIROXUM**
MESNUM

Denumire comerciala
TRALGIT 100
TRAMADOL
URGENDOL
URGENDOL
TRAMADOL
TRAMADOL
PULMOZYME
EXJADE 125mg
EXJADE 250mg
EXJADE 500mg
UROMITEXAN (R) 400 mg

Forma
Concentr
farmaceuti
atie / U.T.
ca
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SUPOZ.
SOL. INHAL.
COMPR. DISP.
COMPR. DISP.
COMPR. DISP.

SOL. INJ.

Firma

100mg/2ml ZENTIVA A.S.

50mg/ml
50mg/ml
50mg/ml
50mg/ml
100mg
1mg/ml
125mg
250mg
500mg

400mg/4ml

KRKA D.D.

MEDICAROM GROUP SRL


MEDICAROM GROUP SRL

KRKA D.D.
KRKA D.D.

Tara

Ambalaj

CUTIE X 5 FIOLE X 2 ML SOL. INJ.


CUTIE X 5 FIOLE X 1 ML
ROMANIA CUTIE X 5 FIOLE X 1 ML
ROMANIA CUTIE X 5 FIOLE X 2 ML
SLOVENIA CUTIE X 5 FIOLE X 2 ML
SLOVENIA CUTIE X 1 BLIST. X 5 SUPOZ.

Prescriptie

Grupa
Nr.
terape
crt
utica

SLOVACIA

S/P-RF

SLOVENIA

S/P-RF
S/P-RF
S/P-RF
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

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

BAXTER ONCOLOGY GMBH GERMANIA

CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL)


CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL)

P-RF/R
P-RF/R

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

CUTIE X 1 BLIST X 5 SERINGI PREUMPLUTE UNIDOZA X 0,60 ML

S/P-RF

cant/a
mbala
j

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

Pret cu ridicata
maximal de
decontare / U.T.

Pret cu
amanuntul
maximal /
ambalaj

Pret cu amanuntul
maximal / U.T.

5
5
5
5
5
5
6
28
28
28
15

9.09
3.65
3.63
5.67
9.69
4.13
551.59
687.54
1,461.36
2,660.12
44.87

1.818000
0.730000
0.726000
1.134000
1.938000
0.826000
91.931666
24.555000
52.191428
95.004285
2.991333

1.322640
0.730000
0.726000
1.134000
1.322640
0.826000
91.931666
24.555000
52.191428
95.004285
2.991333

12.28
4.93
4.90
7.67
13.10
5.58
639.38
787.57
1,631.03
2,937.68
58.69

2.456000
0.986000
0.980000
1.534000
2.620000
1.116000
106.563333
28.127500
58.251071
104.917142
3.912666

10
5
100
12
12
1
12
1
5
10
1
5
1
1
1
10
12
10
1
1
5
1
1
1
12
12
10
10
1
1
1
1
5
10
5
10
5
10
25
10
10
1
10
10
16
2
7
28

66.80
80.20
113.56
692.90
401.14
22.93
265.41
20.32
99.83
196.11
40.65
196.11
22.93
22.93
22.93
386.57
265.28
389.01
40.94
40.93
197.45
40.93
40.93
40.93
460.81
460.81
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
1,603.26
1,052.62
65.37
6.98
23.31
193.65

6.680000
16.040000
1.135600
57.741666
33.428333
22.930000
22.117500
20.320000
19.966000
19.611000
40.650000
39.222000
22.930000
22.930000
22.930000
38.657000
22.106666
38.901000
40.940000
40.930000
39.490000
40.930000
40.930000
40.930000
38.400833
38.400833
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
160.326000
105.262000
4.085625
3.490000
3.330000
6.916071

6.680000
16.040000
1.135600
46.081000
23.533200
22.930000
22.117500
20.320000
19.966000
19.611000
23.533200
23.533200
22.930000
22.930000
22.930000
23.533200
22.106666
38.901000
40.940000
40.930000
39.490000
40.930000
40.930000
40.930000
38.400833
38.400833
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
126.314400
105.262000
3.996000
3.490000
3.330000
3.996000

84.46
101.41
138.64
793.41
475.39
30.99
324.01
27.47
126.23
239.41
53.17
239.41
30.99
30.99
30.99
459.51
323.86
462.17
53.55
53.53
241.05
53.53
53.53
53.53
540.43
540.43
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
1,785.71
1,185.51
82.66
9.43
31.51
236.41

8.446000
20.282000
1.386400
66.117500
39.615833
30.990000
27.000833
27.470000
25.246000
23.941000
53.170000
47.882000
30.990000
30.990000
30.990000
45.951000
26.988333
46.217000
53.550000
53.530000
48.210000
53.530000
53.530000
53.530000
45.035833
45.035833
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
178.571000
118.551000
5.166250
4.715000
4.501428
8.443214

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
44
45
46
47
48

B01AB08
B01AB08
C01CA24

J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01DD12
J01DD12
J01DD12
J01DD12
J01DD12
J01DD12
J01DH51
J01DH51
J01DH51
J01DH51
J01DH51
J01DH51
J01DH51
J01DH51

J01XX08
J01XX08
J01XX08
J01XX08
J02AC01
J02AC01
J02AC01
J02AC01

REVIPARINUM
REVIPARINUM
EPINEPHRINUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
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
LINEZOLIDUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM

CLIVARIN (R) 1432UI/0,25 ml SOL. INJ.


1432ui/0,25ml
CLIVARIN (R) 3436 UI/0,6 ml SOL. INJ.
3436ui/0,6ml
ADRENALINA 1 mg
SOL. INJ.
1mg/ml
TAZOCIN 4,5
LIOF. PT. SOL. INJ. FARA CONCENTRATIE
TAZOCIN 2,25
LIOF. PT. SOL. INJ. FARA CONCENTRATIE
ZOPECILIN 2 g/0,25 g
PULB. PT. SOL. INJ./PERF. 2g/0,25g
ZOPECILIN 2 g/0,25 g
PULB. PT. SOL. INJ./PERF. 2g/0,25g
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
PERASIN 2g/0,25 g
PULB. PT. SOL. INJ./PERF. 2g/0,25g
PIPERACILINA/TAZOBACTAM MYLAN 2g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g
BACTACIN 2 g/0,25 g
PULB. PT. SOL. INJ./PERF. 2g/0,25g
PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g
PIPERACILINA/TAZOBACTAN ACTAVIS 2 g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g
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
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
ZOPECILIN 4 g/0,5 g
PULB. PT. SOL. INJ./PERF. 4g/0,5g
ZOPECILIN 4 g/0,5 g
PULB. PT. SOL. INJ./PERF. 4g/0,5g
PIPERACILINA/TAZOBACTAN ACTAVIS 4 g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g
MEDOCEF 1 g
PULB. PT. SOL. INJ. 1g
MEDOCEF 2 g
PULB. PT. SOL. INJ. 2g
LYZONE 2 g
PULB. PT. SOL. INJ. 2g
CEFOZON 500 mg
PULB. PT. SOL. INJ. 500mg
CEFOZON 2 g
2g
CEFOZON 1 g
1g
CILOPEN 500mg/500mg
PULB. PT. SOL. INJ. 500mg/500mg
CILOPEN 500mg/500mg
PULB. PT. SOL. INJ. 500mg/500mg
CILOPEN 500mg/500mg
PULB. PT. SOL. INJ. 500mg/500mg
CILOPEN 500mg/500mg
PULB. PT. SOL. INJ. 500mg/500mg
PULB. PT. SOL. INJ./PERF. I.M./I.V.

PULB. PT. SOL. INJ./PERF.I.M./I.V.

ABBOTT GMBH&CO.KG GERMANIA


ABBOTT GMBH&CO.KG GERMANIA

TERAPIA SA

PFIZER EUROPE MA EEIG


WYETH LEDERLE PHARMA GMBH

CUTIE X 100 FIOLE X 1 ML


MAREA BRITANIE
CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ.
AUSTRIA CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ.
ROMANIA

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.

S.C. FRESENIUS KABI S.R.L. ROMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF

S.C. FRESENIUS KABI S.R.L. ROMANIA

CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF

S.C. FRESENIUS KABI S.R.L. ROMANIA

CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF

S.C. FRESENIUS KABI S.R.L. ROMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

S.C. FRESENIUS KABI S.R.L. ROMANIA

CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

ANTIBIOTICE S.A.
MYLAN S.A.S.
TERAPIA SA

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

FRANTA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CU PULB. PT. SOL. INJ./PERF.

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF.

S.C. FRESENIUS KABI S.R.L. ROMANIA

CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

ACTAVIS GROUP PTC EHF. ISLANDA

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.

S.C. FRESENIUS KABI S.R.L. ROMANIA

CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

MYLAN S.A.S.

FRANTA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. INJ./PERF.

S.C. FRESENIUS KABI S.R.L. ROMANIA

CUTIE X 1 FLAC DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

S.C. FRESENIUS KABI S.R.L. ROMANIA

CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

TERAPIA SA
ANTIBIOTICE S.A.

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 50 ML CU PULB. PT. SOL. INJ./PERF.

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 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.

ACTAVIS GROUP PTC EHF. ISLANDA

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.

MEDOCHEMIE LTD. CIPRU


MEDOCHEMIE LTD. CIPRU

CUTIE X 10 FLAC. PULB. PT. SOL. INJ.


CUTIE X 10 FLAC. PULB. PT. SOL. INJ.
MEDICAROM GROUP S.R.L. ROMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ.
E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. INJ.
E.I.P.I.CO. MED S.R.L. ROMANIA
E.I.P.I.CO. MED S.R.L. ROMANIA

TERAPIA SA
TERAPIA SA
TERAPIA SA
TERAPIA SA

HOSPIRA UK LIMITED

S
S/P-RF
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
S/P-RF
S/P-RF

CUTIE X 1 FLAC. DIN STICLA INCOLORA A 20 ML CU PULB. PT. SOL. INJ./PERF. I.M./I.V.

S/P-RF

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 15 ML CU PULB. PT. SOL. INJ. I.M./PERF. I.V.

S/P-RF

ROMANIA

CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF.

S/P-RF

ROMANIA

CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF.

S/P-RF

ROMANIA

CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 22 ML PULB. PT. SOL. PERF.

S/P-RF

ROMANIA

CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 22 ML PULB. PT. SOL. PERF.

S/P-RF

MAREA BRITANIE

CUTIE CU 5 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. PERF.

PR

IMIPENEM/CILASTATIN HOSPIRA 500 mg/500 mg PULB. PT. SOL. PERF.

500mg/500mg

IMIPENEM/CILASTATIN KABI 500mg/500mg

PULB. PT. SOL. PERF.

500mg/500mg FRESENIUS KABI ROMANIA SRL

CUTIE X 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF.

S/P-RF

PULB. PT. SOL. PERF.

500mg/500mg MERCK SHARP & DOHME ROMANIA

TAVA DIN PLASTIC X 25 FLAC. DIN STICLA INCOLORA CU PULB.PT. SOL. PERF.

S/P-RF

PULB. PT. SOL. PERF.

500mg/500mg MERCK SHARP & DOHME ROMANIA

TAVA DIN PLASTIC X 10 FLAC. DIN STICLA INCOLORA CU PULB.PT. SOL. PERF.

S/P-RF

COMPR. FILM.

600mg

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 1 FLAC. X 10 COMPR. FILM.

P-RF

GRAN. PT. SUSP. ORALA

100mg/5ml 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

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 10 PUNGI X 300 ML

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

TIENAM I.V.
TIENAM I.V.
ZYVOXID (R)
ZYVOXID (R)
ZYVOXID (R)
LINEZOLID TEVA 2 mg/ml
FUNGOLON 100 mg

SOL. PERF.
SOL. PERF.
CAPS.
FLUCONAZOLE TEVA 100 mg CAPS.
FLUCONAZOLE TEVA 100 mg CAPS.
DIFLAZON 100 mg
CAPS.

2mg/ml
2mg/ml
100mg
100mg
100mg
100mg

ROMANIA

CUTIE X 2 BLIST. PVC/AL X 8 CAPS.


CUTIE X 1 BLIST. PVC-PVDC/AL X 2 CAPS.
ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.
SLOVENIA CUTIE X 4 BLIST. X 7 CAPS.

BALKANPHARMA RAZGRAD AD BULGARIA

P-RF

ROMANIA

P-RF

TEVA PHARMACEUTICALS S.R.L.


TEVA PHARMACEUTICALS S.R.L.

KRKA D.D.

Pagina 33 din 96

P-RF
P-RF

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J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
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

J05AB14
L04AA06
L04AA06
L04AA06
L04AA06

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
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
VALGANCICLOVIRUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**

Denumire comerciala
FLUCOVIM 100
FLUCORIC 100 mg
FLUCONAZOL BIOGALENICA 150 mg

FLUCONAZOLE TEVA 150 mg


FLUCONAZOL ARENA 150 MG

FLUCONAZOL 150 mg
DIFLAZON 150 mg
FLUCONAZOL LPH 150 mg

FLUCONAZOL ROMPHARM 150 mg

FLUCOVIM 150
DIFLUCAN 150 mg
FLUCORIC 150 mg
FLUCONAZOL SANDOZ (R) 150

FLUCONAZOL 150 mg
MYCOMAX 150
MYCOSYST 150 mg

FLUCONAZOL ACTAVIS 150 mg


FLUCONAZOL MEDOCHEMIE 150 mg

FLUCONAZOLE TEVA 200 mg


FLUCONAZOL BIOGALENICA 50 mg

FLUCONAZOLE TEVA 50 mg
FLUCONAZOL OZONE 50 mg
FLUCONAZOL ARENA 50 MG
FLUCONAZOL MEDOCHEMIE 50 mg

FLUCONAZOL LPH 50 mg
DIFLUCAN 50 mg
FLUCORIC 50 mg
FLUCONAZOL SANDOZ (R) 50

Forma
Concentr
farmaceuti
atie / U.T.
ca
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.

FLUCOVIM 50
FUNGOLON 50 mg
FLUCONAZOL 50 mg
DIFLAZON 50 mg
FLUCONAZOL 50 mg
DIFLUCAN (R) 50 mg/5 ml
PULB. PT. SUSP. ORALA
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 KABI 2 mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
DIFLAZON 2mg/ml
SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
FLUCONAZOL BIOGALENICA 2mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
MYCOMAX INF 2mg/ml
SOL. PERF.
FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF.
MYCOMAX INF 2mg/ml
SOL. PERF.
DIFLUCAN (R)
SOL. PERF.
DIFLUCAN (R)
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.
MYCOPHENOLATE MOFETIL MEDICO UNO 500 MG

CELLCEPT 500mg
MYFORTIC 180 mg

COMPR. FILM.
COMPR. FILM.
COMPR. FILM. GASTROREZ.

100mg
100mg
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
2mg/ml
2mg/ml
2mg/ml
200mg
50mg
200mg
40mg/ml
450mg
250mg
500mg
500mg
180mg

Firma

Tara

Ambalaj

VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS.


TERAPIA SA
ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.
LABORATOARELE PROF.DR.MORAIT S.R.L.
ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.
ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS.
OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.
KRKA D.D.
SLOVENIA CUTIE X 1 BLIST. X 1 CAPS.
LABORMED PHARMA S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS.
ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS.
VIM SPECTRUM SRL ROMANIA CUTIE X 1 FLAC. X 1 CAPS.
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 1 CAPS.
TERAPIA SA
ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS.
SANDOZ SRL
GERMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS.
SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS.
ZENTIVA K.S.
CEHIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS.
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 4 BLIST. AL/PVC X 1 CAPS.

Prescriptie

Grupa
Nr.
terape
crt
utica

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

PRF
PRF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

ACTAVIS GROUP PTC EHF. ISLANDA

CUTIE CU 1 BLIST. PVC-PVDC/AL X 1 CAPS. PRF

MEDOCHEMIE ROMANIA SRL ROMANIA

P-RF

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

LABORATOARELE PROF.DR.MORAIT S.R.L.

ROMANIA

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

OZONE LABORATORIES PHARMA S.A.

ROMANIA

ARENA GROUP SA

ROMANIA

MEDOCHEMIE ROMANIA SRL ROMANIA

LABORMED PHARMA S.A. ROMANIA


PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.


CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.
CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.
CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.
CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.
CUTIE X 1 BLIST. AL/PVC X 7 CAPS.
CUTIE X 1 BLIST. AL/PVC X 7 CAPS.
CUTIE CU 1 BLIST. PVC/AL X 7 CAPS.
CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

TERAPIA SA
ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS.
SANDOZ SRL
ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS.
VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS.
BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 1 BLIST. PVC/AL X 8 CAPS.
SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS.
KRKA D.D.
SLOVENIA CUTIE X 1 BLIST. X 7 CAPS.
ANTIBIOTICE S.A.
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS.
PFIZER EUROPE MA EEIG

MAREA BRITANIE

FRESENIUS KABI ROMANIA SRL

ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF.

B. BRAUN MELSUNGEN AG GERMANIA


B. BRAUN MELSUNGEN AG GERMANIA
B. BRAUN MELSUNGEN AG GERMANIA
B. BRAUN MELSUNGEN AG GERMANIA

CUTIE X 1 FLAC. PEID PULB. PT. 35 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 5 ML

CUTIE X 20 FLAC. PEJD X 50 ML SOL. PERF.


CUTIE X 10 FLAC. PEJD X 100 ML SOL. PERF.
CUTIE X 20 FLAC. PEJD X 100 ML SOL. PERF.
CUTIE X 10 FLAC. PEJD X 200 ML SOL. PERF.

FRESENIUS KABI ROMANIA SRL

ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.

FRESENIUS KABI ROMANIA SRL

ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.

FRESENIUS KABI ROMANIA SRL

ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML

P-RF
P-RF
P-RF

PRF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

S
S
S
S
S
S
S
S
S/PR-F

MAREA BRITANIE
MAREA BRITANIE

CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA

ROMANIA CUTIE CU 25 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF.

FRESENIUS KABI ROMANIA SRL

ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF.

ARENA GROUP S.A. ROMANIA


FRESENIUS KABI ROMANIA SRL

ROMANIA

FRESENIUS KABI ROMANIA SRL

ROMANIA

FRESENIUS KABI ROMANIA SRL

ROMANIA

FRESENIUS KABI ROMANIA SRL

ROMANIA

ZENTIVA K.S.

REPUBLICA CEHA

B. BRAUN MELSUNGEN AG GERMANIA


REPUBLICA CEHA

PFIZER EUROPE MA EEIG

MAREA BRITANIE

PFIZER EUROPE MA EEIG

MAREA BRITANIE

PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED

P-RF

S
S
CUTIE X 1 FLAC. 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 CU 10 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF. S
CUTIE CU 1 FLACON DIN STICLA INCOLORA A 100 ML SOL. PERF. X 200 MG FLUCONAZOL S
CUTIE X 10 FLAC. PEJD X 50 ML SOL. PERF. S
CUTIE CU 1 FLACON DIN STICLA INCOLORA A 200 ML SOL. PERF. X 400 MG FLUCONAZOL S
CUTIE X 1 FLACON X 200 ML
S/P-RF
CUTIE X 1 FLACON X 50 ML
S/P-RF
CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF
CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL) P-RF
CUTIE X 1 FLAC. UNIDOZA X 30ML
P-RF

FRESENIUS KABI ROMANIA SRL

ZENTIVA K.S.

P-RF
P-RF

MAREA BRITANIE
MAREA BRITANIE

P-RF

ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. X 60 COMPR. FILM.

P-RF

ROCHE REGISTRATION LTD.

P-RF/R

MAREA BRITANIE

CUTIE X 10 BLIST. X 10 CAPS.

MEDICO UNO PHARMA KFT. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.
ROCHE REGISTRATION LTD.

MAREA BRITANIE

NOVARTIS PHARMA GMBH GERMANIA

P-RF/R

CUTIE X 5 BLIST. X 10 COMPR. FILM.

P-RF/R

CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ.

S/P-RF

Pagina 34 din 96

cant/a
mbala
j

4
7
1
1
1
1
1
1
1
1
1
1
1
1
1
4
1
1
7
7
7
7
7
7
7
7
7
7
7
8
7
7
10
1
20
20
10
20
10
1
10
20
1
25
1
1
25
1
10
10
1
10
1
1
1
28
28
1
1
60
100
50
50
120

Pret cu
ridicata
maximal /
ambalaj

18.95
33.15
4.88
4.88
6.68
7.35
16.65
7.35
9.57
7.35
18.56
13.95
10.79
7.16
9.27
48.24
7.44
6.07
30.10
11.66
12.35
16.69
14.15
11.95
16.69
43.23
21.91
32.06
16.69
14.09
14.49
47.19
18.88
43.23
631.41
362.55
454.59
796.39
770.66
18.84
181.93
360.77
35.03
781.76
81.95
40.63
443.47
34.28
330.71
761.71
42.66
182.90
137.44
133.17
30.99
3,559.23
912.09
458.07
2,203.52
4,863.09
452.86
292.89
452.86
557.65

Pret cu ridicata
maximal / U.T.

4.737500
4.735714
4.880000
4.880000
6.680000
7.350000
16.650000
7.350000
9.570000
7.350000
18.560000
13.950000
10.790000
7.160000
9.270000
12.060000
7.440000
6.070000
4.300000
1.665714
1.764285
2.384285
2.021428
1.707142
2.384285
6.175714
3.130000
4.580000
2.384285
1.761250
2.070000
6.741428
1.888000
43.230000
31.570500
18.127500
45.459000
39.819500
77.066000
18.840000
18.193000
18.038500
35.030000
31.270400
81.950000
40.630000
17.738800
34.280000
33.071000
76.171000
42.660000
18.290000
137.440000
133.170000
30.990000
127.115357
32.574642
458.070000
2,203.520000
81.051500
4.528600
5.857800
9.057200
4.647083

Pret cu ridicata
maximal de
decontare / U.T.

3.996000
3.996000
4.880000
4.880000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
4.300000
1.665714
1.764285
1.998857
1.998857
1.707142
1.998857
1.998857
1.998857
1.998857
1.998857
1.761250
1.998857
1.998857
1.888000
43.230000
31.570500
18.127500
37.524480
37.524480
77.066000
18.840000
18.193000
18.038500
35.030000
31.270400
81.950000
37.524480
17.738800
34.280000
33.071000
76.171000
37.524480
18.290000
91.405200
91.405200
21.286560
127.115357
32.574642
458.070000
2,203.520000
81.051500
3.499440
5.452080
5.452080
4.647083

Pret cu
amanuntul
maximal /
ambalaj

25.61
43.36
6.59
6.59
9.03
9.94
22.51
9.94
12.94
9.94
25.08
18.86
14.58
9.68
12.53
63.10
10.06
8.20
39.37
15.76
16.69
22.56
19.12
16.15
22.56
56.54
29.61
41.93
22.56
19.04
19.58
61.72
25.52
56.54
726.39
433.33
533.65
906.22
878.17
25.47
222.10
431.39
45.82
890.27
103.62
53.14
521.53
44.84
398.62
868.42
55.80
223.28
167.79
162.58
40.53
3,917.72
1,032.33
537.45
2,439.99
5,338.93
531.77
357.56
531.77
645.99

Pret cu amanuntul
maximal / U.T.

6.402500
6.194285
6.590000
6.590000
9.030000
9.940000
22.510000
9.940000
12.940000
9.940000
25.080000
18.860000
14.580000
9.680000
12.530000
15.775000
10.060000
8.200000
5.624285
2.251428
2.384285
3.222857
2.731428
2.307142
3.222857
8.077142
4.230000
5.990000
3.222857
2.380000
2.797142
8.817142
2.552000
56.540000
36.319500
21.666500
53.365000
45.311000
87.817000
25.470000
22.210000
21.569500
45.820000
35.610800
103.620000
53.140000
20.861200
44.840000
39.862000
86.842000
55.800000
22.328000
167.790000
162.580000
40.530000
139.918571
36.868928
537.450000
2,439.990000
88.982166
5.317700
7.151200
10.635400
5.383250

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

L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02

Denumire generica
MYCOPHENOLATUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**

Denumire comerciala
MYFORTIC 360 mg
MICOFENOLAT MOFETIL DR. REDDY'S 250 mg
MYCOPHENOLATE MOFETIL ACCORD 250 mg

MYFENAX 250mg
MICOFENOLAT MOFETIL SANDOZ 500 mg

SUPREPHEN 250 mg

Forma
Concentr
farmaceuti
atie / U.T.
ca
COMPR. FILM. GASTROREZ.

CAPS.
CAPS.
CAPS.
COMPR.
COMPR. FILM.

MICOFENOLAT MOFETIL TERAPIA 500 mg

COMPR. FILM.

MYFENAX 500mg

COMPR. FILM.

MYCOFENOLAT MOFETIL ACTAVIS 500 mg

COMPR. FILM.

MICOFENOLAT MOFETIL DR. REDDY'S 500 mg

COMPR. FILM.

SUPREPHEN 500 mg
EQUORAL (R) 100 mg
CICLORAL 25 mg
SANDIMMUN NEORAL (R)
EQUORAL (R) 25 mg
CICLORAL 50 mg
SANDIMMUN NEORAL (R)
EQUORAL (R) 50 mg
EQUORAL (R)
TACNI 0,5 mg

COMPR. FILM.

TACROLIMUSUM ACCORD 0,5 mg

PROGRAF (R) 0,5 mg

TACROLIMUS SANDOZ 0,5 mg

TACNI 1 mg

TACROLIMUSUM ACCORD 1 mg

PROGRAF (R) 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

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.

360mg
250 mg
250mg
250mg
500mg
250mg
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

NOVARTIS PHARMA GMBH GERMANIA

Ambalaj

CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ.

Prescriptie

Grupa
Nr.
terape
crt
utica

S/P-RF

DR. REDDY'S LABORATORIES

ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 100 CAPS.

PR

ACCORD HEALTHCARE LIMITED

MAREA BRITANIE

CUTIE CU BLIST. PVC-PVDC/AL CU 100 CAPS.


OLANDA CUTIE X BLIST. PVC/PVDC/AL X 100 CAPS.

P-RF/R

ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 50 COMPR. FILM.

P-RF

TEVA PHARMA BV
SANDOZ S.R.L.

P-RF/R

ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 10 BLIST. PVC-PCTFE-PE/AL X 10 COMPR. FILM. PRF

TERAPIA S.A.
TEVA PHARMA BV

ROMANIA CUTIE CU 1 BLIST. DIN AL-PA-PVC/AL X 50 COMPR. FILM.

OLANDA CUTIE X BLIST. PVC/PVDC/AL X 50 COMPR. FILM.


ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.
DR. REDDY'S LABORATORIES

ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

PR
P-RF/R
P-RF/R

P-RF

ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 5 BLIST. PVC-PCTFE-PE/AL X 10 COMPR. FILM. PRF
IVAX - PHARMACEUTICALS S.R.O.

HEXAL AG

CEHIA
GERMANIA

NOVARTIS PHARMA GMBH GERMANIA


IVAX - PHARMACEUTICALS S.R.O.

HEXAL AG

CEHIA
GERMANIA

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 5 BLIST. X 10 CAPS. MOI


CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI
CUTIE X 10 BLIST. X 5 CAPS. MOI
CUTIE X 5 BLIST. X 10 CAPS. MOI
CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI
CUTIE X 10 BLIST. X 5 CAPS. MOI
CUTIE X 5 BLIST. X 10 CAPS. MOI

S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF

IVAX - PHARMACEUTICALS S.R.O.

CEHIA
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

ACCORD HEALTHCARE LIMITED

MAREA BRITANIE

CUTIE CU BLIST. AL/AL X 50 CAPS.

PR

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

ROMANIA

CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS.

S/P-RF

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI AL A CATE 10 CAPSULE

PRF

ACCORD HEALTHCARE LIMITED

MAREA BRITANIE

CUTIE CU BLIST. AL/AL X 50 CAPS.

PR

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

IVAX - PHARMACEUTICALS S.R.O.

SANDOZ S.R.L.

S/P-RF

SANDOZ S.R.L.

ROMANIA

CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS.

S/P-RF

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI AL A CATE 10 CAPS.

PRF

ASTELLAS PHARMA EUROPE BV

OLANDA

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT

ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)
ASTELLAS PHARMA EUROPE BV

OLANDA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)

ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)
ASTELLAS PHARMA EUROPE BV

OLANDA CUTIE X 10 FIOLE X 1 ML

S/P-RF
P-RF/R
P-RF/R
P-RF/R

cant/a
mbala
j

120
100
100
100
50
100
50
50
50
50
50
50
50
50
50
50
50
50
1
50
50
50
50
50
50
50
50
50
50
50
50
50
10

Pret cu
ridicata
maximal /
ambalaj

1,041.93
291.62
292.89
302.31
227.17
291.62
302.36
302.31
272.59
272.59
227.17
397.39
112.61
112.48
74.45
250.01
239.32
155.55
358.02
133.49
133.49
205.39
133.49
238.62
238.62
363.74
238.62
1,114.65
1,715.18
204.92
402.53
1,865.58
1,545.19

Pret cu ridicata
maximal / U.T.

8.682750
2.916200
2.928900
3.023100
4.543400
2.916200
6.047200
6.046200
5.451800
5.451800
4.543400
7.947800
2.252200
2.249600
1.489000
5.000200
4.786400
3.111000
358.020000
2.669800
2.669800
4.107800
2.669800
4.772400
4.772400
7.274800
4.772400
22.293000
34.303600
4.098400
8.050600
37.311600
154.519000

Pret cu ridicata
maximal de
decontare / U.T.

8.682750
2.916200
2.928900
3.023100
4.543400
2.916200
5.452080
5.452080
5.451800
5.451800
4.543400
7.947800
1.786800
1.786800
1.489000
3.733200
3.733200
3.111000
358.020000
2.669800
2.669800
3.203760
2.669800
4.772400
4.772400
5.726880
4.772400
22.293000
26.751600
3.203760
5.726880
26.751600
154.519000

Pret cu
amanuntul
maximal /
ambalaj

1,173.85
356.01
357.56
367.67
277.33
356.01
367.72
367.67
332.78
332.78
277.33
471.31
137.48
137.32
94.13
305.21
292.16
189.90
428.39
162.97
162.97
250.74
162.97
291.31
291.31
434.63
291.31
1,253.12
1,907.70
250.17
476.91
2,071.63
1,722.41

Pret cu amanuntul
maximal / U.T.

9.782083
3.560100
3.575600
3.676700
5.546600
3.560100
7.354400
7.353400
6.655600
6.655600
5.546600
9.426200
2.749600
2.746400
1.882600
6.104200
5.843200
3.798000
428.390000
3.259400
3.259400
5.014800
3.259400
5.826200
5.826200
8.692600
5.826200
25.062400
38.154000
5.003400
9.538200
41.432600
172.241000

P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA

P9.3: TRANSPLANT HEPATIC


1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26

A05AA02
A05AA02
A05AA02
A05AA02
A05AA02
B01AB05
B01AB05
B01AB05
B01AB05
B01AB08
B01AB08
B01AC11
B01AC11
B01AD02
B02AA02
B02BD08
B02BD08
B02BD08
C03EB01
H01BA02
H01BA02
H01BA02
H01BA02

J01CR05
J01CR05
J01CR05

ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ENOXAPARINUM
ENOXAPARINUM
ENOXAPARINUM
ENOXAPARINUM
REVIPARINUM
REVIPARINUM
ILOPROSTUM**
ILOPROSTUM**
ALTEPLASUM**
ACIDUM TRANEXAMICUM4
EPTACOG ALFA ACTIVATUM**
EPTACOG ALFA ACTIVATUM**
EPTACOG ALFA ACTIVATUM**

URSOFALK (R)
URSOFALK (R)
URSOSAN
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


CLIVARIN (R) 3436 UI/0,6 ml
ILOMEDIN 20
VENTAVIS 10mcg/ml
ACTILYSE
EXACYL
NOVOSEVEN 2mg (100 KUI)
NOVOSEVEN 5mg (250 KUI)
NOVOSEVEN 1mg (50 KUI)
COMBINATII (SPIRONOLACTONUM+FUROSEMIDUM) DIUREX 50
DESMOPRESSINUM
MINIRIN 0,2 mg
DESMOPRESSINUM
DESMOPRESINA TEVA 0,2mg
DESMOPRESSINUM
MINIRIN MELT 120 mcg
DESMOPRESSINUM
MINIRIN MELT 60 mcg
PIPERACILLINUM + TAZOBACTAMUM
TAZOCIN 4,5
PIPERACILLINUM + TAZOBACTAMUM
TAZOCIN 2,25
PIPERACILLINUM + TAZOBACTAMUM
ZOPECILIN 2 g/0,25 g

CAPS.
CAPS.
CAPS.
COMPR.
COMPR.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
CONC. PT. SOL. PERF.
SOL. DE INHALAT PRIN NEBULIZ.

PULB+SOLV. PT. SOL. INJ

SOL. INJ.

250mg
250mg
250mg
150mg
300mg

DR. FALK PHARMA GMBH GERMANIA


DR. FALK PHARMA GMBH GERMANIA
PRO. MED. CS PRAHA AS

ZAMBON S.P.A.
ZAMBON S.P.A.
LAB. AVENTIS
LAB. AVENTIS
LAB. AVENTIS
LAB. AVENTIS

CEHIA
ITALIA
ITALIA

CUTIE X 4 BLIST. AL/PVC X 25 CAPS.


CUTIE X 2 BLIST. AL/PVC X 25 CAPS.
CUTIE X 5 BLIST. AL/PVC X 10 CAPS.
CUTIE X 6 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-6L/S

P-6L
P-6L
P-6L
P-6L

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

ABBOTT GMBH&CO.KG GERMANIA


3436ui/0,6ml 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

2000ui anti-Xa/0,2ml
4000ui anti-Xa/0,4ml
6000ui anti-Xa/0,6ml
8000ui anti-Xa/0,8ml

1432ui/0,25ml

20mcg/ml
10mcg/ml
50mg

BAYER SCHERING PHARMA AG

GERMANIA CUTIE X 5 FIOLE STICLA INCOLORA X 1 ML CONC. PT. SOL. PERFZ.

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

ROMANIA

CUTIE X 5 FIOLE X 5ML SOL. INJ.

500mg/5ml CN UNIFARM

S
S
X

NOVO NORDISK A/S DANEMARCA CUTIE X 1 FLAC. PULB. PT. SOL. INJ. + 1 FLAC. SOLV. PT. RECONSTITUIRE P-RF/R
NOVO NORDISK A/S DANEMARCA CUTIE X 1 FLAC. PULB. PT. SOL. INJ. + 1 FLAC. SOLV. PT. RECONSTITUIRE P-RF/R
NOVO NORDISK A/S DANEMARCA CUTIE X 1 FLAC. PULB. PT. SOL. INJ. + 1 FLAC. SOLV. PT. RECONSTITUIRE P-RF/R
CAPS.
50mg/20mg TERAPIA SA
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
P-6L
COMPR.
0,2mg
FERRING GMBH
GERMANIA CUTIE X 1 FLAC. DIN PEID X 30 COMPR.
P-RF
COMPR.
0,2mg
TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL- PVC/AL X 30 COMPR. P-RF
LIOF. ORAL 120mcg FERRING GMBH
GERMANIA CUTIE X 3 BLIST. AL/AL X 10 UNITATI DOZATE LIOF. ORAL P-RF
LIOF. ORAL 60mcg
FERRING GMBH
GERMANIA CUTIE X 3 BLIST AL/AL X 10 UNITATI DOZATE LIOF. ORAL 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
LIOF. PT. SOL. INJ. FARA CONCENTRATIE WYETH LEDERLE PHARMA GMBH AUSTRIA CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ.
S/P-RF
S
PULB. PT. SOL. INJ./PERF. 2g/0,25g
ROMASTRU TRADING SRL ROMANIA
PULB. + SOLV. PT. SOL. INJ.

PULB. + SOLV. PT. SOL. INJ.

PULB. + SOLV. PT. SOL. INJ.

