Lista Medicamentelor Valabila Din 01.04.2015 PDF

Anexa
Lista denumirilor comerciale i a preurilor de decontare a medicamentelor care se acord bolnavilor cuprini n cadrul programelor naionale de sntate, corespunztoare denumirilor comune
Nr.c
Cod CIM
rt
Grupa
terapeutic
a
Denumire generica
Denumire comerciala
Forma farmaceutica
Concentratie
/ U.T.
Firma
Tara
Ambalaj
Prescriptie
internaionale (DCI) cuprinse n sublista C2 a anexei la Hotrrea Guvernului nr. 720/2008 pentru aprobarea Listei cuprinznd denumirile comune internaionale corespunztoare medicamentelor de care
beneficiaz asiguraii, cu sau fr contribuie personal, pe baz de prescripie medical n sistemul asigurrilor sociale de sntate, cu modificrile i completrile ulterioare
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
Pret cu ridicata
maximal / U.T.
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
Pret cu
amanuntul
maximal / U.T.
Pret de
decontare / U.T.
P1: PROGRAMUL NATIONAL DE BOLI TRANSMISIBILE

A) SUBPROGRAMUL DE TRATAMENT SI MONITORIZARE A PERSOANELOR CU INFECTIE HIV/SIDA si TRATAMENTUL POSTEXPUNERE
1 W05444002 A07AA11 RIFAXIMINUM
NORMIX 200 mg
COMPR. FILM.
200mg
ALFA WASSERMANN SPA ITALIA
NORMIX 200 mg
COMPR. FILM.
200mg
NORMIX 100mg/5ml
GRAN. PT. SUSP.

ORALA
100mg/5ml ALFA WASSERMANN SPA ITALIA
4 W13742001 D01AC02 MICONAZOLUM
MICONAZOL NITRAT 2%
CREMA
2%
5 W55641001 D06BB03 ACICLOVIRUM
ACICLOVIR 50mg/g
CREMA
5%
SLAVIA PHARM SRL
CUTIE X 3 BLIST. AL/PVC A CATE 12

COMPR. FILM.
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
ROMANIA
CUTIE X 1 TUB X 20 G
ROMANIA
CUTIE X 1 TUB X 5 G CREMA
GEDEON RICHTER
ROMANIA SA
GEDEON RICHTER
ROMANIA SA
THE WELLCOME
FOUNDATION LTD.
ROMANIA
MAREA
BRITANIE
CUTIE X 1 TUB X 5G CREMA
ACICLOVIR 50mg/g
CREMA
5%
ZOVIRAX
CREMA
5%
ACICLOVIR SLAVIA 50 mg/g
CREMA
50mg/g
SLAVIA PHARM S.R.L.
ROMANIA
CUTIE CU 1 TUB AL X 15 G CREMA
ACICLOVIR TIS 50mg/g
CREMA
50mg/g
TIS FARMACEUTIC SA
ROMANIA
CUTIE X 1 TUB DIN PEJD X 15 G CREMA
ACICLOVIR-RICHTER 50mg/g
CREMA
50mg/g
ACICLOVIR-RICHTER 50mg/g
CREMA
50mg/g
GEDEON RICHTER
ROMANIA SA
GEDEON RICHTER
ROMANIA SA
ROMANIA
ROMANIA
ACICLOVIR HYPERION
CREMA
50mg/g
HYPERION S.A.
ROMANIA
CUTIE X 1 TUB DIN AL X 15 G CREMA
ACICLOVIR TERAPIA 50 mg/g
CREMA
50mg/g
TERAPIA S.A.
ROMANIA
CUTIE CU 1 TUB DIN AL X 15 G CREMA
ACICLOVIR SLAVIA 50 mg/g
CREMA
50mg/g
SLAVIA PHARM S.R.L.
ROMANIA
PRF
PRF
PRF
72,18
2,005000
2,005000
91,26
2,535000
2,535000
12
24,49
2,040833
2,040833
33,10
2,758333
2,758333
14,14
14,140000
14,140000
19,11
19,110000
19,110000
P1
RF
P1
RF
P1
RF
P1
RF
P1
RF
P1
RF
PR
1
F
PR
1
F
P1
RF
PR
1
F
P1
RF
P6
RF
P3
RF
PRF/ 1.000
S
P20
RF
P20
RF
P20
RF
P10
RF
P10
RF
PRF/ 500
S
P10
RF
P20
RF
15 W51339001 G01AF04 MICONAZOLUM
GYNOZOL 200
CAPS. VAG.
200mg
PHARCO IMPEX 93 S.R.L. ROMANIA
CUTIE X 2 BLIST. X 3 CAPS. VAG. MOI
16 W51340001 G01AF04 MICONAZOLUM
GYNOZOL 400
CAPS. VAG.
400mg
CUTIE X 1 BLIST. X 3 CAPS. VAG. MOI
17 W04675003 J01CF04
OXACILLINUM
OXACILINA ARENA 250 mg
CAPS.
250mg
ARENA GROUP SA
CUTIE X 100 BLIST. AL/PVC X 10 CAPS.
18 W11729001 J01CF04
OXACILLINUM
OXACILINA 250 mg
CAPS.
250mg
ANTIBIOTICE SA
ROMANIA
19 W04675002 J01CF04
OXACILLINUM
CAPS.
250mg
ARENA GROUP SA
ROMANIA
20 W43090001 J01CF04
OXACILLINUM
OXACILINA SANDOZ 250 mg
CAPS.
250mg
SANDOZ SRL
ROMANIA
21 W07274001 J01CF04
OXACILLINUM
OXACILINA 500 mg
CAPS.
500mg
ANTIBIOTICE SA
ROMANIA
CUTIE X 1 BLIST. X 10 CAPS.
22 W13743001 J01CF04
OXACILLINUM
CAPS.
500mg
ARENA GROUP SA
ROMANIA
23 W12910002 J01CF04
OXACILLINUM
OXACILINA FORTE 500 mg
CAPS.
500mg
FARMEX COMPANY SRL ROMANIA
24 W43092001 J01CF04
OXACILLINUM
OXACILINA SANDOZ 500 mg
CAPS.
500mg
SANDOZ SRL
ROMANIA
25 W12910001 J01CF04
OXACILLINUM
OXACILINA FORTE 500 mg
CAPS.
500mg
26 W60469001 J01CF04
OXACILLINUM
OXACILINA ATB 1000 mg
PULB. PT. SOL.

INJ./PERF.
1000mg
ANTIBIOTICE SA
ROMANIA
CUTIE CU 1 FLAC. DIN STICLA INCOLORA

CU PULB. PT. SOL. INJ./PERF.
PR
F
27 W60469003 J01CF04
OXACILLINUM
PULB. PT. SOL.

INJ./PERF.
1000mg
ANTIBIOTICE SA
ROMANIA
CUTIE CU 100 FLAC. DIN STICLA INCOLORA PR

F
28 W60468001 J01CF04
OXACILLINUM
PULB. PT. SOL.

INJ./PERF.
500mg
ANTIBIOTICE S.A.
ROMANIA

29 W60468003 J01CF04
OXACILLINUM
PULB. PT. SOL.

INJ./PERF.
500mg
ANTIBIOTICE S.A.
ROMANIA
36
5,05
5,050000
5,050000
6,83
6,830000
6,830000
3,68
3,680000
3,680000
4,98
4,980000
4,980000
5,62
5,620000
4,176000
7,60
7,600000
5,640000
15,58
15,580000
4,416000
21,06
21,060000
5,976000
4,97
4,970000
4,176000
6,72
6,720000
5,640000
3,48
3,480000
3,480000
4,70
4,700000
4,700000
3,68
3,680000
3,680000
4,98
4,980000
4,980000
5,62
5,620000
4,176000
7,60
7,600000
5,640000
5,42
5,420000
4,176000
7,33
7,330000
5,640000
4,97
4,970000
4,176000
6,72
6,720000
5,640000
3,99
3,990000
3,990000
5,39
5,390000
5,390000
4,41
0,735000
0,735000
5,96
0,993333
0,993333
4,23
1,410000
1,410000
5,72
1,906666
1,906666
242,55
0,242550
0,242550
296,11
0,296110
0,296110
5,59
0,279500
0,279500
7,55
0,377500
0,355332
5,25
0,262500
0,262500
7,10
0,355000
0,355000
5,70
0,285000
0,285000
7,70
0,385000
0,355332
5,55
0,555000
0,468216
7,50
0,750000
0,571608
4,58
0,458000
0,458000
6,19
0,619000
0,571608
195,09
0,390180
0,390180
238,17
0,476340
0,476340
5,21
0,521000
0,468216
7,04
0,704000
0,571608
8,26
0,413000
0,413000
11,17
0,558500
0,558500
3,94
3,940000
3,940000
5,33
5,330000
5,330000
100
376,06
3,760600
3,760600
448,06
4,480600
4,480600
PR
F
3,64
3,640000
3,640000
4,92
4,920000
4,920000
ROMANIA

F
100
349,30
3,493000
3,493000
418,89
4,188900
4,188900
PRF/
S
100
349,30
3,493000
3,493000
418,89
4,188900
4,188900
30 W04684002 J01CF04
OXACILLINUM
OXACILINA ANTIBIOTICE 500 mg
PULB. PT. SOL.

INJ./PERF. I.M./I.V.
500mg
ANTIBIOTICE SA
ROMANIA
CUTIE X 100 FLAC. DIN STICLA INCOLORA

CU PULB. PT. SOL. INJ./PERF. I.M./I.V.
31 W04684004 J01CF04
OXACILLINUM
PULB. PT. SOL.

500mg
ANTIBIOTICE SA
ROMANIA
CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PPULB. PT. SOL. INJ./PERF. I.M./I.V.
RF
3,64
3,640000
3,640000
4,92
4,920000
4,920000
ROMANIA
PRF/
S
100
376,06
3,760600
3,760600
448,06
4,480600
4,480600
32 W04682002 J01CF04
OXACILLINUM
OXACILINA ANTIBIOTICE 1 g
PULB. PT. SOL.

INJ./PERF.I.M./I.V.
1g
ANTIBIOTICE SA
Pagina 1 din 87

CU PULB. PT. SOL. INJ./PERF. I.M./I.V.
Grupa
terapeutic
a
33 W04682003 J01CF04
Denumire generica
OXACILLINUM
Denumire comerciala
Forma farmaceutica
PULB. PT. SOL.

INJ./PERF.I.M./I.V.
Concentratie
/ U.T.
1g
Firma
ANTIBIOTICE SA
Tara
Ambalaj
Prescriptie
Nr.c
Cod CIM
rt
3,940000
3,940000
5,33
5,330000
5,330000
50
633,77
12,675400
12,675400
728,96
14,579200
14,579200
PRF
28
34,28
1,224285
1,224285
44,84
1,601428
1,601428
PRF
14
29,92
2,137142
1,086000
39,13
2,795000
1,467428
28
24,47
0,873928
0,630857
33,07
1,181071
0,852857
14
8,01
0,572142
0,572142
10,83
0,773571
0,773571
1000mg/50
ANTIBIOTICE S.A.
0mg
ROMANIA
35 W55354004 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
AUGMENTIN SR 1000 mg/62,5 mg
COMPR. ELIB.
PREL.
1000mg/62,
BEECHAM GROUP PLC
5mg
MAREA
BRITANIE
CUTIE CU 7 BLIST. AL/PVC-AL X 4 COMPR.

ELIB. PREL.
LEK PHARMACEUTICALS
SLOVENIA CUTIE X 2 BLIST. AL/AL X 7 COMPR.FILM.
D.D.
COMPR. FILM.
1000mg
MAREA
BRITANIE
ENHANCIN 500 mg/125mg
COMPR. FILM.
500 mg/125
RANBAXY UK LIMITED
mg
AMOXIPLUS 500/125 mg
COMPR. FILM.
500/125mg ANTIBIOTICE S.A.
ROMANIA
COMPR. FILM.
500mg/125
BEECHAM GROUP PLC
mg
MAREA
BRITANIE
MAREA
BRITANIE
AUGMENTIN 500 mg/125 mg
AMOXICILINA/ACID CLAVULANIC AUROBINDO

COMPR. FILM.
500 mg/125 mg
500mg/125 AUROBINDO PHARMA

mg
LIMITED
AMOKSIKLAV 2 x 625 mg
625mg
AMOXICILINA/ACID CLAVULANIC AUROBINDO

COMPR. FILM.
875 mg/125 mg

mg
LIMITED
MAREA
BRITANIE
COMPR. FILM.
875mg/125
BEECHAM GROUP PLC
mg
MAREA
BRITANIE
COMPR. FILM.
875mg/125
ANTIBIOTICE S.A.
mg
AMOXIPLUS 875 mg/125 mg
COMPR. PT.
DISPERSIE
1000mg
ORALA/ORODISPE
RSABILE
COMPR. PT.
DISPERSIE
625mg
ORALA/ORODISPE
RSABILE
Pret de
decontare / U.T.
3,94
PULB. PT. SOL.

INJ./PERF.
Pret cu
amanuntul
maximal / U.T.
AMPIPLUS 1000 mg/500 mg
COMPR. FILM.
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PPULB. PT. SOL. INJ./PERF. I.M./I.V.
RF
34 W58901002 J01CR01 AMPICILLINUM + SULBACTAM
Pret cu ridicata
maximal / U.T.
ROMANIA
PR,
PR
CONTINAND PULB. PT. SOL. INJ./PERF.
F
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
PCUTIE X 4 FOLII AL-PEJD X 7 COMPR. FILM.

RF
CUTIE X 2 BLIST. PA-AL-PVC/AL X 7 COMPR. PFILM.
RF
CUTIE CU 2 BLIST. PVC-PVDC/AL X 7
PCOMPR. FILM., FIECARE BLISTER FIIND
RF
INTRODUS INTR-O PUNGA PROTECTO
CUTIE CU BLIST. OPA-AL-PVC/AL X 14
PCOMPR. FILM.
RF
14
11,33
0,809285
0,630857
15,32
1,094285
0,852857
14
7,36
0,525714
0,525714
9,95
0,710714
0,710714
LEK PHARMACEUTICALS
PSLOVENIA CUTIE X 1 BLIST. AL/AL X 14 COMPR. FILM.
D.D.
RF
14
20,76
1,482857
0,630857
28,06
2,004285
0,852857
PRF
ROMANIA

COMPR. FILM.
COMPR. FILM., FIECARE BLISTER FIIND
INTRODUS INTR-O PUNGA PROTECTO
CUTIE CU 2 BLIST. PA-AL-PVC/AL X 7
COMPR. FILM.
14
12,67
0,905000
0,905000
17,12
1,222857
1,222857
PRF
14
19,50
1,392857
1,086000
26,35
1,882142
1,467428
PRF
14
14,04
1,002857
1,002857
18,97
1,355000
1,355000
BIOMEDIAL PHARMA
S.R.L.
ROMANIA
CUTIE X 7 BLIST. AL/AL X 2 COMPR. PT.

DISPERSIE ORALA/ORODISPERSABILE
PRF
14
18,55
1,325000
1,086000
25,07
1,790714
1,467428
BIOMEDIAL PHARMA
S.R.L.
ROMANIA
CUTIE X 7 BLIST. AL/AL X 2 COMPR. PT.

DISPERSIE ORALA/ORODISPERSABILE
PRF
14
12,23
0,873571
0,630857
16,53
1,180714
0,852857
1000mg/20
ANTIBIOTICE SA
0mg
ROMANIA

CARE CONTINE PULB. PT. SOL. INJ. / PERF. F
50
355,00
7,100000
7,100000
425,10
8,502000
8,502000
PULB. PT. SUSP.

ORALA
125mg+31,
MEDOCHEMIE LTD.
25/5ml
CIPRU
CUTIE X 1 FLAC. CU PULB. PT. 100ML

SUSP. ORALA + LINGURITA DOZATOARE
PRF
11,02
11,020000
10,380000
14,90
14,900000
14,028000
AMOKSIKLAV 156,25mg/5ml
PULB. PT. SUSP.

ORALA
156,25mg/5 LEK PHARMACEUTICALS

CUTIE X 1 FLAC. DIN STICLA BRUNA CU 25 PSLOVENIA
ml
D.D.
MG PULB. PT. 100 ML SUSP. ORALA
RF
8,65
8,650000
8,650000
11,69
11,690000
11,690000
MEDOCLAV FORTE 312,5mg/5ml
PULB. PT. SUSP.

ORALA
250mg+62,
MEDOCHEMIE LTD.
5mg/5ml
PRF
16,36
16,360000
16,360000
22,11
22,110000
22,110000
AMOKSIKLAV 2x
PULB. PT. SUSP.

ORALA
PRF
9,57
9,570000
9,570000
12,93
12,930000
12,930000
AMOKSIKLAV 2x
PULB. PT. SUSP.

ORALA
PRF
4,78
4,780000
4,780000
6,46
6,460000
6,460000
AUGMENTIN BIS 400 mg/57 mg/5 ml
PULB. PT. SUSP.

ORALA
PRF
14,72
14,720000
11,484000
19,89
19,890000
15,516000
AMOXICILINA/ACID CLAVULANIC AUROBINDO PULB. PT. SUSP.

400 mg/57 mg/5 ml
ORALA
CUTIE CU 1 FLAC. PEID CARE CONTINE

PULB. PT. SUSP. ORALA PT. OBTINEREA A
PR
35 ML SUSP. RECONSTITUITA + 1 SERINGA
F
DE POLISTIREN CU GRADATII LA
INTERVALE DE 0,5 ML
4,79
4,790000
4,790000
6,47
6,470000
6,470000
PULB. PT. SUSP.

ORALA
PRF
7,36
7,360000
5,736000
9,95
9,950000
7,752000
PULB. PT. SUSP.

ORALA
PRF
7,36
7,360000
5,736000
9,95
9,950000
7,752000
AUGMENTIN (R) ES
PULB. PT. SUSP.

ORALA
PRF
26,22
26,220000
26,220000
34,30
34,300000
34,300000
PULB. PT.SUSP.
ORALA
PRF
17,77
17,770000
17,770000
24,02
24,020000
24,020000
59 W55423001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM
PERASIN 2g/0,25 g
PULB. PT. SOL.

INJ./PERF.
22,93
22,930000
22,930000
30,99
30,990000
30,990000
BACTACIN 2 g/0,25 g
PULB. PT. SOL.

INJ./PERF.
22,93
22,930000
22,930000
30,99
30,990000
30,990000
ZOPECILIN 2 g/0,25 g
PULB. PT. SOL.

INJ./PERF.
12
265,41
22,117500
22,117500
324,01
27,000833
27,000833
AMOKSIKLAV QUICKTAB 1000 mg
AMOXIPLUS 1000 mg/200 mg
MEDOCLAV 156,25 mg/5 ml

PULB. PT. SOL.

INJ./PERF.
CUTIE X 1 FLAC. DIN STICLA BRUNA CU

CIPRU
PULB. PT. 100 ML SUSP.
400mg+57 LEK PHARMACEUTICALS
SLOVENIA PULB. PT. 70 ML SUSP.ORALA + SERINGA
mg/5ml
D.D.
DOZATOARE
400mg+57 LEK PHARMACEUTICALS
SLOVENIA PULB. PT. 35 ML SUSP.ORALA + SERINGA
mg/5ml
D.D.
DOZATOARE
400mg/57m SMITHKLINE BEECHAM MAREA
CU PULB. PT. 70 ML SUSP. ORALA +
g/5ml
PLC
BRITANIE
MASURA DOZATOARE
400mg/57m AUROBINDO PHARMA

g/5ml
(MALTA) LIMITED
MALTA

CU PULB. PT. 35 ML SUSP. ORALA +
MASURA DOZATOARE
400mg/57m SMITHKLINE BEECHAM MAREA
CU PULB. PT. 35 ML SUSP. ORALA + 1
g/5ml
PLC
BRITANIE
SERINGA PT. ADM. ORALA
600
CUTIE X 1 FLACON DIN STICLA CU PULB.
SMITHKLINE BEECHAM MAREA
mg/42,9mg/
PT. 100 ML SUSP. ORALA + 1 MASURA
PLC
BRITANIE
5ml
DOZATOARE
CUTIE X 1 FLAC. DIN STICLA BRUNA CU 25
312,5mg/5 LEK PHARMACEUTICALS
SLOVENIA G PULB. PT. 100 ML SUSP. ORALA +
ml
D.D.
LINGURITA DOZATOARE
2g/0,25g
ANTIBIOTICE S.A.
ROMANIA CU CAPACITATEA DE 30 ML CU PULB. PT.
SOL. INJ./PERF.
2g/0,25g
TERAPIA SA
SOL. INJ./PERF.
ROMASTRU TRADING
2g/0,25g
SRL
SOL. INJ./PERF.
400mg/57m SMITHKLINE BEECHAM
g/5ml
PLC
Pagina 2 din 87
MAREA
BRITANIE
Grupa
terapeutic
a
Denumire generica
Denumire comerciala
PIPERACILINA/TAZOBACTAM MYLAN 2g/0,25 g
Forma farmaceutica
PULB. PT. SOL.

INJ./PERF.
Concentratie
/ U.T.
2g/0,25g
Firma
MYLAN S.A.S.
Tara
Ambalaj
Prescriptie
Nr.c
Cod CIM
rt
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
Pret cu ridicata
maximal / U.T.
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
Pret cu
amanuntul
maximal / U.T.
Pret de
decontare / U.T.
FRANTA
CUTIE CU 1 FLAC. DIN STICLA INCOLORA A

S
10 ML CU PULB. PT. SOL. INJ./PERF.
22,93
22,930000
22,930000
30,99
30,990000
30,990000
PULB. PT. SOL.

INJ./PERF.
2g/0,25g
ROMASTRU TRADING
SRL
ROMANIA

CU CAPACITATEA DE 30 ML CU PULB. PT.
SOL. INJ./PERF.
22,93
22,930000
22,930000
30,99
30,990000
30,990000
PULB. PT. SOL.

INJ./PERF.
4g/0,5g
MYLAN S.A.S.
FRANTA

S
40,94
40,940000
40,940000
53,55
53,550000
53,550000
ZOPECILIN 4 g/0,5 g
PULB. PT. SOL.

INJ./PERF.
4g/0,5g
ROMASTRU TRADING
SRL
ROMANIA
40,93
40,930000
40,930000
53,53
53,530000
53,530000
ZOPECILIN 4 g/0,5 g
PULB. PT. SOL.

INJ./PERF.
4g/0,5g
ROMASTRU TRADING
SRL
ROMANIA
12
460,81
38,400833
38,400833
540,43
45,035833
45,035833
BACTACIN 4 g/0,5 g
PULB. PT. SOL.

INJ./PERF.
4g/0,5g
TERAPIA SA
ROMANIA
40,93
40,930000
40,930000
53,53
53,530000
53,530000
PERASIN 4g/0,5 g
PULB. PT. SOL.

INJ./PERF.
4g/0,5g
ANTIBIOTICE S.A.
ROMANIA
40,93
40,930000
40,930000
53,53
53,530000
53,530000
PIPERACILLIN/TAZOBACTAM KABI 2g/0,25 g
PULB. PT. SOL.

PERF.
2g/0,25g
S.C. FRESENIUS KABI

S.R.L.
ROMANIA

S
X 50 ML CU PULB. PT. SOL. PERF.
10
386,57
38,657000
26,541000
459,51
45,951000
32,401000
PIPERACILLIN/TAZOBACTAM KABI 4g/0.5g
PULB. PT. SOL.

PERF.
4g/0,5g
S.C. FRESENIUS KABI

S.R.L.
ROMANIA
CUTIE CU 10 FLAC DIN STICLA INCOLORA

10
389,01
38,901000
38,901000
462,17
46,217000
46,217000
71 W55618001 J01DD04 CEFTRIAXONUM
OFRAMAX 1000 mg
PULB. PT. SOL.

INJ./PERF.
1000mg
TERAPIA SA
ROMANIA
50
456,00
9,120000
4,826400
535,19
10,703800
6,313200
CEFORT 1 g
PULB. PT. SOL.

INJ./PERF.
1g
ANTIBIOTICE SA
ROMANIA
PR
10
133,84
13,384000
4,826400
163,39
16,339000
6,313200
CEFORT 1 g
PULB. PT. SOL.

INJ./PERF.
1g
ANTIBIOTICE SA
ROMANIA
PR
10
133,84
13,384000
4,826400
163,39
16,339000
6,313200
CEFORT 1 g
PULB. PT. SOL.

INJ./PERF.
1g
ANTIBIOTICE SA
ROMANIA
PR
10
133,84
13,384000
4,826400
163,39
16,339000
6,313200
CEFORT 1 g
PULB. PT. SOL.

INJ./PERF.
1g
ANTIBIOTICE SA
ROMANIA
CUTIE X 10 FLAC. CU PULB. PT. SOL.

INJ./PERF.
S/PRF
10
133,84
13,384000
4,826400
163,39
16,339000
6,313200
SEFTRION 1 g
PULB. PT. SOL.

INJ./PERF.
1g
E.I.P.I.CO. MED S.R.L.
ROMANIA
CUTIE X 1 FLAC. DIN STICLA INCOLORA CU S/PRF

PULB. PT. SOL. INJ./PERFZ.
10,31
10,310000
4,826400
13,94
13,940000
6,313200
10
40,22
4,022000
4,022000
52,61
5,261000
5,261000
10
54,63
5,463000
5,463000
69,07
6,907000
6,907000
50
246,03
4,920600
4,920600
300,35
6,007000
6,007000

SOL. INJ./PERF.
SOL. INJ./PERF.
SOL. INJ./PERF.
SOL. INJ./PERF.
CUTIE CU 50 FLAC. DIN STICLA INCOLORA,

SOL. INJ./PERF.
CAPACITATE 10 ML CU PULB. PT. SOL.
INJ./PERF.
INJ./PERF.
INJ./PERF.

GERMANIA CU CAPACITATEA DE 50 ML CONTINAND
PR
PULB. PT. SOL. INJ./PERF.
ROMANIA CAPACITATE 15 ML CU PULB. PT. SOL. INJ. PR
PERF.
S
SOL. INJ./PERF.
CEFTRIAXONA-MIP 1 g
PULB. PT. SOL.

INJ./PERF.
1g
MIP PHARMA GMBH
CEFORT 250 mg
PULB. PT. SOL.

INJ./PERF.
250mg
ANTIBIOTICE SA
OFRAMAX 250 mg
PULB. PT. SOL.

INJ./PERF.
250mg
TERAPIA SA
CEFORT 250 mg
PULB. PT. SOL.

INJ./PERF.
250mg
ANTIBIOTICE SA
ROMANIA
CUTIE X 10 FLAC. CU PULB. PT.

SOL.INJ./PERF.
S/PRF
10
54,63
5,463000
5,463000
69,07
6,907000
6,907000
MEDAXONE 2 g
PULB. PT. SOL.

INJ./PERF.
2g
MEDOCHEMIE LTD.
CIPRU
CUTIE X 10 FLACOANE X 2 G PULB. PT.

SOL. INJ./PERF.
S/PRF
10
210,87
21,087000
8,888400
257,43
25,743000
11,238000
10
74,07
7,407000
7,407000
93,65
9,365000
9,365000
CEFTRIAXONA-MIP 2 g
PULB. PT. SOL.

INJ./PERF.
2g
MIP PHARMA GMBH

GERMANIA CU CAPACITATEA DE 50 ML CONTINAND
PR
CEFORT 2 g
PULB. PT. SOL.

INJ./PERF.
2g
ANTIBIOTICE SA
ROMANIA
CUTIE X 10 FLAC. CU PULB. PT. SOL.

INJ./PERF.
S/PRF
10
228,45
22,845000
8,888400
278,89
27,889000
11,238000
SEFTRION 500 mg
PULB. PT. SOL.

INJ./PERF.
500mg
ROMANIA
CUTIE X 1 FLAC. DIN STICLA INCOLORA CU S/PRF

PULB. PT. SOL. INJ./PERFZ.
SEFTRION 2 g
PULB. PT. SOL.

PERF.
ROCEPHIN (R)
PULB. PT. SOL.

PERF.

2g
2g
EIPICO MED SRL

ROCHE ROMANIA S.R.L.
ROMANIA
ROMANIA

CU PULB. PT. SOL. PERF.
CUTIE X 1 FLAC. DIN STICLA INCOLORA CU
CAPCITATEA DE 50ML CONTINAND PULB.
PT. SOL. PERFUZ.
87 W57455001 J01DD08 CEFIXIMUM
EFICEF 100 mg
CAPS.
100mg
ANTIBIOTICE S.A.
ROMANIA
CUTIE CU 1 BLIST. PVC/AL X 10 CAPS.
EFICEF (R) 200 mg
CAPS.
200mg
ANTIBIOTICE SA
ROMANIA
XIFIA 400mg
COMPR. FILM.
400mg
INN-FARM D.O.O.
SLOVENIA
XIFIA 400mg
COMPR. FILM.
400mg
INN-FARM D.O.O.
Pagina 3 din 87
CUTIE CU UN BLISTER PVC-PVDC/AL X 5

COMPRIMATE FILMATE
CUTIE CU 2 BLISTERE PVC-PVDC/AL A
SLOVENIA
CATE 5 COMPRIMATE FILMATE
7,74
7,740000
7,740000
10,46
10,460000
10,460000
PRF
12,94
12,940000
8,888400
17,49
17,490000
11,238000
S/PRF
44,01
44,010000
8,888400
57,56
57,560000
11,238000
10
15,95
1,595000
1,595000
21,56
2,156000
2,156000
10
26,58
2,658000
2,658000
34,77
3,477000
3,477000
42,81
8,562000
8,562000
55,99
11,198000
11,198000
10
80,08
8,008000
8,008000
101,25
10,125000
10,125000
PR
F
PRF
PR
F
PR
F
Grupa
terapeutic
a
Denumire generica
Denumire comerciala
Forma farmaceutica
Concentratie
/ U.T.
Firma
Tara
Ambalaj
Prescriptie
Nr.c
Cod CIM
rt
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
Pret cu ridicata
maximal / U.T.
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
Pret cu
amanuntul
maximal / U.T.
Pret de
decontare / U.T.
91 W13676001 J01DD12 CEFOPERAZONUM
MEDOCEF 1 g
PULB. PT. SOL. INJ. 1g
MEDOCHEMIE LTD.
CIPRU
CUTIE X 10 FLAC. PULB. PT. SOL. INJ.
S/PRF
10
154,50
15,450000
8,448000
188,61
18,861000
11,412000
MEDOCEF 2 g
MEDOCHEMIE LTD.
CIPRU
S/PRF
10
187,44
18,744000
13,932000
228,83
22,883000
18,828000
CEFOZON 500 mg
PULB. PT. SOL. INJ. 500mg
ROMANIA
S/PRF
3,88
3,880000
3,880000
5,24
5,240000
5,240000
CEFOZON 2 g
PULB. PT. SOL.

ROMANIA
CUTIE X 1 FLAC. DIN STICLA INCOLORA A S/P20 ML CU PULB. PT. SOL. INJ./PERF. I.M./I.V. RF
11,61
11,610000
11,610000
15,69
15,690000
15,690000
ROMANIA

S/PCAPACITATEA DE 15 ML CU PULB. PT. SOL.
RF
INJ. I.M./PERF. I.V.
7,04
7,040000
7,040000
9,51
9,510000
9,510000
ROMANIA
CUTIE CU 50 FLAC. DIN STICLA INCOLORA S/PRF

50
848,93
16,978600
16,978600
963,48
19,269600
19,269600
10
180,16
18,016000
18,016000
219,94
21,994000
21,994000
18,67
18,670000
18,670000
25,24
25,240000
22,273440
2g
PULB. PT. SOL.

INJ./PERF.I.M./I.V.
1g
96 W53787003 J01DD62 COMBINATII (CEFOPERAZONUM+SULBACTAMUM) SULCEF 1000 mg/1000 mg
PULB. PT. SOL.

INJ./PERF.
1000mg/10
MEDOCHEMIE S.R.L.
00mg
PULB. PT. SOL.

INJ./PERF.
1000mg/10
MEDOCHEMIE S.R.L.
00mg
ROMANIA
CUTIE CU 10 FLAC. DIN STICLA INCOLORA S/PRF

PULB. PT. SOL.

INJ./PERF.
1000mg/10
MEDOCHEMIE S.R.L.
00mg
ROMANIA

PULB. PT. SOL.

INJ./PERF.
1000mg/10
MEDOCHEMIE S.R.L.
00mg
ROMANIA

S
100
1.667,86
16,678600
16,678600
1.856,12
18,561200
18,561200
59,93
59,930000
59,930000
75,78
75,780000
75,780000
S/PRF
104,25
104,250000
104,250000
127,27
127,270000
127,270000
10
1.030,68
103,068000
63,118800
1.161,59
116,159000
73,377600
10
539,60
53,960000
36,430800
626,31
62,631000
44,287200
PR
10
680,44
68,044000
63,118800
779,83
77,983000
73,377600
PR
10
361,24
36,124000
36,124000
431,90
43,190000
43,190000
PR
72,84
72,840000
63,118800
92,10
92,100000
73,377600
PR
10
525,99
52,599000
52,599000
611,48
61,148000
61,148000
10
680,43
68,043000
63,118800
779,82
77,982000
73,377600
10
540,86
54,086000
54,086000
627,69
62,769000
62,769000
10
680,43
68,043000
63,118800
779,82
77,982000
73,377600
37,77
37,770000
36,430800
49,40
49,400000
44,287200
10
361,24
36,124000
36,124000
431,90
43,190000
43,190000
10
361,24
36,124000
36,124000
431,90
43,190000
43,190000
10
361,25
36,125000
36,125000
431,91
43,191000
43,191000
CEFOZON 1 g
100 W13605001 J01DE02
CEFPIROMUM
CEFROM (R) 1 g
PULB. PT. SOL.

INJ./PERF.
101 W13606001 J01DE02
CEFPIROMUM
CEFROM (R) 2 g
PULB. PT. SOL.

INJ./PERF.
S/PRF
1g
LAB. AVENTIS
FRANTA
S/PCUTIE X 1 FLAC. PULB. PT. SOL. INJ./PERF.

RF
2g
LAB. AVENTIS
FRANTA
CUTIE X 1 FLAC. PULB. PT. SOL. INJ./PERF.
CUTIE CU 10 FLAC. DIN STICLA CU

ASTRAZENECA UK
MAREA
CAPACITATEA DE 30 ML CU PULB. PT. SOL.
LIMITED
BRITANIE
INJ. I.V./PERF.
ASTRAZENECA UK
MAREA
CAPACITATEA DE 20 ML PULB. PT. SOL.
LIMITED
BRITANIE
INJ. I.V./PERF.
CUTIE CU 10 FLAC. DIN STICLA
REPUBLICA
ZENTIVA, K.S.
TRANSPARENTA CU CAPACITATEA DE 20
CEHA
ML
REPUBLICA
ZENTIVA, K.S.
CEHA
ML
TERAPIA S.A.
ROMANIA CU CAPACITATEA DE 40 ML CONTINAND
CUTIE CU 10 FLAC. DIN STICLA,
MEDOCHEMIE ROMANIA
CAPACITATEA 30 ML, DOP DIN CAUCIUC
ROMANIA
SRL
BROMOBUTILIC SIGILAT CU CAPSA AL CU
PULB.PT.SOL.INJ./PERF.
102 W55475002 J01DH02 MEROPENEMUM
MERONEM IV 1 g
PULB. PT. SOL. INJ.

1g
I.V./PERF.
MERONEM IV 500 mg
PULB. PT. SOL. INJ.

500mg
I.V./PERF.
MEROPENEM ZENTIVA 1000 mg
PULB. PT. SOL. INJ.

1000 mg
SAU PERF.
PULB. PT. SOL. INJ.

500 mg
SAU PERF.
LODITER 1000 mg
PULB. PT. SOL.

INJ./PERF.
1000mg
ARCHIFAR 1000 mg
PULB. PT. SOL.

INJ./PERF.
1000mg
MEROPENEM ATB 1000 mg
PULB. PT. SOL.

INJ./PERF.
1000mg
ANTIBIOTICE S.A.
ROMANIA

CU CAPACITATEA DE 20 ML SAU 30 ML CU
PR
DOP DIN CAUCIUC, SIGILAT CU CAPSA DIN
F
ALUMINIU PREVAZUTA CU DISC DIN
MATERIAL PLASTIC
MEROPENEM HOSPIRA 1 g
PULB. PT. SOL.

INJ./PERF.
1g
HOSPIRA UK LIMITED
MAREA
BRITANIE

PR
CU CAPACITATEA DE 20 ML CU PULB. PT. S
SOL. INJ./PERF.
CU CAPACITATEA DE 30 ML CONTINAND
PR
MEROPENEM KABI 1 g
PULB. PT. SOL.

INJ./PERF.
1g
FRESENIUS KABI
ROMANIA SRL
ROMANIA
LODITER 500 mg
PULB. PT. SOL.

INJ./PERF.
500mg
TERAPIA S.A.
ROMANIA
PULB. PT. SOL.

INJ./PERF.
500mg
ANTIBIOTICE S.A.
ROMANIA
ARCHIFAR 500 mg
PULB. PT. SOL.

INJ./PERF.
500mg
MEDOCHEMIE ROMANIA
ROMANIA
SRL
MEROPENEM KABI 500 mg
PULB. PT. SOL.

INJ./PERF.
500mg
FRESENIUS KABI
ROMANIA SRL
ROMANIA
MEROPENEM HOSPIRA 500 mg
PULB. PT. SOL.

INJ./PERF.
500mg
HOSPIRA UK LIMITED
MAREA
BRITANIE

PR
10
303,59
30,359000
30,359000
369,06
36,906000
36,906000
116 W54532001 J01DH51 IMIPENEMUM + CILASTATINUM
IMIPENEM/CILASTATIN KABI 500mg/500mg
PULB. PT. SOL.

PERF.
500mg/500 FRESENIUS KABI

mg
ROMANIA SRL
ROMANIA

10
296,98
29,698000
29,698000
362,55
36,255000
36,255000
Pagina 4 din 87

PR
CU CAPACITATEA DE 20 ML CU DOP DIN
F
CAUCIUC, SIGILAT CU CAPSA
PR
CU CAPACITATEA DE 20 ML CU PULB. PT. PR
SOL. INJ./PERF.
S/PRF
Grupa
terapeutic
a
Denumire generica
Denumire comerciala
Forma farmaceutica
Concentratie
/ U.T.
Firma
Tara
Ambalaj
Prescriptie
Nr.c
Cod CIM
rt
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
Pret cu ridicata
maximal / U.T.
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
Pret cu
amanuntul
maximal / U.T.
Pret de
decontare / U.T.
CILOPEN 500mg/500mg
PULB. PT. SOL.

PERF.
500mg/500
TERAPIA SA
mg
ROMANIA
CUTIE X 1 FLAC. DIN STICLA INCOLORA CU S/PCAPACIT. DE 30 ML PULB. PT. SOL. PERF. RF
30,31
30,310000
30,310000
39,65
39,650000
39,650000
CILOPEN 500mg/500mg
PULB. PT. SOL.

PERF.
500mg/500
TERAPIA SA
mg
ROMANIA
146,26
29,252000
29,252000
178,55
35,710000
35,710000
ROMANIA

CU CAPACIT. DE 100 ML PULB. PT. SOL.
PERF.
S/PRF
10
292,52
29,252000
29,252000
357,11
35,711000
35,711000
ROMANIA
146,26
29,252000
29,252000
178,55
35,710000
35,710000
CILOPEN 500mg/500mg
PULB. PT. SOL.

PERF.
500mg/500
TERAPIA SA
mg
CILOPEN 500mg/500mg
PULB. PT. SOL.

PERF.
500mg/500
TERAPIA SA
mg
CILOPEN 500mg/500mg
PULB. PT. SOL.

PERF.
500mg/500
TERAPIA SA
mg
ROMANIA

PERF.
S/PRF
10
292,52
29,252000
29,252000
357,11
35,711000
35,711000
CILOPEN 500mg/500mg
PULB. PT. SOL.

PERF.
500mg/500
TERAPIA SA
mg
ROMANIA
146,26
29,252000
29,252000
178,55
35,710000
35,710000
CILOPEN 500mg/500mg
PULB. PT. SOL.

PERF.
500mg/500
TERAPIA SA
mg
ROMANIA

PERF.
10
292,52
29,252000
29,252000
357,11
35,711000
35,711000
IMIPENEM/CILASTATIN ATB 500 mg/500 mg
PULB. PT. SOL.

PERF.
500mg/500
ANTIBIOTICE S.A.
mg
ROMANIA

TIP III, CU CAPACITATEA DE 20 ML,
PR
CONTINANAD PULB. PT. SOL. PERF.
10
292,52
29,252000
29,252000
357,11
35,711000
35,711000
125 W05741001 J01EE01
SULFAMETHOXAZOLUM + TRIMETHOPRIMUM
TAGREMIN
COMPR.
20
5,71
0,285500
0,285500
7,72
0,386000
0,386000
126 W12479001 J01EE01
CO - TRIM ELL
COMPR.
20
5,21
0,260500
0,260500
7,04
0,352000
0,352000
127 W53671001 J01EE01
BITRIM 400mg/80mg
COMPR.
128 W05738001 J01EE01
SUMETROLIM
COMPR.
129 W44046001 J01EE01
EPITRIM
SUSP. ORALA
130 W05739001 J01EE01
SUMETROLIM
SUSP. ORALA
400mg/80m
ZENTIVA S.A.
g
400mg/80m
BIO EEL SRL
g
400mg/80m
ARENA GROUP S.A.
g
EGIS
400mg/80m
PHARMACEUTICALS
g
P.L.C.
200mg/40m
g /5ml
EGIS
25mg/5mg/
PHARMACEUTICALS
ml
P.L.C.
ROMANIA
ROMANIA
ROMANIA
UNGARIA
ROMANIA
UNGARIA
131 W05561001 J01FA02
SPIRAMYCINUM
ROVAMYCINE (R) 1,5 Mil. UI
COMPR. FILM.
1,5 M ui
LAB. AVENTIS
FRANTA
132 W13604002 J01FA02
SPIRAMYCINUM
ROVAMYCINE (R) 3 Mil. UI
COMPR. FILM.
3M ui
LAB. AVENTIS
FRANTA
133 W13604003 J01FA02
SPIRAMYCINUM
ROVAMYCINE 3 Mil. UI
COMPR. FILM.
3MilU.I.
LABORATOIRES AVENTIS FRANTA
500mg
500mg

CUTIE X 1 FLACON DIN STICLA BRUNA CU
MASURA DOZATOARE X 100 ML
CUTIE X 1 FLACON DIN STICLA BRUNA X
100 ML SUSP. ORALA + MASURA
DOZATOARE
134 W58242002 J01FA09
CLARITHROMYCINUM
CLAXIRIT 500 mg
135 W59000002 J01FA09
CLARITHROMYCINUM
CLARITROMICINA TEVA 500 mg
COMPR. ELIB.
PREL.
136 W08490001 J01FA09
CLARITHROMYCINUM
FROMILID 250
COMPR. FILM.
250mg
KRKA D.D. NOVO MESTO SLOVENIA
137 W44093001 J01FA09
CLARITHROMYCINUM
KLABAX 250 mg
COMPR. FILM.
250mg
TERAPIA SA
ROMANIA
250mg
TEVA
PHARMACEUTICALS
S.R.L.
ROMANIA
CUTIE CU BLIST. PVC-PVDC/AL X 14

COMPR. FILM. (AMBALAJ TIP CALENDAR)
CUTIE X 1 BLIST. X 14 COMPR. FILM.
COMPR. FILM.
ISLANDA
ROMANIA
138 W58998015 J01FA09
CLARITHROMYCINUM
139 W01326002 J01FA09
CLARITHROMYCINUM
KLACID (R)
COMPR. FILM.
250mg
ABBOTT SPA
ITALIA
140 W14043001 J01FA09
CLARITHROMYCINUM
KLERIMED (R) 250
COMPR. FILM.
250mg
MEDOCHEMIE LTD.
CIPRU
MALTA
141 W61223003 J01FA09
CLARITHROMYCINUM
CLARITROMICINA AUROBINDO 250 mg
COMPR. FILM.
250mg
AUROBINDO PHARMA
(MALTA) LIMITED
142 W60253004 J01FA09
CLARITHROMYCINUM
LEKOKLAR 250 mg
COMPR. FILM.
250mg
SANDOZ S.R.L.
ROMANIA
143 W44087001 J01FA09
CLARITHROMYCINUM
KLABAX 500 mg
COMPR. FILM.
500mg
TERAPIA SA
ROMANIA
144 W58999014 J01FA09
CLARITHROMYCINUM
COMPR. FILM.
500mg
TEVA
PHARMACEUTICALS
S.R.L.
ROMANIA
145 W08491001 J01FA09
CLARITHROMYCINUM
FROMILID 500
COMPR. FILM.
500mg
146 W60254003 J01FA09
CLARITHROMYCINUM
LEKOKLAR 500 mg
COMPR. FILM.
500mg
SANDOZ S.R.L.
ROMANIA
147 W54044001 J01FA09
CLARITHROMYCINUM
ROCLARIN 500 mg
COMPR. FILM.
500mg
ANTIBIOTICE S.A.
ROMANIA
148 W56269001 J01FA09
CLARITHROMYCINUM
CLAR 500
COMPR. FILM.
500mg
149 W61224003 J01FA09
CLARITHROMYCINUM
COMPR. FILM.
500mg
150 W14044001 J01FA09
CLARITHROMYCINUM
KLERIMED (R) 500
COMPR. FILM.
500mg
GLENMARK
PHARMACEUTICALS
S.R.O.
AUROBINDO PHARMA
(MALTA) LIMITED
MEDOCHEMIE LTD.
Pagina 5 din 87
PRF
PRF
PRF
20
5,71
0,285500
0,285500
7,72
0,386000
0,386000
PRF
20
5,47
0,273500
0,273500
7,40
0,370000
0,370000
PRF
3,52
3,520000
3,520000
4,76
4,760000
4,760000
PRF
7,75
7,750000
7,750000
10,48
10,480000
10,480000
PCUTIE X 2 BLIST. AL/PVC X 8 COMPR. FILM.

RF
RF
CUTIE CU 1 BLIST. AL/PVC X 10 COMPR.
PR
FILM.
F
CUTIE CU BLIST. PVC/PVDC//AL X 7
PR
COMPR. CU ELIB. PREL.
F
COMPR. CU ELIB.
PREL.
ACTAVIS GROUP PTC

EHF.
TEVA
PHARMACEUTICALS
S.R.L.
S/PRF
CUTIE CU BLIST. PVC-PVDC/AL X 6 COMPR. PR

ELIB. PREL.
F
CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. PFILM.
RF
CUTIE X 1 BLIST. AL/PVC-PVDC X 14
PCOMPR. FILM.
RF
PR
F
PRF
CUTIE X 2 BLIST. AL/PVC-PVDC X 7 COMPR. PFILM.
RF
CUTIE CU BLSIT. PVC-PVDC/AL X 14
PR
COMPR. FILM.
F
CUTIE CU BLIST. PVC/PVDC-AL X 14
PR
COMPR. FILM.
F
PCOMPR. FILM.
RF
PR
F

RF
PR
COMPR. FILM.
F
PFILM.
RF
REPUBLICA
CEHA
RF
MALTA
CIPRU

PR
COMPR. FILM.
F
CUTIE X 2 BLIST. AL/PVC-PVDC X 7 COMPR. PRF
FILM.
16
7,29
0,455625
0,455625
9,85
0,615625
0,615625
10
18,91
1,891000
1,891000
25,56
2,556000
2,556000
10
18,91
1,891000
1,891000
25,56
2,556000
2,556000
23,71
3,387142
1,405714
32,05
4,578571
1,899428
21,73
3,621666
1,405714
29,37
4,895000
1,899428
14
12,35
0,882142
0,647142
16,69
1,192142
0,874285
14
10,85
0,775000
0,647142
14,67
1,047857
0,874285
14
8,39
0,599285
0,599285
11,34
0,810000
0,810000
14
21,14
1,510000
0,647142
28,57
2,040714
0,874285
14
12,35
0,882142
0,647142
16,69
1,192142
0,874285
14
7,55
0,539285
0,539285
10,20
0,728571
0,728571
14
8,40
0,600000
0,600000
11,36
0,811428
0,811428
14
23,73
1,695000
1,405714
32,08
2,291428
1,899428
14
18,22
1,301428
1,301428
24,62
1,758571
1,758571
14
24,13
1,723571
1,405714
32,62
2,330000
1,899428
14
24,13
1,723571
1,405714
32,62
2,330000
1,899428
20
33,14
1,657000
1,405714
43,35
2,167500
1,899428
20
40,76
2,038000
1,405714
53,31
2,665500
1,899428
14
16,40
1,171428
1,171428
22,16
1,582857
1,582857
14
24,13
1,723571
1,405714
32,62
2,330000
1,899428
Grupa
terapeutic
a
Denumire generica
Denumire comerciala
151 W44088001 J01FA09
CLARITHROMYCINUM
KLABAX MR 500 mg
152 W13607002 J01FA09
CLARITHROMYCINUM
KLACID SR
153 W41838002 J01FA09
CLARITHROMYCINUM
FROMILID (R) UNO
Forma farmaceutica
Concentratie
/ U.T.
COMPR. FILM. ELIB.

500mg
MODIF.
COMPR. FILM. ELIB.
500mg
PREL.
COMPR. FILM. ELIB.
500mg
PREL.
Firma
TERAPIA SA
3,620000
1,405714
33,15
4,735714
1,899428
5,570000
1,405714
36,43
7,286000
1,899428
KRKA D.D.
20,78
2,968571
1,405714
28,09
4,012857
1,899428
19,39
19,390000
16,812000
26,21
26,210000
22,728000
14,01
14,010000
14,010000
18,94
18,940000
18,940000
29,92
29,920000
29,920000
39,14
39,140000
39,140000
18,11
18,110000
16,812000
24,48
24,480000
22,728000
17,24
17,240000
16,812000
23,30
23,300000
22,728000
39,06
39,060000
39,060000
51,09
51,090000
51,090000
21,29
21,290000
21,290000
28,78
28,780000
28,780000
23,44
23,440000
23,440000
31,68
31,680000
31,680000
41,12
41,120000
41,120000
53,78
53,780000
53,780000
18,87
3,145000
3,145000
25,50
4,250000
4,250000
29,04
4,840000
3,774000
37,99
6,331666
5,100000
KLABAX 125 mg/5 ml
GRAN. PT. SUSP.

ORALA
125mg/5ml TERAPIA SA
156 W01327001 J01FA09
CLARITHROMYCINUM
KLACID (R)
GRAN. PT. SUSP.

ORALA
125mg/5ml ABBOTT SPA
157 W01327002 J01FA09
CLARITHROMYCINUM
KLACID (R)
GRAN. PT. SUSP.

ORALA
125mg/5ml SANDOZ SRL
158 W06981001 J01FA09
CLARITHROMYCINUM
FROMILID (R) 125 mg/5 ml
159 W44091002 J01FA09
CLARITHROMYCINUM
KLABAX 250 mg/5 ml
125mg/5ml KRKA D.D.
160 W58393002 J01FA09
CLARITHROMYCINUM
LEKOKLAR 250 mg/5 ml
GRAN. PT. SUSP.

ORALA
250mg/5ml SANDOZ S.R.L.
161 W44091001 J01FA09
CLARITHROMYCINUM
KLABAX 250 mg/5 ml
GRAN. PT. SUSP.

ORALA
162 W01329001 J01FA09
CLARITHROMYCINUM
KLACID I.V.
LIOF. PT. SOL.

PERF.
500mg
AZATRIL 250 mg
CAPS.
250mg
CAPS.
250mg
165 W00518001 J01FA10
AZITHROMYCINUM
SUMAMED 125 mg
COMPR. FILM.
125mg
166 W52838001 J01FA10
AZITHROMYCINUM
AZITROMICINA TERAPIA 250 mg
COMPR. FILM.
250mg
167 W42879004 J01FA10
AZITHROMYCINUM
AZITROMICINA SANDOZ 250 mg COMPRIMATE

COMPR. FILM.
FILMATE
250mg
168 W52838002 J01FA10
AZITHROMYCINUM
250mg
COMPR. FILM.
169 W52840002 J01FA10
AZITHROMYCINUM
COMPR. FILM.
500mg
170 W43486001 J01FA10
AZITHROMYCINUM
AZIBIOT 500 mg
COMPR. FILM.
500mg
171 W60406001 J01FA10
AZITHROMYCINUM
AZITROMICINA ARENA 500 mg
COMPR. FILM.
500mg
172 W57032001 J01FA10
AZITHROMYCINUM
AZITROX (R) 500
COMPR. FILM.
500mg
173 W42878001 J01FA10
AZITHROMYCINUM
AZITROMICINA SANDOZ 500 mg

COMPRIMATE FILMATE
COMPR. FILM.
500mg
174 W00519001 J01FA10
AZITHROMYCINUM
SUMAMED 500 mg
COMPR. FILM.
500mg
175 W60019004 J01FA10
AZITHROMYCINUM
AZATRIL 500 mg
COMPR. FILM.
500mg
176 W52840001 J01FA10
AZITHROMYCINUM
COMPR. FILM.
500mg
177 W52841001 J01FA10
AZITHROMYCINUM
COMPR. FILM.
600mg
178 W52841002 J01FA10
AZITHROMYCINUM
COMPR. FILM.
600mg
179 W44152001 J01FA10
AZITHROMYCINUM
SUMAMED (R)
LIOF. PT. SOL.

PERF.
500mg
180 W53281001 J01FA10
AZITHROMYCINUM
AZITROX 200 mg/5 ml
PULB. + SOLV.
SUSP. ORALA
200mg/5ml
181 W42901001 J01FA10
AZITHROMYCINUM
AZITROMICINA SANDOZ 100 mg/5 ml
PULB. PT. SUSP.

ORALA
100mg/5ml
182 W42877002 J01FA10
AZITHROMYCINUM
PULB. PT. SUSP.

ORALA
200 mg/5 ml
183 W00520003 J01FA10
AZITHROMYCINUM
SUMAMED FORTE
PULB. PT. SUSP.

ORALA
200mg/5ml
184 W00520002 J01FA10
AZITHROMYCINUM
SUMAMED FORTE
PULB. PT. SUSP.

ORALA
200mg/5ml
Pret de
decontare / U.T.
25,34
SUMAMED 250 mg
Pret cu
amanuntul
maximal / U.T.
27,85
CLARITHROMYCINUM
AZITHROMYCINUM
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
CLARITHROMYCINUM
AZITHROMYCINUM
Pret cu ridicata
maximal / U.T.
155 W44092001 J01FA09
163 W42271001 J01FA10
CUTIE X 1 BLIST. PVC/PVDC-AL X 7 COMPR. PFILM. ELIB. PREL.

RF
CUTIE X 1 BLIST. PVC-PVDC/AL X 5 COMPR. PFILM. ELIB. PREL.
RF
CUTIE X 1 BLIST. PVC-PVDC/AL X 7 COMPR. PSLOVENIA
FILM. ELIB. PREL.
RF
CUTIE X 1 FLAC. PEID CU 41 G GRANULE
PROMANIA PT. 60 ML SUSP. ORALA + LINGURITA
RF
DOZATOARE PP
CUTIE X 1 FLAC. DIN PEID X 42 G GRAN. PT. PROMANIA
60 ML SUSP . ORALA
RF
CUTIE X 1 FLACON PEID CU GRANULE PT.
PITALIA
100 ML SUSP. ORALA + 1 LINGURITA
RF
DOZATOARE X 2,5 ML/5 ML
PITALIA
RF
PSLOVENIA CUTIE X 1 FLAC. PULB. PT. 60 ML SUSP.
RF
CUTIE X 1 FLAC. PEID X 70 G GRAN. PT. 100 PROMANIA
ML SUSP . ORALA
RF
CUTIE CU 1 FLAC. PEID + SERINGA DE
MASURAT DIN PE/PP CU MARCAJE LA 2,5,
3,75 ML SI 5,0 ML SI 1 LINGURITA
PR
ROMANIA
DOZATOARE DIN PE/PP CU MARCAJE LA
F
1,25 ML, 2,5 ML SI 5,0 ML CU 41,0 GRANULE
PT 60 ML SUSP. ORALA
ML SUSP . ORALA
RF
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
ROMANIA
154 W42258001 J01FA09
164 W00517001 J01FA10
Ambalaj
ABBOTT LABORATORIES MAREA

LTD.
BRITANIE
GRAN. PT. SUSP.

ORALA
GRAN. PT. SUSP.

ORALA
GRAN. PT. SUSP.
ORALA
Tara
Prescriptie
Nr.c
Cod CIM
rt
ABBOTT LABORATORIES
FRANTA
LTD.
BALKANPHARMA
RAZGRAD AD
CUTIE X 1 FLAC. LIOF. PT. SOL. PERF.
S/PRF
PRF
PRF
PPLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. AL/PVC X 6 COMPR. FILM.
RF
CUTIE X 1 BLIST. PVC-ACLAR/AL X 6
PTERAPIA SA
ROMANIA
COMPR. FILM.
RF
PSANDOZ S.R.L.
ROMANIA CUTIE X 1 BLIST. X 6 COMPR. FILM.
RF
CUTIE X 1 BLIST. PA-AL-PVC/AL X 6 COMPR. PTERAPIA SA
ROMANIA
FILM.
RF
ROMANIA
FILM.
RF
PKRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM.
RF
PR
ARENA GROUP S.A.
ROMANIA
FILM.
F
PZENTIVA K.S.
CEHIA
CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM.
RF
PSANDOZ S.R.L.
RF
PPLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM.
RF
ACTAVIS GROUP PTC
CUTIE CU BLIST. OPA-PVC-AL/AL X 3
PR
ISLANDA
EHF.
COMPR. FILM.
F
PTERAPIA SA
ROMANIA
COMPR. FILM.
RF
PTERAPIA SA
ROMANIA
COMPR. FILM.
RF
ROMANIA
FILM.
RF
BULGARIA CUTIE X 1 BLIST. AL/PVC X 6 CAPS.
PLIVA LJUBLIJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. PVC-PVDC/AL X 6 CAPS.
PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 5 FLAC. LIOF. PT. SOL. PERF.
CUTIE X 1 FLAC. DIN PE CU PULB. PT. 15
ZENTIVA S.A.
ROMANIA ML SUSP. ORALA RECONSTITUITA + FLAC.
CU SOLV. X 7,5 ML SOLV.
CUTIE X 1 FLAC. DIN PEID CONTINAD
SANDOZ SRL
ROMANIA PULBERE PT. 20 ML SUSP. ORALA +
SERINGA DOZATOARE DIN PE/PP
CCUTIE X 1 FLAC. DIN PEID CONTINAD
SANDOZ SRL
ROMANIA PULBERE PT. 20 ML SUSP. ORALA +
SERINGA DOZATOARE DIN PE/PP
CUTIE X 1 FLAC. DIN PEID CU PULB. PT.
PLIVA LJUBLIJANA D.O.O. SLOVENIA 37,5 ML SUSP. ORALA + SERINGA SI
LINGURITA DOZATOARE
CUTIE X 1 FLAC. DIN PEID CU PULB. PT.15
PLIVA LJUBLIJANA D.O.O. SLOVENIA ML SUSP. ORALA + SERINGA SI LINGURITA
DOZATOARE
Pagina 6 din 87
18,76
3,126666
3,126666
25,36
4,226666
4,226666
18,88
3,146666
3,146666
25,52
4,253333
4,253333
37,31
6,218333
3,774000
48,80
8,133333
5,100000
18,88
3,146666
3,146666
25,52
4,253333
4,253333
18,97
6,323333
6,292000
25,64
8,546666
8,503999
18,98
6,326666
6,292000
25,65
8,550000
8,503999
18,97
6,323333
6,292000
25,64
8,546666
8,503999
16,37
5,456666
5,456666
22,13
7,376666
7,376666
37,31
12,436666
6,292000
48,80
16,266666
8,503999
8,503999
29,18
9,726666
6,292000
38,17
12,723333
15,73
5,243333
5,243333
21,26
7,086666
7,086666
18,97
6,323333
6,292000
25,64
8,546666
8,503999
34,11
11,370000
11,370000
44,61
14,870000
14,870000
34,11
11,370000
11,370000
44,61
14,870000
14,870000
S/PRF
132,49
26,498000
26,498000
161,75
32,350000
32,350000
PRF
12,10
12,100000
12,100000
16,36
16,360000
16,360000
PRF
16,61
16,610000
16,610000
22,45
22,450000
22,450000
PRF
26,27
26,270000
26,270000
34,36
34,360000
34,360000
PRF
46,15
46,150000
46,150000
60,36
60,360000
60,360000
PRF
18,63
18,630000
13,644000
25,18
25,180000
17,844000
Grupa
terapeutic
a
185 W00520001 J01FA10
Denumire generica
AZITHROMYCINUM
Denumire comerciala
SUMAMED FORTE
Forma farmaceutica
PULB. PT. SUSP.

ORALA
Concentratie
/ U.T.
Firma
Tara
Ambalaj
CUTIE X 1 FLAC. DIN PEID CU PULB. PT. 30

200mg/5ml PLIVA LJUBLIJANA D.O.O. SLOVENIA ML SUSP. ORALA + SERINGA SI LINGURITA
DOZATOARE
CUTIE X 10 FIOLE DIN STICLA INCOLORA X
40mg/ml
1 ML SOL. INJ.
186 W03308001 J01GB03 GENTAMICINUM
GENTAMICIN KRKA
SOL. INJ.
GENTAMICIN KRKA
SOL. INJ.
80mg/2ml
GENTAMICIN KRKA
SOL. INJ.
80mg/2ml
PAN - GENTAMICINE
SOL.INJ.
80mg/2ml
LAB. PANPHARMA
190 W53277001 J01GB06 AMIKACINUM
AMIKOZIT (R) 500 mg/2 ml
SOL. INJ.
500mg/2ml ZENTIVA S.A.
ROMANIA
191 W56957001 J01MA01 OFLOXACINUM
OFLOXIN 200
COMPR. FILM.
200mg
CEHIA
ZENTIVA K.S.
FRANTA
ZANOCIN
COMPR. FILM.
200mg
RANBAXY UK LIMITED
MAREA
BRITANIE
193 W54037001 J01MA02 CIPROFLOXACINUM
CIPROFLOXACINA ARENA 100 mg
COMPR. FILM.
100mg
ARENA GROUP S.A.
ROMANIA
COMPR. FILM.
100mg
ARENA GROUP S.A.
ROMANIA
CIPRINOL 250 mg
COMPR. FILM.
250mg
CIPROCIN 250 mg
COMPR. FILM.
250mg
ROMANIA
COMPR. FILM.
250mg
ARENA GROUP S.A.
ROMANIA
CUMINOL 250 mg
COMPR. FILM.
250mg
GEDEON RICHTER
ROMANIA SA
ROMANIA
COMPR. FILM.
250mg
ARENA GROUP S.A.
ROMANIA
CIFRAN
COMPR. FILM.
250mg
RANBAXY UK LIMITED
MAREA
BRITANIE
CIPROLEN (R) 250 mg
COMPR. FILM.
250mg
AC HELCOR SRL
ROMANIA
ROMANIA
CUMINOL 250 mg
COMPR. FILM.
250mg
GEDEON RICHTER
ROMANIA SA
CIPROCIN 500 mg
COMPR. FILM.
500mg
ROMANIA
COMPR. FILM.
500mg
ARENA GROUP S.A.
ROMANIA
CIPRINOL 500 mg
COMPR. FILM.
500mg
CUMINOL 500 mg
COMPR. FILM.
500mg
GEDEON RICHTER
ROMANIA SA
ROMANIA
COMPR. FILM.
500mg
ARENA GROUP S.A.
ROMANIA
CIPRO QUIN (R)
COMPR. FILM.
500mg
ANTIBIOTICE SA
ROMANIA
CIFRAN
COMPR. FILM.
500mg
RANBAXY UK LIMITED
MAREA
BRITANIE
CIPROLEN (R) 500 mg
COMPR. FILM.
500mg
AC HELCOR SRL
ROMANIA
COMPR. FILM.
750mg
ARENA GROUP S.A.
ROMANIA
CIPRINOL 750 mg
COMPR. FILM.
750mg
CIPROBAY XR 1000 mg
CIPROBAY XR 500 mg
CIPRINOL (R)
COMPR. FILM. ELIB.

1000 mg
BAYER PHARMA AG
PREL.
COMPR. FILM. ELIB.
500 mg
BAYER PHARMA AG
PREL.
100mg/10m
CONC. PT. SOL.
KRKA D.D.
PERF.
l
GERMANIA
GERMANIA
Prescriptie
Nr.c
Cod CIM
rt
PRF
PRF
PCUTIE X 50 FIOLE DIN STICLA INCOLORA X
RF/
2 ML SOL. INJ.
S
CUTIE X 10 FIOLE DIN STICLA INCOLORA X P2 ML SOL. INJ.
RF
CUTIE X 10 FIOLE DIN STICLA INCOLORA X P2 ML SOL. INJ.
RF
PCUTIE X 1 FLACON DIN STICLA X 2 ML
RF
PFILM.
RF
PFILM.
RF
PFILM.
RF
PFILM.
RF
PCOMPR. FILM.
RF
PCOMPR. FILM.
RF
PFILM.
RF
PFILM.
RF
PFILM.
RF
PCUTIE X 1 BLIST. PVC/PVDC-AL X 10
RF
COMPR. FILM.
PFILM.
RF
PFILM.
RF
PCUTIE X 1 BLIST. X 10 COMPR. FILM.
RF
PFILM.
RF
PCOMPR. FILM.
RF
PFILM.
RF
PFILM.
RF
PFILM.
RF
CUTIE X 1 BLIST. PVC/PVDC-AL X 10
PCOMPR. FILM.
RF
PFILM.
RF
PFILM.
RF
PCOMPR. FILM.
RF
CUTIE X 1 BLIST. DIN PP/AL X 7 COMPR.
PFILM. ELIB. PREL.
RF
PFILM. ELIB. PREL.
RF
SLOVENIA CUTIE X 50 FIOLE X 10 ML
100mg/10m
ZENTIVA S.A.
l
ROMANIA
Pret cu ridicata
maximal / U.T.
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
Pret cu
amanuntul
maximal / U.T.
Pret de
decontare / U.T.
37,14
37,140000
37,140000
48,58
48,580000
48,580000
10
5,28
0,528000
0,528000
7,13
0,713000
0,713000
50
31,71
0,634200
0,600000
41,48
0,829600
0,811200
10
7,09
0,709000
0,600000
9,58
0,958000
0,811200
10
5,00
0,500000
0,500000
6,76
0,676000
0,676000
5,15
5,150000
5,150000
6,96
6,960000
6,960000
10
14,81
1,481000
1,008000
20,02
2,002000
1,363200
10
8,40
0,840000
0,840000
11,36
1,136000
1,136000
10
28,52
2,852000
2,852000
37,31
3,731000
3,731000
20
51,89
2,594500
2,594500
65,61
3,280500
3,280500
10
5,05
0,505000
0,505000
6,83
0,683000
0,683000
10
5,05
0,505000
0,505000
6,83
0,683000
0,683000
10
4,85
0,485000
0,485000
6,56
0,656000
0,656000
20
9,10
0,455000
0,455000
12,30
0,615000
0,615000
20
9,10
0,455000
0,455000
12,30
0,615000
0,615000
10
5,13
0,513000
0,513000
6,93
0,693000
0,693000
10
5,05
0,505000
0,505000
6,83
0,683000
0,683000
10
5,05
0,505000
0,505000
6,83
0,683000
0,683000
10
9,78
0,978000
0,729600
13,22
1,322000
0,985800
10
6,83
0,683000
0,683000
9,23
0,923000
0,923000
10
9,78
0,978000
0,729600
13,22
1,322000
0,985800
10
9,78
0,978000
0,729600
13,22
1,322000
0,985800
20
12,16
0,608000
0,608000
16,43
0,821500
0,821500
10
9,78
0,978000
0,729600
13,22
1,322000
0,985800
10
6,50
0,650000
0,650000
8,78
0,878000
0,878000
10
9,78
0,978000
0,729600
13,22
1,322000
0,985800
10
28,52
2,852000
2,852000
37,31
3,731000
3,731000
10
29,43
2,943000
2,943000
38,50
3,850000
3,850000
66,99
9,570000
9,570000
84,70
12,100000
12,100000
20,44
6,813333
0,729600
27,63
9,210000
0,985800
50
111,86
2,237200
2,237200
136,56
2,731200
2,731200
S/PRF
12,42
2,484000
2,484000
16,79
3,358000
3,277440
CIPROFLOXACINA ZENTIVA 10 mg/ml
CONC. PT. SOL.

PERF.
CIPRINOL (R)
CONC. PT. SOL.

PERF.
100mg/10m
KRKA D.D.
l
S/PRF
12,42
2,484000
2,484000
16,79
3,358000
3,277440
CIPRINOL
SOL. PERF.
100mg/50m
CUTIE X 1 FLACON DIN STICLA INCOLORA S/PKRKA D.D. NOVO MESTO SLOVENIA
RF
l
X 50 ML SOL. PERF.
3,54
3,540000
2,684640
4,79
4,790000
3,277440
CIPRINOL
SOL. PERF.
200mg/100
CUTIE X 1 FLACON, DIN STICLA INCOLORA S/PKRKA D.D. NOVO MESTO SLOVENIA
RF
ml
X 100 ML SOL. PERF.
7,09
7,090000
7,090000
9,58
9,580000
9,260640
CIPROFLOXACINA INFOMED 2 mg/ml
SOL. PERF.
2mg/ml
INFOMED FLUIDS SRL
ROMANIA
SOL. PERF.
2mg/ml
INFOMED FLUIDS SRL
ROMANIA
CIPRO INF 2 mg/ml
SOL. PERF.
2mg/ml
INFOMED FLUIDS SRL
ROMANIA
Pagina 7 din 87
CUTIE X 5 FIOLE DIN STICLA INCOLORA

PREVAZUTE CU INEL DE RUPERE X 10 ML
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
CUTIE X 10 PUNGI PVC PLASTIFIAT X

100ML
200ML
10
67,20
6,720000
6,720000
84,97
8,497000
8,497000
10
126,50
12,650000
12,650000
154,43
15,443000
15,443000
10
67,20
6,720000
6,720000
84,97
8,497000
8,497000
CUTIE CU 10 PUNGI DIN PVC PLASTICIZAT

PR
A CTE 100 ML SOL. PERF.
Grupa
terapeutic
a
Denumire generica
Denumire comerciala
Forma farmaceutica
Concentratie
/ U.T.
Firma
Tara
Ambalaj
Prescriptie
Nr.c
Cod CIM
rt
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
Pret cu ridicata
maximal / U.T.
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
Pret cu
amanuntul
maximal / U.T.
Pret de
decontare / U.T.
CIPRO INF 2 mg/ml
SOL. PERF.
2mg/ml
INFOMED FLUIDS SRL
ROMANIA

PR
50
319,00
6,380000
6,380000
385,86
7,717200
7,717200
CIPRO INF 2 mg/ml
SOL. PERF.
2mg/ml
INFOMED FLUIDS SRL
ROMANIA

PR
10
126,50
12,650000
12,650000
154,43
15,443000
15,443000
CIPRO INF 2 mg/ml
SOL. PERF.
2mg/ml
INFOMED FLUIDS SRL
ROMANIA

PR
30
372,00
12,400000
12,400000
443,63
14,787666
14,787666
SOL. PERF.
400mg/200
KRKA D.D.
ml
14,29
14,290000
14,290000
19,31
19,310000
17,745199
10
20,61
2,061000
2,061000
27,86
2,786000
2,786000
20
13,02
0,651000
0,651000
17,60
0,880000
0,880000
20
13,02
0,651000
0,651000
17,60
0,880000
0,880000
20
11,64
0,582000
0,582000
15,73
0,786500
0,786500
20
13,02
0,651000
0,651000
17,60
0,880000
0,880000
12,88
1,840000
1,840000
17,41
2,487142
2,487142
12,87
1,838571
1,838571
17,40
2,485714
2,485714
10
17,49
1,749000
1,749000
23,64
2,364000
2,364000
CIPRINOL (R)
SLOVENIA CUTIE X 1 FLACON DIN STICLA X 200 ML
227 W52445001 J01MA03 PEFLOXACINUM
PEFLOXACIN LAROPHARM
COMPR. FILM.
400mg
LAROPHARM S.R.L.
ROMANIA
228 W58303001 J01MA06 NORFLOXACINUM
NORFLOXACIN HELCOR 400 mg
COMPR. FILM.
400mg
A.C. HELCOR PHARMA

S.R.L.
ROMANIA
NOR QUIN 400 mg
COMPR. FILM.
400mg
ANTIBIOTICE S.A.
ROMANIA
NORFLOXACINA LPH 400 mg
COMPR. FILM.
400mg
LABORMED PHARMA SA ROMANIA
NOLICIN 400 mg
COMPR. FILM.
400mg
232 W52786004 J01MA12 LEVOFLOXACINUM
LEVOFLOXACINA ACTAVIS 250 mg
COMPR. FILM.
250mg
LEVOTOR 250 mg
COMPR. FILM.
250mg
LEVOFLOXACINA MACLEODS 250 mg
COMPR. FILM.
250mg
TAVANIC 250 mg
COMPR. FILM.
250mg
FLERADAY 500 mg
COMPR. FILM.
500 mg
COMPR. FILM.
500mg
COMPR. FILM.
500mg
TAVANIC 500 mg
COMPR. FILM.
500mg
COMPR. FILM.
500mg
LEVOTOR 500 mg
COMPR. FILM.
500mg
EVOLOX 5 mg/ml
SOL. PERF.
5mg/ml
LEVOFLOXACIN KABI 5 mg/ml
EVOLOX 5 mg/ml
TAVANIC I.V. 500 mg
SOL. PERF.
SOL. PERF.
SOL. PERF.
ACTAVIS GROUP PTC

EHF.
TORRENT PHARMA
S.R.L.
MACLEODS PHARMA UK
LIMITED
TERAPIA S.A.

FILM.
CUTIE X 2 BLIST. PVC-PVDC/AL X 10
COMPR. FILM.
CUTIE X 2 BLIST. PVC/AL X 10 COMPR.
FILM.
FILM.
COMPR. FILM.
ISLANDA
ROMANIA
CUTIE CU BLIST. PVC/AL X 7 COMPR. FILM.
MAREA
BRITANIE

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

COMPR. FILM.
DR. REDDY'S
LABORATORIES
ACTAVIS GROUP PTC
EHF.
MACLEODS PHARMA UK
LIMITED
ISLANDA
MAREA
BRITANIE

COMPR. FILM.
TERAPIA S.A.
ROMANIA
CUTIE X 1 BLIST. PVC/AL X 7COMPR. FILM.
MACLEODS PHARMA UK
LIMITED
TORRENT PHARMA
S.R.L.
TEVA
PHARMACEUTICALS
S.R.L.
MAREA
BRITANIE
CUTIE CU BLIST. PVC-PVDC/AL X 5 COMPR.

FILM.
ROMANIA
ROMANIA
S/PRF
PRF
PRF
PRF/
S
PRF
PRF
PRF
PRF
PR
F
PRF
PR
F
PRF
PR
F
PRF
PR
F
PRF
25,89
3,698571
3,698571
33,86
4,837142
4,837142
10
32,06
3,206000
3,206000
41,93
4,193000
4,193000
39,82
5,688571
3,847200
52,08
7,440000
5,031600
17,49
3,498000
3,498000
23,64
4,728000
4,728000
25,73
3,675714
3,675714
33,65
4,807142
4,807142
CUTIE CU 1 FLAC. DIN STICLA INCOLORA X

S
100 ML SOL. PERF.
74,25
74,250000
74,250000
93,88
93,880000
93,880000
74,25
74,250000
74,250000
93,88
93,880000
93,880000
5mg/ml
ROMANIA

S
50 ML SOL. PERF.
37,79
37,790000
37,790000
49,43
49,430000
49,430000
112,19
112,190000
88,920000
136,96
136,960000
112,428000
93,690000
5mg/ml
5mg/ml
400mg
248 W60545001 J01MA14 MOXIFLOXACINUM
MOFIL 400 mg
COMPR. FILM.
400mg
TERAPIA S.A.
ACTAVIS GROUP PTC
EHF.
AUROBINDO PHARMA
(MALTA) LIMITED
ACTAVIS GROUP PTC
EHF.
KRKA, D.D., NOVO
MESTO
MOFLAXA 400 mg
COMPR. FILM.
400mg
AVELOX 400 mg
COMPR. FILM.
400mg
BAYER PHARMA AG
ALVOGEN IPCO S.A.R.L
PCUTIE X 1 FLACON DIN STICLA INCOLORA

ROMANIA
RF/
X 100 ML SOL. PERF.
S
CUTIE CU 1 FLAC. DIN STICLA X 100 ML
ISLANDA
S
SOL. PERF.
MALTA
FILM.
F
CUTIE CU BLIST. PA/AL/PVC-AL X 5 COMPR. PR
ISLANDA
FILM.
F
CUTIE CU BLISTERE DIN OPA-AL-PVC/AL
PR
SLOVENIA
CONAINND 5 COMPRIMATE FILMATE
F
CUTIE X 1 BLIST. TRANSPARENT PP/AL X 5 PGERMANIA
COMPR. FILM.
RF
LUXEMBUR CUTIE CU BLIST. OPA-AL-PVC/AL X 5
PR
G
COMPR. FILM
F
MOFINACIN 400 mg
COMPR. FILM.
400mg
AVELOX 400 mg/250 ml
SOL. PERF.
400mg/250
BAYER PHARMA AG
ml
GERMANIA CUTIE X 5 FLACOANE DIN STICLA X 250 ML S
MOXIFLOXACINA KABI 400 mg/250 ml
SOL. PERF.

ml
ROMANIA SRL
ROMANIA
254 W43348001 J01XA01
VANCOMYCINUM
VANCOMYCIN TEVA
LIOF. PT. SOL.

PERF.
1g
255 W43347001 J01XA01
VANCOMYCINUM
VANCOMYCIN TEVA
LIOF. PT. SOL.

PERF.
500mg
VANCOMICINA PHARMASWISS 1000 mg
2,836800
4,835714
SOL. PERF.
3,825714
4,835714
ROMANIA
COMPR. FILM.
VANCOMYCINUM
26,78
33,85
TEVA
PHARMACEUTICALS
S.R.L.
MOXIFLOXACINA AUROBINDO 400 mg
VANCOMYCINUM
2,098800
3,697142
FRESENIUS KABI
ROMANIA SRL
LEVOFLOXACINA ACTAVIS 5 mg/ml
256 W56449002 J01XA01
2,830000
3,697142
5mg/ml
257 W56448002 J01XA01
19,81
25,88
CUTIE X 1 FLAC. PEJD KABIPAC X 100 ML

CONTINAD 100 ML SOL. PERF. (500MG
LEVOFLOXACINA)
PULB. PT. SOL.

PERF.
PULB. PT. SOL.
PERF.
7
7
1000mg
500mg
74,10
74,100000
74,100000
93,69
93,690000
30,78
6,156000
6,156000
40,26
8,052000
8,052000
35,34
7,068000
7,068000
46,22
9,244000
9,244000
38,76
7,752000
7,387200
50,70
10,140000
9,662400
58,59
11,718000
7,387200
74,08
14,816000
9,662400
42,18
8,436000
7,387200
55,17
11,034000
9,662400
594,69
118,938000
98,640000
686,36
137,272000
124,728000
CUTIE CU 1 FLAC. PEJD (KABIPACK) A 250

ML SOL. PERF. (400 MG MOXIFLOXACINA)
PR
82,20
82,200000
82,200000
103,94
103,940000
103,940000
TEVA PHARM. WORKS

UNGARIA
PRIVATE LTD. COMPANY
CUTIE X 1 FLAC. DIN STICLA CU LIOF. PT.

SOL. PERF.
S/PRF
48,56
48,560000
48,560000
63,52
63,520000
63,520000
TEVA PHARM. WORKS

UNGARIA

SOL. PERF.
S/PRF
24,28
24,280000
24,280000
32,82
32,820000
32,820000
PHARMASWISS CESKA
REPUBLIKA S.R.O.
PHARMASWISS CESKA
REPUBLIKA S.R.O.

PR
PR
Pagina 8 din 87
REPUBLICA
CEHA
REPUBLICA
CEHA
10
456,00
45,600000
45,600000
535,19
53,519000
53,519000
10
234,30
23,430000
23,430000
286,03
28,603000
28,603000
Grupa
terapeutic
a
Denumire generica
Denumire comerciala
Forma farmaceutica
Concentratie
/ U.T.
Firma
Tara
Ambalaj
Prescriptie
Nr.c
Cod CIM
rt
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
Pret cu ridicata
maximal / U.T.
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
Pret cu
amanuntul
maximal / U.T.
Pret de
decontare / U.T.
258 W57042001 J01XA01
VANCOMYCINUM
VANCOMICINA KABI 1000 mg
PULB. PT.CONC.
PT.SOL. PERF.
1000mg
FRESENIUS KABI
ROMANIA SRL
ROMANIA

CU CAPACITATEA DE 20 ML CARE
CONTINE PULB. PT. CONC. PT. SOL. P
PR
48,39
48,390000
48,390000
63,30
63,300000
63,300000
259 W57041001 J01XA01
VANCOMYCINUM
PULB. PT.CONC.
PT.SOL. PERF.
500mg
FRESENIUS KABI
ROMANIA SRL
ROMANIA

PR
24,17
24,170000
24,170000
32,67
32,670000
32,670000
260 W06051001 J01XA01
VANCOMYCINUM
EDICIN
PULB.LIOF.PT.SOL.
1g
PERF./INJ
56,90
56,900000
54,720000
71,94
71,940000
64,222800
261 W13105001 J01XA02
TEICOPLANINUM
TARGOCID (R) 400 mg
262 W52501003 J01XB01
COLISTINUM
COLISTINA ANTIBIOTICE 1000000 UI
263 W53689002 J01XD01
METRONIDAZOLUM
METRONIDAZOL ARENA 250 mg (J01XD01)
264 W08257001 J01XD01
METRONIDAZOLUM
FLAGYL ( vezi J01XD01)
LIOF. + SOLV. PT.

SOL. INJ.
PULB. PT. SOL.
INJ./PERF.
LEK PHARMACEUTICALS
CUTIE X 1 FLAC. DIN STICLA INCOLORA CU S/PSLOVENIA
RF
D.D.
PULB. LIOF. PT. SOL. PERF./INJ.
400mg
AVENTIS PHARMA LTD.
MAREA
BRITANIE
CUTIE X 1 FLAC. LIOF. + O FIOLA SOLV.
PRF
1000000ui
ANTIBIOTICE SA
ROMANIA

COMPR.
250mg
ARENA GROUP SA
ROMANIA
COMPR. FILM.
250mg
LABORATOIRE AVENTIS FRANTA

COMPR. FILM.
PRF
PRF
109,84
109,840000
109,840000
134,09
134,090000
134,090000
10
173,48
17,348000
17,348000
211,79
21,179000
21,179000
30
5,71
0,190333
0,190333
7,72
0,257333
0,257333
20
5,25
0,262500
0,228400
7,09
0,354500
0,308800
12
77,74
6,478333
6,478333
98,29
8,190833
8,190833
265 W42138002 J01XD01
METRONIDAZOLUM
METRONIDAZOL B 5 g/l
SOL. PERF.
5g/l
INFOMED FLUIDS SRL
ROMANIA
CUTIE X 12 FLACOANE X 200 ML
S/PRF
266 W42138001 J01XD01
METRONIDAZOLUM
SOL. PERF.
5g/l
INFOMED FLUIDS SRL
ROMANIA
CUTIE X 1 FLACON X 200 ML
S/PRF
6,59
6,590000
6,590000
8,91
8,910000
8,910000
267 W42139002 J01XD01
METRONIDAZOLUM
METRONIDAZOL A 5 g/l
SOL. PERF.
5g/l
INFOMED FLUIDS SRL
ROMANIA
S/PRF
12
79,29
6,607500
6,607500
100,25
8,354166
8,354166
268 W42139001 J01XD01
METRONIDAZOLUM
SOL. PERF.
5g/l
INFOMED FLUIDS SRL
ROMANIA
S/PRF
6,74
6,740000
6,740000
9,11
9,110000
9,110000
269 W08927001 J01XD01
METRONIDAZOLUM
METRONIDAZOL BRAUN 5mg/ml
SOL. PERF.
5mg/ml
B. BRAUN MELSUNGEN
AG
GERMANIA
CUTIE X 10 FLAC. DIN STICLA INCOLORA X S/PRF

100 ML SOL. PERF.
10
37,40
3,740000
3,740000
48,92
4,892000
4,892000
CUTIE X 20 FLAC. DIN PEJD X 100 ML SOL. S/PGERMANIA

RF
PERF.
20
228,10
11,405000
4,437600
278,47
13,923500
5,804400
GERMANIA
CUTIE X 10 FLAC. DIN PEJD X 100 ML SOL. S/PRF

PERF.
270 W08927003 J01XD01
METRONIDAZOLUM
SOL. PERF.
5mg/ml
B. BRAUN MELSUNGEN
AG
271 W08927002 J01XD01
METRONIDAZOLUM
SOL. PERF.
5mg/ml
B. BRAUN MELSUNGEN
AG
MAREA
PFIZER EUROPE MA EEIG
BRITANIE
272 W52799001 J01XX08
LINEZOLIDUM
10
36,98
3,698000
3,698000
48,37
4,837000
4,837000
PRF
ZYVOXID (R)
COMPR. FILM.
600mg
10
1.603,26
160,326000
160,326000
1.785,71
178,571000
178,571000
MAREA
100mg/5ml PFIZER EUROPE MA EEIG
BRITANIE
PRF
879,36
879,360000
879,360000
996,65
996,650000
996,650000
PR
F
10
1.052,62
105,262000
105,262000
1.185,51
118,551000
118,551000
PR
10
1.052,62
105,262000
105,262000
1.185,51
118,551000
118,551000
10
1.603,26
160,326000
126,314400
1.785,71
178,571000
142,261200
112,48
112,480000
112,480000
137,32
137,320000
137,320000
112,48
112,480000
112,480000
137,32
137,320000
137,320000
273 W52800001 J01XX08
LINEZOLIDUM
ZYVOXID (R)
GRAN. PT. SUSP.

ORALA
274 W57578002 J01XX08
LINEZOLIDUM
LINEZOLID TEVA 2 mg/ml
SOL. PERF.
2mg/ml
275 W60604004 J01XX08
LINEZOLIDUM
PNEUMOLID 2 mg/ml
SOL. PERF.
2mg/ml
276 W52801001 J01XX08
LINEZOLIDUM
ZYVOXID (R)
SOL. PERF.
2mg/ml
CUTIE X 1 FLACON X 66 G GRAN. PTR. 150

ML SUSP. + 1 LINGURITA DOZATOARE
DUBLA X 2,5 ML/5 ML
TEVA
10 PUNGI PT. PERFUZIE (DIN POLIMER
PHARMACEUTICALS
ROMANIA MULTISTRAT) CU 1 PERFUZOR SAU 2
S.R.L.
PERFUZOARE CU 300 ML SOL., ECHIPA
CUTIE CU 10 PUNGI DIN PP
TRANSPARENTA PANA LA GALBUIE CU 1
LUXEMBUR SAU 2 PERFUZOARE SI INVELIS
ALVOGEN IPCO S.AR.L
G
SUPLIMENTAR DIN FOLIE LAMINATA
TRANSPARENTA CONTINAND FIECARE 300
ML SOL. PERF.
MAREA
CUTIE X 10 PUNGI X 300 ML
BRITANIE
277 W60604001 J01XX08
LINEZOLIDUM
PNEUMOLID 2 mg/ml
SOL. PERF.
2mg/ml
ALVOGEN IPCO S.AR.L
278 W60734001 J01XX08
LINEZOLIDUM
LINEZOLID SANDOZ 2 mg/ml
SOL. PERF.
2mg/ml
SANDOZ S.R.L.
VIM SPECTRUM SRL
279 W08372001 J02AC01
FLUCONAZOLUM
FLUCOVIM 100
CAPS.
100mg
280 W42371002 J02AC01
FLUCONAZOLUM
FUNGOLON 100 mg
CAPS.
100mg
281 W58225007 J02AC01
FLUCONAZOLUM
FLUCONAZOL AUROBINDO 100 mg
CAPS.
100mg
CUTIE X 1 FLAC. X 10 COMPR. FILM.
BALKANPHARMA
RAZGRAD AD
AUROBINDO PHARMA
(MALTA) LIMITED
TEVA
PHARMACEUTICALS
S.R.L.
TEVA
PHARMACEUTICALS
S.R.L.
CUTIE CU O PUNGA DIN PP

LUXEMBUR TRANSPARENTA PNA LA GALBUIE CU 1
PR
G
SAU 2 PERFUZOARE SI NVELIS
SUPLIMENTAR
CUTIE CU 1 PUNGA DIN PP INCOLORA
PNA LA GALBUIE, CU 1 SAU 2
ROMANIA PERFUZOARE SI NVELIS SUPLIMENTAR
PR
DIN FOLIE LAMINATA CARE CONTINE SOL.
PERF.
PROMANIA CUTIE X 1 BLIST. X 4 CAPS.
RF
PBULGARIA CUTIE X 2 BLIST. PVC/AL X 8 CAPS.
RF
CUTIE CU BLIST. PVC
PR
MALTA
TRANSPARENT/PVDC-AL X 7 CAPS.
F
ROMANIA
CUTIE X 1 BLIST. PVC-PVDC/AL X 2 CAPS.
PRF
ROMANIA
PRF
282 W43597001 J02AC01
FLUCONAZOLUM
FLUCONAZOLE TEVA 100 mg
CAPS.
100mg
283 W43597002 J02AC01
FLUCONAZOLUM
CAPS.
100mg
284 W43288001 J02AC01
FLUCONAZOLUM
FLUCONAZOL SANDOZ (R) 150
CAPS.
150mg
SANDOZ SRL
GERMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS.
285 W42693001 J02AC01
FLUCONAZOLUM
FLUCONAZOL 150 mg
CAPS.
150mg
SLAVIA PHARM SRL
ROMANIA
286 W08373001 J02AC01
FLUCONAZOLUM
FLUCOVIM 150
CAPS.
150mg
VIM SPECTRUM SRL
ROMANIA
CUTIE X 1 FLAC. X 1 CAPS.
Pagina 9 din 87
PRF
PRF
PRF
18,95
4,737500
3,615428
25,61
6,402500
4,887428
16
65,37
4,085625
3,615428
82,66
5,166250
4,887428
21,09
3,012857
3,012857
28,51
4,072857
4,072857
6,98
3,490000
3,490000
9,43
4,715000
4,715000
23,31
3,330000
3,330000
31,51
4,501428
4,501428
10,79
10,790000
5,340000
14,58
14,580000
7,212000
7,16
7,160000
5,340000
9,68
9,680000
7,212000
7,35
7,350000
5,340000
9,94
9,940000
7,212000
Grupa
terapeutic
a
Denumire generica
Denumire comerciala
Forma farmaceutica
Concentratie
/ U.T.
287 W51994001 J02AC01
FLUCONAZOLUM
FLUCONAZOL MEDOCHEMIE 150 mg
CAPS.
150mg
288 W60221001 J02AC01
FLUCONAZOLUM
FLUCONAZOL ZENTIVA 150 mg
CAPS.
150mg
289 W43598001 J02AC01
FLUCONAZOLUM
CAPS.
150mg
Firma
Tara
MEDOCHEMIE ROMANIA
ROMANIA
SRL
REPUBLICA
CEHA
TEVA
PHARMACEUTICALS
ROMANIA
S.R.L.
ROMPHARM COMPANY
ROMANIA
S.R.L.
ZENTIVA K.S.
290 W57430001 J02AC01
FLUCONAZOLUM
FLUCONAZOL ROMPHARM 150 mg
CAPS.
150mg
291 W57239001 J02AC01
FLUCONAZOLUM
FLUCONAZOL LPH 150 mg
CAPS.
150mg
LABORMED PHARMA S.A. ROMANIA

ARENA GROUP SA
292 W53943002 J02AC01
FLUCONAZOLUM
FLUCONAZOL ARENA 150 MG
CAPS.
150mg
293 W58226001 J02AC01
FLUCONAZOLUM
CAPS.
150mg
AUROBINDO PHARMA
(MALTA) LIMITED
ACTAVIS GROUP PTC
EHF.
ROMANIA
MALTA
294 W56446001 J02AC01
FLUCONAZOLUM
FLUCONAZOL ACTAVIS 150 mg
CAPS.
150mg
295 W03156001 J02AC01
FLUCONAZOLUM
DIFLUCAN 150 mg
CAPS.
150mg
MAREA
BRITANIE
ISLANDA
Ambalaj

PR
F
PR
F
PCUTIE X 1 BLIST. AL/PVC X 1 CAPS.
RF
CUTIE CU 1 BLIST. PVC
PR
F
PR
CUTIE CU 1 BLIST. PVC-PVDC/AL X 1 CAPS.
F
RF
CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 PCAPS.
RF
RF
FLUCONAZOL BIOGALENICA 150 mg
CAPS.
150mg
LABORATOARELE
ROMANIA
PROF.DR.MORAIT S.R.L.
200mg
TEVA
PHARMACEUTICALS
S.R.L.
300 W42321001 J02AC01
FLUCONAZOLUM
FLUCONAZOL 50 mg
CAPS.
50mg
SLAVIA PHARM SRL
ROMANIA
301 W03157001 J02AC01
FLUCONAZOLUM
DIFLUCAN 50 mg
CAPS.
50mg
MAREA
BRITANIE
302 W53942002 J02AC01
FLUCONAZOLUM
CAPS.
50mg
ARENA GROUP SA
ROMANIA
303 W57238001 J02AC01
FLUCONAZOLUM
CAPS.
50mg
6,680000
5,340000
9,03
9,030000
7,212000
4,450000
4,450000
6,01
6,010000
6,010000
7,44
7,440000
5,340000
10,06
10,060000
7,212000
18,56
18,560000
5,340000
25,08
25,080000
7,212000
13,950000
5,340000
18,86
18,860000
7,212000
5,340000
63,10
15,775000
7,212000
PRF
4,88
4,880000
4,880000
6,59
6,590000
6,590000
PRF
30,10
4,300000
4,300000
39,37
5,624285
5,624285
PRF
PRF
PRF
PR
F
CAPS.
50mg
ROMANIA
305 W52225001 J02AC01
FLUCONAZOLUM
CAPS.
50mg
LABORATOARELE
ROMANIA
PRF
306 W51993001 J02AC01
FLUCONAZOLUM
CAPS.
50mg
MEDOCHEMIE ROMANIA
ROMANIA
SRL
307 W44098001 J02AC01
FLUCONAZOLUM
FLUCORIC 50 mg
CAPS.
50mg
TERAPIA SA
ROMANIA
CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7

CAPS.
308 W43287001 J02AC01
FLUCONAZOLUM
CAPS.
50mg
SANDOZ SRL
ROMANIA
309 W58224007 J02AC01
FLUCONAZOLUM
CAPS.
50mg
AUROBINDO PHARMA
(MALTA) LIMITED
MALTA
CUTIE CU BLIST. PVC

310 W08374001 J02AC01
FLUCONAZOLUM
FLUCOVIM 50
CAPS.
50mg
VIM SPECTRUM SRL
ROMANIA
311 W58322001 J02AC01
FLUCONAZOLUM
DIFLUCAN 10 mg/ml
PULB. PT. SUSP.

ORALA
10mg/ml
MAREA
BRITANIE
312 W58456001 J02AC01
FLUCONAZOLUM
FLUCONAZOL INFOMED 2 mg/ml
SOL. PERF.
2mg/ml
INFOMED FLUIDS S.R.L.
313 W58456002 J02AC01
FLUCONAZOLUM
SOL. PERF.
2mg/ml
314 W60056001 J02AC01
FLUCONAZOLUM
FLUCONAZOL ZENTIVA 2 mg/ml
SOL. PERF.
2mg/ml
ZENTIVA K.S.
315 W57368003 J02AC01
FLUCONAZOLUM
FLUCONAZOL ARENA 2mg/ml
SOL. PERF.
2mg/ml
ARENA GROUP S.A.
316 W60056005 J02AC01
FLUCONAZOLUM
SOL. PERF.
2mg/ml
ZENTIVA K.S.
ZENTIVA K.S.
Pagina 10 din 87
6,68
4,45
12,060000
2mg/ml
1
1
13,95
FLUCONAZOLUM
SOL. PERF.
6,590000
48,24
304 W43596001 J02AC01
FLUCONAZOL KABI 2 mg/ml
6,590000
PRF
FLUCONAZOLUM
6,59
TEVA
PHARMACEUTICALS
S.R.L.
319 W55502017 J02AC01
4,880000
7,212000
FLUCONAZOLUM
FRESENIUS KABI
ROMANIA SRL
FRESENIUS KABI
ROMANIA SRL
4,880000
7,212000
298 W52224001 J02AC01
2mg/ml
4,88
9,940000
ROMANIA
2mg/ml
12,940000
ROMANIA
SOL. PERF.
7,212000
7,212000
9,94
GEDEON RICHTER
ROMANIA SA
SOL. PERF.
8,200000
12,030000
12,94
TERAPIA SA
MYCOMAX INF 2mg/ml
8,20
12,03
5,340000
150mg
5,340000
5,340000
5,340000
150mg
FLUCONAZOLUM
6,070000
8,900000
9,570000
CAPS.
FLUCONAZOLUM
6,07
8,90
7,350000
CAPS.
317 W56963002 J02AC01
1
1
9,57
FLUCORIC 150 mg
318 W55502009 J02AC01
Pret de
decontare / U.T.
7,35
MYCOSYST 150 mg
ROMANIA
Pret cu
amanuntul
maximal / U.T.
FLUCONAZOLUM
CAPS.
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
FLUCONAZOLUM
PRF
Pret cu ridicata
maximal / U.T.
296 W44089001 J02AC01
FLUCONAZOLUM
PRF
PRF
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
297 W54835003 J02AC01
299 W43599002 J02AC01
Prescriptie
Nr.c
Cod CIM
rt
PRF
PRF
PRF
PR
F
PRF
14,49
2,070000
1,777714
19,58
2,797142
2,403428
43,23
6,175714
1,777714
56,54
8,077142
2,403428
14,15
2,021428
1,777714
19,12
2,731428
2,403428
16,69
2,384285
1,777714
22,56
3,222857
2,403428
12,35
1,764285
1,764285
16,69
2,384285
2,384285
11,66
1,665714
1,665714
15,76
2,251428
2,251428
11,95
1,707142
1,707142
16,15
2,307142
2,307142
21,91
3,130000
1,777714
29,61
4,230000
2,403428
32,06
4,580000
1,777714
41,93
5,990000
2,403428
10,37
1,481428
1,481428
14,02
2,002857
2,002857
16,69
2,384285
1,777714
22,56
3,222857
2,403428
CUTIE CU 1 FLAC. PEID, DE CAPACITATE 60

PR
ML + 1 LINGURITA DOZATOARE A 5 ML, CU
F
PULB. PT. 35 ML SUSP.O
23,46
23,460000
23,460000
31,71
31,710000
31,710000
ROMANIA
CUTIE CU 20 PUNGI DIN PVC (PREVAZUTE

CU 2 TUBURI CONECTOARE, DOP
PR
AMBALATE INTR-UN FILM DIN
PET/AL/PET/PP X 50 ML SOL. PERF.
20
350,00
17,500000
17,500000
419,65
20,982500
20,982500
ROMANIA

PR
20
630,00
31,500000
20,737200
724,85
36,242500
25,316400
17,91
17,910000
17,910000
24,21
24,210000
24,210000
40,63
40,630000
20,737200
53,14
53,140000
25,316400
10
172,81
17,281000
17,281000
210,97
21,097000
21,097000
CUTIE CU 1 FLACON DIN STICLA

REPUBLICA
INCOLORA A 100 ML SOL. PERF. X 200 MG
CEHA
FLUCONAZOL
ROMANIA CUTIE X 1 FLAC. X 100 ML SOL. PERF.
CUTIE CU 10 FLACOANE DIN STICLA
REPUBLICA
INCOLORA A CATE 100 ML SOL. PERF. X
CEHA
200 MG FLUCONAZOL
REPUBLICA
CEHA
FLUCONAZOL
CUTIE CU 1 FLAC. PEJD (KABIPAC) X 100
ROMANIA
ML SOL. PERF.
ROMANIA
ML SOL. PERF.
88,14
88,140000
88,140000
111,45
111,450000
103,986000
34,28
34,280000
20,737200
44,84
44,840000
25,316400
81,95
81,950000
81,950000
103,62
103,620000
103,620000
Grupa
terapeutic
a
Denumire generica
Denumire comerciala
Forma farmaceutica
Concentratie
/ U.T.
Firma
Tara
Ambalaj
Prescriptie
Nr.c
Cod CIM
rt
320 W58456003 J02AC01
FLUCONAZOLUM
SOL. PERF.
2mg/ml
ROMANIA

PR
321 W55502001 J02AC01
FLUCONAZOLUM
SOL. PERF.
2mg/ml
FRESENIUS KABI
ROMANIA SRL
ROMANIA
CUTIE CU 1 FLAC. PEJD (KABIPAC) X 50 ML

S
SOL. PERF.
2mg/ml
CUTIE X 1 FLACON DIN STICLA INCOLORA S/P

X 100 ML
R-F
322 W12072001 J02AC01
FLUCONAZOLUM
DIFLAZON 2mg/ml
SOL. PERF.
323 W52343006 J02AC02
ITRACONAZOLUM
OMICRAL 100 mg
CAPS.
100mg
MEDICO UNO
PHARMACEUTICAL SRL
ROMANIA
CUTIE X 3 BLIST. AL/AL X 5 CAPS.
324 W59235001 J02AC02
ITRACONAZOLUM
ITRACONAZOL ARENA 100 mg
CAPS.
100mg
ARENA GROUP S.A.
ROMANIA
325 W53958001 J02AC02
ITRACONAZOLUM
MICOGAL 100 mg
CAPS.
100mg
ROMPHARM COMPANY
SRL
ROMANIA
CUTIE X 3 BLIST. PVC/AL X 5 CAPS.
326 W43051001 J02AC02
ITRACONAZOLUM
ITRACONAZOL 100 mg
CAPS.
100mg
SLAVIA PHARM SRL
ROMANIA
327 W03837002 J02AC02
ITRACONAZOLUM
ORUNGAL
CAPS.
100mg
JANSSEN
PHARMACEUTICA N.V.
BELGIA
CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 5

CAPS.
MAREA
BRITANIE
MAREA
BRITANIE
MAREA
BRITANIE
328 W08947008 J02AC03
VORICONAZOLUM**
VFEND 200mg
COMPR. FILM.
200mg
PFIZER LIMITED
329 W08946008 J02AC03
VORICONAZOLUM**
VFEND 50mg
COMPR. FILM.
50mg
PFIZER LIMITED
330 W10489001 J02AC03
VORICONAZOLUM**
VFEND 200mg
PULB. PT. SOL.

PERF.
200mg
PFIZER LIMITED
331 W41889001 J02AC03
VORICONAZOLUM**
VFEND 40 mg/ml
PULB. PT. SUSP.

ORALA
40mg/ml
PFIZER LIMITED
NOXAFIL 100mg
CAPS.
GASTROREZ.
100mg
MERCK SHARP & DOHME MAREA

LTD.
BRITANIE
40mg/ml
MAREA
MERCK SHARP & DOHME
BRITANIE
CUTIE X 1 FLAC. X 105ML SUSP. ORALA
MAREA
BRITANIE
MAREA
MERCK SHARP & DOHME
BRITANIE
MAREA
PFIZER LIMITED
BRITANIE
CUTIE X 1 FLAC. PULB. PTR. CONC. PTR.

SOL. PERF.
SOL. PERF.
CUTIE X 1FLAC.DIN STICLA A 30ML X
100MG PULB.
ANTIBIOTICE S.A.
332 W60913001 J02AC04
POSACONAZOLUM**
333 W58194001 J02AC04
POSACONAZOLUM**
NOXAFIL 40mg/ml
334 W06665001 J02AX04
CASPOFUNGINUM**
CANCIDAS 50 mg
335 W06670001 J02AX04
CASPOFUNGINUM**
CANCIDAS 70 mg
336 W55841001 J02AX06
ANIDULAFUNGINUM
ECALTA 100mg
337 W58576002 J04AC01
ISONIAZIDUM
IZONIAZIDA ATB 100 mg
SUSP. ORALA
PULB. PT. CONC.
PT. SOL. PERF.
PULB. PT. CONC.
PT. SOL. PERF.
PULB. PT. CONC.
PT. SOL. PERF.
COMPR.
50mg
70mg
100mg
100mg
MAREA
BRITANIE
CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL)

CUTIE X 1 FLAC. UNIDOZA X 30ML
CUTIE X 1 FLAC. PEID DE 100ML X 45 G
PULB. PT. SUSP. ORALA + 1 MASURA
DOZATOARE (23 ML) + 1 SERINGA
CUTIE CU BLIST. PVC/PCTF/AL X 24
COMPRIMATE GASTROREZISTENTE
76,000000
866,55
86,655000
86,655000
18,84
18,840000
18,840000
25,47
25,470000
25,179000
35,03
35,030000
20,737200
45,82
45,820000
25,316400
15
40,18
2,678666
2,678666
52,56
3,504000
3,504000
15
40,18
2,678666
2,678666
52,56
3,504000
3,504000
15
40,18
2,678666
2,678666
52,55
3,503333
3,503333
15
40,18
2,678666
2,678666
52,56
3,504000
3,504000
15
60,84
4,056000
3,214399
76,92
5,128000
4,204000
28
3.559,23
127,115357
127,115357
3.917,72
139,918571
139,918571
28
912,09
32,574642
32,574642
1.032,33
36,868928
36,868928
458,07
458,070000
458,070000
537,45
537,450000
537,450000
PRF
2.203,52
2.203,520000
2.203,520000
2.439,99
2.439,990000
2.439,990000
PRF
PRF
PRF
PRF
PRF
PRF
PRF
PRF
152,827083
152,827083
2.488,19
2.488,190000
2.488,190000
2.750,28
2.750,280000
2.750,280000
1.202,39
1.202,390000
1.202,390000
1.348,76
1.348,760000
1.348,760000
1.560,14
1.560,140000
1.560,140000
1.738,70
1.738,700000
1.738,700000
1.458,70
1.458,700000
1.458,700000
1.628,13
1.628,130000
1.628,130000
ROMANIA
CUTIE CU 150 BLIST. PVC/AL X 10 COMPR. PR 1.500
159,50
0,106333
0,106333
194,72
0,129813
0,129813
ROMANIA
S/P1.500
RF
ROMANIA
ROMANIA
CUTIE X 1 FLAC. X 200 ML SIROP

CUTIE CU 10 FIOLE A 5ML
PR
PR
395,00
0,263333
0,263333
468,70
0,312466
0,312466
1
10
29,01
14,16
29,010000
1,416000
29,010000
1,416000
37,95
19,14
37,950000
1,914000
37,950000
1,914000
ROMANIA
ROMANIA
COMPR.
300mg
SIROP
SOL INJ.
100mg/5ml CN UNIFARM S.A.

100mg/ml
CN UNIFARM S.A.
341 W60213002 J04AK01
PYRAZINAMIDUM
PIRAZINAMIDA ATB 500 mg
COMPR.
500mg
ANTIBIOTICE S.A.
342 W53682002 J04AK02
ETHAMBUTOLUM
ETAMBUTOL ARENA 250 mg
CAPS.
250mg
ARENA GROUP SA
343 W59648001 J04AK02
ETHAMBUTOLUM
CAPS.
400mg
ARENA GROUP S.A.
ROMANIA
344 W59648003 J04AK02
ETHAMBUTOLUM
CAPS.
400mg
ARENA GROUP S.A.
ROMANIA
CUTIE CU 1 FLAC. DIN PE X 50 CAPS.
345 W42943002 J04AK02
ETHAMBUTOLUM
ETAMBUTOL 250 mg
COMPR. FILM.
250mg
ANTIBIOTICE SA
ROMANIA
346 W42861002 J04AK02
ETHAMBUTOLUM
ETAMBUTOL 400 mg
COMPR. FILM.
400mg
ANTIBIOTICE SA
ROMANIA
347 W60583001 J04AK02
ETHAMBUTOLUM
INBUTOL
SOL INJ.
SINERDOL ISO
CAPS.
100mg/ml
CN UNIFARM S.A.
300mg+150
ANTIBIOTICE SA
mg
ARENA GROUP SA
76,000000
3.667,85
200mg
760,00
138,750000
ISONIAZID
BITUB
CAPS.
10
138,750000
ISONIAZIDUM
ACICLOVIR ARENA 200 mg
PRF
PR
F
PR
F
ROMANIA

FILM.
FILM.
FLAC. X 10 ML SOL. INJ
PR
ROMANIA
ROMANIA
15,55
15,550000
15,550000
21,02
21,020000
21,020000
0,580000
0,580000
670,35
0,670350
0,670350
704,14
0,704140
0,613200
805,66
0,805660
0,805660
15,85
0,792500
0,613200
21,42
1,071000
0,828600
15,85
0,792500
0,613200
21,42
1,071000
0,828600
14,97
0,748500
0,613200
20,23
1,011500
0,828600
14,41
1,441000
1,441000
19,48
1,948000
1,948000
20
10,22
0,511000
0,511000
13,81
0,690500
0,690500
20
12,75
0,637500
0,613200
17,23
0,861500
0,828600
20
12,75
0,637500
0,613200
17,23
0,861500
0,828600
20
12,75
0,637500
0,613200
17,23
0,861500
0,828600
20
12,69
0,634500
0,613200
17,15
0,857500
0,828600
PRF/ 1.000
S
P20
RF
P20
RF
P20
RF
P10
RF
CAPS.
200mg
SLAVIA PHARM SRL
ROMANIA
353 W53676001 J05AB01
ACICLOVIRUM
CAPS.
400mg
ARENA GROUP S.A.
ROMANIA
200mg
EGIS
PHARMACEUTICALS
P.L.C.
UNGARIA
PCUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR.

RF
357 W13972001 J05AB01
ACICLOVIRUM
ACICLOVIR 200 mg
COMPR.
200mg
358 W00044001 J05AB01
ACICLOVIRUM
ACICLOVIR TERAPIA 200 mg
COMPR.
200mg
TERAPIA SA
Pagina 11 din 87
ROMANIA
CUTIE X 2 BLIST. AL./PVC X 10 COMPR.
ROMANIA
0,370800
580,00
ACICLOVIR 200 mg
CUTIE X 2 BLIST. X 10 COMPR.
0,370800
ACICLOVIRUM
ROMANIA
18,54
1.000
352 W42857001 J05AB01
ROMANIA
0,274400
0,254000
GEDEON RICHTER
ROMANIA SA
GEDEON RICHTER
ROMANIA SA
0,274400
0,377866
LAROPHARM S.R.L.
13,72
0,254000
ROMANIA
200mg
0,374500
50
0,377866
ROMANIA
200mg
0,374500
381,00
ARENA GROUP SA
COMPR.
7,49
566,80
200mg
COMPR.
0,277000
0,209693
200mg
ACICLOVIR-RICHTER 200 mg
0,277000
0,323333
CAPS.
ACICLOVIR LAROPHARM 200 mg
5,54
0,209693
CAPS.
ACICLOVIRUM
0,239500
20
0,323333
ACICLOVIRUM
0,341226
0,239500
314,54
ACICLOVIR FARMEX 200 mg
356 W60558001 J05AB01
0,341226
4,79
485,00
ACICLOVIRUM
355 W53225001 J05AB01
511,84
0,177000
1.500
ACICLOVIRUM
COMPR.
0,289720
0,177000
1.500
351 W53675001 J05AB01
ACICLOVIR 200 mg
0,289720
3,54
350 W56038001 J05AB01
ACICLOVIRUM
434,58
20
FARMEX COMPANY
S.R.L.
354 W06667003 J05AB01
Pret de
decontare / U.T.
3.330,00
ISONIAZIDUM
ISONIAZIDUM
ACICLOVIRUM
Pret cu
amanuntul
maximal / U.T.
24
338 W58577002 J04AC01
349 W53675003 J05AB01
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
PR
339 W60582001 J04AC01

340 W60594001 J04AC01
348 W14071002 J04AM02 COMBINATII (RIFAMPICINUM+IZONIAZIDUM)
Pret cu ridicata
maximal / U.T.
PRF/
R
MERCK SHARP & DOHME
ANTIBIOTICE SA
CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL)
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
PRF
PR
F
PRF
PRF
Grupa
terapeutic
a
Denumire generica
Denumire comerciala
Forma farmaceutica
Concentratie
/ U.T.
Firma
Tara
359 W06668003 J05AB01
ACICLOVIRUM
ACICLOVIR 400 mg
COMPR.
400mg
EGIS
PHARMACEUTICALS
P.L.C.
360 W00058001 J05AB01
ACICLOVIRUM
VIROLEX
PULB. PT. SOL.

INJ./PERF.
250mg
UNGARIA
361 W60057003 J05AB04
RIBAVIRINUM
REBETOL 200 mg
CAPS.
200mg
MERCK SHARP & DOHME
MAREA
BRITANIE
362 W53326004 J05AB04
RIBAVIRINUM
COPEGUS 200mg
COMPR. FILM.
200mg
ROCHE ROMANIA SRL
ROMANIA
363 W51337001 J05AB06
GANCICLOVIRUM
CYMEVENE
LIOF. PT. SOL. INJ. 500mg
ROMANIA
CYMEVENE 500 mg
PULB. PT. SOL.

PERF.
500mg
ROMANIA
MAREA
BRITANIE
ROMANIA
364 W61213001 J05AB06
GANCICLOVIRUM
365 W58707001 J05AB11
VALACYCLOVIRUM
VALTREX 500 mg
COMPR. FILM.
500 mg
THE WELLCOME
FOUNDATION LTD.
366 W60087001 J05AB11
VALACYCLOVIRUM
VALACICLOVIR ARENA 500 mg
COMPR. FILM.
500mg
ARENA GROUP S.A.
450mg
TEVA
PHARMACEUTICALS
S.R.L.
367 W60756001 J05AB14
VALGANCICLOVIRUM**
VALGANCICLOVIR TEVA 450 mg
COMPR. FILM.
ROMANIA
Ambalaj
Prescriptie
Nr.c
Cod CIM
rt
CUTIE X 2 BLIST. PVC-PVDC/AL X 5 COMPR.
PRF
CUTIE X 5 FLAC. X 250 MG PULB. PT. SOL.

INJ./PERF.
S/PRF
PCUTIE X 140 CAPS. ( BLIST. PVC/PE/PVDC ) RF/

R
PCUTIE X 1 FLAC. PEID X 168 COMPR. FILM. RF/
R
S
LIOF. PT. SOL. INJ.
CUTIE CU 1 FLAC. MULTIDOZA DIN STICLA
INCOLORA CONTINAND 10 ML PULB. PT.
PR
SOL. PERF.
CUTIE CU BLIST. DIN CLORURA DE
PR
POLIVINIL/AL X 10 COMPR.FILM.
F
CUTIE CU 1 BLIST. PVC/PE/PVDC ALB
PR
OPAC/AL X 10 COMPR. FILM.
F
CUTIE CU BLIST. PVC-ACLAR-PVC/AL X 60
COMPR. FILM.
PR
F
P450mg
ROCHE ROMANIA SRL
ROMANIA CUTIE X 1 FLAC. X 60 COMPR. FILM.
RF
BERLIN CHEMIE AG
P125mg
GERMANIA CUTIE X 1 BLIST. PVC/AL X 7 COMPR.
MENARINI GROUP
RF
PROCHE REGISTRATION MAREA
500mg
CUTIE X 1 FLAC. PEID X 120 COMPR. FILM. RF/
LTD.
BRITANIE
R
PABBVIE LTD
MAREA
100mg
CUTIE X 1 FLAC. PEID X 30 COMPR.FILM.
RF/
MAIDENHEAD
BRITANIE
R
PABBOTT LABORATORIES MAREA
100mg
CUTIE X 1 FLAC. PEID X 30 COMPR.FILM.
RF/
LTD.
BRITANIE
R
200mg/50m ABBVIE LTD
MAREA
CUTIE X 1 FLAC. DIN PEID X 120 COMPR.
PR
g
MAIDENHEAD
BRITANIE FILM.
PCUTIE X 1 FLAC. DIN PEID X 120 COMPR.
200mg/50m ABBOTT LABORATORIES MAREA
RF/
LTD.
BRITANIE FILM.
g
R
80mg/ml+2 ABBVIE LTD
MAREA
CUTIE X 5 FLAC. MULTIDOZA DIN TPE X 60
PR
0mg/ml
MAIDENHEAD
BRITANIE ML + 5 SERINGI GRADATE A 5 ML
CUTIE X 1 FLAC. DIN HDPE X 60 COMPR.
PMAREA
700mg
GLAXO GROUP LTD.
FILM. PREVAZUT CU SISTEM DE
RF/
BRITANIE
INCHIDERE SECURIZAT PT. COPII
R
CUTIE X 1 FLAC. DIN HDPE X 225 ML SUSP. PMAREA
50mg/ml
GLAXO GROUP LTD.
ORALA PREVAZUT CU SISTEM DE
RF/
BRITANIE
INCHIDERE SECURIZAT PT. COPII +
R
PMAREA
150mg
BRISTOL-MYERS SQUIBB
CUTIE X 60 CAPS. (BLIST. AL/AL 6X1)
RF/
BRITANIE
R
PBRISTOL-MYERS SQUIBB MAREA
300mg
CUTIE X 1 FLAC. PEID X 30 CAPS.
RF/
PHARMA EEIG
BRITANIE
R
PJANSSEN-CILAG
400mg
BELGIA
RF/
INTERNATIONAL NV
FILM.
R
PJANSSEN-CILAG
600mg
BELGIA
RF/
INTERNATIONAL NV
FILM.
R
VIIV HEALTHCARE UK
P100mg
UK
LIMITED
RF
CUTIE CU 1 FLACON DIN STICLA BRUNA X
VIIV HEALTHCARE UK
MAREA
200 ML SOL. ORALA + 1 ADAPTOR DE
PR
10mg/ml
LIMITED
BRITANIE DOZARE + 1 SERINGA PT. ADM. ORALA DE F
10 ML
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
Pret cu ridicata
maximal / U.T.
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
Pret cu
amanuntul
maximal / U.T.
Pret de
decontare / U.T.
10
20,11
2,011000
1,729200
27,18
2,718000
2,337600
231,79
46,358000
46,358000
282,97
56,594000
56,594000
140
1.085,34
7,752428
7,752428
1.221,17
8,722642
8,722642
168
2.406,37
14,323630
9,302914
2.661,10
15,839880
10,467170
87,17
87,170000
87,170000
110,22
110,220000
110,220000
87,17
87,170000
87,170000
110,22
110,220000
110,220000
10
43,54
4,354000
3,396000
56,95
5,695000
4,441200
10
28,30
2,830000
2,830000
37,01
3,701000
3,701000
60
3.171,52
52,858666
52,858666
3.495,11
58,251833
58,251833
60
4.863,09
81,051500
63,430399
5.338,93
88,982166
69,902200
272,43
38,918571
38,918571
332,58
47,511428
47,511428
120
1.013,90
8,449166
8,449166
1.143,30
9,527500
9,527500
30
93,39
3,113000
3,113000
118,08
3,936000
3,936000
30
93,39
3,113000
3,113000
118,08
3,936000
3,936000
120
1.401,42
11,678500
11,678500
1.565,70
13,047500
13,047500
120
1.401,42
11,678500
11,678500
1.565,70
13,047500
13,047500
1.177,17
235,434000
235,434000
1.321,27
264,254000
264,254000
60
1.219,58
20,326333
20,326333
1.367,49
22,791500
22,791500
384,56
384,560000
384,560000
457,32
457,320000
457,320000
60
1.579,88
26,331333
26,331333
1.760,22
29,337000
29,337000
30
1.691,40
56,380000
56,380000
1.881,78
62,726000
62,726000
60
2.015,15
33,585833
33,585833
2.234,67
37,244500
37,244500
60
2.841,59
47,359833
47,359833
3.135,49
52,258166
52,258166
100
354,20
3,542000
3,542000
424,23
4,242300
4,242300
42,89
42,890000
42,890000
56,10
56,100000
56,100000
368 W51832001 J05AB14
VALGANCICLOVIRUM**
VALCYTE (R) 450 mg
COMPR. FILM.
369 W12651002 J05AB15
BRIVUDINUM
BRIVAL 125mg
COMPR.
370 W42514001 J05AE01
SAQUINAVIRUM
INVIRASE 500 mg
COMPR. FILM.
371 W59955001 J05AE03
RITONAVIRUM**
NORVIR 100 mg
COMPR. FILM.
372 W55487001 J05AE03
RITONAVIRUM**
NORVIR 100 mg
COMPR. FILM.
373 W59948001 J05AE06
LOPINAVIRUM+RITONAVIRUM**
KALETRA 200mg/50mg
COMPR. FILM.
374 W43277001 J05AE06
KALETRA 200mg/50mg
COMPR. FILM.
375 W59947002 J05AE06
KALETRA 80mg/ml+20mg/ml
SOL. ORALA
376 W41772001 J05AE07
FOSAMPRENAVIRUM**
TELZIR 700mg
COMPR. FILM.
377 W41773001 J05AE07
FOSAMPRENAVIRUM**
TELZIR 50mg/ml
SUSP. ORALA
378 W14087002 J05AE08
ATAZANAVIRUM
REYATAZ 150 mg
CAPS.
379 W53181001 J05AE08
ATAZANAVIRUM
REYATAZ 300 mg
CAPS.
380 W53878001 J05AE10
DARUNAVIRUM**
PREZISTA 400mg
COMPR. FILM.
381 W53877001 J05AE10
DARUNAVIRUM**
PREZISTA 600mg
COMPR. FILM.
382 W06151002 J05AF01
ZIDOVUDINUM
RETROVIR (R)
CAPS.
383 W60312001 J05AF01
ZIDOVUDINUM
RETROVIR 10 mg/ml
SOL. ORALA
384 W10724001 J05AF02
DIDANOSINUM
VIDEX EC 250 mg
CAPS.
GASTROREZ.
250mg
BRISTOL MYERS SQUIBB

UNGARIA
KFT
CUTIE X 3 BLIST. X 10 CAPS. GASTROREZ.
S/PRF
30
421,93
14,064333
14,064333
498,05
16,601666
16,601666
385 W10725001 J05AF02
DIDANOSINUM
VIDEX EC 400 mg
CAPS.
GASTROREZ.
400mg

UNGARIA
KFT
CUTIE X 3 BLIST. X 10 CAPS. GASTROREZ.
S/PRF
30
657,08
21,902666
21,902666
754,37
25,145666
25,145666
56
487,42
8,703928
8,703928
569,44
10,168571
10,168571
56
502,69
8,976607
8,976607
586,08
10,465714
10,465714
60
319,27
5,321166
5,321166
386,16
6,436000
6,436000
386 W12057001 J05AF04
STAVUDINUM
ZERIT 30 mg
CAPS.
30mg
MAREA
BRITANIE
CUTIE X 4 BLIST. ACLAR/AL X 14 CAPS.
CUTIE X 4 BLIST. ACLAR/AL X 14 CAPS.

CUTIE CU BLIST. PVC/PVDC/AL X 60
COMPR. FILM.
387 W12056001 J05AF04
STAVUDINUM
ZERIT 40 mg
CAPS.
40mg
MAREA
BRITANIE
388 W55473003 J05AF05
LAMIVUDINUM
LAMIVUDINE TEVA PHARMA B.V. 150 mg
COMPR. FILM.
150 mg
TEVA PHARMA B.V.
Pagina 12 din 87
OLANDA
PRF/
R
PRF/
R
PRF/
R
Grupa
terapeutic
a
389 W59320003 J05AF05
Denumire generica
LAMIVUDINUM
Denumire comerciala
LAMIVUDINA AUROBINDO 150 mg
Forma farmaceutica
COMPR. FILM.
Concentratie
/ U.T.
150mg
Firma
Tara
AUROBINDO PHARMA
(MALTA) LIMITED
MALTA
Ambalaj
CUTIE CU 1 FLAC. PVC-ACLAR/AL X 60

COMPR. FILM.
390 W03923002 J05AF05
LAMIVUDINUM
EPIVIR 150mg
COMPR. FILM.
150mg
GLAXO GROUP LTD.
391 W55474002 J05AF05
LAMIVUDINUM
COMPR. FILM.
300 mg
TEVA PHARMA B.V.
OLANDA
392 W03924002 J05AF05
LAMIVUDINUM
EPIVIR 10mg/ml
SOL. ORALA
10mg/ml
GLAXO GROUP LTD.
MAREA
BRITANIE
393 W12820001 J05AF06
ABACAVIRUM
ZIAGEN 300 mg
COMPR. FILM.
300mg
GLAXO GROUP LTD.
MAREA
BRITANIE
394 W07524001 J05AF06
ABACAVIRUM
ZIAGEN 20 mg/ml
SOL. ORALA
20mg/ml
GLAXO GROUP LTD.
MAREA
BRITANIE
395 W60828015 J05AF07
TENOFOVIRUM DISOPROXIL FUMARATE
TENOFOVIR DISOPROXIL TEVA 245 mg
COMPR. FILM.
245mg
TEVA
PHARMACEUTICALS
S.R.L.
ROMANIA
396 W51800001 J05AF07
TENOFOVIRUM DISOPROXIL FUMARATE
VIREAD 245mg
COMPR. FILM.
245mg
GILEAD SCIENCE
MAREA
INTERNATIONAL LIMITED BRITANIE
397 W51482001 J05AF09
EMTRICITABINUM
EMTRIVA 200mg
CAPS.
200mg
GILEAD SCIENCE
MAREA
INTERNATIONAL LIMITED BRITANIE
CUTIE X 1 FLAC. DIN PEID X 30 CAPS.
398 W59667002 J05AG01 NEVIRAPINUM
NEVIRAPINA SANDOZ 200 mg
COMPR.
200mg
SANDOZ S.R.L.
ROMANIA
CUTIE CU BLIST. PVC/AL X 60 COMPR.
NEVIRAPINA TEVA 200mg
COMPR.
200mg
TEVA PHARMA B.V.
OLANDA
BLISTERE DIN PVC/PE/PVDC - AL X 60

COMP.
VIRAMUNE 400mg
COMPR. ELIB.
PREL.
400mg
GERMANIA
CUTIE CU UN FLACON DIN PEID X 30

COMPR. CU ELIB. PRELUNGITA
VIRAMUNE 50mg/5ml
SUSP. ORALA
50mg/5ml
CUTIE CU 1 FLAC. DIN PED CU CAPAC

CAPAC PREVAZUT CU SISTEM SECURIZAT
PR
PENTRU COPII DIN PP SI RECIPIENT CU
DESICANT, A 30 COMPR. FILM.
FILM
CUTIE X 1 FLACON PEID X 240 ML + O

GERMANIA SERINGA X 5 ML + UN DISPOZITIV DE
ADAPTARE A SERINGII LA FLACON
CUTIE X 1 FLAC. PEID X 30 COMPR. FILM.
MAREA
MERCK SHARP & DOHME
PREVAZUT CU UN SIST. DE INCHIDERE
BRITANIE
SECURIZAT PT. COPII
402 W12025001 J05AG03 EFAVIRENZUM
STOCRIN 600 mg
COMPR. FILM.
600mg
403 W53549001 J05AG04 ETRAVIRINUM
INTELENCE
COMPR.
100mg
BELGIA
CUTIE X 1 FLAC. PEID X 120 COMPR.
COMPR. FILM.
150 mg/300
TEVA PHARMA B.V.
mg
OLANDA
CUTIE CU BLIST. DIN OPA/AL/PVC X 60

COMPRIMATE FILMATE
COMPR. FILM.
150mg/300
GLAXO GROUP LTD.
mg
MAREA
BRITANIE
COMPR. FILM.

mg
(MALTA) LIMITED
MALTA

COMPR. FILM.
COMPR. FILM.
600mg/300
GLAXO GROUP LTD.
mg
MAREA
BRITANIE
404 W56750001 J05AR01

405 W02028001 J05AR01
406 W59832001 J05AR01
COMBINATII (LAMIVUDINUM+ZIDOVUDINUM)**
LAMIVUDINA/ZIDOVUDINA TEVA
COMBIVIR 150mg/300mg
LAMIVUDINA/ZIDOVUDINA AUROBINDO 150

mg/300 mg
PRF/
R
PRF/
R
PR
PRF/
R
9,293000
7,723200
30
319,27
10,642333
10,642333
386,16
12,872000
12,872000
131,82
131,820000
131,820000
160,92
160,920000
160,920000
60
787,53
13,125500
13,125500
896,56
14,942666
14,942666
209,91
209,910000
209,910000
256,26
256,260000
256,260000
30
723,56
24,118666
24,118666
826,83
27,561000
27,561000
30
1.097,01
36,567000
28,942399
1.233,89
41,129666
33,073200
25,114333
6,586000
8,208500
7,903200
PR
30
966,78
32,226000
32,226000
1.091,94
36,398000
36,398000
PR
186,84
186,840000
186,840000
228,10
228,100000
228,100000
30
67,45
2,248333
2,248333
85,28
2,842666
2,842666
120
1.947,00
16,225000
16,225000
2.160,38
18,003166
18,003166
60
677,93
11,298833
9,408000
777,10
12,951666
11,017800
60
1.026,84
17,114000
9,408000
1.157,41
19,290166
11,017800
60
470,40
7,840000
7,840000
550,89
9,181500
9,181500
30
1.328,77
44,292333
44,292333
1.486,51
49,550333
49,550333
PRF/
R
PRF/
R
PRF
PRF/
R
PR
PCUTIE X 30 COMPR. FILM.( BLIST.ALB-OPAC

RF/
PVC-PVDC/AL )
R
PCUTIE X 60 COMPR. FILM. (BLIST. OPACE
RF/
DIN PVC/ACLAR)
R
PCUTIE X, 1 FLAC. DIN PEID X 60 COMPR.
RF/
FILM.
R
CUTIE X 60 FLAC. PULB. PT. SOL. INJ. + 60 PFLAC. SOLV. + 60 SERINGI X 3 ML + 60
RF/
SERINGI X 1 ML, 180 T
R
PCUTIE X 1 FLAC. PEID X 60 COMPR.
RF/
FILMATE
R
60
1.675,67
27,927833
27,927833
1.864,63
31,077166
31,077166
60
1.675,67
27,927833
27,927833
1.864,63
31,077166
31,077166
60
6.090,78
101,513000
101,513000
6.677,11
111,285166
111,285166
60
3.480,67
58,011166
58,011166
3.832,08
63,868000
63,868000
CUTIE X 60 COMPR. FILM.( BLIST. PVC/AL)
PR
60
2.495,56
41,592666
41,592666
2.758,31
45,971833
45,971833
CUTIE X 60 COMPR. FILM.( BLIST. PVC/AL)
PR
60
2.495,56
41,592666
41,592666
2.758,31
45,971833
45,971833
30
2.832,00
94,400000
94,400000
3.125,03
104,167666
104,167666
FUZEON 90mg/ml
PULB. + SOLV. PT.

90mg/ml
SOL. INJ.
ROCHE REGISTRATION
LTD.
MAREA
BRITANIE
411 W52764001 J05AX08
RALTEGRAVIRUM
ISENTRESS 400mg
COMPR. FILM.
400 mg
MERCK SHARP & DOHME
MAREA
BRITANIE
412 W61477003 J05AX09
MARAVIROCUM
CELSENTRI 150mg
COMPR. FILM.
150mg
413 W61478003 J05AX09
MARAVIROCUM
CELSENTRI 300mg
COMPR. FILM.
300mg
VIIV HEALTHCARE UK
LIMITED
VIIV HEALTHCARE UK
LIMITED
MAREA
BRITANIE
MAREA
BRITANIE
414 W60635001 J05AX12
DOLUTEGRAVIRUM**
TIVICAY 50mg
COMPR. FILM.
50mg
VIIV HEALTHCARE UK
LIMITED
MAREA
BRITANIE
FLACOANE PEID X 30 COMPRIMATE

FILMATE, INCHISE CU CAPAC CU FILET DIN
PR
POLIPROPILENA SI SIGILIU CU LINIE DE
INDUCTIE CU O FATA DIN POLIETILENA
OCTAPHARMA (IP)
LIMITED
OCTAPHARMA (IP)
LIMITED
OCTAPHARMA (IP)
LIMITED
OCTAPHARMA (IP)
LIMITED
MAREA
BRITANIE
MAREA
BRITANIE
MAREA
BRITANIE
MAREA
BRITANIE

100 ML SOL. PERF.
200 ML SOL. PERF.
50 ML SOL. PERF.
20 ML SOL. PERF.
Pagina 13 din 87
557,58
492,51
ENFUVIRTIDUM**
100 mg/ml
6,385399
6,550600
410 W13961001 J05AX07
100 mg/ml
7,942333
6,947333
MAREA
BRITANIE
SOL. PERF.
476,54
416,84
300mg/150
GLAXO GROUP LTD.
mg/300mg
SOL. PERF.
60
60
COMPR. FILM.
OCTAGAM 10%
6,436000
6,586000
TRIZIVIR 300mg/150mg/300mg
OCTAGAM 10%
6,436000
25,114333
ABACAVIRUM+LAMIVUDINUM+ZIDOVUDINUM**
417 W54752002 J06BA02
386,16
395,16
409 W08336001 J05AR04
418 W54752001 J06BA02
5,321166
753,43
MAREA
BRITANIE
100 mg/ml
5,321166
5,458833
300mg/150
GLAXO GROUP LTD.
mg/300mg
100 mg/ml
319,27
21,874000
COMPR. FILM.
SOL. PERF.
60
5,458833
TRIZIVIR 300mg/150mg/300mg
SOL. PERF.
Pret de
decontare / U.T.
21,874000
ABACAVIRUM+LAMIVUDINUM+ZIDOVUDINUM**
OCTAGAM 10%
Pret cu
amanuntul
maximal / U.T.
656,22
408 W08336004 J05AR04
OCTAGAM 10%
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
327,53
KIVEXA
IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**
INTRAVASCULARA**
INTRAVASCULARA**
INTRAVASCULARA**
Pret cu ridicata
maximal / U.T.
30
ABACAVIRUM+LAMIVUDINUM**
415 W54752003 J06BA02
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
60
407 W42301001 J05AR02
416 W54752004 J06BA02
600mg/300mg
JANSSEN-CILAG
INTERNATIONAL NV
PR
PCUTIE X 1 FLAC. PEID X 60 COMPR. FILM. RF/

R
PCUTIE CU BLIST. PVC/PVDC/AL X 30
RF/
COMPR. FILM.
R
CUTIE X 1 FLACON PEID X 240ML SOL.
PORALA + 1 SERINGA DOZATOARE + 1
RF/
ADAPTOR
R
PCUTIE X 60 COMPR. FILM.
RF/
R
CUTIE X 1 FLACON PEID X 240 ML SOL.
PORALA + SERINGA DOZATOARE PP X 10 ML RF/
+ ADAPTOR PE
R
MAREA
BRITANIE
BOEHRINGER
INGELHEIM
INTERNATIONAL GMBH
BOEHRINGER
INGELHEIM
INTERNATIONAL GMBH
Prescriptie
Nr.c
Cod CIM
rt
1.714,69
1.714,690000
1.714,690000
1.907,17
1.907,170000
1.907,170000
3.437,56
3.437,560000
3.437,560000
3.785,10
3.785,100000
3.785,100000
881,87
881,870000
881,870000
999,39
999,390000
999,390000
379,02
379,020000
379,020000
451,28
451,280000
451,280000
Grupa
terapeutic
a
419 W51530003 J06BA02

420 W51530004 J06BA02
421 W51530006 J06BA02
422 W51530005 J06BA02
423 W51530001 J06BA02
Denumire generica

INTRAVASCULARA**
INTRAVASCULARA**
INTRAVASCULARA**
INTRAVASCULARA**
INTRAVASCULARA**
Denumire comerciala
Forma farmaceutica
Concentratie
/ U.T.
Firma
KIOVIG 100mg/ml
SOL. PERF.
100mg/ml
BAXTER AG
AUSTRIA
KIOVIG 100mg/ml
SOL. PERF.
100mg/ml
BAXTER AG
AUSTRIA
KIOVIG 100mg/ml
SOL. PERF.
100mg/ml
BAXTER AG
AUSTRIA
KIOVIG 100mg/ml
SOL. PERF.
100mg/ml
BAXTER AG
AUSTRIA
KIOVIG 100mg/ml
SOL. PERF.
100mg/ml
BAXTER AG
AUSTRIA
437 W51424001 L03AA02
438 W51423001 L03AA02
PALIVIZUMABUM**
FILGRASTIMUM (G-CSF)**
6.097,460000
4.203,430000
197,39
197,390000
197,390000
240,98
240,980000
240,980000
KEDRION SPA
ITALIA
CUTIE X 1 FLAC. DIN STICLA INCOLORA X

50 ML SOL. PERF. + 1 SET ADMINISTRARE
393,75
393,750000
393,750000
467,34
467,340000
467,340000
CUTIE CU 1 FLAC. DIN STICLA A 100 ML

SOL. PERF.
CUTIE CU 1 FLAC. DIN STICLA A 20 ML SOL.
PERF.
SOL. PERF.
PERF.
PR
F
PR
F
PR
F
PR
F
CUTIE X 1 FLAC. X 10 ML SOL. PERF.
50g/l
BIOTEST PHARMA GMBH GERMANIA

INTRATECT 50 g/l
SOL. PERF.
50g/l
INTRATECT 50 g/l
SOL. PERF.
50g/l
FLEBOGAMMADIF 50mg/ml
SOL. PERF.
50mg/ml
INSTITUTO GRIFOLS S.A. SPANIA
OCTAGAM
SOL. PERF.
50mg/ml
OCTAPHARMA (IP) LTD.
OCTAGAM
SOL. PERF.
50mg/ml
OCTAGAM
SOL. PERF.
50mg/ml
MAREA
BRITANIE
MAREA
BRITANIE
MAREA
BRITANIE
999,680000
228,870000
1.734,28
1.734,280000
1.734,280000
1.928,52
1.928,520000
1.928,520000
456,06
456,060000
456,060000
535,26
535,260000
535,260000
102,55
102,550000
102,550000
125,19
125,190000
125,190000
465,59
465,590000
465,590000
545,64
545,640000
545,640000
1.772,34
1.772,340000
1.772,340000
1.970,00
1.970,000000
1.970,000000
882,13
882,130000
882,130000
999,67
999,670000
999,670000
KEDRION SPA
ITALIA
757,50
757,500000
757,500000
863,83
863,830000
863,830000
ABBVIE LTD
MAIDENHEAD
MAREA
BRITANIE
CUTIE X 1 FLAC. PULB. PT. SOL. INJ. +

FIOLA X 1 ML SOLV.
PRF
1.853,66
1.853,660000
1.853,660000
2.058,64
2.058,640000
2.058,640000
OLANDA
CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5

ML
S/PRF
267,05
267,050000
194,520000
326,02
326,020000
237,468000
OLANDA

ML
S/PRF
436,57
436,570000
313,092000
514,01
514,010000
382,224000
162,10
162,100000
162,100000
197,89
197,890000
197,890000
48MU/0,5ml AMGEN EUROPE B.V.
SANDOZ GMBH
AUSTRIA
SANDOZ GMBH
AUSTRIA
PCUTIE X 1 SERINGA PREUMPLUTA X 0,5ML

RF/
SOL
R
RF/
SOL
R
CUTIE X 5 SERINGI PREUMPLUTE (STICLA) PX 0,2ML SOL. INJ. SAU PERF.
RF
ZARZIO 48MU/0,5ml
NIVESTIM 12 MU/0,2ml
SOL. INJ./PERF.
120g/0,2ml HOSPIRA UK LIMITED
MAREA
BRITANIE
442 W53520001 L03AA02
TEVAGRASTIM 30MUI/0,5ml
SOL. INJ./PERF.
300mcg/0,5
TEVA GENERICS GMBH
ml
GERMANIA
443 W55757002 L03AA02
NIVESTIM 30 MU/0,5 ml
SOL. INJ./PERF.
MAREA
BRITANIE
480mcg/0,8
TEVA GENERICS GMBH
ml
S/PCUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML

RF/
GERMANIA
SOL. INJ. SAU PERF.
R
SOL. INJ./PERF.
446 W54015001 P01BC02 MEFLOQUINUM4)
ELOQUINE 250 mg
COMPR.
250mg
CN UNIFARM
MAREA
BRITANIE
ROMANIA
447 W12757001 S01AA23 NETILMICINUM
NETTACIN (R)
PIC. OFT., SOL
0,3%
S.I.F.I. SPA
ITALIA
NETTACIN (R)
PICATURI OFT.SOL.
0,3%
S.I.F.I. SPA
ITALIA
999,680000
228,870000
441 W55756002 L03AA02
445 W55758002 L03AA02
999,68
228,87
440 W53893001 L03AA02
SOL. INJ./PERF.
882,140000
187,480000
ZARZIO 30MU/0,5ml
882,140000
187,480000
882,14
187,48
439 W53892001 L03AA02
444 W53523001 L03AA02
1
1

S
SOL. INJ. /PERF. IN

SERINGA
60MU/ml
PREUMPLUTA
SOL. INJ. /PERF. IN
SERINGA
96MU/ml
PREUMPLUTA
6.097,460000
4.203,430000
50g/l
SOL. INJ.
6.097,46
4.203,43

SOL. PERF.
NEUPOGEN (R)
5.558,990000
3.821,350000
ITALIA
SOL. PERF.
SOL. INJ.
5.558,990000
3.821,350000
KEDRION SPA
INTRATECT 50 g/l
NEUPOGEN (R)
5.558,99
3.821,35
1.656,800000
INTRATECT 50 g/l
SYNAGIS 50 mg
1
1
1.656,800000
2,5g/50ml
436 W59944001 J06BB16
S
S
1.656,80
SOL. PERF.
5g/100ml
1.036,596000
1.988,160000
1.485,000000
IG VENA 2,5g/50ml
PULB. + SOLV. PT.

50mg
SOL. INJ.
1.046,890000
2.063,100000
1.485,000000

INTRAVASCULARA**
SOL. PERF.
1.046,89
2.063,10
1.485,00
426 W43963001 J06BA02
IG VENA 5g/100ml
909,000000
1.782,000000
1g/20ml
435 W43964001 J06BA02
925,450000
1.857,750000
ITALIA
SOL. PERF.

INTRAVASCULARA**
925,45
1.857,75
246,920000
IG VENA 1g/20ml
434 W13462002 J06BA02
1
1
246,920000

INTRAVASCULARA**
433 W13462003 J06BA02
S
S
246,92
425 W43962001 J06BA02
432 W13462001 J06BA02
Pret de
decontare / U.T.
202,260000
KEDRION SPA
431 W52560001 J06BA02
Pret cu
amanuntul
maximal / U.T.
202,260000
10g/200ml
429 W59114004 J06BA02
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
202,26
SOL. PERF.
430 W59114002 J06BA02
Pret cu ridicata
maximal / U.T.
IG VENA 10g/200ml
427 W59114003 J06BA02
CUTIE X 1 FLAC X 50ML SOL.

PERF.(5G/50ML)
PERF.(10G/100ML)
PERF.(30G/300ML)
PERF.(20G/200ML)
PERF.(1G/10ML)
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
424 W43965001 J06BA02
428 W59114001 J06BA02
Ambalaj

S

INTRAVASCULARA**

INTRAVASCULARA**
INTRAVASCULARA**
INTRAVASCULARA**
INTRAVASCULARA**
INTRAVASCULARA**
INTRAVASCULARA**
INTRAVASCULARA**
INTRAVASCULARA**
Tara
Prescriptie
Nr.c
Cod CIM
rt
NETTAVISC 3mg/g
UNG. OFT.
3mg/g
S.I.F.I. SPA
450 W55950001 S01BA01 DEXAMETHASONUM
OZURDEX
IMPLANT
ALLERGAN
700
PHARMACEUTICALS
micrograme
IRELAND
DEXAMETAZONA ROMPHARM 1mg/ml
PIC. OFT. SUSP.
1mg/ml
PIC. OFT. SUSP.
1mg/ml
ROMPHARM COMPANY
SRL
ROMPHARM COMPANY
SRL
Pagina 14 din 87
ITALIA
IRLANDA
ROMANIA
ROMANIA
260,91
260,910000
260,910000
318,52
318,520000
318,520000
418,45
83,690000
83,690000
494,26
98,852000
98,852000
S/PCUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML

RF/
SOL. INJ. SAU PERF.
R
214,16
214,160000
194,520000
261,45
261,450000
237,468000
CUTIE X 5 SERINGI PREUMPLUTE (STICLA) PX 0,5 ML SOL. INJ. SAU PERF.

RF
1.001,12
200,224000
194,520000
1.129,37
225,874000
225,874000
355,90
355,900000
313,092000
426,08
426,080000
382,224000
368,704000

RF
X
PCUTIE X 1 FLACON X 5ML
RF
CUTIE X 3 FOLII TERMOSUDATE X 5
PFLACOANE UNIDOZA DIN POLIETILENA X
RF
0,3 ML
CUTIE X 1 TUB DIN AL X 5 G UNGUENT
OFTALMIC, PREV. CU APLICATOR
CUTIE X 1 IMPLANT STERIL DE TIP
FILAMENT CU ELIBERARE PRELUNGITA X
700MCG DEXAMETAZONA DISPUS IN ACUL
(OTEL INOXIDABIL) UNUI APLICATOR DE
UNICA FOLOSINTA
CUTIE X 1 FLAC. DIN PEID X 10 ML PIC.
OFT., SUSPENSIE
CUTIE X 1 FLAC. DIN PEID X 5 ML PIC. OFT.,
SUSPENSIE
1.656,30
331,260000
313,092000
1.843,52
368,704000
100
140,58
1,405800
1,405800
171,62
1,716200
1,716200
10,49
10,490000
10,490000
14,18
14,180000
14,180000
15
21,41
1,427333
1,427333
28,94
1,929333
1,929333
PRF
24,05
24,050000
12,588000
32,50
32,500000
17,016000
PRF
4.694,69
4.694,690000
4.694,690000
5.155,37
5.155,370000
5.155,370000
PRF
PRF
7,49
7,490000
7,490000
10,12
10,120000
10,120000
4,11
4,110000
4,110000
5,55
5,550000
5,550000
Grupa
terapeutic
a
Denumire generica
Denumire comerciala
MAXIDEX (R)
454 W51513001 S03AAN2 NORFLOXACINUM
NORFLOX
Forma farmaceutica
PICATURI OFT.SUSP.
PICATURI
OFT./AURIC.-SOL.
Concentratie
/ U.T.
Firma
Tara
0,1%
ALCON COUVREUR NV
BELGIA
0,3%
CIPLA (UK) LIMITED
MAREA
BRITANIE
Ambalaj
Prescriptie
Nr.c
Cod CIM
rt
CUTIE X 1 FLACON PICURATOR DIN PE X 5 PML

RF
PRF
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
Pret cu ridicata
maximal / U.T.
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
Pret cu
amanuntul
maximal / U.T.
Pret de
decontare / U.T.
6,33
6,330000
4,932000
8,55
8,550000
6,660000
3,52
3,520000
3,520000
4,76
4,760000
4,760000
CUTIE X 1 FLACON DIN PE X 20 COMPR.
6,74
0,337000
0,337000
9,11
0,455500
0,455500
CUTIE X 1 FLAC. DIN PE X 20 COMPR.
6,74
0,337000
0,337000
9,11
0,455500
0,455500
7,65
1,530000
1,530000
10,34
2,068000
2,068000
5,16
1,032000
1,032000
6,98
1,396000
1,396000
44,43
0,044430
0,044430
58,12
0,058120
0,058120
1,94
0,064666
0,053316
2,62
0,087333
0,069744
2,74
0,091333
0,053316
3,71
0,123666
0,069744
1,90
0,095000
0,053316
2,57
0,128500
0,069744
CUTIE X 1 FLACON PEJD X 5 ML

B) SUBPROGRAMUL DE TRATAMENT AL BOLNAVILOR CU TUBERCULOZA
1 W42822001 A11HA02 PYRIDOXINUM
VITAMINA B6 250 mg
COMPR.
250 mg
ARENA GROUP SA
ROMANIA
VITAMINA B6 ZENTIVA 250 mg
COMPR.
250mg
ZENTIVA SA
ROMANIA
VITAMINA B6 ZENTIVA 250 mg/5 ml
SOL. INJ.
250mg/5ml ZENTIVA SA
ROMANIA
VITAMINA B6 ZENTIVA 50 mg/2ml
SOL. INJ.
50mg/2ml
ZENTIVA SA
ROMANIA
5 W12565003 H02AB07 PREDNISONUM
PREDNISON ARENA 5 mg
COMPR.
5mg
ARENA GROUP SA
ROMANIA
COMPR.
5mg
ARENA GROUP SA
ROMANIA
PREDNISON 5 mg
COMPR.
5mg
SINTOFARM SA
ROMANIA
PREDNISON - RICHTER 5 mg
COMPR.
5mg
GEDEON RICHTER
ROMANIA SA
ROMANIA
MAGISTRA C&C S.R.L.
ROMANIA
PREDNISON MCC 5 mg
COMPR.
5mg
10 W58242002 J01FA09
CLARITHROMYCINUM
CLAXIRIT 500 mg
COMPR. CU ELIB.
PREL.
500mg
11 W59000002 J01FA09
CLARITHROMYCINUM
COMPR. ELIB.
PREL.
500mg
12 W08490001 J01FA09
CLARITHROMYCINUM
FROMILID 250
COMPR. FILM.
250mg
13 W44093001 J01FA09
CLARITHROMYCINUM
KLABAX 250 mg
COMPR. FILM.
250mg
14 W58998015 J01FA09
CLARITHROMYCINUM
COMPR. FILM.
250mg
ACTAVIS GROUP PTC

EHF.
TEVA
PHARMACEUTICALS
S.R.L.
ISLANDA
ROMANIA
CLARITHROMYCINUM
KLACID (R)
COMPR. FILM.
250mg
ABBOTT SPA
ITALIA
16 W14043001 J01FA09
CLARITHROMYCINUM
KLERIMED (R) 250
COMPR. FILM.
250mg
MEDOCHEMIE LTD.
CIPRU
17 W61223003 J01FA09
CLARITHROMYCINUM
COMPR. FILM.
250mg
AUROBINDO PHARMA
(MALTA) LIMITED
MALTA
18 W60253004 J01FA09
CLARITHROMYCINUM
LEKOKLAR 250 mg
COMPR. FILM.
250mg
SANDOZ S.R.L.
ROMANIA
19 W44087001 J01FA09
CLARITHROMYCINUM
KLABAX 500 mg
COMPR. FILM.
500mg
TERAPIA SA
ROMANIA
20 W58999014 J01FA09
CLARITHROMYCINUM
COMPR. FILM.
500mg
TEVA
PHARMACEUTICALS
S.R.L.
ROMANIA
CLARITHROMYCINUM
FROMILID 500
COMPR. FILM.
500mg
22 W60254003 J01FA09
CLARITHROMYCINUM
LEKOKLAR 500 mg
COMPR. FILM.
500mg
23 W54044001 J01FA09
CLARITHROMYCINUM
ROCLARIN 500 mg
COMPR. FILM.
500mg
24 W56269001 J01FA09
CLARITHROMYCINUM
CLAR 500
COMPR. FILM.
500mg
25 W61224003 J01FA09
CLARITHROMYCINUM
COMPR. FILM.
500mg
26 W14044001 J01FA09
CLARITHROMYCINUM
KLERIMED (R) 500
COMPR. FILM.
500mg
27 W44088001 J01FA09
CLARITHROMYCINUM
KLABAX MR 500 mg
28 W13607002 J01FA09
CLARITHROMYCINUM
KLACID SR
29 W41838002 J01FA09
CLARITHROMYCINUM
FROMILID (R) UNO
30 W42258001 J01FA09
CLARITHROMYCINUM
31 W44092001 J01FA09
CLARITHROMYCINUM
COMPR. FILM. ELIB.

500mg
MODIF.
COMPR. FILM. ELIB.
500mg
PREL.
COMPR. FILM. ELIB.
500mg
PREL.
GRAN. PT. SUSP.
ORALA
125mg/5ml
KLABAX 125 mg/5 ml
GRAN. PT. SUSP.

ORALA
125mg/5ml
125mg/5ml
125mg/5ml
32 W01327001 J01FA09
CLARITHROMYCINUM
KLACID (R)
GRAN. PT. SUSP.

ORALA
33 W01327002 J01FA09
CLARITHROMYCINUM
KLACID (R)
GRAN. PT. SUSP.

ORALA
34 W06981001 J01FA09
CLARITHROMYCINUM
35 W44091002 J01FA09
CLARITHROMYCINUM
KLABAX 250 mg/5 ml
GRAN. PT. SUSP.

ORALA
GRAN. PT. SUSP.
ORALA

ELIB. PREL.
F
CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. PKRKA D.D. NOVO MESTO SLOVENIA

FILM.
RF
PTERAPIA SA
ROMANIA
COMPR. FILM.
RF
TEVA
PR
PHARMACEUTICALS
ROMANIA
COMPR. FILM. (AMBALAJ TIP CALENDAR) F
S.R.L.
15 W01326002 J01FA09
21 W08491001 J01FA09
P20
6L
P20
6L
CUTIE X 5 FIOLE DIN STICLA INCOLORA CU P5
INEL DE RUPERE X 5 ML SOL. INJ.
RF
CUTIE X 5 FIOLE DIN STICLA INCOLORA CU P5
INEL DE RUPERE X 2 ML SOL. INJ.
RF
PCUTIE X 100 BLIST. AL/PVC X 10 COMPR.
RF/ 1.000
S
30
RF
30
RF
PCUTIE X 2 BLIST. AL./PVC X 10 COMPR.
20
RF
20
RF
PR
7
F

RF
RF
PR
COMPR. FILM.
F
PR
COMPR. FILM.
F
PCOMPR. FILM.
RF
PR
F
CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. PKRKA D.D. NOVO MESTO SLOVENIA

FILM.
RF
PR
SANDOZ S.R.L.
ROMANIA
COMPR. FILM.
F
ANTIBIOTICE S.A.
ROMANIA
FILM.
RF
GLENMARK
REPUBLICA
PPHARMACEUTICALS
CEHA
RF
S.R.O.
AUROBINDO PHARMA
PR
MALTA
(MALTA) LIMITED
COMPR. FILM.
F
CUTIE X 2 BLIST. AL/PVC-PVDC X 7 COMPR. PMEDOCHEMIE LTD.
CIPRU
FILM.
RF
CUTIE X 1 BLIST. PVC/PVDC-AL X 7 COMPR. PTERAPIA SA
ROMANIA
FILM. ELIB. PREL.
RF
CUTIE X 1 BLIST. PVC-PVDC/AL X 5 COMPR. PLTD.
BRITANIE FILM. ELIB. PREL.
RF
CUTIE X 1 BLIST. PVC-PVDC/AL X 7 COMPR. PKRKA D.D.
SLOVENIA
FILM. ELIB. PREL.
RF
PSANDOZ SRL
ROMANIA PT. 60 ML SUSP. ORALA + LINGURITA
RF
DOZATOARE PP
CUTIE X 1 FLAC. DIN PEID X 42 G GRAN. PT. PTERAPIA SA
ROMANIA
60 ML SUSP . ORALA
RF
PABBOTT SPA
ITALIA
RF
PABBOTT SPA
ITALIA
RF
125mg/5ml KRKA D.D.

Pagina 15 din 87

RF
ML SUSP . ORALA
RF
1,96
0,098000
0,053316
2,65
0,132500
0,069744
23,71
3,387142
1,405714
32,05
4,578571
1,899428
21,73
3,621666
1,405714
29,37
4,895000
1,899428
14
12,35
0,882142
0,647142
16,69
1,192142
0,874285
14
10,85
0,775000
0,647142
14,67
1,047857
0,874285
14
8,39
0,599285
0,599285
11,34
0,810000
0,810000
14
21,14
1,510000
0,647142
28,57
2,040714
0,874285
14
12,35
0,882142
0,647142
16,69
1,192142
0,874285
14
7,55
0,539285
0,539285
10,20
0,728571
0,728571
14
8,40
0,600000
0,600000
11,36
0,811428
0,811428
14
23,73
1,695000
1,405714
32,08
2,291428
1,899428
14
18,22
1,301428
1,301428
24,62
1,758571
1,758571
14
24,13
1,723571
1,405714
32,62
2,330000
1,899428
14
24,13
1,723571
1,405714
32,62
2,330000
1,899428
20
33,14
1,657000
1,405714
43,35
2,167500
1,899428
20
40,76
2,038000
1,405714
53,31
2,665500
1,899428
14
16,40
1,171428
1,171428
22,16
1,582857
1,582857
14
24,13
1,723571
1,405714
32,62
2,330000
1,899428
25,34
3,620000
1,405714
33,15
4,735714
1,899428
27,85
5,570000
1,405714
36,43
7,286000
1,899428
20,78
2,968571
1,405714
28,09
4,012857
1,899428
19,39
19,390000
16,812000
26,21
26,210000
22,728000
14,01
14,010000
14,010000
18,94
18,940000
18,940000
29,92
29,920000
29,920000
39,14
39,140000
39,140000
18,11
18,110000
16,812000
24,48
24,480000
22,728000
17,24
17,240000
16,812000
23,30
23,300000
22,728000
39,06
39,060000
39,060000
51,09
51,090000
51,090000
Grupa
terapeutic
a
Denumire generica
Denumire comerciala
Forma farmaceutica
Concentratie
/ U.T.
Firma
Tara
36 W58393002 J01FA09
CLARITHROMYCINUM
GRAN. PT. SUSP.

ORALA
ROMANIA
37 W44091001 J01FA09
CLARITHROMYCINUM
KLABAX 250 mg/5 ml
GRAN. PT. SUSP.

ORALA
ROMANIA
KLACID I.V.
LIOF. PT. SOL.

PERF.
38 W01329001 J01FA09
CLARITHROMYCINUM
500mg
ABBOTT LABORATORIES
FRANTA
LTD.
39 W57336001 J01GA01 STREPTOMYCINUM
STREPTOMICINA SULFAT BP
ANTIBIOTICE S.A.
ROMANIA
STREVITAL 1 g
ANTIBIOTICE SA
ROMANIA
STREVITAL 1 g
ANTIBIOTICE SA
ROMANIA
42 W08827001 J01GB04 KANAMYCINUM
PAN - KANAMYCINE
LAB. PANPHARMA
FRANTA
43 W53277001 J01GB06 AMIKACINUM
AMIKOZIT (R) 500 mg/2 ml
SOL. INJ.
500mg/2ml ZENTIVA S.A.
ROMANIA
OFLOXIN 200
COMPR. FILM.
200mg
ZENTIVA K.S.
CEHIA
ZANOCIN
COMPR. FILM.
200mg
RANBAXY UK LIMITED
MAREA
BRITANIE
COMPR. FILM.
100mg
ARENA GROUP S.A.
ROMANIA
COMPR. FILM.
100mg
ARENA GROUP S.A.
ROMANIA
CIPRINOL 250 mg
COMPR. FILM.
250mg
CIPROCIN 250 mg
COMPR. FILM.
250mg
ROMANIA
COMPR. FILM.
250mg
ARENA GROUP S.A.
ROMANIA
ROMANIA
CUMINOL 250 mg
COMPR. FILM.
250mg
GEDEON RICHTER
ROMANIA SA
COMPR. FILM.
250mg
ARENA GROUP S.A.
ROMANIA
CIFRAN
COMPR. FILM.
250mg
RANBAXY UK LIMITED
MAREA
BRITANIE
CIPROLEN (R) 250 mg
COMPR. FILM.
250mg
AC HELCOR SRL
ROMANIA
CUMINOL 250 mg
COMPR. FILM.
250mg
GEDEON RICHTER
ROMANIA SA
ROMANIA
CIPROCIN 500 mg
COMPR. FILM.
500mg
ROMANIA
COMPR. FILM.
500mg
ARENA GROUP S.A.
ROMANIA
CIPRINOL 500 mg
COMPR. FILM.
500mg
CUMINOL 500 mg
COMPR. FILM.
500mg
GEDEON RICHTER
ROMANIA SA
ROMANIA
COMPR. FILM.
500mg
ARENA GROUP S.A.
ROMANIA
CIPRO QUIN (R)
COMPR. FILM.
500mg
ANTIBIOTICE SA
ROMANIA
CIFRAN
COMPR. FILM.
500mg
RANBAXY UK LIMITED
MAREA
BRITANIE
CIPROLEN (R) 500 mg
COMPR. FILM.
500mg
AC HELCOR SRL
ROMANIA
COMPR. FILM.
750mg
ARENA GROUP S.A.
ROMANIA
CIPRINOL 750 mg
COMPR. FILM.
750mg
CIPROBAY XR 1000 mg
CIPROBAY XR 500 mg
COMPR. FILM. ELIB.

1000 mg
BAYER PHARMA AG
PREL.
COMPR. FILM. ELIB.
500 mg
BAYER PHARMA AG
PREL.
CONC. PT. SOL.
100mg/10m
KRKA D.D.
PERF.
l
GERMANIA
GERMANIA
Ambalaj

CUTIE X 1 FLAC. PEID X 42 G GRAN. PT. 60
ML SUSP . ORALA
Prescriptie
Nr.c
Cod CIM
rt
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
Pret cu ridicata
maximal / U.T.
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
Pret cu
amanuntul
maximal / U.T.
Pret de
decontare / U.T.
PR
F
21,29
21,290000
21,290000
28,78
28,780000
28,780000
PRF
23,44
23,440000
23,440000
31,68
31,680000
31,680000
S/PRF
41,12
41,120000
41,120000
53,78
53,780000
53,780000
CUTIE X 50 FL.PULB.PT. SOL.INJ. A 1 G
PR
F
CUTIE X 100 FLAC. DIN STICLA CONTINAND

S
PULB. PT. SOL. INJ.
CUTIE X 50 FLAC. DIN STICLA CONTINAND
S
PULB. PT. SOL. INJ.
PCUTIE X 50 FLAC. X 1 G
RF/
S
PCUTIE X 1 FLACON DIN STICLA X 2 ML
RF
PFILM.
RF
PFILM.
RF
PFILM.
RF
PFILM.
RF
PCOMPR. FILM.
RF
PCOMPR. FILM.
RF
PFILM.
RF
PFILM.
RF
PFILM.
RF
PCOMPR. FILM.
RF
PFILM.
RF
FILM.
RF
RF
PFILM.
RF
PCOMPR. FILM.
RF
PFILM.
RF
PFILM.
RF
PFILM.
RF
PCOMPR. FILM.
RF
PFILM.
RF
PFILM.
RF
PCOMPR. FILM.
RF
PFILM. ELIB. PREL.
RF
PFILM. ELIB. PREL.
RF
CIPRINOL (R)
CIPROFLOXACINA ZENTIVA 10 mg/ml
CONC. PT. SOL.

PERF.
100mg/10m
ZENTIVA S.A.
l
ROMANIA
CIPRINOL (R)
CONC. PT. SOL.

PERF.
100mg/10m
KRKA D.D.
l
CIPRINOL
CIPRINOL
2,794400
2,794400
170,57
3,411400
3,411400
2,779100
2,779100
339,27
3,392700
3,392700
50
139,72
2,794400
2,794400
170,57
3,411400
3,411400
50
81,11
1,622200
1,622200
102,56
2,051200
2,051200
5,15
5,150000
5,150000
6,96
6,960000
6,960000
10
14,81
1,481000
1,008000
20,02
2,002000
1,363200
10
8,40
0,840000
0,840000
11,36
1,136000
1,136000
10
28,52
2,852000
2,852000
37,31
3,731000
3,731000
20
51,89
2,594500
2,594500
65,61
3,280500
3,280500
10
5,05
0,505000
0,505000
6,83
0,683000
0,683000
10
5,05
0,505000
0,505000
6,83
0,683000
0,683000
10
4,85
0,485000
0,485000
6,56
0,656000
0,656000
20
9,10
0,455000
0,455000
12,30
0,615000
0,615000
20
9,10
0,455000
0,455000
12,30
0,615000
0,615000
10
5,13
0,513000
0,513000
6,93
0,693000
0,693000
10
5,05
0,505000
0,505000
6,83
0,683000
0,683000
10
5,05
0,505000
0,505000
6,83
0,683000
0,683000
10
9,78
0,978000
0,729600
13,22
1,322000
0,985800
10
6,83
0,683000
0,683000
9,23
0,923000
0,923000
10
9,78
0,978000
0,729600
13,22
1,322000
0,985800
10
9,78
0,978000
0,729600
13,22
1,322000
0,985800
20
12,16
0,608000
0,608000
16,43
0,821500
0,821500
10
9,78
0,978000
0,729600
13,22
1,322000
0,985800
10
6,50
0,650000
0,650000
8,78
0,878000
0,878000
10
9,78
0,978000
0,729600
13,22
1,322000
0,985800
10
28,52
2,852000
2,852000
37,31
3,731000
3,731000
10
29,43
2,943000
2,943000
38,50
3,850000
3,850000
66,99
9,570000
9,570000
84,70
12,100000
12,100000
20,44
6,813333
0,729600
27,63
9,210000
0,985800
50
111,86
2,237200
2,237200
136,56
2,731200
2,731200
12,42
2,484000
2,484000
16,79
3,358000
3,277440
S/PRF
12,42
2,484000
2,484000
16,79
3,358000
3,277440
SOL. PERF.
100mg/50m
CUTIE X 1 FLACON DIN STICLA INCOLORA S/PKRKA D.D. NOVO MESTO SLOVENIA
RF
l
X 50 ML SOL. PERF.
3,54
3,540000
2,684640
4,79
4,790000
3,277440
SOL. PERF.
200mg/100
CUTIE X 1 FLACON, DIN STICLA INCOLORA S/PKRKA D.D. NOVO MESTO SLOVENIA
RF
ml
X 100 ML SOL. PERF.
7,09
7,090000
7,090000
9,58
9,580000
9,260640
CUTIE X 5 FIOLE DIN STICLA INCOLORA

PREVAZUTE CU INEL DE RUPERE X 10 ML
139,72
277,91
S/PRF
Pagina 16 din 87
50
100
Grupa
terapeutic
a
Denumire generica
Denumire comerciala
Forma farmaceutica
Concentratie
/ U.T.
Firma
Tara
SOL. PERF.
2mg/ml
INFOMED FLUIDS SRL
ROMANIA
SOL. PERF.
2mg/ml
INFOMED FLUIDS SRL
ROMANIA
CIPRO INF 2 mg/ml
SOL. PERF.
2mg/ml
INFOMED FLUIDS SRL
ROMANIA
CIPRO INF 2 mg/ml
SOL. PERF.
2mg/ml
INFOMED FLUIDS SRL
CIPRO INF 2 mg/ml
SOL. PERF.
2mg/ml
CIPRO INF 2 mg/ml
SOL. PERF.
2mg/ml
CIPRINOL (R)
SOL. PERF.
400mg/200
KRKA D.D.
ml
COMPR. FILM.
400mg
MOFIL 400 mg
COMPR. FILM.
400mg
67,20
6,720000
6,720000
84,97
8,497000
8,497000
12,650000
12,650000
154,43
15,443000
15,443000

PR
10
67,20
6,720000
6,720000
84,97
8,497000
8,497000
ROMANIA

PR
50
319,00
6,380000
6,380000
385,86
7,717200
7,717200
INFOMED FLUIDS SRL
ROMANIA

PR
10
126,50
12,650000
12,650000
154,43
15,443000
15,443000
INFOMED FLUIDS SRL
ROMANIA

PR
30
372,00
12,400000
12,400000
443,63
14,787666
14,787666
14,29
14,290000
14,290000
19,31
19,310000
17,745199
AUROBINDO PHARMA
(MALTA) LIMITED
ACTAVIS GROUP PTC
EHF.
KRKA, D.D., NOVO
MESTO
COMPR. FILM.
400mg
400mg
BAYER PHARMA AG
MOFINACIN 400 mg
COMPR. FILM.
400mg
SOL. PERF.
400mg/250
BAYER PHARMA AG
ml
SOL. PERF.

ml
ROMANIA SRL
CICLOSERINUM
HELPOCERIN
CAPS.
250mg
Pret de
decontare / U.T.
126,50
COMPR. FILM.
87 W08238001 J04AB01
Pret cu
amanuntul
maximal / U.T.
10
MOFLAXA 400 mg
MOXIFLOXACINA KABI 400 mg/250 ml
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
10
AVELOX 400 mg
Pret cu ridicata
maximal / U.T.
AVELOX 400 mg/250 ml

100ML
200ML
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
Ambalaj
Prescriptie
Nr.c
Cod CIM
rt
S/PRF

MALTA
FILM.
F
CUTIE CU BLIST. PA/AL/PVC-AL X 5 COMPR. PR
ISLANDA
FILM.
F
CUTIE CU BLISTERE DIN OPA-AL-PVC/AL
PR
SLOVENIA
CONAINND 5 COMPRIMATE FILMATE
F
CUTIE X 1 BLIST. TRANSPARENT PP/AL X 5 PGERMANIA
COMPR. FILM.
RF
LUXEMBUR CUTIE CU BLIST. OPA-AL-PVC/AL X 5
PR
G
COMPR. FILM
F
GERMANIA CUTIE X 5 FLACOANE DIN STICLA X 250 ML S
ROMANIA
HELP
GRECIA
PHARMACEUTICALS LTD.
30,78
6,156000
6,156000
40,26
8,052000
8,052000
35,34
7,068000
7,068000
46,22
9,244000
9,244000
38,76
7,752000
7,387200
50,70
10,140000
9,662400
58,59
11,718000
7,387200
74,08
14,816000
9,662400
42,18
8,436000
7,387200
55,17
11,034000
9,662400
594,69
118,938000
98,640000
686,36
137,272000
124,728000
CUTIE CU 1 FLAC. PEJD (KABIPACK) A 250

ML SOL. PERF. (400 MG MOXIFLOXACINA)
PR
82,20
82,200000
82,200000
103,94
103,940000
103,940000
S/PRF
50
190,37
3,807400
3,807400
232,40
4,648000
4,648000
P100
RF
S
1.000
S
1.000
425,06
4,250600
4,250600
501,47
5,014700
5,014700
163,52
530,00
0,163520
0,530000
0,163520
0,530000
199,62
615,85
0,199620
0,615850
0,199620
0,615850
0,106333
0,106333
194,72
0,129813
0,129813
88 W52079002 J04AB01
CICLOSERINUM
CICLOSERINA ANTIBIOTICE 250 mg
CAPS.
250mg
ANTIBIOTICE S.A.
ROMANIA
89 W41998002 J04AB02
90 W41999002 J04AB02
RIFAMPICINUM
RIFAMPICINUM
SINERDOL 150 mg
SINERDOL 300 mg
CAPS.
CAPS.
150mg
300mg
ANTIBIOTICE SA
ANTIBIOTICE SA
ROMANIA
ROMANIA
CUTIE X 10 FOLII TERMOSUDATE DIN AL/AL

X 10 CAPS.
91 W58576002 J04AC01
ISONIAZIDUM
COMPR.
100mg
ANTIBIOTICE S.A.
ROMANIA
159,50
ROMANIA
S/P1.500
RF
395,00
0,263333
0,263333
468,70
0,312466
0,312466
ROMANIA
ROMANIA
CUTIE X 1 FLAC. X 200 ML SIROP

CUTIE CU 10 FIOLE A 5ML
CUTIE X 10 BLISTERE X 10 COMPRIMATE
FILMATE
29,01
14,16
29,010000
1,416000
29,010000
1,416000
37,95
19,14
37,950000
1,914000
37,950000
1,914000
92 W58577002 J04AC01
ISONIAZIDUM
COMPR.
300mg
93 W60582001 J04AC01
94 W60594001 J04AC01
ISONIAZIDUM
ISONIAZIDUM
ISONIAZID
BITUB
SIROP
SOL INJ.
100mg/5ml CN UNIFARM S.A.

100mg/ml
CN UNIFARM S.A.
95 W55916001 J04AD01
PROTIONAMIDUM
PETEHA 250 mg
COMPR. FILM.
250 mg
ANTIBIOTICE SA
ROMANIA
96 W60213002 J04AK01
PYRAZINAMIDUM
PIRAZINAMIDA ATB 500 mg
COMPR.
500mg
ANTIBIOTICE S.A.
ROMANIA
97 W53682002 J04AK02
ETHAMBUTOLUM
CAPS.
250mg
ARENA GROUP SA
ROMANIA
98 W59648001 J04AK02
ETHAMBUTOLUM
CAPS.
400mg
ARENA GROUP S.A.
ROMANIA
99 W59648003 J04AK02
ETHAMBUTOLUM
CAPS.
400mg
ARENA GROUP S.A.
ROMANIA
CUTIE CU 1 FLAC. DIN PE X 50 CAPS.
100 W42943002 J04AK02
ETHAMBUTOLUM
ETAMBUTOL 250 mg
COMPR. FILM.
250mg
ANTIBIOTICE SA
ROMANIA
101 W42861002 J04AK02
ETHAMBUTOLUM
ETAMBUTOL 400 mg
COMPR. FILM.
400mg
ANTIBIOTICE SA
ROMANIA
102 W60583001 J04AK02
ETHAMBUTOLUM
INBUTOL
SOL INJ.
SINERDOL ISO
CAPS.
100mg/ml
CN UNIFARM S.A.
300mg+150
ANTIBIOTICE SA
mg
103 W14071002 J04AM02 COMBINATII (RIFAMPICINUM+IZONIAZIDUM)
ANTIBIOTICE SA
PR
PR
1
10
PR
100
98,56
0,985600
0,985600
124,62
1,246200
1,246200
434,58
0,289720
0,289720
511,84
0,341226
0,341226
3,54
0,177000
0,177000
4,79
0,239500
0,239500
PRF
PR
F
PR
F
ROMANIA

FILM.
FILM.
FLAC. X 10 ML SOL. INJ
PR
ROMANIA
20
20
5,54
0,277000
0,277000
7,49
0,374500
0,374500
50
13,72
0,274400
0,274400
18,54
0,370800
0,370800
1.500
314,54
0,209693
0,209693
381,00
0,254000
0,254000
1.500
485,00
0,323333
0,323333
566,80
0,377866
0,377866
15,55
15,550000
15,550000
21,02
21,020000
21,020000
1.000
580,00
0,580000
0,580000
670,35
0,670350
0,670350
59,59
11,918000
11,918000
75,34
15,068000
15,068000

C) SUBPROGRAMUL DE SUPRAVEGHERE SI CONTROL AL BOLILOR TRANSMISIBILE PRIORITATRE PREV-TRAT GRIPEI
1 W08867001 J05AH01
ZANAMIVIRUM
RELENZA 5 mg
PULB. UNIDOZA DE
5mg
INHALAT
2 W52316001 J05AH02
OSELTAMIVIRUM
TAMIFLU 30mg
CAPS.
30mg
3 W13633001 J05AH02
OSELTAMIVIRUM
TAMIFLU 75 mg
CAPS.
75mg
GLAXO GROUP LTD.
MAREA
BRITANIE
ROCHE REGISTRATION
LTD.
ROCHE REGISTRATION
LTD.
MAREA
BRITANIE
MAREA
BRITANIE
CUTIE X 1 FLAC. X 5 BLIST. TIP ROTADISK X

P4 DOZE + DISPOZITIV DE ADMINISTRARE
RF
DISKHALER
CUTIE X 1BLISTER PVC/PE/PVDC/ALX 10
PCAPSULE
RF
CUTIE X 1BLISTER PVC/PE/PVDC/AL X 10
PCAPSULE
RF
10
37,94
3,794000
3,794000
49,62
4,962000
4,962000
10
60,15
6,015000
6,015000
76,06
7,606000
7,606000
P3: PROGRAMUL NATIONAL DE ONCOLOGIE

PRF
PRF
1 W58800001 G03HA01 CYPROTERONUM
ANDROCUR
COMPR.
50mg
BAYER PHARMA AG
GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR.
2 W12490001 L01AA01
ENDOXAN (R) 50 mg
DRAJ.
50mg
BAXTER ONCOLOGY
GMBH
GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ.
200mg
ACTAVIS S.R.L.
ROMANIA
CUTIE X 1 FLAC. PULB. PT. SOL. PERF./INJ S
2mg
ASPEN PHARMA
TRADING LIMITED
IRLANDA
CYCLOPHOSPHAMIDUM
3 W52215001 L01AA01
CYCLOPHOSPHAMIDUM
ENDOXAN 200 mg
PULB. PT. SOL.

PERF./INJ. I.V.
4 W58866002 L01AA02
CHLORAMBUCILUM
LEUKERAN
COMPR. FILM.
Pagina 17 din 87
PRF
50
85,78
1,715600
1,715600
108,46
2,169200
2,169200
50
19,33
0,386600
0,386600
26,13
0,522600
0,522600
11,76
11,760000
11,760000
15,89
15,890000
15,890000
25
238,56
9,542400
9,542400
291,24
11,649600
11,649600
Grupa
terapeutic
a
Denumire generica
Denumire comerciala
5 W58865001 L01AA03
MELPHALANUM
ALKERAN 2 mg
6 W60631001 L01AA03
MELPHALANUM
ALKERAN 50 mg
7 W12497001 L01AA06
IFOSFAMIDUM
HOLOXAN 1 g
8 W58856002 L01AB01
BUSULFANUM
MYLERAN
9 W51454001 L01AB01
BUSULFANUM
BUSILVEX 6mg/ml
Forma farmaceutica
COMPR. FILM.
PULB+SOLV. PT.
SOL. INJ./PERF.
PULB. PT. SOL.
PERF.
Concentratie
/ U.T.
Firma
Tara
2mg
ASPEN PHARMA
TRADING LIMITED
IRLANDA
50mg
CN UNIFARM S.A.
ROMANIA
Ambalaj
CUTIE X 1 FLAC. DIN STICLA BRUNA X 25

COMPR. FILM.
CUTIE CU 1 FIOLA PULB.+ 1 FIOLA
SOLVENT
Prescriptie
Nr.c
Cod CIM
rt
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
Pret cu ridicata
maximal / U.T.
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
Pret cu
amanuntul
maximal / U.T.
Pret de
decontare / U.T.
PRF
25
288,54
11,541600
11,541600
352,25
14,090000
14,090000
PR
654,63
654,630000
654,630000
751,70
751,700000
751,700000
117,160000
10 W59709001 L01AD02 LOMUSTINUM4)
CECENU
CONC. PT. SOL.

PERF.
CAPS.
40mg
BAXTER ONCOLOGY
GMBH
ASPEN PHARMA
TRADING LIMITED
PIERRE FABRE
MEDICAMENT
CN UNIFARM S.A.
11 W56780001 L01AX03
TEMOZOLOMIDUM**
TEMOZOLOMIDA HF 100 mg
CAPS.
100mg
STADA HEMOFARM SRL ROMANIA
12 W59705002 L01AX03
TEMOZOLOMIDUM**
BRASTORYN 100 mg
CAPS.
100mg
ROMASTRU TRADING
SRL
ROMANIA
13 W58092001 L01AX03
TEMOZOLOMIDUM**
TEMOZOLOMIDE SUN 100 mg
CAPS.
100mg
SUN PHARMACEUTICAL
INDUSTRIES EUROPE
B.V.
OLANDA
675,04
135,008000
94,452000
773,95
154,790000
112,108800
ALVOGEN IPCO S.AR.L.
LUXEMBUR
CUTIE CU 1 FLAC. PEID X 5 CAPS.
G
PR
F
393,55
78,710000
78,710000
467,12
93,424000
93,424000
UNGARIA
PR
F
393,55
78,710000
78,710000
467,12
93,424000
93,424000
14 W59451001 L01AX03
TEMOZOLOMIDUM**
BLASTOMAT 100 mg
COMPR. FILM.
CAPS.
1g
2mg
6mg/ml
100mg
GERMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. PERF. S

IRLANDA
FRANTA
ROMANIA
92,66
92,660000
92,660000
117,16
117,160000
100
1.028,76
10,287600
10,287600
1.159,50
11,595000
11,595000
9.151,91
1.143,988750
1.143,988750 10.013,75
1.251,718750
1.251,718750
PR
20
1.858,81
92,940500
92,940500
2.064,26
103,213000
103,213000
PR
393,55
78,710000
78,710000
467,12
93,424000
93,424000
PR
393,55
78,710000
78,710000
467,12
93,424000
93,424000
CUTIE CU FLACON DIN STICLA BRUNA X 5 PR

CAPSULE
F

COMPR. FILM.
CUTIE X 8 FLAC. X 10 ML CONC. PT. SOL.
INJ.
CUTIE X 1 FLACON X 20 CAPSULE
CUTIE CU 1 FLAC. DIN STICLA BRUNA X 5
CAPS.
CUTIE CU 5 PLICURI DIN HARTIE CU UN
STRAT LINIAR DE POLIETILENA CU
DENSITATE SCAZUTA (STRATUL
EXTERIOR) SI AL-COPOLIMER ETILENAACID ACRILIC (STRATUL INTERIOR) X 1
CAPS.
16 W59705001 L01AX03
TEMOZOLOMIDUM**
BRASTORYN 100 mg
CAPS.
100mg
17 W61245001 L01AX03
TEMOZOLOMIDUM**
BRASTORYN 100 mg
CAPS.
100mg
EGIS
PHARMACEUTICALS
P.L.C.
ROMASTRU TRADING
SRL
NEOLA PHARMA S.R.L.
18 W61245002 L01AX03
TEMOZOLOMIDUM**
BRASTORYN 100 mg
CAPS.
100mg
NEOLA PHARMA S.R.L.
ROMANIA
19 W59614003 L01AX03
TEMOZOLOMIDUM**
TEMODAL 100 mg
CAPS.
100mg
MERCK SHARP & DOHME
MAREA
BRITANIE
100mg
GLENMARK
PHARMACEUTICALS
S.R.O.
REPUBLICA
CUTIE CU 1 FLAC. DIN PEID X 5 CAPS.
CEHA
15 W59506001 L01AX03
20 W59699001 L01AX03
21 W55335001 L01AX03
22 W56781001 L01AX03
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
NOGRON 100 mg
TEMOZOLOMIDA GLENMARK 100 mg
TEMOZOLOMIDE TEVA 100 mg

CAPS.
CAPS.
CAPS.
CAPS.
100mg
100mg
TEVA PHARMA B.V.
PRF
S
ROMANIA
PR
393,55
78,710000
78,710000
467,12
93,424000
93,424000
ROMANIA

CAPS.
PR
393,55
78,710000
78,710000
467,12
93,424000
93,424000
PR
393,55
78,710000
78,710000
467,12
93,424000
93,424000
PCUTIE X 5 CAPS. AMBALATE INDIVIDUAL IN

RF/
PLICURI
R
589,30
117,860000
94,452000
680,49
136,098000
112,108800
OLANDA
PR
393,55
78,710000
78,710000
467,12
93,424000
93,424000

CAPS.
PRF/
R
393,55
78,710000
78,710000
467,12
93,424000
93,424000
140mg

CAPS.
PR
547,19
109,438000
109,438000
634,59
126,918000
126,918000
OLANDA

CAPSULE
F
1.648,19
329,638000
131,325600
1.834,68
366,936000
152,301600
ROMANIA
PR
857,79
171,558000
131,325600
973,14
194,628000
152,301600
23 W58093001 L01AX03
TEMOZOLOMIDUM**
CAPS.
140mg
SUN PHARMACEUTICAL
INDUSTRIES EUROPE
B.V.
24 W59706001 L01AX03
TEMOZOLOMIDUM**
BRASTORYN 140 mg
CAPS.
140mg
ROMASTRU TRADING
SRL
25 W59706002 L01AX03
TEMOZOLOMIDUM**
BRASTORYN 140 mg
CAPS.
140mg
ROMASTRU TRADING
SRL
ROMANIA

CAPS.
PR
857,79
171,558000
131,325600
973,14
194,628000
152,301600
26 W59615003 L01AX03
TEMOZOLOMIDUM**
TEMODAL 140mg
CAPS.
140mg
MERCK SHARP & DOHME
MAREA
BRITANIE

RF/
PLICURI
R
825,68
165,136000
131,325600
938,14
187,628000
152,301600
UNGARIA
PR
F
547,19
109,438000
109,438000
634,59
126,918000
126,918000

CAPS.
PR
672,99
134,598000
134,598000
771,71
154,342000
154,342000
UNGARIA
PR
F
672,99
134,598000
134,598000
771,71
154,342000
154,342000

RF/
PLICURI
R
1.019,21
203,842000
161,517600
1.149,09
229,818000
185,210400
PR
92,91
18,582000
18,582000
117,48
23,496000
23,496000
PR
92,91
18,582000
18,582000
117,48
23,496000
23,496000
PR
92,91
18,582000
18,582000
117,48
23,496000
23,496000
27 W59507001 L01AX03
TEMOZOLOMIDUM**
NOGRON 140 mg
CAPS.
140mg
EGIS
PHARMACEUTICALS
P.L.C.
28 W56782001 L01AX03
TEMOZOLOMIDUM**
CAPS.
180mg
180mg
EGIS
PHARMACEUTICALS
P.L.C.
29 W59508001 L01AX03
30 W59616003 L01AX03
31 W59704001 L01AX03
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
NOGRON 180 mg
TEMODAL 180 mg
BRASTORYN 20 mg
CAPS.
CAPS.
CAPS.
180mg
MERCK SHARP & DOHME
MAREA
BRITANIE
20mg
ROMASTRU TRADING
SRL
ROMANIA
32 W59704002 L01AX03
TEMOZOLOMIDUM**
BRASTORYN 20 mg
CAPS.
20mg
ROMASTRU TRADING
SRL
33 W56779001 L01AX03
TEMOZOLOMIDUM**
CAPS.
20mg
Pagina 18 din 87
ROMANIA

CAPS.
CAPS.
Grupa
terapeutic
a
Denumire generica
Denumire comerciala
Forma farmaceutica
Concentratie
/ U.T.
Firma
Tara
Ambalaj
34 W58091001 L01AX03
TEMOZOLOMIDUM**
CAPS.
20mg
SUN PHARMACEUTICAL
INDUSTRIES EUROPE
B.V.
OLANDA
35 W59450001 L01AX03
TEMOZOLOMIDUM**
BLASTOMAT 20 mg
CAPS.
20mg
LUXEMBUR
G
20mg
EGIS
PHARMACEUTICALS
P.L.C.
UNGARIA
20mg
MAREA
MERCK SHARP & DOHME
BRITANIE
36 W59505001 L01AX03
37 W59617003 L01AX03
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
NOGRON 20 mg
TEMODAL 20 mg
CAPS.
CAPS.
Prescriptie
Nr.c
Cod CIM
rt

CAPSULE
F
38 W55334001 L01AX03
TEMOZOLOMIDUM**
CAPS.
20mg
TEVA PHARMA B.V.
OLANDA
TEMOZOLOMIDUM**
BRASTORYN 20 mg
CAPS.
20mg
NEOLA PHARMA S.R.L.
ROMANIA
40 W61244002 L01AX03
TEMOZOLOMIDUM**
BRASTORYN 20 mg
CAPS.
20mg
NEOLA PHARMA S.R.L.
ROMANIA
41 W59698001 L01AX03
TEMOZOLOMIDUM**
CAPS.
20mg
GLENMARK
PHARMACEUTICALS
S.R.O.
REPUBLICA
CEHA
42 W55336001 L01AX03
TEMOZOLOMIDUM**
CAPS.
250mg
TEVA PHARMA B.V.
OLANDA
Pret cu ridicata
maximal / U.T.
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
Pret cu
amanuntul
maximal / U.T.
Pret de
decontare / U.T.
141,91
28,382000
22,298400
173,24
34,648000
28,195200
PR
F
92,91
18,582000
18,582000
117,48
23,496000
23,496000
PR
F
92,91
18,582000
18,582000
117,48
23,496000
23,496000
140,39
28,078000
22,298400
171,39
34,278000
28,195200

RF/
PLICURI
R
PCUTIE X 1 FLAC. DIN STICLA BRUNA X 5
RF/
CAPS.
R
PR
PR
CAPS.
39 W61244001 L01AX03
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
92,91
18,582000
18,582000
117,48
23,496000
23,496000
92,91
18,582000
18,582000
117,48
23,496000
23,496000
92,91
18,582000
18,582000
117,48
23,496000
23,496000
PR
92,91
18,582000
18,582000
117,48
23,496000
23,496000
PRF/
R
1.557,48
311,496000
310,096800
1.735,81
347,162000
347,162000
PR
1.557,47
311,494000
310,096800
1.735,80
347,160000
347,160000
PR
1.292,07
258,414000
258,414000
1.446,51
289,302000
289,302000

CAPSULE
F
2.539,46
507,892000
310,096800
2.806,17
561,234000
347,162400

CAPS.
CAPS.
CAPS.
43 W60017002 L01AX03
TEMOZOLOMIDUM**
BRASTORYN 250 mg
CAPS.
250mg
ROMASTRU TRADING
SRL
44 W56783001 L01AX03
TEMOZOLOMIDUM**
CAPS.
250mg
45 W58097001 L01AX03
TEMOZOLOMIDUM**
CAPS.
250mg
SUN PHARMACEUTICAL
INDUSTRIES EUROPE
B.V.
OLANDA
46 W59454001 L01AX03
TEMOZOLOMIDUM**
BLASTOMAT 250 mg
CAPS.
250mg
LUXEMBUR
G
PR
F
1.550,35
310,070000
310,070000
1.728,03
345,606000
345,606000
REPUBLICA
CEHA
PR
1.557,48
311,496000
310,096800
1.735,81
347,162000
347,162000
48 W60017001 L01AX03
TEMOZOLOMIDUM**
BRASTORYN 250 mg
CAPS.
250mg
49 W61248001 L01AX03
TEMOZOLOMIDUM**
BRASTORYN 250 mg
CAPS.
250mg
GLENMARK
PHARMACEUTICALS
S.R.O.
ROMASTRU TRADING
SRL
NEOLA PHARMA S.R.L.
50 W61248002 L01AX03
TEMOZOLOMIDUM**
BRASTORYN 250 mg
CAPS.
250mg
NEOLA PHARMA S.R.L.
51 W59613001 L01AX03
TEMOZOLOMIDUM**
TEMODAL 2,5mg/ml
PULB. PT. SOL.

PERF.
2,5mg/ml
MERCK SHARP & DOHME
52 W56549001 L01AX04
DACARBAZINUM
DACARBAZINE MEDAC 500 mg
CN UNIFARM S.A.
53 W58779001 L01AX04
DACARBAZINUM
DACARBAZINA LIPOMED 200 mg
PULB. PT. SOL.

INJ./PERF.
200 mg
LIPOMED GMBH
54 W58569001 L01BA01
METHOTREXATUM
METHOTREXATE PCH 10mg
COMPR.
10mg
55 W58568001 L01BA01
METHOTREXATUM
METHOTREXATE PCH 2,5mg
COMPR.
2,5mg
47 W59702001 L01AX03
TEMOZOLOMIDUM**
CAPS.
56 W12735001 L01BA01
METHOTREXATUM
METHOTREXAT "EBEWE" 5000 mg
57 W04185002 L01BA01
METHOTREXATUM
58 W12733003 L01BA01
METHOTREXATUM
59 W59856001 L01BA01
METHOTREXATUM
BENDATREXAT
CONC. PT. SOL.

INJ./PERF.
CONC. PT. SOL.
INJ./PERF.
CONC. PT. SOL.
INJ./PERF.
SOL INJ.
60 W04186001 L01BA01
METHOTREXATUM
SOL. INJ.
METOTREXAT EBEWE 10 mg/ml
SOL. INJ. IN
SERINGA
PREUMPLUTA
61 W58316001 L01BA01
METHOTREXATUM
250mg
100mg/ml
100mg/ml
100mg/ml
25mg/ml
5mg/ml
10mg/ml
TEVA
PHARMACEUTICALS
S.R.L.
TEVA
PHARMACEUTICALS
S.R.L.
EBEWE PHARMA GMBH
NFG. KG
EBEWE PHARMA GMBH
NFG. KG
EBEWE PHARMA GMBH
NFG. KG
CN UNIFARM S.A.
EBEWE PHARMA GMBH
NFG. KG
EBEWE PHARMA
GES.M.B.H. NFG KG
Pagina 19 din 87
ROMANIA
ROMANIA
PR
1.557,47
311,494000
310,096800
1.735,80
347,160000
347,160000
ROMANIA
PR
1.557,47
311,494000
310,096800
1.735,80
347,160000
347,160000
ROMANIA

CAPS.
PR
1.557,47
311,494000
310,096800
1.735,80
347,160000
347,160000
582,04
582,040000
582,040000
672,57
672,570000
672,570000
66,94
66,940000
66,940000
84,64
84,640000
84,640000
10
730,98
73,098000
73,098000
834,92
83,492000
83,492000
PRF/
R
PR/
CUTIE CU 1 FLAC.X 500MG PULB. PT. SOL.
ROMANIA
PR
INJ.
F
CUTIE CU 10 FLACOANE MONODOZA DIN
STICLA BRUNA CU DOP DIN CAUCIUC
BROMOBUTILIC CU SIGILIU DIN AL TIP FLIPGERMANIA
PR
OFF CU CAPAC DIN PLASTIC DE CULOARE
ROSIE CARE CONTIN PULB. PENTRU SOL.
INJ. SAU PERF.
MAREA
BRITANIE
CUTIE X 1 FLAC. PULB. PT. SOL. PERF.
ROMANIA
CUTIE X 10COMPR.
P6
L
10
21,32
2,132000
2,132000
28,81
2,881000
2,881000
ROMANIA
CUTIE X30 COMPRIMATE
P6
L
30
16,00
0,533333
0,533333
21,62
0,720666
0,720666
AUSTRIA
332,72
332,720000
332,720000
400,81
400,810000
400,810000
AUSTRIA
CUTIE X 5 FIOLE X 5 ML
197,47
39,494000
39,494000
241,07
48,214000
48,214000
70,91
70,910000
70,910000
89,66
89,660000
89,660000
ROMANIA
CUTIE X 1 TUB DIN MATERIAL PLASTIC X 1

S
FIOLA X 10 ML
CUTIE CU 1 FLAC. X 2 ML
PR
AUSTRIA
AUSTRIA
CUTIE CU 1 SERINGA PREUMPLUTA DIN

STICLA INCOLORA X 0,75 ML SOL INJ. + AC PR
DE UNICA FOLOSINTA PT. INJ
AUSTRIA
65,37
65,370000
65,370000
82,65
82,650000
82,650000
10
17,62
1,762000
1,762000
23,82
2,382000
2,382000
45,60
45,600000
45,600000
59,64
59,640000
59,640000
Grupa
terapeutic
a
Denumire generica
Denumire comerciala
62 W58316010 L01BA01
METHOTREXATUM
63 W58316004 L01BA01
METHOTREXATUM
64 W58316007 L01BA01
METHOTREXATUM
65 W53758006 L01BA01
METHOTREXATUM
METOJECT 50mg/ml
66 W53758016 L01BA01
METHOTREXATUM
METOJECT 50mg/ml
67 W53758001 L01BA01
METHOTREXATUM
METOJECT 50mg/ml
68 W53758021 L01BA01
METHOTREXATUM
METOJECT 50mg/ml
Forma farmaceutica
SOL. INJ. IN
SERINGA
PREUMPLUTA
SOL. INJ. IN
SERINGA
PREUMPLUTA
SOL. INJ. IN
SERINGA
PREUMPLUTA
SOL. INJ. IN
SERINGA
PREUMPLUTA
SOL. INJ. IN
SERINGA
PREUMPLUTA
SOL. INJ. IN
SERINGA
PREUMPLUTA
SOL. INJ. IN
SERINGA
PREUMPLUTA
PULB. PT. CONC.
PT. SOL. PERF.
Concentratie
/ U.T.
Firma
Tara
10mg/ml
EBEWE PHARMA
GES.M.B.H. NFG KG
AUSTRIA
10mg/ml
EBEWE PHARMA
GES.M.B.H. NFG KG
AUSTRIA
10mg/ml
EBEWE PHARMA
GES.M.B.H. NFG KG
AUSTRIA
50mg/ml
50mg/ml
50mg/ml
50mg/ml
MEDAC GESELLSCAFT
FUR KLINISCHE
SPEZIALPRPARATE
MEDAC GESELLSCAFT
FUR KLINISCHE
SPEZIALPRPARATE
MEDAC GESELLSCAFT
FUR KLINISCHE
SPEZIALPRPARATE
MEDAC GESELLSCAFT
FUR KLINISCHE
SPEZIALPRPARATE
ELI LILLY NEDERLAND
BV
ASPEN PHARMA
TRADING LIMITED
GERMANIA
GERMANIA
GERMANIA
GERMANIA
Ambalaj

STICLA INCOLORA X 2,0 ML SOL INJ. + AC
DE UNICA FOLOSINTA PT. INJE
CUTIE X 1 SERINGA PREUMPLUTA X
0,20ML SOL. INJ. PREVAZUTA CU AC SI
TAMPOANE CU ALCOOL
TAMPOANE CU ALCOOL
TAMPOANE CU ALCOOL
TAMPOANE CU ALCOOL
CUTIE X 1 FLAC. PULB. PT. CONC. PT. SOL.
PERF.
COMPR.
CUTIE CU 1 FLAC. DIN STICLA BRUNA CU
25 COMPR.
69 W42003001 L01BA04
PEMETREXEDUM****
ALIMTA 500mg
70 W58868001 L01BB02
MERCAPTOPURINUM
PURI - NETHOL
COMPR.
50mg
71 W60721001 L01BB03
TIOGUANINUM
THIOGUANIN ASPEN 40 mg
COMPR.
40mg
CN UNIFARM S.A.
ROMANIA
72 W58869001 L01BB03
TIOGUANINUM
LANVIS
COMPR.
40mg
ASPEN PHARMA
TRADING LIMITED
IRLANDA
73 W44114001 L01BB04
CLADRIBINUM
LITAK 2 mg/ml
SOL. INJ.
2mg/ml
LIPOMED GMBH
GERMANIA CUTIE X 1 FLACON X 5 ML
500mg
OLANDA
IRLANDA
74 W56210002 L01BB05
FLUDARABINUM****
FLUDARA ORAL 10 mg
COMPR. FILM.
10mg
GENZYME EUROPE B.V.
OLANDA
75 W56211001 L01BB05
FLUDARABINUM
FLUDARA
LIOF. PT. SOL.

INJ./PERF.
50mg
GENZYME EUROPE B.V.
OLANDA
76 W53700001 L01BB05
FLUDARABINUM
FLUDARABINA ACTAVIS 25 mg/ml
PULB. PT. SOL.

INJ./PERF.
25mg/ml
ACTAVIS S.R.L.
ROMANIA
CUTIE X 1 FLAC. X 25 COMPR.
Prescriptie
Nr.c
Cod CIM
rt
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
Pret cu ridicata
maximal / U.T.
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
Pret cu
amanuntul
maximal / U.T.
Pret de
decontare / U.T.
PR
100,34
100,340000
100,340000
122,50
122,500000
122,500000
PR
62,22
62,220000
62,220000
78,67
78,670000
78,670000
PR
87,07
87,070000
87,070000
110,09
110,090000
110,090000
PRF
62,22
62,220000
62,220000
78,67
78,670000
78,670000
PRF
86,63
86,630000
86,630000
109,54
109,540000
109,540000
PRF
59,16
59,160000
54,720000
74,80
74,800000
71,568000
PRF
101,74
101,740000
101,740000
124,21
124,210000
124,210000
5.537,280000
4.944,17
4.944,170000
4.944,170000
5.537,28
5.537,280000
PRF
25
300,20
12,008000
12,008000
365,37
14,614800
14,614800
PR
25
638,68
25,547200
25,547200
734,31
29,372400
29,372400
PRF
25
638,68
25,547200
25,547200
734,31
29,372400
29,372400
1.435,80
1.435,800000
1.435,800000
1.603,17
1.603,170000
1.603,170000
20
1.094,66
54,733000
54,733000
1.231,33
61,566500
61,566500
513,08
102,616000
102,616000
597,41
119,482000
119,482000
340,13
340,130000
123,139200
408,89
408,890000
143,378400
PCUTIE X 1 FLAC. DIN PE X 4 BLIST. AL/AL X

RF/
5 COMPR. FILM.
S
CUTIE X 5 FLAC. CU LIOF. PT. SOL.
S
INJ./PERF.
(CAPACITATE 5ML) CU PULB. PT. SOL.
S
INJ/PERF CONTINAND 50MG FLUDA
77 W53291005 L01BB06
CLOFARABINUM****
EVOLTRA 1mg/ml
CONC. PT. SOL.

PERF.
1mg/ml
GENZYME EUROPE BV
OLANDA
CUTIE X 1 FLAC. CU CONC. PT. SOL. PERF. PR
6.346,63
6.346,630000
6.346,630000
6.955,99
6.955,990000
6.955,990000
78 W52264001 L01BB07
NELARABINUM****
ATRIANCE
SOL. PERF.
5mg/ml
GLAXO GROUP LTD.
MAREA
BRITANIE
CUTIE X 6 FLAC. X 50 ML
7.484,57
1.247,428333
1.247,428333
8.196,34
1.366,056666
1.366,056666
79 W13946007 L01BC01 CYTARABINUM
ALEXAN 20mg/ml
SOL. INJ.
20mg/ml
AUSTRIA
CUTIE X 10 FLACOANE DIN STICLA X 5 ML

SOL. INJ.
10
97,56
9,756000
9,756000
123,36
12,336000
12,336000
ALEXAN 50mg/ml
SOL. INJ.
50mg/ml
AUSTRIA
CUTIE X 1 FLACON X 20 ML. SOL. INJ.
76,34
76,340000
60,600000
96,52
96,520000
76,620000
PR
25,25
25,250000
25,250000
33,03
33,030000
33,030000
EBEWE PHARMA GMBH

NFG. KG
EBEWE PHARMA GMBH
NFG. KG
CITARABINA KABI 100 mg/ml
SOL. INJ. SAU

PERF.
100mg/ml
FRESENIUS KABI
ONCOLOGY PLC
MAREA
BRITANIE

CU DOP DIN CAUCIUC BROMBUTILIC CU
CAPSA DETASABILA DIN AL DE CULOARE
ALBASTRA X 5 ML SOL. INJ. SAU PERF.
SOL. INJ. SAU

PERF.
100mg/ml
FRESENIUS KABI
ONCOLOGY PLC
MAREA
BRITANIE

ROSIE X 10 ML SOL. INJ. SAU PERF.
PR
50,50
50,500000
50,500000
63,85
63,850000
63,850000
SOL. INJ. SAU

PERF.
100mg/ml
FRESENIUS KABI
ONCOLOGY PLC
MAREA
BRITANIE

GALBENA X 20 ML SOL. INJ. SAU PERF.
PR
99,23
99,230000
99,230000
125,47
125,470000
125,470000
DEPOCYTE 50mg
SUSP. INJ.
50mg
PACIRA LIMITED
MAREA
BRITANIE
CUTIE X 1 FLAC. X 50MG SUSP.INJ.

(MONODOZA 5ML)
6.970,59
6.970,590000
6.970,590000
7.636,10
7.636,100000
7.636,100000
85 W43451005 L01BC02 FLUOROURACILUM
5 - FLUOROURACIL EBEWE 50mg/ml
CONC. PT. SOL.

INJ./PERF.
50mg/ml
EBEWE PHARMA GMBH

NFG. KG
AUSTRIA
CUTIE X 1 FLACON DIN STICLA BRUNA X 20

S
ML CONCENTRAT PT. SOL. INJ./PERF.
13,64
13,640000
13,640000
18,44
18,440000
18,440000
CONC. PT. SOL.

INJ./PERF.
50mg/ml
EBEWE PHARMA GMBH

NFG. KG
AUSTRIA

100 ML CONCENTRAT PT. SOL. INJ./PERF.
68,66
68,660000
68,660000
86,81
86,810000
86,810000
AUSTRIA

S
6,32
6,320000
6,320000
8,54
8,540000
8,540000
AUSTRIA

S
11,17
11,170000
11,170000
15,10
15,100000
15,100000
CONC. PT. SOL.

INJ./PERF.
50mg/ml
EBEWE PHARMA GMBH

NFG. KG
CONC. PT. SOL.

INJ./PERF.
50mg/ml
EBEWE PHARMA GMBH

NFG. KG
FLUOROURACIL PCH 50 mg/ml
SOL INJ.
50 mg/ml
TEVA PHARMACEUTICAL
ROMANIA
S.R.L.
FLACON X 10ML SOLUTIE INJECTABILA
PR
11,53
11,530000
11,530000
15,58
15,580000
15,580000
FLUOROURACIL PCH 50 mg/ml
SOL INJ.
50 mg/ml
TEVA PHARMACEUTICAL
ROMANIA
S.R.L.
FLACON X 100ML SOLUTIE INJECTABILA
PR
99,35
99,350000
82,392000
125,62
125,620000
104,172000
Pagina 20 din 87
Grupa
terapeutic
a
Denumire generica
Denumire comerciala
Forma farmaceutica
Concentratie
/ U.T.
Firma
Tara
Ambalaj
Prescriptie
Nr.c
Cod CIM
rt
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
Pret cu ridicata
maximal / U.T.
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
Pret cu
amanuntul
maximal / U.T.
Pret de
decontare / U.T.
91 W59237013 L01BC05 GEMCITABINUM**
GEMCITABINA EBEWE PHARMA 10 mg/ml
CONC. PT. SOL.

PERF.
10mg/ml
EBEWE PHARMA
GES.M.B.H. NFG KG
AUSTRIA
CUTIE CU UN FLAC. DIN STICLA INCOLORA

CU INVELIS PROTECTOR ,,ONCO-SAFE" A S
100 ML CONC. PT. SOL. PERF
185,77
185,770000
185,770000
226,79
226,790000
226,790000
GEMCITABINA EBEWE PHARMA 10 mg/ml
CONC. PT. SOL.

PERF.
10mg/ml
EBEWE PHARMA
GES.M.B.H. NFG KG
AUSTRIA

CU INVELIS PROTECTOR ,,ONCO-SAFE" A S
20 ML CONC. PT. SOL. PERF.
41,54
41,540000
41,540000
54,34
54,340000
54,340000
GEMSOL 40 mg/ml
CONC. PT. SOL.

PERF.
40 mg/ml
EBEWE PHARMA
GES.M.B.H. NFG KG
AUSTRIA
185,77
185,770000
185,770000
226,79
226,790000
226,790000
GEMSOL 40 mg/ml
CONC. PT. SOL.

PERF.
40 mg/ml
EBEWE PHARMA
GES.M.B.H. NFG KG
AUSTRIA
367,76
367,760000
367,760000
439,01
439,010000
439,010000
GEMSOL 40 mg/ml
CONC. PT. SOL.

PERF.
40 mg/ml
EBEWE PHARMA
GES.M.B.H. NFG KG
AUSTRIA
41,54
41,540000
41,540000
54,34
54,340000
54,340000

PR
25 ML X 1 G GEMCITABINA
185,77
185,770000
185,770000
226,79
226,790000
226,790000

PR
367,76
367,760000
367,760000
439,01
439,010000
439,010000
PR
518,45
518,450000
440,400000
603,26
603,260000
525,816000
PR
41,04
41,040000
41,040000
53,68
53,680000
53,680000
PR
184,80
184,800000
184,800000
225,60
225,600000
225,600000
PR
367,00
367,000000
367,000000
438,18
438,180000
438,180000
TEVA
PHARMACEUTICALS
S.R.L.
TEVA
PHARMACEUTICALS
S.R.L.
ACTAVIS GROUP PTC
EHF.
CUTIE CU 1 FLACOANE STICLA INCOLORA

SIST. ,,ONCO-SAFE" A 25 ML CONC .SOL.
PR
PERF. X 1000 MG
CUTIE CU 1 FLACON STICLA INCOLORA
SIST. ,,ONCO-SAFE" A 50 ML CONC .SOL.
PR
PERF. X 2000 MG
CUTIE CU 1 FLACON STICLA INCOLORA
FARA SIST. ,,ONCO-SAFE" A 5 ML CONC
PR
.SOL. PERF. X 200 MG
CONC. PT. SOL.

PERF.
40mg/ml
GEMCITABINA TEVA 40 mg/ml
CONC. PT. SOL.

PERF.
40mg/ml
GITRABIN 40 mg/ml
CONC. PT. SOL.

PERF.
40mg/ml
GEMCITABINA KABI 40 mg/ml
CONC. PT. SOL.

PERF.
40mg/ml
FRESENIUS KABI
ONCOLOGY PLC
MAREA
BRITANIE
CONC. PT. SOL.

PERF.
40mg/ml
FRESENIUS KABI
ONCOLOGY PLC
MAREA
BRITANIE
CONC. PT. SOL.

PERF.
40mg/ml
FRESENIUS KABI
ONCOLOGY PLC
MAREA
BRITANIE
GITRABIN 40 mg/ml
CONC. PT. SOL.

PERF.
40mg/ml
ACTAVIS GROUP PTC

EHF.
ISLANDA
GITRABIN 40 mg/ml
40mg/ml
ACTAVIS GROUP PTC

EHF.
ISLANDA
GEMZAR 1000 mg
1000 mg
LILLY FRANCE SAS
FRANTA
285,80
285,800000
217,632000
348,91
348,910000
265,680000
GEMCITABINA ATB 1000 mg
PULB. PT. SOL.

PERF.
1000mg
ANTIBIOTICE S.A.
ROMANIA

PR
50 ML PULB. PT. SOL. PERF.
185,77
185,770000
185,770000
226,79
226,790000
226,790000
GEMCITABINA TEVA 1000 mg
PULB. PT. SOL.

PERF.
1000mg
TEVA
PHARMACEUTICALS
S.R.L.
ROMANIA

S
1000 MG PULB. PT. SOL. PERF.
185,77
185,770000
185,770000
226,79
226,790000
226,790000
ROMANIA

PULB. PT. SOL. PERF. CONTINAND 1000MG S
GEMCITABINA
185,76
185,760000
185,760000
226,77
226,770000
226,770000
ROMANIA

S
367,77
367,770000
367,770000
439,02
439,020000
439,020000
ROMANIA

S
41,54
41,540000
41,540000
54,34
54,340000
54,340000
41,54
41,540000
41,540000
54,34
54,340000
54,340000
GEMCITABINA TEVA 40 mg/ml
DAPLAX 1 g
CONC. PT. SOL.

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

PERF.
PULB. PT. SOL.

PERF.
PULB. PT. SOL.

PERF.
1g
2000mg
200mg
DR. REDDY'S
LABORATORIES
TEVA
PHARMACEUTICALS
S.R.L.
TEVA
PHARMACEUTICALS
S.R.L.
ROMANIA
ROMANIA
ISLANDA

TRANSPARENTA, PREVAZUT CU SIGILIU
CU CAPSA DETASABILA DIN AL DE
CULOARE VERDE, CU DISC DIN PP, A 200
MG/5 ML CONC. PT. SOL. PERF.
CULOARE ALBASTRA, CU DISC DIN PP, A
1000 MG/25 ML CONC. PT. SOL. PERF.
CULOARE VIOLET, CU DISC DIN PP, A 2000
MG/50 ML CONC. PT. SOL. PERF.

PR
5 ML X 200 MG GEMCITABINA
PR
CUTIE X 1FLAC. DIN STICLA INCOLORA CU
S
PULB. PT. SOL. PERF.
41,54
41,540000
41,540000
54,34
54,340000
54,340000
185,77
185,770000
185,770000
226,79
226,790000
226,790000
DAPLAX 200 mg
PULB. PT. SOL.

PERF.
200mg
DR. REDDY'S
LABORATORIES
ROMANIA

PULB. PT. SOL. PERF. CONTINAND 200MG S
GEMCITABINA
GEMCITABINA ATB 200 mg
PULB. PT. SOL.