100 KIU
250 KIU
50 KIU

S/P-RF

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

Pagina 35 din 96

100
98.29
0.982900
0.982900
124.28
1.242800
50
56.54
1.130800
1.130800
71.49
1.429800
50
54.39
1.087800
1.087800
68.77
1.375400
60
41.43
0.690500
0.690500
54.19
0.903166
20
27.43
1.371500
1.371500
35.88
1.794000
10
57.68
5.768000
5.768000
72.93
7.293000
10
118.41
11.841000
11.841000
144.56
14.456000
10
153.90
15.390000
15.390000
187.88
18.788000
2
39.90
19.950000
19.950000
52.19
26.095000
10
66.80
6.680000
6.680000
84.46
8.446000
5
80.20
16.040000
16.040000
101.41
20.282000
5
764.66
152.932000
152.932000
871.63
174.326000
30 1,947.00
64.900000
64.900000 2,160.38
72.012666
1 1,490.89 1,490.890000 1,490.890000 1,663.22 1,663.220000
5
9.47
1.894000
1.894000
12.80
2.560000
1 5,431.43 5,431.430000 5,431.430000 5,958.41 5,958.410000
1 13,793.54 13,793.540000 13,793.540000 15,073.11 15,073.110000
1 2,730.72 2,730.720000 2,730.720000 3,014.63 3,014.630000
20
17.25
0.862500
0.862500
23.31
1.165500
30
95.42
3.180666
3.180666
120.65
4.021666
30
105.26
3.508666
3.508666
128.50
4.283333
30
151.92
5.064000
5.064000
185.47
6.182333
30
77.57
2.585666
2.585666
98.08
3.269333
12
692.90
57.741666
46.081000
793.41
66.117500
12
401.14
33.428333
23.533200
475.39
39.615833
1
22.93
22.930000
22.930000
30.99
30.990000

27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90

J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05

J01XX08
J01XX08
J01XX08
J01XX08
J02AC03
J02AC03
J02AC03
J02AC03

J02AX04
J02AX04
J05AB14
J06BB04
J06BB04
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA10
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01

Denumire generica
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
CASPOFUNGINUM**
CASPOFUNGINUM**
VALGANCICLOVIRUM**
IMUNOGLOBULINA ANTI-HEPATITICA B**
IMUNOGLOBULINA ANTI-HEPATITICA B**
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**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
SIROLIMUS**
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM

Denumire comerciala

Forma
Concentr
farmaceuti
atie / U.T.
ca

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
PERASIN 2g/0,25 g
PULB. PT. SOL. INJ./PERF. 2g/0,25g
PIPERACILINA/TAZOBACTAM MYLAN 2g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g
BACTACIN 2 g/0,25 g
PULB. PT. SOL. INJ./PERF. 2g/0,25g
PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g
PIPERACILINA/TAZOBACTAN ACTAVIS 2 g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g
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
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
ZOPECILIN 4 g/0,5 g
PULB. PT. SOL. INJ./PERF. 4g/0,5g
ZOPECILIN 4 g/0,5 g
PULB. PT. SOL. INJ./PERF. 4g/0,5g
PIPERACILINA/TAZOBACTAN ACTAVIS 4 g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g
ZYVOXID (R)
COMPR. FILM. 600mg
ZYVOXID (R)
GRAN. PT. SUSP. ORALA 100mg/5ml
ZYVOXID (R)
SOL. PERF. 2mg/ml
LINEZOLID TEVA 2 mg/ml
SOL. PERF. 2mg/ml
VFEND 200mg
COMPR. FILM. 200mg
VFEND 50mg
COMPR. FILM. 50mg
VFEND 200mg
PULB. PT. SOL. PERF. 200mg
VFEND 40 mg/ml
PULB. PT. SUSP. ORALA 40mg/ml
CANCIDAS 50 mg
50mg
CANCIDAS 70 mg
70mg
VALCYTE (R) 450 mg
COMPR. FILM. 450mg
ZUTECTRA
500 UI
HEPATECT CP 50 UI/ml
SOL. PERF. 50 UI/ ml
NEUPOGEN (R)
SOL. INJ.
30MU/0,5ml
NEUPOGEN (R)
SOL. INJ.
48MU/0,5ml
ZARZIO 30MU/0,5ml
60MU/ml
ZARZIO 48MU/0,5ml
96MU/ml
NIVESTIM 12 MU/0,2ml
SOL. INJ./PERF. 120g/0,2ml
TEVAGRASTIM 30MUI/0,5ml SOL. INJ./PERF. 300mcg/0,5ml
NIVESTIM 30 MU/0,5 ml
SOL. INJ./PERF. 300g/0,5ml
TEVAGRASTIM 48MUI/0,8ml SOL. INJ./PERF. 480mcg/0,8ml
NIVESTIM 48 MU/0,5 ml
SOL. INJ./PERF. 480g/0,5ml
CELLCEPT 250mg
CAPS.
250mg
MYCOPHENOLATE MOFETIL MEDICO UNO 500 MG
COMPR. FILM. 500mg
CELLCEPT 500mg
COMPR. FILM. 500mg
MYFORTIC 180 mg
180mg
MYFORTIC 360 mg
360mg
MICOFENOLAT MOFETIL DR. REDDY'S 250 mg CAPS.
250 mg
MYCOPHENOLATE MOFETIL ACCORD 250 mg CAPS.
250mg
MYFENAX 250mg
CAPS.
250mg
MICOFENOLAT MOFETIL SANDOZ 500 mg COMPR.
500mg
SUPREPHEN 250 mg
COMPR. FILM. 250mg
MICOFENOLAT MOFETIL TERAPIA 500 mg COMPR. FILM. 500 mg
MYFENAX 500mg
COMPR. FILM. 500mg
MYCOFENOLAT MOFETIL ACTAVIS 500 mg COMPR. FILM. 500mg
MICOFENOLAT MOFETIL DR. REDDY'S 500 mg COMPR. FILM. 500mg
SUPREPHEN 500 mg
COMPR. FILM. 500mg
RAPAMUNE 1mg
DRAJ.
1mg
EQUORAL (R) 100 mg
CAPS. MOI 100mg
CICLORAL 25 mg
CAPS. MOI 25mg
SANDIMMUN NEORAL (R)
CAPS. MOI 25mg
EQUORAL (R) 25 mg
CAPS. MOI 25mg
CICLORAL 50 mg
CAPS. MOI 50mg
SANDIMMUN NEORAL (R)
CAPS. MOI 50mg

Firma

Tara

Ambalaj

ZOPECILIN 2 g/0,25 g

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.

PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g

PULB. PT. SOL. INJ./PERF.

S.C. FRESENIUS KABI S.R.L. ROMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF

S.C. FRESENIUS KABI S.R.L. ROMANIA

CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF

S.C. FRESENIUS KABI S.R.L. ROMANIA

CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF

S.C. FRESENIUS KABI S.R.L. ROMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

S.C. FRESENIUS KABI S.R.L. ROMANIA

CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

ANTIBIOTICE S.A.
MYLAN S.A.S.
TERAPIA SA

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

FRANTA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CU PULB. PT. SOL. INJ./PERF.

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF.

S.C. FRESENIUS KABI S.R.L. ROMANIA

CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

ACTAVIS GROUP PTC EHF. ISLANDA

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.

S.C. FRESENIUS KABI S.R.L. ROMANIA

CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

MYLAN S.A.S.

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. INJ./PERF.

FRANTA

S.C. FRESENIUS KABI S.R.L. ROMANIA

CUTIE X 1 FLAC DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

S.C. FRESENIUS KABI S.R.L. ROMANIA

CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

TERAPIA SA
ANTIBIOTICE S.A.

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 50 ML CU PULB. PT. SOL. INJ./PERF.

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 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.

ACTAVIS GROUP PTC EHF. ISLANDA

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.

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

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 10 PUNGI X 300 ML

TEVA PHARMACEUTICALS S.R.L.

PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED

ROMANIA

10 PUNGI PT. PERFUZIE (DIN POLIMER MULTISTRAT) CU 1 PERFUZOR SAU 2 PERFUZOARE CU 300 ML SOL., ECHIPA

MAREA BRITANIE

CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL)


CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL)
CUTIE X 1 FLAC. UNIDOZA X 30ML

MAREA BRITANIE

CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA

MAREA BRITANIE
MAREA BRITANIE

MERCK SHARP & DOHME

MAREA BRITANIE

CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF.

PULB. PT. CONC. PT. SOL. PERF.

MERCK SHARP & DOHME

MAREA BRITANIE

CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF.

SOL. INJ. /PERF. IN SERINGA PREUMPLUTA

SOL. INJ. /PERF. IN SERINGA PREUMPLUTA

S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S

PFIZER EUROPE MA EEIG

PULB. PT. CONC. PT. SOL. PERF.

SOL INJ. IN SERINGA PRE-UMPLUTA

Prescriptie

Grupa
Nr.
terape
crt
utica

PRF
P-RF
P-RF
P-RF
P-RF

S
S

ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. X 60 COMPR. FILM.

P-RF

BIOTEST PHARMA GMBH GERMANIA

CUTIE CU 5 SERINGI PREUMPLUTE DIN STICLA A CATE 500 UI AMBALATE N BLISTERE

PRF

BIOTEST PHARMA GMBH GERMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 40 ML SOL. PERF. (2000UI)

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 CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL


AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL

HOSPIRA UK LIMITED

MAREA BRITANIE

PR
S/P-RF
S/P-RF
P-RF/R
P-RF/R

CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,2ML SOL. INJ. SAU PERF.

P-RF

TEVA GENERICS GMBH GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF.

S/P-RF/R

HOSPIRA UK LIMITED

CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF.

P-RF

TEVA GENERICS GMBH GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF.

S/P-RF/R

HOSPIRA UK LIMITED

MAREA BRITANIE

CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF.

P-RF

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 10 BLIST. X 10 CAPS.

MAREA BRITANIE

MEDICO UNO PHARMA KFT. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

P-RF/R
P-RF/R

CUTIE X 5 BLIST. X 10 COMPR. FILM.

P-RF/R

COMPR. FILM. GASTROREZ.

NOVARTIS PHARMA GMBH GERMANIA

CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ.

S/P-RF

COMPR. FILM. GASTROREZ.

NOVARTIS PHARMA GMBH GERMANIA

CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ.

S/P-RF

ROCHE REGISTRATION LTD.

MAREA BRITANIE

PR

DR. REDDY'S LABORATORIES

ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 100 CAPS.

ACCORD HEALTHCARE LIMITED

MAREA BRITANIE

TEVA PHARMA BV
SANDOZ S.R.L.

OLANDA CUTIE X BLIST. PVC/PVDC/AL X 100 CAPS.

P-RF/R

ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 50 COMPR. FILM.

P-RF

CUTIE CU BLIST. PVC-PVDC/AL CU 100 CAPS.

P-RF/R

ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 10 BLIST. PVC-PCTFE-PE/AL X 10 COMPR. FILM. PRF

TERAPIA S.A.
TEVA PHARMA BV

ROMANIA CUTIE CU 1 BLIST. DIN AL-PA-PVC/AL X 50 COMPR. FILM.

DR. REDDY'S LABORATORIES

ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

OLANDA CUTIE X BLIST. PVC/PVDC/AL X 50 COMPR. FILM.


ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

PR
P-RF/R
P-RF/R

P-RF

ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 5 BLIST. PVC-PCTFE-PE/AL X 10 COMPR. FILM. PRF

WYETH EUROPA LTD.


IVAX - PHARMACEUTICALS S.R.O.

HEXAL AG

MAREA BRITANIE

CEHIA
GERMANIA

NOVARTIS PHARMA GMBH GERMANIA


IVAX - PHARMACEUTICALS S.R.O.

HEXAL AG

CEHIA
GERMANIA

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR)


CUTIE X 5 BLIST. X 10 CAPS. MOI
CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI
CUTIE X 10 BLIST. X 5 CAPS. MOI
CUTIE X 5 BLIST. X 10 CAPS. MOI
CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI
CUTIE X 10 BLIST. X 5 CAPS. MOI

Pagina 36 din 96

P-RF/R
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF

cant/a
mbala
j

12
1
5
10
1
5
1
1
1
10
12
10
1
1
5
1
1
1
12
12
10
1
10
10
28
28
1
1
1
1
60
5
1
1
1
1
1
5
1
5
1
5
100
50
50
120
120
100
100
100
50
100
50
50
50
50
50
30
50
50
50
50
50
50

Pret cu
ridicata
maximal /
ambalaj

265.41
20.32
99.83
196.11
40.65
196.11
22.93
22.93
22.93
386.57
265.28
389.01
40.94
40.93
197.45
40.93
40.93
40.93
460.81
460.81
1,603.26
879.36
1,603.26
1,052.62
3,559.23
912.09
458.07
2,203.52
1,202.39
1,560.14
4,863.09
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
292.89
452.86
557.65
1,041.93
291.62
292.89
302.31
227.17
291.62
302.36
302.31
272.59
272.59
227.17
489.29
397.39
112.61
112.48
74.45
250.01
239.32

Pret cu ridicata
maximal / U.T.

22.117500
20.320000
19.966000
19.611000
40.650000
39.222000
22.930000
22.930000
22.930000
38.657000
22.106666
38.901000
40.940000
40.930000
39.490000
40.930000
40.930000
40.930000
38.400833
38.400833
160.326000
879.360000
160.326000
105.262000
127.115357
32.574642
458.070000
2,203.520000
1,202.390000
1,560.140000
81.051500
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
5.857800
9.057200
4.647083
8.682750
2.916200
2.928900
3.023100
4.543400
2.916200
6.047200
6.046200
5.451800
5.451800
4.543400
16.309666
7.947800
2.252200
2.249600
1.489000
5.000200
4.786400

Pret cu ridicata
maximal de
decontare / U.T.

Pret cu
amanuntul
maximal /
ambalaj

22.117500
324.01
20.320000
27.47
19.966000
126.23
19.611000
239.41
23.533200
53.17
23.533200
239.41
22.930000
30.99
22.930000
30.99
22.930000
30.99
23.533200
459.51
22.106666
323.86
38.901000
462.17
40.940000
53.55
40.930000
53.53
39.490000
241.05
40.930000
53.53
40.930000
53.53
40.930000
53.53
38.400833
540.43
38.400833
540.43
160.326000 1,785.71
879.360000
996.65
126.314400 1,785.71
105.262000 1,185.51
127.115357 3,917.72
32.574642 1,032.33
458.070000
537.45
2,203.520000 2,439.99
1,202.390000 1,348.76
1,560.140000 1,738.70
81.051500 5,338.93
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
357.56
5.452080
531.77
4.647083
645.99
8.682750 1,173.85
2.916200
356.01
2.928900
357.56
3.023100
367.67
4.543400
277.33
2.916200
356.01
5.452080
367.72
5.452080
367.67
5.451800
332.78
5.451800
332.78
4.543400
277.33
16.309666
571.48
7.947800
471.31
1.786800
137.48
1.786800
137.32
1.489000
94.13
3.733200
305.21
3.733200
292.16

Pret cu amanuntul
maximal / U.T.

27.000833
27.470000
25.246000
23.941000
53.170000
47.882000
30.990000
30.990000
30.990000
45.951000
26.988333
46.217000
53.550000
53.530000
48.210000
53.530000
53.530000
53.530000
45.035833
45.035833
178.571000
996.650000
178.571000
118.551000
139.918571
36.868928
537.450000
2,439.990000
1,348.760000
1,738.700000
88.982166
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
7.151200
10.635400
5.383250
9.782083
3.560100
3.575600
3.676700
5.546600
3.560100
7.354400
7.353400
6.655600
6.655600
5.546600
19.049333
9.426200
2.749600
2.746400
1.882600
6.104200
5.843200

91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106

L04AD01
L04AD01
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02

Denumire generica
CICLOSPORINUM
CICLOSPORINUM
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**

Denumire comerciala
EQUORAL (R) 50 mg
EQUORAL (R)
TACNI 0,5 mg

Forma
Concentr
farmaceuti
atie / U.T.
ca
CAPS. MOI 50mg

SOL. ORALA 100mg/ml

CAPS.

TACROLIMUSUM ACCORD 0,5 mg CAPS.

PROGRAF (R) 0,5 mg

CAPS.

TACROLIMUS SANDOZ 0,5 mg CAPS.

TACNI 1 mg

CAPS.

TACROLIMUSUM ACCORD 1 mg CAPS.

PROGRAF (R) 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

CAPS.
CAPS.
CAPS.
CAPS.

CAPS. ELIB. PREL.


CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CONC. PT. SOL. PERF.

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

Prescriptie

Grupa
Nr.
terape
crt
utica

CEHIA
CEHIA

CUTIE X 5 BLIST. X 10 CAPS. MOI

S/P-RF

CUTIE X 1 FLACON DIN STICLA BRUNA X 50 ML, UN DISPOZITIV DE MASURAT + UN CAPAC CU FILET

S/P-RF

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI DE AL A CATE 10 CAPSULE

PRF

ACCORD HEALTHCARE LIMITED

MAREA BRITANIE

CUTIE CU BLIST. AL/AL X 50 CAPS.

PR

IVAX - PHARMACEUTICALS S.R.O.


IVAX - PHARMACEUTICALS S.R.O.

OLANDA

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT

S/P-RF

ROMANIA

CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS.

S/P-RF

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI AL A CATE 10 CAPSULE

PRF

ACCORD HEALTHCARE LIMITED

MAREA BRITANIE

CUTIE CU BLIST. AL/AL X 50 CAPS.

PR

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
S/P-RF

ASTELLAS PHARMA EUROPE BV

SANDOZ S.R.L.

SANDOZ S.R.L.

ROMANIA

CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS.

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI AL A CATE 10 CAPS.

PRF

ASTELLAS PHARMA EUROPE BV

OLANDA

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)
ASTELLAS PHARMA EUROPE BV

OLANDA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)

ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)
ASTELLAS PHARMA EUROPE BV

OLANDA CUTIE X 10 FIOLE X 1 ML

P-RF/R
P-RF/R
P-RF/R

cant/a
mbala
j

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

Pret cu ridicata
maximal de
decontare / U.T.

Pret cu
amanuntul
maximal /
ambalaj

Pret cu amanuntul
maximal / U.T.

50
1
50
50
50
50
50
50
50
50
50
50
50
50
50
10

155.55
358.02
133.49
133.49
205.39
133.49
238.62
238.62
363.74
238.62
1,114.65
1,715.18
204.92
402.53
1,865.58
1,545.19

3.111000
358.020000
2.669800
2.669800
4.107800
2.669800
4.772400
4.772400
7.274800
4.772400
22.293000
34.303600
4.098400
8.050600
37.311600
154.519000

3.111000
358.020000
2.669800
2.669800
3.203760
2.669800
4.772400
4.772400
5.726880
4.772400
22.293000
26.751600
3.203760
5.726880
26.751600
154.519000

189.90
428.39
162.97
162.97
250.74
162.97
291.31
291.31
434.63
291.31
1,253.12
1,907.70
250.17
476.91
2,071.63
1,722.41

3.798000
428.390000
3.259400
3.259400
5.014800
3.259400
5.826200
5.826200
8.692600
5.826200
25.062400
38.154000
5.003400
9.538200
41.432600
172.241000

100
50
50
60
20
50
30
30
30
10
10
5
10
5
5
5
10
10
10
10
10
10
2
10
5
1
1
1
5
12
12
1
12
1
5
10
1
5
1
1
1
10
12

98.29
56.54
54.39
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
3,478.41
2,167.33
4,817.21
125.02
692.90
401.14
22.93
265.41
20.32
99.83
196.11
40.65
196.11
22.93
22.93
22.93
386.57
265.28

0.982900
1.130800
1.087800
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
3,478.410000
2,167.330000
4,817.210000
25.004000
57.741666
33.428333
22.930000
22.117500
20.320000
19.966000
19.611000
40.650000
39.222000
22.930000
22.930000
22.930000
38.657000
22.106666

0.982900
1.130800
1.087800
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
3,478.410000
2,167.330000
4,817.210000
25.004000
46.081000
23.533200
22.930000
22.117500
20.320000
19.966000
19.611000
23.533200
23.533200
22.930000
22.930000
22.930000
23.533200
22.106666

124.28
71.49
68.77
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
3,829.62
2,400.54
5,288.92
152.62
793.41
475.39
30.99
324.01
27.47
126.23
239.41
53.17
239.41
30.99
30.99
30.99
459.51
323.86

1.242800
1.429800
1.375400
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
3,829.620000
2,400.540000
5,288.920000
30.524000
66.117500
39.615833
30.990000
27.000833
27.470000
25.246000
23.941000
53.170000
47.882000
30.990000
30.990000
30.990000
45.951000
26.988333

P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA

P9.4: TRANSPLANT RENAL combinat RINICHI si PANCREAS


1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43

A05AA02
A05AA02
A05AA02
A05AA02
A05AA02
A11CC03
A11CC03
A11CC03
A11CC03
A11CC03
A11CC03

B01AB04
B01AB04
B01AB04
B01AB04
B01AB04
B01AB04
B01AB04
B01AB04
B01AB05
B01AB05
B01AB05
B01AB05
B01AB08
B01AB08
H01CB02
H01CB02
H01CB02
H01CB02

J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05

ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
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
OCTREOTIDUM**
OCTREOTIDUM**
OCTREOTIDUM**
OCTREOTIDUM**
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM

URSOFALK (R)
URSOFALK (R)
URSOSAN
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

CAPS.
CAPS.
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.

CLIVARIN (R) 1432UI/0,25 ml


CLIVARIN (R) 3436 UI/0,6 ml
SANDOSTATIN LAR 20 mg
SANDOSTATIN LAR 10 mg
SANDOSTATIN LAR 30 mg
SANDOSTATIN (R)
SOL. INJ.
TAZOCIN 4,5
LIOF. PT. SOL. INJ.
TAZOCIN 2,25
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.
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.

PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g

PULB. PT. SOL. INJ./PERF.

PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g

PULB. PT. SOL. INJ./PERF.

PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g

PULB. PT. SOL. INJ./PERF.

PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g

PULB. PT. SOL. INJ./PERF.

PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g

PULB. PT. SOL. INJ./PERF.

PERASIN 2g/0,25 g

PULB. PT. SOL. INJ./PERF.

PIPERACILINA/TAZOBACTAM MYLAN 2g/0,25 g

PULB. PT. SOL. INJ./PERF.

BACTACIN 2 g/0,25 g

PULB. PT. SOL. INJ./PERF.

PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g

PULB. PT. SOL. INJ./PERF.

PIPERACILINA/TAZOBACTAN ACTAVIS 2 g/0,25 g

PULB. PT. SOL. INJ./PERF.

250mg
250mg
250mg
150mg
300mg
0,25mcg
0,25g
0,50mcg
0,5g
2micrograme/ml
2micrograme/ml

CUTIE X 4 BLIST. AL/PVC X 25 CAPS.


CUTIE X 2 BLIST. AL/PVC X 25 CAPS.
CEHIA CUTIE X 5 BLIST. AL/PVC X 10 CAPS.
ITALIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR.
ITALIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
ROMANIA CUTIE X 1 FLAC. DIN PPID X 50 CAPS. MOI

DR. FALK PHARMA GMBH GERMANIA

P-6L/S

DR. FALK PHARMA GMBH GERMANIA

P-6L

PRO. MED. CS PRAHA AS

P-6L

ZAMBON S.P.A.
ZAMBON S.P.A.
TEVA PHARMACEUTICALS S.R.L.

P-6L
P-6L
P-RF

SANDOZ S.R.L.

ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 CAPS. MOI

PRF

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

P-RF

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.

S
S

CUTIE X 1 FLAC. X 30 CAPS. MOI

ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 CAPS. MOI

PRF

10000UI/0,4ml PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 5 BLIST. X 1 SERINGA X 0,4 ML SOL. INJ.

S/P-RF

10000ui/ml PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 2 SUPORTURI TERMOFORMATATE X 5 FIOLE X 1 ML

S/P-RF

12500 UI/0,5ml PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 5 BLIST. X 1 SERINGA X 0,5 ML SOL. INJ.

S/P-RF

15000ui/0,6ml PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 5 BLIST. INDIVIDUALE CONTINAND FIECARE 1 SERINGA PREUMPLUTA X 0,6 ML SOL. INJ.

S/P-RF

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 PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 10 BLIST. INDIVIDUALE CONTINAND FIECARE 1 SERINGA PREUMPLUTA X 0,2 ML S/P-RF

5000ui/0,2ml PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 10 BLIST. INDIVIDUALE CONTINAND FIECARE 1 SERINGA PREUMPLUTA X 0,2 ML S/P-RF

7500ui/0,3ml PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 10 BLIST. INDIVIDUALE CONTINAND FIECARE 1 SERINGA PREUMPLUTA X 0,3 ML S/P-RF

FRANTA
FRANTA
FRANTA
FRANTA

CUTIE X 10 SERINGI PREUMPLUTE X 0,2 ML SOL. INJ.

S/P-RF

CUTIE X 10 SERINGI PREUMPLUTE X 0.4 ML SOL. INJ.

S/P-RF

CUTIE X 10 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ.

S/P-RF

CUTIE X 2 SERINGI PREUMPLUTE X 0,8 ML SOL. INJ.

S/P-RF

ABBOTT GMBH&CO.KG GERMANIA


3436ui/0,6ml ABBOTT GMBH&CO.KG GERMANIA

CUTIE X 2 BLIST. X 5 SERINGI PREUMPLUTE UNIDOZA X 0,25ML

S/P-RF

18000 UI/0,72ml

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

1432ui/0,25ml

CUTIE X 1 BLIST X 5 SERINGI PREUMPLUTE UNIDOZA X 0,60 ML

S/P-RF

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 1 FLAC. PULBERE + 1 SERINGA PREUMPLUTA X 2,5 ML SOLVENT + 2 ACE

S/P-RF

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 1 FLAC. PULBERE + 1 SERINGA PREUMPLUTA X 2,5 ML SOLVENT + 2 ACE

S/P-RF

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 1 FLAC. PULB. + 1 SERINGA PREUMPLUTA X 2,5 ML SOLVENT + 2 ACE S/P-RF

20mg
10mg
30mg
0,1mg/ml

NOVARTIS PHARMA GMBH GERMANIA

S/P-RF

FARA CONCENTRATIE

PFIZER EUROPE MA EEIG

S/P-RF

FARA CONCENTRATIE

WYETH LEDERLE PHARMA GMBH

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

ROMASTRU TRADING SRL ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE X 5 FIOLE X 1 ML
CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ.
AUSTRIA CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ.

MAREA BRITANIE

ROMASTRU TRADING SRL ROMANIA

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

S.C. FRESENIUS KABI S.R.L. ROMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF

S.C. FRESENIUS KABI S.R.L. ROMANIA

CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF

S.C. FRESENIUS KABI S.R.L. ROMANIA

CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF

S.C. FRESENIUS KABI S.R.L. ROMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

S.C. FRESENIUS KABI S.R.L. ROMANIA

CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

ANTIBIOTICE S.A.
MYLAN S.A.S.
TERAPIA SA

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

FRANTA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CU PULB. PT. SOL. INJ./PERF.

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF.

S.C. FRESENIUS KABI S.R.L. ROMANIA

CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

ACTAVIS GROUP PTC EHF. ISLANDA

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.

Pagina 37 din 96

S/P-RF

S
S
S
S
S
S
S
S
S
S
S
S

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
99
100
101
102
103
104
105
106
107

J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05

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
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01

Denumire generica
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
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
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM

Denumire comerciala

Forma
Concentr
farmaceuti
atie / U.T.
ca

4g/0,5g
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
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
ZOPECILIN 4 g/0,5 g
PULB. PT. SOL. INJ./PERF. 4g/0,5g
ZOPECILIN 4 g/0,5 g
PULB. PT. SOL. INJ./PERF. 4g/0,5g
PIPERACILINA/TAZOBACTAN ACTAVIS 4 g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g
TARGOCID (R) 400 mg
LIOF. + SOLV. PT. SOL. INJ. 400mg
ZYVOXID (R)
COMPR. FILM. 600mg
ZYVOXID (R)
GRAN. PT. SUSP. ORALA 100mg/5ml
ZYVOXID (R)
SOL. PERF. 2mg/ml
LINEZOLID TEVA 2 mg/ml
SOL. PERF. 2mg/ml
KETOSTIN 200 mg
COMPR.
200mg
KETOCONAZOL ARENA 200 mg COMPR.
200mg
NIZORAL 200 mg
COMPR.
200mg
KETOCONAZOL 200 mg
COMPR.
200mg
KETOCONAZOL 200 mg
COMPR.
200mg
FUNGOLON 100 mg
CAPS.
100mg
FLUCONAZOLE TEVA 100 mg CAPS.
100mg
FLUCONAZOLE TEVA 100 mg CAPS.
100mg
DIFLAZON 100 mg
CAPS.
100mg
FLUCOVIM 100
CAPS.
100mg
FLUCORIC 100 mg
CAPS.
100mg
FLUCONAZOL BIOGALENICA 150 mg CAPS.
150mg
FLUCONAZOLE TEVA 150 mg CAPS.
150mg
FLUCONAZOL ARENA 150 MG CAPS.
150mg
FLUCONAZOL 150 mg
CAPS.
150mg
DIFLAZON 150 mg
CAPS.
150mg
FLUCONAZOL LPH 150 mg CAPS.
150mg
FLUCONAZOL ROMPHARM 150 mg CAPS.
150mg
FLUCOVIM 150
CAPS.
150mg
DIFLUCAN 150 mg
CAPS.
150mg
FLUCORIC 150 mg
CAPS.
150mg
FLUCONAZOL SANDOZ (R) 150 CAPS.
150mg
FLUCONAZOL 150 mg
CAPS.
150mg
MYCOMAX 150
CAPS.
150mg
MYCOSYST 150 mg
CAPS.
150mg
FLUCONAZOL ACTAVIS 150 mg CAPS.
150mg
FLUCONAZOL MEDOCHEMIE 150 mg CAPS.
150mg
FLUCONAZOLE TEVA 200 mg CAPS.
200mg
FLUCONAZOL BIOGALENICA 50 mg CAPS.
50mg
FLUCONAZOLE TEVA 50 mg CAPS.
50mg
FLUCONAZOL OZONE 50 mg CAPS.
50mg
FLUCONAZOL ARENA 50 MG CAPS.
50mg
FLUCONAZOL MEDOCHEMIE 50 mg CAPS.
50mg
FLUCONAZOL LPH 50 mg
CAPS.
50mg
DIFLUCAN 50 mg
CAPS.
50mg
FLUCORIC 50 mg
CAPS.
50mg
FLUCONAZOL SANDOZ (R) 50 CAPS.
50mg
FLUCOVIM 50
CAPS.
50mg
FUNGOLON 50 mg
CAPS.
50mg
FLUCONAZOL 50 mg
CAPS.
50mg
DIFLAZON 50 mg
CAPS.
50mg
FLUCONAZOL 50 mg
CAPS.
50mg
DIFLUCAN (R) 50 mg/5 ml
PULB. PT. SUSP. ORALA 50mg/5ml
FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml
FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF. 2mg/ml
FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF. 2mg/ml
FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF. 2mg/ml
FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF. 2mg/ml
FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml
FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml

Firma

Tara

Ambalaj

PIPERACILLINUM/TAZOBACTAMUM KABI 4g/0,5g

PULB. PT. SOL. INJ./PERF.

S.C. FRESENIUS KABI S.R.L. ROMANIA

CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g

PULB. PT. SOL. INJ./PERF.

MYLAN S.A.S.

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. INJ./PERF.

FRANTA

S.C. FRESENIUS KABI S.R.L. ROMANIA

CUTIE X 1 FLAC DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

S.C. FRESENIUS KABI S.R.L. ROMANIA

CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

TERAPIA SA
ANTIBIOTICE S.A.

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 50 ML CU PULB. PT. SOL. INJ./PERF.

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 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.

ACTAVIS GROUP PTC EHF. ISLANDA

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.

Prescriptie

Grupa
Nr.
terape
crt
utica

S
S
S
S
S
S
S
S
S

AVENTIS PHARMA LTD.

MAREA BRITANIE

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 1 FLAC. LIOF. + O FIOLA SOLV.


CUTIE X 1 FLAC. X 10 COMPR. FILM.

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

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 10 PUNGI X 300 ML

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

AC HELCOR SRL
ARENA GROUP SA
TERAPIA SA
MAGISTRA C & C
SLAVIA PHARM SRL

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

BALKANPHARMA RAZGRAD AD BULGARIA


TEVA PHARMACEUTICALS S.R.L.

ROMANIA

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

KRKA D.D.
SLOVENIA
VIM SPECTRUM SRL ROMANIA
TERAPIA SA
ROMANIA
LABORATOARELE PROF.DR.MORAIT S.R.L.

ROMANIA

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

ARENA GROUP SA

ROMANIA

OZONE LABORATORIES PHARMA S.A.

ROMANIA

KRKA D.D.

SLOVENIA

LABORMED PHARMA S.A. ROMANIA


ROMPHARM COMPANY S.R.L. ROMANIA

VIM SPECTRUM SRL ROMANIA


PFIZER EUROPE MA EEIG

MAREA BRITANIE

10 PUNGI PT. PERFUZIE (DIN POLIMER MULTISTRAT) CU 1 PERFUZOR SAU 2 PERFUZOARE CU 300 ML SOL., ECHIPA

CUTIE X 1 BLIST. AL/PVC X 10 COMPR.


CUTIE X 1 BLIST. AL/PVC X 10 COMPR.
CUTIE X 1 BLIST. X 10 COMPR.
CUTIE X 1 BLIST. X 10 COMPR.
CUTIE X 1 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. PVC/AL X 8 CAPS.
CUTIE X 1 BLIST. PVC-PVDC/AL X 2 CAPS.
CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.
CUTIE X 4 BLIST. X 7 CAPS.
CUTIE X 1 BLIST. X 4 CAPS.
CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.
CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.
CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.
CUTIE X 1 BLIST. AL/PVC X 1 CAPS.
CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.
CUTIE X 1 BLIST. X 1 CAPS.
CUTIE CU 1 BLIST. PVC/AL X 1 CAPS.
CUTIE CU 1 BLIST. PVC/AL X 1 CAPS.
CUTIE X 1 FLAC. X 1 CAPS.
CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

TERAPIA SA
ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS.
SANDOZ SRL
GERMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS.
SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS.
ZENTIVA K.S.
CEHIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS.
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 4 BLIST. AL/PVC X 1 CAPS.
ACTAVIS GROUP PTC EHF. ISLANDA
MEDOCHEMIE ROMANIA SRL ROMANIA
TEVA PHARMACEUTICALS S.R.L.

ROMANIA

LABORATOARELE PROF.DR.MORAIT S.R.L.

ROMANIA

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

OZONE LABORATORIES PHARMA S.A.

ROMANIA

ARENA GROUP SA

ROMANIA

MEDOCHEMIE ROMANIA SRL ROMANIA

LABORMED PHARMA S.A. ROMANIA


PFIZER EUROPE MA EEIG

MAREA BRITANIE

P-RF
P-RF

PRF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

PRF
PRF
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

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.


CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.
CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.
CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.
CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.
CUTIE X 1 BLIST. AL/PVC X 7 CAPS.
CUTIE X 1 BLIST. AL/PVC X 7 CAPS.
CUTIE CU 1 BLIST. PVC/AL X 7 CAPS.
CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

PRF
P-RF

TERAPIA SA
ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS.
SANDOZ SRL
ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS.
VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS.
BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 1 BLIST. PVC/AL X 8 CAPS.
SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS.
KRKA D.D.
SLOVENIA CUTIE X 1 BLIST. X 7 CAPS.
ANTIBIOTICE S.A.
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS.

P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

P-RF

FRESENIUS KABI ROMANIA SRL

ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF.

B. BRAUN MELSUNGEN AG GERMANIA


B. BRAUN MELSUNGEN AG GERMANIA
B. BRAUN MELSUNGEN AG GERMANIA
B. BRAUN MELSUNGEN AG GERMANIA

CUTIE X 1 FLAC. PEID PULB. PT. 35 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 5 ML

CUTIE X 20 FLAC. PEJD X 50 ML SOL. PERF.


CUTIE X 10 FLAC. PEJD X 100 ML SOL. PERF.
CUTIE X 20 FLAC. PEJD X 100 ML SOL. PERF.
CUTIE X 10 FLAC. PEJD X 200 ML SOL. PERF.

FRESENIUS KABI ROMANIA SRL

ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.

FRESENIUS KABI ROMANIA SRL

ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.

Pagina 38 din 96

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

S
S
S
S
S
S
S

cant/a
mbala
j

10
1
1
5
1
1
1
12
12
1
10
1
10
10
10
10
10
10
10
16
2
7
28
4
7
1
1
1
1
1
1
1
1
1
1
1
1
1
4
1
1
7
7
7
7
7
7
7
7
7
7
7
8
7
7
10
1
20
20
10
20
10
1
10

Pret cu
ridicata
maximal /
ambalaj

389.01
40.94
40.93
197.45
40.93
40.93
40.93
460.81
460.81
118.16
1,603.26
879.36
1,603.26
1,052.62
9.34
6.78
15.15
5.94
5.08
65.37
6.98
23.31
193.65
18.95
33.15
4.88
4.88
6.68
7.35
16.65
7.35
9.57
7.35
18.56
13.95
10.79
7.16
9.27
48.24
7.44
6.07
30.10
11.66
12.35
16.69
14.15
11.95
16.69
43.23
21.91
32.06
16.69
14.09
14.49
47.19
18.88
43.23
631.41
362.55
454.59
796.39
770.66
18.84
181.93

Pret cu ridicata
maximal / U.T.

38.901000
40.940000
40.930000
39.490000
40.930000
40.930000
40.930000
38.400833
38.400833
118.160000
160.326000
879.360000
160.326000
105.262000
0.934000
0.678000
1.515000
0.594000
0.508000
4.085625
3.490000
3.330000
6.916071
4.737500
4.735714
4.880000
4.880000
6.680000
7.350000
16.650000
7.350000
9.570000
7.350000
18.560000
13.950000
10.790000
7.160000
9.270000
12.060000
7.440000
6.070000
4.300000
1.665714
1.764285
2.384285
2.021428
1.707142
2.384285
6.175714
3.130000
4.580000
2.384285
1.761250
2.070000
6.741428
1.888000
43.230000
31.570500
18.127500
45.459000
39.819500
77.066000
18.840000
18.193000

Pret cu ridicata
maximal de
decontare / U.T.

38.901000
40.940000
40.930000
39.490000
40.930000
40.930000
40.930000
38.400833
38.400833
118.160000
160.326000
879.360000
126.314400
105.262000
0.609600
0.609600
0.609600
0.594000
0.508000
3.996000
3.490000
3.330000
3.996000
3.996000
3.996000
4.880000
4.880000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
4.300000
1.665714
1.764285
1.998857
1.998857
1.707142
1.998857
1.998857
1.998857
1.998857
1.998857
1.761250
1.998857
1.998857
1.888000
43.230000
31.570500
18.127500
37.524480
37.524480
77.066000
18.840000
18.193000

Pret cu
amanuntul
maximal /
ambalaj

462.17
53.55
53.53
241.05
53.53
53.53
53.53
540.43
540.43
144.25
1,785.71
996.65
1,785.71
1,185.51
12.62
9.17
20.48
8.03
6.87
82.66
9.43
31.51
236.41
25.61
43.36
6.59
6.59
9.03
9.94
22.51
9.94
12.94
9.94
25.08
18.86
14.58
9.68
12.53
63.10
10.06
8.20
39.37
15.76
16.69
22.56
19.12
16.15
22.56
56.54
29.61
41.93
22.56
19.04
19.58
61.72
25.52
56.54
726.39
433.33
533.65
906.22
878.17
25.47
222.10

Pret cu amanuntul
maximal / U.T.