PERF.
200mg
ANTIBIOTICE S.A.
ROMANIA

PR
10 ML PULB. PT. SOL. PERF.
41,54
41,540000
41,540000
54,34
54,340000
54,340000
GEMZAR (R) 200 mg
PULB. PT. SOL.

PERF.
200mg
LILLY FRANCE SAS
FRANTA
CUTIE X 1 FLAC. PULB. PT. SOL. PERF.
62,79
62,790000
49,248000
79,39
79,390000
64,416000
181,36
181,360000
181,360000
221,40
221,400000
221,400000
368,80
368,800000
368,800000
440,14
440,140000
440,140000
285,80
285,800000
217,632000
348,91
348,910000
265,680000
62,79
62,790000
49,248000
79,39
79,390000
64,416000
GEMCIRENA 38 mg/ml
PULB. PT. SOL.

PERF.
38mg/ml
FRESENIUS KABI
ROMANIA SRL
ROMANIA
GEMCIRENA 38 mg/ml
PULB. PT. SOL.

PERF.
38mg/ml
FRESENIUS KABI
ROMANIA SRL
ROMANIA
GEMCITABINE MYLAN 38 mg/ml
PULB. PT. SOL.

PERF.
38mg/ml
MYLAN S.A.S.
FRANTA
GEMCITABINE MYLAN 38 mg/ml
PULB. PT. SOL.

PERF.
38mg/ml
MYLAN S.A.S.
FRANTA
Pagina 21 din 87

50 ML CU PULB. PT. SOL. PERF. CARE
S
CONTINE 1000MG GEMCITABINA
S
50 ML PULB. PT SOL. PERF. CARE CONTINE S
1000 MG GEMCITABINA
10 ML PULB. PT SOL. PERF. CARE CONTINE S
200 MG GEMCITABINA
Grupa
terapeutic
a
Denumire generica
Denumire comerciala
Forma farmaceutica
Concentratie
/ U.T.
Firma
Tara
Ambalaj
CUTIE X 1 FLAC. STICLA INCOLORA CU

PULB. PT SOL. PERF. CARE CONTINE
2000MG GEMCITABINA
200MG GEMCITABINA
1000MG GEMCITABINA
GITRABIN 38 mg/ml
PULB. PT. SOL.

PERF.
38mg/ml
ACTAVIS GROUP PTC

EHF.
ISLANDA
GITRABIN 38 mg/ml
PULB. PT. SOL.

PERF.
38mg/ml
ACTAVIS GROUP PTC

EHF.
ISLANDA
GEMCIRENA 38 mg/ml
PULB. PT. SOL.

PERF.
38mg/ml
FRESENIUS KABI
ROMANIA SRL
ROMANIA
GITRABIN 38 mg/ml
PULB. PT. SOL.

PERF.
38mg/ml
ACTAVIS GROUP PTC

EHF.
ISLANDA
150mg
GLENMARK
PHARMACEUTICALS
S.R.O.
REPUBLICA CUTIE CU 6 BLIST. PVC/PVDC-AL X 60

CEHA
(6X10) COMPR. FILM.
121 W58925005 L01BC06 CAPECITABINUM
CAPECITABINA GLENMARK 150 mg
COMPR. FILM.
ECANSYA 150mg
COMPR. FILM.
150mg
KRKA D.D.
CAPECITABINA ZENTIVA 150 mg
COMPR. FILM.
150mg
ZENTIVA, K.S.
XALVOBIN 150 mg
COMPR. FILM.
150mg
XALVOBIN 150 mg
COMPR. FILM.
150mg
COMPR. FILM.
150mg
GLENMARK
PHARMACEUTICALS
S.R.O.

SLOVENIA
COMPRIMATE FILMATE
REPUBLICA CUTIE CU 6 BLIST. PVC-PVDC/AL X 10
CEHA
COMPR. FILM.
LUXEMBUR CUTIE CU BLIST. PVC-PVDC/AL X 60
G
COMPR. FILM.
LUXEMBUR CUTIE CU BLIST. PVC-PE-PVDC/AL X 60
G
COMPR. FILM.
54,340000
185,77
185,770000
185,770000
226,79
226,790000
226,790000
60
101,61
1,693500
1,635199
124,04
2,067333
2,067333
PR
PR
60
101,24
1,687333
1,635199
123,60
2,060000
2,060000
PR
60
101,61
1,693500
1,635199
124,05
2,067500
2,067500
60
101,61
1,693500
1,635199
124,05
2,067500
2,067500
60
101,61
1,693500
1,635199
124,04
2,067333
2,067333
PR
60
81,76
1,362666
1,362666
103,38
1,723000
1,723000
PRF/
R
60
206,50
3,441666
1,635199
252,09
4,201500
2,067600
1,935333
ROMANIA
SLOVENIA
CAPECITABINE TEVA 150 mg
COMPR. FILM.
150mg
TEVA PHARMA B.V.
OLANDA
COMPR. FILM.
300mg
KRKA D.D.
SLOVENIA
ECANSYA 300mg
COMPR. FILM.
300mg
KRKA D.D.
SLOVENIA
COMPR. FILM.
500mg
REPUBLICA CUTIE CU 12 BLIST. PVC/PVDC-AL X 120

CEHA
(12X10) COMPR. FILM.
CAPECITABINA ACTAVIS 500 mg
COMPR. FILM.
500mg
CAPECITABINA SANDOZ 500 mg
COMPR. FILM.
500mg
SANDOZ SRL ROMANIA
ROMANIA
COLOXET 500 mg
COMPR. FILM.
500mg
EGIS
PHARMACEUTICALS
P.L.C.
UNGARIA
EGIS
PHARMACEUTICALS
P.L.C.
FRESENIUS KABI
ONCOLOGY PLC
ROMASTRU TRADING
SRL
54,340000
PR
ECANSYA 300mg
500mg
54,34
PR
F
COMPR. FILM.
41,540000
2,067333
COLOXET 500 mg
41,540000
2,067333
CUTIE CU 6 BLIST. CU PERFORATIE DIN

PVC-PVDC/AL X 10 COMPR. FILM.
COMPR. FILM.
CUTIE CU BLIST. AL/AL X 60 COMPRIMATE
FILMATE
CUTIE CU BLIST. PVC/PE/PVDC/AL X 60
COMPR. FILM.
FILMATE
COMPRIMATE FILMATE
41,54
124,04
MAREA
BRITANIE
1,635199
FRESENIUS KABI
ONCOLOGY PLC
ROMASTRU TRADING
SRL
TERAPIA SA
1,693500
CUTIE X 6 BLIST. DIN PVC/PE/PVDC X 10

COMPR. FILM.
500mg
54,340000
101,61
MAREA
BRITANIE
500mg
54,340000
60
ROCHE REGISTRATION
LTD.
COMPR. FILM.
54,34
PR
150mg
COMPR. FILM.
41,540000
REPUBLICA CUTIE CU 6 BLIST. PVC-PE-PVDC/AL X 10

CEHA
COMPR. FILM.
CUTIE CU BLIST. PVC-PE-PVDC/AL X 60
ROMANIA
COMPR. FILM.
ROMANIA
COMPR. FILM.
COMPR. FILM.
XALVOBIN 500 mg
41,540000
REPUBLICA CUTIE CU 6 BLIST. AL-AL X 60 (6X10)

CEHA
COMPR. FILM.
XELODA 150 mg
CEREX 500 mg
41,54
2,067600
2,067600
SANDOZ SRL ROMANIA
2,730666
150mg
GLENMARK
PHARMACEUTICALS
S.R.O.
ACTAVIS GROUP PTC
EHF.
439,010000
2,730666
COMPR. FILM.
KRKA D.D.
439,010000
163,84
CAPECITABINA SANDOZ 150 mg
150mg
439,01
163,84
COMPR. FILM.
367,760000
1,635199
ROMASTRU TRADING
SRL
ECANSYA 150mg
367,760000
1,635199
ZENTIVA, K.S.
367,76
2,236833
150mg
150mg
2,236833
150mg
150mg
134,21
COMPR. FILM.
COMPR. FILM.
ISLANDA

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
LUXEMBUR CUTIE CU BLIST. PVC-PVDC/AL X 120

G
COMPR. FILM.
ROMANIA
UNGARIA
MAREA
BRITANIE
CUTIE CU 12 BLIST. AL/AL X 10 COMPR.

FILM.
CUTIE CU 12 BLIST. CU PERFORATIE DIN
PVC-PVDC/AL X 10 COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
PR
60
91,84
1,530666
1,530666
116,12
1,935333
PR
F
60
101,61
1,693500
1,635199
124,04
2,067333
2,067333
PR
60
101,24
1,687333
1,635199
123,60
2,060000
2,060000
PR
60
81,76
1,362666
1,362666
103,38
1,723000
1,723000
PR
60
312,14
5,202333
5,202333
378,38
6,306333
6,306333
PR
60
312,14
5,202333
5,202333
378,38
6,306333
6,306333
PR
120
430,65
3,588750
3,588750
507,56
4,229666
4,229666
PR
120
580,39
4,836583
4,306500
670,78
5,589833
5,075599
PR
120
514,24
4,285333
4,285333
598,67
4,988916
4,988916
PR
120
624,00
5,200000
4,306500
718,31
5,985916
5,075599
PR
120
624,09
5,200750
4,306500
718,41
5,986750
5,075599
PR
120
971,30
8,094166
4,306500
1.096,87
9,140583
5,075599
PR
120
624,00
5,200000
4,306500
718,31
5,985916
5,075599
CAPECITABINA FRESENIUS KABI 500 mg
COMPR. FILM.
500mg
ARXEDA 500 mg
COMPR. FILM.
500mg
CEREX 500 mg
COMPR. FILM.
500mg
TERAPIA SA
ROMANIA
MAREA
BRITANIE
CUTIE X 12 BLIST. DIN PVC/PE/PVDC X 10

COMPR. FILM.
REPUBLICA
CEHA
REPUBLICA
CEHA
LUXEMBUR
G

PR
COMPR. FILM.
CUTIE CU 12 BLIST. PVC-PE-PVDC/AL X 10
PR
COMPR. FILM.
PR
COMPR. FILM.
ARXEDA 500 mg
COMPR. FILM.
500mg
ROMASTRU TRADING
SRL
XELODA 500 mg
COMPR. FILM.
500mg
ROCHE REGISTRATION
LTD.
COMPR. FILM.
500mg
ZENTIVA, K.S.
COMPR. FILM.
500mg
ZENTIVA, K.S.
XALVOBIN 500 mg
COMPR. FILM.
500mg
500mg
GLENMARK
PHARMACEUTICALS
S.R.O.
COMPR. FILM.
Pagina 22 din 87
Pret de
decontare / U.T.
134,21
COMPR. FILM.
COMPR. FILM.
Pret cu
amanuntul
maximal / U.T.
60
CAPECITABINA FRESENIUS KABI 150 mg
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
60
ARXEDA 150 mg
ARXEDA 150 mg
Pret cu ridicata
maximal / U.T.
PR
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
PR
Prescriptie
Nr.c
Cod CIM
rt
ROMANIA
ROMANIA
REPUBLICA CUTIE CU 12 BLIST. AL-AL X 120 (12X10)

CEHA
COMPR. FILM.
PR
120
580,00
4,833333
4,306500
670,35
5,586250
5,075599
PR
F
120
624,00
5,200000
4,306500
718,31
5,985916
5,075599
PR
120
971,30
8,094166
4,306500
1.096,87
9,140583
5,075599
PR
F
PRF/
R
PR
120
624,00
5,200000
4,306500
718,31
5,985916
5,075599
120
1.275,41
10,628416
4,306500
1.428,35
11,902916
5,075599
120
624,09
5,200750
4,306500
718,41
5,986750
5,075599
120
624,09
5,200750
4,306500
718,41
5,986750
5,075599
120
624,09
5,200750
4,306500
718,41
5,986750
5,075599
120
430,65
3,588750
3,588750
507,56
4,229666
4,229666
Grupa
terapeutic
a
Denumire generica
Denumire comerciala
Forma farmaceutica
Concentratie
/ U.T.
Firma
Tara
ECANSYA 500mg
COMPR. FILM.
500mg
KRKA D.D.
SLOVENIA
CAPECITABINE TEVA 500 mg
COMPR. FILM.
500mg
TEVA PHARMA B.V.
OLANDA
ECANSYA 500mg
COMPR. FILM.
500mg
KRKA D.D.
SLOVENIA
DR. REDDY'S
LABORATORIES
CAPECITABINA DR. REDDY'S 500 mg
COMPR. FILM.
500mg
157 W59587001 L01BC08 DECITABINUM****
DACOGEN
PULB. PT. CONC.

PT. SOL. PERF.
50mg
158 W59211001 L01CA01 VINBLASTINUM4)
VINBLASTINA TEVA 1 mg/ml
SOL INJ.
1mg/ml
SINDOVIN 1 mg
LIOF. PT. SOL.

INJ./PERF. I.V.
159 W52220001 L01CA02 VINCRISTINUM
1mg
160 W42512002 L01CA04 VINORELBINUM
NAVELBINE 20 mg
CAPS. MOI
20mg
NAVELBINE 30 mg
CAPS. MOI
30mg
VINORELBIN EBEWE 10 mg/ ml
VINORELBIN EBEWE 10 mg/ ml
CONC. PT. SOL.

INJ./PERF.
CONC. PT. SOL.
INJ./PERF.
10mg/ml
10mg/ml
JANSSEN CILAG
INTERNATIONALL NV
TEVA
PHARMACEUTICALS
S.R.L.
ACTAVIS S.R.L.
PIERRE FABRE
MEDICAMENT
PRODUCTION
PIERRE FABRE
MEDICAMENT
PRODUCTION
EBEWE PHARMA
GES.M.B.H. NFG KG
EBEWE PHARMA
GES.M.B.H. NFG KG
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
Pret cu
amanuntul
maximal / U.T.
Pret de
decontare / U.T.
120
622,25
5,185416
4,306500
716,40
5,970000
5,075599
120
514,24
4,285333
4,285333
598,67
4,988916
4,988916
120
622,25
5,185416
4,306500
716,40
5,970000
5,075599
ROMANIA
120
624,08
5,200666
4,306500
718,40
5,986666
5,075599
CUTIE CU 1 FL. DIN STICLA CE CONTINE

50MG DECITABINA
PR
5.755,43
5.755,430000
5.755,430000
6.311,58
6.311,580000
6.311,580000
ROMANIA

PR
10 ML SOL. INJ.
29,63
29,630000
29,630000
38,75
38,750000
38,750000
ROMANIA

SOL. INJ./PERF. I.V.
25,54
25,540000
25,540000
33,40
33,400000
33,400000
FRANTA
CUTIE X 1 BLIST. PVC-PVDC/AL-PETP X 1

CAPS. MOALE
PRF
195,08
195,080000
195,080000
238,15
238,150000
238,150000
FRANTA
CUTIE X 1 BLIST. PVC-PVDC/AL-PETP X 1

CAPS. MOALE
PRF
292,59
292,590000
292,590000
357,19
357,190000
357,190000
AUSTRIA

INJ/PERF.
INJ/PERF.
352,01
352,010000
352,010000
421,84
421,840000
421,840000
72,14
72,140000
72,140000
91,21
91,210000
91,210000
TEVA PHARMACEUTICAL
ROMANIA
S.R.L.
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 1

S
ML CONC. PT. SOL. PERF.
72,14
72,140000
72,140000
91,21
91,210000
91,210000

PERF.
72,15
72,150000
72,150000
91,23
91,230000
91,230000

S
352,01
352,010000
352,010000
421,84
421,840000
421,840000
448,89
448,890000
422,412000
527,44
527,440000
506,208000
10
311,36
31,136000
31,136000
377,53
37,753000
37,753000
20
308,57
15,428500
15,428500
374,49
18,724500
18,724500
ROMANIA
CUTIE X 1 FLACON DIN STICLA INCOLORA

S
X 5 ML CONC. PT. SOL. PERF.
32,83
32,830000
32,830000
42,94
42,940000
42,940000
AUSTRIA
39,04
39,040000
38,352000
51,07
51,070000
50,172000
ROMANIA

PERF.
31,96
31,960000
31,960000
41,81
41,810000
41,810000
MAREA
BRITANIE

TIP I, CU CAPACITATEA DE 10 ML NCHIS
CU DOP DIN CAUCIUC BROMOBUTIL SI
PR
SIGILAT CU CAPSE DETASABILE DIN AL DE
CULOARE ALBASTRA CONTINND 10 ML
CONC. PENTRU SOL. PERF.
61,04
61,040000
61,040000
77,18
77,180000
77,180000
AUSTRIA
VINORELBIN ACTAVIS 10 mg/ml
CONC. PT. SOL.

PERF.
10mg/ml
ACTAVIS S.R.L.
TELBINE 10 mg/ml
CONC. PT. SOL.

PERF.
10mg/ml
TEVA PHARMACEUTICAL
ROMANIA
S.R.L.
VINORELBIN ACTAVIS 10 mg/ml
CONC. PT. SOL.

PERF.
10mg/ml
ACTAVIS S.R.L.
Pret cu ridicata
maximal / U.T.
BELGIA
TELBINE 10 mg/ml
10mg/ml

PR
COMPRIMATE FILMATE
CUTIE CU BLIST. PVC/PE/PVDC/AL X 120
PR
COMPR. FILM.
PR
FILMATE
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
CUTIE CU BLISTERE PVC-PE-PVDC/AL-PETPR

HARTIE X 120 COMPRIMATE FILMATE
CONC. PT. SOL.

PERF.
Ambalaj
Prescriptie
Nr.c
Cod CIM
rt
ROMANIA
ROMANIA

UNGARIA
KFT
UNGARIA
KFT

PERF.
CUTIE X 1 BLIST. PVC/A0-PVC-PVDC X 10
CAPS.
CUTIE X 2 BLIST. PVC/AL-PVC-PVDC X 10
CAPS.
S
PRF
PRF
168 W08035001 L01CB01 ETOPOSIDUM
VEPESID
CAPS. MOI
100mg
VEPESID
CAPS. MOI
50mg
SINTOPOZID 100 mg/5 ml
CONC. PT. SOL.

PERF.
100mg/5ml ACTAVIS S.R.L.
ETOPOSID "EBEWE" 100 mg/5 ml
CONC. PT. SOL.

PERF.
100mg/5ml
ETOPOSIDE - TEVA
CONC. PT. SOL.

PERF.
20mg/ml
ETOPOZIDA KABI 20 mg/ml
CONC. PT. SOL.

PERF.
20mg/ml
FRESENIUS KABI
ONCOLOGY PLC
ETOPOSIDE - TEVA
CONC. PT. SOL.

PERF.
20mg/ml
TEVA
PHARMACEUTICALS
S.R.L.
ROMANIA

PERF.
61,07
61,070000
61,070000
77,22
77,220000
77,220000
175 W43372003 L01CD01 PACLITAXELUM**
PACLITAXEL EBEWE 6mg/ml
CONC. PT. SOL.

PERF.
6mg/ml
EBEWE PHARMA
GES.M.B.H. NFG KG
AUSTRIA

S
832,08
832,080000
538,200000
945,12
945,120000
632,424000
SINDAXEL
CONC. PT. SOL.

PERF.
6mg/ml
ACTAVIS S.R.L.
ROMANIA
CUTIE X 1 FLAC. DIN STICLA INCOLORA X,

S
559,41
559,410000
538,200000
647,91
647,910000
632,424000
PACLITAXEL ARCHIE SAMUEL 6 mg/ml
CONC. PT. SOL.

PERF.
6mg/ml
ARCHIE SAMUEL S.R.O.
REPUBLICA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X

S
100 MG CONC. PT. SOL. PERF.
CEHA
356,96
356,960000
356,960000
427,24
427,240000
425,271000
PACLITAXEL 6 mg/ml
6mg/ml
PHARMEXPRESS S.R.L.
ROMANIA
SINDAXEL
6mg/ml
ACTAVIS S.R.L.
ROMANIA
SINDAXEL
6mg/ml
ACTAVIS S.R.L.
ROMANIA
SINDAXEL
6mg/ml
ACTAVIS S.R.L.
ROMANIA
PACLITAXEL ACCORD 6 mg/ml
6mg/ml
ACCORD HEALTHCARE
LIMITED
MAREA
BRITANIE
SINDAXEL
6mg/ml
ACTAVIS S.R.L.
ROMANIA
ACCORD HEALTHCARE
LIMITED
FRESENIUS KABI
ROMANIA SRL
FRESENIUS KABI
ROMANIA SRL
MAREA
BRITANIE
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.
6mg/ml
6mg/ml
6mg/ml
EBEWE PHARMA
GES.M.B.H. NFG KG
TEVA
PHARMACEUTICALS
S.R.L.
Pagina 23 din 87
ROMANIA
ROMANIA
CUTIE X 4 FLAC. X 16,7 ML

16,67 ML CONC. PT. SOL. PERF.
CUTIE CU 1 FLAC. DIN STICLA A 5 ML CARE
CONTINE 30 MG PACLITAXEL
CUTIE CU 1 FLAC. DIN STICLA A 16,7 ML
CARE CONTINE 100 MG PACLITAXEL
1.265,52
316,380000
316,380000
1.417,57
354,392500
354,392500
356,99
356,990000
356,990000
427,27
427,270000
425,271000
1.100,68
1.100,680000
1.100,680000
1.237,89
1.237,890000
1.237,890000
909,41
909,410000
909,410000
1.029,41
1.029,410000
1.029,410000
114,66
114,660000
114,660000
139,98
139,980000
132,744000
114,95
114,950000
114,950000
140,33
140,330000
132,744000
356,77
356,770000
356,770000
427,03
427,030000
425,271000
338,86
338,860000
338,860000
407,51
407,510000
407,510000
448,50
448,500000
448,500000
527,02
527,020000
527,020000
Grupa
terapeutic
a
Denumire generica
Denumire comerciala
PACLITAXEL 6 mg/ml
Forma farmaceutica
CONC. PT. SOL.

PERF.
CONC. PT. SOL.
PERF.
Concentratie
/ U.T.
Firma
Tara
Ambalaj
Prescriptie
Nr.c
Cod CIM
rt
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
Pret cu ridicata
maximal / U.T.
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
Pret cu
amanuntul
maximal / U.T.
Pret de
decontare / U.T.
6mg/ml
PHARMEXPRESS S.R.L.
ROMANIA
1.010,91
1.010,910000
1.010,910000
1.140,04
1.140,040000
1.140,040000
6mg/ml
ACCORD HEALTHCARE
LIMITED
MAREA
BRITANIE

CARE CONTINE 300 MG PACLITAXEL
1.100,51
1.100,510000
1.100,510000
1.237,71
1.237,710000
1.237,710000
CONC. PT. SOL.

PERF.
6mg/ml

S
CEHA
114,92
114,920000
114,920000
140,30
140,300000
132,744000
CONC. PT. SOL.

PERF.
6mg/ml

S
CEHA
1.100,65
1.100,650000
1.100,650000
1.237,86
1.237,860000
1.237,860000
CONC. PT. SOL.

PERF.
6mg/ml

S
CEHA
559,30
559,300000
538,200000
647,79
647,790000
632,424000
6mg/ml
PHARMEXPRESS S.R.L.
ROMANIA
10
979,86
97,986000
97,986000
1.106,20
110,620000
110,620000
6mg/ml
FRESENIUS KABI
ROMANIA SRL
ROMANIA

1.010,86
1.010,860000
1.010,860000
1.139,99
1.139,990000
1.139,990000
CONC. PT. SOL.

PERF.
CONC. PT. SOL.
PERF.
PACLITAXEL 6 mg/ml
CONC. PT. SOL.

PERF.
6mg/ml
EBEWE PHARMA
GES.M.B.H. NFG KG
AUSTRIA

S
1.100,68
1.100,680000
1.100,680000
1.237,89
1.237,890000
1.237,890000
CONC. PT. SOL.

PERF.
6mg/ml
EBEWE PHARMA
GES.M.B.H. NFG KG
AUSTRIA

S
X 16,6 ML CONC. PT. SOL. PERF.
356,99
356,990000
356,990000
427,27
427,270000
425,271000
CONC. PT. SOL.

PERF.
6mg/ml
EBEWE PHARMA
GES.M.B.H. NFG KG
AUSTRIA

S
114,95
114,950000
114,950000
140,33
140,330000
132,744000
106,15
106,150000
106,150000
129,59
129,590000
129,590000
227,82
227,820000
77,952000
278,12
278,120000
98,568000
148,08
148,080000
77,952000
180,78
180,780000
98,568000
364,79
364,790000
77,952000
435,77
435,770000
98,568000
787,79
787,790000
307,296000
896,84
896,840000
375,144000
1.043,54
1.043,540000
307,296000
1.175,61
1.175,610000
375,144000
1.369,45
1.369,450000
307,296000
1.530,85
1.530,850000
375,144000
198 W12995001 L01CD02 DOCETAXELUM**
TAXOTERE 20 mg
CONC. PT. SOL.

6mg/ml
PERF.
CONC. + SOLV. PT.
20mg
SOL. PERF.
FRESENIUS KABI
ROMANIA SRL
ROMANIA
AVENTIS PHARMA SA
FRANTA
TEVA PHARMA B.V.
OLANDA

CUTIE X 1 FLACON X 0,5 ML CONC. SOL.
PERF. + 1 FLACON X 1,5 ML SOLV.
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.
ML CONCENTRAT PT. SOL.PERF.+1 FLAC.X
6ML SOLV.
CUTIE X 1 FLACON X 2 ML CONC. SOL.
PERF. + 1 FLACON X 6 ML SOLV.
CUTIE CU 1 BLIST. DIN POLISTIREN
TERMOFORMAT CU 1 FLAC. DIN STICLA
INCOLORA X 2 ML CONC. PT. SOL. PE
DOCETAXEL TEVA 20mg
CONC. + SOLV. PT.

20mg
SOL. PERF.
DOCETAXEL ACTAVIS 20 mg/0,5 ml
CONC. + SOLV. PT.

ACTAVIS GROUP PTC
20mg/0,5ml
SOL. PERF.
EHF.
ISLANDA
DOCETAXEL TEVA 80mg
CONC. + SOLV. PT.

80mg
SOL. PERF.
TEVA PHARMA B.V.
OLANDA
TAXOTERE 80 mg
CONC. + SOLV. PT.

80mg
SOL. PERF.
AVENTIS PHARMA SA
FRANTA
DOCETAXEL ACTAVIS 80 mg/2 ml
CONC. + SOLV. PT.

80mg/2ml
SOL. PERF.
ACTAVIS GROUP PTC

EHF.
ISLANDA
DOCETAXEL HOSPIRA 10 mg/ml
CONC. PT. SOL.

PERF.
10mg/ml
HOSPIRA UK LIMITED
MAREA
BRITANIE

IN FOLIE PROTECTOARE ONCO-TAIN X 2
S/PRF
64,96
64,960000
64,960000
82,14
82,140000
82,140000
CONC. PT. SOL.

PERF.
10mg/ml
HOSPIRA UK LIMITED
MAREA
BRITANIE

S/PRF
256,08
256,080000
256,080000
312,62
312,620000
312,620000
CONC. PT. SOL.

PERF.
10mg/ml
HOSPIRA UK LIMITED
MAREA
BRITANIE

S/PRF
466,50
466,500000
466,500000
546,64
546,640000
546,640000
CONC. PT. SOL.

PERF.
10mg/ml
HOSPIRA UK LTD
MAREA
BRITANIE
CUTIE CU 1 FLAC. DIN STICLA INCOLORA X S/PRF

64,96
64,960000
64,960000
82,14
82,140000
82,140000
DOCETAXEL EBEWE 10 mg/ml
CONC. PT. SOL.

PERF.
10mg/ml
EBEWE PHARMA
GES.M.B.H. NFG KG
AUSTRIA
PCUTIE CU 1 FLAC. DIN STICLA INCOLORA X

RF/
R
924,39
924,390000
307,296000
1.045,74
1.045,740000
375,144000
CONC. PT. SOL.

PERF.
10mg/ml
HOSPIRA UK LTD
MAREA
BRITANIE

466,50
466,500000
466,500000
546,64
546,640000
546,640000
CONC. PT. SOL.

PERF.
10mg/ml
EBEWE PHARMA
GES.M.B.H. NFG KG
AUSTRIA

CU FOLIE PROTECTOARE DIN PLASTIC
ONCO-SAFE X 16 ML CONC. PT. SO
1.542,65
1.542,650000
559,800000
1.719,64
1.719,640000
655,968000
CONC. PT. SOL.

PERF.
10mg/ml
HOSPIRA UK LTD
MAREA
BRITANIE

256,08
256,080000
256,080000
312,62
312,620000
312,620000
261,95
261,950000
77,952000
319,79
319,790000
98,568000
PRF/
R
CONC. PT. SOL.

PERF.
10mg/ml
EBEWE PHARMA
GES.M.B.H. NFG KG
AUSTRIA
PCUTIE CU 1 FLAC. DIN STICLA INCOLORA X

RF/
R
DOCETAXEL PFIZER 10 mg/ml
CONC. PT. SOL.

PERF.
10mg/ml
MAREA
BRITANIE
CUTIE CU 1 FLAC. DIN PP DE UNICA

PR
FOLOSINTA A 13 ML CONC. PT. SOL. PERF.
1.577,91
1.577,910000
1.577,910000
1.758,07
1.758,070000
1.758,070000
CONC. PT. SOL.

PERF.
10mg/ml
MAREA
BRITANIE

PR
261,95
261,950000
77,952000
319,79
319,790000
98,568000
CONC. PT. SOL.

PERF.
10mg/ml
MAREA
BRITANIE

PR
2.411,40
2.411,400000
2.411,400000
2.666,58
2.666,580000
2.666,580000
Pagina 24 din 87
Grupa
terapeutic
a
Denumire generica
Denumire comerciala
Forma farmaceutica
Concentratie
/ U.T.
Firma
CONC. PT. SOL.

PERF.
TAXOTERE 160 mg/8ml
CONC. PT. SOL.

PERF.
160 mg/8 ml AVENTIS PHARMA SA
DOCETAXEL KABI 120 mg/6 ml
CONC. PT. SOL.

PERF.
FRESENIUS KABI
20 mg/1 ml
ONCOLOGY PLC
TAXOTERE 20 mg/1ml
CONC. PT. SOL.

PERF.
20mg/1ml
AVENTIS PHARMA SA
TOLNEXA 20 mg/ml
CONC. PT. SOL.

PERF.
20mg/ml
KRKA, D.D., NOVO

MESTO
CONC. PT. SOL.

PERF.
20mg/ml
FRESENIUS KABI
ONCOLOGY PLC
DOCETAXEL ACTAVIS 20 mg/ml
CONC. PT. SOL.

PERF.
20mg/ml
ACTAVIS GROUP PTC

EHF.
CONC. PT. SOL.

PERF.
20mg/ml
ACTAVIS GROUP PTC

EHF.
DOCETAXEL KABI 20mg/ml
CONC. PT. SOL.

PERF.
20mg/ml
FRESENIUS KABI
ONCOLOGY PLC
CONC. PT. SOL.

PERF.
20mg/ml
FRESENIUS KABI
ONCOLOGY PLC
CONC. PT. SOL.

PERF.
20mg/ml
ACTAVIS GROUP PTC

EHF.

TOLNEXA 20 mg/ml
CONC. PT. SOL.

PERF.
10mg/ml
20mg/ml
KRKA, D.D., NOVO

MESTO
TOLNEXA 20 mg/ml
CONC. PT. SOL.

PERF.
20mg/ml
KRKA, D.D., NOVO

MESTO
TAXOTERE 80 mg/4ml
CONC. PT. SOL.

PERF.
80mg/4ml
AVENTIS PHARMA SA
Tara
MAREA
BRITANIE
Ambalaj

Prescriptie
Nr.c
Cod CIM
rt
Pret cu ridicata
maximal / U.T.
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
Pret cu
amanuntul
maximal / U.T.
Pret de
decontare / U.T.
PR
924,39
924,390000
307,296000
1.045,74
1.045,740000
375,144000
PR
2.361,67
2.361,670000
559,800000
2.612,37
2.612,370000
655,968000
PR
1.359,59
1.359,590000
1.359,590000
1.520,11
1.520,110000
1.520,110000
PR
287,07
287,070000
77,952000
350,45
350,450000
98,568000
PR
566,74
566,740000
559,800000
655,90
655,900000
655,900000
PR
1.706,08
1.706,080000
559,800000
1.897,78
1.897,780000
655,968000
PR
261,95
261,950000
77,952000
319,79
319,790000
98,568000
PR
924,39
924,390000
307,296000
1.045,74
1.045,740000
375,144000
PR
256,30
256,300000
77,952000
312,89
312,890000
98,568000
PR
916,40
916,400000
307,296000
1.037,03
1.037,030000
375,144000
PR
2.373,51
2.373,510000
2.373,510000
2.625,28
2.625,280000
2.625,280000
CUTIE CU 1 FLAC. DIN STICLA, DE

CAPACITATE 5 ML, PREVAZUT CU SIGILIU
SLOVENIA DIN AL CU CAPSA TIP FLIP-OFF DE
PR
CULOARE ROSIE, A 4 ML CONC. PT. SOL.
PERF. CARE CONTINE 80 MG DOCETAXEL
309,04
309,040000
307,296000
375,00
375,000000
375,000000
77,91
77,910000
77,910000
98,51
98,510000
98,510000
CUTIE X 1 FLACON DIN STICLA CU 8 ML

FRANTA
CONC. PT. SOL. PERF.X 160MG
CUTIE CU 1 FL DIN STICLA INCOLORA X 6
MAREA
ML CONCENTRAT PENTRU SOL.
BRITANIE
PERFUZABILA
CUTIE X 1 FLACON X 1 ML CONC. PT. SOL.
FRANTA
PERF.
DIN AL CU CAPSA TIP FLIP-OFF DE
SLOVENIA
CULOARE PORTOCALIE, A 8 ML CONC. PT.
SOL. PERF. CARE CONTINE 160 MG
DOCETAXEL
MAREA
ML CONCENTRAT CE CONTINE 160 MG
BRITANIE
DOCETAXEL
CUTIE CU 1 FLAC. UNIDOZA DIN STICLA
ISLANDA
INCOLORA CU 1 ML CONC. PT. SOL. PERF.
CARE CONTINE 20 MG DOCETAX
ISLANDA
CARE CONTINE 80 MG DOCETAX
CUTIE X 1 FLACON DIN STICLA X 1ML
MAREA
CONCENTRAT PENTRU SOLUTIE
BRITANIE
PERFUZABILA X 20MG DOCETAXEL
MAREA
ML CONCENTRAT CE CONTINE 80 MG
BRITANIE
DOCETAXEL
ISLANDA
CARE CONTINE 140 MG DOCETA

DIN AL CU CAPSA TIP FLIP-OFF DE
SLOVENIA
PR
CULOARE PORTOCALIE, A 1 ML CONC. PT.
SOL. PERF. CARE CONTINE 20 MG
DOCETAXEL
CUTIE X 1 FLACON DIN STICLA X 4 ML
FRANTA
PR
CONC. PT. SOL. PERF.
1.195,82
1.195,820000
307,296000
1.341,60
1.341,600000
375,144000
148,08
148,080000
77,952000
180,78
180,780000
98,568000
787,78
787,780000
307,296000
896,83
896,830000
375,144000
2.068,12
2.068,120000
2.068,120000
2.292,40
2.292,400000
2.292,400000
7.697,96
7.697,960000
7.697,960000
8.428,94
8.428,940000
8.428,940000
TAXEGIS 20 mg
CONC. SI SOLV. PT.

20mg
SOL. PERF.
EGIS
PHARMACEUTICALS
P.L.C.
UNGARIA
CUTIE CU 1 BLIST. X 1 FLAC. UNIDOZA DIN

STICLA INCOLORA CU CAPACITATEA DE 5
ML CU 0,5 ML CONC. PT. SOL. PERF.+1
PR
FLAC UNIDOZA CU 1,5 ML SOLV. PT. SOL.
PERF
TAXEGIS 80 mg
CONC. SI SOLV. PT.

80mg
SOL. PERF.
EGIS
PHARMACEUTICALS
P.L.C.
UNGARIA
CUTIE CU 1 BLIST. X 1 FLAC. UNIDOZA DIN

STICLA INCOLORA CU CAPACITATEA DE 15 PR
ML CU 2 ML CONC. PT. SO
232 W52365001 L01CX01 TRABECTEDINUM****
YONDELIS 0,25mg
0,25mg
PHARMA MAR S.A.
SPANIA
233 W52366001 L01CX01 TRABECTEDINUM****
YONDELIS 1mg
1mg
PHARMA MAR S.A.
SPANIA
PULB. PT.CONC.
PT.SOL. PERF.
PULB. PT.CONC.
PT.SOL. PERF.
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
CUTIE X 1 FLAC. CU PULB. PT. CONC. PT.

SOL. PERF.
SOL. PERF.
234 W59712001 L01DA01 DACTINOMICINUM4)
COSMEGEN LYOVAC 0,5 mg
PULB. PT. SOL. INJ. 0,5mg
CN UNIFARM S.A.
ROMANIA
CUTIE X 1 FLACON PULBERE LIOFILIZATA

PENTRU SOLUTIE PERFUZABILA
PR
128,87
128,870000
128,870000
157,32
157,320000
157,320000
235 W60643001 L01DB01 DOXORUBICINUM
DHARUXO 2 mg/ml
CONC. PT. SOL.

PERF.
NEOLA PHARMA S.R.L.
ROMANIA

PR
27,42
27,420000
27,420000
35,86
35,860000
35,860000
DHARUXO 2 mg/ml
CONC. PT. SOL.

PERF.
2mg/ml
NEOLA PHARMA S.R.L.
ROMANIA

PR
66,23
66,230000
66,230000
83,74
83,740000
83,740000
DHARUXO 2 mg/ml
CONC. PT. SOL.

PERF.
2mg/ml
NEOLA PHARMA S.R.L.
ROMANIA

PR
101,03
101,030000
101,030000
123,34
123,340000
123,340000
DOXORUBICINA ACCORD 2 mg/ml
CONC. PT. SOL.

PERF.
2mg/ml
ACCORD HEALTHCARE
LIMITED
MAREA
BRITANIE

5 ML CONC. PT. SOL. PERF. CONTINAND 10 PR
MG DOXORUBICINA
28,22
28,220000
28,220000
36,91
36,910000
36,910000
DOXORUBICINA ACTAVIS 2 mg/ml
CONC. PT. SOL.

PERF.
2mg/ml
ACTAVIS GROUP PTC

EHF.
ISLANDA
CUTIE CU 1 FLAC. A 5 ML CONC. PT. SOL.

PERF. CARE CONTINE 10 MG
DOXORUBICINA
PR
27,18
27,180000
27,180000
35,55
35,550000
35,550000
2mg/ml
TEVA
PHARMACEUTICALS
S.R.L.
ROMANIA
CUTIE CU 1 FLAC. CONC. PT. SOL. PERF. X

PR
20 MG CLORHIDRAT DE DOXORUBICINA
63,03
63,030000
63,030000
79,70
79,700000
79,700000
DOXORUBICINA TEVA 2 mg/ml
CONC. PT. SOL.

PERF.
2mg/ml
Pagina 25 din 87
Grupa
terapeutic
a
Denumire generica
Denumire comerciala
Forma farmaceutica
Concentratie
/ U.T.
Firma
Tara
Ambalaj
Prescriptie
Nr.c
Cod CIM
rt
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
Pret cu ridicata
maximal / U.T.
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
Pret cu
amanuntul
maximal / U.T.
Pret de
decontare / U.T.
DOXORUBICINA TEVA 2 mg/ml
CONC. PT. SOL.

PERF.
2mg/ml
TEVA
PHARMACEUTICALS
S.R.L.
ROMANIA
CUTIE CU 1 FLAC. CONC. PT. SOL. PERF. X

PR
50 MG CLORHIDRAT DE DOXORUBICINA
89,23
89,230000
89,230000
112,82
112,820000
112,820000
CONC. PT. SOL.

PERF.
2mg/ml
ACCORD HEALTHCARE
LIMITED
MAREA
BRITANIE

25 ML CONC. PT. SOL. PERF. CONTINAND PR
50 MG DOXORUBICINA
89,23
89,230000
89,230000
112,82
112,820000
112,820000
CONC. PT. SOL.

PERF.
2mg/ml
ACCORD HEALTHCARE
LIMITED
MAREA
BRITANIE

100 ML CONC. PT. SOL. PERF. CONTINAND PR
200 MG DOXORUBICINA
225,68
225,680000
225,680000
275,51
275,510000
275,510000
CONC. PT. SOL.

PERF.
2mg/ml
ACTAVIS GROUP PTC

EHF.
ISLANDA

PR
DOXORUBICINA
62,33
62,330000
62,330000
78,81
78,810000
78,810000
DHARUXO 2 mg/ml
CONC. PT. SOL.

PERF.
2mg/ml
ROMASTRU TRADING
S.R.L.
ROMANIA

PR
101,03
101,030000
101,030000
123,34
123,340000
123,340000
269,92
269,920000
269,920000
329,52
329,520000
329,520000
DOXORUBICIN "EBEWE" 2mg/ml
CAELYX 2 mg/ml
DOXORUBICIN "EBEWE" 2mg/ml
CONC. PT. SOL.

PERF.
CONC. PT. SOL.
PERF.
CONC. PT. SOL.
PERF.
CONC. PT. SOL.
PERF.
2mg/ml
2mg/ml
2mg/ml
2mg/ml
ACTAVIS GROUP PTC

EHF.
ISLANDA
EBEWE PHARMA GMBH

NFG. KG
JANSSEN CILAG
INTERNATIONALL NV
EBEWE PHARMA GMBH
NFG. KG
28,22
28,220000
28,220000
36,91
36,910000
36,910000
BELGIA
1.445,08
1.445,080000
1.445,080000
1.613,29
1.613,290000
1.613,290000
AUSTRIA

S
PERF. (50 MG DOXORUBICINA)
110,17
110,170000
107,076000
134,49
134,490000
134,490000
ROMANIA

PR
27,42
27,420000
27,420000
35,86
35,860000
35,860000

PR
66,23
66,230000
66,230000
83,74
83,740000
83,740000
105,66
105,660000
105,660000
128,99
128,990000
128,990000
208,14
208,140000
208,140000
254,10
254,100000
254,100000
261,57
261,570000
261,570000
319,32
319,320000
319,320000
3.751,62
1.875,810000
1.875,810000
4.127,42
2.063,710000
2.063,710000
105,66
105,660000
105,660000
128,99
128,990000
128,990000
27,18
27,180000
27,180000
35,55
35,550000
35,550000
317,892000
AUSTRIA
DHARUXO 2 mg/ml
CONC. PT. SOL.

PERF.
DHARUXO 2 mg/ml
CONC. PT. SOL.

PERF.
2mg/ml
ROMASTRU TRADING
S.R.L.
ROMANIA
CONC. PT. SOL.

PERF.
2mg/ml
ACTAVIS GROUP PTC

EHF.
ISLANDA
CONC. PT. SOL.

PERF.
2mg/ml
ACTAVIS GROUP PTC

EHF.
ISLANDA
CONC. PT. SOL.

PERF.
2mg/ml
ACTAVIS GROUP PTC

EHF.
ISLANDA
MYOCET 50mg
PULB. + AMESTC.
PT. CONC.
50mg
PT.DISP.LIPOZOM.
PT.PERF
TEVA PHARMA B.V.
OLANDA
SINDROXOCIN 2mg/ml
PULB. PT. SOL.

PERF.
2mg/ml
ACTAVIS S.R.L
ROMANIA
SINDROXOCIN 2mg/ml
PULB. PT. SOL.

PERF.
2mg/ml
ACTAVIS S.R.L
ROMANIA
CONC. PT. SOL.

INJ.
CONC. PT. SOL.
INJ.
CONC. PT. SOL.
INJ.
2mg/ml
ROMASTRU TRADING
S.R.L.
258 W41876003 L01DB03 EPIRUBICINUM
EPIRUBICIN "EBEWE" 2 mg/ml
EPISINDAN 10 mg
EPISINDAN 50 mg
ECCLEPIA 2 mg/ml
SOL. INJ./PERF.
EPIRUBICINA TEVA 2 mg/ml
2mg/ml

PR
DOXORUBICINA
S
PERF. (10 MG DOXORUBICINA)
EBEWE PHARMA
GES.M.B.H. NFG KG
EBEWE PHARMA
GES.M.B.H. NFG KG
EBEWE PHARMA
GES.M.B.H. NFG KG

PR
DOXORUBICINA
PR
DOXORUBICINA
PR
DOXORUBICINA
CUTIE X 2 SETURI X 3 FLAC. (1 FLAC PULB.
S
+ 1 FLAC.LIPOZOMI +1 FLAC. SOL.TAMP.)
CAPACITATEA DE 50 ML X 50 MG
S
CLORHIDRAT DE DOXORUBICINA
CAPACITATEA DE 8 ML CONTINAND 10 MG S
CLORHIDRAT DE DOXORUBICIN
AUSTRIA
454,46
454,460000
260,400000
533,51
533,510000
AUSTRIA
48,67
48,670000
45,636000
63,66
63,660000
59,688000
AUSTRIA
231,77
231,770000
231,770000
282,94
282,940000
282,940000
ACTAVIS S.R.L.
ROMANIA
CUTIE X 1 FLAC. CU LIOF. PT. SOL. INJ.
42,74
42,740000
42,740000
55,90
55,900000
55,900000
ACTAVIS S.R.L.
ROMANIA
CUTIE X 1 FLAC. CU LIOF. PT. SOL. INJ.
233,65
233,650000
233,650000
285,24
285,240000
285,240000
2mg/ml
NEOLA PHARMA SRL
ROMANIA

CU 25 ML SOL. INJ./PERF. X 50 MG
EPIRUBICINA
198,48
198,480000
198,480000
242,30
242,300000
242,300000
SOL. INJ./PERF.
2mg/ml
TEVA PHARMACEUTICAL
ROMANIA
S.R.L.
CUTIE X 1 FLAC. STICLA INCOLORA X 5 ML

S
SOL. INJ. /PERFZ.
42,50
42,500000
42,500000
55,59
55,590000
55,590000
SOL. INJ./PERF.
2mg/ml
TEVA PHARMACEUTICAL
ROMANIA
S.R.L.

S
SOL. INJ. /PERFZ.
83,38
83,380000
83,380000
105,42
105,420000
105,420000
SOL. INJ./PERF.
2mg/ml
TEVA PHARMACEUTICAL
ROMANIA
S.R.L.

S
SOL. INJ. /PERFZ.
588,06
588,060000
588,060000
679,14
679,140000
679,140000
SOL. INJ./PERF.
2mg/ml
TEVA PHARMACEUTICAL
ROMANIA
S.R.L.
CUTIE X 1 FLAC. STICLA INCOLORA X 100

ML SOL. INJ. /PERFZ.
773,38
773,380000
476,772000
881,13
881,130000
565,464000
198,48
198,480000
198,480000
242,30
242,300000
242,300000
80,83
80,830000
80,830000
102,20
102,200000
102,200000
2mg/ml
2mg/ml
ECCLEPIA 2 mg/ml
SOL. INJ./PERF.
2mg/ml
ROMASTRU TRADING
SRL
ROMANIA
ECCLEPIA 2 mg/ml
SOL. INJ./PERF.
2mg/ml
NEOLA PHARMA SRL
ROMANIA
Pagina 26 din 87

EPIRUBICINA
EPIRUBICINA
Grupa
terapeutic
a
Denumire generica
Denumire comerciala
ECCLEPIA 2 mg/ml
Forma farmaceutica
SOL. INJ./PERF.
Concentratie
/ U.T.
2mg/ml
Firma
NEOLA PHARMA SRL
Tara
ROMANIA
EPIRUBICINA ACTAVIS 2mg/ml
SOL. INJ./PERF.
2mg/ml
ACTAVIS S.R.L.
ROMANIA
SOL. INJ./PERF.
2mg/ml
ACTAVIS S.R.L.
ROMANIA
SOL. INJ./PERF.
2mg/ml
ACTAVIS S.R.L.
ROMANIA
ROMANIA
ROMANIA
ECCLEPIA 2 mg/ml
SOL. INJ./PERF.
2mg/ml
ROMASTRU TRADING
SRL
SOL. INJ./PERF.
2mg/ml
ACTAVIS S.R.L.
2mg/ml
TEVA PHARMACEUTICAL
ROMANIA
S.R.L.
SOL. INJ./PERF.
ECCLEPIA 2 mg/ml
SOL. INJ./PERF.
2mg/ml
ROMASTRU TRADING
SRL
ROMANIA
ECCLEPIA 2 mg/ml
SOL. INJ./PERF.
2mg/ml
ROMASTRU TRADING
SRL
ROMANIA
ECCLEPIA 2 mg/ml
SOL. INJ./PERF.
2mg/ml
ROMASTRU TRADING
SRL
ROMANIA
SOL. INJ./PERF.
2mg/ml
ACTAVIS S.R.L.
ROMANIA
ECCLEPIA 2 mg/ml
SOL. INJ./PERF.
2mg/ml
NEOLA PHARMA SRL
ROMANIA
ROMANIA
ECCLEPIA 2 mg/ml
SOL. INJ./PERF.
2mg/ml
NEOLA PHARMA SRL
283 W03575001 L01DB06 IDARUBICINUM
ZAVEDOS
CAPS.
10mg
ZAVEDOS 5 mg
285 W42735002 L01DB07 MITOXANTRONUM**
ONKOTRONE
CONC. PT. SOL.

INJ.
286 W58249002 L01DC01 BLEOMYCINUM SULFAS
BLEOMYCIN MEDAC 15000 UI
PULB. PT. SOL. INJ. 15000UI
287 W56664002 L01XA01
CISPLATINUM
PLATOSIN 0,5 mg/ml
CONC. PT. SOL.

PERF.
288 W56664003 L01XA01
CISPLATINUM
PLATOSIN 0,5 mg/ml
CONC. PT. SOL.

PERF.
289 W56664001 L01XA01
CISPLATINUM
PLATOSIN 0,5 mg/ml
CONC. PT. SOL.

PERF.
290 W56665003 L01XA01
CISPLATINUM
PLATOSIN 1 mg/ml
CONC. PT. SOL.

PERF.
291 W56665002 L01XA01
CISPLATINUM
PLATOSIN 1 mg/ml
CONC. PT. SOL.

PERF.
292 W01315001 L01XA01
CISPLATINUM
CISPLATIN "EBEWE" 10 mg/20 ml
293 W52187002 L01XA01
CISPLATINUM
SINPLATIN 1 mg/1 ml
294 W52187001 L01XA01
CISPLATINUM
SINPLATIN 1 mg/1 ml
295 W01316001 L01XA01
CISPLATINUM
296 W01317001 L01XA01
CISPLATINUM
CONC. PT. SOL.

PERF.
CONC. PT. SOL.
PERF.
CONC. PT. SOL.
PERF.
CONC. PT. SOL.
PERF.
CONC. PT. SOL.
PERF.
2mg/ml
MAREA
BRITANIE
MAREA
BRITANIE
BAXTER ONCOLOGY
GERMANIA
GMBH
MEDAC GESELLSCAFT
FUR KLINISCHE
SPEZIALPRPARATE
TEVA
PHARMACEUTICALS
0,5 mg/ml
S.R.L.
TEVA
0,5 mg/ml
PHARMACEUTICALS
S.R.L.
TEVA
0,5 mg/ml
PHARMACEUTICALS
S.R.L.
TEVA
1 mg/ml
PHARMACEUTICALS
S.R.L.
TEVA
1 mg/ml
PHARMACEUTICALS
S.R.L.
EBEWE PHARMA GMBH
10mg/20ml
NFG. KG
1mg/1ml
ACTAVIS S.R.L.
1mg/1ml
ACTAVIS S.R.L.
EBEWE PHARMA GMBH

NFG. KG
50mg/100m EBEWE PHARMA GMBH
l
NFG. KG
25mg/50ml
297 W53000002 L01XA02
CARBOPLATINUM
CARBOPLATIN ACTAVIS 10mg/ml
CONC. PT. SOL.

PERF.
298 W58740004 L01XA02
CARBOPLATINUM
CARBOPLATIN KABI 10 mg/ml
CONC. PT. SOL.

PERF.
10mg/ml
299 W13052001 L01XA02
CARBOPLATINUM
CARBOPLATIN "EBEWE" 10 mg/ml
CONC. PT. SOL.

PERF.
10mg/ml
300 W52579002 L01XA02
CARBOPLATINUM
CARBOPLATIN TEVA 10mg/ml
CONC. PT. SOL.

PERF.
10mg/ml
10mg/ml
ACTAVIS S.R.L.
FRESENIUS KABI
ONCOLOGY PLC
EBEWE PHARMA
GES.M.B.H. NFG KG
TEVA
PHARMACEUTICALS
S.R.L.
Pagina 27 din 87
Ambalaj

EPIRUBICINA
CUTIE X 1 FLAC. A 25 ML SOL. INJ. X 50MG
(50MG/25ML)
(100MG/50ML)
CUTIE X 1 FLAC. A 100ML SOL. INJ. X
200MG (200MG/100ML)
EPIRUBICINA
(20MG/10ML)
Prescriptie
Nr.c
Cod CIM
rt
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
39,99
Pret cu ridicata
maximal / U.T.
39,990000
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
39,990000
52,31
Pret cu
amanuntul
maximal / U.T.
52,310000
Pret de
decontare / U.T.
52,310000
197,39
197,390000
197,390000
240,97
240,970000
240,970000
217,00
217,000000
217,000000
264,91
264,910000
264,910000
397,31
397,310000
397,310000
471,22
471,220000
471,220000
39,99
39,990000
39,990000
52,31
52,310000
52,310000
81,95
81,950000
81,950000
103,62
103,620000
103,620000

S
SOL. INJ. /PERFZ.
204,65
204,650000
204,650000
249,84
249,840000
249,840000
80,83
80,830000
80,830000
102,20
102,200000
102,200000
450,99
450,990000
260,400000
529,73
529,730000
317,892000
771,75
771,750000
476,772000
879,36
879,360000
565,464000
38,03
38,030000
38,030000
49,74
49,740000
49,740000
450,99
450,990000
260,400000
529,73
529,730000
317,892000

EPIRUBICINA
EPIRUBICINA
EPIRUBICINA
(10MG/5ML)
EPIRUBICINA
EPIRUBICINA
771,75
771,750000
476,772000
879,36
879,360000
565,464000
PRF
203,33
203,330000
203,330000
248,22
248,220000
248,220000

S
LIOF. PT. SOL. INJ.
S
INJ.
GERMANIA CU CAPACITATEA DE 10 ML CU PULB. PT. PR
SOL. INJ.
143,35
143,350000
143,350000
175,00
175,000000
175,000000
555,48
555,480000
555,480000
643,62
643,620000
643,620000
105,44
105,440000
105,440000
128,72
128,720000
128,720000
ROMANIA

PR
19,75
19,750000
19,750000
26,70
26,700000
26,700000
ROMANIA

PR
35,38
35,380000
35,380000
46,28
46,280000
46,280000
ROMANIA

PR
11,00
11,000000
11,000000
14,87
14,870000
14,868000
ROMANIA

PR
67,91
67,910000
67,910000
85,86
85,860000
85,860000
ROMANIA

PR
35,38
35,380000
35,380000
46,28
46,280000
46,280000
AUSTRIA
ROMANIA
ROMANIA
AUSTRIA
AUSTRIA

PERF.
CUTIE X 1 FLAC. X 50 ML X 50 MG CONC.
SOL. PERF.
SOL. PERF.
CUTIE X 1 FLACON X 50 ML COND. PT. SOL.
PERF.
CUTIE X 1 FLACON X 100 ML CONC. PT.
SOL. PERF.
9,17
9,170000
9,170000
12,39
12,390000
12,390000
48,45
48,450000
37,884000
63,37
63,370000
49,560000
18,81
18,810000
11,004000
25,42
25,420000
14,868000
22,06
22,060000
22,060000
29,81
29,810000
29,810000
31,57
31,570000
31,570000
41,30
41,300000
41,300000
ROMANIA

S
50,00
50,000000
50,000000
63,22
63,220000
63,220000
MAREA
BRITANIE

CU DOP DIN CAUCIUC FLUROTEC, SIGILAT
CU CAPSA DIN AL DE CULOARE GALBENA PR
X 60 ML CONC. PT. SOL. PERF. X 600 MG
CARBOPLATINA
174,90
174,900000
174,900000
213,52
213,520000
213,520000
AUSTRIA

62,52
62,520000
56,904000
79,05
79,050000
74,436000
ROMANIA

47,45
47,450000
47,450000
62,06
62,060000
62,060000
Grupa
terapeutic
a
Denumire generica
Denumire comerciala
Forma farmaceutica
Concentratie
/ U.T.
Firma
Tara
Ambalaj
Prescriptie
Nr.c
Cod CIM
rt
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
Pret cu ridicata
maximal / U.T.
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
Pret cu
amanuntul
maximal / U.T.
Pret de
decontare / U.T.
301 W52579003 L01XA02
CARBOPLATINUM
CONC. PT. SOL.

PERF.
10mg/ml
TEVA
PHARMACEUTICALS
S.R.L.
ROMANIA

132,81
132,810000
132,810000
162,14
162,140000
162,140000
302 W53000003 L01XA02
CARBOPLATINUM
CONC. PT. SOL.

PERF.
10mg/ml
ACTAVIS S.R.L.
ROMANIA

S
133,04
133,040000
133,040000
162,41
162,410000
162,410000
303 W13052003 L01XA02
CARBOPLATINUM
304 W13052002 L01XA02
CARBOPLATINUM
305 W53000001 L01XA02
306 W58740001 L01XA02
CARBOPLATINUM
CARBOPLATINUM
CONC. PT. SOL.

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

PERF.
10mg/ml
10mg/ml
10mg/ml
EBEWE PHARMA
GES.M.B.H. NFG KG
EBEWE PHARMA
GES.M.B.H. NFG KG
ACTAVIS S.R.L.
AUSTRIA

178,07
178,070000
158,400000
217,39
217,390000
193,380000
21,86
21,860000
21,624000
29,55
29,550000
29,220000
ROMANIA

S
18,05
18,050000
18,050000
24,39
24,390000
24,390000
18,02
18,020000
18,020000
24,35
24,350000
24,350000
AUSTRIA
10mg/ml
FRESENIUS KABI
ONCOLOGY PLC
MAREA
BRITANIE

CU CAPSA DIN AL DE CULOARE VERDE X 5 PR
ML CON. PT. SOL. PERF. X 50 MG
CARBOPLATINA
10mg/ml
FRESENIUS KABI
ONCOLOGY PLC
MAREA
BRITANIE

CU CAPSA DIN AL DE CULOARE ALBASTRA PR
CARBOPLATINA
47,42
47,420000
47,420000
62,03
62,030000
62,030000
307 W58740002 L01XA02
CARBOPLATINUM
CONC. PT. SOL.

PERF.
308 W58740003 L01XA02
CARBOPLATINUM
CONC. PT. SOL.

PERF.
10mg/ml
FRESENIUS KABI
ONCOLOGY PLC
MAREA
BRITANIE

CU CAPSA DIN AL DE CULOARE ROSIE X 45 PR
CARBOPLATINA
132,00
132,000000
132,000000
161,15
161,150000
161,150000
309 W57278010 L01XA03
OXALIPLATINUM
OXALIPLATIN EBEWE 5mg/ml
CONC. PT. SOL.

PERF.
5 mg/ml
EBEWE PHARMA
GES.M.B.H. NFG KG
AUSTRIA

CU INVELIS DE PROTECTIE (ONCO-SAFE) X PR
1.396,48
1.396,480000
143,700000
1.560,32
1.560,320000
175,428000
310 W57278002 L01XA03
OXALIPLATINUM
CONC. PT. SOL.

PERF.
5 mg/ml
EBEWE PHARMA
GES.M.B.H. NFG KG
AUSTRIA

264,15
264,150000
37,236000
322,48
322,480000
48,708000
311 W57278008 L01XA03
OXALIPLATINUM
CONC. PT. SOL.

PERF.
5 mg/ml
EBEWE PHARMA
GES.M.B.H. NFG KG
AUSTRIA

523,31
523,310000
73,152000
608,56
608,560000
92,496000
312 W57175003 L01XA03
OXALIPLATINUM
OXALIPLATIN ACTAVIS 5 mg/ml
CONC. PT. SOL.

PERF.
5mg/ml
ACTAVIS GROUP PTC

EHF.
ISLANDA

40 ML CONC. PT. SOL. PERF. CARE
PR
CONTINE 200 MG OXALIPLATINA
1.396,51
1.396,510000
143,700000
1.560,35
1.560,350000
175,428000
313 W55804002 L01XA03
OXALIPLATINUM
OXALIPLATIN ACCORD 5 mg/ml
CONC. PT. SOL.

PERF.
5mg/ml
ACCORD HEALTHCARE
LIMITED
MAREA
BRITANIE
615,78
615,780000
73,152000
709,35
709,350000
92,496000
314 W56696001 L01XA03
OXALIPLATINUM
OXALIPLATIN KABI 5 mg/ml
CONC. PT. SOL.

PERF.
5mg/ml
FRESENIUS KABI
ONCOLOGY PLC
MAREA
BRITANIE
31,03
31,030000
31,030000
40,59
40,590000
40,590000
315 W56696002 L01XA03
OXALIPLATINUM
CONC. PT. SOL.

PERF.
5mg/ml
FRESENIUS KABI
ONCOLOGY PLC
MAREA
BRITANIE

CU FOLIE PROTECTOARE DIN PLASTIC A
20 ML CONC. PT. SOL. PERF. CONTINAND
100 MG OXALIPLATINA
PR
60,96
60,960000
60,960000
77,08
77,080000
77,080000
316 W57175002 L01XA03
OXALIPLATINUM
CONC. PT. SOL.

PERF.
5mg/ml
ACTAVIS GROUP PTC

EHF.
ISLANDA

PR
615,78
615,780000
73,152000
709,35
709,350000
92,496000
317 W54318002 L01XA03
OXALIPLATINUM
OXALIPLATINA TEVA 5 mg/ml
CONC. PT. SOL.

PERF.
5mg/ml
ROMANIA

PR
165,76
165,760000
37,236000
202,36
202,360000
48,708000
318 W54318003 L01XA03
OXALIPLATINUM
OXALIPLATINA TEVA 5 mg/ml
CONC. PT. SOL.

PERF.
5mg/ml
ROMANIA

PR
331,41
331,410000
73,152000
399,39
399,390000
92,496000
ELOXATIN 5mg/ml
CONC. PT. SOL.

PERF.
FRANTA
CUTIE X 1 FLACON X 50 MG/10 ML CONC.

PT. SOL. PERF.
255,01
255,010000
37,236000
311,32
311,320000
48,708000
PR
119,75
119,750000
119,750000
146,19
146,190000
146,190000
319 W42983001 L01XA03
OXALIPLATINUM
5mg/ml
TEVA
PHARMACEUTICALS
S.R.L.
TEVA
PHARMACEUTICALS
S.R.L.
SANOFI-AVENTIS
FRANCE

20 ML CONC. PT. SOL. PERF. X 100 MG
S
OXALIPLATINA
PR
50 MG OXALIPLATINA
320 W56696005 L01XA03
OXALIPLATINUM
CONC. PT. SOL.

PERF.
5mg/ml
FRESENIUS KABI
ONCOLOGY PLC
MAREA
BRITANIE

200 MG OXALIPLATINA
321 W42983003 L01XA03
OXALIPLATINUM
ELOXATIN 5mg/ml
CONC. PT. SOL.

PERF.
5mg/ml
SANOFI-AVENTIS
FRANCE
FRANTA

S
PT. SOL. PERF.
957,36
957,360000
143,700000
1.081,67
1.081,670000
175,428000

PR
322,26
322,260000
37,236000
389,41
389,410000
48,708000
632,78
632,780000
143,700000
727,88
727,880000
175,428000
322 W57175001 L01XA03
OXALIPLATINUM
CONC. PT. SOL.

PERF.
5mg/ml
ACTAVIS GROUP PTC

EHF.
ISLANDA
323 W60404003 L01XA03
OXALIPLATINUM
OXALIPLATIN HAEMATO 5 mg/ml
CONC. PT. SOL.

PERF.
5mg/ml
HAEMATO PHARM AG

GERMANIA DE CAPACITATE DE 40 ML X 200 MG
OXALIPLATINA
Pagina 28 din 87
PR
Grupa
terapeutic
a
324 W42983002 L01XA03
Denumire generica
OXALIPLATINUM
Denumire comerciala
Forma farmaceutica
Concentratie
/ U.T.
Firma
ELOXATIN 5mg/ml
CONC. PT. SOL.

PERF.
5mg/ml
SANOFI-AVENTIS
FRANCE
5mg/ml
ACCORD HEALTHCARE
LIMITED
325 W55804001 L01XA03
OXALIPLATINUM
OXALIPLATIN ACCORD 5 mg/ml
CONC. PT. SOL.

PERF.
326 W60404001 L01XA03
OXALIPLATINUM
CONC. PT. SOL.

PERF.
5mg/ml
HAEMATO PHARM AG
327 W60404002 L01XA03
OXALIPLATINUM
CONC. PT. SOL.

PERF.
5mg/ml
HAEMATO PHARM AG
5mg/ml
ACTAVIS S.R.L.
5mg/ml
ACTAVIS S.R.L.
328 W52195002 L01XA03
OXALIPLATINUM
329 W52195001 L01XA03
OXALIPLATINUM
LIOF. PT. SOL.

PERF.
LIOF. PT. SOL.
PERF.
Tara
Ambalaj

PT. SOL. PERF.
10 ML CONC. PT. SOL. PERF. X 50 MG
OXALIPLATINA
OXALIPLATINA
OXALIPLATINA
CUTIE X 1 FLAC. X 100 MG LIOF. PT. SOL.
ROMANIA
PERF.
CUTIE 1 FLAC. X 50 MG LIOF. PT. SOL.
ROMANIA
PERF.
Prescriptie
Nr.c
Cod CIM
rt
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
Pret cu ridicata
maximal / U.T.
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
Pret cu
amanuntul
maximal / U.T.
Pret de
decontare / U.T.
FRANTA
493,70
493,700000
73,152000
576,28
576,280000
92,496000
MAREA
BRITANIE
322,25
322,250000
37,236000
389,40
389,400000
48,708000
PR
165,76
165,760000
37,236000
202,36
202,360000
48,708000
PR
331,41
331,410000
73,152000
399,39
399,390000
92,496000
615,78
615,780000
73,152000
709,35
709,350000
92,496000
322,26
322,260000
37,236000
389,41
389,410000
48,708000
871,57
871,570000
73,152000
988,16
988,160000
92,496000
330 W52468002 L01XA03
OXALIPLATINUM
PULB. PT. SOL.

PERF.
5mg/ml
EBEWE PHARMA
GES.M.B.H. NFG KG
AUSTRIA

SUPORT TRANSPARENT DIN PLASTIC
PR
(ONKO-SAFE) X 100 MG OXALIPLAT
331 W52977002 L01XA03
OXALIPLATINUM
OXALIPLATIN STADA 5 mg/ml
PULB. PT. SOL.

PERF.
5mg/ml
STADA ARZNEIMITTEL
AG
GERMANIA

100 MG OXALIPLATINA
PR
302,25
302,250000
73,152000
367,60
367,600000
92,496000
AUSTRIA

PR
(ONKO-SAFE) X 50 MG OXALIPLATI
457,29
457,290000
37,236000
536,60
536,600000
48,708000
UNGARIA

S
50 MG OXALIPLATINA
165,75
165,750000
37,236000
202,35
202,350000
48,708000
UNGARIA

S
100 MG OXALIPLATINA
331,40
331,400000
73,152000
399,38
399,380000
92,496000
332 W52468001 L01XA03
OXALIPLATINUM
PULB. PT. SOL.

PERF.
5mg/ml
333 W54761001 L01XA03
OXALIPLATINUM
REZIDOL 5 mg/ml
PULB. PT. SOL.

PERF.
5mg/ml
334 W54761002 L01XA03
OXALIPLATINUM
REZIDOL 5 mg/ml
PULB. PT. SOL.

PERF.
5mg/ml
OXALIPLATIN STADA 5 mg/ml
PULB. PT. SOL.

PERF.
335 W52977001 L01XA03
OXALIPLATINUM
5mg/ml
EBEWE PHARMA
GES.M.B.H. NFG KG
EGIS
PHARMACEUTICALS
P.L.C.
EGIS
PHARMACEUTICALS
P.L.C.
STADA ARZNEIMITTEL
AG

GERMANIA
50 MG OXALIPLATINA
PR
144,33
144,330000
37,236000
176,20
176,200000
48,708000
1.609,04
1.609,040000
1.609,040000
1.792,01
1.792,010000
1.792,010000
50
669,00
13,380000
13,380000
767,36
15,347200
15,347200
2.221,55
1.110,775000
1.110,775000
2.459,64
1.229,820000
1.229,820000
336 W52468003 L01XA03
OXALIPLATINUM
PULB. PT. SOL.

PERF.
5mg/ml
EBEWE PHARMA
GES.M.B.H. NFG KG
AUSTRIA

PR
(ONKO-SAFE) X 150 MG OXALIPLAT
337 W59766001 L01XB01
PROCARBAZINUM4)
NATULAN
CAPS.
50 mg
CN UNIFARM S.A.
ROMANIA
CUTIE X 50CAPSULE
PR
F
ROCHE REGISTRATION
LTD.
ROCHE REGISTRATION
LTD.
ROCHE REGISTRATION
LTD.
MAREA
BRITANIE
MAREA
BRITANIE
MAREA
BRITANIE
338 W07199001 L01XC02 RITUXIMABUM****
MABTHERA 100 mg
CONC. PT. SOL.

PERF.
CONC. PT. SOL.
PERF.
PULB. PT. CONC.
PT. SOL. PERF.
10mg/ml
339 W07200001 L01XC02 RITUXIMABUM****
MABTHERA 500 mg
340 W07881001 L01XC03 TRASTUZUMABUM****
HERCEPTIN 150mg
341 W60341001 L01XC03 TRASTUZUMABUM****
HERCEPTIN 600mg/5ml
SOL. INJ.
600mg/5ml
ROCHE REGISTRATION
LTD.
MAREA
BRITANIE
342 W52549002 L01XC06 CETUXIMABUM****
ERBITUX 5mg/ml
SOL. PERF.
5mg/ml
MERCK KGAA
GERMANIA
ROCHE REGISTRATION
LTD.
ROCHE REGISTRATION
LTD.
MAREA
BRITANIE
MAREA
BRITANIE
GLAXO GROUP LTD.
MAREA
BRITANIE
343 W42165001 L01XC07 BEVACIZUMABUM****
AVASTIN 25mg/ml
344 W42165002 L01XC07 BEVACIZUMABUM****
AVASTIN 25mg/ml
345 W57375001 L01XC10 OFATUMUMAB****
346 W59881004 L01XE01
IMATINIBUM****
ARZERRA 1000mg
EGITINID 100 mg
CONC. PT. SOL.

PERF.
CONC. PT. SOL.
PERF.
CONC. PT. SOL.
PERF.
CAPS.
10mg/ml
150mg
25mg/ml
25mg/ml
20mg/ml
100mg
EGIS
PHARMACEUTICALS
P.L.C.
ACTAVIS GROUP PTC
EHF.
NOVARTIS EUROPHARM
LTD.
NEOLA PHARMA SRL

357 W59500004 L01XE01
IMATINIBUM****
IMATINIB ZENTIVA 100 mg
COMPR. FILM.
100mg
ZENTIVA, K.S.
Pagina 29 din 87
5.756,93
5.756,930000
5.756,930000
8.805,58
8.805,580000
8.805,580000
9.636,25
9.636,250000
9.636,250000
120
5.270,15
43,917916
43,917916
5.782,62
48,188500
48,188500
120
5.270,15
43,917916
43,917916
5.782,62
48,188500
48,188500
120
5.270,15
43,917916
43,917916
5.782,62
48,188500
48,188500
PR
120
5.270,15
43,917916
43,917916
5.782,62
48,188500
48,188500
PR
120
5.270,15
43,917916
43,917916
5.782,62
48,188500
48,188500
100mg
100mg
5.246,580000
PR
COMPR. FILM.
100mg
5.246,580000
PR
NEOXELL 100 mg
COMPR. FILM.
5.246,58
CUTIE CU BLIST. PA-AL-PVC/AL X 120

CAPS.
CUTIE CU BLIST. OPA/AL/PVC/AL A CATE
120 X 1 COMPRIMAT
COMPR. FILM.
IMATINIBUM****
COMPR. FILM.
48,187083
351 W59937006 L01XE01
NEOXELL 100 mg
987,750000
1.490,620000
57,824500
OLANDA
IMAKREBIN 100 mg
987,750000
1.490,620000
48,187083
TEVA PHARMA B.V.
IMATINIBUM****
987,75
1.490,62
73,818333
100mg
IMATINIBUM****
871,190000
1.332,540000
5.782,45
COMPR. FILM.
355 W61215006 L01XE01
871,190000
1.332,540000
8.858,20
IMATINIB TEVA 100 mg
356 W59486006 L01XE01
871,19
1.332,54
43,916583
IMATINIBUM****
100mg
1
1
52,699900
350 W59589001 L01XE01
100mg
9.340,350000
43,916583
ROMANIA
COMPR. FILM.
9.340,350000
67,431500
TERAPIA S.A.
COMPR. FILM.
9.340,35
5.269,99
100mg
MEAXIN 100 mg
8.534,120000
8.091,78
CAPS.
MEAXIN 100 mg
8.534,120000
120
NIBIX 100 mg
IMATINIBUM****
8.534,12
120
IMATINIBUM****
IMATINIBUM****
PR
349 W59679004 L01XE01
353 W59852005 L01XE01
6.043,000000
2.895,850000
PR
100mg
100mg
354 W59852011 L01XE01
6.043,000000
2.895,850000
CUTIE X 120 CAPS.
CAPS.
CAPS.
100mg
6.043,00
2.895,85
ISLANDA
IMATINIB ACTAVIS 100 mg

GLIVEC 100 mg
COMPR. FILM.
5.509,030000
2.621,740000
MAREA
BRITANIE
IMATINIBUM****
IMATINIB GLENMARK 100 mg
5.509,030000
2.621,740000
CUTIE CU BLISTER DIN AL/PVC/ACLAR X

120 CAPSULE
IMATINIBUM****
IMATINIBUM****
CUTIE X 1 FLAC. DIN STICLA X 20 ML SOL.

S
PERF.
CUTIE X 1 FLAC. DIN STICLA X 4 ML CONC.
S
PT. SOL. PERF.
CUTIE X 1 FLAC. DIN STICLA X 16 ML CONC.
S
PT. SOL. PERF.
CUTIE CU 1 FLACON DIN STICLA X 50 ML
CONCENTRAT PT. SOL. PERF. (1000MG
S
OFATUMUMAB)+2 SETURI DE EXTEN
5.509,03
2.621,74

CAPS.
347 W59827004 L01XE01
352 W59541007 L01XE01
CUTIE CU UN FLACON DE 6 ML DIN STICLA

TRANSPARENTA CU DOP CONTINAND 5ML S
SOLUTIE (600 MG TRASTUZUMAB)
1
1
UNGARIA
348 W06844004 L01XE01
ROMASTRU TRADING
SRL
GLENMARK
PHARMACEUTICALS
S.R.O.
KRKA, D.D., NOVO
MESTO
KRKA, D.D., NOVO
MESTO
CUTIE X 1 FLACON X 50 ML(500MG

S
RITUXIMAB IN 50ML- 10MG/ML)
PR
PERF.
ROMANIA
REPUBLICA CUTIE CU BLIST. PVC-PE-PVDC/AL X 120

CEHA
COMPR. FILM.
SLOVENIA
SLOVENIA
ROMANIA
LUXEMBUR
G
REPUBLICA
CEHA

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
PR
PR
120
5.270,15
43,917916
43,917916
5.782,62
48,188500
48,188500
PR
120
5.270,15
43,917916
43,917916
5.782,62
48,188500
48,188500
PR
120
5.270,15
43,917916
43,917916
5.782,62
48,188500
48,188500
PR
120
5.270,15
43,917916
43,917916
5.782,62
48,188500
48,188500
PR
120
5.270,15
43,917916
43,917916
5.782,62
48,188500
48,188500
Grupa
terapeutic
a
Denumire generica
Denumire comerciala
Forma farmaceutica
Concentratie
/ U.T.
Firma
Tara
Ambalaj
Prescriptie
Nr.c
Cod CIM
rt
CUTIE CU BLIST. OPA/AL/PVC/AL A CATE 30

PR
X 1 COMPRIMAT
PR
COMPR. FILM.
LUXEMBUR CUTIE CU BLIST. PVC-PE-PVDC/AL X 30
PR
G
COMPR. FILM.
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
Pret cu ridicata
maximal / U.T.
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
Pret cu
amanuntul
maximal / U.T.
Pret de
decontare / U.T.
358 W59590001 L01XE01
IMATINIBUM****
IMATINIB TEVA 400 mg
COMPR. FILM.
400 mg
TEVA PHARMA B.V.
OLANDA
30
5.270,15
175,671666
175,671666
5.782,62
192,754000
192,754000
359 W59936003 L01XE01
IMATINIBUM****
NEOXELL 400 mg
COMPR. FILM.
400mg
ROMASTRU TRADING
SRL
ROMANIA
30
5.270,15
175,671666
175,671666
5.782,62
192,754000
192,754000
360 W59487003 L01XE01
IMATINIBUM****
IMAKREBIN 400 mg
COMPR. FILM.
400mg
30
5.270,15
175,671666
175,671666
5.782,62
192,754000
192,754000
361 W59542002 L01XE01
IMATINIBUM****
IMATINIB GLENMARK 400 mg
COMPR. FILM.
400mg
362 W59853002 L01XE01
IMATINIBUM****
MEAXIN 400 mg
COMPR. FILM.
400mg
363 W59853006 L01XE01
IMATINIBUM****
MEAXIN 400 mg
COMPR. FILM.
400mg
364 W61216006 L01XE01
IMATINIBUM****
NEOXELL 400 mg
COMPR. FILM.
400mg
365 W42501001 L01XE03
ERLOTINIBUM****
TARCEVA 100 mg
COMPR. FILM.
100mg
366 W42502001 L01XE03
ERLOTINIBUM****
TARCEVA 150 mg
COMPR. FILM.
150mg
367 W43546001 L01XE04
SUNITINIBUM****
SUTENT 12,5 mg
CAPS.
12,5mg
368 W43556001 L01XE04
SUNITINIBUM****
SUTENT 25mg
CAPS.
25mg
369 W43557001 L01XE04
SUNITINIBUM****
SUTENT 50 mg
CAPS.
50mg
370 W54280001 L01XE05
SORAFENIBUM****
NEXAVAR 200 mg
COMPR. FILM.
200mg
371 W54613001 L01XE06
DASATINIBUM****
SPRYCEL 100mg
COMPR. FILM.
100 mg
372 W51768001 L01XE06
DASATINIBUM****
SPRYCEL 20mg
COMPR. FILM.
20 mg
373 W51769001 L01XE06
DASATINIBUM****
SPRYCEL 50mg
COMPR. FILM.
50 mg
374 W51770001 L01XE06
DASATINIBUM****
SPRYCEL 70mg
COMPR. FILM.
70 mg
375 W56489002 L01XE08
NILOTINIBUM****
TASIGNA
CAPS.
150mg
376 W56489001 L01XE08
NILOTINIBUM****
TASIGNA
CAPS.
150mg
377 W52708003 L01XE08
NILOTINIBUM****
TASIGNA
CAPS.
200mg
378 W52708002 L01XE08
NILOTINIBUM****
TASIGNA
CAPS.
200mg
379 W52721001 L01XE09
TEMSIROLIMUSUM
TORISEL 25mg/ml
CONC. + SOLV. PT.

25mg/ml
SOL. PERF.
GLENMARK
PHARMACEUTICALS
S.R.O.
KRKA, D.D., NOVO
MESTO
KRKA, D.D., NOVO
MESTO
NEOLA PHARMA SRL
REPUBLICA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30

CEHA
COMPR. FILM.
COMPR. FILM.
SLOVENIA
COMPR. FILM.
CUTIE X BLISTERE PVC-PE-PVDC/AL X 30
ROMANIA
COMPRIMATE FILMATE
SLOVENIA
PR
30
5.270,15
175,671666
175,671666
5.782,62
192,754000
192,754000
PR
30
5.270,15
175,671666
175,671666
5.782,62
192,754000
192,754000
PR
30
5.270,15
175,671666
175,671666
5.782,62
192,754000
192,754000
PR
30
5.270,15
175,671666
175,671666
5.782,62
192,754000
192,754000
30
6.304,73
210,157666
210,157666
6.910,31
230,343666
230,343666
30
8.391,10
279,703333
279,703333
9.184,46
306,148666
306,148666
30
4.552,93
151,764333
151,764333
5.000,85
166,695000
166,695000
30
9.072,02
302,400666
302,400666
9.926,67
330,889000
330,889000
30 18.082,13
602,737666
602,737666 19.747,70
658,256666
658,256666
112 14.588,00
130,250000
130,250000 15.939,09
142,313303
142,313303
30 16.311,93
543,731000
543,731000 17.818,18
593,939333
593,939333
60
7.697,81
128,296833
128,296833
8.428,77
140,479500
140,479500
60 15.365,65
256,094166
256,094166 16.786,73
279,778833
279,778833
60 15.365,65
256,094166
256,094166 16.786,73
279,778833
279,778833
112 11.165,63
99,693125
99,693125 12.208,70
109,006250
109,006250
110,904285
110,904285
PCUTIE X 30 COMPR. FILM., (BLIST. AL/PVC) RF/

R
PROCHE REGISTRATION MAREA
CUTIE X 30 COMPR. FILM. (BLIST. AL/PVC) RF/
LTD.
BRITANIE
R
PMAREA
PFIZER LIMITED
CUTIE X 1 FLACON DIN PEID X 30 CAPS.
RF/
BRITANIE
R
PMAREA
PFIZER LIMITED
RF/
BRITANIE
R
PMAREA
PFIZER LIMITED
RF/
BRITANIE
R
PBAYER SCHERING
GERMANIA CUTIE X 4 BLIST. AL/PP X 28 COMPR.FILM. RF/
PHARMA AG
R
PMAREA
RF/
BRITANIE FILM.
R
PMAREA
RF/
BRITANIE FILM.
R
PMAREA
RF/
BRITANIE FILM.
R
PMAREA
RF/
BRITANIE FILM.
R
PNOVARTIS EUROPHARM MAREA
4 CUTII X 28 CAPS.(BLIST. PVC/PVDC/AL)
RF/
LTD.
BRITANIE
R
PNOVARTIS EUROPHARM MAREA
CUTIE X 28 CAPS.(BLIST. PVC/PVDC/AL)
RF/
LTD.
BRITANIE
R
NOVARTIS EUROPHARM MAREA
CUTIE X 28 CAPS.(BLIST. PVC/PVDC/AL)
PR
LTD.
BRITANIE
4 CUTII X 28 CAPS.(BLIST. PVC/PVDC/AL)
PR
LTD.
BRITANIE
WYETH EUROPA
MAREA
CUTIE X 1 FLAC. X 1,2ML CONCENTRAT + 1
S
LIMITED
BRITANIE FLAC. X 1,8 SOLVENT
ROCHE REGISTRATION
LTD.
MAREA
BRITANIE
28
2.813,91
28
3.828,97
112 15.225,88
1
100,496785
100,496785
3.105,32
136,748928
136,748928
4.211,73
150,418928
150,418928
135,945357
135,945357 16.634,38
148,521250
148,521250
4.111,67
4.111,670000
4.111,670000
3.737,17
3.737,170000
3.737,170000
60 17.353,45
289,224166
289,224166 18.953,43
315,890500
315,890500
380 W59310001 L01XE18
RUXOLITINIBUM****
JAKAVI
COMPR.
15 mg

LTD.
BRITANIE
FLACON DIN PED, CU GARNITURA ETANSA

SI SISTEM DE NCHIDERE SECURIZAT
PR
PENTRU COPII, CONTINND 60
381 W59311001 L01XE18
RUXOLITINIBUM****
JAKAVI
COMPR.
20 mg

LTD.
BRITANIE

PR
60 17.353,45
289,224166
289,224166 18.953,43
315,890500
315,890500
382 W59309001 L01XE18
RUXOLITINIBUM****
JAKAVI
COMPR.
5 mg

LTD.
BRITANIE

PR
60
8.622,14
143,702333
143,702333
9.436,29
157,271500
157,271500
383 W10506001 L01XX02
ASPARAGINAZUM
ASPARAGINASE 10000 MEDAC
LIOF. PT. SOL.

INJ./PERF.
10000ui
314,90
314,900000
314,900000
381,39
381,390000
381,390000
384 W10508001 L01XX02
ASPARAGINAZUM
ASPARAGINASE 5000 MEDAC
LIOF. PT. SOL.

INJ./PERF.
5000ui
262,42
262,420000
262,420000
320,36
320,360000
320,360000
385 W03542001 L01XX05
HYDROXYCARBAMIDUM
HYDREA
CAPS.
500mg
100
65,72
0,657200
0,657200
83,10
0,831000
0,831000
386 W54018001 L01XX14
TRETINOINUM4)
VESANOID 10 mg
CAPS. MOI
10mg
100
625,29
6,252900
6,252900
719,72
7,197200
7,197200
387 W53177001 L01XX17
TOPOTECAMUM
HYCAMTIN 1 mg
CAPS.
1mg
10
1.582,86
158,286000
158,286000
1.763,47
176,347000
176,347000
TOPOTECAN TEVA 1 mg/1ml
CONC. PT. SOL.

PERF.
1mg/1ml
170,26
170,260000
170,260000
207,85
207,850000
207,850000
388 W54750001 L01XX17
TOPOTECAMUM
MEDAC GESELLSCAFT
CUTIE X 1 FLAC. DIN STICLA X 10 000 UI
FUR KLINISCHE
GERMANIA
S
LIOF. PT. SOL. INJ./PERF.
SPEZIALPRPARATE
MEDAC GESELLSCAFT
CUTIE X 1 FLAC. DIN STICLA X 5000 UI LIOF.
GERMANIA
S
FUR KLINISCHE
PT. SOL. INJ./PERF.
SPEZIALPRPARATE
CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 PUNGARIA
KFT
CAPS.
RF
PR
ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 100 CAPS. MOI
F
SMITHKLINE BEECHAM MAREA
PCUTIE X BLIST. PVC/PCTFE/AL X 10 CAPS.
PLC
BRITANIE
RF
PCUTIE X 1 FLACON DIN STICLA
TEVA PHARMA B.V.
OLANDA
RF/
TRANSPARENTA A 1ML
R
Pagina 30 din 87
Grupa
terapeutic
a
389 W56261007 L01XX17
390 W54751001 L01XX17
391 W57231001 L01XX17
392 W55110001 L01XX17
Denumire generica
TOPOTECAMUM
TOPOTECAMUM
TOPOTECAMUM
TOPOTECAMUM
Denumire comerciala
TOPOTECAN EBEWE 1 mg/ml
TOPOTECAN TEVA 4 mg/4ml
Forma farmaceutica
CONC. PT. SOL.

PERF.
CONC. PT. SOL.
PERF.
TOPOTECAN ATB 1 mg
PULB. PT. CONC.

PT. SOL. PERF.
TOPOTECAN ACCORD 4 mg
PULB. PT. CONC.

PT. SOL. PERF.
Concentratie
/ U.T.
1mg/ml
4mg/4ml
Firma
EBEWE PHARMA
GES.M.B.H. NFG KG
TEVA PHARMA B.V.
Tara
649,100000
649,100000
745,67
745,670000
745,670000
OLANDA
CUTIE X 1 FLACON DIN STICLA

TRANSPARENTA A 4ML
649,09
649,090000
649,090000
745,66
745,660000
745,660000
PR
170,26
170,260000
170,260000
207,85
207,850000
207,850000
647,70
647,700000
647,700000
744,14
744,140000
744,140000
649,09
649,090000
649,090000
745,66
745,660000
745,660000
649,10
649,100000
649,100000
745,67
745,670000
745,670000
982,46
982,460000
777,240000
1.109,03
1.109,030000
892,968000
199,890000
ANTIBIOTICE S.A.
ROMANIA
4mg
ACCORD HEALTHCARE
LIMITED
MAREA
BRITANIE

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

PT. SOL. PERF.
4mg
ANTIBIOTICE S.A.
394 W56744001 L01XX17
TOPOTECAMUM
POTACTASOL 4mg
PULB. PT. CONC.

PT. SOL. PERF.
4mg
ACTAVIS GROUP PTC

EHF.
ISLANDA
395 W05958002 L01XX17
TOPOTECAMUM
HYCAMTIN 4 mg
4mg
SMITHKLINE BEECHAM
PLC
MAREA
BRITANIE
396 W52206001 L01XX19
IRINOTECANUM
IRINOTESIN 20mg/ml
20mg/ml
ACTAVIS S.R.L.
ROMANIA
397 W52802003 L01XX19
IRINOTECANUM
CAMPTO
20mg/ml
398 W52802004 L01XX19
IRINOTECANUM
CAMPTO
399 W57602002 L01XX19
IRINOTECANUM
LUDIRADOL 20 mg/ml
CONC. PT. SOL.

PERF.
20mg/ml
IRINOTESIN 20mg/ml
CONC. PT. SOL.

PERF.
20mg/ml
IRINOTECAN MEDAC 20 mg/ml
CONC. PT. SOL.

PERF.
20mg/ml
20mg/ml
401 W54336001 L01XX19
IRINOTECANUM
402 W54336002 L01XX19
IRINOTECANUM
CONC. PT. SOL.

PERF.
403 W54336003 L01XX19
IRINOTECANUM
CONC. PT. SOL.

PERF.
20mg/ml
404 W55816021 L01XX19
IRINOTECANUM
IRINOTECAN EBEWE 20 mg/ml
CONC. PT. SOL.

PERF.
20mg/ml
EBEWE PHARMA
GES.M.B.H. NFG KG
405 W54854002 L01XX19
IRINOTECANUM
IRINOTECAN STADA 20 mg/ml
CONC. PT. SOL.

PERF.
20mg/ml
STADA ARZNEIMITTEL
AG
406 W55816015 L01XX19
IRINOTECANUM
IRINOTECAN EBEWE 20 mg/ml
CONC. PT. SOL.

PERF.
20mg/ml
EBEWE PHARMA
GES.M.B.H. NFG KG
407 W52206003 L01XX19
IRINOTECANUM
IRINOTESIN 20mg/ml
20mg/ml
ACTAVIS S.R.L.
408 W53956001 L01XX19
IRINOTECANUM
IRINOTECAN HOSPIRA 20mg/ml
20mg/ml
HOSPIRA UK LIMITED
409 W52206002 L01XX19
IRINOTECANUM
IRINOTESIN 20mg/ml
20mg/ml
ACTAVIS S.R.L.
410 W53956003 L01XX19
IRINOTECANUM
20mg/ml
HOSPIRA UK LIMITED
411 W53956002 L01XX19
IRINOTECANUM
20mg/ml
HOSPIRA UK LIMITED
CONC. PT. SOL.

PERF.
CONC. PT. SOL.
PERF.
CONC. PT. SOL.
PERF.
CONC. PT. SOL.
PERF.
CONC. PT. SOL.
PERF.
ROMANIA
MAREA
BRITANIE
MAREA
BRITANIE
EGIS
PHARMACEUTICALS
UNGARIA
P.L.C.
MEDAC GESELLSCAFT
FUR KLINISCHE
SPEZIALPRPARATE
MEDAC GESELLSCAFT
FUR KLINISCHE
SPEZIALPRPARATE
MEDAC GESELLSCAFT
FUR KLINISCHE
SPEZIALPRPARATE
ROMANIA
199,890000
735,09
735,090000
239,508000
2.129,33
2.129,330000
1.554,888000
2.359,12
2.359,120000
1.740,612000
PR
355,85
355,850000
196,188000
426,03
426,030000
239,508000
1.450,510000
1.450,510000
167,11
167,110000
167,110000
204,01
204,010000
204,010000

GERMANIA
BRUNA X 5 ML CONC. PR. SOL. PERF.
426,18
426,180000
196,188000
502,69
502,690000
239,508000

1.394,57
1.394,570000
1.394,570000
1.558,23
1.558,230000
1.558,230000
1.345,75
1.345,750000
1.345,750000
1.505,02
1.505,020000
1.505,020000
163,49
163,490000
163,490000
199,59
199,590000
199,590000
416,85
416,850000
196,188000
492,52
492,520000
239,508000
2.010,90
2.010,900000
2.010,900000
2.230,03
2.230,030000
2.230,030000
152,48
152,480000
152,480000
186,15
186,150000
186,150000
402,16
402,160000
196,188000
476,50
476,500000
239,508000
1.753,18
1.753,180000
1.753,180000
1.949,12
1.949,120000
1.949,120000
374,64
374,640000
196,188000
446,51
446,510000
239,508000
PR
426,10
426,100000
196,188000
502,60
502,600000
239,508000
100
2.567,46
25,674600
25,674600
2.836,68
28,366800
28,366800
4.587,17
4.587,170000
4.587,170000
5.038,17
5.038,170000
5.038,170000
30
97,75
3,258333
3,258333
123,59
4,119666
4,119666
525,01
525,010000
525,010000
610,41
610,410000
610,410000
194,95
194,950000
194,950000
237,99
237,990000
237,990000
GERMANIA
CUTIE X 1 FLACON DIN STICLA BRUNA, CU

DOP CAUCIUC FARA PLASTIC DE
PROTECTIE TIP ONCO-SAFE A 15ML
AUSTRIA
PERFUZABILA CARE CONTINE 300MG
CLORHIDRAT DE IRINOTECAN TRIHIDRAT
CUTIE CU 1 FLAC. DIN STICLA BRUNA A 5
GERMANIA
ML CONC. PT. SOL. PERF. X 100 MG
CUTIE X 1 FLACON DIN STICLA BRUNA, CU
DOP DIN CAUCIUC FARA PLASTIC DE
PROTECTIE TIP "ONCO-SAFE", A 5ML
AUSTRIA
PERFUZABILA CARE CONTINE 100MG
CLORHIDRAT DE IRINOTECAN TRIHIDRAT
ROMANIA
ML CONC. PT. SOL. INJ.
MAREA
CUTIE X 1 FLAC. STICLA BRUNA X 2 ML
BRITANIE CONC. PT. SOL. PERF.
CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 ML
ROMANIA
CONC. PT. SOL. INJ.
MAREA
MAREA
413 W51535001 L01XX23
MITOTANUM
LYSODREN 500mg
COMPR.
500mg
LABORATOIRE HRA
PHARMA
FRANTA
414 W42249001 L01XX32
BORTEZOMIBUM****
VELCADE 3,5 mg
JANSSEN-CILAG
INTERNATIONAL NV
BELGIA
415 W52184001 L02AB01
MEGESTROLUM
MEGESIN 160 mg
COMPR.
160mg
ACTAVIS S.R.L.
ROMANIA
11,25mg
ABBOTT LABORATORIES
SPANIA
LTD.
3,75mg
ABBOTT LABORATORIES
SPANIA
LTD.
Pagina 31 din 87
199,89
196,188000
1.450,51
ROMANIA
LUCRIN DEPOT 3,75mg
163,740000
639,390000
1.295,740000
ANTIBIOTICE S.A.
LEUPRORELINUM**
163,740000
639,39
1.295,740000
20mg/ml
417 W07197002 L02AE02
163,74
1.295,74
CONC. PT. SOL.

PERF.
LUCRIN DEPOT 11,25mg
IRINOTECAN ATB 20 mg/ml
LEUPRORELINUM**
CUTIE X 1 FLAC. DIN PP X 5 ML CONC. PT.

SOL. PERF.
CUTIE X 1 FLAC. DIN PP X 15 ML CONC. PT.
SOL. PERF.
CAPACITATEA DE 6 ML X 100 MG
IRINOTECAN
ML CONC. PT. SOL.PERF.
IRINOTECANUM
416 W07196002 L02AE02

CU CAPACITATEA DE 10 ML X 4 MG
PR
TOPOTECAN
CUTIE CU 1FL DIN STICLA X 4 MG PULBERE
PENTRU CONCENTRAT PENTRU SOLU_IE PR
PERFUZABILA
S
PERF.
CUTIE X 1 FLAC. DIN STICLA BRUNA X 2 ML
S
CONC. PT. SOL. INJ.

GERMANIA
412 W58369002 L01XX19
LIOF.+ SOLV. PT.

SUSP. INJ. ELIB.
PREL.
LIOF.+ SOLV. PT.
SUSP. INJ. ELIB.
PREL.
Pret de
decontare / U.T.
649,10
1mg
ACTAVIS S.R.L.
Pret cu
amanuntul
maximal / U.T.
TOPOTECAN ATB 4 mg
IRINOTECANUM
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
PRF/
R
TOPOTECAMUM
400 W52206004 L01XX19
Pret cu ridicata
maximal / U.T.

PR

CU CAPACITATEA DE 5 ML X 1 MG
TOPOTECAN
20mg/ml
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
AUSTRIA
393 W57232001 L01XX17
PULB.CONC.SOL.P
ERF.
CONC. PT. SOL.
PERF.
CONC. PT. SOL.
PERF.
CONC. PT. SOL.
PERF.
Ambalaj
Prescriptie
Nr.c
Cod CIM
rt

CAPACITATEA DE 5 ML X 5 ML CONC. PT.
SOL. PERF. INCHIS CU DOP D
PRF/
R
CUTIE X 1 FLAC. X 10ML X 3,5 MG PULB. PT. PSOL. INJ., INTRODUS INTR-UN BLISTER
RF/
TRANSPARENT
R
PCOMPR.
RF
CUTIE X 1 KIT X 1 FLAC. CU LIOFILIZAT
S/P(MICROSFERE) + 1 FIOLA X 2 ML SOLV. + 1
RF
SERINGA + 2 ACE SI TA
CUTIE X 1 KIT X 1 FLAC. CU LIOFILIZAT
S/P(MICROSFERE) + 1 FIOLA X 2 ML SOLV. + 1
RF
SERINGA SI TAMPON IMB
Grupa
terapeutic
a
Denumire generica
Denumire comerciala
Forma farmaceutica
Concentratie
/ U.T.
Firma
Tara
418 W43179004 L02AE02
LEUPRORELINUM**
ELIGARD 22,5 mg
PULB+SOLV.PT.SO
22,5mg
L.INJ
ASTELLAS PHARMA
EUROPE BV
OLANDA
419 W52321002 L02AE02
LEUPRORELINUM**
ELIGARD 45 mg
PULB+SOLV.PT.SO
45mg
L.INJ
ASTELLAS PHARMA
EUROPE BV
OLANDA
420 W43178003 L02AE02
LEUPRORELINUM**
ELIGARD 7,5 mg
PULB+SOLV.PT.SO
7,5mg
L.INJ
ASTELLAS PHARMA
EUROPE BV
OLANDA
421 W60959002 L02AE02
LEUPRORELINUM**
PULB. PT. SUSP.

11,25mg
INJ. CU ELIB. PREL.
Ambalaj
Prescriptie
Nr.c
Cod CIM
rt
CUTIE X 1 SET X 2 SERINGI DIN PP

PREUMPLUTE (O SERINGA A SI O SERINGA S
B), IN TAVI TERMOFORMATE
O CUTIE X 1 SET X 2 TAVITE
TERMOFORMATE CE CONTIN 2 SERINGI
S
PREUMPLUTE (O SERINGA A SI O SERINGA
B)
CUTIE X 1 SET X 2 SERINGI DIN PP
PREUMPLUTE (O SERINGA A SI O SERINGA S
B), IN TAVI TERMOFORMATE
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
Pret cu ridicata
maximal / U.T.
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
Pret cu
amanuntul
maximal / U.T.
Pret de
decontare / U.T.
736,20
736,200000
736,200000
840,61
840,610000
840,610000
2.030,80
2.030,800000
2.030,800000
2.251,73
2.251,730000
2.251,730000
257,84
257,840000
257,840000
314,77
314,770000
314,770000
ABBVIE FARMACEUTICA
SPANIA
S.L.U.
CUTIE CU1 KIT CU 1 FLAC. DIN STICLA

INCOLORA,O FIOLA DIN STICLA INCOLORA
CU PUNCT DE RUPERE A 2 ML SOLV,O
PR/
SERINGA STERILA,APIROGENA DE UNICA
PR
FOLOSINTA A 2,5 ML,2 ACE(23G
F
1)STERILE,DE UNICA FOLOSINTA SI 1
TAMPON IMBIBAT CU ALCOOL IZOPROPILIC
70%.
525,01
525,010000
525,010000
610,41
610,410000
610,410000
CUTIE CU1 KIT CU 1 FLAC. DIN STICLA

INCOLORA,O FIOLA DIN STICLA INCOLORA
CU PUNCT DE RUPERE A 2 ML SOLV,O
PR/
SERINGA STERILA,APIROGENA DE UNICA
PR
FOLOSINTA A 2,5 ML,2 ACE(22G
F
1)STERILE,DE UNICA FOLOSINTA SI 1
TAMPON IMBIBAT CU ALCOOL IZOPROPILIC
70%.
194,95
194,950000
194,950000
237,99
237,990000
237,990000
422 W60960002 L02AE02
LEUPRORELINUM**
LUCRIN DEPOT 3,75mg
PULB. PT. SUSP.

3,75mg
INJ. CU ELIB. PREL.
ABBVIE FARMACEUTICA
SPANIA
S.L.U.
423 W10731001 L02AE03
GOSERELINUM**
ZOLADEX LA 10,8 mg
IMPLANT
10,8 mg
ASTRAZENECA UK LTD.
MAREA
BRITANIE
CUTIE X 1 PLIC DIN PET-AL-PE X 1

SERINGA PREUMPLUTA CU 10,8 MG
IMPLANT+AC DIN INOX CU SIST. DE PROT
1.040,75
1.040,750000
1.040,750000
1.172,57
1.172,570000
1.172,570000
424 W10173001 L02AE03
GOSERELINUM**
ZOLADEX (R)
IMPLANT
3,6mg
ASTRAZENECA UK LTD.
MAREA
BRITANIE
CUTIE X 1 PLIC X 1 SERINGA PREUMPLUTA X 3,6 MG
S/PRF
365,48
365,480000
365,480000
436,52
436,520000
436,520000
425 W55725001 L02AE04
TRIPTORELINUM**
DIPHERELINE 0,1 mg
LIOF. + SOLV. PT.

SOL. INJ.
0,1mg
IPSEN PHARMA
FRANTA
CUTIE X 7 FLAC. CU LIOF. PT. SOL. INJ. + 7 S/PRF

FIOLE X 1 ML SOLV.
110,27
15,752857
15,752857
134,62
19,231428
19,231428
S/PRF
1.051,98
1.051,980000
1.051,980000
1.184,81
1.184,810000
1.184,810000
S/PRF
369,20
369,200000
369,200000
440,58
440,580000
440,580000
S/PRF
28
543,42
19,407857
18,903428
630,48
22,517142
22,517142
100
39,78
0,397800
0,397800
52,03
0,520300
0,520300
1.729,710000
426 W55726001 L02AE04
TRIPTORELINUM**
DIPHERELINE PR 11,25 mg
PULB. + SOLV. PT.

SUSP. INJ. CU ELIB. 11,25mg
PREL.
IPSEN PHARMA
FRANTA
427 W55727001 L02AE04
TRIPTORELINUM**
DIPHERELINE 3,75 mg
PULB. + SOLV. PT.

SUSP. INJ. CU ELIB. 3,75mg
PREL.
IPSEN PHARMA
FRANTA
428 W58059002 L02AE04
TRIPTORELINUM**
GONAPEPTYL ZILNIC 0,1 mg/ml
SOL. INJ.
FERRING GMBH
GERMANIA
429 W53654002 L02BA01
TAMOXIFENUM
TAMOXIFEN SANDOZ 10 mg
COMPR. FILM.
430 W51514001 L02BA03
FULVESTRANTUM**
FASLODEX 250mg
SOL. INJ.
431 W52204001 L02BB01
FLUTAMIDUM
FLUTASIN 250 mg
COMPR.
432 W03217002 L02BB01
FLUTAMIDUM
FLUTAN
COMPR.
433 W55157001 L02BB03
BICALUTAMIDUM
YONISTIB 150 mg
COMPR. FILM.
434 W58040001 L02BB03
BICALUTAMIDUM
BICALUTAMIDA ALVOGEN 150 mg
COMPR. FILM.
435 W12048001 L02BB03
BICALUTAMIDUM
CASODEX 150 mg
COMPR. FILM.
436 W54719007 L02BB03
BICALUTAMIDUM
BICALUTAMIDA SANDOZ 150 mg
COMPR. FILM.
437 W61109001 L02BB03
BICALUTAMIDUM
YONISTIB 150 mg
COMPR. FILM.
438 W53572001 L02BB03
BICALUTAMIDUM
BICALUTAMID TERAPIA 150 mg
COMPR. FILM.
439 W58725001 L02BB03
BICALUTAMIDUM
BICALUTAMIDA RANBAXY 50 mg
COMPR. FILM.
440 W58725009 L02BB03
BICALUTAMIDUM
BICALUTAMIDA RANBAXY 50 mg
COMPR. FILM.
441 W56707002 L02BB03
BICALUTAMIDUM
BICALUTAMIDA KABI 50 mg
COMPR. FILM.
442 W53339003 L02BB03
BICALUTAMIDUM
BICALUTAMIDA SANDOZ 50 mg
COMPR. FILM.
443 W54851001 L02BB03
BICALUTAMIDUM
CALUMID
COMPR. FILM.
444 W10174001 L02BB03
BICALUTAMIDUM
CASODEX 50 mg
COMPR. FILM.
0,1mg/ml
CUTIE CU 1 FLAC. DIN STICLA CU PULB.

PT. SUSP. INJ. + 1 FIOLA DIN STICLA
INCOLORA X 2 ML SOLV. + 1 BLIST. CU 1
SERINGA X 3 ML + 1 BLIST. CU 2 ACE
STERILE
PT. SUSP. INJ. + 1 FIOLA DIN STICLA
INCOLORA X 2 ML SOLV. + 1 BLIST. CU O
SERINGA X 3 ML + 1 BLIST. CU 2 ACE
STERILE
CUTIE X 28 SERINGI PREUMPLUTE DIN
STICLA INCOLORA X 1 ML SOL. INJ
P10mg
HEXAL AG
GERMANIA CUTIE X 10 BLIST. X 10 COMPR. FILM.
RF/
S
MAREA
CUTIE X 1 SERINGA PREUMPLUTA X 5 ML + P250mg/5ml ASTRAZENECA UK LTD.
BRITANIE 1 AC
RF
CUTIE X 1 FLAC. STICLA BRUNA X 30
P250mg
ACTAVIS S.R.L.
ROMANIA
COMPR.
RF
P250mg
MEDOCHEMIE LTD.
CIPRU
RF
ROMASTRU TRADING
P150mg
ROMANIA
S.R.L.
COMPR. FILM.
6L
ALVOGEN ROMANIA
P6
150mg
ROMANIA
S.R.L.
COMPR. FILM
L
MAREA
P150mg
ASTRAZENECA UK LTD.
BRITANIE
6L
CUTIE CU BLISTERE PVC-ACLAR/AL X 30
P150mg
SANDOZ S.R.L.
ROMANIA
COMPR. FILM.
6L
P150mg
NEOLA PHARMA S.R.L.
ROMANIA
COMPR. FILM.
6L
P150mg
TERAPIA SA
ROMANIA
COMPR. FILM.
6L
MAREA
P6
50 mg
RANBAXY (U.K.) LIMITED
BRITANIE COMPR.FILM.
L
MAREA
CUTIE CU 1 FLAC. PEID CU CAPAC PP X 28 P6
50 mg
BRITANIE COMPR.FILM.
L
FRESENIUS KABI
MAREA
CUTIE CU BLIST. PVC/AL X 28 (2X14)
P6
50 mg
ONCOLOGY PLC
BRITANIE COMPR. FILM.
L
P50mg
SANDOZ S.R.L.
ROMANIA
COMPR. FILM.
6L
CUTIE X 2 BLIST. AL/PVDC-PVC X 15
PGEDEON RICHTER
ROMANIA
50mg
ROMANIA SA
COMPR. FILM.
6L
MAREA
CUTIE X 2 BLIST. TIP CALENDAR AL/PVC X P50mg
ASTRAZENECA UK LTD.
BRITANIE 14 COMPR. FILM.
6L
Pagina 32 din 87
1.551,89
1.551,890000
1.551,890000
1.729,71
1.729,710000
30
30,83
1,027666
1,027666
40,32
1,344000
1,344000
100
113,97
1,139700
1,139700
139,14
1,391400
1,391400
28
394,41
14,086071
14,086071
468,06
16,716428
16,716428
28
381,97
13,641785
13,641785
454,50
16,232142
16,232142
28
590,67
21,095357
15,280285
681,98
24,356428
18,290570
30
415,88
13,862666
13,862666
491,46
16,382000
16,382000
28
394,41
14,086071
14,086071
468,06
16,716428
16,716428
28
356,54
12,733571
12,733571
426,78
15,242142
15,242142
28
168,59
6,021071
5,983999
205,82
7,350714
7,305199
28
168,59
6,021071
5,983999
205,82
7,350714
7,305199
28
140,25
5,008928
5,008928
171,22
6,115000
6,115000
30
149,60
4,986666
4,986666
182,63
6,087666
6,087666
30
200,69
6,689666
5,983999
245,00
8,166666
7,305199
28
288,09
10,288928
5,983999
351,70
12,560714
7,305199
Grupa
terapeutic
a
Denumire generica
Denumire comerciala
Forma farmaceutica
Concentratie
/ U.T.
445 W56520001 L02BB03
BICALUTAMIDUM
BICALUTAMIDA ATB 50 mg
COMPR. FILM.
50mg
446 W55156001 L02BB03
BICALUTAMIDUM
YONISTIB 50 mg
COMPR. FILM.
50mg
447 W58039001 L02BB03
BICALUTAMIDUM
BICALUTAMIDA ALVOGEN 50 mg
COMPR. FILM.
50mg
448 W61108001 L02BB03
BICALUTAMIDUM
YONISTIB 50 mg
COMPR. FILM.
50mg
449 W56123003 L02BB03
BICALUTAMIDUM
BICALUTAMIDA ACCORD 50 mg
COMPR. FILM.
50mg
COMPR. FILM.
1mg
Firma
ANTIBIOTICE S.A.
ROMASTRU TRADING
S.R.L.
ALVOGEN ROMANIA
S.R.L.
Tara
ROMANIA
ROMANIA
ROMANIA
Ambalaj
CUTIE CU 3 BLIST. PVC/AL X 10 COMPR.

FILM.
COMPR. FILM.
COMPR. FILM
COMPR. FILM.
COMPR. FILM.
Prescriptie
Nr.c
Cod CIM
rt
PR
P6L
P6
L
P6L
P6L
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
Pret cu ridicata
maximal / U.T.
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
Pret cu
amanuntul
maximal / U.T.
Pret de
decontare / U.T.
30
179,30
5,976666
5,976666
218,89
7,296333
7,296333
28
167,54
5,983571
5,983571
204,53
7,304642
7,304642
28
152,77
5,456071
5,456071
186,50
6,660714
6,660714
28
167,54
5,983571
5,983571
204,53
7,304642
7,304642
28
141,19
5,042500
5,042500
172,37
6,156071
6,156071
NEOLA PHARMA S.R.L.
ROMANIA
ACCORD HEALTHCARE
LIMITED
EGIS
PHARMACEUTICALS
P.L.C.
MAREA
BRITANIE
UNGARIA
CUTIE CU, BLIST. PVC-PE- PVDC/AL X 30

COMPR.FILM.
PR
30
113,17
3,772333
3,461142
138,16
4,605333
4,324200
4,148400
450 W53266005 L02BG03 ANASTROZOLUM
EGISTROZOL 1 mg
ANASTROZOL TERAPIA 1 mg
COMPR. FILM.
1mg
TERAPIA SA
ROMANIA
CUTIE X BLIST. PVC/AL X 50 COMPR. FILM. PR
50
169,90
3,398000
3,398000
207,42
4,148400
OZOLAN 1 mg
COMPR. FILM.
1mg
LUXEMBUR
PCUTIE X BLIST. PVC/AL X 28 COMPR. FILM.
G
6L
28
95,20
3,400000
3,400000
120,37
4,298928
4,298928
COMPR. FILM.
1mg
TERAPIA SA
ROMANIA
300
956,79
3,189300
3,189300
1.081,05
3,603500
3,603500
ANASTRAZE 1 mg
COMPR. FILM.
1mg
SANDOZ SRL
ROMANIA

FILM.
P6L
28
94,64
3,380000
3,380000
119,66
4,273571
4,273571
COMPR. FILM.
1mg
TERAPIA SA
ROMANIA
28
96,88
3,460000
3,460000
122,50
4,375000
4,324200
COMPR. FILM.
1mg
TERAPIA SA
ROMANIA
30
103,80
3,460000
3,460000
126,72
4,224000
4,224000
ANASTROZOL KABI 1 mg
COMPR. FILM.
1mg
FRESENIUS KABI
ONCOLOGY PLC
MAREA
BRITANIE

COMPR. FILM.
P6
L
14
40,38
2,884285
2,884285
52,82
3,772857
3,772857
COMPR. FILM.
1mg
TERAPIA SA
ROMANIA
20
69,20
3,460000
3,460000
87,50
4,375000
4,324200
COMPR. FILM.
1mg
TERAPIA SA
ROMANIA
84
285,45
3,398214
3,398214
348,48
4,148571
4,148571
COMPR. FILM.
1mg
TERAPIA SA
ROMANIA
98
332,75
3,395408
3,395408
400,85
4,090306
4,090306
REPUBLICA
CEHA
30
91,40
3,046666
3,046666
115,56
3,852000
3,852000
90
338,63
3,762555
3,461142
407,26
4,525111
4,324200
30
91,40
3,046666
3,046666
115,56
3,852000
3,852000
28
95,19
3,399642
3,399642
120,36
4,298571
4,298571
30
91,46
3,048666
3,048666
115,64
3,854666
3,854666
ELOZA 1 mg
COMPR. FILM.
1mg
EGISTROZOL 1 mg
COMPR. FILM.
1mg
GLENMARK
PHARMACEUTICALS
S.R.O.
EGIS
PHARMACEUTICALS
P.L.C.
CUTIE CU, BLIST. PVC-PE- PVDC/AL X 90

COMPR.FILM.
PR

FILM.
CUTIE CU 2 BLIST. PVC/AL A CATE 14
COMPR. FILM.
P6L
P6L
ROMANIA

COMPR. FILM.
P6L
ROMANIA

FILM.
P6L
28
95,19
3,399642
3,399642
120,36
4,298571
4,298571
ROMANIA
100
338,93
3,389300
3,389300
407,58
4,075800
4,075800
30
91,46
3,048666
3,048666
115,64
3,854666
3,854666
28
128,99
4,606785
3,461142
157,47
5,623928
4,324200
30
198,16
6,605333
2,607199
241,92
8,064000
3,296800
30
165,05
5,501666
2,607199
201,49
6,716333
3,296800
100
280,55
2,805500
2,607199
342,50
3,425000
3,296800
UNGARIA
ANASTROZOL ATB 1 mg
COMPR. FILM.
1mg
ANTIBIOTICE S.A.
ROMANIA
KYARESTA 1 mg
COMPR. FILM.
1mg
NEOLA PHARMA S.R.L.
ROMANIA
ANASTROZOL TEVA 1 mg
COMPR. FILM.
1mg
TEVA
PHARMACEUTICALS
S.R.L.
ROMASTRU TRADING
SRL
KYARESTA 1 mg
COMPR. FILM.
1mg
COMPR. FILM.
1mg
TERAPIA SA
ENZAMIDEX 1mg
COMPR. FILM.
1mg
LANNACHER HEILMITTEL
AUSTRIA
GES.M.B.H.
ARIMIDEX 1 mg
COMPR. FILM.
1mg
MAREA
ASTRAZENECA UK LTD.
BRITANIE
470 W56632005 L02BG04 LETROZOLUM
LETROZOL TERAPIA 2,5 mg
COMPR. FILM.
2,5 mg
TERAPIA S.A.
LETROZOL SANOFI-AVENTIS 2,5 mg
COMPR. FILM.
2,5mg
LETROZOL STADA 2,5 mg
COMPR. FILM.
2,5mg
LEZRA 2,5 mg
COMPR. FILM.
2,5mg
ETRUZIL 2,5 mg
COMPR. FILM.
2,5mg
ZEQUIPRA 2,5 mg
COMPR. FILM.
2,5mg

LETROZOL TEVA 2,5 mg

LETROZOL POLIPHARMA 2,5 mg
COMPR. FILM.
COMPR. FILM.
2,5mg
2,5mg
ELOZORA 2,5 mg
COMPR. FILM.
2,5mg
TROZEL 2,5 mg
COMPR. FILM.
2,5mg
SANOFI - AVENTIS
ROMANIA S.R.L.
STADA ARZNEIMITTEL
AG
ACTAVIS GROUP PTC
EHF.
EGIS
PHARMACEUTICALS
P.L.C.
ROMASTRU TRADING
S.R.L.
TEVA
PHARMACEUTICALS
S.R.L.
POLIPHARMA
INDUSTRIES S.R.L.
TEVA
PHARMACEUTICALS
S.R.L.
GLENMARK
PHARMACEUTICALS
S.R.O.
CUTIE X 2 BLIST. TIP CALENDAR AL/PVC X

14 COMPR. FILM.
CUTIE CU BLIST. PVC/PE/PVDC - AL X 30
ROMANIA
COMPR. FILM.
ROMANIA
FILM.
GERMANIA
COMPR. FILM.
ISLANDA
FILM.
PR
P6L
P6
L
P6L
P6
L
P6L
30
77,28
2,576000
2,576000
97,71
3,257000
3,257000
UNGARIA
CUTIE CU BLIST. DIN PVC/AL X 30 COMPR. PFILM.

6L
30
77,84
2,594666
2,594666
98,42
3,280666
3,280666
ROMANIA
CUTIE CU BLIST. AL-PVC/PVC-PE-PVDC X

30 COMPR. FILM.
P6L
30
78,22
2,607333
2,607199
98,90
3,296666
3,296666
ROMANIA
CUTIE X BLIST. PVC-PVDC/AL X 30 COMPR. PFILM.

6L
30
228,64
7,621333
2,607199
279,12
9,304000
3,296800
ROMANIA

FILM.
P6
L
30
164,45
5,481666
2,607199
200,76
6,692000
3,296800
ROMANIA

COMPR. FILM.
P6L
30
96,38
3,212666
2,607199
121,86
4,062000
3,296800
P6L
30
73,81
2,460333
2,460333
93,32
3,110666
3,110666
REPUBLICA CUTIE CU BLIST. DIN PVC-PVDC/AL X 30

CEHA
COMPR. FILM.
LETROZOL ATB 2,5 mg
COMPR. FILM.
2,5mg
ANTIBIOTICE S.A.
ROMANIA
ZOTROL 2,5 mg
COMPR. FILM.
2,5mg
SANDOZ S.R.L.
ROMANIA
Pagina 33 din 87

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

COMPR. FILM.
CUTIE CU BLIST. DIN PVC/AL X 30 COMPR.
FILM.
P6
L
P6L
30
74,74
2,491333
2,491333
94,50
3,150000
3,150000
30
164,45
5,481666
2,607199
200,76
6,692000
3,296800
Grupa
terapeutic
a
Denumire generica
Denumire comerciala
Forma farmaceutica
Concentratie
/ U.T.
LORTANDA 2,5 mg
COMPR. FILM.
2,5mg
FEMARA 2,5 mg
COMPR. FILM.
2,5mg
LETROZOL ALVOGEN 2,5 mg
COMPR. FILM.
2,5mg
LETROZOL KABI 2,5 mg
COMPR. FILM.
2,5mg
486 W57212004 L02BG06 EXEMESTANUM
AROSTANIL 25 mg
COMPR. FILM.
25 mg
EXEMESTAN MEDISON PHARMA 25 mg
COMPR. FILM.
25mg
ESCEPRAN 25 mg
COMPR. FILM.
25mg
EXEMESTAN TERAPIA 25 mg
COMPR. FILM.
25mg
XANEPRA 25 mg
COMPR. FILM.
25mg
XANEPRA 25 mg
COMPR. FILM.
25mg
EXEMESTAN POLIPHARMA 25 mg
COMPR. FILM.
25mg
EXEMESTAN TEVA 25 mg
COMPR. FILM.
25mg
EXEMESTAN GLENMARK 25mg
COMPR. FILM.
25mg
Firma
KRKA, D.D., NOVO

MESTO
NOVARTIS PHARMA
GMBH
Tara
Ambalaj

COMPR. FILM.
COMPR.
LUXEMBUR CUTIE CU BLIST. PVC/AL X 30 COMPR.
G
FILM.
FRESENIUS KABI
MAREA
ONCOLOGY PLC
SANDOZ S.R.L.
ROMANIA
COMPR. FILM.
MEDISON PHARMA S.R.L. ROMANIA
COMPR. FILM.
COMPR. FILM.
TERAPIA S.A.
ROMANIA
COMPR. FILM.
ROMASTRU TRADING
ROMANIA
S.R.L.
COMPR. FILM
ROMASTRU TRADING
ROMANIA
S.R.L.
COMPR. FILM
POLIPHARMA
ROMANIA
INDUSTRIES S.R.L.
COMPR. FILM.
TEVA
PHARMACEUTICALS
ROMANIA
COMPR. FILM
S.R.L.
GLENMARK
REPUBLICA CUTIE CU BLIST. PVC-PVDC/AL X 30
PHARMACEUTICALS
COMPR. FILM.
CEHA
S.R.O.
ACCORD HEALTHCARE MAREA
LIMITED
LUXEMBUR CUTIE CU 3 BLIST. PVC-PVDC/AL X 10
G
COMPR. FILM.
DR. REDDY'S
CUTIE CU BLIST. UNIDOZA PVC-PVDC/AL X
ROMANIA
LABORATORIES
30 (30X1) COMPR. FILM.
ICN POLFA RZESZOW
POLONIA
S.A.
COMPR. FILM.
NEOLA PHARMA S.R.L.
ROMANIA
COMPR. FILM
NEOLA PHARMA S.R.L.
ROMANIA
COMPR. FILM
MAREA
CUTIE X 2 BLIST. PVC-PVDC/PVC-AL X 15
BRITANIE DRAJ.
SLOVENIA
GERMANIA
Prescriptie
Nr.c
Cod CIM
rt
P6
L
P6L
P6L
P6
L
PR
F
PR
F
PRF
PR
F
PR
F
PR
F
PR
F
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
Pret cu ridicata
maximal / U.T.
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
Pret cu
amanuntul
maximal / U.T.
Pret de
decontare / U.T.
30
65,18
2,172666
2,172666
82,42
2,747333
2,747333
30
473,58
15,786000
2,607199
554,35
18,478333
3,296800
30
78,21
2,607000
2,607000
98,89
3,296333
3,296333
10
72,53
7,253000
2,607199
91,71
9,171000
3,296800
30
154,58
5,152666
2,705200
188,71
6,290333
3,420400
30
201,50
6,716666
2,705200
245,99
8,199666
3,420400
30
67,63
2,254333
2,254333
85,51
2,850333
2,850333
30
185,48
6,182666
2,705200
226,44
7,548000
3,420400
30
81,15
2,705000
2,705000
102,61
3,420333
3,420333
30
81,15
2,705000
2,705000
102,61
3,420333
3,420333
30
154,58
5,152666
2,705200
188,71
6,290333
3,420400
PRF
30
81,15
2,705000
2,705000
102,61
3,420333
3,420333
PRF
30
81,15
2,705000
2,705000
102,61
3,420333
3,420333
30
201,38
6,712666
2,705200
245,85
8,195000
3,420400
30
81,15
2,705000
2,705000
102,61
3,420333
3,420333
30
176,84
5,894666
2,705200
215,89
7,196333
3,420400
30
185,49
6,183000
2,705200
226,45
7,548333
3,420400
30
81,15
2,705000
2,705000
102,61
3,420333
3,420333
30
81,15
2,705000
2,705000
102,61
3,420333
3,420333
30
310,19
10,339666
2,705200
376,26
12,542000
3,420400
PRF
PRF
PR
F
PRF
PR
F
PR
F
PRF
EXEMESTAN ACCORD 25 mg
COMPR. FILM.
25mg
EXEMESTAN ALVOGEN 25 mg
COMPR. FILM.
25mg
INPLAVIA 25 mg
COMPR. FILM.
25mg
EXESTRALAN 25 mg
COMPR. FILM.
25mg
XANEPRA 25 mg
COMPR. FILM.
25mg
XANEPRA 25 mg
COMPR. FILM.
25mg
AROMASIN 25 mg
DRAJ.
25mg
502 W51424001 L03AA02
NEUPOGEN (R)
SOL. INJ.
OLANDA

ML
S/PRF
267,05
267,050000
194,520000
326,02
326,020000
237,468000
503 W51423001 L03AA02
NEUPOGEN (R)
SOL. INJ.
OLANDA

ML
S/PRF
436,57
436,570000
313,092000
514,01
514,010000
382,224000
162,10
162,100000
162,100000
197,89
197,890000
197,890000
260,91
260,910000
260,910000
318,52
318,520000
318,520000
504 W53892001 L03AA02
ZARZIO 30MU/0,5ml
505 W53893001 L03AA02
ZARZIO 48MU/0,5ml
506 W55756002 L03AA02
SOL. INJ. /PERF. IN

SERINGA
60MU/ml
PREUMPLUTA
SOL. INJ. /PERF. IN
SERINGA
96MU/ml
PREUMPLUTA
SOL. INJ./PERF.
SANDOZ GMBH
AUSTRIA
SANDOZ GMBH
AUSTRIA

RF/
SOL
R
RF/
SOL
R
RF
MAREA
BRITANIE
418,45
83,690000
83,690000
494,26
98,852000
98,852000
214,16
214,160000
194,520000
261,45
261,450000
237,468000
507 W53520001 L03AA02
SOL. INJ./PERF.
300mcg/0,5
TEVA GENERICS GMBH
ml

RF/
GERMANIA
SOL. INJ. SAU PERF.
R
508 W55757002 L03AA02
SOL. INJ./PERF.
MAREA
BRITANIE
1.001,12
200,224000
194,520000
1.129,37
225,874000
225,874000
355,90
355,900000
313,092000
426,08
426,080000
382,224000
1.656,30
331,260000
313,092000
1.843,52
368,704000
368,704000
3.307,67
3.307,670000
3.307,670000
3.643,51
3.643,510000
3.643,510000
3.643,510000

RF
509 W53523001 L03AA02
SOL. INJ./PERF.
480mcg/0,8
TEVA GENERICS GMBH
ml

RF/
GERMANIA
SOL. INJ. SAU PERF.
R
510 W55758002 L03AA02
SOL. INJ./PERF.
MAREA
BRITANIE
511 W51563003 L03AA13
PEGFILGRASTIMUM***
NEULASTA 6mg
SOL. INJ.
6 mg
OLANDA
AMGEN EUROPE B.V.
512 W51563001 L03AA13
PEGFILGRASTIMUM***
NEULASTA 6mg
SOL. INJ.
6mg
AMGEN EUROPE B.V.
OLANDA
513 W51327001 L03AB04
INTERFERONUM ALFA 2A***
ROFERON A
SOL. INJ.
3Mui/0,5ml
ROMANIA
514 W51329001 L03AB04
INTERFERONUM ALFA 2A***
ROFERON A
SOL. INJ.
9Mui/0,5ml
ROMANIA
515 W59599002 L03AB05
INTERFERONUM ALFA 2B***
INTRON A 18 milioane U.I.
SOL. INJ. PEN

MULTIDOZA
18 milioane
MAREA
MERCK SHARP & DOHME
U.I.
BRITANIE
516 W59600001 L03AB05
INTERFERONUM ALFA 2B***
SOL. INJ. PEN

MULTIDOZA
30 milioane
MAREA
MERCK SHARP & DOHME
U.I.
BRITANIE
Pagina 34 din 87

RF
CUTIE CU 1 SERINGA PREUMPLUTA X
0,6ML SOL. INJ. IN BLISTER, CU PROTECTIE PR
A ACULUI
CUTIE X BLISTER X 1 SERINGA
PR
PREUMPLUTA X 0,6ML SOL. INJ.
CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML
PR
+ AC STERIL
CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML
PR
SOL. INJ. + AC STERIL
CUTIE X 1 STILOU INJECTOR (PEN) X 1,2
PML SOL. INJ. + 12 ACE + 12 TAMPOANE
RF/
DEZINFECTANTE
R
CUTIE X 1 STILOU INJECTOR (PEN) X 1,2
PML + 12 ACE + 12 TAMPOANE
RF/
DEZINFECTANTE
R
3.307,67
3.307,670000
3.307,670000
3.643,51
3.643,510000
69,15
69,150000
69,150000
87,43
87,430000
87,430000
140,84
140,840000
140,840000
171,94
171,940000
171,940000
363,48
363,480000
363,480000
434,34
434,340000
434,340000
621,78
621,780000
621,780000
715,89
715,890000
715,890000
Grupa
terapeutic
a
Denumire generica
Denumire comerciala
Forma farmaceutica
Concentratie
/ U.T.
Firma
517 W57665001 M05BA02 ACIDUM CLODRONICUM**
BONEFOS 800 mg
COMPR. FILM.
800mg
518 W52199001 M05BA02 ACIDUM CLODRONICUM**
SINDRONAT (R) 300 mg/5 ml
CONC. PT. SOL.

PERF.
519 W58123007 M05BA03 ACIDUM PAMIDRONICUM**
PAMIDRONAT TORREX
CONC. PT. SOL.

PERF.
15mg/ml
PAMIDRONAT TORREX
CONC. PT. SOL.

PERF.
15mg/ml
PAMIDRONAT TORREX
CONC. PT. SOL.

PERF.
15mg/ml
AREDIA (R) 15 mg
LIOF.+ SOLV. PT.

SOL. PERF.
PAMIRED 30mg pulbere pentru solutie

perfuzabila
perfuzabila
PULB. PT. SOL.

PERF.
PULB. PT.
SOL.PERF.
525 W60664001 M05BA06 ACIDUM IBANDRONICUM**
ACID IBANDRONIC AUROBINDO 150 mg
COMPR. FILM.
150mg
ACID IBANDRONIC TEVA 50 mg
COMPR. FILM.
50 mg
ACID IBANDRONIC SANDOZ 50 mg
COMPR. FILM.
50 mg

15mg
30mg
60mg
HOLMEVIS 50 mg
COMPR. FILM.
50mg
ACID IBANDRONIC GLENMARK 50 mg
COMPR. FILM.
50mg
BAYER OY
CHIESI
PHARMACEUTICALS
GMBH
CHIESI
PHARMACEUTICALS
GMBH
CHIESI
PHARMACEUTICALS
GMBH
NOVARTIS PHARMA
GMBH
DR. REDDY'S
LABORATORIES
DR. REDDY'S
LABORATORIES
AUROBINDO PHARMA
(MALTA) LIMITED
TEVA PHARMA B.V.
Tara
Ambalaj
Prescriptie
Nr.c
Cod CIM
rt
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
Pret cu ridicata
maximal / U.T.
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
Pret cu
amanuntul
maximal / U.T.
Pret de
decontare / U.T.
FINLANDA

FILM.
P6L
60
586,00
9,766666
9,766666
676,89
11,281500
11,281500
ROMANIA
CUTIE X 1 FLAC. DIN STICLA X 5 ML
20,75
20,750000
20,750000
28,04
28,040000
28,040000
AUSTRIA
CUTIE X 1 FIOLA PE X 4 ML
S/PRF
361,86
361,860000
285,384000
432,58
432,580000
348,396000
AUSTRIA
S/PRF
102,98
102,980000
102,980000
125,72
125,720000
125,720000
AUSTRIA
S/PRF
158,95
158,950000
158,950000
194,05
194,050000
194,050000
S/PRF
595,85
148,962500
123,576000
687,63
171,907500
150,864000
CUTIE X 4 FLAC. DIN STICLA X 15 MG LIOF.

GERMANIA PT. SOL. PERF. + 4 FIOLE DIN STICLA X 5
ML SOLV.
ROMANIA
30 MG LIOF. PT. SOL. PERF. I.V.
ROMANIA
MALTA
COMPR. FILM.
CUTIE CU BLIST. DIN PVC/ACLAR/PVC-AL X
OLANDA
28 COMPRIMATE FILMATE
SANDOZ
PHARMACEUTICALS
GMBH
EGIS
PHARMACEUTICALS
P.L.C.
GLENMARK
PHARMACEUTICALS
S.R.O.
ROCHE REGISTRATION
LTD.
MAREA
BRITANIE
PR
152,87
152,870000
152,870000
186,63
186,630000
186,630000
PR
237,82
237,820000
237,820000
290,33
290,330000
290,330000
P6
L
29,66
29,660000
29,660000
38,80
38,800000
38,800000
PR
28
637,14
22,755000
22,269428
732,63
26,165357
25,908857
GERMANIA
CUTIE CU BLIST. DIN PA/AL/PVC/AL CU 28

COMPRIMATE FILMATE
PR
28
519,62
18,557857
18,557857
604,54
21,590714
21,590714
UNGARIA
CUTIE CU BLIST. PA/AL/PVC-AL X 28

COMPR. FILM.
PR
28
637,16
22,755714
22,269428
732,65
26,166071
25,908857
REPUBLICA CUTIE CU BLIST. PVC/PVDC-AL X 28

CEHA
COMPR. FILM.
PR
28
562,00
20,071428
20,071428
650,73
23,240357
23,240357
BONDRONAT 50mg
COMPR. FILM.
50mg
CUTIE X BLIST. AL/PVC X 28 COMPR. FILM. S
28
964,08
34,431428
22,269428
1.089,00
38,892857
25,908857
IASIBON 50 mg
COMPR. FILM.
50mg
PHARMATHEN S.A.
GRECIA
CUTIE CU BLIST. PA/ALL/PVC/ALU X 28

COMPR. FILM
PR
28
629,47
22,481071
22,269428
724,27
25,866785
25,866785
CONC. PT. SOL.

PERF.
6mg
TEVA
PHARMACEUTICALS
S.R.L.
ROMANIA

CU DOP DIN CAUCIUC SI CAPSA DE
PR
CULOARE TURCOAZ (ALBASTRU VERZUI) X
596,39
596,390000
596,390000
688,22
688,220000
688,220000
BONDRONAT 6mg/6ml
6mg/6ml
ROCHE REGISTRATION
LTD.
MAREA
BRITANIE
IASIBON 6mg/6ml
6mg/6ml
PHARMATHEN S.A.
GRECIA
535 W59742004 M05BA08 ACIDUM ZOLEDRONICUM**
ACID ZOLEDRONIC TEVA 4 mg/5 ml
CONC. PT. SOL.

PERF.
4 mg/5 ml
TEVA PHARMA B.V.
OLANDA
ACID ZOLEDRONIC SANDOZ 4 mg/100 ml
CONC. PT. SOL.

PERF.
ROMANIA
CONC. PT. SOL.

PERF.
4mg/5ml
ROMANIA
CONC. PT. SOL.

PERF.
CONC. PT. SOL.
PERF.
SANDOZ S.R.L.

S
PERF.
CUTIE CU 1 FLAC. DIN STICLA X 6ML CONC.
PR
PT. SOL. PERF.
CUTIE X 1 FLACON DIN STICLA CU 5ML
PR
PERFUZABILA
CUTIE CU 1 FLAC. DIN PLASTIC
TRANSPARENT, INCOLOR, DIN COPOLIMER
CICLOOLEFINIC PREVAZUT CUC CAPAC
PR
DIN AL CU CAPSA TIP "FLIP-OFF" X 100 ML
PR
ACID ZOLEDRONIC RICHTER 4 mg/5 ml
CONC. PT. SOL.

PERF.
4mg/5ml
GEDEON RICHTER
ROMANIA SA
ROMANIA
CUTIE X 1 FLACON TRANSPARENT,

INCOLOR DIN POLIMER CICLO-OLEFENIC
INCHIS CU DOP GRI INCHIS DIN CAUCIUC
PR
CU STRAT FLUOROPOLIMERIC, CAPSA DIN
AL SI SISTEM "FLIP-OFF" DIN PLASTIC
ROSU X 5ML CONC. PT. SOL. PERF.
ZOLACITOR 4 mg/5 ml
CONC. PT. SOL.

PERF.
4mg/5ml
CHIESI
PHARMACEUTICALS
GMBH
AUSTRIA
CUTIE CU 4 FLAC., DE CAPACITATE DE 5

ML CARE CONTINE CONC. PT. SOL. PERF.
ACID ZOLEDRONIC ACTAVIS 4mg/5ml
CONC. PT. SOL.

PERF.
4mg/5ml
ACTAVIS GROUP PTC

EHF.
ISLANDA
ZYOLIX 4 mg/5 ml
CONC. PT. SOL.

PERF.
4mg/5ml
ROMASTRU TRADING
S.R.L.
ROMANIA
OSPORIL 4 mg/5 ml
CONC. PT. SOL.

PERF.
4mg/5ml
EGIS
PHARMACEUTICALS
P.L.C.
UNGARIA
Pagina 35 din 87
PR
CUTIE X 1 FLACON PLASTIC

TRANSPARENT, INCOLOR CU
PR
CAPACITATEA DE 5 ML CARE CONTINE
CONC. PT. SOL. PER
CUTIE CU 1 FLAC. DIN COPOLIMER
COCLOOLEFINIC, TRANSPARENT,
PR
INCOLOR, INCHIS CU DOP DIN CAUCIUC
BROMOB
CU CAPACITATEA DE 5 ML CARE CONTINE PR
901,37
901,370000
715,668000
1.020,64
1.020,640000
825,864000
596,39
596,390000
596,390000
688,22
688,220000
688,220000
377,14
377,140000
356,400000
449,23
449,230000
435,096000
377,22
377,220000
356,400000
449,32
449,320000
435,096000
377,22
377,220000
356,400000
449,32
449,320000
435,096000
724,49
724,490000
356,400000
827,84
827,840000
435,096000
2.807,00
701,750000
356,400000
3.097,78
774,445000
435,096000
377,22
377,220000
356,400000
449,32
449,320000
435,096000
459,66
459,660000
356,400000
539,18
539,180000
435,096000
676,71
676,710000
356,400000
775,76
775,760000
435,096000
Grupa
terapeutic
a
Denumire generica
Denumire comerciala
Forma farmaceutica
Concentratie
/ U.T.
Firma
Tara
Ambalaj
CUTIE X 1 FLACON CU CAPACITATE DE

5ML DIN PLASTIC CU DOP BROMOBUTIL,
ACOPERIT CU UN STRAT DE
FLUOROPOLIMER SI CAPAC DIN AL CU
COMPONENTA "FLIP-OFF"
CUTIE CU 1 FLAC. DIN PP PREVAZUT CU
CAPSA FLIP-OFF DIN AL CU CONC. PT.
SOL. PERF.
ACID ZOLEDRONIC HOSPIRA 4 mg/5 ml
CONC. PT. SOL.

PERF.
4mg/5ml
HOSPIRA UK LIMITED
MAREA
BRITANIE
ACID ZOLEDRONIC PFIZER 4 mg/5 ml
CONC. PT. SOL.

PERF.
4mg/5ml
MAREA
BRITANIE
4mg/5ml
CHIESI
PHARMACEUTICALS
GMBH
AUSTRIA

ZOLACITOR 4 mg/5 ml
CONC. PT. SOL.

PERF.
Prescriptie
Nr.c
Cod CIM
rt
356,400000
435,03
435,030000
435,030000
PR
724,49
724,490000
356,400000
827,84
827,840000
435,096000
PR
724,40
724,400000
356,400000
827,75
827,750000
435,096000
724,49
724,490000
356,400000
827,84
827,840000
435,096000
1.417,59
354,397500
354,397500
1.583,33
395,832500
395,832500
PR
377,22
377,220000
356,400000
449,32
449,320000
435,096000
NEOLA PHARMA SRL
ROMANIA

PR
BROMOBUTILIC, SIGILAT CU CAPSA DIN AL
SI CAPAC TIP FLIP-OFF DIN PP CARE
CONTINE 4 MG/5 ML CONC. PT. SOL. PERF.
459,66
459,660000
356,400000
539,18
539,180000
435,096000
452,56
452,560000
356,400000
531,44
531,440000
435,096000
4mg/5ml
TERAPIA SA
ROMANIA
ACID ZOLEDRONIC FRESENIUS KABI 4 mg/5

ml
CONC. PT. SOL.

PERF.
4mg/5ml
FRESENIUS KABI
ROMANIA SRL
ROMANIA
CUTIE CU 4 FLAC. DIN PP INCOLORA,

PR
INCHIS X 4 MG/5 ML CONC. PT. SOL. PERF.
4mg/5ml
MEDAC GESELLSCAFT
FUR KLINISCHE
SPEZIALPRPARATE
CUTIE X 1 FLACON DIN PLASTIC CU 5ML

GERMANIA CONCENTRAT PENTRU SOLUTIE
PERFUZABILA
ZYOLIX 4 mg/5 ml
4mg/5ml
Pret de
decontare / U.T.
364,110000
CONC. PT. SOL.

PERF.
CONC. PT. SOL.

PERF.
Pret cu
amanuntul
maximal / U.T.
364,11
ACID ZOLEDRONIC TERAPIA 4 mg/5 ml
CONC. PT. SOL.

PERF.
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
ACID ZOLEDRONIC MEDAC 4mg/5ml
Pret cu ridicata
maximal / U.T.
PR
CUTIE CU 1 FLAC. TRANSPARENT DIN

STICLA CU CAPACITATEA DE 6 ML INCHIS
CU DOP DIN CAUCIUC DE CULOARE GRI SI
PR
SIGILAT CU CAPAC DIN AL, TIP "FLIP OFF"
DE CULOARE GRI CARE CONTINE CONC.
PT. SOL. PERF.
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
DESINOBON 4 mg/5 ml
CONC. PT. SOL.

PERF.
4mg/5ml

TRANSPARENT, INCOLOR DE 5 ML DIN
LUXEMBOU COPOLIMER CICLOOLEFINIC CU DOP DE
PR
CAUCIUC SI CAPAC DIN AL CU CAPSA TIP
RG
"FLIP-OFF" CARE CONTINE CONC. PT. SOL.
PERF.
ACID ZOLEDRONIC POLIPHARMA 4 mg/5 ml
CONC. PT. SOL.

PERF.
4mg/5ml
POLIPHARMA
INDUSTRIES S.R.L.
ROMANIA
CUTIE CU 1 FLAC. DIN STICLA INCOLORA SI

TRANSPARENTA, CAPACITATE 8,4 ML, A 5 PR
377,22
377,220000
356,400000
449,32
449,320000
435,096000
ACID ZOLEDRONIC DR. REDDY'S 4mg/5 ml
CONC. PT. SOL.

PERF.
4mg/5ml
DR. REDDY'S
LABORATORIES
ROMANIA

CAPACITATEA DE 5 ML CU CONC. PT. SOL. PR
PERF.
297,00
297,000000
297,000000
362,58
362,580000
362,580000
ROMANIA

1.418,88
354,720000
354,720000
1.584,73
396,182500
396,182500

LTD.
BRITANIE
CUTIE X 1 FLAC. 4MG PULB. PT. SOL. PERF.

PR
+ 1 FIOLA X 5 ML SOLV.
1.098,45
1.098,450000
356,400000
1.235,46
1.235,460000
435,096000
MAREA
BRITANIE
CUTIE X 1 PUNGA DIN POLIPROPILENA DE

100ML CU UN PORT "TWIST-OFF" DIN
PR
POLIPROPILENA CU CAPAC SI CU UN
INVELIS DIN POLIESTER/POLIPROPILENA
377,22
377,220000
356,400000
449,32
449,320000
435,096000
ISLANDA
CUTIE CU 1 PUNGA A 100 ML SOL. PERF.
CONC. PT. SOL.

PERF.
ZOMETA 4 mg
PULB. + SOLV. SOL.

4mg
PERF.
SOL. PERF.
ZERLINDA 4 mg/100 ml
SOL. PERF.
SOL. PERF.
4mg/5ml
POLIPHARMA
INDUSTRIES S.R.L.
4 mg/100 ml HOSPIRA UK LIMITED
ACTAVIS GROUP PTC

EHF.
MEDAC GESELLSCAFT
4mg/100ml FUR KLINISCHE
SPEZIALPRPARATE
4mg/100ml
PR
724,00
724,000000
356,400000
827,31
827,310000
435,096000
CUTIE X 1 FLACON DIN PLASTIC CU 100 ML

GERMANIA
PR
SOLUTIE PERFUZABILA
522,14
522,140000
356,400000
607,28
607,280000
435,096000
CUTIE CU 1 FLAC. DIN STICLA CU DOP DIN

CAUCIUC CLOROBUTILIC, SIGILAT CU
PR
CAPSA DIN AL TIP "FLIP-OFF"A 100 ML SOL.
PERF.
297,00
297,000000
297,000000
362,58
362,580000
362,580000
676,71
676,710000
356,400000
775,76
775,760000
435,096000
SOL. PERF.
4mg/100ml
DR. REDDY'S
LABORATORIES
ROMANIA
ACID ZOLEDRONIC ZENTIVA 4 mg/5 ml
SOL. PERF.
4mg/5ml
ZENTIVA, K.S.
REPUBLICA CUTIE CU 1 FLAC. DIN STICLA INCOLORA

CEHA
CARE CONTINE CONC. PT. SOL. PERF.
560 W04133001 V03AF01 MESNUM
UROMITEXAN (R) 400 mg
SOL. INJ.
400mg/4ml
BAXTER ONCOLOGY
GMBH
CUTIE X 3 SUPORTURI TERMOFORMATE

GERMANIA DIN PLASTIC X 5 FIOLE DE STICLA
INCOLORA X 4 ML
15
44,87
2,991333
2,991333
58,69
3,912666
3,912666
15mg
EBEWE PHARMA
GES.M.B.H. NFG KG
AUSTRIA
CUTIE X1 FLAC. X 20 CAPS.
P6L
20
29,11
1,455500
1,455500
38,08
1,904000
1,904000
S/PRF
29,47
29,470000
29,470000
38,55
38,550000
38,550000
561 W00734001 V03AF03 CALCII FOLINAS

CALCIUM FOLINAT "EBEWE" 15 mg

FOLCASIN (R) 100 mg/10 ml
CAPS.
SOL. INJ.
10mg/ml
FOLINAT DE CALCIU TEVA 10 mg/ml
SOL. INJ.
10mg/ml
CALCIUMFOLINAT "EBEWE" 10 mg/ml
SOL. INJ./PERF.
10mg/ml
CALCIUMFOLINAT "EBEWE" 10 mg/ml
SOL. INJ./PERF.
10mg/ml
FOLCASIN (R) 3 mg/ml
SOL. INJ./PERF.
3mg/ml
ACTAVIS S.R.L.
TEVA
PHARMACEUTICALS
S.R.L.
EBEWE PHARMA GMBH
NFG. KG
EBEWE PHARMA GMBH
NFG. KG
ACTAVIS S.R.L.
Pagina 36 din 87
ROMANIA
ROMANIA
CUTIE CU 1 FLAC. X 10 ML SOL. INJ.
AUSTRIA
AUSTRIA
ROMANIA
PR
PRF/
S
PRF
PRF
S/PRF
29,50
29,500000
29,500000
38,59
38,590000
38,590000
50,23
10,046000
10,046000
63,51
12,702000
12,702000
142,16
28,432000
28,432000
173,55
34,710000
34,710000
13,53
13,530000
12,055200
18,29
18,290000
15,242400
Grupa
terapeutic
a
Denumire generica
Denumire comerciala
Forma farmaceutica
Concentratie
/ U.T.
Firma
Tara
Ambalaj
Prescriptie
Nr.c
Cod CIM
rt
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
Pret cu ridicata
maximal / U.T.
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
Pret cu
amanuntul
maximal / U.T.
Pret de
decontare / U.T.
P4: PROGRAMUL NATIONAL DE BOLI NEUROLOGICE

Subprogramul de tratament al sclerozei multiple
1 W42705001 L03AB07
INTERFERONUM BETA 1A****
AVONEX 30 mcg BIO-SET
PULB. + SOLV. PT. 30mcg (6

SOL. INJ.
mil. UI)
BIOGEN IDEC LIMITED
MAREA
BRITANIE
2 W08473003 L03AB07
INTERFERONUM BETA 1A****
REBIF 44 micrograme
SOL. INJ.
SERONO EUROPE LTD.
MAREA
BRITANIE
3 W53186002 L03AB08
INTERFERONUM BETA 1-B****
EXTAVIA 250 mcg/ ml
PULB+SOLV.PT.SO
250mcg/ml
L.INJ

LTD.
BRITANIE
4 W52752007 L03AB08
INTERFERONUM BETA 1-B****
BETAFERON 250mcg/ml
PULB. + SOLV. PT.

250mcg/ml
SOL. INJ.
BAYER SCHERING AG
5 W44044001 L03AX13
GLATIRAMER ACETAT****
COPAXONE
SOL. INJ.
20mg/ml
TYSABRI 300mg
CONC. PT. SOL.

PERF.
20mg/ml
6 W51764001 L04AA23
7 W56928001 L04AX01
NATALIZUMABUM****
AZATHIOPRINUM*
IMURAN
COMPR. FILM.
44mcg
TEVA
PHARMACEUTICALS
S.R.L.
ELAN PHARMA
INTERNATIONAL LTD
ROMANIA
IRLANDA
CUTIE X 28 BLIST. PVC X 1 SERINGA

PREUMPLUTA X 1 ML PREVAZUTA CU AC
FIX
CUTIE X 1 FLAC. X 15ML CONC. PT. SOL.
PERF

GERMANIA
FILM.
50mg
ASPEN EUROPE GMBH
AUSTRIA
CUTIE CU 1 FLAC. PEID X 100 COMPR.

FILM.
CUTIE X 5 CARTUSE X 3 ML SOL. INJ.
IMMUNOPRIN 75 mg
COMPR. FILM.
75mg
1 W52999002 A10AB01 INSULINE UMANE
HUMULIN R
SOL. INJ.
100UI/ml
LILLY FRANCE SAS
FRANTA
HUMULIN R
SOL. INJ.
100UI/ml
LILLY FRANCE SAS
FRANTA
INSUMAN RAPID 100UI/ml
AZATHIOPRINUM*
PRF/
R
PCUTIE X 12 SERINGI PREUMPLUTE X 0,5ML
RF/
SOL. INJ.
R
PCUTIE X 15 FLAC. CU PULBERE + 15
RF/
SERINGI PREUMPLUTE CU SOLVENT
R
CUTIE X 15 AMBALAJE MULTIPLE CE

PGERMANIA CONTIN FIECARE CATE 1 FLAC. CU PULB., RF/
O SERINGA PREUMPLUTA CU SOLV.
P
EBEWE PHARMA
GES.M.B.H. NFG KG
8 W56508002 L04AX01
CUTIE X (1 FLAC. DIN STICLA X 30 MCG

PULBERE + 1 SERINGA PRE-UMPLUTA + 1
ML SOLV. + 4 FIOLE PREVAZUT
S/PRF
S
3.085,23
771,307500
771,307500
3.401,05
850,262500
850,262500
12
4.183,50
348,625000
348,625000
4.598,17
383,180833
383,180833
15
3.506,14
233,742666
233,742666
3.859,85
257,323333
257,323333
15
3.301,14
220,076000
220,076000
3.636,40
242,426666
242,426666
28
3.083,08
110,110000
110,110000
3.398,71
121,382500
121,382500
6.951,95
6.951,950000
6.951,950000
7.615,78
7.615,780000
7.615,780000
S/PRF
100
55,53
0,555300
0,555300
70,21
0,702100
0,702100
PR
100
62,39
0,623900
0,623900
78,89
0,788900
0,788900
90,98
18,196000
18,196000
115,03
23,006000
23,006000
43,32
43,320000
43,320000
56,66
56,660000
56,660000
81,26
16,252000
16,252000
102,75
20,550000
20,550000
105,39
21,078000
21,078000
128,66
25,732000
25,732000
81,26
16,252000
16,252000
102,75
20,550000
20,550000
P5: PROGRAMUL NATIONAL DE DIABET ZAHARAT

Tratamentul medicamentos al bolnavilor cu diabet zaharat
INSUMAN RAPID 100UI/ml
INSUMAN RAPID 100 UI/ml SoloStar
SOL. INJ. IN
100UI/ml
CARTUS
SOL. INJ. IN
100UI/ml
FLACON
SOL. INJ. IN STILOU
INJECTOR
100UI/ml
PREUMPLUT
6 W53873001 A10AB04 INSULINUM LISPRO**
HUMALOG KWIKPEN100U/ml
SOL. INJ.
100U/ml
7 W52601001 A10AB04 INSULINUM LISPRO**
HUMALOG 100 U/ml
SOL. INJ.
100U/ml
8 W07268001 A10AB05 INSULINUM ASPART**
NOVORAPID PENFILL 100 U/ml
9 W41740004 A10AB06 INSULINUM GLULIZINA**
APIDRA 100U/ml
10 W52538004 A10AB06 INSULINUM GLULIZINA**
APIDRA 100U/ml
SOL. INJ. IN
100Uml
CARTUS
SOL. INJ. IN
100U/ml
CARTUS
SOL. INJ. IN STILOU
INJECTOR
100U/ml
PREUMPLUT
SANOFI - AVENTIS
DEUTSCHLAND GMBH
SANOFI - AVENTIS
DEUTSCHLAND GMBH
SANOFI - AVENTIS
DEUTSCHLAND GMBH
ELI LILLY NEDERLAND
BV
ELI LILLY NEDERLAND
BV
GERMANIA
GERMANIA
GERMANIA
OLANDA
OLANDA
NOVO NORDISK A/S
DANEMAR
CA
SANOFI - AVENTIS
DEUTSCHLAND GMBH
GERMANIA
SANOFI - AVENTIS
DEUTSCHLAND GMBH
GERMANIA
11 W52986002 A10AC01 INSULINE UMANE
HUMULIN N
SUSP. INJ.
100UI/ml
LILLY FRANCE SAS
FRANTA
HUMULIN N
SUSP. INJ.
100UI/ml
LILLY FRANCE SAS
FRANTA
INSUMAN BASAL 100UI/ml
INSUMAN BASAL 100UI/ml
INSUMAN BASAL 100UI/ml SoloStar
SUSP. INJ. IN
100UI/ml
CARTUS
SUSP. INJ. IN
100UI/ml
FLACON
SUSP. INJ. IN
STILOU INJECTOR 100UI/ml
PREUMPLUT
SANOFI - AVENTIS
DEUTSCHLAND GMBH
SANOFI - AVENTIS
DEUTSCHLAND GMBH
SANOFI - AVENTIS
DEUTSCHLAND GMBH
GERMANIA
GERMANIA
GERMANIA
16 W53876001 A10AC04 INSULINUM LISPRO**
HUMALOG BASAL KWIKPEN 100U/ml
SUSP. INJ.
100U/ml
ELI LILLY NEDERLAND

BV
17 W53106001 A10AD01 INSULINE UMANE
HUMULIN M3
SUSP. INJ.
100ui/ml
LILLY FRANCE S.A.S
FRANTA
HUMULIN M3
SUSP. INJ.
100ui/ml
LILLY FRANCE S.A.S
FRANTA
INSUMAN COMB 50 100UI/ml
100UI/ml
SANOFI - AVENTIS
DEUTSCHLAND GMBH
GERMANIA
MIXTARD 30 PENFILL 100 UI/ml
100UI/ml
NOVO NORDISK A/S
DANEMAR
CA
INSUMAN COMB 25 100UI/ml SoloStar
SUSP. INJ. IN
CARTUS
SUSP. INJ. IN
CARTUS
SUSP. INJ. IN
CARTUS
SUSP. INJ. IN
FLACON
SUSP. INJ. IN
STILOU INJECTOR
PREUMPLUT
100UI/ml
100UI/ml
100UI/ml
24 W53875001 A10AD04 INSULINUM LISPRO**
HUMALOG MIX50 KWIKPEN 100U/ml
SUSP. INJ.
100U/ml
HUMALOG MIX25 KWIKPEN 100U/ml
SUSP. INJ.
100U/ml
HUMALOG MIX25
SUSP. INJ.
100U/ml
SANOFI - AVENTIS
DEUTSCHLAND GMBH
SANOFI - AVENTIS
DEUTSCHLAND GMBH
OLANDA
GERMANIA
GERMANIA
SANOFI - AVENTIS
DEUTSCHLAND GMBH
GERMANIA
ELI LILLY NEDERLAND

BV
ELI LILLY NEDERLAND
BV
ELI LILLY NEDERLAND
BV
OLANDA
Pagina 37 din 87
OLANDA
OLANDA
PRF
PCUTIE X 1 FLAC. X 10 ML SOL. INJ.
RF
CUTIE X 5 CARTUSE DIN STICLA INCOLORA PX 3 ML SOL. INJ.
RF
CUTIE X 5 FLACOANE DIN STICLA
PINCOLORA X 5 ML SOL. INJ.
RF
CUTIE X 5 STILOURI INJECTOARE X 1
PCARTUS DIN STICLA INCOLORA X 3 ML
RF
SOL. INJ.
CUTIE X 5 STILOURI INJECTOARE (PENPURI) PRE-UMPLUTE X 3 ML SOL. INJ.
RF
PCUTIE X 5 CARTUSE X 3 ML SOL.INJ.
RF
PCUTIE X 5 CARTUSE X 3 ML SOL. INJ.
RF
PCUTIE X 5 CARTUSE X 3 ML SOL. INJ.
RF
CUTIE X 5 STILOURI INJECTOARE (PENPURI) PREUMPLUTE (SOLOSTAR) X 3 ML
RF
SOL. INJ.
CUTIE X 5 CARTUSE DIN STICLA INCOLORA PX 3 ML SUSP. INJ.
RF
CUTIE X 1 FLAC. DIN STICLA INCOLORA X P10 ML SUSP. INJ.
RF
RF
PINCOLORA X 5 ML SUSP. INJ.
RF
PCARTUS DIN STICLA INCOLORA X 3 ML
RF
SUSP. INJ.
CUTIE X 5 STILOURI INJECTOARE (PENPURI) X 3 ML SUSP. INJ.
RF
CUTIE X 1 FLACON DIN STICLA INCOLORA PX 10 ML SUSP. INJ.
RF
RF
RF
PCUTIE X 5 CARTUSE X 3 ML SUSP. INJ.
RF
RF
PINCOLORA X 5 ML SUSP. INJ.
RF
PCARTUS, DIN STICLA INCOLORA X 3 ML
RF
SUSP. INJ.
CUTIE X 5 STILOURI INJECTOARE (PENPURI), PREUMPLUTE X 3 ML, SUSP. INJ.
RF
CUTIE X 5 STILOURI INJECTOARE (PENPURI), PREUMPLUTE X 3 ML, SUSP. INJ.
RF
PCUTIE X 5 CARTUSE X 3 ML SUSP.INJ.
RF
156,50
31,300000
30,950400
191,06
38,212000
37,785600
128,96
25,792000
25,792000
157,44
31,488000
31,488000
130,56
26,112000
26,112000
159,39
31,878000
31,878000
108,80
21,760000
21,760000
132,82
26,564000
26,564000
108,80
21,760000
21,760000
132,82
26,564000
26,564000
90,98
18,196000
18,196000
115,03
23,006000
23,006000
43,32
43,320000
43,320000
56,66
56,660000
56,660000
81,26
16,252000
16,252000
102,75
20,550000
20,550000
111,21
22,242000
22,242000
135,77
27,154000
27,154000
81,26
16,252000
16,252000
102,75
20,550000
20,550000
38,212000
156,50
31,300000
31,300000
191,06
38,212000
43,32
43,320000
43,320000
56,66
56,660000
56,660000
90,98
18,196000
18,196000
115,03
23,006000
23,006000
81,26
16,252000
16,252000
102,75
20,550000
20,550000
105,07
21,014000
19,502400
128,27
25,654000
24,660000
81,26
16,252000
16,252000
102,75
20,550000
20,550000
137,51
27,502000
27,502000
167,87
33,574000
33,574000
81,26
16,252000
16,252000
102,75
20,550000
20,550000
156,50
31,300000
31,300000
191,06
38,212000
38,212000
156,50
31,300000
31,300000
191,06
38,212000
38,212000
136,03
27,206000
27,206000
166,07
33,214000
33,214000
Grupa
terapeutic
a
Denumire generica
Denumire comerciala
HUMALOG MIX50
28 W08254001 A10AD05 INSULINUM ASPART**
NOVOMIX 30 PENFILL 100 U/ml
29 W08054002 A10AE04 INSULINUM GLARGINE**
LANTUS 100UI/ml
LANTUS 100UI/ml
LANTUS SoloStar
Forma farmaceutica
SUSP. INJ.
Concentratie
/ U.T.
100U/ml
SUSP. INJ. IN
100U/ml
CARTUS
SOL. INJ. IN
100UI/ml
CARTUS
SOL. INJ. IN
100UI/ml
FLACON
SOL. INJ. IN STILOU
INJECTOR
100UI/ml
PREUMPLUT
SOL. INJ. IN
100U/ml
CARTUS
Firma
Tara
ELI LILLY NEDERLAND

BV
OLANDA
CUTIE X 5 CARTUSE X 3 ML SUSP. INJ.
NOVO NORDISK A/S
DANEMAR
CA
CUTIE X 5 CARTUSE X 3 ML SUSP. INJ.
SANOFI - AVENTIS
DEUTSCHLAND GMBH
SANOFI - AVENTIS
DEUTSCHLAND GMBH
CUTIE X 5 CARTUSE DIN STICLA X 3 ML

SOL. INJ.
GERMANIA
SOL. INJ.
PRF
PRF
PRF
PRF
SANOFI - AVENTIS
DEUTSCHLAND GMBH
GERMANIA
CUTIE X 5 STILOURI INJECTOARE (PENURI) PREUMPLUTE X 3 ML
PRF
GERMANIA
32 W41732002 A10AE05 INSULINUM DETEMIR**
LEVEMIR PENFILL 100 U/ml
NOVO NORDISK A/S
DANEMAR
CA
33 W53953001 A10BA02 METFORMINUM
METFORMIN ARENA 1000 MG
COMPR.
1000mg
ARENA GROUP S.A.
ROMANIA
COMPR.
1000mg
ARENA GROUP S.A.
ROMANIA
COMPR.
500mg
ARENA GROUP SA
ROMANIA
COMPR.
850mg
ARENA GROUP SA
ROMANIA
GLUCOPHAGE XR
500mg
MERCK SANTE S.A.S.
FRANTA
GLUCOPHAGE XR
500mg
MERCK SANTE S.A.S.
FRANTA
METFORMIN AUROBINDO 1000 mg
COMPR. FILM.
1000mg
MAREA
BRITANIE
SERDENIS 1000 mg
COMPR. FILM.
1000mg
AUROBINDO PHARMA
LIMITED
ROMASTRU TRADING
S.R.L.
GLUCOPHAGE 1000 mg
COMPR. FILM.
1000mg
MERCK SANTE
FRANTA
SERDENIS 1000 mg
COMPR. FILM.
1000mg
METFOGAMMA 1000mg
COMPR. FILM.
1000mg
COMPR. ELIB.
PREL.
COMPR. ELIB.
PREL.
SIOFOR 1000
COMPR. FILM.
1000mg
SERDENIS 1000 mg
COMPR. FILM.
1000mg
COMPR. FILM.
500mg
COMPR. FILM.
500mg
MEGUAN (R) 500 mg
COMPR. FILM.
500mg
DIPIMET 500 mg
COMPR. FILM.
500mg
SIOFOR 850 mg
COMPR. FILM.
850mg
SERDENIS 850 mg
COMPR. FILM.
850mg
COMPR. FILM.
850mg
GLUCOPHAGE 850 mg
COMPR. FILM.
850mg
COMPR. FILM.
850mg
MEGUAN (R) 850 mg
COMPR. FILM.
850mg
SERDENIS 850 mg
COMPR. FILM.
850mg
METFOGAMMA 850 mg
COMPR. FILM.
850mg
Ambalaj
Prescriptie
Nr.c
Cod CIM
rt
ROMASTRU TRADING
S.R.L.
WORWAG PHARMA
GMBH & CO. KG
BERLIN CHEMIE AG
MENARINI GROUP
ROMASTRU TRADING
S.R.L.
AUROBINDO PHARMA
LIMITED
AUROBINDO PHARMA
LIMITED
GEDEON RICHTER
ROMANIA SA
ANTIBIOTICE SA
BERLIN-CHEMIE AG
(MENARINI GROUP)
ROMASTRU TRADING
S.R.L.
AUROBINDO PHARMA
LIMITED
ROMANIA
ROMANIA
GERMANIA
GERMANIA
ROMANIA
MAREA
BRITANIE
MAREA
BRITANIE
ROMANIA
ROMANIA
GERMANIA
ROMANIA
MAREA
BRITANIE
MERCK SANTE
FRANTA
AUROBINDO PHARMA
LIMITED
GEDEON RICHTER
ROMANIA SA
ROMASTRU TRADING
S.R.L.
WORWAG PHARMA
GMBH & CO. KG
ROMASTRU TRADING
S.R.L.
MAREA
BRITANIE
ROMANIA
ROMANIA
GERMANIA
SERDENIS 850 mg
COMPR. FILM.
850mg
59 W53919001 A10BB01 GLIBENCLAMIDUM
GLIBENCLAMID ATB 1,75 MG
COMPR.
1,75 mg
ANTIBIOTICE S.A.
ROMANIA
GLIBENCLAMID ARENA 1,75 mg
COMPR.
1,75mg
ARENA GROUP SA
ROMANIA
COMPR.
1,75mg
ARENA GROUP SA
ROMANIA
COMPR.
1,75mg
ARENA GROUP SA
ROMANIA
GERMANIA
ROMANIA
MANINIL 1,75 mg
COMPR.
1,75mg
BERLIN CHEMIE AG
MENARINI GROUP
GLIBENCLAMID ATB 3,5 MG
COMPR.
3,5mg
ANTIBIOTICE S.A.
ROMANIA
COMPR.
3,5mg
ARENA GROUP SA
ROMANIA
Pagina 38 din 87
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
Pret cu ridicata
maximal / U.T.
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
Pret cu
amanuntul
maximal / U.T.
Pret de
decontare / U.T.
134,73
26,946000
26,946000
164,48
32,896000
32,896000
140,58
28,116000
28,116000
171,62
34,324000
34,324000
203,05
40,610000
40,610000
247,88
49,576000
49,576000
146,86
146,860000
146,860000
179,29
179,290000
179,290000
200,05
40,010000
40,010000
244,22
48,844000
48,844000
245,54
49,108000
49,108000
299,76
59,952000
59,952000
6,30
0,126000
0,126000
8,52
0,170400
0,170400
25,16
0,125800
0,125800
32,91
0,164550
0,164550
3,58
0,059666
0,059666
4,84
0,080666
0,080666
PCUTIE X 5 CARTUSE X 3 ML
5
RF
50
RF
PFLACON DIN PE X 200 COMPR.
RF/ 200
S
PCUTIE X 1 FLAC. DIN PE X 60 COMPR.
60
RF
15
RF
P30
COMPR. ELIB. PREL.
RF
P30
COMPR. ELIB. PREL.
RF
P6
30
COMPR. FILM.
L
P6
30
COMPR. FILM.
L
CUTIE CU BLIST. PVC/AL, X 60 COMPR.
P60
FILM.
6L
P6
60
COMPR. FILM.
L
P6
CUTIE X 8 BLIST. AL/PVC X 15 COMPR. FILM
120
L
P60
FILM.
RF
P6
90
COMPR. FILM.
L
P6
30
COMPR. FILM.
L
P6
60
COMPR. FILM.
L
P6
20
COMPR. FILM.
L
P30
FILM.
RF
P60
FILM.
6L
P6
30
COMPR. FILM.
L
P6
30
COMPR. FILM.
L
P6
100
FILM.
L
P6
60
COMPR. FILM.
L
P6
20
COMPR. FILM.
L
P6
60
COMPR. FILM.
L
P6
120
FILM.
L
P6
90
COMPR. FILM.
L
30
RF
RF/ 1.000
S
PCUTIE X 1 FLAC. PEID X 100 COMPR.
RF/ 100
S
30
RF
PCUTIE X 1 FLAC. X 120 COMPR.
RF/ 120
S
30
RF
RF/ 1.000
S
1,69
0,112666
0,112666
2,28
0,152000
0,152000
11,34
0,378000
0,071599
15,33
0,511000
0,096799
11,34
0,378000
0,071599
15,33
0,511000
0,096799
4,34
0,144666
0,144666
5,86
0,195333
0,195333
4,38
0,146000
0,146000
5,92
0,197333
0,197333
20,74
0,345666
0,150960
28,03
0,467166
0,197460
8,75
0,145833
0,145833
11,83
0,197166
0,197166
15,93
0,132750
0,132750
21,53
0,179416
0,179416
13,42
0,223666
0,150960
18,14
0,302333
0,197460
13,13
0,145888
0,145888
17,75
0,197222
0,197222
2,55
0,085000
0,071599
3,45
0,115000
0,096799
5,10
0,085000
0,071599
6,89
0,114833
0,096799
3,24
0,162000
0,071599
4,38
0,219000
0,096799
2,85
0,095000
0,071599
3,85
0,128333
0,096799
13,45
0,224166
0,121399
18,18
0,303000
0,164100
3,64
0,121333
0,121333
4,92
0,164000
0,164000
3,60
0,120000
0,120000
4,87
0,162333
0,162333
18,70
0,187000
0,121399
25,27
0,252700
0,164100
7,18
0,119666
0,119666
9,71
0,161833
0,161833
5,65
0,282500
0,121399
7,64
0,382000
0,164100
7,27
0,121166
0,121166
9,82
0,163666
0,163666
12,14
0,101166
0,101166
16,41
0,136750
0,136750
10,90
0,121111
0,121111
14,73
0,163666
0,163666
1,41
0,047000
0,047000
1,91
0,063666
0,063666
55,56
0,055560
0,055560
70,25
0,070250
0,070250
8,60
0,086000
0,056400
11,62
0,116200
0,076399
1,52
0,050666
0,050666
2,05
0,068333
0,068333
8,75
0,072916
0,056400
11,82
0,098500
0,076399
1,01
0,033666
0,033666
1,37
0,045666
0,045666
76,44
0,076440
0,040399
96,65
0,096650
0,054799
Grupa
terapeutic
a
Denumire generica
Denumire comerciala
Forma farmaceutica
Concentratie
/ U.T.
Firma
Tara
Ambalaj
COMPR.
3,5mg
ARENA GROUP SA
ROMANIA
MANINIL 3,5 mg
COMPR.
3,5mg
BERLIN CHEMIE AG
MENARINI GROUP
GERMANIA CUTIE X 1 FLAC. X 120 COMPR.
COMPR.
3,5mg
ARENA GROUP SA
ROMANIA
GLIBENCLAMID ARENA 5 mg
COMPR.
5mg
ARENA GROUP SA
ROMANIA
70 W54934001 A10BB07 GLIPIZIDUM
GLIPIZIDA ATB 5mg
COMPR.
5mg
ANTIBIOTICE S.A.
ROMANIA
GLUCOTROL XL 10 mg
COMPR. FILM. ELIB.

10mg
MODIF.
MAREA
BRITANIE
GLUCOTROL XL 5mg
COMPR. FILM. ELIB.

5mg
MODIF.
MAREA
BRITANIE
73 W03352001 A10BB08 GLIQUIDONUM
GLURENORM
74 W42334001 A10BB09 GLICLAZIDUM
ESQUEL (R) 80 mg
GLYCLADA 60 mg
COMPR.
COMPR.
30mg
80mg
BOEHRINGER
INGELHEIM
INTERNATIONAL GMBH
GEDEON RICHTER
ROMANIA SA
KRKA, D.D., NOVO
MESTO
KRKA, D.D., NOVO
MESTO
LES LABORATOIRES
SERVIER
ROMANIA
60mg
ZENTIVA, K.S.
REPUBLICA
CEHA
30mg
ANTIBIOTICE S.A.
ROMANIA
30mg
KRKA
SLOVENIA
SLOVENIA
GLYCLADA 60 mg
DIAPREL MR 60 mg
GLICLAZIDA ZENTIVA 60 mg
GLICLAZIDA ATB 30 mg
GLYCLADA 30 mg
GLYCLADA 30 mg
30mg
82 W55760001 A10BB12 GLIMEPIRIDUM
GLIMEPIRIDA ATB 1 mg
COMPR.
1mg
ANTIBIOTICE S.A.
ROMANIA
AMARYL 1mg
COMPR.
1mg
SANOFI-AVENTIS
ROMANIA S.R.L.
ROMANIA
MEGLIMID 1 mg
COMPR.
1mg
KRKA D.D.
SLOVENIA
COMPR.
2mg
ANTIBIOTICE S.A.
ROMANIA
GLIMEPIRIDE 2 mg
COMPR.
2mg
ACTAVIS GROUP HF.
ISLANDA
AMARYL 2 mg
COMPR.
2mg
SANOFI-AVENTIS
ROMANIA S.R.L.
ROMANIA
MEGLIMID 2 mg
COMPR.
2mg
KRKA D.D.
SLOVENIA
AMARYL 3 mg
COMPR.
3mg
SANOFI-AVENTIS
ROMANIA S.R.L.
ROMANIA
MEGLIMID 3 mg
COMPR.
3mg
KRKA D.D.
SLOVENIA
GLIMEPIRIDE 3 mg
COMPR.
3mg
ACTAVIS GROUP HF.
ISLANDA
COMPR.
3mg
ANTIBIOTICE S.A.
ROMANIA
GLIMEPIRIDA ACCORD 4mg
COMPR.
4mg
ACCORD HEALTHCARE
LIMITED
MAREA
BRITANIE
COMPR.
4mg
ANTIBIOTICE S.A.
ROMANIA
AMARYL 4 mg
COMPR.
4mg
AMARYL 6 mg
COMPR.
6mg
CAPS.
400mg+2,5
ARENA GROUP SA
mg
97 W42117002 A10BD02 COMBINATII (METFORMINUM+GLIBENCLAMIDUM)
BIDIAB 400 mg/2,5 mg
60mg
60mg
400mg+2,5
mg
400mg/2,5
mg
500mg/2,5
mg
500mg/2,5
mg
SANOFI-AVENTIS
ROMANIA S.R.L.
SANOFI-AVENTIS
ROMANIA S.R.L.
SLOVENIA
FRANTA
ROMANIA
ROMANIA
ROMANIA
BIDIAB 400 mg/2,5 mg
CAPS.
GLIBOMET (R)
COMPR. FILM.
GLUCOVANCE (R) 500 mg/2,5 mg
COMPR. FILM.
GLUCOVANCE 500 mg/2,5 mg
COMPR. FILM.
GLUCOVANCE 500 mg/5 mg
COMPR. FILM.
500mg/5mg MERCK SANTE
FRANTA
GLUCOVANCE (R) 500 mg/5 mg
COMPR. FILM.
500mg/5mg MERCK SANTE
FRANTA
ARENA GROUP SA
ROMANIA
LAB. GUIDOTTI SPA
ITALIA
MERCK SANTE
FRANTA
MERCK SANTE
FRANTA
Pagina 39 din 87
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
COMPR. CU ELIB.
MODIF.
COMPR. CU ELIB.
MODIF.
COMPR. ELIB.
MODIF.
COMPR. ELIB.
MODIF.
COMPR. ELIB.
PREL.
COMPR. ELIB.
PREL.
COMPR. ELIB.
PREL.
60mg
Prescriptie
Nr.c
Cod CIM
rt
PRF/
S
PRF/
S
PRF
PRF
P6L
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
Pret cu ridicata
maximal / U.T.
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
Pret cu
amanuntul
maximal / U.T.
Pret de
decontare / U.T.
100
10,64
0,106400
0,040399
14,38
0,143800
0,054799
120
6,34
0,052833
0,040399
8,57
0,071416
0,054799
30
4,15
0,138333
0,040399
5,61
0,187000
0,054799
30
4,24
0,141333
0,141333
5,73
0,191000
0,191000
30
11,49
0,383000
0,383000
15,53
0,517666
0,517666
PRF
30
35,35
1,178333
1,178333
46,24
1,541333
1,541333
PRF
30
17,67
0,589000
0,459600
23,88
0,796000
0,621199
PRF
60
20,38
0,339666
0,339666
27,55
0,459166
0,459166
P6
L
PR
COMPR. CU ELIB. MODIF.
F
PR
F
CUTIE CU BLIST. PVC/AL X 60 COMPR. CU PELIB. MODIF.
RF
PR
COMPR. ELIB. MODIF.
F
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. ELIB. PPREL.
RF
CUTIE X 4 BLIST. PVC/AL X 15 COMPR. CU PELIB. PREL.
6L
CUTIE X 6 BLIST. PVC/AL X 10 COMPR. CU PELIB. PREL.
6L
PCUTIE CU 3 BLIST. PVC/AL X 10 COMPR.
RF
PCUTIE CU BLIST. AL/PVC X 30 COMPR.
RF
RF
RF
RF
RF
RF
RF
RF
RF
RF
CUTIE CU, BLIST. PVC-PVDC/AL X 30
PCOMPR.
6L
RF
RF
RF
RF/
S
RF
RF
P6
L
P6
FILM.
L
P6
FILM.
L
P6
L
30
9,71
0,323666
0,323666
13,13
0,437666
0,437666
60
21,90
0,365000
0,365000
29,60
0,493333
0,493333
60
21,90
0,365000
0,365000
29,60
0,493333
0,493333
60
34,89
0,581500
0,438000
45,64
0,760666
0,592000
90
34,02
0,378000
0,378000
44,50
0,494444
0,494444
30
6,02
0,200666
0,200666
8,14
0,271333
0,271333
60
12,10
0,201666
0,201666
16,36
0,272666
0,272666
60
12,10
0,201666
0,201666
16,36
0,272666
0,272666
30
3,08
0,102666
0,102666
4,16
0,138666
0,138666
30
3,64
0,121333
0,121333
4,92
0,164000
0,164000
30
6,73
0,224333
0,123199
9,09
0,303000
0,166399
30
5,08
0,169333
0,158800
6,87
0,229000
0,214399
30
3,97
0,132333
0,132333
5,36
0,178666
0,178666
30
6,10
0,203333
0,158800
8,24
0,274666
0,214399
30
13,35
0,445000
0,158800
18,04
0,601333
0,214399
30
11,31
0,377000
0,294000
15,28
0,509333
0,397600
30
18,49
0,616333
0,294000
24,99
0,833000
0,397600
30
7,35
0,245000
0,245000
9,94
0,331333
0,331333
30
9,43
0,314333
0,294000
12,74
0,424666
0,397600
30
10,64
0,354666
0,354666
14,38
0,479333
0,479333
30
10,62
0,354000
0,354000
14,36
0,478666
0,478666
30
11,61
0,387000
0,387000
15,69
0,523000
0,523000
30
19,08
0,636000
0,636000
25,79
0,859666
0,859666
500
178,17
0,356340
0,356340
217,51
0,435020
0,435020
20
7,63
0,381500
0,381199
10,31
0,515500
0,515200
60
19,06
0,317666
0,317666
25,76
0,429333
0,429333
60
20,35
0,339166
0,339166
27,50
0,458333
0,458333
60
20,35
0,339166
0,339166
27,50
0,458333
0,458333
60
20,35
0,339166
0,339166
27,50
0,458333
0,458333
60
20,35
0,339166
0,339166
27,50
0,458333
0,458333
Grupa
terapeutic
a
104 W52765005 A10BD05
Denumire generica
COMBINATII ( PIOGLITAZONUM +
METFORMINUM)***
105 W53295002 A10BD07 COMBINATII ( SITAGLIPTINUM+METFORMINUM)***
Denumire comerciala
Forma farmaceutica
COMPETACT
COMPR. FILM.
JANUMET 50 mg/1000 mg
COMPR. FILM.
Concentratie
/ U.T.
Firma
Tara
TAKEDA GLOBAL
15mg/850m RESEARCH AND
MAREA
g
DEVELOPMENT CENTRE BRITANIE
LTD
50mg/1000
MAREA
MERCK SHARP & DOHME
mg
BRITANIE
BRISTOL-MYERS
2,5mg+100
MAREA
SQUIBB/ASTRAZENECA
0mg
BRITANIE
EEIG
Ambalaj
2,852142
194,99
3,481964
3,481964
CUTIE X BLIST. PVC/PE/PVDC/AL X 28

COMPR. FILM.
PRF
28
77,39
2,763928
2,763928
97,85
3,494642
3,494642
CUTIE CU BLIST. AL/AL NEPERFORATE CU P60 COMPR.FILM.

RF
100mg
BAYER PHARMA AG
GERMANIA CUTIE X 8 BLIST. AL/PP X 15 COMPR.
108 W57946002 A10BF01 ACARBOSUM
GLUCOBAY 50
COMPR.
50mg
BAYER PHARMA AG
109 W58660003 A10BG03 PIOGLITAZONUM***
ZIPION 15 mg
COMPR.
15 mg
ZENTIVA K.S.
GLIDIPION 15 mg
COMPR.
15mg
PIOGLITAZONA TORRENT 15 mg
COMPR.
15mg
LISPECIP 15 mg
COMPR.
15mg
PIOGLITAZONA POLIPHARMA 15 mg
COMPR.
15mg
ACTOS 15mg
COMPR.
15mg
PIOGLITAZONA AUROBINDO 15 mg
COMPR.
15mg
ZIPION 30 mg
COMPR.
30 mg
COMPR.
30mg
COMPR.
30mg
LISPECIP 30 mg
COMPR.
30mg
GLIDIPION 30 mg
COMPR.
30mg
COMPR.
30mg
ACTOS 30mg
COMPR.
30mg
ZIPION 45 mg
COMPR.
45 mg
COMPR.
45mg
LISPECIP 45 mg
COMPR.
45mg
COMPR.
45mg
GLIDIPION 45 mg
COMPR.
45mg
ACTOS 45mg
COMPR.
45mg
COMPR.
45mg
130 W51928002 A10BH01 SITAGLIPTINUM***
JANUVIA 100mg
COMPR. FILM.
100mg
131 W54993009 A10BH03 SAXAGLIPTIN***
ONGLYZA
COMPR. FILM.
5 mg
132 W56718002 A10BX02 REPAGLINIDUM
RENEOS 0,5 mg
COMPR.
0,5 mg
RENEOS 1 mg
COMPR.
1 mg
RENEOS 2 mg
COMPR.
2 mg
135 W57092001 A10BX04 EXENATIDUM***
BYDUREON 2 mg
PULB. + SOLV. PT.

SUSP. INJ. CU ELIB. 2 mg
PREL.
ELI LILLY NEDERLAND BV OLANDA
BYDUREON 2 mg
PULB. + SOLV. PT.

SUSP. INJ. CU ELIB. 2 mg
PREL.
BRISTOL-MYERS
SQUIBB/ASTRAZENECA
EEIG
BYETTA 10mcg/doza
SOL. INJ. IN STILOU

ELI LILLY NEDERLAND
INJECTOR
10mcg/doza
BV
PREUMPLUT
REPUBLICA CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30

CEHA
COMPR.
CUTIE CU BLIST. AL/AL X 28 COMPR.
ISLANDA
(BLIST. TIP CALENDAR)
CUTIE CU BLIST. PVC-PE-PVDC-AL X 30
ROMANIA
COMPR.
LUXEMBUR CUTIE CU BLIST. PA-AL-PVC/AL X 30
G
COMPR.
ROMANIA
COMPR.
Pagina 40 din 87
OLANDA
PRF
PRF
PR
F
PR
F
PR
F
PR
F
P6
L
CUTIE X 28 COMPR. (BLIST. AL/AL)
PRF
CUTIE CU BLIST. DIN POLIAMIDA/AL/PVC X

30 COMPR.
CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30
COMPR.
COMPR.
30 COMPR.
COMPR.
COMPR.
PR
F
PR
F
PR
F
PR
F
PR
F
PR
F
P6
L
CUTIE X 28 COMPR.(BLIST. AL/AL)
PRF

COMPR.
30 COMPR.
LUXEMBUR CUTIE CU BLIST. PA-AL-PVC/AL X 30
G
COMPR.
ROMANIA
COMPR.
ISLANDA
MAREA
BRITANIE
Pret de
decontare / U.T.
2,852142
COMPR. FILM.
POLIPHARMA
INDUSTRIES S.R.L.
ACTAVIS GROUP PTC
EHF.
TAKEDA GLOBAL
RESEARCH AND
MAREA
LTD
TORRENT PHARMA
ROMANIA
S.R.L.
MAREA
MERCK SHARP & DOHME
BRITANIE
BRISTOL-MYERS
MAREA
SQUIBB/ASTRAZENECA
BRITANIE
EEIG
REPUBLICA
ZENTIVA K.S.
CEHA
REPUBLICA
ZENTIVA K.S.
CEHA
REPUBLICA
ZENTIVA K.S.
CEHA
Pret cu
amanuntul
maximal / U.T.
159,72
COMPR.
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
56
GLUCOBAY 100
POLIPHARMA
INDUSTRIES S.R.L.
TAKEDA GLOBAL
RESEARCH AND
MAREA
LTD
AUROBINDO PHARMA
MALTA
(MALTA) LIMITED
REPUBLICA
ZENTIVA K.S.
CEHA
TORRENT PHARMA
ROMANIA
S.R.L.
AUROBINDO PHARMA
MALTA
(MALTA) LIMITED
LUXEMBUR
G
ACTAVIS GROUP PTC
ISLANDA
EHF.
POLIPHARMA
ROMANIA
INDUSTRIES S.R.L.
TAKEDA GLOBAL
RESEARCH AND
MAREA
LTD
REPUBLICA
ZENTIVA K.S.
CEHA
AUROBINDO PHARMA
MALTA
(MALTA) LIMITED
Pret cu ridicata
maximal / U.T.
PRF
107 W57947002 A10BF01 ACARBOSUM
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
CUTIE X 56 COMPR. FILM. ( BLIST. AL/AL )
106 W58716003 A10BD10 COMBINATII ( SAXAGLIPTINUM + METFORMINUM)***KOMBOGLYZE 2,5/1000mg
ACTAVIS GROUP PTC

EHF.
TORRENT PHARMA
S.R.L.
Prescriptie
Nr.c
Cod CIM
rt
PR
F
PR
F
PR
F
P6
L
PR
F
CUTIE X 28 COMPR.(BLIST. AL/AL)
PRF

COMPR.
CUTIE X 28 COMPR. FILM. (BLIST.
PVC/PE/PVDC/AL)
PR
F
PRF
CUTIE CU BLISTER AL/AL PERFORAT 30 X1 PCOMPR.FILM.

RF
COMPR.
COMPR.
COMPR.
AMBALAJ CU 4 X 1 DISPOZITIV DE
ADMINISTRAREA UNICA (1FL X2MG
PULB.+1SERINGA PREUMPLUTAX0,65ML
SOLVEN
AMBALAJ CU 4 X 1 DISPOZITIV DE
ADMINISTRAREA UNICA (1FL X2MG
PULB.+1SERINGA PREUMPLUTAX0,65ML
SOLVEN
PR
F
PR
F
PR
F
CUTIE X 1 STILOU INJECTOR (PEN)

PREUMPLUT (60 DOZE)
60
168,58
2,809666
2,809666
205,80
3,430000
3,430000
120
51,89
0,432416
0,432416
65,61
0,546750
0,546750
120
39,95
0,332916
0,332916
52,25
0,435416
0,435416
30
56,24
1,874666
1,465600
71,11
2,370333
1,916800
28
34,20
1,221428
1,221428
44,73
1,597500
1,597500
30
43,89
1,463000
1,463000
57,41
1,913666
1,913666
30
40,47
1,349000
1,349000
52,93
1,764333
1,764333
30
36,64
1,221333
1,221333
47,92
1,597333
1,597333
28
100,29
3,581785
1,465600
122,43
4,372500
1,916800
30
64,41
2,147000
1,465600
81,44
2,714666
1,916800
30
84,33
2,811000
2,811000
106,63
3,554333
3,554333
30
86,35
2,878333
2,878333
109,18
3,639333
3,639333
30
98,49
3,283000
2,880000
124,53
4,151000
3,641570
30
82,84
2,761333
2,761333
104,74
3,491333
3,491333
28
67,20
2,400000
2,400000
84,97
3,034642
3,034642
30
72,00
2,400000
2,400000
91,04
3,034666
3,034666
28
150,92
5,390000
2,880000
184,24
6,580000
3,641570
30
143,75
4,791666
3,840000
175,49
5,849666
4,855200
30
130,18
4,339333
3,840000
158,92
5,297333
4,855200
4,757000
30
116,90
3,896666
3,840000
142,71
4,757000
30
96,00
3,200000
3,200000
121,38
4,046000
4,046000
28
89,60
3,200000
3,200000
113,29
4,046071
4,046071
28
206,41
7,371785
3,840000
251,99
8,999642
4,855200
30
118,80
3,960000
3,840000
145,03
4,834333
4,834333
28
160,75
5,741071
5,741071
196,24
7,008571
7,008571
30
161,70
5,390000
5,390000
197,40
6,580000
6,580000
90
20,20
0,224444
0,224444
27,30
0,303333
0,303333
90
20,20
0,224444
0,224444
27,30
0,303333
0,303333
90
20,20
0,224444
0,224444
27,30
0,303333
0,303333
PR
F
380,67
95,167500
95,167500
453,08
113,270000
113,270000
PR
F
380,67
95,167500
95,167500
453,08
113,270000
113,270000
PRF
314,81
314,810000
314,810000
381,29
381,290000
381,290000
Grupa
terapeutic
a
Denumire generica
Denumire comerciala
BYETTA 10g/doza
BYETTA 5mcg/doza
141 W59381003 A10BX09 DAPAGLIFOZINUM***
BYETTA 5g/doza
FORXIGA 10 mg
Forma farmaceutica
Concentratie
/ U.T.
SOL. INJ. IN STILOU

INJECTOR
10g/doza
PREUMPLUT
SOL. INJ. IN STILOU
INJECTOR
5mcg/doza
PREUMPLUT
SOL. INJ. IN STILOU
INJECTOR
5g/doza
PREUMPLUT
COMPR. FILM.
10mg
142 W61097002 A11DA03 BENFOTIAMINUM
BENFOTIAMINA BIOMEDIAL 300 mg
COMPR. FILM.
300mg
143 W41932004 A11DA03 BENFOTIAMINUM
BENFOGAMMA
DRAJ.
50mg
144 W01610002 A11DBN1 COMBINATII**
MILGAMMA (R) N
CAPS. MOI
MILGAMMA (R) (vezi B03BA51)
DRAJ.
MILGAMMA (R) NA
SOL. INJ.
MILGAMMA (R) N
SOL. INJ.
FARA
CONCENT
RATIE
FARA
CONCENT
RATIE
FARA
CONCENT
RATIE
FARA
CONCENT
RATIE
Firma
Tara
Ambalaj
Prescriptie
Nr.c
Cod CIM
rt
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
Pret cu ridicata
maximal / U.T.
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
Pret cu
amanuntul
maximal / U.T.
Pret de
decontare / U.T.
BRISTOL-MYERS
SQUIBB/ASTRAZENECA
EEIG
MAREA
BRITANIE

PREUMPLUT (60 DOZE)
PRF
314,81
314,810000
314,810000
381,29
381,290000
381,290000
ELI LILLY NEDERLAND

BV
OLANDA

PREUMPLUT (60 DOZE)
PRF
303,47
303,470000
303,470000
368,93
368,930000
368,930000
MAREA
BRITANIE

PREUMPLUT (60 DOZE)
PRF
303,47
303,470000
303,470000
368,93
368,930000
368,930000
MAREA
BRITANIE
CUTIE CU BLIST. DIN ALU/ALU X 30X1

COMPR. FILM. (UNITATE DOZATA)
PR
F
30
162,69
5,423000
5,423000
198,61
6,620333
6,620333
30
106,68
3,556000
3,556000
130,23
4,341000
4,341000
50
21,25
0,425000
0,425000
28,72
0,574400
0,574400
BRISTOL-MYERS
SQUIBB/ASTRAZENECA
EEIG
BRISTOL-MYERS
SQUIBB/ASTRAZENECA
EEIG
BIOMEDIAL PHARMA
S.R.L.
WORWAG PHARMA
GMBH & CO. KG

COMPR. FILM.
P6
ROMANIA
L
PGERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ.
6L
WORWAG PHARMA
GMBH & CO. KG
PGERMANIA CUTIE X 5 BLIST. PVC/PVDC X 10 CAPS. MOI

6L
50
35,84
0,716800
0,716800
46,88
0,937600
0,937600
WORWAG PHARMA
GMBH & CO. KG
GERMANIA CUTIE X 5 BLIST. PVC/PVDC X 10 DRAJ.
P6L
50
35,84
0,716800
0,716800
46,88
0,937600
0,937600
WORWAG PHARMA
GMBH & CO. KG
GERMANIA
CUTIE X 5 FIOLE DIN STICLA BRUNA

PPREVAZUTE CU PUNCT DE RUPERE X 1 ML RF
13,70
2,740000
2,740000
18,52
3,704000
3,704000
WORWAG PHARMA
GMBH & CO. KG
GERMANIA
PCUTIE X 5 FIOLE DIN STICLA BRUNA

PREVAZUTE CU PUNCT DE RUPERE X 2 ML RF
13,70
2,740000
2,740000
18,52
3,704000
3,704000
P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.1: HEMOFILIE SI TALASEMIE
100UI/ml

CU PULB. PT. SOL. INJ. + 1 FLAC. DIN
STICLA INCOLORA CU 10 ML SOLV. PT.
SOL. INJ. + 1 SERINGA DE UNICA
FOLOSINTA + 1 CANULA DUBLA CU DOUA
FILTRE SI 1 CANULA TIP FLUTURE
PPR
1.734,00
1.734,000000
1.433,160000
1.928,21
1.928,210000
1.607,928000
50UI/ml

STICLA INCOLORA CU 10 ML SOLV. PT.
SOL. INJ. + 1 SERINGA DE UNICA
FOLOSINTA + 1 CANULA DUBLA CU DOUA
FILTRE SI 1 CANULA TIP FLUTURE
PPR
882,00
882,000000
592,800000
999,53
999,530000
691,932000
50UI/ml

STICLA INCOLORA CU 5 ML SOLV. PT. SOL. PBIOTEST PHARMA GMBH GERMANIA
INJ. + 1 SERINGA DE UNICA FOLOSINTA + 1 PR
CANULA DUBLA CU DOUA FILTRE SI 1
CANULA TIP FLUTURE
456,00
456,000000
366,960000
535,19
535,190000
445,764000
PR
1.194,30
1.194,300000
1.194,300000
1.339,94
1.339,940000
1.339,940000
PR
305,80
305,800000
305,800000
371,47
371,470000
371,470000
PR
494,00
494,000000
494,000000
576,61
576,610000
576,610000
PR
2.226,90
2.226,900000
2.226,900000
2.465,47
2.465,470000
2.465,470000
PR
4.853,36
4.853,360000
4.853,360000
5.328,32
5.328,320000
5.328,320000
PR
599,90
599,900000
599,900000
692,04
692,040000
692,040000
PR
1.162,85
1.162,850000
1.162,850000
1.305,66
1.305,660000
1.305,660000
S/PRF
2.393,60
2.393,600000
2.393,600000
2.647,18
2.647,180000
2.647,180000
HAEMOCTIN SDH 1000
PULB+SOLV. PT.
SOL. INJ.
HAEMOCTIN SDH 500
PULB+SOLV. PT.
SOL. INJ.
3 W56023001 B02BD02 FACTOR VIII DE COAGULARE**
HAEMOCTIN SDH 250
PULB+SOLV. PT.
SOL. INJ.
OCTANATE 100 UI/ml
PULB. + SOLV. PT.

100 UI/ml
SOL. INJ.
MAREA
BRITANIE
OCTANATE 50 UI/ml
PULB. + SOLV. PT.

50 UI/ml
SOL. INJ.
MAREA
BRITANIE
OCTANATE 50 UI/ml
PULB. + SOLV. PT.

50 UI/ml
SOL. INJ.
MAREA
BRITANIE
7 W61061001 B02BD02 MOROCTOCOG ALFA**
REFACTO AF 1000UI
PULB. + SOL. PT.

SOL. INJ.
1000 UI
PFIZER LIMITED
MAREA
BRITANIE
REFACTO AF 2000UI
PULB. + SOL. PT.

SOL. INJ.
2000 UI
PFIZER LIMITED
MAREA
BRITANIE
REFACTO AF 250UI
PULB. + SOL. PT.

SOL. INJ.
250 UI
PFIZER LIMITED
MAREA
BRITANIE
REFACTO AF 500UI
PULB. + SOL. PT.

SOL. INJ.
500 UI
PFIZER LIMITED
MAREA
BRITANIE
11 W54970001 B02BD02 OCTOCOG ALFA**
RECOMBINATE 1000 UI
PULB+SOLV. PT.
SOL. INJ.
1000UI
BAXTER AG
AUSTRIA
Pagina 41 din 87
CUTIE X 1 FLAC. X 1000 UI PULB. PT.SOL.

INJ. + 1 FL. SOLVENT X 10ML + CUTIE CU
SET DE RECONSTITUIRE
CUTIE X 1 FLAC. CU 250 U.I. PULB. + 1
FL.SOLVENT X 5ML+ CUTIE CU SET DE
RECONSTITUIRE SI ADM.
CUTIE X 1 FLAC. CU 500 U.I. PULB. + 1 FL.
SOLVENT X 10ML + CUTIE CU SET DE
RECONSTITUIRE SI ADM.
CUTIE X 1 FLAC.CU PULB. + 1 SERINGA
PREUMPL. X 4 ML SOLV + 1 ADAPTOR + 2
TAMP.CU ALCOOL + 1 SET STERIL DE
PERF. + 1 PLASTURE + 1 TIFON
CUTIE CU 1 FLAC. PULB.+1 FLAC.
SOLV.+DISPOZITIV PT. RECONST.
(BAXJECT II) +1 SERINGA +1 SET MINIPERF.+ 2 TAMP. ALCOOL+2 PLAST.
Grupa
terapeutic
a
Denumire generica
Denumire comerciala
Forma farmaceutica
Concentratie
/ U.T.
Firma
Tara
Ambalaj
Prescriptie
Nr.c
Cod CIM
rt
RECOMBINATE 1000 UI/5 ml
PULB+SOLV. PT.
SOL. INJ.
1000UI/5ml BAXTER AG
AUSTRIA

PT. SOL. INJ., 1 FLAC CU 5 ML SOLV., 1
SERINGA DIN PLASTIC DE UNICA
PR
FOLOSINTA, 1 DISPOZITIV PT.
F
RECONSTITUIRE (BAXJECT II), UN SET DE
MINI-PERFUZARE STERIL, 2 TAMPOANE CU
ALCOOL MEDICINAL SI 2 PLASTURI
RECOMBINATE 250 UI
PULB+SOLV. PT.
SOL. INJ.
250UI
AUSTRIA


PT. SOL. INJ., 1 FLAC CU 5 ML SOLV., 1
SERINGA DIN PLASTIC DE UNICA
PR
FOLOSINTA, 1 DISPOZITIV PT.
F
RECONSTITUIRE (BAXJECT II), UN SET DE
MINI-PERFUZARE STERIL, 2 TAMPOANE CU
ALCOOL MEDICINAL SI 2 PLASTURI
BAXTER AG
2.647,18
2.647,180000
2.647,180000
620,90
620,900000
620,900000
714,93
714,930000
714,930000
620,90
620,900000
620,900000
714,93
714,930000
714,930000
S/PRF
1.211,80
1.211,800000
1.211,800000
1.359,01
1.359,010000
1.359,010000
PRF/
R
2.482,35
2.482,350000
2.482,350000
2.743,92
2.743,920000
2.743,920000
PR
2.486,60
2.486,600000
2.486,600000
2.748,55
2.748,550000
2.748,550000
PRF/
R
3.996,10
3.996,100000
3.996,100000
4.393,90
4.393,900000
4.393,900000
PRF/
R
4.943,22
4.943,220000
4.943,220000
5.426,27
5.426,270000
5.426,270000
PRF/
R
654,52
654,520000
654,520000
751,58
751,580000
751,580000
PRF/
R
1.280,02
1.280,020000
1.280,020000
1.433,37
1.433,370000
1.433,370000
PRF/
R
1.269,02
1.269,020000
1.269,020000
1.421,38
1.421,380000
1.421,380000
5.318,10
5.318,100000
5.318,100000
5.834,89
5.834,890000
5.834,890000
691,02
691,020000
691,020000
791,36
791,360000
791,360000
7.962,15
7.962,150000
7.962,150000
8.716,90
8.716,900000
8.716,900000
AUSTRIA
CUTIE X 1 FLACON FEIBA NF 1000U FEIBA

PULB. PT. SOL. INJ. + 1 FLAC. CU SOLV. +1
DISP. BAXJECT II HI-FLOW1- FARA ACE PT.
TRANSF. SI AMEST. MED. DIN 2 FLAC. INTR- PR
O SER. DE UNICA FOLOS. +1AC DE UNICA
FOLOS+1AC FLUTURE CU OPRITOR (SET.
PT. INJ.)
2.849,24
2.849,240000
2.849,240000
3.143,83
3.143,830000
3.143,830000
AUSTRIA
CUTIE X 1 FLACON FEIBA NF 500U FEIBA

PULB. PT. SOL. INJ. + 1 FLAC. CU SOLV. +1
DISP. BAXJECT II HI-FLOW1- FARA ACE PT.
TRANSF. SI AMEST. MED. DIN 2 FLAC. INTR- PR
O SER. DE UNICA FOLOS. +1AC DE UNICA
FOLOS+1AC FLUTURE CU OPRITOR (SET.
PT. INJ.)
1.421,28
1.421,280000
1.421,280000
1.587,35
1.587,350000
1.587,350000
PR
487,95
487,950000
487,950000
570,02
570,020000
570,020000
PR
945,90
945,900000
931,200000
1.069,18
1.069,180000
1.060,788000
BAXTER AG
AUSTRIA
RECOMBINATE 500 UI
PULB+SOLV. PT.
SOL. INJ.
500UI
BAXTER AG
AUSTRIA
ADVATE 1000UI
PULB+SOLV.PT.SO
1000UI
L.INJ
BAXTER AG
AUSTRIA
KOGENATE BAYER 1000UI
PULB+SOLV.PT.SO
1000UI
L.INJ
BAYER PHARMA AG
GERMANIA
ADVATE 1500UI
PULB+SOLV.PT.SO
1500UI
L.INJ
BAXTER AG
AUSTRIA
PULB+SOLV.PT.SO
2000UI
L.INJ
BAYER PHARMA AG
GERMANIA
PULB+SOLV.PT.SO
250UI
L.INJ
BAYER PHARMA AG
GERMANIA
ADVATE 500UI
PULB+SOLV.PT.SO
500 UI
L.INJ
BAXTER AG
AUSTRIA
PULB+SOLV.PT.SO
500UI
L.INJ
BAYER PHARMA AG
GERMANIA
ADVATE 2000UI
PULB+SOLV.PT.SO
2000 UI
L.INJ.
BAXTER AG
AUSTRIA
ADVATE 250UI
PULB+SOLV.PT.SO
250 UI
L.INJ.
BAXTER AG
AUSTRIA
ADVATE 3000UI
PULB+SOLV.PT.SO
3000 UI
L.INJ.
BAXTER AG
AUSTRIA
BAXTER A.G.
27 W52172002 B02BD03 COMPLEX DE ANTIINHIBITORI AI COAGULARII**
FEIBA NF 500 U FEIBA
PULB.+SOLV. PT.
SOL. INJ.
500 U
BAXTER A.G.
28 W58659001 B02BD04 FACTOR IX DE COAGULARE**
BETAFACT 50 UI/ml
PULB+SOLV. PT.
SOL. INJ.
50 UI/ml
LFB - BIOMEDICAMENTS FRANTA
BETAFACT 50 UI/ml
PULB+SOLV. PT.
SOL. INJ.
50 UI/ml
LFB - BIOMEDICAMENTS FRANTA
Pagina 42 din 87
Pret de
decontare / U.T.
2.393,600000
250UI/5ml
1000 U
Pret cu
amanuntul
maximal / U.T.
2.393,600000
PULB+SOLV. PT.
SOL. INJ.
PULB.+SOLV. PT.
SOL. INJ.
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
2.393,60
RECOMBINATE 250 UI/5 ml
FEIBA NF 1000 U FEIBA
Pret cu ridicata
maximal / U.T.
26 W52173003 B02BD03 COMPLEX DE ANTIINHIBITORI AI COAGULARII**
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj

CUTIE X 1 FLAC. CU PULB. + 1 FLAC. X 5 ML
APA PT. SOL. INJ. + 1 DISPOZITIV BAXJECT
II
CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1
SERINGA PREUMPLUTA X 2,5ML SOL. +
AMBALAJ SUPL. CE CONTINE O TRUSA DE
ADM.
II
ADM.
ADM.
II
ADM.
S/PRF
PCUTIE X 1 FLAC CU PULB. + 1 FLAC. X 5 ML

RF/
SOLVENT + 1 DISPOZITIV BAXJECT II
R
CUTIE X 1 FLAC CU PULB. + 1 FLAC. X 5 ML PAPA PT. SOL. INJ. + 1 DISPOZITIV BAXJECT RF/
II
R
PCUTIE X 1 FLAC CU PULB. + 1 FLAC. X 5 ML
RF/
SOLVENT + 1 DISPOZITIV BAXJECT II
R

(250 UI/5 ML) + 1 FLAC. STICLA X 5 ML
SOLV. PT. SOL. INJ. + SISTEM DE
TRANSFER SI 1 AC CU FILTRU
(500 UI/10 ML) + 1 FLAC. STICLA X 10 ML
SOLV. PT. SOL. INJ. + SISTEM DE
TRANSFER SI 1 AC CU FILTRU
Grupa
terapeutic
a
Denumire generica
Denumire comerciala
Forma farmaceutica
Concentratie
/ U.T.
Firma
Tara
OCTANINE F 1000 UI
PULB. + SOLV. PT.

1000UI
SOL. PERF.
OCTANINE F 500 UI
PULB. + SOLV. SOL.

500 UI
PERF.
MAREA
BRITANIE
IMMUNINE 1200 UI
PULB.+SOLV. PT.
SOL. INJ./PERF.
BAXTER AG
AUSTRIA
33 W60173002 B02BD04 NONACOG ALPHA (FACTOR IX DE COAGULARE)**
BENEFIX 1000UI
PULB+SOLV.PT.SO
1000UI
L.INJ
PFIZER LIMITED
MAREA
BRITANIE
BENEFIX 2000UI
PULB+SOLV.PT.SO
2000UI
L.INJ
PFIZER LIMITED
MAREA
BRITANIE
BENEFIX 250UI
PULB+SOLV.PT.SO
250UI
L.INJ
PFIZER LIMITED
MAREA
BRITANIE
BENEFIX 500UI
PULB+SOLV.PT.SO
500UI
L.INJ
PFIZER LIMITED
MAREA
BRITANIE
WILATE 1000 1000 UI FVIII/1000 UI FVW
PULB+SOLV. PT.
SOL. INJ
1000 UI
FVIII/1000
UI FVW
WILATE 500 500 UI FVIII/500 UI FVW
PULB+SOLV. PT.
SOL. INJ
FACTOR VIII DE COAGULARE SI FACTOR VON

37 W58455001 B02BD06
WILLEBRAND**
38 W58454001 B02BD06
39 W61007001 B02BD06

WILLEBRAND**

WILLEBRAND**

40 W58406001 B02BD06
WILLEBRAND**

41 W61005001 B02BD06
WILLEBRAND**

42 W58404001 B02BD06
WILLEBRAND**

43 W61006001 B02BD06
WILLEBRAND**
MAREA
BRITANIE
Ambalaj

PT. SOL. PERF. + 1 FLAC. DIN STICLA CU 10
ML SOLV. PT. SOL. PERF.+ DISPOZITIV PT.
RECONSTITUIRE SI ADM. CU 1 SET
TRANSFER MIX2VIAL TM +1 SET DE
PERFUZARE+1 SERINGA+2 TAMP. CU
ALCOOL
PT. SOL. PERF. + 1 FLAC. DIN STICLA CU 5
ML SOLV. PT. SOL. PERF.+ DISPOZITIV PT.
RECONSTITUIRE SI ADM. CU 1 AC CU CAP
DUBLU+1 FILTRU PT. AC+1 SET DE
PERFUZARE+1 SERINGA+2 TAMP. CU
ALCOOL
CUTIE X 1 FLAC. PULB. PT. SOL. INJ./ PERF.
+ 1 FLAC. X 10 ML SOLV. + 1 SET DE
RECONSTITUIRE SI ADMI
SERINGA UMPLUTA. X 5ML SOL. INJ. + 1
SET STERIL DE PERF.
SET STERIL DE PERF.
SET STERIL DE PERF.
SET STERIL DE PERF.
Prescriptie
Nr.c
Cod CIM
rt
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
Pret cu ridicata
maximal / U.T.
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
Pret cu
amanuntul
maximal / U.T.
Pret de
decontare / U.T.
1.474,14
1.474,140000
1.474,140000
1.644,96
1.644,960000
1.644,960000
776,00
776,000000
776,000000
883,99
883,990000
883,990000
1.685,69
1.685,690000
1.685,690000
1.875,55
1.875,550000
1.875,550000
PR
2.519,23
2.519,230000
1.768,968000
2.784,11
2.784,110000
1.973,952000
PR
5.008,50
5.008,500000
5.008,500000
5.497,42
5.497,420000
5.497,420000
PR
712,99
712,990000
585,540000
815,31
815,310000
684,024000
PR
1.262,20
1.262,200000
931,200000
1.413,95
1.413,950000
1.060,788000
MAREA
BRITANIE
CUTIE CU 1 FLAC. CU PULB. PT. SOL. INJ. +

1 FLAC. CU SOLV. PT. SOL. INJ. + 1 SET DE
ADMINISTRARE (1 SERINGA DE UNICA
PR
FOLOSINTA, 1 SET TRANSFER (MIX2VIAL),
1 SET DE PERFUZARE SI 2 TAMPOANE CU
ALCOOL MEDICINAL)
1.734,00
1.734,000000
1.734,000000
1.928,21
1.928,210000
1.928,210000
500 UI
FVIII/500 UI OCTAPHARMA (IP) LTD.
FVW
MAREA
BRITANIE
CUTIE CU 1 FLAC. CU PULB. PT. SOL. INJ. +

1 FLAC. CU SOLV. PT. SOL. INJ. + 1 SET DE
ADMINISTRARE (1 SERINGA DE UNICA
PR
FOLOSINTA, 1 SET TRANSFER (MIX2VIAL),
1 SET DE PERFUZARE SI 2 TAMPOANE CU
ALCOOL MEDICINAL)
882,00
882,000000
882,000000
999,53
999,530000
999,530000
AUSTRIA
CUTIE CU 1 FLAC. MONODOZA CU PULB.