46.217000
53.550000
53.530000
48.210000
53.530000
53.530000
53.530000
45.035833
45.035833
144.250000
178.571000
996.650000
178.571000
118.551000
1.262000
0.917000
2.048000
0.803000
0.687000
5.166250
4.715000
4.501428
8.443214
6.402500
6.194285
6.590000
6.590000
9.030000
9.940000
22.510000
9.940000
12.940000
9.940000
25.080000
18.860000
14.580000
9.680000
12.530000
15.775000
10.060000
8.200000
5.624285
2.251428
2.384285
3.222857
2.731428
2.307142
3.222857
8.077142
4.230000
5.990000
3.222857
2.380000
2.797142
8.817142
2.552000
56.540000
36.319500
21.666500
53.365000
45.311000
87.817000
25.470000
22.210000

108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171

J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC02
J02AC02
J02AC02
J02AC02
J02AC02
J02AC02
J02AC02
J02AC03
J02AC03
J02AC03
J02AC03

J02AX04
J02AX04
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB11
J05AB14

Denumire generica
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
CASPOFUNGINUM**
CASPOFUNGINUM**
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
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**
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**

Denumire comerciala
FLUCONAZOL KABI 2 mg/ml
DIFLAZON 2mg/ml
FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL BIOGALENICA 2mg/ml

FLUCONAZOL KABI 2 mg/ml


FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL KABI 2 mg/ml
FLUCONAZOL KABI 2 mg/ml
MYCOMAX INF 2mg/ml
FLUCONAZOL B. BRAUN 2mg/ml

MYCOMAX INF 2mg/ml


DIFLUCAN (R)
DIFLUCAN (R)
ITRACONAZOL 100 mg
ITRACONAZOL LPH 100 mg
MICOGAL 100 mg
ORUNGAL
ITRACONAZOL 100 mg
SPORILIN 100 mg
OMICRAL 100 mg
VFEND 200mg
VFEND 50mg
VFEND 200mg
VFEND 40 mg/ml
CANCIDAS 50 mg
CANCIDAS 70 mg
ACICLOVIR FARMEX 200 mg
ACICLOVIR ARENA 200 mg
ACICLOVIR ARENA 200 mg
ACICLOVIR 200 mg
ACICLOVIR ARENA 400 mg
ACICLOVIR 200 mg
ACICLOVIR 200 mg
ACICLOVIR TERAPIA 200 mg
CLOVIRAL 200 mg
ACICLOVIR 200 mg
ACICLOVIR 400 mg
VIROLEX
VALTREX 500 mg
VALCYTE (R) 450 mg
HUMAGLOBIN
HUMAGLOBIN
OCTAGAM 10%
OCTAGAM 10%
OCTAGAM 10%
OCTAGAM 10%
PRIVIGEN 100mg/ml
PRIVIGEN 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
PRIVIGEN 100mg/ml
PRIVIGEN 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%

Forma
Concentr
farmaceuti
atie / U.T.
ca
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.
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.
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
100mg
100mg
100mg
100mg
100mg
100mg
100mg
200mg
50mg
200mg
40mg/ml
50mg
70mg
200mg
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
100mg/ml
100mg/ml
100mg/ml
10g/200ml
1g/20ml
2,5g/50ml
5%
5%
5%
5%

Firma

FRESENIUS KABI ROMANIA SRL

Tara

Ambalaj

ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML
ROMANIA CUTIE CU 25 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF.

FRESENIUS KABI ROMANIA SRL

ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF.

ARENA GROUP S.A. ROMANIA


ROMANIA

FRESENIUS KABI ROMANIA SRL

ROMANIA

FRESENIUS KABI ROMANIA SRL

ROMANIA

FRESENIUS KABI ROMANIA SRL

ROMANIA

ZENTIVA K.S.

REPUBLICA CEHA

B. BRAUN MELSUNGEN AG GERMANIA

ZENTIVA K.S.

REPUBLICA CEHA

PFIZER EUROPE MA EEIG

MAREA BRITANIE

PFIZER EUROPE MA EEIG

MAREA BRITANIE

ARENA GROUP S.A. ROMANIA


LABORMED PHARMA S.A. ROMANIA
ROMPHARM COMPANY SRL ROMANIA

BELGIA CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 5 CAPS.


SLAVIA PHARM SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS.
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 5 CAPS.
MEDICO UNO PHARMACEUTICAL SRL 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
JANSSEN PHARMACEUTICA N.V.

CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA

MERCK SHARP & DOHME

MAREA BRITANIE

CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF.

MERCK SHARP & DOHME

MAREA BRITANIE

CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF.

FARMEX COMPANY S.R.L. ROMANIA

S
S/PR-F

S
S
CUTIE X 1 FLAC. 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 CU 10 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF. S
CUTIE CU 1 FLACON DIN STICLA INCOLORA A 100 ML SOL. PERF. X 200 MG FLUCONAZOL S
CUTIE X 10 FLAC. PEJD X 50 ML SOL. PERF. S
CUTIE CU 1 FLACON DIN STICLA INCOLORA A 200 ML SOL. PERF. X 400 MG FLUCONAZOL S
CUTIE X 1 FLACON X 200 ML
S/P-RF
CUTIE X 1 FLACON X 50 ML
S/P-RF
CUTIE X 3 BLIST. AL/PVC X 5 CAPS.
P-RF
CUTIE X 3 BLIST. PVC/AL X 5 CAPS.
P-RF
CUTIE X 3 BLIST. PVC/AL X 5 CAPS.
P-RF

FRESENIUS KABI ROMANIA SRL

FRESENIUS KABI ROMANIA SRL

Prescriptie

Grupa
Nr.
terape
crt
utica

CUTIE CU 2 BLIST. PVC/AL X 10 CAPS.


CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
CUTIE X 100 BLIST. AL/PVC X 10 CAPS.
CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
CUTIE X 1 BLIST. AL/PVC X 10 CAPS.
CUTIE X 2 BLIST. X 10 COMPR.

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

S
S
P-RF

ARENA GROUP SA
ARENA GROUP SA
SLAVIA PHARM SRL
ARENA GROUP S.A.
LAROPHARM S.R.L.

ROMANIA

EGIS PHARMACEUTICALS P.L.C.

UNGARIA CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF

TERAPIA SA
ANTIBIOTICE SA

ROMANIA
ROMANIA
ROMANIA
ROMANIA

P-RF
P-RF/S

P-RF
P-RF
P-RF

GEDEON RICHTER ROMANIA SA

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR.

EGIS PHARMACEUTICALS P.L.C.

UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF

ROMANIA

P-RF

ROMANIA

P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 5 FLAC. X 250 MG PULB. PT. SOL. INJ./PERF.
THE WELLCOME FOUNDATION LTD.

MAREA BRITANIE

CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.

ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. X 60 COMPR. FILM.


UNGARIA

CUTIE X 1 CUTIE X 1 FLAC. CU PULB. + 1 CUTIE X 1 FLAC. SOLV. X 50 ML

HUMAN BIOPLAZMA MANUFACTURING AND TRADING LTD.

UNGARIA

CUTIE X 1 CUTIE X 1 FLAC. CU PULB. + 1 CUTIE X 1 FLAC. SOLV. X 100 ML

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


CSL BEHRING GMBH
BAXTER AG
BAXTER AG
BAXTER AG
CSL BEHRING GMBH
CSL BEHRING GMBH
BAXTER AG
BAXTER AG
BAXTER AG
KEDRION SPA
KEDRION SPA
KEDRION SPA
INSTITUTO GRIFOLS S.A.
INSTITUTO GRIFOLS S.A.
INSTITUTO GRIFOLS S.A.
INSTITUTO GRIFOLS S.A.

GERMANIA
GERMANIA

CUTIE X 1 FLAC.X 200 ML SOL. PERF.


CUTIE X 1 FLAC.X 25 ML SOL. PERF.

AUSTRIA CUTIE X 1 FLAC X 10ML SOL. PERF.(1G/10ML)


AUSTRIA CUTIE X 1 FLAC X 50ML SOL. PERF.(5G/50ML)
AUSTRIA CUTIE X 1 FLAC X 100ML SOL. PERF.(10G/100ML)
GERMANIA
GERMANIA

CUTIE X 1 FLAC.X 50 ML SOL. PERF.


CUTIE X 1 FLAC.X 100 ML SOL. PERF.

AUSTRIA CUTIE X 1 FLAC X 200ML SOL. PERF.(20G/200ML)


AUSTRIA CUTIE X 1 FLAC X 25ML SOL. PERF.(2,5G/25ML)
AUSTRIA CUTIE X 1 FLAC X 300ML SOL. PERF.(30G/300ML)

ITALIA
ITALIA
ITALIA
SPANIA
SPANIA
SPANIA
SPANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL. PERF. + 1 SET ADMINISTRARE
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 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.

Pagina 39 din 96

P-RF

S/P-RF

P-RF
P-RF

S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S

cant/a
mbala
j

20
1
25
1
1
25
1
10
10
1
10
1
1
1
15
15
15
15
15
15
15
28
28
1
1
1
1
20
20
1000
20
10
20
20
20
20
20
10
5
10
60
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

Pret cu
ridicata
maximal /
ambalaj

360.77
35.03
781.76
81.95
40.63
443.47
34.28
330.71
761.71
42.66
182.90
137.44
133.17
30.99
40.18
40.18
40.18
60.84
40.18
40.18
40.18
3,559.23
912.09
458.07
2,203.52
1,202.39
1,560.14
15.85
15.85
704.14
14.97
14.41
9.62
10.22
12.69
12.16
12.75
14.23
231.79
43.54
4,863.09
451.00
872.00
3,072.10
6,114.44
663.61
1,550.55
3,473.78
460.47
188.56
889.76
1,749.51
890.95
1,751.89
3,469.04
459.88
7,459.41
2,050.80
222.29
535.20
914.10
1,798.20
472.05
99.02

Pret cu ridicata
maximal / U.T.

18.038500
35.030000
31.270400
81.950000
40.630000
17.738800
34.280000
33.071000
76.171000
42.660000
18.290000
137.440000
133.170000
30.990000
2.678666
2.678666
2.678666
4.056000
2.678666
2.678666
2.678666
127.115357
32.574642
458.070000
2,203.520000
1,202.390000
1,560.140000
0.792500
0.792500
0.704140
0.748500
1.441000
0.481000
0.511000
0.634500
0.608000
0.637500
1.423000
46.358000
4.354000
81.051500
451.000000
872.000000
3,072.100000
6,114.440000
663.610000
1,550.550000
3,473.780000
460.470000
188.560000
889.760000
1,749.510000
890.950000
1,751.890000
3,469.040000
459.880000
7,459.410000
2,050.800000
222.290000
535.200000
914.100000
1,798.200000
472.050000
99.020000

Pret cu ridicata
maximal de
decontare / U.T.

18.038500
35.030000
31.270400
81.950000
37.524480
17.738800
34.280000
33.071000
76.171000
37.524480
18.290000
91.405200
91.405200
21.286560
2.678666
2.678666
2.678666
3.214399
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
0.577200
1.441000
0.481000
0.511000
0.577200
0.577200
0.577200
1.423000
46.358000
4.354000
81.051500
451.000000
872.000000
3,072.100000
6,114.440000
663.610000
1,550.550000
3,473.780000
460.470000
188.560000
889.760000
1,749.510000
890.950000
1,751.890000
3,469.040000
459.880000
7,459.410000
2,050.800000
222.290000
535.200000
914.100000
1,798.200000
472.050000
99.020000

Pret cu
amanuntul
maximal /
ambalaj

431.39
45.82
890.27
103.62
53.14
521.53
44.84
398.62
868.42
55.80
223.28
167.79
162.58
40.53
52.56
52.56
52.55
76.92
52.56
52.56
52.56
3,917.72
1,032.33
537.45
2,439.99
1,348.76
1,738.70
21.42
21.42
805.66
20.23
19.48
13.00
13.81
17.15
16.44
17.23
19.23
282.97
56.95
5,338.93
529.74
988.63
3,386.74
6,702.89
761.48
1,728.25
3,824.57
540.07
230.20
1,007.99
1,945.12
1,009.28
1,947.71
3,819.40
539.42
8,168.91
2,273.52
271.37
621.52
1,034.52
1,998.19
552.68
125.20

Pret cu amanuntul
maximal / U.T.

21.569500
45.820000
35.610800
103.620000
53.140000
20.861200
44.840000
39.862000
86.842000
55.800000
22.328000
167.790000
162.580000
40.530000
3.504000
3.504000
3.503333
5.128000
3.504000
3.504000
3.504000
139.918571
36.868928
537.450000
2,439.990000
1,348.760000
1,738.700000
1.071000
1.071000
0.805660
1.011500
1.948000
0.650000
0.690500
0.857500
0.822000
0.861500
1.923000
56.594000
5.695000
88.982166
529.740000
988.630000
3,386.740000
6,702.890000
761.480000
1,728.250000
3,824.570000
540.070000
230.200000
1,007.990000
1,945.120000
1,009.280000
1,947.710000
3,819.400000
539.420000
8,168.910000
2,273.520000
271.370000
621.520000
1,034.520000
1,998.190000
552.680000
125.200000

172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235

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**
L01AA01
L01AA01
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA10
L04AC02
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AX01
L04AX01
L04AX01
L04AX01
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04

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**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
SIROLIMUS**
BASILIXIMABUM**
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
AZATHIOPRINUM
AZATHIOPRINUM
AZATHIOPRINUM
AZATHIOPRINUM
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM

Denumire comerciala
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
MYCOPHENOLATE MOFETIL MEDICO UNO 500 MG

CELLCEPT 500mg
MYFORTIC 180 mg
MYFORTIC 360 mg
MICOFENOLAT MOFETIL DR. REDDY'S 250 mg
MYCOPHENOLATE MOFETIL ACCORD 250 mg

MYFENAX 250mg
MICOFENOLAT MOFETIL SANDOZ 500 mg

SUPREPHEN 250 mg

Forma
Concentr
farmaceuti
atie / U.T.
ca
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.
SOL. INJ./PERF.
SOL. INJ./PERF.
SOL. INJ./PERF.
SOL. INJ./PERF.

CAPS.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM. GASTROREZ.
COMPR. FILM. GASTROREZ.

CAPS.
CAPS.
CAPS.
COMPR.
COMPR. FILM.

MICOFENOLAT MOFETIL TERAPIA 500 mg

COMPR. FILM.

MYFENAX 500mg

COMPR. FILM.

MYCOFENOLAT MOFETIL ACTAVIS 500 mg

COMPR. FILM.

MICOFENOLAT MOFETIL DR. REDDY'S 500 mg

COMPR. FILM.

SUPREPHEN 500 mg
RAPAMUNE 1mg
SIMULECT 20 mg
EQUORAL (R) 100 mg
CICLORAL 25 mg
SANDIMMUN NEORAL (R)
EQUORAL (R) 25 mg
CICLORAL 50 mg
SANDIMMUN NEORAL (R)
EQUORAL (R) 50 mg
EQUORAL (R)
TACNI 0,5 mg

COMPR. FILM.

TACROLIMUSUM ACCORD 0,5 mg

PROGRAF (R) 0,5 mg

TACROLIMUS SANDOZ 0,5 mg

TACNI 1 mg

TACROLIMUSUM ACCORD 1 mg

PROGRAF (R) 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
ACID ALENDRONIC ACCORD 70 mg
ACID ALENDRONIC BLUEFISH 70 mg
ACID ALENDRONIC BLUEFISH 70 mg

FOSAMAX 70 mg

DRAJ.
LIOF. + SOLV. PT. SOL. INJ./PERF.

CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
SOL. ORALA

CAPS.
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.

50mg/ml
50mg/ml
50mg/ml
5g/100ml
50mg
200mg

Firma

OCTAPHARMA (IP) LTD.


OCTAPHARMA (IP) LTD.
OCTAPHARMA (IP) LTD.

KEDRION SPA

Tara

MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE

ITALIA

BAXTER ONCOLOGY GMBH GERMANIA

ACTAVIS S.R.L.

ROCHE REGISTRATION LTD.

CUTIE X 1 FLACON X 100 ML


CUTIE X 1 FLACON X 50 ML
CUTIE X 1 FLACON X 200 ML
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. + 1 SET ADMINISTRARE

CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ.

ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. PERF./INJ

30MU/0,5ml AMGEN EUROPE B.V. OLANDA


48MU/0,5ml AMGEN EUROPE B.V. OLANDA
AUSTRIA
60MU/ml SANDOZ GMBH
96MU/ml SANDOZ GMBH
AUSTRIA
120g/0,2ml HOSPIRA UK LIMITED MAREA BRITANIE
300mcg/0,5ml TEVA GENERICS GMBH GERMANIA
300g/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE
480mcg/0,8ml TEVA GENERICS GMBH GERMANIA
480g/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE

250mg
500mg
500mg
180mg
360mg
250 mg
250mg
250mg
500mg
250mg
500 mg
500mg
500mg
500mg
500mg
1mg
20mg
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
100mg
100mg
50mg
75mg
10mg
70 mg
70mg
70mg
70mg
70mg

Ambalaj

MAREA BRITANIE

CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML


CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML
CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL
CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL

MAREA BRITANIE

S
S
S
S
P-RF

S
S/P-RF
S/P-RF
P-RF/R
P-RF/R

CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,2ML SOL. INJ. SAU PERF.

P-RF

CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF.

S/P-RF/R

CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF.

P-RF

CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF.

S/P-RF/R

CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF.

P-RF

CUTIE X 10 BLIST. X 10 CAPS.

P-RF/R

MEDICO UNO PHARMA KFT. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.
ROCHE REGISTRATION LTD.

Prescriptie

Grupa
Nr.
terape
crt
utica

CUTIE X 5 BLIST. X 10 COMPR. FILM.

P-RF/R
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

PR

DR. REDDY'S LABORATORIES

ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 100 CAPS.

ACCORD HEALTHCARE LIMITED

MAREA BRITANIE

TEVA PHARMA BV
SANDOZ S.R.L.

OLANDA CUTIE X BLIST. PVC/PVDC/AL X 100 CAPS.

P-RF/R

ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 50 COMPR. FILM.

P-RF

CUTIE CU BLIST. PVC-PVDC/AL CU 100 CAPS.

P-RF/R

ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 10 BLIST. PVC-PCTFE-PE/AL X 10 COMPR. FILM. PRF

TERAPIA S.A.
TEVA PHARMA BV

ROMANIA CUTIE CU 1 BLIST. DIN AL-PA-PVC/AL X 50 COMPR. FILM.

OLANDA CUTIE X BLIST. PVC/PVDC/AL X 50 COMPR. FILM.


ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.
DR. REDDY'S LABORATORIES

ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

PR
P-RF/R
P-RF/R

P-RF

ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 5 BLIST. PVC-PCTFE-PE/AL X 10 COMPR. FILM. PRF

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.

IVAX - PHARMACEUTICALS S.R.O.

HEXAL AG

CEHIA
GERMANIA

NOVARTIS PHARMA GMBH GERMANIA


IVAX - PHARMACEUTICALS S.R.O.

HEXAL AG

CEHIA
GERMANIA

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 5 BLIST. X 10 CAPS. MOI


CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI
CUTIE X 10 BLIST. X 5 CAPS. MOI
CUTIE X 5 BLIST. X 10 CAPS. MOI
CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI
CUTIE X 10 BLIST. X 5 CAPS. MOI
CUTIE X 5 BLIST. X 10 CAPS. MOI

P-RF/R

S
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF

IVAX - PHARMACEUTICALS S.R.O.

CEHIA
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

ACCORD HEALTHCARE LIMITED

MAREA BRITANIE

CUTIE CU BLIST. AL/AL X 50 CAPS.

PR

IVAX - PHARMACEUTICALS S.R.O.

S/P-RF

OLANDA

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT

S/P-RF

ROMANIA

CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS.

S/P-RF

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI AL A CATE 10 CAPSULE

PRF

ACCORD HEALTHCARE LIMITED

MAREA BRITANIE

CUTIE CU BLIST. AL/AL X 50 CAPS.

PR

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
S/P-RF

ASTELLAS PHARMA EUROPE BV

SANDOZ S.R.L.

SANDOZ S.R.L.

ROMANIA

CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS.

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI AL A CATE 10 CAPS.

PRF

ASTELLAS PHARMA EUROPE BV

OLANDA

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)
ASTELLAS PHARMA EUROPE BV

OLANDA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)

ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)

EBEWE PHARMA GES.M.B.H. NFG KG

OLANDA CUTIE X 10 FIOLE X 1 ML


AUSTRIA CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM.
AUSTRIA CUTIE CU 1 FLAC. PEID X 50 COMPR. FILM.
MAREA BRITANIE
CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM.
AUSTRIA CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM.

ACCORD HEALTHCARE LIMITED

MAREA BRITANIE

ASTELLAS PHARMA EUROPE BV


EBEWE PHARMA GES.M.B.H. NFG KG
EBEWE PHARMA GES.M.B.H. NFG KG

THE WELLCOME FOUNDATION LTD.

CUTIE CU BLIST. PVC/AL X 28 COMPR.

P-RF/R
P-RF/R
P-RF/R

S
PR
PR
S/P-RF

PR
P-6L

TEVA PHARMACEUTICALS S.R.L.

ROMANIA CUTIE X 1 BLIST. PVC-AL-OPA/AL X 4 COMPR. P-6L

ACCORD HEALTHCARE LIMITED

MAREA BRITANIE

BLUEFISH PHARMACEUTICALS AB
BLUEFISH PHARMACEUTICALS AB

CUTIE CU BLIST. OPA -AL-PVC/AL X 4 COMPR. P-6L

SUEDIA CUTIE CU BLIST. AL/AL X 2 COMPR.


SUEDIA CUTIE CU BLIST. AL/AL X 4 COMPR.

P-6L
P-6L

MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. AL/AL IN PORTOFEL X 2 COMPR. P-6L

Pagina 40 din 96

cant/a
mbala
j

1
1
1
1
50
1
1
1
1
1
5
1
5
1
5
100
50
50
120
120
100
100
100
50
100
50
50
50
50
50
30
1
50
50
50
50
50
50
50
1
50
50
50
50
50
50
50
50
50
50
50
50
50
10
100
50
100
100
28
4
4
2
4
2

Pret cu
ridicata
maximal /
ambalaj

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
292.89
452.86
557.65
1,041.93
291.62
292.89
302.31
227.17
291.62
302.36
302.31
272.59
272.59
227.17
489.29
4,267.46
397.39
112.61
112.48
74.45
250.01
239.32
155.55
358.02
133.49
133.49
205.39
133.49
238.62
238.62
363.74
238.62
1,114.65
1,715.18
204.92
402.53
1,865.58
1,545.19
83.19
42.34
63.98
62.39
36.90
36.90
36.90
18.44
18.28
28.39

Pret cu ridicata
maximal / U.T.

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
5.857800
9.057200
4.647083
8.682750
2.916200
2.928900
3.023100
4.543400
2.916200
6.047200
6.046200
5.451800
5.451800
4.543400
16.309666
4,267.460000
7.947800
2.252200
2.249600
1.489000
5.000200
4.786400
3.111000
358.020000
2.669800
2.669800
4.107800
2.669800
4.772400
4.772400
7.274800
4.772400
22.293000
34.303600
4.098400
8.050600
37.311600
154.519000
0.831900
0.846800
0.639800
0.623900
1.317857
9.225000
9.225000
9.220000
4.570000
14.195000

Pret cu ridicata
maximal de
decontare / U.T.

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
2.928900
3.023100
4.543400
2.916200
5.452080
5.452080
5.451800
5.451800
4.543400
16.309666
4,267.460000
7.947800
1.786800
1.786800
1.489000
3.733200
3.733200
3.111000
358.020000
2.669800
2.669800
3.203760
2.669800
4.772400
4.772400
5.726880
4.772400
22.293000
26.751600
3.203760
5.726880
26.751600
154.519000
0.831900
0.846800
0.639800
0.623900
1.317857
5.484000
5.484000
5.484000
4.570000
5.484000

Pret cu
amanuntul
maximal /
ambalaj

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
357.56
531.77
645.99
1,173.85
356.01
357.56
367.67
277.33
356.01
367.72
367.67
332.78
332.78
277.33
571.48
4,689.69
471.31
137.48
137.32
94.13
305.21
292.16
189.90
428.39
162.97
162.97
250.74
162.97
291.31
291.31
434.63
291.31
1,253.12
1,907.70
250.17
476.91
2,071.63
1,722.41
105.18
55.38
80.90
78.89
48.27
48.27
48.27
24.93
24.71
37.13

Pret cu amanuntul
maximal / U.T.

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
7.151200
10.635400
5.383250
9.782083
3.560100
3.575600
3.676700
5.546600
3.560100
7.354400
7.353400
6.655600
6.655600
5.546600
19.049333
4,689.690000
9.426200
2.749600
2.746400
1.882600
6.104200
5.843200
3.798000
428.390000
3.259400
3.259400
5.014800
3.259400
5.826200
5.826200
8.692600
5.826200
25.062400
38.154000
5.003400
9.538200
41.432600
172.241000
1.051800
1.107600
0.809000
0.788900
1.723928
12.067500
12.067500
12.465000
6.177500
18.565000

236
237
238
239
240
241
242

M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04

N02AB02

Denumire generica
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
PETHIDINUM

Denumire comerciala
RANOS 70 mg
INSTREL 70 mg
ADRONIK 70 mg
ADRONIK 70 mg

Forma
Concentr
farmaceuti
atie / U.T.
ca
COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.

ALENDRONAT SANDOZ 70 mg COMPR. FILM.

ADRONIK 70 mg
MIALGIN (R) 100 mg/2 ml

COMPR. FILM.

SOL. INJ.

70mg
70mg
70mg
70mg
70mg
70mg
50mg/ml

Firma

Tara

Ambalaj

Prescriptie

Grupa
Nr.
terape
crt
utica

TERAPIA SA

ROMANIA CUTIE X 1 BLIST. DIN PAO-PVC-AL/AL X 4 COMPR. P-6L

DR. REDDY'S LABORATORIES

ROMANIA

ARENA GROUP S.A.


ARENA GROUP S.A.
SANDOZ S.R.L.
ARENA GROUP S.A.
ZENTIVA SA

ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 12 COMPR. FILM.

CUTIE CU BLIST. AL/AL X 4 COMPR. FILM.

P-RF

P-6L

ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 2 COMPR. FILM. P-6L


ROMANIA CUTIE X 1 BLIST. OPA-AL-PVC/AL X 2 COMPR. FILM

P-6L

ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 4 COMPR. FILM. P-6L

CUTIE X 5 FIOLE DIN STICLA X 2 ML

P-TS

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

ROMANIA

cant/a
mbala
j

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

Pret cu ridicata
maximal de
decontare / U.T.

Pret cu
amanuntul
maximal /
ambalaj

Pret cu amanuntul
maximal / U.T.

4
4
12
2
2
4
5

36.44
36.44
108.06
18.33
9.49
36.67
5.77

9.110000
9.110000
9.005000
9.165000
4.745000
9.167500
1.154000

5.484000
5.484000
5.484000
5.484000
4.745000
5.484000
1.154000

47.66
47.66
131.92
24.78
12.82
47.97
7.80

11.915000
11.915000
10.993333
12.390000
6.410000
11.992500
1.560000

10
5
10
1
10
10
28
28
1
1
60

66.80
80.20
1,603.26
879.36
1,603.26
1,052.62
3,559.23
912.09
458.07
2,203.52
4,863.09

6.680000
16.040000
160.326000
879.360000
160.326000
105.262000
127.115357
32.574642
458.070000
2,203.520000
81.051500

6.680000
16.040000
160.326000
879.360000
126.314400
105.262000
127.115357
32.574642
458.070000
2,203.520000
81.051500

84.46
101.41
1,785.71
996.65
1,785.71
1,185.51
3,917.72
1,032.33
537.45
2,439.99
5,338.93

8.446000
20.282000
178.571000
996.650000
178.571000
118.551000
139.918571
36.868928
537.450000
2,439.990000
88.982166

10
10
10
2
10
5
5
100
12
12
1
12
1
5
10
1
5
1
1
1
10
12
10
1
1
5
1
1
1
12
12
10
1
10
10

57.68
118.41
153.90
39.90
66.80
80.20
9.47
113.56
692.90
401.14
22.93
265.41
20.32
99.83
196.11
40.65
196.11
22.93
22.93
22.93
386.57
265.28
389.01
40.94
40.93
197.45
40.93
40.93
40.93
460.81
460.81
1,603.26
879.36
1,603.26
1,052.62

5.768000
11.841000
15.390000
19.950000
6.680000
16.040000
1.894000
1.135600
57.741666
33.428333
22.930000
22.117500
20.320000
19.966000
19.611000
40.650000
39.222000
22.930000
22.930000
22.930000
38.657000
22.106666
38.901000
40.940000
40.930000
39.490000
40.930000
40.930000
40.930000
38.400833
38.400833
160.326000
879.360000
160.326000
105.262000

5.768000
11.841000
15.390000
19.950000
6.680000
16.040000
1.894000
1.135600
46.081000
23.533200
22.930000
22.117500
20.320000
19.966000
19.611000
23.533200
23.533200
22.930000
22.930000
22.930000
23.533200
22.106666
38.901000
40.940000
40.930000
39.490000
40.930000
40.930000
40.930000
38.400833
38.400833
160.326000
879.360000
126.314400
105.262000

72.93
144.56
187.88
52.19
84.46
101.41
12.80
138.64
793.41
475.39
30.99
324.01
27.47
126.23
239.41
53.17
239.41
30.99
30.99
30.99
459.51
323.86
462.17
53.55
53.53
241.05
53.53
53.53
53.53
540.43
540.43
1,785.71
996.65
1,785.71
1,185.51

7.293000
14.456000
18.788000
26.095000
8.446000
20.282000
2.560000
1.386400
66.117500
39.615833
30.990000
27.000833
27.470000
25.246000
23.941000
53.170000
47.882000
30.990000
30.990000
30.990000
45.951000
26.988333
46.217000
53.550000
53.530000
48.210000
53.530000
53.530000
53.530000
45.035833
45.035833
178.571000
996.650000
178.571000
118.551000

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)
ZYVOXID (R)
LINEZOLID TEVA 2 mg/ml
VFEND 200mg
VFEND 50mg
VFEND 200mg
VFEND 40 mg/ml
VALCYTE (R) 450 mg

SOL. INJ.
SOL. INJ.

1432ui/0,25ml

COMPR. FILM.

600mg

GRAN. PT. SUSP. ORALA

ABBOTT GMBH&CO.KG GERMANIA


MAREA BRITANIE

CUTIE X 1 FLAC. X 10 COMPR. FILM.

P-RF

100mg/5ml 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

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 10 PUNGI X 300 ML

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

SOL. PERF. 2mg/ml


SOL. PERF. 2mg/ml
COMPR. FILM. 200mg
COMPR. FILM. 50mg
PULB. PT. SOL. PERF. 200mg
PULB. PT. SUSP. ORALA 40mg/ml
COMPR. FILM. 450mg

PFIZER EUROPE MA EEIG

PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED

P-RF

MAREA BRITANIE

CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL)


CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL)
CUTIE X 1 FLAC. UNIDOZA X 30ML

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
MAREA BRITANIE

ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. X 60 COMPR. FILM.

P-RF
P-RF
P-RF

P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA

P9.6: TRANSPLANT PULMONAR


1
2
3
4
5
6
7
8
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

B01AB05
B01AB05
B01AB05
B01AB05
B01AB08
B01AB08
B02AA02
C01CA24

J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05

J01XX08
J01XX08
J01XX08
J01XX08

ENOXAPARINUM
ENOXAPARINUM
ENOXAPARINUM
ENOXAPARINUM
REVIPARINUM
REVIPARINUM
ACIDUM TRANEXAMICUM4
EPINEPHRINUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM

SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
CLIVARIN (R) 1432UI/0,25 ml SOL. INJ.
CLIVARIN (R) 3436 UI/0,6 ml SOL. INJ.
EXACYL
SOL. INJ.
ADRENALINA 1 mg
SOL. INJ.
TAZOCIN 4,5
LIOF. PT. SOL. INJ.
TAZOCIN 2,25
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.
CLEXANE 2000ui anti-Xa/0,2ml
CLEXANE 4000ui anti-Xa/0,4ml
CLEXANE 6000ui anti-Xa/0,6ml
CLEXANE 8000ui anti-Xa/0,8ml

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

ABBOTT GMBH&CO.KG GERMANIA


3436ui/0,6ml 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

2000ui anti-Xa/0,2ml
4000ui anti-Xa/0,4ml
6000ui anti-Xa/0,6ml
8000ui anti-Xa/0,8ml

1432ui/0,25ml

500mg/5ml CN UNIFARM

1mg/ml

TERAPIA SA

FARA CONCENTRATIE

PFIZER EUROPE MA EEIG

FARA CONCENTRATIE

WYETH LEDERLE PHARMA GMBH

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
PERASIN 2g/0,25 g
PULB. PT. SOL. INJ./PERF. 2g/0,25g
PIPERACILINA/TAZOBACTAM MYLAN 2g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g
BACTACIN 2 g/0,25 g
PULB. PT. SOL. INJ./PERF. 2g/0,25g
PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g
PIPERACILINA/TAZOBACTAN ACTAVIS 2 g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g
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
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
ZOPECILIN 4 g/0,5 g
PULB. PT. SOL. INJ./PERF. 4g/0,5g
ZOPECILIN 4 g/0,5 g
PULB. PT. SOL. INJ./PERF. 4g/0,5g
PIPERACILINA/TAZOBACTAN ACTAVIS 4 g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g
ZYVOXID (R)
COMPR. FILM. 600mg
ZYVOXID (R)
GRAN. PT. SUSP. ORALA 100mg/5ml
ZYVOXID (R)
SOL. PERF. 2mg/ml
LINEZOLID TEVA 2 mg/ml
SOL. PERF. 2mg/ml

CUTIE X 5 FIOLE X 5ML SOL. INJ.


ROMANIA CUTIE X 100 FIOLE X 1 ML
MAREA BRITANIE
CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ.
AUSTRIA CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ.
ROMANIA

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.

S.C. FRESENIUS KABI S.R.L. ROMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF

S.C. FRESENIUS KABI S.R.L. ROMANIA

CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF

S.C. FRESENIUS KABI S.R.L. ROMANIA

CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF

S.C. FRESENIUS KABI S.R.L. ROMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

S.C. FRESENIUS KABI S.R.L. ROMANIA

CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

ANTIBIOTICE S.A.
MYLAN S.A.S.
TERAPIA SA

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

FRANTA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CU PULB. PT. SOL. INJ./PERF.

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF.

S.C. FRESENIUS KABI S.R.L. ROMANIA

CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

ACTAVIS GROUP PTC EHF. ISLANDA

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.

S.C. FRESENIUS KABI S.R.L. ROMANIA

CUTIE X 10 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

MYLAN S.A.S.

FRANTA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. INJ./PERF.

S.C. FRESENIUS KABI S.R.L. ROMANIA

CUTIE X 1 FLAC DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

S.C. FRESENIUS KABI S.R.L. ROMANIA

CUTIE X 5 FLAC. DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF

TERAPIA SA
ANTIBIOTICE S.A.

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 50 ML CU PULB. PT. SOL. INJ./PERF.

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 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.

ACTAVIS GROUP PTC EHF. ISLANDA

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.

X
S
S/P-RF
S/P-RF

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

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 10 PUNGI X 300 ML

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

Pagina 41 din 96

36
37
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50
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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

J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
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

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
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
ACICLOVIRUM

Denumire comerciala
FUNGOLON 100 mg

Forma
Concentr
farmaceuti
atie / U.T.
ca
CAPS.

FLUCONAZOLE TEVA 100 mg CAPS.


FLUCONAZOLE TEVA 100 mg CAPS.

DIFLAZON 100 mg
FLUCOVIM 100
FLUCORIC 100 mg

FLUCONAZOL BIOGALENICA 150 mg

FLUCONAZOLE TEVA 150 mg


FLUCONAZOL ARENA 150 MG

FLUCONAZOL 150 mg
DIFLAZON 150 mg
FLUCONAZOL LPH 150 mg

FLUCONAZOL ROMPHARM 150 mg

FLUCOVIM 150
DIFLUCAN 150 mg
FLUCORIC 150 mg
FLUCONAZOL SANDOZ (R) 150

FLUCONAZOL 150 mg
MYCOMAX 150
MYCOSYST 150 mg

FLUCONAZOL ACTAVIS 150 mg


FLUCONAZOL MEDOCHEMIE 150 mg

FLUCONAZOLE TEVA 200 mg


FLUCONAZOL BIOGALENICA 50 mg

FLUCONAZOLE TEVA 50 mg
FLUCONAZOL OZONE 50 mg
FLUCONAZOL ARENA 50 MG
FLUCONAZOL MEDOCHEMIE 50 mg

FLUCONAZOL LPH 50 mg
DIFLUCAN 50 mg
FLUCORIC 50 mg
FLUCONAZOL SANDOZ (R) 50

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.

FLUCOVIM 50
FUNGOLON 50 mg
FLUCONAZOL 50 mg
DIFLAZON 50 mg
FLUCONAZOL 50 mg
DIFLUCAN (R) 50 mg/5 ml
PULB. PT. SUSP. ORALA
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 KABI 2 mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
DIFLAZON 2mg/ml
SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
FLUCONAZOL BIOGALENICA 2mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
MYCOMAX INF 2mg/ml
SOL. PERF.
FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF.
MYCOMAX INF 2mg/ml
SOL. PERF.
DIFLUCAN (R)
SOL. PERF.
DIFLUCAN (R)
SOL. PERF.
VFEND 200mg
COMPR. FILM.
VFEND 50mg
COMPR. FILM.
VFEND 200mg
PULB. PT. SOL. PERF.
VFEND 40 mg/ml
PULB. PT. SUSP. ORALA
ACICLOVIR FARMEX 200 mg CAPS.

100mg
100mg
100mg
100mg
100mg
100mg
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
2mg/ml
2mg/ml
2mg/ml
200mg
50mg
200mg
40mg/ml
200mg

Firma

Tara

BALKANPHARMA RAZGRAD AD BULGARIA


TEVA PHARMACEUTICALS S.R.L.

ROMANIA

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

KRKA D.D.
SLOVENIA
VIM SPECTRUM SRL ROMANIA
TERAPIA SA
ROMANIA
LABORATOARELE PROF.DR.MORAIT S.R.L.

ROMANIA

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

ARENA GROUP SA

ROMANIA

OZONE LABORATORIES PHARMA S.A.

ROMANIA

KRKA D.D.

SLOVENIA

LABORMED PHARMA S.A. ROMANIA


ROMPHARM COMPANY S.R.L. ROMANIA

VIM SPECTRUM SRL ROMANIA


PFIZER EUROPE MA EEIG

MAREA BRITANIE

Ambalaj

CUTIE X 2 BLIST. PVC/AL X 8 CAPS.


P-RF
CUTIE X 1 BLIST. PVC-PVDC/AL X 2 CAPS. P-RF
CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF
CUTIE X 4 BLIST. X 7 CAPS.
P-RF
CUTIE X 1 BLIST. X 4 CAPS.
P-RF
CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF
CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF
CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF
CUTIE X 1 BLIST. AL/PVC X 1 CAPS.
P-RF
CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF
CUTIE X 1 BLIST. X 1 CAPS.
P-RF
CUTIE CU 1 BLIST. PVC/AL X 1 CAPS.
PRF
CUTIE CU 1 BLIST. PVC/AL X 1 CAPS.
PRF
CUTIE X 1 FLAC. X 1 CAPS.
P-RF
CUTIE X 1 BLIST. AL/PVC X 1 CAPS.
P-RF

TERAPIA SA
ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS.
SANDOZ SRL
GERMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS.
SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS.
ZENTIVA K.S.
CEHIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS.
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 4 BLIST. AL/PVC X 1 CAPS.
ACTAVIS GROUP PTC EHF. ISLANDA
MEDOCHEMIE ROMANIA SRL ROMANIA
TEVA PHARMACEUTICALS S.R.L.

ROMANIA

LABORATOARELE PROF.DR.MORAIT S.R.L.

ROMANIA

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

OZONE LABORATORIES PHARMA S.A.

ROMANIA

ARENA GROUP SA

ROMANIA

MEDOCHEMIE ROMANIA SRL ROMANIA

LABORMED PHARMA S.A. ROMANIA


PFIZER EUROPE MA EEIG

MAREA BRITANIE

PFIZER EUROPE MA EEIG

MAREA BRITANIE

FRESENIUS KABI ROMANIA SRL

ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF.

B. BRAUN MELSUNGEN AG GERMANIA


B. BRAUN MELSUNGEN AG GERMANIA
B. BRAUN MELSUNGEN AG GERMANIA

CUTIE X 1 FLAC. PEID PULB. PT. 35 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 5 ML

CUTIE X 20 FLAC. PEJD X 50 ML SOL. PERF.


CUTIE X 10 FLAC. PEJD X 100 ML SOL. PERF.
CUTIE X 20 FLAC. PEJD X 100 ML SOL. PERF.
CUTIE X 10 FLAC. PEJD X 200 ML SOL. PERF.

FRESENIUS KABI ROMANIA SRL

ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.

FRESENIUS KABI ROMANIA SRL

ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.

FRESENIUS KABI ROMANIA SRL

ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 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
P-RF
P-RF

S
S
S
S
S
S
S
S
S/PR-F

MAREA BRITANIE
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

CUTIE CU 2 BLIST. PVC/AL X 10 CAPS.

P-RF

ROMANIA CUTIE CU 25 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF.

FRESENIUS KABI ROMANIA SRL

ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF.

ARENA GROUP S.A. ROMANIA


FRESENIUS KABI ROMANIA SRL

ROMANIA

FRESENIUS KABI ROMANIA SRL

ROMANIA

FRESENIUS KABI ROMANIA SRL

ROMANIA

FRESENIUS KABI ROMANIA SRL

ROMANIA

ZENTIVA K.S.

REPUBLICA CEHA

B. BRAUN MELSUNGEN AG GERMANIA

ZENTIVA K.S.

REPUBLICA CEHA

PFIZER EUROPE MA EEIG

MAREA BRITANIE

PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED

P-RF

S
S
CUTIE X 1 FLAC. 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 CU 10 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF. S
CUTIE CU 1 FLACON DIN STICLA INCOLORA A 100 ML SOL. PERF. X 200 MG FLUCONAZOL S
CUTIE X 10 FLAC. PEJD X 50 ML SOL. PERF. S
CUTIE CU 1 FLACON DIN STICLA INCOLORA A 200 ML SOL. PERF. X 400 MG FLUCONAZOL S
CUTIE X 1 FLACON X 200 ML
S/P-RF
CUTIE X 1 FLACON X 50 ML
S/P-RF
CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF
CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL) P-RF
CUTIE X 1 FLAC. UNIDOZA X 30ML
P-RF

FRESENIUS KABI ROMANIA SRL

PFIZER EUROPE MA EEIG

P-RF
P-RF

CUTIE CU 1 BLIST. PVC-PVDC/AL X 1 CAPS. PRF

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.


CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.
CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.
CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.
CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.
CUTIE X 1 BLIST. AL/PVC X 7 CAPS.
CUTIE X 1 BLIST. AL/PVC X 7 CAPS.
CUTIE CU 1 BLIST. PVC/AL X 7 CAPS.
CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

TERAPIA SA
ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS.
SANDOZ SRL
ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS.
VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS.
BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 1 BLIST. PVC/AL X 8 CAPS.
SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS.
KRKA D.D.
SLOVENIA CUTIE X 1 BLIST. X 7 CAPS.
ANTIBIOTICE S.A.
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS.

B. BRAUN MELSUNGEN AG GERMANIA

Prescriptie

Grupa
Nr.
terape
crt
utica

MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE

FARMEX COMPANY S.R.L. ROMANIA

Pagina 42 din 96

cant/a
mbala
j

16
2
7
28
4
7
1
1
1
1
1
1
1
1
1
1
1
1
1
4
1
1
7
7
7
7
7
7
7
7
7
7
7
8
7
7
10
1
20
20
10
20
10
1
10
20
1
25
1
1
25
1
10
10
1
10
1
1
1
28
28
1
1
20

Pret cu
ridicata
maximal /
ambalaj

65.37
6.98
23.31
193.65
18.95
33.15
4.88
4.88
6.68
7.35
16.65
7.35
9.57
7.35
18.56
13.95
10.79
7.16
9.27
48.24
7.44
6.07
30.10
11.66
12.35
16.69
14.15
11.95
16.69
43.23
21.91
32.06
16.69
14.09
14.49
47.19
18.88
43.23
631.41
362.55
454.59
796.39
770.66
18.84
181.93
360.77
35.03
781.76
81.95
40.63
443.47
34.28
330.71
761.71
42.66
182.90
137.44
133.17
30.99
3,559.23
912.09
458.07
2,203.52
15.85

Pret cu ridicata
maximal / U.T.

4.085625
3.490000
3.330000
6.916071
4.737500
4.735714
4.880000
4.880000
6.680000
7.350000
16.650000
7.350000
9.570000
7.350000
18.560000
13.950000
10.790000
7.160000
9.270000
12.060000
7.440000
6.070000
4.300000
1.665714
1.764285
2.384285
2.021428
1.707142
2.384285
6.175714
3.130000
4.580000
2.384285
1.761250
2.070000
6.741428
1.888000
43.230000
31.570500
18.127500
45.459000
39.819500
77.066000
18.840000
18.193000
18.038500
35.030000
31.270400
81.950000
40.630000
17.738800
34.280000
33.071000
76.171000
42.660000
18.290000
137.440000
133.170000
30.990000
127.115357
32.574642
458.070000
2,203.520000
0.792500

Pret cu ridicata
maximal de
decontare / U.T.

3.996000
3.490000
3.330000
3.996000
3.996000
3.996000
4.880000
4.880000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
4.300000
1.665714
1.764285
1.998857
1.998857
1.707142
1.998857
1.998857
1.998857
1.998857
1.998857
1.761250
1.998857
1.998857
1.888000
43.230000
31.570500
18.127500
37.524480
37.524480
77.066000
18.840000
18.193000
18.038500
35.030000
31.270400
81.950000
37.524480
17.738800
34.280000
33.071000
76.171000
37.524480
18.290000
91.405200
91.405200
21.286560
127.115357
32.574642
458.070000
2,203.520000
0.577200

Pret cu
amanuntul
maximal /
ambalaj

82.66
9.43
31.51
236.41
25.61
43.36
6.59
6.59
9.03
9.94
22.51
9.94
12.94
9.94
25.08
18.86
14.58
9.68
12.53
63.10
10.06
8.20
39.37
15.76
16.69
22.56
19.12
16.15
22.56
56.54
29.61
41.93
22.56
19.04
19.58
61.72
25.52
56.54
726.39
433.33
533.65
906.22
878.17
25.47
222.10
431.39
45.82
890.27
103.62
53.14
521.53
44.84
398.62
868.42
55.80
223.28
167.79
162.58
40.53
3,917.72
1,032.33
537.45
2,439.99
21.42

Pret cu amanuntul
maximal / U.T.

5.166250
4.715000
4.501428
8.443214
6.402500
6.194285
6.590000
6.590000
9.030000
9.940000
22.510000
9.940000
12.940000
9.940000
25.080000
18.860000
14.580000
9.680000
12.530000
15.775000
10.060000
8.200000
5.624285
2.251428
2.384285
3.222857
2.731428
2.307142
3.222857
8.077142
4.230000
5.990000
3.222857
2.380000
2.797142
8.817142
2.552000
56.540000
36.319500
21.666500
53.365000
45.311000
87.817000
25.470000
22.210000
21.569500
45.820000
35.610800
103.620000
53.140000
20.861200
44.840000
39.862000
86.842000
55.800000
22.328000
167.790000
162.580000
40.530000
139.918571
36.868928
537.450000
2,439.990000
1.071000

100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163

J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB14
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
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

Denumire generica
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
VALGANCICLOVIRUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
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

Denumire comerciala
ACICLOVIR ARENA 200 mg
ACICLOVIR ARENA 200 mg
ACICLOVIR 200 mg
ACICLOVIR ARENA 400 mg
ACICLOVIR 200 mg
ACICLOVIR 200 mg
ACICLOVIR TERAPIA 200 mg
CLOVIRAL 200 mg
ACICLOVIR 200 mg
ACICLOVIR 400 mg
VIROLEX
VALCYTE (R) 450 mg
CELLCEPT 250mg
MYCOPHENOLATE MOFETIL MEDICO UNO 500 MG

CELLCEPT 500mg
MYFORTIC 180 mg
MYFORTIC 360 mg
MICOFENOLAT MOFETIL DR. REDDY'S 250 mg
MYCOPHENOLATE MOFETIL ACCORD 250 mg

MYFENAX 250mg
MICOFENOLAT MOFETIL SANDOZ 500 mg

Forma
Concentr
farmaceuti
atie / U.T.
ca
CAPS.
CAPS.
CAPS.
CAPS.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
PULB. PT. SOL. INJ./PERF.

COMPR. FILM.

CAPS.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM. GASTROREZ.
COMPR. FILM. GASTROREZ.

CAPS.
CAPS.
CAPS.
COMPR.

SUPREPHEN 250 mg

COMPR. FILM.

MICOFENOLAT MOFETIL TERAPIA 500 mg

COMPR. FILM.

MYFENAX 500mg

COMPR. FILM.

MYCOFENOLAT MOFETIL ACTAVIS 500 mg

COMPR. FILM.

MICOFENOLAT MOFETIL DR. REDDY'S 500 mg

COMPR. FILM.

SUPREPHEN 500 mg
SIMULECT 20 mg
EQUORAL (R) 100 mg
CICLORAL 25 mg
SANDIMMUN NEORAL (R)
EQUORAL (R) 25 mg
CICLORAL 50 mg
SANDIMMUN NEORAL (R)
EQUORAL (R) 50 mg
EQUORAL (R)
IMMUNOPRIN 100 mg
IMMUNOPRIN 100 mg
IMURAN (R)
IMMUNOPRIN 75 mg
TRALGIT 50
TRAMADOL LPH 50 mg
K-ALMA (R)
TRAMADOL ARENA
TRAMADOL AL 50
TRAMADOL AL 50
MABRON 50 mg
TRAMACALM
URGENDOL
TRAMADOL
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 50 mg

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
200mg
200mg
400mg
200mg
200mg
200mg
200mg
200mg
400mg
250mg
450mg
250mg
500mg
500mg
180mg
360mg
250 mg
250mg
250mg
500mg
250mg
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

Prescriptie

Grupa
Nr.
terape
crt
utica

ARENA GROUP SA
ARENA GROUP SA
SLAVIA PHARM SRL
ARENA GROUP S.A.
LAROPHARM S.R.L.

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.


CUTIE X 100 BLIST. AL/PVC X 10 CAPS.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS.
ROMANIA CUTIE X 2 BLIST. X 10 COMPR.

EGIS PHARMACEUTICALS P.L.C.

UNGARIA CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF

TERAPIA SA
ANTIBIOTICE SA

ROMANIA

P-RF

ROMANIA

P-RF/S

P-RF
P-RF
P-RF

GEDEON RICHTER ROMANIA SA

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.


CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR.

EGIS PHARMACEUTICALS P.L.C.

UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF

ROMANIA

P-RF

ROMANIA

P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 5 FLAC. X 250 MG PULB. PT. SOL. INJ./PERF.

P-RF

S/P-RF

ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. X 60 COMPR. FILM.

P-RF

ROCHE REGISTRATION LTD.

P-RF/R

MAREA BRITANIE

CUTIE X 10 BLIST. X 10 CAPS.

MEDICO UNO PHARMA KFT. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.
ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 5 BLIST. X 10 COMPR. FILM.

P-RF/R
P-RF/R

NOVARTIS PHARMA GMBH GERMANIA

CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ.

S/P-RF

NOVARTIS PHARMA GMBH GERMANIA

CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ.

S/P-RF

DR. REDDY'S LABORATORIES

ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 100 CAPS.

PR

ACCORD HEALTHCARE LIMITED

MAREA BRITANIE

CUTIE CU BLIST. PVC-PVDC/AL CU 100 CAPS.


OLANDA CUTIE X BLIST. PVC/PVDC/AL X 100 CAPS.

P-RF/R

ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 50 COMPR. FILM.

P-RF

TEVA PHARMA BV
SANDOZ S.R.L.

P-RF/R

ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 10 BLIST. PVC-PCTFE-PE/AL X 10 COMPR. FILM. PRF

TERAPIA S.A.
TEVA PHARMA BV

ROMANIA CUTIE CU 1 BLIST. DIN AL-PA-PVC/AL X 50 COMPR. FILM.

OLANDA CUTIE X BLIST. PVC/PVDC/AL X 50 COMPR. FILM.

PR
P-RF/R

ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

P-RF/R

ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

P-RF

DR. REDDY'S LABORATORIES

ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 5 BLIST. PVC-PCTFE-PE/AL X 10 COMPR. FILM. PRF
NOVARTIS EUROPHARM LTD.
IVAX - PHARMACEUTICALS S.R.O.

HEXAL AG

MAREA BRITANIE

CEHIA
GERMANIA

NOVARTIS PHARMA GMBH GERMANIA


IVAX - PHARMACEUTICALS S.R.O.

HEXAL AG

CEHIA
GERMANIA

NOVARTIS PHARMA GMBH GERMANIA


IVAX - PHARMACEUTICALS S.R.O.
IVAX - PHARMACEUTICALS S.R.O.
EBEWE PHARMA GES.M.B.H. NFG KG
EBEWE PHARMA GES.M.B.H. NFG KG

THE WELLCOME FOUNDATION LTD.


EBEWE PHARMA GES.M.B.H. NFG KG

ZENTIVA A.S.

CEHIA
CEHIA

CUTIE X 1 FLAC. CU LIOF.+ 1 FIOLA SOLV. APA PT. PREP. INJ.

CUTIE X 5 BLIST. X 10 CAPS. MOI


CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI
CUTIE X 10 BLIST. X 5 CAPS. MOI
CUTIE X 5 BLIST. X 10 CAPS. MOI
CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI
CUTIE X 10 BLIST. X 5 CAPS. MOI
CUTIE X 5 BLIST. X 10 CAPS. MOI
CUTIE X 1 FLACON DIN STICLA BRUNA X 50 ML, UN DISPOZITIV DE MASURAT + UN CAPAC CU FILET

S
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF

AUSTRIA CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM. PR


AUSTRIA CUTIE CU 1 FLAC. PEID X 50 COMPR. FILM. 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
SLOVACIA

LABORMED PHARMA SA ROMANIA

ANTIBIOTICE SA
ROMANIA
ARENA GROUP S.A. ROMANIA
ALIUD PHARMA GMBH & CO.KG

GERMANIA

ALIUD PHARMA GMBH & CO.KG

GERMANIA

MEDOCHEMIE LTD. CIPRU


AC HELCOR SRL
ROMANIA
MEDICAROM GROUP SRL ROMANIA

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.


CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
CUTIE X 3 BLIST. X 10 CAPS.
CUTIE X 1 BLIST. X 10 CAPS.
CUTIE X 1 BLIST. AL/PVC X 10 CAPS.
CUTIE X 1 BLIST. PVC/AL X 10 CAPS.
CUTIE X 1 BLIST. X 10 CAPS.
CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

KRKA D.D.
SLOVENIA
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 20 CAPS. CU ELIB. PREL.
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 30 CAPS. CU ELIB. PREL.
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 50 CAPS. CU ELIB. PREL.
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL.
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL.
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 20 CAPS. CU ELIB. PREL.
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 30 CAPS. CU ELIB. PREL.
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 50 CAPS. CU ELIB. PREL.
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL.
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 20 CAPS. CU ELIB. PREL.
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 30 CAPS. CU ELIB. PREL.
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 50 CAPS. CU ELIB. PREL.
MAGISTRA C & C
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

Pagina 43 din 96

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF/S

P-RF
P-RF
P-RF
P-RF
P-RF/S

P-RF
P-RF
P-RF
P-RF/S

P-RF
P-RF

cant/a
mbala
j

20
1000
20
10
20
20
20
20
20
10
5
60
100
50
50
120
120
100
100
100
50
100
50
50
50
50
50
1
50
50
50
50
50
50
50
1
100
50
100
100
20
20
20
20
30
10
10
10
10
20
20
30
50
10
10
20
30
50
10
20
30
50
20
20

Pret cu
ridicata
maximal /
ambalaj

15.85
704.14
14.97
14.41
9.62
10.22
12.69
12.16
12.75
14.23
231.79
4,863.09
452.86
292.89
452.86
557.65
1,041.93
291.62
292.89
302.31
227.17
291.62
302.36
302.31
272.59
272.59
227.17
4,267.46
397.39
112.61
112.48
74.45
250.01
239.32
155.55
358.02
83.19
42.34
63.98
62.39
4.31
5.67
5.67
6.66
8.53
2.85
2.85
2.85
2.83
4.31
24.79
36.23
56.65
12.86
19.30
37.14
54.34
84.99
24.09
44.68
61.79
96.03
5.67
5.67

Pret cu ridicata
maximal / U.T.

0.792500
0.704140
0.748500
1.441000
0.481000
0.511000
0.634500
0.608000
0.637500
1.423000
46.358000
81.051500
4.528600
5.857800
9.057200
4.647083
8.682750
2.916200
2.928900
3.023100
4.543400
2.916200
6.047200
6.046200
5.451800
5.451800
4.543400
4,267.460000
7.947800
2.252200
2.249600
1.489000
5.000200
4.786400
3.111000
358.020000
0.831900
0.846800
0.639800
0.623900
0.215500
0.283500
0.283500
0.333000
0.284333
0.285000
0.285000
0.285000
0.283000
0.215500
1.239500
1.207666
1.133000
1.286000
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.

0.577200
0.577200
0.577200
1.441000
0.481000
0.511000
0.577200
0.577200
0.577200
1.423000
46.358000
81.051500
3.499440
5.452080
5.452080
4.647083
8.682750
2.916200
2.928900
3.023100
4.543400
2.916200
5.452080
5.452080
5.451800
5.451800
4.543400
4,267.460000
7.947800
1.786800
1.786800
1.489000
3.733200
3.733200
3.111000
358.020000
0.831900
0.846800
0.639800
0.623900
0.215500
0.258600
0.258600
0.258600
0.258600
0.258600
0.258600
0.258600
0.258600
0.215500
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
maximal /
ambalaj

21.42
805.66
20.23
19.48
13.00
13.81
17.15
16.44
17.23
19.23
282.97
5,338.93
531.77
357.56
531.77
645.99
1,173.85
356.01
357.56
367.67
277.33
356.01
367.72
367.67
332.78
332.78
277.33
4,689.69
471.31
137.48
137.32
94.13
305.21
292.16
189.90
428.39
105.18
55.38
80.90
78.89
5.82
7.67
7.67
9.00
11.53
3.85
3.85
3.85
3.82
5.82
33.50
47.39
71.63
17.38
26.09
48.58
68.71
107.46
32.56
58.44
78.13
121.42
7.67
7.67

Pret cu amanuntul
maximal / U.T.

1.071000
0.805660
1.011500
1.948000
0.650000
0.690500
0.857500
0.822000
0.861500
1.923000
56.594000
88.982166
5.317700
7.151200
10.635400
5.383250
9.782083
3.560100
3.575600
3.676700
5.546600
3.560100
7.354400
7.353400
6.655600
6.655600
5.546600
4,689.690000
9.426200
2.749600
2.746400
1.882600
6.104200
5.843200
3.798000
428.390000
1.051800
1.107600
0.809000
0.788900
0.291000
0.383500
0.383500
0.450000
0.384333
0.385000
0.385000
0.385000
0.382000
0.291000
1.675000
1.579666
1.432600
1.738000
2.609000
2.429000
2.290333
2.149200
3.256000
2.922000
2.604333
2.428400
0.383500
0.383500

164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187

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

Denumire comerciala
TRAMADOL EEL
TRAMADOLOR (R) 100 ID
TRAMADOL (R) RETARD
TRALGIT SR 100
TRALGIT SR 100
TRALGIT SR 100
TRALGIT SR 150
TRALGIT SR 150
TRALGIT SR 200
TRADOLAN 50 mg
TRAMAL RETARD 100 mg
TRAMAL RETARD 150 mg
TRAMADOL RETARD 150 mg
TRAMAL RETARD 200 mg
TRAMADOL RETARD 200 mg
TRAMADOL AL PICATURI
MABRON
MABRON
TRALGIT 100
TRAMADOL
URGENDOL
URGENDOL
TRAMADOL
TRAMADOL

Forma
Concentr
farmaceuti
atie / U.T.
ca
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.

SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SUPOZ.

FARA CONCENTRATIE

100mg
100mg

Firma
BIO EEL SRL
HEXAL AG
KRKA D.D.
ZENTIVA AS
ZENTIVA AS
ZENTIVA AS
ZENTIVA AS
ZENTIVA AS
ZENTIVA AS
LANNACHER HEILMITTEL GES.M.B.H.

GRUNENTHAL GMBH
GRUNENTHAL GMBH

Tara

Ambalaj

Prescriptie

Grupa
Nr.
terape
crt
utica

ROMANIA

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-RF

GERMANIA

CUTIE X 1 BLIST. X 10 COMPR. ELIB. MODIF.


CUTIE X 3 BLIST. X 10 COMPR. ELIB. PREL.

P-RF

SLOVENIA

P-RF

SLOVACIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF


SLOVACIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF
SLOVACIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF
SLOVACIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF
SLOVACIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF
SLOVACIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF

AUSTRIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.FILM.

P-RF

GERMANIA CUTIE X 1 BLIST. AL/PVDC X 10 COMPR. FILM. CU ELIB. PREL. P-RF


GERMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR.FILM. CU ELIB. PREL.

P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-RF

GRUNENTHAL GMBH

GERMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR.FILM. ELIB. PREL.

P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-RF

ALIUD PHARMA GMBH

GERMANIA CUTIE X 1 FLACON DIN STICLA BRUNA X 10 ML PIC. ORALE, SOL.

MEDOCHEMIE LTD. CIPRU


MEDOCHEMIE LTD. CIPRU
100mg/2ml ZENTIVA A.S.
SLOVACIA
50mg/ml KRKA D.D.
SLOVENIA
50mg/ml MEDICAROM GROUP SRL ROMANIA
50mg/ml MEDICAROM GROUP SRL ROMANIA
50mg/ml KRKA D.D.
SLOVENIA
100mg
KRKA D.D.
SLOVENIA

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

CUTIE X 5 FIOLE X 2 ML SOL. INJ.


CUTIE X 5 FIOLE X 1 ML
CUTIE X 5 FIOLE X 1 ML
CUTIE X 5 FIOLE X 2 ML
CUTIE X 5 FIOLE X 2 ML
CUTIE X 1 BLIST. X 5 SUPOZ.

S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF

P-RF

cant/a
mbala
j

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

Pret cu ridicata
maximal de
decontare / U.T.

Pret cu
amanuntul
maximal /
ambalaj

Pret cu amanuntul
maximal / U.T.

20
10
30
50
10
30
30
10
10
30
10
10
30
10
30
1
5
100
5
5
5
5
5
5

5.67
4.66
13.99
24.09
4.66
13.98
24.84
15.57
20.35
7.88
7.17
16.30
31.78
20.85
40.67
3.73
7.27
110.22
9.09
3.65
3.63
5.67
9.69
4.13

0.283500
0.466000
0.466333
0.481800
0.466000
0.466000
0.828000
1.557000
2.035000
0.262666
0.717000
1.630000
1.059333
2.085000
1.355666
3.730000
1.454000
1.102200
1.818000
0.730000
0.726000
1.134000
1.938000
0.826000

0.258600
0.466000
0.466333
0.481800
0.466000
0.466000
0.828000
0.993600
1.626799
0.258600
0.559200
0.993600
0.993600
1.626799
1.355666
3.730000
1.322640
1.102200
1.322640
0.730000
0.726000
1.134000
1.322640
0.826000

7.67
6.30
18.91
32.56
6.30
18.89
33.57
21.05
27.50
10.65
9.69
22.03
41.57
28.18
53.20
5.04
9.83
134.56
12.28
4.93
4.90
7.67
13.10
5.58

0.383500
0.630000
0.630333
0.651200
0.630000
0.629666
1.119000
2.105000
2.750000
0.355000
0.969000
2.203000
1.385666
2.818000
1.773333
5.040000
1.966000
1.345600
2.456000
0.986000
0.980000
1.534000
2.620000
1.116000

100
50
50
60
20
50
20
30
1
1
1
20
1000
30
30
30
20
20
20
20
20
1
1
16
2
7
28
4
7
1
1
1
1
1
1

98.29
56.54
54.39
41.43
27.43
24.13
21.94
4.83
6.52
22.95
15.15
1.90
44.43
1.94
1.83
2.74
1.96
5.71
5.71
3.06
5.21
6.07
3.52
65.37
6.98
23.31
193.65
18.95
33.15
4.88
4.88
6.68
7.35
16.65
7.35

0.982900
1.130800
1.087800
0.690500
1.371500
0.482600
1.097000
0.161000
6.520000
22.950000
15.150000
0.095000
0.044430
0.064666
0.061000
0.091333
0.098000
0.285500
0.285500
0.153000
0.260500
6.070000
3.520000
4.085625
3.490000
3.330000
6.916071
4.737500
4.735714
4.880000
4.880000
6.680000
7.350000
16.650000
7.350000

0.982900
1.130800
1.087800
0.690500
1.371500
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
0.183600
0.153000
0.183600
6.070000
3.520000
3.996000
3.490000
3.330000
3.996000
3.996000
3.996000
4.880000
4.880000
5.856000
5.856000
5.856000
5.856000

124.28
71.49
68.77
54.19
35.88
32.62
29.65
6.53
8.81
31.02
20.48
2.57
58.12
2.62
2.47
3.71
2.65
7.72
7.72
4.13
7.04
8.20
4.76
82.66
9.43
31.51
236.41
25.61
43.36
6.59
6.59
9.03
9.94
22.51
9.94

1.242800
1.429800
1.375400
0.903166
1.794000
0.652400
1.482500
0.217666
8.810000
31.020000
20.480000
0.128500
0.058120
0.087333
0.082333
0.123666
0.132500
0.386000
0.386000
0.206500
0.352000
8.200000
4.760000
5.166250
4.715000
4.501428
8.443214
6.402500
6.194285
6.590000
6.590000
9.030000
9.940000
22.510000
9.940000

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
25
26
27
28
29
30
31
32
33
34
35

A05AA02
A05AA02
A05AA02
A05AA02
A05AA02
H02AB04
H02AB04
H02AB04
H02AB04
H02AB04
H02AB04
H02AB07
H02AB07
H02AB07
H02AB07
H02AB07
H02AB07

ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
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

FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM

URSOFALK (R)
URSOFALK (R)
URSOSAN
URSOCHOL 150 mg
URSOCHOL 300 mg
MEDROL A 16
MEDROL 32
MEDROL 4 mg
LEMOD SOLU 125 mg
LEMOD SOLU 500 mg
SOLU - MEDROL ACT-O-VIAL
PREDNISON - RICHTER 5 mg
PREDNISON ARENA 5 mg
PREDNISON ARENA 5 mg
N - PREDNISON
PREDNISON 5 mg
PREDNISON MCC 5 mg
BITRIM 400mg/80mg
TAGREMIN
SUMETROLIM
CO - TRIM ELL
SUMETROLIM
EPITRIM
FUNGOLON 100 mg
FLUCONAZOLE TEVA 100 mg
FLUCONAZOLE TEVA 100 mg

DIFLAZON 100 mg
FLUCOVIM 100
FLUCORIC 100 mg

FLUCONAZOL BIOGALENICA 150 mg

FLUCONAZOLE TEVA 150 mg


FLUCONAZOL ARENA 150 MG

FLUCONAZOL 150 mg
DIFLAZON 150 mg
FLUCONAZOL LPH 150 mg

CAPS.
CAPS.
CAPS.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
LIOF. PT. SOL. INJ.

250mg
250mg
250mg
150mg
300mg
16mg
32mg
4mg
125mg
500mg

LIOF. SI SOLV.PT.SOL.INJ

250mg/4ml PFIZER EUROPE MA EEIG

LIOF. PT. SOL. INJ.

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
SIROP

5mg
5mg
5mg
5mg
5mg
5mg

DR. FALK PHARMA GMBH GERMANIA


DR. FALK PHARMA GMBH GERMANIA

ZAMBON S.P.A.
ZAMBON S.P.A.

CEHIA
ITALIA
ITALIA

PFIZER EUROPE MA EEIG

MAREA BRITANIE

PRO. MED. CS PRAHA AS

P-6L/S

P-6L
P-6L
P-6L
P-6L
P-RF

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

S/P-RF

STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 7,8 ML

S/P-RF

PFIZER EUROPE MA EEIG

GEDEON RICHTER ROMANIA SA

ARENA GROUP SA
ARENA GROUP SA
MEDUMAN SA
SINTOFARM SA

MAREA BRITANIE

MAREA BRITANIE

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

MAGISTRA C&C S.R.L. ROMANIA

400mg/80mg

ARENA GROUP S.A. ROMANIA


ZENTIVA S.A.
ROMANIA

400mg/80mg

EGIS PHARMACEUTICALS P.L.C.

UNGARIA

400mg/80mg

BIO EEL SRL

ROMANIA

400mg/80mg

CUTIE X 4 BLIST. AL/PVC X 25 CAPS.


CUTIE X 2 BLIST. AL/PVC X 25 CAPS.
CUTIE X 5 BLIST. AL/PVC X 10 CAPS.
CUTIE X 6 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 5 BLIST. A-PVC/PVC X 10 COMPR.

CUTIE X 1 FLAC. BICOMPARTIMENTAT (COMPARTIMENT INFERIOR) LIOF. PT. SOL. INJ. + (COMPARTIMENT SUPERIO

CUTIE X 2 BLIST. AL./PVC X 10 COMPR.


CUTIE X 100 BLIST. AL/PVC X 10 COMPR.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 1 FLAC. X 30 COMPR.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-RF
P-RF

P-RF
P-RF
P-RF/S

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

25mg/5mg/ml EGIS PHARMACEUTICALS P.L.C. UNGARIA

CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SUSP. ORALA + MASURA DOZATOARE

P-RF

E.I.P.I.CO. MED S.R.L. ROMANIA

CUTIE X 1 FLACON DIN STICLA BRUNA CU MASURA DOZATOARE X 100 ML

P-RF

SUSP. ORALA

200mg/40mg /5ml

CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.

100mg
100mg
100mg
100mg
100mg
100mg
150mg
150mg
150mg
150mg
150mg
150mg

BALKANPHARMA RAZGRAD AD BULGARIA


TEVA PHARMACEUTICALS S.R.L.

ROMANIA

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

KRKA D.D.
SLOVENIA
VIM SPECTRUM SRL ROMANIA
TERAPIA SA
ROMANIA
LABORATOARELE PROF.DR.MORAIT S.R.L.

ROMANIA

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

ARENA GROUP SA

ROMANIA

OZONE LABORATORIES PHARMA S.A.

ROMANIA

KRKA D.D.

SLOVENIA

LABORMED PHARMA S.A. ROMANIA

CUTIE X 2 BLIST. PVC/AL X 8 CAPS.


CUTIE X 1 BLIST. PVC-PVDC/AL X 2 CAPS.
CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.
CUTIE X 4 BLIST. X 7 CAPS.
CUTIE X 1 BLIST. X 4 CAPS.
CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.
CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.
CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.
CUTIE X 1 BLIST. AL/PVC X 1 CAPS.
CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.
CUTIE X 1 BLIST. X 1 CAPS.
CUTIE CU 1 BLIST. PVC/AL X 1 CAPS.

Pagina 44 din 96

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

PRF

36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99

J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC03
J02AC03
J02AC03
J02AC03
J02AC04
J02AC04

J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01

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
VORICONAZOLUM
VORICONAZOLUM
VORICONAZOLUM
VORICONAZOLUM
POSACONAZOLUM**
POSACONAZOLUM**
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM

Denumire comerciala

FLUCONAZOL ROMPHARM 150 mg

FLUCOVIM 150
DIFLUCAN 150 mg
FLUCORIC 150 mg
FLUCONAZOL SANDOZ (R) 150

FLUCONAZOL 150 mg
MYCOMAX 150
MYCOSYST 150 mg

FLUCONAZOL ACTAVIS 150 mg


FLUCONAZOL MEDOCHEMIE 150 mg

FLUCONAZOLE TEVA 200 mg


FLUCONAZOL BIOGALENICA 50 mg

FLUCONAZOLE TEVA 50 mg
FLUCONAZOL OZONE 50 mg
FLUCONAZOL ARENA 50 MG
FLUCONAZOL MEDOCHEMIE 50 mg

FLUCONAZOL LPH 50 mg
DIFLUCAN 50 mg
FLUCORIC 50 mg
FLUCONAZOL SANDOZ (R) 50

Forma
Concentr
farmaceuti
atie / U.T.
ca
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.

FLUCOVIM 50
FUNGOLON 50 mg
FLUCONAZOL 50 mg
DIFLAZON 50 mg
FLUCONAZOL 50 mg
DIFLUCAN (R) 50 mg/5 ml
PULB. PT. SUSP. ORALA
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 KABI 2 mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
DIFLAZON 2mg/ml
SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
FLUCONAZOL BIOGALENICA 2mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
MYCOMAX INF 2mg/ml
SOL. PERF.
FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF.
MYCOMAX INF 2mg/ml
SOL. PERF.
DIFLUCAN (R)
SOL. PERF.
DIFLUCAN (R)
SOL. PERF.
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
ACICLOVIR FARMEX 200 mg CAPS.
ACICLOVIR ARENA 200 mg CAPS.
ACICLOVIR ARENA 200 mg CAPS.
ACICLOVIR 200 mg
CAPS.
ACICLOVIR ARENA 400 mg CAPS.
ACICLOVIR 200 mg
COMPR.
ACICLOVIR 200 mg
COMPR.
ACICLOVIR TERAPIA 200 mg COMPR.
CLOVIRAL 200 mg
COMPR.
ACICLOVIR 200 mg
COMPR.
ACICLOVIR 400 mg
COMPR.

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
2mg/ml
2mg/ml
2mg/ml
200mg
50mg
200mg
40mg/ml
40mg/ml
40mg/ml
200mg
200mg
200mg
200mg
400mg
200mg
200mg
200mg
200mg
200mg
400mg

Firma

Tara

Ambalaj

CUTIE CU 1 BLIST. PVC/AL X 1 CAPS.


VIM SPECTRUM SRL ROMANIA CUTIE X 1 FLAC. X 1 CAPS.
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 1 CAPS.
TERAPIA SA
ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS.
SANDOZ SRL
GERMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS.
SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS.
ZENTIVA K.S.
CEHIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS.
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 4 BLIST. AL/PVC X 1 CAPS.
ROMPHARM COMPANY S.R.L. ROMANIA

ACTAVIS GROUP PTC EHF. ISLANDA


MEDOCHEMIE ROMANIA SRL ROMANIA
TEVA PHARMACEUTICALS S.R.L.

ROMANIA

LABORATOARELE PROF.DR.MORAIT S.R.L.

ROMANIA

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

OZONE LABORATORIES PHARMA S.A.

ROMANIA

ARENA GROUP SA

ROMANIA

MEDOCHEMIE ROMANIA SRL ROMANIA

LABORMED PHARMA S.A. ROMANIA


PFIZER EUROPE MA EEIG

MAREA BRITANIE

MAREA BRITANIE

FRESENIUS KABI ROMANIA SRL

ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF.