PT. SOL. INJ. + 1 FLAC. MONODOZA CU
SOLV. + 1 SET DE TRANSFER/FILTRU + 1
PR
SERINGA DE UNICA FOLOSINTA (10ML) + 1
AC DE UNICA FOLOSINTA + 1 SET DE
PERFUZIE
1.234,15
1.234,150000
1.234,150000
1.383,38
1.383,380000
1.383,380000
AUSTRIA

PR
PERFUZIE
1.234,15
1.234,150000
1.234,150000
1.383,38
1.383,380000
1.383,380000
AUSTRIA

PERFUZIE
PR
299,32
299,320000
299,320000
365,41
365,410000
365,410000
AUSTRIA

PERFUZIE
PR
299,32
299,320000
299,320000
365,41
365,410000
365,410000
AUSTRIA

PERFUZIE
PR
574,21
574,210000
574,210000
664,04
664,040000
664,040000
1200UI
IMMUNATE 1000 UI FVIII/750 UI FVW
PULB.+SOLV. PT.
SOL. INJ.
1000 UI
/750 UI
IMMUNATE 1000 UI
PULB.+SOLV. PT.
SOL. INJ.
1000UI
PULB.+SOLV. PT.
SOL. INJ.
250 UI /190
BAXTER AG
UI
IMMUNATE 250 UI
PULB.+SOLV. PT.
SOL. INJ.
250UI
PULB.+SOLV. PT.
SOL. INJ.
500 UI /375
BAXTER AG
UI
BAXTER AG
BAXTER AG
BAXTER AG
Pagina 43 din 87
Grupa
terapeutic
a
Denumire generica

44 W58405001 B02BD06
WILLEBRAND**
45 W02408001 V03AC01 DEFEROXAMINUM**3)
Denumire comerciala
Forma farmaceutica
Concentratie
/ U.T.
Firma
574,210000
664,04
664,040000
664,040000
NOVARTIS PHARMA
GMBH
GERMANIA
CUTIE X 10 FLAC. DIN STICLA X 500 MG

S/PRF
10
110,64
11,064000
11,064000
135,07
13,507000
13,507000
NOVARTIS EUROPHARM
LTD.
NOVARTIS EUROPHARM
LTD.
NOVARTIS EUROPHARM
LTD.
MAREA
BRITANIE
MAREA
BRITANIE
MAREA
BRITANIE
CUTIE X 28 COMPR. DISP.(BLIST.

PVC/PE/PVDC/AL)
CUTIE X 28 COMPR. DISP. (
PVC/PE/PVDC/AL)
PVC/PE/PVDC/AL)
PR
28
687,54
24,555000
24,555000
787,57
28,127500
28,127500
PR
28
1.461,36
52,191428
52,191428
1.631,03
58,251071
58,251071
PR
28
2.660,12
95,004285
95,004285
2.937,68
104,917142
104,917142
30
59,11
1,970333
1,970333
74,74
2,491333
2,491333
5,70
5,700000
5,700000
7,70
7,700000
7,700000
8,83
8,830000
8,830000
11,94
11,940000
11,940000
500mg
125mg
250mg
48 W51486001 V03AC03 DEFERASIROXUM****
EXJADE 500mg
COMPR. DISP.
500mg
Pret de
decontare / U.T.
574,210000
LIOF. PT. SOL.

INJ./PERF.
COMPR. DISP.
Pret cu
amanuntul
maximal / U.T.
574,21
DESFERAL
COMPR. DISP.
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
BAXTER AG
EXJADE 125mg
Pret cu ridicata
maximal / U.T.
PR
500UI
EXJADE 250mg
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
AUSTRIA
IMMUNATE 500 UI
Ambalaj

PERFUZIE
PULB.+SOLV. PT.
SOL. INJ.
Tara
Prescriptie
Nr.c
Cod CIM
rt
P6.2: EPIDERMOLIZA BULOASA
1 W53799002 D05BB02 ACITRETINUM
NEOTIGASON 10 mg
CAPS.
10mg
ACTAVIS GROUP PTC

EHF.
ISLANDA
CUTIE X 3 BLIST. AL/PVC-PVDC X 10 CAPS.
2 W54946001 D06AA04 TETRACYCLINUM
TETRACICLINA ATB 30 mg/g
UNGUENT
30mg/g
ANTIBIOTICE S.A.
ROMANIA
CUTIE CU 1 TUB AL X 12 G UNGUENT
3 W59985001 D06AX01 ACIDUM FUSIDICUM
FUCIDIN 20 mg/g
CREMA
20mg/g
LEO PHARMA A/S
4 W59986001 D06AX01 ACIDUM FUSIDICUM
FUCIDIN 20 mg/g
UNGUENT
20mg/g
LEO PHARMA A/S
5 W54309001 D06BA01 SULFADIAZINUM
FLAMMAZINE
CREMA
1%
CN UNIFARM
ROMANIA
BORCAN X 500 G CREMA
FUCIDIN H
CREMA
LEO PHARMA A/S
DANEMAR
CA
ROMANIA
CUTIE CU 1 TUB DIN AL FILMAT LA

INTERIOR CU LAC EPOXIFENOLIC X 15 G
CREMA
6 W60525001 D07CA01
7 W59725001 D07CC01
COMBINATII (ACIDUM
FUSIDICUM+HYDROCORTISONUM)
BETAMETHASONUM+GENTAMICINUM+CLOTRIMAZ
TRESYL
OLUM
CREMA
8 W57219001 D07CC01 COMBINATII
TRIDERM
CREMA
DIPROGENTA 0,5 mg/1 mg pe gram
CREMA
TRIDERM
UNGUENT
FARA
CONCENT
RATIE
FARA
CONCENT
RATIE
0,5mg+10m
g+1mg/g
0,5mg/1mg/
g
0,5mg+10m
g+1mg/g
0,5mg/1mg/
g
20mg/1mg
pe gram
FITERMAN PHARMA
S.R.L.
MERCK SHARP & DOHME
MERCK SHARP & DOHME
MERCK SHARP & DOHME
DIPROGENTA 0,5 mg/1 mg pe gram
UNGUENT
12 W59984001 D07CC01
COMBINATII (ACIDUM FUSIDICUM+

BETAMETHASONUM)
FUCICORT 20 mg/1mg pe gram
CREMA
13 W56910001 J01AA07
TETRACYCLINUM
TETRACICLINA ATB 250 mg
CAPS.
250mg
ANTIBIOTICE S.A.
14 W12701002 J01AA07
TETRACYCLINUM
TETRACICLINA ARENA 250 mg
CAPS.
250mg
ARENA GROUP SA
15 W12701001 J01AA07
TETRACYCLINUM
250mg
ARENA GROUP SA
TETRACICLINA ARENA 250 mg
CAPS.
16 W12143001 N03AB02 PHENYTOINUM
FENITOINA RICHTER 100 mg
COMPR.
17 W55235001 N03AB02 PHENYTOINUM
PHENHYDAN 250 mg/5 ml
SOL. INJ.
MERCK SHARP & DOHME

LEO PHARMA A/S
GEDEON RICHTER
ROMANIA SA
DESITIN ARZNEIMITTEL
250mg/5ml
GMBH
100mg
DANEMAR
CA
DANEMAR
CUTIE X 1 TUB DIN AL X 15 G UNGUENT
CA
PRF
PRF
PRF
PRF
PR
F
9,09
9,090000
9,090000
12,28
12,280000
12,280000
76,53
76,530000
76,530000
96,76
96,760000
96,760000
PRF
15,00
15,000000
15,000000
20,28
20,280000
20,280000
P6
L
7,33
7,330000
7,330000
9,91
9,910000
9,910000
11,28
11,280000
11,280000
15,24
15,240000
15,240000
9,26
9,260000
9,260000
12,51
12,510000
12,510000
11,28
11,280000
11,280000
15,24
15,240000
15,240000
PROMANIA CUTIE X 1 TUB AL X 15 G

RF
PROMANIA CUTIE X 1 TUB DIN AL X 15 G CREMA
RF
PROMANIA CUTIE X 1 TUB DIN AL X 15 G UNGUENT
RF
PROMANIA CUTIE X 1 TUB DIN AL X 15 G UNGUENT
RF
DANEMAR
PCUTIE X 1 TUB DIN AL X 15 G CREMA
CA
RF
PR
ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 CAPS.
F
PROMANIA CUTIE X 50 BLIST., AL/PVC X 10 CAPS.
RF/
S
PROMANIA CUTIE X 2 BLIST., AL/PVC X 10 CAPS.
RF
PROMANIA CUTIE X 2 BLIST. X 10 COMPR.
6L
CUTIE CU 5 FIOLE DIN STICLA INCOLORA X PGERMANIA
5 ML SOL. INJ.
RF
9,26
9,260000
9,260000
12,51
12,510000
12,510000
15,88
15,880000
15,880000
21,46
21,460000
21,460000
20
4,79
0,239500
0,125304
6,47
0,323500
0,158448
500
52,21
0,104420
0,104420
66,02
0,132040
0,132040
20
2,21
0,110500
0,110500
2,99
0,149500
0,149500
20
2,05
0,102500
0,102500
2,77
0,138500
0,138500
53,57
10,714000
10,714000
67,73
13,546000
13,546000
56
9.529,79
170,174821
170,174821 10.425,63
186,171964
186,171964
56
9.200,67
164,297678
164,297678 10.066,89
179,765892
179,765892
30
8.848,19
294,939666
294,939666
9.682,69
322,756333
322,756333
30
8.848,19
294,939666
294,939666
9.682,69
322,756333
322,756333
90
1.873,53
20,817000
20,817000
2.080,30
23,114444
23,114444
1.033,53
1.033,530000
1.033,530000
1.164,70
1.164,700000
1.164,700000
50
111,16
2,223200
2,223200
135,70
2,714000
2,714000
23,71
3,387142
1,405714
32,05
4,578571
1,899428
21,73
3,621666
1,405714
29,37
4,895000
1,899428
P6.3: HIPERTENSIUNE PULMONARA
PRF/
R
PRF/
R
PRF/
R
PRF/
R
1 W43049001 C02KX01 BOSENTANUM**
TRACLEER 125 mg
COMPR. FILM.
125mg
ACTELION
REGISTRATION LTD.
MAREA
BRITANIE
CUTIE X 4 BLIST. PVC/PE/PVDC/AL X 14

COMPR. FILM.
TRACLEER 62,5 mg
COMPR. FILM.
62,5mg
ACTELION
REGISTRATION LTD.
MAREA
BRITANIE

COMPR. FILM.
3 W52981002 C02KX02 AMBRISENTANUM**
VOLIBRIS 10mg
COMPR. FILM.
10mg
GLAXO GROUP LTD.
MAREA
BRITANIE
CUTIE X 30 COMP. FILM (BLIST.

PVC/PVDC/AL)
4 W52980002 C02KX02 AMBRISENTANUM**
VOLIBRIS 5mg
COMPR. FILM.
5mg
GLAXO GROUP LTD.
MAREA
BRITANIE
CUTIE X 30 COMP. FILM (BLIST.

PVC/PVDC/AL)
PFIZER LIMITED
MAREA
BRITANIE
PFIZER LIMITED
MAREA
BRITANIE

PR
FILM.
CUTIE CU UN FLACON DIN STICLA BRUNA
CE CONTINE 32,27 G DE PULBERE PENTRU PR
SUSP. ORALA
5 W42831001 G04BE03 SILDENAFILUM**

6 W60083001 G04BE03 SILDENAFILUM**
REVATIO 20 mg
REVATIO 10mg/ml
COMPR. FILM.
SUSP. ORALA
20mg
10mg/ml
P6.4: MUCOVISCIDOZA
1 W56031002 A09AA02 PANCREATINUM**
KREON 40000
2 W58242002 J01FA09
CLAXIRIT 500 mg
3 W59000002 J01FA09
CLARITHROMYCINUM
CLARITHROMYCINUM
CAPS.
GASTROREZ.
COMPR. CU ELIB.
PREL.
COMPR. ELIB.
PREL.
400mg
500mg
500mg
ABBOTT PRODUCTS
GMBH
ACTAVIS GROUP PTC
EHF.
TEVA
PHARMACEUTICALS
S.R.L.
Pagina 44 din 87
GERMANIA
ISLANDA
ROMANIA
CUTIE X UN FLACON DIN PEID CU 50 CAPS.

GASTROREZ.
P6L
PR
F

ELIB. PREL.
F
Grupa
terapeutic
a
Denumire generica
Denumire comerciala
Forma farmaceutica
Concentratie
/ U.T.
Firma
Tara
Ambalaj

RF
PCOMPR. FILM.
RF
4 W08490001 J01FA09
CLARITHROMYCINUM
FROMILID 250
COMPR. FILM.
250mg
5 W44093001 J01FA09
CLARITHROMYCINUM
KLABAX 250 mg
COMPR. FILM.
250mg
TERAPIA SA
ROMANIA
250mg
TEVA
PHARMACEUTICALS
S.R.L.
ROMANIA

6 W58998015 J01FA09
CLARITHROMYCINUM
COMPR. FILM.
7 W01326002 J01FA09
CLARITHROMYCINUM
KLACID (R)
COMPR. FILM.
250mg
ABBOTT SPA
ITALIA
8 W14043001 J01FA09
CLARITHROMYCINUM
KLERIMED (R) 250
COMPR. FILM.
250mg
MEDOCHEMIE LTD.
CIPRU
MALTA
9 W61223003 J01FA09
CLARITHROMYCINUM
COMPR. FILM.
250mg
AUROBINDO PHARMA
(MALTA) LIMITED
10 W60253004 J01FA09
CLARITHROMYCINUM
LEKOKLAR 250 mg
COMPR. FILM.
250mg
SANDOZ S.R.L.
ROMANIA
11 W44087001 J01FA09
CLARITHROMYCINUM
KLABAX 500 mg
COMPR. FILM.
500mg
TERAPIA SA
ROMANIA
12 W58999014 J01FA09
CLARITHROMYCINUM
COMPR. FILM.
500mg
TEVA
PHARMACEUTICALS
S.R.L.
ROMANIA
13 W08491001 J01FA09
CLARITHROMYCINUM
FROMILID 500
14 W60254003 J01FA09
CLARITHROMYCINUM
LEKOKLAR 500 mg
15 W54044001 J01FA09
CLARITHROMYCINUM
ROCLARIN 500 mg
16 W56269001 J01FA09
CLARITHROMYCINUM
CLAR 500
17 W61224003 J01FA09
CLARITHROMYCINUM
18 W14044001 J01FA09
CLARITHROMYCINUM
KLERIMED (R) 500
19 W44088001 J01FA09
CLARITHROMYCINUM
KLABAX MR 500 mg
20 W13607002 J01FA09
CLARITHROMYCINUM
KLACID SR
21 W41838002 J01FA09
CLARITHROMYCINUM
FROMILID (R) UNO
22 W42258001 J01FA09
CLARITHROMYCINUM
23 W44092001 J01FA09
CLARITHROMYCINUM
KLABAX 125 mg/5 ml
24 W01327001 J01FA09
CLARITHROMYCINUM
KLACID (R)
GRAN. PT. SUSP.

ORALA
CLARITHROMYCINUM
KLACID (R)
26 W06981001 J01FA09
CLARITHROMYCINUM
27 W44091002 J01FA09
CLARITHROMYCINUM
KLABAX 250 mg/5 ml
28 W58393002 J01FA09
CLARITHROMYCINUM
GRAN. PT. SUSP.

ORALA
29 W44091001 J01FA09
CLARITHROMYCINUM
KLABAX 250 mg/5 ml
GRAN. PT. SUSP.

ORALA
KLACID I.V.
LIOF. PT. SOL.

PERF.
CLARITHROMYCINUM
31 W52060001 J01GB01 TOBRAMYCINUM**
PR
F
GRAN. PT. SUSP.

ORALA
GRAN. PT. SUSP.
ORALA

125mg/5ml KRKA D.D.
500mg
NOVARTIS PHARMA
GMBH
TOBI (R)
SOL. INHAL.
300mg/5ml
32 W61214001 R05CB13 DORNAZA ALFA**
PULMOZYME 2500 U/2,5 ml
SOL. DE INHALAT
PRIN
NEBULIZATOR
2500U/2,5m
l
PULMOZYME
SOL. INHAL.
1mg/ml
SOL. PERF.
100 mg/ml
Pret cu ridicata
maximal / U.T.
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
Pret cu
amanuntul
maximal / U.T.
Pret de
decontare / U.T.
14
12,35
0,882142
0,647142
16,69
1,192142
0,874285
14
10,85
0,775000
0,647142
14,67
1,047857
0,874285
14
8,39
0,599285
0,599285
11,34
0,810000
0,810000
14
21,14
1,510000
0,647142
28,57
2,040714
0,874285
14
12,35
0,882142
0,647142
16,69
1,192142
0,874285
14
7,55
0,539285
0,539285
10,20
0,728571
0,728571
14
8,40
0,600000
0,600000
11,36
0,811428
0,811428
14
23,73
1,695000
1,405714
32,08
2,291428
1,899428

14
18,22
1,301428
1,301428
24,62
1,758571
1,758571
14
24,13
1,723571
1,405714
32,62
2,330000
1,899428
14
24,13
1,723571
1,405714
32,62
2,330000
1,899428
20
33,14
1,657000
1,405714
43,35
2,167500
1,899428
20
40,76
2,038000
1,405714
53,31
2,665500
1,899428
14
16,40
1,171428
1,171428
22,16
1,582857
1,582857
14
24,13
1,723571
1,405714
32,62
2,330000
1,899428
25,34
3,620000
1,405714
33,15
4,735714
1,899428
27,85
5,570000
1,405714
36,43
7,286000
1,899428
20,78
2,968571
1,405714
28,09
4,012857
1,899428
19,39
19,390000
16,812000
26,21
26,210000
22,728000
14,01
14,010000
14,010000
18,94
18,940000
18,940000
29,92
29,920000
29,920000
39,14
39,140000
39,140000
18,11
18,110000
16,812000
24,48
24,480000
22,728000
PR
F

PITALIA
RF
RF
ML SUSP . ORALA
RF
PR
ROMANIA
F
RF
ML SUSP . ORALA
ABBOTT LABORATORIES
FRANTA
LTD.
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
PRF
RF
PR
COMPR. FILM.
F
PR
COMPR. FILM.
F
PCOMPR. FILM.
RF
CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. PCOMPR. FILM.

500mg
FILM.
RF
PR
COMPR. FILM.
500mg
SANDOZ S.R.L.
ROMANIA
COMPR. FILM.
F
PCOMPR. FILM.
500mg
ANTIBIOTICE S.A.
ROMANIA
FILM.
RF
GLENMARK
REPUBLICA
PCOMPR. FILM.
500mg
PHARMACEUTICALS
CEHA
RF
S.R.O.
AUROBINDO PHARMA
PR
COMPR. FILM.
500mg
MALTA
(MALTA) LIMITED
COMPR. FILM.
F
CUTIE X 2 BLIST. AL/PVC-PVDC X 7 COMPR. PCOMPR. FILM.
500mg
MEDOCHEMIE LTD.
CIPRU
RF
FILM.
COMPR. FILM. ELIB.
CUTIE X 1 BLIST. PVC/PVDC-AL X 7 COMPR. P500mg
TERAPIA SA
ROMANIA
MODIF.
FILM. ELIB. PREL.
RF
COMPR. FILM. ELIB.
CUTIE X 1 BLIST. PVC-PVDC/AL X 5 COMPR. P500mg
PREL.
LTD.
BRITANIE FILM. ELIB. PREL.
RF
COMPR. FILM. ELIB.
CUTIE X 1 BLIST. PVC-PVDC/AL X 7 COMPR. P500mg
KRKA D.D.
SLOVENIA
PREL.
FILM. ELIB. PREL.
RF
GRAN. PT. SUSP.
P125mg/5ml SANDOZ SRL
ROMANIA PT. 60 ML SUSP. ORALA + LINGURITA
ORALA
RF
DOZATOARE PP
GRAN. PT. SUSP.
CUTIE X 1 FLAC. DIN PEID X 42 G GRAN. PT. P125mg/5ml TERAPIA SA
ROMANIA
ORALA
60 ML SUSP . ORALA
RF
GRAN. PT. SUSP.
P125mg/5ml ABBOTT SPA
ITALIA
ORALA
RF
25 W01327002 J01FA09
30 W01329001 J01FA09
Prescriptie
Nr.c
Cod CIM
rt
S/PRF
CUTIE X 4 PLICURI DIN AL; FIECARE PLIC

PGERMANIA CONTINE 7 FIOLE GEMENE DIN PEJD X 5
RF
ML SOL. DE INHALAT PRIN N
CUTIE CU 6 FIOLE UNIDOZA, MONOBLOC,
DIN PE X 2,5 ML SOL. INHAL. PRIN
ROMANIA
PR
NEBULIZATOR, INTRODUSE INTR-O PUNGA
DIN AL
CUTIE X 6 FIOLE UNIDOZA PE X 2,5 ML SOL.
S/PROMANIA INHAL. PRIN NEBULIZATOR, INTRODUSE IN
RF
PUNGA AL
17,24
17,240000
16,812000
23,30
23,300000
22,728000
39,06
39,060000
39,060000
51,09
51,090000
51,090000
21,29
21,290000
21,290000
28,78
28,780000
28,780000
23,44
23,440000
23,440000
31,68
31,680000
31,680000
41,12
41,120000
41,120000
53,78
53,780000
53,780000
56
8.112,06
144,858214
144,858214
8.880,31
158,576964
158,576964
416,77
69,461666
69,461666
492,43
82,071666
82,071666
416,77
69,461666
69,461666
492,43
82,071666
82,071666
1.714,69
1.714,690000
1.714,690000
1.907,17
1.907,170000
1.907,170000
3.437,56
3.437,560000
3.437,560000
3.785,10
3.785,100000
3.785,100000
881,87
881,870000
881,870000
999,39
999,390000
999,390000
P6.5: BOLI NEUROLOGICE DEGENERATIVE/INFLAMATOR-IMUNE
P6.5.1: TRATAMENTUL MEDICAMENTOS AL BOLNAVILOR CU BOLI NEUROLOGICE INFLAMATOR-IMUNE
1 W54752003 J06BA02
OCTAGAM 10%
INTRAVASCULARA**
2 W54752004 J06BA02
OCTAGAM 10%
INTRAVASCULARA**
3 W54752002 J06BA02

INTRAVASCULARA**
OCTAGAM 10%
SOL. PERF.
100 mg/ml
SOL. PERF.
100 mg/ml
OCTAPHARMA (IP)
LIMITED
OCTAPHARMA (IP)
LIMITED
OCTAPHARMA (IP)
LIMITED
Pagina 45 din 87
MAREA
BRITANIE
MAREA
BRITANIE
MAREA
BRITANIE

S
100 ML SOL. PERF.
S
200 ML SOL. PERF.
S
50 ML SOL. PERF.
Grupa
terapeutic
a
4 W54752001 J06BA02
5 W51530003 J06BA02
6 W51530004 J06BA02
7 W51530006 J06BA02
8 W51530005 J06BA02
9 W51530001 J06BA02
Denumire generica

INTRAVASCULARA**
INTRAVASCULARA**
INTRAVASCULARA**
INTRAVASCULARA**
INTRAVASCULARA**
INTRAVASCULARA**
Denumire comerciala
Forma farmaceutica
Concentratie
/ U.T.
Firma
Tara
OCTAGAM 10%
SOL. PERF.
100 mg/ml
OCTAPHARMA (IP)
LIMITED
MAREA
BRITANIE
KIOVIG 100mg/ml
SOL. PERF.
100mg/ml
BAXTER AG
AUSTRIA
KIOVIG 100mg/ml
SOL. PERF.
100mg/ml
BAXTER AG
AUSTRIA
KIOVIG 100mg/ml
SOL. PERF.
100mg/ml
BAXTER AG
AUSTRIA
KIOVIG 100mg/ml
SOL. PERF.
100mg/ml
BAXTER AG
AUSTRIA
KIOVIG 100mg/ml
SOL. PERF.
100mg/ml
BAXTER AG
AUSTRIA
Ambalaj

20 ML SOL. PERF.
PERF.(5G/50ML)
PERF.(10G/100ML)
PERF.(30G/300ML)
PERF.(20G/200ML)
PERF.(1G/10ML)
Prescriptie
Nr.c
Cod CIM
rt
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
Pret cu ridicata
maximal / U.T.
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
Pret cu
amanuntul
maximal / U.T.
Pret de
decontare / U.T.
379,02
379,020000
379,020000
451,28
451,280000
451,280000
925,45
925,450000
909,000000
1.046,89
1.046,890000
1.036,596000
1.857,75
1.857,750000
1.782,000000
2.063,10
2.063,100000
1.988,160000
5.558,99
5.558,990000
5.558,990000
6.097,46
6.097,460000
6.097,460000
3.821,35
3.821,350000
3.821,350000
4.203,43
4.203,430000
4.203,430000
202,26
202,260000
202,260000
246,92
246,920000
246,920000
1.485,00
1.485,000000
1.485,000000
1.656,80
1.656,800000
1.656,800000
10 W43965001 J06BA02

INTRAVASCULARA**
IG VENA 10g/200ml
SOL. PERF.
10g/200ml
KEDRION SPA
ITALIA

S
11 W43962001 J06BA02

INTRAVASCULARA**
IG VENA 1g/20ml
SOL. PERF.
1g/20ml
KEDRION SPA
ITALIA

197,39
197,390000
197,390000
240,98
240,980000
240,980000
12 W43963001 J06BA02

INTRAVASCULARA**
ITALIA

393,75
393,750000
393,750000
467,34
467,340000
467,340000

SOL. PERF.
PERF.
SOL. PERF.
PERF.
PR
F
PR
F
PR
F
PR
F
13 W59114003 J06BA02
14 W59114001 J06BA02
15 W59114004 J06BA02
16 W59114002 J06BA02
17 W52560001 J06BA02
18 W13462001 J06BA02
19 W13462003 J06BA02
20 W13462002 J06BA02
21 W43964001 J06BA02

INTRAVASCULARA**
INTRAVASCULARA**
INTRAVASCULARA**
INTRAVASCULARA**
INTRAVASCULARA**
INTRAVASCULARA**
INTRAVASCULARA**
INTRAVASCULARA**
INTRAVASCULARA**
IG VENA 2,5g/50ml
SOL. PERF.
2,5g/50ml
KEDRION SPA
INTRATECT 50 g/l
SOL. PERF.
50g/l
INTRATECT 50 g/l
SOL. PERF.
50g/l
INTRATECT 50 g/l
SOL. PERF.
50g/l
INTRATECT 50 g/l
SOL. PERF.
50g/l
SOL. PERF.
50mg/ml
OCTAGAM
SOL. PERF.
50mg/ml
OCTAGAM
SOL. PERF.
50mg/ml
OCTAGAM
SOL. PERF.
50mg/ml
IG VENA 5g/100ml
MAREA
BRITANIE
MAREA
BRITANIE
MAREA
BRITANIE
882,14
882,140000
882,140000
999,68
999,680000
999,680000
187,48
187,480000
187,480000
228,87
228,870000
228,870000
1.734,28
1.734,280000
1.734,280000
1.928,52
1.928,520000
1.928,520000
456,06
456,060000
456,060000
535,26
535,260000
535,260000
102,55
102,550000
102,550000
125,19
125,190000
125,190000
465,59
465,590000
465,590000
545,64
545,640000
545,640000
1.772,34
1.772,340000
1.772,340000
1.970,00
1.970,000000
1.970,000000
882,13
882,130000
882,130000
999,67
999,670000
999,670000
757,50
757,500000
757,500000
863,83
863,830000
863,830000
9,565357
622,02
11,107500
11,107500
1.775,287666 58.090,13
1.936,337666
1.936,337666
5g/100ml
KEDRION SPA
ITALIA

S
50mg
AVENTIS PHARMA SA
FRANTA
PR
56
535,66
9,565357
CAPS. MOI
20mg
PFIZER LIMITED
MAREA
BRITANIE
CUTIE CU 2 BLIST. PVC/AL A CATE 15

CAPSULE MOI
PR
30 53.258,63
1.775,287666
AUSTRIA
S/PRF
361,86
361,860000
285,384000
432,58
432,580000
348,396000
AUSTRIA
S/PRF
102,98
102,980000
102,980000
125,72
125,720000
125,720000
AUSTRIA
S/PRF
158,95
158,950000
158,950000
194,05
194,050000
194,050000
S/PRF
595,85
148,962500
123,576000
687,63
171,907500
150,864000
PR
152,87
152,870000
152,870000
186,63
186,630000
186,630000
PR
237,82
237,820000
237,820000
290,33
290,330000
290,330000
PRF
363,94
363,940000
363,940000
434,84
434,840000
434,840000
PRF
474,75
474,750000
474,750000
555,63
555,630000
555,630000
1.482,36
1.482,360000
1.482,360000
1.653,92
1.653,920000
1.653,920000
409,15
409,150000
409,150000
484,12
484,120000
484,120000
667,50
667,500000
667,500000
765,73
765,730000
765,730000
SOL. PERF.
P6.5.2: TRATAMENTUL MEDICAMENTOS AL BOLNAVILOR CU BOLI NEUROLOGICE DEGENERATIVE-SCLEROZA LATERALA AMIOTROFICA
1 W12590001 N07XX02 RILUZOLUM**
RILUTEK 50 mg
COMPR. FILM.
P6.5.3: Tratamentul medicamentos al bolnavilor cu polineuropatie familial amiloid cu transtiretin
1 W59336001 N07XX08 TAFAMIDIS**
VYNDAQEL
P6.6: OSTEOGENEZA IMPERFECTA
1 W58123007 M05BA03 ACIDUM PAMIDRONICUM
PAMIDRONAT TORREX
CONC. PT. SOL.

PERF.
15mg/ml
PAMIDRONAT TORREX
CONC. PT. SOL.

PERF.
15mg/ml
PAMIDRONAT TORREX
CONC. PT. SOL.

PERF.
15mg/ml

AREDIA (R) 15 mg
LIOF.+ SOLV. PT.

SOL. PERF.

perfuzabila
perfuzabila
PULB. PT. SOL.

PERF.
PULB. PT.
SOL.PERF.
15mg
30mg
60mg
CHIESI
PHARMACEUTICALS
GMBH
CHIESI
PHARMACEUTICALS
GMBH
CHIESI
PHARMACEUTICALS
GMBH
DR. REDDY'S
LABORATORIES
DR. REDDY'S
LABORATORIES
CUTIE X 4 FLAC. DIN STICLA X 15 MG LIOF.

GERMANIA PT. SOL. PERF. + 4 FIOLE DIN STICLA X 5
ML SOLV.
ROMANIA
ROMANIA
NOVARTIS PHARMA
GMBH
P6.7: SINDROM PRADER WILLI
1 W07530001 H01AC01 SOMATROPINUM**
ZOMACTON
PULB. + SOLV. PT.

4mg (12ui)
SOL. INJ.
FERING GMBH
GERMANIA
GENOTROPIN (R) 16 ui (5,3 mg)
PULB. + SOLV. PT. 5,3mg/ml

SOL. INJ.
(16ui)
MAREA
BRITANIE
CUTIE X 1 FLAC. LIOF. PT. SOL. INJ. + 1

FIOLA X 3,5 ML SOLV.
CUTIE X 1 CARTUS BICAMERAL
MULTIDOZA CU PULB. SI SOLV. PT. SOL.
INJ.
OMNITROPE 15mg/1,5ml
SOL INJ.
15mg/1,5ml SANDOZ GMBH
AUSTRIA
CUTIE X 1 CARTUS X 1,5 ML SOL.INJ.
OMNITROPE 3,3mg/ml
SOL. INJ.
3,3mg/ml
SANDOZ GMBH
AUSTRIA
CUTIE X 1CARTUS X 1,5 ML SOL.INJ.
OMNITROPE 6,7mg/ml
SOL. INJ.
6,7mg/ml
SANDOZ GMBH
AUSTRIA
CUTIE X 1CARTUS X 1,5 ML SOL.INJ.
Pagina 46 din 87
PR/
PR
F
PRF/
R
PRF/
R
Grupa
terapeutic
a
Denumire generica
Denumire comerciala
Forma farmaceutica
Concentratie
/ U.T.
Firma
Tara
Ambalaj
Prescriptie
Nr.c
Cod CIM
rt
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
Pret cu ridicata
maximal / U.T.
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
Pret cu
amanuntul
maximal / U.T.
Pret de
decontare / U.T.
NORDITROPIN SIMPLEXx 10 mg/1,5ml
SOL. INJ. IN
CARTUS
DANEMAR
CA
CUTIE X 1 CARTUS DIN STICLA INCOLORA PX 1,5 ML SOL. INJ.

RF
1.176,67
1.176,670000
801,000000
1.320,72
1.320,720000
918,876000
NORDITROPIN FLEXPRO 10 mg/1,5 ml
SOL. INJ. IN STILOU

INJECTOR (PEN)
10mg/1,5 ml NOVO NORDISK A/S
PREUMPLUT
DANEMAR
CA
CUTIE CU 1 STILOU INJECTOR (PEN)

PREUMPLUT MULTI-DOZA ( CARTUS DIN
STICLA INCOLORA X 1,5 ML SOL. INJ
PRF
1.549,07
1.549,070000
801,000000
1.726,64
1.726,640000
918,876000
SOL. INJ. IN STILOU

INJECTOR (PEN)
5mg/1,5 ml NOVO NORDISK A/S
PREUMPLUT
DANEMAR
CA
CUTIE CU 1 STILOU INJECTOR (PEN)

PREUMPLUT MULTI-DOZA ( CARTUS DIN
STICLA INCOLORA X 1,5 ML SOL. INJ
PRF
789,53
789,530000
490,980000
898,74
898,740000
580,944000
PULB. PT. CONC.

PT. SOL. PERF.
35mg
GENZYME EUROPE BV
OLANDA

SOL. PERF.
PR
1 13.797,28 13.797,280000 13.797,280000 15.077,20 15.077,200000 15.077,200000
PULB. PT. CONC.

PT. SOL. PERF.
50mg
GENZYME EUROPE B.V.
OLANDA
CUTIE X 1 FLAC. CU 50MG PULB. PT. CONC.

PR
PT. SOL. PERF.
10mg/1,5ml NOVO NORDISK A/S
P6.8: BOALA FABRY
1 W08961001 A16AB04 AGALSIDASUM BETA**
FABRAZYME 35 mg
P6.9: BOALA POMPE
1 W51536001 A16AB07 ALGLUCOSIDASUM ALPHA**
MYOZYME 50mg
2.264,71
2.264,710000
60 12.802,92
213,382000
2.264,710000
2.506,69
2.506,690000
2.506,690000
213,382000 13.993,35
233,222500
233,222500
P6.10: TIROZINEMIE
PRF/
R
PRF/
R
PRF/
R
1 W51629001 A16AX04 NITISINONUM
ORFADIN 10mg
CAPS.
10mg
SWEDISH ORPHAN
INTERNATIONAL AB
SUEDIA
ORFADIN 2mg
CAPS.
2mg
SWEDISH ORPHAN
INTERNATIONAL AB
SUEDIA
ORFADIN 5mg
CAPS.
5mg
SWEDISH ORPHAN
INTERNATIONAL AB
SUEDIA
CONC. PT. SOL.

PERF.
2mg/ml
SHIRE HUMAN GENETIC

SUEDIA
THERAPIES AB

PERF.
4 49.871,94 12.467,985000 12.467,985000 54.398,63 13.599,657500 13.599,657500
CONC. PT. SOL.

PERF.
100UI/ml
GENZYME EUROPE BV
OLANDA
OCTAGAM 10%
SOL. PERF.
100 mg/ml
OCTAGAM 10%
SOL. PERF.
100 mg/ml
OCTAPHARMA (IP)
LIMITED
OCTAPHARMA (IP)
LIMITED
OCTAPHARMA (IP)
LIMITED
OCTAPHARMA (IP)
LIMITED
MAREA
BRITANIE
MAREA
BRITANIE
MAREA
BRITANIE
MAREA
BRITANIE
BAXTER AG
AUSTRIA

100 ML SOL. PERF.
200 ML SOL. PERF.
50 ML SOL. PERF.
20 ML SOL. PERF.
PERF.(5G/50ML)
PERF.(10G/100ML)
PERF.(30G/300ML)
PERF.(20G/200ML)
PERF.(1G/10ML)
60
3.522,06
58,701000
58,701000
3.877,20
64,620000
64,620000
60
7.014,11
116,901833
116,901833
7.683,54
128,059000
128,059000
P6.12: MUCOPOLIZAHARIDOZ TIP II (SINDROM HUNTER)
1 W51481002 A16AB09 IDURSULFASUM**
ELAPRASE 2mg/ml
P6.13: MUCOPOLIZAHARIDOZ TIP I (SINDROM HURLER)
1 W42203001 A16AB05 LARONIDAZUM**
ALDURAZYME 100UI/ml
2.802,88
2.802,880000
2.802,880000
3.093,29
3.093,290000
3.093,290000
P6.15: Sindrom de imunodeficien primar
1 W54752003 J06BA02
INTRAVASCULARA**
2 W54752004 J06BA02
INTRAVASCULARA**
3 W54752002 J06BA02
INTRAVASCULARA**
4 W54752001 J06BA02
INTRAVASCULARA**
5 W51530003 J06BA02
INTRAVASCULARA**
6 W51530004 J06BA02
INTRAVASCULARA**
7 W51530006 J06BA02
INTRAVASCULARA**
8 W51530005 J06BA02
INTRAVASCULARA**
9 W51530001 J06BA02
INTRAVASCULARA**
OCTAGAM 10%
SOL. PERF.
100 mg/ml
OCTAGAM 10%
SOL. PERF.
100 mg/ml
KIOVIG 100mg/ml
SOL. PERF.
100mg/ml
KIOVIG 100mg/ml
SOL. PERF.
100mg/ml
BAXTER AG
AUSTRIA
KIOVIG 100mg/ml
SOL. PERF.
100mg/ml
BAXTER AG
AUSTRIA
KIOVIG 100mg/ml
SOL. PERF.
100mg/ml
BAXTER AG
AUSTRIA
KIOVIG 100mg/ml
SOL. PERF.
100mg/ml
BAXTER AG
AUSTRIA
1.714,69
1.714,690000
1.714,690000
1.907,17
1.907,170000
1.907,170000
3.437,56
3.437,560000
3.437,560000
3.785,10
3.785,100000
3.785,100000
881,87
881,870000
881,870000
999,39
999,390000
999,390000
379,02
379,020000
379,020000
451,28
451,280000
451,280000
925,45
925,450000
909,000000
1.046,89
1.046,890000
1.036,596000
1.857,75
1.857,750000
1.782,000000
2.063,10
2.063,100000
1.988,160000
5.558,99
5.558,990000
5.558,990000
6.097,46
6.097,460000
6.097,460000
3.821,35
3.821,350000
3.821,350000
4.203,43
4.203,430000
4.203,430000
202,26
202,260000
202,260000
246,92
246,920000
246,920000
1.485,00
1.485,000000
1.485,000000
1.656,80
1.656,800000
1.656,800000
197,39
197,390000
197,390000
240,98
240,980000
240,980000
393,75
393,750000
393,750000
467,34
467,340000
467,340000
10 W43965001 J06BA02

INTRAVASCULARA**
IG VENA 10g/200ml
SOL. PERF.
10g/200ml
KEDRION SPA
ITALIA

S
11 W43962001 J06BA02

INTRAVASCULARA**
IG VENA 1g/20ml
SOL. PERF.
1g/20ml
KEDRION SPA
ITALIA

12 W43963001 J06BA02

INTRAVASCULARA**
IG VENA 2,5g/50ml
SOL. PERF.
2,5g/50ml
KEDRION SPA
ITALIA


SOL. PERF.
PERF.
SOL. PERF.
PERF.
PR
F
PR
F
PR
F
PR
F
13 W59114003 J06BA02
14 W59114001 J06BA02
15 W59114004 J06BA02
16 W59114002 J06BA02
17 W52560001 J06BA02
18 W13462001 J06BA02
19 W13462003 J06BA02
20 W13462002 J06BA02

INTRAVASCULARA**
INTRAVASCULARA**
INTRAVASCULARA**
INTRAVASCULARA**
INTRAVASCULARA**
INTRAVASCULARA**
INTRAVASCULARA**
INTRAVASCULARA**
INTRATECT 50 g/l
SOL. PERF.
50g/l
INTRATECT 50 g/l
SOL. PERF.
50g/l
INTRATECT 50 g/l
SOL. PERF.
50g/l
INTRATECT 50 g/l
SOL. PERF.
50g/l
SOL. PERF.
50mg/ml
OCTAGAM
SOL. PERF.
50mg/ml
OCTAGAM
SOL. PERF.
50mg/ml
OCTAGAM
SOL. PERF.
50mg/ml

Pagina 47 din 87
MAREA
BRITANIE
MAREA
BRITANIE
MAREA
BRITANIE
882,14
882,140000
882,140000
999,68
999,680000
999,680000
187,48
187,480000
187,480000
228,87
228,870000
228,870000
1.734,28
1.734,280000
1.734,280000
1.928,52
1.928,520000
1.928,520000
456,06
456,060000
456,060000
535,26
535,260000
535,260000
102,55
102,550000
102,550000
125,19
125,190000
125,190000
465,59
465,590000
465,590000
545,64
545,640000
545,640000
1.772,34
1.772,340000
1.772,340000
1.970,00
1.970,000000
1.970,000000
882,13
882,130000
882,130000
999,67
999,670000
999,670000
Grupa
terapeutic
a
21 W43964001 J06BA02
Denumire generica

INTRAVASCULARA**
Denumire comerciala
IG VENA 5g/100ml
Forma farmaceutica
Concentratie
/ U.T.
Firma
Tara
Ambalaj
Prescriptie
Nr.c
Cod CIM
rt
SOL. PERF.
5g/100ml
KEDRION SPA
ITALIA

S
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
Pret cu ridicata
maximal / U.T.
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
Pret cu
amanuntul
maximal / U.T.
Pret de
decontare / U.T.
757,50
757,500000
757,500000
863,83
863,830000
863,830000
56
9.529,79
170,174821
170,174821 10.425,63
186,171964
186,171964
56
9.200,67
164,297678
164,297678 10.066,89
179,765892
179,765892
2.905,50
2.905,500000
2.905,500000
3.205,15
3.205,150000
3.205,150000
5.780,98
5.780,980000
5.780,980000
6.339,43
6.339,430000
6.339,430000
120 10.927,33
91,061083
91,061083 11.948,96
91,856333
91,856333
3.041,86
P6.16: Scleroza sistemic i ulcere digitale evolutive
TRACLEER 125 mg
COMPR. FILM.
125mg
ACTELION
REGISTRATION LTD.
MAREA
BRITANIE

COMPR. FILM.
TRACLEER 62,5 mg
COMPR. FILM.
62,5mg
ACTELION
REGISTRATION LTD.
MAREA
BRITANIE

COMPR. FILM.
PRF/
R
PRF/
R
P6.17: Purpura trombocitopenic imun cronic la adulii splenectomizai i nesplenectomizai
1 W53894001 B02BX04 ROMIPLOSTIMUM****
NPLATE 250mcg
PULB. PT. SOL. INJ. 250mcg
AMGEN EUROPE B.V.
OLANDA
2 W53895001 B02BX04 ROMIPLOSTIMUM****
NPLATE 500mcg
PULB. PT. SOL. INJ. 500mcg
AMGEN EUROPE B.V.
OLANDA
MERCK SERONO
EUROPE LIMITED
MERCK SERONO
EUROPE LIMITED
MAREA
BRITANIE
MAREA
BRITANIE
NOVARTIS EUROPHARM
LTD.
NOVARTIS EUROPHARM
LTD.
MAREA
BRITANIE
MAREA
BRITANIE
TEVA
PHARMACEUTICALS
S.R.L.
CUTIE X 1 FLAC X 250MCG PULB. PT. SOL.

S
INJ.
CUTIE X 1 FLAC X 500MCG PULB. PT. SOL.
S
INJ.
P6.18: Pacieni aduli i copii cu hiperfenilalaninemie diagnosticai cu fenilcetonurie sau deficit de tetrahidrobiopterin (BH4)
1 W57418002 A16AX07 SAPROPTERINUM****
KUVAN
COMPR. SOLUBILE 100 mg
2 W57418001 A16AX07 SAPROPTERINUM****
KUVAN
COMPR. SOLUBILE 100 mg
CUTIE X FLAC. PEID X 120 COMPR.

SOLUBILE
CUTIE X FLAC. PEID X 30 COMPR.
SOLUBILE
PR
PR
30
2.755,69
99,574666
99,574666
101,395333
101,395333
P6.19: Scleroz tuberoas
1 W57284002 L01XE10
EVEROLIMUS****
VOTUBIA
COMPR.
2,5 mg
2 W57285001 L01XE10
EVEROLIMUS****
VOTUBIA
COMPR.
5mg
CAPS. MOI
0,25mcg
CUTIE CU BLIST. PA/AL/PVC X 30 COMPR.
PR
30
5.656,21
188,540333
188,540333
6.203,43
206,781000
206,781000
CUTIE CU BLIST. PA/AL/PVC X 30 COMPR.
PR
30 11.282,41
376,080333
376,080333 12.335,99
411,199666
411,199666
ROMANIA
CUTIE X 1 FLAC. DIN PPID X 50 CAPS. MOI
PRF
50
21,46
0,429200
0,429200
29,01
0,580200
0,580200
ROMANIA
CUTIE CU BLIST. PVC/PVDC-AL X 30 CAPS. PR

MOI
F
30
16,99
0,566333
0,515040
22,97
0,765666
0,696240
ROMANIA
PRF
30
23,23
0,774333
0,774333
31,40
1,046666
1,046666
P7: PROGRAM NATIONAL DE BOLI ENDOCRINE

Tratamentul medicamentos al bolnavilor cu osteoporoza, gusa datorata carentei de iod si proliferarii maligne
1 W00231001 A11CC03 ALFACALCIDOLUM
ALPHA D3 0,25 mcg

ALFACALCIDOL SANDOZ 0,25 mcg
ALPHA D3 0,50 mcg
CAPS. MOI
CAPS. MOI
CAPS. MOI
ONE-ALPHA 2 micrograme/ml
SOL. INJ.
0,25g
SANDOZ S.R.L.
0,50mcg
TEVA
PHARMACEUTICALS
S.R.L.
CUTIE X 1 FLAC. X 30 CAPS. MOI
2microgram
LEO PHARMA A/S
e/ml
2microgram
LEO PHARMA A/S
e/ml
CUTIE CU BLIST. PVC/PVDC-AL X 30 CAPS.

ROMANIA
MOI
DANEMAR CUTIE CU 10 FIOLE DIN STICLA BRUNA X
CA
0,5 ML SOL. INJ.
DANEMAR CUTIE CU 10 FIOLE DIN STICLA BRUNA X 1
CA
ML SOL. INJ.
0,5g
SANDOZ S.R.L.
PR
F
30
26,00
0,866666
0,866666
34,01
1,133666
1,133666
10
108,79
10,879000
10,879000
132,81
13,281000
13,281000
24,878000
SOL. INJ.
7 W51334002 A11CC04 CALCITRIOLUM
ROCALTROL
CAPS. MOI
0,25mcg
ROMANIA
CUTIE CU 5 BLIST. AL/PVC X 20 CAPS. MOI.
8 W03025001 G03CA03 ESTRADIOLUM
ESTREVA (R)
GEL
0,1%
LAB. THERAMEX
MONACO
CUTIE X 1 FLACON PE, INCHIS CU POMPA

DOZATOARE X 50 G
PRF
P6L
OESTROGEL 0,6 mg/g
GEL
0,6mg/g
LABORATOIRES BESINS
FRANTA
INTERNATIONAL
CUTIE CU 1 TUB AL X 80 G GEL +

DISPOZITIV DE DOZARE DIN POLISTIREN
CLIMARA
PLASTURE
TRANSDERM.
50g/24ore BAYER PHARMA AG
GERMANIA
CUTIE X 4 PLICURI X 1 PLASTURE

TRANSDERM.
11 W12902001 G03CX01 TIBOLONUM
LIVIAL (R) 2,5 mg
COMPR.
2,5mg
ORGANON NV
OLANDA
12 W53455002 G03XC01 RALOXIFENUM
EVISTA 60mg
COMPR. FILM.
60mg
DAIICHI SANKYO
EUROPE GMBH
GERMANIA CUTIE X 28 COMPR. FILM. (BLIST. ACLAR)
13 W42160002 H01AB01 TIREOTROPINUM ALFA
THYROGEN 0,9 mg
GENZYME EUROPE BV
OLANDA
14 W04224001 H02AB04 METHYLPREDNISOLONUM
MEDROL A 16
COMPR.
16mg
MEDROL 32
COMPR.
32mg
MAREA
BRITANIE
MAREA
BRITANIE
CUTIE X 2 FLACOANE
LEMOD SOLU 125 mg
LEMOD SOLU 500 mg
STADA HEMOFARM
S.R.L.
SOLU - MEDROL ACT-O-VIAL
LIOF. SI
SOLV.PT.SOL.INJ
19 W57399001 H03AA01 LEVOTHYROXINUM
EUTHYROX 100mcg
COMPR.
100mcg
ROMANIA
LEVOTIROXINA TEVA 100 micrograme
COMPR.
EUTHYROX 100g
COMPR.
100g
MERCK KGAA
Pagina 48 din 87
203,78
20,378000
20,378000
248,78
24,878000
53,88
0,538800
0,538800
68,12
0,681200
0,681200
21,75
21,750000
21,750000
29,40
29,400000
29,400000
P6L
12,29
12,290000
12,290000
16,61
16,610000
16,610000
P6L
PRF
PRF
22,11
5,527500
5,527500
29,89
7,472500
7,472500
28
57,59
2,056785
2,056785
72,82
2,600714
2,600714
PRF
PCUTIE X 2 BLIST. AL-PVC/PVC X 10 COMPR.
RF
MERCK KGAA
10
100
CUTIE X 5 BLIST. A-PVC/PVC X 10 COMPR.
STADA HEMOFARM
S.R.L.
TEVA
100microgr
PHARMACEUTICALS
ame
S.R.L.
ROMANIA
CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 2 S/PRF

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

7,8 ML
S/PRF
CUTIE X 1 FLAC. BICOMPARTIMENTAT

(COMPARTIMENT INFERIOR) LIOF. PT. SOL. PINJ. + (COMPARTIMENT SUPERIOR) 4ML
RF
SOLV
PGERMANIA CUTIE X 4 BLIST. PP/AL X 25 COMPR.
6L
MAREA
BRITANIE

COMPR.
28
98,84
3,530000
3,530000
124,97
4,463214
4,463214
3.064,97
1.532,485000
1.532,485000
3.378,97
1.689,485000
1.689,485000
50
24,13
0,482600
0,482600
32,62
0,652400
0,652400
20
21,94
1,097000
1,097000
29,65
1,482500
1,482500
6,52
6,520000
6,520000
8,81
8,810000
8,810000
22,95
22,950000
22,950000
31,02
31,020000
31,020000
15,15
15,150000
15,150000
20,48
20,480000
20,480000
11,69
0,116900
0,091200
100
8,65
0,086500
0,067440
P6
L
100
5,62
0,056200
0,056200
7,60
0,076000
0,076000
P6L
100
8,65
0,086500
0,067440
11,69
0,116900
0,091200
Grupa
terapeutic
a
Denumire generica
Denumire comerciala
Forma farmaceutica
Concentratie
/ U.T.
Firma
TEVA
125microgr
PHARMACEUTICALS
ame
S.R.L.
TEVA
150microgr
PHARMACEUTICALS
ame
S.R.L.
TEVA
175microgr
PHARMACEUTICALS
ame
S.R.L.
COMPR.
COMPR.
COMPR.
EUTHYROX 200mcg
COMPR.
200mcg
COMPR.
TEVA
200microgr
PHARMACEUTICALS
ame
S.R.L.
MERCK KGAA
Tara
Ambalaj
0,070200
0,070200
9,49
0,094900
0,094900
ROMANIA

COMPR.
P6
L
100
8,43
0,084300
0,084300
11,40
0,114000
0,114000
ROMANIA

COMPR.
P6
L
100
9,84
0,098400
0,098400
13,30
0,133000
0,133000
P6L
100
17,86
0,178600
0,139440
24,14
0,241400
0,188400
P6
L
100
11,62
0,116200
0,116200
15,70
0,157000
0,157000
ROMANIA

COMPR.
200g
MERCK KGAA
COMPR.
25mcg
MERCK KGAA
GERMANIA CUTIE X 4 BLIST. PP/AL X 25 COMPR.
COMPR.
TEVA
25microgra
PHARMACEUTICALS
me
S.R.L.
ROMANIA

COMPR.
EUTHYROX 25g
COMPR.
25g
MERCK KGAA
EUTHYROX 50mcg
COMPR.
50mcg
MERCK KGAA
COMPR.
TEVA
50microgra
PHARMACEUTICALS
me
S.R.L.
EUTHYROX 50g
COMPR.
50g
COMPR.
TEVA
75microgra
PHARMACEUTICALS
me
S.R.L.
MERCK KGAA
35 W54546003 H03BB02 THIAMAZOLUM
THYROZOL 10 mg
COMPR. FILM.
10mg
MERCK KGAA
THYROZOL 20mg
COMPR. FILM.
20mg
MERCK KGAA
THYROZOL 5 mg
COMPR. FILM.
5mg
MERCK KGAA
ROMANIA

COMPR.

ROMANIA

COMPR.

GERMANIA
FILM.
GERMANIA
FILM.
GERMANIA
FILM.
38 W03843004 H03CA01 KALII IODIDUM
JODID 100
COMPR.
100mcg
MERCK KGAA
JODID 100
COMPR.
100mcg
MERCK KGAA
JODID 200
COMPR.
200mcg
MERCK KGAA

JODID 200
COMPR.
200mcg
MERCK KGAA
42 W55488001 H05AA02 TERIPARATIDUM**
FORSTEO 20g/80l
SOL. INJ.
20g/80l
ELI LILLY NEDERLAND BV OLANDA

PREUMPLUT X 2,4 ML (28 DOZE X 20
CG/80CL)
PROEL E.P. CORONIS SA GRECIA
CUTIE X 5 FIOLE X 1ML
43 W08119001 H05BA01 CALCITONINUM (SOMON)
NYLEX (R)
SOL. INJ.
100UI/ml
44 W00756001 H05BA01 CALCITONINUM (SOMON)
MIACALCIC (R)
SOL. INJ.
50ui/ml
45 W54297001 M05BA04 ACIDUM ALENDRONICUM**
TEVANAT 70 mg
COMPR.
70 mg
NOVARTIS PHARMA
GMBH
TEVA
PHARMACEUTICALS
S.R.L.
GERMANIA CUTIE X 5 FIOLE X 1 ML

ROMANIA
FOSAMAX 70 mg
COMPR.
70mg
MERCK SHARP & DOHME ROMANIA
ACID ALENDRONIC AUROBINDO 70 mg
COMPR.
70mg
AUROBINDO PHARMA
(MALTA) LIMITED
ADRONIK 70 mg
COMPR. FILM.
70mg
ARENA GROUP S.A.
ALENDRONAT SANDOZ 70 mg
COMPR. FILM.
70mg
SANDOZ S.R.L.
ADRONIK 70 mg
COMPR. FILM.
70mg
ARENA GROUP S.A.
ADRONIK 70 mg
COMPR. FILM.
70mg
ARENA GROUP S.A.
COMPR. FILM.
150 mg
TEVA PHARMA B.V.
QUODIXOR 150 mg
COMPR. FILM.
150mg
ALVOGEN IPCO S.AR.L
OSSICA 150 mg
COMPR. FILM.
150mg
GEDEON RICHTER PLC.
BONVIVA 150mg
COMPR. FILM.
150mg
COMPR. FILM.
150mg
ROCHE REGISTRATION
LTD.
AUROBINDO PHARMA
(MALTA) LIMITED
OSAGRAND 150 mg
COMPR. FILM.
150mg
ZENTIVA K.S.
COMPR. FILM.
150mg
SANDOZ S.R.L.
Pagina 49 din 87
CUTIE X 1 BLIST. PVC-AL-OPA/AL X 4

COMPR.
P6L
P6L
100
17,86
0,178600
0,139440
24,14
0,241400
0,188400
100
7,04
0,070400
0,054840
9,51
0,095100
0,074160
100
4,57
0,045700
0,045700
6,18
0,061800
0,061800
100
7,04
0,070400
0,054840
9,51
0,095100
0,074160
100
6,12
0,061200
0,047760
8,27
0,082700
0,064560
P6
L
100
3,98
0,039800
0,039800
5,38
0,053800
0,053800
P6L
100
6,12
0,061200
0,047760
8,27
0,082700
0,064560
P6
L
100
5,97
0,059700
0,059700
8,07
0,080700
0,080700
50
15,54
0,310800
0,310800
21,00
0,420000
0,420000
50
18,88
0,377600
0,377600
25,52
0,510400
0,510400
100
22,83
0,228300
0,228300
30,86
0,308600
0,308600
P6
L
P6L
P6L
P6L
P6L
P6
L
PRF
PRF
PRF
PRF
PRF
PRF
PRF
P6L
P6
L
CUTIE CU BLIST. TRANSPARENTE PVCP6
ACLAR/AL X 4 COMPR.
L
CUTIE X 1 BLIST. PVC-PVDC/AL X 4 COMPR. PROMANIA
FILM.
6L
CUTIE X 1 BLIST. OPA-AL-PVC/AL X 2
PROMANIA
COMPR. FILM
6L
PROMANIA
COMPR. FILM.
6L
CUTIE X 1 BLIST. PVC-PVDC/AL X 2 COMPR. PROMANIA
FILM.
6L
CUTIE CU BLIST. DIN PVC/ACLAR/PVC-AL X P6
OLANDA
1 COMPRIMAT FILMAT
L
LUXEMBUR CUTIE CU BLIST. PA-AL-PVC/AL X 1 COMPR. PG
FILM.
6L
PUNGARIA
COMPR. FILM.
6L
MAREA
PCUTIE X 1 COMPR. FILM.( BLIST. AL/AL)
BRITANIE
6L
P6
MALTA
COMPR. FILM.
L
P6
CEHA
COMPR. FILM.
L
P6
ROMANIA
COMPR. FILM.
L

Pret de
decontare / U.T.
7,02
COMPR.
Pret cu
amanuntul
maximal / U.T.
100
EUTHYROX 200g
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
P6
L
EUTHYROX 25mcg
Pret cu ridicata
maximal / U.T.

COMPR.
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
ROMANIA

Prescriptie
Nr.c
Cod CIM
rt
MALTA
100
9,12
0,091200
0,091200
12,33
0,123300
0,123300
100
9,12
0,091200
0,091200
12,33
0,123300
0,123300
100
14,23
0,142300
0,142300
19,23
0,192300
0,192300
100
14,23
0,142300
0,142300
19,23
0,192300
0,192300
1.473,60
1.473,600000
1.473,600000
1.644,38
1.644,380000
1.644,380000
23,94
4,788000
4,788000
32,36
6,472000
6,472000
26,35
5,270000
5,270000
34,46
6,892000
6,892000
36,90
9,225000
5,337000
48,27
12,067500
7,212000
28,39
14,195000
5,337000
37,13
18,565000
7,212000
17,79
4,447500
4,447500
24,04
6,010000
6,010000
7,212000
36,67
9,167500
5,337000
47,97
11,992500
9,49
4,745000
4,745000
12,82
6,410000
6,410000
12
108,06
9,005000
5,337000
131,92
10,993333
7,212000
18,33
9,165000
5,337000
24,78
12,390000
7,212000
46,96
46,960000
35,592000
61,42
61,420000
46,560000
56,52
56,520000
35,592000
71,46
71,460000
46,560000
36,32
36,320000
35,592000
47,51
47,510000
46,560000
70,97
70,970000
35,592000
89,74
89,740000
46,560000
29,66
29,660000
29,660000
38,80
38,800000
38,800000
29,66
29,660000
29,660000
38,80
38,800000
38,800000
40,44
40,440000
35,592000
52,90
52,900000
46,560000
Grupa
terapeutic
a
Denumire generica
Denumire comerciala
Forma farmaceutica
COMPR. FILM.
Concentratie
/ U.T.
50 mg
COMPR. FILM.
50 mg
HOLMEVIS 50 mg
COMPR. FILM.
50mg
ACID IBANDRONIC GLENMARK 50 mg
COMPR. FILM.
50mg
Firma
TEVA PHARMA B.V.
Tara
OLANDA
Ambalaj
Prescriptie
Nr.c
Cod CIM
rt
CUTIE CU BLIST. DIN PVC/ACLAR/PVC-AL X

PR
28 COMPRIMATE FILMATE
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
Pret cu ridicata
maximal / U.T.
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
Pret cu
amanuntul
maximal / U.T.
Pret de
decontare / U.T.
28
637,14
22,755000
22,269428
732,63
26,165357
25,908857
PR
28
519,62
18,557857
18,557857
604,54
21,590714
21,590714
CUTIE CU BLIST. PA/AL/PVC-AL X 28

COMPR. FILM.
PR
28
637,16
22,755714
22,269428
732,65
26,166071
25,908857
REPUBLICA CUTIE CU BLIST. PVC/PVDC-AL X 28

CEHA
COMPR. FILM.
PR
28
562,00
20,071428
20,071428
650,73
23,240357
23,240357
SANDOZ
PHARMACEUTICALS
GMBH
EGIS
PHARMACEUTICALS
P.L.C.
GLENMARK
PHARMACEUTICALS
S.R.O.
ROCHE REGISTRATION
LTD.
MAREA
BRITANIE
CUTIE CU BLIST. DIN PA/AL/PVC/AL CU 28

GERMANIA
COMPRIMATE FILMATE
UNGARIA
BONDRONAT 50mg
COMPR. FILM.
50mg
CUTIE X BLIST. AL/PVC X 28 COMPR. FILM. S
28
964,08
34,431428
22,269428
1.089,00
38,892857
25,908857
IASIBON 50 mg
COMPR. FILM.
50mg
PHARMATHEN S.A.
GRECIA
CUTIE CU BLIST. PA/ALL/PVC/ALU X 28

COMPR. FILM
PR
28
629,47
22,481071
22,269428
724,27
25,866785
25,866785
CONC. PT. SOL.

PERF.
6mg
TEVA
PHARMACEUTICALS
S.R.L.
ROMANIA

CU DOP DIN CAUCIUC SI CAPSA DE
PR
CULOARE TURCOAZ (ALBASTRU VERZUI) X
596,39
596,390000
596,390000
688,22
688,220000
688,220000
BONDRONAT 6mg/6ml
6mg/6ml
ROCHE REGISTRATION
LTD.
MAREA
BRITANIE
IASIBON 6mg/6ml
6mg/6ml
PHARMATHEN S.A.
GRECIA
3mg
TEVA
PHARMACEUTICALS
S.R.L.
3mg
GEDEON RICHTER
ROMANIA SA

STICLA INCOLORA A 3 ML SOL. INJ. SI UN
AC DE INJECTARE
ROMANIA STICLA INCOLORA A 3 ML SOL. INJ. + 1 AC
PT. INJECTIE
REPUBLICA CUTIE CU 1 FIOLA DIN STICLA INCOLORA X
CEHA
3 ML SOL. INJ.
MAREA
BRITANIE

OSSICA 3 mg
OSAGRAND 3 mg/3 ml
BONVIVA 3mg/3ml
ACID IBANDRONIC ALVOGEN 3 mg
CONC. PT. SOL.

PERF.
CONC. PT. SOL.
PERF.
SOL INJ. IN
SERINGA
PREUMPLUTA
SOL INJ. IN
SERINGA
PREUMPLUTA
SOL. INJ.
SOL. INJ. IN
SERINGA
PREUMPLUTA
SOL.INJ. IN
SERINGA
PREUMPLUTA
3mg/3ml
ZENTIVA K.S.
1mg/1ml
ROCHE REGISTRATION
LTD.
3 mg
ALVOGEN IPCO S.AR.L
73 W56198003 M05BA07 ACIDUM RISEDRONICUM**
ACTONEL SAPTAMANAL 35 mg
COMPR. FILM.
35mg
SANOFI - AVENTIS
ROMANIA S.R.L.
RISEDRONAT SODIC SANDOZ 35 mg
COMPR. FILM.
35mg
SANDOZ S.R.L.
RISEDRONAT SODIC ZENTIVA 35mg
COMPR. FILM.
35mg
ZENTIVA KS
ROMANIA
OSODENS 35 mg
COMPR. FILM.
35mg
TERAPIA SA
COMPR. FILM.
35mg
ACTAVIS GROUP PTC

EHF.
RISEDRONAT TEVA 35 mg
COMPR. FILM.
35mg
TEVA
ROMANIA
PHARMACEUTICALS SRL
LORINE 35mg
COMPR. FILM.
35mg
RISEDRONAT AUROBINDO 35 mg
COMPR. FILM.
35mg
ANTIBIOTICE S.A.
AUROBINDO PHARMA
(MALTA) LIMITED
ACTAVIS GROUP PTC
EHF.
SANOFI - AVENTIS
ROMANIA S.R.L.
ROMANIA
MALTA
ACTONEL 75 mg
COMPR. FILM.
75mg
ACTONEL 75 mg
COMPR. FILM.
75mg
ACID ZOLEDRONIC TEVA 4 mg/5 ml
CONC. PT. SOL.

PERF.
4 mg/5 ml
CONC. PT. SOL.

PERF.
ROMANIA
CONC. PT. SOL.

PERF.
4mg/5ml
SANDOZ S.R.L.
ROMANIA
ACID ZOLEDRONIC RICHTER 4 mg/5 ml
CONC. PT. SOL.

PERF.
4mg/5ml
GEDEON RICHTER
ROMANIA SA
ZOLACITOR 4 mg/5 ml
CONC. PT. SOL.

PERF.
4mg/5ml
CHIESI
PHARMACEUTICALS
GMBH
TEVA PHARMA B.V.
Pagina 50 din 87
901,37
901,370000
715,668000
1.020,64
1.020,640000
825,864000
596,39
596,390000
596,390000
688,22
688,220000
688,220000
P6
L
232,02
232,020000
179,712000
283,25
283,250000
219,396000
P6
L
196,40
196,400000
179,712000
239,77
239,770000
219,396000
P6
L
222,35
222,350000
179,712000
271,45
271,450000
219,396000
P6L
354,51
354,510000
179,712000
424,57
424,570000
219,396000
149,76
149,760000
149,760000
182,83
182,830000
182,830000
32,87
8,217500
3,177000
43,00
10,750000
4,293000
21,00
5,250000
3,177000
28,38
7,095000
4,293000
10,59
2,647500
2,647500
14,31
3,577500
3,577500
PR/
PR
F
P6L
P6
ROMANIA CUTIE CU BLIST. PVC/AL X 4 COMPR. FILM.
L
REPUBLICA CUTIE X 1 BLISTER OPA-AL-PVC/AL X 4
PCEHA
COMPRIMATE FILMATE
6L
PROMANIA
COMPR. FILM.
6L
PISLANDA
FILM.
6L
CUTIE X 1 SERINGA PREUMPLUTA DIN

STICLA X 3 ML SOL. INJ. + 1 AC
1
1

LUXEMBUR
STICLA INCOLORA SI 1 AC PT. INJECTARE
G
X 3 ML SOL.INJ.
ROMANIA
FILM.

S
PERF.
CUTIE CU 1 FLAC. DIN STICLA X 6ML CONC.
PR
PT. SOL. PERF.
ISLANDA
CUTIE X BLIST. PVC-PVDC/AL X 4 COMPR.

FILM.
P6L
CUTIE X 1BLIST. PVC- PVDC/AL X 4 COMPR. PFILM.

6L
CUTIE CU BLIST. PVC/PE/PVDC-AL X 4
P6
COMPR. FILM.
L
P6
FILM.
L
PFILM.
6L
CUTIE X 1 FLACON DIN STICLA CU 5ML
PR
PERFUZABILA
PR
PR
34,61
8,652500
3,177000
45,27
11,317500
4,293000
32,87
8,217500
3,177000
43,00
10,750000
4,293000
34,61
8,652500
3,177000
45,27
11,317500
4,293000
27,91
6,977500
3,177000
36,50
9,125000
4,293000
10,59
2,647500
2,647500
14,31
3,577500
3,577500
52,51
26,255000
26,255000
66,39
33,195000
33,195000
52,51
26,255000
26,255000
66,39
33,195000
33,195000
377,14
377,140000
356,400000
449,23
449,230000
435,096000
377,22
377,220000
356,400000
449,32
449,320000
435,096000
377,22
377,220000
356,400000
449,32
449,320000
435,096000
ROMANIA
CUTIE X 1 FLACON TRANSPARENT,

INCOLOR DIN POLIMER CICLO-OLEFENIC
INCHIS CU DOP GRI INCHIS DIN CAUCIUC
PR
CU STRAT FLUOROPOLIMERIC, CAPSA DIN
AL SI SISTEM "FLIP-OFF" DIN PLASTIC
ROSU X 5ML CONC. PT. SOL. PERF.
724,49
724,490000
356,400000
827,84
827,840000
435,096000
AUSTRIA

2.807,00
701,750000
356,400000
3.097,78
774,445000
435,096000
ROMANIA
OLANDA
PR
Grupa
terapeutic
a
Denumire generica
Denumire comerciala
Forma farmaceutica
Concentratie
/ U.T.
Firma
Tara
CUTIE X 1 FLACON PLASTIC

TRANSPARENT, INCOLOR CU
CAPACITATEA DE 5 ML CARE CONTINE
CONC. PT. SOL. PER
BROMOB
CU CAPACITATEA DE 5 ML CARE CONTINE
CUTIE X 1 FLACON CU CAPACITATE DE
5ML DIN PLASTIC CU DOP BROMOBUTIL,
ACOPERIT CU UN STRAT DE
FLUOROPOLIMER SI CAPAC DIN AL CU
COMPONENTA "FLIP-OFF"
CUTIE CU 1 FLAC. DIN PP PREVAZUT CU
CAPSA FLIP-OFF DIN AL CU CONC. PT.
SOL. PERF.
AUSTRIA

ACID ZOLEDRONIC ACTAVIS 4mg/5ml
CONC. PT. SOL.

PERF.
4mg/5ml
ACTAVIS GROUP PTC

EHF.
ISLANDA
ZYOLIX 4 mg/5 ml
CONC. PT. SOL.

PERF.
4mg/5ml
ROMASTRU TRADING
S.R.L.
ROMANIA
OSPORIL 4 mg/5 ml
CONC. PT. SOL.

PERF.
4mg/5ml
EGIS
PHARMACEUTICALS
P.L.C.
UNGARIA
CONC. PT. SOL.

PERF.
4mg/5ml
HOSPIRA UK LIMITED
MAREA
BRITANIE
ACID ZOLEDRONIC PFIZER 4 mg/5 ml
CONC. PT. SOL.

PERF.
4mg/5ml
MAREA
BRITANIE
4mg/5ml
CHIESI
PHARMACEUTICALS
GMBH
ZOLACITOR 4 mg/5 ml
CONC. PT. SOL.

PERF.
Ambalaj
Prescriptie
Nr.c
Cod CIM
rt
Pret cu
amanuntul
maximal / U.T.
Pret de
decontare / U.T.
377,22
377,220000
356,400000
449,32
449,320000
435,096000
PR
459,66
459,660000
356,400000
539,18
539,180000
435,096000
PR
676,71
676,710000
356,400000
775,76
775,760000
435,096000
PR
364,11
364,110000
356,400000
435,03
435,030000
435,030000
PR
724,49
724,490000
356,400000
827,84
827,840000
435,096000
PR
724,40
724,400000
356,400000
827,75
827,750000
435,096000
724,49
724,490000
356,400000
827,84
827,840000
435,096000
1.417,59
354,397500
354,397500
1.583,33
395,832500
395,832500
ACID ZOLEDRONIC TERAPIA 4 mg/5 ml
CONC. PT. SOL.

PERF.
4mg/5ml
TERAPIA SA
ROMANIA
ACID ZOLEDRONIC FRESENIUS KABI 4 mg/5

ml
CONC. PT. SOL.

PERF.
4mg/5ml
FRESENIUS KABI
ROMANIA SRL
ROMANIA
CUTIE CU 4 FLAC. DIN PP INCOLORA,

PR
INCHIS X 4 MG/5 ML CONC. PT. SOL. PERF.
4mg/5ml
MEDAC GESELLSCAFT
FUR KLINISCHE
SPEZIALPRPARATE
CUTIE X 1 FLACON DIN PLASTIC CU 5ML

GERMANIA CONCENTRAT PENTRU SOLUTIE
PERFUZABILA
CONC. PT. SOL.

PERF.
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
Pret cu ridicata
maximal / U.T.
PR
CUTIE CU 1 FLAC. TRANSPARENT DIN

STICLA CU CAPACITATEA DE 6 ML INCHIS
CU DOP DIN CAUCIUC DE CULOARE GRI SI
PR
SIGILAT CU CAPAC DIN AL, TIP "FLIP OFF"
DE CULOARE GRI CARE CONTINE CONC.
PT. SOL. PERF.
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
PR
377,22
377,220000
356,400000
449,32
449,320000
435,096000

PR
BROMOBUTILIC, SIGILAT CU CAPSA DIN AL
SI CAPAC TIP FLIP-OFF DIN PP CARE
CONTINE 4 MG/5 ML CONC. PT. SOL. PERF.
459,66
459,660000
356,400000
539,18
539,180000
435,096000
ZYOLIX 4 mg/5 ml
CONC. PT. SOL.

PERF.
4mg/5ml
NEOLA PHARMA SRL
ROMANIA
DESINOBON 4 mg/5 ml
CONC. PT. SOL.

PERF.
4mg/5ml

TRANSPARENT, INCOLOR DE 5 ML DIN
LUXEMBOU COPOLIMER CICLOOLEFINIC CU DOP DE
PR
CAUCIUC SI CAPAC DIN AL CU CAPSA TIP
RG
"FLIP-OFF" CARE CONTINE CONC. PT. SOL.
PERF.
452,56
452,560000
356,400000
531,44
531,440000
435,096000
CONC. PT. SOL.

PERF.
4mg/5ml
POLIPHARMA
INDUSTRIES S.R.L.
ROMANIA

377,22
377,220000
356,400000
449,32
449,320000
435,096000
CONC. PT. SOL.

PERF.
4mg/5ml
DR. REDDY'S
LABORATORIES
ROMANIA

CAPACITATEA DE 5 ML CU CONC. PT. SOL. PR
PERF.
297,00
297,000000
297,000000
362,58
362,580000
362,580000
CONC. PT. SOL.

PERF.
4mg/5ml
POLIPHARMA
INDUSTRIES S.R.L.
ROMANIA

1.418,88
354,720000
354,720000
1.584,73
396,182500
396,182500
ZOMETA 4 mg
PULB. + SOLV. SOL.

4mg
PERF.

LTD.
BRITANIE
CUTIE X 1 FLAC. 4MG PULB. PT. SOL. PERF.

PR
+ 1 FIOLA X 5 ML SOLV.
1.098,45
1.098,450000
356,400000
1.235,46
1.235,460000
435,096000
MAREA
BRITANIE
CUTIE X 1 PUNGA DIN POLIPROPILENA DE

100ML CU UN PORT "TWIST-OFF" DIN
PR
POLIPROPILENA CU CAPAC SI CU UN
INVELIS DIN POLIESTER/POLIPROPILENA
377,22
377,220000
356,400000
449,32
449,320000
435,096000
ISLANDA
CUTIE CU 1 PUNGA A 100 ML SOL. PERF.
SOL. PERF.
ZERLINDA 4 mg/100 ml
SOL. PERF.
SOL. PERF.
4 mg/100 ml HOSPIRA UK LIMITED
ACTAVIS GROUP PTC

EHF.
MEDAC GESELLSCAFT
4mg/100ml FUR KLINISCHE
SPEZIALPRPARATE
4mg/100ml
PR
724,00
724,000000
356,400000
827,31
827,310000
435,096000
CUTIE X 1 FLACON DIN PLASTIC CU 100 ML

GERMANIA
PR
SOLUTIE PERFUZABILA
522,14
522,140000
356,400000
607,28
607,280000
435,096000
CUTIE CU 1 FLAC. DIN STICLA CU DOP DIN

CAUCIUC CLOROBUTILIC, SIGILAT CU
PR
CAPSA DIN AL TIP "FLIP-OFF"A 100 ML SOL.
PERF.
297,00
297,000000
297,000000
362,58
362,580000
362,580000
SOL. PERF.
4mg/100ml
DR. REDDY'S
LABORATORIES
ROMANIA
ACID ZOLEDRONIC ZENTIVA 4 mg/5 ml
SOL. PERF.
4mg/5ml
ZENTIVA, K.S.
REPUBLICA CUTIE CU 1 FLAC. DIN STICLA INCOLORA

CEHA
CARE CONTINE CONC. PT. SOL. PERF.
ACLASTA 5mg/100ml
SOL. PERF.
5mg/100ml
FOSAVANCE 70mg/2800UI
COMPR.
COMPR.
COMBINATII (ACIDUM
ALENDRONICUM+COLECALCIFEROLUM)**
COMBINATII (ACIDUM
110 W42702001 M05BB03
109 W42702002 M05BB03

LTD.
BRITANIE
70mg/2800
MAREA
MERCK SHARP & DOHME
UI
BRITANIE
MAREA
70mg/2800
MERCK SHARP & DOHME
UI
BRITANIE
Pagina 51 din 87
CUTIE X 1 FLAC. X 100 ML + 1 CAPAC AL/PP

CU COMPONENTA FLIP.
CUTIE X 4 COMPR. (1 PLIANT CU BLIST.
AL/AL X 4 COMPR.)
AL/AL X 2 COMPR.)
PR
676,71
676,710000
356,400000
775,76
775,760000
435,096000
PR
1.399,70
1.399,700000
1.399,700000
1.563,83
1.563,830000
1.563,830000
71,05
17,762500
17,762500
89,84
22,460000
22,460000
36,16
18,080000
18,080000
47,30
23,650000
23,650000
P6L
P6L
Grupa
terapeutic
a
111 W52559001 M05BB03

112 W52559002 M05BB03
Denumire generica
COMBINATII (ACIDUM
COMBINATII (ACIDUM
113 W42094003 M05BX03 STRONTIUM RANELATUM
Denumire comerciala
Forma farmaceutica
COMPR.
COMPR.
OSSEOR 2 g
GRAN. PT. SUSP.

ORALA
Concentratie
/ U.T.
Firma
Tara
70mg/5600
MERCK SHARP & DOHME
UI
70mg/5600
MERCK SHARP & DOHME
UI
MAREA
BRITANIE
MAREA
BRITANIE
2g
FRANTA
LES LAB. SERVIER
Ambalaj
Prescriptie
Nr.c
Cod CIM
rt

PAL/AL X 2 COMPR.)
6L
PAL/AL X 4 COMPR.)
6L
CUTIE X 28 PLICURI HARTI-PE-AL/PE GRAN. PPT. SUSP. ORALA
RF
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
Pret cu ridicata
maximal / U.T.
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
Pret cu
amanuntul
maximal / U.T.
Pret de
decontare / U.T.
36,16
18,080000
18,080000
47,30
23,650000
23,650000
71,05
17,762500
17,762500
89,84
22,460000
22,460000
28
143,02
5,107857
5,107857
174,60
6,235714
6,235714
V09FX03 NATRII IODIDUM (131I)

V10XA01 NATRII IODIDUM (131I)
P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA

P9.1: TRANSPLANT MEDULAR
DR. REDDY'S
LABORATORIES
DR. REDDY'S
LABORATORIES
CUTIE X 1 BLIST. HARTIE/AL, PVDC/PVC X

10 COMPR. FILM.
CUTIE X 1 BLIST. HARTIE/AL, PVDC/PVC X
10 COMPR. FILM.
PRF
PRF
ROMANIA
CUTIE 1 BLIST. AL/PVC X 5 FIOLE X 2 ML

SOL. INJ.
DR. REDDY'S
LABORATORIES
ROMANIA
CUTIE X 1 BLIST. AL/PVC X 5 FIOLE X 4 ML

SOL. INJ.
2mg/ml
CIPLA (UK) LIMITED
2mg/ml
CIPLA (UK) LIMITED
CAPS.
250mg
DR. FALK PHARMA GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 25 CAPS.
CAPS.
250mg
ROMPHARM COMPANY
S.R.L.
1 W56153001 A04AA01 ONDANSETRONUM**
OSETRON 4 mg
COMPR. FILM.
4mg
OSETRON 8 mg
COMPR. FILM.
8mg
OSETRON 4 mg SOLUTIE INJECTABILA
SOL. INJ.
2mg/ml
DR. REDDY'S
LABORATORIES
OSETRON 8 mg SOLUTIE INJECTABILA
SOL. INJ.
2mg/ml
EMESET 8 mg/4 ml
SOL. INJ./PERF.
EMESET 4 mg/2 ml
SOL. INJ./PERF.
7 W00187001 A05AA02 ACIDUM URSODEOXYCHOLICUM
URSOFALK (R)
URSOROM 250 mg
ROMANIA
10
14,09
1,409000
1,409000
19,04
1,904000
1,904000
10
24,64
2,464000
2,464000
33,31
3,331000
3,331000
S/PRF
17,60
3,520000
3,520000
23,79
4,758000
4,758000
S/PRF
33,45
6,690000
6,690000
43,75
8,750000
8,750000
MAREA
BRITANIE
CUTIE X 5 FIOLE STICLA + INEL RUPERE X S/PRF

4ML SOL. INJ. / PERF.
33,43
6,686000
6,686000
43,73
8,746000
8,746000
MAREA
BRITANIE
CUTIE X 5 FIOLE STICLA + INEL RUPERE X S/PRF

2ML SOL. INJ/ PERF.
17,60
3,520000
3,520000
23,79
4,758000
4,758000
ROMANIA
ROMANIA
URSOFALK (R)
CAPS.
250mg
URSOSAN
CAPS.
250mg
PRO. MED. CS PRAHA AS CEHIA
URSOCHOL 150 mg
COMPR.
150mg
ZAMBON S.P.A.
ITALIA
URSOCHOL 300 mg
COMPR.
300mg
ZAMBON S.P.A.
ITALIA
URSOFALK 500 mg
COMPR. FILM.
URSOFALK 500 mg
COMPR. FILM.
URSOFALK 250 mg/5 ml
SUSP. ORALA
16 W54011001 B02AA02 ACIDUM TRANEXAMICUM4)
EXACYL
SOL. INJ.
17 W05892003 J01CR03 TICARCILLINUM + ACIDUM CLAVULANICUM
TIMENTIN 3,2 g
PULB. PT. SOL.

INJ./PERF.
3,2g
BEECHAM GROUP PLC
MAREA
BRITANIE
PERASIN 2g/0,25 g
PULB. PT. SOL.

INJ./PERF.
2g/0,25g
ANTIBIOTICE S.A.
ROMANIA
BACTACIN 2 g/0,25 g
PULB. PT. SOL.

INJ./PERF.
2g/0,25g
TERAPIA SA
ROMANIA
PULB. PT. SOL.

INJ./PERF.
2g/0,25g
ROMASTRU TRADING
SRL
ROMANIA
PULB. PT. SOL.

INJ./PERF.
2g/0,25g
MYLAN S.A.S.
FRANTA
P6L
P6
L
P6
L
P6L
P6L
P6L
P6
L
P6
L

COMPR.FILM.
500mg
DR. FALK PHARMA GMBH GERMANIA
COMPR.FILM.
P6
250mg/5ml DR. FALK PHARMA GMBH GERMANIA ML SUSP. ORALA+1LINGURITA
L
DOZATOARE DIN PP
500mg/5ml CN UNIFARM
ROMANIA CUTIE X 5 FIOLE X 5ML SOL. INJ.
X
500mg
PULB. PT. SOL.

INJ./PERF.
2g/0,25g
ROMASTRU TRADING
SRL
ROMANIA
PULB. PT. SOL.

INJ./PERF.
4g/0,5g
MYLAN S.A.S.
FRANTA
ZOPECILIN 4 g/0,5 g
PULB. PT. SOL.

INJ./PERF.
4g/0,5g
ROMASTRU TRADING
SRL
ROMANIA
ZOPECILIN 4 g/0,5 g
PULB. PT. SOL.

INJ./PERF.
4g/0,5g
ROMASTRU TRADING
SRL
ROMANIA
BACTACIN 4 g/0,5 g
PULB. PT. SOL.

INJ./PERF.
4g/0,5g
TERAPIA SA
ROMANIA
PERASIN 4g/0,5 g
PULB. PT. SOL.

INJ./PERF.
4g/0,5g
ANTIBIOTICE S.A.
ROMANIA
PULB. PT. SOL.

PERF.
2g/0,25g
S.C. FRESENIUS KABI

S.R.L.
ROMANIA
Pagina 52 din 87
50
56,54
1,130800
0,848200
71,49
1,429800
1,109400
60
42,41
0,706833
0,706833
55,47
0,924500
0,924500
100
98,29
0,982900
0,848200
124,28
1,242800
1,109400
50
54,39
1,087800
0,848200
68,77
1,375400
1,109400
60
41,43
0,690500
0,690500
54,19
0,903166
0,903166
20
27,43
1,371500
1,371500
35,88
1,794000
1,794000
50
111,83
2,236600
2,236600
136,52
2,730400
2,730400
100
219,67
2,196700
2,196700
268,17
2,681700
2,681700
97,490000
77,10
77,100000
77,100000
97,49
97,490000
9,47
1,894000
1,894000
12,80
2,560000
2,560000
10
212,62
21,262000
21,262000
259,57
25,957000
25,957000
22,93
22,930000
22,930000
30,99
30,990000
30,990000
22,93
22,930000
22,930000
30,99
30,990000
30,990000
12
265,41
22,117500
22,117500
324,01
27,000833
27,000833

S
22,93
22,930000
22,930000
30,99
30,990000
30,990000

SOL. INJ./PERF.
22,93
22,930000
22,930000
30,99
30,990000
30,990000

S
40,94
40,940000
40,940000
53,55
53,550000
53,550000
40,93
40,930000
40,930000
53,53
53,530000
53,530000
12
460,81
38,400833
38,400833
540,43
45,035833
45,035833
40,93
40,930000
40,930000
53,53
53,530000
53,530000
40,93
40,930000
40,930000
53,53
53,530000
53,530000

S
10
386,57
38,657000
26,541000
459,51
45,951000
32,401000

S/PRF

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

SOL. INJ./PERF.
SOL. INJ./PERF.
SOL. INJ./PERF.
SOL. INJ./PERF.
Grupa
terapeutic
a
Denumire generica
Denumire comerciala
Forma farmaceutica
PULB. PT. SOL.

PERF.
Concentratie
/ U.T.
4g/0,5g
Firma
S.C. FRESENIUS KABI

S.R.L.
Tara
ROMANIA
Ambalaj


ASTRAZENECA UK
MAREA
CAPACITATEA DE 30 ML CU PULB. PT. SOL.
LIMITED
BRITANIE
INJ. I.V./PERF.
ASTRAZENECA UK
MAREA
CAPACITATEA DE 20 ML PULB. PT. SOL.
LIMITED
BRITANIE
INJ. I.V./PERF.
REPUBLICA
ZENTIVA, K.S.
CEHA
ML
REPUBLICA
ZENTIVA, K.S.
CEHA
ML
TERAPIA S.A.
ROMANIA CU CAPACITATEA DE 40 ML CONTINAND
MEDOCHEMIE ROMANIA
ROMANIA
SRL
Prescriptie
Nr.c
Cod CIM
rt
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
Pret cu ridicata
maximal / U.T.
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
Pret cu
amanuntul
maximal / U.T.
Pret de
decontare / U.T.
10
389,01
38,901000
38,901000
462,17
46,217000
46,217000
10
1.030,68
103,068000
63,118800
1.161,59
116,159000
73,377600
10
539,60
53,960000
36,430800
626,31
62,631000
44,287200
PR
10
680,44
68,044000
63,118800
779,83
77,983000
73,377600
PR
10
361,24
36,124000
36,124000
431,90
43,190000
43,190000
PR
72,84
72,840000
63,118800
92,10
92,100000
73,377600
PR
10
525,99
52,599000
52,599000
611,48
61,148000
61,148000
MERONEM IV 1 g
PULB. PT. SOL. INJ.

1g
I.V./PERF.
MERONEM IV 500 mg
PULB. PT. SOL. INJ.

500mg
I.V./PERF.
PULB. PT. SOL. INJ.

1000 mg
SAU PERF.
PULB. PT. SOL. INJ.

500 mg
SAU PERF.
LODITER 1000 mg
PULB. PT. SOL.

INJ./PERF.
1000mg
ARCHIFAR 1000 mg
PULB. PT. SOL.

INJ./PERF.
1000mg
PULB. PT. SOL.

INJ./PERF.
1000mg
ANTIBIOTICE S.A.
ROMANIA

CU CAPACITATEA DE 20 ML SAU 30 ML CU
PR
DOP DIN CAUCIUC, SIGILAT CU CAPSA DIN
F
ALUMINIU PREVAZUTA CU DISC DIN
MATERIAL PLASTIC
10
680,43
68,043000
63,118800
779,82
77,982000
73,377600
MEROPENEM HOSPIRA 1 g
PULB. PT. SOL.

INJ./PERF.
1g
HOSPIRA UK LIMITED
MAREA
BRITANIE

PR
10
540,86
54,086000
54,086000
627,69
62,769000
62,769000
10
680,43
68,043000
63,118800
779,82
77,982000
73,377600
37,77
37,770000
36,430800
49,40
49,400000
44,287200
10
361,24
36,124000
36,124000
431,90
43,190000
43,190000
10
361,24
36,124000
36,124000
431,90
43,190000
43,190000
10
361,25
36,125000
36,125000
431,91
43,191000
43,191000

SOL. INJ./PERF.
PR
CU CAPACITATEA DE 30 ML CONTINAND
MEROPENEM KABI 1 g
PULB. PT. SOL.

INJ./PERF.
1g
FRESENIUS KABI
ROMANIA SRL
ROMANIA
LODITER 500 mg
PULB. PT. SOL.

INJ./PERF.
500mg
TERAPIA S.A.
ROMANIA
PULB. PT. SOL.

INJ./PERF.
500mg
ANTIBIOTICE S.A.
ROMANIA
ARCHIFAR 500 mg
PULB. PT. SOL.

INJ./PERF.
500mg
MEDOCHEMIE ROMANIA
ROMANIA
SRL
MEROPENEM KABI 500 mg
PULB. PT. SOL.

INJ./PERF.
500mg
FRESENIUS KABI
ROMANIA SRL
ROMANIA
MEROPENEM HOSPIRA 500 mg
PULB. PT. SOL.

INJ./PERF.
500mg
HOSPIRA UK LIMITED
MAREA
BRITANIE

PR
10
303,59
30,359000
30,359000
369,06
36,906000
36,906000
PULB. PT. SOL.

PERF.

mg
ROMANIA SRL
ROMANIA

S/PRF
10
296,98
29,698000
29,698000
362,55
36,255000
36,255000
CILOPEN 500mg/500mg
PULB. PT. SOL.

PERF.
500mg/500
TERAPIA SA
mg
ROMANIA
30,31
30,310000
30,310000
39,65
39,650000
39,650000
CILOPEN 500mg/500mg
PULB. PT. SOL.

PERF.
500mg/500
TERAPIA SA
mg
ROMANIA
146,26
29,252000
29,252000
178,55
35,710000
35,710000

PR
CU CAPACITATEA DE 20 ML CU DOP DIN
F
CAUCIUC, SIGILAT CU CAPSA
PR
CU CAPACITATEA DE 20 ML CU PULB. PT. PR
SOL. INJ./PERF.
CILOPEN 500mg/500mg
PULB. PT. SOL.

PERF.
500mg/500
TERAPIA SA
mg
ROMANIA

PERF.
S/PRF
10
292,52
29,252000
29,252000
357,11
35,711000
35,711000
CILOPEN 500mg/500mg
PULB. PT. SOL.

PERF.
500mg/500
TERAPIA SA
mg
ROMANIA
146,26
29,252000
29,252000
178,55
35,710000
35,710000
CILOPEN 500mg/500mg
PULB. PT. SOL.

PERF.
500mg/500
TERAPIA SA
mg
ROMANIA

PERF.
S/PRF
10
292,52
29,252000
29,252000
357,11
35,711000
35,711000
CILOPEN 500mg/500mg
PULB. PT. SOL.

PERF.
500mg/500
TERAPIA SA
mg
ROMANIA
146,26
29,252000
29,252000
178,55
35,710000
35,710000
10
292,52
29,252000
29,252000
357,11
35,711000
35,711000
10
292,52
29,252000
29,252000
357,11
35,711000
35,711000
48,56
48,560000
48,560000
63,52
63,520000
63,520000
CILOPEN 500mg/500mg
PULB. PT. SOL.

PERF.
500mg/500
TERAPIA SA
mg
ROMANIA

PERF.
PULB. PT. SOL.

PERF.
500mg/500
ANTIBIOTICE S.A.
mg
ROMANIA

PR
53 W43348001 J01XA01
VANCOMYCIN TEVA
LIOF. PT. SOL.

PERF.
1g
VANCOMYCINUM
TEVA PHARM. WORKS

UNGARIA
Pagina 53 din 87

SOL. PERF.
S/PRF
S/PRF
Grupa
terapeutic
a
54 W43347001 J01XA01
Denumire generica
VANCOMYCINUM
Denumire comerciala
VANCOMYCIN TEVA
Forma farmaceutica
LIOF. PT. SOL.

PERF.
PULB. PT. SOL.
PERF.
PULB. PT. SOL.
PERF.
Concentratie
/ U.T.
500mg
Firma
Tara
Ambalaj
Prescriptie
Nr.c
Cod CIM
rt
TEVA PHARM. WORKS

UNGARIA

SOL. PERF.
PHARMASWISS CESKA
REPUBLIKA S.R.O.
PHARMASWISS CESKA
REPUBLIKA S.R.O.
REPUBLICA
CEHA
REPUBLICA
CEHA

PR
PR
S/PRF
55 W56449002 J01XA01
VANCOMYCINUM
56 W56448002 J01XA01
VANCOMYCINUM
57 W57042001 J01XA01
VANCOMYCINUM
PULB. PT.CONC.
PT.SOL. PERF.
1000mg
FRESENIUS KABI
ROMANIA SRL
ROMANIA

58 W57041001 J01XA01
VANCOMYCINUM
PULB. PT.CONC.
PT.SOL. PERF.
500mg
FRESENIUS KABI
ROMANIA SRL
ROMANIA

59 W06051001 J01XA01
VANCOMYCINUM
EDICIN
PULB.LIOF.PT.SOL.
1g
PERF./INJ
LEK PHARMACEUTICALS
CUTIE X 1 FLAC. DIN STICLA INCOLORA CU S/PSLOVENIA
RF
D.D.
PULB. LIOF. PT. SOL. PERF./INJ.
60 W13105001 J01XA02
TEICOPLANINUM
TARGOCID (R) 400 mg
LIOF. + SOLV. PT.

SOL. INJ.
400mg
61 W52799001 J01XX08
LINEZOLIDUM
ZYVOXID (R)
COMPR. FILM.
600mg
MAREA
BRITANIE
MAREA
BRITANIE
62 W52800001 J01XX08
LINEZOLIDUM
ZYVOXID (R)
GRAN. PT. SUSP.

ORALA
63 W57578002 J01XX08
LINEZOLIDUM
SOL. PERF.
2mg/ml
64 W60604004 J01XX08
LINEZOLIDUM
PNEUMOLID 2 mg/ml
SOL. PERF.
2mg/ml
65 W52801001 J01XX08
LINEZOLIDUM
ZYVOXID (R)
SOL. PERF.
2mg/ml
66 W60604001 J01XX08
LINEZOLIDUM
PNEUMOLID 2 mg/ml
SOL. PERF.
2mg/ml
67 W60734001 J01XX08
LINEZOLIDUM
SOL. PERF.
2mg/ml
68 W08372001 J02AC01
FLUCONAZOLUM
FLUCOVIM 100
CAPS.
100mg
1000mg
500mg
69 W42371002 J02AC01
FLUCONAZOLUM
FUNGOLON 100 mg
CAPS.
100mg
70 W58225007 J02AC01
FLUCONAZOLUM
CAPS.
100mg
AVENTIS PHARMA LTD.


DUBLA X 2,5 ML/5 ML
TEVA
PHARMACEUTICALS
S.R.L.
ALVOGEN IPCO S.AR.L
G
ML SOL. PERF.
MAREA
BRITANIE
ALVOGEN IPCO S.AR.L
G
SUPLIMENTAR
SANDOZ S.R.L.
PERF.
VIM SPECTRUM SRL

BALKANPHARMA
RAZGRAD AD
AUROBINDO PHARMA
(MALTA) LIMITED
TEVA
PHARMACEUTICALS
S.R.L.
TEVA
PHARMACEUTICALS
S.R.L.
MAREA
BRITANIE
ROMANIA
BULGARIA CUTIE X 2 BLIST. PVC/AL X 8 CAPS.

MALTA
CUTIE CU BLIST. PVC

FLUCONAZOLUM
CAPS.
100mg
73 W43288001 J02AC01
FLUCONAZOLUM
CAPS.
150mg
SANDOZ SRL
74 W42693001 J02AC01
FLUCONAZOLUM
FLUCONAZOL 150 mg
CAPS.
150mg
SLAVIA PHARM SRL
ROMANIA
VIM SPECTRUM SRL
ROMANIA
75 W08373001 J02AC01
FLUCONAZOLUM
FLUCOVIM 150
CAPS.
150mg
76 W51994001 J02AC01
FLUCONAZOLUM
CAPS.
150mg
77 W60221001 J02AC01
FLUCONAZOLUM
CAPS.
150mg
78 W43598001 J02AC01
FLUCONAZOLUM
CAPS.
150mg
MEDOCHEMIE ROMANIA
ROMANIA
SRL
REPUBLICA
ZENTIVA K.S.
CEHA
TEVA
PHARMACEUTICALS
ROMANIA
S.R.L.
ROMPHARM COMPANY
ROMANIA
S.R.L.
79 W57430001 J02AC01
FLUCONAZOLUM
CAPS.
150mg
80 W57239001 J02AC01
FLUCONAZOLUM
CAPS.
150mg
81 W53943002 J02AC01
FLUCONAZOLUM
CAPS.
150mg
ARENA GROUP SA
82 W58226001 J02AC01
FLUCONAZOLUM
CAPS.
150mg
83 W56446001 J02AC01
FLUCONAZOLUM
CAPS.
150mg
84 W03156001 J02AC01
FLUCONAZOLUM
DIFLUCAN 150 mg
CAPS.
150mg
MAREA
BRITANIE
85 W44089001 J02AC01
FLUCONAZOLUM
FLUCORIC 150 mg
CAPS.
150mg
TERAPIA SA
ROMANIA
AUROBINDO PHARMA
(MALTA) LIMITED
ACTAVIS GROUP PTC
EHF.
Pagina 54 din 87
ROMANIA
MALTA
ISLANDA

32,820000
32,820000
45,600000
45,600000
535,19
53,519000
53,519000
23,430000
286,03
28,603000
28,603000
PR
48,39
48,390000
48,390000
63,30
63,300000
63,300000
PR
24,17
24,170000
24,170000
32,67
32,670000
32,670000
PRF
PRF
56,90
56,900000
54,720000
71,94
71,940000
64,222800
109,84
109,840000
109,840000
134,09
134,090000
134,090000
10
1.603,26
160,326000
160,326000
1.785,71
178,571000
178,571000
PRF
879,36
879,360000
879,360000
996,65
996,650000
996,650000
PR
F
10
1.052,62
105,262000
105,262000
1.185,51
118,551000
118,551000
PR
10
1.052,62
105,262000
105,262000
1.185,51
118,551000
118,551000
10
1.603,26
160,326000
126,314400
1.785,71
178,571000
142,261200
PR
112,48
112,480000
112,480000
137,32
137,320000
137,320000
PR
112,48
112,480000
112,480000
137,32
137,320000
137,320000
PRF
PRF
PR
F
18,95
4,737500
3,615428
25,61
6,402500
4,887428
16
65,37
4,085625
3,615428
82,66
5,166250
4,887428
21,09
3,012857
3,012857
28,51
4,072857
4,072857
6,98
3,490000
3,490000
9,43
4,715000
4,715000
23,31
3,330000
3,330000
31,51
4,501428
4,501428
10,79
10,790000
5,340000
14,58
14,580000
7,212000
7,16
7,160000
5,340000
9,68
9,680000
7,212000
PRF
72 W43597002 J02AC01
32,82
23,430000
100mg
24,280000
Pret de
decontare / U.T.
456,00
ROMANIA
CAPS.
24,280000
Pret cu
amanuntul
maximal / U.T.
234,30
24,28
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
10
ROMANIA
FLUCONAZOLUM
Pret cu ridicata
maximal / U.T.
10
PRF
71 W43597001 J02AC01
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
PRF
PRF
PRF
PRF
PRF
PRF
PR
F
PR
F
RF
PR
F
PR
F
RF
RF
7,35
7,350000
5,340000
9,94
9,940000
7,212000
6,07
6,070000
5,340000
8,20
8,200000
7,212000
8,90
8,900000
5,340000
12,03
12,030000
7,212000
4,88
4,880000
4,880000
6,59
6,590000
6,590000
7,212000
9,57
9,570000
5,340000
12,94
12,940000
7,35
7,350000
5,340000
9,94
9,940000
7,212000
6,68
6,680000
5,340000
9,03
9,030000
7,212000
4,45
4,450000
4,450000
6,01
6,010000
6,010000
7,44
7,440000
5,340000
10,06
10,060000
7,212000
18,56
18,560000
5,340000
25,08
25,080000
7,212000
13,95
13,950000
5,340000
18,86
18,860000
7,212000
Grupa
terapeutic
a
86 W54835003 J02AC01
87 W52224001 J02AC01
88 W43599002 J02AC01
Denumire generica
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
Denumire comerciala
MYCOSYST 150 mg
Forma farmaceutica
CAPS.
CAPS.
CAPS.
Concentratie
/ U.T.
Firma
Tara
Ambalaj
Prescriptie
Nr.c
Cod CIM
rt
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
Pret cu ridicata
maximal / U.T.
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
Pret cu
amanuntul
maximal / U.T.
Pret de
decontare / U.T.
150mg
GEDEON RICHTER
ROMANIA SA
PRF
48,24
12,060000
5,340000
63,10
15,775000
7,212000
150mg
LABORATOARELE
ROMANIA
PRF
4,88
4,880000
4,880000
6,59
6,590000
6,590000
200mg
TEVA
PHARMACEUTICALS
S.R.L.
PRF
30,10
4,300000
4,300000
39,37
5,624285
5,624285
14,49
2,070000
1,777714
19,58
2,797142
2,403428
43,23
6,175714
1,777714
56,54
8,077142
2,403428
14,15
2,021428
1,777714
19,12
2,731428
2,403428
ROMANIA
ROMANIA
89 W42321001 J02AC01
FLUCONAZOLUM
FLUCONAZOL 50 mg
CAPS.
50mg
SLAVIA PHARM SRL
ROMANIA
90 W03157001 J02AC01
FLUCONAZOLUM
DIFLUCAN 50 mg
CAPS.
50mg
MAREA
BRITANIE
91 W53942002 J02AC01
FLUCONAZOLUM
CAPS.
50mg
ARENA GROUP SA
ROMANIA
92 W57238001 J02AC01
FLUCONAZOLUM
CAPS.
50mg
PRF
PRF
PRF
PR
F
93 W43596001 J02AC01
FLUCONAZOLUM
CAPS.
50mg
TEVA
PHARMACEUTICALS
S.R.L.
ROMANIA
PRF
94 W52225001 J02AC01
FLUCONAZOLUM
CAPS.
50mg
LABORATOARELE
ROMANIA
PRF
95 W51993001 J02AC01
FLUCONAZOLUM
CAPS.
50mg
MEDOCHEMIE ROMANIA
ROMANIA
SRL
96 W44098001 J02AC01
FLUCONAZOLUM
FLUCORIC 50 mg
CAPS.
50mg
TERAPIA SA
ROMANIA

CAPS.
97 W43287001 J02AC01
FLUCONAZOLUM
CAPS.
50mg
SANDOZ SRL
ROMANIA
98 W58224007 J02AC01
FLUCONAZOLUM
CAPS.
50mg
AUROBINDO PHARMA
(MALTA) LIMITED
MALTA
CUTIE CU BLIST. PVC

99 W08374001 J02AC01
FLUCONAZOLUM
FLUCOVIM 50
CAPS.
50mg
VIM SPECTRUM SRL
ROMANIA
PRF
PRF
PRF
PR
F
PRF
16,69
2,384285
1,777714
22,56
3,222857
2,403428
12,35
1,764285
1,764285
16,69
2,384285
2,384285
11,66
1,665714
1,665714
15,76
2,251428
2,251428
11,95
1,707142
1,707142
16,15
2,307142
2,307142
21,91
3,130000
1,777714
29,61
4,230000
2,403428
32,06
4,580000
1,777714
41,93
5,990000
2,403428
10,37
1,481428
1,481428
14,02
2,002857
2,002857
16,69
2,384285
1,777714
22,56
3,222857
2,403428
23,46
23,460000
23,460000
31,71
31,710000
31,710000
100 W58322001 J02AC01
FLUCONAZOLUM
DIFLUCAN 10 mg/ml
PULB. PT. SUSP.

ORALA
10mg/ml
MAREA
BRITANIE

PR
F
101 W58456001 J02AC01
FLUCONAZOLUM
SOL. PERF.
2mg/ml
ROMANIA

PR
20
350,00
17,500000
17,500000
419,65
20,982500
20,982500
102 W58456002 J02AC01
FLUCONAZOLUM
SOL. PERF.
2mg/ml
ROMANIA

PR
20
630,00
31,500000
20,737200
724,85
36,242500
25,316400
103 W60056001 J02AC01
FLUCONAZOLUM
SOL. PERF.
2mg/ml
ZENTIVA K.S.
17,91
17,910000
17,910000
24,21
24,210000
24,210000
104 W57368003 J02AC01
FLUCONAZOLUM
SOL. PERF.
2mg/ml
ARENA GROUP S.A.
40,63
40,630000
20,737200
53,14
53,140000
25,316400
105 W60056005 J02AC01
FLUCONAZOLUM
SOL. PERF.
2mg/ml
ZENTIVA K.S.
10
172,81
17,281000
17,281000
210,97
21,097000
21,097000
106 W56963002 J02AC01
FLUCONAZOLUM
MYCOMAX INF 2mg/ml
SOL. PERF.
2mg/ml
ZENTIVA K.S.
88,14
88,140000
88,140000
111,45
111,450000
103,986000
FRESENIUS KABI
ROMANIA SRL
FRESENIUS KABI
ROMANIA SRL

REPUBLICA
CEHA
FLUCONAZOL
REPUBLICA
CEHA
200 MG FLUCONAZOL
REPUBLICA
CEHA
FLUCONAZOL
ROMANIA
ML SOL. PERF.
ROMANIA
ML SOL. PERF.
107 W55502009 J02AC01
FLUCONAZOLUM
SOL. PERF.
2mg/ml
108 W55502017 J02AC01
FLUCONAZOLUM
SOL. PERF.
2mg/ml
109 W58456003 J02AC01
FLUCONAZOLUM
SOL. PERF.
2mg/ml
ROMANIA

PR
110 W55502001 J02AC01
FLUCONAZOLUM
SOL. PERF.
2mg/ml
FRESENIUS KABI
ROMANIA SRL
ROMANIA

S
SOL. PERF.
2mg/ml

X 100 ML
R-F
111 W12072001 J02AC01
FLUCONAZOLUM
DIFLAZON 2mg/ml
SOL. PERF.
MAREA
BRITANIE
MAREA
BRITANIE
MAREA
BRITANIE
112 W08947008 J02AC03
VORICONAZOLUM**
VFEND 200mg
COMPR. FILM.
200mg
PFIZER LIMITED
113 W08946008 J02AC03
VORICONAZOLUM**
VFEND 50mg
COMPR. FILM.
50mg
PFIZER LIMITED
114 W10489001 J02AC03
VORICONAZOLUM**
VFEND 200mg
PULB. PT. SOL.

PERF.
200mg
PFIZER LIMITED
115 W41889001 J02AC03
VORICONAZOLUM**
VFEND 40 mg/ml
PULB. PT. SUSP.

ORALA
40mg/ml
PFIZER LIMITED
NOXAFIL 100mg
CAPS.
GASTROREZ.
100mg

LTD.
BRITANIE
40mg/ml
MAREA
MERCK SHARP & DOHME
BRITANIE
116 W60913001 J02AC04

117 W58194001 J02AC04
POSACONAZOLUM**
POSACONAZOLUM**
NOXAFIL 40mg/ml
SUSP. ORALA
Pagina 55 din 87
MAREA
BRITANIE

34,28
34,280000
20,737200
44,84
44,840000
25,316400
81,95
81,950000
81,950000
103,62
103,620000
103,620000
10
760,00
76,000000
76,000000
866,55
86,655000
86,655000
18,84
18,840000
18,840000
25,47
25,470000
25,179000
35,03
35,030000
20,737200
45,82
45,820000
25,316400
28
3.559,23
127,115357
127,115357
3.917,72
139,918571
139,918571
28
912,09
32,574642
32,574642
1.032,33
36,868928
36,868928
458,07
458,070000
458,070000
537,45
537,450000
537,450000
PRF
2.203,52
2.203,520000
2.203,520000
2.439,99
2.439,990000
2.439,990000
PR
24
3.330,00
138,750000
138,750000
3.667,85
152,827083
152,827083
PRF/
R
2.488,19
2.488,190000
2.488,190000
2.750,28
2.750,280000
2.750,280000
PRF
PRF
PRF
Grupa
terapeutic
a
Denumire generica
Denumire comerciala
118 W06665001 J02AX04
CASPOFUNGINUM**
CANCIDAS 50 mg
119 W06670001 J02AX04
CASPOFUNGINUM**
CANCIDAS 70 mg
Forma farmaceutica
PULB. PT. CONC.

PT. SOL. PERF.
PULB. PT. CONC.
PT. SOL. PERF.
CAPS.
Concentratie
/ U.T.
Firma
50mg
MERCK SHARP & DOHME
70mg
MERCK SHARP & DOHME
200mg
ARENA GROUP SA
Tara
MAREA
BRITANIE
MAREA
BRITANIE

SOL. PERF.
SOL. PERF.
1.202,390000
1.202,390000
1.348,76
1.348,760000
1.348,760000
1.560,14
1.560,140000
1.560,140000
1.738,70
1.738,700000
1.738,700000
704,14
0,704140
0,613200
805,66
0,805660
0,805660
15,85
0,792500
0,613200
21,42
1,071000
0,828600
15,85
0,792500
0,613200
21,42
1,071000
0,828600
14,97
0,748500
0,613200
20,23
1,011500
0,828600
14,41
1,441000
1,441000
19,48
1,948000
1,948000
20
10,22
0,511000
0,511000
13,81
0,690500
0,690500
20
12,75
0,637500
0,613200
17,23
0,861500
0,828600
20
12,75
0,637500
0,613200
17,23
0,861500
0,828600
20
12,75
0,637500
0,613200
17,23
0,861500
0,828600
20
12,69
0,634500
0,613200
17,15
0,857500
0,828600
10
20,11
2,011000
1,729200
27,18
2,718000
2,337600
231,79
46,358000
46,358000
282,97
56,594000
56,594000
10
43,54
4,354000
3,396000
56,95
5,695000
4,441200
10
28,30
2,830000
2,830000
37,01
3,701000
3,701000
3.171,52
52,858666
52,858666
3.495,11
58,251833
58,251833
PRF/ 1.000
S
P20
RF
P20
RF
P20
RF
P10
RF
ACICLOVIRUM
CAPS.
200mg
FARMEX COMPANY
S.R.L.
ROMANIA
ACICLOVIRUM
CAPS.
200mg
ARENA GROUP SA
ROMANIA
123 W42857001 J05AB01
ACICLOVIRUM
ACICLOVIR 200 mg
CAPS.
200mg
SLAVIA PHARM SRL
ROMANIA
124 W53676001 J05AB01
ACICLOVIRUM
CAPS.
400mg
ARENA GROUP S.A.
ROMANIA
UNGARIA

RF
ROMANIA
ROMANIA
ROMANIA
ROMANIA
UNGARIA

RF
ACICLOVIR 200 mg
COMPR.
200mg
COMPR.
200mg
LAROPHARM S.R.L.
GEDEON RICHTER
ROMANIA SA
GEDEON RICHTER
ROMANIA SA
127 W60558001 J05AB01
ACICLOVIRUM
COMPR.
200mg
128 W13972001 J05AB01
ACICLOVIRUM
ACICLOVIR 200 mg
COMPR.
200mg
129 W00044001 J05AB01
ACICLOVIRUM
COMPR.
200mg
TERAPIA SA
130 W06668003 J05AB01
ACICLOVIRUM
ACICLOVIR 400 mg
COMPR.
400mg
EGIS
PHARMACEUTICALS
P.L.C.
131 W00058001 J05AB01
ACICLOVIRUM
VIROLEX
PULB. PT. SOL.

INJ./PERF.
250mg
132 W58707001 J05AB11
VALACYCLOVIRUM
VALTREX 500 mg
COMPR. FILM.
500 mg
THE WELLCOME
FOUNDATION LTD.
MAREA
BRITANIE
133 W60087001 J05AB11
VALACYCLOVIRUM
COMPR. FILM.
500mg
ARENA GROUP S.A.
ROMANIA
450mg
TEVA
PHARMACEUTICALS
S.R.L.
ROMANIA
134 W60756001 J05AB14

135 W51832001 J05AB14
136 W54752003 J06BA02
137 W54752004 J06BA02
138 W54752002 J06BA02
139 W54752001 J06BA02
140 W51530003 J06BA02
141 W51530004 J06BA02
142 W51530006 J06BA02
143 W51530005 J06BA02
144 W51530001 J06BA02
VALGANCICLOVIRUM**
VALGANCICLOVIRUM**
INTRAVASCULARA**
INTRAVASCULARA**
INTRAVASCULARA**
INTRAVASCULARA**
INTRAVASCULARA**
INTRAVASCULARA**
INTRAVASCULARA**
INTRAVASCULARA**
INTRAVASCULARA**
COMPR. FILM.
VALCYTE (R) 450 mg
COMPR. FILM.
450mg
OCTAGAM 10%
SOL. PERF.
100 mg/ml
OCTAGAM 10%
SOL. PERF.
100 mg/ml
OCTAGAM 10%
SOL. PERF.
100 mg/ml
OCTAGAM 10%
SOL. PERF.
100 mg/ml
S/PRF

PR
F
PR
F

COMPR. FILM.
PR
F
60
PRF
ROMANIA
OCTAPHARMA (IP)
LIMITED
OCTAPHARMA (IP)
LIMITED
OCTAPHARMA (IP)
LIMITED
OCTAPHARMA (IP)
LIMITED
MAREA
BRITANIE
MAREA
BRITANIE
MAREA
BRITANIE
MAREA
BRITANIE

100 ML SOL. PERF.
200 ML SOL. PERF.
50 ML SOL. PERF.
20 ML SOL. PERF.
PERF.(5G/50ML)
PERF.(10G/100ML)
PERF.(30G/300ML)
PERF.(20G/200ML)
PERF.(1G/10ML)
KIOVIG 100mg/ml
SOL. PERF.
100mg/ml
BAXTER AG
AUSTRIA
KIOVIG 100mg/ml
SOL. PERF.
100mg/ml
BAXTER AG
AUSTRIA
KIOVIG 100mg/ml
SOL. PERF.
100mg/ml
BAXTER AG
AUSTRIA
KIOVIG 100mg/ml
SOL. PERF.
100mg/ml
BAXTER AG
AUSTRIA
KIOVIG 100mg/ml
SOL. PERF.
100mg/ml
BAXTER AG
AUSTRIA
PRF
PR
F
PRF
PRF

INJ./PERF.
ROCHE ROMANIA SRL
60
4.863,09
81,051500
63,430399
5.338,93
88,982166
69,902200
1.714,69
1.714,690000
1.714,690000
1.907,17
1.907,170000
1.907,170000
3.437,56
3.437,560000
3.437,560000
3.785,10
3.785,100000
3.785,100000
881,87
881,870000
881,870000
999,39
999,390000
999,390000
379,02
379,020000
379,020000
451,28
451,280000
451,280000
925,45
925,450000
909,000000
1.046,89
1.046,890000
1.036,596000
1.857,75
1.857,750000
1.782,000000
2.063,10
2.063,100000
1.988,160000
5.558,99
5.558,990000
5.558,990000
6.097,46
6.097,460000
6.097,460000
3.821,35
3.821,350000
3.821,350000
4.203,43
4.203,430000
4.203,430000
202,26
202,260000
202,260000
246,92
246,920000
246,920000
1.485,00
1.485,000000
1.485,000000
1.656,80
1.656,800000
1.656,800000
197,39
197,390000
197,390000
240,98
240,980000
240,980000
145 W43965001 J06BA02

INTRAVASCULARA**
IG VENA 10g/200ml
SOL. PERF.
10g/200ml
KEDRION SPA
ITALIA

S
146 W43962001 J06BA02

INTRAVASCULARA**
IG VENA 1g/20ml
SOL. PERF.
1g/20ml
KEDRION SPA
ITALIA

147 W43963001 J06BA02

INTRAVASCULARA**
IG VENA 2,5g/50ml
SOL. PERF.
2,5g/50ml
KEDRION SPA
ITALIA

INTRATECT 50 g/l
SOL. PERF.
50g/l
148 W59114003 J06BA02

149 W59114001 J06BA02
150 W59114004 J06BA02
151 W59114002 J06BA02
152 W52560001 J06BA02
153 W13462001 J06BA02
154 W13462003 J06BA02
155 W13462002 J06BA02

INTRAVASCULARA**
INTRAVASCULARA**
INTRAVASCULARA**
INTRAVASCULARA**
INTRAVASCULARA**
INTRAVASCULARA**
INTRAVASCULARA**
INTRAVASCULARA**
INTRATECT 50 g/l
SOL. PERF.
50g/l
INTRATECT 50 g/l
SOL. PERF.
50g/l

SOL. PERF.
PERF.
SOL. PERF.
PERF.
PR
F
PR
F
PR
F
PR
F
INTRATECT 50 g/l
SOL. PERF.
50g/l
SOL. PERF.
50mg/ml
OCTAGAM
SOL. PERF.
50mg/ml
OCTAGAM
SOL. PERF.
50mg/ml
OCTAGAM
SOL. PERF.
50mg/ml
Pagina 56 din 87
MAREA
BRITANIE
MAREA
BRITANIE
MAREA
BRITANIE
Pret de
decontare / U.T.
1.202,39
122 W53675001 J05AB01
ACICLOVIRUM
Pret cu
amanuntul
maximal / U.T.
121 W56038001 J05AB01
ACICLOVIRUM
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
126 W53225001 J05AB01
Pret cu ridicata
maximal / U.T.
ACICLOVIRUM
125 W06667003 J05AB01
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
120 W53675003 J05AB01
EGIS
PHARMACEUTICALS
P.L.C.
ROMANIA
Ambalaj
Prescriptie
Nr.c
Cod CIM
rt
393,75
393,750000
393,750000
467,34
467,340000
467,340000
882,14
882,140000
882,140000
999,68
999,680000
999,680000
187,48
187,480000
187,480000
228,87
228,870000
228,870000
1.734,28
1.734,280000
1.734,280000
1.928,52
1.928,520000
1.928,520000
456,06
456,060000
456,060000
535,26
535,260000
535,260000
102,55
102,550000
102,550000
125,19
125,190000
125,190000
465,59
465,590000
465,590000
545,64
545,640000
545,640000
1.772,34
1.772,340000
1.772,340000
1.970,00
1.970,000000
1.970,000000
882,13
882,130000
882,130000
999,67
999,670000
999,670000
Grupa
terapeutic
a
156 W43964001 J06BA02
Denumire generica

INTRAVASCULARA**
Denumire comerciala
IG VENA 5g/100ml
Forma farmaceutica
SOL. PERF.
Concentratie
/ U.T.
Firma
Tara
KEDRION SPA
ITALIA

RF
ROMANIA
157 W12490001 L01AA01
CYCLOPHOSPHAMIDUM
ENDOXAN (R) 50 mg
DRAJ.
50mg
158 W52215001 L01AA01
CYCLOPHOSPHAMIDUM
ENDOXAN 200 mg
PULB. PT. SOL.

PERF./INJ. I.V.
200mg
ACTAVIS S.R.L.
159 W58865001 L01AA03
MELPHALANUM
ALKERAN 2 mg
COMPR. FILM.
2mg
ASPEN PHARMA
TRADING LIMITED
IRLANDA
160 W60631001 L01AA03
MELPHALANUM
ALKERAN 50 mg
50mg
CN UNIFARM S.A.
ROMANIA
161 W12497001 L01AA06
IFOSFAMIDUM
HOLOXAN 1 g
162 W58856002 L01AB01
BUSULFANUM
MYLERAN
COMPR. FILM.
2mg
163 W51454001 L01AB01
BUSULFANUM
BUSILVEX 6mg/ml
CONC. PT. SOL.

PERF.
6mg/ml
164 W58569001 L01BA01
METHOTREXATUM
COMPR.
10mg
165 W58568001 L01BA01
METHOTREXATUM
COMPR.
2,5mg
166 W12735001 L01BA01
METHOTREXATUM
167 W04185002 L01BA01
METHOTREXATUM
168 W12733003 L01BA01
METHOTREXATUM
169 W59856001 L01BA01
METHOTREXATUM
BENDATREXAT
CONC. PT. SOL.

INJ./PERF.
CONC. PT. SOL.
INJ./PERF.
CONC. PT. SOL.
INJ./PERF.
SOL INJ.
170 W04186001 L01BA01
METHOTREXATUM
SOL. INJ.
171 W58316001 L01BA01
METHOTREXATUM
172 W58316010 L01BA01
METHOTREXATUM
173 W58316004 L01BA01
METHOTREXATUM
174 W58316007 L01BA01
METHOTREXATUM
175 W53758006 L01BA01
METHOTREXATUM
METOJECT 50mg/ml
176 W53758016 L01BA01
METHOTREXATUM
METOJECT 50mg/ml
177 W53758001 L01BA01
METHOTREXATUM
METOJECT 50mg/ml
178 W53758021 L01BA01
METHOTREXATUM
METOJECT 50mg/ml
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
1g
100mg/ml
100mg/ml
100mg/ml
25mg/ml
5mg/ml
BAXTER ONCOLOGY
GMBH
ASPEN PHARMA
TRADING LIMITED
PIERRE FABRE
MEDICAMENT
TEVA
PHARMACEUTICALS
S.R.L.
TEVA
PHARMACEUTICALS
S.R.L.
EBEWE PHARMA GMBH
NFG. KG
EBEWE PHARMA GMBH
NFG. KG
EBEWE PHARMA GMBH
NFG. KG
CN UNIFARM S.A.
EBEWE PHARMA GMBH
NFG. KG
IRLANDA
FRANTA
117,16
117,160000
1.159,50
11,595000
11,595000
9.151,91
1.143,988750
1.143,988750 10.013,75
1.251,718750
1.251,718750
332,72
332,720000
332,720000
400,81
400,810000
400,810000
197,47
39,494000
39,494000
241,07
48,214000
48,214000
70,91
70,910000
70,910000
89,66
89,660000
89,660000
ROMANIA
CUTIE X 1 TUB DIN MATERIAL PLASTIC X 1

S
FIOLA X 10 ML
CUTIE CU 1 FLAC. X 2 ML
PR
AUSTRIA
AUSTRIA
65,37
65,370000
65,370000
82,65
82,650000
82,650000
10
17,62
1,762000
1,762000
23,82
2,382000
2,382000
PR
45,60
45,600000
45,600000
59,64
59,640000
59,640000
PR
100,34
100,340000
100,340000
122,50
122,500000
122,500000
PR
62,22
62,220000
62,220000
78,67
78,670000
78,670000
PR
87,07
87,070000
87,070000
110,09
110,090000
110,090000
PRF
62,22
62,220000
62,220000
78,67
78,670000
78,670000
PRF
86,63
86,630000
86,630000
109,54
109,540000
109,540000
PRF
59,16
59,160000
54,720000
74,80
74,800000
71,568000
PRF
101,74
101,740000
101,740000
124,21
124,210000
124,210000
20
1.094,66
54,733000
54,733000
1.231,33
61,566500
61,566500
513,08
102,616000
102,616000
597,41
119,482000
119,482000
340,13
340,130000
123,139200
408,89
408,890000
143,378400
10
311,36
31,136000
31,136000
377,53
37,753000
37,753000
20
308,57
15,428500
15,428500
374,49
18,724500
18,724500
ROMANIA

S
32,83
32,830000
32,830000
42,94
42,940000
42,940000
AUSTRIA
39,04
39,040000
38,352000
51,07
51,070000
50,172000
ROMANIA

PERF.
31,96
31,960000
31,960000
41,81
41,810000
41,810000
MAREA
BRITANIE

TIP I, CU CAPACITATEA DE 10 ML NCHIS
CU DOP DIN CAUCIUC BROMOBUTIL SI
PR
SIGILAT CU CAPSE DETASABILE DIN AL DE
CULOARE ALBASTRA CONTINND 10 ML
CONC. PENTRU SOL. PERF.
61,04
61,040000
61,040000
77,18
77,180000
77,180000
GERMANIA
GERMANIA
GERMANIA
GERMANIA
PULB. PT. SOL.

INJ./PERF.
25mg/ml
ACTAVIS S.R.L.
ROMANIA

UNGARIA
KFT
UNGARIA
KFT
Pagina 57 din 87
92,660000
10,287600
FLUDARABINA ACTAVIS 25 mg/ml
20mg/ml
92,660000
10,287600
FLUDARABINUM
ETOPOZIDA KABI 20 mg/ml
92,66
1.028,76
181 W53700001 L01BB05
117,160000
1
100
PRF
OLANDA
FRESENIUS KABI
ONCOLOGY PLC
751,700000
OLANDA
CONC. PT. SOL.

PERF.
14,090000
751,700000
GENZYME EUROPE B.V.
ETOPOSIDE - TEVA
14,090000
751,70
AUSTRIA
GENZYME EUROPE B.V.
352,25
654,630000
AUSTRIA
50mg
CONC. PT. SOL.

PERF.
11,541600
654,630000
0,720666
10mg
ETOPOSID "EBEWE" 100 mg/5 ml
11,541600
654,63
0,720666
LIOF. PT. SOL.

INJ./PERF.
288,54
21,62
COMPR. FILM.
EBEWE PHARMA
100mg/5ml
GES.M.B.H. NFG KG
TEVA
20mg/ml
PHARMACEUTICALS
S.R.L.
25
PR
0,533333
FLUDARA
PRF
0,533333
FLUDARA ORAL 10 mg
CONC. PT. SOL.

PERF.
15,890000
16,00
FLUDARABINUM
SINTOPOZID 100 mg/5 ml
0,522600
15,890000
30
FLUDARABINUM
CONC. PT. SOL.

PERF.
0,522600
15,89
P6
L
180 W56211001 L01BB05
50mg
26,13
AUSTRIA
100mg
0,386600
11,760000
ROMANIA
EBEWE PHARMA
GES.M.B.H. NFG KG
CAPS. MOI
0,386600
11,760000
2,881000
10mg/ml
CAPS. MOI
11,76
2,881000
AUSTRIA
VEPESID
19,33
28,81
EBEWE PHARMA
GES.M.B.H. NFG KG
VEPESID
50
2,132000
10mg/ml
863,830000
2,132000
AUSTRIA
863,83
21,32
EBEWE PHARMA
GES.M.B.H. NFG KG
50mg/ml
757,500000
10
10mg/ml
50mg/ml
863,830000
Pret de
decontare / U.T.
P6
L
AUSTRIA
50mg/ml
Pret cu
amanuntul
maximal / U.T.
CUTIE X 10COMPR.
10mg/ml
50mg/ml
757,500000
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
ROMANIA
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

COMPR. FILM.
INJ.
Pret cu ridicata
maximal / U.T.
757,50

COMPR. FILM.
CUTIE CU 1 FIOLA PULB.+ 1 FIOLA
SOLVENT
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
GERMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. PERF. S
179 W56210002 L01BB05

S
5g/100ml
BAXTER ONCOLOGY
GMBH
PULB+SOLV. PT.
SOL. INJ./PERF.
PULB. PT. SOL.
PERF.
Ambalaj
Prescriptie
Nr.c
Cod CIM
rt

DE UNICA FOLOSINTA PT. INJ
TAMPOANE CU ALCOOL
TAMPOANE CU ALCOOL
TAMPOANE CU ALCOOL
TAMPOANE CU ALCOOL
PCUTIE X 1 FLAC. DIN PE X 4 BLIST. AL/AL X

RF/
5 COMPR. FILM.
S
CUTIE X 5 FLAC. CU LIOF. PT. SOL.
S
INJ./PERF.
(CAPACITATE 5ML) CU PULB. PT. SOL.
S
INJ/PERF CONTINAND 50MG FLUDA
CUTIE X 1 BLIST. PVC/A0-PVC-PVDC X 10
PCAPS.
RF
CUTIE X 2 BLIST. PVC/AL-PVC-PVDC X 10
PCAPS.
RF
Grupa
terapeutic
a
Denumire generica
Denumire comerciala
ETOPOSIDE - TEVA
ZAVEDOS
ZAVEDOS 5 mg
191 W42735002 L01DB07 MITOXANTRONUM**
ONKOTRONE
192 W56664002 L01XA01
CISPLATINUM
PLATOSIN 0,5 mg/ml
193 W56664003 L01XA01
CISPLATINUM
PLATOSIN 0,5 mg/ml
194 W56664001 L01XA01
CISPLATINUM
PLATOSIN 0,5 mg/ml
195 W56665003 L01XA01
CISPLATINUM
PLATOSIN 1 mg/ml
196 W56665002 L01XA01
CISPLATINUM
PLATOSIN 1 mg/ml
197 W01315001 L01XA01
CISPLATINUM
198 W52187002 L01XA01
CISPLATINUM
SINPLATIN 1 mg/1 ml
199 W52187001 L01XA01
CISPLATINUM
SINPLATIN 1 mg/1 ml
200 W01316001 L01XA01
CISPLATINUM
201 W01317001 L01XA01
CISPLATINUM
Forma farmaceutica
CONC. PT. SOL.

PERF.
Concentratie
/ U.T.
20mg/ml
CARBOPLATINUM
CONC. PT. SOL.

PERF.
10mg/ml
204 W13052001 L01XA02
CARBOPLATINUM
CONC. PT. SOL.

PERF.
10mg/ml
205 W52579002 L01XA02
CARBOPLATINUM
CONC. PT. SOL.

PERF.
10mg/ml
206 W52579003 L01XA02
CARBOPLATINUM
CONC. PT. SOL.

PERF.
10mg/ml
207 W53000003 L01XA02
CARBOPLATINUM
CONC. PT. SOL.

PERF.
10mg/ml
210 W53000001 L01XA02
CARBOPLATINUM
FRESENIUS KABI
ONCOLOGY PLC
203 W58740004 L01XA02
S
PRF
ACTAVIS S.R.L.
CARBOPLATINUM

PERF.
10mg/ml
CARBOPLATINUM
CARBOPLATINUM
ROMANIA
Ambalaj

PERF.
SOL. PERF.
SOL. PERF.
CUTIE X 1 FLACON X 50 ML COND. PT. SOL.
PERF.
CUTIE X 1 FLACON X 100 ML CONC. PT.
SOL. PERF.
202 W53000002 L01XA02
208 W13052003 L01XA02
TEVA
PHARMACEUTICALS
S.R.L.
Tara
MAREA
CAPS.
10mg
BRITANIE
MAREA
BRITANIE
CONC. PT. SOL.
BAXTER ONCOLOGY
2mg/ml
GERMANIA
INJ.
GMBH
TEVA
CONC. PT. SOL.
0,5 mg/ml
PHARMACEUTICALS
ROMANIA
PERF.
S.R.L.
TEVA
CONC. PT. SOL.
0,5 mg/ml
PHARMACEUTICALS
ROMANIA
PERF.
S.R.L.
TEVA
CONC. PT. SOL.
0,5 mg/ml
PHARMACEUTICALS
ROMANIA
PERF.
S.R.L.
TEVA
CONC. PT. SOL.
1 mg/ml
PHARMACEUTICALS
ROMANIA
PERF.
S.R.L.
TEVA
CONC. PT. SOL.
1 mg/ml
PHARMACEUTICALS
ROMANIA
PERF.
S.R.L.
CONC. PT. SOL.
EBEWE PHARMA GMBH
10mg/20ml
AUSTRIA
PERF.
NFG. KG
CONC. PT. SOL.
1mg/1ml
ACTAVIS S.R.L.
ROMANIA
PERF.
CONC. PT. SOL.
1mg/1ml
ACTAVIS S.R.L.
ROMANIA
PERF.
CONC. PT. SOL.
EBEWE PHARMA GMBH
25mg/50ml
AUSTRIA
PERF.
NFG. KG
CONC. PT. SOL.
50mg/100m EBEWE PHARMA GMBH
AUSTRIA
PERF.
l
NFG. KG
CONC. PT. SOL.
PERF.
209 W13052002 L01XA02
Firma
CONC. PT. SOL.

PERF.
CONC. PT. SOL.
PERF.
CONC. PT. SOL.
PERF.
10mg/ml
10mg/ml
10mg/ml
EBEWE PHARMA
GES.M.B.H. NFG KG
TEVA
PHARMACEUTICALS
S.R.L.
TEVA
PHARMACEUTICALS
S.R.L.
ACTAVIS S.R.L.
EBEWE PHARMA
GES.M.B.H. NFG KG
EBEWE PHARMA
GES.M.B.H. NFG KG
ACTAVIS S.R.L.
Prescriptie
Nr.c
Cod CIM
rt

S
LIOF. PT. SOL. INJ.
S
INJ.
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
61,07
Pret cu ridicata
maximal / U.T.
61,070000
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
61,070000
77,22
Pret cu
amanuntul
maximal / U.T.
77,220000
Pret de
decontare / U.T.
77,220000
203,33
203,330000
203,330000
248,22
248,220000
248,220000
143,35
143,350000
143,350000
175,00
175,000000
175,000000
555,48
555,480000
555,480000
643,62
643,620000
643,620000

PR
19,75
19,750000
19,750000
26,70
26,700000
26,700000

PR
35,38
35,380000
35,380000
46,28
46,280000
46,280000

PR
11,00
11,000000
11,000000
14,87
14,870000
14,868000

PR
67,91
67,910000
67,910000
85,86
85,860000
85,860000

PR
35,38
35,380000
35,380000
46,28
46,280000
46,280000
9,17
9,170000
9,170000
12,39
12,390000
12,390000
48,45
48,450000
37,884000
63,37
63,370000
49,560000
18,81
18,810000
11,004000
25,42
25,420000
14,868000
22,06
22,060000
22,060000
29,81
29,810000
29,810000
31,57
31,570000
31,570000
41,30
41,300000
41,300000
ROMANIA

S
50,00
50,000000
50,000000
63,22
63,220000
63,220000
MAREA
BRITANIE

CU CAPSA DIN AL DE CULOARE GALBENA PR
CARBOPLATINA
174,90
174,900000
174,900000
213,52
213,520000
213,520000
AUSTRIA

62,52
62,520000
56,904000
79,05
79,050000
74,436000
ROMANIA

47,45
47,450000
47,450000
62,06
62,060000
62,060000
ROMANIA

132,81
132,810000
132,810000
162,14
162,140000
162,140000
ROMANIA

S
133,04
133,040000
133,040000
162,41
162,410000
162,410000
178,07
178,070000
158,400000
217,39
217,390000
193,380000
21,86
21,860000
21,624000
29,55
29,550000
29,220000
ROMANIA

S
18,05
18,050000
18,050000
24,39
24,390000
24,390000
18,02
18,020000
18,020000
24,35
24,350000
24,350000
AUSTRIA
AUSTRIA

211 W58740001 L01XA02
CARBOPLATINUM
CONC. PT. SOL.

PERF.
10mg/ml
FRESENIUS KABI
ONCOLOGY PLC
MAREA
BRITANIE

CU CAPSA DIN AL DE CULOARE VERDE X 5 PR
CARBOPLATINA
212 W58740002 L01XA02
CARBOPLATINUM
CONC. PT. SOL.

PERF.
10mg/ml
FRESENIUS KABI
ONCOLOGY PLC
MAREA
BRITANIE

CU CAPSA DIN AL DE CULOARE ALBASTRA PR
CARBOPLATINA
47,42
47,420000
47,420000
62,03
62,030000
62,030000
213 W58740003 L01XA02
CARBOPLATINUM
CONC. PT. SOL.

PERF.
10mg/ml
FRESENIUS KABI
ONCOLOGY PLC
MAREA
BRITANIE

CU CAPSA DIN AL DE CULOARE ROSIE X 45 PR
CARBOPLATINA
132,00
132,000000
132,000000
161,15
161,150000
161,150000
ROCHE REGISTRATION
LTD.
ROCHE REGISTRATION
LTD.
MAREA
BRITANIE
MAREA
BRITANIE
214 W07199001 L01XC02 RITUXIMABUM**

215 W07200001 L01XC02 RITUXIMABUM**
216 W51424001 L03AA02
MABTHERA 100 mg
MABTHERA 500 mg
NEUPOGEN (R)
CONC. PT. SOL.

PERF.
CONC. PT. SOL.
PERF.
SOL. INJ.
10mg/ml
10mg/ml
Pagina 58 din 87
OLANDA
2.221,55
1.110,775000
1.110,775000
2.459,64
1.229,820000
1.229,820000
CUTIE X 1 FLACON X 50 ML(500MG

RITUXIMAB IN 50ML- 10MG/ML)
5.509,03
5.509,030000
5.509,030000
6.043,00
6.043,000000
6.043,000000

ML
S/PRF
267,05
267,050000
194,520000
326,02
326,020000
237,468000
Grupa
terapeutic
a
217 W51423001 L03AA02
Denumire generica
Denumire comerciala
NEUPOGEN (R)
Forma farmaceutica
SOL. INJ.
Concentratie
/ U.T.
Firma
SOL. INJ. /PERF. IN

SERINGA
60MU/ml
PREUMPLUTA
SOL. INJ. /PERF. IN
SERINGA
96MU/ml
PREUMPLUTA
Tara
OLANDA
218 W53892001 L03AA02
ZARZIO 30MU/0,5ml
SANDOZ GMBH
AUSTRIA
219 W53893001 L03AA02
ZARZIO 48MU/0,5ml
220 W55756002 L03AA02
SOL. INJ./PERF.
SANDOZ GMBH
AUSTRIA
MAREA
BRITANIE
221 W53520001 L03AA02
SOL. INJ./PERF.
300mcg/0,5
TEVA GENERICS GMBH
ml
GERMANIA
222 W55757002 L03AA02
SOL. INJ./PERF.
MAREA
BRITANIE
Ambalaj

ML
Prescriptie
Nr.c
Cod CIM
rt
S/PRF

RF/
SOL
R
RF/
SOL
R
RF
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
Pret cu ridicata
maximal / U.T.
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
Pret cu
amanuntul
maximal / U.T.
Pret de
decontare / U.T.
436,57
436,570000
313,092000
514,01
514,010000
382,224000
162,10
162,100000
162,100000
197,89
197,890000
197,890000
260,91
260,910000
260,910000
318,52
318,520000
318,520000
418,45
83,690000
83,690000
494,26
98,852000
98,852000

RF/
SOL. INJ. SAU PERF.
R
214,16
214,160000
194,520000
261,45
261,450000
237,468000

RF
1.001,12
200,224000
194,520000
1.129,37
225,874000
225,874000
355,90
355,900000
313,092000
426,08
426,080000
382,224000
1.656,30
331,260000
313,092000
1.843,52
368,704000
368,704000
223 W53523001 L03AA02
SOL. INJ./PERF.
480mcg/0,8
TEVA GENERICS GMBH
ml

RF/
GERMANIA
SOL. INJ. SAU PERF.
R
224 W55758002 L03AA02
SOL. INJ./PERF.
MAREA
BRITANIE

RF
225 W54580001 L03AX16
PLERIXAFOR**
MOZOBIL 20mg/ml
SOL. INJ.
20 mg/ml
GENZYME EUROPE B.V.
OLANDA
FLACON CU 1,2 ML SOL. X 20 MG/ML
1 20.861,97 20.861,970000 20.861,970000 22.777,73 22.777,730000 22.777,730000
226 W04406001 L04AA06
MYCOPHENOLATUM**
CELLCEPT 250mg
CAPS.
250mg
ROCHE REGISTRATION
LTD.
MAREA
BRITANIE
227 W04407001 L04AA06
MYCOPHENOLATUM**
CELLCEPT 500mg
COMPR. FILM.
500mg
ROCHE REGISTRATION
LTD.
MAREA
BRITANIE
228 W42264003 L04AA06
MYCOPHENOLATUM**
MYFORTIC 180 mg
COMPR. FILM.
GASTROREZ.
180mg
NOVARTIS PHARMA
GMBH
GERMANIA
MYFORTIC 360 mg
COMPR. FILM.
GASTROREZ.
360mg
NOVARTIS PHARMA
GMBH
229 W42265003 L04AA06
MYCOPHENOLATUM**
STADA HEMOFARM
S.R.L.
DR. REDDY'S
LABORATORIES
STADA HEMOFARM
S.R.L.
452,86
4,528600
4,528600
531,77
5,317700
5,317700
50
452,86
9,057200
9,057200
531,77
10,635400
10,635400
CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X S/PRF

10 COMPR. FILM. GASTROREZ.
120
557,65
4,647083
4,647083
645,99
5,383250
5,383250
CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X S/PGERMANIA

RF
120
1.041,93
8,682750
8,682750
1.173,85
9,782083
9,782083
ROMANIA
PR
CUTIE CU BLIST. PVC-PVDC/AL X 100 CAPS.
F
100
162,65
1,626500
1,626500
198,56
1,985600
1,985600
ROMANIA
CUTIE CU BLIST. PVC-PVDC/AL X 100 CAPS. PR
100
291,62
2,916200
2,916200
356,01
3,560100
3,560100
100
162,65
1,626500
1,626500
198,56
1,985600
1,985600
100
302,31
3,023100
3,023100
367,67
3,676700
3,676700
MYCOPHENOLATUM MOFETILUM**
MICOFENOLAT MOFETIL STADA 250 mg
CAPS.
250 mg
231 W56657001 L04AA06
MICOFENOLAT MOFETIL DR. REDDY'S 250 mg CAPS.
250 mg
232 W56643003 L04AA06
CAPS.
250 mg
233 W52877001 L04AA06
MYFENAX 250mg
CAPS.
250mg
TEVA PHARMA BV
OLANDA
234 W56003001 L04AA06
MICOFENOLAT MOFETIL SANDOZ 500 mg
COMPR.
500mg
SANDOZ S.R.L.
ROMANIA
235 W58520001 L04AA06
SUPREPHEN 250 mg
COMPR. FILM.
250mg
236 W56644001 L04AA06
COMPR. FILM.
500 mg
237 W52876001 L04AA06
MYFENAX 500mg
COMPR. FILM.
500mg
238 W55987001 L04AA06
MICOFENOLAT MOFETIL DR. REDDY'S 500 mg COMPR. FILM.
500mg
239 W58523001 L04AA06
SUPREPHEN 500 mg
500mg
COMPR. FILM.
TEVA PHARMA BV
DR. REDDY'S
LABORATORIES
ROMASTRU TRADING
S.R.L.
PRF/
R
PRF/
R
100
230 W56643001 L04AA06
ROMASTRU TRADING
S.R.L.
STADA HEMOFARM
S.R.L.
ROMANIA
ROMANIA
ROMANIA
OLANDA
ROMANIA
ROMANIA
CUTIE CU 1 FLACON PEID CU CAPAC PP X PR

100 CAPS.
F
PCUTIE X BLIST. PVC/PVDC/AL X 100 CAPS. RF/
R
PCOMPR. FILM.
RF
CUTIE CU 10 BLIST. PVC-PCTFE-PE/AL X 10 PR
COMPR. FILM.
F
PR
COMPR. FILM.
F
PCUTIE X BLIST. PVC/PVDC/AL X 50 COMPR.
RF/
FILM.
R
PCOMPR. FILM.
RF
COMPR. FILM.
F
PCUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR) RF/
R
50
227,17
4,543400
4,543400
277,33
5,546600
5,546600
100
133,10
1,331000
1,331000
162,49
1,624900
1,624900
50
160,05
3,201000
3,201000
195,39
3,907800
3,907800
50
302,31
6,046200
6,046200
367,67
7,353400
7,353400
50
272,59
5,451800
5,451800
332,78
6,655600
6,655600
50
133,10
2,662000
2,662000
162,49
3,249800
3,249800
30
489,29
16,309666
16,309666
571,48
19,049333
19,049333
240 W10576001 L04AA10
SIROLIMUS**
RAPAMUNE 1mg
DRAJ.
1mg
WYETH EUROPA LTD.
MAREA
BRITANIE
241 W58975001 L04AB01
ETANERCEPTUM**
ENBREL 10mg de uz pediatric
PULB+SOLV. PT.
SOL. INJ.
10mg
PFIZER LIMITED
MAREA
BRITANIE
CUTIE CU 4 FLACOANE CU PULBERE + 4

SERINGI PRE-UMPLUTE X 1ML APA + 4 ACE
CU INJECTOARE DIN OTEL INOXIDABIL + 4 PR
ADAPTOARE PENTRU FLACON + 8
TAMPOANE CU ALCOOL MEDICNAL
722,92
180,730000
180,730000
826,13
206,532500
206,532500
242 W61297001 L04AB01
ETANERCEPTUM**
ENBREL 25mg
PULB. + SOLV. PT.

25mg
SOL. INJ.
PFIZER LIMITED
MAREA
BRITANIE
CUTIE X 4 FLACOANE + 4 SERINGI

PREUMPLUTE + 4 ACE + 4 ADAPTOARE
PENTRU FLACOANE + 8 TAMPOANE CU
ALCOOL
1.748,78
437,195000
437,195000
1.944,32
486,080000
486,080000
243 W61299001 L04AB01
ETANERCEPTUM**
ENBREL 25mg
1.722,63
430,657500
430,657500
1.915,82
478,955000
478,955000
244 W61300002 L04AB01
ETANERCEPTUM**
ENBREL 50mg
3.432,11
858,027500
858,027500
3.779,16
944,790000
944,790000
3.432,11
858,027500
858,027500
3.779,16
944,790000
944,790000
50
251,97
5,039400
5,039400
307,60
6,152000
6,152000
245 W61303002 L04AB01
ETANERCEPTUM**
246 W58368003 L04AD01 CICLOSPORINUM
ENBREL 50mg
EQUORAL 100 mg
SOL. INJ.
(INSERINGA
25mg
PREUMPLUTA)
SOL. INJ.
(INSERINGA
50mg
PREUMPLUTA)
SOL. INJ. IN STILOU
INJECTOR
50mg
PREUMPLUT
PFIZER LIMITED
MAREA
BRITANIE
CUTIE X 4 SERINGI PREUMPLUTE X 4

TAMPOANE CU ALCOOL
PFIZER LIMITED
MAREA
BRITANIE
CUTIE X 4 SERINGI PREUMPLUTE X 4

TAMPOANE CU ALCOOL
PFIZER LIMITED
MAREA
BRITANIE
CUTIE X 4 STILOURI INJECTOARE

PREUMPLUTE (PEN) X 4 TAMPOANE CU
ALCOOL
CAPS. MOI
TEVA CZECH
INDUSTRIES S.R.O.
CEHIA
CUTIE X 5 BLIST. X 10 CAPS. MOI
100mg
Pagina 59 din 87
PRF/
R
PRF/
R
PRF/
R
PRF/
R
S/PRF
Grupa
terapeutic
a
Denumire generica
Denumire comerciala
Forma farmaceutica
Concentratie
/ U.T.
Firma
Tara
Ambalaj
Prescriptie
Nr.c
Cod CIM
rt
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
Pret cu ridicata
maximal / U.T.
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
Pret cu
amanuntul
maximal / U.T.
Pret de
decontare / U.T.
EQUORAL 25 mg
CAPS. MOI
25mg
TEVA CZECH
INDUSTRIES S.R.O.
CEHIA
S/PRF
50
59,45
1,189000
1,189000
75,17
1,503400
1,503400
SANDIMMUN NEORAL (R)
CAPS. MOI
25mg
NOVARTIS PHARMA
GMBH
GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI
S/PRF
50
112,48
2,249600
2,249600
137,32
2,746400
2,746400
EQUORAL 50 mg
CAPS. MOI
50mg
TEVA CZECH
INDUSTRIES S.R.O.
CEHIA
S/PRF
50
120,89
2,417800
2,417800
147,58
2,951600
2,951600
50mg
NOVARTIS PHARMA
GMBH
S/PRF
50
239,32
4,786400
4,786400
292,16
5,843200
5,843200
ROMANIA
CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI

PR
DE AL A CATE 10 CAPSULE
50
133,49
2,669800
2,669800
162,97
3,259400
3,259400
CUTIE X 1 PUNGA DE AL INCHISA ETANS X S/P5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT RF
50
205,39
4,107800
4,107800
250,74
5,014800
5,014800
50
91,62
1,832400
1,832400
115,84
2,316800
2,316800
CAPS. MOI
251 W56579003 L04AD02 TACROLIMUSUM**
TACNI 0,5 mg
CAPS.
0,5 mg
TEVA
PHARMACEUTICALS
S.R.L.
PROGRAF (R) 0,5 mg
CAPS.
0,5mg
ASTELLAS PHARMA
EUROPE BV
OLANDA
TRACSUS 0,5 mg
CAPS.
0,5mg
ALVOGEN IPCO S.AR.L
CUTIE CU 5 BLIST. PVC/PVDC-AL X 10

LUXEMBUR
CAPS. IN PUNGI DIN AL PREVAZUTE CU
G
DESICANT
TACROLIMUS SANDOZ 0,5 mg
CAPS.
0,5mg
SANDOZ S.R.L.
ROMANIA
CUTIE CU BLIST. PVC-PE-PVDC/AL IN

S/PPUNGI DE AL TRIPLU LAMINAT X 50 CAPS. RF
50
133,49
2,669800
2,669800
162,97
3,259400
3,259400
1 mg
TEVA
PHARMACEUTICALS
S.R.L.
ROMANIA

PR
AL A CATE 10 CAPSULE
50
238,62
4,772400
4,772400
291,31
5,826200
5,826200
50
179,98
3,599600
3,599600
219,72
4,394400
4,394400
TACNI 1 mg
CAPS.
PR
F
TRACSUS 1 mg
CAPS.
1mg
ALVOGEN IPCO S.AR.L

LUXEMBUR
G
DESICANT
PROGRAF (R) 1 mg
CAPS.
1mg
ASTELLAS PHARMA
EUROPE BV
OLANDA
50
363,74
7,274800
7,274800
434,63
8,692600
8,692600
TACROLIMUS SANDOZ 1 mg
CAPS.
1mg
SANDOZ S.R.L.
ROMANIA

50
238,62
4,772400
4,772400
291,31
5,826200
5,826200
PROGRAF (R) 5 mg
CAPS.
5mg
ASTELLAS PHARMA
EUROPE BV
OLANDA
50
1.715,18
34,303600
34,303600
1.907,70
38,154000
38,154000
50
204,92
4,098400
4,098400
250,17
5,003400
5,003400
50
402,53
8,050600
8,050600
476,91
9,538200
9,538200
50
1.865,58
37,311600
37,311600
2.071,63
41,432600
41,432600
172,241000
ADVAGRAF 0,5mg
CAPS. ELIB. PREL. 0,5mg
ASTELLAS PHARMA
EUROPE B.V.
OLANDA
ADVAGRAF 1mg
CAPS. ELIB. PREL. 1mg
ASTELLAS PHARMA
EUROPE BV
OLANDA
ADVAGRAF 5mg
ASTELLAS PHARMA
EUROPE B.V.
OLANDA
PCUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVCRF/

PVDC/AL)
R
PVDC/AL)
R
PCUTIE, X 50 CAPS. ELIB. PREL. ( BLIST. PVCRF/
PVDC/AL)
R
PROGRAF (R) 5 mg/ml
CONC. PT. SOL.

PERF.
5mg/ml
ASTELLAS PHARMA
EUROPE BV
OLANDA
264 W05960001 N02AX02 TRAMADOLUM
MABRON 50 mg
CAPS.
50mg
MEDOCHEMIE LTD.
CIPRU
TRAMACALM
CAPS.
50mg
A.C. HELCOR PHARMA

S.R.L.
ROMANIA
TRAMADOL ZENTIVA 50 mg
CAPS.
50mg
ZENTIVA A.S.
SLOVACIA
TRAMADOL
CAPS.
50mg
KRKA D.D.
SLOVENIA
K-ALMA (R)
CAPS.
50mg
ANTIBIOTICE SA
ROMANIA
TRAMADOL ARENA
CAPS.
50mg
ARENA GROUP S.A.
ROMANIA
TRAMAG 50
COMPR.
50mg
MAGISTRA C & C
ROMANIA
TRAMADOL EEL
COMPR.
50mg
BIO EEL SRL
ROMANIA
TRAMADOLOR (R) 100 ID
100mg
HEXAL AG
GERMANIA
TRALGIT SR 100
100mg
ZENTIVA AS
SLOVACIA
TRAMADOL SR ZENTIVA 100 mg
100mg
ZENTIVA AS
SLOVACIA
TRAMADOL RETARD 100 mg
100mg
KRKA, D.D., NOVO

MESTO
SLOVENIA
TRALGIT SR 150
150mg
ZENTIVA AS
SLOVACIA
150mg
ZENTIVA AS
SLOVACIA
150mg
AUSTRIA
GES.M.B.H.
200mg
AUSTRIA
GES.M.B.H.
COMPR. ELIB.
MODIF.
COMPR. ELIB.
PREL.
COMPR. ELIB.
PREL.
COMPR. ELIB.
PREL.
COMPR. ELIB.
PREL.
COMPR. ELIB.
PREL.
TRADOLAN RETARD 150 mg
COMPR. ELIB.
PREL.
COMPR. ELIB.
PREL.
Pagina 60 din 87
PR
F
PRF
PCUTIE CU 1 BLIST. PVC/AL X 10 CAPS.
RF
RF
RF
RF
RF
RF
RF
PCUTIE X 1 BLIST. X 10 COMPR. ELIB. MODIF.
RF
CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PPREL.
RF
RF
PR
ELIB. PREL.
F
RF
RF
10
1.545,19
154,519000
154,519000
1.722,41
172,241000
10
2,85
0,285000
0,249000
3,85
0,385000
0,336600
10
2,85
0,285000
0,249000
3,85
0,385000
0,336600
20
4,15
0,207500
0,207500
5,61
0,280500
0,280500
20
4,31
0,215500
0,215500
5,82
0,291000
0,291000
20
5,67
0,283500
0,249000
7,67
0,383500
0,336600
20
6,66
0,333000
0,249000
9,00
0,450000
0,336600
20
5,67
0,283500
0,249000
7,67
0,383500
0,336600
20
5,67
0,283500
0,249000
7,67
0,383500
0,336600
10
4,66
0,466000
0,466000
6,30
0,630000
0,630000
30
13,98
0,466000
0,466000
18,89
0,629666
0,629666
30
13,98
0,466000
0,466000
18,89
0,629666
0,629666
30
13,99
0,466333
0,466333
18,91
0,630333
0,630333
30
20,38
0,679333
0,679333
27,55
0,918333
0,918333
30
20,38
0,679333
0,679333
27,55
0,918333
0,918333
CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. CU PR

ELIB. PREL.
F
30
24,72
0,824000
0,815200
33,41
1,113666
1,102000

ELIB. PREL.
F
30
26,22
0,874000
0,874000
34,30
1,143333
1,143333
Grupa
terapeutic
a
Denumire generica
Denumire comerciala
TRADOLAN 50 mg
Forma farmaceutica
COMPR. FILM.
Concentratie
/ U.T.
50mg
COMPR. FILM. ELIB.

100mg
PREL.
COMPR. FILM. ELIB.
150mg
PREL.
COMPR. FILM. ELIB.
150mg
PREL.
COMPR. FILM. ELIB.
200mg
PREL.
COMPR. FILM. ELIB.
200mg
PREL.
Firma
Tara
AUSTRIA
GES.M.B.H.
Ambalaj
Prescriptie
Nr.c
Cod CIM
rt
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.FILM.
PRF
CUTIE X 1 BLIST. AL/PVDC X 10 COMPR.

FILM. CU ELIB. PREL.
FILM. ELIB. PREL.
COMPR.FILM. CU ELIB. PREL.
COMPR.FILM. ELIB. PREL.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.,
FILM. ELIB. PREL.
PRF
PRF
PRF
PRF
PRF
TRAMAL RETARD 100 mg
COMPR.
50mg
ORODISPERSABILE
ZENTIVA, A.S.
REPUBLICA CUTIE CU 1 BLIST. OPA-AL-PVC/AL X 10

SLOVACA COMPR. ORODISPERSABILE
PR
F
COMPR.
50mg
ORODISPERSABILE
ZENTIVA, A.S.

PR
F
MABRON
SOL. INJ.
100mg
MEDOCHEMIE LTD.
CIPRU
MABRON
SOL. INJ.
100mg
MEDOCHEMIE LTD.
CIPRU
TRAMADOL
SOL. INJ.
50mg/ml
KRKA D.D.
TRAMADOL
SOL. INJ.
50mg/ml
KRKA D.D.
100mg
GRUNENTHAL GMBH
GERMANIA
0,559200
9,69
0,969000
0,755599
41,57
1,385666
1,102000
10
16,30
1,630000
0,815200
22,03
2,203000
1,102000
10
20,85
2,085000
1,048800
28,18
2,818000
1,372000
30
40,67
1,355666
1,048800
53,20
1,773333
1,372000
10
2,84
0,284000
0,249000
3,84
0,384000
0,336600
10
2,84
0,284000
0,249000
3,84
0,384000
0,336600
CUTIE X 5 FIOLE DIN STICLA BRUNA X 2 ML S/PRF

SOL. INJ.
7,27
1,454000
1,322640
9,83
1,966000
1,614720
CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 S/PRF

ML SOL. INJ.
100
110,22
1,102200
1,102200
134,56
1,345600
1,345600
S/PRF
3,65
0,730000
0,730000
4,93
0,986000
0,986000
S/PRF
9,69
1,938000
1,322640
13,10
2,620000
1,614720
SLOVENIA CUTIE X 1 BLIST. X, 5 SUPOZ.
PRF
4,13
0,826000
0,826000
5,58
1,116000
1,116000
416,77
69,461666
69,461666
492,43
82,071666
82,071666
416,77
69,461666
69,461666
492,43
82,071666
82,071666
28,127500
SUPOZ.
PULMOZYME 2500 U/2,5 ml
SOL. DE INHALAT
PRIN
NEBULIZATOR
2500U/2,5m
l
ROMANIA
PULMOZYME
SOL. INHAL.
1mg/ml
ROMANIA
NOVARTIS EUROPHARM
LTD.
NOVARTIS EUROPHARM
LTD.
NOVARTIS EUROPHARM
LTD.
MAREA
BRITANIE
MAREA
BRITANIE
MAREA
BRITANIE
125mg
250mg
297 W51486001 V03AC03 DEFERASIROXUM**
EXJADE 500mg
COMPR. DISP.
500mg
298 W04133001 V03AF01 MESNUM
UROMITEXAN (R) 400 mg
SOL. INJ.
400mg/4ml
BAXTER ONCOLOGY
GMBH
1mg/ml
TERAPIA SA
0,336600
0,815200
TRAMADOL
COMPR. DISP.
0,355000
0,717000
COMPR. DISP.
10,65
1,059333
GERMANIA
EXJADE 125mg
0,249000
Pret de
decontare / U.T.
7,17
GERMANIA
EXJADE 250mg
0,262666
Pret cu
amanuntul
maximal / U.T.
31,78
GRUNENTHAL GMBH
7,88
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
30
GRUNENTHAL GMBH
30
Pret cu ridicata
maximal / U.T.
10
KRKA D.D.
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
CUTIE CU 6 FIOLE UNIDOZA, MONOBLOC,

DIN PE X 2,5 ML SOL. INHAL. PRIN
PR
NEBULIZATOR, INTRODUSE INTR-O PUNGA
DIN AL
CUTIE X 6 FIOLE UNIDOZA PE X 2,5 ML SOL.
S/PINHAL. PRIN NEBULIZATOR, INTRODUSE IN
RF
PUNGA AL
CUTIE X 28 COMPR. DISP.(BLIST.

PVC/PE/PVDC/AL)
PVC/PE/PVDC/AL)
PVC/PE/PVDC/AL)
CUTIE X 3 SUPORTURI TERMOFORMATE
GERMANIA DIN PLASTIC X 5 FIOLE DE STICLA
INCOLORA X 4 ML
PR
28
687,54
24,555000
24,555000
787,57
28,127500
PR
28
1.461,36
52,191428
52,191428
1.631,03
58,251071
58,251071
PR
28
2.660,12
95,004285
95,004285
2.937,68
104,917142
104,917142
15
44,87
2,991333
2,991333
58,69
3,912666
3,912666

P9.2: TRANSPLANT DE CORD
1 W02947001 C01CA24 EPINEPHRINUM
ADRENALINA 1 mg
SOL. INJ.
EPIPEN 150 micrograme
SOL. INJ. IN STILOU

150mcg
PREUMPLUT
SOL. INJ. IN STILOU

300mcg
PREUMPLUT
PERASIN 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
PULB. PT. SOL.

INJ./PERF.
2g/0,25g
PULB. PT. SOL.

INJ./PERF.
2g/0,25g
ROMANIA CUTIE X 100 FIOLE X 1 ML

CUTIE CU 1 STILOU AUTOINJECTOR
MEDA PHARMA GMBH &
GERMANIA PREUMPLUT CU 2ML PENTRU O DOZA
CO KG
UNICA DE 0,3ML
MEDA PHARMA GMBH &
CO KG
UNICA DE 0,3ML
ANTIBIOTICE S.A.
SOL. INJ./PERF.
TERAPIA SA
SOL. INJ./PERF.
ROMASTRU TRADING
SRL
SOL. INJ./PERF.
MYLAN S.A.S.
100
151,25
1,512500
1,512500
184,65
1,846500
1,846500
PR
147,80
147,800000
147,800000
180,43
180,430000
180,430000
PR
147,80
147,800000
147,800000
180,43
180,430000
180,430000
22,93
22,930000
22,930000
30,99
30,990000
30,990000
22,93
22,930000
22,930000
30,99
30,990000
30,990000
12
265,41
22,117500
22,117500
324,01
27,000833
27,000833
FRANTA

S
22,93
22,930000
22,930000
30,99
30,990000
30,990000
PULB. PT. SOL.

INJ./PERF.
2g/0,25g
ROMASTRU TRADING
SRL
ROMANIA

SOL. INJ./PERF.
22,93
22,930000
22,930000
30,99
30,990000
30,990000
PULB. PT. SOL.

INJ./PERF.
4g/0,5g
MYLAN S.A.S.
FRANTA

S
40,94
40,940000
40,940000
53,55
53,550000
53,550000
ZOPECILIN 4 g/0,5 g
PULB. PT. SOL.

INJ./PERF.
4g/0,5g
ROMASTRU TRADING
SRL
ROMANIA
40,93
40,930000
40,930000
53,53
53,530000
53,530000
ZOPECILIN 4 g/0,5 g
PULB. PT. SOL.

INJ./PERF.
4g/0,5g
ROMASTRU TRADING
SRL
ROMANIA
12
460,81
38,400833
38,400833
540,43
45,035833
45,035833
Pagina 61 din 87

SOL. INJ./PERF.
SOL. INJ./PERF.
Grupa
terapeutic
a
Denumire generica
Denumire comerciala
Forma farmaceutica
Concentratie
/ U.T.
Firma
Tara
BACTACIN 4 g/0,5 g
PULB. PT. SOL.

INJ./PERF.
4g/0,5g
TERAPIA SA
ROMANIA
PERASIN 4g/0,5 g
PULB. PT. SOL.

INJ./PERF.
4g/0,5g
ANTIBIOTICE S.A.
ROMANIA
PULB. PT. SOL.

PERF.
2g/0,25g
S.C. FRESENIUS KABI

S.R.L.
PULB. PT. SOL.

PERF.
4g/0,5g
MEDOCEF 1 g
MEDOCEF 2 g
Ambalaj

SOL. INJ./PERF.
SOL. INJ./PERF.
Prescriptie
Nr.c
Cod CIM
rt
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
Pret cu ridicata
maximal / U.T.
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
Pret cu
amanuntul
maximal / U.T.
Pret de
decontare / U.T.
40,93
40,930000
40,930000
53,53
53,530000
53,530000
40,93
40,930000
40,930000
53,53
53,530000
53,530000
ROMANIA

S
10
386,57
38,657000
26,541000
459,51
45,951000
32,401000
S.C. FRESENIUS KABI

S.R.L.
ROMANIA

10
389,01
38,901000
38,901000
462,17
46,217000
46,217000
MEDOCHEMIE LTD.
CIPRU
S/PRF
10
154,50
15,450000
8,448000
188,61
18,861000
11,412000
MEDOCHEMIE LTD.
CIPRU
S/PRF
10
187,44
18,744000
13,932000
228,83
22,883000
18,828000
S/PRF
3,88
3,880000
3,880000
5,24
5,240000
5,240000
CEFOZON 500 mg
ROMANIA
CEFOZON 2 g
PULB. PT. SOL.

ROMANIA
CUTIE X 1 FLAC. DIN STICLA INCOLORA A S/P20 ML CU PULB. PT. SOL. INJ./PERF. I.M./I.V. RF
11,61
11,610000
11,610000
15,69
15,690000
15,690000
2g
CEFOZON 1 g
PULB. PT. SOL.

INJ./PERF.I.M./I.V.
1g
ROMANIA

S/PCAPACITATEA DE 15 ML CU PULB. PT. SOL.
RF
INJ. I.M./PERF. I.V.
PULB. PT. SOL.

PERF.

mg
ROMANIA SRL
CILOPEN 500mg/500mg
PULB. PT. SOL.

PERF.
CILOPEN 500mg/500mg
PULB. PT. SOL.

PERF.
7,04
7,040000
7,040000
9,51
9,510000
9,510000
ROMANIA

S/PRF
10
296,98
29,698000
29,698000
362,55
36,255000
36,255000
500mg/500
TERAPIA SA
mg
ROMANIA
30,31
30,310000
30,310000
39,65
39,650000
39,650000
500mg/500
TERAPIA SA
mg
ROMANIA
146,26
29,252000
29,252000
178,55
35,710000
35,710000
CILOPEN 500mg/500mg
PULB. PT. SOL.

PERF.
500mg/500
TERAPIA SA
mg
ROMANIA

PERF.
S/PRF
10
292,52
29,252000
29,252000
357,11
35,711000
35,711000
CILOPEN 500mg/500mg
PULB. PT. SOL.

PERF.
500mg/500
TERAPIA SA
mg
ROMANIA
146,26
29,252000
29,252000
178,55
35,710000
35,710000

PERF.
S/PRF
10
292,52
29,252000
29,252000
357,11
35,711000
35,711000
146,26
29,252000
29,252000
178,55
35,710000
35,710000
10
292,52
29,252000
29,252000
357,11
35,711000
35,711000
CILOPEN 500mg/500mg
PULB. PT. SOL.

PERF.
500mg/500
TERAPIA SA
mg
ROMANIA
CILOPEN 500mg/500mg
PULB. PT. SOL.

PERF.
500mg/500
TERAPIA SA
mg
ROMANIA
CILOPEN 500mg/500mg
PULB. PT. SOL.

PERF.
500mg/500
TERAPIA SA
mg
ROMANIA

PERF.
PULB. PT. SOL.

PERF.
500mg/500
ANTIBIOTICE S.A.
mg
ROMANIA

PR
10
292,52
29,252000
29,252000
357,11
35,711000
35,711000
30 W52799001 J01XX08
ZYVOXID (R)
COMPR. FILM.
600mg
MAREA
BRITANIE
PRF
10
1.603,26
160,326000
160,326000
1.785,71
178,571000
178,571000
MAREA
BRITANIE
PRF
879,36
879,360000
879,360000
996,65
996,650000
996,650000
PR
F
10
1.052,62
105,262000
105,262000
1.185,51
118,551000
118,551000
PR
10
1.052,62
105,262000
105,262000
1.185,51
118,551000
118,551000
10
1.603,26
160,326000
126,314400
1.785,71
178,571000
142,261200
PR
112,48
112,480000
112,480000
137,32
137,320000
137,320000
PR
112,48
112,480000
112,480000
137,32
137,320000
137,320000
LINEZOLIDUM

DUBLA X 2,5 ML/5 ML
TEVA
PHARMACEUTICALS
S.R.L.
ALVOGEN IPCO S.AR.L
G
ML SOL. PERF.
MAREA
BRITANIE
ALVOGEN IPCO S.AR.L
G
SUPLIMENTAR
SANDOZ S.R.L.
PERF.
31 W52800001 J01XX08
LINEZOLIDUM
ZYVOXID (R)
GRAN. PT. SUSP.

ORALA
32 W57578002 J01XX08
LINEZOLIDUM
SOL. PERF.
2mg/ml
33 W60604004 J01XX08
LINEZOLIDUM
PNEUMOLID 2 mg/ml
SOL. PERF.
2mg/ml
34 W52801001 J01XX08
LINEZOLIDUM
ZYVOXID (R)
SOL. PERF.
2mg/ml
35 W60604001 J01XX08
LINEZOLIDUM
PNEUMOLID 2 mg/ml
SOL. PERF.
2mg/ml
36 W60734001 J01XX08
LINEZOLIDUM
SOL. PERF.
2mg/ml
37 W08372001 J02AC01
FLUCONAZOLUM
FLUCOVIM 100
CAPS.
100mg
VIM SPECTRUM SRL
ROMANIA
38 W42371002 J02AC01
FLUCONAZOLUM
FUNGOLON 100 mg
CAPS.
100mg
BALKANPHARMA
RAZGRAD AD
Pagina 62 din 87
S/PRF
PRF
PRF
18,95
4,737500
3,615428
25,61
6,402500
4,887428
16
65,37
4,085625
3,615428
82,66
5,166250
4,887428
Grupa
terapeutic
a
39 W58225007 J02AC01
Denumire generica
FLUCONAZOLUM
Denumire comerciala
Forma farmaceutica
CAPS.
Concentratie
/ U.T.
100mg
40 W43597001 J02AC01
FLUCONAZOLUM
CAPS.
100mg
41 W43597002 J02AC01
FLUCONAZOLUM
CAPS.
100mg
Firma
AUROBINDO PHARMA
(MALTA) LIMITED
TEVA
PHARMACEUTICALS
S.R.L.
TEVA
PHARMACEUTICALS
S.R.L.
Tara
Ambalaj
Pret de
decontare / U.T.
21,09
3,012857
3,012857
28,51
4,072857
4,072857
ROMANIA
6,98
3,490000
3,490000
9,43
4,715000
4,715000
ROMANIA
PRF
23,31
3,330000
3,330000
31,51
4,501428
4,501428
10,79
10,790000
5,340000
14,58
14,580000
7,212000
7,16
7,160000
5,340000
9,68
9,680000
7,212000
7,35
7,350000
5,340000
9,94
9,940000
7,212000
CAPS.
150mg
SANDOZ SRL
FLUCONAZOL 150 mg
CAPS.
150mg
SLAVIA PHARM SRL
ROMANIA
44 W08373001 J02AC01
FLUCONAZOLUM
FLUCOVIM 150
CAPS.
150mg
VIM SPECTRUM SRL
ROMANIA
45 W51994001 J02AC01
FLUCONAZOLUM
CAPS.
150mg
46 W60221001 J02AC01
FLUCONAZOLUM
CAPS.
150mg
47 W43598001 J02AC01
FLUCONAZOLUM
CAPS.
150mg
MEDOCHEMIE ROMANIA
ROMANIA
SRL
REPUBLICA
ZENTIVA K.S.
CEHA
TEVA
PHARMACEUTICALS
ROMANIA
S.R.L.
ROMPHARM COMPANY
ROMANIA
S.R.L.
48 W57430001 J02AC01
FLUCONAZOLUM
CAPS.
150mg
49 W57239001 J02AC01
FLUCONAZOLUM
CAPS.
150mg
50 W53943002 J02AC01
FLUCONAZOLUM
CAPS.
150mg
ARENA GROUP SA
51 W58226001 J02AC01
FLUCONAZOLUM
CAPS.
150mg
ROMANIA
MALTA
52 W56446001 J02AC01
FLUCONAZOLUM
CAPS.
150mg
53 W03156001 J02AC01
FLUCONAZOLUM
DIFLUCAN 150 mg
CAPS.
150mg
MAREA
BRITANIE
ISLANDA

PRF
PRF
PRF
PRF
PRF
PRF
PR
F
PR
F
RF
PR
F
PR
F
RF
RF
RF
54 W44089001 J02AC01
FLUCONAZOLUM
FLUCORIC 150 mg
CAPS.
150mg
TERAPIA SA
ROMANIA
55 W54835003 J02AC01
FLUCONAZOLUM
MYCOSYST 150 mg
CAPS.
150mg
GEDEON RICHTER
ROMANIA SA
ROMANIA
150mg
LABORATOARELE
ROMANIA
PRF
ROMANIA
PRF
CAPS.
Pret cu
amanuntul
maximal / U.T.
FLUCONAZOLUM
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
PR
F
FLUCONAZOLUM
FLUCONAZOLUM
Pret cu ridicata
maximal / U.T.
PRF
42 W43288001 J02AC01
56 W52224001 J02AC01
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
CUTIE CU BLIST. PVC

MALTA
43 W42693001 J02AC01
AUROBINDO PHARMA
(MALTA) LIMITED
ACTAVIS GROUP PTC
EHF.
Prescriptie
Nr.c
Cod CIM
rt
57 W43599002 J02AC01
FLUCONAZOLUM
CAPS.
200mg
TEVA
PHARMACEUTICALS
S.R.L.
58 W42321001 J02AC01
FLUCONAZOLUM
FLUCONAZOL 50 mg
CAPS.
50mg
SLAVIA PHARM SRL
ROMANIA
59 W03157001 J02AC01
FLUCONAZOLUM
DIFLUCAN 50 mg
CAPS.
50mg
MAREA
BRITANIE
60 W53942002 J02AC01
FLUCONAZOLUM
CAPS.
50mg
ARENA GROUP SA
ROMANIA
61 W57238001 J02AC01
FLUCONAZOLUM
CAPS.
50mg
PRF
PRF
PRF
PR
F
62 W43596001 J02AC01
FLUCONAZOLUM
CAPS.
50mg
TEVA
PHARMACEUTICALS
S.R.L.
ROMANIA
PRF
63 W52225001 J02AC01
FLUCONAZOLUM
CAPS.
50mg
LABORATOARELE
ROMANIA
PRF
64 W51993001 J02AC01
FLUCONAZOLUM
CAPS.
50mg
MEDOCHEMIE ROMANIA
ROMANIA
SRL
65 W44098001 J02AC01
FLUCONAZOLUM
FLUCORIC 50 mg
CAPS.
50mg
TERAPIA SA
ROMANIA

CAPS.
66 W43287001 J02AC01
FLUCONAZOLUM
CAPS.
50mg
SANDOZ SRL
ROMANIA
67 W58224007 J02AC01
FLUCONAZOLUM
CAPS.
50mg
AUROBINDO PHARMA
(MALTA) LIMITED
MALTA
CUTIE CU BLIST. PVC

68 W08374001 J02AC01
FLUCONAZOLUM
FLUCOVIM 50
CAPS.
50mg
VIM SPECTRUM SRL
ROMANIA
PRF
PRF
PRF
PR
F
PRF
6,07
6,070000
5,340000
8,20
8,200000
7,212000
8,90
8,900000
5,340000
12,03
12,030000
7,212000
4,88
4,880000
4,880000
6,59
6,590000
6,590000
9,57
9,570000
5,340000
12,94
12,940000
7,212000
7,35
7,350000
5,340000
9,94
9,940000
7,212000
6,68
6,680000
5,340000
9,03
9,030000
7,212000
4,45
4,450000
4,450000
6,01
6,010000
6,010000
7,44
7,440000
5,340000
10,06
10,060000
7,212000
18,56
18,560000
5,340000
25,08
25,080000
7,212000
13,95
13,950000
5,340000
18,86
18,860000
7,212000
48,24
12,060000
5,340000
63,10
15,775000
7,212000
4,88
4,880000
4,880000
6,59
6,590000
6,590000
30,10
4,300000
4,300000
39,37
5,624285
5,624285
14,49
2,070000
1,777714
19,58
2,797142
2,403428
43,23
6,175714
1,777714
56,54
8,077142
2,403428
14,15
2,021428
1,777714
19,12
2,731428
2,403428
16,69
2,384285
1,777714
22,56
3,222857
2,403428
12,35
1,764285
1,764285
16,69
2,384285
2,384285
11,66
1,665714
1,665714
15,76
2,251428
2,251428
11,95
1,707142
1,707142
16,15
2,307142
2,307142
21,91
3,130000
1,777714
29,61
4,230000
2,403428
32,06
4,580000
1,777714
41,93
5,990000
2,403428
10,37
1,481428
1,481428
14,02
2,002857
2,002857
16,69
2,384285
1,777714
22,56
3,222857
2,403428
23,46
23,460000
23,460000
31,71
31,710000
31,710000
69 W58322001 J02AC01
FLUCONAZOLUM
DIFLUCAN 10 mg/ml
PULB. PT. SUSP.

ORALA
10mg/ml
MAREA
BRITANIE

PR
F
70 W58456001 J02AC01
FLUCONAZOLUM
SOL. PERF.
2mg/ml
ROMANIA

PR
20
350,00
17,500000
17,500000
419,65
20,982500
20,982500
71 W58456002 J02AC01
FLUCONAZOLUM
SOL. PERF.
2mg/ml
ROMANIA

PR
20
630,00
31,500000
20,737200
724,85
36,242500
25,316400
72 W60056001 J02AC01
FLUCONAZOLUM
SOL. PERF.
2mg/ml
ZENTIVA K.S.

REPUBLICA
CEHA
FLUCONAZOL
17,91
17,910000
17,910000
24,21
24,210000
24,210000
Pagina 63 din 87
Grupa
terapeutic
a
Denumire generica
Denumire comerciala
Forma farmaceutica
Concentratie
/ U.T.
Firma
73 W57368003 J02AC01
FLUCONAZOLUM
SOL. PERF.
2mg/ml
ARENA GROUP S.A.
74 W60056005 J02AC01
FLUCONAZOLUM
SOL. PERF.
2mg/ml
ZENTIVA K.S.
75 W56963002 J02AC01
FLUCONAZOLUM
MYCOMAX INF 2mg/ml
SOL. PERF.
2mg/ml
ZENTIVA K.S.
FRESENIUS KABI
ROMANIA SRL
FRESENIUS KABI
ROMANIA SRL
2mg/ml
ROMANIA

PR
2mg/ml
FRESENIUS KABI
ROMANIA SRL
ROMANIA

S
SOL. PERF.
2mg/ml

X 100 ML
R-F
76 W55502009 J02AC01
FLUCONAZOLUM
SOL. PERF.
2mg/ml
FLUCONAZOLUM
SOL. PERF.
2mg/ml
78 W58456003 J02AC01
FLUCONAZOLUM
SOL. PERF.
79 W55502001 J02AC01
FLUCONAZOLUM
SOL. PERF.
FLUCONAZOLUM
DIFLAZON 2mg/ml
SOL. PERF.
Ambalaj

REPUBLICA
CEHA
200 MG FLUCONAZOL
REPUBLICA
CEHA
FLUCONAZOL
ROMANIA
ML SOL. PERF.
ROMANIA
ML SOL. PERF.
77 W55502017 J02AC01
80 W12072001 J02AC01
Tara
ROMANIA
Prescriptie
Nr.c
Cod CIM
rt
MAREA
BRITANIE
MAREA
BRITANIE
MAREA
BRITANIE
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
Pret cu ridicata
maximal / U.T.
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
Pret cu
amanuntul
maximal / U.T.
Pret de
decontare / U.T.
40,63
40,630000
20,737200
53,14
53,140000
25,316400
10
172,81
17,281000
17,281000
210,97
21,097000
21,097000
88,14
88,140000
88,140000
111,45
111,450000
103,986000
34,28
34,280000
20,737200
44,84
44,840000
25,316400
81,95
81,950000
81,950000
103,62
103,620000
103,620000
10
760,00
76,000000
76,000000
866,55
86,655000
86,655000
18,84
18,840000
18,840000
25,47
25,470000
25,179000
35,03
35,030000
20,737200
45,82
45,820000
25,316400
28
3.559,23
127,115357
127,115357
3.917,72
139,918571
139,918571
28
912,09
32,574642
32,574642
1.032,33
36,868928
36,868928
458,07
458,070000
458,070000
537,45
537,450000
537,450000
PRF
PRF
PRF
81 W08947008 J02AC03
VORICONAZOLUM**
VFEND 200mg
COMPR. FILM.
200mg
PFIZER LIMITED
82 W08946008 J02AC03
VORICONAZOLUM**
VFEND 50mg
COMPR. FILM.
50mg
PFIZER LIMITED
83 W10489001 J02AC03
VORICONAZOLUM**
VFEND 200mg
PULB. PT. SOL.

PERF.
200mg
PFIZER LIMITED
84 W41889001 J02AC03
VORICONAZOLUM**
VFEND 40 mg/ml
PULB. PT. SUSP.

ORALA
40mg/ml
PFIZER LIMITED
MAREA
BRITANIE

PRF
2.203,52
2.203,520000
2.203,520000
2.439,99
2.439,990000
2.439,990000
450mg
TEVA
PHARMACEUTICALS
S.R.L.
ROMANIA

COMPR. FILM.
PR
F
60
3.171,52
52,858666
52,858666
3.495,11
58,251833
58,251833
60
4.863,09
81,051500
63,430399
5.338,93
88,982166
69,902200
100
452,86
4,528600
4,528600
531,77
5,317700
5,317700
50
452,86
9,057200
9,057200
531,77
10,635400
10,635400
85 W60756001 J05AB14
86 W51832001 J05AB14
VALGANCICLOVIRUM**
VALGANCICLOVIRUM**

VALCYTE (R) 450 mg
COMPR. FILM.
COMPR. FILM.

450mg
ROCHE ROMANIA SRL
ROMANIA
MAREA
BRITANIE
PRF
PRF/
R
PRF/
R
87 W04406001 L04AA06
MYCOPHENOLATUM**
CELLCEPT 250mg
CAPS.
250mg
ROCHE REGISTRATION
LTD.
88 W04407001 L04AA06
MYCOPHENOLATUM**
CELLCEPT 500mg
COMPR. FILM.
500mg
ROCHE REGISTRATION
LTD.
MAREA
BRITANIE
89 W42264003 L04AA06
MYCOPHENOLATUM**
MYFORTIC 180 mg
COMPR. FILM.
GASTROREZ.
180mg
NOVARTIS PHARMA
GMBH
GERMANIA

120
557,65
4,647083
4,647083
645,99
5,383250
5,383250
90 W42265003 L04AA06
MYCOPHENOLATUM**
MYFORTIC 360 mg
COMPR. FILM.
GASTROREZ.
360mg
NOVARTIS PHARMA
GMBH
GERMANIA

120
1.041,93
8,682750
8,682750
1.173,85
9,782083
9,782083
ROMANIA
PR
F
100
162,65
1,626500
1,626500
198,56
1,985600
1,985600
ROMANIA
100
291,62
2,916200
2,916200
356,01
3,560100
3,560100
100
162,65
1,626500
1,626500
198,56
1,985600
1,985600
100
302,31
3,023100
3,023100
367,67
3,676700
3,676700
STADA HEMOFARM
S.R.L.
DR. REDDY'S
LABORATORIES
STADA HEMOFARM
S.R.L.
91 W56643001 L04AA06
CAPS.
250 mg
92 W56657001 L04AA06
250 mg
93 W56643003 L04AA06
CAPS.
250 mg
94 W52877001 L04AA06
MYFENAX 250mg
CAPS.
250mg
TEVA PHARMA BV
OLANDA
95 W56003001 L04AA06
COMPR.
500mg
SANDOZ S.R.L.
ROMANIA
96 W58520001 L04AA06
SUPREPHEN 250 mg
COMPR. FILM.
250mg
97 W56644001 L04AA06
COMPR. FILM.
500 mg
98 W52876001 L04AA06
MYFENAX 500mg
COMPR. FILM.
500mg
99 W55987001 L04AA06
500mg
100 W58523001 L04AA06
SUPREPHEN 500 mg
500mg
COMPR. FILM.
ROMASTRU TRADING
S.R.L.
STADA HEMOFARM
S.R.L.
TEVA PHARMA BV
DR. REDDY'S
LABORATORIES
ROMASTRU TRADING
S.R.L.
ROMANIA
ROMANIA
ROMANIA
OLANDA
ROMANIA
ROMANIA

100 CAPS.
F
R
PCOMPR. FILM.
RF
COMPR. FILM.
F
PR
COMPR. FILM.
F
RF/
FILM.
R
PCOMPR. FILM.
RF
COMPR. FILM.
F
50
227,17
4,543400
4,543400
277,33
5,546600
5,546600
100
133,10
1,331000
1,331000
162,49
1,624900
1,624900
50
160,05
3,201000
3,201000
195,39
3,907800
3,907800
50
302,31
6,046200
6,046200
367,67
7,353400
7,353400
50
272,59
5,451800
5,451800
332,78
6,655600
6,655600
50
133,10
2,662000
2,662000
162,49
3,249800
3,249800
50
251,97
5,039400
5,039400
307,60
6,152000
6,152000
EQUORAL 100 mg
CAPS. MOI
100mg
TEVA CZECH
INDUSTRIES S.R.O.
EQUORAL 25 mg
CAPS. MOI
25mg
TEVA CZECH
INDUSTRIES S.R.O.
CEHIA
S/PRF
50
59,45
1,189000
1,189000
75,17
1,503400
1,503400
CAPS. MOI
25mg
NOVARTIS PHARMA
GMBH
S/PRF
50
112,48
2,249600
2,249600
137,32
2,746400
2,746400
EQUORAL 50 mg
CAPS. MOI
50mg
TEVA CZECH
INDUSTRIES S.R.O.
CEHIA
S/PRF
50
120,89
2,417800
2,417800
147,58
2,951600
2,951600
CAPS. MOI
50mg
NOVARTIS PHARMA
GMBH
S/PRF
50
239,32
4,786400
4,786400
292,16
5,843200
5,843200
Pagina 64 din 87
CEHIA
S/PRF
Grupa
terapeutic
a
Denumire generica
Denumire comerciala
Forma farmaceutica
Concentratie
/ U.T.
Firma
Tara
Ambalaj
Prescriptie
Nr.c
Cod CIM
rt
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
Pret cu ridicata
maximal / U.T.
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
Pret cu
amanuntul
maximal / U.T.
Pret de
decontare / U.T.
TACNI 0,5 mg
CAPS.
0,5 mg
TEVA
PHARMACEUTICALS
S.R.L.
ROMANIA

PR
50
133,49
2,669800
2,669800
162,97
3,259400
3,259400
PROGRAF (R) 0,5 mg
CAPS.
0,5mg
ASTELLAS PHARMA
EUROPE BV
OLANDA
50
205,39
4,107800
4,107800
250,74
5,014800
5,014800
ALVOGEN IPCO S.AR.L

LUXEMBUR
G
DESICANT
TRACSUS 0,5 mg
TACNI 1 mg
TRACSUS 1 mg
CAPS.
CAPS.
CAPS.
CAPS.
0,5mg
PR
F
0,5mg
SANDOZ S.R.L.
ROMANIA

1 mg
TEVA
PHARMACEUTICALS
S.R.L.
ROMANIA

PR
1mg
ALVOGEN IPCO S.AR.L

LUXEMBUR
G
DESICANT
PR
F
50
91,62
1,832400
1,832400
115,84
2,316800
2,316800
50
133,49
2,669800
2,669800
162,97
3,259400
3,259400
50
238,62
4,772400
4,772400
291,31
5,826200
5,826200
50
179,98
3,599600
3,599600
219,72
4,394400
4,394400
OLANDA
50
363,74
7,274800
7,274800
434,63
8,692600
8,692600
PROGRAF (R) 1 mg
CAPS.
1mg
ASTELLAS PHARMA
EUROPE BV
CAPS.
1mg
SANDOZ S.R.L.
ROMANIA

50
238,62
4,772400
4,772400
291,31
5,826200
5,826200
PROGRAF (R) 5 mg
CAPS.
5mg
ASTELLAS PHARMA
EUROPE BV
OLANDA
50
1.715,18
34,303600
34,303600
1.907,70
38,154000
38,154000
50
204,92
4,098400
4,098400
250,17
5,003400
5,003400
50
402,53
8,050600
8,050600
476,91
9,538200
9,538200
50
1.865,58
37,311600
37,311600
2.071,63
41,432600
41,432600
10
1.545,19
154,519000
154,519000
1.722,41
172,241000
172,241000

PVDC/AL)
R
PVDC/AL)
R
PVDC/AL)
R
ADVAGRAF 0,5mg
ASTELLAS PHARMA
EUROPE B.V.
ADVAGRAF 1mg
ASTELLAS PHARMA
EUROPE BV
OLANDA
ADVAGRAF 5mg
ASTELLAS PHARMA
EUROPE B.V.
OLANDA
PROGRAF (R) 5 mg/ml
CONC. PT. SOL.

PERF.
5mg/ml
ASTELLAS PHARMA
EUROPE BV
OLANDA
CAPS.
250mg
250mg
ROMPHARM COMPANY
S.R.L.
OLANDA

P9.3: TRANSPLANT HEPATIC
URSOFALK (R)
URSOROM 250 mg
URSOFALK (R)
CAPS.
250mg
URSOSAN
CAPS.
250mg
URSOCHOL 150 mg
COMPR.
150mg
ZAMBON S.P.A.
ITALIA
URSOCHOL 300 mg
COMPR.
300mg
ZAMBON S.P.A.
ITALIA
URSOFALK 500 mg
COMPR. FILM.
URSOFALK 500 mg
COMPR. FILM.
SUSP. ORALA
10 W13613002 B01AB05 ENOXAPARINUM
CLEXANE 2000ui anti-Xa/0,2ml
CAPS.
ROMANIA
P6L
P6
L
P6
L
P6L
P6L
P6L
P6
L
P6
L

COMPR.FILM.
500mg
COMPR.FILM.
P6
L
DOZATOARE DIN PP
500mg
SOL. INJ.
2000ui antiLAB. AVENTIS

Xa/0,2ml
FRANTA
FRANTA
SOL. INJ.

Xa/0,4ml
SOL. INJ.

Xa/0,6ml
FRANTA
SOL. INJ.

Xa/0,8ml
FRANTA
PR/
CUTIE X 10 SERINGI PREUMPLUTE X 0,2 ML
PR
SOL. INJ.
F
PR/
CUTIE X 10 SERINGI PREUMPLUTE X 0.4 ML
PR
SOL. INJ.
F
PR/
PR
SOL. INJ.
F
PR/
PR
SOL. INJ.
F
SOL. INJ.
8000UI antiLABORATOIRE AVENTIS FRANTA

Xa/0,8ml
CUTIE CU 6 SERINGI PREUMPLUTE (DIN

STICLA INCOLORA DE TIP I, CU O
CAPACITATE DE 1 ML, PREVAZUTA CU A
15 W58879001 B01AC11 ILOPROSTUM**
ILOMEDIN 20
CONC. PT. SOL.

PERF.
20g/ml
GERMANIA
CUTIE X 5 FIOLE STICLA INCOLORA X 1 ML S/PRF

16 W51786004 B01AC11 ILOPROSTUM**
VENTAVIS 10mcg/ml
SOL. DE INHALAT
PRIN NEBULIZ.
GERMANIA
CUTIE X 30 FIOLE X 1 ML SOL. DE INHALAT

S
PRIN NEBULIZ.
17 W00257001 B01AD02 ALTEPLASUM**
ACTILYSE
PULB+SOLV. PT.
SOL. INJ
EXACYL
SOL. INJ.
BAYER PHARMA AG
BAYER SCHERING
PHARMA AG
BOEHRINGER
50mg
INGELHEIM
INTERNATIONAL GMBH
10mcg/ml
Pagina 65 din 87
PR/
PR
F
50
56,54
1,130800
0,848200
71,49
1,429800
1,109400
60
42,41
0,706833
0,706833
55,47
0,924500
0,924500
100
98,29
0,982900
0,848200
124,28
1,242800
1,109400
50
54,39
1,087800
0,848200
68,77
1,375400
1,109400
60
41,43
0,690500
0,690500
54,19
0,903166
0,903166
20
27,43
1,371500
1,371500
35,88
1,794000
1,794000
50
111,83
2,236600
2,236600
136,52
2,730400
2,730400
100
219,67
2,196700
2,196700
268,17
2,681700
2,681700
77,10
77,100000
77,100000
97,49
97,490000
97,490000
10
49,00
4,900000
4,900000
64,09
6,409000
6,409000
10
93,99
9,399000
9,399000
118,84
11,884000
11,884000
10
118,32
11,832000
11,832000
144,45
14,445000
14,445000
30,69
15,345000
15,345000
40,14
20,070000
20,070000
104,35
17,391666
17,391666
127,39
21,231666
21,231666
650,50
130,100000
130,100000
747,20
149,440000
149,440000
30
1.947,00
64,900000
64,900000
2.160,38
72,012666
72,012666
GERMANIA
CUTIE X 1 FLAC. LIOF. PT. SOL. INJ. + 1

FLACON SOLV. + CANULA DE TRANSFER
1.490,89
1.490,890000
1.490,890000
1.663,22
1.663,220000
1.663,220000
ROMANIA
CUTIE X 5 FIOLE X 5ML SOL. INJ.
9,47
1,894000
1,894000
12,80
2,560000
2,560000
Grupa
terapeutic
a
Denumire generica
COMBINATII
(SPIRONOLACTONUM+FUROSEMIDUM)
COMBINATII
COMBINATII
21 W60585001 C03EB01
COMBINATII
22 W07005001 C03EB01
Denumire comerciala
Forma farmaceutica
Concentratie
/ U.T.
Firma
Tara
Ambalaj
19 W58726003 C03EB01
DIUROCARD 50 mg/20 mg
CAPS.
50mg/20
mg
20 W60585002 C03EB01
DIOCOR 50 mg/20 mg
CAPS.
50mg/20mg SANIENCE S.R.L.
ROMANIA
23 W53832002 H01BA02 DESMOPRESSINUM
DIOCOR 50 mg/20 mg
CAPS.
50mg/20mg SANIENCE S.R.L.
ROMANIA
DIUREX 50
CAPS.
50mg/20mg TERAPIA SA
ROMANIA
DESMOPRESINA TEVA 0,2mg
COMPR.
0,2mg
TEVA PHARMACEUTICAL
ROMANIA
S.R.L.
CUTIE CU BLIST. OPA-AL- PVC/AL X 30

COMPR.
MINIRIN 0,2 mg
COMPR.
0,2mg
FERRING GMBH
GERMANIA CUTIE X 1 FLAC. DIN PEID X 30 COMPR.
MINIRIN MELT 120 mcg
LIOF. ORAL
120mcg
FERRING GMBH
GERMANIA
MINIRIN MELT 60 mcg
LIOF. ORAL
60mcg
FERRING GMBH
MINIRIN MELT 60 mcg
LIOF. ORAL
60mcg
FERRING GMBH
PERASIN 2g/0,25 g
PULB. PT. SOL.

INJ./PERF.
2g/0,25g
ANTIBIOTICE S.A.
BACTACIN 2 g/0,25 g
PULB. PT. SOL.

INJ./PERF.
2g/0,25g
TERAPIA SA
PULB. PT. SOL.

INJ./PERF.
2g/0,25g
ROMASTRU TRADING
SRL
PULB. PT. SOL.

INJ./PERF.
2g/0,25g
MYLAN S.A.S.
PULB. PT. SOL.

INJ./PERF.
PULB. PT. SOL.

INJ./PERF.
2g/0,25g
4g/0,5g
ROMASTRU TRADING
SRL
MYLAN S.A.S.
Prescriptie
Nr.c
Cod CIM
rt
P6
L
P6
L
P6
L
P6L
PRF
PRF
PRF
PRF
PRF
CUTIE X 3 BLIST. AL/AL X 10 UNITATI

DOZATE LIOF. ORAL
CUTIE X 1 BLIST AL/AL X 10 UNITATI
GERMANIA
DOZATE LIOF. ORAL
CUTIE X 3 BLIST AL/AL X 10 UNITATI
GERMANIA
DOZATE LIOF. ORAL
ROMANIA CU CAPACITATEA DE 30 ML CU PULB. PT. S
SOL. INJ./PERF.
SOL. INJ./PERF.
SOL. INJ./PERF.
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
Pret cu ridicata
maximal / U.T.
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
Pret cu
amanuntul
maximal / U.T.
Pret de
decontare / U.T.
30
23,29
0,776333
0,776333
31,48
1,049333
1,049333
30
23,29
0,776333
0,776333
31,48
1,049333
1,049333
20
17,25
0,862500
0,862500
23,31
1,165500
1,165500
20
17,25
0,862500
0,862500
23,31
1,165500
1,165500
30
105,26
3,508666
3,508666
128,50
4,283333
4,283333
30
95,42
3,180666
3,180666
120,65
4,021666
4,021666
30
149,92
4,997333
4,997333
183,02
6,100666
6,100666
10
26,04
2,604000
2,604000
34,06
3,406000
3,406000
30
76,73
2,557666
2,557666
97,02
3,234000
3,234000
22,93
22,930000
22,930000
30,99
30,990000
30,990000
22,93
22,930000
22,930000
30,99
30,990000
30,990000
12
265,41
22,117500
22,117500
324,01
27,000833
27,000833
FRANTA

S
22,93
22,930000
22,930000
30,99
30,990000
30,990000
ROMANIA

SOL. INJ./PERF.
22,93
22,930000
22,930000
30,99
30,990000
30,990000
FRANTA

S
40,94
40,940000
40,940000
53,55
53,550000
53,550000
40,93
40,930000
40,930000
53,53
53,530000
53,530000
12
460,81
38,400833
38,400833
540,43
45,035833
45,035833
40,93
40,930000
40,930000
53,53
53,530000
53,530000
40,93
40,930000
40,930000
53,53
53,530000
53,530000

SOL. INJ./PERF.
SOL. INJ./PERF.
SOL. INJ./PERF.
SOL. INJ./PERF.
ZOPECILIN 4 g/0,5 g
PULB. PT. SOL.

INJ./PERF.
4g/0,5g
ROMASTRU TRADING
SRL
ROMANIA
ZOPECILIN 4 g/0,5 g
PULB. PT. SOL.

INJ./PERF.
4g/0,5g
ROMASTRU TRADING
SRL
ROMANIA
BACTACIN 4 g/0,5 g
PULB. PT. SOL.

INJ./PERF.
4g/0,5g
TERAPIA SA
ROMANIA
PERASIN 4g/0,5 g
PULB. PT. SOL.

INJ./PERF.
4g/0,5g
ANTIBIOTICE S.A.
ROMANIA
PULB. PT. SOL.

PERF.
2g/0,25g
S.C. FRESENIUS KABI

S.R.L.
ROMANIA

S
10
386,57
38,657000
26,541000
459,51
45,951000
32,401000
PULB. PT. SOL.

PERF.
4g/0,5g
S.C. FRESENIUS KABI

S.R.L.
ROMANIA

10
389,01
38,901000
38,901000
462,17
46,217000
46,217000
MAREA
BRITANIE
PRF

40 W52799001 J01XX08
LINEZOLIDUM
ZYVOXID (R)
COMPR. FILM.
600mg
10
1.603,26
160,326000
160,326000
1.785,71
178,571000
178,571000
MAREA
BRITANIE
PRF
879,36
879,360000
879,360000
996,65
996,650000
996,650000
PR
F
10
1.052,62
105,262000
105,262000
1.185,51
118,551000
118,551000
PR
10
1.052,62
105,262000
105,262000
1.185,51
118,551000
118,551000
10
1.603,26
160,326000
126,314400
1.785,71
178,571000
142,261200
PR
112,48
112,480000
112,480000
137,32
137,320000
137,320000
PR
112,48
112,480000
112,480000
137,32
137,320000
137,320000
28
3.559,23
127,115357
127,115357
3.917,72
139,918571
139,918571
28
912,09
32,574642
32,574642
1.032,33
36,868928
36,868928
41 W52800001 J01XX08
LINEZOLIDUM
ZYVOXID (R)
GRAN. PT. SUSP.

ORALA
42 W57578002 J01XX08
LINEZOLIDUM
SOL. PERF.
2mg/ml
43 W60604004 J01XX08
LINEZOLIDUM
PNEUMOLID 2 mg/ml
SOL. PERF.
2mg/ml
44 W52801001 J01XX08
LINEZOLIDUM
ZYVOXID (R)
SOL. PERF.
2mg/ml
45 W60604001 J01XX08
LINEZOLIDUM
PNEUMOLID 2 mg/ml
SOL. PERF.
2mg/ml
46 W60734001 J01XX08
LINEZOLIDUM
SOL. PERF.
2mg/ml
47 W08947008 J02AC03
VORICONAZOLUM**
VFEND 200mg
COMPR. FILM.
200mg
48 W08946008 J02AC03
VORICONAZOLUM**
VFEND 50mg
COMPR. FILM.
50mg

DUBLA X 2,5 ML/5 ML
TEVA
PHARMACEUTICALS
S.R.L.
ALVOGEN IPCO S.AR.L
G
ML SOL. PERF.
MAREA
BRITANIE
ALVOGEN IPCO S.AR.L
G
SUPLIMENTAR
SANDOZ S.R.L.
PERF.
MAREA
PFIZER LIMITED
BRITANIE
MAREA
PFIZER LIMITED
BRITANIE
Pagina 66 din 87
PRF
PRF
Grupa
terapeutic
a
49 W10489001 J02AC03
50 W41889001 J02AC03
Denumire generica
VORICONAZOLUM**
VORICONAZOLUM**
Denumire comerciala
VFEND 200mg
PULB. PT. SOL.

PERF.
VFEND 40 mg/ml
PULB. PT. SUSP.

ORALA
51 W06665001 J02AX04
CASPOFUNGINUM**
CANCIDAS 50 mg
52 W06670001 J02AX04
CASPOFUNGINUM**
CANCIDAS 70 mg
53 W60756001 J05AB14
VALGANCICLOVIRUM**
Forma farmaceutica
PULB. PT. CONC.

PT. SOL. PERF.
PULB. PT. CONC.
PT. SOL. PERF.
COMPR. FILM.
Concentratie
/ U.T.
200mg
40mg/ml
50mg
70mg
450mg
Firma
Tara
PFIZER LIMITED
MAREA
BRITANIE
PFIZER LIMITED
MAREA
BRITANIE
MAREA
MERCK SHARP & DOHME
BRITANIE
MAREA
MERCK SHARP & DOHME
BRITANIE
TEVA
PHARMACEUTICALS
ROMANIA
S.R.L.

SOL. PERF.
SOL. PERF.
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
Pret cu ridicata
maximal / U.T.
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
Pret cu
amanuntul
maximal / U.T.
Pret de
decontare / U.T.
PRF
458,07
458,070000
458,070000
537,45
537,450000
537,450000
PRF
2.203,52
2.203,520000
2.203,520000
2.439,99
2.439,990000
2.439,990000
1.202,39
1.202,390000
1.202,390000
1.348,76
1.348,760000
1.348,760000
1.560,14
1.560,140000
1.560,140000
1.738,70
1.738,700000
1.738,700000
3.171,52
52,858666
52,858666
3.495,11
58,251833
58,251833

COMPR. FILM.
PR
F
60
PRF
60
4.863,09
81,051500
63,430399
5.338,93
88,982166
69,902200

40 ML SOL. PERF. (2000UI)
PR
2.935,32
2.935,320000
2.935,320000
3.237,65
3.237,650000
3.237,650000
54 W51832001 J05AB14
VALGANCICLOVIRUM**
VALCYTE (R) 450 mg
COMPR. FILM.
450mg
ROCHE ROMANIA SRL
55 W54188003 J06BB04
IMUNOGLOBULINA ANTI-HEPATITICA B**
HEPATECT CP 50 UI/ml
SOL. PERF.
50 UI/ ml
56 W51424001 L03AA02
FILGRASTIMUM (G-CSF)
NEUPOGEN (R)
SOL. INJ.
OLANDA

ML
S/PRF
267,05
267,050000
194,520000
326,02
326,020000
237,468000
57 W51423001 L03AA02
NEUPOGEN (R)
SOL. INJ.
OLANDA

ML
S/PRF
436,57
436,570000
313,092000
514,01
514,010000
382,224000
162,10
162,100000
162,100000
197,89
197,890000
197,890000
260,91
260,910000
260,910000
318,52
318,520000
318,520000
58 W53892001 L03AA02
ZARZIO 30MU/0,5ml
59 W53893001 L03AA02
ZARZIO 48MU/0,5ml
60 W55756002 L03AA02
SOL. INJ. /PERF. IN

SERINGA
60MU/ml
PREUMPLUTA
SOL. INJ. /PERF. IN
SERINGA
96MU/ml
PREUMPLUTA
SOL. INJ./PERF.
ROMANIA
Ambalaj
Prescriptie
Nr.c
Cod CIM
rt
SANDOZ GMBH
AUSTRIA
SANDOZ GMBH
AUSTRIA

RF/
SOL
R
RF/
SOL
R
RF
MAREA
BRITANIE
418,45
83,690000
83,690000
494,26
98,852000
98,852000
214,16
214,160000
194,520000
261,45
261,450000
237,468000
61 W53520001 L03AA02
SOL. INJ./PERF.
300mcg/0,5
TEVA GENERICS GMBH
ml

RF/
GERMANIA
SOL. INJ. SAU PERF.
R
62 W55757002 L03AA02
SOL. INJ./PERF.
MAREA
BRITANIE

RF
1.001,12
200,224000
194,520000
1.129,37
225,874000
225,874000
63 W53523001 L03AA02
SOL. INJ./PERF.
480mcg/0,8
TEVA GENERICS GMBH
ml
GERMANIA

RF/
SOL. INJ. SAU PERF.
R
355,90
355,900000
313,092000
426,08
426,080000
382,224000
64 W55758002 L03AA02
SOL. INJ./PERF.
MAREA
BRITANIE
1.656,30
331,260000
313,092000
1.843,52
368,704000
368,704000
100
452,86
4,528600
4,528600
531,77
5,317700
5,317700
50
452,86
9,057200
9,057200
531,77
10,635400
10,635400
65 W04406001 L04AA06
MYCOPHENOLATUM**
CELLCEPT 250mg
CAPS.
250mg
ROCHE REGISTRATION
LTD.
66 W04407001 L04AA06
MYCOPHENOLATUM**
CELLCEPT 500mg
COMPR. FILM.
500mg
ROCHE REGISTRATION
LTD.
MAREA
BRITANIE
67 W42264003 L04AA06
MYCOPHENOLATUM**
MYFORTIC 180 mg
COMPR. FILM.
GASTROREZ.
180mg
NOVARTIS PHARMA
GMBH
GERMANIA

120
557,65
4,647083
4,647083
645,99
5,383250
5,383250
68 W42265003 L04AA06
MYCOPHENOLATUM**
MYFORTIC 360 mg
COMPR. FILM.
GASTROREZ.
360mg
NOVARTIS PHARMA
GMBH
GERMANIA

120
1.041,93
8,682750
8,682750
1.173,85
9,782083
9,782083
ROMANIA
PR
F
100
162,65
1,626500
1,626500
198,56
1,985600
1,985600
ROMANIA
100
291,62
2,916200
2,916200
356,01
3,560100
3,560100
100
162,65
1,626500
1,626500
198,56
1,985600
1,985600
100
302,31
3,023100
3,023100
367,67
3,676700
3,676700
STADA HEMOFARM
S.R.L.
DR. REDDY'S
LABORATORIES
STADA HEMOFARM
S.R.L.
MAREA
BRITANIE

RF
PCUTIE X 10 BLIST. X 10 CAPS.
RF/
R
RF/
R
69 W56643001 L04AA06
CAPS.
250 mg
70 W56657001 L04AA06
250 mg
71 W56643003 L04AA06
CAPS.
250 mg
72 W52877001 L04AA06
MYFENAX 250mg
CAPS.
250mg
TEVA PHARMA BV
OLANDA
73 W56003001 L04AA06
COMPR.
500mg
SANDOZ S.R.L.
ROMANIA
74 W58520001 L04AA06
SUPREPHEN 250 mg
COMPR. FILM.
250mg
75 W56644001 L04AA06
COMPR. FILM.
500 mg
76 W52876001 L04AA06
MYFENAX 500mg
COMPR. FILM.
500mg
ROMASTRU TRADING
S.R.L.
STADA HEMOFARM
S.R.L.
TEVA PHARMA BV
DR. REDDY'S
LABORATORIES
ROMASTRU TRADING
S.R.L.
ROMANIA
ROMANIA
ROMANIA
OLANDA
77 W55987001 L04AA06
500mg
78 W58523001 L04AA06
SUPREPHEN 500 mg
COMPR. FILM.
500mg
79 W10576001 L04AA10
SIROLIMUS**
RAPAMUNE 1mg
DRAJ.
1mg
WYETH EUROPA LTD.
MAREA
BRITANIE
EQUORAL 100 mg
CAPS. MOI
100mg
TEVA CZECH
INDUSTRIES S.R.O.
CEHIA
Pagina 67 din 87
ROMANIA
ROMANIA

100 CAPS.
F
R
PCOMPR. FILM.
RF
COMPR. FILM.
F
PR
COMPR. FILM.
F
RF/
FILM.
R
PCOMPR. FILM.
RF
COMPR. FILM.
F
R
S/PRF
50
227,17
4,543400
4,543400
277,33
5,546600
5,546600
100
133,10
1,331000
1,331000
162,49
1,624900
1,624900
50
160,05
3,201000
3,201000
195,39
3,907800
3,907800
50
302,31
6,046200
6,046200
367,67
7,353400
7,353400
50
272,59
5,451800
5,451800
332,78
6,655600
6,655600
50
133,10
2,662000
2,662000
162,49
3,249800
3,249800
30
489,29
16,309666
16,309666
571,48
19,049333
19,049333
50
251,97
5,039400
5,039400
307,60
6,152000
6,152000
Grupa
terapeutic
a
Denumire generica
Denumire comerciala
Forma farmaceutica
Concentratie
/ U.T.
Firma
Tara
Ambalaj
Prescriptie
Nr.c
Cod CIM
rt
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
Pret cu ridicata
maximal / U.T.
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
Pret cu
amanuntul
maximal / U.T.
Pret de
decontare / U.T.
EQUORAL 25 mg
CAPS. MOI
25mg
TEVA CZECH
INDUSTRIES S.R.O.
CEHIA
S/PRF
50
59,45
1,189000
1,189000
75,17
1,503400
1,503400
CAPS. MOI
25mg
NOVARTIS PHARMA
GMBH
S/PRF
50
112,48
2,249600
2,249600
137,32
2,746400
2,746400
EQUORAL 50 mg
CAPS. MOI
50mg
TEVA CZECH
INDUSTRIES S.R.O.
CEHIA
S/PRF
50
120,89
2,417800
2,417800
147,58
2,951600
2,951600
50mg
NOVARTIS PHARMA
GMBH
S/PRF
50
239,32
4,786400
4,786400
292,16
5,843200
5,843200
ROMANIA

PR
50
133,49
2,669800
2,669800
162,97
3,259400
3,259400
50
205,39
4,107800
4,107800
250,74
5,014800
5,014800
50
91,62
1,832400
1,832400
115,84
2,316800
2,316800
CAPS. MOI
TACNI 0,5 mg
CAPS.
0,5 mg
TEVA
PHARMACEUTICALS
S.R.L.
PROGRAF (R) 0,5 mg
CAPS.
0,5mg
ASTELLAS PHARMA
EUROPE BV
OLANDA
TRACSUS 0,5 mg
CAPS.
0,5mg
ALVOGEN IPCO S.AR.L

LUXEMBUR
G
DESICANT
CAPS.
0,5mg
SANDOZ S.R.L.
ROMANIA

50
133,49
2,669800
2,669800
162,97
3,259400
3,259400
1 mg
TEVA
PHARMACEUTICALS
S.R.L.
ROMANIA

PR
50
238,62
4,772400
4,772400
291,31
5,826200
5,826200
50
179,98
3,599600
3,599600
219,72
4,394400
4,394400
TACNI 1 mg
CAPS.
PR
F
TRACSUS 1 mg
CAPS.
1mg
ALVOGEN IPCO S.AR.L

LUXEMBUR
G
DESICANT
PROGRAF (R) 1 mg
CAPS.
1mg
ASTELLAS PHARMA
EUROPE BV
OLANDA
50
363,74
7,274800
7,274800
434,63
8,692600
8,692600
CAPS.
1mg
SANDOZ S.R.L.
ROMANIA

50
238,62
4,772400
4,772400
291,31
5,826200
5,826200
PROGRAF (R) 5 mg
CAPS.
5mg
ASTELLAS PHARMA
EUROPE BV
OLANDA
50
1.715,18
34,303600
34,303600
1.907,70
38,154000
38,154000

PVDC/AL)
R
PVDC/AL)
R
PVDC/AL)
R
50
204,92
4,098400
4,098400
250,17
5,003400
5,003400
50
402,53
8,050600
8,050600
476,91
9,538200
9,538200
50
1.865,58
37,311600
37,311600
2.071,63
41,432600
41,432600
10
1.545,19
154,519000
154,519000
1.722,41
172,241000
172,241000
ADVAGRAF 0,5mg
ASTELLAS PHARMA
EUROPE B.V.
OLANDA
ADVAGRAF 1mg
ASTELLAS PHARMA
EUROPE BV
OLANDA
ADVAGRAF 5mg
ASTELLAS PHARMA
EUROPE B.V.
OLANDA
PROGRAF (R) 5 mg/ml
CONC. PT. SOL.