B. BRAUN MELSUNGEN AG GERMANIA


B. BRAUN MELSUNGEN AG GERMANIA

CUTIE X 1 FLAC. PEID PULB. PT. 35 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 5 ML

CUTIE X 20 FLAC. PEJD X 50 ML SOL. PERF.


CUTIE X 10 FLAC. PEJD X 100 ML SOL. PERF.
CUTIE X 20 FLAC. PEJD X 100 ML SOL. PERF.
CUTIE X 10 FLAC. PEJD X 200 ML SOL. PERF.

FRESENIUS KABI ROMANIA SRL

ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.

FRESENIUS KABI ROMANIA SRL

ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.

FRESENIUS KABI ROMANIA SRL

ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

S
S
S
S
S
S
S
S
S/PR-F

CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA

ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF.

ARENA GROUP S.A. ROMANIA


FRESENIUS KABI ROMANIA SRL

ROMANIA

FRESENIUS KABI ROMANIA SRL

ROMANIA

FRESENIUS KABI ROMANIA SRL

ROMANIA

FRESENIUS KABI ROMANIA SRL

ROMANIA

ZENTIVA K.S.

REPUBLICA CEHA

B. BRAUN MELSUNGEN AG GERMANIA

ZENTIVA K.S.

REPUBLICA CEHA

PFIZER EUROPE MA EEIG

MAREA BRITANIE

PFIZER EUROPE MA EEIG

MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE

CUTIE X 1 FLAC. X 105ML SUSP. ORALA


BELGIA CUTIE X 1 FLAC. X 105ML SUSP. ORALA
FARMEX COMPANY S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 CAPS.
ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS.
SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS.
LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
MAREA BRITANIE

SP EUROPE

TERAPIA SA
ANTIBIOTICE SA

P-RF
P-RF

MAREA BRITANIE

FRESENIUS KABI ROMANIA SRL

EGIS PHARMACEUTICALS P.L.C.

P-RF
P-RF

MAREA BRITANIE

ROMANIA CUTIE CU 25 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF.

MERCK SHARP & DOHME

P-RF

S
S
CUTIE X 1 FLAC. 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 CU 10 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF. S
CUTIE CU 1 FLACON DIN STICLA INCOLORA A 100 ML SOL. PERF. X 200 MG FLUCONAZOL S
CUTIE X 10 FLAC. PEJD X 50 ML SOL. PERF. S
CUTIE CU 1 FLACON DIN STICLA INCOLORA A 200 ML SOL. PERF. X 400 MG FLUCONAZOL S
CUTIE X 1 FLACON X 200 ML
S/P-RF
CUTIE X 1 FLACON X 50 ML
S/P-RF
CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF
CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL) P-RF
CUTIE X 1 FLAC. UNIDOZA X 30ML
P-RF

FRESENIUS KABI ROMANIA SRL

PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED

P-RF

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. PVC-PVDC/AL X 7 CAPS. P-RF
CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF
CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF
CUTIE X 1 BLIST. AL/PVC X 7 CAPS.
P-RF
CUTIE X 1 BLIST. AL/PVC X 7 CAPS.
P-RF
CUTIE CU 1 BLIST. PVC/AL X 7 CAPS.
PRF
CUTIE X 1 BLIST. AL/PVC X 7 CAPS.
P-RF

PFIZER EUROPE MA EEIG

B. BRAUN MELSUNGEN AG GERMANIA

PRF
P-RF

CUTIE CU 1 BLIST. PVC-PVDC/AL X 1 CAPS. PRF

TERAPIA SA
ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS.
SANDOZ SRL
ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS.
VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS.
BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 1 BLIST. PVC/AL X 8 CAPS.
SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS.
KRKA D.D.
SLOVENIA CUTIE X 1 BLIST. X 7 CAPS.
ANTIBIOTICE S.A.
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS.

B. BRAUN MELSUNGEN AG GERMANIA

Prescriptie

Grupa
Nr.
terape
crt
utica

P-RF
P-RF/R
P-RF/R

P-RF
P-RF
P-RF/S

P-RF
P-RF
P-RF

UNGARIA CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF

GEDEON RICHTER ROMANIA SA

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.

EGIS PHARMACEUTICALS P.L.C.

UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF

ROMANIA

Pagina 45 din 96

P-RF
P-RF
P-RF

cant/a
mbala
j

1
1
1
1
1
1
1
4
1
1
7
7
7
7
7
7
7
7
7
7
7
8
7
7
10
1
20
20
10
20
10
1
10
20
1
25
1
1
25
1
10
10
1
10
1
1
1
28
28
1
1
1
1
20
20
1000
20
10
20
20
20
20
20
10

Pret cu
ridicata
maximal /
ambalaj

9.57
7.35
18.56
13.95
10.79
7.16
9.27
48.24
7.44
6.07
30.10
11.66
12.35
16.69
14.15
11.95
16.69
43.23
21.91
32.06
16.69
14.09
14.49
47.19
18.88
43.23
631.41
362.55
454.59
796.39
770.66
18.84
181.93
360.77
35.03
781.76
81.95
40.63
443.47
34.28
330.71
761.71
42.66
182.90
137.44
133.17
30.99
3,559.23
912.09
458.07
2,203.52
2,488.19
2,488.19
15.85
15.85
704.14
14.97
14.41
9.62
10.22
12.69
12.16
12.75
14.23

Pret cu ridicata
maximal / U.T.

9.570000
7.350000
18.560000
13.950000
10.790000
7.160000
9.270000
12.060000
7.440000
6.070000
4.300000
1.665714
1.764285
2.384285
2.021428
1.707142
2.384285
6.175714
3.130000
4.580000
2.384285
1.761250
2.070000
6.741428
1.888000
43.230000
31.570500
18.127500
45.459000
39.819500
77.066000
18.840000
18.193000
18.038500
35.030000
31.270400
81.950000
40.630000
17.738800
34.280000
33.071000
76.171000
42.660000
18.290000
137.440000
133.170000
30.990000
127.115357
32.574642
458.070000
2,203.520000
2,488.190000
2,488.190000
0.792500
0.792500
0.704140
0.748500
1.441000
0.481000
0.511000
0.634500
0.608000
0.637500
1.423000

Pret cu ridicata
maximal de
decontare / U.T.

5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
4.300000
1.665714
1.764285
1.998857
1.998857
1.707142
1.998857
1.998857
1.998857
1.998857
1.998857
1.761250
1.998857
1.998857
1.888000
43.230000
31.570500
18.127500
37.524480
37.524480
77.066000
18.840000
18.193000
18.038500
35.030000
31.270400
81.950000
37.524480
17.738800
34.280000
33.071000
76.171000
37.524480
18.290000
91.405200
91.405200
21.286560
127.115357
32.574642
458.070000
2,203.520000
2,488.190000
2,488.190000
0.577200
0.577200
0.577200
0.577200
1.441000
0.481000
0.511000
0.577200
0.577200
0.577200
1.423000

Pret cu
amanuntul
maximal /
ambalaj

12.94
9.94
25.08
18.86
14.58
9.68
12.53
63.10
10.06
8.20
39.37
15.76
16.69
22.56
19.12
16.15
22.56
56.54
29.61
41.93
22.56
19.04
19.58
61.72
25.52
56.54
726.39
433.33
533.65
906.22
878.17
25.47
222.10
431.39
45.82
890.27
103.62
53.14
521.53
44.84
398.62
868.42
55.80
223.28
167.79
162.58
40.53
3,917.72
1,032.33
537.45
2,439.99
2,750.28
2,750.28
21.42
21.42
805.66
20.23
19.48
13.00
13.81
17.15
16.44
17.23
19.23

Pret cu amanuntul
maximal / U.T.

12.940000
9.940000
25.080000
18.860000
14.580000
9.680000
12.530000
15.775000
10.060000
8.200000
5.624285
2.251428
2.384285
3.222857
2.731428
2.307142
3.222857
8.077142
4.230000
5.990000
3.222857
2.380000
2.797142
8.817142
2.552000
56.540000
36.319500
21.666500
53.365000
45.311000
87.817000
25.470000
22.210000
21.569500
45.820000
35.610800
103.620000
53.140000
20.861200
44.840000
39.862000
86.842000
55.800000
22.328000
167.790000
162.580000
40.530000
139.918571
36.868928
537.450000
2,439.990000
2,750.280000
2,750.280000
1.071000
1.071000
0.805660
1.011500
1.948000
0.650000
0.690500
0.857500
0.822000
0.861500
1.923000

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

J05AB01
J05AB14
J05AF05
J05AF05
J05AF05
J05AF05
J05AF05
J05AF05
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA10
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AX01
L04AX01
L04AX01
L04AX01

Denumire generica
ACICLOVIRUM
VALGANCICLOVIRUM
LAMIVUDINUM
LAMIVUDINUM
LAMIVUDINUM
LAMIVUDINUM
LAMIVUDINUM
LAMIVUDINUM
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
SIROLIMUS**
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
AZATHIOPRINUM*
AZATHIOPRINUM*
AZATHIOPRINUM*
AZATHIOPRINUM*

Denumire comerciala
VIROLEX
VALCYTE (R) 450 mg
LAMIVUDINE TEVA 100 mg
ZEFFIX 100 mg

Forma
Concentr
farmaceuti
atie / U.T.
ca
PULB. PT. SOL. INJ./PERF.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

LAMIVUDINE TEVA PHARMA B.V. 150 mg COMPR. FILM.

EPIVIR 150mg

COMPR. FILM.

LAMIVUDINE TEVA PHARMA B.V. 300 mg COMPR. FILM.

EPIVIR 10mg/ml
CELLCEPT 250mg
MYCOPHENOLATE MOFETIL MEDICO UNO 500 MG

CELLCEPT 500mg
MYFORTIC 180 mg
MYFORTIC 360 mg
MICOFENOLAT MOFETIL DR. REDDY'S 250 mg
MYCOPHENOLATE MOFETIL ACCORD 250 mg

MYFENAX 250mg
MICOFENOLAT MOFETIL SANDOZ 500 mg

SUPREPHEN 250 mg

SOL. ORALA

CAPS.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM. GASTROREZ.
COMPR. FILM. GASTROREZ.

CAPS.
CAPS.
CAPS.
COMPR.
COMPR. FILM.

MICOFENOLAT MOFETIL TERAPIA 500 mg

COMPR. FILM.

MYFENAX 500mg

COMPR. FILM.

MYCOFENOLAT MOFETIL ACTAVIS 500 mg

COMPR. FILM.

MICOFENOLAT MOFETIL DR. REDDY'S 500 mg

COMPR. FILM.

SUPREPHEN 500 mg
RAPAMUNE 1mg
EQUORAL (R) 100 mg
CICLORAL 25 mg
SANDIMMUN NEORAL (R)
EQUORAL (R) 25 mg
CICLORAL 50 mg
SANDIMMUN NEORAL (R)
EQUORAL (R) 50 mg
EQUORAL (R)
TACNI 0,5 mg

COMPR. FILM.

DRAJ.
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
SOL. ORALA

CAPS.

TACROLIMUSUM ACCORD 0,5 mg CAPS.

PROGRAF (R) 0,5 mg

CAPS.
TACROLIMUS SANDOZ 0,5 mg CAPS.
TACNI 1 mg
CAPS.
TACROLIMUSUM ACCORD 1 mg CAPS.
PROGRAF (R) 1 mg
CAPS.
TACROLIMUS SANDOZ 1 mg CAPS.
TACNI 5 mg
CAPS.
PROGRAF (R) 5 mg
CAPS.
ADVAGRAF 0,5mg
CAPS. ELIB. PREL.
ADVAGRAF 1mg
CAPS. ELIB. PREL.
ADVAGRAF 5mg
CAPS. ELIB. PREL.
PROGRAF (R) 5 mg/ml
CONC. PT. SOL. PERF.
IMMUNOPRIN 100 mg
COMPR. FILM.
IMMUNOPRIN 100 mg
COMPR. FILM.
IMURAN (R)
COMPR. FILM.
IMMUNOPRIN 75 mg
COMPR. FILM.

250mg
450mg
100 mg
100mg
150 mg
150mg
300 mg
10mg/ml
250mg
500mg
500mg
180mg
360mg
250 mg
250mg
250mg
500mg
250mg
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
100mg
100mg
50mg
75mg

Firma

Tara

Ambalaj

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 5 FLAC. X 250 MG PULB. PT. SOL. INJ./PERF.

ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. X 60 COMPR. FILM.


TEVA PHARMA B.V. OLANDA CUTIE CU BLIST. PVC/PVDC/AL X 30 COMPR. FILM.

GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST. PVC-AL/PVC-AL)
TEVA PHARMA B.V. OLANDA CUTIE CU BLIST. PVC/PVDC/AL X 60 COMPR. FILM.
GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLAC. PEID X 60 COMPR. FILM.
TEVA PHARMA B.V. OLANDA CUTIE CU BLIST. PVC/PVDC/AL X 30 COMPR. FILM.
GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLACON PEID X 240ML SOL. ORALA + 1 SERINGA DOZATOARE + 1 ADAPTOR
ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 10 BLIST. X 10 CAPS.
MEDICO UNO PHARMA KFT. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.
ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 5 BLIST. X 10 COMPR. FILM.

Prescriptie

Grupa
Nr.
terape
crt
utica

S/P-RF

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

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

PR

DR. REDDY'S LABORATORIES

ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 100 CAPS.

ACCORD HEALTHCARE LIMITED

MAREA BRITANIE

TEVA PHARMA BV
SANDOZ S.R.L.

OLANDA CUTIE X BLIST. PVC/PVDC/AL X 100 CAPS.

P-RF/R

ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 50 COMPR. FILM.

P-RF

CUTIE CU BLIST. PVC-PVDC/AL CU 100 CAPS.

P-RF/R

ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 10 BLIST. PVC-PCTFE-PE/AL X 10 COMPR. FILM. PRF

TERAPIA S.A.
TEVA PHARMA BV

ROMANIA CUTIE CU 1 BLIST. DIN AL-PA-PVC/AL X 50 COMPR. FILM.

DR. REDDY'S LABORATORIES

ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

OLANDA CUTIE X BLIST. PVC/PVDC/AL X 50 COMPR. FILM.


ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

PR
P-RF/R
P-RF/R

P-RF

ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 5 BLIST. PVC-PCTFE-PE/AL X 10 COMPR. FILM. PRF

WYETH EUROPA LTD.


IVAX - PHARMACEUTICALS S.R.O.

HEXAL AG

MAREA BRITANIE

CEHIA
GERMANIA

NOVARTIS PHARMA GMBH GERMANIA


IVAX - PHARMACEUTICALS S.R.O.

HEXAL AG

CEHIA
GERMANIA

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR)


CUTIE X 5 BLIST. X 10 CAPS. MOI
CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI
CUTIE X 10 BLIST. X 5 CAPS. MOI
CUTIE X 5 BLIST. X 10 CAPS. MOI
CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI
CUTIE X 10 BLIST. X 5 CAPS. MOI
CUTIE X 5 BLIST. X 10 CAPS. MOI

P-RF/R
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF

CEHIA
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

ACCORD HEALTHCARE LIMITED

MAREA BRITANIE

CUTIE CU BLIST. AL/AL X 50 CAPS.

PR

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

IVAX - PHARMACEUTICALS S.R.O.


IVAX - PHARMACEUTICALS S.R.O.

S/P-RF

SANDOZ S.R.L.

ROMANIA

CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS.

S/P-RF

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI AL A CATE 10 CAPSULE

PRF

ACCORD HEALTHCARE LIMITED

MAREA BRITANIE

CUTIE CU BLIST. AL/AL X 50 CAPS.

PR

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
S/P-RF

SANDOZ S.R.L.

ROMANIA

CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS.

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI AL A CATE 10 CAPS.

PRF

ASTELLAS PHARMA EUROPE BV

OLANDA

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)

P-RF/R

OLANDA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)

P-RF/R

ASTELLAS PHARMA EUROPE BV

ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)
ASTELLAS PHARMA EUROPE BV
EBEWE PHARMA GES.M.B.H. NFG KG
EBEWE PHARMA GES.M.B.H. NFG KG

THE WELLCOME FOUNDATION LTD.


EBEWE PHARMA GES.M.B.H. NFG KG

OLANDA CUTIE X 10 FIOLE X 1 ML


AUSTRIA CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM.
AUSTRIA CUTIE CU 1 FLAC. PEID X 50 COMPR. FILM.
MAREA BRITANIE
CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM.
AUSTRIA CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM.

P-RF/R

S
PR
PR
S/P-RF

PR

cant/a
mbala
j

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

Pret cu ridicata
maximal de
decontare / U.T.

Pret cu
amanuntul
maximal /
ambalaj

Pret cu amanuntul
maximal / U.T.

5
60
30
28
60
60
30
1
100
50
50
120
120
100
100
100
50
100
50
50
50
50
50
30
50
50
50
50
50
50
50
1
50
50
50
50
50
50
50
50
50
50
50
50
50
10
100
50
100
100

231.79
4,863.09
159.00
228.32
319.27
476.54
319.27
131.82
452.86
292.89
452.86
557.65
1,041.93
291.62
292.89
302.31
227.17
291.62
302.36
302.31
272.59
272.59
227.17
489.29
397.39
112.61
112.48
74.45
250.01
239.32
155.55
358.02
133.49
133.49
205.39
133.49
238.62
238.62
363.74
238.62
1,114.65
1,715.18
204.92
402.53
1,865.58
1,545.19
83.19
42.34
63.98
62.39

46.358000
81.051500
5.300000
8.154285
5.321166
7.942333
10.642333
131.820000
4.528600
5.857800
9.057200
4.647083
8.682750
2.916200
2.928900
3.023100
4.543400
2.916200
6.047200
6.046200
5.451800
5.451800
4.543400
16.309666
7.947800
2.252200
2.249600
1.489000
5.000200
4.786400
3.111000
358.020000
2.669800
2.669800
4.107800
2.669800
4.772400
4.772400
7.274800
4.772400
22.293000
34.303600
4.098400
8.050600
37.311600
154.519000
0.831900
0.846800
0.639800
0.623900

46.358000
81.051500
5.300000
6.360000
5.321166
6.385399
10.642333
131.820000
3.499440
5.452080
5.452080
4.647083
8.682750
2.916200
2.928900
3.023100
4.543400
2.916200
5.452080
5.452080
5.451800
5.451800
4.543400
16.309666
7.947800
1.786800
1.786800
1.489000
3.733200
3.733200
3.111000
358.020000
2.669800
2.669800
3.203760
2.669800
4.772400
4.772400
5.726880
4.772400
22.293000
26.751600
3.203760
5.726880
26.751600
154.519000
0.831900
0.846800
0.639800
0.623900

282.97
5,338.93
194.11
278.73
386.16
557.58
386.16
160.92
531.77
357.56
531.77
645.99
1,173.85
356.01
357.56
367.67
277.33
356.01
367.72
367.67
332.78
332.78
277.33
571.48
471.31
137.48
137.32
94.13
305.21
292.16
189.90
428.39
162.97
162.97
250.74
162.97
291.31
291.31
434.63
291.31
1,253.12
1,907.70
250.17
476.91
2,071.63
1,722.41
105.18
55.38
80.90
78.89

56.594000
88.982166
6.470333
9.954642
6.436000
9.293000
12.872000
160.920000
5.317700
7.151200
10.635400
5.383250
9.782083
3.560100
3.575600
3.676700
5.546600
3.560100
7.354400
7.353400
6.655600
6.655600
5.546600
19.049333
9.426200
2.749600
2.746400
1.882600
6.104200
5.843200
3.798000
428.390000
3.259400
3.259400
5.014800
3.259400
5.826200
5.826200
8.692600
5.826200
25.062400
38.154000
5.003400
9.538200
41.432600
172.241000
1.051800
1.107600
0.809000
0.788900

50
30
30
30
10
10

25.70
28.49
23.23
42.10
203.78
108.79

0.514000
0.949666
0.774333
1.403333
20.378000
10.879000

0.514000
0.616800
0.774333
0.929200
20.378000
10.879000

33.62
37.26
31.40
55.07
248.78
132.81

0.672400
1.242000
1.046666
1.835666
24.878000
13.281000

Pentru urmtoarele DCI-uri: VORICONAZOLUM si VALGANCICLOVIRUM prescrierea i eliberarea medicamentelor se fac numai cu aprobarea Ageniei Naionale de Transplant

P10: PROGRAM NATIONAL DE SUPLEERE A FUNCTIEI RENALE LA BOLNAVII CU INSUFICIENTA RENALA CRONICA
1
2
3
4
5
6

A11CC03
A11CC03
A11CC03
A11CC03
A11CC03
A11CC03

ALFACALCIDOLUM
ALFACALCIDOLUM
ALFACALCIDOLUM
ALFACALCIDOLUM
ALFACALCIDOLUM
ALFACALCIDOLUM

ALPHA D3 0,25 mcg

CAPS. MOI
CAPS. MOI
ALPHA D3 0,50 mcg
CAPS. MOI
ALFACALCIDOL SANDOZ 0,5 mcg CAPS. MOI
ONE-ALPHA 2 micrograme/ml SOL. INJ.
ONE-ALPHA 2 micrograme/ml SOL. INJ.
ALFACALCIDOL SANDOZ 0,25 mcg

0,25mcg
0,25g
0,50mcg
0,5g
2micrograme/ml
2micrograme/ml

CUTIE X 1 FLAC. DIN PPID X 50 CAPS. MOI

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

SANDOZ S.R.L.

ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 CAPS. MOI

PRF

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

P-RF

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.

CUTIE X 1 FLAC. X 30 CAPS. MOI

ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 CAPS. MOI

Pagina 46 din 96

P-RF

PRF

S
S

7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66

A11CC04
A11CC07
A11CC07
A11CC07
A11CC07
A11CC07

B01AB01
B01AB01
B01AB01
B01AB01
B01AB05
B01AB05
B01AB05
B01AB05
B01AB06
B01AB06
B01AB06
B01AB06
B01AB06
B01AB08
B01AB08
B01AB10
B01AB10
B01AB10
B01AB10
B01AB10
B01AB10
B01AB10
B03AC02
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
H05BX01
H05BX01
H05BX01
V03AE02

Denumire generica
CALCITRIOLUM**
PARICALCITOLUM**
PARICALCITOLUM**
PARICALCITOLUM**
PARICALCITOLUM**
PARICALCITOLUM**
HEPARINUM**
HEPARINUM**
HEPARINUM**
HEPARINUM**
ENOXAPARINUM**
ENOXAPARINUM**
ENOXAPARINUM**
ENOXAPARINUM**
NADROPARINUM**
NADROPARINUM**
NADROPARINUM**
NADROPARINUM**
NADROPARINUM**
REVIPARINUM**
REVIPARINUM**
TINZAPARINUM**
TINZAPARINUM**
TINZAPARINUM**
TINZAPARINUM**
TINZAPARINUM**
TINZAPARINUM**
TINZAPARINUM**

Denumire comerciala
ROCALTROL
ZEMPLAR 1mcg
ZEMPLAR 2mcg
ZEMPLAR 4mcg
ZEMPLAR
ZEMPLAR
HEPARIBENE Na 25000
HEPARIN NATRIUM 25000 RATIOPHARM

HEPARIN
HEPARINE SODIQUE PANPHARMA

CLEXANE 2000ui anti-Xa/0,2ml


CLEXANE 4000ui anti-Xa/0,4ml
CLEXANE 6000ui anti-Xa/0,6ml
CLEXANE 8000ui anti-Xa/0,8ml
FRAXIPARINE 2850 UI anti-factor Xa/0,3 ml
FRAXIPARINE 3800 UI anti-factor Xa/0,4 ml
FRAXIPARINE 5700 UI anti-factor Xa/0,6 ml
FRAXIPARINE 7600 UI anti-factor Xa/0,8 ml
FRAXIPARINE 9500 UI anti-factor Xa/1 ml multidoza

CLIVARIN (R) 1432UI/0,25 ml


CLIVARIN (R) 3436 UI/0,6 ml
INNOHEP
INNOHEP
INNOHEP
INNOHEP
INNOHEP
INNOHEP
INNOHEP
COMPLEX DE HIDROXID DE FER (III) SUCROZA VENOFER (R)
EPOETINUM ALFA**
BINOCRIT 10000UI/1,0ml
EPOETINUM ALFA**
BINOCRIT 1000UI/0,5ml
EPOETINUM ALFA**
BINOCRIT 2000UI/1,0ml
EPOETINUM ALFA**
BINOCRIT 30000UI/0,75ml
EPOETINUM ALFA**
BINOCRIT 3000UI/0,3ml
EPOETINUM ALFA**
EPREX 40000 UI/ml
EPOETINUM ALFA**
BINOCRIT 40000 UI/1 ml
EPOETINUM ALFA**
BINOCRIT 4000UI/0,4ml
EPOETINUM ALFA**
BINOCRIT 5000UI/0,5ml
EPOETINUM BETA**
NEORECORMON 10000UI/0,6ml
EPOETINUM BETA**
NEORECORMON 2000UI/0,3ml
EPOETINUM BETA**
NEORECORMON 30000UI/0,6ml
EPOETINUM BETA**
NEORECORMON 4000UI/0,3ml
EPOETINUM BETA**
NEORECORMON 5000UI/0,3ml
EPOETINUM BETA**
NEORECORMON 500UI/0,3ml
DARBEPOETINUM ALFA**
ARANESP 100mcg/0,5ml
DARBEPOETINUM ALFA**
ARANESP 10mcg/0,4ml
DARBEPOETINUM ALFA**
ARANESP 150mcg/0,3ml
DARBEPOETINUM ALFA**
ARANESP 15mcg/0,375ml
DARBEPOETINUM ALFA**
ARANESP 20mcg/0,5ml
DARBEPOETINUM ALFA**
ARANESP 300mcg/0,6ml
DARBEPOETINUM ALFA**
ARANESP 30mcg/0,3ml
DARBEPOETINUM ALFA**
ARANESP 40mcg/0,4ml
DARBEPOETINUM ALFA**
ARANESP 500mcg/ml
DARBEPOETINUM ALFA**
ARANESP 50mcg/0,5ml
DARBEPOETINUM ALFA**
ARANESP 60mcg/0,3ml
DARBEPOETINUM ALFA**
ARANESP 80mcg/0,4ml
CINACALCETUM****
MIMPARA 30 mg
CINACALCETUM****
MIMPARA 60 mg
CINACALCETUM****
MIMPARA 90 mg
SEVELAMER**
RENAGEL 800mg

Forma
Concentr
farmaceuti
atie / U.T.
ca
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.

Firma

0,25mcg ROCHE ROMANIA S.R.L.


1mcg
ABBOTT LABORATORIES LTD.
2mcg
ABBOTT LABORATORIES LTD.
4mcg
ABBOTT LABORATORIES LTD.
5 mcg/ml ABBOTT LABORATORIES LTD.
5 mcg/ml ABBOTT LABORATORIES LTD.
5000 UI/ml HK&ZY BEST PHARMA DISTRIBUTION
5000 UI/ml HK&ZY BEST PHARMA DISTRIBUTION
5000ui/ml POLIPHARMA INDUSTRIES S.R.L.
5000ui/ml LAB. PANPHARMA
2000ui anti-Xa/0,2ml LAB. AVENTIS
4000ui anti-Xa/0,4ml LAB. AVENTIS
6000ui anti-Xa/0,6ml LAB. AVENTIS
8000ui anti-Xa/0,8ml LAB. AVENTIS
2850 ui AFXa/0,3ml

GLAXO GROUP LIMITED/GLAXO WELLCOME HOUSE

Tara

Ambalaj

ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 CAPS. MOI P-RF

SPANIA CUTIE X 4 BLIST. PVC/FLUOROPOLIMER/AL X 7 CAPS. MOI P-RF


SPANIA CUTIE X 4 BLIST. PVC/FLUOROPOLIMER/AL X 7 CAPS. P-RF
SPANIA CUTIE X 4 BLIST. PVC/FLUOROPOLIMER/AL X 7 CAPS. MOI P-RF
SPANIA CUTIE X 5 FIOLE X 1 ML SOL. INJ.
S
SPANIA CUTIE X 5 FIOLE X 2 ML SOL. INJ.
S
ROMANIA CUTIE CU 5 FLACOANE X 25000 UI
P-RF
ROMANIA CUTIE CU 5 FLACOANE X 25000 UI
P-RF
ROMANIA CUTIE X 10 FIOLE X 5ML
S
FRANTA CUTIE X 10 FLACOANE DIN STICLA INCOLORA X 5 ML SOL. INJ. S
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

MAREA BRITANIE

CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,3 ML SOL. INJ.

S/P-RF

3800 ui AFXa/0,4ml

GLAXO GROUP LIMITED/GLAXO WELLCOME HOUSE

MAREA BRITANIE

CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,4 ML SOL. INJ.

S/P-RF

5700 ui AFXa/0,6ml

GLAXO GROUP LIMITED/GLAXO WELLCOME HOUSE

MAREA BRITANIE

CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,6 ML SOL. INJ.

S/P-RF

7600 ui AFXa/0,8ml

GLAXO GROUP LIMITED/GLAXO WELLCOME HOUSE

MAREA BRITANIE

CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,8 ML SOL. INJ.

S/P-RF

9500 UI AFXa/1 ml

GLAXO GROUP LIMITED

MAREA BRITANIE

CUTIE CU 10 FLAC. DIN STICLA INCOLORA, MULTIDOZA X 5 ML SOL. INJ.

CUTIE X 2 BLIST. X 5 SERINGI PREUMPLUTE UNIDOZA X 0,25ML

S/P-RF

CUTIE X 1 BLIST X 5 SERINGI PREUMPLUTE UNIDOZA X 0,60 ML

S/P-RF

ABBOTT GMBH&CO.KG GERMANIA


3436ui/0,6ml ABBOTT GMBH&CO.KG GERMANIA

1432ui/0,25ml

10000u ANTIF. Xa/ml

LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 2 SERINGI PREUMPLUTE X 0.45 ML SOL. INJ. (4500 U-AXA)

S/P-RF

10000u ANTIF. Xa/ml

LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 2 SERINGI PREUMPLUTE X 0.35 ML SOL. INJ. (3500 U-AXA)

S/P-RF

10000u ANTIF. Xa/ml

LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 10 FLAC. DIN STICLA INCOLORA X 2 ML SOL. INJ. (10000 U-AXA) S/P-RF

20000u ANTIF. Xa/ml

LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 10 FLAC. DIN STICLA INCOLORA X 2ML SOL. INJ. (20000 U-AXA)

S/P-RF

20000u ANTIF. Xa/ml

LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 2 SERINGI PREUMPLUTE X 0,90 ML SOL. IN. (18000 U-AXA)

S/P-RF

20000u ANTIF. Xa/ml

LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 2 SERINGI PREUMPLUTE X 0,50 ML SOL. IN. (10000 U-AXA)

S/P-RF

20000u ANTIF. Xa/ml

LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 2 SERINGI PREUMPLUTE X 0,70 ML SOL. IN. (14000 U-AXA)

S/P-RF

SOL. INJ./PERF.

20mg/ml

SOL. INJ. IN SERINGA PREUMPLUTA

10000UI/1,0ml

SOL. INJ. IN SERINGA PREUMPLUTA

1000UI/0,5ml

SOL. INJ. IN SERINGA PREUMPLUTA

2000UI/1,0ml

SOL. INJ. IN SERINGA PREUMPLUTA

30000UI/0,75ml

SOL. INJ. IN SERINGA PREUMPLUTA

3000UI/0,3ml

VIFOR FRANCE S.A.


SANDOZ GMBH
SANDOZ GMBH
SANDOZ GMBH
SANDOZ GMBH
SANDOZ GMBH

FRANTA CUTIE X 5 FIOLE X 5 ML


AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA

S/P-RF/R

CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ.

S/P-RF/R

CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ.

S/P-RF/R

CUTIE X 1 SERINGA PREUMPLUTA X 0,75ML SOL. INJ.

P-RF/R

CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ.

S/P-RF/R

40 000UI/ml

JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE CU 1 SERINGA PREUMPLUTA X 1 ML SOL. INJ.

40000 UI/1 ml

SOL. INJ. IN SERINGA PREUMPLUTA

4000UI/0,4ml

AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 1ML SOL. INJ.


AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,4ML SOL. INJ.
AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ.

SANDOZ GMBH
SANDOZ GMBH
SANDOZ GMBH

S/P-RF

CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ.

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

Prescriptie

Grupa
Nr.
terape
crt
utica

S/P-RF
P-RF/R
S/P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

5000UI/0,5ml

SOL. INJ. IN SERINGA PREUMPLUTA

10000UI/0,6ml ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 6 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ. + 6 ACE

S/P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

2000UI/0,3ml ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. X 6 ACE

S/P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

30000 UI/0,6ml ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 1 SERINGA PRE-UMPLUTA X 0,6 ML + 1 AC

S/P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

4000UI/0,3ml 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

5000UI/0,3ml ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE

S/P-RF/R

500UI/0,3ml ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ. + 6 ACE

S/P-RF/R

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML

P-RF/R

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML

P-RF/R

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML

P-RF/R

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,375 ML

P-RF/R

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML

P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

AMGEN EUROPE BV
10mcg/0,4ml AMGEN EUROPE BV
150mcg/0,3ml AMGEN EUROPE BV
15mcg/0,375ml AMGEN EUROPE BV
20mcg/0,5ml AMGEN EUROPE BV
300mcg/0,6ml AMGEN EUROPE BV
30mcg/0,3ml AMGEN EUROPE BV
40mcg/0,4ml AMGEN EUROPE BV
500mcg/ml AMGEN EUROPE BV
50mcg/0,5ml AMGEN EUROPE BV
60mcg/0,3ml AMGEN EUROPE BV
80mcg/0,4ml AMGEN EUROPE BV
30mg
AMGEN EUROPE B.V.
60mg
AMGEN EUROPE B.V.
90mg
AMGEN EUROPE B.V.
800mg
GENZYME EUROPE BV

100mcg/0,5ml

OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA

S/P-RF/R

CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 0,6 ML

P-RF/R

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML

P-RF/R

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML

P-RF/R

CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 1 ML

P-RF/R

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML

P-RF/R

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML

P-RF/R

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML

P-RF/R

CUTIE X 2 BLIST. ACLAR-PVC-PVAC/AL X 14 COMPR. FILM.

P-RF

CUTIE X 2 BLIST. ACLAR-PVC-PVAC/AL X 14 COMPR. FILM.

P-RF

CUTIE X 2 BLIST. ACLAR-PVC-PVAC/AL X 14 COMPR. FILM.

P-RF

CUTIE X 1 FLAC.PEID. X 180 COMPR. FILM.

P-RF

P11: PROGRAM NATIONAL DE SANATATE MINTALA

Pagina 47 din 96

cant/a
mbala
j

100
28
28
28
5
5
5
5
10
10
10
10
10
2
10
10
10
10
10
10
5
2
2
10
10
2
2
2
5
6
6
6
1
6
1
1
6
6
6
6
1
6
6
6
4
4
4
4
4
1
4
4
1
4
4
4
28
28
28
180

Pret cu
ridicata
maximal /
ambalaj

60.88
394.36
819.29
1,562.06
400.62
792.54
61.74
72.53
124.44
104.96
57.68
118.41
153.90
39.90
59.65
81.83
108.50
155.43
759.56
66.80
80.20
26.85
19.33
456.77
986.30
104.10
58.25
81.60
122.68
1,550.81
178.92
355.67
688.15
518.88
1,206.71
877.32
682.04
845.15
2,117.84
447.82
1,042.55
865.04
1,073.53
117.90
2,876.01
324.23
4,284.58
467.24
609.62
1,991.25
891.12
1,175.04
3,298.77
1,457.44
1,742.22
2,309.91
754.12
1,383.17
1,967.81
698.95

Pret cu ridicata
maximal / U.T.

0.608800
14.084285
29.260357
55.787857
80.124000
158.508000
12.348000
14.506000
12.444000
10.496000
5.768000
11.841000
15.390000
19.950000
5.965000
8.183000
10.850000
15.543000
75.956000
6.680000
16.040000
13.425000
9.665000
45.677000
98.630000
52.050000
29.125000
40.800000
24.536000
258.468333
29.820000
59.278333
688.150000
86.480000
1,206.710000
877.320000
113.673333
140.858333
352.973333
74.636666
1,042.550000
144.173333
178.921666
19.650000
719.002500
81.057500
1,071.145000
116.810000
152.405000
1,991.250000
222.780000
293.760000
3,298.770000
364.360000
435.555000
577.477500
26.932857
49.398928
70.278928
3.883055

Pret cu ridicata
maximal de
decontare / U.T.

0.608800
14.084285
29.260357
55.787857
80.124000
158.508000
12.348000
14.506000
12.444000
10.496000
5.768000
11.841000
15.390000
19.950000
5.965000
8.183000
10.850000
15.543000
75.956000
6.680000
16.040000
13.425000
9.665000
45.677000
98.630000
52.050000
29.125000
40.800000
24.536000
258.468333
29.820000
59.278333
688.150000
86.480000
1,052.784000
877.320000
113.673333
140.858333
352.973333
74.636666
1,042.550000
144.173333
178.921666
19.650000
719.002500
81.057500
1,071.145000
116.810000
152.405000
1,991.250000
222.780000
293.760000
3,298.770000
364.360000
435.555000
577.477500
26.932857
49.398928
70.278928
3.883055

Pret cu
amanuntul
maximal /
ambalaj

76.98
468.00
931.18
1,740.80
474.83
902.02
78.07
91.71
151.92
128.14
72.93
144.56
187.88
52.19
75.42
103.46
132.46
189.75
866.07
84.46
101.41
35.12
26.13
536.03
1,113.22
127.08
73.65
103.18
149.77
1,728.54
218.42
425.83
788.23
603.73
1,353.47
994.43
781.57
959.37
2,346.60
526.27
1,174.53
981.05
1,208.30
143.93
3,173.01
391.56
4,708.35
547.44
702.64
2,208.61
1,009.47
1,318.95
3,633.81
1,626.76
1,937.17
2,555.95
860.14
1,545.81
2,183.07
800.01

Pret cu amanuntul
maximal / U.T.

0.769800
16.714285
33.256428
62.171428
94.966000
180.404000
15.614000
18.342000
15.192000
12.814000
7.293000
14.456000
18.788000
26.095000
7.542000
10.346000
13.246000
18.975000
86.607000
8.446000
20.282000
17.560000
13.065000
53.603000
111.322000
63.540000
36.825000
51.590000
29.954000
288.090000
36.403333
70.971666
788.230000
100.621666
1,353.470000
994.430000
130.261666
159.895000
391.100000
87.711666
1,174.530000
163.508333
201.383333
23.988333
793.252500
97.890000
1,177.087500
136.860000
175.660000
2,208.610000
252.367500
329.737500
3,633.810000
406.690000
484.292500
638.987500
30.719285
55.207500
77.966785
4.444500

Denumire generica

Denumire comerciala

Forma
Concentr
farmaceuti
atie / U.T.
ca

Firma

Tara

Ambalaj

Prescriptie

Grupa
Nr.
terape
crt
utica

cant/a
mbala
j

Pret cu
ridicata
maximal /
ambalaj

Pret cu ridicata
maximal / U.T.

Pret cu ridicata
maximal de
decontare / U.T.

Pret cu
amanuntul
maximal /
ambalaj

Pret cu amanuntul
maximal / U.T.

SUBPROGRAMUL TRATAMENTUL TOXICODEPENDENTELOR


1
2
3
4
5
6
7
8
9

N07BB04
N07BB04
N07BC02
N07BC02
N07BC02
N07BC02
N07BC02
N07BC51
N07BC51

NALTREXONUM
NALTREXONUM
METHADONUM
METHADONUM
METHADONUM
METHADONUM
METHADONUM

REVIA
REVIA
SINTALGON 2,5 mg
METADON BIOEEL 20 mg
METADON BIOEEL 20 mg
METADON BIOEEL 5 mg
METADON BIOEEL 5 mg
COMBINATII ( BUPRENORPHINUM + NALAXONE) SUBOXONE 2mg/0,5mg
COMBINATII ( BUPRENORPHINUM + NALAXONE) SUBOXONE 8mg/2mg

COMPR. FILM.
COMPR. FILM.

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. SUBLING.
COMPR. SUBLING.

50mg
50mg
2,5mg
20mg
20mg
5mg
5mg

TORREX CHIESI PHARMA GMBH


TORREX CHIESI PHARMA GMBH

ZENTIVA S.A.
BIO EEL SRL
BIO EEL SRL
BIO EEL SRL
BIO EEL SRL
2mg/0,5mg SP EUROPE
8mg/2mg SP EUROPE

AUSTRIA CUTIE X 4 BLIST. PVC-PE-ACLAR/AL X 7 COMPR. FILM.


AUSTRIA CUTIE X 2 BLIST. PVC-PE-ACLAR/AL X 7 COMPR. FILM.

P-RF

ROMANIA

P-TS

CUTIE X 2 BLIST. AL/PVC X 25 COMPR.

P-RF

ROMANIA CUTIE X 2 BLIST. AL/PVC-PVDC X 10 COMPR. P-TS


ROMANIA CUTIE X 5 BLIST. AL/PVC-PVDC X 10 COMPR. P-TS
ROMANIA CUTIE X 5 BLIST. AL/PVC-PVDC X 10 COMPR. P-TS
ROMANIA CUTIE X 2 BLIST. AL/PVC-PVDC X 10 COMPR. P-TS

BELGIA
BELGIA

CUTIE X 7 COMPR. SUBLING. ( BLIST.NYLON/AL/PVC)

P-TS; S

CUTIE X 7 COMPR. SUBLING. ( BLIST.NYLON/AL/PVC)

P-TS; S

NOTA:
- Tratamentul cu medicamentele corespunztoare DCI-urilor notate cu (*) se iniiaza de medicul de specialitate in limita competenei i poate fi prescris n continuare de medicul de familie pe baza scrisorii
medicale emise de medicul de specialitate;
- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (**) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MS;
- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (***) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MS si cu aprobarea comisiilor de la nivelul
Caselor Judetene de Asigurari de Sanatate;
- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (****) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MS si cu aprobarea comisiilor de la nivelul
Casei Nationale de Asigurari de Sanatate;
Medicamentul corespunzator DCI-ului notat cu ( ) se livreaza impreuna cu solvent;
3

Medicamentele corespunzatoare DCI-urilor notate cu (4) se importa cu avizul Ministerului Sanatatii;


Medicamentele din aceast sublist se elibereaz att prin farmacii cu circuit nchis ct i prin farmacii cu circuit deschis pe baz de prescripie medical cu reinere n farmacie (P-RF).

Pagina 48 din 96

28
14
50
20
50
50
20
7
7

249.53
167.39
18.06
18.61
46.54
11.63
4.65
22.06
85.12

8.911785
11.956428
0.361200
0.930500
0.930800
0.232600
0.232500
3.151428
12.160000

8.911785
10.694142
0.361200
0.930500
0.930800
0.232600
0.232500
3.151428
12.160000

304.63
204.35
24.41
25.16
60.88
15.72
6.29
29.81
107.63

10.879642
14.596428
0.488200
1.258000
1.217600
0.314400
0.314500
4.258571
15.375714

Pret de decontare /
U.T.

2.535000
2.758333
19.110000
6.830000
8.570000
9.510000
6.390000
4.980000
5.640000
4.190000
5.640000
5.976000
5.640000
5.640000
5.640000
4.700000
0.993333
1.906666
16.716000
13.930000
0.600000
3.600000
0.336500
0.355332
0.296110
0.355332
0.314610
0.355000
0.434016
0.434016
0.434016
0.434016
0.361680
0.434016
3.330000
2.894300
4.480600
5.330000
14.579200
17.495040
1.601428
1.626000
1.626000
0.928285
0.773571
0.928285
0.928285
1.626000
1.355000

Pagina 49 din 96

Pret de decontare /
U.T.

1.626000
0.928285
6.700920
5.584100
6.007000
14.028000
11.690000
22.110000
12.930000
6.460000
15.516000
7.752000
7.752000
34.300000
22.710000
24.020000
54.043000
28.729200
28.729200
27.000833
27.470000
25.246000
23.941000
28.729200
28.729200
28.729200
28.729200
28.729200
28.729200
26.988333
46.217000
53.550000
53.530000
48.210000
53.530000
53.530000
53.530000
45.035833
45.035833
9.768000
9.768000
9.768000
9.768000
20.988000
6.407200
5.886000
7.063200
6.007000
6.907000
20.988000
20.988000
9.752000
10.460000
9.020200
10.824240
20.988000
17.490000
8.140000
8.140000
2.156000
3.477000
11.412000
18.828000
18.828000

Pagina 50 din 96

Pret de decontare /
U.T.

5.240000
15.690000
9.510000
21.994000
19.269600
22.273440
18.561200
75.780000
127.270000
75.322800
44.287200
75.322800
72.350000
62.769000
75.322800
75.322800
44.287200
36.906000
44.287200
43.191000
41.150000
35.710000
35.711000
35.710000
35.711000
35.710000
36.255000
42.852000
42.852000
0.247800
0.247800
0.206500
0.247800
8.200000
4.760000
0.616250
2.787000
1.524000
2.601000
1.257428
1.149500
1.192142
1.047857
1.257428
1.192142
2.601000
2.167500
2.330000
2.291428
2.330000
2.218000
2.601000
2.601000
2.601000
2.601000
2.601000
22.728000
37.920000
22.728000
22.728000
31.600000
18.940000
61.308000
38.016000

Pagina 51 din 96

Pret de decontare /
U.T.

51.090000
31.680000
53.780000
4.250000
5.100000
4.226666
5.100000
5.100000
5.100000
10.255999
10.255999
10.255999
10.255999
8.546666
8.550000
8.550000
14.870000
14.870000
63.520000
32.350000
16.360000
22.450000
34.360000
17.844000
48.580000
60.360000
0.713000
0.811200
0.811200
0.676000
12.800000
6.960000
1.136000
1.363200
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
0.649000
0.778800
0.778800
0.778800
0.778800
0.778800
0.778800
3.850000
3.731000
12.100000
0.778800
3.277440
2.731200
3.277440

Pagina 52 din 96

Pret de decontare /
U.T.

3.277440
9.580000
10.498800
8.749000
15.733000
18.879600
2.786000
0.660000
0.660000
0.619000
0.660000
0.550000
0.660000
2.982857
2.487142
2.485714
2.982857
2.485714
4.835714
4.837142
5.478857
4.807142
4.565714
4.565714
4.771428
46.752000
90.102240
46.752000
90.102240
90.102240
46.752000
38.960000
90.102240
75.085200
16.682000
142.734000
63.520000
32.820000
53.519000
28.603000
63.370000
63.300000
32.670000
64.222800
144.250000
21.179000
17.654600
17.890900
18.599600
0.257333
0.308800
9.110000
8.354166
8.190833
8.910000
5.804400
4.837000
4.892000
7.950000
178.571000
996.650000
142.261200
118.551000
0.824400

Pagina 53 din 96

Pret de decontare /
U.T.

0.824400
0.824400
0.803000
0.687000
5.166250
4.715000
4.501428
5.401714
5.401714
5.401714
6.590000
6.590000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
5.624285
2.251428
2.384285
2.701714
2.701714
2.307142
2.701714
2.701714
2.701714
2.701714
2.701714
2.380000
2.701714
2.701714
2.552000
56.540000
36.319500
21.666500
42.732960
42.732960
87.817000
25.033440
22.210000
21.569500
42.732960
35.610800
103.620000
42.732960
20.861200
42.732960
39.862000
86.842000
42.732960
22.328000
104.210400
104.210400
25.033440
3.504000

Pagina 54 din 96

Pret de decontare /
U.T.

3.504000
3.503333
4.204000
3.504000
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
0.105592
0.220033
0.220033
0.341226
0.409471
0.205826
0.312573
0.516040
0.780000
0.780000
0.780000
0.780000
1.948000
0.650000
0.690500
0.780000
0.780000
0.780000
1.923000
56.594000
17.482714
15.839880
117.330000
5.695000
88.982166
47.511428
4.261740
9.527500
0.568222
1.136444
7.667500
7.991333
7.273777
4.261740
14.529500
331.984000
22.791500
457.320000
29.337000
62.726000
27.290000
25.464000
37.244500
52.258166
4.242300
106.720000
16.601666
25.145666

Pagina 55 din 96

Pret de decontare /
U.T.

10.168571
10.465714
6.470333
7.764400
6.436000
7.723200
12.872000
160.920000
14.942666
256.260000
41.129666
25.114333
8.208500
9.850200
9.284444
36.398000
4.642222
228.100000
0.542333
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
3,824.570000
540.070000
230.200000
1,007.990000
1,945.120000
1,009.280000
1,947.710000
3,819.400000
539.420000
8,168.910000
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

Pagina 56 din 96

Pret de decontare /
U.T.

225.874000
382.224000
368.704000
1.716200
14.180000
1.929333
17.016000
5,155.370000
5.550000
10.120000
6.660000
4.760000

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
2.601000
1.257428
1.149500
1.192142
1.047857
1.257428
1.192142
2.601000
2.167500
2.330000
2.291428
2.330000
2.218000
2.601000
2.601000
2.601000
2.601000
2.601000
22.728000
37.920000
22.728000
22.728000
31.600000
18.940000
61.308000
38.016000
51.090000
31.680000
53.780000
3.392700
3.811000
3.411400
3.411400

Pagina 57 din 96

Pret de decontare /
U.T.

2.051200
12.800000
6.960000
1.136000
1.363200
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
0.649000
0.778800
0.778800
0.778800
0.778800
0.778800
0.778800
3.850000
3.731000
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
5.014700
4.648000
5.359200
0.199620
0.239544
0.514170
0.617004
0.087993
0.105592
0.220033
0.220033
1.246200
0.341226
0.409471
0.205826
0.312573
0.516040

Pagina 58 din 96

Pret de decontare /
U.T.

15.068000
4.962000
8.515000
7.606000
76.060000

3.246600
0.522600
15.890000
0.283600
0.372800
117.160000
0.627600
23.573000
237.374000
237.374000
221.518000
237.374000
265.821600
265.821600
228.792000
321.512000
385.814400
366.936000
421.508000
505.809600
49.233600
49.233600
41.028000
49.233600
49.233600
49.233600
48.918000
561.234000
561.234000
561.234000
673.480800
561.234000
561.234000
11.396000
13.675200
1,367.470000
86.280000
89.660000
400.810000
48.214000
2.382000
59.640000
78.670000
110.090000
122.500000
124.210000
109.540000
71.568000
78.670000
13.330000
5,537.280000
1.860400
3.856400

Pagina 59 din 96

Pret de decontare /
U.T.

1,603.170000
83.335000
280.702000
336.842400
12.336000
6.240000
96.520000
59.150000
7,636.100000
19.110000
113.940000
9.580000
4.730000
116.360000
226.790000
54.340000
439.010000
54.340000
226.790000
526.812000
54.340000
226.790000
265.680000
226.790000
226.770000
226.790000
226.790000
226.770000
265.680000
439.020000
54.340000
65.208000
54.340000
54.340000
65.208000
54.340000
54.340000
65.208000
341.210000
265.680000
409.452000
54.340000
221.400000
54.340000
226.790000
439.010000
440.140000
65.208000
265.680000
4.885333
13.744416
18.218000
19.595000
27.920000
238.150000
357.190000
256.315200
66.812400
66.812400
55.677000
66.812400
256.315200
66.812400
256.315200

Pagina 60 din 96

Pret de decontare /
U.T.

256.315200
213.596000
66.812400
37.753000
18.724500
50.172000
42.940000
41.810000
77.220000
1,237.890000
427.270000
132.744000
132.744000
1,140.040000
110.620000
354.392500
132.744000
1,139.990000
427.270000
1,237.890000
1,083.312000
427.240000
564.405600
350.818000
564.405600
1,029.410000
564.405600
129.590000
117.484000
407.510000
527.020000
470.338000
132.744000
427.030000
1,237.860000
1,237.710000
378.300000
378.300000
378.300000
1,244.436000
1,244.436000
1,244.436000
319.790000
1,045.740000
319.770000
1,045.720000
1,897.780000
1,719.640000
2,063.568000
378.300000
315.250000
2,625.280000
319.790000
1,045.740000
1,244.436000
1,037.030000
378.300000
1,244.436000
132.750000
35.860000
36.910000
112.820000
275.510000
79.700000

Pagina 61 din 96

Pret de decontare /
U.T.

112.820000
2,699.442000
83.740000
134.490000
36.910000
1,613.290000
123.340000
35.550000
78.810000
128.990000
254.100000
319.320000
329.520000
2,249.535000
128.990000
35.550000
84.030000
112.820000
59.688000
317.892000
202.188000
55.900000
59.688000
202.188000
202.188000
168.490000
470.120000
55.590000
105.420000
49.740000
103.620000
202.188000
264.910000
471.220000
679.140000
564.144000
52.310000
102.200000
202.188000
317.892000
564.144000
202.188000
248.220000
175.000000
643.620000
12.390000
32.990000
10.480000
10.480000
25.920000
32.990000
29.810000
39.588000
74.472000
162.140000
194.568000
29.268000
162.410000
63.220000
62.060000
24.390000
322.480000
608.560000
1,396.560000

Pagina 62 din 96

Pret de decontare /
U.T.

1,396.560000
386.976000
709.350000
386.976000
730.272000
386.976000
709.350000
386.976000
709.350000
1,396.560000
358.740000
653.200000
1,163.800000
1,163.800000
709.350000
386.976000
363.440000
661.920000
386.976000
386.976000
386.976000
386.976000
1,792.010000
730.272000
730.272000
386.976000
709.350000
709.330000
709.350000
1,229.820000
6,043.000000
2,895.850000
1,801.493333
1,801.640000
987.750000
1,490.620000
5,756.930000
82.366250
230.343666
306.148666
70.717000
184.479666
366.598000
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
207.850000

Pagina 63 din 96

Pret de decontare /
U.T.

743.640000
686.966000
744.140000
745.660000
824.359200
145.300000
379.150000
591.480000
1,058.400000
174.360000
437.592000
437.592000
709.776000
380.870000
145.850000
174.360000
437.592000
437.592000
709.776000
174.360000
437.592000
174.360000
437.592000
1,270.080000
437.592000
364.660000
394.420000
426.030000
1,270.080000
153.530000
709.776000
709.776000
437.592000
28.366800
5,038.170000
4.119666
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
16.232142
16.382000
15.242142
18.256714
16.716428
15.213928
6.448571
6.115000
6.660714
7.305199

Pagina 64 din 96

Pret de decontare /
U.T.

7.305199
7.305199
6.156071
7.305199
7.305199
6.087666
7.305199
7.305199
3.784500
4.298570
4.298570
4.298570
3.613214
4.298570
4.298570
4.201785
4.298570
4.298570
4.298570
4.298570
4.298570
4.298570
4.298570
4.298570
4.273571
4.298570
4.298570
4.298570
4.298570
4.046071
4.298570
3.772857
3.582142
4.298570
4.298570
8.030400
8.030400
7.245357
8.030400
8.030400
7.967666
6.692000
8.012666
8.030400
8.030400
8.030400
8.012666
8.000000
8.030400
8.030400
8.030400
6.715666
8.030400
6.290333
7.548400
7.548333
7.473666
7.548400
7.548400
7.196333
7.548400
7.474333
7.548400
7.473666

Pagina 65 din 96

Pret de decontare /
U.T.

7.473666
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
223.956000
135.180000
615.760000
348.396000
186.630000
290.330000
162.216000
63.480000
63.480000
63.480000
52.900000
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
38.550000
38.590000
15.242400
34.710000
12.702000
696.923333

850.262500
383.180833
257.323333
242.426666
121.382500
7,615.780000
1.051800
1.107600
0.809000

Pagina 66 din 96

Pret de decontare /
U.T.

0.788900

23.006000
56.660000
24.272000
25.046000
33.582000
24.272000
27.607200
37.785600
31.488000
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
38.212000
38.212000
33.214000
32.896000
34.324000
54.918000
187.990000
54.918000
54.918000
59.952000
0.164550
0.170400
0.080666
0.152000
0.096799
0.096799
0.197460
0.197460
0.197460
0.197460
0.197460
0.179416
0.197460
0.197460
0.197460
0.093000
0.093333
0.096799
0.096799

Pagina 67 din 96

Pret de decontare /
U.T.

0.096799
0.092000
0.096799
0.096799
0.157399
0.157399
0.148000
0.148000
0.157399
0.157399
0.131166
0.157399
0.152500
0.157399
0.148200
0.148500
0.157399
0.157399
0.157399
0.318500
0.318500
0.063666
0.082000
0.070166
0.082000
0.070250
0.068333
0.054799
0.045666
0.050833
0.054799
0.054799
0.054799
0.191000
0.517666
0.517666
1.541333
0.621199
0.459166
0.295500
0.328250
0.354600
0.273166
0.325600
0.760666
0.271333
0.273833
0.272666
0.272666
0.420799
0.127600
0.127600
0.127600
0.127600
0.127600
0.106333
0.127600
0.127600
0.106333
0.178666
0.214399
0.214399
0.214399
0.178666

Pagina 68 din 96

Pret de decontare /
U.T.

0.178666
0.214399
0.214399
0.214399
0.214399
0.331333
0.397600
0.331333
0.397600
0.331333
0.397600
0.397600
0.397600
0.397600
0.397600
0.350666
0.420799
0.350666
0.420799
0.420799
0.420799
0.859666
0.435020
0.515200
0.429333
0.429333
0.460166
0.460166
3.481964
0.711250
0.530500
3.296800
2.943333
2.933571
2.747333
2.943571
2.943333
5.052000
4.355000
4.501428
4.510357
4.355000
4.210000
6.360799
5.849666
5.841428
5.849642
5.849666
5.300666
7.008571
0.662555
0.662555
0.596740
0.629333
0.684666
0.834555
0.791518
0.908000
0.834555
0.834666
1.020111
0.967111
1.110000
1.020111

Pagina 69 din 96

Pret de decontare /
U.T.

1.020083
137.327500
467.220000
405.170000
0.574400
0.521400
1.012080
0.843400
0.937600
1.662000
1.390800
1.499166
3.342000
3.704000
3.704000
0.843400
1.012080
0.937600
1.200000

1,646.980000
447.300000
858.920000
1,962.850000
543.780000
1,016.800000
1,585.190000
449.430000
828.020000
2,699.590000
5,328.320000
728.020000
1,385.240000
2,546.400000
689.380000
1,308.640000
3,346.350000
2,905.110000
5,233.360000
6,078.000000
821.700000
1,791.690000
1,560.180000
6,954.200000
889.720000
10,395.880000
3,053.640000
1,572.260000
574.800000
1,814.630000
942.740000
1,767.790000
1,010.320000
2,784.110000
5,497.370000
815.310000
1,427.470000
1,245.410000
361.790000
658.150000

Pagina 70 din 96

Pret de decontare /
U.T.

1,496.170000
1,124.010000
2,177.160000
5,958.410000
15,073.110000
3,014.630000
13.507000
28.127500
58.251071
104.917142

2.491333
6.560000
15.190000
15.190000
105.590000
21.740000
15.240000
12.510000
12.510000
15.240000
15.240000
12.510000
12.510000
15.240000
23.820000
0.132040
0.149500
0.158448
0.158448
0.138500
13.546000

186.171964
179.765892
23.114444

2.120000
1.080000
1.650000
2.714000
2.714000
2.601000
1.257428
1.149500
1.192142
1.047857
1.257428
1.192142
2.601000
2.167500

Pagina 71 din 96

Pret de decontare /
U.T.

2.330000
2.291428
2.330000
2.218000
2.601000
2.601000
2.601000
2.601000
2.601000
22.728000
37.920000
22.728000
22.728000
31.600000
18.940000
61.308000
38.016000
51.090000
31.680000
53.780000
317.153928
106.563333

529.740000
988.630000
3,386.740000
6,702.890000
761.480000
1,728.250000
3,824.570000
540.070000
230.200000
1,007.990000
1,945.120000
1,009.280000
1,947.710000
3,819.400000
539.420000
8,168.910000
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

Pagina 72 din 96

Pret de decontare /
U.T.

223.956000
135.180000
615.760000
348.396000
186.630000
290.330000
162.216000

445.430000
555.630000
484.120000
765.730000
918.876000
918.876000
580.944000

15,077.200000

2,506.690000

233.222500
64.620000
128.059000

13,599.657500

3,093.290000

529.740000
988.630000
3,386.740000

Pagina 73 din 96

Pret de decontare /
U.T.

6,702.890000
761.480000
1,728.250000
3,824.570000
540.070000
230.200000
1,007.990000
1,945.120000
1,009.280000
1,947.710000
3,819.400000
539.420000
8,168.910000
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

0.672400
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
0.116900
0.124800
0.241400
0.095100
0.082700
0.084000
0.295200
0.168700
0.420000
0.510400
0.308600
0.123300
0.123300
0.192300
0.192300
1,644.380000

Pagina 74 din 96

Pret de decontare /
U.T.

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
6.410000
7.413000
63.480000
63.480000
63.480000
52.900000
21.590714
25.908857
25.866785
25.908857
688.220000
825.864000
239.770000
283.250000
287.724000
8.947500
10.737000
9.125000
10.737000
10.737000
10.737000
9.125000
10.737000
10.737000
10.737000
2.591071
47.485000
1,235.460000
1,563.830000
23.650000
22.460000
23.650000
22.460000
7.481428
6.235714

1.904000
3.331000
4.758000
8.750000
8.746000
4.758000
1.242800

Pagina 75 din 96

Pret de decontare /
U.T.

1.429800
1.375400
0.903166
1.794000
8.446000
20.282000
2.560000
5,958.410000
15,073.110000
3,014.630000
25.957000
54.043000
28.729200
28.729200
27.000833
27.470000
25.246000
23.941000
28.729200
28.729200
28.729200
28.729200
28.729200
28.729200
26.988333
46.217000
53.550000
53.530000
48.210000
53.530000
53.530000
53.530000
45.035833
45.035833
75.322800
44.287200
75.322800
72.350000
62.769000
75.322800
75.322800
44.287200
36.906000
44.287200
43.191000
41.150000
35.710000
35.711000
35.710000
35.711000
35.710000
36.255000
42.852000
42.852000
63.520000
32.820000
53.519000
28.603000
63.370000
63.300000
32.670000
64.222800
144.250000
178.571000

Pagina 76 din 96

Pret de decontare /
U.T.

996.650000
142.261200
118.551000
5.166250
4.715000
4.501428
5.401714
5.401714
5.401714
6.590000
6.590000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
5.624285
2.251428
2.384285
2.701714
2.701714
2.307142
2.701714
2.701714
2.701714
2.701714
2.701714
2.380000
2.701714
2.701714
2.552000
56.540000
36.319500
21.666500
42.732960
42.732960
87.817000
25.033440
22.210000
21.569500
42.732960
35.610800
103.620000
42.732960
20.861200
42.732960
39.862000
86.842000
42.732960
22.328000
104.210400
104.210400
25.033440
139.918571
36.868928

Pagina 77 din 96

Pret de decontare /
U.T.

537.450000
2,439.990000
2,750.280000
2,750.280000
1,348.760000
1,738.700000
0.780000
0.780000
0.780000
0.780000
1.948000
0.650000
0.690500
0.780000
0.780000
0.780000
1.923000
56.594000
5.695000
88.982166
529.740000
988.630000
3,386.740000
6,702.890000
761.480000
1,728.250000
3,824.570000
540.070000
230.200000
1,007.990000
1,945.120000
1,009.280000
1,947.710000
3,819.400000
539.420000
8,168.910000
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
89.660000
400.810000
48.214000
2.382000
59.640000
78.670000
110.090000
122.500000
124.210000
109.540000
71.568000
78.670000

Pagina 78 din 96

Pret de decontare /
U.T.

13.330000
83.335000
280.702000
336.842400
37.753000
18.724500
50.172000
42.940000
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
74.472000
162.140000
194.568000
29.268000
162.410000
63.220000
62.060000
24.390000
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
3.575600
3.676700
5.546600
3.560100
6.655920
6.655920
6.655600
6.655600
5.546600
19.049333
1,141.415000
568.800000
567.502500
567.502500
1,117.292500
1,117.292500

Pagina 79 din 96

Pret de decontare /
U.T.

9.426200
2.259120
2.259120
1.882600
4.557600
4.557600
3.798000
428.390000
3.259400
3.259400
3.911280
3.259400
5.826200
5.826200
6.991440
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
0.349200
0.291000
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
1.119000
1.342800
2.128000
0.349200
0.755599
1.342800
1.342800
2.128000
1.773333
5.040000
1.614720
1.345600

Pagina 80 din 96

Pret de decontare /
U.T.

1.614720
0.986000
0.980000
1.534000
1.614720
1.116000
106.563333
28.127500
58.251071
104.917142
3.912666

8.446000
20.282000
1.386400
54.043000
28.729200
28.729200
27.000833
27.470000
25.246000
23.941000
28.729200
28.729200
28.729200
28.729200
28.729200
28.729200
26.988333
46.217000
53.550000
53.530000
48.210000
53.530000
53.530000
53.530000
45.035833
45.035833
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
142.261200
118.551000
5.166250
4.715000
4.501428
5.401714

Pagina 81 din 96

Pret de decontare /
U.T.

5.401714
5.401714
6.590000
6.590000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
5.624285
2.251428
2.384285
2.701714
2.701714
2.307142
2.701714
2.701714
2.701714
2.701714
2.701714
2.380000
2.701714
2.701714
2.552000
56.540000
36.319500
21.666500
42.732960
42.732960
87.817000
25.033440
22.210000
21.569500
42.732960
35.610800
103.620000
42.732960
20.861200
42.732960
39.862000
86.842000
42.732960
22.328000
104.210400
104.210400
25.033440
139.918571
36.868928
537.450000
2,439.990000
88.982166
4.272120
6.655920
6.655920
5.383250

Pagina 82 din 96

Pret de decontare /
U.T.

9.782083
3.560100
3.575600
3.676700
5.546600
3.560100
6.655920
6.655920
6.655600
6.655600
5.546600
9.426200
2.259120
2.259120
1.882600
4.557600
4.557600
3.798000
428.390000
3.259400
3.259400
3.911280
3.259400
5.826200
5.826200
6.991440
5.826200
25.062400
30.074880
3.911280
6.991440
30.074880
172.241000

1.242800
1.429800
1.375400
0.903166
1.794000
7.293000
14.456000
18.788000
26.095000
8.446000
20.282000
174.326000
72.012666
1,663.220000
2.560000
5,958.410000
15,073.110000
3,014.630000
1.165500
4.021666
4.283333
6.182333
3.269333
54.043000
28.729200
28.729200

Pagina 83 din 96

Pret de decontare /
U.T.

27.000833
27.470000
25.246000
23.941000
28.729200
28.729200
28.729200
28.729200
28.729200
28.729200
26.988333
46.217000
53.550000
53.530000
48.210000
53.530000
53.530000
53.530000
45.035833
45.035833
178.571000
996.650000
142.261200
118.551000
139.918571
36.868928
537.450000
2,439.990000
1,348.760000
1,738.700000
88.982166
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
3.575600
3.676700
5.546600
3.560100
6.655920
6.655920
6.655600
6.655600
5.546600
19.049333
9.426200
2.259120
2.259120
1.882600
4.557600
4.557600

Pagina 84 din 96

Pret de decontare /
U.T.

3.798000
428.390000
3.259400
3.259400
3.911280
3.259400
5.826200
5.826200
6.991440
5.826200
25.062400
30.074880
3.911280
6.991440
30.074880
172.241000

1.242800
1.429800
1.375400
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
3,829.620000
2,400.540000
5,288.920000
30.524000
54.043000
28.729200
28.729200
27.000833
27.470000
25.246000
23.941000
28.729200
28.729200
28.729200
28.729200
28.729200
28.729200
26.988333

Pagina 85 din 96

Pret de decontare /
U.T.

46.217000
53.550000
53.530000
48.210000
53.530000
53.530000
53.530000
45.035833
45.035833
144.250000
178.571000
996.650000
142.261200
118.551000
0.824400
0.824400
0.824400
0.803000
0.687000
5.166250
4.715000
4.501428
5.401714
5.401714
5.401714
6.590000
6.590000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
5.624285
2.251428
2.384285
2.701714
2.701714
2.307142
2.701714
2.701714
2.701714
2.701714
2.701714
2.380000
2.701714
2.701714
2.552000
56.540000
36.319500
21.666500
42.732960
42.732960
87.817000
25.033440
22.210000

Pagina 86 din 96

Pret de decontare /
U.T.

21.569500
42.732960
35.610800
103.620000
42.732960
20.861200
42.732960
39.862000
86.842000
42.732960
22.328000
104.210400
104.210400
25.033440
3.504000
3.504000
3.503333
4.204000
3.504000
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
0.780000
1.948000
0.650000
0.690500
0.780000
0.780000
0.780000
1.923000
56.594000
5.695000
88.982166
529.740000
988.630000
3,386.740000
6,702.890000
761.480000
1,728.250000
3,824.570000
540.070000
230.200000
1,007.990000
1,945.120000
1,009.280000
1,947.710000
3,819.400000
539.420000
8,168.910000
2,273.520000
271.370000
621.520000
1,034.520000
1,998.190000
552.680000
125.200000

Pagina 87 din 96

Pret de decontare /
U.T.

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
3.575600
3.676700
5.546600
3.560100
6.655920
6.655920
6.655600
6.655600
5.546600
19.049333
4,689.690000
9.426200
2.259120
2.259120
1.882600
4.557600
4.557600
3.798000
428.390000
3.259400
3.259400
3.911280
3.259400
5.826200
5.826200
6.991440
5.826200
25.062400
30.074880
3.911280
6.991440
30.074880
172.241000
1.051800
1.107600
0.809000
0.788900
1.723928
7.413000
7.413000
7.413000
6.177500
7.413000

Pagina 88 din 96

Pret de decontare /
U.T.

7.413000
7.413000
7.413000
7.413000
6.410000
7.413000
1.560000

8.446000
20.282000
178.571000
996.650000
142.261200
118.551000
139.918571
36.868928
537.450000
2,439.990000
88.982166

7.293000
14.456000
18.788000
26.095000
8.446000
20.282000
2.560000
1.386400
54.043000
28.729200
28.729200
27.000833
27.470000
25.246000
23.941000
28.729200
28.729200
28.729200
28.729200
28.729200
28.729200
26.988333
46.217000
53.550000
53.530000
48.210000
53.530000
53.530000
53.530000
45.035833
45.035833
178.571000
996.650000
142.261200
118.551000

Pagina 89 din 96

Pret de decontare /
U.T.

5.166250
4.715000
4.501428
5.401714
5.401714
5.401714
6.590000
6.590000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
5.624285
2.251428
2.384285
2.701714
2.701714
2.307142
2.701714
2.701714
2.701714
2.701714
2.701714
2.380000
2.701714
2.701714
2.552000
56.540000
36.319500
21.666500
42.732960
42.732960
87.817000
25.033440
22.210000
21.569500
42.732960
35.610800
103.620000
42.732960
20.861200
42.732960
39.862000
86.842000
42.732960
22.328000
104.210400
104.210400
25.033440
139.918571
36.868928
537.450000
2,439.990000
0.780000

Pagina 90 din 96

Pret de decontare /
U.T.

0.780000
0.780000
0.780000
1.948000
0.650000
0.690500
0.780000
0.780000
0.780000
1.923000
56.594000
88.982166
4.272120
6.655920
6.655920
5.383250
9.782083
3.560100
3.575600
3.676700
5.546600
3.560100
6.655920
6.655920
6.655600
6.655600
5.546600
4,689.690000
9.426200
2.259120
2.259120
1.882600
4.557600
4.557600
3.798000
428.390000
1.051800
1.107600
0.809000
0.788900
0.291000
0.349200
0.349200
0.349200
0.349200
0.349200
0.349200
0.349200
0.349200
0.291000
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

Pagina 91 din 96

Pret de decontare /
U.T.

0.349200
0.630000
0.630333
0.651200
0.630000
0.629666
1.119000
1.342800
2.128000
0.349200
0.755599
1.342800
1.342800
2.128000
1.773333
5.040000
1.614720
1.345600
1.614720
0.986000
0.980000
1.534000
1.614720
1.116000

1.242800
1.429800
1.375400
0.903166
1.794000
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
0.247800
0.206500
0.247800
8.200000
4.760000
5.166250
4.715000
4.501428
5.401714
5.401714
5.401714
6.590000
6.590000
7.908000
7.908000
7.908000
7.908000

Pagina 92 din 96

Pret de decontare /
U.T.

7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
5.624285
2.251428
2.384285
2.701714
2.701714
2.307142
2.701714
2.701714
2.701714
2.701714
2.701714
2.380000
2.701714
2.701714
2.552000
56.540000
36.319500
21.666500
42.732960
42.732960
87.817000
25.033440
22.210000
21.569500
42.732960
35.610800
103.620000
42.732960
20.861200
42.732960
39.862000
86.842000
42.732960
22.328000
104.210400
104.210400
25.033440
139.918571
36.868928
537.450000
2,439.990000
2,750.280000
2,750.280000
0.780000
0.780000
0.780000
0.780000
1.948000
0.650000
0.690500
0.780000
0.780000
0.780000
1.923000

Pagina 93 din 96

Pret de decontare /
U.T.

56.594000
88.982166
6.470333
7.764400
6.436000
7.723200
12.872000
160.920000
4.272120
6.655920
6.655920
5.383250
9.782083
3.560100
3.575600
3.676700
5.546600
3.560100
6.655920
6.655920
6.655600
6.655600
5.546600
19.049333
9.426200
2.259120
2.259120
1.882600
4.557600
4.557600
3.798000
428.390000
3.259400
3.259400
3.911280
3.259400
5.826200
5.826200
6.991440
5.826200
25.062400
30.074880
3.911280
6.991440
30.074880
172.241000
1.051800
1.107600
0.809000
0.788900

0.672400
0.806880
1.046666
1.255999
24.878000
13.281000

Pagina 94 din 96

Pret de decontare /
U.T.

0.769800
16.714285
33.256428
62.171428
94.966000
180.404000
15.614000
18.342000
15.192000
12.814000
7.293000
14.456000
18.788000
26.095000
7.542000
10.346000
13.246000
18.975000
86.607000
8.446000
20.282000
17.560000
13.065000
53.603000
111.322000
63.540000
36.825000
51.590000
29.954000
288.090000
36.403333
70.971666
788.230000
100.621666
1,193.316000
994.430000
130.261666
159.895000
391.100000
87.711666
1,174.530000
163.508333
201.383333
23.988333
793.252500
97.890000
1,177.087500
136.860000
175.660000
2,208.610000
252.367500
329.737500
3,633.810000
406.690000
484.292500
638.987500
30.719285
55.207500
77.966785
4.444500

Pagina 95 din 96

Pret de decontare /
U.T.