PERF.
5mg/ml
ASTELLAS PHARMA
EUROPE BV
OLANDA
CAPS.
250mg
250mg
ROMPHARM COMPANY
S.R.L.
PR
F

P9.4: TRANSPLANT RENAL combinat RINICHI si PANCREAS
URSOFALK (R)
URSOROM 250 mg
CAPS.
URSOFALK (R)
CAPS.
250mg
URSOSAN
CAPS.
250mg
URSOCHOL 150 mg
COMPR.
150mg
ZAMBON S.P.A.
ITALIA
URSOCHOL 300 mg
COMPR.
300mg
ZAMBON S.P.A.
ITALIA
URSOFALK 500 mg
COMPR. FILM.
URSOFALK 500 mg
COMPR. FILM.
SUSP. ORALA
ALPHA D3 0,25 mcg
CAPS. MOI
CAPS. MOI
ALPHA D3 0,50 mcg
CAPS. MOI
CAPS. MOI
SOL. INJ.
ROMANIA
P6L
P6
L
P6
L
P6L
P6L
P6L
P6
L
P6
L

500mg
COMPR.FILM.
500mg
COMPR.FILM.
P6
L
DOZATOARE DIN PP
TEVA
P0,25mcg
PHARMACEUTICALS
ROMANIA CUTIE X 1 FLAC. DIN PPID X 50 CAPS. MOI
RF
S.R.L.
0,25g
SANDOZ S.R.L.
ROMANIA
MOI
F
TEVA
P0,50mcg
PHARMACEUTICALS
ROMANIA CUTIE X 1 FLAC. X 30 CAPS. MOI
RF
S.R.L.
0,5g
SANDOZ S.R.L.
ROMANIA
MOI
F
2microgram
LEO PHARMA A/S
S
e/ml
CA
0,5 ML SOL. INJ.
Pagina 68 din 87
50
56,54
1,130800
0,848200
71,49
1,429800
1,109400
60
42,41
0,706833
0,706833
55,47
0,924500
0,924500
100
98,29
0,982900
0,848200
124,28
1,242800
1,109400
50
54,39
1,087800
0,848200
68,77
1,375400
1,109400
60
41,43
0,690500
0,690500
54,19
0,903166
0,903166
20
27,43
1,371500
1,371500
35,88
1,794000
1,794000
50
111,83
2,236600
2,236600
136,52
2,730400
2,730400
100
219,67
2,196700
2,196700
268,17
2,681700
2,681700
77,10
77,100000
77,100000
97,49
97,490000
97,490000
50
21,46
0,429200
0,429200
29,01
0,580200
0,580200
30
16,99
0,566333
0,515040
22,97
0,765666
0,696240
30
23,23
0,774333
0,774333
31,40
1,046666
1,046666
30
26,00
0,866666
0,866666
34,01
1,133666
1,133666
10
108,79
10,879000
10,879000
132,81
13,281000
13,281000
Grupa
terapeutic
a
Denumire generica
Denumire comerciala
Forma farmaceutica
Concentratie
/ U.T.
Firma
Tara
Ambalaj
Prescriptie
Nr.c
Cod CIM
rt
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
Pret cu ridicata
maximal / U.T.
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
Pret cu
amanuntul
maximal / U.T.
Pret de
decontare / U.T.
SOL. INJ.
2microgram
LEO PHARMA A/S
e/ml
10
203,78
20,378000
20,378000
248,78
24,878000
24,878000
CUTIE X 5 BLIST. X 1 SERINGA X 0,4 ML

SOL. INJ.
S/PRF
103,19
20,638000
20,638000
125,97
25,194000
25,194000

SOL. INJ.
S/PRF
139,97
27,994000
27,994000
170,87
34,174000
34,174000
169,45
33,890000
33,890000
206,87
41,374000
41,374000
S/PRF
192,72
38,544000
38,544000
235,27
47,054000
47,054000
S/PRF
10
61,36
6,136000
6,136000
77,59
7,759000
7,759000
S/PRF
10
116,45
11,645000
11,645000
142,16
14,216000
14,216000
S/PRF
10
166,28
16,628000
16,628000
202,99
20,299000
20,299000
10
49,00
4,900000
4,900000
64,09
6,409000
6,409000
10
93,99
9,399000
9,399000
118,84
11,884000
11,884000
10
118,32
11,832000
11,832000
144,45
14,445000
14,445000
30,69
15,345000
15,345000
40,14
20,070000
20,070000
DANEMAR
CA
16 W43774001 B01AB04 DALTEPARINUM
FRAGMIN 10000 UI/0,4 ml
SOL. INJ.
10000UI/0,4
MAREA
ml
BRITANIE
SOL. INJ.
12500
UI/0,5ml
MAREA
BRITANIE
CUTIE CU 10 FIOLE DIN STICLA BRUNA X 1

S
ML SOL. INJ.
FRAGMIN15000 UI/0,6 ml
SOL. INJ.
15000ui/0,6
MAREA
ml
BRITANIE
CUTIE X 5 BLIST. INDIVIDUALE CONTINAND

S/PFIECARE 1 SERINGA PREUMPLUTA X 0,6
RF
ML SOL. INJ.
SOL. INJ.
18000
UI/0,72ml

SOL. INJ.
MAREA
BRITANIE
SOL. INJ.
2500ui/0,2m
MAREA
l
BRITANIE
SOL. INJ.
5000ui/0,2m
MAREA
l
BRITANIE
SOL. INJ.
7500ui/0,3m
MAREA
l
BRITANIE
SOL. INJ.

Xa/0,2ml
FRANTA
SOL. INJ.

Xa/0,4ml
FRANTA
SOL. INJ.

Xa/0,6ml
FRANTA
SOL. INJ.

Xa/0,8ml
FRANTA
SOL. INJ.

Xa/0,8ml
28 W42955001 H01CB02 OCTREOTIDUM**
SANDOSTATIN LAR 20 mg
PULB. + SOLV. PT.

SUSP. INJ. (I.M.) CU 20mg
ELIB. PRELU
NOVARTIS PHARMA
GMBH
PULB.+SOLV.PT.SU
SP. INJ. (I.M.) CU
10mg
ELIB. PRELUNG.
OCTREOTID KABI 0,1 mg/ml
CUTIE X 10 BLIST. INDIVIDUALE

CONTINAND FIECARE 1 SERINGA
PREUMPLUTA X 0,2 ML
PREUMPLUTA X 0,2 ML
PREUMPLUTA X 0,3 ML
PR/
PR
SOL. INJ.
F
PR/
PR
SOL. INJ.
F
PR/
PR
SOL. INJ.
F
PR/
PR
SOL. INJ.
F
PR/
PR
F
104,35
17,391666
17,391666
127,39
21,231666
21,231666
GERMANIA
CUTIE X 1 FLAC. PULBERE + 1 SERINGA

PREUMPLUTA X 2,5 ML SOLVENT + 2 ACE
S/PRF
3.478,41
3.478,410000
3.478,410000
3.829,62
3.829,620000
3.829,620000
NOVARTIS PHARMA
GMBH
GERMANIA
CUTIE X 1 FLAC. PULBERE + 1 SERINGA

S/PRF
2.167,33
2.167,330000
2.167,330000
2.400,54
2.400,540000
2.400,540000
PULB.+SOLV.PT.SU
SP. INJ. (I.M.) CU
30mg
ELIB. PRELUNG.
NOVARTIS PHARMA
GMBH
GERMANIA
CUTIE X 1 FLAC. PULB. + 1 SERINGA

S/PRF
4.817,21
4.817,210000
4.817,210000
5.288,92
5.288,920000
5.288,920000
SOL INJ.
0,1mg/ml
FRESENIUS KABI
ROMANIA SRL
ROMANIA
CUTIE CU 5 FLAC. DIN SICLA INCOLORA,

PR
CU CAPACITATEA DE 2 ML X 1 ML SOL. INJ. F
75,49
15,098000
8,100000
95,45
19,090000
10,596000
PR
33,75
6,750000
6,750000
44,15
8,830000
8,830000
22,93
22,930000
22,930000
30,99
30,990000
30,990000
22,93
22,930000
22,930000
30,99
30,990000
30,990000
12
265,41
22,117500
22,117500
324,01
27,000833
27,000833
FRANTA

S
22,93
22,930000
22,930000
30,99
30,990000
30,990000
SANDOSTATIN 0,1 mg/ml
SOL. INJ.
0,1mg/ml
NOVARTIS PHARMA
GMBH
PERASIN 2g/0,25 g
PULB. PT. SOL.

INJ./PERF.
2g/0,25g
ANTIBIOTICE S.A.
BACTACIN 2 g/0,25 g
PULB. PT. SOL.

INJ./PERF.
2g/0,25g
TERAPIA SA
PULB. PT. SOL.

INJ./PERF.
2g/0,25g
ROMASTRU TRADING
SRL
PULB. PT. SOL.

INJ./PERF.
2g/0,25g
MYLAN S.A.S.
PULB. PT. SOL.

INJ./PERF.
2g/0,25g
ROMASTRU TRADING
SRL
ROMANIA

SOL. INJ./PERF.
22,93
22,930000
22,930000
30,99
30,990000
30,990000
PULB. PT. SOL.

INJ./PERF.
4g/0,5g
MYLAN S.A.S.
FRANTA

S
40,94
40,940000
40,940000
53,55
53,550000
53,550000
40,93
40,930000
40,930000
53,53
53,530000
53,530000
12
460,81
38,400833
38,400833
540,43
45,035833
45,035833
40,93
40,930000
40,930000
53,53
53,530000
53,530000

ZOPECILIN 4 g/0,5 g
PULB. PT. SOL.

INJ./PERF.
CUTIE CU 5 FIOLE DIN STICLA INCOLORA X

GERMANIA
1 ML SOL. INJ.
SOL. INJ./PERF.
SOL. INJ./PERF.
SOL. INJ./PERF.
4g/0,5g
ROMASTRU TRADING
SRL
ROMANIA
ZOPECILIN 4 g/0,5 g
PULB. PT. SOL.

INJ./PERF.
4g/0,5g
ROMASTRU TRADING
SRL
ROMANIA
BACTACIN 4 g/0,5 g
PULB. PT. SOL.

INJ./PERF.
4g/0,5g
TERAPIA SA
ROMANIA
Pagina 69 din 87

SOL. INJ./PERF.
SOL. INJ./PERF.
SOL. INJ./PERF.
Grupa
terapeutic
a
Denumire generica
Denumire comerciala
Forma farmaceutica
Concentratie
/ U.T.
Firma
Tara
Ambalaj
Prescriptie
Nr.c
Cod CIM
rt
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
Pret cu ridicata
maximal / U.T.
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
Pret cu
amanuntul
maximal / U.T.
Pret de
decontare / U.T.
PERASIN 4g/0,5 g
PULB. PT. SOL.

INJ./PERF.
4g/0,5g
ANTIBIOTICE S.A.
ROMANIA

SOL. INJ./PERF.
40,93
40,930000
40,930000
53,53
53,530000
53,530000
PULB. PT. SOL.

PERF.
2g/0,25g
S.C. FRESENIUS KABI

S.R.L.
ROMANIA

S
10
386,57
38,657000
26,541000
459,51
45,951000
32,401000
PULB. PT. SOL.

PERF.
4g/0,5g
S.C. FRESENIUS KABI

S.R.L.
ROMANIA

10
389,01
38,901000
38,901000
462,17
46,217000
46,217000
45 W13105001 J01XA02
TEICOPLANINUM
TARGOCID (R) 400 mg
LIOF. + SOLV. PT.

SOL. INJ.
400mg
109,84
109,840000
109,840000
134,09
134,090000
134,090000
46 W52799001 J01XX08
LINEZOLIDUM
ZYVOXID (R)
COMPR. FILM.
600mg
47 W52800001 J01XX08
LINEZOLIDUM
ZYVOXID (R)
GRAN. PT. SUSP.

ORALA
48 W57578002 J01XX08
LINEZOLIDUM
SOL. PERF.
2mg/ml
49 W60604004 J01XX08
LINEZOLIDUM
PNEUMOLID 2 mg/ml
SOL. PERF.
2mg/ml
50 W52801001 J01XX08
LINEZOLIDUM
ZYVOXID (R)
SOL. PERF.
2mg/ml
51 W60604001 J01XX08
LINEZOLIDUM
PNEUMOLID 2 mg/ml
SOL. PERF.
2mg/ml
52 W60734001 J01XX08
LINEZOLIDUM
SOL. PERF.
2mg/ml
53 W08372001 J02AC01
FLUCONAZOLUM
FLUCOVIM 100
CAPS.
100mg
54 W42371002 J02AC01
FLUCONAZOLUM
FUNGOLON 100 mg
CAPS.
100mg
55 W58225007 J02AC01
FLUCONAZOLUM
CAPS.
100mg
56 W43597001 J02AC01
FLUCONAZOLUM
CAPS.
100mg
57 W43597002 J02AC01
FLUCONAZOLUM
CAPS.
100mg
MAREA
BRITANIE
MAREA
BRITANIE
AVENTIS PHARMA LTD.


DUBLA X 2,5 ML/5 ML
TEVA
PHARMACEUTICALS
S.R.L.
ALVOGEN IPCO S.AR.L
G
ML SOL. PERF.
MAREA
BRITANIE
ALVOGEN IPCO S.AR.L
G
SUPLIMENTAR
SANDOZ S.R.L.
PERF.
VIM SPECTRUM SRL

BALKANPHARMA
RAZGRAD AD
AUROBINDO PHARMA
(MALTA) LIMITED
TEVA
PHARMACEUTICALS
S.R.L.
TEVA
PHARMACEUTICALS
S.R.L.
MAREA
BRITANIE
ROMANIA

MALTA
CUTIE CU BLIST. PVC

ROMANIA
ROMANIA
58 W43288001 J02AC01
FLUCONAZOLUM
CAPS.
150mg
SANDOZ SRL
59 W42693001 J02AC01
FLUCONAZOLUM
FLUCONAZOL 150 mg
CAPS.
150mg
SLAVIA PHARM SRL
ROMANIA
60 W08373001 J02AC01
FLUCONAZOLUM
FLUCOVIM 150
CAPS.
150mg
VIM SPECTRUM SRL
ROMANIA
61 W51994001 J02AC01
FLUCONAZOLUM
CAPS.
150mg
62 W60221001 J02AC01
FLUCONAZOLUM
CAPS.
150mg
63 W43598001 J02AC01
FLUCONAZOLUM
CAPS.
150mg
MEDOCHEMIE ROMANIA
ROMANIA
SRL
REPUBLICA
ZENTIVA K.S.
CEHA
TEVA
PHARMACEUTICALS
ROMANIA
S.R.L.
ROMPHARM COMPANY
ROMANIA
S.R.L.
64 W57430001 J02AC01
FLUCONAZOLUM
CAPS.
150mg
65 W57239001 J02AC01
FLUCONAZOLUM
CAPS.
150mg
66 W53943002 J02AC01
FLUCONAZOLUM
CAPS.
150mg
ARENA GROUP SA
67 W58226001 J02AC01
FLUCONAZOLUM
CAPS.
150mg
AUROBINDO PHARMA
(MALTA) LIMITED
ACTAVIS GROUP PTC
EHF.
ROMANIA
MALTA
68 W56446001 J02AC01
FLUCONAZOLUM
CAPS.
150mg
69 W03156001 J02AC01
FLUCONAZOLUM
DIFLUCAN 150 mg
CAPS.
150mg
MAREA
BRITANIE
ISLANDA

70 W44089001 J02AC01
FLUCONAZOLUM
FLUCORIC 150 mg
CAPS.
150mg
TERAPIA SA
ROMANIA
FLUCONAZOLUM
MYCOSYST 150 mg
CAPS.
150mg
GEDEON RICHTER
ROMANIA SA
ROMANIA
72 W52224001 J02AC01
FLUCONAZOLUM
CAPS.
150mg
LABORATOARELE
ROMANIA
200mg
TEVA
PHARMACEUTICALS
S.R.L.
FLUCONAZOLUM
CAPS.
Pagina 70 din 87
ROMANIA
PRF
PRF
10
1.603,26
160,326000
160,326000
1.785,71
178,571000
178,571000
PRF
879,36
879,360000
879,360000
996,65
996,650000
996,650000
PR
F
10
1.052,62
105,262000
105,262000
1.185,51
118,551000
118,551000
PR
10
1.052,62
105,262000
105,262000
1.185,51
118,551000
118,551000
10
1.603,26
160,326000
126,314400
1.785,71
178,571000
142,261200
PR
112,48
112,480000
112,480000
137,32
137,320000
137,320000
PR
112,48
112,480000
112,480000
137,32
137,320000
137,320000
PRF
PRF
PR
F
18,95
4,737500
3,615428
25,61
6,402500
4,887428
16
65,37
4,085625
3,615428
82,66
5,166250
4,887428
21,09
3,012857
3,012857
28,51
4,072857
4,072857
PRF
6,98
3,490000
3,490000
9,43
4,715000
4,715000
PRF
23,31
3,330000
3,330000
31,51
4,501428
4,501428
PRF
PRF
PRF
PRF
PRF
PRF
PR
F
PR
F
RF
PR
F
PR
F
RF
RF
RF
71 W54835003 J02AC01
73 W43599002 J02AC01
10,79
10,790000
5,340000
14,58
14,580000
7,212000
7,16
7,160000
5,340000
9,68
9,680000
7,212000
7,35
7,350000
5,340000
9,94
9,940000
7,212000
6,07
6,070000
5,340000
8,20
8,200000
7,212000
8,90
8,900000
5,340000
12,03
12,030000
7,212000
4,88
4,880000
4,880000
6,59
6,590000
6,590000
9,57
9,570000
5,340000
12,94
12,940000
7,212000
7,35
7,350000
5,340000
9,94
9,940000
7,212000
6,68
6,680000
5,340000
9,03
9,030000
7,212000
4,45
4,450000
4,450000
6,01
6,010000
6,010000
7,44
7,440000
5,340000
10,06
10,060000
7,212000
18,56
18,560000
5,340000
25,08
25,080000
7,212000
13,95
13,950000
5,340000
18,86
18,860000
7,212000
48,24
12,060000
5,340000
63,10
15,775000
7,212000
PRF
4,88
4,880000
4,880000
6,59
6,590000
6,590000
PRF
30,10
4,300000
4,300000
39,37
5,624285
5,624285
Grupa
terapeutic
a
Denumire generica
Denumire comerciala
Forma farmaceutica
Concentratie
/ U.T.
Firma
Tara
Ambalaj
74 W42321001 J02AC01
FLUCONAZOLUM
FLUCONAZOL 50 mg
CAPS.
50mg
SLAVIA PHARM SRL
ROMANIA
75 W03157001 J02AC01
FLUCONAZOLUM
DIFLUCAN 50 mg
CAPS.
50mg
MAREA
BRITANIE
ROMANIA
76 W53942002 J02AC01
FLUCONAZOLUM
CAPS.
50mg
ARENA GROUP SA
77 W57238001 J02AC01
FLUCONAZOLUM
CAPS.
50mg

TEVA
PHARMACEUTICALS
S.R.L.
78 W43596001 J02AC01
FLUCONAZOLUM
CAPS.
50mg
79 W52225001 J02AC01
FLUCONAZOLUM
CAPS.

ROMANIA
50mg
LABORATOARELE
ROMANIA

80 W51993001 J02AC01
FLUCONAZOLUM
CAPS.
50mg
MEDOCHEMIE ROMANIA
ROMANIA
SRL
81 W44098001 J02AC01
FLUCONAZOLUM
FLUCORIC 50 mg
CAPS.
50mg
TERAPIA SA
ROMANIA

CAPS.
82 W43287001 J02AC01
FLUCONAZOLUM
CAPS.
50mg
SANDOZ SRL
ROMANIA
83 W58224007 J02AC01
FLUCONAZOLUM
CAPS.
50mg
AUROBINDO PHARMA
(MALTA) LIMITED
MALTA
CUTIE CU BLIST. PVC

84 W08374001 J02AC01
FLUCONAZOLUM
FLUCOVIM 50
CAPS.
50mg
VIM SPECTRUM SRL
ROMANIA
85 W58322001 J02AC01
FLUCONAZOLUM
DIFLUCAN 10 mg/ml
PULB. PT. SUSP.

ORALA
10mg/ml
MAREA
BRITANIE
86 W58456001 J02AC01
FLUCONAZOLUM
SOL. PERF.
2mg/ml
87 W58456002 J02AC01
FLUCONAZOLUM
SOL. PERF.
2mg/ml
88 W60056001 J02AC01
FLUCONAZOLUM
SOL. PERF.
2mg/ml
ZENTIVA K.S.
89 W57368003 J02AC01
FLUCONAZOLUM
SOL. PERF.
2mg/ml
ARENA GROUP S.A.
90 W60056005 J02AC01
FLUCONAZOLUM
SOL. PERF.
2mg/ml
ZENTIVA K.S.
91 W56963002 J02AC01
FLUCONAZOLUM
MYCOMAX INF 2mg/ml
SOL. PERF.
2mg/ml
ZENTIVA K.S.
Prescriptie
Nr.c
Cod CIM
rt
PRF
PRF
PRF
PR
F
2,070000
1,777714
19,58
2,797142
2,403428
6,175714
1,777714
56,54
8,077142
2,403428
14,15
2,021428
1,777714
19,12
2,731428
2,403428
16,69
2,384285
1,777714
22,56
3,222857
2,403428
PRF
12,35
1,764285
1,764285
16,69
2,384285
2,384285
PRF
11,66
1,665714
1,665714
15,76
2,251428
2,251428
PRF
PRF
PRF
PR
F
PRF
1,707142
1,707142
16,15
2,307142
2,307142
3,130000
1,777714
29,61
4,230000
2,403428
32,06
4,580000
1,777714
41,93
5,990000
2,403428
10,37
1,481428
1,481428
14,02
2,002857
2,002857
16,69
2,384285
1,777714
22,56
3,222857
2,403428

PR
F
23,46
23,460000
23,460000
31,71
31,710000
31,710000
ROMANIA

PR
20
350,00
17,500000
17,500000
419,65
20,982500
20,982500
ROMANIA

PR
20
630,00
31,500000
20,737200
724,85
36,242500
25,316400
17,91
17,910000
17,910000
24,21
24,210000
24,210000
FRESENIUS KABI
ROMANIA SRL
FRESENIUS KABI
ROMANIA SRL

REPUBLICA
CEHA
FLUCONAZOL
REPUBLICA
CEHA
200 MG FLUCONAZOL
REPUBLICA
CEHA
FLUCONAZOL
ROMANIA
ML SOL. PERF.
ROMANIA
ML SOL. PERF.
S
S
40,63
40,630000
20,737200
53,14
53,140000
25,316400
10
172,81
17,281000
17,281000
210,97
21,097000
21,097000
88,14
88,140000
88,140000
111,45
111,450000
103,986000
SOL. PERF.
2mg/ml
SOL. PERF.
2mg/ml
94 W58456003 J02AC01
FLUCONAZOLUM
SOL. PERF.
2mg/ml
ROMANIA

PR
95 W55502001 J02AC01
FLUCONAZOLUM
SOL. PERF.
2mg/ml
FRESENIUS KABI
ROMANIA SRL
ROMANIA

S
SOL. PERF.
2mg/ml

X 100 ML
R-F
97 W52343006 J02AC02
ITRACONAZOLUM
OMICRAL 100 mg
CAPS.
100mg
MEDICO UNO
PHARMACEUTICAL SRL
ROMANIA
98 W59235001 J02AC02
ITRACONAZOLUM
CAPS.
100mg
ARENA GROUP S.A.
ROMANIA
99 W53958001 J02AC02
ITRACONAZOLUM
MICOGAL 100 mg
CAPS.
100mg
ROMPHARM COMPANY
SRL
ROMANIA
100 W43051001 J02AC02
ITRACONAZOLUM
ITRACONAZOL 100 mg
CAPS.
100mg
SLAVIA PHARM SRL
ROMANIA
BELGIA
CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 5

CAPS.
101 W03837002 J02AC02
ITRACONAZOLUM
ORUNGAL
CAPS.
100mg
JANSSEN
PHARMACEUTICA N.V.
102 W08947008 J02AC03
VORICONAZOLUM**
VFEND 200mg
COMPR. FILM.
200mg
PFIZER LIMITED
103 W08946008 J02AC03
VORICONAZOLUM**
VFEND 50mg
COMPR. FILM.
50mg
PFIZER LIMITED
104 W10489001 J02AC03
VORICONAZOLUM**
VFEND 200mg
PULB. PT. SOL.

PERF.
200mg
PFIZER LIMITED
105 W41889001 J02AC03
VORICONAZOLUM**
VFEND 40 mg/ml
PULB. PT. SUSP.

ORALA
40mg/ml
PFIZER LIMITED
CANCIDAS 50 mg
PULB. PT. CONC.

PT. SOL. PERF.
50mg
MAREA
MERCK SHARP & DOHME
BRITANIE
Pagina 71 din 87
11,95
21,91
CASPOFUNGINUM**
7
7
106 W06665001 J02AX04
Pret de
decontare / U.T.
43,23
FLUCONAZOLUM
SOL. PERF.
Pret cu
amanuntul
maximal / U.T.
14,49
FLUCONAZOLUM
DIFLAZON 2mg/ml
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
92 W55502009 J02AC01
FLUCONAZOLUM
Pret cu ridicata
maximal / U.T.
93 W55502017 J02AC01
96 W12072001 J02AC01
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
MAREA
BRITANIE
MAREA
BRITANIE
MAREA
BRITANIE
MAREA
BRITANIE

SOL. PERF.
34,28
34,280000
20,737200
44,84
44,840000
25,316400
81,95
81,950000
81,950000
103,62
103,620000
103,620000
10
760,00
76,000000
76,000000
866,55
86,655000
86,655000
18,84
18,840000
18,840000
25,47
25,470000
25,179000
35,03
35,030000
20,737200
45,82
45,820000
25,316400
15
40,18
2,678666
2,678666
52,56
3,504000
3,504000
15
40,18
2,678666
2,678666
52,56
3,504000
3,504000
15
40,18
2,678666
2,678666
52,55
3,503333
3,503333
15
40,18
2,678666
2,678666
52,56
3,504000
3,504000
PRF
PRF
PRF
PRF
PRF
PRF
PRF
PRF
15
60,84
4,056000
3,214399
76,92
5,128000
4,204000
28
3.559,23
127,115357
127,115357
3.917,72
139,918571
139,918571
28
912,09
32,574642
32,574642
1.032,33
36,868928
36,868928
458,07
458,070000
458,070000
537,45
537,450000
537,450000
PRF
2.203,52
2.203,520000
2.203,520000
2.439,99
2.439,990000
2.439,990000
1.202,39
1.202,390000
1.202,390000
1.348,76
1.348,760000
1.348,760000
Grupa
terapeutic
a
107 W06670001 J02AX04

108 W53675003 J05AB01
Denumire generica
CASPOFUNGINUM**
ACICLOVIRUM
Denumire comerciala
CANCIDAS 70 mg
Forma farmaceutica
PULB. PT. CONC.

PT. SOL. PERF.
CAPS.
Concentratie
/ U.T.
70mg
Firma
MERCK SHARP & DOHME
200mg
ARENA GROUP SA
Tara
MAREA
BRITANIE
ROMANIA
Ambalaj

SOL. PERF.
Prescriptie
Nr.c
Cod CIM
rt
109 W56038001 J05AB01
ACICLOVIRUM
CAPS.
200mg
ROMANIA
110 W53675001 J05AB01
ACICLOVIRUM
CAPS.
200mg
ARENA GROUP SA
ROMANIA
111 W42857001 J05AB01
ACICLOVIRUM
ACICLOVIR 200 mg
CAPS.
200mg
SLAVIA PHARM SRL
ROMANIA
112 W53676001 J05AB01
ACICLOVIRUM
CAPS.
400mg
ARENA GROUP S.A.
ROMANIA
113 W06667003 J05AB01
ACICLOVIRUM
ACICLOVIR 200 mg
COMPR.
200mg
EGIS
PHARMACEUTICALS
P.L.C.
UNGARIA
114 W53225001 J05AB01
ACICLOVIRUM
COMPR.
200mg
LAROPHARM S.R.L.
ROMANIA
115 W60558001 J05AB01
ACICLOVIRUM
COMPR.
200mg
ROMANIA
116 W13972001 J05AB01
ACICLOVIRUM
ACICLOVIR 200 mg
COMPR.
200mg
117 W00044001 J05AB01
ACICLOVIRUM
COMPR.
200mg
TERAPIA SA
400mg
EGIS
PHARMACEUTICALS
P.L.C.
250mg

INJ./PERF.
S/PRF
MAREA
BRITANIE
ROMANIA

PR
F
PR
F

COMPR. FILM.
118 W06668003 J05AB01
119 W00058001 J05AB01
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIR 400 mg
COMPR.
VIROLEX
PULB. PT. SOL.

INJ./PERF.
120 W58707001 J05AB11
VALACYCLOVIRUM
VALTREX 500 mg
COMPR. FILM.
500 mg
THE WELLCOME
FOUNDATION LTD.
121 W60087001 J05AB11
VALACYCLOVIRUM
COMPR. FILM.
500mg
ARENA GROUP S.A.
450mg
TEVA
PHARMACEUTICALS
S.R.L.
122 W60756001 J05AB14

123 W51832001 J05AB14
124 W54752003 J06BA02
125 W54752004 J06BA02
126 W54752002 J06BA02
127 W54752001 J06BA02
128 W51530003 J06BA02
129 W51530004 J06BA02
130 W51530006 J06BA02
131 W51530005 J06BA02
132 W51530001 J06BA02
VALGANCICLOVIRUM**
VALGANCICLOVIRUM**
INTRAVASCULARA**
INTRAVASCULARA**
INTRAVASCULARA**
INTRAVASCULARA**
INTRAVASCULARA**
INTRAVASCULARA**
INTRAVASCULARA**
INTRAVASCULARA**
INTRAVASCULARA**
COMPR. FILM.
VALCYTE (R) 450 mg
COMPR. FILM.
450mg
OCTAGAM 10%
SOL. PERF.
100 mg/ml
OCTAGAM 10%
SOL. PERF.
100 mg/ml
OCTAGAM 10%
SOL. PERF.
100 mg/ml
OCTAGAM 10%
SOL. PERF.
100 mg/ml
KIOVIG 100mg/ml
SOL. PERF.
100mg/ml
BAXTER AG
AUSTRIA

100 ML SOL. PERF.
200 ML SOL. PERF.
50 ML SOL. PERF.
20 ML SOL. PERF.
PERF.(5G/50ML)
PERF.(10G/100ML)
PERF.(30G/300ML)
PERF.(20G/200ML)
PERF.(1G/10ML)
KIOVIG 100mg/ml
SOL. PERF.
100mg/ml
BAXTER AG
AUSTRIA
KIOVIG 100mg/ml
SOL. PERF.
100mg/ml
BAXTER AG
AUSTRIA
KIOVIG 100mg/ml
SOL. PERF.
100mg/ml
BAXTER AG
AUSTRIA
KIOVIG 100mg/ml
SOL. PERF.
100mg/ml
BAXTER AG
AUSTRIA
1.560,140000
1.560,140000
1.738,70
1.738,700000
1.738,700000
704,14
0,704140
0,613200
805,66
0,805660
0,805660
15,85
0,792500
0,613200
21,42
1,071000
0,828600
15,85
0,792500
0,613200
21,42
1,071000
0,828600
14,97
0,748500
0,613200
20,23
1,011500
0,828600
1,441000
19,48
1,948000
1,948000
0,511000
13,81
0,690500
0,690500
20
12,75
0,637500
0,613200
17,23
0,861500
0,828600
20
12,75
0,637500
0,613200
17,23
0,861500
0,828600
20
12,75
0,637500
0,613200
17,23
0,861500
0,828600
20
12,69
0,634500
0,613200
17,15
0,857500
0,828600
10
20,11
2,011000
1,729200
27,18
2,718000
2,337600
231,79
46,358000
46,358000
282,97
56,594000
56,594000
10
43,54
4,354000
3,396000
56,95
5,695000
4,441200
10
28,30
2,830000
2,830000
37,01
3,701000
3,701000
PR
F
60
3.171,52
52,858666
52,858666
3.495,11
58,251833
58,251833
PRF
60
4.863,09
81,051500
63,430399
5.338,93
88,982166
69,902200
1.714,69
1.714,690000
1.714,690000
1.907,17
1.907,170000
1.907,170000
3.437,56
3.437,560000
3.437,560000
3.785,10
3.785,100000
3.785,100000
881,87
881,870000
881,870000
999,39
999,390000
999,390000
PRF
PR
F
PRF
PRF
UNGARIA
1.560,14
0,511000

RF
MAREA
BRITANIE
MAREA
BRITANIE
MAREA
BRITANIE
MAREA
BRITANIE
Pret de
decontare / U.T.
1,441000
ROMANIA
Pret cu
amanuntul
maximal / U.T.
10,22
OCTAPHARMA (IP)
LIMITED
OCTAPHARMA (IP)
LIMITED
OCTAPHARMA (IP)
LIMITED
OCTAPHARMA (IP)
LIMITED
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
14,41
ROMANIA
ROCHE ROMANIA SRL
Pret cu ridicata
maximal / U.T.
20
PRF
ROMANIA
ROMANIA
PRF/ 1.000
S
P20
RF
P20
RF
P20
RF
P10
RF
FARMEX COMPANY
S.R.L.
GEDEON RICHTER
ROMANIA SA
GEDEON RICHTER
ROMANIA SA
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
379,02
379,020000
379,020000
451,28
451,280000
451,280000
925,45
925,450000
909,000000
1.046,89
1.046,890000
1.036,596000
1.857,75
1.857,750000
1.782,000000
2.063,10
2.063,100000
1.988,160000
5.558,99
5.558,990000
5.558,990000
6.097,46
6.097,460000
6.097,460000
3.821,35
3.821,350000
3.821,350000
4.203,43
4.203,430000
4.203,430000
202,26
202,260000
202,260000
246,92
246,920000
246,920000
1.485,00
1.485,000000
1.485,000000
1.656,80
1.656,800000
1.656,800000
133 W43965001 J06BA02

INTRAVASCULARA**
IG VENA 10g/200ml
SOL. PERF.
10g/200ml
KEDRION SPA
ITALIA

S
134 W43962001 J06BA02

INTRAVASCULARA**
IG VENA 1g/20ml
SOL. PERF.
1g/20ml
KEDRION SPA
ITALIA

197,39
197,390000
197,390000
240,98
240,980000
240,980000
135 W43963001 J06BA02

INTRAVASCULARA**
IG VENA 2,5g/50ml
SOL. PERF.
2,5g/50ml
KEDRION SPA
ITALIA

393,75
393,750000
393,750000
467,34
467,340000
467,340000
136 W59114003 J06BA02

137 W59114001 J06BA02
138 W59114004 J06BA02
139 W59114002 J06BA02
140 W52560001 J06BA02
141 W13462001 J06BA02
142 W13462003 J06BA02
143 W13462002 J06BA02

INTRAVASCULARA**
INTRAVASCULARA**
INTRAVASCULARA**
INTRAVASCULARA**
INTRAVASCULARA**
INTRAVASCULARA**
INTRAVASCULARA**
INTRAVASCULARA**
INTRATECT 50 g/l
SOL. PERF.
50g/l
INTRATECT 50 g/l
SOL. PERF.
50g/l

SOL. PERF.
PERF.
SOL. PERF.
PERF.
PR
F
PR
F
PR
F
PR
F
INTRATECT 50 g/l
SOL. PERF.
50g/l
INTRATECT 50 g/l
SOL. PERF.
50g/l
SOL. PERF.
50mg/ml
OCTAGAM
SOL. PERF.
50mg/ml
OCTAGAM
SOL. PERF.
50mg/ml
OCTAGAM
SOL. PERF.
50mg/ml
Pagina 72 din 87
MAREA
BRITANIE
MAREA
BRITANIE
MAREA
BRITANIE
882,14
882,140000
882,140000
999,68
999,680000
999,680000
187,48
187,480000
187,480000
228,87
228,870000
228,870000
1.734,28
1.734,280000
1.734,280000
1.928,52
1.928,520000
1.928,520000
456,06
456,060000
456,060000
535,26
535,260000
535,260000
102,55
102,550000
102,550000
125,19
125,190000
125,190000
465,59
465,590000
465,590000
545,64
545,640000
545,640000
1.772,34
1.772,340000
1.772,340000
1.970,00
1.970,000000
1.970,000000
882,13
882,130000
882,130000
999,67
999,670000
999,670000
Grupa
terapeutic
a
144 W43964001 J06BA02
Denumire generica

INTRAVASCULARA**
Denumire comerciala
IG VENA 5g/100ml
Forma farmaceutica
SOL. PERF.
Concentratie
/ U.T.
Firma
Tara
Ambalaj
Prescriptie
Nr.c
Cod CIM
rt

S
5g/100ml
KEDRION SPA
ITALIA

RF
ROMANIA
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
757,50
50
19,33
11,76
Pret cu ridicata
maximal / U.T.
757,500000
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
Pret cu
amanuntul
maximal / U.T.
863,830000
Pret de
decontare / U.T.
757,500000
863,83
863,830000
0,386600
0,386600
26,13
0,522600
0,522600
11,760000
11,760000
15,89
15,890000
15,890000
145 W12490001 L01AA01
CYCLOPHOSPHAMIDUM
ENDOXAN (R) 50 mg
DRAJ.
50mg
BAXTER ONCOLOGY
GMBH
146 W52215001 L01AA01
CYCLOPHOSPHAMIDUM
ENDOXAN 200 mg
PULB. PT. SOL.

PERF./INJ. I.V.
200mg
ACTAVIS S.R.L.
147 W51424001 L03AA02
NEUPOGEN (R)
SOL. INJ.
OLANDA

ML
S/PRF
267,05
267,050000
194,520000
326,02
326,020000
237,468000
148 W51423001 L03AA02
NEUPOGEN (R)
SOL. INJ.
OLANDA

ML
S/PRF
436,57
436,570000
313,092000
514,01
514,010000
382,224000
162,10
162,100000
162,100000
197,89
197,890000
197,890000
260,91
260,910000
260,910000
318,52
318,520000
318,520000
149 W53892001 L03AA02
ZARZIO 30MU/0,5ml
150 W53893001 L03AA02
ZARZIO 48MU/0,5ml
151 W55756002 L03AA02
SOL. INJ. /PERF. IN

SERINGA
60MU/ml
PREUMPLUTA
SOL. INJ. /PERF. IN
SERINGA
96MU/ml
PREUMPLUTA
SOL. INJ./PERF.
SANDOZ GMBH
AUSTRIA
SANDOZ GMBH
AUSTRIA

RF/
SOL
R
RF/
SOL
R
RF
MAREA
BRITANIE
418,45
83,690000
83,690000
494,26
98,852000
98,852000
214,16
214,160000
194,520000
261,45
261,450000
237,468000
152 W53520001 L03AA02
SOL. INJ./PERF.
300mcg/0,5
TEVA GENERICS GMBH
ml

RF/
GERMANIA
SOL. INJ. SAU PERF.
R
153 W55757002 L03AA02
SOL. INJ./PERF.
MAREA
BRITANIE
1.001,12
200,224000
194,520000
1.129,37
225,874000
225,874000
355,90
355,900000
313,092000
426,08
426,080000
382,224000
1.656,30
331,260000
313,092000
1.843,52
368,704000
368,704000
100
452,86
4,528600
4,528600
531,77
5,317700
5,317700
50
452,86
9,057200
9,057200
531,77
10,635400
10,635400

RF
154 W53523001 L03AA02
SOL. INJ./PERF.
480mcg/0,8
TEVA GENERICS GMBH
ml

RF/
GERMANIA
SOL. INJ. SAU PERF.
R
155 W55758002 L03AA02
SOL. INJ./PERF.
MAREA
BRITANIE
156 W04406001 L04AA06
MYCOPHENOLATUM**
CELLCEPT 250mg
CAPS.
250mg
ROCHE REGISTRATION
LTD.
157 W04407001 L04AA06
MYCOPHENOLATUM**
CELLCEPT 500mg
COMPR. FILM.
500mg
ROCHE REGISTRATION
LTD.
MAREA
BRITANIE
158 W42264003 L04AA06
MYCOPHENOLATUM**
MYFORTIC 180 mg
COMPR. FILM.
GASTROREZ.
180mg
NOVARTIS PHARMA
GMBH
GERMANIA

120
557,65
4,647083
4,647083
645,99
5,383250
5,383250
159 W42265003 L04AA06
MYCOPHENOLATUM**
MYFORTIC 360 mg
COMPR. FILM.
GASTROREZ.
360mg
NOVARTIS PHARMA
GMBH
GERMANIA

120
1.041,93
8,682750
8,682750
1.173,85
9,782083
9,782083
ROMANIA
PR
F
100
162,65
1,626500
1,626500
198,56
1,985600
1,985600
ROMANIA
100
291,62
2,916200
2,916200
356,01
3,560100
3,560100
100
162,65
1,626500
1,626500
198,56
1,985600
1,985600
100
302,31
3,023100
3,023100
367,67
3,676700
3,676700
STADA HEMOFARM
S.R.L.
DR. REDDY'S
LABORATORIES
STADA HEMOFARM
S.R.L.
MAREA
BRITANIE

RF
PCUTIE X 10 BLIST. X 10 CAPS.
RF/
R
RF/
R
160 W56643001 L04AA06
CAPS.
250 mg
161 W56657001 L04AA06
250 mg
162 W56643003 L04AA06
CAPS.
250 mg
163 W52877001 L04AA06
MYFENAX 250mg
CAPS.
250mg
TEVA PHARMA BV
OLANDA
164 W56003001 L04AA06
COMPR.
500mg
SANDOZ S.R.L.
ROMANIA
165 W58520001 L04AA06
SUPREPHEN 250 mg
COMPR. FILM.
250mg
166 W56644001 L04AA06
COMPR. FILM.
500 mg
167 W52876001 L04AA06
MYFENAX 500mg
COMPR. FILM.
500mg
168 W55987001 L04AA06
500mg
169 W58523001 L04AA06
SUPREPHEN 500 mg
500mg
170 W10576001 L04AA10
SIROLIMUS**
COMPR. FILM.
ROMASTRU TRADING
S.R.L.
STADA HEMOFARM
S.R.L.
TEVA PHARMA BV
DR. REDDY'S
LABORATORIES
ROMASTRU TRADING
S.R.L.
RAPAMUNE 1mg
DRAJ.
1mg
WYETH EUROPA LTD.
ROMANIA
ROMANIA
ROMANIA
OLANDA
ROMANIA
ROMANIA
MAREA
BRITANIE

100 CAPS.
F
R
PCOMPR. FILM.
RF
COMPR. FILM.
F
PR
COMPR. FILM.
F
RF/
FILM.
R
PCOMPR. FILM.
RF
COMPR. FILM.
F
R
CUTIE X 1 FLAC. CU LIOF.+ 1 FIOLA SOLV.
S
APA PT. PREP. INJ.
50
227,17
4,543400
4,543400
277,33
5,546600
5,546600
100
133,10
1,331000
1,331000
162,49
1,624900
1,624900
50
160,05
3,201000
3,201000
195,39
3,907800
3,907800
50
302,31
6,046200
6,046200
367,67
7,353400
7,353400
50
272,59
5,451800
5,451800
332,78
6,655600
6,655600
50
133,10
2,662000
2,662000
162,49
3,249800
3,249800
30
489,29
16,309666
16,309666
571,48
19,049333
19,049333
171 W13098001 L04AC02 BASILIXIMABUM**
SIMULECT 20 mg
LIOF. + SOLV. PT.

SOL. INJ./PERF.
20mg

LTD.
BRITANIE
4.267,46
4.267,460000
4.267,460000
4.689,69
4.689,690000
4.689,690000
EQUORAL 100 mg
CAPS. MOI
100mg
TEVA CZECH
INDUSTRIES S.R.O.
CEHIA
S/PRF
50
251,97
5,039400
5,039400
307,60
6,152000
6,152000
EQUORAL 25 mg
CAPS. MOI
25mg
TEVA CZECH
INDUSTRIES S.R.O.
CEHIA
S/PRF
50
59,45
1,189000
1,189000
75,17
1,503400
1,503400
CAPS. MOI
25mg
NOVARTIS PHARMA
GMBH
S/PRF
50
112,48
2,249600
2,249600
137,32
2,746400
2,746400
EQUORAL 50 mg
CAPS. MOI
50mg
TEVA CZECH
INDUSTRIES S.R.O.
CEHIA
S/PRF
50
120,89
2,417800
2,417800
147,58
2,951600
2,951600
Pagina 73 din 87
Grupa
terapeutic
a
Denumire generica
Denumire comerciala
Forma farmaceutica
CAPS. MOI
Concentratie
/ U.T.
Firma
Tara
Ambalaj
50mg
NOVARTIS PHARMA
GMBH
ROMANIA
TACNI 0,5 mg
CAPS.
0,5 mg
TEVA
PHARMACEUTICALS
S.R.L.
PROGRAF (R) 0,5 mg
CAPS.
0,5mg
ASTELLAS PHARMA
EUROPE BV
OLANDA
Prescriptie
Nr.c
Cod CIM
rt
S/PRF
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
Pret cu ridicata
maximal / U.T.
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
Pret cu
amanuntul
maximal / U.T.
Pret de
decontare / U.T.
50
239,32
4,786400
4,786400
292,16
5,843200
5,843200

PR
50
133,49
2,669800
2,669800
162,97
3,259400
3,259400
50
205,39
4,107800
4,107800
250,74
5,014800
5,014800
50
91,62
1,832400
1,832400
115,84
2,316800
2,316800
TRACSUS 0,5 mg
CAPS.
0,5mg
ALVOGEN IPCO S.AR.L

LUXEMBUR
G
DESICANT
CAPS.
0,5mg
SANDOZ S.R.L.
ROMANIA

50
133,49
2,669800
2,669800
162,97
3,259400
3,259400
1 mg
TEVA
PHARMACEUTICALS
S.R.L.
ROMANIA

PR
50
238,62
4,772400
4,772400
291,31
5,826200
5,826200
50
179,98
3,599600
3,599600
219,72
4,394400
4,394400
TACNI 1 mg
CAPS.
PR
F
TRACSUS 1 mg
CAPS.
1mg
ALVOGEN IPCO S.AR.L

LUXEMBUR
G
DESICANT
PROGRAF (R) 1 mg
CAPS.
1mg
ASTELLAS PHARMA
EUROPE BV
OLANDA
50
363,74
7,274800
7,274800
434,63
8,692600
8,692600
CAPS.
1mg
SANDOZ S.R.L.
ROMANIA

50
238,62
4,772400
4,772400
291,31
5,826200
5,826200
5mg
ASTELLAS PHARMA
EUROPE BV
OLANDA
50
1.715,18
34,303600
34,303600
1.907,70
38,154000
38,154000
50
204,92
4,098400
4,098400
250,17
5,003400
5,003400
50
402,53
8,050600
8,050600
476,91
9,538200
9,538200
50
1.865,58
37,311600
37,311600
2.071,63
41,432600
41,432600
PROGRAF (R) 5 mg
CAPS.

PVDC/AL)
R
PVDC/AL)
R
PVDC/AL)
R
ADVAGRAF 0,5mg
ASTELLAS PHARMA
EUROPE B.V.
OLANDA
ADVAGRAF 1mg
ASTELLAS PHARMA
EUROPE BV
OLANDA
ADVAGRAF 5mg
ASTELLAS PHARMA
EUROPE B.V.
OLANDA
PROGRAF (R) 5 mg/ml
CONC. PT. SOL.

PERF.
ASTELLAS PHARMA
EUROPE BV
OLANDA
ASPEN EUROPE GMBH

GERMANIA
FILM.

190 W56928001 L04AX01
191 W56508002 L04AX01
AZATHIOPRINUM
AZATHIOPRINUM
192 W54297001 M05BA04 ACIDUM ALENDRONICUM
IMURAN
IMMUNOPRIN 75 mg
TEVANAT 70 mg
COMPR. FILM.
COMPR. FILM.
COMPR.
5mg/ml
50mg
75mg
70 mg
EBEWE PHARMA
GES.M.B.H. NFG KG
TEVA
PHARMACEUTICALS
S.R.L.
PR
F
10
1.545,19
154,519000
154,519000
1.722,41
172,241000
172,241000
S/PRF
100
55,53
0,555300
0,555300
70,21
0,702100
0,702100
AUSTRIA

FILM.
PR
100
62,39
0,623900
0,623900
78,89
0,788900
0,788900
ROMANIA
CUTIE X 1 BLIST. PVC-AL-OPA/AL X 4

COMPR.
P6L
36,90
9,225000
5,337000
48,27
12,067500
7,212000
7,212000
FOSAMAX 70 mg
COMPR.
70mg
COMPR.
70mg
AUROBINDO PHARMA
(MALTA) LIMITED
MALTA
ADRONIK 70 mg
COMPR. FILM.
70mg
ARENA GROUP S.A.
ROMANIA
COMPR. FILM.
70mg
SANDOZ S.R.L.
ROMANIA
ADRONIK 70 mg
COMPR. FILM.
70mg
ARENA GROUP S.A.
ROMANIA
ADRONIK 70 mg
COMPR. FILM.
70mg
ARENA GROUP S.A.
ROMANIA
199 W42905002 N02AB02 PETHIDINUM
MIALGIN (R) 100 mg/2 ml
SOL. INJ.
50mg/ml
ZENTIVA SA
ROMANIA
COMPR. FILM.
600mg
MAREA
BRITANIE
P6
L
CUTIE CU BLIST. TRANSPARENTE PVCP6
ACLAR/AL X 4 COMPR.
L
6L
CUTIE X 1 BLIST. OPA-AL-PVC/AL X 2
PCOMPR. FILM
6L
PCOMPR. FILM.
6L
6L
PCUTIE X 5 FIOLE DIN STICLA X 2 ML
TS
28,39
14,195000
5,337000
37,13
18,565000
17,79
4,447500
4,447500
24,04
6,010000
6,010000
36,67
9,167500
5,337000
47,97
11,992500
7,212000
9,49
4,745000
4,745000
12,82
6,410000
6,410000
12
108,06
9,005000
5,337000
131,92
10,993333
7,212000
18,33
9,165000
5,337000
24,78
12,390000
7,212000
6,92
1,384000
1,384000
9,35
1,870000
1,870000
PRF
10
1.603,26
160,326000
160,326000
1.785,71
178,571000
178,571000
PRF
879,36
879,360000
879,360000
996,65
996,650000
996,650000
PR
F
10
1.052,62
105,262000
105,262000
1.185,51
118,551000
118,551000
PR
10
1.052,62
105,262000
105,262000
1.185,51
118,551000
118,551000
10
1.603,26
160,326000
126,314400
1.785,71
178,571000
142,261200

P9.5: TRANSPLANT CELULE PANCREATICE
1 W52799001 J01XX08
LINEZOLIDUM
ZYVOXID (R)
2 W52800001 J01XX08
LINEZOLIDUM
ZYVOXID (R)
GRAN. PT. SUSP.

ORALA
3 W57578002 J01XX08
LINEZOLIDUM
SOL. PERF.
4 W60604004 J01XX08
LINEZOLIDUM
PNEUMOLID 2 mg/ml
SOL. PERF.
5 W52801001 J01XX08
LINEZOLIDUM
ZYVOXID (R)
SOL. PERF.

MAREA
BRITANIE
DUBLA X 2,5 ML/5 ML
TEVA
2mg/ml
PHARMACEUTICALS
S.R.L.
2mg/ml
ALVOGEN IPCO S.AR.L
G
ML SOL. PERF.
MAREA
2mg/ml
BRITANIE
Pagina 74 din 87
Grupa
terapeutic
a
Denumire generica
Denumire comerciala
Forma farmaceutica
Concentratie
/ U.T.
Firma
6 W60604001 J01XX08
LINEZOLIDUM
PNEUMOLID 2 mg/ml
SOL. PERF.
2mg/ml
ALVOGEN IPCO S.AR.L
7 W60734001 J01XX08
LINEZOLIDUM
SOL. PERF.
2mg/ml
SANDOZ S.R.L.
8 W08947008 J02AC03
VORICONAZOLUM**
VFEND 200mg
COMPR. FILM.
200mg
PFIZER LIMITED
Tara
Ambalaj

G
SUPLIMENTAR
PERF.
MAREA
BRITANIE
MAREA
BRITANIE
Prescriptie
Nr.c
Cod CIM
rt
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
Pret cu ridicata
maximal / U.T.
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
Pret cu
amanuntul
maximal / U.T.
Pret de
decontare / U.T.
PR
112,48
112,480000
112,480000
137,32
137,320000
137,320000
PR
112,48
112,480000
112,480000
137,32
137,320000
137,320000
28
3.559,23
127,115357
127,115357
3.917,72
139,918571
139,918571
28
912,09
32,574642
32,574642
1.032,33
36,868928
36,868928
458,07
458,070000
458,070000
537,45
537,450000
537,450000
PRF
PRF
PRF
9 W08946008 J02AC03
VORICONAZOLUM**
VFEND 50mg
COMPR. FILM.
50mg
PFIZER LIMITED
10 W10489001 J02AC03
VORICONAZOLUM**
VFEND 200mg
PULB. PT. SOL.

PERF.
200mg
PFIZER LIMITED
MAREA
BRITANIE
11 W41889001 J02AC03
VORICONAZOLUM**
VFEND 40 mg/ml
PULB. PT. SUSP.

ORALA
40mg/ml
PFIZER LIMITED
MAREA
BRITANIE

PRF
2.203,52
2.203,520000
2.203,520000
2.439,99
2.439,990000
2.439,990000
450mg
TEVA
PHARMACEUTICALS
S.R.L.
ROMANIA

COMPR. FILM.
PR
F
60
3.171,52
52,858666
52,858666
3.495,11
58,251833
58,251833
PRF
60
4.863,09
81,051500
63,430399
5.338,93
88,982166
69,902200
10
49,00
4,900000
4,900000
64,09
6,409000
6,409000
10
93,99
9,399000
9,399000
118,84
11,884000
11,884000
10
118,32
11,832000
11,832000
144,45
14,445000
14,445000
30,69
15,345000
15,345000
40,14
20,070000
20,070000
104,35
17,391666
17,391666
127,39
21,231666
21,231666
5
100
9,47
151,25
1,894000
1,512500
1,894000
1,512500
12,80
184,65
2,560000
1,846500
2,560000
1,846500
PR
147,80
147,800000
147,800000
180,43
180,430000
180,430000
PR
147,80
147,800000
147,800000
180,43
180,430000
180,430000
22,93
22,930000
22,930000
30,99
30,990000
30,990000
22,93
22,930000
22,930000
30,99
30,990000
30,990000
12
265,41
22,117500
22,117500
324,01
27,000833
27,000833
FRANTA

S
22,93
22,930000
22,930000
30,99
30,990000
30,990000

SOL. INJ./PERF.
22,93
22,930000
22,930000
30,99
30,990000
30,990000

S
40,94
40,940000
40,940000
53,55
53,550000
53,550000
40,93
40,930000
40,930000
53,53
53,530000
53,530000
12
460,81
38,400833
38,400833
540,43
45,035833
45,035833
40,93
40,930000
40,930000
53,53
53,530000
53,530000
40,93
40,930000
40,930000
53,53
53,530000
53,530000

S
10
386,57
38,657000
26,541000
459,51
45,951000
32,401000
12 W60756001 J05AB14
13 W51832001 J05AB14
VALGANCICLOVIRUM**
VALGANCICLOVIRUM**

VALCYTE (R) 450 mg
COMPR. FILM.
COMPR. FILM.
450mg
ROCHE ROMANIA SRL
ROMANIA
SOL. INJ.

Xa/0,2ml
FRANTA
FRANTA

P9.6: TRANSPLANT PULMONAR
SOL. INJ.

Xa/0,4ml
SOL. INJ.

Xa/0,6ml
FRANTA
SOL. INJ.

Xa/0,8ml
FRANTA
SOL. INJ.

Xa/0,8ml

EXACYL
ADRENALINA 1 mg
SOL. INJ.
SOL. INJ.
1mg/ml
TERAPIA SA
SOL. INJ. IN STILOU

150mcg
PREUMPLUT
SOL. INJ. IN STILOU

300mcg
PREUMPLUT
PERASIN 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
PULB. PT. SOL.

INJ./PERF.
2g/0,25g
PULB. PT. SOL.

INJ./PERF.
2g/0,25g
PR/
PR
SOL. INJ.
F
PR/
PR
SOL. INJ.
F
PR/
PR
SOL. INJ.
F
PR/
PR
SOL. INJ.
F
CUTIE X 5 FIOLE X 5ML SOL. INJ.

MEDA PHARMA GMBH &
CO KG
UNICA DE 0,3ML
MEDA PHARMA GMBH &
CO KG
UNICA DE 0,3ML
ANTIBIOTICE S.A.
SOL. INJ./PERF.
TERAPIA SA
SOL. INJ./PERF.
ROMASTRU TRADING
SRL
SOL. INJ./PERF.
MYLAN S.A.S.
ROMANIA
ROMANIA
PULB. PT. SOL.

INJ./PERF.
2g/0,25g
ROMASTRU TRADING
SRL
ROMANIA
PULB. PT. SOL.

INJ./PERF.
4g/0,5g
MYLAN S.A.S.
FRANTA
ZOPECILIN 4 g/0,5 g
PULB. PT. SOL.

INJ./PERF.
4g/0,5g
ROMASTRU TRADING
SRL
ROMANIA
ZOPECILIN 4 g/0,5 g
PULB. PT. SOL.

INJ./PERF.
4g/0,5g
ROMASTRU TRADING
SRL
ROMANIA
BACTACIN 4 g/0,5 g
PULB. PT. SOL.

INJ./PERF.
4g/0,5g
TERAPIA SA
ROMANIA
PERASIN 4g/0,5 g
PULB. PT. SOL.

INJ./PERF.
4g/0,5g
ANTIBIOTICE S.A.
ROMANIA
PULB. PT. SOL.

PERF.
2g/0,25g
S.C. FRESENIUS KABI

S.R.L.
ROMANIA
Pagina 75 din 87

SOL. INJ./PERF.
SOL. INJ./PERF.
SOL. INJ./PERF.
SOL. INJ./PERF.
PR/
PR
F
X
S
Grupa
terapeutic
a
Denumire generica

22 W52799001 J01XX08
LINEZOLIDUM
Denumire comerciala
Forma farmaceutica
PULB. PT. SOL.

PERF.
Concentratie
/ U.T.
Firma
Tara
4g/0,5g
S.C. FRESENIUS KABI

S.R.L.
MAREA
BRITANIE
ROMANIA
Ambalaj
Pret cu ridicata
maximal / U.T.
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
Pret cu
amanuntul
maximal / U.T.
Pret de
decontare / U.T.

10
389,01
38,901000
38,901000
462,17
46,217000
46,217000
PRF
COMPR. FILM.
600mg
10
1.603,26
160,326000
160,326000
1.785,71
178,571000
178,571000
MAREA
BRITANIE
PRF
879,36
879,360000
879,360000
996,65
996,650000
996,650000
PR
F
10
1.052,62
105,262000
105,262000
1.185,51
118,551000
118,551000
PR
10
1.052,62
105,262000
105,262000
1.185,51
118,551000
118,551000
10
1.603,26
160,326000
126,314400
1.785,71
178,571000
142,261200
PR
112,48
112,480000
112,480000
137,32
137,320000
137,320000
PR
112,48
112,480000
112,480000
137,32
137,320000
137,320000
PRF
PRF
PR
F
18,95
4,737500
3,615428
25,61
6,402500
4,887428
16
65,37
4,085625
3,615428
82,66
5,166250
4,887428
21,09
3,012857
3,012857
28,51
4,072857
4,072857
6,98
3,490000
3,490000
9,43
4,715000
4,715000
23,31
3,330000
3,330000
31,51
4,501428
4,501428
10,79
10,790000
5,340000
14,58
14,580000
7,212000
7,16
7,160000
5,340000
9,68
9,680000
7,212000
7,35
7,350000
5,340000
9,94
9,940000
7,212000
6,07
6,070000
5,340000
8,20
8,200000
7,212000
8,90
8,900000
5,340000
12,03
12,030000
7,212000
4,88
4,880000
4,880000
6,59
6,590000
6,590000
7,212000
23 W52800001 J01XX08
LINEZOLIDUM
ZYVOXID (R)
24 W57578002 J01XX08
LINEZOLIDUM
SOL. PERF.
2mg/ml
25 W60604004 J01XX08
LINEZOLIDUM
PNEUMOLID 2 mg/ml
SOL. PERF.
2mg/ml
26 W52801001 J01XX08
LINEZOLIDUM
ZYVOXID (R)
SOL. PERF.
2mg/ml
27 W60604001 J01XX08
LINEZOLIDUM
PNEUMOLID 2 mg/ml
SOL. PERF.
2mg/ml
28 W60734001 J01XX08
LINEZOLIDUM
SOL. PERF.
2mg/ml
29 W08372001 J02AC01
FLUCONAZOLUM
FLUCOVIM 100
CAPS.
100mg
30 W42371002 J02AC01
FLUCONAZOLUM
FUNGOLON 100 mg
CAPS.
100mg
31 W58225007 J02AC01
FLUCONAZOLUM
CAPS.
100mg
32 W43597001 J02AC01
FLUCONAZOLUM
CAPS.
100mg
33 W43597002 J02AC01
FLUCONAZOLUM
CAPS.
100mg

DUBLA X 2,5 ML/5 ML
TEVA
PHARMACEUTICALS
S.R.L.
ALVOGEN IPCO S.AR.L
G
ML SOL. PERF.
MAREA
BRITANIE
ALVOGEN IPCO S.AR.L
G
SUPLIMENTAR
SANDOZ S.R.L.
PERF.
VIM SPECTRUM SRL

BALKANPHARMA
RAZGRAD AD
AUROBINDO PHARMA
(MALTA) LIMITED
TEVA
PHARMACEUTICALS
S.R.L.
TEVA
PHARMACEUTICALS
S.R.L.
ROMANIA

MALTA
CUTIE CU BLIST. PVC

ROMANIA
PRF
ROMANIA
PRF
34 W43288001 J02AC01
FLUCONAZOLUM
CAPS.
150mg
SANDOZ SRL
35 W42693001 J02AC01
FLUCONAZOLUM
FLUCONAZOL 150 mg
CAPS.
150mg
SLAVIA PHARM SRL
ROMANIA
36 W08373001 J02AC01
FLUCONAZOLUM
FLUCOVIM 150
CAPS.
150mg
VIM SPECTRUM SRL
ROMANIA
37 W51994001 J02AC01
FLUCONAZOLUM
CAPS.
150mg
38 W60221001 J02AC01
FLUCONAZOLUM
CAPS.
150mg
FLUCONAZOLUM
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
ZYVOXID (R)
GRAN. PT. SUSP.

ORALA
39 W43598001 J02AC01
Prescriptie
Nr.c
Cod CIM
rt
CAPS.
150mg
MEDOCHEMIE ROMANIA
ROMANIA
SRL
REPUBLICA
ZENTIVA K.S.
CEHA
TEVA
PHARMACEUTICALS
ROMANIA
S.R.L.
ROMPHARM COMPANY
ROMANIA
S.R.L.
40 W57430001 J02AC01
FLUCONAZOLUM
CAPS.
150mg
41 W57239001 J02AC01
FLUCONAZOLUM
CAPS.
150mg
42 W53943002 J02AC01
FLUCONAZOLUM
CAPS.
150mg
ARENA GROUP SA
43 W58226001 J02AC01
FLUCONAZOLUM
CAPS.
150mg
AUROBINDO PHARMA
(MALTA) LIMITED
ACTAVIS GROUP PTC
EHF.
ROMANIA
MALTA

44 W56446001 J02AC01
FLUCONAZOLUM
CAPS.
150mg
FLUCONAZOLUM
DIFLUCAN 150 mg
CAPS.
150mg
MAREA
BRITANIE
46 W44089001 J02AC01
FLUCONAZOLUM
FLUCORIC 150 mg
CAPS.
150mg
TERAPIA SA
ROMANIA
47 W54835003 J02AC01
FLUCONAZOLUM
MYCOSYST 150 mg
CAPS.
150mg
GEDEON RICHTER
ROMANIA SA
ROMANIA
48 W52224001 J02AC01
FLUCONAZOLUM
CAPS.
150mg
LABORATOARELE
ROMANIA
200mg
TEVA
PHARMACEUTICALS
S.R.L.
ROMANIA
CAPS.
49 W43599002 J02AC01
FLUCONAZOLUM
50 W42321001 J02AC01
FLUCONAZOLUM
FLUCONAZOL 50 mg
CAPS.
50mg
SLAVIA PHARM SRL
ROMANIA
51 W03157001 J02AC01
FLUCONAZOLUM
DIFLUCAN 50 mg
CAPS.
50mg
MAREA
BRITANIE
52 W53942002 J02AC01
FLUCONAZOLUM
CAPS.
50mg
ARENA GROUP SA
ROMANIA
53 W57238001 J02AC01
FLUCONAZOLUM
CAPS.
50mg
Pagina 76 din 87
PRF
PR
F
PR
F
RF
PR
F
PR
F
RF
RF
RF
45 W03156001 J02AC01
ISLANDA
PRF
PRF
PRF
PRF
PRF
9,57
9,570000
5,340000
12,94
12,940000
7,35
7,350000
5,340000
9,94
9,940000
7,212000
6,68
6,680000
5,340000
9,03
9,030000
7,212000
4,45
4,450000
4,450000
6,01
6,010000
6,010000
7,44
7,440000
5,340000
10,06
10,060000
7,212000
18,56
18,560000
5,340000
25,08
25,080000
7,212000
13,95
13,950000
5,340000
18,86
18,860000
7,212000
48,24
12,060000
5,340000
63,10
15,775000
7,212000
PRF
4,88
4,880000
4,880000
6,59
6,590000
6,590000
PRF
30,10
4,300000
4,300000
39,37
5,624285
5,624285
PRF
PRF
PRF
PR
F
14,49
2,070000
1,777714
19,58
2,797142
2,403428
43,23
6,175714
1,777714
56,54
8,077142
2,403428
14,15
2,021428
1,777714
19,12
2,731428
2,403428
16,69
2,384285
1,777714
22,56
3,222857
2,403428
Grupa
terapeutic
a
Denumire generica
Denumire comerciala
Forma farmaceutica
Concentratie
/ U.T.
Firma
Tara
Ambalaj
Prescriptie
Nr.c
Cod CIM
rt
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
Pret cu ridicata
maximal / U.T.
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
Pret cu
amanuntul
maximal / U.T.
Pret de
decontare / U.T.
54 W43596001 J02AC01
FLUCONAZOLUM
CAPS.
50mg
TEVA
PHARMACEUTICALS
S.R.L.
ROMANIA
PRF
12,35
1,764285
1,764285
16,69
2,384285
2,384285
55 W52225001 J02AC01
FLUCONAZOLUM
CAPS.
50mg
LABORATOARELE
ROMANIA
PRF
11,66
1,665714
1,665714
15,76
2,251428
2,251428
56 W51993001 J02AC01
FLUCONAZOLUM
CAPS.
50mg
MEDOCHEMIE ROMANIA
ROMANIA
SRL
57 W44098001 J02AC01
FLUCONAZOLUM
FLUCORIC 50 mg
CAPS.
50mg
TERAPIA SA
ROMANIA

CAPS.
58 W43287001 J02AC01
FLUCONAZOLUM
CAPS.
50mg
SANDOZ SRL
ROMANIA
59 W58224007 J02AC01
FLUCONAZOLUM
CAPS.
50mg
AUROBINDO PHARMA
(MALTA) LIMITED
MALTA
CUTIE CU BLIST. PVC

60 W08374001 J02AC01
FLUCONAZOLUM
FLUCOVIM 50
CAPS.
50mg
VIM SPECTRUM SRL
ROMANIA
PRF
PRF
PRF
PR
F
PRF
11,95
1,707142
1,707142
16,15
2,307142
2,307142
21,91
3,130000
1,777714
29,61
4,230000
2,403428
32,06
4,580000
1,777714
41,93
5,990000
2,403428
10,37
1,481428
1,481428
14,02
2,002857
2,002857
16,69
2,384285
1,777714
22,56
3,222857
2,403428
23,46
23,460000
23,460000
31,71
31,710000
31,710000
61 W58322001 J02AC01
FLUCONAZOLUM
DIFLUCAN 10 mg/ml
PULB. PT. SUSP.

ORALA
10mg/ml
MAREA
BRITANIE

PR
F
62 W58456001 J02AC01
FLUCONAZOLUM
SOL. PERF.
2mg/ml
ROMANIA

PR
20
350,00
17,500000
17,500000
419,65
20,982500
20,982500
63 W58456002 J02AC01
FLUCONAZOLUM
SOL. PERF.
2mg/ml
ROMANIA

PR
20
630,00
31,500000
20,737200
724,85
36,242500
25,316400
64 W60056001 J02AC01
FLUCONAZOLUM
SOL. PERF.
2mg/ml
ZENTIVA K.S.
17,91
17,910000
17,910000
24,21
24,210000
24,210000
65 W57368003 J02AC01
FLUCONAZOLUM
SOL. PERF.
2mg/ml
ARENA GROUP S.A.
40,63
40,630000
20,737200
53,14
53,140000
25,316400
66 W60056005 J02AC01
FLUCONAZOLUM
SOL. PERF.
2mg/ml
ZENTIVA K.S.
10
172,81
17,281000
17,281000
210,97
21,097000
21,097000
67 W56963002 J02AC01
FLUCONAZOLUM
MYCOMAX INF 2mg/ml
SOL. PERF.
2mg/ml
ZENTIVA K.S.
88,14
88,140000
88,140000
111,45
111,450000
103,986000
FRESENIUS KABI
ROMANIA SRL
FRESENIUS KABI
ROMANIA SRL

REPUBLICA
CEHA
FLUCONAZOL
REPUBLICA
CEHA
200 MG FLUCONAZOL
REPUBLICA
CEHA
FLUCONAZOL
ROMANIA
ML SOL. PERF.
ROMANIA
ML SOL. PERF.
68 W55502009 J02AC01
FLUCONAZOLUM
SOL. PERF.
2mg/ml
69 W55502017 J02AC01
FLUCONAZOLUM
SOL. PERF.
2mg/ml
70 W58456003 J02AC01
FLUCONAZOLUM
SOL. PERF.
2mg/ml
ROMANIA

PR
71 W55502001 J02AC01
FLUCONAZOLUM
SOL. PERF.
2mg/ml
FRESENIUS KABI
ROMANIA SRL
ROMANIA

S
SOL. PERF.
2mg/ml

X 100 ML
R-F
72 W12072001 J02AC01
FLUCONAZOLUM
DIFLAZON 2mg/ml
SOL. PERF.
73 W08947008 J02AC03
VORICONAZOLUM**
VFEND 200mg
COMPR. FILM.
200mg
PFIZER LIMITED
74 W08946008 J02AC03
VORICONAZOLUM**
VFEND 50mg
COMPR. FILM.
50mg
PFIZER LIMITED
75 W10489001 J02AC03
VORICONAZOLUM**
VFEND 200mg
PULB. PT. SOL.

PERF.
200mg
PFIZER LIMITED
76 W41889001 J02AC03
VORICONAZOLUM**
VFEND 40 mg/ml
PULB. PT. SUSP.

ORALA
40mg/ml
PFIZER LIMITED
77 W53675003 J05AB01
ACICLOVIRUM
CAPS.
200mg
ARENA GROUP SA
MAREA
BRITANIE
MAREA
BRITANIE
MAREA
BRITANIE
MAREA
BRITANIE
ROMANIA

34,28
34,280000
20,737200
44,84
44,840000
25,316400
81,95
81,950000
81,950000
103,62
103,620000
103,620000
10
760,00
76,000000
76,000000
866,55
86,655000
86,655000
18,84
18,840000
18,840000
25,47
25,470000
25,179000
35,03
35,030000
20,737200
45,82
45,820000
25,316400
28
3.559,23
127,115357
127,115357
3.917,72
139,918571
139,918571
28
912,09
32,574642
32,574642
1.032,33
36,868928
36,868928
458,07
458,070000
458,070000
537,45
537,450000
537,450000
2.203,52
2.203,520000
2.203,520000
2.439,99
2.439,990000
2.439,990000
704,14
0,704140
0,613200
805,66
0,805660
0,805660
15,85
0,792500
0,613200
21,42
1,071000
0,828600
15,85
0,792500
0,613200
21,42
1,071000
0,828600
14,97
0,748500
0,613200
20,23
1,011500
0,828600
14,41
1,441000
1,441000
19,48
1,948000
1,948000
20
10,22
0,511000
0,511000
13,81
0,690500
0,690500
20
12,75
0,637500
0,613200
17,23
0,861500
0,828600
PRF
PRF
PRF
PRF
PRF/ 1.000
S
P20
RF
P20
RF
P20
RF
P10
RF
78 W56038001 J05AB01
ACICLOVIRUM
CAPS.
200mg
FARMEX COMPANY
S.R.L.
ROMANIA
79 W53675001 J05AB01
ACICLOVIRUM
CAPS.
200mg
ARENA GROUP SA
ROMANIA
80 W42857001 J05AB01
ACICLOVIRUM
ACICLOVIR 200 mg
CAPS.
200mg
SLAVIA PHARM SRL
ROMANIA
81 W53676001 J05AB01
ACICLOVIRUM
CAPS.
400mg
ARENA GROUP S.A.
ROMANIA
UNGARIA

RF
ROMANIA
82 W06667003 J05AB01
ACICLOVIRUM
ACICLOVIR 200 mg
COMPR.
200mg
EGIS
PHARMACEUTICALS
P.L.C.
83 W53225001 J05AB01
ACICLOVIRUM
COMPR.
200mg
LAROPHARM S.R.L.
84 W60558001 J05AB01
ACICLOVIRUM
COMPR.
200mg
85 W13972001 J05AB01
ACICLOVIRUM
ACICLOVIR 200 mg
COMPR.
200mg
GEDEON RICHTER
ROMANIA SA
GEDEON RICHTER
ROMANIA SA
Pagina 77 din 87
ROMANIA
ROMANIA
PRF
PR
F
PRF
20
12,75
0,637500
0,613200
17,23
0,861500
0,828600
20
12,75
0,637500
0,613200
17,23
0,861500
0,828600
Grupa
terapeutic
a
86 W00044001 J05AB01
Denumire generica
ACICLOVIRUM
Denumire comerciala
Forma farmaceutica
COMPR.
Concentratie
/ U.T.
Firma
200mg
TERAPIA SA
Tara
Ambalaj
Prescriptie
Nr.c
Cod CIM
rt
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
Pret cu ridicata
maximal / U.T.
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
Pret cu
amanuntul
maximal / U.T.
Pret de
decontare / U.T.
ROMANIA
PRF
20
12,69
0,634500
0,613200
17,15
0,857500
0,828600
UNGARIA

RF
10
20,11
2,011000
1,729200
27,18
2,718000
2,337600
87 W06668003 J05AB01
ACICLOVIRUM
ACICLOVIR 400 mg
COMPR.
400mg
EGIS
PHARMACEUTICALS
P.L.C.
88 W00058001 J05AB01
ACICLOVIRUM
VIROLEX
PULB. PT. SOL.

INJ./PERF.
250mg

INJ./PERF.
S/PRF
231,79
46,358000
46,358000
282,97
56,594000
56,594000
450mg
TEVA
PHARMACEUTICALS
S.R.L.

COMPR. FILM.
PR
F
60
3.171,52
52,858666
52,858666
3.495,11
58,251833
58,251833
89 W60756001 J05AB14
VALGANCICLOVIRUM**
COMPR. FILM.
ROMANIA
PRF
PRF/
R
PRF/
R
90 W51832001 J05AB14
VALGANCICLOVIRUM**
VALCYTE (R) 450 mg
COMPR. FILM.
450mg
ROCHE ROMANIA SRL
ROMANIA
91 W04406001 L04AA06
MYCOPHENOLATUM**
CELLCEPT 250mg
CAPS.
250mg
ROCHE REGISTRATION
LTD.
MAREA
BRITANIE
92 W04407001 L04AA06
MYCOPHENOLATUM**
CELLCEPT 500mg
COMPR. FILM.
500mg
ROCHE REGISTRATION
LTD.
MAREA
BRITANIE
93 W42264003 L04AA06
MYCOPHENOLATUM**
MYFORTIC 180 mg
COMPR. FILM.
GASTROREZ.
180mg
NOVARTIS PHARMA
GMBH
GERMANIA
94 W42265003 L04AA06
MYCOPHENOLATUM**
MYFORTIC 360 mg
COMPR. FILM.
GASTROREZ.
360mg
NOVARTIS PHARMA
GMBH
GERMANIA
STADA HEMOFARM
S.R.L.
DR. REDDY'S
LABORATORIES
STADA HEMOFARM
S.R.L.
ROMANIA
PR
F
100
162,65
1,626500
1,626500
198,56
1,985600
1,985600
ROMANIA
100
291,62
2,916200
2,916200
356,01
3,560100
3,560100
100
162,65
1,626500
1,626500
198,56
1,985600
1,985600
100
302,31
3,023100
3,023100
367,67
3,676700
3,676700
50
227,17
4,543400
4,543400
277,33
5,546600
5,546600
100
133,10
1,331000
1,331000
162,49
1,624900
1,624900
50
160,05
3,201000
3,201000
195,39
3,907800
3,907800
50
302,31
6,046200
6,046200
367,67
7,353400
7,353400
50
272,59
5,451800
5,451800
332,78
6,655600
6,655600
95 W56643001 L04AA06
CAPS.
250 mg
96 W56657001 L04AA06
250 mg
97 W56643003 L04AA06
CAPS.
250 mg
CAPS.
250mg
TEVA PHARMA BV
OLANDA
COMPR.
500mg
SANDOZ S.R.L.
ROMANIA
SUPREPHEN 250 mg
COMPR. FILM.
250mg
COMPR. FILM.
500 mg
102 W52876001 L04AA06
MYFENAX 500mg
COMPR. FILM.
500mg
103 W55987001 L04AA06
500mg
104 W58523001 L04AA06
TEVA PHARMA BV
DR. REDDY'S
LABORATORIES
ROMASTRU TRADING
S.R.L.
NOVARTIS EUROPHARM
LTD.
5.338,93
88,982166
69,902200
4,528600
531,77
5,317700
5,317700
50
452,86
9,057200
9,057200
531,77
10,635400
10,635400

120
557,65
4,647083
4,647083
645,99
5,383250
5,383250

120
1.041,93
8,682750
8,682750
1.173,85
9,782083
9,782083
MYFENAX 250mg
63,430399
4,528600
CEHIA
101 W56644001 L04AA06
81,051500
452,86
MAREA
BRITANIE
98 W52877001 L04AA06
100 W58520001 L04AA06
4.863,09

100 CAPS.
F
R
PCOMPR. FILM.
RF
COMPR. FILM.
F
PR
COMPR. FILM.
F
RF/
FILM.
R
PCOMPR. FILM.
RF
COMPR. FILM.
F
CUTIE X 1 FLAC. CU LIOF.+ 1 FIOLA SOLV.
S
APA PT. PREP. INJ.
ROMANIA
99 W56003001 L04AA06
ROMASTRU TRADING
S.R.L.
STADA HEMOFARM
S.R.L.
60
100
ROMANIA
ROMANIA
OLANDA
ROMANIA
SUPREPHEN 500 mg
COMPR. FILM.
500mg
105 W13098001 L04AC02 BASILIXIMABUM**
SIMULECT 20 mg
LIOF. + SOLV. PT.

SOL. INJ./PERF.
20mg
EQUORAL 100 mg
CAPS. MOI
100mg
TEVA CZECH
INDUSTRIES S.R.O.
CEHIA
ROMANIA
50
133,10
2,662000
2,662000
162,49
3,249800
3,249800
4.267,46
4.267,460000
4.267,460000
4.689,69
4.689,690000
4.689,690000
S/PRF
50
251,97
5,039400
5,039400
307,60
6,152000
6,152000
S/PRF
50
59,45
1,189000
1,189000
75,17
1,503400
1,503400
EQUORAL 25 mg
CAPS. MOI
25mg
TEVA CZECH
INDUSTRIES S.R.O.
CAPS. MOI
25mg
NOVARTIS PHARMA
GMBH
S/PRF
50
112,48
2,249600
2,249600
137,32
2,746400
2,746400
EQUORAL 50 mg
CAPS. MOI
50mg
TEVA CZECH
INDUSTRIES S.R.O.
CEHIA
S/PRF
50
120,89
2,417800
2,417800
147,58
2,951600
2,951600
CAPS. MOI
50mg
NOVARTIS PHARMA
GMBH
S/PRF
50
239,32
4,786400
4,786400
292,16
5,843200
5,843200
111 W56928001 L04AX01
IMURAN
COMPR. FILM.
50mg
ASPEN EUROPE GMBH
GERMANIA

FILM.
S/PRF
100
55,53
0,555300
0,555300
70,21
0,702100
0,702100
PR
100
62,39
0,623900
0,623900
78,89
0,788900
0,788900
10
2,85
0,285000
0,249000
3,85
0,385000
0,336600
10
2,85
0,285000
0,249000
3,85
0,385000
0,336600
20
4,15
0,207500
0,207500
5,61
0,280500
0,280500
20
4,31
0,215500
0,215500
5,82
0,291000
0,291000
20
5,67
0,283500
0,249000
7,67
0,383500
0,336600
20
6,66
0,333000
0,249000
9,00
0,450000
0,336600
20
5,67
0,283500
0,249000
7,67
0,383500
0,336600
AZATHIOPRINUM
IMMUNOPRIN 75 mg
COMPR. FILM.
75mg
EBEWE PHARMA
GES.M.B.H. NFG KG
AUSTRIA

FILM.
MABRON 50 mg
CAPS.
50mg
MEDOCHEMIE LTD.
CIPRU
TRAMACALM
CAPS.
50mg
A.C. HELCOR PHARMA

S.R.L.
ROMANIA
CAPS.
50mg
ZENTIVA A.S.
SLOVACIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
TRAMADOL
CAPS.
50mg
KRKA D.D.
SLOVENIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
K-ALMA (R)
CAPS.
50mg
ANTIBIOTICE SA
ROMANIA
TRAMADOL ARENA
CAPS.
50mg
ARENA GROUP S.A.
ROMANIA
TRAMAG 50
COMPR.
50mg
MAGISTRA C & C
ROMANIA
112 W56508002 L04AX01
AZATHIOPRINUM
Pagina 78 din 87
PRF
PRF
PRF
PRF
PRF
PRF
PRF
Grupa
terapeutic
a
Denumire generica
Denumire comerciala
TRAMADOL EEL
TRALGIT SR 100
TRALGIT SR 150
Forma farmaceutica
COMPR.
COMPR. ELIB.
MODIF.
COMPR. ELIB.
PREL.
COMPR. ELIB.
PREL.
COMPR. ELIB.
PREL.
COMPR. ELIB.
PREL.
COMPR. ELIB.
PREL.
Concentratie
/ U.T.
Firma
Tara
Ambalaj
Prescriptie
Nr.c
Cod CIM
rt
PRF
PRF
RF
RF
PR
ELIB. PREL.
F
RF
RF
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
Pret cu ridicata
maximal / U.T.
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
Pret cu
amanuntul
maximal / U.T.
Pret de
decontare / U.T.
50mg
BIO EEL SRL
ROMANIA
20
5,67
0,283500
0,249000
7,67
0,383500
0,336600
100mg
HEXAL AG
GERMANIA CUTIE X 1 BLIST. X 10 COMPR. ELIB. MODIF.
10
4,66
0,466000
0,466000
6,30
0,630000
0,630000
30
13,98
0,466000
0,466000
18,89
0,629666
0,629666
30
13,98
0,466000
0,466000
18,89
0,629666
0,629666
30
13,99
0,466333
0,466333
18,91
0,630333
0,630333
30
20,38
0,679333
0,679333
27,55
0,918333
0,918333
30
20,38
0,679333
0,679333
27,55
0,918333
0,918333
100mg
ZENTIVA AS
SLOVACIA
100mg
ZENTIVA AS
SLOVACIA
100mg
KRKA, D.D., NOVO

MESTO
SLOVENIA
150mg
ZENTIVA AS
SLOVACIA
150mg
ZENTIVA AS
SLOVACIA
150mg
AUSTRIA
GES.M.B.H.

ELIB. PREL.
F
30
24,72
0,824000
0,815200
33,41
1,113666
1,102000
COMPR. ELIB.
PREL.
COMPR. ELIB.
PREL.
200mg
AUSTRIA
GES.M.B.H.

ELIB. PREL.
F
30
26,22
0,874000
0,874000
34,30
1,143333
1,143333
TRADOLAN 50 mg
COMPR. FILM.
50mg
AUSTRIA
GES.M.B.H.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.FILM.
PRF
30
7,88
0,262666
0,249000
10,65
0,355000
0,336600
CUTIE X 1 BLIST. AL/PVDC X 10 COMPR.

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

100mg
PREL.
COMPR. FILM. ELIB.
150mg
PREL.
COMPR. FILM. ELIB.
150mg
PREL.
COMPR. FILM. ELIB.
200mg
PREL.
COMPR. FILM. ELIB.

200mg
PREL.
COMPR.
50mg
ORODISPERSABILE
ZENTIVA, A.S.
REPUBLICA CUTIE CU 1 BLIST. OPA-AL-PVC/AL X 10

COMPR.
50mg
ORODISPERSABILE
ZENTIVA, A.S.

MABRON
SOL. INJ.
100mg
MEDOCHEMIE LTD.
CIPRU
MABRON
SOL. INJ.
100mg
MEDOCHEMIE LTD.
CIPRU
TRAMADOL
SOL. INJ.
50mg/ml
KRKA D.D.
TRAMADOL
SOL. INJ.
50mg/ml
KRKA D.D.
TRAMADOL
GRUNENTHAL GMBH
GERMANIA
10
7,17
0,717000
0,559200
9,69
0,969000
0,755599
30
31,78
1,059333
0,815200
41,57
1,385666
1,102000
10
16,30
1,630000
0,815200
22,03
2,203000
1,102000
10
20,85
2,085000
1,048800
28,18
2,818000
1,372000
30
40,67
1,355666
1,048800
53,20
1,773333
1,372000
PR
F
10
2,84
0,284000
0,249000
3,84
0,384000
0,336600
PR
F
10
2,84
0,284000
0,249000
3,84
0,384000
0,336600
CUTIE X 5 FIOLE DIN STICLA BRUNA X 2 ML S/PSOL. INJ.

RF
7,27
1,454000
1,322640
9,83
1,966000
1,614720
CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 S/PRF

ML SOL. INJ.
100
110,22
1,102200
1,102200
134,56
1,345600
1,345600
S/PRF
3,65
0,730000
0,730000
4,93
0,986000
0,986000
S/PRF
9,69
1,938000
1,322640
13,10
2,620000
1,614720
PRF
4,13
0,826000
0,826000
5,58
1,116000
1,116000

GRUNENTHAL GMBH
GERMANIA
GRUNENTHAL GMBH
GERMANIA
SUPOZ.
100mg
KRKA D.D.
CAPS.
250mg
250mg
ROMPHARM COMPANY
S.R.L.

P9.7: TRATAMENTUL STARII POSTTRANSPLANT IN AMBULATORIU A PACIENTILOR TRANSPLANTATI
URSOFALK (R)
URSOROM 250 mg
CAPS.
URSOFALK (R)
CAPS.
250mg
URSOSAN
CAPS.
250mg
URSOCHOL 150 mg
COMPR.
150mg
ZAMBON S.P.A.
ITALIA
URSOCHOL 300 mg
COMPR.
300mg
ZAMBON S.P.A.
ITALIA
URSOFALK 500 mg
COMPR. FILM.
URSOFALK 500 mg
COMPR. FILM.
SUSP. ORALA
MEDROL A 16
COMPR.
MEDROL 32
COMPR.
ROMANIA
P6L
P6
L
P6
L
P6L
P6L
P6L
P6
L
P6
L

COMPR.FILM.
500mg
COMPR.FILM.
P6
L
DOZATOARE DIN PP
MAREA
P16mg
BRITANIE
RF
MAREA
P32mg
CUTIE X 2 BLIST. AL-PVC/PVC X 10 COMPR.
BRITANIE
RF
500mg
LEMOD SOLU 125 mg
STADA HEMOFARM
S.R.L.
LEMOD SOLU 500 mg
STADA HEMOFARM
S.R.L.
Pagina 79 din 87
ROMANIA
CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 2 S/PRF

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

7,8 ML
S/PRF
50
56,54
1,130800
0,848200
71,49
1,429800
1,109400
60
42,41
0,706833
0,706833
55,47
0,924500
0,924500
100
98,29
0,982900
0,848200
124,28
1,242800
1,109400
50
54,39
1,087800
0,848200
68,77
1,375400
1,109400
60
41,43
0,690500
0,690500
54,19
0,903166
0,903166
20
27,43
1,371500
1,371500
35,88
1,794000
1,794000
50
111,83
2,236600
2,236600
136,52
2,730400
2,730400
100
219,67
2,196700
2,196700
268,17
2,681700
2,681700
77,10
77,100000
77,100000
97,49
97,490000
97,490000
50
24,13
0,482600
0,482600
32,62
0,652400
0,652400
20
21,94
1,097000
1,097000
29,65
1,482500
1,482500
6,52
6,520000
6,520000
8,81
8,810000
8,810000
22,95
22,950000
22,950000
31,02
31,020000
31,020000
Grupa
terapeutic
a
Denumire generica
Denumire comerciala
Forma farmaceutica
Concentratie
/ U.T.
Firma
Tara
LIOF. SI
SOLV.PT.SOL.INJ
MAREA
BRITANIE
COMPR.
5mg
ARENA GROUP SA
ROMANIA
COMPR.
5mg
ARENA GROUP SA
ROMANIA
PREDNISON 5 mg
COMPR.
5mg
SINTOFARM SA
ROMANIA
ROMANIA
ROMANIA
COMPR.
5mg
GEDEON RICHTER
ROMANIA SA
PREDNISON MCC 5 mg
COMPR.
5mg
MAGISTRA C&C S.R.L.
20 W05741001 J01EE01
TAGREMIN
COMPR.
21 W12479001 J01EE01
CO - TRIM ELL
COMPR.
22 W53671001 J01EE01
BITRIM 400mg/80mg
COMPR.
23 W05738001 J01EE01
24 W44046001 J01EE01
25 W05739001 J01EE01
SUMETROLIM
EPITRIM
SUMETROLIM
COMPR.
SUSP. ORALA
SUSP. ORALA
400mg/80m
ZENTIVA S.A.
g
400mg/80m
BIO EEL SRL
g
400mg/80m
ARENA GROUP S.A.
g
EGIS
400mg/80m
PHARMACEUTICALS
g
P.L.C.
200mg/40m
g /5ml
EGIS
25mg/5mg/
PHARMACEUTICALS
ml
P.L.C.
26 W08372001 J02AC01
FLUCONAZOLUM
FLUCOVIM 100
CAPS.
100mg
27 W42371002 J02AC01
FLUCONAZOLUM
FUNGOLON 100 mg
CAPS.
100mg
28 W58225007 J02AC01
FLUCONAZOLUM
CAPS.
100mg
VIM SPECTRUM SRL

BALKANPHARMA
RAZGRAD AD
AUROBINDO PHARMA
(MALTA) LIMITED
TEVA
PHARMACEUTICALS
S.R.L.
TEVA
PHARMACEUTICALS
S.R.L.
ROMANIA
ROMANIA
ROMANIA
UNGARIA
ROMANIA
UNGARIA
ROMANIA
Ambalaj

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

30 W43597002 J02AC01
FLUCONAZOLUM
CAPS.
100mg
31 W43288001 J02AC01
FLUCONAZOLUM
CAPS.
150mg
SANDOZ SRL
32 W42693001 J02AC01
FLUCONAZOLUM
FLUCONAZOL 150 mg
CAPS.
150mg
SLAVIA PHARM SRL
ROMANIA
33 W08373001 J02AC01
FLUCONAZOLUM
FLUCOVIM 150
CAPS.
150mg
VIM SPECTRUM SRL
ROMANIA
34 W51994001 J02AC01
FLUCONAZOLUM
CAPS.
150mg
35 W60221001 J02AC01
FLUCONAZOLUM
CAPS.
150mg
36 W43598001 J02AC01
FLUCONAZOLUM
CAPS.
150mg
37 W57430001 J02AC01
FLUCONAZOLUM
CAPS.
150mg
38 W57239001 J02AC01
FLUCONAZOLUM
CAPS.
150mg
39 W53943002 J02AC01
FLUCONAZOLUM
CAPS.
150mg
ARENA GROUP SA
40 W58226001 J02AC01
FLUCONAZOLUM
CAPS.
150mg
AUROBINDO PHARMA
(MALTA) LIMITED
ACTAVIS GROUP PTC
EHF.
ROMANIA
MALTA
41 W56446001 J02AC01
FLUCONAZOLUM
CAPS.
150mg
42 W03156001 J02AC01
FLUCONAZOLUM
DIFLUCAN 150 mg
CAPS.
150mg
MAREA
BRITANIE
ISLANDA

43 W44089001 J02AC01
FLUCONAZOLUM
FLUCORIC 150 mg
CAPS.
150mg
TERAPIA SA
ROMANIA
FLUCONAZOLUM
MYCOSYST 150 mg
CAPS.
150mg
GEDEON RICHTER
ROMANIA SA
ROMANIA
45 W52224001 J02AC01
FLUCONAZOLUM
CAPS.
150mg
LABORATOARELE
ROMANIA
200mg
TEVA
PHARMACEUTICALS
S.R.L.
46 W43599002 J02AC01
FLUCONAZOLUM
CAPS.
ROMANIA
47 W42321001 J02AC01
FLUCONAZOLUM
FLUCONAZOL 50 mg
CAPS.
50mg
SLAVIA PHARM SRL
ROMANIA
48 W03157001 J02AC01
FLUCONAZOLUM
DIFLUCAN 50 mg
CAPS.
50mg
MAREA
BRITANIE
ROMANIA
49 W53942002 J02AC01
FLUCONAZOLUM
CAPS.
50mg
ARENA GROUP SA
50 W57238001 J02AC01
FLUCONAZOLUM
CAPS.
50mg
Pagina 80 din 87

15,150000
20,48
20,480000
20,480000
44,43
0,044430
0,044430
58,12
0,058120
0,058120
1,94
0,064666
0,053316
2,62
0,087333
0,069744
2,74
0,091333
0,053316
3,71
0,123666
0,069744
1,90
0,095000
0,053316
2,57
0,128500
0,069744
1,96
0,098000
0,053316
2,65
0,132500
0,069744
5,71
0,285500
0,285500
7,72
0,386000
0,386000
5,21
0,260500
0,260500
7,04
0,352000
0,352000
5,71
0,285500
0,285500
7,72
0,386000
0,386000
7,40
0,370000
0,370000
3,52
3,520000
3,520000
4,76
4,760000
4,760000
PRF
7,75
7,750000
7,750000
10,48
10,480000
10,480000
PRF
PRF
PR
F
18,95
4,737500
3,615428
25,61
6,402500
4,887428
16
65,37
4,085625
3,615428
82,66
5,166250
4,887428
21,09
3,012857
3,012857
28,51
4,072857
4,072857
6,98
3,490000
3,490000
9,43
4,715000
4,715000
23,31
3,330000
3,330000
31,51
4,501428
4,501428
10,79
10,790000
5,340000
14,58
14,580000
7,212000
7,16
7,160000
5,340000
9,68
9,680000
7,212000
PRF
PRF
PRF
PRF
PRF
PRF
PR
F
PR
F
RF
PR
F
PR
F
RF
RF
RF
44 W54835003 J02AC01
15,150000
0,273500
PRF
100mg
15,15
0,273500
CAPS.
Pret de
decontare / U.T.
5,47
ROMANIA
Pret cu
amanuntul
maximal / U.T.
20
FLUCONAZOLUM
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
PRF
ROMANIA
29 W43597001 J02AC01
Pret cu ridicata
maximal / U.T.
PRF
PRF
MEDOCHEMIE ROMANIA
ROMANIA
SRL
REPUBLICA
ZENTIVA K.S.
CEHA
TEVA
PHARMACEUTICALS
ROMANIA
S.R.L.
ROMPHARM COMPANY
ROMANIA
S.R.L.
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
CUTIE X 1 FLAC. BICOMPARTIMENTAT

(COMPARTIMENT INFERIOR) LIOF. PT. SOL. P1
INJ. + (COMPARTIMENT SUPERIOR) 4ML
RF
SOLV
RF/ 1.000
S
30
RF
30
RF
PCUTIE X 2 BLIST. AL./PVC X 10 COMPR.
20
RF
20
RF
20
RF
20
RF
20
RF

MALTA
Prescriptie
Nr.c
Cod CIM
rt
7,35
7,350000
5,340000
9,94
9,940000
7,212000
6,07
6,070000
5,340000
8,20
8,200000
7,212000
8,90
8,900000
5,340000
12,03
12,030000
7,212000
4,88
4,880000
4,880000
6,59
6,590000
6,590000
9,57
9,570000
5,340000
12,94
12,940000
7,212000
7,35
7,350000
5,340000
9,94
9,940000
7,212000
6,68
6,680000
5,340000
9,03
9,030000
7,212000
4,45
4,450000
4,450000
6,01
6,010000
6,010000
7,44
7,440000
5,340000
10,06
10,060000
7,212000
18,56
18,560000
5,340000
25,08
25,080000
7,212000
13,95
13,950000
5,340000
18,86
18,860000
7,212000
48,24
12,060000
5,340000
63,10
15,775000
7,212000
PRF
4,88
4,880000
4,880000
6,59
6,590000
6,590000
PRF
30,10
4,300000
4,300000
39,37
5,624285
5,624285
PRF
PRF
PRF
PR
F
14,49
2,070000
1,777714
19,58
2,797142
2,403428
43,23
6,175714
1,777714
56,54
8,077142
2,403428
14,15
2,021428
1,777714
19,12
2,731428
2,403428
16,69
2,384285
1,777714
22,56
3,222857
2,403428
Grupa
terapeutic
a
Denumire generica
Denumire comerciala
Forma farmaceutica
Concentratie
/ U.T.
Firma
Tara
Ambalaj
Prescriptie
Nr.c
Cod CIM
rt
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
Pret cu ridicata
maximal / U.T.
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
Pret cu
amanuntul
maximal / U.T.
Pret de
decontare / U.T.
51 W43596001 J02AC01
FLUCONAZOLUM
CAPS.
50mg
TEVA
PHARMACEUTICALS
S.R.L.
ROMANIA
PRF
12,35
1,764285
1,764285
16,69
2,384285
2,384285
52 W52225001 J02AC01
FLUCONAZOLUM
CAPS.
50mg
LABORATOARELE
ROMANIA
PRF
11,66
1,665714
1,665714
15,76
2,251428
2,251428
53 W51993001 J02AC01
FLUCONAZOLUM
CAPS.
50mg
MEDOCHEMIE ROMANIA
ROMANIA
SRL
54 W44098001 J02AC01
FLUCONAZOLUM
FLUCORIC 50 mg
CAPS.
50mg
TERAPIA SA
ROMANIA

CAPS.
55 W43287001 J02AC01
FLUCONAZOLUM
CAPS.
50mg
SANDOZ SRL
ROMANIA
56 W58224007 J02AC01
FLUCONAZOLUM
CAPS.
50mg
AUROBINDO PHARMA
(MALTA) LIMITED
MALTA
CUTIE CU BLIST. PVC

57 W08374001 J02AC01
FLUCONAZOLUM
FLUCOVIM 50
CAPS.
50mg
VIM SPECTRUM SRL
ROMANIA
PRF
PRF
PRF
PR
F
PRF
11,95
1,707142
1,707142
16,15
2,307142
2,307142
21,91
3,130000
1,777714
29,61
4,230000
2,403428
32,06
4,580000
1,777714
41,93
5,990000
2,403428
10,37
1,481428
1,481428
14,02
2,002857
2,002857
16,69
2,384285
1,777714
22,56
3,222857
2,403428
23,46
23,460000
23,460000
31,71
31,710000
31,710000
58 W58322001 J02AC01
FLUCONAZOLUM
DIFLUCAN 10 mg/ml
PULB. PT. SUSP.

ORALA
10mg/ml
MAREA
BRITANIE

PR
F
59 W58456001 J02AC01
FLUCONAZOLUM
SOL. PERF.
2mg/ml
ROMANIA

PR
20
350,00
17,500000
17,500000
419,65
20,982500
20,982500
60 W58456002 J02AC01
FLUCONAZOLUM
SOL. PERF.
2mg/ml
ROMANIA

PR
20
630,00
31,500000
20,737200
724,85
36,242500
25,316400
61 W60056001 J02AC01
FLUCONAZOLUM
SOL. PERF.
2mg/ml
ZENTIVA K.S.
17,91
17,910000
17,910000
24,21
24,210000
24,210000
62 W57368003 J02AC01
FLUCONAZOLUM
SOL. PERF.
2mg/ml
ARENA GROUP S.A.
40,63
40,630000
20,737200
53,14
53,140000
25,316400
63 W60056005 J02AC01
FLUCONAZOLUM
SOL. PERF.
2mg/ml
ZENTIVA K.S.
10
172,81
17,281000
17,281000
210,97
21,097000
21,097000
64 W56963002 J02AC01
FLUCONAZOLUM
MYCOMAX INF 2mg/ml
SOL. PERF.
2mg/ml
ZENTIVA K.S.
88,14
88,140000
88,140000
111,45
111,450000
103,986000
FRESENIUS KABI
ROMANIA SRL
FRESENIUS KABI
ROMANIA SRL

REPUBLICA
CEHA
FLUCONAZOL
REPUBLICA
CEHA
200 MG FLUCONAZOL
REPUBLICA
CEHA
FLUCONAZOL
ROMANIA
ML SOL. PERF.
ROMANIA
ML SOL. PERF.
65 W55502009 J02AC01
FLUCONAZOLUM
SOL. PERF.
2mg/ml
66 W55502017 J02AC01
FLUCONAZOLUM
SOL. PERF.
2mg/ml
67 W58456003 J02AC01
FLUCONAZOLUM
SOL. PERF.
2mg/ml
ROMANIA

PR
68 W55502001 J02AC01
FLUCONAZOLUM
SOL. PERF.
2mg/ml
FRESENIUS KABI
ROMANIA SRL
ROMANIA

S
SOL. PERF.
2mg/ml

X 100 ML
R-F
69 W12072001 J02AC01
FLUCONAZOLUM
DIFLAZON 2mg/ml
SOL. PERF.
MAREA
BRITANIE
MAREA
BRITANIE
MAREA
BRITANIE
70 W08947008 J02AC03
VORICONAZOLUM**
VFEND 200mg
COMPR. FILM.
200mg
PFIZER LIMITED
71 W08946008 J02AC03
VORICONAZOLUM**
VFEND 50mg
COMPR. FILM.
50mg
PFIZER LIMITED
72 W10489001 J02AC03
VORICONAZOLUM**
VFEND 200mg
PULB. PT. SOL.

PERF.
200mg
PFIZER LIMITED
73 W41889001 J02AC03
VORICONAZOLUM**
VFEND 40 mg/ml
PULB. PT. SUSP.

ORALA
40mg/ml
PFIZER LIMITED
NOXAFIL 100mg
CAPS.
GASTROREZ.
100mg

LTD.
BRITANIE
74 W60913001 J02AC04
POSACONAZOLUM**
MAREA
BRITANIE
75 W58194001 J02AC04
POSACONAZOLUM**
NOXAFIL 40mg/ml
SUSP. ORALA
40mg/ml
MAREA
MERCK SHARP & DOHME
BRITANIE
76 W53675003 J05AB01
ACICLOVIRUM
CAPS.
200mg
ARENA GROUP SA
ROMANIA

34,28
34,280000
20,737200
44,84
44,840000
25,316400
81,95
81,950000
81,950000
103,62
103,620000
103,620000
10
760,00
76,000000
76,000000
866,55
86,655000
86,655000
18,84
18,840000
18,840000
25,47
25,470000
25,179000
35,03
35,030000
20,737200
45,82
45,820000
25,316400
28
3.559,23
127,115357
127,115357
3.917,72
139,918571
139,918571
28
912,09
32,574642
32,574642
1.032,33
36,868928
36,868928
458,07
458,070000
458,070000
537,45
537,450000
537,450000
PRF
2.203,52
2.203,520000
2.203,520000
2.439,99
2.439,990000
2.439,990000
PR
24
3.330,00
138,750000
138,750000
3.667,85
152,827083
152,827083
2.488,19
2.488,190000
2.488,190000
2.750,28
2.750,280000
2.750,280000
704,14
0,704140
0,613200
805,66
0,805660
0,805660
15,85
0,792500
0,613200
21,42
1,071000
0,828600
15,85
0,792500
0,613200
21,42
1,071000
0,828600
14,97
0,748500
0,613200
20,23
1,011500
0,828600
14,41
1,441000
1,441000
19,48
1,948000
1,948000
PRF
PRF
PRF
PRF/
1
R
PRF/ 1.000
S
P20
RF
P20
RF
P20
RF
P10
RF
77 W56038001 J05AB01
ACICLOVIRUM
CAPS.
200mg
FARMEX COMPANY
S.R.L.
ROMANIA
78 W53675001 J05AB01
ACICLOVIRUM
CAPS.
200mg
ARENA GROUP SA
ROMANIA
79 W42857001 J05AB01
ACICLOVIRUM
ACICLOVIR 200 mg
CAPS.
200mg
SLAVIA PHARM SRL
ROMANIA
80 W53676001 J05AB01
ACICLOVIRUM
CAPS.
400mg
ARENA GROUP S.A.
ROMANIA
UNGARIA
PRF
20
10,22
0,511000
0,511000
13,81
0,690500
0,690500
ROMANIA
PRF
20
12,75
0,637500
0,613200
17,23
0,861500
0,828600
81 W06667003 J05AB01
ACICLOVIRUM
ACICLOVIR 200 mg
COMPR.
200mg
EGIS
PHARMACEUTICALS
P.L.C.
82 W53225001 J05AB01
ACICLOVIRUM
COMPR.
200mg
LAROPHARM S.R.L.
Pagina 81 din 87
Grupa
terapeutic
a
Denumire generica
Denumire comerciala
Forma farmaceutica
Concentratie
/ U.T.
Firma
GEDEON RICHTER
ROMANIA SA
GEDEON RICHTER
ROMANIA SA
Tara
Ambalaj
Prescriptie
Nr.c
Cod CIM
rt
12,75
0,637500
0,613200
17,23
0,861500
0,828600
0,637500
0,613200
17,23
0,861500
0,828600
ROMANIA
20
12,69
0,634500
0,613200
17,15
0,857500
0,828600
UNGARIA

RF
10
20,11
2,011000
1,729200
27,18
2,718000
2,337600
231,79
46,358000
46,358000
282,97
56,594000
56,594000
60
3.171,52
52,858666
52,858666
3.495,11
58,251833
58,251833
60
4.863,09
81,051500
63,430399
5.338,93
88,982166
69,902200
30
159,00
5,300000
5,300000
194,11
6,470333
6,470333
28
228,32
8,154285
6,360000
278,73
9,954642
7,764400
60
319,27
5,321166
5,321166
386,16
6,436000
6,436000
60
319,27
5,321166
5,321166
386,16
6,436000
6,436000
60
476,54
7,942333
6,385399
557,58
9,293000
7,723200
30
319,27
10,642333
10,642333
386,16
12,872000
12,872000
131,82
131,820000
131,820000
160,92
160,920000
160,920000
100
452,86
4,528600
4,528600
531,77
5,317700
5,317700
200mg
COMPR.
200mg
85 W00044001 J05AB01
ACICLOVIRUM
COMPR.
200mg
TERAPIA SA
400mg
EGIS
PHARMACEUTICALS
P.L.C.
250mg

INJ./PERF.
S/PRF
450mg
TEVA
PHARMACEUTICALS
S.R.L.
PR
F
87 W00058001 J05AB01
88 W60756001 J05AB14
89 W51832001 J05AB14
ACICLOVIRUM
VALGANCICLOVIRUM**
VALGANCICLOVIRUM**
VIROLEX
PULB. PT. SOL.

INJ./PERF.

VALCYTE (R) 450 mg
COMPR. FILM.
COMPR. FILM.
450mg
ROCHE ROMANIA SRL
ROMANIA
ROMANIA
ROMANIA

COMPR. FILM.
ROMANIA
90 W55472002 J05AF05
LAMIVUDINUM
LAMIVUDINE TEVA 100 mg
COMPR. FILM.
100 mg
TEVA PHARMA B.V.
OLANDA

COMPR. FILM.
91 W07518002 J05AF05
LAMIVUDINUM
ZEFFIX 100 mg
COMPR. FILM.
100mg
GLAXO GROUP LTD.
MAREA
BRITANIE
CUTIE X 28 COMPR. FILM. (BLIST. PVCAL/PVC-AL)
92 W55473003 J05AF05
LAMIVUDINUM
COMPR. FILM.
150 mg
TEVA PHARMA B.V.
OLANDA

COMPR. FILM.
150mg
AUROBINDO PHARMA
(MALTA) LIMITED
MALTA
CUTIE CU 1 FLAC. PVC-ACLAR/AL X 60

COMPR. FILM.
CUTIE X 1 FLAC. PEID X 60 COMPR. FILM.
93 W59320003 J05AF05
LAMIVUDINUM
LAMIVUDINA AUROBINDO 150 mg
COMPR. FILM.
Pret de
decontare / U.T.
12,75
COMPR.
COMPR.
Pret cu
amanuntul
maximal / U.T.
20
ACICLOVIR 200 mg
ACICLOVIR 400 mg
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
20
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
Pret cu ridicata
maximal / U.T.
PR
F
PRF
PRF
83 W60558001 J05AB01
84 W13972001 J05AB01
86 W06668003 J05AB01
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
94 W03923002 J05AF05
LAMIVUDINUM
EPIVIR 150mg
COMPR. FILM.
150mg
GLAXO GROUP LTD.
MAREA
BRITANIE
95 W55474002 J05AF05
LAMIVUDINUM
COMPR. FILM.
300 mg
TEVA PHARMA B.V.
OLANDA

COMPR. FILM.
CUTIE X 1 FLACON PEID X 240ML SOL.
ORALA + 1 SERINGA DOZATOARE + 1
ADAPTOR
PRF
PRF/
R
PRF/
R
PRF/
R
PR
PRF/
R
PRF/
R
PRF/
R
PRF/
R
PRF/
R
96 W03924002 J05AF05
LAMIVUDINUM
EPIVIR 10mg/ml
SOL. ORALA
10mg/ml
GLAXO GROUP LTD.
MAREA
BRITANIE
97 W04406001 L04AA06
MYCOPHENOLATUM**
CELLCEPT 250mg
CAPS.
250mg
ROCHE REGISTRATION
LTD.
MAREA
BRITANIE
98 W04407001 L04AA06
MYCOPHENOLATUM**
CELLCEPT 500mg
COMPR. FILM.
500mg
ROCHE REGISTRATION
LTD.
MAREA
BRITANIE
50
452,86
9,057200
9,057200
531,77
10,635400
10,635400
180mg
NOVARTIS PHARMA
GMBH
CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X S/PGERMANIA

RF
120
557,65
4,647083
4,647083
645,99
5,383250
5,383250
360mg
NOVARTIS PHARMA
GMBH
GERMANIA

120
1.041,93
8,682750
8,682750
1.173,85
9,782083
9,782083
ROMANIA
PR
F
100
162,65
1,626500
1,626500
198,56
1,985600
1,985600
ROMANIA
100
291,62
2,916200
2,916200
356,01
3,560100
3,560100
100
162,65
1,626500
1,626500
198,56
1,985600
1,985600
100
302,31
3,023100
3,023100
367,67
3,676700
3,676700
99 W42264003 L04AA06
MYCOPHENOLATUM**
MYFORTIC 180 mg
COMPR. FILM.
GASTROREZ.
100 W42265003 L04AA06
MYCOPHENOLATUM**
MYFORTIC 360 mg
COMPR. FILM.
GASTROREZ.
STADA HEMOFARM
S.R.L.
DR. REDDY'S
LABORATORIES
STADA HEMOFARM
S.R.L.
101 W56643001 L04AA06
CAPS.
250 mg
102 W56657001 L04AA06
250 mg
103 W56643003 L04AA06
CAPS.
250 mg
104 W52877001 L04AA06
MYFENAX 250mg
CAPS.
250mg
TEVA PHARMA BV
OLANDA
105 W56003001 L04AA06
COMPR.
500mg
SANDOZ S.R.L.
ROMANIA
106 W58520001 L04AA06
SUPREPHEN 250 mg
COMPR. FILM.
250mg
107 W56644001 L04AA06
COMPR. FILM.
500 mg
108 W52876001 L04AA06
MYFENAX 500mg
COMPR. FILM.
500mg
109 W55987001 L04AA06
500mg
110 W58523001 L04AA06
SUPREPHEN 500 mg
500mg
111 W10576001 L04AA10
SIROLIMUS**
COMPR. FILM.
ROMASTRU TRADING
S.R.L.
STADA HEMOFARM
S.R.L.
TEVA PHARMA BV
DR. REDDY'S
LABORATORIES
ROMASTRU TRADING
S.R.L.
ROMANIA
ROMANIA
ROMANIA
OLANDA
ROMANIA
ROMANIA
RAPAMUNE 1mg
DRAJ.
1mg
WYETH EUROPA LTD.
MAREA
BRITANIE
EQUORAL 100 mg
CAPS. MOI
100mg
TEVA CZECH
INDUSTRIES S.R.O.
CEHIA
CEHIA
EQUORAL 25 mg
CAPS. MOI
25mg
TEVA CZECH
INDUSTRIES S.R.O.
CAPS. MOI
25mg
NOVARTIS PHARMA
GMBH
Pagina 82 din 87

100 CAPS.
F
R
PCOMPR. FILM.
RF
COMPR. FILM.
F
PR
COMPR. FILM.
F
RF/
FILM.
R
PCOMPR. FILM.
RF
COMPR. FILM.
F
R
50
227,17
4,543400
4,543400
277,33
5,546600
5,546600
100
133,10
1,331000
1,331000
162,49
1,624900
1,624900
50
160,05
3,201000
3,201000
195,39
3,907800
3,907800
50
302,31
6,046200
6,046200
367,67
7,353400
7,353400
50
272,59
5,451800
5,451800
332,78
6,655600
6,655600
50
133,10
2,662000
2,662000
162,49
3,249800
3,249800
30
489,29
16,309666
16,309666
571,48
19,049333
19,049333
S/PRF
50
251,97
5,039400
5,039400
307,60
6,152000
6,152000
S/PRF
50
59,45
1,189000
1,189000
75,17
1,503400
1,503400
S/PRF
50
112,48
2,249600
2,249600
137,32
2,746400
2,746400
Grupa
terapeutic
a
Denumire generica
Denumire comerciala
Forma farmaceutica
Concentratie
/ U.T.
Firma
Tara
Ambalaj
Prescriptie
Nr.c
Cod CIM
rt
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
Pret cu ridicata
maximal / U.T.
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
Pret cu
amanuntul
maximal / U.T.
Pret de
decontare / U.T.
EQUORAL 50 mg
CAPS. MOI
50mg
TEVA CZECH
INDUSTRIES S.R.O.
CEHIA
S/PRF
50
120,89
2,417800
2,417800
147,58
2,951600
2,951600
CAPS. MOI
50mg
NOVARTIS PHARMA
GMBH
S/PRF
50
239,32
4,786400
4,786400
292,16
5,843200
5,843200
0,5 mg
TEVA
PHARMACEUTICALS
S.R.L.
ROMANIA

PR
50
133,49
2,669800
2,669800
162,97
3,259400
3,259400
0,5mg
ASTELLAS PHARMA
EUROPE BV
OLANDA
50
205,39
4,107800
4,107800
250,74
5,014800
5,014800
50
91,62
1,832400
1,832400
115,84
2,316800
2,316800
TACNI 0,5 mg
PROGRAF (R) 0,5 mg
CAPS.
CAPS.
TRACSUS 0,5 mg
CAPS.
0,5mg
ALVOGEN IPCO S.AR.L

LUXEMBUR
G
DESICANT
CAPS.
0,5mg
SANDOZ S.R.L.
ROMANIA

50
133,49
2,669800
2,669800
162,97
3,259400
3,259400
1 mg
TEVA
PHARMACEUTICALS
S.R.L.
ROMANIA

PR
50
238,62
4,772400
4,772400
291,31
5,826200
5,826200
50
179,98
3,599600
3,599600
219,72
4,394400
4,394400
TACNI 1 mg
CAPS.
PR
F
TRACSUS 1 mg
CAPS.
1mg
ALVOGEN IPCO S.AR.L

LUXEMBUR
G
DESICANT
PROGRAF (R) 1 mg
CAPS.
1mg
ASTELLAS PHARMA
EUROPE BV
OLANDA
50
363,74
7,274800
7,274800
434,63
8,692600
8,692600
50
238,62
4,772400
4,772400
291,31
5,826200
5,826200
50
1.715,18
34,303600
34,303600
1.907,70
38,154000
38,154000
50
204,92
4,098400
4,098400
250,17
5,003400
5,003400
50
402,53
8,050600
8,050600
476,91
9,538200
9,538200
50
1.865,58
37,311600
37,311600
2.071,63
41,432600
41,432600
PR
F
CAPS.
1mg
SANDOZ S.R.L.
ROMANIA

PROGRAF (R) 5 mg
CAPS.
5mg
ASTELLAS PHARMA
EUROPE BV
OLANDA

PVDC/AL)
R
PVDC/AL)
R
PVDC/AL)
R
ADVAGRAF 0,5mg
ASTELLAS PHARMA
EUROPE B.V.
OLANDA
ADVAGRAF 1mg
ASTELLAS PHARMA
EUROPE BV
OLANDA
ADVAGRAF 5mg
ASTELLAS PHARMA
EUROPE B.V.
OLANDA
PROGRAF (R) 5 mg/ml
CONC. PT. SOL.

PERF.
ASTELLAS PHARMA
EUROPE BV
OLANDA
ASPEN EUROPE GMBH

GERMANIA
FILM.

130 W56928001 L04AX01
AZATHIOPRINUM*
IMURAN
COMPR. FILM.
5mg/ml
50mg
EBEWE PHARMA
131 W56508002 L04AX01 AZATHIOPRINUM*
IMMUNOPRIN 75 mg
COMPR. FILM.
75mg
GES.M.B.H. NFG KG
Pentru urmtoarele DCI-uri: VORICONAZOLUM si VALGANCICLOVIRUM prescrierea i eliberarea medicamentelor se fac numai cu aprobarea Ageniei Naionale de Transplant
10
1.545,19
154,519000
154,519000
1.722,41
172,241000
172,241000
S/PRF
100
55,53
0,555300
0,555300
70,21
0,702100
0,702100
AUSTRIA

FILM.
PR
100
62,39
0,623900
0,623900
78,89
0,788900
0,788900
ROMANIA
CUTIE X 1 FLAC. DIN PPID X 50 CAPS. MOI
PRF
50
21,46
0,429200
0,429200
29,01
0,580200
0,580200
30
16,99
0,566333
0,515040
22,97
0,765666
0,696240
PRF
30
23,23
0,774333
0,774333
31,40
1,046666
1,046666
P10: PROGRAM NATIONAL DE SUPLEERE A FUNCTIEI RENALE LA BOLNAVII CU INSUFICIENTA RENALA CRONICA
ALPHA D3 0,25 mcg
CAPS. MOI
0,25mcg
TEVA
PHARMACEUTICALS
S.R.L.
CAPS. MOI
0,25g
SANDOZ S.R.L.
ROMANIA

MOI
F
ALPHA D3 0,50 mcg
CAPS. MOI
0,50mcg
TEVA
PHARMACEUTICALS
S.R.L.
ROMANIA
CUTIE X 1 FLAC. X 30 CAPS. MOI
CAPS. MOI
0,5g
SANDOZ S.R.L.
ROMANIA
SOL. INJ.
2microgram
LEO PHARMA A/S
e/ml
2microgram
LEO PHARMA A/S
e/ml
CUTIE CU BLIST. PVC/PVDC-AL X 30 CAPS.

MOI
CA
0,5 ML SOL. INJ.
DANEMAR CUTIE CU 10 FIOLE DIN STICLA BRUNA X 1
CA
ML SOL. INJ.
SOL. INJ.
7 W51334002 A11CC04 CALCITRIOLUM**
ROCALTROL
CAPS. MOI
0,25mcg
ROMANIA
8 W59962001 B01AB01 HEPARINUM**
HEPARINA POLIPHARMA
SOL. INJ.
5000UI/ml
POLIPHARMA
INDUSTRIES S.R.L.
ROMANIA
HEPARINE SODIQUE PANPHARMA
SOL. INJ.
5000ui/ml
LAB. PANPHARMA
FRANTA
HEPARINA POLIPHARMA
SOL. INJ.
5000UI/ml
POLIPHARMA
INDUSTRIES S.R.L.
ROMANIA
11 W13613002 B01AB05 ENOXAPARINUM**
SOL. INJ.

Xa/0,2ml
FRANTA
SOL. INJ.

Xa/0,4ml
FRANTA
SOL. INJ.

Xa/0,6ml
FRANTA
Pagina 83 din 87
CUTIE CU 5 BLIST. AL/PVC X 20 CAPS. MOI.
PR
F
30
26,00
0,866666
0,866666
34,01
1,133666
1,133666
10
108,79
10,879000
10,879000
132,81
13,281000
13,281000
24,878000
S
PRF
CUTIE CU 5 FIOLE DIN STICLA INCOLORA X

PR
1 ML SOLUTIE INJECTABILA
S
INCOLORA X 5 ML SOL. INJ.
CUTIE CU 10 FIOLE DIN STICLA INCOLORA
PR
X 5 ML SOLUTIE INJECTABILA
PR/
PR
SOL. INJ.
F
PR/
PR
SOL. INJ.
F
PR/
PR
SOL. INJ.
F
10
203,78
20,378000
20,378000
248,78
24,878000
100
53,88
0,538800
0,538800
68,12
0,681200
0,681200
64,90
12,980000
12,980000
82,06
16,412000
16,412000
10
104,96
10,496000
10,496000
128,14
12,814000
12,814000
10
142,47
14,247000
12,595200
173,93
17,393000
15,376800
10
49,00
4,900000
4,900000
64,09
6,409000
6,409000
10
93,99
9,399000
9,399000
118,84
11,884000
11,884000
10
118,32
11,832000
11,832000
144,45
14,445000
14,445000
Grupa
terapeutic
a
Denumire generica
Denumire comerciala
Forma farmaceutica
Concentratie
/ U.T.
Firma
Tara
Ambalaj
Prescriptie
Nr.c
Cod CIM
rt
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
Pret cu ridicata
maximal / U.T.
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
Pret cu
amanuntul
maximal / U.T.
Pret de
decontare / U.T.
PR/
PR
SOL. INJ.
F
30,69
15,345000
15,345000
40,14
20,070000
20,070000

Xa/0,8ml

PR/
PR
F
104,35
17,391666
17,391666
127,39
21,231666
21,231666
SOL. INJ.
GLAXO GROUP
2850 ui
LIMITED/GLAXO
AFXa/0,3ml
WELLCOME HOUSE
MAREA
BRITANIE
CUTIE CU 10 SERINGI PREUMPLUTE DIN

STICLA X 0,3 ML SOL. INJ.
S/PRF
10
49,12
4,912000
4,912000
64,25
6,425000
6,425000
SOL. INJ.
2850 ui
ASPEN PHARMA
AFXa/0,3ml TRADING LIMITED
IRLANDA

S/PRF
10
49,12
4,912000
4,912000
64,25
6,425000
6,425000
MAREA
BRITANIE

S/PRF
10
64,77
6,477000
6,477000
81,89
8,189000
8,189000
SOL. INJ.

Xa/0,8ml
SOL. INJ.
16 W55557001 B01AB06 NADROPARINUM**
FRAXIPARINE 2850 UI anti-factor Xa/0,3 ml
FRANTA
SOL. INJ.
GLAXO GROUP
3800 ui
LIMITED/GLAXO
AFXa/0,4ml
WELLCOME HOUSE
SOL. INJ.
3800 ui
ASPEN PHARMA
IRLANDA

S/PRF
10
64,77
6,477000
6,477000
81,89
8,189000
8,189000
SOL. INJ.
5700 ui
ASPEN PHARMA
IRLANDA

S/PRF
10
104,10
10,410000
10,410000
127,08
12,708000
12,708000
MAREA
BRITANIE

S/PRF
10
104,10
10,410000
10,410000
127,08
12,708000
12,708000
MAREA
BRITANIE

S/PRF
10
126,46
12,646000
12,646000
154,38
15,438000
15,438000
IRLANDA

S/PRF
10
126,46
12,646000
12,646000
154,38
15,438000
15,438000
SOL. INJ.
SOL. INJ.
SOL. INJ.

FRAXIPARINE 9500 UI anti-factor Xa/1 ml

multidoza
FRAXIPARINE 9500 UI anti-factor Xa/1 ml
multidoza
SOL. INJ.
SOL. INJ.
GLAXO GROUP
5700 ui
LIMITED/GLAXO
AFXa/0,6ml
WELLCOME HOUSE
GLAXO GROUP
7600 ui
LIMITED/GLAXO
AFXa/0,8ml
WELLCOME HOUSE
7600 ui
ASPEN PHARMA
9500 UI
AFXa/1 ml
9500 UI
AFXa/1 ml
GLAXO GROUP LIMITED
MAREA
BRITANIE
ASPEN PHARMA
TRADING LIMITED
IRLANDA

S
MULTIDOZA X 5 ML SOL. INJ.
S
MULTIDOZA X 5 ML SOL. INJ.
10
759,56
75,956000
75,956000
866,07
86,607000
86,607000
10
759,56
75,956000
75,956000
866,07
86,607000
86,607000
26 W59473001 B01AB10 TINZAPARINUM**
INNOHEP 10000 UI ANTI-XA/ml
SOL. INJ. IN
FLACOANE
10000UI
anti-XA/ml
LEO PHARMA A/S
DANEMAR
CA
CUTIE CU 10 FLAC. DIN STICLA INCOLORA PR/

X 2 ML (20000 UI ANTI-XA) SOL. INJ., CU
PR
DOP DE CAUCIUC DE CULO
F
10
439,68
43,968000
43,968000
517,40
51,740000
51,740000
INNOHEP 20000 UI ANTI-Xa/ml
SOL. INJ. IN
FLACOANE
20000 UI
anti-Xa/ml
LEO PHARMA A/S
DANEMAR
CA
CUTIE CU 10 FLAC. DIN STICLA INCOLORA PR/

X 2 ML (40000 UI ANTI-XA) SOL. INJ., CU
PR
DOP DE CAUCIUC DE CULO
F
10
965,50
96,550000
96,550000
1.090,55
109,055000
109,055000
SOL. INJ. IN
SERINGI
PREUMPLUTE
10000UI
anti-XA/ml
LEO PHARMA A/S
10
97,33
9,733000
9,733000
123,06
12,306000
12,306000
10000UI
anti-XA/ml
LEO PHARMA A/S
10
127,04
12,704000
12,704000
155,09
15,509000
15,509000
20000UI
anti-Xa/ml
LEO PHARMA A/S
95,03
47,515000
47,515000
120,16
60,080000
60,080000
20000UI
anti-Xa/ml
LEO PHARMA A/S
58,25
29,125000
29,125000
73,65
36,825000
36,825000
20000UI
anti-Xa/ml
LEO PHARMA A/S
77,76
38,880000
38,880000
98,32
49,160000
49,160000
33 W51230001 B03AC02 COMPLEX DE HIDROXID DE FER (III) SUCROZA
VENOFER (R)
SOL. INJ./PERF.
20mg/ml
VIFOR FRANCE S.A.
34 W52289002 B03XA01 EPOETINUM ALFA**
BINOCRIT 10000UI/1,0ml
SOL. INJ. IN
SERINGA
PREUMPLUTA
SOL. INJ. IN
SERINGI
PREUMPLUTE
SOL. INJ. IN
SERINGI
PREUMPLUTE
SOL. INJ. IN
SERINGI
PREUMPLUTE
SOL. INJ. IN
SERINGI
PREUMPLUTE
CUTIE CU 10 SERINGI PREUMPLUTE X 0.35

ML (3500 UI ANTI-XA) SOL. INJ., CU
DISPOZITIV DE SIGURANTA PT. AC,
INTRODUSE INTR-UN SUPORT DIN
PLASTIC CU CAPAC VERDE
CUTIE CU 10 SERINGI PREUMPLUTE X 0.45
DANEMAR
CA
DISPOZITIV DE SIGURANTA PT.
CUTIE CU 2 SERINGI PREUMPLUTE X 0,90
DANEMAR
CA
DANEMAR
CA
DANEMAR
CA
DANEMAR
CA
PR/
PR
F
PR/
PR
F
PR/
PR
F
PR/
PR
F
PR/
PR
F
FRANTA
S/PRF
122,68
24,536000
24,536000
149,77
29,954000
29,954000
10000UI/1,0
SANDOZ GMBH
ml
AUSTRIA
CUTIE X 6 SERINGI PREUMPLUTE X 1ML

SOL. INJ.
S/PRF/
R
1.550,81
258,468333
258,468333
1.728,54
288,090000
288,090000
SOL. INJ. IN
SERINGA
PREUMPLUTA
1000UI/0,5
ml
SANDOZ GMBH
AUSTRIA
CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML

SOL. INJ.
S/PRF/
R
178,92
29,820000
29,820000
218,42
36,403333
36,403333
SOL. INJ. IN
SERINGA
PREUMPLUTA
2000UI/1,0
ml
SANDOZ GMBH
AUSTRIA

SOL. INJ.
S/PRF/
R
355,67
59,278333
59,278333
425,83
70,971666
70,971666
SOL. INJ. IN
SERINGA
PREUMPLUTA
30000UI/0,7
SANDOZ GMBH
5ml
AUSTRIA

0,75ML SOL. INJ.
PRF/
R
688,15
688,150000
688,150000
788,23
788,230000
788,230000
SOL. INJ. IN
SERINGA
PREUMPLUTA
3000UI/0,3
ml
AUSTRIA

SOL. INJ.
S/PRF/
R
518,88
86,480000
86,480000
603,73
100,621666
100,621666
SANDOZ GMBH
Pagina 84 din 87
Grupa
terapeutic
a
Denumire generica
Denumire comerciala
EPREX 40000 UI/ml
Forma farmaceutica
SOL. INJ. IN
SERINGA
PREUMPLUTA
SOL. INJ. IN
SERINGA
PREUMPLUTA
Concentratie
/ U.T.
40 000UI/ml
Firma
JOHNSON & JOHNSON

D.O.O.
Tara
SLOVENIA
Ambalaj
Prescriptie
Nr.c
Cod CIM
rt
CUTIE CU 1 SERINGA PREUMPLUTA X 1 ML S/PRF

SOL. INJ.
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
Pret cu ridicata
maximal / U.T.
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
Pret cu
amanuntul
maximal / U.T.
Pret de
decontare / U.T.
1.206,71
1.206,710000
1.052,784000
1.353,47
1.353,470000
1.193,316000
877,32
877,320000
877,320000
994,43
994,430000
994,430000
40000 UI/1
ml
SANDOZ GMBH
AUSTRIA
CUTIE X 1 SERINGA PREUMPLUTA X 1ML

SOL. INJ.
PRF/
R
SOL. INJ. IN
SERINGA
PREUMPLUTA
4000UI/0,4
ml
SANDOZ GMBH
AUSTRIA

SOL. INJ.
S/PRF/
R
682,04
113,673333
113,673333
781,57
130,261666
130,261666
SOL. INJ. IN
SERINGA
PREUMPLUTA
5000UI/0,5
ml
SANDOZ GMBH
AUSTRIA

SOL. INJ.
S/PRF/
R
845,15
140,858333
140,858333
959,37
159,895000
159,895000
43 W07740002 B03XA01 EPOETINUM BETA**
NEORECORMON 10000UI/0,6ml
SOL. INJ. IN
SERINGA
PREUMPLUTA
10000UI/0,6 ROCHE REGISTRATION

ml
LTD.
MAREA
BRITANIE
S/PCUTIE X 6 SERINGI PREUMPLUTE X 0,6 ML

RF/
SOL. INJ. + 6 ACE
R
2.117,84
352,973333
352,973333
2.346,60
391,100000
391,100000
SOL. INJ. IN
SERINGA
PREUMPLUTA
2000UI/0,3
ml
ROCHE REGISTRATION
LTD.
MAREA
BRITANIE

RF/
SOL. INJ. X 6 ACE
R
447,82
74,636666
74,636666
526,27
87,711666
87,711666
SOL. INJ. IN
SERINGA
PREUMPLUTA
30000
UI/0,6ml
ROCHE REGISTRATION
LTD.
MAREA
BRITANIE

ML + 1 AC
S/PRF/
R
1.042,55
1.042,550000
1.042,550000
1.174,53
1.174,530000
1.174,530000
SOL. INJ. IN
SERINGA
PREUMPLUTA
4000UI/0,3
ml
ROCHE REGISTRATION
LTD.
MAREA
BRITANIE

RF/
SOL. INJ. + 6 ACE
R
865,04
144,173333
144,173333
981,05
163,508333
163,508333
SOL. INJ. IN
SERINGA
PREUMPLUTA
5000UI/0,3
ml
ROCHE REGISTRATION
LTD.
MAREA
BRITANIE

RF/
SOL. INJ. + 6 ACE
R
1.073,53
178,921666
178,921666
1.208,30
201,383333
201,383333
48 W60969001 B03XA01 EPOETINUM ZETA**
RETACRIT 10000UI/1,0ml
SOL. INJ. IN
SERINGA
PREUMPLUTA
10000UI/1,0
HOSPIRA UK LIMITED
ml
MAREA
BRITANIE

SOL. INJ.
PR
180,07
180,070000
180,070000
219,83
219,830000
219,830000
SOL. INJ. IN
SERINGA
PREUMPLUTA
10000UI/1,0 HOSPIRA ENTERPRISES

OLANDA
ml
B.V.

SOL. INJ.
S/PRF/
R
1.012,10
168,683333
168,683333
1.141,34
190,223333
190,223333
SOL. INJ. IN
SERINGA
PREUMPLUTA
1000UI/0,3
ml
HOSPIRA UK LIMITED
CUTIE X 1 SERINGA PREUMPLUTA X 0,3ML

PR
SOL. INJ.
8,03
8,030000
8,030000
10,85
10,850000
10,850000
SOL. INJ. IN
SERINGA
PREUMPLUTA
1000UI/0,3
ml
HOSPIRA ENTERPRISES
OLANDA
B.V.
S/PRF/
R
48,15
8,025000
8,025000
62,98
10,496666
10,496666
SOL. INJ. IN
SERINGA
PREUMPLUTA

OLANDA
ml
B.V.
S/PCUTIE X 1 SERINGA PREUMPLUTA X 0,5ML

RF/
SOL. INJ.
R
370,80
370,800000
370,800000
442,32
442,320000
442,320000
SOL. INJ. IN
SERINGA
PREUMPLUTA

OLANDA
ml
B.V.

SOL. INJ.
S/PRF/
R
2.074,80
345,800000
345,800000
2.299,68
383,280000
383,280000
SOL. INJ. IN
SERINGA
PREUMPLUTA
2000UI/0,6
ml

PR
SOL. INJ.
SOL. INJ. IN
SERINGA
PREUMPLUTA
2000UI/0,6
ml
SOL. INJ. IN
SERINGA
PREUMPLUTA
BINOCRIT 40000 UI/1 ml
HOSPIRA UK LIMITED
MAREA
BRITANIE
MAREA
BRITANIE

SOL. INJ.
38,85
38,850000
38,850000
50,82
50,820000
50,820000

SOL. INJ.
S/PRF/
R
224,93
37,488333
37,488333
274,59
45,765000
45,765000

OLANDA
5ml
B.V.

0,75ML SOL. INJ.
S/PRF/
R
541,20
541,200000
541,200000
628,06
628,060000
628,060000
SOL. INJ. IN
SERINGA
PREUMPLUTA

OLANDA
5ml
B.V.
S/PCUTIE X 6 SERINGI PREUMPLUTE X 0,75ML

RF/
SOL. INJ.
R
3.097,20
516,200000
516,200000
3.414,10
569,016666
569,016666
SOL. INJ. IN
SERINGA
PREUMPLUTA
3000UI/0,9
ml
HOSPIRA UK LIMITED

PR
SOL. INJ.
57,25
57,250000
57,250000
72,39
72,390000
72,390000
SOL. INJ. IN
SERINGA
PREUMPLUTA
3000UI/0,9
ml
HOSPIRA ENTERPRISES
OLANDA
B.V.
SOL. INJ. IN
SERINGA
PREUMPLUTA

OLANDA
ml
B.V.
HOSPIRA ENTERPRISES
OLANDA
B.V.
Pagina 85 din 87
MAREA
BRITANIE

SOL. INJ.
S/PRF/
R
336,72
56,120000
56,120000
405,17
67,528333
67,528333

SOL. INJ.
S/PRF/
R
4.119,59
686,598333
686,598333
4.528,51
754,751666
754,751666
Grupa
terapeutic
a
Denumire generica
Denumire comerciala
Forma farmaceutica
Concentratie
/ U.T.
Firma
Tara
Ambalaj
Prescriptie
Nr.c
Cod CIM
rt
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
Pret cu ridicata
maximal / U.T.
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
Pret cu
amanuntul
maximal / U.T.
Pret de
decontare / U.T.
SOL. INJ. IN
SERINGA
PREUMPLUTA

OLANDA
ml
B.V.

SOL. INJ.
S/PRF/
R
711,60
711,600000
711,600000
813,79
813,790000
813,790000
SOL. INJ. IN
SERINGA
PREUMPLUTA
4000UI/0,4
ml
HOSPIRA ENTERPRISES
OLANDA
B.V.

SOL. INJ.
S/PRF/
R
438,96
73,160000
73,160000
516,62
86,103333
86,103333
SOL. INJ. IN
SERINGA
PREUMPLUTA
4000UI/0,4
ml
HOSPIRA UK LIMITED
76,34
76,340000
76,340000
96,52
96,520000
96,520000
SOL. INJ. IN
SERINGA
PREUMPLUTA
5000UI/0,5
ml
HOSPIRA ENTERPRISES
OLANDA
B.V.
541,20
90,200000
90,200000
628,06
104,676666
104,676666
SOL. INJ. IN
SERINGA
PREUMPLUTA
5000UI/0,5
ml
HOSPIRA UK LIMITED
95,42
95,420000
95,420000
120,65
120,650000
120,650000
SOL. INJ. IN
SERINGA
PREUMPLUTA
643,44
107,240000
107,240000
739,50
123,250000
123,250000
70 W41530002 B03XA02 DARBEPOETINUM ALFA**
ARANESP 100mcg/0,5ml
ARANESP 10mcg/0,4ml
ARANESP 20mcg/0,5ml
ARANESP 30mcg/0,3ml
ARANESP 40mcg/0,4ml
ARANESP 500mcg/ml
ARANESP 50mcg/0,5ml
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
MAREA
BRITANIE
MAREA
BRITANIE

PR
SOL. INJ.
SOL. INJ.
S/PRF/
R

PR
SOL. INJ.
S/PRF/
R
6000UI/0,6
ml
HOSPIRA ENTERPRISES
OLANDA
B.V.
6000UI/0,6
ml
HOSPIRA UK LIMITED
MAREA
BRITANIE

PR
SOL. INJ.
112,47
112,470000
112,470000
137,30
137,300000
137,300000
8000UI/0,8
ml
HOSPIRA UK LIMITED
MAREA
BRITANIE

PR
SOL. INJ.
154,75
154,750000
154,750000
188,92
188,920000
188,920000
8000UI/0,8
ml
HOSPIRA ENTERPRISES
OLANDA
B.V.
847,92
141,320000
141,320000
962,38
160,396666
160,396666
2.876,01
719,002500
719,002500
3.173,01
793,252500
793,252500
324,23
81,057500
81,057500
391,56
97,890000
97,890000
4.284,58
1.071,145000
1.071,145000
4.708,35
1.177,087500
1.177,087500
609,62
152,405000
152,405000
702,64
175,660000
175,660000
1.991,25
1.991,250000
1.991,250000
2.208,61
2.208,610000
2.208,610000
891,12
222,780000
222,780000
1.009,47
252,367500
252,367500
1.175,04
293,760000
293,760000
1.318,95
329,737500
329,737500
3.298,77
3.298,770000
3.298,770000
3.633,81
3.633,810000
3.633,810000
1.457,44
364,360000
364,360000
1.626,76
406,690000
406,690000
1.742,22
435,555000
435,555000
1.937,17
484,292500
484,292500
2.309,91
577,477500
577,477500
2.555,95
638,987500
638,987500
100mcg/0,5
AMGEN EUROPE BV
ml
OLANDA
10mcg/0,4m
AMGEN EUROPE BV
l
OLANDA
150mcg/0,3
AMGEN EUROPE BV
ml
OLANDA
20mcg/0,5m
AMGEN EUROPE BV
l
OLANDA
300mcg/0,6
AMGEN EUROPE BV
ml
OLANDA
30mcg/0,3m
AMGEN EUROPE BV
l
OLANDA
40mcg/0,4m
AMGEN EUROPE BV
l
OLANDA
500mcg/ml
AMGEN EUROPE BV
OLANDA
50mcg/0,5m
AMGEN EUROPE BV
l
OLANDA
60mcg/0,3m
AMGEN EUROPE BV
l
OLANDA
80mcg/0,4m
AMGEN EUROPE BV
l
OLANDA

SOL. INJ.

SOL. INJ.
S/PRF/
R
PCUTIE X 4 SERINGI PREUMPLUTE A 1 ML X

RF/
0,5 ML
R
RF/
0,4 ML
R
PCUTIE X 4 SERINGI PREUMPLUTE, A 1 ML X
RF/
0,3 ML
R
RF/
0,5 ML
R
PCUTIE X 1 SERINGA PREUMPLUTA A 1 ML X
RF/
0,6 ML
R
RF/
0,3 ML
R
RF/
0,4 ML
R
PCUTIE X 1 SERINGA PREUMPLUTA A 1 ML X
RF/
1 ML
R
RF/
0,5 ML
R
RF/
0,3 ML
R
RF/
0,4 ML
R
ARANESP 60mcg/0,3ml
ARANESP 80mcg/0,4ml
81 W52309001 B03XA03 METOXI-POLIETILENGLICOL EPOETINA BETA**
MIRCERA 100mcg/0,3ml
SOL. INJ. IN
SERINGA
PREUMPLUTA
100mcg/0,3 ROCHE REGISTRATION

ml
LTD.
MAREA
BRITANIE
S/PCUTIE X 1 SERINGA PREUMPLUTA, X 0,3 ML

RF/
SOL. INJ.
R
991,26
991,260000
991,260000
1.118,62
1.118,620000
1.118,620000
SOL. INJ. IN
SERINGA
PREUMPLUTA

ml
LTD.
MAREA
BRITANIE

RF/
SOL. INJ.
R
1.145,31
1.145,310000
1.145,310000
1.286,54
1.286,540000
1.286,540000
SOL. INJ. IN
SERINGA
PREUMPLUTA

ml
LTD.
MAREA
BRITANIE

RF/
SOL. INJ.
R
1.471,92
1.471,920000
1.471,920000
1.642,54
1.642,540000
1.642,540000
SOL. INJ. IN
SERINGA
PREUMPLUTA

ml
LTD.
MAREA
BRITANIE

RF/
SOL. INJ.
R
1.952,55
1.952,550000
1.952,550000
2.166,43
2.166,430000
2.166,430000
Pagina 86 din 87
Grupa
terapeutic
a
Denumire generica
Denumire comerciala
Forma farmaceutica
Concentratie
/ U.T.
Firma
Tara
Ambalaj
Prescriptie
Nr.c
Cod CIM
rt
Pret cu
cant/a
ridicata
mbala
maximal /
j
ambalaj
Pret cu ridicata
maximal / U.T.
Pret cu
Pret cu ridicata
amanuntul
maximal de
maximal /
decontare / U.T.
ambalaj
Pret cu
amanuntul
maximal / U.T.
Pret de
decontare / U.T.
SOL. INJ. IN
SERINGA
PREUMPLUTA

ml
LTD.
MAREA
BRITANIE

RF/
SOL. INJ.
R
2.399,00
2.399,000000
2.399,000000
2.653,06
2.653,060000
2.653,060000
MIRCERA 30mcg/0,3ml
SOL. INJ. IN
SERINGA
PREUMPLUTA
30mcg/0,3m ROCHE REGISTRATION

l
LTD.
MAREA
BRITANIE

RF/
SOL. INJ.
R
317,25
317,250000
317,250000
383,95
383,950000
383,950000
SOL. INJ. IN
SERINGA
PREUMPLUTA

ml
LTD.
MAREA
BRITANIE
S/PCUTIE X 1 SERINGA PREUMPLUTA, X 0,6ML

RF/
SOL. INJ.
R
3.070,88
3.070,880000
3.070,880000
3.385,41
3.385,410000
3.385,410000
MIRCERA 50 mcg/0,3ml
SOL. INJ. IN
SERINGA
PREUMPLUTA
50
mcg/0,3ml
ROCHE REGISTRATION
LTD.
MAREA
BRITANIE

RF/
SOL. INJ.
R
510,66
510,660000
510,660000
594,77
594,770000
594,770000
MIRCERA 75mcg/0,3ml
SOL. INJ. IN
SERINGA
PREUMPLUTA
75mcg/0,3m ROCHE REGISTRATION

l
LTD.
MAREA
BRITANIE

RF/
SOL. INJ.
R
750,96
750,960000
750,960000
856,70
856,700000
856,700000
90 W43185002 H05BX01 CINACALCETUM****
MIMPARA 30 mg
COMPR. FILM.
30mg
AMGEN EUROPE B.V.
OLANDA
28
754,12
26,932857
26,932857
860,14
30,719285
30,719285
MIMPARA 60 mg
COMPR. FILM.
60mg
AMGEN EUROPE B.V.
OLANDA
28
1.383,17
49,398928
49,398928
1.545,81
55,207500
55,207500
MIMPARA 90 mg
COMPR. FILM.
90mg
AMGEN EUROPE B.V.
OLANDA
28
1.967,81
70,278928
70,278928
2.183,07
77,966785
77,966785
1g
ABBVIE FARMACEUTICA
SPANIA
S.L.U.
CUTIE X 4 BLIST. PVC/FLUOROPOLIMER/AL PX 7 CAPS. MOI

RF
28
229,10
8,182142
8,182142
279,68
9,988571
9,988571
ABBOTT LABORATORIES
S.A.
ABBVIE FARMACEUTICA
S.L.U.
ABBOTT LABORATORIES
S.A.
ABBVIE FARMACEUTICA
S.L.U.
CUTIE X 4 BLIST. PVC/FLUOROPOLIMER/AL

X 7 CAPS.
CUTIE X 4 BLIST. PVC/FLUOROPOLIMER/AL
X 7 CAPS.
93 W60920002 H05BX02 PARICALCITOLUM**
ZEMPLAR 1g
CAPS. MOI
ZEMPLAR 2mcg
CAPS. MOI
2mcg
ZEMPLAR 2g
CAPS. MOI
2g
ZEMPLAR
SOL. INJ.
5 mcg/ml
ZEMPLAR
SOL. INJ.
5 g/ml
98 W08985002 V03AE02 SEVELAMER**
RENAGEL 800mg
COMPR. FILM.
800mg
NALTREXONA TORREX 50 mg
COMPR. FILM.
50mg
SPANIA
SPANIA
CUTIE X 2 BLIST. ACLAR-PVC-PVAC/AL X 14

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
PRF
PRF
PRF
PRF
PRF
28
395,68
14,131428
14,131428
469,44
16,765714
16,765714
28
395,68
14,131428
14,131428
469,44
16,765714
16,765714
SPANIA
CUTIE X 5 FIOLE X 1 ML SOL. INJ.
188,23
37,646000
37,646000
229,79
45,958000
45,958000
SPANIA
CUTIE X 5 FIOLE X 1 ML SOL. INJ.
188,23
37,646000
37,646000
229,79
45,958000
45,958000
GENZYME EUROPE BV
OLANDA
CUTIE X 1 FLAC.PEID. X 180 COMPR. FILM.
PRF
180
625,88
3,477111
3,477111
720,36
4,002000
4,002000
CHIESI
PHARMACEUTICALS
GMBH
AUSTRIA

COMPR. FILM.
PR
F
28
215,60
7,700000
7,700000
263,20
9,400000
9,400000
50
18,06
0,361200
0,361200
24,41
0,488200
0,488200
20
18,61
0,930500
0,930500
25,16
1,258000
1,258000
50
46,54
0,930800
0,930800
60,88
1,217600
1,217600
20
4,65
0,232500
0,232500
6,29
0,314500
0,314500
50
11,63
0,232600
0,232600
15,72
0,314400
0,314400
18,31
2,615714
2,615714
24,75
3,535714
3,535714
55,36
7,908571
7,908571
70,00
10,000000
10,000000
P11: PROGRAM NATIONAL DE SANATATE MINTALA

SUBPROGRAMUL TRATAMENTUL TOXICODEPENDENTELOR
1 W60453003 N07BB04 NALTREXONUM
2 W51921003 N07BC02 METHADONUM
SINTALGON 2,5 mg
COMPR.
2,5mg
ZENTIVA S.A.
ROMANIA
METADON BIOEEL 20 mg
COMPR.
20mg
BIO EEL SRL
ROMANIA
METADON BIOEEL 20 mg
COMPR.
20mg
BIO EEL SRL
ROMANIA
METADON BIOEEL 5 mg
COMPR.
5mg
BIO EEL SRL
ROMANIA
METADON BIOEEL 5 mg
COMPR.
5mg
BIO EEL SRL
ROMANIA
7 W58160001 N07BC51 COMBINATII ( BUPRENORPHINUM + NALAXONE)
SUBOXONE 2mg/0,5mg
8 W58161001 N07BC51 COMBINATII ( BUPRENORPHINUM + NALAXONE)
SUBOXONE 8mg/2mg
RECKITT BENCKISER
COMPR. SUBLING. 2mg/0,5mg HEALTHCARE
INTERNATIONAL LTD.
RECKITT BENCKISER
COMPR. SUBLING. 8mg/2mg
HEALTHCARE
INTERNATIONAL LTD.

COMPR.
COMPR.
COMPR.
COMPR.
MAREA
BRITANIE
CUTIE X 7 COMPR. SUBLING. (

BLIST.NYLON/AL/PVC)
MAREA
BRITANIE
CUTIE X 7 COMPR. SUBLING. (

BLIST.NYLON/AL/PVC)
NOTA:
- Tratamentul cu medicamentele corespunztoare DCI-urilor notate cu(*) se iniiaza de medicul de specialitate in limita competenei i poate fi prescris n continuare de medicul de familie pe baza scrisorii medicale emise de medicul de specialitate;
- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (**) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MS;
- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (***) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MS si cu aprobarea comisiilor de la nivelul Caselor Judetene de Asigurari de Sanatate;
- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (****) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MS si cu aprobarea comisiilor de la nivelul Casei Nationale de Asigurari de Sanatate;
Medicamentul corespunzator DCI-ului notat cu (3) se livreaza impreuna cu solvent;
Medicamentele corespunzatoare DCI-urilor notate cu (4) se importa cu avizul Ministerului Sanatatii;
Medicamentele din aceast sublist se elibereaz att prin farmacii cu circuit nchis cti prin farmacii cu circuit deschis pe baz de prescripie medical cu reinere n farmacie (P-RF).
Pagina 87 din 87
PTS
PTS
PTS
PTS
PTS
PTS;
S
PTS;
S
ANEXA 1
SUBLISTA A - LISTA MEDICAMENTELOR CU NIVEL DE COMPENSARE 90% DIN PRETUL DE REFERINTA CONFORM
DENUMIRILOR COMUNE INTERNATIONALE (DCI) CORESPUNZATOARE MEDICAMENTELOR DE CARE BENEFICIAZA ASIGURATII, IN TRATAMENTUL AMBULATORIU CU CONTRIBUTIE PERSONALA DIN HG NR. 720/2008 CU COMPLETARILE SI
MODIFICARILE ULTERIOARE
VALABILA INCEPAND CU 1 APRILIE 2015
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
A02BA03
A02BA03
A02BA03
A02BA03
A02BA03
A02BA03
A02BA04
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
DCI
RANITIDINUM
RANITIDINUM
RANITIDINUM
RANITIDINUM
RANITIDINUM
RANITIDINUM
RANITIDINUM
RANITIDINUM
FAMOTIDINUM
FAMOTIDINUM
FAMOTIDINUM
FAMOTIDINUM
FAMOTIDINUM
FAMOTIDINUM
NIZATIDINUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
Denumire Comerciala
RANITIDIN ARENA 150mg

RANITIDINA 150 mg
RANITIDIN
ZANTAC 150 mg
RANITIDINA LPH 150 mg
RANITIDINA ATB 150 MG
RANITIDINA ATB 300 mg
ARNETIN
FAMODIN 20 mg
FAMOTIDINA ZENTIVA 20mg
QUAMATEL 20 mg
FAMOTIDINA ZENTIVA 40 mg
FAMODIN 40 mg
QUAMATEL 20 mg
forma farm.
COMPR.
COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
SOL. INJ.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
PULB+SOLV. PT. SOL. INJ./PERF.
NIZATIDIN VIM SPECTRUM 150 mg
CAPS.
OMEPRAZOL AUROBINDO 10 mg
CAPS. GASTROREZ.
ULTOP
OMEPRAZOL 20 mg
OMEPRAZOL LPH 20 mg
OMERAN 20
OMEPRAZOL 20 mg
CAPS. GASTROREZ.
OMEPRAZOL TERAPIA 20 mg
CAPS. GASTROREZ.
OMEPRAZOL ARENA 20 mg
OMEPRAZOL FARMEX 20 mg
NOVOGAST 20 mg
OMEPRAZOL LPH 20 mg
CAPS. GASTROREZ.
OMEPRAZOL ROMPHARM 20 mg
CAPS. GASTROREZ.
ORTANOL 20 mg
HELICID 20
HELICID 20
OMEZ 20mg
CAPS. GASTROREZ.
CAPS. GASTROREZ.
OMZATOL 20 mg
OMZATOL 20 mg
OMZATOL 20 mg
OMZATOL 20 mg
OMEPRAZOL ATB 20 mg
OMEPRAZOL ZENTIVA 20 mg
ORTANOL 40 mg
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
concentratie
150mg
150mg
150mg
150mg
150mg
150mg
300mg
25mg/ml
20mg
20mg
20mg
40mg
40mg
20mg
150mg
10mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
40mg
40mg
Detinator APP
tara det.
APP
Ambalaj
Prescriptie
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 CUTIE X 2 BLIST. AL/AL X 10 COMPR. FILM.
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.
ANTIBIOTICE SA
ANTIBIOTICE S.A.
ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM.
P-6L
MEDOCHEMIE LTD. CIPRU
P-RF
ROMANIA
ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
ZENTIVA S.A
ROMANIA
AC HELCOR PHARMA SRL ROMANIA
VIM SPECTRUM SRL ROMANIA

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
P-6L
CUTIE CU BLIST. PVC/PA/AL/PVC/HARTIE/AL X 14 CAPS. GASTROREZ.
P6L
AC HELCOR PHARMA SRL
ZENTIVA S.A
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
AUROBINDO PHARMA (MALTA) LIMITED
MALTA
KRKA D.D.
SLOVENIA CUTIE X 1 FLAC. PE X 14 CAPS. GASTROREZ.
P-6L
GEDEON RICHTER ROMANIA SA
P-6L
ROMPHARM COMPANY SRL
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
LEK PHARMACEUTICALS D.D.
SLOVENIA CUTIE CU 2 BLIST. AL/AL X 7 CAPS. GASTROREZ.
ZENTIVA K.S.
ZENTIVA K.S.
CEHIA
CEHIA
DR. REDDY'S LABORATORIES
ROMANIA
CUTIE X 3 FOLII AL/PE-PE/AL X 10 CAPS. GASTROREZ. P-6L
MALTA
CUTIE CU BLIST. PVC/PA/AL/PVC/HARTIE/AL X 28 CAPS. GASTROREZ.
P6L
ROMANIA CUTIE X 2 BLIST. PA-AL-PVC/AL X 7 CAPS. GASTROREZ.

ROMASTRU TRADING S.R.L. ROMANIA CUTIE X 4 BLIST. PA-AL-PVC/AL X 7 CAPS. GASTROREZ.
NEOLA PHARMA S.R.L. ROMANIA CUTIE X 4 BLIST. PA-AL-PVC/AL X 7 CAPS. GASTROREZ.
NEOLA PHARMA S.R.L. ROMANIA CUTIE X 2 BLIST. PA-AL-PVC/AL X 7 CAPS. GASTROREZ.
ANTIBIOTICE S.A.
ROMANIA CUTIE X 2 FOLII AL/PE X 10 CAPS. GASTR.
P-6L
LABORMED PHARMA SA
EUROPHARM SA
SLAVIA PHARM SRL
TERAPIA SA
ARENA GROUP S.A.
FARMEX COMPANY SRL
ANTIBIOTICE S.A.
LABORMED PHARMA SA
ROMASTRU TRADING S.R.L.
ZENTIVA K.S.
ZENTIVA, K.S.
Pagina 1 din 27
CEHIA
CUTIE X 2 BLIST. PVC-AL-PA/AL X 7 CAPS. GASTROREZ.
CUTIE X 2 BLIST. AL/PVC X 10 CAPS. GASTROREZ. P-6L
CUTIE X 4 BLIST. AL/AL X 7 CAPS. GASTROREZ. P-6L

CUTIE X 3 BLIST. PVC/AL X 10 CAPS. GASTROREZ. P-6L
CUTIE X 2 FOLII AL/PE X 10 CAPS. GASTR.
P-6L
CUTIE X 1 BLIST. PVC/AL X 10CAPS. GASTROREZ
P-6L
CUTIE X 3 BLIST. PVC/AL X 10 CAPS. GASTROREZ. P-6L

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

P-6L
P-6L
P-6L
P-6L
CUTIE CU 2 BLISTERE DIN OPA-AL-PED-PE-DESICANT-PED/AL A CATE 14 CAPSULE GASTROREZISTENTE P6L

SLOVENIA CUTIE X 1 BLIST. AL/AL X 7 CAPS. GASTROREZ. P-6L
MALTA CUTIE CU BLIST. PVC/PA/AL/PVC/HARTIE/AL X 14 CAPS. GASTROREZ. P6L
REPUBLICA CEHA
Pret
Val suportata
amanunt
de CNAS/UT
ul
(RON)Legea
Val suportata
cant/a maximal/ Pret amanuntul nr. 95/2006 art
CNAS/UT
mbala ambalaj maximal/UT 213 alin.1 lit. a)
(RON) pt.
j
(RON)
(RON)
si f)
Adulti
20
20
20
20
20
20
20
5
30
30
28
30
30
5
20
14
14
14
20
28
30
30
30
30
20
10
30
14
14
28
30
28
14
28
28
14
20
28
28
7
14
4,55
4,56
4,55
7,01
4,56
4,55
8,66
12,67
8,89
5,86
9,45
7,72
12,31
24,64
18,23
4,61
14,45
9,24
12,80
21,42
22,68
22,53
22,02
20,85
16,95
6,49
22,16
8,07
10,06
18,38
21,42
8,94
10,71
21,42
21,42
10,71
16,95
18,38
18,38
8,03
12,76
0,227500
0,228000
0,227500
0,350500
0,228000
0,227500
0,433000
2,534000
0,296333
0,195333
0,337500
0,257333
0,410333
4,928000
0,911500
0,329285
1,032142
0,660000
0,640000
0,765000
0,756000
0,751000
0,734000
0,695000
0,847500
0,649000
0,738666
0,576428
0,718571
0,656428
0,714000
0,319285
0,765000
0,765000
0,765000
0,765000
0,847500
0,656428
0,656428
1,147142
0,911428
0,194850
0,194850
0,194850
0,194850
0,194850
0,194850
0,389700
1,678945
0,194850
0,194850
0,194850
0,257333
0,389700
4,928000
0,194850
0,321300
0,642600
0,642600
0,640000
0,642600
0,642600
0,642600
0,642600
0,642600
0,642600
0,642600
0,642600
0,576428
0,642600
0,642600
0,642600
0,319285
0,642600
0,642600
0,667574
0,667574
0,642600
0,642600
0,656428
1,147142
0,911428
0,175365
0,175365
0,175365
0,175365
0,175365
0,175365
0,350730
1,511050
0,175365
0,175365
0,175365
0,231599
0,350730
4,435200
0,175365
0,289170
0,578340
0,578340
0,576000
0,578340
0,578340
0,578340
0,578340
0,578340
0,578340
0,578340
0,578340
0,518785
0,578340
0,578340
0,578340
0,287356
0,578340
0,578340
0,600816
0,600816
0,578340
0,578340
0,590785
1,032427
0,820285
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
cod ATC
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC03
A02BC03
A02BC03
A02BC03
A03AA04
A03AA04
A03AA04
A03AA05
A03AA05
A03AA05
A03AA05
A03AA05
A03AA05
A03AA05
A03AD01
A03AD01
A03FA01
A03FA01
A03FA01
A03FA01
A03FA01
A03FA03
A03FA03
A05AA02
A05AA02
A05AA02
A05AA02
A05AA02
A05AA02
A05AA02
A05AA02
A05AA02
A06AD11
A06AD11
A06AD11
A06AD11
A06AD11
A06AD11
A07AA02
A07EC01
A07EC01
A07EC02
A07EC02
A07EC02
DCI
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
LANSOPRAZOLUM
LANSOPRAZOLUM
LANSOPRAZOLUM
LANSOPRAZOLUM
MEBEVERINUM
MEBEVERINUM
MEBEVERINUM
TRIMEBUTINUM
TRIMEBUTINUM
TRIMEBUTINUM
TRIMEBUTINUM
TRIMEBUTINUM
TRIMEBUTINUM
TRIMEBUTINUM
Denumire Comerciala
LOSEC MUPS 10 mg
OMEDAR 20 mg
LOSEC MUPS 20 mg
forma farm.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
ACIDUM URSODEOXYCHOLICUM*
LACTULOSUM
LACTULOSUM
LACTULOSUM
LACTULOSUM
LACTULOSUM
LACTULOSUM
NYSTATINUM
SULFASALAZINUM
SULFASALAZINUM
MESALAZINUM**
MESALAZINUM**
MESALAZINUM**
10mg
20mg
20mg
40mg
HELICID 40 INF
LEVANT 15 mg
LANZUL
LEVANT 30 mg
LANZAP 30mg
DUSPATALIN 200 mg
DUSPATALIN 200 mg
COLOSPASMIN
TRIMEBUTIN 100
COLPERIN 100 mg
DEBRIDAT 100 mg
DEBRIDAT 200 mg
IBUTIN (R) 300 mg
DEBRIDAT
DEBRIDAT
PULB. PT. SOL. PERF. FARA CONCENTRATIE
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. ELIB. PREL.

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

PAPAVERINI HYDROCHLORIDUM PAPAVERINA ARENA 100 mg COMPR.

PAPAVERINI HYDROCHLORIDUM PAPAVERINA FARMACOM 200 mg COMPR.
METOCLOPRAMIDUM
METOCLOPRAMIDUM
METOCLOPRAMIDUM
METOCLOPRAMIDUM
METOCLOPRAMIDUM
DOMPERIDONUM
DOMPERIDONUM
concentratie
METOCLOPRAMID
METOCLOPRAMID 10 mg
COMPR.
COMPR.
METOCLOPRAMID ARENA 10 mg COMPR.
METOCLOPRAMID BIOFARM 1mg/5ml SIROP
METOCLOPRAMID 10 mg
SOL. INJ.
MOTILIUM 10 mg
COMPR. FILM.
OROPERIDYS 10 mg
COMPR. ORODISPERSABILE
URSOFALK (R)
CAPS.
URSOFALK (R)
CAPS.
URSOSAN
CAPS.
URSOROM 250 mg
CAPS.
URSOCHOL 150 mg
COMPR.
URSOCHOL 300 mg
COMPR.
URSOFALK 500 mg
COMPR. FILM.
URSOFALK 500 mg
COMPR. FILM.
SUSP. ORALA
DUPHALAC (R)
LICHID ORAL
LACTULOSE
SIROP
LACTULOSE
SIROP
LACTULOSE-MIP 650 mg/ml SIROP
LACTULOSE-MIP 650 mg/ml SIROP
LACTULAK 660 mg/ml
SOL. ORALA
NISTATINA
COMPR. FILM.
SULFASALAZIN EN
COMPR. FILM. GASTROREZ.
SALAZIDIN GR 500 mg
COMPR. GASTROREZ.
PENTASA 1 g
PENTASA 500mg
COMPR. ELIB. PREL.
SALOFALK 250 mg COMPRIMATE GASTROREZISTENTE
COMPR. GASTROREZ.
15mg
30mg
30mg
30mg
200mg
200mg
100mg
100mg
100mg
100mg
200mg
300mg
24mg/5ml
24mg/5ml
100mg
200 mg
10mg
10mg
10mg
1mg/5ml
5mg/ml
10mg
10mg
250mg
250mg
250mg
250mg
150mg
300mg
500mg
500mg
250mg/5ml
66,7%
65%
65%
650mg/ml
650mg/ml
660 mg/ml
500.000ui
500mg
500mg
1g
500mg
250mg
Detinator APP
tara det.
APP
Ambalaj
Prescriptie
ASTRAZENECA AB
SUEDIA
CUTIE CU 1 FLAC. PEID X 14 COMPR. GASTROREZ.
P6L
DAR AL DAWA PHARMA S.R.L.
ROMANIA
CUTIE X 1 FLAC. DE STICLA BRUNA X 28 COMPR. FILM. GASTROREZ.
P-6L
ASTRAZENECA AB
ZENTIVA K.S.
ZENTIVA K.S.
RANBAXY UK LTD.
SUEDIA
CEHIA
CEHIA
CUTIE CU 1 FLAC. PEID X 7 COMPR. GASTROREZ. P6L
MAREA BRITANIE
CUTIE X 2 BLIST. PVC-AL-PO/AL-PE X 7 CAPS. GASTROREZ. P-6L
CUTIE X 1 FLAC. DIN STICLA CU LIOF. PT. SOL. PERF.
S/P-RF
CUTIE X 1 FLAC. DIN STICLA CU PULB. PT. SOL. PERF.
S/P-RF
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 7 CAPS. GASTROREZ. P-6L
RANBAXY UK LTD.
MAREA BRITANIE
CUTIE X 2 BLIST. PVC-AL-PO/AL-PE X 7 CAPS. GASTROREZ. P-6L
ROMANIA
CUTIE X 2 BLIST. PVC-PVDC/AL X 10 CAPS. GASTROREZ. P-6L
OLANDA CUTIE X 3 BLIST. X 10 CAPS. ELIB. PREL.

ABBOTT HEALTHCARE PRODUCTS B.V.
OLANDA CUTIE X 2 BLIST. X 15 CAPS. ELIB. PREL.
E.I.P.I.CO. MED SRL ROMANIA CUTIE X 2 BLIST., AL/PVC X 10 DRAJ.
MAGISTRA C & C
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR.
MAREA BRITANIE
MAREA BRITANIE
P-6L
P-6L
P-6L
P-6L
P-6L
CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM. P-6L

CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. FILM. P6L
ZENTIVA SA
ROMANIA
CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ELIB. PREL.
P-6L
MAREA BRITANIE
CUTIE X 1 FLAC. DIN STICLA BRUNA X 152,5 G GRANULE PT. 250ML SUSP. + MASURA DOZATOARE
P-6L
MAREA BRITANIE
CUTIE X 1 FLAC. DIN STICLA BRUNA X 76,25 G GRANULE PT. 125ML SUSP. + MASURA DOZATOARE
P-6L
ARENA GROUP SA
FARMACOM S.A.
SLAVIA PHARM SRL
TERAPIA SA
ARENA GROUP S.A.
BIOFARM S.A.
TERAPIA SA
TERAPIA SA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L

CUTIE CU 2 BLIST. PVC/AL X 10 COMPR. P6L
PIERRE FABRE MEDICAMENT PRODUCTION
FRANTA
CUTIE CU 4 BLIST. PVC/AL A CATE 10 COMPR. P6L

CUTIE X 1 FLAC. DIN STICLA X 100 ML SIROP + MASURA DOZATOARE
P-RF
CUTIE X 5 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 2 ML P-RF
P-6L
CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. ORODISP.
P6L

P6L
P-6L
CEHIA
P-6L
ROMANIA CUTIE CU 4 BLIST. PVC/AL X 15 CAPS. P6L
ITALIA
ITALIA

DR. FALK PHARMA GMBH
PRO. MED. CS PRAHA AS
ROMPHARM COMPANY S.R.L.
ZAMBON S.P.A.
ZAMBON S.P.A.
DR. FALK PHARMA GMBH GERMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 25 COMPR.FILM. P6L
OLANDA
CUTIE CU 1 FLAC. DIN STICLA BRUNA X 250 ML SUSP. ORALA+1LINGURITA DOZATOARE DIN PP
FLACON DIN PEID PREVAZUT CU MASURA DOZATOARE X 200 ML
P6L
P6L
E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON X 300 ML

P-6L
MIP PHARMA GMBH GERMANIA

CUTIE X 1 FLAC. PET DE CULOARE BRUNA X 500 ML SIROP + 1 MASURA DOZATOARE DIN PP
P-6L
P-6L
ANTIBIOTICE SA
ROMANIA CUTIE X 1 FLAC. PEID X 200 ML SOL. ORALA SI O LINGURITA DOZATOARE

ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM.
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ.
P-6L
P-6L
P-RF
P-6L
AC HELCOR PHARMA S.R.L.
ROMANIA
FERRING GMBH
FERRING GMBH
GERMANIA CUTIE CU 6 BLIST. AL/AL X 10 COMPR. CU ELIB. PREL. P6L
CUTIE CU 5 BLIST. PVC/AL X 10 COMPR. GASTROREZ.
P6L
GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. ELIB. PREL. P-6L
DR. FALK PHARMA GMBH GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. GASTROREZ. P-6L
Pagina 2 din 27
Pret
Val suportata
amanunt
de CNAS/UT
ul
(RON)Legea
Val suportata
CNAS/UT
(RON) pt.
j
(RON)
(RON)
si f)
Adulti
14
28
7
1
1
14
14
14
20
30
30
20
30
30
30
30
20
1
1
20
20
40
40
40
1
5
10
30
100
50
50
60
60
20
50
100
1
1
1
1
1
1
1
20
50
50
60
100
100
33,19
14,45
24,96
16,22
16,22
6,56
13,13
11,36
16,66
25,07
25,07
9,03
11,12
11,12
17,13
33,61
36,01
12,05
10,05
4,42
8,54
4,01
5,67
4,01
8,69
13,22
12,31
25,07
124,28
71,49
68,77
55,47
54,19
35,88
136,52
268,17
97,49
10,37
10,42
3,47
17,23
33,34
6,73
9,24
28,24
28,20
197,11
143,02
67,24
2,370714
0,516071
3,565714
16,220000
16,220000
0,468571
0,937857
0,811428
0,833000
0,835666
0,835666
0,451500
0,370666
0,370666
0,571000
1,120333
1,800500
12,050000
10,050000
0,221000
0,427000
0,100250
0,141750
0,100250
8,690000
2,644000
1,231000
0,835666
1,242800
1,429800
1,375400
0,924500
0,903166
1,794000
2,730400
2,681700
97,490000
10,370000
10,420000
3,470000
17,230000
33,340000
6,730000
0,462000
0,564800
0,564000
3,285166
1,430200
0,672400
0,321300
0,516071
0,642600
16,220000
16,220000
0,321300
0,642600
0,642600
0,642600
0,835666
0,835666
0,417833
0,370665
0,370665
0,370665
0,741334
1,112002
12,050000
6,328125
0,193837
0,387675
0,090225
0,090225
0,090225
8,690000
2,644000
0,090225
0,090225
1,242800
1,340850
1,340850
0,924500
0,804510
1,609021
2,681700
2,681700
67,042564
6,899858
10,085999
3,361999
16,809999
33,340000
6,730000
0,461999
0,564800
0,564000
1,611998
0,805999
0,402998
0,289170
0,464463
0,578340
14,598000
14,598000
0,289170
0,578340
0,578340
0,578340
0,752099
0,752099
0,376049
0,333598
0,333598
0,333598
0,667200
1,000801
10,845000
5,695312
0,174453
0,348907
0,081202
0,081202
0,081202
7,821000
2,379600
0,081202
0,081202
1,118520
1,206765
1,206765
0,832050
0,724059
1,448118
2,413530
2,413530
60,338307
6,209872
9,077399
3,025799
15,128999
30,006000
6,057000
0,415799
0,508320
0,507600
1,450798
0,725399
0,362698
Nr crt.
91
92
93
94
95
96
97
98
99
cod ATC
DCI
110 B03AA07
MESALAZINUM**
MESALAZINUM**
MESALAZINUM**
MESALAZINUM**
MESALAZINUM**
MESALAZINUM**
MESALAZINUM**
MESALAZINUM**
MESALAZINUM**
MESALAZINUM**
MESALAZINUM**
MESALAZINUM**
MESALAZINUM**
ACENOCUMAROLUM
ACENOCUMAROLUM
TICLOPIDINUM1)
TICLOPIDINUM1)
PHYTOMENADIONUM
FERROSI SULFAS
FERROSI SULFAS
111 B03AB05
COMPLEX DE HIDROXID DE FER (III) POLIMALTOZAT
112 B03AB05
113 B03AB05
114 B03AB05
115 B03AB05
116 B03AB05
117 B03AEN1
COMBINATII (FERROSI SULFAS+ACIDUM ASCORBICUM)
118 B03BB01
ACIDUM FOLICUM
DIGOXINUM
DIGOXINUM
DIGOXINUM
CHINIDINI SULFAS
CHINIDINI SULFAS
CHINIDINI SULFAS
CHINIDINI SULFAS
PROPAFENONUM
PROPAFENONUM
PROPAFENONUM
PROPAFENONUM
PROPAFENONUM
PROPAFENONUM
PROPAFENONUM
PROPAFENONUM
PROPAFENONUM
AMIODARONUM
AMIODARONUM
AMIODARONUM
NITROGLYCERINUM
NITROGLYCERINUM
A07EC02
A07EC02
A07EC02
A07EC02
A07EC02
A07EC02
A07EC02
A07EC02
A07EC02
100 A07EC02
101 A07EC02
102 A07EC02
103 A07EC02
104 B01AA07
105 B01AA07
106 B01AC05
107 B01AC05
108 B02BA01
109 B03AA07
119 C01AA05
120 C01AA05
121 C01AA05
122 C01BA01
123 C01BA01
124 C01BA01
125 C01BA01
126 C01BC03
127 C01BC03
128 C01BC03
129 C01BC03
130 C01BC03
131 C01BC03
132 C01BC03
133 C01BC03
134 C01BC03
135 C01BD01
136 C01BD01
137 C01BD01
138 C01DA02
139 C01DA02
Denumire Comerciala
forma farm.
concentratie
500mg
SALOFALK 500 mg COMPRIMATE GASTROREZISTENTE COMPR. GASTROREZ. 500mg
MESALAZINA DUO 400 mg COMPR. GASTROREZISTENTE 400mg
MESALAZINA SOFARFARM 400 mg COMPR. GASTROREZISTENTE 400mg
PENTASA 1000mg
SUPOZ.
1000mg
SALOFALK 1 g
SUPOZ.
1g
SALOFALK (R) 250 mg
SUPOZ.
250mg
SALOFALK (R) 500 mg
SUPOZ.
500mg
SALOFALK 4 g/ 60 ml
SUSP. RECTALA 4g/60ml
TROMBOSTOP 2 mg
COMPR.
2mg
SINTROM 4 mg
COMPR.
4mg
TICLODIN
COMPR. FILM. 250mg
IPATON
COMPR. FILM. 250mg
FITOMENADION 10 mg/ml
SOL. INJ.
10mg/ml
FERROGRADUMET (R)
COMPR. ELIB. PREL. 105mg
TARDYFERON 80 mg
DRAJ. ELIB. PREL. 80mg
MALTOFER
COMPR. MAST. 100mg
FER ROMPHARM 50 mg/ml PIC. ORALE, SOL. 50mg/ml
FERGLUROM FORTE 50 mg/ml PICATURI ORALE, SOL. 50mg/ml
FERRUM HAUSMANN (R)
PICATURI ORALE-SOL. 50mg/ml
FERRUM HAUSMANN (R)
SIROP
10mg/ml
FERGLUROM 50mg/5ml
SIROP
50mg/5ml
SORBIFER DURULES
COMPR. FILM. 100mg+60mg
ACIFOL 5 mg
COMPR. FILM. 5mg
DIGOXIN ZENTIVA 0,25 mg COMPR.
0,25mg
DIGOXIN 0,5 mg/2 ml
SOL. INJ.
0,5mg/2ml
DIGOXIN ZENTIVA 0,5 mg/2ml SOL. INJ.
0,5mg/2ml
CHINIDINA ARENA 200 mg COMPR.
200mg
200mg
200mg
200mg
PROPAFENONA ARENA 150 mg COMPR.
150mg
PROPAFENONA ARENA 150 mg COMPR.
150mg
RYTMONORM (R)
COMPR. FILM. 150mg
PROPAFENON AL 150
COMPR. FILM. 150mg
PROPAFENON AL 150
COMPR. FILM. 150mg
PROPAFENON AL 150
COMPR. FILM. 150mg
PROPAFENON SANDOZ 150 mg COMPR. FILM. 150mg
PROPANORM 300 mg
COMPR. FILM. 300mg
RYTMONORM
SOL. INJ.
70mg/20ml
AMIODARONA LPH 200 mg COMPR.
200mg
AMIODARONA ARENA 200 MG COMPR.
200mg
CORDARONE 200 mg
COMPR. DIVIZ. 200mg
NITROMINT 2,6 mg
COMPR. ELIB. PREL. 2,6mg
NITROGLICERINA 0,5 mg
COMPR. SUBLING. 0,5mg
SALOFALK 500 mg COMPRIMATE GASTROREZISTENTE
COMPR. GASTROREZ.
Detinator APP
tara det.
APP
Ambalaj
Prescriptie
DR. FALK PHARMA GMBH GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. GASTROREZ. P-6L
DR. FALK PHARMA GMBH GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. GASTROREZ.
ROMANIA
CUTIE CU 4 BLIST. PVC/AL X 15 COMPR. GASTROREZISTENTE
SOFARFARM S.R.L. ROMANIA
DUO FARMACEUTICI S.R.L.
ROMANIA
ROMANIA
FERRING GMBH
GERMANIA
P6L
P6L
P6L
P6L
P6L
P6L
CUTIE X 4 BLIST. AL X 7 SUPOZ. + CUTIE PLASTIC X 28 CAUCIURI DE PROTECTIE A DEGETULUI
P-6L
DR. FALK PHARMA GMBH GERMANIA CUTIE CU FOLII TERMOSUDATE PVC/PE X 30 SUPOZ.
CUTIE X 2 FOLII PVC/PE X 5 SUPOZ.

GERMANIA CUTIE X 2 FOLII PVC/PE X 5 SUPOZ.

DR. FALK PHARMA GMBH
TERAPIA SA
NOVARTIS PHARMA GMBH
AC HELCOR SRL
EGIS PHARMACEUTICALS P.L.C.
BIOFARM S.A.
VIFOR FRANCE S.A.
VIFOR FRANCE S.A.
BIOFARM S.A.
CUTIE X 7 BLIST. AL/PE CONTINAND FIECARE CATE 1 FLACON UNIDOZA X 60 ML SUSPENSIE RECTALA + APLICA
P6L
P-6L
P-6L
P-6L
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF

GERMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. P-RF
P-RF
UNGARIA CUTIE X 2 BLIST. AL/ PVC X 10 COMPR.FILM. P-RF
ROMANIA CUTIE X 5 FIOLE PREVAZUTE CU PUNCT DE RUPERE X 1 ML S/P-RF
TERAPIA SA
TEOFARMA SRL
ITALIA
LAB. PIERRE FABRE FRANTA
VIFOR FRANCE S.A. FRANTA
P-6L
ROMANIA
ROMANIA
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. ELIB. PREL. P-6L

CUTIE X 3 BLIST. AL/PVDC-PE-PVC X 10 DRAJ. ELIB. PREL.
CUTIE CU 1 FLAC. PEID + APLICATOR PT. PICURARE DIN PEJD X 30 ML PIC. ORALE, SOL.
P6L
CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 ML PICATURI ORALE, SOLUTIE
P-6L
FRANTA CUTIE X 1 FLACON CU PICURATOR X 30 ML

FRANTA CUTIE X 1 FLACON X 150 ML + O MASURA DOZATOARE
ROMANIA
EGIS PHARMACEUTICALS P.L.C. UNGARIA
ZENTIVA S.A.
ROMANIA
ZENTIVA S.A.
ROMANIA
ZENTIVA S.A.
ROMANIA
ZENTIVA S.A.
ROMANIA
ARENA GROUP SA ROMANIA
ARENA GROUP S.A. ROMANIA
P-6L
CUTIE X 3 BLIST. AL/PA-AL-PVC X 10 COMPR. MASTIC. P-6L
P-6L
P-6L
CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 ML SIROP + MASURA DOZATOARE GRADATA DE LA 2,5 - 20 ML
P-6L
P-6L
CUTIE X 1 FLAC. DIN PEID X 30 COMPR. FILM.
P-6L
P-RF
CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 2 ML SOL. INJ.
S/P-RF
CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE SAU CU PUNCT DE RUPERE SAU CU INEL DE RUPERE SI DOUA INELE (ROSU SI PORTOCALIU)X 2 ML SOL. INJ.
S/P-RF

P-RF
ABBOTT GMBH&CO.KG GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM.
P-RF
PRF
PRF
PRF
P-RF
P-RF
ALIUD PHARMA GMBH & CO.KG

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

GERMANIA
PRO. MED. CS PRAHA CEHIA

ABBOTT GMBH&CO.KG GERMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 20 ML SOL. INJ.
LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
FRANTA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. DIVIZ.

UNGARIA CUTIE X 1 FLAC. X 60 COMPR. ELIB. PREL.
ZENTIVA SA
ROMANIA
SANOFI-AVENTIS FRANCE
Pagina 3 din 27
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-6L
CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. SUBLINGUALE P-6L
Pret
Val suportata
amanunt
de CNAS/UT
ul
(RON)Legea
Val suportata
CNAS/UT
(RON) pt.
j
(RON)
(RON)
si f)
Adulti
100
50
60
60
60
90
60
90
28
30
10
10
7
30
20
20
20
5
30
30
30
1
1
1
1
1
50
30
25
5
5
20
20
30
50
20
100
50
50
20
100
50
50
5
30
30
30
60
20
120,94
73,85
46,88
46,88
89,05
128,96
89,05
128,96
173,80
223,62
21,74
36,00
169,61
6,53
6,76
35,53
33,37
16,10
8,58
12,08
21,49
8,78
8,81
13,53
15,39
10,06
14,85
7,40
3,34
7,97
7,97
12,37
13,25
19,26
30,82
8,03
36,25
32,02
18,71
7,49
34,95
18,09
40,30
36,79
9,01
7,33
13,87
11,42
3,87
1,209400
1,477000
0,781333
0,781333
1,484166
1,432888
1,484166
1,432888
6,207142
7,454000
2,174000
3,600000
24,230000
0,217666
0,338000
1,776500
1,668500
3,220000
0,286000
0,402666
0,716333
8,780000
8,810000
13,530000
15,390000
10,060000
0,297000
0,246666
0,133600
1,594000
1,594000
0,618500
0,662500
0,642000
0,616400
0,401500
0,362500
0,640400
0,374200
0,374500
0,349500
0,361800
0,806000
7,358000
0,300333
0,244333
0,462333
0,190333
0,193500
0,805999
0,805999
0,644798
0,644798
1,289599
1,289599
1,289599
1,289599
6,207142
6,207142
1,551780
3,103571
24,230000
0,181166
0,338000
0,602517
0,602517
3,220000
0,286000
0,232091
0,644699
8,780000
8,809999
8,809999
8,809999
5,873333
0,297000
0,246666
0,133600
1,594000
1,594000
0,617975
0,617975
0,617975
0,616400
0,362325
0,362325
0,362325
0,362325
0,362325
0,349500
0,361800
0,724650
7,358000
0,272333
0,244333
0,272333
0,150805
0,102412
0,725399
0,725399
0,580318
0,580318
1,160639
1,160639
1,160639
1,160639
5,586427
5,586427
1,396602
2,793213
21,807000
0,163049
0,304200
0,542265
0,542265
2,898000
0,257400
0,208881
0,580229
7,902000
7,928999
7,928999
7,928999
5,285999
0,267300
0,221999
0,120240
1,434600
1,434600
0,556177
0,556177
0,556177
0,554760
0,326092
0,326092
0,326092
0,326092
0,326092
0,314550
0,325620
0,652185
6,622200
0,245099
0,219899
0,245099
0,135724
0,092170
Nr crt.
cod ATC
140 C01DA02
141 C01DA02
142 C01DA08
143 C01DA08
144 C01DA14
145 C01DA14
146 C01DA14
147 C01DA14
148 C01EA01
149 C01EA01
150 C01EB15
151 C01EB15
152 C01EB15
153 C01EB15
154 C01EB15
155 C01EB15
156 C01EB15
157 C01EB15
158 C01EB15
159 C01EB15
160 C01EB15
161 C01EB15
162 C01EB15
163 C02AB01
164 C02AC01
165 C02AC01
166 C02AC01
167 C03AA03
168 C03BA11
169 C03BA11
170 C03BA11
171 C03BA11
172 C03BA11
173 C03BA11
174 C03BA11
175 C03BA11
176 C03BA11
177 C03BA11
178 C03BA11
179 C03BA11
180 C03BA11
181 C03BA11
182 C03BA11
183 C03BA11
184 C03BA11
185 C03BA11
186 C03BA11
187 C03BA11
188 C03CA01
DCI
NITROGLYCERINUM
NITROGLYCERINUM
ISOSORBIDI DINITRAS
ISOSORBIDI DINITRAS
ISOSORBIDI MONONITRAS
ALPROSTADILUM***
ALPROSTADILUM***
TRIMETAZIDINUM
TRIMETAZIDINUM
TRIMETAZIDINUM
TRIMETAZIDINUM
TRIMETAZIDINUM
TRIMETAZIDINUM
TRIMETAZIDINUM
TRIMETAZIDINUM
TRIMETAZIDINUM
TRIMETAZIDINUM
TRIMETAZIDINUM
TRIMETAZIDINUM
TRIMETAZIDINUM
METHYLDOPUM
CLONIDINUM
CLONIDINUM
CLONIDINUM
HYDROCHLOROTHIAZIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
FUROSEMIDUM
Denumire Comerciala
NITRODERM (R) TTS 5

NITROMINT
forma farm.
SIST. TERAP. TRANSDERM.
SPRAY SUBLINGUAL
ISOSORBIDE DINITRATE 10 mg COMPR.
ISODINIT(R) RETARD
OLICARD 40 mg RETARD
MONO ROM SR 40 mg
MONO ROM SR 60 mg
MONONITRON (R) EP 60 mg
PRIDAX 20mcg
VASAPROSTAN 20
COMPR. ELIB. PREL.
CAPS. ELIB. PREL.

CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
LIOF. PT. SOL. PERF.
CAPS.
TRIMETAZIDINA ATB 35 mg COMPR. CU ELIB. PREL.
APSTAR 35 mg
COMPR. ELIB. PREL.
TRIMELUZINE 35 mg
COMPR. ELIB. PREL.
MODUXIN MR 35 mg
COMPR. ELIB. PREL.
TRIMETAZIDINA TEVA 35 mg COMPR. ELIB. PREL.
MODUXIN (R) 20 mg
COMPR. FILM.
TRIMETAZIDIN VIM SPECTRUM 20 mg
TRIMETAZIDINA LPH (R) 20 mg COMPR. FILM.

PREDUCTAL 20 mg
COMPR. FILM.
DILATAN 20 mg
COMPR. FILM.
PREDUCTAL MR 35 mg
COMPR. FILM. ELIB. MODIF.
TRIMETAZIDINA LPH (R) 35 mg
PREDUTRIM 20 mg/ml
DOPEGYT
PIC. ORALE, SOL.
INDAPAMIDA SOPHARMA 1,5 mg
COMPR.
CLONIDINA SINTOFARM 0,15 mg COMPR.
CLONIDINA ARENA 0,15 mg COMPR.
CLONIDINA ARENA 0,15 mg COMPR.
NEFRIX 25 mg
COMPR.
SERDIMID 1,5 mg
SERDIMID 2,5 mg
INDAPAMIDA TERAPIA 1,5 mg
INDAPAMIDA TERAPIA 2,5mg

INDAPAMIDA MYLAN 1,5 mg

TERTENSIF SR 1,5 mg
INDAPAMID MCC 1,5 mg
IDUREN SR 1,5 mg
DIUREMID SR 1,5 mg
INDAPAMIDA TEVA 1,5 mg
COMPR. ELIB. PREL.
INDAPAMIDA SR TORRENT 1,5 mg
COMPR. ELIB. PREL.
INDAPAGAMMA 1,5 mg
INDAPAMID LPH (R) 2,5 mg
COMPR. ELIB. PREL.
INDAPAMID SR 1,5 mg LAROPHARM
INDAPAMID LPH (R) 1,5 mg

RAWEL SR 1,5 mg
IMPAMID SR 1,5 mg
INDAPAMIDA ACTAVIS 1,5 mg
REDITENS SR 1.5 mg
FUROSEMID MCC 40 mg
COMPR. ELIB. PREL.

COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. FILM.
COMPR.
concentratie
25mg
0,4mg/doza
10mg
20mg
40mg
40mg
60mg
60mg
20mcg
20g
20mg
35mg
35mg
35mg
35mg
35mg
20mg
20mg
20mg
20mg
35mg
35mg
20mg/ml
250mg
0,15mg
0,15mg
0,15mg
25mg
1,5mg
1,5mg
2,5mg
1,5mg
2,5mg
1,5 mg
1,5mg
1,5mg
1,5mg
1,5mg
1,5mg
1,5mg
1,5mg
2,5mg
1,5 mg
1,5mg
1,5mg
1,5mg
1,5mg
1,5mg
40mg
Detinator APP
tara det.
APP
Ambalaj
Prescriptie
NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 PLICURI X 1 SIST. TERAPEUTIC TRANSDERMIC
P-6L
UNGARIA CUTIE X 1 FLACON X 10G (180 DOZE) SPRAY SUBLINGUAL

E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 3, BLIST. AL/PVC X 20 COMPR.
P-6L
PHARMAKI GENERICS LIMITED
MAREA BRITANIE
P-6L
CUTIE X 6 BLIST. X 10 COMPR. ELIB. PREL. P-6L
ABBOTT PRODUCTS GMBH GERMANIA CUTIE X 2 BLIST. PVC/AL X 10 CAPS. ELIB. PREL. P-6L
ZENTIVA S.A
ROMANIA CUTIE CU 2 BLIST. PVC/PVDC/AL X 10 CAPS. ELIB. PREL. P6L

ROMANIA CUTIE CU 2 BLIST. PVC/PVDC/AL X 10 CAPS. ELIB. PREL. P6L
ROMANIA CUTIE X 4 BLIST. X 10 COMPR. FILM. ELIB. PREL. P-6L
GEBRO PHARMA GMBH AUSTRIA CUTIE X 5 FLAC. X 1 ML CONC. PT. SOL. PERF S/P-RF
UCB PHARMA GMBH GERMANIA CUTIE X 10 FIOLE X 5 ML LIOF. PT. SOL. PERF. PRF
VIM SPECTRUM SRL ROMANIA CUTIE X 3 BLIST. AL/PVC-COC-PVDC X 10 CAPS. P-6L
ANTIBIOTICE S.A.
ROMANIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. CU ELIB. PREL. P6L
GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. PVC-ACLAR/AL X 60 COMPR. ELIB. PREL.
P6L
SANDOZ S.R.L.
ROMANIA CUTIE CU BLIST. PVC-ACLAR/AL X 60 COMPR. ELIB. PREL. P6L
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU BLIST. AL/PVC X 30 COMPR. CU ELIB. PRELUNG. P6L
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. ELIB. PREL. P6L
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM. P-6L
LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 20 COMPR. FILM. P-6L
LES LABORATOIRES SERVIER FRANTA CUTIE CU 2 BLIST. PVC/AL X 30 COMPR. FILM. P-6L
TERAPIA SA
ROMANIA
CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.
P-6L
LES LAB. SERVIER IND. FRANTA

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 CU 1 FLAC. PEID + APLICATOR PT. PICURARE DIN PEJD X 50 ML PIC. ORALE
P6L
ROMANIA
SINTOFARM SA
ROMANIA
ZENTIVA SA
ROMANIA
SLAVIA PHARM S.R.L. ROMANIA

P-6L
P-6L
CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. CU ELIB. PREL. P6L

BULGARIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P6L
SLAVIA PHARM S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC/AL X 15 COMPR. CU ELIB. PREL. P6L
SOPHARMA PLC
TERAPIA SA
TERAPIA SA
MYLAN S.A.S.
LES LAB. SERVIER
MAGISTRA C&C SRL
VIM SPECTRUM SRL
ROMANIA
ROMANIA
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. CU ELIB. PREL. P-6L
FRANTA
FRANTA
CUTIE CU BLIST DIN PVC/AL X 30 COMPR. ELIB. PREL. P-6L
WORWAG PHARMA GMBH & CO. KG
GERMANIA CUTIE CU BLIST. PVC/AL X 30 COMPR. ELIB. PREL. P6L
CUTIE X 3 BLIST. AL/PVC X 10COMPR. CU ELIB. PREL.
P-6L
CUTIE X 2 BLIST. AL/PVC X 15 COMPR. ELIB. PREL. P-6L
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. ELIB. PREL. P-6L

ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. ELIB. PREL. P-6L
GLENMARK PHARMACEUTICALS SRL ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. CU ELIB. PREL. P-6L
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. ELIB. PREL. P-6L
TORRENT PHARMA S.R.L. ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P6L
LAROPHARM SRL
ROMANIA
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL.
P-6L
LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-6L
P-6L
ROMANIA
P-6L
ACTAVIS GROUP PTC EHF.
ISLANDA
CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. CU ELIB. PRELUNGITA
P-6L
ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. FILM. ELIB. PREL.

MAGISTRA C&C S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
Pagina 4 din 27
P-6L
P-6L
Pret
Val suportata
amanunt
de CNAS/UT
ul
(RON)Legea
Val suportata
CNAS/UT
(RON) pt.
j
(RON)
(RON)
si f)
Adulti
10 18,47
1 12,56
60
2,14
60
3,94
20 12,02
20 11,86
20 18,49
40 36,41
5 328,95
10 521,11
30
7,61
30 16,72
60 33,41
60 26,64
30 16,56
60 23,56
30
7,61
60 15,24
60 23,44
30
7,61
60 49,74
60 33,39
1 12,33
50 26,73
50 12,00
50 12,34
50 12,33
25
4,18
30 13,68
30
9,32
30 15,07
30 13,30
30 14,90
30 12,60
30 21,05
30 13,68
30 10,66
30 13,68
30 13,31
30 13,68
30 12,62
30 15,07
20
9,11
30 13,68
30 11,71
30 13,16
30 13,68
30 13,68
20
3,02
1,847000
12,560000
0,035666
0,065666
0,601000
0,593000
0,924500
0,910250
65,790000
52,111000
0,253666
0,557333
0,556833
0,444000
0,552000
0,392666
0,253666
0,254000
0,390666
0,253666
0,829000
0,556500
12,330000
0,534600
0,240000
0,246800
0,246600
0,167200
0,456000
0,310666
0,502333
0,443333
0,496666
0,420000
0,701666
0,456000
0,355333
0,456000
0,443666
0,456000
0,420666
0,502333
0,455500
0,456000
0,390333
0,438666
0,456000
0,456000
0,151000
1,847000
12,560000
0,035666
0,065666
0,290010
0,290010
0,435016
0,435016
55,530750
52,111000
0,253666
0,443915
0,443915
0,443915
0,443915
0,392666
0,253666
0,253666
0,253666
0,253666
0,443915
0,443915
12,330000
0,534600
0,216642
0,216642
0,216642
0,167200
0,343424
0,310666
0,502333
0,343424
0,496666
0,343424
0,343424
0,343424
0,343424
0,343424
0,343424
0,343424
0,343424
0,502333
0,343424
0,343424
0,343424
0,343424
0,343424
0,343424
0,151000
1,662300
11,304000
0,032099
0,059099
0,261009
0,261009
0,391514
0,391514
49,977675
46,899900
0,228299
0,399523
0,399523
0,399523
0,399523
0,353399
0,228299
0,228299
0,228299
0,228299
0,399523
0,399523
11,097000
0,481140
0,194977
0,194977
0,194977
0,150480
0,309081
0,279599
0,452099
0,309081
0,446999
0,309081
0,309081
0,309081
0,309081
0,309081
0,309081
0,309081
0,309081
0,452099
0,309081
0,309081
0,309081
0,309081
0,309081
0,309081
0,135900
Nr crt.
cod ATC
DCI
203 C03DA01
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
204 C03EB01
COMBINATII (SPIRONOLACTONUM+FUROSEMIDUM)
205 C03EB01
206 C03EB01
207 C03EB01
208 C04AD03
PENTOXIFYLLINUM
PENTOXIFYLLINUM
PENTOXIFYLLINUM
PENTOXIFYLLINUM
PENTOXIFYLLINUM
PENTOXIFYLLINUM
PENTOXIFYLLINUM
PENTOXIFYLLINUM
PENTOXIFYLLINUM
PROPRANOLOLUM
PROPRANOLOLUM
PROPRANOLOLUM
PROPRANOLOLUM
PROPRANOLOLUM
PROPRANOLOLUM
SOTALOLUM
SOTALOLUM
SOTALOLUM
SOTALOLUM
SOTALOLUM
SOTALOLUM
SOTALOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
189 C03CA01
190 C03CA01
191 C03CA01
192 C03CA01
193 C03CA01
194 C03CA01
195 C03DA01
196 C03DA01
197 C03DA01
198 C03DA01
199 C03DA01
200 C03DA01
201 C03DA01
202 C03DA01
209 C04AD03
210 C04AD03
211 C04AD03
212 C04AD03
213 C04AD03
214 C04AD03
215 C04AD03
216 C04AD03
217 C07AA05
218 C07AA05
219 C07AA05
220 C07AA05
221 C07AA05
222 C07AA05
223 C07AA07
224 C07AA07
225 C07AA07
226 C07AA07
227 C07AA07
228 C07AA07
229 C07AA07
230 C07AB02
231 C07AB02
232 C07AB02
233 C07AB02
234 C07AB02
235 C07AB02
236 C07AB02
237 C07AB02
Denumire Comerciala
FUROSEMID SLAVIA
FUROSEMID ZENTIVA
FUROSEMID LPH 40 mg
FUROSEMID ARENA 40 mg
FUROSEMID BIOEEL 40 mg
FUROSEMID 20 mg/2 ml
VEROSPIRON
SPIRONOLACTONA ARENA 25 mg
SPIRONOLACTONA LPH 25 mg
VEROSPIRON
SPIRONOLACTONA BIOEEL 25 mg
forma farm.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
SOL. INJ.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
COMPR.
SPIRONOLACTONA 25 mg
ALSPIRON 25 mg
ALSPIRON 50 mg
DIUROCARD 50 mg/20 mg
DIUREX 50
DIOCOR 50 mg/20 mg
DIOCOR 50 mg/20 mg
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
PENTOXIFILINA SR ZENTIVA 400 mg
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
VASONIT RETARD 600 mg

ANGIOPENT 400 mg
PENTOXI RETARD 400 mg
OXIFLUX 400 mg
ANGIOPENT 600 mg
PROPRANOLOL EEL 10 mg
PROPRANOLOL 10 mg
PROPRANOLOL EEL 40 mg
PROPRANOLOL 40 mg
COMPR. ELIB. PREL.
CAPS.
CAPS.
CAPS.
CAPS.

COMPR.
COMPR.
COMPR.
COMPR.
PROPRANOLOL ARENA 40 mg COMPR.
HEMANGIOL 3,75 mg/ml
SOL. ORALA
SOTALOL AL 160
COMPR.
SOTALOL AL 160
COMPR.
SOTALOL AL 160
COMPR.
DAROB (R) 80 mg
COMPR.
SOTAGAMMA 80
COMPR.
SOTALOL AL 80
COMPR.
SOTALOL AL 80
COMPR.
BLOXAN
COMPR.
BETAPROL 100 mg
COMPR.
EGILOK 100 mg
COMPR.
METOPROLOL LPH 100 mg COMPR.
METOPROLOL LAROPHARM 100 mg COMPR.
METOPROLOL 100 mg
COMPR.
METOPROLOL TERAPIA 100 mg COMPR.
METOPROLOL VIM SPECTRUM 100 mg COMPR.
TERAPIA SA
SANIENCE S.R.L.
SANIENCE S.R.L.
ZENTIVA AS
ZENTIVA AS
ZENTIVA AS
ZENTIVA AS
tara det.
APP
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
SLOVACIA
SLOVACIA
SLOVACIA
SLOVACIA
LANNACHER HEILMITTEL GES.M.B.H.
AUSTRIA
concentratie
Detinator APP
40mg
40mg
40mg
40mg
40mg
10mg/ml
100mg
25mg
25mg
50mg
50mg
25mg
25mg
25mg
50mg
50mg/20 mg
50mg/20mg
50mg/20mg
50mg/20mg
400mg
400mg
600mg
600mg
600mg
400mg
400mg
400mg
600mg
10 mg
10mg
40mg
40mg
40mg
3,75 mg/ml
160mg
160mg
160mg
80mg
80mg
80mg
80mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
SLAVIA PHARM SRL

ZENTIVA SA
LABORMED PHARMA SA
ARENA GROUP S.A.

BIO EEL SRL
ZENTIVA SA
ARENA GROUP S.A.

LABORMED PHARMA S.A.
ARENA GROUP S.A.

BIO EEL SRL
TERAPIA SA
ROMANIA
ROMANIA
BIO EEL S.R.L.
ROMANIA
SINTOFARM SA
ROMANIA
BIO EEL SRL
ROMANIA
SINTOFARM SA
ROMANIA
Ambalaj
Prescriptie

P-6L
CUTIE X 5 FIOLE DIN STICLA BRUNA CU INEL DE RUPERE X 2 ML SOL. INJ.
P-RF
P-6L
P-6L
P-6L
P-6L

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

P-6L
P-6L
P-6L
P-6L
P-6L
P6L
P6L
CUTIE X 5 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-6L
TERAPIA SA
CUTIE X 2 BLIST. X 10 COMPR. FILM. ELIB. PREL. P-6L

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

PIERRE FABRE DERMATOLOGIE
FRANTA
ALIUD PHARMA GMBH

ALIUD PHARMA GMBH
ALIUD PHARMA GMBH
ABBOTT GMBH&CO.KG
GERMANIA
GERMANIA CUTIE X 10 BLIST. AL/PVC-PVDC X 10 COMPR. P-6L
CUTIE X 1 FLACON DIN STICLA BRUNA X 120ML SOLUTIE ORALA
PR/PRF

GERMANIA CUTIE X 2 BLIST. AL/PVP X 10 COMPR.
P-6L
P-6L
P-6L
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
AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
UNGARIA CUTIE X, 1 FLAC. DIN STICLA BRUNA X 20 COMPR.

LAROPHARM SRL
MAGISTRA C & C SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
TERAPIA SA
VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
P-6L
P-6L
Pagina 5 din 27
P-6L
P-6L
P-6L
P-6L
Pret
Val suportata
amanunt
de CNAS/UT
ul
(RON)Legea
Val suportata
CNAS/UT
(RON) pt.
j
(RON)
(RON)
si f)
Adulti
20
3,02
0,151000
20
6,02
0,301000
20
3,04
0,152000
20
6,02
0,301000
20
5,42
0,271000
5
6,07
1,214000
30 28,51
0,950333
50 16,07
0,321400
60 19,46
0,324333
30 16,72
0,557333
30 16,24
0,541333
20
4,30
0,215000
50 17,83
0,356600
20
4,30
0,215000
20 13,74
0,687000
30 31,48
1,049333
20 23,31
1,165500
30 31,48
1,049333
20 23,31
1,165500
20 10,25
0,512500
50 20,54
0,410800
50 33,83
0,676600
100 65,38
0,653800
50 33,65
0,673000
20
6,13
0,306500
20 17,21
0,860500
60 18,40
0,306666
20 16,46
0,823000
50
3,25
0,065000
50
4,10
0,082000
50
4,98
0,099600
50
4,98
0,099600
50
4,98
0,099600
1 1.067,99 1.067,990000
20 11,17
0,558500
50 26,93
0,538600
100 54,63
0,546300
20 10,06
0,503000
100 39,32
0,393200
100 36,53
0,365300
50 17,52
0,350400
30 14,05
0,468333
30 10,94
0,364666
20
6,56
0,328000
30
7,12
0,237333
20
5,86
0,293000
30
9,49
0,316333
30 15,12
0,504000
20
7,38
0,369000
0,151000
0,151250
0,151250
0,151250
0,151250
1,214000
0,950333
0,237583
0,237583
0,475166
0,475166
0,215000
0,237583
0,215000
0,475166
1,049333
1,049333
1,049333
1,049333
0,410800
0,410800
0,616200
0,616200
0,616200
0,306500
0,410800
0,306666
0,616200
0,030296
0,030296
0,099600
0,099600
0,099600
1,363331
0,484740
0,484740
0,484740
0,242370
0,242370
0,242370
0,242370
0,284849
0,284849
0,284849
0,237333
0,284849
0,284849
0,284849
0,284849
0,135900
0,136125
0,136125
0,136125
0,136125
1,092600
0,855299
0,213824
0,213824
0,427649
0,427649
0,193500
0,213824
0,193500
0,427649
0,944399
0,944399
0,944399
0,944399
0,369720
0,369720
0,554580
0,554580
0,554580
0,275850
0,369720
0,275999
0,554580
0,027266
0,027266
0,089640
0,089640
0,089640
1,226997
0,436266
0,436266
0,436266
0,218133
0,218133
0,218133
0,218133
0,256364
0,256364
0,256364
0,213599
0,256364
0,256364
0,256364
0,256364
cod ATC
DCI
238 C07AB02
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
ATENOLOLUM
ATENOLOLUM
ATENOLOLUM
ATENOLOLUM
ATENOLOLUM
ATENOLOLUM
ATENOLOLUM
ATENOLOLUM
ATENOLOLUM
BETAXOLOLUM
BETAXOLOLUM
BETAXOLOLUM
BETAXOLOLUM
BETAXOLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
Nr crt.
239 C07AB02
240 C07AB02
241 C07AB02
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 C07AB03
264 C07AB03
265 C07AB03
266 C07AB03
267 C07AB03
268 C07AB03
269 C07AB03
270 C07AB03
271 C07AB03
272 C07AB05
273 C07AB05
274 C07AB05
275 C07AB05
276 C07AB05
277 C07AB07
278 C07AB07
279 C07AB07
280 C07AB07
281 C07AB07
282 C07AB07
283 C07AB07
284 C07AB07
285 C07AB07
286 C07AB07
forma farm.
Denumire Comerciala
METOPROLOL ARENA 100 MG COMPR.
METOPROLOL 100 mg
METOPROLOL AL 100
EGILOK 25 mg
METOPROLOL LPH 25 mg
METOPROLOL 25 mg
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
METOPROLOL LAROPHARM 50 mg COMPR.
BETAPROL 50 mg
COMPR.
EGILOK 50 mg
COMPR.
COMPR.
METOPROLOL 50 mg
COMPR.
METOPROLOL 50 mg
COMPR.
METOPROLOL AL 50
COMPR.
METOPROLOL RETARD 100 mg
COMPR. ELIB. PREL.
METOPROLOL TARTRAT AUROBINDO 100 mg
COMPR. FILM.
COMPR. FILM.
BETALOC (R) ZOK 100 mg


METOSUCCINAT SANDOZ 190 mg
COMPR.FILM.ELIB.MOD.
METOSUCCINAT SANDOZ 47,5 mg
ATENOCOR 100 mg
ATENOLOL LPH 100 mg
ATENOLOL LPH 100 mg
ATENOLOL ARENA 100 MG
ATENOLOL LPH 50 mg
ATENOLOL LPH 50 mg
ATENOCOR 50 mg
ATENOLOL ARENA 50 MG
ATENOLOL 100 mg MEDO
LOKREN 20 mg
BETAC
BETAC
BETAC
BETAC
BISOPROLOL LPH 10mg
BISOBLOCK 10 mg
BISOPROLOL LPH 5mg
BISOBLOCK 5 mg
BOREZ 10 mg
CONCOR 10 mg
BISOGAMMA (R) 10
BISOGAMMA (R) 10
CONCOR COR 10 mg
BISOTENS 10 mg
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
concentratie
100mg
100mg
100mg
25mg
25mg
25mg
25mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
100mg
100mg
50mg
100mg
50mg
190mg
47,5mg
95mg
100mg
100mg
100mg
100mg
50mg
50mg
50mg
50mg
100mg
20mg
20mg
20mg
20mg
20mg
10mg
10mg
5mg
5mg
10 mg
10mg
10mg
10mg
10mg
10mg
tara det.
APP
Ambalaj
ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
SLAVIA PHARMA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
ALIUD PHARMA GMBH GERMANIA CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L
Detinator APP
Prescriptie
UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 20 COMPR.

P-6L
P-6L
MAGISTRA C & C SRL
P-6L
ARENA GROUP S.A.

LAROPHARM SRL
LABORMED PHARMA SA
MAGISTRA C & C SRL
TERAPIA SA
VIM SPECTRUM SRL
ARENA GROUP S.A.
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
SLAVIA PHARMA S.R.L.

ALIUD PHARMA GMBH GERMANIA CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR.
P-6L
TERAPIA SA
ASTRAZENECA AB
ASTRAZENECA AB
HEXAL AG
HEXAL AG
HEXAL AG
AC HELCOR SRL
LABORMED PHARMA SA
LABORMED PHARMA SA
ARENA GROUP SA
LABORMED PHARMA SA
LABORMED PHARMA SA
AC HELCOR SRL
ARENA GROUP SA
CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. CU ELIB. PREL.
P-6L
MALTA
MALTA
SUEDIA
SUEDIA
CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM.
P6L
P6L
GERMANIA
CUTIE X 3 BLIST. ACLAR-PVC/AL X 10 COMPR. FILM. ELIB. MODIF.
P-6L
GERMANIA
P-6L
GERMANIA
P-6L
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

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


SANOFI-AVENTIS FRANCE FRANTA CUTIE X 2 BLIST. AL/PVC X 14 COMPR.FILM.
CUTIE X 3 BLIST. AL/PVC, X 10 COMPR. FILM.
LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR.
MEDOCHEMIE ROMANIA SRL
P-6L
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
ISLANDA CUTIE X 3 BLIST. X 10 COMPR.
P-6L
ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR.
P-6L
ISLANDA CUTIE X 3 BLIST. X 10 COMPR.
P-6L
ALKALOID-INT D.O.O. SLOVENIA
CUTIE CU 3 BLIST. PERFORATE PVC-TE-PVDC/AL X 10 COMPR. FILM.
P6L
MERCK KGAA
GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.FILM. P-6L
GERMANIA
GERMANIA
MERCK KGAA
ANTIBIOTICE S.A.
GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
Pagina 6 din 27

P-6L/S
P-6L
P-6L
Pret
Val suportata
amanunt
de CNAS/UT
ul
(RON)Legea
Val suportata
CNAS/UT
(RON) pt.
j
(RON)
(RON)
si f)
Adulti
30
20
30
20
20
30
30
20
30
20
30
30
30
20
30
20
30
20
30
30
30
30
30
30
30
30
30
20
20
20
30
30
20
20
28
28
30
20
14
30
30
30
30
30
30
100
30
30
30
7,01
8,09
8,78
1,90
1,90
2,85
2,85
3,51
5,27
3,51
4,75
5,27
7,06
3,45
5,27
3,51
4,39
11,12
9,09
5,24
25,70
15,69
22,71
8,14
13,59
10,83
10,57
7,04
6,26
3,93
5,90
5,35
3,56
4,61
9,61
14,84
15,89
10,60
7,41
18,12
16,18
8,55
7,32
10,51
31,83
49,43
18,12
32,72
18,12
0,233666
0,404500
0,292666
0,095000
0,095000
0,095000
0,095000
0,175500
0,175666
0,175500
0,158333
0,175666
0,235333
0,172500
0,175666
0,175500
0,146333
0,556000
0,303000
0,174666
0,856666
0,523000
0,757000
0,271333
0,453000
0,361000
0,352333
0,352000
0,313000
0,196500
0,196666
0,178333
0,178000
0,230500
0,343214
0,530000
0,529666
0,530000
0,529285
0,604000
0,539333
0,285000
0,244000
0,350333
1,061000
0,494300
0,604000
1,090666
0,604000
0,233666
0,284849
0,284849
0,071212
0,071212
0,071212
0,071212
0,142424
0,142424
0,142424
0,142424
0,142424
0,142424
0,142424
0,142424
0,142424
0,142424
0,284849
0,284849
0,142424
0,284849
0,142424
0,541214
0,135303
0,270607
0,361000
0,352333
0,352000
0,313000
0,196500
0,196666
0,178333
0,178000
0,230500
0,343214
0,427274
0,427274
0,427274
0,427274
0,427274
0,427274
0,213637
0,213637
0,350333
0,427274
0,427274
0,427274
0,427274
0,427274
0,210299
0,256364
0,256364
0,064090
0,064090
0,064090
0,064090
0,128181
0,128181
0,128181
0,128181
0,128181
0,128181
0,128181
0,128181
0,128181
0,128181
0,256364
0,256364
0,128181
0,256364
0,128181
0,487092
0,121772
0,243546
0,324900
0,317099
0,316800
0,281700
0,176850
0,176999
0,160499
0,160200
0,207450
0,308892
0,384546
0,384546
0,384546
0,384546
0,384546
0,384546
0,192273
0,192273
0,315299
0,384546
0,384546
0,384546
0,384546
0,384546
Nr crt.
cod ATC
287 C07AB07
288 C07AB07
289 C07AB07
290 C07AB07
291 C07AB07
292 C07AB07
293 C07AB07
294 C07AB07
295 C07AB07
296 C07AB07
297 C07AB07
298 C07AB07
299 C07AB07
300 C07AB07
301 C07AB07
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 C08CA01
331 C08CA01
332 C08CA01
333 C08CA01
334 C08CA01
335 C08CA01
DCI
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
Denumire Comerciala
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.
concentratie
10mg
CONCOR COR 10 mg
10mg
SOBYC 10 mg
10mg
BOREZ 2,5 mg
2,5 mg
CONCOR COR 2,5 mg
2,5mg
CONCOR COR 2,5 mg
2,5mg
SOBYC 2,5 mg
2,5mg
CONCOR 5 mg
5mg
BISOGAMMA (R) 5
5mg
BISOGAMMA (R) 5
5mg
CONCOR COR 5 mg
5mg
BISOTENS 5 mg
5mg
BISOPROLOL FUMARAT AUROBINDO 5 mg
5mg
CONCOR COR 5 mg
5mg
SOBYC 5 mg
5mg
CARVEDILOL SANDOZ 12,5 mg COMPR.
12,5 mg
DILATREND (R) 12,5 mg
COMPR.
12,5mg
CORYOL 12,5 mg
COMPR.
12,5mg
TALLITON (R) 12,5 mg
COMPR.
12,5mg
CARVEDILOL LPH 12,5 mg COMPR.
12,5mg
CARVEDILOL VIM SPECTRUM 12,5mg COMPR.
12,5mg
GLADYCOR 12,5 mg
COMPR.
12,5mg
MIOCARVIL 12,5 mg
COMPR.
12,5mg
CARVEDILOL HELCOR 12,2 mg COMPR.
12,5mg
DILATREND (R) 25 mg
COMPR.
25mg
CORYOL 25 mg
COMPR.
25mg
TALLITON (R) 25 mg
COMPR.
25mg
CARVEDILOL LPH 25 mg
COMPR.
25mg
GLADYCOR 25 mg
COMPR.
25mg
MIOCARVIL 25 mg
COMPR.
25mg
CARVEDILOL HELCOR 25 mg COMPR.
25mg
CARVEDILOL SANDOZ 25 mg COMPR.
25mg
COMPR.
6,25mg
CORYOL (R)
COMPR.
6,25mg
TALLITON 6,25 mg
COMPR.
6,25mg
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
6,25mg
CARVEDILOL AUROBINDO 12,5mg COMPR. FILM. 12,5mg
CARVEDILOL AUROBINDO 25mg COMPR. FILM. 25mg
CARVEDILOL AUROBINDO 6,25mg COMPR. FILM. 6,25mg
AMLODIPINA TEVA 10 mg
COMPR.
10 mg
AMLOHEXAL 10 mg
COMPR.
10mg
TENOX (R) 10
COMPR.
10mg
AMLODIPINE MEDOCHEMIE 10 mg COMPR.
10mg
CARDILOPIN 10 mg
COMPR.
10mg
ALMACOR 10 mg
COMPR.
10mg
BISOPROLOL FUMARAT AUROBINDO 10 mg
Detinator APP
tara det.
APP
MALTA
MERCK KGAA
GERMANIA
KRKA, D.D., NOVO MESTO SLOVENIA
MERCK KGAA
MERCK KGAA
GERMANIA
GERMANIA
Ambalaj
Prescriptie
P6L
CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P6L
CUTIE CU 3 BLIST. PERFORATE PVC-TE-PVDC/AL X 10 COMPR. FILM. P6L
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.FILM. P-6L
CUTIE CU BLIST. PA-PVC-AL/HARTIE-PE-AL X 30 COMPR. FILM.
MERCK KGAA
GERMANIA
GERMANIA
GERMANIA
MERCK KGAA
ANTIBIOTICE S.A.
GERMANIA CUTIE X 3 BLIST. AL/PVC, X 10 COMPR. FILM.
P-6L
P-6L
MALTA
P6L
MERCK KGAA
GERMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. FILM. P6L

CUTIE CU BLIST. PA-PVC-AL/HARTIE-PE-AL X 30 COMPR. FILM.
KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM.
P-6L
P-6L
P6L
HEXAL AG
GERMANIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. P6L
ROMANIA CUTIE X 2 BLIST. OPA-AL-PVDC/AL X 14 COMPR.
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 4 BLIST. OPA-AL-PVC/AL X 7 COMPR.

LABORMED PHARMA SA
VIM SPECTRUM SRL

ANTIBIOTICE S.A.
SLAVIA PHARM S.R.L.
UNGARIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
P-6L
P-6L
CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR. P-6L

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

ANTIBIOTICE S.A.
ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR.
SLAVIA PHARM S.R.L. ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR.
AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
HEXAL AG
GERMANIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR.
ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. OPA-AL-PVDC/AL X 14 COMPR.
KRKA D.D.
SLOVENIA CUTIE X 4 BLIST. OPA-AL-PVC/AL X 7 COMPR.
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR.
ANTIBIOTICE S.A.
HEXAL AG
GERMANIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR.
AUROBINDO PHARMA (MALTA) LIMITED MALTA
CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR.
HEXAL AG
GERMANIA CUTIE X 3 BLIST. AL/PVC-COC-PVDC X 10 COMPR.
KRKA D.D.
CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR.
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 3 BLIST. AL/PVC-PVDC X 10 COMPR.
ANTIBIOTICE S.A.
P-6L
P-6L
Pagina 7 din 27
P-6L
P-6L
P-6L
P6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P6L
P6L
P6L
P6L
P6L
P-6L
P-6L
P-6L
P-6L
P-6L
Pret
Val suportata
amanunt
de CNAS/UT
ul
(RON)Legea
Val suportata
CNAS/UT
(RON) pt.
j
(RON)
(RON)
si f)
Adulti
30
30
30
30
30
30
30
30
30
100
30
30
30
30
30
30
28
28
30
30
20
30
30
20
28
28
30
30
30
30
20
30
28
28
30
30
20
30
30
30
28
28
28
30
30
30
30
30
30
13,67
32,72
10,05
8,07
14,76
14,76
6,04
16,33
8,55
25,01
22,31
8,55
7,87
22,31
6,04
8,20
29,94
12,48
13,30
13,36
6,72
13,10
13,36
8,72
33,45
22,05
23,62
23,62
23,00
23,62
15,72
9,18
16,46
6,44
6,89
6,89
4,56
6,70
6,89
5,33
6,93
7,70
4,85
11,53
19,28
19,26
13,13
19,28
19,28
0,455666
1,090666
0,335000
0,269000
0,492000
0,492000
0,201333
0,544333
0,285000
0,250100
0,743666
0,285000
0,262333
0,743666
0,201333
0,273333
1,069285
0,445714
0,443333
0,445333
0,336000
0,436666
0,445333
0,436000
1,194642
0,787500
0,787333
0,787333
0,766666
0,787333
0,786000
0,306000
0,587857
0,230000
0,229666
0,229666
0,228000
0,223333
0,229666
0,177666
0,247500
0,275000
0,173214
0,384333
0,642666
0,642000
0,437666
0,642666
0,642666
0,427274
0,427274
0,335000
0,106818
0,106818
0,106818
0,106818
0,213637
0,213637
0,213637
0,213637
0,213637
0,213637
0,213637
0,201333
0,273333
0,338699
0,338699
0,338699
0,338699
0,336000
0,338699
0,338699
0,338699
0,677399
0,677399
0,677399
0,677399
0,677399
0,677399
0,677399
0,306000
0,169349
0,169349
0,169349
0,169349
0,169349
0,169349
0,169349
0,169349
0,247500
0,275000
0,169349
0,384333
0,578249
0,578249
0,437666
0,578249
0,578249
0,384546
0,384546
0,301500
0,096136
0,096136
0,096136
0,096136
0,192273
0,192273
0,192273
0,192273
0,192273
0,192273
0,192273
0,181199
0,245999
0,304829
0,304829
0,304829
0,304829
0,302400
0,304829
0,304829
0,304829
0,609659
0,609659
0,609659
0,609659
0,609659
0,609659
0,609659
0,275400
0,152414
0,152414
0,152414
0,152414
0,152414
0,152414
0,152414
0,152414
0,222750
0,247500
0,152414
0,345899
0,520424
0,520424
0,393899
0,520424
0,520424
Nr crt.
cod ATC
336 C08CA01
337 C08CA01
338 C08CA01
339 C08CA01
340 C08CA01
341 C08CA01
342 C08CA01
343 C08CA01
344 C08CA01
345 C08CA01
346 C08CA01
347 C08CA01
348 C08CA01
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 C08CA02
369 C08CA02
370 C08CA02
371 C08CA02
372 C08CA02
373 C08CA02
374 C08CA02
375 C08CA02
376 C08CA02
377 C08CA02
378 C08CA02
379 C08CA02
380 C08CA02
381 C08CA02
382 C08CA05
383 C08CA05
384 C08DA01
DCI
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
FELODIPINUM
FELODIPINUM
FELODIPINUM
FELODIPINUM
FELODIPINUM
FELODIPINUM
FELODIPINUM
FELODIPINUM
FELODIPINUM
FELODIPINUM
FELODIPINUM
FELODIPINUM
FELODIPINUM
FELODIPINUM
NIFEDIPINUM
NIFEDIPINUM
VERAPAMILUM
Denumire Comerciala
EPLODIN 10 mg
AMLODIPINA LPH 10 mg
STAMLO M 10 mg
AMLODIPINA TERAPIA 10 mg
AMLODIPINA AUROBINDO 10 mg
RECOTENS 10 mg
AMLODIPIN VIM SPECTRUM 10 mg
AMLODIPINA ACTAVIS 10 mg
AMLODIPINA ZENTIVA 10 mg
NORVASC 10 mg
AMLODIPINA HELCOR 10 mg
AMLODIPINA ARENA 10 mg
AMLODIPINA TEVA 5 mg
AMLOHEXAL 5 mg
TENOX (R) 5
AMLODIPINE MEDOCHEMIE 5 mg
CARDILOPIN 5 mg
ALMACOR 5 mg
EPLODIN 5 mg
AMLODIPINA LPH 5 mg
STAMLO M 5 mg
AMLODIPINA AUROBINDO 5 mg
RECOTENS 5 mg
AMLODIPIN VIM SPECTRUM 5 mg
AMLODIPINA ACTAVIS 5 mg
AMLODIPINA ZENTIVA 5 mg
NORVASC 5 mg
AMLODIPINA HELCOR 5 mg
AMLODIPINA ARENA 5 mg
PLENDIL
FELODIPIN AL 10 mg
PLENDIL
FELODIPIN AL 2,5 mg
PLENDIL
FELODIPIN AL 5 mg
SISTAR 10 mg
SISTAR 2,5 mg
SISTAR 5 mg
AURONAL 10 mg
FELODIPIN SANDOZ 10 mg
AURONAL 2,5 mg
AURONAL 5 mg
FELODIPIN SANDOZ 5 mg
ADALAT CR 30
forma farm.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. MODIF.
NIFEDIPIN RETARD TERAPIA 20 mg
VERAPAMIL ARENA 40 mg
CAPS.
concentratie
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
5 mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
10mg
10mg
2,5mg
2,5mg
5mg
5mg
10mg
2,5mg
5mg
10mg
10mg
2,5mg
5mg
5mg
30mg
20mg
40mg
tara det.
APP
Detinator APP
EXTRACTUMPHARMA UNGARIA
DR. REDDY'S LABORATORIES ROMANIA
TERAPIA SA
ROMANIA
TERAPIA SA
ROMANIA
Ambalaj
Prescriptie
CUTIE X 3 BLIST. PVC- PVDC/AL X 10 COMPR.
P-6L
P-6L
CUTIE X 2 BLIST. AL/OPA-AL-PVC X 14 COMPR.

CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR.
CUTIE X 3 BLIST. ACLAR-PVC/AL X 10 COMPR.
CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR.
ICN POLFA RZESZOW S.A. POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR.
P-6L
P-6L
P-6L
P6L
P6L
VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL A CATE 10 COMPR. P-6L
ISLANDA CUTIE CU BLIST. PVC-PVDC/AL X 20 COMPR. P6L
ZENTIVA K.S.
REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L
MAREA BRITANIE
CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L
ROMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. P6L

ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L
A.C. HELCOR PHARMA S.R.L.
HEXAL AG
GERMANIA CUTIE X 3 BLIST. AL/PVC-COC-PVDC X 10 COMPR.
KRKA D.D.
CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR.
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 3 BLIST. AL/PVC-PVDC X 10 COMPR.
ANTIBIOTICE S.A.
EXTRACTUMPHARMA UNGARIA CUTIE X 3 BLIST. PVC- PVDC/AL X 10 COMPR.
LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
P-6L
ROMANIA CUTIE X 2 BLIST. AL/OPA-AL-PVC X 14 COMPR.

ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR.
ROMANIA CUTIE X 3 BLIST. ACLAR-PVC/AL X 10 COMPR.
P-6L
TERAPIA SA
TERAPIA SA
ICN POLFA RZESZOW S.A.
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
MALTA CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR. P6L

POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. P6L
VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL A CATE 10 COMPR. P-6L
ISLANDA CUTIE CU BLIST. PVC-PVDC/AL X 20 COMPR. P6L
ZENTIVA K.S.
REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L
MAREA BRITANIE
ROMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. P6L

ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L
ASTRAZENECA AB
SUEDIA
CUTIE X 1 FLAC. DIN PE X 30 COMPR. ELIB. PREL. P-6L
ALIUD PHARMA GMBH & CO. KG
GERMANIA
CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. ELIB. PREL.
ASTRAZENECA AB
SUEDIA
CUTIE 1 FLAC. DIN PE X 30 COMPR. ELIB. PREL. P-6L
GERMANIA
ASTRAZENECA AB
SUEDIA
CUTIE X 1 FLAC. DIN PE X, 30 COMPR. ELIB. PREL. P-6L
GERMANIA
P-6L
CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. ELIB. MODIF.
P-6L
P-6L
P-6L
ROMANIA
ROMANIA
ROMANIA
UNGARIA
HEXAL AG
GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-6L
UNGARIA
UNGARIA

HEXAL AG
BAYER PHARMA AG
TERAPIA SA
ARENA GROUP S.A.
Pagina 8 din 27
P-6L
P-6L
CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 10 COMPR. ELIB. PREL. P-6L

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

GERMANIA CUTIE X 2 BLIST. AL/PP X 14 COMPR. ELIB. MODIF. P-6L
ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-6L

Pret
Val suportata
amanunt
de CNAS/UT
ul
(RON)Legea
Val suportata
CNAS/UT
(RON) pt.
j
(RON)
(RON)
si f)
Adulti
30
30
28
30
30
30
30
20
20
30
30
20
30
30
30
30
30
30
30
30
30
28
30
30
30
30
20
20
30
30
20
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
28
50
30
19,26
19,28
14,67
19,31
19,31
7,38
14,05
12,85
12,85
8,49
13,36
12,87
19,28
5,76
11,37
11,40
7,81
11,37
11,36
11,37
11,37
8,75
10,82
10,82
5,25
7,63
7,44
7,58
4,10
16,47
8,63
7,89
50,21
33,73
22,26
14,47
28,37
18,44
30,42
14,47
18,43
42,57
30,52
16,47
26,66
15,69
29,88
10,80
3,33
0,642000
0,642666
0,523928
0,643666
0,643666
0,246000
0,468333
0,642500
0,642500
0,283000
0,445333
0,643500
0,642666
0,192000
0,379000
0,380000
0,260333
0,379000
0,378666
0,379000
0,379000
0,312500
0,360666
0,360666
0,175000
0,254333
0,372000
0,379000
0,136666
0,549000
0,431500
0,263000
1,673666
1,124333
0,742000
0,482333
0,945666
0,614666
1,014000
0,482333
0,614333
1,419000
1,017333
0,549000
0,888666
0,523000
1,067142
0,216000
0,111000
0,578249
0,578249
0,523928
0,578249
0,578249
0,246000
0,468333
0,578249
0,578249
0,283000
0,445333
0,578249
0,578249
0,192000
0,289124
0,289124
0,260333
0,289124
0,289124
0,289124
0,289124
0,289124
0,289124
0,289124
0,175000
0,254333
0,289124
0,289124
0,136666
0,289124
0,289124
0,263000
0,578249
0,578249
0,144562
0,144562
0,289124
0,289124
0,578249
0,144562
0,289124
0,578249
0,578249
0,144562
0,289124
0,289124
0,289124
0,192749
0,094589
0,520424
0,520424
0,471535
0,520424
0,520424
0,221400
0,421499
0,520424
0,520424
0,254700
0,400799
0,520424
0,520424
0,172800
0,260211
0,260211
0,234299
0,260211
0,260211
0,260211
0,260211
0,260211
0,260211
0,260211
0,157500
0,228899
0,260211
0,260211
0,122999
0,260211
0,260211
0,236700
0,520424
0,520424
0,130105
0,130105
0,260211
0,260211
0,520424
0,130105
0,260211
0,520424
0,520424
0,130105
0,260211
0,260211
0,260211
0,173474
0,085130
Nr crt.
cod ATC
385 C08DA01
386 C08DA01
387 C08DA01
388 C08DA01
389 C08DA01
390 C08DA01
391 C08DA01
392 C08DA01
393 C08DA01
394 C08DB01
395 C08DB01
396 C08DB01
397 C08DB01
398 C08DB01
399 C08DB01
400 C08DB01
401 C09AA01
402 C09AA01
403 C09AA01
404 C09AA01
405 C09AA01
406 C09AA01
407 C09AA01
408 C09AA01
409 C09AA01
410 C09AA01
411 C09AA01
412 C09AA01
413 C09AA01
414 C09AA01
415 C09AA02
416 C09AA02
417 C09AA02
418 C09AA02
419 C09AA02
420 C09AA02
421 C09AA02
422 C09AA02
423 C09AA02
424 C09AA02
425 C09AA02
426 C09AA02
427 C09AA02
428 C09AA02
429 C09AA02
430 C09AA02
431 C09AA02
432 C09AA02
433 C09AA02
DCI
VERAPAMILUM
VERAPAMILUM
VERAPAMILUM
VERAPAMILUM
VERAPAMILUM
VERAPAMILUM
VERAPAMILUM
VERAPAMILUM
VERAPAMILUM
DILTIAZEMUM
DILTIAZEMUM
DILTIAZEMUM
DILTIAZEMUM
DILTIAZEMUM
DILTIAZEMUM
DILTIAZEMUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
Denumire Comerciala
VERAPAMIL ARENA 80 mg
CORDAMIL 40 mg
VERAPAMIL AL 80
VERAPAMIL AL 80
CORDAMIL 80 mg
ISOPTIN (R) 80 mg
ISOPTIN RR
VERAPAMIL 40 mg
VERAPAMIL 80 mg
DILTIAZEM SR ROMPHARM 180 mg
forma farm.
CAPS.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
DRAJ.
DRAJ.
CAPS. ELIB. PREL.
DILTIAZEM SR ROMPHARM 90 mg CAPS. ELIB. PREL.
DILTIAZEM EIPICO 60 mg
DILTIAZEM LPH 60 mg
DILTIAZEM ARENA 60 mg
DILTIAZEM BIOEEL 60 mg
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 50 mg
CAPTOPRIL 50 EEL
CAPTOPRIL MCC 50 mg
CAPTOPRIL LPH 50 mg
ENALAPRIL 10 mg
ENALAPRIL SANDOZ 10 mg
ENALAPRIL LPH 10 mg
ENAP 10 mg
ENALAPRIL SLAVIA 10 mg
RENITEC 10 mg
ENALAPRIL TERAPIA 10 mg
ENALAPRIL ARENA 10mg
ENALAPRIL VIM SPECTRUM 10 mg
ENALAPRIL LAROPHARM 10 mg
ENALAPRIL 20 mg
ENALAPRIL LPH 20 mg
ENAP 20 mg
RENITEC 20 mg
ENALAPRIL ARENA 20 mg
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
concentratie
80mg
40mg
80mg
80mg
80mg
80mg
240mg
40mg
80mg
180mg
90mg
60mg
60mg
60mg
60mg
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
20mg
20mg
20mg
20mg
20mg
20mg
20mg
tara det.
APP
Ambalaj
ARENA GROUP S.A. ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 CAPS.
AC HELCOR SRL
ROMANIA CUTIE X 3 BLIST. X 10 COMPR.FILM.
Detinator APP

ROMANIA CUTIE X 3 BLIST. X 10 COMPR.FILM.
Prescriptie
P6L
P-6L
GERMANIA
P-6L
GERMANIA
P-6L
AC HELCOR SRL
P-6L
ABBOTT GMBH&CO.KG GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. P-6L

ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L
ROMANIA
ROMANIA
ROMPHARM COMPANY S.R.L. ROMANIA
E.I.P.I.CO. MED S.R.L. ROMANIA
BIO EEL SRL
ROMANIA
SANOFI-AVENTIS ROMANIA S.R.L.
MAGISTRA C & C
TERAPIA SA
BIO EEL SRL
MAREA BRITANIE
ROMANIA
ROMANIA
ROMANIA
MAGISTRA C & C
ROMANIA
SINTOFARM SA
ROMANIA
TERAPIA SA
ROMANIA
BIO EEL SRL
ROMANIA
MAGISTRA C & C
ROMANIA
MAGISTRA C & C
ROMANIA
SANDOZ SRL
ROMANIA
CUTIE X 2 BLIST. AL/PVC X 25 DRAJ.

P-6L
CUTIE CU 3 BLIST. DIN FOLIE DE PVC/PVDC/AL X 10 CAPS. ELIB. PREL.
P6L
P6L
CUTIE CU 3 BLIST. DIN FOLIE DE PVC/PVDC/AL X 7 CAPS. ELIB. PREL.
CUTIE X 2, BLIST. AL/PVC X 10 COMPR.

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

CUTIE X 2 BLIST. DIN AL/ PVC X 10 COMPR. P-6L
P-6L
CUTIE X 3 BLIST. AL/PVC, X 10 COMPR.

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

ROMANIA CUTIE X 2 BLIST. AL/AL X 14 COMPR.
P-6L
TERAPIA SA
ROMANIA CUTIE X 2 BLIST. AL/PVC-PE-PVDC X 10 COMPR. P-6L
ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC, X 10 COMPR. P-6L
VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L
LAROPHARM SRL
ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 COMPR. P6L
MAGISTRA C & C
ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
P-6L
SANDOZ SRL
P-6L
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/AL X 10 COMPR.
P-6L
MERCK SHARP & DOHME
MERCK SHARP & DOHME
TERAPIA SA
ARENA GROUP SA
Pagina 9 din 27
ROMANIA CUTIE X 2 BLIST. AL/AL X 14 COMPR.

ROMANIA CUTIE X 2 BLIST. AL/PVC-PE-PVDC X 10 COMPR.
P-6L
P-6L
P-6L
Pret
Val suportata
amanunt
de CNAS/UT
ul
(RON)Legea
Val suportata
CNAS/UT
(RON) pt.
j
(RON)
(RON)
si f)
Adulti
30
30
100
50
30
50
20
50
50
30
21
20
20
50
20
30
30
30
20
20
30
30
30
20
20
30
20
20
30
30
20
20
20
20
20
28
20
30
50
100
20
20
20
20
20
20
28
20
30
5,96
3,33
21,02
10,51
5,96
15,30
19,91
11,82
17,32
35,79
7,00
5,39
5,39
13,37
5,39
15,38
3,41
4,10
3,02
2,28
3,42
3,42
4,64
2,28
2,67
6,67
3,87
2,67
4,50
3,93
4,39
3,96
4,39
4,39
4,39
10,52
7,30
6,87
11,25
22,02
4,10
4,39
7,94
10,18
8,75
7,94
17,12
11,11
11,12
0,198666
0,111000
0,210200
0,210200
0,198666
0,306000
0,995500
0,236400
0,346400
1,193000
0,333333
0,269500
0,269500
0,267400
0,269500
0,512666
0,113666
0,136666
0,151000
0,114000
0,114000
0,114000
0,154666
0,114000
0,133500
0,222333
0,193500
0,133500
0,150000
0,131000
0,219500
0,198000
0,219500
0,219500
0,219500
0,375714
0,365000
0,229000
0,225000
0,220200
0,205000
0,219500
0,397000
0,509000
0,437500
0,397000
0,611428
0,555500
0,370666
0,189180
0,094589
0,189180
0,189180
0,189180
0,189180
0,567540
0,094589
0,189180
0,805350
0,333333
0,268450
0,268450
0,267400
0,268450
0,402675
0,044550
0,089100
0,089100
0,089100
0,089100
0,089100
0,089100
0,089100
0,133500
0,178200
0,178200
0,133500
0,150000
0,131000
0,178200
0,178200
0,178200
0,178200
0,178200
0,178200
0,178200
0,178200
0,178200
0,178200
0,178200
0,178200
0,356400
0,356400
0,356400
0,356400
0,356400
0,356400
0,356400
0,170262
0,085130
0,170262
0,170262
0,170262
0,170262
0,510786
0,085130
0,170262
0,724815
0,299999
0,241605
0,241605
0,240660
0,241605
0,362407
0,040095
0,080190
0,080190
0,080190
0,080190
0,080190
0,080190
0,080190
0,120150
0,160380
0,160380
0,120150
0,135000
0,117900
0,160380
0,160380
0,160380
0,160380
0,160380
0,160380
0,160380
0,160380
0,160380
0,160380
0,160380
0,160380
0,320760
0,320760
0,320760
0,320760
0,320760
0,320760
0,320760
Nr crt.
cod ATC
434 C09AA02
435 C09AA02
436 C09AA02
437 C09AA02
438 C09AA02
439 C09AA02
440 C09AA02
441 C09AA02
442 C09AA02
443 C09AA02
444 C09AA02
445 C09AA02
446 C09AA02
447 C09AA03
448 C09AA03
449 C09AA03
450 C09AA03
451 C09AA03
452 C09AA03
453 C09AA03
454 C09AA03
455 C09AA03
456 C09AA03
457 C09AA03
458 C09AA03
459 C09AA03
460 C09AA03
461 C09AA03
462 C09AA03
463 C09AA03
464 C09AA03
465 C09AA03
466 C09AA03
467 C09AA03
468 C09AA03
469 C09AA03
470 C09AA05
471 C09AA05
472 C09AA05
473 C09AA05
474 C09AA05
475 C09AA05
476 C09AA05
477 C09AA05
478 C09AA05
479 C09AA05
480 C09AA05
481 C09AA05
482 C09AA05
DCI
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
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
Denumire Comerciala
forma farm.
COMPR.
COMPR.
ENALAPRIL LAROPHARM 20 mg COMPR.
ENALAPRIL 5 mg
COMPR.
ENALAPRIL SANDOZ 5 mg COMPR.
ENAP 5 mg
COMPR.
RENITEC 5 mg
COMPR.
ENALAPRIL LPH (R) 5 mg
COMPR.
ENALAPRIL TERAPIA 5 mg COMPR.
COMPR.
COMPR.
ENALAPRIL LAROPHARM 5 mg COMPR.
ENAP 1,25 mg/ml
SOL. INJ./PERF.
RANOLIP
COMPR.
LISIREN 10 mg
COMPR.
LISINOPRIL SANDOZ 10 mg COMPR.
LISIGAMMA 10 mg
COMPR.
LISINOPRIL 10 MEDO
COMPR.
LISINOPRIL ACTAVIS 10 mg COMPR.
LISINOPRIL ATB 10 MG
COMPR.
TONOLYSIN 10 mg
COMPR.
TONOLYSIN 2,5 mg
COMPR.
RANOLIP
COMPR.
LISIREN 20 mg
COMPR.
LISINOPRIL SANDOZ 20 mg COMPR.
LISIGAMMA 20 mg
COMPR.
COMPR.
TONOLYSIN 20 mg
COMPR.
LISINOPRIL 20 MEDO
COMPR.
COMPR.
RANOLIP
COMPR.
LISIGAMMA 5 mg
COMPR.
LISINOPRIL 5 MEDO
COMPR.
TONOLYSIN 5 mg
COMPR.
VIVACE 10 mg
COMPR.
PIRAMIL 10 mg
COMPR.
RAMIPRIL-AC 10 mg
COMPR.
AMPRIL 10 mg
COMPR.
HARTIL 10 mg
COMPR.
ZENRA 10
COMPR.
TRITACE 10
COMPR.
RAMIPRIL AUROBINDO 10 mg COMPR.
AMPRIGEN 10 mg
COMPR.
RAMIPRIL TEVA 10 mg
COMPR.
RAMIRAN 10 mg
COMPR.
RAMIRAN 10 mg
COMPR.
VIVACE 2,5 mg
COMPR.
concentratie
20mg
20mg
20mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
1,25mg/ml
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
2,5mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
40mg
5mg
5mg
5mg
5mg
5mg
10 mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
2,5 mg
KRKA, D.D., NOVO MESTO
tara det.
APP
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
SLOVENIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
SLOVENIA
RANBAXY U.K. LIMITED
MAREA BRITANIE
Detinator APP
ARENA GROUP SA
SLAVIA PHARM S.R.L.
LAROPHARM SRL
MAGISTRA C & C
SANDOZ SRL
KRKA D.D. NOVO MESTO
MERCK SHARP & DOHME
LABORMED PHARMA SA
TERAPIA SA
ARENA GROUP S.A.
SLAVIA PHARM S.R.L.
LAROPHARM SRL
Ambalaj
Prescriptie
CUTIE X 5 BLIST. PVC/AL X 10 COMPR. P-6L

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

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

CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. P6L
CUTIE CU 5 FIOLE DIN STICLA INCOLORA X 1 ML SOL. INJ.
PR/PRF
AC HELCOR SRL
HEXAL AG

GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L
P-6L
ISLANDA CUTIE CU BLIST. PVC/AL X 30 COMPR.

ANTIBIOTICE SA
RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 BLIST. X 10 COMPR.
AC HELCOR SRL
HEXAL AG
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L

MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 2 BLIST. PVDC/AL X 10 COMPR.
ANTIBIOTICE SA
RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 BLIST. X 10 COMPR.
P-6L
ANTIBIOTICE SA
P-6L
P-6L
P-6L
P-6L
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.
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
ZENTIVA S.A.
SANOFI - AVENTIS ROMANIA S.R.L.
UNGARIA
ROMANIA
ROMANIA
MALTA
ALVOGEN IPCO S.A.R.L LUXEMBURG

TEVA PHARMACEUTICALS S.R.L.
ROMANIA

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

CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P6L
CUTIE CU BLIST. OPA/AL/PVC-AL X 30 COMPR. P6L
CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L
CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/AL X 30 COMPR. P6L
TERAPIA SA
ROMANIA
TERAPIA SA
ROMANIA
ACTAVIS GROUP HF ISLANDA CUTIE X 4 BLIST. AL/AL X 7COMPR.
Pagina 10 din 27
P-6L
P-6L
Pret
Val suportata
amanunt
de CNAS/UT
ul
(RON)Legea
Val suportata
CNAS/UT
(RON) pt.
j
(RON)
(RON)
si f)
Adulti
50
20
20
20
20
20
28
20
20
30
20
20
5
30
20
30
30
30
30
30
28
28
30
20
30
30
30
30
28
20
30
30
30
30
30
28
28
28
30
30
28
28
28
28
30
30
30
30
28
16,43
7,92
7,94
3,67
3,67
3,67
7,87
3,84
3,93
5,58
3,67
3,67
15,45
14,98
10,74
10,31
8,61
14,44
12,87
11,96
15,47
8,75
23,11
15,65
15,05
12,93
23,37
23,48
22,90
14,44
39,31
7,64
6,50
8,67
7,37
9,28
9,23
23,28
9,74
24,93
9,21
9,23
14,19
9,49
24,04
9,88
9,88
9,88
4,65
0,328600
0,396000
0,397000
0,183500
0,183500
0,183500
0,281071
0,192000
0,196500
0,186000
0,183500
0,183500
3,090000
0,499333
0,537000
0,343666
0,287000
0,481333
0,429000
0,398666
0,552500
0,312500
0,770333
0,782500
0,501666
0,431000
0,779000
0,782666
0,817857
0,722000
1,310333
0,254666
0,216666
0,289000
0,245666
0,331428
0,329642
0,831428
0,324666
0,831000
0,328928
0,329642
0,506785
0,338928
0,801333
0,329333
0,329333
0,329333
0,166071
0,328600
0,356400
0,356400
0,089100
0,089100
0,089100
0,089100
0,089100
0,089100
0,089100
0,089100
0,089100
3,090000
0,178200
0,178200
0,178200
0,178200
0,178200
0,178200
0,178200
0,178200
0,044550
0,356400
0,356400
0,356400
0,356400
0,356400
0,356400
0,356400
0,356400
0,712800
0,089100
0,089100
0,089100
0,089100
0,089100
0,329642
0,712800
0,324666
0,712800
0,328928
0,329642
0,506785
0,338928
0,712800
0,329333
0,329333
0,329333
0,166071
0,295740
0,320760
0,320760
0,080190
0,080190
0,080190
0,080190
0,080190
0,080190
0,080190
0,080190
0,080190
2,781000
0,160380
0,160380
0,160380
0,160380
0,160380
0,160380
0,160380
0,160380
0,040095
0,320760
0,320760
0,320760
0,320760
0,320760
0,320760
0,320760
0,320760
0,641520
0,080190
0,080190
0,080190
0,080190
0,080190
0,296677
0,641520
0,292199
0,641520
0,296035
0,296677
0,456106
0,305035
0,641520
0,296399
0,296399
0,296399
0,149463
Nr crt.
cod ATC
DCI
512 C09AA09
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
QUINAPRILUM
QUINAPRILUM
QUINAPRILUM
FOSINOPRILUM
FOSINOPRILUM
FOSINOPRILUM
FOSINOPRILUM
FOSINOPRILUM
FOSINOPRILUM
513 C09BA02
COMBINATII (ENALAPRILUM+HYDROCHLOROTHIAZIDUM)
514 C09BA02
515 C09BA02
516 C09BA02
517 C09BA02
518 C09BA05
COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM)
519 C09BA05
520 C09BA05
521 C09BA05
522 C09BA05
523 C09BA05
524 C09CA01
LOSARTANUM
LOSARTANUM
LOSARTANUM
LOSARTANUM
LOSARTANUM
LOSARTANUM
LOSARTANUM
LOSARTANUM
483 C09AA05
484 C09AA05
485 C09AA05
486 C09AA05
487 C09AA05
488 C09AA05
489 C09AA05
490 C09AA05
491 C09AA05
492 C09AA05
493 C09AA05
494 C09AA05
495 C09AA05
496 C09AA05
497 C09AA05
498 C09AA05
499 C09AA05
500 C09AA05
501 C09AA05
502 C09AA05
503 C09AA05
504 C09AA06
505 C09AA06
506 C09AA06
507 C09AA09
508 C09AA09
509 C09AA09
510 C09AA09
511 C09AA09
525 C09CA01
526 C09CA01
527 C09CA01
528 C09CA01
529 C09CA01
530 C09CA01
531 C09CA01
Denumire Comerciala
PIRAMIL 2,5 mg
RAMIPRIL-AC 2,5 mg
AMPRIL 2,5 mg
HARTIL 2,5 mg
ZENRA 2,5
TRITACE(R) 2,5
AMPRIGEN 2,5 mg
RAMIRAN 2,5 mg
RAMIRAN 2,5 mg
VIVACE 5 mg
PIRAMIL 5 mg
RAMIPRIL-AC 5 mg
AMPRIL 5 mg
HARTIL 5 mg
ZENRA 5
TRITACE 5
RAMIPRIL AUROBINDO 5 mg
AMPRIGEN 5 mg
RAMIPRIL TEVA 5 mg
RAMIRAN 5 mg
RAMIRAN 5 mg
ACCUPRO 10 mg
ACCUPRO (R) 20
ACCUPRO (R) 5
MONOPRIL 10 mg
FOSYPRIL 10 mg
forma farm.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
concentratie
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
5 mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
COMPR. FILM. 10mg
COMPR. FILM. 20mg
COMPR. FILM. 5mg
COMPR.
10mg
COMPR.
10mg
FOSINOPRIL AUROBINDO 10 mg COMPR.
10mg
MONOPRIL 20 mg
COMPR.
20mg
FOSYPRIL 20 mg
COMPR.
20mg
FOSINOPRIL AUROBINDO 20 mg COMPR.
20mg
ENAP HL
COMPR.
10mg+12,5mg
ENAP H
COMPR.
10mg+25mg
VIMAPRIL HL
COMPR.
10mg/12.5mg
VIMAPRIL H
COMPR.
10mg/25mg
ENAP (R) HL 20 mg/12,5 mg COMPR.
20 mg/12,5mg
HARTIL HCT 2,5 mg/12,5mg COMPR.
2,5mg/12,5mg
RAMIPRIL HCT-MEDOCHEMIE COMPR.
2,5mg/12,5mg
TRITACE 2,5 PLUS
COMPR.
2,5mg/12,5mg
HARTIL HCT 5 mg/25mg
COMPR.
5mg/25mg
RAMIPRIL HCT-MEDOCHEMIE COMPR.
5mg/25mg
TRITACE 5 PLUS
COMPR.
5mg/25mg
LODIAL 100mg
COMPR. FILM. 100 mg
TALOSAN 100 mg
COMPR. FILM. 100mg
TALOSAN 100 mg
COMPR. FILM. 100mg
LOZAP 100
COMPR. FILM. 100mg
LORISTA 100 mg
COMPR. FILM. 100mg
LOSARTAN ZENTIVA 100 mg COMPR. FILM. 100mg
LODIAL 50mg
COMPR. FILM. 50 mg
TALOSAN 50 mg
COMPR. FILM. 50mg
tara det.
APP
Ambalaj
SANDOZ SRL
ROMANIA CUTIE X 4 FOLII AL-LDPE/LDPE-AL X 7 COMPR. P-6L
Detinator APP
ZENTIVA S.A.
Prescriptie
UNGARIA CUTIE X 4 BLIST. AL/AL X 7 COMPR.

P-6L
P-6L
P-6L
ALVOGEN IPCO S.A.R.L LUXEMBURG CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P6L

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

SANDOZ SRL
P-6L
P-6L
P-6L
ZENTIVA S.A.
UNGARIA
ROMANIA
ROMANIA
MALTA

P-6L
P-6L
P-6L
TERAPIA SA
TERAPIA SA
ROMANIA
ROMANIA
ROMANIA
MAREA BRITANIE

CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P6L
CUTIE CU BLIST. OPA/AL/PVC-AL X 30 COMPR. P6L
CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/AL X 30 COMPR. P6L
CUTIE X 3 BLIST. PVC/AL/PA X 10 COMPR. FILM. P-6L
MAREA BRITANIE
CUTIE X 3 BLIST. AL/PA-AL-PVC X 10 COMPR. FILM.
P-6L
MAREA BRITANIE
CUTIE X 3 BLIST. AL/PA-AL-PVC X 10 COMPR. FILM.
P-6L

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

CUTIE X 3 BLIST. AL-PVC-PA/AL X 10 COMPR. P-6L
CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. P6L
CUTIE X 2 BLIST. AL/PVC-PVDC X 14 COMPR. P-6L
CUTIE X 3 BLIST. AL-PVC-PA/AL, X 10 COMPR. P-6L
CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. P6L
BRISTOL MYERS SQUIBB KFT
VIM SPECTRUM SRL ROMANIA CUTIE X 3 BLIST.OPA-AL-PVC/AL A CATE 10 CAPS.

VIM SPECTRUM SRL ROMANIA CUTIE X 3 BLIST.OPA-AL-PVC/AL A CATE 10 CAPS.
P-6L
P-6L
UNGARIA CUTIE X 2 BLIST. PVC-PCTFE/AL X 14 COMPR.

SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR.
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PCTFE/AL X 14 COMPR.
SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR.
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
ALKALOID-INT D.O.O. SLOVENIA CUTIE CU 2 BLIST. DIN PVC/AL X 15 COMPR. FILM. P6L
TERAPIA SA
ROMANIA CUTIE X 3 BLIST. PA-AL- PVC/AL X 10 COMPR. FILM. P-6L
TERAPIA SA
ROMANIA CUTIE X 3 FOLII AL/PE X 10 COMPR. FILM. P-6L
ZENTIVA A.S.
SLOVACIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L

P6L
ZENTIVA A.S.
SLOVACIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L
ALKALOID-INT D.O.O. SLOVENIA CUTIE CU 3 BLIST. DIN PVC/AL X 10 COMPR. FILM. P6L
KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM.
TERAPIA SA
Pagina 11 din 27
ROMANIA
CUTIE X 3 BLIST. PA-AL- PVC/AL X 10 COMPR. FILM.
P-6L
Pret
Val suportata
amanunt
de CNAS/UT
ul
(RON)Legea
Val suportata
CNAS/UT
(RON) pt.
j
(RON)
(RON)
si f)
Adulti
28
30
30
28
28
28
30
30
30
28
28
30
30
28
28
28
28
30
30
30
30
30
30
30
28
30
30
28
30
30
20
20
30
30
20
28
30
28
28
30
28
30
30
30
30
28
30
30
30
9,37
4,87
10,02
4,62
4,65
7,15
9,92
4,98
4,98
6,70
10,17
7,18
10,85
6,69
6,70
10,31
7,10
10,75
7,18
7,18
7,18
11,69
16,75
8,20
20,83
14,51
13,54
28,58
19,91
18,58
8,89
9,82
8,88
11,82
7,95
5,64
13,27
8,67
12,82
20,15
19,72
39,38
33,41
33,41
14,38
32,76
14,38
19,23
17,92
0,334642
0,162333
0,334000
0,165000
0,166071
0,255357
0,330666
0,166000
0,166000
0,239285
0,363214
0,239333
0,361666
0,238928
0,239285
0,368214
0,253571
0,358333
0,239333
0,239333
0,239333
0,389666
0,558333
0,273333
0,743928
0,483666
0,451333
1,020714
0,663666
0,619333
0,444500
0,491000
0,296000
0,394000
0,397500
0,201428
0,442333
0,309642
0,457857
0,671666
0,704285
1,312666
1,113666
1,113666
0,479333
1,170000
0,479333
0,641000
0,597333
0,178200
0,162333
0,178200
0,165000
0,166071
0,178200
0,178200
0,166000
0,166000
0,239285
0,356400
0,239333
0,356400
0,238928
0,239285
0,356400
0,253571
0,356400
0,239333
0,239333
0,239333
0,118799
0,237599
0,059399
0,118799
0,118799
0,118799
0,237599
0,237599
0,237599
0,412071
0,412071
0,296000
0,394000
0,397500
0,201428
0,412071
0,309642
0,412071
0,412071
0,412071
1,042713
1,042713
1,042713
0,479333
1,042713
0,479333
0,521356
0,521356
0,160380
0,146099
0,160380
0,148500
0,149463
0,160380
0,160380
0,149400
0,149400
0,215356
0,320760
0,215399
0,320760
0,215035
0,215356
0,320760
0,228213
0,320760
0,215399
0,215399
0,215399
0,106919
0,213839
0,053459
0,106919
0,106919
0,106919
0,213839
0,213839
0,213839
0,370863
0,370863
0,266400
0,354600
0,357750
0,181285
0,370863
0,278677
0,370863
0,370863
0,370863
0,938441
0,938441
0,938441
0,431399
0,938441
0,431399
0,469220
0,469220
Nr crt.
cod ATC
532 C09CA01
533 C09CA01
534 C09CA01
535 C09CA01
536 C09CA01
537 C09CA01
538 C10AA01
539 C10AA01
540 C10AA01
541 C10AA01
542 C10AA01
543 C10AA01
544 C10AA01
545 C10AA01
546 C10AA01
547 C10AA01
548 C10AA01
549 C10AA01
550 C10AA01
551 C10AA01
552 C10AA01
553 C10AA01
554 C10AA01
555 C10AA01
556 C10AA01
557 C10AA01
558 C10AA01
559 C10AA01
560 C10AA01
561 C10AA01
562 C10AA01
563 C10AA01
564 C10AA01
565 C10AA01
566 C10AA01
567 C10AA01
568 C10AA01
569 C10AA01
570 C10AA01
571 C10AA01
572 C10AA01
573 C10AA01
574 C10AA01
575 C10AA01
576 C10AA01
577 C10AA01
578 C10AA01
579 C10AA01
580 C10AA01
DCI
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
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
Denumire Comerciala
TALOSAN 50 mg
LOSARTAN FARMAL 50 mg
LOZAP 50
COZAAR 50 mg
LORISTA 50 mg
LOSARTAN ZENTIVA 50 mg
SIMVASTATINA ARENA 10 mg
SIMVAHEXAL (R) 10 mg
ZEPLAN (R) 10 mg
ZOCOR 10 mg
SINTENAL 10 mg
VASILIP 10 mg
SIMVASTATIN LPH 10 mg
RANVOR 10 mg
RANVOR 10 mg
RANVOR 10 mg
SIMVASTATINA SUN 10 mg
SIMVACARD 10 mg
SIMVASTATINA ALVOGEN 10 mg
SIMGAL 10 mg
SIMVASTATINA TEVA 10 mg
SIMVASTATIN AUROBINDO 10 mg
SIMVASTATIN ACTAVIS 10 mg
SIMVASTATIN TERAPIA 10 mg
ZEPLAN (R) 20 mg
ZOCOR 20 mg
ZOCOR 20 mg
SINTENAL 20 mg
VASILIP 20 mg
SIMCOR 20 mg
RANVOR 20 mg
RANVOR 20 mg
RANVOR 20 mg
SIMVACARD 20 mg
SIMGAL 20 mg
VASILIP (R) 40 mg
ZOCOR FORTE
ZOCOR FORTE
forma farm.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
concentratie
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
20 mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
30mg
40 mg
40mg
40mg
40mg
tara det.
APP
Ambalaj
TERAPIA SA
ROMANIA CUTIE X 3 FOLII AL/PE X 10 COMPR. FILM.
FARMAL INTERNATIONAL S.R.L. ROMANIA CUTIE X 2 BLIST. PVC-PE- PVDC/AL X 14 COMPR. FILM.
ZENTIVA A.S.
SLOVACIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.
MERCK SHARP & DOHME 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.
ZENTIVA A.S.
SLOVACIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.
ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. DIN PVC - PVD /AL X 14 COMPR. FILM.
HEXAL AG
GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.
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 CUTIE X 4 BLIST. DIN PVC/PE/PVDC/AL X 7 COMPR. FILM.
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM.
RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 2 BLIST. X 7 COMPR. FILM.
RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.
Detinator APP
Prescriptie
P-6L
P-6L
P-6L
P-6L
P6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
CIPLA (UK) LIMITED MAREA BRITANIE

ZENTIVA K.S.
CEHIA
LUXEMBOURG
P-6L
ROMANIA
ROMANIA
P-6L
P-6L
CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 14 COMPR. FILM. P-6L
P6L
AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/PE/PVDC/AL X 30 COMPR. FILM. P6L
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L
TERAPIA SA
ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L
ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. DIN PVC - PVD /AL X 14 COMPR. FILM.
HEXAL AG
P-6L
ROMANIA CUTIE X 2 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.
P-6L
KRKA D.D.
ANTIBIOTICE SA
SLOVENIA
P-6L
P-6L
P-6L
P-6L
CUTIE X 4 BLIST. DIN PVC/PE/PVDC/AL X 7 COMPR. FILM. P-6L
P-6L

MAREA BRITANIE

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

ZENTIVA K.S.
CEHIA
LUXEMBOURG
P-6L
ROMANIA
ROMANIA
P-6L

KRKA D.D.
SLOVENIA
CUTIE X 2 BLIST. DIN PVC - PVD /AL X 14 COMPR. FILM.
P-6L
P6L
TERAPIA SA
HEXAL AG
MERCK SHARP & DOHME

MERCK SHARP & DOHME
Pagina 12 din 27
ROMANIA
ROMANIA
P-6L
CUTIE X 4 BLIST. PVC/PE/PVDC/AL X 7 COMPR. FILM P-6L

CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 14 COMPR.FILM.
P-6L
CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 14 COMPR.FILM.
P-6L
Pret
Val suportata
amanunt
de CNAS/UT
ul
(RON)Legea
Val suportata
CNAS/UT
(RON) pt.
j
(RON)
(RON)
si f)
Adulti
30
28
30
28
28
30
28
30
28
28
30
28
30
14
28
30
28
28
30
28
30
30
30
30
28
30
28
14
28
30
28
30
30
14
28
30
28
28
30
28
30
30
30
30
30
28
28
28
14
17,92
17,89
7,75
64,56
18,00
7,75
8,75
9,37
8,75
13,45
9,35
8,74
9,37
4,24
8,47
9,37
3,98
4,01
9,37
4,01
4,28
4,93
9,35
8,81
16,55
17,75
16,56
12,74
25,45
17,69
16,55
17,73
17,73
7,90
15,79
14,05
6,58
6,63
16,84
6,63
7,10
11,16
14,05
14,87
21,09
29,88
29,86
44,47
22,99
0,597333
0,638928
0,258333
2,305714
0,642857
0,258333
0,312500
0,312333
0,312500
0,480357
0,311666
0,312142
0,312333
0,302857
0,302500
0,312333
0,142142
0,143214
0,312333
0,143214
0,142666
0,164333
0,311666
0,293666
0,591071
0,591666
0,591428
0,910000
0,908928
0,589666
0,591071
0,591000
0,591000
0,564285
0,563928
0,468333
0,235000
0,236785
0,561333
0,236785
0,236666
0,372000
0,468333
0,495666
0,703000
1,067142
1,066428
1,588214
1,642142
0,521356
0,521356
0,258333
0,521356
0,521356
0,258333
0,194193
0,194193
0,194193
0,194193
0,194193
0,194193
0,194193
0,194193
0,194193
0,194193
0,142142
0,143214
0,194193
0,143214
0,142666
0,164333
0,194193
0,194193
0,388386
0,388386
0,388386
0,388386
0,388386
0,388386
0,388386
0,388386
0,388386
0,388386
0,388386
0,388386
0,235000
0,236785
0,388386
0,236785
0,236666
0,372000
0,388386
0,388386
0,582581
0,776774
0,776774
0,776774
0,776774
0,469220
0,469220
0,232499
0,469220
0,469220
0,232499
0,174773
0,174773
0,174773
0,174773
0,174773
0,174773
0,174773
0,174773
0,174773
0,174773
0,127927
0,128892
0,174773
0,128892
0,128399
0,147899
0,174773
0,174773
0,349547
0,349547
0,349547
0,349547
0,349547
0,349547
0,349547
0,349547
0,349547
0,349547
0,349547
0,349547
0,211500
0,213106
0,349547
0,213106
0,212999
0,334800
0,349547
0,349547
0,524322
0,699096
0,699096
0,699096
0,699096
Nr crt.
cod ATC
581 C10AA01
582 C10AA01
583 C10AA01
584 C10AA01
585 C10AA01
586 C10AA01
587 C10AA01
588 C10AA01
589 C10AA01
590 C10AA01
591 C10AA01
592 C10AA01
593 C10AA01
594 C10AA01
595 C10AA01
596 C10AA01
597 C10AA02
598 C10AA02
599 C10AA02
600 C10AA02
601 C10AA02
602 C10AA03
603 C10AA03
604 C10AB05
605 C10AB05
606 C10AB05
607 C10AB05
608 C10AB05
609 C10AB05
610 D01AC02
611 D06BB03
612 D06BB03
613 D06BB03
614 D06BB03
615 D06BB03
616 D06BB03
617 D06BB03
618 D06BB03
619 D06BB03
620 D06BB03
621 D07AA02
622 D07AC01
623 D07AC01
624 D07AC01
625 G01AF04
626 G01AF04
627 G02AB03
628 G03BA03
629 G03BA03
DCI
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
LOVASTATINUM
LOVASTATINUM
LOVASTATINUM
LOVASTATINUM
LOVASTATINUM
PRAVASTATINUM
PRAVASTATINUM
FENOFIBRATUM
FENOFIBRATUM
FENOFIBRATUM
FENOFIBRATUM
FENOFIBRATUM
FENOFIBRATUM
MICONAZOLUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
HYDROCORTISONUM
BETAMETHASONUM
BETAMETHASONUM
BETAMETHASONUM
MICONAZOLUM
MICONAZOLUM
ERGOMETRINUM
TESTOSTERONUM*
TESTOSTERONUM*
Denumire Comerciala
ZEPLAN (R) 40 mg
SINTENAL 40 mg
SIMCOR 40 mg
RANVOR 40 mg
RANVOR 40 mg
forma farm.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
concentratie
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
SIMVACARD 40 mg
40mg
SIMGAL 40 mg
40mg
40mg
40mg
40mg
40mg
SIMVASTATIN ACCORD 80 mg
80mg
MEDOSTATIN
COMPR.
20mg
MEDOSTATIN
COMPR.
20mg
MEDOSTATIN
COMPR.
20mg
LOVASTATINA ARENA 20 mg COMPR.
20mg
MEDOSTATIN 40 mg
COMPR.
40mg
PRAVATOR 20 mg
COMPR.
20mg
PRAVATOR 40 mg
COMPR.
40mg
LIPOFIB 160 mg
CAPS.
160mg
FENOLIP 160 mg
CAPS.
160mg
LIPIVIM
CAPS. PULB. MICRONIZATA 200mg
LIPANTIL NANO 145 mg
COMPR. FILM. 145mg
LIPANTHYL SUPRA 160 mg COMPR. FILM. ELIB. MODIF. 160mg
LIPANTHYL SUPRA 160 mg COMPR. FILM. ELIB. MODIF. 160mg
MICONAZOL NITRAT 2%
CREMA
2%
ACICLOVIR 50mg/g
CREMA
5%
ZOVIRAX
CREMA
5%
ACICLOVIR 50mg/g
CREMA
5%
ACICLOVIR HYPERION
CREMA
50mg/g
ACICLOVIR TIS 50mg/g
CREMA
50mg/g
ACICLOVIR SLAVIA 50 mg/g CREMA
50mg/g
ACICLOVIR TERAPIA 50 mg/g CREMA
50mg/g
ACICLOVIR-RICHTER 50mg/g CREMA
50mg/g
ACICLOVIR SLAVIA 50 mg/g CREMA
50mg/g
ACICLOVIR-RICHTER 50mg/g CREMA
50mg/g
HIDROCORTIZON 1%
UNGUENT
1%
EKARZIN 0,5MG/G
CREMA
0,5mg/g
BETADERM 1 mg/g
CREMA
1mg/g
BETADERM 1mg/g
UNGUENT
1mg/g
GYNOZOL 200
CAPS. VAG. 200mg
GYNOZOL 400
CAPS. VAG. 400mg
MALEAT DE ERGOMETRINA ZENTIVA 0,2 mg/ml SOL. INJ.
0,2mg/ml
UNDESTOR TESTOCAPS 40 mg CAPS. MOI
40mg
ANDROGEL 50 mg
GEL
50mg
tara det.
APP
Ambalaj
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM.
HEXAL AG
ANTIBIOTICE S.A.
LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.
RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.
Detinator APP
Prescriptie
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
CIPLA (UK) LIMITED
MAREA BRITANIE
P-6L
LUXEMBOURG
P-6L
ZENTIVA K.S.
CEHIA
ROMANIA
ROMANIA
ACCORD HEALTHCARE LIMITED
MAREA BRITANIE
CUTIE CU BLIST. PVC- PE- PVDC /AL X 30 COMPR. FILM.
P-6L
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
ARENA GROUP S.A.
MEDOCHEMIE LTD.
CIPRU
CIPRU
CIPRU

P-6L
P-6L
P6L
TERAPIA SA

P-6L
CIPRU
P-6L
MAREA BRITANIE

MAREA BRITANIE
CUTIE X 4 BLIST. PE-AL-PVC/AL X 7 COMPR. P-6L
TERAPIA SA
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS.

REPUBLICA CEHA

THE WELLCOME FOUNDATION LTD.
HYPERION S.A.
TIS FARMACEUTIC SA
SLAVIA PHARM S.R.L.
TERAPIA S.A.
SLAVIA PHARM S.R.L.

ANTIBIOTICE SA
ANTIBIOTICE S.A.
PHARCO IMPEX 93 S.R.L.
PHARCO IMPEX 93 S.R.L.
ZENTIVA S.A.
N.V. ORGANON
LAB. BESINS INTERNATIONAL
Pagina 13 din 27
P-6L
ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR.
PHARMASWISS CESKA REPUBLIKA S.R.O.
VIM SPECTRUM SRL

LAB. FOURNIER S.A.
LAB. FOURNIER SA
LAB. FOURNIER SA
SLAVIA PHARM SRL
P-6L
P-6L
P-6L
CUTIE CU BLIST. PVC/AL X 30 CAPS.

P6L
P-6L
FRANTA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
FRANTA CUTIE X 1 BLIST. PVC- PE-PVDC/AL X 10 COMPR. FILM. CU ELIB. MOD. P-6L
FRANTA CUTIE X 3 BLIST. PVC- PE-PVDC/AL X 10 COMPR. FILM. CU ELIB. MOD. P-6L
ROMANIA CUTIE X 1 TUB X 20 G
P-RF
ROMANIA CUTIE X 1 TUB X 15 G CREMA
P-RF
MAREA BRITANIE CUTIE X 1 TUB X 5G CREMA
P-RF
ROMANIA CUTIE X 1 TUB X 5 G CREMA
P-RF
ROMANIA CUTIE X 1 TUB DIN AL X 15 G CREMA
P-RF
ROMANIA CUTIE X 1 TUB DIN PEJD X 15 G CREMA P-RF
ROMANIA CUTIE CU 1 TUB AL X 15 G CREMA
P-RF
ROMANIA CUTIE CU 1 TUB DIN AL X 15 G CREMA PRF
PRF
P-RF
PRF
P-RF
ROMANIA CUTIE X 1 TUB DIN AL X 15 G CREMA
P-RF
P-RF
P-RF
ROMANIA CUTIE X 2 BLIST. X 3 CAPS. VAG. MOI P-RF
ROMANIA CUTIE X 1 BLIST. X 3 CAPS. VAG. MOI P-RF
ROMANIA
OLANDA
FRANTA
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
Pret
Val suportata
amanunt
de CNAS/UT
ul
(RON)Legea
Val suportata
CNAS/UT
(RON) pt.
j
(RON)
(RON)
si f)
Adulti
28 29,88
30 31,99
30 31,99
30 31,99
30 31,99
14 15,01
30 23,14
28
9,06
30 23,14
28
9,12
28
9,12
30
9,77
30 17,72
30 23,11
30 25,79
30 56,17
100 67,59
10 14,44
30 20,79
30 25,87
30 47,66
28 22,45
28 35,52
30 26,89
30 26,44
30 26,43
30 34,74
10 13,81
30 40,04
1
6,83
1
7,60
1 21,06
1
4,98
1
7,33
1
4,70
1
6,72
1
6,72
1
7,60
1
5,39
1
4,98
1
7,40
1
7,40
1
5,96
1
5,96
6
5,96
3
5,72
5
7,13
60 47,33
30 223,35
1,067142
1,066333
1,066333
1,066333
1,066333
1,072142
0,771333
0,323571
0,771333
0,325714
0,325714
0,325666
0,590666
0,770333
0,859666
1,872333
0,675900
1,444000
0,693000
0,862333
1,588666
0,801785
1,268571
0,896333
0,881333
0,881000
1,158000
1,381000
1,334666
6,830000
7,600000
21,060000
4,980000
7,330000
4,700000
6,720000
6,720000
7,600000
5,390000
4,980000
7,400000
7,400000
5,960000
5,960000
0,993333
1,906666
1,426000
0,788833
7,445000
0,776774
0,776774
0,776774
0,776774
0,776774
0,776774
0,771333
0,323571
0,771333
0,325714
0,325714
0,325666
0,590666
0,770333
0,776774
1,553549
0,258924
0,258924
0,258924
0,258924
0,517849
0,388386
0,776774
0,799949
0,799949
0,881000
0,724954
0,799949
0,799949
6,455999
6,185250
2,061750
2,061750
6,185250
4,700000
6,185250
6,185250
6,185250
2,061750
2,061750
7,400000
7,400000
3,570000
3,570000
0,993333
1,906666
1,426000
0,788833
6,444749
0,699096
0,699096
0,699096
0,699096
0,699096
0,699096
0,694199
0,291213
0,694199
0,293142
0,293142
0,293099
0,531599
0,693299
0,699096
1,398194
0,233031
0,233031
0,233031
0,233031
0,466064
0,349547
0,699096
0,719954
0,719954
0,792900
0,652458
0,719954
0,719954
5,810399
5,566725
1,855575
1,855575
5,566725
4,230000
5,566725
5,566725
5,566725
1,855575
1,855575
6,660000
6,660000
3,213000
3,213000
0,893999
1,715999
1,283400
0,709949
5,800274
Nr crt.
cod ATC
630 G03BA03
631 G03BA03
632 G03CA03
633 G03CA03
634 G03CA03
635 G04CAN1
636 G04CAN1
637 G04CAN1
638 G04CAN1
639 G04CAN1
640 G04CAN1
641 G04CAN1
642 G04CAN1
643 G04CAN1
644 G04CAN1
645 H02AB04
646 H02AB04
647 H02AB04
648 H02AB07
649 H02AB07
650 H02AB07
651 H02AB07
652 H02AB09
653 H02AB09
654 H02AB09
655 H02AB09
656 H02AB09
657 J01AA02
658 J01AA02
659 J01AA02
660 J01AA02
661 J01CA04
662 J01CA04
663 J01CA04
664 J01CA04
665 J01CA04
666 J01CA04
667 J01CA04
668 J01CA04
669 J01CA04
670 J01CA04
671 J01CA04
672 J01CA04
673 J01CA04
674 J01CA04
675 J01CA04
676 J01CA04
677 J01CA04
678 J01CA04
DCI
TESTOSTERONUM*
TESTOSTERONUM*
ESTRADIOLUM*
ESTRADIOLUM*
ESTRADIOLUM*
DOXAZOSINUM
DOXAZOSINUM
DOXAZOSINUM
DOXAZOSINUM
DOXAZOSINUM
DOXAZOSINUM
DOXAZOSINUM
DOXAZOSINUM
DOXAZOSINUM
DOXAZOSINUM
METHYLPREDNISOLONUM*
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
HYDROCORTISONUM*
HYDROCORTISONUM*
HYDROCORTISONUM*
HYDROCORTISONUM*
HYDROCORTISONUM*
DOXYCYCLINUM
DOXYCYCLINUM
DOXYCYCLINUM
DOXYCYCLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
Denumire Comerciala
forma farm.
TESTIM 50 mg
NEBIDO 1000 mg/4 ml
ESTREVA (R)
OESTROGEL 0,6 mg/g
CLIMARA
KAMIREN (vezi G04CAN1)
GEL TRANSDERMIC
CARDURA XL 4 mg (vezi G04CAN1)
COMPR. ELIB. MODIF.
CARDURA XL 4 mg (vezi G04CAN1)
COMPR. ELIB. MODIF.
KAMIREN XL 4 mg (vezi C02CA04)

KAMIREN XL 4 mg (vezi C02CA04)
SOL. INJ.
GEL
GEL
PLASTURE TRANSDERM.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.

LEMOD SOLU 125 mg

LEMOD SOLU 500 mg
PREDNISON MCC 5 mg
PREDNISON 5 mg
LIOF. PT. SOL. INJ.
HYDROCORTISONE SUCCINAT SODIC
LIOF. + SOLV. PT. SOL. INJ.
LIOF. PT. SOL. INJ.

LIOF. SI SOLV.PT.SOL.INJ
COMPR.
COMPR.
COMPR.
COMPR.
HYDROCORTISONE ROUSSEL COMPR.
HIDROCORTIZON HF 500 mg
PULB. + SOLV. PT. SOL. INJ./PERF.

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

DOXICICLINA ATB 100 mg
CAPS.
DOXICICLINA ARENA
CAPS.
DOXICICLINA SANDOZ 100 mg CAPS.
UNIDOX SOLUTAB
COMPR. DISP.
AMOXICILINA ARENA 250 mg CAPS.
AMOXICILINA ANTIBIOTICE 250 mg CAPS.
OSPAMOX 250 mg
CAPS.
AMOXICILINA SANDOZ 250 mg CAPS.
AMOXICILINA ANTIBIOTICE 500 mg CAPS.
AMOXICILINA FORTE 500 mg CAPS.
AMOXICILINA FORTE 500 mg CAPS.
AMOXICILINA ARENA 500 mg CAPS.
AMOXICILINA SANDOZ 500 mg CAPS.
OSPAMOX 1000 mg
COMPR. FILM.
OSPAMOX 500 mg
COMPR. FILM.
AMOXICILINA TERAPIA 1 g COMPR. PT. DISP. ORALA
DUOMOX 1000 mg
COMPR. PT. DISPERSIE ORALA
DUOMOX 250 mg
DUOMOX 500 mg
DUOMOX 750 mg
HIDROCORTIZON HEMISUCCINAT
AMOXICILINA SANDOZ 125 mg/5 ml
PULB. PT. SUSP. ORALA
OSPAMOX (R) 125 mg/5 ml
concentratie
50mg
1000mg/4ml
0,1%
0,6mg/g
50g/24ore
1mg
1mg
2mg
2mg
4mg
4mg
4mg
4mg
4mg
4mg
125mg
500mg
250mg/4ml
5mg
5mg
5mg
5mg
10mg
100mg
500mg
100mg
25mg/5ml
100 mg
100mg
100mg
100mg
250mg
250mg
250mg
250mg
500mg
500mg
500mg
500mg
500mg
1000mg
500mg
1g
1000mg
250mg
500mg
750mg
125mg/5ml
125mg/5ml
Detinator APP
tara det.
APP
Ambalaj
FERRING GMBH
GERMANIA CUTIE CU 30 TUBURI DIN AL X 5 G GEL TRANSDERMIC
BAYER PHARMA AG GERMANIA CUTIE X 1 FIOLA X 4 ML SOL. INJ.
LAB. THERAMEX
MONACO CUTIE X 1 FLACON PE, INCHIS CU POMPA DOZATOARE X 50 G
LABORATOIRES BESINS INTERNATIONAL FRANTA CUTIE CU 1 TUB AL X 80 G GEL + DISPOZITIV DE DOZARE DIN POLISTIREN
BAYER PHARMA AG GERMANIA CUTIE X 4 PLICURI X 1 PLASTURE TRANSDERM.
Prescriptie
PR/PRF
S/P-RF
P-6L
P-6L
P-6L
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC-PVDE/AL X 10 COMPR. P-6L
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC-PVDE/AL X 10 COMPR. P-6L
MAREA BRITANIE
CUTIE X 2 BLIST. PVC-PVDC/AL-PVDC X 14 COMPR. ELIB. PREL.
P-6L
MAREA BRITANIE
CUTIE X 2 BLIST. PVC-PVDC/AL-PVDC X 14 COMPR. ELIB. PREL.
P-6L
CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. CU ELIB. PREL.
P-6L
CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. CU ELIB. PREL.
ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 2 ML

STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 7,8 ML
STADA HEMOFARM S.R.L.
MAREA BRITANIE
MAGISTRA C&C S.R.L. ROMANIA

SINTOFARM SA
ROMANIA
CN UNIFARM
ROMANIA
STADA HEMOFARM S.R.L. ROMANIA
ZENTIVA S.A.
ROMANIA
ANTIBIOTICE S.A.
ROMANIA
SANDOZ SRL
ROMANIA
CUTIE X 1 FLAC. BICOMPARTIMENTAT (COMPARTIMENT INFERIOR) LIOF. PT. SOL. INJ. + (COMPARTIMENT SUPERIOR) 4ML SOLV

CUTIE X 1 FLAC. 25 COMPR.
S/P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
PRF
CUTIE X 1 FLAC. DIN STICLA INCOLORA CU LIOF. PT. SOL. INJ. + 1 FIOLA SOLV. X 2 ML
S/P-RF
CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 20 ML, INCHIS CU DOP DIN CAUCIUC GRI, ETANSAT CU CAPSA DIN ALUMINIU, CONTINAND PULB. PT. SOL. INJ./PERF. SI 1 FIOLA CU 4 ML SOLV.
PR/PRF
CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 5 ML, INCHIS CU DOP DIN CAUCIUC GRI, ETANSAT CU CAPSA DE ALUMINIU, CONTINAND PULB. PT. SOL.INJ./PERF. SI O FIOLA CU 2 ML SOLV.
PR/PRF
CUTIE X 5 FIOLE X 1 ML SOL. A + 5 FIOLE X 4 ML SOL. B
S/P-RF

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

ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
ANTIBIOTICE SA
SANDOZ GMBH
AUSTRIA CUTIE X 2 BLIST. AL-PVC/PVDC X 6 CAPS.
SANDOZ SRL
ANTIBIOTICE SA
FARMEX COMPANY SRL ROMANIA CUTIE X 1 BLIST. X 10 CAPS.
FARMEX COMPANY SRL ROMANIA CUTIE X 2 BLIST. X 10 CAPS.
SANDOZ SRL
SANDOZ GMBH
AUSTRIA CUTIE 2 BLIST. PVC-PVDC/AL X 6 COMPR. FILM.
SANDOZ GMBH
AUSTRIA CUTIE X 2 BLIST. PVC-PVDC/AL X 6 COMPR.FILM.
TERAPIA SA
ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 7 COMPR. PT. DISP. ORALA
ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 4 BLIST. AL/PVC X 5 COMPR.
SANDOZ S.R.L.
ROMANIA
SANDOZ GMBH
AUSTRIA CUTIE X 1 FLAC. X 5,1 G PULB. PT. 60 ML SUSP. ORALA + O LINGURITA DOZATOARE
ASTELLAS PHARMA EUROPE BV
CUTIE X 1 FLAC. DIN STICLA BRUNA CONTINAND 20 G PULB PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE
Pagina 14 din 27
P-6L
S/P-RF
PRF
P-RF
P-RF
P-RF
P-RF
P-RF/S
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
Pret
Val suportata
amanunt
de CNAS/UT
ul
(RON)Legea
Val suportata
CNAS/UT
(RON) pt.
j
(RON)
(RON)
si f)
Adulti
30 183,34
6,111333
6,111333
5,500199
1 452,72 452,720000 452,720000 407,448000
1 29,40 29,400000
9,998190
8,998371
1 16,61 16,610000
9,598263
8,638436
4 29,89
7,472500
7,472500
6,725250
30 10,18
0,339333
0,189482
0,170533
30 10,18
0,339333
0,189482
0,170533
30 17,07
0,569000
0,378964
0,341067
30 17,07
0,569000
0,378964
0,341067
30 30,86
1,028666
0,757928
0,682135
30 30,86
1,028666
0,757928
0,682135
28 46,49
1,660357
0,757928
0,682135
28 46,49
1,660357
0,757928
0,682135
30 37,34
1,244666
0,757928
0,682135
30 37,34
1,244666
0,757928
0,682135
1
8,81
8,810000
8,282500
7,454250
1 31,02 31,020000 31,020000 27,918000
1 20,48 20,480000 16,565000 14,908500
20
2,65
0,132500
0,087333
0,078599
30
2,62
0,087333
0,087333
0,078599
30
3,71
0,123666
0,087333
0,078599
20
2,57
0,128500
0,087333
0,078599
25 12,20
0,488000
0,488000
0,439200
1
3,91
3,910000
3,527999
3,175199
1 11,91 11,910000 11,910000 10,719000
1
7,09
7,090000
3,527999
3,175199
5 21,33
4,266000
0,881999
0,793799
10
4,01
0,401000
0,342900
0,308610
20
7,00
0,350000
0,342900
0,308610
10
3,61
0,361000
0,342900
0,308610
10
6,83
0,683000
0,342900
0,308610
20
5,95
0,297500
0,297500
0,267750
20
6,93
0,346500
0,311849
0,280664
12
4,44
0,370000
0,311849
0,280664
20
6,15
0,307500
0,307500
0,276750
10
5,86
0,586000
0,479374
0,431436
10
5,92
0,592000
0,479374
0,431436
20
8,81
0,440500
0,440500
0,396450
10
5,69
0,569000
0,479374
0,431436
10
4,92
0,492000
0,479374
0,431436
12 11,63
0,969166
0,958749
0,862874
12
5,69
0,474166
0,474166
0,426749
21 19,41
0,924285
0,924285
0,831856
20 23,77
1,188500
0,958749
0,862874
20 10,12
0,506000
0,311849
0,280664
20 14,76
0,738000
0,479374
0,431436
20 19,75
0,987500
0,719061
0,647154
1
5,73
5,730000
1,871099
1,683989
1
4,55
4,550000
1,871099
1,683989
Nr crt.
DCI
cod ATC
679 J01CA04
680 J01CA04
681 J01CE02
682 J01CE02
683 J01CE02
684 J01CE02
AMOXICILLINUM
AMOXICILLINUM
PHENOXYMETHYLPENICILLINUM
685 J01CE08 BENZATHINI BENZYLPENICILLINUM

686 J01CE08 BENZATHINI BENZYLPENICILLINUM
687 J01CF04
688 J01CF04
689 J01CF04
690 J01CF04
691 J01CF04
692 J01CF04
693 J01CF04
694 J01CF04
695 J01CF04
696 J01CF04
697 J01CF04
698 J01CF04
699 J01CF04
700 J01CF04
701 J01CF04
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
Denumire Comerciala
PULB. PT. SOL. INJ./PERF.I.M./I.V.

PULB. PT. SOL. INJ./PERF.I.M./I.V.
ENHANCIN 500 mg/125mg
AMOXIPLUS 500/125 mg
707 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

250mg/5ml
PULB. PT. SUSP. ORALA 250mg/5ml
COMPR. FILM. 1000000ui
PULB. PT. SOL. INJ./PERF. I.M./I.V.
Detinator APP
PULB. PT. SOL. INJ./PERF. I.M./I.V.
AUGMENTIN SR 1000 mg/62,5 mg
concentratie
SANDOZ S.R.L.
OSPAMOX 250 mg/5 ml
SANDOZ GMBH
OSPEN (R) 1000
SANDOZ GMBH
OSPEN 1500
SANDOZ GMBH
OSPEN (R) 500
SANDOZ GMBH
OSPEN 400.000 U.I./5 ml
SUSP. ORALA 400.000U.I./5ml SANDOZ GMBH
MOLDAMIN 1200000 UI
PULB. PT. SUSP. INJ. 1200000UI
ANTIBIOTICE S.A.
MOLDAMIN 1200000 UI
PULB. PT. SUSP. INJ. 1200000UI
ANTIBIOTICE S.A.
OXACILINA ARENA 250 mg CAPS.
250mg
ARENA GROUP SA
OXACILINA 250 mg
CAPS.
250mg
ANTIBIOTICE SA
OXACILINA SANDOZ 250 mg CAPS.
250mg
SANDOZ SRL
OXACILINA 500 mg
CAPS.
500mg
ANTIBIOTICE SA
OXACILINA ARENA 500 mg CAPS.
500mg
ARENA GROUP SA
OXACILINA FORTE 500 mg CAPS.
500mg
FARMEX COMPANY SRL
OXACILINA SANDOZ 500 mg CAPS.
500mg
SANDOZ SRL
PULB. PT. SOL. INJ./PERF. 1000mg
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE S.A.
ANTIBIOTICE S.A.
500mg
ANTIBIOTICE SA
500mg
ANTIBIOTICE SA
1g
ANTIBIOTICE SA
1g
ANTIBIOTICE SA
AMOXICILINA SANDOZ 250 mg/ 5 ml

forma farm.
COMPR. ELIB. PREL.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
AMOXICILINA/ACID CLAVULANIC AUROBINDO 500 mg/125 mg COMPR. FILM.
COMPR. FILM.
AMOXIPLUS 875 mg/125 mg COMPR. FILM.
AUGMENTIN 875 mg/125 mg COMPR. FILM.
AMOXICILINA/ACID CLAVULANIC AUROBINDO 875 mg/125 mg COMPR. FILM.
COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE
COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE
1000mg/62,5mg BEECHAM GROUP PLC
1000mg
tara det.
APP
ROMANIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
MAREA BRITANIE
Ambalaj
Prescriptie
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 2 BLIST. AL/PVC-PVDC X 6 COMPR. FILM. P-RF

P-RF
CUTIE CU 1 FLAC. DIN STICLA BRUNA X 60 ML SUSP. ORALA CU CAPAC SI LINGURITA DOZATOARE
P-RF
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SUSP. INJ. I.M.
P-RF
CUTIE CU 100 FLAC. DIN STICLA INCOLORA CU PULB. PT. SUSP. INJ. I.M.
S/P-RF

P-RF
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.
PRF
PRF
PRF
PRF
P-RF
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 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
SLOVENIA CUTIE X 2 BLIST. AL/AL X 7 COMPR.FILM.

CUTIE X 4 FOLII AL-PEJD X 7 COMPR. FILM.
P-RF
500 mg/125 mg RANBAXY UK LIMITED
MAREA BRITANIE
500/125mg
ROMANIA CUTIE X 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM.
P-RF
MAREA BRITANIE
CUTIE CU 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM., FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA PROTECTO
P-RF
MAREA BRITANIE
CUTIE CU BLIST. OPA-AL-PVC/AL X 14 COMPR. FILM. P-RF
ANTIBIOTICE S.A.
500mg/125mg BEECHAM GROUP PLC

500mg/125mg AUROBINDO PHARMA LIMITED
625mg
LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 BLIST. AL/AL X 14 COMPR. FILM.
875mg/125mg ANTIBIOTICE S.A.
ROMANIA CUTIE CU 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM.
875mg/125mg BEECHAM GROUP PLC MAREA BRITANIE
875mg/125mg AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. OPA-AL-PVC/AL X 14 COMPR. FILM.
1000mg
BIOMEDIAL PHARMA S.R.L. ROMANIA CUTIE X 7 BLIST. AL/AL X 2 COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE
625mg
BIOMEDIAL PHARMA S.R.L. ROMANIA CUTIE X 7 BLIST. AL/AL X 2 COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE
CUTIE CU 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM., FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA PROTECTO
250mg+62,5mg/5ml
400mg+57mg/5ml LEK PHARMACEUTICALS D.D.
400mg+57mg/5ml LEK PHARMACEUTICALS D.D.
SLOVENIA
SLOVENIA
MALTA
P-RF
AMOKSIKLAV 2x
AMOKSIKLAV 2x
AMOXICILINA/ACID CLAVULANIC AUROBINDO 400 mg/57 mg/5 ml
400mg/57mg/5ml
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
MAREA BRITANIE
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. 35 ML SUSP. ORALA + MASURA DOZATOARE
P-RF
MAREA BRITANIE
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. 70 ML SUSP. ORALA + MASURA DOZATOARE
P-RF
AUGMENTIN (R) ES
AMOKSIKLAV 312,5mg/5ml PULB. PT.SUSP. ORALA
CEFALEXINA ARENA 250 mg CAPS.
CEFALEXINA ATB 250 mg
CAPS.
OSPEXIN (R) 250 mg
CAPS.
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
312,5mg/5ml LEK PHARMACEUTICALS D.D.

250mg
ARENA GROUP SA
250mg
ANTIBIOTICE SA
250mg
SANDOZ GMBH
SLOVENIA
CUTIE X 1 FLAC. DIN STICLA BRUNA CU 25 G PULB. PT. 100 ML SUSP. ORALA + LINGURITA DOZATOARE
P-RF
727 J01DB01
P-RF
726 J01DB01
156,25mg/5ml
P-RF
MEDOCLAV FORTE 312,5mg/5ml
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
P-RF
725 J01DB01
P-RF
125mg+31,25/5ml
P-RF
MEDOCLAV 156,25 mg/5 ml

P-RF
Pagina 15 din 27
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. 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
CUTIE CU 1 FLAC. PEID CARE CONTINE PULB. PT. SUSP. ORALA PT. OBTINEREA A 35 ML SUSP. RECONSTITUITA + 1 SERINGA DE POLISTIREN CU GRADATII LA INTERVALE DE 0,5 ML

ROMANIA CUTIE X 2 BLIST. X 10 CAPS.
AUSTRIA CUTIE X 1 BLIST. PVC-PVDC/AL X 12 CAPS.
PRF
P-RF
P-RF
P-RF
Pret
Val suportata
amanunt
de CNAS/UT
ul
(RON)Legea
Val suportata
CNAS/UT
(RON) pt.
j
(RON)
(RON)
si f)
Adulti
1
1
12
12
12
1
1
100
20
20
20
10
10
20
10
1
100
1
100
100
1
100
1
28
14
28
14
14
14
14
14
14
14
14
14
1
1
1
1
1
1
1
1
1
1
1
20
20
12
4,88
4,88
3,47
6,10
2,62
8,63
5,39
451,96
7,10
7,55
7,70
7,50
6,19
11,17
7,04
5,33
448,06
4,92
418,89
418,89
4,92
448,06
5,33
44,84
39,13
33,07
10,83
15,32
9,95
28,06
18,97
26,35
17,12
25,07
16,53
14,90
11,69
22,11
6,46
12,93
6,47
9,95
9,95
19,89
34,30
24,02
11,91
12,02
7,15
4,880000
4,880000
0,289166
0,508333
0,218333
8,630000
5,390000
4,519600
0,355000
0,377500
0,385000
0,750000
0,619000
0,558500
0,704000
5,330000
4,480600
4,920000
4,188900
4,188900
4,920000
4,480600
5,330000
1,601428
2,795000
1,181071
0,773571
1,094285
0,710714
2,004285
1,355000
1,882142
1,222857
1,790714
1,180714
14,900000
11,690000
22,110000
6,460000
12,930000
6,470000
9,950000
9,950000
19,890000
34,300000
24,020000
0,595500
0,601000
0,595833
3,742199
3,742199
0,289166
0,440718
0,146906
0,195874
4,338799
4,338799
0,296110
0,296110
0,296110
0,592220
0,592220
0,558500
0,592220
5,117650
4,480600
2,558825
2,558825
2,558825
2,558825
4,480600
5,117650
1,548214
1,354687
0,774107
0,773571
0,774107
0,710714
0,774107
1,354687
1,354687
1,222857
1,354687
0,774107
5,815178
5,815178
11,630357
6,460000
12,930000
6,470000
6,513000
6,513000
13,026000
27,912857
11,630357
0,450900
0,450900
0,450900
3,367979
3,367979
0,260249
0,396646
0,132215
0,176286
3,904919
3,904919
0,266499
0,266499
0,266499
0,532998
0,532998
0,502650
0,532998
4,605885
4,032540
2,302942
2,302942
2,302942
2,302942
4,032540
4,605885
1,393392
1,219218
0,696696
0,696213
0,696696
0,639642
0,696696
1,219218
1,219218
1,100571
1,219218
0,696696
5,233660
5,233660
10,467321
5,814000
11,637000
5,823000
5,861700
5,861700
11,723400
25,121571
10,467321
0,405810
0,405810
0,405810
Nr crt.
cod ATC
728 J01DB01
729 J01DB01
730 J01DB01
731 J01DB01
732 J01DB01
733 J01DB01
734 J01DB01
735 J01DB01
736 J01DB01
737 J01DB01
738 J01DB01
739 J01DB01
740 J01DB05
741 J01DB05
742 J01DB05
743 J01DB05
744 J01DB05
745 J01DB05
746 J01DC02
747 J01DC02
748 J01DC02
749 J01DC02
750 J01DC02
751 J01DC02
752 J01DC02
753 J01DC02
754 J01DC02
755 J01DC02
756 J01DC02
757 J01DC04
758 J01DC04
759 J01DC04
760 J01DC04
761 J01DC04
762 J01DC04
763 J01DC04
764 J01DC04
765 J01DC04
766 J01DC04
767 J01DC04
768 J01DC04
769 J01DC04
770 J01DC04
771 J01DC04
772 J01DC04
773 J01DC04
774 J01DC04
775 J01DC04
776 J01DC04
DCI
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFADROXILUM
CEFADROXILUM
CEFADROXILUM
CEFADROXILUM
CEFADROXILUM
CEFADROXILUM
CEFUROXIMUM
CEFUROXIMUM
CEFUROXIMUM
CEFUROXIMUM
CEFUROXIMUM
CEFUROXIMUM
CEFUROXIMUM
CEFUROXIMUM
CEFUROXIMUM
CEFUROXIMUM
CEFUROXIMUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
Denumire Comerciala
forma farm.
CAPS.
CEFALEXINA ATB 500 mg
CAPS.
CEFALEXINA ARENA 500 mg CAPS.
CEFALEXIN SANDOZ
CAPS.
OSPEXIN 1000 mg
COMPR. FILM.
OSPEXIN 500 mg
COMPR. FILM.
KEFLEX (R) 125 mg/5 ml
OSPEXIN (R) 125 mg/5 ml
CEFALEXIN SANDOZ 250 mg CAPSULE
CEFALEXIN SANDOZ 125 mg/5 ml GRANULE PENTRU SUSPENSIE ORALA
KEFLEX (R) 250 mg/5 ml
CEFALEXIN SANDOZ 250 mg/5 ml GRANULE PENTRU SUSPENSIE ORALA
OSPEXIN (R) 250 mg/5 ml

CEXYL 250 mg
CEXYL 500 mg
CEFORAN 500 mg
CEXYL 1000 mg
CEXYL 125 mg/5 ml
CEXYL 250 mg/5 ml
CAPS.
CAPS.
CAPS.
COMPR. FILM.
GRAN. SUSP. ORALA
COMPR.
CEFUROXIMA ANTIBIOTICE 250 mg COMPR.
CEFUROXIMA AUROBINDO 250 mg COMPR.
CEFUROXIMA AUROBINDO 500 mg COMPR.
ZINNAT (R) 125 mg
COMPR. FILM.
ZINNAT (R) 250 mg
COMPR. FILM.
ZINNAT (R) 500 mg
COMPR. FILM.
ZINNAT
AXYCEF (R) 125 mg/5 ml
CECLODYNE 250 mg
CAPS.
CEFACLOR ARENA 250 mg CAPS.
CLORACEF (R) 250
CAPS.
CEFACLOR TERAPIA 250 mg CAPS.
CECLODYNE FORTE 500 mg CAPS.
CLORACEF (R) FORTE 500 CAPS.
CEFACLOR ARENA 500 mg CAPS.
CEFACLOR TERAPIA 500 mg CAPS.
CECLOR MR 500 mg
CECLOR MR 750 mg
CEFUROXIMA ANTIBIOTICE 250 mg
CEFACLOR TERAPIA MR 375

CEFACLOR TERAPIA MR 750
CECLODYNE (R) MR 375 mg

CECLOR (R) 125 mg/5 ml
CEFACLOR TERAPIA 125mg/5ml
CECLOR (R) 250 mg/5 ml
COMPR. ELIB. PREL.

COMPR. ELIB. PREL.

concentratie
Detinator APP
250mg
500mg
500mg
500mg
1000mg
500mg
125mg/5ml
125mg/5ml
125mg/5ml
250mg/5ml
250mg/5ml
250mg/5ml
250mg
500mg
500mg
1000mg
125mg/5ml
250mg/5ml
250mg
250mg
250mg
500mg
500mg
500mg
125mg
250mg
500mg
125mg/5ml
125mg/5ml
250mg
250mg
250mg
250mg
500mg
500mg
500mg
500mg
500mg
750mg
375mg
750mg
375mg
500mg
750mg
125mg/5ml
125mg/5ml
250 mg/5 ml
250 mg/5 ml
250mg/5ml
SANDOZ SRL
ANTIBIOTICE SA
ARENA GROUP SA
SANDOZ S.R.L.
SANDOZ GMBH
SANDOZ GMBH
ACTAVIS GROUP HF
SANDOZ GMBH
SANDOZ SRL
ACTAVIS GROUP HF
SANDOZ SRL
SANDOZ GMBH
SANDOZ S.R.L.
SANDOZ S.R.L.
ANTIBIOTICE S.A.
SANDOZ S.R.L.
SANDOZ S.R.L.
SANDOZ S.R.L.
ANTIBIOTICE S.A.
ANTIBIOTICE S.A.
tara det.
APP
ROMANIA
ROMANIA
ROMANIA
ROMANIA
AUSTRIA
AUSTRIA
ISLANDA
AUSTRIA
Ambalaj
Prescriptie
P-RF

P-RF
P-RF
CUTIE X 2 BLIST. PVC-PVDC/AL X 6 COMPR.FILM.
P-RF
P-RF
CUTIE X 1 BLIST. PVC-PVDC/AL X 12 COMPR.FILM. P-RF

CUTIE X 1 FLAC. PEID CU GRANULE PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE
P-RF
CUTIE X 1 FLAC. X 33 G GRANULE PT. 60 ML SUSP. ORALA + 1 LINGURITA PP
P-RF
ROMANIA
CUTIE X 1 FLAC. DIN STICLA BRUNA X 33 G PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE
P-RF
ISLANDA
CUTIE X 1 FLAC. PEID CU GRANULE PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE
P-RF
ROMANIA
CUTIE X 1 FLAC. DIN STICLA BRUNA X 33 G PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE
P-RF
AUSTRIA
CUTIE X 1 FLAC. X 33G GRANULE PT. 60ML SUSP.+ LINGURITA DOZATOARE X 5ML
P-RF

P-RF
P-RF
AUROBINDO PHARMA ROMANIA S.R.L.
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
GLAXOWELLCOME UK LTD.
MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE

CUTIE X 1 BLIST. X, 10 COMPR.FILM
CUTIE X 1 BLIST. X 10 COMPR.FILM
GLAXO WELLCOME UK LTD.
MAREA BRITANIE
CUTIE X 1 FLAC. DIN STICLA BRUNA CU GRANULE PT 50 ML SUSP. ORALA + PAHAR MENZURA A 20 ML SI LINGURIT
P-RF
CUTIE X 1 FLAC. PULB. PT. 70 ML SUSP. ORALA + 1 LINGURITA DOZATOARE
P-RF
P-RF

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

P-RF

CUTIE CU 1 BLIST. AL/PVC X 10 CAPS.
P-RF
CUTIE CU 1 BLIST. PVC/PVDC-AL X 15 CAPS.
P-RF
CUTIE CU 1 BLIST. PVC-ACLAR/AL X 10 COMPR. CU ELIB. PREL.
PRF
AUROBINDO PHARMA ROMANIA S.R.L.
ANTIBIOTICE S.A.
ANTIBIOTICE S.A.
SANDOZ SRL
SANDOZ SRL
ARENA GROUP SA
ROMANIA
ROMANIA
ROMANIA
DAR AL DAWA PHARMA S.R.L. ROMANIA
TERAPIA SA
ROMANIA
SANDOZ SRL
ROMANIA
DAR AL DAWA PHARMA S.R.L. ROMANIA
TERAPIA SA
ROMANIA
ACTAVIS GROUP HF
ACTAVIS GROUP HF
TERAPIA SA
TERAPIA SA
SANDOZ SRL
SANDOZ SRL
SANDOZ SRL
ACTAVIS GROUP HF
TERAPIA SA
TERAPIA SA
TERAPIA SA
ACTAVIS GROUP HF
Pagina 16 din 27
ISLANDA
ISLANDA
CUTIE X 1 BLIST. PVC/PVDC X 10. COMPR. FILM. P-RF

CUTIE X 1 FLAC. CU GRAN PENTRU 60 ML SUSP. ORALA + O LINGURITA DOZATOARE
P-RF
CUTIE X 1 FLAC. CU GRAN. PT. 60 ML SUSP. ORALA + O LINGURITA DOZATOARE
P-RF
CUTIE X 1 BLIST. PVC-AL-PA/AL X 10 COMPR.

CUTIE X 1 BLIST. PVC-ACLAR/AL X 10 COMPR.
CUTIE CU BLIST. PA-AL-PVC/AL X 10 COMPR.
CUTIE X 1 BLIST. PVC-AL-PA/AL X 10 COMPR.
CUTIE X 1 BLIST. PVC-ACLAR/AL X 10 COMPR.
P-RF
P-RF
CUTIE CU 1 BLIST. PVC-ACLAR/AL X 10 COMPR. CU ELIB. PREL.
ROMANIA CUTIE X 1 BLIST. PVC/PVDC/AL X 10 COMPR. ELIB. PREL.

ROMANIA CUTIE X 1 BLIST. X 10 COMPR. ELIB. PREL.
ROMANIA CUTIE X 1 BLIST. PVC-PE-ACLAR/AL X 10 COMPR. FILM. ELIB. MODIF.
ROMANIA CUTIE X 1 BLIST. PVC-PE-ACLAR/AL X 10 COMPR. FILM. ELIB. MODIF.
ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ELIB. MODIF.
ISLANDA
ROMANIA
ROMANIA
ROMANIA
ISLANDA
P-RF
CUTIE X 1 FLAC. PEID DE CULOARE ALBA, CU GRANULE PT. 75 ML SUSP. ORALA + 1 LINGURITA DOZATOARE
P-RF
PRF
P-RF
P-RF
PRF
P-RF
P-RF
P-RF
P-RF
P-RF
PRF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
CUTIE X 1 FLAC. DIN PEID CU GRAN.PT. 75 ML SUSP.ORALA P-RF

CUTIE X 1 FLAC. DIN PEID CU GRAN. PT. 75 ML SUSP. ORALA
P-RF
CUTIE X 1 FLAC. DIN PEID CU GRAN. PT. 100 ML SUSP. ORALA
P-RF
CUTIE X 1 FLAC. PEID DE CULOARE ALBA, CU GRANULE PT. 75 ML SUSP. ORALA + 1 LINGURITA DOZATOARE
P-RF
Pret
Val suportata
amanunt
de CNAS/UT
ul
(RON)Legea
Val suportata
CNAS/UT
(RON) pt.
j
(RON)
(RON)
si f)
Adulti
10
10
10
10
12
12
1
1
1
1
1
1
10
10
10
10
1
1
10
10
10
10
10
10
10
10
10
1
1
10
10
16
15
10
16
10
15
10
10
10
10
10
10
10
1
1
1
1
1
5,98
10,51
9,00
10,02
15,79
11,88
6,19
7,61
6,93
10,48
9,65
9,63
18,55
13,45
13,02
26,15
12,05
22,42
14,28
14,28
10,80
30,12
30,12
17,97
15,13
16,61
27,64
19,41
17,66
16,07
15,16
21,40
13,81
29,55
28,55
27,89
32,67
26,19
35,79
32,82
55,59
35,49
46,90
66,58
16,73
12,39
22,30
29,74
33,16
0,598000
1,051000
0,900000
1,002000
1,315833
0,990000
6,190000
7,610000
6,930000
10,480000
9,650000
9,630000
1,855000
1,345000
1,302000
2,615000
12,050000
22,420000
1,428000
1,428000
1,080000
3,012000
3,012000
1,797000
1,513000
1,661000
2,764000
19,410000
17,660000
1,607000
1,516000
1,337500
0,920666
2,955000
1,784375
2,789000
2,178000
2,619000
3,579000
3,282000
5,559000
3,549000
4,690000
6,658000
16,730000
12,390000
22,300000
29,740000
33,160000
0,450900
0,901800
0,900000
0,901800
1,315833
0,901800
5,136250
5,136250
5,136250
10,272500
9,650000
9,630000
0,450900
0,901800
0,901800
1,803600
5,136250
10,272500
1,355400
1,355400
1,080000
2,710800
2,710800
1,797000
1,324500
1,355400
2,710800
13,245000
17,660000
0,677700
0,677700
0,677700
0,677700
1,355400
1,355400
1,355400
1,355400
1,355400
2,033100
1,016550
2,033100
1,016550
1,355400
2,033100
9,933750
9,933750
19,867500
26,490000
19,867500
0,405810
0,811620
0,810000
0,811620
1,184249
0,811620
4,622625
4,622625
4,622625
9,245250
8,685000
8,667000
0,405810
0,811620
0,811620
1,623240
4,622625
9,245250
1,219860
1,219860
0,972000
2,439720
2,439720
1,617300
1,192050
1,219860
2,439720
11,920500
15,894000
0,609930
0,609930
0,609930
0,609930
1,219860
1,219860
1,219860
1,219860
1,219860
1,829790
0,914895
1,829790
0,914895
1,219860
1,829790
8,940375
8,940375
17,880750
23,841000
17,880750
Nr crt.
cod ATC
777 J01DC04
778 J01DC04
779 J01DC04
780 J01DC04
781 J01DD08
782 J01DD08
783 J01DD08
784 J01DD08
DCI
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFIXIMUM
CEFIXIMUM
CEFIXIMUM
CEFIXIMUM
785 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM

791 J01FA01
792 J01FA01
793 J01FA01
794 J01FA01
795 J01FA01
796 J01FA09
797 J01FA09
798 J01FA09
799 J01FA09
800 J01FA09
801 J01FA09
802 J01FA09
803 J01FA09
804 J01FA09
805 J01FA09
806 J01FA09
807 J01FA09
808 J01FA09
809 J01FA09
810 J01FA09
811 J01FA09
812 J01FA09
813 J01FA09
814 J01FA09
815 J01FA09
816 J01FA09
817 J01FA09
818 J01FA09
819 J01FA09
820 J01FA09
821 J01FA09
822 J01FA09
823 J01FA09
824 J01FA09
825 J01MA01
ERYTHROMYCINUM
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
Denumire Comerciala
CLORACEF (R) 125

CEFAKLOR 125 mg/5 ml
CLORACEF (R) 250
CEFAKLOR 250 mg/5 ml
EFICEF 100 mg
EFICEF (R) 200 mg
XIFIA 400mg
XIFIA 400mg
TAGREMIN
SUMETROLIM
CO - TRIM ELL
BITRIM 400mg/80mg
EPITRIM
SUMETROLIM
ERITROMAGIS 200 mg
ERITROMICINA 200 mg
tara det.
APP
Ambalaj
DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 1 FLAC. CU PULB. PT. 75ML SUSP.+ LINGURITA DOZATOARE P-RF
STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. PULB. PT. 60 ML SUSP. ORALA + O MASURA DOZATOARE P-RF
DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 1 FLAC. CU PULB. PT. 75ML SUSP. + LINGURITA DOZATOARE P-RF
STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. PULB. PT. 60 ML SUSP. ORALA + O MASURA DOZATOARE P-RF
CAPS.
100mg
ANTIBIOTICE S.A.
ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 CAPS. PRF
CAPS.
200mg
ANTIBIOTICE SA
P-RF
COMPR. FILM. 400mg
INN-FARM D.O.O.
SLOVENIA CUTIE CU UN BLISTER PVC-PVDC/AL X 5 COMPRIMATE FILMATE PRF
COMPR. FILM. 400mg
INN-FARM D.O.O.
SLOVENIA CUTIE CU 2 BLISTERE PVC-PVDC/AL A CATE 5 COMPRIMATE FILMATE PRF
COMPR.
400mg/80mg ZENTIVA S.A.
forma farm.
COMPR.
COMPR.
COMPR.
concentratie
Detinator APP
Prescriptie
400mg/80mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

400mg/80mg BIO EEL SRL
400mg/80mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
SUSP. ORALA 200mg/40mg /5ml E.I.P.I.CO. MED S.R.L. ROMANIA

SUSP. ORALA 25mg/5mg/ml EGIS PHARMACEUTICALS P.L.C. UNGARIA
COMPR.
200mg
COMPR.
200mg
ANTIBIOTICE SA
ROMANIA
ERITROMICINA SANDOZ 200 mg COMPRIMATE COMPR.
200mg
SANDOZ S.R.L.
ROMANIA
ERITROMICINA ATB 200 mg COMPR.
200mg
ANTIBIOTICE SA
ROMANIA
ERITROMICINA SANDOZ 200mg/5ml PULB. PT. SUSP. ORALA 200mg/5ml
SANDOZ S.R.L.
ROMANIA
CLAXIRIT 500 mg
500mg
500mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
COMPR. FILM. ELIB. MODIF. 500mg
500mg
500mg
GRAN. PT. SUSP. ORALA 125mg/5ml
LIOF. PT. SOL. PERF. 500mg
COMPR. FILM. 200mg
P-RF
P-RF
P-RF
CUTIE X 1 FLACON DIN STICLA BRUNA CU MASURA DOZATOARE X 100 ML
P-RF
CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SUSP. ORALA + MASURA DOZATOARE
P-RF

P-RF
CUTIE X 1 FLAC. X 30G + PULB. PT. 60 ML SUSP. ORALA + O LIGURITA DOZATOARE
P-RF
P-RF
P-RF
PRF
ISLANDA
CUTIE CU BLIST. PVC/PVDC//AL X 7 COMPR. CU ELIB. PREL. PRF
CLARITROMICINA TEVA 500 mg COMPR. ELIB. PREL.

KLACID (R)
COMPR. FILM.
KLERIMED (R) 250
COMPR. FILM.
KLABAX 250 mg
COMPR. FILM.
FROMILID 250
COMPR. FILM.
CLARITROMICINA TEVA 250 mg COMPR. FILM.
LEKOKLAR 250 mg
COMPR. FILM.
CLARITROMICINA AUROBINDO 250 mg COMPR. FILM.
KLERIMED (R) 500
COMPR. FILM.
KLABAX 500 mg
COMPR. FILM.
FROMILID 500
COMPR. FILM.
ROCLARIN 500 mg
COMPR. FILM.
CLAR 500
COMPR. FILM.
CLARITROMICINA TEVA 500 mg COMPR. FILM.
LEKOKLAR 500 mg
COMPR. FILM.
CLARITROMICINA AUROBINDO 500 mg COMPR. FILM.
ROMANIA
CUTIE CU BLIST. PVC-PVDC/AL X 6 COMPR. ELIB. PREL.
SANDOZ S.R.L.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF

CUTIE X 5 BLIST. AL/PVC X 4 COMPR. FILM. P-RF
ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 14 COMPR. FILM. (AMBALAJ TIP CALENDAR) PRF
ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 14 COMPR. FILM. PRF
MALTA
CUTIE CU BLSIT. PVC-PVDC/AL X 14 COMPR. FILM.
PRF
KLABAX MR 500 mg
KLACID SR
FROMILID (R) UNO
KLACID (R)
KLACID (R)
KLABAX 125 mg/5 ml
KLABAX 250 mg/5 ml
KLABAX 250 mg/5 ml
KLACID I.V.
ZANOCIN
TERAPIA SA
ROMANIA
CUTIE X 1 BLIST. PVC/PVDC-AL X 7 COMPR. FILM. ELIB. PREL.
P-RF
ABBOTT LABORATORIES LTD.
MAREA BRITANIE
P-RF
KRKA D.D.
ABBOTT SPA
ABBOTT SPA
KRKA D.D.
SANDOZ SRL
TERAPIA SA
TERAPIA SA
TERAPIA SA
SANDOZ S.R.L.
SLOVENIA
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
FRANTA CUTIE X 1 FLAC. LIOF. PT. SOL. PERF.
RANBAXY UK LIMITED
MAREA BRITANIE
ABBOTT SPA
ITALIA
TERAPIA SA
ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM.
PRF
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
SANDOZ S.R.L.
ROMANIA
ROMANIA
MALTA
TERAPIA SA
ROMANIA
CUTIE CU BLIST. PVC-PVDC/AL X 14 COMPR. FILM. (AMBALAJ TIP CALENDAR)
PRF
CUTIE CU BLIST. PVC/PVDC-AL X 14 COMPR. FILM.
PRF
CUTIE CU BLSIT. PVC-PVDC/AL X 14 COMPR. FILM.
PRF

P-RF
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. P-RF
ANTIBIOTICE S.A.
GLENMARK PHARMACEUTICALS S.R.O.
Pagina 17 din 27
REPUBLICA CEHA
ITALIA
ITALIA
SLOVENIA CUTIE X 1 FLAC. PULB. PT. 60 ML SUSP.
P-RF
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. PEID X 70 G GRAN. PT. 100 ML SUSP . ORALA
P-RF
CUTIE X 1 FLAC. PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA
P-RF
CUTIE CU 1 FLAC. PEID + SERINGA DE MASURAT DIN PE/PP CU MARCAJE LA 2,5, 3,75 ML SI 5,0 ML SI 1 LINGURITA DOZATOARE DIN PE/PP CU MARCAJE LA 1,25 ML, 2,5 ML SI 5,0 ML CU 41,0 GRANULE PT 60 ML SUSP. ORALA
PRF
S/P-RF
P-RF
Pret
Val suportata
amanunt
de CNAS/UT
ul
(RON)Legea
Val suportata
CNAS/UT
(RON) pt.
j
(RON)
(RON)
si f)
Adulti
1 11,90
1
9,09
1 21,40
1 16,53
10 21,56
10 34,77
5 55,99
10 101,25
20
7,72
20
7,40
20
7,04
20
7,72
1
4,76
1 10,48
20
7,09
20
9,60
20
8,44
20
9,60
1 11,46
7 32,05
6 29,37
14 28,57
14 16,69
14 14,67
14 16,69
14 11,34
14 11,36
14 10,20
14 32,62
14 32,08
14 32,62
20 43,35
20 53,31
14 24,62
14 32,62
14 22,16
7 33,15
5 36,43
7 28,09
1 39,14
1 24,48
1 23,30
1 26,21
1 18,94
1 51,09
1 31,68
1 28,78
1 53,78
10 11,36
11,900000
9,090000
21,400000
16,530000
2,156000
3,477000
11,198000
10,125000
0,386000
0,370000
0,352000
0,386000
4,760000
10,480000
0,354500
0,480000
0,422000
0,480000
11,460000
4,578571
4,895000
2,040714
1,192142
1,047857
1,192142
0,810000
0,811428
0,728571
2,330000
2,291428
2,330000
2,167500
2,665500
1,758571
2,330000
1,582857
4,735714
7,286000
4,012857
39,140000
24,480000
23,300000
26,210000
18,940000
51,090000
31,680000
28,780000
53,780000
1,136000
9,933750
7,947000
19,867500
15,894000
1,846462
3,477000
7,385850
7,385850
0,328950
0,328950
0,328950
0,328950
4,760000
4,366125
0,354500
0,419400
0,419400
0,419400
11,460000
2,097000
2,097000
1,048500
1,048500
1,047857
1,048500
0,810000
0,811428
0,728571
2,097000
2,097000
2,097000
2,097000
2,097000
1,758571
2,097000
1,582857
2,097000
2,097000
2,097000
26,085000
15,651000
15,651000
15,651000
15,651000
51,090000
31,302000
28,780000
25,576250
1,136000
8,940375
7,152300
17,880750
14,304600
1,661815
3,129300
6,647265
6,647265
0,296055
0,296055
0,296055
0,296055
4,284000
3,929512
0,319050
0,377460
0,377460
0,377460
10,314000
1,887300
1,887300
0,943650
0,943650
0,943071
0,943650
0,729000
0,730285
0,655713
1,887300
1,887300
1,887300
1,887300
1,887300
1,582713
1,887300
1,424571
1,887300
1,887300
1,887300
23,476500
14,085900
14,085900
14,085900
14,085900
45,981000
28,171800
25,902000
23,018625
1,022400
Nr crt.
cod ATC
826 J01MA01
827 J01MA02
828 J01MA02
829 J01MA02
830 J01MA02
831 J01MA02
832 J01MA02
833 J01MA02
834 J01MA02
835 J01MA02
836 J01MA02
837 J01MA02
838 J01MA02
839 J01MA02
840 J01MA02
841 J01MA02
842 J01MA02
843 J01MA02
844 J01MA02
845 J01MA02
846 J01MA02
847 J01MA02
848 J01MA02
849 J01MA03
850 J01MA06
851 J01MA06
852 J01MA06
853 J01MA06
854 J01MB02
855 J01XD01
856 J01XD01
857 J01XD01
858 J01XD01
859 J01XD01
860 J01XD01
861 J01XD01
862 J01XD01
863 J01XD01
864 J01XD01
865 J01XD01
866 J02AC01
867 J02AC01
868 J02AC01
869 J02AC01
870 J02AC01
871 J02AC01
872 J02AC01
873 J02AC01
874 J02AC01
DCI
OFLOXACINUM
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
ACIDUM NALIDIXICUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
Denumire Comerciala
OFLOXIN 200
CIPROCIN 250 mg
CIPRINOL 250 mg
CIPROLEN (R) 250 mg
CUMINOL 250 mg
CUMINOL 250 mg
CIFRAN
CIPRINOL 500 mg
CIPROCIN 500 mg
CIPROLEN (R) 500 mg
CUMINOL 500 mg
CIFRAN
CIPRO QUIN (R)
CIPRINOL 750 mg
CIPROBAY XR 1000 mg
CIPROBAY XR 500 mg
PEFLOXACIN LAROPHARM
NORFLOXACINA LPH 400 mg
NOLICIN 400 mg
NOR QUIN 400 mg
forma farm.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
NORFLOXACIN HELCOR 400 mg COMPR. FILM.
NALIXID 500 mg

FLUCOVIM 100
FUNGOLON 100 mg
FLUCOVIM 150
DIFLUCAN 150 mg
FLUCORIC 150 mg
CAPS.
COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
concentratie
200mg
100mg
100mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
750mg
750mg
1000 mg
500 mg
400mg
400mg
400mg
400mg
400mg
500mg
250mg
250mg
250mg
250mg
5g/l
5g/l
5g/l
5g/l
5mg/ml
5mg/ml
5mg/ml
100mg
100mg
100mg
100mg
100mg
150mg
150mg
150mg
150mg
Detinator APP
tara det.
APP
Ambalaj
Prescriptie
ZENTIVA K.S.
CEHIA
ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.
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
P-RF

RANBAXY UK LIMITED
MAREA BRITANIE
CUTIE X 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM.
P-RF
P-RF
P-RF
P-RF
P-RF

P-RF
P-RF

AC HELCOR SRL
ROMANIA
RANBAXY UK LIMITED MAREA BRITANIE
ANTIBIOTICE SA
ROMANIA
P-RF
P-RF

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

P-RF
P-RF
P-RF
P-RF
P-RF
ARENA GROUP S.A.

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

LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM.
P-RF
P-RF
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.
P-RF
ANTIBIOTICE S.A.
CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM.
P-RF/S
P-RF

P-RF
P-RF
ZENTIVA SA
ARENA GROUP SA
ARENA GROUP SA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
FRANTA
LABORATOIRE AVENTIS
INFOMED FLUIDS SRL

INFOMED FLUIDS SRL
INFOMED FLUIDS SRL
INFOMED FLUIDS SRL
ROMANIA
ROMANIA
ROMANIA
ROMANIA

P-RF
P-RF
P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF.
S/P-RF
B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. DIN PEJD X 100 ML SOL. PERF.
S/P-RF
B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FLAC. DIN PEJD X 100 ML SOL. PERF.
S/P-RF
VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS.

P-RF
BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 2 BLIST. PVC/AL X 8 CAPS.
P-RF
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 2 CAPS. P-RF
CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS.
PRF
VIM SPECTRUM SRL ROMANIA CUTIE X 1 FLAC. X 1 CAPS.
P-RF
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 1 CAPS.
P-RF
TERAPIA SA
ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS. P-RF
SANDOZ SRL
P-RF
Pagina 18 din 27
Pret
Val suportata
amanunt
de CNAS/UT
ul
(RON)Legea
Val suportata
CNAS/UT
(RON) pt.
j
(RON)
(RON)
si f)
Adulti
10 20,02
10 37,31
20 65,61
10
6,83
10
6,83
10
6,83
10
6,83
20 12,30
10
6,93
10
6,56
20 12,30
10 13,22
10 13,22
10 13,22
10 13,22
10
8,78
10 13,22
10
9,23
20 16,43
10 38,50
10 37,31
7 84,70
3 27,63
10 27,86
20 15,73
20 17,60
20 17,60
20 17,60
30 29,29
30
7,72
30
7,72
20
7,09
20
7,09
12 100,25
1
9,11
12 98,29
1
8,91
10 48,92
10 48,37
20 278,47
4 25,61
16 82,66
2
9,43
7 31,51
7 28,51
1
9,94
1 25,08
1 18,86
1 14,58
2,002000
3,731000
3,280500
0,683000
0,683000
0,683000
0,683000
0,615000
0,693000
0,656000
0,615000
1,322000
1,322000
1,322000
1,322000
0,878000
1,322000
0,923000
0,821500
3,850000
3,731000
12,100000
9,210000
2,786000
0,786500
0,880000
0,880000
0,880000
0,976333
0,257333
0,257333
0,354500
0,354500
8,354166
9,110000
8,190833
8,910000
4,892000
4,837000
13,923500
6,402500
5,166250
4,715000
4,501428
4,072857
9,940000
25,080000
18,860000
14,580000
1,189800
0,237960
0,237960
0,594900
0,594900
0,594900
0,594900
0,594900
0,594900
0,594900
0,594900
1,189800
1,189800
1,189800
1,189800
0,878000
1,189800
0,923000
0,821500
1,784700
1,784700
2,379600
1,189800
1,189800
0,786500
0,856625
0,856625
0,856625
0,976333
0,257333
0,257333
0,297187
0,297187
8,354166
8,632083
8,190833
8,632083
4,316041
4,316041
4,316041
3,978321
3,978321
3,978321
3,978321
3,978321
5,967481
5,967481
5,967481
5,967481
1,070820
0,214164
0,214164
0,535410
0,535410
0,535410
0,535410
0,535410
0,535410
0,535410
0,535410
1,070820
1,070820
1,070820
1,070820
0,790200
1,070820
0,830700
0,739350
1,606230
1,606230
2,141640
1,070820
1,070820
0,707850
0,770962
0,770962
0,770962
0,878699
0,231599
0,231599
0,267468
0,267468
7,518749
7,768874
7,371749
7,768874
3,884436
3,884436
3,884436
3,580488
3,580488
3,580488
3,580488
3,580488
5,370732
5,370732
5,370732
5,370732
cod ATC
DCI
875 J02AC01
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
INDOMETACINUM
INDOMETACINUM
INDOMETACINUM
INDOMETACINUM
INDOMETACINUM
INDOMETACINUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
Nr crt.
876 J02AC01
877 J02AC01
878 J02AC01
879 J02AC01
880 J02AC01
881 J02AC01
882 J02AC01
883 J02AC01
884 J02AC01
885 J02AC01
886 J02AC01
887 J02AC01
888 J02AC01
889 J02AC01
890 J02AC01
891 J02AC01
892 J02AC01
893 J02AC01
894 J02AC01
895 J02AC01
896 J02AC01
897 J02AC01
898 J02AC01
899 J02AC01
900 J05AB01
901 J05AB01
902 J05AB01
903 J05AB01
904 J05AB01
905 J05AB01
906 J05AB01
907 J05AB01
908 J05AB01
909 J05AB01
910 J05AB01
911 M01AB01
912 M01AB01
913 M01AB01
914 M01AB01
915 M01AB01
916 M01AB01
917 M01AB05
918 M01AB05
919 M01AB05
920 M01AB05
921 M01AB05
922 M01AB05
923 M01AB05
forma farm.
Denumire Comerciala
FLUCONAZOLE TEVA 150 mg CAPS.
FLUCONAZOL 150 mg
MYCOSYST 150 mg


FLUCOVIM 50
DIFLUCAN 50 mg
FLUCORIC 50 mg
FLUCONAZOL 50 mg
DIFLUCAN 10 mg/ml
DIFLAZON 2mg/ml
ACICLOVIR 200 mg
ACICLOVIR 200 mg
ACICLOVIR 200 mg
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
SOL. PERF.
CAPS.
CAPS.
CAPS.
CAPS.
COMPR.
COMPR.
COMPR.
ACICLOVIR LAROPHARM 200 mg COMPR.
ACICLOVIR-RICHTER 200 mg COMPR.
ACICLOVIR 400 mg
COMPR.
VIROLEX
INDOMETACIN LAROPHARM 25 mg CAPS.
INDOMETACIN ARENA 25 MG CAPS.
INDOMETACIN ARENA 50 MG CAPS.
INDOMETACIN 50 mg
SUPOZ.
INDOMETACIN 50 mg
SUPOZ.
INDOMETACIN 50 mg
SUPOZ.
DICLOREUM 150 mg
CAPS. ELIB. PREL.
DICLOFENAC DUO PHARMASWISS 75 mg
TRATUL 50 mg
DICLOTARD 100 mg
DICLAC (R) 75 ID
VOLTAREN (R) RETARD
REFEN (R) RETARD
CAPS. ELIB. PREL.

CAPS. MOI GASTROREZ.
COMPR. ELIB. MODIF.

concentratie
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
200mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
10mg/ml
2mg/ml
200mg
200mg
200mg
400mg
200mg
200mg
200mg
200mg
200mg
400mg
250mg
25mg
25mg
50mg
50mg
50mg
50mg
150mg
75mg
50mg
100mg
75mg
100mg
100mg
tara det.
APP
TEVA PHARMACEUTICALS S.R.L. ROMANIA
SLAVIA PHARM SRL ROMANIA
MEDOCHEMIE ROMANIA SRL ROMANIA
LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA
Detinator APP

ZENTIVA K.S.
Ambalaj
Prescriptie
P-RF

P-RF
P-RF

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

MALTA CUTIE CU 1 BLIST. PVC TRANSPARENT/PVDC-AL X 1 CAPS.
REPUBLICA CEHA CUTIE X 1 BLIST. AL/PVC X 1 CAPS.
P-RF
P-RF
PRF
PRF
PRF
PRF
P-RF
ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF

VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS.
P-RF
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 7 CAPS.
P-RF
TERAPIA SA
ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS. P-RF
SANDOZ SRL
P-RF
SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS.
P-RF
MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS.
P-RF
LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF
P-RF
LABORMED PHARMA S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 7 CAPS.
PRF
CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS.
PRF
MAREA BRITANIE
CUTIE CU 1 FLAC. PEID, DE CAPACITATE 60 ML + 1 LINGURITA DOZATOARE A 5 ML, CU PULB. PT. 35 ML SUSP.O
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML
PRF
S/PR-F
SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P-RF
P-RF
FARMEX COMPANY S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 CAPS. P-RF
ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS.
P-RF
TERAPIA SA
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. P-RF
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF
LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
P-RF
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. PRF
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 5 FLAC. X 250 MG PULB. PT. SOL. INJ./PERF.
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ALFA WASSERMANN SPA
ITALIA
CUTIE X 2 BLIST. AL/PVC X 10 CAPS. ELIB. PREL.
CEHIA
CUTIE X 3 BLIST. PVC/PVDC/AL X 10 CAPS. ELIB. PREL.
AUSTRIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS. MOI GASTROREZ.
P-6L
ROMANIA
P-6L
GEROT PHARMAZEUTIKA GES.M.B.H.
TERAPIA SA
HEXAL AG
Pagina 19 din 27
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. PVC-PVDC/AL X 10 COMPR. FILM. ELIB. PREL
P-6L
P-6L
NOVARTIS PHARMA GMBH GERMANIA
CUTIE X 2 BLIST., PVC/AL, X 10 CAPS.

S/P-RF
LAROPHARM SRL
ARENA GROUP SA
ARENA GROUP SA
ANTIBIOTICE SA
SINTOFARM SA
MAGISTRA C & C
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
Pret
Val suportata
amanunt
de CNAS/UT
ul
(RON)Legea
Val suportata
CNAS/UT
(RON) pt.
j
(RON)
(RON)
si f)
Adulti
1
6,59
1
9,68
1
8,20
1
6,59
1
9,03
4 63,10
1 10,06
1
9,94
1 12,94
1
6,01
1 12,03
7 39,37
7 22,56
7 56,54
7 29,61
7 41,93
7 16,69
7 19,58
7 16,15
7 15,76
7 19,12
7 22,56
7 14,02
1 31,71
1 45,82
20 20,23
20 21,42
20 21,42
10 19,48
20 17,15
20 17,23
20 13,81
20 17,23
20 17,23
10 27,18
5 282,97
20
1,62
30
2,14
20
3,53
6
4,13
10
6,87
10
6,59
20 47,70
30 20,49
30
6,39
20
8,54
10
3,93
10
6,56
20
8,55
6,590000
9,680000
8,200000
6,590000
9,030000
15,775000
10,060000
9,940000
12,940000
6,010000
12,030000
5,624285
3,222857
8,077142
4,230000
5,990000
2,384285
2,797142
2,307142
2,251428
2,731428
3,222857
2,002857
31,710000
45,820000
1,011500
1,071000
1,071000
1,948000
0,857500
0,861500
0,690500
0,861500
0,861500
2,718000
56,594000
0,081000
0,071333
0,176500
0,688333
0,687000
0,659000
2,385000
0,683000
0,213000
0,427000
0,393000
0,656000
0,427500
5,967481
5,967481
5,967481
5,967481
5,967481
5,967481
5,967481
5,967481
5,967481
5,967481
5,967481
5,624285
1,989160
1,989160
1,989160
1,989160
1,989160
1,989160
1,989160
1,989160
1,989160
1,989160
1,989160
13,924124
35,193375
0,775350
0,775350
0,775350
1,550700
0,775350
0,775350
0,690500
0,775350
0,775350
1,550700
56,594000
0,079425
0,071333
0,158850
0,380999
0,380999
0,380999
0,476550
0,238275
0,158850
0,317700
0,238275
0,317700
0,317700
5,370732
5,370732
5,370732
5,370732
5,370732
5,370732
5,370732
5,370732
5,370732
5,370732
5,370732
5,061856
1,790244
1,790244
1,790244
1,790244
1,790244
1,790244
1,790244
1,790244
1,790244
1,790244
1,790244
12,531711
31,674037
0,697815
0,697815
0,697815
1,395630
0,697815
0,697815
0,621450
0,697815
0,697815
1,395630
50,934600
0,071482
0,064199
0,142965
0,342899
0,342899
0,342899
0,428895
0,214447
0,142965
0,285930
0,214447
0,285930
0,285930
Nr crt.
cod ATC
924 M01AB05
925 M01AB05
926 M01AB05
927 M01AB05
928 M01AB05
929 M01AB05
930 M01AB05
931 M01AB05
932 M01AB05
933 M01AB05
934 M01AB05
935 M01AB05
936 M01AB05
937 M01AB05
938 M01AB05
939 M01AB05
940 M01AB05
941 M01AB05
942 M01AB15
943 M01AB15
944 M01AB15
945 M01AB15
946 M01AB16
947 M01AC02
948 M01AC02
949 M01AC02
950 M01AC02
951 M01AC06
952 M01AC06
953 M01AC06
954 M01AC06
955 M01AC06
956 M01AC06
957 M01AC06
958 M01AC06
959 M01AC06
960 M01AC06
961 M01AC06
962 M01AC06
963 M01AC06
964 M01AC06
965 M01AC06
966 M01AC06
967 M01AC06
968 M01AC06
969 M01AC06
970 M01AC06
971 M01AC06
972 M01AC06
DCI
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
KETOROLACUM TROMETHAMIN
ACECLOFENACUM
TENOXICAMUM
TENOXICAMUM
TENOXICAMUM
TENOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
Denumire Comerciala
VOLTAREN (R) 50
DICLOFENAC 50 mg
DICLOFENAC HELCOR 50 mg
VOLTAREN RAPID (R)

DICLOFENAC ARENA 25 mg
VOLTAREN (R)
TRATUL (R)
DICLOFENAC 75 mg
REFEN 75 mg
CLAFEN 100 mg
VOLTAREN (R)
DICLOFENAC 100 mg
DICLOFENAC SODIC 100 mg
forma farm.
DRAJ.
DRAJ. GASTROREZ.
DRAJ. GASTROREZ.
DRAJ. GASTROREZ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ./PERF.
SUPOZ.
SUPOZ.
SUPOZ.
SUPOZ.
DICLOFENAC SINTOFARM 12,5 mg SUPOZ.
VOLTAREN (R)
SUPOZ.
KETOROL
COMPR. FILM.
KETANOV 10 mg
COMPR. FILM.
KETANOV
SOL. INJ.
KETOROL
SOL. INJ.
AFLAMIL 100mg
COMPR. FILM.
TENOXICAM LPH 20 mg
CAPS.
TENOXICAM ARENA 20 mg COMPR.
NEO - ENDUSIX (R)
COMPR. FILM.
NEO - ENDUSIX (R)
MOVALIS (R) 15 mg
COMPR.
MOVALIS (R) 15 mg
COMPR.
MELOXICAM LPH 15 mg
COMPR.
MELOXICAM SANDOZ 15 mg COMPR.
RECOXA 15
COMPR.
MELOXICAM MCC 15 mg
COMPR.
VALZER 15 mg
COMPR.
NOFLAMEN 15 mg
COMPR.
NOFLAMEN 15 mg
COMPR.
MELOXICAM VIM SPECTRUM 15 mg COMPR.
ASPIFLEX 15 mg
COMPR.
Meloxicam Zentiva 15 mg comprimate 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.
MELOXICAM ROMPHARM 15 mg/1,5 ml SOL INJ.
MELOXICAM ROMPHARM 15 mg/1,5 ml SOL INJ.
concentratie
50mg
50mg
50mg
50mg
25mg
50mg
50mg
25mg/ml
30mg/ml
75mg/3ml
25mg/ml
100mg
100mg
100mg
100mg
12,5 mg
12,5 mg
50mg
10mg
10mg
30mg/ml
30mg/ml
100mg
20mg
20mg
20mg
20mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
7,5mg
7,5mg
7,5mg
7,5mg
7,5mg
7,5mg
7,5mg
7,5mg
15mg/1,5ml
15mg/1,5ml
Detinator APP
tara det.
APP
Ambalaj
Prescriptie
CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. GASTROREZ.
P-6L
TERAPIA SA
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ.
P-6L
P-6L
ROMANIA
ROMANIA
NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 10 DRAJ. P-6L
ARENA GROUP SA
ARENA GROUP SA
ARENA GROUP SA
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 DRAJ. GASTROREZ.

ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 DRAJ GASTROREZ.
ROMANIA CUTIE X 1 BLIST. AL/PVC X 30 DRAJ GASTROREZ.
NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 FIOLE CU PUNCT DE RUPERE X 3 ML

AUSTRIA
CUTIE X 1 BLIST PVC X 5 FIOLE DIN STICLA BRUNA X 3 ML SOL. INJ.
P-6L
P-6L
P-6L
P-RF
P-RF
TERAPIA SA
ROMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 3 ML P-RF
STADA HEMOFARM S.R.L. ROMANIA CUTIE CU 5 FIOLE DIN STICLA INCOLORA X 3 ML SOL. INJ./PERF. P-RF
ANTIBIOTICE SA
ROMANIA CUTIE X 2 FOLII TERMOSUDANTE X 3 SUPOZ. P-6L
NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FOLIE PVC/PE-JD X 5 SUPOZ. P-6L
SINTOFARM SA
ROMANIA CUTIE X 2 FOLII PVC/PE X 5 SUPOZ.
P-6L
MAGISTRA C & C
ROMANIA CUTIE X 2 FOLII TERMOSUDATE PVC/PE X 5 SUPOZ. P-6L
SINTOFARM S.A.
ROMANIA CUTIE X 2 FOLII TERMOSUDATE DIN PVC-PE X 3 SUPOZITOARE P6L
SINTOFARM S.A.
ROMANIA CUTIE X 2 FOLII TERMOSUDATE DIN PVC-PE X 5 SUPOZITOARE P6L
CUTIE X 2 FOLII PVC/PEJD X 5 SUPOZ.
P-6L
ROMANIA
TERAPIA SA
ROMANIA
TERAPIA SA
ROMANIA
P-6L
CUTIE CU 2 BLIST. OPA-AL-PVC/AL A CATE 10 COMPR. FILM. P-6L
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
P-6L
ANFARM HELLAS S.A. PHARMACEUTICALS

GRECIA CUTIE X 1 BLIST. X 10 COMPR. FILM.
GRECIA CUTIE X 1 FLAC. PULB. + 1 FIOLA SOLV.
BOEHRINGER INGELHEIM INTERNATIONAL GMBH
P-6L
P-6L
P-RF
HEXAL AG
ZENTIVA AS
CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L
CEHIA
MAGISTRA C & C SRL ROMANIA

BMF PHARM S.R.L. ROMANIA
ZENTIVA AS
Pagina 20 din 27
P-6L

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

P-6L

ROMANIA

CUTIE X BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L
CUTIE X BLIST. OPA-AL-PVC/AL X 20 COMPR. P-6L
CEHIA
HEXAL AG
P-6L
CUTIE X 2 BLIAT. AL/PVC X 10 COMPR.
P-6L

CUTIE X 2, BLIST. PVC/AL X 10 COMPR.
P-6L
P-6L
CUTIE CU 3 FIOLE DIN STICLA INCOLORA, PREVAZUTE CU INEL DE RUPERE, CU CAPACITATEA DE 2 ML CARE CONTIN 1,5 ML SOL. INJ.
PRF
CUTIE CU 5 FIOLE DIN STICLA INCOLORA, PREVAZUTE CU INEL DE RUPERE, CU CAPACITATEA DE 2 ML CARE CONTIN 1,5 ML SOL. INJ.
PRF
Pret
Val suportata
amanunt
de CNAS/UT
ul
(RON)Legea
Val suportata
CNAS/UT
(RON) pt.
j
(RON)
(RON)
si f)
Adulti
20
20
20
10
30
20
30
5
5
5
5
6
5
10
10
6
10
10
20
20
10
10
20
20
20
10
1
20
10
20
20
20
20
20
10
20
20
20
20
10
20
20
20
20
20
20
20
3
5
6,56
4,25
2,27
2,34
5,72
2,65
3,98
9,40
14,24
6,10
4,05
3,94
5,47
6,95
6,38
3,64
6,01
9,45
6,75
10,14
24,75
19,61
22,71
11,45
14,11
6,35
5,44
15,44
7,70
10,03
9,98
6,92
10,03
10,03
5,01
10,03
10,03
10,03
6,92
7,41
14,84
9,65
9,65
9,65
9,65
9,65
9,65
5,89
9,82
0,328000
0,212500
0,113500
0,234000
0,190666
0,132500
0,132666
1,880000
2,848000
1,220000
0,810000
0,656666
1,094000
0,695000
0,638000
0,606666
0,601000
0,945000
0,337500
0,507000
2,475000
1,961000
1,135500
0,572500
0,705500
0,635000
5,440000
0,772000
0,770000
0,501500
0,499000
0,346000
0,501500
0,501500
0,501000
0,501500
0,501500
0,501500
0,346000
0,741000
0,742000
0,482500
0,482500
0,482500
0,482500
0,482500
0,482500
1,963333
1,964000
0,158850
0,158850
0,113500
0,158850
0,079425
0,132500
0,132666
1,210837
1,453005
1,210837
0,810000
0,656666
0,761999
0,695000
0,638000
0,095249
0,095249
0,380999
0,105899
0,105899
1,614450
1,614450
0,158850
0,451350
0,451350
0,451350
1,768500
0,451350
0,451350
0,451350
0,451350
0,346000
0,451350
0,451350
0,451350
0,451350
0,451350
0,451350
0,346000
0,225675
0,225675
0,225675
0,225675
0,225675
0,225675
0,225675
0,225675
1,768500
1,768500
0,142965
0,142965
0,102150
0,142965
0,071482
0,119250
0,119399
1,089753
1,307704
1,089753
0,729000
0,590999
0,685799
0,625500
0,574200
0,085724
0,085724
0,342899
0,095309
0,095309
1,453005
1,453005
0,142965
0,406215
0,406215
0,406215
1,591650
0,406215
0,406215
0,406215
0,406215
0,311400
0,406215
0,406215
0,406215
0,406215
0,406215
0,406215
0,311400
0,203107
0,203107
0,203107
0,203107
0,203107
0,203107
0,203107
0,203107
1,591650
1,591650
Nr crt.
cod ATC
973 M01AC06
974 M01AC06
975 M01AC06
976 M01AE03
977 M01AE03
978 M01AE03
979 M01AE03
980 M01AE03
981 M01AE03
982 M01AE03
983 M01AE03
984 M01AE03
985 M01AE03
986 M01AE03
987 M01AE03
988 M01AE03
989 M01AE03
990 M01AE03
991 M01AE03
992 M01AE03
993 M04AA01
994 M04AA01
995 M04AC01
996 N02AX02
997 N02AX02
998 N02AX02
999 N02AX02
1.000
N02AX02
1.001
N02AX02
1.002
N02AX02
1.003
N02AX02
1.004
N02AX02
1.005
N02AX02
1.006
N02AX02
1.007
N02AX02
1.008
N02AX02
1.009
N02AX02
1.010
N02AX02
1.011
N02AX02
1.012
N02AX02
1.013
N02AX02
1.014
N02AX02
1.015
N02AX02
1.016
N02AX02
1.017
N02AX02
1.018
N02AX02
1.019
N02AX02
1.020
N02AX02
1.021
N02AX02
DCI
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
ALLOPURINOLUM*
ALLOPURINOLUM*
COLCHICINUM
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
MELOX 15 mg/1,5 ml
MOVALIS 15mg/1,5ml
MELOXICAM 15 mg
forma farm.
SOL. INJ.
SOL. INJ.
SUPOZ.
KETOPROFEN SR TERAPIA 100 MG CAPS. ELIB. PREL.
KETONAL (R) DUO 150 mg

KETONAL UNO
CAPS. ELIB. PREL.

CAPS. ELIB. PREL.
KETOPROFEN SR TERAPIA 200 MG CAPS. ELIB. PREL.
KETONAL RETARD
RUBIFEN 100 mg
PROFENID (R) 100 mg
KETONAL FORTE 100 mg
KETOPROXIN 100 mg
KETOPROXIN 50 mg
PROFENID (R) LP 200 mg
COMPR. ELIB. PREL.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
KETONAL 100 mg/ 2 ml
SOL. INJ.
SOL. INJ.
SOL. INJ.
KETOPROFEN TERAPIA 100MG/2ML
SOL. INJ./CONC. SOL. PERF.
KETOPROFEN ROMPHARM 100 mg/2ml

KETOPROFEN ROMPHARM 100 mg/2ml
RUBIFEN (R) 100 mg

SUPOZ.
KETOMAG
SUPOZ.
MILURIT 100 mg
COMPR.
MILURIT 300 mg
COMPR.
COLCHICINA
COMPR.
TRAMADOL
CAPS.
MABRON 50 mg
CAPS.
K-ALMA (R)
CAPS.
TRAMADOL ARENA
CAPS.
TRAMACALM
CAPS.
TRAMADOL ZENTIVA 50 mg CAPS.
TRAMAG 50
COMPR.
TRAMADOL EEL
COMPR.
COMPR. ELIB. MODIF.
TRALGIT SR 100
COMPR. ELIB. PREL.
TRAMADOL RETARD 100 mg COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
TRALGIT SR 150
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
TRADOLAN RETARD 200 mg COMPR. ELIB. PREL.

TRADOLAN 50 mg
COMPR. FILM.
TRAMADOL RETARD 150 mg COMPR. FILM. ELIB. PREL.
TRAMADOL RETARD 200 mg COMPR. FILM. ELIB. PREL.
TRAMADOL ZENTIVA 50 mg COMPR. ORODISPERSABILE
TRAMADOL ZENTIVA 50 mg COMPR. ORODISPERSABILE
MABRON
SOL. INJ.
MABRON
SOL. INJ.
concentratie
10mg/ml
15mg/1,5ml
15mg
100mg
150mg
200mg
200mg
150mg
100 mg
100mg
100mg
100mg
50mg
200mg
100 mg/2ml
100 mg/2ml
100mg/2ml
100mg/2ml
100mg
100mg
100mg
300mg
1mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
100mg
100mg
100mg
100mg
150mg
150mg
150mg
200mg
50mg
100mg
150mg
150mg
200mg
200mg
50mg
50mg
100mg
100mg
Detinator APP
tara det.
APP
Ambalaj
CUTIE CU 1 BLIST. DIN PVC A 5 FIOLE TRANSPARENTE DIN STICLA CU CAPACITATEA DE 2 ML, CONTINAND 1,5 ML
Prescriptie
PRF
GERMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 1,5 ML SIL. INJ. P-RF
MAGISTRA C & C
TERAPIA SA
SANDOZ S.R.L.
SANDOZ S.R.L.
TERAPIA SA
ROMANIA CUTII X 2 FOLII TERMOSUDATE PVC/PE X 3 SUPOZ.

ROMANIA CUTIE X 1 BLIST. X 10 CAPS. CU ELIB. PREL.
ROMANIA CUTIE X 2 BLIST. AL/PVC-TE-PVDC X 10 CAPS. ELIB. PREL.
ROMANIA CUTIE X 2 BLIST. AL/PVC-TE-PVDC X 10 CAPS. ELIB. PREL.
ROMANIA CUTIE X 1 BLIST. X 10 CAPS. CU ELIB. PREL.
SLOVENIA CUTIE X 1 FLAC. X 20 COMPR. CU ELIB. PREL. P-6L

ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
ANTIBIOTICE SA
LAB. AVENTIS
FRANTA CUTIE X 2 BLIST X 15 COMPR. FILM.
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
SLOVENIA CUTIE X 1 FLAC. X, 20 COMPR. FILM.

P-6L
AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. PVC/ALX 10 COMPR. FILM. P-6L
AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. PVC/ALX 10 COMPR. FILM. P-6L
LAB. AVENTIS
FRANTA CUTIE X 1 BLIST X 14 COMPR. FILM. ELIB. PREL.
P-6L
PRF
ROMANIA
ROMANIA
SLOVENIA
TERAPIA SA
ANTIBIOTICE SA
MAGISTRA C & C
ROMANIA
ROMANIA
ROMANIA
UNGARIA
UNGARIA
ROMANIA

BIOFARM SA
KRKA D.D.
MEDOCHEMIE LTD.
ANTIBIOTICE SA
ARENA GROUP S.A.
ZENTIVA A.S.
MAGISTRA C & C
BIO EEL SRL
HEXAL AG
ZENTIVA AS
SLOVENIA
CIPRU
ROMANIA
ROMANIA
ROMANIA
SLOVACIA
ROMANIA
ROMANIA
CUTIE CU 5 FIOLE DIN STICLA BRUNA PREVAZUTE CU INEL DE RUPERE A CATE 2ML SOL. INJ
CUTIE CU 10 FIOLE DIN STICLA BRUNA PREVAZUTE CU INEL DE RUPERE A CATE 2ML SOL. INJ
PRF
CUTIE X 10 FIOLE X 2 ML SOL. INJ/CONC PT.SOL. PERF.
P-RF
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

SLOVACIA
ZENTIVA AS
SLOVACIA
ZENTIVA AS
SLOVACIA
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
CUTIE CU 3 BLIST. AL/PVC X 10 COMPR. ELIB. PREL. PRF
CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF

AUSTRIA
ZENTIVA AS
SLOVACIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL.
P-6L
P-RF
P-6L
CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. CU ELIB. PREL.
PRF
P-RF
AUSTRIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. CU ELIB. PREL. PRF

AUSTRIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.FILM. P-RF
GRUNENTHAL GMBH GERMANIA

CUTIE X 1 BLIST. AL/PVDC X 10 COMPR. FILM. CU ELIB. PREL.
P-RF
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
CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR.FILM. ELIB. PREL. P-RF
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR., FILM. ELIB. PREL. P-RF
ZENTIVA, A.S.
REPUBLICA SLOVACA
ZENTIVA, A.S.
REPUBLICA SLOVACA
Pagina 21 din 27
CUTIE CU 1 BLIST. OPA-AL-PVC/AL X 10 COMPR. ORODISPERSABILE
PRF
CUTIE CU 1 BLIST. PVC-PVDC/AL X 10 COMPR. ORODISPERSABILE
PRF
CUTIE X 5 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.
S/P-RF
S/P-RF
Pret
Val suportata
amanunt
de CNAS/UT
ul
(RON)Legea
Val suportata
CNAS/UT
(RON) pt.
j
(RON)
(RON)
si f)
Adulti
5
9,83
5 15,12
6
9,46
10 11,93
20 16,49
20 26,32
10 15,13
20 15,02
20
9,03
30 13,20
20 11,62
20
7,89
20
7,15
14 13,36
5
5,70
10 11,36
10 11,36
5
9,63
6
4,10
10
6,53
50
8,23
30 12,87
40
5,76
20
5,82
10
3,85
20
7,67
20
9,00
10
3,85
20
5,61
20
7,67
20
7,67
10
6,30
30 18,89
30 18,91
30 18,89
30 27,55
30 33,41
30 27,55
30 34,30
30 10,65
10
9,69
10 22,03
30 41,57
10 28,18
30 53,20
10
3,84
10
3,84
5
9,83
100 134,56
1,966000
3,024000
1,576666
1,193000
0,824500
1,316000
1,513000
0,751000
0,451500
0,440000
0,581000
0,394500
0,357500
0,954285
1,140000
1,136000
1,136000
1,926000
0,683333
0,653000
0,164600
0,429000
0,144000
0,291000
0,385000
0,383500
0,450000
0,385000
0,280500
0,383500
0,383500
0,630000
0,629666
0,630333
0,629666
0,918333
1,113666
0,918333
1,143333
0,355000
0,969000
2,203000
1,385666
2,818000
1,773333
0,384000
0,384000
1,966000
1,345600
1,768500
1,768500
0,664200
0,532049
0,798075
1,064100
1,064100
0,751000
0,451500
0,440000
0,532049
0,394500
0,266024
0,954285
1,138000
1,136000
1,136000
1,138000
0,660583
0,653000
0,148399
0,429000
0,144000
0,283348
0,283348
0,283348
0,283348
0,283348
0,280500
0,283348
0,283348
0,566699
0,566699
0,566699
0,566699
0,850049
0,850049
0,850049
1,133398
0,283348
0,566699
0,850049
0,850049
1,133398
1,133398
0,283348
0,283348
1,629810
1,345600
1,591650
1,591650
0,597780
0,478844
0,718267
0,957690
0,957690
0,675900
0,406350
0,396000
0,478844
0,355050
0,239421
0,858856
1,024200
1,022400
1,022400
1,024200
0,594524
0,587700
0,133559
0,386100
0,129600
0,255013
0,255013
0,255013
0,255013
0,255013
0,252450
0,255013
0,255013
0,510029
0,510029
0,510029
0,510029
0,765044
0,765044
0,765044
1,020058
0,255013
0,510029
0,765044
0,765044
1,020058
1,020058
0,255013
0,255013
1,466829
1,211040
Nr crt.
cod ATC
1.022
N02AX02
1.023
N02AX02
1.024
N02AX02
1.025
N02CC01
1.026
N02CC01
1.027
N02CC01
1.028
N02CC01
1.029
N02CC01
1.030
N02CC01
1.031
N03AF01
1.032
N03AF01
1.033
N03AF01
1.034
N03AF01
1.035
N03AF01
1.036
N03AF01
1.037
N03AF01
1.038
N03AF01
1.039
N03AF01
1.040
N03AF01
1.041
N03AF01
1.042
N03AF01
1.043
N03AF01
1.044
N03AF01
1.045
N03AF01
1.046
N03AF01
1.047
N03AF01
1.048
N03AF01
1.049
N03AF01
1.050
N03AF01
1.051
N03AX12
1.052
N03AX12
1.053
N03AX12
1.054
N03AX12
1.055
N03AX12
1.056
N03AX12
1.057
N03AX12
1.058
N03AX12
1.059
N03AX12
1.060
N03AX12
1.061
N03AX12
1.062
N03AX12
1.063
N03AX12
1.064
N03AX12
1.065
N03AX12
1.066
N03AX12
1.067
N03AX12
1.068
N03AX12
1.069
N03AX12
1.070
N03AX12
DCI
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
SUMATRIPTANUM*
SUMATRIPTANUM*
SUMATRIPTANUM*
SUMATRIPTANUM*
SUMATRIPTANUM*
SUMATRIPTANUM*
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
Denumire Comerciala
TRAMADOL
TRAMADOL
TRAMADOL
IMIGRAN DR 100 mg
IMIGRAN DR 50 mg
XIBIMER 100 mg
SUMACTA 100 mg
XIBIMER 50 mg
SUMACTA 50 mg
TEGRETOL (R) 200
forma farm.
SOL. INJ.
SOL. INJ.
SUPOZ.
COMPR. DISP.
COMPR. DISP.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR.
CARBAMAZEPINA LPH 200 mg COMPR.
CARBAVIM
COMPR.
CARBEPSIL 200mg
COMPR.
CARBAMAZEPIN
COMPR.
CARBAMAZEPIN EEL
COMPR.
CARBAMAZEPINA ARENA 200 mg COMPR.
FINLEPSIN
COMPR.
CARBEPSIL 400mg
COMPR.
CARBAMAZEPINA ARENA 400 mg COMPR.
TIMONIL RETARD 150 mg
COMPR. CU ELIBERARE PRELUNGITA
NEUROTOP (R) RETARD 300 mg

TEGRETOL CR 200
FINLEPSIN 200 RETARD
TEGRETOL CR 400
TIMONIL SIROP
GABAPENTIN AUROBINDO 100 mg
GABAGAMMA 100 mg
GRIMODIN 100 mg
GABAPENTINA PFIZER 100 mg
GABAPENTIN ARENA 100 mg

GABAGAMMA 300 mg
GABARAN 300 mg
GABALEPT 300 mg
GRIMODIN 300 mg

GABAGAMMA 400 mg
GABARAN 400 mg
GABALEPT 400 mg
GRIMODIN 400 mg
COMPR. ELIB. PREL.

COMPR. ELIB. PREL.
SUSP. ORALA
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
concentratie
50mg/ml
50mg/ml
100mg
100mg
50mg
100mg
100mg
50mg
50mg
200mg
200mg
200mg
200mg
200mg
200mg
200mg
200mg
400mg
400mg
150mg
300mg
600mg
300mg
600mg
200mg
200mg
400mg
400mg
100mg/5ml
100 mg
100mg
100mg
100mg
100mg
100mg
300 mg
300mg
300mg
300mg
300mg
300mg
300mg
300mg
400 mg
400mg
400mg
400mg
400mg
400mg
KRKA D.D.
KRKA D.D.
KRKA D.D.
tara det.
APP
Ambalaj
GLAXO WELLCOME UK LIMITED
MAREA BRITANIE
CUTIE CU 1 BLIST. (OPA)-AL-PVC/AL X 2 COMPR. DISP. P-RF
GLAXO WELLCOME UK LIMITED
MAREA BRITANIE
CUTIE CU 1 BLIST. (OPA)-AL-PVC/AL X 2 COMPR. DISP. P-RF
ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 6 COMPR. FILM.
ISLANDA CUTIE CU 2 BLIST. PVC/AL X 3 COMPR. FILM.
PRF
P-RF
ISLANDA CUTIE CU 2 BLIST. PVC/AL X 3 COMPR. FILM.
PRF
Detinator APP
Prescriptie
S/P-RF
S/P-RF
P-RF
P-RF
NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L

BIO EEL SRL
ROMANIA
S.C. TEVA PHARMACEUTICALS S.R.L. ROMANIA

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

P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
DESITIN ARZNEIMITTEL GMBH
GERMANIA
CUTIE X 5 BLIST. PVC/AL X 10 COMPR. CU ELIB. PRELUNGITA
GERMANIA
CUTIE X 5 BLIST. PVC/AL X 10 COMPR. CU ELIBERARE PRELUNGITA
GERMANIA
CUTIE X 5 BLIST. PVC/AL X 10 COMPR. CU ELIBERARE PRELUNGITA
P6L
P6L
P6L
GEROT PHARMAZEUTIKA GMBH
AUSTRIA
AUSTRIA
CUTIE X 5 BLIST. AL/PVDC-PVC X 10 COMPR. ELIB. PREL
P-6L

S.C. TEVA PHARMACEUTICALS S.R.L.
ROMANIA
CUTIE X 5 BLIST. AL/PVDC-PVC X 10 COMPR. ELIB. PREL. P-6L

CUTIE X 5 BLIST. AL-PVC/PVDC X 10 COMPR. FILM. CU ELIB. PREL.
P-6L
CUTIE X 5 BLIST. AL-HARTIE/PVC-PVDC X 10 COMPR. FILM. ELIB. PREL.
P-6L
P-6L
ROMANIA
CUTIE X 5 BLIST. AL-HARTIE CERATA/PVC-PVDC X 10 COMPR. FILM. ELIB. PREL. P-6L
GERMANIA
CUTIE X 1 FLACON X 250 ML SUSP.ORALA + MASURA DOZATOARE
P-6L
AUROBINDO PHARMA LIMITED
MAREA BRITANIE
CUTIE CU BLIST. DIIN POLIAMIDA/AL/PVC-AL X 50 CAPS.
P6L
GERMANIA
P-6L
UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 60 CAPS.
P-6L
CUTIE CU BLIST. PVC/PVDC/AL X 50 CAPS. P6L

PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU BLIST. PVC/PVDC/AL X 100 CAPS. P6L
ARENA GROUP S.A. ROMANIA CUTIE CU 6 BLIST. TRANSPARENTE PVC-PVDC/AL X 10 CAPS. P6L
AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. POLIAMIDA/AL/PVC-AL X 50 CAPS. P6L
MAREA BRITANIE
GERMANIA
RANBAXY UK LTD.
MAREA BRITANIE
CUTIE X 5 BLIST. PVC-PVDC/AL X 10 CAPS. P-6L

P-6L
PLIVA LJUBLJANA D.O.O. SLOVENIA
P-6L
P-6L

PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU BLIST. PVC/PVDC/AL X 100 CAPS. P6L
AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. POLIAMIDA/AL/PVC-AL X 50 CAPS. P6L
MAREA BRITANIE
GERMANIA
RANBAXY UK LTD.
MAREA BRITANIE
CUTIE X 5 BLIST. PVC-PVDC/AL X 10 CAPS. P-6L

MAREA BRITANIE
PLIVA LJUBLJANA D.O.O. SLOVENIA
Pagina 22 din 27
P-6L
P-6L
P-6L
Pret
Val suportata
amanunt
de CNAS/UT
ul
(RON)Legea
Val suportata
CNAS/UT
(RON) pt.
j
(RON)
(RON)
si f)
Adulti
5
5
5
2
2
6
6
6
6
50
50
50
50
20
20
20
50
50
20
50
50
50
50
50
50
50
30
50
1
50
100
60
50
100
60
50
100
50
100
60
50
100
60
50
100
50
100
60
50
4,93
13,10
5,58
44,81
25,36
58,12
58,12
41,45
41,47
17,38
11,31
11,31
11,31
4,96
4,50
4,96
11,31
26,26
10,51
15,16
20,62
36,53
20,68
36,59
19,17
12,43
25,35
25,27
22,51
7,20
60,61
33,34
22,54
43,63
23,56
21,80
133,56
65,96
133,09
63,62
47,92
91,03
51,89
28,81
175,18
72,72
169,16
85,96
64,12
0,986000
2,620000
1,116000
22,405000
12,680000
9,686666
9,686666
6,908333
6,911666
0,347600
0,226200
0,226200
0,226200
0,248000
0,225000
0,248000
0,226200
0,525200
0,525500
0,303200
0,412400
0,730600
0,413600
0,731800
0,383400
0,248600
0,845000
0,505400
22,510000
0,144000
0,606100
0,555666
0,450800
0,436300
0,392666
0,436000
1,335600
1,319200
1,330900
1,060333
0,958400
0,910300
0,864833
0,576200
1,751800
1,454400
1,691600
1,432666
1,282400
0,814902
1,629810
1,116000
10,719166
5,359583
9,686666
9,686666
5,359583
5,359583
0,234866
0,226200
0,226200
0,226200
0,234866
0,225000
0,234866
0,226200
0,469733
0,469733
0,176149
0,352299
0,704599
0,352299
0,704599
0,234866
0,234866
0,469733
0,469733
22,510000
0,144000
0,288282
0,288282
0,288282
0,288282
0,288282
0,436000
0,864853
0,864853
0,864853
0,864853
0,864853
0,864853
0,864833
0,576200
1,153140
1,153140
1,153140
1,153140
1,153140
0,733411
1,466829
1,004400
9,647249
4,823624
8,717999
8,717999
4,823624
4,823624
0,211379
0,203580
0,203580
0,203580
0,211379
0,202500
0,211379
0,203580
0,422759
0,422759
0,158534
0,317069
0,634139
0,317069
0,634139
0,211379
0,211379
0,422759
0,422759
20,259000
0,129600
0,259453
0,259453
0,259453
0,259453
0,259453
0,392400
0,778367
0,778367
0,778367
0,778367
0,778367
0,778367
0,778349
0,518580
1,037826
1,037826
1,037826
1,037826
1,037826
Nr crt.
cod ATC
1.071
N03AX12
1.072
N03AX12
1.073
N03AX12
1.074
N03AX12
1.075
N03AX12
1.076
N03AX12
1.077
N05AD01
1.078
N05AD01
1.079
N05AD01
1.080
N05AD01
1.081
N05AD01
1.082
N05AD01
1.083
N05AD01
1.084
N05AD01
1.085
N05BA01
1.086
N05BA01
1.087
N05BA01
1.088
N05BA01
1.089
N05BA01
1.090
N05BA01
1.091
N05BA01
1.092
N05BA03
1.093
N05BA03
1.094
N05BA03
1.095
N05BA03
1.096
N05BA06
1.097
N05BA08
1.098
N05BA08
1.099
N05BA08
1.100
N05BA08
1.101
N05BA08
1.102
N05BA12
1.103
N05BA12
1.104
N05BA12
1.105
N05BA12
1.106
N05BA12
1.107
N05BA12
1.108
N05BA12
1.109
N05BA12
1.110
N05BA12
1.111
N05BA12
1.112
N05BA12
1.113
N05BA12
1.114
N05BA12
1.115
N05BA12
1.116
N05BA12
1.117
N05BA12
1.118
N05BA12
1.119
N05BA12
DCI
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
DIAZEPAMUM
DIAZEPAMUM
DIAZEPAMUM
DIAZEPAMUM
DIAZEPAMUM
DIAZEPAMUM
DIAZEPAMUM
MEDAZEPAMUM*
MEDAZEPAMUM*
MEDAZEPAMUM*
MEDAZEPAMUM*
LORAZEPAMUM*
BROMAZEPAMUM*
BROMAZEPAMUM*
BROMAZEPAMUM*
BROMAZEPAMUM*
BROMAZEPAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
forma farm.
Denumire Comerciala
GABAPENTINA PFIZER 400 mg CAPS.

GABARAN 600 mg
GRIMODIN 600 mg
GABARAN 800 mg
GRIMODIN 800 mg
CAPS.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR.
HALOPERIDOL ARENA 1 mg COMPR.
HALOPERIDOL ARENA 2 mg COMPR.
HALDOL
COMPR.
HALOPERIDOL LAROPHARM 0,5 mg
HALOPERIDOL ROMPHARM 2 mg/ml PIC. ORALE, SOL.
HALOPERIDOL 2 mg/ml
PIC. ORALE-SOL.
HALOPERIDOL DECANOAT SOL. INJ.
HALOPERIDOL RICHTER 5 mg/ml SOL. INJ.
DIAZEPAM RICHTER 10 mg COMPR.
DIAZEPAM
COMPR.
DIAZEPAM LAROPHARM 10 mg COMPR.
DIAZEPAM 10 mg
SOL. INJ.
DIAZEPAM 5 mg/ml
SOL. INJ.
DIAZEPAM DESITIN (R) SOLUTIE RECTALA 10 mg
DIAZEPAM DESITIN (R) SOLUTIE RECTALA 5 mg
MEDAZEPAM ARENA 10mg

MEDAZEPAM ARENA 10mg
MEDAZEPAM 10 mg
MEDAZEPAM LPH 10 mg
ANXIAR (R) 1 mg
BROMAZEPAM LPH 1,5 mg
LEXOTAN
BROMAZEPAM LPH 3 mg
BROMAZEPAM SLAVIA 3 mg
BROMAZEPAM ARENA 3 mg
XANAX 0,25 mg
SOL. RECTALA
SOL. RECTALA
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
ALPRAZOLAM LPH (R) 0,25 mg COMPR.
PRAZOLEX (R) 0,25 mg
COMPR.
FRONTIN 0,25 mg
COMPR.
ALPRAZOLAM ATB 0,25 mg COMPR.
XANAX 0,5 mg
COMPR.
ALPRAZOLAM LPH (R) 0,5 mg COMPR.
FRONTIN 0,5 mg
COMPR.
PRAZOLEX (R) 0,5 mg
COMPR.
ALPRAZOLAM ATB 0,5 mg
COMPR.
COMPR.
COMPR.
XANAX 1 mg
COMPR.
ALPRAZOLAM LPH (R) 1 mg COMPR.
PRAZOLEX (R) 1 mg
COMPR.
FRONTIN 1mg
COMPR.
concentratie
400mg
400mg
600mg
600mg
800mg
800mg
0,5mg
1mg
2mg
5mg
2 mg/ml
2mg/ml
50mg/ml
5mg/ml
10mg
10mg
10mg
10mg/2ml
10mg/2ml
10mg/2,5ml
5mg/2,5ml
10 mg
10 mg
10mg
10mg
1 mg
1,5mg
3mg
3mg
3mg
3mg
0,25mg
0,25mg
0,25mg
0,25mg
0,25mg
0,25mg
0,25mg
0,5mg
0,5mg
0,5mg
0,5mg
0,5mg
0,5mg
0,5mg
1mg
1mg
1mg
1mg
Detinator APP
tara det.
APP
Ambalaj
MAREA BRITANIE
Prescriptie
RANBAXY UK LTD.
MAREA BRITANIE
CUTIE X 3 BLIST. AL-PVC-PA/AL X 10 COMPR. FILM.
P-6L
UNGARIA
P-6L
RANBAXY UK LTD.
MAREA BRITANIE
CUTIE X 3 BLIST. AL-PVC-PA/AL X 10 COMPR. FILM.
P-6L
P-6L

P-RF
UNGARIA
LAROPHARM S.R.L. ROMANIA
JANSSEN PHARMACEUTICA N.V. BELGIA
TERAPIA SA
ROMANIA
LAROPHARM SRL
ROMANIA
TERAPIA SA
ROMANIA
TERAPIA SA
ROMANIA
DESITIN
GERMANIA
DESITIN
GERMANIA
LAROPHARM SRL
ROMANIA
ROCHE ROMANIA S.R.L. ROMANIA
MAREA BRITANIE
ANTIBIOTICE S.A.
ANTIBIOTICE S.A.
ANTIBIOTICE S.A.
ROMANIA
UNGARIA
ROMANIA
ROMANIA
ROMANIA
MAREA BRITANIE

ANTIBIOTICE S.A.
ANTIBIOTICE S.A.
ANTIBIOTICE S.A.
UNGARIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
MAREA BRITANIE


Pagina 23 din 27
ROMANIA
UNGARIA
PRF
CUTIE X 3 BLISTERE PVC/AL X 10 COMPRIMATE PRF
P-RF
CUTIE CU 1 FLACON PEJD CU PICURATOR PEJD X 10 ML PIC. OFT., SOL.
PRF
CUTIE X 1 FLACON PICURATOR X 10ML PICATURI ORALE-SOLUTIE
P-RF
P-RF
CUTIE X 5 FIOLE DIN STICLA INCOLORA X 1 ML SOL. INJ. P-RF

P-RF
P-RF
P-RF
S/P-RF
S/P-RF
CUTIE X 5 PUNGI X 1 TUB X 2,5 ML + CANULA S/P-RF

CUTIE X 5 PUNGI X 1 TUB X 2,5 ML + CANULA S/P-RF
CUTIE X 2 BLISTERE PVC/AL X 10 COMPRIMATE P-RF
CUTIE X 5 BLISTERE PVC/AL X 10 COMPRIMATE 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
PRF
P-RF
P-RF
P-RF
P-RF
PRF
PRF
PRF
P-RF
P-RF
P-RF
P-RF
Pret
Val suportata
amanunt
de CNAS/UT
ul
(RON)Legea
Val suportata
CNAS/UT
(RON) pt.
j
(RON)
(RON)
si f)
Adulti
100
60
30
60
30
60
20
30
30
25
1
1
5
5
20
30
20
5
5
5
5
20
50
20
20
50
20
30
20
10
10
30
20
30
30
10
20
30
30
20
30
30
10
20
30
30
20
30
30
121,79
64,86
65,21
123,68
104,24
197,38
3,24
7,72
10,80
17,94
5,39
6,66
44,52
12,48
1,99
4,01
2,08
11,53
11,53
32,62
25,99
2,45
5,61
3,05
2,47
6,70
2,14
7,16
3,10
2,20
1,54
5,65
2,68
4,35
4,93
1,22
2,45
3,67
8,94
4,24
7,46
5,79
1,93
3,87
5,81
12,70
6,06
8,24
12,60
1,217900
1,081000
2,173666
2,061333
3,474666
3,289666
0,162000
0,257333
0,360000
0,717600
5,390000
6,660000
8,904000
2,496000
0,099500
0,133666
0,104000
2,306000
2,306000
6,524000
5,198000
0,122500
0,112200
0,152500
0,123500
0,134000
0,107000
0,238666
0,155000
0,220000
0,154000
0,188333
0,134000
0,145000
0,164333
0,122000
0,122500
0,122333
0,298000
0,212000
0,248666
0,193000
0,193000
0,193500
0,193666
0,423333
0,303000
0,274666
0,420000
1,153140
1,081000
1,729711
1,729711
2,306281
2,306281
0,089699
0,179399
0,358799
0,717600
3,587998
3,587998
8,904000
1,162619
0,099500
0,133666
0,104000
2,306000
2,306000
6,524000
5,198000
0,122500
0,112200
0,123637
0,123500
0,098909
0,037091
0,074182
0,074182
0,074182
0,074182
0,061818
0,061818
0,061818
0,061818
0,061818
0,061818
0,061818
0,123637
0,123637
0,123637
0,123637
0,123637
0,123637
0,123637
0,247274
0,247274
0,247274
0,247274
1,037826
0,972900
1,556739
1,556739
2,075652
2,075652
0,080729
0,161459
0,322919
0,645840
3,229198
3,229198
8,013600
1,046357
0,089550
0,120299
0,093600
2,075400
2,075400
5,871600
4,678200
0,110250
0,100980
0,111273
0,111150
0,089018
0,033381
0,066763
0,066763
0,066763
0,066763
0,055636
0,055636
0,055636
0,055636
0,055636
0,055636
0,055636
0,111273
0,111273
0,111273
0,111273
0,111273
0,111273
0,111273
0,222546
0,222546
0,222546
0,222546
Nr crt.
cod ATC
1.120
N05BA12
1.121
N05BA12
1.122
N05BA12
1.123
N05CD02
1.124
N05CD02
1.125
N05CD02
1.126
N05CD02
1.127
N05CF01
1.128
N05CF01
1.129
N05CF02
1.130
N05CF02
1.131
N05CF02
1.132
N05CF02
1.133
N05CF02
1.134
N05CF02
1.135
N05CF02
1.136
N05CF02
1.137
N06AA04
1.138
N06AA04
1.139
N06AA09
1.140
N06AA12
1.141
N06AB03
1.142
N06AB03
1.143
N06AB03
1.144
N06AB03
1.145
N06AB03
1.146
N06AB04
1.147
N06AB04
1.148
N06AB05
1.149
N06AB05
1.150
N06AB05
1.151
N06AB05
1.152
N06AB05
1.153
N06AB05
1.154
N06AB06
1.155
N06AB06
1.156
N06AB06
1.157
N06AB06
1.158
N06AB06
1.159
N06AB06
1.160
N06AB06
1.161
N06AB06
1.162
N06AB06
1.163
N06AB06
1.164
N06AB06
1.165
N06AB06
1.166
N06AB06
1.167
N06AB06
1.168
N06AB06
DCI
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
NITRAZEPAMUM
NITRAZEPAMUM
NITRAZEPAMUM
NITRAZEPAMUM
ZOPICLONUM*
ZOPICLONUM*
ZOLPIDEMUM*
ZOLPIDEMUM*
ZOLPIDEMUM*
ZOLPIDEMUM*
ZOLPIDEMUM*
ZOLPIDEMUM*
ZOLPIDEMUM*
ZOLPIDEMUM*
CLOMIPRAMINUM*
CLOMIPRAMINUM*
AMITRIPTYLINUM*
DOXEPINUM*
FLUOXETINUM*
FLUOXETINUM*
FLUOXETINUM*
FLUOXETINUM*
FLUOXETINUM*
CITALOPRAMUM**
CITALOPRAMUM**
PAROXETINUM*
PAROXETINUM*
PAROXETINUM*
PAROXETINUM*
PAROXETINUM*
PAROXETINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
Denumire Comerciala
forma farm.
ALPRAZOLAM ATB 1 mg
ALPRAZOLAM ATB 1 mg
ALPRAZOLAM ATB 1 mg
NITRAZEPAM LPH (R) 2,5 mg
NITRAZEPAM LPH (R) 5 mg
NITRAZEPAM 5 mg
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
NITRAZEPAM - RICHTER 5 mg COMPR.
SONLAX 7,5 mg
COMPR. FILM.
IMOVANE 7,5 mg
COMPR. FILM.
SANVAL (R) 10 mg
COMPR. FILM.
SANVAL (R) 10 mg
COMPR. FILM.
ZOLPIDEM ATB 10 MG
COMPR. FILM.
STILNOX 10 mg
COMPR. FILM.
STILNOX 10 mg
COMPR. FILM.
ZOLPIDEM AUROBINDO 10 mg COMPR. FILM.

ZOLSANA 5 mg
COMPR. FILM.
ONIRIA 10 mg/ml
ANAFRANIL (R) 10 mg
ANAFRANIL (R) 25 mg
PIC. ORALE, SOL.
DRAJ.
DRAJ.
AMITRIPTILINA ARENA 25 mg COMPR. FILM.
DOXEPIN 25 mg
FLUOXIN 20 mg
FLUOXIN 20 mg
MAGRILAN 20 mg
ROFLUXIN 20 mg
PROZAC 20 mg
LINISAN 10 mg
LINISAN 20 mg
ARKETIS
PAROXETINA ATB 20 mg
SEROXAT 20 mg
PAXETIN 20 mg
PALUXETIL 20 mg
PALUXETIL 40 mg
SERLIFT 100 mg
ASENTRA (R)
SETALOFT 100 mg
XIMPROVE 100 mg
ZOLOFT 100 mg
ADJUVIN 100 mg
STIMULOTON 100 mg
SERTRALINA ARENA 100 mg
SERLIFT 50 mg
ASENTRA (R)
SETALOFT 50 mg
XIMPROVE 50 mg
ZOLOFT 50 mg
ADJUVIN 50 mg
STIMULOTON 50 mg
DRAJ.
CAPS.
CAPS.
CAPS.
CAPS.
COMPR. DISP.
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.
concentratie
1mg
1mg
1mg
2,5mg
5mg
5mg
5mg
7,5 mg
7,5mg
10mg
10mg
10mg
10mg
10mg
10mg
5mg
10mg/ml
10mg
25mg
25mg
25mg
20mg
20mg
20mg
20mg
20mg
10mg
20mg
20mg
20 mg
20mg
20mg
20mg
40mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
tara det.
APP
ANTIBIOTICE S.A.
ROMANIA
ANTIBIOTICE S.A.
ROMANIA
ANTIBIOTICE S.A.
ROMANIA
Detinator APP
AS GRINDEKS
SANOFI AVENTIS
ANTIBIOTICE S.A.
Ambalaj
Prescriptie
CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. PRF

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

FRANTA CUTIE X 1 BLIST. AL/PVC X 20 COMPR. FILM.
SLOVENIA CUTIE X 1 BLIST. X 10 COMPR. FILM.
PRF
P-RF
P-RF
P-RF
P-RF

MALTA
PRF
P-RF
P-RF
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF
ITF PHARMA KERESKEDELMI ES SZOLGALTATO KFT.
UNGARIA
CUTIE CU 1 FLACON DIN STICLA BRUNA CU CAPACITATEA DE 30 ML CU PIC. ORALE, SOL.+PIPETA
ARENA GROUP S.A.

TERAPIA SA
VIM SPECTRUM SRL
VIM SPECTRUM SRL
MEDOCHEMIE LTD.
ANTIBIOTICE S.A.
ELI LILLY SA
P-RF

GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 DRAJ.
P-RF
ROMANIA
ROMANIA
ROMANIA
ROMANIA
P-RF
P-RF

CIPRU
SPANIA CUTIE X 2 BLIST. PVC-PE-ACLAR/AL X 14 COMPR. DISP.
P-RF

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

ANTIBIOTICE SA
ROMANIA CUTIE CU 3 BLIST. DIN PVC-PE-PVDC/AL X 10 COMPR. FILM.
P-RF
SMITHKLINE BEECHAM

ACTAVIS GROUP HF. ISLANDA CUTIE X 3 BLIST. AL/AL X 10 COMPR. FILM.
P-RF
SANDOZ S.R.L.
SANDOZ S.R.L.
TERAPIA SA
KRKA D.D.
ROMANIA CUTIE CU BLIST. DIN AL/PVC X 30 COMPR.FILM.

ROMANIA CUTIE CU BLIST. DIN AL/PVC X 30 COMPR.FILM.
P-RF
P-RF
ISLANDA
CUTIE, CU BLISTERE DIN PVC-PVDC/AL X 28 COMPR. FILM.
P-RF
ROMANIA
P-RF
MAREA BRITANIE
CUTIE CU 2 BLIST. PVC/AL X 14 COMPR. FILM. P-RF
AUSTRIA
UNGARIA
CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF
MAREA BRITANIE
ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

TERAPIA SA
KRKA D.D.
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE, CU BLISTERE DIN PVC-PVDC/AL X 28 COMPR. FILM.
PRF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
ROMANIA
MAREA BRITANIE
Pagina 24 din 27
AUSTRIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

UNGARIA CUTIE X 3 BLIST. X 10 COMPR. FILM.
P-RF
PRF
P-RF
Pret
Val suportata
amanunt
de CNAS/UT
ul
(RON)Legea
Val suportata
CNAS/UT
(RON) pt.
j
(RON)
(RON)
si f)
Adulti
10
20
30
20
20
20
20
20
20
10
20
10
10
20
10
20
1
30
30
50
30
14
28
30
20
28
30
30
30
30
30
30
30
30
28
28
28
28
28
30
28
30
28
28
28
28
28
30
30
2,74
5,50
8,24
1,37
1,57
2,40
2,40
10,06
15,50
4,13
8,27
4,25
3,90
7,80
2,53
13,56
60,41
7,24
14,31
15,01
21,96
11,28
22,06
17,63
15,12
36,82
7,12
39,54
23,05
23,04
34,30
23,05
20,48
36,77
35,28
40,84
34,09
35,28
68,51
36,52
35,28
37,64
19,54
22,87
18,74
19,54
36,98
20,06
20,94
0,274000
0,275000
0,274666
0,068500
0,078500
0,120000
0,120000
0,503000
0,775000
0,413000
0,413500
0,425000
0,390000
0,390000
0,253000
0,678000
60,410000
0,241333
0,477000
0,300200
0,732000
0,805714
0,787857
0,587666
0,756000
1,315000
0,237333
1,318000
0,768333
0,768000
1,143333
0,768333
0,682666
1,225666
1,260000
1,458571
1,217500
1,260000
2,446785
1,217333
1,260000
1,254666
0,697857
0,816785
0,669285
0,697857
1,320714
0,668666
0,698000
0,247274
0,247274
0,247274
0,054000
0,078500
0,108000
0,108000
0,503000
0,513900
0,390000
0,390000
0,390000
0,390000
0,390000
0,253000
0,195000
11,700000
0,122399
0,305999
0,300200
0,305999
0,628071
0,628071
0,587666
0,628071
0,628071
0,237333
0,628071
0,628071
0,628071
0,628071
0,628071
0,628071
1,225666
1,256142
1,256142
1,217500
1,256142
1,256142
1,217333
1,256142
1,254666
0,628071
0,628071
0,628071
0,628071
0,628071
0,628071
0,628071
0,222546
0,222546
0,222546
0,048600
0,070650
0,097200
0,097200
0,452700
0,462510
0,351000
0,351000
0,351000
0,351000
0,351000
0,227700
0,175500
10,530000
0,110159
0,275399
0,270180
0,275399
0,565263
0,565263
0,528899
0,565263
0,565263
0,213599
0,565263
0,565263
0,565263
0,565263
0,565263
0,565263
1,103099
1,130527
1,130527
1,095750
1,130527
1,130527
1,095599
1,130527
1,129199
0,565263
0,565263
0,565263
0,565263
0,565263
0,565263
0,565263
Nr crt.
cod ATC
1.169
N06AB06
1.170
N06AB06
1.171
N06AB08
1.172
N06AB08
1.173
N06AX03
1.174
N06AX03
1.175
N06AX11
1.176
N06AX11
1.177
N06AX11
1.178
N06AX11
1.179
N06AX11
1.180
N06AX11
1.181
N06AX11
1.182
N06AX11
1.183
N06AX11
1.184
N06AX11
1.185
N06AX11
1.186
N06AX11
1.187
N06AX16
1.188
N06AX16
1.189
N06AX16
1.190
N06AX16
1.191
N06AX16
1.192
N06AX16
1.193
N06AX16
1.194
N06AX16
1.195
N06AX16
1.196
N06AX16
1.197
N06AX16
1.198
N06AX16
1.199
N06AX16
1.200
N06AX16
1.201
N06AX16
1.202
N06AX16
1.203
N06AX16
1.204
N06AX16
1.205
N06AX16
1.206
N06AX16
1.207
N06AX16
1.208
N06AX16
1.209
N06AX16
1.210
N06AX16
1.211
N06AX16
1.212
N06AX16
1.213
N06AX16
1.214
N06AX16
1.215
N06AX16
1.216
N06AX16
1.217
N07AA01
DCI
SERTRALINUM*
SERTRALINUM*
FLUVOXAMINUM*
FLUVOXAMINUM*
MIANSERINUM*
MIANSERINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
NEOSTIGMINI BROMIDUM
forma farm. concentratie

Detinator APP
SERTRALINA ARENA 50 mg COMPR. FILM. 50mg
ARENA GROUP SA
Denumire Comerciala
ZOLOFT 20 mg/ml
FEVARIN (R) 100
FEVARIN (R) 50
MIANSERIN 10
MIANSERIN 30
REMERON SOLTAB 30 mg
MIRTAZAPIN ARENA 15 mg
MIRZATEN (R) 30 mg
PHARMATAZ 30 mg
ESPRITAL (R) 30
MIRTAZAPIN ARENA 45 mg
CONC. PT. SOL. ORALA
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. DISP.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
MIRTAZAPINA AUROBINDO 15 mg
MIRZATEN Q-TAB 30 mg
MIRTAZAPINA BLUEFISH 30 mg
ZULIN 30 mg
IVRYX 150mg
EFECTIN EP 150 mg
ELIFY EP 150 mg
IVRYX 150mg
VELAXIN 150 mg
ALVENTA 150mg
FOBILESS 150 mg
CAPS. ELIB. PREL.

CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
VENLAFAXINA ACTAVIS 150 mg CAPS. ELIB. PREL.

VENLAFAXINA ARENA EP 150 mg CAPS. ELIB. PREL.
VENLAFAXINA TERAPIA 150 mg CAPS. ELIB. PREL.

FOBILESS 37,5 mg
CAPS. ELIB. PREL.
VENLAFAXINA ARENA EP 37,5 mg CAPS. ELIB. PREL.
IVRYX 75mg
EFECTIN EP 75 mg
ELIFY EP 75 mg
IVRYX 75mg
IVRYX 75mg
VELAXIN 75 mg
ALVENTA 75 mg
FOBILESS 75 mg
CAPS. ELIB. PREL.

CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
VENLAFAXINA ACTAVIS 75 mg CAPS. ELIB. PREL.

VENLAFAXINA ARENA EP 75 mg CAPS. ELIB. PREL.
VENLAFAXINA ARENA 37,5 mg COMPR.
VENLAFAXINA ARENA 50 mg COMPR.

ARGOFAN 150 SR
COMPR. ELIB. PREL.
ARGOFAN 75 SR
COMPR. ELIB. PREL.
NEOSTIGMINA LPH 15 mg
COMPR.
20mg/ml
100mg
50mg
10mg
30mg
30mg
15mg
30mg
30mg
30mg
45mg
15mg
30mg
30mg
30mg
30mg
45mg
150 mg
150 mg
150 mg
150 mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
37,5mg
37,5mg
75 mg
75 mg
75 mg
75 mg
75 mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
37,5mg
50mg
75mg
150mg
75mg
15mg

tara det.
APP
Ambalaj
P-RF
MAREA BRITANIE
P-RF
OLANDA CUTIE X 2 BLIST. PVC/PVDC X 15 COMPR. FILM.

OLANDA CUTIE X 2 BLIST. PVC/PVDC X 15 COMPR. FILM.
CIPRU
CIPRU
OLANDA
REMEDICA LTD.
REMEDICA LTD.
NV ORGANON
KRKA D.D.
SLOVENIA
ACTAVIS GROUP HF. ISLANDA
ZENTIVA KS
CEHIA
CUTIE CU 1 FLAC. DIN STICLA BRUNA X 60 ML CONC. PT. SOL. ORALA + 1 PIPETA GRADATA
MAREA BRITANIE
CUTIE X 5 BLIST. AL/PVC-PA-POLIESTER PERFORAT PT. ELIB. UNEI UNIT. DOZATE X 6 COMPR. DISP.
Prescriptie
P-RF
P-RF
P-RF/S
P-RF
P-RF
CUTIE CU 3 BLIST. ALBE OPACE DIN PVC-PVDC/AL-PVDC X 10 COMPR. FILM.
PRF
P-RF
CUTIE X 3 BLIST. PVC-PVDC/AL, X 10 COMPR. FILM.
P-RF
P-RF
CUTIE CU 3 BLIST. ALBE OPACE DIN PVC-PVDC/AL-PVDC X 10 COMPR. FILM.
PRF
CUTIE CU BLIST. PA-AL-PVC/AL-POLIESTER-HARTIE X 30 COMPR. ORODISPERSABILE P-RF
CUTIE CU BLIST. DIN AL/OPA-AL-PVC X 30 COMPR. ORODISPERSABILE
P-RF
BLUEFISH PHARMACEUTICALS AB
SUEDIA
MAREA BRITANIE
ANTIBIOTICE S.A.
ROMANIA
CUTIE X 5 BLIST. AL/AL X 6 COMPR. ORODISPERSABILE
MAREA BRITANIE
ROMANIA
CUTIE X 2 BLIST. PCV-ACLAR/AL X 14 CAPS. CU ELIB. PREL. P-RF
MAREA BRITANIE
P-RF
CUTIE CU BLIST. DIN ACLAR-PE-PVC/AL X 28 CAPS. ELIB. PREL.
PRF
CUTIE CU BLIST PVC/AL X 30 CAPS.CU ELIB. PREL.
PRF
NEOLA PHARMA S.R.L. ROMANIA
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
AUSTRIA
ISLANDA

TERAPIA S.A.
ROMANIA
TERAPIA S.A.
ROMANIA
LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA
CUTIE X BLIST. PVC/AL X 30 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
CUTIE CU BLIST. PVC-ACLAR/AL X 30 CAPS. ELIB. PREL.
PRF
CUTIE CU BLIST. PVC-PVDC/AL X 30 CAPS. ELIB. PREL. PRF

P-RF
ROMANIA
MAREA BRITANIE
PRF
CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. PRF

UNGARIA
P-RF
CUTIE X 2 BLIST. PVC-PVDC/AL X 14 CAPS. CU ELIB. PREL
P-RF
KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 30 CAPS. ELIB. PREL. P-RF
ARENA GROUP S.A.

TERAPIA S.A.
TERAPIA S.A.
ARENA GROUP S.A.
ARENA GROUP S.A.
ARENA GROUP S.A.
ZENTIVA A.S.
ZENTIVA A.S.
AUSTRIA
ISLANDA
CUTIE CU BLIST. PVC/AL X 28 CAPS. CU ELIB. PREL. P-RF
ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-RF

ROMANIA CUTIE CU BLIST. PVC-ACLAR/AL X 30 CAPS. ELIB. PREL. PRF
ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 CAPS. ELIB. PREL. PRF
ROMANIA CUTIE X 3 BLIST. PVC-PE- PVDC/AL X 10 COMPR. P-RF
SLOVACIA
SLOVACIA
Pagina 25 din 27
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
P-6L
Pret
Val suportata
amanunt
de CNAS/UT
ul
(RON)Legea
Val suportata
CNAS/UT
(RON) pt.
j
(RON)
(RON)
si f)
Adulti
30
1
30
30
100
20
30
30
30
30
30
30
30
30
30
30
30
30
28
28
30
28
28
30
30
28
30
30
30
30
30
28
28
30
28
28
28
30
30
28
30
30
30
30
30
30
30
30
20
20,92
65,61
48,83
25,21
46,70
26,06
82,15
24,62
37,92
36,01
13,91
63,52
24,62
37,92
37,92
38,11
37,90
63,52
23,22
58,69
40,87
23,22
38,14
40,87
40,87
23,11
40,71
40,87
40,87
17,24
24,04
17,89
35,58
25,61
17,89
17,89
23,88
25,59
19,15
17,72
25,42
25,61
25,61
24,04
24,50
25,42
20,74
15,98
13,73
0,697333
65,610000
1,627666
0,840333
0,467000
1,303000
2,738333
0,820666
1,264000
1,200333
0,463666
2,117333
0,820666
1,264000
1,264000
1,270333
1,263333
2,117333
0,829285
2,096071
1,362333
0,829285
1,362142
1,362333
1,362333
0,825357
1,357000
1,362333
1,362333
0,574666
0,801333
0,638928
1,270714
0,853666
0,638928
0,638928
0,852857
0,853000
0,638333
0,632857
0,847333
0,853666
0,853666
0,801333
0,816666
0,847333
0,691333
0,532666
0,686500
0,628071
15,073711
0,628071
0,314035
0,398248
1,194751
1,263833
0,631916
1,263833
1,200333
0,463666
1,895749
0,631916
1,263833
1,263833
1,263833
1,263333
1,895749
0,829285
1,277856
1,277856
0,829285
1,277856
1,277856
1,277856
0,825357
1,277856
1,277856
1,277856
0,319464
0,319464
0,638928
0,638928
0,638928
0,638928
0,638928
0,638928
0,638928
0,638333
0,632857
0,638928
0,638928
0,638928
0,319464
0,425952
0,638928
0,691333
0,532666
0,686500
0,565263
13,566339
0,565263
0,282631
0,358423
1,075275
1,137449
0,568724
1,137449
1,080299
0,417299
1,706174
0,568724
1,137449
1,137449
1,137449
1,136999
1,706174
0,746356
1,150070
1,150070
0,746356
1,150070
1,150070
1,150070
0,742821
1,150070
1,150070
1,150070
0,287517
0,287517
0,575035
0,575035
0,575035
0,575035
0,575035
0,575035
0,575035
0,574499
0,569571
0,575035
0,575035
0,575035
0,287517
0,383356
0,575035
0,622199
0,479399
0,617850
Nr crt.
cod ATC
1.218
P01AB02
1.219
P01AB02
1.220
P01AB02
1.221
P01AB02
1.222
P02CA03
1.223
P02CA03
1.224
P02CA03
1.225
P02CA03
1.226
P02CA03
1.227
P02CA03
1.228
P02CE01
1.229
P02CE01
1.230
P02CE01
1.231
P02CE01
1.232
R01AD01
1.233
R03AC02
1.234
R03AC02
1.235
R03AC02
1.236
R03BA01
1.237
R03BA02
1.238
R03BA02
1.239
R03BA02
1.240
R03BA02
1.241
R03BA02
1.242
R03BA02
1.243
R03BA02
1.244
R03BB01
1.245
R03CC02
1.246
R03CC02
1.247
R03DA04
1.248
R03DA04
1.249
R05DA04
1.250
R05DA04
1.251
R05DA04
1.252
R05DA04
1.253
R05DA04
1.254
R05DA04
1.255
R06AB04
1.256
R06AE07
1.257
R06AE07
1.258
R06AE07
1.259
R06AX17
1.260
R06AX17
1.261
R06AX17
1.262
R06AX17
1.263
R06AX17
1.264
S01BC03
1.265
S01BC03
1.266
S01BC03
DCI
TINIDAZOLUM
TINIDAZOLUM
TINIDAZOLUM
TINIDAZOLUM
ALBENDAZOLUM
ALBENDAZOLUM
ALBENDAZOLUM
ALBENDAZOLUM
ALBENDAZOLUM
ALBENDAZOLUM
LEVAMISOLUM
LEVAMISOLUM
LEVAMISOLUM
LEVAMISOLUM
BECLOMETASONUM*
SALBUTAMOLUM
SALBUTAMOLUM
SALBUTAMOLUM
BECLOMETASONUM*
BUDESONIDUM*
BUDESONIDUM*
BUDESONIDUM*
BUDESONIDUM*
BUDESONIDUM*
BUDESONIDUM*
BUDESONIDUM*
IPRATROPII BROMIDUM*
SALBUTAMOLUM
SALBUTAMOLUM
THEOPHYLLINUM
THEOPHYLLINUM
CODEINUM
CODEINUM
CODEINUM
CODEINUM
CODEINUM
CODEINUM
CHLORPHENAMINUM
CETIRIZINUM
CETIRIZINUM
CETIRIZINUM
KETOTIFENUM
KETOTIFENUM
KETOTIFENUM
KETOTIFENUM
KETOTIFENUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
Denumire Comerciala
TINIZOL (R) 500 mg (J01XD02)
TIPROGYN 500 (vezi J01XD02)
TINIZOL (R) 500 mg (J01XD02)
TIPROGYN 500 (vezi J01XD02)
forma farm.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
ALBENDAZOL VIM SPECTRUM 200 mg
COMPR.
COMPR.
ESKAZOLE
DUADOR 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
COMPR. FILM.
COMPR.FILM
SUSP. ORALA
SUSP. ORALA
COMPR.
COMPR.
COMPR.
COMPR.
SPRAY NAZ.,SUSP.
SOL. INHAL.
SUSP. INHAL. PRESURIZATA
SOL. INHALAT PRESURIZATA
PULB. INHAL.
PULB. INHAL.
PULB. INHAL.
PULB. INHAL.
PULB. INHAL.
SOL. DE INHALAT PRESURIZATA
concentratie
500mg
500mg
500mg
500mg
200mg
400mg
200mg
200 mg
0,4g/10ml
400mg/10ml
150mg
150mg
50mg
50mg
100mcg/doza
5mg/ml
100mcg/doza
100mcg/doza
250mcg/doza
tara det.
APP
ZENTIVA S.A.
ROMANIA
AC HELCOR SRL
ROMANIA
ZENTIVA S.A.
ROMANIA
AC HELCOR SRL
ROMANIA

CUTIE X 1 BLIST. X 4 COMPR.FILM.
CUTIE X 1 BLIST. X 4 COMPR.FILM.
P-RF
GLAXO SMITHKLINE EXPORT LTD.
P-RF

LABORMED PHARMA S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 2 COMPR. FILM.
P-RF
Detinator APP
MAREA BRITANIE
Ambalaj
Prescriptie
P6L
P-RF
P6L
P-RF
P-RF
GLAXOSMITHKLINE EXPORT LTD. MAREA BRITANIE CUTIE X 1 FLACON UNIDOZA DIN PVC X 10 ML SUSP. ORALA P-RF
BIOFARM S.A.
CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 ML SUSP. ORALA
P-RF

P-RF
ROMANIA
ROMANIA
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
MAREA BRITANIE
CUTIE X 1 FALC. DIN STICLA BRUNA X 10 ML SOL. DE INHAL. P-6L
MAREA BRITANIE
CUTIE X 1 FLACON PRESURIZAT DIN AL PREVAZUT CU VALVA DOZATOARE X 200 DOZE + DISPOZITIV DE ADMINISTRA
CIPLA (UK) LIMITED
MAREA BRITANIE
CUTIE X 1 FLAC. AL + VALVA DOZATOARE + DISP. ADM. X 200 DOZE SUSP. INHAL. PRESURIZATA
P-6L
CHIESI FARMACEUTICI SPA
ITALIA
CUTIE X 1 FLACON PRESURIZAT DIN AL X 200 DOZE, PREVAZUT CU VALVA DOZATOARE + DISPOZITIV DE ADM., "SP
P-RF
200 mcg/doza MEDOCHEMIE ROMANIA SRL

200mcg/doza ASTRAZENECA AB
200 mcg/doza CHIESI FARMACEUTICI SPA
200mcg/doza CHIESI FARMACEUTICI SPA
P-RF
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
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
ITALIA
ITALIA
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
P-RF
IPRAVENT INHALER 20mcg/doza SUSP. INHAL. PRESURIZATA 20mcg/doza CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 1 FLACON AL PRESURIZAT X 200 DOZE SUSP.DE INHALAT PRESURIZATA P-6L
SALBUTAMOL EIPICO 2mg/5ml SIROP
2mg/5ml
E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 125 ML SIROP P-6L
VENTOLIN (R)
TEOTARD (R) 200 mg
TEOTARD (R) 350 mg
FOSFAT DE CODEINA 15 mg
CODEINA FOSFORICA
FARMACOD
CODEINA FOSFAT
SOL. INJ.
MAREA BRITANIE
CAPS. ELIB. PREL.
0,5mg/ml
200mg
COMPR.
15mg
COMPR.
15mg
COMPR.
15mg
COMPR.
15mg
CODEINA FOSFAT LPH 15 mg COMPR.
15mg
CODEINA FOSFAT MCC 15 mg COMPR.
15mg
CLORFENIRAMIN
COMPR.
4mg
CELERG
COMPR. FILM. 10 mg
LETIZEN (R) 10 mg
COMPR. FILM. 10mg
ZYRTEC 10 mg/ml
PICATURI ORALE, SOL. 10mg/ml
H - KETOTIFEN
COMPR.
1mg
KETOTIFEN
COMPR.
1mg
KETOTIFEN LAROPHARM 1 mg COMPR.
1mg
KETOTIFEN LPH 1 mg
COMPR.
1mg
KETOF 1 mg/5 ml
SIROP
1mg/5ml
DICLOFENAC ROMPHARM PIC. OFT.-SOL. 1mg/ml
UNICLOPHEN (R) 0,1%
PICATURI OFT.-SOL. 0,1%
VOLTAREN OPHTHA CD
KRKA D.D.
KRKA D.D.
SINTOFARM SA
BIO EEL SRL
FARMACOM SA
SLAVIA PHARM SRL
SLOVENIA CUTIE X 4 BLIST. AL/PVC X 10 CAPS. ELIB. PREL.

SLOVENIA CUTIE X 4 BLIST. AL/PVC X 10 CAPS. ELIB. PREL.
ROMANIA
ROMANIA
ROMANIA
ROMANIA
CUTIE X 5 FIOLE DIN STICLA X 1 ML

P-6L
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-6L
CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM. P-6L
KRKA D.D.
P-6L
UCB PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA BRUNA + PICURATOR DIN PEJD X 20 ML PIC. ORALE, SOL. P6L
AC HELCOR SRL
P-6L
MAGISTRA C&C S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
P-6L
LAROPHARM SRL
ROMANIA CUTIE X 1 BLIST. AL/PVC X 20 COMPR. P-6L
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. PVC X 10 COMPR
P6L
HEXAL AG
GERMANIA CUTIE X 1 FLACON X 100 ML SIROP + MASURA DOZATOARE P-6L
ROMANIA
UNIMED PHARMA LTD. SLOVACIA

LABORATOIRES THEA FRANTA
Pagina 26 din 27
FLACON PICURATOR DIN PEJD X 5 ML PIC. OFT., SOL. P-6L

CUTIE X 1 FLACON DIN PE X 10 ML PIC. OFTALMICE, SOL., PREVAZUT CU PICURATOR
P-6L
CUTIE X 1 FLAC. PEJD X 5 ML PICATURI OFT.-SOL. + PICURATOR PEJD + CAPAC CU INEL DE SIGURANTA
P-6L
Pret
Val suportata
amanunt
de CNAS/UT
ul
(RON)Legea
Val suportata
CNAS/UT
(RON) pt.
j
(RON)
(RON)
si f)
Adulti
4
3,70
0,925000
0,594374
0,534936
4
3,68
0,920000
0,594374
0,534936
4
3,70
0,925000
0,594374
0,534936
4
3,68
0,920000
0,594374
0,534936
2
6,22
3,110000
3,079166
2,771249
12 71,68
5,973333
5,973333
5,375999
2
6,38
3,190000
3,079166
2,771249
2
6,39
3,195000
3,079166
2,771249
1
5,73
5,730000
3,813750
3,432375
1
3,74
3,740000
3,740000
3,366000
1
3,42
3,420000
3,420000
3,078000
1
3,42
3,420000
3,420000
3,078000
2
3,02
1,510000
1,139988
1,025989
2
3,02
1,510000
1,139988
1,025989
1 48,52 48,520000 42,718000 38,446200
1
8,92
8,920000
1,558800
1,402920
1 10,51 10,510000
7,794000
7,014600
1
6,81
6,810000
6,810000
6,129000
1 101,96 101,960000 101,960000 91,764000
1 39,48 39,480000 37,495000 33,745500
1 75,00 75,000000 74,990000 67,491000
1 60,76 60,760000 37,495000 33,745500
1 84,20 84,200000 74,990000 67,491000
1 172,36 172,360000 149,980000 134,982000
1 74,98 74,980000 74,980000 67,482000
1 74,98 74,980000 74,980000 67,482000
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
40
9,38
0,234500
0,234500
0,211050
40 13,98
0,349500
0,349500
0,314550
30
6,01
0,200333
0,162250
0,146025
25
5,13
0,205200
0,162250
0,146025
20
3,02
0,151000
0,151000
0,135900
20
3,41
0,170500
0,162250
0,146025
20
3,19
0,159500
0,159500
0,143550
20
3,65
0,182500
0,162250
0,146025
20
2,31
0,115500
0,115499
0,103949
20 21,16
1,058000
0,604687
0,544218
20 13,53
0,676500
0,604687
0,544218
1 13,16 13,160000 12,093750 10,884375
20
3,65
0,182500
0,172500
0,155250
20
3,45
0,172500
0,172500
0,155250
20
3,45
0,172500
0,172500
0,155250
20
3,31
0,165500
0,165500
0,148950
1 11,43 11,430000 11,430000 10,287000
1 10,69 10,690000
9,421250
8,479125
1 11,23 11,230000 11,230000 10,107000
1 14,30 14,300000
9,421250
8,479125
DCI
Nr crt.
cod ATC
1.267
S01CA05
COMBINATII (CLORAMPHENICOLUM+BETHAMETASONUM)
1.268
S01CA05
COMBINATII (CLORAMPHENICOLUM+BETHAMETASONUM)
Denumire Comerciala
BETABIOPTAL
BETABIOPTAL
forma farm.
concentratie
PICATURI OFT.SUSP.
0,2g+0,5g/100ml
UNG. OFT.
Detinator APP
tara det.
APP
THEA FARMA S.P.A. ITALIA

0,2g+0,5g/100g THEA FARMA S.P.A. ITALIA
Ambalaj
Prescriptie
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
Val suportata
amanunt
de CNAS/UT
ul
(RON)Legea
Val suportata
CNAS/UT
(RON) pt.
j
(RON)
(RON)
si f)
Adulti
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 Snt
ii;
- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (***) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale Ministerului Snt
ii i cu aprobarea comisiilor de
la nivelul Caselor Judeene de Asigurri de Sntate;
- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu(1) se efectueaza pentru pacienii cu intoleran la acidum acetylsalicylicum.
Pagina 27 din 27
13,45
15,45
13,450000
15,450000
13,450000
13,950000
12,105000
12,555000
ANEXA 2
SUBLISTA B - LISTA MEDICAMENTELOR CU NIVEL DE COMPENSARE 50% DIN PRETUL DE REFERINTA CONFORM
DENUMIRILOR COMUNE INTERNATIONALE (DCI) ALE MEDICAMENTELOR DE CARE BENEFICIAZA ASIGURATII, IN TRATAMENTUL AMBULATORIU CU CONTRIBUTIE PERSONALA DIN HG NR. 720/2008 CU MODIFICARILE SI
COMPLETARILE ULTERIOARE VALABILA INCEPAND CU 01 APRILIE 2015
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
cod ATC
DCI
A02BC02
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
Denumire Comerciala
CONTROLOC 20 mg
CONTROLOC 40mg
SELTRAZ 40 mg
ZENCOPAN 20 mg
PANTEXEL 20 mg
NOLPAZA 20 mg
PANTOPRAZOL TEVA 20 mg
AZATOL 20 mg
PANTOPRAZOL TERAPIA 20 mg
PANTOPRAZOL TORRENT 20 mg
PANTOPRAZOL AUROBINDO 20 mg
ZENCOPAN 40 mg
PANTEXEL 40 mg
NOLPAZA 40mg
PANTOPRAZOL TEVA 40 mg
PANTOPRAZOL MACLEODS 40 mg
PANTOPRAZOL ATB 40 mg
AZATOL 40 mg
PANTOPRAZOL TORRENT 40 mg
PANTOPRAZOL AUROBINDO 40 mg
GESOFLUX 20 mg
GESOFLUX 40 mg
NOLPAZA 40 mg
CONTROLOC 40mg
EMANERA 20 mg
EMANERA 20 mg
HELIDES 20 mg
MESOPRAL 20 mg
EMANERA 40 mg
EMANERA 40 mg
HELIDES 40 mg
MESOPRAL 40 mg
NEXIUM 20 mg
ESOMEPRAZOL SANDOZ 20 mg
ESOMEPRAZOL TORRENT 20 mg
ESOMEPRAZOL TEVA 20 mg
PRAGASTROL 20 mg
NEXIUM 40 mg
ESOMEPRAZOL TORRENT 40 mg
ESOMEPRAZOL TEVA 40 mg
PRAGASTROL 40 mg
forma farm.
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
PULB. PT. SOL. INJ.

PULB. PT. SOL. INJ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
concentratie
20mg
40mg
40mg
20 mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
40 mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
20mg
40mg
40mg
40mg
20mg
20mg
20mg
20mg
40mg
40mg
40mg
40mg
20mg
20mg
20mg
20mg
20mg
40mg
40mg
40mg
40mg
40mg
Detinator APP
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
GERMANIA
CUTIE X 6 BLIST. AL/AL IN SUPORT DE CARTON X 5 COMPR. FILM. GASTROREZ.
P-6L
CUTIE X 2 BLIST. DIN OPA-AL-PVC/AL X 14 COMPR. FILM. GASTROREZISTENTE
P-6L
ZENTIVA K.S.
REPUBLICA CEHA
CUTIE CU BLIST. NYLON/AL/PVC/AL A CATE 28 COMPR. GASTROREZ.
P6L
ROMANIA
CUTIE X 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. GASTROREZ
P-6L
CUTIE X 2 BLIST. OPA-AL-PVC/AL X 15 COMPR. GASTR.
P-6L
KRKA D.D., NOVO MESTO SLOVENIA
ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. GASTROREZ.

NEOLA PHARMA SRL ROMANIA CUTIE CU BLIST. PVC-PCTFE-PVDC/AL X 28 COMPR. GASTROREZ.
TERAPIA S.A.
ROMANIA CUTIE CU 3 BLIST. PA-AL-PVC/AL X 10 COMPR. GASTROREZ.
TORRENT PHARMA S.R.L. ROMANIA CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. GASTROREZ.
CUTIE CU BLIST. PA-AL-PVC/AL X 30 COMPR. GASTROREZ.
ZENTIVA K.S.
REPUBLICA CEHA CUTIE CU BLIST. NYLON/AL/PVC/AL A CATE 28 COMPR. GASTROREZ.
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. GASTROREZ
P6L
P6L
P6L
P6L
P6L
P6L
CUTIE X 2 BLIST. OPA-AL-PVC/AL X 15 COMPR. GASTR.
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
TERAPIA S.A.
TERAPIA S.A.
ROMANIA
ROMANIA
ROMANIA
MACLEODS PHARMA UK LIMITED
MAREA BRITANIE CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. GASTROREZ.
P-6L
ANTIBIOTICE SA
ROMANIA
NEOLA PHARMA SRL ROMANIA
TORRENT PHARMA S.R.L. ROMANIA
G.L. PHARMA GMBH AUSTRIA
CUTIE CU 3 BLIST. AL/AL X 10 COMPR. GASTROREZ.
CUTIE CU BLIST. AL/AL X 30 COMPR. GASTROREZISTENTE
P6L
P6L
P6L
P6L
P6L
P6L
P6L
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ.
P-RF
NYCOMED GMBH
GERMANIA
CUTIE X 1 FLAC. LIOF. PT. SOL. INJ. S/P-RF
CUTIE CU BLIST. OPA-AL-PE+DESICANT/AL+ PE X 14 CAPS. GASTROREZ.P-6L
ZENTIVA K.S.
REPUBLICA CEHA
CUTIE CU BLIST. PA-AL-PVC/AL X 28 CAPS. GASTROREZ.
P-6L
PHARMACEUTICAL WORKS POLPHARMA SA
POLONIA
P6L
CUTIE CU BLIST. PVC-PCTFE-PVDC/AL X 28 COMPR. GASTROREZ.
CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. GASTROREZ.
CUTIE CU BLIST. PA-AL-PVC/AL X 30 COMPR. GASTROREZ.

CUTIE CU BLIST. AL/AL X 30 COMPR. GASTROREZISTENTE
ZENTIVA K.S.
P-6L
P6L
CUTIE X 2 BLIST. X 7 COMPR. FILM. GASTROREZ.
P-6L
REPUBLICA CEHA
POLONIA
SUEDIA
ROMANIA
ROMANIA
ROMANIA
LUXEMBOURG CUTIE CU BLIST. AL-PVC/AL X 30 (3X10) COMPR. GASTROREZ.
ASTRAZENECA AB
SANDOZ SRL
TORRENT PHARMA S.R.L.
ASTRAZENECA AB
SANDOZ SRL
SUEDIA
ROMANIA
Pagina 1 din 25
CUTIE CU BLIST. AL/AL X14 COMPR. GASTROREZ. P-6L

CUTIE CU BLIST. AL/AL X 28 COMPR. GASTROREZ.
P6L
P6L
P6L
P-6L
CUTIE CU BLIST. AL/AL X14 COMPR. GASTROREZ. P-6L

LUXEMBOURG CUTIE CU BLIST. AL-PVC/AL X 30 (3X10) COMPR. GASTROREZ.
P6L
P6L
P6L
Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)
30
30
28
28
28
30
30
28
30
30
30
28
28
30
30
10
30
28
30
28
30
30
30
30
1
1
14
28
28
28
14
28
28
28
14
14
28
14
30
14
14
28
14
30
34,83
55,68
31,62
6,38
22,06
21,88
20,43
22,57
23,39
15,99
6,15
11,63
31,62
32,77
36,17
5,93
19,57
27,57
32,77
33,80
25,05
11,22
22,28
34,10
19,31
13,39
26,47
37,80
18,38
51,23
38,71
55,99
30,80
73,54
39,41
30,17
51,18
18,94
26,75
59,56
44,12
73,48
26,58
47,82
Pret
amanuntul
maximal/UT
(RON)
1,161000
1,856000
1,129285
0,227857
0,787857
0,729333
0,681000
0,806071
0,779666
0,533000
0,205000
0,415357
1,129285
1,092333
1,205666
0,593000
0,652333
0,984642
1,092333
1,207142
0,835000
0,374000
0,742666
1,136666
19,310000
13,390000
1,890714
1,350000
0,656428
1,829642
2,765000
1,999642
1,100000
2,626428
2,815000
2,155000
1,827857
1,352857
0,891666
4,254285
3,151428
2,624285
1,898571
1,594000
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
0,642600
1,285200
1,129285
0,227857
0,642600
0,642600
0,642600
0,667574
0,642600
0,533000
0,205000
0,415357
1,129285
1,092333
1,205666
0,593000
0,652333
0,984642
1,092333
1,207142
0,835000
0,374000
0,642600
1,136666
19,310000
13,390000
0,856799
0,856799
0,656428
0,856799
1,713599
1,713599
1,100000
1,713599
0,856799
0,856799
0,856799
0,856799
0,856799
1,713599
1,713599
1,713599
1,713599
1,594000
0,321300
0,642600
0,564642
0,113928
0,321300
0,321300
0,321300
0,333787
0,321300
0,266500
0,102500
0,207678
0,564642
0,546166
0,602833
0,296500
0,326166
0,492321
0,546166
0,603571
0,417500
0,187000
0,321300
0,568333
9,655000
6,695000
0,428399
0,428399
0,328214
0,428399
0,856799
0,856799
0,550000
0,856799
0,428399
0,428399
0,428399
0,428399
0,428399
0,856799
0,856799
0,856799
0,856799
0,797000
Nr. crt
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
cod ATC
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BX02
A02BX02
A02BX05
A03AB06
A06AD15
A06AD15
A07AA11
A07AA11
A07AA11
A07EA06
A07EA06
A07EA06
A07EA06
A07XA04
A07XA04
A07XA04
A08AB01
A08AB01
A11CC03
A11CC03
A11CC03
A11CC03
A16AX01
A16AX01
A16AX01
B01AB04
B01AB04
B01AB04
B01AB04
B01AB04
B01AB04
B01AB04
B01AB05
B01AB05
B01AB05
B01AB05
B01AB05
B01AB06
B01AB06
B01AB06
B01AB06
B01AB06
B01AB06
B01AB06
B01AB06
DCI
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
SUCRALFATUM
SUCRALFATUM
BISMUTHI SUBCITRAS
OTILONIUM BROMIDUM
MACROGOLUM*2)
MACROGOLUM*2)
RIFAXIMINUM
RIFAXIMINUM
RIFAXIMINUM
BUDESONIDUM**
BUDESONIDUM**
BUDESONIDUM**
BUDESONIDUM**
RACECADOTRILUM
RACECADOTRILUM
RACECADOTRILUM
ORLISTATUM****
ORLISTATUM****
ALFACALCIDOLUM
ALFACALCIDOLUM
ALFACALCIDOLUM
ALFACALCIDOLUM
Denumire Comerciala
ESOMEPRAZOL TERAPIA 20mg

ESOMEPRAZOL TERAPIA 40mg
NEXIUM 10 mg
NEXIUM 40 mg
ESOMEPRAZOL POLPHARMA 40 mg
GASTROFAIT
VENTER
DE - NOL
SPASMOMEN (R)
OLOPEG
OLOPEG
NORMIX 200 mg
NORMIX 200 mg
NORMIX 100mg/5ml
BUDENOFALK
BUDENOFALK UNO 9 mg
BUDENOFALK 2 mg/doza
BUDENOFALK 2 mg/doza
HIDRASEC 100 mg
HIDRASEC 10 mg
HIDRASEC 30 mg
XENICAL 120mg
XENICAL 120mg
ALPHA D3 0,25 mcg
ALPHA D3 0,50 mcg
ACIDUM TIOCTICUM (ALFA-LIPOICUM)**# THIOCTACID (R) 600 HR (vezi N07XN03)
ACIDUM TIOCTICUM (ALFA-LIPOICUM)**# THIOSSEN 600 (vezi N07XN03)
ACIDUM TIOCTICUM (ALFA-LIPOICUM)**# THIOCTACID 600T (vezi N07XN03)
DALTEPARINUM**#
DALTEPARINUM**#
DALTEPARINUM**#
FRAGMIN15000 UI/0,6 ml
DALTEPARINUM**#
DALTEPARINUM**#
DALTEPARINUM**#
DALTEPARINUM**#
ENOXAPARINUM**#
ENOXAPARINUM**#
ENOXAPARINUM**#
ENOXAPARINUM**#
ENOXAPARINUM**#
NADROPARINUM**#
NADROPARINUM**#
NADROPARINUM**#
NADROPARINUM**#
NADROPARINUM**#
NADROPARINUM**#
NADROPARINUM**#
NADROPARINUM**#
forma farm.
concentratie
20mg
COMPR. GASTROREZISTENTE 40mg
10mg
PULB. PT. SOL. PERF./INJ. 40mg
COMPR.
1g
COMPR.
1g
COMPR. FILM. 120mg
COMPR. FILM. 40mg
Detinator APP
tara det.
APP
TERAPIA S.A.
TERAPIA S.A.
ASTRAZENECA AB
ASTRAZENECA AB
SANDOZ S.R.L.
Ambalaj
Prescriptie
ROMANIA CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/AL X 14 COMPR. GASTROREZISTENTE P-6L

ROMANIA CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/AL X 14 COMPR. GASTROREZISTENTE P-6L
SUEDIA
P-6L
SUEDIA CUTIE X 10 FLACOANE LIOF. PT. SOL. INJ./PERF. S/P-RF
ROMANIA
PRF
PHARMACEUTICAL WORKS POLPHARMA SA POLONIA
P6L
E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 5 BLIST. AL/PVC X 4 COMPR. P-6L
KRKA D.D.
SLOVENIA CUTIE X 5 BLIST. X 10 COMPR.
P-6L
ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 5 BLIST. AL/AL X 8 COMPR. FILM. P-6L
A. MENARINI IND. FARM. RIUNITE SRL ITALIA
CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L
CNP PHARMA GMBH GERMANIA
PRF
CNP PHARMA GMBH GERMANIA
PRF
CUTIE X 3 BLIST. AL/PVC A CATE 12 COMPR. FILM. P-RF
P-RF
CAPS. GASTROREZ.
CUTIE X 10 BLIST. PVC-PVDC/AL X 10 CAPS. CU PELETE GASTROREZ.
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
GRAN. GASTROREZ. PT. SUSP.ORALA
CUTIE X 28 PLICURI DIN PET/AL/PEJD CONTINAND GRANULE GASTROREZ. PT. SUSP. ORALA
CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 5 ML CU PULB. PT. SOL. INJ./PERF.
CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 15 ML CONTINAND PULB. PT. SOL. INJ./PERF.
CONC. PT. SOL. ORALA FARA CONCENTRATIE

CONC. PT. SOL. ORALA FARA CONCENTRATIE
COMPR. FILM. 200mg

COMPR. FILM. 200mg
100mg/5ml
3mg
GRANULE GASTROREZ. 9mg
SPUMA RECTALA 2mg/doza
SPUMA RECTALA 2mg/doza
CAPS.
100mg
PULB. PT. SOL. ORALA 10mg
PULB. PT. SOL. ORALA 30mg
CAPS.
120mg
CAPS.
120mg
CAPS. MOI 0,25mcg
CAPS. MOI 0,25g
CAPS. MOI 0,50mcg
CAPS. MOI 0,5g
COMPR. FILM. 600mg
COMPR. FILM. 600mg
SOL. INJ.
25mg/ml
SOL. INJ.
10000UI/0,4ml
SOL. INJ.
12500 UI/0,5ml
SOL. INJ.
15000ui/0,6ml
SOL. INJ.
18000 UI/0,72ml
SOL. INJ.
2500ui/0,2ml
SOL. INJ.
5000ui/0,2ml
SOL. INJ.
7500ui/0,3ml
SOL. INJ.
2000ui anti-Xa/0,2ml
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
8000UI anti-Xa/0,8ml
SOL. INJ.
2850 ui AFXa/0,3ml
SOL. INJ.
2850 ui AFXa/0,3ml
SOL. INJ.
3800 ui AFXa/0,4ml
SOL. INJ.
3800 ui AFXa/0,4ml
SOL. INJ.
5700 ui AFXa/0,6ml
SOL. INJ.
5700 ui AFXa/0,6ml
SOL. INJ.
7600 ui AFXa/0,8ml
SOL. INJ.
7600 ui AFXa/0,8ml
CUTIE CU 1 FLAC. DIN PET X 500 ML CONC. PT. SOL. ORALA, INSOTIT DE UN RECIPIENT DOZATOR GRADAT
CUTIE CU 1 FLAC. DIN PET X 200 ML CONC. PT. SOL. ORALA, INSOTIT DE UN RECIPIENT DOZATOR GRADAT
CUTIE X 1 FLAC. GRAN. PT. 60 ML SUSP. ORALA + 1 MASURA DOZATOARE MARCATA LA 5, 10 SI 15 ML
P-RF
LAB. FOURNIER SA FRANTA CUTIE X 2 BLIST. AL/PVC-PVDC X 10 CAPS.