10.879642
13.055570
0.488200
1.258000
1.217600
0.314400
0.314500
4.258571
15.375714

Pagina 96 din 96

ANEXA 5

SECIUNEA C3 - LISTA DE MEDICAMENTE CU PROCENT DE COMPENSARE 100% - CONFORM DCI-URILOR DIN CANAMED, ALTELE DECT CELE DIN SUBLISTELE A, B, C1, C2, INDICATE PENTRU COPII
PN LA 18 ANI, TINERI DE LA 18 LA 26 DE ANI DACA SUNT ELEVI, STUDENI SAU UCENICI DAC NU REALIZEAZ VENITURI, PRECUM I GRAVIDE I LUZE
DIN HG NR. 720/2008 CU MODIFICARILE SI COMPLETARILE ULTERIOARE
VALABIL NCEPND CU 01 IULIE 2012

Nr. crt

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40

cod
ATC
A03AD02

A03BA01
A03BB01
A03DA02
A03DA02
A03DA02
A05BAN3

A06AD65
A06AD65

A07AX03
A11CA01
A11CA01
A11CA01
A11CC04
A11CC05
A11CC05
A11CC05
A11CC05
A11CC20
A11CC20

A11DA01
A11DA01
A11DA03
A11DA03
A11DBN1
A11DBN1
A11DBN1
A11DBN1
A11DBN1
A11DBN1
A11DBN1
A11DBN1
A11DBN1
A11DBN2
A11DBN2

A11GA01
A11GA01

A11HA02
A11HA02
A11HA02

DCI
DROTAVERINUM
ATROPINUM

Denumire Comerciala
NO - SPA 40 mg/2 ml

forma farm.

SOL. INJ.
SOL. INJ.
BUTYLSCOPOLAMMONII BROMIDUM SCOBUTIL 10 mg/ml
SOL. INJ.
COMBINATII
PIAFEN
COMPR.
COMBINATII
ALGIFEN COMPRIMATE
COMPR.
COMBINATII
ALGIFEN SOLUTIE INJECTABILA SOL. INJ.
COMBINATII
ASPATOFORT (R)
SOL. INJ.
COMBINATII
ENDOFALK
PULB. PT. SOL. ORALA
COMBINATII
FORTRANS
PULB. PT. SOL. ORALA
NIFUROXAZIDUM
ERCEFURYL (R) 200 mg
CAPS.
RETINOLUM
VITAMINA A FORTE
CAPS. MOI
RETINOLUM
VITAMIN A 50000 ui
CAPS. MOI
RETINOLUM
VITAMINA A BIOFARM 20mg/ml PIC. ORALE, SOL.
CALCITRIOLUM
ROCALTROL
CAPS. MOI
COLECALCIFEROLUM
VIGANTOLETTEN 1000
COMPR.
COLECALCIFEROLUM
VIGANTOLETTEN 500
COMPR.
COLECALCIFEROLUM
VITAMINA D3 BIOFARM 18000UI/ml PIC. ORALE, SOL.
COLECALCIFEROLUM
VIGANTOL OIL
PIC. ORALE, SOL.
COMBINATII
FLUOR VIGANTOLETTEN 1000 COMPR.
COMBINATII
FLUOR VIGANTOLETTEN 500 COMPR.
THIAMINUM
SICOVIT (R) B1 100 mg/2 ml SOL. INJ.
THIAMINUM
VITAMINA B1 ZENTIVA 100 mg/2 ml SOL. INJ.
BENFOTIAMINUM
BENFOGAMMA
DRAJ.
BENFOTIAMINUM
BENFOGAMMA
DRAJ.
COMBINATII
MILGAMMA (R) N
CAPS. MOI
COMBINATII
MILGAMMA (R) N
CAPS. MOI
COMBINATII
MILGAMMA (R) N
CAPS. MOI
COMBINATII
MILGAMMA (R) 100
DRAJ.
COMBINATII
MILGAMMA (R) 100
DRAJ.
COMBINATII
MILGAMMA (R) 100
DRAJ.
COMBINATII
MILGAMMA (R) N
SOL. INJ.
COMBINATII
MILGAMMA (R) N
SOL. INJ.
COMBINATII
MILGAMMA (R) NA
SOL. INJ.
COMBINATII
NEUROMULTIVIT
COMPR. FILM.
COMBINATII
NEUROMULTIVIT
COMPR. FILM.
ACIDUM ASCORBICUM
ACID ASCORBIC ARENA 750 mg SOL INJ.
ACIDUM ASCORBICUM
VITAMINA C ARENA 750 mg SOL. INJ.
PYRIDOXINUM
VITAMINA B6 250 mg
COMPR.
PYRIDOXINUM
SICOVIT B6 250 mg
COMPR.
PYRIDOXINUM
VITAMINA B6 ZENTIVA 250 mg COMPR.
SULFAT DE ATROPINA NYCOMED 1 mg/ml

concentratie

40mg/2ml
1mg/ml
10mg/ml

Detinator APP
CHINOIN PRIVATE CO. LTD.

FARA CONCENTRATIE

NYCOMED GMBH
NYCOMED GMBH
ANTIBIOTICE SA
ZENTIVA SA
ZENTIVA SA
TERAPIA SA

FARA CONCENTRATIE

DR. FALK PHARMA GMBH

FARA CONCENTRATIE
FARA CONCENTRATIE
FARA CONCENTRATIE

FARA CONCENTRATIE

200mg
50000ui
50000ui
20mg/ml
0,25mcg
1000UI
500UI
0,45mg/ml
0,5mg/ml
FARA CONCENTRATIE
FARA CONCENTRATIE

100mg/2ml
100mg/2ml
50mg
50mg

IPSEN PHARMA
SANOFI-SYNTHELABO OTC

BIOFARM SA
PHARCO IMPEX 93 S.R.L.

BIOFARM SA

ROCHE ROMANIA S.R.L.

MERCK KGAA
MERCK KGAA
BIOFARM S.A.
MERCK KGAA
MERCK KGAA
MERCK KGAA
ZENTIVA SA
ZENTIVA SA

WORWAG PHARMA GMBH & CO. KG


WORWAG PHARMA GMBH & CO. KG

FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG


FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG
FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG
FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG
FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG
FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG
FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG
FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG
FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG
FARA CONCENTRATIE LANNACHER HEILMITTEL GES.M.B.H.
FARA CONCENTRATIE LANNACHER HEILMITTEL GES.M.B.H.

750mg
750mg
250 mg
250mg
250mg

ARENA GROUP S.A.


ARENA GROUP S.A.
ARENA GROUP SA
ZENTIVA SA
ZENTIVA SA

Pagina 1 din 6

tara det.
APP

Ambalaj

UNGARIA CUTIE X 25 FIOLE X 2ML SOL. INJ.

Prescriptie

VAL.SUPORT
ATAT CNAS/
PRET
UT(RON)AMANU
PRET
LEGEA NR. VAL.SUPORT
NTUL
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
amba
MAXIMAL/UT 213 alin.(1) lit.
UT (RON)
L
laj
(RON)
a) si f)
PT. ADULTI
(RON)

25 24.50
5
2.99
GERMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA CU INEL DE RUPERE X 1 ML SOL. INJ. P-RF
5
3.36
ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
P-RF
20
5.29
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
20
6.02
ROMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA CU INEL DE RUPERE X 5 ML SOL. INJ. P-RF
5 10.20
ROMANIA CUTIE X 10 FIOLE X 10 ML
P-RF
10 23.36
GERMANIA CUTIE X 6 PLICURI DE HARTIE/AL/PEJD X 55,318 G PULB. PT. SOL. ORALA P-RF
6 45.93
FRANTA CUTIE CU 4 PLICURI DIN HARTIE-AL-PE X 73,69 G PULB. PT. SOL. ORALA P-RF
4 38.77
FRANTA CUTIE X 2 BLIST. X 14 CAPS.
P-RF
28 11.40
ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 CAPS. MOI P-6L
30
5.52
ROMANIA CUTIE X 2 BLIST. AL/PVC X 12 CAPS. MOI P-6L
24
1.68
ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 ML PIC. ORALE, SOL. P-6L
1
2.96
ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 CAPS. MOI P-RF 100 76.98
GERMANIA CUTIE X 1 BLIST. AL/PVC X 30 COMPR. P-6L
30
8.27
GERMANIA CUTIE X 1 BLIST. AL/PVC X 30 COMPR. P-6L
30
6.70
ROMANIA CUTIE X 1 FLACON X 10 ML PIC. ORALE, SOL. P-6L
1
5.05
GERMANIA CUTIE X 1 FLACON DIN STICLA X 10 ML PIC. ORALE SOLUTIE, PREVAZUT CU PICURATOR P-6L
1
6.36
GERMANIA CUTIE X 1 BLIST. AL/PVC X 30 COMPR. P-6L
30
8.01
GERMANIA CUTIE X 1 BLIST. AL/PVC X 30 COMPR. P-6L
30
6.44
ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 2 ML SOL. INJ. P-RF
5
6.98
ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 2 ML SOL. INJ. P-RF
5
6.98
GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ. P-6L
50 28.72
GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 20 DRAJ. P-6L 100 52.14
GERMANIA CUTIE X 2 BLIST. PVC/PVDC X 10 CAPS. MOI P-6L
20 20.28
GERMANIA CUTIE X 10 BLIST. PVC/PVDC X 10 CAPS. MOI P-6L 100 84.34
GERMANIA CUTIE X 5 BLIST. PVC/PVDC X 10 CAPS. MOI P-6L
50 46.88
GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 15 DRAJ. P-6L
30 49.86
GERMANIA CUTIE X 4 BLIST. PVC-PVDC/AL X 25 DRAJ. P-6L 100 139.08
GERMANIA CUTIE X 4 BLIST. PVC-PVDC/AL X 15 DRAJ. P-6L
60 89.95
GERMANIA CUTIE X 25 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 2 ML P-RF
25 83.55
GERMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 2 ML P-RF
5 18.52
GERMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 1 ML P-RF
5 18.52
AUSTRIA CUTIE CU 1 BLIST. PVC/AL X 20 COMPR. FILM. P-6L
20 11.17
AUSTRIA CUTIE CU 5 BLIST. PVC/AL X 20 COMPR. FILM. P-6L 100 44.47
ROMANIA CUTIE CU 5 FIOLE DIN STICLA BRUNA X 5 ML SOL. INJ. PRF
5 10.12
ROMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA X 5 ML SOL. INJ. P-RF
5 25.30
ROMANIA CUTIE X 1 FLACON DIN PE X 20 COMPR. P-6L
20
9.11
ROMANIA CUTIE X 1 FLAC. DIN PE X 20 COMPR.
P-6L
20
9.11
ROMANIA CUTIE X 1 FLAC. DIN PE X 20 COMPR.
P-6L
20
9.11
GERMANIA

CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 1 ML SOL. INJ.

P-RF

0.980000
0.598000
0.672000
0.264500
0.301000
2.040000
2.336000
7.655000
9.692500
0.407142
0.184000
0.070000
2.960000
0.769800
0.275666
0.223333
5.050000
6.360000
0.267000
0.214666
1.396000
1.396000
0.574400
0.521400
1.014000
0.843400
0.937600
1.662000
1.390800
1.499166
3.342000
3.704000
3.704000
0.558500
0.444700
2.024000
5.060000
0.455500
0.455500
0.455500

0.980000
0.598000
0.672000
0.264500
0.301000
2.040000
2.336000
7.655000
9.186000
0.407142
0.084000
0.070000
2.960000
0.769800
0.275666
0.223333
5.050000
6.360000
0.267000
0.214666
1.396000
1.396000
0.574400
0.521400
1.012080
0.843400
0.937600
1.662000
1.390800
1.499166
3.342000
3.704000
3.704000
0.533640
0.444700
2.024000
2.428800
0.455500
0.455500
0.455500

0.980000
0.598000
0.672000
0.264500
0.301000
2.040000
2.336000
7.655000
9.186000
0.407142
0.084000
0.070000
2.960000
0.769800
0.275666
0.223333
5.050000
6.360000
0.267000
0.214666
1.396000
1.396000
0.574400
0.521400
1.012080
0.843400
0.937600
1.662000
1.390800
1.499166
3.342000
3.704000
3.704000
0.533640
0.444700
2.024000
2.428800
0.455500
0.455500
0.455500

Nr. crt

41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89

cod
ATC
A11HA02
A11HA02
A11HA02
A11HA02
A11HA03

A12AA03
A12AA03
A12AA03
A14AA03
A16AA01
A16AA01
A16AXN1
A16AXN1

B02BX01
B02BX02
B03AA03
B03AA03
B03AA03
B03ABN1

B03AD02
B03AD02
B03AD03
B03AD04

B03AE01
B03AE01
B03AE10
B03BA01
B03BA01
B03BA01
B03BA51
B03BA51
B03BA51
B03BA51
B03BA51
B03BA51
C01EA01
C04AE01
C04AE01
C05AA01
C05AA08
C05AA08
C05AD01

C05BX01
C05CA54
C07NAN1

C08CA06
C08CA06
D01AC05
D01AC08

DCI
PYRIDOXINUM
PYRIDOXINUM
PYRIDOXINUM
PYRIDOXINUM
TOCOFEROLUM
CALCII GLUCONAS
CALCII GLUCONAS
CALCII GLUCONAS
METANDIENONUM
LEVOCARNITINUM
LEVOCARNITINUM
DIVERSE
DIVERSE
ETAMSYLATUM
CARBAZOCHROMI SALICYLAS
FERROSI GLUCONAS
FERROSI GLUCONAS
FERROSI GLUCONAS
FERROCHOLINATUM
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
CYANOCOBALAMINUM
CYANOCOBALAMINUM
CYANOCOBALAMINUM
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
ALPROSTADILUM**
CODERGOCRINUM
CODERGOCRINUM
COMBINATII
COMBINATII
COMBINATII
COMBINATII
CALCII DOBESILAS
TROXERUTINUM (COMBINATII)
COMBINATII
NIMODIPINUM
NIMODIPINUM
ISOCONAZOLUM
KETOCONAZOLUM

Denumire Comerciala
SICOVIT B6 250 mg/5 ml
VITAMINA B6 ZENTIVA 250 mg/5 ml

SICOVIT B6 50 mg/2ml

VITAMINA B6 ZENTIVA 50 mg/2ml

VITAMINA E 400 mg
GLUCONAT DE CALCIU 10%

GLUCONAT DE CALCIU 94mg/ml

GLUCONAT DE CALCIU
NAPOSIM 5 mg
MIOCOR
CARNIL (R)
ACTOVEGIN (R)
ACTOVEGIN (R)
ETAMSILAT 250mg/2ml
ADRENOSTAZIN
ASCOFER
ALOFER 80,5 mg
ALOFER 80,5 mg
FER-SOL
FERRETAB (R)
FERRETAB (R)
TARDYFERON FOL (R)
MALTOFER FOL
FERRO - FOLGAMMA (R)
FERRO - FOLGAMMA (R)
TOT'HEMA
VITAMIN B12
SICOVIT B12 50mcg/ml

forma farm.

SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
CAPS. MOI
SOL. INJ.
SOL. INJ.
SOL. INJ.
COMPR.
SOL. ORALA
SOL. ORALA
DRAJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
COMPR.

concentratie

250mg/5ml
250mg/5ml
50mg/2ml
50mg/2ml
400mg
10%
94mg/ml

FARA CONCENTRATIE

5mg
10%
100mg/ml
200mg
200mg/5ml
250mg/2ml
0,3mg/ml
FARA CONCENTRATIE

COMPR. EFF. 80,5mg


COMPR. EFF. 80,5mg

tara det.
APP
Ambalaj
ZENTIVA SA
ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 5 ML SOL. INJ. P-RF
ZENTIVA SA
ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 5 ML SOL. INJ. P-RF
ZENTIVA SA
ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 2 ML SOL. INJ. P-RF
ZENTIVA SA
ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 2 ML SOL. INJ. P-RF
PHARCO IMPEX 93 S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 12 CAPS. MOI P-6L
B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FIOLE DIN PEJD X 10 ML SOL. INJ. P-RF
B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FIOLE DIN PEJD X 10 ML SOL. INJ. P-RF
ZENTIVA SA
ROMANIA CUTIE X 5 FIOLE X 10 ML SOL. INJ.
P-RF
TERAPIA SA
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
Detinator APP

Prescriptie

ITALIA
CUTIE X 10 FLACOANE X 10ML
GRECIA CUTIE X 10 FLACOANE DIN STICLA BRUNA, ACOPERITE CU UN CAPAC DIN AL. X 10 ML
NYCOMED AUSTRIA GMBH AUSTRIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 50 DRAJ.
NYCOMED AUSTRIA GMBH AUSTRIA CUTIE X 5 FIOLE PUNCT DE RUPERE X 5 ML
ZENTIVA S.A
ROMANIA CUTIE X 5 FIOLE X 2 ML SOL. INJ.
TERAPIA SA
ROMANIA CUTIE X 5 FIOLE X 5 ML
ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. X 20 COMPR.
ART MED INTERNATIONAL SRL ROMANIA CUTIE X 1 TUB DIN PP X 20 COMPR. EFF.
RECORDATI ROMANIA S.R.L. ROMANIA CUTIE X 1 TUB DIN PP X 20 COMPR. EFF.
ECOBI PHARMACEUTICI

P-6L

ANFARM HELLAS S.A. PHARMACEUTICALS

P-6L
P-6L
P-RF
P-RF
P-RF

P-6L
P-6L
P-6L

24mg Fe/ml E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON X 15 ML + DISPOZITIV PT. PICURARE P-6L
CAPS. ELIB. PREL. FARA CONCENTRATIE LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 5 BLIST. AL/PVC X 20 CAPS. ELIB. PREL. P-6L
CAPS. ELIB. PREL. FARA CONCENTRATIE LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. ELIB. PREL. P-6L
DRAJ. ELIB. PREL. FARA CONCENTRATIE LAB. PIERRE FABRE FRANTA CUTIE X 3 BLIST. AL/PVDC-PE-PVC X 10 DRAJ. ELIB. PREL. P-6L
COMPR. MAST. FARA CONCENTRATIE VIFOR FRANCE S.A. FRANTA CUTIE X 3 BLIST. AL/PA-AL-PVC X 10 COMPR. MAST. P-6L
CAPS. MOI FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. X 10 CAPS. MOI
P-RF
CAPS. MOI FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. X 10 CAPS. MOI
P-RF
SOL. ORALA FARA CONCENTRATIE LAB. INNOTHERA
FRANTA CUTIE X 20 FIOLE X 10 ML
P-6L
SOL. INJ.
1000mcg/ml FARMEXIM SA
ROMANIA CUTIE X 10 FIOLE X 1ML
P-RF
SOL. INJ.
50mcg/ml
ZENTIVA SA
ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 1 ML SOL. INJ. P-RF
VITAMINA B12 ZENTIVA 50g/ml SOL. INJ.
50g/ml
ZENTIVA SA
ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 1 ML SOL. INJ. P-RF
MILGAMMA (R) (vezi B03BA51) DRAJ.
FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. PVC/PVDC X 10 DRAJ. P-6L
MILGAMMA (R) (vezi B03BA51) DRAJ.
FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. PVC/PVDC X 10 DRAJ. P-6L
MILGAMMA (R) (vezi B03BA51) DRAJ.
FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. PVC/PVDC X 10 DRAJ. P-6L
MILGAMMA (R) (vezi B03BA51) DRAJ.
FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. PVC/PVDC X 10 DRAJ. P-6L
MILGAMMA (R) (vezi B03BA51) DRAJ.
FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. PVC/PVDC X 10 DRAJ. P-6L
MILGAMMA (R) (vezi B03BA51) DRAJ.
FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. PVC/PVDC X 10 DRAJ. P-6L
ALPROSTADIL "PINT" 500 mcg CONC. PT. SOL. PERF. 500mcg
TARUS MEDIA S.R.L. ROMANIA CUTIE X 5 FLAC. X 1 ML CONC. PT. SOL. PERF. S
REDERGIN 1 mg/ml
PICATURI ORALE-SOL. 0,1%
LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLACON X 50 ML
P-6L
SECATOXIN
SOL. ORALA IN PICATURI 1mg/ml
IVAX - PHARMACEUTICALS S.R.O. CEHIA
CUTIE X 1 FLACON X 10 ML + PICATOR P-6L
HEMORZON
UNGUENT FARA CONCENTRATIE ANTIBIOTICE SA
ROMANIA CUTIE X 1 TUB X 18 G
P-6L
ULTRAPROCT (R)
SUPOZ.
FARA CONCENTRATIE INTENDIS GMBH
GERMANIA CUTIE X 2 FOLII X 5 SUPOZ.
P-RF
ULTRAPROCT (R)
UNGUENT RECTAL FARA CONCENTRATIE INTENDIS GMBH
GERMANIA CUTIE X 1 TUB X 15 G + 1 CANULA RECTALA P-RF
DOXIPROCT
UNGUENT RECTAL FARA CONCENTRATIE OM PHARMA S.A.
PORTUGALIA CUTIE X 1 TUB DIN AL X 30 G UNGUENT RECTAL + CANULA APLICATOARE P-6L
DOXILEK
CAPS.
500mg
LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 3 BLIST. AL/PVC. X 10 CAPS.
P-6L
GINKOR FORT
CAPS.
FARA CONCENTRATIE BEAUFOUR IPSEN PHARMA FRANTA CUTIE X 3 BLIST. AL/PVC X 10 CAPS.
P-6L
DISTONOCALM (R)
COMPR. FILM. FARA CONCENTRATIE ZENTIVA S.A.
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
NIMOTOP (R)
COMPR. FILM. 30mg
BAYER HEALTHCARE AG GERMANIA CUTIE X 10 BLIST. X 10 COMPR. FILM.
P-6L/S
NIMOTOP (R)
SOL. PERF. 10mg/50ml BAYER HEALTHCARE AG GERMANIA
S
TRAVOGEN
CREMA
10mg/1g
INTENDIS GMBH
GERMANIA CUTIE X 1 TUB DIN AL X 20 G CREMA
P-RF
NIZORAL
CREMA
2%
JANSSEN PHARMACEUTICA N.V. BELGIA
CUTIE X 1 TUB X 15 G
P-RF
SOL. ORALA IN PICATURI

CUTIE X 5 CUTII X 1 FLACON DIN STICLA DE CULOARE BRUNA X 50 ML + 1 PERFUZOR DIN POLIETILENA

Pagina 2 din 6

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
amba
L
MAXIMAL/UT 213 alin.(1) lit.
UT (RON)
laj
(RON)
(RON)
a) si f)
PT. ADULTI

5
5
5
5
24
20
20
5
20
10
10
50
5
5
5
20
1
20
1
100
30
30
30
100
50
20
10
5
5
100
20
50
100
20
50
5
1
1
1
10
1
1
30
30
30
100
5
1
1

10.34
10.34
6.98
6.98
9.35
16.87
16.87
15.92
5.10
18.32
29.89
145.08
108.72
6.73
8.37
7.72
21.00
21.00
3.34
27.57
10.69
15.02
17.87
43.20
24.30
17.73
37.86
6.98
6.98
84.34
20.28
46.88
84.34
20.28
46.88

1,603.19

11.82
2.20
8.20
12.93
14.58
22.31
21.46
25.73
5.92
112.60
303.73
11.62
9.12

2.068000
2.068000
2.068000
2.068000
2.068000
2.068000
1.396000
1.396000
1.396000
1.396000
1.396000
1.396000
0.389583
0.389583
0.389583
0.843500
0.843500
0.843500
0.843500
0.843500
0.843500
3.184000
1.012200
1.012200
0.255000
0.255000
0.255000
1.832000
1.832000
1.832000
2.989000
2.198400
2.198400
2.901600
2.901600
2.901600
21.744000 21.744000 21.744000
1.346000
1.346000
1.346000
1.674000
1.674000
1.674000
0.386000
0.386000
0.386000
21.000000
1.260000
1.260000
1.050000
1.050000
1.050000
3.340000
3.340000
3.340000
0.275700
0.275700
0.275700
0.356333
0.330840
0.330840
0.500666
0.500666
0.500666
0.595666
0.595666
0.595666
0.432000
0.432000
0.432000
0.486000
0.486000
0.486000
0.886500
0.886500
0.886500
3.786000
3.786000
3.786000
1.396000
1.396000
1.396000
1.396000
1.396000
1.396000
0.843400
0.843400
0.843400
1.014000
1.012080
1.012080
0.937600
0.937600
0.937600
0.843400
0.843400
0.843400
1.014000
1.012080
1.012080
0.937600
0.937600
0.937600
320.638000 320.638000 320.638000
11.820000 11.820000 11.820000
2.200000
2.200000
2.200000
8.200000
8.200000
8.200000
1.293000
1.293000
1.293000
14.580000 14.580000 14.580000
22.310000 22.310000 22.310000
0.715333
0.715333
0.715333
0.857666
0.857666
0.857666
0.197333
0.197333
0.197333
1.126000
1.126000
1.126000
60.746000 60.746000 60.746000
11.620000 11.620000 11.620000
9.120000
6.456000
6.456000

Nr. crt

90
91
92
93
94
95
96
97
98
99

cod
ATC

DCI
KETOCONAZOLUM
KETOCONAZOLUM
COMBINATII
COMBINATII
FLUOCINOLONI ACETONIDUM
FLUOCORTOLONUM
FLUOCORTOLONUM
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII

Denumire Comerciala
KETOCONAZOL
KETOCONAZOL CREMA
MYCOHEAL (R) HC
ASORIAN

forma farm.

CREMA
D01AC08
CREMA
D01AC52
CREMA
D05AXN1
SOL. CUT.
D07AC04
FLUOCINOLON ACETONID 0,025% UNGUENT
D07AC05
ULTRALAN CREMA
CREMA
D07AC05
ULTRALAN UNGUENT
UNGUENT
D07CB01
NIDOFLOR
CREMA
D07CB01
PANDERM
UNGUENT
D07CC02
FLUOCINOLON N
UNGUENT
100 D07XB02
TRIAMCINOLON S
CREMA
101 D07XC01
DIPROSALIC
SOL. CUT.
102 D07XC01
DIPROSALIC
UNGUENT
103 D07XC01 COMBINATII (BETAMETHASONUM+ACIDUM SALICYLICUM) SAL-EKARZIN 0,50 mg/30 mg pe gram UNGUENT
104 D10AD01 TRETINOINUM
RETIN - A (R)
CREMA
105 D10AF02 ERYTHROMYCINUM
ERYFLUID
SOL. CUT.
106 D10AF02 ERYTHROMYCINUM
ERYFLUID
SOL. CUT.
107 D10AF52 COMBINATII
ZINERYT
PULB. + SOLV. SOL. CUT.
108 D11AX15 PIMECROLIMUS
ELIDEL 1%
CREMA
109 G01AF01 METRONIDAZOLUM
FLAGYL
OVULE
110 G01AX12 CICLOPIROXUM
DAFNEGIN
OVULE
111 G01AXN1 COMBINATII
COLPOSEPTINE (R)
COMPR. VAG.
112 G01BDN1 COMBINATII
TERGYNAN
COMPR. VAG.
113 G03AC06 MEDROXYPROGESTERONUM
DEPO-PROVERA
SUSP. INJ.
114 G03DB04 NOMEGESTROLUM
LUTENYL (R)
COMPR.
115 G03GA01 GONADOTROPHINUM CHORIONICUM PREGNYL 5000
LIOF. + SOLV. PT. SOL. INJ.
116 G03GA01 GONADOTROPHINUM CHORIONICUM PREGNYL 5000
LIOF. + SOLV. PT. SOL. INJ.
117 G03GA02 MENOTROPINUM
MENOPUR
LIOF. + SOLV. PT. SOL. INJ.
118 G04BCN1 COMBINATII
URALYT-U
GRANULE
119 H03AA03 COMBINATII
NOVOTHYRAL (R) 100
COMPR.
120 J01DB04 CEFAZOLINUM
LYZOLIN
PULB. PT. SOL. INJ.
121 J01DD62 COMBINATII (CEFOPERAZONUM+SULBACTAMUM) SULCEF 1000 mg/1000 mg
PULB. PT. SOL. INJ./PERF.
122 J01DD62 COMBINATII (CEFOPERAZONUM+SULBACTAMUM) SULCEF 1000 mg/1000 mg
PULB. PT. SOL. INJ./PERF.
123 J01DD62 COMBINATII (CEFOPERAZONUM+SULBACTAMUM) SULCEF 1000 mg/1000 mg
PULB. PT. SOL. INJ./PERF.
124 J01DE02 CEFPIROMUM
CEFROM (R) 1 g
PULB. PT. SOL. INJ./PERF.
125 J01DE02 CEFPIROMUM
CEFROM (R) 2 g
PULB. PT. SOL. INJ./PERF.
126 J01EB05 SULFAFURAZOLUM
SULFAFURAZOL
COMPR.
127 J01FA06 ROXITHROMYCINUM
ROXAMED (R) 150
COMPR. FILM.
128 J01GB03 GENTAMICINUM
GENTAMICIN KRKA
SOL. INJ.
129 J01GB03 GENTAMICINUM
GENTAMICIN KRKA
SOL. INJ.
130 J01GB03 GENTAMICINUM
GENTAMICIN KRKA
SOL. INJ.
131 J01GB03 GENTAMICINUM
PAN - GENTAMICINE
SOL.INJ.
132 J01XB01 COLISTINUM
COLISTINA ANTIBIOTICE 1000000 UI PULB. PT. SOL. INJ./PERF.
133 J01XB01 COLISTINUM
COLISTINA ANTIBIOTICE 1000000 UI PULB. PT. SOL. INJ./PERF.
134 J01XB01 COLISTINUM
COLISTINA ANTIBIOTICE 1000000 UI PULB. PT. SOL. INJ./PERF.
135 J02AC03 VORICONAZOLUM**
VFEND 200mg
COMPR. FILM.
136 J02AC03 VORICONAZOLUM**
VFEND 50mg
COMPR. FILM.
137 J02AC03 VORICONAZOLUM**
VFEND 40 mg/ml
PULB. PT. SUSP. ORALA
138 M01AA01 PHENYLBUTAZONUM
FENILBUTAZONA 250 mg
SUPOZ.
D01AC08

concentratie

2%
20mg/g

FARA CONCENTRATIE
FARA CONCENTRATIE

0,025%
0,25%
0,25%
FARA CONCENTRATIE

tara det.
APP
Detinator APP
TIS FARMACEUTIC SA ROMANIA
SC HYPERION SA
ROMANIA
DAR AL DAWA PHARMA S.R.L. ROMANIA
BIOFARM SA
ROMANIA
LAROPHARM SRL ROMANIA

INTENDIS GMBH

GERMANIA

SCHERING AG INTENDIS GmbH

GERMANIA

ANTIBIOTICE SA

FARA CONCENTRATIE GULF PHARMACEUTICAL IND. (JUPHAR)

FARA CONCENTRATIE

ANTIBIOTICE SA
ANTIBIOTICE SA

FARA CONCENTRATIE

SCHERING-PLOUGH EUROPE

FARA CONCENTRATIE

SCHERING-PLOUGH EUROPE

FARA CONCENTRATIE

0,50mg/30mg pe gram

ANTIBIOTICE S.A.

0,05%
4g/30ml
4g/30ml

PIERRE FABRE DERMATOLOGIE

40mg/12mg/ml

ASTELLAS PHARMA EUROPE BV

10mg
500mg
100mg

JOHNSON & JOHNSON D.O.O.


PIERRE FABRE DERMATOLOGIE

ROMANIA
ROMANIA
ROMANIA
ROMANIA

BELGIA
BELGIA

ROMANIA
SLOVENIA

FRANTA
FRANTA
OLANDA

Ambalaj
CUTIE X 1 TUB PEJD X 15 G
CUTIE X 1 TUB DIN AL X 20 MG CREMA
CUTIE X 1 TUB AL X 15 G
CUTIE X 1 FLACON X 100 ML
CUTIE X 1 TUB AL X 20 G
CUTIE X 1 TUB X 15 G
CUTIE X 1 TUB X 15 G UNGUENT
CUTIE X 1 TUB X 15 G
CUTIE X 1 TUB X 15 G
CUTIE X 1 TUB X 18 G
CUTIE X 1 TUB X 15 G
CUTIE X 1 FLACON DIN PEID X 30 ML SOL. CUT., PREVAZUT CU PICURATOR

CUTIE X 1 TUB DIN AL X 15 G UNGUENT


CUTIE CU 1 TUB AL X 15 G UNGUENT
CUTIE X 1 TUB X 30 G
CUTIE X 1 FLACON X 100 ML SOL. CUT.
CUTIE X 1 FLACON X 30 ML SOL. CUT.
CUTIE X 1 FLAC. DIN PEID PULB. PT. SOL. CUTANATA + APLICATOR DIN PP CU SOLV. PT 30 ML SOL. CUTANATA

FARA CONCENTRATIE

FARA CONCENTRATIE

LAB. BOUCHARA-RECORDATI

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

CUTIE X 1 TUB AL X 15 G CREMA


FRANTA CUTIE X 2 BLIST. X 5 OVULE

P-RF

LUXEMBURG

P-6L

NOVARTIS PHARMA GMBH GERMANIA

LAB. AVENTIS
POLICHEM SA
LAB. THERAMEX

Prescriptie

P-RF

CUTIE X 1 FOLIE. TERMOSUDATA DIN PVC/PE X 6 OVULE + 6 APLICATOARE DIN PE

P-RF

MONACO CUTIE X 3 BLIST. X 6 COMPR. VAG.


P-RF
FRANTA CUTIE X 1 FOLIE HARTIE/PE/AL/PE X 10 COMPR. VAG. P-RF
150mg
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 1 ML SUSP. INJ.
S/P-RF
5mg
LAB. THERAMEX
MONACO CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF
5000ui/ml
NV ORGANON
OLANDA
S/P-RF
5000ui/ml
NV ORGANON
OLANDA
S/P-RF
FARA CONCENTRATIE FERRING GMBH
GERMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU LIOF. + 10 FIOLE X 1 ML SOLV. PT. SOL. INJ. S/P-RF
FARA CONCENTRATIE MADAUS GMBH
GERMANIA
P-6L
100mcg+20mcg MERCK KGAA
GERMANIA CUTIE X 4 BLIST. AL/PP X 25 COMPR.
P-6L
1g
MEDICAROM GROUP S.R.L. ROMANIA CUTIE X 1 FLAC/. PULB.
S/P-RF
1000mg/1000mg MEDOCHEMIE S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF. S/P-RF
1000mg/1000mg MEDOCHEMIE S.R.L. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF. S/P-RF
1000mg/1000mg MEDOCHEMIE S.R.L. ROMANIA CUTIE CU 100 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF. S
1g
LAB. AVENTIS
FRANTA CUTIE X 1 FLAC. PULB. PT. SOL. INJ./PERF. S/P-RF
2g
LAB. AVENTIS
FRANTA CUTIE X 1 FLAC. PULB. PT. SOL. INJ./PERF. S/P-RF
500mg
ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
150mg
DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM.
P-RF
40mg/ml
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 10 FIOLE DIN STICLA INCOLORA X 1 ML SOL. INJ. P-RF
80mg/2ml
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 50 FIOLE DIN STICLA INCOLORA X 2 ML SOL. INJ. P-RF/S
80mg/2ml
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 10 FIOLE DIN STICLA INCOLORA X 2 ML SOL. INJ. P-RF
80mg/2ml
LAB. PANPHARMA FRANTA CUTIE X 10 FIOLE DIN STICLA INCOLORA X 2 ML SOL. INJ. P-RF
1000000ui
ANTIBIOTICE SA
ROMANIA CUTIE X 100 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. S
1000000ui
ANTIBIOTICE SA
ROMANIA CUTIE X 50 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. S
1000000ui
ANTIBIOTICE SA
ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. S
200mg
PFIZER LIMITED
MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF
50mg
PFIZER LIMITED
MAREA BRITANIE CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL) P-RF
40mg/ml
PFIZER LIMITED
MAREA BRITANIE
P-RF
250mg
SINTOFARM SA
ROMANIA CUTIE X 2 FOLII TERMOSUDATE PVC/PE X 5 SUPOZ. P-6L
CUTIE X 3 FIOLE CU LIOF. PREVAZUTE CU INEL DE RUPERE + 3 FIOLE X 1 ML SOLV. PREVAZUTE CU INEL DE RUP

CUTIE X 1 FIOLA CU LIOF. PREVAZUTA CU INEL DE RUPERE + 1 FIOLA X 1 ML SOLV. PREVAZUTE CU INEL DE RUPERE

CUTIE X 1 FLAC. PP X 280 G GRANULE + 1 LINGURITA DOZATOARE + 1 CALENDAR DE CONTROL + HARTIE INDICATO

CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA

Pagina 3 din 6

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
amba
L
MAXIMAL/UT 213 alin.(1) lit.
UT (RON)
laj
(RON)
(RON)
a) si f)
PT. ADULTI

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
10
6
18
10
1
10
3
1
10
1
100
1
1
10
100
1
1
20
10
10
50
10
10
100
50
10
28
28
1
10

5.38
7.94
6.41
10.17
7.40
12.30
12.79
7.40
7.66
7.40
7.40
16.15
10.75
7.00
14.01
21.02
8.09
32.50
82.96
8.57
38.11
17.64
21.91
13.10
31.51
42.77
15.04
825.12
56.93
28.94
3.45
25.24
219.94

1,856.12

75.78
127.27
9.72
15.24
7.13
41.48
9.58
6.76

1,789.09

929.98
211.79

5.380000
5.380000
5.380000
7.940000
7.940000
7.940000
6.410000
6.410000
6.410000
10.170000 10.170000 10.170000
7.400000
7.400000
7.400000
12.300000 12.300000 12.300000
12.790000 12.790000 12.790000
7.400000
7.400000
7.400000
7.660000
7.660000
7.660000
7.400000
7.400000
7.400000
7.400000
7.400000
7.400000
16.150000 16.150000 16.150000
10.750000 10.750000 10.750000
7.000000
7.000000
7.000000
14.010000 14.010000 14.010000
21.020000 21.020000 21.020000
8.090000
8.090000
8.090000
32.500000 32.500000 32.500000
82.960000 82.960000 82.960000
0.857000
0.857000
0.857000
6.351666
6.351666
6.351666
0.980000
0.980000
0.980000
2.191000
2.191000
2.191000
13.100000 13.100000 13.100000
3.151000
3.151000
3.151000
14.256666 14.256666 14.256666
15.040000 15.040000 15.040000
82.512000 82.512000 82.512000
56.930000 56.930000 56.930000
0.289400
0.289400
0.289400
3.450000
3.450000
3.450000
25.240000 22.273440 22.273440
21.994000 21.994000 21.994000
18.561200 18.561200 18.561200
75.780000 75.780000 75.780000
127.270000 127.270000 127.270000
0.486000
0.486000
0.486000
1.524000
1.524000
1.524000
0.713000
0.713000
0.713000
0.829600
0.811200
0.811200
0.958000
0.811200
0.811200
0.676000
0.676000
0.676000
17.890900 17.890900 17.890900
18.599600 18.599600 18.599600
21.179000 21.179000 21.179000
139.918571 139.918571 139.918571
36.868928 36.868928 36.868928

3,917.72
1,032.33
2,439.99 2,439.990000 2,439.990000 2,439.990000

9.57

0.957000

0.957000

0.957000

Nr. crt

cod
ATC

139 M01AB55
140 M01AB55
141 M01AB55
142 M01AE01
143 M01AE01
144 M01AE01
145 M01AE01
146 M01AE01
147 M01AE01
148 M01AE01
149 M01AE01
150 M01AE01
151 M01AE01
152 M01AE01
153 M01AE01
154 M01AE01
155 M01AE01
156 M01AE02
157 M01AE02
158 M01AG01
159 M01AH04
160 M01AH04
161 M03BB03
162 M03BB03
163 M03BX04
164 M03BX04
165 M03BX04
166 M09AX01
167 N02AA59
168 N02AA59
169 N02AA59
170 N02BB02
171 N02BB02
172 N02BB02
173 N02BB02
174 N02BB02
175 N02BB02
176 N02BB02
177 N02BB02
178 N02BB02
179 N02BB02
180 N02BB02
181 N02BB02
182 N02BB02
183 N02BB02
184 N02BB02
185 N05BA05
186 N05BA05
187 N05BA23

DCI

Denumire Comerciala
COMBINATII
NEODOLPASSE
COMBINATII
ACECLOFEN
DICLOFENACUM+MISOPROSTOLUM ARTHROTEC 75
IBUPROFENUM
PADUDEN (R) SR 300 mg
IBUPROFENUM
BRUFEN RETARD 800 mg
IBUPROFENUM
IBUPROFEN 400
IBUPROFENUM
BRUFEN 400 mg
IBUPROFENUM
BRUFEN 400 mg
IBUPROFENUM
BRUFEN 400 mg
IBUPROFENUM
BRUFEN 400 mg
IBUPROFENUM
BRUFEN 400 mg
IBUPROFENUM
BRUFEN 400 mg
IBUPROFENUM
PROFINAL
IBUPROFENUM
IBUPROFEN 600
IBUPROFENUM
FASPIC 600
IBUPROFENUM
IBALGIN BABY
IBUPROFENUM
BRUFEN 20 mg/ml
NAPROXENUM
REUXEN 250 mg
NAPROXENUM
REUXEN 500 mg
ACIDUM MEFENAMICUM
VIDAN
PARECOXIBUM
DYNASTAT 40mg
PARECOXIBUM
DYNASTAT 40mg
CHLORZOXAZONUM
CLORZOXAZON 250 mg
CHLORZOXAZONUM
CLORZOXAZONA 250 mg
TOLPERISONUM
MYDOCALM
TOLPERISONUM
MYDOCALM
TOLPERISONUM
MYDOCALM
ACIDUM HIALURONICUM
HYALGAN (R)
COMBINATII ( PARACETAMOLUM+CODEINUM) PARADOREN 500mg/30mg
COMBINATII ( PARACETAMOLUM+CODEINUM) ULTRACOD
COMBINATII ( PARACETAMOLUM+CODEINUM) PARADOREN 500mg/60mg
METAMIZOLUM NATRIUM
ALGOZONE
METAMIZOLUM NATRIUM
ALGOCALMIN (R) 500 mg
METAMIZOLUM NATRIUM
ALINDOR
METAMIZOLUM NATRIUM
SINTOCALMIN
METAMIZOLUM NATRIUM
ALGOREMIN
METAMIZOLUM NATRIUM
NOVOCALMIN
METAMIZOLUM NATRIUM
METAMIZOL FARMACOM 500 mg
METAMIZOLUM NATRIUM
FABOCALM
METAMIZOLUM NATRIUM
ALGIOTOP
METAMIZOLUM NATRIUM
CENTRALGIN 500 mg
METAMIZOLUM NATRIUM
ALGOBLOCK
METAMIZOLUM NATRIUM
ALGOZONE 500mg
METAMIZOLUM NATRIUM
ALGOCALMIN (R) 1 g/2 ml
METAMIZOLUM NATRIUM
SINTOCALMIN 300 mg
METAMIZOLUM NATRIUM
NOVOCALMIN 300 mg
CLORAZEPAT DIKALII
TRANXENE 10 mg
CLORAZEPAT DIKALII
TRANXENE 5 mg
TOFISOPAMUM
GRANDAXIN

forma farm.

SOL. PERF.
SUPOZ.

COMPR. GASTROREZ.

CAPS. ELIB. PREL.


COMPR. CU ELIB. PREL.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
GRAN. PT. SOL. ORALA

SUSP. ORALA
SUSP. ORALA

COMPR.
COMPR.

COMPR. FILM.
PULB. + SOLV. PT. SOL. INJ.

PULB. PT. SOL. INJ.

COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.

SOL. INJ.
SOL. INJ.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
SOL. INJ.
SUPOZ.
SUPOZ.
CAPS.
CAPS.
COMPR.

concentratie

Detinator APP

75mg+0,200mg

300mg
800mg
400mg
400mg
400mg
400mg
400mg
400mg
400mg
600mg
600mg
600mg
100mg/5ml
20mg/ml
250mg
500mg
500mg
40mg
40mg
250mg
250mg
150mg
50mg
100mg/ml
20mg/2ml

30mg+500mg
500mg+30mg
60mg+500mg

500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
1g/2ml
300mg
300mg
10mg
5mg
50mg

Ambalaj
AUSTRIA CUTIE X 10 FLACOANE X 250 ML

Prescriptie

10
6
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL X 10 COMPR. GASTROREZ. P-6L
20
TERAPIA SA
ROMANIA CUTIE X 1 BLIST. X 10 CAPS. ELIB. PREL. P-6L
10
ABBOTT SCANDINAVIA AB SUEDIA CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR. CU ELIB. PREL. P6L
30
CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
20
ABBOTT SCANDINAVIA AB SUEDIA CUTIE CU BLIST. AL/PVC X 20 COMPR. FILM. P-6L
20
ABBOTT SCANDINAVIA AB SUEDIA CUTIE CU BLIST. AL/PVC X 30 COMPR. FILM. P-6L
30
ABBOTT SCANDINAVIA AB SUEDIA CUTIE CU BLIST. PVC-PVDC/AL X 20 COMPR. FILM.
P-6L
20
ABBOTT SCANDINAVIA AB SUEDIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM.
P-6L
30
ABBOTT SCANDINAVIA AB SUEDIA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM.
P-6L
60
ABBOTT SCANDINAVIA AB SUEDIA CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM. P-6L/S 100
GULF PHARMACEUTICAL IND. (JUPHAR) ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM.
P-6L
20
CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
20
ZAMBON S.P.A.
ITALIA
CUTIE X 30 PLICURI UNIDOZA X 3 G GRAN. PT. SOL. ORALA P-6L
30
ZENTIVA K.S.
CEHIA
CUTIE X 1 FLAC. DIN STICLA X 100 ML SUSP. ORALA + PIPETA DOZATOARE GRADATA P-RF
1
ABBOTT SCANDINAVIA AB SUEDIA
P6L
1
AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
P-6L
20
AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
P-6L
20
VIANEX SA
GRECIA CUTIE X 3 BLIST. AL/PVC X 8 COMPR. FILM. P-6L
24
PFIZER LIMITED
MAREA BRITANIE CUTIE X 5 FLAC. PULB. X 40 MG + 5 FIOLE X 2 ML SOLV.
S/P-RF
5
PFIZER LIMITED
MAREA BRITANIE CUTIE X 10 FLAC. X 40 MG PULB. PT. SOL. INJ. S/P-RF
10
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
P-6L
20
ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.FILM. P-6L
30
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.
P-6L
30
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA X 1 ML SOL. INJ. P-RF
5
CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 2 ML P-RF
1
ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
P-RF
20
ZENTIVA K.S.
CEHIA
CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-RF
30
ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
P-RF
20
OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. X 10 COMPR.
P-RF
20
ZENTIVA S.A.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
20
LAROPHARM SRL ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. P-RF
20
SINTOFARM SA
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
20
REMEDIA SRL
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
20
ANTIBIOTICE SA
ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
P-RF
20
FARMACOM SA
ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. P-RF
20
FABIOL S.A.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
20
SANTA SA
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
20
SC CENTROFARM S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
20
BIOFARM S.A.
ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. P-RF
20
LABORMED PHARMA S.A. ROMANIA CUTIE X 2 BLIST.PVC-PVDC/AL A CATE 10 COMPR. P-RF
20
ZENTIVA S.A.
ROMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA CU INEL DE RUPERE X 2 ML SOL. INJ. P-RF
5
6
SINTOFARM SA
ROMANIA CUTIE X 2 BLIST. PVC/PE X 3 SUPOZ.
P-RF
ANTIBIOTICE S.A.
ROMANIA CUTIE CU 2 FOLII TERMOSUDATE, OPACE DIN PVC X 6 SUPOZ. PRF
12
SANOFI-AVENTIS FRANCE FRANTA CUTIE X 3 BLIST. AL/PVC-AL-OPA X 10 CAPS. P-RF
30
SANOFI-AVENTIS FRANCE FRANTA CUTIE X 3 BLIST. AL/PVC-AL-OPA X 10 CAPS. P-RF
30
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 20 COMPR. P-RF
20

FARA CONCENTRATIE FRESENIUS KABI AUSTRIA GMBH


FARA CONCENTRATIE

tara det.
APP

ANTIBIOTICE SA

ROMANIA CUTIE X 2 FOLII TERMOSUDATE AL/PE X 3 SUPOZ. P-6L

CUTIE CU 1 FLAC. DE 100 ML SUSP. ORALA, DIN PET DE CULOARE BRUNA CU CAPAC DIN PP SI SIGILIU DIN PEJD

Pagina 4 din 6

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
amba
L
MAXIMAL/UT 213 alin.(1) lit.
UT (RON)
laj
(RON)
(RON)
a) si f)
PT. ADULTI

219.12 21.912000 21.912000 21.912000


4.61
0.768333
0.768333
0.768333
28.57
1.428500
1.428500
1.428500
14.01
1.401000
1.401000
1.401000
18.17
0.605666
0.605666
0.605666
2.85
0.142500
0.142500
0.142500
10.25
0.512500
0.171000
0.171000
9.18
0.306000
0.171000
0.171000
10.25
0.512500
0.171000
0.171000
9.18
0.306000
0.171000
0.171000
18.38
0.306333
0.171000
0.171000
30.62
0.306200
0.171000
0.171000
13.33
0.666500
0.295200
0.295200
4.92
0.246000
0.246000
0.246000
25.61
0.853666
0.295200
0.295200
9.89
9.890000
9.890000
9.890000
14.61 14.610000 11.868000 11.868000
9.28
0.464000
0.464000
0.464000
16.78
0.839000
0.839000
0.839000
10.00
0.416666
0.416666
0.416666
147.23 29.446000 29.446000 29.446000
290.33 29.033000 29.033000 29.033000
4.42
0.221000
0.221000
0.221000
6.18
0.206000
0.206000
0.206000
14.58
0.486000
0.486000
0.486000
7.30
0.243333
0.243333
0.243333
6.89
1.378000
1.378000
1.378000
143.42 143.420000 143.420000 143.420000
12.74
0.637000
0.637000
0.637000
33.79
1.126333
0.764400
0.764400
19.83
0.991500
0.991500
0.991500
6.80
0.340000
0.328200
0.328200
6.89
0.344500
0.328200
0.328200
6.89
0.344500
0.328200
0.328200
6.84
0.342000
0.328200
0.328200
6.02
0.301000
0.301000
0.301000
5.47
0.273500
0.273500
0.273500
6.52
0.326000
0.326000
0.326000
6.27
0.313500
0.313500
0.313500
6.89
0.344500
0.328200
0.328200
6.87
0.343500
0.328200
0.328200
6.18
0.309000
0.309000
0.309000
6.80
0.340000
0.328200
0.328200
5.92
1.184000
1.184000
1.184000
7.57
1.261666
1.261666
1.261666
12.97
1.080833
1.080833
1.080833
6.32
0.210666
0.210666
0.210666
5.76
0.192000
0.192000
0.192000
5.36
0.268000
0.268000
0.268000

Nr. crt

cod
ATC

188 N05CD08
189 N05CD08
190 N05CD08
191 N05CD08
192 N05CD08
193 N05CD08
194 N05CD13
195 N06BA04
196 N06BA04
197 N06BA04
198 N06BA04
199 N06BA04
200 N06BA09
201 N06BA09
202 N06BA09
203 N06BA09
204 N06BA09
205 N06BA09
206 N06BX02
207 N06BX02
208 N06BX02
209 N06BX03
210 N06BX03
211 N06BX03
212 N06BX03
213 N06BX03
214 N06BX03
215 N06BX03
216 N06BX03
217 N06BX03
218 N06BX03
219 N06BX03
220 N06BX03
221 N06BX03
222 N06BX03
223 N06BX03
224 N06BX03
225 N06BX03
226 N06BX03
227 N06BX03
228 N06BX03
229 N06BX03
230 N06BX03
231 N06BX03
232 N06BX03
233 N07CA02
234 N07CA02
235 N07CA02
236 P01AX08

DCI
MIDAZOLAMUM
MIDAZOLAMUM
MIDAZOLAMUM
MIDAZOLAMUM
MIDAZOLAMUM
MIDAZOLAMUM
CINOLAZEPAMUM
METHYLFENIDATUM***
METHYLFENIDATUM***
METHYLFENIDATUM***
METHYLFENIDATUM***
METHYLFENIDATUM***
ATOMOXETINUM***
ATOMOXETINUM***
ATOMOXETINUM***
ATOMOXETINUM***
ATOMOXETINUM***
ATOMOXETINUM***
PYRITINOLUM
PYRITINOLUM
PYRITINOLUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
CINNARIZINUM
CINNARIZINUM
CINNARIZINUM
TENONITROZOLUM

Denumire Comerciala
DORMICUM (R)
DORMICUM (R) 7,5 mg
DORMICUM (R)

tara det.
forma farm. concentratie
APP
Detinator APP
Ambalaj
COMPR. FILM. 7,5mg
ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 BLIST. PVC/PVDC/AL X 10 COMPR. FILM.
COMPR. FILM. 7,5mg
TERAPIA SA
ROMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM.
SOL. INJ.
1mg/ml
ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 10 FIOLE X 5 ML

MIDAZOLAM TORREX 1 mg/ml SOL. INJ.


MIDAZOLAM TORREX 1 mg/ml SOL. INJ.
MIDAZOLAM TORREX 5 mg/ml SOL. INJ.

GERODORM (R)
MEDIKINET EM 10 mg
MEDIKINET EM 20 mg
CONCERTA 18 mg
CONCERTA 36 mg
CONCERTA 54 mg
STRATTERA 10 mg
STRATTERA 18 mg
STRATTERA 25 mg
STRATTERA 40 mg
STRATTERA 60 mg
STRATTERA 80 mg
PIRITINOL ARENA 100 mg
ENCEPHABOL 100 mg

COMPR.

CAPS. ELIB. MODIF.


CAPS. ELIB. MODIF.
COMPR. FILM. ELIB. PREL.
COMPR. FILM. ELIB. PREL.
COMPR. FILM. ELIB. PREL.

CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
DRAJ.
DRAJ.

ENCEPHABOL (R) SUSPENSIE SUSP. ORALA

PIRACETAM ARENA 400 mg


PIRACETAM 400 mg
PIRACETAM 400 mg
N - PIRACETAM
MEMOTAL 400mg
PIRACETAM SLAVIA 400 mg

PIRACETAM LAROPHARM 400 mg

PIRACETAM

PIRACETAM FARMEX 400 mg

PIRACETAM MCC 400mg

PIRACETAM SINTOFARM 400 mg


PIRACETAM SINTOFARM 400 mg

LUCETAM (R) 1200 mg


NOOTROPIL 1200 mg
PIRACETAM 400 mg
PIRACETAM LPH (R) 400 mg
LUCETAM
NEUROSTIM 400 mg
PIRACETAM 800 mg
PIRACETAM LPH 800 mg
LUCETAM
NEUROSTIM 800 mg
NOOTROPIL 800 mg
MEMOTAL1 g/5 ml
CINARIZINA ARENA 25 mg
STUGERON 25 mg
CINARIZIN 25 mg
ATRICAN 250 mg

CAPS.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

SOL. INJ.
CAPS.
COMPR.
COMPR.

CAPS. MOI GASTROREZ.

1mg/ml
1mg/ml
5mg/ml
40mg
10mg
20mg
18mg
36mg
54mg
10mg
18mg
25mg
40mg
60mg
80mg
100mg
100mg
80,5mg/5ml
400mg
400 mg
400mg
400mg
400mg
400mg
400mg
400mg
400mg
400mg
400mg
400mg
1200mg
1200mg
400mg
400mg
400mg
400mg
800mg
800mg
800mg
800mg
800mg
1g/5ml
25mg
25mg
25mg
250mg

GEROT PHARMAZEUTIKA GMBH

AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA

MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG

GERMANIA

MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG

GERMANIA

TORREX CHIESI PHARMA GMBH


TORREX CHIESI PHARMA GMBH
TORREX CHIESI PHARMA GMBH

JANSSEN PHARMACEUTICA N.V.

BELGIA
BELGIA
BELGIA

ELI LILLY AND COMPANY LTD.

MAREA BRITANIE

ELI LILLY AND COMPANY LTD.

MAREA BRITANIE

ELI LILLY AND COMPANY LTD.

MAREA BRITANIE

ELI LILLY AND COMPANY LTD.

MAREA BRITANIE

ELI LILLY AND COMPANY LTD.

MAREA BRITANIE

ELI LILLY AND COMPANY LTD.

MAREA BRITANIE

JANSSEN PHARMACEUTICA N.V.


JANSSEN PHARMACEUTICA N.V.

ARENA GROUP S.A.


MERCK KGAA
MERCK KGAA
ARENA GROUP SA
ANTIBIOTICE SA
OZONE LABORATORIES LTD.

ROMANIA
GERMANIA
GERMANIA

ROMANIA
ROMANIA
MAREA BRITANIE

MEDUMAN SA
ZENTIVA S.A
SLAVIA PHARM SRL
LAROPHARM SRL
FABIOL SA

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
FARMEX COMPANY SRL ROMANIA
MAGISTRA C & C
ROMANIA
SINTOFARM SA
ROMANIA
SINTOFARM SA
ROMANIA
EGIS PHARMACEUTICALS P.L.C. UNGARIA

U.C.B. PHARMA S.A. BELGIA

GEDEON RICHTER ROMANIA SA

ROMANIA

LABORMED PHARMA SA ROMANIA

UNGARIA
ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
LABORMED PHARMA SA ROMANIA
EGIS PHARMACEUTICALS P.L.C. UNGARIA
AC HELCOR PHARMA SRL ROMANIA
U.C.B. PHARMA S.A. BELGIA
ZENTIVA SA
ROMANIA
ARENA GROUP SA ROMANIA
TERAPIA SA
ROMANIA
LAROPHARM SRL ROMANIA
LAB. INNOTECH INT. FRANTA
EGIS PHARMACEUTICALS P.L.C.

AC HELCOR PHARMA SRL

Pagina 5 din 6

Prescriptie

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
amba
L
MAXIMAL/UT 213 alin.(1) lit.
UT (RON)
laj
(RON)
(RON)
a) si f)
PT. ADULTI

10
10
S/P-RF
10
CUTIE X 10 FIOLE X 5 ML SOL. INJ.
S/P-RF
10
CUTIE X 10 FIOLE X 2 ML SOL. INJ.
S/P-RF
10
CUTIE X 10 FIOLE X 3 ML SOL. INJ.
S/P-RF
10
CUTIE X 3 BLIST. AL/PVDC-PVC X 10 COMPR. P-RF
30
CUTIE CU BLIST. PVC/PVDC/AL X 30 CAPS. ELIB. MODIF. PR
30
CUTIE CU BLIST. PVC/PVDC/AL X 30 CAPS. ELIB. MODIF. PR
30
CUTIE X 1 FLAC. DIN PEID X 30 COMPR. FILM. CU ELIB. PREL. P-RF/R
30
CUTIE X 1 FLAC. DIN PEID X 30 COMPR. FILM. CU ELIB. PREL. P-RF/R
30
CUTIE X 1 FLAC. DIN PEID X 30 COMPR. FILM. CU ELIB. PREL. P-RF/R
30
CUTIE X 1 BLIST. PVC-PE-PCTFE/AL X 7 CAPS. P-RF
7
CUTIE X 1 BLIST. PVC-PE-PCTFE/AL X 7 CAPS. P-RF
7
CUTIE X 4 BLIST. PVC-PE-PCTFE/AL X 7 CAPS. P-RF
28
CUTIE X 4 BLIST. PVC-PE-PCTFE/AL X 7 CAPS. P-RF
28
CUTIE X 4 BLIST. PVC-PE-PCTFE/AL X 7 CAPS. P-RF
28
CUTIE X 4 BLIST. PCTFE-PE-PVC/AL X 7 CAPS. P-RF/R
28
CUTIE X 3 BLIST. X 10 DRAJ.
P-6L
30
CUTIE CU 5 BLIST. PVC/AL X 10 DRAJ.
P6L
50
CUTIE X 1 FLACON X 200 ML
P-6L
1
CUTIE X 3 BLIST. AL/PVC X 10 CAPS.
P-6L
30
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
CUTIE X 2 BLIST. X 10 COMPR.
P-6L
20
CUTIE X 1 FLAC. PE X 40 COMPR.
P-6L
40
CUTIE X 2 BLIST. X 10 COMPR.
P-6L
20
CUTIE X 4 BLIST. DIN PVC/AL X 10 COMPR. P-6L
40
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
CUTIE X 4 BLIST. AL/PVC X 10 COMPR. P-6L
40
CUTIE X 2 BLIST. PVC/AL X 10 COMPR. P-6L
20
CUTIE X 2 BLIST. PVC/AL X 10 COMPR. P-6L
20
CUTIE X 4 BLIST. PVC/AL X 10 COMPR. P-6L
40
CUTIE X 1 FLAC. X 20 COMPR. FILM.
P-6L
20
CUTIE CU 10 BLIST. PVC/AL X 10 COMPR. FILM. P6L 100
CUTIE X 2 BLIST. X 10 COMPR. FILM.
P-6L
20
CUTIE X 6 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
60
CUTIE X 1 FLAC. DIN STICLA BRUNA X 60 COMPR.FILM. P-6L
60
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
20
CUTIE X 2 BLIST. X 10 COMPR. FILM.
P-6L
20
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
30
CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR.FILM. P-6L
30
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.FILM. P-6L
20
CUTIE CU 6 BLIST. PVC/AL X 15 COMPR. FILM. P6L
90
5
CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 5 ML SOL. INJ. P-RF
CUTIE X 4 BLIST. AL/PVC X 10 CAPS.
P-6L
40
CUTIE X 4 BLIST. X 10 COMPR.
P-6L
40
CUTIE X 3 BLIST. X 20 COMPR.
P-6L
60
CUTIE X 1 BLIST. AL/PVC X 8 CAPS. MOI GASTROREZ. P-RF
8
P-RF
P-RF

5.58
10.57
29.14
33.06
23.88
64.04
23.05
47.84
95.80
192.42
229.23
296.84
103.33
103.33
388.16
388.16
388.16
555.80
18.01
33.34
40.59
10.57
2.36
2.36
4.04
8.34
4.64
1.94
2.93
4.44
3.10
3.45
6.46
6.72
50.00
3.50
6.33
7.04
2.36
6.76
5.96
6.63
4.41
33.27
8.97
3.30
7.04
4.51
11.56

0.558000
1.057000
2.914000
3.306000
2.388000
6.404000
0.768333
1.594666
3.193333
6.414000
7.641000
9.894666
14.761428
14.761428
13.862857
13.862857
13.862857
19.850000
0.600333
0.666800
40.590000
0.352333
0.118000
0.118000
0.101000
0.417000
0.116000
0.097000
0.097666
0.111000
0.155000
0.172500
0.161500
0.336000
0.500000
0.175000
0.105500
0.117333
0.118000
0.338000
0.198666
0.221000
0.220500
0.369666
1.794000
0.082500
0.176000
0.075166
1.445000

0.558000
0.669600
2.914000
3.306000
2.388000
6.404000
0.768333
1.594666
3.193333
6.414000
7.641000
9.894666
14.761428
14.761428
13.862857
13.862857
13.862857
19.850000
0.600333
0.666800
40.590000
0.116400
0.116400
0.116400
0.101000
0.116400
0.116000
0.097000
0.097666
0.111000
0.116400
0.116400
0.116400
0.336000
0.403200
0.116400
0.105500
0.116400
0.116400
0.238399
0.198666
0.221000
0.220500
0.238399
1.794000
0.082500
0.090199
0.075166
1.445000

0.558000
0.669600
2.914000
3.306000
2.388000
6.404000
0.768333
1.594666
3.193333
6.414000
7.641000
9.894666
14.761428
14.761428
13.862857
13.862857
13.862857
19.850000
0.600333
0.666800
40.590000
0.116400
0.116400
0.116400
0.101000
0.116400
0.116000
0.097000
0.097666
0.111000
0.116400
0.116400
0.116400
0.336000
0.403200
0.116400
0.105500
0.116400
0.116400
0.238399
0.198666
0.221000
0.220500
0.238399
1.794000
0.082500
0.090199
0.075166
1.445000

cod
ATC

264 R06AX13

Denumire Comerciala
PYRANTELUM
HELMINTOX (R) 125 mg
PYRANTELUM
HELMINTOX (R) 250 mg
PYRANTELUM
HELMINTOX (R)
TIXOCORTOLUM
PIVALONE 1%
COMBINATII
BIORINIL
FUSAFUNGINUM
BIOPAROX
EPHEDRINI HYDROCHLORIDUM EFEDRINA ARENA
EPHEDRINI HYDROCHLORIDUM EFEDRINA 50 mg/ ml
OMALIZUMABUM**
XOLAIR 150 mg
OMALIZUMABUM**
XOLAIR 75 mg
ACETYLCYSTEINUM
ACC INJECT 300mg/3ml
ACETYLCYSTEINUM
FLUIMUCIL 2% PEDIATRIC
ACETYLCYSTEINUM
FLUIMUCIL
CARBOCISTEINUM
HUMEX EXPECTORANT PENTRU COPII SI SUGARI
CARBOCISTEINUM
RHINATHIOL 2% pentru copii si sugari
CARBOCISTEINUM
MUCOTREIS
CARBOCISTEINUM
FLUIDOL 100mg/5ml
PROMETHAZINUM
ROMERGAN
MECLOZINUM
EMETOSTOP
CYPROHEPTADINUM
PERITOL
CYPROHEPTADINUM
CIPROHEPTADINA 4 mg
CYPROHEPTADINUM
PERITOL
CYPROHEPTADINUM
BIOHEPT
LORATADINUM
CLARITINE
LORATADINUM
CLARITINE
LORATADINUM
CLARITINE
LORATADINUM
LORATADINA BIOFARM 5mg/5ml
LORATADINUM
FLONIDAN

265 R06AX27

COMBINATII (DESLORATADINUM+ PSEUDOEPHEDRINE)

AERINAZE (vezi R06AX27) 2,5mg/120mg

266 S01AA13

ACIDUM FUSIDICUM
KANAMYCINUM
COMBINATII
FLUOROMETHOLONUM
FLUOROMETHOLONUM
INDOMETACINUM
COMBINATII

FUCITHALMIC 10mg/g
KANAMICINA SULFAT 1%
ANTIBIOPTAL
FLUMETOL S

Nr. crt

237 P02CC01
238 P02CC01
239 P02CC01
240 R01AD07
241 R01ADN1
242 R02AB03
243 R03CA02
244 R03CA02
245 R03DX05
246 R03DX05
247 R05CB01
248 R05CB01
249 R05CB01
250 R05CB03
251 R05CB03
252 R05CB03
253 R05CB03
254 R06AD02
255 R06AE05
256 R06AX02
257 R06AX02
258 R06AX02
259 R06AX02
260 R06AX13
261 R06AX13
262 R06AX13
263 R06AX13

267 S01AA24
268 S01AA30
269 S01BA07
270 S01BA07
271 S01BC01
272 S02CA05

DCI

FLUMETOL S UNGUENT OFTALMIC

INDOCOLLYRE (R) 0,1%


SOLUTIE AURICULARA CU CLORAMFENICOL SI FLUOCINOLON

tara det.
APP

Ambalaj
125mg
LAB. INNOTECH INT. FRANTA CUTIE X 2 BLIST. AL/PVC X 3 COMPR. FILM. P-RF
250mg
LAB. INNOTECH INT. FRANTA CUTIE X 1 BLIST. X 3 COMPR. FILM.
P-RF
125mg/2,5ml LAB. INNOTECH INT. FRANTA CUTIE X 1 FLACON X 15 ML + LINGURITA DOZATOARE X 2,5 ML P-RF
SUSP. NAZALA 1%
PFIZER EUROPE MA EEG MAREA BRITANIE CUTIE X 1 FLACON X 10 ML + POMPA DOZATOARE + APLICATOR NAZAL P-RF
SPRAY NAZ.,SUSP. FARA CONCENTRATIE FARMILA FARMACEUTICI MILANO SPA ITALIA
CUTIE X 1 FLACON X 10 ML SPRAY NAZAL, SUSP. PREVAZUT CU NEBULIZATOR P-RF
50mg/10ml LES LABORATOIRES SERVIER FRANTA
P-RF
COMPR.
50mg
ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF
SOL. INJ.
50mg/ml
ZENTIVA S.A.
ROMANIA CUTIE X 5 FIOLE CU INEL DE RUPERE X 1ML SOL. INJ S
SOL INJ.
150mg
NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE CU 1 SERINGA PREUMPLUTA X 1ML SOLUTIE INJECTABILA PR
SOL INJ.
75mg
NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE CU 1 SERINGA PREUMPLUTA X 0.5ML SOLUTIE INJECTABILA PR
SOL. INJ.
300mg/3ml HEXAL AG
GERMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA X 3 ML SOL. INJ. S/P-RF
SOL. ORALA 2%
ZAMBON S.P.A.
ITALIA
CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 ML SOL. ORALA + MASURA DOZATOARE (5 SI 10 ML)
P-RF
300mg/3ml ZAMBON S.P.A.
ITALIA
S/P-RF
SIROP
100mg/5ml LAB. URGO
FRANTA CUTIE X 1 FLACON X 125ML SIROP + MASURA DOZATOARE A 5 ML P-RF
SIROP
2%
SANOFI-AVENTIS OTC FRANTA CUTIE X 1 FLACON DIN STICLA INCOLORA X 125 ML SIROP + LINGURITA DOZATOARE P-RF
SIROP
20mg/ml
ECOBI PHARMACEUTICI ITALIA
CUTIE X 1 FLACON DIN STICLA BRUNA X 150 ML SIROP + MASURA DOZATOARE A 10 ML
P-RF
SOL. ORALA 100mg/5ml TIS FARMACEUTIC SA ROMANIA CUTIE X 1 FLACON DIN PVC X 100 ML SIROP + LINGURITA DUBLA GRADATA LA 2,5 SI 5 ML P-RF
SIROP
5mg/5ml
BIOFARM S.A.
ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 50 ML SIROP + MASURA DOZATOARE P-RF
COMPR.
30mg
SPECIFAR SA
GRECIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF
COMPR.
4mg
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
P-6L
COMPR.
4mg
ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
SIROP
2mg/5ml
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLACON X 100 ML + MASURA DOZATOARE PP P-6L
SIROP
2mg/5ml
BIOFARM S.A.
ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 ML SIROP + MASURA DOZATOARE P-6L
SIROP
1mg/ml
SCHERING-PLOUGH EUROPE BELGIA
CUTIE X 1 FLACON X 60 ML + LINGURITA DOZATOARE P-6L
SIROP
1mg/ml
SCHERING-PLOUGH EUROPE BELGIA
CUTIE X 1 FLACON X 120 ML + LINGURITA DOZATOARE P-6L
SIROP
1mg/ml
MERCK SHARP & DOHME ROMANIA CUTIE X 1 FLACON X 120 ML + LINGURITA DOZATOARE P-6L
SIROP
5mg/5ml
BIOFARM S.A.
ROMANIA
P-RF
SUSP. ORALA 5mg/5ml
LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLACON DIN STICLA BRUNA X 120 ML SUSP. ORALA + LINGURITA DOZATOARE P-6L
COMPR. FILM. ELIB. MODIF.
2,5mg/120mg SP EUROPE
BELGIA CUTIE X 10 COMPR.FILM.ELIB.MODIF. ( BLIST.PCTFE/PVC/AL) P-RF
GEL OFT.
10mg/g
LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 1 TUB AL CU CANULA APLICATOARE X 5 G GEL OFTALMIC P-6L
UNG. OFT. 1%
ANTIBIOTICE SA
ROMANIA CUTIE X 1 TUB AL X 6 G
P-RF
PICATURI OFT.-SOL. FARA CONCENTRATIE FARMILA FARMACEUTICI ITALIA
CUTIE X 1 FLACON PICURATOR X 10 ML P-RF
PICATURI OFT.SUSP. 2mg/ml
FARMILA - THEA FARMACEUTICI SPA ITALIA
CUTIE X 1 FLACON PEJD X 10ML PIC. OFT. SUSP. P-RF
UNG. OFT. 1mg/g
FARMILA - THEA FARMACEUTICI SPA ITALIA
CUTIE X 1 TUB X 5G
P-RF
PICATURI OFT.-SOL. 0,1%
LAB. CHAUVIN
FRANTA CUTIE X 1 FLACON PICURATOR DIN POLIETILENA X 5 ML P-6L
SOL. AURICULARA FARA CONCENTRATIE BIOFARM SA
ROMANIA CUTIE X 1 FLAC DIN STICLA BRUNA+APLICATOR TIP PIPETA X 10 ML SOL. AURICULARA P-RF
forma farm.
COMPR. FILM.
COMPR. FILM.
SUSP. ORALA

concentratie

Detinator APP

Prescriptie

SPRAY BUCOFARINGIAN SI NAZAL-SOL.

CUTIE X 1 FLACON PRESURIZAT DIN AL X 10 ML SOL. + 3 APLIC. DIN PE: 1 APLIC. BUCAL (ALB) + 2 APLIC.

SOL.INJ./INHAL.NEBULIZ./INSTILATIE ENDOTRAHEOBRON.

CUTIE X 5 FIOLE DIN STICLA X 3 ML SOL.INJ/SOL.PT.INHALAT PRIN NEBULIZATOR/SOL.PT.INSTILATIE ENDOTRAH

CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 ML SIROP + MASURA DOZATOARE DIN PE CU GRADATII DE LA 2,5 LA 2

Nota:
Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (**) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MS;
Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (***) se face pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MS si cu aprobarea comisiilor de la nivelul Caselor
Judetene de Asigurari de Sanatate;
Medicamentele din aceast sublist corespund DCI-urilor din CANAMED altele dect cele din sublistele A, B si C1. Pentru categoriile de asigurati mentionate in aceasta sublista, medicamentele
corespunzatoare denumirilor comune internationale din sublista A, sublista B, sectiunea C1 a sublistei C, se vor acorda in regim de compensare de 100% la pret de referinta, indiferent de indicatia pentru care
sunt prevazute in aceste subliste .

Pagina 6 din 6

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
amba
L
MAXIMAL/UT 213 alin.(1) lit.
UT (RON)
laj
(RON)
(RON)
a) si f)
PT. ADULTI

6
3.47
0.578333
0.578333
0.578333
3
3.47
1.156666
1.156666
1.156666
1
6.56
6.560000
6.560000
6.560000
1 10.48 10.480000 10.480000 10.480000
1 25.87 25.870000 25.870000 25.870000
1 20.02 20.020000 20.020000 20.020000
30
9.38
0.312666
0.312666
0.312666
5
6.18
1.236000
1.236000
1.236000
1 1,576.28 1,576.280000 1,576.280000 1,576.280000
1 915.38 915.380000 915.380000 915.380000
5
7.55
1.510000
1.510000
1.510000
1 13.13 13.130000 13.130000 13.130000
5
8.24
1.648000
1.648000
1.648000
1
8.01
8.010000
8.010000
8.010000
1
9.18
9.180000
9.180000
9.180000
1
8.81
8.810000
8.810000
8.810000
1
3.53
3.530000
3.530000
3.530000
1
2.80
2.800000
2.800000
2.800000
10
3.59
0.359000
0.359000
0.359000
20
3.25
0.162500
0.162500
0.162500
30
4.90
0.163333
0.163333
0.163333
1
5.58
5.580000
5.580000
5.580000
1
5.79
5.790000
5.790000
5.790000
1
9.03
9.030000
9.030000
9.030000
1 17.98 17.980000 14.400000 14.400000
1 17.98 17.980000 14.400000 14.400000
1
7.09
7.090000
7.090000
7.090000
1 12.00 12.000000 12.000000 12.000000
10 21.00
2.100000
2.100000
2.100000
1 14.96 14.960000 14.960000 14.960000
1
6.39
6.390000
6.390000
6.390000
1 13.13 13.130000 13.130000 13.130000
1 32.02 32.020000 32.020000 32.020000
1 10.12 10.120000 10.120000 10.120000
1 14.50 14.500000 14.500000 14.500000
1
3.39
3.390000
3.390000
3.390000

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