LAB. FOURNIER SA FRANTA CUTIE X 16 PLICURI X 1 G
LAB. FOURNIER SA FRANTA CUTIE X 16 PLICURI X 3 G
P-RF
ROCHE REGISTRATION LTD.
MAREA BRITANIE
CUTIE X 21 CAPS. TARI (BLISTER PVC/PE/PVDC)
P-RF
MAREA BRITANIE
CUTIE X 84 CAPS. TARI (BLISTER PVC/PE/PVDC)
P-RF
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
GERMANIA CUTIE X 1 FLAC. X 30 COMPR. FILM. P-6L
SANDOZ S.R.L.
SANDOZ S.R.L.
MEDA PHARMA GMBH & CO KG
P-RF
P-RF
AAA - PHARMA GMBH GERMANIA
CUTIE X 3 BLIST. PVC-PVDC/AL. X 10 COMPR. FILM.
P-6L
GERMANIA
CUTIE X 5 FIOLE X 24 ML SOL.INJ.
S/P-RF
MAREA BRITANIE
CUTIE X 5 BLIST. X 1 SERINGA X 0,4 ML SOL. INJ.
S/P-RF
MAREA BRITANIE
S/P-RF
MAREA BRITANIE
CUTIE X 5 BLIST. INDIVIDUALE CONTINAND FIECARE 1 SERINGA PREUMPLUTA X 0,6 ML SOL. INJ.
S/P-RF
MAREA BRITANIE
S/P-RF
MAREA BRITANIE
CUTIE X 10 BLIST. INDIVIDUALE CONTINAND FIECARE 1 SERINGA PREUMPLUTA X 0,2 ML
S/P-RF
MAREA BRITANIE
S/P-RF
MAREA BRITANIE
S/P-RF
CUTIE X 10 SERINGI PREUMPLUTE X 0,2 ML SOL. INJ.
PR/PRF
CUTIE X 10 SERINGI PREUMPLUTE X 0.4 ML SOL. INJ.
PR/PRF
PR/PRF
PR/PRF
CUTIE CU 6 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 1 ML, PREVAZUTA CU A
PR/PRF
LAB. AVENTIS
LAB. AVENTIS
LAB. AVENTIS
LAB. AVENTIS
FRANTA
FRANTA
FRANTA
FRANTA
GLAXO GROUP LIMITED/GLAXO WELLCOME HOUSE
MAREA BRITANIE CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,3 ML SOL. INJ. S/P-RF
ASPEN PHARMA TRADING LIMITED
IRLANDA
CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,3 ML SOL. INJ. S/P-RF
IRLANDA
IRLANDA
IRLANDA
Pagina 2 din 25
Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)
14
14
28
10
10
10
20
50
40
30
1
1
12
36
1
100
30
1
2
20
16
16
21
84
50
30
30
30
30
30
5
5
5
5
5
10
10
10
10
10
10
2
6
10
10
10
10
10
10
10
10
Pret
amanuntul
maximal/UT
(RON)
Val suportata
de CNAS/UT
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti
26,47
1,890714
0,856799
0,428399
38,71
2,765000
1,713599
0,856799
174,25
6,223214
6,223214
3,111607
297,47 29,747000 25,799993 12,899996
193,35 19,335000 19,335000
9,667500
193,35 19,335000 19,335000
9,667500
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
44,15 44,150000 44,150000 22,075000
19,03 19,030000 18,002500
9,001250
33,10
2,758333
2,646666
1,323333
91,26
2,535000
2,535000
1,267500
19,11 19,110000 15,880014
7,940007
444,55
4,445500
4,048486
2,024243
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
2,081306
1,040653
41,04
2,565000
2,081306
1,040653
39,13
2,445625
2,081306
1,040653
92,03
4,382380
3,789970
1,894985
301,77
3,592500
3,592500
1,796250
29,01
0,580200
0,523333
0,261666
22,97
0,765666
0,523333
0,261666
31,40
1,046666
1,046666
0,523333
34,01
1,133666
1,046666
0,523333
68,47
2,282333
1,978474
0,989237
46,05
1,535000
1,535000
0,767500
120,12 24,024000 24,024000 12,012000
125,97 25,194000 23,768000 11,884000
170,87 34,174000 29,710000 14,855000
206,87 41,374000 35,652000 17,826000
235,27 47,054000 42,782400 21,391200
77,59
7,759000
5,942000
2,971000
142,16 14,216000 11,884000
5,942000
202,99 20,299000 17,826000
8,913000
64,09
6,409000
5,942000
2,971000
118,84 11,884000 11,884000
5,942000
144,45 14,445000 14,445000
7,222500
40,14 20,070000 20,070000 10,035000
127,39 21,231666 21,231666 10,615833
64,25
6,425000
5,942000
2,971000
64,25
6,425000
5,942000
2,971000
81,89
8,189000
7,922664
3,961332
81,89
8,189000
7,922664
3,961332
127,08 12,708000 11,884000
5,942000
127,08 12,708000 11,884000
5,942000
154,38 15,438000 15,438000
7,719000
154,38 15,438000 15,438000
7,719000
Nr. crt
96
97
98
99
cod ATC
B01AB10
B01AB10
B01AB10
B01AB10
100 B01AB10
101 B01AB10
102 B01AB10
103 B01AB11
104 B01AB11
105 B01AB11
106 B01AB11
107 B01AC04
108 B01AC04
109 B01AC04
110 B01AC04
111 B01AC04
112 B01AC04
113 B01AC04
114 B01AC04
115 B01AC04
116 B01AC04
117 B01AC04
118 B01AC04
119 B01AC04
120 B01AC04
121 B01AC04
122 B01AC04
123 B01AC04
124 B01AC04
125 B01AC04
126 B01AC04
127 B01AC04
128 B01AC04
129 B01AC04
130 B01AC04
131 B01AC04
132 B01AC04
133 B01AC04
134 B01AC18
135 B01AC18
136 B01AC30
137 B01AF01
138 B01AF01
139 B01AX05
140 B01AX05
141 B01AX05
142 B01AX05
143 B03AC02
144 C01EB17
145 C01EB17
146 C02AC05
DCI
TINZAPARINUM**#
TINZAPARINUM**#
TINZAPARINUM**#
TINZAPARINUM**#
TINZAPARINUM**#
TINZAPARINUM**#
TINZAPARINUM**#
SULODEXIDUM**
SULODEXIDUM**
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**
TRIFLUSALUM
TRIFLUSALUM
Denumire Comerciala

VESSEL DUE F
COREFLUX 250 ULS
COREFLUX 600 ULS/2 ml
VESSEL DUE F
PLAVIX 300mg
CLOPIDOGREL TEVA 75 mg
ZYLLT
PLAVIX 75mg
TROMBEX 75 mg
EGITROMB 75 mg
TROMBEX 75 mg
CLOPIDOGREL MYLAN 75mg
TROGRAN 75 mg
CLOPIGAMMA 75 mg
CLOPIGAMMA 75 mg
PLAVOCORIN 75 mg
CLOPIDOGREL ACTAVIS 75 mg
DEFROZYP 75 mg
TESSYRON 75 mg
CLOPIDOGREL DR. REDDY'S 75 mg
MOYTOR 75 mg
PLATEL 75 mg
PLATEL 75 mg
PLATEL 75 mg
CLOPIDOGREL TERAPIA 75 mg
PLATEL 75 mg
DEPLATT 75 mg
TROMBEX 75 mg
TROMBEX 75 mg
CLOPIDOGREL POLIPHARMA 75 mg
CLOPIDOGREL AUROBINDO 75 mg
PLATROX 300 mg
AFLEN (R)
COMBINATII (ACID ACETYLSALICYLICUM+DIPYRIDAMOLUM)** AGGRENOX 200mg/25mg
RIVAROXABANUM
XARELTO 10mg
RIVAROXABANUM
XARELTO 10mg
FONDAPARINUX SODIUM**#
ARIXTRA 2,5mg/0,5ml
ARIXTRA 2,5mg/0,5ml
ARIXTRA 7,5mg/0,6ml
ARIXTRA 7,5mg/0,6ml
COMPLEX DE HIDROXID DE FER (III) SUCROZA VENOFER (R)
IVABRADINUM**
CORLENTOR 5mg
IVABRADINUM**
CORLENTOR 7,5mg
MOXONIDINUM
MOXOGAMMA 0,2 mg
forma farm.
concentratie
Detinator APP
tara det.
APP
Ambalaj
Prescriptie
LEO PHARMA A/S

DANEMARCA
PR/PRF
SOL. INJ. IN FLACOANE 20000 UI anti-Xa/ml LEO PHARMA A/S
DANEMARCA
PR/PRF
10000UI anti-XA/ml LEO PHARMA A/S
DANEMARCA
PR/PRF
10000UI anti-XA/ml LEO PHARMA A/S
DANEMARCA
PR/PRF
20000UI anti-Xa/ml LEO PHARMA A/S
DANEMARCA
PR/PRF
DANEMARCA
PR/PRF
DANEMARCA
PR/PRF
CAPS. MOI 250ULS
CUTIE X 2 BLIST. PVDC-PVC/AL-PVDC X 25 CAPS. MOI P-RF
CAPS. MOI 250ULS
SANIENCE S.R.L.
ROMANIA CUTIE CU 5 BLIST. PVC/AL X 10 CAPS. MOI PRF
SOL INJ.
600ULS/2ml SANIENCE S.R.L.
ROMANIA CUTIE CU 10 FIOLE DIN STICLA BRUNA CU INEL DE RUPERE X 2 ML SOL. INJ. PRF
SOL. INJ.
600ULS/2ml ALFA WASSERMANN SPA ITALIA
CUTIE X 10 FIOLE DIN STICLA GALBENA X 2 ML P-RF
COMPR. FILM. 300mg
SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA
CUTIE X 30X1 COMPR. FILM. (BLIST. AL/AL PERFORATE UNIDOZA) P-RF
COMPR. FILM. 75 mg
TEVA PHARMA BV OLANDA CUTIE CU BLIST. AL/AL X 28 X 1 COMPR. FILM. P-RF
COMPR. FILM. 75 mg
KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA/AL/PVC-AL X 28 COMPR. FILM. P-RF
COMPR. FILM. 75mg
CUTIE X 28 COMPR. FILM. (BLIST. PVC/PVDC/AL) P-RF
COMPR. FILM. 75mg
ZENTIVA K.S.
CEHIA
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 30 COMPR. FILM. P-RF
COMPR. FILM. 75mg
UNGARIA CUTIE CU BLIST. OPA-AL-PVDC/AL X 28 COMPR. FILM. P-RF
COMPR. FILM. 75mg
ZENTIVA K.S.
CEHIA
COMPR. FILM. 75mg
MYLAN S.A.S.
FRANTA CUTIE CU BLIST. DIN OPA/AL/PVC-AL X 28 COMPR.FILM. P-RF
COMPR. FILM. 75mg
GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.
P-RF
COMPR. FILM. 75mg
WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-RF
COMPR. FILM. 75mg
WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.
P-RF
COMPR. FILM. 75mg
SANDOZ S.R.L.
ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-RF
COMPR. FILM. 75mg
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-RF
COMPR. FILM. 75mg
LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVDC/AL X 28 COMPR. FILM. P-RF
COMPR. FILM. 75mg
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU BLIST. PVC-PCTFE-PVC/AL X 30 COMPR. FILM.
P-RF
COMPR. FILM. 75mg
DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-RF
COMPR. FILM. 75mg
ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU BLIST. PCTFE-PE-PVC/AL X 28 COMPR. FILM. P-RF
COMPR. FILM. 75mg
CUTIE CU BLIST. AL/AL X 10 COMPR. FILM. P-RF
COMPR. FILM. 75mg
COMPR. FILM. 75mg
COMPR. FILM. 75mg
TERAPIA S.A.
ROMANIA CUTIE CU 3 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. PRF
COMPR. FILM. 75mg
COMPR. FILM. 75mg
TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PRF
COMPR. FILM. 75mg
ZENTIVA K.S.
CEHIA
CUTIE CU BLISTERE DIN PVC-PVDC/AL CONTINND 30 COMPRIMATE FILMATEP-RF
COMPR. FILM. 75mg
ZENTIVA K.S.
CEHIA
CUTIE CU BLISTERE DIN PVC-PVDC/AL CONTINND 90 COMPRIMATE FILMATEP-RF
COMPR. FILM. 75mg
POLIPHARMA INDUSTRIES S.R.L. ROMANIA CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM.
P6L
COMPR. FILM. 75mg
CUTIE CU BLIST. PVC-ACLAR/AL X 28 COMPR. FILM. PRF
CAPS.
300 mg
GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU 5 BLIST. AL-PVC/PVDC X 10 CAPS. PRF
CAPS.
300mg
GALENICA S.A.
GRECIA CUTIE X 5 BLIST. X 10 CAPS.
P-RF
CAPS. ELIB. MODIF. 25mg/200mg
GERMANIA
P-6L
COMPR. FILM. 10mg
BAYER PHARMA AG GERMANIA CUTIE X BLIST PP/AL X 10 COMPR. FILM. P-RF
COMPR. FILM. 10mg
BAYER PHARMA AG GERMANIA CUTIE X BLIST PP/AL X 30 COMPR. FILM. P-RF
2,5mg/0,5ml GLAXO GROUP LTD. MAREA BRITANIE
P-RF
2,5mg/0,5ml ASPEN PHARMA TRADING LIMITED IRLANDA
P-RF
7,5mg/0,6ml GLAXO GROUP LTD. MAREA BRITANIE
P-RF
7,5mg/0,6ml ASPEN PHARMA TRADING LIMITED IRLANDA
P-RF
SOL. INJ./PERF. 20mg/ml
VIFOR FRANCE S.A. FRANTA CUTIE X 5 FIOLE X 5 ML
S/P-RF
COMPR. FILM. 5mg
LES LAB. SERVIER FRANTA CUTIE X 56 COMPR. FILM. (BLIST. AL/PVC TIP CALENDAR) P-6L
COMPR. FILM. 7,5mg
LES LAB. SERVIER FRANTA CUTIE X 56 COMPR. FILM. (BLIST. AL/PVC TIP CALENDAR) P-6L
COMPR. FILM. 0,2mg
WORWAG PHARMA GMBH GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L
SOL. INJ. IN FLACOANE
10000UI anti-XA/ml
CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 2 ML (20000 UI ANTI-XA) SOL. INJ., CU DOP DE CAUCIUC DE CULO
CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 2 ML (40000 UI ANTI-XA) SOL. INJ., CU DOP DE CAUCIUC DE CULO
SOL. INJ. IN SERINGI PREUMPLUTE
CUTIE CU 10 SERINGI PREUMPLUTE X 0.35 ML (3500 UI ANTI-XA) SOL. INJ., CU DISPOZITIV DE SIGURANTA PT. AC, INTRODUSE INTR-UN SUPORT DIN PLASTIC CU CAPAC VERDE
CUTIE CU 10 SERINGI PREUMPLUTE X 0.45 ML (4500 UI ANTI-XA) SOL. INJ., CU DISPOZITIV DE SIGURANTA PT.
CUTIE CU 2 SERINGI PREUMPLUTE X 0,50 ML (10000 UI ANTI-XA) SOL. INJ., CU DISPOZITIV DE SIGURANTA PT.
CUTIE X 1 FLAC. DIN PP X 60 CAPS. CU ELIB.MODIF. CU SISTEM DE INCHIDERE SECURIZAT PT. COPII +DESICAN
SOL. INJ. IN SERINGA PREUMPLUTA
CUTIE X 10 SERINGI PREUMPLUTE X 0,5 ML SOL. INJ., PREVAZUTE CU UN SISTEM AUTOMAT DE SIGURANTA, DE CU
CUTIE X 10 SERINGI PREUMPLUTE X 0,5 ML SOL. INJ., PREVAZUTE CU UN SISTEM AUTOMAT DE SIGURANTA, DE CULOARE ALBASTRA
CUTIE X 10 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ., PREVAZUTE CU UN SISTEM AUTOMAT DE SIGURANTA, DE CU
CUTIE X 10 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ., PREVAZUTE CU UN SISTEM AUTOMAT DE SIGURANTA, DE CULOARE PURPURIE
Pagina 3 din 25
Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)
10
10
10
10
2
2
2
50
50
10
10
30
28
28
28
30
28
90
28
28
28
28
28
28
28
30
30
28
10
60
90
30
28
30
30
90
30
28
50
50
60
10
30
10
10
10
10
5
56
56
30
517,40
1.090,55
123,06
155,09
73,65
98,32
120,16
102,83
82,25
64,86
78,43
359,66
37,53
37,53
57,74
17,86
37,52
52,86
79,52
79,52
37,53
37,53
37,53
37,53
37,53
40,26
40,22
37,52
13,82
76,22
114,32
51,97
37,46
40,20
17,18
49,88
40,22
16,02
58,12
84,93
52,85
116,07
330,19
187,06
187,06
607,13
607,13
149,77
240,27
260,36
21,80
Pret
amanuntul
maximal/UT
(RON)
51,740000
109,055000
12,306000
15,509000
36,825000
49,160000
60,080000
2,056600
1,645000
6,486000
7,843000
11,988666
1,340357
1,340357
2,062142
0,595333
1,340000
0,587333
2,840000
2,840000
1,340357
1,340357
1,340357
1,340357
1,340357
1,342000
1,340666
1,340000
1,382000
1,270333
1,270222
1,732333
1,337857
1,340000
0,572666
0,554222
1,340666
0,572142
1,162400
1,698600
0,880833
11,607000
11,006333
18,706000
18,706000
60,713000
60,713000
29,954000
4,290535
4,649285
0,726666
Val suportata
de CNAS/UT
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti
33,954281
67,908568
5,942000
7,639712
8,488568
23,768000
30,558856
1,747900
1,645000
6,486000
6,825250
9,640285
1,340357
1,340357
2,062142
0,595333
1,340000
0,587333
2,410071
2,410071
1,340357
1,340357
1,340357
1,340357
1,340357
1,342000
1,340666
1,340000
1,382000
1,270333
1,270222
1,732333
1,337857
1,340000
0,572666
0,554222
1,340666
0,572142
1,162400
1,205035
0,880833
11,156499
11,006333
18,706000
18,706000
56,117999
46,765000
29,954000
3,057548
4,586322
0,726666
16,977140
33,954284
2,971000
3,819856
4,244284
11,884000
15,279428
0,873950
0,822500
3,243000
3,412625
4,820142
0,670178
0,670178
1,031071
0,297666
0,670000
0,293666
1,205035
1,205035
0,670178
0,670178
0,670178
0,670178
0,670178
0,671000
0,670333
0,670000
0,691000
0,635166
0,635111
0,866166
0,668928
0,670000
0,286333
0,277111
0,670333
0,286071
0,581200
0,602517
0,440416
5,578249
5,503166
9,353000
9,353000
28,058999
23,382500
14,977000
1,528774
2,293161
0,363333
Nr. crt
cod ATC
147 C02AC05
148 C02AC05
149 C02AC05
150 C02AC05
151 C02AC05
152 C02AC05
153 C02AC05
154 C02AC06
155 C02AC06
156 C03DA04
157 C03DA04
158 C04AE02
159 C04AE02
160 C04AE02
161 C04AE02
162 C04AE02
163 C04AE02
164 C04AE02
165 C04AE02
166 C04AE02
167 C04AE02
168 C04AE02
169 C04AX07
170 C04AX07
171 C04AXN1
172 C04AXN1
173 C04AXN1
174 C04AXN1
175 C04AXN1
176 C04AXN1
177 C04AXN1
178 C04AXN1
179 C04AXN1
180 C04AXN1
181 C04AXN1
182 C04AXN1
183 C04AXN1
184 C04AXN1
185 C04AXN1
186 C05CA53
187 C07AB12
188 C07AB12
189 C07AB12
190 C07AB12
191 C07AB12
192 C07AB12
193 C07AB12
194 C07AB12
195 C07AB12
196 C07AB12
197 C07AB12
DCI
MOXONIDINUM
MOXONIDINUM
MOXONIDINUM
MOXONIDINUM
MOXONIDINUM
MOXONIDINUM
MOXONIDINUM
RILMENIDINUM
RILMENIDINUM
EPLERENONUM*#
EPLERENONUM*#
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**
DIOSMINUM (COMBINATII)**
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
Denumire Comerciala
PHYSIOTENS 0,2
MOXONIDINA MYLAN 0,2 mg
MOXOGAMMA 0,3 mg
MOXOGAMMA 0,4 mg
PHYSIOTENS 0,4
TENAXUM
RILMENIDINA TEVA 1 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
GRALIN 5 mg
NICERIUM (R) 10
SINERGOLIN 30
SINERGOLIN 30
OXYBRAL SR 30 mg
VINCAMINA
BILOBIL INTENS 120 mg (vezi N06DX02)
BILOBIL 40 mg (C04AXN1)
BILOBIL 40 mg (C04AXN1)
BILOBIL FORTE (vezi C04AXN1)
GINGIUM 120mg (vezi N06DX02)
GINGIUM 40mg (vezi N06DX02 )
GINKGO BILOBA BIOFARM 40 mg (vezi N06DX02)
TANAKAN (EGB 761) (N06DX02)

GINGIUM 80mg (vezi N06DX02)
TANAKAN (EGB 761) (C04AXN1)

TANAKAN (EGB 761) (C04AXN1)
DETRALEX ( R )
NEBILET (R)
NEBIVOLOL ACTAVIS 5 mg
X-PRESSOL 5 mg
NOLET 5 mg
NEBIVOLOL TEVA 5 mg
NEBIVOLOL TEVA 5 mg
NEBINORM 5 mg
NEBIVOLOL SANDOZ 5 mg
NEBIVOLOL TERAPIA 5mg
NEBIVOLOL TORRENT 5 mg
NEBICARD 5 mg
forma farm.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.
CAPS. ELIB. MODIF.
CAPS. ELIB. MODIF.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
DRAJ.
DRAJ.
DRAJ.
CAPS. ELIB. PREL.
DRAJ.
CAPS.
CAPS.
CAPS.
CAPS.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
PICATURI ORALE-SOL.
PICATURI ORALE-SOL.
COMPR. FILM.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
concentratie
0,2mg
0,2mg
0,3mg
0,3mg
0,4mg
0,4mg
0,4mg
1mg
1mg
25mg
50mg
15mg
30mg
10mg
10mg
30mg
30mg
30mg
5mg
10mg
30mg
30mg
30mg
10mg
120mg
40mg
40mg
80mg
120mg
40mg
40mg
40mg
40mg
40mg
80mg
80mg
80mg
40mg/ml
40mg/ml
500mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
Detinator APP
tara det.
APP
Ambalaj
Prescriptie
ABBOTT PRODUCTS GMBH GERMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 28 COMPR.FILM. P-6L
GENERICS (UK) LTD
MAREA BRITANIE
P6L
GENERICS (UK) LTD
MAREA BRITANIE
P6L
ABBOTT PRODUCTS GMBH GERMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 28 COMPR.FILM. P-6L
GENERICS (UK) LTD
MAREA BRITANIE
P6L
FRANTA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-6L

ROMANIA
P6L
MAREA BRITANIE CUTIE X 3 BLIST. PERFORATE UNIDOZA PVC/AL X 10 COMPR. FILM. P-RF
MAREA BRITANIE CUTIE X 3 BLIST. PERFORATE UNIDOZA PVC/AL X 10 COMPR. FILM. P-RF
HEXAL AG
HEXAL AG
GERMANIA CUTIE X 3 BLIST. PP/AL X 10 CAPS. ELIB. MODIF. P-6L
LES LABORATOIRES SERVIER
CUTIE X BLISTERE AL/AL (FOLIE AL CFF FORMATA LA RECE/FOLIE AL ACOPERITA LA CALD CU UN STRAT DE LAC) X 30 COMPRIMATE
GERMANIA CUTIE X 3 BLIST. PP/AL X 10 CAPS. ELIB. MODIF. P-6L
SLAVIA PHARM S.R.L. ROMANIA CUTIE X 2 BLIST. PVC/AL X 15 COMPR. FILM. P-6L
MAREA BRITANIE CUTIE X 2 BLIST. PVC-PVDC/AL-PVC X 15 COMPR. FILM
P-6L
SLAVIA PHARM S.R.L. ROMANIA CUTIE X 2 BLIST. PVC/AL X 15 COMPR. FILM.

SLAVIA PHARM S.R.L. ROMANIA CUTIE X 2 BLIST. PVC/AL X 15 COMPR. FILM.
HEXAL AG
GERMANIA CUTIE X 1 BLIST. AL/PVC X 25 DRAJ.
SINTOFARM SA
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 DRAJ.
SINTOFARM SA
GLAXOSMITHKLINE (GSK) SRL ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 CAPS. CU ELIB. PREL.
BIOFARM SA
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 CAPS.
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. AL/PVC-PVDC X 10 CAPS.
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 6 BLIST. AL/PVC-PVDC X 10 CAPS.
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 6 BLIST. AL/PVC X 10 CAPS.
P-6L
HEXAL AG
HEXAL AG
BIOFARM S.A.
BIOFARM S.A.
BIOFARM S.A.
IPSEN PHARMA
HEXAL AG
BIOFARM S.A.
BIOFARM S.A.
GERMANIA CUTIE X 3 BLIST. AL/PP X 10 COMPR. FILM.
P-6L
P-6L

FRANTA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM.
P-6L
P-6L
ROMANIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

ROMANIA CUTIE CU 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.
BEAUFOUR IPSEN PHARMA FRANTA CUTIE X 1 FLACON DE STICLA BRUNA X 30 ML + 1 PIPETA DIN POLIETILENA
IPSEN PHARMA
FRANTA CUTIE X 1 FLACON DE STICLA BRUNA X 30 ML + 1 PIPETA DIN POLIETILENA
LES LAB. SERVIER IND. FRANTA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM.
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
BERLIN CHEMIE AG MENARINI GROUP
GERMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L
ACTAVIS S.R.L.

ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P6L
ROMANIA CUTIE X 3 BLIST. PVC- PE- PVDC/AL X 10 COMPR. P-6L
ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. P-6L
ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L
REPUBLICA CEHA
ANTIBIOTICE S.A.
SANDOZ S.R.L.
TERAPIA S.A.
CUTIE CU BLIST. PVC-PVDC/AL X 30 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
BIOFARM SP. ZO.O POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. P6L
Pagina 4 din 25
Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)
28 32,50
28 13,24
30 25,87
28 20,22
30 33,14
28 43,79
28 26,58
30 41,62
30 27,94
30 185,59
30 185,59
30 27,89
30 51,38
30 13,45
30 13,45
30 39,65
30 32,45
30 32,45
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 12,48
30 12,30
60 23,51
60 23,51
30 23,17
30 23,51
30 23,17
60 44,84
1 24,88
1 24,88
30 26,39
28 34,55
30 23,20
30 27,09
30 24,87
28 22,80
30 24,44
30 24,87
28 13,84
28 22,65
30 24,59
28 22,93
Pret
amanuntul
maximal/UT
(RON)
1,160714
0,472857
0,862333
0,722142
1,104666
1,563928
0,949285
1,387333
0,931333
6,186333
6,186333
0,929666
1,712666
0,448333
0,448333
1,321666
1,081666
1,081666
0,225333
0,564400
1,079666
1,079500
0,926000
0,336000
1,086333
0,479000
0,458333
0,754833
1,124666
0,416000
0,410000
0,391833
0,391833
0,772333
0,783666
0,772333
0,747333
24,880000
24,880000
0,879666
1,233928
0,773333
0,903000
0,829000
0,814285
0,814666
0,829000
0,494285
0,808928
0,819666
0,818928
Val suportata
de CNAS/UT
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti
0,866569
0,472857
0,862333
0,722142
1,104666
1,563928
0,949285
1,299855
0,931333
3,866458
6,186333
0,540833
1,081666
0,360555
0,360555
1,081666
1,081666
1,081666
0,180277
0,360555
1,079666
1,079500
0,926000
0,315500
1,086333
0,379604
0,379604
0,754833
1,124666
0,379604
0,379604
0,379604
0,379604
0,379604
0,759208
0,759208
0,747333
24,880000
24,880000
0,879666
0,854549
0,773333
0,854549
0,829000
0,814285
0,814666
0,829000
0,494285
0,808928
0,819666
0,818928
0,433284
0,236428
0,431166
0,361071
0,552333
0,781964
0,474642
0,649927
0,465666
1,933229
3,093166
0,270416
0,540833
0,180277
0,180277
0,540833
0,540833
0,540833
0,090138
0,180277
0,539833
0,539750
0,463000
0,157750
0,543166
0,189802
0,189802
0,377416
0,562333
0,189802
0,189802
0,189802
0,189802
0,189802
0,379604
0,379604
0,373666
12,440000
12,440000
0,439833
0,427274
0,386666
0,427274
0,414500
0,407142
0,407333
0,414500
0,247142
0,404464
0,409833
0,409464
Nr. crt
cod ATC
DCI
198 C07BB07
COMBINATII (BISOPROLOLUM+HYDROCHLOROTHIAZIDUM)
199 C07BB07
200 C07BB07
201 C07BB07
202 C07BB07
203 C07BB07
204 C08CA09
LACIDIPINUM
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
BENAZEPRILUM
BENAZEPRILUM
BENAZEPRILUM
TRANDOLAPRILUM
TRANDOLAPRILUM
TRANDOLAPRILUM
ZOFENOPRILUM
ZOFENOPRILUM
205 C08CA13
206 C08CA13
207 C08CA13
208 C08CA13
209 C08CA13
210 C08CA13
211 C08CA13
212 C08CA13
213 C08CA13
214 C08CA13
215 C08CA13
216 C08CA13
217 C08CA13
218 C08CA13
219 C09AA04
220 C09AA04
221 C09AA04
222 C09AA04
223 C09AA04
224 C09AA04
225 C09AA04
226 C09AA04
227 C09AA04
228 C09AA04
229 C09AA04
230 C09AA04
231 C09AA04
232 C09AA04
233 C09AA04
234 C09AA04
235 C09AA04
236 C09AA04
237 C09AA04
238 C09AA07
239 C09AA07
240 C09AA07
241 C09AA10
242 C09AA10
243 C09AA10
244 C09AA15
245 C09AA15
246 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)

Denumire Comerciala
LODOZ 10 mg/6,25mg
LODOZ 10 mg/6,25mg
LODOZ 2,5mg/6,25mg
LODOZ 2,5mg/6,25mg
LODOZ 5mg/6,25mg
LODOZ 5mg/6,25mg
LACIPIL 4 mg
LERCANIDIPINA TEVA 10 mg
LERIDIP
LERPIN 10 mg
KAPIDIN10 mg
PEGFEL 10 mg
LERCANIDIPIN ACTAVIS 10 mg
LERCANIDIPINA ZENTIVA 10 mg
LERIDIP 20
LERPIN 20 mg
PEGFEL 20 mg
LERCANIDIPIN ACTAVIS 20 mg
PRENESSA 2 mg
PERINDOPRIL TEVA 4 mg
VIDOTIN 4 mg
STOPRESS 4 mg
TREZEN 4 mg
TREZEN 4 mg
PRENESSA 4 mg
PRINDEX 4 mg
PERINDOPRIL TEVA 8 mg
VIDOTIN 8 mg
STOPRESS 8 mg
TREZEN 8 mg
TREZEN 8 mg
PRINDEX 8 mg
PRENESSA 8 mg
PRESTARIUM 10 mg
PERINDOPRIL TOSILAT TEVA 10 mg
PRESTARIUM 5 mg
PERINDOPRIL TOSILAT TEVA 5 mg
CIBACEN (R) 10 mg
CIBACEN (R) 20 mg
CIBACEN (R) 5 mg
GOPTEN (R) 0,5 mg
GOPTEN (R) 2 mg
GOPTEN (R) 4 mg
ZOMEN (R) 30 mg
ZOMEN (R) 7,5 mg
COTREZEN 2 mg/0,625 mg
PRINDEX PLUS 2 mg/0,625 mg
CO-PRENESSA 2mg/0,625 mg
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.
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.
CAPS.
CAPS.
CAPS.
COMPR. FILM.
COMPR. FILM.
COMPR.
COMPR.
COMPR.
concentratie
10 mg/6,25mg
10 mg/6,25mg
2,5mg/6,25mg
2,5mg/6,25mg
Detinator APP
tara det.
APP
Ambalaj
Prescriptie
MERCK KGAA
GERMANIA CUTIE X 3 BLIST. PP/AL X 10 COMPR. FILM. P-6L
MERCK KGAA
GERMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. FILM. P-6L
MERCK KGAA
MERCK KGAA
5mg/6,25mg MERCK KGAA
5mg/6,25mg MERCK KGAA
4mg
GLAXO OPERATIONS UK LTD. MAREA BRITANIE CUTIE X 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-6L
10 mg
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. DIN PVC-PVDC/AL X 60 COMPR. FILM. P-6L
10 mg
10mg
BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 4 BLIST. AL/PVC X 15 COMPR.FILM. P-6L
10mg
TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L
10mg
ZENTIVA K.S.
REPUBLICA CEHA CUTIE CU BLIST. AL/PVC X 30 COMPR. FILM. P-6L
10mg
DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC-PVCDC/AL X 28 COMPR. FILM. P -6L
10mg
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. AL/PVDC X 30 COMPR. FILM. P-6L
10mg
ZENTIVA K.S.
REPUBLICA SLOVACA CUTIE CU BLIST. AL/PVDC X 30 COMPR. FILM. P-6L
20 mg
20 mg
20mg
BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
20mg
TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L
20mg
DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC-PVCDC/AL X 28 COMPR. FILM. P -6L
20mg
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. AL/PVDC X 30 COMPR. FILM. P-6L
2mg
KRKA POLSKA SP. Z.O.O. POLONIA CUTIE CU 1 BLIST. DIN PVC-PE-PVDC/AL X 30 COMPR. P-6L
4mg
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 PUNGA DIN AL X 1 BLIST. PVC/VMCH-AL X 30 COMPR.P-6L
4mg
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. P-6L
4mg
PHARMACEUTICAL WORKS POLPHARMA SA POLONIA CUTIE CU BLIST. ACLAR-PVC/AL X 30 COMPR. FILM.
P-6L
4mg
TERAPIA S.A.
ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L
4mg
TERAPIA S.A.
4mg
KRKA POLSKA SP. Z.O.O. POLONIA CUTIE CU 1 BLIST. PVC-PE-PVDC/AL X 30 COMPR. P-6L
4mg
GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. AL/AL X 30 COMPR. P-6L
8mg
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 PUNGA DIN AL X 1 BLIST PVC/VMCH-AL X 30 COMPR. P-6L
8mg
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. P-6L
8mg
PHARMACEUTICAL WORKS POLPHARMA SA POLONIA CUTIE CU BLIST. ACLAR-PVC/AL X 30 COMPR. FILM.
P-6L
8mg
TERAPIA S.A.
ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L
8mg
TERAPIA S.A.
8mg
GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. AL/AL X 30 COMPR. P-6L
8mg
KRKA POLSKA SP Z O.O. POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. P6L
10 mg
LES LAB. SERVIER IND. FRANTA CUTIE X 1 FLAC. DIN PP X 30 COMPR. FILM. P-6L
10mg
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. PP X 30 COMPR. FILM. P6L
5mg
LES LAB. SERVIER IND. FRANTA CUTIE X 1 FLAC. DIN PP X 30 COMPR. FILM. P-6L
5mg
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. PP X 30 COMPR. FILM. P6L
10mg
NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM. P-6L
20mg
5mg
0,5mg
ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. X 10 CAPS.
P-6L
2mg
P-6L
4mg
P-6L
30mg
LUXEMBURG CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L
7,5mg
LUXEMBURG CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L
2 mg/0,625 mg TERAPIA S.A.
ROMANIA CUTIE CU BLIST. AL/AL A CATE 30 COMPR. P6L
MENARINI INTERNATIONAL OPERATIONS LUXEMBURG S.A.
MENARINI INTERNATIONAL OPERATIONS LUXEMBURG S.A.
2 mg/0,625mg
REPUBLICA CEHA
2mg/0,625mg KRKA POLSKA SP ZO.O. POLONIA
Pagina 5 din 25
CUTIE CU 1 BLIST. PVC/PVDC-AL IN AMBALAJ DE AL X 30 (30X1) COMPR.
P6L
CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. P-6L
Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)
30
30
30
30
30
30
14
60
30
60
28
30
28
30
30
60
30
60
28
28
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
28
28
28
20
28
28
28
28
30
30
30
29,46
29,46
26,29
26,29
29,46
29,46
12,80
26,92
21,09
40,07
22,99
13,45
21,76
16,18
13,45
43,54
32,91
64,75
34,95
33,98
26,96
13,44
25,32
33,45
16,61
25,87
25,87
26,87
26,90
49,00
53,44
30,88
49,12
49,12
54,01
49,45
63,61
42,77
41,11
27,61
43,66
57,30
21,80
9,71
28,09
46,79
44,47
19,69
15,72
16,18
16,18
Pret
amanuntul
maximal/UT
(RON)
0,982000
0,982000
0,876333
0,876333
0,982000
0,982000
0,914285
0,448666
0,703000
0,667833
0,821071
0,448333
0,777142
0,539333
0,448333
0,725666
1,097000
1,079166
1,248214
1,213571
0,898666
0,448000
0,844000
1,115000
0,553666
0,862333
0,862333
0,895666
0,896666
1,633333
1,781333
1,029333
1,637333
1,637333
1,800333
1,648333
2,120333
1,425666
1,370333
0,920333
1,559285
2,046428
0,778571
0,485500
1,003214
1,671071
1,588214
0,703214
0,524000
0,539333
0,539333
Val suportata
de CNAS/UT
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti
0,902749
0,902749
0,876333
0,876333
0,902749
0,902749
0,578249
0,448666
0,578249
0,578249
0,578249
0,448333
0,578249
0,539333
0,448333
0,725666
1,097000
1,079166
1,156499
1,156499
0,898666
0,178200
0,356400
0,356400
0,356400
0,356400
0,356400
0,356400
0,356400
0,712800
0,712800
0,712800
0,712800
0,712800
0,712800
0,712800
0,891000
0,891000
0,445500
0,445500
0,475199
0,950399
0,237599
0,089100
0,356400
0,712800
0,356400
0,089100
0,524000
0,539333
0,539333
0,451374
0,451374
0,438166
0,438166
0,451374
0,451374
0,289124
0,224333
0,289124
0,289124
0,289124
0,224166
0,289124
0,269666
0,224166
0,362833
0,548500
0,539583
0,578249
0,578249
0,449333
0,089100
0,178200
0,178200
0,178200
0,178200
0,178200
0,178200
0,178200
0,356400
0,356400
0,356400
0,356400
0,356400
0,356400
0,356400
0,445500
0,445500
0,222750
0,222750
0,237599
0,475199
0,118799
0,044550
0,178200
0,356400
0,178200
0,044550
0,262000
0,269666
0,269666
Nr. crt
cod ATC
DCI
Denumire Comerciala
DANURIT 2 mg/0,625 mg
COTREZEN 4 mg/1,25 mg
PRINDEX PLUS 4 mg/1,25mg
PANINDORIL 4 mg/1,25 mg
CO-PRENESSA 4mg/1,25 mg
DANURIT 4 mg/1,25mg
CO-PRENESSA 8 mg/2,5mg
NOLITERAX 10 mg/2,5mg
NOLIPREL ARG 2,5mg/0,625mg
PERINDOPRIL TOSILAT/INDAPAMIDA TEVA 2,5 mg/0,625 mg

NOLIPREL ARG FORTE 5mg/1,25mg

PRESTARIUM ARG PLUS 5mg/1,25mg
PERINDOPRIL TOSILAT/INDAPAMIDA TEVA 5 mg/1,25 mg

262 C09BA06
263 C09BA06
264 C09BB02
265 C09BB04
266 C09BB04
267 C09BB04
268 C09BB04
269 C09BB10
270 C09BB10
271 C09BB10
272 C09CA03
273 C09CA03
274 C09CA03
275 C09CA03
276 C09CA03
277 C09CA03
278 C09CA03
279 C09CA03
280 C09CA03
281 C09CA03
282 C09CA03
283 C09CA03
284 C09CA03
285 C09CA03
286 C09CA03
287 C09CA03
288 C09CA03
289 C09CA03
290 C09CA03
291 C09CA03
292 C09CA03
293 C09CA03
294 C09CA03
295 C09CA03
296 C09CA03
297 C09CA03
298 C09CA03
299 C09CA03
ACCUZIDE
ACCUZIDE FORTE
COMBINATII (NITRENDIPINUM+ENALAPRILUM) ENEAS
COMBINATII (PERINDOPRILUM+AMLODIPINUM)
AMLESSA 4 mg/10 mg
AMLESSA 4 mg/5 mg
AMLESSA 8 mg/10 mg
AMLESSA 8 mg/5 mg
COMBINATII (VERAPAMILUM+TRANDOLAPRILUM) TARKA 240 mg/2 mg
COMBINATII (VERAPAMILUM+TRANDOLAPRILUM) TARKA 240 mg/4 mg
COMBINATII (VERAPAMILUM+TRANDOLAPRILUM) TARKA
VALSARTANUM
VALSARTAN TEVA 160 mg
VALSARTANUM
VALSARTANUM
WENZELL 160 mg
VALSARTANUM
WENZELL 160 mg
VALSARTANUM
VALSARGAMMA 160 mg
VALSARTANUM
DIOVAN 160 mg
VALSARTANUM
VALSARTAN TORRENT 160 mg
VALSARTANUM
VALSACOR 160 mg
VALSARTANUM
AVASSAN 160 mg
VALSARTANUM
VALSARTAN ZENTIVA 160 mg
VALSARTANUM
VAPRESS 160 mg
VALSARTANUM
VAPRESS 160 mg
VALSARTANUM
WAROTA 160 mg
VALSARTANUM
DIOVAN 40 mg
VALSARTANUM
AVASSAN 40 mg
VALSARTANUM
VAPRESS 40 mg
VALSARTANUM
VAPRESS 40 mg
VALSARTANUM
WENZELL 80 mg
VALSARTANUM
WENZELL 80 mg
VALSARTANUM
VALSARGAMMA 80 mg
VALSARTANUM
DIOVAN 80 mg
VALSARTANUM
VALSARTANUM
VALSACOR 80 mg
VALSARTANUM
AVASSAN 80 mg
VALSARTANUM
VALSARTANUM
WAROTA 80 mg
VALSARTANUM
VAPRESS 80 mg
VALSARTANUM
VAPRESS 80 mg
COMBINATII (QUINAPRILUM+HYDROCHLOROTHIAZIDUM)
COMBINATII (QUINAPRILUM+HYDROCHLOROTHIAZIDUM)
forma farm.
concentratie
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
2mg/0,625mg
4 mg/1,25 mg
4 mg/1,25mg
4mg/1, 25mg
4mg/1,25mg
4mg/1,25mg
8mg/2,5mg
COMPR. FILM. 10mg/2,5mg
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
2,5mg/0,625mg
2,5mg/0,625mg
5mg/1,25mg
5mg/1,25mg
5mg/1,25mg
10mg/12,5mg
20mg/12,5mg
COMPR.
20mg+10mg
COMPR.
4mg/10mg
COMPR.
4mg/5mg
COMPR.
8mg/10mg
COMPR.
8mg/5mg
COMPR. CU ELIB. MODIF. 240mg/2mg
COMPR. CU ELIB. MODIF. 240mg/4mg
COMPR.FILM.ELIB.MODIF. 180mg/2mg
CAPS.
160mg
CAPS.
80mg
COMPR. FILM. 160mg
COMPR. FILM. 160mg
COMPR. FILM. 160mg
COMPR. FILM. 160mg
COMPR. FILM. 160mg
COMPR. FILM. 160mg
COMPR. FILM. 160mg
COMPR. FILM. 160mg
COMPR. FILM. 160mg
COMPR. FILM. 160mg
COMPR. FILM. 160mg
COMPR. FILM. 40mg
COMPR. FILM. 40mg
COMPR. FILM. 40mg
COMPR. FILM. 40mg
COMPR. FILM. 80mg
COMPR. FILM. 80mg
COMPR. FILM. 80mg
COMPR. FILM. 80mg
COMPR. FILM. 80mg
COMPR. FILM. 80mg
COMPR. FILM. 80mg
COMPR. FILM. 80mg
COMPR. FILM. 80mg
COMPR. FILM. 80mg
COMPR. FILM. 80mg
Detinator APP
tara det.
APP
Ambalaj
Prescriptie
TERAPIA S.A.
ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 30 COMPR. P6L

ROMANIA CUTIE CU BLIST. AL/AL A CATE 30 COMPR. P6L
REPUBLICA CEHA
CUTIE CU 1 BLIST. PVC/PVDC-AL IN AMBALAJ DE AL X 30 (30X1) COMPR.
P6L
SANDOZ S.R.L.
ROMANIA CUTIE CU BLIST. AL/AL X 30 COMPR. P-6L

KRKA POLSKA SP ZO.O. POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. P-6L
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 30 COMPR. P6L
KRKA-POLSKA SP. Z O.O. POLONIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-6L
LES LAB. SERVIER FRANTA CUTIE X 1 FLAC. DIN PP CU CAPAC PEJD CU SILICAGEL X 30 COMPR. FILM. P-6L
LES LABORATOIRES SERVIER FRANTA CUTIE X 1 FLAC. DIN PROPILENA X 30 COMPR. FILM. P-6L
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN PP X 30 COMPR. FILM. P6L
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN PP X 30 COMPR. FILM. P6L
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
GALENICA S.A.
GRECIA
CUTIE X 3 BLIST. PA-PVC-AL/AL X 10 COMPR. P-6L
KRKA D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L
ABBOTT GMBH & CO.KG GERMANIA
CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. CU ELIB. MODIF. P6L
ABBOTT GMBH & CO.KG GERMANIA
CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. CU ELIB. MODIF. P6L
ABBOTT GMBH&CO.KG GERMANIA
CUTIE X 2 BLIST. AL/PVDC-PVC X 14 COMPR. FILM. CU ELIB. PREL.
ROMANIA
ROMANIA
ROMANIA
ROMANIA
GERMANIA

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
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.
ROMANIA
TERAPIA S.A.
ROMANIA
ZENTIVA, K.S.
REPUBLICA CEHA
ALKALOID - INT D.O.O. SLOVENIA
CUTIE CU BLIST. PVC/ACLAR-AL X 30 COMPR. FILM.
P-6L
P6L
P6L
P6L
CUTIE CU BLIST. PVC-PE-PVDC (TRIPLEX)/AL X 28 COMPR. FILM.P-6L
CUTIE CU BLIST. PVC-PCTFE/AL X 28 COMPR. FILM.
P6L
P6L
P6L
P6L
P6L
P6L
P6L
P-6L
P-6L
P6L
NOVARTIS PHARMA GMBH GERMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28COMPR. FILM.
TERAPIA S.A.
ROMANIA
ROMASTRU TRADING S.R.L. ROMANIA
ROMASTRU TRADING S.R.L. ROMANIA
GERMANIA
P-6L
CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. P-6L
NOVARTIS PHARMA GMBH GERMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X28COMPR. FILM. P6L
ROMANIA
P6L
P6L
P6L
TERAPIA S.A.
ZENTIVA, K.S.
ROMANIA
REPUBLICA CEHA
CUTIE CU BLIST. PVC-PE-PVDC (TRIPLEX)/AL X 28 COMPR. FILM.P-6L

Pagina 6 din 25
P6L
P6L
P6L
Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)
30 16,18
30 24,21
30 29,41
30 21,09
30 29,41
30 29,41
30 29,54
30 75,76
30 57,17
30 37,16
30 61,63
30 61,63
30 40,04
30 21,68
30 31,57
30 96,52
30 21,16
30 19,26
30 35,43
30 33,51
28 55,45
28 72,69
28 52,85
28 32,59
28 20,26
28 66,00
30 70,74
30 33,91
28 116,60
28 65,71
28 32,85
28 66,00
28 22,79
28 32,82
28 32,82
30 33,16
28 71,91
28 42,63
28 11,16
28 11,16
28 47,37
30 50,79
30 23,25
28 91,88
28 47,00
28 28,84
28 47,40
28 14,95
30 32,48
28 18,18
28 18,18
Pret
amanuntul
maximal/UT
(RON)
0,539333
0,807000
0,980333
0,703000
0,980333
0,980333
0,984666
2,525333
1,905666
1,238666
2,054333
2,054333
1,334666
0,722666
1,052333
3,217333
0,705333
0,642000
1,181000
1,117000
1,980357
2,596071
1,887500
1,163928
0,723571
2,357142
2,358000
1,130333
4,164285
2,346785
1,173214
2,357142
0,813928
1,172142
1,172142
1,105333
2,568214
1,522500
0,398571
0,398571
1,691785
1,693000
0,775000
3,281428
1,678571
1,030000
1,692857
0,533928
1,082666
0,649285
0,649285
Val suportata
de CNAS/UT
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti
0,539333
0,807000
0,824142
0,703000
0,824142
0,824142
0,824142
0,824142
0,824142
0,824142
0,824142
0,824142
0,824142
0,722666
0,824142
3,217333
0,705333
0,500608
1,001217
0,723101
1,887500
1,887500
1,887500
1,163928
0,723571
2,085426
2,085426
1,130333
2,085426
2,085426
1,173214
2,085426
0,813928
1,172142
1,172142
1,105333
0,521356
0,521356
0,398571
0,398571
1,042713
1,042713
0,775000
1,042713
1,042713
1,030000
1,042713
0,533928
1,042713
0,649285
0,649285
0,269666
0,403500
0,412071
0,351500
0,412071
0,412071
0,412071
0,412071
0,412071
0,412071
0,412071
0,412071
0,412071
0,361333
0,412071
1,608666
0,352666
0,250304
0,500608
0,361550
0,943750
0,943750
0,943750
0,581964
0,361785
1,042713
1,042713
0,565166
1,042713
1,042713
0,586607
1,042713
0,406964
0,586071
0,586071
0,552666
0,260678
0,260678
0,199285
0,199285
0,521356
0,521356
0,387500
0,521356
0,521356
0,515000
0,521356
0,266964
0,521356
0,324642
0,324642
Nr. crt
cod ATC
300 C09CA03
301 C09CA04
302 C09CA04
303 C09CA04
304 C09CA04
305 C09CA04
306 C09CA04
307 C09CA04
308 C09CA04
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 C09CA06
332 C09CA06
333 C09CA06
334 C09CA06
335 C09CA06
336 C09CA06
337 C09CA06
338 C09CA06
339 C09CA06
340 C09CA06
341 C09CA06
342 C09CA06
343 C09CA06
344 C09CA06
345 C09CA06
346 C09CA06
347 C09CA06
348 C09CA06
349 C09CA06
350 C09CA06
DCI
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
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
CANDESARTANUM CILEXETIL
Denumire Comerciala
DIOVAN 3 mg/ml
IRBESARTAN AUROBINDO 150 mg
IRBESARTAN GALENICA 150 mg
APROVEL 150mg
IRBESARTAN TERAPIA 150 mg
IRBESARTAN SANDOZ 150 mg
IRPRESTAN 150 mg
IFIRMASTA 150 mg
IRBESARTAN TEVA 150 mg
IRBESARTAN TORRENT 150 mg
ATOKKEN 150 mg
IRBESARTAN ZENTIVA 150mg
IRBESARTAN HF 150 mg
APROVEL 150mg
ATOKKEN 150 mg
APROVEL 300mg
IFIRMASTA 300mg
ATOKKEN 300 mg
APROVEL 300mg
ATOKKEN 300 mg
ATOKKEN 75 mg
ATOKKEN 75 mg
TANDESAR 16 mg
CANDESARTAN SANDOZ 16 mg
HIPOSTYN 16 mg
KARBIS 16 mg
CANDESARTAN TORRENT 16 mg
CLASTINOL 16 mg
CANDEPOL 16 mg
ATACAND 16mg
CANZENO 16mg
CANDESARTAN CILEXETIL TEVA 16 mg
CANDESARTAN LABORMED 16 mg
CANDESARTAN AUROBINDO 16 mg
CADEXYL 16 mg
HIPOSTYN 32 mg
KARBIS 32 mg
CLASTINOL 32 mg
CANDEPOL 32 mg
ATACAND 32 mg
CANZENO 32mg
forma farm.
concentratie
SOL. ORALA 3mg/ml

COMPR.
150mg
COMPR.
300mg
COMPR. FILM. 150 mg
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. 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. 75mg
COMPR. FILM. 75mg
COMPR. FILM. 75mg
COMPR.
16mg
COMPR.
16mg
COMPR.
16mg
COMPR.
16mg
COMPR.
16mg
COMPR.
16mg
COMPR.
16mg
COMPR.
16mg
COMPR.
16mg
COMPR.
16mg
COMPR.
16mg
COMPR.
16mg
COMPR.
16mg
COMPR.
32mg
COMPR.
32mg
COMPR.
32mg
COMPR.
32mg
COMPR.
32mg
COMPR.
32mg
COMPR.
32mg
Detinator APP
tara det.
APP
MALTA
GALENICA S.A.
GRECIA
TERAPIA S.A.
ROMANIA
SANDOZ S.R.L.
ROMANIA
ACTAVIS GROUP PTC EHF. ISLANDA
Ambalaj
CUTIE CU 1 FLAC. DIN STICLA BRUNA X 160 ML SOL. ORALA + 1 TRUSA DE ADMINISTRARE (ADAPTOR PT. FLAC.+1
Prescriptie
P-6L

CUTIE CU BLIST. PVC/PVDC/AL A CATE 28 COMPR. FILM.
P6L
CUTIE X BLIST PVC/PVDC/AL X 28 COMPR. FILM.
P-6L
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
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

ROMANIA
ROMASTRU TRADING SRL ROMANIA
SANOFI-AVENTIS GROUPE FRANTA
SANOFI CLIR SNC
FRANTA
GALENICA S.A.
GRECIA
TERAPIA S.A.
ROMANIA
SANDOZ S.R.L.
ROMANIA
CUTIE X BLIST. PVC/PVDC/AL X 28 COMPR. FILM.
P-6L
P6L
P6L
CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM.
CUTIE X 28 COMPR. FILM. (BLIST. PVC/PVDC/AL) P-6L

P6L
P-6L
P6L
P-6L
P6L
P-6L
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. PVC-PVDC/AL X 14 COMPR. FILM. P6L
SANOFI-AVENTIS GROUPE FRANTA CUTIE X 28 COMPR. FILM. (BLIST. PVC/PVDC/AL) P-6L
STADA HEMOFARM S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L
SANOFI CLIR SNC
FRANTA CUTIE X BLIST PVC/PVDC/AL X 28 COMPR. FILM. P-6L
NEOLA PHARMA S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P6L
TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P6L
ROMASTRU TRADING SRL ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P6L
NEOLA PHARMA S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P6L
TERAPIA SA
ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. P-6L
SANDOZ SRL
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR. P6L
ROMASTRU TRADING SRL
KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L
ASTRAZENECA AB
ZENTIVA K.S.

UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. P6L
POLONIA CUTIE CU BLIST. AL/PVC-PVDC X 28 COMPR. P6L
SUEDIA CUTIE CU BLIST. PVC/PVDC/AL CE CONTINE 28 COMPR. P-6L
REPUBLICA CEHA
ROMANIA CUTIE CU BLIST. OPA-AL-PVC/PVC-PVAC-AL-OPA X 30 COMPR. P6L

LABORMED PHARMA S.A. ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14COMPR. P6L
NEOLA PHARMA SRL ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. P6L
ASTRAZENECA AB
ZENTIVA K.S.
Pagina 7 din 25

REPUBLICA CEHA
Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)
1
28
28
28
28
28
28
30
28
28
28
28
28
30
28
28
28
28
28
28
28
28
28
28
28
30
28
28
28
28
28
28
28
30
30
30
28
28
28
30
30
28
30
28
30
30
30
28
28
28
30
41,42
16,18
26,19
18,10
32,76
29,83
33,50
23,08
37,35
21,54
21,54
24,01
18,12
23,08
32,76
24,01
29,01
29,43
43,20
38,87
64,85
60,27
29,01
31,00
29,32
31,09
43,20
31,00
16,18
23,11
23,11
44,87
26,95
42,50
43,24
48,03
44,85
44,88
42,69
29,85
29,85
41,42
29,28
29,85
71,36
81,75
81,75
69,33
76,32
60,15
36,65
Pret
amanuntul
maximal/UT
(RON)
41,420000
0,577857
0,935357
0,646428
1,170000
1,065357
1,196428
0,769333
1,333928
0,769285
0,769285
0,857500
0,647142
0,769333
1,170000
0,857500
1,036071
1,051071
1,542857
1,388214
2,316071
2,152500
1,036071
1,107142
1,047142
1,036333
1,542857
1,107142
0,577857
0,825357
0,825357
1,602500
0,962500
1,416666
1,441333
1,601000
1,601785
1,602857
1,524642
0,995000
0,995000
1,479285
0,976000
1,066071
2,378666
2,725000
2,725000
2,476071
2,725714
2,148214
1,221666
Val suportata
de CNAS/UT
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti
6,256278
0,577857
0,935357
0,646428
1,042713
1,042713
1,042713
0,769333
1,042713
0,769285
0,769285
0,857500
0,647142
0,769333
1,042713
0,857500
1,036071
1,051071
1,542857
1,388214
2,085426
2,085426
1,036071
1,107142
1,047142
1,036333
1,542857
1,107142
0,521356
0,521356
0,521356
1,602500
0,962500
1,416666
1,441333
1,601000
1,601785
1,602857
1,524642
0,995000
0,995000
1,479285
0,976000
1,066071
2,378666
2,725000
2,725000
2,476071
2,725714
2,148214
1,221666
3,128139
0,288928
0,467678
0,323214
0,521356
0,521356
0,521356
0,384666
0,521356
0,384642
0,384642
0,428750
0,323571
0,384666
0,521356
0,428750
0,518035
0,525535
0,771428
0,694107
1,042713
1,042713
0,518035
0,553571
0,523571
0,518166
0,771428
0,553571
0,260678
0,260678
0,260678
0,801250
0,481250
0,708333
0,720666
0,800500
0,800892
0,801428
0,762321
0,497500
0,497500
0,739642
0,488000
0,533035
1,189333
1,362500
1,362500
1,238035
1,362857
1,074107
0,610833
Nr. crt
cod ATC
DCI
390 C09CA07
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
391 C09DA01
COMBINATII (LOSARTANUM+HYDROCHLOROTHIAZIDUM)
392 C09DA01
393 C09DA01
394 C09DA03
COMBINATII (VALSARTANUM+HYDROCHLOROTHIAZIDUM)
395 C09DA03
396 C09DA03
397 C09DA03
398 C09DA03
399 C09DA04
COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)
400 C09DA04
401 C09DA04
351 C09CA06
352 C09CA06
353 C09CA06
354 C09CA06
355 C09CA06
356 C09CA06
357 C09CA06
358 C09CA06
359 C09CA06
360 C09CA06
361 C09CA06
362 C09CA06
363 C09CA06
364 C09CA06
365 C09CA06
366 C09CA07
367 C09CA07
368 C09CA07
369 C09CA07
370 C09CA07
371 C09CA07
372 C09CA07
373 C09CA07
374 C09CA07
375 C09CA07
376 C09CA07
377 C09CA07
378 C09CA07
379 C09CA07
380 C09CA07
381 C09CA07
382 C09CA07
383 C09CA07
384 C09CA07
385 C09CA07
386 C09CA07
387 C09CA07
388 C09CA07
389 C09CA07
Denumire Comerciala

CADEXYL 32 mg
TANDESAR 8 mg
HIPOSTYN 8 mg
KARBIS 8 mg
CLASTINOL 8 mg
CANDEPOL 8 mg
ATACAND 8mg
CANZENO 8mg
CADEXYL 8 mg
TELMISARTAN ACTAVIS 40mg
TOLURA 40 mg
TEZEO 40 mg
TELMISARTAN TEVA 40 mg
TELMISARTAN RANBAXY 40 mg
TELMA 40 mg
TELMISARTAN TORRENT 40 mg
TELMISARTAN DR. REDDY'S 40 mg
TELMISARTAN ACTAVIS 80mg
MICARDIS 80 mg
TOLURA 80 mg
TEZEO 80 mg
TELMISARTAN TEVA 80 mg
TELMISARTAN RANBAXY 80 mg
TELMA 80 mg
TELMISARTAN TORRENT 80 mg
TELMISARTAN DR. REDDY'S 80 mg
TELMARK 40 mg
TANYDON 40 mg
TELMISARTAN EGIS 40 mg
TELMOTENS 40mg
TELMARK 80 mg
TANYDON 80 mg
TELMISARTAN EGIS 80 mg
TELMOTENS 80mg
HYZAAR (R) 50 mg/12,5 mg
LORISTA HL 100 mg/12,5 mg
LORISTA H
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.
concentratie
32mg
32mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
40 mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
80 mg
80mg
80mg
80mg
80mg
80mg
80mg
80mg
80mg
40mg
40mg
40mg
40mg
80mg
80mg
80mg
80mg
Detinator APP
tara det.
APP
Ambalaj
Prescriptie

TERAPIA SA
SANDOZ SRL
ASTRAZENECA AB
ZENTIVA K.S.

REPUBLICA CEHA

LABORMED PHARMA S.A. ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. P6L
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. AL/AL X 28 COMPR. P6L
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. AL/AL PERFORATE PENTRU ELIBERAREA UNEI UNITATI DOZATE 30X1
CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. P6L
MAREA BRITANIE
P6L
SANDOZ S.R.L.
ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. P6L

ROMANIA CUTIE CU BLIST. AL/AL (OPA-AL-PVC/AL) X 28 COMPR. P6L
DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. P6L
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. AL/AL X 28 COMPR. P6L
GERMANIA CUTIE X 28COMPR. ( BLIST. PA/AL/PVC)
P-6L
KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST.OPA-AL-PVC/AL X 28 COMPR. P-6L
ZENTIVA, K.S.
REPUBLICA CEHA
CUTIE CU BLIST. AL/AL PERFORATE PENTRU ELIBERAREA UNEI UNITATI DOZATE 30X1
MAREA BRITANIE
P6L
SANDOZ S.R.L.

ROMANIA CUTIE CU BLIST. AL/AL (OPA-AL-PVC/AL) X 28 COMPR. P6L
DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. P6L
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM. 50mg+12,5mg
COMPR.FILM 100mg/12,5mg
REPUBLICA CEHA
ROMANIA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P6L

UNGARIA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P6L
P6L
ALVOGEN IPCO S.AR.L. LUXEMBURG
CUTIE CU 3 BLIST. NYLON-AL-PVC/AL X 10 COMPR. FILM.
REPUBLICA CEHA
ROMANIA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P6L

UNGARIA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P6L
ALVOGEN IPCO S.AR.L. LUXEMBURG

MERCK SHARP & DOHME
CUTIE CU 3 BLIST. NYLON-AL-PVC/AL X 10 COMPR. FILM.
P6L
P-6L
KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L
COMPR.FILM 50mg+ 12,50mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. DIN PVC-PVDC/AL X 14 COMPR. FILM. P-6L
COMPR. FILM. 160mg/12,5mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P6L
VALSARTAN HIDROCLOROTIAZIDA TORRENT 160 mg/25 mg COMPR. FILM. 160mg/25mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P6L
VALSARTAN HIDROCLOROTIAZIDA TORRENT 320 mg/12,5 mg COMPR. FILM. 320mg/12,5mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P6L
VALSARTAN HIDROCLOROTIAZIDA TORRENT 320 mg/25 mg COMPR. FILM. 320mg/25mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P6L
VALSARTAN HIDROCLOROTIAZIDA TORRENT 80 mg/12,5 mg COMPR. FILM. 80mg/12,5mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P6L
COAPROVEL 150mg/12,5mg
COMPR.
150mg/12,5mg SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-6L
COMPR.
300mg/12,5mg SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-6L
IRBESARTAN HYDROCHLOROTHIAZIDE ZENTIVA 150mg/12,5mg
COMPR. FILM 150mg/12,5mg SANOFI-AVENTIS GROUPE FRANTA CUTIE CU BLIST. PVC/PVDC/AL X 28 COMPR. FILM. P-6L
VALSARTAN HIDROCLOROTIAZIDA TORRENT 160 mg/12,5 mg
Pagina 8 din 25
Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)
30 36,65
28 36,65
28 36,46
28 16,81
30 24,13
30 33,01
30 39,07
28 36,46
28 36,46
28 22,05
30 16,22
30 23,07
28 33,65
30 21,57
28 16,22
28 39,46
28 39,46
30 17,20
30 42,27
28 39,46
28 17,20
28 42,24
28 17,20
28 52,99
28 77,42
28 52,99
30 28,09
30 56,77
28 52,99
28 22,68
28 56,53
28 28,09
28 39,46
30 42,27
28 39,63
30 42,27
28 52,99
30 56,78
28 52,98
30 56,77
28 79,46
28 29,31
28 18,06
28 85,68
28 136,15
28 132,23
28 150,44
28 73,85
28 39,26
28 55,40
28 20,39
Pret
amanuntul
maximal/UT
(RON)
1,221666
1,308928
1,302142
0,600357
0,804333
1,100333
1,302333
1,302142
1,302142
0,787500
0,540666
0,769000
1,201785
0,719000
0,579285
1,409285
1,409285
0,573333
1,409000
1,409285
0,614285
1,508571
0,614285
1,892500
2,765000
1,892500
0,936333
1,892333
1,892500
0,810000
2,018928
1,003214
1,409285
1,409000
1,415357
1,409000
1,892500
1,892666
1,892142
1,892333
2,837857
1,046785
0,645000
3,060000
4,862500
4,722500
5,372857
2,637500
1,402142
1,978571
0,728214
Val suportata
de CNAS/UT
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti
1,221666
1,308928
1,042713
0,600357
0,804333
1,042713
1,042713
1,042713
1,042713
0,787500
0,540666
0,769000
1,042713
0,719000
0,579285
1,042713
1,042713
0,573333
1,042713
1,042713
0,614285
1,042713
0,614285
1,892500
2,085426
1,892500
0,936333
1,892333
1,892500
0,810000
2,018928
1,003214
1,042713
1,042713
1,042713
1,042713
1,892500
1,892666
1,892142
1,892333
1,137053
1,046785
0,645000
1,137053
1,137053
1,137053
1,137053
1,137053
1,137053
1,137053
0,728214
0,610833
0,654464
0,521356
0,300178
0,402166
0,521356
0,521356
0,521356
0,521356
0,393750
0,270333
0,384500
0,521356
0,359500
0,289642
0,521356
0,521356
0,286666
0,521356
0,521356
0,307142
0,521356
0,307142
0,946250
1,042713
0,946250
0,468166
0,946166
0,946250
0,405000
1,009464
0,501607
0,521356
0,521356
0,521356
0,521356
0,946250
0,946333
0,946071
0,946166
0,568526
0,523392
0,322500
0,568526
0,568526
0,568526
0,568526
0,568526
0,568526
0,568526
0,364107
Nr. crt
cod ATC
DCI
Denumire Comerciala
402 C09DA04
COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM) IRBESARTAN HYDROCHLOROTHIAZIDE ZENTIVA 300mg/12,5mg
403 C09DA04
COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM) IRBESARTAN/ HYDROCHLOROTHIAZIDE TEVA 150 mg/12,5 mg
404 C09DA04
405 C09DA04
COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM) IRBESARTAN HIDROCLOROTIAZIDA RANBAXY 150 mg/12,5 mg
406 C09DA04
407 C09DA04
408 C09DA04
409 C09DA04
410 C09DA04
411 C09DA04
412 C09DA04
413 C09DA04
414 C09DA04
415 C09DA04
416 C09DA04
417 C09DA04
418 C09DA04
419 C09DA04
420 C09DA04
421 C09DA04
422 C09DA04
423 C09DA04
COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM)
427 C09DA07
428 C09DA07
429 C09DA07
430 C09DA07
431 C09DA07
432 C09DA07
433 C09DA07
TELMISARTAN/HIDROCLOROTIAZIDA EGIS 80 mg/12,5 mg
434 C09DA07
435 C09DA07
436 C09DA07
COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM) TELMISARTAN/HIDROCLOROTIAZIDA TERAPIA 80 mg/12,5 mg
437 C09DA07
COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM) TELMISARTAN/HIDROCLOROTIAZIDA TERAPIA 80 mg/12,5 mg
438 C09DA07
439 C09DA07
440 C09DA07
441 C09DA07
COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM) TELMISARTAN/HIDROCLOROTIAZIDA TERAPIA 80 mg/25 mg
442 C09DA07
COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM) TELMISARTAN/HIDROCLOROTIAZIDA TERAPIA 80 mg/25 mg
443 C09DB01 COMBINATII ( VALSARTANUM+AMLODIPINUM)

446 C09DB02
COMBINATII(OLMESARTAN MEDOXOMIL+ AMLODIPINA)
447 C09DB02
448 C09DB02
449 C09DX01
COMBINATII(AMLODIPINA+VALSARTAN+HIDROCHLOROTHIZIDA
450 C09DX01
451 C09DX01
452 C09DX01
TEZEO HCT 80 mg/12,5 mg

TELMARK PLUS 80mg/12,5mg
TANYDON HCT 80 mg/25 mg

TEZEO HCT 80 mg/25 mg
TELMARK PLUS 80mg/25mg
EXFORGE 10mg/160mg
EXFORGE 5mg/160mg
EXFORGE 5mg/80mg
SEVIKAR 20 mg/5 mg
SEVIKAR 40 mg/10 mg
SEVIKAR 40 mg/5 mg
EXFORGE HCT
EXFORGE HCT
EXFORGE HCT
EXFORGE HCT
Detinator APP
Ambalaj
FRANTA CUTIE X 2 BLIST. PVC/PVDC/AL X 14 COMPR. FILM.

COMPR. FILM. 150mg/12,5mg TEVA PHARMA B.V. OLANDA CUTIE X BLIST. AL/AL X 28 COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
IRBESARTAN HIDROCLOROTIAZIDA RANBAXY 150 mg/12,5 mg
COMPR. FILM.
COMPR. FILM.
CONVERIDE 150 mg/12,5 mg
COMPR. FILM.
COMPR. FILM.
IRBESARTAN/ HYDROCHLOROTHIAZIDE TEVA 300 mg/12,5 mg COMPR. FILM.
IFIRMACOMBI 300mg/12,5mg
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COAPROVEL 300mg/25mg
COMPR. FILM.
IFIRMACOMBI 300mg/25mg
COMPR. FILM.
IRBESARTAN HIDROCLOROTIAZIDA RANBAXY 300 mg/25 mg COMPR. FILM.
IRBESARTAN HIDROCLOROTIAZIDA RANBAXY 300 mg/25 mg COMPR. FILM.
COAPROVEL 300mg/25mg
COMPR. FILM.
CONVERIDE 300 mg/25 mg
COMPR. FILM.
CONVERIDE 300 mg/25 mg
COMPR. FILM.
426 C09DA07
425 C09DA06 COMBINATII (CANDESARTANUM CILEXETIL+HCT)
concentratie
COMPR. FILM 300mg/12,5mg
IFIRMACOMBI 150mg/12,5mg
CANZENO HCT 16mg/12,5mg

CANZENO HCT 8mg/12,5mg
ACTELSAR HCT 80 mg/12,5 mg
TOLUCOMBI 80 mg/12,5mg
TOLUCOMBI 80 mg/25mg
ACTELSAR HCT 80 mg/25mg
MICARDISPLUS 80/12,5mg
MICARDISPLUS 80/25mg
TANYDON HCT 80 mg/12,5 mg
424 C09DA06 COMBINATII (CANDESARTANUM CILEXETIL+HCT)
forma farm.
tara det.
APP
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.
SANOFI-AVENTIS GROUPE
150mg/12,5mg KRKA D.D. NOVO MESTO SLOVENIA

150mg/12,5mg RANBAXY (U.K.) LIMITED MAREA BRITANIE
150mg/12,5mg RANBAXY (U.K.) LIMITED MAREA BRITANIE
150mg/12,5mg
150mg/12,5mg
150mg/12,5mg
300 mg/12,5mg
300mg/12,5mg
300mg/12,5mg
300mg/12,5mg
300mg/12,5mg
300mg/12,5mg
300mg/12,5mg
300mg/25mg
300mg/25mg
300mg/25mg
300mg/25mg
300mg/25mg
300mg/25mg
300mg/25mg
16mg/12,5mg
8mg/12,5mg
SANOFI CLIR SNC

MEDOCHEMIE LTD
MEDOCHEMIE LTD
TEVA PHARMA B.V.
CUTIE CU BLIST. DIN OPA/AL/PVC/AL X 30 COMPR. FILM.

CUTIE CU BLIST. PVC-ACLAR/AL X 28 COMPR. FILM.
Prescriptie
P-6L
P-6L
P6L
P6L
P6L
FRANTA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L

CIPRU
CUTIE CU BLIST. OPACE PVC-PVDC/AL X 28 COMPR. FILM. P6L
CIPRU
CUTIE CU BLIST. TRANSPARENTE PVC-PE-PVDC/AL X 28 COMPR. FILM. P6L
OLANDA CUTIE X BLIST. AL/AL X 28 COMPR. FILM. P-6L
MAREA BRITANIE
MAREA BRITANIE
SANOFI CLIR SNC

MEDOCHEMIE LTD
MEDOCHEMIE LTD
FRANTA
CIPRU
CIPRU
FRANTA
SANOFI PHARMA - BRISTOL MYERS SQUIBB
CUTIE CU BLIST. OPACE PVC-PVDC/AL X 28 COMPR. FILM.

CUTIE CU BLIST. TRANSPARENTE PVC-PE-PVDC/AL X 28 COMPR. FILM.
P6L
P6L
P6L
P6L
P6L
MAREA BRITANIE
MAREA BRITANIE
SANOFI CLIR SNC

MEDOCHEMIE LTD
MEDOCHEMIE LTD
ZENTIVA K.S.
ZENTIVA K.S.
FRANTA
CIPRU
CIPRU
REPUBLICA CEHA
REPUBLICA CEHA
P6L
P6L
P6L
P6L
P6L
CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR. P6L
CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR. P6L
CUTIE CU BLIST. OPACE PVC-PVDC/AL X 28 COMPR. FILM.
CUTIE CU BLIST. TRANSPARENTE PVC-PE-PVDC/AL X 28 COMPR. FILM.
80 mg/12,5 mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLISTERE DIN AL/AL X 28 COMPRIMATE PRF
80 mg/12,5mg KRKA D.D.
SLOVENIA CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPRIMATE PRF
80 mg/25mg KRKA D.D.
SLOVENIA CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPRIMATE PRF
80 mg/25mg
80/12,5mg
80/25mg
80mg/12,5mg
80mg/12,5mg
80mg/12,5mg
80mg/12,5mg
80mg/12,5mg
80mg/12,5mg
80mg/25mg
80mg/25mg
80mg/25mg
80mg/25mg
80mg/25mg
10mg/160mg
5mg/160mg
5mg/80mg
20mg/5mg
40mg/10mg
40mg/5mg
ISLANDA
GERMANIA CUTIE X 28COMPR. ( BLIST. PA/AL/PVC)
P-6L
GERMANIA
P-6L

CUTIE CU BLISTERE DIN AL/AL X 28 COMPRIMATE PRF
CUTIE X 28 COMPR. (BLIST. PA/AL/PVC/AL SAU PA/PA/AL/PVC/AL)

UNGARIA CUTIE CU BLIST. AL/AL X 28 COMPR. P6L
ZENTIVA, K.S.
REPUBLICA CEHA
REPUBLICA CEHA
CUTIE CU BLIST. PVC-AL-OPA/AL X 30 COMPRIMATE
TERAPIA S.A.
TERAPIA S.A.

ROMANIA CUTIE CU BLIST. AL/AL X 28X1 COMPR. P6L
P-6L
ZENTIVA, K.S.
REPUBLICA CEHA
REPUBLICA CEHA
CUTIE CU BLIST. PVC-AL-OPA/AL X 30 COMPRIMATE
TERAPIA S.A.
TERAPIA S.A.

ROMANIA CUTIE CU BLIST. AL/AL X 28X1 COMPR. P6L
NOVARTIS EUROPHARM LTD.
MAREA BRITANIE
CUTIE X 56 COMPR. FILM. (BLIST. PVC/PVDC ) P-6L
MAREA BRITANIE
CUTIE X 56 COMPR. FILM. (BLIST. PVC/PVDC ) P-6L
MAREA BRITANIE
CUTIE X 56 COMPR. FILM.(BLIST.PVC/PVDC ) P-6L
TERAPIA S.A.
TERAPIA S.A.
TERAPIA S.A.
ROMANIA
ROMANIA
ROMANIA

10mg/160mg/12,5 mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE CU BLIST. DIN PVC/PVDC X 28 COMPR.FILM.
10mg/160mg/25 mg NOVARTIS EUROPHARM LTD.
MAREA BRITANIE
Pagina 9 din 25
MAREA BRITANIE
P6L
P6L
P6L
PRF
CUTIE CU BLIST. DIN PVC/PVDC X 28 COMPR.FILM. PRF
5mg/160mg/12,5 mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE CU BLIST. DIN PVC/PVDC X 28 COMPR.FILM.
5mg/160mg/25 mg NOVARTIS EUROPHARM LTD.
P-6L
PRF
CUTIE CU BLIST. DIN PVC/PVDC X 28 COMPR.FILM. PRF
Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)
28
28
30
28
28
28
28
28
28
30
28
28
28
28
28
28
30
28
28
28
28
28
30
30
28
30
30
28
28
28
30
28
30
30
28
28
30
30
30
28
28
56
56
56
28
28
28
28
28
28
28
33,70
26,49
39,59
35,50
35,50
39,26
26,36
26,36
51,49
73,91
68,91
68,91
55,40
36,01
36,01
55,40
73,91
68,91
68,91
55,40
36,01
36,01
23,44
14,05
43,24
56,77
73,02
53,68
77,42
104,85
29,81
35,00
29,54
56,77
52,99
52,99
29,81
41,71
73,02
69,38
69,38
252,74
252,74
214,81
95,38
104,50
95,38
117,40
117,40
117,40
117,40
Pret
amanuntul
maximal/UT
(RON)
1,203571
0,946071
1,319666
1,267857
1,267857
1,402142
0,941428
0,941428
1,838928
2,463666
2,461071
2,461071
1,978571
1,286071
1,286071
1,978571
2,463666
2,461071
2,461071
1,978571
1,286071
1,286071
0,781333
0,468333
1,544285
1,892333
2,434000
1,917142
2,765000
3,744642
0,993666
1,250000
0,984666
1,892333
1,892500
1,892500
0,993666
1,390333
2,434000
2,477857
2,477857
4,513214
4,513214
3,835892
3,406428
3,732142
3,406428
4,192857
4,192857
4,192857
4,192857
Val suportata
de CNAS/UT
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti
1,137053
0,946071
1,137053
1,137053
1,137053
1,137053
0,941428
0,941428
1,137053
1,137053
1,137053
1,137053
1,137053
1,137053
1,137053
1,137053
1,137053
1,137053
1,137053
1,137053
1,137053
1,137053
0,781333
0,468333
1,137053
1,137053
1,137053
1,137053
1,137053
1,137053
0,993666
1,137053
0,984666
1,137053
1,137053
1,137053
0,993666
1,137053
1,137053
1,137053
1,137053
4,174552
4,174552
3,835892
1,879265
3,732142
3,382677
4,001532
4,192857
3,891902
4,165979
0,568526
0,473035
0,568526
0,568526
0,568526
0,568526
0,470714
0,470714
0,568526
0,568526
0,568526
0,568526
0,568526
0,568526
0,568526
0,568526
0,568526
0,568526
0,568526
0,568526
0,568526
0,568526
0,390666
0,234166
0,568526
0,568526
0,568526
0,568526
0,568526
0,568526
0,496833
0,568526
0,492333
0,568526
0,568526
0,568526
0,496833
0,568526
0,568526
0,568526
0,568526
2,087276
2,087276
1,917946
0,939632
1,866071
1,691338
2,000766
2,096428
1,945951
2,082989
cod ATC
DCI
453 C10AA04
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
ATORVASTATINUM
Nr. crt
454 C10AA04
455 C10AA04
456 C10AA05
457 C10AA05
458 C10AA05
459 C10AA05
460 C10AA05
461 C10AA05
462 C10AA05
463 C10AA05
464 C10AA05
465 C10AA05
466 C10AA05
467 C10AA05
468 C10AA05
469 C10AA05
470 C10AA05
471 C10AA05
472 C10AA05
473 C10AA05
474 C10AA05
475 C10AA05
476 C10AA05
477 C10AA05
478 C10AA05
479 C10AA05
480 C10AA05
481 C10AA05
482 C10AA05
483 C10AA05
484 C10AA05
485 C10AA05
486 C10AA05
487 C10AA05
488 C10AA05
489 C10AA05
490 C10AA05
491 C10AA05
492 C10AA05
493 C10AA05
494 C10AA05
495 C10AA05
496 C10AA05
497 C10AA05
498 C10AA05
499 C10AA05
500 C10AA05
501 C10AA05
502 C10AA05
503 C10AA05
Denumire Comerciala
LESCOL 20 mg
LESCOL 40 mg
LESCOL XL 80 mg
AMICOR 10 mg
TORVALIPIN 10 mg
SORTIS 10 mg
TORVACARD 10 mg
ATORIS 10 mg
GLETOR 10 mg
ASCORD 10 mg
ATORGAMMA 10 mg
TULIP 10 mg
TULIP 10 mg
ATILEN 10 mg
TORVAZIN 10 mg
XAMARA 10 mg
VOREDANIN 10 mg
ATORVASTATIN RANBAXY 10 mg
ATORVASTATINA POLIPHARMA 10 mg
ATORVASTATINA TEVA 10 mg
STAVRA 10 mg
ATORVASTATINA TORRENT 10 mg
ATORVASTATINA AUROBINDO 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
TULIP 20 mg
TULIP 20 mg
ATILEN 20 mg
TORVAZIN 20 mg
XAMARA 20 mg
VOREDANIN 20 mg
STAVRA 20 mg
AMICOR 40 mg
AMICOR 40 mg
TORVALIPIN 40 mg
SORTIS 40 mg
TORVACARD 40 mg
ATORIS 40 mg
ATORIS 40 mg
GLETOR 40 mg
ASCORD 40 mg
forma farm.
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.
COMPR. FILM.
concentratie
20mg
40mg
80mg
10 mg
10 mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
20 mg
20 mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
40 mg
40 mg
40 mg
40mg
40mg
40mg
40mg
40mg
40mg
Detinator APP
tara det.
APP
Ambalaj

GERMANIA CUTIE X 4 BLIST. AL/AL X 7 CAPS.
Prescriptie
P-6L
P-6L
NOVARTIS PHARMA GMBH GERMANIA CUTIE X 4 BLIST. AL/AL X 7 COMPR. ELIB. PREL. P-6L

ISLANDA
CUTIE CU BLIST. DIN AL/AL X 30 COMPR. FILM. P6L
MAREA BRITANIE
ZENTIVA K.S.
CEHIA
CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-6L
CUTIE CU BLIST. DIN AL/AL X 30 COMPR. FILM. P-6L

P-6L
CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPR.FILM.
REPUBLICA CEHA
TERAPIA SA
ROMANIA
CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. P-6L
GERMANIA
P-6L
SANDOZ S.R.L.
SANDOZ S.R.L.
ROMANIA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-6L

TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-6L
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
P6L
MAREA BRITANIE
POLIPHARMA INDUSTRIES S.R.L.
ROMANIA CUTIE CU 3 BLIST. X 10 COMPR. FILM. P6L

CUTIE CU BLIST. PVC-TE-PVDC/AL X 30 COMPR. FILM.
P6L
TORRENT PHARMA S.R.L. GERMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L
MALTA
CUTIE CU BLIST. PA-AL-PVC/AL X 30 COMPR. FILM.
MAREA BRITANIE
ZENTIVA K.S.
CEHIA
P6L

P-6L
REPUBLICA CEHA
TERAPIA SA
ROMANIA
GERMANIA
P-6L
SANDOZ S.R.L.
SANDOZ S.R.L.

P6L
MAREA BRITANIE

P6L


MAREA BRITANIE
ZENTIVA K.S.
CEHIA
P-6L
P-6L
P-6L
REPUBLICA CEHA
TERAPIA SA
ROMANIA
Pagina 10 din 25
Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)
28
28
28
30
30
30
30
30
30
30
30
30
90
28
30
30
30
30
30
28
30
30
30
30
30
30
30
30
30
30
30
30
90
28
30
30
30
30
30
28
30
30
14
30
30
14
30
14
30
30
30
15,98
29,09
46,24
18,38
16,75
41,50
10,57
19,43
21,14
21,05
16,75
21,23
55,45
19,83
18,77
27,86
19,43
10,57
10,57
6,36
21,69
27,83
6,83
26,90
24,56
53,41
15,82
29,45
31,51
34,71
24,14
30,65
79,50
31,37
28,64
34,71
29,45
15,82
15,82
7,50
32,60
34,71
28,58
59,26
50,55
45,27
32,68
25,86
53,61
63,06
56,69
Pret
amanuntul
maximal/UT
(RON)
0,570714
1,038928
1,651428
0,612666
0,558333
1,383333
0,352333
0,647666
0,704666
0,701666
0,558333
0,707666
0,616111
0,708214
0,625666
0,928666
0,647666
0,352333
0,352333
0,227142
0,723000
0,927666
0,227666
0,896666
0,818666
1,780333
0,527333
0,981666
1,050333
1,157000
0,804666
1,021666
0,883333
1,120357
0,954666
1,157000
0,981666
0,527333
0,527333
0,267857
1,086666
1,157000
2,041428
1,975333
1,685000
3,233571
1,089333
1,847142
1,787000
2,102000
1,889666
Val suportata
de CNAS/UT
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti
0,388386
0,776773
1,553549
0,582581
0,558333
0,582581
0,352333
0,582581
0,582581
0,582581
0,558333
0,582581
0,582581
0,582581
0,582581
0,582581
0,582581
0,352333
0,352333
0,227142
0,582581
0,582581
0,227666
0,896666
0,818666
1,165162
0,527333
0,981666
1,050333
1,157000
0,804666
1,021666
0,883333
1,120357
0,954666
1,157000
0,981666
0,527333
0,527333
0,267857
1,086666
1,157000
2,041428
1,975333
1,685000
2,330324
1,089333
1,847142
1,787000
2,102000
1,889666
0,194193
0,388386
0,776774
0,291290
0,279166
0,291290
0,176166
0,291290
0,291290
0,291290
0,279166
0,291290
0,291290
0,291290
0,291290
0,291290
0,291290
0,176166
0,176166
0,113571
0,291290
0,291290
0,113833
0,448333
0,409333
0,582581
0,263666
0,490833
0,525166
0,578500
0,402333
0,510833
0,441666
0,560178
0,477333
0,578500
0,490833
0,263666
0,263666
0,133928
0,543333
0,578500
1,020714
0,987666
0,842500
1,165162
0,544666
0,923571
0,893500
1,051000
0,944833
Nr. crt
cod ATC
504 C10AA05
505 C10AA05
506 C10AA05
507 C10AA05
508 C10AA05
509 C10AA05
510 C10AA05
511 C10AA05
512 C10AA05
513 C10AA05
514 C10AA05
515 C10AA05
516 C10AA05
517 C10AA05
518 C10AA05
519 C10AA05
520 C10AA05
521 C10AA05
522 C10AA05
523 C10AA05
524 C10AA05
525 C10AA05
526 C10AA05
527 C10AA05
528 C10AA07
529 C10AA07
530 C10AA07
531 C10AA07
532 C10AA07
533 C10AA07
534 C10AA07
535 C10AA07
536 C10AA07
537 C10AA07
538 C10AA07
539 C10AA07
540 C10AA07
541 C10AA07
542 C10AA07
543 C10AA07
544 C10AA07
545 C10AA07
546 C10AA07
547 C10AA07
548 C10AA07
549 C10AA07
550 C10AA07
551 C10AA07
552 C10AA07
553 C10AA07
554 C10AA07
DCI
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
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
Denumire Comerciala
ATORGAMMA 40 mg
TULIP 40 mg
TULIP 40 mg
ATILEN 40 mg
TORVAZIN 40 mg
XAMARA 40 mg
VOREDANIN 40 mg
STAVRA 40 mg
SORTIS 80 mg
ASCORD 80 mg
ATILEN 80 mg
XAMARA 80 mg
TORVACARD 80 mg
STAVRA 80 mg
ROSUVASTATINA RATIOPHARM 10 mg
CRESTOR 10 mg
ROSUCARD 10 mg
ROXARDIO 10 mg
ROSWERA 10 mg
ROSTAT 10 mg
TINTAROS 10 mg
ROSUVASTATINA TERAPIA 10 mg
ROSUVASTATINA AUROBINDO 10 mg
ROVASTAMED 10mg
STARCREST 10 mg
ROZUCOR 10 mg
ROSUVASTATINA ATB 10 mg
ROSUVASTATINA RATIOPHARM 20 mg
CRESTOR 20 mg
ROSUCARD 20 mg
ROXARDIO 20 mg
ROSWERA 20 mg
ROSTAT 20 mg
TINTAROS 20 mg
ROSUVASTATINA LABORMED 20 mg
ROVASTAMED 20mg
STARCREST 20 mg
forma farm.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
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
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
80mg
80mg
80mg
80mg
80mg
80mg
80mg
80mg
80mg
80mg
80mg
10 mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
20 mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
Detinator APP
tara det.
APP
GERMANIA
Ambalaj
Prescriptie
SANDOZ S.R.L.
SANDOZ S.R.L.

P6L
MAREA BRITANIE

P6L
MALTA
P6L
MAREA BRITANIE
P-6L
TERAPIA SA
ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. P-6L

ZENTIVA, K.S.
REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L
P6L
MAREA BRITANIE

P6L
MALTA
RATIOPHARM GMBH GERMANIA
P6L
CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPR. FILM.
P-6L
ASTRAZENECA UK LTD.
MAREA BRITANIE
P-6L
REPUBLICA CEHA
ROMANIA
ZENTIVA K.S.
SANDOZ S.R.L.
KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L
ROMANIA
ISLANDA
TERAPIA SA
ROMANIA
TERAPIA SA
ROMANIA
TORRENT PHARMA SRL ROMANIA
ANTIBIOTICE S.A.
ROMANIA
CUTIE CU BLIST. PA/AL/PVC-AL X 28 COMPR. FILM.
ASTRAZENECA UK LTD.
MAREA BRITANIE
REPUBLICA CEHA
ROMANIA
ZENTIVA K.S.
SANDOZ S.R.L.
P6L
P6L
CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/AL X 28 COMPR. FILM. P6L
CUTIE CU BLIST. PA-AL-PVC/AL X 30 COMPR. FILM. PRF

P6L
CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. FILM. P-6L
CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM.
P6L
P6L
P-6L
P-6L
ROMANIA
ISLANDA
TERAPIA SA
ROMANIA
TERAPIA SA
ROMANIA
Pagina 11 din 25
P6L

CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/AL X 28 COMPR. FILM.
P6L
P6L

P6L
Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)
30
30
90
28
30
30
30
30
30
28
30
30
30
14
30
28
30
30
30
30
28
30
30
30
30
28
30
28
30
30
28
28
28
30
28
28
30
30
30
28
30
28
30
30
28
28
28
28
30
28
28
52,86
61,73
152,32
58,84
52,68
63,04
53,61
32,10
32,68
26,78
38,11
63,03
13,84
72,66
101,21
94,46
101,21
44,03
50,04
44,03
38,25
42,62
101,20
22,20
42,24
105,02
24,08
45,03
53,56
24,08
39,44
33,52
33,52
35,92
39,38
18,60
46,97
44,73
56,77
149,38
26,72
80,72
92,43
34,30
52,95
18,61
48,16
48,16
51,61
52,92
18,61
Pret
amanuntul
maximal/UT
(RON)
1,762000
2,057666
1,692444
2,101428
1,756000
2,101333
1,787000
1,070000
1,089333
0,956428
1,270333
2,101000
0,461333
5,190000
3,373666
3,373571
3,373666
1,467666
1,668000
1,467666
1,366071
1,420666
3,373333
0,740000
1,408000
3,750714
0,802666
1,608214
1,785333
0,802666
1,408571
1,197142
1,197142
1,197333
1,406428
0,664285
1,565666
1,491000
1,892333
5,335000
0,890666
2,882857
3,081000
1,143333
1,891071
0,664642
1,720000
1,720000
1,720333
1,890000
0,664642
Val suportata
de CNAS/UT
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti
1,762000
2,057666
1,692444
2,101428
1,756000
2,101333
1,787000
1,070000
1,089333
0,956428
1,270333
2,101000
0,461333
4,660648
3,373666
3,373571
3,373666
1,467666
1,668000
1,467666
1,366071
1,420666
3,373333
0,740000
1,165162
1,165162
0,802666
1,165162
1,165162
0,802666
1,165162
1,165162
1,165162
1,165162
1,165162
0,664285
1,165162
1,165162
1,892333
2,330324
0,890666
2,330324
2,330324
1,143333
1,891071
0,664642
1,720000
1,720000
1,720333
1,890000
0,664642
0,881000
1,028833
0,846222
1,050714
0,878000
1,050666
0,893500
0,535000
0,544666
0,478214
0,635166
1,050500
0,230666
2,330324
1,686833
1,686785
1,686833
0,733833
0,834000
0,733833
0,683035
0,710333
1,686666
0,370000
0,582581
0,582581
0,401333
0,582581
0,582581
0,401333
0,582581
0,582581
0,582581
0,582581
0,582581
0,332142
0,582581
0,582581
0,946166
1,165162
0,445333
1,165162
1,165162
0,571666
0,945535
0,332321
0,860000
0,860000
0,860166
0,945000
0,332321
Nr. crt
cod ATC
555 C10AA07
556 C10AA07
557 C10AA07
558 C10AA07
559 C10AA07
560 C10AA07
561 C10AA07
562 C10AA07
563 C10AA07
564 C10AA07
565 C10AA07
566 C10AA07
567 C10AA07
568 C10AA07
569 C10AA07
570 C10AA07
571 C10AA07
572 C10AA07
573 C10AA07
574 C10AA07
575 C10AA07
576 C10AA07
577 C10AA07
578 C10AA07
579 C10AA07
580 C10AA07
581 C10AB02
582 C10AX06
583 C10AX06
584 C10AX09
585 C10AX09
586 C10AX09
DCI
Denumire Comerciala
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
ACID OMEGA-3-ESTERI ETILICI 90**
ACID OMEGA-3-ESTERI ETILICI 90**
EZETIMIBUM
EZETIMIBUM
EZETIMIBUM
ROZUCOR 20 mg
ROSUCARD 40 mg
ROSWERA 40 mg
ROSTAT 40 mg
TINTAROS 40 mg
ROSUVASTATINA LABORMED 40 mg
ROVASTAMED 40mg
STARCREST 40 mg
ROZUCOR 40 mg
CRESTOR 5 mg
ROXARDIO 5 mg
ROSWERA 5 mg
ROSTAT 5 mg
TINTAROS 5 mg
ROVASTAMED 5mg
STARCREST 5 mg
ROZUCOR 5 mg
REGADRIN (R) B
TEVOCOR 1000 mg
OMACOR (R)
EZETROL (R)
EZETROL (R)
COLTOWAN 10 mg
CADUET 10mg/10mg
DUPLECOR 10 mg/10 mg
ATORDAPIN 10 mg/10 mg
TORVALIPIN PLUS 10 mg/10 mg
CADUET 10mg/5mg
DUPLECOR 10 mg/5 mg
TORVALIPIN PLUS 5mg/10mg
ATORDAPIN 10mg/5mg
DUPLECOR 20 mg/10 mg
DUPLECOR 20 mg/5 mg
LAMISIL (R)
TERBINARAN
TERBINARAN
TERBINAFINE 250 mg
TERBINAFINA SLAVIA 250mg
EXIFINE 250 mg
TERBISIL 250 mg
TERBINAFINA ARENA 250 mg
XAMIOL 50 micrograme/ 0,5 mg/g
587 C10BX03 COMBINATII (ATORVASTATINUM+AMLODIPINUM)

604 D01BA02
TERBINAFINUM
TERBINAFINUM
TERBINAFINUM
TERBINAFINUM
TERBINAFINUM
TERBINAFINUM
TERBINAFINUM
TERBINAFINUM
605 D05AX52
COMBINATII (CALCIPOTRIOLUM+BETAMETHASONUM)*
597 D01BA02
598 D01BA02
599 D01BA02
600 D01BA02
601 D01BA02
602 D01BA02
603 D01BA02
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.
DRAJ.
CAPS. MOI
CAPS. MOI
COMPR.
COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
GEL
concentratie
20mg
20mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
200mg
1000 mg
1000mg
10mg
10mg
10mg
10mg/10mg
10mg/10mg
10mg/10mg
10mg/10mg
10mg/5mg
10mg/5mg
10mg/5mg
10mg/5mg
20mg/10mg
20mg/5mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
0,5 mg/g
Detinator APP
tara det.
APP
Ambalaj
Prescriptie
ANTIBIOTICE S.A.
ZENTIVA K.S.
ROMANIA
REPUBLICA CEHA
P6L
P6L
ROMANIA
ISLANDA
TERAPIA SA
ROMANIA
TERAPIA SA
ROMANIA
ANTIBIOTICE S.A.
ROMANIA
P6L

CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/AL X 28 COMPR. FILM.
P6L
P6L

P6L

P6L
P6L
ASTRAZENECA UK LTD.
MAREA BRITANIE
CUTIE X 2 BLIST. AL/AL X 14 COMPR. FILM. P-6L
SANDOZ S.R.L.
ROMANIA
ROMANIA
ISLANDA
TERAPIA SA
ROMANIA
TERAPIA SA
ROMANIA
ANTIBIOTICE S.A.
ROMANIA
P6L
P6L
CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/AL X 28 COMPR. FILM. P6L

P6L

P6L
P6L
CUTIE X 5 BLIST. X 10 DRAJ.

P-6L
ROMANIA CUTIE CU BLIST. PVC-ACLAR/AL X 30 CAPS. PRF
PRONOVA BIOPHARMA NORGE A.S. NORVEGIA FALC. DIN PEID X 28 CAPS. MOI
P-RF
MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. PCTFE/PVC/AL X 14 COMPR. P-RF
MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PCTFE/PVC/AL X 14 COMPR. P-RF
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU BLIST. PVC-PE-PVDC-PE-PVC/AL X 30 COMPR.
PRF
GERMANIA
MAREA BRITANIE CUTIE X 3 BLIST. PA-AL-PVC/PVC-AL X 10 COMPR. FILM.
ROMANIA CUTIE CU BLIST. ALBE, OPACE DIN PA/AL/PVC/AL X 30 COMPR. FILM. P6L
P-6L
KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L
ISLANDA
MAREA BRITANIE CUTIE X 3 BLIST. PA-AL-PVC/PVC-AL X 10 COMPR. FILM.
ISLANDA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L

RANBAXY UK LIMITED
RANBAXY UK LIMITED
P6L
P-6L
CUTIE X BLISTERE OPA-AL-PVC/AL X 30 COMPRIMATE FILMATE P6L
GERMANIA CUTIE X 1 BLIST. X 14 COMPR.
P-RF
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. P-RF

SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. PVC/AL X 7 COMPR. P-RF
DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 14 COMPR. P-RF
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU 2 BLIST. PVC/AL X 14 COMPR. P-RF
ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-RF
LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE CU 1 FLAC. PEID X 15 G GEL P-RF
Pagina 12 din 25
Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)
30
30
30
30
30
28
28
28
28
30
28
28
30
30
28
28
30
30
28
28
28
30
28
28
30
30
50
30
28
14
28
30
30
30
30
30
30
30
30
30
30
30
14
30
28
28
14
14
28
28
1
60,39
53,68
50,56
109,71
58,69
68,64
36,03
75,14
75,14
72,25
68,58
36,03
78,60
72,22
91,37
32,48
50,55
22,34
27,73
62,54
62,54
29,72
27,70
18,58
42,50
40,26
28,55
70,92
100,04
95,45
180,99
128,33
81,46
55,75
55,75
55,17
71,34
48,82
48,46
48,42
71,26
64,10
87,90
234,95
107,44
29,74
18,21
16,66
108,77
31,99
81,72
Pret
amanuntul
maximal/UT
(RON)
2,013000
1,789333
1,685333
3,657000
1,956333
2,451428
1,286785
2,683571
2,683571
2,408333
2,449285
1,286785
2,620000
2,407333
3,263214
1,160000
1,685000
0,744666
0,990357
2,233571
2,233571
0,990666
0,989285
0,663571
1,416666
1,342000
0,571000
2,364000
3,572857
6,817857
6,463928
4,277666
2,715333
1,858333
1,858333
1,839000
2,378000
1,627333
1,615333
1,614000
2,375333
2,136666
6,278571
7,831666
3,837142
1,062142
1,300714
1,190000
3,884642
1,142500
81,720000
Val suportata
de CNAS/UT
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti
2,013000
1,789333
1,685333
3,657000
1,956333
2,451428
1,286785
2,683571
2,683571
2,408333
2,449285
1,286785
2,620000
2,407333
0,582581
0,582581
0,582581
0,582581
0,582581
0,582581
0,582581
0,582581
0,582581
0,582581
0,582581
0,582581
0,571000
2,364000
2,399592
5,370797
5,370797
4,277666
1,680249
1,680249
1,680249
1,680249
1,680249
1,627333
1,615333
1,614000
1,680249
1,680249
1,178125
1,178125
1,178125
1,062142
1,178125
1,178125
1,178125
1,142500
56,234999
1,006500
0,894666
0,842666
1,828500
0,978166
1,225714
0,643392
1,341785
1,341785
1,204166
1,224642
0,643392
1,310000
1,203666
0,291290
0,291290
0,291290
0,291290
0,291290
0,291290
0,291290
0,291290
0,291290
0,291290
0,291290
0,291290
0,285500
1,182000
1,199796
2,685398
2,685398
2,138833
0,840124
0,840124
0,840124
0,840124
0,840124
0,813666
0,807666
0,807000
0,840124
0,840124
0,589062
0,589062
0,589062
0,531071
0,589062
0,589062
0,589062
0,571250
28,117499
Nr. crt
cod ATC
606 D05AX52
607 D05AX52
608 D05AX52
609 D05BB02
610 D06AX01
611 D06AX01
612 D06BA01
613 D06BB04
614 D06BB04
615 D06BB10
616 D07AB02
617 D07AB02
618 D07AB02
619 D07AB02
620 D07AC13
621 D07AC13
622 D07AC13
623 D07AC13
624 D07AC14
625 D07AC14
626 D07AC14
627 D07AC17
628 D07AC17
629 D07AD01
630 D07AD01
631 D07AD01
632 D07CA01
633 D07CC01
634 D07XC03
635 D07XC03
636 D10AD54
637 D10AX03
638 D10AX03
639 D10BA01
640 D10BA01
641 D10BA01
642 G01AA51
643 G01AA51
644 G01AA51
645 G01AF12
646 G01AF12
647 G01AF12
648 G01AF15
649 G01AF20
650 G01AF20
651 G01AF20
652 G01AF20
653 G01AF20
654 G02CB03
655 G02CB03
656 G03AC03
DCI
Denumire Comerciala
DAIVOBET 50 micrograme/0,5 mg/g

DAIVOBET 50 micrograme/0,5 mg/g
DAIVOBET 50 micrograme/0,5mg/g
ACITRETINUM**
NEOTIGASON 10 mg
ACIDUM FUSIDICUM
FUCIDIN 20 mg/g
ACIDUM FUSIDICUM
FUCIDIN 20 mg/g
SULFADIAZINUM
FLAMMAZINE
PODOPHYLLOTOXINUM*
WARTEC 1,5 mg/g
PODOPHYLLOTOXINUM*
CONDYLINE
IMIQUIMODUM*
ALDARA 5%
HYDROCORTISONUM BUTYRATUM LOCOID (R) crema 0,1%
HYDROCORTISONUM BUTYRATUM LOCOID (R) LIPOCREAM 0,1%
HYDROCORTISONUM BUTYRATUM LOCOID CRELO (R) 0,1%
HYDROCORTISONUM BUTYRATUM LOCOID (R)
MOMETASONUM
ELOCOM
MOMETASONUM
MOMETAZONA ATB 1 mg/g
MOMETASONUM
ELOCOM
MOMETASONUM
MOMETAZONA ATB 1 mg/g
METHYLPREDNISOLONUM ACEPONAT ADVANTAN 1mg/g crema
METHYLPREDNISOLONUM ACEPONAT ADVANTAN MILK 1mg/g
METHYLPREDNISOLONUM ACEPONAT ADVANTAN 1mg/g unguent
FLUTICASONUM PROPIONAT
CUTIVATE
FLUTICASONUM PROPIONAT
CUTIVATE
CLOBETASOLUM*
DERMOVATE 0,5 mg/g
CLOBETASOLUM*
DERMOVATE (R)
CLOBETASOLUM*
DERMOVATE 0,5 mg/g
COMBINATII (ACIDUM FUSIDICUM+HYDROCORTISONUM) FUCIDIN H
COMBINATII (ACIDUM FUSIDICUM+ BETAMETHASONUM) FUCICORT 20 mg/1mg pe gram
COMBINATII (MOMETASONUM + AC. SALICILICUM) ELOSALIC 1mg+5mg/gram
COMBINATII (MOMETASONUM + AC. SALICILICUM) ELOSALIC 1mg+5mg/gram
COMBINATII (ISOTRETINOINUM + ERITROMICINUM) ISOTREXIN GEL
ACIDUM AZELAICUM
SKINOREN
ACIDUM AZELAICUM
SKINOREN 150mg/g
ISOTRETINOINUM**
ROACCUTANE 10 mg
ISOTRETINOINUM**
SOTRET 10 mg
ISOTRETINOINUM**
SOTRET 20 mg
COMBINATII
MACMIROR COMPLEX
COMBINATII
POLYGYNAX
COMBINATII
MACMIROR COMPLEX
FENTICONAZOLUM
LOMEXIN 1000 mg
FENTICONAZOLUM
LOMEXIN 600 mg
FENTICONAZOLUM
LOMEXIN CREMA VAGINALA
BUTOCONAZOLUM
GYNOFORT 2%
COMBINATII (METRONIDAZOLUM+CLOTRIMAZOLUM) MECLODIN
COMBINATII (METRONIDAZOLUM+CLOTRIMAZOLUM) MECLON
CABERGOLINUM*
DOSTINEX
CABERGOLINUM*
DOSTINEX
LEVONORGESTRELUM***#
MIRENA 20 mcg/24 h
forma farm.
GEL
GEL
UNGUENT
CAPS.
CREMA
UNGUENT
CREMA
CREMA
SOL. CUT.
CREMA
CREMA
CREMA
concentratie
50micrograme/0,5mg/g
50micrograme/0,5mg/g
Detinator APP
LEO PHARMA A/S

LEO PHARMA A/S
50micrograme/0,5mg/g LEO PHARMACEUTICAL PRODUCTS
10mg
20mg/g
20mg/g
1%
1,5 mg/g
5mg/ml
5%
0,1%
0,1%
EMULSIE CUT. 0.1%
SOL. CUT.
0,1%
CREMA
1mg/g
CREMA
1mg/g
UNGUENT
1mg/g
UNGUENT
1mg/g
CREMA
1mg/g
EMULSIE CUT. 1mg/g
UNGUENT
1mg/g
CREMA
0,05%
UNGUENT
0,005%
CREMA
0,5mg/g
SOL. CUT.
0,05%
UNGUENT
0,5mg/g
CREMA
FARA CONCENTRATIE
CREMA
20mg/1mg pe gram
UNGUENT
1mg+5mg/gram
UNGUENT
1mg+5mg/gram
GEL
0,05%/0,2%
CREMA
200mg/g
GEL
150mg/g
CAPS. MOI 10mg
CAPS. MOI 10mg
CAPS. MOI 20mg
tara det.
APP
Ambalaj
Prescriptie
DANEMARCA
CUTIE CU 1 FLAC. PEID CU DUZA DIN PEJD SI CAPAC DIN PEID X 30 G GEL
PRF
DANEMARCA
CUTIE CU 1 FLAC. PEID CU DUZA DIN PEJD SI CAPAC DIN PEID X 15 G GEL
PRF
DANEMARCA CUTIE CU 1 TUB DIN AL/EPOXIFENOL X 15 G UNGUENT P-RF
ISLANDA
CUTIE X 3 BLIST. AL/PVC-PVDC X 10 CAPS.
LEO PHARMA A/S

LEO PHARMA A/S
CN UNIFARM
DANEMARCA
CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF
DANEMARCA
CUTIE X 1 TUB DIN AL X 15 G UNGUENT P-RF
ROMANIA
GLAXOSMITHKLINE (GSK) SRL ROMANIA
ASTELLAS PHARMA EUROPE BV OLANDA
MEDA AB
SUEDIA
ANTIBIOTICE SA
ROMANIA
ANTIBIOTICE SA
ROMANIA
INTENDIS GMBH
GERMANIA
INTENDIS GMBH
GERMANIA
INTENDIS GMBH
GERMANIA
P-RF
BORCAN X 500 G CREMA

P-RF
CUTIE X 1 FLACON DIN STICLA BRUNA X 3,5 ML SOL. CUTANATA + 15 DISPOZITIVE DE APLICARE
P-RF
CUTIE X 12 PLICURI DIN POLIESTER/AL X 250 MG CREMA
P-RF
CUTIE X 1 TUB DIN AL X 30 G

CUTIE X 1 FLACON X 30 G
P-RF
PRF
P-RF
P-RF
CUTIE X 1 FLACON PICURATOR DIN PP X 30 ML P-RF

P-RF
CUTIE CU 1 TUB DIN AL X 15 G UNG. P6L
P-RF
CUTIE CU 1 TUB DIN AL X 15 G UNG. P6L
P-RF
GLAXO WELLCOME UK LIMITED MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE
CUTIE X 1 FLACON CU PICURATOR DIN PP X 25 ML P-RF
MAREA BRITANIE
LEO PHARMA A/S

LEO PHARMA A/S
DANEMARCA
DANEMARCA
P-RF
CUTIE CU 1 TUB AL X 25 G UNGUENT P-RF

ROMANIA CUTIE X 1 TUB DIN AL X 45 G

P-RF
ROMANIA CUTIE X 1 TUB DIN AL X 15 G
P-RF
STIEFEL LABORATORIES IRELAND LTD. MAREA BRITANIE CUTIE X 1 TUB DIN AL X 30 G GEL
P-RF
INTENDIS GMBH
GERMANIA CUTIE X 1 TUB DIN AL X 30 G CREMA P-RF
INTENDIS GMBH
GERMANIA CUTIE X 1 TUB AL X 50 G GEL
P-RF
ROCHE ROMANIA SRL ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/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
TERAPIA S.A.
ROMANIA CUTIE X 3 BLIST. PE-PVDC-PVC/HARTIE-AL X 10 CAPS. MOI P-RF
CAPS. MOI VAG. 500mg/200000UI POLICHEM SA
LUXEMBURG CUTIE X 1 BLIST. AL/PVDC-PVC X 12 CAPS. MOI. VAG. P-RF
CAPS. MOI VAG. FARA CONCENTRATIE LAB. INNOTECH INT. FRANTA CUTIE X 2 BLIST. AL/PVC X 6 CAPS. MOI. VAG. P-RF
CREMA VAG. 10g/400000UI POLICHEM SA
LUXEMBURG CUTIE X 1 TUB DIN AL CREMA VAG. X 30 G + APLICATOR
P-RF
CAPS. MOI VAG. 1000mg
RECORDATI SPA
ITALIA
CUTIE X 1 BLIST. PVC/PVDC-AL X 2 CAPS. VAG. MOI P-RF
CAPS. MOI VAG. 600mg
RECORDATI SPA
ITALIA
CUTIE X 1 BLIST. PVC/PVDC-AL X 1 CAPS. VAG. MOALE P-RF
CREMA VAG. 2%
RECORDATI SPA
ITALIA
CUTIE X 1 TUB AL + APLICATOR X 78 G CREMA P-RF
CREMA VAG. 20mg/g
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 APLICATOR PREUMPLUT UNIDOZA DIN PP CU 5 G CREMA VAG.
P-RF
COMPR. VAG. 500mg/200mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. TRANSPARENT DIN AL/PVC X 5 COMPR. VAG. P-RF
CREMA
FARA CONCENTRATIE ALFA WASSERMANN SPA ITALIA
P-RF
CREMA VAG. FARA CONCENTRATIE ALFA WASSERMAN SPA ITALIA
CUTIE X 1 TUB DIN AL X 30 G CREMA VAG. + 6 APLICATOARE DIN POLIPROPILENA P-RF
OVULE
500mg/100mg ALFA WASSERMAN SPA ITALIA
CUTIE X 2 FOLII PVC-PE X 5 OVULE P-RF
SOL. VAGINALA FARA CONCENTRATIE ALFA WASSERMAN SPA ITALIA
CUTIE X 5 FLACOANE PVC-PE X 10 ML + 5 FLACOANE PEJD X 130 ML + 5 CANULE P-RF
COMPR.
0,5mg
PFIZER EUROPE MA EEG MAREA BRITANIE CUTIE X 1 FLAC. X 2 COMPR.
P-RF
COMPR.
0,5mg
PFIZER EUROPE MA EEG MAREA BRITANIE CUTIE X 1 FLAC. X 8 COMPR.
P-RF
DISPOZITIV INTRAUTERIN 52mg
BAYER SCHERING PHARMA AG FINLANDA CUTIE X 1 BLIST. X 1 DISP. PT. ADM. INTRAUTERINA + 1 INSERTOR P-RF
MERCK SHARP & DOHME
MERCK SHARP & DOHME
Pagina 13 din 25
Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)
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
30
30
30
12
12
1
2
1
1
1
10
1
1
10
5
2
8
1
Pret
amanuntul
maximal/UT
(RON)
Val suportata
de CNAS/UT
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti
108,59 108,590000 56,234999 28,117499

57,17 57,170000 56,234999 28,117499
53,43 53,430000 53,430000 26,715000
74,74
2,491333
2,491333
1,245666
11,94 11,940000 11,940000
5,970000
12,28 12,280000 12,025000
6,012500
96,76 96,760000 96,760000 48,380000
85,55 85,550000 45,803214 22,901607
75,96 75,960000 75,960000 37,980000
265,43 22,119166 22,119166 11,059583
12,93 12,930000 12,407500
6,203750
13,39 13,390000 12,407500
6,203750
12,80 12,800000 12,407500
6,203750
11,23 11,230000 11,230000
5,615000
7,67
7,670000
7,670000
3,835000
10,18 10,180000
7,670000
3,835000
7,67
7,670000
7,670000
3,835000
10,18 10,180000
7,670000
3,835000
24,16 24,160000 22,102999 11,051499
33,41 33,410000 33,410000 16,705000
24,16 24,160000 22,102999 11,051499
10,31 10,310000 10,310000
5,155000
10,31 10,310000 10,310000
5,155000
12,08 12,080000
6,354000
3,177000
5,21
5,210000
5,210000
2,605000
8,91
8,910000
6,354000
3,177000
20,28 20,280000 20,280000 10,140000
21,46 21,460000 21,460000 10,730000
47,00 47,000000 47,000000 23,500000
16,66 16,660000 15,915000
7,957500
36,22 36,220000 36,220000 18,110000
34,10 34,100000 29,535500 14,767750
46,69 46,690000 46,690000 23,345000
53,29
1,776333
1,087166
0,543583
33,09
1,103000
1,087166
0,543583
64,28
2,142666
2,142666
1,071333
38,11
3,175833
1,996999
0,998499
33,74
2,811666
1,996999
0,998499
35,47 35,470000 35,470000 17,735000
51,21 25,605000 17,092497
8,546248
20,09 20,090000 10,255498
5,127749
36,01 36,010000 26,664296 13,332148
40,29 40,290000
1,709249
0,854624
15,01
1,501000
1,109700
0,554850
9,63
9,630000
9,630000
4,815000
12,87 12,870000 12,870000
6,435000
36,96
3,696000
1,109700
0,554850
21,99
4,398000
1,109700
0,554850
43,59 21,795000
8,262750
4,131375
123,74 15,467500
8,262750
4,131375
513,53 513,530000 513,530000 256,765000
Nr. crt
cod ATC
657 G03CA04
658 G03CA09
659 G03CA09
660 G03CX01
661 G03DA04
662 G03DA04
663 G03DA04
664 G03DA04
665 G03DA04
666 G03DA04
667 G03DB01
668 G03DC03
669 G03FA17
670 G03FB01
671 G03FB08
672 G03GA05
673 G03GA05
674 G03GA05
675 G03GA05
676 G03GA05
677 G03GA06
678 G03GA06
679 G03GA06
680 G03GA07
681 G03GB02
682 G03XC01
683 G04BD04
684 G04BD07
685 G04BD07
686 G04BD08
687 G04BD08
688 G04BD08
689 G04BD08
690 G04BD08
691 G04BD08
692 G04BD08
693 G04BD09
694 G04BD09
695 G04CA01
696 G04CA01
697 G04CA01
698 G04CA02
699 G04CA02
700 G04CA02
701 G04CA02
702 G04CA02
703 G04CA02
704 G04CA02
705 G04CA02
706 G04CA02
707 G04CB01
DCI
ESTRIOLUM*
PROMESTRIENUM*
PROMESTRIENUM*
TIBOLONUM**
PROGESTERONUM*
PROGESTERONUM*
PROGESTERONUM*
PROGESTERONUM*
PROGESTERONUM*
PROGESTERONUM*
DYDROGESTERONUM*
LYNESTRENOLUM*
COMBINATII**
COMBINATII**
COMBINATII**
FOLLITROPINUM ALFA****#
FOLLITROPINUM BETA****#
LUTROPINUM ALFA****#
CLOMIFENUM
RALOXIFENUM
OXYBUTYNINUM
TOLTERODINUM**#
TOLTERODINUM**#
SOLIFENACINUM SUCCINATE**#
TROSPIUM
TROSPIUM
ALFUZOSINUM
ALFUZOSINUM
ALFUZOSINUM
TAMSULOSINUM
TAMSULOSINUM
TAMSULOSINUM
TAMSULOSINUM
TAMSULOSINUM
TAMSULOSINUM
TAMSULOSINUM
TAMSULOSINUM
TAMSULOSINUM
FINASTERIDUM*
Denumire Comerciala
OVESTIN
COLPOTROPHINE (R)
COLPOTROPHINE (R)
LIVIAL (R) 2,5 mg
UTROGESTAN (R) 100 mg
AREFAM 100 mg
UTROGESTAN (R) 200 mg
AREFAM 200 mg
PROGESTOGEL 10 mg/g
MASTOPROFEN 10 mg/g
DUPHASTON 10 mg
ORGAMETRIL 5 mg
ANGELIQ
CYCLO-PROGYNOVA
FEMOSTON 2/10
GONAL - f 75 UI (5,5 mcg)
GONAL - f 75 UI (5,5 g)
GONAL-f 300 UI/0,5 ml ( 22 g/0,5 ml)
GONAL-f 450 UI/0,75 ml (33 g/0,75 ml)
GONAL-f 900 UI/1,5ml (66 g/1,5 ml)
PUREGON 100UI/0,5ml
PUREGON 300UI/0,36 ml
PUREGON 900UI/1,08 ml
LUVERIS 75UI
CLOSTILBEGYT
EVISTA 60mg
DRIPTANE ( R ) 5 mg
UROFLOW 1
UROFLOW 2
ZEVESIN 10 mg
VESICARE 10 mg
SOLIFENACIN ACTAVIS 10 mg
ZEVESIN 5 mg
VESICARE 5 mg
ASOLFENA 5 mg
SOLIFENACIN ACTAVIS 5 mg
INKONTAN 15 mg
INKONTAN 30 mg
ALFURAN MR 10 mg
XATRAL SR 10 mg
XATRAL LP 5 mg
TAMSOL 0,4 mg
FOKUSIN
CONTIFLO MR
TANYZ
TAMSUNORM 0,4 mg
forma farm.
concentratie
Detinator APP
0,5mg
CAPS. MOI VAG. 10mg
CREMA VAG. 1%
COMPR.
2,5mg
CAPS. MOI 100mg
CAPS. MOI 100mg
CAPS. MOI 200mg
CAPS. MOI 200mg
GEL
10mg/g
GEL
10mg/g
COMPR. FILM. 10mg
COMPR.
5mg
COMPR. FILM. 1mg+2mg
DRAJ.
FARA CONCENTRATIE
ORGANON NV
LAB. THERAMEX
LAB. THERAMEX
ORGANON NV
OVULE
COMPR. FILM.
PULB. + SOLV. PT. SOL. INJ.
SOL. INJ. IN STILOU INJECTOR PREUMPLUT
SOL. INJ.
SOL. INJ.
SOL. INJ.
PULB+SOLV.PT.SOL.INJ
COMPR.
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. ELIB. PREL.
COMPR. ELIB. PREL.
CAPS. ELIB. MODIF.

CAPS. ELIB. MODIF.
CAPS. ELIB. PREL.
FARA CONCENTRATIE
75UI
75UI
300UI/0,5ml
450UI/0,75ml
900UI/1,5ml
100UI/0,5ml
300UI/0,36ml
900UI/1,08ml
75UI
50mg
60mg
5mg
1mg
2mg
10 mg
10mg
10mg
5 mg
5mg
5mg
5mg
15mg
30mg
10mg
10mg
5mg
0,4mg
0,4mg
0,4mg
0,4mg
0,4mg
tara det.
APP
Ambalaj
CUTIE X 3 FOLII X 5 OVULE
Prescriptie
OLANDA
MONACO
MONACO
OLANDA
LAB. BESINS INTERNATIONAL FRANTA
MEDICO UNO PHARMA KFT. UNGARIA
LAB. BESINS INTERNATIONAL FRANTA
MEDICO UNO PHARMA KFT. UNGARIA
LABORATOIRES BESINS INTERNATIONAL FRANTA
ANTIBIOTICE SA
ROMANIA
OLANDA
ORGANON NV
OLANDA
BAYER PHARMA AG GERMANIA
BAYER PHARMA AG GERMANIA
OLANDA
CUTIE X 1 BLIST. TIP CALENDAR X 28 COMPR. FILM. (14 COMPR.FILM. ROSII-CARAMIZII + 14 COMPR.FILM. GAL
P-RF
SERONO EUROPE LTD.
MAREA BRITANIE
CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. + 1 FLAC. X 1 ML SOLV.
P-RF/R
MERCK SERONO EUROPE LIMITED
MAREA BRITANIE
CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. + 1 SERINGA PREUMPLUTA X 1 ML SOLV.
P-RF/R
MAREA BRITANIE
CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT X 0,5 ML SOL. INJ. + 8 ACE PT. ADM.
P-RF/R
MAREA BRITANIE
CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT X 0,75 ML SOL. INJ. + 12 ACE PT. ADM. SUBCUTANATA
P-RF/R
MAREA BRITANIE
CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT X 1,5 ML SOL. INJ. + 20 ACE PT. ADM. SUBCUTANATA
P-RF/R
N. V. ORGANON
N. V. ORGANON
N. V. ORGANON
OLANDA CUTIE X 1 FLACON, DIN STICLA X 0,5 ML SOL. INJ.

OLANDA CUTIE X 1 CARTUS + 6 ACE
OLANDA CUTIE X 1 CARTUS SOL. INJ. + 9 ACE
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.
UNGARIA
DAIICHI SANKYO EUROPE GMBH
GERMANIA CUTIE X 28 COMPR. FILM. (BLIST. ACLAR) P-RF
P-RF
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 CU 1 TUB DIN AL X 80 G GEL + DISPOZITIV DE DOZARE
PRF

PHARMAZEUTISCHE FABRIK MONTAVIT GES.M.B.H.
PHARMAZEUTISCHE FABRIK MONTAVIT GES.M.B.H.
TERAPIA SA
ZENTIVA KS
RANBAXY UK LTD.
P-RF
P-6L
CUTIE CU 1 TUB DIN AL X 40 G GEL P6L

P-6L
CUTIE X 1 BLIST. CALENDARISTIC PVC/AL X 28 COMPR. FILM.
P6L
CUTIE CU 1 BLIST. PVC/AL TIP CALENDAR X 21 DRAJ. P-6L
PR/PRF
PR/PRF
PR/PRF
P-RF/R
CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 COMPR. P-RF
LAB. FOURNIER SA FRANTA CUTIE X 2 BLIST. AL/PVC X 30 COMPR.

ZENTIVA K.S.
REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM.
ZENTIVA K.S.
REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM.
ZENTIVA K.S.
REPUBLICA CEHA CUTIE CU BLIST. OPA/AL/PVC/AL X 30 COMPR. FILM.
ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM.
ZENTIVA K.S.
REPUBLICA CEHA CUTIE CU BLIST. OPA/AL/PVC/AL X 30 COMPR. FILM.
ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.
KRKA, TOVARNA ZDRAVIL, D.D. NOVO MESTO
P-RF
CUTIE X 1 BLIST. AL/PVC X 10 CAPS. MOI VAG. P-RF
P-6L
P6L
P6L
P6L
P-6L
P6L
P6L
P-6L
SLOVENIA
ISLANDA
AUSTRIA
AUSTRIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
CEHIA
CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. P6L
P6L

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

P-6L
P-6L
CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS. ELIB. MODIF.
P-6L
MAREA BRITANIE CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS. ELIB. PREL.
P-6L
CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 CAPS. ELIB. PREL.
P-6L
POLONIA
TAMSULOSIN AUROBINDO 400 micrograme CAPS. ELIB. PREL. 400micrograme AUROBINDO PHARMA (MALTA) LIMITED MALTA
TAMSULOSIN TEVA 400 g
400 g
TANYZ 0,4 mg
COMPR. ELIB. PREL. 0,4mg
OMNIC TOCAS (R) 0,4
COMPR. FILM. ELIB. PREL. 0,4mg
PROSCAR 5 mg
COMPR. FILM. 5mg
CUTIE CU BLIST. PVC-PVDC/AL X 30 CAPS. ELIB. PREL.
P-6L
CUTIE CU BLIST. PVC/PE/PVDC-AL X 30 CAPS. ELIB. PREL.
CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. CU ELIB. PREL.
P6L
P6L
P6L
CUTIE X 3 FOLII AL/AL X 10 COMPR. FILM. ELIB. PREL.
P-6L
CUTIE X 1 BLIST. PVC/PE/PVD-AL X 14 COMPR.FILM.
P-6L
CAPS. ELIB. PREL.

CAPS. ELIB. PREL.
ICN POLFA RZESZOW S.A.
Pagina 14 din 25
CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. CU ELIB. PRELUNG.
Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)
15
10
1
28
30
30
14
30
1
1
20
30
28
21
28
1
1
1
1
1
1
1
1
1
10
28
60
28
28
30
30
30
30
30
30
30
30
30
30
30
28
30
30
30
30
30
30
30
30
30
14
20,62
12,08
13,87
72,82
30,00
19,49
30,00
37,74
21,14
9,01
21,57
9,12
57,86
7,77
30,99
132,63
132,63
505,65
735,78
Pret
amanuntul
maximal/UT
(RON)
1,374666
1,208000
13,870000
2,600714
1,000000
0,649666
2,142857
1,258000
21,140000
9,010000
1,078500
0,304000
2,066428
0,370000
1,106785
132,630000
132,630000
505,650000
735,780000
1.384,42 1.384,420000
200,89 200,890000
517,31 517,310000
1.410,83 1.410,830000
146,72 146,720000
17,07
1,707000
124,97
4,463214
26,63
0,443833
22,20
0,792857
26,66
0,952142
147,62
4,920666
227,12
7,570666
147,45
4,915000
83,61
2,787000
183,34
6,111333
83,61
2,787000
83,55
2,785000
38,11
1,270333
63,52
2,117333
36,04
1,201333
40,59
1,353000
15,72
0,561428
36,34
1,211333
21,00
0,700000
26,93
0,897666
21,20
0,706666
22,96
0,765333
26,93
0,897666
20,08
0,669333
31,90
1,063333
63,98
2,132666
33,27
2,376428
Val suportata
de CNAS/UT
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti
1,374666
0,687333
0,663539
0,331769
9,953098
4,976549
2,600714
1,300357
0,644499
0,322249
0,644499
0,322249
1,288999
0,644499
1,258000
0,629000
18,800000
9,400000
9,010000
4,505000
1,078500
0,539250
0,304000
0,152000
2,066428
1,033214
0,370000
0,185000
0,554196
0,277098
121,376553 60,688276
121,376553 60,688276
485,506213 242,753106
728,259319 364,129659
1.384,420000 692,210000
161,835363 80,917681
485,312010 242,656005
1.410,830000 705,415000
146,720000 73,360000
1,707000
0,853500
4,463214
2,231607
0,443833
0,221916
0,553415
0,276707
0,952142
0,476071
4,427324
2,213662
4,427324
2,213662
4,427324
2,213662
2,213662
1,106831
2,213662
1,106831
2,213662
1,106831
2,213662
1,106831
0,830123
0,415061
1,660246
0,830123
1,201333
0,600666
1,353000
0,676500
0,561428
0,280714
1,211333
0,605666
0,700000
0,350000
0,897666
0,448833
0,706666
0,353333
0,765333
0,382666
0,897666
0,448833
0,669333
0,334666
1,063333
0,531666
1,515857
0,757928
1,736964
0,868482
Nr. crt
cod ATC
708 G04CB01
709 G04CB01
710 G04CB02
711 H01AA02
712 H01AC01
713 H01AC01
714 H01AC01
715 H01AC01
716 H01AC01
717 H01AC01
718 H01AC01
719 H01AC01
720 H01AC01
721 H01CC01
722 H01CC02
723 H02AA02
724 H02AB01
725 H02AB06
726 H02AB06
727 H03BB02
728 H03BB02
729 H03BB02
730 H05BA01
731 H05BA01
732 J01CR01
733 J01CR04
734 J01CR04
735 J01FA02
736 J01FA02
737 J01FA02
738 J01FA10
739 J01FA10
740 J01FA10
741 J01FA10
742 J01FA10
743 J01FA10
744 J01FA10
745 J01FA10
746 J01FA10
747 J01FA10
748 J01FA10
749 J01FA10
750 J01FA10
751 J01FA10
752 J01FA10
753 J01FA10
754 J01FA10
755 J01FA10
756 J01FA10
757 J01FA10
758 J01FA10
DCI
FINASTERIDUM*
FINASTERIDUM*
DUTASTERIDUM*
TETRACOSACTIDUM
SOMATROPINUM***#
SOMATROPINUM***#
SOMATROPINUM***#
SOMATROPINUM***#
SOMATROPINUM***#
SOMATROPINUM***#
SOMATROPINUM***#
SOMATROPINUM***#
SOMATROPINUM***#
GANIRELIXUM***#
CETRORELIXUM***#
FLUDROCORTISONUM
BETAMETHASONUM
PREDNISOLONUM
PREDNISOLONUM
THIAMAZOLUM
THIAMAZOLUM
THIAMAZOLUM
CALCITONINUM (SOMON)
CALCITONINUM (SOMON)
AMPICILLINUM + SULBACTAM
SULTAMICILLINUM
SULTAMICILLINUM
SPIRAMYCINUM
SPIRAMYCINUM
SPIRAMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
Denumire Comerciala
PROSCAR 5 mg
FINASTERIDA ARENA 5 mg
AVODART 0,5 mg
SYNACHTEN DEPOT
ZOMACTON
GENOTROPIN (R) 16 ui (5,3 mg)
OMNITROPE 15mg/1,5ml
NUTROPINAq 10 mg/2 ml
OMNITROPE 3,3mg/ml
OMNITROPE 6,7mg/ml
NORDITROPIN SIMPLEXx 10 mg/1,5ml
ORGALUTRAN 0.25mg/0,5ml
CETROTIDE 0,25 mg
ASTONIN H
DIPROPHOS
SOLU - DECORTIN H 250
THYROZOL 10 mg
THYROZOL 20mg
THYROZOL 5 mg
NYLEX (R)
MIACALCIC (R)
AMPIPLUS 1000 mg/500 mg
UNASYN
UNASYN
ROVAMYCINE (R) 1,5 Mil. UI
ROVAMYCINE (R) 3 Mil. UI
ROVAMYCINE 3 Mil. UI
AZATRIL 250 mg
SUMAMED 250 mg
SUMAMED 125 mg
AZITROMICINA SANDOZ 250 mg COMPRIMATE FILMATE

SUMAMED 500 mg
AZIBIOT 500 mg
AZITROX (R) 500
AZATRIL 500 mg
AZITROX 200 mg/5 ml
SUMAMED FORTE
SUMAMED FORTE
tara det.
APP
forma farm.
concentratie
Ambalaj
Detinator APP
COMPR. FILM. 5mg
MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PVC/PE/PVD-AL X 14 COMPR.FILM. P-6L
COMPR. FILM. 5mg
ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM. P-6L
CAPS. MOI
SUSP. INJ.
0,5mg
1mg/ml
4mg (12ui)
5,3mg/ml (16ui)
SOL INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
15mg/1,5ml
10mg/2ml
3,3mg/ml
6,7mg/ml
SOL. INJ. IN CARTUS 10mg/1,5ml
10mg/1,5 ml
5mg/1,5 ml
SOL. INJ.
0,25mg/0,5ml
PULB+SOLV. PT. SOL. INJ. 0,25mg
COMPR.
0,1mg
SUSP. INJ. I.M. 7mg/ml
LIOF. + SOLV. PT. SOL. INJ. 250mg
COMPR. FILM. 10mg
COMPR. FILM. 20mg
COMPR. FILM. 5mg
SOL. INJ.
100UI/ml
SOL. INJ.
50ui/ml
SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT
SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT
1000mg/500mg
COMPR. FILM. 375mg

250mg/5ml
COMPR. FILM. 1,5 M ui

COMPR. FILM. 3M ui
COMPR. FILM. 3MilU.I.
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.
PULB. + SOLV. SUSP. ORALA

250mg
250mg
125mg
250mg
250mg
250mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
600mg
600mg
200mg/5ml
100mg/5ml
200 mg/5 ml
200mg/5ml
200mg/5ml
Prescriptie
Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)
28
28
GLAXOSMITHKLINE (GSK) SRL ROMANIA CUTIE X 3 BLIST.PVC-PVDC/AL X 10 CAPS. MOI P-6L
30
NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FIOLA DIN STICLA X 1 ML SUSP. INJ. S/P-RF
1
FERING GMBH
GERMANIA CUTIE X 1 FLAC. LIOF. PT. SOL. INJ. + 1 FIOLA X 3,5 ML SOLV. P-RF
1
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 CARTUS BICAMERAL MULTIDOZA CU PULB. SI SOLV. PT. SOL. INJ. P-RF
1
SANDOZ GMBH
AUSTRIA CUTIE X 1 CARTUS X 1,5 ML SOL.INJ. PR/PRF
1
IPSEN PHARMA
FRANTA CUTIE X 1 CARTUS X 2 ML. SOL. INJ. P-RF/R
1
SANDOZ GMBH
AUSTRIA CUTIE X 1CARTUS X 1,5 ML SOL.INJ. P-RF/R
1
SANDOZ GMBH
AUSTRIA CUTIE X 1CARTUS X 1,5 ML SOL.INJ. P-RF/R
1
NOVO NORDISK A/S DANEMARCA CUTIE X 1 CARTUS DIN STICLA INCOLORA X 1,5 ML SOL. INJ. P-RF
1
NOVO NORDISK A/S DANEMARCA
P-RF
1
NOVO NORDISK A/S DANEMARCA
P-RF
1
N. V. ORGANON
OLANDA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. + AC ATASAT P-RF/R
1
SERONO EUROPE LTD. MAREA BRITANIE
P-RF
7
MERCK KGAA
GERMANIA CUTIE X 1 FLAC. DIN PP X 50 COMPR. P-RF
50
MERCK SHARP & DOHME BELGIA
P-RF
5
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
MERCK KGAA
GERMANIA CUTIE CU BLIST. PVC/AL X 50 COMPR. FILM. P-6L
50
MERCK KGAA
GERMANIA CUTIE CU BLIST. PVC/AL X 50 COMPR. FILM. P-6L
50
MERCK KGAA
GERMANIA CUTIE CU BLIST. PVC/AL X 100 COMPR. FILM. P6L 100
PROEL E.P. CORONIS SA GRECIA CUTIE X 5 FIOLE X 1ML
P-RF
5
NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 FIOLE X 1 ML
P-RF
5
ANTIBIOTICE S.A.
ROMANIA CUTIE CU 50 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF.
50
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC/PVDC X 6 COMPR. P-RF
12
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID CU PULBERE PT. 60 ML SUSP. ORALAP-RF
1
LAB. AVENTIS
FRANTA CUTIE X 2 BLIST. AL/PVC X 8 COMPR. FILM. P-RF
16
LAB. AVENTIS
FRANTA CUTIE X 2 BLIST. AL/PVC X 5 COMPR. FILM. P-RF
10
LABORATOIRES AVENTIS FRANTA CUTIE CU 1 BLIST. AL/PVC X 10 COMPR. FILM. PRF
10
BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 1 BLIST. AL/PVC X 6 CAPS. P-RF
6
PLIVA LJUBLIJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. PVC-PVDC/AL X 6 CAPS. P-RF
6
PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. AL/PVC X 6 COMPR. FILM. P-RF
6
SANDOZ S.R.L.
ROMANIA CUTIE X 1 BLIST. X 6 COMPR. FILM. P-RF
6
TERAPIA SA
ROMANIA CUTIE X 1 BLIST. PVC-ACLAR/AL X 6 COMPR. FILM. P-RF
6
TERAPIA SA
ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 6 COMPR. FILM. P-RF
6
PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM. P-RF
3
SANDOZ S.R.L.
ROMANIA CUTIE X 1 BLIST. X 3 COMPR. FILM. P-RF
3
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM. P-RF
3
TERAPIA SA
3
TERAPIA SA
3
ZENTIVA K.S.
CEHIA
3
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. OPA-PVC-AL/AL X 3 COMPR. FILM. PRF
3
ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. AL/PVC X 3 COMPR. FILM. PRF
3
TERAPIA SA
3
TERAPIA SA
3
ZENTIVA S.A.
ROMANIA
P-RF
1
SANDOZ SRL
ROMANIA
P-RF
1
SANDOZ SRL
ROMANIA
P-RF
1
PLIVA LJUBLIJANA D.O.O. SLOVENIA
P-RF
1
P-RF
1
Pagina 15 din 25
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 + 7 ACE PT. INJECTII SUBCUTANATE + 14 TAMPOANE IMBIBATE IN ALCOOL
CUTIE X 3 FLAC. DIN STICLA INCOLORA X 250 MG FIOF. PT. SOL. INJ. + 3 FIOLE X 5 ML SOLV.
PR, PRF
CUTIE X 1 FLAC. DIN PE CU PULB. PT. 15 ML SUSP. ORALA RECONSTITUITA + FLAC. CU SOLV. X 7,5 ML SOLV.
CUTIE X 1 FLAC. DIN PEID CONTINAD PULBERE PT. 20 ML SUSP. ORALA + SERINGA DOZATOARE DIN PE/PP
CCUTIE X 1 FLAC. DIN PEID CONTINAD PULBERE PT. 20 ML SUSP. ORALA + SERINGA DOZATOARE DIN PE/PP
CUTIE X 1 FLAC. DIN PEID CU PULB. PT.15 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE
CUTIE X 1 FLAC. DIN PEID CU PULB. PT. 30 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE
Pret
amanuntul
maximal/UT
(RON)
Val suportata
de CNAS/UT
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti
64,36
2,298571
1,736964
0,868482
32,91
1,175357
1,175357
0,587678
95,62
3,187333
3,187333
1,593666
5,75
5,750000
5,750000
2,875000
434,84 434,840000 396,484000 198,242000
555,63 555,630000 528,645333 264,322666
1.653,92 1.653,920000 1.486,815000 743,407500
991,21 991,210000 991,210000 495,605000
484,12 484,120000 484,120000 242,060000
765,73 765,730000 765,730000 382,865000
1.320,72 1.320,720000 991,210000 495,605000
1.726,64 1.726,640000 991,210000 495,605000
898,74 898,740000 495,605000 247,802500
176,88 176,880000 121,294606 60,647303
845,15 120,735714 120,735714 60,367857
47,78
0,955600
0,955600
0,477800
34,53
6,906000
6,906000
3,453000
95,62 31,873333 31,873333 15,936666
35,71 11,903333
6,981149
3,490574
21,00
0,420000
0,303840
0,151920
25,52
0,510400
0,510400
0,255200
30,86
0,308600
0,151920
0,075960
32,36
6,472000
6,472000
3,236000
34,46
6,892000
3,735000
1,867500
728,96 14,579200 14,579200
7,289600
33,18
2,765000
2,765000
1,382500
24,41 24,410000 22,692500 11,346250
9,85
0,615625
0,615625
0,307812
25,56
2,556000
1,397998
0,698999
25,56
2,556000
1,397998
0,698999
25,50
4,250000
3,494998
1,747499
37,99
6,331666
3,494998
1,747499
25,36
4,226666
1,747497
0,873748
48,80
8,133333
3,494998
1,747499
25,52
4,253333
3,494998
1,747499
25,52
4,253333
3,494998
1,747499
38,17 12,723333
6,989997
3,494998
48,80 16,266666
6,989997
3,494998
25,65
8,550000
6,989997
3,494998
25,64
8,546666
6,989997
3,494998
25,64
8,546666
6,989997
3,494998
22,13
7,376666
6,989997
3,494998
21,26
7,086666
6,989997
3,494998
25,64
8,546666
6,989997
3,494998
44,61 14,870000
8,388000
4,194000
44,61 14,870000
8,388000
4,194000
16,36 16,360000 16,360000
8,180000
22,45 22,450000 13,911996
6,955998
34,36 34,360000 27,823993 13,911996
25,18 25,180000 20,868000 10,434000
48,58 48,580000 41,736000 20,868000
Nr. crt
cod ATC
759 J01FA10
760 J01FF01
761 J01FF01
762 J01FF01
763 J01FF01
764 J01FF01
765 J01FF01
766 J01MA12
767 J01MA12
768 J01MA12
769 J01MA12
770 J01MA12
771 J01MA12
772 J01MA12
773 J01MA12
774 J01MA12
775 J01MA12
776 J01MA14
777 J01MA14
778 J01MA14
779 J01MA14
780 J01MA14
781 J02AC02
782 J02AC02
783 J02AC02
784 J02AC02
785 J02AC02
786 J05AB11
787 J05AB11
788 J05AB15
789 L01AA01
790 L02AE02
791 L02AE02
792 L02AE02
793 L02AE02
794 L02AE03
795 L02AE04
796 L02AE04
797 L02AE04
798 L02AE04
799 L04AX01
800 M01AC01
801 M01AC01
802 M01AC01
803 M01AC01
804 M01AC01
805 M01AC01
806 M01AC01
807 M01AC01
808 M01AC01
809 M01AC01
DCI
AZITHROMYCINUM
CLINDAMYCINUM
CLINDAMYCINUM
CLINDAMYCINUM
CLINDAMYCINUM
CLINDAMYCINUM
CLINDAMYCINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
MOXIFLOXACINUM
MOXIFLOXACINUM
MOXIFLOXACINUM
MOXIFLOXACINUM
MOXIFLOXACINUM
ITRACONAZOLUM*
ITRACONAZOLUM*
ITRACONAZOLUM*
ITRACONAZOLUM*
ITRACONAZOLUM*
VALACYCLOVIRUM*
VALACYCLOVIRUM*
BRIVUDINUM*#
CYCLOPHOSPHAMIDUM*
LEUPRORELINUM***#
LEUPRORELINUM***#
LEUPRORELINUM***#
LEUPRORELINUM***#
GOSERELINUM***#
TRIPTORELINUM***#
TRIPTORELINUM***#
TRIPTORELINUM***#
TRIPTORELINUM***#
AZATHIOPRINUM*
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
Denumire Comerciala
SUMAMED FORTE
DALACIN C 150 mg
DALACIN C 300 mg
CLINDAMYCIN - MIP 300 mg
TAVANIC 250 mg
LEVOTOR 250 mg
FLERADAY 500 mg
TAVANIC 500 mg
LEVOTOR 500 mg
AVELOX 400 mg
MOFINACIN 400 mg
MOFIL 400 mg
MOFLAXA 400 mg
ORUNGAL
ITRACONAZOL 100 mg
OMICRAL 100 mg
MICOGAL 100 mg
VALTREX 500 mg
BRIVAL 125mg
ENDOXAN (R) 50 mg
LUCRIN DEPOT 3,75mg
LUCRIN DEPOT 3,75mg
ZOLADEX (R)
DIPHERELINE 0,1 mg
DIPHERELINE PR 11,25 mg
DIPHERELINE 3,75 mg
GONAPEPTYL ZILNIC 0,1 mg/ml
IMURAN
PIROXSAL 20 mg
FLAMEXIN
FLAMEXIN
PIROXICAM ARENA 20 MG
PIROXICAM HELCOR 20 mg
FLAMEXIN
FLAMEXIN
FLAMEXIN
FLAMEXIN (R)
HOTEMIN
forma farm.
CAPS.
CAPS.
tara det.
APP
concentratie
Detinator APP
200mg/5ml PLIVA LJUBLIJANA D.O.O. SLOVENIA
150mg
300mg
COMPR. FILM. 300mg
COMPR. FILM. 300mg
COMPR. FILM. 600mg
COMPR. FILM. 600mg
COMPR. FILM. 250mg
COMPR. FILM. 250mg
COMPR. FILM. 250mg
COMPR. FILM. 250mg
COMPR. FILM. 500 mg
COMPR. FILM. 500mg
COMPR. FILM. 500mg
COMPR. FILM. 500mg
COMPR. FILM. 500mg
COMPR. FILM. 500mg
COMPR. FILM. 400mg
COMPR. FILM. 400mg
COMPR. FILM. 400mg
COMPR. FILM. 400mg
COMPR. FILM. 400mg
CAPS.
100mg
CAPS.
100mg
CAPS.
100mg
CAPS.
100mg
CAPS.
100mg
COMPR. FILM. 500 mg
COMPR. FILM. 500mg
COMPR.
125mg
DRAJ.
50mg
11,25mg
3,75mg
11,25mg
3,75mg
IMPLANT
3,6mg
LIOF. + SOLV. PT. SOL. INJ. 0,1mg
11,25mg
3,75mg
SOL. INJ.
0,1mg/ml
COMPR. FILM. 50mg
COMPR.
20mg
COMPR.
20mg
COMPR.
20mg
COMPR.
20mg
COMPR.
20mg
COMPR. EFF. 20mg
COMPR. EFF. 20mg
COMPR. EFF. 20mg
PULB. PT. SOL. ORALA 20mg/plic
SOL. INJ.
20mg/ml
LIOF.+ SOLV. PT. SUSP. INJ. ELIB. PREL.
LIOF.+ SOLV. PT. SUSP. INJ. ELIB. PREL.
PULB. PT. SUSP. INJ. CU ELIB. PREL.
PULB. PT. SUSP. INJ. CU ELIB. PREL.
PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL.
Ambalaj
Prescriptie
Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)
1
16
PFIZER EUROPE MA EEIG MAREA BRITANIE
P-RF
16
MIP PHARMA GMBH GERMANIA CUTIE X 2 BLIST. PVC/AL X 8 COMPR. FILM. P-RF
16
30
16
30
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 1 BLIST. AL/PVC X 7 COMPR. FILM. P-RF
7
TERAPIA S.A.
ROMANIA CUTIE X1 BLIST. PVC/AL. X 7 COMPR. FILM. P-RF
7
TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 7 COMPR. FILM. P-RF
7
MACLEODS PHARMA UK LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF
10
DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC/PVDC - AL X 7 COMPR. FILM. PRF
7
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 1 BLIST. AL/PVC X 7 COMPR. FILM. P-RF
7
TERAPIA S.A.
ROMANIA CUTIE X 1 BLIST. PVC/AL X 7COMPR. FILM. P-RF
7
TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 7 COMPR. FILM. P-RF
7
5
10
BAYER PHARMA AG GERMANIA CUTIE X 1 BLIST. TRANSPARENT PP/AL X 5 COMPR. FILM. P-RF
5
CUTIE CU BLIST. PVC-PVDC/AL X 5 COMPR. FILM. PRF
5
ALVOGEN IPCO S.A.R.L LUXEMBURG CUTIE CU BLIST. OPA-AL-PVC/AL X 5 COMPR. FILM PRF
5
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PA/AL/PVC-AL X 5 COMPR. FILM. PRF
5
KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLISTERE DIN OPA-AL-PVC/AL CONAINND 5 COMPRIMATE FILMATE PRF
5
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
MEDICO UNO PHARMACEUTICAL SRL ROMANIA CUTIE X 3 BLIST. AL/AL X 5 CAPS.
P-RF
15
ROMPHARM COMPANY SRL ROMANIA CUTIE X 3 BLIST. PVC/AL X 5 CAPS. P-RF
15
ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. P-RF
15
THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE CU BLIST. DIN CLORURA DE POLIVINIL/AL X 10 COMPR.FILM. PRF
10
ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. PVC/PE/PVDC ALB OPAC/AL X 10 COMPR. FILM. PRF
10
BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 1 BLIST. PVC/AL X 7 COMPR. P-RF
7
BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ. P-RF
50
ABBOTT LABORATORIES LTD. SPANIA
S/P-RF
1
ABBOTT LABORATORIES LTD. SPANIA
S/P-RF
1
ABBVIE FARMACEUTICA S.L.U. SPANIA
PR/PRF
1
ABBVIE FARMACEUTICA S.L.U. SPANIA
PR/PRF
1
ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 1 PLIC X 1 SERINGA PRE-UMPLUTA X 3,6 MG S/P-RF
1
IPSEN PHARMA
FRANTA CUTIE X 7 FLAC. CU LIOF. PT. SOL. INJ. + 7 FIOLE X 1 ML SOLV. S/P-RF
7
IPSEN PHARMA
FRANTA
S/P-RF
1
IPSEN PHARMA
FRANTA
S/P-RF
1
FERRING GMBH
GERMANIA CUTIE X 28 SERINGI PREUMPLUTE DIN STICLA INCOLORA X 1 ML SOL. INJ S/P-RF
28
ASPEN EUROPE GMBH GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. S/P-RF 100
SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST.PVC/ AL X 10 COMPR. P-6L
20
CHIESI FARMACEUTICI SPA ITALIA
CUTIE X 3 BLIST. PVC-PDVC/AL-LAC PVDC X 10 COMPR.
P-6L
30
CUTIE X 1 BLIST. PVC-PDVC/AL-LAC PVDC X 10 COMPR.
P-6L
10
ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
AC HELCOR PHARMA S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 COMPR. P6L
20
CUTIE X 1 BLIST. AL-PE/AL X 10 COMPR. EFF. P-6L
10
20
30
CUTIE X 20 PLICURI DUBLU COMPARTIMENTAT X 3 G PULB. PT. SOL. ORALA P-6L
20
UNGARIA CUTIE X 1 BLIST. C-PET/PE X 5 FIOLE X 1 ML SOL. INJ. P-RF
5
MAREA BRITANIE
P-RF
CUTIE X 1 FLAC. DIN PEID CU PULB. PT. 37,5 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE

CUTIE X 1 KIT X 1 FLAC. CU LIOFILIZAT (MICROSFERE) + 1 FIOLA X 2 ML SOLV. + 1 SERINGA + 2 ACE SI TA
CUTIE X 1 KIT X 1 FLAC. CU LIOFILIZAT (MICROSFERE) + 1 FIOLA X 2 ML SOLV. + 1 SERINGA SI TAMPON IMB
CUTIE CU1 KIT CU 1 FLAC. DIN STICLA INCOLORA,O FIOLA DIN STICLA INCOLORA CU PUNCT DE RUPERE A 2 ML SOLV,O SERINGA STERILA,APIROGENA DE UNICA FOLOSINTA A 2,5 ML,2 ACE(23G 1)STERILE,DE UNICA FOLOSINTA SI 1 TAMPON IMBIBAT CU ALCOOL IZOPROPILIC 70%.
CUTIE CU1 KIT CU 1 FLAC. DIN STICLA INCOLORA,O FIOLA DIN STICLA INCOLORA CU PUNCT DE RUPERE A 2 ML SOLV,O SERINGA STERILA,APIROGENA DE UNICA FOLOSINTA A 2,5 ML,2 ACE(22G 1)STERILE,DE UNICA FOLOSINTA SI 1 TAMPON IMBIBAT CU ALCOOL IZOPROPILIC 70%.
CUTIE CU 1 FLAC. DIN STICLA CU PULB. PT. SUSP. INJ. + 1 FIOLA DIN STICLA INCOLORA X 2 ML SOLV. + 1 BLIST. CU 1 SERINGA X 3 ML + 1 BLIST. CU 2 ACE STERILE
CUTIE CU 1 FLAC. DIN STICLA CU PULB. PT. SUSP. INJ. + 1 FIOLA DIN STICLA INCOLORA X 2 ML SOLV. + 1 BLIST. CU O SERINGA X 3 ML + 1 BLIST. CU 2 ACE STERILE
Pagina 16 din 25
P-RF
60,36
12,14
23,33
23,31
54,01
52,16
95,84
17,41
26,78
17,40
23,64
33,85
33,86
52,08
33,65
23,64
41,93
74,08
40,26
55,17
46,22
50,70
76,92
52,56
52,56
52,55
52,56
56,95
37,01
332,58
26,13
610,41
237,99
610,41
237,99
436,52
134,62
Pret
amanuntul
maximal/UT
(RON)
60,360000
0,758750
1,458125
1,456875
1,800333
3,260000
3,194666
2,487142
3,825714
2,485714
2,364000
4,835714
4,837142
7,440000
4,807142
4,728000
4,193000
14,816000
8,052000
11,034000
9,244000
10,140000
5,128000
3,504000
3,504000
3,503333
3,504000
5,695000
3,701000
47,511428
0,522600
610,410000
237,990000
610,410000
237,990000
436,520000
19,231428
1.184,81 1.184,810000
440,58 440,580000
630,48 22,517142
70,21
0,702100
2,63
0,131500
29,01
0,967000
17,58
1,758000
2,47
0,123500
4,44
0,222000
20,80
2,080000
39,37
1,968500
48,42
1,614000
27,37
1,368500
11,77
2,354000
Val suportata
de CNAS/UT
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti
52,170000
0,736484
1,458125
1,456875
1,472968
2,945937
2,945937
2,379600
2,379600
2,379600
2,364000
4,759200
4,759200
4,759200
4,759200
4,728000
4,193000
4,759200
4,759200
4,759200
4,759200
4,759200
5,128000
3,504000
3,504000
3,503333
3,504000
5,168979
3,701000
47,511428
0,522600
610,410000
214,191000
610,410000
214,191000
402,272492
5,711755
642,573007
440,580000
0,765375
0,569974
0,131500
0,902700
0,902700
0,123500
0,222000
0,902700
0,902700
0,902700
0,902700
2,354000
26,085000
0,368242
0,729062
0,728437
0,736484
1,472968
1,472968
1,189800
1,189800
1,189800
1,182000
2,379600
2,379600
2,379600
2,379600
2,364000
2,096500
2,379600
2,379600
2,379600
2,379600
2,379600
2,564000
1,752000
1,752000
1,751666
1,752000
2,584489
1,850500
23,755714
0,261300
305,205000
107,095500
305,205000
107,095500
201,136246
2,855877
321,286503
220,290000
0,382687
0,284987
0,065750
0,451350
0,451350
0,061750
0,111000
0,451350
0,451350
0,451350
0,451350
1,177000
Nr. crt
cod ATC
810 M01AC01
811 M01AC01
812 M01AC01
813 M01AC05
814 M01AC05
815 M01AE17
816 M01AE17
817 M01AE17
818 M01AE17
819 M01AE17
DCI
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
LORNOXICAMUM
LORNOXICAMUM
DEXKETOPROFENUM
DEXKETOPROFENUM
DEXKETOPROFENUM
DEXKETOPROFENUM
DEXKETOPROFENUM
820 M01AE52 COMBINATII (NAPROXEN + ESOMEPRAZOL)

821 M01AE52 COMBINATII (NAPROXEN + ESOMEPRAZOL)
822 M01AH01
823 M01AH01
824 M01AH01
825 M01AH01
826 M01AH01
827 M01AH01
828 M01AH01
829 M01AH01
830 M01AH01
831 M01AH01
832 M01AH01
833 M01AH01
834 M01AH01
835 M01AH01
836 M01AH05
837 M01AH05
838 M01AH05
839 M01AH05
840 M01AH05
841 M01AH05
842 M01AH05
843 M01AH05
844 M01AH05
845 M01AH05
846 M01AH05
847 M01AH05
848 M01AX05
849 M01AX05
850 M01AX05
851 M01AX05
852 M01AX17
853 M01AX17
854 M01AX17
855 M01AX17
856 M01AX17
857 M01AX17
858 M01AX17
859 M03BX01
860 M03BX01
CELECOXIBUM
CELECOXIBUM
CELECOXIBUM
CELECOXIBUM
CELECOXIBUM
CELECOXIBUM
CELECOXIBUM
CELECOXIBUM
CELECOXIBUM
CELECOXIBUM
CELECOXIBUM
CELECOXIBUM
CELECOXIBUM
CELECOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
GLUCOSAMINUM
GLUCOSAMINUM
GLUCOSAMINUM
GLUCOSAMINUM
NIMESULIDUM
NIMESULIDUM
NIMESULIDUM
NIMESULIDUM
NIMESULIDUM
NIMESULIDUM
NIMESULIDUM
BACLOFENUM
BACLOFENUM
Denumire Comerciala
PIROXICAM ATB 20 mg
PIROXICAM ATB 20 mg
PIROXICAM SINTOFARM 20 mg
XEFO RAPID 8 mg
XEFO 8 mg/ 2 ml
TADOR 25 mg
DEXKETOPROFEN TROMETAMOL SANDOZ 25mg
TADOR INJECT
DEXKETOPROFEN ROMPHARM 50 mg/2 ml
DEXKETOPROFEN ROMPHARM 50 mg/2 ml
VIMOVO 500 mg/20 mg

VIMOVO 500 mg/20 mg
CELEBREX 100 mg
ALGOXIB 100 mg
ACLEXA 100 mg
CELECOXIB ACTAVIS 100 mg
CELETOR 100 mg
CALIDEM 100 mg
CELEBREX 200 mg
CELEBREX 200 mg
ALGOXIB 200 mg
ACLEXA 200 mg
CELECOXIB ACTAVIS 200 mg
CELETOR 200 mg
CALIDEM 200 mg
CALIDEM 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
CARTIFLEX 625 mg
GLUCOZAMINA PHARMATAXIS 1250 mg
SLIDEFLEX 1178mg
DONA 1500 mg
LEMESIL
NIMESULID 100 mg
NIMESULID SLAVIA
APONIL
APONIL
NIMESULID ARENA 100 mg
NIMESULID FARMEX 100 mg
LIORESAL (R)
LIORESAL (R)
forma farm.
SUPOZ.
SUPOZ.
SUPOZ.
concentratie
20 mg
20 mg
20mg
COMPR. FILM. 8mg
PULB. + SOLV. PT. SOL. INJ. 8mg/2ml
COMPR. FILM. 25mg
COMPR. FILM. 25mg
50mg/2ml
50mg/2ml
50mg/2ml
SOL. INJ./CONC. PT. SOL. PERF.
COMPR. ELIB. MODIF.

COMPR. ELIB. MODIF.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
CAPS.
COMPR. EFF.
COMPR. FILM.
PULB. PT. SOL. ORALA
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
Detinator APP
ANTIBIOTICE S.A.
ANTIBIOTICE S.A.
SINTOFARM SA
NYCOMED AUSTRIA GMBH
NYCOMED AUSTRIA GMBH
tara det.
APP
Ambalaj
Prescriptie
ROMANIA CUTIE CU 2 FOLII TERMOSUDATE PVC X 3 SUPOZ. P6L

ROMANIA CUTIE CU 1 FOLIE TERMOSUDATA PVC X 6 SUPOZ. P6L
ROMANIA CUTIE X 2 FOLII TERMOSUDATE X 5 SUPOZ. P-6L
AUSTRIA CUTIE CU BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. P6L
AUSTRIA
PRF
CUTIE CU 10 FLAC. DIN STICLA BRUNA CU PULB. PT. SOL. INJ. + 10 FIOLE DIN STICLA INCOLORA X 2 ML SOLV
BERLIN CHEMIE AG (MENARINI GROUP) GERMANIA
CUTIE X 1 BLIST. PVC/AL X 10 COMPR. FILM. P-6L
SANDOZ S.R.L.
ROMANIA
CUTIE BLIST. DIN PVC-PVDC/AL X 20 COMPRIMATE FILMATE
MENARINI INTERNATIONAL OPERATIONS S.A.
LUXEMBOURG CUTIE X 5 FIOLE X 2 ML SOL. INJ./CONC. PT.SOL.PERF.
ROMANIA
ROMANIA
500 mg/20 mg ASTRA ZENECA AB SUEDIA
500 mg/20 mg ASTRA ZENECA AB SUEDIA
100mg
100mg
ZENTIVA K.S.
REPUBLICA CEHA
100mg
100mg
100mg
100mg
EGIS PHARMACEUTICALS P.L.C. UNGARIA/OLANDA
200mg
200mg
200mg
ZENTIVA K.S.
REPUBLICA CEHA
200mg
200mg
200mg
200mg
200mg
120mg
120mg
120mg
120mg
30mg
60mg
60mg
60mg
90mg
90mg
90mg
90mg
625 mg
TERAPIA S.A.
ROMANIA
1250mg
PHARMATAXIS LTD CIPRU
1178mg
BLUE BIO PHARMACEUTICALS LIMITED IRLANDA
1500mg
ROTTAPHARM SPA ITALIA
100mg
ANFARM HELLAS S.A. PHARMACEUTICALS GRECIA
100mg
MAGISTRA C & C
ROMANIA
100mg
100mg
MEDOCHEMIE LTD CIPRU
100mg
MEDOCHEMIE LTD CIPRU
100mg
100mg
10mg
25mg
Pagina 17 din 25
CUTIE CU 5 FIOLE DIN STICLA BRUNA (UN SUPORT A 5 FIOLE), PREVAZUTE CU INEL DE RUPERE, CONTINAND 2 ML DE SOL. INJ./CONC. PT. SOL. PERF.
CUTIE CU 10 FIOLE DIN STICLA BRUNA (DOUA SUPORTURI A CATE 5 FIOLE), PREVAZUTE CU INEL DE RUPERE, CONTINAND 2 ML DE SOL. INJ./CONC. PT. SOL. PERF.
CUTIE CU 1 FLAC. PEID CU CAPAC PP PREVAZUT CU SIST. SECURIZAT PT. COPII SI DESICANT SILICAGEL X 30 COMPR. ELIB. MODIF.
P6L
P-RF
PRF
PRF
PRF
CUTIE CU 1 FLAC. PEID CU CAPAC PP PREVAZUT CU SIST. SECURIZAT PT. COPII SI DESICANT SILICAGEL X 60 COMPR. ELIB. MODIF.
PRF
P-RF
PRF
CUTIE CU BLIST. PVC/AL X 30 CAPS. PRF

PRF

CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF
CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-RF
PRF

PRF

CUTIE X 1 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-RF
CUTIE X2 BLIST. PA-AL-PVC/AL X 14 COMPR. FILM. P-RF
CUTIE X 2 BLIST. PA-AL-PVC/AL, X 7 COMPR. FILM. P-RF
CUTIE X 1 BLIST. PA-AL-PVC/AL, X 14 COMPR. FILM.
P-RF

CUTIE CU 6 BLIST. PVC/PVDC/AL X 10 (6 BLIST. X 10) CAPS.
CUTIE CU 3 TUBURI DIN PP CU DOP PP X 10 COMPR. EFF.
CUTIE CU BLIST. DIN PVC/PVDC/AL X 30 COMPR. FILM.
P6L
P6L
P6L
CUTIE X 20 PLICURI UNIDOZA CU PULB. P-6L
P-RF

CUTIE X 1 BLIST. PVC/AL, X 10 COMPR. P-RF
Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)
6
6
10
10
10
10
20
5
5
10
30
60
30
30
30
30
30
30
10
30
30
30
30
30
10
30
7
28
14
14
28
14
28
14
14
7
14
28
60
30
30
20
20
10
10
20
10
10
10
50
50
4,44
4,44
7,32
9,37
137,31
14,05
16,81
30,51
19,83
38,32
52,14
95,62
63,57
27,27
27,27
27,12
42,68
42,74
33,03
94,10
49,22
49,22
49,21
64,33
22,17
64,40
35,09
128,69
67,83
67,83
86,14
55,68
105,76
55,68
59,15
30,54
59,15
112,36
41,65
42,05
41,65
43,20
9,72
4,87
7,24
8,20
4,51
4,78
7,20
20,37
33,50
Pret
amanuntul
maximal/UT
(RON)
0,740000
0,740000
0,732000
0,937000
13,731000
1,405000
0,840500
6,102000
3,966000
3,832000
1,738000
1,593666
2,119000
0,909000
0,909000
0,904000
1,422666
1,424666
3,303000
3,136666
1,640666
1,640666
1,640333
2,144333
2,217000
2,146666
5,012857
4,596071
4,845000
4,845000
3,076428
3,977142
3,777142
3,977142
4,225000
4,362857
4,225000
4,012857
0,694166
1,401666
1,388333
2,160000
0,486000
0,487000
0,724000
0,410000
0,451000
0,478000
0,720000
0,407400
0,670000
Val suportata
de CNAS/UT
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti
0,740000
0,740000
0,732000
0,601799
1,178998
0,532049
0,532049
2,276000
2,276000
2,276000
1,629749
1,593666
0,965212
0,909000
0,909000
0,904000
0,965212
0,965212
1,930424
1,930424
1,640666
1,640666
1,640333
1,930424
1,930424
1,930424
3,860849
3,860849
3,860849
3,860849
0,965212
1,930424
1,930424
1,930424
2,895636
2,895636
2,895636
2,895636
0,694166
1,388332
1,388332
1,388332
0,486000
0,487000
0,724000
0,410000
0,451000
0,478000
0,720000
0,321719
0,670000
0,370000
0,370000
0,366000
0,300899
0,589499
0,266024
0,266024
1,138000
1,138000
1,138000
0,814874
0,796833
0,482606
0,454500
0,454500
0,452000
0,482606
0,482606
0,965212
0,965212
0,820333
0,820333
0,820166
0,965212
0,965212
0,965212
1,930424
1,930424
1,930424
1,930424
0,482606
0,965212
0,965212
0,965212
1,447818
1,447818
1,447818
1,447818
0,347083
0,694166
0,694166
0,694166
0,243000
0,243500
0,362000
0,205000
0,225500
0,239000
0,360000
0,160859
0,335000
Nr. crt
cod ATC
DCI
889 M05BA07
ACIDUM ALENDRONICUM*
ACIDUM IBANDRONICUM*
ACIDUM RISEDRONICUM*
890 M05BB03
COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)*
891 M05BB03
892 M05BB03
893 M05BB03
894 M05BX03
STRONTIUM RANELATUM*
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
861 M05BA04
862 M05BA04
863 M05BA04
864 M05BA04
865 M05BA04
866 M05BA04
867 M05BA04
868 M05BA06
869 M05BA06
870 M05BA06
871 M05BA06
872 M05BA06
873 M05BA06
874 M05BA06
875 M05BA06
876 M05BA06
877 M05BA06
878 M05BA06
879 M05BA06
880 M05BA07
881 M05BA07
882 M05BA07
883 M05BA07
884 M05BA07
885 M05BA07
886 M05BA07
887 M05BA07
888 M05BA07
895 N02AA05
896 N02AA05
897 N02AA05
898 N02AA05
899 N02AA05
900 N02AA05
901 N02AA05
902 N02AA05
903 N02AA05
904 N02AA05
905 N02AA05
906 N02AA05
907 N02AA05
908 N02AA05
909 N02AA05
910 N02AA05
911 N02AA05
Denumire Comerciala
TEVANAT 70 mg
FOSAMAX 70 mg
ADRONIK 70 mg
ADRONIK 70 mg
ADRONIK 70 mg
BONVIVA 150mg
OSSICA 150 mg
QUODIXOR 150 mg
OSAGRAND 150 mg
OSSICA 3 mg
OSAGRAND 3 mg/3 ml
BONVIVA 3mg/3ml
ACID IBANDRONIC ALVOGEN 3 mg
RISEDRONAT TEVA 35 mg
LORINE 35mg
OSODENS 35 mg
RISEDRONAT SODIC SANDOZ 35 mg
RISEDRONAT SODIC ZENTIVA 35mg
RISEDRONAT AUROBINDO 35 mg
ACTONEL 75 mg
ACTONEL 75 mg
OSSEOR 2 g
OXYCONTIN 10 mg
OXYCONTIN 20 mg
OXYCONTIN 40 mg
OXYCONTIN 80 mg
RELTEBON 10 mg
RELTEBON 20 mg
RELTEBON 40 mg
RELTEBON 80 mg
OXIDOLOR 10 mg
ALNAGON 10 mg
OXIDOLOR 20 mg
ALNAGON 20 mg
OXIDOLOR 40 mg
ALNAGON 40 mg
OXICODONA SANDOZ 40 mg
OXIDOLOR 80 mg
forma farm.
COMPR.
COMPR.
COMPR.
concentratie
70 mg
70mg
70mg
COMPR. FILM. 70mg
COMPR. FILM. 70mg
COMPR. FILM. 70mg
COMPR. FILM. 70mg
COMPR. FILM. 150 mg
COMPR. FILM. 150mg
COMPR. FILM. 150mg
COMPR. FILM. 150mg
COMPR. FILM. 150mg
COMPR. FILM. 150mg
COMPR. FILM. 150mg
3mg
3mg
SOL. INJ.
3mg/3ml
1mg/1ml
3 mg
COMPR. FILM. 35mg
COMPR. FILM. 35mg
COMPR. FILM. 35mg
COMPR. FILM. 35mg
COMPR. FILM. 35mg
COMPR. FILM. 35mg
COMPR. FILM. 35mg
COMPR. FILM. 35mg
COMPR. FILM. 75mg
COMPR. FILM. 75mg
COMPR.
70mg/2800UI
COMPR.
70mg/2800UI
COMPR.
70mg/5600UI
COMPR.
70mg/5600UI
GRAN. PT. SUSP. ORALA 2g
COMPR. CU ELIB. MODIF. 10 mg
COMPR. CU ELIB. MODIF. 80mg
COMPR. CU ELIB. PREL. 10mg
SOL INJ. IN SERINGA PREUMPLUTA
SOL INJ. IN SERINGA PREUMPLUTA
Detinator APP
tara det.
APP
Ambalaj
Prescriptie
ROMANIA CUTIE X 1 BLIST. PVC-AL-OPA/AL X 4 COMPR. P-6L

CUTIE CU BLIST. TRANSPARENTE PVC-ACLAR/AL X 4 COMPR. P6L
MERCK SHARP & DOHME ROMANIA CUTIE CU 1 BLIST. AL/AL X 2 COMPR. P6L
SANDOZ S.R.L.
ROMANIA CUTIE X 1 BLIST. OPA-AL-PVC/AL X 2 COMPR. FILM P-6L
ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 12 COMPR. FILM. P-6L
TEVA PHARMA B.V. OLANDA CUTIE CU BLIST. DIN PVC/ACLAR/PVC-AL X 1 COMPRIMAT FILMAT P6L
MAREA BRITANIE
GEDEON RICHTER PLC. UNGARIA
CUTIE X 1 COMPR. FILM.( BLIST. AL/AL)
P-6L
CUTIE CU 1 BLIST. PVC-PE-PVDC/AL X 1 COMPR. FILM.
P-6L
ALVOGEN IPCO S.AR.L LUXEMBURG CUTIE CU BLIST. PA-AL-PVC/AL X 1 COMPR. FILM. P-6L
ZENTIVA K.S.
REPUBLICA CEHA CUTIE CU 1 BLIST. PVC-PVDC/AL X 1 COMPR. FILM. P6L
SANDOZ S.R.L.
ROMANIA CUTIE CU 1 BLIST. PA-AL-PVC/AL X 1 COMPR. FILM. P6L
CUTIE CU BLIST. PVC-PE-PVDC/AL X 1 COMPR. FILM. P6L
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA A 3 ML SOL. INJ. + 1 AC PT. INJECTIE P6L
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA A 3 ML SOL. INJ. SI UN AC DE INJECTARE
P6L
ZENTIVA K.S.
REPUBLICA CEHA CUTIE CU 1 FIOLA DIN STICLA INCOLORA X 3 ML SOL. INJ. P6L
SOL.INJ. IN SERINGA PREUMPLUTA
ALVOGEN IPCO S.AR.L LUXEMBURG
MAREA BRITANIE CUTIE X 1 SERINGA PREUMPLUTA DIN STICLA X 3 ML SOL. INJ. + 1 AC
ROMANIA
ROMANIA
ROMANIA
SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA
SANDOZ S.R.L.
ROMANIA
ZENTIVA KS
REPUBLICA CEHA
SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA
P-6L
CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA SI 1 AC PT. INJECTARE X 3 ML SOL.INJ.PR/PRF
TEVA PHARMACEUTICALS SRL
CUTIE X BLIST. PVC-PVDC/AL X 4 COMPR. FILM. P-6L
ANTIBIOTICE S.A.
TERAPIA SA
CUTIE X 1BLIST. PVC- PVDC/AL X 4 COMPR. FILM.
P-6L
CUTIE CU 1 BLIST. PVC/AL X 4 COMPR. FILM. P-6L

P6L
CUTIE X 1 BLISTER OPA-AL-PVC/AL X 4 COMPRIMATE FILMATE
P-6L
CUTIE CU BLIST. PVC/PE/PVDC-AL X 4 COMPR. FILM.
P6L

MERCK SHARP & DOHME
MAREA BRITANIE CUTIE X 4 COMPR. (1 PLIANT CU BLIST. AL/AL X 4 COMPR.)
P-6L
MERCK SHARP & DOHME
P-6L
MERCK SHARP & DOHME
P-6L
MERCK SHARP & DOHME
LES LAB. SERVIER
FRANTA
MUNDIPHARMA GES.M.B.H AUSTRIA
ZENTIVA, K.S.
REPUBLICA CEHA
ZENTIVA, K.S.
REPUBLICA CEHA
ZENTIVA, K.S.
REPUBLICA CEHA
SANDOZ S.R.L.
ROMANIA
SANDOZ S.R.L.
ROMANIA
Pagina 18 din 25
P-6L
CUTIE X 28 PLICURI HARTI-PE-AL/PE GRAN. PT. SUSP. ORALA
P-RF
CUTIE CU BLIST. PVC/AL X 60 COMPR. CU ELIB. MODIF.
PS
PS
PS
PS

CUTIE CU BLIST. CU INCHIDERE SECURIZATA PT. COPII DIN PVC/PVDC/AL/PET/HARTIE X 60 COMPR. ELIB. PREL.
PR, PS
PR, PS
PR, PS
PR, PS
P-TS
CUTIE CU BLIST. PVC-PE-PVDC/AL X 56 COMPR. ELIB. PREL.
P-RF
P-TS
P-RF
P-TS
P-RF
PS
PS
P-TS
Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)
4
4
2
2
12
2
4
1
1
1
1
1
1
1
1
1
1
1
1
4
4
4
4
4
4
4
4
2
2
4
2
2
4
28
60
60
60
60
60
60
60
60
60
56
60
56
60
56
20
20
60
48,27
24,04
37,13
12,82
131,92
24,78
47,97
61,42
89,74
47,51
71,46
38,80
52,90
38,80
239,77
283,25
271,45
424,57
182,83
45,27
36,50
45,27
43,00
28,38
14,31
14,31
43,00
66,39
66,39
89,84
47,30
47,30
89,84
174,60
64,10
121,02
172,88
309,83
43,09
78,60
118,39
201,30
43,09
48,27
78,65
88,08
118,50
132,72
47,40
139,36
201,38
Pret
amanuntul
maximal/UT
(RON)
12,067500
6,010000
18,565000
6,410000
10,993333
12,390000
11,992500
61,420000
89,740000
47,510000
71,460000
38,800000
52,900000
38,800000
239,770000
283,250000
271,450000
424,570000
182,830000
11,317500
9,125000
11,317500
10,750000
7,095000
3,577500
3,577500
10,750000
33,195000
33,195000
22,460000
23,650000
23,650000
22,460000
6,235714
1,068333
2,017000
2,881333
5,163833
0,718166
1,310000
1,973166
3,355000
0,718166
0,861964
1,310833
1,572857
1,975000
2,370000
2,370000
6,968000
3,356333
Val suportata
de CNAS/UT
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti
9,675000
6,010000
9,675000
6,410000
9,675000
9,675000
9,675000
41,464285
41,464285
41,464285
41,464285
38,800000
41,464285
38,800000
239,770000
267,186937
267,186937
267,186937
182,830000
9,675000
9,125000
9,675000
9,675000
7,095000
3,577500
3,577500
9,675000
20,732142
20,732142
9,675000
9,675000
9,675000
9,675000
6,235714
0,473131
0,946263
1,892531
3,785062
0,473131
0,946263
1,892531
3,355000
0,473131
0,473131
0,946263
0,946263
1,892531
1,892531
1,892531
2,838798
3,356333
4,837500
3,005000
4,837500
3,205000
4,837500
4,837500
4,837500
20,732142
20,732142
20,732142
20,732142
19,400000
20,732142
19,400000
119,885000
133,593468
133,593468
133,593468
91,415000
4,837500
4,562500
4,837500
4,837500
3,547500
1,788750
1,788750
4,837500
10,366071
10,366071
4,837500
4,837500
4,837500
4,837500
3,117857
0,236565
0,473131
0,946265
1,892531
0,236565
0,473131
0,946265
1,677500
0,236565
0,236565
0,473131
0,473131
0,946265
0,946265
0,946265
1,419399
1,678166
Nr. crt
cod ATC
912 N02AA05
913 N02AA08
914 N02AA08
915 N02AA08
916 N02AX52
917 N02AX52
DCI
OXYCODONUM*#
DIHYDROCODEINUM*
DIHYDROCODEINUM*
DIHYDROCODEINUM*
COMBINATII
COMBINATII
918 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM

926 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM)
935 N03AE01
936 N03AE01
937 N03AX16
938 N03AX16
939 N03AX16
940 N03AX16
941 N03AX16
942 N03AX16
943 N04AA02
944 N04BC05
945 N04BC05
946 N04BC05
947 N04BC05
948 N04BC05
949 N04BC05
950 N04BC05
951 N04BC05
952 N04BC05
953 N04BC05
954 N04BC05
955 N04BC05
956 N04BC05
957 N04BC05
958 N04BC05
959 N04BC05
960 N04BC05
961 N04BC05
962 N04BC05
CLONAZEPAMUM
CLONAZEPAMUM
PREGABALINUM**#
PREGABALINUM**#
PREGABALINUM**#
PREGABALINUM**#
PREGABALINUM**#
PREGABALINUM**#
BIPERIDENUM
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
Denumire Comerciala
DHC CONTINUS 120 mg
DHC CONTINUS 60 mg
DHC CONTINUS 90 mg
DORETA 37,5mg/325mg
DORETA 37,5mg/325mg
ZALDIAR (R)
ZALDIAR (R)
ZALDIAR (R)
ZALDIAR (R)
ZALDIAR (R)
ZALDIAR (R)
ZALDIAR (R)
ZALDIAR (R)
TRAUMOBOL 37,5mg/325mg
TRAUMOBOL 37,5mg/325mg
PADOLTEN 37,5 mg/325 mg
PADOLTEN 37,5 mg/325 mg
LINEROL 37,5 mg/325 mg
DORETA 75 mg/650 mg
DORETA 75 mg/650 mg
RIVOTRIL
RIVOTRIL 2 mg
LYRICA 150 mg
LYRICA 150 mg
LYRICA 300 mg
LYRICA 300 mg
LYRICA 75 mg
LYRICA 75 mg
AKINETON 2 mg
OPRYMEA 0,088mg
PRAMIPEXOL ZENTIVA 0,18 mg
OPRYMEA 0,18mg
PRAMIPEXOL TEVA 0,18mg
PRAMIPEXOL SANDOZ 0,18 mg
MEDOPEXOL 0,18 mg
GLEPARK 0,18 mg
PRAMIPEXOL RANBAXY 0,18 mg
MIGLASEN 0,18 mg
PRAMIPEXOL TORRENT 0,18 mg
PRAXITAB 0,18mg
PRAMIPEXOL AUROBINDO 0,18 mg
MIGLASEN 0,18 mg
PRAMIPEXOLE ACCORD 0,35mg
PRAMIPEXOL AUROBINDO 0,7 mg
PRAMIPEXOL ZENTIVA 0,7 mg
OPRYMEA 0,7mg
PRAMIPEXOL TEVA 0,7mg
PRAMIPEXOL SANDOZ 0,7 mg
forma farm.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
concentratie
80mg
120mg
60mg
90mg
MUNDIPHARMA GES.M.B.H
ROMANIA
AUSTRIA
AUSTRIA
AUSTRIA
Ambalaj
CUTIE X 1 FLAC. DIN PP X 56 COMPR. ELIB. PREL.

Prescriptie
PS
PS
PS
PS
37,5mg/325mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
37,5mg/325mg
37,5mg+325mg
37,5mg+325mg
37,5mg+325mg
37,5mg+325mg
37,5mg+325mg
37,5mg+325mg
37,5mg+325mg
37,5mg+325mg
37,5mg/325mg
37,5mg/325mg
37,5mg/325mg
37,5mg/325mg
37,5mg/325mg
37,5mg/325mg
37,5mg/325mg
75 mg/650 mg
75 mg/650 mg
COMPR.
COMPR.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
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
0,18mg
0,35mg
0,7 mg
0,7 mg
0,7mg
0,7mg
0,7mg
CAPS.
CAPS.
Detinator APP
SANDOZ S.R.L.
tara det.
APP
KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 20 COMPR. FILM. P-RF
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GERMANIA CUTIE X 3 BLIST. PP OPAC/AL X 10 COMPR. FILM.
P-RF
GERMANIA CUTIE X 1 BLIST. PVC OPAC/AL X 10 COMPR. FILM. P-RF

P-RF

P-RF
P-RF
ROMANIA
ROMPHARM COMPANY SRL ROMANIA
S.C.TEVA PHARMACEUTICALS S.R.L. ROMANIA
S.C.TEVA PHARMACEUTICALS S.R.L. ROMANIA
CUTIE X 2 BLISTERE PVC/PE/PVDC/AL X 15 CAPSULE
PRF
CUTIE CU 1 BLIST. DIN PVC/PE/PVDC/AL A 15 CAPS.
PRF
CUTIE CU BLIST. PVC/AL X 10 COMPR. FILM. P-RF

KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 1 BLIST. PVC-PVDC/AL X 10 COMP.FILM. PRF
KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 10 COMP.FILM. PRF
ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 50 COMPR. P-RF
ROCHE ROMANIA S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 30 COMPR. P-RF
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
DESMA GMBH
KRKA D.D.
ZENTIVA, K.S.
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)
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
P-RF
CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. PRF
P-RF
OLANDA CUTIE CU BLIST. AL/AL X 30 COMPR. P-RF

ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-RF/R
CIPRU
CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. PRF
REPUBLICA CEHA 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
ROMANIA CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P6L

TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-RF
POLIPHARMA INDUSTRIES S.R.L. ROMANIA CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P6L
CUTIE CU BLIST. PA/AL/PVC-AL X 30 COMPR. PRF
NEOLA PHARMA S.R.L. ROMANIA CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P6L
PRF
MAREA BRITANIE
CUTIE CU 3 BLIST. AL-PVC/AL A CATE 10 COMPR.
MALTA
REPUBLICA CEHA
ZENTIVA, K.S.
KRKA D.D.
TEVA PHARMA BV
SANDOZ S.R.L.
Pagina 19 din 25
P-RF
OLANDA CUTIE CU BLIST. AL/AL X 30 COMPR. P-RF

ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-RF/R
Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)
20
56
56
56
10
20
30
10
20
30
10
50
50
20
30
15
10
20
10
20
30
10
20
50
30
14
56
56
14
14
56
50
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
80,55
128,54
29,34
101,69
7,89
15,58
34,76
12,14
23,96
34,76
12,14
57,78
57,78
23,96
23,34
11,71
7,89
15,59
7,90
15,59
23,36
15,78
31,14
6,89
6,56
76,16
288,91
422,67
114,28
53,71
193,52
10,57
19,75
17,43
17,70
33,41
33,42
27,83
14,88
30,86
14,87
17,72
25,30
23,56
14,87
48,92
83,51
60,97
73,16
115,05
115,05
Pret
amanuntul
maximal/UT
(RON)
4,027500
2,295357
0,523928
1,815892
0,789000
0,779000
1,158666
1,214000
1,198000
1,158666
1,214000
1,155600
1,155600
1,198000
0,778000
0,780666
0,789000
0,779500
0,790000
0,779500
0,778666
1,578000
1,557000
0,137800
0,218666
5,440000
5,159107
7,547678
8,162857
3,836428
3,455714
0,211400
0,658333
0,581000
0,590000
1,113666
1,114000
0,927666
0,496000
1,028666
0,495666
0,590666
0,843333
0,785333
0,495666
1,630666
2,783666
2,032333
2,438666
3,835000
3,835000
Val suportata
de CNAS/UT
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti
3,785062
1,504445
0,523928
1,128334
0,702074
0,702074
0,702074
0,702074
0,702074
0,702074
0,702074
0,702074
0,702074
0,702074
0,702074
0,702074
0,702074
0,702074
0,702074
0,702074
0,702074
0,702074
0,702074
0,067904
0,218666
5,189139
5,159107
7,547678
8,162857
2,594569
2,594569
0,211400
0,135194
0,276534
0,276534
0,276534
0,276534
0,276534
0,276534
0,276534
0,276534
0,276534
0,276534
0,276534
0,276534
0,537705
1,075410
1,075410
1,075410
1,075410
1,075410
1,892531
0,752222
0,261964
0,564167
0,351037
0,351037
0,351037
0,351037
0,351037
0,351037
0,351037
0,351037
0,351037
0,351037
0,351037
0,351037
0,351037
0,351037
0,351037
0,351037
0,351037
0,351037
0,351037
0,033952
0,109333
2,594569
2,579553
3,773839
4,081428
1,297284
1,297284
0,105700
0,067597
0,138267
0,138267
0,138267
0,138267
0,138267
0,138267
0,138267
0,138267
0,138267
0,138267
0,138267
0,138267
0,268852
0,537705
0,537705
0,537705
0,537705
0,537705
Nr. crt
cod ATC
963 N04BC05
964 N04BC05
965 N04BC05
966 N04BC05
967 N04BC05
968 N04BC05
969 N04BC05
970 N04BC05
971 N04BC05
972 N04BC05
973 N04BC05
974 N04BC05
975 N04BC05
976 N04BC05
977 N04BC05
978 N04BC05
979 N04BC05
980 N04BC05
981 N04BC05
982 N04BC05
983 N04BC08
984 N05AL03
985 N05BE01
986 N05BE01
987 N06AA21
988 N06AA21
989 N06AB10
990 N06AB10
991 N06AB10
992 N06AB10
993 N06AB10
994 N06AB10
995 N06AB10
996 N06AB10
997 N06AB10
998 N06AB10
999 N06AB10
1.000
N06AB10
1.001
N06AB10
1.002
N06AB10
1.003
N06AB10
1.004
N06AB10
1.005
N06AB10
1.006
N06AB10
1.007
N06AB10
1.008
N06AB10
1.009
N06AB10
1.010
N06AB10
1.011
N06AB10
1.012
N06AB10
1.013
N06AB10
DCI
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PIRIBEDILUM**
TIAPRIDUM
BUSPIRONUM
BUSPIRONUM
MAPROTILINUM*
MAPROTILINUM*
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
Denumire Comerciala
MEDOPEXOL 0,7 mg
GLEPARK 0,7 mg
PRAMIPEXOL RANBAXY 0,7 mg
MIGLASEN 0,7 mg
PRAMIPEXOL TORRENT 0,7 mg
PRAXITAB 0,7 mg
MIGLASEN 0,7 mg
MIRAPEXIN 0,26 mg
OPRYMEA 0,26mg
CALMOLAN 0,26 mg
MIRAPEXIN 0,52 mg
OPRYMEA 0,52mg
CALMOLAN 0,52 mg
MIRAPEXIN 1,05 mg
OPRYMEA 1,05mg
OPRYMEA 1,57mg
OPRYMEA 2,10mg
MIRAPEXIN 2,1 mg
CALMOLAN 2,1 mg
MIRAPEXIN 3,15 mg
PRONORAN 50 mg
TIAPRIDAL (R) 100 mg
SPITOMIN 10 mg
SPITOMIN 5 mg
LUDIOMIL 10 mg
LUDIOMIL 25 mg
DEPRESINAL 10 mg
CIPRALEX 10 mg
ESCITIL 10 mg
ESCITALOPRAM-TEVA 10 mg
LENUXIN 10 mg
ESLOREX 10 mg
SERODEPS 10mg
ESTAN 10 mg
ESTAN 10 mg
ESCITALOPRAM ACTAVIS 10 mg
ELICEA 10 mg
ESCITALOPRAM AUROBINDO 10 mg
ESCITALOPRAM TORRENT 10 mg
ELICEA 15 mg
SERODEPS 20mg
ESCITALOPRAM TORRENT 20 mg
ESCITALOPRAM ACTAVIS 20 mg
ELICEA 20 mg
ELICEA Q-TAB 10 mg
ELICEA Q-TAB 10 mg
ESCITALOPRAM TEVA 10 mg
ELICEA Q-TAB 15 mg
ELICEA Q-TAB 15 mg
forma farm.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
DRAJ. ELIB. PREL.
COMPR.
COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
concentratie
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,26mg
0,26mg
0,26mg
0,52mg
0,52mg
0,52mg
1,05mg
1,05mg
1,57mg
2,10mg
2,1mg
2,1mg
3,15mg
50mg
100mg
10mg
5mg
10mg
25mg
10 mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
15mg
15mg
20mg
20mg
20mg
20mg
20mg
10mg
10mg
10mg
15mg
15mg
Detinator APP
tara det.
APP
Ambalaj
Prescriptie
REPUBLICA CEHA
MAREA BRITANIE
ROMANIA
POLIPHARMA INDUSTRIES S.R.L. ROMANIA

CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR.
P6L
CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-RF

P6L
P6L
GERMANIA CUTIE CU 1 BLIST.OPA-AL-PVC/AL X 10 COMPR. P-RF
KRKA D.D.
SLOVENIA
P-RF
CUTIE CU BLISTERE (OPA/AL/DES/PE-AL) X 30 COMPRIMATE CU ELIBERARE PRELUNGITA
P-RF
CUTIE CU BLIST. AL/OPA-AL-PVC X 10 COMPR. ELIB. PREL.
PRF
KRKA D.D.
SLOVENIA
P-RF
PRF
KRKA D.D.
KRKA D.D.
KRKA D.D.
SLOVENIA
SLOVENIA
SLOVENIA

P-RF
P-RF
P-RF
PRF
LES LAB. SERVIER IND. FRANTA
CUTIE X 2 BLIST. AL/PVC X 15 DRAJ. CU ELIB. PREL.
P-RF
FRANTA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF

UNGARIA CUTIE X 6 BLIST. AL/OPA-AL-PVC X 10 COMPR. P-RF
UNGARIA CUTIE X 6 BLIST. AL/OPA-AL-PVC X 10 COMPR. P-RF
AMDIPHARM LIMITED IRLANDA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
AMDIPHARM LIMITED IRLANDA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-RF
H. LUNDBECK A/S
DANEMARCA CUTIE X 2 BLIST. TRANSPARENTE PVC-PE-PVDC/AL X 14 COMPR. FILM. P-RF
UNGARIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-RF
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-RF
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-RF
ZENTIVA K.S.
CEHIA
TERAPIA SA
ROMANIA CUTIE CU BLIST. AL/POLIAMIDA/PVC X 28 COMPR. FILM. P-RF
PRF
PRF
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVDC/PVDC/AL X 28 COMPR. FILM. PRF
SANOFI-SYNTHELABO FRANCE
KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PRF
MAREA BRITANIE

ROMANIA
PRF
CUTIE CU BLIST. PVC-PEJD-PVDC/AL X 28 COMPR. FILM.
PRF
CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-RF
ROMANIA
ROMANIA
TERAPIA SA
CUTIE CU BLIST. AL/POLIAMIDA/PVC X 28 COMPR. FILM.
P-RF
PRF
CUTIE CU BLIST. PVDC/PVDC/AL X 28 COMPR. FILM.
PRF
CUTIE CU BLIST. OPA-AL-PVC/AL-PET X 28 COMPR. ORODIPSERSABILE
PRF
CUTIE CU BLIST. OPA-AL-PVC/AL-PET-HARTIE X 28 COMPR. ORODIPSERSABILE
PRF
ROMANIA CUTIE CU BLIST. HARTIE-PET-AL/PVC-AL-OPA X 30 COMPR. ORODISPERSABILE PRF
PRF
PRF
Pagina 20 din 25
Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)
30
30
30
30
30
30
30
10
30
10
30
30
30
30
30
30
30
30
30
30
30
20
60
60
50
30
30
28
28
30
28
30
28
14
28
28
30
28
28
30
30
30
28
28
28
30
28
28
30
28
28
99,54
72,02
106,21
72,03
73,14
90,45
72,03
58,12
61,20
17,09
314,07
112,50
94,24
650,35
160,92
241,13
274,79
1.229,85
229,34
1.809,33
28,69
9,23
17,75
10,82
12,47
8,83
22,51
90,38
25,01
22,51
27,57
22,57
21,06
12,68
25,27
21,00
22,57
21,00
32,82
33,77
39,57
43,57
36,70
63,52
42,56
45,60
21,06
21,06
27,00
36,95
36,95
Pret
amanuntul
maximal/UT
(RON)
3,318000
2,400666
3,540333
2,401000
2,438000
3,015000
2,401000
5,812000
2,040000
1,709000
10,469000
3,750000
3,141333
21,678333
5,364000
8,037666
9,159666
40,995000
7,644666
60,311000
0,956333
0,461500
0,295833
0,180333
0,249400
0,294333
0,750333
3,227857
0,893214
0,750333
0,984642
0,752333
0,752142
0,905714
0,902500
0,750000
0,752333
0,750000
1,172142
1,125666
1,319000
1,452333
1,310714
2,268571
1,520000
1,520000
0,752142
0,752142
0,900000
1,319642
1,319642
Val suportata
de CNAS/UT
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti
1,075410
1,075410
1,075410
1,075410
1,075410
1,075410
1,075410
0,399438
0,399438
0,399438
0,798876
0,798876
0,798876
1,613115
1,613115
2,411992
3,226231
3,226231
3,226231
4,839347
0,956333
0,461500
0,295833
0,156020
0,244799
0,294333
0,750333
1,256142
0,893214
0,750333
0,984642
0,752333
0,752142
0,905714
0,902500
0,750000
0,752333
0,750000
1,172142
1,125666
1,319000
1,452333
1,310714
2,268571
1,520000
1,520000
0,752142
0,752142
0,900000
1,319642
1,319642
0,537705
0,537705
0,537705
0,537705
0,537705
0,537705
0,537705
0,199719
0,199719
0,199719
0,399438
0,399438
0,399438
0,806557
0,806557
1,205996
1,613115
1,613115
1,613115
2,419673
0,478166
0,230750
0,147916
0,078010
0,122399
0,147166
0,375166
0,628071
0,446607
0,375166
0,492321
0,376166
0,376071
0,452857
0,451250
0,375000
0,376166
0,375000
0,586071
0,562833
0,659500
0,726166
0,655357
1,134285
0,760000
0,760000
0,376071
0,376071
0,450000
0,659821
0,659821
Nr. crt
cod ATC
1.014
N06AB10
1.015
N06AB10
1.016
N06AB10
1.017
N06AX05
1.018
N06AX05
1.019
N06AX05
1.020
N06AX05
1.021
N06AX05
1.022
N06AX05
1.023
N06AX12
1.024
N06AX14
1.025
N06AX14
1.026
N06AX14
1.027
N06AX14
1.028
N06AX14
1.029
N06AX21
1.030
N06AX21
1.031
N06BX16
1.032
N06BX18
1.033
N06BX18
1.034
N06BX18
1.035
N06BX18
1.036
N06DX02
1.037
N07CA01
1.038
N07CA01
1.039
N07CA01
1.040
N07CA01
1.041
N07CA01
1.042
N07CA01
1.043
N07CA01
1.044
N07CA01
1.045
N07CA01
1.046
N07CA01
1.047
N07CA01
1.048
N07CA01
1.049
N07CA01
1.050
N07CA01
1.051
N07CA01
1.052
N07CA01
1.053
N07CA01
1.054
N07CA01
1.055
N07CA01
1.056
N07CA01
1.057
N07CA01
1.058
N07CA01
1.059
N07CA01
1.060
N07CA01
1.061
N07CA01
1.062
N07CA52
1.063
N07XN03
1.064
N07XN03
DCI
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
TRAZODONUM**
TRAZODONUM**
TRAZODONUM**
TRAZODONUM**
TRAZODONUM**
TRAZODONUM**
BUPROPIONUM**#
TIANEPTINUM**
TIANEPTINUM**
TIANEPTINUM**
TIANEPTINUM**
TIANEPTINUM**
DULOXETINUM**
DULOXETINUM**
PRAMIRACETAMUM**#
VINPOCETINUM
VINPOCETINUM
VINPOCETINUM
VINPOCETINUM
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
BETAHISTINUM
BETAHISTINUM
Denumire Comerciala
ELICEA Q-TAB 20 mg
ELICEA Q-TAB 20 mg
TRITTICO AC 150 mg
TRITTICO AC 150 mg
TRITTICO AC 150 mg
TRITTICO AC 150 mg
TRITTICO AC 75 mg
TRITTICO AC 75 mg
ELONTRIL 150 mg
LYXIT 12,5 mg
LYXIT 12,5 mg
NOBIXAL 12,5 mg
NOBIXAL 12,5 mg
COAXIL (R)
CYMBALTA 30mg
CYMBALTA 60mg
PRAMISTAR
VINPOCETINA VIM SPECTRUM 5 mg
CAVINTON(R) FORTE
VICEBROL
CAVINTON(R)
GINKGO BILOBA BIOFARM 40 mg (vezi C04AXN1)
VERTIMED 16 mg
BETAHISTINA LPH 16 mg
forma farm.
COMPR. ELIB. PREL.

COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. MODIF.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
DRAJ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
COMPR. FILM.
CAPS.
COMPR.
COMPR.
COMPR.
COMPR. FILM.
tara det.
APP
concentratie
Detinator APP
20mg
20mg
20mg
150mg
150mg
150mg
150mg
75mg
75mg
150mg
12,5 mg
12,5 mg
12,5mg
12,5mg
12,5mg
30mg
60mg
600mg
5mg
10mg
5mg
5mg
40mg
16mg
16mg
16mg
24 mg
24 mg
24mg
24mg
24mg
24mg
24mg
24mg
24mg
24mg
24mg
8 mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg/doza
8mg/doza
Ambalaj
Prescriptie
PRF
PRF
ROMANIA CUTIE CU BLIST. HARTIE-PET-AL/PVC-AL-OPA X 30 COMPR. ORODISPERSABILE PRF

ITALIA
CUTIE X 1 BLIST. AL/PVC X 20 COMPR. ELIB. PREL. P-RF
ANGELINI FRANCESCO SPA ITALIA
CUTIE X 2 BLIST. AL/PVCX 10 COMPR. ELIB. PREL. P-RF
GLAXOSMITHKLINE (GSK) SRL ROMANIA CUTIE CU 1 FLAC. PEID CU DESICANT X 30 COMPR. ELIB. MODIF. P-RF
ARENA GROUP S.A. ROMANIA CUTIE CU BLIST. DIN PVC-PVDC/AL X 30 COMPR. FILM. PRF
ARENA GROUP S.A. ROMANIA CUTIE CU BLIST. DIN PVC-PVDC/AL X 90 COMPR. FILM. PRF
ANTIBIOTICE S.A.
ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR. FILM. PRF
ANTIBIOTICE S.A.
ROMANIA CUTIE CU BLIST. PVC/ACLAR-AL X 30 COMPR. FILM. PRF
LES LAB. SERVIER IND. FRANTA CUTIE X 1 BLIST. AL/PVC X 30 DRAJ. P-RF
ELI LILLY NEDERLAND BV OLANDA CUTIE X 28 CAPS. GASTROREZ.( BLIST. PVC/PE/PCTFE/AL) P-RF
ELI LILLY NEDERLAND BV OLANDA CUTIE, X 28 CAPS. GASTROREZ.( BLIST. PVC/PE/PCTFE/AL) P-RF
F.I.R.M.A. S.P.A. (MENARINI GROUP) ITALIA
CUTIE X 2 BLIST. PA-AL-PVC/AL X 10 COMPR.FILM. P-6L
VIM SPECTRUM SRL ROMANIA CUTIE X 5 BLIST. X PVC/AL X10 CAPS. P6L
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. X 15 COMPR.
P-6L
BMF PHARM S.R.L. ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 25 COMPR. P-6L
BIOFARM S.A.
ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 15 COMPR. FILM. P-6L
CUTIE CU BLIST. PVC/PE/PVDC-AL X 30 COMPR. P6L
LABORMED PHARMA S.A. ROMANIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L
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. P-6L
OLANDA CUTIE CU 1 BLIST. PVC-PVDC/AL X 20 COMPR. P-6L
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L
MEDREG S.R.O.
REPUBLICA CEHA CUTIE CU 6 BLIST. PVC-PVDC/AL X 10 COMPR. P6L
UNGARIA CUTIE CU BLIST. DIN PVC-PVDC/AL X 100 COMPR. P6L
OLANDA CUTIE CU 4 BLIST. PVC-PVDC/AL X 25 COMPR. P-6L
MEDREG S.R.O.
REPUBLICA CEHA CUTIE CU 10 BLIST. PVC-PVDC/AL X 10 COMPR. P6L
AUSTRIA CUTIE X 1 FLAC. STICLA BRUNA X 60 ML SOL. ORALA P-6L
AUSTRIA CUTIE X 1 FLAC. STICLA BRUNA X 120 ML SOL. ORALA P-6L
ANGELINI FRANCESCO SPA
COMPR.
COMPR.
BETAHISTINA DICLORHIDRAT AUROBINDO 16 mg COMPR.
EMPERIN 24 mg
COMPR.
COMPR.
BETAHISTIN MCC 24 mg
COMPR.
COMPR.
BETASERC 24 mg
COMPR.
VERTIMED 24 mg
COMPR.
VERTIMED 24 mg
COMPR.
VESTIBO 24 mg
COMPR.
MARBETA 24 mg
COMPR.
COMPR.
EMPERIN 8 mg
COMPR.
BETAHISTIN MCC 8 mg
COMPR.
BETASERC 8 mg
COMPR.
COMPR.
BETAHISTIN MCC 8 mg
COMPR.
VERTIMED 8 mg
COMPR.
MARBETA 8 mg
COMPR.
COMPR.
ACUVER 8 mg/doza
SOL. ORALA
ACUVER 8 mg/doza
SOL. ORALA
COMBINATII (CINARIZINUM +DIMENHIDRINATUM) ARLEVERT
COMPR.
FARA CONCENTRATIE
ACIDUM TIOCTICUM (ALFA-LIPOICUM)**# THIOCTACID (R) 600 HR (vezi A16AX01) COMPR. FILM. 600mg
ACIDUM TIOCTICUM (ALFA-LIPOICUM)**# THIOCTACID (R) 600 HR (vezi A16AX01) COMPR. FILM. 600mg
CYATHUS EXQUIRERE PHARMAFORSCHUNGS GMBH
CYATHUS EXQUIRERE PHARMAFORSCHUNGS GMBH
HENNIG ARZNEIMITTEL GMBH & CO.KG GERMANIA
CUTIE X 2 BLIST. PVC-PVDC/AL X 24 COMPR. P-RF
Pagina 21 din 25
Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)
28 42,56
28 42,56
30 47,18
20 24,95
60 63,31
60 63,31
20 24,95
30 18,71
30 18,71
30 63,54
30 22,65
90 63,54
30 22,65
30 22,65
30 33,74
28 105,39
28 178,89
20 71,94
50 10,29
30 14,45
50 10,29
50 15,82
30 12,30
30 19,17
30 16,84
60 15,96
60 34,85
60 35,79
20 18,35
50 39,78
20 27,97
30 19,81
60 38,37
30 13,53
60 34,85
60 35,76
60 32,40
100 19,24
30
9,58
100 29,63
30
9,58
100 19,26
30
7,15
100 19,26
90 28,74
100 17,32
1 38,11
1 70,00
48 76,16
30 68,47
100 212,63
Pret
amanuntul
maximal/UT
(RON)
1,520000
1,520000
1,572666
1,247500
1,055166
1,055166
1,247500
0,623666
0,623666
2,118000
0,755000
0,706000
0,755000
0,755000
1,124666
3,763928
6,388928
3,597000
0,205800
0,481666
0,205800
0,316400
0,410000
0,639000
0,561333
0,266000
0,580833
0,596500
0,917500
0,795600
1,398500
0,660333
0,639500
0,451000
0,580833
0,596000
0,540000
0,192400
0,319333
0,296300
0,319333
0,192600
0,238333
0,192600
0,319333
0,173200
38,110000
70,000000
1,586666
2,282333
2,126300
Val suportata
de CNAS/UT
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti
1,520000
1,520000
1,572666
1,103207
1,055166
1,055166
1,103207
0,551603
0,551603
2,118000
0,755000
0,706000
0,755000
0,755000
0,755000
3,336830
6,388928
3,597000
0,205800
0,411600
0,205800
0,205800
0,379604
0,385200
0,385200
0,266000
0,577800
0,577800
0,577800
0,577800
0,577800
0,577800
0,577800
0,451000
0,577800
0,577800
0,540000
0,192400
0,192600
0,192600
0,192600
0,192600
0,192600
0,192600
0,192600
0,173200
14,445014
28,890028
1,586666
1,978474
1,978474
0,760000
0,760000
0,786333
0,551603
0,527583
0,527583
0,551603
0,275801
0,275801
1,059000
0,377500
0,353000
0,377500
0,377500
0,377500
1,668415
3,194464
1,798500
0,102900
0,205800
0,102900
0,102900
0,189802
0,192600
0,192600
0,133000
0,288900
0,288900
0,288900
0,288900
0,288900
0,288900
0,288900
0,225500
0,288900
0,288900
0,270000
0,096200
0,096300
0,096300
0,096300
0,096300
0,096300
0,096300
0,096300
0,086600
7,222507
14,445014
0,793333
0,989237
0,989237
Nr. crt
cod ATC
DCI
Denumire Comerciala
forma farm.
concentratie
N07XXN3 HIDROLIZAT DE PROTEINA DIN CREIER DE PORCINA**
1.066
1.067
1.068
P01BA02
1.069
R01AD05
1.070
R01AD08
1.071
R01AD09
1.072
R01AD09
1.073
R01AD09
1.074
R01AD09
1.075
R03AC04
1.076
R03AC18
1.077
R03AC18
1.078
R03AK03 COMBINATII (FENOTEROLUM + IPRATROPIUM)*
1.079
R03AK06
Prescriptie
1.080
R03AK06
1.081
R03AK06
1.082
R03AK06
1.083
R03AK06
1.084
R03AK06
1.085
R03AK06
1.086
R03AK06
1.087
R03AK06
1.088
R03AK07
1.089
R03AK07 COMBINATII (BUDESONIDUM + FORMOTEROLUM)* SYMBICORT TURBUHALER 160 micrograme/4,5 micrograme/inhalatie PULB. DE INHAL.
160micrograme/4,5micrograme/in
1.090
R03AK07 COMBINATII (BUDESONIDUM + FORMOTEROLUM)* SYMBICORT TURBUHALER 320 micrograme/9 micrograme/inhalatie
PULB. DE INHAL.
320micrograme/9micrograme/inha
1.091
R03AK07 COMBINATII (BUDESONIDUM + FORMOTEROLUM)* SYMBICORT TURBUHALER 80 micrograme/4,5 micrograme/inhalatie
PULB. DE INHAL.
80micrograme/4,5micrograme/inh
1.092
R03BA05
1.093
R03BA05
1.094
R03BA05
1.095
R03BA05
1.096
R03BA05
1.097
R03BA05
1.098
R03BA05
1.099
R03BA07
1.100
R03BA07
1.101
R03BA08
1.102
R03BA08
1.103
R03BB04
1.104
R03BB04
1.105
R03BB06
1.106
R03DA05
1.107
R03DA05
1.108
R03DA05
1.109
R03DA05
1.110
R03DA05
1.111
R03DC03
1.112
R03DC03
1.113
R03DC03
1.114
R03DC03
1.115
R03DC03
CUTIE CU 1 FLAC. DIN STICLA BRUNA X 10 ML SPRAY NAZAL, SUSP. ECHIVALENT CU 120 DOZE, PREVAZUT CU POM
CUTIE CU 1 FLAC. PEID PREVAZUT CU POMPA DOZATOARE SI APLICATOR NAZAL CARE CONTINE SPRAY NAZAL, SUSP. PT. 140 PULVERIZARI
CUTIE CU 1 FLAC. PEID PREVAZUT CU O POMPA PULVERIZATOARE NAZALA DIN PE/PP CARE CONTINE 18 G SUSP. NAZALA CORESPUNZATOR LA 140 DOZE MASURATE
CUTIE CU 1 FLACON DIN PEID, CU POMPA DOZATOARE DIN PP SI SISTEM DE ACTIONARE X 140 DOZE SPRAY NAZAL,
SALMETEROLUM+FLUTICASONUM*
SALMETEROLUM+FLUTICASONUM* SERETIDE 25 mcg/125 mcg INHALER CFC FREE
COMBINATII (BECLOMETASONUM+FORMOTEROLUM) FOSTER 100/6 micrograme pe doza
FLUTICASONUM PROPIONAT*
MOMETASONUM*
MOMETASONUM*
CICLESONIDUM*
CICLESONIDUM*
TIOTROPIUM*
TIOTROPIUM*
GLICOPIRONIUM BROMIDUM**#
AMINOPHYLLINUM
AMINOPHYLLINUM
AMINOPHYLLINUM
AMINOPHYLLINUM
AMINOPHYLLINUM
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
Ambalaj
CEREBROLYSIN
SOL. INJ./PERF. 215,2mg/ml EVER NEURO PHARMA GMBH AUSTRIA CUTIE X 5 FIOLE DIN STICLA BRUNA CU PUNCT DE RUPERE X 10 MLPR/PRF
CEREBROLYSIN
SOL. INJ./PERF. 215,2mg/ml EVER NEURO PHARMA GMBH AUSTRIA CUTIE X 5 FIOLE DIN STICLA BRUNA CU PUNCT DE RUPERE X 5 ML PR/PRF
CEREBROLYSIN
SOL. INJ./PERF. 215,2mg/ml EVER NEURO PHARMA GMBH AUSTRIA CUTIE X 10 FIOLE DIN STICLA BRUNA CU PUNCT DE RUPERE X 1 MLPR/PRF
PLAQUENIL
COMPR. FILM. 200mg
SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 6 BLIST. X 10 COMPR. FILM. P-6L
RHINOCORT AQUA 32 micrograme/doza SPRAY NAZAL SUSP. 32micrograme/doza ASTRAZENECA AB SUEDIA
PRF
FLIXONASE 0,05g/100g
SPRAY NAZAL SUSP. 0,05g/100g
GLAXOWELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 FLACON X 120 DOZE, PREVAZUT CU POMPA DOZATOARE P-RF
KALMENTE 50 micrograme/doza
SPRAY NAZ., SUSP. 50micrograme/doza ALVOGEN IPCO S.AR.L. LUXEMBURG
PRF
MOMETAZONA FUROAT SANDOZ 50 micrograme/doza SPRAY NAZ.,SUSP. 50micrograme/doza SANDOZ S.R.L.
ROMANIA
PRF
MOMETAZONA TEVA 50 micrograme/doza SPRAY NAZ.,SUSP. 50g/doza
PRF
NASONEX 50mcg/doza
SPRAY NAZAL SUSP. 50mcg/doza MERCK SHARP & DOHME ROMANIA CUTIE X 1 FLACON PP X 140 DOZE P-RF
BEROTEC N - 100 mcg
100mcg/doza
GERMANIA CUTIE X 1 FLACON PRESURIZAT X 200 DOZE SOL. DE INHALAT PRESURIZATAP-6L
ONBREZ BREEZHALER 150 g
CAPS. CU PULB.INHAL. 150 g
NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIECU BLIST. DIN PA/AL/PVC X 30 CAPSULE (3 BIST X10)+ UN INHALATOR PRF
ONBREZ BREEZHALER 300 g
CAPS. CU PULB.INHAL. 300 g
NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE CU BLIST. DIN PA/AL/PVC X 30 CAPSULE (1 BLIST. X10)+ UN INHALATORPRF
BERODUAL (R) N
AEROSOL SOL. INHAL. 0,020mg+0,050mg
GERMANIA
P-6L
SERETIDE DISKUS 50/100
PULB. INHAL. 50mg/100mg GLAXO WELLCOME UK LIMITED MAREA BRITANIE CUTIE X 1DISPOZITIV DE INHALAT X 60 DOZE PULB. DE INHAL. P-6L
PULB. INHAL. 50mg/250mg GLAXOWELLCOME UK LTD. MAREA BRITANIE CUTIE X 1, DISPOZITIV DE INHALAT X 60 DOZE PULB. DE INHAL. P-6L
PULB. INHAL. 50mg/500mg GLAXOWELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 DISPOZITIV DE INHALAT X 60 DOZE PULB. DE INHAL. P-6L
SERETIDE DISKUS 50 micrograme/100 micrograme PULB. INHAL. 50micrograme/100micrograme GLAXO WELLCOME UK LIMITED MAREA BRITANIE
P6L
SERETIDE DISKUS 50 micrograme/250 micrograme PULB. INHAL. 50micrograme/250micrograme GLAXOWELLCOME UK LTD. MAREA BRITANIE
P6L
SERETIDE DISKUS 50 micrograme/500 micrograme PULB. INHAL. 50micrograme/500micrograme GLAXOWELLCOME UK LTD. MAREA BRITANIE
P6L
1.065
HYDROXYCHLOROQUINUM
BUDESONIDUM*
FLUTICASONUM*
MOMETASONUM*
MOMETASONUM*
MOMETASONUM*
MOMETASONUM*
FENOTEROLUM
INDACATEROLUM**#
INDACATEROLUM**#
Detinator APP
tara det.
APP
FLIXOTIDE DISKUS 100 mcg

FLIXOTIDE 125 INHALER CFC - Free
FLIXOTIDE (R) 50 INHALER CFC - Free
FLIXOTIDE NEBULES 0,5 mg/2 ml
FLIXOTIDE NEBULES 2 mg/2 ml
ASMANEX TWISTHALER 200 g
ASMANEX TWISTHALER 400 g
ALVESCO 160 INHALER
ALVESCO 80 INHALER
SPIRIVA 18 micrograme
SPIRIVA RESPIMAT 2,5 micrograme
SEEBRI BREEZHALER
MIOFILIN 100 mg
AMINOFILINA EEL
AMINOFILINA ARENA 100 MG
AMINOFILINA ARENA 200 MG
MIOFILIN 24mg/ml
ASTHATOR 10 mg
SINGULAIR (R)
SINGULAIR (R)
MONTELUKAST TEVA 10 mg
CUTIE X 1 FLACON PRESURIZAT DIN OTEL X 200 DOZE SOLUTIE DE INHALAT PRESURIZATA
CUTIE CU 1 DISPOZITIV DE INHALAT DIN PLASTIC PREVAZUT CU INDICATOR CE ARATA NR. DOZELOR RAMASE X 60
25mcg/125mcg GLAXOWELLCOME UK LTD.

100/6micrograme pe doza

PULB. INHAL. 100mcg/doza

SUSP. INHAL. PRESURIZATA 125mcg/doza
SUSP. INHAL. PRESURIZATA 50mcg/doza
0,5mg/2ml
2mg/2ml
PULB. INHAL. 200g/doza
PULB. INHAL. 400g/doza
SOL. DE INHALAT PRESURIZATA 160g/doza
SOL. DE INHALAT PRESURIZATA 80g/doza
MAREA BRITANIE CUTIE X 1 FLACON PRESURIZAT AL X 120 DOZE SUSP. DE INHALAT PRESURIZATA
P-6L
P-6L
P-6L
PRF
ASTRAZENECA AB
ASTRAZENECA AB
ASTRAZENECA AB
AUSTRIA
SUEDIA
SUEDIA
SUEDIA
MAREA BRITANIE
CUTIE X 1 DISPOZITIV INHALATOR DIN PLASTIC SUB FORMA DE DISC X 1 BLIST. PVC/AL X 60 DOZE
MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE
CUTIE X 1 FLACON PRESURIZAT DIN AL X 60 DOZE SUSP. DE INHALAT PRESURIZATA
MAREA BRITANIE
CUTIE X 1 FLACON PRESURIZAT X 120 DOZE X 50 MCG, PREVAZUT CU VALVA DOZATOARE
CHIESI PHARMACEUTICALS GMBH
CUTIE CU 1 FLAC. PRESURIZAT DIN AL PREVAZUT CU VALVA DOZATOARE, INTRODUS IN DISPOZITIVUL DE ADMINISTRARE DIN PE CU CAPAC PROTECTOR DIN PLASTIC A 180 DOZE SOL. DE INHALAT
P6L
P6L
CUTIE CU 1 INHALATOR DIN MATERIAL PLASTIC CU 60 DOZE PULB. DE INHAL.P6L
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.
P-RF
P-RF
P-RF
P-RF
P-RF
SUSP. INHAL. PRIN NEBULIZATOR
CUTIE CU 2 FOLII SIGILATE POLIESTER/AL/ PEJD A CATE 5 FIOLE DIN PEJD X 2,5ML CONTINAND CATE 2ML SUSP
PRF
SUSP. INHAL. PRIN NEBULIZATOR
CUTIE CU 2 FOLII SIGILATE POLIESTER/AL/ PEJD A CATE 5 FIOLE DIN PEJD X 2,5ML CONTINAND CATE 2ML SUSP
PRF
ROMANIA CUTIE X 1 DISPOZITIV DE ADM. X 30 DOZE P-6L

MERCK SHARP & DOHME ROMANIA CUTIE X 1 DISPOZITIV DE ADM. X 30 DOZE P-6L
NYCOMED GMBH
GERMANIA CUTIE X 1 FLAC. DIN AL CU VALVA DOZATOARE X 60 DOZE SOL. DE INHALAT PRESURIZATAP-RF
NYCOMED GMBH
GERMANIA CUTIE X 1 FLAC. DIN AL CU VALVA DOZATOARE X 60 DOZE SOL. DE INHALAT PRESURIZATAP-RF
MERCK SHARP & DOHME
18micrograme
GERMANIA
CUTIE CU 3 BLIST. AL/PVC/AL X 10 CAPS. CU PULB. DE INHALAT + 1 DISPOZITIV HANDIHALER
PRF
SOL. DE INHALAT 2,5micrograme
GERMANIA
CUTIE CU 1 AMBALAJ UNIC CU UN INHALATOR RESPIMAT SI UN CARTUS CARE FURNIZEAZA 60 PUFURI (30 DOZE MED
PRF
CAPS. CU PULB. INHAL.
CAPS. CU PULB. INHAL.
44 micrograme NOVARTIS EUROPHARM LTD. MAREA BRITANIE
CAPS.
COMPR.
COMPR.
COMPR.
SOL. INJ.
COMPR.
100mg
100mg
100mg
200mg
24mg/ml
10 mg
10mg
10mg
10mg
10mg
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
ZENTIVA SA
BIO EEL SRL
ARENA GROUP SA
ARENA GROUP SA
ZENTIVA S.A.
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
Pagina 22 din 25
CUTIE CU BLIST. PERFORATE PA-AL-PVC/AL CE CONTINE 30 X 1 CAPSULA CU PULBERE PENTRU INHALAT INSOTITE DE UN INHALATOR
PRF
P-RF

P-RF
P-RF
P-RF
CUTIE X 5 FIOLE PREVAZUTE CU INEL DE RUPERE X 10 ML SOL.INJ.S/P-RF
CUTIE CU BLIST. AL/AL X 28 COMPR. P6L

P6L
P6L
CUTIE X 1 BLIST. OPA-AL-PVC X 14 COMPR. FILM.

CUTIE X 2 BLIST. OPA-AL-PVC X 14 COMPR. FILM.
Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)
5
5
10
60
1
1
1
1
1
1
1
30
30
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
10
10
1
1
1
1
30
1
30
20
50
40
20
5
28
14
28
28
30
124,46
86,41
39,22
31,39
25,27
30,65
31,77
25,39
31,77
47,31
16,66
125,82
125,82
40,29
103,09
133,50
175,51
103,09
133,50
175,51
164,30
233,63
122,59
237,38
120,12
227,81
95,11
40,65
84,46
137,24
44,60
36,40
27,04
79,09
57,33
81,74
124,79
112,34
164,34
171,62
154,18
3,62
6,78
6,95
7,72
11,82
61,93
76,80
80,14
82,04
87,90
Pret
amanuntul
maximal/UT
(RON)
Val suportata
de CNAS/UT
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti
24,892000
17,282000
3,922000
0,523166
25,270000
30,650000
31,770000
25,390000
31,770000
47,310000
16,660000
4,194000
4,194000
40,290000
103,090000
133,500000
175,510000
103,090000
133,500000
175,510000
164,300000
233,630000
122,590000
237,380000
120,120000
227,810000
95,110000
40,650000
84,460000
137,240000
44,600000
36,400000
2,704000
7,909000
57,330000
81,740000
124,790000
112,340000
5,478000
171,620000
5,139333
0,181000
0,135600
0,173750
0,386000
2,364000
2,211785
5,485714
2,862142
2,930000
2,930000
24,892000 12,446000
14,863999
7,431999
2,972800
1,486400
0,523166
0,261583
25,270000 12,635000
30,650000 15,325000
30,174999 15,087499
25,390000 12,695000
30,174999 15,087499
30,174999 15,087499
16,660000
8,330000
2,621250
1,310625
4,194000
2,097000
40,290000 20,145000
42,053400 21,026700
105,133500 52,566750
175,510000 87,755000
42,053400 21,026700
105,133500 52,566750
175,510000 87,755000
105,133500 52,566750
210,267000 105,133500
42,053400 21,026700
237,380000 118,690000
117,012500 58,506250
227,810000 113,905000
58,506250 29,253125
31,258800 15,629400
78,147000 39,073500
137,240000 68,620000
39,073500 19,536750
31,258800 15,629400
1,041958
0,520979
4,167838
2,083919
44,984999 22,492499
81,740000 40,870000
124,790000 62,395000
74,881250 37,440625
5,478000
2,739000
166,160000 83,080000
5,139333
2,569666
0,166544
0,083272
0,135600
0,067800
0,166544
0,083272
0,333090
0,166545
2,364000
1,182000
1,876785
0,938392
1,876785
0,938392
1,876785
0,938392
1,876785
0,938392
1,876785
0,938392
Nr. crt
cod ATC
1.116
R03DC03
1.117
R03DC03
1.118
R03DC03
1.119
R03DC03
1.120
R03DC03
1.121
R03DC03
1.122
R03DC03
1.123
R03DC03
1.124
R03DC03
1.125
R03DC03
1.126
R03DC03
1.127
R03DC03
1.128
R03DC03
1.129
R03DC03
1.130
R03DC03
1.131
R03DC03
1.132
R03DC03
1.133
R03DC03
1.134
R03DC03
1.135
R03DC03
1.136
R03DC03
1.137
R03DC03
1.138
R03DC03
1.139
R03DC03
1.140
R03DC03
1.141
R03DC03
1.142
R03DC03
1.143
R03DC03
1.144
R03DC03
1.145
R03DC03
1.146
R03DC03
1.147
R03DC03
1.148
R03DC03
1.149
R03DC03
1.150
R03DC03
1.151
R03DC03
1.152
R03DC03
1.153
R03DC03
1.154
R03DC03
1.155
R03DC03
1.156
R03DC03
1.157
R03DC03
1.158
R03DC03
1.159
R03DC03
1.160
R03DC03
1.161
R03DC03
1.162
R03DC03
1.163
R03DC03
1.164
R03DX03
1.165
R03DX03
1.166
R05CB15
DCI
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
FENSPIRIDUM
FENSPIRIDUM
ERDOSTEINUM**
Denumire Comerciala
SPIROKAST 10 mg
MONTELUKAST ACTAVIS 10 mg
MONKASTA 10 mg
ASTMASAN 10 mg
MONTELUKAST ALVOGEN 10 mg
STANGEN 10 mg
SOLOK 10 mg
MONART 10 mg
MONTELUKAST AUROBINDO 10 mg
MONTELUKAST CHIESI 10 mg
MONTELUKAST ABBOTT 10 mg
MONTELUKAST POLIPHARMA 10 mg
ASTHATOR 4 mg
SINGULAIR
SINGULAIR
SPIROKAST 4 mg
MONKASTA 4 mg
STANGEN 4 mg
SOLOK 4 mg
MONART 4 mg
ASTMASAN 4 mg
ASTHATOR 5 mg
SINGULAIR (R)
SINGULAIR (R)
SPIROKAST 5 mg
MONKASTA 5 mg
STANGEN 5 mg
SOLOK 5 mg
MONART 5 mg
ASTMASAN 5 mg
ASTMASAN 4 mg
SINGULAIR 4 mg
EURESPAL 80 mg
EURESPAL 2 mg/ml
ERDOMED 300 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. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
GRANULE
GRANULE
SIROP
CAPS.
concentratie
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
4 mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
5 mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
4mg
4mg
80mg
2mg/ml
300mg
Detinator APP
tara det.
APP
Ambalaj
Prescriptie
ZENTIVA, K.S.
REPUBLICA CEHA
CUTIE CU BLIST. NY/AL/PVC-AL (FARA INDICAREA ZILELOR SAPTAMANII) X 28 COMPR. FILM.
ISLANDA
SANDOZ S.R.L.
ROMANIA

TERAPIA S.A.
ROMANIA
REPUBLICA CEHA
MALTA
AUSTRIA
P6L
P6L
CUTIE CU BLIST. OPA-AL-PVC//AL X 28 COMPR. FILM. P6L
CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P6L
CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. FILM. P6L
CUTIE CU BLIST. AL/PE-PEID/PE SI DESICANT/AL/OPA X 28 COMPR. FILM.P6L
CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. MAST. P6L
CUTIE CU 1 FLAC. PEID X 28 COMPR. FILM. P6L
CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. FILM. P6L
ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.
P6L
ROMANIA CUTIE CU 4 BLIST. OPA/AL/PVC/AL X 7 COMPR. FILM. 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. MAST. P6L
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. DIN AL/AL X 30 COMPR. MAST. P6L
ZENTIVA, K.S.
REPUBLICA CEHA
P6L
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. MAST. P6L
CUTIE CU BLIST. NY/AL/PVC-AL (FARA INDICAREA ZILELOR SAPTAMANII) X 28 COMPR. MAST.
CUTIE CU BLIST. OPA-AL-PVC//AL X 28 COMPR. MAST.
CUTIE CU BLIST. PA-ALL-PVC/AL X 28 COMPR. MASTICABILE
P6L
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
GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU 1 FLAC. PEID X 28 COMPR. MAST. P6L
CUTIE CU BLIST. PVC-PA-AL-PVC/AL X 28 COMPR. MAST.
P6L
AUSTRIA
CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. MAST.
P-6L
P6L
P6L
P6L
P6L
P6L
P6L
P6L
P6L
CUTIE CU BLIST. NY/AL/PVC-AL (FARA INDICAREA ZILELOR SAPTAMANII) X 28 COMPR. MAST.
P6L
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
GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU 1 FLAC. PEID X 28 COMPR. MAST. P6L
ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. MAST.
SANDOZ SRL
ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. MAST.

POLIPHARMA INDUSTRIES S.R.L. ROMANIA CUTIE CU 4 BLIST. OPA/AL/PVC/AL X 7 COMPR. MAST.
TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. MAST.
MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. OPA-AL-PVC/AL X 14 COMPR. MAST.
MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. MAST.
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. DIN AL/AL X 28 COMPR. MAST.
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. DIN AL/AL X 30 COMPR. MAST.
ZENTIVA, K.S.
REPUBLICA CEHA
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. MAST.

AUSTRIA
MALTA
CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. MAST.
P-6L
P6L
P6L
CUTIE CU BLIST. AL/AL X 28 COMPR. MAST. P6L
CUTIE CU 4 BLIST. OPA/AL/PVC/AL X 7 COMPR. MAST.
P6L
CUTIE CU 28 PLICURI PET/AL/PE CONTINAND GRANULE
P6L
CUTIE CU 28 PLICURI DIN PE/AL/POLIESTER CU GRANULE P6L
CUTIE CU BLIST. PVC-PA-AL-PVC/AL X 28 COMPR. MAST.
ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. MAST.
SANDOZ SRL
ROMANIA
ROMANIA
SANDOZ S.R.L.
ROMANIA
LES LAB. SERVIER IND. FRANTA CUTIE X 2 BLIST. AL/PVC X 15 COMPR.CU ELIBERARE PRELUGITA
LES LAB. SERVIER IND. FRANTA CUTIE X 1 FLACON PVC DE CULOARE BRUNA X 150 ML
CSC PHARMACEUTICALS HANDELS GMBH
AUSTRIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 CAPS.
Pagina 23 din 25
P-6L
P-6L
P-6L
Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)
28
30
28
28
28
28
28
28
28
28
28
28
28
28
14
28
30
28
30
28
28
28
28
28
28
28
28
28
28
28
14
28
28
30
28
30
28
28
28
28
28
28
28
28
28
28
28
28
30
1
10
42,11
52,34
63,22
77,66
63,22
63,22
63,10
52,55
64,30
44,73
67,75
52,55
44,47
94,51
83,04
42,84
45,90
29,97
41,75
42,84
42,84
42,84
42,32
42,32
48,83
27,73
42,84
17,20
42,84
55,28
76,63
79,92
53,46
57,27
36,31
47,72
53,46
53,46
53,46
53,25
53,46
34,30
60,94
53,46
21,20
53,41
77,86
79,47
28,09
20,02
15,81
Pret
amanuntul
maximal/UT
(RON)
1,503928
1,744666
2,257857
2,773571
2,257857
2,257857
2,253571
1,876785
2,296428
1,597500
2,419642
1,876785
1,588214
3,375357
5,931428
1,530000
1,530000
1,070357
1,391666
1,530000
1,530000
1,530000
1,511428
1,511428
1,743928
0,990357
1,530000
0,614285
1,530000
1,974285
5,473571
2,854285
1,909285
1,909000
1,296785
1,590666
1,909285
1,909285
1,909285
1,901785
1,909285
1,225000
2,176428
1,909285
0,757142
1,907500
2,780714
2,838214
0,936333
20,020000
1,581000
Val suportata
de CNAS/UT
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti
1,503928
1,744666
1,876785
1,876785
1,876785
1,876785
1,876785
1,876785
1,876785
1,597500
1,876785
1,876785
1,511428
1,511428
1,511428
1,511428
1,511428
1,070357
1,391666
1,511428
1,511428
1,511428
1,511428
1,511428
1,511428
0,990357
1,511428
0,614285
1,511428
1,889284
1,889284
1,889284
1,889284
1,889284
1,296785
1,590666
1,889284
1,889284
1,889284
1,889284
1,889284
1,225000
1,889284
1,889284
0,757142
1,889284
1,511428
1,511428
0,936333
20,019999
1,581000
0,751964
0,872333
0,938392
0,938392
0,938392
0,938392
0,938392
0,938392
0,938392
0,798750
0,938392
0,938392
0,755714
0,755714
0,755714
0,755714
0,755714
0,535178
0,695833
0,755714
0,755714
0,755714
0,755714
0,755714
0,755714
0,495178
0,755714
0,307142
0,755714
0,944642
0,944642
0,944642
0,944642
0,944642
0,648392
0,795333
0,944642
0,944642
0,944642
0,944642
0,944642
0,612500
0,944642
0,944642
0,378571
0,944642
0,755714
0,755714
0,468166
10,009999
0,790500
Nr. crt
cod ATC
1.167
R05CB15
1.168
R05CB15
1.169
R05DA09
1.170
R05DA09
1.171
R05DA09
1.172
R05DA09
1.173
R05DA09
1.174
R05DA09
1.175
R05DA09
1.176
R06AE09
1.177
R06AE09
1.178
R06AE09
1.179
R06AE09
1.180
R06AE09
1.181
R06AE09
1.182
R06AE09
1.183
R06AE09
1.184
R06AE09
1.185
R06AX26
1.186
R06AX27
1.187
R06AX27
1.188
R06AX27
1.189
R06AX27
1.190
R06AX27
1.191
R06AX27
1.192
R06AX27
1.193
R06AX27
1.194
R06AX27
1.195
R06AX27
1.196
R06AX27
1.197
R06AX27
1.198
R06AX27
1.199
R06AX27
1.200
R06AX27
1.201
R06AX27
1.202
R06AX27
1.203
R06AX27
1.204
R06AX27
1.205
R06AX27
1.206
R06AX27
1.207
S01AA11
1.208
S01AA12
1.209
S01AA12
1.210
S01AA12
1.211
S01AA12
1.212
S01AA23
1.213
S01AA23
1.214
S01AA23
1.215
S01AX11
1.216
S01AX11
1.217
S01BA01
DCI
ERDOSTEINUM**
ERDOSTEINUM**
DEXTROMETHORPHANUM
DEXTROMETHORPHANUM
DEXTROMETHORPHANUM
DEXTROMETHORPHANUM
DEXTROMETHORPHANUM
DEXTROMETHORPHANUM
DEXTROMETHORPHANUM
LEVOCETIRIZINUM
LEVOCETIRIZINUM
LEVOCETIRIZINUM
LEVOCETIRIZINUM
LEVOCETIRIZINUM
LEVOCETIRIZINUM
LEVOCETIRIZINUM
LEVOCETIRIZINUM
LEVOCETIRIZINUM
FEXOFENADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
GENTAMICINUM
TOBRAMYCINUM
TOBRAMYCINUM
TOBRAMYCINUM
TOBRAMYCINUM
NETILMICINUM
NETILMICINUM
NETILMICINUM
OFLOXACINUM
OFLOXACINUM
DEXAMETHASONUM
Denumire Comerciala
ERDOMED 225 mg
ERDOMED 175 mg/5 ml
TUSSIN FORTE 20 mg
ROFEDEX
HUMISEC pentru adulti 20mg/15 ml
HUMISEC 5mg/5ml
TUSSIN 6,5mg/5ml
ROBITUSSIN JUNIOR
ROBITUSSIN ANTITUSSICUM
XYZAL (R)
XYZAL (R)
CEZERA 5 mg
LEVOCETIRIZINA SANDOZ 5 mg
CETIZAL 5 mg
LEVOCETIRIZINA ACTAVIS 5 mg
ZENARO 5 mg
XYZAL
ZENARO 0,5 mg/ml
TELFAST 120 mg
DYNID 5 mg
DESLORATADINA ACTAVIS
DESLORATADINA ACTAVIS
DESLORATADINA SANDOZ 5 mg
DASSELTA
DESLORATADINA RATIOPHARM
DESLORATADINA ALVOGEN 5 mg
DESLORATADINA TERAPIA 5 mg
LORDESTIN 5 mg
DESLORATADINA TEVA
AERIUS 5mg
AERIUS 5mg
AERIUS 2,5mg
DESLORATADINA TEVA 5 mg
AERIUS 5mg
DESLORATADINA SANDOZ 0.5 mg/ml
DESLORATADINA ALVOGEN 0,5 mg/ml
DYNID 0,5 mg/ml
DESLORATADINA TEVA 0,5 mg/ml
AERIUS 0,5mg/ml
LORDESTIN 0,5 mg/ml
GENTAMICIN SULPHATE
TOBROM 3 mg/ml
TOBREX
TOBREX 2 X
TOBREX (R)
NETTACIN (R)
NETTACIN (R)
NETTAVISC 3mg/g
FLOXAL (R)
FLOXAL (R)
forma farm.
COMPR.
SIROP
SIROP
SIROP
SIROP
SOL. ORALA
SOL. ORALA
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
PIC. ORALE, SOL.
SIROP
COMPR. FILM.
COMPR.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
SOL. ORALA
SOL. ORALA
SOL. ORALA
SOL. ORALA
SOL. ORALA
SOL. ORALA
PIC. OFT., SOL
PIC. OFT., SOL
PIC. OFT.,SOL.
PICATURI OFT.-SOL.
UNG. OFT.
PIC. OFT., SOL
PICATURI OFT.-SOL.
UNG. OFT.
PICATURI OFT.-SOL.
UNG. OFT.
PIC. OFT. SUSP.
concentratie
225mg
175mg/5ml
20mg
15mg/5ml
20mg/15 ml
5mg/5ml
6,5mg/5ml
3,75mg/5ml
7,5mg/5ml
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg/ml
0,5mg/ml
120mg
5mg
5 mg
5 mg
5 mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
2,5mg
5mg
5mg
0,5 mg/ml
0,5mg/ml
0,5mg/ml
0,5mg/ml
0,5mg/ml
0,5mg/ml
0,3%
3mg/ml
3mg/ml
0,3%
0,3%
0,3%
0,3%
3mg/g
0,3%
0,3%
1mg/ml
Detinator APP
tara det.
APP
Ambalaj
Prescriptie
AUSTRIA CUTIE CU 20 PLICURI UNIDOZA DIN HARTIE AL/PE P-6L

AUSTRIA
P-6L
GLAXOSMITHKLINE (GSK) SRL ROMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. P6L
BIOFARM SA
ROMANIA CUTIE X 1 FLACON DIN STILCA BRUNA X 100 ML + MASURA DOZATOAREP-RF
LAB. URGO SA
FRANTA CUTIE X 1 FLACON X 200 ML + O MASURA DOZATOARE DIN POLIPROPILENA P-RF
LAB. URGO SA
FRANTA
P-RF
ROPHARMA S.A.
ROMANIA
P-RF
PFIZER CORPORATION AUSTRIA GMBH AUSTRIA
P-RF
PFIZER CORPORATION AUSTRIA GMBH AUSTRIA
P-RF
U.C.B. GMBH
GERMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-6L
U.C.B. GMBH
GERMANIA CUTIE X 3 BLIST. X 10 COMPR. FILM. P-6L
CUTIE CU 1 FLAC. DIN STICLA BRUNA A 50 G PULB. PT. OBTINEREA A 100 ML SUSP. ORALA + 1 MASURA DOZATOA
CUTIE X 1 FLACON X 125 ML SIROP + O MASURA DOZATOARE PENTRU MASURAREA VOLUMELOR 2,5ML; 5ML; 7,5ML; 15ML
CUTIE X 1 FLAC. X 115ML SIROP + O LINGURITA DOZATOARE GRADATA LA 1,25ML; 2,5ML SI 5 ML
CUTIE X 1 FL. DIN STICLA BRUNA CU CAPAC SECURIZAT X 100 ML SOL. ORALA + MASURA DOZATOARE PT.2,5ML;5M
CUTIE X 1 FL. DIN STICLA BRUNA CU CAPAC SECURIZAT X 100 ML SOL. ORALA + MASURA DOZATOARE PT.2,5ML;5M
KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL CU 30 COMPR. FILM. P-6L
SANDOZ S.R.L.
ROMANIA
REPUBLICA CEHA
ISLANDA
ZENTIVA, K.S.
REPUBLICA CEHA
UCB PHARMA GMBH GERMANIA
ZENTIVA, K.S.
REPUBLICA CEHA
SANOFI-AVENTIS ROMANIA S.R.L. ROMANIA

SANDOZ S.R.L.
CUTIE CU BLIST. PVC-ACLAR-PVC/AL X 20 COMPR. FILM.
P6L
P6L
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-PE-PVDC/AL X 10 COMPR.FILM. P-6L
CUTIE CU BLIST. AL/AL X 30 COMPR. P6L

ISLANDA CUTIE CU BLIST. DIN OPA/AL/PVC-AL X 10 PRF
ISLANDA CUTIE CU BLIST. DIN OPA/AL/PVC-AL X30 PRF
ROMANIA CUTIE CU BLIST. NON UNIDOZA OPA-AL-PVC/AL X 30 COMPR.FILM. P6L
REPUBLICA CEHA
CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPRIMATE FILMATE
CUTIE CU BLIST. DIN PVC/PVDC/AL X 30 COMPRIMATE FILMATE PRF
TERAPIA SA
ROMANIA
CUTIE CU BLIST. PCTFE-PVC/AL X 30 COMPR. FILM.
MERCK SHARP&DOHME LTD.
MAREA BRITANIE
CUTIE X 10 COMPR. FILM. ( PCTFE/ PVC/AL) P-RF
MAREA BRITANIE
CUTIE X 30COMPR. FILM. ( PCTFE/ PVC/AL)
P-RF
MAREA BRITANIE CUTIE X 30 COMPR. ORODISPERSABILE (PVC/OPA/AL)
P-RF
ROMANIA CUTIE CU BLIST. OPA-AL-PVC/HARTIE-PET-AL X 30 COMPR. ORODISPERSABILE P6L
MAREA BRITANIE CUTIE X 30 COMPR. ORODISPERSABILE (PVC/OPA/AL)
P-RF
SANDOZ S.R.L.
ROMANIA
PRF
P6L
P6L
P6L
CUTIE CU BLIST. DIN OPA/AL/PVC - AL X 30 COMPR. FILM.
PRF
REPUBLICA CEHA
ROMANIA
CUTIE CU 1 FLAC. DIN STICLA + 1 LINGURA DOZATOARE DIN PEID GRADATA LA DOZE DE 2,5 ML SI 5 ML X 120 M
P6L
P6L
P6L
P6L
MAREA BRITANIE
CUTIE X 1 FLACON X 120 ML SOL. ORALA + LIGURITA DOZATOARE DE 2,5 ML SI 5 ML
P-RF
CUTIE CU 1 FLAC. DIN STICLA BRUNA CU CAPACITATEA DE 125 ML X 120 ML, SOL. ORALA + LINGURITA DOZATOARE DE 2,5 ML SI 5 ML SAU CU SERINGA DOZATOARE DE 5 ML, MARCATA LA FIECARE 0,5ML
CUTIE CU 1 FLAC. DIN STICLA BRUNA A 120 ML SOL. ORALA + 1 LINGURITA DOZATOARE SAU O SERINGA DOZATOAR
CUTIE CU 1 FLAC. DIN STICLA BRUNA X 120 ML SOL. ORALA + 1 LINGURITA DOZATOARE SAU O SERINGA DOZATOARE ( SERINGA DOZATOARE ARE GRADATII DE 2,5 ML SI 5 ML; LINGURITA DOZATOARE ARE CAPACITATEA DE 2,5 ML SI 5 ML
ROMANIA
P6L
E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON X 10ML
P-RF
ROMPHARM COMPANY SRL ROMANIA CUTIE C 1 FLAC. PEJD X 5 ML PIC. OFT. SOL P-RF
ALCON COUVREUR NV BELGIA CUTIE X 1 FLACON DIN PEJD CU PICURATOR X 5 ML PIC. OFTALMICE, SOL. P-RF
ALCON COUVREUR NV BELGIA CUTIE X 1 FLAC. PEID CU PICURATOR DIN PEID X 5 ML P-RF
ALCON COUVREUR NV BELGIA CUTIE X 1 TUB DIN AL X 3,5 G UNGUENT OFTALMIC P-RF
S.I.F.I. SPA
ITALIA
CUTIE X 1 FLACON X 5ML
P-RF
S.I.F.I. SPA
ITALIA
CUTIE X 3 FOLII TERMOSUDATE X 5 FLACOANE UNIDOZA DIN POLIETILENA X 0,3 MLP-RF
S.I.F.I. SPA
ITALIA
CUTIE X 1 TUB DIN AL X 5 G UNGUENT OFTALMIC, PREV. CU APLICATORP-RF
CUTIE CU 1 FLAC. DIN STICLA BRUNA, CU O LINGURITA DOZATOARE GRADATA LA 2,5 ML SI 5 ML X 120 ML SOL.
DR. GERHARD MANN CHEM.PHARM.FABRIK GMBH
GERMANIA
CUTIE X 1 FLACON DIN PEJD X 5 ML PICATURI OFT., SOL.
DR. GERHARD MANN CHEM.PHARM.FABRIK GMBH
GERMANIA
CUTIE X 1 TUB DIN AL PREVAZUT CU APLICATOR X 3 G P-RF
ROMANIA
CUTIE X 1 FLAC. DIN PEID X 10 ML PIC. OFT., SUSPENSIE
Pagina 24 din 25
P-RF
P-RF
Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)
20
1
20
1
1
1
1
1
1
10
30
30
10
10
10
20
1
1
10
30
10
30
30
30
30
30
30
30
30
10
30
30
30
30
1
1
1
1
1
1
1
1
1
1
1
1
15
1
1
1
1
33,14
24,95
6,78
5,27
10,82
8,46
7,87
8,61
8,61
16,92
42,17
28,34
10,99
7,27
6,41
12,28
36,23
23,91
10,80
25,42
9,35
28,06
10,51
25,45
35,44
35,44
25,45
16,01
28,46
8,21
24,62
28,55
19,94
28,55
13,31
13,31
13,31
13,31
16,73
10,88
4,71
4,08
11,31
20,80
8,64
14,18
28,94
32,50
14,45
15,38
10,12
Pret
amanuntul
maximal/UT
(RON)
1,657000
24,950000
0,339000
5,270000
10,820000
8,460000
7,870000
8,610000
8,610000
1,692000
1,405666
0,944666
1,099000
0,727000
0,641000
0,614000
36,230000
23,910000
1,080000
0,847333
0,935000
0,935333
0,350333
0,848333
1,181333
1,181333
0,848333
0,533666
0,948666
0,821000
0,820666
0,951666
0,664666
0,951666
13,310000
13,310000
13,310000
13,310000
16,730000
10,880000
4,710000
4,080000
11,310000
20,800000
8,640000
14,180000
1,929333
32,500000
14,450000
15,380000
10,120000
Val suportata
de CNAS/UT
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti
1,303562
24,950000
0,339000
5,270000
7,746366
3,640208
4,353691
2,184125
4,368250
1,209375
1,209375
0,944666
1,099000
0,727000
0,641000
0,614000
24,187500
23,910000
0,820916
0,820916
0,820916
0,820916
0,350333
0,820916
0,820916
0,820916
0,820916
0,533666
0,820916
0,820916
0,820666
0,410458
0,664666
0,820916
12,000000
12,000000
12,000000
12,000000
12,000000
10,880000
4,710000
4,080000
4,080000
4,080000
3,060000
14,180000
1,251059
20,850997
11,302500
15,380000
9,107999
0,651781
12,475000
0,169500
2,635000
3,873183
1,820104
2,176845
1,092062
2,184125
0,604687
0,604687
0,472333
0,549500
0,363500
0,320500
0,307000
12,093750
11,955000
0,410458
0,410458
0,410458
0,410458
0,175166
0,410458
0,410458
0,410458
0,410458
0,266833
0,410458
0,410458
0,410333
0,205229
0,332333
0,410458
6,000000
6,000000
6,000000
6,000000
6,000000
5,440000
2,355000
2,040000
2,040000
2,040000
1,530000
7,090000
0,625529
10,425498
5,651250
7,690000
4,553999
DCI
Nr. crt
cod ATC
1.218
S01BA01
1.219
S01BA01
1.220
S01BA06
1.221
S01CA01 COMBINATII ( NETILMICINUM + DEXAMETHASONUM)
1.222
S01CA01 COMBINATII ( NETILMICINUM + DEXAMETHASONUM)
1.223
S01CA01
1.224
S01CA01 COMBINATII (TOBRAMYCINUM +DEXAMETAZONUM)
1.225
1.226
1.227
S01GX09
1.228
S01XA02
DEXAMETHASONUM
DEXAMETHASONUM
BETAMETHASONUM
COMBINATII (CLORAMPHENICOLUM+DEXAMETHASONUM)
OLOPATADINUM
RETINOLUM
Denumire Comerciala
forma farm.

MAXIDEX (R)
OPHTAMESONE
NETILDEX
NETILDEX
SPERSADEX COMP
DEXATOBROM 3 mg+1 mg/ml
TOBRADEX ( R )
TOBRADEX (R)
OPATANOL 1mg/ml
OCULOTECT
PIC. OFT. SUSP.
concentratie
SOL. OFT.
1mg/ml
0,1%
0,1%
PIC. OFT.,SOL.
4,55 mg/1,32 mg/ml
PIC. OFT.SOL. UNIDOZA
4,55 mg/1,32 mg/ml
PICATURI OFT.-SOL.
5mg/ml+1mg/ml
PICATURI OFT.-SUSP.
PICATURI OFT.-SUSP.
Ambalaj
Prescriptie
ROMANIA CUTIE X 1 FLAC. DIN PEID X 5 ML PIC. OFT., SUSPENSIE P-RF

ALCON COUVREUR NV BELGIA CUTIE X 1 FLACON PICURATOR DIN PE X 5 ML P-RF
DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 1 FLACON X 10ML
P-RF
S.I.F.I. SPA
ITALIA
CUTIE X 1 FLACON DIN PEJD X 5 ML PIC. OFT.SOL. P-RF
S.I.F.I. SPA
ITALIA
CUTIE X 20 FLAC. UNIDOZA DIN PEJD X 0,3 ML PIC.OFT. SOL. P-RF
LABORATOIRES THEA FRANTA CUTIE X 1 FLACON X 5 ML SOL. OFT. + PICURATOR P-RF
ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 FLAC. PEJD A 5 ML + PICURATOR P-RF
ALCON COUVREUR NV BELGIA CUTIE X 1 FLACON PICURATOR PEJD X 5 ML P-RF
ALCON COUVREUR NV BELGIA CUTIE X 1 TUB AL, PREVAZUT CU APLICATOR PEID X 3,5 G P-RF
ALCON LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 FLACON X 5 ML
P-RF
NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 TUB X 10 G GEL. OFT.
P-6L
3mg+1mg/ml
3mg+1mg/ml
UNG. OFT.
3 mg/1 mg/g
PIC. OFT., SOL. 1mg/ml
GEL OFT.
10mg/g
PIC. OFT. SUSP.
Detinator APP
tara det.
APP
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 Snt
ii;
- Tratamentul cu medicamentele corespunztoare DCI-urilor notate cu (***) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale Ministerului Snt
ii i cu aprobarea comisiilor de la
nivelul Caselor Judeene de Asigurri de Sntate;
- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (****) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MS si cu aprobarea comisiilor de la nivelul Casei
Nationale de Asigurari de Sanatate;
- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu(2) se prescrie numai in etapa pregtitoare pentru colonoscopie;
- Pentru medicamentele corespunztoare DCI-urilor notate cu(#) regulile de prescriere sunt stabilite prin Contractul Cadru.
Pagina 25 din 25
Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)
1
1
1
1
20
1
1
1
1
1
1
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)
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
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti
4,553999
4,553999
4,500000
11,920500
0,715230
11,920500
10,000000
11,920500
8,344350
30,490000
16,430000
2,276999
2,276999
2,250000
5,960250
0,357615
5,960250
5,000000
5,960250
4,172175
15,245000
8,215000
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
DIN HG NR. 720/2008 CU MODIFICARILE SI COMPLETARILE ULTERIOARE
VALABIL NCEPND CU 01 APRILIE 2015
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
38
B01AA07
B01AA07
C01AA05
C01AA05
C01AA05
C03AA03
C03CA01
C03CA01
C03CA01
C03CA01
C03CA01
C03CA01
C03CA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
ACENOCUMAROLUM
ACENOCUMAROLUM
DIGOXINUM
DIGOXINUM
DIGOXINUM
HYDROCHLOROTHIAZIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
TROMBOSTOP 2 mg
SINTROM 4 mg
DIGOXIN ZENTIVA 0,25 mg
DIGOXIN 0,5 mg/2 ml
DIGOXIN ZENTIVA 0,5 mg/2ml
NEFRIX 25 mg
FUROSEMID MCC 40 mg
FUROSEMID SLAVIA
FUROSEMID ZENTIVA
FUROSEMID LPH 40 mg
VEROSPIRON
VEROSPIRON
ALSPIRON 25 mg
ALSPIRON 50 mg
BLOXAN
BETAPROL 100 mg
EGILOK 100 mg
METOPROLOL LAROPHARM 100 mg
METOPROLOL 100 mg
METOPROLOL TERAPIA 100 mg
METOPROLOL VIM SPECTRUM 100 mg
METOPROLOL ARENA 100 MG
METOPROLOL 100 mg
METOPROLOL AL 100
EGILOK 25 mg
METOPROLOL 25 mg
METOPROLOL ARENA 25 MG
METOPROLOL LAROPHARM 50 mg
COMPR.
COMPR.
COMPR.
SOL. INJ.
SOL. INJ.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
SOL. INJ.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
COMPR.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
2mg
4mg
0,25mg
0,5mg/2ml
0,5mg/2ml
25mg
40mg
40mg
40mg
40mg
40mg
40mg
10mg/ml
100mg
25mg
25mg
50mg
50mg
25mg
25mg
25mg
50mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
25mg
25mg
25mg
25mg
50mg
TERAPIA SA
P-RF
NOVARTIS PHARMA GMBH GERMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR.
P-RF
ZENTIVA S.A.
ZENTIVA S.A.
ZENTIVA S.A.
ZENTIVA SA
MAGISTRA C&C S.R.L.
SLAVIA PHARM SRL

ZENTIVA SA
LABORMED PHARMA SA
ARENA GROUP S.A.

BIO EEL SRL
ZENTIVA SA
ARENA GROUP S.A.

ARENA GROUP S.A.

BIO EEL SRL
TERAPIA SA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

LABORMED PHARMA SA
LAROPHARM SRL
MAGISTRA C & C SRL
TERAPIA SA
VIM SPECTRUM SRL
ARENA GROUP SA
ROMANIA
UNGARIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
P-RF
S/P-RF
CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE SAU CU PUNCT DE RUPERE SAU CU INEL DE RUPERE SI DOUA INELE (ROSU SI PORTOCALIU)X 2 ML SOL. INJ.
S/P-RF

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

P-6L
P-6L
P6L

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

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

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

P-6L
UNGARIA
LAROPHARM SRL ROMANIA
CUTIE X 1 FLAC. DIN STICLA BRUNA X 20 COMPR.
P-6L

P-6L
Pagina 1 din 44
P-6L
P-6L
P-6L
P-6L
30
20
25
5
5
25
20
20
20
20
20
20
5
30
50
60
30
30
20
50
20
20
30
30
20
30
20
30
30
20
30
20
30
20
20
30
30
20
6,53
6,76
3,34
7,97
7,97
4,18
3,02
3,02
6,02
3,04
6,02
5,42
6,07
28,51
16,07
19,46
16,72
16,24
4,30
17,83
4,30
13,74
14,05
10,94
6,56
7,12
5,86
9,49
15,12
7,38
7,01
8,09
8,78
1,90
1,90
2,85
2,85
3,51
0,217666
0,338000
0,133600
1,594000
1,594000
0,167200
0,151000
0,151000
0,301000
0,152000
0,301000
0,271000
1,214000
0,950333
0,321400
0,324333
0,557333
0,541333
0,215000
0,356600
0,215000
0,687000
0,468333
0,364666
0,328000
0,237333
0,293000
0,316333
0,504000
0,369000
0,233666
0,404500
0,292666
0,095000
0,095000
0,095000
0,095000
0,175500
0,217666
0,338000
0,133600
1,594000
1,594000
0,167200
0,151000
0,151000
0,181200
0,152000
0,181200
0,181200
1,214000
0,950333
0,258000
0,258000
0,557333
0,541333
0,215000
0,258000
0,215000
0,649599
0,280399
0,280399
0,280399
0,237333
0,280399
0,280399
0,280399
0,280399
0,233666
0,280399
0,280399
0,095000
0,095000
0,095000
0,095000
0,175500
0,217666
0,338000
0,133600
1,594000
1,594000
0,167200
0,151000
0,151000
0,181200
0,152000
0,181200
0,181200
1,214000
0,950333
0,258000
0,258000
0,557333
0,541333
0,215000
0,258000
0,215000
0,649599
0,280399
0,280399
0,280399
0,237333
0,280399
0,280399
0,280399
0,280399
0,233666
0,280399
0,280399
0,095000
0,095000
0,095000
0,095000
0,175500
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
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
COD ATC
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB07
C07AB07
C07AB07
C07AB07
C07AB07
C07AB07
C07AB07
C07AB07
C07AB07
C07AB07
C07AB07
C07AB12
C07AB12
C07AB12
C07AB12
C07AB12
C07AB12
C07AB12
C07AB12
C07AB12
C07AB12
C07AB12
C07AG02
C07AG02
C07AG02
C07AG02
C07AG02
C07AG02
C07AG02
C07AG02
C07AG02
C07AG02
DCI
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
Denumire Comerciala
forma farm.
BETAPROL 50 mg
EGILOK 50 mg
METOPROLOL 50 mg
COMPR.
COMPR.
COMPR.
COMPR.
METOPROLOL 50 mg
COMPR.
METOPROLOL AL 50
COMPR.
METOPROLOL RETARD 100 mg COMPR. ELIB. PREL.
COMPR. FILM.
COMPR. FILM.

METOSUCCINAT SANDOZ 47,5 mg
BETALOC
BOREZ 10 mg
CONCOR COR 10 mg
CONCOR COR 10 mg
SOBYC 10 mg
BOREZ 2,5 mg
CONCOR COR 2,5 mg
CONCOR COR 2,5 mg
SOBYC 2,5 mg
CONCOR COR 5 mg
CONCOR COR 5 mg
SOBYC 5 mg
NEBILET (R)
NEBIVOLOL ACTAVIS 5 mg
X-PRESSOL 5 mg
NOLET 5 mg
NEBIVOLOL TEVA 5 mg
NEBIVOLOL TEVA 5 mg
NEBINORM 5 mg
NEBIVOLOL SANDOZ 5 mg
NEBIVOLOL TERAPIA 5mg
NEBIVOLOL TORRENT 5 mg
NEBICARD 5 mg
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.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
CORYOL 12,5 mg
COMPR.
TALLITON (R) 12,5 mg
COMPR.
CARVEDILOL VIM SPECTRUM 12,5mg COMPR.
GLADYCOR 12,5 mg
COMPR.
MIOCARVIL 12,5 mg
COMPR.
CARVEDILOL HELCOR 12,2 mg COMPR.
DILATREND (R) 25 mg
COMPR.
concentratie
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
100mg
100mg
50mg
100mg
50mg
190mg
47,5mg
95mg
5mg/5ml
10 mg
10mg
10mg
10mg
2,5 mg
2,5mg
2,5mg
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
12,5mg
12,5mg
12,5mg
12,5mg
12,5mg
25mg
DETINATOR APP
LABORMED PHARMA SA
MAGISTRA C & C SRL
TERAPIA SA
VIM SPECTRUM SRL
ARENA GROUP S.A.
TARA
DET. APP
ROMANIA
UNGARIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
AMBALAJ
Prescriptie

P-6L

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

P-6L
TERAPIA SA
CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. CU ELIB. PREL.
P-6L
P6L
P6L
ROMANIA
MALTA
MALTA
ASTRAZENECA AB SUEDIA
HEXAL AG
GERMANIA
HEXAL AG
GERMANIA
HEXAL AG
GERMANIA
MERCK KGAA
MERCK KGAA
P-6L

P-6L
P-6L
P-6L
CUTIE X 5 FIOLE X 5 ML SOL.INJ. I.V./PERF.
P6L

KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P6L
MERCK KGAA
MERCK KGAA
P6L

MERCK KGAA
MERCK KGAA
GERMANIA CUTIE X 3 BLIST. AL/PVC, X 10 COMPR. FILM.
P-6L
ACTAVIS S.R.L.

LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR.
ANTIBIOTICE S.A. ROMANIA CUTIE X 3 BLIST. PVC- PE- PVDC/AL X 10 COMPR.
REPUBLICA CEHA
P-6L
P-6L
P6L
P-6L
P-6L
P-6L
P-6L
SANDOZ S.R.L.
TERAPIA S.A.
ROMANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. P6L

TORRENT PHARMA SRL ROMANIA CUTIE CU 3 BLIST. AL/PVC X 10 COMPR. P6L
BIOFARM SP. ZO.O POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. P6L
HEXAL AG
ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. OPA-AL-PVDC/AL X 14 COMPR. P-6L
UNGARIA
P-6L
P-6L

ANTIBIOTICE S.A. ROMANIA
P-6L
Pagina 2 din 44

P-6L
P-6L
P-6L
CUTIE X 2 BLIST. OPA-AL-PVDC/AL X 14 COMPR. P-6L
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
30
20
30
30
30
20
30
20
30
20
30
30
30
30
30
30
30
5
30
30
30
30
30
30
30
30
30
30
30
28
30
30
30
28
30
30
28
28
30
28
30
28
28
30
30
20
30
30
20
28
5,27
3,51
4,75
5,27
7,06
3,45
5,27
3,51
4,39
11,12
9,09
5,24
25,70
15,69
22,71
8,14
13,59
22,16
10,51
32,72
32,72
10,05
8,07
14,76
14,76
6,04
22,31
22,31
6,04
34,55
23,20
27,09
24,87
22,80
24,44
24,87
13,84
22,65
24,59
22,93
8,20
29,94
12,48
13,30
13,36
6,72
13,10
13,36
8,72
33,45
0,175666
0,175500
0,158333
0,175666
0,235333
0,172500
0,175666
0,175500
0,146333
0,556000
0,303000
0,174666
0,856666
0,523000
0,757000
0,271333
0,453000
4,432000
0,350333
1,090666
1,090666
0,335000
0,269000
0,492000
0,492000
0,201333
0,743666
0,743666
0,201333
1,233928
0,773333
0,903000
0,829000
0,814285
0,814666
0,829000
0,494285
0,808928
0,819666
0,818928
0,273333
1,069285
0,445714
0,443333
0,445333
0,336000
0,436666
0,445333
0,436000
1,194642
0,175599
0,175500
0,158333
0,175599
0,175599
0,172500
0,175599
0,175500
0,146333
0,280399
0,280399
0,174666
0,280399
0,175599
0,757000
0,271333
0,453000
4,432000
0,350333
0,402000
0,402000
0,335000
0,241599
0,241599
0,241599
0,201333
0,241599
0,241599
0,201333
0,593142
0,593142
0,593142
0,593142
0,593142
0,593142
0,593142
0,494285
0,593142
0,593142
0,593142
0,273333
0,297000
0,297000
0,297000
0,297000
0,297000
0,297000
0,297000
0,297000
0,330000
0,175599
0,175500
0,158333
0,175599
0,175599
0,172500
0,175599
0,175500
0,146333
0,280399
0,280399
0,174666
0,280399
0,175599
0,757000
0,271333
0,453000
4,432000
0,350333
0,402000
0,402000
0,335000
0,241599
0,241599
0,241599
0,201333
0,241599
0,241599
0,201333
0,593142
0,593142
0,593142
0,593142
0,593142
0,593142
0,593142
0,494285
0,593142
0,593142
0,593142
0,273333
0,297000
0,297000
0,297000
0,297000
0,297000
0,297000
0,297000
0,297000
0,330000
NR.CRT
89
90
91
92
93
94
95
96
97
98
99
DCI
COD ATC
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 C09AA01
108 C09AA01
109 C09AA01
110 C09AA01
111 C09AA01
112 C09AA01
113 C09AA01
114 C09AA01
115 C09AA01
116 C09AA01
117 C09AA01
118 C09AA01
119 C09AA01
120 C09AA01
121 C09AA02
122 C09AA02
123 C09AA02
124 C09AA02
125 C09AA02
126 C09AA02
127 C09AA02
128 C09AA02
129 C09AA02
130 C09AA02
131 C09AA02
132 C09AA02
133 C09AA02
134 C09AA02
135 C09AA02
136 C09AA02
137 C09AA02
138 C09AA02
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
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
Denumire Comerciala
CORYOL 25 mg
TALLITON (R) 25 mg
CARVEDILOL LPH 25 mg
GLADYCOR 25 mg
MIOCARVIL 25 mg
CARVEDILOL HELCOR 25 mg
CARVEDILOL SANDOZ 25 mg

CORYOL (R)
TALLITON 6,25 mg
CARVEDILOL LPH 6,25 mg
CARVEDILOL VIM SPECTRUM 6,25 mg
GLADYCOR 6,25 mg
MIOCARVIL 6,25 mg
CARVEDILOL SANDOZ 6,25 mg
CARVEDILOL AUROBINDO 12,5mg
CARVEDILOL AUROBINDO 25mg

CARVEDILOL AUROBINDO 6,25mg
CAPTOPRIL MCC 12,5 mg

CAPTOPRIL 25 mg
CAPTOPRIL 25 EEL
CAPTOPRIL MCC 25 mg
CAPTOPRIL LPH 25 mg
CAPTOPRIL SINTOFARM 25 mg
CAPTOPRIL 50 mg
CAPTOPRIL 50 EEL
CAPTOPRIL MCC 50 mg
CAPTOPRIL LPH 50 mg
ENALAPRIL 10 mg
ENALAPRIL LPH 10 mg
ENAP 10 mg
RENITEC 10 mg
ENALAPRIL VIM SPECTRUM 10 mg
ENALAPRIL 20 mg
ENALAPRIL LPH 20 mg
ENAP 20 mg
RENITEC 20 mg
forma farm.
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.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
concentratie
25mg
25mg
25mg
25mg
25mg
25mg
25mg
6,25mg
6,25mg
6,25mg
6,25mg
6,25mg
6,25mg
6,25mg
6,25mg
12,5mg
25mg
6,25mg
12,5mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
50 mg
50mg
50mg
50mg
50mg
50mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
20mg
20mg
20mg
20mg
20mg
20mg
DETINATOR APP
TARA
DET. APP
AMBALAJ
Prescriptie
UNGARIA
HEXAL AG
P-6L

P-6L
P-6L
P-6L
P-6L
ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. OPA-AL-PVDC/AL X 14 COMPR. P-6L
KRKA D.D.
SLOVENIA CUTIE X 4 BLIST. OPA-AL-PVC/AL X 7 COMPR. P-6L
UNGARIA
P-6L
P-6L

ANTIBIOTICE S.A. ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR.
P-6L
HEXAL AG
MAGISTRA C & C
TERAPIA SA
BIO EEL SRL
MAGISTRA C & C
LABORMED PHARMA SA
SINTOFARM SA
ARENA GROUP SA
ARENA GROUP SA
TERAPIA SA
BIO EEL SRL
MAGISTRA C & C
LABORMED PHARMA SA
MAGISTRA C & C
SANDOZ SRL
LABORMED PHARMA SA
P-6L
P-6L
MALTA
MALTA
MALTA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

P-6L

P-6L
P-6L

P6L
P6L
P6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. PVC/ AL X 10 COMPR.
P-6L
MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. AL/AL X 14 COMPR.
P-6L
TERAPIA SA
ARENA GROUP SA
ARENA GROUP SA
ARENA GROUP SA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
MAGISTRA C & C
ROMANIA
SANDOZ SRL
ROMANIA
CUTIE X 3 BLIST. AL/PVC, X 10 COMPR. P-6L

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

P-6L
P-6L
P-6L
TERAPIA SA
Pagina 3 din 44
ROMANIA
P-6L
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
28
30
30
30
30
20
30
28
28
30
30
20
30
30
30
28
28
28
30
30
20
20
30
30
30
20
20
30
20
20
30
30
20
20
20
20
20
28
20
30
50
100
20
20
20
20
20
20
28
20
22,05
23,62
23,62
23,00
23,62
15,72
9,18
16,46
6,44
6,89
6,89
4,56
6,70
6,89
5,33
6,93
7,70
4,85
3,41
4,10
3,02
2,28
3,42
3,42
4,64
2,28
2,67
6,67
3,87
2,67
4,50
3,93
4,39
3,96
4,39
4,39
4,39
10,52
7,30
6,87
11,25
22,02
4,10
4,39
7,94
10,18
8,75
7,94
17,12
11,11
0,787500
0,787333
0,787333
0,766666
0,787333
0,786000
0,306000
0,587857
0,230000
0,229666
0,229666
0,228000
0,223333
0,229666
0,177666
0,247500
0,275000
0,173214
0,113666
0,136666
0,151000
0,114000
0,114000
0,114000
0,154666
0,114000
0,133500
0,222333
0,193500
0,133500
0,150000
0,131000
0,219500
0,198000
0,219500
0,219500
0,219500
0,375714
0,365000
0,229000
0,225000
0,220200
0,205000
0,219500
0,397000
0,509000
0,437500
0,397000
0,611428
0,555500
0,330000
0,330000
0,330000
0,330000
0,330000
0,330000
0,306000
0,207856
0,207856
0,207856
0,207856
0,207856
0,207856
0,207856
0,177666
0,247500
0,275000
0,173214
0,113666
0,136666
0,136800
0,114000
0,114000
0,114000
0,136800
0,114000
0,133500
0,157200
0,157200
0,133500
0,150000
0,131000
0,219500
0,198000
0,219500
0,219500
0,219500
0,237600
0,237600
0,229000
0,225000
0,220200
0,205000
0,219500
0,394320
0,394320
0,394320
0,394320
0,394320
0,394320
0,330000
0,330000
0,330000
0,330000
0,330000
0,330000
0,306000
0,207856
0,207856
0,207856
0,207856
0,207856
0,207856
0,207856
0,177666
0,247500
0,275000
0,173214
0,113666
0,136666
0,136800
0,114000
0,114000
0,114000
0,136800
0,114000
0,133500
0,157200
0,157200
0,133500
0,150000
0,131000
0,219500
0,198000
0,219500
0,219500
0,219500
0,237600
0,237600
0,229000
0,225000
0,220200
0,205000
0,219500
0,394320
0,394320
0,394320
0,394320
0,394320
0,394320
NR.CRT
DCI
COD ATC
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 C09AA03
154 C09AA03
155 C09AA03
156 C09AA03
157 C09AA03
158 C09AA03
159 C09AA03
160 C09AA03
161 C09AA03
162 C09AA03
163 C09AA03
164 C09AA03
165 C09AA03
166 C09AA03
167 C09AA03
168 C09AA03
169 C09AA03
170 C09AA03
171 C09AA03
172 C09AA03
173 C09AA03
174 C09AA03
175 C09AA03
176 C09AA05
177 C09AA05
178 C09AA05
179 C09AA05
180 C09AA05
181 C09AA05
182 C09AA05
183 C09AA05
184 C09AA05
185 C09AA05
186 C09AA05
187 C09AA05
188 C09AA05
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
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
Denumire Comerciala
forma farm.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
SOL. INJ./PERF.
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.
ENALAPRIL 5 mg
ENAP 5 mg
RENITEC 5 mg
ENALAPRIL LPH (R) 5 mg
ENAP 1,25 mg/ml

RANOLIP
LISIREN 10 mg
LISINOPRIL SANDOZ 10 mg
LISIGAMMA 10 mg
LISINOPRIL 10 MEDO
LISINOPRIL ACTAVIS 10 mg
TONOLYSIN 10 mg
TONOLYSIN 2,5 mg
RANOLIP
LISIREN 20 mg
LISINOPRIL SANDOZ 20 mg
LISIGAMMA 20 mg
TONOLYSIN 20 mg
LISINOPRIL 20 MEDO
RANOLIP
LISIGAMMA 5 mg
LISINOPRIL 5 MEDO
TONOLYSIN 5 mg
VIVACE 10 mg
PIRAMIL 10 mg
RAMIPRIL-AC 10 mg
AMPRIL 10 mg
HARTIL 10 mg
ZENRA 10
TRITACE 10
AMPRIGEN 10 mg
RAMIPRIL TEVA 10 mg
RAMIRAN 10 mg
RAMIRAN 10 mg
VIVACE 2,5 mg
concentratie
20mg
20mg
20mg
20mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
1,25mg/ml
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
2,5mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
40mg
5mg
5mg
5mg
5mg
5mg
10 mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
2,5 mg
TARA
DET. APP
MAGISTRA C & C
ROMANIA
SANDOZ SRL
ROMANIA
DETINATOR APP
AMBALAJ
Prescriptie

P-6L

P-6L
P-6L
P6L
P6L
P-6L
P-6L
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/AL X 10 COMPR.
P-6L
TERAPIA SA
ROMANIA CUTIE X 2 BLIST. AL/PVC-PE-PVDC X 10 COMPR.
ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
P-6L
P-6L
SLAVIA PHARM S.R.L. ROMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. P6L

LAROPHARM SRL ROMANIA CUTIE CU 1 BLIST. PVC/AL X 20 COMPR. P6L
PR/PRF
MAREA BRITANIE
P-6L
AC HELCOR SRL
HEXAL AG

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

MAREA BRITANIE
AC HELCOR SRL
HEXAL AG

P-6L
P-6L
ANTIBIOTICE SA

CUTIE X 2 BLIST. PVDC/AL X 10 COMPR.
P-6L
ANTIBIOTICE SA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
MAREA BRITANIE
P-6L
ANTIBIOTICE SA

ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/AL X 30 COMPR.
SANDOZ SRL
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L

MALTA
ZENTIVA S.A.
P-6L
P-6L
P-6L

ROMANIA CUTIE CU BLIST. OPA/AL/PVC-AL X 30 COMPR. P6L
TERAPIA SA
TERAPIA SA
ACTAVIS GROUP HF ISLANDA CUTIE X 4 BLIST. AL/AL X 7COMPR. P-6L
Pagina 4 din 44
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
30
50
20
20
20
20
20
28
20
20
30
20
20
5
30
20
30
30
30
30
30
28
28
30
20
30
30
30
30
28
20
30
30
30
30
30
28
28
28
30
30
28
28
28
28
30
30
30
30
28
11,12
16,43
7,92
7,94
3,67
3,67
3,67
7,87
3,84
3,93
5,58
3,67
3,67
15,45
14,98
10,74
10,31
8,61
14,44
12,87
11,96
15,47
8,75
23,11
15,65
15,05
12,93
23,37
23,48
22,90
14,44
39,31
7,64
6,50
8,67
7,37
9,28
9,23
23,28
9,74
24,93
9,21
9,23
14,19
9,49
24,04
9,88
9,88
9,88
4,65
0,370666
0,328600
0,396000
0,397000
0,183500
0,183500
0,183500
0,281071
0,192000
0,196500
0,186000
0,183500
0,183500
3,090000
0,499333
0,537000
0,343666
0,287000
0,481333
0,429000
0,398666
0,552500
0,312500
0,770333
0,782500
0,501666
0,431000
0,779000
0,782666
0,817857
0,722000
1,310333
0,254666
0,216666
0,289000
0,245666
0,331428
0,329642
0,831428
0,324666
0,831000
0,328928
0,329642
0,506785
0,338928
0,801333
0,329333
0,329333
0,329333
0,166071
0,370666
0,328600
0,394320
0,394320
0,183500
0,183500
0,183500
0,220200
0,192000
0,196500
0,186000
0,183500
0,183500
3,090000
0,344400
0,344400
0,343666
0,287000
0,344400
0,344400
0,344400
0,344400
0,312500
0,517200
0,517200
0,501666
0,431000
0,517200
0,517200
0,517200
0,517200
1,310333
0,254666
0,216666
0,259999
0,245666
0,259999
0,329642
0,389599
0,324666
0,389599
0,328928
0,329642
0,389599
0,338928
0,389599
0,329333
0,329333
0,329333
0,166071
0,370666
0,328600
0,394320
0,394320
0,183500
0,183500
0,183500
0,220200
0,192000
0,196500
0,186000
0,183500
0,183500
3,090000
0,344400
0,344400
0,343666
0,287000
0,344400
0,344400
0,344400
0,344400
0,312500
0,517200
0,517200
0,501666
0,431000
0,517200
0,517200
0,517200
0,517200
1,310333
0,254666
0,216666
0,259999
0,245666
0,259999
0,329642
0,389599
0,324666
0,389599
0,328928
0,329642
0,389599
0,338928
0,389599
0,329333
0,329333
0,329333
0,166071
NR.CRT
DCI
COD ATC
189 C09AA05
190 C09AA05
191 C09AA05
192 C09AA05
193 C09AA05
194 C09AA05
195 C09AA05
196 C09AA05
197 C09AA05
198 C09AA05
199 C09AA05
200 C09AA05
201 C09AA05
202 C09AA05
203 C09AA05
204 C09AA05
205 C09AA05
206 C09AA05
207 C09AA05
208 C09AA05
209 C09AA05
210 C09CA03
211 C09CA03
212 C09CA03
213 C09CA03
214 C09CA03
215 C09CA03
216 C09CA03
217 C09CA03
218 C09CA03
219 C09CA03
220 C09CA03
221 C09CA03
222 C09CA03
223 C09CA03
224 C09CA03
225 C09CA03
226 C09CA03
227 C09CA03
228 C09CA03
229 C09CA03
230 C09CA03
231 C09CA03
232 C09CA03
233 C09CA03
234 C09CA03
235 C09CA03
236 C09CA03
237 C09CA03
238 C09CA03
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**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
Denumire Comerciala
PIRAMIL 2,5 mg
RAMIPRIL-AC 2,5 mg
AMPRIL 2,5 mg
HARTIL 2,5 mg
ZENRA 2,5
TRITACE(R) 2,5
AMPRIGEN 2,5 mg
RAMIRAN 2,5 mg
RAMIRAN 2,5 mg
VIVACE 5 mg
PIRAMIL 5 mg
RAMIPRIL-AC 5 mg
AMPRIL 5 mg
HARTIL 5 mg
ZENRA 5
TRITACE 5
AMPRIGEN 5 mg
RAMIPRIL TEVA 5 mg
RAMIRAN 5 mg
RAMIRAN 5 mg
WENZELL 160 mg
WENZELL 160 mg
VALSARGAMMA 160 mg
DIOVAN 160 mg
VALSACOR 160 mg
AVASSAN 160 mg
VAPRESS 160 mg
VAPRESS 160 mg
WAROTA 160 mg
DIOVAN 40 mg
AVASSAN 40 mg
VAPRESS 40 mg
VAPRESS 40 mg
WENZELL 80 mg
WENZELL 80 mg
VALSARGAMMA 80 mg
DIOVAN 80 mg
VALSACOR 80 mg
AVASSAN 80 mg
WAROTA 80 mg
VAPRESS 80 mg
VAPRESS 80 mg
DIOVAN 3 mg/ml
forma farm.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
CAPS.
CAPS.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
SOL. ORALA
concentratie
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
5 mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
160mg
80mg
160mg
160mg
160mg
160mg
160mg
160mg
160mg
160mg
160mg
160mg
160mg
40mg
40mg
40mg
40mg
80mg
80mg
80mg
80mg
80mg
80mg
80mg
80mg
80mg
80mg
80mg
3mg/ml
TARA
DET. APP
AMBALAJ
SANDOZ SRL
ROMANIA CUTIE X 4 FOLII AL-LDPE/LDPE-AL X 7 COMPR. P-6L
DETINATOR APP
Prescriptie
ZENTIVA S.A.

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

TERAPIA SA
TERAPIA SA

SANDOZ SRL
P-6L
P-6L

MALTA
ZENTIVA S.A.
P-6L
P-6L
P-6L

ROMANIA CUTIE CU BLIST. OPA/AL/PVC-AL X 30 COMPR. P6L
TERAPIA SA
TERAPIA SA
ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS.

ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS.
ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL-PVDC X 28 COMPR. FILM.
ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL-PVDC X 30 COMPR. FILM.
GERMANIA

NOVARTIS PHARMA GMBH GERMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.
ROMANIA
P-6L
P-6L
P-6L
P-6L
P6L
P-6L
TERAPIA S.A.
ROMANIA
ZENTIVA, K.S.
REPUBLICA CEHA
P6L
P6L
P6L
CUTIE CU BLIST. PVC-PE-PVDC (TRIPLEX)/AL X 28 COMPR. FILM.
P-6L
P6L
P6L
P6L
P6L
P6L
P6L
P6L
P-6L
ROMANIA
ROMANIA
P-6L
GERMANIA
P6L
NOVARTIS PHARMA GMBH GERMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28COMPR. FILM.
TERAPIA S.A.
ROMANIA

NOVARTIS PHARMA GMBH GERMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X28COMPR. FILM. P6L
ROMANIA
ROMANIA
P6L
P6L
P6L
REPUBLICA CEHA
CUTIE CU BLIST. PVC-PE-PVDC (TRIPLEX)/AL X 28 COMPR. FILM.
P-6L

P6L
P6L
P6L
CUTIE CU 1 FLAC. DIN STICLA BRUNA X 160 ML SOL. ORALA + 1 TRUSA DE ADMINISTRARE (ADAPTOR PT. FLAC.+1
P-6L
TERAPIA S.A.
ZENTIVA, K.S.
Pagina 5 din 44
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
28
9,37
30
4,87
30 10,02
28
4,62
28
4,65
28
7,15
30
9,92
30
4,98
30
4,98
28
6,70
28 10,17
30
7,18
30 10,85
28
6,69
28
6,70
28 10,31
28
7,10
30 10,75
30
7,18
30
7,18
30
7,18
28 32,59
28 20,26
28 66,00
30 70,74
30 33,91
28 116,60
28 65,71
28 32,85
28 66,00
28 22,79
28 32,82
28 32,82
30 33,16
28 71,91
28 42,63
28 11,16
28 11,16
28 47,37
30 50,79
30 23,25
28 91,88
28 47,00
28 28,84
28 47,40
28 14,95
30 32,48
28 18,18
28 18,18
1 41,42
0,334642
0,162333
0,334000
0,165000
0,166071
0,255357
0,330666
0,166000
0,166000
0,239285
0,363214
0,239333
0,361666
0,238928
0,239285
0,368214
0,253571
0,358333
0,239333
0,239333
0,239333
1,163928
0,723571
2,357142
2,358000
1,130333
4,164285
2,346785
1,173214
2,357142
0,813928
1,172142
1,172142
1,105333
2,568214
1,522500
0,398571
0,398571
1,691785
1,693000
0,775000
3,281428
1,678571
1,030000
1,692857
0,533928
1,082666
0,649285
0,649285
41,420000
0,194799
0,162333
0,194799
0,165000
0,166071
0,194799
0,194799
0,166000
0,166000
0,239285
0,286713
0,239333
0,286713
0,238928
0,239285
0,286713
0,253571
0,286713
0,239333
0,239333
0,239333
0,976713
0,640713
0,976713
0,976713
0,976713
0,976713
0,976713
0,976713
0,976713
0,813928
0,976713
0,976713
0,976713
0,478285
0,478285
0,398571
0,398571
0,640713
0,640713
0,640713
0,640713
0,640713
0,640713
0,640713
0,533928
0,640713
0,640713
0,640713
41,420000
0,194799
0,162333
0,194799
0,165000
0,166071
0,194799
0,194799
0,166000
0,166000
0,239285
0,286713
0,239333
0,286713
0,238928
0,239285
0,286713
0,253571
0,286713
0,239333
0,239333
0,239333
0,976713
0,640713
0,976713
0,976713
0,976713
0,976713
0,976713
0,976713
0,976713
0,813928
0,976713
0,976713
0,976713
0,478285
0,478285
0,398571
0,398571
0,640713
0,640713
0,640713
0,640713
0,640713
0,640713
0,640713
0,533928
0,640713
0,640713
0,640713
41,420000
NR.CRT
COD ATC
239 C09CA06
240 C09CA06
241 C09CA06
242 C09CA06
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
268 C09CA06
269 C09CA06
270 C09CA06
271 C09CA06
272 C09CA06
273 C09CA06
DCI
CANDESARTANUM CILEXETIL**
Denumire Comerciala
TANDESAR 16 mg
HIPOSTYN 16 mg
KARBIS 16 mg
CLASTINOL 16 mg
CANDEPOL 16 mg
ATACAND 16mg
CANZENO 16mg
CADEXYL 16 mg
HIPOSTYN 32 mg
KARBIS 32 mg
CLASTINOL 32 mg
CANDEPOL 32 mg
ATACAND 32 mg
CANZENO 32mg
CADEXYL 32 mg
TANDESAR 8 mg
HIPOSTYN 8 mg
KARBIS 8 mg
CLASTINOL 8 mg
CANDEPOL 8 mg
ATACAND 8mg
CANZENO 8mg
CADEXYL 8 mg
forma farm.
concentratie
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
16mg
16mg
16mg
16mg
16mg
16mg
16mg
16mg
16mg
16mg
16mg
16mg
16mg
32mg
32mg
32mg
32mg
32mg
32mg
32mg
32mg
32mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
COMPR.
COMPR.
2mg
4mg
DETINATOR APP
TERAPIA SA
SANDOZ SRL
TARA
DET. APP
AMBALAJ
ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR. P6L
Prescriptie
KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR.

P-6L

ZENTIVA K.S.
REPUBLICA CEHA
CUTIE CU BLIST. PVC/PVDC/AL CE CONTINE 28 COMPR.
P-6L
P6L
LABORMED PHARMA S.A. ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14COMPR. P6L
MALTA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR.
P6L

ZENTIVA K.S.
REPUBLICA CEHA
P-6L
P6L
P6L
P6L
ROMANIA CUTIE CU BLIST. OPA-AL-PVC/PVC-PVAC-AL-OPA X 30 COMPR.

NEOLA PHARMA SRL ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR.
TERAPIA SA
ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR.
SANDOZ SRL
ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR.
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR.

P-6L

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

ZENTIVA K.S.
REPUBLICA CEHA
P-6L
P6L
LABORMED PHARMA S.A. ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. P6L
MALTA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
28
28
30
30
30
28
28
28
30
30
28
30
28
30
30
30
28
28
28
30
30
28
28
28
30
30
30
28
28
28
30
30
28
30
28
44,87
26,95
42,50
43,24
48,03
44,85
44,88
42,69
29,85
29,85
41,42
29,28
29,85
71,36
81,75
81,75
69,33
76,32
60,15
36,65
36,65
36,65
36,46
16,81
24,13
33,01
39,07
36,46
36,46
22,05
16,22
23,07
33,65
21,57
16,22
1,602500
0,962500
1,416666
1,441333
1,601000
1,601785
1,602857
1,524642
0,995000
0,995000
1,479285
0,976000
1,066071
2,378666
2,725000
2,725000
2,476071
2,725714
2,148214
1,221666
1,221666
1,308928
1,302142
0,600357
0,804333
1,100333
1,302333
1,302142
1,302142
0,787500
0,540666
0,769000
1,201785
0,719000
0,579285
1,155000
0,962500
1,155000
1,155000
1,155000
1,155000
1,155000
1,155000
0,995000
0,995000
1,155000
0,976000
1,066071
1,465999
1,465999
1,465999
1,465999
1,465999
1,465999
1,221666
1,221666
1,308928
0,648799
0,600357
0,648799
0,648799
0,648799
0,648799
0,648799
0,648799
0,540666
0,648799
0,648799
0,648799
0,579285
1,155000
0,962500
1,155000
1,155000
1,155000
1,155000
1,155000
1,155000
0,995000
0,995000
1,155000
0,976000
1,066071
1,465999
1,465999
1,465999
1,465999
1,465999
1,465999
1,221666
1,221666
1,308928
0,648799
0,600357
0,648799
0,648799
0,648799
0,648799
0,648799
0,648799
0,540666
0,648799
0,648799
0,648799
0,579285
30
20
6,53
6,76
0,217666
0,338000
0,217666
0,338000
0,217666
0,338000
30 359,66
28 37,53
28 37,53
11,988666
1,340357
1,340357
11,988666
0,665066
0,665066
11,988666
0,665066
0,665066
2. BOLNAVI CU PROTEZE VALVULARE SI VASCULARE - G2

1
2
B01AA07
B01AA07
ACENOCUMAROLUM*
ACENOCUMAROLUM*
TROMBOSTOP 2 mg
SINTROM 4 mg
TERAPIA SA
P-RF
NOVARTIS PHARMA GMBH GERMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR.
P-RF
Tratamentul se initiaz de ctre medicul n specialitatea cardiologie si chirurgie cardiaca si a vaselor mari
3. BOLNAVI CU PROCEDURI INTERVENTIONALE PERCUTANE, NUMAI DUPA IMPLANTAREA UNEI PROTEZE ENDOVASCULARE (STENT)- G3
1
2
3
B01AC04
B01AC04
B01AC04
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
PLAVIX 300mg
COMPR. FILM.
CLOPIDOGREL TEVA 75 mg COMPR. FILM.
ZYLLT
COMPR. FILM.
300mg
75 mg
75 mg
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 44
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
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
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***
Denumire Comerciala
forma farm.
PLAVIX 75mg
TROMBEX 75 mg
EGITROMB 75 mg
TROMBEX 75 mg
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
CLOPIDOGREL MYLAN 75mg COMPR. FILM.
TROGRAN 75 mg
COMPR. FILM.
CLOPIGAMMA 75 mg
COMPR. FILM.
CLOPIGAMMA 75 mg
COMPR. FILM.
PLAVOCORIN 75 mg
COMPR. FILM.
CLOPIDOGREL ACTAVIS 75 mg COMPR. FILM.
DEFROZYP 75 mg
COMPR. FILM.
TESSYRON 75 mg
COMPR. FILM.
CLOPIDOGREL DR. REDDY'S 75 mg COMPR. FILM.
MOYTOR 75 mg
COMPR. FILM.
PLATEL 75 mg
COMPR. FILM.
PLATEL 75 mg
COMPR. FILM.
PLATEL 75 mg
COMPR. FILM.
CLOPIDOGREL TERAPIA 75 mg COMPR. FILM.
PLATEL 75 mg
COMPR. FILM.
DEPLATT 75 mg
COMPR. FILM.
TROMBEX 75 mg
COMPR. FILM.
TROMBEX 75 mg
COMPR. FILM.
CLOPIDOGREL POLIPHARMA 75 mg COMPR. FILM.
CLOPIDOGREL AUROBINDO 75 mg COMPR. FILM.
concentratie
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
DETINATOR APP
TARA
DET. APP
AMBALAJ
Prescriptie
CUTIE X 28 COMPR. FILM. (BLIST. PVC/PVDC/AL) P-RF
ZENTIVA K.S.
FRANTA
CEHIA
UNGARIA
CUTIE CU BLIST. OPA-AL-PVDC/AL X 28 COMPR. FILM.
ZENTIVA K.S.
MYLAN S.A.S.
CEHIA
FRANTA
REPUBLICA CEHA
GERMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM.
P-RF
GERMANIA
P-RF
SANDOZ S.R.L.
ROMANIA
ISLANDA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM.
P-RF
CUTIE CU BLIST. DIN OPA/AL/PVC-AL X 28 COMPR.FILM. P-RF

P-RF
P-RF
P-RF
CUTIE CU BLIST. OPA-AL-PVDC/AL X 28 COMPR. FILM.
P-RF
ROMANIA
ROMANIA
ROMANIA
CUTIE CU BLIST. PVC-PCTFE-PVC/AL X 30 COMPR. FILM.
P-RF
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
TERAPIA S.A.
MEDOCHEMIE LTD.
P-RF
CUTIE CU BLIST. PCTFE-PE-PVC/AL X 28 COMPR. FILM.
P-RF
CIPRU
CIPRU
CIPRU
CUTIE CU BLIST. AL/AL X 10 COMPR. FILM.
P-RF
P-RF
P-RF
ROMANIA
CUTIE CU 3 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM.
PRF
CIPRU
P-RF
ROMANIA
ZENTIVA K.S.
ZENTIVA K.S.
CEHIA
CEHIA
ROMANIA
MERCK SHARP & DOHME
PRF
CUTIE CU BLISTERE DIN PVC-PVDC/AL CONTINND 30 COMPRIMATE FILMATE
P-RF
CUTIE CU BLISTERE DIN PVC-PVDC/AL CONTINND 90 COMPRIMATE FILMATE
P-RF
P6L
MALTA
PRF
MAREA BRITANIE
CUTIE X 140 CAPS. ( BLIST. PVC/PE/PVDC )
P-RF/R
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
28 57,74
30 17,86
28 37,52
90 52,86
28 79,52
28 79,52
28 37,53
28 37,53
28 37,53
28 37,53
28 37,53
30 40,26
30 40,22
28 37,52
10 13,82
60 76,22
90 114,32
30 51,97
28 37,46
30 40,20
30 17,18
90 49,88
30 40,22
28 16,02
2,062142
0,595333
1,340000
0,587333
2,840000
2,840000
1,340357
1,340357
1,340357
1,340357
1,340357
1,342000
1,340666
1,340000
1,382000
1,270333
1,270222
1,732333
1,337857
1,340000
0,572666
0,554222
1,340666
0,572142
0,665066
0,595333
0,665066
0,587333
0,665066
0,665066
0,665066
0,665066
0,665066
0,665066
0,665066
0,665066
0,665066
0,665066
0,665066
0,665066
0,665066
0,665066
0,665066
0,665066
0,572666
0,554222
0,665066
0,572142
0,665066
0,595333
0,665066
0,587333
0,665066
0,665066
0,665066
0,665066
0,665066
0,665066
0,665066
0,665066
0,665066
0,665066
0,665066
0,665066
0,665066
0,665066
0,665066
0,665066
0,572666
0,554222
0,665066
0,572142
4,350000
3,960000
6,470333
9,954642
41,129666
27,561000
64,299333
58,287666
64,614000
326,020000
514,010000
197,890000
318,520000
98,852000
261,450000
225,874000
426,080000
368,704000
87,430000
171,940000
4,350000
3,960000
6,470333
7,764399
33,073200
27,561000
64,299333
58,287666
64,614000
237,468000
382,224000
197,890000
318,520000
98,852000
237,468000
225,874000
382,224000
368,704000
87,430000
171,940000
4,350000
3,960000
6,470333
7,764399
33,073200
27,561000
64,299333
58,287666
64,614000
237,468000
382,224000
197,890000
318,520000
98,852000
237,468000
225,874000
382,224000
368,704000
87,430000
171,940000
Tratamentul se iniiaz de ctre medicul n specialitatea cardiologie.
4. HEPATITELE CRONICE DE ETIOLOGIE VIRALA B, C i D - G4

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
J05AB04
J05AB04
J05AF05
J05AF05
J05AF07
J05AF07
J05AF08
J05AF10
J05AF10
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AB04
L03AB04
RIBAVIRINUM****
RIBAVIRINUM****
LAMIVUDINUM****
LAMIVUDINUM****
REBETOL 200 mg
COPEGUS 200mg
ZEFFIX 100 mg
TENOFOVIRUM DISOPROXIL FUMARATE**** VIREAD 245mg
CAPS.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR.
COMPR. FILM.
COMPR. FILM.
SOL. INJ.
SOL. INJ.
200mg
200mg
100 mg
100mg
245mg
TENOFOVIRUM DISOPROXIL FUMARATE**** TENOFOVIR DISOPROXIL TEVA 245 mg
245mg
ADEFOVIRUM DIPIVOXILUM****
HEPSERA
10mg
ENTECAVIRUM****
BARACLUDE 0,5mg
0,5mg
ENTECAVIRUM****
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
SOL. INJ./PERF. 120g/0,2ml
TEVAGRASTIM 30MUI/0,5ml SOL. INJ./PERF. 300mcg/0,5ml
TEVAGRASTIM 48MUI/0,8ml SOL. INJ./PERF. 480mcg/0,8ml
INTERFERONUM ALFA 2A****
ROFERON A
SOL. INJ.
3Mui/0,5ml
ROFERON A
SOL. INJ.
9Mui/0,5ml
SOL. INJ. /PERF. IN SERINGA PREUMPLUTA
ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. PEID X 168 COMPR. FILM.

GLAXO GROUP LTD. MAREA BRITANIE
P-RF/R
CUTIE CU BLIST. PVC/PVDC/AL X 30 COMPR. FILM.
P-RF/R
CUTIE X 28 COMPR. FILM. (BLIST. PVC-AL/PVC-AL)
P-RF/R
CUTIE X 1 FLAC. DIN PEID X 30 COMPR. FILM
P-RF/R
GILEAD SCIENCE INTERNATIONAL LIMITED
MAREA BRITANIE
ROMANIA
MAREA BRITANIE
P-RF/R
BRISTOL-MYERS SQUIBB PHARMA EEIG
MAREA BRITANIE
CUTIE X 30 X 1 COMPR. FILM. (BLIST. AL/AL UNIDOZA)
P-RF/R
MAREA BRITANIE
CUTIE X 30 X 1 COMPR. FILM.(BLIST. AL/AL UNIDOZA)
P-RF/R
CUTIE CU 1 FLAC. DIN PED CU CAPAC CAPAC PREVAZUT CU SISTEM SECURIZAT PENTRU COPII DIN PP SI RECIPIENT CU DESICANT, A 30 COMPR. FILM.
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
PR
S/P-RF
S/P-RF
SANDOZ GMBH
SANDOZ GMBH
AUSTRIA
AUSTRIA
CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL
P-RF/R
CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL
P-RF/R
HOSPIRA UK LIMITED
MAREA BRITANIE
CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,2ML SOL. INJ. SAU PERF.
P-RF
TEVA GENERICS GMBH GERMANIA
CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF.
S/P-RF/R
HOSPIRA UK LIMITED
CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF.
P-RF
CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF.
S/P-RF/R
HOSPIRA UK LIMITED
P-RF
MAREA BRITANIE
MAREA BRITANIE
CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML + AC STERIL
CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. + AC STERIL
Pagina 7 din 44
PR
PR
140
168
30
28
30
30
30
30
30
1
1
1
1
5
1
5
1
5
1
1
609,00
665,28
194,11
278,73
1.233,89
826,83
1.928,98
1.748,63
1.938,42
326,02
514,01
197,89
318,52
494,26
261,45
1.129,37
426,08
1.843,52
87,43
171,94
NR.CRT
21
22
23
24
25
26
27
28
29
30
31
32
DCI
COD ATC
L03AB05
L03AB05
L03AB10
L03AB10
L03AB10
L03AB10
L03AB10
L03AB10
L03AB10
L03AB10
L03AB11
N04BB01
INTERFERONUM ALFA 2B****

PEGINTERFERON ALFA-2B****
PEGINTERFERON ALFA-2A****
AMANTADINUM**
Denumire Comerciala

PEGINTRON 100 g
PEGINTRON 100 g
PEGINTRON 120 g
PEGINTRON 120 g
PEGINTRON 150 g
PEGINTRON 150 g
PEGINTRON 50 g
PEGINTRON 50 g
PEGASYS 180 mcg/0,5ml
VIREGYT (R)- K
forma farm.
concentratie
DETINATOR APP
TARA
DET. APP
AMBALAJ
Prescriptie
SOL. INJ. PEN MULTIDOZA
18 milioane U.I. MERCK SHARP & DOHME
MAREA BRITANIE
CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML SOL. INJ. + 12 ACE + 12 TAMPOANE DEZINFECTANTE
P-RF/R
MAREA BRITANIE
CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML + 12 ACE + 12 TAMPOANE DEZINFECTANTE
P-RF/R
MERCK SHARP & DOHME
MAREA BRITANIE
CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV. + 1 SERINGA + 2 ACE + 1 TAMPON DEZINFECTANT
MERCK SHARP & DOHME
MAREA BRITANIE
CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV.
MERCK SHARP & DOHME
MAREA BRITANIE
MERCK SHARP & DOHME
MAREA BRITANIE
MERCK SHARP & DOHME
MAREA BRITANIE
MERCK SHARP & DOHME
MAREA BRITANIE
MERCK SHARP & DOHME
MAREA BRITANIE
100g
100g
120g
120g
150g
150g
50g
50g
MERCK SHARP & DOHME
MAREA BRITANIE
PR
PR
PR
PR
PR
PR
PR
PR
180mcg/0,5ml
MAREA BRITANIE
CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML + 1 AC
P-RF/R
CAPS.
100mg
UNGARIA CUTIE X 1 FLAC. X 50 CAPS.

P-6L
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
1
1
1
1
1
1
1
1
1
1
1
50
434,34
715,89
652,37
652,37
768,67
768,67
943,12
943,12
358,21
358,21
975,16
17,07
434,340000
715,890000
652,370000
652,370000
768,670000
768,670000
943,120000
943,120000
358,210000
358,210000
975,160000
0,341400
434,340000
715,890000
652,370000
652,370000
768,670000
768,670000
943,120000
943,120000
358,210000
358,210000
975,160000
0,341400
434,340000
715,890000
652,370000
652,370000
768,670000
768,670000
943,120000
943,120000
358,210000
358,210000
975,160000
0,341400
50
20
1
1
1
3
3
100
100
32,62
29,65
8,81
31,02
20,48
95,62
35,71
70,21
78,89
0,652400
1,482500
8,810000
31,020000
20,480000
31,873333
11,903333
0,702100
0,788900
0,652400
1,482500
8,810000
31,020000
20,480000
31,873333
11,903333
0,702100
0,788900
0,652400
1,482500
8,810000
31,020000
20,480000
31,873333
11,903333
0,702100
0,788900
100 124,28
50 71,49
50 68,77
60 55,47
60 54,19
20 35,88
50 136,52
100 268,17
1 97,49
1,242800
1,429800
1,375400
0,924500
0,903166
1,794000
2,730400
2,681700
97,490000
1,109400
1,109400
1,109400
0,924500
0,903166
1,794000
2,730400
2,681700
97,490000
1,109400
1,109400
1,109400
0,924500
0,903166
1,794000
2,730400
2,681700
97,490000
10,370000
10,370000
10,370000
Tratamentul se initiaz de ctre medicul n specialitatea gastroenterologie / boli infectioase si nefrologie (doar pentru pacientii cu afectare renala consecutiva infectiei cu virusuri hepatitice)
5. HEPATITA AUTOIMUNA - G5
1
2
3
4
5
6
7
8
9
H02AB04
H02AB04
H02AB04
H02AB04
H02AB04
H02AB06
H02AB06
L04AX01
L04AX01
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
PREDNISOLONUM
PREDNISOLONUM
AZATHIOPRINUM*
AZATHIOPRINUM*
MEDROL A 16
MEDROL 32
LEMOD SOLU 125 mg
LEMOD SOLU 500 mg
COMPR.
COMPR.
16mg
32mg
SOLU - MEDROL ACT-O-VIAL LIOF. SI SOLV.PT.SOL.INJ 250mg/4ml
IMURAN
COMPR. FILM. 50mg
IMMUNOPRIN 75 mg
COMPR. FILM. 75mg
MAREA BRITANIE
MAREA BRITANIE
CUTIE X 2 BLIST. AL-PVC/PVC X 10 COMPR. P-RF


ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 7,8 ML
MAREA BRITANIE
P-RF
MERCK KGAA
MERCK KGAA
GERMANIA
P-RF
GERMANIA
CUTIE X 3 FLAC. X 50 MG LIOF. PT. SOL. INJ. + 3 FIOLE X 1 ML SOLVENT
ASPEN EUROPE GMBH GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM.

EBEWE PHARMA GES.M.B.H. NFG KG
AUSTRIA
CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM.
P-RF
S/P-RF
S/P-RF
P-RF
S/P-RF
PR
Tratamentul se initiaz de ctre medicul n specialitatea gastroenterologie
6. CIROZA BILIARA PRIMARA, COLANGITA SCLEROZANTA PRIMITIVA, HEPATITA CRONICA SI CIROZE DE ALTE ETIOLOGII CU COLESTAZA - G6
1
2
3
4
5
6
7
8
9
A05AA02
A05AA02
A05AA02
A05AA02
A05AA02
A05AA02
A05AA02
A05AA02
A05AA02
ACIDUM URSODEOXYCHOLICUM
URSOFALK (R)
URSOFALK (R)
URSOSAN
URSOROM 250 mg
URSOCHOL 150 mg
URSOCHOL 300 mg
URSOFALK 500 mg
URSOFALK 500 mg
CAPS.
CAPS.
CAPS.
CAPS.
COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.
SUSP. ORALA
250mg
250mg
250mg
250mg
150mg
300mg
500mg
500mg
250mg/5ml
LICHID ORAL
66,7%

CEHIA
CUTIE X 4 BLIST. AL/PVC X 25 CAPS. P6L

CUTIE X 2 BLIST. AL/PVC X 25 CAPS. P-6L

ZAMBON S.P.A.
ITALIA
ZAMBON S.P.A.
ITALIA
P6L
CUTIE CU 1 FLAC. DIN STICLA BRUNA X 250 ML SUSP. ORALA+1LINGURITA DOZATOARE DIN PP
Tratamentul se initiaz de ctre medicul n specialitatea gastroenterologie
7. CIROZA HEPATICA - G7
1
A06AD11
LACTULOSUM*
DUPHALAC (R)
Pagina 8 din 44
OLANDA
FLACON DIN PEID PREVAZUT CU MASURA DOZATOARE X 200 ML
P6L
10,37
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
51
COD ATC
A06AD11
A06AD11
A06AD11
A06AD11
A06AD11
A07AA11
A07AA11
A07AA11
C03CA01
C03CA01
C03CA01
C03CA01
C03CA01
C03CA01
C03CA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
H02AB06
H02AB06
J05AB04
J05AB04
J05AF05
J05AF05
J05AF08
J05AF10
J05AF10
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AB04
L03AB04
L03AB05
L03AB05
L03AB10
L03AB10
L03AB10
L03AB10
DCI
LACTULOSUM*
LACTULOSUM*
LACTULOSUM*
LACTULOSUM*
LACTULOSUM*
RIFAXIMINUM*
RIFAXIMINUM*
RIFAXIMINUM*
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
PREDNISOLONUM
PREDNISOLONUM
RIBAVIRINUM****
RIBAVIRINUM****
LAMIVUDINUM****
LAMIVUDINUM****
ADEFOVIRUM DIPIVOXILUM****
ENTECAVIRUM****
ENTECAVIRUM****
Denumire Comerciala
LACTULOSE
LACTULOSE
LACTULOSE-MIP 650 mg/ml
LACTULOSE-MIP 650 mg/ml
LACTULAK 660 mg/ml
NORMIX 200 mg
NORMIX 200 mg
NORMIX 100mg/5ml
FUROSEMID MCC 40 mg
FUROSEMID SLAVIA
FUROSEMID ZENTIVA
FUROSEMID LPH 40 mg
VEROSPIRON
VEROSPIRON
ALSPIRON 25 mg
ALSPIRON 50 mg
REBETOL 200 mg
COPEGUS 200mg
ZEFFIX 100 mg
HEPSERA
BARACLUDE 0,5mg
BARACLUDE 1mg
NEUPOGEN (R)
NEUPOGEN (R)
ZARZIO 30MU/0,5ml
ZARZIO 48MU/0,5ml
ROFERON A
ROFERON A
PEGINTRON 100 g
PEGINTRON 100 g
PEGINTRON 120 g
PEGINTRON 120 g
forma farm.
concentratie
SIROP
SIROP
SIROP
SIROP
SOL. ORALA
COMPR. FILM.
COMPR. FILM.
65%
65%
650mg/ml
650mg/ml
660 mg/ml
200mg
200mg
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. FILM. 25mg
COMPR. FILM. 25mg
COMPR. FILM. 50mg
CAPS.
200mg
COMPR. FILM. 200mg
COMPR. FILM. 100 mg
COMPR. FILM. 100mg
COMPR.
10mg
COMPR. FILM. 0,5mg
COMPR. FILM. 1mg
SOL. INJ.
30MU/0,5ml
SOL. INJ.
48MU/0,5ml
60MU/ml
96MU/ml
SOL. INJ./PERF. 300mcg/0,5ml
SOL. INJ./PERF. 480mcg/0,8ml
SOL. INJ.
3Mui/0,5ml
SOL. INJ.
9Mui/0,5ml
TARA
DET. APP
DETINATOR APP
AMBALAJ

ROMANIA
ALFA WASSERMANN SPA
ITALIA
ITALIA
ITALIA
ALFA WASSERMANN SPA

ALFA WASSERMANN SPA

ZENTIVA SA
ROMANIA
BIO EEL SRL
ROMANIA
ZENTIVA SA
ROMANIA
BIO EEL SRL
ROMANIA
TERAPIA SA
ROMANIA
MERCK KGAA
MERCK KGAA
GERMANIA
MERCK SHARP & DOHME
MAREA BRITANIE
GERMANIA
ROCHE ROMANIA SRL ROMANIA

GLAXO GROUP LTD. MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE
AMGEN EUROPE B.V. OLANDA

AMGEN EUROPE B.V. OLANDA
SANDOZ GMBH
SANDOZ GMBH
AUSTRIA
AUSTRIA
HOSPIRA UK LIMITED
MAREA BRITANIE
HOSPIRA UK LIMITED
MAREA BRITANIE
HOSPIRA UK LIMITED
MAREA BRITANIE

MAREA BRITANIE
MAREA BRITANIE

100g
100g
120g
120g
MERCK SHARP & DOHME
MAREA BRITANIE
MERCK SHARP & DOHME
MAREA BRITANIE
MERCK SHARP & DOHME
MAREA BRITANIE
MERCK SHARP & DOHME
MAREA BRITANIE
Pagina 9 din 44
Prescriptie
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
1
1
P-6L
1
P-6L
1
CUTIE X 1 FLAC. PEID X 200 ML SOL. ORALA SI O LINGURITA DOZATOARE
P-6L
1
12
CUTIE X 3 BLIST. AL/PVC A CATE 12 COMPR. FILM. P-RF
36
P-RF
1
20
20
CUTIE X 1 FLAC. DIN PEID X 20 COMPR. P-6L
20
20
20
P-6L
20
P-RF
5
30
50
60
30
30
20
50
20
20
P-RF
3
P-RF
3
CUTIE X 140 CAPS. ( BLIST. PVC/PE/PVDC ) P-RF/R 140
CUTIE X 1 FLAC. PEID X 168 COMPR. FILM. P-RF/R 168
CUTIE CU BLIST. PVC/PVDC/AL X 30 COMPR. FILM. P-RF/R
30
CUTIE X 28 COMPR. FILM. (BLIST. PVC-AL/PVC-AL) P-RF/R
28
CUTIE X 1 FLAC. DIN PEID X 30 COMPR. P-RF/R
30
CUTIE X 30 X 1 COMPR. FILM. (BLIST. AL/AL UNIDOZA)
P-RF/R
30
CUTIE X 30 X 1 COMPR. FILM.(BLIST. AL/AL UNIDOZA) P-RF/R
30
CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML S/P-RF
1
CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML S/P-RF
1
CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R
1
CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R
1
CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,2ML SOL. INJ. SAU PERF.
P-RF
5
CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF.
1
P-RF
5
CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF.
1
P-RF
5
CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML + AC STERIL
PR
1
CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. + AC STERIL PR
1
P-RF/R
1
P-RF/R
1
PR
1
PR
1
PR
1
PR
1
P-6L
P-6L
CUTIE X 1 FLAC. GRAN. PT. 60 ML SUSP. ORALA + 1 MASURA DOZATOARE MARCATA LA 5, 10 SI 15 ML
S/P-RF/R
S/P-RF/R
CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML SOL. INJ. + 12 ACE + 12 TAMPOANE DEZINFECTANTE
CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML + 12 ACE + 12 TAMPOANE DEZINFECTANTE
10,42
3,47
17,23
33,34
6,73
33,10
91,26
19,11
3,02
3,02
6,02
3,04
6,02
5,42
6,07
28,51
16,07
19,46
16,72
16,24
4,30
17,83
4,30
13,74
95,62
35,71
609,00
665,28
194,11
278,73
1.928,98
1.748,63
1.938,42
326,02
514,01
197,89
318,52
494,26
261,45
1.129,37
426,08
1.843,52
87,43
171,94
434,34
715,89
652,37
652,37
768,67
768,67
10,420000
3,470000
17,230000
33,340000
6,730000
2,758333
2,535000
19,110000
0,151000
0,151000
0,301000
0,152000
0,301000
0,271000
1,214000
0,950333
0,321400
0,324333
0,557333
0,541333
0,215000
0,356600
0,215000
0,687000
31,873333
11,903333
4,350000
3,960000
6,470333
9,954642
64,299333
58,287666
64,614000
326,020000
514,010000
197,890000
318,520000
98,852000
261,450000
225,874000
426,080000
368,704000
87,430000
171,940000
434,340000
715,890000
652,370000
652,370000
768,670000
768,670000
10,420000
3,470000
17,230000
33,340000
6,730000
2,758333
2,535000
19,110000
0,151000
0,151000
0,181200
0,152000
0,181200
0,181200
1,214000
0,950333
0,258000
0,258000
0,557333
0,541333
0,215000
0,258000
0,215000
0,649599
31,873333
11,903333
4,350000
3,960000
6,470333
7,764399
64,299333
58,287666
64,614000
237,468000
382,224000
197,890000
318,520000
98,852000
237,468000
225,874000
382,224000
368,704000
87,430000
171,940000
434,340000
715,890000
652,370000
652,370000
768,670000
768,670000
10,420000
3,470000
17,230000
33,340000
6,730000
2,758333
2,535000
19,110000
0,151000
0,151000
0,181200
0,152000
0,181200
0,181200
1,214000
0,950333
0,258000
0,258000
0,557333
0,541333
0,215000
0,258000
0,215000
0,649599
31,873333
11,903333
4,350000
3,960000
6,470333
7,764399
64,299333
58,287666
64,614000
237,468000
382,224000
197,890000
318,520000
98,852000
237,468000
225,874000
382,224000
368,704000
87,430000
171,940000
434,340000
715,890000
652,370000
652,370000
768,670000
768,670000
NR.CRT
52
53
54
55
56
57
COD ATC
L03AB10
L03AB10
L03AB10
L03AB10
L03AB11
N04BB01
DCI
PEGINTERFERON ALFA-2A****
AMANTADINUM**
Denumire Comerciala
PEGINTRON 150 g
PEGINTRON 150 g
PEGINTRON 50 g
PEGINTRON 50 g
PEGASYS 180 mcg/0,5ml
VIREGYT (R)- K
forma farm.
concentratie
DETINATOR APP
TARA
DET. APP
AMBALAJ
Prescriptie
MERCK SHARP & DOHME
MAREA BRITANIE
MERCK SHARP & DOHME
MAREA BRITANIE
MERCK SHARP & DOHME
MAREA BRITANIE
150g
150g
50g
50g
MERCK SHARP & DOHME
MAREA BRITANIE
PR
PR
PR
PR
180mcg/0,5ml
MAREA BRITANIE
P-RF/R
CAPS.
100mg
UNGARIA CUTIE X 1 FLAC. X 50 CAPS.

P-6L
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
1
1
1
1
1
50
943,12
943,12
358,21
358,21
975,16
17,07
943,120000
943,120000
358,210000
358,210000
975,160000
0,341400
943,120000
943,120000
358,210000
358,210000
975,160000
0,341400
943,120000
943,120000
358,210000
358,210000
975,160000
0,341400
10
10
5
5
5
5
10
10
10
10
10
10
5
5
5
1
1
6
6
6
1
6
1
1
6
6
6
6
1
6
6
6
1
6
1
1
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
23,79
4,758000
4,758000
148,63 14,863000 14,863000
148,63 14,863000 14,863000
178,35 17,835000 17,835000
171,89 17,189000 17,189000
236,15 23,615000 23,615000
271,77 27,177000 27,177000
71,52 14,304000 14,304000
199,86 39,972000 39,972000
199,30 39,860000 39,860000
403,43 403,430000 403,430000
381,18 381,180000 381,180000
1.728,54 288,090000 288,090000
218,42 36,403333 36,403333
425,83 70,971666 70,971666
788,23 788,230000 788,230000
603,73 100,621666 100,621666
1,904000
3,331000
8,750000
4,758000
8,746000
4,758000
14,863000
14,863000
17,835000
17,189000
23,615000
27,177000
14,304000
39,972000
39,860000
403,430000
381,180000
288,090000
36,403333
70,971666
788,230000
100,621666
Tratamentul se iniiaz de ctre medicul in specialitatea gastroenterologie sau boli infectioase
8. Leucemii, limfoame, aplazie medulara, gamapatii monoclonale maligne, mieloproliferari cronice si tumori maligne, sindroame mielodisplazice - G10
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
A04AA01
A04AA01
A04AA01
A04AA01
A04AA01
A04AA01
A04AA02
A04AA02
A04AA02
A04AA02
A04AA02
A04AA02
A04AA02
A04AA02
A04AA02
A04AA05
A04AA05
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
ONDANSETRONUM**
ONDANSETRONUM**
ONDANSETRONUM**
ONDANSETRONUM**
ONDANSETRONUM**
ONDANSETRONUM**
GRANISETRONUM**
GRANISETRONUM**
GRANISETRONUM**
GRANISETRONUM**
GRANISETRONUM**
GRANISETRONUM**
GRANISETRONUM**
GRANISETRONUM**
GRANISETRONUM**
PALONOSETRONUM**
PALONOSETRONUM**
EPOETINUM ALFA***
EPOETINUM ALFA***
EPOETINUM ALFA***
EPOETINUM ALFA***
EPOETINUM ALFA***
EPOETINUM ALFA***
EPOETINUM ALFA***
EPOETINUM ALFA***
EPOETINUM ALFA***
EPOETINUM BETA***
EPOETINUM BETA***
EPOETINUM BETA***
EPOETINUM BETA***
EPOETINUM BETA***
EPOETINUM ZETA**
EPOETINUM ZETA**
EPOETINUM ZETA**
EPOETINUM ZETA**
EPOETINUM ZETA**
EPOETINUM ZETA**
EPOETINUM ZETA**
OSETRON 4 mg
OSETRON 8 mg
COMPR. FILM.
COMPR. FILM.
OSETRON 8 mg SOLUTIE INJECTABILA SOL. INJ.
OSETRON 4 mg SOLUTIE INJECTABILA SOL. INJ.
EMESET 8 mg/4 ml
SOL. INJ./PERF.
EMESET 4 mg/2 ml
SOL. INJ./PERF.
GRANISETRON ACTAVIS 1 mg COMPR. FILM.
GRANEGIS 1 mg
COMPR. FILM.
GRANORED 1 mg
COMPR. FILM.
SETROGEN 1 mg
COMPR. FILM.
GRANISETRON ACTAVIS 2 mg COMPR. FILM.
GRANORED 2 mg
COMPR. FILM.
4mg
8mg
2mg/ml
2mg/ml
2mg/ml
CIPLA (UK) LIMITED
2mg/ml
CIPLA (UK) LIMITED
1mg
1mg
1mg
1mg
2mg
2mg
1mg/1ml
3mg/3ml
1mg/ml
FRESENIUS KABI ROMANIA SRL
500mcg
HELSINN BIREX PHARMACEUTICALS LTD.
250 mcg/5ml HELSINN BIREX PHARMACEUTICALS LTD.
10000UI/1,0ml SANDOZ GMBH
40 000UI/ml JOHNSON & JOHNSON D.O.O.
40000 UI/1 ml SANDOZ GMBH
CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ.
S/P-RF/R
10000UI/0,6ml
MAREA BRITANIE
CUTIE X 6 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ. + 6 ACE
S/P-RF/R
2000UI/0,3ml
MAREA BRITANIE
CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. X 6 ACE
S/P-RF/R
30000 UI/0,6ml ROCHE REGISTRATION LTD.
MAREA BRITANIE
S/P-RF/R
MAREA BRITANIE
S/P-RF/R
MAREA BRITANIE
S/P-RF/R
10000UI/1,0ml HOSPIRA ENTERPRISES B.V. OLANDA

10000UI/1,0ml HOSPIRA UK LIMITED MAREA BRITANIE
CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ.
S/P-RF/R
CUTIE X 1 SERINGA PREUMPLUTA X 1ML SOL. INJ.
PR

S/P-RF/R
GRANISETRON TEVA 1mg/1ml CONC. PT. SOL. PERF./INJ.

GRANISETRON TEVA 3mg/3ml CONC. PT. SOL. PERF./INJ.
GRANISETRON KABI 1 mg/ml SOL. INJ.
ALOXI 500mcg
ALOXI
EPREX 40000 UI/ml
CAPS. MOI
SOL. INJ.

4000UI/0,3ml
5000UI/0,3ml
HOSPIRA ENTERPRISES B.V.
20000UI/0,5ml
20000UI/0,5ml
2000UI/0,6ml
Pagina 10 din 44
ROMANIA
ROMANIA
ROMANIA
ROMANIA
CUTIE X 1 BLIST. HARTIE/AL, PVDC/PVC X 10 COMPR. FILM. P-RF

CUTIE X 1 BLIST. HARTIE/AL, PVDC/PVC X 10 COMPR. FILM. P-RF
CUTIE X 1 BLIST. AL/PVC X 5 FIOLE X 4 ML SOL. INJ.
S/P-RF
CUTIE 1 BLIST. AL/PVC X 5 FIOLE X 2 ML SOL. INJ.
S/P-RF
MAREA BRITANIE
CUTIE X 5 FIOLE STICLA + INEL RUPERE X 4ML SOL. INJ. / PERF.
S/P-RF
MAREA BRITANIE
CUTIE X 5 FIOLE STICLA + INEL RUPERE X 2ML SOL. INJ/ PERF.
S/P-RF
ISLANDA
UNGARIA CUTIE CU BLIST. PVC/AL X 10 COMPR. FILM. P-RF

ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF
LUXEMBURG CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. PRF
ISLANDA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
IRLANDA
IRLANDA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
CUTIE X 5 FIOLE DIN STICLA INCOLORA X 1 ML CONC. PT. SOL. PERF./INJ.

CUTIE X 5 FIOLE DIN STICLA INCOLORA X 3 ML CONC. PT. SOL. PERF./INJ.
S
S
PR
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
S/P-RF/R
S/P-RF/R
S/P-RF/R
CUTIE X 1 SERINGA PREUMPLUTA X 0,75ML SOL. INJ.
P-RF/R
S/P-RF/R
SLOVENIA
CUTIE CU 1 SERINGA PREUMPLUTA X 1 ML SOL. INJ.
S/P-RF
AUSTRIA
AUSTRIA
AUSTRIA
P-RF/R
S/P-RF/R
OLANDA
OLANDA
OLANDA
PR
S/P-RF/R
S/P-RF/R
S/P-RF/R
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
201,383333
1.141,34 190,223333
219,83 219,830000
62,98 10,496666
10,85 10,850000
442,32 442,320000
2.299,68 383,280000
274,59 45,765000
1.208,30
163,508333
201,383333
190,223333
219,830000
10,496666
10,850000
442,320000
383,280000
45,765000
163,508333
201,383333
190,223333
219,830000
10,496666
10,850000
442,320000
383,280000
45,765000
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
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
COD ATC
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
G03HA01
H02AB02
H02AB02
H02AB02
H02AB02
H02AB02
H02AB02
H02AB02
H02AB02
H02AB02
H02AB02
H02AB02
J02AC02
J02AC02
J02AC02
J02AC02
J02AC02
J02AC03
J02AC03
J02AC03
J02AC03
J02AC04
J02AC04
J02AX04
DCI
EPOETINUM ZETA**
EPOETINUM ZETA**
EPOETINUM ZETA**
EPOETINUM ZETA**
EPOETINUM ZETA**
EPOETINUM ZETA**
EPOETINUM ZETA**
EPOETINUM ZETA**
EPOETINUM ZETA**
EPOETINUM ZETA**
EPOETINUM ZETA**
EPOETINUM ZETA**
EPOETINUM ZETA**
EPOETINUM ZETA**
EPOETINUM ZETA**
DARBEPOETINUM ALFA***
CYPROTERONUM**
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
POSACONAZOLUM**
POSACONAZOLUM**
CASPOFUNGINUM**
Denumire Comerciala
forma farm.
RETACRIT 30000UI/0,75ml SOL. INJ. IN SERINGA PREUMPLUTA
ARANESP 10mcg/0,4ml
ARANESP 20mcg/0,5ml
ARANESP 30mcg/0,3ml
ARANESP 40mcg/0,4ml
ARANESP 500mcg/ml
ARANESP 50mcg/0,5ml
ARANESP 60mcg/0,3ml
ARANESP 80mcg/0,4ml
ANDROCUR
COMPR.
DEXAMED
COMPR.
DEXAMETAZONA ROMPHARM 4 mg/ml SOL. INJ.
DEXAMETHASONE SODIUM PHOSPHATE SOL. INJ.
DEXAMETHASONE SODIUM PHOSPHATE SOL. INJ.
DEXAMED
SOL. INJ.
DEXAMED
SOL. INJ.
ORUNGAL
CAPS.
ITRACONAZOL 100 mg
CAPS.
OMICRAL 100 mg
CAPS.
MICOGAL 100 mg
CAPS.
ITRACONAZOL ARENA 100 mg CAPS.
VFEND 200mg
COMPR. FILM.
VFEND 50mg
COMPR. FILM.
VFEND 200mg
VFEND 40 mg/ml
NOXAFIL 100mg
CAPS. GASTROREZ.
NOXAFIL 40mg/ml
SUSP. ORALA
CANCIDAS 50 mg
PULB. PT. CONC. PT. SOL. PERF.
TARA
concentratie
DET. APP
DETINATOR APP
30000UI/0,75ml HOSPIRA ENTERPRISES B.V.

3000UI/0,9ml HOSPIRA UK LIMITED
OLANDA
OLANDA
OLANDA
AMBALAJ
Prescriptie
PR
S/P-RF/R
S/P-RF/R
S/P-RF/R
MAREA BRITANIE
PR
S/P-RF/R
S/P-RF/R
S/P-RF/R
40000UI/1,0ml
40000UI/1,0ml
4000UI/0,4ml
4000UI/0,4ml
5000UI/0,5ml
5000UI/0,5ml
6000UI/0,6ml
6000UI/0,6ml
8000UI/0,8ml
8000UI/0,8ml
OLANDA
OLANDA
OLANDA
HOSPIRA UK LIMITED
MAREA BRITANIE
PR
OLANDA
S/P-RF/R
HOSPIRA UK LIMITED
MAREA BRITANIE
PR
OLANDA
S/P-RF/R
HOSPIRA UK LIMITED
MAREA BRITANIE
PR
OLANDA
S/P-RF/R
HOSPIRA UK LIMITED MAREA BRITANIE

100mcg/0,5ml AMGEN EUROPE BV OLANDA
PR
CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML
P-RF/R
P-RF/R
CUTIE X 4 SERINGI PREUMPLUTE, A 1 ML X 0,3 ML
P-RF/R
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
P-RF/R
CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 0,6 ML
P-RF/R
P-RF/R
P-RF/R
CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 1 ML
P-RF/R
P-RF/R
P-RF/R
20mcg/0,5ml AMGEN EUROPE BV

500mcg/ml AMGEN EUROPE BV
50mg
BAYER PHARMA AG
0,5mg
CN UNIFARM S.A.
4mg/ml
4mg/ml
4mg/ml
4mg/ml
4mg/ml
4mg/ml
8mg
8mg
8mg/2ml
MEDOCHEMIE LTD.
8mg/2ml
MEDOCHEMIE LTD.
100mg
JANSSEN PHARMACEUTICA N.V.
100mg
SLAVIA PHARM SRL
100mg
MEDICO UNO PHARMACEUTICAL SRL
100mg
100mg
ARENA GROUP S.A.
200mg
PFIZER LIMITED
50mg
PFIZER LIMITED
200mg
PFIZER LIMITED
40mg/ml
PFIZER LIMITED
100mg
MERCK SHARP & DOHME LTD.
40mg/ml
MERCK SHARP & DOHME
50mg
MERCK SHARP & DOHME
Pagina 11 din 44
P-RF/R
P-RF
ROMANIA CUTIE CU 10 BLISTERE X 10 COMPRIMATE

ROMANIA CUTIE CU UN SUPORT CU 10 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ.
ROMANIA CUTIE CU 100 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ.
ROMANIA CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.
ROMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.
PRF
PRF
PRF
PRF
PRF
PRF
PRF
P-RF
P-RF
CIPRU
CIPRU
BELGIA
P-RF/S
P-RF
CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 5 CAPS.
P-RF
ROMANIA
ROMANIA
ROMANIA
ROMANIA

P-RF
MAREA BRITANIE
P-RF
MAREA BRITANIE
P-RF
MAREA BRITANIE
P-RF
P-RF
P-RF
P-RF
P-RF
MAREA BRITANIE
CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA
MAREA BRITANIE
CUTIE CU BLIST. PVC/PCTF/AL X 24 COMPRIMATE GASTROREZISTENTE
PR
MAREA BRITANIE
P-RF/R
MAREA BRITANIE
CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF.
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
1
1
6
6
1
1
6
6
1
6
1
6
1
6
1
4
4
4
4
1
4
4
1
4
4
4
50
100
10
25
100
10
25
100
100
5
100
10
15
15
15
15
15
28
28
1
1
24
1
1
50,82 50,820000
628,06 628,060000
3.414,10 569,016666
405,17 67,528333
72,39 72,390000
813,79 813,790000
4.528,51 754,751666
516,62 86,103333
96,52 96,520000
628,06 104,676666
120,65 120,650000
739,50 123,250000
137,30 137,300000
962,38 160,396666
188,92 188,920000
3.173,01 793,252500
391,56 97,890000
50,820000
628,060000
569,016666
67,528333
72,390000
813,790000
754,751666
86,103333
96,520000
104,676666
120,650000
123,250000
137,300000
160,396666
188,920000
793,252500
97,890000
50,820000
628,060000
569,016666
67,528333
72,390000
813,790000
754,751666
86,103333
96,520000
104,676666
120,650000
123,250000
137,300000
160,396666
188,920000
793,252500
97,890000
4.708,35 1.177,087500 1.177,087500 1.177,087500
702,64 175,660000 175,660000 175,660000

2.208,61 2.208,610000 2.208,610000 2.208,610000
1.009,47
1.318,95
252,367500 252,367500 252,367500

329,737500 329,737500 329,737500
3.633,81 3.633,810000 3.633,810000 3.633,810000

1.626,76
1.937,17
2.555,95
108,46
18,38
8,32
20,42
73,64
13,87
33,18
124,62
123,66
6,98
118,60
14,38
76,92
52,56
52,56
52,55
52,56
3.917,72
1.032,33
537,45
406,690000
484,292500
638,987500
2,169200
0,183800
0,832000
0,816800
0,736400
1,387000
1,327200
1,246200
1,236600
1,396000
1,186000
1,438000
5,128000
3,504000
3,504000
3,503333
3,504000
139,918571
36,868928
537,450000
406,690000
484,292500
638,987500
2,169200
0,183800
0,832000
0,816800
0,736400
1,387000
1,327200
1,246200
1,236600
1,396000
1,186000
1,423200
4,203999
3,504000
3,504000
3,503333
3,504000
139,918571
36,868928
537,450000
406,690000
484,292500
638,987500
2,169200
0,183800
0,832000
0,816800
0,736400
1,387000
1,327200
1,246200
1,236600
1,396000
1,186000
1,423200
4,203999
3,504000
3,504000
3,503333
3,504000
139,918571
36,868928
537,450000
2.439,99 2.439,990000 2.439,990000 2.439,990000

3.667,85
152,827083 152,827083 152,827083
2.750,28 2.750,280000 2.750,280000 2.750,280000

1.348,76 1.348,760000 1.348,760000 1.348,760000
NR.CRT
89
90
91
92
93
94
95
96
97
98
99
COD ATC
J02AX04
L01XX35
L01XX35
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
N02AA01
N02AA01
N02AA01
100 N02AA01
101 N02AA01
102 N02AA01
103 N02AA01
104 N02AA01
105 N02AA01
106 N02AA01
107 N02AA01
108 N02AA05
109 N02AA05
110 N02AA05
111 N02AA05
112 N02AA05
113 N02AA05
114 N02AA05
115 N02AA05
116 N02AA05
117 N02AA05
118 N02AA05
119 N02AA05
120 N02AA05
121 N02AA05
122 N02AA05
123 N02AA05
124 N02AA05
125 N02AA05
126 N02AA08
127 N02AA08
128 N02AA08
129 N02AB02
130 N02AB03
131 N02AB03
132 N02AB03
133 N02AB03
134 N02AB03
135 N02AB03
136 N02AB03
137 N02AB03
138 N02AB03
DCI
CASPOFUNGINUM**
ANAGRELIDUM***
ANAGRELIDUM***
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
MORPHYNUM
MORPHYNUM
MORPHYNUM
MORPHYNUM
MORPHYNUM
MORPHYNUM
MORPHYNUM
MORPHYNUM
MORPHYNUM
MORPHYNUM
MORPHYNUM
OXYCODONUM
OXYCODONUM
OXYCODONUM
OXYCODONUM
OXYCODONUM
OXYCODONUM
OXYCODONUM
OXYCODONUM
OXYCODONUM
OXYCODONUM
OXYCODONUM
OXYCODONUM
OXYCODONUM
OXYCODONUM
OXYCODONUM
OXYCODONUM
OXYCODONUM
OXYCODONUM
DIHYDROCODEINUM
DIHYDROCODEINUM
DIHYDROCODEINUM
PETHIDINUM
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
Denumire Comerciala
CANCIDAS 70 mg
THROMBOREDUCTIN
THROMBOREDUCTIN
EQUORAL 100 mg
EQUORAL 25 mg
EQUORAL 50 mg
MST CONTINUS 100 mg
MST CONTINUS 10 mg
MST CONTINUS 200 mg
MST CONTINUS 30 mg
MST CONTINUS 60 mg
SEVREDOL 10 mg
SEVREDOL 20 mg
forma farm.
CAPS.
CAPS.
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
COMPR. ELIB. MODIF.
COMPR. ELIB. MODIF.
COMPR. ELIB. MODIF.
COMPR. ELIB. MODIF.
COMPR. ELIB. MODIF.
COMPR. FILM.
COMPR. FILM.
VENDAL (R) RETARD 100 mg


MORFINA ZENTIVA 20 mg/ml SOL. INJ.
OXYCONTIN 10 mg
OXYCONTIN 20 mg
OXYCONTIN 40 mg
OXYCONTIN 80 mg
RELTEBON 10 mg
RELTEBON 20 mg
RELTEBON 40 mg
RELTEBON 80 mg
OXIDOLOR 10 mg
COMPR. ELIB. PREL.
ALNAGON 10 mg
COMPR. ELIB. PREL.
OXIDOLOR 20 mg
COMPR. ELIB. PREL.
ALNAGON 20 mg
COMPR. ELIB. PREL.
OXIDOLOR 40 mg
COMPR. ELIB. PREL.
ALNAGON 40 mg
COMPR. ELIB. PREL.
OXICODONA SANDOZ 40 mg COMPR. ELIB. PREL.
OXIDOLOR 80 mg
COMPR. ELIB. PREL.
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
70mg
0,5mg
0,5mg
100mg
25mg
25mg
50mg
50mg
100mg
10mg
200mg
30mg
60mg
10mg
20mg
100mg
30mg
60mg
20mg/ml
10 mg
20 mg
40 mg
80mg
10mg
20mg
40mg
80mg
10mg
10mg
20mg
20mg
40mg
40mg
40mg
60mg
80mg
80mg
120mg
60mg
90mg
50mg/ml
100mcg/h
DETINATOR APP
MERCK SHARP & DOHME
TARA
DET. APP
MAREA BRITANIE
AMBALAJ
CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF.
Prescriptie
AUSTRIA CUTIE X 1 FLAC. DIN PE X 42 CAPS. P-RF

AUSTRIA CUTIE X 1 FLAC. DIN PE X 100 CAPS. P-RF/S
TEVA CZECH INDUSTRIES S.R.O. CEHIA
CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF
NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF
NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF
MUNDIPHARMA GES.M.B.H AUSTRIA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. CU ELIB. MOD. P-TS
MUNDIPHARMA GMBH AUSTRIA CUTIE CU BLIST. AL/PVC-PVDC X 60 COMPR. FILM. P-TS
MUNDIPHARMA GMBH AUSTRIA CUTIE CU BLIST. AL/PVC-PVDC X 60 COMPR. FILM. P-TS
LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL.
P-TS
P-TS
P-TS
ZENTIVA S.A.
P-TS
MUNDIPHARMA GES.M.B.H AUSTRIA CUTIE CU BLIST. PVC/AL X 60 COMPR. CU ELIB. MODIF. PS
PR, PS
PR, PS
PR, PS
PR, PS
LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. ELIB. PREL.
P-TS
ZENTIVA, K.S.
REPUBLICA CEHA CUTIE CU BLIST. PVC-PE-PVDC/AL X 56 COMPR. ELIB. PREL.
P-RF
P-TS
ZENTIVA, K.S.
P-RF
P-TS
ZENTIVA, K.S.
P-RF
SANDOZ S.R.L.
ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 20 COMPR. ELIB. PREL. PS
SANDOZ S.R.L.
P-TS
SANDOZ S.R.L.
MUNDIPHARMA GES.M.B.H AUSTRIA CUTIE X 1 FLAC. DIN PP X 56 COMPR. ELIB. PREL. PS
ZENTIVA SA
ROMANIA CUTIE X 5 FIOLE DIN STICLA X 2 ML P-TS
SANDOZ S.R.L.
ROMANIA CUTIE X 5 PLIC DIN HARTIE/PE/AL/PE X 1 PLASTURE TRANSDERMIC P-TS
PS
ZENTIVA K.S.
REPUBLICA CEHA
PS
ORPHA-DEVEL HANDELS UND VERTRIEBS GMBH

ORPHA-DEVEL HANDELS UND VERTRIEBS GMBH
FENTANYL TTS SANDOZ 100 mcg/h
PLASTURE TRANSDERMIC
FENTANYL ACTAVIS 100micrograme/h
100micrograme/h
ALGOGESIC 100 micrograme/ora
100micrograme/ora
DOLFORIN 100 g/ORA
100g/ora
25mcg/h
25micrograme/h ACTAVIS GROUP PTC EHF.
25micrograme/ora
ZENTIVA K.S.
DOLFORIN 25 g/ORA
25g/ora
50mcg/h
CUTIE X 5 PLICURI MULTISTRAT DIN HARTIE -PEJD- AL- SURLYN X 1 PLASTURE TRANSDERMIC
CUTIE CU 5 PLICURI COMPOZITE ALCATUITE DIN PET-ADEZIV-AL-SURLYN X 1 PLASTURE TRANSDERMIC
SANDOZ S.R.L.
SANDOZ S.R.L.
Pagina 12 din 44
ROMANIA
ROMANIA
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
ISLANDA
PS
PS
REPUBLICA CEHA
ROMANIA
ROMANIA
P-TS
P-TS
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
1
42
100
50
50
50
50
50
60
60
60
60
60
60
60
30
30
30
5
60
60
60
60
60
60
60
60
60
56
60
56
60
56
20
20
60
20
56
56
56
5
5
5
5
5
5
5
5
5
5
1.738,70 1.738,700000 1.738,700000 1.738,700000
875,92
1.655,48
307,60
137,32
75,17
292,16
147,58
205,94
37,61
393,65
65,71
132,81
50,10
71,78
71,84
23,04
47,06
8,29
64,10
121,02
172,88
309,83
43,09
78,60
118,39
201,30
43,09
48,27
78,65
88,08
118,50
132,72
47,40
139,36
201,38
80,55
128,54
29,34
101,69
9,35
191,24
190,93
191,24
191,24
71,80
69,07
59,53
69,71
120,78
20,855238
16,554800
6,152000
2,746400
1,503400
5,843200
2,951600
3,432333
0,626833
6,560833
1,095166
2,213500
0,835000
1,196333
2,394666
0,768000
1,568666
1,658000
1,068333
2,017000
2,881333
5,163833
0,718166
1,310000
1,973166
3,355000
0,718166
0,861964
1,310833
1,572857
1,975000
2,370000
2,370000
6,968000
3,356333
4,027500
2,295357
0,523928
1,815892
1,870000
38,248000
38,186000
38,248000
38,248000
14,360000
13,814000
11,906000
13,942000
24,156000
19,865760
16,554800
6,152000
1,804080
1,503400
3,541920
2,951600
2,873599
0,626833
6,560833
0,921600
1,882399
0,752199
1,196333
2,394666
0,768000
1,568666
1,658000
0,861799
1,572000
2,367799
4,026000
0,718166
1,310000
1,973166
3,355000
0,718166
0,861799
1,310833
1,572000
1,975000
2,367799
2,367799
6,968000
3,356333
4,026000
2,295357
0,523928
1,815892
1,870000
38,248000
38,186000
38,248000
38,248000
14,287200
13,814000
11,906000
13,942000
24,156000
19,865760
16,554800
6,152000
1,804080
1,503400
3,541920
2,951600
2,873599
0,626833
6,560833
0,921600
1,882399
0,752199
1,196333
2,394666
0,768000
1,568666
1,658000
0,861799
1,572000
2,367799
4,026000
0,718166
1,310000
1,973166
3,355000
0,718166
0,861799
1,310833
1,572000
1,975000
2,367799
2,367799
6,968000
3,356333
4,026000
2,295357
0,523928
1,815892
1,870000
38,248000
38,186000
38,248000
38,248000
14,287200
13,814000
11,906000
13,942000
24,156000
NR.CRT
COD ATC
139 N02AB03
140 N02AB03
141 N02AB03
142 N02AB03
143 N02AB03
144 N02AB03
145 N02AX02
146 N02AX02
147 N02AX02
148 N02AX02
149 N02AX02
150 N02AX02
151 N02AX02
152 N02AX02
153 N02AX02
154 N02AX02
155 N02AX02
156 N02AX02
157 N02AX02
158 N02AX02
159 N02AX02
160 N02AX02
161 N02AX02
162 N02AX02
163 N02AX02
164 N02AX02
165 N02AX02
166 N02AX02
167 N02AX02
168 N02AX02
169 N02AX02
170 N02AX02
171 N02AX02
172 N02AX02
173 N02AX02
174 N07BC02
175 N07BC02
176 R05DA04
177 R05DA04
178 R05DA04
179 R05DA04
180 R05DA04
181 R05DA04
182 V03AC01
183 V03AC03
184 V03AC03
185 V03AC03
DCI
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
METHADONUM
METHADONUM
CODEINUM
CODEINUM
CODEINUM
CODEINUM
CODEINUM
CODEINUM
DEFEROXAMINUM**3)
DEFERASIROXUM***
DEFERASIROXUM***
DEFERASIROXUM***
Denumire Comerciala
forma farm.
concentratie
50micrograme/h ACTAVIS GROUP PTC EHF.
50micrograme/ora
ZENTIVA K.S.
DOLFORIN 50 g/ORA
50g/ora
75mcg/h
75micrograme/ora
DOLFORIN 75 g/ORA
TRAMADOL
MABRON 50 mg
K-ALMA (R)
TRAMADOL ARENA
TRAMACALM
TRAMAG 50
TRAMADOL EEL
TRALGIT SR 100
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
COMPR.
COMPR.
COMPR. ELIB. MODIF.
COMPR. ELIB. PREL.

COMPR. ELIB. PREL.
TRAMADOL SR ZENTIVA 100 mg COMPR. ELIB. PREL.
TRALGIT SR 150
COMPR. ELIB. PREL.

COMPR. ELIB. PREL.
TRAMADOL SR ZENTIVA 150 mg COMPR. ELIB. PREL.

TRADOLAN 50 mg
MABRON
MABRON
TRAMADOL
TRAMADOL
TRAMADOL
SINTALGON 2,5 mg
METADON BIOEEL 5 mg
FOSFAT DE CODEINA 15 mg
CODEINA FOSFORICA
FARMACOD
CODEINA FOSFAT
COMPR. ELIB. PREL.
COMPR. FILM.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SUPOZ.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
CODEINA FOSFAT LPH 15 mg COMPR.
CODEINA FOSFAT MCC 15 mg COMPR.
DESFERAL
EXJADE 125mg
COMPR. DISP.
EXJADE 250mg
COMPR. DISP.
EXJADE 500mg
COMPR. DISP.
75g/ora
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
100mg
100mg
100mg
100mg
150mg
150mg
150mg
200mg
50mg
100mg
150mg
150mg
200mg
200mg
50mg
50mg
100mg
100mg
50mg/ml
50mg/ml
100mg
2,5mg
5mg
15mg
15mg
15mg
15mg
15mg
15mg
500mg
125mg
250mg
500mg
DETINATOR APP
TARA
DET. APP
ISLANDA
AMBALAJ
REPUBLICA CEHA
Prescriptie
PS
PS
ROMANIA
ROMANIA
P-TS
SANDOZ S.R.L.
ZENTIVA K.S.
P-TS
REPUBLICA CEHA
ROMANIA
KRKA D.D.
MEDOCHEMIE LTD.
ANTIBIOTICE SA
ARENA GROUP S.A.
SLOVENIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
P-RF
CIPRU

SLOVACIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
P-RF
P-RF
P-RF
ZENTIVA A.S.
MAGISTRA C & C
BIO EEL SRL
HEXAL AG
ZENTIVA AS
PS
P-TS
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 3 BLIST. AL/PVC X 10 COMPR. ELIB. PREL.
PRF
ZENTIVA AS
ZENTIVA AS

P-RF
AUSTRIA
PRF
ZENTIVA AS
P-RF
AUSTRIA
AUSTRIA
PRF


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

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
P-RF
CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR.FILM. ELIB. PREL. P-RF
ZENTIVA, A.S.
ZENTIVA, A.S.
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
KRKA D.D.
KRKA D.D.
KRKA D.D.
ZENTIVA S.A.
BIO EEL SRL
SINTOFARM SA
BIO EEL SRL
FARMACOM SA
SLAVIA PHARM SRL
CUTIE X 3 BLIST. AL/PVC X 10 COMPR., FILM. ELIB. PREL.
P-RF
REPUBLICA SLOVACA
CUTIE CU 1 BLIST. OPA-AL-PVC/AL X 10 COMPR. ORODISPERSABILE
PRF
REPUBLICA SLOVACA
CUTIE CU 1 BLIST. PVC-PVDC/AL X 10 COMPR. ORODISPERSABILE
PRF
S/P-RF
S/P-RF
CIPRU
CIPRU
S/P-RF

S/P-RF
P-RF
ROMANIA CUTIE X 2 BLIST. AL/PVC X 25 COMPR. P-TS
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
CUTIE X 5 BLIST. AL/PVC-PVDC X 10 COMPR.
P-TS

P-RF
P-RF

P-RF
CUTIE X 10 FLAC. DIN STICLA X 500 MG LIOF. PT. SOL. INJ./PERF.
S/P-RF
MAREA BRITANIE
CUTIE X 28 COMPR. DISP.(BLIST. PVC/PE/PVDC/AL)
MAREA BRITANIE
CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL)
MAREA BRITANIE
CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL)
Tratamentul se iniiaz de ctre medicul n specialitatea oncologie sau hematologie.
Pagina 13 din 44
P-RF
P-RF
P-RF
PR
PR
PR
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
5
5
5
5
5
5
20
10
20
20
10
20
20
20
10
30
30
30
30
30
30
30
30
10
10
30
10
30
10
10
5
100
5
5
5
50
50
30
25
20
20
20
20
10
28
28
28
120,72
113,05
120,78
154,58
154,58
154,58
5,82
3,85
7,67
9,00
3,85
5,61
7,67
7,67
6,30
18,89
18,91
18,89
27,55
33,41
27,55
34,30
10,65
9,69
22,03
41,57
28,18
53,20
3,84
3,84
9,83
134,56
4,93
13,10
5,58
24,41
15,72
6,01
5,13
3,02
3,41
3,19
3,65
135,07
787,57
24,144000 24,144000 24,144000

22,610000 22,610000 22,610000
24,156000 24,156000 24,156000
30,916000 30,916000 30,916000
30,916000 30,916000 30,916000
30,916000 30,916000 30,916000
0,291000
0,291000
0,291000
0,385000
0,336600
0,336600
0,383500
0,336600
0,336600
0,450000
0,336600
0,336600
0,385000
0,336600
0,336600
0,280500
0,280500
0,280500
0,383500
0,336600
0,336600
0,383500
0,336600
0,336600
0,630000
0,630000
0,630000
0,629666
0,629666
0,629666
0,630333
0,630333
0,630333
0,629666
0,629666
0,629666
0,918333
0,918333
0,918333
1,113666
1,101999
1,101999
0,918333
0,918333
0,918333
1,143333
1,143333
1,143333
0,355000
0,336600
0,336600
0,969000
0,755599
0,755599
2,203000
1,101999
1,101999
1,385666
1,101999
1,101999
2,818000
1,371999
1,371999
1,773333
1,371999
1,371999
0,384000
0,336600
0,336600
0,384000
0,336600
0,336600
1,966000
1,614720
1,614720
1,345600
1,345600
1,345600
0,986000
0,986000
0,986000
2,620000
1,614720
1,614720
1,116000
1,116000
1,116000
0,488200
0,488200
0,488200
0,314400
0,314400
0,314400
0,200333
0,181200
0,181200
0,205200
0,181200
0,181200
0,151000
0,151000
0,151000
0,170500
0,170500
0,170500
0,159500
0,159500
0,159500
0,182500
0,181200
0,181200
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
NR.CRT
DCI
COD ATC
Denumire Comerciala
forma farm.
concentratie
DETINATOR APP
TARA
DET. APP
AMBALAJ
Prescriptie
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
9. EPILEPSIE - G11
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
N03AA02
N03AA02
N03AA02
N03AA02
N03AB02
N03AB02
N03AE01
N03AE01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF02
N03AF02
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
PHENOBARBITALUM
PHENOBARBITALUM
PHENOBARBITALUM
PHENOBARBITALUM
PHENYTOINUM
PHENYTOINUM
CLONAZEPAMUM
CLONAZEPAMUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
OXCARBAZEPINUM
OXCARBAZEPINUM
ACIDUM VALPROICUM + SARURI
FENOBARBITAL 100 mg
COMPR.
100 mg
100mg
100mg
SOL. INJ.
10%
COMPR.
100mg
SOL. INJ.
250mg/5ml
COMPR.
0,5mg
COMPR.
2mg
COMPR.
200mg
COMPR.
200mg
COMPR.
200mg
COMPR.
200mg
COMPR.
200mg
COMPR.
200mg
COMPR.
200mg
COMPR.
200mg
COMPR.
400mg
COMPR.
400mg
COMPR. CU ELIB. PRELUNGITA 150mg
COMPR. CU ELIBERARE PRELUNGITA 300mg
COMPR. CU ELIBERARE PRELUNGITA 600mg
COMPR. FILM. ELIB. PREL. 200mg
SUSP. ORALA 100mg/5ml
COMPR. FILM. 300mg
COMPR. FILM. 600mg
CAPS. MOI GASTROREZ. 150mg
COMPR. FILM. ELIB. PREL. DIVIZ. 300mg
COMPR. FILM. GASTROREZ. 150mg
MINICOMPR. ELIB. PREL. 1000mg
SIROP
300mg/5ml
SIROP
57,64mg/ml
FENOBARBITAL ARENA 100mg COMPR.

FENOBARBITAL ARENA 100mg COMPR.
FENOBARBITAL 200 mg/ 2 ml

FENITOINA RICHTER 100 mg
PHENHYDAN 250 mg/5 ml

RIVOTRIL
RIVOTRIL 2 mg
TEGRETOL (R) 200
CARBAMAZEPINA LPH 200 mg
CARBAVIM
CARBEPSIL 200mg
CARBAMAZEPIN
CARBAMAZEPIN EEL
CARBAMAZEPINA ARENA 200 mg
FINLEPSIN
CARBEPSIL 400mg
CARBAMAZEPINA ARENA 400 mg

TEGRETOL CR 200
TEGRETOL CR 400
TIMONIL SIROP
TRILEPTAL (R) 300 mg
TRILEPTAL (R) 600 mg
ORFIRIL LONG 150 mg
ORFIRIL LONG 300 mg
CONVULEX (R) 150 mg
CONVULEX 150 mg
CONVULEX (R) 300 mg
CONVULEX 300 mg
CONVULEX (R) 500 mg
CONVULEX 500 mg
DEPAKINE (R) CHRONO 500 mg
DEPAKINE CHRONO 300 mg

ORFIRIL 150
DEPAKINE 200 mg
ORFIRIL 300
ORFIRIL 600
ORFIRIL LONG 1000 mg
ORFIRIL LONG 500 mg
ORFIRIL SIROP
DEPAKINE
ZENTIVA SA
SC ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. X 10 COMPR.
P-RF
ARENA GROUP S.A. ROMANIA CUTIE CU 3 BLISTERE DIN PVC/AL A CTE 10 COMPRIMATE P-RF
ZENTIVA S.A
ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 2 ML SOL. INJ. P-RF
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
P-6L
GERMANIA
P-RF
ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 50 COMPR.
P-RF
P-RF
CUTIE CU 1 FLAC. DIN STICLA BRUNA X 30 COMPR.
NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L

BIO EEL SRL
ROMANIA
S.C. TEVA PHARMACEUTICALS S.R.L. ROMANIA
P-6L

CUTIE X 5 BLIST. AL-HARTIE CERATA/PVC-PVDC X 10 COMPR.
P-6L
P-6L
CUTIE X 2 BLIST. PVC/AL X 10 COMPR. P-6L

GERMANIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. CU ELIB. PRELUNGITA P6L
GERMANIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. CU ELIBERARE PRELUNGITA P6L
GERMANIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. CU ELIBERARE PRELUNGITA P6L
AUSTRIA
AUSTRIA

P-6L
ROMANIA
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
P-6L
CUTIE X 5 BLIST. AL-HARTIE/PVC-PVDC X 10 COMPR. FILM. ELIB. PREL.
P-6L
P-6L
ROMANIA
CUTIE X 5 BLIST. AL-HARTIE CERATA/PVC-PVDC X 10 COMPR. FILM. ELIB. PREL.
P-6L
GERMANIA
CUTIE X 1 FLACON X 250 ML SUSP.ORALA + MASURA DOZATOARE
P-6L
NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM.
P-6L
NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM.
P-6L
GERMANIA
CUTIE X 1 FLAC. DIN PP X 50 CAPS. CU MINICOMPR. CU ELIB. PRELUNG.
P-6L
GERMANIA
CUTIE X 1 FLAC. DIN PP X 50 CAPS. CU MINICOMPR. CU ELIB. PREL.
P-6L
CUTIE X 10 BLIST. AL/PVDC-PVC X 10 CAPS. MOI GASTROREZ.
P-6L
CUTIE CU 5 BLIST. PVDC-PVC/AL X 20 CAPS. MOI GASTROREZ.
P6L
P-6L
P6L
CUTIE X 10 BLIST. AL/PVDC-PVCX 10 CAPS. MOI GASTROREZ.
P-6L
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
FRANTA
FRANTA
GERMANIA CUTIE X 1 FLAC. X 100 COMPR.FILM. GASTROREZ. P-6L


P6L
CUTIE X 1 FLAC. PP X 30 COMPR. FILM. ELIB. PREL.
P-RF
CUTIE X 2 FLAC. DIN PP X 50 COMPR. FILM. ELIB. PREL., DIVIZIBILE
P-6L
FRANTA
GERMANIA CUTIE X 1 FLAC. X 100 COMPR.FILM. GASTROREZ. P-6L
GERMANIA CUTIE X 1 FLAC. X 50 COMPR. FILM. GASTRORE P-6L
GERMANIA
CUTIE X 50 MINIPLICURI. DIN PET/AL/PE CU MINICOMPR. CU ELIB. PRELUNG.
P-6L
GERMANIA
CUTIE X 50 MINIPLICURI. DIN PET/AL/PE CU MINICOMPR. CU ELIB. PRELUNG.
P-6L
GERMANIA
CUTIE X 1 FLACON X 250 ML + LINGURITA DOZATOARE PP A 5 ML
P-6L
SANOFI - AVENTIS FRANCE
FRANTA
CUTIE X 1 FLACON X 150 ML + 1 SERINGA PT. ADMIN. ORALA
P-6L
Pagina 14 din 44
CUTIE X 1 FLAC. DIN PP X 40 COMPR. FILM. GASTROREZ.
P-6L
25
4,39
10
1,14
30
5,41
5 10,96
20
2,77
5 67,73
50
6,89
30
6,56
50 17,38
50 11,31
50 11,31
50 11,31
20
4,96
20
4,50
20
4,96
50 11,31
50 26,26
20 10,51
50 15,16
50 20,62
50 36,53
50 20,68
50 36,59
50 19,17
50 12,43
30 25,35
50 25,27
1 22,51
50 64,73
50 118,30
50 17,52
50 26,76
100 18,29
100 18,29
100 23,10
100 23,10
100 33,65
100 33,65
30 16,06
100 34,40
100 15,41
40 10,72
100 22,39
50 21,57
50 94,92
50 35,24
1 19,24
1 17,77
0,175600
0,114000
0,180333
2,192000
0,138500
13,546000
0,137800
0,218666
0,347600
0,226200
0,226200
0,226200
0,248000
0,225000
0,248000
0,226200
0,525200
0,525500
0,303200
0,412400
0,730600
0,413600
0,731800
0,383400
0,248600
0,845000
0,505400
22,510000
1,294600
2,366000
0,350400
0,535200
0,182900
0,182900
0,231000
0,231000
0,336500
0,336500
0,535333
0,344000
0,154100
0,268000
0,223900
0,431400
1,898400
0,704800
19,240000
17,770000
0,136800
0,114000
0,136800
2,192000
0,138500
13,546000
0,137800
0,218666
0,270000
0,226200
0,226200
0,226200
0,248000
0,225000
0,248000
0,226200
0,525200
0,525500
0,303200
0,412400
0,730600
0,413600
0,731800
0,270000
0,248600
0,606480
0,505400
22,510000
1,294600
2,366000
0,184920
0,268680
0,182900
0,182900
0,231000
0,231000
0,336500
0,336500
0,403800
0,268680
0,154100
0,268000
0,223900
0,431400
1,898400
0,403800
19,240000
17,770000
0,136800
0,114000
0,136800
2,192000
0,138500
13,546000
0,137800
0,218666
0,270000
0,226200
0,226200
0,226200
0,248000
0,225000
0,248000
0,226200
0,525200
0,525500
0,303200
0,412400
0,730600
0,413600
0,731800
0,270000
0,248600
0,606480
0,505400
22,510000
1,294600
2,366000
0,184920
0,268680
0,182900
0,182900
0,231000
0,231000
0,336500
0,336500
0,403800
0,268680
0,154100
0,268000
0,223900
0,431400
1,898400
0,403800
19,240000
17,770000
NR.CRT
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
COD ATC
N03AG01
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
N03AX12
N03AX12
N03AX12
N03AX12
N03AX12
N03AX12
N03AX12
N03AX12
N03AX12
N03AX12
N03AX12
DCI

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**
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
Denumire Comerciala
DEPAKINE
LAMOTRIX 100 mg
PLEXXO (R) 100 mg
LAMICTAL 100 mg
LAMOTRIX 200 mg
LAMOTRIX 25 mg
LAMICTAL 25 mg
LAMOTRIX 50 mg
LAMICTAL 50 mg
LAMOTRIN 100 mg
LAMOTRIN 50 mg
LAMICTAL 2 mg
LAMICTAL 5 mg
TOPRAN 100 mg
TOPIRAMAT TEVA 100 mg
TOPIRAMAT ACTAVIS 100 mg
LUSITRAX 100mg
TORLEPTA 100 mg
NEXTOP 100 mg
TOPAMAX 100 mg
TOPILEX 100 mg
NEXTOP 200 mg
TOPRAN 25 mg
LUSITRAX 25 mg
TORLEPTA 25 mg
NEXTOP 25 mg
TOPAMAX 25 mg
TOPILEX 25 mg
TOPRAN 50 mg
LUSITRAX 50 mg
TORLEPTA 50 mg
NEXTOP 50 mg
TOPAMAX 50 mg
TOPILEX 50 mg
GABAGAMMA 100 mg
GRIMODIN 100 mg

GABAGAMMA 300 mg
GABARAN 300 mg
GABALEPT 300 mg
GRIMODIN 300 mg
forma farm.
SIROP
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. DISP.
COMPR. DISP.
COMPR. DISP./MAST.
COMPR. DISP./MAST.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
concentratie
57,64mg/ml
100mg
100mg
100mg
200mg
25mg
25mg
50mg
50mg
100mg
50mg
2mg
5mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
200mg
200mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
100 mg
100mg
100mg
100mg
100mg
100mg
300 mg
300mg
300mg
300mg
300mg
DETINATOR APP
TARA
DET. APP
AMBALAJ
Prescriptie
FRANTA CUTIE X 1 FLACON X 150 ML + 1 LINGURITA DOZATOARE

DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 3 BLIST. X 10 COMPR.
P-6L

CUTIE CU BLIST. PVC/AL, X 28 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
THE WELLCOME FOUNDATION LTD. MAREA BRITANIE
CUTIE X 1 FLAC. DIN PEID X 30 COMPR. DISP./MAST.
P-6L
CUTIE X BLIST. PVC-PVDC/AL X 30 COMPR. DISP./MAST.
P-6L
SANOFI - AVENTIS FRANCE



TERAPIA SA
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
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
ROMANIA CUTIE CU BLIST. PVC-PCTFE-PVC/AL-PVDC X 30 COMPR. FILM. P-RF
REPUBLICA CEHA
P-RF
ROMANIA
P-6L
JOHNSON & JOHNSON D.O.O.
SLOVENIA
AUSTRIA
CUTIE CU BLIST. PVC/PE/PVDC/AL X 30 COMPR. FILM.
P6L
P6L
ACTAVIS S.R.L.

ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L
REPUBLICA CEHA
P-RF
ROMANIA
P-6L
SLOVENIA
AUSTRIA
P6L
P6L
TERAPIA SA
ACTAVIS S.R.L.
TERAPIA SA

REPUBLICA CEHA
P-RF
ROMANIA
P-6L
SLOVENIA
AUSTRIA
MAREA BRITANIE
CUTIE CU BLIST. DIIN POLIAMIDA/AL/PVC-AL X 50 CAPS.
P6L
P6L
P6L
GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L
ACTAVIS S.R.L.
MAREA BRITANIE
MAREA BRITANIE
CUTIE CU 6 BLIST. TRANSPARENTE PVC-PVDC/AL X 10 CAPS.
CUTIE CU BLIST. POLIAMIDA/AL/PVC-AL X 50 CAPS.
MAREA BRITANIE
P-6L
P6L
P6L
RANBAXY UK LTD.
MAREA BRITANIE
P-6L
PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L

Pagina 15 din 44
P-6L
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
1
30
30
28
30
30
28
30
28
30
30
30
30
60
30
60
30
30
30
28
30
30
30
60
30
60
30
30
30
28
30
60
30
60
30
30
30
28
30
50
100
60
50
100
60
50
100
50
100
60
17,77
28,86
28,86
40,13
60,33
7,26
10,40
14,41
20,69
28,84
16,95
0,28
0,76
165,90
90,25
56,66
52,46
29,35
15,81
40,80
29,35
159,08
155,05
53,96
29,21
22,56
20,83
11,29
6,07
16,21
11,29
97,27
53,67
36,20
35,46
19,20
10,34
27,58
18,71
7,20
60,61
33,34
22,54
43,63
23,56
21,80
133,56
65,96
133,09
63,62
17,770000
0,962000
0,962000
1,433214
2,011000
0,242000
0,371428
0,480333
0,738928
0,961333
0,565000
0,009333
0,025333
2,765000
3,008333
0,944333
1,748666
0,978333
0,527000
1,457142
0,978333
5,302666
5,168333
0,899333
0,973666
0,376000
0,694333
0,376333
0,202333
0,578928
0,376333
1,621166
1,789000
0,603333
1,182000
0,640000
0,344666
0,985000
0,623666
0,144000
0,606100
0,555666
0,450800
0,436300
0,392666
0,436000
1,335600
1,319200
1,330900
1,060333
17,770000
0,962000
0,962000
1,153599
2,011000
0,242000
0,290400
0,480333
0,576399
0,961333
0,565000
0,009333
0,025333
0,632400
0,632400
0,632400
0,632400
0,632400
0,527000
0,632400
0,632400
5,302666
5,168333
0,242799
0,242799
0,242799
0,242799
0,242799
0,202333
0,242799
0,242799
0,413599
0,413599
0,413599
0,413599
0,413599
0,344666
0,413599
0,413599
0,144000
0,172800
0,172800
0,172800
0,172800
0,172800
0,436000
0,523200
0,523200
0,523200
0,523200
17,770000
0,962000
0,962000
1,153599
2,011000
0,242000
0,290400
0,480333
0,576399
0,961333
0,565000
0,009333
0,025333
0,632400
0,632400
0,632400
0,632400
0,632400
0,527000
0,632400
0,632400
5,302666
5,168333
0,242799
0,242799
0,242799
0,242799
0,242799
0,202333
0,242799
0,242799
0,413599
0,413599
0,413599
0,413599
0,413599
0,344666
0,413599
0,413599
0,144000
0,172800
0,172800
0,172800
0,172800
0,172800
0,436000
0,523200
0,523200
0,523200
0,523200
NR.CRT
COD ATC
99
N03AX12
100 N03AX12
101 N03AX12
102 N03AX12
103 N03AX12
104 N03AX12
105 N03AX12
106 N03AX12
107 N03AX12
108 N03AX12
109 N03AX12
110 N03AX12
111 N03AX12
112 N03AX12
113 N03AX12
114 N03AX14
115 N03AX14
116 N03AX14
117 N03AX14
118 N03AX14
119 N03AX14
120 N03AX14
121 N03AX14
122 N03AX14
123 N03AX14
124 N03AX14
125 N03AX14
126 N03AX14
127 N03AX14
128 N03AX14
129 N03AX14
130 N03AX14
131 N03AX14
132 N03AX14
133 N03AX14
134 N03AX14
135 N03AX14
136 N03AX14
137 N03AX14
138 N03AX14
139 N03AX14
140 N03AX14
141 N03AX14
142 N03AX14
143 N03AX14
144 N03AX14
145 N03AX14
146 N03AX14
147 N03AX14
148 N03AX14
DCI
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**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
Denumire Comerciala


GABAGAMMA 400 mg
GABARAN 400 mg
GABALEPT 400 mg
GRIMODIN 400 mg
GABARAN 600 mg
GRIMODIN 600 mg
GABARAN 800 mg
GRIMODIN 800 mg
LEVETIRACETAM TORRENT 1000 mg
LEVETIRACETAM TERAPIA 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
LEVETIRACETAM AUROBINDO 1000 mg
MYAKELL 1000 mg
NORMEG 1000 mg
VETIRA 1000 mg
LEVELANZ 1000 mg
LEVELANZ 1000 mg
LEVETIRACETAM POLIPHARMA 1000mg
LEVETIRACETAM TEVA 250 mg

KEPPRA 250 mg
LEVETIRACETAM ACTAVIS 250mg
LEVETIRACETAM ACCORD 250mg
LEVETIRACETAM PHARMASWISS 250 mg
TRUND 250 mg
EPILETAM 250 mg
LEVETIRACETAM AUROBINDO 250 mg
MYAKELL 250 mg
NORMEG 250 mg
VETIRA 250 mg
LEVELANZ 250 mg
LEVELANZ 250 mg
LEVETIRACETAM POLIPHARMA 250mg
forma farm.
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.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
concentratie
300mg
300mg
300mg
400 mg
400mg
400mg
400mg
400mg
400mg
400mg
400mg
600mg
600mg
800mg
800mg
1000 mg
1000 mg
1000mg
1000mg
1000mg
1000mg
1000mg
1000mg
1000mg
1000mg
1000mg
1000mg
1000mg
1000mg
1000mg
1000mg
1000mg
250 mg
250 mg
250 mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
500 mg
500 mg
DETINATOR APP
TARA
DET. APP
AMBALAJ
Prescriptie
MAREA BRITANIE
MAREA BRITANIE
CUTIE CU BLIST. POLIAMIDA/AL/PVC-AL X 50 CAPS.
MAREA BRITANIE
P6L
P6L
RANBAXY UK LTD.
MAREA BRITANIE
P-6L
PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L

MAREA BRITANIE
MAREA BRITANIE

RANBAXY UK LTD. MAREA BRITANIE
UNGARIA
RANBAXY UK LTD. MAREA BRITANIE
UNGARIA
TERAPIA S.A.
UCB PHARMA SA
P-6L

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

CUTIE X 3 BLIST. AL-PVC-PA/AL X 10 COMPR. FILM. P-6L
ROMANIA
ROMANIA
CUTIE CU BLIST. DIN PVC-PVDC/AL X 30 COMPR. FILM.
P-RF
CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMP.FILM. PRF
BELGIA
CUTIE X 30 COMPR. FILM.1 (BLIST. AL/PVC)
MAREA BRITANIE
CUTIE CU BLIST. AL/PVC X 30 COMPR. FILM. PRF

CUTIE CU BLIST. DIN AL/PVC X 30 COMPR. FILM. PRF
P-RF
ISLANDA
REPUBLICA CEHA
CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. FILM. PRF
TEVA PHARMA
OLANDA
CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR.FILM. PRF
REPUBLICA CEHA
CUTIE CU 6 BLIST. AL/PVC-PE-PVDC X 10 COMPR. FILM.
PRF
PRF
UNGARIA
ROMANIA
PRF
MALTA
PRF
ROMANIA
PRF
ZENTIVA, K.S.
REPUBLICA CEHA
CUTIE CU 3 BLIST. PVC/AL X 10 COMPR.FILM.
PRF
AUSTRIA
CUTIE CU BLIST. AL/PVC-PE-PVDC X 30 COMPR. PRF
MAREA BRITANIE
MAREA BRITANIE
ROMANIA
CUTIE CU 3 BLIST. DIN PVC/AL A CATE 10 COMPR.FILM
TEVA PHARMA
OLANDA
ROMANIA
ROMANIA
TERAPIA S.A.
UCB PHARMA SA
CUTIE CU BLIST. OPA-AL-PVC/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.
MAREA BRITANIE
PRF
PRF
PRF
PRF
P-RF
PRF
REPUBLICA CEHA
REPUBLICA CEHA
PRF
UNGARIA
PRF
MALTA
PRF
ROMANIA
PRF
ZENTIVA, K.S.
REPUBLICA CEHA
PRF
AUSTRIA
MAREA BRITANIE
MAREA BRITANIE
ROMANIA
ROMANIA
ROMANIA
PRF
PRF
CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR.FILM.
PRF
TERAPIA S.A.
Pagina 16 din 44
PRF
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
50
100
60
50
100
50
100
60
50
100
60
30
60
30
60
30
30
30
30
30
30
30
60
30
30
30
30
30
30
28
28
30
30
30
30
30
30
30
30
60
30
30
30
30
30
28
28
30
30
30
47,92
91,03
51,89
28,81
175,18
72,72
169,16
85,96
64,12
121,79
64,86
65,21
123,68
104,24
197,38
114,07
114,11
166,48
222,85
101,18
114,11
114,11
216,42
108,21
100,56
97,77
114,11
114,11
114,11
106,51
106,51
97,77
31,08
26,50
30,82
46,27
31,08
61,87
31,06
53,20
30,09
22,17
31,08
31,08
31,08
29,00
29,00
30,09
56,89
58,90
0,958400
0,910300
0,864833
0,576200
1,751800
1,454400
1,691600
1,432666
1,282400
1,217900
1,081000
2,173666
2,061333
3,474666
3,289666
3,802333
3,803666
5,549333
7,428333
3,372666
3,803666
3,803666
3,607000
3,607000
3,352000
3,259000
3,803666
3,803666
3,803666
3,803928
3,803928
3,259000
1,036000
0,883333
1,027333
1,542333
1,036000
2,062333
1,035333
0,886666
1,003000
0,739000
1,036000
1,036000
1,036000
1,035714
1,035714
1,003000
1,896333
1,963333
0,523200
0,523200
0,523200
0,576200
0,691440
0,691440
0,691440
0,691440
0,691440
0,691440
0,691440
2,173666
2,061333
3,474666
3,289666
3,802333
3,803666
3,910800
3,910800
3,372666
3,803666
3,803666
3,607000
3,607000
3,352000
3,259000
3,803666
3,803666
3,803666
3,803928
3,803928
3,259000
0,886800
0,883333
0,886800
0,886800
0,886800
0,886800
0,886800
0,886666
0,886800
0,739000
0,886800
0,886800
0,886800
0,886800
0,886800
0,886800
1,896333
1,896799
0,523200
0,523200
0,523200
0,576200
0,691440
0,691440
0,691440
0,691440
0,691440
0,691440
0,691440
2,173666
2,061333
3,474666
3,289666
3,802333
3,803666
3,910800
3,910800
3,372666
3,803666
3,803666
3,607000
3,607000
3,352000
3,259000
3,803666
3,803666
3,803666
3,803928
3,803928
3,259000
0,886800
0,883333
0,886800
0,886800
0,886800
0,886800
0,886800
0,886666
0,886800
0,739000
0,886800
0,886800
0,886800
0,886800
0,886800
0,886800
1,896333
1,896799
NR.CRT
COD ATC
149 N03AX14
150 N03AX14
151 N03AX14
152 N03AX14
153 N03AX14
154 N03AX14
155 N03AX14
156 N03AX14
157 N03AX14
158 N03AX14
159 N03AX14
160 N03AX14
161 N03AX14
162 N03AX14
163 N03AX14
164 N03AX14
165 N03AX14
166 N03AX14
167 N03AX14
168 N03AX14
169 N03AX14
170 N03AX14
171 N03AX14
172 N03AX14
173 N03AX14
174 N03AX14
175 N03AX14
176 N03AX14
177 N03AX16
178 N03AX16
179 N03AX16
180 N03AX16
181 N03AX16
182 N03AX16
183 N03AX17
184 N03AX17
185 N03AX17
186 N03AX17
DCI
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
PREGABALINUM***
PREGABALINUM***
PREGABALINUM***
PREGABALINUM***
PREGABALINUM***
PREGABALINUM***
STIRIPENTOLUM**
STIRIPENTOLUM**
STIRIPENTOLUM**
STIRIPENTOLUM**
Denumire Comerciala
forma farm.
KEPPRA 500 mg
COMPR. FILM.
LEVETIRACETAM ACCORD 500mg COMPR. FILM.
LEVETIRACETAM ACTAVIS 500mg 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.
LEVETIRACETAM AUROBINDO 500 mg COMPR. FILM.
MYAKELL 500 mg
COMPR. FILM.
NORMEG 500 mg
COMPR. FILM.
VETIRA 500 mg
COMPR. FILM.
LEVELANZ 500 mg
COMPR. FILM.
LEVELANZ 500 mg
COMPR. FILM.
LEVETIRACETAM POLIPHARMA 500mg COMPR. FILM.
LEVETIRACETAM TORRENT 750 mg COMPR. FILM.
VETIRA 750 mg
COMPR. FILM.
MYAKELL 750 mg
COMPR. FILM.
LEVETIRACETAM POLIPHARMA 750mg COMPR. FILM.
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
750 mg
750mg
750mg
750mg
1000mg
250mg
500mg
750mg
100 mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
150mg
150mg
300mg
300mg
75mg
75mg
250mg
500mg
250mg
500mg
COMPR.
COMPR.
2mg
2mg
Prescriptie
50
50
100
30
30
GRANULE ACOPERITE, IN PLIC UNIDOZA
LEVETIRACETAM DESITIN 500 mg
VETIRA 100 mg/ml

LYRICA 150 mg
LYRICA 150 mg
LYRICA 300 mg
LYRICA 300 mg
LYRICA 75 mg
LYRICA 75 mg
DIACOMIT 250mg
DIACOMIT 500mg
DIACOMIT 250mg
DIACOMIT 500mg
AMBALAJ

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
COMPR.
200mg+50mg ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR. P-6L
COMPR.
200mg/50mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLACON PEID X 30 COMPR. P-6L
LEVETIRACETAM RATIOPHARM 100mg/ml
TARA
DET. APP
P-RF/R
KEPPRA 100 mg/ml

TRUND 100 mg/ml
DETINATOR APP
30
30
30
30
30
60
30
30
30
30
30
30
28
28
30
30
30
30
30
30
30
30
60
1
1
1
1
1
14
56
56
14
14
56
60
60
60
60
LEVETIRACETAM ACTAVIS GROUP 100mg/ml
concentratie
SOL. ORALA
SOL. ORALA
SOL. ORALA
SOL. ORALA
SOL. ORALA
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
UCB PHARMA SA
BELGIA
CUTIE X 30 COMPR. FILM. (BLIST. AL/PVC)
MAREA BRITANIE

CUTIE CU BLIST. DIN AL/PVC X 30 COMPR. FILM. PRF
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
P-RF
ISLANDA
REPUBLICA CEHA
TEVA PHARMA
OLANDA
REPUBLICA CEHA
PRF
PRF
UNGARIA
ROMANIA
PRF
MALTA
PRF
ROMANIA
PRF
ZENTIVA, K.S.
REPUBLICA CEHA
PRF
AUSTRIA
MAREA BRITANIE
MAREA BRITANIE
ROMANIA
ROMANIA
PRF
PRF
AUSTRIA
ROMANIA
ROMANIA
PRF
PRF
GERMANIA
CUTIE CU 30 PLICURI UNIDOZA DIN HARTIE/AL/PE CONTINAND GRANULE ACOPERITE
PRF
GERMANIA
PRF
GERMANIA
PRF
GERMANIA
PRF
UCB PHARMA SA
ISLANDA
BELGIA
REPUBLICA CEHA

CHIESI PHARMACEUTICALS GMBH AUSTRIA
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
BIOCODEX
BIOCODEX
BIOCODEX
BIOCODEX
MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE
FRANTA
FRANTA
FRANTA
FRANTA
PRF
CUTIE CU UN FLACON DIN STICLA BRUNA A 300ML, PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII, CU
PRF
CUTIE X 1 FLACON X 300 ML SOL. ORALA + SERINGA PT. ADMIN. ORALA
P-RF
CUTIE CU 1 FLAC DIN STICLA BRUNA X 300 ML SOL. ORALA + 1 SERINGA DOZATOARE (PP,PE) DE 10 ML SI UN AD
PRF
CUTIE CU UN FLACON DIN STICLA BRUNA A 300 ML, PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PENTRU COPII + O SERINGA PENTRU ADMINISTRARE ORALA GRADATA A 10ML
CUTIE CU 1 FLAC. DIN STICLA BRUNA X 300 ML SOL. ORALA, + 1 SERINGA GRADATA (PP, PE) X 10 ML SI UN AD

CUTIE X 1 FLAC. DIN PP X 60 CAPS.
CUTIE X 1 FLAC. DIN PP X 60 CAPS.
CUTIE X 60 PLICURI HARTIE/AL/PE
CUTIE X 60 PLICURI HARTIE/AL/PE
PRF
PRF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF/R
P-RF/R
P-RF/R
87,23
117,50
49,73
59,70
59,67
113,40
56,71
50,06
47,42
60,06
59,67
59,64
55,72
55,72
47,42
78,51
85,68
94,20
78,51
120,67
34,74
59,67
188,00
114,11
166,48
114,03
114,11
114,11
76,16
288,91
422,67
114,28
53,71
193,52
776,40
2,907666
3,916666
1,657666
1,990000
1,989000
1,890000
1,890333
1,668666
1,580666
2,002000
1,989000
1,988000
1,990000
1,990000
1,580666
2,617000
2,856000
3,140000
2,617000
4,022333
1,158000
1,989000
3,133333
114,110000
166,480000
114,030000
114,110000
114,110000
5,440000
5,159107
7,547678
8,162857
3,836428
3,455714
12,940000
1.513,60 25,226666
776,40 12,940000
1.513,60 25,226666
1,896799
1,896799
1,657666
1,896799
1,896799
1,890000
1,890333
1,668666
1,580666
1,896799
1,896799
1,896799
1,896799
1,896799
1,580666
2,617000
2,856000
3,140000
2,617000
3,910800
0,886800
1,896799
3,133333
114,110000
136,836000
114,030000
114,110000
114,110000
5,440000
5,159107
7,547678
8,162857
3,836428
3,455714
12,940000
25,226666
12,940000
25,226666
1,896799
1,896799
1,657666
1,896799
1,896799
1,890000
1,890333
1,668666
1,580666
1,896799
1,896799
1,896799
1,896799
1,896799
1,580666
2,617000
2,856000
3,140000
2,617000
3,910800
0,886800
1,896799
3,133333
114,110000
136,836000
114,030000
114,110000
114,110000
5,440000
5,159107
7,547678
8,162857
3,836428
3,455714
12,940000
25,226666
12,940000
25,226666
0,542000
0,211400
0,588700
0,629199
0,524333
0,542000
0,211400
0,588700
0,629199
0,524333
Tratamentul se initiaz de ctre medicul n specialitatea neurologie
10. BOALA PARKINSON - G12

1
2
3
4
5
N04BA02 COMBINATII (LEVODOPUM+BENSERAZIDUM)**
ROMPARKIN (R) 2 mg
AKINETON 2 mg
MADOPAR HBS
MADOPAR 200mg/50mg
LEVODOPA/BENSERAZIDE TEVA 200mg/50mg
N04AA01
N04AA02
TRIHEXYPHENIDYLUM
BIPERIDENUM
TERAPIA SA
DESMA GMBH
Pagina 17 din 44
27,10
10,57
58,87
23,59
15,73
0,542000
0,211400
0,588700
0,786333
0,524333
NR.CRT
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
COD ATC
DCI
Denumire Comerciala
NAKOM
COMBINATII (LEVODOPUM+CARBIDOPUM)** ISICOM 250 mg/25 mg
COMBINATII (LEVODOPUM+CARBIDOPUM)** DUODOPA
COMBINATII (LEVODOPUM+CARBIDOPUM)** DUODOPA
N04BA02 COMBINATII (LEVODOPUM+CARBIDOPUM)**

N04BA02
N04BA02
N04BA02
N04BA03 COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)***
STALEVO 100 mg/25 mg/200 mg
STALEVO 125 mg/31,25 mg/200 mg

STALEVO 200 mg/50 mg/200 mg

N04BB01
N04BC01
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
AMANTADINUM**
BROMOCRIPTINUM
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**
VIREGYT (R)- K
BROCRIPTIN (N04BC01)
ROPINIROL TEVA 2 mg
REQUIP-MODUTAB 2 mg
ROPINIROL TEVA 4 mg
REQUIP-MODUTAB 4 mg
ROPINIROL TEVA 8 mg
REQUIP-MODUTAB 8 mg
ROLPRYNA EP 2 mg
ROLPRYNA EP 4 mg
ROLPRYNA EP 8 mg
forma farm.
COMPR.
COMPR.
GEL INT.
GEL INT.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
CAPS.
DRAJ.
ROPINIROL AUROBINDO 2 mg COMPR. ELIB. PREL.
ROPINIROL ACTAVIS 2 mg
NERVAMAT 2 mg
COMPR. ELIB. PREL.

COMPR. ELIB. PREL.
NERVAMAT 4 mg
ROPINIROL ACTAVIS 4 mg
COMPR. ELIB. PREL.

COMPR. ELIB. PREL.
NERVAMAT 8 mg
COMPR. ELIB. PREL.
ROPINIROL ACTAVIS 8 mg COMPR. ELIB. PREL.
OPRYMEA 0,088mg
COMPR.
PRAMIPEXOL ZENTIVA 0,18 mg COMPR.
OPRYMEA 0,18mg
COMPR.
PRAMIPEXOL TEVA 0,18mg COMPR.
PRAMIPEXOL SANDOZ 0,18 mg COMPR.
MEDOPEXOL 0,18 mg
COMPR.
GLEPARK 0,18 mg
COMPR.
PRAMIPEXOL RANBAXY 0,18 mg COMPR.
MIGLASEN 0,18 mg
COMPR.
PRAMIPEXOL TORRENT 0,18 mg COMPR.
PRAXITAB 0,18mg
COMPR.
PRAMIPEXOL AUROBINDO 0,18 mg COMPR.
MIGLASEN 0,18 mg
COMPR.
PRAMIPEXOLE ACCORD 0,35mg COMPR.
PRAMIPEXOL AUROBINDO 0,7 mg COMPR.
PRAMIPEXOL ZENTIVA 0,7 mg COMPR.
OPRYMEA 0,7mg
COMPR.
PRAMIPEXOL TEVA 0,7mg COMPR.
PRAMIPEXOL SANDOZ 0,7 mg COMPR.
MEDOPEXOL 0,7 mg
COMPR.
concentratie
250mg+25mg
250mg/25mg
DETINATOR APP
TARA
DET. APP
AMBALAJ
SLOVENIA CUTIE X 10 BLIST. AL/PVC X 10 COMPR.
FARA CONCENTRATIE SOLVAY PHARMACEUTICALS GMBH
GERMANIA
FARA CONCENTRATIE ABBVIE DEUTSCHLAND GMBH & CO. KG
GERMANIA
ORION CORPORATION
ORION CORPORATION
ORION CORPORATION
ORION CORPORATION
ORION CORPORATION
ORION CORPORATION
FINLANDA
FINLANDA
FINLANDA
FINLANDA
FINLANDA
FINLANDA
UNGARIA
ROMANIA
ROMANIA
SMITHKLINE BEECHAM PLC
MAREA BRITANIE
100mg/25mg/200mg
125mg/31,25mg/200mg
150mg/37,5mg/200mg
200mg/50mg/200mg
50mg/12,5mg/200mg
75mg/18,75mg/200mg
100mg
2,5mg
2mg
2mg
4mg
4mg
8mg
8mg
2 mg
4 mg
8 mg
2 mg
2mg
2mg
4 mg
4mg
4mg
8 mg
8mg
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
0,18mg
0,35mg
0,7 mg
0,7 mg
0,7mg
0,7mg
0,7mg
0,7mg
BIOFARM SA
ROMANIA
MAREA BRITANIE
ROMANIA
MAREA BRITANIE
KRKA ,D.D., NOVO MESTO SLOVENIA

MALTA
ISLANDA
UNGARIA
MALTA
UNGARIA

ISLANDA
MALTA
UNGARIA
ISLANDA
KRKA D.D.
ZENTIVA, K.S.
KRKA D.D.
TEVA PHARMA BV
SANDOZ S.R.L.
MEDOCHEMIE LTD.
SLOVENIA
REPUBLICA CEHA
SLOVENIA
OLANDA
ROMANIA
CIPRU
REPUBLICA CEHA
MAREA BRITANIE
ROMANIA
ROMANIA
ROMANIA
MALTA

ZENTIVA, K.S.
KRKA D.D.
TEVA PHARMA BV
SANDOZ S.R.L.
MEDOCHEMIE LTD.
Pagina 18 din 44
MAREA BRITANIE
MALTA
REPUBLICA CEHA
SLOVENIA
OLANDA
ROMANIA
CIPRU
Prescriptie
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
100
100
CUTIE X 7 CASETE BRUNE TRANSPARENTE X 100 GEL INT. IN PUNGA PVC
S/P-RF
7
CUTIE X 7 CASETE BRUNE TRANSPARENTE X 100 GEL INT. IN PUNGA PVC
S/P-RF
7
CUTIE X 1 FLAC. PEID X 100 COMPR. FILM. P-RF 100
CUTIE X 1 FLAC. HDPE X 100 COMPR. FILM. PRF 100
CUTIE X 1 FLAC. HDPE X 100 COMPR. FILM. PRF 100
P-6L
50
CUTIE X 2 BLIST. AL/PVC X 20 DRAJ. P-RF
40
CUTIE CU BLIST. OPA/AL/PVC-AL X 30 COMPR. ELIB. PRELUNG.
PRF
30
CUTIE CU BLIST. PVC-PCTFE-PVC/AL X 28 COMPR. CU ELIB. PREL. P-RF
28
PRF
30
28
PRF
30
28
CUTIE CU BLIST. OPA - AL - PVC/AL X 28 COMPR. ELIB. PREL.
PRF
28
PRF
28
PRF
28
CUTIE CU BLIST. PVC-PCTFE/AL X 28 COMPR. ELIB. PREL. PRF
28
CUTIE CU BLIST. AL/AL X 28 COMPR. ELIB. PREL.
PRF
28
CUTIE CU 4 BLIST. PVC-PCTFE/AL X 7 COMPR. ELIB. PREL. PRF
28
28
28
PRF
28
28
28
PRF
28
CUTIE X 30 COMPR. (BLIST. AL/AL) P-RF
30
30
30
CUTIE CU BLIST. AL/AL X 30 COMPR. P-RF
30
CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-RF/R
30
30
30
30
CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P6L
30
30
30
30
30
CUTIE CU 3 BLIST. AL-PVC/AL A CATE 10 COMPR. PRF
30
30
30
30
30
CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-RF/R
30
30
P-6L
P-6L
62,05
74,57
3.070,90
3.070,90
414,46
414,46
414,46
544,89
414,46
414,46
17,07
21,16
42,74
40,72
81,12
77,41
153,89
134,78
39,89
75,71
143,63
36,96
39,81
39,89
67,67
75,71
75,62
121,86
143,62
143,55
19,75
17,43
17,70
33,41
33,42
27,83
14,88
30,86
14,87
17,72
25,30
23,56
14,87
48,92
83,51
60,97
73,16
115,05
115,05
99,54
0,620500
0,620500
0,620500
0,745700
0,744600
0,744600
438,700000 438,700000 438,700000
438,700000 438,700000 438,700000
4,144600
4,144600
4,144600
4,144600
4,144600
4,144600
4,144600
4,144600
4,144600
5,448900
5,448900
5,448900
4,144600
4,144600
4,144600
4,144600
4,144600
4,144600
0,341400
0,341400
0,341400
0,529000
0,529000
0,529000
1,424666
1,424666
1,424666
1,454285
1,454285
1,454285
2,704000
2,704000
2,704000
2,764642
2,764642
2,764642
5,129666
5,129666
5,129666
4,813571
4,813571
4,813571
1,424642
1,424642
1,424642
2,703928
2,703928
2,703928
5,129642
5,129642
5,129642
1,320000
1,320000
1,320000
1,421785
1,421785
1,421785
1,424642
1,424642
1,424642
2,416785
2,416785
2,416785
2,703928
2,703928
2,703928
2,700714
2,700714
2,700714
4,352142
4,352142
4,352142
5,129285
5,129285
5,129285
5,126785
5,126785
5,126785
0,658333
0,658333
0,658333
0,581000
0,581000
0,581000
0,590000
0,590000
0,590000
1,113666
0,594799
0,594799
1,114000
0,594799
0,594799
0,927666
0,594799
0,594799
0,496000
0,496000
0,496000
1,028666
0,594799
0,594799
0,495666
0,495666
0,495666
0,590666
0,590666
0,590666
0,843333
0,594799
0,594799
0,785333
0,594799
0,594799
0,495666
0,495666
0,495666
1,630666
1,630666
1,630666
2,783666
2,438799
2,438799
2,032333
2,032333
2,032333
2,438666
2,438666
2,438666
3,835000
2,438799
2,438799
3,835000
2,438799
2,438799
3,318000
2,438799
2,438799
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
COD ATC
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BD01
N04BD01
N04BD02
N04BX02
N04BX02
N04BX02
N04BX02
N04BX02
N04BX02
N05AH02
N05AH02
DCI
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
SELEGILINUM
SELEGILINUM
RASAGILINUM***
ENTACAPONUM***
ENTACAPONUM***
ENTACAPONUM***
ENTACAPONUM***
ENTACAPONUM***
ENTACAPONUM***
CLOZAPINUM**
CLOZAPINUM**
Denumire Comerciala
forma farm.
GLEPARK 0,7 mg
COMPR.
PRAMIPEXOL RANBAXY 0,7 mg COMPR.
MIGLASEN 0,7 mg
COMPR.
PRAMIPEXOL TORRENT 0,7 mg COMPR.
PRAXITAB 0,7 mg
COMPR.
MIGLASEN 0,7 mg
COMPR.
MIRAPEXIN 0,26 mg
COMPR. ELIB. PREL.
OPRYMEA 0,26mg
COMPR. ELIB. PREL.
CALMOLAN 0,26 mg
COMPR. ELIB. PREL.
MIRAPEXIN 0,52 mg
COMPR. ELIB. PREL.
OPRYMEA 0,52mg
COMPR. ELIB. PREL.
CALMOLAN 0,52 mg
COMPR. ELIB. PREL.
MIRAPEXIN 1,05 mg
COMPR. ELIB. PREL.
OPRYMEA 1,05mg
COMPR. ELIB. PREL.
OPRYMEA 1,57mg
COMPR. ELIB. PREL.
OPRYMEA 2,10mg
COMPR. ELIB. PREL.
MIRAPEXIN 2,1 mg
COMPR. ELIB. PREL.
CALMOLAN 2,1 mg
COMPR. ELIB. PREL.
MIRAPEXIN 3,15 mg
COMPR. ELIB. PREL.
SELEGOS
COMPR.
SELEGOS
COMPR.
AZILECT 1mg
COMPR.
COMTAN 200mg
COMPR. FILM.
COMTAN 200mg
COMPR. FILM.
ENTACAPONE TEVA
COMPR. FILM.
ENCAPIA 200 mg
COMPR. FILM.
ENCAPIA 200 mg
COMPR. FILM.
ENCAPIA 200 mg
COMPR. FILM.
LEPONEX (R) 100 mg
COMPR.
LEPONEX (R) 25 mg
COMPR.
concentratie
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,26mg
0,26mg
0,26mg
0,52mg
0,52mg
0,52mg
1,05mg
1,05mg
1,57mg
2,10mg
2,1mg
2,1mg
3,15mg
5mg
5mg
1mg
200mg
200mg
200mg
200mg
200mg
200mg
100mg
25mg
DETINATOR APP
TARA
DET. APP
REPUBLICA CEHA
MAREA BRITANIE
ROMANIA
ROMANIA
GERMANIA
KRKA D.D.
SLOVENIA
GERMANIA
KRKA D.D.
SLOVENIA
GERMANIA
KRKA D.D.
KRKA D.D.
KRKA D.D.
SLOVENIA
SLOVENIA
SLOVENIA
GERMANIA

GERMANIA

TEVA PHARMA GMBH GERMANIA
AMBALAJ
30
30
30
30
30
30
CUTIE CU 1 BLIST.OPA-AL-PVC/AL X 10 COMPR. P-RF
10
P-RF
30
CUTIE CU BLIST. AL/OPA-AL-PVC X 10 COMPR. ELIB. PREL. PRF
10
30
P-RF
30
30
30
P-RF
30
P-RF
30
P-RF
30
30
30
30
CUTIE X 5 BLIST. DIN AL/PVC X 10 COMPR. P-6L
50
CUTIE X 10 BLIST. DIN AL/PVC X 10 COMPR. P-6L 100
CUTIE X 30 COMPR.(BLIST. AL/AL) P-RF
30
P-RF
100
P-RF
30
CUTIE X 1 FLAC. DIN PEID X 100 COMPR. FILM PRF 100
30
60
100
P-RF
50
P-RF
50
P-RF
CUTIE CU BLIST. PA-AL-PVC X 30 COMPR.
P-RF
MAREA BRITANIE
CUTIE X 1 FLAC. DIN STICLA BRUNA CU SISTEM DE INCHIDERE SECURIZAT X 100 COMPR. FILM.
MAREA BRITANIE
CUTIE X 1 FLAC. DIN STICLA BRUNA CU SISTEM DE INCHIDERE SECURIZAT X 30 COMPR. FILM.
TEVA PHARMA B.V.

MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
OLANDA
CIPRU
CIPRU
CIPRU

Prescriptie
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
72,02
106,21
72,03
73,14
90,45
72,03
58,12
61,20
17,09
314,07
112,50
94,24
650,35
160,92
241,13
274,79
1.229,85
229,34
1.809,33
36,31
70,37
523,59
391,65
125,26
257,35
81,41
154,40
257,35
106,79
33,65
2,400666
3,540333
2,401000
2,438000
3,015000
2,401000
5,812000
2,040000
1,709000
10,469000
3,750000
3,141333
21,678333
5,364000
8,037666
9,159666
40,995000
7,644666
60,311000
0,726200
0,703700
17,453000
3,916500
4,175333
2,573500
2,713666
2,573333
2,573500
2,135800
0,673000
2,400666
2,438799
2,401000
2,438000
2,438799
2,401000
2,050800
2,040000
1,709000
3,769599
3,750000
3,141333
6,436800
5,364000
8,037666
9,159666
9,173599
7,644666
60,311000
0,726200
0,703700
17,453000
3,087999
3,087999
2,573500
2,713666
2,573333
2,573500
2,135800
0,673000
2,400666
2,438799
2,401000
2,438000
2,438799
2,401000
2,050800
2,040000
1,709000
3,769599
3,750000
3,141333
6,436800
5,364000
8,037666
9,159666
9,173599
7,644666
60,311000
0,726200
0,703700
17,453000
3,087999
3,087999
2,573500
2,713666
2,573333
2,573500
2,135800
0,673000
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
H02AB07
H02AB07
H02AB07
H02AB07
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
METHOTREXATUM4)
METHOTREXATUM4)
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
PREDNISON MCC 5 mg
PREDNISON 5 mg
COMPR.
COMPR.
COMPR.
PREDNISON - RICHTER 5 mg COMPR.
METHOTREXATE PCH 10mg COMPR.
METHOTREXATE PCH 2,5mg COMPR.
CONC. PT. SOL. INJ./PERF.
METHOTREXAT "EBEWE" 5 mg SOL. INJ.

METOTREXAT EBEWE 10 mg/ml SOL. INJ. IN SERINGA PREUMPLUTA
5mg
5mg
5mg
5mg
10mg
2,5mg
100mg/ml
100mg/ml
100mg/ml
5mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml

SINTOFARM SA
ROMANIA
EBEWE PHARMA GMBH NFG. KG
Pagina 19 din 44

CUTIE X 10COMPR.
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
AUSTRIA
AUSTRIA
AUSTRIA
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
P-RF
P-RF
P-RF
P-RF
P6L
P6L
S
S
S
S
PR
PR
PR
PR
20
30
30
20
10
30
1
5
1
10
1
1
1
1
2,65
0,132500
0,104799
0,104799
2,62
0,087333
0,087333
0,087333
3,71
0,123666
0,104799
0,104799
2,57
0,128500
0,104799
0,104799
28,81
2,881000
2,881000
2,881000
21,62
0,720666
0,720666
0,720666
400,81 400,810000 400,810000 400,810000
241,07 48,214000 48,214000 48,214000
89,66 89,660000 89,660000 89,660000
23,82
2,382000
2,382000
2,382000
78,67 78,670000 78,670000 78,670000
59,64 59,640000 59,640000 59,640000
122,50 122,500000 122,500000 122,500000
110,09 110,090000 110,090000 110,090000
NR.CRT
15
16
17
18
19
20
21
22
COD ATC
L01BA01
L01BA01
L01BA01
L01BA01
L04AX01
L04AX01
N07AA01
N07AA02
DCI
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
AZATHIOPRINUM
AZATHIOPRINUM
NEOSTIGMINI BROMIDUM
PYRIDOSTIGMINI BROMIDUM
Denumire Comerciala
METOJECT 50mg/ml
METOJECT 50mg/ml
METOJECT 50mg/ml
METOJECT 50mg/ml
IMURAN
IMMUNOPRIN 75 mg
NEOSTIGMINA LPH 15 mg
MESTINON 60 mg
forma farm.
COMPR. FILM.
COMPR. FILM.
COMPR.
DRAJ.
concentratie
50mg/ml
50mg/ml
50mg/ml
50mg/ml
50mg
75mg
15mg
60mg
DETINATOR APP
TARA
DET. APP
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
GERMANIA
P-RF
GERMANIA
P-RF
GERMANIA
AMBALAJ

AUSTRIA
Prescriptie
P-RF
S/P-RF
PR
P-6L
MEDA AB
SUEDIA CUTIE X 1 FLAC. X 20 DRAJ.
S/P-RF
MAREA BRITANIE
MAREA BRITANIE


ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 7,8 ML
MAREA BRITANIE
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
1 124,21 124,210000 124,210000 124,210000

1 78,67 78,670000 78,670000 78,670000
1 74,80 74,800000 71,568000 71,568000
1 109,54 109,540000 109,540000 109,540000
100 70,21
0,702100
0,702100
0,702100
100 78,89
0,788900
0,788900
0,788900
20 13,73
0,686500
0,686500
0,686500
20 12,33
0,616500
0,616500
0,616500
12. SCLEROZA MULTIPLA - G14

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
H02AB04
H02AB04
H02AB04
H02AB04
H02AB04
H02AB07
H02AB07
H02AB07
H02AB07
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01DB07
L04AX01
L04AX01
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
METHOTREXATUM4)
METHOTREXATUM4)
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
MITOXANTRONUM***
AZATHIOPRINUM
AZATHIOPRINUM
MEDROL A 16
MEDROL 32
LEMOD SOLU 125 mg
LEMOD SOLU 500 mg
PREDNISON MCC 5 mg
PREDNISON 5 mg

METOJECT 50mg/ml
METOJECT 50mg/ml
METOJECT 50mg/ml
METOJECT 50mg/ml
ONKOTRONE
IMURAN
IMMUNOPRIN 75 mg
COMPR.
COMPR.
16mg
32mg
LIOF. SI SOLV.PT.SOL.INJ 250mg/4ml
COMPR.
5mg
COMPR.
5mg
COMPR.
5mg
COMPR.
5mg
COMPR.
10mg
COMPR.
2,5mg
CONC. PT. SOL. INJ./PERF. 100mg/ml
SOL. INJ.
5mg/ml
SOL. INJ. IN SERINGA PREUMPLUTA 10mg/ml
CONC. PT. SOL. INJ. 2mg/ml
COMPR. FILM. 50mg
COMPR. FILM. 75mg

SINTOFARM SA
ROMANIA

CUTIE X 10COMPR.
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
GERMANIA
GERMANIA
GERMANIA
GERMANIA

BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 1 FLACON X 10 ML CONC. PT. SOL. INJ.

AUSTRIA
50
20
S/P-RF
1
S/P-RF
1
P-RF
1
P-RF
20
P-RF
30
P-RF
30
P-RF
20
P6L
10
P6L
30
S
1
S
5
S
1
S
10
PR
1
PR
1
PR
1
PR
1
P-RF
1
P-RF
1
P-RF
1
P-RF
1
S
1
S/P-RF
100
PR 100
P-RF
32,62
29,65
8,81
31,02
20,48
2,65
2,62
3,71
2,57
28,81
21,62
400,81
241,07
89,66
23,82
78,67
59,64
122,50
110,09
124,21
78,67
74,80
109,54
643,62
70,21
78,89
0,652400
1,482500
8,810000
31,020000
20,480000
0,132500
0,087333
0,123666
0,128500
2,881000
0,720666
400,810000
48,214000
89,660000
2,382000
78,670000
59,640000
122,500000
110,090000
124,210000
78,670000
74,800000
109,540000
643,620000
0,702100
0,788900
0,652400
1,482500
8,810000
31,020000
20,480000
0,104799
0,087333
0,104799
0,104799
2,881000
0,720666
400,810000
48,214000
89,660000
2,382000
78,670000
59,640000
122,500000
110,090000
124,210000
78,670000
71,568000
109,540000
643,620000
0,702100
0,788900
0,652400
1,482500
8,810000
31,020000
20,480000
0,104799
0,087333
0,104799
0,104799
2,881000
0,720666
400,810000
48,214000
89,660000
2,382000
78,670000
59,640000
122,500000
110,090000
124,210000
78,670000
71,568000
109,540000
643,620000
0,702100
0,788900
0,350400
0,535200
0,184920
0,268680
0,184920
0,268680

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
N03AG01
N03AG01

ORFIRIL LONG 150 mg

ORFIRIL LONG 300 mg

GERMANIA
CUTIE X 1 FLAC. DIN PP X 50 CAPS. CU MINICOMPR. CU ELIB. PRELUNG.
P-6L
GERMANIA
CUTIE X 1 FLAC. DIN PP X 50 CAPS. CU MINICOMPR. CU ELIB. PREL.
P-6L
Pagina 20 din 44
50
50
17,52
26,76
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
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
COD ATC
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N04AA01
N05AD01
N05AD01
N05AD01
N05AD01
N05AD01
N05AD01
N05AD01
N05AD01
N05AE03
N05AE03
N05AE04
N05AE04
N05AE04
N05AE04
N05AE04
N05AE04
N05AE04
N05AE04
N05AE04
N05AE04
DCI

LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
TRIHEXYPHENIDYLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
SERTINDOL**
SERTINDOL**
ZIPRASIDONUM**
ZIPRASIDONUM**
ZIPRASIDONUM**
ZIPRASIDONUM**
ZIPRASIDONUM**
ZIPRASIDONUM**
ZIPRASIDONUM**
ZIPRASIDONUM**
ZIPRASIDONUM**
ZIPRASIDONUM**
Denumire Comerciala
CONVULEX (R) 150 mg

CONVULEX 150 mg
CONVULEX (R) 300 mg
CONVULEX 300 mg
CONVULEX (R) 500 mg
CONVULEX 500 mg
DEPAKINE (R) CHRONO 500 mg
DEPAKINE CHRONO 300 mg

ORFIRIL 150
DEPAKINE 200 mg
ORFIRIL 300
ORFIRIL 600
ORFIRIL LONG 1000 mg
ORFIRIL LONG 500 mg
ORFIRIL SIROP
DEPAKINE
DEPAKINE
LAMOTRIX 100 mg
PLEXXO (R) 100 mg
LAMICTAL 100 mg
LAMOTRIX 200 mg
LAMOTRIX 25 mg
LAMICTAL 25 mg
LAMOTRIX 50 mg
LAMICTAL 50 mg
LAMOTRIN 100 mg
LAMOTRIN 50 mg
LAMICTAL 2 mg
LAMICTAL 5 mg
ROMPARKIN (R) 2 mg
HALOPERIDOL LAROPHARM 0,5 mg
HALOPERIDOL ARENA 1 mg
HALOPERIDOL ARENA 2 mg
HALDOL
HALOPERIDOL ROMPHARM 2 mg/ml
HALOPERIDOL 2 mg/ml
HALOPERIDOL DECANOAT
HALOPERIDOL RICHTER 5 mg/ml
SERDOLECT 16 mg
SERDOLECT 4 mg
ZELDOX (R) 40 mg
ZIXADOX 40 mg
ZYPSILA 40 mg
ZELDOX (R) 60 mg
ZIXADOX 60 mg
ZYPSILA 60 mg
ZELDOX (R) 80 mg
ZIXADOX 80 mg
ZYPSILA 80 mg
ZELDOX (R) 20 mg/ml
forma farm.
concentratie
150mg
COMPR. FILM. ELIB. PREL. DIVIZ. 300mg
SIROP
300mg/5ml
SIROP
57,64mg/ml
SIROP
57,64mg/ml
COMPR.
100mg
COMPR.
100mg
COMPR.
100mg
COMPR.
200mg
COMPR.
25mg
COMPR.
25mg
COMPR.
50mg
COMPR.
50mg
COMPR. DISP. 100mg
COMPR. DISP. 50mg
COMPR. DISP./MAST. 2mg
COMPR. DISP./MAST. 5mg
COMPR.
2mg
COMPR.
0,5mg
COMPR.
1mg
COMPR.
2mg
COMPR.
5mg
PIC. ORALE, SOL. 2 mg/ml
PIC. ORALE-SOL. 2mg/ml
SOL. INJ.
50mg/ml
SOL. INJ.
5mg/ml
COMPR. FILM. 16mg
COMPR. FILM. 4mg
CAPS.
40mg
CAPS.
40mg
CAPS.
40mg
CAPS.
60mg
CAPS.
60mg
CAPS.
60mg
CAPS.
80mg
CAPS.
80mg
CAPS.
80mg
LIOF. PT. SOL. INJ. + SOLV. 20mg/ml
DETINATOR APP
TARA
DET. APP
AMBALAJ
Prescriptie
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
100
100
CUTIE X 10 BLIST. AL/PVDC-PVC X 10 CAPS. MOI GASTROREZ. P-6L
100
CUTIE CU 5 BLIST. PVDC-PVC/AL X 20 CAPS. MOI GASTROREZ. P6L
100
CUTIE X 10 BLIST. AL/PVDC-PVCX 10 CAPS. MOI GASTROREZ. P-6L
100
P6L 100
CUTIE X 1 FLAC. PP X 30 COMPR. FILM. ELIB. PREL.
P-RF
30
CUTIE X 2 FLAC. DIN PP X 50 COMPR. FILM. ELIB. PREL., DIVIZIBILE
P-6L 100
DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 1 FLAC. X 100 COMPR.FILM. GASTROREZ. P-6L 100
SANOFI-AVENTIS FRANCE FRANTA CUTIE X 1 FLAC. DIN PP X 40 COMPR. FILM. GASTROREZ. P-6L
40
DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 1 FLAC. X 100 COMPR.FILM. GASTROREZ. P-6L 100
DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 1 FLAC. X 50 COMPR. FILM. GASTRORE P-6L
50
DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 50 MINIPLICURI. DIN PET/AL/PE CU MINICOMPR. CU ELIB. PRELUNG. P-6L
50
DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 50 MINIPLICURI. DIN PET/AL/PE CU MINICOMPR. CU ELIB. PRELUNG. P-6L
50
DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 1 FLACON X 250 ML + LINGURITA DOZATOARE PP A 5 ML P-6L
1
SANOFI - AVENTIS FRANCE FRANTA CUTIE X 1 FLACON X 150 ML + 1 SERINGA PT. ADMIN. ORALA P-6L
1
SANOFI - AVENTIS FRANCE FRANTA CUTIE X 1 FLACON X 150 ML + 1 LINGURITA DOZATOARE
P-6L
1
30
DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 3 BLIST. X 10 COMPR.
P-6L
30
THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 COMPR.
P-6L
28
30
30
THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 COMPR.
P-6L
28
30
THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE CU BLIST. PVC/AL, X 28 COMPR. P-6L
28
ACTAVIS GROUP HF. ISLANDA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. DISPERSABILE P-6L
30
ACTAVIS GROUP HF. ISLANDA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. DISPERSABILE P-6L
30
THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID X 30 COMPR. DISP./MAST. P-6L
30
THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X BLIST. PVC-PVDC/AL X 30 COMPR. DISP./MAST.
P-6L
30
TERAPIA SA
50
LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
20
ARENA GROUP S.A. ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. PRF
30
ARENA GROUP S.A. ROMANIA CUTIE X 3 BLISTERE PVC/AL X 10 COMPRIMATE PRF
30
25
ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 FLACON PEJD CU PICURATOR PEJD X 10 ML PIC. OFT., SOL.
PRF
1
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 FLACON PICURATOR X 10ML PICATURI ORALE-SOLUTIE P-RF
1
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 5 FIOLE X 1 ML
P-RF
5
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 1 ML SOL. INJ.
P-RF
5
H. LUNDBECK A/S DANEMARCA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-RF
28
H. LUNDBECK A/S DANEMARCA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF
30
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 4 BLIST. X 14 CAPS.
P-RF
56
ZENTIVA K.S.
REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 56 CAPS.
P-RF
56
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 CAPS. P-RF
60
P-RF
56
ZENTIVA K.S.
P-RF
56
60
P-RF
56
ZENTIVA K.S.
P-RF
56
60
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. LIOF. + 1 FIOLA X 1,2 ML SOLV. S/P-RF
1
Pagina 21 din 44
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
FRANTA
FRANTA
P-6L
P6L
18,29
18,29
23,10
23,10
33,65
33,65
16,06
34,40
15,41
10,72
22,39
21,57
94,92
35,24
19,24
17,77
17,77
28,86
28,86
40,13
60,33
7,26
10,40
14,41
20,69
28,84
16,95
0,28
0,76
27,10
3,24
7,72
10,80
17,94
5,39
6,66
44,52
12,48
484,77
127,86
416,90
277,12
291,19
542,18
354,75
358,39
583,10
403,81
386,47
64,19
0,182900
0,182900
0,231000
0,231000
0,336500
0,336500
0,535333
0,344000
0,154100
0,268000
0,223900
0,431400
1,898400
0,704800
19,240000
17,770000
17,770000
0,962000
0,962000
1,433214
2,011000
0,242000
0,371428
0,480333
0,738928
0,961333
0,565000
0,009333
0,025333
0,542000
0,162000
0,257333
0,360000
0,717600
5,390000
6,660000
8,904000
2,496000
17,313214
4,262000
7,444642
4,948571
4,853166
9,681785
6,334821
5,973166
10,412500
7,210892
6,441166
64,190000
0,182900
0,182900
0,231000
0,231000
0,336500
0,336500
0,403800
0,268680
0,154100
0,268000
0,223900
0,431400
1,898400
0,403800
19,240000
17,770000
17,770000
0,962000
0,962000
1,153599
2,011000
0,242000
0,290400
0,480333
0,576399
0,961333
0,565000
0,009333
0,025333
0,542000
0,162000
0,257333
0,360000
0,717600
5,390000
6,468000
8,904000
2,496000
17,313214
4,262000
5,823799
4,948571
4,853166
7,167799
6,334821
5,973166
7,729399
7,210892
6,441166
64,190000
0,182900
0,182900
0,231000
0,231000
0,336500
0,336500
0,403800
0,268680
0,154100
0,268000
0,223900
0,431400
1,898400
0,403800
19,240000
17,770000
17,770000
0,962000
0,962000
1,153599
2,011000
0,242000
0,290400
0,480333
0,576399
0,961333
0,565000
0,009333
0,025333
0,542000
0,162000
0,257333
0,360000
0,717600
5,390000
6,468000
8,904000
2,496000
17,313214
4,262000
5,823799
4,948571
4,853166
7,167799
6,334821
5,973166
7,729399
7,210892
6,441166
64,190000
NR.CRT
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
COD ATC
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
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
100 N05AH03
101 N05AH03
102 N05AH03
DCI
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**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
Denumire Comerciala
FLUANXOL DEPOT
CLOPIXOL 10 mg
CLOPIXOL 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
OLANZAPINA AUROBINDO 10 mg
ZALASTA 5mg
OLAZAX 5 mg
ZYPREXA 10 mg
LAPOZAN 10 mg
LAPOZAN 10 mg
OLANZAPINA ACTAVIS 10 mg
BLOONIS 10 mg
OLANZAPINA DR. REDDY'S 10 mg
EGOLANZA 10 mg
OLANZAPINA POLIPHARMA 10 mg
LAPOZAN 15 mg
EGOLANZA 15 mg
OLANZAPINA ACCORD 20 mg
EGOLANZA 20 mg
ZYPREXA 5 mg
LAPOZAN 5 mg
LAPOZAN 5 mg
BLOONIS 5 mg
EGOLANZA 5 mg
OLANZAPINA POLPHARMA 10 mg
ZYPREXA VELOTAB 10 mg
ZALASTA 10mg
OLANZAPINE TEVA 10mg
OLANZAPINA TERAPIA 10 mg
OLAZAX DISPERZI 10 mg
LAPOZAN 10 mg
LAPOZAN 10 mg
BLOONIS 10 mg
AEDON 10 mg
IRROPIA 10 mg
forma farm.
SOL. INJ.
COMPR. FILM.
COMPR. FILM.
concentratie
20mg/ml
10mg
25mg
PIC. ORALE-SOL. 20mg/ml
SOL. INJ.
200mg/ml
SOL. INJ.
50mg/ml
COMPR.
100mg
COMPR.
25mg
COMPR.
10mg
COMPR.
10mg
COMPR.
10mg
COMPR.
15mg
COMPR.
20mg
COMPR.
5mg
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. 15mg
COMPR. FILM. 15mg
COMPR. FILM. 15mg
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. ORODISPERSABILE 10 mg
COMPR. ORODISPERSABILE 10mg
DETINATOR APP
H. LUNDBECK A/S
H. LUNDBECK A/S
H. LUNDBECK A/S
H. LUNDBECK A/S
H. LUNDBECK A/S
H. LUNDBECK A/S
TARA
DET. APP
AMBALAJ
Prescriptie
DANEMARCA CUTIE X 10 FIOLE DIN STICLA INCOLORA X 1 ML SOL. INJ.
P-RF
DANEMARCA
CUTIE X 1 FLAC. DIN PEJD X 50 COMPR. FILM., INCHIS CU CAPAC CU FILET, PREVAZUT CU SISTEM DE INCHIDER
P-RF
DANEMARCA
CUTIE X 1 FLAC. DIN PEJD X 50 COMPR. FILM., INCHIS CU CAPAC CU FILET, PREVAZUT CU SISTEM DE INCHIDER
P-RF
DANEMARCA CUTIE X 1 FLAC. + CAPAC SECURIZAT PT. COPII X 20 ML
P-RF
DANEMARCA CUTIE X 5 FIOLE X 1 ML
NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. X 10 COMPR.
NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. X 10 COMPR.
P-RF
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 28 COMPR., (BLISTER OPA/AL/PVC/AL)
P-RF

DANEMARCA
REPUBLICA CEHA
MALTA
MALTA
MALTA
P-RF
P-RF
P-RF
P-RF
CUTIE CU BLIST. PVC-PA-AL/PVC/AL X 28 COMPR.
PRF
PRF
PRF
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 28 COMPR., (BLISTER OPA/AL/PVC/AL)
P-RF
REPUBLICA CEHA
MALTA CUTIE CU BLIST. PVC-PA-AL/PVC/AL X 28 COMPR.

ELI LILLY NEDERLAND BV OLANDA CUTIE X 28 COMPR. FILM. ( BLIST.AL ABUTISATE LA RECE)
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM.

P-RF
PRF
P-RF
P-RF
P-RF
P-RF
ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-RF

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
ROMANIA CUTIE CU 4 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. PRF
P-RF
P-RF
UNGARIA
ROMANIA
PRF
MAREA BRITANIE
P-RF
UNGARIA
ROMANIA
P-RF

OLANDA CUTIE X 28 COMPR. FILM. ( BLIST.AL ABUTISATE LA RECE)

ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM.
ELI LILLY NEDERLAND BV

ROMANIA
UNGARIA
ROMANIA
POLONIA
OLANDA
PRF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
PRF
CUTIE CU BLIST. DIN AL/OPA-AL-PVC X 28 COMPR. ORODISP.
PRF
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 CU BLIST. OPA-AL-PVC/AL X 30 COMPR. ORODISP.
P-RF
ROMANIA
CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE
P-RF
REPUBLICA CEHA
CUTIE CU BLIST. AL/AL X 28 COMPR. ORODISPERSABILE
P-RF
P-RF
P-RF
CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE
P-RF
P-RF
P-RF
P-RF
CUTIE CU 4 BLIST. AL/AL X 7 COMPR. ORODISPERSABILE
PRF

ROMANIA
ROMANIA
ISLANDA
AUSTRIA
ROMANIA
Pagina 22 din 44
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
10
50
50
1
10
5
50
50
28
28
28
28
28
28
28
28
28
28
30
30
28
35
28
28
28
28
28
28
28
28
28
28
30
30
28
28
28
28
28
28
30
28
28
30
50
28
35
28
30
28
71,81
18,98
28,40
32,70
157,82
46,49
106,79
33,65
27,89
27,80
27,89
191,36
241,96
14,96
14,96
14,96
208,23
135,35
145,02
29,74
23,24
169,19
135,34
23,24
197,35
205,18
171,61
270,68
274,48
228,83
109,79
71,36
76,46
16,02
12,47
71,36
12,47
131,30
466,24
27,89
29,88
134,53
27,80
148,62
247,69
27,87
171,82
27,73
60,67
27,87
7,181000
0,379600
0,568000
32,700000
15,782000
9,298000
2,135800
0,673000
0,996071
0,992857
0,996071
6,834285
8,641428
0,534285
0,534285
0,534285
7,436785
4,833928
4,834000
0,991333
0,830000
4,834000
4,833571
0,830000
7,048214
7,327857
6,128928
9,667142
9,802857
8,172500
3,921071
2,548571
2,548666
0,534000
0,445357
2,548571
0,445357
4,689285
16,651428
0,996071
0,996000
4,804642
0,992857
4,954000
4,953800
0,995357
4,909142
0,990357
2,022333
0,995357
7,181000
0,379600
0,568000
32,700000
15,782000
9,298000
2,135800
0,673000
0,996000
0,992857
0,996000
4,855285
5,978570
0,534285
0,534285
0,534285
0,996000
0,996000
0,996000
0,991333
0,830000
0,996000
0,996000
0,830000
4,855285
4,855285
4,855285
5,978570
5,978570
5,978570
0,534428
0,534428
0,534428
0,534000
0,445357
0,534428
0,445357
0,996000
0,996000
0,996000
0,996000
0,996000
0,992857
0,996000
0,996000
0,995357
0,996000
0,990357
0,996000
0,995357
7,181000
0,379600
0,568000
32,700000
15,782000
9,298000
2,135800
0,673000
0,996000
0,992857
0,996000
4,855285
5,978570
0,534285
0,534285
0,534285
0,996000
0,996000
0,996000
0,991333
0,830000
0,996000
0,996000
0,830000
4,855285
4,855285
4,855285
5,978570
5,978570
5,978570
0,534428
0,534428
0,534428
0,534000
0,445357
0,534428
0,445357
0,996000
0,996000
0,996000
0,996000
0,996000
0,992857
0,996000
0,996000
0,995357
0,996000
0,990357
0,996000
0,995357
NR.CRT
DCI
COD ATC
103 N05AH03
104 N05AH03
105 N05AH03
106 N05AH03
107 N05AH03
108 N05AH03
109 N05AH03
110 N05AH03
111 N05AH03
112 N05AH03
113 N05AH03
114 N05AH03
115 N05AH03
116 N05AH03
117 N05AH03
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
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**
OLANZAPINUM**
Denumire Comerciala
forma farm.
OLANZAPINA TORRENT 10 mg
ZOLASWIFT 10 mg
WRANELON 10 mg
ZALASTA 15mg
LAPOZAN 15 mg
BLOONIS 15 mg
AEDON 15 mg
IRROPIA 15 mg
ZOLASWIFT 15 mg
WRANELON 15 mg
ZALASTA 20mg
BLOONIS 20 mg
AEDON 20 mg
IRROPIA 20 mg
ZOLASWIFT 20 mg
WRANELON 20 mg
ZALASTA 5mg
OLANZAPINE TEVA 5mg
LAPOZAN 5 mg
LAPOZAN 5 mg
AEDON 5 mg
IRROPIA 5 mg
ZOLASWIFT 5 mg
WRANELON 5 mg
concentratie
10mg
10mg
10mg
10mg
15 mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
20 mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
5 mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
TARA
DET. APP
DETINATOR APP
GALENICA S.A.
AUSTRIA
GRECIA
MALTA
POLONIA
OLANDA
AMBALAJ
Prescriptie
P-RF
CUTIE CU BLIST. OPA-AL-PVC/AL X 28 (4X7) COMPR. ORODISPERSABILE
PRF
PRF
CUTIE CU BLISTERE DIN PA/AL+EAA-PE+DESICANT-PED//AL-PE X 28 COMPR. ORODISPERSABILE
PRF
PRF
P-RF
P-RF
TEVA PHARMA BV
TERAPIA S.A.
OLANDA
P-RF
ROMANIA
P-RF
REPUBLICA CEHA
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF


ROMANIA
ROMANIA
ISLANDA
AUSTRIA
ROMANIA
GALENICA S.A.
AUSTRIA
GRECIA
MALTA
POLONIA
OLANDA
PRF
P-RF
PRF
PRF
PRF
PRF
P-RF
P-RF
TEVA PHARMA BV
TERAPIA S.A.
OLANDA
P-RF
ROMANIA
P-RF
REPUBLICA CEHA
P-RF
P-RF
P-RF
P-RF
P-RF

ROMANIA
ROMANIA
ISLANDA
AUSTRIA
ROMANIA
GALENICA S.A.
AUSTRIA
GRECIA
MALTA
POLONIA
OLANDA
PRF
P-RF
PRF
PRF
PRF
PRF
P-RF
P-RF
TEVA PHARMA BV
TERAPIA S.A.
OLANDA
CUTIE X 30 COMPR. FILM. (BLIST. OPA-AL-PVC/AL) P-RF
ROMANIA
P-RF
REPUBLICA CEHA
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

ROMANIA
ISLANDA
AUSTRIA
ROMANIA
GALENICA S.A.
Pagina 23 din 44
AUSTRIA
GRECIA
PRF
P-RF
PRF
PRF
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
28
28
28
28
28
28
28
30
28
28
30
28
35
28
30
28
28
28
28
28
28
28
28
30
28
28
28
35
28
30
28
28
28
28
28
28
28
28
30
28
28
30
50
35
28
30
28
28
28
28
171,22
121,63
27,89
27,89
195,54
616,92
135,81
196,25
203,82
183,16
200,22
135,94
257,36
131,26
163,54
201,43
183,17
205,94
152,63
113,29
262,48
1.013,57
167,93
179,92
271,77
167,91
139,94
342,90
161,15
179,91
167,93
168,26
274,59
139,50
139,94
67,78
243,53
14,96
16,02
73,57
14,96
78,30
126,00
90,49
14,95
19,18
14,96
120,37
61,24
14,96
6,115000
4,343928
0,996071
0,996071
6,983571
22,032857
4,850357
6,541666
7,279285
6,541428
6,674000
4,855000
7,353142
4,687857
5,451333
7,193928
6,541785
7,355000
5,451071
4,046071
9,374285
36,198928
5,997500
5,997333
9,706071
5,996785
4,997857
9,797142
5,755357
5,997000
5,997500
6,009285
9,806785
4,982142
4,997857
2,420714
8,697500
0,534285
0,534000
2,627500
0,534285
2,610000
2,520000
2,585428
0,533928
0,639333
0,534285
4,298928
2,187142
0,534285
0,996000
0,996000
0,996000
0,996000
4,855285
4,855285
4,850357
4,855285
4,855285
4,855285
4,855285
4,855000
4,855285
4,687857
4,855285
4,855285
4,855285
4,855285
4,855285
4,046071
5,978570
5,978570
5,978570
5,978570
5,978570
5,978570
4,997857
5,978570
5,755357
5,978570
5,978570
5,978570
5,978570
4,982142
4,997857
0,534428
0,534428
0,534285
0,534000
0,534428
0,534285
0,534428
0,534428
0,534428
0,533928
0,534428
0,534285
0,534428
0,534428
0,534285
0,996000
0,996000
0,996000
0,996000
4,855285
4,855285
4,850357
4,855285
4,855285
4,855285
4,855285
4,855000
4,855285
4,687857
4,855285
4,855285
4,855285
4,855285
4,855285
4,046071
5,978570
5,978570
5,978570
5,978570
5,978570
5,978570
4,997857
5,978570
5,755357
5,978570
5,978570
5,978570
5,978570
4,982142
4,997857
0,534428
0,534428
0,534285
0,534000
0,534428
0,534285
0,534428
0,534428
0,534428
0,533928
0,534428
0,534285
0,534428
0,534428
0,534285
NR.CRT
COD ATC
153 N05AH03
154 N05AH03
155 N05AH03
156 N05AH03
157 N05AH03
158 N05AH03
159 N05AH04
160 N05AH04
161 N05AH04
162 N05AH04
163 N05AH04
164 N05AH04
165 N05AH04
166 N05AH04
167 N05AH04
168 N05AH04
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**
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**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
SULPIRIDUM
SULPIRIDUM
AMISULPRIDUM**
Denumire Comerciala
forma farm.
OLANZAPINA TORRENT 7,5 mg
ZYPADHERA 210mg
ZYPADHERA 300mg
ZYPADHERA 405mg
ZYPREXA 10 mg
SEROQUEL XR 150 mg
KETILEPT 100 mg
QUETIAPINE TEVA 100 mg
HEDONIN 100 mg
KVENTIAX 100 mg
QUETROP 100 mg
QUETIAPINE ACCORD 100 mg
Q MIND 100 mg
QUERSUS 100 mg
KATHIRA 100 mg
KATHIRA 100 mg
KATHIRA 150 mg
KATHIRA 150 mg
KETILEPT 200 mg
HEDONIN 200 mg
KVENTIAX 200 mg
QUETROP 200 mg
Q MIND 200 mg
QUERSUS 200 mg
KATHIRA 200 mg
KATHIRA 200 mg
HEDONIN 25 mg
KATHIRA 25 mg
KATHIRA 25 mg
KETILEPT 300 mg
KVENTIAX 300 mg
QUETROP 300 mg
Q MIND 300 mg
QUERSUS 300 mg
KATHIRA 300 mg
KATHIRA 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
AMISAN 200 mg
concentratie
5mg
COMPR. ORODISPERSABILE 7,5mg
210mg
300mg
405mg
COMPR. FILM. 100mg
COMPR. FILM. 100mg
COMPR. FILM. 100mg
COMPR. FILM. 100mg
COMPR. FILM. 100mg
COMPR. FILM. 100mg
COMPR. FILM. 100mg
COMPR. FILM. 100mg
COMPR. FILM. 100mg
COMPR. FILM. 100mg
COMPR. FILM. 150mg
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. 200mg
COMPR. FILM. 200mg
COMPR. FILM. 200mg
COMPR. FILM. 25mg
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. 300mg
COMPR. FILM. 300mg
COMPR. FILM. 300mg
CAPS.
50mg
COMPR.
200mg
COMPR.
200mg
DETINATOR APP
TARA
DET. APP
AMBALAJ
Prescriptie
MALTA
PRF
ROMANIA
P-RF
P-RF/R
CUTIE X 1 FLAC X 300MG PULB. + 1 FLAC. X 3ML SOLVENT
P-RF/R
P-RF/R
OLANDA
OLANDA
OLANDA
OLANDA
CUTIE X 1 FLAC. X 10 MG PULB.PT.SOL.INJ.
P-RF
ASTRAZENECA UK LIMITED
MAREA BRITANIE
CUTIE CU 6 BLIST. PVC-PCTFE/AL X 10 COMPR. ELIB. PREL. P-RF
CUTIE X BLIST. PVC-PVDC/AL X 60 COMPR. FILM.
P-RF
CUTIE CU BLIST. PVC-PE-ACLAR/AL X 60 COMPR. FILM.
P-RF/S
UNGARIA
ROMANIA
AUSTRIA
P-RF
KRKA D.D., NOVO MESTO
SLOVENIA CUTIE CU BLIST. PVC/AL X 60 COMPR. FILM.
REPUBLICA CEHA
MAREA BRITANIE
CUTIE CU BLIST. PVC/AL X 60 COMPR. FILM. PRF
AUSTRIA
TEVA PHARMACEUTICAL S.R.L.
P-RF
P-RF
ROMANIA
CUTIE CU 6 BLIST. OPACE DIN PVC/AL X 10 COMPR. FILM.
PRF
PRF
MAREA BRITANIE
ROMANIA
PRF
P-RF
P-RF/S
P-RF
PRF
UNGARIA
ROMANIA
AUSTRIA
REPUBLICA CEHA
MAREA BRITANIE
AUSTRIA
ROMANIA
PRF
P-RF
AUSTRIA
MAREA BRITANIE
ROMANIA
UNGARIA
TEVA PHARMACEUTICAL S.R.L. ROMANIA
P-RF
P-RF
PRF

PRF
PRF
P-RF
P-RF/S
REPUBLICA CEHA
MAREA BRITANIE
AUSTRIA
P-RF
P-RF
ROMANIA
PRF
ASTRAZENECA UK LTD.
MAREA BRITANIE
CUTIE X 6 BLIST. OPACE AL/PVC-PCTFE X 10 COMPR. FILM. ELIB. PREL.
P-RF
PRF
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
FRANTA CUTIE X 2 BLIST. X 15 CAPS.

FRANTA CUTIE X 1 BLIST. X 12 COMPR.
REPUBLICA CEHA
Pagina 24 din 44
P-RF
P-RF
P-RF
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
28
28
1
1
1
1
60
60
60
60
60
60
60
60
60
60
60
60
60
60
60
60
60
60
60
60
60
60
60
60
30
60
60
60
60
60
60
60
60
60
60
60
60
60
60
60
60
30
12
30
14,96
0,534285
0,534285
0,534285
92,78
3,313571
3,313571
3,313571
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
63,13
79,63
50,70
84,46
83,49
50,70
65,00
52,05
52,05
105,47
86,31
86,31
114,86
45,18
118,36
53,68
108,59
128,64
84,97
94,12
86,31
86,31
17,00
43,97
34,00
34,00
183,06
74,26
123,81
156,27
159,59
104,79
163,04
113,16
113,16
444,50
576,10
743,17
232,04
7,94
8,07
49,82
19,950000
7,408333
1,230333
1,052166
1,327166
0,845000
1,407666
1,391500
0,845000
1,083333
0,867500
0,867500
1,757833
1,438500
1,438500
1,914333
0,753000
1,972666
0,894666
1,809833
2,144000
1,416166
1,568666
1,438500
1,438500
0,566666
0,732833
0,566666
0,566666
3,051000
1,237666
2,063500
2,604500
2,659833
1,746500
2,717333
1,886000
1,886000
7,408333
9,601666
12,386166
3,867333
0,264666
0,672500
1,660666
19,950000
7,408333
1,014000
1,014000
1,014000
0,845000
1,014000
1,014000
0,845000
1,014000
0,867500
0,867500
1,726200
1,438500
1,438500
0,903600
0,753000
0,903600
0,894666
0,903600
0,903600
0,903600
0,903600
0,903600
0,903600
0,566666
0,679999
0,566666
0,566666
1,485199
1,237666
1,485199
1,485199
1,485199
1,485199
1,485199
1,485199
1,485199
7,408333
9,601666
12,386166
3,867333
0,264666
0,672500
1,660666
19,950000
7,408333
1,014000
1,014000
1,014000
0,845000
1,014000
1,014000
0,845000
1,014000
0,867500
0,867500
1,726200
1,438500
1,438500
0,903600
0,753000
0,903600
0,894666
0,903600
0,903600
0,903600
0,903600
0,903600
0,903600
0,566666
0,679999
0,566666
0,566666
1,485199
1,237666
1,485199
1,485199
1,485199
1,485199
1,485199
1,485199
1,485199
7,408333
9,601666
12,386166
3,867333
0,264666
0,672500
1,660666
NR.CRT
COD ATC
203 N05AL05
204 N05AL05
205 N05AL05
206 N05AL05
207 N05AX08
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
252 N05AX12
DCI
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**
RISPERIDONUM**
ARIPIPRAZOLUM**
Denumire Comerciala
forma farm.
AMISULPRIDA LPH 200 mg

MIDORA 200 mg
SOLIAN 200 mg
SOLIAN 400 mg
RILEPTID 1 mg
RISPERIDONE TEVA 1 mg
SPRING 1 mg
RONYDAL 1 mg
RISPEN 1
RISPERIDONA ARENA 1 mg
RONYDAL 1 mg
RISPEN 2
RILEPTID 2 mg
RISPERIDONE TEVA 2 mg
RISON 2 mg
SPRING 2 mg
RONYDAL 2 mg
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.
RISPERIDONA MEDOCHEMIE 2 mg COMPR. FILM.
RISPERIDONA ARENA 2 mg COMPR. FILM.
RONYDAL 2 mg
COMPR. FILM.
RILEPTID 3 mg
COMPR. FILM.
TORENDO 3 mg
COMPR. FILM.
RISPERIDONE TEVA 3 mg COMPR. FILM.
RISON 3 mg
COMPR. FILM.
SPRING 3 mg
COMPR. FILM.
RONYDAL 3 mg
COMPR. FILM.
XENOMA 3 mg
COMPR. FILM.
RISPEN 3
COMPR. FILM.
RONYDAL 3 mg
COMPR. FILM.
RISPEN 4
COMPR. FILM.
RILEPTID 4 mg
COMPR. FILM.
TORENDO 4 mg
COMPR. FILM.
RISPERIDONE TEVA 4 mg COMPR. FILM.
RISON 4 mg
COMPR. FILM.
SPRING 4 mg
COMPR. FILM.
RONYDAL 4 mg
COMPR. FILM.
RISPERIDONA MEDOCHEMIE 4 mg COMPR. FILM.
RONYDAL 4 mg
COMPR. FILM.
TORENDO Q-TAB 1 mg
ESSENS OD 1 mg
TORENDO Q-TAB 2 mg
ESSENS OD 2 mg
ESSENS OD 3 mg
RISPOLEPT CONSTA 25 mg
RISPOLEPT CONSTA 37,5 mg

RISPOLEPT CONSTA 50 mg
RISPOLEPT
ABILIFY 10mg
SOL. ORALA
COMPR.
concentratie
200mg
200mg
200mg
400mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
2 mg
2mg
2mg
2mg
2mg
2mg
2mg
2mg
2mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
4 mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
1mg
1mg
2mg
2mg
3mg
25mg
37,5mg
50mg
1mg/ml
10mg
TARA
DET. APP
AMBALAJ
LABORMED PHARMA S.A. ROMANIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR.
TERAPIA S.A.
ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR.
DETINATOR APP
FRANTA
FRANTA
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. DIVIZ.
Prescriptie
P-RF
P-RF
P-RF
CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF
UNGARIA
ROMANIA
ROMANIA
ROMANIA
ZENTIVA KS
CEHIA
CUTIE CU 6 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF
ZENTIVA KS
CEHIA
UNGARIA
ROMANIA


PRF
CUTIE X 2 BLIST. PVC-PE-PVDC/AL-PVDC X 10 COMPR. FILM.
P-RF
UNGARIA
ANTIBIOTICE S.A.

CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM.
P-RF
P-RF
P-RF
P-RF
ROMANIA

ZENTIVA KS
CEHIA
ZENTIVA KS
CEHIA
UNGARIA
P-RF

P-RF
P-RF
P-RF
ROMANIA


PRF
P-RF
P-RF

CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. ORODISPERSABILE
P-RF
TERAPIA SA
ROMANIA
P-RF
P-RF
P-RF
TERAPIA SA
TERAPIA SA
ROMANIA
ROMANIA
BELGIA
BELGIA
BELGIA
BELGIA
OTSUKA PHARMACEUTICAL EUROPE LTD.
MAREA BRITANIE

Pagina 25 din 44

CUTIE CU UN FLAC.DIN STICLA INCOLORA CU PULB. PENTRU SUSP. INJ. CU ELIB. PREL., O SERINGA PRE-UMPLUTA DIN STICLA INCOLORA CU 2 ML SOLVENT, UN DISPOZITIV ALARIS SMARTSITE +2 ACE PENTRU INJECTARE I.M. N MUSCHIUL DELTOID SI IN MUSCHIUL GLUTEAL
CUTIE X 1 FLACON DIN STICLA BRUNA X 30 ML SOL. ORALA + 1 PIPETA
P-RF
S/P-RF
S/P-RF
S/P-RF
P-RF
CUTIE X 1BLIST. AL/AL PERFORAT UNIDOZA X 28 (X1) COMPR. P-RF
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
30
30
30
30
60
60
30
60
50
20
60
50
60
60
20
30
60
20
20
60
60
30
60
20
30
60
60
50
20
60
50
60
30
60
20
30
60
20
20
60
30
30
30
30
30
1
1
1
1
28
49,82
1,660666
1,660666
1,660666
59,64
1,988000
1,988000
1,988000
72,80
2,426666
1,992799
1,992799
107,23
3,574333
3,574333
3,574333
51,35
0,855833
0,444000
0,444000
24,62
0,410333
0,410333
0,410333
15,45
0,515000
0,444000
0,444000
24,02
0,400333
0,400333
0,400333
23,64
0,472800
0,444000
0,444000
7,40
0,370000
0,370000
0,370000
24,02
0,400333
0,400333
0,400333
45,73
0,914600
0,914600
0,914600
101,34
1,689000
0,933999
0,933999
46,70
0,778333
0,778333
0,778333
17,15
0,857500
0,857500
0,857500
26,19
0,873000
0,873000
0,873000
53,40
0,890000
0,890000
0,890000
17,60
0,880000
0,880000
0,880000
16,18
0,809000
0,809000
0,809000
53,40
0,890000
0,890000
0,890000
145,26
2,421000
1,384800
1,384800
34,62
1,154000
1,154000
1,154000
75,48
1,258000
1,258000
1,258000
27,44
1,372000
1,372000
1,372000
41,45
1,381666
1,381666
1,381666
82,53
1,375500
1,375500
1,375500
74,79
1,246500
1,246500
1,246500
66,32
1,326400
1,326400
1,326400
26,19
1,309500
1,309500
1,309500
82,53
1,375500
1,375500
1,375500
86,87
1,737400
1,737400
1,737400
194,33
3,238833
1,904400
1,904400
47,61
1,587000
1,587000
1,587000
100,81
1,680166
1,680166
1,680166
37,41
1,870500
1,870500
1,870500
56,66
1,888666
1,888666
1,888666
110,91
1,848500
1,848500
1,848500
34,94
1,747000
1,747000
1,747000
33,25
1,662500
1,662500
1,662500
110,91
1,848500
1,848500
1,848500
12,34
0,411333
0,411333
0,411333
12,56
0,418666
0,418666
0,418666
26,86
0,895333
0,895333
0,895333
26,86
0,895333
0,895333
0,895333
41,56
1,385333
1,384800
1,384800
424,25 424,250000 424,250000 424,250000
597,43 597,430000 597,430000 597,430000
719,03 719,030000 719,030000 719,030000
52,14 52,140000 52,140000 52,140000
421,87 15,066785
8,433199
8,433199
NR.CRT
COD ATC
253 N05AX12
254 N05AX12
255 N05AX12
256 N05AX12
257 N05AX12
258 N05AX13
259 N05AX13
260 N05AX13
261 N05AX13
262 N05AX13
263 N05AX13
264 N05AX13
265 N05AX13
266 N05AX13
267 N05AX13
268 N06AB04
269 N06AB04
270 N06AB10
271 N06AB10
272 N06AB10
273 N06AB10
274 N06AB10
275 N06AB10
276 N06AB10
277 N06AB10
278 N06AB10
279 N06AB10
280 N06AB10
281 N06AB10
282 N06AB10
283 N06AB10
284 N06AB10
285 N06AB10
286 N06AB10
287 N06AB10
288 N06AB10
289 N06AB10
290 N06AB10
291 N06AB10
292 N06AB10
293 N06AB10
294 N06AB10
295 N06AB10
296 N06AB10
297 N06AB10
298 N06AX05
299 N06AX05
300 N06AX05
301 N06AX05
302 N06AX05
DCI
ARIPIPRAZOLUM**
ARIPIPRAZOLUM**
ARIPIPRAZOLUM**
ARIPIPRAZOLUM**
ARIPIPRAZOLUM**
PALIPERIDONUM**
PALIPERIDONUM**
PALIPERIDONUM**
PALIPERIDONUM**
PALIPERIDONUM**
PALIPERIDONUM**
PALIPERIDONUM**
PALIPERIDONUM**
PALIPERIDONUM**
PALIPERIDONUM**
CITALOPRAMUM**
CITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
TRAZODONUM**
TRAZODONUM**
TRAZODONUM**
TRAZODONUM**
TRAZODONUM**
Denumire Comerciala
forma farm.
ARYZALERA 10mg
COMPR.
ABILIFY 15mg
COMPR.
ARYZALERA 15mg
COMPR.
ABILIFY MAINTENA 400mg
ABILIFY 7,5mg/ml
SOL. INJ.
INVEGA 3mg
COMPR. ELIB. PREL.
INVEGA 3mg
COMPR. ELIB. PREL.
INVEGA 6mg
COMPR. ELIB. PREL.
INVEGA 6mg
COMPR. ELIB. PREL.
INVEGA 9mg
COMPR. ELIB. PREL.
INVEGA 9mg
COMPR. ELIB. PREL.
XEPLION
SUSP. INJ. CU ELIB. PREL.
XEPLION
XEPLION
XEPLION
LINISAN 10 mg
COMPR. FILM.
LINISAN 20 mg
COMPR. FILM.
DEPRESINAL 10 mg
COMPR. FILM.
CIPRALEX 10 mg
COMPR. FILM.
ESCITIL 10 mg
COMPR. FILM.
ESCITALOPRAM-TEVA 10 mg COMPR. FILM.
LENUXIN 10 mg
COMPR. FILM.
ESLOREX 10 mg
COMPR. FILM.
SERODEPS 10mg
COMPR. FILM.
ESTAN 10 mg
COMPR. FILM.
ESTAN 10 mg
COMPR. FILM.
ESCITALOPRAM ACTAVIS 10 mg COMPR. FILM.
ELICEA 10 mg
COMPR. FILM.
ESCITALOPRAM AUROBINDO 10 mg COMPR. FILM.
ESCITALOPRAM TORRENT 10 mg COMPR. FILM.
ELICEA 15 mg
COMPR. FILM.
SERODEPS 20mg
COMPR. FILM.
ESCITALOPRAM TORRENT 20 mg COMPR. FILM.
ESCITALOPRAM ACTAVIS 20 mg COMPR. FILM.
ELICEA 20 mg
COMPR. FILM.
ELICEA Q-TAB 10 mg
ELICEA Q-TAB 10 mg
ELICEA Q-TAB 15 mg
ELICEA Q-TAB 15 mg
ELICEA Q-TAB 20 mg
ELICEA Q-TAB 20 mg
TRITTICO AC 150 mg
TRITTICO AC 150 mg
TRITTICO AC 150 mg
TRITTICO AC 150 mg
TRITTICO AC 75 mg
COMPR. ELIB. PREL.

COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
concentratie
10mg
15mg
15mg
400mg
7,5mg/ml
3mg
3mg
6mg
6mg
9mg
9mg
100mg
150mg
50mg
75mg
10mg
20mg
10 mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
15mg
15mg
20mg
20mg
20mg
20mg
20mg
10mg
10mg
10mg
15mg
15mg
20mg
20mg
20mg
150mg
150mg
150mg
150mg
75mg
DETINATOR APP
TARA
DET. APP
AMBALAJ
Prescriptie
KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. PRF
MAREA BRITANIE
CUTIE X 1BLIST. AL/AL PERFORAT UNIDOZA X 28 (X1) COMPR. P-RF
KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. PRF
MAREA BRITANIE
MAREA BRITANIE
JANSSEN-CILAG INTERNATIONAL NV
JANSSEN CILAG INTERNATIONALL NV

BELGIA
BELGIA
BELGIA
BELGIA
BELGIA
BELGIA
BELGIA
BELGIA
BELGIA
BELGIA
CUTIE CU UN FL.X 400 MG PULB., UN FL. DE 2 ML CU SOLV., O SERINGA LUER-LOCK DE 3 ML CU AC HIPODERMIC SECURIZAT, O SERINGA JETABILA DE 3 ML CU VRF LUER-LOCK, UN ADAPTOR PENTRU FLACON, UN AC HIPODERMIC SECURIZAT SI UN AC HIPODERMIC SECURIZAT PT OBEZI
CUTIE X 1FLAC. X 1,3ML SOL.INJ
PRF
P-RF
CUTIE X 1FLAC. DIN PEID X 30 COMPR.ELIB.PREL. P-RF

CUTIE X 30 COMPR.ELIB.PREL. (BLISTER PVC/PCTFE/AL)
P-RF

CUTIEX 30 COMPR.ELIB.PREL. (BLISTER PVC/PCTFE/AL)
P-RF

CUTIE X 30 COMPR.ELIB.PREL. (BLISTER PVC/PCTFE/AL)
P-RF
CUTIE CU 1 SERINGA PREUMPLUTA SI 2 ACE
PR
PR
PR
PR


P-RF
P-RF
AUSTRIA
P-RF
H. LUNDBECK A/S
DANEMARCA
CUTIE X 2 BLIST. TRANSPARENTE PVC-PE-PVDC/AL X 14 COMPR. FILM.
P-RF
UNGARIA
ROMANIA
ROMANIA
P-RF
CEHIA
P-6L
ROMANIA
P-RF
CIPRU
CIPRU
ISLANDA
PRF
PRF
PRF
ZENTIVA K.S.
TERAPIA SA
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.

P-RF
MAREA BRITANIE

ROMANIA
PRF
PRF
ROMANIA
ROMANIA
TERAPIA SA
P-RF
PRF
PRF
ISLANDA
PRF
PRF
ROMANIA
CUTIE CU BLIST. HARTIE-PET-AL/PVC-AL-OPA X 30 COMPR. ORODISPERSABILE
PRF
PRF
PRF
PRF
PRF
CUTIE CU BLIST. HARTIE-PET-AL/PVC-AL-OPA X 30 COMPR. ORODISPERSABILE
PRF
ROMANIA
ITALIA
ITALIA
ITALIA
ITALIA
ITALIA

Pagina 26 din 44

CUTIE X 2 BLIST. AL/PVCX 10 COMPR. ELIB. PREL. P-RF
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
30
28
30
1
1
30
30
30
30
30
30
1
1
1
1
30
30
30
28
28
30
28
30
28
14
28
28
30
28
28
30
30
30
28
28
28
30
28
28
30
28
28
28
28
30
20
60
60
20
30
210,83
416,40
296,48
7,027666
14,871428
9,882666
7,027666
11,859199
9,882666
7,027666
11,859199
9,882666
1.554,70 1.554,700000 1.554,700000 1.554,700000
19,95
497,50
497,50
516,62
516,62
519,41
519,41
19,950000
16,583333
16,583333
17,220666
17,220666
17,313666
17,313666
19,950000
16,583333
16,583333
17,220666
17,220666
17,313666
17,313666
19,950000
16,583333
16,583333
17,220666
17,220666
17,313666
17,313666
1.801,16 1.801,160000 1.801,160000 1.801,160000

2.320,29 2.320,290000 2.320,290000 2.320,290000
1.048,75 1.048,750000 1.048,750000 1.048,750000
1.488,77 1.488,770000 1.488,770000 1.488,770000
7,12
39,54
22,51
90,38
25,01
22,51
27,57
22,57
21,06
12,68
25,27
21,00
22,57
21,00
32,82
33,77
39,57
43,57
36,70
63,52
42,56
45,60
21,06
21,06
27,00
36,95
36,95
42,56
42,56
47,18
24,95
63,31
63,31
24,95
18,71
0,237333
1,318000
0,750333
3,227857
0,893214
0,750333
0,984642
0,752333
0,752142
0,905714
0,902500
0,750000
0,752333
0,750000
1,172142
1,125666
1,319000
1,452333
1,310714
2,268571
1,520000
1,520000
0,752142
0,752142
0,900000
1,319642
1,319642
1,520000
1,520000
1,572666
1,247500
1,055166
1,055166
1,247500
0,623666
0,237333
1,318000
0,750333
0,900000
0,893214
0,750333
0,900000
0,752333
0,752142
0,900000
0,900000
0,750000
0,752333
0,750000
1,172142
1,125666
1,319000
1,452333
1,310714
1,572856
1,520000
1,520000
0,752142
0,752142
0,900000
1,319642
1,319642
1,520000
1,520000
1,572666
1,247500
1,055166
1,055166
1,247500
0,623666
0,237333
1,318000
0,750333
0,900000
0,893214
0,750333
0,900000
0,752333
0,752142
0,900000
0,900000
0,750000
0,752333
0,750000
1,172142
1,125666
1,319000
1,452333
1,310714
1,572856
1,520000
1,520000
0,752142
0,752142
0,900000
1,319642
1,319642
1,520000
1,520000
1,572666
1,247500
1,055166
1,055166
1,247500
0,623666
NR.CRT
COD ATC
303 N06AX05
304 N06AX14
305 N06AX14
306 N06AX14
307 N06AX14
308 N06AX14
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 N06AX16
339 N06AX21
340 N06AX21
DCI
TRAZODONUM**
TIANEPTINUM**
TIANEPTINUM**
TIANEPTINUM**
TIANEPTINUM**
TIANEPTINUM**
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**
DULOXETINUM**
DULOXETINUM**
Denumire Comerciala
TRITTICO AC 75 mg
LYXIT 12,5 mg
LYXIT 12,5 mg
NOBIXAL 12,5 mg
NOBIXAL 12,5 mg
COAXIL (R)
IVRYX 150mg
EFECTIN EP 150 mg
ELIFY EP 150 mg
IVRYX 150mg
VELAXIN 150 mg
ALVENTA 150mg
FOBILESS 150 mg
VENLAFAXINA ACTAVIS 150 mg
VENLAFAXINA ARENA EP 150 mg
VENLAFAXINA TERAPIA 150 mg

FOBILESS 37,5 mg
VENLAFAXINA ARENA EP 37,5 mg
IVRYX 75mg
EFECTIN EP 75 mg
ELIFY EP 75 mg
IVRYX 75mg
IVRYX 75mg
VELAXIN 75 mg
ALVENTA 75 mg
FOBILESS 75 mg
forma farm.
DETINATOR APP
TARA
DET. APP
AMBALAJ
Prescriptie
ITALIA
ARENA GROUP S.A.

ARENA GROUP S.A.
ANTIBIOTICE S.A.
ANTIBIOTICE S.A.
ROMANIA
ROMANIA
ROMANIA
ROMANIA
PRF
PRF
CAPS. GASTROREZ.
75mg
12,5 mg
12,5 mg
12,5mg
12,5mg
12,5mg
150 mg
150 mg
150 mg
150 mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
37,5mg
37,5mg
75 mg
75 mg
75 mg
75 mg
75 mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
37,5mg
50mg
75mg
150mg
75mg
30mg
60mg
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
10mg
10mg
10mg
10mg
10mg
10mg
COMPR. ELIB. PREL.
COMPR. FILM.
COMPR. FILM.
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.
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.
VENLAFAXINA ACTAVIS 75 mg
VENLAFAXINA ARENA EP 75 mg
VENLAFAXINA ARENA 37,5 mg COMPR.

ARGOFAN 150 SR
ARGOFAN 75 SR
CYMBALTA 30mg
CYMBALTA 60mg
concentratie
COMPR. ELIB. PREL.

COMPR. ELIB. PREL.
CAPS. GASTROREZ.
CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR. FILM. PRF

LES LAB. SERVIER IND. FRANTA CUTIE X 1 BLIST. AL/PVC X 30 DRAJ.
PRF
P-RF
ROMANIA
MAREA BRITANIE
PRF
CUTIE CU BLIST PVC/AL X 30 CAPS.CU ELIB. PREL. PRF
UNGARIA
CUTIE X 2 BLIST. PVC-PVDC/AL X 14 CAPS. CU ELIB. PREL. P-RF

AUSTRIA
ISLANDA

TERAPIA S.A.
ROMANIA
TERAPIA S.A.
ROMANIA
P-RF

CUTIE CU BLIST. PVC/AL X 28 CAPS. CU ELIB. PREL.
P-RF
P-RF
PRF
PRF

P-RF
ROMANIA
MAREA BRITANIE
PRF
PRF


CUTIE X 2 BLIST. PVC-PVDC/AL X 14 CAPS. CU ELIB. PREL. P-RF
UNGARIA
CUTIE X 2 BLIST. PVC-PVDC/AL X 14 CAPS. CU ELIB. PREL
P-RF
P-RF
AUSTRIA
ISLANDA

P-RF
ARENA GROUP S.A.

TERAPIA S.A.
TERAPIA S.A.
ARENA GROUP S.A.
ARENA GROUP S.A.
ARENA GROUP S.A.
ZENTIVA A.S.
ZENTIVA A.S.
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
P-RF
PRF
PRF
CUTIE X 3 BLIST. PVC-PE- PVDC/AL X 10 COMPR.
P-RF
P-RF
P-RF
SLOVACIA
SLOVACIA
P-RF
P-RF
OLANDA
OLANDA
CUTIE X 28 CAPS. GASTROREZ.( BLIST. PVC/PE/PCTFE/AL) P-RF
CUTIE CU, BLIST., DIN OPA-AL-PVC/AL CU 28 COMPR. FILM. P-RF
CUTIE, X 28 CAPS. GASTROREZ.( BLIST. PVC/PE/PCTFE/AL) P-RF
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
30 18,71
30 22,65
90 63,54
30 22,65
30 22,65
30 33,74
28 23,22
28 58,69
30 40,87
28 23,22
28 38,14
30 40,87
30 40,87
28 23,11
30 40,71
30 40,87
30 40,87
30 17,24
30 24,04
28 17,89
28 35,58
30 25,61
28 17,89
28 17,89
28 23,88
30 25,59
30 19,15
28 17,72
30 25,42
30 25,61
30 25,61
30 24,04
30 24,50
30 25,42
30 20,74
30 15,98
28 105,39
28 178,89
0,623666
0,755000
0,706000
0,755000
0,755000
1,124666
0,829285
2,096071
1,362333
0,829285
1,362142
1,362333
1,362333
0,825357
1,357000
1,362333
1,362333
0,574666
0,801333
0,638928
1,270714
0,853666
0,638928
0,638928
0,852857
0,853000
0,638333
0,632857
0,847333
0,853666
0,853666
0,801333
0,816666
0,847333
0,691333
0,532666
3,763928
6,388928
0,623666
0,755000
0,706000
0,755000
0,755000
0,847200
0,829285
0,829599
0,829599
0,829285
0,829599
0,829599
0,829599
0,825357
0,829599
0,829599
0,829599
0,574666
0,689599
0,638928
0,639199
0,639199
0,638928
0,638928
0,639199
0,639199
0,638333
0,632857
0,639199
0,639199
0,639199
0,689599
0,816666
0,639199
0,691333
0,532666
3,763928
6,388928
0,623666
0,755000
0,706000
0,755000
0,755000
0,847200
0,829285
0,829599
0,829599
0,829285
0,829599
0,829599
0,829599
0,825357
0,829599
0,829599
0,829599
0,574666
0,689599
0,638928
0,639199
0,639199
0,638928
0,638928
0,639199
0,639199
0,638333
0,632857
0,639199
0,639199
0,639199
0,689599
0,816666
0,639199
0,691333
0,532666
3,763928
6,388928
28 52,19
28 171,82
30 62,25
30 62,25
30 65,30
28 62,61
1,863928
6,136428
2,075000
2,075000
2,176666
2,236071
1,863928
2,075570
2,075000
2,075000
2,075570
2,075570
1,863928
2,075570
2,075000
2,075000
2,075570
2,075570
Tratamentul se initiaza de catre medicul in specialitatea psihiatrie
14. DEMENTE(DEGENERATIVE, VASCULARE, MIXTE) - G 16

1
2
3
4
5
6
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
YASNAL 10 mg
ZILDON 10mg
DAVIA 10 mg
DAVIA 10 mg
TUADIN 10 mg
PRIDIA 10 mg
SANDOZ S.R.L.
TERAPIA SA
TERAPIA SA
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.
Pagina 27 din 44
P-RF
P-RF
P-RF
P-RF
P-RF
NR.CRT
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
COD ATC
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
N06DA03
N06DA03
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***
RIVASTIGMINUM***
RIVASTIGMINUM***
Denumire Comerciala
forma farm.
ALZEPIL 10 mg
ALZEPIL 10 mg
ALZEPIL 10 mg
ALZEPIL 10 mg
DONECEPT 10 MG
COGITON 10 mg
COGNEZIL 10 mg
DOSPELIN 10 mg
DOSPELIN 10 mg
DOSPELIN 10 mg
DOSPELIN 10 mg
DOSPELIN 10 mg
DOSPELIN 10 mg
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
DONEPEZIL TORRENT 10 mg COMPR. FILM.
XALINAT 10 mg
COMPR. FILM.
YASNAL 5 mg
COMPR. FILM.
ZILDON 5 mg
COMPR. FILM.
DAVIA 5 mg
COMPR. FILM.
DAVIA 5 mg
COMPR. FILM.
TUADIN 5 mg
COMPR. FILM.
ALZEPIL 5 mg
COMPR. FILM.
ALZEPIL 5 mg
COMPR. FILM.
ALZEPIL 5 mg
COMPR. FILM.
DONECEPT 5 MG
COMPR. FILM.
COGITON 5 mg
COMPR. FILM.
COGNEZIL 5 mg
COMPR. FILM.
DOSPELIN 5 mg
COMPR. FILM.
DOSPELIN 5 mg
COMPR. FILM.
DOSPELIN 5 mg
COMPR. FILM.
DOSPELIN 5 mg
COMPR. FILM.
DOSPELIN 5 mg
COMPR. FILM.
DOSPELIN 5 mg
COMPR. FILM.
DONEPEZIL TORRENT 5 mg COMPR. FILM.
XALINAT 5 mg
COMPR. FILM.
YASNAL 10 mg
ARICEPT EVESS
DONEPEZIL TEVA 10 mg
DARIZOL 10 mg
DONEPEZIL STADA HEMOFARM 10 mg
DARIZOL 10 mg
YASNAL 5 mg
ARICEPT EVESS
DONEPEZIL TEVA 5 mg
DARIZOL 5 mg
DARIZOL 5 mg
CAPS.
RIVASTIGMINE SANDOZ1,5mg CAPS.
RIVASTIGMINA RATIOPHARM 1,5 mg
concentratie
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
10mg
5 mg
5mg
5mg
5mg
5mg
5mg
5mg
1,5mg
1,5mg
TARA
DET. APP
UNGARIA
UNGARIA
UNGARIA
UNGARIA
ISLANDA CUTIE X BLIST. PVC/AL X 28 COMPR. FILM.
DETINATOR APP
AMBALAJ
Prescriptie

P-RF
P-RF
P-RF
P-RF
REPUBLICA CEHA
P-RF
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
CIPRU
CIPRU
CIPRU
CIPRU
CIPRU
CIPRU
ROMANIA CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. PRF
GALENICA S.A.
GRECIA
SANDOZ S.R.L.
TERAPIA SA
TERAPIA SA
ANTIBIOTICE S.A.

P-RF
CUTIE CU BLIST. DIN OPA-AL-PVC/AL CU 28 COMPR. FILM.
P-RF
P-RF

ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM.
UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM.
UNGARIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.
UNGARIA CUTIE CU BLIST. OPA-AL-PVC/AL X 56 COMPR. FILM.
ISLANDA CUTIE X BLIST. PVC/AL X 28 COMPR. FILM.
P-RF

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
REPUBLICA CEHA
P-RF
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
CIPRU
CIPRU
CIPRU
CIPRU
CIPRU
CIPRU
ROMANIA CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. PRF
GALENICA S.A.
KRKA D.D.
GRECIA
SLOVENIA
CUTIE CU BLIST. OPA/AL/PVC SI FOLIE PET-AL TIP "PEEL-OPEN" A CATE 28 COMPR. ORODISP.
PRF
MAREA BRITANIE
CUTIE X 2 BLIST. AL/PVC-PVDC-PE-PVDC-PVC X 14 COMPR. ORODISPERSABILE
P-RF
CUTIE CU BLIST. TIP CALENDAR OPA-AL-PVC/AL X 28 COMPR. ORODISP.
P-RF
CUTIE CU 2 BLIST. PVC-PCTFE(ACLAR)/AL /FOLIE DE AL DETASABILA X 14 COMPR. ORODISPERSABILE
PRF
CUTIE CU BLIST. PVC-PCTFE/AL X 28 COMPR. ORODISPERSABILE
PRF
PRF
PRF
ROMANIA
ROMANIA

P-RF
KRKA D.D.
SLOVENIA
CUTIE CU BLIST. OPA/AL/PVC SI FOLIE PET-AL "PEEL-OPEN" A CATE 28 COMPR. ORODISP.
PRF
MAREA BRITANIE
CUTIE X 2 BLIST. AL/PVC-PVDC-PE-PVDC-PVC X 14 COMPR. ORODISPERSABILE
P-RF
ROMANIA CUTIE CU BLIST. TIP CALENDAR OPA-AL-PVC/AL X 28 COMPR. ORODISP.

ROMANIA
STADA HEMOFARM SRL ROMANIA CUTIE CU BLIST. PVC-PCTFE/AL X 28 COMPR. ORODISPERSABILE
STADA HEMOFARM SRL ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. ORODISPERSABILE
RATIOPHARM GMBH GERMANIA CUTIE CU BLIST. PVC-PVDC/AL X 56 CAPS.
SANDOZ S.R.L.
ROMANIA CUTIE CU BLIST.PVC/AL X 56 CAPS.
Pagina 28 din 44
P-RF
PRF
PRF
PRF
PRF
P-RF/R
P-RF/R
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
28
56
28
56
28
28
28
28
50
56
60
98
100
30
28
28
28
30
30
30
28
28
56
28
28
28
28
50
56
60
98
100
30
28
28
28
28
28
28
28
28
28
28
28
28
28
28
28
56
56
108,76
206,27
108,76
206,27
57,41
134,46
48,43
57,17
96,95
108,57
116,33
180,19
183,87
54,62
64,86
37,28
145,89
44,61
44,61
45,18
106,21
106,21
201,43
41,01
118,91
34,71
41,29
71,26
78,43
84,02
132,50
135,21
37,78
47,94
52,19
379,17
58,11
62,61
238,90
238,90
62,61
37,28
305,48
41,65
44,72
125,98
125,98
44,72
79,35
70,74
3,884285
3,683392
3,884285
3,683392
2,050357
4,802142
1,729642
2,041785
1,939000
1,938750
1,938833
1,838673
1,838700
1,820666
2,316428
1,331428
5,210357
1,487000
1,487000
1,506000
3,793214
3,793214
3,596964
1,464642
4,246785
1,239642
1,474642
1,425200
1,400535
1,400333
1,352040
1,352100
1,259333
1,712142
1,863928
13,541785
2,075357
2,236071
8,532142
8,532142
2,236071
1,331428
10,910000
1,487500
1,597142
4,499285
4,499285
1,597142
1,416964
1,263214
2,075570
2,075570
2,075570
2,075570
2,050357
2,075570
1,729642
2,041785
1,939000
1,938750
1,938833
1,838673
1,838700
1,820666
2,075570
1,331428
1,487570
1,487000
1,487000
1,487570
1,487570
1,487570
1,487570
1,464642
1,487570
1,239642
1,474642
1,425200
1,400535
1,400333
1,352040
1,352100
1,259333
1,487570
1,863928
2,075570
2,075357
2,075570
2,075570
2,075570
2,075570
1,331428
1,487570
1,487500
1,487570
1,487570
1,487570
1,487570
1,369500
1,263214
2,075570
2,075570
2,075570
2,075570
2,050357
2,075570
1,729642
2,041785
1,939000
1,938750
1,938833
1,838673
1,838700
1,820666
2,075570
1,331428
1,487570
1,487000
1,487000
1,487570
1,487570
1,487570
1,487570
1,464642
1,487570
1,239642
1,474642
1,425200
1,400535
1,400333
1,352040
1,352100
1,259333
1,487570
1,863928
2,075570
2,075357
2,075570
2,075570
2,075570
2,075570
1,331428
1,487570
1,487500
1,487570
1,487570
1,487570
1,487570
1,369500
1,263214
NR.CRT
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
COD ATC
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
N06DA04
N06DA04
N06DA04
N06DA04
N06DA04
N06DA04
N06DX01
N06DX01
N06DX01
N06DX01
N06DX01
100 N06DX01
101 N06DX01
102 N06DX01
103 N06DX01
104 N06DX01
105 N06DX01
106 N06DX01
DCI
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***
GALANTAMINUM***
GALANTAMINUM***
GALANTAMINUM***
GALANTAMINUM***
GALANTAMINUM***
GALANTAMINUM***
MEMANTINUM***
MEMANTINUM***
MEMANTINUM***
MEMANTINUM***
MEMANTINUM***
MEMANTINUM***
MEMANTINUM***
MEMANTINUM***
MEMANTINUM***
MEMANTINUM***
MEMANTINUM***
MEMANTINUM***
Denumire Comerciala
forma farm.
RIDAXIN 1,5 mg
CAPS.
RIVASTIGMINA TORRENT 1,5 mg CAPS.
RIDAXIN 1,5 mg
CAPS.
NIMVASTID 1.5mg
CAPS.
NIMVASTID 3mg
CAPS.
RIVASTIGMINA RATIOPHARM 3 mg CAPS.
RIVASTIGMINE SANDOZ 3mg CAPS.
RIDAXIN 3 mg
CAPS.
RIVASTIGMINA TORRENT 3 mg CAPS.
RIDAXIN 3 mg
CAPS.
RIDAXIN 4,5 mg
CAPS.
RIDAXIN 4,5 mg
CAPS.
RIDAXIN 6 mg
CAPS.
NIMVASTID 1.5 mg
NIMVASTID 3mg
NIMVASTID 4.5 mg
NIMVASTID 6mg
EXELON 13,3mg/24h
EXELON 4,6mg/24h
EVERTAS 4,6 mg/24 h
EXELON 9,5mg/24h
EVERTAS 9,5 mg/24 h
RIVASTIGMINA DR. REDDY'S 4,6 mg/24 ore PLASTURI TRANSDERMICI
RIVASTIGMINA DR. REDDY'S 9,5 mg/24 ore PLASTURI TRANSDERMICI
RIVASTIGMINA TEVA 2 mg/ml SOL. ORALA
REMINYL 16 mg
GALSYA 16 mg
GALSYA 16 mg
CAPS. ELIB. PREL.

CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
GALANTAMINA ZENTIVA 16 mg CAPS. ELIB. PREL.
REMINYL 24 mg
CAPS. ELIB. PREL.
GALSYA 24 mg
CAPS. ELIB. PREL.
GALSYA 24 mg
CAPS. ELIB. PREL.
REMINYL 8 mg
CAPS. ELIB. PREL.
GALSYA 8 mg
CAPS. ELIB. PREL.
GALSYA 8 mg
CAPS. ELIB. PREL.
REMINYL (R) 4 mg/ml

MEMANTINA RATIOPHARM 10 mg
MEMANTINA POLIPHARMA 10 mg
EBIXA 10 mg
MEMANTINA TORRENT 10 mg
NEMDATINE 10mg
MEMANTINA DR. REDDY'S 10 mg
MIRVEDOL 10 mg
MEMIGMIN 10 mg
MEMANTINA AUROBINDO 10 mg
MEMANTINA TERAPIA 10 mg
SOL. 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.
concentratie
1,5mg
1,5mg
1,5mg
1.5mg
3mg
3mg
3mg
3mg
3mg
3mg
4,5mg
4,5mg
6mg
1.5mg
3mg
4.5mg
6mg
13,3/24h
4,6mg/24h
4,6mg/24h
9,5mg/24h
9,5mg/24h
4,6mg/24ore
9,5mg/24ore
2mg/ml
16mg
16mg
16mg
16mg
24mg
24mg
24mg
24mg
8mg
8mg
8mg
8mg
4mg/ml
10 mg
10 mg
10 mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
TARA
DET. APP
AMBALAJ
ROMASTRU TRADING SRL ROMANIA CUTIE CU 4 BLIST. PVC/AL X 14 CAPS.
TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 56 CAPS.
NEOLA PHARMA S.R.L. ROMANIA CUTIE CU 4 BLIST. PVC/AL X 14 CAPS.
P-RF/R
KRKA ,D.D., NOVO MESTO SLOVENIA CUTIE X BLIST. PVC/PVDC/AL X 28 CAPSULE
P-RF/R
KRKA ,D.D., NOVO MESTO SLOVENIA CUTIE X BLIST. PVC/PVDC/AL X 28 CAPSULE
P-RF/R
DETINATOR APP

SANDOZ S.R.L.
ROMANIA
Prescriptie
P-RF/R
P-RF/R
P-RF/R
CUTIE CU BLIST.PVC/AL X 56 CAPS.
P-RF/R
P-RF/R
P-RF/R

P-RF/R
P-RF/R
P-RF/R
P-RF/R
CUTIE X BLIST.UNIDOZA OPA/AL/PVC/PET/AL X (28 X 1) COMPR. ORODISPESABILE P-RF/R
MAREA BRITANIE
CUTIE X 30 PLICURI X 1 PLASTURE TRANSDERMIC
MAREA BRITANIE
ZENTIVA, K.S.
REPUBLICA CEHA
MAREA BRITANIE
ZENTIVA, K.S.
REPUBLICA CEHA
ROMANIA
ROMANIA
ROMANIA
BELGIA

PR
PR
PRF
CUTIE X 30 PLICURI DIN MATERIAL MULTILAMINAT DIN HARTIE/TEREFTALAT DE POLIETILENA/ALUMINIU/PILIACRILONITRIL PREVAZUTE CU SISTEM DE INCHIDERE SECURIZAT PENTRU COPII X 1 PLASTURE TRANSDERMIC
PR
PRF
CUTIE X 30 PLICURI DIN MATERIAL MULTILAMINAT DIN HARTIE/TEREFTALAT DE POLIETILENA/ALUMINIU/PILIACRILONITRIL PREVAZUTE CU SISTEM DE INCHIDERE SECURIZAT PENTRU COPII X 1 PLASTURE TRANSDERMIC
CUTIE CU 30 PLICURI DIN MATERIAL MULTILAMINAT DIN HRTIE/POLIETILENTEREFTALAT/AL/POLIACRILONITRIL CU CU SISTEM DE NCHIDERE SECURIZAT PENTRU COPII, A CTE 1 PLASTURE TRANSDERMIC PROTEJ. DE O FOLIE DIN FILM DIN TEREFTALAT DE POLIETILENA SILICONATA
CUTIE CU 30 PLICURI DIN MATERIAL MULTILAMINAT DIN HRTIE/POLIETILENTEREFTALAT/AL/POLIACRILONITRIL CU CU SISTEM DE NCHIDERE SECURIZAT PENTRU COPII, A CTE 1 PLASTURE TRANSDERMIC PROTEJ. DE O FOLIE DIN FILM DIN TEREFTALAT DE POLIETILENA SILICONATA
PRF
PRF
CUTIE CU 1 FLAC. DIN STICLA BRUNA X 125 ML SOL. ORALA + 1 SERINGA DOZATOARE
P-RF/R
CUTIE X 4 BLIST. PVC-PE-PVDC X 7 CAPS. CU ELIB. PREL.
P-RF
CUTIE CU BLIST. OPA-AL-PVC/AL X 30 CAPS. CU ELIB. PREL.
PRF
CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 CAPS. CU ELIB. PREL.
PRF
ZENTIVA, K.S.
REPUBLICA CEHA
CUTIE CU BLIST. TRANSPARENTE PVC-PE-PVDC/AL X 28 CAPS. ELIB. PREL.
PRF
BELGIA
P-RF
PRF
PRF
ZENTIVA, K.S.
REPUBLICA CEHA
PRF
BELGIA
P-RF
PRF
PRF
ZENTIVA, K.S.
REPUBLICA CEHA
PRF
JANSSEN-PHARMACEUTICA NV
BELGIA
CUTIE X 1 FLACON X 100 ML + 1 PIPETA DOZATOARE P-RF
CUTIE CU BLIST. DIN PVC/AL X 56 COMPR. FILM.
PR
PR
PR
H. LUNDBECK A/S
DANEMARCA
CUTIE X 56 COMPR. FILM. (BLIST. AL/PP)
P-RF/R
ROMANIA
ISLANDA
CUTIE CU BLISTERE DIN PVC/PVDC-AL X 28 COMPRIMATE FILMATE

ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 56 COMPR. FILM.
UNGARIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 56 COMPR. FILM.

ROMANIA

CUTIE CU BLISTERE DIN FOLIE PVC/PVDC-AL X 56 COMPRIMATE FILMATE
MALTA
TERAPIA SA
TERAPIA SA
ROMANIA
ROMANIA
Pagina 29 din 44
PR
PR
PR
PR
PR
PR
PR
PR
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
56
56
56
28
28
56
56
56
56
56
56
56
56
28
28
28
28
30
30
30
30
30
30
30
1
28
30
30
28
28
30
30
28
28
30
30
28
1
56
28
56
56
56
28
56
56
56
56
56
56
63,91
1,141250
1,141250
1,141250
72,39
1,292678
1,292678
1,292678
63,91
1,141250
1,141250
1,141250
37,89
1,353214
1,353214
1,353214
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
143,02
2,553928
2,553928
2,553928
130,32
2,327142
2,327142
2,327142
120,75
2,156250
2,156250
2,156250
120,75
2,156250
2,156250
2,156250
153,96
2,749285
2,749285
2,749285
37,89
1,353214
1,353214
1,353214
78,01
2,786071
2,786071
2,786071
89,80
3,207142
2,587500
2,587500
101,04
3,608571
3,299142
3,299142
589,06 19,635333 19,635333 19,635333
390,58 13,019333 10,262799 10,262799
256,57
8,552333
8,552333
8,552333
390,58 13,019333 10,262799 10,262799
256,57
8,552333
8,552333
8,552333
256,57
8,552333
8,552333
8,552333
256,57
8,552333
8,552333
8,552333
420,26 420,260000 420,260000 420,260000
374,39 13,371071
1,750285
1,750285
52,50
1,750000
1,750000
1,750000
52,50
1,750000
1,750000
1,750000
40,84
1,458571
1,458571
1,458571
417,57 14,913214
1,750285
1,750285
52,50
1,750000
1,750000
1,750000
52,50
1,750000
1,750000
1,750000
40,84
1,458571
1,458571
1,458571
201,08
7,181428
1,750285
1,750285
52,50
1,750000
1,750000
1,750000
52,50
1,750000
1,750000
1,750000
40,84
1,458571
1,458571
1,458571
254,22 254,220000 254,220000 254,220000
47,09
0,840892
0,627428
0,627428
99,13
3,540357
0,627428
0,627428
188,00
3,357142
0,627428
0,627428
132,46
2,365357
0,627428
0,627428
36,98
0,660357
0,627428
0,627428
18,18
0,649285
0,627428
0,627428
30,82
0,550357
0,550357
0,550357
56,51
1,009107
0,627428
0,627428
202,77
3,620892
0,627428
0,627428
29,28
0,522857
0,522857
0,522857
36,98
0,660357
0,627428
0,627428
36,98
0,660357
0,627428
0,627428
NR.CRT
DCI
COD ATC
107 N06DX01
108 N06DX01
109 N06DX01
110 N06DX01
111 N06DX01
112 N06DX01
113 N06DX01
114 N06DX01
115 N06DX01
116 N06DX01
117 N06DX01
118 N06DX01
119 N06DX01
120 N06DX01
121 N06DX01
122 N06DX01
123 N06DX01
124 N06DX01
125 N06DX01
126 N06DX01
127 N06DX01
MEMANTINUM***
MEMANTINUM***
MEMANTINUM***
MEMANTINUM***
MEMANTINUM***
MEMANTINUM***
MEMANTINUM***
MEMANTINUM***
MEMANTINUM***
MEMANTINUM***
MEMANTINUM***
MEMANTINUM***
MEMANTINUM***
MEMANTINUM***
MEMANTINUM***
MEMANTINUM***
MEMANTINUM***
MEMANTINUM***
MEMANTINUM***
MEMANTINUM***
MEMANTINUM***
forma farm.
Denumire Comerciala
MEMANTINA ATB 10 mg
MARIXINO 10mg
COGNOMEM 10 mg
TORMORO 10 mg
MEMANTINA LANNACHER HEILMITTEL 10 mg
MEMANTINA RATIOPHARM 20 mg
MEMANTINA TORRENT 20 mg
NEMDATINE 20mg
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COGNOMEM 20 mg
MEMANTINA TEVA 10 mg
ZENMEM 10 mg
MEMANTINA TEVA 20 mg
ZENMEM 20 mg
EBIXA 5mg/doza
PICATURI ORALE - SOL.
MEMANTINA TEVA 10 mg/ml SOL. ORALA
MEMANTINA TORRENT 10 mg/ml SOL. ORALA
COGNOMEM 5 mg/doza eliberata SOL. ORALA
concentratie
10mg
10mg
10mg
10mg
10mg
20 mg
20 mg
20 mg
20mg
20mg
20mg
20mg
20mg
10mg
10mg
20mg
20mg
5mg/doza
10 mg/ml
10mg/ml
ANTIBIOTICE S.A.
TARA
DET. APP
AMBALAJ
ROMANIA CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PR
CONSILIENT HEALTH LTD.
IRLANDA
ZENTIVA K.S.
REPUBLICA CEHA
FRANTA
AUSTRIA
ROMANIA
ROMANIA
DETINATOR APP
Prescriptie
ISLANDA
TERAPIA SA
TERAPIA SA
ZENTIVA K.S.
ROMANIA
ROMANIA
REPUBLICA CEHA
ROMANIA
CUTIE CU BLIST. PT. ELIBERAREA UNEI UNITATI DOZATE DIN OPA-AL-PVC/AL X 56X1 COMPR. ORODISPERSABILE
ZENTIVA K.S.
REPUBLICA CEHA
CUTIE CU BLIST. OPA-AL-PVC/AL-PET-HARTIE X 28 COMPR. ORODISPERSABILE
ROMANIA
CUTIE CU BLIST. PT. ELIBERAREA UNEI UNITATI DOZATE DIN OPA-AL-PVC/AL X 28X1 COMPR. ORODISPERSABILE
REPUBLICA CEHA
CUTIE CU BLIST. OPA-AL-PVC/AL-PET-HARTIE X 28 COMPR. ORODISPERSABILE
PR
PR
PR
PR
PR
PR
PR
PR
PR
PR
PR
PR
PR
PR
PR
PR
DANEMARCA
CUTIE X 1 FLACON DIN STICLA BRUNA CU POMPA DOZATOARE X 50 ML SOLUTIE
P-RF/R
ABBOTT PRODUCTS SAS



ZENTIVA K.S.
H LUNDBECK A/S
ROMANIA
5mg/doza eliberata
ZENTIVA K.S.
REPUBLICA CEHA
CUTIE X BLISTER PVC/PVDC/AL X 56 COMPRIMATE FILMATE

CUTIE X BLISTERE DIN FOLIE PVC/PVDC-AL X 28 COMPRIMATE FILMATE

CUTIE CU BLISTERE DIN PVC/PVDC-AL X 28 COMPRIMATE FILMATE
CUTIE CU 1 FLAC. DIN STICLA BRUNA PREVAZUT CU POMPA DOZATOARE X 50 ML SOL. ORALA
PR
PR
PR
P-RF
CUTIE CU 1 FLAC. DIN STICLA + SERINGA DOZATOARE A 50 ML SOL. ORALA

CUTIE CU 1 FLAC. A 100 ML SOL. SOL. ORALA SI O POMPA DOZATOARE
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
56
56
56
60
70
28
56
28
56
28
28
28
56
56
28
28
28
1
1
1
1
36,74
36,96
36,98
60,48
156,14
265,89
519,49
47,09
113,02
43,24
56,51
56,51
88,75
36,98
67,46
36,98
151,58
352,22
228,95
441,45
228,95
0,656071
0,660000
0,660357
1,008000
2,230571
9,496071
9,276607
1,681785
2,018214
1,544285
2,018214
2,018214
1,584821
0,660357
2,409285
1,320714
5,413571
352,220000
228,950000
441,450000
228,950000
0,627428
0,627428
0,627428
0,627428
0,627428
1,584856
1,584856
1,584856
1,584856
1,544285
1,584856
1,584856
1,584821
0,627428
0,627428
1,320714
1,584856
274,740000
228,950000
441,450000
228,950000
0,627428
0,627428
0,627428
0,627428
0,627428
1,584856
1,584856
1,584856
1,584856
1,544285
1,584856
1,584856
1,584821
0,627428
0,627428
1,320714
1,584856
274,740000
228,950000
441,450000
228,950000
50
20
50
1
100
100
60
32,62
29,65
26,13
15,89
70,21
78,89
31,39
0,652400
1,482500
0,522600
15,890000
0,702100
0,788900
0,523166
0,652400
1,482500
0,522600
15,890000
0,702100
0,788900
0,523166
0,652400
1,482500
0,522600
15,890000
0,702100
0,788900
0,523166
Tratamentul se initiaza de catre medicul in specialitatea psihiatrie, neurologie sau geriatrie
15. COLAGENOZE MAJORE (LUPUS ERITEMATOS SISTEMIC, SCLERODERMIE, POLI/DERMATOMIOZITA, VASCULITE SISTEMICE) - G 17
1
2
3
4
5
6
7
H02AB04
H02AB04
L01AA01
L01AA01
L04AX01
L04AX01
P01BA02
METHYLPREDNISOLONUM5)
CYCLOPHOSPHAMIDUM*
CYCLOPHOSPHAMIDUM*
AZATHIOPRINUM*
AZATHIOPRINUM*
HYDROXYCHLOROQUINUM
MEDROL A 16
MEDROL 32
ENDOXAN (R) 50 mg
ENDOXAN 200 mg
IMURAN
IMMUNOPRIN 75 mg
PLAQUENIL
COMPR.
COMPR.
DRAJ.
PULB. PT. SOL. PERF./INJ. I.V.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
16mg
32mg
50mg
200mg
50mg
75mg
200mg
MAREA BRITANIE
MAREA BRITANIE
ACTAVIS S.R.L.
ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. PERF./INJ S
ASPEN EUROPE GMBH GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. S/P-RF
PR
AUSTRIA
ROMANIA CUTIE X 6 BLIST. X 10 COMPR. FILM. P-6L
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
A07EC01
A07EC01
H02AB01
H02AB04
H02AB04
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
SULFASALAZINUM
SULFASALAZINUM
BETAMETHASONUM
METHOTREXATUM4)
METHOTREXATUM4)
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
SULFASALAZIN EN
SALAZIDIN GR 500 mg
DIPROPHOS
MEDROL A 16
MEDROL 32
COMPR. GASTROREZ.
SUSP. INJ. I.M.

COMPR.
COMPR.
COMPR.
500mg
500mg
7mg/ml
16mg
32mg
10mg
2,5mg
100mg/ml
100mg/ml
100mg/ml

ROMANIA
P-6L
P6L
MERCK SHARP & DOHME
BELGIA
P-RF
MAREA BRITANIE
P-RF
MAREA BRITANIE

Pagina 30 din 44
ROMANIA CUTIE X 10COMPR.

ROMANIA CUTIE X30 COMPRIMATE
P6L
P6L

S
S
AUSTRIA CUTIE X 1 TUB DIN MATERIAL PLASTIC X 1 FIOLA X 10 ML S
50 28,24
0,564800
0,564800
0,564800
50 28,20
0,564000
0,564000
0,564000
5 34,53
6,906000
6,906000
6,906000
50 32,62
0,652400
0,652400
0,652400
20 29,65
1,482500
1,482500
1,482500
10 28,81
2,881000
2,881000
2,881000
30 21,62
0,720666
0,720666
0,720666
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
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
COD ATC
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L04AA13
L04AA13
L04AA13
L04AA13
L04AA13
L04AA13
L04AA13
L04AA13
L04AA13
L04AA13
L04AA13
L04AA13
L04AA13
L04AA13
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AX01
L04AX01
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
DCI
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
LEFLUNOMIDUM**
LEFLUNOMIDUM**
LEFLUNOMIDUM**
LEFLUNOMIDUM**
LEFLUNOMIDUM**
LEFLUNOMIDUM**
LEFLUNOMIDUM**
LEFLUNOMIDUM**
LEFLUNOMIDUM**
LEFLUNOMIDUM**
LEFLUNOMIDUM**
LEFLUNOMIDUM**
LEFLUNOMIDUM**
LEFLUNOMIDUM**
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
AZATHIOPRINUM*
AZATHIOPRINUM*
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
Denumire Comerciala
forma farm.

METOJECT 50mg/ml
METOJECT 50mg/ml
METOJECT 50mg/ml
METOJECT 50mg/ml
LEFLUNOMIDA SANDOZ 10 mg
ARAVA 10mg
LEFLUNOMIDA RATIOPHARM 10 MG
LEFLUNOMIDE WINTHROP 10mg
LEFLUNOMIDA MEDAC 10 mg
LEFLON 10 mg
LEFLON 10 mg
LEFLUNOMIDA SANDOZ 20 mg
ARAVA 20mg
LEFLUNOMIDA RATIOPHARM 20 MG
LEFLUNOMIDE WINTHROP 20mg
LEFLUNOMIDA MEDAC 20 mg
LEFLON 20 mg
LEFLON 20 mg
EQUORAL 100 mg
EQUORAL 25 mg
EQUORAL 50 mg
IMURAN
IMMUNOPRIN 75 mg
DICLOREUM 150 mg
DICLOFENAC DUO PHARMASWISS 75 mg
TRATUL 50 mg
DICLOTARD 100 mg
DICLAC (R) 75 ID
VOLTAREN (R) RETARD
REFEN (R) RETARD
VOLTAREN (R) 50
DICLOFENAC 50 mg
DICLOFENAC HELCOR 50 mg
VOLTAREN RAPID (R)

VOLTAREN (R)
TRATUL (R)
DICLOFENAC 75 mg
REFEN 75 mg
CLAFEN 100 mg
VOLTAREN (R)
concentratie
5mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
COMPR. FILM. 10 mg
COMPR. FILM. 10mg
COMPR. FILM. 10mg
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
COMPR. FILM. 20mg
COMPR. FILM. 20mg
CAPS. MOI
100mg
CAPS. MOI
25mg
CAPS. MOI
25mg
CAPS. MOI
50mg
CAPS. MOI
50mg
COMPR. FILM. 50mg
COMPR. FILM. 75mg
COMPR. ELIB. MODIF. 75mg
DRAJ.
50mg
DRAJ. GASTROREZ. 25mg
SOL. INJ.
25mg/ml
SOL. INJ.
30mg/ml
SOL. INJ.
75mg/3ml
SUPOZ.
100mg
SUPOZ.
100mg
DETINATOR APP
TARA
DET. APP
AMBALAJ
Prescriptie

AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
S
PR
PR
PR
PR
GERMANIA
P-RF
GERMANIA
P-RF
GERMANIA
P-RF
GERMANIA
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.
PR
PR
RATIOPHARM GMBH GERMANIA CUTIE X 1 FLAC. PEID X 30 COMPR. FILM.
P-RF/R

PR
PR
CUTIE CU BLIST. PA-AL-PVC/AL X 30 COMPR. PR
CUTIE CU BLIST. PA-AL-PVC/AL X 30 COMPR. PR
CUTIE CU 1 FLACON PEID CU CAPAC PP DESICANT X 30 COMPR. FILM. PR
CUTIE X 1 FLAC. PEID X 30 COMPR. FILM. PR
GERMANIA CUTIE CU 1 FLACON DIN PEID X 30 COMPR. FILM.
ROMANIA
SANDOZ S.R.L.
ROMANIA
GERMANIA
RATIOPHARM GMBH GERMANIA CUTIE X 1 FLAC. PEID X 30 COMPR. FILM.
P-RF
MEDAC GESELLSCHAFT FUR KLINISCHE SPEZIALPRAPARATE
GERMANIA CUTIE CU 1 FLACON DIN PEID X 30 COMPR.FILM
PR
PR
PR
PR
ROMANIA
TEVA CZECH INDUSTRIES S.R.O.

CEHIA

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


ALFA WASSERMANN SPA

TERAPIA SA
HEXAL AG
AUSTRIA
ITALIA
CEHIA
AUSTRIA
ROMANIA
S/P-RF
S/P-RF
S/P-RF
PR
P-6L
P-6L
CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS. MOI GASTROREZ.
P-6L
P-6L
P-6L
ROMANIA
P-6L
P-6L
TERAPIA SA
P-6L
P-6L
ROMANIA
ROMANIA

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

CUTIE X 2 BLIST. AL/PVC X 10 DRAJ GASTROREZ.
P-6L
P-6L
NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 FIOLE CU PUNCT DE RUPERE X 3 ML P-RF

AUSTRIA
P-RF
TERAPIA SA
ANTIBIOTICE SA
NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FOLIE PVC/PE-JD X 5 SUPOZ.
Pagina 31 din 44
P-6L
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
10
1
1
1
1
1
1
1
1
30
30
30
30
30
30
30
30
30
30
30
30
30
30
50
50
50
50
50
100
100
20
30
30
20
10
10
20
20
20
20
10
30
20
30
5
5
5
5
6
5
23,82
78,67
59,64
122,50
110,09
124,21
78,67
74,80
109,54
54,93
80,27
54,93
54,93
133,74
54,93
54,93
104,33
152,20
104,33
104,33
190,22
104,33
104,33
307,60
137,32
75,17
292,16
147,58
70,21
78,89
47,70
20,49
6,39
8,54
3,93
6,56
8,55
6,56
4,25
2,27
2,34
5,72
2,65
3,98
9,40
14,24
6,10
4,05
3,94
5,47
2,382000
78,670000
59,640000
122,500000
110,090000
124,210000
78,670000
74,800000
109,540000
1,831000
2,675666
1,831000
1,831000
4,458000
1,831000
1,831000
3,477666
5,073333
3,477666
3,477666
6,340666
3,477666
3,477666
6,152000
2,746400
1,503400
5,843200
2,951600
0,702100
0,788900
2,385000
0,683000
0,213000
0,427000
0,393000
0,656000
0,427500
0,328000
0,212500
0,113500
0,234000
0,190666
0,132500
0,132666
1,880000
2,848000
1,220000
0,810000
0,656666
1,094000
2,382000
78,670000
59,640000
122,500000
110,090000
124,210000
78,670000
71,568000
109,540000
1,831000
2,197200
1,831000
1,831000
2,197200
1,831000
1,831000
3,477666
4,173199
3,477666
3,477666
4,173199
3,477666
3,477666
6,152000
1,804080
1,503400
3,541920
2,951600
0,702100
0,788900
2,385000
0,471600
0,136200
0,427000
0,393000
0,512400
0,427500
0,136200
0,136200
0,113500
0,136200
0,190666
0,132500
0,132666
0,972000
0,972000
0,972000
0,810000
0,656666
0,765600
2,382000
78,670000
59,640000
122,500000
110,090000
124,210000
78,670000
71,568000
109,540000
1,831000
2,197200
1,831000
1,831000
2,197200
1,831000
1,831000
3,477666
4,173199
3,477666
3,477666
4,173199
3,477666
3,477666
6,152000
1,804080
1,503400
3,541920
2,951600
0,702100
0,788900
2,385000
0,471600
0,136200
0,427000
0,393000
0,512400
0,427500
0,136200
0,136200
0,113500
0,136200
0,190666
0,132500
0,132666
0,972000
0,972000
0,972000
0,810000
0,656666
0,765600
NR.CRT
61
62
63
64
65
66
COD ATC
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
P01BA02
DCI
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
HYDROXYCHLOROQUINUM
Denumire Comerciala
forma farm.
DICLOFENAC 100 mg
SUPOZ.
DICLOFENAC SODIC 100 mg SUPOZ.
VOLTAREN (R)
SUPOZ.
PLAQUENIL
COMPR. FILM.
concentratie
100mg
100mg
12,5 mg
12,5 mg
50mg
200mg
TARA
DET. APP
AMBALAJ
SINTOFARM SA
MAGISTRA C & C
ROMANIA CUTIE X 2 FOLII TERMOSUDATE PVC/PE X 5 SUPOZ.
SINTOFARM S.A.
ROMANIA CUTIE X 2 FOLII TERMOSUDATE DIN PVC-PE X 3 SUPOZITOARE
SINTOFARM S.A.
NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 FOLII PVC/PEJD X 5 SUPOZ.
SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 6 BLIST. X 10 COMPR. FILM.
DETINATOR APP
Prescriptie
P-6L
P-6L
P6L
P6L
P-6L
P-6L
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
10
10
6
10
10
60
6,95
6,38
3,64
6,01
9,45
31,39
0,695000
0,638000
0,606666
0,601000
0,945000
0,523166
0,695000
0,638000
0,606666
0,601000
0,945000
0,523166
0,695000
0,638000
0,606666
0,601000
0,945000
0,523166
0,564800
0,564000
6,906000
2,385000
0,471600
0,136200
0,427000
0,393000
0,512400
0,427500
0,136200
0,136200
0,113500
0,136200
0,190666
0,132500
0,132666
0,972000
0,972000
0,972000
0,810000
0,656666
0,765600
0,695000
0,638000
0,606666
0,601000
0,945000
0,564800
0,564000
6,906000
2,385000
0,471600
0,136200
0,427000
0,393000
0,512400
0,427500
0,136200
0,136200
0,113500
0,136200
0,190666
0,132500
0,132666
0,972000
0,972000
0,972000
0,810000
0,656666
0,765600
0,695000
0,638000
0,606666
0,601000
0,945000
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
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
A07EC01
A07EC01
H02AB01
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
SULFASALAZINUM
SULFASALAZINUM
BETAMETHASONUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
SULFASALAZIN EN
SALAZIDIN GR 500 mg
DIPROPHOS
DICLOREUM 150 mg
500mg
500mg
SUSP. INJ. I.M. 7mg/ml
DICLOFENAC DUO PHARMASWISS 75 mg CAPS. ELIB. PREL. 75mg
TRATUL 50 mg
DICLOTARD 100 mg
DICLAC (R) 75 ID
COMPR. ELIB. MODIF. 75mg
VOLTAREN (R) RETARD
REFEN (R) RETARD
VOLTAREN (R) 50
DICLOFENAC 50 mg
DICLOFENAC HELCOR 50 mg COMPR. FILM. GASTROREZ. 50mg
VOLTAREN RAPID (R)
DRAJ.
50mg
DICLOFENAC ARENA 25 mg DRAJ. GASTROREZ. 25mg
VOLTAREN (R)
SOL. INJ.
25mg/ml
TRATUL (R)
SOL. INJ.
30mg/ml
DICLOFENAC 75 mg
SOL. INJ.
75mg/3ml
REFEN 75 mg
CLAFEN 100 mg
SUPOZ.
100mg
VOLTAREN (R)
SUPOZ.
100mg
DICLOFENAC 100 mg
SUPOZ.
100mg
DICLOFENAC SODIC 100 mg SUPOZ.
100mg
12,5 mg
12,5 mg
VOLTAREN (R)
SUPOZ.
50mg
COMPR. GASTROREZ.
ROMANIA
MERCK SHARP & DOHME
BELGIA CUTIE X 5 FIOLE X 1 ML

ITALIA
CEHIA
AUSTRIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS. MOI GASTROREZ.
P-RF
ROMANIA
P-6L
ALFA WASSERMANN SPA

TERAPIA SA
HEXAL AG
P-6L
P6L
P-6L
P-6L
P-6L
P-6L
ROMANIA
P-6L
P-6L
TERAPIA SA
P-6L
P-6L
ROMANIA
ROMANIA

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

P-6L
P-6L
NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 FIOLE CU PUNCT DE RUPERE X 3 ML P-RF

AUSTRIA
P-RF
TERAPIA SA
ANTIBIOTICE SA
NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FOLIE PVC/PE-JD X 5 SUPOZ.
P-6L
SINTOFARM SA
MAGISTRA C & C
SINTOFARM S.A.
SINTOFARM S.A.
P-6L

NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 FOLII PVC/PEJD X 5 SUPOZ.
P-6L
P6L
P6L
P-6L
50
50
5
20
30
30
20
10
10
20
20
20
20
10
30
20
30
5
5
5
5
6
5
10
10
6
10
10
28,24
28,20
34,53
47,70
20,49
6,39
8,54
3,93
6,56
8,55
6,56
4,25
2,27
2,34
5,72
2,65
3,98
9,40
14,24
6,10
4,05
3,94
5,47
6,95
6,38
3,64
6,01
9,45
0,564800
0,564000
6,906000
2,385000
0,683000
0,213000
0,427000
0,393000
0,656000
0,427500
0,328000
0,212500
0,113500
0,234000
0,190666
0,132500
0,132666
1,880000
2,848000
1,220000
0,810000
0,656666
1,094000
0,695000
0,638000
0,606666
0,601000
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
Pagina 32 din 44
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
50
COD ATC
G02CB03
G02CB03
H01AX01
H01AX01
H01BA02
H01BA02
H01BA02
H01BA02
H01BA02
H01CB02
H01CB02
H01CB02
H01CB02
H01CB02
H01CB03
H01CB03
H01CB05
H01CB05
H01CB05
H02AA02
H02AB06
H02AB06
H02AB07
H02AB07
H02AB07
H02AB07
H02AB09
H02AB09
H02AB09
H02AB09
H02AB09
H03AA01
H03AA01
H03AA01
H03AA01
H03AA01
H03AA01
H03AA01
H03AA01
H03AA01
H03AA01
H03AA01
H03AA01
H03AA01
H03AA01
H03AA01
H03AA01
H03CA01
H03CA01
H03CA01
DCI
CABERGOLINUM**
CABERGOLINUM**
PEGVISOMANTUM****
PEGVISOMANTUM****
DESMOPRESSINUM
DESMOPRESSINUM
DESMOPRESSINUM
DESMOPRESSINUM
DESMOPRESSINUM
OCTREOTIDUM****
OCTREOTIDUM****
OCTREOTIDUM****
OCTREOTIDUM****
OCTREOTIDUM****
LANREOTIDUM****
LANREOTIDUM****
PASIREOTIDUM**
PASIREOTIDUM**
PASIREOTIDUM**
FLUDROCORTISONUM
PREDNISOLONUM
PREDNISOLONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
HYDROCORTISONUM
HYDROCORTISONUM
HYDROCORTISONUM
HYDROCORTISONUM
HYDROCORTISONUM
LEVOTHYROXINUM
LEVOTHYROXINUM
LEVOTHYROXINUM
LEVOTHYROXINUM
LEVOTHYROXINUM
LEVOTHYROXINUM
LEVOTHYROXINUM
LEVOTHYROXINUM
LEVOTHYROXINUM
LEVOTHYROXINUM
LEVOTHYROXINUM
LEVOTHYROXINUM
LEVOTHYROXINUM
LEVOTHYROXINUM
LEVOTHYROXINUM
LEVOTHYROXINUM
KALII IODIDUM
KALII IODIDUM
KALII IODIDUM
Denumire Comerciala
DOSTINEX
DOSTINEX
SOMAVERT 10 mg
SOMAVERT 20 mg
forma farm.
COMPR.
COMPR.
DESMOPRESINA TEVA 0,2mg COMPR.
MINIRIN 0,2 mg
MINIRIN MELT 120 mcg
MINIRIN MELT 60 mcg
MINIRIN MELT 60 mcg
OCTREOTID KABI 0,1 mg/ml
SANDOSTATIN 0,1 mg/ml
SOMATULINE PR 30 mg
COMPR.
LIOF. ORAL
LIOF. ORAL
LIOF. ORAL
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.
SOL INJ.
SOL. INJ.
LIOF. PT. SOL. INJ. + SOLV.
SOMATULINE AUTOGEL 120 mg
SOL. INJ. CU ELIB. PREL.
SIGNIFOR 0,3 mg
SIGNIFOR 0,6 mg
SIGNIFOR 0,9 mg
ASTONIN H
PREDNISON MCC 5 mg
PREDNISON 5 mg
SOL INJ.
SOL INJ.
SOL INJ.
COMPR.
COMPR.
COMPR.
COMPR.
HYDROCORTISONE ROUSSEL COMPR.
HYDROCORTISONE SUCCINAT SODIC LIOF. + SOLV. PT. SOL. INJ.
HIDROCORTIZON HEMISUCCINAT
EUTHYROX 100mcg
EUTHYROX 100g
EUTHYROX 200mcg
EUTHYROX 200g
EUTHYROX 25mcg
EUTHYROX 25g
EUTHYROX 50mcg
EUTHYROX 50g
JODID 100
JODID 100
JODID 200
PULB. + SOLV. PT. SOL. INJ./PERF.

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

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
concentratie
0,5mg
0,5mg
10mg
20mg
0,2mg
0,2mg
120mcg
60mcg
60mcg
20mg
10mg
30mg
0,1mg/ml
0,1mg/ml
30mg
120mg
0,3mg
0,6mg
0,9mg
0,1mg
250mg
50mg
5mg
5mg
5mg
5mg
10mg
100mg
500mg
100mg
25mg/5ml
100mcg
DETINATOR APP
TARA
DET. APP
AMBALAJ
Prescriptie
PFIZER EUROPE MA EEG
MAREA BRITANIE
PFIZER EUROPE MA EEG
MAREA BRITANIE

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
FERRING GMBH
FERRING GMBH
FERRING GMBH
FERRING GMBH
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 1 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
PFIZER LIMITED
PFIZER LIMITED
P-RF
P-RF
CUTIE X 1 FLAC. PULBERE + 1 SERINGA PREUMPLUTA X 2,5 ML SOLVENT + 2 ACE S/P-RF
CUTIE X 1 FLAC. PULBERE + 1 SERINGA PREUMPLUTA X 2,5 ML SOLVENT + 2 ACE S/P-RF
CUTIE X 1 FLAC. PULB. + 1 SERINGA PREUMPLUTA X 2,5 ML SOLVENT + 2 ACE
S/P-RF
ROMANIA
CUTIE CU 5 FLAC. DIN SICLA INCOLORA, CU CAPACITATEA DE 2 ML X 1 ML SOL. INJ.
PRF
FRESENIUS KABI ROMANIA SRL
PR
FRANTA CUTIE X 1 FLACON LIOF. + 1 FIOLA X 2 ML SOLV. + 1 SERINGA X 3 ML + 2 ACE S
FRANTA
S/P-RF
MAREA BRITANIE CUTIE CU 30 FIOLE DIN STICLA A 1ML X 0,3 MG
PR
PR
PR
IPSEN PHARMA
IPSEN PHARMA
CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. CU ELIB. PREL., IN PUNGA AL/NYLON/PE + AC

MERCK KGAA
MERCK KGAA
MERCK KGAA
GERMANIA CUTIE X 1 FLAC. DIN PP X 50 COMPR.
P-RF
GERMANIA
P-RF
GERMANIA
P-RF

P-RF

SINTOFARM SA
ROMANIA
CN UNIFARM
ROMANIA
ZENTIVA S.A.
ROMANIA
P-RF
P-RF
P-RF
CUTIE X 1 FLAC. 25 COMPR.
PRF
CUTIE X 1 FLAC. DIN STICLA INCOLORA CU LIOF. PT. SOL. INJ. + 1 FIOLA SOLV. X 2 ML
S/P-RF
CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 20 ML, INCHIS CU DOP DIN CAUCIUC GRI, ETANSAT CU CAPSA DIN ALUMINIU, CONTINAND PULB. PT. SOL. INJ./PERF. SI 1 FIOLA CU 4 ML SOLV.
PR/PRF
CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 5 ML, INCHIS CU DOP DIN CAUCIUC GRI, ETANSAT CU CAPSA DE ALUMINIU, CONTINAND PULB. PT. SOL.INJ./PERF. SI O FIOLA CU 2 ML SOLV.
PR/PRF
CUTIE X 5 FIOLE X 1 ML SOL. A + 5 FIOLE X 4 ML SOL. B
S/P-RF
MERCK KGAA
P-6L
100micrograme
P6L
100g
MERCK KGAA
125micrograme
150micrograme
175micrograme
ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 100 COMPR.

200mcg
MERCK KGAA
200micrograme
200g
25mcg
MERCK KGAA
MERCK KGAA
25micrograme
25g
50mcg
MERCK KGAA
MERCK KGAA
50micrograme
50g
MERCK KGAA
75micrograme
100mcg
100mcg
200mcg
MERCK KGAA
MERCK KGAA
MERCK KGAA
Pagina 33 din 44
P-6L
P6L
P6L
P6L
P-6L
P6L
P-6L
P-6L
P6L
P-6L
P-6L
P6L
P-6L
P6L
P-RF
P-RF
P-RF
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
2
8
30
30
30
30
30
10
30
1
1
1
5
5
1
1
30
30
30
50
3
3
20
30
30
20
25
1
1
1
5
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
43,59
123,74
8.603,01
17.135,17
128,50
120,65
183,02
34,06
97,02
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
6,100666
6,100666
6,100666
3,406000
3,406000
3,406000
3,234000
3,234000
3,234000
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
95,45
44,15
19,090000
8,830000
10,596000
8,830000
10,596000
8,830000
1.572,80 1.572,800000 1.572,800000 1.572,800000

5.089,12 5.089,120000 5.089,120000 5.089,120000
7.863,11
8.674,14
9.264,78
47,78
95,62
35,71
2,65
2,62
3,71
2,57
12,20
3,91
11,91
7,09
21,33
11,69
7,60
11,69
9,49
11,40
13,30
24,14
15,70
24,14
9,51
6,18
9,51
8,27
5,38
8,27
8,07
12,33
12,33
19,23
262,103666 262,103666 262,103666

289,138000 289,138000 289,138000
308,826000 308,826000 308,826000
0,955600
0,955600
0,955600
31,873333 31,873333 31,873333
11,903333 11,903333 11,903333
0,132500
0,104799
0,104799
0,087333
0,087333
0,087333
0,123666
0,104799
0,104799
0,128500
0,104799
0,104799
0,488000
0,488000
0,488000
3,910000
3,910000
3,910000
11,910000 11,910000 11,910000
7,090000
4,692000
4,692000
4,266000
4,266000
4,266000
0,116900
0,091200
0,091200
0,076000
0,076000
0,076000
0,116900
0,091200
0,091200
0,094900
0,094900
0,094900
0,114000
0,114000
0,114000
0,133000
0,133000
0,133000
0,241400
0,188400
0,188400
0,157000
0,157000
0,157000
0,241400
0,188400
0,188400
0,095100
0,074160
0,074160
0,061800
0,061800
0,061800
0,095100
0,074160
0,074160
0,082700
0,064560
0,064560
0,053800
0,053800
0,053800
0,082700
0,064560
0,064560
0,080700
0,080700
0,080700
0,123300
0,123300
0,123300
0,123300
0,123300
0,123300
0,192300
0,192300
0,192300
NR.CRT
51
52
COD ATC
H03CA01
N04BC01
DCI
KALII IODIDUM
BROMOCRIPTINUM
Denumire Comerciala
JODID 200
BROCRIPTIN (N04BC01)
forma farm.
COMPR.
DRAJ.
concentratie
200mcg
2,5mg
DETINATOR APP
MERCK KGAA
BIOFARM SA
Tratamentul se initiaza de catre medicul in specialitatea endocrinologie sau oncologie
Pagina 34 din 44
TARA
DET. APP
AMBALAJ
Prescriptie
P-RF
P-RF
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
100
40
19,23
21,16
0,192300
0,529000
0,192300
0,529000
0,192300
0,529000
NR.CRT
DCI
COD ATC
Denumire Comerciala
forma farm.
concentratie
DETINATOR APP
TARA
DET. APP
AMBALAJ
Prescriptie
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
19. BOALA WILSON - G23

1
M01CC01
PENICILLAMINUM**4)
CUPRIPEN 250mg
CAPS.
250mg
CN UNIFARM S.A.
ROMANIA FLACON X 30 CAPSULE
PRF
30
39,38
1,312666
1,312666
1,312666
Tratamentul se initiaza de catre medicul in specialitatea endocrinologie sau neurologie
20. BOALA CRONICA DE RINICHI - faza predializa - G 25

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
B03AC02 COMPLEX DE HIDROXID DE FER (III) SUCROZA**

B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA02
B03XA02
B03XA02
B03XA02
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 ZETA**
EPOETINUM ZETA**
EPOETINUM ZETA**
EPOETINUM ZETA**
EPOETINUM ZETA**
EPOETINUM ZETA**
EPOETINUM ZETA**
EPOETINUM ZETA**
EPOETINUM ZETA**
EPOETINUM ZETA**
EPOETINUM ZETA**
EPOETINUM ZETA**
EPOETINUM ZETA**
EPOETINUM ZETA**
EPOETINUM ZETA**
EPOETINUM ZETA**
EPOETINUM ZETA**
EPOETINUM ZETA**
EPOETINUM ZETA**
EPOETINUM ZETA**
EPOETINUM ZETA**
EPOETINUM ZETA**
DARBEPOETINUM ALFA**
VENOFER (R)
EPREX 40000 UI/ml
ARANESP 10mcg/0,4ml
ARANESP 20mcg/0,5ml
1000UI/0,5ml
2000UI/1,0ml
30000UI/0,75ml
3000UI/0,3ml
VIFOR FRANCE S.A. FRANTA CUTIE X 5 FIOLE X 5 ML

AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ.
SANDOZ GMBH
AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ.
SANDOZ GMBH
AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ.
SANDOZ GMBH
AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,75ML SOL. INJ.
SANDOZ GMBH
AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ.
40 000UI/ml

S/P-RF
S/P-RF/R
S/P-RF/R
S/P-RF/R
P-RF/R
S/P-RF/R
SLOVENIA
CUTIE CU 1 SERINGA PREUMPLUTA X 1 ML SOL. INJ.
S/P-RF
P-RF/R
S/P-RF/R
S/P-RF/R
S/P-RF/R
40000 UI/1 ml SANDOZ GMBH

AUSTRIA
AUSTRIA
AUSTRIA
10000UI/0,6ml ROCHE REGISTRATION LTD. MAREA BRITANIE
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
30000 UI/0,6ml ROCHE REGISTRATION LTD.
MAREA BRITANIE
S/P-RF/R
MAREA BRITANIE
S/P-RF/R
MAREA BRITANIE
S/P-RF/R

S/P-RF/R
PR

S/P-RF/R


4000UI/0,3ml
5000UI/0,3ml
20000UI/0,5ml
20000UI/0,5ml




OLANDA
OLANDA
OLANDA
MAREA BRITANIE
OLANDA
OLANDA
OLANDA
PR
S/P-RF/R
S/P-RF/R
S/P-RF/R
PR
S/P-RF/R
S/P-RF/R
S/P-RF/R
MAREA BRITANIE
PR
S/P-RF/R
S/P-RF/R
S/P-RF/R
40000UI/1,0ml
40000UI/1,0ml
4000UI/0,4ml
4000UI/0,4ml
5000UI/0,5ml
5000UI/0,5ml
6000UI/0,6ml
6000UI/0,6ml
8000UI/0,8ml
8000UI/0,8ml
OLANDA
OLANDA
OLANDA
HOSPIRA UK LIMITED
MAREA BRITANIE
PR
OLANDA
S/P-RF/R
HOSPIRA UK LIMITED
MAREA BRITANIE
PR
OLANDA
S/P-RF/R
HOSPIRA UK LIMITED
MAREA BRITANIE
PR
OLANDA
S/P-RF/R
HOSPIRA UK LIMITED MAREA BRITANIE

PR
P-RF/R
P-RF/R
CUTIE X 4 SERINGI PREUMPLUTE, A 1 ML X 0,3 ML
P-RF/R
P-RF/R

Pagina 35 din 44
5
6
6
6
1
6
1
1
6
6
6
6
1
6
6
6
1
6
1
1
6
6
1
1
6
6
1
1
6
6
1
6
1
6
1
6
1
4
4
4
4
149,77
1.728,54
218,42
425,83
788,23
603,73
29,954000 29,954000 29,954000

288,090000 288,090000 288,090000
36,403333 36,403333 36,403333
70,971666 70,971666 70,971666
788,230000 788,230000 788,230000
100,621666 100,621666 100,621666
1.353,47 1.353,470000 1.193,316000 1.193,316000
994,43 994,430000 994,430000 994,430000

781,57 130,261666 130,261666 130,261666
959,37 159,895000 159,895000 159,895000
2.346,60 391,100000 391,100000 391,100000
526,27 87,711666 87,711666 87,711666
1.174,53 1.174,530000 1.174,530000 1.174,530000
981,05 163,508333
201,383333
1.141,34 190,223333
219,83 219,830000
62,98 10,496666
10,85 10,850000
442,32 442,320000
2.299,68 383,280000
274,59 45,765000
50,82 50,820000
628,06 628,060000
3.414,10 569,016666
405,17 67,528333
72,39 72,390000
813,79 813,790000
4.528,51 754,751666
516,62 86,103333
96,52 96,520000
628,06 104,676666
120,65 120,650000
739,50 123,250000
137,30 137,300000
962,38 160,396666
188,92 188,920000
3.173,01 793,252500
391,56 97,890000
1.208,30
163,508333
201,383333
190,223333
219,830000
10,496666
10,850000
442,320000
383,280000
45,765000
50,820000
628,060000
569,016666
67,528333
72,390000
813,790000
754,751666
86,103333
96,520000
104,676666
120,650000
123,250000
137,300000
160,396666
188,920000
793,252500
97,890000
163,508333
201,383333
190,223333
219,830000
10,496666
10,850000
442,320000
383,280000
45,765000
50,820000
628,060000
569,016666
67,528333
72,390000
813,790000
754,751666
86,103333
96,520000
104,676666
120,650000
123,250000
137,300000
160,396666
188,920000
793,252500
97,890000
4.708,35 1.177,087500 1.177,087500 1.177,087500
702,64 175,660000 175,660000 175,660000
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
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
DCI
B03XA03 METOXI-POLIETILENGLICOL EPOETINA BETA**

C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
H02AB07
H02AB07
H02AB07
H02AB07
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**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
Denumire Comerciala
ARANESP 30mcg/0,3ml
ARANESP 40mcg/0,4ml
ARANESP 500mcg/ml
ARANESP 50mcg/0,5ml
ARANESP 60mcg/0,3ml
ARANESP 80mcg/0,4ml
MIRCERA 30mcg/0,3ml
MIRCERA 50 mcg/0,3ml
MIRCERA 75mcg/0,3ml
APROVEL 150mg
IRPRESTAN 150 mg
IFIRMASTA 150 mg
ATOKKEN 150 mg
APROVEL 150mg
ATOKKEN 150 mg
APROVEL 300mg
IFIRMASTA 300mg
ATOKKEN 300 mg
APROVEL 300mg
ATOKKEN 300 mg
ATOKKEN 75 mg
ATOKKEN 75 mg
PREDNISON MCC 5 mg
PREDNISON 5 mg
forma farm.
TARA
concentratie
DET. APP
DETINATOR APP
AMBALAJ
Prescriptie
CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 0,6 ML
P-RF/R
30mcg/0,3ml
40mcg/0,4ml
500mcg/ml
50mcg/0,5ml
60mcg/0,3ml
80mcg/0,4ml
AMGEN EUROPE BV
AMGEN EUROPE BV
AMGEN EUROPE BV
AMGEN EUROPE BV
AMGEN EUROPE BV
AMGEN EUROPE BV
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
P-RF/R
P-RF/R
CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 1 ML
P-RF/R
P-RF/R
P-RF/R
P-RF/R
MAREA BRITANIE
CUTIE X 1 SERINGA PREUMPLUTA, X 0,3 ML SOL. INJ.
S/P-RF/R
MAREA BRITANIE
S/P-RF/R
MAREA BRITANIE
S/P-RF/R
MAREA BRITANIE
S/P-RF/R
100mcg/0,3ml
120mcg/0,3ml
150mcg/0,3ml
200mcg/0,3ml
250mcg/0,3ml
MAREA BRITANIE
S/P-RF/R
30mcg/0,3ml
MAREA BRITANIE
S/P-RF/R
360mcg/0,6ml
MAREA BRITANIE
CUTIE X 1 SERINGA PREUMPLUTA, X 0,6ML SOL. INJ.
S/P-RF/R
50 mcg/0,3ml
75mcg/0,3ml
MAREA BRITANIE
S/P-RF/R
MAREA BRITANIE
S/P-RF/R
COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR.
COMPR.
COMPR.
COMPR.
150mg
300mg
150 mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
300 mg
300 mg
300mg
300mg
300mg
300mg
300mg
300mg
300mg
300mg
300mg
300mg
75mg
75mg
75mg
5mg
5mg
5mg
5mg
MALTA
MALTA
GRECIA
FRANTA
TERAPIA S.A.
SANDOZ S.R.L.
ROMANIA
ROMANIA
P-6L
P-6L
ISLANDA


GALENICA S.A.

P6L
P6L
P6L
CUTIE X BLIST PVC/PVDC/AL X 28 COMPR. FILM. P-6L
KRKA ,D.D., NOVO MESTO SLOVENIA CUTIE X BLIST. PVC/PE/PVDC/AL X 28 COMPR. FILM.
P-6L
P-6L
ROMANIA
P6L
P6L
FRANTA
ROMANIA
SANOFI CLIR SNC
FRANTA
P6L
P6L

GALENICA S.A.
GRECIA
TERAPIA S.A.
ROMANIA
SANDOZ S.R.L.
ROMANIA
P-6L
P6L

P-6L
P-6L
KRKA ,D.D., NOVO MESTO SLOVENIA CUTIE X BLIST. PVC/PE/PVDC/AL X 28 COMPR. FILM.
P-6L
ROMANIA
P6L
P6L

FRANTA
ROMANIA
SANOFI CLIR SNC
FRANTA

NEOLA PHARMA S.R.L.

MAGISTRA C&C S.R.L.
ARENA GROUP SA
SINTOFARM SA
Pagina 36 din 44
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA


P6L
P6L
P6L
P6L
P6L
P-RF
P-RF
P-RF
P-RF
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
1
4
4
1
4
4
4
1
1
1
1
1
1
1
1
1
28
28
28
28
28
28
30
28
28
28
28
28
30
28
28
28
28
28
28
28
28
28
28
28
30
28
28
28
28
28
20
30
30
20
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
406,690000 406,690000 406,690000

484,292500 484,292500 484,292500
2.555,95 638,987500 638,987500 638,987500
1.626,76
1.937,17
1.118,62 1.118,620000 1.118,620000 1.118,620000

1.286,54 1.286,540000 1.286,540000 1.286,540000
1.642,54 1.642,540000 1.642,540000 1.642,540000
2.166,43 2.166,430000 2.166,430000 2.166,430000
2.653,06 2.653,060000 2.653,060000 2.653,060000
383,95 383,950000 383,950000 383,950000

3.385,41 3.385,410000 3.385,410000 3.385,410000
594,77 594,770000 594,770000 594,770000

856,70 856,700000 856,700000 856,700000
16,18
0,577857
0,577857
0,577857
26,19
0,935357
0,935357
0,935357
18,10
0,646428
0,646428
0,646428
32,76
1,170000
0,693428
0,693428
29,83
1,065357
0,693428
0,693428
33,50
1,196428
0,693428
0,693428
23,08
0,769333
0,693428
0,693428
37,35
1,333928
0,693428
0,693428
21,54
0,769285
0,693428
0,693428
21,54
0,769285
0,693428
0,693428
24,01
0,857500
0,693428
0,693428
18,12
0,647142
0,647142
0,647142
23,08
0,769333
0,693428
0,693428
32,76
1,170000
0,693428
0,693428
24,01
0,857500
0,693428
0,693428
29,01
1,036071
1,036071
1,036071
29,43
1,051071
1,051071
1,051071
43,20
1,542857
1,122428
1,122428
38,87
1,388214
1,122428
1,122428
64,85
2,316071
1,122428
1,122428
60,27
2,152500
1,122428
1,122428
29,01
1,036071
1,036071
1,036071
31,00
1,107142
1,107142
1,107142
29,32
1,047142
1,047142
1,047142
31,09
1,036333
1,036333
1,036333
43,20
1,542857
1,122428
1,122428
31,00
1,107142
1,107142
1,107142
16,18
0,577857
0,577857
0,577857
23,11
0,825357
0,693428
0,693428
23,11
0,825357
0,693428
0,693428
2,65
0,132500
0,104799
0,104799
2,62
0,087333
0,087333
0,087333
3,71
0,123666
0,104799
0,104799
2,57
0,128500
0,104799
0,104799
NR.CRT
92
93
94
95
96
97
98
99
DCI
COD ATC
H05BX02
H05BX02
H05BX02
H05BX02
H05BX02
L01AA01
L04AD01
L04AD01
100 L04AD01
101 L04AD01
102 L04AD01
103 L04AX01
104 L04AX01
105 V06DDN1
PARICALCITOLUM**
PARICALCITOLUM**
PARICALCITOLUM**
PARICALCITOLUM**
PARICALCITOLUM**
CYCLOPHOSPHAMIDUM
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
AZATHIOPRINUM*
AZATHIOPRINUM*
COMBINATII (AMINOACIZI)**
Denumire Comerciala
ZEMPLAR 1g
ZEMPLAR 2mcg
ZEMPLAR 2g
ZEMPLAR
ZEMPLAR
ENDOXAN (R) 50 mg
EQUORAL 100 mg
EQUORAL 25 mg
EQUORAL 50 mg
IMURAN
IMMUNOPRIN 75 mg
KETOSTERIL
forma farm.
CAPS. MOI
CAPS. MOI
CAPS. MOI
SOL. INJ.
SOL. INJ.
DRAJ.
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
concentratie
1g
2mcg
2g
5 mcg/ml
5 g/ml
50mg
100mg
25mg
25mg
50mg
50mg
50mg
75mg
DETINATOR APP
ABBVIE FARMACEUTICA S.L.U.
ABBOTT LABORATORIES S.A.

ABBOTT LABORATORIES S.A.

TARA
DET. APP
SPANIA
SPANIA
SPANIA
SPANIA
SPANIA
AMBALAJ
Prescriptie
CUTIE X 4 BLIST. PVC/FLUOROPOLIMER/AL X 7 CAPS. MOI
P-RF
CUTIE X 4 BLIST. PVC/FLUOROPOLIMER/AL X 7 CAPS.
P-RF
CUTIE X 4 BLIST. PVC/FLUOROPOLIMER/AL X 7 CAPS.
P-RF
CUTIE X 5 FIOLE X 1 ML SOL. INJ. S

CUTIE X 5 FIOLE X 1 ML SOL. INJ. S

CEHIA

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


FARA CONCENTRATIE FRESENIUS KABI DEUTSCHLAND GMBH
S/P-RF
S/P-RF
S/P-RF
PR
GERMANIA CUTIE X 5 BLIST. DIN PVC/AL X 20 COMPR. FILM.
P-RF
ROMANIA CUTIE X 1 FLAC. PEJD X 5 ML PIC. OFT., SOL
P-RF
AUSTRIA
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
28
28
28
5
5
50
50
50
50
50
50
100
100
100
279,68
469,44
469,44
229,79
229,79
26,13
307,60
137,32
75,17
292,16
147,58
70,21
78,89
233,98
9,988571
16,765714
16,765714
45,958000
45,958000
0,522600
6,152000
2,746400
1,503400
5,843200
2,951600
0,702100
0,788900
2,339800
9,988571
16,765714
16,765714
45,958000
45,958000
0,522600
6,152000
1,804080
1,503400
3,541920
2,951600
0,702100
0,788900
2,339800
9,988571
16,765714
16,765714
45,958000
45,958000
0,522600
6,152000
1,804080
1,503400
3,541920
2,951600
0,702100
0,788900
2,339800
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
1
1
1
1
27,37
40,75
50,95
3,11
4,98
10,12
3,13
5,41
5,32
15,32
15,32
13,59
15,95
55,93
81,85
44,73
69,75
52,19
36,58
56,71
82,84
88,49
27,04
27,77
51,50
63,52
25,73
46,18
75,25
42,80
27,370000
40,750000
50,950000
3,110000
4,980000
10,120000
3,130000
5,410000
5,320000
15,320000
15,320000
13,590000
15,950000
55,930000
81,850000
44,730000
69,750000
52,190000
36,580000
56,710000
82,840000
88,490000
27,040000
27,770000
51,500000
2,117333
25,730000
46,180000
75,250000
42,800000
27,370000
32,844000
50,950000
3,110000
4,980000
5,976000
3,130000
5,410000
5,320000
6,384000
15,320000
13,590000
15,950000
55,930000
81,850000
44,730000
53,676000
43,896000
36,580000
43,896000
43,896000
88,490000
27,040000
27,770000
30,876000
2,117333
25,730000
30,876000
30,876000
42,800000
27,370000
32,844000
50,950000
3,110000
4,980000
5,976000
3,130000
5,410000
5,320000
6,384000
15,320000
13,590000
15,950000
55,930000
81,850000
44,730000
53,676000
43,896000
36,580000
43,896000
43,896000
88,490000
27,040000
27,770000
30,876000
2,117333
25,730000
30,876000
30,876000
42,800000
Tratamentul se initiaza de catre medicul in specialitatea nefrologie.
21. GLAUCOM - G 26
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
S01EC03
S01EC03
S01EC04
S01ED01
S01ED01
S01ED01
S01ED01
S01ED01
S01ED02
S01ED02
S01ED02
S01ED05
S01ED05
S01ED51
S01ED51
S01ED51
S01ED51
S01ED51
S01ED51
DORZOLAMIDUM
DORZOLAMIDUM
BRINZOLAMIDUM
TIMOLOLUM
TIMOLOLUM
TIMOLOLUM
TIMOLOLUM
TIMOLOLUM
BETAXOLOLUM
BETAXOLOLUM
BETAXOLOLUM
CARTEOLOLUM
CARTEOLOLUM
DORZOPT 20 mg/ml
TRUSOPT
AZOPT 10mg/ml
20mg/ml
20mg/ml
PICATURI OFT.-SUSP. 10mg/ml
TIMOLOL ROMPHARM 0,25% PIC. OFT., SOL. 2,5mg/ml
TIMOLOL ROMPHARM 0,5% PIC. OFT.,SOL. 5mg/ml
TIMOPTIC
PIC. OFT.-SOL. 5mg/ml
TIMOLOL 0,25%
TIMOLOL 0,5%
BETAX
PIC. OFT.-SOL. 5mg/ml
BETOPTIC
PIC.OFTALMICE,SOL. 5mg/ml
BETOPTIC - S
PICATURI OFT.-SUSP. 0,25%
FORTINOL EP 2%
PIC. OFTALMICE CU ELIB. PREL.
20mg/ml
CARTEOL 2%
PICATURI OFT.-SOL. 20mg/ml
COMBINATII ( BRINZOLAMIDUM + TIMOLOLUM) AZARGA
PIC. OFT. SUSP. 10mg/ml+5mg/ml
COMBINATII (BIMATOPROSTUM + TIMOLOLUM) GANFORT
PIC. OFT.,SOL. 300mcg/ml+5mg/ml
COMBINATII (DORZOLAMIDUM+TIMOLOLUM) SIFIOPT 20 mg/5 mg/ml
PIC. OFT., SOL. 20mg/5mg/ml
COMBINATII (DORZOLAMIDUM+TIMOLOLUM) COSOPT
PIC. OFT.-SOL. 20mg/ml+5mg/ml
COMBINATII (LATANOPROSTUM+TIMOLOLUM) GLAUTAN PLUS 50 micrograme/ml + 5 mg/ml PIC. OFT., SOL 50 micrograme/ml + 5 mg/ml
COMBINATII (LATANOPROSTUM+TIMOLOLUM)
PIC. OFT., SOL 50micrograme/ml+5mg/ml
LATANOPROST/TIMOLOL STADA HEMOFARM 50 micrograme/ml si 5 mg/ml
S01ED51 COMBINATII (LATANOPROSTUM+TIMOLOLUM) XALOPTIC COMBI 50 micrograme/ml + 5 mg/ml
S01EE01
S01EE01
S01EE01
S01EE01
S01EE01
S01EE01
S01EE01
S01EE03
PIC. OFTALMICE SOL.
SOL. OFT.
COMBINATII (TAVOPROSTUM+TIMOLOLUM) DUOTRAV 40mcg/ml + 5mg/ml PIC. OFT.-SOL.
LATANOPROSTUM
SIFITAN 50 micrograme/ml PIC. OFT., SOL
LATANOPROSTUM
LATANOPROST STADA HF 50 micrograme/ml PIC. OFT., SOL.
LATANOPROSTUM
UNILAT 50 micrograme/ml
PIC. OFT., SOL.
LATANOPROSTUM
MONOPOST 50 micrograme/ml
LATANOPROSTUM
GLAUTAN 0,05 mg/ml
PIC. OFT.,SOL.
LATANOPROSTUM
XALOPTIC
PICATURI OFT.-SOL.
LATANOPROSTUM
XALATAN (R)
PICATURI OFT.-SOL.
BIMATOPROSTUM
BIMAGAN 0,3 mg/ml
PIC. OFT., SOL
S01ED51 COMBINATII (LATANOPROSTUM+TIMOLOLUM)

S01ED51
PIC. OFT., SOL

SOL. OFT.
XALCOM (R)
PIC. OFT., SOL., IN RECIPIENT UNIDOZA
50micrograme/ml+5mg/ml
CUTIE X 1 FLACON TIP OCULOMETER PLUS X 5 ML SOL. OFT.
P-6L
ALCON LABORATORIES LTD.
CUTIE X 1 FLACON, PEJD X 5 ML
P-6L
MAREA BRITANIE
ROMANIA CUTIE X 1 FLAC. PICURATOR DIN PEID X 5 ML PIC. OFTALMICE, SOL. P-6L
ROMPHARM COMPANY SRL ROMANIA CUTIE X 1 FLAC. PICURATOR DIN PEID X 5 ML PIC. OFTALMICE, SOL. P-6L
MERCK SHARP & DOHME ROMANIA CUTIE X 1 FLACON TIP OCUMETER PLUS X 5 ML PIC. OFTALMICE SOL. P-6L
E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON PEID, PREVAZUT CU PICURATOR X 5 ML P-6L
E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON CU PICURATOR X 5 ML P-6L
ROMPHARM SRL
ROMANIA CUTIE X 1 FLACON DIN PEJD X 5 ML PIC. OFTALMICE, SOL. P-6L
ALCON COUVREUR NV BELGIA

ALCON COUVREUR NV BELGIA
DR. GERHARD MANN CHEM.PHARM.FABRIK GMBH GERMANIA
S.I.F.I. SPA
ITALIA
ALCON LABORATORIES (UK) LTD. MAREA BRITANIE

ALLERGAN PHARMACEUTICALS IRELAND
IRLANDA
ROMANIA
OFTAFARMA ROMNIA S.R.L.
50mcg/ml+5mg/ml PFIZER EUROPE MA EEIG
CUTIE X 1 FLACON DIN PEJD PREV. CU PICURATOR X 5 ML PIC.OFTALMICE, SOL.
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 1 FLACON DIN PEJD X 5 ML PIC. OFTALMICE, SOL.
P-6L
CUTIE X 1 FLAC. X 5 ML SUSP. OFT.
P-RF
CUTIE X 1 FLAC. DIN PEJD X 3 ML PIC.OFT.SOL.
P-RF
CUTIE CU 1 FLAC. PE ALB, OPAC +PICURATOR PEID A 5 ML PIC. OFT. SOL.
PRF
CUTIE X 1 FLACON DE TIP OCUMETER PLUS X 5ML PIC. OFT., SOL.
P-6L
P6L
P6L
POLONIA CUTIE CU 1 FLAC. PEJD X 2,5 ML PIC. OFT., SOL. P6L
MAREA BRITANIE
40mcg/ml + 5mg/ml
ALCON LABORATORIES (UK) LTD. MAREA BRITANIE
50micrograme/ml
NTC S.R.L.
CUTIE X 1 FLACON DIN PEJD CU PICURATOR DIN PEJD INCHIS CU CAPAC DIN PEID X 2.5ML PICATURI OFTALMICE-
CUTIE CU 1 FLAC. TRANSPARENT PEJD + PICURATOR TRANSPARENT PEJD X 2,5 ML PIC. OFT., SOL.
CUTIE X 1 FLACON X 2,5 ML
P-6L
CUTIE X 1 FLAC. DIN PP X 2,5 ML PIC. OFTALMICE,SOLUTIE P-RF
ITALIA
CUTIE CU 1 FLAC. PEJD X 2,5 ML PIC. OFT., SOL.
50 micrograme/ml STADA HEMOFARM S.R.L.
ROMANIA
CUTIE CU 1 FLAC. DIN PEJD CU CAPAC DIN PEID X 2,5 ML PIC. OFT. PT. APROX. 80 PIC. SOL.
P6L
P6L
50micrograme/ml UNIMED PHARMA SPOL. S.R.O.
REPUBLICA SLOVACA
CUTIE CU 1 FLAC. PICURATOR PE X 2,5 ML PIC. OFT., SOL.
P-6L
50micrograme/ml LABORATOIRES THEA
FRANTA
0,05mg/ml
0,005%
50mcg/ml
0,3 mg/ml
ROMANIA
CUTIE CU 30 (6X5) RECIPIENTE UNIDOZA DIN PEID AMBALATE CATE 5 IN 6 PLICURI LAMINATE DIN PE-AL-COPOLIMER A CATE 0,2 MILILITRI PIC. OFT., SOL.
CUTIE CU 1 FLAC. PEJD CU CAPACITATEA DE 5 ML+PICURATOR DIN PEJD, CU CAPAC DE SIGURANTA DIN PEJD X 2,5 ML PIC. OFT., SOL.
P6L
P6L
POLONIA
CUTIE X 1 FLACON PICURATOR PEJD X 2,5 ML PIC. OFT. SOL.
MAREA BRITANIE
CUTIE X 1 FLACON PICURATOR PE X 2,5 ML P-6L
ROMANIA
Pagina 37 din 44
CUTIE X 1 FLACON ALB DIN PEJD CU PICURATOR DIN PEJD SI CAPAC CU INEL DE SIGURANTA DIN PEID X 3ML PICATURI OFTALMICE , SOLUTIE
P-6L
PRF
NR.CRT
31
32
33
34
35
36
DCI
COD ATC
S01EE03
S01EE03
S01EE04
S01EE04
S01EE04
S01EE04
BIMATOPROSTUM
BIMATOPROSTUM
TRAVOPROSTUM
TRAVOPROSTUM
TRAVOPROSTUM
TRAVOPROSTUM
Denumire Comerciala
LUMIGAN 0,1mg/ml
LUMIGAN 0,3mg/ml
IZBA
BONDULC 40 micrograme/ml
TRAVOPROST ZENTIVA 40 micrograme/ml
TRAVATAN 40mcg/ml
forma farm.
concentratie
DETINATOR APP
TARA
DET. APP
AMBALAJ
Prescriptie
PIC. OFT.,SOL. 0,1mg/ml

IRLANDA CUTIE X 1 FLAC. DIN PEJD X 3 ML PIC. OFT. SOL. P-RF
PIC. OFT.,SOL. 0,3mg/ml
IRLANDA CUTIE X 1 FLAC. DIN PEJD X 3 ML PIC. OFT. SOL. P-RF
PIC. OFT., SOL 30mcg/ml
ALCON LABORATORIES (UK) LTD. MAREA BRITANIE CUTIE X 1 FLACON X 4ML PICATURI OFTALMICE, SOLUTIE PRF
PIC. OFT., SOL. 40micrograme/ml ACTAVIS GROUP PTC EHF. ISLANDA
P6L
PIC. OFT., SOL. 40micrograme/ml ZENTIVA, K.S.
REPUBLICA CEHA
P6L
PICATURI OFT.SOL. 40mcg/ml
ALCON LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 FLACON X 2,5 ML
P-6L
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
1
1
1
1
1
1
76,07
68,27
84,46
32,23
39,05
60,09
76,070000
68,270000
84,460000
32,230000
39,050000
60,090000
76,070000
51,360000
84,460000
32,230000
38,676000
38,676000
76,070000
51,360000
84,460000
32,230000
38,676000
38,676000
100
10
PRF
25
PRF 100
PRF
10
PRF
25
PRF 100
P-RF
100
P-RF
5
P-RF/S
100
P-RF
10
P-RF
50
P-RF
20
S/P-RF
1
S/P-RF
1
P-RF
1
P-RF
20
P-RF
30
P-RF
30
P-RF
20
P-RF
100
P-RF
50
S
1
P6L
10
P6L
30
S
1
S
5
S
1
S
10
PR
1
PR
1
PR
1
PR
1
P-RF
1
P-RF
1
P-RF
1
P-RF
1
S/P-RF
50
18,38
8,32
20,42
73,64
13,87
33,18
124,62
123,66
6,98
118,60
14,38
32,62
29,65
8,81
31,02
20,48
2,65
2,62
3,71
2,57
47,19
26,13
15,89
28,81
21,62
400,81
241,07
89,66
23,82
78,67
59,64
122,50
110,09
124,21
78,67
74,80
109,54
307,60
0,183800
0,832000
0,816800
0,736400
1,387000
1,327200
1,246200
1,236600
1,396000
1,186000
1,438000
0,652400
1,482500
8,810000
31,020000
20,480000
0,132500
0,087333
0,123666
0,128500
0,471900
0,522600
15,890000
2,881000
0,720666
400,810000
48,214000
89,660000
2,382000
78,670000
59,640000
122,500000
110,090000
124,210000
78,670000
74,800000
109,540000
6,152000
0,183800
0,832000
0,816800
0,736400
1,387000
1,327200
1,246200
1,236600
1,396000
1,186000
1,423200
0,652400
1,482500
8,810000
31,020000
20,480000
0,104799
0,087333
0,104799
0,104799
0,471900
0,522600
15,890000
2,881000
0,720666
400,810000
48,214000
89,660000
2,382000
78,670000
59,640000
122,500000
110,090000
124,210000
78,670000
71,568000
109,540000
6,152000
0,183800
0,832000
0,816800
0,736400
1,387000
1,327200
1,246200
1,236600
1,396000
1,186000
1,423200
0,652400
1,482500
8,810000
31,020000
20,480000
0,104799
0,087333
0,104799
0,104799
0,471900
0,522600
15,890000
2,881000
0,720666
400,810000
48,214000
89,660000
2,382000
78,670000
59,640000
122,500000
110,090000
124,210000
78,670000
71,568000
109,540000
6,152000
CUTIE CU 1 FLAC. TRANSLUCID DIN PP CU CAPACITATEA DE 5 ML, PREVAZUT CU DOP PICURATOR TRANSPARENT DIN PEJD SI CAPAC DIN PEID A 2,5 ML PIC. OFT., SOL.
CUTIE CU 1 FLAC. TRANSLUCID DIN PP CU CAPACITATEA DE 5 ML, CU PICURATOR TRANSPARENT DIN PEJD A 2 ,5 ML PIC. OFT. SOL.
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
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
H02AB02
H02AB02
H02AB02
H02AB02
H02AB02
H02AB02
H02AB02
H02AB02
H02AB02
H02AB02
H02AB02
H02AB04
H02AB04
H02AB04
H02AB04
H02AB04
H02AB07
H02AB07
H02AB07
H02AB07
J04BA02
L01AA01
L01AA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L04AD01
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
DAPSONUM4)
CYCLOPHOSPHAMIDUM
CYCLOPHOSPHAMIDUM
METHOTREXATUM4)
METHOTREXATUM4)
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
CICLOSPORINUM*
DEXAMED
0,5mg
4mg/ml
DEXAMETAZONA ROMPHARM 4 mg/ml
4mg/ml
4mg/ml
4mg/ml
4mg/ml
4mg/ml
DEXAMETHASONE SODIUM PHOSPHATE
8mg
DEXAMETHASONE SODIUM PHOSPHATE
8mg
DEXAMED
8mg/2ml
DEXAMED
8mg/2ml
MEDROL A 16
16mg
MEDROL 32
32mg
LEMOD SOLU 125 mg
LEMOD SOLU 500 mg
SOLU - MEDROL ACT-O-VIAL LIOF. SI SOLV.PT.SOL.INJ 250mg/4ml
PREDNISON MCC 5 mg
COMPR.
5mg
PREDNISON ARENA 5 mg COMPR.
5mg
PREDNISON 5 mg
COMPR.
5mg
5mg
DISULONE
COMPR.
100mg
ENDOXAN (R) 50 mg
DRAJ.
50mg
ENDOXAN 200 mg
PULB. PT. SOL. PERF./INJ. I.V.
200mg
METHOTREXATE PCH 10mg COMPR.
10mg
2,5mg
METHOTREXAT "EBEWE" 5000 mg CONC. PT. SOL. INJ./PERF. 100mg/ml
5mg/ml
METOTREXAT EBEWE 10 mg/ml SOL. INJ. IN SERINGA PREUMPLUTA 10mg/ml
METOJECT 50mg/ml
METOJECT 50mg/ml
METOJECT 50mg/ml
METOJECT 50mg/ml
EQUORAL 100 mg
CAPS. MOI
100mg
COMPR.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
COMPR.
COMPR.
CN UNIFARM S.A.
ROMANIA CUTIE CU 10 BLISTERE X 10 COMPRIMATE

ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU UN SUPORT CU 25 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ.
ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 100 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ.
ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU UN SUPORT CU 10 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.
E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.
E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.

MAREA BRITANIE
MAREA BRITANIE
CUTIE X 2 BLIST. AL-PVC/PVC X 10 COMPR.

STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 7,8 ML
MAREA BRITANIE

SINTOFARM SA
ROMANIA
CN UNIFARM
ROMANIA

CUTIE X 100 COMPR.
BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ.
ACTAVIS S.R.L.
ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. PERF./INJ

ROMANIA CUTIE X 10COMPR.
ROMANIA CUTIE X30 COMPRIMATE

AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
GERMANIA
GERMANIA
GERMANIA
GERMANIA
CEHIA

Pagina 38 din 44
PRF
PRF
NR.CRT
39
40
41
42
43
44
COD ATC
L04AD01
L04AD01
L04AD01
L04AD01
L04AX01
L04AX01
DCI
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
AZATHIOPRINUM*
AZATHIOPRINUM*
Denumire Comerciala

EQUORAL 25 mg
EQUORAL 50 mg
IMURAN
IMMUNOPRIN 75 mg
forma farm.
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
COMPR. FILM.
COMPR. FILM.
concentratie
25mg
25mg
50mg
50mg
50mg
75mg
DETINATOR APP
TARA
DET. APP
AMBALAJ

CEHIA
CEHIA
Prescriptie
S/P-RF
S/P-RF


AUSTRIA
S/P-RF
S/P-RF
S/P-RF
PR
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
50 137,32
50 75,17
50 292,16
50 147,58
100 70,21
100 78,89
2,746400
1,503400
5,843200
2,951600
0,702100
0,788900
1,804080
1,503400
3,541920
2,951600
0,702100
0,788900
1,804080
1,503400
3,541920
2,951600
0,702100
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.

200U
400U
GENZYME EUROPE BV OLANDA CUTIE X 1 FLAC. PULB. PT. CONC. PT. SOL. PERF. PR
GENZYME EUROPE BV OLANDA CUTIE X 1 FLAC. PULB. PT. CONC. PT. SOL. PERF. PR
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
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
J01AA02
J01AA02
J01AA02
J01AA02
J01AA07
J01AA07
J01CE01
J01CE01
J01CE01
J01CE01
J01CE01
J01CE01
J01CE02
J01CE02
J01CE02
J01CE02
J01CE08
J01CE08
J01DD08
J01DD08
J01DD08
J01DD08
J01FA01
J01FA01
J01FA01
J01FA01
J01FA01
J01FA10
J01FA10
DOXYCYCLINUM
DOXYCYCLINUM
DOXYCYCLINUM
DOXYCYCLINUM
TETRACYCLINUM
TETRACYCLINUM
BENZYLPENICILLINUM
BENZYLPENICILLINUM
BENZYLPENICILLINUM
BENZYLPENICILLINUM
BENZYLPENICILLINUM
BENZYLPENICILLINUM
BENZATHINI BENZYLPENICILLINUM
BENZATHINI BENZYLPENICILLINUM
CEFIXIMUM
CEFIXIMUM
CEFIXIMUM
CEFIXIMUM
ERYTHROMYCINUM
ERYTHROMYCINUM
ERYTHROMYCINUM
ERYTHROMYCINUM
ERYTHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
DOXICICLINA ATB 100 mg

DOXICICLINA ARENA
CAPS.
CAPS.
DOXICICLINA SANDOZ 100 mg CAPS.
UNIDOX SOLUTAB
COMPR. DISP.
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.
OSPEN (R) 1000
COMPR. FILM.
OSPEN 1500
COMPR. FILM.
OSPEN (R) 500
COMPR. FILM.
OSPEN 400.000 U.I./5 ml
SUSP. ORALA
MOLDAMIN 1200000 UI
PULB. PT. SUSP. INJ.
MOLDAMIN 1200000 UI
PULB. PT. SUSP. INJ.
EFICEF 100 mg
CAPS.
EFICEF (R) 200 mg
CAPS.
XIFIA 400mg
COMPR. FILM.
XIFIA 400mg
COMPR. FILM.
ERITROMAGIS 200 mg
COMPR.
ERITROMICINA 200 mg
COMPR.
ERITROMICINA SANDOZ 200 mg COMPRIMATE COMPR.
ERITROMICINA ATB 200 mg COMPR.
ERITROMICINA SANDOZ 200mg/5ml PULB. PT. SUSP. ORALA
AZATRIL 250 mg
SUMAMED 250 mg
CAPS.
CAPS.
100 mg
100mg
100mg
100mg
250mg
250mg
1 000 000ui
1 000 000ui
1000000ui
1000000ui
400 000ui
400 000ui
1000000ui
1500000ui
500000ui
ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 CAPS. PRF

ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF
SANDOZ SRL
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF
ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 BLIST. DIN AL/PVC X 10 COMPR.DISP. P-RF
ARENA GROUP SA ROMANIA CUTIE X 2 BLIST., AL/PVC X 10 CAPS. P-RF
ANTIBIOTICE SA
ROMANIA CUTIE X 100 FLAC. DIN STICLA CU PULB. PT. SOL. INJ. P-RF/S
ANTIBIOTICE SA
ROMANIA CUTIE X 1 FLAC. DIN STICLA CU PULB. PT. SOL. INJ. P-RF
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA
SANDOZ GMBH
AUSTRIA CUTIE X 1 BLIST. AL/PVC-PVDC X 12 COMPR. FILM. P-RF
SANDOZ GMBH
SANDOZ GMBH
400.000U.I./5ml SANDOZ GMBH
AUSTRIA
P-RF
1200000UI ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SUSP. INJ. I.M. P-RF
1200000UI ANTIBIOTICE S.A. ROMANIA CUTIE CU 100 FLAC. DIN STICLA INCOLORA CU PULB. PT. SUSP. INJ. I.M. S/P-RF
100mg
200mg
ANTIBIOTICE SA
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF
400mg
INN-FARM D.O.O.
SLOVENIA CUTIE CU UN BLISTER PVC-PVDC/AL X 5 COMPRIMATE FILMATE PRF
400mg
INN-FARM D.O.O.
SLOVENIA CUTIE CU 2 BLISTERE PVC-PVDC/AL A CATE 5 COMPRIMATE FILMATE PRF
200mg
ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
P-RF
200mg
ANTIBIOTICE SA
P-RF
200mg
SANDOZ S.R.L.
P-RF
200mg
ANTIBIOTICE SA
ROMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. PRF
ROMANIA CUTIE X 1 FLAC. X 30G + PULB. PT. 60 ML SUSP. ORALA + O LIGURITA DOZATOARE P-RF
250mg
BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 1 BLIST. AL/PVC X 6 CAPS. P-RF
250mg
PLIVA LJUBLIJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. PVC-PVDC/AL X 6 CAPS. P-RF
CUTIE CU 1 FLAC. DIN STICLA BRUNA X 60 ML SUSP. ORALA CU CAPAC SI LINGURITA DOZATOARE
Pagina 39 din 44
10
20
10
10
20
20
100
1
1
100
100
1
12
12
12
1
1
100
10
10
5
10
20
20
20
20
1
6
6
4,01
7,00
3,61
6,83
2,99
6,47
401,74
4,68
4,67
401,74
274,48
3,14
3,47
6,10
2,62
8,63
5,39
451,96
21,56
34,77
55,99
101,25
7,09
9,60
8,44
9,60
11,46
25,50
37,99
0,401000
0,350000
0,361000
0,683000
0,149500
0,323500
4,017400
4,680000
4,670000
4,017400
2,744800
3,140000
0,289166
0,508333
0,218333
8,630000
5,390000
4,519600
2,156000
3,477000
11,198000
10,125000
0,354500
0,480000
0,422000
0,480000
11,460000
4,250000
6,331666
0,401000
0,350000
0,361000
0,420000
0,149500
0,179400
4,017400
4,680000
4,670000
4,017400
2,744800
3,140000
0,289166
0,508333
0,218333
8,630000
5,390000
4,519600
2,156000
3,477000
11,198000
10,125000
0,354500
0,425400
0,422000
0,425400
11,460000
4,250000
5,100000
0,401000
0,350000
0,361000
0,420000
0,149500
0,179400
4,017400
4,680000
4,670000
4,017400
2,744800
3,140000
0,289166
0,508333
0,218333
8,630000
5,390000
4,519600
2,156000
3,477000
11,198000
10,125000
0,354500
0,425400
0,422000
0,425400
11,460000
4,250000
5,100000
NR.CRT
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
COD ATC
DCI
J01FA10
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
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
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
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
Denumire Comerciala
SUMAMED 125 mg

SUMAMED 500 mg
AZIBIOT 500 mg
AZITROX (R) 500

AZATRIL 500 mg
SUMAMED (R)
AZITROX 200 mg/5 ml
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.
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
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
CIPROCIN 250 mg
CIPRINOL 250 mg
CIPROLEN (R) 250 mg
CUMINOL 250 mg
CUMINOL 250 mg
CIFRAN
CIPRINOL 500 mg
CIPROCIN 500 mg
CIPROLEN (R) 500 mg
CUMINOL 500 mg
CIFRAN
CIPRO QUIN (R)
CIPRINOL 750 mg
CIPROBAY XR 1000 mg
CIPROBAY XR 500 mg
CIPRINOL (R)
CIPRINOL (R)



CIPROFLOXACINA ZENTIVA 10 mg/ml CONC. PT. SOL. PERF.
CIPRINOL
CIPRINOL
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
concentratie
125mg
250mg
250mg
250mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
600mg
600mg
500mg
200mg/5ml
100mg/5ml
200 mg/5 ml
200mg/5ml
200mg/5ml
200mg/5ml
100mg
100mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
750mg
750mg
1000 mg
500 mg
100mg/10ml
100mg/10ml
100mg/10ml
100mg/50ml
DETINATOR APP
TARA
DET. APP
AMBALAJ
Prescriptie
PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. AL/PVC X 6 COMPR. FILM.
P-RF
SANDOZ S.R.L.
TERAPIA SA
TERAPIA SA
P-RF

ROMANIA CUTIE X 1 BLIST. PVC-ACLAR/AL X 6 COMPR. FILM.
ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 6 COMPR. FILM.
P-RF
P-RF
PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM.
P-RF
SANDOZ S.R.L.
P-RF
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM.
P-RF
TERAPIA SA
TERAPIA SA
ZENTIVA K.S.
ROMANIA
ROMANIA
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
CEHIA
ISLANDA
P-RF
CUTIE CU BLIST. OPA-PVC-AL/AL X 3 COMPR. FILM.
PRF
CUTIE CU 1 BLIST. AL/PVC X 3 COMPR. FILM.
PRF

TERAPIA SA
ROMANIA
TERAPIA SA
ROMANIA
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.
PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 5 FLAC. LIOF. PT. SOL. PERF.
ZENTIVA S.A.
SANDOZ SRL
SANDOZ SRL
ROMANIA
ROMANIA
ROMANIA
SLOVENIA
PLIVA LJUBLIJANA D.O.O.
P-RF
S/P-RF
CUTIE X 1 FLAC. DIN PE CU PULB. PT. 15 ML SUSP. ORALA RECONSTITUITA + FLAC. CU SOLV. X 7,5 ML SOLV.
P-RF
CUTIE X 1 FLAC. DIN PEID CONTINAD PULBERE PT. 20 ML SUSP. ORALA + SERINGA DOZATOARE DIN PE/PP
P-RF
CCUTIE X 1 FLAC. DIN PEID CONTINAD PULBERE PT. 20 ML SUSP. ORALA + SERINGA DOZATOARE DIN PE/PP
P-RF
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

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

RANBAXY UK LIMITED
MAREA BRITANIE

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


AC HELCOR SRL
ROMANIA
RANBAXY UK LIMITED MAREA BRITANIE
ANTIBIOTICE SA
ROMANIA
P-RF

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

ARENA GROUP S.A.

BAYER PHARMA AG
BAYER PHARMA AG
KRKA D.D.
KRKA D.D.
ZENTIVA S.A.
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

S
S/P-RF
ROMANIA
CUTIE X 5 FIOLE DIN STICLA INCOLORA PREVAZUTE CU INEL DE RUPERE X 10 ML S/P-RF
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
INFOMED FLUIDS SRL ROMANIA CUTIE X 10 PUNGI PVC PLASTIFIAT X 100ML S
2mg/ml
INFOMED FLUIDS SRL ROMANIA CUTIE X 10 PUNGI PVC PLASTIFIAT X 200ML S
Pagina 40 din 44
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
6 25,36
6 48,80
6 25,52
6 25,52
3 38,17
3 48,80
3 25,65
3 25,64
3 25,64
3 22,13
3 21,26
3 25,64
3 44,61
3 44,61
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
6,93
10
6,56
20 12,30
10 13,22
10 13,22
10 13,22
10 13,22
10
8,78
10 13,22
10
9,23
20 16,43
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 84,97
10 154,43
4,226666
8,133333
4,253333
4,253333
12,723333
16,266666
8,550000
8,546666
8,546666
7,376666
7,086666
8,546666
14,870000
14,870000
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
0,693000
0,656000
0,615000
1,322000
1,322000
1,322000
1,322000
0,878000
1,322000
0,923000
0,821500
3,850000
3,731000
12,100000
9,210000
2,731200
3,358000
3,358000
4,790000
9,580000
8,497000
15,443000
4,226666
5,100000
4,253333
4,253333
8,503999
8,503999
8,503999
8,503999
8,503999
7,376666
7,086666
8,503999
14,870000
14,870000
32,350000
16,360000
22,450000
34,360000
17,844000
48,580000
60,360000
3,731000
3,280500
0,683000
0,683000
0,683000
0,683000
0,615000
0,693000
0,656000
0,615000
0,985800
0,985800
0,985800
0,985800
0,878000
0,985800
0,923000
0,821500
3,850000
3,731000
12,100000
0,985800
2,731200
3,277440
3,277440
3,277440
9,580000
8,497000
15,443000
4,226666
5,100000
4,253333
4,253333
8,503999
8,503999
8,503999
8,503999
8,503999
7,376666
7,086666
8,503999
14,870000
14,870000
32,350000
16,360000
22,450000
34,360000
17,844000
48,580000
60,360000
3,731000
3,280500
0,683000
0,683000
0,683000
0,683000
0,615000
0,693000
0,656000
0,615000
0,985800
0,985800
0,985800
0,985800
0,878000
0,985800
0,923000
0,821500
3,850000
3,731000
12,100000
0,985800
2,731200
3,277440
3,277440
3,277440
9,580000
8,497000
15,443000
NR.CRT
COD ATC
DCI
80
J01MA02
CIPROFLOXACINUM
Denumire Comerciala
CIPRINOL (R)
forma farm.
SOL. PERF.
concentratie
DETINATOR APP
400mg/200ml KRKA D.D.
TARA
DET. APP
AMBALAJ
Prescriptie
S/P-RF
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
19,31
19,310000
18,531600
18,531600
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
4
L04AB02
L04AB02
L04AB02
L04AB04
INFLIXIMABUM****
INFLIXIMABUM****
INFLIXIMABUM****
ADALIMUMABUM****
REMICADE 100 mg
INFLECTRA 100 mg
REMSIMA 100mg
HUMIRA 40 mg

100mg
100mg
100mg
40mg
JANSSEN BIOLOGICS B.V.
OLANDA
CUTIE X 3 FLAC. DIN STICLA CU PULB. PT. CONC. PT. SOL. PERF.
HOSPIRA UK LIMITED
MAREA BRITANIE
CELLTRION HEALTHCARE HUNGARY KFT.
UNGARIA
PR
PR
PR
ABBVIE LTD MAIDENHEAD
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 41 din 44
3
3
1
2
6.262,99 2.087,663333 2.087,663333 2.087,663333

5.343,18 1.781,060000 1.781,060000 1.781,060000
1.828,68 1.828,680000 1.828,680000 1.828,680000
3.943,62 1.971,810000 1.971,810000 1.971,810000
NR.CRT
COD ATC
DCI
Denumire Comerciala
forma farm.
MABTHERA 100 mg
MABTHERA 500 mg
ORENCIA
ORENCIA
ENBREL 25mg
ENBREL 25mg
ENBREL 50mg
ENBREL 50mg
REMICADE 100 mg
INFLECTRA 100 mg
REMSIMA 100mg
HUMIRA 40 mg
CIMZIA
SIMPONI 50 mg
SIMPONI 50 mg
ROACTEMRA 20mg/ml
ROACTEMRA 20mg/ml
ROACTEMRA 20mg/ml
ROACTEMRA 20mg/ml
ROACTEMRA 20mg/ml
ROACTEMRA 20mg/ml
concentratie
DETINATOR APP
TARA
DET. APP
AMBALAJ
Prescriptie
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
26. POLIARTITRITA REUMATOIDA - G31b

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
L01XC02
L01XC02
L04AA24
L04AA24
L04AB01
L04AB01
L04AB01
L04AB01
L04AB01
L04AB02
L04AB02
L04AB02
L04AB04
L04AB05
L04AB06
L04AB06
L04AC07
L04AC07
L04AC07
L04AC07
L04AC07
L04AC07
RITUXIMABUM****
RITUXIMABUM****
ABATACEPTUM****
ABATACEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
INFLIXIMABUM****
INFLIXIMABUM****
INFLIXIMABUM****
ADALIMUMABUM****
CERTOLIZUMAB PEGOL****
GOLIMUMAB****
GOLIMUMAB****
TOCILIZUMABUM****
TOCILIZUMABUM****
TOCILIZUMABUM****
TOCILIZUMABUM****
TOCILIZUMABUM****
TOCILIZUMABUM****

SOL INJ. IN SERINGA PRE-UMPLUTA
PULB+SOLV. PT. SOL. INJ.

SOL. INJ. (INSERINGA PREUMPLUTA)

SOL. INJ. IN PEN PRE-UMPLUT


10mg/ml
10mg/ml
250mg
125mg/ml
10mg
25mg
25mg
50mg
50mg
100mg
100mg
100mg
40mg
200 mg
50mg/0,5ml
50mg/0,5ml
20mg/ml
20mg/ml
20mg/ml
20mg/ml
20mg/ml
20mg/ml
MAREA BRITANIE
MAREA BRITANIE
CUTIE X 1 FLACON X 50 ML(500MG RITUXIMAB IN 50ML- 10MG/ML)
MAREA BRITANIE
CUTIE X 1 FLAC. X 250 MG PULB. + 1 SERINGA
MAREA BRITANIE
CUTIE CU 4 SERINGI PREUMPLUTE DIN STICLA CU AC CU GARDA X 125 MG/ML SOL INJ.
MAREA BRITANIE
CUTIE CU 4 FLACOANE CU PULBERE + 4 SERINGI PRE-UMPLUTE X 1ML APA + 4 ACE CU INJECTOARE DIN OTEL INOXIDABIL + 4 ADAPTOARE PENTRU FLACON + 8 TAMPOANE CU ALCOOL MEDICNAL
MAREA BRITANIE
CUTIE X 4 FLACOANE + 4 SERINGI PREUMPLUTE + 4 ACE + 4 ADAPTOARE PENTRU FLACOANE + 8 TAMPOANE CU ALCOOL
MAREA BRITANIE
CUTIE X 4 SERINGI PREUMPLUTE X 4 TAMPOANE CU ALCOOL P-RF/R
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
S
S
S
PR
PR
P-RF/R
MAREA BRITANIE
MAREA BRITANIE
CUTIE X 4 STILOURI INJECTOARE PREUMPLUTE (PEN) X 4 TAMPOANE CU ALCOOL P-RF/R
OLANDA
HOSPIRA UK LIMITED
MAREA BRITANIE
UNGARIA
PR
PR
PR
MAREA BRITANIE
P-RF/R
UCB PHARMA SA
BELGIA
P-RF/R
OLANDA CUTIE X 1 STILOU INJECTOR PREUMPLUT (PEN) X 0,5ML PR
OLANDA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML PR
MAREA BRITANIE CUTIE X 1 FLAC X 20 ML CONC. PT. SOL. PERF.
S
S
MAREA BRITANIE CUTIE X 1 FLAC X 4 ML CONC. PT. SOL. PERF. S
MAREA BRITANIE CUTIE X 4 FLAC X 4 ML CONC. PT. SOL. PERF. S
S
S

CUTIE X 2 SERINGI PREUMPLUTE DIN STICLA CU PISTON A 1 ML + 2 TAMPOANE CU ALCOOL
2
1
1
4
4
4
4
4
4
3
3
1
2
2
1
1
1
4
1
4
1
4
2.459,64 1.229,820000 1.229,820000 1.229,820000

6.043,00 6.043,000000 6.043,000000 6.043,000000
1.414,74 1.414,740000 1.414,740000 1.414,740000
4.448,84 1.112,210000 1.112,210000 1.112,210000
826,13 206,532500
486,080000
1.915,82 478,955000
3.779,16 944,790000
3.779,16 944,790000
1.944,32
206,532500
486,080000
478,955000
944,790000
944,790000
206,532500
486,080000
478,955000
944,790000
944,790000
6.262,99 2.087,663333 2.087,663333 2.087,663333

5.343,18 1.781,060000 1.781,060000 1.781,060000
1.828,68 1.828,680000 1.828,680000 1.828,680000
3.943,62 1.971,810000 1.971,810000 1.971,810000
4.296,34 2.148,170000 2.148,170000 2.148,170000
4.440,38 4.440,380000 4.440,380000 4.440,380000
4.440,38 4.440,380000 4.440,380000 4.440,380000
3.438,23 3.438,230000 3.438,230000 3.438,230000
13.540,42
3.385,105000 3.385,105000 3.385,105000
744,33 744,330000 744,330000 744,330000

2.764,76 691,190000 691,190000 691,190000
1.754,55 1.754,550000 1.754,550000 1.754,550000
6.805,62 1.701,405000 1.701,405000 1.701,405000
Tratamentul se prescrie si se monitorizeaza de catre medicul in specialitatea reumatologie, medicina interna, nefrologie (pentru pacienii cu afectare renal), medicina interna sau recuperare medicina fizica i
balneofizioieterapie (unitati sanitare nominalizate de catre Ministerul Sanatatii)
27. ARTROPATIA PSORIAZICA - G31c

1
2
3
4
5
6
7
8
9
10
11
L04AB01
L04AB01
L04AB01
L04AB01
L04AB01
L04AB02
L04AB02
L04AB02
L04AB04
L04AB06
L04AB06
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
INFLIXIMABUM****
INFLIXIMABUM****
INFLIXIMABUM****
ADALIMUMABUM****
GOLIMUMAB****
GOLIMUMAB****

ENBREL 25mg
ENBREL 25mg
ENBREL 50mg
ENBREL 50mg
REMICADE 100 mg
INFLECTRA 100 mg
REMSIMA 100mg
HUMIRA 40 mg
SIMPONI 50 mg
SIMPONI 50 mg



10mg
25mg
25mg
50mg
50mg
100mg
100mg
100mg
40mg
50mg/0,5ml
50mg/0,5ml
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PR
MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE
P-RF/R
MAREA BRITANIE
MAREA BRITANIE
OLANDA
HOSPIRA UK LIMITED
MAREA BRITANIE
UNGARIA
PR
PR
PR
MAREA BRITANIE
P-RF/R

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

Pagina 42 din 44
4
4
4
4
4
3
3
1
2
1
1
826,13 206,532500
486,080000
1.915,82 478,955000
3.779,16 944,790000
3.779,16 944,790000
1.944,32
206,532500
486,080000
478,955000
944,790000
944,790000
206,532500
486,080000
478,955000
944,790000
944,790000
6.262,99 2.087,663333 2.087,663333 2.087,663333

5.343,18 1.781,060000 1.781,060000 1.781,060000
1.828,68 1.828,680000 1.828,680000 1.828,680000
3.943,62 1.971,810000 1.971,810000 1.971,810000
4.440,38 4.440,380000 4.440,380000 4.440,380000
4.440,38 4.440,380000 4.440,380000 4.440,380000
NR.CRT
1
2
3
4
5
6
7
8
9
10
11
COD ATC
DCI
L04AB01
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
INFLIXIMABUM****
INFLIXIMABUM****
INFLIXIMABUM****
ADALIMUMABUM****
GOLIMUMAB****
GOLIMUMAB****
L04AB01
L04AB01
L04AB01
L04AB01
L04AB02
L04AB02
L04AB02
L04AB04
L04AB06
L04AB06
Denumire Comerciala
forma farm.

ENBREL 25mg
ENBREL 25mg
ENBREL 50mg
ENBREL 50mg
REMICADE 100 mg
INFLECTRA 100 mg
REMSIMA 100mg
HUMIRA 40 mg
SIMPONI 50 mg
SIMPONI 50 mg



concentratie
10mg
25mg
25mg
50mg
50mg
100mg
100mg
100mg
40mg
50mg/0,5ml
50mg/0,5ml
DETINATOR APP
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
TARA
DET. APP
AMBALAJ
Prescriptie
PR
MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE
P-RF/R
MAREA BRITANIE
MAREA BRITANIE
OLANDA
HOSPIRA UK LIMITED
MAREA BRITANIE
UNGARIA
PR
PR
PR
MAREA BRITANIE
P-RF/R

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
4
4
4
4
4
3
3
1
2
1
1
826,13 206,532500
486,080000
1.915,82 478,955000
3.779,16 944,790000
3.779,16 944,790000
1.944,32
206,532500
486,080000
478,955000
944,790000
944,790000
6.262,99 2.087,663333 2.087,663333 2.087,663333

5.343,18 1.781,060000 1.781,060000 1.781,060000
1.828,68 1.828,680000 1.828,680000 1.828,680000
3.943,62 1.971,810000 1.971,810000 1.971,810000
4.440,38 4.440,380000 4.440,380000 4.440,380000
4.440,38 4.440,380000 4.440,380000 4.440,380000
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 43 din 44
206,532500
486,080000
478,955000
944,790000
944,790000
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
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
29. ARTRITA JUVENILA - G 31e

1
2
3
4
5
6
L04AA24
L04AB01
L04AB01
L04AB01
L04AB01
L04AB01
ABATACEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ORENCIA
ENBREL 25mg
ENBREL 25mg
ENBREL 50mg
ENBREL 50mg

250mg
10mg
25mg
25mg
50mg
50mg
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
MAREA BRITANIE
CUTIE X 1 FLAC. X 250 MG PULB. + 1 SERINGA
S
PR
MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE
P-RF/R
MAREA BRITANIE
MAREA BRITANIE
1
4
4
4
4
4
1.414,74 1.414,740000 1.414,740000 1.414,740000
826,13 206,532500
486,080000
1.915,82 478,955000
3.779,16 944,790000
3.779,16 944,790000
206,532500
486,080000
478,955000
944,790000
944,790000
206,532500
486,080000
478,955000
944,790000
944,790000
826,13 206,532500
486,080000
1.915,82 478,955000
3.779,16 944,790000
3.779,16 944,790000
206,532500
486,080000
478,955000
944,790000
944,790000
206,532500
486,080000
478,955000
944,790000
944,790000
1.944,32
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
L04AB02
L04AB02
L04AB02
L04AB04
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
INFLIXIMABUM****
INFLIXIMABUM****
INFLIXIMABUM****
ADALIMUMABUM****

ENBREL 25mg
ENBREL 25mg
ENBREL 50mg
ENBREL 50mg
REMICADE 100 mg
INFLECTRA 100 mg
REMSIMA 100mg
HUMIRA 40 mg


10mg
25mg
25mg
50mg
50mg
100mg
100mg
100mg
40mg
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PR
MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE
P-RF/R
MAREA BRITANIE
MAREA BRITANIE
OLANDA
HOSPIRA UK LIMITED
MAREA BRITANIE
UNGARIA
PR
PR
PR
MAREA BRITANIE
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;
- Medicamentele corespunzatoare DCI-urilor notate cu (4) se importa cu avizul MS;
- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (5) se utilizeaza numai pentru cazurile fara raspuns terapeutic la prednisonum.
Pagina 44 din 44
4
4
4
4
4
3
3
1
2
1.944,32
6.262,99 2.087,663333 2.087,663333 2.087,663333

5.343,18 1.781,060000 1.781,060000 1.781,060000
1.828,68 1.828,680000 1.828,680000 1.828,680000
3.943,62 1.971,810000 1.971,810000 1.971,810000
ANEXA 4
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 APRILIE 2015
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
cod
ATC
A03AD02
A03BA01
A03BB01
A03DA02
A03DA02
A03DA02
A05BAN3
A06AD65
A06AD65
A07AX03
A11CA01
A11CA01
A11CC04
A11CC05
A11CC05
A11CC05
A11CC05
A11CC20
A11CC20
A11DA01
A11DA03
A11DA03
A11DBN1
A11DBN1
A11DBN1
A11DBN1
A11DBN1
A11DBN2
A11DBN2
A11GA01
A11GA01
A11GA01
A11GA01
A11HA02
A11HA02
A11HA02
A11HA02
A11HA03
A12AA03
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
COMBINATII
FORTRANS
NIFUROXAZIDUM
ERCEFURYL (R) 200 mg
CAPS.
RETINOLUM
VITAMINA A FORTE
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
VITAMINA B1 ZENTIVA 100 mg/2 ml SOL. INJ.
BENFOTIAMINUM
BENFOTIAMINA BIOMEDIAL 300 mg COMPR. FILM.
BENFOTIAMINUM
BENFOGAMMA
DRAJ.
COMBINATII
MILGAMMA (R) N
CAPS. MOI
COMBINATII
MILGAMMA (R) (vezi B03BA51) DRAJ.
COMBINATII
MILGAMMA (R) (vezi B03BA51) DRAJ.
COMBINATII
MILGAMMA (R) N
SOL. INJ.
COMBINATII
MILGAMMA (R) NA
SOL. INJ.
COMBINATII
NEUROMULTIVIT
COMPR. FILM.
COMBINATII
NEUROMULTIVIT
COMPR. FILM.
ACIDUM ASCORBICUM
VITAMINA C SALF 1000 mg/5 ml SOL INJ.
ACIDUM ASCORBICUM
ACID ASCORBIC ARENA 750 mg SOL INJ.
ACIDUM ASCORBICUM
VITAMINA C SALF 500mg/5ml SOL. INJ.
ACIDUM ASCORBICUM
VITAMINA C ARENA 750 mg SOL. INJ.
PYRIDOXINUM
VITAMINA B6 250 mg
COMPR.
PYRIDOXINUM
VITAMINA B6 ZENTIVA 250 mg COMPR.
PYRIDOXINUM
VITAMINA B6 ZENTIVA 250 mg/5 ml SOL. INJ.
PYRIDOXINUM
VITAMINA B6 ZENTIVA 50 mg/2ml SOL. INJ.
TOCOFEROLUM
VITAMINA E 400 mg
CAPS. MOI
CALCII GLUCONAS
GLUCONAT DE CALCIU 94mg/ml SOL. INJ.
SULFAT DE ATROPINA TAKEDA 1 mg/ml
concentratie
40mg/2ml
1mg/ml
10mg/ml
Detinator APP
tara det.
APP
Ambalaj
Prescriptie
CHINOIN PRIVATE CO. LTD.
UNGARIA CUTIE X 25 FIOLE X 2ML SOL. INJ.
P-RF
GERMANIA
GERMANIA
P-RF

ROMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA CU INEL DE RUPERE X 5 ML SOL. INJ.
P-RF
FARA CONCENTRATIE
TAKEDA GMBH
NYCOMED GMBH
ANTIBIOTICE SA
ZENTIVA SA
ZENTIVA SA
TERAPIA SA
FARA CONCENTRATIE
FARA CONCENTRATIE
IPSEN PHARMA
FARA CONCENTRATIE
FARA CONCENTRATIE
FARA CONCENTRATIE
200mg
50000ui
20mg/ml
0,25mcg
1000UI
500UI
0,45mg/ml
0,5mg/ml
SANOFI-SYNTHELABO OTC
BIOFARM SA
BIOFARM SA
CUTIE X 6 PLICURI DE HARTIE/AL/PEJD X 55,318 G PULB. PT. SOL. ORALA
FRANTA CUTIE CU 4 PLICURI DIN HARTIE-AL-PE X 73,69 G PULB. PT. SOL. ORALA
FRANTA CUTIE X 2 BLIST. X 14 CAPS.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 CAPS. MOI
ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 ML PIC. ORALE, SOL.

ROCHE ROMANIA S.R.L. ROMANIA CUTIE CU 5 BLIST. AL/PVC X 20 CAPS. MOI.
P-RF
P-RF
P-RF
P-RF
P-RF
P-6L
P-6L
P-RF
MERCK KGAA
MERCK KGAA
BIOFARM S.A.
MERCK KGAA
1000 UI/0,55 mg MERCK KGAA
500 UI/0,55 mg MERCK KGAA
100mg/2ml ZENTIVA SA
300mg
BIOMEDIAL PHARMA S.R.L.
50mg
GERMANIA
FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG
GERMANIA CUTIE X 5 BLIST. PVC/PVDC X 10 CAPS. MOI P-6L
GERMANIA
GERMANIA
CUTIE X 5 BLIST. PVC/PVDC X 10 DRAJ.

CUTIE X 5 BLIST. PVC/PVDC X 10 DRAJ.
P-6L

GERMANIA
CUTIE X 5 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 2 ML
P-RF
GERMANIA
CUTIE X 5 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 1 ML
P-RF
AUSTRIA CUTIE CU 1 BLIST. PVC/AL X 20 COMPR. FILM.

AUSTRIA CUTIE CU 5 BLIST. PVC/AL X 20 COMPR. FILM.
P-6L
FARA CONCENTRATIE LANNACHER HEILMITTEL GES.M.B.H.

FARA CONCENTRATIE LANNACHER HEILMITTEL GES.M.B.H.
1000mg/5ml
750mg
500mg/ml
750mg
250 mg
250mg
250mg/5ml
50mg/2ml
400mg
94mg/ml
IMECO SA
ARENA GROUP S.A.
IMECO SA
ARENA GROUP S.A.
ARENA GROUP SA
ZENTIVA SA
ZENTIVA SA
ZENTIVA SA
GERMANIA

P-RF
P-6L
ROMANIA CUTIE X 1 FLACON X 10 ML PIC. ORALE, SOL.
P-6L
GERMANIA
P-6L
CUTIE X 1 FLACON DIN STICLA X 10 ML PIC. ORALE SOLUTIE, PREVAZUT CU PICURATOR

P-6L
ROMANIA
ROMANIA
P-RF
P6L
GERMANIA
P-6L
GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ. P-6L
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
P-6L
P-6L
CUTIE CU 5 FIOLE DIN STICLA BRUNA A 5 ML SOL. INJ. X 1000MG/5ML
PRF
CUTIE CU 5 FIOLE DIN STICLA BRUNA X 5 ML SOL. INJ.
PRF
CUTIE X 5 FIOLE DIN STICLA BRUNA X 5 ML PRF

P-RF
CUTIE X 1 FLACON DIN PE X 20 COMPR.

CUTIE X 1 FLAC. DIN PE X 20 COMPR.
P-6L
P-RF
P-RF
CUTIE X 2 BLIST. AL/PVC X 12 CAPS. MOI
B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FIOLE DIN PEJD X 10 ML SOL. INJ.
Pagina 1 din 6
P-6L
P-6L
P-6L
P-RF
PRET
AMANUN
TUL
PRET
cant/a MAXIMA AMANUNTUL
mbala
L
MAXIMAL/UT
j
(RON)
(RON)
25 24,50
5
7,73
5
3,36
20
7,23
20
7,23
5 12,23
10 31,36
6 45,93
4 38,77
28 11,40
30
5,52
1
2,96
100 68,12
30
8,27
30
6,70
1
5,05
1
6,36
30
8,01
30
6,44
5
6,98
30 130,23
50 28,72
50 46,88
50 46,88
50 46,88
5 18,52
5 18,52
20 11,17
100 44,47
5 12,65
5
9,86
5
9,86
5 25,30
20
9,11
20
9,11
5 10,34
5
6,98
24
9,35
20 16,87
0,980000
1,546000
0,672000
0,361500
0,361500
2,446000
3,136000
7,655000
9,692500
0,407142
0,184000
2,960000
0,681200
0,275666
0,223333
5,050000
6,360000
0,267000
0,214666
1,396000
4,341000
0,574400
0,937600
0,937600
0,937600
3,704000
3,704000
0,558500
0,444700
2,530000
1,972000
1,972000
5,060000
0,455500
0,455500
2,068000
1,396000
0,389583
0,843500
VAL.SUPORTA
TAT CNAS/
UT(RON)LEGEA NR. VAL.SUPORTA
95/2006 ART TAT CNAS/ UT
213 alin.(1) lit.
(RON) PT.
a) si f)
ADULTI
0,980000
1,546000
0,672000
0,361500
0,361500
2,446000
3,136000
7,655000
9,186000
0,407142
0,184000
2,960000
0,681200
0,275666
0,223333
5,050000
6,360000
0,267000
0,214666
1,396000
4,341000
0,574400
0,937600
0,937600
0,937600
3,704000
3,704000
0,533640
0,444700
2,530000
1,972000
1,972000
2,366400
0,455500
0,455500
2,068000
1,396000
0,389583
0,843500
0,980000
1,546000
0,672000
0,361500
0,361500
2,446000
3,136000
7,655000
9,186000
0,407142
0,184000
2,960000
0,681200
0,275666
0,223333
5,050000
6,360000
0,267000
0,214666
1,396000
4,341000
0,574400
0,937600
0,937600
0,937600
3,704000
3,704000
0,533640
0,444700
2,530000
1,972000
1,972000
2,366400
0,455500
0,455500
2,068000
1,396000
0,389583
0,843500
Nr. crt
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
cod
ATC
D07XC01
DCI
CALCII GLUCONAS
LEVOCARNITINUM
DIVERSE
DIVERSE
ETAMSYLATUM
CARBAZOCHROMI SALICYLAS
FERROSI GLUCONAS
FERROSI GLUCONAS
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
CYANOCOBALAMINUM
ALPROSTADILUM**
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
CALCII DOBESILAS
TROXERUTINUM (COMBINATII)
COMBINATII
NIMODIPINUM
NIMODIPINUM
ISOCONAZOLUM
KETOCONAZOLUM
KETOCONAZOLUM
KETOCONAZOLUM
COMBINATII
FLUOCINOLONI ACETONIDUM
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
D07XC01
COMBINATII (BETAMETHASONUM+ACIDUM SALICYLICUM)
D07XC04
COMBINATII
COMBINATII
ERYTHROMYCINUM
ERYTHROMYCINUM
COMBINATII
PIMECROLIMUS
METRONIDAZOLUM
CICLOPIROXUM
COMBINATII
COMBINATII
A12AA03
A16AA01
A16AXN1
A16AXN1
B02BX01
B02BX02
B03AA03
B03AA03
B03AD02
B03AD02
B03AD03
B03AD04
B03AE01
B03AE10
B03BA01
C01EA01
C05AA01
C05AA01
C05AA08
C05AA08
C05AD01
C05BX01
C05CA54
C07NAN1
C08CA06
C08CA06
D01AC05
D01AC08
D01AC08
D01AC08
D05AXN1
D07AC04
D07CB01
D07CC02
D07CC02
D07XB02
D07XC01
D07XC04
D10AF02
D10AF02
D10AF52
D11AH02
G01AF01
G01AX12
G01AXN1
G01BDN1
Denumire Comerciala
forma farm.
SOL. INJ.
CARNIL (R)
SOL. ORALA
ACTOVEGIN (R)
DRAJ.
ACTOVEGIN (R)
SOL. INJ.
ETAMSILAT ZENTIVA 250mg SOL. INJ.
ADRENOSTAZIN
SOL. INJ.
ASCOFER
COMPR.
ALOFER 80,5 mg
COMPR. EFF.
FERRETAB (R)
CAPS. ELIB. PREL.
FERRETAB (R)
CAPS. ELIB. PREL.
TARDYFERON FOL (R)
DRAJ. ELIB. PREL.
MALTOFER FOL
COMPR. MAST.
FERRO - FOLGAMMA (R)
CAPS. MOI
TOT'HEMA
SOL. ORALA
VITAMINA B12 ZENTIVA 50g/ml SOL. INJ.
GLUCONAT DE CALCIU ZENTIVA 95 mg/ml
ALPROSTADIL "REMEDIA" 500 g
HEMORZON
HEMORZON
SUPOZ.
UNGUENT
ULTRAPROCT SUPOZITOARE SUPOZ.
ULTRAPROCT UNGUENT RECTAL UNGUENT RECTAL
DOXIPROCT
DOXILEK
GINKOR FORT
DISTONOCALM (R)
NIMOTOP 30 mg
NIMOTOP
TRAVOGEN
KETOCONAZOL
KETOCONAZOL CREMA
NIZORAL 20 mg/g
ASORIAN
concentratie
95mg/ml
100mg/ml
200mg
200mg/5ml
250mg/2ml
0,3mg/ml
FARA CONCENTRATIE
80,5mg
FARA CONCENTRATIE
FARA CONCENTRATIE
FARA CONCENTRATIE
FARA CONCENTRATIE
FARA CONCENTRATIE
FARA CONCENTRATIE
50g/ml
500g
FARA CONCENTRATIE
FARA CONCENTRATIE
FARA CONCENTRATIE
FARA CONCENTRATIE
UNGUENT RECTAL FARA CONCENTRATIE
CAPS.
CAPS.
500mg
FARA CONCENTRATIE
COMPR. FILM. FARA CONCENTRATIE

COMPR. FILM. 30mg
SOL. PERF.
CREMA
CREMA
CREMA
CREMA
SOL. CUT.
FLUOCINOLON ACETONID 0,025% UNGUENT
NIDOFLOR
CREMA
FLUOCINOLON N
UNGUENT
FLUOCINOLON N ATB 0,25 mg/5 mg/g UNGUENT
TRIAMCINOLON S
CREMA
DIPROSALIC
SOL. CUT.
DIPROSALIC
UNGUENT
SAL-EKARZIN 0,50 mg/30 mg pe gram UNGUENT
TRAVOCORT
CREMA
TRAVOCORT
CREMA
ERYFLUID
SOL. CUT.
ERYFLUID
SOL. CUT.
ZINERYT
PULB. + SOLV. SOL. CUT.
ELIDEL 1% (10mg/g)
CREMA
FLAGYL
OVULE
DAFNEGIN
OVULE
COLPOSEPTINE (R)
COMPR. VAG.
TERGYNAN
COMPR. VAG.
10mg/50ml
10mg/1g
2%
20mg/g
20mg/g
Detinator APP
ZENTIVA SA
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
ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. X 20 COMPR.
RECORDATI ROMANIA S.R.L. ROMANIA CUTIE X 1 TUB DIN PP X 20 COMPR. EFF.
LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 5 BLIST. AL/PVC X 20 CAPS. ELIB. PREL.
LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. ELIB. PREL.
LAB. PIERRE FABRE FRANTA CUTIE X 3 BLIST. AL/PVDC-PE-PVC X 10 DRAJ. ELIB. PREL.
VIFOR FRANCE S.A. FRANTA CUTIE X 3 BLIST. AL/PA-AL-PVC X 10 COMPR. MAST.
WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. X 10 CAPS. MOI
LAB. INNOTHERA
FRANTA CUTIE X 20 FIOLE X 10 ML
ZENTIVA SA
ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 1 ML SOL. INJ.
FARMACEUTICA REMEDIA S.A.
FARA CONCENTRATIE
FARA CONCENTRATIE
0,50mg/30mg pe gram
Prescriptie
P-RF
P-6L
P-6L
P-RF
P-RF
P-RF
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-RF
P-6L
P-RF
ROMANIA CUTIE X 5 FLAC. X 1 ML CONC. PT. SOL. PERF. S

ROMANIA CUTIE CU 2 FOLII TERMOFORMATE PVC X 3 SUPOZ. P-6L
P-6L
ANTIBIOTICE SA
ANTIBIOTICE SA
INTENDIS GMBH
INTENDIS GMBH
OM PHARMA S.A.
PORTUGALIA
SLOVENIA CUTIE X 3 BLIST. AL/PVC. X 10 CAPS.
P-6L
IPSEN PHARMA
ZENTIVA S.A.
BAYER PHARMA AG
BAYER PHARMA AG
INTENDIS GMBH
FRANTA CUTIE X 3 BLIST. AL/PVC X 10 CAPS.
P-6L
P-6L
GERMANIA
CUTIE X 2 FOLII X 5 SUPOZ.
P-RF
GERMANIA CUTIE X 1 TUB AL X 30 G + 1 CANULA PEJD P-RF

CUTIE X 1 TUB DIN AL X 30 G UNGUENT RECTAL + CANULA APLICATOARE
P-6L
GERMANIA CUTIE CU 10 BLIST. AL/PP X 10 COMPR. FILM. P-RF

GERMANIA
GERMANIA
TIS FARMACEUTIC SA ROMANIA

SC HYPERION SA
ROMANIA
BIOFARM SA
0,025%
LAROPHARM SRL
FARA CONCENTRATIE ANTIBIOTICE SA
0,25mg/5mg/g ANTIBIOTICE SA
0,25mg/5mg/g ANTIBIOTICE SA
FARA CONCENTRATIE ANTIBIOTICE SA
FARA CONCENTRATIE
tara det.
APP
Ambalaj
ROMANIA CUTIE X 5 FIOLE X 10 ML SOL. INJ.
BELGIA
CUTIE X 5 CUTII X 1 FLACON DIN STICLA DE CULOARE BRUNA X 50 ML + 1 PERFUZOR DIN POLIETILENA
CUTIE X 1 TUB, DIN AL X 20 G CREMA

CUTIE X 1 TUB PEJD X 15 G
CUTIE CU 1 TUB DIN AL X 15 G CREMA
CUTIE X 1 TUB AL X 20 G
CUTIE CU 1 TUB DIN AL X 18 G UNG.
S
P-RF
P-RF
P-RF
PRF
ROMANIA
P-RF
ROMANIA
P-RF
ROMANIA
P-RF
ROMANIA
P-RF
ROMANIA
PRF
ROMANIA
P-RF
MERCK SHARP & DOHME ROMANIA CUTIE X 1 FLACON DIN PEID X 30 ML SOL. CUT., PREVAZUT CU PICURATOR P-RF
MERCK SHARP & DOHME ROMANIA CUTIE X 1 TUB DIN AL X 15 G UNGUENT P-RF
ANTIBIOTICE S.A.
ROMANIA CUTIE CU 1 TUB AL X 15 G UNGUENT
P-RF
10mg/1mg/1g INTENDIS GMBH

GERMANIA CUTIE X 1 TUB DIN AL X 30 G CREMA
10mg/1mg/1g BAYER PHARMA AG GERMANIA CUTIE X 1 TUB DIN AL X 30 G CREMA
P-RF
4g/30ml
4g/30ml
P-RF
40mg/12mg/ml
ASTELLAS PHARMA EUROPE BV
FRANTA CUTIE X 1 FLACON X 100 ML SOL. CUT.

FRANTA CUTIE X 1 FLACON X 30 ML SOL. CUT.
OLANDA
GERMANIA CUTIE X 1 TUB AL X 15 G CREMA
FRANTA CUTIE X 2 BLIST. X 5 OVULE
CUTIE X 1 FLAC. DIN PEID PULB. PT. SOL. CUTANATA + APLICATOR DIN PP CU SOLV. PT 30 ML SOL. CUTANATA
P-RF
P-RF
P-RF
10mg/g
P-RF
500mg
LAB. AVENTIS
P-RF
100mg
POLICHEM SA
LUXEMBURG CUTIE X 1 FOLIE. TERMOSUDATA DIN PVC/PE X 6 OVULE + 6 APLICATOARE DIN PE P-6L
10mg/200mg LAB. THERAMEX
MONACO CUTIE X 3 BLIST. X 6 COMPR. VAG.
P-RF
FARA CONCENTRATIE LAB. BOUCHARA-RECORDATI FRANTA CUTIE X 1 FOLIE HARTIE/PE/AL/PE X 10 COMPR. VAG. P-RF
Pagina 2 din 6
PRET
AMANUN
TUL
PRET
mbala
L
MAXIMAL/UT
j
(RON)
(RON)
5
10
50
5
5
5
20
20
100
30
30
30
50
20
5
5
6
1
10
1
1
30
30
30
100
5
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
10
6
18
10
15,92
29,89
145,08
108,72
6,73
12,71
7,72
21,00
27,57
10,69
15,02
17,87
24,30
17,73
6,98
1.603,19
7,00
12,50
12,93
30,91
22,31
21,46
25,73
7,10
70,00
153,79
11,22
5,38
7,94
8,29
10,17
7,40
10,00
8,20
8,20
9,00
10,79
6,93
7,00
25,21
25,21
21,02
8,09
32,50
68,96
8,57
38,11
17,64
25,19
VAL.SUPORTA
TAT CNAS/
213 alin.(1) lit.
(RON) PT.
a) si f)
ADULTI
3,184000
1,012200
1,012200
2,989000
2,989000
2,989000
2,901600
2,901600
2,901600
21,744000 21,744000 21,744000
1,346000
1,346000
1,346000
2,542000
2,542000
2,542000
0,386000
0,386000
0,386000
1,050000
1,050000
1,050000
0,275700
0,275700
0,275700
0,356333
0,330840
0,330840
0,500666
0,500666
0,500666
0,595666
0,595666
0,595666
0,486000
0,486000
0,486000
0,886500
0,886500
0,886500
1,396000
1,396000
1,396000
320,638000 320,638000 320,638000
1,166666
1,166666
1,166666
12,500000 12,500000 12,500000
1,293000
1,293000
1,293000
30,910000 30,910000 30,910000
22,310000 22,310000 22,310000
0,715333
0,715333
0,715333
0,857666
0,857666
0,857666
0,236666
0,236666
0,236666
0,700000
0,700000
0,700000
30,758000 30,758000 30,758000
11,220000 11,220000 11,220000
5,380000
5,380000
5,380000
7,940000
7,940000
7,940000
8,290000
6,456000
6,456000
10,170000 10,170000 10,170000
7,400000
7,400000
7,400000
10,000000 10,000000 10,000000
8,200000
8,200000
8,200000
8,200000
8,200000
8,200000
9,000000
9,000000
9,000000
10,790000 10,790000 10,790000
6,930000
6,930000
6,930000
7,000000
7,000000
7,000000
25,210000 25,210000 25,210000
25,210000 25,210000 25,210000
21,020000 21,020000 21,020000
8,090000
8,090000
8,090000
32,500000 32,500000 32,500000
68,960000 68,960000 68,960000
0,857000
0,857000
0,857000
6,351666
6,351666
6,351666
0,980000
0,980000
0,980000
2,519000
2,519000
2,519000
Nr. crt
89
90
91
92
93
94
95
96
97
98
99
cod
ATC
G03DB04
G03GA01
G03GA02
G04BCN1
H03AA03
J01DB04
J01DD62
J01DD62
J01DD62
J01DD62
J01DE02
100 J01DE02
101 J01EB05
102 J01GB03
103 J01GB03
104 J01GB03
105 J01GB03
106 J01XB01
107 J02AC03
108 J02AC03
109 J02AC03
110 M01AA01
111 M01AB55
112 M01AB55
113 M01AB55
114 M01AB55
115 M01AB55
116 M01AE01
117 M01AE01
118 M01AE01
119 M01AE01
120 M01AE01
121 M01AE01
122 M01AE01
123 M01AE01
124 M01AE01
125 M01AE01
126 M01AE01
127 M01AE01
128 M01AE01
129 M01AE01
130 M01AE01
131 M01AE01
132 M01AE01
133 M01AE01
134 M01AE02
135 M01AE02
136 M01AE02
137 M01AE02
DCI
NOMEGESTROLUM
Denumire Comerciala
LUTENYL (R)
GONADOTROPHINUM CHORIONICUM PREGNYL 5000
MENOTROPINUM
MENOPUR
COMBINATII
URALYT-U
COMBINATII
NOVOTHYRAL (R) 100
CEFAZOLINUM
LYZOLIN 1g
COMBINATII (CEFOPERAZONUM+SULBACTAMUM)
SULCEF 1000 mg/1000 mg
CEFPIROMUM
CEFROM (R) 1 g
CEFPIROMUM
CEFROM (R) 2 g
SULFAFURAZOLUM
SULFAFURAZOL ARENA 500 mg
GENTAMICINUM
GENTAMICIN KRKA
GENTAMICINUM
GENTAMICIN KRKA
GENTAMICINUM
GENTAMICIN KRKA
GENTAMICINUM
PAN - GENTAMICINE
COLISTINUM
COLISTINA ANTIBIOTICE 1000000 UI
VORICONAZOLUM**
VFEND 200mg
VORICONAZOLUM**
VFEND 50mg
VORICONAZOLUM**
VFEND 40 mg/ml
PHENYLBUTAZONUM
FENILBUTAZONA 250 mg
COMBINATII
TRATUL PLUS
COMBINATII
TRATUL PLUS
COMBINATII
NEODOLPASSE 0,30 mg+0,12 mg/ml
COMBINATII
ACECLOFEN
DICLOFENACUM+MISOPROSTOLUM ARTHROTEC 75
IBUPROFENUM
PADUDEN (R) SR 300 mg
IBUPROFENUM
BRUFEN RETARD 800 mg
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
BRUFEN 400 mg
IBUPROFENUM
IBUPROFEN CIPLA 400
IBUPROFENUM
IBUPROFEN CIPLA 600
IBUPROFENUM
FASPIC 600
IBUPROFENUM
BRUFEN 600 mg
IBUPROFENUM
IBALGIN BABY
IBUPROFENUM
IBALGIN BABY
IBUPROFENUM
ALGIN BABY 100 mg/5 ml
IBUPROFENUM
ALGIN BABY 100 mg/5 ml
IBUPROFENUM
BRUFEN 20 mg/ml
NAPROXENUM
REUXEN 250 mg
NAPROXENUM
REUXEN 500 mg
NAPROXENUM
NALDOREX 275 mg
NAPROXENUM
NALDOREX 275 mg
forma farm.
COMPR.
concentratie
Detinator APP
5mg
5000ui/ml
LAB. THERAMEX
NV ORGANON
LIOF. + SOLV. PT. SOL. INJ. FARA CONCENTRATIE FERRING GMBH
GRANULE
FARA CONCENTRATIE MADAUS GMBH
COMPR.
100mcg+20mcg MERCK KGAA
SC ANSAMED SRL
PULB. PT. SOL. INJ./PERF. 1000mg/1000mg MEDOCHEMIE S.R.L.
PULB. PT. SOL. INJ./PERF. 1g
LAB. AVENTIS
PULB. PT. SOL. INJ./PERF. 2g
LAB. AVENTIS
COMPR.
500mg
ARENA GROUP SA
SOL. INJ.
40mg/ml
SOL. INJ.
80mg/2ml
SOL. INJ.
80mg/2ml
SOL.INJ.
80mg/2ml
LAB. PANPHARMA
PULB. PT. SOL. INJ./PERF. 1000000ui
ANTIBIOTICE SA
COMPR. FILM. 200mg
PFIZER LIMITED
COMPR. FILM. 50mg
PFIZER LIMITED
PULB. PT. SUSP. ORALA 40mg/ml
PFIZER LIMITED
SUPOZ.
250mg
SINTOFARM SA
CAPS. GASTROREZ. FARA CONCENTRATIE LANNACHER HEILMITTEL GES.M.B.H.
CAPS. GASTROREZ. FARA CONCENTRATIE LANNACHER HEILMITTEL GES.M.B.H.
tara det.
APP
Ambalaj
MONACO CUTIE X 1 BLIST. AL/PVC X 10 COMPR.
OLANDA
CUTIE X 1 FIOLA CU LIOF. PREVAZUTA CU INEL DE RUPERE + 1 FIOLA X 1 ML SOLV. PREVAZUTE CU INEL DE RUPERE
S/P-RF
GERMANIA
CUTIE X 10 FLAC. DIN STICLA INCOLORA CU LIOF. + 10 FIOLE X 1 ML SOLV. PT. SOL. INJ.
S/P-RF
GERMANIA
CUTIE X 1 FLAC. PP X 280 G GRANULE + 1 LINGURITA DOZATOARE + 1 CALENDAR DE CONTROL + HARTIE INDICATO
P-6L
CUTIE X 4 BLIST. AL/PP X 25 COMPR.

ROMANIA CUTIE X 1 FLACON
GERMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF.
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.
P-RF
P-RF/S
CUTIE X 10 FIOLE DIN STICLA INCOLORA X 2 ML SOL. INJ.
P-RF
FRANTA
P-RF
ROMANIA
CUTIE X 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.
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
MAREA BRITANIE
AUSTRIA
AUSTRIA
AUSTRIA
MAREA BRITANIE
ROMANIA CUTIE X 1 BLIST. X 10 CAPS. ELIB. PREL.
ABBOTT SCANDINAVIA AB
SUEDIA
SUEDIA
SUEDIA
SUEDIA
SUEDIA
SUEDIA
SUEDIA
SUEDIA
GRAN. PT. SOL. ORALA
GRANULE EFF.
SUSP. ORALA
SUSP. ORALA
SUSP. ORALA
SUSP. ORALA
SUSP. ORALA
COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.
P-RF
P-RF
P-6L
TERAPIA SA
S
P-RF
300mg
800mg
400mg
400mg
400mg
400mg
400mg
400mg
400mg
400mg
600mg
600mg
600mg
100mg/5ml
100mg/5ml
100mg/5ml
100mg/5ml
20mg/ml
250mg
500mg
275mg
275mg
P-RF
75mg+0,200mg PFIZER EUROPE MA EEIG
S/P-RF
CAPS. ELIB. PREL.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
S
S/P-RF
SLOVENIA
SLOVENIA
SLOVENIA
COMPR. GASTROREZ.
PR
S/P-RF
CUTIE CU 50 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF. S/P-RF
0,30mg+0,12mg/ml FRESENIUS KABI AUSTRIA GMBH
ANTIBIOTICE SA
P-6L
CUTIE CU 10 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF. S/P-RF
SOL. PERF.
SUPOZ.
FARA CONCENTRATIE
Prescriptie
P6L
CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 250 ML SOL. PERF.
PR
ROMANIA CUTIE X 2 FOLII TERMOSUDATE AL/PE X 3 SUPOZ.
P-6L

ZAMBON S.P.A.
ITALIA
ABBOTT SCANDINAVIA AB SUEDIA
ZENTIVA K.S.
CEHIA
ZENTIVA K.S.
CEHIA
ZENTIVA, K.S.
REPUBLICA CEHA
ZENTIVA, K.S.
REPUBLICA CEHA
ABBOTT SCANDINAVIA AB SUEDIA
CUTIE X 2 BLIST. AL X 10 COMPR. GASTROREZ. P-6L

P-6L
P6L
CUTIE CU BLIST. AL/PVC X 20 COMPR. FILM. P-6L
CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR. CU ELIB. PREL.
P-6L
P-6L
P-6L
CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM. P-6L/S

CUTIE CU 2 BLIST. PVCAL X 10 COMPR. FILM. P6L
CUTIE CU 2 BLIST. PVCAL X 10 COMPR. FILM. P6L
CUTIE X 30 PLICURI UNIDOZA X 3 G GRAN. PT. SOL. ORALA P-6L
CUTIE CU 20 PLICURI DIN FOLII LAMINATE DIN HARTIE/PE/AL/PE, TERMOSUDATE, CE CONTIN GRANULE EFF.
P6L
CUTIE X 1 FLAC. DIN STICLA X 100 ML SUSP. ORALA + PIPETA DOZATOARE GRADATA
P-RF
CUTIE CU 1 FLAC. DIN STICLA BRUNA INCHIS CU CAPAC DIN PE X 100 ML SUSP. ORALA + PIPETA DOZATOARE GRA
P-RF
CUTIE CU 1 FLAC. DIN STICLA BRUNA X 100 ML SUSP. ORALA, CU CAPAC DIN PP SI O SERINGA DOZATOARE (GRADATA) DIN PEJD
PRF
CUTIE CU 1 FLAC. DIN STICLA BRUNA X 100 ML SUSP. ORALA, CU CAPAC DIN PE SI O SERINGA DOZATOARE (GRADATA) DIN PEJD
PRF
CUTIE CU 1 FLAC. DE 100 ML SUSP. ORALA, DIN PET DE CULOARE BRUNA CU CAPAC DIN AL SI SIGILIU DIN PEJD + SERINGA DOZATOARE DIN PP DE 5 ML
P6L

P-6L
P-6L
KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC/AL X 10 COMPR. FILM. P6L
Pagina 3 din 6
PRET
AMANUN
TUL
PRET
mbala
L
MAXIMAL/UT
j
(RON)
(RON)
10
1
10
1
100
1
1
10
50
100
1
1
20
10
50
10
10
10
28
28
1
10
30
50
10
6
20
10
30
20
30
60
20
30
60
100
20
20
30
20
1
1
1
1
1
20
20
10
20
31,51
15,04
825,12
56,93
28,94
7,15
25,24
219,94
963,48
1.856,12
75,78
127,27
12,63
7,13
41,48
9,58
6,76
211,79
3.917,72
1.032,33
VAL.SUPORTA
TAT CNAS/
213 alin.(1) lit.
(RON) PT.
a) si f)
ADULTI
3,151000
3,151000
3,151000
15,040000 15,040000 15,040000
82,512000 82,512000 82,512000
56,930000 56,930000 56,930000
0,289400
0,289400
0,289400
7,150000
7,150000
7,150000
25,240000 22,273440 22,273440
21,994000 21,994000 21,994000
19,269600 19,269600 19,269600
18,561200 18,561200 18,561200
75,780000 75,780000 75,780000
127,270000 127,270000 127,270000
0,631500
0,631500
0,631500
0,713000
0,713000
0,713000
0,829600
0,811200
0,811200
0,958000
0,811200
0,811200
0,676000
0,676000
0,676000
21,179000 21,179000 21,179000
139,918571 139,918571 139,918571
36,868928 36,868928 36,868928
2.439,99 2.439,990000 2.439,990000 2.439,990000
10,89
15,79
24,95
219,12
5,99
28,57
14,01
18,17
10,25
9,18
18,38
10,25
9,18
18,38
30,62
4,56
7,32
25,61
10,51
9,49
9,49
9,49
9,49
14,61
15,02
23,93
10,31
17,40
1,089000
0,526333
0,499000
21,912000
0,998333
1,428500
1,401000
0,605666
0,512500
0,306000
0,306333
0,512500
0,306000
0,306333
0,306200
0,228000
0,366000
0,853666
0,525500
9,490000
9,490000
9,490000
9,490000
14,610000
0,751000
1,196500
1,031000
0,870000
1,089000
0,526333
0,499000
21,912000
0,998333
1,428500
1,401000
0,605666
0,273600
0,273600
0,273600
0,273600
0,273600
0,273600
0,273600
0,228000
0,366000
0,439200
0,439200
9,490000
9,490000
9,490000
9,490000
11,388000
0,751000
1,196500
1,031000
0,870000
1,089000
0,526333
0,499000
21,912000
0,998333
1,428500
1,401000
0,605666
0,273600
0,273600
0,273600
0,273600
0,273600
0,273600
0,273600
0,228000
0,366000
0,439200
0,439200
9,490000
9,490000
9,490000
9,490000
11,388000
0,751000
1,196500
1,031000
0,870000
Nr. crt
cod
ATC
138 M01AE02
139 M01AE02
140 M01AG01
141 M01AH04
142 M01AH04
143 M03BB03
144 M03BB03
145 M03BB03
146 M03BX04
147 M03BX04
148 M03BX04
149 M09AX01
DCI
NAPROXENUM
NAPROXENUM
ACIDUM MEFENAMICUM
PARECOXIBUM
PARECOXIBUM
CHLORZOXAZONUM
CHLORZOXAZONUM
CHLORZOXAZONUM
TOLPERISONUM
TOLPERISONUM
TOLPERISONUM
ACIDUM HIALURONICUM
150 N02AA59 COMBINATII ( PARACETAMOLUM + CODEINUM)

151 N02AA59 COMBINATII ( PARACETAMOLUM+CODEINUM)
152 N02AA59 COMBINATII ( PARACETAMOLUM+CODEINUM)
153 N02BB02
154 N02BB02
155 N02BB02
156 N02BB02
157 N02BB02
158 N02BB02
159 N02BB02
160 N02BB02
161 N02BB02
162 N02BB02
163 N02BB02
164 N02BB02
165 N02BB02
166 N05CD08
167 N05CD08
168 N05CD08
169 N05CD13
170 N06BA04
171 N06BA04
172 N06BA04
173 N06BA04
174 N06BA04
175 N06BA09
176 N06BA09
177 N06BA09
178 N06BA09
179 N06BA09
180 N06BA09
181 N06BX02
182 N06BX02
183 N06BX02
184 N06BX02
185 N06BX03
186 N06BX03
METAMIZOLUM NATRIUM
METAMIZOLUM NATRIUM
METAMIZOLUM NATRIUM
METAMIZOLUM NATRIUM
METAMIZOLUM NATRIUM
METAMIZOLUM NATRIUM
METAMIZOLUM NATRIUM
METAMIZOLUM NATRIUM
METAMIZOLUM NATRIUM
METAMIZOLUM NATRIUM
METAMIZOLUM NATRIUM
METAMIZOLUM NATRIUM
METAMIZOLUM NATRIUM
MIDAZOLAMUM
MIDAZOLAMUM
MIDAZOLAMUM
CINOLAZEPAMUM
METHYLFENIDATUM***
METHYLFENIDATUM***
METHYLFENIDATUM***
METHYLFENIDATUM***
METHYLFENIDATUM***
ATOMOXETINUM***
ATOMOXETINUM***
ATOMOXETINUM***
ATOMOXETINUM***
ATOMOXETINUM***
ATOMOXETINUM***
PYRITINOLUM
PYRITINOLUM
PYRITINOLUM
PYRITINOLUM
PIRACETAMUM
PIRACETAMUM
Denumire Comerciala
NALDOREX 550 mg
NALDOREX 550 mg
VIDAN
DYNASTAT 40mg
DYNASTAT 40mg
CLORZOXAZON 250 mg
CLORZOXAZONA 250 mg
CLORZOXAZONA ARENA 250 mg
MYDOCALM
MYDOCALM
MYDOCALM
HYALGAN (R)
ULTRACOD 500 mg/30 mg
PARADOREN 500mg/30mg
PARADOREN 500mg/60mg
ALGOCALMIN (R) 500 mg
ALINDOR
SINTOCALMIN
NOVOCALMIN
METAMIZOL FARMACOM 500 mg
ALGIOTOP
CENTRALGIN 500 mg
ALGOBLOCK
ALGOZONE 500mg
ALVOTOR 500 mg/ml
ALGOCALMIN (R) 1 g/2 ml
SINTOCALMIN 300 mg
NOVOCALMIN 300 mg
DORMICUM (R)
DORMICUM (R)
MIDAZOLAM TORREX 1 mg/ml
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
ENCEPHABOL 200 mg
ENCEPHABOL 80,5 mg/5 ml
PIRACETAM ARENA 400 mg
PIRACETAM SLAVIA 400 mg
forma farm.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
concentratie
550mg
550mg
500mg
PULB. + SOLV. PT. SOL. INJ. 40mg
COMPR.
250mg
COMPR.
250mg
COMPR.
250mg
COMPR. FILM. 150mg
COMPR. FILM. 150mg
COMPR. FILM. 50mg
SOL. INJ.
20mg/2ml
COMPR.
500 mg/30 mg
COMPR.
500mg+30mg
COMPR.
500mg+60mg
COMPR.
500mg
COMPR.
500mg
COMPR.
500mg
COMPR.
500mg
COMPR.
500mg
COMPR.
500mg
COMPR.
500mg
COMPR.
500mg
COMPR.
500mg
PIC. ORALE, SOL. 500mg/ml
SOL. INJ.
1g/2ml
SUPOZ.
300mg
SUPOZ.
300mg
COMPR. FILM. 7,5mg
SOL. INJ.
1mg/ml
SOL. INJ.
1mg/ml
COMPR.
40mg
CAPS. ELIB. MODIF. 10mg
CAPS. ELIB. MODIF. 20mg
18mg
36mg
54mg
CAPS.
10mg
CAPS.
18mg
CAPS.
25mg
CAPS.
40mg
CAPS.
60mg
CAPS.
80mg
DRAJ.
100mg
DRAJ.
100mg
DRAJ.
200mg
SUSP. ORALA 80,5mg/5ml
CAPS.
400mg
COMPR.
400mg
tara det.
APP
Ambalaj
VIANEX SA
GRECIA CUTIE X 3 BLIST. AL/PVC X 8 COMPR. FILM. P-6L
Detinator APP
PFIZER LIMITED
PFIZER LIMITED
ARENA GROUP SA
ARENA GROUP SA
ZENIVA K.S.
ARENA GROUP S.A.
ARENA GROUP S.A.
ZENTIVA S.A.
LAROPHARM SRL
SINTOFARM SA
ANTIBIOTICE SA
FARMACOM SA
SANTA SA
SC CENTROFARM S.A.
BIOFARM S.A.
ZENTIVA S.A.
SINTOFARM SA
ANTIBIOTICE S.A.
Prescriptie
MAREA BRITANIE
CUTIE X 5 FLAC. PULB. X 40 MG + 5 FIOLE X 2 ML SOLV.
S/P-RF
MAREA BRITANIE
CUTIE X 10 FLAC. X 40 MG PULB. PT. SOL. INJ.
S/P-RF
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

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

CUTIE X 2 BLIST., PVC/AL X 10 COMPR.
MAREA BRITANIE
ELI LILLY AND COMPANY LTD.
MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE
ARENA GROUP S.A.

MERCK KGAA
MERCK KGAA
MERCK KGAA
ARENA GROUP SA
SLAVIA PHARM SRL
Pagina 4 din 6
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P6L
CUTIE X 2 BLIST. PVC/PE X 3 SUPOZ.
P-RF
CUTIE CU 2 FOLII TERMOSUDATE, OPACE DIN PVC X 6 SUPOZ.
PRF
CUTIE X 1 BLIST. PVC/PVDC/AL X 10 COMPR. FILM.
P-RF
GERMANIA CUTIE CU BLIST. PVC/PVDC/AL X 30 CAPS. ELIB. MODIF.
P-RF
P-RF
MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG
P-RF
GERMANIA CUTIE CU BLIST. PVC/PVDC/AL X 30 CAPS. ELIB. MODIF.
BELGIA
BELGIA
BELGIA
P-RF
CUTIE CU 1 FLAC. DIN STICLA BRUNA, PREVAZUT CU PICURATOR DIN PEJD A 100 ML PIC. ORALE, SOL.
MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG
P-RF
CUTIE X 2 BLIST.PVC-PVDC/AL A CATE 10 COMPR. P-RF
P-6L
CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. PRF
AUSTRIA CUTIE X 10 FIOLE X 5 ML SOL. INJ.
AUSTRIA CUTIE X 3 BLIST. AL/PVDC-PVC X 10 COMPR.

P-6L

AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 2 ML

REPUBLICA CEHA
P-6L
S/P-RF
S/P-RF
P-RF
PR
PR
CUTIE X 1 FLAC. DIN PEID X 30 COMPR. FILM. CU ELIB. PREL.
PR, PS
PR, PS
PR, PS
CUTIE X 1 BLIST. PVC-PE-PCTFE/AL X 7 CAPS.

CUTIE X 4 BLIST. PCTFE-PE-PVC/AL X 7 CAPS.
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF/R
ROMANIA CUTIE X 3 BLIST. X 10 DRAJ.
P-6L
CUTIE CU 5 BLIST. PVC/AL X 10 DRAJ.

GERMANIA CUTIE CU 5 BLIST. PVC/AL X 10 DRAJ.
P6L
P6L
P6L
GERMANIA
GERMANIA
CUTIE CU 1 FLAC. DIN STICLA BRUNA X 200 ML + 1 LINGURITA DOZATOARE DIN PP ALBA, CU GRADATII LA 1,25

ROMANIA CUTIE X 4 BLIST. DIN PVC/AL X 10 COMPR.
P-6L
P-6L
PRET
AMANUN
TUL
PRET
mbala
L
MAXIMAL/UT
j
(RON)
(RON)
10
20
24
5
10
20
30
30
30
20
30
1
30
20
20
20
20
20
20
20
20
20
20
20
1
5
6
12
10
10
10
30
30
30
30
30
30
7
7
28
28
28
28
30
50
50
1
30
40
VAL.SUPORTA
TAT CNAS/
213 alin.(1) lit.
(RON) PT.
a) si f)
ADULTI
15,50
1,550000
1,550000
1,550000
26,26
1,313000
1,313000
1,313000
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
6,18
0,206000
0,206000
0,206000
14,58
0,486000
0,486000
0,486000
9,82
0,491000
0,491000
0,491000
7,30
0,243333
0,243333
0,243333
143,42 143,420000 143,420000 143,420000
33,01
1,100333
0,764400
0,764400
12,74
0,637000
0,637000
0,637000
19,83
0,991500
0,991500
0,991500
8,26
0,413000
0,370800
0,370800
8,26
0,413000
0,370800
0,370800
6,84
0,342000
0,342000
0,342000
8,17
0,408500
0,370800
0,370800
6,52
0,326000
0,326000
0,326000
6,89
0,344500
0,344500
0,344500
6,87
0,343500
0,343500
0,343500
6,18
0,309000
0,309000
0,309000
6,80
0,340000
0,340000
0,340000
28,75 28,750000 28,750000 28,750000
5,92
1,184000
1,184000
1,184000
7,57
1,261666
1,261666
1,261666
14,50
1,208333
1,208333
1,208333
5,58
0,558000
0,558000
0,558000
29,14
2,914000
2,272800
2,272800
18,94
1,894000
1,894000
1,894000
23,05
0,768333
0,768333
0,768333
47,84
1,594666
1,594666
1,594666
95,80
3,193333
3,193333
3,193333
192,42
6,414000
6,414000
6,414000
229,23
7,641000
7,641000
7,641000
296,84
9,894666
9,894666
9,894666
103,33 14,761428 14,761428 14,761428
103,33 14,761428 14,761428 14,761428
388,16 13,862857 13,862857 13,862857
388,16 13,862857 13,862857 13,862857
388,16 13,862857 13,862857 13,862857
555,80 19,850000 19,850000 19,850000
18,01
0,600333
0,600333
0,600333
33,34
0,666800
0,666800
0,666800
60,67
1,213400
1,213400
1,213400
40,59 40,590000 40,590000 40,590000
10,57
0,352333
0,117199
0,117199
4,64
0,116000
0,116000
0,116000
cod
ATC
Denumire Comerciala
forma farm.
PIRACETAM
COMPR.
PIRACETAM FARMEX 400 mg COMPR.
PIRACETAM MCC 400mg
COMPR.
PIRACETAM SINTOFARM 400 mg COMPR.
PIRACETAM SINTOFARM 400 mg COMPR.
LUCETAM (R) 1200 mg
COMPR. FILM.
NOOTROPIL 1200 mg
COMPR. FILM.
PIRACETAM 400 mg
COMPR. FILM.
PIRACETAM LPH (R) 400 mg COMPR. FILM.
LUCETAM
COMPR. FILM.
PIRACETAM HELCOR 400mg COMPR. FILM.
213 R01ADN1
DCI
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
CINNARIZINUM
CINNARIZINUM
CINNARIZINUM
TENONITROZOLUM
PYRANTELUM
PYRANTELUM
PYRANTELUM
TIXOCORTOLUM
COMBINATII
214 R01BA52
COMBINATII (DESLORATADINUM+ PSEUDOEPHEDRINE)
AERINAZE (vezi R06AX27) 2,5mg/120mg
215 R01BA52
COMBINATII (LORATADINUM+PSEUDOEFEDRINUM)
Nr. crt
187 N06BX03
188 N06BX03
189 N06BX03
190 N06BX03
191 N06BX03
192 N06BX03
193 N06BX03
194 N06BX03
195 N06BX03
196 N06BX03
197 N06BX03
198 N06BX03
199 N06BX03
200 N06BX03
201 N06BX03
202 N06BX03
203 N06BX03
204 N06BX03
205 N07CA02
206 N07CA02
207 N07CA02
208 P01AX08
209 P02CC01
210 P02CC01
211 P02CC01
212 R01AD07
216 R02AB03
217 R03CA02
218 R03CA02
219 R03CA02
220 R03DX05
221 R03DX05
222 R05CB01
223 R05CB01
224 R05CB01
225 R05CB03
226 R05CB03
227 R05CB03
228 R06AD02
229 R06AE05
230 R06AX02
231 R06AX02
232 R06AX13
233 R06AX13
234 R06AX13
235 S01AA01
Ambalaj
P-6L
P-6L
P-6L
P-6L
P-6L
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 20 COMPR. FILM.
P-6L
U.C.B. PHARMA S.A. BELGIA CUTIE CU 10 BLIST. PVC/AL X 10 COMPR. FILM. P6L
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM.
P-6L
COMPR. FILM.
COMPR. FILM.
SUSP. ORALA
SPRAY NAZAL SUSPENSIE
0,9mg/pulverizare PFIZER EUROPE MA EEG
SPRAY NAZ.,SUSP.
0,5 mg/1 mg/ ml
2,5mg/120mg MERCK SHARP & DOHME
PIRACETAM-RICHTER 400 mg COMPR. FILM.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
PIRACETAM-RICHTER 800 mg COMPR. FILM.
CLARINASE 5 mg/120 mg
FUSAFUNGINUM
BIOPAROX
EPHEDRINI HYDROCHLORIDUM EFEDRINA ARENA
EPHEDRINI HYDROCHLORIDUM EFEDRINA 50 mg/ ml
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
CARBOCISTEINUM
RHINATHIOL 2% pentru copii si sugari
CARBOCISTEINUM
FLUIDOL 100mg/5ml
PROMETHAZINUM
ROMERGAN
MECLOZINUM
EMETOSTOP
CYPROHEPTADINUM
PERITOL
CYPROHEPTADINUM
CIPROHEPTADINA ARENA 4 mg
LORATADINUM
CLARITINE
LORATADINUM
LORATADINA BIOFARM 5mg/5ml
LORATADINUM
LORATADINA LEK 5mg/5ml
CHLORAMPHENICOLUM
SIFICETINA
tara det.
APP
FABIOL SA
ROMANIA
MAGISTRA C & C
ROMANIA
SINTOFARM SA
ROMANIA
SINTOFARM SA
ROMANIA
Detinator APP
400mg
400mg
400mg
400mg
400mg
1200mg
1200mg
400mg
400mg
400mg
400mg
400mg
800mg
800mg
800mg
800mg
800mg
1g/5ml
25mg
25mg
25mg
250mg
125mg
250mg
125mg/2,5ml
PIRACETAM 800 mg
LUCETAM
NOOTROPIL 800 mg
PIRACETAM HELCOR 800mg
MEMOTAL1 g/5 ml
CINARIZINA ARENA 25 mg
STUGERON 25 mg
CINARIZIN 25 mg
ATRICAN 250 mg
HELMINTOX (R) 125 mg
HELMINTOX (R) 250 mg
HELMINTOX (R)
PIVALONE 0,9mg/pulverizare
BIORINIL
concentratie
SOL. INJ.
CAPS.
COMPR.
COMPR.
Prescriptie


U.C.B. PHARMA S.A.

ZENTIVA SA
ARENA GROUP SA
TERAPIA SA
LAROPHARM SRL
LAB. INNOTECH INT.
LAB. INNOTECH INT.
LAB. INNOTECH INT.
LAB. INNOTECH INT.
THEA FARMA SPA
UNGARIA
ROMANIA
ROMANIA
ROMANIA
UNGARIA
BELGIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
FRANTA
FRANTA
FRANTA
FRANTA
CUTIE X 1 FLAC. DIN STICLA BRUNA X 60 COMPR.FILM.
P-6L

P-6L
CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR.FILM.
P-6L

P-RF

P-6L
P-6L
P-6L
CUTIE X 1 BLIST. AL/PVC X 8 CAPS. MOI GASTROREZ. P-RF
CUTIE X 2 BLIST. AL/PVC X, 3 COMPR. FILM.
P-RF
P-RF
CUTIE X 1 FLACON X 15 ML + LINGURITA DOZATOARE X 2,5 ML
P-RF
MAREA BRITANIE
CUTIE X 1 FLACON X 10 ML + POMPA DOZATOARE + APLICATOR NAZAL
P-RF
ITALIA
CUTIE X 1 FLACON X 10 ML SPRAY NAZAL, SUSP. PREVAZUT CU NEBULIZATOR
P-RF
MAREA BRITANIE
CUTIE X 10 COMPR.FILM.ELIB.MODIF. ( BLIST.PCTFE/PVC/AL)
P-RF
5mg/120mg MERCK SHARP & DOHME ROMANIA CUTIE CU 1 BLIST. PVC/AL X 7 COMPR. ELIB. MODIF. P-6L
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.
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
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
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
PULB. + SOLV. PT. SOL. OFT. 0,4%
S.I.F.I. SPA
ITALIA
P-RF
COMPR. ELIB. MODIF.
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
CUTIE X 1 FLAC. STICLA BRUNA X 5 ML SOLV. + O PUNGA X UN REZERVOR CU PULB. + UN PICURATOR
Pagina 5 din 6
PRET
AMANUN
TUL
PRET
mbala
L
MAXIMAL/UT
j
(RON)
(RON)
VAL.SUPORTA
TAT CNAS/
213 alin.(1) lit.
(RON) PT.
a) si f)
ADULTI
30
2,93
0,097666
0,097666
0,097666
40
4,44
0,111000
0,111000
0,111000
20
3,10
0,155000
0,117199
0,117199
20
3,45
0,172500
0,117199
0,117199
40
6,46
0,161500
0,117199
0,117199
20
6,72
0,336000
0,336000
0,336000
100 50,00
0,500000
0,403200
0,403200
20
3,50
0,175000
0,117199
0,117199
60
6,33
0,105500
0,105500
0,105500
60
7,04
0,117333
0,117199
0,117199
20
2,36
0,118000
0,117199
0,117199
20
3,50
0,175000
0,117199
0,117199
20
4,81
0,240500
0,240500
0,240500
30
6,63
0,221000
0,221000
0,221000
90 33,27
0,369666
0,264600
0,264600
20
4,41
0,220500
0,220500
0,220500
20
4,81
0,240500
0,240500
0,240500
5
8,97
1,794000
1,794000
1,794000
40
3,30
0,082500
0,082500
0,082500
40
7,04
0,176000
0,090199
0,090199
60
4,51
0,075166
0,075166
0,075166
8 11,56
1,445000
1,445000
1,445000
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
10 21,00
2,100000
2,100000
2,100000
7
9,26
1,322857
1,322857
1,322857
1 20,02 20,020000 20,020000 20,020000
30
9,38
0,312666
0,312666
0,312666
5
7,41
1,482000
1,482000
1,482000
5
7,41
1,482000
1,482000
1,482000
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
5,96
5,960000
5,960000
5,960000
1
9,18
9,180000
7,152000
7,152000
1
4,16
4,160000
4,160000
4,160000
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 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
1 30,39 30,390000 30,390000 30,390000
Nr. crt
cod
ATC
236 S01AA24
237 S01AA30
238 S01BA07
239 S01BA07
240 S01BC01
241 S02CA05
242 S02CA05
DCI
KANAMYCINUM
COMBINATII
FLUOROMETHOLONUM
FLUOROMETHOLONUM
INDOMETACINUM
COMBINATII
COMBINATII
Denumire Comerciala
KANAMICINA SULFAT 1%
COLBIOCIN
FLUMETOL S
forma farm.
concentratie
UNG. OFT.
1%
PULB. + SOLV. PT. SOL. OFT.
FARA CONCENTRATIE
FLUMETOL S UNGUENT OFTALMIC
UNG. OFT.
INDOCOLLYRE (R) 0,1%

OTIS-T
PICATURI OFT.-SOL.
2mg/ml
1mg/g
0,1%
PICATURI AURICULARE-SOL.
FARA CONCENTRATIE
SOLUTIE AURICULARA CU CLORAMFENICOL SI FLUOCINOLON
SOL. AURICULARA
FARA CONCENTRATIE
PICATURI OFT.SUSP.
Detinator APP
ANTIBIOTICE SA
S.I.F.I. SPA
THEA FARMA SPA
THEA FARMA SPA
LAB. CHAUVIN
tara det.
APP
Ambalaj
ROMANIA CUTIE X 1 TUB AL X 6 G
ITALIA
CUTIE X 1 FLACON X 5 ML SOLV. + PLIC REZERVOR PULBERE + DISP. PICURARE
ITALIA
CUTIE X 1 FLACON PEJD X 10ML PIC. OFT. SUSP.
ITALIA
CUTIE X 1 TUB X 5G
FRANTA CUTIE X 1 FLACON PICURATOR DIN POLIETILENA X 5 ML
TIS FARMACEUTIC SA ROMANIA

BIOFARM SA
ROMANIA
Prescriptie
P-RF
P-RF
P-RF
P-RF
P-6L
CUTIE X 1 FLACON DIN PE X 10 ML PIC. AURICULARE, SOL. P-RF

CUTIE X 1 FLAC DIN STICLA BRUNA+APLICATOR TIP PIPETA X 10 ML SOL. AURICULARA
P-RF
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 ac
subliste .
Pagina 6 din 6
PRET
AMANUN
TUL
PRET
mbala
L
MAXIMAL/UT
j
(RON)
(RON)
1
1
1
1
1
1
1
6,39
33,28
32,02
10,12
14,50
5,16
3,39
6,390000
33,280000
32,020000
10,120000
14,500000
5,160000
3,390000
VAL.SUPORTA
TAT CNAS/
213 alin.(1) lit.
(RON) PT.
a) si f)
ADULTI
6,390000
33,280000
32,020000
10,120000
14,500000
4,068000
3,390000
6,390000
33,280000
32,020000
10,120000
14,500000
4,068000
3,390000

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Anexa

P1: PROGRAMUL NATIONAL DE BOLI TRANSMISIBILE

ALFA WASSERMANN SPA ITALIA

2 W05444001 A07AA11 RIFAXIMINUM

ALFA WASSERMANN SPA ITALIA

GRAN. PT. SUSP.

3 W05445001 A07AA11 RIFAXIMINUM

100mg/5ml ALFA WASSERMANN SPA ITALIA

4 W13742001 D01AC02 MICONAZOLUM

5 W55641001 D06BB03 ACICLOVIRUM

SLAVIA PHARM SRL

CUTIE X 3 BLIST. AL/PVC A CATE 12

CUTIE X 1 TUB X 5 G CREMA

CUTIE X 1 TUB X 15 G CREMA

CUTIE X 1 TUB X 5G CREMA

6 W55641002 D06BB03 ACICLOVIRUM

7 W00040001 D06BB03 ACICLOVIRUM

8 W55128001 D06BB03 ACICLOVIRUM

ACICLOVIR SLAVIA 50 mg/g

SLAVIA PHARM S.R.L.

CUTIE CU 1 TUB AL X 15 G CREMA

9 W53041001 D06BB03 ACICLOVIRUM

ACICLOVIR TIS 50mg/g

CUTIE X 1 TUB DIN PEJD X 15 G CREMA

10 W60557001 D06BB03 ACICLOVIRUM

11 W60557002 D06BB03 ACICLOVIRUM

CUTIE CU 1 TUB AL X 5 G CREMA

CUTIE CU 1 TUB AL X 15 G CREMA

12 W52146002 D06BB03 ACICLOVIRUM

CUTIE X 1 TUB DIN AL X 15 G CREMA

13 W58038001 D06BB03 ACICLOVIRUM

ACICLOVIR TERAPIA 50 mg/g

CUTIE CU 1 TUB DIN AL X 15 G CREMA

14 W55128002 D06BB03 ACICLOVIRUM

ACICLOVIR SLAVIA 50 mg/g

SLAVIA PHARM S.R.L.

CUTIE CU 1 TUB AL X 5 G CREMA

15 W51339001 G01AF04 MICONAZOLUM

PHARCO IMPEX 93 S.R.L. ROMANIA

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

16 W51340001 G01AF04 MICONAZOLUM

PHARCO IMPEX 93 S.R.L. ROMANIA

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

OXACILINA ARENA 250 mg

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

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

OXACILINA ARENA 250 mg

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

OXACILINA SANDOZ 250 mg

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

CUTIE X 1 BLIST. X 10 CAPS.

OXACILINA ARENA 500 mg

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

OXACILINA FORTE 500 mg

FARMEX COMPANY SRL ROMANIA

CUTIE X 50 BLIST. AL/PVC X 10 CAPS.

OXACILINA SANDOZ 500 mg

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

OXACILINA FORTE 500 mg

FARMEX COMPANY SRL ROMANIA

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

OXACILINA ATB 1000 mg

PULB. PT. SOL.